Monthly Archives: February 2012

Perceiving life processes through holistic lens of Homeopathy

Dr. Ajit Kulkarni M.D.(Hom.)
Email : dr_ajitkulkarni@rediffmail.com

Abstract: Concepts of health, disease and cure ….. Individual as a shimmering, multi-dimensional entity ….. Macrocosm versus Microcosm ….. Ayurveda and Homoeopathy .…. Four elements .…. Homoeopathic correlation from philosophy and materia medica.

Introduction
Health, disease and cure are the building blocks of the omnipresent and universal process called Life. They are the quintessence of all living beings including humans. They form a trinity on which the ‘quality’ of human existence is based upon. Every component has diverse meanings and values, being influenced by the history, culture, philosophical facets, economical ramifications, growing industrialization, environment and technology.

Everything in medical science revolves around disease, health and cure.

Every one of us has different definitions, concepts, ideas, imaginations and perceptions and we rule over actions which are right or wrong in an orderly or chaotic manner.

Who rules?  An individual. Who makes an individual alive, sustain and express all these forms? The vitality. Fuelled and animated by the bio-energy, the biological entity represents its own pattern of energy. Health is the fundamental urge; to heal is basic, for the sake of peace: within and without, for homoeostasis. Disease is nothing but a disruption of the biological rhythm and it represents a deviant biological energy with respect to form, function and structure. Cure is restoring, rectifying, and modifying the deviated diseased energy through perceiving.

An individual is a complex, shimmering and multidimensional entity. It embodies the true spirit, through ongoing, continuum process of life, in its unique way. The individual is connected inextricably to universe. Universe is represented through matter and energy. Energy is dynamic and invisible.  Matter is what we see in the various forms and shape. Matter expresses through symbols and metaphors.

Macrocosm versus Microcosm
We are surrounded by the universe which harbors complex forms and processes which either directly or indirectly affects us. This universe around us is the Macrocosm. Cell is the basic unit of life. Every human being is composed of trillions of cells functioning together in perfect harmony and equilibrium. This is the universe within us – the reflection of the Macrocosm – called as Microcosm. The invisible cosmic energy of the macrocosm pervades everywhere, though in different forms. Processes of anabolism and catabolism reflect the same phenomenon. Sea-life, amniotic fluid, uterus, embryo, earth, water, sky, planets, stars, mountains, metals, elements, living organisms – all the forms represent oneness. The cosmic energy binds and intertwines everything around us, barring nothing! Yet, nothingness is the reality.

The Five elements of Life – earth, water, air, fire, ether–are regarded as the foundation of the world from a grain of sand to the complex physiology of every human being and they explain the relationship between external and internal, between macrocosm and microcosm.

It should be understood that these five elements are derived from and are expressions of an unmanifest and undifferentiated Creative Principle, which is One. These five elements should be understood in a material as well as subtle sense.

The Five Elements and the flow of Energy
It is postulated that only 10% of our energy resources actually come from the food we consume. The remaining 90% of our energy needs are derived from the Air we breath, the Water we drink, the fire we absorb, the Earth we live on, and the Ether we inhabit. These five elements of health improve our quality of life.

The ancient Vedic Philosophy, based on the theory of five elements, emphasizes on the concept of Polarity which relates to the flow of energy. The flow of energy is a gradual process from its source to a physical form. It transforms itself from the subtle to denser forms of the manifested Universe and it is found in all life forms. This is how the energy expresses itself through the five elements of our physical reality. Every substance in the world is made up of these five elements. All forms can be classified according to the predominance of any particular element in it. For example, a mountain is predominantly made up of earth element. It also contains water, fire, air and ether. But these elements are very minute as compared to the earth. So it is classified in the category of earth. Nearly all classical systems of medicine and healing use a system of five elements. The common denominator of the different interpretations of the elements is that the elements are the substances upon which the world is built.

Five Elements and Organizational model
It is incorrect to emphasize on any one element, ignoring others. The five elements are always in dynamic interaction with each other. This harmony negates the superiority or independent existence of any single element. Thus, the goal of health cannot be achieved only by focussing on healthy food, but also on the Air we breath, the Water we drink, the Light we are exposed to, the Earth we live on, and, ultimately, the Unity (spirit) of humanity and all of creation. It is the correct and balanced combination of these five elements of health which leads to the quality of true healthy life.

Five-Element theory is a general organizational model to demonstrate the way phases of energy change. They symbolically represent the qualities of nature which generate and control each other. The “Five Element” theory, as applied to the energetics of the human body, is a correlational system to organize the relationships between the changing forces and elements, inside and outside the organism. It correlates the organ function in the body to the variables such as the seasons, food qualities, sounds, colors, body parts, spiritual dynamics, specific emotional/psychological qualities, and a myriad of other entities.

It should be understood that for each element there is a complex system of intercorrelated variables, which not only comprise the syndrome or complex of energies within that element, but also interrelate to the network of variables in each of the other elements. Each element is like a galaxy with a multitude of planets in its own gravitational field which relate to four other complex galaxies (the other four elements) with their planets.

Ayurveda and Homoeopathy: Constitutional Therapeutics
Ayurveda classifies the constitution of an individual according the predominance of any particular element in him. It defines an individual as an assembly of the five elements and the “immaterial self.” Homoeopathy propounds the same concept of immaterial self i. e. the concept of vital force. There is no question of any contradiction in Homeopathy in acccepting the role of five elements in the process of health, disease and cure.

Robert E. Svoboda elaborates that, “Every human being is a unique individual, full of idiosyncrasies and peculiarities. The most precious possession, your life, is your and yours alone, unlike that of any other human being past, present or future. Each human is a unique manifestation of Mother Nature, the creative energy of the universe. Each possesses an indwelling fragment of the universal soul. The message of the Vedas is that each of us must find our own path to a life lived to the fullest, for only by making the most of ourselves.” ——– “The self is the power of individual identity which separates every being from every other being. The ego is that which gives me my identity, which makes me know that I am I, not you, he, she, we or they.” ——-“Each of us is a body, mind, and a spirit, we each have a body–I, a mind-I, and a spirit-I” (from the book, ‘Your Ayurvedic Constitution’).

Dr. K. N. Kasad adds, “Homoeopathy places the strongest emphasis on individuality and on individualizing in disease. It is obvious that no two individuals are alike in health or in disease. Despite identity of disease stimuli (exogenous or endogenous), sick individuals react in their own behavioral patterns. Two patients suffering from identical disease vary in their reaction patterns, in their individual characteristics based on their particular susceptible constitutions. This is the concept of individualization in Homoeopathy where each patient is considered as a unit separate from every other, having a distinct individuality of its own, and therefore, requiring the different remedy for the same disease. The natural corollary to individualization is that several remedies may be indicated in one disease and one remedy may be useful in many diseases” (Indian Journal of Homoeopathic Medicine).

Hahnemann asserted, “No cure can follow unless one rigidly individualizes the case.” For a Homoeopath, individualization is an integral part of his thinking both as regards causation as well as treatment.

Thus, homoeopathy minimizes the specialism, which divides the body into number of delimited sections, each for separate treatment of its ills. It pleads, for the specialism which treats the derangement of that particular organ or part as evidence of a diseased state of the WHOLE organism. It pleads for the specialism which individualizes the problems of the organism AS A UNIT and treats altered function of the part in relation of the whole. Therefore, the words ‘specifics,’ ‘patients,’ ‘panacea’ have very little place in Homoeopathic therapeutics. (The last two sentences which starts with “It pleads…” are unclear in its meaning. Even I did not get them. Please correct it in your way.)

Lee Jema and Constitutional approach
Lee Jema (1836-1900) a century ago in the latter part of the Korean Chosun Dynasty, asserted in his book Dongyi Soose Bowon (Longevity and Life Preservation in Oriental Medicine) the concept of constitution which can be summed up:

Firstly, people are born with different organ structures.

Secondly, these differences affect the form and looks of the body, so a person has a unique figure according to his constitution.

Thirdly, the differences affect the temperament and personality, so a person has a different character.

Fourthly, the differences affect the physiology and pathology of the human body, so the human body manifests different phenomena.

Fifthly, all these differences form a constitution, and therefore a person must use a different cure and method of health care according to his constitution.

See the similarity that exists between various therapies. 

Characters of five elements
Earth: It represents the solid state of matter. It manifests stability, perseverance and rigidity. The parts such as bones, teeth, cells and tissues are manifestations of the earth. Earth is considered as a stable substance.

Personality: Stable. Decisive. Practical. Performance oriented. If flooded with ideas, these persons are able to sort out the issues well and take a proper step. They are not carried away by their emotions. The Element of Earth also confers a sense of duty, responsibility and reliability. These individuals are cautious and conservative, in both desire and approach.

Homoeopathic remedies: Kali group, Carcinosin, DNA, Lycopodium

Water: It characterizes change and represents the liquid state. Water is necessary for the survival of all living things. A large part of the human body is made up of water. Blood, lymph, and other fluids move between the cells and the vessels. These fluids provide energy, clear wastes and regulate temperature. It aids in balanced immune responses and transports hormones to the cells. Though water is an unstable element, it gives stability to the whole being.

Personality: Unstable. Oscillating. Indecisive. Impractical. When enough earth is not available, these people get flooded with ideas and feelings. Without appropriate earthy boundaries the water is everywhere.  These persons get drowned in the emotional turmoil of circumstances that life presents to us from time to time.

Homoeopathic remedies: Nat-mur, Calc- phos, Tuberculinum

Fire: It is the power to transform solids into liquids and gas, and back again. In other words, it possesses power to transform the state of any substance. Within our bodies, the fire or energy binds the atoms together. It also converts food to fat (stored energy) and muscle. Fire transforms food into energy. It creates the impulses of nervous reactions, our feelings, and even our thought processes. Fire is considered as a form without substance.

Personality: Aggressive. Dynamic. Strong. Persistent. Restless. Selfish. Inflated ego.  These people may start off with multiple tasks but due to lack of perseverance they are unable to push any work to its completion. This is when you realize that you had a close encounter with the fire element. Fire likes to expand, yet it burns out quickly without consideration for what is left behind.

Homoeopathic remedies: Anacardium, Arsenicum, Sulphur, Lycopodium etc.

Air: It is the gaseous form of matter which is mobile and dynamic. Within the body, air (oxygen) is the basis for all energy transfer reactions. It is a key element required for fire to burn. Air is existence without form.

Personality: Alert. Inquisitive. Imaginative. Perceptive. Dreamer. Profound thoughts that it is hard to concentrate. This is when the air element has taken the upper hand. Air is quick, like the mind, always in motion. Objective, sympathetic and cooperative. A bright and shiny idealism.

Homoeopathic remedies: Phosphorus, Birds, Coffea etc.

Ether: It is the space in which everything happens. It is the field that is simultaneously the source of all matter and the space in which it exists. Ether is only the distance which separates matter. The chief characteristic of ether is sound. Here sound represents the entire spectrum of vibration.

Personality: Irrational. Ill-logical. The space element of ether integrates the other four elements. If too much is present in a person’s system, a person becomes ungrounded, “spaced out”. Sleep disturbances or difficulties with communication are two of the other symptoms that closely relate to an imbalance involving the element of ether.

Homoeopathic remedies: Hyos, Bar-carb, Manganum etc.

Homoeopathic Perspective
The foundation of homoeopathy is in understanding a constitution. The crux of the problem for a homoeopath is to identify the sickness? What is to be cured in a patient? The law of similars, the concept of totality, the concept of vital force, the theory of miasms- all are interrelated and they revolve around the sick individual with its unique constitution.

Correlating the concept of five elements to Homoeopathy is an additional tool in understanding the physiological, biochemical, pathological and anatomical relations with the psychological plane. We have to blend it with the homoeopathic concepts of miasms, sensitivity, susceptibility, vitality, etc. through the detailed case taking which includes the four pillars of location, sensation / pathology, modalities and concomitants, the physical generals, the thermals, the mental generals, including the dispositional characters and the personality etc.

We have seen that the concept of five elements is an organizational model. In homoeopathy, the totality which we portray is an organized whole. There is an organizing principle in the constituents of data of the patient and all constituents are interrelated with each other. The dynamic entity makes the totality a living one!

The gift of intuition

Dr  Aadil Chimthanawala

A middle aged lady visited my clinic in early September last year. She went on to tell that her husband who was 42 years old has had low grade fever since past one month and was not responding to any form of routine medications. All his investigations were within normal limits and the treating physician was administering him anti tubercular drugs. She requested me to visit her house and examine her husband and if homoeopathy could help him.

I went to her house and was taken to her bedroom. As soon as I saw the patient, I felt a hunch that I was dealing with a Cancer patient. Neither was he very weak nor had he lost any significant weight, yet something inside me, even before the examination, told me that “this man has cancer.” I examined him in detail but could not find any physical fault. Since all his investigations were done quite recently, I asked for a repeat Ultra-sonography of the abdomen. Alas for the patient – he did have a mass in the liver – Primary liver cancer. His sad demise 2 months later was a blow to the family.

A rather heart touching event was narrated by a friend Rashmi who is a Nagpurian. She said “my maternal grandmother, resident of Mumbai, aged 76 years was a Diabetic on Insulin since past 30 years. On 24th March this year she had consumed fish. Next day she started having diarrhea that continued for a week. After some medications, it stopped and she only complained of weakness. On the 6th April, I happened to telephone her. Hearing her voice, I felt that something was not alright with her, although she had no complaints. I asked my mother to leave for Mumbai immediately the next morning. On reaching there, my mother reported that everything was fine and grandmother was recouping. On 9th April, my grandmother, mother and uncle were sitting leisurely. Suddenly, my granny said “I have a chest discomfort” and collapsed in my mother’s lap. Though she left us for her heavenly abode, the only solace was that she passed suddenly in my mother’s lap.”

Another of my close friends – a Homoeopath remarked “I do many things through my gut-feeling. What I normally guess becomes almost the right thing for me. For example I saw my wife first at a bus stop while going to the college. From the very beginning I knew that she is the one whom I am going to marry whatever happens. Many difficulties came and passed by, but she did become my wife. Now, call this love at first sight or the deep inner feeling…”

These three examples and many more make us realize that we all are born with a sense that lets us know the difference between right and wrong, about someone – good or evil. One may call it by several names – gut feeling, a hunch, sixth sense, the inner voice, conscience, or intuition. They are all interrelated, but actually different in the aspect of reasoning. Again these are quite different from True Predictions or Prophesy which very few souls possess.

The inner voice can be looked at in many different aspects. A ‘normal’ person sees it as the voice deep within that keeps him on the right track. An anxious or a depressed person sees it as a critic pointing out every mistake. When we are lost and need directions from a stranger, we would generally ask people near by whom we feel are the right persons to ask and not anybody. This feeling of a transient internal connection with strangers is the inner voice. It happens to most of us day in and day out. It works from the moment that we confront a situation.

Our “conscience” is the voice of the Self which says ‘yes’ or ‘no’ when we are involved in a moral dilemma. It is the guiding voice within; it is how one distinguishes right from wrong. Conscience tells us to behave in the right manner and reminds us of the consequences.

Intuition means “in to you” in Latin. It is a feeling of sudden mental apprehension without reasoning. Swami Muktananda, once said, “Intuition is the spiritual faculty that doesn’t explain; it just points the way. It is your divine Spirit talking to you. If you will stop for a moment and acknowledge it, you will begin to realize the incredible perspective you have. You don’t have to get any special training to start using it. All you need to do is raise your awareness about it and set your intention to harness it.”

All said and done, intuition is an incredible resource that we have been given to help us live a good quality life. Unfortunately, not many people know what it is or how to use it. Intuitive messages range from an insignificant feeling / thought that comes from somewhere inside and usually evolves as a hunch. Our inner self is persistent and consistent. It will keep trying to get our attention until we finally wise up! A “hunch” is accurate information from a higher intelligence; hence one can rely upon it. An intuitive message ranges from hearing actual words, seeing a clear picture, having a dream or a deep inner knowing. We should become familiar with how our inner self communicates with us. Once we receive the message, we should research upon it and then use our common sense.

Many people who have over the years, developed their own intuitions give certain tips to enhance our intuitive powers –

1. One should practice taking time out every day to experience silence. Calming our mind with meditation and releasing our need to think, analyze and knowing everything.

2. One should be open to this gift and accept what it has to tell us. There are several occasions when our ego thinks it has it “all figured out.” But our true path may look quite different than the one we are on.

3. When we ask ourselves questions, we gain an additional insight and clarity. When we ask a question like “What is the next step I need to take?” know that we already know what we need to know. We need to trust ourselves. We already have everything we need inside.

4. Keeping a daily diary is a great practice. When we write, we tap our thoughts, feelings, ideas and direction that we are not consciously aware of. Writing allows the truth to come forth and is an easy way to gain insight of our inner self.

After loading our minds with information about an issue, we need to give intuition time to work on it. And then become open to the answer. Most of us are likely to experience an “Aha” moment, which is a moment of instant awareness, where to answer sprouts from “out of the blue.” There are several occasions when we have an important decision to make and are not 100% sure about something happening. At this juncture, instead of being impulsive, we should stop and think before making a decision. Usually this is our intuition trying to tell us that something is not quite right. Likewise, if we feel that we should go for it, we should definitely do it, so that we don’t miss a valuable opportunity.

INFINE -Intuition is our very own best friend. It is always there for us. It waits patiently and gives the absolute advice. All we need to do is ask! Like any good friendship, all it takes to nurture it with a little more time and attention. If we decide to be close and intimate with our intuition, it is most likely our lives will transform into something wonderful because the best advice comes from the deep recesses of our soul. This is the gift of Intuition.

Whatever u do – do it well

Dr  Aadil Chimthanawala
MD (Hom), DNB (Med), BHMS, MBBS, PGNAHI, FNAHI
Homoeopathic Cardiologist
“Aadil Homoeo Heart Care Centre”, Opposite Gujarat Lodge, Hanuman Lane
Sitabuldi, NAGPUR -12.
Ph: 0712-2532008
Mail : adilch@rediffmail.com

How to do patch work in tuberculosis with homeopathy?

D. Rakesh gohel

As we all are well aware with this dangerous “White Plague”, “Captain of Death of Man” – TUBERCULOSIS. There is no need to explain what happens in it, but it is worthy to note what as a Homoeopath we can offer to such persons who are3 suffering from Tuberculosis.

Is it curable with Homoeopathy or not? If curable then how? If incurable then what to do? These all are the basic questions one need to ask for treatment of tuberculosis in Homoeopathy.

Let us focus on what the legend like Dr. KENT said about TUBERCULOSIS.
(KENT’S LESSER WRITINGS, CHAP: WHY CANCER IS INCURABLE?  PG NO. 222.) 

In  other words: What must be discovered, to lead to the cure of cancer?
All  curable  diseases make themselves known to the  intelligent  physician  in signs and symptoms.” (Hahnemann.) Pathological conditions, as also the  patient, are incurable when there are no signs and symptoms, and so long as there are  no signs  and  symptoms  these remain incurable. In  proportion  as  the  pathology progresses  the  signs  and  symptoms decrease. 

This is  marked  in  cancer,  in TUBERCULOSIS,  in  diabetes,  in Bright’s disease, and in  all  of  the organic conditions of the body. In some instances, the remedy that was once indicated by mental and physical symptoms will cure even in moderately advanced  patho. conditions; again, such a remedy will soon reveal that the patient has been sick too long and the pathology has progressed too far, and the reaction is so feeble that he sinks rapidly and the remedy must be antidoted.

The patient must have the reactive ability when the similar  remedy  is administered, or become worse after  such a remedy than before.  Therefore,  it  is a homoeopathic remedy when the  patient can  react  from  it, otherwise it is only a similar  agent and not a remedy.

It  is never such when the patient lacks  that reaction which is always depended on and so  promptly   noticed  in  all curable cases. 

So we can see what we need in order to cure is a good GUIDE in form of well developed SIGNS & SYMPTOMS.developes which lacks not only in advanced cases of Tuberculosis but also in other advanced pathological conditions of diseases. 

Dr.Kent says in lectures on homoeopathic materia medica, in drug calcarea carbonica
It  corresponds  to  just  such constitutional  weakness as precedes, or is present in the  first stages  of phthisis. It stops the patient taking cold,  which  is the  very beginning of it. The patient will begin to feel  better after taking Calcarea, and it improves his general state, and  it will even encyst tubercular deposits.

It turns them from  caseous into  a calcareous form, and cysts have been found in  the  chest long  afterwards.

Do not  believe or think favorably of cures for  consumption.  Every little while we have some one coming out with something or  other that  cures  consumption, a new cure. Every one  who  knows  much about the real nature of phthisical conditions, cannot have  much confidence  in such things, and I certainly lose respect  for  an individual who has a consumption cure.

He must either be crazy or something  worse. Generally he is after the money that may be  in it. Hardly anyone who knows anything about it can conscientiously present a consumption cure to the world. 

So Dr. Kent has well said that those who says about cure of Tuberculosis are definitely mad.  

Dr. Kent further says in lectures on homoeopathic philosophy – kent. Chap:maintaining external causes and surgical cases 

They will also tell you that a bacillus is the cause of  tuberculosis. But if the man had not been susceptible to the bacillus he  could not have been affected by it. As a matter of fact, the tubercles come first and the bacillus is secondary.

It has never been found prior  to  the tubercule, but it follows that, comes  then  as  a scavenger.  The  cause of the tubercular deposit rests  with  the psora,  the chronic miasm. Bacilli are not the cause of  disease, they never come until after the disease.

So Dr. Kent has well said  PSORA being the evil root prior to infection.

Now lets see what kent has said in various remedies useful notes for Tuberculosis.

In lectures on homoeopathic materia medica. Onsumption and polycrests – kali carbonicum
It  will  very often ward off future sickness  where  the  family history  is tuberculous. Do not be afraid to give the  antipsoric remedies  when there is a history of tuberculosis in the  family, but  be  careful when  the  patient  is  so  far  advanced  with tuberculosis  that  there  are cavities in the  lung,  or  latent tubercles, or encysted caseous tubercles. Your antipsorics  might rouse  him into a dangerous condition.

PHOSPHORUS
Phosphorus is  a dangerous  medicine to give very high in some cases of  phthisis, in  the  last stages of phthisis. In this case they  should  have received  Phosphorus when they were yet curable. In  these  cases Phosphorus 30th may sometimes be used with safety and it will act as  a  test  in doubtful cases to see  whether  reaction  can  be brought about. 

In such cases where reaction can be brought  about the  administration later of a still higher potency may be  found useful, but in the beginning with Phosphorus in phthisical  cases far  advanced  it  is better not to go higher than  the  30th  or 200th.  Phosphorus  very  low  will act as  a  poison  in  really Phosphorus  cases and the only safety some patients have had  who have received Phosphorus so very low was due to the fact that the Phosphorus was not similar enough to either kill or cure.” 

SULPHUR
Sulphur,  like  (Silicea,)  is a (dangerous  medicine)  to  give (where  there  is structural disease) in organs that  are  vital, especially  in the lungs. It is a dangerous medicine to  administer in  advanced cases of phthisis, and, if given, it should  not  be prescribed  in the highest potencies.

Do not  suppose,  however, that  it  is dangerous to give Sulphur because one’s  father  and mother have died of phthisis. Sulphur might be just the remedy to prevent  the  child from following the father  and  mother.  

So Dr. Kent has focused on the danger as well as good aspect of the polycrests along with mode of application , how and wnen to use it. 

Now lets see what has been said regarding those incurable cases of tuberculosis. 

CONSUMPTION & PALLIATION – In lectures on homoeopathic materia medica . 

ARSENICUM SULPHURATUM FLAVUM – It  is  a  most useful remedy in phthisis  in  all  stages,  when incurable it is a great palliative.

ARUM TRIPHYLLUM – It has been found useful as a palliative in phthisis 

DROSERA ROTUNDIFOLIA –It is a great palliative in spasmodic cough that occurs in consumption and all along the course of the tuberculosis of lungs.

RUMEX CRISPUS – This is a great remedy to do patch  work with in phthisis.

SANGUINARIA  -Sanguinaria  is a surface remedy;  it  does  excellent palliation.   Its ability to palliate phthisis is very well known.   There is a class of remedies that suits these phthisical patients better than (Sulphur, Silicea) and (Graphites;) remedies such  as (Pulsatilla,) Sanguinaria, (Senecio gracilis) and (Coccus cacti,) which  palliate, mitigate his sufferings, and may even build  him up  so that he could take a medium potency of a deep remedy.”

SENEGA – Especially is it suited in the advanced cases of phthisis when those symptoms that I have mentioned are present. It acts as a palliative.

STANNUM METALLICUM – Stannum is useful in warding off  phthisis, and is a wonderful palliative in that disease.  

So Dr. Kent focused on nice patch work that we can do with remedies like A.S.F., ARUM T., SANG., SENEGA etc.

Now lastly we see is there anything written in order to provide immunity to the children of tubercular parentage what we term in modern terms as BIOGENETICS Yes, Definitely Dr.Kent also focused on Biogenetics in that era also by giving following guide lines for tuberculosis.

CONSUMPTION AND IMMUNITY – Lectures on Homoeopathic Materia Medica
TUBERCULINUM BOVINUM – If  Tuberculinum  bovinum  be  given  in  10m.,  50m.  and   cm. potencies,  two  doses  of each potency at  long  intervals,  all children and young people who have inherited tuberculosis may  be immuned  from  their  inheritance and their  resiliency  will  be restored.  

Lastly I hope you may enjoy these guide lines of our master, your queries as well as suggestions are welcome, THANK YOU. 

D. Rakesh gohel
HOD Repertory
V H DAVE Homoeopathy Medical College Ananad Gujarat
Email:  drRakesh@jagma.com 

Petition to Australian Universities on Alternative Medicine

Petition to Australian Universities and Vice Chancellors to keep Complementary and Alternative Medicine courses.

This is a petition being collated to present to the Administration and Vice Chancellors of the 19 Australian Universities that conduct courses in Complementary and Alternative Medicine (CAM). This petition is designed to show the universities that there is vast public support for these courses. This petition is to counter the propaganda being pushed by the Australian Sceptics and Prof John Dwyer

Please sign up  : http://www.healthpetitions.com.au/do-not-withdraw-cam#.Ty7Ub4L-Q20.facebook 

Story behind
January 2012

MORE than 400 doctors, medical researchers and scientists have formed a powerful lobby group to pressure universities to close down alternative medicine degrees.

Almost one in three Australian universities now offer courses in some form of alternative therapy or complementary medicine, including traditional Chinese herbal medicine, chiropractics, homeopathy, naturopathy, reflexology and aromatherapy.

But the new group, Friends of Science in Medicine, wrote to vice-chancellors this week, warning that by giving “undeserved credibility to what in many cases would be better described as quackery” and by “failing to champion evidence-based science and medicine”, the universities are trashing their reputation as bastions of scientific rigour.

The group, which names world-renowned biologist Sir Gustav Nossal and the creator of the cervical cancer vaccine Professor Ian Frazer among its members, is also campaigning for private health insurance providers to stop providing rebates for alternative medical treatments.

A co-founder of the group, Emeritus Professor John Dwyer, of the University of NSW, who is also a government adviser on consumer health fraud, said it was distressing that 19 universities were now offering “degrees in pseudo science”.

“It’s deplorable, but we didn’t realise how much concern there was out there for universities’ reputations until we tapped into it,” Professor Dwyer said. “We’re saying enough is enough. Taxpayers’ money should not be wasted on funding [these courses] … nor should government health insurance rebates be wasted on this nonsense.”

Professor Dwyer said it was particularly galling that such courses were growing in popularity while, at the same time, the federal government was looking at ways to get the Therapeutic Goods Administration to enforce tougher proof-of-efficacy criteria for complementary medicines, following the release of a highly critical review by the Australian National Audit Office last September.

Of particular concern to the group is the increase in chiropractic courses, following the recent announcement of a new chiropractic science degree by Central Queensland University. More than 30 scientists, doctors and community advocates wrote to the vice-chancellor and health science deans at the university voicing their concern, which laid the foundations for Friends of Science in Medicine.

The groundswell of protest from medical professionals comes after a decision in Britain that means from this year it will no longer be possible to receive a degree from a publicly-funded university in areas of alternative medicine, including homeopathy and naturopathy.

German and British medical insurance providers are also in the process of removing alternative therapies from the list of treatments they will cover.

Australia’s vice-chancellors will meet in March and Professor Dwyer said his group was aiming to get a commitment from them to endorse health courses only with evidence-based science.

Source :  http://www.smh.com.au/national/tertiary-education/scientists-urge-unis-to-axe-alternative-medicine-courses-20120125-1qhtm.html#poll

backpain

Homeopathic Management of Spinal disorders

backpainDr Mansoor Ali.

The most important basic requirement for getting a better result in spinal disorders is that case taking should be perfect. If you neglect making careful examinations, the patient will be the first sufferer, and then you also suffer from it and ultimately homoeopathy also.

We are going to discuss a methodology, the methodology that everybody can follow with ease with which we can improve our practice with very high success rate with limited failures.

A case of IVDP
Female 35 Years   IP No.202    DOA : 28.09.06

Presenting Complaint

  • Pain in lumbosacral region – < since  2 months
  • < walking, standing
  • > lying on sides

HPC : Complaints started 4 years back as pain in lumbosacral region  on turning in bed. Took allopathic treatment with transient relief.

Numbness appeared in lower limbs, no touch sensation, no desire for stool.

Diagnosed as IVDP at L4-L5 and L5-S1 and advised surgery

Past History
R/C tonsillitis, UTI and Chicken Pox

Mental General

  • Desire to be alone
  • Irritability during pain
  • Angered easily

Physical Generals

  • Chilly pt ,bathing in warm water
  • Appetite decreased
  • Easy satiety
  • Desire chillies, pickles
  • Hard insufficient stool
  • Offensive perspiration
  • Dreams of falling from height 

Particulars :

  • HA from exposure to sun, eyestrain, crowd
  • Emptiness not > eating
  • Cramps from cold
  • White coated tongue 

Miasmatic Expression

Symptom Psora Sycosis Syphilis
Pain back < Walking< motion< standing< lying on back ++++
Gets angered easily + + +
Irritability on pain + +
Desire to be alone +
Appetite less,easy satiety +
Desire chillies +
Hard insufficient stool +
Offensive perspiration +
HA < Sun exposure to +
Emptiness not > eating +

If you are doing a miasmatic cleavage like this, you can find out the dominant miasm and also the correct antimiasmatic remedy.

Physical Examination :

  • SLR +ve below 40 on both sides
  • PSLR +ve below 40 on both sides
  • Gaenslen’s test –ve
  • X-ray :Space reduction b/n L4 & L5, L5& S1
  • MRI :Posterior & postero lateral disc prolapse at L4-L5 causing thecal sac & L5 root compression.Posterior disc bulge at L5-S1 with minimal thecal compression.Spinal canal stenosis at L5 

Repertorial Totality :

  • Mind. Company aversion to
  • Stomach. Appetite easy satiety
  • Stomach. Desire pungent things
  • Sleep. Dreams falling from high places
  • Perspiration. Odor offensive
  • Stomach. Emptiness eating not >
  • Head. Pain. Sun from exposure to
  • Back. Pain Walking while
  • Back. Pain Standing while

 We had not considered lack of desire for stool, urinary complaints ect. Since these are the common symptoms of IVDP

Result :

  • Sulphur 16/7
  • Sepia 14/7
  • Lyco 13/6
  • Thuja 13/6
  • Phos 12/7

 PDF

  • Gets angered easily
  • Cramps from cold
  • Chilly patient 

Basis of selection
Offensive perspiration,mental picture of the patient and particular modality pointed to Sepia

Prescription

28.09.06 Sepia 200
05.10.06 Can walk with less pain,other symptoms persist SL
12.10.06 Can walk but with pain Sepia 1M
26.01.07 < of pain Sepia 1M
24.03.07 Pain if walked and exerted much SL

Inference

  • Pain is not relieved within a week. After two week she could walk, but with pain,intensity rezuced after Sepia 1M.
  • After 1 month she could stand without pain.
  • After 6 months pain comes only if walked for a long distance and if she exerted much.
  • We had verified in several patients in our OPD & IPD that – higher potencies yield much better results in both acute and chronic spinal disorders.

IVDP- Related rubrics
We have to consider the following rubrics in addition to the mental generals and physical generals of the patient to get a better result.

1.Back pain:   Cervical region
Lumbar region
Lumbosacral region
Sacral region
Coccyx

We have to select specific location where actually the pain is, then we will get the correct  remedy which have specific action on that location

2.Sciatica :  Extr. Pain.Lower limb. Sciatica

3.Stiffness : Back. Stiffness- Cervical
Nape of neck
Lumbo sacral
Sacral

4.Numbness : Back. Numbness.
Cervical
Scapulae
Lumbo sacral
Sacral

5.Weakness  : Back. Weakness
Extr. Weakness

6.Paralysis    : Extr. Paralysis

Prescribing on Etiology offers excellent results

If the cause is removed effect goes off by themselves

  • Cervical pain over lifting from   : Calc.c
  • From false position in sleep  : Rhus.tox
  • Back Pain after LSCS  : Hypericum
  • Fall on Coccyx : Hyper, Silicia, Sitting <: Kali.bich
  • Lumbago after injury : Agaricus
  • Fall on  sacral region : Kali.C

 Sciatica

  • Acute Management  and  Chronic Management
  • We have to give immediate relief to the pain in sciatica 

Give importance to

    Side :  Right : Coloc, Lach, Lyc, Gnaph

               Left   : Phos, Spigelia

    Modality : Flexing limb < : Colocynth

                      Standing <, motion > etc

   Concomitance :  Accompanied by….

                               Haemerrhoids : Aesc

                               Numbness with : Gnaph

   Extension :

 Aetilogy : Injuries after : Arn, Hyper, Ruta (We got much result from Hypericum  higher potency than other remedies)

Therapeutics in sciatica: We found the following remedied highly useful, but never limit your prescription to these remedies)

Sciatica on both side : Chamomilla mother tincture offers immediate relief to pain

Deformed vertebra : Calc.Phos

Parts cold to touch, periodicity : Ars.alb

Lumbago + Sciatica : Rhus.tox- It  is  the best remedy for a  combination   of  lumbago  and sciatica. Sciatica arising from over-exposure to wet  or  from   lifting, wrenching  and  over-exertion.  Great relief from  warmth.

Sitting <,Walking>,Lying down OK : Amm.m

Pain < by sitting & standing: Valeriana

Pain from buttock to ankle, least movement aggravates, with perspiration, lying on painful side > : Bry

Murphy’s Repertory : Readers are requested to read carefully the following chapters in Murphy’s repertory that contain so many useful rubrics for our day to day practice.

  • Emergency : Back. Injuries after
  • Leg : Sciatica

A Case Cervical Spondylosis

  • Male 50 years admitted in our IPD
  • Pain in neck with stiffness, can’t turn to left ,<jar++,moving,yawning
  • >Warm bathing,lying on sides
  • Fish selling in bicycle, stopped since 6 months
  • Concomitant : Numbness of palms, weakness of hands
  • Extension : Shoulder, chest,dorsal region

Repertorial Totality :

  • Mind. Contradiction Intolerant of
  • Gen.F&D. Sweets desire
  • Sleep.Sleeplessness noise from
  • Mouth. Cracked tongue
  • Ext.throat. Torticollis
  • Back.Pain. Cervical region moving on
  • Back.Stiffness. Cervical region
  • Extr. Numbness hand
  • Phos. 15/7
  • Lyc. 15/6
  • Sulphur. 14/8
  • Nux. 13/9
  • Calc. 10/6 

PDF

  • Renal calculi
  • Cervical region
  • Warm bathing >
  • Lying head high < 

Prescription :  Lyc. 200/

Lyc 200 prescribed – not much improvement for pain within one week

So we prescribed Lycopodium 1M – with in next one week much relief to pain

Then  prescribed and raised the potency  infrequently at longer intervals- since Lycopdium is a long acting remedy – If we are repeating Lycopodium and Phosphorous   like remedies in chronic cases frequently that may spoil the entire case – so called as double edged swords.

This case we got immense relief within 2 months and now he is again ding his fish selling in bicycle.

Important remedies for cervical spondylosis verified in our college

Cimicifuga : Most suitable for IT professionals & stenos with stiffness & pain in neck

Nux.v : Sedentary, constipation, alcohol,burning spine, turning difficult

Lachananthes : Torticollis   with severe muscle spasm, numbness- specific action- acute remedy

Calc.carb : Most successful remedy in several cases with rigidity & stiffness in morning, turning difficult and tendency to strain easily

Kalmia : Rt. Ext. down, with numbness, C5-C7

Rhus.tox : Pain from false position,<sitting, exertion,> warmth application

Lycopodium : Pain + Urinary + GIT   Acute : Berberis .v  mother tincture

Rubrics to be considered in cervical spondylosis

Give importance to

•          Side   Right : Sang, Kalmia

                    Left : Conium

Modality

        Looking up <  : Graph

        Stooping <      : Rhus.t

        Coughing on    : Sulphur

        Turning <  : Agaricus, Aesc, Bry, Sulph etc.

Extension : Consider this also

Look for the associated complaints like

  •     Vertigo
  •     Tinnitus
  •     Blurring of vision  and select additional rubrics 

Role of Physiotherapy in Homoeopathy
We are doing physiotherapy in the following conditions in our college

  • Pain- all types
  • Paralysis
  • Nerve Injury
  • Deformities
  • Muscle weakness
  • Stiffness
  • Post traumatic cases
  • Soft tissue injury
  • Arthritis
  • OA Knee
  • Gynaecological pain
  • Cx & Lumbar spondylosis
  • Fibromyositis
  • Migraine
  • Frozen shoulder
  • Bell’s palsy
  • Tennis elbow
  • Plantar fasciitis
  • Muscle spasm/cramps 

Local applications not good ?
$194 (a)
It is not useful, either in acute local diseases of recent origin or in local affections that have already a long time, to rub in or apply externally to the spot an external remedy, even though it be the specific  homoeopathicity, even although it should be at the same time administered internally; for the acute topical affections , which have not been caused by external injury of proportionate violence, but by dynamic or internal causes….

Internal & External together- not good
$197
…… the simultaneous local application, along with the internal employment, of the remedy in diseases whose chief symptom is a constant local affection,  has this great disadvantage, that, by such a topical application, this chief symptom (local affection)  will usually be annihilated sooner than the internal disease, ……..  a perfect cure; or at least it will be difficult, and in some cases impossible.

Reduction,bandage,local application- Good in
$186
Those so-called local maladies which have been produced a short time previously, solely by an external lesion,  ….. the whole living organism sympathizes . The treatment of such diseases is relegated to surgery; but this is right only in so far as the affected parts require mechanical aid, ….. by the reduction of dislocations, by bandages, by the extraction of foreign bodies etc…. then the services of the dynamic physician and his helpful homoeopathy come into requisition.

Kent

  • Never apply local heat or oils to relive pain- really worse for the patient
  • But good in stiffness & paralysis (Homeopathic materia medica- Kalmia)       

Farrington

  • Salt application- to relieve pain, weakness of muscles & nerves
  • May prevent deformities  (Natrum family- Clinical materia medica) 

Remember : The accessory management or accessory life saving measures are not the monopoly of any of the medical system. Try to incorporate it in your practice, which offers faster and better results.

Summary

  • Homeopathy offers effective treatment for Neurospinal disorders
  • Detailed case taking and proper repertorisation are essential
  • Aetiological prescription offers immediate relief
  • Higher potencies are useful both in acute & chronic
  • Homeopathic remedies along with accessory mgt offers  excellent, speedy recovery
  • It is better to avoid external applications to relive pain

Lastly
This is only a methodology. Study the subject in detail. Homoeopaths should see opportunity in every difficulty…   but not difficulty in every opportunity. We must have good vision, loyalty and dedication. Take homoeopathy in to greater heights.

All rights reserved @ homeobook

mansoor (817)

Digital doctor – a new software launched

mansoor (817)With the world progressing to the nano-tech age, Medical science is too taking its strides towards a better tomorrow. Introduction of Computers and different softwares in the field has made it better accessible and well-equipped.

We have in the market these days different softwares for academic as well as patient management purposes.

Keeping in line a combination of software & Hardware “Digital Doctor” was launched in Singapore in October. This combination of medicine & Information Technology was developed by Dr.Nisanth Nambison.

Digital Doctor is a combination of software & Hardware “Diagnoz-it (Pro)” & Nambison’s Digital Stethoscope with growing patient awareness, presentation of diverse medical conditions & medical professionals coming under the ambit of CPA (Consumer Protection Act), it has increasingly become necessary to harness the goodness of every possible tool to precisely diagnose the medical condition of patient.

Apart from using pathological investigation to diagnose a case, like every other industry, it has become almost mandatory to use ICT (Information Communication Technology) as an aide in diagnosing a medical condition.

In the given era of stressful lifestyle it may happen that even a highly knowledgeable medical professional may slip a medical condition, which eventually leads to a misdiagnosis.

Diagnosis is a stepping-stone towards a successful management of a case, misdiagnosis may lead to loosing a patient ultimately dream of a successful practice is unfulfilled.

Diagnoz-it (Pro):
…with more than 1200 medical conditions their brief description, clinical presentation, Investigation & Management (from Medicine, Surgery, Obstetrics, Gynaecology, Paediatrics, Orthopaedics, Psychiatry, ENT, Ophthalmology, Dermatology, Cardiovascular Vascular Medicine, Chest Medicine, Gastroenterology, Nephrology, Endocrinology, Neurology, Rheumatology, Oncology, Infectious Disease, Haematology, Emergencies)

… details of pathological investigation to be done for more than 500 diseases
… details of more than 550 investigations
… details of cause of more than 1000 symptoms
… details of more than 350 syndromes
… details of more than 600 signs
… details of treatment of more than 800 diseases

EMR (Electronic Medical Record) Save details of your patients & get printouts of their details, issue automatically generated sickness & fitness certificates.
With event reminder which reminds list of appointments of patients, list of birthday, list of appointments (Powered by special database backup facility)
Advice diet to your patients (including diabetic patients) food rich in iron, calcium, nutrients, mineral, protein, carbohydrate & fat
With Medical Dictionary of more than 16000 terms.
Animated body parts for easy explanation of body anatomy to patients
Hindi Keypad utility for those who cannot type Hindi.
For more details : http://www.diagnozit.com/index.html

Nambison’s digital stethoscope
With Breakthrough indigenous specific sound amplification Technology, Nambison’s Digital Stethoscope can Amplify the Body Sound up to 20 Times

It specifically amplifies the sound range (20-1000 Hz) for heart sounds & (70-2000 Hz) for lung sounds.
With Sound recorder, Heart, Lung and abdominal sound can be seen on computer & Recorded in the computer for Analysing, reviewing, transmitting it through IR or bluetooth device can be sent to a distant place through Voice SMS or Internet for second opinion.
Nambison’s Digital Stethoscope cancels Ambience Noise

Dr.Nambison informed that apart from assisting the Doctor in the clinic in diagnosis & treatment, Digital Doctor will revolutionize the concept of Telemedicine/ Cybermedicine /e-Medicine. The patients can virtually sitting at home consult the Specialist Doctor sitting in any city of the world.

This unique medical diagnosing software contains details of more than 1200 diseases. Mere input of the symptoms of patient reveals the diagnosis & line of treatment for that particular patient.

Digital Doctor can come handy to the Health workers in remote rural area to diagnose & decide the line of treatment in difficult or emergency situation. At the same time he can consult specialist doctor sitting at the tertiary center. This will not only bring down the mortality rate but also bring down morbidity saving the time & money of patient & bringing down the severe patient inflow in the Higher centers.

The said hardware can record & transmit the Heart sounds, fetal heart sounds in mothers womb, lung & abdominal sounds through satellite, internet or MMS. The said Digital Doctor can immensely bring down the expenditure in health care sector.

The software was launched by Mr.Charles Tankard Hahnemann in Singapore.

Reference: 23-B/NR; SAAHAS: Society of Advanced Homoeopathic Sciences, dated 19 October 2008

Website :  www.diagnozit.com

children (6)

Mother and child – Pregnancy hazards & Homoeopathy

wifeDr Ashis Datta

“He is likewise a preserver of health if he knows the things that derange health and cause diseases, and how to remove them from persons in health.”  – Dr. Samuel  Hahnemann, Organon of Medicine, Aphorism – 4

Subjugation, marginalization and disempowerment of women are major issues in India. These have a bearing on the health status of the women and consequently on the health of the children they bear. It is fact that the health of the women and children in the country defines the health of the nation. “You can tell the condition of a nation by looking at the status of its women”, said Pandit Jawaharlal Nehru, our first Prime Minister.

Although our National Government has taken various steps and made efforts to improve health status of women and children in the country but to get satisfactory result, inclusion homoeopathic system in ‘Mother and Child Care’ Programme was absolutely necessary as

  • It is highly beneficial for many diseases related to women and children;
  • It stimulates the body’s own defense system and allow to heal itself.
  • Can be used during childbirth to certain problems associated with labor;
  • It is unique in preventive aspects as much as the curative;
  • Effective for pregnancy or delivery and lactational complaints;
  • Medicines can be administered safely for various ailments throughout pregnancy without any adverse reaction
  • Method of administration of medicine is very simple;   

Research shows that many birth defects can be prevented with little advance planning. So, planning for a healthy child should start well before the process of conception. This knowledge is important for all women of childbearing age because, in India half of all pregnancies are unplanned.

Normally the newborn child does not require any treatment but more often there are physical problems because of unhealthy family background. Here homoeopathy plays an important role as child responds very beautifully with the indicated homoeopathic medicine.

On the other hand if the foetus is genetically diseased or receives some hereditary disease dyscrasia from his parents, no amount of antenatal care, nutrition to the expected mother or hygienic precautions can make the child born healthy unless the hereditary dyscrasia is removed by constitutional, anti miasmatic treatment of the mother during pregnancy. The best procedure in such cases is to treat the parents for their constitutional disturbances before they expected to have a child.

Besides disease dyscrasia, many factors related to pregnancy may influence the growth and development of the featus and there by affect the health of the newborn that should be brought to the knowledge of expected mother and family.

Some of these factors are

  • Malnutrition of the mother during pregnancy,
  • Unhygienic mode of living,
  • Physical and mental trauma,
  • Ignorance about pregnancy phenomena,
  • Unnecessary fear, anxieties, false beliefs and prejudices about pregnancy.
  • Over-exertion of mother during pregnancy or lack of exercise and sedentary living,
  • Short space between two pregnancies,
  • Pregnancy in mother of many children,
  • Lack of proper antenatal care,
  • Use of harmful drugs,
  • Repeated X-ray examinations especially during first four months of pregnancy etc.

Any psychological disturbance of mother during pregnancy and any sign of toxaemia of pregnancy or any other untoward complication inspite of proper antenatal care must immediately be treated with suitable anti-miasmatic drugs.

The history of previous pregnancies, if any, will be of immense help to eradicate the miasmatic dyscrasia completely or to modify its effect as far as possible.

Unless we take care of the mother’s health during pregnancy, we cannot expect a healthy child. In the language of Dr. Hahnemann physician must also be preserver of health in addition to their responsibility of restoring the sick to health.

The Fertility and Pregnancy Diet:
Nutrition is like an orchestra. Good nutrition is one of the most crucial factors in a healthy pregnancy outcome.

Iron deficiency anaemia is a common condition of pregnant women in India. The poor economy group of women who mainly live on cereals and vegetables lack very much in iron during pregnancy, because cereal rich diet contain excess phosphate which interfere in the absorption of iron. Meat, fish, yolk of egg are rich in iron. Cereals, pulses, leafy vegetables and fruits are also containing iron.

Folic acid deficiency is quite common in our country particularly during pregnancy resulting in placental and foetal abnormalities/ birth defects, neural defects (the most common of these being spina bifida). Folic acid is essential for the synthesis of D.N.A in the cells. It is available in egg, fish, liver and leafy vegetables etc.

Although Union Govt. campaigning for folic acid massively and a large number of population of women who are taking the supplements but falic Acid is not the whole story, there are other nutritions that also helps in fertility, maintenance of healthy pregnancy and prevent birth defects. Women, who are trying to conceive, required taking nutritious diet regularly. They should take variety of healthy foods, with a particular emphasis on richy coloured produce, whole grain, beans and legumes and lean protein sources.

It is found that the women who takes more low-fat dairy products in their diet, facing more trouble in getting pregnant. The more full-fat dairy products she ate, the less likely she is to have trouble. As such full-fat dairy products are recommended for women trying to conceive; off course obese lady should take less fat to avoid pregnancy toxaemia and cardio vascular diseases.

The full-fat dairy foods convey the female hormones estrogen and progesterone. Skimming the fat from dairy also removes these hormones, which are attached to fat. Left behind are androgens, or male hormones. When male hormones are unchecked by female hormones, ovulation is impaired.

Women are suggested to consume more protein from plants because Plant protein (from beans, nuts, seeds) comes with healthy fats and is relatively low in calories and can be helpful for weight loss.

Calcium is an essential requirement for the formation of bones and teeth. Milk is the best source of calcium, other sources are fish, cereals etc. Pregnant mother should take sufficient milk daily for the proper growth of the foetus as one litter of cow’s milk contains nearly 1000 to 1200 mg.

Most of the pregnant women get carbohydrate-energy from the regular daily diet as most of the Indian diets contain sufficient carbohydrate. Cereals, sugar, vegetables and fruits are rich in carbohydrates.

Iodine is essential for the synthesis of thyroid hormones. Inorganic iodine lost in the urine resulting in enlargement of the thyroid, which may result in the birth of cretinus child. It may be obtained from sea-fish, sea-salt and water.

When to contact a physician
Women those who have decided to conceive should be advised to see their family physician, which can add to a healthy pregnancy and a healthy child, particularly if any of the following factors, are present to her or her partner

  • If she is over 35 years of age and trying to conceive for more   than a year, or for six months.
  • Having  irregular or absent of menstruation.
  • Had abdominal or pelvic surgery in the past.
  • Partner had surgery in the region of his groin and      scrotum.
  • Partner had previous injury to his testicles.
  • Either she or her partner had, or may currently have, a sexually transmitted infection.
  • Any genetic reasons for which she could have a hard time   in becoming    pregnant (i.e. blood relatives have experienced difficulties conceiving).
  • Any other reason that there may have a fertility problem. The  cause   of most birth defects are not known, but couples with a            history of birth defects in their family may be benefited from homoeopathic  treatment and genetic screening to    analyze their risk of passing on a birth  defect to their child.

 It’s much easier to prevent fertility problems than to treat them when they happen. Following are some tips to safeguard fertility and possibly prevent problems from arising.

Prohibit  Smoking
Smoking can affect fertility in several ways. In different research studies it has been found that smokers are 30 percent less fertile than nonsmokers. They are at –

1. Greater risk for pelvic inflammatory disease (which affects fertility);
2. Higher risk for miscarriage and delivering premature or low birth weight babies.

So they should avoid active and passive smoking. Although smoking has not been proven to cause birth defect directly but it does deprive the foetus from oxygen and it is the most harmful of all environmental toxins.

Prohobit Alcohol
It should be discouraged in any condition, as it may cause Faetal Alcohol Syndrome (FAS).   Damage from alcohol can range from mild intellectual and behavioural issues to profound disabilities or premature death.

Age Factor
Chance of getting pregnant drops from about 20 percent when under age 30 to five percent when over age 40. Additionally, the risk of miscarriage and birth defects increases with maternal age; as such it is advised to give birth before 40.

Pelvic Inflammatory Diseases
This term refers to the infection of one of your pelvic organs, including the cervix, uterus, ovaries and fallopian tubes. The primary cause of PID is untreated sexually transmitted diseases (STDs), but it can also be caused by an IUD, douching, abortions, amniocentesis, miscarriage and childbirth. PID can do irreparable damage to reproductive organs.

Sexually Transmitted Diseases
Women who are planning to have a child should practice safe sex and have routine tests done for STDs. They are the primary cause of PID.

Control of body weight
Being significantly overweight or underweight can be an underlying cause of infertility for many women. In a study of University of South Carolina, in USA they found that 90 percent of underweight women, who had been unable to conceive, became pregnant when they reached to their ideal weight. 76 percent of overweight women conceived once they reached to their ideal weight.

Exercise
Regular light exercise is advisable, moderate exercise even don’t affect your fertility, but excessive amounts of exercise, being an exercise fanatic will, result in irregular periods, irregular ovulation and luteal phase deficiencies, as such it advisable to avoid excessive amounts of exercise.

Stress and mental relaxation
Stress has also been linked to infertility as well as to a higher risk of miscarriage and pre-term birth. Research shows that women exposed to severe stress are more likely to give birth to children with defects.

It is also required to campaign amongst the mothers and women of childbearing age regarding childcare, breast feeding, spacing of subsequent pregnancy and the common harmless procedures to avoid undesired pregnancy.

Homoeopathy with its indicated medicines can help to control the common complaints during pregnancy with in a short time like

  • Constipation and low backache, dyspnaea, haemorrhoids and varicose vein
  • Nausea and hyper gravidarum
  • Allergic manifestation with history of prolonged Oral Contraceptive Pills
  • Spongy gum and toothache, Varicose Vein, relax symptom of bladder etc.
  • In mostly psychological situation, the Pseudo pregnancy the medicines like Crocus, Cyclamen, Ignatia, Sabadilla, Thuja are generally used;
  • Cinamonum, Rhus Tox., Sabina, Apis, Secale cor., Sepia, Thyroidinum are the frequently used medicines in cases of miscarriage from the causes like shock, fall, over exertion, fear etc. and tendency to miscarriage.     

Besides above, homoeopathy has its wonderful medicines –

  • For preparation of labor like Caulophylllum, Cimicifuga;
  • After child birth for over stretched bladder and retention with over flow, Causticum may be taken in to consideration;
  • For stretched sphincter pain, laceration after catheterization with neuralgia and swelling over CS, Staphisagria is very much useful. 

Even on the obstetrical table in different conditions, homoeopathic medicines are very much useful like

  • Malpresentation  –  Pulsatilla, Lycopodium
  • Emotional disturbances –   Aconite, Pulsatilla, Ignatia
  •  Control the life threatening condition –   Cinamonum, Ipecac, Sabina, in PPH Hyoscymus.

 As anti inflammatory, analgesic, bacteriostatic and quick absorbent of blood after childbirth, Arnica is very much useful.

 As Homoeopathic physicians are not only confined themselves in prescribing in homoeopathic medicine but being a practitioners of a rational art of healing and holistic system of medicine, owing to their knowledge in other allied medical sciences including hygiene and public health, they are better equipped and may utilize their knowledge in Campaign and in the management of Mother and Child health care revolution of India.

Dr. Hahnemann said, the Homoeopathic physicians are not only a true practitioners of the healing art but also true preservers of health as well.

So, the expectation of homoeopathic fraternity to the Government for significant improvement in Mother and Child health in India

  • Increase awareness of the potential role of homoeopathy in the management of mother and child health among the Policy and opinion maker, medical practitioners of other system of medicine and common people.
  • Greater awareness of the strengths of homoeopathy for mother and child health among practitioners of all the system of medicine which would result in an integrated health care approach. 

Reference:
Principle & Practice of Medicine – Davidson / Text Book of Gynaecology & Contraception – C.S.Dawn / Human Physiology – C.C.Chatterjee Eassy on Homoeopathyby Dr.S.P.Dey, Homoeopathic Materia Medica by Dr. Kent Dr. W.Boericke and Literatures of Central Council of Research in Homoeopathy. 

Dr.Ashis Datta, M.D(Hom)
E-Mail – indudelhi@yahoo.com
Author of  “ Science & Art of Homoeopathic Case-Taking ”
Former Member of Teaching Faculty of Nagpur College of Homoeopathy and approved by Nagpur University.
Approved as P.G. Guide for Poona University, Bharti Vidyapeeth University, Utkal University and Dr. B.B.A University, Agra, B.A.Bihar University, Maharashtra University of Health Sciences and West Bengal University of Health Sciences.
Recipient of  “Appreciation award-2006 ” from Board of Homoeopathic System of Medicine. Govt. of NCT of Delhi
Recipient of  “Life time achievement award – 2007” from Board of Homoeopathic System of Medicine. Govt. of NCT of Delhi
Presently Asstt. Secretary (Tech.) to Central Council of Homoeopathy (Govt. of India), New Delhi.

The Aptitude Test – What we need in our doctors?

What do we need and look for in our doctor?

Screening and entrance test for various professional colleges and careers have components of aptitude testing. Now aptitude test is being introduced for the civil services of India as well. The profession where an appropriate aptitude and attitude is essential is the field of medicine. The spectrum of healthcare professionals right from doctors to nurses and a variety of technicians need to be temperamentally gentle and caring but nowhere prior to admitting them in to profession these inherent tendencies are evaluated.

What do we need and look for in our healthcare professional?
Probably the answer to this question uniformly would be – care and compassion along with professional skills. This would be followed by list of few more varied qualities depending on individual needs. Professional skills are taught and continuously upgraded in the medical colleges and other higher centers of learning but who can teach one to be humane and compassionate?

As of today, all Pre Medical and other Selection Tests conducted in India mean an examination in the subjects of Physics, Chemistry, Zoology and Botany. Whosoever scores the maximum is chosen to be a healthcare professional. The selected candidates are usually in the age group of 18 to 22 years and from a variety of backgrounds or upbringing i.e. young adults with certain formed ideas. Incidentally there is nothing in this test, which checks the psyche or psychology of a person. Nowhere is it assessed that whether the candidate is capable of being and remaining compassionate and humane in various circumstances and situations. Greatness in sciences such as biology, chemistry and physics does not mean achieving greatness in practice of medicine. Shouldn’t some psychological tests form a part of the assessment of short listed candidates in PMT? The medical curriculum being followed in India’s medical colleges till now also lacks any discussion on patient psychology, humanitarian issues and communication skills in the teaching program, although the new medical council is giving a thought to it.

We Indians are rather poor in identifying or analyzing our problems through the means of research but a large body of research is available in western academic medical literature on this issue. Western research shows that performance in the premedical sciences is inversely associated with many of the personal, non-cognitive qualities so central to the art of medicine.

Harrison Gough, a psychologist at the University of California, Berkeley, administered a series of psychological tests to 1071 students entering medical school between 1955 and 1967. Gough reported that student’s premedical science grades and entrance test science scores were associated with grades in the initial medical subject (normal human anatomy, physiology and biochemistry – called basic sciences of medicine) but had no association with the later phase and subjects (clinical sciences) of medical curriculum. The clinical sciences require more general and clinical competence. He then compared the psychological profiles of these students with their performances in premedical sciences.

He found that the students who did better in science were, “narrower in interests, less adaptable, less articulate, and less comfortable in interpersonal relationships” in other words reverse of what one might hope for in a physician. Various other researchers have also worked on this hypothesis. Writing in the 1970s, Witkin found students who were most successful in the sciences, “have an impersonal orientation; they are not very interested in others”. Tutton’s studies of medical students in Australia in the 1990s found that students who did the best in the premedical sciences scored lower on standardised measures of empathy and tended to be “shy”, “submissive”, “withdrawn”, or “awkward and ill at ease socially”, characteristics the author suggested are, “the antithesis of what most of us would want in a clinician (doctor)”.

Dr Donald Barr of Stanford University USA has expressed it the best when he wrote in the prestigious medical journal “The Lancet” recently. “Great physicians base their professional practice on a threshold of scientific knowledge they have acquired throughout their career. Upon this foundation they build an artistic display of communication, compassion, empathy, and judgment. A great physician creates a bond of communication and trust with his or her patient; a great physician can sense the feelings the patient is struggling to express or afraid to say; a great physician is also technically competent and conversant in medical science.”

In selecting students for the study of spectrum of health care related professions, we must be careful to formulate some method, which takes in to account both the scientific acumen and a psyche of the candidate and we must do it quickly.

Instill belief in homoeopathy

Dr  Shiv Dua
Great Hahnemann left his legacy of homoeopathy in the form of ‘law of similars’. We all accepted it and comprehended the genius of this healing art but majority of people do not know or want to understand law of similars. It is equally applicable to allopathic system. Nobody knows the working principle of allopathy and still they follow it in majority. This is due to total faith in the allopathic system. This has not come overnight.

Before partition of India, Ayurvedic and Unani systems of medicines were very popular and people avoided ‘Angrezi Dawa’. What happened after independence of India is a success story of ‘Angrezi Dawa’. It was naturally the ruling party that boosted this system. The rulers of new India got in legacy of well furnished clean hospitals, elegantly dressed doctors/ nurses, with lot of medicines in the open market. They encouraged and funded the hospitals instead of funding other systems of medicines. Homoeopathy at the time was not popular as were Ayurveda or Unani systems and surviving in most of charitable hospitals. So, homoeopathy was not a competitor. The competitors were Ayurveda and Unani systems that had roots in pre-partition India. The patients were attracted by the clean, lighted, and furnished hospitals. The doctors spoke in very convincing manner and the cure was felt very soon. The new young generation of after-partition era felt ‘modern’ when they visited such hospitals. They believed in these well-dressed doctors than the ‘Vaids’ and ‘Hakims’ where their fathers used to take them during childhood. The ‘Vaids’ and ‘Hakims’ had shabby appearance and made the patients sit on the mat. They themselves sat on the elevated mats and wore ‘Desi’ dress. The medicines of Ayurveda and Unani system were paper-wrapped and bitter to taste. The allopathic medicines were in syrups that had tolerable taste. Its tablets could be swallowed easily without feeling of bitterness. The injections were slightly painful but the results were joyful and ‘quick cure’ was the second name of injections.

After sixty years of independence, ‘Angrezi Dawa’ has become a most modern system with advance surgery and adequate research avenues. This all has happened because of faith or belief in the system. Homoeopathy has not been able to earn ‘belief’ so far. It is a difficult task but not impossible. We cannot make people have belief in homoeopathy overnight. It is a long process. If we start some efforts now, the results could be achieved after five to ten years. Is anyone thinking on this line? No one is looking into the aspect of installation of belief in homoeopathy.

Philosophy of belief
Before such a belief is instilled in the masses, let us ponder over views of Great philosopher and saint ‘Osho’. He has said that Allopathic, Ayurveda, and Homoeopathy succeed only in 70 % of cases. Similarly, Greek and Chinese medicines-system, acupressure, and acupuncture systems also succeed in 70 % of cases. This appears to be very strange coincidence that all systems of medicines have a success rate of only 70 % cases. Looked at from outside, it is a mystery. Look at homoeopathy; it has apparently nothing medicinal in it. The medicine is just small sugar pill but it succeeds. The difference between allopathy and homoeopathy is that you need not believe in allopathy and still it succeeds. On the other hand, you need to believe in homoeopathy and then it succeeds. (Courtesy: Osho world, March 2006). I should not say that Osho was authority to make such statement of belief but I see a clear strategy over which he must have pondered. He himself might have experienced all the systems of medicines. Without this he could not have reached above conclusion. Presuming that all the therapies are having the same cure -percentage and matter rests with ‘faith’ of the people, there is a scope to work upon. How can we achieve this?

First action- Mass communications
The first action from us should be to reach the masses through a thoughtful strategy. I have the example of Yoga-guru Swami Ramdev of Patanjali, Haridwar. He followed the policy of ‘Ekla Chalo’ (walk alone) and proved that ideas can be put into actions if there is will to do so. He held meetings with public, spoke of religion and medicines, and then demonstrated Yoga. Everything was done step by step. He did not hesitate to take help of allopathic doctors and laboratory tests to prove that Yoga works. Gradually he won the confidence of people. People could see the results, which their doctors confirmed. This was an avenue where Swami Ramdev worked hard day and night. Now there are crores of people throughout world holding faith in Yoga.

Homoeopathy needs a personality or a set of dedicated persons who could profess, monitor, and preach homoeopathy among masses. We have gifted scholars and practitioners in homoeopathy and someone has to take the initiative. The government bodies, research institutes, and colleges should think over this method of dialogue with masses to promote homoeopathy. It is not a rapid process but would have brilliant results.

Second action- Restrict laboratory tests Homoeopathy was never designed to take help of laboratories. It is now that in competition with other systems of medicines, the laboratory tests have been widely inducted in study of homoeopathy. There is no harm in having the knowledge of a subject but there is harm if the subject is not applicable in the system. In pursuit of modernity, our new generation doctors are advising the tests for the patients.

The irony is that we have no literature that could define medicines against the abnormal values of tests. Homoeopathy is not designed to do so. If blood cholesterol is found high in the tests, we have no specific medicine to lower it. This is one example. We are deceiving ourselves? In tent questions to solve in an examination, if the student is told to attempt any seven, it is option of the student which one to attempt and which one not to. When we do not have remedy for abnormal values of tests, why should we suggest the same? Some tests are essential and those can be advised as in the case of renal calculi, or cysts/tumors etc. We have to change the tactics of laboratory tests. Any person having UTI may have more of pus or blood cells. Any person suffering from debility or looking pale may have low Hb. How urine test or blood test would help to select a medicine in homoeopathy? If the pus cells in urine are numerous, what is the medicine you would suggest? If Hb is low, what is the medicine, you can quote. Even if you suggest canthris, or Ferrum, I am not going to accept it. Such medicines are never applicable to all the patients. We go by symptoms. What is the use of robbing the patients on no account? Clinical laboratory reports should be restricted to certain level and we should not penalize the patient through costly tests, if faith in homoeopathy has to be installed among masses.

Third action- Physical examination-make it a must If you have visited OPD of Government allopathic hospital, you know how the doctors examine the patients. Before you say fever, the prescription is ready and doctor tells you to leave. People always condemn this in verbal statements and desire that other systems of medicines should not do this. They get a shock when they find homoeopaths also following the suit. This discourages them and they lose faith in homoeopathy.

I have seen many Homoeopaths not abiding to our principle of physical examination. Such practitioners are those who are popular, well known and have a long queue of waiting patients. They listen to patients impatiently without touching the patients and prescribe. This does not satisfy the patient who has come to homoeopathy with some belief of cure. If a patient of hemorrhoids comes, he should be examined physically. Let there be separate cabin for this. If this is not possible the patient should be told to get the piles diagnosed from a surgeon and then return to you. This would make the things clear. Examination of parts of the body like throat, ears, tongue, pulse, temperature, chest, blood pressure etc. should be done without fail to instill confidence in the patients that they are in the right hands. To promote the cause of homoeopathy, it should be made compulsory to have all instruments of examination in the clinic. You will see even RMP’s hang a stethoscope around their necks but qualified homoeopaths rarely do it. The looks also matter. Let the patient talk more, let the doctor listen more and let the physical examination be more. These are three golden rules to instill faith in homoeopathy.

Fourth action- Start the campaign from villages and schools.
The people of cities and towns know something about homoeopathy but villagers in remote areas do not know about it. I have been to almost all the states of India and worked in remote villages and forests. Homoeopathy is not known well in villages. In each state, a master program should be inducted and some villages earmarked for starting homoeopathic clinics. This is the best way to click. The medical facilities in villages are insufficient and avenue of homoeopathy would fetch good results.

Secondly, we know that child is a father of family in many respects. It is a child who commands and demands to which parents have to abide by. If they do not oblige, they have to explain the reasons to the child. It is the brains of child where we can be imbibed with ideas of homoeopathy. Let us organize simple lectures in primary and secondary schools on uses of homoeopathy. Our doctor’s associations can do this job locally. If they can hold free homoeopathic camps, they can arrange lectures in schools also. Associations can also distribute leaflets in schools of their areas. At government level, initiative has to come from AYUSH or regional homoeopathic councils for organizing such lectures and distributing leaflets in government schools. This method would instill faith in homoeopathy.

Conclusion
Faith is not a thing that can be implanted forcibly. We have different religions in India and every religion has its followers. If I am Hindu, I do not go to a mosque or church for my prayers. It is the same with other religions. Everybody is not doing Yoga or everyone is not following naturopathy. Why should everyone follow Homoeopathy? At present there are few takers in homoeopathy due to lack of knowledge. If knowledge about the system were inducted in masses, the belief in it would flow automatically. It is time to act for government bodies and various associations.

Conducting seminars on old known topics in absence of new research papers, spending a lot on organizing free camps, honoring doctors in the symposiums and inviting foreign doctors is helpful to promote homoeopathy but this is limited to the advantage of professionals or at the most students. All this activities should be either abandoned or restricted forthwith. Full attention should be diverted to the above jobs to instill faith in homoeopathy.

I have written hundreds of articles and nine books on homoeopathy. My motivation has been to promote homoeopathy. My writings failed to effect any change but I still go on writing with the hope that someone from the masses, students or doctors would read this article and think over making way to the top as did Swami Ramdev alone.

Dr. Shiv Dua
2617, Sector-16, Faridabad 121002 9871408050 (m)
E-mail: shiv_duadr@yahoo.co.in

Health disease and adaptation to the present moment

David Nortman, N.D
Homeopathic and Naturopathic Doctor
In this article I will describe a basic aspect of homeopathy’s spiritual understanding of health and disease: the view that disease arises from a fixed adaptation to a past situation that no longer exists in the present.

Homeopaths view health and disease as states of being that are either appropriate for the situation (healthy) or inappropriate for the situation (unhealthy). The state of being that we adopt from moment to moment can be regarded a ‘posture’ that is either suitable or unsuitable for the present moment of existence. An unsuitable posture kept for too long manifests as chronic disease, whereas a short-lasting one causes acute symptoms or weakens the organism until it is susceptible to infectious influences.

Disease arises from memory of a past state that no longer exists
Conventional medicine is based on a materialistic view of life. Health is compared to a well-functioning machine, while disease is viewed as a malfunction in some part of the machine.

Homeopathy is based on a spiritual view of life. Health is the ability to respond freely and creatively to all situations encountered throughout life, whereas disease is any restriction on this ability. Samuel Hahnemann, the originator of homeopathy, discovered through lifelong clinical observation that disease could often be traced to a ‘mistunement’ created during a past stressful episode in the life of the organism or its ancestors. He concluded that the memory of this past state was the real cause the suffering that we experienced through physical and psychological symptoms.

Health is the flexibility to successfully adapt to all life situations
Rajan Sankaran writes in The Spirit of Homoeopathy that disease is an “unsuitable posture… adopted by the organism in order to survive in a perceived situation.”

What is a “perceived situation”?
To answer this, let’s first look at Sankaran’s example of a real situation:
If you are lifting a heavy bag and you have to walk with that heavy weight, in order that your back does not break, you have to bend in the direction opposite to the bag. So, your body adopts a posture to survive in this situation. This posture is healthy, it is going to do you good, in this situation it is needed, and as long as the bag is heavy, the posture has to be maintained.

Hence, we see that posture is an adjustment. As long as this adjustment is in proportion to the existing situation, as long as it is suitable to this situation, and as long as the situation or exciting factor remains, this adjustment cannot and should not be corrected.
Life can be viewed as a series of adaptations: one situation flows into another, and each time a different posture is adopted to suit the new situation. Health is the flexibility to correctly adapt to any situation that arises throughout our life journey.

An unhealthy posture arises from adaptation to a perceived situation that is not really present. This adaptation can be either inappropriate for the situation or appropriate for the situation but of disproportionate intensity. Sankaran illustrates these possibilities as follows:

When a man is being chased by a lion, the posture of running fast, being afraid, etc. is appropriate since his survival depends upon it. However, if a man is in the same state without a lion chasing him, or he adopts the same posture even if a little dog chases him, or he is in such a pain that he cannot think (a reaction far in excess of what is needed in the situation) then this state is to be removed by treatment.

The unsuitable posture is hidden behind physical and psychological symptoms
So long as an unhealthy posture is held over from the past, the person is precluded from adopting an appropriate posture for the present situation. This is considered a state of disease in homeopathy, whether or not there are clear physical or psychological symptoms that warrant medical treatment. This means, on the one hand, that homeopathy is a powerful healing tool in cases where the patient feels distress yet there are no discernible medical abnormalities.

On the other hand, during the clinical encounter between patient and homeopath the disease state does not automatically reveal itself as an unhealthy posture. In most clinical situations the patient will present with vague discomfort or with one or more physical and psychological complaints. During the homeopathic intake the homeopath must therefore ask many questions in order to lead the patient to reveal the unsuitable posture that he or she continuously adopts in all life situations.

This posture, which most of us do not have a direct awareness of, is the underlying reason for the existence of the clinical complaint that induces people to seek homeopathic treatment in the first place.

How do unsuitable postures arise?
An unsuitable posture originates from an adaptation to a past situation that is maintained even though it is no longer applicable to the situation. This happens when the past situation has exceeded the organism’s resilience. Such situations generally fall into one of the following categories:
• a past traumatic event,
• childhood or cultural habits that have powerfully impressed themselves on the organism, or
• inherited spiritual impressions (‘miasms’) that long ago left their mark on one’s parents or earlier ancestors.

Resilience can be understood by analogy with a steel spring: just as a steel spring can be bent and absorb many small shocks and still recover its original form, a person can absorb many stresses yet maintain his underlying state of health throughout the stressful period. But beyond a certain threshold, excessive stress deforms the spring and causes it to lose its elasticity. A person exposed to excessive stress will likewise carry the spiritual impression or ‘deformation’ due to the past stress and will no longer be fully ‘elastic’ and responsive to the present situation.

Homeopathic treatment frees us from unsuitable postures
We all continuously adopt postures in order to survive in different life situations; this is a normal function of all living organisms. Because of our individual life paths, and because we also create rather than merely encounter life situations, we each adapt differently even to apparently identical situations. In any case, if we remain fixed in a posture that is no longer appropriate for the situation (for any of the reasons cited above) to the point that we are unable to respond appropriately other situations, we may then become aware of an uncomfortable sensation at the level of our spirit. If we do not free ourselves of the fixed posture eventually we experience more obvious psychological discomfort, physical symptoms, or both.

In Sankaran’s words:
Disease is thus seen as an affection of the whole person, as a posture adopted as a survival mechanism to suit a particular situation which does not exist at the moment. This posture makes us react to the present in an unsuitable way due to our false perception of it. Such an unsuitable and disproportionate reaction to the situation naturally causes a constant stress on the organism, and the stress aggravates the pathology or brings the tendency to a particular pathology into activity.

Health is the ability to feel OK in all situations. A posture is an adaptation for feeling OK under a specific situation. Unless one is able to switch postures freely from moment to moment, a person will only feel OK when the fixed posture happens to coincide with (be suitable for) the situation.

In terms of the model I’ve just presented, homeopathic treatment releases the hold of the unsuitable posture that prevents free-flowing adaptation to the present moment. By raising awareness of the inappropriateness of the fixed posture to the point that a person can choose to abandon it in favour of another, homeopathic remedies assist in the release of inappropriate postures and habits that manifest physically or psychologically. Once this happens, full resilience is restored and the person is able to handle life as it comes — adopting appropriate postures as needed and shifting away from them as soon as the situation is over — without undue stress.

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weeping

Homoeopathic treatment for crying children

weepingDr Nahida M.Mulla

Why does a child cry?
The first sound that a newborn makes is that of a cry. This is a good sign; it means that he is healthy and breathing well. During the first few weeks, crying is the only way a baby can communicate, and soon the mother is able to distinguish between different cries. At first you wonder if he is hungry, wet or sick. Or does he have indigestion.

Most mothers interpret prolonged or frequent crying as being caused by stomach-ache because they find the child’s abdomen distended and hard. This is normal because any child who cries a lot tends to swallow air, causing abdominal distention. The mother may not realize this and looks for the cause elsewhere.

What are the common causes?
Crying while feeding
Many newborn babies cry when they are being fed. Often the mother feels that her milk does not suit the child because of something in her diet. Some even change over to bottle feeds. Do not stop breastfeeding. Such crying is not due to any defect in the mother’s milk or diet. It is usually due to the nose getting blocked by the breast, retracted nipples, insufficient flow of milk or some other cause. All you need to do is to be patient and soon the child will stop crying and you will find the cause of discomfort.

Hunger
The most common cause of crying is hunger. Mothers who breastfeed are often uncertain as to whether or not the baby is getting enough milk. In most cases there is enough milk in the breasts but the baby does not suck sufficiently or goes to sleep while sucking.
With a bottle-fed baby, it is much easier to measure the exact quantity that he is taking at one feed. One of the most common causes of hunger in bottle-fed babies is that the milk is too dilute. Many mothers dilute the milk, as they feel that undiluted milk will upset the baby’s tummy.

If you are using powdered milk, then you will have to add water. Follow the instructions on the tin as far as mixing is concerned. Sometimes the baby may need more milk for his age than what is indicated on the tin.

Physical discomforts
The child may cry because he is wet, teething, or because some objects like a pin may be troubling him. He may feel cold because of the lack of clothing or feel hot because of over-clothing or lying in the sun. If the child cries while passing stools, he may be suffering from a small injury or fissure in the anal region. Consult your doctor to relieve the pain.

Blocked nose
A common cause for the baby’s discomfort is some obstruction in the nose resulting in breathing difficulty. Due to climatic changes many babies suffer from blocked noses because the secretions in the nose dries up. As the infant is unable to breathe easily through his mouth, a blocked nose makes him uncomfortable resulting in his becoming cranky and irritable.
Try to ensure that the infants nose is clean and not blocked. Make his nose moist and clean his nostrils with a cotton bud. Do this about 5 to 10 minutes before a feed to help him breathe more easily at the time of feeding.

Infant colic
Infant colic is much more common in bottle-fed babies than breastfed ones. The child screams and his face becomes red and he flexes his legs. He may pass gas, with some relief. The cause of the colic is not certain. Some of the causes are food allergy, excess of carbohydrates in the diet and over or under-feeding. Whatever be the cause, the colic will disappear in due course. It rarely occurs after the baby is over three months old.

When the baby keeps crying, try to relax. Put him to the breast. If he is bottle-fed use a pacifier to quieten him. If this does not work, give him a little glucose or sugar with water. If the baby cries excessively, pick him up and rock him gently as this may help him sleep. If these methods do not work, consult your doctor and he may prescribe antispasmodic drops or a sedative for the child.

Personality of the child
Some children are placid, contended and happy with themselves and seldom cry. Others are aggressive, alert and will not accept the slightest change in their routine or a minimal discomfort. They cry to show their resentment or to demand the comfort they want. Some are happy lying in the cot but others want to be picked up. Some cry because of exhaustion and fatigue, others cry through boredom. A child left in the room by himself will stop crying as soon as he sees other people around him. A child left in a cot alone may cry but will be happy when taken out in a pram.

Stimulation
Over-stimulation can also make a child cry. Over handling by too many members of the family is quite common. Initially the child feels happy, but later he gets tired and starts crying. Similarly, cold hands, loud noises, too much tickling and even glaring lights can make the child uncomfortable and cry. Excessive physical handling like throwing the child up and down or shaking his head vigorously in affection or even head massage can cause harm to the child.

Crying at the unexpected
In slightly older children causes of crying can be different. One can cry at an unexpected situation. Children may cry even when they see a stranger or when they see somebody with a beard. The same thing may happen on the swings; the moment you push the swing, he starts crying.

What must be done when the child won’t stop crying?
Provide physical contact
Sometimes babies cry simply because they miss the close contact with their mothers that they enjoyed for nine months. A recent study has shown that babies who were carried in the arms or in a baby carrier for at least three hours every day cried much less than those who were carried less. Carrying gives the baby a sense of physical closeness with the mother and it may help the mother to cater better to her baby’s needs.

Respond promptly
Crying is the only way a baby can communicate with the world around him. When you respond immediately to your baby’s cry, you give him a sense of control over his surroundings and a feeling that he is important to you. There will be occasions when you feel that your prompt response has not made any difference. Your baby will continue crying no matter what you do.
Remember that not responding to your baby is not an option, as prompt response will eventually reduce crying. Some studies have shown that babies, whose mothers responded to them promptly in infancy, cried less as toddlers. The longer a baby cries, the longer it takes to stop his crying. For proper emotional growth, it is extremely important that the child should be picked up whenever he wants. Avoid this only when you feel he is forming a habit.

Children do not cry unless they want something or want to convey something. So, when a child cries, be sympathetic and try to understand what he wants. A little patience and understanding on your part will go a long way in establishing a healthy rapport between you and the child.

Homeopathic treatment:
Chamomilla
Chamomilla child is sensitive, irritable, peevishness and whining restlessness. Piteous moaning because he cannot have what he wants. Child can only be quiet when carried about and petted constants. Child wants many things that he refuses again and start crying; weeping and wailing during sleep. The child is never still, it is never satisfied with anything it is doing. The child does not want to be touched and is intensely irritable, very often screaming with pain. When the child cries there is a reason to believe that it has earache, headache, colic or difficult dentition.

CINA
Cina child will scream and cry when handled but once the preliminary discomfort of handling is over the child is quite peaceful. Often the cina children will cry for more food immediately after a meal and the child often suffer from nightmares and night terrors, cries out, screams and wakes frightened. Cough in cina is so violent as to bring tears and sternal pain. After coughing, moaning, anxious, gasp for air and turn pale.

CAUSTICUM
Causticum type of child are very sensitive. Least thing makes it cry. They are not sensitive to pain but are particularly sensitive to any emotion disturbance. Often these children will cry because they think you are hurting another child. It is the idea of pain, which affects them, rather than the actual pain to themselves and they often stand pain quite well, but cannot bear to see another child crying.

RHEUM
Rheum baby is impatient and vehement, ugly and impossible to satisfy. He screams, kicks and makes himself decided unpleasant. He cries and tosses about all night. Desires various kinds of food but cannot eat them, become repugnant. He desires many things and cries. He dislikes even favorite playthings. The baby cries due to difficult dentition.

PULSATILLA
Pulsatilla children are very typical. They are liable to flush up from any emotions very often going pale afterwards. The child is always full of tears. They are mild, gentle, yielding disposition, sad, crying readily, weeps when talking, changeable etc. They hang about, becomes either tearful or irritable and are likely to get digestive upset. Pulsatilla baby wants this and that and are never satisfied, they want amusement. When not amused, has a pitiful cry. Pulsatilla child cannot relates her complaints without weeping.

BELLADONA
Belladona is indicated when the infant starts suddenly from sleep and begins to cry violently. Child cries due to sudden and violent pain; child is restless, crying out, gritting of teeth. Screams out in sleep. Cries without apparent cause.

COFFEA CRUDA
Coffea child tosses about in agony. He is a great subject to ailments arising from sudden emotions and pleasurable surprise. He weeps from delight. Weeping alternates with laughing. There is great sensitiveness to pain. The child screams and cried due to pain and driven to despair.

ACONITE
Constant crying with anxious looks and great uneasiness, whines and frets, constantly gnawing at his fingers or something else. Child cries during dentition or in brain and chest affection. Child starts crying as if in a fright and afraid to go to bed.

ARSENICUM ALBUM
Cries during or after nursing, as soon as the child begins to take food. Child wants to be carried fast. Child is very restless, changes place continually, despairs drives him from place to place.

ARNICA
Cries everytime it coughs or even before as if dreading to cough. Child wants to be carried.

ANTIMONIUM CRUD.
Cries when washed with cold water, fretful and peevish; cries when touched.

COLOCYNTH
Cries hard, cannot be pacified, writhes and curls up double with colic better when pressing hand on belly.

CUPRUM
Breathing ceases when crying without being angry, afraid of everyone who approaches him.

STANNUM
Cries with colic, better by carrying it on belly, resting on the nurse’s shoulder or pressing firmly against it.

THUJA
Extreme obstinacy, child throw itself angrily upon the floor. When in the least opposes, screams, cannot get its breathe.

ZINCUM MET
Screams with jerk during sleep, rolls head from side to side and if awakens express fear.

PSORINUM
It will help sick babies who will not sleep they or night but worry, fret, cry, or who are good and play all day but restless, troublesome, screaming at night.

SYPHILINUM
Crying infants when they develop this propensity immediately after birth and continue to cry.

Dr Nahida M.Mulla
Principal
A.M.Shaikh Homoeopathic Medical College &  Hospital Belgaum – 590010 Karnataka
E-Mail: drnahida_mulla@yahoo.com

patient1 (2)

Homeopathy and Interpersonal Relationship

patient1 (2)Dr. Ajit Kulkarni M.D.(Hom.)
Email : dr_ajitkulkarni@rediffmail.com

Human mind is the most fascinating and most illusionary subject to understand in its entirety. All homoeopathic physicians know the importance of mental state and its appreciation in the avenue of selection of a proper homoeopathic remedy and the management of a patient. In the homoeopathic clinical practice, exploring and understanding the mental state is the most difficult and exasperating aspect for a homoeopathic physician because the mental state is a vibrant and free flowing. It is not a concrete and material like a physical body and it needs to be precisely fathomed in its depth and extent.

The human being and the society:
The human being is born and develops in a social setup. For a child, the family – parents and other relatives is the primary unit and this unit is the part of a larger social unit.

The family unit influences, moulds and shapes up the personality in the initial development of a child. The child learns the basic processes like thinking, feeling, judging and acting through models, imitation etc… Through the progressive learning, child becomes gradually socialized. This socialization does not take place through isolation, but through continuous and intimate inter-personal relationship (I.P.R). With the dominance of genetic milieu, the child’s overall evolution marches ahead under the influence of family set-up, school set-up followed by the continuous process of socialization.

Growth and development are the inseparable phenomena leading towards maturity involving both evolution and involution. An individual makes-up the society. The society shapes the individual and the society is also shaped by the individuals.

Inter-personal relationship:
I.P.R. is the substratum of society. It begins soon after birth, when the child arrives in the world. Progressive socialization results when the child comes in contact with different persons, thus spawning the inter-personal relationships. The personal desires, aptitudes, attitudes, pleasures, ethics, beliefs, faiths, id, ego, circumstances etc. contribute towards origin, development, maintenance or destruction of I.P.R. Harmony is essential for the sustenance of sound I.P.R. We find many persons in the society having different emotional and intellectual set-ups. The areas of work are quite different, rather antagonistic, but still I.P.R. of a healthy type exists for a long time even though it may have a trifling basis or only one common harmonious basis like art, music, sports or ethics. In contrast to this, one may encounter the disturbed I.P.R. between the persons having several identical views.

Change is the characteristic of universal phenomena. Circumstance(s) is the reflection of time and space, the integral part of universe. Under the time-space continuum, the circumstance(s) may give the opportunity to form or strengthen the I.P.R. or it may give negative feedback for I.P.R. which may become unpropitious or be irreparably spoiled.

Inter-personal relationship and dis-ease :
Dis-ease implies ill-at-ease : at the physical level, the mental level and at both the levels. The human mind gets developed, vitalized / devitalized, rejuvenated / cracked down through inter-personal relationship. Disturbed I.P.R. causes stress and strain on the mind and if the mind is not capable of mobilizing its resources to effectively cope with; critical threshold value is achieved leading to the development of disease process which is manifested in acute or chronic phases depending on the stressors, genetic predisposition, reservoir of energy and the timing when stressors are operative. To illustrate: Elevation of blood pressure after an acute emotional upset is a known phenomenon observed in clinical practice. D. U., Migraine, Irritable Bowel Syndrome, anxiety neurosis, ulcerative colitis, chronic somatization disorder and many psycho-somatic illnesses can be linked to prolonged disturbed I.P.R.

The disturbed I.P.R. acts as a maintaining / precipitating cause of the dis-ease which gets manifested in the intra-psychic conflict à somatization mechanism, which again may act as a stressor. Thus the cause becomes an effect and effect again becomes the cause: vicious cycle is thus set-up and continued.

The consideration of inter-personal relationship may give a new dimension to our thinking of disease phenomenon. ‘Stressors’ which deviate the immune response as well as related change in hormonal balance can be better identified.

As heredity has a significant role in the area of individual resistance, the constitutional predisposition on the part of a sick individual is of paramount importance.

Homoeopathy and inter-personal relationship:
Hahnemann demanded understanding of the individual, the total human being, the MAN behind sickness. The motto in Homoeopathy is: ‘Treat the patient as a WHOLE and not merely a disease’.

Homoeopathy deals with MAN. We understand Homoeopathy as a HOLISTIC medicine.

Do we conceive of these fundamental ideas in their entirety and perspectivity and implement them effectively into our practice when we claim ourselves as homoeopathic physicians?

We claim to treat the sick PATIENT and we do not know the I.P.R. of the patient; we don’t know the significance of I.P.R.; we don’t know what is going on in the life of the patient and yet we claim as physicians of HOLISTIC medicine! What we travesty!

Can the understanding of a sick individual be adequate and possible without knowing the IPR in detail? 

Inclusion of I.P.R. in detail should become the necessary part of the interview, of totality of sickness: for it will replace clarity, in place of confusion.

The understanding of the patient as a PERSON will be severely hampered if a homoeopathic physician doesn’t know the impact, depth and consequence of I.P.R. over the sick individual. The understanding of psycho-dynamic and psycho-somatic mental state, somatization mechanism, cause — effect relationship, intra-psychic conflict-all will be adversely affected as far as erecting the proper, integrated totality is concerned and the entire management of a case.

Unfortunately many homoeopathic physicians are entirely oblivious of this concept or very little is known about this type of approach of eliciting the totality through I.P.R.

The proper analysis of I.P.R. will not only give the mental characteristics (which are difficult to derive or infer otherwise) but also help select the proper homoeopathic Rx.

One sided diseases’ or diseases where data is inadequate, homoeopathic physician is stumbled to the extent of losing the case. I.P.R. elicited skillfully in such cases will bring forth the personality traits and will help fish out an accurate homoeopathic remedy. Interview of a patient through IPR is a very interesting aspect and a physician gets the inner state of the mind through deeper relations. Experience reveals that ‘Key-note prescribing’ has many pitfalls and demerits. There are more problems in the follow-up of a case as key-note prescribing involves multiple, changeable, zigzag and jumping method resulting in utter confusion.

The entire management of a case that also includes psychotherapy and counseling can be sorted out; individual strategy can be planned out if we have adequate information about I.P.R. of the patient.

Logical Application of the Law of Similars:
The homoeopathic remedy has an immense potential to affect the personality of the patient. Intelligence and emotions are the two basic qualities of human mind and the human pharmacology – as explored through provings yield disturbances in both of these fields; in addition, the somatic semeiology is also recorded. By using the methods of inductive and deductive reasoning, Jungian Psychology, Freud’s psycho-analysis, Behaviorism concept, Transactional psycho-analysis, Piaget’s cognitive theory, Eriksson’s psycho-social theory etc. one can structuralize the personality: the individual characteristics, behavioral responses as per circumstance(s), dispositions and expressions etc. out of vast proving data available to us in the homoeopathic materia medica. Each homoeopathic polycrest drug is a PERSON having its own characteristic individual features. The semblance between the natural person existing in the society and the artificial person grasped through homoeopathic provings will yield an accurate homoeopathic constitutional drug, as it will cover the ‘essence’ of the personality.

INTER-PERSONAL RELATIONSHIP OF SOME POLYCREST REMEDIES:
As the subject is vast, we will consider here I.P.R. of some frequently used and well-proved homoeopathic remedies in a succinct way.

THE NATRUMS :
There are two definite Natrums- introverted and extroverted. The introverted are the silent sufferers who go on burning themselves. In both of them, getting hurt deeply and not able to come out of the hurt feeling is common. The extroverted Natrums are the aggressive, irritable, and domineering fellows having ‘fighting’ spirit. In addition to these, they have an anti-authority element due to which Natrums find themselves in conflict with many persons. The typical Natrum personality doesn’t like the domination of authoritatives like father, mother, GF, GM, at home or of boss / colleagues at work area. Provided that the circumstances are favorable, he will fight outrageously and exhibit his grievances in an agitational and aggressive way; or he will exhibit his impulsive and impatient character to the stimuli of circumstance(s), by hurting the concerned person irrespective of the respect, caliber, age or prestige possessed by that person.

Another response shown by the Natrum personality is the feeling of hostility, resentment, indignation or suppressed anger, being expressed by seeking the solitude. The Natrum person will go alone and will weep outside. Many Natrum personalities are characterized by outward serenity but inward turmoil and ‘brooding’ is quite characteristic. The Natrum person is highly sentimental and is governed more by emotions than by intelligence – hence attachment is strong as far as I.P.R. is concerned and breaking up the bond often causes a hostile response and the domineering, egoistic behavior of Natrum may end up the inter-national relationship.

If the circumstances are such that expressions are not possible, Natrum person will exhibit his irascibility over other persons, other than the one to whom there is a hostile response e.g. domination at the work area by a boss will get discharged in the form of anger, or domination etc. over the wife or children.

I.P.R. in Natrum personality is usually disturbed and relatives of the Natrum person usually complaint a lot about the negative aspect of Natrum mind. Natrum makes his own life miserable and that of others too. He adds salt in IPR and make everything bitter.

THE MAGNESIUM PERSON:
The Mag. behavioral response is characterized by an inward response. Instead of ‘fighting’ spirit which is observed in extroverted Natrum (other drugs are Staphysagria, Tarentula, Lachesis etc.), we come across the withdrawal phenomenon. The genesis of withdrawal in Magnesium lies in childhood repression, suppression, vexation etc. that results in strong feeling of being neglected and rejected. Magnesium person prefers isolation, remains segregated, and becomes asocial and reserved.

Magnesium should be projected when we come across the history of death of mother or father at an early age and there is h/o deprivation of love. Characteristically though there is over-crowding of emotions, desires, aspirations and anxieties coming out of insecurity, outward expressions are poor. The person becomes introvert and gets himself entrapped into the capsule of his own and the feeling of being neglected is augmented by the insult or misbehavior committed by other persons. Hence sensitivity to insult is quite marked.

Mixing is a problem to the magnesium personality: to children as well as to adults. Shyness is marked in children and they fear a lot about strangers. Temperamental incompetence to protest and communication difficulty make mixing difficult. He doesn’t express his sentiments, thoughts, agonies, anxieties and grievances and rather becomes more introvert.

Another strong characteristic of magnesium is that thought there is a lack of expression at the conscious level. At the sub-conscious field, we come across expressions in the form of dreams. Variable forms of dreams are covered in magnesium.

Mag. Is full with anxieties, fears, and a host of negative emotions but they are kept inside. Others, hence, are unable to sense Mag. Sufferings and emotions are not shared and the problems are continued.

THE KALIS:
Kalis make the acquaintance very readily. As they are characterized by inherent / spontaneous attachment of a strong type, at the outset, they appear to be extrovert and quite easily mixing with friends, relatives, neighbors etc. However this attachment itself is a source of many conflicts resulting in pathological I.P.R. that produces various manifestations at the somatic and psychic level.

The bonds of love and affection soon get established in Kali I.P.R. It is difficult for a Kali person to remain segregated in the society. A Kali woman will try to develop an amicable relationship with other persons. For maintaining the I.P.R. sound, she will even sacrifice to some extent but in return will expect the same from others. If she doesn’t get any positive response, she soon gets depressed and sad. Irritability, agitation occurs out of retaliation.

Instead of ‘fight’ response observed in Natrum, Lycopodium, Lachesis etc., we find ‘flight’ response in Kali. The Kali person is overwhelmed by anxiety and anticipation. He / she is so encased into the capsule of ‘fear, fright, anxiety state.’ It will not be wrong to write that Kali runs and walks out the anxiety. If the husband / children are late in coming home, the Kali woman will become anxious, depressed and will wonder to and fro in the veranda, will telephone many times and will heave a sign of relief when they come home. The elderly Kali woman whose sons are away in other city for education will enquire a lot about them, will write letters often and make plenty of suggestions about their health and behavior.

Underneath the disposition of attachment lies the irritability that comes as a counter response to threats (to the attachment) that make her sad, depressed and lachrymose. Brooding is quite marked over the incidences that have insulted her. This mental portrait added with anxiety represents the ‘anxiety neurosis’ with depression.

As far as I.P.R. is concerned, Kalis are attached to people. They do not want to cut off relations on there own. They are rigid, moralistic and refrain themselves from doing wrong deeds. They are ego-centric, family oriented and cocoons.

INTER-PERSONAL RELATIONSHIP ‘BREAK’:
Some prominent remedies are discussed in succinct.

i)  Pulsatilla: Will try to prevent a rapture as I.P.R. is like and O2 Puls is like a leech.

ii) Lycopodium: Will employ wit for conciliation and will try to keep his dignity through non-rupture. Rupture, according to Lyco. amounts to defeat. However, Lyco. lacks the sweetness of Puls.

iii) Ars-alb: A continuous, critical and censorious harping leads to severing relations with those not performing of his standards.

iv) Nat-mur: Although there is an internal need for unconditional love, Nat-m. will cut off relations out of hurt feeling; to forget or to forgive is difficult; she will add more salt and will make the I.P.R. complex of irreversible.

v) Sulphur: Quick to quarrel but equally quick to forgive and make up and hence there is no real falling out. The quarrel is more intellectual.

vi) Calcarea: Wants a home; is generous; but if offended, will withdraw in its own shell. Will protect its security and will see that it is not jeopartized.

vii) Kali-carb: Attachment a source of troubles; rigidity, conservatism, and weak will lead to cold war; Kali-c. On her own will not cut off; she is more practical and well-grounded and will keep it hanging.

viii) Sepia: Continuous ragging and detached attitude (sell imposed, in Kali-c it is imposed upon by others) results in seyering the relationships, however, Sep. doesn’t have to break the relations with others, as others break with her first.

ix) Staphysagria: Jorial, conciliatory until his sensitive mind, rather sensitive pride is maintained; once offended, pent-up emotions will explode resulting in severing the relations.

x) Kali-iod: Its crude, rude and harsh behaviour expressed through abusiveness raptures the relations.

INTER-PERSONAL RELATIONSHIP AND MIASMS:-
Exploration of the dispositional characters and the behavioural responses yield the miasmatic dominance.

  • The emotive responses of high order expressed in I.P.R. but with base-line of I.P.R. being maintained indicate PSORIC miasm. Healthy attitude towards I.P.R.  is kept up thought with emotional overtone on many occasions.
  • The sycotic stigma demonstrates pathological I.P.R. The negative attitudes and characters viz. suspiciousness, vindictiveness etc. make I.P.R. disturbed. The states in ineldncholy, gloominess etc. develop as a consequence to chronic disturbed I.P.R.
  • Unpredictable, erratic behaviour in tandem with emotional overtone complicate I.P.R. in Tubercular Miasmatic subjects.
  • The syphilitics reflect the irreversible

Goitre and Homeopathy Management

Dr.Lizme Ajith MD(Hom)
Department of  Practice of Medicine
Govt. Homeopathic Medical College. Calicut. Kerala
Email: lizmyajith@yahoo.co.in

The term ‘GOITRE’ is used to describe generalized enlargement of the Thyroid gland. The normal thyroid gland is impalpable.
Goitre is best classified as –
1) SIMPLE GOITRE-
a) Diffuse Hyperplastic-
• physiologic,
• endemic,
• sporadic
b) Colloid Goitre
c) Solitary Nodular
d) Multinodular
2) TOXIC GOITRE – a) Diffuse (GRAVES DISEASE )
b) Multinodular
c) Solitary nodular (TOXIC NODULE )
3) NEOPLASTIC GOITRE –
a) Benign
b) Malignant
4) INFLAMMATORYGOITRE-
a)AutoImmune Thyroiditis
b) Granulomatous Thyroiditis
c) fibrosing Thyroiditis
d) Infective- acute- bacterial or viral chronic- tubercular or syphilitic
5) OTHER RARE TYPES- AMYLOID GOITRE

Diagnosis
A thyroid swelling always moves upwards on deglutition. On auscultation a systolic bruit may be heard over the goiter in primary toxic goiter. Exophthalmos and other eye signs are diagnostic of Grave’s disease. Indistinct outline of the swelling, hardness and fixity are diagnostic of neoplastic goiter.

Differential diagnosis
Mid line swellings of the neck include

  • ludwig’s angina
  • enlarged submental lymph node
  • thyroglossal cyst
  • sub hyoid bursitis
  • retrosternal goiter
  • thymic swelling
  • dermoid cyst

lateral swellings include

  • enlarged sub mandibular salivary gland
  • deep plunging ranula
  • aneurysm of carotid artery
  • carotid body tumour
  • branchial cyst
  • cystic hygroma
  • pharyngeal pouch
  • subclavian aneurysm
  • aberrant thyroid
  • lipoma

THYROID FUNCTION TESTS
1) SERUM T4- The normal range varies from 4-8 microgram/ dl. The level is usually raised in toxic goiters, low in hypothyroidism.
2) SERUM T3- The normal range varies from 150-250 ng/ dl. Toxic goiters show considerably raised levels.
3) SERUM TSH- The normal level is about 5 microunit/ ml. It is raised in hypothyroidism and almost undetectable in thyrotoxic goiters.
4) SERUM PROTEIN BOUND IODINE- The normal range varies from 3.5-8 microgram/dl.
5) T3 RESIN UPTAKE
6) IODINE 131 UPTAKE TEST- The rate at which the thyroid traps iodine reflects the rate of secretion of thyroid hormones. In hyperthyroidism the rate is increased.
7) THYROID SCAN- Scanning with a tracer dose will show which part of the gland is functioning or which is not (hot or cold). I131 and T99 are used.
8) RADIOGRAPHY- Helps to diagnose the position of trachea, retrosternal goiter etc. In case of carcinoma the bones should be X-rayed for evidence of metastasis. Barium swallow X- ray will indicate pressure effect on oesophagus.
9) FINE NEEDLE ASPIRATION CYTOLOGY-Thyroiditis, colloid nodule, benign and malignant tumours can be diagnosed.
10) MISCELLANEOUS TESTS- These include BMR, serum cholesterol, ECG, measurement of tendon reflexes etc.

TREATMENT

In early stages a simple goiter may regress on administration of thyroxine. Toxic goiters can be treated by anti thyroid drugs. On cosmetic grounds if goiter is unsightly, surgical resection can be done- Sub Total Thyroidectomy. Neoplastic goiters can be treated by Lobectomy or Total Thyroidectomy.

HOMOEOPATHIC MANAGEMENT
Iodum
Simple and exophthalmic goitres. Hard goiter in dark haired persons. Thin and dark complexioned. Scrofulous diathesis. Hypertrophy and induration of glandular tissues except mammae which dwindle and become flabby. Great emaciation. Losing flesh while eating well. Must eat all the time, feels > while eating. Palpitation from least exertion. Tachycardia and tremor. Hot patient.

Spongia tosta
Exophthalmic goiter. Thyroid gland swollen even with the chin. Swelling and induration of glands. Tubercular diathesis. Palpitation, suffocative paroxysms at night. Dyspnoea as if he had to breath through a sponge. Great dryness of mucus membranes, dry as a horn.

Calcarea carb
Simple goiter. Hypothyroidism and Myxoedema. Leucophlegmatic, tendency to obesity in youth. Coldness in general, or of single parts. Takes cold easily. Head sweats profusely wetting the pillow far around. Defective assimilation and imperfect ossification. Scrofulous diathesis.

Natrum mur
Primary and secondary thyrotoxic goiters.Anaemic and cachetic, loss of vital fluids. Emaciation, losing flesh while eating well. Fluttering of heart. Heart’s pulsation shakes the whole body. Tongue mapped with red insular patches. Craves salt. Bad effects of grief, anger, mortification. <heat of sun,warmth, 10-11 am, seashore.

Thyroidinum
Myxoedema, Exophthalmic goiter. Anaemia, emaciation, sweating, muscular weakness. Tachycardia, tremor of face and limbs. Palpitation from least exertion. Anxiety about chest as if constricted.

Iodothyrine
Active principle isolated from thyroid gland. Symptoms similar to Thyroidinum.

Calcarea iodide
Thyroid enlargements at the time of puberty. Scrofulous diathesis. Flabby persons subject to colds. Secretions inclined to be profuse and yellow. Adenoids. Enlarged tonsils filled with crypts.

Bromium
Hard goiter in fair, light haired, blue eyed persons. Stony hard scrofulous swellings. Indurations. Dryness of mucus membranes. Dyspnoea as if breathing through a sponge. Cold sensation in larynx on inspiration.

Cistus canadensis
Glandular affections with stony hardness. Malignant diseases of the glands of neck. Spongy feeling in throat. Sensation of coldness. Extremely sensitive to cold. A small dry spot in the throat, must sip water frequently. Swelling of glands of the neck like knotted rope.

Lapis albus
Indicated in non capsulated goiter when there is a soft doughy feel. Pre ulcerative stage of carcinoma. Glands have a certain elasticity and pliability about them. Fat anaemic persons with ravenous appetite.

Conium maculatum
Goitre in old maids, old bachelors. Cancerous and scrofulous affections. Glandular indurations of stony hardness. Bad effects of sexual excess. Debility of old people; Complaints caused by a blow or fall. Vertigo when lying down or turning in bed.

Phytolacca
Stony hard painful goiter. Pain flying like electric shocks, rapidly shifting. Emaciation, chlorosis, loss of fat. Patients of a rheumatic diathesis. Mercurial or syphilitic affections.

Carbo animalis
Thyroid gland indurated, swollen, painful. Elderly persons with marked venous plethora. Bluish discolouration. Exhausting discharges. Malignant and ichorous conditions.

Hydrastis
Goitre at puberty and pregnancy. Debilitated persons, broken down by excessive use of alcohol. Cachetic and malignant dyscratia. Tongue large shows imprint of teeth. Empty all gone sensation in stomach.

Arsenic iodide
Thyroid gland enlarged. Scrofulous diathesis. Profound prostration, emaciation.Thin watery excoriating discharge from anterior and posterior nares. Exfoliation of skin in large scales.

Kali iodide
Glandular swellings, indurations. Acts on fibrous and connective tissues. Haemorrhagic diathesis. Hot persons. Profuse acrid watery discharges.

Ferrum iodide
Exophthalmic goiter following suppression of menses. Scrofulous diathesis. Tumours.Anaemia. Emaciation.

Merc proto iodide
Throat affections, glandular swellings. Right sided. Sensation of a lump. Constant inclination to swallow. Tongue coated thick yellow at the base.

Merc bin iodide
Glandular swellings, left sided. Syphilitic, scrofulous persons. Tongue feels stiff at the base, pain on moving.

Silicia
Scrofulous diathesis. Deficient nutrition, imperfect assimilation. Inflamation, swelling and suppuration of glands. Ailments from suppressed foot sweats, bad effects of vaccination. Every little injury suppurates.

Pulsatilla
Thyroid enlargements at puberty. Delayed menses. Weeping disposition. Mild yielding, consolation >. Pains with chilliness, rapidly shifting. Dry mouth without thirst. > open air.

Apis mel
Glands indurated, enlarged. Strumous constitutions.Pains burning stinging sore suddenly migrating. Oedema, bag like puffy swelling under the eyes. Right sided. Hot persons. Oversensitive to touch.

Graphitis
Scrofulous diathesis. Women inclined to obesity, at climacteric. Takes cold easily. Every little injury suppurates. Crakes and fissures. Delayed menses, habitual constipation.

Sulphur
Scrofulous diathesis, persons subject to venous congestion especially of portal system. Lean stoop shouldered. Hot patient. Chronic alcoholism. Burning sensation all over,< heat of bed, night. Empty all gone sensation at 11 am.

Flouric acid
Simple goiters. Complaints of old aged, or prematurely old aged. Increased ability to exercise with out danger. Hot persons. Varicose veins and ulcers. Imndifference. Sexual excitement.

Fucus vesiculosus
Exophthalmic and non toxic goiters. Thyroid enlargements in obese persons. Impaired digestion. Obstinate constipation.

Lycopus verginicus
Exophthalmic goiters. Beneficial in toxic goiters, used in the pre operative stages. Lowers the blood pressure, reduces the heart rate.

Badiaga
Grave’s disease or Basedow’s disease. Glands swollen, indurated. Oversensitive to cold. Syphilitic affections.

Pilocarpin
Exophthalmic goiters, with increased heart’s action and pulsation of arteries. Heat and sweating, tremors and nervousness.Profuse salivation, excessive sweating. Pupils contracted.

Baryta iodide
Enlarged, indurated glands. Tumours. Stunted growth.

Chromium sulphate
Simple and exophthalmic goiters. Hypertrophy of glands. Tachycardia. Nerve tonic.

Strophanthus
Exophthalmic goiters. Anaemia, palpitation, breathlessness. Heart’s action weak, irregular due to muscular debility. Tobacco heart.

Duboisia
Palliative in exophthalmic goiters. Trembling, numbness and weakness. Pupils dilated, dim vision.

Thymus gland extract
High potencies efficient in exophthalmic goiters.

Ephedra
Exophthalmic goiters. Eyes feel pushed out with tumultuous action of heart.

National Rural Health Mission India

I. Profile, Components, and Strategies 

1. Why a National Rural Health Mission?
The National Common Minimum Programme spells out the commitment of the Government to enhance Budgetary Outlays for Pub lic Health and to improve the capacity of the health system to absorb the increased outlay so as to bring all round improvement in public health services.

The National Rural Health Mission seeks to provide effective health care to the rural population, especially the disadvantaged groups including women and children, by improving access, enabling community ownership and demand for services, strengthening public health systems for efficient service delivery, enhancing equity and accountability and promoting decentralization.

2. What is the coverage of the National Rural Health Mission (NRHM)?
The NRHM covers the entire country, with special focus on 18 states where the challenge of strengthening poor public health systems and thereby improve key health ind icators is the greatest. These are Uttar Pradesh, Uttaranchal, Madhya Pradesh, Chhattisgarh, Bihar, Jharkhand, Orissa, Rajasthan, Himachal Pradesh, Jammu and Kashmir, Assam, Arunachal Pradesh, Manipur, Meghalaya, Nagaland, Mizoram, Sikkim and Tripura.

3. Is NRHM a new programme of the Government of India?
The NRHM is basically a strategy for integrating ongoing vertical programmes of Health & Family Welfare, and addressing issues related to the determinants of Health, like Sanitation, Nutrition and Safe Drinking Water. The National Rural Health Mission seeks to adopt a sector wide approach and aims at systemic reforms to enable efficiency in health service delivery. NRHM subsumes key national programmes, namely, the Reproductive and Child Health II project, (RCH II) the National Disease Control Programmes (NDCP) and the Integrated Disease Surveillance Project (IDSP). NRHM will also enable the mainstreaming of Ayurvedic, Yoga, Unani, Siddha and Homeopathy Systems of Health (AYUSH).

4. What are the strategies of the NRHM?
While providing a broad framework for operationalization, NRHM lists a set of core and supplementary strategies to meet its goals.

Core strategies of NRHM include: Decentralized village and district level health planning and management, appointment of Accredited Social Health Activist (ASHA) to facilitate access to health services, strengthening the public health service delivery infrastructure, particularly at village, primary and secondary levels, mainstreaming AYUSH, improved management capacity to organize health systems and services in public health, emphasizing evidence based planning and implementation through improved capacity and infrastructure, promoting the non profit sector to increase social participation and community empowerment, promoting healthy behaviors, and improving intersectoral convergence.

Supplementary Strategies include regulation of the private sector to improve equity and reduce out of pocket expenses, foster public–private partnerships to meet national public health goals, re-orienting medical education, introduction of effective risk pooling mechanisms and social insurance to raise the health security of the poor, and taking full advantage of local health traditions.

5. Does the NRHM exclude provision of Health Care to urban populations?
Under the urban component of RCH II and the National Disease Control Programmes, curative and referral interventions and other programmes for urban poor would continue as before. A Task Group on Urban Health is being constituted to recommend strategies for urban poor.

II. Institutional Framework and Fund Flows

1. What is the institutional set up at National, State and District levels?
The Mission Steering Group under the Chairmanship of the Union Minister for Health & Family Welfare will provide policy guidance and operational oversight at the National level. Ministerial / Secretary level representatives of Planning Commission, Rural Development, Panchayati Raj, Human Resource Development and Health and Family Welfare Secretaries of four States and ten public health professionals nominated by the Prime Minister will be members of the Mission Steering Group.

At the State level, the State Health Mission shall be led by the Chief Minister. It shall be co-chaired by the Health Minister with the State Health Secretary, as convenient, and representation from related Departments, NGOs, private professionals etc.

The District Health Mission shall be led by the Chairman, Zila Parishad, and be convened by the District Head of the Health Department. It shall have representation from all relevant Departments, NGOs and private professionals. However, States can choose their State specific models. The district and sub district arrangements for the Total Sanitation Campaign would be similar to those of the NRHM, and the activities of the Sanitation guided by the District Health Mission.

2. What will be the role of the State Governments under the NRHM?
The State Governments have been part of the Stakeholder Consultations for finalization of the strategy of the Mission. The States shall enter into a Memorandum of Understanding (MoU) with the Government of India, stating their agreement to the policy framework of the Mission and the timelines and performance benchmarks against identified activities. The States shall establish State and District Health Missions, and  integrate the multiple Societies for Health and Family Welfare Programmes at State and District levels, as envisaged under the NRHM. A State Action Plan shall be formulated reflecting the needs of the Health Sector, including the determinants of Health, like Sanitation, Nutrition and Safe Drinking Water, and the unmet needs which shall be addressed under the NRHM. The State shall also commit to undertake systemic reform, including devolution of powers to Panchayati Raj Institutions and decentralization of the programme to district levels as envisaged under NRHM, and ensure smooth fund flow, Technical and MIS support.

3. What will be the roles of the State and District Health Missions?
The State Health Mission shall prepare the roadmap for architectural correction of the Health System, including merger/integration of vertical structures; delegation and decentralization of administrative and financial powers; empowering the PRIs; preparation of Operational Guidelines for the implementation of the Mission; logistics arrangements; disease surveillance; IEC; and MIS.

The District Health Mission shall control, guide and manage all public health institutions in the district and at sub-district levels. It will be responsible for preparation and implementation of an integrated District Action Plan in respect of funds received from all funding agencies into the District Health Fund. It shall guide the micro planning for selection and training of ASHAs, organization of Health Camps at Anganwadi levels, services related to immunization and institutional delivery, mainstreaming of AYUSH infrastructure, supply of drugs, upgrading CHCs to IPHS, utilization of Untied Fund at Sub-centre level, and strengthening outreach services through operationalization of mobile medical unit. It shall also ensure intersectoral convergence among related Departments at district and sub-district levels. Above all, the DHM shall ensure the accountability of the public health system to the Panchayati Raj Institutions and to the community.

4. What are the flexibilities available to the States under the NRHM?
The NRHM provides broad operational framework for the Health Sector. Suggestive guidelines are being issued on key interventions like ASHA, Indian Public Health Standards (IPHS), institutional deliveries, immunization, preparation of District Action Plan, role of Panchayati Raj Institutions etc. The States shall have flexibility to project operational modalities in their State Action Plans, which would be decided in consultation with the Mission Steering Group.

The NRHM is being launched as a framework of partnership among Government of India, related Departments of the Government, especially Departments of Women & Child Development, Drinking Water Supply, Panchayati Raj, and Development of North Eastern Region State Governments, Panchayat Raj Institutions, NGOs, and private health providers, and. The detailing of strategies will continue during the Mission with the combined effort of all the stakeholders.

5. What is the Outlay of NRHM?
The Outlay of the NRHM for 2005-06 is Rs.6713 crores. The Outlay of the Mission in subsequent years will be dependent on the Outlay of the Ministry of Health and Family Welfare. The State-wise allocation under NRHM for 2005-06 are annexed.

6. Can the States expect an increased outlay in the coming years?
The Budget Outlay of the Ministry of Health and Family Welfare has increased by 30% in 2005-06 over the previous financial year. The States would prepare comprehensive Action Plans for NRHM, indicating priorities for funding, which shall be covered under the increased Outlays expected in the coming years.

7. What shall be the State contribution under the NRHM?
The State Action Plan shall reflect the Outlays available for Public Health expenditure under Centrally Sponsored Schemes, State Budget, State Finance Commission, major Bilateral funded Programmes and Schemes funded by Planning Commission like Rashtriya Samvikas Yojana etc. The States are required to sign MoU with the GoI, committing a minimal increase of 10% for Public Health expenditure in the State Budget each year.

8. What is the fund flow mechanism?
The States will be given an advance, indication of funds to be devolved. State Action Plan would be prepared, which would be funded through a financial envelope for RCH-II and funding under NDCP. The Societies for Health and Family Welfare programmes shall merge into one integrated Society at State and District level to enable “funneling” of funds. The NRHM Budget Head would retain Sub-Budget Heads for the erstwhile Societies.

9. What is the role of Panchayati Raj Institutions (PRI) in the NRHM?
One of the core strategies of the NRHM is to empower local governments to manage, control and be accountable for public health services at various levels. The Village Health & Sanitation Committee (VHC), the standing committee of the Gram Panchayat (GP) will provide oversight of all NRHM activities at the village level and be responsible for developing the Village Health Plan with the support of the ANM, ASHA, AWW and Self Help Groups. Block level Panchayat Samitis will co-ordinate the work of the GP in their jurisdiction and will serve as link to the DHM. The DHM will be led by the Zila Parishad and will control, guide and manage all public health institutions in the district. States will be encouraged to devolve greater powers and funds to Panchayati Raj Institutions.

III. Operational Issues

1. What are key activities for the Year 2005-2006?
Broadly speaking, the common activities under NRHM, which are uniformly applicable across all States/UTs over and above those proposed under ongoing programmes like

RCH and National Disease Control Programmes,, are as follows:

  • Constitution of State and District Health Missions
  • Merger of Health and Family Welfare Societies
  • Preparation of State Action Plan, which identifies sectoral needs and priorities
  • Finalizing performance benchmarks for MoU
  • Signing of MOU between State and GOI
  • Preparation of District Action Plans.
  • Upgrading two CHCs in every district to the level of Indian Public Health
  • Standards, including the provision for two rooms in these CHCs for bringing
  • AYUSH practitioners under the same roof.
  • Formation of Rogi Kalyan Samitis
  • Immunization strengthening through induction of Auto Disabled Syringes and arrangement for alternate vaccine delivery at immunization sites.
  • Organizing mobile medical services at district level.
  • Organizing Health Camp at AWW level on a fixed day in a month for assured services for women and child health care.
  • Provision of household toilets.
  • Strengthening institutional delivery under Janani Suraksha Yojana (JSY) through provision of escort and referral services by ASHA & subsidized hospital services for BPL women.
  • Establishing systems to increase accountability of health systems to PRIs.
  • Selection and training of ASHA, including provision of drug kits
  • Organizing Health Melas as a platform to inform and educate the public on
  • NRHM
  • Provision of generic drugs, both AYUSH and allopathic, at village,
  • SC/PHC/CHC level, for common ailments.

Some activities as at  above shall be specially funded in the 18 high focus States.

2. What additional inputs will States receive in Year 1?

  • Rs. 20 lakhs/CHC to two CHCs in every district for bringing them on par with
  • IPHS.
  • Maintenance grant of Rs. 1 lakh per CHC, after constitution of Rogi Kalyan
  • Samiti at that level.
  • Untied fund of Rs. 10,000 per Sub-centre.
  • Supply of additional drugs (allopathic and AYUSH) at Sub-centre, PHC and
  • CHC level
  • Mobile Medical Unit for district
  • 50% districts in EAG states to get Rs. 10 lakhs/district for district planning
  • Funds for training of ASHAs 

3. When are State, District and Village Action Plans due?

  • State and District Action Plans are expected to be formulated within the first six months.
  • Village Action Plans can be formulated during the second year. 

4. What should State Action Plans include?
State Action Plans in Year I should include outlays for RCH II, National Dis ease Control Programme and the Integrated Disease Surveillance Programme. The State Action Plan would also include funds under AYUSH, Finance Commission grants- in-aid, Rashtriya Sam Vikas Yojana, external bilateral funding, and large NGO grants. Even though budgeting would remain separate for better convergence, the outlays and programmes to improve sanitation, nutrition etc. should also be reflected in the State Action Plan. Once the District Plans are ready, the State Action Plan should be based on those Plans.

5. What should a District Action Plan include?
For 2005-2006, districts should consolidate existing resources within the HFW sector, plan for convergence with nutrition, water and sanitation, and focus on identifying areas in the district with poor indicators and greatest need of financial resources. After Year 2 detailed District Action Plans, based on Village Health Plans should be developed by the DHM. States are expected to procure technical assistance for districts to support the development of District Action Plans. Under RCH and other donor funded programmes, some districts have already prepared Action Plan for RCH. These will need to be reworked, to include other components under NRHM. The districts, which did not get such funding support, will receive funds for district planning @ Rs. 10 lakhs per district (in EAG States).

6. Will NRHM provide for additional project management cost?
Project Management cost for all districts is covered under the financial envelope of RCH II. 18 high focus States shall make contractual engagement of skilled professionals, viz. CA, MBA & MIS specialist at State and District level for enhancing capacities of programme management and technical support to the NRHM.

7. How to integrate Water, Sanitation, and Nutrition in NRHM?
The institutional arrangement for the NRHM as well as Total Sanitation Campaign will be the same at District and Village levels. However budgeting for the two programmes will remain separate. Integration with ICDS implies joint planning, us e of AWC as the hub of the NRHM interventions in the village, joint reporting and monitoring on common indicators, and engagement with the AWW as a key figure in village planning and implementation.

8. What is the budget profile of NRHM? What will separate sub budget lines look like?
In Year 1 (2005-2006) there will be no separate Budget Head for NRHM. Creation of a new Budget Head for NRHM will be from 2006 onwards. The existing programmes would maintain sub-Budget Heads under the omnibus NRHM Budget Head.

9. Will the States have to sign separate MoUs for RCH-II and NRHM?
There will be only one MOU, subsuming the MOU for all programmes integrated under NRHM. Signing of this MoU shall be the precondition to release of second tranche of funds in October 2005.

10. What are key performance benchmarks for Year ?
Performance benchmarks under NRHM would include performance indicators in respect of all integrated programmes. In addition, NRHM requires the following activities to be completed in Year 1: Constitution of State and District Health Missions Merger of Health and Family Welfare Societies Signing of MOU for NRHM between State and GOI

IV. Key Activities

1. Can states continue to implement existing community health workers programmes?
The States would have flexibility in this regard. If States have ongoing community worker/volunteer programme, they can continue to engage with those already selected.

However, ASHA must be primarily a woman resident of the village, preferably, in the age group of 25 to 45 years, ‘Married/Widow/Divorced’ with formal education up to Eighth Class. Adequate representation from disadvantaged population groups should be ensured to serve such groups better.

2. Is ASHA to be selected on a population-based norm?
States are free to select ASHA as per their own requirements. The norms are “1 ASHA for 1000 population”. For areas like deserts and hilly terrain, these norms may be relaxed.

3. Is ASHA a paid employee?
ASHA is not a paid employee. She would not be entitled to any pay or ho norarium, but be eligible for compensation for services provided under various schemes and programmes of GoI and State Governments – for institutional delivery under Janani Suraksha Yojana, for completion of DOTS treatment under National TB Control Programme, promotion of household toilets under Total Sanitation Campaign, etc. under the overall guidance of the District Health Mission.

4. How will ASHA be selected?
After going through a community mobilization process, a panel of suitable persons would be drawn up and placed before Gram Sabha. The necessary formalities regarding the selection would be done by the Village Health & Sanitation Committee.

5. Will the ASHA get a formal letter of appointment?
No, but the minutes of the approval process (in Gram Sabha or Village Health Committee meeting) will be recorded. The Village Health Committee would enter into an agreement with the ASHA (as in the case of the Village Education Committee and Sahayogini-in Sarva Shiksha Abhiyan) 

6. Is ASHA to be universal?
Currently ASHA is envisaged in the EAG States, Assam and Jammu & Kashmir.

7. Who is ASHA accountable to?
ASHA would be accountable to the community through the Gram Panchayat. She would be guided by the Anganwadi Worker and the ANM. She would report to the Village Health & Sanitation Committee of the Gram Panchayat.

8. Will ASHA be getting a drug kit?
Yes, a drug kit will be provided to each ASHA. Contents of the kit will be based on the recommendations of the expert/technical advisory group set up by the Government of India. The kit will be provided to ASHA after adequate training.

9. What will be her primary roles and responsibilities?
ASHA will be a health activist in the community who will create awareness on health and its social determinants and mobilize the community towards local health planning and increased utilization and accountability of the existing health services. She would be a promoter of good health practices. She will also provide a minimum package of curative care as appropriate and feasible for that level and make timely referrals. 

Frequently Asked Questions on IPHS:

1. What is IPHS?
Indian Public Health Standards are a set of standards envisaged to improve the quality of health care delivery in the country under the National Rural Health Mission.

2. What is the need for IPHS?
The health care system in India has expanded considerably over the last few decades, however, the quality of services is not uniform, due to various reasons like nonavailability of manpower, problems of access, acceptability, lack of community involvement, etc. Hence, standards are being introduced in order to improve the quality of public health level.

3. Who will be recommending these standards?
A Task Group under Director General of Health Services was constituted to recommend the Standards. The IPHS is based on its recommendation.

4. Who will it be applicable to?
At present these standards are being applied only to the Community Health Centres (CHCs). As a first step, requirements for a Minimum Functional Grade of a Community Health Centre are being prescribed. Further upgradation will be proposed after these minimum requirements have been met. Subsequently, standards for PHC and SC shall also be developed.

5. Why only for CHCs?
The NRHM aims at strengthening hospital care for rural areas. CHC is a 30- bedded hospital providing specialist care in medicine, Obstetrics and Gynaecology, Surgery and Paediatrics. However due to various reasons, the functioning of CHCs has not been as desired. These centres are the First Referral Units as far as curative care is concerned and are also the link between primary care and tertiary care. With the availability of specialist care in these centres, it was felt that these would be the right breaking ground.

6. Why another set of standards?
Although it is true that there are existing standards as prescribed by the Bureau of Indian Standards for 30-bedded hospital, these are at present not achievable as they are very resource- intensive. Hence a less resource intensive standard suited to the requirements of the system has been developed.

7. What is hoped to be achieved by these standards?
Under the NRHM, the Accredited Social Health Activist (ASHA) is being envisaged in each village to promote the health activities. With ASHA in place, there is bound to be a groundswell of demands for health services and the system needs to be geared to face the challenge. In order to ensure availability and quality of services, we are now establishing the Indian Public Health Standards for CHCs so as to provide a yardstick with which to measure the services being provided in the CHCs. With these standards it will be possible to objectively grade Centres and take up remedial action accordingly.

8. What are the various recommendations under IPHS?
Improvement in the availability of specialist services in the CHCs by ensuring availability of all the sanctioned specialists. Additional sanction of the post of Anesthetist and Public Health Manager is also envisaged.

Strengthening support staff, by recommending a Public Health Nurse and an ANM in all these Centres, in addition to the existing staff.

Norms for infrastructure, equipment, laboratory, Blood storage facilities, and drugs have been formulated.

Guidelines for management of routine and emergency cases under Nationa l Health programmes are being provided to all CHCs, to maintain uniformity, and also optimum standardized treatment.

9. How will compliance to these Standards be ensured?

  • Monitoring and evaluation would be both internal as well as external.
  • Training of medical as well as para medical staff.
  • Charter of Patients’ Rights would be prominently displayed in all these centres.
  • Rogi Kalyan Samitis would be formed to improve accountability.
  • The District Health Mission would monitor the progress for maintenance of standards at facility level. 

10. How will the Mission address the issues of absentee doctors in rural areas?
Availability of doctors and paramedics in rural areas is important to the success of the Mission. The States will examine the possibility and modalities for having district level cadres for doctors and Block level cadres for ANMs as resolved in the 7th Conference of the Central Council of Health & Family Welfare Ministers, in August 2003. The District Health Missions will have greater flexibility for engaging the services of private doctors on contractual basis to provide services in public health institutions. Most importantly, the States shall indicate their commitment to devolve the funds and programmes for health and family welfare to Panchayati Raj Institutions under the NRHM, to ensure effective accountability of the public health providers at corresponding levels. The Mission also proposes to involve Professional Medical Associations viz. Indian Medical Association (IMA), Federation of Obstetricians and Gynaecologists of India (FOGSI) etc. to build peer and professional support for the programme.

thoon

Multi speciality homeopathic Hospitals and Clinics in Kerala

thoonMansoor Ali
We brings you information about various multi- speciality Homeopathic Hospitals in Kerala.
These hospitals offering immense job opportunity to young talented BHMS graduate and Post graduates.
Many have facilities as in an allopathic hospital
These hospitals have wide media coverage including visual media
Attracting patients by offering various speciality treatments.

 

Homoeopathic Multi specialty referral hospital & research centre – Changanacherry

Aditya Institute of Homeopathic Medical Science 

Expert’s Institute of Homeopathy

Ideal Speciality Institute of Homeopathy

Centre for Homeopathic Education & Research

Apple Institute of Homeopathy

Why Homeopathy Makes Sense and Works

Dana Ullman, MPH
This article is compliments of its author, Dana Ullman, MPH, and Homeopathic Educational Services.  To access 100+ free articles on homeopathy plus a full online catalog of homeopathic books, tapes, medicines, software, and distance learning courses, visit this website!  Profits to H.E.S. help to grow homeopathy!

OPENING REMARKS:
Many people confuse homeopathic medicine with herbal remedies or with the broad field of alternative or natural medicine.  As you will learn from this article, homeopathic medicine has its own sophisticated system of using substances from the plant, mineral, chemical, and animal kingdoms.  This article will describe–in a modern and even futuristic fashion–this fascinating and powerful method of strengthening the body’s own defense system.

In the spirit of wishing to inform as many people as possible about homeopathy, you are welcome to send this article to anyone you wish (as long as the article is not changed in any way, except with permission from the author). You are also welcome to post this article at your website by writing to and getting permission from us at: mail@homeopathic.com (you will receive some simple ground rules for such postings). Please note this article may be updated from time to time, and it may be worthwhile to read and download the most recent version of this article by going to www.homeopathic.com and looking under “Intro to Homeopathy.”

Printed publications (magazines and newspapers) can also obtain permission to reprint all or part of this article by emailing their request to the email listed above.

            A shorter and less technical version of this article is also available at www.homeopathic.com.

Introduction
The word “homeopathy” is derived from two Greek words:  homoios which means “similar” and pathos which means “suffering.”  Homeopathy’s basic premise is called the “principle of similars,” and it refers to recurrent observation and experience that a medicinal substance will elicit a healing response for the specific syndrome of symptoms (or suffering) that it has been proven to cause when given to a healthy person in overdose.

The beauty of the principle of similars is that it not only initiates a healing response, but it encourages a respect for the body’s wisdom. Because symptoms represent the best efforts of our body in its defenses against infection or stress, it makes sense to utilize a medicine that helps and mimics this defense rather than that inhibits or suppresses it.  The principle of similars may be one of nature’s laws that, when used well, can be one of our most sophisticated healing strategies.

It is important to note that immunizations and allergy treatments are two of the very few applications in modern medicine today that actually stimulate the body’s own defenses in the prevention or treatment of specific diseases, and it is NOT simply a coincidence that both of these treatments are derived from the homeopathic principle of similars.

Homeopathic medicine is so widely practiced by physicians in Europe that it is no longer appropriate to consider it “alternative medicine” there.  Approximately 30% of French doctors and 20% of German doctors use homeopathic medicines regularly, while over 40% of British physicians refer patients to homeopathic doctors, and almost half of Dutch physicians consider homeopathic medicines to be effective.  The fact that the British Royal Family has used and supported homeopathy since the 1830s reflects its longstanding presence in Britain’s national health care system.

Homeopathic medicine also once had a major presence in American medical care and in American society.  In 1900 there were 22 homeopathic medical schools in the US, including Boston University, University of Michigan, New York Medical College, Hahnemann University, University of Minnesota, and even the University of Iowa.  Further, many of America’s cultural elite were homeopathy’s strongest advocates, including Mark Twain, William James, John D. Rockefeller, Susan B. Anthony, Louisa May Alcott, Henry Wadsworth Longfellow, Henry David Thoreau, and Harriett Beecher Stowe, amongst many others. (For a more extensive list of famous people past and present who are known advocates of homeopathy.

In his Pulitzer Prize-winning book The Social Transformation of American Medicine, Paul Starr noted, “Because homeopathy was simultaneously philosophical and experimental, it seemed to many people to be more rather than less scientific than orthodox medicine.”

This article will present a strong case for homeopathy in light of the most recent developments in science and medicine.  That said, I want to apologize to those people who have an open mind about homeopathy but who have been introduced to it by individuals who have not adequately explained this science and art in a clear and convincing fashion.  It is hoped that both skeptics and those open-minded but inadequately informed people will benefit from this overview of the homeopathic system.

The Wisdom of Symptoms—The Underlying Basis of Modern Physiology and Homeopathy
The underlying principle of homeopathy is also at the heart of modern physiology.  It is commonly understood in medicine today that symptoms are not just something “wrong” with the body, but rather, they represent the efforts of the body and mind to defend and heal itself from a variety of infective agents and/or stresses.  The body creates fever, inflammation, pain, discharge, or whatever is necessary in order to heal itself.  While these symptoms represent the body’s best efforts to heal, they are not always successful in doing so.  Ultimately, homeopathic medicines are some of the most powerful natural drugs available today to help augment the body’s ability to heal itself (more on this topic later).

Medical science today is increasingly recognizing symptoms as adaptive responses of the body. Standard texts of pathology define the process of inflammation as the manner in which the body seeks to wall off, heat up, and burn out infective agents or foreign matter. The cough has long been known as a protective mechanism for clearing breathing passages. Diarrhea has been shown to be a defensive effort of the body to remove pathogens or irritants more quickly from the colon. Discharges are understood as the body’s way of ridding itself of dead bacteria, viruses, and cells.  Even high blood pressure is an important defense and adaptation to the internal and external stresses that a person experiences.

The derivation of the word “symptom” is helpful to better understanding of the disease process and the healing process.  The word “symptom” comes from a Greek root and refers to “something that falls together with something else.” Symptoms are a “sign” or a “signal” of something else, and treating them doesn’t necessarily change that “something else.”  Just because a drug gets rid of a symptom does not mean that the person is cured.  In fact, drugs that suppress or inhibit a symptom tend to provide only a guise of success and usually lead to a longer and more serious illness.  Using drugs to suppress symptoms is akin to pulling the plug on your car’s oil pressure warning light.  Just because the light is turned off doesn’t mean that your car’s oil pressure is “cured.”  In fact, ignoring that light may lead to your car’s breakdown.

It should be noted that people often incorrectly assume that conventional drugs have “side effects.”  Actually, in purely pharmacological terms, drugs do NOT have side effects; drugs only have “effects,” and physicians arbitrarily differentiate between those effects that they like as the effects of the drug, while they call those symptoms that they don’t like “side effects.”  This is akin to saying that the effects of a bomb are that it destroys buildings, but its side effects are that it kills people.  Needless to say, one cannot truly separate out one effect from the other.

The reason that drugs create “side effects” that are often worse than the original disease is that these drugs tend to suppress the symptoms the sick person is experiencing and push them deeper into the person’s body.  This observation may explain why people today are experiencing more serious chronic illnesses at earlier and earlier ages and why there is such an epidemic of mental illness (physical disease is suppressed deeply enough that the disease is pushed into the psyche).

Once one recognizes that symptoms are important and useful defenses of the body, it makes less sense to use drugs that inhibit or suppress this wisdom of the body.  Instead of using drugs to suppress symptoms, it makes sense to use medicines to strengthen the body’s own defense system so that the body can more effectively heal itself.  Here is where it makes sense to use homeopathic medicines.

Medicines That Respect the Wisdom of the Body
The use of the principle of similars in healing actually has ancient roots .  In the 4th century B.C., Hippocrates is known to have said, “Through the like, disease is produced, and through the application of the like it is cured.” The famed Delphic Oracle in Greece proclaimed the value of the law of similars, stating, “that which makes sick shall heal.”  Paracelsus, a well-known 16th century physician and alchemist, used the law of similars extensively in practice and referred to it in writings. His formulation of the “Doctrine of Signatures” spoke directly of the value in using similars in healing. He affirmed, “You there bring together the same anatomy of the herbs and the same anatomy of the illness into one order. This simile gives you understanding of the way in which you shall heal.”

This principle of similars (using a substance to treat the similar symptoms that it causes) is also used in conventional medicine, with immunizations being the most obvious example, that is, small doses of a “weakened” pathogen are used to prevent what larger doses cause.  None other than the “father of immunology,” Dr. Emil Adolph Von Behring (1906), directly pointed to the origins of immunizations when he asserted, “(B)y what technical term could we more appropriately speak of this influence than by Hahnemann’s* word ‘homeopathy’.”  (*Samuel Hahnemann, MD, 1755-1843, was a renowned German physician and the founder of homeopathy.).  Modern allergy treatment, likewise, utilizes the homeopathic approach by the use of small doses of allergens in order to create an antibody response.

Conventional medical treatment also uses homeopathy’s principle of similars in choosing radiation to treat people with cancer (radiation causes cancer), digitalis for heart conditions (digitalis creates heart conditions), and Ritalin for hyperactive children (Ritalin is an amphetamine-like drug which normally causes hyperactivity). Other examples are the use of nitroglycerine for heart conditions, gold salts for arthritic conditions, and colchicine for gout, all of which are known to cause the similar symptoms that they are found to treat.

It should be acknowledged that although the conventional medical treatments mentioned above may be homeopathic-like, they do not follow other fundamental principles of homeopathy.  Immunizations and allergy treatments are given to prevent or cure special ailments, while homeopathic medicines are substances individually prescribed based on the overall syndrome of body and mind symptoms the person is experiencing, and therefore a homeopathic medicine is thought to strengthen the person’s overall body-mind constitution, not just to prevent or treat a specific illness.  Also, these conventional medical treatments are not individually prescribed to the high degree of selectivity that is common in homeopathy, and they are not prescribed in as small or as safe a dose.

And speaking of dose, this subject is vital, and homeopaths have uncovered an amazing and initially confusing power of the human organism.  Homeopaths have found that sick people develop hypersensitivity to substances that cause the similar symptoms that they are experiencing.  Further, by giving very small doses of this substance, a person can and will experience an immunological and therapeutic benefit without a toxic burden.

Determining What a Medicine Can Cure
For over 200 years, hundreds of thousands of homeopaths throughout the world have carefully catalogued and now computerized the idiosyncratic physical, emotional, and mental symptoms that thousands of substances have caused in healthy people (Note:  There are now simple computerized programs as well as sophisticated expert system software to help provide highly individualized prescriptions to people based on their specific and unique symptomatology).  Homeopaths have thereby created the most extensive body of toxicological information available today, though this information focuses on the symptoms that these substance cause, not on the dose in which they cause them.  Homeopaths have found and verified that whatever a substance has been found to cause, it will also cure in specially prepared homeopathic doses.

Thousands of substances have undergone toxicological studies, which homeopaths call “drug provings.”  These experiments are conducted on human subjects, not animals, to determine what various substances from the plant, mineral, animal, or chemical kingdom cause in overdose.  Homeopaths have found that these experiments lay the foundation for what symptoms each substance causes, and thus, what affinity each substance has to the human body.

Then, when homeopaths see patients, they obtain the unique and detailed symptomatological history of each patient, and seek to find the specific substance from the plant, mineral, animal, or chemical kingdom that would cause the similar syndrome of symptoms that the patient is experiencing.  It is not surprising that large numbers of homeopaths throughout the world today use sophisticated expert system software to help them individualize medicinal substances to their patients.

After finding a match between a substance’s toxicology and the patient’s specific symptom pattern, the homeopath gives a specially prepared microdose of this medicinal agent.  The details of how homeopathic medicines are made are described below.  It is now time to direct our attention to homeopathy’s most fascinating and most controversial observation…the power of homeopathic “nano-doses.”

Homeopathic Medicine:  Nano-doses, Powerful Results
Homeopathic medicine presents a significantly different pharmacological approach to treating sick people.  Instead of using strong and powerful doses of medicinal agents that have a broad-spectrum effect on a wide variety of people with a similar disease, homeopaths use extremely small doses of medicinal substances that are highly individualized to a person’s physical and psychological syndrome of disease, not simply an assumed localized pathology.

Homeopathic medicines are so small in dose that it is appropriate to refer to them as a part of the newly defined field of “nanopharmacology” (the prefix “nano” derives from Latin and means dwarf; today, the prefix is used to refer to “nanotechnology” or the “nanosciences” which explore the use of extremely small technologies or processes, at least one-billionth of a unit, designated as 10-9).  To understand the nature and the degree of homeopathy’s nanopharmacology, it is important to know the following characteristics of how homeopathic medicines are made.

 Making Homeopathic Medicines
1) Most homeopathic medicines are made by diluting a medicinal substance in a double-distilled water.  It should be noted that physicists who study the properties of water commonly acknowledge that water has many mysterious and amazing properties.  Because homeopaths use a double-distilled water, it is highly purified, enabling the medicinal substance to solely infiltrate and imprint the water.  People interested in the mysteries of water will be very interested the website of Dr. Martin Chaplin of London South Bank University for impressively sophisticated information and research on water.

2) Each substance is diluted, most commonly, 1 part of the original medicinal agent to 9 or 99 parts double-distilled water.  The mixture is then vigorously stirred or shaken.  The solution is then diluted again 1:9 or 1:99 and vigorously shaken.  This process of consecutive diluting and shaking or stirring is repeated 3, 6, 12, 30, 200, 1,000, or even 1,000,000 times.  Simply “diluting” the medicines without vigorously shaking them doesn’t activate the medicinal effects.

3) It is inaccurate to say that homeopathic medicines are extremely diluted; they are extremely “potentized.”  “Potentization” refers to the specific process of sequential dilution with vigorous shaking.  Each consecutive dilution infiltrates the new double-distilled water and imprints upon it the fractal form of the original substance used (fractal refers to the specific consecutively smaller pattern or form within a larger pattern).  Ultimately, some type of fractal or hologram of the original substance may be imprinted in the water.  For a more detailed and technical description of what may make a homeopathic medicine active, see writings of chemist and homeopath, Brian Connelly  (Connelly, 2002).

Over 200 years of experience by homeopaths throughout the world has shown that the more that a substance undergoes potentization (the process of sequential dilution with vigorous shaking in-between each dilution), the more powerful the medicine becomes, the longer it acts, and the less doses are generally needed.  Because of these observations and experiences, homeopaths refer to medicines that have been potentized 200 times or more as “high potencies” and those that have been potentized less than 12 times as “low potencies.”

In this light, homeopaths insist that their medicines are NOT extremely small doses.  Instead, they assume that the double-distilled and purified water is changed and becomes imprinted and activated.

Homeopaths will be the first to acknowledge that their medicine will not have any effect at all, unless the person taking them has a hypersensitivity to the medicine.  A person will have this hypersensitivity if and when they exhibit the syndrome of symptoms that the substance has previously been found to cause.

Still, it is admittedly difficult to initially accept the possibility that such nanopharmacological doses can have any effect at all.  And yet, some highly respected basic scientific research has begun to verify the claims that homeopaths have made since its inception in the 1800s.

Principle and Power of Resonance
Before discussing these scientific studies, it may be helpful to make brief reference to a subject for which there is common knowledge.  Basic principles of physics teach us that hypersensitivity exists when there is “resonance.”  An example from music is helpful here:  Whenever a “C” note is played on a piano (or any instrument), other “C” notes reverberate, while other notes are not affected at all.  Even when one instrument is relatively far away from another, its C strings will reverberate when a C note is played.

Ultimately, homeopathy is a medical system based on resonance (commonly referred to as the “principle of similars”).  Two hundred years of experience by hundreds of thousands of homeopaths have consistently discovered that specially prepared, extremely small doses of medicine can powerfully augment a person’s healing response when there is a similarity between the toxicology of the medicine and the symptom complex of the sick person.  One of the special features of homeopathy is that whenever a patient is given a homeopathic medicine that does not match his or her symptoms, nothing happens.  But when there is a match, people experience significant improvement in their overall health.

Other Evidence on the Power of Nano-Doses
There is a significant body of conventional scientific research that has verified the powerful biochemical effects of extremely low concentrations of biological agents.    Chemicals in the brain called beta-endorphins are known to modulate natural killer cell activity in dilutions of 10-18 (this dilution means that a substance was diluted 1:10 eighteen times).  Interleukin 1, an important part of our immune system, has been found to exhibit increased T-cell clone proliferation at 10-19.  And pheromones (hormones emitted externally by various animals and insects) will result in hypersensitive reaction when as little as a single molecule is received.  (For an excellent review of many substances that have significant biological activity in extremely small doses, see Drs. P. Bellavite and A. Signorini’s Emerging Science of Homeopathy: Complexity, Biodynamics, and Nanopharmacology; see also Eskinazi, 1999).

The doses mentioned immediately above are still in the molecular dose range, and as such, they do not in themselves create cause for a revolution in science or medicine.  However, few scientists and physicians are knowledgeable of the power and potential of nanodoses commonly used by homeopaths all over the world.  This is particularly disappointing because it is commonly observed that organisms experience a biphasic response to various chemicals, that is, extremely small doses of a substance exhibit different and sometimes opposite effects than what they cause in high concentrations.  For instance, it is widely recognized that normal medical doses of atropine block the parasympathetic nerves, causing mucous membranes to dry up, while exceedingly small doses of atropine causes increased secretions to mucous membranes (Goodman and Gilman, 2001).

This fact that drugs can have two phases of action, depending upon their concentration, is a little known but consistently observed phenomenon.  In fact, many medical and scientific dictionaries refer to “hormesis” or “the Arndt-Schulz law” (listed in leading medical and scientific dictionaries under the word “law”) as the observations that weak concentrations of biological agents stimulate physiological activity, medium concentrations of agents depress physiological activity, and large concentrations halt physiological activity.

There is a significant body of research on hormesis (hundreds of studies) conducted by conventional scientists, none of whom even mention homeopathy (Stebbins, 1982; Oberbaum and Cambar, 1994).  Even the journal, Health Physics devoted an entire issue to this subject (May, 1987).  For further information on hormesis,

Just as humankind went west to explore new frontiers and is now exploring the frontier of space, today scientists and physicians are exploring nanotechnologies and nanopharmacologies.  It is only a matter of time before scientists and physicians learn that homeopathic medicine presents a fertile ground for exploring and exploiting the power of these powerful nanodoses.

The Clinical Evidence for Homeopathy
Before discussing the recent well-controlled and double-blind clinical trials, it is important to make reference to homeopathy’s history in order to provide additional evidence for the clinical efficacy of homeopathic nanopharmacology.

Homeopathy first developed a significant popularity in Europe and the United States primarily because of the astounding successes it experienced in treating people suffering from the various infectious disease epidemics in the 19th century.  The death rates in the homeopathic hospitals from cholera, scarlet fever, typhoid, yellow fever, pneumonia, and others was typically one-half to even one-eighth of conventional medical hospitals (Bradford, 1900;) Similar good results were also observed in mental institutions and prisons under the care of homeopathic physicians compared to those under the care of conventional doctors.  These consistent and significant results could not be attributed to a placebo effect.  In other words, there is clear empirical evidence that homeopathic medicines were highly effective in treating various infectious diseases and in psychiatric disorders.

Unfortunately, conventional physicians and scientists have continually provided misinformation about the status of scientific evidence about homeopathic medicine.  They have frequently and incorrectly asserted that there is no research to prove that homeopathic medicines work, and they further have asserted that there is no way that the extremely small doses can have any effect whatsoever.

This type of statement simply reflects ignorance of the scientific literature.  It is remarkable to note that some of the earliest placebo-controlled and double-blinded studies ever performed were actually conducted by homeopathic physicians.  For a detailed history of the 19th century and early 20th century studies, see The Trials of Homeopathy by Dr. Michael Emmans Dean.  For those people who want an excellent summary of this history, it is a part of a special e-book, Homeopathic Family Medicine (anyone interested in a comprehensive, historical, and up-to-date review of clinical research testing homeopathic medicines would benefit from obtaining and subscribing to this e-book).  Another source of modern basic science and clinical research on homeopathic medicine is the Samueli Institute.

 A short summary of some of the modern placebo-controlled and double-blind studies is reported below.
An independent group of physicians and scientists evaluated homeopathic clinical research prior to October, 1995 (Linde, 1997).  They reviewed 186 studies, 89 of which met their pre-defined criteria for their meta-analysis.  They found that on average patients given a homeopathic medicine were 2.45 times more likely to have experienced a clinically beneficial effect.  When reviewing only the highest quality studies and when adjusting for publication bias, the researchers found that subjects given a homeopathic medicine were still 1.86 times more likely to experience improved health as compared with those given a placebo.  The researchers have also noted that it is extremely common in conventional medical research for more rigorous trials to yield less positive results than less rigorous trials.

The most important question that good scientists pose about any clinical research is:  have there been replications of clinical studies by independent researchers?  When at least three independent researchers verify the efficacy of a treatment, it is considered to be a valid and effective treatment.

Four separate bodies of researchers have conducted clinical trials in the use of a homeopathic medicine (Oscillococcinum 200C) in the treatment of influenza-like syndromes (Ferley, 1989; Casanova, 1992; Papp, 1998).  Each of these trials was relatively large in the number of subjects (487, 300, 100, and 372), and all were multi-centered placebo-controlled and double-blinded (two of the three trials were also randomized).  Each of these trials showed statistically significant results.

One other body of research in the use of Galphimia glauca in the treatment of hay fever was replicated successfully seven times, but this research was conducted by the same group of researchers (Wiesenauer, Ludtke, 1996), and thus far, this work has not been conducted by any other researchers.

A body of clinical research in homeopathy that has been consistently recognized as some of the highest quality scientific research has been conducted by a group of researchers at the University of Glasgow and Glasgow Homeopathic Hospital.  They conducted four studies on people suffering from various respiratory allergies (hay fever, asthma, and perennial allergic rhinitis) (Taylor, Reilly, Llewellyn-Jones, et al, 2000).  In total, they treated 253 patients and found a 28% improvement in visual analogue scores in those given a homeopathic medicine, as compared with a 3% improvement in patients given a placebo (P=.0007)(The “P” refers to the “probability” of these results occurring simply by chance, and thus, the lower the number, the greater the likelihood that the treatment used is effective.  When “P” equals .05, this means that there are 5 chances out of 100 that the effective of a specific treatment happened by chance, and scientists today consider this 5% chance as adequate evidence of a treatment’s effectiveness.  In this study, however, there was an extremely high likelihood that the treatment was effective because there were only seven chances out of 10,000 (!) that this result happened by chance.)

In the hay fever study, homeopathic doses of various hayfever-inducing flowers were prescribed, and in the other studies, the researchers conducted conventional allergy testing to assess to which substance each person was most allergic.  The researchers then prescribed the 30C (100-30) of this allergic substance (House dust mite 30C was the most commonly prescribed homeopathic medicine).

The researchers called this type of prescribing “homeopathic immunotherapy,” and they concluded from their research that either homeopathic medicines work or controlled clinical trials do not.

Three studies of children with diarrhea were also conducted and published in peer-review scientific journals (Jacobs, Jonas, Jimenez-Perez, Crothers, 2003).  A meta-analysis of the 242 children who were involved in these three studies showed that the children who were prescribed a homeopathic medicine experienced a highly significant reduction in the duration of diarrhea, as compared with the children who were given a placebo (P=0.008).  The World Health Organization has deemed that childhood diarrhea is the most serious public health problem today because several million children die each year as a result of dehydration from diarrhea.  The fact that homeopathy is not included in the standard of care for diarrhea in children could be considered malpractice.

One other study is worth mentioning.  This study was on 53 patients with fibromyalgia, which is a newly recognized syndrome that includes musculoskeletal symptoms, fatigue, and insomnia (Bell, Lewis, Brooks, et al, 2004).  Participantsgiven individually chosen homeopathic treatment showed significantly greater improvementsin tender point count and tender point pain, quality of life,global health and a trend toward less depression compared withthose on placebo. “Helpfulness from treatment” in homeopathic patients as compared to those given a placebo was very significant (P=.004).  What is also extremely interesting about this study was that the researchers found that people on homeopathic treatment also experienced changes in EEG readings.  Not only did subjects who were given a homeopathic medicine experience improved health, they were shown to experience different changes in the brain wave activity.  This evidence of clinical benefits and objective physiological action from homeopathic medicines in people with chronic symptoms constitutes very strong evidence that these nanodoses can have observable effects.

 The above body of evidence should be adequate for verifying that homeopathic medicines can have therapeutic benefits, but there is even evidence that these nanodoses can have significant biological activity.  One important study was led by a professor of chemistry who was formerly a skeptic of homeopathy (Dr. Madeleine Ennis) but who now recognizes that these medicines have significant effects (Belon, Cumps, Ennis, et al., 2004).  Four independent laboratories, each associated with a university, conducted a series of 3,674 experiments using dilutions of histamine beyond Avogadro’s number, by which we mean the dose in which there should be in all probability no remaining molecules of the original substance remaining (the 15th through 19th centesimal dilution, that is 100 -15 to 100 –19).  The researchers found inhibitory effects of histamine dilutions on a type of white blood cell called basophils.  The overall effects were substantially significant (p<0.0001).  The test solutions were made in independent laboratories, the participants were blinded to the content of the test solutions, and the data analysis was performed by a biostatistician who was not involved in any other part of the trial.

And still further, the website of the New Scientist, one of the world’s most respected popular science magazines, includes articles it has published on homeopathy, with numerous positive studies and comments from world renowned physicists, chemists, physicians, biologists, and other scientists.

For example, Nobel Laureate and physicist Brian D. Josephson (1997) of the University of Cambridge wrote to the New Scientist:

“Simple-minded analysis may suggest that water, being a fluid, cannot have a structure of the kind that such a picture would demand. But cases such as that of liquid crystals, which while flowing like an ordinary fluid can maintain an ordered structure over macroscopic distances, show the limitations of such ways of thinking. There have not, to the best of my knowledge, been any refutations of homeopathy that remain valid after this particular point is taken into account. A related topic is the phenomenon, claimed by Yolene Thomas and by others to be well established experimentally, known as the ‘memory of water’. If valid, this would be of greater significance than homeopathy itself, and it attests to the limited vision of the modern scientific community that, far from hastening to test such claims, the only response has been to dismiss them out of hand.”

Possible Explanations for Nano-Doses
Precisely how homeopathic medicines work remains a mystery according to present scientific thinking.  And yet, despite the paradox of homeopathic medicines, nature and new technologies are replete with striking examples of the powerful effects from extremely small doses.

It is commonly known that certain species of moths can smell pheromones of its own species up to two miles in distance.  It is no simple coincidence that species only sense pheromones from those in the same species who emit them (akin to the homeopathic principle of similars), as though they have developed exquisite and specific receptor sites for what they need to survive and to propagate their species. Likewise, sharks are known to sense blood in the water at distances, and when one considers the volume of water in the ocean, it becomes obvious that sharks, like all living creatures, develop extreme hypersensitivity for whatever will help ensure their survival.

It is therefore not surprising that renowned astronomer Johann Kepler once said, “Nature uses as little as possible of anything.”

One metaphor that may help us understand how and why extremely small doses of medicinal agents may work derives from present knowledge of modern submarine radio communications.  Normal radio waves simply do not penetrate water, so submarines must use an extremely low frequency radio wave.  However, the terms “extremely low” are inadequate to describe this specific situation because radio waves used by submarines to penetrate water are so low that a single wavelength is typically several miles long!

If one considers that the human body is 70-80% water, perhaps the best way to provide pharmacological information to the body and into intercellular fluids is with nanodoses.  Like the above mentioned extremely low frequency radio waves, it may be necessary to use extremely low (and activated) doses as used in homeopathic medicines, in order for a person to receive the medicinal effect.

It is important to understand that nanopharmacological doses will not have any effect unless the person is hypersensitive to the specific medicinal substance.  Hypersensitivity is created when there is some type of resonance between the medicine and the person.  Because the system of homeopathy bases its selection of the medicine on its ability to cause in overdose the similar symptoms that the sick person is experiencing, homeopathy’s “principle of similars” is simply a practical method of finding the substance to which a person is hypersensitive.

The homeopathic principle of similars makes further sense when one considers that modern physiologists and pathologists recognize that disease is not simply the result of breakdown or surrender of the body but that symptoms are instead representative of the body’s efforts to fight infection or adapt to stress.

Using a nanodose that is able to penetrate deeply into the body and that is specifically chosen for its ability to mimic the symptoms that the sick person is experiencing helps to initiate a profound healing process.  It is also important to highlight the fact that a homeopathic medicine is not simply chosen for its ability to cause a similar disease that a person has but for its ability to cause a similar syndrome of symptoms of disease, of which the specific localized disease is a part.  By understanding that the human body is a complex organism that creates a wide variety of physical and psychological symptoms, homeopaths acknowledge biological complexity and have a system of treatment to deal with it.

Although no one knows precisely how homeopathic medicines initiate the healing process, there is over 200 years of experience by hundreds of thousands of clinicians and tens of millions of patients that these medicines they have powerful effects.  One cannot help but sense and anticipate the veritable treasure-trove of knowledge that further research in homeopathy and nanopharmacology will bring in this new millennium.

 Quantum Medicine
Quantum physics did not disprove Newtonian physics; it simply extended our understanding of extremely small and extremely large systems.  Likewise, homeopathy does not disprove conventional pharmacology; instead, it extends our understanding of extremely small doses of medicinal agents.

 The founder of homeopathic medicine, Samuel Hahnemann, MD, rewrote and updated his seminal work on the subject five times in his lifetime, each time refining his observations.  Homeopaths continue to refine this system of nanopharmacology.  While there is not always agreement on the best ways to select the correct remedy or the best nanopharmacological dose to use, the system of homeopathic medicine provides a solid foundation from which clinicians and researchers exploring nanopharmacologies can and should explore.

Samuel Hahnemann is buried in Pere Larchese, the most famous cemetery in Paris, and his tombstone bears the Latin words, “Aude sapere” which means:  dare to know, to taste, and to understand.  Such is the challenge that homeopathy and nanopharmacology present to us.

Resources to Learning about Homeopathy
If homeopathy makes sense to you or if you simply want to learn more about it, you can access an excellent summary of what are the best books for learning different aspects of it by clicking anyone of the subjects below:

 Learning Homeopathy
The 1st Steps…

  • Introductory  (learn what homeopathy is)
  • Family Medicine  (learn how to use homeopathic medicines for common acute ailments in everyone)
  • Specialized Self-Care  (learn how to use homeopathic medicines in specialized situations)
  • Children’s Health Care (learn how to use homeopathic medicines to treat infants and children—this subject is extremely important!)

Homeopathic Thinking

  • Philosophy
  • Methodology

The Next Steps…

  • History
  • Research
  • Constitutional Types
  • Materia Medica
  • Repertories
  • Clinical Guidebooks
  • New and Cutting Edge
  • Software
  • Audiotapes
  • Schools and Distance Learning Courses
  • Study Groups
  • Beyond Books and Study Groups   

References:

Bell IR, Lewis II DA, Brooks AJ, et al. Improved clinical status in fibromyalgia patients treated with individualized homeopathic remedies versus placebo, Rheumatology.  2004:1111-5.

Belon P, Cumps J,  Ennis M, Mannaioni PF, Roberfroid M, Ste-Laudy J,  Wiegant FAC. Histamine dilutions modulate basophil activity. Inflamm Res 2004; 53:181-8.

Bradford, TL, The Logic of Figures or Comparative Re­sults of Homoeopathic and Others Treatments, Philadelphia: Boericke and Tafel, 1900.

Casanova, P, Gerard, R. Bilan de 3 annees d’etudes randomisees multicentriques oscillococcinum/placebo. oscillococcinum rassegna della letterature internationale. Milan: Laboratiores Boiron, 1992.

Casanova, P,  Multi-centric study involving 100 patients, Centre de Recheerche et de Documentation Technique, University of Marseilles, France, 1983

Connelly, B, How Homeopathy Works, Simillimum, March, 2002, 33-53.

Coulter, HL, Divided Legacy:  The Conflict Between Homoeopathy and the American Medical Association, Berkeley:  North Atlantic, 1973, 302.

Coulter, HL, Divided Legacy: The Patterns Emerge—Hippocrates to Paracelsus, Berkeley:  North Atlantic, 1975.

Eskinazi, D, Homeopathy Re-revisited: Is Homeopathy Compatible with Biomedical Observations?, Archives in Internal Medicine, 159, Sept 27, 1999:1981-7.

Ferley, JP et al., A Controlled Evaluation of a Homeopathic Preparation in the Treatment of Influenza-like Syndrome,” British Journal of Clinical Pharmacology, March, 1989,27:329-35.

Goodman, L. and A. Gilman, The Pharmacological Basis of Therapeutics. Fifth edition. New York: Macmillan, 2001.

Jacobs, J,  Jonas, WB, Jimenez-Perez, B, Crothers, D. Homeopathy for Childhood Diarrhea: Combined Results and Metaanalysis from Three Randomized, Controlled Clinical Trials, Pediatr Infect Dis J, 2003;22:229-34.

Josephson, Brian, Molecule Memories, New Scientist, November 1, 1997, 66.

Linde, K, Clausius, N, Ramirez, G, et al., Are the Clinical Effects of Homoeopathy Placebo Effects?  A Meta-analysis of Placebo-Controlled Trials, Lancet, September 20, 1997, 350:834-843.

Oberbaum, M, and Cambar, J, Hormesis: Dose Dependent Reverse Effects of Low and Very Low Doses, in P.C. Endler and J. Schulte (eds.), Ultra High Dilutions, Dordrecht:  Kluwer Academic, 1994.

Papp, R, Schuback, G, Beck, E, et al., Oscilloccinum in Patients with Influenza-like Syndromes: A Placebo-Controlled Double-Blind Evaluation, British Homeopathic Journal, 87(April, 1998):69-76.

Stebbing, A, Hormesis: The Stimulation of Growth by Low Levels of Inhibitors, Science of the Total Environment, 1982, 22: 213-34.

Taylor, MA, Reilly, D, Llewellyn-Jones, RH, et al., Randomised Controlled Trial of Homoeopathy versus Placebo in Perennial Allergic Rhinitis with Overview of Four Trial Series, BMJ (August 19, 2000)321:471-476.

Ullman, D., Homeopathic Family Medicine (an ebook).

Von Behring, EA, Modern Phthisia-Genetic and Phthisia-Therapeutic Problems in Historical Illumination, New York, 1906.

Wiesenauer, M, Ludtke, R. A Meta-analysis of the Homeopathic Treatment of Pollinosis with Galphimia glauca, Forsch Komplementarmed., 3(1996):230-234.

kathakali (2)

Kerala – God’s own or quack’s own country

kathakali (2)Dr Thomas A Kuruvila

In the tourism parlour, Kerala is touted as God’s own country. In the health parlour, judging by the current scenario, it can be touted as Quack’s own country.

In the Malabar region alone ,there is estimated to have around fifty thousand quacks practicing medicine mostly Homoeopathy.

The historic reason attributed to this was the absence of any mention of the word Homoeopathy in the Madras Medical Regulation Act in the erstwhile Malabar region which was under the then Madras Presidency. Consequent on the formation of Kerala State by the merger of Travancore-Cochin and Malabar all other laws prevalent in Travancore- Cochin was enforced in the unified Kerala except Medical Practitioners Act. What a pity?

Even for starting a small shop one require license from a competent authority. But in the highly literate and emancipated state f Kerala anybody can start a medical practice without any questions being asked. Gradually such quacks start organize themselves and hold their  state conferences in which ministers and other dignitaries attend giving them credibility and social status.

Homoeopathic education was started in Kerala way back in 1958 and at present there are 4 colleges imparting Graduate and Post graduate level studies. There are around 10,000 academically qualified Homoeopaths in Kerala. The doctors and the civil society have been clamouring  for a Medical Practitioners Act for the whole of Kerala for the last 50 years. Even though ,the Central Council of Homoeopathy Act was enforced all over India in 1974, the authorities are reluctant to implement it due to the organized clout of the quacks. Any number of efforts were made- many of them half hearted, to legislate  a Medical Practitioner’s Act. But none of them bore fruit.

The present Govt. has also started steps to legislate an Act and discussions were already held with the public. The stumbling block is the question of accommodating the unauthorized practitioners. This can be done only according to the provisions of the CCH act alone and in that case 90% of the quacks will have to be thrown out. Besides any Act formulated contravening the provisions of CCH act will not stand legal scrutiny. This is a piquant situation. Any further delay in enacting a law will cause increase in the number of quacks.

As if these quacks are not sufficient, a hoard of “specialized” quacks has arrived In Kerala. Yes, the Piles and Fistula quacks from West Bengal who is setting up shops through out Malabar offering “money back guarantee”. They are brazenly displaying billboards near big hospitals. These quacks, barely out of their teen are claiming to practice some traditional medicine. But in practice, what they do is heinous crime. They are scalding the anal orifice of the hapless victim by a mixture of Hydrochloric acid and Nitric acid and treating the resultant ulcer by strong antibiotic and analgesics used in veterinary practice. And they are charging in thousands for this crime.

Majority of the victims end up with fibrosis and life time suffering. Due to shame they silently suffer without complaining. What these quacks do is crime against humanity. But who cares. An empathetic assessment as why even educated and middle class people go to these quacks reveal the reality that the mainstream treatment have failed to give relief/ cure to the patients with Haemorrhoids, fistula, and anal fissure. Time is overdue for a widespread campaign for educating people against these charlatans.

At present Kerala is witnessing an organized drive against fake god men who are exploiting people in the name of religion and belief. A more intense drive is required against these” specialized “quacks who are causing lifelong misery to the people. It is quite unfortunate that in Kerala anybody can do anything unlawful with no authority to question. This is very very dangerous. In the wake of the drive against fake swamis, a responsible minister of the state asserted  that the Govt. will not ‘permit’ anybody to exploit and deceive the people. But one question sir, whose permission is required in Kerala to exploit and deceive people in any field?

The role and responsibility of civil society and Medical Associations are very great. Indian Homoeopathic Medical Association must take this fight against quackery of every form as a challenge and go ahead till it is totally annihilated.

Courtesy : Dr.M.E.Prasanth Kumar Chief Editor Homeopathic Medical Panorama

Mama’s love potion – breast milk

Dr Jolly M D Mello

A new born baby has only 3 demands
They are warmth in the arms of its mother, food from her breasts, and security in the knowledge of her presence.
Breastfeeding satisfies all the three.

It is only in the act of nursing that a woman realizes her motherhood in a visible and tangible fashion; it is the joy of every moment.
Mother’s milk is time tested for million’s of years, it is the best nutrient for babies because its nature’s perfect food.
WHO recommends breast feeding for the first 2 years and exclusive breast feeding for first six months

Folk lore has often referred to breast milk as ‘white blood’ considering it similar to placental blood in intra-uterine life. Indeed human milk is similar to unstructed  living tissue like blood and is capable of affecting every system, enhancing immunity and destroying pathogenic bacteria

Composition of breast milk
About 100ml of colostrum is secreted on the second and third day after birth.
Colostrum is lemon yellow in colour, rich in proteins and salts, but low in fats and sugar.
It is high in immunoglobulin, which helps in protecting the new born until its own immune system is fully functioning.
Human milk contains 89%water, 0.8-0.9%proteins, 3-5%fats, 6.9-7.2% carbohydrates and 0.2%minerals
Carbohydrates mainly in the form of lactose, proteins like casein, alpha –lactalbumin, lactoferrin, immunoglobin and lysozyme. In addition it provides vitamins, minerals, digestive enzymes and hormones which a growing infant needs.

Tips for breast feeding

  • Arrange for privacy, mother’s hands should be clean.
  • Mother’s should sit up, either in bed or in a comfortable chair with low arms.
  • Position the baby so that its head is snuggled securely in the anti Cubital fossa of the   mothers arm and rotated slightly towards her so that eye to eye contact is maintained.
  • By cradling the infant’s thigh or buttocks in her arm, the mother can control the baby’s position and move the baby with ease.
  • Mother should support her breast with hand, her thumb should be just above the areola, fingers below. In this position the mother is able to guide her nipple in any direction and place more of the areola into the baby’s mouth. She can easily maintain the infant’s airway by pushing her thumb inward against her breast as necessary
  • Both breast should be offered at each feeding
  • After feeding the mother should break the infants suction on the nipple by placing her fingers in the corner of baby’s mouth in this manner she can gently remove the baby from her breast.
  • Alternate the breast first offered at successive feedings

 Advantages of breast feeding to the mother

  • Mother should be encouraged to breast feed immediately after delivery and regularly thereafter.
  • Suckling stimulates uterine contraction, aids in expulsion of the placenta, helps in control of excessive maternal blood loss.
  • Promotes weight loss, since calories are used used up.
  • Frequent and exclusive breast feeding can delay return of fertility through lactational amenorrhea , which helps in  birth control.

Long term health benefits

  • Breast fed mother’s have less risk of endometric and     ovarian   cancers, osteoporosis, later risk of breast cancer is lower, helps in stabilizing maternal endometriosis.
  • Mother’s who have fed longer than 8mths also benefit remineralization, require less insulin for diabetes mellitus

Advantages of breast feeding to the baby

  • Infants suckling response will be most intense during first 20-30mins after birth.
  • Delaying gratification of reflex can make it more difficult for the baby to learn suckling process later.
  • Infant promptly begins to receive immunological benefit of colostrum, creates a mild laxative effect, expelling meconium and prevents built up of bilirubin.
  • Scientist’s have documented breast milk benefits every system in a baby’s body.
  • Protects against allergies, respiratory infections and obesity
  • Improves vision and oral development, intestinal immunity is enhanced.
  • Breast feeding enhances baby’s cognitive development, ability to control one’s own action which is very essential in human development.
  • Recent studies have shown that children fed on mother’s milk during infancy have higher IQ than those fed by formula feed.
  • Risk of juvenile diabetes is less common in breast fed babies ,have fewer ear infections ,better cardiovascular and kidney functioning.
  • Breast feeding satisfies babies’ emotional need or love and security.
  • Baby enjoys not only the comfort of the warm breast, but caressing, rocking in its mothers arms and eye to eye contact with the mother while feeding.
  • The baby with all its senses drink’s the mother’s love

Bonding between the mother and infant
Breast feeding is designed by nature to ensure maternal and infant interaction and intimacy.
If done without schedules and restrictions it guarantee’s that you and our baby are in close physical contact 8-18 times in every 24 hours.
Suckling by the baby results in massive rush of the love hormone oxytocin  from the hypothalamus into the mothers blood.
Oxytocin changes the mother’s mood making her more relaxed and ever more passionate towards her baby. Thus it enhances intimacy and strengthens maternal affection towards the baby.

Breast milk is a natural sustainable resource, and no doubt the best instant, infant food in the world.

Dr  Jolly m d’mello
Department of physiology & biochemistry
Fr muller homoeopathic medical college
Deralakatte,Mangalore

Cheaper Medicine vs Cheap Homoeopathy

 Dr Ravi Singh

Whenever I attend a scientific homoeopathic conference or Hahnemann’s Birthday celebration our chief guests, ministers and dignitaries on stage says that homoeopathy should be promoted because it is cheaper than allopathic medicine. It seems to them homoeopaths are getting patients because of cheapness of their medicine rather their effectiveness. Naturally they will look at homoeopathic physician as 3rd grade poor fellow.

In true senses allopathic medicines are also cheap except few life saving drugs, pathological investigations, and surgery. As you might know many famous allopathic physicians who prescribe very few cheap medicine and patient got relieved but they charges high consultation fees. Physician charges for their mental ability not as per medicine cost.

Many times our patients ask Doctor you are charging so high although homoeopathic medicines are so cheap. They say so because they have came from hands of our brother homoeopaths who charges 10 Rs per week for one drachm vial? Today when I was writing this article one of my patient came and I was giving him medicine, he was carrying old vial which I have given him at first consultation. He said he is carrying this because when he had taken treatment from an old Homoeopath of Varanasi who always insists patients to bring old vials. He said “ homoeopathic ilaaj mein to purani shishi lana padta hai”?. These types of myths and cheapness don’t sound good at lease for me.

I always appreciate and have regards for homoeopathic physicians who charge high, if you want to help poor people you can join or open a charitable dispensary but please don’t loose your dignity by charging so less. In this reference I personally know a very famous homoeopath of Allahabad who has one clinic at middle class or lower socioeconomic area, other air conditioned clinic at posh area and he also visit at a charitable dispensary. This may be a nice example for young homoeopaths.

Yes, definitely as a branch of medicine, we are bound to serve humanity with our system, but we have opted for this science as our profession also, so we have every right to provide it with dignity and respect. Apart from our duties towards society as citizens, we also have our duties towards our family.

Sometimes, it is necessary to charge patient with high fee, to make him realize the importance of medicine and severity of his own complaints.

When a student pass his/her intermediate and choose medical science as a profession, he will definitely look at his surrounding physicians and their survival in society. If at that time he sees a homoeopath who is hardly earning something for their bread and butter, then how they will choose homoeopathy as a carrier.

I have seen many students of combined pre medical test who instead of qualified for B.H.M.S. have left their seat and again try for other branches. Homoeopaths should think how shameful is this situation and only homoeopaths are responsible because they have created a bad example in society that homoeopaths are poor or cheap doctors. If you leave the metros this is situation in almost every part of our country. For this cheapness at last homoeopathy also suffers because creamy student layer or brain of society are diverting towards other branches of medical science.

I appreciate many new modern clinics of metros who charges high (although I disagree with their multimedicine or patent prescriptions) to raise standard of homoeopathy and homoeopathic physicians in society. Recently I have visited such homoeopathic clinic at Gurgaon who charges Rs. 10000 as consultation fee, a fee very few homoeopaths can dream about. I do not want to comment on his method as in homoeopathy every physician has his own methodology but I salute his confidence and appreciate for raising standard of homoeopathic physician.

I do not mean that you should burgle or rob your patient, but if you are giving patient long lasting, harmless relief in chronic complaint who had invested lot of money in their ailment with side effects and sufferings you can take as much high charges. It will depend on your confidence and believe me if the patient gets cured he will never question you about your charges.

For this we have to start from root. First of all there should be increase of standard of education level at homoeopathic colleges. Colleges should run their OPD and IPD honestly so during graduation students witnesses good cases and develop confidence. At the same time professors and teachers of homoeopathic colleges should practice good homoeopathy in every sense at their personal OPD, because that will be the first and most important impression to neophytes (when I was graduating from Maharashtra most of teachers were practicing either Allopathy or not practicing at all and college OPD and IPD were decorated with false hired patients only during inspections.)

Another most important point during practice is personal competence and knowledge. One should not promise for cases of Carcinoma, or multiple sclerosis, Kidney failure or difficult cases only because these diseases are curable with homoeopathy, yes they are curable but by homoeopaths who have dedication and enthusiasm for homoeopathy and studied hard in their life. (One very bad habit of homoeopaths is not referring or consulting their senior homoeopaths or teachers.) One should promise a patient about his disease after assessing his own capacity because every new case is a new faith in homoeopathy.

At last, I just want to add, that every physician has his own way of treating patients, his own vies about practicing in every aspect, but after all it is our, homoeopath’s duty to upgrade this our own great ‘ Homoeopathic System ‘ and give it the rightful dignity.

Dr Ravi Singh B.H.M.S., M.D. (Homoeo) A.P.
Faizabad Road. Lucknow U.P.
Mo. 09935898134  Email :drravilucknow@gmail.com

Homoeopathic Seminar @ Bijapur

Opening of Bijapur Unit of HMAI

Organised by The Homoeopathic Medical Association of India

Karnataka State Branch, Bijapur Unit 

on Sunday 26th Feb 2012. 10-00 a.m. to 5 p.m. 

Delegate fee – Rs. 200/- 

Speakers and Topics

Dr. M.S. Murgod, M.D. (Hom) : Role of Homoeopathy in Day to day Practice

Dr. Veerabramhachary, M.D. (Hom) : Role of Homoeopathy in Allergic Rhinitis

Dr. V.V. Vernekar, M.D. (Hom) : Role of Homoeopathy in Joints Pain

Dr. M.R. Srivatsan, M.D. (Hom) : Role of Homoeopathy in Menstrual disorders

Venue: Conference Hall, Hotel Madhuvan International
Station Road, Bijapur-586101

For details contact : Dr. Srikanth Mirajkar
President, HMAI BIJAPUR
09341075030

Ramadan health message

Contributed by AbuSuad, UK.
Emai : muslimmessage@hotmail.com

“…What will convey unto you what the Night of Power is? The Night of Power is better than a thousand months. The angels and the Spirit descend therein, by the permission of their Lord, with all decrees. (That night is) Peace until the rising of the dawn.” Qur’an 97 verses 2-5

The Nights Above all Nights
An effort as little as performing ablution could be rewarded continually rewarded for the next 83 years, how’s that? That is the result of performing an act of worship during the night of Laylat-ul-Qadr. How much more the opportunity of making tilawah (recitation of the Qur’an), nawafil (non-obligatory salaah), dhikr (Glorification of Allah) and du’aa (requesting our needs from Allah) during that night. Then our sins are forgiven as if we are born anew. And if we are able to witness this Night of Power every year for 13 years we will be in the rank of those who have spent a thousand years in pure worship of Allah.

Abu Hurayrah reported that the Prophet (peace be upon him) said: “The blessed month has come to you. Allah has made fasting during it obligatory upon you…. There is a night [during this month] which is better than a thousand months. Whoever is deprived of its good is really deprived [of something great].” (Ahmad & Nasa’i) Indeed, the Night of Qadr (Power) is the most virtuous night of the year. It is the night of Allah extended benevolence, “What will tell you what the night of power is? It is better than a thousand months.” (Qur’an 97 verses 2-3)

This is the night the Qur’an was revealed; it is indeed that night (once every year) when important issues are decreed. Allah says: “We sent it down during a blessed night: for We (ever) wish to warn (against Evil). In that (night) is made distinct every affair of wisdom, by command from Our presence. For We (ever) send (revelations) as a Mercy from thy Lord: for He hears and knows (all things).” (Qur’an 44 verses 3-6) That nights sins of previous years, big or small, known or hidden, will be forgiven. The Prophet (peace be upon him) promised, “Whoever stands in (Prayer) in Laylatul-Qadr out of Iman and seeking reward then his previous sins are forgiven.” (Bukhari)

When is this glorious night? The early Muslims asked the same question. The Prophet (peace be upon him) encouraged them to do I’tikaf (seclusion in the mosque away from all worldly thoughts, deeds and concerns) in the last ten days. ‘Aisha (the Prophet’s wife, may Allah be pleased with her) said: “Allah’s Messenger used to practice I’tikaf in the last ten nights of Ramadan and used to say, ‘Look for the Night of Qadr in the last ten nights of the month of Ramadan’.” (Bukhari)
How do you know you have witnessed that wonderful night? The Prophet (peace be upon him) gave us a few signs. He (peace be upon him) said: “On the morning following Laylatul-Qadr the sun rises not having any rays, as if it were a brass dish, until it rises up.” (Muslim) He also said, “Laylatul-Qadr is calm and pleasant, neither hot nor cold, the sun arises on its morning being feeble and red.” (Ibn Khuzaimah & al-Bazzar)

And what do you pray for if you are able to witness this superior night? Aishah asked the Prophet the same question, what to say if she knew which night it was, and he told her to say, “O Allah, You are the One Who Pardons greatly, and You love to Pardon, so Pardon me.” [Allahumma innaka affuwwun tuhibbul ‘afwa fa’ af anna] (Ahmad)

“When it is recited to them, they fall down upon their faces prostrating and they say: Glory be to our Lord! Our Lord’s promise is fulfilled. And they fall down upon their faces weeping and it increases them in humility.” Qur’an 17 verses 107-109
Jewels from the Past:

Witnesses to the TRUTH
The Noble Qur’an is the word of Allah. Some perceives it as a book of poetry, yet it is unmatched by man or jinn in poetic grandeur to this day. The Qur’an is replete with scientific facts yet it is not a scientific text alone; it is a blueprint for man to architect laws to fairly govern the earth; its timeless in its application and so much more. “Those who are given the book recite it as it ought to be recited as it is only they who believe in it.” Qur’an 2:121

This is no ordinary book; it is indeed the Words of Allah, with power and dignity that had it been revealed to the mountains they would have smashed away in awe and fear of the truth it carried. The Qur’an itself acknowledged this fact, “Had We sent down this Qur’an on a mountain verily thou would have seen it humble itself and cleave asunder for fear of Allah such are the similitudes which We propound to men that they may reflect.” Qur’an 59:21 But by Allah’s mercy we have been entrusted with the Qur’an without feeling the disintegration the mountain would have felt, because it is a book which has brought guidance, mercies and humility to our hearts. Indeed, the Qur’an is the bounty and mercy of Allah, in it let us rejoice, as it better than whatever wealth any of mankind can amass.

There are four golden rules we must apply when reading the glorious Qur’an, the WORDS OF ALLAH, Our Creator whom we shall one day face to account for what our SOULS earned.

Read in Arabic: This is the language in which it was revealed. It helps to unite us and to preserve the eternal message of the Qur’an. Allah made reference to this language of the Qur’an to instruct us of its significance. “Alif Lam Ra. These are the Verses of the Perspicuous Book. We have sent it down as an Arabic Qur’an in order that ye may learn wisdom.” Qur’an 12:1-2 Further, reciting it in Arabic provides clarity of understanding and sure guidance (socially) and provides protection and safety (spiritually): “(It is) a Qur’an in Arabic without any crookedness (therein): in order that they may guard against Evil.” Qur’an 39:28

Read with Understanding: It is also recommended that the Qur’an be read in a language you understanding, otherwise how will you know or realise its meaning? For better understanding, the pace and duration for completion must be adequate for comprehension and appreciation.

Learn and Live the Qur’an: The companions used to define themselves by the qualities identified in the Qur’an. Abdullah Ibn Masud noted that the early Muslims were generally conscious of living by it. He described their regime as a period “when the limits of behaviour defined in the Qur’an are guarded” (Al-Muwatta).

Teach & Share the Qur’an: Why not teach someone else the knowledge you gain from the Qur’an? Prophet Muhammad (peace be upon him) said: “The most superior among you (Muslims) are those who learn the Qur’an and teach it.” (Bukhari) He also emphasized the sharing of it, even if it is a verse. This is circulation of knowledge, and a beneficial knowledge at that! Don’t forget that “…knowledge is iba’dah (worship to Allah).” So share it.

Don’t be of those who have seals placed upon their hearts and heed not, even when knowing the truth. Remember when you want to talk to Allah, pray salaah, when you want Allah to talk to you, read the Qur’an so read with an open heart and call to mind:
“And when they hear what has been sent down to the messenger you see their eyes overflow with tears because of what they recognise of truth. They cry, Our Lord! We believe; so you do write us down among the witnesses (TO THE TRUTH).” Qur’an 5:83
Source: SwordsWoman, UK. http://www.swordsmenofallah.blogspot.com/

“When the Qur’an is read listen to it with attention and hold your peace: that you may receive Mercy. And do thou (O reader!) bring your Lord to remembrance in your (very) soul with humility and in reverence without loudness in words in the mornings and evenings; and be not thou of those who are unheedful.” Qur’an 7 verses 204-205

Know Him Before You Adore Him
Inviting to the adoration and worship of Allah is usually stalled by request to prove His existence. How do you convince a genuine seeker that Allah actually exists in reality short of physically producing Him? Allah is aware of such queries; hence He points us to one of His attributes –Al-Khaaliq (“The Creator”). Allah says: “And at the Sky how it is raised high; and at the Mountains how they are fixed firm? And at the Earth how it is spread out? Therefore do thou give admonition for thou art one to admonish. Thou art not one to manage (men’s) affairs……” (Qur’an 88:18-22) He further connects our intelligence (ability to ponder) to His very existence and the need to worship Him: “Behold! in the creation of the heavens and the earth and the alternation of night and day there are indeed Signs for men of understanding. Men who celebrate the praises of Allah standing sitting and lying down on their sides and contemplate the (wonders of) creation in the heavens and the earth (with the thought): “Our Lord! Not for naught have you created (all) this! Glory to Thee! Give us salvation from the penalty of the fire. Our Lord! Whom Thou causes to enter the Fire: him indeed Thou hast confounded. For evil-doers there will be no helpers.” (Qur’an 3:190-2)

In fact, how do you explain your own existence or others’ without considering a Creator (Al-Khalaq). This Creator must necessarily be All-Powerful (Al-Qaadir) and able to sustain all His creatures (Ar-Rasaq). He must be loving and passionate of His Creations (Al-Waduud), He must necessarily endow them (Qur’an 79:29) so that new opportunities are opened for them (Al-Fattah). He would be subtle and compassionate (Al-Lateef & Ar-Rauf), forgiving of their errors (Al-Ghaffar), accepting their repentance (At-Tawwab), provider of guidance (Al-Haadi), who ensures compliance by instituting rewards (Qur’an 3:148) and punishment (Qur’an 18:87). His must be the dominion and sovereignty (Al-Maalik). He is the giver and taker of life (Qur’an 23:80, Al-Muhyi & Al-Mumit), who does not rely on anything, but upon who everything depends (As-Samad) and patient with their rebellion, ignorance and doubts (As-Sabur). He was there first before any other thing (Al-Awwal) and He will be there when nothing else exist (Al-Aakhir). He is the All-Knowing and Most Wise (Al-Halim & Al-Hakim). Indeed, he has power over all things.

These noble attributes of Allah point to One Creator and Controller of all the affairs of the Earth, and all the affairs of the universe, and all the affairs of other existence which we are yet to know or discover. Allah is not assisted by a team of Pseudo-gods, or semi-gods or elevated human beings or angels. He alone has the domain of the destiny of all affairs. He alone is eternal and every inch of existence or creation belongs to Him. Whoever makes a claim to an inch of anything, will soon be gone and unable to take those things with them.

The understanding of the Unity of Allah (Tawheed) is very important and crucial to our claim to Iman (faith), the very first foundation of Islam. We do not allow anyone to share of Allah’s Glory, His Authority or His Authorship. Whoever thinks someone else has a right to authority or ownership of this earth, that person lacks Iman. Whoever, thinks Allah does not deserve any of His names or attributes, cannot make a claim to Islam or to his love for Allah. Whoever describes Allah with any human attributes or describe any human with the unique attributes of Allah, then his faith is not firm. And whoever worships anything or anyone aside from Allah or along with Allah and dies in that condition would have limited his enjoyment only to this world, for the punishment of the grave till the Day of Judgement and the decision of the Hell-Fire would be his lot forever.

Therefore, worship only Allah and seek not the protection of anyone else, nor elevate to God’s status anyone else. Pray and praise Allah always: “Say: ‘Call upon Allah or call upon Rahman: by whatever name you call upon Him (it is well): for to Him belong the Most Beautiful Names. Neither speaks thy Prayer aloud nor speaks it in a low tone but seek a middle course between.’ Say: ‘Praise be to Allah Who begets no son and has no partner in (His) dominion: nor (needs) He any to protect Him from humiliation: Yea magnify Him for His greatness and glory’!” Qur’an 17 verse 112.

“On that Day will men proceed in companies sorted out to be shown the Deeds that they (had done). Then shall anyone who has done an atom’s weight of good see it! And anyone who has done an atom’s weight of evil shall see it.” Qur’an 99 verses 6-8

A Civic Responsibility
The teachings of Islam, to most people, are basically personal and worship. Personal, because it is sincerity and accountability to Allah, you will stand before him one day insha’Allah, and it will be you and your deeds alone, no solicitor or barrister. It is worship because what is important is your efforts at your iba’dah such as fasting, salaah and hajj. For these people, Paradise lies in those regards. Good, but that’s not all. Islam in not the substitute for some customary forms of worship, rather, Islam is a way of life which involves the way we relate with other people, our moral standing, civic responsibilities, social and spiritual purification.

In fact, Paradise lies in most things we do or do not do daily. For instance, Abu Hurayrah narrated that the Prophet (peace be upon him) said: “While a man was going on a way, he saw (an harmful) thorny tree branch and removed it from the way and Allah became pleased with his action and forgave him for that.” (Bukhari) Don’t we see harmful objects on the road everyday? Perhaps if we deliberately remove one everyday, our sins will be forgiven daily and we wouldn’t really be far from Paradise. The Prophet (peace be upon him) said, “Every one of the children of Adam has been created with three hundred and sixty joints; so he who declares the Glory of Allah, praises Allah, declares Allah to be One, Glorifies Allah, and seeks of forgiveness from Allah, and removes stone, or thorn, or bone from people’s path and enjoins what is good and forbids from evil, to the number of those three hundred and sixty, will walk that day having removed himself from Hell.” (Muslim)

Of course removing a thorn is not the only issue that reflects social virtue. The Prophet (peace be upon him) spoke of a prostitute: “A prostitute was forgiven by Allah, because, passing by a panting dog near a well and seeing that the dog was about to die of thirst, she took off her shoe, and tying it with her head-cover she drew out some water for it. So, Allah forgave her because of that.” (Bukhari) It is clear that social responsibility is a great means of seeking Allah’s forgiveness. This is because Islam teaches respect, love and well wishing for others and we should try our best to make life pleasant for people known and unknown; appreciative or not.

Since all our actions or inactions will be accounted for, and rewarded, it is more profitable to do those acts which actually cost us nearly nothing, but with greater implications. The places of passage or public paths are sources of comfort or discomfort, depending on their condition. We are obliged as Muslims to keep it safe, either by removing harm (e.g. harmful objects, pot holes, dirt objects or smell, or other discomforts) or by providing comfort therein (e.g. lightening, shade, pavement, beautiful scenery, security etc.). These paths are also the best alternatives during emergencies or crises, thus such paths should not be obstructed or endangered.

If we have been instructed to keep the road clean and clear, wouldn’t we be punished for acting contrary to this injunction? Thinks of the many litters we dump on the road, throw out of our vehicles! Think of the much harm we have contributed to unknowingly but avoidably. Many hidden things will become exposed on the day of judgement! That day many people will found out that there are marked down for manslaughter or an attempted one, or injury to people they had never met. Indeed, “to Allah belongs all that is in the heavens and on earth; so that He rewards those who do evil according to their deeds and He rewards those who do good with what is best.” (Qur’an 53 verse 31)

Exhibition and conference on education @ New Delhi

On 5 -6 April 2012

At Pragati Maidan New Delhi

Building Future Education (BFE) India is an international event and conference, covering every tier of education including pre-schools, schools, universities, colleges, research and special needs. BFE India brings all of those involved in education together from the private and public sectorS including; facilities, operations, management, reform, technology, design & build, investment and education suppliers.

The BFE series of events brings together the world’s leading education providers and institutions. The Indian Education market is one of the major thrust areas of the Federal Government and it is expected to invest $100 Bln between 2012-2017. Furthermore the Government is planning to invest $20 Bln in Technology / ICT as well as an additional $30 Bln to be invested by the private sector into the K12 segment.

A further 800 private engineering colleges, 60 medicals colleges, 300 MBA colleges are planned to be opened in 2012. India is driving towards creating a knowledge based economy with education provision for all. India is now in a position to engage the private sector and foreign education providers in order to support India’s accelerating position as a global economic power. With the Right of Children to Free & Compulsory Education Act 2009 now being an inalienable part of the constitution, there is need for schools and people to build them.

BFE India will support the Indian Government’s investment to deliver a knowledge-oriented paradigm of development in partnership with the world’s leading private educational providers, institutions, professionals and investors covering every tier of education provision, reform and 21st Century learning environments.

Link : http://www.bfeindia.com/Default.aspx?refer=1

Why you could get alternative treatment on the NHS

If you pay for complementary medicine to help prevent disease or improve specific health problems, you are not alone.

One in five Britons now spend a total of £450 million a year on treatments such as acupuncture, osteopathy, homeopathy and aromatherapy.

But many people don’t realise that alternative treatments are becoming increasingly available on the NHS.

According to The Foundation of Integrated Medicine – an independent body which aims to combine orthodox and alternative therapies – complementary medicine is now available through ten per cent of doctors’ surgeries or alternative hospitals.

And, depending on your doctor, some alternative remedies are also available on prescription.

This shift in thinking is well-documented. A recent survey by the department of health found more than two thirds of doctors believe alternative therapies should be available free on the NHS.

‘The whole field is more sympathetic to complementary medicine compared to five years ago,’ says Dr Mary Helsey of Glastonbury Health Centre.

‘This is because science is proving that some treatments such as osteopathy and homeopathy are effective and practitioners are well regulated.’

However, not all complementary medicine is recommended on the NHS.

Health experts say alternative treatments fall into three main groups. Those therapies that are recommended, those that are accepted and those that are dismissed.

Most popular are acupuncture, osteopathy, homeopathy, chiropractice and herbal medicine. This is because these therapies are regulated by professional bodies and supported by scientific evidence.

While the NHS accepts that massage, aromatherapy, meditation, reflexology and meditation can benefit patients, these therapies lack proper regulation.

On the other hand, doctors dismiss Ayurvedic medicine, Chinese medicine, iridology and crystal therapies on the basis of insufficient scientific evidence.

And, not every general practice offers complementary medicine. Whether your treatment is free depends on how much money your local surgery sets aside for these therapies from its budget. Each health authority will decide whether complementary medicine meets local needs or not.

If your practice is in favour of complementary medicine there are a number of ways you can get alternative treatment on the NHS.

The NHS has part-funded some surgeries to employ alternative therapists. This means patients pay a reduced rate of around £6 per session – compared to the going rate of around £30 for one hour. Other practices work closely with complementary therapists and offer an entirely free service.

Doctors also refer patients to one of five homeopathic hospitals in the country – which offer a wide variety of treatments including acupuncture, relaxtion therapy and osteopathy.

In some cases, doctors may advise patients to see a private alternative therapist which will be partly funded by the NHS.

It is also possible to get prescriptions – currently around £6.10 – for homeopathic, nutritional medicine or herbal remedies if a doctor feels this will help the patient.

Even if complementary medicine is not offered at your local surgery, it’s likely that more funding will become available in the future. The Department of Health even has plans to invest £18 million in the Royal London Homeopathic hospital.

Health experts are confident that the future is looking hopeful for complementary medicine.

‘Emerging evidence is proving that some alternative therapies are effective in restoring people back to health. It looks like complementary medicine is finally getting the big vote of confidence,’ said Dr Peter Fisher, clinical director at the Royal London Homoeopathic hospital.

The Department of Health agrees complementary medicine has a part to play in the NHS.

‘If scientific research proves to be effective, there will be more funding available for complementary medicine,’ said a spokesperson.

Read more: http://www.dailymail.co.uk/health/article-55405/Why-alternative-treatment-NHS.html#ixzz1lQJDEz6K

doctors5

Southeast Asian Health Professions Conference @ Coimbatore

doctors5SEARAME-NCHPE Conference 2012

Southeast Asian International and Indian National Conference on Health Professions Education

At PSG Institute of Medical Sciences & Research, Coimbatore, India.

On 5th to 8th September, 2012

Theme of the Conference: Social accountability: Responding to Societal needs through Quality Assurance and Accreditation in Health Professions Education

Partners:

  • South East Asia Regional Association of the World Federation for Medical Education (SEARAME)
  • World Health Organization-South East Asia Regional Office (WHO-SEARO)
  • Foundation for Advancement of International Medical Education and Research (FAIMER) 

About the theme:
Social accountability of medical schools is defined by the WHO as “the obligation to direct their education, research and service activities towards addressing the priority health concerns of the community, the region, and /or the nation they have a mandate to serve. The priority health concerns are to be identified jointly by governments, health care organizations, health professional and the public”. 

Medical education accreditation standards in many parts of the world are being rewritten with an explicit social accountability framework. The focus of this conference would be towards understanding and promoting health sciences education that is aligned with health needs of society, and designing accreditation standards and processes for health sciences education that reflect these principles of social accountability.

Conference objectives

  • Apply principles of social accountability to the Southeast Asian context
  • Identify and bridge gaps between current health sciences education systems and health care needs of society in the region
  • Create consensus on the mission and strategies of health sciences schools related to improving the health of society in Southeast Asia
  • Identify evaluation tools for assessing impact of changes to the mission and strategy of health sciences schools towards improving the health of society
  • Link WFME standards addressing social accountability with regional standards   for health sciences education

Target audience

  • Education leaders, policy makers, students, and others interested in the connection between education and health.
  • Educators interested in improvement in standards of health professions education. 

Workshops: 5-6th September, 2012

Conference: 6 – 8th September, 2012

Department of Medical Education
PSG Institute of Medical Sciences & Research
Coimbatore 641004 Tamil Nadu, India
Phone: +91-422-2570170 & +91-422-4345803
Email :  nchpe2012@gmail.com,  searame@gmail.com
Web : https://sites.google.com/site/nchpesearame2012/

How the changing face of education impacting the students

How the changing face of education, information and globalization is impacting the minds of students and institutions? 

Exactly, this is age of information and informational technology. We all know that the process of globalization and technological developments have impacted our education system, and the youngsters the most. The youngsters mind being most susceptible and volatile have been exposed to varied informational content of negativity and positivity. Now they can access information which otherwise was totally tabooed and forbidden for their delicate minds. Unimaginable and drastic vicissitudes have occurred in the field of informational technology in the last two decades; which had not occurred in five hundred years.

When the structure of society changes so drastically, the superstructure based on it is bound to change. Change is the basis and rule of life. Life is continuous evolutionary process. Man has reached this technology age. from Stone Age The student or person who is not equipped with latest modes of information and knowledge my aptly be called “illiterate” from the perspective of modern technological age, even though he may be possessing many bonafide testified and qualified degrees. The old degrees may become obsolete if we do not update our knowledge with the latest internet developments.

For decades back, the learning intellectual capital used to be schools, colleges, universities and libraries and the people’s intellectual capital was built on the investment of quality time engaged in pursuit of knowledge in schools, colleges, universities and other learning institutes. Books, libraries and lectures used to be mainstay source of information. The elementary tools were text and voice i.e. books and lecture

The information technology has revolutionized every aspect of human activity and life including education, Mode of education, and teaching of education and teaching methods. The thinking process of man has undergone a drastic change. Today’s man is a complex man leading life of strife and tension full of paradoxes and contradictions. Everywhere he finds himself at crossroads, not deciding, which way to go.

In a way books and classrooms have become redundant. These have been replaced by computer screens. Schools and colleges have been replaced by internet and web pages. Class black Boards have been taken by note books and laptops. Simple paper text has been replaced by electronic text and simple human voice has been replaced by electronic voice. What an amazing revolution it is really! The students are increasingly used to imbibe electronic form of text. We receive, fairly large proportion of our information through emails, tweets, chats or active web surfing. Print media seems to take a back seat. It has been successfully succeeded and preceded by electronic media. Man’s quest and thirst for information has grown many times and tremendously. Web pages have become the modern libraries

We are being presented with tetra bytes of information through google research engine, wikipedia, and online Blogging etc. social media websites such as face book and tweet are serving the man’s need for information in their own way, through short text messages. Similarly the voice based information is serving the people in its own peculiar way. The diversity of sources of voice based information—voice over ipod cards. The tremendous surge in telephony has become the part and parcel of people’s life. The internet based “cellular telephony” and “telephony inter netting” has added new dimension to information.

The govt is also giving the helping hand in boosting the information technology. The govt is ratifying voip services and is adopting progressive stance on broadband cellular policy for the broad based expansion of information technology to grassroots and remote areas. Today, we have more choice for information retrieval than ever before. People are retrieving information from internet in a big way. Apart from internet, information is headed over way from Blogging, array of other sources from cell phones to satellite radios. There is flood of information and we are deluged by information. Now it depends on us which way we embrace and integrate this information in our daily lives.

The students, who will succeed and be the front runners of life and destiny of mankind ,will be those who actively educate themselves about these new technologies and try to integrate them into their daily life agenda. The visionary and intellectual giant, Steve jobb may be their torch bear in this respect. They may derive inspiration from him. Technology itself is neither a boon nor bane. Mother Nature has gifted us many resources like sun, minerals, water, air, fire and energy and it depends on man how he interprets and exploits positively or negatively, for selfish ends or public interest. In the changing milieu of information, those students, who do not adopt themselves to the changing scenario of technology; will lag behind in the race for superiority and domination giving way to schizophrenic way of life.

Source : http://medicinefuture.hubpages.com/hub/studentsandinformationtechnology