Factsheet by CCRH – Homoeopathy in Flu-Like Illnesses

disease1Central Council for Research in Homoeopathy
Ministry of Ayush, Government of India

Influenza is a highly contagious viral infection of the nose, throat, and lungs that occurs most often in the late fall, winter, and early spring. It spreads through air, multiplies in cells lining the airways, and causes seasonal epidemics of respiratory infections which are sometimes life threatening. Influenza is caused by a variety of species and strains of viruses. In any given year some strains can die out while others create epidemics, while yet another strain can cause a pandemic.

Homoeopathic treatment does not depend on one drug or any particular set of drugs for curing any type of flu. As homoeopathic medicines are prescribed symptomatically, homoeopaths can successfully adapt their treatment of influenza like illnesses despite the viral mutations.

A meeting of group of experts was called to examine the signs and symptoms and to determine the Genus epidemicus for the current epidemic. After thorough discussion, experts recommended Arsenic album as the preventive medicine for this epidemic. The dosage recommended is Arsenicum album 30, one dose (4pills of size 30 by adults and 2 pills by children) daily, on empty stomach, for 3 days. The dose should be repeated after one month by following the same schedule in case flu like conditions prevail in the area.

The Expert Group has further suggested that general hygienic measures suggested by the Ministry of Health and Family Welfare, Govt. of India, for prevention of the disease should also be followed by the public.

During last pandemic in India in 2009-10, a survey was undertaken to study the signs and symptoms and medicines prescribed in Homoeopathic consultation. Arsenic album was found to be the most frequently prescribed remedy. Similarly, even in 2009-10, an expert group recommended Arsenic Album as a preventive after examining prevailing signs and symptoms of reported cases .

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Hair loss and Homoeopathy -Repertorial Representation

hairDr G Siva Prasad

Abstract : The purpose of this article is to provide the information regarding the important causes of hair loss along with pathophysiology and how our repertory rubrics related with them.

Introduction : A patient who complains of too little hair should be treated with sensitivity. Particularly in women, these complaints are a source of genuine distress and the effect on a person’s self-esteem and self-image. The causes are numerous and varied but a systematic approach to the history and examination can easily be used to elicit the correct diagnosis for hair loss.

Knowledge of the normal hair cycle is fundamental to understanding hair disorders. Hair growth on the scalp is cyclical, with each follicle producing a number of different hairs during a person’s lifetime. The anagen growth phase lasts about 3 to 5 years on the scalp, during this phase hair grows at a rate of approximately 1 cm per month. The duration of anagen varies from person to person.The anagen phase is followed by an involutional stage known as  catagen , which lasts 2 weeks and leads into a 3-month long dormant phase known as telogen. During telogen the hair remains anchored into the follicle but no longer grows. At the end of telogen the follicle awakens and commences production of the next anagen hair. As the new hair grows it displaces the old telogen hair from the follicle. At any one time, and depending on the age and sex of the person, up to 90% of hair follicles are in anagen, the growing phase, and only 10% in telogen, the resting phase, when hairs are normally shed. An alteration in this ratio can lead to an increased rate of hair loss and thus an impression of impending baldness.

The two major forms of alopecia are scarring and nonscarring. In scarring alopecia there are associated fibrosis, inflammation, and loss of hair follicles. A smooth scalp with a decreased number of follicular openings is usually observed clinically, but in some cases the changes are seen only in biopsy specimens from the affected areas. In nonscarring alopecia the hair shafts are gone, but the hair follicles are preserved, explaining the reversible nature of nonscarring alopecia

NONSCARRING:

  1. Telogen effluvium:[Serious systemic illness, childbirth, weight loss, other stresses]
  2. Androgenic alopecia [secondary to ovarian or adrenal dysfunction]
  3. Alopecia areata
  4. Traction or other trauma (trichotillomania, heat exposure)
  5. Drugs[Cytotoxic agents, interferon,Oral contraceptives, Amphetamines, Anticoagulants (heparin, Coumadin), Beta-blockers, captopril, Lithium, anticonvulsants, Vitamin A, retinoids, Cholesterol-lowering agents]
  6. Cutaneous disease:[Seborrheic dermatitis, Eczema, Tinea capitis, Psoriasis, Cosmetics, other local irritants]
  7. Hypothyroidism, hyperthyroidism,Hypopituitarism
  8. Nutritional deficiency states (kwashiorkor, marasmus, or iron, zinc, or biotin deficiency)
  9. Human immunodeficiency virus (HIV) infection

SCARRING:

  1. Physical and chemical agents:[Burns (hot combs or curlers), Freezing, Mechanical trauma, Acid, alkali, Radiation, Body art: tattooing, scarification]
  2. Infection:[Bacterial (including pyogenic infection, tertiary syphilis, leprosy, or lupus vulgaris), Fungal (e.g., ringworm), Viral (especially varicella-zoster, variola),Protozoal (leishmaniasis)]
  3. Systemic disease:[Lupus erythematosus, systemic or discoid, Scleroderma or morphea, Sarcoidosis, Dermatomyositis,Amyloidosis, Neoplasm]
  4. Cutaneous disease:[Basal cell carcinoma, Lichen planus, Cicatricial pemphigoid, Necrobiosis lipoidica diabeticorum]

The most common causes of “nonscarring alopecia” include  telogen effluvium, androgenetic alopecia, alopecia areatatinea capitis, and  traumatic alopecia

1.TELOGEN EFFLUVIUM: Diffuse shedding of normal hairs follows either major stress (high fever, severe infection) or change in hormones (post partum). Stress causes the normally asynchronous growth cycles of individual hairs to become synchronous; therefore, large numbers of growing (anagen) hairs simultaneously enter the dying (telogen) phase.

The common rubrics regarding  telogen effluvium found in repertories[Murphy]:

*Constitutions – HAIR, general, head and body – falling out, of hair – childbirth, after: Calc. Canth. Carb-v. hep. LYC. Nat-m. Nit-ac. Ph-ac. SEP. sil. SULPH. 

*Constitutions – HAIR, general, head and body – falling out, of hair – diseases, after: lyc. manc. Ph-ac. thal. 

*Constitutions – HAIR, general, head and body – falling out, of hair – grief, from:Ph-ac. 

*Constitutions – HAIR, general, head and body – falling out, of hair – pregnancy, during   LACH. Sep. 

*Pregnancy – CONFINEMENT, general, puerperal – hair, loss: Nat-m. Sep. 

*Breasts – BREAST-feeding, general – hair falls out: Nat-m. Ph-ac. sep.

*HEAD – FALLING out, hair, alopecia – toxicemia, from: crot-h. 

2.ANDROGENETIC ALOPECIA: Male-pattern baldness is physiological in men over 20 years old, although rarely it may be extensive and develop at an alarming pace in the late teens. It also occurs in females, most obviously after the menopause. The well-known distribution (bitemporal recession and then crown involvement) is described as ‘male-pattern’ but this type of hair loss in females is often diffuse. Increased sensitivity of affected hairs to the effects of testosterone increased levels of circulating androgens (ovarian or adrenal source in women).

The common rubrics regarding  androgenic alopecia found in repertories[Murphy]:

*Constitutions – HAIR, general, head and body – falling out, of hair – menopause: Sep.

*Constitutions – HAIR, general, head and body – loss, of hair – temples, from: calc. Kali-c. lyc. merc. Nat-m. par. sabin. 

*Constitutions – HAIR, general, head and body – falling out, of hair – vertex: bar-c. graph. lyc. thuj. zinc. 

*Constitutions – HAIR, general, head and body – loss, of hair – forehead, from: ars. bell. Hep. Merc. Nat-m. Phos. sil. 

*FEMALE – FALLING out, hair: alum. BELL. Calc-f. Hell. Merc. NAT-C. NAT-M. NIT-AC. Ph-ac. Rhus-t. SEL. Sulph. Thal. ZINC. 

*HEAD – FALLING out, hair, alopecia – climacteric period, in:LYC. SEP.

3.ALOPECIA AREATA: Well-circumscribed, circular areas of hair loss, 2–5 cm in diameter in extensive cases, coalescence of lesions and/or involvement of other hair-bearing surfaces of the body. The germinative zones of the hair follicles are surrounded by T lymphocytes. During the active stage of hair loss pathognomonic ‘exclamation mark’ hairs are seen (broken-off hairs 3-4 mm long, which taper off towards the scalp). Alopecia totalis describes complete loss of scalp hair and alopecia universalis complete loss of all hair. There is an association of alopecia areata with autoimmune disorders, atopy and Down’s syndrome.

The common rubrics regarding  alopecia areata  found in repertories[Murphy]:

*Constitutions – HAIR, general, head and body – baldness, head – spots, in: Apis Ars. Calc. calc-p. carb-an. FL-AC. Hep. Phos. Psor.

*HEAD – FALLING out, hair, alopecia – spots, in, alopecia areata: APIS ARS. CALC. CANTH. FL-AC. HEP. IOD. PHOS.. PSOR.

4.TINEA CAPITUS:  Varies from scaling with minimal hair loss to discrete patches with “black dots” (broken hairs) to boggy plaque with pustules (kerion), Invasion of hairs by dermatophytes, most commonly Trichophyton tonsurans. Endothrix (within the hair shaft) infections, e.g. Trichophyton tonsurans, cause relatively uninflamed patchy baldness with breakage of the hairs at the skin surface (‘black dot’). There is no fluorescence under Wood’s light. Ectothrix (outside the hair shaft) species of fungi, such as Microsporum audouinii (anthropophilic), show minimal inflammation; Microsporum canis (from dogs and cats) infections are more inflamed and can be identified by green fluorescence with Wood’s light. Kerions are boggy, highly inflamed areas of tinea capitis and are usually caused by zoophilic (from animals, e.g. cattle ringworm) species of fungi (e.g. Trichophyton verrucosum).

The common rubrics regarding  tinea capitus  found in repertories:

*[Knerr] [Outer Head]Eruption(undefined):Tinea capitis (crusta lactea, scald head):Filthy, two-thirds of scalp one, mass of inflammation: Ustilago maydis

*Constitutions – HAIR, general, head and body – baldness, head – patches, in: Apis Ars. Calc. calc-p. carb-an. fl-ac. Graph. Hep. kali-p. lyc. morg. Phos. psor. sep. 

*Constitutions – HAIR, general, head and body – brittleness: ars. bad. bell. borx. fl-ac. graph. Kali-c. plb. Psor. sec. Sep. staph. thuj.

5.TRAUMATIC ALOPECIA: Broken hairs irregular outline, Traction with curlers, rubber bands, braiding. Exposure to heat or chemicals (e.g., hair straighteners). Mechanical pulling (trichotillomania)

The common rubrics regarding  traumatic alopecia  found in repertories:

*HEAD – FALLING out, hair, alopecia – injury, from:hyper.

*[Complete] Mind – PULL, desires to, one’s hair: ars. BELL. Cina cupr. lach. Lil-t. med. mez. tarent. tub.

SCARRING alopecia is more frequently the result of a primary cutaneous disorder such as lichen planus, folliculitis decalvans, chronic cutaneous (discoid) lupus, or linear scleroderma (morphea) than it is a sign of systemic disease. Although the scarring lesions of discoid lupus can be seen in patients with systemic lupus, in the majority of cases the disease process is limited to the skin. Less common causes of scarring alopecia include sarcoidosis and cutaneous metastases.

In the early phases of discoid lupus, lichen planus, and folliculitis decalvans, there are circumscribed areas of alopecia. Fibrosis and subsequent loss of follicles are observed primarily in the center of the individual lesions, while the inflammatory process is most prominent at the periphery. The areas of active inflammation in discoid lupus are erythematous with scale, whereas the areas of previous inflammation are often hypopigmented with a rim of hyperpigmentation. In lichen planus the peripheral perifollicular macules are usually violet-colored. Complete examination of the skin and oral mucosa combined with a biopsy and direct immunofluorescence microscopy will aid in distinguishing these two entities. The peripheral active lesions in folliculitis decalvans are follicular pustules; these patients can develop a reactive arthritis.

The common rubrics regarding  scaring alopecia  found in repertories[Murphy]:

  • Constitutions – HAIR, general, head and body – falling out, of hair – spots, in – and comes in white: vinc. 
  • HEAD – FALLING out, hair, alopecia – syphilis, from: ARS. aur. carb-v. cinnb. FL-AC. graph. HEP. kali-i. lyc. merc. merc-f. NIT-AC. PHOS. sulph. 
  • Skin – LICHEN, planus: agar. anac. Ant-c. apis Ars. Ars-i. chinin-ar. iod. Jug-c. Kali-bi. kali-i. led. merc. sars. staph. Sul-i. 
  • Skin – LUPUS erythematosum: ARS. LYC. NIT-AC.THUJ. 
  • Skin – LUPUS erythematosum – lupus, vulgaris:   Ars. Ars-i.   Aur-m  Cist.     Hep. Hydr. Hydrc. Sulph. Tub. 
  • Diseases – CANCER, general – skin, cancer, epithelioma: ARS-I.. CON. LYC. SOL 
  • Diseases – SCLERODERMA, skin: alum. Ant-c. arg-n. berb-a. Bry. Calc. caust. Crot-t. echi. Graph. Hydrc. lyc. petr. phos. ran-b. rhus-r. sars. sil. still. sulph. thiosin. Thyr. 
  • Skin – ERUPTIONS – morphea: ars. Phos. sil.
  • Diseases – RADIATION, sickness, side effects: ars. CADM-S. calc-f. chin. fl-ac. Ip. nux-v. phos. rad-br. SOL x-ray

INVESTIGATIONS:
Laboratory tests, including a full blood count, erythrocyte sedimentation rate, urea and electrolytes, liver and thyroid function tests, an autoantibody profile and Treponema pallidum haemagglutination (TPHA) test, should help determine the cause of non-scarring alopecia. More specialised tests, including the hair pluck test where up to 50 hairs are removed with epilating forceps to determine the anagen:telogen ratio, are seldom necessary. Mycological assessment is advisable in cases of localised hair loss with scaling. A scalp biopsy, with direct immunofluorescence, may help to confirm a diagnosis of lichen planus of the scalp or discoid lupus erythematosus.

EXAMINATION:
The scalp should be examined for evidence of disease such as scaliness, redness, injury, or scarring with its associated loss of follicles. Scarring is an important prognostic feature because hair loss is irreversible. Hair pulling gives rise to hair loss and the hair length varies because it is broken irregularly.

CONCLUSION:
In modern medicine the management includes medicines and hair transplantation. Even than many patients are not improved properly. With homoeopathy it is expected that many patients will have better outcome by proper diagnosis of the case and select similimum by using correct rubrics.

BIBILIOGRAPHY:

  1. The Merc Manual Of Diagnosis And Therapy
  2. Davidsons Principles An Practice Of Medicine
  3. Harrisons Text Book Of Medicine

Dr.G.Siva Prasad, MD(Hom)
Gudivada-521301.
EMAIL: drsivahomoeo@gmail.com

How to manage Food Allergies with Homoeopathy

foodDr Shruthi Shridhar

Introduction
Food allergy is an immune system reaction that occurs soon after eating a certain food. Even a small amount of the allergy-causing food can trigger signs and symptoms such as digestive problems, hives or swollen airways. In some people, a food allergy can cause severe symptoms or even a life threatening anaphylactic reaction.

It is easy to confuse a food allergy with a much more common reaction known as food intolerance. While bothersome, food intolerance is a less serious condition that does not involve the immune system.

Causes
When you have a food allergy, your immune system mistakenly identifies a specific food or a substance in food as something harmful. Your immune system triggers cells to release antibodies known as immunoglobulin E (IgE) antibodies to neutralize the culprit food or food substance (the allergen). The next time you eat even the smallest amount of that food, the IgE antibodies sense it and signal your immune system to release histamine, as well as other chemicals, into your bloodstream. These chemicals cause a range of allergy signs and symptoms. They are responsible for causing allergic responses that include dripping nose, itchy eyes, dry throat, rashes and hives, nausea, diarrhoea, laboured breathing, and even anaphylactic shock.

Signs & Symptoms –

Food allergy symptoms usually develop within a few minutes to two hours after eating the allergen containing food. The most common food allergy signs & symptoms include –

  • Tingling or itching in the mouth
  • Hives, itching or eczema
  • Swelling of the lips, face, tongue and throat or other parts of the body
  • Wheezing, nasal congestion or trouble breathing
  • Abdominal pain, diarrhoea, nausea or vomiting
  • Dizziness, light-headedness or fainting

Anaphylaxis 

  • Constriction & tightening of airways
  • A swollen throat or the sensation of a lump in your throat that makes it difficult to breathe
  • Rapid pulse
  • Dizziness, light-headedness or loss of consciousness

Adverse Food Reactions 

Food Intolerance –

  • Enzyme deficiencies – Lactase(primary or secondary), fructose(maturational delay)
  • Gastrointestinal disorders – Inflammatory bowel disease, irritable bowel syndrome
  • Idiosyncratic reactions – Caffeine in soft drinks (Hyperactivity)
  • Psychologic – Food phobias
  • Migraines – Rare

Food Factors –

  • Infectious organisms – E. Coli, Staphylococcus aureus, Clostridium
  • Toxins – Histamine (scombroid poisoning), saxitoxin (shellfish)
  • Pharmacologic agents – caffeine, theobromine (chocolate, tea), tryptamine (tomatoes), tyramine (cheese)
  • Contaminants – heavy metals, pesticides, antibiotics

Food Hypersensitivities – IgE Mediated

  • Cutaneous – urticaria, angioedema, morbiliform rashes, flushing, contact urticaria
  • Gastrointestinal – oral allergy syndrome, gastrointestinal anaphylaxis
  • Respiratory – acute rhinoconjunctivitis, bronchospasm
  • Generalized – anaphylactic shock, exercise induced anaphylaxis

Mixed IgE and Cell Mediated –

  • Cutaneous – atopic dermatitis, contact dermatitis
  • Gastrointestinal – allergic eosinophilic oesophagitis and gastroenteritis
  • Respiratory – asthma

Cell Mediated –

  • Cutaneous – contact dermatitis, dermatitis herpetiformis
  • Gastrointestinal – food protein-induced enterocolitis, proctocolitis, enteropathy syndromes, celiac disease
  • Respiratory – food induced pulmonary hemosiderosis (Heiner syndrome)

Unclassified –

  • Cow’s milk – Induced anaemia

Diagnosis
Individuals with food allergy develop symptoms by eating foods that are simply part of a healthy diet for the vast majority of the population. The only way for the allergic individual to manage their condition is to avoid eating the food that causes the allergic reaction. Unfortunately, the public generally overestimates the number of people with food allergy. As a result many people avoid certain foods unnecessarily. Reliable diagnostic methods are required in order to avoid such unnecessary dietary restrictions.

The first step in the diagnosis of a food allergy involves a medical specialist taking a full clinical history, and performing a clinical examination. The clinical history is a detailed record of past allergic reactions and other allergic conditions, such as asthma, eczema and hay fever, and consideration of any seasonal or environmental symptoms. The clinical examination consists of a close look to see if there are allergic symptoms in the skin, eyes and nose. If the patient is asthmatic, the clinician may assess this by measuring measure peak flow. This information will help the specialist decide which tests are appropriate. The first test is usually a test for the detection of food-specific IgE antibodies. Skin prick testing and blood tests are the main tests used for this purpose. However, the presence of specific IgE does not necessarily mean that a person will experience symptoms. Therefore, it is normally necessary to perform a provocation or challenge test with the suspect food, which involves introducing the food to the patient in gradually increasing amounts in very controlled conditions. Challenge tests must be performed in a hospital or clinic, where any serious reactions can be safely managed. Before the challenge test is performed the patient needs to avoid the suspected food(s) for a period in order to be free of symptoms.

The specialist needs to consider the clinical history, the suspected food, the severity of the symptoms, and the availability of diagnostic reagents before choosing the diagnostic test(s). It is important that the specialist has access to well-documented tests. The specialist will interpret any test result in combination with findings from the clinical examination and the patient’s clinical history. For that reason it remains the case that accurate food allergy diagnosis is a specialized procedure requiring considerable clinical expertise. If a food allergy is suspected, diagnosis by a qualified medical practitioner who specializes in allergy is required. Self-diagnosis of food allergy is notoriously unreliable and highly over-reported, while the missed diagnosis of a serious food allergy could be potentially life threatening. Therefore, people who suspect that they have a food allergy should seek specialist medical advice.

Skin Prick Testing:
Skin prick tests are frequently used to screen for food-specific IgE as they can be performed at the first visit and the results are ready available. Furthermore, skin prick testing is cheap. The test is usually safe even in case of severe nut allergy as the method introduces a very small amount of allergen just under the outer layer of the skin. A tiny prick is made with a 1mm lancet through a drop of allergen extract placed on the skin, usually on the forearm. The drops are then wiped away carefully. The site where the allergen was introduced may then become red and swollen with a raised wheal in the centre that looks like a nettle sting (= positive response). The weal may enlarge and reaches its maximum size within 15-20 minutes, after which the diameter of the wheal is recorded. The reaction fades within an hour.

A negative response usually means the patient is not sensitised to that allergen. But skin prick testing for food allergens may be unreliable and “false negatives” can occur:

  1. Where the reaction to food is not immediate.
  2. If the patient is taking drugs containing antihistamines. These should be stopped five days before testing. Drugs containing antihistamines prevent histamines from attaching to your cells and causing symptoms.
  3. If the allergens in the extracts are unstable as is often the case for fruits and vegetables. In these cases, skin testing with native foods by the prick-prick technique is much better, but not standardized and possibly less safe. In this test, the lancet is plunged several times into the food immediately before pricking the patient’s skin.

A positive response usually means the patient has IgE antibodies to that allergen. However, a patient may have a positive skin test but suffer no symptoms when coming into contact with the allergen. Positive skin tests may e.g. occur after sensitisation but before an individual has experienced allergic symptoms to a food. People may also still have positive skin tests to foods and inhalants, even when they have grown out their allergy and no longer have an allergic reaction when they eat a previously offending food.

The skin prick test is a good method to rule out a food allergy to egg, milk, peanuts and fish in children. But a positive result may need to be confirmed with a challenge test. A positive result in skin prick tests with fruits and vegetables also may need to be confirmed with a challenge test.

Blood tests:
Several types of blood tests are available to test for food allergies. A blood sample has to be taken from the patient and analysed in a well-equipped laboratory. Therefore the results of the blood tests are not available immediately. Unlike for skin prick tests, antihistamines do not interfere with blood test, which means that the blood tests can be used in patients with severe allergic symptoms from e.g. the skin without stopping the intake of antihistamines.

The idea with most of the available tests is to measure the amount of IgE in the blood that can bind to specific food allergens.

Homoeopathic Remedies For Some Common Food Allergies –

  • Banana – Coffee, Ignatia, Kali Phos, Nux Vomica, Rumex
  • Chicken – Bacillinum, Bryonia
  • Dal – Calcarea Carb, Lycopodium, Pulsatilla
  • Egg – Calcarea Carb, Cinchona, Colchicum, Ferrum Metallicum, Ledum, Lysinnum, Pulsatilla, Sulphur
  • Fish – Fluoric Acid, Kali Sulph
  • Gluten – Aluminum Acidicum
  • Honey – Natrum Carb, Phosphorus
  • Milk – Aethusa, Arsenic, Lac. Defloratum, Mag. Sulph, Natrum Carb, Psorinum, Tuberculinum3+
  • Mutton – Lysinnum, Lecithin mother tincture
  • Onions – Carcinosin, Lycopodium, Sulphur, Thuja
  • Peanuts – Molubdinum
  • Raisins – Ipecac
  • Rice – Ignatia, Kali, Natrum, Pulsatilla, Sulphur, Tellurium
  • Tomatoes – Oleander mother tincture

Dr. Shruthi Shridhar – M.D. Part I
Department of Organon of Medicine & Homoeopathic Philosophy
Dr. G. D. Pol Foundation’s Y.M.T. Homoeopathic Medical College P.G. Institute & Hospital.

Nomination of Prof Vithoulkas as “Doctor Honoris Causa” Romania

VithulkasNomination of  Prof. Vithoulkas as “Doctor Honoris Causa” at the Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania

On Tuesday 5 May, 2015 at 12.00 PM, Professor of Homeopathy George Vithoulkas was nominated Doctor Honoris Causa at the Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

The Laudacio was made by the Dean of the University’s School of Medicine, Prof. Dr. Anca Dana Buzoianu, who referred at length to the scientific work of Prof. G. Vithoulkas.

The opening ceremony was addressed by the President of the Senate, Prof. Dr. Ioan Stefan Florian; the Vice Rectors of the University also attended the ceremony.

Inter alia, Professor G. Vithoulkas said the following in his speech:

“Today I am particularly proud that, through me, a great School of Medicine is honoring homeopathy, this remarkable therapeutic method, as well as Doctor S. Hahnemann, who discovered it 200 years ago.

Homeopathy has been credited with impressive results in the last 200 years and that attests to its undoubted validity.

Homeopathy is essential in the early stages of chronic diseases, when conventional medicine has no answers and, therefore, it constitutes a complementary therapeutic method sorely needed in medicine.

I am confident that your University will become the pillar of resistance against the destructive storm of chronic disease that is currently spreading rapidly, and that it will bestow the beneficial therapeutic effects of homeopathy upon humanity.”

Web :http://www.vithoulkas.com

Evidence Based Clinical Study: Homoeopathy in Vitiligo

Dr Nishant Kumar Srivastava       

Abstract
A total of 150 well diagnosed cases of Vitiligo were registered for treatment at Geetanjali Homoeopathic Clinic & Research Center Lucknow from October 2008 to November 2012. Clinical diagnosis followed by constitutional treatment with homoeopathic medicines showed amazing results in majority of cases. Out of 150 cases 65 cases showed complete repigmentation of all the white patches while 35 cases showed improvement in few patches and rest 30 cases did not show any response to the treatment. 20 cases worsened after treatment in which increment in size and number of white patches was observed. Duration of treatment varied from case to case depending on the size and number of the white patches and response of the patient. In depth case taking was done in each and every case on holistic principle giving more emphasis on causation and mental symptoms. The outcome of this study is very encouraging which gives new dimensions and confidence to young Homoeopaths in treatment of Vitiligo by Hahnemaanian principles of minimum dose and minimum repetition.

Introduction
Vitiligo
is a condition that causes depigmentation of parts of skin. It occurs when melanocytes, the cells responsible for skin pigmentation, die or are unable to function. The cause of vitiligo is unknown, but research suggests that it may arise from autoimmune, genetic, stress or viral causes. The incidence worldwide is less than 1%.The most common form is non-segmental vitiligo, which tends to appear in symmetric patches, sometimes over large areas of the body.

Prevalence & Incidence
About 0.5 to 1 percent of the world’s population, or as many as 65 million people, have vitiligo. Half the people who have vitiligo develop it before age 20. Most develop it before 40years of age. The disorder affects both sexes and all races equal, however it is more noticeable in people with dark skin.

Vitiligo seems to be somewhat more common in people with certain autoimmune diseases, including hyperthyroidism (an overactive thyroid gland), adrenocortical insufficiency (the adrenal gland does not produce enough of the hormone called corticosteroid), alopecia areata (patches of baldness), and pernicious anemia (a low level of red blood cells caused by the failure of the body to absorb vitamin B12).

Vitiligo may also be hereditary; that is, it can run in families. Children whose parents have the disorder are more likely to develop vitiligo. In fact, 30 percent of people with vitiligo have a family member with the disease. However, only 5 to 7 percent of children will get vitiligo even if a parent has it, and most people with vitiligo do not have a family history of the disorder.

Precipitating Factors: –

  • Emotional Crisis – Death in family, Loss of job, Sudden shock etc. Acute Stress may be followed by fast spreading type of vitiligo proving the theory of Troponeurosis. Emotional crisis may be an additional factor
  • Gastro intestinal tract disorders like Worms, Jaundice, amoebiasis etc.
  • Prolonged use of Drugs, antibiotics, Oral an ovulating agents etc.
  • Local causes like trauma, burns exposure to chemicals etc.
  • Pathologically: – A defect in enzyme Tyrosinase is held responsible for vitiligo. According to some Dermatologists, it is a Trophoneurosis and Melatonin, a substance secreted at nerve endings inhibits Tyrosinase, thus interfering in pigment formation.
  • An Endocrinal disorder may be operative; Diabetes, Pernicious anaemia, Thyrotoxicosis, Myxoedema, and Addison’s disease may be associated with vitiligo.
  • Trauma or Local irritations caused by wearing the sari or Trousers too tightly do produce vitiligo in individuals predisposed to it.

Conclusion

  • The overall impact of this evidence based scientific study is encouraging. It reveals that homoeopathic drugs have definite action on melanocytic cells which starts reproducing melanin resulting in repigmentation in white spots.
  • The period of treatment varies according to the area and chronicity of the disease &individual response of the patient.
  • Vitiligo can be reduced and cured permanently with suitable Homoeopathic drugs..
  • Homoeopathic drugs are cost effective and easy to take having no side effects.
  • The recurrence rate after homoeopathic treatment in vitiligo is nil or very less.

Download case reports

World Health Statistics 2015

whoWorld Health Statistics 2015 contains WHO’s annual compilation of health-related data for its 194 Member States, and includes a summary of the progress made towards achieving the health-related Millennium Development Goals (MDGs) and associated targets.
WHO presents World Health Statistics 2015 as an integral part of its ongoing efforts to provide enhanced access to comparable high-quality statistics on core measures of population health and national health systems.

Hypertension: Fundamental and management

BPHypertension: Fundamental and management 

DR.MOHAN GIRI, DR.RACHNA GOENKA 

ABSTRACT: – Hypertension is an “iceberg” disease. It is evident that only about half of the hypertensive people are aware of the condition, about half of those aware of the problem are being treated and only about 50% of those treated are considered adequately treated. Till today the measurement of pulse and blood pressure are not always taken as a routine work by professional’s thereby missing serious disease diagnosis like ‘Hypertension’. This article will help professionals to overcome such problems and consider the seriousness of the facts even in homoeopathic practice. 

INTRODUCTION: – Hypertension is a chronic condition of concern due to its role in the causation of coronary heart disease, stroke and other vascular complications. It is the commonest thread posing a major public health challenge to population in socioeconomic and epidemiological transition, which accounts for 20-50% of all death.

Definition of hypertension is difficult and by necessity arbitrary. There is also a direct relation between cardiovascular risk and blood pressure, rise of which increases the risk of both stroke and coronary events.

As intervention trials include only adults aged 18 years or older, the definition and classification of hypertension  refer to adults not taking antihypertensive drugs and not actually ill, and based on the average of two or more occasions after initial screening. The table below shows the classification of hypertension on the basis of blood pressure level.

CATEGORY SYSTOLIC BLOOD PRESSURE (in mm of Hg) DIASTOLIC BLOOD PRESSURE( in mm Hg)
Normal <130 <85
High Normal 130-139 85-90
HypertensionStage 1 (mild)

Stage 2 ( moderate)

Stage 3 (sever)

140-159

160-179

>180

90-99

100-109

>110

When systolic and diastolic blood pressure falls into different categories, the higher category should be selected to classify the individual’s blood pressure.

The world health organization (WHO) criterion for the definition of hypertension is-“Persistent rise of basal blood pressure that is measured at complete physical and mental rest that is more than 150/90 mm of Hg in an adult.”

Isolated systolic hypertension is defined as a systolic blood pressure of 140 mm of Hg or more and a diastolic blood pressure of less than 90 mm of Hg”.

Persistent fall of basal blood pressure less than 100/50 is considered as hypotension.

MEASUREMENT OF BLOOD PRESSURE
Blood Pressure can be defined as the product of cardiac output and peripheral resistance; or the lateral pressure exerted by the column of blood in the vessels during each ventricular contraction. The peripheral resistance depends upon;-

  • Velocity of blood (directly proportional to peripheral resistance):- Velocity of blood increase in any fever, severe anaemia, thyrotoxicosis and in pregnancy etc.
  • Viscosity of Blood (directly proportional to peripheral resistance):- Viscosity of blood increases in Polycythemia Vera
  • Elasticity of vessel wall (universally proportional to peripheral resistance):- Elasticity of vessel wall decreases in atherosclerosis.
  • Lumen of vessel (universally proportional to peripheral resistance):-Lumen of vessel wall decreases in Pheochromocytoma.

Process of examination: –

  1. The blood pressure instrument should be placed at a leveled surface at about the level of heart.
  2. Scale of the instrument should be at the level of the observer’s eyes.
  3. Patients should be at maximum mental and physical rest and sufficient time is to be allowed to recover from any recent exercise or emotional upset for which at least half an hour rest is given.
  4. Blood pressure is measured either in sitting or lying down positions.
  5. The upper arm is relaxed, extended and comfortably laid by the side of body. The arm is kept bare up to the shoulder.
  6. Width of the cuff should be 5” or 12 cm (in adult), 1”- 2” (in children) and 1” for infant while the length should be not less than 25 cm.

Application of cuff:-

  1. Cuff should be applied when fully deflected.
  2. The middle of the cuff from where two tubes come out should be on medial side.
  3. The lower border of the cuff should be applied 2-5 cm above the cubital fossa.
  4. The cuff should be close to the skin, neither loose nor folded.

Method of Noting Blood Pressure: –

A few salient points need to be mentioned about measuring blood pressure. A WHO study recommended the sitting position than the supine position for recording blood pressure. In any clinic a uniform policy should be adopted, using either the right or left arm consistently.

There are certain indirect methods of recording the blood pressure. They are as follows:-

  • Palpatory method
  • Ascultatory method
  • Flush method – used mainly in infants
  • Oscillatory method.
  • Other methods like ultrasonic and tomometry methods.

In clinical practice both palpatory and auscultatory methods at the same time are applied for better, easy and accurate recording.

Techniques;
Slow rise of Hg level where the rise of pressure should be at the rate of 10mm of Hg. Bronchial artery is first palpated and then chest piece of stethoscope is placed lightly and accurately over it. After raising the pressure for about 30mm of Hg above the level of systolic pressure by palpatory method, the pressure is gradually reduced at the rate of 3mm of Hg per second and the findings are noted.

Phase I: – Highest point at which successive sounds are heard, become faint and tapping, thereafter growing louder—is systolic pressure by ascultatory method.

Phase II: – On further reduction of pressure there appears a phase of murmur, which is of short period and sometimes may be absent.

Phase III: – Clear and loudest phase of auscultative finding appears.

Phase IV: – Sound suddenly become dull and muffled– considered as diastolic pressure (by Korotkoff’s).

Phase V: – Highest level at which sound disappears completely is considered as the diastolic pressure by auscultation as per modern concept.

The systolic and diastolic pressures should be measured at least three times over a period of at least three minutes and the lowest reading recorded. For reasons of comparability, the data should be recorded everywhere in a uniform way. The ideal time for recording the blood pressure is early in the morning after awakening from sleep but not while still lying in bed.

Despite more than hundred years of experience with the measurement of blood pressure, discussion continues about its reliability and wide variability in individual subjects. Accurate measurements are essential under standardized condition for valid comparison between persons or group over time.

Three sources of errors have been identified in the recording of blood pressure. They are:-

  1. Observer Errors i.e. hearing acuity.
  2. Instrumental Errors i.e. leaking valve, and cuffs that do not encircle the arm properly.
  3. Subjects Errors i.e. the circumstances of examination. These include the physical environment, the position of the subject, external stimuli such as fear and anxiety etc. 

CLASSIFICATION OF HYPERTENSION 

On the basis of aetiological involvement hypertension can be classified into the following categories:-

  1. Primary or Idiopathic: due to almost unknown aetiology which may be further categorised into:-
  2. i) Essential hypertension: – This may be of two types:

(a)  Benign: – This is a most common type of hypertension which mainly occurs due to  familiar condition i.e. if both the parents are sufferers, chances are higher.

(b)  Malignant: – This occurs due to an untreated case of benign hypertension.

  1. ii) Toxaemia of pregnancy:-This is also considered as an essential hypertension.
  1. Secondary Hypertension; – This occurs mainly below the age of 30 years and may be due to the under lying causes:
  1. Renal Causes:–
  • Acute glomerulonephritis
  • Chronic glomerulonephritis
  • Chronic pyelonephritis
  • Polycystic kidney
  • Renal tumour
  • Renal artery stenosis
  1. Endocrinological Causes:–
    • Thyrotoxicosis
    • Cushing’s syndrome
    • Pheochromocytoma
    • Conn’s syndrome
  1. Neurological Causes:-
    • Cerebral tumour
    • Pseudo bulbar palsy
    • Bulbar poliomyelitis
    • Cerebro-Vascular Disease
  1. Metabolic Causes:-
  • Diabetes Mellitus
  • Chronic Gout
  • Atherosclerosis
  1. Iatrogenic Causes:-
    • Use of oral contraceptives pills
    • Prolonged steroid therapy i.e. in bronchial asthma
  1. Miscellaneous Causes:-
    • Coarctation of aorta
    • Psychogenic
    • SLE
    • Polyarteritis nodosa

Homoeopathic concepts regarding the aetiology of hypertension include certain predisposing factors which are responsible for the disease condition. It makes an individual susceptible to a disease process. It consists of accessory circumstances and genetic predisposition which is impregnated with the chronic miasmatic dyscrasia as psoric, sycotic and syphilitic. The pathology and clinical features will depend on the dominating miasmatic state of the patients.

CLINICAL FEATURES OF HYPERTENSION 

The symptoms of hypertension are usually variable and at times very vague. There may be no symptoms and the disease may be diagnosed accidentally during routine examination.

Due to a wide range of variability of clinical features of hypertension, it can be categorized into three stages:-

  1. Hypertension: – This may be mainly asymptomatic.
  2. Hypertensive disease: – During the attacks the symptoms are usually psychogenic but some common symptoms are also present such as:
  • Headache, often occipital and occurring in the morning
  • Easy fatigability
  • Insomnia
  • Lack of concentration
  • Loss of memory
  • Breathlessness
  • Occasional palpitation.
  1. Hypertensive disease with complications:-At a later stage as different target organs of the body are involved, various additional sign and symptoms may develop usually as a part and parcel of complication. The main target organs are heart, brain, kidney and eyes.

This occurs mainly secondarily due to involvement of the target organs and usually manifested by apparent signs such as:

  1. i) Flushing of face
  2. ii) Blood pressure > 150 / 90 mm of Hg and even more

iii) Pulse – mainly slow

  1. iv) Ophthalmoscopic Examination: – There will be retinopathy especially in chronic and malignant hypertension which has the following grades-
  •  Grade I – Thickening of wall of retinal artery and arterioles known as “silver wiring” of retinal artery and arterioles.
  • Grade II – There will be further thickening which leads to arterio-venous nipping resulting in compression of vein by artery.
  • Grade III – In addition to Grade I and Grade II, there may be haemorrhage and production of exudates known as ‘cotton-wool exudates’.
  • Grade IV – Palpilloedema with or without Grade I to Grade III changes.
  1. v) There may be palpable kidney due to malignant hypertension

COMPLICATIONS OF HYPERTENSION 

Acute Complications Chronic Complications
  • Cerebral haemorrhage
  • Angina pectoris
  • Hypertensive encephalopathy
  • Congestive cardiac failure
  • Subarachnoid haemorrhage
  • Coronary artery disease
  • Acute Myocardial Infarction
  • Chronic renal failure
  • Acute left ventricular failure
 

PROGNOSIS OF HYPERTENSION 

The prognosis of hypertension depends on the following factors i.e:

  • Degree of hypertension
  • Response to therapy
  • Degree of ECG changes
  • History of paroxysmal nocturnal dyspnoea and cardiac failure
  • Ocular changes
  • Degree of cardiac decompensation 

LABORATORY INVESTIGATION OF HYPERTENTION 

Routine investigation of the hypertensive patient should include:

  • Chest X-ray
  • ECG
  • Echocardiogram
  • Urinalysis
  • Fasting blood for lipids and glucose
  • Serum urea, creatinine and electrolytes 

If the urea or creatinine is elevated, more specific renal investigations are indicated such as: creatinine clearance, renal ultrasound and renal isotope scans. Low serum potassium may indicate an endocrine disorder, and aldosterone, cortisol and rennin measurements must then be made.

Clinical suspicion of phaeochromocytoma should be investigated further with measurement of urinary metanephrines and plasma catecholamine.

ECG may show evidence of coronary artery disease or left ventricular hypertrophy, although echocardiography is a far more sensitive method for detection of left ventricular hypertrophy.

The chest X-ray may show cardiomegaly or pulmonary congestion if heart failure is developing. Rib notching on the X-ray may be a sign of coarctation of the aorta and should be investigated further with an MRI scan. 

MANAGEMENT OF HYPERTENSION 

Unless the patient has severe or malignant hypertension, there should be a period of assessment. During the assessment period secondary causes of hypertension should be excluded, the target organ effect of hypertension should be evaluated, and any concomitant conditions (e.g.dyslipidaemia or diabetes) identified. The assessment period is in three stages-

  1. Repeated blood pressure measurement combined with advice
  2. Non pharmacological treatment
  3. Medicinal / pharmacological treatment
  1. Non pharmacological treatment and management depends upon the lifestyle modification and identification of risk factors. Hypertension is not only one of the major risk factors for most forms of cardiovascular disease, but it is a condition with its own risk factors. WHO has recently reviewed the risk factors for essential hypertension? These may be classified as:
  2. Non-modifiable risk factors:

(a). AGE:-Blood pressure rises with age in both sexes and the rise is greater in those with higher initial blood pressure. Age probably represents an accumulation of environmental influences and the effects of genetically programmed senescence in body systems.

(b). SEX:- Early in life there is little evidence of a difference in blood pressure between the sexes. However, at adolescence men display a higher average level. This difference is most evident in young and Middle Ages adults. Late in life the difference narrows and the pattern may even be reversed. Post-menopausal changes in women may be the contributor factor for this change.

(c). GENETIC FACTORS:- There is considerable evidence that blood pressure levels are determined in part by genetic factors, and that the inheritance is polygenic. The evidence is based on twin and family studies Twin studies have confirmed the importance of genetic factors in hypertension. The blood pressure values of monozygotic twins are usually more strongly correlated than those of zygotic twins. In contrast, no significant correlation has been noted between husband and wives, and between adopted children and their adoptive parents.

Family studies have shown that the children of two normotensive parents have 3 percent possibility of developing hypertension, whereas this possibility is 45% in children of two hypertensive parents.  Blood pressure level among first degree adult relatives has also been noted to be statistically significant.

Attempts to find genetic markers that are associated with hypertension have been largely unsuccessful. The detailed mechanism of heredity i.e., how many genes and loci are involved and their mode of inheritance have not yet been conclusively elucidated.

(d). ETHNICITY: – Population studies have consistently revealed higher blood pressure level in black communities than other ethnic groups. Average difference in blood pressure between the two groups varies from slightly less than 5 mm Hg during the second decade of life to nearly 20mm Hg during the sixth.  Black Americans of African origin have been demonstrated to higher blood pressure levels than whites.

  1. Modifiable risk factors:

(a). Obesity: – Reduction of weight in an obese person should be promoted. Over-weight has been seen in epidemiological studies to be an important risk factor for higher blood pressure, and there seem to be a linear relation between body weight and blood pressure. Clinical trials have shown that weight loss, especially when combined with dietary sodium restriction, lowers blood pressure in hypertensive and also in normotensive patients.

It is therefore important that all patients be advised to maintain weight near optimal by reducing calorie intake and increasing physical activity. Since sustained weight reduction is difficult to achieve, prevention of weight gain should be emphasized.

(b). Salt intake: – Dietary salt intake has a linear association with blood pressure. Reduced sodium intake to approximately 100mmol per day can prevent hypertension, can facilitate blood pressure control in elderly patients on medication and can potentially prevent cardiovascular events in overweight individuals. The data from these led to current recommendations to limit salt intake to 6 grams per day.

To reduce salt intake, individuals should consume food s low in salt and limit the amount of salt added to food. Food rich in salt, like pickles, processed food s, chips and chutneys, should be avoided.

 (c). Alcohol Consumption: – Over consumption of alcohol has both chronic and acute deleterious effect on blood pressure. The relationship between high alcohol intake (typically three or more drinks per day) and elevated blood pressure has been documented in many epidemiologic studies.

The several studies recommends  that alcohol intake should be no more than two drinks per day by men and one drink per day by women among those who drink. In view of other health benefits, alcohol consumption is not recommended for nondrinkers.

(d). Physical activity:- Regular exercise programs should be encouraged. Increasing aerobic physical activity such as brisk walking, jagging, swimming or bicycling has been shown to lower blood pressure. Significantly, this reduction is independent of any concomitant weight loss.

Physical activity has been shown to reduce systemic vascular resistance, most likely due to a decrease in the activity of the sympathetic nervous system. This is evidenced by lower plasma nor epinephrine levels in exercising indisuals compare to sedentary ones and also there is a decrease in plasma rennin activity. It is recommended that persons exercise for at least 30 minutes on most, if not all, days of the week.

(e). Other factors:-

(i) Saturated fat: Restriction of cholesterol (prefer vegetable oil instead of animal oil)

(ii) Dietary fiber: Several studies indicate that the risk of chronic heart disease and hypertension is inversely related to the consumption of dietary fiber.

(iii) Socio-economic status: Smoking and psychological factors should be avoided

(iv) Hyperlipidimic patients should be treated accordingly and renal and endocrinal disease should be managed properly.

(v)  Behavioral techniques, meditation and yoga should be promoted.

All these factors are considered as modifiable risk factors by WHO, because just modifying these can control a vast majority of hypertensive cases.

  1. Pharmacological treatment and management: The decision to commence drug therapy should usually be made only after a careful period of assessment. The aim of drug treatment is to reduce the risk of complication of hypertension which should be carefully explained to the patients.
  1. A. Individual Drug Response Approach: Homoeopathic treatment depends upon the symptom syndromes of the disease condition and individual character of the patients. As the disease is severe and related to severe complications, its management is also essential. There are certain drugs which may be helpful for the management of cases of hypertension with or without constitutional medicines depending upon the nature and degree of disease condition such as: 
  1. i) Natrum Muriaticum-Tachycardia with intermittent pulse < when lying down. Fluttering palpitation which shakes the whole body. This drug is recommended as the best remedy in high potency for essential hypertension where taking too much salt is the main etiological factor.
  1. ii) Rauwolfia Serpentina-This is known as a general remedy for hypertension. The recommended physiological dose is 10-20 drops three to four time a day as per necessity. This drug is more beneficial for systolic hypertension than the diastolic one. This drug is recommended as the best remedy for systolic hypertension where anxiety is the main aetiological factor.

iii) Convallaria Majalis– Palpitation from least exertion. Tobacco heart especially due to cigarette smoking. Hypertension with marked dyspnoea especially orthopnoea. This drug is recommended as the best remedy for diastolic hypertension where secondary cause is the main aetiological factor. From usual practice it has been found that this drug is effective in the cases of malignant diastolic hypertension even when the patient is taking modern antihypertensive drugs without satisfactory response (further research required).

iv) Baryta Muriatica– This drug is highly effective in systolic hypertension where arterio-sclerosis is the main aetiological factor. Increased tension of pulse where a high systolic pressure with a comparatively low diastolic pressure is attended with cerebral and cardiac symptoms.

v) Aurum Metallicum– Palpitation with rapid pulse. Hypertension due to arterio-sclerosis. According to William Boerick 30 potency is quite effective.

vi) Uranium Nitricum– Hypertension with degeneration of vital organs like liver and kidney. This drug is said to be effective in cases of diabetic nephropathy and hypertension. The therapeutic keynote symptoms are great emaciation, debility and tendency to ascites with general dropsy.

vii) Lycopus Verginicus – Lowers the blood pressure, reduces the rate of heart and increases the length of systole to a great degree. From usual practice it has been found that this drug is effective in cases of thyrotoxicosis where pulse pressure is high and heart action is rapid, in physiological dose (further research required).

  1. Repertorial Approach: Repertory is the dictionary of the homoeopathic literature where symptoms of materia medica arranged in a systemic way along with indicated medicines, and hypertension is the clinical condition occurring due to several underlying causes which may be manifested by several signs and symptoms as per their organic evolvement.

In homoeopathic literature several author of repertory has included hypertension as a direct rubrics in Generalities chapter and in other chapters also which may be controversial at the time with our philosophy, still we are coating the some important rubrics and authors for the professionals benefit if they can adopt.

i). Synthesis Repertory; This repertory is based on RADAR Software and compiled by Dr.Frederich Schroyen’s. As per Kentian philosophy there are general rubrics with drugs followed by sub rubrics and sub-sub rubrics with related drugs of hypertension which are as follows-

  • –Apoplexy; accompanied with: Glon, Op.
  • –Diabetes Mellitus; accompanied by: Sec.
  • –Dialysis from: Acon-f,adren, Ser-ang.
  • –Excessive: Toxo-g.
  • –hypertrophy; heart of from: Cratag.
  • –Lung complaints after: Nat-ox-acet.
  • –Nephrosis; accompanied by: Fuma acid.
  • –Nervous mechanism due to disturbed:Aur. M. N.
  • –Urine; albuminous: visc.
  • –Sudden-Adren,coffea.

ii). Concise Repertory of Homoeopathic Medicines by R S Phatak , threre is direct rubrics as Blood Pressure-High and list of some drugs and then sub rubrics as

  • –diastolic low, and –Bar-Mur.
  • –Sudden rise of- Coffea.

As per homoeopathic philosophy any drug can be indicative for the case depending upon the totality of symptoms, but those listed above have been given on the basis of personal work experience and research which may be helpful for the professional discipline.

BIBLIOGRAPHY

  1. Park.K.Park.’s Textbook of “Preventive and Social Medicine”.18th Edition.p.p.293-298.
  2. WHO (1996).ATechnRep.NO.862.
  3. Hart, JT (1980).Hypertension. Library of General Practitioner Series by Churchill Livingstone.
  4. Kumar and Clark, Clinical Medicine, Systemic Hypertension; 5th edit, p.p.729-736.
  5. British Hypertension Society Working Party (1993).Management guidelines in essential hypertension report of the second working party. British Medical Journal 306:983-987.
  6. Swales JD (1994). Textbook of Hypertension. Oxford: Blackwell Scientific.
  7. Boericke W. Pocket Manual of Homoeopathic Materia Medica & Repertory; B. Jain Publishers (P) Ltd. New Delhi. Reprint edit, 1994.
  8. Hahnemann S.Organon of Medicine, B. Jain Publishers (P) Ltd, New Delhi.1970.
  9. Dr.Schroyens’s Frederik.The Essential Synthesis (9.2E); Homoeopathic Book Publishers, London. Oct 2007, PP-1872.
  10. Dr.Phatak S K. A Concise Repertory of Homoeopathic Medicines-Alphabetically arranged; B. Jain Publishers (P) Ltd. New Delhi. June 2000, PP 38.
  11. Bhatt SP, Luqman-Arafath TK, Guleria R. Non-pharmacological management of hypertension. Indian J Med Sci 2007; 61:616-24.

ABOUT THE AUTHORS 

  1. Dr.Mohan Giri has done B.Sc (Hons) in bio-sciences from Varanasi and then BHMS (Hons) and M.D.(HOM) both from NIH, Kolkata. Thereafter he has worked as a Research Fellow at NIH and published several articles in different journals like CCRH Bulletin and Indian Journal of Physiology and allied Science, New Delhi and then NIH Bulletin and in National Homoeo Recorder. He worked as Lecturer in NSHMCH Bhopal. At present he is working as a Lecturer in the Department of Practice of Medicine at Mahesh Bhattacharyya Homoeopathic Medical College & Hospital Howrah (Govt of West Bengal).
  1. Dr. Rachna Goenka has completed her B.H.M.S. (Hons) from The Calcutta Homoeopathic Medical College and Hospital. Currently she is working as a Lecturer in the Department of Homoeopathic Pharmacy at Mahesh Bhattacharyya Homoeopathic Medical College and Hospital, Howrah (Govt. of West Bengal).

Nano Particles: Does it really resolve the riddles in homeopathy?

nanoHigh dilution researches negating Avogadro’s law 

Dr Arif Hussain T M
The greatest wonder in this universe would be HOMEOPATHY as it is the only therapeutic branch that is known to exist with hundreds of millions of users worldwide as their choice of treatment without knowing how actually is it working..!

The present scientific machinery has not succeeded in providing a convincing explanation that conforms to the existing scientific knowledge. Despite the huge number of benefits and experiences getting out of its use, the skeptics is calling it by the name of pseudoscience and as placebo effect.

The proponents of homeopathy goes behind every science reports with some hope to get an answer to this unresolved riddle. And the skeptics is waiting to get every other chance to ridicule it to stop it from entering into the next century as a therapeutic system. More and more countries are making their drug laws stringent to regulate practice of homeopathy and prevent the ‘damages’ caused by it.

So, the clock is ticking away. We are in the final hours to find a suitable and viable scientific explanation of what the “Biological mechanism of action is”, and to prevent ourselves from extinction as a medical field.

Recently the homeopathic community witnessed two major events, among which one was a heartbreaking news and the other one was a rejoicing discovery.

The Australian NHMRC report was the former one which after analyzing various clinical conditions treated using homeopathic medicines concluded that “There is no sufficient evidence to support homeopathy is effective in treating those conditions and it is dangerous to delay conventional treatment”. This was received with awe and serious discussions were held world over to save homeopathy.

The later event was a report about a discovery done by two prominent homeopaths in India, who repeated the IIT-Mumbai experiments and succeeded in finding out NANO PARTICLES of the starting original material and QUANTUM DOTS in the ultra high dilutions of homeopathic metal drugs. Now the whole buzz is about this NANO PARTICLES and is claiming that – “Atleast we have found something material in our potencies”, which for them it is really a moment to rejoice.

In this wake, I would like to examine some facts, based on fundamental science, regarding the exclamatory claims made in this reports.

Nano Particles in Organic sources of our drugs:
Do you know that our biochemical processes do not require to identify an element by its name? For example:

In the biochemical process of Thyroid Hormone synthesis, it requires electrons to form T3 and T4. We cal it as Tri-iodo-thyronine and tetra-iodo-thyronine. But the body choose to get its electrons from Iodine, which is the weaker element in the Halogen group – Fl-Cl-Br-I-At. Astatine is a rare radioactive element and is similar to Iodine in its properties.

Due to the heavy contamination of our food, water and air with the halogens group, there occurs more readily available electrons in abundance from Fluorine, Bromine and Chlorine, which overtakes the electron affinity of Iodine with thyronine molecule to take part in the T3 and T4 formation. The T3 and T4 molecules formed from highly reactive electrons of Fl and Br etc wont be biologically available in further Vital reactions. That is the reason why even though we are supplying Iodine in abundance, the body cannot take up it in presence of Fluorine and chlorine and leads to thyroid dysfunctions of various nature.

So it is clear that, body recognizes the elements by its electron affinity, reactivity and FUNCTIONAL GROUPS, not by its alphabets as we use.

Now comes the question of Nano particles.
It is obvious that the scientists have found out certain Nano particles of metal elements in our dilutions. But the rest of the story is not touched by them.

We know that, the majority drugs we use in our practice is from the plant kingdom – which comes to about 80% – 85%. If the nano particles is searched in these complex organic substances, how are they going to find the PARTICLES?

The properties a plant manifests is due to its nature of the ALKALOIDS and the FUNCTIONAL GROUPS present in them. If we study the structure of alkaloids we can see that – 4 ELEMENTS are common to all of them – viz., NITROGEN, CARBON, HYDROGEN, OXYGEN. Apart from these, trace amounts of other elements too may occur in the chemical structures, but in trace amounts.

So the question is, how can we find out NANOPARTICLES of GASEOUS ELEMENTS like NITROGEN, HYDROGEN, OXYGEN.

Is it possible to identify Nanoparticle of the alkaloid as such? If not and is only identifiable as individual elements – then what is the use of using all these different drugs? Just use these individual elements as medicines and save time and money?

Even though all the alkaloids have the same elements in its structure, the chemical and physical properties of the alkaloid structure is the deciding factor for the biological action. The alkaloids take part in vital reactions to affect the hormones, neurotransmitters, and enzymes to produce good and bad symptoms. All what happen inside is the electron and proton transport and ionic exchanges.

So the biggest question unanswered by this Nanoparticle theory is – How is it possible to explain the Active principle involved in homeopathic drug proving, Cure and the Biological Mechanism of Action of these NANOPARTICLES.

I fear those homeopaths who are over- enthused over the ‘nanoparticle discovery’ in homeopathic potencies, and sincerely believe that the ‘discovery’ has finally settled all questions of ‘scientific proof’ for homeopathy, have not carefully read the paper published by IIT-B team.

A PARAGRAPH FROM IIT-B PAPER:
“Another question that arises from our observations is how in spite of such huge dilutions the particles of the starting materials are retained even at 200c potency? 

The answer to this question could lie in the manufacturing process itself. We perceive that during the succussion process, the pounding of solutions against a rubber stop generates numerous nanobubbles as a result of entrapment of air and cavitation due to generation of ultra-sound waves. 

The particles of the starting material instantaneously get adsorbed on the surface of these bubbles and cavitations. This phenomenon could be similar to the mechanism of formation of Pickering emulsions, wherein the emulsified phase viz. air bubbles or liquid droplets are stabilized by a layer of particles. 

This nanoparticle-nanobubble complex rises to the surface and can be within a monolayer once the total metal concentrations are well below 1 ppm. It is this 1% of the top layer of the solution which is collected and added to the next vessel, into 99 parts of fresh solvent and the succussion process is repeated. This transfer of the top 1% layer in each step will ensure that once we reach below a certain concentration i.e. well within a monolayer, the entire starting material continues to go from one dilution to the next, resulting in an asymptote beyond 6c.”

The main points to be noted in the research are:

  1. during the succussion process, the pounding of solutions against a rubber stop generates numerous nanobubbles as a result of entrapment of air and cavitation due to generation of ultra-sound waves
  2. The particles of the starting material instantaneously get adsorbed on the surface of these bubbles and cavitations.
  3. This nanoparticle-nanobubble complex rises to the surface and can be within a monolayer once the total metal concentrations are well below 1 ppm.
  4. It is this 1% of the top layer of the solution which is collected and added to the next vessel, into 99 parts of fresh solvent and the succussion process is repeated. 

This observation and the doubt arisen of how the starting material remained in the high dilutions in spite of the ultra high dilution happening is worth noting. This doesn’t in any manner prove that avagadro law is false, but is hinting at other possible chances of how this happens. The scientists behind this study have given us a possible mechanism of how this can be retained. There also they haven’t made any hasty conclusion like “this retained particles are the active principle of homeopathic medicines”. But what did the homeopathic community chose to do?

If the observation is true, as per the IITB researchers, , then a few questions arises which are conveniently unaddressed by them and the homeopathic community alike. It is well proved that, the starting material is retained in the 1% upper layer of each advancing potency solutions. But it is a fact that, we as homeopaths is not using just the 1% top layer of the potency we purchase. But we even use the last drop of it in the bottle with immense results. Do you think the 99% solution remaining after transfer of “1% top layer” are discarded by the manufacturers? So the observations made is right, but the hastiness in drawing conclusions has brought unwanted confusions and controversies.

So if the findings of this IIT-B team is true, then we will have to admit that, our homoepathic drugs cannot be further called as SIDE EFFECT FREE, because if the potencies contain the above said NANO PARTICLES, then the question of NANOTOXICITY will have to be answered by these drug manufacturers and they will be bound to get certified as “CONTAINS NO NANOPARTICLES OF HARMFUL ELEMENTS AND IS FREE FROM NANO TOXICITY”.

Or else, if they are true, we will have to admit that, these GMP Certified drug manufacturers are not following the guidelines in potentisation and these particles are detected as CONTAMINANTS.

QUANTUM DOTS – is it worth finding?
The second finding in these studies are the presence of QUANTUM DOTS. They are trying to theorize that homeopathic drugs act by the power of these ‘quantum dots’ by  influencing genetic material.

  1. What exactly are these things called ‘quantum dots’?
  2. Why it is present in potentized drugs?
  3. Where from these quantum dots come in homeopathic drugs?
  4. What is the difference between molecules, nanoparticles and quantum dots?
  5. How these quantum dots are expected to retain the biological and medicinal properties of complex drug substances prepared from plant or animal sources, consisting of diverse types of chemical molecules?

‘Quantum dots’ are tiny particles or nanocrystals of a semiconducting material with diameters in the range of 2-10 nanometers (10-50 atoms). That means, quantum dots are nothing but ‘very small’ nanoparticles. (size of nanoparticles is 10-100 nanometers, and that of quantum dots is 2-10 nanometers). Quantum dots were discovered by Alexey Ekimov at first in 1981 in a glass matrix.

Although some pure elements and many compounds display semiconductor properties, silicon, germanium, and compounds of gallium are the most widely used in electronic devices. Elements near the so-called “metalloid staircase”, where the metalloids are located on the periodic table, are usually used as semiconductors.

What our ‘researchers’ detected in ultra-dilutions as QUANTUM DOTS are actually the SILICON particles detaching from mortars during trituration, and from glass vials during dilution and succussion . They will be most probably present in all homeopathic drugs. It is absurd to theorize that these SILICA particles or QUANTUM DOTS are the active principles of potentized drugs.

Homeopaths should understand, by saying homeopathic potencies contain “quantum dots” that can “influence genetic material”, they are opening doors for our skeptics to attack homeopathy by labeling it as a dangerous thing. Any drug that can “influence genetic material” will be looked upon by people as unsafe things to be used as medicines.

At the end, we can find that, neither the NANOPARTICLES nor the QUANTUM DOTS are not going to help homeopathy in any manner except bringing some serious MATERIAL DAMAGE to our long held position of being SIDE EFFECT FREE.

So let us do some homework in fundamental science and consult the science experts before hastily making any claims about scientificity of homeopathy.  The AIM of the researches done should be rewritten from just “FINDING SOMETHING MATERIAL”, because it is in the wrong direction by negating the very fundamental Avogadro’s law.

Homeopathy insecticides as a substitute for lethal fertilizers

plantFerozepur’s doctor invents Homeopathy insecticides as a substitute for lethal fertilizers.

A Ferozepur based doctor – Dr. J P Malhotra – have claimed to invent a “Homeopathy” insecticide which will increase the growth of the crop upto 30 per cent. While addressing the media persons in a press conference, Dr. Malhotra said that after the research of eight years, he had planned to launch his endeavor but due to an accident, all his hopes were met to dust.

He claimed that in 2011 Vinod Bhalla, the then Health Secretary of Punjab was fascinated to see his invention. Dr. JP claimed that his insecticide, which costs only Rs. 700 for an acre land, not only nourishes the crop but also take care of the fertility of the land.

Dr. Malhotra also confirmed that after using the mixture of his “homoeopathy insecticide” named “ST Zen” and “COC Vigoura” there will be no need to use urea or any other lethal fertilizers which shortens the life of land fertility.

He informed that a number of farmers belonging to village Mallanwala, Arif ke, Kulgarhi are already using this medicine/ insecticide with satisfactory result. He claimed that after using his medicine, the crops will have an extra growth of 30 per cent.

During interaction with with this Citizen Journalist , Dr. Malhotra confirmed that the product had been patented in 2011 but due to his accident, he could not properly do the marketing. However, its use in certain areas have increased the 30 per cent yield of the crops and in certain productive areas even more than that.

The product being a homoeopath based, has no side effect and it is the best substitute of lethal fertilizers, he added.

Read more at: http://www.merinews.com/article/ferozepurs-doctor-invents-homeopathy-insecticides-as-a-substitute-for-lethal-fertilizers/15906254.shtml&cp

90% People Trust Homeopathy : IMRB International study

pharmacyA study conducted by IMRB International across Mumbai, Bangalore, Hyderabad, New Delhi and Kolkata, shows 90 per cent of people perceive homeopathy as a trusted form of treatment and its usage is higher than any other form of treatment.

As per the survey conducted amongst the general public, it was found that 100% of people are universally aware about homeopathy and 92% perceive it as ‘reputed’ form of treatment. People use homeopathy mainly for backaches, gastro, skin and hair ailments.

Among homeopathy users, 91% are satisfied with the treatment and 93% are willing to recommend homeopathy to others due to higher satisfaction levels with their treatment.

Releasing the survey coinciding with the World Homeopathy Day being observed on April 10; Padmashri recipient for medicine (Homeopathy), Dr. Mukesh Batra – Founder and Chairman, Dr. Batra’s Healthcare said, “It is encouraging that more and more people are using homeopathy for its safe and effective results. It’s now being used as a first line of treatment in certain diseases.”

Mr. Sujai Mahadevan – Insights Director, IMRB International said, “It is interesting to know that 100% of people are universally aware about homeopathy and the usage of homeopathy treatment is higher than any other form of treatment. Experience among homeopathic patients is in the positive direction due to higher satisfaction levels towards homoeopathy which has resulted in higher advocacy ultimately signaling positive news for the homeopathy category.”

Homeopathy is the second largest system of medicine in the world today, according to World Health Organisation (WHO) and is used by over 600 million people worldwide. In India, over 100 million people depend on homeopathy for their health and wellness needs.

Homeopathy is practiced in over 80 countries and the global homeopathy market size is Rs. 26,000 crore (ASSOCHAM). France is the leading country where one-third of the French population uses homeopathic drugs. A survey of French pharmacists in 2004 found that 94.5 per cent reported advising pregnant women to use homeopathic medicines.

According to ASSOCHAM, the homeopathy market in India is worth Rs. 2758 crore and is growing annually at 30% and as per observers it is expected to grow to Rs. 5873 crore by 2017. Homeopathy users will increase to 160 million (16 crore) in the next 3 years from its current 100 million (10 crore) users. There are 185 homeopathic colleges and 20,000 new homeopaths are added every year.

http://www.prnewswire.co.in/news-releases/90-people-trust-homeopathy-499150651.html

Management of cerebral palsy with A –Z Homoeopathic Remedies

childDr Deepali Jaywant Pawar

Abstract – the article describes those homoeopathic remedies which are found useful in management of cerebral palsy .

Cerebral palsy is defined as a group of permanent disorders of the development of movement and posture , causing activity limitation that are attributed to non-progressive disturbances that occurred in developing fetal or infant brain. The motor disorders of cerebral palsy is accompanied by disturbances of sensation ,perception, cognition ,communication ,behavior and epilepsy and also by secondary musculoskeletal problems.

Cerebral palsy is a heterogeneous group of disorders also involving systemic alignment and musculoskeletal disorders along with brain damage .There are  4 different types of cerebral palsy are 1-spastic, 2-Athenoid , 3-Ataxic ,4- mixed cerebral palsy. Causes – prenatal anaemia ,infections, premature delivery, improper nutrition , but the major risk factor is hypoxic ischemic insult.

Management of cerebral palsy : A standard management is directed towards the physical impairments to maximize independence .The approaches are: Medical care (Neurology, Ophthalmology, orthopedic, Psychology and rehabilitation)  Surgery ,HBOT, Botulinum A toxin injection, Stem cell therapy.

Homoeopathy has holistic approach. The selection of remedy is based upon the theory of individualization  and symptoms similarity. Homoeopathic  remedies  can be selected to treat cerebral palsy  on the basis of cause,  condition, sensation and modality of the complaint .

Following  A to Z  Homoeopathic remedies are found useful in management of cerebral palsy.

  • Aethusa – epileptic spasms with clenched thumbs ,red face Eyes and Vision turned downwards, pupils fixed and dialtaed; foam at the mouth,jaws locked ,pulse small hard quick.
  • Belladona-acts upon every part of the nervous system ,producing active congestion ,furious excitement ,perverted special senses ,twitching,convulsions and pain.
  • Cuprum metallicum-convulsions with blue face and clenched thumbs . clonic spasms ,beginning in fingers and toes .paralysis of tongue imperfect stammering speech
  • Dolichos – can be used to prevent convulsions.
  • Eserine- slows action of heart and increses arterial tension; in ciliary spasm and spasmodic astigmatism due to irregular action of ciliary muscle .
  • Formica rufa –weakness of lower extremities. Paraplegia
  • Gelsemium – complete relaxation and prostration of whole muscular system with entire motor paralysis .Lack of muscular coordination ; confused ;muscles refuse to obey the will.
  • Hyoscyamus niger – Spasms without consciousness , spasm of children after anger of mother .very restless ,every muscle in the body  twitches,from eyes to the toes .
  • Indigo- action on the nervous system and of undoubted benefit in the treatment of epilepsy with great sadness.
  • Jatropha urens sponge nettle – oedema and cardiac paresis
  • Kali bromatum-loss of sensibility ,fauces larynx ,urethra, entire body staggering ,uncertain gait,feels as if legs were all over sidewalk.incordination of muscles .Epilepsy congenital syphilitic .
  • Lyssin – convulsions from dazzeling or reflected light from water or mirror ;from even thinking of fluids of any kind ;from slightest touch or current of air.
  • Mythylene Blue- remedy for neuralgia ,neurasthenia .Tendency to tremor chorea and epilepsy .
  • Nux vomica –convulsions with consciousness < anger, emotion, touch ,moving
  • Opium – ailments : with insensibility and partial or complete paralysis ; that originate from fright , bad effects of the fear still remaining ; from charcoal vapors, from inhaling gas ; of drunkards .spasm of children from approach of strangers ,from nursing after fright of mother ,from crying .eyes half open and upturned .
  • Plumbum – Muscular atrophy from sclerosis of spinal system .spasms- clonic ;tonic; from cerebral sclerosis or tumor ; epilepsy or epileptiform convulsions .
  • Quinidine- paroxysmal tachycardia and auriculae fibrillation .heart is slowed and the auriculo –ventricular conduction time is lengthened .
  • Rhus toxicodendron- paralysis with numbness of an affected part ; from getting wet on lying on damp ground; paresis of limbs ; ptosis .
  • Stramonium- convulsions with consciousness ; renewed by slight of bright light ,of mirror or water .Twitching of single muscles or group of muscles ,especially upper part of the body ;chorea.
  • Tarantula – constant movements of the legs , arms, trunk with inability to do anything ; twitching and jerking of muscles .hyperaesthesia ; least excitement irritates followed by languid sadness.
  • Upas tiente – Produces tonic spasms ,tetanus and asphyxia.
  • Veratrum viride- child trembles ,jerks ,threatened with convulsions ,continual jerking and nodding of the head .convulsions ,dim vision ; basilar meningitis ;head retracted ; child on verge of spasms . Cerebrospinal diseases with spasms ,dilated pupils ,tetanic convulsions ,opisthotonos ; cold clammy perspiration.
  • Wyethia- Nervous ,uneasy depressed . Dizzy .Rush of blood to head . pain in back ,extends to the spine .aching pains all over .
  • Xanthoxylum – paralysis especially hemiplegia .left sided,numbness of left side ,impairment of nerves of motion . pain in nape ,extending down back. Anterior,crural neuralgia.
  • Yohimbinum- Excites  sexual organs and acts on central nervous system and respiratory centre.agitation with flying sensation of heat in face  Neurasthenic impotence.
  • Zincum metalicum – convulsions during dentition , with pale face ,no heat ,except perhaps in occiput ,no increase in temaparture ,rolling the eyes ;gnashing the teeth .automatic motion of hands and head ,or one hand and head .twitching and jerking of single muscles .

Above remedies can be prescribed on basis of diagnosis, sensation , modalities and concomitants present with the chief complaint .

Dr Deepali Jaywant Pawar
PG Scholar,Department of repertory
Dr G .D.Pol foundation’s  YMT homoeopathic medical college
Navi Mumbai

Indian Homoeopaths to dispel myths through scientific research

Research (1)Claims to have an effective medicine to prevent spread of the H1NI virus

India is in a grip of fear as the swine flu death toll touches 2,000 and over 33,000 people across the country test positive for the infection.

Even as medical scientists struggle to come up with a vaccine to prevent the further spread of the epidemic, homoeopaths claim to have an effective medicine to prevent the spread of the H1NI virus causing the influenza. “We were the first ones to come up with a preventive medicine for H1N1” claims Jayesh V Sanghvi, Vice-Chairman of the Global Homeopathy Foundation (GHF), an association of homeopathy practitioners in the country. According to him, homoeopathy has potential to even cure chronic diseases such as kidney failure. “Recently, we were referred a patient, whose creatinine level was rising at an alarming pace every other day and the patient was not responding to haemodialysis. But, after we started homeopathy treatment, his kidney resumed normal function in less than a month,” he explains.

For those who rubbish this system of medicine as not being scientifically proven, he explains why misgivings about homoeopathy may not be valid. First, homoeopathy medicine works on the human body unlike allopathy medicine, which acts on the disease causing organism. “For instance, in allopathy, when a patient suffers from pneumonia he is given specific doses of the antibiotic, which can kill the organism. In contrast, homoeopathy does not kill the organism but strengthens the body’s immune system to fight the disease naturally,” he explains.

Also, there is practically no side-effect with homoeopathy, he claims. “But, allopathy medicines which are chemical compounds can also kill few good cells, in the process of destroying the organism causing the infection and thereby weaken the immune system,” says Sanghvi. The other key distinguishing feature of homoeopathy is that it is a personalised treatment regimen, unlike allopathy which is largely standardised.

“Hence, it is difficult to have common medicine for specific ailments. Consider pneumonia for instance; we have about 100 medicines and hence we analyse the patient’s nature, emotions, likes and dislikes before we recommend any drug,” he elaborates. The personalised feature of this treatment system makes it both an art and science.

“A report by the World Health Organisation, a couple of years back, quoted homoeopathy as the world’s second largest treatment system, next only to allopathy. Yet, negative perception about the effectiveness of homoeopathy prevails. We are trying our best to allay this,” says Sanghvi.

In fact, at the upcoming Global Homeopathy Summit in Mumbai (April 11-12), a first of its kind, researchers from across the globe will present scientific papers establishing the efficacy of homeopathy treatment regimens.

“Homoeopathy has survived the tug of war with modern medicine thanks to the support given by patients who have benefitted from this. But the time has come for us to integrate the two systems of medicines — allopathy and homeopathy — in the interest of the patients at large,” he hopes.

He cites instances where patients suffering from advanced stages of cancer were able to withstand chemotherapy and radiation better when they took homoeotherapy medication alongside allopathy

http://www.thehindubusinessline.com/features/pulse/homoeopathy-looks-to-dispel-myths-through-scientific-research/article7065613.ece

Seizure Disorder and its Homoeopathic Approach

homeo2Dr Heena Sayed
PG PART 1 YMTHMC

A seizure is a paroxysmal event due to abnormal excessive or synchronous neuronal activity in the brain.

The meaning of the term seizure needs to be carefully distinguished from that of epilepsy. Epilepsy describes a condition in which a person has recurrent seizures due to a chronic, underlying process.

A fundamental principle is that seizures may be either focal or generalized. Focal seizures originate within networks limited to one cerebral hemisphere (note that the term partial seizures is no longer used). Generalized seizures arise within and rapidly engage networks distributed across both cerebral hemispheres. Focal seizures are usually associated with structural abnormalities of the brain. In contrast, generalized seizures may result from cellular, biochemical, or structural abnormalities that have a more widespread distribution. 

Clinical Classification of seizures:

  1. Generalized:
    Tonic-Clonic
    Tonic
    Atonic
    Absence(PetitMal)
    Myoclonic.
  2. Focal(partial)
    This may be:
  3. Without dyscognitive features
  4. With dyscognitive features

This may again be

  1. Motor
  2. Somato-Sensory or special sensory (olfactory, visual)
  • Autonomic (epigastric sensation)
  1. Psychic symptoms (fear, deja vu)
  2. Automatisms (smacking of lips etc).
  1. Partial becoming generalized i.e. Clinical or EEG evidence of focal discharge before, during or after the generalized seizure.
  2. Clinical recognition of a seizure: In a majority of situations the physician never has a chance to see a patient during the fit. In such situations the evidence given by the by-stander attendant is the only clue.
  3. Make specific queries as follows:
    1. Did he fall and injure himself?
    2. Any tongue bite?
    3. Did he pass ;urine and wet his undergarment?
    4. Was he confused after the attack?
    5. Did the attack occur during sleep – if so, it almost definitely excludes hysterical causes. 

Differential Diagnosis of Seizures

Syncope: Vasovagal syncope, Cardiac arrhythmia, Valvular heart disease, Cardiac failure, Orthostatic hypotension

Psychological disorders: Psychogenic seizure,Hyperventilation,Panic attack

Metabolic disturbances: Alcoholic blackouts, Delirium tremens,Hypoglycemia,Hypoxia

Psychoactive drugs: (e.g.,hallucinogens)

Migraine:Confusional migraine,Basilar migraine

Transient ischemic attack (TIA):Basilar artery TIA

Sleep disorders:Narcolepsy/cataplexy,Benign sleep myoclonus

Movement disorders:Tics,Nonepileptic myoclonus,Paroxysmal choreoathetosis

Special considerations in children: Breath-holding spells, Migraine with recurrent abdominal pain and cyclic vomiting, Benign paroxysmal vertigo,Apnea,Night terrors, Sleepwalking 

Drugs and Other Substances That Can Cause Seizures

  • Alkylating agents (e.g., busulfan,chlorambucil)
  • Antimalarials (chloroquine,mefloquine)
  • Antimicrobials/antiviral -lactam and related compounds,Quinolones,Acyclovir,Isoniazid,Ganciclovir
  • Anesthetics and analgesics:Meperidine,Tramadol,Local anesthetics
  • Dietary supplements: Ephedra (ma huang),Gingko
  • Immunomodulatory drugs:Cyclosporine,OKT3 (monoclonal antibodies toT cells),Tacrolimus,Interferons
  • Psychotropics: Antidepressants,Antipsychotics,Lithium
  • Radiographic contrast agents:Theophylline
  • Sedative-hypnotic drugwithdrawal:Alcohol,Barbiturates (short-acting),Benzodiazepines (short-acting)
  • Drugs of abuse:Amphetamine,Cocaine,Phencyclidine,Methylphenidate
  • Flumazenil benzodiazepine-dependent patients

Causes of Seizures

Neonates (<1 month):

Perinatal hypoxia and ischemia, Intracranial hemorrhage and trauma, Acute CNS infection

Metabolic disturbances (hypoglycemia,hypo calcemia, hypomagnesemia, pyridoxinedeficiency),Drug withdrawal

Developmental disorders,Genetic disorders

Infants and children (>1 month and<12 years):

Febrile seizures, Genetic disorders (metabolic, degenerative, primary epilepsy syndromes), CNS infection

Developmental disorders,Trauma,Idiopathic

Adolescents (12–18 years):

Trauma, Genetic disorders,Infection

Older adults (>35 years):

Brain tumor, illicit drug use, Alzheimer’s disease and other degenerative CNS diseases,  Idiopathic

Young adults (18–35 years):

Trauma,Alcohol withdrawal,Illicit drug use, Brain tumor,Idiopathic,Cerebrovascular disease,Brain tumor, Alcohol withdrawal, Metabolic disorders (uremia, hepatic failure,electrolyte abnormalities, hypoglycemia, hyperglycemia)

STATUS EPILEPTICUS
Status epilepticus refers to continuous seizures or repetitive, discrete seizures with impaired consciousness in the interictal period. Status epilepticus has numerous subtypes, including generalized convulsive status epilepticus (GCSE) (e.g., persistent, generalized electrographic seizures, coma, and tonic-clonic movements), and nonconvulsive status epilepticus (e.g., persistent absence seizures or focal seizures, confusion or partially impaired consciousness, and minimal motor abnormalities). The duration of seizure activity sufficient to meet the definition of status epilepticus has traditionally been specified as 15–30 minutes.  For GCSE, this is typically when seizures last beyond 5 minutes.

GCSE is an emergency and must be treated immediately , since cardiorespiratory dysfunction, hyperthermia, and metabolic derangements can develop as a consequence of prolonged seizures, and these can lead to irreversible neuronal injury.

Diagnosis
In persons suffering from epilepsy, the brain waves, electrical activity in the part of the brain called the cerebral cortex, have a characteristically abnormal rhythm produced by excessive electrical discharges in the nerve cells. Because these wave patterns differ markedly according to their specific source, a recording of the brain waves, known as an electroencephalogram (EEG) is important in the diagnosis and study of the disorder. Diagnosis also requires a thorough medical history describing seizure characteristics and frequency.

Treatment
There is no cure for epilepsy in allopathy but symptoms of the disorder may be treated with drugs, surgery, or a special diet. Drug therapy is the most common treatment-seizures can be prevented or their frequency lessened in 80 to 85 percent of cases by drugs known as anticonvulsants or antiepileptics. Surgery is used when drug treatments fail and the brain tissue causing the seizures is confined to one area and can safely be removed. A special high-fat diet known as a ketogenic diet produces a chemical condition in the body called ketosis that helps prevent seizures in young children. Like any medical condition, epilepsy is affected by general health. Regular exercise, plenty of rest, and efforts to reduce stress can all have a positive effect on a person with a seizure disorder.

First aid for generalized seizures involves protecting the individual by clearing the area of sharp or hard objects, providing soft cushioning for the head, such as a pillow or folded jacket and, if necessary, turning the individual on the side to keep his or her airway clear. The individual having a seizure should not be restrained and the mouth should not be forced open-it is not true that a person having a seizure can swallow the tongue. If the individual having the seizure is known to have epilepsy or is wearing epilepsy identification jewelry, an ambulance should only be called if the seizure lasts longer than five minutes, another seizure closely follows the first, or the person cannot be awakened after the jerking movements subside.

Some Of The Acute Seizure Therapeutics Is Described As Follows:

Agaricus Muscaris.
Seizure caused due to bad effects of sexual excess, alcohol, debauch or suppressed excess. Twitching and trembling, jerking of the whole body with chore. Delirium with constant raving. Involuntary movements while awake, ceases during sleep. Chorea of single muscle with dancing of whole body. Great mental excitement with incoherent talks. Stumbles over objects.

Argentum nitricum:
The strong indications for Argentum-nit in epilepsy is that for days or hours before an attack the pupils are dilated. After the attack the patient is restless and has trembling of his hands. It is suitable in cases of epilepsy caused by fright or when they occur at the time of menstruation. Dr. Clarke states that this drug is called for in recent cases when the ailment is associated with digestive disorders and excessive flatulence. When belching is premonitory of fit Argentum-nit taken every half hour will prevent an attack. Additional leading symptoms are intense vertigo with uncoordinated movements, melancholy and timid disposition; averse to being alone, hurried in actions.

Artemisia vulgaris:
Artemisia vulgaris is another remedy which has been successfully used for epilepsy without aura , from fright or some violent mental emotion or after masturbation,after a blow on head, where the attacks occur in rapid succession, and also in petit mal, where the patient is unconscious only for a few seconds and then resumes his occupation as if nothing had happened. Attack is accomapanied by profuse sweating having peculiar cadaveric or garlic like odour.right side convulsed and left paralysed.

Belladonna :
Convulsions begin in the upper extremities and extend to the face, eyes and mouth; fits of short duration several times during the day and passing off suddenly. Moans constantly, subjective visual illusions and Hallucinations, Delirium, sees frightful images, furious; rages, bites, strikes, acuteness of all senses. Perversity wit tears

Bufo-rana:
The cause in bufo is masturbation or self abuse. Aura begins in sexual organ r from solar plexus. The attack usually occurs at night or during coition or at time of menses. The patient may or may not awake during the attack but when he does wake he will have violent headache. Convulsion usually followed by profound sleep.

The epileptic seizure and the status epilepticus give the clearest correspondence to the Bufo range of action. Again epilepsy is often found among the effects of self-abuse in young” (Clarke) Dr. Alfons Genkers considers Bufo as the number one remedy in epilepsy.

Calcarea-carb: The epilepsy of Calcarea has an aura spreading up from the solar plexus in which case the convulsions come on immediately: or it may be like a mouse running up the arm. Common causes in fright, suppressed eruptions, discharges and sexual excesses (Dr. Clarke). Dr. Farrington says that Calcarea-carb seems to be able to cure epilepsy, not so much the paroxysms themselves but to aid in the change of the constitution by which this dreadful disease may be cured. It follows Sulphur well. One is apt to think of Sulphur for the sensation of a mouse creeping up the arm, same symptom in both Sulphur and Calcarea and the causes are indicated above are also the same for both. Calcarea is particularly indicated if Sulphur does not cure or if the pupils do not dilate after the use of Sulphur. 

Causticum:
Causticum is useful in Petit mal, also when the patient falls while walking in the open air, but soon recovers. It is said to be useful when the attacks occur at new moon. Contaction of flexor tendon. It menstrual epilepsy and that occurring at puberty Causticum is the remedy.

Cenanthe crocata:
Perhaps no remedy in the materia medica more closely pictures epilepsy than Œnanthe. The reliable and practical symptoms calling for its use may be summed up as follows: Sudden and complete loss of consciousness; swollen livid face; frothing at the mouth; dilated or irregular pupils; convulsions with locked jaws and cold exremities. 

Cicuta-virosa:
This remedy produces congestion at the base of the brain and in the medulla oblongata. At first, the patient is rigid with fixed staring eyes, bluish face, frothing at the mouth and unconsciousness. Next there are series of shocks from the head through the body. The jaws are locked and the patient bites the tongue. These spasms are followed by profound exhaustion. There is frightful distortion of limbs and the whole body goes into odd shapes. Head is turned backwards and back is bent as in opisthotonos.

Delusion, thinks he is a child again Children have convulsions from worms. Convulsions extend from to circumference, from above downwards and hence it is opposite of Cuprum

Cuprum-met:
Convulsion here is caused by a blow on head or from getting wet. Aura begins in lower extremities and proceeds upwards. (from above down wards is citcuta ) In epilepsy calling for Cuprum we have contractions and jerking of the knees, fingers and toes. He falls with a shriek and during the attack passes urine and faeces. It is indicated when it begins with violent constriction in lower part of the chest or with contractions in the fingers that spread all over the body to all the muscles (Dr. Kent). The interictal phase is restless too. The attack usually occurs during the first part of sleep. Again Dr. Kent says “It is pre eminently a convulsive remedy. The convulsive tendency associated with almost every complaint that Cuprum creates and cures. It has convulsions in every degree of violence from the mere twitching of little muscles and of single muscles to convulsions of all the muscles. The earliest threatening are drawings in the fingers clenching of the thumbs or twitching of the muscles. Tonic contractions, the limbs being drawn up with great violence and it seems as if the frame would be torn to pieces by the violent contractions of the muscles everywhere”. Mostly aggravated at night, during new moon and full moon.

Helleborus:
During convulsion there is automatic motion of one arm and one leg. There is extreme coldness of the body, except in head or occiput which may be hot. The patient greedily swallows cold water; he bites the spoon, still remaining unconscious. The mouth is in chewing motion, corners of mouth sore,crackes and nostrils dirty. The patient bores his head into pillow and moves his head from side to side, beats the head with hand. The patient also constantly picks his lips, clothes or bores the nose with fingers. Convulsion is followed by stupefying headache. Forehead has wrinkled folds covered with sweat. Dull pain in occiput. Headache may be followed by vomiting.

Nux vomica: The characterizing feature of epilepsy is ‘Convulsions with conciusness’.Spasms with titanic Rigiity of nearly all muscles of the body, with interruptions of few minutes, during which the muscles becomes relaxed,pulse becomes soft and patient regain consciousness and speech, the spasm gets again renewed by slightest touch. Convulsions usually begins with slightest twitching of muscles of lower extremities and then of entire body to obtain an opisthotonus position with throwing back of head ,red face and closed eyes or else protruding though in some the body is drawn sideways. The body temperature doesn’t rises in nux as in cases as tetanus.

Patient are observed screaming ‘Hold me’ during convulsions.(Dr Clarke)

Stramonium: It is an important remedy in cases of epilepsy in children. There is convulsions with consciousness.(nux vom).They frequently wake up during night, screaming, terrified and do not recognize anyone around them (KR 12 :clinging child awakens terrified, knows no one, screams and clings to those near). Graceful rhythmic movement of upper extremities or upper part of the body. Trembling, twitching and jerking movement of single muscle or group of muscles. Spasmodic contraction of throat.

There is fear of dark. At night they want to sleep with their parents like Phos and Puls (KR), Darkness agg; KR 43. Fear of dark: KR 62, light desire for). They would like to have a small light in their room. They are afraid of water; Hydrophobia. Especially afraid when their head gets wet; may not want water on the face; may not allow washing their hair. (KR 52 Hydrophobia; KR 48 fear water of). They are afraid of mirrors and light that shines in the mirror. At night they become panicky even by seeing their own reflections in the mirror. (KR 79 shining objects agg KR 30 Delusion objects, bright from KR 46 fear mirrors in room). One can find a lot of violence in children (KR 91 violent; KR 71 – rage, violent).

Whenever you find the combination of epilepsy, violence and fear of darkness consider Stramonium

Viratrum viride:
The main etiopathogenicity is congestion here. Intense congestion, almost apoplectic . Hot Head, Blood shot eyes, boted livid face. Hippocratic face. Head retracted pupils dilated, double vision. Convulsive twitching of facial muscles. Meningitis.

Homeopathy-an option to Lifestyle Disorders

obesityNishant Jain

India over the past couple of years has seen an enormous rise in the incidence of lifestyle diseases, attributed to lifestyle changes adopted especially in urban India. It had been observed that lifestyle diseases are prevalent in developed countries, and of late, India has fallen prey. In the modern today, people consume junk and processed food, lead a sedentary lifestyle and also acquire unhealthy habits like smoking, alcohol consumption and poor sleeping patterns. Common lifestyle diseases include heart disease, cancer, Alzheimer’s disease, asthma, chronic liver disease, COPD, diabetes, stroke and osteoporosis . The risk of developing these diseases depends on various factors including the kind of work one does, the environment where the person lives, the kind of food consumed, amount of physical activity, and ones susceptibility to stress.. “Lifestyle diseases” are an epidemic and “causes a much greater public health threat than any other epidemic”, said Shanthi Mendis, the lead author of WHO’s Chronic Diseases Prevention and Management report. Non-communicable diseases (NCDs) killed 38 million people in 2012 — 16 million of them under the age of 70.

The term “lifestyle disease” by itself literally means a disease acquired depending on the lifestyle one leads.  This is encouraging in a way that if a person takes a step towards changing his /her lifestyle his/her disease burden can be greatly reduced but taking note that it has to be timely. Homeopathy is an important modality which can help lifestyle disorders and play a significant role in delaying the occurrence of lifestyle disorders and in management of these disorders. Homoeopathy cures patients by medicines whose efficacy has been established by proving the efficacy of such medicines on healthy human beings. Homoeopathy treats patients through a holistic approach and considers individualistic characteristics of the person along with the disease symptoms. The concept ‘law of similars’ was enunciated by Hippocrates , the father of medicine and Paracelsus, but it took Dr. Hahnemann to established this  law on a scientific footing despite the fact that he lived in an age when modern laboratory methods were almost unknown. Homoeopathic medicines are prepared from  plants, animal tissue, minerals and other natural substances, by a standard method called dynamisation or potentisation, which comprises of successive dilutions and succussions to raise the inherent curative power of the drugs to maximum. The medicines thus prepared through ‘potentisation’, attain their potential enhanced enormously to combat ailments while at the same time the absence of toxicity is assured.  The medicines are prescribed on symptom similarity of the drug and disease thus this needs a detailed interaction between the homeopath (Doctor) and the patient on the first consultation.

People who take constitutional homeopathic medicines which are given on basis of complete physical and mental makeup of the person significantly delay lifestyle disorders like diabetes, obesity and hypertension. This is especially significant in cases with a family history of hypertension, dyslipidemia and diabetes. Diagnosed cases of hypertension can be well managed with homeopathic remedies provided medicine is prescribed on the constitutional totality of the person and not specific disease based symptoms, the reason being that homeopathy is an individualistic based medical therapy where each patient is given a different remedy depending on his or her constitution.

Disorders like hypothyroidism, early diabetes, depression, mood disorders which are most common these days in urban areas can be controlled well with homeopathy without any side effects or the fear of dependency to a drug. The benefit of homeopathy is that when a person takes the right remedy not only does the disease being targeted is cured, but the overall immunity of the person is also boosted and their tendency to any other disease they are susceptible to, also reduces. Patients becomes less prone to diseases and infections and their stress management improves drastically, in the sense the triggers which increase the stress will  no longer cause stress and people remain healthier and stress free. Homeopathic medicines act at a much deeper level both at the physical and mental plane so as to bring a balance of the person’s physical and emotional health. Homeopathy also gives good positive results when administered as an adjunct to conventional medicine or any other line of therapy in complicated or late stages of these diseases where conventional medicine doesn’t have the complete key.

Similarly, obesity also a major health concern in India is an issue which requires management at multiple levels, with homeopathic medicines combined with lifestyle changes, the basic metabolic rate of the body can be regulated and obesity kept at check.

Homoeopathy is one medical science which is recognized by Indian Government’s and is a part of medical facilities being provided at national and state levels. Now a significant percentage of the people opt for Homoeopathy for their ailments. Besides, there is a vast infrastructure of hospitals, dispensaries, research institutions, medical colleges, registered medical practitioners and reputed pharmacies all over India. Homeopathic manufacturing is also become a very standardized manufacturing, as medicines are to be safe for use by patients.

People who opt for homeopathic treatment for a long term fall ill less often and over a period of time also become less prone to stress and feel healthier overall. If along with homeopathy, people make minor alterations to their lifestyle like adding some form of physical exercise on a daily basis , adding more of fresh fruits and vegetables to their diet, practicing yoga etc, diseases can be kept at bay for a very long time and they can live much healthier and longer. The earlier one starts on homeopathy better are the results for the same. Children who grow on homeopathy live much healthier lives and are less prone to diseases and have less absentee from school due to illness. So choosing homeopathy as a treatment option is recommended for better health.

Homoeopathy brings hopes amid Nagaland Swine flu scare

swine fluA noble-hearted doctor in Dimapur is playing her role in bringing a ray of hope to the panicked stricken people of Nagaland following the detection of Swine flu cases in the state. Dr. Rajani Sethi of Sethi Homoeo Chamber in Dimapur town has been distributing homoeopathic medicines to ward off the Swine flu. She has been giving Arsenicum Albul-30 free of cost since last Friday. “We have been distributing free medicines. It (medicine) has been sponsored by the Central Clinical of Research in Homoeopathic,” said Dr Sethi on Tuesday.

“We will be distributing the medicines as much as we can”, she assured. From Wednesday they will be dispatching the medicines to GBs for distributing in their own localities.

Meanwhile, speaking to Eastern Mirror, one anxious man waiting for the medicines said, “We have come all the way from Phek district just to get the medicines”.

The medical officer also said using homoeopathic medications had no side-effects. Therefore, the health authorities allowed Dr. Rajani Sethi the programme.[Source]

Homoeopathy – Official contacts across the Globe

contact-usHomoeopathy – Official contacts across the Globe

ECCH : The organisations listed immediately below this introduction represent the interests of professional homeopaths in Australia, Canada, Japan, New Zealand, and the United States and can be contacted for the services of trained and regulated homeopaths and for any other information on the practice of homeopathy in those countries.

AUSTRALIA
Australian Homœopathic Association
PO Box 7108, Toowoomba South, QLD 4350
Tel/Fax +61 7 4636 5081
Email: admin@homeopathyoz.org
Web-site: http://www.homeopathyoz.org

CANADA
Syndicat Professionnel des Homéopathes du Québec
1600 de Lorimier, suite 382
Montréal, Quebec H2K 3W5
Tel:1-800-465-5788 or 1-514-948-7544
Fax:514 5251299
Email: accueil@sphq.org
Web-site: http://www.sphq.org/

JAPAN
Japanese Homoeopathic Medical Association
2 – 30 – 14 Ikejiri, Setagaya-ku,
Tokyo 154 0001. JAPAN
Tel: +81 (0)3 5779 7411
Fax: +81 (0)3 5779 7412
Email: office@jphma.org
Web-site: http://jphma.org

NEW ZEALAND
New Zealand Council of Homeopaths
PO Box 51-195
Tawa, Wellington
Tel: + 64 (0)27 640 0792
Email: admin-nzch@xtra.co.nz
Web-site:http://www.homeopathy.co.nz/

UNITED STATES AMERICA
Council for Homeopathic Certification
PMB 187, 16915 SE 272nd Street Suite #100
Covington, WA 98042
Toll Free telephone: (866) 242-3399
Fax: (815) 366-7622
Email: chcadmin@comcast.net
Web-site: http://www.homeopathicdirectory.com/

HONG KONG
Hong Kong Association of Homeopathy (HKAH)
4/F,  Union Park Centre
771-775 Nathan Rd, Prince Edwards, Kowloon
Telephone: (852) 2384-1708
Email: info@homeopathyhongkong.org
Web-site: http://www.homeopathyhongkong.org/hkah

UNITED STATES AMERICA
North American Society of Homeopaths (NASH)
PO Box 450039
Sunrise, FL 33345-0039
Telephone (206)-720-7000
Fax: (208)-248-1942
Email: nashinfo@aol.com
Web-site:http://www.homeopathy.org

ARMENIA
Organisation for Classical Homeopathy
apt.127 , Vardanants str. 5A,
375010 Yerevan,
Tel: (374) 10 527227
Email: ocharmenia@mail.com
Web-site: http://www.homeopathy.am

BELGIUM
Liga Homeopatica Classica
Peter Benoitstr 21,
1040 Brussels
Email: info@ligahomeopatica.be
Web-site: http://www.ligahomeopatica.be

BULGARIA
Homeopathic Society of Bulgaria
97, Pirotska Str,
1303 Sofia
Tel: (359) 2 8229246
Email: bg_homeopathy@yahoo.com
Web-site: http://www.bghomeopathy.org

CROATIA
Croatian Association of Homeopaths
Baruna Trenka 4,
10000 Zagreb
Tel: (385) (0) 98 232-473
Email: homeopatija@homeopatija.hr
Web-site:  http://www.homeopatija.hr

CZECH REPUBLIC
Czech Association for Classical Homeopathy
Bratislavska 2,60200 Brno
Tel/Fax: (42) 577 945 873
Email: homeopat.komora@seznam.cz
Web-site: http://www.homeopathy.cz

DENMARK
Dansk Selskab for Klassisk Homöopati
Stevnsgade 5,
2200 KBH-N
Tel: +4528796339
Email: dskh@homeopati.dk
Web-site: http://www.homeopati.dk

FINLAND
Suomen Homeopaatit ry
Toinen Linja 3,
00530 Helsinki
Tel: (358) 40 4133 882
Email: toimisto@homeopaatit.fi
Website: http://www.homeopaatit.fi

GERMANY
Verband Klassischer Homöopathen Deutschlands e.V(VKHD)
Wagnerstraße 20,
89077 Ulm
Tel: (49) 731 407722-0
Fax: (49) 731 407722-40
Email: office@vkhd.de
Website: http://www.vkhd.de

GREECE
Homeopath’s Association of Greece
Aristotelous 44
10433 Athens
Tel: (30) 1 0 8815659
Fax: (30) 1 0 8211431
Email: info@homeopathy-greece.gr
Web-site: http://www.homeopathy-greece.gr/index_en.htm

IRELAND
Irish Society of Homeopaths
1st.Floor, Marine Court Centre,
Malahide, Co. Dublin
Tel: (353) 1 816 8830
Email: ishom@eircom.net
Web-site:http://www.irishhomeopathy.ie

ITALY
Corporazione Omeopati Hahnemanniani
Via Gian Carlo Passeroni N.6
Milano 20135
Tel: (39) 2 58307892
Fax: (39) 58304674
Email: info@corporazioneomeopati.org
Web-site: http://www.corporazioneomeopati.org

REPUBLIC OF MACEDONIA/FYROM
Alliance of Homeopathic Associations of Macedonia
bul. ASNOM br.24,
Skopje1
Email: emimila@hotmail.com

MALTA
Malta Association of Homeopaths
4B Orchidea Daniel Cely Str.
Tarxien 2300
Tel: (356) 21802733
Email: mcutajar@maltanet.net
Web-site: http://www.homeopathy.org.mt/

NETHERLANDS
Nederlandse Vereniging van Klassiek Homeopaten
Nieuwstraat 33,
Postbus 710
2400 AS Alphen aan den Rijn
Tel:(31)172 499595 Fax: (31) 172 499695
Email: info@nvkh.nl
Web-site: http://www.nvkh.nl

NORWAY
Norske Homeopaters Landsforbund
Rådhusgt. 26,
0151 Oslo
Tel: (47) 22 33 27 77
Email: nhl@c2i.net
Web-site: http://www.nhl.no

POLAND
Polskie Stowarzyszenie Homeopatów Praktyków
J. Kossaka 2/11
80-249 Gdansk
tel.: (48) 58 345 1979
Email: homeopatia.roman@wp.pl

PORTUGAL
Associaçâo Portuguesa de Homeopatia
Avenida Sao Joao de Deus, número 15 – Primeiro esquerdo
1000-277 Lisboa
Tel: (351) 912361770
Email: aph.lxp@gmail.com
Website: http://www.homeopatia-aph.pt

REPUBLIC OF SERBIA
Association for Classical Homeopathy “Hahnemann”
Bul. Oslobodjenja 37,
21000 Novi Sad
Tel: (381 )21 451 567
Email: homeons@neobee.net
Web-site: http://www.udruzenjehomeopata.com

SLOVAKIA
Slovakian Homeopathic Association
Sevcenkova 4
85101 Bratislava
Tel & Fax: (421) 2 622 41966
Email: rada@homeopaticka-asociacia.sk
Web-site: http://www.homeopaticka-asociacia.sk

SPAIN
Asociación Española de Homeópatas Únicistas
Calle General Moscardó, local E
28020 Madrid
Tel: (34)  699 885 949
Email: info@aehu.es
Web-site: http://www.aehu.es

SWEDEN
Svenska Akademin för Klassisk Homeopati
Oxövägen 18
139 50 Värmdö
Tel: (46) 8560 31002
Email: info@sakh.se
Web-site: http://www.sakh.se

SWITZERLAND
Homöopathie Verband Schweiz
Postfach
CH – 9501 Wil
Tel: (41) 71 911 89 08
Email: info@hvs.ch
Web-site: http://hvs.ch/

UNITED KINGDOM
Alliance of Registered Homeopaths(ARH)
Millbrook, Millbrook Hill,
Nutley, East Sussex TN22 3PJ
Tel & Fax: (44) (0) 8700 736339
Email: info@a-r-h.org
Web-site: http://www.a-r-h.org

Homeopathic Medical Association (HMA)
7 Darnley Road, Gravesend
Kent DA11 0RU,
Tel: (44) 1474 560 336
Fax: (44) 1474 327431
Email: info@the-hma.org
Web-site: http://www.the-hma.org

Society of Homeopaths (SoH)
11 Brookfield, Duncan Close, Moulton Park,
Northampton NN3 6WL
Tel:(44) 845 450 6611
Fax:(44) 845 450 6622
Email: info@homeopathy-soh.org
Web-site: http://www.homeopathy-soh.org

Source : http://www.homeopathy-ich.org/

Scope of Homoeopathy in Common Dental Problems

smileBy Dr. R. Valavan, Manager – Scientific Affairs, Schwabe India
Dr. Willmar Schwable India

Dental problems like teething troubles, caries, tooth abscess, sensitive teeth, etc. can be either tackled with homoeopathic medicines or along with appropriate dental procedures. In many cases collateral dental procedure will help in sooner recovery. 

Introduction
Mammals including human, generally have two sets of teeth, which is called diphyodonts. They include 20 milk teeth which are temporary and 32 permanent teeth. Milk teeth are also called as deciduous teeth, baby teeth, reborner teeth, etc. Teeth are very essential to the human to chew the food to reduce the size of the particles. This is the first step in the process digestion. Maintaining dental hygiene is very important for many reasons. An infection in the gums and related tissues may affect the entire digestive system. Homoeopathy has both scope and limitations in dental problems.

Regular patients of homoeopathy usually seek treatment for their dental problems primarily from their homoeopaths. It is the duty of the homoeopath to give them right direction to get the appropriate treatment. There are many such dental cases which could be managed with homoeopathic drugs. In some cases intervention of dental procedures may be required collaterally. But there are cases which need only dental intervention. Role of a homoeopath primarily here is to refer the case to the dental surgeons at the appropriate time so as the case will not get complicated. This article tries to explore the scope and limitation of homoeopathy in common dental problems.

Dental problems amenable to homoeopathic treatment
Dental problems like teething troubles, caries, tooth abscess, sensitive teeth, etc. can be either tackled with homoeopathic medicines or along with appropriate dental procedures. In many cases collateral dental procedure will help in sooner recovery. Depending on the stage of the condition, severity of the symptoms, etc. a case is to be referred to dentists at right time. Delay in getting appropriate dental intervention may extend to complications.

Teething problem in children
This is a very common problem in children. The usual symptoms include irritability, diarrhoea, fever, etc. Efficacy of homoeopathy in teething problem is widely known. Calcarea phosphorica 6x, popularly known as CP 6x, is a house hold remedy in many countries for teething problem. Other drugs include Aconite, Belladonna, Calcarea carbonica, Coffea cruda, Cuprum metallicum, Hecla lava, Kalium bromatum, Chamomilla, Kreosotum, Podophyllum, Silicea, etc. If there are predominantly cerebral and nervous symptoms, Belladonna, Chamomilla, Helleborus and Zincum metallicum can be considered. In case of constipation and general irritation, Kreosotum is the remedy.

Premature caries and decay
These days parents’ concerns have increased about caries even in the nursery age. A study shows that higher economic group and the children living in cities have more of this problem at early age. Reason being the increased intake of sugar in the form of chocolate, cake, sweet, etc. followed by improper washing of mouth. This leads to the erosion of tooth enamel and subsequent decaying. Before giving homoeopathic medicines, these things to be educated to both the parents and children. Drugs useful in these cases are Acidum fluoricum, Calcarea phosphorica, Kreosotum, Mezerium, Plantago major, Staphysagria and others.

Tooth abscess
It is a collection of infected materials usually pus in the centre of the tooth. Bacterial infection is seen in people with weak vital force and in people who do not maintain proper hygienic measures. It reflect in the form of bad breath, fever, swelling, etc. Along with proper hygienic measures, drugs like Baryta carbonica, Hecla lava, Hepar sulphuris, Mercurius solubilise, Pyrogenium and Silicea would be helpful.

Sensitive teeth – sensitive to cold, chewing, touch
Improper cleaning of mouth leads to the formation of a plaque in the outer surface of the tooth. Over a period, an acid present in the plaque dissolves the enamel of the tooth which increases the sensitivity of the teeth. There could be other reasons for enamel erosion. These cases are usually managed with drugs like Chamomilla, Coffea cruda, Hypericum, Lachesis, Magnesium phosphoricum, Mercurius solubilise, etc. 

Fistula dentalis
Fistula dentalis usually forms at the root of the tooth, called as apex of the tooth. It is caused by infection, and subsequent abscess or cyst. Along with homoeopathic drugs, mechanical measures like root canal therapy, draining the abscess and removing the cyst. Drugs like Acidum flouricum,  Calcarea carbonica, Calcarea phosphorica, Cantharis (upper incisors), Cuasticum, Petrolium, Ratanhia, Silicea, Staphysagria and Sulphur are useful.

Odontalgia (toothache)
There are various causes for toothache, like tooth abscess, sinusitis, gingivitis, injury, earache, tooth decay, etc. Toothache includes pain in and around tooth. Depending upon the location, nature of the pain, modalities and other symptoms, any of the drugs like Agaricus, Ambra grisea, Belladonna, Borax, Bryonia, Carbo vegetabilis, Chamomilla, Cinchona, Causticum, Hyoscyamus, Kalium carbonicum, Kreosotum, Magnesium muriaticum, Mercurius solubilis, Mezerium, Natrum carbonicum, Nux moschata, Nux vomica, Phosphorus, Pulsatilla, Ranunculus bulbosus, Rhus tox, Sepia, Silicea, Staphysagria and Zincum metallicum can be chosen.

Gingivitis and Periodontitis
Gingivitis, inflammation of gums, is mainly due to long term effects of plaque deposits. If the plaques are not removed properly, it turns into harder deposit called tartar. Plaque and tartar inflame and irritate gums. Untreated gingivitis may end up with periodontitis i.e. inflammation of the ligaments and bones that support the teeth. Aconitum napellus, Ammonium carbonicum, Belladonna, Calcarea fluorica, Carbo animalis, Hecla lava, Hepar sulphuris, Kreosotum, Mercurius solubilise, Natrum muriaticum, Phosphorus and Silicea are few of the frequently used drugs in these conditions.

Thumb sucking
Though this is not directly covered in the present scope, it may result in the dental problems. Initially thumb sucking is a natural reflex for children. As infants get older it serves many purposes. Sucking on their thumbs, fingers, pacifiers or other objects may make babies feel secure and happy and help them learn about their world. Since thumb sucking is relaxing, it may help them fall asleep. However, after the permanent teeth come in, sucking may cause problems with the proper growth of the mouth and alignment of the teeth. It can also cause changes in the roof of the mouth. Some aggressive thumbsuckers may cause problems with their baby (primary) teeth. It can be overcome with certain homoeopathic drugs like Calcarea phosphorica, Ceanothus, Chamomilla, Mercurius solubilis, Natrum muriaticum, Natrum sulphuricum, Silicea and Sulphur.

Dental problems needing dentist’s help along with homoeopathic medicines

Dental cavities
Cavities or holes form in the tooth as a result of tooth decay. Though modern literatures indicate dental cavities and caries are similar, cavities form at the later stage. Once it is formed, it is not possible to get that revered by any medication. These cases can be referred to dentists for appropriate treatments like filling, crowns and root canal therapy.

Dental anomalies
There are many forms of dental anomalies. Depending upon location, shape, number of teeth, position of teeth, etc., there are many types of these anomalies. These days advanced dental surgical procedures and methods are available to correct these problems.

Breakage of teeth
There are many occasions where the tooth can break. In such cases, modern technology allows to have a duplicate tooth with substitutes similar to the tooth. Their life is also good with minimal side effects. Since medication cannot do anything in such cases, they can be referred to dentists for appropriate corrective measure.

Need for a mental health policy in Homoeopathy

brain2Dr. Ravi M. Nair
(President, State Medical Council of Homoeopathy & Former Advisor (Homoeopathy to GOI)
At Seminar on Homoeopathy in Mental Health at CRI (H), Kottayam, on 10th January, 2015

Respected Dr. Manchanda, Director General of CCRH, Dr. B. Venugopal, Clinical Supt., ANSS HMC, Dr. Alok Kumar, Joint Advisor to Govt., Ministry of AYUSH, Govt. of India, Dr. K.R.J. Nair, Asst. Director in-charge of CRIH, Kottayam, today’s learned faculty Dr. Ram Kumar, Dr. Mansoor Ali, Dr. Praful Barwalia, Dr. Ashok Sharma, Dr. Manoj Patel, Dr. Gopinathan, Dr. Bhuvaneswari, studious delegates from the teaching faculty of different colleges, Medical Officers, Practitioners, PG Scholars, Students, ladies and gentlemen.

At the outset, I would like to pay my respectful tributes to our Master Hahnemann and late Swamy Athuradas who took initiative to set up this CRIH here at Kurichy.

I feel equally proud and elated to be here to address you in connection with a “Seminar on Homoeopathy in Mental Health” here particularly when our Hon’ble Union Minister Shri. Shripad Naik visiting our prestigious institution. It may be noted that he is the maiden Union Minister holding an independent charge of a Ministry exclusively for AYUSH systems of medicine for the first time in India. It is undoubtedly a great fortune for the AYUSH systems.

The extent of sumptuous Plan funds being liberally enhanced into the multiples of four times does indicate that some drastic changes are going to be introduced for the speedy development of these systems of medicine. It is therefore up to the entire profession of these systems of medicine to rise above their limitations to do justice to this occasion to bring in all that is promotable in these medical disciplines.

It is highly befitting to see that such a seminar has been organized to highlight and elicit the tremendous scope of Homoeopathy in the field of Mental Health. I am highly indebted to Dr. Manchanda, Dr. K.R.J. Nair and the sincere staff of the CRIH for having been able to organize this seminar in an envious and triumphant manner within a short spell of time, for which I sincerely congratulate each of them. I also seize this occasion to congratulate the participants who are the teachers, and students of different colleges, medical officers of the Dept. of Homoeopathy, and general practitioners.

It will be a great ‘God sent’ moment for all the participants to be here to gain much from this seminar in their career as it is a unique one in the country. The faculties present here are talented and eminent personalities in the field of Mental Health. The topics dealt with here are also highly enlightening and useful to us in Mental Health.

Homoeopathy has a rich treasure of medicines for dealing with psychiatric disorders. Almost all the polychrest drugs have recorded numerous mental symptoms.

Aperusal of Allens Encyclopaedia of Materia Medica reveals that the mental symptoms are seen recorded chiefly under two headings viz. ‘emotional’and ‘Intellectual’spheres.

Again the drugs which are being used very often in the management of mental illness are possessing a large number of symptoms, say, in Stramonium with 275 symptoms.

Belladonna -270, Phosphorus 200, Nat. Mur. – 165, Hyocyamus -160, Lycopodium –

150, Ars Alb -150, Thuja – 135, Sulphur – 120, Aconite – 110, Nux. Vom-90, Veratrum

Alb -80, Lachesis – 70, Silicea – 60, Cal.carb -57, Ignatia – 45 and so on.

Kent’s Repertory has given more importance to the sphere of mind. He has used almost 95 pages to deal with the rubrics relating to mind. There are altogether 555 main rubrics with hundreds of sub rubrics in the chapter ‘Mind’. All this shows that Homoeopathy has a larger number of drugs for managing mental disorders than other systems of medicine.

Unlike other systems of medicine, Homoeopathy gives more importance to mental symptoms and their analysis in a unique way for prescribing medicines even to manage acute conditions. For prescribing Homoeopathic medicine in a holistic manner, every Homoeopath has to rely on the mental symptoms at an utmost level too.

For this, a special skill and precise knowledge are required to elicit, analyze and comprehend them in all their dimensions of behavioral changes in patients. The young Homoeopaths cannot be expected to have gone through such training in their basic medical education. This situation pre-supposes well trained teachers in the subject to cater to the needs of the students. In this perspective, the decision to participate the maximum number of teachers in the seminar is a well taken one.

The Dept. of Homoeopathy has been conducting a School Health Programme selecting a school in every district for the last many years. The learning disabilities, behaviour disorders, and habit disorders have also to be covered along with general physical ailements in this programme. Experiences have proved that there are very efficacious medicines in Homoeopathy to deal with such conditions. What it shows is that Homoeopathy has a significant role in moulding a healthy generation.

There is another praiseworthy programme, ‘Seethalayam’ going on in the Dist. Homoeo Hospitals in the State. This scheme is aimed at helping the vulnerable women folk suffering from psychic disorders arising from separation from husbands, family members etc., widows and other mentally tortured women. This programme finds out suitable Homoeo medicines for them and provides necessary counselling and legal assistance. The Medical Officers working in these programmes should also be given proper training. But we are lacking sufficient facilities to impart training and instill knowledge to the medical officers and teachers.

Though an MD programme in Psychiatry has been launched at national level, it has come no-where near managing the affairs owing to the dearth of fully arranged Psychiatric wards attached to those Homoeo Colleges.

The only mental health hospital in Homoeopathy in the country which has got necessary infrastructure according to the mental health Act is the one here where only research and treatment are done. There are no arrangements here to conduct a training programme for teachers, medical officers, practitioners, PG scholars, paramedicals who are being engaged in the mental health activities.

According to new mental health policy adopted in the State in the year 2013, more stress has been given to mental health care. What is given to these patients is Allopathic drugs only. There are drug resistant patients and those who have discontinued medication because of unaffordability and after being fed up with the drug reactions besides a host of other patients suffering like any thing. Even under such situation, no steps have been taken to include Homoeopathy which is renowned for its salient features like safe, simple, gentle, and affordable medicine. It should have been given a chance to assess and assert its efficacious results.

Homoeopathy can come in to the rescue of the alcoholics for de-addicting them with its effective medicines. If the Govt. is sincere in this regard, they can very well utilize the Homoeopathic treatment sucessfully. All these blessings of our medical science have to be brought into the knowledge of the authorities and the public. The studies going on here at present are also poised to this end.

The discussions and deliberations transpired in the seminar will be of immense impact on the mind of the Hon’ble Union Ayush Minister so as to impress him to include Homoeopathy also in the mental health care particularly in the wake of revising the National Health Policy.

In the absence of adequate facilities available for research, treatment, training and studies in mental health in Homoeopathy elsewhere in the country, this Institute demands to be upgraded as the National Institute of Mental Health in Homoeopathy.

I wish to conclude my words with a prayer to the effect that this seminar may pave way for achieving our cherished aim assuring Homoeopathy its deserved role in mental health care. With these words, let me declare open the seminar.

Why Homoeopathy for New Born Babies up-to 1000 Days

children (4)Why Homoeopathy for New Born Babies upto 1000 Days
Dr Abhijit Chakma*, MD (Hom) 

Introduction
Care of babies of 0 – 1000 days age group is very much essential and important for whole entire human life. This is the time period which provides foundation for entire life. Babies in this age group are also called as newborn (1st 4 weeks), infant (1st year) and toddler (1-3 years) respectively. Between birth and age three, babies learn to roll, crawl, stand, walk and run. They learn to talk, joke, rhyme and sing. But the development does not happen in the same way, at the same time for all children. Some children will develop certain skills i.e. walking, talking faster or slower than others (Concept of ‘Individuality’ in Homoeopathy). These differences are very much normal or physiological. 

Importance of this age group in early period of life
The first three years of life is a period of incredible growth in all areas of a baby’s development. The mission is to ensure that all babies and toddlers have a strong start, good foundation in life. This is to promote good health, positive early learning experiences for all infants and toddlers, with special emphasis on those who are the most vulnerable to any disease and in need. This is the time period which provides the foundation for entire life.

Growth and development of children
Growth and development of children is a continuous and orderly process. There are specific periods in a child’s life when the rate of growth is steady, accelerates and decelerates. In the early postnatal period the velocity of growth is high, especially in the first few months. Thereafter, there is slower but steady rate of growth during mid-childhood.

Different terms in postnatal period-

  • Newborn- 1st 4 weeks after birth
  • Infancy- First year
  • Toddler- 1- 3 years
  • Pre-school child- 3 – 6 years
  • School age child- 6 – 12 years

General body growth: The general body growth is rapid during the fetal life, 1st one or two years of postnatal life and also during puberty.

The brain growth: At birth, the head size is about 65 to 70% of the expected head size in adults. It reaches 90% of the adult head size by the age of 2 years. Thus, the fetal phase and the first two years are crucial periods for brain development and thereafter for acquiring neuromotor functions and cognitive ability. By age 3, it has grown dramatically by producing billions of cells and hundreds of trillions of connections, or synapses, between these cells. This is the time to learn about the ways parents and caregivers can help children get off to a good start and establish healthy patterns for life-long learning.

The growth of gonad: Gonadal growth is dominant during childhood and becomes conspicuous during pubescence.

Early childhood mental health– Infant and early childhood mental health includes a full spectrum of social and emotional functioning. This ranges from the ability to form satisfying relationships with others, play, communicate, learn, and express emotions, to the disorders of very early childhood. Here one can find a range of resources for understanding this critical aspect of a young child’s development, and for identifying and treating mental health concerns. 

Play – There’s a lot happening during playtime. Little ones are lifting, dropping, looking, pouring, bouncing, hiding, building, knocking down, and more. And while they are having all this fun, they are also learning. They are learning how to solve problems (such as how to get the block tower to stand up) and discovering new concepts. They are experimenting with new roles and language during dress-up time, and figuring out how to use their bodies in new ways on the playground. Play is the true work of childhood.

Temperament & behaviour- Temperament describes how a child approaches and reacts to the world. It is her personal “style.”

It is to remember that development is not a race. What is most important- is tuning into child’s individual path, building on his/her strength and proving him/her with support when needed. Development unfolds within loving relationships; ones in which babies and toddler can explore, learn and grow. 

Factors affecting growth after birth
The growth of the child during postnatal life is determined by genetic potential other than internal and external influences. They are as follows-

  1. Sex: The pubertal growth spurt occurs earlier in girls.
  2. IUGR: About 20% of growth retarded newborns develop postnatal growth failure and short stature.
  3. Genetic factors: Both chromosomal disorders and other disorders related to gene mutation can affect growth. Chromosomal defects like Turner syndrome and Down syndrome manifest growth retardation.
  4. Hormonal influence: Normal development cannot proceed without the right milieu of hormones in the body throughout childhood and adolescence.
  5. Nutrition: Growth of children suffering from protein energy malnutrition, anaemia and vitamin deficiency states is retarded.
  6. Infections: Persistent or recurrent diarrhoea and respiratory tract infections are common causes of growth impairment.
  7. Trauma: Fracture of the end of bone may damage the growing epiphysis and thus hamper the skeletal growth.
  1. Parasitosis: Intestinal parasites (round worm) hamper growth.
  2. Other factors: These includes- A) Birth order of child, B) Birth spacing.

Social factors also contribute a major role in the development. Social factors like socioeconomic level, poverty, natural resources, climate, emotional factors, cultural factors, parental education play a vital role in the development of children.

Special care of some childhood disorders 

  1. Behavioural disorders-
  • Pica- This is defined as eating of non-nutritive substances such as plaster, charcoal, paint and earth for at least 1 month in such a fashion that it is inappropriate to developmental level. It is a common problem in children less than 5 years of age. Children with pica are at an increased risk for lead poisoning, iron-deficiency anaemia and parasitic infestations and should be routinely screened for these.
  • Food fussiness- Food fussiness is a common problem faced by parents of young children. However, many times it reflects an excessive need for control on the part of the parents about what the child eats. The best tragedy to improve eating includes establishing regular meal timings, ensuring a pleasant atmosphere, offering a variety of foods and setting an example of enjoying the same food themselves. Offering small servings at a time, reducing between meal caloric intake and not pressurizing or force-feeding the child to finish a pre-decided quantity of food is also useful.

Parents should engage their children in conversation about benefits of healthy and balanced diet and discourage intake of junk food.

  • Toilet training: Refusal to defecate in the toilet with development of constipation is a common problem in children. This leads to parental frustration and increased pressure on the child. If toilet training is begun arbitrarily by the parents before the child is developmentally ready to be trained, unnecessary power struggle between the child and the parents sometimes ensues. Toilet training should be started after two years of age when the child has spontaneously started indicating bladder and bowel fullness and is able to follow simple instruction. The general ambience should be conducive to learning and free from pressure. Parents should be advised for temporary cessation of toilet training and making a fresh beginning after some time. Consistently in the parents approach and positive reinforcement by praising and encouraging the child go a long way in producing a positive outcome.
  • Temper tantrums: From age of 18 months to 3 years, the child begins to develop autonomy and starts separating from primary caregivers. At this age they also develop negativism, that is, they do things opposite to what has been requested. When they cannot express their autonomy they become frustrated and angry. Some of these children show their frustration, opposition and defiance with physical aggression or resistance, such as biting, crying, kicking, pushing, throwing objects, hitting and head banging. This kind of behaviour reaches its peak during second and third year of life and gradually subsides by the age of 3 to 6 years as the child learns to control his negativism.
  • Parents should be asked to list situations where disruptive behaviour are likely to occur and plan strategies to avoid these (for example, ensuring that child is rested and fed before taking him along for a shopping trip). They should be calm, firm and consistent and not allow the child to take advantage for gains from such behaviour. During an attack the child should be protected from injuring himself or others. At an early stage, distracting his attention from the immediate cause and changing the environment can abort the tantrum. “Time out” procedure, i.e. asking the child to stay alone in a safe and quiet place for a few minutes (1 minute for each year of age with a maximum of 5 minutes) may be helpful. This helps the child to self-regulate his out-of-control emotional response. The reason for timeout should be clearly explained to the child. Timeout should be followed by time-in by welcoming him back into the social group with a hug and affectionate words.
  • Breath holding spells: Breath holding spells are reflexive events in which typically there is a provocative event that causes anger, frustration or pain and the child starts crying. The crying stops at full expiration when the child becomes apnoeic and cyanotic or pale. In some cases child may lose consciousness and muscle tone and fall. Breath holding spells are rare before 6 months of age, peak at 2 years and abate by 5 years of age. The affected children are often highly pampered by parents or grandparents. All their wishes, reasonable or unreasonable, are fulfilled, but once they are refused something or they are hurt physically or otherwise, they fell angry/ frustrated and exhibit breathe holding.

Both parents as also the grandparents if staying with the child should be counselled together. They should be asked to be consistent in their behaviour with the child.

  1. Habit disorders-

Include repetitive pattern of movements such as head banging, rocking of body, thumb sucking, twisting of hair and grinding of teeth. Such movements are seen frequently in normally developing children between the age of 6 months and 2 years and are benign and generally self-limited. These movements seem to serve as a means for discharging tension in the children or providing extra self-nurturance.

  • Thumb sucking- is normal behaviour in infants and toddlers. It peaks between the ages of 18 – 21 months and most children spontaneously drop the habit by 4 years of age. Before 4 years of age, parents should be reassured and asked to ignore the habit. If it persists beyond the age of 4 – 5 years, the parents should gently motivate the child to stop thumb sucking and praise and encourage him when he tries to actively restrain himself from sucking the thumb. Application of noxious agents over the thumb is useful as an adjunctive second-line treatment in motivated children. 
  1. Learning delay and disorders of communication-
  • Stuttering- It is a defect in speech characterized by hesitation or spasmodic repetition of some syllables with pauses. There is difficulty in pronouncing the initial consonants caused by spasm of lingual and palatal muscles. It is a common problem affecting up to 5% of children between 2 – 5 years of age. Parents of young child should be assured that stuttering during the phase of non-fluent speech between 2 – 5 years usually resolves on its own. 
  1. Major psychopathological disorders-
  • Autistic disorder- These children group are diagnosable by 18 months of age by their poor eye contact, inability to engage socially or emotionally with caregivers, delayed speech, stereotypical body movements, marked need for sameness and preference for solitary play. As primary management, intensive behavioural therapy should be started. 

General care at birth

  1. Prevention of infection- In every step of newborn care and for every person who comes in contact with neonates, the importance of maintaining cleanliness and asepsis cannot be overemphasized. A few simple and inexpensive ways to ensure this are-
  • Clean environment- One should follow the ‘5 cleans’ of birthing process, including clean hands, clean delivery surface, clean cord cut, clean cord tie and clean cord stump.
  • Hand washing for care-givers
  • Strict asepsis
  • No sharing
  • Parental education
  1. Drying and temperature maintenance- Immediately following delivery, if the mother and baby’s condition allow it, baby can be put on the mother’s abdomen in direct skin to skin contact and then dried as the cord is being cut. Alternately, baby can be carried to a preheated area or under the radiant warmer. One of the first steps after birth is through drying of body and especially the head, which constitutes a large part of the neonatal surface area. The vernix, the cheesy material stuck on newborn skin made of dead skin, hair and secretions, serves to conserve heat and protect the delicate newborn skin from environmental stress; no attempt is made to remove this. After examination, baby is wrapped in clothes including a cap, and given to mother to allow first breast feed and gain heat from mother’s proximity.
  1. Cord care- The umbilical cord is clamped soon after delivery without any undue haste or delay. One should not apply anything on the cord and avoid touching it.
  1. Eye care- Eyes are cleaned with sterile normal saline-soaked cloth, using separate edges or pieces for the two eyes.
  1. Vitamin K prophylaxis- Vitamin K is produced in the human body from bacteria colonizing the gut. In babies the relative absence of such microorganisms and the deficiency of vitamin k in breast milk predispose the baby to its deficiency, which may manifest as vitamin K deficiency bleeding with formation of subcutaneous hematomas, echymosis, mucosal bleeding and life threatening intracranial bleed. In order to prevent this, vitamin K should be given intramuscularly at birth in a dose of 1 mg to all babies 1 kg or more and 0.5 mg to those <1 kg.
  1. Nutrition- Breast milk is the best source of nutrition for infants until 6 months of age. Information regarding breastfeeding and its technique need to be discussed with the mother, both during antenatal and postnatal period, not just once but in every visit so that its importance is reinforced and all maternal concerns are addressed.

Common concerns during neonatal care

  1. Weight loss in 1st week– normally babies loss 8 – 10% of birth weight in the 1st week of life which is regained by 7 – 10 days age. Subsequently, there should be a gain of 20 to 40 gram per day.
  1. Crying during micturition– The sensation of a full bladder is uncomfortable to many babies who cry before passing urine and stop as soon as micturition starts. Crying during passage of urine as opposed to before, it should alert clinician to the possibility of urinary tract infection.
  1. Bathing- During the first week, till cord falls off, only sponging is recommended which can be given after the first 24 hrs of life. Later, bathing every 2 – 3 days is quite sufficient. One should ensure that the baby doesn’t get cold during bathing.
  1. Cosmetics- Babies have a sensitive skin and use of cosmetics should be minimized. Any oil except mustard oil can be used; massaging babies increases human touch and contact with baby and is beneficial.
  1. Redness around umbilicus- Umbilical cord normally falls off in 7 – 10 days and the wound heals in about 15 days. It should be kept dry, without any application or bandaging. Any redness or induration around the umbilicus or pus drainage from it should alert the clinician to omphalitis. Omphalitis starts as a local infection of the umbilicus, usually from unclean handling or application of unclean substances to the cord. It can spread to cause life-threatening systemic sepsis.
  1. Regurgitation- Babies commonly regurgitate small amount of curdled milk soon after feeding. This behaviour is normal and as long as the baby gains weight and passes urine 6 – 8 times a day it does not require any treatment other than reassurance.
  1. Frequent stools- During the first few days of life, the stool colour in breastfed neonates changes from green meconium to yellow seedy stools by the end of the week. In between, the stools appear loose and may cause unnecessary anxiety to the family. The stool frequency can increase to several times per day, and is attributed to the enhanced gastro colic reflex in neonates which results in the passage of small stools just after feeding. If the bay remains well hydrated, has no signs of sepsis, feeds well, passes urine 6 – 8 times per day and gains weight, there is no cause for concern. The parents should be reassured accordingly to allay their anxiety.
  1. Breast discharge- Under the effect of transplacentally transmitted hormones, the breasts of both boys and girls may get hypertrophied and may even secrete milk like fluid from the enlarged breast bud. Squeezing it, causes pain and may harm the baby, hence it must be avoided. It resolves spontaneously in a few days and should cause no worry.
  1. Rashes and skin feeling- Papular lesions on an erythematous base can be seen in many babies; dispersed over the trunk and face; these are commonly seen on day two or three of life. These lesions called erythema toxicum.
  1. Physiological jaundice- Almost 60% of normal newborn babies develop clinically detectable jaundice (>5mg/dl). Onset is usually on day 2 – 3 of life, reaching a peak on day 3 – 4 and subsiding spontaneously within 7 – 10 days. However, some babies this level can reach high enough to cause brain damage.
  1. Oral thrush- White patchy lesions on the oral mucosa and tongue that are difficult to wipe off and leave haemorrhagic points when removed suggest candidiasis. Neonatal period is the only time when candidiasis occurs in otherwise healthy babies.
  1. Diaper rash- Two types of diaper rash are seen, namely, ammoniacal and candidal. In ammoniacal diaper rash, skin creases are spread, red areas with or without blisters and painful. Whereas in candidal diaper rash, skin creases are primarily affected, red lesions with edges showing satellite lesions. In these cases, lesions should leave open and diapers has to be changed frequently along with application of zinc oxide for soothing effect.
  1. Eye discharge- Eye discharge is a common problem among neonates.

Few important steps towards care of baby after birth 

  1. Absolute breast feeding- Breast feeding is an ideal food for a normal neonate. It is the best gift that a mother can give to her baby. It contains all the nutrients for normal growth and development of a baby from the time of birth to the first six months of life. Ensuring exclusive breast feeding for six months has a potential to reduce under-5 mortality rate by 13%, by far the most effective intervention that are known to reduce newborn and child deaths. To accrue the maximum benefits, the breastfeeding must be exclusive, initiated within half an hour of birth, and continued through first six months after birth.

Benefits of breast milk
Nutritional superiority- Breast milk contains all the nutrients a baby needs for normal growth and development, in an optimum proportion and in a form that is easily digested and absorbed.

Carbohydrates– Lactose is in a high concentration in breast milk. Lactose helps in absorption of calcium and enhances the growth of lactobacilli in the intestine.

Proteins- The protein content of breast milk is low as the baby cannot effectively metabolize a high protein load. Most of the protein is lactalbumin and lactoglobulin (60%), which is easily digested. Human milk contains amino acids like taurine and cysteine which are necessary for neurotransmission and neuromodulation. These are lacking in lacking in cow’s milk and formula.

Fats- Breast milk is rich in polyunsaturated fatty acids, necessary for the myelination of the nervous system.

Vitamins & minerals- The quantity and bioavailability of vitamins and minerals are sufficient for the needs of the baby in the first 6 months of age.

Water & electrolyte- Breast milk has a water content of 88% hence a breastfeed baby does not require any additional water in the first few months of life even in summer months. The osmolality of breast milk is low, presenting a low solute load to the neonatal kidney.

Immunological superiority- Breast milk contains a number of protective factors which include immunoglobulin, mainly secretary IgA, macrophages, lymphocytes, lactoferrin, lysozyme, bifidus factor, interferin and other protective substances.

Other benefits- Breast milk contains a number of growth factor, enzymes, hormones etc.

Protections against other illness- Breastfed babies have a lower risk of allergy, ear infections and orthodontic problems. They have a lower risk of diabetes, heart disease and lymphoma in later life.

Mental growth- Babies who are breastfed are better bonded to their mothers. 

Benefits to mother- Breastfeeding soon after birth, helps uterine involution and reduces the chances of postpartum haemorrhage. It provides protection against pregnancy due to lactational amenorrhoea. Breastfeeding is most convenient and time saving. It reduces the risk of cancer of breast and ovary. Breastfeeding is the most effective way of shedding extra weight that mother has put on during pregnancy. 

  1. Immunization-
Age National Immunization Programme Indian Academy of Paediatrics (IAP) recommended
0 (at birth) BCG, OPV0 BCG, OPV0, Hep B1
6 weeks DPTw1, OPV1 (and BCG, if not given at birth) DPTw1/DPTa1, OPV1, Hep B2, Hib1
10 weeks DPTw2, OPV2 DPTw2/DPTa2, OPV2, Hib2
14 weeks DPTw3, OPV3 DPTw3/DPTa3, OPV3, Hep B3, Hib3
9 months Measles Measles
15-18 months DPTw B1/DPTa B1, OPV4, Hib B1, MMR1
18-24 months DPTw B1, OPV B1
2 years Typhoid
5 years DT B2 DPTw B2/DPTa B2, OPV5, MMR2
10 years TT TT
16 years TT TT
Pregnant women 2 doses of TT 1 month apart 2 doses of TT

Homoeopathy for new born babies
Homoeopathy is a reasonable alternative mode of treatment for the new born babies as well as for whole childhood period. Here common problems of children are highlighted altogether rather than focusing only on diseases of children up to 3 years. Various infectious diseases (bacterial, viral), parasitic infestations, nutritional disorders and other systemic disorders are effectively managed by homoeopathy. Homoeopathy can also bring about favourable results in various behavioural disorders, which affect children – e.g.  Nocturnal enuresis, phobias, hyperactive & sleep disorders etc.

Homoeopathy based on the Law of Similar and the successful application depends entirely on-

  1. The concepts of Individualization- To consider the total response of the organism to the unfavourable environment, expressed through Signs and Symptoms on three planes: Emotional, Intellectual and Physical.

While assessing total response fundamental importance given to the causative factors and to the peculiar characteristics of the ailment and patient, especially the mental aspects.

  1. Susceptible constitutions- To consider the hereditary influences and predispositions that play an important role in the genesis of illness.
  1. Has own exacting methodology of Case Taking.
  1. Has its own exacting method of preparation of drugs.

Periodic, regular health supervision for children is required to promote:

  • Optimal
  • Physical
  • Emotional
  • Intellectual growth and development.

Homoeopathy welcomes surgical measures when directed towards the removal of congenital malformations / structural defects producing mechanical impediments to the cure. Use of replacement therapy stands accepted as and when required for treatment.

Reasons why homoeopathy should be adopted for children

  1. Safe medicine
  2. Effective & quick in action
  3. Scientific & natural medicine
  4. Builds body resistance
  5. Child friendly
  6. Preventive for many diseases

Homeopathic treatment for children can be separated into two categories- (1) For acute conditions and (2) For chronic conditions. Homeopathy is successful in both categories. Single remedies achieve the best results. The treatment involves a through case recording and the prescription of a constitutional homeopathic medicine based on totality. The prescription may be a single dose of a high potency or a daily dose of lower or LM potency. Today, there are many paediatricians preferring homoeopathic treatment for the children and patients in various paediatric conditions due to its effectiveness and non-toxic actions.

Homoeopathy for various diseases of children
Homoeopathic medicines can effectively cure the diseases occurring due to infection, allergy, mental disorders and psychological aberrations, nutritional. It is also effective mode of treatment to avoid surgery, developmental disorders etc.

  • Common Newborn Problems-

Colic, fever, diaper rashes, sneezing & stuffy nose, thrush, common infections, jaundice, fever, constipation, watery eyes, vomiting, congenital anomalies etc.

  • Common Infant Problems-

Colic, fever, diaper rashes, stuffy nose, skin rashes, thrush, common infections, vomiting, diarrhoea & dysentery, colic, constipation, eye problems, spitting up, congenital anomalies etc.

  • Common Toddler Problems-

Asthma, acute trachea bronchitis, allergies, eczema, constipation, diaper rash, ear infections, head lice, skin rashes, toilet training problems, UTI, warts, colic, phobia, anaemia, bowlegs, flat foot, sleep problem, sibling-rivalry etc.

  • Common paediatric diseases that may require paediatric surgery include-

Cystic hygroma, esophageal atresia, tracheoesophageal fistula, hypertrophic pyloric stenosis, intestinal atresia, necrotizing enterocolitis, hirschsprung’s disease, imperforate anus, undescended testes, omphalocele, hernias, chest wall deformities, neuroblastoma, wilms’ tumor, liver tumors, teratomas, patent ductus arteriosus (PDA), atrial septal defect (ASD), ventricular septal defect (VSD)  etc.

Homoeopathic therapeutics of some common paediatric diseases (whereas totality of symptoms should not be ignored while making final choice of medicine) 

  • Common Paediatric Skin Rashes-
  1. Hives (Urticaria) and Angioedema- Antim Crude, Dulcamara, Apis Mel, Natrum Mur, Belledonna, Sulphur, Rhus Tox,Fragaria, Astacus Fluviatilis, Calcaria Carb
  1. Atopic dermatitis- C, Hep., Merc., Puls., Rhus-t., Sil., Staph., Sulph.
  1. Molluscum Contagiosum- Calcarea Silicata, Sulphur, Natrum Mur, Calcarea Carb, Psorinum, Tuberculinum, Silicea etc.
  1. Diaper Rashes- Sulp, Arsenic, Rhus tox, Merc Sol, Hep Sulph, Psorinum, Graph, etc
  1. Scabies- Asr, Sulp, Psorinum, Merc Sol, Rhus Vein, Rhus Tox etc.
  • Common Respiratory conditions-
  1. Allergic rhinitis / Sneezing and Stuffy Noses / Nasal Congestion / Cold, Flu and Seasonal allergies for children- Aconite, Belledonna, Bryonia, Heper – Sulph, Arsenic, Dulcamara, Allium Cepa, Sabadilla, Sangunaria, phosphorous etc.
  1. Bronchial Asthma- Arsenic Alb, Antim Ars, Antim Tart, Blatta, Sambucus, Ipecac, Adrenalin, Nat Sulph, Heper Sulph, Cassia Sof, Sulphur, Natrum Mur, Calcarea Carb, Bacillinum, Psorinum, Tuberculinum, Silicea etc.
  • Common problems of the G.I.T.:
  1. Food Allergy of children (Vomiting and Diarrhea)- Nux V, Carbo Veg, Arsenic Alb, China, Podo, Kurchi, Atista Indica, Ipecac, Bryonia, Camphor, Veratrum Alb, Puls, Nat Sulph, Croton Tig etc.
  1. Milk intolerance- Aethu, Cina, Jal, Nat. C, Sil.
  1. Pain Abdomen- A, Bell., Cham., Chel., Cupr., Dios., Mag-p., Nux-v., Plb., Puls., Stann., Stry., Verat.
  • Common eye problems:
  1. Conjunctivitis- Gonococcal- Aconite, Bryo, Bell, Apis, Puls, Nar Mur, Hep, Euph, Rhus T, Merc, etc.
  • Diseases of the Kidney:
  1. Nephritis and Nephrotic syndrome- Apis, Apoc., Aran., Cortiso., Merc. 
  • Anxiety Disorders- Constitutional treatment with psychotherapy and behavioural therapy is required. 
  • Diseases due to poor nutrition:
  1. Rickety child- Calc-p., Ph-ac., , Psor., Puls., Rhus-t., Sil., Staph., Sulph etc.
  1. Oral thrush- Borax, Heper, Merc, Phos, BB, Calc P, Condurango etc.
  • Developmental disorders:
  1. Bow leg- Calc. phos (Child slow in learning to walk, It is mainly due to defective bone mellowness)
  1. Diseases due to Chromosomal abnormalities like Mongolism / Down’s syndrome, Turner’s syndrome, Klinefelter’s syndrome need constitutional treatment.

Bibliography

  1. Boericke W. New manual of homoeopathic materia medica & repertory. Augmented ed. New Delhi: B Jain Publishers (P) Ltd; 2000.
  2. Dutta DC. Text book of obstetrics. 6th Kolkata: New Central Book Agency (P) Ltd; 2004.
  3. Ghai OP, Paul VK, Bagga A, editors. Essential paediatrics. 7th ed. New Delhi: CBS Publishers & Distributors Pvt Ltd: 2009.
  4. Hahnemann S. Organon of medicine. 5th New Delhi: B. Jain Publishers (P) Ltd; 2010.
  5. Internet searches at: zerotothree.org visited on 05/07/2013 at 15:30 hrs.
  6. Kent JT. Repertory of the homoeopathic materia medica. Indian ed. New Delhi: B. Jain Publishers (P) Ltd; 2006.
  7. Park K. Textbook of preventive and social medicine. 17th Jabalpur: M/s Banarsidas Bhanot; 2003.
  8. Schroyens F. Repertorium homoeopathicum syntheticum. 8.1 version. New Delhi: B. Jain Publishers (P) Ltd; 2001.
  9. Williams NS, Bulstrode CJK, O’Connel PR, editors. Bailey & Love’s short practice of surgery. 25th London: Edward Arnold (Publishers) Ltd; 2008.

*Address for correspondence:
Dr. Abhijit Chakma, MD (Hom)
Senior Research Fellow (H), Clinical Research Unit for Homoeopathy,
¼ Main Road, Colonel Chowmuhani, Krishnanagar, Agartala, Tripura, India
Pin code- 799001
E-mail: dr.abhijit24@gmail.com

Relative issues in Homoeopathy – points to ponder

impossibleRelative issues in Homoeopathy – points to ponder

Dr Niloy Adhikary

There are many variations in practice of homoeopathic medicines. Some are the strict follower of the organon of medicine, some partly follow the organon, some fail to follow  many thing because they fail to comprehend the teachings of organon, some interpret languages according to their capacity– some just use the homoeopathic medicine and apply to the patient according to their choice, some use specifics according to  the name of the disease, some trying to branding their practice, some use the term ‘advanced’ before their homoeopathy practice, some prefer to use the term ‘modern ‘for their technique of practice homoeopathy, there are many methods like classical method, Kolkata method(some call such) , Mumbai method, compilation method, patent method, potency mother tincture method, potency biochemic, mother method etc.

We can consider all these under two divisions – one group has their own formulas or approach of collecting symptoms to reach qualitative totality to reach remedy and practice according to the teachings of Organon .

Another group just matching remedy with the symptoms of materia medica and the patient if they think  this matching is not sufficient with one remedy, they select another remedy and gives both and repeat according to their ideology of practice and demands it is scientific.

Here question arises when single medicine cures or keeps patient better why we think for combination. Shall we ignore the basic principles of homoeopathy?

It is a matter to understand if we demand we are doing homoeopathy we must follow the basics of homoeopathy what organon advocated us. It is also a matter of concern there may be some terminology /ideas which may not be acceptable to all of us at present days (There is no problem if we want to explain some areas of organon with the advanced knowledge of present days for better understanding during discussion or conceptualize it with the present terminology/ideas without altering the basic theme) and there may remain little mistake or old conceptions but the basics of homoeopathy is infallible, what time says us. Most of the homoeopaths do not bother with these little errors nor so confuse with these which seem to be erroneous at present days.

But if we try to change the basic theme of homoeopathy in the name of modernization I think there is further chance to lose its glory, what we have seen in the past in America and England. It is also a matter to note integration with other pathy sometimes helps the patient but in most cases if we integrate it with other medicinal system by the name of holistic health, there is also chance of losing its brightness and sometimes it may not be beneficial to the patient, its effect may be hampered. Again there may be possibility of developing it as complimentary alternative medicine or homoeopathy may be hidden under the name of ‘integrated medicine’ in future what we do not want in our country.

I think combination of science, art and philosophy makes a system perfect. What we see in Homoeopathy.

We become happy when anybody tries to explain homoeopathy in the present scientific paradigm side by side we become unhappy when anybody criticize Hahnemann’s principles of practice of homoeopathy to uphold one’s own  view.

It is painful, sometime confuses the profession when they try to establish scientificity of homoeopathy according to their view & they call to discard stickiness to single medicine, minimum dose, some time advocate lifelong medicine (like allopathy), no need of high potency, one potency is sufficient for all diseases, below 12 C is not homoeopathy, it does not matter one drop or 1o drops or one globule or 8/10 globules or like that, no question of homoeopathic aggravation or medicinal aggravation, 50 millesimal potency is bogus, no question of suppression or palliation etc.etc.

Like cures like is the eternal law of nature–, what Dr. Hahnemann established and framed it as Homoeopathy. If anybody or any group calls to change all principles of homoeopathy and accepting only just one among the cardinal principles is not the total homoeopathy, because homoeopathy should be practiced on basis of the guide line of organon for the betterment of patient. We can say the term “homoeopathy” and the ideas relating to preparing (method of reducing the quantity of original drug substance and increase the quality by serial dilution or potentisation) medicine or practice is unwritten patented by the Dr. Hahnemann and the legal bodies of the homoeopathy across the world till date. All similar know ledges are the property of Dr. Hahnemann and Homoeopathy.

But, high jacking the knowledge of homeopathy (even partly) or materia medica and preparing the medicine or giving medicine by modifying some areas to establish own brand named therapy or preparing  by the allopathic pharmaceutical company following the homoeopathic rules of dilution without giving credit to homoeopathy is one kind of offence according to my opinion. Though In this case I think a law year’s opinion is more important than my opinion.

Little beat of similarity with homoeopathic principal many times give result. It is also the credit of homoeopathy but homoeopathy demands perfection.

Different opinions of practice homoeopathy demanding there protocol is more scientific, some are demanding there protocol‘s are superior.  Some are criticizing as Organon is old age book, so it essential to rewrite it.

Some saying, to satisfy the scientific community homoeopathy should be practice this & this way.

I don’t know which protocol is superior but those getting satisfactory result following the both 5th & 6th edition of organon. Are we doing wrong? Another question coming to my mind, what should be the main aim of practice of homoeopathy- satisfy the scientific community (? so called) or skeptics (I think it is impossible to stop  skepticism because if we satisfy one issue they will raise another issue due to their character )or satisfy the patient or cure or relief a case?

Now a day’s person has to take lifelong medicine & most of the doctors are in favor of such protocol.

But, the Homoeopathy is the fruit of lifelong perseverance of Dr. Hahnemann and the aim of this treating system is ultimately freedom from medication at one time.

Most say there is no harm in homoeopathy even in indiscriminate use. Here my opinion is there is possibility of harm by indiscriminate use of homoeopathic medicine what many of us observed in our practice life but if it is used following the basics of organon it is 100% safe.

Some are demanding it is essential to rewrite the organon , here the questions comes, is anybody entitled to do so? I don’t know. But if improved therapeutic knowledge comes with advantages in a view to keep healthier, safer, easier, more beneficial for the patient considering both short term and long term effect and fits with the basics of homoeopathy that may be accepted and may be included in the Syllabus of BHMS, and that knowledge also may be feed to every registered homoeopathic medical practitioner. Before including that we have to judge it from every corner following trial and error method in the research centre permitted by the Government. If someone or some organization shows interest or wish to support in new research work under approved research centers, I think there should be provision of incorporation under special criteria following the Govt. rule. ( I don’t know is there any such special provision or not under act), I think it is also to be judged – who, which group, his dedication, past history, motive, his business, honesty, experience, qualification, experiment details, politically biased or not etc everything.

Because Dr. Samuel Hahnemann has no intention to make business or financial benefit or any gain by establishing homoeopathy or writing organon except the welfare of mankind  , he became pained from the then prevailing method of treatment and he tested his invention with many patients and corrected his knowledge by seeing the nature, because nature tells us the truth. He had only intention to cure sick, keep man healthy physically, mentally &socially. Not to impose extra financial burden for keeping man healthy.

Everybody should keep it in mind that homoeopathy has one& only inventor unlike other pathy i.e. Dr. Christian Fredric Samuel Hahnemann.

Another matter , now a days in many chronic cases peoples are coming after allopathic or Ayurvedic etc treatment, some are agreed to taper off allopathy or Ayurveda after starting homoeopathic treatment according to doctors advice but some wish to continue both pathy though the ideology of different systems are different. Hence the medico legal issue may come in both instances if patient die. Because I think many medicines have some short term or immediate action/effect and also long term or late action/ effect.

These type medico legal issues may also come even following the most propaganda some advance/dialectic/Banerjee method/Saha method/Ram’s method/Sham’s methods etc. etc. If any harm occurs following these methods or during treatment and the circumstance proves it is due to application of homoeopathic medicine following those methods. In the court of law the expert homoeopathic physician or homoeopathic medical board/council under the Govt. supervision will support these methods or not? I am just putting the questions here. These questions arising as there are different ways to learn at the present era.

Every qualified rightly thinking homoeopathic doctor knows what to accept & what to discard.

In spite of that I think beginner homoeo doctors may confuse with different methods.

I think these questions should be shorted out. In our country the highest authority in homoeopathy is Central council of Homoeopathy, I think they can resolve all this issues if they want to take initiative. International community of homoeopathy should also concern all about these.

Homoeopathy is not a closed or archaic science

lab11Dr Suhana P Azis
Hahnemann and Homoeopathy w​ere​always ahead of contemporary science and time.

Homoeopaths ,come out of your shells,bask in the limelight ,show the world how our system perform wonder cures. Make it all evidence based ,well documented and scientifically chronicled. Its no big deal…just add documentation to your daily practice.

A lot of quality data is being generated by the Homoeopathy practitioners across India.

Central and State support for Homoeopathy is helping a big way in the public selecting this as a first line of treatment for health issues.

All our Government and Private Homoeopathic Medical colleges with IP/OPD facilities can contribute a lot in scientifically indexing the case studies by engaging in Central and state sponsored research schemes and the results thus observed can be brought out in national and international platforms and published in peer reviewed journals.

I personally feel ,Homoeopathy is practised with the utmost respect in India but a lack of scientific awareness among the practitioners and faculty is preventing the dissemination of information thus gathered.

A lot of collaborative and interdisciplinary researches are going on all over the world in the field of CAM(Complementary and Alternative medicine).

I urge our public and private practitioners to collaborate with prestigious institutes and universities by submitting feasible research proposals and these can be well co-ordinated with some scientific insight.

I am giving the following links which will give an insight into the quality work done all over the world and to feel motivated in being a part of it.

It includes the links to peer reviewed journals with good Impact Factor where articles related to Homoeopathy are published.Also links to some international platforms are also enlisted.

http://www.liebertpub.com/overview/journal-of-alternative-and-complementary-medicine-the/26/

http://www.homeopathyjournal.net/

http://www.britishhomeopathic.org/

http://www.feg.unesp.br/~ojs/index.php/ijhdr/index

http://chp.sagepub.com/

http://www.biomedcentral.com/bmccomplementalternmed

http://annals.org/(Highest impact factor)

http://www.iscmr.org/

ccrhindia.org/index.asp

http://www.homeopathyeurope.org/

Dr Suhana P Azis
Senior Research Fellow,
Central Council for Research in Homoeopathy,
Department of AYUSH, Ministry of Health and Family Welfare,
61-65 Institutional Area,Opp.D Block,
Janakpuri,NewDelhi.

Homeoprophylaxis:Human Records, Studies and Trials across the globe

disease1Homeoprophylaxis:Human Records, Studies and Trials across the globe

In the beginning…

Homeopathy’s ability to prevent as well as treat epidemic disease was first discovered in 1799 by Samuel Hahnemann, founder of Homeopathy, during an epidemic of scarlet fever in which he successfully use a matching homeopathic remedy to contain its spread in those he treated.

The prophylactic effects of Homeopathy were quickly picked up by other Homeopaths of the day and subsequently used with success in all of the great world epidemics. It is still employed in outbreaks and epidemics today – by people, communities and governments who have retained the knowledge and the will to use it. The following is a collation of some of those instances –  historical and current.

Chikungunya
In Kerala, India, a group of doctors distributed a homeopathic preventative for chikungunya. The results of the study showed that while over 73 % contracted chikungunya in the unprotected group, only 17% of the protected group contracted the disease.

Cholera

  1. Samuel Hahnemann prevented and treated cholera during the 1831 Asiatic cholera epidemic with three main remedies. Accounts can be read in Cure and Prevention of Asiatic Cholera.ii
  2. Dr Clemens von Boenninghausen treated and prevented “ untold”  numbers of cholera infections with the above remedies recommended by Hahnemann during the 1849 European epidemic. While a death rate of 54-90% occurred with conventional treatment, Boenninghausen’s patients had a mortality rate of only 5-16%.iii

1841-1854: Dr Charge, after producing a statistical table showing the difference in cholera mortality between homeopathic and allopathic treatment at the Convent Refuge at Marseilles, stated that once homeopathy was introduced prophylactically, no further cases were reported.iv

Download full report from across the globe

‘Target Super’ Homoeopathy Formula Paints a Healthy Picture

Medicines3KOCHI: A combination of sheer passion and committment is all what defines Dr Sreekumar, a homoeopath from Kottayam. The 40-year-old enthusiastic medico has become the talk of the town through a peculiar treatment method called ‘target super’ to cure challenging health disorders such as autism, learning disorders and diabetes.

Using his system of medication, the doctor is currently working hard to make Vijayapuram, a village in the district, devoid of disabilities through an ambitious project ‘Janivijaya’. Through his unique treatment mode the healthy characters of the patients are first identified and then boosted with continuous medication which in turn helps the disabled or disordered characters to improve. Also the district co-ordinator of Jyothirgamaya, a government project initiated by the Homoeopathy wing of Health Department, during 2013-14, Dr Sreekumar is quite optimistic about the varied possibilities of homoeopathy.

Recently, he has bagged a copyright of the Central Government for his invention of a set of 14 doctrines introduced in homoeopathy. The success of ‘Jyothirgamaya’ made him contemplate on Janivijaya. Launched in March, the project conducted surveys and medical camps to spot people with disabilities and disorders with the help of ASHA workers and anganwadi workers.

“When the doctor proposed the idea of ‘Janivijaya’ we felt a novelty in it,” said Vijayapuram panchayat president Baiju Cherukottayi.

In the Jyothirgamaya project conducted at St Mary’s School, Elamkulam, and NSS School at Karappuzha, to detect challenging disorders among students such as learning disabilities, 320 of the 325 cases proved successful.

“Many students with acute learning disorder gave amazing results in the board exams after the treatment,” says Dr Souda, who was part of the seven-member team. The team also included senior practitioners like Dr Roy Zachariah who is the state coordinator of Jyothirgamaya,  Dr Sasidharan, Dr Jayamol, Dr Jaya David and Dr Roselin.

The ‘miracle homoeopath’ has achieved positive results in cases of ‘absent uterus’ and ‘absent thyroid’ through stem cell generation, an area which remains unexplored by the practitioners. Kailas, who works in a private company in Kochi, recalled Sreekumar’s expertise as his wife had a miraculous escape from a fatal polymyositis condition. “We were totally disheartened as the case was rejected by all the doctors from various streams. We were expecting the worst scenario and then we heard about the homoeopath. Surprisingly, within the first week she showed tremendous improvement after taking Sreekumar’s prescription. Now it is the fourth year and my wife is happily leading a normal life,” Kailas said.

The Sree Thirunakkara doctrines, which he introduced, include easier protocols for stem cell regeneration, in-vitro problems and various other challenging medical conditions, including autism.

“One of my patients who was autistic during childhood is now a BTech graduate and was even placed in a multi-national company.”

The doctor calls for an extensive research in the yet-to-explore stream of medical practice for which a coordinated effort by the government and doctors is a must. So what drew him into this medical stream?

“My mother would tell that she was able to give birth to me, after seven successive abortions, with the help of homoeo medicines. Thus I grew up as an avid admirer of homoeopathy,” said Sreekumar, who passed out from Athurasramam Homoeopathic Medical College, here, in 2000 with a first rank.

His wife Dr Sreevidya, who runs a homoeo clinic in Kottayam, assists him in research activities. The couple has two children, Dhanvin Sreemadhav and Abhiroop Sreemadhav. [Source]

Dr Sreekumar Mob: 09447081980

Discover Potential Health Benefits of Homeopathy for animals- story from UK

homeo4Mr Day, a qualified veterinarian, has been practising homeopathic medicine for 40 years. Its approach is holistic, so the first step is to ensure livestock are being correctly managed, he stresses, as healthy livestock will cope better with disease challenge.

“But persistent homeopathic treatments can reduce health problems to a manageable level. One major advantage is antibiotic and wormer resistance issues do not apply to homeopathy.”

He stresses livestock diseases are usually acute by nature and are therefore fairly straightforward to treat. Homeopathic medicines are chosen on the basis of the body’s reaction to the remedies and a wide spectrum of diseases can be treated.

“Remedies are widely available and can be given via a nasal or facial spray, sprayed into the vulva, placed in the mouth and even injected in the conventional way. There is no set time-scale; treatments can be carried out daily, weekly or monthly. In cases of virulent disease, a remedy might be given every few minutes.”

“Homeopathy has almost fully replaced the need for any conventional drug or hormone treatments on some units. Persistent individual cases can still be treated using antibiotics. But once the obstacles to recovery are removed, there is no reason why homeopathic treatments cannot achieve the same  – or even greater – levels of success than antibiotics.

“Since there is no withdrawal period for meat and milk from animals treated homeopathically, production levels are increased. This is especially relevant on organic farms, where withdrawal periods are longer than on conventional units.” [Read more]

SADGAMAYA -Adolescent Health Care Programme by Kerala Homoeopathy dept

SadgamayaAdolescent Health Care and Behavioral Management Programme -A programme by Department of Homoeopathy, Govt. of Kerala

The Department of Homeopathy, Govt. of Kerala is now helping the students of adolescent age group by Sadgamaya project, which was previously known as Jyothirgamaya.

The word Sadgamaya means reality, which is taken from the ancient Upanishad. Now this project will be functioning in three levels such as district hospitals, taluk hospitals and the dispensaries in the state (Previously it functioned only in district level). On every Saturday, students from the nearby schools will be given homeopathic treatment as well as psychological counseling in each dispensary, and on necessary occasions, cases will be referred to District or Taluk hospitals for special counseling by the child psychologists and special education B.Ed teachers.

Aims Sadgamaya project:

  1. To ensure health of teenagers
  2. To identify behavioral and personality disorders
  3. To develop the personality
  4. To identify the problems during teenage
  5. To remove wrong notions among the children
  6. To improve their school performance
  7. To make their future life productive
  8. To improvise their human qualities
  9. To identifying their hidden talents
  10. To strengthen student-teacher- parent bonding
  11. To give Sex education as per their age
  12. To give Homeopathic treatment
  13. To give expert counselling and rehabilitation

Target Group
Importance will be given for the identification of following conditions:

Health problems, Behavioral problems, Personality disorders, Habits and addictions, Sexual abuses, Learning disability, ADHD, Oppositional defiant disorders, Autism, Anxiety disorders, Conduct disorders, Kleptomania, Depression, Pediatric somatoform disorders, etc.

Team Sadgamaya includes:

  • Departmental authorities
  • Medical Officers and paramedical staff
  • Parents
  • Teachers
  • Psychologists
  • Psychiatrists
  • Special education B.Ed teachers
  • Public support (NGOs, clubs, philanthropists)

Report by Dr Muhammed Rafeeque
Medical Officer, GHD, Melarcode.

Web : http://www.homoeopathy.kerala.gov.in/