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Tibetan medicine considers vegetative-vascular dystonia as a disorder of the Wind system. It is responsible for nervous regulation and the cardiovascular system. Therefore, the symptoms of VSD are associated primarily with vascular and nervous (autonomic) disorders.

For disorders of the Wind system, Tibetan medicine recommends oily, sweet foods. This means that it is better to forget about low-calorie diets based on raw vegetables, herbs and fruits. These products have a cooling effect, and the Wind system has the nature of cold. Therefore, they aggravate the symptoms of vegetative-vascular disorder and add new ones to them - insomnia, irritability, anxiety. Low-calorie diets and raw food diets for VSD can provoke the development of neuroses or mental disorders, as well as complications in the form of panic attacks.

Fats

Oily foods are foods that are high in fat. But not all fats are equally beneficial for VSD. The best butter is ghee. This is a universally useful product for any disorders of the Wind system, so it should take a leading place in the diet. Butter is less healthy. Sunflower and sesame oils warm, so they are completely acceptable. Olive is cooling, but good for the nervous system. But it is better to exclude corn and rapeseed oils.

Blood vessels are connected not only with the Wind system, but also with the Mucus system, and it does not like animal fats. Therefore, they should be consumed with caution (although fatty meat is not prohibited). And under no circumstances should you drink animal fats with chilled drinks.

Symptoms of the disease

In infants, exacerbation of VSD is accompanied by frequent regurgitation, loss of appetite, and excessive accumulation of gases in the intestines. Older children complain of lack of air, headaches, and digestive disorders. They more often show a tendency to conflict behavior, whims, and colds.

Comparison of common symptoms of VSD helps to diagnose the disease in adults and children. Their list includes:

• increased fatigue;
• disturbance of appetite and functions of the digestive system;
• frequent urination;
• shortness of breath, lack of air;
• tachycardia, arrhythmia;
• pain in the heart area;
• increased sweating;
• numbness or feeling of coldness in the extremities, chills.

The disorder is often accompanied by an aggravated reaction to changes in weather factors, restlessness and anxiety, and sleep that does not bring complete rest.

The autonomic system regulates the functioning of all body systems, so the disease can manifest itself as a disruption of the respiratory, cardiovascular, digestive systems, failure of thermoregulatory, dysdynamic, psychoneurological and sexual processes.

To make a correct diagnosis, the therapist needs to obtain the results of echography, electrocardiography, and other hardware studies, and review the results of examination by a neurologist, ENT specialist, endocrinologist, or ophthalmologist.

Vegetables

Most vegetables have a sweet taste and are generally useful for VSD, but only after heat treatment and with the addition of ghee. These are primarily carrots, pumpkins, and potatoes.

The best oily product for VSD is fatty fish. Any, but especially sea. It could be salmon, mackerel or herring. You need to eat oily fish regularly. It warms (useful for Wind, Mucus), has a sweet taste and is ideal for nutrition in case of vegetative-vascular dystonia in any form - boiled, stewed, baked, fried. But not in dried form, since dry, light foods are harmful to the Wind.

Diet depending on the type of VSD

VSD most often occurs as a type of low or high blood pressure. To normalize blood pressure, drink tea with mint, linden blossom, and hop cones:

• they have a positive effect on the autonomic nervous system;
• improve falling asleep and sleep quality;
• cause a sedative effect.

It is also useful for people with VSD to take courses of tinctures of ginseng, eleutherococcus, Schisandra chinensis, and aralia. Under the influence of tinctures:

• the transmission of nerve impulses is normalized;
• body tone increases;
• immunity is strengthened;
• metabolic processes are stabilized.

For hypotonic dystonia, include foods that increase blood pressure in your diet. These are salty dishes, strongly brewed tea, coffee, rich broths, marinades and smoked meats. Coffee is replaced by cocoa, a drink made from chicory.

Limit your salt intake. Instead, use the hyposodium variety to improve the taste of dishes. Reducing sodium will prevent the development of edema.

• The diet should contain foods rich in potassium - baked potatoes, bananas, eggplants, cottage cheese, apricots, tangerines. Enrich your dishes with herbs. Parsley and celery contain a lot of volatile esters that increase vascular tone.
• In case of VSD against the background of hypotension, strict diets and fasting days cannot be used. Eat food in small portions, but often - this will help against dizziness and drowsiness.
• The diet of hypotensive patients should include foods rich in ascorbic acid. This substance increases tone and normalizes the functioning of blood vessels. There is a lot of “ascorbic acid” in fresh black currants, citrus fruits, sweet bell peppers, sea buckthorn, and gooseberries.
• Prepare juices from berries and fresh fruits. Healthy drinks include green tea and hibiscus. In the morning you can drink a cup of coffee with milk.
• Use spices more often when preparing dishes. Cinnamon, turmeric, ginger, chili pepper tone, strengthen the immune system, and increase appetite.

Dietary nutrition for hypotension does not lead to sudden weight loss. In patients with dystonia and low body weight, dizziness, fainting and crises occur more often.

Cereals

Buckwheat is light and cold, so it is not the best choice of cereals for VSD. The best choice would be oatmeal. Even millet porridge is preferable to buckwheat. However, buckwheat can be well seasoned with melted butter and warming foods can be added to it - fried onions, mushrooms, boiled eggs, pepper. In this case, you will get a useful product.

Rice is also a useful cereal. It has a neutral effect, but harmonizes the body's systems and has a positive effect on vegetative-vascular disorders. You can safely use it, in any quantity, but don’t forget to flavor it well with melted butter! Dry, hard, undercooked rice without oil is harmful for VSD.

Alcohol and smoking

People with a history of VSD are contraindicated to drink alcohol and smoke tobacco products.
These substances have a detrimental effect on the cardiovascular system, which already suffers from dystonia. Alcohol can act as a provocateur for the development of unpleasant symptoms. For example, in patients with hypertensive VSD, taking even a small dose of alcoholic beverages leads to a sharp jump in blood pressure and a deterioration in overall well-being.

There is a misconception that cigarettes and alcohol increase a person’s resistance to stress and help him relax. In fact, the body receives only a short-term, imaginary respite, which is fraught with the development of serious complications from the central nervous system.

Spices

Pepper and other spices - cinnamon, ginger, turmeric, allspice, nutmeg, cloves are very useful for Wind disorders. If you have symptoms of VSD, they must be included in your daily diet. A combination of garlic, hot chili pepper and ghee gives a good therapeutic and prophylactic effect. For greens, it is better to use dill and cilantro.

In general, Tibetan medicine recommends any warming products for VSD - poultry (chicken, goose, duck, turkey), lamb, liver, egg yolks, nuts (walnuts, pine, cashews).

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Principles of nutrition for VSD

When eliminating the symptoms of VSD, which is more often found in women, patients are advised to change their approach to nutrition

It is important to consider the following principles:

1. Increasing the consumption of foods that contain a lot of nutrients, vitamins, microelements and fiber.
2. Food is selected in such a way that it helps normalize blood pressure. Nutrition for hypertensive (the patient has high blood pressure) and hypotonic (low blood pressure) types of pathology is different.
3. Determining the amount eaten by each patient individually. You should not reduce it, because if you are malnourished, a person will weaken, and you should not overeat, because in this case the load on the body becomes greater, and excess weight appears.
4. Compliance with water consumption (1.5-2 liters per day)
5. Limit the consumption of alcoholic beverages.
6. Eating at the same time every day. It is advisable to eat in small portions, but more often (3 to 6 times a day) and with approximately equal intervals between meals (up to 4 hours), this helps improve digestion.

A properly selected diet helps alleviate the pathology. The principles of proper nutrition for VSD look like this:

• include foods that contain potassium and magnesium in the menu;
• drink at least 2000 liters per day. water;
• regularly consume foods that contain many vitamins and help stabilize blood pressure.

Nutrition for VSD does not require adherence to strict diets. The patient is prohibited from fasting or fasting days.

Basic requirements for diet therapy

• Therapeutic nutrition for diseases of the endocrine glands is based on the characteristics of pathogenesis, clinical course, stage of the disease, level and nature of metabolic disorders, and concomitant pathology.
• Diet therapy for diseases of the endocrine glands is based on the principles of controlling the energy value of the diet, the quantitative and qualitative composition of proteins, fats, carbohydrates, dietary fiber, the content of vitamins, macro- and microelements that meet the individual needs of the patient.
• At all stages of treatment (inpatient, sanatorium, outpatient), dietary therapy should be differentiated depending on the nature, severity of the disease, the presence of complications and concomitant diseases.
• Individualization of diet therapy based on nutrimetabolomic analysis (Nutritest-IP and Nutricor-IP systems) taking into account the energy and plastic needs of the body, body composition, characteristics of the nutritional and metabolic status of patients with diseases of the endocrine glands.
• Optimization of the chemical composition and energy value of the diet is ensured by including in the diet dietary (therapeutic and preventive) food products, specialized mixtures for enteral nutrition and biologically active additives (BAA) to food.

Basic principles of constructing a diet for diseases of the thyroid and parathyroid glands

• Providing for the physiological needs of the body in energy, proteins, fats, carbohydrates, vitamins, minerals and trace elements, taking into account the characteristics of pathogenesis, clinical course, stage of the disease, level and nature of metabolic disorders, concomitant pathology.
• For hyperthyroidism, it is recommended to increase the energy value of the diet through a balanced increase in all energy-intensive nutrients - proteins, fats, carbohydrates.
• With hypothyroidism, the caloric content of the diet is reduced due to carbohydrates and saturated fats with a physiologically normal protein content.
• Compliance with a fractional diet.
• Ensuring correct technological processing of products and dishes (removal of extractives, exclusion of fried, canned foods, hot spices, table salt, etc.).

Basic principles of building a diet for type 1 diabetes mellitus

• The diet for adults and children is formed in accordance with age, family eating habits, and daily routine; For patients who have been trained at a diabetes school, a liberalized diet may be recommended with the possibility of taking a moderate amount of easily digestible carbohydrates, provided that intensive insulin therapy is used and doses of short-acting or ultra-short-acting insulin are adequate.
• Diet should provide a relatively stable glycemic profile and promote good metabolic control.
• Products containing easily digestible carbohydrates are excluded from the diet.
• The daily calorie content of the diet is provided by 55–60% from carbohydrates, 16–20% from proteins, and 24–30% from fats.
• The diet of older children and adults should be dominated by low-fat foods; it is preferable to include foods containing unsaturated fatty acids (vegetable oils).
• In preschool children, saturated fat intake should not be limited.
• A diet is provided that includes 6 meals - 3 main (breakfast, lunch, dinner) and 3 additional (second breakfast, afternoon snack and a moderate meal before bed).
• Children need to take a certain amount of carbohydrates at each meal. The amount of product containing 12 g of carbohydrates is called a “bread unit” (XE). The daily amount of XE depends on the age and gender of the child: 1–3 years - 10–11 XE; 4–6 years – 12–13 HE; 7–10 years – 15–16 HE; 11–14 years old (boys) – 18–20 HE; 11–14 years old (girls) – 16–17 HE; 15–18 years old (boys) – 19–21 XE; 15–18 years old (girls) – 17–18 HE.

Basic principles of building a diet for type 2 diabetes mellitus

• Limiting the caloric content of the diet with a calorie reduction of no more than 25–40% (500–1000 kcal/day) of the physiological need, taking into account gender, age, and level of physical activity. Reducing and/or normalizing body weight is the main goal of diet therapy, a necessary condition for achieving compensation for metabolic disorders in this group of patients.
• In patients with normal body weight, the caloric content of the diet should correspond to physiological needs, taking into account the body’s energy expenditure, which averages 2000–2500 kcal/day.
• Optimally balanced diet in terms of quantity and quality of carbohydrates. The recommended amount of carbohydrates is 50–55% of the total calorie intake, with the complete exclusion of rapidly absorbed (refined) carbohydrates. Carbohydrates are distributed evenly across all meals.
• Predominant use in the diet of carbohydrate-containing products with a low glycemic index, targeted reduction of the glycemic index of the diet due to enrichment with nutrients that reduce post-meal glycemia (protein, various sources of soluble dietary fiber, organic acids).
• Increasing the dietary fiber content (30–40 g/day) due to the wide inclusion of vegetables, fruits, some grains, dietary breads and other foods enriched with dietary fiber, as well as the additional use of dietary barley, oat and wheat bran.
• Control over the quantity and quality of fat in the diet. It is recommended to limit the amount of fat to 30% of the total calorie intake or less (due to the predominant use of low-fat and low-fat foods) while ensuring an equal ratio of saturated, mono- and polyunsaturated fatty acids in the diet. To prevent cardiovascular complications, the diet is enriched with omega-3 polyunsaturated fatty acids through natural products - certain types of fish (mackerel, capelin, halibut) or vegetable oils (linseed, soybean) and the inclusion in the diet of dietary supplements containing polyunsaturated omega fatty acids -3.
• Control of protein content in the diet (15–20% of total calories) with an equal ratio of animal and plant proteins. It is recommended to combine carbohydrate-containing products with plant and animal proteins to reduce the level of post-meal glycemia, as well as the use of legumes (lentils, beans, peas) and soy protein products as vegetable protein.
• Enrichment of the diet with vitamins, including antioxidant vitamins - A, E, C, β-carotene, both through traditional foods (fruits, vegetables, berries, rosehip decoction, vegetable oils, nuts), and through dietary products fortified vitamins and β-carotene, as well as regular use of multivitamin preparations.
• Ensuring the optimal content and ratio of minerals and trace elements in the diet. With concomitant arterial hypertension, limit sodium intake while simultaneously enriching the diet with potassium, magnesium, and calcium salts. The degree of sodium restriction in the diet is determined by the severity of hypertensive syndrome.
• Proper culinary processing of food and adherence to a fractional diet.

Prescription of diet therapy for diseases of the endocrine glands

Depending on the clinical course, stage of the disease, level and nature of metabolic disorders, concomitant pathology, patients with diseases of the endocrine glands are prescribed one of the options for a standard diet (the main option and options for a diet with a reduced calorie content, increased and decreased amount of protein) (see Table. 1).

The main version of the standard diet (OVD)

Indications for use: thyroid diseases associated with iodine deficiency (diffuse endemic goiter, multinodular endemic goiter). Other forms of non-toxic goiter (non-toxic diffuse goiter, non-toxic single-nodular goiter, non-toxic multinodular goiter, other unspecified forms of non-toxic goiter). Thyroiditis (acute, subacute, chronic, autoimmune, drug-induced, unspecified). Hypoparathyroidism (idiopathic, primary, secondary hypoparathyroidism, pseudohypoparathyroidism, other forms of hypoparathyroidism, unspecified hypoparathyroidism). Type 1 diabetes mellitus without complications. Type 1 diabetes mellitus with eye damage, neurological complications, and peripheral circulatory disorders. Diabetes mellitus type 1 with unspecified complications. Diabetes mellitus type 2 with eye damage, neurological complications, and peripheral circulatory disorders. Hyperfunction of the pituitary gland. Hypofunction of the pituitary gland. Androgenital disorders. Hyperaldosteronism. Other adrenal disorders (primary adrenal insufficiency, drug-induced adrenal insufficiency). Ovarian dysfunction. Testicular dysfunction.

General characteristics: a diet with a physiological content of proteins, fats and carbohydrates, enriched with vitamins, minerals, plant fiber (vegetables, fruits). In the diet, increase the amount of foods rich in iodine (seafood, sea fish, seaweed). Nitrogenous extractive substances, table salt (4–6 g/day), foods rich in essential oils are limited; hot seasonings, spinach, sorrel, and smoked meats are excluded. Dishes are prepared boiled or steamed, baked. The temperature of hot dishes is no more than 60–65 ºС, cold dishes – no lower than 15 ºС. Free liquid - 1.5–2 liters. The feeding rhythm is fractional, 4–6 times a day.

Chemical composition: proteins - 85-90 g, including animal fats 40-45 g, total fats - 70-80 g, including vegetable fats 25-30 g, total carbohydrates - 300-330 g (refined carbohydrates excluded from the diet with concomitant diabetes mellitus), dietary fiber - 25–30 g. The diet is enriched with vitamins C, group B, A, PP, K. Energy value 2170–2400 kcal.

The norms of therapeutic nutrition are applied when following a diet with a physiological amount of protein (the main version of the standard diet) with the inclusion of specialized food products, mixtures of dry protein composites in a volume of 27 g of the mixture (for example, when using SBCS "Diso®" "Nutrinor" - 10.8 g of protein ) as part of a daily set of products.

Reduced calorie diet (RCD) option

Indications for use: diseases of the thyroid gland with concomitant overweight and obesity. Type 2 diabetes mellitus without complications with concomitant overweight and obesity. Type 2 diabetes mellitus with eye damage, neurological complications, peripheral circulatory disorders and concomitant overweight and obesity. Type 2 diabetes mellitus with unspecified complications and concomitant overweight and obesity. Itsenko-Cushing syndrome with concomitant overweight and obesity.

General characteristics: a diet with a moderate restriction of energy value, mainly from fats and carbohydrates. Simple sugars are excluded, animal fats and table salt are limited (3–5 g/day). The diet includes foods rich in iodine (seafood, sea fish, seaweed), vegetable fats, dietary fiber (raw vegetables, fruits, food bran). Liquid is limited. Food is prepared boiled or steamed, without salt. Free liquid - 0.8–1.5 liters. The feeding rhythm is fractional, 4–6 times a day.

Chemical composition: proteins - 70–80 g, including animals 40 g; general fats - 60–70 g, including vegetable fats 25 g; total carbohydrates - 130–150 g; dietary fiber - 25 g. Energy value - 1340–1550 kcal.

The norms of therapeutic nutrition are applied when following a diet with a physiological amount of protein while reducing the calorie content of the diet (a variant of a diet with reduced calorie content) with the inclusion of specialized food products, mixtures of dry protein composites in a volume of 24 g of the mixture (for example, when using SBKS "Diso®" "Nutrinor" - 9.6 g of protein) as part of a daily set of products.

High Protein Diet Option (HPDI)

Indications for use: hypothyroidism (congenital hypothyroidism with diffuse goiter, congenital hypothyroidism without goiter, hypothyroidism caused by medications and other exogenous substances, post-infectious hypothyroidism, acquired atrophy of the thyroid gland, unspecified hypothyroidism). Chronic thyroiditis with toxicosis. Diabetes mellitus type 2 without complications.

General characteristics: a diet with a high protein content, a physiological amount of fats, complex carbohydrates and a limitation of easily digestible carbohydrates (sugar, jam, honey, flour products). The diet includes foods rich in iodine (seafood, sea fish, seaweed), sources of lipotropic substances (methionine, vitamins B1, B12, choline, lecithin, etc.). The diet is enriched with dietary fiber and ascorbic acid. Limit foods rich in cholesterol, sodium chloride (table salt), chemical and mechanical irritants to the stomach and bile ducts. Dishes are prepared boiled, stewed, baked, pureed or not pureed, steamed. Food temperature - from 15 to 60–65 ºС. Free liquid - 1.5–2 liters. The feeding rhythm is fractional, 4–6 times a day.

Chemical composition: proteins - 110–120 g, including animals 45–50 g; general fats - 80–90 g, including vegetable fats 30 g; total carbohydrates - 300-350 g, dietary fiber - 25 g. Energy value 2080-2690 kcal.

The norms of therapeutic nutrition are applied when following a diet with an increased amount of protein (a variant of a diet with an increased amount of protein) with the inclusion of specialized food products, mixtures of dry protein composites in a volume of 36 g of the mixture (for example, when using SBCS "Diso®" "Nutrinor" - 14.4 g protein) as part of a daily set of products.

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High calorie diet (HCD)

Indications for use: thyrotoxicosis (thyrotoxicosis with diffuse goiter, thyrotoxicosis with toxic single-nodular goiter, thyrotoxicosis with toxic multinodular goiter, thyrotoxicosis with ectopia of thyroid tissue, unspecified thyrotoxicosis).

General characteristics: a diet with a high content of protein, fat, a physiological amount of complex carbohydrates, an increased amount of vitamins, minerals (especially calcium). Diet with increased energy value. Products and dishes that stimulate the cardiovascular and central nervous systems are excluded (meat and fish broths, hot and spicy foods, chocolate, strong tea, coffee, etc.). Dishes are prepared boiled, stewed, baked, with or without mechanical sparing. Food temperature - from 15 to 60–65 ºС. Free liquid - 1.5–2 liters. The feeding rhythm is fractional, 4–6 times a day.

Chemical composition: proteins - 130–140 g, including animals 60–70 g; general fats - 110–120 g, including vegetable fats 40 g; total carbohydrates - 400-500 g (sugars - up to 100 g), dietary fiber - 30-40 g. Energy value 3100-3600 kcal.

The norms of therapeutic nutrition are applied when following a diet with a high protein content and high calorie content (a variant of a diet with high calorie content) with the inclusion of specialized food products, mixtures of dry protein composites in a volume of 42 g of the mixture (for example, when using SBCS "Diso®" "Nutrinor" - 16 .8 g of protein) as part of a daily set of products.

Low Protein Diet Option (LPD)

Indications for use: type 1 diabetes mellitus with kidney damage, type 2 diabetes mellitus with kidney damage.

General characteristics: diet with protein restriction to 0.8 or 0.6 g or 0.3 g/kg of ideal body weight (up to 60, 40 or 20 g/day), with a sharp restriction of table salt (1.5–3 g /day) and liquid (0.8–1 liter). The degree of restriction of the amount of protein in the diet is determined by the severity of disorders of nitrogen excretory function of the kidneys. Nitrogenous extractives, alcohol, cocoa, chocolate, coffee, and salty snacks are excluded. The diet includes sago dishes, protein-free bread, purees, and mousses made from swelling starch. Dishes are prepared without salt, boiled, steamed, not pureed. Food is prepared boiled and steamed, not chopped. The diet is enriched with vitamins and minerals. Free liquid - 0.8–1.0 liters. The feeding rhythm is fractional, 4–6 times a day.

Chemical composition: proteins - 20–60 g, including animals 15–30 g; general fats - 80-90 g, including vegetable fats - 20-30 g; total carbohydrates - 350-400 g, including refined carbohydrates 50-100 g, dietary fiber - 15-20 g. Energy value 2120-2650 kcal.

The norms of therapeutic nutrition are applied when following a diet with a reduced amount of protein (a variant of a diet with a reduced amount of protein) with the inclusion of specialized food products, mixtures of dry protein composites in a volume of 18 g of the mixture (for example, when using SBKS "Diso®" "Nutrinor" - 7.2 g protein) as part of a daily set of products.

Enteral nutrition

Enteral nutrition mixtures are included in the diet if it is impossible to adequately meet the energy and plastic needs of the body with the help of diet alone. Enteral nutrition of patients with diseases of the endocrine glands is used for the purpose of effective correction of protein-energy deficiency in concomitant diseases of the gastrointestinal tract (Crohn's disease, malabsorption syndrome, short bowel syndrome, chronic pancreatitis, ulcerative colitis, etc.), mental disorders (severe depression , neuropsychiatric anorexia), disorders of the central nervous system (comatose states, cerebrovascular strokes or Parkinson's disease, as a result of which disturbances in nutritional status develop), burn disease, acute poisoning, in the pre- and postoperative periods (including complications of the postoperative period - fistulas of the gastrointestinal tract, sepsis, leakage of anastomotic sutures), for injuries, infectious diseases, acute and chronic radiation injuries, radiation and chemotherapy for oncological diseases.

As nutritional support for patients with diseases of the endocrine glands, standard mixtures, semi-element mixtures, metabolically targeted mixtures, modules (protein, carbohydrate, fat, dietary fiber) are used. The choice of enteral mixtures for adequate nutritional support of patients with diseases of the endocrine glands is determined by the data of clinical, instrumental and laboratory examination of patients, the nature and severity of the main and concomitant diseases, the severity of nutritional disorders, and the functional state of the gastrointestinal tract. The dose and method of administration are determined by the doctor depending on the clinical situation.

Biologically active food additives

In complex diet therapy for diseases of the endocrine glands, it is advisable to use dietary supplements as sources of: vitamins, minerals, amino acids, dietary fiber, omega-3 PUFAs, antioxidant substances.

In accordance with the norms of therapeutic nutrition approved by Order of the Ministry of Health of Russia No. 395n, vitamin-mineral complexes are included in standard diets in an amount of 50–100% of the physiological norm.

Standard for organizing therapeutic nutrition for diseases of the endocrine glands

Vegetative-vascular dystonia and nutrition

Medical News | Publications

2012.02.02 9:12

Vegetative-vascular dystonia (VSD), or, as it is called in official medicine, neurocirculatory dystonia, is a multifactorial disease. This disease involves many organs and systems in the pathological circle and manifests itself, in addition to vascular and neurotic disorders, with many other health disorders. For example, “breathing” disorders are very common - shortness of breath with difficulty in inhaling (the so-called “sad breath”), which intensifies with excitement and negative experiences. “Gastroenterological” symptoms are expressed in a feeling of bloating, increased peristalsis, frequent belching of air, and a feeling of early satiety after eating.

According to statistics, patients with NCD make up about 30% (one third) of all patients visiting a cardiologist on an outpatient basis. This fact eloquently indicates the widespread spread of the disease.

Mostly young women are affected, although this disease is not uncommon among young men, mostly of military age. But, since the basis of the disease is, first of all, a disorder of regulation of the cardiovascular system, it should be considered from this point of view.

VSD can be hypotonic or hypertonic. Let us dwell in more detail on dystonia of the hypotonic type. It is very common among young working people, and in recent years it has become an epidemic.

How does neurocirculatory dystonia with low blood pressure (hypotension) manifest itself? Many patients experience general weakness, especially in the morning, decreased performance, pain in the heart, palpitations, tremors in the hands, often with cold hands, the skin often turns red or pale (since the color of the skin depends on the tone of the blood vessels), often has uneven , “marble” coloring. Frequent fainting and dizziness. Of course, a person who experiences these “non-fatal” but painful symptoms every day develops irritability, a feeling of fear for his health reaches the point of a painful fixation on the slightest ailments, the person loses his former confidence, efficiency, and social adaptation is disrupted.

Some patients experience a sharp deterioration in their condition in the form of various vegetative crises. Most often, crises occur as a “Panic attack” - an extremely unpleasant condition for the patient, the main manifestation of which is a sudden panicky feeling of fear. Fortunately, crises almost never lead to serious complications, but the condition of the nervous system of such a patient is steadily deteriorating.

Always with the indicated symptoms, it is necessary to undergo examination by a therapist in order not to miss dangerous diseases of the heart, blood vessels, lungs, gastrointestinal tract, or serious abnormalities in the endocrine system. Remember that the diagnosis of NCD or VSD is a diagnosis of exclusion, that is, it is made after excluding the above spectrum of diseases.

In this case, we will talk not so much about treatment, but about correction of the disease, which includes following a daily routine, morning exercises, and diet. I would like to dwell in more detail on diet therapy, as the simplest and most accessible method of treatment for everyone. In the case of VSD, classical Western dietetics focuses on the elemental and vitamin composition of food products.

The human body contains the entire periodic table. And every trace element is needed. But when there is a disorder in the regulation of blood vessels, several of them are extremely important. First of all, these are potassium, magnesium, iodine, zinc, selenium.

Magnesium is called the main metal of life. In humans, magnesium controls the excitability and conductivity of nervous tissue and is involved in the synthesis of all currently known neuropeptides in the brain. All energy processes in the body occur with the obligatory participation of magnesium.

Magnesium deficiency affects many functions of the body, and primarily the most vital ones: the functioning of the myocardium, nervous system and the efficiency of carbohydrate metabolism. A lack of magnesium accelerates the aging process, sharply increasing the risk of strokes and heart attacks.

Magnesium controls the normal functioning of cardiac muscle cells, the conduction system of the heart, and blood vessels. A good supply of magnesium helps to better tolerate a stressful situation and suppress depression. Reduced magnesium levels are associated with the development of insulin resistance, that is, it is the first step to diabetes. The daily requirement for magnesium is 10 mg per kg of body weight.

Magnesium enters the body with water and food, and its main sources can be cereals (buckwheat, millet, pearl barley, oatmeal), wholemeal flour, bran bread, legumes (especially lentils), almonds, seeds, spinach, sea kale, watermelon , some mineral waters. Most magnesium is found in cocoa and hazelnuts.

Unfortunately, most magnesium-rich foods contain a lot of calcium or phosphorus, which interfere with magnesium absorption, and staple foods (meat, poultry, potatoes and other vegetables, milk and dairy products) contain limited amounts of magnesium.

Despite the fact that magnesium is widespread in nature, its deficiency is found in humans very often - with chronic stress, heavy physical activity, pregnancy, and mental fatigue in students.

Magnesium deficiency is especially pronounced in children - hyperactivity syndrome, emotional instability, aggressiveness, and a tendency to various addictions.

Potassium is also a necessary mineral to ensure normal human functioning, since even small deviations in the content of this element can significantly affect the functioning of the body as a whole. Together with sodium, potassium ensures water-salt balance, which directly affects the work and rhythm of the heart, muscle tone and activity of the nervous system. Potassium is also contained in all intracellular fluids. Potassium normalizes blood pressure, prevents the risk of developing atherosclerosis and relieves spasms of peripheral vessels.

There is enough potassium in all food products, but the largest amount of potassium is found in cocoa, tea, raisins, dried apricots, honey, baked potatoes with skins, apples, peaches, spinach, and cereals. In our region, it is especially rational to use parsley and sunflower seeds as a source of potassium.

Normal functioning of the nervous and cardiovascular systems is completely impossible with iodine deficiency. The daily requirement for iodine is 100-200 mcg.

The main source of iodine is the world's oceans. Therefore, seaweed, fish, squid and shrimp are rich in iodine. Good sources of iodine are natural milk, potatoes, and many vegetables and fruits. But the iodine content in these products depends on the iodine content in the soil of the area where they grew.

Our country is an iodine-deficient area of ​​the earth. Solving the problem and maintaining your health is quite possible. To do this, you just need to buy iodized salt in the store and use it in your diet. A healthy thyroid gland requires sufficient amounts of not only iodine, but also selenium, copper and zinc. Zinc is necessary for the regulation of cellular immunity, for skin health, for hair and nail growth, and for the functioning of the pancreas and prostate gland. In people who often suffer from colds, a deficiency of this element is observed in 80-90% of cases. Fruits and vegetables are low in zinc; only oatmeal, sprouted wheat grains, and garlic can serve as plant sources. More zinc is found in fish, meat, and seafood. Of the fish, the richest in zinc are herring and mackerel.

Selenium is one of the absolutely essential microelements. With a severe lack of selenium in the diet, selenium deficiency cardiomyopathy develops - a serious heart disease.

Selenium can indirectly have an antitumor effect. This trace element is part of glutathione peroxidase, a key enzyme of the body's immune system. As you know, under stress and nervous tension, free radicals are formed in the body, which interfere with normal intercellular metabolism and are one of the main causes of aging and many diseases. Selenium removes these free radicals, normalizing the functioning of the body and prolonging youth. Food sources of selenium are: coconut, pistachios, lard, garlic, sea fish, wheat bran, porcini mushrooms, eggs, soybeans, liver, brown rice.

Vitamins C, E, A, K, group B must be present in your diet in sufficient quantities. The richest in energy terms are products containing the B complex of vitamins: B1, B2, B3, B5, B6, B12, B9 (folic acid) and biotin. All of them are found in abundance in the grains of millet, buckwheat, rye, quinoa (a South American grain very popular in the West), corn and barley. In sprouted grains, the energy value increases many times over - the nutritional value of the sprouts is increased by growth-promoting enzymes. A lot of B vitamins are also found in fresh greens. Vitamin C, which is present in fruits (for example, oranges) and vegetables (potatoes, peppers), is also important for the body’s energy; fish, sunflower seeds); iron (grains, pumpkin seeds, lentils); copper (Brazil nut hulls, oats, salmon, mushrooms), as well as coenzyme Q10, which is present in beef, sardines, spinach and peanuts.

In conclusion, a few words about the principles of a healthy lifestyle:

• When you wake up, drink a glass of warm water on an empty stomach (you can add lemon juice).
• do morning exercises. Start it in bed: Stretch, gently stretching your spine, and then follow the movements that your body tells you. Keep a smile on your face!

When you return from work, lie down for 10-15 minutes on a flat surface, allowing your spine to straighten and relax. In this case, it is useful to place your legs so that they are above the body line.

• evening exercises will relax and prepare the body for sleep. A minimum of 6 hours is needed for sleep.
• Watch your mood! Be kind to others, look for positivity in all events in your life.

Ayurveda experts say that for a harmonious existence a person needs daily contact with all four elements - water, earth, fire and air. Communicate with nature as much as possible, spend time in the country, in the countryside, away from the bustle of the city. Let these simple tips help you stay healthy!

Doctor - therapist Nam Larisa Valentinovna

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Nutrition rules during VSD

It is believed that women are more likely to suffer from VSD. This is due to more frequent hormonal changes (pregnancy, childbirth, breastfeeding, menopause), peculiarities of endocrine function, and low stress resistance.

Nutrition for vegetative-vascular dystonia in women should be aimed at reducing hormonal disorders and psychological disorders (anxiety, hysteria).

There are certain nutritional rules that must be followed during VSD.

Rule 1

• It is advisable to gradually increase the amount of fluid consumed, because a lack of water in the body causes disruption of water-salt metabolism and the functioning of the immune, endocrine and enzyme systems.

Rule 2

• You need to eat in small portions and as often as possible. Overeating should not be allowed.

Rule 3

• Dishes should be quite varied.

Rule 4

• The daily menu should include vegetables, fruits, cereals, and soups.

Rule 5

• It is necessary to completely eliminate alcohol consumption.

Rule 6

• You need to limit your coffee consumption.

Rule 7

• You need to constantly listen to your body and its reaction to the food you eat. It is advisable to keep a food diary.