Sanatorium "Gornaya Tisa", village. Kvass

ARSENICAL WATERS- natural mineral waters containing arsenic in an amount of more than 0.7 mg/l (mainly in the form of arsenic acid, as well as its dissociation products), used for therapeutic and prophylactic purposes.

According to the content of arsenic (As) M. century. subdivided into weak arsenic (As 0.7-5.0 mg/l), which includes the waters of the Avadhara, Vardzia, Gornaya Tissa (well 1-P), Nakalakevi, and Chvizhipse deposits; strong arsenic (As from 5.0 to 10 mg/l) - Goverla (source No. 4), Gornaya Tissa (well 2-R), Nagadzhir; very strong arsenic (As over 10 and up to approximately 100 mg/l) - Gornaya Tissa (well 2-K), Darydag, Sinegorskoe. According to the pH value, all M. v. are slightly acidic (almost neutral). Based on temperature, they are divided into cold - below 20° (Avadhara, Sinegorskoe, Chvizhiise); hot - from 35 to 42°, very hot - St. 42e (Vardzia, Darydag, Nagadzhir. Nakalakevi). By amount of content mineral salts There are waters with low mineralization - from 2 to 5 g/l (Gornaya Tissa - well 1-R, 4-R, 352 and 353, Chvizhipse), with medium mineralization - from 5 to 15 g/l (Avadhara, Vardzia, Nagadzhir , Nakalakevi); with high mineralization - from 15 to 30 g/l (Goverla, Darydag, Sinegorskoe) and brine (Gornaya Tissa, well 2-K).

According to the ion-salt composition of M. century. mainly belong to calcium-sodium bicarbonate (Narzan type) and sodium chloride-hydrocarbonate or hydrocarbonate-chloride sodium waters(like Essentuki No. 4, 17).

Carbon dioxide arsenic mineral waters are most widely used in balneology, the saturation of which is carbon dioxide reaches 3.5-9.0 g/l. In the USSR it is known approx. 20 carbon dioxide deposits. The main group of carbon dioxide sources. located in Transcarpathia, the Caucasus, Kamchatka, Sakhalin. Resorts with M. v. there are also in Poland (Kudova), in France (La Bourboule), in Germany (Dürkheim), etc.

It is believed that the enrichment of underground mineral waters with arsenic occurs in the process of intensified leaching under conditions of elevated temperature and pressure.

M.v. used for drinking treatment, general and local baths. When prescribing drinking treatment, it is assumed that the water received contains therapeutic dose arsenic (including one-time, daily, course), adopted by the pharmacopoeia. Due to the different content of arsenic in the water of a particular source, the amount of water prescribed for drinking at one time can vary widely - from 5 to 200 ml. For example, water from the Sinegorsk field at drinking cure dose with teaspoons (approximately 5 ml per dose), water from the Chvizhepse deposit - up to one glass (approximately 200 ml) per dose.

For baths: apply M. v. for one bath. with arsenic content from 20 to 50 mg/l, temperature 36-37°; The duration of the procedure is 10-15 minutes, for a course of treatment from 10 to 15 baths every other day or daily.

Both with internal and external use of M. v. Arsenic ions penetrate through intact skin or mucous membrane into internal environment body. The intensity of arsenic penetration depends not only on the concentration of arsenic in mineral water, but also on the general mineralization of water, its main ionic composition: what more quantity arsenic, the higher the general mineralization and the lower the pH, the more intense the penetration of arsenic ions through the skin or mucous membrane of the gastrointestinal tract. tract. Arsenic enters all organs and tissues, but has a special affinity for the nervous and muscle tissue. By entering into enzymatic reactions of tissue respiration, arsenic reduces its intensity and reduces the level of free radical oxidation, and therefore the energy potential of cells increases, their resistance and the resistance of the body as a whole to damaging factors increases. Formed during external use of M. v. arsenic deposits on the skin to a certain extent reduce impulses from its receptors, this helps to normalize the processes of excitation and inhibition in the c. n. With. During drinking treatment, the intestinal tract entering the cells of the mucous membrane. tract arsenic increases its resistance to aggressive action gastric juice. An increase in the body's resistance occurs due to the activation of the body's adaptation systems, normalization of nervous, cardiovascular and endocrine systems. Course of treatment for M. v. helps improve central and peripheral hemodynamics, tissue trophism, accelerate regeneration processes, increase contractility myocardium.

Indications and Contraindications

M.v. used mainly for diseases, the pathogenesis of which is associated with a violation of cellular metabolism: function, disorders of the central, peripheral and vegetative nervous system, hypertonic disease Stages I and II, atherosclerosis in initial stage, atherosclerotic coronary artery sclerosis, ischemic disease heart disease, rheumatism (inactive phase), peptic ulcer stomach and duodenum, endocrine diseases, hyperthyroidism, ovarian dysfunction due to chronic conditions, adnexitis (all diseases outside the period of exacerbation). For all of these diseases, both internal and external treatment of M. v. is used. or their combination, however, for diseases of the gout. tract - predominantly internal, and in diseases of cardio-vascular system and metabolic diseases - mainly external.

Contraindications to the use of M. v. All diseases serve for which balneotherapy is contraindicated (see Sanatorium and resort selection, table).

Bibliography: Issues of experimental and clinical balneology and physiotherapy, ed. Yu. E. Danilova, p. 114, M., 1975, p. 33, 69, M., 1976; Methods of prevention, diagnosis and therapy endocrine disorders in women, ed. JI. S. Persianinov and M. L. Krymskaya, p. 133, M., 1975; Arsenic-containing mineral waters of the USSR, ed. L. A. Yarotsky, M., 1973.

I. N. Danilova.

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Emphasis: ARSENIC-CONTAINING MINERAL WATER

Depending on the nature of arsenic compounds, arsenic waters are distinguished, containing arsenic acid (H 3 ASO 4) and its ions, and arsenic waters, which contain arsenic (orthoarsenic) acid (H 3 AsO 3) and its ions. Arsenic min. waters are usually acidic sulphate waters(so-called vitriol) of the mine type (for example, the waters of the Zubi springs in the Georgian SSR). Arsenic waters, as a rule, belong to carbon dioxide (for example, the Sinegorskoye deposit in the Sakhalin region, Darydagskoye and Chvizhepsinskoye - in the Caucasus, Mountain Tisa- in Transcarpathia), according to the arsenic content M. m.v. divided into weak (0.7 - 5 mg/l), strong (5 - 10 mg/l) and very strong (over 10 mg/l). Max. The arsenic content in arsenic carbon dioxide waters (60 - 70 mg/l and above) was established in the USSR in the waters of the Sinegorsk deposit; in arsenic acid sulfate (vitriol) waters it reaches 200 mg/l or more.

With the so-called average background arsenic content in groundwater not exceeding 0.1 mg/l, the origin of M. m.v. associated with the entry of arsenic into groundwater as a result of leaching of ore arsenic masses and arsenic found in rocks in a dispersed state, as well as due to absorption by groundwater etc. endogenous (magmatic, etc.) emanations. Arsenic waters in the USSR are mainly located in the so-called Alpine (Transcarpathia, Caucasus) and Pacific (Sakhalin, Kamchatka) waters. geosynclinal areas, with which the province of carbon dioxide mines spatially coincides. water In geol. structure of the Nalachaevskoye deposit M. m.v. in Kamchatka (55 km north of the city of Petropavlovsk-Kamchatsky) Ch. Volcanic rocks play a role. The Chvizhepsinsky deposit in the Krasnodar region is characterized by the opening of M. m.v. in crushed limestones and at the contact of sandstones and shales at depth. from 30 to 100 m. Arsenic waters of the Caucasus are confined to geologically young structures; It is assumed that their formation requires the presence of arsenic-enriched sedimentary and sedimentary-volcanic rocks. rocks, the presence of chloride waters in the structures, as well as the phenomena of magmatism, etc.

Use M. m.v. for drinking, inhalation and externally - in the form of baths, irrigations. Therapeutic the effect is due to both the content of biologically active arsenic compounds and other features of the mine. water (content of gases, primarily carbon dioxide, general mineralization, presence of other chemical elements - sodium, chlorine, bromine, etc.). Both for internal and external use of M. m.v. Some of the arsenic enters the body (through mucous membranes or skin). At the same time, arsenic affects enzymatic processes, contributing to changes in energy. cell potential and increasing their resistance to various influences. In the mechanism of action of M. m.v. Certain importance is also attached to changing metabolism and improving tissue respiration. As a result of the use of M. m.v. stimulates hematopoiesis, functions of the cardiovascular system, stomach, intestines, immune systems. Usually M. m.v. used to treat patients with cardiovascular diseases, diseases of the blood, skin, nervous system, and musculoskeletal diseases. apparatus, stomach and intestines, certain endocrine diseases.

In the USSR M. m.v. with treatment the purpose is used in the resorts of Gornaya Tisa, Avadhara, Sochi (Chvizhepse); abroad - at the resorts of Parade (Hungary), Bad Liebenstein (GDR), Roncegno (Italy), Carratraca (Spain), La Bourboule (France), etc.

Mineral waters of the USSR. Explanatory note to the map of mineral waters of the USSR, M., 1974; Posokhov E.V., Tolstikhin N.I., Mineral waters. Medical, industrial, energy, L., 1977.


Sources:

  1. Resorts. Encyclopedic words/Chapter. ed. E. I. Chazov. - M.: Soviet Encyclopedia, 1983. - 592 p.
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