Title: Dry Carbonide acid therapy in Hungary
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2MOFETTA
3Dry Carbonide acid therapy in Hungary Tamás
Bender M.DFarkas Ballagi M.DGyula Gyetvai M.D
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4Theory and Indications of Carbonic
Acid Transcutaneous application of carbon
dioxides has the following undisputed
physiological and therapeutic effects Rightward
shift of oxyhaemoglobin dissociation curve,
reuction of blood viscosity, dilation of
precapillaries, restoral of patency of closed or
stenosed capillaries, stimulation of heat and
inhibition of cold receptors of the skin,
antisepsis. These effects form the basis for the
therapeutic use of carbon dioxide.The following
indications are identified as evidence based
therapy by prospective controlled clinical
studies under blinded conditions Arterial
occlusive disease in all clinical stages I-IV,
Microcirculatory disorders of any aetiology,
Cerebral insufficiency, Arterial hypertension,
Algodystrophy, Pain therapy, Venous incompatency
of all stages incl. venous ulcers, Non healing
skin wounds especially in diabetes mellitus. In
these cases CO2 is an alternative to other
treatment regimens, including pharmacological or
physical therapy surgery or other invasive
treatments.
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5Carbonic acid gas bath in tub In Hungary (in
Mihályi) 1933-35 and in 1944-45 (in Répcelak)
excavated the first big gas fields.In Kapuvár
Veress developped the first carbonic acid snow
chamber. Later in the Gellert bath (Budapest)
used for medical purposes.The balneo-technology
of the dry carbon-dioxide gas-bath using frozen
carbon-dioxide (dry ice) is described as used
since 1967 in the angiological rehabilitation
section of the Lumniczer Municipal Hospital
(director Ballagi Farkas) The dry ice sublimate
in-78,C (becaming steam without to solve) The
patient lies in a special tub which has been
covered and the dry ice can be found in a
special cellar(at the end of the tub)After
pouring hot water on dry ice suddenly arises the
dry ice snow.
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7MofettaMofetta is a term used in geology to
designate volcanic emissions containing a high
level of carbon dioxide at a relatively low
temperature. At the same time we know that carbon
dioxide has been used for centuries in therapy to
treat circulatory and vascular disorders. This
natural phenomenon is rare in Europe so far it
has been found in only two places, Transylvania
and Austria . In Transylvania it is used in an
organised form for cures and the mofetta is open
to everyone, while in Austria a 4-star hotel has
been built to utilise the mofetta with
correspondingly high prices.
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8History of MofettaFirst Celsius and Paracelsus
mentioned the moffeta.In the XVI.Century
Paracelus used mofetta treatment for
injuries.In the XVIII.Century the Gout was
treated by mofetta.Lister and Bayliss called
the attention on the vasodilative effect of the
mofetta.
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9The first Medical Institute based on this
therapy was opened in 1892 by Ilosvay Lajos in
Torja (so called smelly cave)In the
Székely-land, a large variety of natural
resources can be found, although, many of them in
not enough quantity to build industry on them.
Popular natural resources, such as springs of
borvíz (Engl. acidulous water) can be found every
off and on also springs and caves releasing
thick sulphurous gases are common in the
Székely-land.People contain the sulphurous gases
by building wooden huts over their springs,
called büdösfürdo or mofetta (Engl. smelly bath).
The gases, which are heavier then air, settle in
the lower section of the hut, where people spend
extended periods of time, standing or sitting, to
seek relief for their rheumatic pains.
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10Mofetta in Hungary Around ten years ago in
winter the sun melted the upper layer of snow and
then when the temperature dropped at night it
froze, covering the hillside with a thick layer
of ice. The seeping gas found a path through the
cellars of the houses, causing great loss of
domestic animals. In response to reports from the
local residents the mayor called in experts who
found gas that consisted of 93-95 carbon
dioxide.The gas flows continuously from a depth
of 1000 metres at an average rate of 400 l/hour.
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11The medicinal gas is highly suitable for use in
the treatment of cardiac and peripheral arterial
diseases (arteriosclerosis in the lower limbs,
coronary diseases), high blood pressure, arterial
complications in diabetics, postoperative
treatment following arterial surgerys. Blood
pressure is demonstrably reduced, pain is
alleviated and often ended, the distance the
patient is able to walk increases and life
quality improves. Extremely good experiences have
been obtained in the treatment of cases of
potency disturbances of a non-psychological
origin, due to the substantial improvement in
circulation.
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12We regard the mofetta as a tourism product
similar to valuable medicinal water. Its
utilisation is therefore similar but in many
respects also differs from that of medicinal
waters because it can only be used under strict
medical supervision and certain medical tests
must be carried out before its use. Its use
offers a different experience from relaxing in
medicinal water, and it cannot be used for more
than 30 minutes. For these reasons, its
utilisation for tourism represents a new and
interesting challenge even for a travel office
with such extensive experience as ours.
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13The bath, which was developed by the municipality
of Mátraderecske (Leading Major Ferenc Zám),
northeast Hungary, with a Ft 430 million (1.69
million) investment, uses natural carbon dioxide
to treat circulatory and vascular
disorders.Calculating on a large number of
patients coming for prolonged treatments to the
village, a group of Hungarian private investors
is planning to develop a hotel on a seven-hectare
site near the mofetta.
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14The mofetta will be able to receive 300 people at
a time. In Mátraderecske, the price of treatment
will be capped at Ft 800 in 2004, with patients
recommended to take 1015 treatments during a
cure period.The municipality is in talks with
the National Health Fund Administration (OEP)
about including mofetta treatment in the health
insurance scheme.Insurance firms based in
Scandinavian countries have also shown interest
in sending patients to Mátraderecske
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