होम्योपैथिक साफ़्टवेएर-क्लासिक 8 (Homeopathic software-classic 8)

क्लासिक 8 और उसके उपयोग
डा प्रभात टन्डन

इसके पहले कि मैं इस साफ़्टवेएर को प्रयोग करने का तरीका और बाद में इससे मिल रहे परिंणामों की जानकारी यहां रखूं , कुछ विशेष बातें। इस समय अधिकतर युवा होम्योपैथिक चिकित्सक repertorisation के लिये साफ़्टवेएर का प्रयोग कर रहे हैं। कुछ जो प्रमुख प्रयोग होने वाले साफ़्टवेएर हैं उनमे मर्क्यूरियस, रडार, क्लासिक, आदि प्रमुख हैं। अन्य होम्योपैथिक साफ़्टवेएर की जानकारियाँ आप यहाँ भी देख सकते हैं। इनमें से क्लासिक 8 अधिकतर चिकित्सक प्रयोग कर रहे है, शायद इसका कारण इसका प्रयोग सरल और वयवाहारिक है। टेक्नोलोजी के बढते हुये दौर मे अधिकतर चिकित्सक साफ़्टवेएर तो ले आये लेकिन उसका सही उपयोग न कर पाये उसका परिणाम यह निकला कि यह सिर्फ़ एक शो-पीस बन कर रह गया। उत्तर प्रदेश की सरकारी होम्योपैथी डिस्पेन्सरियों के तो हाल और भी बुरे हैं। इसी साल “रडार” ( एक और साफ़्टवेएर) और कम्पयूटर की खरीद पर लाखों रूपये खर्च किये गये लेकिन सब ढाक के तीन पात ही निकला, कम्पयूटर है तो लाइट नही और अगर लाइट है तो चिकित्सको मे कोई उत्साह नहीं।
जो छात्र और छात्रायें अपना पहला प्रोफ़ेशनल समाप्त कर चुके हैं वह एक बात अच्छी तरह से समझ लें कि spot prescribing हर बार काम नहीं करती, विशेष कर पुराने और जटिल रोगों मे ,जहाँ लक्षण उलझे हुये होते हैं । आपको अपने केस पर मेहनत करनी ही होगी और यहाँ कोई शार्ट कट नही चलता। case taking और repertorisation एक महत्वपूर्ण स्तंभ है जिसको आज आपने न सीखा तो बाद के clinical practice के साल आपको रुलायेगें और होम्योपैथी को डुबोयेगें। तो क्या करे आप- कालेज की राजनीति मे पडने की बजाये अपने प्रोफ़ेसर की जान खायें और उनको clinically केस को समझाने के लिये जोर दें। इसके अलावा कुछ फ़ोरम भी आप की सहायता कर सकते हैं। आरकुट मे चल रहे डा प्रवीन गोस्वामी के फ़ोरम Revolutionized Homoeopathy का मै विशेष उल्लेख करना चाहूगाँ जो रोगी के लक्षणों को rubrics मे बदलने का सही तरीका आपको बखूबी समझा सकते हैं और डा नवीन बिदानी की Homoeopathy….Beyond Horizons जो पग-2 आपकी clinical समस्यायों को सुलझाने मे आपकी सहायता कर सकते हैं।

चलिये चलते है क्लासिक 8 की विशेषतायें की ओर:-

अगर मै शुरु मे हुये पंगों को छोड दूँ तो मै दावे के साथ कह सकता हूँ कि यह एक बेहतरीन साफ़्टवेएर है। तकरीबन 6 महीनो से इसका मै प्रयोग कर रहा हूँ , इसके पहले भी इसका दूसरा वर्जन 7 प्रयोग कर चुका हूँ जो कि वर्जन 8 के मुकबले कई मामले मे कमजोर था।

साफ़्टवेएर ही क्यों:-

यह एक ऐसा प्रशन है जो अक्सर पुराने अनुभवी होम्योपैथिक चिकित्सक पूछा करते है कि जब उनका काम बगैर इससे चल सकता है तो इतने तीम झाम मे क्यों पडा जाय्। नीचे एक उदाहरण के तौर मे एक रोगी के लक्षण रख रहा हूँ, जिसको कि साफ़्टवेएर मे डाला गया है।

श्री नरेन्द्र ने अपने लक्षणों को कुछ इस प्रकार रखा, उन्ही की जुबानी:

मुझे सांस फ़ूलने की शिकायत करीब 5 सालों से है। अक्सर मुझे जुकाम य्र छीकें लगी रहती है। साँस ज्यादा लेटने से फ़ूलती है, बैठने से और झुक कर बैठने से आराम मिल जाता है, हाँ , बलगम निकलने से भी आराम मिल जाता है। बन्द कमरे मे बहुत घुटन महसूस होती है। इतना कह कर रोगी चुप हो गया।

और पूछने पर उसने कहा कि

मेरे पैरो के तलवों मे जलन बहुत होती है, पैर की बिवाइयाँ अकसर फ़ट जाती है,और पैर के तलुवे मे कई घोखरू भी निकल आये है। खाने मे मीठा अधिक पसन्द है, और सर्दी मे भी गर्म बहुत लगती है।”

जो लक्ष्ण रोगी ने दिये उनके आधार पर उनके रुबिर्क्स बनाये गये, जो इस प्रकार थे-यह सब लक्षण कम्पलीट रिपर्टरी की मदद से क्लासिक 8 मे डाले गये।

[Complete ] [Nose]Coryza:Asthma, with:
[Complete ] [Generalities]Warmth:Agg.:
[Complete ] [Extremities]Heat:Foot:Sole:
[Complete ] [Extremities]Cracked skin:Feet:Soles:
[Complete ] [Extremities]Callosities, horny:Soles, on:
[Complete ] [Extremities]Callosities, horny:Soles, on:Tenderness:
[Complete ] [Respiration]Difficult:Lying, while:Agg.:
[Complete ] [Respiration]Difficult:Sitting:Amel.:Half sitting amel.:
[Complete ] [Respiration]Difficult:Expectoration:Amel.:
[Complete ] [Respiration]Difficult:Inspiration:Agg.:
[Complete ] [Generalities]Food and drinks:Sweets:Desires:

अब इन रुबरिक्स को साफ़्टवेएर मे डाला गया:जिसके परिणाम कुछ इस तरह रहे:

गौरतलब है कि लक्षणों को साफ़्टवेएर मे डलने के बाद 336 औषधियाँ लिस्ट मे आई, औषधियों को ग्रेडिग के हिसाब से देखे तो ars,sulp,lyco,calc क्रमश: 15,14,13,12 अंक लेकर क्रमश; 8,7,6,7 लक्षणों को कवर कर रहे हैं। नीचे देखें कि एक ही समय मे चिकित्सक कई विकल्पों पर अपना भ्रम दूर कर सकता है। उदाहरण के लिये, अगर उसको लग रहा है कि ars पूरी तरह से उपयुक्त औषधि नही है , तो वह माउस के पाइन्टर को ars पर रखें और दायें दबाये, नीचे देखें कि कितने विकल्प उसके सामने आरहे हैं-

चित्र मे दिख रहे विकल्प कुछ इस तरह से हैं-

Symptom covered/not covered
Keynotes
Open materia medica
Conv rep to mm
Drug properties
Drug relation
Drug list

सबसे पहले इसी रोगी मे Symptom covered/not covered को देखते हैं-

दूसरे विकल्प मे Keynotes है, जो औषधि के लक्षणों को संक्षेप मे याद दिलाते है, जैसे-

इसी तरह Open materia medica से अपनी चुनी हुयी औषधि के संबध मे पूरी
जानकारी ले सकते है, नीचे देखें-

अपनी पिछली दी हुयी औषधि की तुलना अगर नयी औषधि से करना चाहें तो विकल्प के रुप मे Drug relation को किल्क करे, देखे नीचे-

यह एक repertorisation की सामान्य प्रक्रिया है, कई बार चिकित्सक को सही सीमिलीमम को ढूढनेके लिये काफ़ी दुशवारी होती है, नीचे चित्र मे देखें कुछ और विकल्प मौजूद हैं-

Hand cursors पर नजर दौडायें।
बायें से पहला करसर सामान्य repertorisation दिखा रहा है।
बायें से दूसरा करसर Drug Filter के विकल्प दे रहा है।
बायें से तीसरा करसर Combine Repertorisation का विकल्प दे रहा है।
बायें से चौथा करसर cross repertorisation का विकल्प दे रहा है।
बायें से पाचँवा करसर Elimination repertorisation का विकल्प दिखा रहा है।

सामान्य repertorisation

Drug Filter

Combine Repertorisation

cross repertorisation

Elimination repertorisation

यह सब झमेले पुराने और जटिल रोगों के लिये अधिक रहते हैं, नये रोगों मे quick repertorisation का तरीका अधिक कारगर होता है।
आज बस इतना ही। आगे और भी चर्चा करगें-क्लासिक 8 के बारे मे विस्तार से।

प्राचीन भारतीय औषधियाँ और उनके होम्योपैथी उपयोग-5

साराका इंडिका

सामान्य नाम : अशोक
संस्कृत : अशोक, ककली
हिन्दी : अशोक
परिवार : सिसलपीनियोसि

विवरण :अशोक के वृक्ष का उल्लेख हमारे धार्मिक ग्रंथों मे काफ़ी व्यापक रूप से हुआ है। प्राचीन ॠषियों ने मासिक धर्म सबधित रोगों मे इसकी प्रभावकारिता के लिये गुणगान किया है। इस वृक्ष के छिलके एव फ़ल से यह औषधि बनाई जती है।

होम्योपैथिक उपयोग:
कोलकाता के डा डी एन राय को इसका आशिक प्रमाणन का श्रेय दिया जाता है।

स्त्री रोग-
शवेत प्रदर- Sacrum मे दर्द के साथ गाढा, सफ़ेद एव खून मिश्रित स्त्राव
मासिक -(menstrual cycle)-
अनियमित मासिक , अधिकतर मासिक रूक जाना या कम होना, पेट के निचले हिस्से मे असहनीय दर्द जो मासिक धर्म के बहुत पहले शुरू हो जाता है।

बवासीर-
खूनी बवासीर मे इसका प्रयोग प्रमाणित है। मल्त्याग के बाद कष्ट एव खुजली। सख्त एव दुस्धाय कब्ज

पोटेन्सी-
Q,30

शुभ दीपावली

शुभ दीपावली

आप सभी को दीपावली की बहुत-२ बधाइयाँ!!!

डेंगूं या डेंगूं फ़ोबिया

कम से कम लखनऊ के बारे मे अवशय कह सकता हूँ कि यहाँ डेंगूं का प्रकोप कम है और डेंगूं फ़ोबिया अधिक । यह मेरा निष्कर्ष अचानक नहीं है परन्तु मेरे और भी साथी चिकित्सकों का भी जो दूसरी पद्दतियों से हैं। गत 10 दिनों मे प्लेटलेटस की गणना मैने करीब 120 रोगियों मे करायी उनमे अधिकाश मे प्लेटलेटस की संख्या सामान्य निकली और जिन रोगियों मे प्लेटलेटस बहुत कम निकले , वह भी दोबारा जाँच कराने मे सामान्य निकले । यह एक बहुत महत्वपूर्ण तथ्य है और इस बात को भी इंगित करता है कि कहीं कुछ गडबड है. इसलिये अगर आप के घर मे या फ़िर किसी परिचित मे डेगू की जाँच मे प्लेटलेटस कम निकल रहे हैं उनकी जाँच दोबारा किसी और पैथोलोजी लैब मे अवशय करवायें। कुछ साल पहले तक हर पैथोलोजी लैब प्लेटलेटस की जाँच स्लाइड से कराते थे लेकिन अब यह ऐनालाइजर से करते हैं , जिन रिपोर्टों मे यह कम पाया गया और बाद मे 24 घटें के अन्दर यह सही पाया गया , वह लखनऊ की कोई ऐसी-वैसी लैब नही हैं बल्कि अत्यंत नामी लैब हैं।

चिकनगुनिया

चिकनगुनिया
चिकनगुनिया भी एडीज एजेप्टाई मच्छर से फ़ैलता है। इसके लक्षण भी डेंगू से मिलते हैं लेकिन इसमे मृत्यु की संभावना नहीं होती है।

लक्षण:-
अचानक तेज बुखार के साथ सिरदर्द, जी मिचलाना,उल्टी,सर्दी लगना,जोडों मे दर्द और सूजन, त्वचा मे लाल चकत्ते इसके प्रमुख लक्षण हैं।

औषधियाँ:
चिकनगुनिया की प्रतिरोधक औषधि भी eupatorium perfolatum ही है, देखें यहाँ। चिकनगुनिया और होम्योपैथी पर वृहद शोध पत्र कुछ दिन पहले डा सुनीला ने एक साइन्टिफ़िक सेमिनार मे पेश किया था, जिसको मैने इस पोस्ट के साथ संलग्न किया है।

Source:CHIKUNGUNYA
A Homoeopathic Prospective.
Dr.Sunila BHMS, MD(Hom) Scholar
Govt. Homoeopathic Medical College. Calicut. Kerala
Email : babuabu@gmail.com

(Article presented by the author in the scientific seminar conducted by Govt. Homoeopathic Medical College. Calicut on 18.09.06 )

The Chikungunya epidemic currently attacked millions of people in Maharashtra, Karnataka, Tamilnadu, Andhrapradesh and Kerala. Chikungunya is not considered to be fatal. However, in 2005-2006, 200 deaths have been associated with chikungunya on Réunion Island and a widespread outbreak in Southern India (especially in Karnataka, Andhra Pradesh & Kerala). Chikungunya virus is highly infective and disabling but is not transmissible between people.( recent researches reported tramission from mother to foetus)

Chikungunya (also known as Chicken Guinea) is a relatively rare form of viral fever resembling dengue fever; caused by an alphavirus that is spread by mosquito bites from the Aedes aegypti mosquito, though recent research by the Pasteur Institute in Paris claims the virus has suffered a mutation that enables it to be transmitted by Aedes Albopictus (Tiger mosquito). The name is derived from the Makonde word meaning “that which bends up” in reference to the stooped posture developed as a result of the arthritic symptoms of the disease.

Epidemiology
Chikungunya was first described in Tanzania, Africa in 1952 following an outbreak on the Makonde plateau. The disease was first described by Marion Robinson and W.H.R. Lumsden. An outbreak of chikungunya was discovered in Port Klang in Malaysia in 1999 affecting 27 people. In February 2005, an outbreak was recorded on the French island of Réunion in the Indian Ocean. In Mauritius, 3,500 islanders have been hit in 2005. There have also been cases in Madagascar, Mayotte and the Seychelles.

In 2006, there was a big outbreak in the Andhra Pradesh state in India. Nearly 200,000 people were affected by this disease. Some deaths have been reported but it was thought to be due mainly to the inappropriate use of antibiotics and anti inflammatory tablets. As this virus can cause thrombocytopenia, injudicious use of these drugs can cause erosions in the gastric epithelium leading to upper GI bleeding (due to thrombocytopenia). According to the National Institute of Virology, Pune out of362 samples from Kadappa district in Andhrapradesh state 139 were found positive for chikungunya.

Over 2000 cases of chikungunya fever were reported from Maharashtra state, in March 2006. In Orissa state 5000 cases of were reported in February 2006. In Bangalore, there was an outbreak of Chikungunya in May 2006. In Tamilnadu, 20,000 cases were reported in June 2006. Earlier it was found spreading mostly in outskirts of Bangalore, but now it has started spreading in the city also.Over 800000lakh cvases were reported from Karnataka state. Over 20000 cases were reported from Thiruvananthapuram, Aleppey, Kottayam, Ernakulam, Palakkad, Malappuram and Kozhikkode district in Kerala state. 10 deaths have been reported from Aleppy district. 800 cases were reported from Cherthala of Aleppy district.300 cases were reported from Kollam district.

More seropositivity is found among the age group between 51- 55 years.

Chikungunya fever is caused by Chikugunya virus. They are spherical enveloped virions, 60 nm diameters and have single stranded positive sense RNA genome.

Characteristics of CHIKUNGUNYA virus
Virus classification
Group: Group IV ((+)ssRNA)
Family: Togaviridae
Genus: Alphavirus
Species: Chikungunya virus

Chikungunya virus is closely related to O’nyong’nyong virus. O’nyong’nyong virus caused a major epidemic of arthritis and rash involving at least 2 million people in Eastern and Central Africa in 1960s. After its mysterious emergence the virus virtually disappeared leaving only occasional evidence of its presence in Kenya.

The chikungunya virus is spread by mosquito bites from the Aedes aegypti mosquito. Mosquitoes become infected when they feed on a person infected with the chikungunya virus. Monkeys, and possibly other wild animals, may also serve as reservoirs of the virus. Infected mosquitoes can then spread the virus to other humans when they bite.

Aedes aegypti (the yellow fever mosquito), a household container breeder and aggressive daytime bitter which is attracted to humans, is the primary vector of chikungunya virus to humans. Aedes albopictus (the Asian tiger mosquito) may also play a role in human transmission is Asia, and various forest-dwelling mosquito species in Africa have been found to be infected with the virus.

Aedes breeds in artificial accumulations of water. It needs only 2ml of water for breeding. It lays eggs singly. They do not fly over long distance, usually less than 100 metres. Eggs can resist desiccation for upto 1year. The eggs will hatch when flooded by deoxygenated water.

Aedes is the first proved vector of a virus disease- Yellow fever. Human blood is preferred over other animals with ankles as a favourite bite area.

Symptoms
After an incubation period of 3-12 days there is a sudden onset of flu-like symptoms including a severe headache, chills, fever (>40°C, 104°F), joint pain, backache, nausea, vomiting, petechial or maculopapular rash usually involving the limbs and trunks. Migratory polyarthritis mainly affects the small joints of the hands, wrists, ankles and feet with lesser involvement of the larger joints. Joints of the extremities in particular become swollen and painful to the touch. Haemorrhage is rare. There can also be headache, conjunctival infection and slight photophobia.

In the present epidemic in the state of Andhra Pradesh in India, high fever and crippling joint pain is the prevalent complaint. Fever typically lasts for two days and abruptly comes down. However joint pain, intense headache, insomnia and an extreme degree of prostration lasts for a variable period, usually for about 5 to 7 days.

Dermatological manifestations observed in a recent outbreak of Chikungunya fever are as follows:

• Maculopapular rash like ulcers over scrotum, crural areas and axilla.
• Nasal blotchy erythema
• Freckle-like pigmentation over centro-facial area
• Flagellate pigmentation on face and extremities
• Lichenoid eruption and hyperpigmentation in photodistributed areas
• Multiple aphthous ulcers
• Lympoedema
• Multiple ecchymotic spots (Children)
• Vesiculobullous lesions (infants)
• Subungual haemorrhage.

Investigations
• A few patients develop Leucopenia.
• Elevated levels of aspartate aminotransferace (AST) and C-reactive protein
• Mildly decreased platelet counts.

Diagnosis
Sudden severe headache, chills, fever, joint and muscle pain are the commonest symptoms. The diagnostic tests include detection of antigens or antibodies in the blood, using ELISA (or EIA – enzyme immunoassay) or molecular techniques like polymerase chain reaction (PCR). The antibodies detected by serological assays like ELISA require an IgM capture assay to distinguish it from dengue fever

Differential Diagnosis
1. Dengue Fever
Of all the arthropod- borne viral diseases, Dengue fever is the most common. This infection may be asymptomatic or may lead to
1. Classical Dengue Fever
2 .Dengue Haemorrhagic fever without shock
3. Dengue Haemorrhagic fever with shock

The main vector is Aedes aegypti mosquito. The illness is characterised by a incubation period of 3 to 10 days. The onset is sudden with chills and high fever, intense headache, muscle and joint pains which prevent all movement. Within 24 hrs retro-orbital pain and photophobia develops. Other symptoms include extreme weakness, anorexia, constipation, colicky pain and abdominal tenderness. Fever is typically but not inevitably followed by a remission of a few hrs to2 days. The rash may be diffuse flushing, mottling, or fleeting pin point eruptions on face, neck and chest during the first half of the febrile period and a conspicuous rash that may be maculopapular or scarlatiform on 3rd or 4th day. Fever lasts for about 5 days.

Dengue haemorrhagic fever is confined exclusively to children less than 15 yrs of age. There may be plasma leakage and abnormal haemostasis, as manifested by a rising haematocrit value and moderate to marked thrombocytopenia.

In dengue shock syndrome shock is present along with all the above criteria.

2. Yellow fever
It is a zoonotic disease affecting principally monkeys and other vertebrates. It shares clinical features of dengue fever but is characterised by more severe hepatic and renal involvement

3. Other viral fevers
Many of the viruses produce encephalitis, haemorrhagic fever or arthritis in various combinations. There may be high fever with backache and joint pain. Clinical features depend upon the type of virus causing infection.

a. SINDBIS virus infection: Transmitted among birds by mosquitoes. The disease begins with rash and arthralgia. Constitutional symptoms are not marked and fever is modest or lacking altogether.

b. MAYARO fever: Transmitted by Haemagogus mosquitoes. It causes a frequently endemic or epidemic infection of humans and appears to produce a syndrome resembling Chikungunya.

c. Epidemic Polyarthritis (ROSS RIVER virus infection): Constitutional symptoms are absent in many cases. Many patients are incapacitated by joint involvement.

d. Influenza: It is an acute respiratory illness caused by infection with influenza virus. Respiratory tract infection is accompanied by systemic signs and symptoms such as fever, headache and myalgia

4. Eruptive fevers like measles and German measles

Complications
• Super added infection with bacteria
• Meningo encephalitis
• Death occurs in immunocomprised patients.
• Myocarditis
• Pneumonias
Complications were observed due to injudicious application of certain anti-inflammatory drugs (as reported by www.chikungunya.co.uk)

Prevention
The best way to avoid CHIKV infection is to prevent mosquito bites.

There is no vaccine or preventive drug except homoeopathic medicines.. Preventive tips are similar to those for dengue or West Nile virus:

• Use insect repellent.
• Wear long sleeves and pants.
• Have secure screens on windows and doors to keep mosquitoes out.
• Get rid of mosquito breeding sites by emptying standing water from flower pots, buckets and barrels. Change the water in pet dishes. Drill holes in tire swings so water drains out. Keep children’s wading pools empty and on their sides when they aren’t being used.
• Additionally, a person with chikungunya fever or dengue should limit their exposure to mosquito bites in order to avoid further spreading the infection. The person should stay indoors or under a mosquito net.

Immunity
One attack confers life long immunity.

Homoeopathic Prophylaxis
As per the guidelines laid down by Dr. Samuel Hahnemann in the Organon a Genus epidemics has to be found out in the specific area and it could be the best to be found out in the specific area and it could be the best prophylactic remedy.

Many homeopaths consider Eupatorium perfoliatum as a preventive medicine for Chikungunya. The most commonly suggested potency as prophylaxis is 200C of Eupatorium perfoliatum. As per the reports the homoeopathic remedies useful for propylaxis are – Eupatorium Perfoliatum, Gelsemium, Rhustox, Bryonia Alba, Ars alb and Aconite.

The Karnataka Board of Homoeopathic System of medicine announced Rhustox 200 & Pyrogen 200 as the Genus Epidemicus for Chikungunya cases. In Tamil Nadu Homoeopathic physicians distributed Rhustox and Eupatorium for more than 4000 persons as a preventive prescription.in Andhrapradesh Government distributed medicine to 2 Lakh people.

Treatment
Chikungunya fever is usually self-limiting and will resolve with time. Symptomatic treatment is recommended after excluding other more dangerous diseases. There is no vaccine currently available for Chikungunya. Supportive care with rest is indicated during the acute joint symptoms. Movement and mild exercise tend to improve stiffness and morning arthralgia, but heavy exercise may exacerbate rheumatic symptoms.

Homoeopathic Treatment
Aphorism 100-102 is dealing with the treatment of epidemic diseases. According to Dr.Hahnemann, a carefully observing physician can arrive so nearly at knowledge of the true state of the epidemic from the examination of even the first and second patients and can even find a suitable homoeopathic remedy for it. Dr. Hahnemann recommends investigating each epidemic disease as a new and unknown case and selecting medicine according to its symptom similarity.

Homoeopathy has a very good scope in the treatment of chikungunya. Initially indicated acute remedies may give relief which may be followed by constitutional remedy in order to get rid of post fever arthralgia

Homeopathy offers many medicines which may help in Chikungunya. These include medicines like Eupatorium-perf, Pyroginum, Rhus-tox, Cedron, Influenzinum, China, Arnica, Belladona, Bryonia, Nux vomica, Sulphur etc. Eupatorium Perfoliatum Q (tincture, 3 to 5 drop dose) will remove the debilitating joint pains and cut short the intensity and duration of the disease. Other potencies may be used according to the intensity of the case. In Andhrapradesh medicines such as Eupatorium200 & Belladonna has cured number of cases.

Important rubrics that can be selected based on symptom totality (Synthesis Repertory)

1. EXTREMITIES PAIN fever during
2. FEVER CHILLINESS with
3. HEAD PAIN heat during
4. STOMACH VOMITING heat during
5. GENERALS WEAKNESS fever during
6. Fever : Exanthemic

Medicines:
Ars alb- 11/5
Puls- 11/5
Acon-10/4
Bell-10/4
Bry-9/4
Eup-per-9/4

Predominant Miasm: Psora

Indications of some important Homoeopathic remedies:

1. Eupatorium perfoliatium: – Pain in the limbs and muscles with fever. There may be severe bone pain. Swelling of ankles and feet. Aching pain in bones of extremities with soreness of flesh.great thirst, perspiration relieves all symptoms except head ache.200 potency is found to be more effective. This medicine is highly effective in post fever arthralgia (Mother tincture 5 drops tds for 3-5 days)

2. Gelsemium: – associated with severe headache and coryza. Thirstlessness, slow pulse, muscular pains. There may be drowsiness, dullness and dizziness. Hard pressure. Swollen joints. Debilitating night sweats.

8. Belladona: High fever with burning heat. No thirst with fever. Joints swollen, red, shining with red streaks radiating. Heat, redness, throbbing and burning.

9. Pyrogen: Septic fevers, temperature rises rapidly. Great heat with profuse hot sweat. But sweating does not cause a fall in temperature, aching in limb and bones.

10. Nux vomica: fever with chilliness, nausea vomiting, ineffectual urging for stool.

11. Sulphur: used as an intercurrent.

REFERENCES:
1. Harrison’s Principles of Internal Medicine.
2. Homoeo Times – International Journal on clinical evidence
3. Vital Informer – Monthly Medical News Letter
4. Homoeopathic Materia Medica and Repertory by W.Boericke.

Internet:
1. www.wikipedia.org/wiki/Chikungunya
2. www.cbwinfo.com/Biological/Pathogens/CHIK.html
3. www.phacaspc.gc.ca/msdsftss/msds172e.html
4. www.hpathy.com
5. www.chikungunya.co.uk

Leucoderma and Homeopathy ( सफ़ेद दाग और होम्योपैथी)

Dr S.R.Wadia has tremendous sucess rate in treating leucoderma cases. I found this article in Homeopathic links , however i never found this article elsewhere in web. His experience,research and insight in the disease will definitely guide all of us in exploring the new dimension in treating leucoderma cases.

LEUCODERMA- A SOCIAL STIGMA

Leucoderma, which causes white patches on the skin, has been known for centuries. Though it is not contagious, it causes a lot of embarrassment, particularly in females, who regard it as a social stigma. Hence, from a cosmetic point of view its treatment is important.
Human skin has different hues in different parts of the world The colour of the skin is due to a pigment called melanin, which is more in coloured people. When this pigment decreases, the skin turns white. The pigment increases when the parts are exposed to sun or ultraviolet rays. Hence, physicians ask their patients to expose these parts to the sun after applying their medicine. However, this effect is short-lived and at times may cause blisters. One of my patients who applied Bavchi powder mixed in water had huge blisters which had to be dressed. When the blisters healed, the skin still remained white.
COMMON TREATMENTS USED IN THE PAST AND PRESENT.

1. Psoralent compounds and Amimajus (Unani) were hailed as a great research. Side effect-digestive upsets and blisters with itching all over the skin.
2. Corticosteroids have many side effects and cannot be given for long.
3. Cuban cure for leucoderma is a placental extract and as a lotion is applied locally on the patches and then exposed to ultraviolet light.
4. Injections too have been tried, unsuccessfully. Research has to be made with Homoeopathic potencies.

HOMOEOPATHIC VIEW POINT

Causes The most important cause according to my findings and statistics are
1) Chronic amoebic dysentery and intestinal parasites. 50 percent of patients give a history of worms preceding the diseases.
2) Other skin disease suppressed by external application and by internal allopathic drugs.
3) History of repeated vaccinations as in frequent travellers and those in the Army and Navy.
4) P / H or F / H of Tubercular infection.
5) P / H or F / H of Diabetes.
6) Shock, anxiety, mental strain. Case have been mentioned, where continuous air raids in a war have turned the skin white in a couple of days!
7) A young Christian lady visited me for white spots. On questioning, she told me that her husband was at sea and she had two children to look after. She earned a little by giving tuitions but that was taken away by her mother in law. There was a constant friction between them. She burst into tears while narrating the story. Her deep grief was responsible for the white patches.
8) A family history of Leucoderma is seen in many patients. So I think that marriage between two individuals with Leucoderma should be avoided. Dr Mofti gives a case, where a young lady developed vitiligo during her pregnancy. The ladys mother had vitiligo. Her child also developed vitiligo at age of 6 years.
I had a case of a 20 year old girl with leucoderma, where there was a history of leucoderma in the grand mother as well as mother.
9) Cauterisation done for warts or moles may result in subsequent leucoderma. A friends daughter had extensive white patches all over the body after cauterisation of warts.
10) Miasmatic conditions: a) From among the three miasms, Psora is maximally responsible for the condition. This is mainly in cases where skin complaints like eczema, ringworm, scabies etc have been suppressed by ointments. In such cases our greatest antipsoric remedy Sulphur is of great help.
b) For Sycotic conditions with a history of vaccination, Thuja found to be useful.
c) The third miasmatic condition, ie Syphilis: has bilateral patches, stomatitis and aggravation at night, Mercury preparations, or preferably Lueticum is useful.
d) In some cases where there is Tuberculosis in the family and the patient suffers from chronic colds and cough, then Tuberculinum and Bacillinum are useful.
There are some cases of Leucoderma, where there is no family history of Leucoderma, but the patient had suffered from gastro- intestinal diseases such as amoebic or bacillary dysentery, gastroenteritis, enteric fever, etc which were treated with antibiotics and chemo-therapeutic drugs. Here, probably as a result of the powerful drugs the intestinal mucosa is affected, causing a deficiency of Tyrosine, leading to a disturbed melanin formation. The choice of remedies here is Nux-vomica, Bacillinum, Chelidonium or Phosphorus followed with constitutional remedies.
12) In a paper on Vitiligo and albinism published in the Indian Journal of Medical Science 27-86, 1973 Dr J C Shroff, reported the findings of a relationship between Vitiligo and several autoimmune disorders like pernicious anaemia, thyroid disease and diabetes mellitus.
13) (i) Genetic predisposition is recognised. A number of vitiligo patients do give family history of the disease.
(II) Neurogenic factor- There is some evidence to suggest that the loss of pigment could be attributed to the failure of neural or neurochemical control of melanocytes, resulting from damage to nerve fibres.
(III) Vitamin B Complex- Since nutritional factors affects the process of pigmentation, direct proteins, vitamins and certain metals should not be lost sight of.
14) According to Vaidya, Journal of Gujarat University, B-Science of August 1975, the reasons for depigmentation are unknown. Many factors eg genetic, dietary, autoimmune bodies, vitamin deficiency, neuroendocrinal mechanisms, neurodermatosis and inhibition of some intracellular enzymatic process have been suggested. According to Siddick (1962) heredity seems to play a positive role and Fitzpatrick (1965) believes it is an irregular dominant trait.
15) Biochemistry and Endocrinology- Melanin formation depends on enzyme tyrosinase. Since optimum body levels of Vitamins are a prerequisite for Tyrosinase activity (Breathnach, 1971), Leucoderma is often associated with deficiency of Vitamins (Sieve, as cited by Sulzberger et al, 1965)
Gonadal, adrenal, thyroidal as well as pituitary dysfunctions have been associated with skin depigmentation (Robert, 1951; Learner, 1959) and specific antigens in Saliva of vitiligo patients). Female hormones taken for a long time are often said as a block to curing Vitiligo.
16) Minerals: Copper has the highest catalytic activity on Tyrosine (Fleshch and Rotham 1948). It is more active than Manganum and 100 times more active than Ferrous ions. (Scalon 1969). The Tyrosin molecule itself contains 0.2 percent copper and is synthesized in the ribosomal fraction of melanocytes. Ghoshal (1959) has reported significantly high level of Ceruloplasmin (the form in which 90 percent of copper occurs in blood) in Leucoderma patients. Our studies of the blood mutabilities of normal and Leucoderma patients, have shown that both copper and ceruloplasmin level are low in Leucoderma patients. (V C Shah, NJ Chinoy, M V Majumdar and K S Sharma, Zoology department, School of Sciences, Gujarat University, Ahmedabad 380009)
17) Diet-Flesh of unhealthy animals mainly ham, bacon, pork harbour a lot of parasites, eggs and cysts. When digested they release tiny worms in the intestine and do havoc in Human beings. If cooked pork is pink it has not been properly cooked. The meat must be white to be safe. Citrus fruits should be avoided. Papaya and mangoes can be taken. Nonvegetarians can take fish, meat and eggs in moderation but no milk products. Chapattis with bran instead of white bread is recommended.
Clinical Cases
CASE 1:
Baby Vandana, 9 years old, came in May 1983 with white patches on the feet, legs, back and the left eye. Ayurvedic treatment, Psoralen and cortisones gave no result.
Past History-Dysentery, Bone Tuberculosis, Measles, Chicken pox, The child studies in a boarding school where repeated inoculations are given. BCG, Polio, Triple vaccination given.
Family History-Tuberculosis in paternal aunt and grandmother.
Stool Examination-showed Giardial Lambia, cysts of E Histolytica.
X ray heels showed osteomyelitis of the Calcaneous bone. Treated with Isonex. Patient occasionally passed threadworm and round worms.
Treatment.
Thuja 10M was given on 6-5-83.
13-6-83 Spots same, Repeated colds. Bacillinum 200 (3)
1-10-83 Spots improving. Bacillinum 1M (3) *(See Dosage Schedule)
2-5-84 Only one spot on ankle remains Drosera 1M (3)
Gradually Drosera was given upto CM potency with excellent results.
24-8-85 Spot on the foot same and new spot around left eye. Applied ointment.
Spot appeared after TABC vaccine Thuja 10M (3)
21-9-85 Spots improving. Tub-bov 1M (3)
8-11-85 Spot on eye disappeared.
Faint spot on ankle Tub-bov 1M (3)
Tuberculinum-bov was continued upto 10 M potency with excellent results.
This girl is now absolutely healthy with no spots, and very infrequent colds. The cause in this case was bone tuberculosis in the family. Margaret Tyler recommends Drosera for bone tuberculosis, which proved useful in this case.
CASE 2:
A patient, 6 years old, was brought by his father in Nov 1986 with white patches on the face, knees, elbows, left upper eyelid and groin. Psoralen was given a year ago for four months. His father was a Doctor and a Lt Col in the Army.
Past History- Measles, pneumonia. Treated with antibiotics which produced a severe diarrhoea and resulted.
*Note: Dosage Schedule
(3) 3 doses per day for 1 day
(6) 3 doses per day for 2 days
TDS-3 doses per day for one week or till reports again in dehydration. Vaccinated for Polio, DPT and BCG. She grinds her teeth and talks in sleep. Appetite poor. Dreams of falling from bed.
Family History- Mother had Leucoderma in pregnancy. Boils.
The child is average in studies.
Treatment- Thuja 10 M was given on 8-11-86 in vies of history of vaccination.
24-12-86 Reduction of spots on face Grinds the teeth Thuja 10M (3).
19-2-87 Father wrote that the spots on the knee and face disappeared. However one on the groin remained. Teeth grinding persists Nat-phos 6x tds.
13-6-87 One spot persists. Perspiration profuse Silicea 200 (6)
6-1-87 Grinding of teeth stopped. No dreams of falling. Tiny spot left Thuja 50 M (3)
The cause was vaccination and drugs.
CASE 3:
Miss A B C, 14 years of age came with Leucoderma on the eyelids, both the legs, knees, back, at the buttocks near the anus, below the navel and lips since four years (see photo 3a).
Past History-Dysentery, worms, ringworm.
Family history of arthritis in mother and Leucoderma in maternal uncle.
Other Symptoms- Motion sickness. Frequent headaches. Menses normal. Sleep disturbed, funny dreams. Skin dry in winter and pimples in summer. Appetite normal with increase thirst. Stool and urine normal.
Mentals- nervous, sad and fastidious.
Treatment and Follow up-
11-5-82-Sepia 200 (3)
3-6-82- Same Sepia 1M (3).
31-10-82-Appearance of ringworm. Sulphur 1M. (3)
The patient improved with Sulphur which was gradually stepped upto CM potency, 3 doses.
16-6-83 Spots fainter, white spots on mucocutaneous junction Sulphur CM (3)
23-12-83-Spots on face disappeared, few spots remain and so do few grey hair. Menarche with dysmenorrhoea Mag-Phos 6x tds.
11-7-85-Patients mother came and gave a history of Primary complex in her child. Tub- bov 1M (3)
19-12-85- Spots on back disappeared completely. Mentally irritable Tubbov 1 M (3)
16-11-86- Occasionally irritable. depressed and angry Tub-bov 10M (3).
Initially Sulphur was given for suppression of Dysentery and ringworm. After knowing that she had primary complex, Tuberculinum was given which completely cleared the case. (See Photo 3b).
CASE 4:
Miss A S, 8 year old child was brought by her mother with white spots on upper and lower extremities, chest and back since past nine months. Frequent coughs and colds with sneezing. Past history of tonsillitis, boils on the leg.
Triple and polio vaccination. Worse since then.
Family History- recurrent colds in mother and bronchitis in grandfather.
Perspiration ++. Hot patient.
Sleep restless. Shreiking in sheep. Frightful dreams of falling. Talks in sleep. Grinding of teeth in sleep.
Treatment – On 23-6-73 Thuja 10 M (3 doses) was given, based on history of vaccination.
7-7-73- Very restless at night. Dreams ++ Thuja 50 M (3)
6-3-76- Patient was back as few spots had appeared (The old ones having disappeared) Thuja CM (3).
21-6-76- Spots fading, loose stools. Feels very hot Sulphur 200 (3).
25-2-78 Seen after 2 years. Was better but treated for tonsillitis and grew worse. REstless at night and a lot of dreams. Sulphur 1 M (3)
Sulphur was given in 1978, 1981, 1983 and patient is not completely cured.
In this case, causes were vaccinosis and suppressed skin disease. Patient enjoys good health and I am now treating her child for common day to day illnesses.
CASE 5:
Mrs B H B aged 60 years, came with leucoderma since 8-10 months on the flexors of wrists, finger folds, around the lips and chest with occasional itching.
Other Symptoms
Craving-chocolates, sweets.
Sweats on the palms.
Sleep normal. No dreams.
Menopause at 42 years of age.
Likes winter and bathes with cold water.
P-H of Haemorrhoids. Pleurisy 20 years ago. Occasional pain due to pleurisy. Pneumonia in childhood, Rheumatic heart disease.
All these have been treated with allopathic medicine.
Mentals- Short tempered, cries easily on consolation.
Treatment- On 6-6-91 started to antidote the effects of allopathic drugs by Nux-vom 30 tds.
13-6-91- H-O Pleurisy, pneumonia. Bacillinum 200 (3)
19-6-91- Spots improving. Bleeding piles. for 1 week. Hamamelis 30 tds.
24-7-91 Spots improving. However spots on hand same. Piles improving Bacillinum 1 M (3). Cuprum-acet 30 tds.
Patient improved overall with Bacillinum which was slowly stepped up to CM potency. The occasional pain in the left lung also disappeared. Here leucoderma which the miasmatic brunt bore due to pleurisy, was cured by treating the miasmatic predisposition. Patient was seen in this year and is 99 percent better. (see Photograph
5b)
CASE 6: Mrs S G, 52 years of age, has Leucoderma since 20 years, all over the body, face, eyes, legs, breast, lips. Face badly affected. (see Photo 6a) Past history- of threadworms, dysentery, typhoid, breathlessness.
Family History- Tuberculosis in sister and paternal grandmother. Constipation +
Hot patient. Heat of palms and soles. Head feels hot.
Temperamentally very irritably.
Diagnosis. Psoriasis based Leucoderma.
Treatment-
On 30-5-88 Sulphur 200 (3 doses) followed by Hollariana antidysenterica 30 tds was started.
27-6-88- Same Sulphur 10M (2)
Hollariana-antidysenterica 30 tds
11-7-88 Menses expected. Heaviness in breast. Must support them. Cold sweat Calc-carb 200 93) Hollariana antidysenterica 30 tds.
Calc-carb was stepped upto CM gradually over a period of one year with good improvement. When improvement stopped- Rub-bov 10 M (3) followed by Nat-mur 6x tds was given. 9-10-89-Spots gradually improving. Tub-bov 10M (3)
16-2-90-Spots backache + Drosera 10 M (3)
29-10-9- Spots But cough and cold Tub-bov 50 M (3) Calc-phos 6x tds. (Tub-bovinum CM was then given every month).
Patient examined after two and a half years on 10-1-93. Only a single small spot remained on right upper lid. (see photo 6b)
CASE 7:
Mrs E came with white spots on both the hands, legs, nape of neck since 5 years. She had freckles on the face which were treated with Betnovate cream. H-o 3 Caesareans and hysterectomy 15 years back.
Warts on the face. Sea aggravates. Hyperemesis. Vaccination
F-H angina in mother, pleurisy in uncle. Father had cancer and constipation.
Dreams of missing steps.
Thermal- Better in moderate climate.
Mentals- irritable, short tempered, avoids crowds and company.
Treatment-
Treatment started with Thuja 10 M (3) followed by Nux-vomica 30 tds on 20-12-89.
16-1-90, Constipation. Feels hot in winter. Sulphur 200 (3)
31-1-90. Constipation better, spots same, Car sickness Sepia 200 (3).
(Sepia was given upto 50 M potency which improved her spots)
12-6-90-Anxiety about her fathers Ignatia 200 93) health, as he suffered from cancer.
31-7-90-Father expired, grief. Desires salt. Spots same Nat-mur 200 (3)
18-9-90- No change in spots Carcinosin 200 (3)
Carcinocin was stepped upto 10 M potency sand repeated at long intervals. Spots almost gone.
CASE 8:
A female child, Miss N D, 9 years of age, had white mottled spots on the nape of the neck and margin of hair. She had tried a lot of medicines and local applications.
Past history of measles.
History of vaccination +. Allergic to nylon panties.
Family history- Jaundice, eczema in father. Boils in mother. Eczema in grand father and diabetes in grand mother.
Sleep sound. Grinding of teeth in sleep.
Quick tempered.
Treatment-
On 1-12-79 Thuja 10 M (3) followed by Silicea 30 was given.
5-1-80- Same Sulphur 200 (3)
28-3-80- Spots on forehead, nose, axilla gone Sulphur 1 M (3) a month ago. No improvement after this.
7-9-80 No spots on neck, hair still white Sulphur 1 M (3)
Sulphur in stepping potencies upto C M potency was given. However the hair remained white.
9-1-82 patient moved by sad stories. Weeps Weight increased suddenly.
Sweats profusely, Menses profuse Calc-carb 200 (3)
13-2-82 Mental symptoms but hair still white. Calc-carb 1 M (3)
Then Calc-carb was given in 10 M potency which helped most of the hair to regain its original black colour within one year.
CASE 9:
Mrs P G, 40 years of age, came with huge white spots on the left side of the neck as well as on forehead between the eyebrows.
(see photo 9a) Has taken a lot of Allopathic as well as Homoeopathic treatment (dysentery-co 1M, Cup-met 1M, Silicea 200, ARs-sulph-flav 6x) without relief. Was better with application of neopsoralen and UV light but no further progress.
Minor diffuse goitre.
Stools – 3-4 times a day.
Ambithermal. Nervous temperament. Likes company.
Investigations
Blood report shows eosinophil count-11 percent.
Stool report shows cysts of Giardia and ova of Ascarides Lumbricoides.
Treatment-
Started with Nux-vom 200 (6) and Merc-sol 200 tds on 5th Jan 1988.
The patient discontinued being out of town and opted for PUVA therapy, which resulted in burns.
11-4-89 Burns caused by PUVA. Sulphur 200 (3)
28-4-89- Stools 3-4 times a day with mucus Merc-sol 200 (6). Cantharis 30 tds.
20-12-89 Over a period of 8 months Merc-sol CM (1)
Merc-sol was stepped upto.
CM potency. Complaints today of aphthae and salivation Nit Acid 30 tds.
Spots and stools improved gradually in 3 months. Patient is much better now with few white streaks. (see Photo 9b)
CASE 10:
Mr S, aged 55 years, a bachelor, had extensive Leucoderma since 20 years which was worse after vaccination. (See photo 10 a)
He also has Diabetes and oedema feet. Breathlessness worse on walking.
Past history of amoebic dysentery, malaria and typhoid.
Family history- Two of his brothers have Leucoderma. Diabetes and dysentery in father.
Sleep-good, occasional dreams.
Treatment- Sulphur 200 (2) was given on 25th Jan 1988. After 2 weeks Sulphur 1M (2) followed by Carbo veg 30. After six weeks Thuja 10 M (3) and Cup-acet 30 was given. In Aug 1988 black discolouration was noted. He also had bad dreams. Thuja CM and Cup-acet 30 was given. In Nov 1988 Sulphur 10M (2 doses) was repeated with Cup acet 30 3rd December 1899 Sulphur 50 M was given followed by Sulphur CM on 31 Dec 1988. Patient was better but for reasons unknown has discontinued treatment. (see photo 10b)
Case 11: Miss F E, aged 17 years was born with congenital white spots on her right hand, face, right breast, right elbow.) See photo 11a)
PH-O jaundice (since then the spots have increased)
Mother had taken some tablets to abort her pregnancy but did not succeed. Stool, urine, thirst, appetite normal. Menses delayed. Dysmenorrhoea, leucorrhoea. She prefers open air. Mentally friendly, mixes easily, weeps often, sympathy ameliorates.
Treatment Pulsatilla 200 was given and raised upto 50 M with good results. Dull spots on dorsum of right palm, face and elbow improved. Treatment was discontinued in a years time. (see Photo 11b)
CASE 12:
A male patient, Mr H B M, 61 years of age came with huge patches of white discolouration of the skin. The patches were on the chest and both the upper extremities. (see photo 12a) On enquiry it was revealed that they appeared one and a half years ago as result of burns due to a burst boiler.
The patient was working on a ship.
Patient had taken Neopsoralen tablets for a year with no result.
Past history- Malaria, worms, drug allergy and asthma.
Family history- of Filaria in father and heart disease in mother.
A soft wart was present on the patients body. Hot patient. Vaccinations +, Innoculations +, TABC many times while on the ship.
Dreams- of dead, snakes and falling recurring every few months.
Treatment-
26-1-86- Thuja 1M (3) and Silicea 30 tds was started.
After a month the patient was given Sulphur 200 which was gradually raised in stepping potencies upto 50 M in a period of 5 months.
27-7-86- Skin better. Occasional attacks of asthma and colds Bacillinum 200 (3) Apis 30 tds.
Bacillinum 200 was given in rising potencies upto 10M.
After six months there were occasional attacks of asthma; Skin was better and white spots were fading.
5-9-88- No dreams. Repigmentation of the hands seen. Bacillinum 50 M
Patient discontinued treatment there after. (see photo 12b)
Drugs helpful in my Practice
At the outset, I may mention that the constitutional remedy works the best, if we can find matching symptoms. LAter, an intercurrent remedy or a miasmatic remedy can be given.
1. Thuja-occ- I use this remedy very frequently. My reasons.
a) A number of vaccinations and modern drugs have been given especially in children. Here Thuja works as an antidote and clears the sycotic background.
b) Symptoms of Thuja are present not only children but adults too have dreams of falling, startling in sleep, have warts on the face or body, loss of appetite and dullness since those innoculations. After three doses of Thuja 200, the patients general condition improves. Now is the time to give the indicated remedy which starts working well.
c) My third reason for giving this remedy, is in cases of history of tuberculosis or respiratory diseases in the patient. According to Dr Barnett in his book on tumours on pg 315, Bacillinum will not act very well unless Thuja is given first. Vacinosis evidently comes in the way, very much the same as Hahnemann mentions for Psora and the use of Sulphur as an intercurrent remedy.
2. Sulphur- This is an important remedy and also the greatest antipsoric. It will also cure (along with psora) the suppressed sycotic and syphilitic miasmatic symptoms. If there is a history of suppressed shin diseases, diarrhoea, dysentery, jaundice, typhoid and other fevers then this remedy is of help. But the most important thing is that symptoms of Sulphur should be present like.
a) Heat of palms, soles, eyes, anus, vulva, vagina and top of head.
b) Generally patient is hot yet sometimes could be chilly.
c) Irritability and obstinacy can also be noticed.
d) Books describe Sulphur as a ragged philosopher but that is not found in all the cases. Due to poverty or lack of toilet facilities he may not take a bath and look dirty. The remedy can be given in clean patients also if other symptoms agree.
3. Bacillinum- The third most important remedy is Bacillinum or Tuberculinum. Many times we get cases, where the patient suffers from a chronic cold, with an occasional history of haemoptysis. Loss of weight, loss of appetite, flat chests of boys and girls, prominent ribs and clavicles etc may be other symptoms. We could get a family history of TB or pleurisy. We ask a patient of Sulphur repeatedly for a history of skin diseases, similarly we must ask a Bacillinum patient for a history of chest diseases. Many patients who are not clear or intelligent give a history of pleurisy more often than a history of TB. So we must try and get the symptoms in a tactful manner. Tuberculinum-bovinum and Drosera act better if there is a history of glandular or bony tuberculosis. The first case baby V G had bone TB for which she was given the drugs mentioned above. Now 19 years old, she goes to college in perfect health.
4. Nux-vomica- is required initially when the patient comes after taking a lot of the Modern drugs. It acts as an antidote to clear the background. This remedy also helps the patient to get over the problem of ineffectual urge for stool and also improves his digestion. It however has no specific action on the white spots.
5. Sepia- useful particularly in females. Besides the usual white discolouration, these patients have irregular menses-late, scanty, painful, menses in young girls, leucorrhoea, pruritis, dyspareunia and frigidity.
Most patients give H-O morning sickness, vomiting, nausea, travellers headache. Swings, merry-ground etc also affect her. The remedy removes the above symptoms and the white spots become pink in colour, but do not disappear completely. Sepia requires to be complemented with Nat-mur, to complete the cure.
6. Merc-Sol- is indicated in cases with a history of dysentery with mucus and blood, jaundice and liver enlargement. These patients are worse at night with salivation and have a syphilitic miasm. They perspire in bed and do not tolerate extremes of climate.
7. Acid-nit- I have used this remedy in cases of white spots around mucocutaneous junctions. There may also be fissures at the same site. Other indications are-craving for chalk, pencils etc mainly in children. This remedy, like Sepia removes the other symptoms but spots do not disappear completely.
8. Graphites and Calc-carb-also do come in the picture occasionally. Both are obese but their other symptoms are different. There is a history of suppressed itch in Graphites and irregular menses in a Calc-carb.
9. Ars-sulph-flav-Many doctors say that they are disappointed with the use of this remedy. The real cause is that they merely prescribe it as a specific for the disease. This is the most abused prescription. Very few books have given characteristic symptom of this drug. On the lookout for a good literature of the drug I was pleasantly surprised to find it in Kents Lesser Writings a detailed description on page 18. It states that if one find either mental, general or sexual symptoms along with the white spots the patient will definitely get well.
In addition to these I have used various other remedies like.
10. Cup-aceticum- in lower potencies. This is because copper is the chief source to produce melanin.
11. Cantharis- In our materia medica nothing is mentioned about skin discolouration. Dr R S Pareek who has given a great important to this remedy states that in burns the skin loses its pigmentation and Cantharis restores it.
12. Restinon- has also been recommended by a doctor friend of mine from Calcutta.
13. Psoralin- I have used this in potencies, as antidote in those cases where a lot of it was given by the allopathic doctors in crude form.
14. Carcinocin- must be used when there is a definite history of cancer in the patients family. Mrs E whose case has been mentioned was perfectly well after giving Carcinocin.
15. Bowel Nosodes- Morgan-bach, Morgan=gaertner, and Dyscentrico have been used by me with good success.
Statistics-
I have had 500 cases of Leucodermal from 1974 to 1992. Of these
10 percent case have been completely cured; 40 percent were relieved of 90 percent of the spots, 25 percent of cases are improving and another 25 percent have discontinued treatment or are incurable.
Bibliography:
1. Vitiligo and Psoralens- A M Elel Mofty.
2. Medicinal plants of India and Pakistan J F Dastur.
3. Everybodys guide of Ayurvedic medicine. J F Dastur.
4. Drugs of Hindustan- Sarat Chandra Ghosh. III edition.
5. Leucoderma and its Homoeopathic treatment- S R Wadia.
6. Diseases of the skin- Fredriek M Dearborn.
7. Disc / Electrophoretic studies of serum proteins in Vitiligo.
8. Vidya, Journal of Gujarat University, Ahmedabad, August 1975- Biochemistry and Endocrinology of Melanin formation.
9. Dr Kents Lesser writing- Pg 18, 1st Edition, (Sett Dey Co), Calcutta.

Related Posts:

1. सफ़ेद दाग और होम्योपैथी- आशा की एक किरण -भाग-१ (Leucoderma & homeopathy- an ultimate hope -Part-1)
2-VITILIGO & HOMEOPATHY

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डेगूं (Dengue) और होम्योपैथी

डेंगू बुखार पर पहले भी लिख चुका हूँ, देखे यहाँ लेकिन अब चूँकि यह व्यापक रूप से फ़ैल चुका है, अबकि बार अधिक जानकारी विस्तार से डेंगू का होम्योपैथिक उपचार एवं प्रतिरोधक औषधियों की ( prophylactics )। करीब तीन साल पहले भी यह व्यापक रूप से फ़ैला था और उस समय होम्योपैथिक औषधियों के परिणाम काफ़ी सन्तोषजनक मिले थे। लेकिन अब कि बार के आँकडे सरकारी आँकडों से मेल खाते नही दिख रहे। पिछले 8 दिनों में करीब 76 रोगियों के खून के नमूने मैने जो लिये और उनकी पैथोलोजिकल जाँच करायी उनमे सिर्फ़ 4 रोगी डेगूं के निकले । यह तुलना गत 3 साल पहले डेगूं के epidemic से बिल्कुल फ़र्क थी। सामान्तया डेंगूं की जाँच के लिये दो प्रकार के टेस्ट कराते हैं- platelets count और Elisa/Antibody test (IgG and IgM)। Elisa Dengue , platelets count की तुलना मे थोडा सा महगाँ टेस्ट है और रोगी के परिवारजन इसको करवाने से कतराते हैं। एक स्वस्थ मनुष्य मे platelets count की संख्या 1,50,000-2,50,000 तक होती है।
तो क्या कारण रहा कि इस बार अधिकतर रोगियो में यह जाँच मे नही पाया गया । शायद इसका कारण इस बार रोग का संक्रमण महामारी (Epidemic-रोग का सक्रमण जो कई व्यक्तियों को एक साथ सक्रमित करे) के रूप मे न होकर endemic (स्थानिक) रहा है। लेकिन जिस तरह से रोगियों की संख्या पिछले कुछ दिनों मे बढी है, इसको स्थानीय संक्रमण से महामारी बनने मे भी देर नही लगेगी।

होम्योपैथिक उपचार एव प्रतिरोधक औषिधियाँ-

Epidemic diseases का उपचार होम्योपैथिक मे अन्य रोगों की अपेक्षा आसान हो जाता है, इसका कारण एक ही समय मे एक ही रोग से पीडित रोगी लगभग एक ही तरह के लक्षण देते हैं। एक बार जो औषिधि इन रोगों मे चुन ली जाती है वह लगभग सभी रोगियों मे काम कर जाती है। पिछले डेगूं के Epidemic मे ब्रायोनिया का प्रयोग काफ़ी सन्तोषजनक था, लेकिन यह कोई आवशयक नही कि एक समय मे चुनी गयी औषिधि इस बार भी अपना वही असर दिखाये। आर्गेनान आफ़ होम्योपैथी मे हैनिमैन ने epidemic diseases और sporadic diseaes मे अपना दृषिटकोण बिल्कुल स्पष्ट कर दिया है ।

होम्योपैथिक दृषिटकोण (Hahnemannian view)

Source: ORGANON OF MEDICINE Aphorism 100-102

§ 100

In investigating the totality of the symptoms of epidemic and sporadic diseases it is quite immaterial whether or not something similar has ever appeared in the world before under the same or any other name. The novelty or peculiarity of a disease of that kind makes no difference either in the mode of examining or of treating it, as the physician must any way regard to pure picture of every prevailing disease as if it were something new and unknown, and investigate it thoroughly for itself, if he desire to practice medicine in a real and radical manner, never substituting conjecture for actual observation, never taking for granted that the case of disease before him is already wholly or partially known, but always carefully examining it in all its phases; and this mode of procedure is all the more requisite in such cases, as a careful examination will show that every prevailing disease is in many respects a phenomenon of a unique character, differing vastly from all previous epidemics, to which certain names have been falsely applied – with the exception of those epidemics resulting from a contagious principle that always remains the same, such as smallpox, measles, etc.

§ 101

It may easily happen that in the first case of an epidemic disease that presents itself to the physician’s notice he does not at once obtain a knowledge of its complete picture, as it is only by a close observation of several cases of every such collective disease that he can become conversant with the totality of its signs and symptoms. The carefully observing physician can, however, from the examination of even the first and second patients, often arrive so nearly at a knowledge of the true state as to have in his mind a characteristic portrait of it, and even to succeed in finding a suitable, homœopathically adapted remedy for it.

§ 102

In the course of writing down the symptoms of several cases of this kind the sketch of the disease picture becomes ever more and more complete, not more spun out and verbose, but more significant (more characteristic), and including more of the peculiarities of this collective disease; on the one hand, the general symptoms (e.g., loss of appetite, sleeplessness, etc.) become precisely defined as to their peculiarities; and on the other, the more marked and special symptoms which are peculiar to but few diseases and of rarer occurrence, at least in the same combination, become prominent and constitute what is characteristic of this malady.1 All those affected with the disease prevailing at a given time have certainly contracted it from one and the same source and hence are suffering from the same disease; but the whole extent of such an epidemic disease and the totality of its symptoms (the knowledge whereof, which is essential for enabling us to choose the most suitable homœopathic remedy for this array of symptoms, is obtained by a complete survey of the morbid picture) cannot be learned from one single patient, but is only to be perfectly deduced (abstracted) and ascertained from the sufferings of several patients of different constitutions.

1 The physician who has already, in the first cases, been able to choose a remedy approximating to the homœopathic specific, will, from the subsequence cases, be enabled either to verify the suitableness of the medicine chosen, or to discover a more appropriate, the most appropriate homœopathic remedy.

अगर हम डेगूं की टेबल पर नजर दौडाते हैं तो Eupatorium perfolatum का स्थान सबसे ऊपर पाते हैं। और यही कारण है कि Eupatorium perf डेगूं की सबसे प्रधान औषधि है। लेकिन अगर रोगी के लक्षण औषधि से मेल न खा रहे हों तो फ़िर अन्य औषधि का चुनाव करने मे ही समझदारी है।

प्रतिरोधक औषधियों :-

Eupatorium perfolatum डेगूं की खास प्रतिरोधक औषधि है, Eupatorium का काम करने का समयकाल अल्प है और 1-7 दिन तक रहता है। इसलिये इसको हर तीसरे दिन 200 पोटेन्सी मे 10 बूँद रात मे सोते समय लें। लेकिन कब तक ? यह निर्भर करता है कि आप के शहर मे डेगूं कितना prevalent है। और अगर सक्र्मित रोगों के समयकाल को मान कर चलें तो लगभग यह एक महीने के आस-पास रहता है।
इसके अलावा Influenzinium 200 को हफ़्ते मे एक बार ले, Influenzinium क्यों ?, क्योकि इस बात का भी धयान रखें कि डेगूं अकेला वाइरस नहीं है जो इस समय संक्रमण फ़ैला रहा है, डेगूं के अलावा भी कई और वाइरस की प्रजातियाँ आफ़त मचाये हैं।

प्राचीन भारतीय औषधियाँ और उनके होम्योपैथी उपयोग- 4

4: साइनोडोन डैक्टाइओन (Cyanodon D )

सामान्य नाम-दुर्बा
संस्कृत- ग्रंथि,दूबा
हिन्दी- दूब, हरियाली
अंग्रेजी-Bahama grass
परिवार-ग्रैमिनिया

विवरण-यह 2400 मीटर की ऊचांई तक पूरे भारत मे पायी जाने वाली एक बारह मासी घास है। यह दो प्रकार की होती है-हरा और सफ़ेद्। पशिचमी पंजाब के बलुयी
क्षेत्र को छोड कर यह पूरे भारत वर्ष मे पायी जाती है। यह ठंडे मौसम मे कम होती है तथा सडक के किनारे देखी जा सकती है।
पर्परागत रूप से आर्युवेद मे नासारक्त्स्त्राव, रक्तस्त्राव, दस्त और पेचिश मे इसका उपयोग होता रहा है।
एलोपैथिक चिकित्सा प्रणाली मे भी इसके व्यापक प्रमाण मिलते हैं। मूलत: इसका प्रयोग के प्रमाण खुजली,सिफ़लिस और डाइयूरिटिक( मूत्र बढाने के लिये) के लिये मिलते हैं।

होम्योपैथिक प्रयोग:-
डा शरत चन्द्र घोष की ‘ Drugs of Hindustan ‘ मे इस औषधि का उल्लेख है तथा डा जुगल किशोर ने कुछ रोगियों पर प्रमाणित भी किया है। C.C.R.H. द्ववारा पाँच विभिन्न केन्द्रों मे विस्तार से इसका प्रमाणन किया गया है।
नासारक्त्स्त्राव, चोट से खून बहना आदि मे रक्त्स्त्रावरोधी के रूप मे इस औषधि को सत्यापित किया गया है।

नासारक्त्स्त्राव (Epistaxis)- सुर्ख लाल रक्त ।

दस्त-आरभिक अवस्था मे। पेचिश के साथ, रक्त मिश्रित पतला और जलीय मल , भूख मे कमी तथा पित्ग्रस्त मितली। कोलाइटिस मे प्रभावी। इसके अलावा खूनी पेचिश मे भी प्रभावी है.

पोटेन्सी- :- Q,6x

प्राचीन भारतीय औषधियाँ और उनके होम्योपैथी उपयोग-3

जस्टीसैया एधोटा [ Justicia Adhatoda ]

सामान्य नाम-वसाका
अंग्रेजी-Malabhar Nut
हिन्दी-अरूशा
वनस्पति परिवार-अकेन्थेसी

विवरण :-
यह एक छोटा पौधा हैजो ठंडे मौसम मे फ़लता फ़ूलता है। पांरपरिक रुप से लम्बे समय से श्वास समस्याओं का उपचार इस औषधि से किया जाता है।

होम्योपैथिक उपयोग:-
डा शरत चन्द्र घोष, कलकत्ता को होम्योपैथिक मेटेरिया मेडिका मे लाने का श्रेय जाता है। होम्योपैथिक प्रमाणन एव चिकित्सा सत्यापन से ऊपरी शवसन तंत्र के बहुत सारे लक्षण प्रकाश मे आये हैं।

नासाशोध- लगातार छींक आने के साथ नाक से धारा प्रवाह एंव अत्याधिक स्त्राव्। नाक मे सूजन एंव अवरुधता। स्वाद और सूघने की क्षमता मे कमी। गला, मुख,जिह्वा सफ़ेद रग से लेपित हो जाती है।

खाँसी – दम घुटने एंव छाती मे घडघडात तथा खाँसी के दौरे, उल्टी के साथ आराम । खाँसी का वेग रात मे अधिक्। रक्त युक्त बलगम्। तपेदिक और दमा की शुरुआत मे कारगर।

पोटेन्सी-6 , Q