“STUDY OF INIMICAL RELATIONSHIP

IN
HOMOEOPATHIC THERAPEUTICS”
By

DR TRUPTI LAXMI SWAIN

Dissertation Submitted to
Rajiv Gandhi University of Health Sciences, Karnataka, Bangalore

In partial fulfillment
of the requirements for the degree of

Doctor of Medicine
in
Homoeopathic Materia Medica

Under the guidance of

Prof. Dr SRINATH RAO

Department of Homoeopathic Materia Medica

Father Muller Homoeopathic Medical College & Hospital
Derlakatte, Mangalore – 575002

2012
 RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,
KARNATAKA, BANGALORE

DECLARATION BY THE CANDIDATE

I hereby declare that this dissertation/ thesis entitled “STUDY OF INIMICAL

RELATIONSHIP IN HOMOEOPATHIC THERAPEUTICS” is a bonafide and

genuine research work carried out by me under the guidance of Dr SRINATH RAO,

Professor, Department of Homoeopathic Materia Medica during the year 2009-2012

in partial fulfillment of regulations of Rajiv Gandhi University of Health Sciences

Karnataka, Bangalore for the award of “DOCTOR OF MEDICINE

(HOMOEOPATHIC MATERIA MEDICA)”

I have not previously submitted this work (partial or full) to any other

Degree or Diploma.

Date: DR TRUPTI LAXMI SWAIN

Place: Mang alore

ii
 CERTIFICATE BY THE GUIDE

This is to certify that the dissertation entitled “STUDY OF INIMICAL

RELATIONSHIP IN HOMOEOPATHIC THERAPEUTICS” is a bonafide

Research work done by DR TRUPTI LAXMI SWAIN during the year 2009-2012 in

partial fulfillment of the requirement for the award of the degree of DOCTOR OF

MEDICINE (HOMOEOPATHIC MATERIA MEDICA).

I have satisfied myself regarding the authenticity of her observations noted in this

dissertation and it conforms to the standards of Rajiv Gandhi University of Health

Sciences, Karnataka, Bangalore. It has not been submitted (partial or full) for the award

of any other Degree or Diploma.

Guide

Date: Dr SRINATH RAO

Place: Mangalore BHMS, MD (HOM)

Professor
Department of Homoeopathic Materia Medica
Father Muller Homoeopathic Medical
College and Hospital, Derlakatte, Mangalore

iii
 ENDORSEMENT BY THE HOD, PRINCIPAL/
HEAD OF THE INSTITUTION

This is to certify that the dissertation entitled “STUDY OF INIMICAL

RELATIONSHIP IN HOMOEOPATHIC THERAPEUTICS” is a bonafide research

work done by Dr TRUPTI LAXMI SWAIN during the year 2009-2012, as a partial

fulfillment of the requirement for the award of the degree of “DOCTOR OF

MEDICINE (HOMOEOPATHIC MATERIA MEDICA)”.

I have satisfied regarding the authenticity of her observations noted in this

dissertation and it conforms the standards of Rajiv Gandhi University of Health Sciences,

Karnataka, Bangalore. It has not been submitted (partial or full) for the award of any

other Degree or Diploma.

Head of the Department Principal

Dr SRINATH RAO Dr SRINATH RAO

B.H.M.S., M.D (HOM) B.H.M.S., M.D (HOM)

Professor Fr. Muller Homoeopathic Medical

Dept. of Materia Medica College &Hospital
Fr. Muller Homoeopathic Deralakatte, Mangalore
Medical College& Hospital
Deralakatte, Mangalore

Date : Date :
Place : Mangalore Place: Mangalore

iv
 COPYRIGHT

Declaration by the candidate

I here by declare that Rajiv Gandhi University of Health sciences, Karnataka,

Bangalore shall have the rights to preserve, use and disseminate this dissertation/ thesis

in print or electronic format for academic / research purpose.

Place: Mangalore
Date: Dr TRUPTI LAXMI SWAIN

 Rajiv Gandhi university of Health Sciences, Karnataka

v
Affectionately Dedicated To
My lovable Parents
Sri. Jaladhar Swain
Smt.Jyoshna mayee Swain
&
Loving Sisters
Dr. Jyotilaxmi Swain
Dr. Pritilaxmi Swain
&
Loving Brothers
Dr. Jitendriya Swain
Dr. Srinibas Swain

vi
 ACKNOWLEDGEMENT

I consider this as my privilege to thank the Almighty God for helping me to achieve this humble

task through the following persons who have been of immense help and source of encouragement in my

endeavor.

I would like to express my sincere and heartfelt thanks to my respected teacher and guide Dr

Srinath Rao, Professor, Principal and Head of the Department of Homoeopathic Materia Medica for

providing me expert guidance, constructive advice, freedom of thought, personal attention, timely

support and encouragement throughout my post graduate course and during the dissertation work. It

is my good fortune to do this work under his guidance.

Dr Sunny Mathew with out his constant support, I would not have achieved my goal.

I would like to express my gratitude and love to my parents for their constant support, care

and encouragement. My special thanks to my dear friends and all my batch mates.

It is my privilege to express sincere gratitude to Director, Rev. Fr. Patrick Rodrigues, Father

Muller Charitable Institutions, The Administrator, Rev. Fr. Wilfred Prakash D’souza, Fr. Muller

Homoeopathic medical college, Mangalore for providing me an opportunity and adequate facilities to

carry out this work to my satisfaction in this reputed institution.

I also express my heart felt thanks and gratitude to Prof. Dr Shivaprasad, Vice

Principal, & Head of the Department of Organon of Medicine and Homoeopathic Philosophy for his

constant support, and encouragement.

I have to give a special mention for Dr M.K. Kamath, our PG Coordinator for his guidance.

I am failing in my duties if I am not mentioning my sincere gratitude to Dr Praveen Raj,

Dr Deepa, Dr Guruprasad and Dr Girish Navada for their constant support, encouragement and for

giving me the freedom of thought, in out-patient department.

vii
 I thank all the PGS, Interns, and members of staff of Fr. Muller Homoeopathic Medical

College and the non-teaching staff of out patient department who have provided me with the case

material required for the study.

Last but not the least, my sincere thanks to all the Patients on whom the study was conducted.

Place: Mangalore

Date: Dr TRUPTI LAXMI SWAIN.

viii
 LIST OF ABBREVIATION

+ : Present

< : Aggravation

> : Amelioration

A/F : Ailments from

D/E : Date of examination

DM : Dominant Miasm

F : Female

FM : Fundamental maism

H.S : Hora Somni- At bed time

Kg : Kilogram

M : Male

NAD : No abnormalities Detected

O/E : On Examination

℞ : Recipio- to take

S : Same

EMES : Early morning empty stomach

TDS : Three times daily

1p : One packet

Lt. : Left

Rt. : Right

ix
 A B S T RA CT
Background:

The inimical relationship of remedies is the most critical moment in any

Homoeopathic cure in second prescription, which demands proper understanding of

remedy, reaction & remedy relationship. This inimical relationship is not last in itself for

prescription, it provides a clue, makes the prescription easier.

Objectives:

1. To enhance importance of inimical remedies in clinical practice.

2. Application of inimical relationship in clinical practice.
Methods:

The study group of 30 was selected based on random sampling method. The

diagnosis was based on clinical history, clinical presentation and examination findings.

The cases were selected for the study after fulfilling the inclusion as well as exclusion

criteria.

Results:

Effectiveness of the treatment was noted with the relief of symptoms, aggravation

of symptoms and appearance of new symptoms and improvement of general health of the

patient. From the statistical analysis, it is found that the Homoeopathic medicines have

adverse effects in inimical relationship prescription in clinical practice.

Conclusion

The inimical relationship of remedies in clinical practice is effective in

homoeopathic management which will enhance the percentage of cures.

Key words: Relationship, inimical, adverse effect

x
SL. TABLE OF CONTENTS PAGE
NO NO.

1. INTRODUCTION 1

2. AIMS AND OBJECTIVES 5

3. REVIEW OF LITERATURE 6

4. MATERIALS AND METHODS 44

5. OBSERVATION AND DISCUSSION 46

6. CONCLUSION 58

7. SUMMARY 59

8. BIBLIOGRAPHY 61

9. ANNEXURES

ANNEXURE – I 66

ANNEXURE – II 91

xi
 LIST OF TABLES

TABLE NO. TITLE PAGE NO.

1 Inimical remedies according to K. N Mathur 7

2 Inimical remedies in BTPB 8

3 Inimical remedies according to J.H Clarke 25

4 Inimical remedies in BBCR 26

5 Inimical remedies according to Gibson Miller 28

6 Inimical remedies according to H.C Allen 37

7 Inimical remedies in encyclopedia of remedy 38

relationships

8 Distribution of cases according to action of medicine 50

Distribution of cases according to different systems

9 51

Distribution of cases according to clinical diagnosis

10 52

Distribution of cases according to the remedy with

11 inimical relation 53

Distribution of cases according to highest inimical

12 relation with other drugs 54

xii
 LIST OF FIGURES

FIGURE NO. TITLE PAGE NO.

1. Distribution of cases according to action of medicine 50

2. Distribution of cases according to different systems 51

3. Distribution of cases according to clinical diagnosis 52

Distribution of cases according to the remedy with

4. 53
inimical relation

5. Distribution of cases according to highest inimical 55

relation with other drugs

xiii
 1. INTRODUCTION

The highest ideal of cure is rapid, gentle and permanent restoration of the heal or

removal and annihilation of the disease in its whole extent, in the shortest, most reliable

and the most harmless way on easily comprehensible principles (§2).

Homoeopathy is based on individualization of the patients as well as the drugs.

Every individual is characterized by some unique features which serve to denote that

particular individual from other individuals belonging to the same class or group.

Evaluation of symptoms manifested by a sick person is a technique peculiar to the

homoeopathic art of healing and implies the principle of grading or ranking of different

kinds of symptoms in order to priority, which are to be matched with the drug symptoms

in a natural disease condition with that of the drug-disease.

Homoeopathy works on many firm principles like Law of Similia, Law of

Simplex, and Law of Individualization etc. For the drug therapeutics on the homeopathic

principle symptomatology will supersede the diagnosis.

Relationship is a connection, association, or involvement. Relationship may

refer to: Interpersonal relationship, intimate relationship. An interpersonal relationship is

an association between two or more people. The context can vary from family or kinship

relations, friendship, marriage, relations with associates, work, clubs, neighborhoods, and

places of worship. They may be regulated by law, custom, or mutual agreement, and are

the basis of social groups and society as a whole. An intimate relationship is a

particularly close interpersonal relationship that involves physical or emotional intimacy.

Relationship is a general concept. The general we then apply to the particular: The

Homoeopathic Materia Medica- the tool that fashions practice. Therefore we should

1
know the method of application of drugs. Hence it is necessary to evaluate these

manifestations in such a way as to give them practical importance.

Von Boenninghausen was the first homoeopath who tried to understand ‗what is

to be cured. His keen observant mind noticed that relationships existed among the

remedies. Inimical relationship is one among the relations. Others are:

a) Complementary.

b) Remedy that follows well.

c) Cognate.

d) Antidote.

e) Compatible remedies.

The homoeopath needs to have great respect for inimical relations. They are much

related like complementary relationship but act in opposition to each other. The more

similar the remedies, the greater of the similarity of their symptoms.

For change in remedy always consult the subsequent prescription as remedies

bearing inimical relationship will have to avoid at all cost. Such inhibitory or contrary

effects may be detected by the practitioner himself becoming wiser or by another

practitioner whom the patient consults.

The study thus always is and remains a comparative study with interconnections,

links and cross-links which weave the entire Materia Medica into a well-knit, integrated

grid pattern. A magnificent panorama of the entire Materia Medica can now be visualized

as a complex logical pattern that facilitates ready movement- provided we pursue the

study in depth, in a right manner.

2
 There are prescriptions made in the follow up even though the prescribed remedy

is inimical in relation to the previously prescribed remedy. Many of our literatures say,

such prescriptions have to be avoided, in order to prevent the adverse effects.

According to Dr. Farrington, most of the remedies belonging to the same family

are inimical in relationship. Though the remedies appear similar superficially, the cores

of those remedies are different.

Homoeopathic therapeutics of any disease needs more than one remedy both in

acute and chronic diseases to achieve the objective. The selection of remedy is more

significant, valuable and easy by the knowing the remedy relationships and how to

differentiate one remedy from other even if they are similar.

In this regard the value of inimical is not well explained and not applied fully.

This concept of inimical remedies can bring in a better clarity in the portrait of remedies.

Thus here is a sincere effort to find out whether there are any adverse effects

where inimically related remedies are prescribed.

1.1 Definition:

In this section formal definition of ―inimical‖ is given.

Meaning of inimical in American Heritage Dictionary of the English Language,

1. Injurious or harmful in effect; adverse: habits inimical to good health.

2. Unfriendly; hostile.

The origin of the word inimical is from Latin word inimcus, which means enemy.

In Collins Thesaurus of the English Language dictionary, an adjective: hostile,

opposed, contrary, destructive, harmful, adverse, hurtful, unfriendly, unfavorable,

3
antagonistic, injurious, unwelcoming, ill-disposed a false morality that is inimical to

human happiness.

1.2 Presence of Inimical In Different fields of Science :

Inimical is used in Practice Of Medicine, Pediatrics, Medical Bacteriology,

Medical Microbiology, Applied and Environmental Microbiology, Applied Chemistry,

Drugs on Trial, Aromatherapy for health, Pharmacology, Dental science , Ayurveda,

Toxicology, Astrology, Psychiatric, Bioscience and Biotechnology, Cancer Prevention,

Ecology etc. It is an older term used from ancient time to till now. To know when to go

away and when to come closer is the key to any lasting relationship.

1.3 Organization of the Thesis:

First chapter gives a formal introduction of the topic considered in this thesis. We

posed our aims and objectives in the second chapter. An extensive literature survey is

done in the third chapter. Inimical relationship of various fields of Homeopathy is

represented in this chapter. Several cases are selected on the basis of inimical

relationship of remedies, in various prescriptions are described in the fourth chapter.

Observation and discussion of the cases described in the fourth chapter is done in the fifth

chapter. Finally the limitations of the cases studied in this thesis are described in the

subsequent chapters.

4
 2. OBJECTIVES

1. To enhance importance of inimical remedies in clinical practice.

2. Application of inimical relationship in clinical practice.

5
 3. LITERATURE REVIEW

3.1 Introduction:

In this chapter we did an extensive study of inimical relationship between

different Homoeopathic aspects, such as: Organon of medicine, Pharmacy, Repertory and

Materia Medica. Study on Hahnemann‘s view about inimical under different aphorisms

with respect to various aspects of homeopathy is elaborated. Views of different stalwarts

in the field of Homeopathy are also studied in the subsequent sections of this chapter.

3.2 Hahnemann writes in his Organon, §16 as follows:

Our vital force, as a spirit-like dynamis, cannot be attacked and affected by

injurious influences on the healthy organism caused by the external inimical forces that

disturb the harmonious play of life, otherwise than in a spirit-like (dynamic) way, and in

like manner, all such morbid derangements (diseases) cannot be removed from it by the

physician in any other way than by the spirit-like (dynamic virtual) alterative powers of

the serviceable medicines acting upon our spirit-like vital force, which perceives them

through the medium of the sentient faculty of the nerves everywhere present in the

organism, so that it is only by their dynamic action on the vital force that remedies are

able to re-establish and do actually re-establish health and vital harmony, after the

changes in the health of the patient cognizable by our senses (the totality of the

symptoms) have revealed the disease to the carefully observing and investigating

physician as fully as was requisite in order to enable him to cure it.1

Antidotal remedies are such as may have a similar potential power to inimical

remedies, but in this case the adverse action of the first remedy is checked without the

6
impact, and the vital energy which was thrown back upon itself in disorder by the first

remedy is now met with a similarity which meets the disordered pace symptomatically

and the natural order is rest.2

3.3: Principles of prescribing:

As per Dr. K.N. Mathur, incompatible remedies are those that do not follow well

after the first prescription. They may be inimical or antidotal.3

Table 1: INIMICAL RELATION BETWEEN REMEDIES ACCORDING

TO DR. K.N MATHUR4

Name of the drug Inimicals

Apis Rhus-tox
Arg-nit Coffea, Vespa
Bar-Carb Calc-carb
Borax Ac.acetic,Vinum
Canth Coffea
Cistus Canadensis Coffea
Coffea Canth,CaustCocc,Ign
Phytolacca Merc
Rhus-tox Apis
Sil Merc
Ammon-carb Lach
Selenium China,Vinum

3.4: View of Boenninghausen:

Boenninghausen has represented it in a systemic way. So he is considered to be a

pioneer of this concept. The relationship of remedies is the most useful section in the

therapeutic pocket book. In the earlier edition Boenninghausen referred to this chapter as

7
‗concordance of remedies‘ but Allen give a more comprehensive title ―Relationship of

Remedies‖. Boenninghausen‗s own experience and study of remedies has helped him to

complete this section which should in fact render important service to the system.

Sometimes a deep acting medicine, through indicated should not be given so as to avoid

unwanted precipitation of adverse symptoms; in those an analogue can be found out with

the help of this section.5

Drugs with a tendency to fuse and produce complexes, where there is a peripheral

formal similarity but not a central structural similarity, give rise to inimical relationship.

They are very similar like complementary relationship but acts against each other, this is

derived from clinical experience.6

Table 2: According to BTPB, the inimical drugs are listed below.7

Name of the drug Inimicals

Arnica Vinum
Bell Acetum, Dulc
Borax Acetum, Vinum
Camphora Kali-nit
Cantharis Coffea
Caust Acetum, Coff, Phos
China Dig, Led,Sele
Cocculus Coffea
Coffea Cantharis, Caust,Cocc,Ign
Digitalis China,Spir-nit-dulc
Dulcamara Bell, Lach
Ignatia Coff,Tab
Kali nitricum Camphor
Lach Ammon.c, Dulc.,Nit.ac,Psor
Ledum pal China

8
 Name of the drug Inimicals

Nitrum acidum Lach

Nux-v Acetum, Zinc
Phos Rhustox
Ran.b Acetum,Staph,Sulph,Vinum
Rhus tox Phos
Sepia Lach
Staph Ran.b
Zinc Cham,Nux.v, Vinum

3.5: Views in Materia Medica:

Dr.H.L.Chitkara: Inimical or Incompatible remedies. Which do not follow each

other well. He says, in practice it was found that their use immediately after the other

produced complications in the smooth management of the case.8

Scholar's Manual of Homoeopathic Materia Medica

Inimical: Drugs which have a relation of enmity towards each other and therefore

don‘t follow each other well & always prove harmful or spoils the action of the former,

when given before or after the inimical remedy. They may resemble each other

apparently, but will not for each other.9

3.6: § 11 Sixth Edition:

When a person falls ill, it is only this spiritual, self acting (automatic) vital force,

everywhere present in his organism, that is primarily deranged by the dynamic influence

upon it of a morbific agent inimical to life; it is only the vital force, deranged to such an

abnormal state, that can furnish the organism with its disagreeable sensations, and incline

it to the irregular processes which we call disease; for, as a power invisible in itself, and

9
only cognizable by its effects on the organism, its morbid derangement only makes itself

known by the manifestation of disease in the sensations and functions of those parts of

the organism exposed to the senses of the observer and physician, that is, by morbid

symptoms, and in no other way can it make itself known.10

When searching through the literature and authorities regarding drug

relationships, it will be seen that no serious scientific studies have been done on this

subject. Most of the drug relationships are proposed by empirical clinical observations of

practitioners, and not corroborated by scientific studies or evidences. Moreover,

practitioners who are not much bothered over this relationship between drugs swear that

their experiences prove otherwise. Some homeopaths prescribe so-called inimical drugs

even simultaneously or alternatingly, and get expected clinical results.11

Compatibility and incompatibility are two facets of the same problem; and

incompatible and inimical apply to the same angle of the problem differing only in

degree. Granted that a second prescription is required within a short time after the first

remedy has been given, and the problem of inimical remedies must be considered, we

find ourselves inquiring why some remedies seem to be inimical to others. We can only

answer that occasionally certain remedies, frequently those having similar action and

perhaps from a congenial source, seem to have the power not only to thwart each others

action, but to throw back upon itself in disorder the natural flow of vital energy in the

patient as stimulated by the remedy first given. The vital energy of the patient in its

individual expression in sickness, and the vital power within the remedies which has been

developed by potentization.12

10
3.7: Views in Pharmacy

According to Homoeopathic Posology, drugs are inimical to health in proportion

to their power & the size of the dose. In order for a dissimilar drug to produce its so

called physiological effect, therefore, the dose must be large enough to overcome first,

this bodily resistance; & second to produce its characteristic symptoms.13

3.8: Views in Materia Medica:

Introduction to homoeopathic prescribing: aude sapere: Inimical or Incompatible

relationship: If the patient‘s condition worsens, when a remedy is given before or after

certain other remedy, we know the two remedies are Inimical or Incompatible to each

other. The list of remedies shown as inimical in the book on relationships has grown out

of such bitter experiences of master prescribers.14

In Journal of Homoeopathic medicine:

1. China given for debility produced by Ledum is very injurious.

2. Mercury & Silicea have a number of common spheres of action & are needed abscess,

boils, bone troubles.

3. Gladwin found that it took a long time to undo the trouble caused after PHOS was

given to a patient for severe frequent colds when he was under the influence of CAUST.15

3.9: Knerr Repertory:

Kneer Repertory to Herings Guiding Symptoms, heads his interesting chapter on

Drug Relationships with the following definitions:

Inimical drugs are very similar, not follow each other. Seems to mix up the case.16

11
3.10: View of Dr.E.A.Farrington:

Inimical: They also will be similar, but the resemblance will be so great, in fact

the drugs are so nearly ―idem" that it is not well to follow one with the other, most of the

remedies belonging to the same family are inimical in relationship. Though the remedies

appear similar superficially, the cores of those remedies are different.

They bear a strong resemblance to each other, and thus may seem as they are concordant

remedies.

These drugs, though resembling each other apparently, will not follow one another with

any satisfaction. They seem to mix up the case. Eg : China & Psorinum, Apis & Rhus,

Phosphorus and Causticum, Silicea & Mercury.

According to Clinical Materia Medica:

LACHESIS & AMMON-CARB: Lachesis , though apparently similar to Ammon-

Carb in Scarlatina , is really inimical to that remedy. It resembles Ammon-Carb in the

blueness of the surface, in the somnolence, in the engorgement of neck & in the dark red

or bluish swelling of the throat. Lachesis has almost always, if n‘t always that extreme

sensitiveness of the surface. So that the patient cann‘t bear to have anything touch the

neck. Then, too, Lachesis affects more the left side & Ammon-Carb the right. This

sensitiveness of Lachesis is n‘t the same kind of soreness that you find in other remedies.

Firm pressure does n‘t aggravate, although a light touch will.

Despite the apparent resemblance between carbonate of Ammonia & Lachesis,

these two drugs have been found to be inimical. Psorinum is inimical to Lachesis.

12
 APIS & RHUS-TOX : The swelling of the palpebral conjunctiva under Apis is

more from congestion under Rhus-Tox, in a true chemosis, which is very similar. But

Apis has less tendency to the formation of pus- a symptom highly characteristic of

Rhus-Tox. In Apis, the pains are stinging, the times of exacerbation is the evening, &

cold water relieves the inflamed lids. If erysipelatous, the lids are a bluish red, looking

watery, as if semi- transparent. In Rhus-Tox ,the pains are worse at night., particularly

after mid-night; warmth relieves; the erysipelatous lids are of a dusky red , & together

with the cheeks, are studied with small watery vesicles. The pains in Rhus-Tox are

usually of a drawing, tearing character, although in erysipelas they may be burning or

stinging, but with more itching then in Apis.

CAUSTICUM & CARBO-VEG : Causticum has hoarseness in morning & Carbo-

veg in evening. Causticum has aggravation in dry, cold weather & Carbo-veg in a damp,

warm application.

CARBO-ANIMALIS & CARBO-VEG: Carbo-animalis & Carbo-veg do n‘t

follows each other well. They are so far inimical that one may n‘t be given with benefit

after the other. They are too nearly alike.

CINCHONA &BELLADONNA: Cinchona & Morphia are antagonistic in brain

symptoms. Cinchona & Belladonna are antagonistic in heart symptoms, temperature etc.

CINCHONA & DIGITALIS: Even in the form of cerebral disease, when Digitalis

is to be your remedy, the pulse comes in as your chief guide. If the symptoms like

buzzing in the ears should suggest Cinchona. I entreat you n‘t to give it after Digitalis, for

Hahnemann tells us that although there is similarity in the cerebral symptoms & in the

weakness, yet the drugs are inimical.

13
 SILICEA & MERCURIUS: Mercurius, does n‘t follow well after Silicea. There

symptomatologies are apparently similar, & yet do not seem to agree, although Silicea

will antidote some of the effects of

crude Mercury, but as poetized medicines, they do not follow each other well, hence you

must be careful in deciding between the two drugs.

CHINA & SELENIUM: The antidotes to Selenium are PULSATILLA and

IGNATIA. China and wine are inimical to it. The debility caused by Selenium, so says

Hahnemann, is very much increased by the use of Cinchona. Now the emaciation caused

by Selenium is very similar to that of Cinchona. We have debility and emaciation from

loss of animal fluids, a condition also found under Cinchona; yet the two drugs are

Inimical.

ZINCUM METALLICUM & NUX-VOM: Zincum metallicum is the preparation

we most frequently used. You will notice the very peculiar fact that two preparations

containing Strychina, Nux-vom & Ign , hold opposite relation to Zinc. Ignatia follows

Zinc well, & may even act as an antidote to its effect on the nervous system. Nux-vom

tends rather to increase the effects of Zinc, in fact, is inimical to it.17

3.11: According to “A compend of the principles of Homoeopathy”:

Inimical relation is the very opposite of the concordant and complementary. There

seems to be a lack of harmony between certain drugs, as is also seen in certain chemical

affinities. This may be so marked that when following each other in the treatment of a

case, disturbance shows itself and the cure is interfered with and the whole case mixed

up. Such a relation seems to exist between Apis and Rhus, between Causticum and

Phosphorus; Mercurius and Silica; Sepia and Lachesis and others. Do not give these

14
remedies after each other. It is well to note these inexplicable conditions of drug action,

based on friendly or inimical relationship.18

3.12: Scientific Methodology of Repertorisation:

Criteria for the Best Repertorial Result

Related remedies – Inimical, Antidotes,Compliments

If you get inimical remedies (likeMerc. sol & Silicica, Causticum & Phosphorous) on the

top of your chart – Your rubric selection is very good.19

3.13: Views in Materia Medica

Clinical Relationships of Drugs with their Modalities, B K SARKAR states that

INIMICAL REMEDIES: These remedies resemble one another. They may spoil the

action of the previous remedy BUT THEY MAY GO ON TO CURE.20

Dr Wright Hubbard explains that these are recorded incidents by other

homeopaths where adverse reactions have been noted; for example causticum and

phosphorus. However, we also know that occasionally these inimical remedies have been

prescribed following each other with no ill effect!21

Dr.C.Hering: Remedies listed by some of our observers as having inimical

relationships show a close relationship symptomatically, such as Nux vomica and Ignatia;

Lachesis and Ammonium carb.; Zincum and Nux vomica; Rhus tox. and Sulphur; Rhus

tox. and Phosphorus - and others classically considered as unfriendly in sequence. In

many of these groupings we trace the symptomatic relationship through more than one

sphere of action, or it may come with peculiar force through the nervous system, the

glandular system, or some other derangement that has its basis in a deeply reactive

function in the individual. Thus we find that the animal remedies are very frequently

15
contraindicated in close proximity, and the greater the similarity of the symptoms the

greater the risk; the more closely similar the remedies, the greater the antagonism

between them and the more certain the second remedy will injure the case.22

HERINGS CONTRIBUTION TO REMEDY RELATIONSHIPS:

Aceticum acidum. Inimical: arn., bell., caust., lach., merc, nux v., ran. b., sars.

Allium sativum inimical. aloes, cepa, squilla.

Ammonium carbonicum inimical: lach

Anantherum muricatum inimical: wine and strong liquors

Arnica montana. Inimical: after the bite of a dog or any rabid or angry animal; wine

increases unpleasant effects

Arum triphyllum inimical: calad., which is too similar.

Asterias rubens inimical: coffee and nux v

Aurum muriaticum inimical: sulphur springs

Aurum muriaticum natronatum inimical: coffee and alcohol

Baryta carbonica inimical: calc. (in scrofula).

Belladonna inimical: dulc, vinegar

Benzoic acid inimical: wine.

Borax inimical: vinegar, wine

Bovista inimical: coffee.

Caladium inimical: arum t., and doubtless the other araceae

Calcarea carbonica inimical: before nitr. ac and sul. (Hahnemann.)

Calendula inimical: camph

16
Camphora. Inimical: after nitrum; in some cases coffee aggravated and was followed by

vomiting.

Cantharides inimical: coffee; oil increases pernicious effects by rendering the active

principle canthari-dine nonsoluble, favoring greater absorption

Caulophyllum thalictroides incompatible: coffee

Causticum inimical: acids, vinegar, coff., phos

Cepa inimical: all. sat., aloe, squilla

Cinchona officinalis inimical: dig., selen.

Cistus canadensis inimical: coffee causes diarrhea

Cocculus inimical; coffee

Coffea cruda inimical: canth, caust., coccul., ign

Digitalis purpurea inimical: cinch, nitr. Sp. d.

Dulcamara inimical: bell., lach

Ignatia inimical: coffee, nux v., tobacco

Kobaltum inimical: carbo v

Lachesis inimical: acet. ac

Lacticum acidum inimical: coffee increases symptoms

Ledum palustre inimical: cinch.

Lycopodium inimical: coffee

Mercurius (solubilis and vivus). Inimical: sil.

17
Millefolium inimical: coffee, which causes congestion to head

Nitrum spiritus dulcis inimical: dig., ran. b.

Nux vomica inimical: acids, ign., zinc.

Paris quadrifolia inimical: ferr. ph

Phosphorus inimical: caust.

Podophyllum inimical: salt, which increases its action

Ranunculus bulbosus inimical: nitr. Sp. d, staph., sul., alcohol, wine and vinegar

Rhus toxicodendron inimical: apis

Selenium inimical: cinch, wine

Sepia inimical: lach, milk.

Silica inimical: merc

Strammonium inimical: coffee

Zincum inimical: Cham., Nux v., wine

An area in which adequate attention is to be given while prescribing homoeo medicine is

the inimical nature of the medicines. Some medicines do not follow others well, some

may create severe aggravation and some should not be given.23

3.14: In Pharmacy:

Drugs belonging to the same family (vegetable, animal or mineral) must of

necessity have a similar action eg:

18
Vegetable Kingdom

I. Arum triphyllum and caladium belong to the same family Araceae but are

inimical to each other.

II. Nux vomica and ignatia belong to the same family Loganiaceae but are

inimical to each other.

III. Belladonna and Dulcamara belong to the same family solanaceae but are

inimical to each other.

IV. Ranunculus bulbosus and Staphysagria belong to the same family

ranunculaceae but are inimical to each other.

V. Aloe soc.,Allium cepa,Allium sativum and Scilla maritime belong to the

same family liliaceae but are inimical to each other.24

3.15: View of Rajan Sankaran schema:

LIST OF INIMICAL REMEDIES BELONG TO VEGETABLE KINGDOM

Bell-- Dulc

China-- Dig,Led

Coffea-- Ign

Dig-- China

Dulc-- Belladonna

Ign-- Coffea, Nux-v,Tab

Led—china

Ran-b-- staph

Staph-- Ran-b

19
Arum-triph-- Calad

Bovista-- Coffea

Calad-- Arum-triph

Calendula—Camph

Caulo—Coff

Millef—Coffea

Nux-v-- Ign

Tab—Ign

Sec.corn-- Acon, Bell, Chin, Puls 25

Animal Kingdom

All snake –venoms of the same family of ophitoxin possess same similarity in

many of their actions, but they donot follow each other well: e.g.Lachesis,Crotalus

horridus,Naja,Elaps.24

LIST OF INIMICAL REMEDIES BELONG TO ANIMAL KINGDOM

Sepia—Lach

All nosodes are inimical to snake poison.eg. Psor is inimical to Apis,Crot, Lach &

serpent poisons.26

Mineral Kingdom

The halogens, chlorine, iodine, bromine & fluorine have many similitudes,

because they belong to one family. While Camphor antidotes almost all medicines from

the vegetable kingdom it is inimical after Kali Nit and Coffea Cruda. 27

20
LIST OF INIMICAL REMEDIES BELONG TO MINERAL KINGDOM

Sil-- Merc

Borax-- Acetic-ac

Ferr-- Acetic-ac

Kali-bi-- Calc

Merc-- Acetic—ac, Sil

Phos-- Caust

Acetic-ac-- Borax, Caust (after)

Kreos-- Carbo-v

Baryt-carb-- Calc-carb

Camphora-- Kali-nit

Kali-nit-- Camphora

Caust-- Acetic-ac,Phos

Ferr-- Acetic-ac

Kali-bi-- Calc

Calc-c-- Nit-ac,Bar-c, Sulph (After), Kali-bi (Before Calc )

Sul-- Aur-met, after Calc

Carbo-v-- Carbo-an, Kreos

Carbo-an-- Carbo-veg

Nit-ac-- After Calc.

21
LILIACEA FAMILY25

Allium cepa inimical Aloes, Allium sativa

Allium sativa inimical Aloes, Allium cepa Vegetable kingdom

Aloes inimical Allium sativa

CARBON FAMILY

Carbo-veg inimical Carbo-animalis

Carbo-animalis inimical Carbo-veg Mineral kingdom

Carbo-veg inimical Kreosate

Kreosate inimical Carbo-veg

3.16: § 31 Sixth Edition:

The inimical forces, partly psychical, partly physical, to which our terrestrial

existence is exposed, which are termed morbific noxious agents, do not possess the

power of morbidly deranging the health of man unconditionally1; but we are made ill by

them only when our organism is sufficiently disposed and susceptible to attack of the

morbific cause that may be present, and to be altered in its health, deranged and made to

undergo abnormal sensations and functions - hence they do not produce disease in every

one nor at all times.26

In I.C.R. OPERATION MANUAL : the exciting cause or maintaining factors of

the disease or in life style, taking into account the understanding of the patient, this

ignorance needs to be removed be an inimical life style adopted by supplying data which

is missing. At another level, in spite of information, there may for reasons not available to

patients.28

22
§ 141 Sixth Edition:

But the best proving of the pure effects of simple medicines in altering the human

health, and of the artificial diseases and symptoms they are capable of developing in the

healthy individual, are those which the healthy, unprejudiced and sensitive physician

institutes on him with all the caution and care here enjoined. He knows with the greatest

certainty the things he has experienced in his own person.

Those trials made by the physician on himself have for him other and inestimable

advantages. In the first place, the great truth that the medicinal virtue of all drugs,

whereon depends their curative power, lies in the changes of health he has himself

undergone from the medicines he has proved, and the morbid states he has himself

experienced from them, becomes for him an incontrovertible fact. Again by such

noteworthy observations on himself he will be brought to understand his own sensations,

his mode of thinking and his disposition (the foundation of all true wisdom), and he will

be also trained to be, what every physician ought to be, a good observer. All our

observations on others are not nearly so interesting as those made on ourselves.

The observer of others must always dread lest the experimenter did not feel

exactly what he said, or lest he did not describe his sensations with the most appropriate

expressions. He must always remain in doubt whether he has not been deceived, at least

to some extent.

These obstacles to the knowledge of the truth, which can never be thoroughly

surmounted in our investigations of the artificial morbid symptoms that occur in others

from the ingestion of medicines, cease entirely when we make the trials on ourselves. He

who makes these trials on himself knows for certain what he has felt, and each trial is a

23
new inducement for him to investigate the powers of other medicines. He thus becomes

more and more practiced in the art of observing, of such importance to the physician, by

continuing to observe himself, the one on whom he can most rely and who will never

deceive him; and this he will do all the more zealously as these experiments on himself

promise to give him a reliable knowledge of the true value and significance of the

instruments of cure that are still to a great degree unknown to our art. Let it not be

imagined that such slight indispositions caused by taking medicines for the purpose of

proving them can be in the main injurious to the health.

Experience shows on the contrary, that the organism of the prover becomes, by

these frequent attacks on his health, all the more expert in repelling all external influences

inimical to his frame and all artificial and natural morbific noxious agents, and becomes

more hardened to resist everything of an injurious character, by means of these moderate

experiments on his own person with medicines. His health becomes more unalterable; he

becomes more robust, as all experience shows.10

3.17: John Henry Clarke’s Concept Of inimical Relationship:

The second section of clinical relationship has been given in tabular form and it

represents the chief clinical relations of all remedies of the Materia Medica so far as they

have been noted. ‗Incompatible Remedies‖, [Remedies that do not follow each other]

―The duration of action of remedies have been also added in it.29

24
 Table 3: View of Dr. J.H CLARKE

Remedy Complementy Follows well Antidotes Inimical

Amm-c ----- ----- Lach Lach
Apis ----- Phos ----- Phos

Bar-c --- Calc-c ---- Calc-c

Bell ---- Dulc ----- Dulc

Calc-c ----- ----- Bry Bry

Carbo-an ------ Carbo-veg ----- Carbo-veg

Chamomilla ------ Nux-vom Nux-vom Nux-vom

Dig ------ China China China
Dulcarmera ----- Belladonna ----- Belladonna
Hepar ----- Spongia ----- Spongia
Ign ----- Nux-vom Nux-vom Nux-vom
Ledum ----- ----- China China
Lyco ----- ----- Sulph Sulph
Nit-ac ------ Calc-c Calc-c Calc-c
Secale-corn ------ Acon,Ars,Bell,China, ----- Acon,Ars,
Merc,Puls Bell,China,
Merc,Puls
Tabacum ----- ------ Ign Ign

3.18: In General Pathology of Homœopathy:

In a strong protest (1830), against the current, terribly pernicious atmospheric-

telluric theory of the nature of cholera, Hahnemann stated the infectious, miasmatic-

parasitic nature of cholera and described its rise and growth in the following words: "The

25
most striking examples of infection and rapid spread of cholera take place in this way:

On board ships in those confined spaces, filled with moldy, watery vapors, the cholera

miasma finds a favorable element for its multiplication, and grows into an enormously

increased brood of those excessively minute, invisible, living creatures, so inimical to

human life, of which the contagious matter of the cholera most probably consists."30

3.19: C.M.Boger’s Concept Of inimical Relationship:

The common experience that continued thoughtless and injudicious use of the

same medicine often does more harm than good and two very similar remedies do not

follow each other well, has its origin in this fact.31

Table 4: According to BBCR, the inimical drugs are listed below.

Name of the drug Inimicals

Ammon.carb Lach

Selenium China, Vinum

3.20: Synoptic Key of Materia Medica:

Dr. Boger has given the relationship of remedies in following way: 1.Follow

2.complementary 3.Related and 4.Antidotes. In the third portion of the same book, he

has given following Relationships: 1. Complementary remedies 2. Antagonist remedies -

Equivalent to inimical remedies. The hints given by Boger are having great practical

value.32

26
3.21: Theory of Chronic Diseases:

After 30 years of homoeopathic practice Dr.Hahnemann realized that homeopathy

failed to execute a 'real cure' in some diseases. He observed that in many cases symptoms

got ameliorated for a brief period only to relapse at a later date.

Hahnemann, by his reasoning and logic, excluded the other probabilities and

concluded that certain obstacles were responsible for the relapses and failures. So he

studied the chronic cases in great depth and after 12 years of studies, he discovered that

chronic diseases are caused by chronic miasmas.

Miasma is an obnoxious disease-producing agent, dynamic in nature and inimical

to life. He founded the theory of miasma and named the miasma as:

 Psora

 Sycosis

 Syphilis 33

3.22: E-journal, second prescription:

Change in the remedy: It is indicated if symptom picture indicates a definite

change & no longer corresponds to the original picture on which the first prescription was

based. In such cases it is better to give a thought of relationship of remedies. Remedies

bearing inimical relation should be avoided. These tend to spoil the case.34

3.23: The elements of homoeopathy:

Dr. P.sankarn‘s concept of inimical relationship is as follows: Incompatible

remedy is one that does not follow (or proceed) well the original remedy. This seems to

be a lack of harmony between such drugs. Therefore prescription of such remedies in

succession is avoided. 35

27
3.24: Dr.Gibson Miller:

Dr.Gibson Miller says that some remedies are inimical to each other in their acute

spheres & others in their chronic. He said to have remarked that relationship of remedies

column is not so useful. 36

Table 5 : View of R. Gibson Miller

REMEDY COMPLEMENTY FOLLOWS ANTIDOTES INIMICAL

WELL
Ac.acet ----- ----- Nux Nux

Calc-c ----- Ac-nit Ac-nit,Sul Ac-nit,Sul

Carbo-an ----- Carbo-veg ---- Carbo-veg

Lach Ac-nit ----- Ac-nit Ac-nit

Rhus-tox ----- Phos ----- Phos

3.25: DIET & REGIMEN:

It has been observed that people do have quite a misunderstanding about Diet-

restrictions while using Homoeopathic Medicines. Unless a particular item in food or

otherwise, is known to antidote or hamper the action of the drug administered, there is no

necessity for it to be avoidable. (Aphorism 259-261).So here is just an effort to clear

these queries. Given a list of Homoeopathic medicines and items of food and drink

inimical to them.

28
Homoeopathic Medicines Inimical Items

1. Acet.Ac-------------------------------Lime water

2. Aconite----------------------------Vegetable oils, Wine

3. Ant.Tart----------------------------Milk

4. Apis---------------------------------Onions

5. Arg.Nit------------------------------Milk

6. Amm.Carb--------------------------Vegetable oils

7. Ars.----------------------------------Cane juice, honey

8. Arum-Tr---------------------------- Whey

9. Bell.----------------------------------Coffee, Vinegar

10. Bor.---------------------------------Acid, Wine

11. Bov.---------------------------------Coffee

12. Bry.----------------------------------Acid, Lemon

13. Canth.-------------------------------Oil

14. Caul.--------------------------------Coffee

15. Caust.-------------------------------Coffee

16. Cham.-------------------------------Coffee

17. Chel.--------------------------------Acid, Coffee, Wine

18. Cist.-------------------------------- Tea

19. Coll.--------------------------------Vinegar

20. Coloc.-------------------------------Coffee

21. Cupr.--------------------------------Sugar

22. Ferr.-------------------------------- Beer, Tea

29
 23. Ign.--------------------------------- Coffee, Sweets

24. Kali Br.------------------------------Salt

25. Lyco.---------------------------------Coffee

26. Nux Vom.---------------------------Coffee

27. Phyto.------------------------------- Milk, Salt

28. Psor.-------------------------------- Coffee

29. Ran. Bul.----------------------------Vinegar, Wine

30. Sol Lycop.--------------------------Tomato

31. Sel.---------------------------------- Wine

32. Sulph.-------------------------------Tea

33. Thuj.---------------------------------Onions

34. Zinc Met.----------------------------Wine

Contribution over this topic based on personal & clinical experiences.37

3.26: View of Dr.J.T.Kent:

Inimical: He says `they do not like to work after each other.' Eg.: Causticum and

Phosphorus. Apis and Rhus. Kent believed that some remedies were inimical to each

other in their acute sphere and others only in their chronic sphere.38

Lectures On Materia Medica:

When patients are under constitutional remedies, they need caution about certain

kinds of foods that are known to disagree with their constitutional remedies. A Bryonia

patient is often made sick from eating saucer kraut, from vegetable salads, chicken salad,

etc.,so that you need not be surprised , after administering a dose of Bryonia for a

constitutional state, to have your patient come in & say she has been made very ill from

30
eating some one of these things. It is well to caution persons who are under the influence

of Pulsatilla, to avoid the use of fat foods, because very often they will upset the action of

the remedy. It is well to say to patients who are under Lycopodium, ―See that you do not

eat oysters while taking this medicine.‖ These medicines are known to produce states in

the stomach inimical to certain kinds of foods; certain remedies have violently inimical

relations to acids, lemons, etc. If you do not mention the fact and say, ―you must not

touch vinegar & lemons; nor take lemon juice while taking this medicine,‖ you will have

the remedy spoiled, & then wonder why it is. The medicines often stops acting & the

patient gets a disorder condition of the stomach & bowels; a medicine that should act for

a long time ceases action & you do not know what the trouble is. Homoeopathy will rule

out such things as inimical to the remedies & inimical to patients in general, or do not

agree with a particular constitution.39

3.27: According to ICR Symposium volume, area-D:

Injurious, inimical, incompatible relationship; This is derived from clinical

experience by master prescribers. Similar drugs with a tendency to fuse and produce

complexes, where there is a peripheral formal similarity but not reflected in the central

structural similarity, as for example Phos Caust.40

THE IMPORTANCE OF SYMPTOMS:

In Paragraph 5 of The Organon, Hahnemann wrote that the homeopathy, or the

physician, should investigate the facts about the history of the patient's chronic diseases,

their moral and intellectual character, their occupation, mode of living, their habits, their

social and domestic relations, their age, sexual function etc.

31
 When a person is under the influence of an inimical force to life, this force will

dominate all their life. The homeopath knows the way that this inimical force is working

by the symptoms that the person expresses.

In the footnote to paragraph 17, Hahnemann wrote that the vital force of the sick

person displays these symptoms so that the homeopath knows which remedy should be

given. This function is an act of charity given by the Creator for the benefit of human

beings.

From this we understand that the symptoms of a sick person (or of an individual

undertaking a proving) are produced by the vital force, and are a result of the influence

caused by the specific inimical force to life that is dominating the sick person (or

"prover").

When a vital force cannot give exactly the opposite answers that will antidote the

inimical force to life, it brings symptoms. These symptoms will differ according to which

inimical force to life influences the person.

If we want to know what a force specific inimical to life wants to do to a person,

we need to transpose the symptoms presented. For example, if someone who drinks

coffee is made more awake, it means that coffee wants to make the person go to sleep and

that the sleeplessness is the opposite reaction that is produced by the vital force to prevent

the person from falling asleep.

A homeopathic remedy can stop the descent of the sick person and strengthen

their vital force. When a sick person is given their similimum, their vital force will be

able to give the opposite answer to the inimical force to life.41

32
 THE GENIUS OF HOMOEOPATHY LECTURES AND ESSAYS ON

HOMOEOPATHIC PHILOSOPHY BY DR STUART M. CLOSE: Practitioners who are

not much bothered over this relationship between drugs swear that their experiences

prove otherwise. Some homeopaths prescribe so-called inimical drugs even

simultaneously or alternating and get expected clinical results.

The power of reaction is just opposite to the inimical. The law of nature is the

balance between action and reaction, but if the reaction or power of resistance

(susceptibility) is weaker, the inimical force will prevail on organism and produce

sickness but if the reaction or the power of resistance is stronger, the inimical force will

become ineffective and the sickness cannot prevail on the organism.

Incompatible/Inimical remedies: Incompatible remedies are homoeopathic drugs which

may not be successfully used consecutively.

Experience has shown that the administration of incompatible remedies in

successive order will cause disturbances of many & various natures to arise which

exceedingly complicate the case being treated. Such an antagonists include, for example,

homoeopathic drugs of fairly different homoeopathic pathogenesis or those which are

characterized by modalities which are strongly adverse in nature. In most cases one could

talk an antagonistic action in the ordinary sense.30

Cases of absolute incompatibility, however, are rare in the context. In many cases

the incompatibility of two homoeopathic remedies will entail only certain homoeopathic

areas of their homoeopathic drug pictures or of a certain indication.42

33
3.27: Nash says:

―I do not believe in the so called incompatible as some do. I should give Caust

after Phos, Sil after Merc-sol or Rhus-tox after Apis if I found them indicated.‖ But the

fact is these remedies mayn‘t be really indicated, the one after the other.43

3.28: An over view:

An area in which adequate attention is to be given while prescribing homoeo

medicine is the inimical nature of the medicines. Some medicines do not follow others

well, some may create severe aggravation and some should not be given.27

DO NOT USE:

Acetic Acid After Lachesis

Acetic Acid after Belladona

Aconitum after Acetic Acid

Apis Mel After Rhus Tox

Asteria Rubens after Nux

Arum Tryphillum after Caladium Seguinum

Aurum Muriaticum after Coffea Cruda

Belladona after Dulcamera

Bryonia after Calcaria Carb

Calcaria Carb after Baryta Carb

Calcaria Carb after Kali Bich

Calcaria Carb after Nitric Acid

Carbolic Acid after Lachesis

Camphor After Kali Nit.

34
Camphor After Coffea

Causticum Aftr Phosphorus

Chamomilla After Nux Vomica Chamomilla after Zicum Met.

China after Selenium

Cocculus after coffea cruda

Coffea Cruda aftr Asteria Rub.

Coffea after Caulophyllum

Coffea Cruda after Ignatia

Ferrum Mur. After Digitalis

Glycerin after Carbolic Acid

Ignatia after Coffea Cruda

Lachesis after China

Lachesis after Dulcarmera

Lachesis after Sepia

Mercurius after Silicia

Mercurius after Phytolacca

Nux Vomica after Ignatia

Nux Vomica after Asteria Rubens

Phosphorus after Causticum

Psorinum after Sepia

Pulsatilla after Sepia

Rhus Tox after Apis Mel

Ranunc Bulb. After Staphisagria

35
Sepia after Lachesis

Silicia after Mercurius

Sulphur after Calcaria Carb (should not be given)

Tabacum after Ignatia

Wine after Benzoic Acid

Wine after Selenium

Zincum Met after Nux

3.29: Lectures on the theory and practice of Homoeopathy:

Contents of the medicine also suggest the inimical. Eg : Lyco contains Sulph.44

Principles and Practice of Homeopathy:

The Therapeutic and Healing Process: Incompatible or inimical remedies are

those that are recommended not to be prescribed in succession. However, it is quite

possible to see a patient at follow up or to retake a case & to see a remedy that previously

was not possible. In this case, knowing that it was inimical to a previously indicated

remedy would not to be a contraindication.

Prescribing an Incompatible or inimical remedy as the same level as a previous

remedy can cause the case to become more confused & hidden. Take the example of an

Eczema case where Apis Mel has acted partially. If RhusTox is then used when the case

is no clearer at a deeper level, the Apis symptom often return for the case, the case

generally gets more confused.

There are many other suggested incompatible or inimical remedies, observed by

different authors but they should not stop a prescription if a remedy picture is clear &

seen deeply. If however, two Incompatible or inimical remedies are equally indicated in a

36
case often a deeper level of understanding will reveal which of them is best suited or

another layer of the case may be seen pointing to a different remedy.45

3.30: According to Dr. H.C. Allen:

Dr. H.C.Allen described about seven types of relationship in his key notes,

namely complementary, follows well, followed well by, incompatible, antidote, similar to

and compare; without mentioning any gradations of them.46

Table 6: INIMICAL RELATION BETWEEN REMEDIES ACCORDING TO

DR. H.C ALLEN47

Name of the drug Inimicals

Ammon-carb Lach

Apis Rhus-tox

Kreos Carbo-veg

Nitric-ac Lach

Nux-vom Zinc

Rhus-tox Apis

Sepia Lach,puls

Zinc Cham,Nux-vom

3.31: Practical Key To Homoeopathy:

Some of these practical tips are mentioned below, which will give us an idea how

to approach a case:- Bryonia and Calcarea carb are inimical. Calcarea carb must not be

given before Sulphur. Silicea should be thought of when the abscess does not heal under

37
Merc sol. A dose of Sulphur should be gPhosphorus and Causticum must not be used

after each other; they are inimical to each other.iven after Merc sol, beforxe giving

Silicea; for Merc sol and Silicea are inimical. Silicea follows Sulphur well.48

Table 7 : INIMICAL REMEDIES IN ENCYCLOPEDIA OF REMEDY

RELATIONSHIPS49

Name of the drug Inimicals

Acon Ac.acetic,Vegetable acids,Coffee,

Lemonade,Acids,Sour fruits, wine

Aes-hip Nux-vom

Aeth-cyn Ant-c,cicu-v

Agraphis nutans All-c,All-s,Squilla

Ambra grisea Nux-v,Staph

Amm-carb Lach,Anac

Ant-tart Kali-s

Antipyrinum Coffee in excess

Apis Rhus-t,Phos

Arnica Acetic acid,wine

Arum dracunculus Caladium

Arum italicum Caladium

Arum maculatum Caladium

Arum triph Caladium

Asterias rubens Coffea,Nux-v

Arum metallicum Gels

38
 Baptisia tinctoria After Calc.(in Scrofula),Calc-p

Baryta iodata Calc-iod, Fl-ac,Kali-f,Lapis,Mag-f,Nat-f

Baryta muriaticum Absin

Belladona Acetic-ac(Pain in

head),Dulc,Ter,Lemon,Vinegar

Borax veneta Acetic-ac, Sour fruits, Alcohol, Vinegar, wine

Bovista lycoperdon Coffee, Coffea

Bryonia alba Calc-c

Calc-c Bar-c,Bry,Kali-bi,Nit-ac,Sulph

Calendula Camph,after Coffea

Cantharis Coffea,Oil increases the bad effects of

Cantharis

Carbolic acid Lach, Vegetable oils

Carbo animalis Carbo veg

Carbo veg Carbo animalis,Caust,Kreos, should n‘t be

used alternately with Ars & Lach

Caust Acetic-ac (after Caust), occ,Coff,Coloc,

Kali-nit,Nux-v,Phos,Acids,Vinegar

Cham Nux-v(But follows well in coryza),Zinc,Coffee

Chel Acids,Wine & Coffee restrict its action

China Bell(Heart symptoms & temp),Dig(after

China),Kreos,Morphia(Brain

symptoms),Selen(after China)

39
 Cholesterinum Lee(In lower dillution)

Cistus Canadensis Coffee,Coffea

Cobaltum metallicum Carbo veg

Cocculus indicus Caust, Coffee,Coffea

Coffea cruda Arg-nit(Nervous headache),Aster,

Calen,Camph,Canth,Caust,Cist,Cocc,Ign,

Lac-ac,Mill,Stram,Valer

Con-mac After Psor, Nit-ac

Duboisinum Musc

Ferr-met Acetic-ac,Dig,Thea,Beer

Glonoinum Wine

Hep-s Pyrog,Spongia

Ipecac Bism,Op

Kali-nit Camph,Caust,Ran-b

Kalmia latifolia Acetic-ac,Acon,Amm-c, Carb-ac,Dulc,Nit-

ac,Psor,Samb,Sep

Lactic-ac Coffee

Ledum palustre China

Lycop Coff,Nux-m,Sulph

Medo Ipe

Merc Ace-ac,Lach,Sil

Nat-mur Nit-ac(after Nat-m),Podo

Nit-ac Calc,Hep,Lach

40
 Nux-m Sil,Squila

Opium Gels

Oxalic-ac Sugar,Coffee & wine

Paris quadrifolia Ferr-p, Phos

Petrolium After Sepia

Phos Apis,Caust,Rhus-tox(After Phos),Iod

Phytolacca decandra Merc

Podo Salt increases its action

Psorinum Apis, Chin, Con, Crot-tig, Lach,Lyco,other

serpent poisons,Sep

Puls Ars,Bell,Cham,Lach,Nux-m,

Nux-v,Sep (n‘t to be alternate with Sepia),

Rhus tox

Raphanus sativus Milk & Water < the pain in stomach

Rhus tox Anac, Apis especially in skin eruptions,

Eruptive fevers

Selen China,Wine

Sepia Bry,Lach,Puls

Squilla maritime Aloes, All-c,All-s

Staph Ran-b before &after

Stramonium Coffea

Sulph Aur-m,Calc(before Sulph),Merc(Itching &

burning in vulva after prescription of Sulph for

41
 genital Eczema),Puls,Rhus-tox,Thuja,

Merc(Before sul), Nux-m, Ran-b

Thea chinensis Ferr,Adrenalin

Valeriana officinalis Coffea,Camphor

Vespa crabro Arg-nit

Zinc.met Cham,Nux,Wine,Alcohol

The best known incompatible remedies, that are in some way opposite to each

other are naturally predisposed to one another, then remedies that are similar will

naturally repeal each other.42

3.32: A few ideas by Dr. S.P. Koppikar in his article on “RELATIONSHIP”:

―Incompatible is the least understood or developed. Scattered through the Materia

Medica of Hahnemann and his disciples are found remarks like: Does not follow such

and such drug well.‖ If administered before or after should not be used before or after

such and such drug and so on. Dr. Gladwin states : ― I have learnt tu have great respect

for these incompatible remedies. When it was a well known fact that two remedies would

fight when they had a chance, I was careful not to give them a chance.50

3.33: In National Journal of Homoeopathy:

Incompatible means: Some injurious effects were observed by prescribers after

the administration of some remedies (like a complex dissimilar disease). Central

structural similarity is not achieved; instead peripheral formal similarity is only

corresponded. This gives rise to some non-desirable effects. Example: Con is inimical to

Psor. Caust is inimical to Phos.51

42
 Thus our relationship of remedies tables allows us to benefit from the combined

expertise and observation of homeopaths over the years. They by no means preclude

other remedy pictures coming up, but they can guide us in our prescribing. This allows us

to antidote adverse affects; complement the action of our previous remedy, and to steer

clear of inimical reactions.38

3.34: According to Indian Journal of Homoeopathy:

After administering a particular medicine, when a change of prescription becomes

necessary, should we invariably avoid the medicine listed as antidotal or inimical ones;

unless we ascertain and comprehend the basis for arriving at these relationships. We shall

not be able to develop and add to these lists but we shall have to satisfied with the

existing ones.52

There may be other explanations and conclusions possible. These ideas have been given

in the hope of stimulating study, discussions and experiments; and as hypothesis for

further study of one of the most ticklish and imprecise problems in homoeopathic

literature.50

3.35: Conclusion: In this chapter we did an extensive review of inimical relationship in

Homeopathy. Views of experts in the field of Homeopathy are carefully studied and their

instructions are well documented here. Prospective and retrospective studies of different

cases are done in the next chapter basing on the study done in the literature review.

43
 4.MATERIALS & METHODS

4.1 : Introduction:

In this section several cases are selected from case records of FMHMC, SCR, depending

on duration of inimical prescription and their follow up results. In the subsequent sections the case

selection/rejection method is dealt in detail. Finally the diet, assessment and follow up criterions

are mentioned.

4.2: Sources of data:

The study was conducted in patients who reported to the outpatient department of Fr.

Muller homoeopathic medical College and Hospital at deralakatte, as well as from Kankanady

from 2000 onwards till today. Moreover 100 cases with inimical prescription was found out of

8,000 case records of FMHMC, SCR. Every prescription was seen & verified. A total number of

30 cases were taken randomly for this study.

4.3 : Methods of collection of data:

A sample of minimum 30 cases was selected for the purpose of retrospective and

prospective study, following purposive sampling technique based on the inclusion & exclusion

criteria. Every case was analyzed with reference from materia medica, repertory and therapeutics

whenever required, with a special emphasis on the inimical relationship of remedies.

The potency selection and repetition of the doses were done according to the demand of

the case, with consideration of potency selection criteria such as Acute or Chronic, Susceptibility,

Vitality and Suppression (if any), changes in structural and functional level and the degree of

correspondence to the remedies selected on the basis of homoeopathic principles.

44
4.4 : Inclusion Criteria:

1. The sample is taken from both the sexes of age 2 years and above.

2. Remedies whose inimical relationship is known are taken for study.

4.5: Exclusion Criteria:

1. Terminally ill patients

2. Patients with advanced pathological changes

4.6 : Follow ups

All patients were reviewed on a basis to assess the subjective or objective changes.

Follow ups were watched and interpreted as per criteria set up in each case. Each case were

followed for a minimum period of 2 months to 6 months duration. The abbreviations used in the

follow up are: s, <, > etc.

4.7: Diet and Regimen

All the patients were directed to continue with the same diet as earlier. Specific

supplementary diet advised whenever required.

4.8: Assessment of Effectiveness

Effectiveness of the treatment was assessed on the basis of

- Clinical improvement

- Disappearance or relief of symptoms, improvement of general health as well as mental

health of the patient.

- Aggravation or appearance of new symptoms or increased intensity of existing symptoms

- Without any response or same as before, after intake of medicines

4.9: Conclusion: In this Chapter we selected 30 cases out of 8000 cases for our study. We

observed both diet and remedies play a vital role in inimical prescription.

45
 5.OBSERVATIONS & DISCUSSION

5.1: Introduction:

In this section, the observation of cases is analyzed. A case well taken is half cured.

Homoeopathic prescribing strives to keep going with its efforts of upgrading the science through a

scientific, pragmatic & rational approach to take homoeopathy to newer heights; via physician-

patient relationship: the universal basis of all meaningful human relationship.

The term ―inimical‖ is very well known to all of us but its real utility & practical

importance is not well known. A proper clinical knowledge of inimical relationship will help us in

artistic prescription. To initiate, develop & coordinate applied aspects of inimical relationship in

homoeopathy, few information to the profession & public; to an intimate acquaintance with these

points will enable to follow inimical drugs easily & to the greatest advantage.

APPLICATION OF ―INIMICAL RELATION‖ IN HOMOEOPATHIC PRESCRIBING

5.2:In Problem Definition

a) INTERVIEW TECHNIQUE

 Knowing depth of the case, comparing the inimical remedies which belongs to family

relationship (similar origin) or concordant relationship (dissimilar origin) but similar

symptoms or some characters in general.

 Observation of body language, social & individual relation & work area of the patient

makes easier to compare between inimical drugs.

 Exploring an open inquiry to locate the problem which is inimical to the health of the

patient.

 If the physician is not aware to guide the patient properly, then patient- physician

relationship becomes inimical.

46
  Confrontation is a sharp weapon, which can cut both the ways, which is inimical for both

physician & patient; if not aware of these aspects before use it.

 Attempt to give counseling; the skill which physician implanted his plan should not be

inimical for patient.

 Silence is an effective technique, requires considerable, otherwise inimical when patient

requires assurance.

 Interpretation of problem is a skill which depends on physician‘s knowledge, sensitivity,

Sensibility, technical skills, judgments etc. Lack of it is inimical towards disease diagnosis.

 To accept the patient thoroughly, physician has to play a role of the patient‘s world to

instruct the patient. Otherwise it shows inimical effect towards cure.

 It is inimical relation to refuse all requests from patient.

 If physician is not listening properly, the case history is not proper. It is inimical to achieve

a problem definition & problem resolution.

 Physician can ask leading questions to avoid inimical effects of cure.

b) CLINICAL RECORD

 Developing a good rapport with patient, physician will able to condense or scrutinize the

inimical effects of drugs as well as disease.

 Assessment of the patient, at the time of writing case history will recognize the inimical

process of cause & effect relationship to develop the disease.

 Assessing the clinical status of the patient is inimical if the case is not suitable for

Homoeopathic treatment.

 If clinical record is not up-dated by the physician from time to time, it is inimical to

achieve ideal cure. Physician has to find difficulty in prescribing acute, chronic and

47
 intercurrent or anti- miasmatic remedies.

 Correcting the misconceptions which are inimical for the system of Homoeopathy.

c) ANALYSIS & SYNTHESIS

 Analysis of expressions in various areas of function, perceiving the inter-relationships so

that cause-effect became available. Thus inimical relation towards case can be rectified.

 If the process of analysis of complaints is not suitable depending on case, it is inimical to

arrive at a probable diagnosis or differential diagnosis.

 Suitable planning is inimical to various hypotheses.

5.3: Problem Resolution

 Depends on physicians sight, judgement, control, sensibility, light of his knowledge

GENERAL OR ENVIRONMENTAL MANAGEMENT

 The exciting or maintaining factors of the disease or in life style adopted by the patient

may be inimical to receive the cure. Nothing can take place unless there is a disposition to

it or without a cause. (§31)

INDIVIDUAL MANAGEMENT

 Avoid food items which are inimical to the remedy. ( Refer page no.28 & 29 )

 Give assurance, encouragement and positive attitude to the patient which is inimical to the

disease.

REPLACEMENT

 Deficiencies in a system have to be corrected through replacement which is inimical to

health.

ANCILLARY MEASURES

 Few items are inimical to some disease or clinical condition. We should aware what to

48
 avoid during that time period.

 In psychologically disturbed patients, absence of orientation of family members is inimical

to cure.

SPECIFIC MANAGEMENT

 Homoeopathic Planning & Programming

 Remedy Selection, Potency Selection, Repetition Schedule

 High susceptibility: high potency with infrequent repetition,

medium susceptibility: medium potency with infrequent repetition,

low susceptibility: low potency with frequent repetition,

The physician should aware of it, unless drug produces inimical effects for cure.

 Perceiving the way of totality is important. Eventually physician has to plan the direction

of treatment depending on fixed general totality, sector totality or chronic totality. If this

totality is not clear, it is inimical to the healing art.

5.4: Prognosis

 Scientific Homoeopathic practice allows a physician to offer prognosis with accuracy.

 Depth knowledge in inimical relation will help the physician for a good prognosis.

5.5: Discussion

All thirty cases contain inimical prescription was available were considered for the

statistical study. So the statistical analysis made here is based on the data‘s obtained from these

thirty patients.

49
Case distribution :

Table 8 :Distribution of cases according to action of medicine

TOTAL CASE NO. 30 100%

AGGRAVATION 23 76.68 %

AMELIORATION 4 13.33%

SAME 3 9.99%

23
Agg
30 Ame
3 4
Same
Case no

Figure 1: Distribution of cases according to action of medicine

Among the 30 patients included in the study 23 cases ( 76.68%) were found to have aggravations,

in 4 cases ( 13.33%) was noted in amelioration & 3 cases ( 9.99%%) were same.

50
Table # 9: Distribution of cases according to different system

SYSTEM NO. OF CASES %

RS 4 13.3%
SKIN 6 20%
CNS 1 3.33%
LOCOMOTOR 4 13.33%
GIT 2 6.66%
FGT 1 3.33%
CHEST 1 3.33%
ENT 5 16.66%
MIXED 6 20%

4 SYSTEM
CASE NO
%
3

0 SYSTEM
RS SKIN CNS LOC GIT FGT CHE ENT MIXED

Figure 2: Distribution of cases according to different system

51
 For this statistical analysis total 30 cases were considered, in 4 cases (13.3%) were from

Respiratory system,6 cases (20%) were Skin,1 case (3.33) was from Central nervous system, 4

cases (13.3%) were from Locomotor system, 2 cases (6.66%) were Gastro intestinal system, 2

cases (6.66%) were from Female genital tract, 1 case (3.33%) was from Chest, 5 cases (16.66%)

were from Ent and 6 cases (20%) were from mixed system.

Table 10: Distribution of cases according to clinical diagnosis

CLINICAL DIAGNOSIS NO. OF CASES %

ALLERGIC RHINITIS 3 9.99%
ACUTE BRONCHITIS 4 13.33%
APD & OA 2 6.66%
OA 2 6.66%

4
DIAGNOSIS
3
CASE NO
2
%
1 %

0 DIAGNOSIS
ALLERGIC ACUTE APD & OA
RHINITIS BRONCHITIS OA

Figure 3: Distribution of cases according to clinical diagnosis diagnosis

Depending on clinical diagnosis, 3cases (9.99%) were Allergic Rhinitis, 4 cases (13.33%) from

Acute Bronchitis, 2 cases(6.66%) from Acid Peptic disease with Osteoarthritis & another 2 cases

52
(6.66%) from Osteoarthritis.

Table 11: Distribution of cases according to the remedy with inimical relation

NAME OF DRUG INIMICAL DRUG NO. OF CASE %

PULS ARS 2 6.66%
SUL PULS 3 9.99%
PULS RT 3 9.99%
LYCO SUL 5 16.66%
LACH BRY 2 6.66%
SEP BRY 2 6.66%
CALC-C BRY 2 6.66%
PHOS RT 2 6.66%
PULS BELL 1 3.33%
PULS NV 1 3.33%
SUL RT 2 6.66%
PHOS CAUST 2 6.66%
CALC-C SUL 1 3.33%
MERC SIL 1 3.33%

6
LYCO
5

4 %
SUL Case no
3 PULS
Inimical drug
PHOS PULS SUL PHOS
2 Drug name
PULS
LACH SEP CALC
MERC
1
PULS CALC

0
ARS PUL RT SUL BRY BRY BRY RT BEL NV RT CAU SUL SIL

Figure 4: Distribution of cases according to the remedy with inimical relation

53
The series of inimical remedies observed in this 30 cases study were

1. Puls- Ars (2cases-6.66%)

2. Sul- Puls (3cases- 9.99%)

3. Puls- Rhustox (3cases- 9.99%)

4. Lyco- Sul (5cases-16.66%)

5. Lach- Bry (2cases- 6.66%)

6. Sep-Bry (2cases-6.66%)

7. Calc.carb- Bry (2cases-6.66%)

8. Phos- Rhustox (2cases-6.66%)

9. Puls- Bell (2cases-6.66%)

10. Puls-Nux.vom (2cases- 6.66%)

11. Sul- Rhus.tox (2cases-6.66%)

12. Phos- Caust (2cases-6.66%)

13. Calc.carb- Sul (1case-3.33%)

14. Merc- Sil (1case-3.33%)

Table 12: Distribution of cases according to the highest inimical relation with other drugs

NAME OF REMEDIES MAX. NO. OF INIMICAL %

REMEDIES

PULS 4 13.33%

BRY 3 9.99%

RHUS-TOX 3 9.99%

CALC-CARB 2 6.66%

54
 4
3.5
3
remedies
2.5
2
1.5 inimical no of
drugs
1
0.5
0
PULS BRY RT CALC-C

Figure no 5: Diagramatic representation of remedies having highest

inimical relation with other drugs

Depending on the inimical prescriptions, Puls is having inimical relation with 4

remedies (13.33%) , Bry is having with 3 remedies (9.99%), Rhus-tox is having with3 remedies

(9.99%) and Calc-carb with 2 (6.66%) remedies.

5.6: Conclusion:

Inimical relation of remedies is playing a vital role in case receiving as well as

prescribing. Among so many drugs, few are having no inimical relation where as few are having

very less and few are less inimical relation with other drugs. Many times it shows adverse effect in

homoeopathic prescription.

55
 Limitations

1. As per the medical ethics inimical relation was given accidentally, which shouldn‘t be

given since it is not beneficial.

2. Limited medicines were used for prescription.

3. Single medicine prescription is rare.

4. Absence of proper follow-ups.

5. Remedies having inimical relation were avoided while making a prescription

6. Prescription of more than one remedies were lesser understood while considering the

action of drugs.

7. The sample size is limited to 30 cases, therefore generalizing the result & conclusion

of this study need to be done cautiously.

8. Frequent change of remedies was an obstacle to assess the action of the drugs.

9. Change of remedies even if marked improvement.

10. The intake of second medicine before the first one was exhausted.

11. The idea of changing physician & medicine was not clear.

12. Time bound study is not sufficient, further study is required.

56
 Recommendations

1. Bigger sample, with extended time of research would provide better result.

2. The duration of inimical action of remedies is required to be recorded.

3. If the action of inimical remedies in different sphere is known, it is easy to

prescribe inimical remedies in day today practice.

4. The lesser known inimical remedies will able to enhance its importance in clinical

practice.

57
 CONCLUSION

The findings of 30 cases study according to inimical relationship were as follows;

1. A key to a successful prescriber.

2. Easy to avoid unnecessary aggravation

3. Relationship of medicines are well organized & better understood

4. Evaluation of the role of inimical remedies in different sphere of action became

easy.

5. Avoiding myths, inimical prescription can make in practice.

6. Few medicines, even if they are inimical, they are antidotes and follows well to

each other. Role of those medicines in different clinical conditions can be

observed easily.

7. The duration of action of inimical remedies can be described.

8. The knowledge can be expanded.

9. The drug picture of the drugs having inimical relations will more accurate.

10. The art of treatment will improve.

11. There is significant change in cases after inimical prescription. Out of 30 cases,

23 cases (76.67%) show aggravation, 4 cases( 13.33%) having amelioration & 3

cases(10%) were same.

12. Inimical prescription shows aggravation in many cases in this study.

13. Lyco & Sul are the commonly prescribed inimical remedy in this study.

14. Pulsatilla shows inimical relation with more drugs compare to other remedy in

this study.

58
 SUMMARY

The incidences of prescribing inimical remedies are rare. In this study a total of

30 cases were selected for this inimical prescription based on inclusion and exclusion

criteria. These cases were analyzed in different point of view, one case was explained in

detail with help of standardized case record(SCR),case concept form(CCF), case concept

exposition form (CCE) and standardized paper in homoeopathic prescribing(SPHP).

At the end of the study there were certain conclusions arrived at:

Out of all 30cases, 23cases (76.67%) shows aggravation, 4cases (13.33%) having

amelioration & 3cases (10%) were no change after prescribing inimical remedy to the

previous prescribing remedy.

According to the distribution of cases, 4cases were from Respiratory system, 6

cases from Skin, 1 case from CNS, 4 cases from Loco motor system, 2 cases from GIT, 2

cases from FGT, 1 case from Chest, 5 cases from ENT and 6 cases from mixed system.

Depending on clinical diagnosis 3cases (9.99%) were Allergic Rhinitis, 4cases

(13.33%) are Acute Bronchitis, 2cases (6.66%) are APD with OA and another 2cases

(6.66%) are OA.

The series of inimical drugs used in this study were Puls- Ars (2cases-6.66%),

Sul- Puls (3cases- 9.99%), Puls- Rhustox (3cases- 9.99%), Lyco- Sul (5cases-16.66%),

Lach- Bry (2cases- 6.66%), Sep-Bry (2cases-6.66%), Calc.carb- Bry (2cases-6.66%),

Phos- Rhustox (2cases-6.66%), Puls-Bell(2cases-6.66%), Puls-Nux.vom (2cases- 6.66%),

Sul- Rhus.tox (2cases-6.66%), Phos- Caust (2cases-6.66%), Calc.carb- Sul (1case-3.33%)

and Merc- Sil (1case-3.33%).

A total case of 30 shows that, Puls is having inimical relation with 4 remedies

59
(13.33%) which is maximum, Bry & Rhus-tox are having with 3 remedies (9.99%) and

Calc-carb with 2 (6.66%) remedies.

From an analysis of the above results obtained from this study it is obvious that,

Homoeopathic medicines have adverse effects in inimical relationship. In our

literatures it is not mentioned the exact condition or state in which they are inimical or

follows well or complementary. So it is difficult to distinguish between them. Master of

remedy relationship is master of art of prescribing.

60
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12/10/11.

49. Rehman Abdur. Encyclopedia of remedy relationships in homoeopathy. 1st ed.

Heidelburg: Kommunikation Services; 1997. p.35-107

64
50. Koppikar S P. Clinical Experience of 70 years in Homoeopathy. Reprint ed. New

Delhi: B. Jain Publishers (P) Ltd; 2003-2004. p.128, 129, 136.

51. National journal of homoeopathy 2001 Mar / Apr VOL III NO 2. Dr Ajit

Kulkarni.assessed on 14/10/11.

52. Indian journal of Homoeopathy 1962 Apr-June. Assessed 0n 23/10/11.

65
 ANNEXURE- I

CASE PROFORMA

FR. MULLER HOMOEOPATHIC MEDICAL COLLEGE & HOSPITAL

STANDARDISED CASE RECORD

PRELIMINARY DATA

Name: Mrs SJ SCR NO: 57181/09

Age: 58yrs Date: 16/07/10

Sex: Female.

Religion: Christian

Education: Graduate

Occupation: Beautician

Marital status: Married

D/E - 16/ 07/2010

PRESENT HISTORY

Chief complaints

LOCATION SENSATION MODALITY CONCOMITANT

1. Extremities since Throbbing pain++ <standing++

4-5 years, in the foot Cramps++ <night++
and heel. No swelling >massage
>tight bandage
2.Generals <after evening
since 2-3 month
Feels as if foot is <after bath
pushed to one side <mental stress++
while standing <walking.

66
 3.GIT
since1month Distension of <pulses++
occasionally abdomen, uneasiness < evening++
No heartburn >hot drinks++
Occasionally belching
Hard stools, no desire
4. Known Diabetic
since 6 years

HISTORY OF PRESENT ILLNESS

Patient was apparently well before 5 years. She gradually started with cramps at

night and throbbing pain on standing, evening, etc which is to be better by massage, tight

bandage, continuous motion. Since 2-3months she feels pushed towards one side mainly

during stress, walking and after bath. Occasionally has distension of abdomen, with

belching after eating pulses, evening and better by hot drinks

PAST HISTORY

Convulsions after delivery, 4 premature babies death.

FAMILY HISTORY

Father- Paralysed

Mother-Diabetic

Sister- Hypertensive, Osteo-arthritis

PATIENT AS A PERSON.

Appearance: Stocky

Perspiration: increased, around axilla and head

Skin: Clean

67
Hair: Dry

Digestion

Appetite: good

Thirst: 10-12 glasses/day, cold water

Flatulence: occasional

Cravings: sweets++, onions

Aversion: chicken

Elimination:

Stool: hard stool 1/day, occasionally once in 2 days

Urine: 3-4/day, 1/night

Menstrual function

Menopause attained at the age of 48.

Sexual function

Marital- satisfactory

Thermal state: hot patient3

THE MENTAL STATE

Emotional

Fearfulness

Anxious2 – about son‘s future

Intellectual

Perception- clear

Memory- weak

REACTION: A.F., <, >: STATE EFFECTS

68
Contradiction, doesn‘t shout back

Likes Company, consolation, better by weeping

Sleep: 10.30pm-3.30am in night.

Lying on right-side, fresh sleep.

Dreams: about her daily activities.

LIFE SPACE INVESTIGATION

Patient hails from a middle class family, who has 2 younger sisters.

Childhood: was very bold, active, but wasn‘t close to her parents, she feels that more than

her, her younger sisters were cared by her parents. So she eagerly waited for

her summer holidays to go to her grandparent‘s home.

Married life: 20 years of married life, has a son. Hers was a love marriage, parents agreed

for it.

Husband: is lovable and caring

Character: religious, obstinate (stubborn) helpful, straight forward

Worried: at present she is tensed about her son who is in love with a girl who was a

regular customer of her parlour, since the girl‘s parents especially her mother didn‘t agree

and put her out of the house she stays with the patient.

GENERAL PHYSICAL EXAMINATION

Well oriented with time place and person

No signs of pallor, cyanosis, clubbing, jaundice, oedema, lymphadenopathy.

Weight: 66kg.

Vital signs

Temperature: a febrile at the time of examination.

69
Pulse: 60 beats/minute.

Respiratory rate: 18/minute.

BP: 170/100 mm of Hg.

Local examination

Foot: no swelling, no inflammation, with tenderness

Systemic examination

Cardio vascular system - S1 S2 heard no adventitious sound heard

- No murmurs

Respiratory system - Normal vesicular breath sounds

Nervous system - NAD

PROVISIONAL DIAGNOSIS

Calcaneal spur

Pain in the heel and foot

Ailment from long standing

Gradual onset

< Exertion > massage

DIFFERENTIAL DIAGNOSIS

Rhagades: Pain in the heel and foot, with cracks

< winter > hot water

GENERAL MANAGEMENT

Avoid long standing

Have a fibre rich diet.

Elevation of the affected foot and leg at rest diminishes the pain.

70
Warm application to affected area to relieve pain by dilating the local blood vessels.

Donut-shaped shoe inserts take pressure off plantar spurs.

Placing a half inch foam rubber pad, which will raise the heel and shift the weight of

body forward.

MIASMATIC EXPRESSION

Fundamental Miasm- sycotic

Dominant Miasm- psoric

71
 PROBLEM STRUCTURALISATION

FAMILY: GOOD. FAMILY: GOOD.

FM: Sycotic
SOCIETY: GOOD. SOCIETY: GOOD.
DM: Psoric Syphilis
WORK:GOOD WORK: GOOD

D stubborn2 Will not change her decision

I
M S and character for others
I P religious2 Only believes in god, hears
O
N S voices of the lord
D I Anxious2 About sons future
T
I
O Philosophical way of talking,
N
bold and responsible

Thermally- Hot3
Dreams-of daily events Characteristic particular
Sweat- increased in axilla
Craving- sweets2, onion Cramps at night2
Sycosis Aversion-chicken Ailment from long standing.
Stools hard <evening> tight bandage
B Feels as if pulled aside
O Throbbing pain2 in heels
D
D I <standing.2> massage
Y A Distentionof
T
Psora
H abdomen<pulses2<evening2,
>hot drinks2

D
I
S
E
A
S
E

Calcaneal spur

72
 REPERTORIAL TOTALITY NOTE: SELECT APPROACH: synthesis,

REASON: MORE GENERALS

Case main

Sum of degrees (sort:spt) - Sum of degrees (sort:spt) - Intensity is considered

1 1234 1 MIND – OBSTINATE 142

2 1234 1 MIND – RELIGIOUS AFFECTIONS - too occupied with religion 72

3 1234 1 MIND - PHILOSOPHY - ability for - reveries; great inclination to philosophical 3

4 1234 1 MIND – COURAGEOUS 45

5 1234 1 MIND - RESPONSIBILITY - taking responsibility too seriously 22

6 1234 1 GENERALS – FOOD and DRINKS - onions - desire 13

7 1234 1 GENERALS – FOOD and DRINKS - sweets - desire 198

8 1234 1 CHEST - PERSPIRATION - Axilla 68

9 1234 1 EXTREMITIES - PAIN – pulsating - Foot 5

10 1234 1 EXTREMITIES - PAIN - Foot – Heel – standing 8

11 1234 1 EXTREMITIES - CRAMPS - night 1

12 1234 1 STOOL - HARD 337

Sulph. calc. lyc. sep. Bell. arg-n. ign. lach. puls. Kali-c.
16/7 13/6 12/5 12/5 11/6 11/4 10/6 10/6 10/6 10/5
1 2 3 2 1 3 4 2 1 1 2
2 3 2 3 3 2 2 2 3 2 -
3 1 - - - - - - - - -
4 1 - - - 2 - 2 1 2 -
5 - 1 1 - - - 1 - 1 1
6 - - - - - - - - - -
7 3 2 3 2 1 3 1 1 2 2
8 3 2 - 3 - - - 1 - 3
9 - - - - 1 - - - - -
10 - - - - - - - - - -
11 - - - - - - - - - -
12 3 3 3 3 273 2 2 3 2 2
Analysis of reportorial result

In reference to the knowledge in Materia Medica, after considering mental

generals, physical generals and characteristic particulars, Sulphur was selected as the

constitutional remedy.

First prescription

Date: 16|07|10.

RX

1. Sulphur 200 (1P) EMES.

2. No.40 pills. 4- 0 -4 for 1 week.

Follow up criteria.

1. Stools

2. Sweat

3. Pain in heels

4. Gas trouble

5. Cramps

Follow ups.

DATE SYMPTOM CHANGES PRESCRIPTION

1 2 3 4 5 6 7 8 9 10 RX
1. sulphur (0) (1P)
S S > > > EMES
2.No ii pills
30/07/10 4- 4- 4/ 2 weeks

Generals- good

74
DATE SYMPTOM CHANGES PRESCRIPTION
1 2 3 4 5 6 7 8 9 10 RX

13/08/10 S S > > > 1. Sulphur 200

EMES
2. No.40 pills.
Pain in the occipital region in the right ( 4-0-4)/ 2weeks
side occasionally. Pain in soles present.

DATE SYMPTOM CHANGES PRESCRIPTION

1 2 3 4 5 6 7 8 9 10 RX
1.Sulphur(0) (1P)
27/08/10 S S < > >
1P weekly HS/3 weeks

2. No.40 pills.
Complaints < since 1week
( 4-4-4 )
for 3 weeks

DATE SYMPTOM CHANGES PRESCRIPTION

1 2 3 4 5 6 7 8 9 10 RX
1. Lycopodium 200
3/09/10 S > > > > (3P) HS/3days

2. 3 grain tablet
Generals- good
(3-3-3)/1 week

DATE SYMPTOM CHANGES PRESCRIPTION

1 2 3 4 5 6 7 8 9 10 RX
1.Sulphur 200(1P)
> > > < < EMES

2. .no 40 pills
17/09/10 3-3-3/1week
Improvement, new complaints are seen,
sweating offensive
Urine- discomfort

75
DATE SYMPTOM CHANGES PRESCRIPTION
1 2 3 4 5 6 7 8 9 10 RX
1.Calc-C 200(1P)
< < < < < EMES
24/09/10
2. .no 40 pills
3-3-3/1week
complaints are aggravated.

1 2 3 4 5 6 7 8 9 10 RX
1.Lyco 200(5P)
> < < > S EMES, once in 3
9/10/10 days

2. .no 40 pills
Complaints slightly better.
3-3-3/1week

DATE SYMPTOM CHANGES PRESCRIPTION

1 2 3 4 5 6 7 8 9 10 RX
1. Nit.acid 200
2/11/10 < > > S S (3P) HS/3days

2. 3 grain tablet
Painful stools (3-3-3)/1 week
Generals- good

76
 Fr. MULLER HOMOEOPATHIC MEDICAL COLLEGE AND HOSPITAL.

LEARNING SESSION RECORD.

CASE CONCEPT FORM

PATIENTS NAME: Mrs. SJ

CLINICAL DIAGNOSIS: Calcaneal spur SCR NO: 57181/09

Date: 16/07/10
REMEDY: 1. ACUTE: Physician: Dr M.A
2. CHRONIC: Sulphur

3. INTERCURRENT:

A. PROBLEM DEFINITION:

1. INTERVIEW TECHNIQUE. 2. CLINICAL RECORD.

As there was no history available, direct Data‘s were recorded simultaneously in

case taking was done. There was good SCR. Importance were given to patient‘s
rapport between the physician and chief complaints and generals.
patient.

B. CORRELATIONS:

3. SYMPTOMATIC 4. CLINICO- 5. PSYCHOLOGICAL.

CLASSIFICATION
AND EVALUATION.
Symptoms were
classified according to
Kent‘s philosophy.
Qualified Mentals.
Physical generals.
Characteristic particulars
PATHOLOGICAL.
Spurs at the back of the
heel are associated with
inflammation of the
Achilles tendon (Achilles
tendinitis) and cause
tenderness and pain at the
back of the heel.
Family history of various
complaints made her more
anxious about health
along with fears
precipitate the somatic
complaint

77
6. HAHNEMANNIAN MIASMATIC PATHOLOGY: CURRENT

INTERPRETATIONS.

Fundamental miasm: Can be derived from patient‘s family history and past history of

complaints- Sycotic

Dominant miasm: Derived from clinical presentation, associated complaints and mental

symptoms – psoric

C. ANALYSIS AND SYNTHESIS

7.ACUTE 8. CHRONIC TOTALITIES. 9. INTERCURRENT

TOTALITIES. TOTALITIES.

Sulphur was selected according to synthesis and it covers all the three totalities

Mind: Anxious2, stubborn2, religious2, philosopher, boldness, responsible.

Physical generals: hot patient3, craving-sweet2, onion, sweat increased on axilla, head,

hard stools

Characteristic particulars: throbbing pain in the heels< standing2, walking, > tight

bandage, cramps at night2, distension of abdomen <evening2, pulses2 >hot drinks2.

10. SEQUENTI AL 11. SPLIT TOTALITIES. 12. RELATED TOTALITIES.

Calcarea carb comes close to
TOTALITIES
Sulphur in the covering the
patient as a whole, since
Calcarea is a chilly patient,
thermals varies. So it is not
given.

78
 D.PROBLEM STRUCTURALISATION

Beautician A/F long

standing

PATIENT

Physical stress

pain in the heels inflammation of tendons attaching the heel

cramps in the limbs

Occasionally flatulent dyspepsia Calcaneal spur

SULPHUR
Obstinate
Religious
Philosophical
Inimical Courageous
Desire-sweets
Inimical Perspiration -
axilla
Follows Hard stools
Hot patient
well Follows well
30-60
Days

CALCAREA LYCOPODIUM
Obstinate Obstinate
Religious Religious
Responsible Follows well Responsibility
Desire- sweets Desire- sweets
Hard stools Perspiration- axilla
Chilly patient Hard stools
Chilly patient
79
 E. PROBLEM RESOLUTION.

15. MANAGEMENT: 16. MANAGEMENT: 17. MANAGEMENT:

GENERAL GENERAL GENERAL
ENVIRONMENT. INDIVIDUAL. REPLACEMENT.
Assurance to the patient. To take a fibre rich diet

To avoid too much

standing and exertion.
Adequate rest should be
taken. Elevation of the foot with
warm application.

18. MANAGEMENT: MECHANICAL MEASURES AND ANCILLARY

MEASURES:

Elevation of the affected foot and leg at rest diminishes the pain.

Warm application to affected area relieves pain, by dilating the local blood vessels.

Donut-shaped shoe inserts take pressure off plantar spurs.

Placing a half inch foam rubber pad, which will raise the heel and shift the weight of

body forward

19. MANAGEMENT: SPECIFIC HOMOEOPATHIC PLANNING AND

PROGRAMING:

The patient presented with chronic complaints and based on the Kantian totality Sulphur

200 was prescribed on constitutional basis.

80
REMEDY POTENCY REPETITION

SELECTION. SELECTION. SHEDULE.

Sulphur 200 1 Powder- early morning

(Constitutional) Moderate potency was empty stomach for 1 week
Stubborn employed due to was administered.
Obstinate reversible pathology. Infrequent repetition of
Religious the remedy
Philosophical
Courageous
Desire-sweets
Perspiration -axilla
Hard stools
Hot patient

PLACEBO ADMINISTRATION: Placebo was given for adequate spacing and

psychological support of the patient.

REMEDY RESPONSE: The totality was clear; hence the constitutional remedy was

administered. Gradual improvement of the disease condition.

REMEDY REGULATION: As per response and change in symptom – low to high

potency has been administered.

PALLIATION: Nil

CURE: Complaints were relieved significantly.

20. PROGNOSIS: Good. Patient was showing good improvement

F. EDUCATION AND TRAINING:

1. Shows the efficacy of constitutional remedy in Calcaneal spur

2. Understanding the inimical relationship in a given case.

81
 CASE CONCEPT EXPOSITION

1. CLINICAL DIAGNOSIS:

1. Calcaneal spur

The heel spur (or Calcaneal spur) is a nail-like growth of calcium around the

ligaments and tendons of the foot where they attach to the heel bone.

The body reacts to the stress at the heel bone by calcifying the soft tissue

attachments and creating a spur.

The calcaneal spur is seen most often in persons over the age of 40. Men and

women are equally likely to have them. This involves the area of the heel and

occasionally, another disability, such as arthritis.

Although it may take years to become a problem, once it appears, it may cause

considerable suffering. Because of proximity to the tendons, the spur is a source of

continuous painful aching. The sensation has been described as "a toothache in the foot."

When you place your weight on the heel, the pain can be sufficient to immobilize you.

The pain caused by a Calcaneal spur is not the result of the pressure of weight on

the point of the spur, but results from inflammation around the tendons where they attach

to the heel bone. You might expect the pain to increase as you walk on the spur, but

actually it decreases. The pain is most severe when you start to walk after a rest. The

nerves and capillaries adapt themselves to the situation as you walk. When you rest, the

nerves and capillaries are rest. Then, as you begin to move about again, extreme demands

are made on the blood vessels and nerves, which will cause pain until they again adjust to

the spur.

82
 If excessive strain has been placed on the foot the day before, the pain may also

be greater. A sudden strain, as might be produced by leaping or jumping, can also

increase the pain. The pain might be localized at first, but continued walking and standing

will soon cause the entire heel to become tender and painful.

On x-ray examination, the spur can resemble a protruding tooth penetrating the

flesh of the heel.

2. REMEDY DIAGNOSIS

Constitutional Remedy: Sulphur was selected as constitutional remedy which

covers all the three totalities. A constitutional treatment is needed in this type of chronic

diseases where multiple sectors are involved. The dosage schedule adopted and changes

have been done depending on the susceptibility and also on the basis of potency.

A.PROBLEM DEFINITION

1. Interview technique: Direct case taking was done as there was no written record of

patient available. The interview began with chief complaints. There was active

interaction, careful observation, listening, questioning, and accurate analysis of case in

hand. Rapport between physician and patient was good.

2. Clinical record: The data were simultaneously recorded in Standardized Case Record

(SCR) with interview. The physician noted chief complaints, past history, family history,

mental and physical generals were recorded. There after general physical examination,

local examination and systemic examination was done and recorded.

B. CORRELATIONS

3. Symptomatic classification and evaluation: Symptoms were classified according to

Kent‘s philosophy giving prime importance to generals followed by particulars. In

83
generals, mental generals were given prior importance than physical generals.

4. Clinical pathology: Spurs at the back of the heel are associated with inflammation of

the Achilles tendon (Achilles tendinitis) and cause tenderness and pain at the back of the

heel

5. Psychological: Family history of various complaints made her more anxious about

health along with fears precipitate the somatic complaint

6. Hahnemannian miasmatic pathology:

Fundamental miasm: Sycotic

Dominant Miasm: Psoric

C. ANALYSIS AND SYNTHESIS

7. Chronic constitutional totality:

Mental generals: Anxious2

Stubborn2

Religious2

Philosopher

Boldness

Responsible

Physical generals:

Hot patient3

Craving: sweets2, onion

Sweat: increased on axilla, head

Aversion to chicken

Hard stool

84
Characteristic particulars:

Throbbing pain2

< Standing2, walking,>hot water, tight bandage

Cramps <night2

Distension of abdomen<pulses2,<evening2, >hot drinks2.

8. Related Totality: Calcarea carb comes close to sulphur but Calcarea is chilly patient.

9. Repertorial technique: Case was repertorised using synthesis repertory with mental

generals, physical generals, and characteristic particulars and constitutional remedy was

selected with reference to Materia Medica.

D.PROBLEM STRUCTURALISATION

To define and explain the patient as a whole, essential evolutionary totality

considered in which mental generals, physical generals, chief complaints, diagnosis,

fundamental maism and dominant maism are included.

E.PROBLEM RESOLUTION

10. General management: Assurance to the patient. Elevation of the effected foot and

leg will diminish the pain, gentle application of heat to the painful area, may ease the pain

by dilating the local blood vessels, protect the heel by placing a half inch of rubber pad in

the heel helping in shifting the weight of the body and protect the irritated muscles at

heels.

11. Specific management: As the complaints are chronic, constitutional remedy, sulphur

200 was selected and administered one packet for one week.

12. Potency selection and repetition: 200th potency was administered and was

prescribed No ii pills 4-0-4 for 1 week.

85
13. Placebo administration: Placebo was given for the satisfaction of the patient.

14. Remedy regulation: Sulphur 200, 1 powder early morning, empty stomach was

given. Since the remedy responded well, frequency was decreased and potency

remained the same in subsequent follow up as remedy has to cover all the phases of the

disease.

15. Remedy response: Gradual improvement of the symptoms.

F. EDUCATION AND TRAINING

This case gives some idea in the treatment of the cases with reversible pathology.

According to source books cases with reversible pathology should be treated with

infrequent doses of moderate or high potency. But this case showed scope of simillimum

selected at constitutional and miasmatic level after thorough case taking.

86
Fr. MULLER HOMOEOPATHIC MEDICAL COLLEGE& HOSPITAL.

STANDARDISED PAPER IN HOMOEOPATHIC PRESCRIBING.

MASTER ANSWER BOOK.

PHYSICIAN: Dr. M.A CASE REG NO.OPD/57181/09 INDEX NO.

ACTION. REASONS.

I. CLINICAL Calcaneal spur Pain in the heel and foot

DIAGNOSIS. A/F: long standing
Gradual in onset
< exertion, > massage

II PERCEIVING THE
TOTALITY.
1. ACUTE. Not considered.
(a) Fixed general
totality.
(b) Sector totality.
2. CHRONIC. Pain in heels<standing,
(a) Dominant maism. Psora exertion
(b) Acute exacerbation. Nil.
(c) Periodic expression. Nil.
(d) One sided Nil.
expression.
(e) Suppression. Nil
(f) Mixed maism. Nil.

(g) Sequence. Nil.

(h) Drug affects maism. Nil.
Cause
(i) Fundamental

87
 (ii) Precipitating. Physical exertion
(j) Aggravations. <standing Modalities
(k) Ameliorations. > massage
(l) Generals. Attributes
Mental. Anxious, stubborn, religious,
philosopher, boldness,
responsible.
Hot patient, craving-sweet,
Physical. onion, aversion-chicken
sweat increased on axilla,
head, hard stools

Throbbing pain in the heels<

Characteristic particular
standing, walking>hot water,
tight bandage, cramps at
night, distension of abdomen
< pulses, evening >hot
drink.
III. REPERTORIAL Kent‘s method was adopted
APPROACH. as qualified mental and
physical generals were
1.Synthesis
present in the case. Case was
. repertorised using synthesis
repertory with mental
generals; physical generals
and characteristic
particulars, constitutional
remedy was selected with
reference to Materia Medica.

88
Reading The Analysis.
Potential Differential Hot patient Physical general
Field.
References to The Boericke‘s Materia Medica, Referred for selection of a
Homoeopathic Materia Philip bailey. remedy which covers
medica. completely after repertorial
result

IV. NON
REPERTORIAL
APPROACH.
1. Structuralisation.
2. Key Notes.

ACTION. REASONS.

V. PLANNING AND

PROGRAMING

THERAPY.

1. Acute RX.

Potency.

Repetition.

2. Chronic RX. Sulphur200 (1P) Covers the constitution

according to susceptibility,
Potency. EMES/1week
sensitivity, and seat of the
Repetition. Moderate potency,
disease.
infrequent repetition.

89
3. Intercurrent RX. Not given any anti-

miasmatic as there was no

Potency.
miasmatic block
Repetition.

4. Placebo. No. 40 pills were given For satisfaction of the

Patient and to maintain the

duration of action

VI. REMEDY Relief of complaints Since remedy given in

RESPONSE. moderate potency hence it

acted.
(a) Interpretation.

(b) Action. The same remedy was given More the Simillimum higher

in moderate potency the potency

5.Purpose Chronic case with prominent mental and physical generals

so constitutional remedy was found which at first gave in

Reasoning
moderate potency with infrequent repetition.
Expectations
As the disease is having reversible pathology a permanent

cure is possible.

VII. GENERAL This case shows the effective management of the calcaneal

COMMENTS spur.

90
 ANNEXURE – II

MASTER CHART

Serial Duration
Clinical diagnosis Prescribed Inimical Relation between two Remarks
No. Preliminary data remedy remedy established prescription
Regd no:56057
Baby K P, 3yrs/F, Acute Bronchiolitis Pulsatilla200 Arsenic alb 6c Inimical 7 days <+
1. Christian, Kottayam Follows well

Regd no:55842
Mast.JY, 6yrs/M, Hindu, Inimical
2. Kankanady Allergic Rhinitis Sulphur0/1 Pulsatilla200 Follows well 17 days <
Antidotes
Regdno:55842,Mr.AV,59
3. yrs/M, Hindu, Mangalore Allergic Rhinitis Pulsatilla200 Rhus-tox200 Inimical 15 days <
Follows well
Regd no:57206
4. Mr.GN, 47yrs/M, Hindu, Psoriasis Vulgaris Lycopodium0/1 Sulphur 0/1 Inimical 10 days <++
Mangalore
Regd no:57206
5. Mrs.JK,53yrs/F, Hindu Inimical
Bikarnakatte Classical Migraine Lachesis200 Bryonia30 11 days <+

Regd no:57391 Chronic Idiopathic Inimical

6. Mr. SD,15yrs/M, Urticaria Sulphur 30 Pulsatilla 30 Follows well 15 days S
Christian,Valencia Antidotes
Regd no:55650
7. Mr.BP,62yrs/M, Christian Inimical
Bendoor OsteoArthritis Calcarea carb Bryonia30 Antidotes 14 days <
200

91
 Regd no:11574
8. Ms.CD,19yrs/F, Christian vitiligo Sulphur0/1 Inimical 5 days <
Kuoremuph Pulsatilla200 Follows well
Antidotes
Regd no:36558
9. Mr. RA,48yrs/M, Hindu, Inimical
Uppinangadi Acid Peptic Disease Phosphorus 0/1 Rhus-tox 30 Follows well 14days <+
with OA

Regd no:36636
Baby YA, 4yrs/F, Inimical
10. Hindu, Kuoremuph Acute Bronchiolitis Pulsatilla30 Belladonna 200 Follows well 32days <++

Regd no:34638
11. Mast.SA, 6yrs/M, Acute Bronchiolitis Arsenic alb 30 Inimical 7 days >+
Muslim, Pandeshwar Pulsatilla30 Follows well

Regd no:11628
12. Miss.AP, 11yrs/F, Hindu, Allergic Rhinitis Pulsatilla200 Nux-Vomica Inimical
Mangalore 200 Follows well 2days <+
Antidotes
Regd no:15056
13. Mrs.MN, 38yrs/F, Hindu, Chronic Sinusitis Inimical
Bikamakatte Phosphorus 30 Rhus-tox 200 Follows well 27days <+

Regd no:55516 Lumbo sacral strain

Mrs.FC, 68yrs/F, Muslim, with chronic Inimical
14. Bikamakatte Gastritis with Sulphur 200 Rhus-tox 30 Follows well 32days <+
Cervical Antidotes
Spondylosis
Regd no:51989 Verruca Vulgaris
15. Mrs.MN, 37yrs/F, Hindu, with Pityriasis Phosphorus 200 Causticum 200 Inimical 35days S
Mangalore Capitis

92
 Regd no:52715
16. Ms.SR, 7yrs/F, Hindu, Enterobius Causticum 200 Phosphorus 0/1 Inimical 20days <+
Kannur vermicularis
Regd no:22309
17. Mr.RK,46yrs/M, Hindu, Seborrhic Dermatitis Sulphur 1M Rhus-tox 10M Inimical
Kasargod Follows well 24days <++
Antidotes
Regd no:20610
18. Mrs.AF, 32 yrs/F, Mastitis with Inimical
Muslim, Jeppu Fibroadenosis Pulsatilla 10M Rhus-tox30 Follows well 29 days <+

Regd no:28324
19. Mrs. LD,62yrs/F, Lumbosaccral Inimical
Christian, Adayar strainwith Classical Calcarea carb Bryonia30 Antidotes 13 days <++
Migraine 200

Regd no:34337
20. Mast.AP,6yrs/M, Bronchiolitis Pulsatilla 200 Rhus-tox30 Inimical 20 days S
Christian, Jeppu Follows well

Regd no:59597
21. Mrs. MD,58yrs/F, OA with Gastric Inimical
Christian, Nagmi ulcer Lachesis200 Bryonia 200 14 days <+

Regd no:59432
22. Mrs. JB,52yrs/F, Islam, Deep venous Pulsatilla1M Nux-Vomica 30 Inimical
Marmamikatte thrombosis with Follows well 14days <++
Cholecystitis Antidotes

Regd no:702
23. Mast.VD,10yrs/M, Acute Sinusitis Merc.sol 200 Silicea 200 Inimical 21 days >
Christian, Kuthar

93
 Regd no:908
24. Mrs.S, 43 yrs/F, Muslim, Lichen Planus Inimical
Urmani Calcarea carb Sulphur 200 Antidotes 16 days <++
200

Regd no:19298,Mrs.FA,
25. 45yrs/F, Muslim, Gnnoti Acid Peptic disease Lycopodium Inimical
200 Sulphur 30 15 days <+

Regd no: 3276 Vaginitis with

26. Mrs.AF, 26yrs/F, Hindu, Lumber spondylosis Sepia 200 Bryonia 200 Inimical 7 days >+
Pavoor
Regd no: 13216
27. Mrs.TN, 37yrs/F, Plantar fascitis Lycopodium Inimical
Christian, Kumpala 1M Sulphur 200 16 days >+

Regd no:13304
28. Mrs.MS, 30 yrs/F, Cervicitis Sepia 30 Bryonia 200 Inimical 18 days <+
Muslim, Kankanady

Regd no:13278 OA with Tinea

29. Mrs.SM, 29yrs/F, Cruris with Lycopodium Inimical
Muslim, Ullal Vaginitis 200 Sulphur 200 14 days <++

Reg no-57181
30. Mrs.SJ, 58yrs/F Calcaneal spur Sulphur 200 Lycopodium200 Inimical
Christian, Mangalore 14 days <++

94