02 - 03 - 04 June 2023

Dear Colleagues,

We are honored and pleased to announce the Neural Therapy Congress with International Participation, which we will hold in Istanbul on the centennial of the Founding of the Republic of Turkey, between 02 - 04 June 2023 and to invite you, our esteemed colleagues.

The ninth of the Biennial Neural Therapy congresses, which we have traditionally held since 2006, and  had to take a break for a year due to the Covid-19 pandemic, will be held on 02 - 04 June 2023, together with the XVIII. Traditional Herget Neural Therapy and Regulatory Medicine Symposium, in cooperation with the Scientific Neural Therapy and Regulation Society (BNR) and IFMANT, Germany IGNH and DGfAN, Switzerland SANTH, Austria ÖNR, Spain Turista Neural, Italy NEURALIA, Colombia ACOLTEN /MNT will be held in Istanbul with the participation of Turkish AATRTF, BTR, BAR, BUKK and MTAR associations.

The coordinated work of the Vegetative Nervous System, the immune system and the endocrine system, and its role and importance on inflammation, both in the protection of our health and in the formation of diseases, have been well known by us Neuraltherapists for many years. This is quite sufficient data to explain the success of Neuraltherapy, which is a branch of science that targets the regulation of the Vegetative Nervous System in the treatment of diseases.

In this context, we want to share the Congress and Symposium program consisting of presentations and workshops by world-class experts in this field in the light of scientific data and long years of experience, with the topic of "INFLAMATION WITH NEURALTHERAPY, IMMUNE SYSTEM, ENDOCRINE SYSTEM AND VEGETATIVE NERVOUS SYSTEM" .

The opening of our congress will begin with Lorenz FISCHER's studies on pain research focusing on the autonomic (vegetative) nervous system, inflammation, circulatory system, endocrine system, spiritual and emotional issues.

In addition, we plan to have a live panel discussion on Neuraltherapeutic techniques within the course of our congress. We believe that the conference on "Benefits and disadvantages of deep and superficial injection techniques" will lead to a professional discussion about the efficacy and safety of Neuraltherapy.

We are pleased to invite all  physicians from all branches interested in Regenerative and  Regulatory Medicine, especially Neural Therapy,  to  the  IX.th Biennial Neural Therapy Congress with International Participation  & XVIII.th  Traditional Herget Neural Therapy and Regulatory Medicine Symposium.

Interactive sessions to be held as part of the congress and symposium will complete this event to be held in our beautiful city, Istanbul.

Congress President  Congress Co-Chairs
Head of BNR and IFMANT
Dr. Hussein NAZLIKUL
BNR Board Member
Dr. Neslihan ÖZKAN
IFMANT II. President


"Regulation Medicine and Neural Therapy Approach to Posttraumatic Stress Disorder (PTSD) Related to Earthquake and Trauma in Turkey on February 6th, 2023."

Neslihan Özkan1,3, Demet Erdoğan2,3, Hüseyin Nazlikul 3,4,5

1 Freelance Physician, Bursa, Türkiye

2 Freelance Physicians, Istanbul, Türkiye

3 Scientific Neural Therapy and Regulation Association, Istanbul, Türkiye

4 Natural Health - Natural Health Center, Istanbul, Türkiye

5 International Federation Medical Associations of Neuraltherapy, Meiringen, Switzerland

Turkey is among the countries with high earthquake risk in the world. Recent earthquakes in our country, especially the major earthquakes in Kahramanmaraş, Pazarcık and Elbistan,  have resulted in numerous fatalities and left many individuals suffering from psychological issues, including post-traumatic stress disorder (PTSD).

Post-traumatic stress disorder is when a person experiences long-term stress, anxiety, fear, sadness, and other symptoms after a trauma.   In the aftermath of an earthquake, many individuals may develop post-earthquake PTSD, which can cause ongoing distress and disruption in their daily lives.

The symptoms of post-earthquake PTSD can manifest differently in individuals who have been through an earthquake. For some, there may be feelings of anxiety, anger, sadness, and depression that are linked to the emergency situation. Others may experience a sense of shock and exhibit symptoms such as difficulty concentrating, sleep disturbances, and avoidance of traumatic memories, including flashbacks or reliving the event.

Trauma refers to the state of experiencing or witnessing events that pose a threat to an individual's physical integrity, either to themselves or others, such as death, severe injury, or sexual assault. Psychological trauma encompasses situations where individuals are subjected to levels of intensity and stress beyond what they can cope with, resulting in feelings of fear and helplessness. While people may encounter numerous events that elicit emotions such as fear, sadness, tension, anxiety, helplessness, and anger throughout their lives, only a small portion of these experiences would be considered truly traumatic.

Post-Traumatic Stress Disorder (PTSD) is a condition that is characterized by a set of symptoms that includes re-experiencing the traumatic event, avoiding stimuli that are reminiscent of the event, increased arousal, inability to plan for the future, insomnia, nightmares, and detachment after a severe psychological trauma. If these symptoms persist for less than three months, it is known as acute PTSD, whereas if they continue for a longer period, it is referred to as chronic PTSD. In some cases, symptoms may not appear until six months after the traumatic event, which is known as "delayed onset PTSD."

The nature and severity of the trauma, previous traumatic experiences, the meaning the individual attributes to the trauma, and the conditions in which they live after the trauma are considered decisive factors for the development of Post-Traumatic Stress Disorder (PTSD). For instance, experiencing war, physical abuse in childhood including torture and various incidents of physical and sexual violence, accidents involving cars, trains, or airplanes, natural disasters such as earthquakes and floods, fires, robberies, kidnappings, life-threatening medical diagnoses, terrorist attacks, and many other traumatic events that threaten one's life can lead to PTSD.

Individuals who develop PTSD are generally fearful and anxious. They are extremely sensitive to stimuli and therefore react even to the smallest stimuli. However, they may also show indifference, unresponsiveness, inability to enjoy, reduced emotional responsiveness, helplessness, quick anger, and outbursts of anger towards their surroundings. To diagnose, evaluate symptoms, and monitor the effectiveness of treatment, the Clinician-Administered PTSD Scale (CAPS) can be used.

PTSD has a profound negative impact on various aspects of an individual's life, including their work, relationships, daily activities, and overall health. Those who suffer from this condition are at a higher risk of developing other health problems, such as depression, anxiety, addiction (especially to drugs and alcohol), eating disorders, sleep disturbances, and even suicidal thoughts. It is crucial to provide early and effective treatment to mitigate these risks.

According to official data, in the earthquake that occurred in Sichuan Province, China on May 12, 2008, with a magnitude of 8.0 on the Richter scale and a maximum intensity of 11.0 at its epicenter, 69,227 people lost their lives, 374,643 people were injured, 17,923 people were reported missing, and approximately 4.8 million people were left homeless. According to a systematic study conducted over 10 years after the earthquake, the prevalence rate of PTSD was estimated at 62.8% one month after the Wenchuan earthquake, between 21.5% and 41.0% one year later, and 11.8% eight years later.

Another meta-analysis involving 76,101 earthquake survivors showed that approximately one-fourth of survivors received a diagnosis of PTSD. Therefore, this is noteworthy evidence that natural disasters like earthquakes can have a significant impact on the mental health of survivors. In affected areas, the inadequate provision of psychological support significantly increases the risk of developing PTSD among survivors. Studies show that children and adolescents, particularly girls, are more vulnerable and require priority assistance. The prevalence of PTSD varies between studies depending on their methodological characteristics, and it is estimated to be around 3.9% worldwide. It is twice as common in women compared to men (5% vs. 10-12%).

Regrettably, our nation has suffered a significant loss of citizens due to two catastrophic earthquakes measuring 7.7 and 7.6 on the Richter scale, which struck 11 provinces of our country on February 6, 2023. The aftermath of the earthquakes has left many of our citizens physically and psychologically traumatized, as they or their loved ones were trapped under debris for extended periods. The emotional impact of the disaster has also affected those who watched the destruction and agony unfold on television and social media, leaving them with deep emotional scars. As a result, feelings of helplessness, sorrow, anger, anxiety, and fear have pervaded our nation, and many have experienced various health issues, including PTSD. The nation will require a prolonged period of rehabilitation, encompassing economic, social, and medical domains.

The treatments to be applied to those affected by the earthquake should be carried out by professional experts in the field. It is extremely important to express to those with PTSD that their initial reactions are normal, that the event happened outside of their control, and that anyone can be affected by this situation, and therefore, they should not make an effort to appear strong. Also, they need to allow themselves to grieve. It would be beneficial for them to be supported in terms of not breaking their connections with people who understand and support them, and to share their emotions. On the other hand, it should be among the top priorities to provide job and work opportunities as soon as possible for those who do not have serious physical disabilities.

The term used to describe a person's protective abilities or behaviors against mental disorders and traumas is called psychological resilience (PR). This concept is generally defined as the "person's ability to recover", "ability to overcome disasters", or "positive adaptation skills". Psychological resilience (PR) is innate or acquired in some individuals. In others, this ability may be weak, but studies have shown that PR can be learned, gained, developed, and even treated.

The treatment of PTSD requires a multidisciplinary approach. From the perspective of Western medicine, various medical drugs and psychological treatments, especially antidepressants, are intensively used in the treatment. On the other hand, it is possible to offer more inclusive, effective and permanent solutions to patients with Regulative Medicine and Neural Therapy applications. Especially for our citizens who survived the earthquake, it is very important and necessary to use treatment methods that have proven themselves in terms of effectiveness and reliability in order to treat various physical and psychological health problems. Therefore, as Neural Therapy and Regulative Medicine physicians, we have very important duties.

We know that the trauma experienced by earthquake victims has negative effects on the basic regulation system, including the vegetative nervous system (VSS), hormonal system, and immune system. Our body's basic regulation system responds to all stimuli, including psychogenic loads, with autonomic, hormonal, and cellular changes. While the system can compensate for a certain amount of stress, the intense emotional loads experienced by earthquake victims can cause the basic regulation system to decompensate. This leads to an increase in tonus, especially in the sympathetic system. In this case, the organism will show an excessive reaction to even the slightest stimulus. The basic regulation system also communicates with the hormonal system through the VSS. Therefore, it is possible to encounter various hormonal dysfunction symptoms in patients due to inevitable hypothalamic-pituitary-adrenal (HPA) axis dysregulation. The cellular or immune system is also directly affected by the burden of stress, making the body more vulnerable to various diseases. The immune system is also related to the VSS through the basic regulation system. Additionally, it is crucial to bear in mind that trauma-related processes are encoded through the sympathetic nervous system and the hormonal system.

After such a large natural disaster that our country has faced, the development of PTSD is expected in survivors, and even in many people who follow the news from the media every day from afar. The HPA axis and the hypothalamic-pituitary-gonadal (HPG) axis, which play an important role in the stress response, are closely related to each other. Suppression of estrogen, a hormone of the HPG axis, causes menstrual irregularities and many related illnesses, while suppression of testosterone, which has an anxiolytic effect, leads to increased anxiety. Although many studies to date have shown that women are more susceptible to stress, new findings suggest the opposite, that women may be more resilient to stress and men may be more prone to developing an anxiety-like response.

In a study, it was shown that the total value of total triiodothyronine (TT3) and free T3 (fT3) was higher in patients diagnosed with PTSD compared to the healthy control group. It has been stated that the symptoms of hyperarousal in patients with PTSD may be associated with an increase in thyroid hormone levels, together with an increase in sympathetic nervous system activation.

Experiencing intense and prolonged emotions such as helplessness, hopelessness, anger, and fear that lead individuals to PTSD can cause various dysfunctions in some internal organs. It would not be surprising if these emotions, especially helplessness, hopelessness, anger, and fear, manifest as various functional disorders related to the gallbladder, liver, and kidneys. Additionally, the effects of prolonged hunger and thirst under debris should not be ignored. Therefore, segmental evaluation of the hormonal system and all internal organs is highly valuable.

In addition to PTSD, various musculoskeletal disorders such as extremity amputations due to crush injuries, fractures, and exposure to cold, circulation-related problems, peripheral nerve injuries, painful conditions, and functional losses caused by them are also significant health problems. It should not be forgotten that all of these pathologies will pave the way for the formation of a disruptive area and/or focus.

People with post-earthquake PTSD can overcome this situation, especially by getting professional help from neuraltherapists. These aids may include neural therapy, as well as other therapies, psychological support, medications, or other treatments. In addition, preparing before an earthquake can also reduce the risk of PTSD. These preparations may include simple measures such as preparing an emergency kit, making a plan, and communication plans for families.

In conclusion, the earthquakes experienced in Turkey have caused many people to experience psychological problems such as PTSD. However, it is possible to cope with this situation with qualified individuals and especially with   neuraltherapists taking responsibility, and the effects of PTSD after an earthquake can be reduced by taking measures such as seeking professional help and making preparations.

In light of this information, there are preventive and therapeutic practices with the Neural Therapy approach for PTSD and other health problems. To provide an effective treatment, the following questions should be answered after a comprehensive medical history and physical examination:

a) Does the patient have vegetative dysfunction (dysautonomia)?

b) In which segmental levels is the dysfunction present?

c) Is there hormonal dysfunction?

d) Which internal organs may have been affected, and what is their emotional connection and significance?

e) Is there a "interference area" that is preventing response to treatment or recovery?

After this detailed history-taking and examination, the main outlines of the treatment to be done are as follows:

1- Local and Segmental Treatment

a) Identification and treatment of affected segments (quaddel, facet injection, etc.)

b) Treatment of myofascial trigger points (including cervical, thoracic, lumbosacral regions and pelvic muscles)

c) Hormonal axis injections (thyroid, tonsilla pharyngea, plexus uterovaginalis/plexus vesicalis, quaddel series to genital area)

d) Lower extremity circulation protocol

2- Extended Segment (ganglion) injections (especially supremum, stellatum, celiac, sacral canal)

3- Interference field and/or area therapy

Bilimsel Nöralterapi ve Regülasyon Derneği (BNR)


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