Professional Documents
Culture Documents
Complete HH January 2022
Complete HH January 2022
Complete HH January 2022
00
Todd Rowe
By Dr Sanjay Sarkar, Dr Biswajit Bera, By Claudia Gutiérrez Maupomé 38
M.K. Sahani
Luc De Schepper Dr Ashish Biswas 74 Case of post-COVID
Jan Scholten hypochondriacal disorder ARTICLE
Frederik Schroyens
By Prof. Dr A. V. Rajeshwar Rao 53
Sanjay Sehgal RESEARCH PAPER
L.M. Khan
Yogesh Sehgal Diagnostic evaluation and measuring
Jeremy Sherr scales for dermatological diseases: ARTICLE
• This book is to provide an answer to the vexed question “How shall I get a remedy quickly
in a particular group of population & without much effort?”
• The book is divided into 2 sections in which, the most important symptoms are arranged
under 11 subsections, based on different phases of life, addictions, seasons along with the
Do’s and Don’ts.
• Its easy for comprehension and also quick for reference and prescription.
• The THUMB RULE section gives a different perspective of learning making the reader
ponder and go to the depth of Allen’s Keynotes.
• Emphasis had been on dividing age groups, gender groups& even on pediatric remedies,
a list of drugs has been incorporated for the convenience of students, PG scholars, and the
physicians.
Note: The Homoeopathic Heritage is now a peer reviewed journal since January 2013. All the articles are peer
reviewed by the in-house editorial team and selected articles from each issue are sent for peer review by an
external board of reviewers and those articles are distinctly marked with a stamp of ‘peer reviewed’. For inclusion
of articles in peer review section, kindly send your articles 3-4 months in advance of the said month. Send your
articles at hheditor@bjain.com.
Unbolt Yourself
Issue Topic Last date for submission
February 2022 Boenninghausen’s Method in Practice December 15, 2021
March 2022 Individualised Homoeopathy: Evidence-based Case Reports January 15, 2022
April 2022 Homoeopathic Materia Medica and Periodic Table February 15, 2022
Current Symptoms
1 Dry cough < talking2
> lying on abdomen
> expectoration
TLC 14170
Platelets 257000
D-dimer 914.80
Ferritin 523.7
IL-6 165.7
Chest X-Ray - 10th May 2021 glass attenuation scattered in bi- Image finding shows COVID-19 in-
lateral lung parenchyma in central fection.
Peripheral patchy consolidation in
right mid- and lower zone in left and subpleural location, these areas
mid-zone. show underlying inter lobular and CT severity score 18/25.
intralobular septal thickening giv-
COVID score – 4 ing “crazy pavity” appearance and
mild changes of fibrosis with bron-
Prescription
HRCT of Chest - 17th May 2021 Kalium carbonicum 200C/ 5 cup meth-
chiectasis in left upper and lower
Multiple abnormal areas of ground lobes. od/1 teaspoonful hourly for 7 day
FOLLOW UP
Breathlessness >>
Abstract: Alstonia scholaris of family Apocynaceae is known to be the best home remedy for high fever since antiquity and is
gaining immense popularity among Homoeopathic physicians for its restorative tonic effects in case pertaining to post-COVID
illness. Having a post-COVID condition adds to the already distressing challenge of recovering from COVID illness. The following
article attempts to discuss, summarize and review the ethnopharmacological relevance of lesser known Homoeopathic remedy
Alstonia scholaris in the light of post-COVID illness.
Abbreviations: Immunoglobulin-E (IgE), angiotensin converting enzyme (ACE), systemic lupus erythematosus
(SLE).
T he utilisation of ethnomedical
data
Homoeopathic
of lesser
remedies
known
have
immunomodulatory, analgesic,
anti-ulcer, wound healing, anti-
seven parts of strong alcohol. The 3x
and higher potencies are prepared
cancer, chemopreventive, radiation with dispensing alcohol. These
immensely added to the healthcare in protection, radiation sensitization, trees species are rich in secondary
traditional system of medicine. This and chemosensitisation activities. metabolites such as antioxidants,
has further led us to consider that To get rid of this post-COVID long alkaloids, saponins, flavonoids,
these lesser known remedies might term symptoms and complications, terpenes and tannins and are
be put to use in health conditions of Homoeopathic management helps widely used in traditional treatment
recent times. Post-COVID conditions in reducing these ill-effects after systems.
are a wide range of new, returning, fever without getting things more
or ongoing health problems people complicated. History
can experience four or more weeks
after first being infected with Scholar tree is an elegant evergreen
Alstonia scholaris is a bitter tonic,
the virus that causes COVID-19. tree, found in most parts of India.[2]
febrifuge, diuretic, anthelmintic,
These post-COVID conditions may The generic name commemorates
stimulant, carminative, stomachic,
include new or ongoing symptoms, the distinguished botanist, Prof. C.
multi organ effects of COVID-19 aphrodisiac, galactagogue and
Alston of Edinburgh, 1685-1760.
and effects of COVID-19 illness or haemostatic. It is used as a substitute
The species name scholaris refers to
hospitalization.[1] Even people who for cinchona and quinine for the
the fact that the timber of this tree
did not have COVID-19 symptoms treatment of intermittent periodic
has traditionally been used to make
in the days or weeks after they fever. An infusion of bark is given
wooden states for school children.
were infected can have post-COVID in fever, dyspepsia, skin diseases,
On the Western Ghats of India,
conditions. People commonly report liver complaints, chronic diarrhea
tribal people are reluctant to sit or
experiencing different combinations and dysentery. Alstonia scholaris
pass under the tree, for the fear of
of the following symptoms: was introduced in 1866 in Monthly
the devil. Local superstition about
diarrhea, fast-beating or pounding Homoeopathic Review, Vol. X,
its devilish character mainly stems
heart, headache, difficulty breathing, 508 and in Allen Encyclopaedia
from the fact that its milky sap is
cough, tiredness, sleep problems, Materia Medica, Vol. I, p. 192. In
rich in poisonous alkaloid, and thus
chest or stomach more so. Preclinical homeopathy, its stem bark in used
the tree is shunned by cattle.
studies have shown that it possesses to prepare the mother tincture. From
anti-microbial, anti-diarrheal, mother tinture the next potency Among traditional plants, Alstonia
anti-plasmodial, anti-oxidant, prepared is 2x which contains one scholaris (Family Apocynaceae),
popularly known as “Saptaparni” in occurring compounds that are applied locally in chronic skin
Hindi or the ‘Indian devil tree’ has widely distributed in all cells of ulcers and latex is used to clean
been used in folk medicines for the legume plants. Clinical studies the wounds.
treatment of diarrhea, dysentery, have suggested that these health – • Fever bark; used in high blood
malaria, fever and cardiac as promoting components, saponins, pressure.
well as respiratory problems.[3] In affect the immune system in ways
• In addition to the cytotoxic
traditional medicine, the milky that help to protect the human
effects, Alstonia scholaris
juice of plant is applied on injuries body against cancers, and also
is also observed to
and ulcers to treat pain including lower cholesterol levels. Saponins
possess radiomodulatory,
rheumatic pains. The bark is decrease blood lipids, lower cancer
chemomodulatory and
known as ditabark, used by Indians risk, and lower blood glucose
chemopreventive effects, which
as traditional medicine to treat response. A high saponins diet can
is efficacious in the treatment
diarrhea, dysentery, gastrointestinal be used in the inhibition of dental
and prevention of cancer. [7]
troubles, asthma, malaria, jaundice, caries and platelet aggregation, in
cancer and many other ailments. It the treatment of hypercalciuria in
has also been used as an aphrodisiac. human, and as an antidote against
[4]
When damaged, the bark lets out acute lead poisoning. Implication-physiological action
sticky milky latex, which is also of alstonia scholaris
valued for its medicinal properties. -Terpenes; In nature, terpenes are • According to William Boericke-
This is used by Ayurveda physicians defence system to stop plants getting Malarial diseases, with
in formulations, and not to be eaten by herbivores or damaged by diarrhea, dysentery, anemia,
consumed as is. high temperatures. For humans, feeble digestion, are the general
different terpenes have different conditions suggesting this
effects - including different health remedy. Characteristics are
Materials and methods benefits. Each plant has a unique the gone sensation in stomach
Literature about Alstonia scholaris blend of terpenes. This is called its and sinking in abdomen, with
was collected by using both electronic terpenes profile. It is used as an debility. A tonic after exhausting
and library search. Additionally, anti-inflammatory and antioxidant, fevers. Painless watery stools.
referred books on traditional to aid detox and to fight fungal Diarrhea immediately after
medicine and ethnopharmacology infections. eating.
were also utilized for receiving
• Encyclopedia of pure materia
traditional records about both the Discussion medica by T.F Allen; Violent
plant species.
purging and cramp in the
Physiological action of Alstonia
scholaris bowels, vertigo, and general
Sources weakness.
• Used as a tonic; Alstonia scholaris
The bark of Alstonia scholaris contains is a bitter tonic, febrifuge,
Ditamine, Echitamine, Echitanine, Conclusion
diuretic, anthelmintic, stimulant,
Echicaoutchien, Echicerin, Echitin, carminative, stomachic, The proving of Alstonia scholaris was
Echitein, Echiretin and fatty acids. [5] aphrodisiac, galactagogue, and done so many years before, and was
haemostatic. [6] available in source like Encyclopedia
-Tannins; Tannins that become of pure materia medica and William
stored in the bark of trees protect • In post-fever effects; it helps to
Boericke. Those proving contain all
the tree from being infected by increases the digestive power
the symptoms that usually occur
bacteria or fungi. Tannin also exert and cure the debilitating effects
as a consequence after exhausting
other physiological effects human after fever. It has proved a fever, which now we can consider
health, such as to accelerate blood valuable remedy in chronic as post covid long term symptoms.
diarrhea and the advanced The difference is just in terminology.
clotting ,reduce blood pressure,
stages of dysentery. It is used Therefore, we can aptly say that in
decrease the serum lipid level,
as a substitute for cinchona and homoeopathy, Alstonia scholaris in
produce liver necrosis and modulate
quinine for the treatment of form of mother tincture helps in
immunoresponses.
intermittent periodic fever. curing of ill-effects from post-covid
-Saponins; Saponins are naturally • Skin ulcer; the bark paste is fever.
Abstract: This is a case of 28 year male having hairfall with intense on scalp, moustache and beard treated at personal clinic
with individualised homeopathy medicine. When patient came for consultation, he was presented with a bald head with slight
patches of hair above the ear on both sides suffering since last 1 year. Systematic case taking followed by repertorisation of the
totality of symptoms was done by Synthesis Repertory using RADAR software in order to choose the individualised remedy, and
a few homoeopathic medicines including Tuberculinum, Arsenicum album, Lycopodium clavatum, Phosphorus, and others were
shortlisted. The patient responded well to the individualised homoeopathic treatment, i.e. Tuberculinum 200 in 3 doses with gradual
and steady recovery.
Abbreviations: VOLP: (Vocabulário Ortográfico da Língua Portuguesa) Brazilian Portuguese spelling vocabulary
DECS: health science descriptors (DeCS – Health sciences descriptors is a structured and trilingual thesaurus cre-
ated by BIREME – Latin American and Caribbean center on health sciences information)
Presenting complaints After six months of typhoid fever, • Aversion: Nothing significant
the complaint of hair fall started.
Patient complained of hairfall over • Intolerance: Oily food causes
the head, moustache and beard Complaint of constipation with hard diarrhoea
since 1year. There was itching over stools, rumbling in abdomen after • Stool: Unsatisfactory, first hard
moustache, beard and scalp with drinking and eating hot food and
and then soft, pain during
much scratching. drinks since 1and ½ year
passing stool
After scratching, hair fell out from Early morning: stools hard and then • Perspiration: Profuse on nose,
that area. soft, after taking tea, etc.
forehead and back, offensive
Protrusion of a mass during • Tongue: Dry, white coated
History of presenting
defaecation with pain
complaints • Sleep: Normal, refreshing
Patient was apparently well 1 Diarrhoea after eating oily food • Dream: Nothing significant
year back when gradually, he • Thermal Reaction: Hot
experienced hairfall from certain Family history
areas of scalp, moustache and beard. Mental generals
History of tuberculosis (Father died
Hairfall started as itching on the of tuberculosis) The patient was very restless and
head and moustache with much fastidious with want of any activity
scratching. After scratching, the hair History of cancer (Brother died of
every time. He was very industrious,
over that area fell out as he pulled cancer)
always did his work himself. He
the hair. didn’t like when anyone scolded
Physical generals him without his fault. Desired for
Past history • Appetite: Adequate company but on getting angry,
Patient suffered from typhoid fever didn’t talk to anybody and wanted
• Thirst: Thirsty with dry mouth,
and dengue 1 and 1/2years back. to sit alone, didn’t express his anger
takes lots of water
After drinking goat’s milk, eruptions but got normal when someone
appeared on the whole body. • Desire: Cigarette, egg, milk consoled him. He had fear of height.
Didn’t
Want of ac-
like to Didn’t express his
Mental generals Intensity
Restless ++
Fastidious
++
tivity every Desire company +
talk when anger+
time++
angry+
Hairfall
over mous-
Hairfall over Scratching
tache and
ParticularsIntensity head with aggrava-
beard with
itching+++ tion++
scratch-
ing+++
Prescription 3 doses were prescribed (including was selected as per the persisting
symptoms such as restlessness, tubercular miasm. Tuberculinum 200
Tuberculinum 200 / 3 doses desire of activity every time, hard was given in 3 doses after which the
stools with pain in rectum, desire patient showed improvement in his
Basis of prescription complaints followed by placebo for
of milk)9 and he also had history of
1 month
tuberculosis and cancer in family
After analysing the repertorial
accompanied with medical history of Potency- Thirtieth and much
result and consultation with The
typhoid fever, although restlessness higher, in infrequent doses. When
Guiding Symptoms of Our Materia and other characteristic symptoms Tuberculinum fails, Syphilinum often
Medica8and The Dictionary of Practical of the case were also present in follows advantageously, producing
Materia Medica21, Tuberculinum 200/ Arsenicum album, Tuberculinum a reaction.10
Follow-up:
Date Symptoms Medicines
(“The dose of medicine (of the first prescription) that acts without producing
20-03-2021
new troublesome symptoms in to be continued while gradually ascending, so
long as the patient with general improvement, begins to feel in the mild de-
gree the return to of one or several old original complaints”.) (Aph 248,280)11
Improvement in hairfall
09-04-2021 Placebo
Patient: Before the treatment Patient: After the treatment Discussion and
conclusion
Homoeopathic medicine selected
on the basis of principles of
homoeopathy proved to be very
effective in this case of alopecia
areata and shown good results of
improvement. Tuberculinum was
selected on the basis of family history
of tuberculosis, medical history of
typhoid fever and mental generals
keeping in mind materia medica and
homoeopathic principles. Treatment
was continued for 5 months. There
was marked improvement after the
first prescription continued with
placebo for 1 month. Next dose of
Tuberculinum 200 was given after
2 months when the improvement
became standstill.
the higher the potency required. medica: Alopecia, alopecia. Anais Brasileiros Publishers; 2007. p. 152-3.
de Dermatologia. 2011, [Internet], 01 Jul 2015,
2. Age: medium and higher 90(4): 529-543. [Accessed on 17 Sep 2021]. Doi:
11. Hahnemann S. Organon of Medicine. 6th ed.
New Delhi: B Jain Publishers; 2002. p. 227-8
potencies for children 10.1590/abd1806-4841.20153370
12. Kent J T. Lectures on Homoeopathic
3. Higher potencies for 2. Academia.org.br. Busca no vocabulário.
Philosophy. Archive.org [Internet].
Academia Brasileira de Letras, [Internet] 2009.
sensitive, intelligent persons. [Accessed on 20 Sep 2021]. Disponível em: Chicago. Ehrhart & Karl, 1919. [Accessed
4. Higher potencies for persons of http://www.academia.org.br/abl/cgi/ cgilua. on 01 Nov 2021]. https://archive.org/details/
exe/sys/start.htm?sid=23. lecturesonhomoe00kentgoog.
intellectual or sedentary occupation
3. Decs.bvs.br. Descritores em ciências da saúde. 13. Close Stuart M. The Genius of Homoeopathy:
and those exposed to excitement or Biblioteca Virtual em Saúde, [Internet] 2013. Lectures and Essays on homoeopathic
to the continual influence of drugs. [Accessed 20 Sep 2021]. Disponível em: http:// philosophy. Homoint.org [Internet]. New
decs.bvs.br/cgi-bin/ wxis1660.exe/decsserver/ York. Nanopathy, 1981. [Accessed on 2 Nov
5. In terminal conditions, even 4. Gordon KA, Tosti A. Alopecia: evaluation 2021]. http://www.homeoint.org/books4/
the crude drugs may be required. and treatment. Clin Cosmet Investig Dermatol. close/index.htm.
[Internet] 2011; [Accessed on 22 Sep 2021] Vol
He also writes, “different potencies 4:101-106. doi:10.2147/CCID.S10182
act differently in different cases 5. T. Grant Phillips, Md; W. Paul Slomiany, Md;
About author
and individuals at different times And Robert Allison, Do, Hair Loss: Common
causes and Treatment, AFP [Internet] 1. Dr Ajay Vishwakarma,
under different conditions. All may 2017 Sep 15; [Accessed on 20 Sep] 96(6):371- Principal I/C, (Associate
be needed. No one potency, high or 378. http://www.aafp.org/afp.
Professor/ HOD, Department
low, will meet the requirement of all 6. World Health Organisation (WHO), icd10data.
com, 2022 ICD-10 -CM Diagnosis code of Anatomy, Chandola
cases at all times.” [Internet], Geneva, Switzerland, World Health Homoeopathic Medical College
Organisation 1993; [Accessed on 30 Sep 2021],
and Hospital, Rudrapur, U S
As the patient was young, the https://www.icd10data.com/
Nagar, Uttarakhand)
susceptibility was high but the 7. Schroyens F. Radar 10 Homoeopathic
Repertory Software. CDROM. Available
disease was in organic stage and from: http://www.archibel.com/radar10.html. 2. Dr Nitin Kumar, Professor/
according to duration of disease [Accessed on 01 Nov 2021]. HOD, Department of
moderate potency of 200 was 8. Hering C. The Guiding symptoms of our Materia Medica, Chandola
Materia Medica, B.Jain Publishers, New Delhi.
selected for prescription. Homoeopathic Medical College
9. Clarke J H. The Dictionary of Practical Materia
Medica, B.Jain Publishers, New Delhi and Hospital, Rudrapur, U S
Nagar, Uttarakhand
References 10. Boericke
Homoeopathic
W. Pocket
Materia
Manual
Medica
of
and
1. Jmrezende.com.br, Rezende J M. Linguagem Repertory. 9th Reprint ed. New Delhi: B Jain
Abstract: Diagnosis of a disease needs keen observation about the presentation of the disease in terms of location, sensation,
modalities, concomitant, onset, duration, intensity, frequency, spread, side, size, depth, outcome, stage and the pace of disease
episode. Once diagnosis is made then the physician should focus on tools of measuring scales that are widely used by researchers
for understanding the impact of disease on the quality of life of the individual. Use of scales aids in perceiving the scope of a
particular medicine in a particular disease. Adhering to diagnostic criteria and measuring scales ensures appropriate execution
of the planned therapeutic strategy and to arrive at the expected outcome. It helps in increasing the probability of cure and adds
evidence to the action taken by the physician for the sake of restoration of the sick to cure as it is termed.
Abbreviations: AD: atopic dermatitis, aph: aphorism, QoL: quality of life, EASI: eczema area and severity index,
dermatitis family impact (DFI), family dermatology life quality index (FDLQI), Infants’ dermatitis quality of life
index (IDQOL), children’s dermatology life quality index (CDLQI), quality of life index for atopic dermatitis (Qo-
LIAD).
Introduction for various clinical conditions. cussed for adding value to the com-
The tools have been designed to mon clinical condition and improv-
I ndividualisation of patient as a
person and disease is the core of
homoeopathy. It requires various
provide objective measurement of
function for screening, evaluating
ing case report writing.
Body regions:
• Head/neck • Trunk • Scoring of areas of involvement
• Upper limbs • Lower limbs in each anatomical region (area)
0 1 2 3 4 5 6
No eruption < 10% 10-29% 30-49% 50-69% 70-89% 90-100%
Calculation of Intensity
Calculations
Measuring scales used for (Fig. 1). [4] Each instrument is specificity (AD or dermatology
assessment of quality of life: There prepared with a quality of life specific) and description in terms
are six frequently used quality of life target (family, children, proxy of number of items (questions) and
instruments for atopic dermatitis rating, self-completed and adults) score range.
1. Dermatitis family impact (DFI) index (IDQOL) 5. Dermatology life quality index
questionnaire (DLQI)
IDQOL is a questionnaire designed
The dermatitis family impact for use in infants with atopic The aim of this questionnaire is
questionnaire is a disease-specific dermatitis below the age of four to measure how much the skin
measure to assess the impact of years. It is self-explanatory and problem has affected your life OVER
atopic eczema on the quality of life should be completed by the child’s THE LAST WEEK. The person has to
(QoL) of the parents and family parent(s) or regular care taker. tick þ one box for each question. The
members of affected children. This questions are based upon how much
The questions are designed to be
questionnaire measures how much the skin trouble has affected the
completed with a one-week recall
having a child with atopic dermatitis person in terms of whether the skin
period. The infants’ dermatitis
affects the quality of life of other is itchy, sore, stinging, how much
quality of life index is calculated by
(adult) members of the family. It is the person feels embarrassed or self-
designed to be completed by adults summing the score of each question, conscious, how does it interferes
(aged 16 years or over) who have a resulting in a maximum of 30 and a gardening, shopping, sexual
child (up to and including the age minimum of 0. The higher the score, activities, studying or working. The
of 15 years 11 months) in the family the more quality of life is impaired. questionnaire is designed for use in
with atopic dermatitis. The use The severity of eczema is scored adults, i.e. patients over the age of
of the DFI has revealed the major separately and can be correlated 16. It is self- explanatory and can be
impact of atopic eczema on the QoL with the infants’ dermatitis quality simply handed to the patient who is
of families of affected children. The of life index. [7] asked to fill it in without the need for
strengths of the DFI include wide detailed explanation. It is usually
international experience of its use, 4. Children’s dermatology life completed in one or two minutes.
defined test-retest reliability, good quality index (CDLQI) The DLQI is calculated by summing
internal consistency, sensitivity the score of each question resulting
to change, and good construct The children’s dermatology life in a maximum of 30 and a minimum
(convergent) validity. The total quality index (CDLQI) and the of 0. The higher the score, the more
score is calculated by summing the Cartoon CDLQI are designed to quality of life is impaired. [9]
score of each question, resulting in a measure the impact of any skin
maximum of 30 and a minimum of disease on the lives of children. The 6. Quality of life index for atopic
0. [5] questionnaires are self-explanatory dermatitis (QoLIAD)
and can be simply handed to the
2. Family dermatology life quality QoLIAD is a disease specific patient
patient who is asked to fill them in
index (FDLQI) reported outcome which
with the help of the child’s parent
measures the impact that atopic
or guardian, as necessary. Both
The family dermatology life quality dermatitis (AD) has on a given
versions of the CDLQI have been
index (FDLQI) is a questionnaire patient’s quality of life. It is a 25
validated from the age of four years item questionnaire for patients
designed for adult (more than 16
to 16 years (i.e. up to 15 years and over the age of 16 with a maximum
years of age) family members or
partners of patients (of any age) 11 months). The questions relate to score of 25 and is restricted to yes
with any skin disease. It is self- the impact of the skin disease on the or no answers. Higher scores on
explanatory and can be simply child over the last week, i.e. over the QoLIAD indicate a greater
handed to the patient’s family the last seven days. The children’s negative influence that the disease
member/partner who is asked to fill dermatology life quality index has on quality of life. The initial
it in without the need for detailed (CDLQI) and the cartoon CDLQI version of the QoLIAD had 56
explanation. The questions are are designed to measure the impact items that reflected the areas of
designed to be completed with a of any skin disease on the lives of need fulfillment identified in the
one-month recall period. The total children. The questionnaires are qualitative interviews as having
score is calculated by summing the self-explanatory and can be simply been affected by AD: mental and
score of each question, resulting in a handed to the patient who is asked emotional stimulation, physical
to fill them in with the help of and emotional stability, security,
maximum of 30 and a minimum of 0.[6]
the child’s parent or guardian, as sharing and belonging, self-
3. Infants’ dermatitis quality of life necessary. [8] esteem, personal development and
reliable, valid and culturally 3. Oakley, P. A. (2015, January). EASI score. EASI 10. Whalley D, McKenna SP, Dewar AL, Erdman
score. Eczema area and severity index. Derm RA, Kohlmann T, Niero M, Cook SA, Crickx
applicable instrument for measuring Net NZ. Retrieved November 3, 2021, from B, Herdman MJ, Frech F, Van Assche D.
the impact of AD and its treatment https://dermnetnz.org/topics/easi-score. A new instrument for assessing quality
4. Hanifin JM, Thurston M, Omoto M, Cherill of life in atopic dermatitis: international
on QoL in clinical trials or in routine R, Tofte SJ, Graeber M, Evaluator Group TE. development of the Quality of Life Index for
clinical practice. [10] The eczema area and severity index (EASI): Atopic Dermatitis (QoLIAD). Br J Dermatol.
assessment of reliability in atopic dermatitis. 2004 Feb;150(2):274-83. doi: 10.1111/j.1365-
Experimental dermatology. 2001 Feb;10(1):11- 2133.2004.05783. x. PMID: 14996098.
Conclusion 8.
5. Koszorú K, Borza J, Gulácsi L, Sárdy M. About the author
The diagnostic evaluation and use of Quality of life in patients with atopic
dermatitis. Cutis. 2019 Sep 1;104(3):174-7.
assessment scales as part of standard 1. Dr Yogesh Dhondiraj Niturkar
6. Finlay, A. Y. (2019, March 14). Dermatology
clinical practice in recording the Life Quality Index. Cardiff.ac.uk. Retrieved MD (Hom) ICR, Mumbai.
health status of those who are November 3, 2021, from https://www.cardiff. Homoeopathic Practitioner
ac.uk/medicine/resources/quality-of-life-
affected due to skin diseases will questionnaires/dermatology-life-quality-
since last 17 years at Mathura
aid in to improve clinical practise index. Homeopathic Clinic Latur,
7. Basra MKA, Sue-Ho R, Finlay AY. The Family Assistant Professor in
guidelines. Dermatology Life Quality Index; measuring
the secondary impact of skin disease. Br J
Department of Organon of
Dermatol 2007; 156: 528-538. Medicine & Philosophy at VK
References 8. Lewis-Jones M S, Finlay A Y, Dykes P J. The Homoeopathic Medical College
Infants’ Dermatitis Quality of Life Index. Br J
1. Hahnemann, S. Organon of Medicine. Noida:
Dermatol 2001; 144: 104-10.
and Hospital, Latur. Email:
B Jain Publishers; 2004.
9. Lewis-Jones MS, Finlay AY. The Children’s
yogeshdn@gmail.com
2. Gupta, A., Playfer, J., & Bhowmick, B.
(2008). Measurement Scales Used in Elderly Dermatology Life Quality Index (CDLQI):
Care (1st ed.). CRC Press. https://doi. Initial validation and practical use. British
Clinical
Miasmatic Prescribing
Dr Aditya Pareek
Abstract: Though numerous dental conditions like toothache, swelling gums, etc. can be treated with homoeopathy. This article is
also an attempt to show the effectiveness of homoeopathic medicines in dental conditions like subluxation of the temporomandibular
joint.
Keywords: temporo-mandibular joint (TMJ), subluxation, orthopantomogram (OPG), pain jaw, homoeopathy,
Causticum.
Abbreviations: temporo-mandibular joint (TMJ), orthopantomogram (OPG), Saccharum lactis (SL), thrice a day
(TDS).
Diagnosis: Subluxation of temporomandibular joint [2] [as per dental doctor opinion].
Temporomandibular joint get stuck on+3 Common symptom/ particular symptom Psoric
<- brushing+2 and yawning+3
Pain and pressing feeling+2 on opening Common symptom/ particular symptom Psoric
mouth+3, while having meals+2 and difficulty
while chewing+2.
As no peculiar striking symptoms were available, only a few maze of common symptoms were found while case
taking. So, decided to refer homoeopathic repertory.
• Sensation of tension and pain in the jaws, so that she could only with difficulty open the mouth, and also could not eat
well, because a tooth seemed too long.
• Drawing, first from the right, then from the left ramus of the lower jaw, towards the chin, and thence back again in the
direction of the angle of the mouth, on each side.
Selection of remedy/ dose/ potency: a partially indicated remedy based stimulation is considered to be
on the recent symptoms.[3] And insufficient. And as soon as adequate
As Causticum covering thermals of
as the susceptibility was mild to response is obtained, further
the patient and carrying maximum
moderate in terms of pathology stimulation should be suspended.[3]
marks was also somewhat suited
and absence of peculiar mental &
to the emotional background of the physical symptoms. So, 200 potency Prescription:
patient. So selected after remedial was selected [according to Organon
differentiation to materia medica. [6-9-2020] Rx Causticum 200/ 1
of medicine 5th edition] [4] Multiple- dose/stat
Also it was mentioned that where dose stimulation should be reserved
maze of symptoms, we may prescribe for cases in which single-dose SL 30/TDS/ 20 days
Follow-up:
Slight relief in pain while brushing ~30-40% but jaw locked while yawning- SQ SL 30/ TDS/ 20 days
25/10/2020 Decrease frequency and intensity of the presenting complaint. Relief present. Rx SL 30/ TDS/ 20 days
No episode in last 20-25 days
15/12/2020 Otherwise better than before, but sometimes pain felt on sudden episodes of Rx Causticum 200/ 1 dose/ stat
yawning. Patient also notice some changes at concentration level, no random
thoughts disturb. SL 30 /TDS/ 20 days
15/02/2020 No pain and jaw lock present while brushing. But once in 10-15 days may occur Rx Causticum 200/1 dose/stat
while yawning.
SL 30 /TDS/ 1 week
Abstract: The declaration by the WHO of the COVID-19 pandemic in march 2020 and its medical, socio-economic, political
and cultural consequences have become evident worldwide, and this work aims to elucidate the network that has been woven
through its surroundings from the historical and geopolitical and the great transnational economic interests of the private and
state corporations involved in it, from the informational, statistical, bio-scientific media and finally the medical part and its direct
implication in public health and its treatment as dissimilar in different regions and countries. As a key objective of the work, is
the presentation of viable alternatives to the crisis from the state and medical-scientific, giving priority and special interest to
public policies of sanitation and prevention traditional non-pharmacological and the implementation of prophylactic and curative
mechanisms through homoeopathic medicine and indigenous ancestral practices combined.
Keywords: COVID-19, virus, pandemic, synergy, syndemic, vaccines, fears, eugenics, GMOs, globalisation, rem-
edy, disease, homoeopathy, iatrogenesis.
Abbreviations: WHO – World Health Organisation, COVID-19 – coronavirus disease 2019, GMOs - genetically
modified organisms
Introduction VII. THE IMMUNE SYSTEM and innocuous, has exactly the same
VIII. CONVENTIONAL effects for one hundred percent of
SWEET PILLS
Dr Mayuresh S Mahajan
Abstract: This is a case study of approximately 1,500 patients between February, 2020 to November, 2021 with Covid-19
symptoms and/or tested positive. This includes 10 that were previously hospitalized and released, plus two that survived by use of
a respirator. They were of both sexes, and their ages ranged from 15 days to 96 years old, and all at the time of treatment lived at
an altitude above that of Mexico city, which is at 7,000 feet above sea level. They were all given the AYUSH recommended remedy
of Arsenicum album in cases where there had not developed chronicle psora, and their own simillimum, plus Arsenicum album as
intercurrent in the cases that had previous chronical conditions. The treatment demonstrated a success rate of 99.9 percent, as
only two patients of this reported group died because of their previously weakened condition: One of alcoholic cirrhosis of the liver
and the other because of an exceedingly low vital force, after they were sent back to be treated at a hospitalisation convenience
and even then they still lived two and three months in a bettered condition.
Keywords: COVID-19, World Health Organisation (WHO), pandemic, intubated patients, post-COVID 19,
homoeopathy, recovered, AYUSH Ministry, Arsenicum album.
Abbreviations: World Health Organisation (WHO), ayurveda, yoga and naturopathy, unani, siddha and
homoeopathy (AYUSH), coronavirus disease (COVID-19), severe acute respiratory syndrome coronavirus 2 (SARS-
CoV-2), 50 millesimal potency (LM potency), International classification of diseases (ICD), novel coronavirus
(nCov)
croup, dandruff, depression of spirits, • Need for immunisation against and it is indicated for the chronicity
diarrhoea,, dropsy, duodenum, COVID-19 U11 QC01.9+vaccine as well as preventative and for the
dyspepsia, Ears, affections of, code acute stage.7
eyes, affections of, face eruption
Reasoning behind selected rem- Aphorism 2708, “by means of
on, fainting, fever, gangrene,
edy: this manipulation (LM) of crude
gastric ulcer, glandular swelling,
gout, hay fever. headache, heart, An advisory issued after a drugs are produced preparations
affections of, hectic, herpes zoster, meeting of the advisory board of which only in this way reach the
hodgkin´s disease, hydrothorax, the Central Council for Research full capacity to forcibly influence
hypochondriasis, ichthyosis, in Homoeopathy under the the suffering parts of the sick
irritation, jaundice, leucorrhea lips Ministry of AYUSH recommended organism. In this way by means of
eruption, round, locomotor ataxia, the homoeopathic medicine, similar artificial morbid affection
lung affections, malignant pustule, Arsenicum album 30C, on an empty the influence of the natural disease
stomach daily for three days as a on the life principle present with in
measles, melancholia, menstruation,
prophylactic.4 Novel coronavirus is neutralised”. So the LM potency
disorders of, morphoea, myelitis,
(nCov) is a large family of viruses was preferred in this situation.
nails, diseased, nettle rash,
that causes illnesses ranging
neuralgia, numbness, peritonitis,
from the common cold to acute The patients were given remedies
pityriasis, plethora, pleurisy,
respiratory syndromes. according to:
pneumonia, psoriasis ,purpura,
remittent fever, rheumatic gout, • Previous chronical situation of
“The drop in cases and deaths due to
their psora by simillimum, plus
rheumatism, rickets, ringworm, COVID-19 infections in India’s has
intercurrent of Arsenicum album,
sciatica, shivering, stomach, been attributed to India’s national
with the potency depending on
affections of, strains, suppuration, policy of using Homoeopathy.
the severity of their symptoms
thirst, throat sore, tobacco habit, AYUSH recommended Arsenicum
(0/6 LM, 200 c h, M c h)
ulcers, vomiting, plus varices burn album 30C as the preventative
like fire, vertigo, addison´s disease, against COVID-19”.5 • If their sickness was only from
and persistent anxiety. the pandemic, no matter what
“Epidemics of intermittent fever in was their symptom, they were
Diagnosis: situations where none are endemic, administered Arsenicum album
are of the nature of chronic diseases (0/0, LM, 200C, MC), depending
World Health Organisation (WHO), on the severity.
composed of single acute paroxysms,
emergency use ICD codes for
each single epidemic is of a peculiar The symptoms of the patients
COVID-19 disease outbreak.3
uniform character common to all ranged from no hospitalisation to
Post COVID-19 U10, RA03 the individuals attacked, and when having been hospitalised, from
this character is found in the totality a small headache to severe pain,
• Personal history of COVID-19 of the symptoms common to all, it vomiting blood, and the diagnosis
QC 42.0, U 08. guides us to the discovery of the of appendicitis, plus COVID-19,
• Post-COVID 19 condition U09 homoeopathic (specific) remedy to include tumors and cancerous
specific condition, RA02 specific suitable for all the cases, which is conditions, addison’s disease, lupus,
condition almost universally serviceable in erythematosus, leukaemia, and
• Multisystem inflammatory those patients who enjoyed tolerable cases of colon and thyroid cancer.
syndrome associated with health before the occurrence of the
COVID-19 epidemic, that is to say who were not Follow-up:
chronic sufferer’s from developed
Prevention The majority of the patients that
psora.”6
had Post-Covid symptoms had
• Adverse reaction to a COVID-19 In the aphorism 242, Hahnemann previously taken the preventative
vaccine PL00 has mentioned that the remedy for doses9 of Arsenicum album 0/6 LM.
• COVID-19 virus not identified epidemics is rarely an antipsoric, These people presented mild sequels
U07.2, RA01.1 but in this pandemic has proven to in general so they were given another
• COVID-19 virus identified be Arsenicum album of great help dose of the same potency succussed
U07.1, RA01.0 for many diseased with COVID 19, twice more times and we observed
another dose. Arsenicum album 30C as prophylactic, 3. World Health Organization, Emergency ICD
Codes for Covid-19 outbreak. Copyright, 2021
since given the conditions of the WHO. www ICD-10data.com
If the symptoms persisted or patients in the area of service, it was 4. wap.business-standard. Homoeopathy
effective in prevention of novel Coronavirus
changed, generally with a pain in the simillimum indicated for the infections: AYUSH Ministry. Press trust of
the area of the liver, or of the lungs pandemic of COVID-19. India. New Delhi. Last updated at January 29,
2020, 1400 IST
in the back, they were given another 5. Edzard, Ernst, Has Homoeopathy caused the
dose of the same, succussed twice All 1,500 patients showed an dramatic decline of Covid-19 cases in India?
more, at a frequency of once a week advancement in health out of their Edzardernst.com, February 17, 2021
until they improved. previous conditions they came with. 6. Hahnemann, Samuel. Organon, Sixth Edition.
Aphorism 241
That is except for the two, one very 7. Ibíd. Aphorism 242
The other group was formed of precarious from alcoholic cirrhosis 8. Ididem, Aphorism 270
patients that had not taken the of the liver and the other delayed 9. Ibíd,wap.business-standard
preventive. Their subsequent health on seeking treatment until his vital 10. Farokh Master. Homoeopathic Remedies
Differentiation for Corona Infection, part 1 of
issues ranged from headaches to the force was nearly extinguished to 4. YouTube 1xXZLp9wjmj4. March 30, 2020.
illness described in the previous list where his bones broke because of a 11. Ernst, Edzard. Edzardernst.com. September
in varying ways and degrees. Ten of minor fall after they were sent back 20, 2021
Abstract: Inguinal hernia is the most common type of hernia. It can appear as a swelling or lump in the groin or as an enlarged
scrotum. It can occur both in adults and children. The most frequent cause of inguinal hernia in children is an abnormality in the
embryonic development. The incidence of inguinal hernia in infants and children is about 1-5%. Although a surgical disease,
homoeopathy can do wonders in inguinal hernias of children. Here is a case of inguinal hernia in a child, effectively managed with
homoeopathic treatment.
Introduction strains. Complications of inguinal given any other treatment for the
hernia include incarceration and complaint. There is no relevant
Justification of the remedy and corresponds with the sycotic Calcarea carbonicum – the
remedy differentiation dyscrasia. It is a left sided remedy. abdominal complaints are mostly
All the symptoms in the totality One of the abdominal symptoms of of the right side. Hernia is on the
were covered by Thuja occidentalis. Thuja occidentalis is ‘protruding here left side. It is mostly indicated in
The main action of Thuja occidentalis and there’, i.e. hernia.(7) umbilical hernia. Calcarea carbonicum
Follow up
DATE SYMPTOM PRESCRIPTION
6/6/2016 -Bulging slightly better Placebo
-Screaming before micturition
occasionally present
13/6/2016 -Bulging better Thuja occidentalis 200 1 dose
-No screaming before
micturition
20/6/2016 -No bulging Placebo
-No screaming before
micturition
Pictures showing progressive recognises no other option for Medicine) Consultant Physician
improvement managing paediatric inguinal at Dr Dhanya’s Homoeopathic
hernia. The carefully selected Multispeciality Clinic,
13/6/2016 homoeopathic remedies can change Thottakad, Kottayam, Kerala,
the scenario of retorting to surgeries South India Author of articles
for hernia repair. Let the young in national and international
ones stay happy with the sweet pills journals in homoeopathy.
and let not the pain hinder their Has published articles titled
cheerfulness. “managing pneumonia
homoeopathically based on
References the general symptoms: a case
1. CHARLES M.V,RUSSEL R.C.G, NORMAN report” in the july 2019 issue
W.S; Bailey and Love’s Short Practice of and “constitutional approach
Surgery,22nd ed; London; Chapman and
Hall;1995 in homoeopathy cured
2. Lana C; Inguinal Region Anatomy;2017;Aug hypothyroidism: A case report”
15;Available from:https://emedicine.
20/6/2016 medscape.com
in the November 2020 issue of
3. Andre H; Pediatric Hernias;2018;Oct The Homoeopathic Heritage.
31;Available from:https://emedicine.
medscape.com
4. Ortenberg J; Pediatric Hydrocele and Hernia
Surgery;2018;Nov 13;Available from:https://
emedicine.medscape.com
5. Nataisia T;Orchitis;2017;Aug 16;Available
from:https://emedicine.medscape.com
6. RADAR Version 10.
7. Boericke W; New Manual of Homoeopathic
Materia Medica &Repertory;9th ed;
New Delhi; B. Jain Publishers;2000
;P.143,145,399,400,620,621,1306
8. Muhammad I, Waldron Ronan et al;
Transillumination: shining a light from
within;2014;Available from:https://www.ncbi.
Conclusion nlm.nih.gov
Abstract: Nocturnal enuresis can be very embarrassing for children and their families as the child grows up, but clinical intervention
usually is not required until the child reaches about 5 to 7 years of age. However, nocturnal enuresis should not be left untreated.
Motivational therapy, enuresis alarms are some of the modern treatment plan foundations. Homoeopathy can play a major role in
treating this condition from which a great portion of children suffer all over the world.
Abbreviations: Diagnostic and statistical manual of mental disorders (DSM- IV), monosymptomatic nocturnal
enuresis (MNE), lower urinary tract symptoms (LUTS), non-monosymptomatic nocturnal enuresis (NMNE), altered
antidiuretic hormone (ADH), arginine vasopressin (AVP), chronic kidney disease (CKD), thyroid stimulating
hormone (TSH)
at night causes increased Homoeopathy treats the patient, for nocturnal polyuria and
urine production (nocturnal not the disease. In homoeopathic functional bladder capacity; a
polyuria). Impaired or deficient treatment, while taking a case, baseline record of the enuresis
growth hormone release may our main aim is to form a totality pattern over 2 weeks can assess
inhibit vasopressin release, of symptoms by the process of enuresis severity and give an
causing excess urine production individualisation considering objective measure of bladder
at night. past history, family history, all performance. This diary records
• Altered sleep/arousal the generalities, and the peculiar
characteristic features of the patient. • The time of going to bed and
mechanism: impaired ‘arousal
waking up
from sleep’ response to a full
Enquiry should be made about – • Whether it was dry or wet
bladder; inadequate arousal may
impair secretion of vasopressin, • The frequency of episodes night
or vasopressin deficiency may • Whether it is a new or recurrent • The volume of urine passed at
impair arousal. problem night and in the morning
• Reduced nocturnal functional • Daytime urinary symptoms, • The weight of the diaper in
bladder capacity (± nocturnal urgency, holding manoeuvres, the morning, and
detrusor over activity): children daytime incontinence
with nocturnal enuresis have smaller • The bowel movements
functional bladder capacities and • Bowel habit (constipation,
• Urinalysis: to assess for
high bladder instability at night. incontinence)
infection, the presence of
• Any underlying contributory
Genetics play a crucial role in glucose (diabetes) or protein
medical conditions
nocturnal enuresis. Familial (urinary tract infection, renal
• Family history disease).
predisposition, psychological
• Psychosocial history • Serum glucose: elevated in
factors, urinary tract infection, and
constipation are also considered to Clinical assessment: 2,3 secondary enuresis.
contribute to nocturnal enuresis. • Blood urea nitrogen: elevated
Physical examination in a child with in secondary enuresis.
MNE is usually normal. Physical
• Serum creatinine: elevated in
examination in children with
secondary enuresis.
NMNE is recommended which
should involve examination of the – • Serum TSH: decreased in
secondary enuresis.
• Abdomen (for distended
bladder and faecal impaction) • Urodynamic study: in general,
not required; however,
• Rectum, genitals (for signs
urodynamic study shows
suggestive of sexual abuse which
that bladder wall thickness is
may be the cause of secondary
or persistent enuresis) significantly higher in patients
with detrusor over activity.
Risk factors:3 • Neurological examination
• Ultrasonography of kidney
• Living with a single parent • Lower limb sensation
and bladder/ voiding
• Living with step-parents • Examination of the spine cystourethrogram: to rule out
• Parents with health problems Assessment of overall growth with the possibility of ectopic ureter,
• Conflicts at home the help of growth chart is essential particularly in treatment-
• Stress due to enuresis to check for growth retardation due resistant cases; although it is
to chronic kidney disease (CKD) or rare.
• Scolding
obstructive uropathy.
• Poor scholastic performance Differential diagnosis:3
Investigations:2,3 Renal, neurologic, and organic
Evaluation:
• Voiding diary/ Frequency- disease states can also cause
History taking:2 volume charts: to assess symptoms of nocturnal enuresis.
Management: intervals over several nights; the may be, homoeopathic prescription
child is made to change clothes and is done by framing totality of
The first step is to educate the child
bedding (if wet), and walk to the symptoms only.
and parents about the condition
toilet if voiding is required. Adjust
and provide reassurance regarding diet to avoid constipation and treat However, these are some of
spontaneous resolution (annual it with laxatives if it occurs. the drugs which are frequently
cure rate is 15%).3 Active treatment
indicated while managing a patient
is usually deferred until age of 6 Conditioning therapy: Alarm suffering from nocturnal enuresis –
years and should be initiated only if therapy with an enuresis alarm
non-medicinal measures fail.2 is the most effective strategy for • Apis mellifica – incontinence
curing nocturnal enuresis. Enuresis at night, and when coughing,
General management:2,3 alarm should be considered only with great irritation of the parts;
when behavioural measures are
Reassurance and counselling: urine clear, straw-coloured.4
unsuccessful. Enuresis alarm
A combination of providing
consists of a sensor device attached • Argentum nitricum –
reassurance, emotional support,
to the child’s underwear or to a mat incontinence of urine at
eliminating guilt, and rewarding the
under the bed-sheet, and an alarm
child for dry nights. Cleaning after night and in daytime; urine
placed on the bedside or attached to
bedwetting should not be performed passed unconsciously and
the child’s collar. The sensor on the
as a punishment. uninterruptedly; too profuse
device is activated when bedwetting
occurs. The alarm conditions flow of pale urine.5
Bladder training: Regular daytime
toileting, emptying the bladder the child to sense a full bladder
• Belladonna – involuntary
before bed, avoiding bladder and awaken from sleep (60–70%
successful response). urine, night and day, in girls or
stimulants (i.e. black-current drinks, scrofulous children; consequent
caffeine), reduced fluid intake in
Homoeopathic management: upon paralysis of sphincter
the hours before sleep, waking the
muscle; urine contains white
child on a schedule of decreasing Whatever the name of the disease epithelia.4
• Benzoicum acidum – enuresis • Lac caninum – frequent and bladder, with constant dribbling
nocturna (after failure of Nitr.); profuse urination; at night she and inconvenient desire to pass
urine high coloured, strongly dreams of urinating, and wets water; gouty or rheumatic
ammoniacal, irritating and the bed.5 subjects.5
smelling like that of horses;
from digestive disturbances; in • Medorrhinum – nocturnal • Santoninum – urine greenish
old people.5 enuresis; passes enormous if acid and reddish purple if
quantity of ammoniacal, high alkaline; incontinence and
• Calcarea carbonica – irritable coloured urine in bed every dysuria; enuresis; feeling of
bladder; enuresis (use 30th); night; < by over-work or over- fullness of bladder; chronic
urine dark, brown, sour, fetid, play, extremes of heat or cold, cystitis.6
abundant with white sediment, when the best selected remedy
bloody.6 fails; with a history of sycosis.8 • Sepia officinalis – child or adult
wets the bed as soon as he goes
• Causticum – involuntary in • Nux vomica – where the to bed; always during the first
children during the first sleep; weakness has been caused by sleep; urine deposits a reddish
incontinence of urine day and use of intoxicating drinks, and clay-coloured sediment which
night in cold weather; with intemperate habits; paralysis of adheres to the vessel as if it
constipation.4 urinary bladder, urine dribbles.7 had been burned on; foetid, so
offensive must be removed from
• Cina maritima – involuntary at • Physalis – enuresis; nocturnal
the room.5,7,8
night; urine turbid, white; turns incontinence; sudden inability
milky on standing; suitable to to hold it in women; urine acrid, • Silicea terra – enuresis
children troubled with worms foul.6 nocturna, especially in children
in the intestines; restless sleep at
• Plantago major – urine profuse suffering from worms or chorea;
night.7
flow, nocturnal enuresis. 6 weakness of urinary organs
• Equisetum hyemale – enuresis and constant desire to urinate;
diurna et nocturna; profuse • Psorinum – during full bloody, involuntary, with red or
watery urine, where habit is moon; intractable cases; with yellow sediment.5,6
the only ascertainable cause; eczematous history.6
• Sulphur – wetting bed at night,
especially at latter part of
• Pulsatilla nigricans – copious discharge; urine
night.4,8
involuntary urination when increased or involuntary at
• Ferrum metallicum – coughing and during sleep; night; urine fetid, greasy pellicle
incontinence more frequent in especially at latter part of night; on the surface; especially in
daytime than at night or floods from digestive disturbances.4,6,7 scrofulous, untidy children.4,6,7
the bed several times at night;
• Quassia – excessive desire • Thyroidinum – enuresis in
urine light-coloured, or the
– impossible to retain urine; weakly children who are
ammoniacal smell of the urine;
copious micturition day and nervous and irritable (1/2 gram
stains the linen dark; clay-
night. As soon as the child night and morning); urine
coloured, yellowish sediment,
wakes up bed is drenched.6 smells of violets, burning along
adhering to the sides and bottom
of the vessel.5 urethra, increase of uric acid.6
• Rhus aromatica – enuresis
due to vesical atony; constant • Verbascum thapsus – constant
• Kreosotum – incontinence of
dribbling; senile incontinence; dribbling; enuresis; burning
urine; copious, pale; urging,
urine pale, albuminous.6 urination; increase with
cannot get out of bed quick
enough; during first sleep, from pressure in bladder.6
• Rhus toxicodendron –
which child is roused with involuntary discharges of • Viola odorata – milky urine;
difficulty; he dreams that he is urine at night, or while sitting, smells strong; enuresis in
urinating in a decent manner.5,8 or when at rest; weakness of nervous children.6
Organon
BASED CASES
Composition:
Rumex crispus 3X 1.0%
Justicia adhatoda Ø 2.0%
Ipecacuanha 1X 1.0%
Spongia tosta 1X 1.0%
Sticta pulmonaria 3X 1.0%
Antimonium tartaricum 6X 0.5%
Coccus cacti 3X 0.5%
Drosera rotundifolia Ø 2.0%
Senega Ø 3.0%
Balsam tolu Ø 3.0%
Excipients q.s.
Alcohol content 11% v/v
Dosage: Adults &>12years old - 2 teaspoons, 3 times a day
Children <12years old - 1 teaspoon, 3 times a day or as Pack sizes available:
60ml | 100ml | 200ml | 500ml
prescribed by the physician.
CALENDULA
BODY LOTION
with the benefits of
of Shea Butter &
Aloevera
Abstract: t is entirely normal for a person to have feelings of stress or anxiety during the COVID-19 outbreak. However, if these
feelings become irrational and/or persistent they can have a severe impact on a person’s mental health. Hypochondriacal patients
are always a challenge. They require an extra hour of physicians’ time; they are responsible for excessive healthcare; they often ask
for unnecessary testing; they make repeated visits for minor ailments; they are in search of a new medication; and they are rarely
satisfied when no definitive diagnosis or treatment is provided. They frequently require more consultation time with the physician.
Many physicians fail to convince hypochondriacal patients that they have nothing to worry about.
Abbreviations: ICD-10-international classification of diseases, COVID-2019 - corona virus disease 2019, LMP-
last menstrual period, radar-rapid aid to drug aimed research, UC- uncommon, pqrs-peculiar queer rare symptom,
rx-to receive/to take, DSM-5 - diagnostic and statistical manual of mental disorders: fifth edition
Introduction chosen as it covered the mental and about how did she contact. She had
physical characteristic symptoms, fear of getting lung infection. From
air even when windows are open. On examination-palms of both deformity or disfigurement;
Gets up easily to little noises during hands are cold and clammy.
sleep and develops restlessness (b) Persistent refusal to accept the
and palpitation (before covid she Diagnosis of case: Hypochondriacal advice and reassurance of several
used to sleep without getting up disorder as per ICD-101. different doctors that there is no
in between). Perspiration on palms physical illness or abnormality
For a definite diagnosis, both of the underlying the symptoms.
and soles even in winter and while
writing exam answer sheet becomes following should be present:
Differential diagnosis: somatisation
wet; dreams - unremembered. disorder, depressive disorder,
(a) Persistent belief in the presence of
Habit of drinking milk once in a delusional disorder, anxiety and
at least one serious physical illness
day. Hobbies- watching television, panic disorder1.
underlying the presenting symptom
playing badminton.
or symptoms, even though repeated
Investigation reports-
Menstrual history -LMP-5/7/2021. investigations and examinations
Menses- regular, 28 to 30 days cycle, have identified no adequate COVID POSITIVE REPORT (TEXT
flow for 3-4days with slight lower physical explanation, or a persistent MESSAGE TO HER CONTACT
abdominal pain. preoccupation with a presumed NUMBER)
Case Analysis
Symptom analysis
Sr. No Chapter Symptoms UNCOMMON/COMMON
Miasmatic classification4
REPERTORISATION
30/8/2021 Complete relief of all the symptoms Rx-Placebo 1 As there was improvement
dose placebo was given.
56 | The Homoeopathic Heritage January 2022
CLINICAL
Abstract:
Background –Lichen planus (LP) is an inflammatory skin disorder, characterised by an itchy, shiny, violaceous, flat-topped, papular
eruption over different part of body. Since conventional mode of medicine doesn’t completely cure the lesion but suppresses it,
in the same or the other form. Homoeopathy on the contrary has a significant role in treatment of LP on the basis of totality of
symptoms (individualisation) and holistic approach. In case of LP, homoeopathic medicines target the altered immunity of the body
and bring it back to normally over period of time. A case of LP of 28 years old male is presented in this article who responded
commendatory with single medicine Rhus toxicodendron depending on totality of symptoms repertorial result. Reduction in size
and number of eruptions was observed over a period of five month.
Method – A detailed case taking was done and LP was diagnosed on the basis clinical history, physical examination and biopsy
report. Individualised homoeopathic medicine was given on the basis of totality of symptom with aid of repertorisation.
Result- The patient recovered remarkably with homoeopathic therapy.
Conclusion- Homoeopathy has treated a difficult to treat condition, i.e. LP, in a relatively less time, where conservative treatment
fail to give positive results.
Keywords: lichen planus, Rhus toxicodendron, homoeopathy, repertorial totality, single medicine
Abbreviations: LP- lichen planus, OPD – out patient department, T/R – thermal reaction, H/O – history of, RADAR
– rapid aid to drug aimed research, TDS – thrice daily, HOPC – history of presenting complaints
L P is a chronic inflammatory
and immune-mediated disease
that affects the skin, nails, hair
slightly purplish eruptions over
scalp. F/H: Father - diabetic; Mother - died
H/O hypertension Clinical finding
and mucous membrane. It is Mental general:
characterised by polygonal, flat Local examination: (Figure 1)
topped, violaceous papules and Restlessness with continued change
plaques with overlying reticulate Site- scalp
of position
fine white scale.(1)
Fear of dark Character- LP, like eruptions-itchy,
slightly purplish with vesicles(1).
Case Profile Feeling of despair
A 28 years old hindu male reported Number- multiple
in OPD (19H2496) on 22.2.19, with Physical general:
Discharge- slightly sticky
complaints of L.P. over scalp since
2 years. T/R - chilly
Provisional diagnosis
HOPC: Great restlessness, felt better for a
Lichen planus, on the basis clinical
time, after change of position
Patient was apparently well 2 years history, physical examination and
before, when, gradually, he started Desire for milk biopsy report(1). (Figure 2)
Totality of symptoms:
• Restlessness both physically • Feeling of despair • Lower back pain
and mentally.
• Itchy, erythematous, vesicular
• Fear of darkness • Desire for milk eruptions over scalp
Miasmatic analysis:
Symptom Miasmatic analysis
Restlessness both physically and mentally Psora
Fear of darkness Psora
Feeling of despair Psora – syphilis
Desire for milk Psora
Lower back pain Psora
Itchy, erythematous, vesicular eruptions over scalp Psora-sycosis
Chilly Psora
In this case, as per analysis, psora is Repertorisation: was taken into consideration and
the dominant miasm with syphilitic case was repertorised with the help
Considering the generals were of Synthesis repertory from RADAR
background. (2) marked in the case, Kentian approach 10.0 version. (3)
First prescription with justification: on 22.2.19; considering that Rhus in repeated doses was selected
toxicodendron patient is physically as patient was having intense
Rhus toxicodendron 30 was prescribed as well mentally restless and its
after repertorisation and due pathogenetic effects primarily causes itching with oozing eruptions with
consultation of materia medica(4) vesicular eruptions. 30 potency considerable backache.
4.3.19 Few new eruptions appeared and there is slight Rhus toxicodendron 30/ TDS for 14 days
improvement in old eruption.
As improvement was evident and amelioration
Itching and discharge from eruptions decreased. going on medicine was repeated, considering that
Lower back pain reduced around 30-35% lichen planus is chronic inflammatory immune
mediated condition, hence it was repeated.(6)
22.4.19 Further improvement in old eruptions but new Rhus toxicodendron 200/ 1 dose(5) stat
eruption continued to form.
Phytum /TDS for 14 days
Itching remarkably reduced. Discharges dried
up. As new eruptions were appearing medicine was
given in next higher potency.
Back pain relieved.
7.6.19 Relief in all symptoms and general condition Phytum/TDS for 30 days
became better
Patient recovered and he was advised to come back
(figure-4) in case of relapse, placebo was given for a month.
Abstract: It is very difficult to understand the complex nature of the therapeutic law of homoeopathy, how attenuation of the drug
to infinitesimal size releases the curative power of the drug and how the trituration process potentises/dynamises the scale of
medicines from 30 C, 200C, 1M, 50M and 1MM in that order. An attempt is made in this paper to theoretically prove all the above
points raised and prove Dr Hahnemann was cent percent ‘RIGHT’.
Keywords: De Broglie hypothesis[1], Schrodinger’s wave equation[1], quantum mechanics[1], Maxwell’s unified
theory of thermodynamics[2], Maxwell’s statistical distribution theory[1] and Maxwell-Boltzmann law[1].
Introduction 3. Proof for law of similars. And U=∞ at x<0 and x>l
D r Samuel Hahnemann
(1755-1843) found from his
experiments that homoeopathic
Materials and methods:
1. Reduction of mass of medicinal
medicines in serial attenuations substance is inversely proportional
became more and more potent to the energy produced.
in their efficacy for the treatment
of diseases. He could not offer 1.1. Schrodinger’s wave equation [1]
En and Ψ n are found to be discrete. Energy En is found to be inversely 2.1 The process of trituration consists
The spacing between two adjacent proportional to the mass m of the in the mechanical action upon one
energy levels is given by micro-particle. (1) grain of the medicine substance
by the addition of an indifferent
△ En = En+1 - En 1.2. Conclusion: It is now proved that substance sugar of milk or alcohol
reduction in the mass of the particle
for dry or fluid medicine respectively
(π 2 ħ 2 / 2ml2) produces more energy which is
= using a ceramic mortar and pestle.
(2n+1) (n=1,2,3,….)----(8) discrete with discrete frequencies
The process for achieving 1/100
Therefore, △ En ≈ (π 2 ħ 2 / ml2) 2.Trituration results in the potency is illustrated graphically in
(n) (n=1,2,3,….)----(8) liberation of energy of the medicine Fig 2.
Dr Hahnemann took prolonged Fig 3. Thermodynamic model of displacement of the body during the
time for trituration to liberate the medicine substance short interval of time is negligible.
latent energy according to his Therefore, the Heisenberg’s
experimental observations and Dr Hahnemann said, Uncertainty principle is rewritten as
to get the most intimate mixture.
Quote: “A great and hitherto △I . △ x ≥ ħ/2----(10)
The author studied deep into this
unknown change, undreamt of
process to find out the source of this
ensured, the development and Where △I indicated the uncertainty
liberation. The medicine and the
liberation of the dynamic powers in impulse. The Impulse is quantised
mixture of sugar of milk as a whole,
of the medicinal substance, so as to without movement of mass, just like
was considered as a thermodynamic
excite astonishment”. the momentum of photon without
system. It has four mechanical
mass, waves of water in a deep-water
parameters V,T,p,S and four energy Unquote: tank, sound waves without physical
potentials H,U,F and G. F and G are
movement of mass. The author came
always maintained at a minimum. Let’s explain theoretically, how this
to the conclusion that the prolong
This Thermodynamic model is mysterious energy was liberated
trituration process in steps involved
represented as shown in Fig 3 after trituration of 1/100 potency.
a) Isobaric, b) Isochoric c) Isothermal
The process involves impulses,
processes simultaneously.
S U v which consist of a large force of an
extremely short duration such that The only example to quote is human
H F
the change in momentum produced being (no change in p,V an T during
P G T by it in a body is finite, but the the entire process)
2.7. Conclusion: - particles and equilibrium is entropy ∂s= Lt ∂Q->0 /Lt ∂T->0 =finite
I. Trituration for 1/100 potency attained at N/2=0.5 Entropy increases for
resulted in medicinal particles II. See stage I. Repeated 1 min an irreversible process.
becoming 50% of the total triturations 6 times in succession Hence it is very very important
mixture liberating energy are likely to convert mechanical to see that the trituration process
Medicine characteristics are work into heat ∂Q producing a at every step shall be isothermal,
small rise in temperature ∂T. The isobaric and isochoric. Then
transferred to the non-reacting
ratio Lt ∂Q->0 /Lt ∂T->0 should only homoeopathic drug achieves
indifferent sugar of milk
be finite since the change un
quality assurance. Hence medicinal and sugar of milk grains of ms (since 1 grain of
there is a necessity to prolong particles in the mixture for 1/100 the mixture is taken out for
trituration cycle time (please potency) subsequent (1/100)2 potency.
see an extra 10 minute cycle III. Every subsequent stage starts Let us now see how the particles
time achieved exact 50% of the with 0.5 grains of md and 0.5 behave from the following table
grains grains
I 0.5 0.5+33.333 34.333 0.1223 10’
30.134
Repeat 15.412 18.921 34.333 0.4489 20’
II 15.412 52.524 67.666 0.48885 30’
IV. The above two tables show the process gives total 101 grains. If properties has left its imprint on the
necessity of prolonging the 100 grains are distributed to 100 diluting fluid and imbued the latter
trituration cycle times ensuring grids in a row, you are left with with energy of its own characteristic
strictly ∂T->0 and ∂Q->0 with 1 grain of the mixture (0.5 md+ type”
their ratio finite, so that entropy 0.5ms) to start the second row of
Unquote
∂s>0 100 grids
V. Hence mechanisation of VII. Trituration (1/100)n gives Thus, the author proved Dr
trituration process should take an output of 0.5/n2 grains of Hahnemann perfectly ‘RIGHT’
care that no metal balls are medicinal substance. For
30C, 200C, 1M, 1CM and 1 MM 3.Proof of law of similars
used in the process, strictly
follow ceramic mortar and the output is respectively 0.5 3.1. The mass which is reduced by
pestle, ensure strict isothermal /302, 0.5 /2002, 0.5 /10002, 0.5 /1010 △m in (1/100) trituration process
conditions to follow exactly and 0.5 /1012 grains.
has resulted in reducing F and
what Dr Hahnemann did. The Thus, the author proved the presence G by -△F and -△G respectively of
only suggestion from the author of medicinal effect of the drug the medicinal substance which is
side is slight prolongation of through indifferent non-reactive considered as a thermodynamic
cycle time to ensure quality carrier sugar of milk particles in system. If a human body is
assurance. potencies beyond 1 MM. considered as a thermodynamic
VI. One question arises in our system and if a healthy body is
Dr Hahnemann’s divine intuition [3]
mind why Dr Hahnemann diseased, it may reduce either F or
chose 1 grain of medicine Quote G or both. If the homoeopathic drug
with 100 grains of sugar of of (1/100) trituration process is given
milk. (1/100)1 “The drug after losing all its material to the diseased person immediately,
the drug having +△F and △G quanta The presence of medicinal effect in much – yes everything”
of energy causes immediate cure. potencies 30C, 200C, 1M,1 CM and
1MM is proved. Generations to come in future will
This proves law of similars. Now realise the benefits of homoeopathy
let’s see what happens if this drug in Law of similars (similimum as a simple system of medicine, has
1/100 potency is given to a healthy similibus curentur) is proved. a fixed therapeutic law, is based on
person F will become F+ △F and comprehensible principles and is
G will become G+△G. This will complete in itself as a therapeutic
produce disease symptoms in the
Discussion and
system.
healthy person. Since, F and G are Conclusion
always maintained at minimum, The ideal cure [3] was first enunciated Let’s all the founding father
the innate and adaptive immune by a Greek physician Asclepiades of homoeopathy Dr Samuel
system of the healthy person 124.B.C. his motto was “cito, tuto et Hahnemann in the temple of fame
automatically reduces back F and jucunde” meaning disease should as a beacon of hope, benefactor and
G to their minimum values, since be treated “Speedily, Safely and a source of health and happiness for
△F and △G are administered in low agreeably”. all mankind.
potency/low energy. For curing and
treatment, the amount of +△F and The world had to wait for nearly The author humbly dedicates
△G, if insufficient, the homoeopathic two thousand years till Dr this paper to the Great Dr Samuel
physician will increase the dose as Samuel Hahnemann succeeded in Hahnemann, the founding father of
required to restore equilibrium in materialising his ideal. homoeopathy.
the diseased person. This proves
Law of similars followed by Dr Now nearly after 175 years, the Acknowledgement:
Hahnemann. author put forth rational and
We acknowledge with thanks
theoretical explanations for all
That is why Dr Hahnemann insisted Dr Elia Reddy Vasa, BHMS for
actions of Dr Hahnemann as
on “study the diseased individual perfectly ‘RIGHT’ his inspiration and constant
for totality of symptoms not the encouragement.
disease” The author proved that attenuation
and trituration is really a
homoeopathic physician selects
References
potentisation/dynamisation process 1. Savelyev I.V. Physics.
the drug depending upon the state as claimed by Dr Hahnemann [3]. We 2. MIR Publishers
of the individual, selects the drug, 3. OP.
starts with a low potency and after Quote 4. Unified course in Chemistry Vol IV
finding improvement, changes the 5. Hahnemann S. Organon of Medicine 5th and
potency to treat the person of the “The more the materiality of the 6th edition.
disease. drug is reduced by the process of 6. Published by M.Bhattacharyya & Co (P) Ltd.
trituration, the greater the specific
3.1. The author proved that with therapeutic quality lying hitherto
reduction in the mass of the drug, dormant in the drug seemed to be About the author
the energy is found to increase, unveiled for effective action”
is discrete with closely spaced 1. Prof. L. Krishna Rao, B.Sc;
frequencies and closely spaced Unquote BE(Indian Institute of
energy levels. Science);M.E(Indian Institute of
Dr Hahnemann was really God’s Science) pathic Medical College,
3.2. Trituration with repeated incarnation. Divinity does ‘No Hyderabad
succussions in 3 stages with wrong”.
prolonged cycle times never
allowing any rise in temperature and Dr Hahnemann received “the cross
ensuring Isochoric, Isobaric process his payment for the crown he gave”
throughout resulted in liberation of
We still remember his last words
medicinal energy.
to his wife on his death bed “GOD
3.3. Conclusion: owes me nothing, but I owe him
Abstract: COVID-19, by and large is still an unexplored pandemic, still evolving and still not completely understood. Every day,
some or the other new information come up about this disease. Since 2019, when it originated, the mutations and appearance
of new strains over the time has been observed, leading to symptomatic variations in 1st wave and 2nd wave, the transmission
is faster, the strains have become more virulent, affecting the younger age group and due to its more virulent nature, there is
increased morbidity with greater demand of oxygen and more thrombotic complications. Homoeopathy has played a pivotal role in
boosting the overall immunity of the population along with the treatment of disease. But along with the acute nature of disease, a
new chronic dimension is appearing, i.e. the complications related to it after its recovery. Many reports state that the patients who
recovered well, are coming back to hospitals with some or the other complications. So it’s the time, that along with the planning for
3rd wave, we should also plan and think about treating and managing the post COVID-19 complications through the homoeopathic
approach
Keywords: COVID-19, SARS-CoV-2, post COVID-19, lung fibrosis, thromboembolism, myocarditis, cardiomyocytes,
anxiety.
Abbreviations: Coronavirus disease 2019 (COVID-19), severe acute respiratory syndrome coronavirus 2 (SARS-
CoV-2), intensive care unit (ICU)
increased risk of developing can make a person develop tubes causing oppression of
PE which may occur in up depression and anxiety3. breathing17.
to one-third of critically ill II. Silicea terra: It causes
Homoeopathic management of
COVID-19 patients requiring absorption of fibrotic and
complications: The following
ICU admission9. It refers to as scar tissue. Slow recovery
homoeopathic medicines can be
blockage in pulmonary artery after pneumonia. Pressing
thought of in these complications:
because of the blood clot thus pain, stitches, and general
compromising the blood flow 1. Fatigue: weakness in chest17.
through the lungs. It is basically
I. Gelsemium sempervirens: III. Medorrhinum: An antisycotic
due to the immobility and
General prostration. hot remedy. Air hunger,
restricted activity during the
Dullness, dizziness, cannot exhale. Wakes
treatment and disease process10.
drowsiness and trembling15. gasping for breath. Lungs
4. Blood clotting11: Immune feel stuffed up with cotton.
Tired feeling and mental
response in COVID 19 damages Left lung very painful, feels
apathy. Muscular weakness.
the endothelium lining of blood drawn toward right side16.
Complete relaxation and
vessel and due to damage to
prostration. Fatigue after IV. Beryllium metallicum:
endothelium of blood vessel,
slight exercise. Apathetic and Dyspnoea, dry cough
there starts the cascade of
dull. Thirstlessness. Chronic difficult to expectorate.
coagulation system and blood
fatigues ever since a viral Respiration painful
clotting mechanism starts
infection especially of limbs aggravated by movement.
which may cause particular
feel heavy and exhausted16. Cyanosis. Spasmodic cough
organ damage due to poor
II. Kalium phosphoricum: with pain behind sternum16.
blood supply to that organ12.
Certain studies have shown that Nervous prostration, weak V. Stannum metallicum:
some COVID-19 patients have and tired15. Convalescence Debility in chronic bronchial
suffered from brain stroke after after exhausting diseases. conditions. Shortness of
the recovery due to clotting in Muscular weakness after breath on exertion. Short,
brain vessels.13 acute diseases16. oppressive respiration,
III. Alfalfa: From its action stiches in left side when
5. Myocarditis14: Host immune
on sympathetic nerves, breathing and lying on same
response in COVID-19 may
it favourably influences side. Lungs feel weak, can
damage cardiomyocytes and
nutrition by toning up of hardly talk. Last stage of
cause myocardial inflammation.
appetite and digestion, respiratory illness heading
Patients may experience chest
resulting in greatly improved toward lung failure16.
pain or dyspnoea on exertion.
The fulminant myocarditis may mental and physical vigor15. VI. Bromium: Fibrinous
result in ventricular dysfunction, Insomnia. Corrects tissue bronchitis. Bronchial tubes
waste. It gives general feeling feel filled with smoke. Want
and eventually heart failure.
of well being16. to take deep breath but it
6. Depression and anxiety6: excite cough. Lungs feel
COVID-19 is associated with IV. Avena sativa: Best tonic for
coated with down. Difficult
morbidity and mortality and debility after exhausting and painful breathing16.
some may require long term diseases15. Sleeplessness.
hospital admission which 3. Blood clots:
V. Chininum arsenicosum: As
requires oxygen support a general tonic for general I. Arnica montana: It stimulates
or ventilator support. Also weakness and prostration. the absorbent power of
because of the transmission of Disinclination for mental blood vessels, thus helps in
disease from person to person, exertion15. dissolution of clots17.
the diseased person needs to
2. Lung fibrosis: II. Bothrops lanceolatus:
get isolated or if admitted in
Thrombosis and its
hospital, the family members I. Kalium iodide: It acts on manifestations like
are not allowed to be with fibrous tissue15. The action hemiplegia, aphasia, inability
patient for support. So, simply of this drug upon mucous to articulate. Increase
surviving this experience membrane of bronchial
V. Arsenicum iodatum: brooding. Melancholic, Long term effects. Updated on 2021 May 06
[Cited on 2021 May 16]. Available from: https://
Myocarditis. Myocardial sad, tearful. Not www.mayoclinic.org/diseases-conditions/
coronavirus/in-depth/coronavirus-long-term-
degeneration. Pulse rapid, communicative. Sighing effects/art-20490351
feeble, weak, irregular16. and sobbing. After shocks, 4. Carfi A, Bernabei R, Landi F. Persistant
grief, disappointment15. symptoms in patients after acute COVID 19.
Updated on 2020 July 9 [Cited on 2021 May
Persons mentally and 16]. Available from: https://jamanetwork.com/
physically exhausted journals/jama/fullarticle/2768351
5. Post COVID anxiety and by long-concentrated 5. Smith M.W. Complications coronavirus can
depression : grief. Involuntary sighing.
cause. Updated on 2020 Aug 19 [Cited on 2021
May 16] Available from https://www.webmd.
com/lung/coronavirus-complications#1
VI. Aconitum napellus: A state Bad effects of grief; broods
6. Huang C, Huang L, Wall Y et all. 6 months
of fear, anxiety, worry in solitude over imaginary consequences of COVID-19 in patients
and anguish of mind trouble. Desire to be alone. discharged from hospital- a cohart study.
Updated on 2021 January 08 [Cited on
and body. Fright is most Ill effects, from bad news; 2021 May 16]. Available from: https://
characteristic manifestation. from vexation with reserved www.thelancet.com/journals/lancet/article/
PIIS0140-6736(20)32656-8/fulltext
Delirium is characterised displeasure. 7. Spagnolo P, Balestro B, Aliberti S et all,
by unhappiness, worry and Pulmonary fibrosis secondary to COVID 19: A
call to arms? Updated on 2020 May 15 [Cited
fear. Fears death, future15. Conclusion on 2021 May 16]. Available from: https://
www.thelancet.com/journals/lanres/article/
VII.Calcarea carbonica: Anxiety Post recovery COVID-19 PIIS2213-2600(20)30222-8/fulltext
with palpitation. Fears complications are a new dimension 8. Ali R.M.M., Ghonimy M.B.I. Post COVID
Augmented Textbook
HOMOEOPATHIC
PHARMACY 3rd Edition
• One of the oldest and the most read book of homoeopathic pharmacy, having complete
information, making it easier for the students and practitioners to utilise it without much
hassle.
• Augmented work of Dr Banerjee compiled as per the CCH syllabus, including
introduction, illustrations, mechanism, tables, development, scope and research in
pharmacy, as stated in the Pharmacopoeias.
• All the chapters are arranged in a systematic manner under the respective sections.
• Several new chapters have also been introduced in the updated edition, under different
sections such as Hospital Pharmacy, Industrial Pharmacy, Pharmacovigilance and
Adverse Drug Reaction, and many more topics in different chapters.
• In the appendix, a few important short questions with answers have been added.
Abstract: COVID-19 can take a lengthy course over months resulting in great social and economic consequences. The most
common persisting symptoms are anosmia, loss of taste, shortness of breath and fatigue. There are specific symptoms and
nonspecific symptoms affecting physical and mental health. A holistic approach is necessary to bring a sick to health. Homoeopathy
as a unique system of medicine may prove as miracle.
Abbreviations: COVID-19 –coronavirus disease 2019, SARS-CoV-2 - severe acute respiratory syndrome coronavirus
2 , WHO – World Health Organisation, e.g – example, IL – interleukin, interstitial lung disease (ILD)
illness. For people who are is also there like metallic taste in are Aconitum napellus,
eligible, getting vaccinated against mouth. Homoeopathic medicines Digitalispurpurea, Naja tripudians,
COVID-19 as soon as you can is the for these symptoms are Belladonna, Kalmia latifolia, Lachesis mutus,
best way to protect yourself from Sulphuricum acidum, Aceticum Spigelia anthelmia, Rauwalfia
severe COVID-19 disease and it can acidum, Kalium bichromicum, Nux serpentina Q, Crataegus oxyacantha.
also help protect those around you. vomica, Ferrum metallicum, Pulsatilla
Continuing to observe public health nigricans. Neurological: Symptoms like loss
and social measures even after of memory, inability to concentrate
vaccination is important Nose and respiratory: Loss of and comprehend, brain fag, etc.
smell (anosmia) is very common are noticed during recovery
A vaccine’s ability to prevent post post COVID, however in many from COVID-19. COVID may
COVID-19 condition depends on cases, there is distorted smell also increase risk of developing
its ability to prevent infection in the (parosmia). There is a feeling of alzheimer’s disease and parkinson’s
first place. The vaccines we currently bad and putrid smell even though disease.
have are aimed at preventing severe there is no such external stimuli
disease and death. They are not as present. Homoeopathy medicines Avena sativa and Ashwagandha mother
effective against infection; however, are Calcarea sulphuricum, Mercurius tincture may be useful.
they should have some protective solubilis, Pulsatilla nigricans, Kalium
sulphuricum, Silicea terra, Kalium Gastrointestinal symptoms: loss
effect. There is emerging data that
bichromicum, Lycopodium clavatum, of taste, constipation, piles, loss
suggests the same: patients that
Sangunaria canadensis, Teucrium of appetite, indigestion and liver
have received vaccination against
marum verum and Nux vomica. function disturbances are the sum
COVID-19 and developed disease
of common complications after
are less likely to have symptoms for
Cough: is present long for months COVID-19.
more than a month. [2]
after COVID. Chest pain and
tightness is also present in some Bryonia alba, Carbo vegetabilis,
Homoeopathy for post COVID
cases. COVID pneumonia damage Pulsatilla nigricans, Lycopodium
ailments
to air sacs (alveoli) resulting in clavatum, Nux vomica may be useful.
Common symptoms and its remedy: scar and difficult breathing may
Other general symptoms post
persist for long. Many patients have
Head: After covid hair fall is very COVID-19: Anxiety and depression
developed advanced pathological
common and may persist for few is very common in cases recovering
changes resulting in interstitial
months. Homoeopathic medicines from covid. Fear of infection is also
lung disease (ILD). Homoeopathic
for hair fall after COVID are Acidum found in many cases. Fibromyalgia,
medicines are Belladonna, Bryonia
phosphoricum, Acidum flouricum, fatigue, muscle pain, joints pain, and
alba, Arsenicum album, Phosphorus,
Lycopodium clavatum, Natrum a sense of being unwell. Disturbed
Spongia tosta, Drosera rotundifolia,
muriaticum, Sepia officinalis, Carbo sleep, body aches, weakness and
Carbo vegetabilis, Aspidosperma
vegetabilis, Phosphorus, Sulphur, Thuja mood swings are also seen during
quebracho, Ipecacuanha, Lycopodium
occidentalis, Ashwagandha. COVID-19 recovery.
clavatum, Grindelia robusta,
Pulsatilla nigricans, Sulphur, Natrum Homoeopathic medicines include
Mild to severe headache is also
sulphuricum, Rumex crispus, Blatta Ignatia amara, Rhus toxicodendron,
present in cases recovering from
orientalis. Calcarea carbonicum, Pulsatilla
covid infection. Homoeopathy
medicines Belladonna, Bryonia nigricans, Kalium phosphoricum,
Heart: COVID 19 can cause lasting
alba, China officinalis, Magnesium Passiflora incarnata, Avena sativa,
damage to heart muscles, increasing
phosphoricum, Nux vomica, Pulsatilla Ashwagandha. [3]
the risk of heart failure and other
nigricans, Gelsemium sempervirens heart complication. There are Frequently used mother tinctures
are useful in treating headache after instances of increased heart rate in COVID 19
post COVID. during recovery of covid19 giving
symptoms like palpitations and ASHWAGANDHA
Mouth: Loss of taste is present
chest discomfort.
during and after covid for few As a homeopathic remedy, it helps
weeks to few months in some Homoeopathic medicines to make the patient stable in the
cases. Sometimes a bitter feeling
following conditions. If the patient secondary syphilis, genito-urinary can be employed for treatment as
is losing his nervous power or troubles such as gonorrhoea, are required for acute diseases.
becoming weak day by day. The dysuria, etc. A tonic, patient is However, selection of potency of
patient is unable to focus. Memory extremely weak, owing to repeated the remedy is dependent on various
is getting weaker day by day. The attacks of fever and exhausting factors like susceptibility of the
patient is losing his decision power. seminal emissions. An excellent patient (high or low), type of disease
Sickness is at a peak that will turn remedy for intermittent fever, (acute/chronic), seat/ nature and
the patient into an abnormal person. jaundice, torpidity of the liver, intensity of the disease, stage and
If he is having mental sickness bilious vomiting and leprosy. [7] duration of the disease and also the
growing gradually or completely. previous treatment of the disease.[8]
Memory loss. Mental sickness. Loses GOOD DIET FOR POST COVID
decision power. Memory loss. [4] RECOVERY:
CONCLUSION
AVENA SATIVA A balanced diet is important to Scientific evidences proves that
regain help after post copy infection. homoeopathy not only treats
Has a selective action on brain Consume a high protein diet with the sick person but also acts as a
and nervous system, favourably 75 -200 grams of protein each day. prophylactic like genus epidemicus.
influencing their nutritive function. Include as many, lentils, legumes, Homoeopathy can reduce long covid
Nervous exhaustion, sexual milk products, Soya seeds and complications as it treats the patient
debility, and the morphine habit nuts in your diet as possible. Non as a whole. Potentised medicines as
call for this remedy in rather vegetarian should include animal well as mother tinctures are useful
material dosage. Best tonic for products such as lean meat poultry, in treatment of post covid ailments.
debility after exhausting diseases. fish and eggs. Choose fruits and Homoeopathic medicines along
Nerve tremors of the aged; chorea, nuts instead of sugary treats such with follow and practise the COVID
paralysis agitans, epilepsy. Post- as cookies, cakes and chocolates protocol (WHO guidelines) is the
diphtheritic paralysis. Rheumatism to limit your sugar intake. Patients best way to prevent COVID 19.
of heart. Colds. Acute coryza (20 recovering from covid-19 should
drop doses in hot water hourly for a continue to take multivitamins
few doses). Sleeplessness. Nervous vitamin B, C and D zinc, iron and References
states of many female troubles. [5] selenium pills. [3] 1. 1.Francesca Salamanna, Francesca Veronesi,
Lucia Martine, Maria Paola Landini, Milena
Fini; Post-COVID-19 Syndrome: The
ASPIDOSPERMA QUEBRACHO POSOLOGY: the medicine selected Persistent Symptoms at the Post-viral Stage
of the Disease. A Systematic Review of the
for each patient is tailored to person Current Data; Belgium; Frontiers in Medicine,
Digitalis of the lungs. Removes specific, taking into consideration, 4th May [Cited: 27-11-2021]
temporary obstruction to the his/her mental make-up, physical 2. URL: https://www.frontiersin.org/
articles/10.3389/fmed.2021.653516/full
oxidation of the blood by symptoms, and characteristic 3. 2. WHO News release; Post Covid19
stimulating respiratory centres, particulars etc. In case of long term Condition/ Long Covid; South east Asia/Sri
increase oxidation and excretion of illness, besides the above mentioned lanka; 16th October 2021 [Cited: 27-11-2021]
affections, leprosy, leucorrhoea, Different types of potencies such 10. URL: http://www.homeoint.org/books/
boericmm/a/aven.htm
rheumatism, skin diseases, as decimal or centesimal potencies
11. 6. Boericke W. Boericke’s New Manual of
Abstract: It is evident that the short term and long term complications of post COVID-19 infections caused by SARS-Cov-2 viruses
are gradually increasing day by day. Homoeopathy itself demands a greater scope for management of these type of patients on the
basis of totality of symptoms following the principles of homoeopathy.
Abbreviations: Coronavirus disease-2019 (COVID-19), CT scan (CT), acute respiratory distress syndrome (ARDS),
severe acute respiratory syndrome corona virus-2 (SARS-CoV-2), example (e.g.), ground-glass opacity (GGO),
post-acute sequelae of COVID-19 (PASC), the National Health Scheme (NHS), severe acute respiratory syndrome
(SARS), middle east respiratory syndrome (MERS).
C
i.e.
OVID-19 is a viral disorder
caused by beta-coronavirus,
SARS-CoV-2, generally
3 months of acute infection, some
patients will have CT abnormalities
pulmonary related quality of life up
to 2 years after index hospitalization.
which include ground-glass opacity Ventilator induced direct injury
characterized by high fever, (GGO) and subpleural bands with to alveoli that leads to pulmonary
cough, dyspnoea, chills, persistent concomitant pulmonary function interstitial oedema, hyaline
tremor, muscle pain, headache, abnormalities and also after 6 membrane formation, and alveolar
sore throat; and loss of taste and/ months of acute infection, few collapse commonly seen in patients
or smell and other symptoms of a
patients have persistent CT changes; with ARDS and can directly help
viral pneumonia. In severe cases,
including the resolution of GGOs to the development of pulmonary
coagulopathy associated symptoms
seen in the early recovery phase fibrosis. The higher incidence of
often correlating with COVID-19 is
and the persistence or development barotrauma seen in patients with
seen (e.g., blood coagulation;
of fibrosis, such as reticulation COVID-19 ARDS compared with
thrombosis; ARDS; seizures; heart
with or without distortion of lung non-COVID-19 ARDS and the
attack; stroke; multiple cerebral
infarctions; kidney failure; and/ parenchyma.2 finding of autopsy, patients dying
or disseminated intravascular from COVID-19 show evidence of
Aetiology of lung disease after ARDS on biopsy as well as SARS-
coagulation). In younger patients,
COVID-19 CoV-2 in pneumocytes, fibroblast
rare inflammatory syndromes
are sometimes associated proliferation, and microscopic
It is not clear that the changes after
with COVID-19 (e.g., atypical honeycombing. The relative
acute COVID-19 are a sequelae of
kawasaki syndrome; toxic shock contributions of these factors to
lung injury or acute respiratory
syndrome; paediatric multisystem lung disease after COVID-19 are
distress syndrome (ARDS), effects
inflammatory disease; and cytokine currently unknown and a subset
of mechanical ventilation, or direct
storm syndrome).1 of patients, the aetiology of lung
injury from the virus. Lung fibrosis
disease after COVID-19 appears to
develops in a subset of patients
be an exacerbation of underlying
Discussion with ARDS and the duration of
interstitial lung disease.2
acute respiratory failure in ARDS
The acute course of COVID-19 has been independently implicated Post-acute sequelae of COVID-19
is variable and ranges from in the development of pulmonary
asymptomatic infection to fulminant fibrosis. In a group of survivors of The recovery from the infection is
respiratory failure. Recovering ARDS, persistent fibrotic changes variable. Most of them will make
from COVID-19 the patients can often correlate with restrictive a total recovery and others will
experience sequalae long after they data from acute respiratory distress disease conditions. The symptoms
recover from the acute infection syndrome (ARDS). It is reported that are accentuated in different spheres
and the severity of symptoms approximately 30% of people with according to the tendencies of
ranging from mild to debilitating. SARS or middle east respiratory the vital energy and also the
In a study of health care workers syndrome (MERS) had persisting individual response to the dynamic
with mild COVID-19, 26% patients lung abnormalities after their acute disturbances.5,6
had moderate to severe symptoms illness.3
for 2 months and 15% patients Dr Hahnemann taught how to
had moderate to severe symptoms The load of fibrotic pulmonary discover and apply and showed
for 8 months. The most common changes following SARS-CoV-2 us the necessity of applying a
symptoms were lost of smell and infection is likely to be high; specific remedy to individual case
taste, fatigue, and shortness of thus, the global burden of fibrotic of disease studied from the totality
breath. Identified risk factors for pulmonary disease will be increasing of the symptoms phenomena and
symptoms after infection include significantly. Fibrosis is not common without regard to the nosological
increasing age and body mass index, following other viral pneumonias classification.7
female sex, and a higher number of and has almost never been reported
after H1N1 pneumonia.4 Pathological changes may be
symptoms during the acute illness.
very much helpful in arriving the
This group of symptoms, initially
The definition of fibrosis in the understanding of the miasmatic
referred to as “long COVID,” but
studies of post-acute COVID-19 dyscrasia either acquired or
now it is called post-acute sequelae
may have inflated its prevalence hereditary. In acquired cases
of COVID-19 (PASC). The National
and the term fibrosis should be where there is ulceration from
Institutes of Health assembled a
reserved for more specific signs beginning, the condition mainly
workshop in December 2020 to
such as traction bronchiectasis or indicates the syphilitic dyscrasia
summarise existing knowledge and
bronchiectasis, honeycombing, but if the pathology is suggestive
to identify knowledge gaps and
or architectural distortion. The of overgrowth, malformations
research priorities. The questions
natural history of these fibrotic-like and or loss of co- ordination from
that were arisen include the cause
abnormalities remains unclear. At the beginning indicate the sycotic
and risk factors for PASC, as well as
least some reticular abnormality dyscrasia. In this way, pathology
its management.2
improves slowly with time but can help us in arriving the diagnosis
Post chronic sequelae of COVID-19 there also appears to be a group of of miasmatic diagnosis for doing
patients who develop progressive the prescription in cases of chronic
The severity and extent of the long lung fibrosis. It is assumed that diseases.8
term respiratory complications of CT findings in PASC should be
covid-19 infection remain to be seen, classified as follows: predominantly Psora is the beginning of all
but the data indicate that most of ground glass, mixed ground glass sickness. Kent has stated, ‘had psora
the patients experience persistent and fibrotic, and predominantly never been established as a miasm
respiratory symptoms months fibrotic. Usually, parenchymal or upon the human race, the other
after their initial illness. Recently subpleural bands without other two chronic diseases would have
published guidance by the National fibrotic abnormality can be ignored.2 been impossible and susceptibility
Health Scheme (NHS) lays out the of acute disease would have been
likely aftercare needs of patients Management impossible’.9Cure consists of
recovering from COVID-19 and simply in satisfying the morbid
General management: as per need of
also identifies potential respiratory susceptibility of the organism and
the cases.
problems including chronic cough, putting and end the influx of disease
fibrotic lung disease, bronchiectasis, Homoeopathic approach: producing causes. 10
and pulmonary vascular disease.
Evidence for these possible The disease symptoms manifest Selection of potency depend on the
sequelae is largely derived from themselves in unified order in susceptibility of the patient but it is
acute manifestations of covid-19, the physical, mental and spiritual very much difficult to select correct
along with extrapolations from spheres but the individual doesn’t potency necessary for a particular
the 2003 outbreak of severe acute show necessarily disturbances of patient. From the knowledge of
respiratory syndrome (SARS) and these spheres in presenting the pathology, we may be able to assess
the degree of susceptibility with few scanty, frothy. Cannot bear the • Kalium iodatum: Violent cough
exceptions. The more the structural smell or sight of food. worse in morning. Pulmonary
changes are there, the susceptibility • Baptisia tinctoria: Constriction of oedema. Wakes up due to
of the patient becomes lowered and chest. Lung feels compressed. choking. Expectoration like soap
lower potency is required and where Difficulty in breathing wants to suds, greenish. Stitching pain
the disease is still in the dynamic open windows. Fears going to through the lungs extending
plane with functional symptoms sleep on account of nightmare to the back. Cold travels
assuming that the susceptibility of and sense of suffocation. downwards to the chest.
the patient is still high requiring
• Bryonia alba: Difficult, quick • Myrtus communis: Dry, hollow
higher potencies.8
respiration; worse every cough with tickling in chest;
Homoeopathic therapeutics11-15 movement; caused by stitches worse in morning. Sensation of
in chest. Cough with feeling burning of left chest.
Most commonly used medicines as if chest would fly to pieces; • Natrum muriaticum: Great
are Aconitum napellus, Ammonium must support chest. Cough dryness of mucus membranes
carbonicum, Antimonium arsenicosum, dry at night; must sit up worse from lip to anus; lips dry and
Antimonium tartaricum, Arsenicum after eating and drinking with cracked especially in middle.
album, Arsenicum iodatum, Baptisia expectoration of rush coloured Spasmodic, suffocative cough
tinctoria, Belladonna, Bryonia sputa. aggravate at night. Cough with
alba, Cinchona officinalis, Crotalus • Cinchona officinalis: Influenza tears from eyes and spurting
horridus, Cuprum metallicum, with debility. Cannot breathe of urine. Lung feels raw and
Drosera, Gelsemium sempervirens, with head low. Suffocative sore from continual coughing.
Influenzinum, Kalium carbonicum, catarrh; rattling in chest; violent Pneumonia with much rattling,
Kali iodatum, Natrum muriaticum, hacking cough after every meal. mucus clear, serous and frothy.
Natrum sulphuricum, Oscillococcinum,
• Coccus cacti: Constant hawking • Oscillococcinum: Influenza of
Phosphorus, Pothos foetidus, Psorinum,
from enlarged uvula; coryza all types. Epidemic influenza.
Quebracho, Rhus toxicodendron,
with inflamed fauces; Influenza at the beginning as
Sambucus, Sanguinaria canadensis,
accumulation of thick viscid a preventive, as well as during
Sulphur, Thuja occidentalis,
mucus, expectorated with convalescence. Mucopurulent
Tuberculinum, Zingiber officinalis, etc.
difficulty. Spasmodic morning expectoration with humid
cough. Walking against wind cough.
Indications takes breath away.
• Phosphorus: Larynx very painful
• Aconitum napellus: Pressure in • Crotalus horridus: Asthma with
worse evening. Hard, dry, tight,
left chest, oppressed breathing great prostration and debility,
racking cough. Congestion
on least motion. Pressure in blue, puffy countenance cold
of lungs. Pneumonia with
stomach with dyspnoea. Cough, sweat. Anxious breathing.
oppression of chest; worse lying
dry, short, hacking; worse Tingling from a dry spot in
on left side. Chronic catarrh
at night and after midnight. larynx. Difficult breathing,
Great fear, anxiety and with small haemorrhages.
as if lung would not expand.
worry accompany with every Embarrassed breathing • Sarcolactic acid: Most violent
complaints. with constriction of throat. form of epidemic influenza,
• Antimonium arsenicosum: Pneumonia with tendency to with violent retching and great
Catarrhal pneumonia associated gangrene or haemorrhage. prostration, when arsenic fails.
with influenza. Complaints • Influenzinum: Dry painful • Tuberculinum: Shortness of
worse after eating and lying cough. Bronchopneumonia of breath. Sensation of suffocation,
down. influenza. Nasal congestion. even with plenty of fresh air.
• Arsenicum album: Hay fever Coryza of influenza. Diarrhoea Pneumonia after influenza. Dry,
and coryza; worse in open air. of influenza. Weakness hard cough more during sleep,
Suffocative catarrh. Cough and fatigue. Post influenza worse dyspnoea with chill and
worse after midnight; worse depressive neurosis. It has taken red face, worse in evening and
lying on back. Wheezing the place of Baptisia tinctoria as raising arms. Thick yellow or
respiration. Expectoration the routine remedy in epidemics. yellowish green sputum.
REVERSE REPERTORY
OF THE MIND
Words to Mental Rubrics
Practical and Easy Way to Select 409 Mental Rubrics
• Dr Muhammed Rafeeque • Dr J. P. Salini
Abstract: Seborrheic dermatitis is a common, chronic inflammation of the skin, characterized by the appearance of red, flaking,
greasy areas of skin, most commonly on the scalp, nasolabial folds, ears, eyebrows and chest. The exact causes of seborrheic
dermatitis are not completely understood, multiple factors appear to be involved in the pathophysiology of the disease. The
principle three factors involved are: sebum secreted from sebaceous gland, presence of Malassezia yeast, and the immune
response of the host. Currently in modern medicine usually include antifungal agents, mild topical steroids, and other agents
such as selenium sulphide, sulphur, metronidazole and coal tar with much side effects. Homoeopathy offers very good results in
treatment for seborrheic dermatitis during all stages. Homoeopathy provides cheap and effective treatment of seborrheic dermatitis
as homoeopathy depends on the holistic approach and treats the patient as a whole. Using steroids for such disease may have
some side effects but homoeopathy can offer a safe and secure treatment.
Abbreviations: out door patient department (OPD), seborrheic dermatitis (SD), hypertension (HTN), diabetes
mellitus (DM)
no burning in urination; sleep was and anxious about her disease. dermatitis5.
sound and feel refresh in morning.
Perspiration was moderate, non- Patient was very irritable in morning Analysis of the case
offensive. Thermally patient was and angers easily; consolation
aggravates her trouble. The case was analysed and the
hot.
characteristic mental generals and
Mental generals Provisional diagnosis- By assessing physically generals were taken for
the sign and symptoms clinically evaluation and framing the totality
Patient was very religious, introvert, this may be a case of seborrheic of the symptoms for repertorisation.
Anxious about health Urge for stool in early Urge for stool in early morning
morning -psora
Consolation aggravates Tongue clean Tongue clean- psora
Physical generals Itching and scaling in head Itching and scaling- psora
for 6 month< morning, per-
spiration,
> itching
Repertorial sheet
Sulphur 200/1 dose was prescribed Irritable. Itching; scratching causes burning.
along with Rubrum 200/1 drachm on
Sulphur subjects are nearly always
first visit on 06/01/2021 considering Modality worse in morning.
irritable, depressed, thin and weak,
the repertorial totality and even with good appetite.
miasmatic background. After considering these symptoms
Great desire for sweets. from Boericke Materia medica
Basis of prescription- from Boericke and considering the reportorial
Materia medica Morning diarrhoea, painless, drives
analysis in which Sulphur carries
out of bed
highest marks (12/6), Sulphur was
This is great Hahnemann anti-
psoric. Scalp dry, falling of hairs, worse prescribed.
Follow-up
Discharge better
15/02/2021 No itching on scalp Rubrum 1M/ 1 drachm
Conclusion in scalp and scaling from head. the exciting and fundamental
The patient had taken many anti- cause by annihilating the disease
Seborrheic dermatitis is considered
fungal and anti-inflammatory drugs manifestation. From this case it
as a disease which is difficult to cure
due to its severity of itching and before but there was little relief to is clear that the skin diseases like
recurrence. The patient visited our the patient. As homoeopathy treats seborrheic dermatitis can be treated
OPD with the complain of itching patient as a whole, it eliminates and successfully managed with
Abstract: Tinea infection, commonly known as ringworm, are the most common widespread superficial fungal infections in
developing countries, with a higher prevalence of tinea corporis. This clinical condition has a great physical and psychological
impact on social life. This is a case of a 19-year-old girl having chronic itching eruption around the neck which had spread
over gradually. The individualised homoeopathic medicine, Natrum muriaticum 200C was prescribed on the basis of totality of
symptoms and after repertorisation. Case has been followed up to 6 weeks; there was a miraculous result from baseline within a
short period of time
Mental generals : regular even she skipped 1 or 2 • No sign of cyanosis and jaundice
days. • Blood pressure: 112/72 mmHg.
• She was forgetful and having • Micturition with occasional • Pulse rate: 70 beats/min
awkwardness
burning 4-5 times in daytime • Respiratory rate: 17 cycles/min
• She likes solitude and rarely at night. • Temperature: Afebrile.(98.9 F)
• There was weeping tendency • Sleep was sound with nothing
and she weeps more when • Height – 158 cm
significant dream.
alone. • Weight – 54 kg
• Perspiration was generalised
Physical generals : Local examination of the lesions-
on exertion which stains cloth
• Appetite was good white in summer. • Site - multiple around neck
• Thirst was less • Thermally, she was hot. more on right side
• Had desire for eggs, salt, fish, • Spread- on right side of face,
Physical examination:
bitter right shoulder and right ear
• Built and nourishment • lesion - disseminated, ill-defined
• Aversions: not specific
: moderately built, poorly margin with little scaling
• Tongue- clean and little frothy nourished. • appearance- Major part is
• Bowel movements were not • Mild anaemic blackish without any discharge
Miasmatic analysis : As the symptoms of this case comes under different miasm, so the case is multi-miasmatic but
with psoric predominance.
Repertorial analysis- Repertorisation was done by Synthesis Repertory using RADAR 10.0 homoeopathic software .[6]
Medicine, potency
Follow up date Symptoms and justification
and doses
Itching was slight better after medicine with initial aggravation without Natrum muriaticum
change in the lesion but Itching became worse since few days as before. No 200/ 1 dose
01/02/2020
change in bowel habit i.e., further improvement ceases. So as per homoeo-
pathic philosophy[8], it needed repetition. (fig.- 4 ) Placebo for 15 days
Pictorial evidences : Different pictures were taken during (Fig.- 4 & 5) and after treatment (Fig,- 6 &7)
Abstract: This article gives an overview of Hahnemann’s medical practise mostly in terms of his use of potency and the changes
in his choice of medicines. On this basis, the data allows us to divide his practice into several phases, which are therefore explored
and explained.
Keywords: Hahnemann, case books, potency, history, antipsorics, miasms, allopathic medicines
“let the pseudo-empiricism of the compendiums hold its tongue; let us hear what experience says.”[1]
NB. Sol phos is Hahnemann’s shorthand for Solution phosphorous, presumably a soluble form of phosphorus of
his own making.
From the tables, it is very clear his Die chronischen Krankheiten or The comments and interpretations
that in his early years (1801-16) Chronic Diseases (1828-39). [5] about the patterns revealed in the
he was mostly using the drugs he data. The most obvious question
had proved first, which appeared Phase 1 dominant drugs are: that arises from this data is why
in the Fragmenta de viribus of 1805. Chamomilla, Nux vomica and Pulsatilla Hahnemann kept proving drugs
[3]
It is also clear that in the second nigricans. and kept changing his use of them.
phase (1814-24) his practise was The most probable answer is that
Phase 2 dominant drugs are: Sulphur,
dominated by the drugs proved he thought he needed many more
Petroleum, Antimonium crudum,
in the Leipzig period (1812-21) drugs than he had—which is why
and published in the six volumes Bryonia alba, Stannum metallicum, he kept proving more drugs—and
of his Reine Arzneimittellehre or Rhus toxicodendron, Sol phos and Nux also that he was not entirely happy
Materia Medica Pura (1st edition: vomica. with the drugs he had, which might
1816-21). [4] And finally, of course, explain why he kept changing them.
Phase 3 dominant drugs are:
it is abundantly clear that in the He wanted of course to establish
Sulphur, Sepia, Calcarea carbonicum
last phase of his career (1824-43) his a new materia medica as an
and Lycopodium clavatum, Silica,
practice was dominated by the drugs alternative to the mainstream one. It
Hepar sulphuricum and Nitricum
he had proved while in Leipzig and is also highly likely that he was not
acidum
Kothen (1821-35) and which were entirely satisfied with the results of
published in the several volumes of We now need to make some using the early drugs and so moved
increasingly into using the newly proved in phase two, they continued In this regard, for example, his use
proven drugs. to be used in phase 3. In other words, of Capsicum annuum, China officinalis,
all his chopping and changing in his Cocculus indicus, Digitalis purpurea,
It seems quite an astonishing fact use of drugs—especially in phase Drosera rotundifolia, Dulcamara,
that in his final years he continued two—had finally led him to stumble Hyoscyamus niger, Ignatia amara,
to use only two really useful drugs upon some very reliable and deeper- Ledum palustre and Stramonium all
from his first phase—Nux vomica acting drugs that held cases longer extend to casebook D22 (1820-21).
and Pulsatilla nigricans, both of and showed enormous promise: he Similarly, his use of Mercury, Nitric
which appear in the Fragmenta kept using these drugs right up to acid, Petroleum, Phosphoric acid, Sepia,
provings. That only two of those the end of his long life. Springing Sulphuric acid and Thuja occidemtalis
early drugs maintain a significant out of his use of these deeper-acting all extend to Casebook DF5 (1842).
presence in his late prescribing drugs came the miasm theory which
seems to demonstrate the level of in some respects rests on his older It is also worth saying that
dissatisfaction he must have felt ideas about syphilis and gonorrhoea Hahnemann was still using a host
with the early drugs. But it also [6]
; he merely adds psora to them. [7] of minor drugs such as Aconitum
reflects how very useful these two All three are portrayed as invisible napellus, Arnica montana, Belladonna,
drugs have turned out to be. One and deeper sources of the chronic Bryonia alba, Camphor, Capsicum
might also argue that although the disorders he had been treating with annuum, Chamomilla, Drosera
middle phase provided him with a very limited success for many years. rotudifolia, Ferrum metallicum, Ignatia
much wider range of drugs to use, amara, Spongia tosta, Staphysagria,
yet he still seemed to be somehow There are many smaller remedies etc., right up to the end of his career,
unhappy with most of them. Only that Hahnemann used which I have but only in very tiny amounts,
a handful of middle period drugs omitted from this account because generally below 1% in the main.
survive into his final period, which they were used only occasionally, Nevertheless, the patterns given in
again probably shows that they did in very small amounts and often for the main tables above remain valid.
not prove so very useful afterall. very brief periods of time. Including
them would have obscured the The potencies
The provings seem to cast a direct broader overall patterns in his
‘shadow’ onto his clinical use of prescribing. They played a very Regarding potency, a similar
drugs as shown in the Casebooks; small and insignificant part in the process was employed to that for
the casebooks tend to mirror the story of his use of drugs. Examples medicines. In every casebook, the
provings. Hahnemann wasted no include Aloe socotrina, Chelidonium potencies, where known, were
time at all in using a drug once it majus, Cantharis vesicatoria, recorded throughout and then a
had been proved, in order to discern Corallium rubrum, Gratiola, Jalapa and numerical potency profile of that
its potential power to cure cases. Millefolium. Other medicines he only casebook was compiled which
That being the case, and combined occasionally employed in the early could then be converted into a set of
with his ever-changing use of drugs, period, include: Asarum europeum, percentages for each potency. This
we might conclude that the efficacy Arum, Calomel, Bismuth, Cascarilla, was repeated for each of the twenty
of the drugs in phases 1 and 2 was Cinnabar, Coriararia, Cynapis, Filix casebooks used. In some cases, the
probably poor, and that it was only mas, Gentian, Melampyrum, Oleum nearest equivalent potency was
after he had proved the antipsoric Ferrum, Pedicularia, Plumbago, used if the medicine was listed in
drugs from around 1816—such as Rhamnus, Scabiosa, Taxus, Tiliae. a dilution format e.g., 1/500. Some
Arsenicum album, Conium maculatum, streamlining was also employed to
Mercury, Nitricum acidum, Hepar However, quite apart from that bring close potencies together, such
sulphuricum, Petroleum and Sulphur— there are some notable exceptions as 14x and 7c. The data was compiled
that he then possessed the tools to the above division of his career in a spreadsheet and totals and
required to achieve much better into three phases. The boundaries of percentages calculated. That forms
clinical outcomes. these phases are inevitably arbitrary the basis of the table. From close
to some extent they are fluid. Some scrutiny of the spreadsheet data, it
A distinguishing feature of these of the drugs continue on both sides became apparent that Hahnemann’s
antipsoric drugs—and which of the boundaries, so it is worth entire medical career could be
contrasts them with all previous detailing some of these exceptions divided up in the way shown based
drugs—is that although they were to the patterns we have described. on his use of potency.
Hahnemann used a very wide range Paris (1835-43). the potency in use anywhere near
of potencies during his long career. as often as he changed his use
Examples include 9x, 11x, 13x and Hahnemann’s use of potency over
of medicines. His use of potency
15x from quite early on in his career, his career does not follow quite the
can be divided into seven phases
along with 19x, 12c, 15c, 60c and same pattern we have seen in his use
of medicines. It cannot be divided as shown in the table below. As
90c from later in his career. It is also
well-documented that he developed up in quite the same way. Primarily before, all the data presented here
and used the quintamillesimal or Q his use of the low potencies lasted has been extracted directly from
(or LM) potencies while working in much longer and he did not change Hahnemann’s Casebooks. [8]
As can be seen, his use of potency also arise, such as a shift towards the he briefly reverts back to using 2c, 3c
hovers between 3x and 9x in the higher potencies 12c, 15c and 18c and and 6c much more.
first phase 1801-2, but it does not reaching 30c as well. And from 1826
change very much between 1801 and to 1843 the potencies 12c, 18c, 24c and Converting the above data into a
1824, hovering mostly around the 30c can be seen to entirely dominate
more compacted form arguably
7c potency during that time. This his prescribing. The continuity of
pattern continues even into 1835 but that pattern is interrupted briefly shows the overall patterns much
alongside it some subtle changes between 1822-24, during which time more clearly.
We can now see that there was a with his publication of volumes 2 Hahnemann Casebooks - an Introduction,
Similia, Vol.29.2, December 2017, pp.6-9;
general continuity in his use of the to 6 of the first edition of the Materia The Hahnemann Casebooks part 2: Continuity
lower potencies (7c and lower) Medica Pura (1816-21), the provings and Change, Similia, 30.1, June 2018, pp.9-
18; The Hahnemann Casebooks part 3: Some
extending from 1801 through to 1824. of the new antipsoric drugs and his Short Cases, Similia, 30.2, Dec 2018, pp.14-19;
Only thereafter does he begin to first glimpses of the miasm theory. Hahnemann—the Theory and the Practice, UK:
Homoeopathy in Practice, Spring 2019, pp.22-
extend his use of the higher potencies, It also coincides with the publication 27; Hahnemann’s First Polychrests, Similia, 31.1,
after some experimentation in of the second Organon of medicine June 2019, pp.36-38; Hahnemann’s Preferred
Drugs, Similia, 31.2, Dec 2019, pp.5-10; Are
using them around 1816-20. We (1819) [9] in which he expresses his Hahnemann’s Methods and Ideas Reflected in his
can then make the important Casebooks?, International Conference of the
approval for mesmerism and the first INHH, History of Homoeopathy Reloaded,
point that Hahnemann established mention of the concept of the vital Stuttgart, 9th and 10th December 2019;
homoeopathy based almost entirely Interpreting Hahnemann’s Changing Use of
force (Liebenskraft, Lebensprinzip, Drugs, AJHM, 113.1, Spring 2020, pp.13-17;
on the lower potencies 11x to 7c. dynamisches Prinzip). [10] Clearly Three Aspects of Hahnemann’s Consultation, The
American Homoeopath 26, Spring 2020, pp.8-
A fact that might surprise many then, this period was an important 16;
modern homoeopaths. For example, transition point in the development 3. Samuel Hahnemann, Fragmenta De Viribus
between 1801-24 over 88% of his of homoeopathy. Medicamentorum Positivis Sive In Corpore Sano
Humano Observatis, Leipzig: Barth, 1805, two
prescribing was with potencies volumes
7c or lower! And that pattern was Not only was he changing his 4. Samuel Hahnemann, Reine Arzneimittellehre,
present from the beginning with use of potency at this time but he Dresden: Arnold, 6 volumes, 1811-21
the notable exception of the period was also experimenting with the 5. 5. Samuel Hahnemann, Die chronischen
Krankheiten, Dresden & Leipzig: Arnold, 1828.
1816-20 where he dabbled in higher new medicines that were destined 6. 6. See his Instruction for Surgeons respecting
potencies for a short time. to become the deepest and most Venereal Diseases (1789), Lesser Writings, pp.
1-155
reliable in homoeopathy and that
However, we can also see that he would continue to use for the 7. 7. The psora theory had first been floated by
Drs Autenrieth and Wenzel. Autenrieth’s work
from around 1825-6 he becomes rest of his medical career, such as was published in 1808 (Dudgeon, Lectures
far more comfortable in using the Arsenicum album, Aurum metallicum,
on the Theory and Practice of Homoeopathy,
London: Henry Turner, 1853, pp.259-60) and
higher potencies and in the last two Calcarea carbonicum, Carbo vegetabilis, Dr K Wenzel’s book was published in 1825
phases of the table over 70% of his (ibid., p.262). Autenrieth’s “views correspond
Conium maculatum, Mercury, Nitric remarkably with those of Hahnemann,” (ibid.,
prescribing employs potencies over
acid, Hepar sulphuricum, Natrum p.262) whose “observations were published
9c. That is a sizeable shift in his use in 1808, but Hahnemann alleges he was not
muriaticum, Petroleum and Sulphur. acquainted with them before the publication of
of potency, i.e., from 88% <7c during
Therefore, we might say that the first edition of his Chronic Diseases.” (ibid.,
1801-24 to 70% of >9c during 1826-42. p.260)
this period 1816-24 was crucially 8. 8. P Morrell, Hahnemann’s Use of Potency,
We can also identify a point important for the development of Similia 33.1, June 2020, pp.30-35; P Morrell,
Are Hahnemann’s Methods and Ideas Reflected in
between 1816 and 1824 where his the form of homoeopathy as we still his Casebooks? International Conference of the
use of potency suddenly goes up know it today. INHH, History of Homoeopathy Reloaded,
Stuttgart, 9th and 10th December 2019
and then suddenly comes down 9. 9. Samuel Hahnemann, Organon der Heilkunst,
again. This seems to have been an Acknowledgment Dresden: Arnold, 1819.
experimental phase on his part, in Some of the data used in this article
10. 10. “The “vitalistic” traits in Hahnemann’s
disease terms such as “life force”, “life
which he reached out into using the was obtained from personal study principle”, “dynamic principle” are not specific
higher potencies for a short time of the Hahnemann Casebooks held
to homoeopathy, but generally enjoyed great
popularity.” (M Mortsche, Edition und
and then retreated back from their in Stuttgart. Some of that study Kommentar des Krankenjournals D22 (1821) von
use. In 1816-20 it seems he dabbled was funded by the Hans Walz
Samuel Hahnemann, unpublished MD thesis,
Ruhr-Universität Bochum, p.97
in using potencies higher than 30c Stipendium of the Robert Bosch
such as 60c and 90c, but for some About the author
Foundation.
reason this experiment did not last
very long and the following 1822-4 1. Peter Morrell, Freelance medical
phase sees him going back to using References
the potencies of 7c and lower.
1. S Hahnemann & R E Dudgeon (trans. & ed.), historian
The Lesser Writings of Samuel Hahnemann,
London: Henry Turner & Co, 1851, p.386
Interestingly, this phase coincides 2. Related articles by Peter Morrell: The
'All-in-One' Interface
Repertories References
(More than 23 plus) (1500 + Books & Volumes)
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