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Bringing Classical and Contemporary Homoeopathy Together


ISSN: 9070-6038 Vol. 47, No. 10, January 2022

Homoeopathy For Post COVID Ailments


• Endurance and wind: horse’s remedy rides to the rescue
• Case of post-COVID hypochondriacal disorder
• Diagnostic evaluation and measuring scales for
dermatological diseases: in context to dermatitis/eczema
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Vol. 47, No. 10, January 2022, ` 30
Total No. of pages: 91
Chief Editor
C ON TE N TS
Dr Farokh J. Master EDITORIAL CLINICAL
Editor TMJ subluxation with maze of common
Dr Yashika Arora Malhotra Dr Yashika Arora Malhotra 9
symptoms treated by homoeopathy
Language Editor By Dr Sonia Tuteja, Dr Mehak 28
Dayna Lynn Davis FROM THE EDITOR’S DESK
Inguinal hernia cured by homoeopathy:
Associate Editors Homoeopathy for post COVID ailments 10 a case report
Dr Krutik Shah
Dr Yogesh Niturkar By Dr Dhanya G. Nair 41
Dr Geeta Rani Arora SUBJECTIVE Homoeopathic approach in lichen planus-
REVIEWERS a case report
A lesser known homoeopathic remedy to
Dr Clare Relton combat ill-effects from post covid illness- By Neeta Sharma, Yashasvi Shakdvipiya 57
Dr Chaturbhuj Nayak Alstonia scholaris
Dr Eswara Das
Treatment of seborrheic dermatitis by
Francis Treuherz By Komal Prajapat, Karanpreet Nahar, constitutional homoeopathic medicine-
Dr Meeta Gupta Subhash Kaushik 16 a case report
Dr Queenita Fernandes Homoeopathic approach to nocturnal enuresis By Dr Rajani Kumari 78
Dr Raj Kumar Manchanda
in children Tinea corporis and homoeopathy:
Dr Robert Mathie
Dr Sandeep Sathye By Dr Koushik Bhar, Dr Supriya Pramanik, a case report
Dr Monika Kathuria Dr Prabin Kumar Shaw 44 By Dr B. K. Chauhan,
Dr Yashveer
Post COVID-19 complications and their Dr. Mithilesh Kumar Gupta 82
Dr Ashish Indani
Dr Kamal Sethi
homoeopathic management
By Dr Amit Arora, Dr Udesh Kumar,
INTERNATIONAL ADVISORS
Dr Dhananjay K. Shukla 66
Subrata Kumar Banerjea
Grant Bentley Recovered from COVID-19 but are still CASE STUDY
Miranda Castro experiencing some symptoms/ post-COVID
Tarkeshwar Jain ailments and its homoeopathic management A case report of alopecia areata treated
Ajit Kulkarni with homoeopathy
Robin Murphy By Dr Srabani Pal, Dr Falguni Patel and
Dr Shweta Patel 70 By Dr Ajay Vishwakarma, Dr Nitin Kumar 19
Uttareshwar R. Pachegaonkar
Roberto Petrucci Post COVID-19 respiratory complications Endurance and wind: horse’s
Chaim Rosenthal and homoeopathic approach remedy rides to the rescue ARTICLE

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

P. K. Sudhir in context to dermatitis/eczema


Torako Yui
Dr Kamlesh Mehta
By Dr Yogesh Dhondiraj Niturkar 24 SPECIAL ARTICLE
Pandemic? Infodemic? Plandemic? Syndemic: Dr Hahnemann was RIGHT! Proved
IN HOUSE EDITOR
the crisis of the COVID-19 pandemic seen
Dr Rashi Prakash By Prof. L. Krishna Rao 61
Dr Aditi Srivastava from the biomedical, political, economic
and sociocultural aspects The phases of Hahnemann’s medical practise
Business Consultant
Manish Jain By Carlos Alberto Castelblanco Roberto 32 By Peter Morrell 86
manish@bjain.com
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January 20212| The Homoeopathic Heritage | 7


NEW ARRIVALS/ REVISED
EDITION BOOKS

DICTIONARY and Help for Further Study of


ALLEN’s KEYNOTES Dr Subhas Singh
• Keeping into consideration, the difficulties faced by readers in reading and understanding the
vocabulary used in Allen’s Keynotes, the author has come up with this dictionary of Allen’s
Keynotes.
• The author has done his best to provide the word meanings to all the difficult terminologies and
nomenclature used in Allen’s Keynotes.
• the related symptoms of all medicines have been placed together. The Keynote symptoms have
been placed under different chapters and sub-chapters.
• word meanings to some of the selected words, terms, and nomenclatures used in Allen’s Key
Notes are given.
• the symptoms (Keynotes) are segregated according to the various chapters and sub-chapters.
• the unrelated but similar-sounding symptoms are clubbed at one place, to make comprehension
and learning of Allen’s keynote easier.
• Arrangement of relationship in different headings.

ISBN: 978-81-319-1381-9 | ` 499 | 440 pp

Selective Pointers through Allen’s Keynotes Dr Shyam Kumar Vaishnav

• 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.

ISBN: 978-81-319-1805-0 | ` 145 | 120pp

Case Analysis & Prescribing Techniques


By Robin Murphy

• The author has taken a point-by-point approach to case-taking, punctuated by general


discussions of the related topics.
• He has given invaluable tips, making it somewhat revolutionary compared to accepted
concepts disclosed and applied in the earlier case-taking guidelines.
• several cases are analyzed throughout the book with discussions and follow-up. This book
contains the transcripts of seven, 95 minute audiotapes. There is student-teacher dialogue
clearing queries.
• The book also guides about potency selection.

ISBN: 978-81-319-0249-3 | ` 299 | 296pp

8 | The Homoeopathic Heritage January 2022


EDITORIAL
Dear Readers, therefore, a hair growth-promoting agent. ill-effects from post-COVID illness- Alstonia
A clinical trial on depressed patients treated scholaris by Komal Prajapat, Karanpreet Nahar,
Homoeopathy is already known to treat var- by homoeopaths: a randomised controlled Subhash Kaushik, homoeopathic approach to
ious epidemics since long. Our Master, Dr trial using the “cohort multiple randomised nocturnal enuresis in children by Dr Kou-
Samuel Hahnemann treated an outbreak of controlled trial” (cmRCT) design by Pet- shik Bhar, Dr Supriya Pramanik, Dr Prabin
typhus in 1813 during the battle of Leipzig. ter Viksveen, Clare Relton, and Jon Nicholl Kumar Shaw, post COVID-19 complications
He treated 180 patients, losing only two. In supported the efficacy and safety of homeo- and their homoeopathic management by Dr
The Organon of Medicine, Hahnemann has pathic treatments for depression. Amit Arora, Dr Udesh Kumar, Dr Dhananjay
advised to assume every epidemic to be new K. Shukla, recovered from COVID-19 but are
and unknown; examine it thoroughly in all still experiencing some symptoms/ post-CO-
its details; the totality of the signs and symp- A Quick Word on Issue Content: VID ailments and its homoeopathic manage-
toms is revealed only after several cases are ment by Dr Srabani Pal, Dr Falguni Patel and
This issue of “The Homoeopathic Heritage” is
observed, never from any one patient; the Dr Shweta Patel, post COVID-19 respiratory
an attempt to describe the scope of homoe-
ordinary symptoms and the more unusual complications and homoeopathic approach
opathy in post-COVID ailments through dif-
symptoms constitute the characteristic pic- by Dr Sanjay Sarkar, Dr Biswajit Bera, and
ferent case studies and research papers.
ture of the disease; all patients who catch Dr Ashish Biswas. The special section of this
the epidemic are suffering from the same The peer reviewed article of this issue in- issue includes two amazing papers dedi-
disease; while in subsequent cases, the ap- clude diagnostic evaluation and measur- cated to our Master on Dr Hahnemann was
propriateness of the remedy will be cor- ing scales for dermatological diseases: in RIGHT! Proved by Prof. L. Krishna Rao and
roborated or a more appropriate one will be context to dermatitis/eczema by Dr Yogesh the phases of Hahnemann’s medical practise
revealed. This issue of the journal is an effort Dhondiraj Niturkar, endurance and wind: by Peter Morrell.
to prove the efficacy of homoeopathic medi- horse’s remedy rides to the rescue by Clau-
cines in combating the problems faced after dia Gutiérrez Maupomé, and a case of post- Hence, homoeopathy may be recommended
suffering from COVID-19. COVID hypochondriacal disorder by Prof. as a complementary medicine to strength-
Dr A.V.Rajeshwar Rao. The feather in cap of en immunity as well as recover from the
India’s had a high rate of recovery cases (ap- this issue is an excellent research paper on post-COVID symptoms. Homoeopathy has
proximately 90%) from COVID-19. Howev- Pandemic? Infodemic? Plandemic? Syndem- repeatedly prevented numerous serious
er, there is a subset of patients, who despite ic: the crisis of the COVID-19 pandemic seen diseases and hospitalisations. A day would
beating their COVID infection, continued from the biomedical, political, economic and soon come when the world will pay a trib-
to experience health complications that last sociocultural aspects by Carlos Alberto Castel- ute to this healing science and owe a debt
for months. This was termed as ‘long CO- blanco Roberto. The clinical case studies in- of thanks to the generations of homeopathic
VID’ or post-COVID wherein patients suf- clude a case report of alopecia areata treated physicians who have preserved and nur-
fer from health problems such as weakness, with homoeopathy by Dr Ajay Vishwakarma, tured this method over the years.
lung problems, hairfall, depression, etc. Dr Nitin Kumar, TMJ subluxation with maze
of common symptoms treated by homoe- We are also obliged to all our authors and
A clinical study by Jessie Hawkins, Colby readers for their contribution to the journal.
opathy by Dr Sonia Tuteja, Dr Mehak, ingui-
Baker, Lindsey Cherry , Elizabeth Dunne, Also, I look forward to hearing opinions
nal hernia cured by homoeopathy: a case
published by the National Library of Medi- and recommendations. You may also login
report by Dr Dhanya G. Nair, homoeopathic
cine (NIH) on black elderberry (Sambucus approach in lichen planus: a case report by to our website, www.homoeopathy360.com
nigra) supplementation, which effectively Neeta Sharma, Yashasvi Shakdvipiya, treatment for more information and opportunities re-
treats upper respiratory symptoms. Also, of seborrheic dermatitis by constitutional lated to homoeopathy.
according to a study by the National Center homoeopathic medicine: a case report by Dr
for Biotechnology Information in the U.S. Rajani Kumari, tinea corporis and homoeop-
National Library of Medicine, Thuja occiden- athy: a case report by Dr B.K. Chauhan. The
talis promotes hair growth by inducing the subjective section include articles on a lesser Dr Yashika Arora Malhotra
anagen phase in resting hair follicles, and is, known homoeopathic remedy to combat hheditor@bjain.com

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.

Call for papers for the upcoming issues:

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

January 20212| The Homoeopathic Heritage | 9


FROM THE EDITOR'S DESK

Homoeopathy for post COVID ailments

Case study • Prolonged fatigue

A case suffering from post • PTSD – post-traumatic stress


COVID-19 complications which disorder
was successfully treated with
homoeopathy is being discussed • Shortness of breath-lung
below. Before discussing the case, fibrosis-type 1 respiratory
a long list of symptoms noticed I failure
the last 21 month is stated below.
• Skin on fingers puckering
The degree to which people were
affected and their level of recovery • Sore throat
Introduction was extremely variable. Symptoms

S evere acute respiratory • Unable to climb stairs


• Acid reflux
syndrome coronavirus 2 (SARS
CoV-2) is a novel infectious disease, • Anxiety for health
emerged in Wuhan, China, in Case study
late december 2019 and quickly • Body temperature irregularity
developed into a pandemic. The • Bowel dysfunction Date: 31st May 2021
spectrum of COVID-19 symptoms
ranges from a mild, self-limiting • Brain fag Mrs, A. G., a 70 years old female,
respiratory tract illness to severe consulted for COVID – 19. She
• Burning sensation in throat and/
progressive pneumonia, multiorgan tested positive on 29th April 2021.
or chest
failure, and possible death. Despite Since a week or 10 days before, she
much effort and current multiple • Chest heaviness complained of high fever with throat
clinical trials, there are, till date, no
pain, cough, severe bodyache and
specific therapeutic agents to treat/ • Chest pain, tightness
weakness. She consulted her general
cure a coronavirus infection.
• Depression physician who gave her antibiotics
Homoeopathy, though • Impaired exercise tolerance and NSAIDs. Though fever and
controversial, is one of the most body ache were under control, rest
popular forms of complementary • Insomnia all her symptoms aggravated.
and alternative medicine. Moreover, • Joint pains/contractures
a patient may require a series On 30th April, she was admitted to
of medications to elicit cure. As • Loss of taste/ smell Saifee hospital, and on admission,
homoeopathic medications are her O2 saturation was 89%.
• Memory/attention deficit
subjective and unique to each
individual, randomised clinical In Saifee hospital, she was treated
• Muscle aches/weakness
trials may be designed to test how with NSAIDs, antiviral medications,
a single medicine treats the disease • Nerve pain and 6 injections of Rremdesivir.
with one primary outcome, while • Palpitation
some may be ill-suited to examining On discharge, the patient was on 2
homoeopathic remedies. • Pins and needles/ numbness litre O2/minute.

10 | The Homoeopathic Heritage January 2022


FROM THE EDITOR’S DESK

Her medications were as follows:

1 Tab Nintedanib 150 MG 1-0-1 30 Days

2 Cap Pan 40 1-0-0 60 Days

3 Tab Rovor 10 MG 0-0-1 60 Days

4 Tab Wysolone 10 MG 1-0-0 15 Days


Followed by
Tab Wysolone 5 MG 1-0-0 15 Days
5 Tab Goutnil 0.5 MG 0-0-1 60 Days
6 Tab Broclear 1-0-0 60 Days
7 Tab Montec Lc 0-0-1 60 Days

Current Symptoms
1 Dry cough < talking2
> lying on abdomen
> expectoration

2 Expectoration very scanty and lumpy


3 Constantly needs to clear her throat2
4 O2 level fell on slightest exertion3. Her O2 level was maintained on 92% with 2-3 litre of O2 per minute. < slightest exertion3

On examination • Blood pressure: 130/90 mm Hg RT-PCR was repeated on 12th May


• Chest- air entry was very poor 2021 which showed positive
• O2 level on pulse oximeter – 92%
Investigations: HRCT score 18/25 on 3rd May 2021
• Pulse – 126/minute, and very RT-PCR positive on 29th April 2021
rapid 3rd May 2021

Serum creatinine 0.52


Serum chloride 105
Serum sodium 138
Serum potassium 4.10

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

January 20212| The Homoeopathic Heritage | 11


FROM THE EDITOR'S DESK

FOLLOW UP

Date Follow up Prescription


7/6/2021 Throat pain (pricking) < coughing Squilla maritima 1M/
(new symptom) 5 cup method 8 hourly
Cough was better for 1-2 days after that it got worse. for 7 days
Cough < lying down, during sleep
Constant cough
She was disturbed due to coughing2. Wakes up due to cough. Very
tormenting cough.
Breathlessness < during cough3
15/6/2021 At night, between 11 pm -12 am, patient started deteriorating. Her O2 Laurocerasus 200C
started dropping, it reached till 58%. Was advised to start with 4 litre O2
5 cup methodevery 15
per minute. minutes
for 1 hour
16/6/2021 O2 64% Laurocerasus 200C
1 AM 5 cup method
every 15 minutes
for 1 hour
16/6/2021 O2 66% Laurocerasus 200C
2 AM 5 cup method
every 15 minutes
for 1 hour
16/6/2021 O272% Laurocerasus 200C
3 AM 5 cup method
every 15 minutes
for 1 hour
16/6/2021 O2 79% Laurocerasus 200C
4 AM 5 cup method
every 15 minutes
for 1 hour
16/6/2021 O2 89% Laurocerasus 200C
5 AM 5 cup method
every 15 minutes
for 1 hour
16/6/2021 O2 93% Laurocerasus 200C
5 AM 5 cup method
2 hourly
for 1 hour

12 | The Homoeopathic Heritage January 2022


FROM THE EDITOR’S DESK

16/6/2021 O2 96% Laurocerasus 200C


7 AM 5 cup method
4 hourly
for 1 hour
23/6/2021 Throat pain >> Laurocerasus 200C
Cough > 5 cup method
With lumpy yellow colour expectoration 6 hourly
Breathlessness > for 7 days
Right lumbar pain due to cough.
(new symptom)
2/7/2021 Much better Laurocerasus 200C
5 cup method
6 hourly
for 7 days
8/7/2021 Throat pain -0- Laurocerasus 200C
Cough < 5 cup method
With copious lumpy white colour expectoration 4 hourly
Breathlessness > for 2 days
Right lumbar pain due to cough -0-
Palpitation < walking
(new symptom)
Nose block due to mucus in nose
(new symptom)
10/7/2021 Throat pain < coughing Kalium bichromcum LM6
5 cup method 12
hourly
Cough <
for 15 days

With copious, lumpy, yellow colour expectoration.


Thick expectoration
< morning

Breathlessness >>

Right lumbar pain due to cough -0-

Palpitation < walking -0-

Nose blocked due to mucus in nose persisted

January 20212| The Homoeopathic Heritage | 13


FROM THE EDITOR'S DESK

2/8/2021 House visit Beryllium metallicum


200C
Cough3 < lying, talking, sleep during
5 cup method 4 hourly
Constant cough
for 15 days
She was disturbed due to coughing2. Had to wake up due to cough.
Breathlessness3 < slightest exertion
Mouth dryness with no thirst.
No fever
Hawk disposition3
Food taste too salty3
Acidity < evening
No appetite
On observation
Lips dry
Palm warm to touch
Fingertips blue
Tongue strawberry red in colour with centre fissure
Lung: crackles
spO2 87 with O2 support (4 litres per minute)
17/8/2021 Cough >> Beryllium metallicum
200C
Breathlessness >>
5 cup method 4 hourly
O2 was 92%
for 15 days
23/8/2021 No complaints. Beryllium metallicum
200C
O2 was 96%
5 cup method 4 hourly
for 15 days
7/9/2021 No complaints. Beryllium metallicum
200C
Appetite increased.
5 cup method 6 hourly
O2 was 94%
for 15 days

25/9/2021 No complaints. Beryllium metallicum


200C
5 cup method 8 hourly
O2 was 97%
for 15 days
22/10/2021 No complaints. Beryllium metallicum
200C
5 cup method 8 hourly
O2 was 97%
for 45 days

14 | The Homoeopathic Heritage January 2022


FROM THE EDITOR’S
A CASE REPORT
DESK

/12/2021 Throat pain -0- Beryllium metallicum


200C
Cough -0-
5 cup method 8 hourly
Breathlessness -0-
for 30 days
spO2 95%-97% without O2 support.
Now she was able do her household work without any difficulty.
Tablet Nintedanib 150 MG 0-0-1
Tablet Zincovit 1-0-0
Capsule Gemcal 0-0-1
Vitamin D 60K once in a month.
Rest all the medicines were stopped.

January 20212| The Homoeopathic Heritage | 15


SUBJECTIVE

A lesser known homoeopathic remedy to combat


ill-effects from post covid illness- Alstonia scholaris
By Komal Prajapat1*, Karanpreet Nahar2, Subhash Kaushik3

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.

Keywords: urticaria; capillary permeability; angioedema; homoeopathy.

Abbreviations: Immunoglobulin-E (IgE), angiotensin converting enzyme (ACE), systemic lupus erythematosus
(SLE).

Introduction anti-inflammatory hepatoprotective, part of the mother tincture with


nootrophic, anti-stress, anti-fertility, two parts of purified water and

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),

16 | The Homoeopathic Heritage January 2022


SUBJECTIVE

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.

January 20212| The Homoeopathic Heritage | 17


SUBJECTIVE

References 11; 153(1): 1-18. doi: 10.1016/j.jep.2014.01.025. Central Research Institute of


1. Centre for Disease Control and Prevention.
6. Baliga MS. Review of the phytochemical, Homoeopathy, NOIDA,Uttar
pharmacological and toxicological properties
Post-COVID conditions. Updated: July 12, of Alstonia Scholaris Linn. R. Br (Saptaparna) Pradesh, India.
2021. Available from: https://www.cdc.gov/ Chin J Integr Med. 2012 Mar 28. doi: 10.1007/
coronavirus/2019-ncov/long-term-effects. s11655-011-0947-0. doi: 10.1007/s11655-011-
html. Accessed on Sept 09, 2021. 0947-0. 3. Subhash Kaushik, Research
2. Alstonia scholaris. Available from: http:// 7. Baliga MS. Alstonia scholaris Linn R Br in Officer (Homoeopathy)/
www.tropicalfloridagardens.com/tag/
alstonia-scholaris/ Accessed on Sept 05, 2021.
the treatment and prevention of cancer: past, Scientist-4, Dr DP Rastogi
present, and future. Integr Cancer Ther. 2010
3. E-flora of Gandhinagar, Gujrat, India- Sep; 9(3): 261-9. doi: 10.1177/1534735410376068 Central Research Institute of
Presenting the Plants in electronic format- Homoeopathy, NOIDA, Uttar
Alstonia scholaris. Available from: https://
www.efloraofgandhinagar.in/plant-details.ph About author Pradesh, India. *Address
p?cateUrl=tree&plantUrl=alstonia-scholaris. for Correspondence
Accessed on Sept 09, 2021. 1. Komal Prajapat, PG Scholar,
4. Alstonia scholaris/Saptaparni. Available from: National Homoeopathic 4. Dr Komal Prajapat, National
https://www.dabur.com/amp/in/en-us/about/
science-of-ayurveda/herbal-medicinal-plants/ Medical College and Hospital, Homoeopathic Medical College
alstonia-scholaris-medicinal-uses Accessed on Lucknow, UP. and Hospital, Lucknow, UP.
Sept 09, 2021.
5. Khyade MS, Kasote DM, Vaikos NP. Alstonia Email: komalprajapat11@yahoo.
scholaris (L.) R. Br. and Alstonia macrophylla 2. Karanpreet Nahar, Research com
Wall. ex G. Don: A comparative review Officer (Homoeopathy)/
on traditional uses, phytochemistry and
pharmacology. J Ethnopharmacol. 2014 Apr Scientist-1, Dr DP Rastogi 

18 | The Homoeopathic Heritage January 2022


CASE STUDY

A case report of alopecia areata treated with


homoeopathy
By Dr Ajay Vishwakarma, Dr Nitin Kumar

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.

Keywords: baldness, hairfall, alopecia areata, Tuberculinum, homoeopathy

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)

Introduction in his book “Doctrina de Morbis coloured patches on any part of


Cutaneis” (Vienna, 1776) (Vienna, the body; alopecia totalis involves

H air loss is mostly distressing


and can have a significant
effect on a person’s quality of life.
1776) identified, in these cases, the
miniaturisation of hair follicles,
the entire scalp; and alopecia
universalis involves the whole
which he called “calvities”. body. Evaluation of the scalp may
It’s not a life-threatening condition reveal short vellus hairs, yellow or
but the patient feel depressed and
Non-scarring alopecia black dots, and broken hair shafts
definitely affects the way of living
(which are not specific to alopecia
of the patient. The word “alopecia” Different kinds of alopecia are
areata). Microscopic examination
comes from the Greek ἀλώπηξ included under this category,
for example, alopecia areata, of the hair follicles demonstrates
(alōpēx), which means “fox”. It is
androgenetic alopecia, telogen exclamation mark hair (i.e. hairs
an allusion to the constant hair loss
effluvium, taenia capitis, anagen that are narrower closer to the scalp
suffered by these animals during
life. According to the Brazilian effluvium, etc. and mimic an exclamation point;
Portuguese spelling vocabulary nail pitting is also associated with
(VOLP), alopecia should not be Alopecia areata alopecia areata.5
marked with an accent (paroxytone Alopecia areata is an acute, patchy
stress) due to the influence of Latin alopecia that affects up to 2% of Case report
(alopecia). The term is also registered the population with no difference Personal data:
this way among the health science between sexes4. Approximately 20%
descriptors (DECS) for scientific of affected patients are children. Name of the patient: Mr G
indexing in Brazil1-3. The aetiology is unknown, but the
pathogenesis is likely autoimmune. Age: 28years
The description of the classical Patients may have a single episode,
clinical pattern of baldness in Sex: Male
or they may have remission and
men is known since antiquity. As recurrence. The diagnosis can Marital status: Married
an example, Hippocrates’ (400 usually be made clinically. Hair loss
BC) observation may be cited in alopecia areata occurs in three Address: Chhattarpur
that eunuchs did not develop different patterns: patchy alopecia
baldness. Later, Joseph Plenck, is circumscribed, oval-shaped, flesh- Dated: 20/03/2021

January 20212| The Homoeopathic Heritage | 19


CASE STUDY

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.

Analysis and evaluation of symptoms


Intolerance from Unsatisfactory
Desire ciga- Pain during
Physical generalsIntensity Desire egg+ Desire milk+ fatty food causes stool, first hard
rette+ stool++
diarrhoea++ then soft+

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+++

Provisional diagnosis time • Scratching on head causes


• Hairfall in patches on head, falling of hair on that spot
Alopecia areata6 • Unsatisfactory hard stools with
moustache and beard
pain during defaecation
• Hairfall with much itching and
Totality of symptoms • Family history of tuberculosis
scratching
• Desires to do any activity every
• Medical history of typhoid fever

20 | The Homoeopathic Heritage January 2022


CASE STUDY

Rubrics7 Analysis of the case tuberculosis.


• Mind – activity – desires activity After analysis and evaluation of the The selection of the remedy was
• Head - hair- baldness, patches case the characteristic symptoms based on repertorisation from
• Head – hair – baldness, young were used to form the totality RADAR 10 software using Synthesis
people “restless, desire to do any activity treasure edition, 2009 by Frederick
every time” were the important
• Head – hair – falling, spots in Schroyens20 with reportorial result
mental generals in this case. Hairfall
• Rectum – pain - stool, during showing top five remedies as
over head, moustache and beard
• Generals – family history of – were the important particulars and Tuberculinum (10/7), Arsenicum album
tuberculosis pain during stool included in the (9/4), Lycopodium clavatum (6/4),
physical generals, medical history Phosphorus (6/4), and Sepia officinalis
• Generals – history – personal,
typhoid fever, of of typhoid and family history of (6/4).

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

January 20212| The Homoeopathic Heritage | 21


CASE STUDY

Follow-up:
Date Symptoms Medicines

Patient Ist visit Tuberculinum 200/ 3 dose

(“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

Improvement in hairfall on head, still present Tuberculinum 200/ OD/ 3days


over beard and moustache
10-05-2021 (According to Kent’s 11th observation reappearance of older symptoms and
Itching persisted the improvement is standstill then the repetition of the remedy should be
prescribed)12
Further improvement in hairfall and itching,
09-06-2021 Placebo
there was regrowth of hair on the bald spots

Slight improvement in hairfall from beard


10-07-2021 Placebo
and moustache, Itching better
Slight improvement in hairfall from head
14-08-2021 Hairfall persists from beard and moustache Tuberculinum 200/ 1 dose
Itching on the spots present

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 potency selection was done


on the basis of susceptibility of the
patient as stated by Dr Close13

1. The greater the characteristic


symptoms of the drug in
the case, the greater the
susceptibility to the remedy and

22 | The Homoeopathic Heritage January 2022


CASE STUDY

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 

January 20212| The Homoeopathic Heritage | 23


RESEARCH PAPER ARTICLE

Diagnostic evaluation and measuring scales for


dermatological diseases: in context to dermatitis/eczema
By Dr Yogesh Dhondiraj Niturkar

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.

Keywords: Atopic dermatitis, diagnostic evaluation, measuring scales, quality of life.

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.

Diagnostic evaluation: The diag-


skills and knowledge’s for arriving baseline status, monitoring chang- nostic evaluation tool for eczema is
at individualising examination of es over time, determining the ef- used to measure the extent (area)
a case of disease. Hahnemann had fects of interventions, and predict-
given general directions, of which and severity of atopic eczema (ec-
ing and documenting outcomes
the practitioner has to bear in mind zema area and severity index). [3] In
what is applicable for each individual of individuals and populations. [2] research study, it has been demon-
case. For this, the demands on the Dermatological diseases are com- strated that the EASI can be learned
physician are nothing but freedom mon yet difficult to treat due to its quickly and utilized reliably in the
from prejudice and sound senses, cosmetic value, complex clinical
attention in observing and fidelity assessment of severity and extent
presentations and needs, which
in tracing the picture of the disease. of AD. The study showed that there
Hahnemann had mentioned the necessitate a special approach to was consistency among the evalu-
manner in which investigation of their evaluation, care and cure. ators between consecutive days of
acute and chronic diseases has to The process of comprehensive evaluation. The study results sup-
be done in aph. 83-104 so that the care should be multi-dimensional.
physician should be able to clearly ported the use of the EASI in clinical
In addition to the medical diag-
perceive the person and his disease. trials of therapeutic agents for AD.
[1] Apart from the guidelines, there nostic evaluation, it should deter- [4]
The diagnostic evaluation covers
are diagnostic evaluation criteria mine functional status and qual- body regions, scoring of areas of in-
and assessment measurement scales ity of life through frequent use of volvement in each areas of involve-
for evaluating the remedy response. standardised measurement instru- ment in each anatomical region,
ments. In this article, tools for di-
In medical practise, a variety of as- calculation of intensity, and calcula-
agnostic evaluation and assessment
sessment scales have been devised tions as per the area involvement.
scale for dermatitis has been dis-

24 | The Homoeopathic Heritage January 2022


ARTICLE
RESEARCH PAPER

Table 1: Dignostic evaluation: eczema area and severity index (EASI)

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

Criteria 0 (Absent) 1 (Mild: just perceptible) 2 (Moderate: obvious) 3 (Severe)


• Erythema (E) None Faintly detectable erythema, Dull red, clearly distinguish- Deep, dark red
very light pink able
• Infiltration/Papulation (I) None Barely perceptible elevation Clearly perceptible elevation Extensive elevation
• Excoriation (Ex) None Scant evidence of excoriation Several liner mark, some ero- Many erosive and/or
No erosion or crust sion or crust crusty lesions
• Lichenification (L) None Light thickening of skin dis- Definite thickening of skin with Thickened indurated skin
cernible only by touch exaggerated markings and vis- and visible exaggerated
ible criss-cross pattern criss-cross pattern

Calculations

1. Head/Neck (E + I + Ex + L) x Area x 0.1 (in children 0-7 years (E + I + Ex + L) x Area x 0.2)


2. Upper Limbs (E + I + Ex + L) x Area x 0.2
3. Trunk (E + I + Ex + L) x Area x 0.3
4. Lower Limbs (E + I + Ex + L) x Area x 0.4 (in children 0-7 years (E + I + Ex + L) x Area x 0.3)
EASI Sum of the above four body areas Total score =

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.

Fig 1: Frequently used QoL instruments for atopic dermatitis

January 20212| The Homoeopathic Heritage | 25


RESEARCH PAPER ARTICLE

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

26 | The Homoeopathic Heritage January 2022


ARTICLE
RESEARCH PAPER

fulfilment. QoLIAD is a practical, org/10.1201/9781315380094 Journal of Dermatology, 1995; 132: 942-949.

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

• The author has shared his experience on miasms and how to


clinically apply the different miasms in practice. The book is
divided into 3 sections.
• The first section aims to put across the fundamentals of the
theory, its utility and brief history. It also deals with the
applied aspects of theory i.e. anti-miasmatic prescribing.
• In the second section, considering the importance of clear
clinical differentiation, comparative tabulations have been
provided aiming at clinical utility.
• Remedy discussion has been attempted for most of the
symptoms mentioned.
• The third section which includes cases is not an extensive
case collection of chronic cases, rather it just aims to show the
applicability and practical utility of the theory in common
clinical situations for better understanding of the principles
discussed in part one.
ISBN : 978-81-319-1690-2 | 260pp | ` 299

January 20212| The Homoeopathic Heritage | 27


CLINICAL

TMJ subluxation with maze of common symptoms


treated by homoeopathy
By Dr Sonia Tuteja, Dr Mehak

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).

Introduction previously long-lasting subluxation the procedure, thus approached to


(hypermobility) on wider mouth homoeopathic physician.

H yperextension of TMJ usually


results in subluxation or
luxation of the joint which may, along
opening. [1,2]
Physical generals:

with anatomical predisposition to


Case history His appetite was good, drank plenty
of water, stools were satisfactory,
the maximally open mouth position. Case of a person aged 22 years male but constipated when took lots of
It is not associated with a specific approached on dated 6/9/2020 with spicy food+2. Sweat was slightly
pathological characteristic of the complaints of continuous pain over offensive, non-staining. Thermals:
joint.[1] The condition may be acute temporomandibular joint from chilly+2
or chronic. last 3-4 months. Previously felt on
right side, accompanied by left side. Mental generals:
Apart from discomfort, a subluxation When the patient did brushing+2 and Emotionally weak, weeping+1 at the
can also cause pain. The movement yawning+3; the joint gets stuck on+3 sufferings of others. Anxious about
of the condyle close to and over the and it takes few minutes to close the his future+2. Weak concentration
individual opening limit can lead to while studies+2, continuous
mouth. Pain and pressing feeling
stiffness of joints and the inability to thoughts came to mind preventing
while having meals and difficulty
open the mouth (open lock), which concentration. [No other mental
is a prominent clinical sign of TMJ while chewing+2.
symptoms is ruled out]
luxation.[1]
Onset- not known.
Oral examination:
Pathophysiology of subluxation
Frequency- Episodes almost on daily • No signs of gum swelling, gum
In a luxation or dislocation of the basis, mainly while doing brushing bleeding absent, signs of pain
TMJ, the mouth opens over its and cleaning tongue. due to wisdom tooth absent.
normal boundary, the mandible [nothing abnormal detected]
is blocked and it is called open When the dental doctor was • No history of tobacco chewing/
lock or spontaneous luxation of consulted for the defined problem, gum chewing/ or others.
the condyle and the disk complex. he wants to check the X-ray • No history of any old /recent
The excessive opening of the temporomandibular region, so injury.
mouth upon yawning, singing, or advised OPG (orthopantomogram).
After OPG, the patient was said that Orthopantomogram findings:
during dental procedures leads to
this condition. In a spontaneous there is mandatory to do sittings for No marked pathological changes
luxation, the patient cannot close the jaw alignment/ splinting, which is visible. Mild space narrowing on
mouth independently and permits a for 2 years. Patient wasn’t ready for right side.

28 | The Homoeopathic Heritage January 2022


CLINICAL

Diagnosis: Subluxation of temporomandibular joint [2] [as per dental doctor opinion].

Analysis and evaluation of symptoms:

Symptom classification Miasmatic analysis[3,4]

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.

Constipation <- spicy food+2 Physical generals Psoric

Anxious about his future+2. Mental generals Psoric

Weak concentration while studies+2, contin- Mental generals Psoric


uous thoughts.

Weeping at the sufferings of others+1 Mental generals Psoric

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.

January 20212| The Homoeopathic Heritage | 29


CLINICAL

Rubric selection [5]: FACE- PAIN- jaw- articulation- opening mouth

Reference from materia medica

Allen’s Encyclopedia of Pure Materia Medica[6]:


• He could separate the jaws only with great difficulty, and could not open the mouth as usual; it seemed as if the throat
below the jaw were swollen or tense.

• 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.

• Painfulness of the right inferior maxillary joint (after half an hour).

Hahnemann’s Materia Medica Pura[7]:


• Rheumatic pains in the lower jaw (after a quarter of an hour).
• Burning pains in the lower jaw.
• Prickling-digging in the lower jaw.

• 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.

• Tearing in the right lower jaw.

Boericke’s New Manual of HoMoeopathic Materia Medica[8]:


• Pain in jaws, with difficulty in opening mouth.
• Rheumatism of articulation of lower jaw.

30 | The Homoeopathic Heritage January 2022


CLINICAL

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:

1/10/2020 Received on phone Rx Causticum 200/ 1 dose/ stat

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

Result and conclusion: References B.Jain Publishers (P) Ltd; 2007.

1. Badel T, Laškarin M, Zadravec D, Cimic S,


Homoeopathic medicine when Pavicin IS. Subluxation of temporomandibular About the Author
selected only on the maze of joint- a clinical view. Journal of Dental
problems and Solution.2018; 5(2):29-34.
common symptoms reduced the 1. Dr Sonia Tuteja, Associate
2. Okeson JP. Management of
frequency of painful episodes while Temporomandibular Disorders and Professor, Department of
yawning and chewing, and could
Occulusion. 8 Edition. China. 2020 [pdf]
th
Materia Medica, Swasthya
3. Dhawale ML. Principles & Practice of Kalyan Homoeopathic Medical
seem constitutional because the Homoeopathy. Volume 1. Bombay: Karnatak
publishing house. 1967. P.no- 91, 412. College and Research Centre,
concentration level of the person Sitapura, Jaipur (Rajasthan).
4. Hahnemann S. Organon of medicine. 5th
improves. Sometimes, when no edition. New Delhi: B. Jain (P) Ltd; 2016.
peculiar marked modalities are 5. Schroyens Synthesis 9.0, RADAR 10.5 2. Dr Mehak, M.D.(PGR),
present while case taking, careful
[Homoeopathic Software]. Department of Materia
6. Allen TF. The Encyclopedia of Pure Materia Medica Swasthya Kalyan
assessment and good repertorial Medica. NewYork: Boericke & Tafel; 1879.
Homoeopathic Medical College
command brought the cure itself. 7. Hahnemann S. Materia Medica Pura. New
and Research Centre, Sitapura,
Delhi: B.Jain publishers (P) Ltd.
Thus, this is an attempt to show 8. Boericke W. Boericke’s new manual of Jaipur (Rajasthan).
the effectiveness of homoeopathic Homoeopathic Materia Medica with
Repertory. Third revised & augmented
medicines in dental conditions. edition based on ninth edition. New Delhi: 

January 20212| The Homoeopathic Heritage | 31


RESEARCH PAPER

Pandemic? Infodemic? Plandemic ? Syndemic:


the crisis of the COVID-19 pandemic seen from the
biomedical, political, economic and sociocultural aspects
By Carlos Alberto Castelblanco Roberto

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

A s the pandemic is declared


of maximum public and
world interest, the suitability
MEDICINE AND HUMANIST
MEDICINE: HOMOEOPATHY.
the population;

c) That today the population is still


and importance of homoeopathic IX. H O M O E O P A T H I C being experimented with as if it
medicine being directly involved M E D I C I N E : were a routine clinical laboratory
in the curative resolution of the U N D E R S TA N D I N G experimentation, and that is
disease and in its prophylaxis, as AND EDUCATIONAL. extremely serious and irresponsible;
a safe, effective and innocuous NATURAL DEFENSES AND and
alternative to synthetic vaccines HOMOTOXINS. VACCINES
pharmacological, homoeopathic AND THE LAW OF ‘LIKE’. d) That ALTERNATIVE
medicine must be an integral part to NUTRITION AND THE MEDICINES, including
face not only this crisis but also the IMMUNE SYSTEM. HOMOEOPATHIC MEDICINE,
possible other crises that will arise. should play a very important role in
Conclusion the resolution of global public health
crises, and not only in declared
Headlines : a) What is dealt with in the present
pandemics, but in everything
I. THE PRELUDE TO THE FEAR. work teaches us to prevent errors
related to health and disease, and
due to excess improvisation,
II. INFORMATION CRISIS. this requires a greater and efficient
especially in the elaboration of
III. EDUCATION AND WORK IN dissemination and awareness of the
synthesis biologics in the laboratory
PANDEMIC. peoples.
without strictly complying with
IV. THE MIRACULOUS the minimum international clinical
SOLUTION: THE VACCINE. protocols, regarding the safety and References
V. PLANDEMIC GENESIS. effectiveness of the final product;
REFERENCES AND NOTES
GLOBALIST PROJECTS. CHAPTERWISE:
b) That it cannot be claimed that a
VI. THE REMEDY, WORSE THAN biological, no matter how effective
THE DISEASE? I- THE PRELUDE OF FEAR

32 | The Homoeopathic Heritage January 2022


RESEARCH PAPER
[1] Well, he had nothing to do with Spanish, since it [21] Ibid., “ Rebellion on the farm ”, Ed. Destino, com/news/nobel-prize-winner-mass-covid-
was one of the consequences of the First World Bogotá, 2008. vaccination-an-unacceptable-mistake-that-is-
War, whose plague originated in a military camp creating-the-variants
[22] Carlos Eduardo Maldonado, “ Information
in Kansas, USA but wreaked havoc in Spain and
Society, Policies and Resistances “, complexity, [40] Institute for vaccine safety, Johns Hopkins
the rest of Europe.
Internet, Echelon Network, information science, University. https://www.cdc.gov/vaccines/pubs/
[2] Klaus Schwab, Therry Malleret, “COVID19, The Ed. Desdeabajo, Bogotá, September, 2019. pinkbook/dowloads/appendices/b/excipient-
Great Reset”, 2020, https://www.youtube.com/ table-2pdf See: Vaccine Excipient Summary,
[23] Aldous Huxley, Op.cit, p.130.
watch?v=qVo8QYcCRgM table # 2.
[24] “... all priests are the same, but some priests are
[3] George Orwell wrote “1984” after the hecatomb [41] “There is a study that verifies that the relatives
more equal than others ...”, George Orwell, in
of WWII That fear glimpsed him as a result of of doctors undergo surgery much less than
“Farm Rebellion “.
the fascisms and corrupt capitalisms of the those who are not relatives” (the same with
totalitarian and techno-scientific governments [25] Al Sumak Qamaña (Aymará), Suma Kawsay vaccinations), Irene Velasco, MundoBBC News
that followed, anticipating almost premonitory (Quichua), Utz ‘Kastemal (K’iche’). (Bolivia, Mundo, August 31 2020, for “HayFestival-
to the 21st century. [4] ‘… medical treatments far Perú-Ecuador-Colombia, and Guatemala- Querétaro ”, Dr Sitges-Serra.
removed from physiology and often dictated by México, respectively).
[42] Jörg Blech, “The inventors of diseases”, Imago
statistics’, (as is often the case in politics). Bruno [26] Shoshana Zuboff, Professor Emeritus, Mundi, Barcelona, 2009.
Falissard, Biostatistician, Paris, ‘Free News’, Harvard Business School.
2019. [43] Jorge Ossa Londoño, “Principles of Medical
[27] “TV peppers us with images that are born Virology”, Universidad de Antioquia, Medellín,
[5] Pablo Goldschmidt, Biochemical Physician, and to be forgotten on the spot ... each news item 1990.
Wolfang Wodarg, “ Poeple and microbes”, 2020. is divorced from its own past (and from the
See: “Panic is0 unjustified”, www.es-us.noticias. [44] Sitges-Serra, “If you can, don’t go to the
future!) ... the more we learn about it ... the more
yahoo.com/vacuna-pfizer- 221815029.html / doctor”, Barcelona, 2020. https://espanol.yahoo.
we ignore it”. Eduardo Galeano, “ Los diablos
com/noticias/vaya-m%C3%A9dic
[6] Ibid. del Diablo”, in “Memories and Desmemorias”.
[45] Eva Ma. Muñoz Criado, José Luis Martí
[7] Deaths: 3’795, for 22,592 cases / 1 ‘. Our World [28] Noam Chomsky, “Who Rules the World?”
Tusquets, “Imaginary sick”, E.Bolsillo,
in Data, and Johns Hopkins University, June-20- ed.BSA, Barcelona, 2016.
Barcelona, 2004.
2021. [29] Alvaro Sanabria Duque, “ Immunity, impunity
[46] Jörg Blech, Op.cit.
[8] Ibid. and democracy”, in Le Monde Diplomatique,
ed. 208, Bogotá, March 2021, p.6. [47] Charles Levinson, “Vodka-Cola”, Ed.Argos,
[9] Newspaper desdeabajo, Bogotá, No.283, sept
Barcelona, 1977. On the hidden complicity
2021, p.10.
IV-THE MIRACULOUS between the western and eastern worlds in the
[10] Pablo Goldschmidt. Op.cit. world pharmacological industry.
[11] Pierre Rimbert, “The society of the asocials”,
SOLUTION: THE VACCINE! [48] The eleven ‘must have’ vaccines for neonates
Editorial Office, Le Monde diplomatique, [30] Efficacy given by the relationship T / E = I, contain 17 times the maximum doses of
Paris, Sept. 2021, in Ed.Colombia # 214. The where I is the therapeutic (immunopreventive) aluminum (Al) salts as an adjuvant defined as
sociophobia of the sociopaths of Silicon Valley index resulting from the quotient between the toxic by the WHO. See: Vaccines.pubs.pinkbook,
CEO’s. toxicity dose T divided by the efficiency dose E, Vaccine Excipient Summary (Table # 2), in
that is, that a> I> T , and vice versa: a <I <T. See: addition to other substances and elements no
II- INFORMATIVE OR DIS- Jorge Piñeros Corpas, et.al., “Compendium of less lethal for infants, accumulating up to 40
Pharmacology “, Fedicor, Juán N. Corpas Clinic, vaccines between initial doses and boosters (2nd
INFORMATIVE CRISIS: Bogotá, 1992. and 3rd) in children of one year old (!! ??).
INFODEMIA [31] Dr Fauci missed, in an interview, that the Pfizer, [49] According to MSF (Doctors Without Borders)
Moderna and J & J vaccines, did not have ‘full’ in a June 2021 report, there were more than
[12] Ovidio, “Arte de amar”, L.III, p.397. (‘You 82 million displaced persons and refugees in
approval from the FDA, but from the CDC (?!).
don’t want what you don’t know’). Aphorism the world (4% more than in 2020): 25 million
NYT, May-20-2020. (As of June 2021 he still did
denoting that ‘indifference is born of ignorance’. Palestinians displaced by state terrorist
not have such ‘full’ approval).
[13] NYT, Max Fisher, “La misinformación “, Zionism from Israel, for example in Colombia
[32] “According to the current cultural hegemony, 6 ‘million displaced people forced by violence,
Jun.26.21.
the Indian, the black, the peasant, the people… drug trafficking and State terrorism; 4 ‘million
[14] “A lie, conveniently repeated hundreds of times, use placebos, not medicine.”: Eduardo Galeano, Venezuelan refugees; millions of Africans and
becomes the truth”, Joseph Goebels, Minister of in “Los diablos del Diablo”. Latin Americans migrating as ‘wandering Jews’
Nazi Propaganda for A. Hitler, “ Diary” . towards the unpromising ‘American dream’.
[33] Pablo Goldschmidt, Op.cit.
[15] Theodor W. Adorno, Foreword to “A Happy [50] Dr Jorge Piñeros Corpas, Op.cit.p.34.
[34] Galeno Galilei, op.cit.
World”, Aldous Huxley.
[35] Dr María José Martínez Albarracín and Dr [51] Dr Jorge Ossa Londoño, Op.cit.p.101
[16] Alvaro Sanabria Duque, “Spring of Youth?”,
Christian Bermer, “Thought Police?”, Madrid, [52] Dr Chinda Brandolino, “Is It Really a
Newspaper desdeabajo, # 279, Bogotá, Jun-
2020. Pandemic?” At GQRadio, Houston. http://www.
25-2021. Colombia Highest GINI index of
inequality among OECD countries and second [36] MSF - Doctors Without Borders - affirms in its youtube.com/watch?v=L4jcGoUGTME,“Tell me
highest in Latin America: 0.54, dragging more 2020 report that with or without a pandemic, the the truth”,in Vosterix Bahía, Buenos Aires,http://
than 4 ‘million people into absolute poverty, and poor of the Third World continued to die from www-youtube.com/watch?v=CBWUizBs8
since it was born, inequality has been greater in malaria, dengue, yellow fever, malnutrition, [53] Jorge Ossa Londoño, Op.cit., P.53.
health care, according to a report by the World HIV, hepatitis B and C, tuberculosis, all treatable
diseases. , but that due to the ‘domino effect’ [54] See promotional drop-down for GSK-
Bank September 2021.
caused by the pandemic and because of the GLAXOSMITHKLINE: “Age and family history
[17] WHO, FAO, UN Conference, NY MAY-20-2020. don’t matter…”, “Avoid cervical cancer ”, Drug
collapses in the Assistance Centers, common
[18] Ibid. FAO. and current diseases, as well as the regular terrorism supported by the health authority?
treatment of the elderly, children and pregnant Scientific Productions Ltd, 2006.
III-EDUCATION AND WORK IN women, were in second place to give priority [55]See: httpi // www.fda.gov /
to the diagnosis, treatment and vaccination biologicsbloodvaccines / vaccines /
PANDEMIC OR SURVEILLANCE for COVID-19. See: Annual Report 2020, MSF, approvedproducts / ucm09833htm
CAPITALISM Michiel Hoffman, Christine Jamet and Teresa
[56] Dr Chinda Brandolino, “The nonsense of the
Sancristoval. www.msf.org.co/sites/files/
coronavirus ”, “http://www.youtube.com/
[19] It has been reported that in the world there documents/reporte_anual2020_colombia_O.pdf
watch?v=K-SMZ2AEbk”
have been more than two million occupational [37] Pablo Goldschmidt, Op. Cit.
deaths, basically due to working longer hours as [57] In addition to the ‘Confidentiality’ law with
the main cause: Pulzo.com, June 20, 2021. [38] Galeno Galilei, op.cit. See: https://t.me/ which the laboratories are protected to protect
PLANDEMIA_MUNDIAL_COVID their contracts, especially with other States,
[20] George Orwell. Op.cit. which frees them from critical glances, leaving
[39] Luc Montagnier, https://www.lifesitenews.
the negotiated companies in the limbo of “State

January 20212| The Homoeopathic Heritage | 33


RESEARCH PAPER
secret” (Top Secret). ‘ non santos’ with leonine youtube.com/watch?v=t- fUS6DQtk8). the biggest beneficiary, so far, outside the Big
contracts that no one, not even the Congresses Pharms with ICTs, is Mainland China (expansion
[74] Claudia P. Vaca G. “The apartheid of vaccines:
themselves can supervise, that is, Classified of 5G and the Silk Road) with the international
Shut up or act?”, In Le Monde diplomatique,
Documents not suitable for the knowledge of financial system, and Russia (decisive foray into
Ed.Col. No.209. April 2021.
minorities and worse for the general public, Africa, Asia and Latin America and the reluctant
another worse Law is compromised because [75] See: “us.noticiasyahoo.com/ deployment by the US of its Nord Stream 1 and
of how permissive and prodigal it is, the one adultosnovacunados/071257586.html”, Jun 23, 2 gas pipeline).
signed by the actor-president Ronald Regan: 2021.
[93] See: Murray Rothbord, “ Wall Street, banks and
“… no manufacturer of vaccine serums is civilly [76] Els Torreele, Henry Lishi Li, Mariana North American foreign policy ”, FCE, Mexico,
or criminally liable for damages or death and Mazzucato, “Vaccines for the health of the 2020.
damages derived from an injury associated with people or of capital?” Dec 2020. Available at:
a vaccine ” (! ??), Public Law 99 / 660 from the [94] https://es.weforum.org/focus/el-gran-reinicio
https://nuso.org/articulo/vacunas-para-la-gente-
US. All of the above, of course, endorsed by o-para-el-capital/ The pandemic also created [95] Johannes Hirschberger, “History of philosophy
the WTO in order to strengthen and protect the new billionaires: Stéphane Boncel, -Director Ejec “, Volume II, Ed.Herder, Barcelona, 1968.
‘free’ market. This means that no one can sue de Moderna, and Ugür Sahin, co-founder by
companies, not even in cases of negligence or [96] It is proven that the domestication of the
BioNTech.
recklessness. The only exceptions are cases of gregarious animal, occurs better in its fold, which
“willful misconduct” and proven. NYT. [77] “Good reasons to vaccine: Mandatory of in other words, is the Kantian ‘cosmopolitan
payment for risk?” Journal of Medical Ethics. citizenship’. Scattered towns are more difficult
See: LifeSiteVeriteCovid19.com, Dolcarevolucio.cat, Htttps: //jme.bmj.com/content/47/2/78BMJ. to dominate. Just as a herd is disbanded.
duberevolucion.com, infodolcarevolucion.cat journal of medical Ethics, accessed 80821
[97] Roy Childs, “ Big business and the rise of North
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[60] LifeSiteVeriteCovid19.com
of the US Fed, which, incidentally, is private. [100] Kurzweil Ray, “How to create a mind” , Berlin,
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[62] Prensa Latina, Telesur, Jun-10-21 instrumented and capitalized by the US, it was [101] “ Russian biologist plans more CRISPR edited
[63] Ekström, Berggnen, et.al. in Nature Medicine, used to do a very efficient and ‘scientific’ ‘job’ babies” (2019), Platzi, Dec.03.2020, youtube /
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[64] See: “The Battle for COVID-19 vaccines [102] OFA Foundation for the Advancement of
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with the disastrous and deadly ‘mustard gas’.
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The bacteriological chemistry of Bayer and Dow
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[65] See MSF Ref.42 and 2020 Report: ”… the uniformity.”
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[104] Platzi, op.cit., Dec.03.2020, youtube / watch / v
exceeded the maximum in 21 years. The Biden Frecuency_active_auroral_research_program_#
= xYIU-8End8w
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[67] https://www.desdeabajo.info/ciencia-y- ‘World Order’ analyst, Madrid and Rafael
tecnologia/item/42235-covax-la-trampa-html [107] They are evidently intertwined with the
Palacios, journalist, Madrid, Nov. 2019.
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[68] Nature Portfolio Journals, Jun-2020. [85] On the subject at hand, the COVID-19 2015.
[69] Dr Jörg Blech, Op.cit. pandemic, see the Bilderberg Club meeting held
[108] Klaus Schwab, Therry Malleret, Op.cit (ref. # 2)
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[70]News”WeekinAmerica”,Santiago,May20,2020. pandemic by the WHO). [109] The homo digital gregalis has ‘self-segregated’
Http://www.youtube.com/watch?v=_31FqJaWv by the virtual revolution in his relations with
[86] Was today’s ‘Brexit’ already scheduled?[87]
[71] Vaccine development is a risky endeavor. the rest of humanity, that is, the 21st century
M. Mesarovic and E.Pestel, “Humanity at the
Companies rarely invest in manufacturing until syndromic oxymoron: ‘the gregarious man
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FCE, Mexico, 1975.
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its vaccine was funded by the US. The New development, it is a consequence of the disappointment, disgust and hatred ...”, in Le
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[90] Lucy Nieto de Samper, “The Club of Rome, “I did not choose violence, she chose me ... just
[72] Philip Potdevin, “Between geopolitics and Development and peace where there is as I prepare the rocks and the ‘molochas’ I
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impose more fear? It would be the ‘most evil [112] It is suspected that the coup against Evo
youtube.com/watch?v=azKdnS_OUH8 .
benevolence’ and the politics of terror. (Behind Morales had its roots in the coveted Bolivian
the Reason: “ Virus de Lies ”, Iñaki Gil, San [92] It is evident that countries alone do not have lithium.
Sebastián, Spain and Juán Francisco Coloane, the capacity to face crises, such as the current
[113] http://www.youtube/watch?v=zajFaus3gjU
Santiago de Chile, April-21-2020, http://www. one, with the exception of the USA, China
and Russia. In the Confined Global Village, [114] In those days Mr. Pompeo was happy with the

34 | The Homoeopathic Heritage January 2022


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theme of the ‘melting of the polar helmet’ of the [129] Carlos Eduardo Maldonado, “Introduction [153] Is my pet safe? in Rev. ECOFRONTERAS # 70,
Arctic, because it was the precise opportunity to cutting-edge scientific thinking ”, Ed.D.A., ECOSUR, DEC.2020, Mexico.
to transit through open waters and for the Bogotá, 2015.
[154] Dr Julio César Payan De La Roche, “Biological
exploitation of hydrocarbons and various metals
[130] Carlos Eduardo Maldonado, Op.cit. medicine: an uncompromised medicine” ,
of that rich and frozen subsoil. But I did not
ed.AMO, Bogotá, 1985.
know that Russia was already moving towards [131] See: “The West: the civilization that was
those same plans! born sick”, Carlos Eduardo Maldonado, Ed.da,
Bogotá, 2021. VII. THE IMMUNE SYSTEM .
[115] The Bloomberg agency itself published two
audios, one on November 4, 2019: “Preparing [132] See: “The World Dis -Order, Neo-globalization
for the next pandemic: As the coronavirus “, Alfredo Galife Rhom, Mexico, 2019.
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[133] See: “The empire of surveillance”, Ignacio
and health officials are fighting for contain the Colecc Textos Psicoanalíticos, ed. Miguel de
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other emergency actions around the world. It’s [134] “Virus de Lies”, Iñaki Gil, and Juán Francisco
[156] “ Manual de Medicina “, Harrison, TI, 17th ed.,
a scenario that was planned just a few months Coloane, See: ref. # 73.
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ago, at a meeting of leaders in global finance, Anthony Fauci is listed as editor).
politics and healthcare. Janet Wu of Bloomberg VI- IS THE REMEDY –preventive
was there and brings us this report. “ [157] Sophie Ugolini, “Journal of Experimental
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had towards the US Federal Reserve and that DISEASE? downregulate-the-innate (Political Resistance
he had tried, if not to abolish it, at least to limit Movement)
it, and that is why the Bilderberg Club never [135] Ivan Ilyich, “ Medical Nemesis “, ed. Joaquín
admitted it in its clan. Something similar with Matíz, Mexico 1976. [158] Jorge Piñeros Corpas Comprehensive Therapy
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[137] That badly counted, they amount to
[117] Oct 18 2019 • The Pierre Hotel Grand Ballroom. [159] Higher School of Advanced Studies, “Master
about sixty, without taking into account the
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medical countermeasures; trade, travel and always easily distinguishable, poses annoying comprehensive therapy modality” Ed.Planeta,
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as well as communications and the internet. making their assessments (eg with vaccines) and
[162] Wechsler IS, “ Clinical Neurology “, Uteha,
[119] David Esturín, “El Cub BILDERBERG”, ed.fcd, rely only on the literature of advertisements and
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[121] According to MSF-Annual Report 2020: [141] James Morrison, “DSM-IV Guide for Clinical [164] Vila, Jordi, “Homoeopathy and Mythology “,
Common outbreaks such as Malaria, Cholera, Diagnosis”, Modern Manual, Mexico, 2009. ed. La Liebre, Barcelona, 2004.
Acute watery diarrhea in Sub-Saharan Africa,
Ebola (Rep. Dem of Congo) and Measles (Rep. [142] Dr Sitges-Serra, in “If you can, don’t [165] Sigmund Freud, “Inhibition, symptom and
Central Africa and Chad) claimed more than go to the doctor ”, Op.cit. criticizes the anguish “, Bibl.de Contemporary Psychology,
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into account those who succumbed in the Congo physiological states into mental illnesses and
[166] Erich From, “Humanism as a real utopia”,
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[122] Protein envelope that protects nucleic acid neuroleptics. [167] Juán Carlos Mingote, et.al., “ Suicide, clinical
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[123] The plan of the COVID-19 Action Platform science, extensive; the occasion, fleeting; the [168] Castelblanco, Carlos, “Mental disorders
of the World Economic Forum and the WHO experience, insecure; the trial, difficult. “ and Altered States of Consciousness” , Thesis,
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[146] DSM-IV, Breviary, Diagnostic Criteria, ed.
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[124] March 4, 2020: “Hosts June Grasso and Ed Masson, Barcelona, 2000.
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[147] Hans Selve, Endocrinology, Ed. Salvat, pp.869
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and following.
more than 120 Bloomberg News offices around See: “The Liberals”, Ref: 91)
the world on Bloomberg Best’s Bloomberg [148] “Reproducibility is the fundamental
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potential impact of the next pandemic. “ This maxim must be met in the laboratory, in ed. Destino, Barcelona, 2000.
experimentation. But is the human being to [174] Maurice Messegue, “C’est la nature qui a
[125] @elbuenjuicio Posted by Nombrefalso
experiment and generalize? raison” (“Nature is right”), Paris, 1973.
Puntocom
[149] “ The terrain is everything, more than the [175] Hippocrates, Op.cit. p.151 and following.
[126] 10 questions for Yankees : https://www.
virus “, (“Le terrain est tout, plus que le virus” ):
globalresearch.ca/ten-questions-for-the-us- [176] In the wake of human genome sequencing,
Claude Bernard. When the illustrious physician
where-did-the-novel-coronavirus-come- there is a medical movement for ‘personalized’
indicated to L. Pasteur on his deathbed that
from/5707035 or ‘custom’ medicine, and its critics believe
microbes did not affect all animals and humans
[127] Vladimir Ilyich Lenin, Selected Works , in the same way and intensity. that public health and environmental causes of
Volume II, p.124-130, Progress Ed., Moscow, disease can be neglected. Le Monde, op.cit. p.32
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Secret Life of Plants,” ed. Diana, Mexico, 1982 mundo/noticias-54543375’

January 20212| The Homoeopathic Heritage | 35


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[178] es.wikipedia.org/wiki.sindemia [195] Chagas disease, after the young Brazilian [216] Ibid.
doctor Carlos Chagas who discovered and
[179] The Lancet: “The global obesity, malnutrition [217] Ibid.
investigated it in Minas Gerais, is named:
and climate change syndemic is the most serious
‘chinchus’, ‘chiribicus’ and ‘barbeiros’ (Brazil); [218] Dr Peter Dosch, “Neural Therapy according
threat to health “. NCD Alliance. Jan 31, 2019
‘chipos’ (Venezuela); ‘whistle’, ‘bad ass’, to Huneke”, Procaine Therapy, FEDICOR, U.
[180] Dr Julio César Payan De La Roche, Op.cit. ‘bug’ (Colombia); ‘vinchuca’ in (Chile, and Corpas, Bogotá, 2001
Foreword. Argentina). In the end, this disease (preventable [219] Mathias P. Dosch, “Neural Therapy” With
[181] See the Hoppi Prophecy. P.90. and treatable) kills with a fulminant heart attack. local anesthetics , Ed. Hippokrates, Mexico, 2012
In Colombia, today this disease is an epidemic.
[182] For Dr Knock, since the 20’s of the 20th [220] Medicorpas, “ Non-Pharmacological
century, he affirmed that “people with good [196] See: Annual Report 2020, MSF, Michiel Therapies”, FEDICOR, J.N.CORPAS Clinic,
health are potentially sick people who ignore Hoffman, ChristineJamesTeresaSancristoval. Bogotá, 2003.
it”, in Jules Romains, “Knock ou le Triomphe www.msf.org.co/sites/files/documents/reporte_
anual2020_colombia_O.pdf [221] Massimo Paltrinieri, “ The Ayurveda manual
de la médecine”, 1924, in “Pour vendre des
“, Rusconi Libri, Rome, 2004.
medicaments, inventons des maladies”. Quote [197] Dr Jorge Ossa Londoño, Op.cit.p.100 et seq.
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[198] OFA, Op.cit.p.360 et seq. with Reflexology “, Prentice Hall, USA, 1997.
medicine “, Le Monde dipl, Bogotá. # 214, p.32
[199] Abbas A, Lichtman A, Pober J, “ Cellular and [223] Sandi Leir Shuffrey, “Reiki, mental and
[183] Dr Julio César Payán De La Roche, op.cit.
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[184] Iroquois Nations of North America, “Message Madrid, 2005.
to the Western World “, in Letters for the land, [224] Yogi Ramacharaka, “ Hatha Yoga, Yogi
[200] It is claimed to encode 6,000 proteins Philosophy “, Ed. Kier, Buenos Aires, 1952.
Pocket classics, Miguel Grinberg, comp. errepar-
compared to 30 for Covid19(¡¡), any equal with
longseller, Bs.As., 1999. [225] Medicasalud.com See: Pandora’s Box.org
dengue encode 5.500 proteins; too epidemic in
Colombia. What are we waiting for? [226] For this oldest known method of healing and
VIII CONVENTIONAL immune strengthening known to mankind, I
[201] Rosas, Fernando, et.al., “ Chagas disease “
MEDICINE AND edit., Soc.Colombiana de Cardiología y Cirugía refer the reader to the following key texts: *
Cardiovascular, Bogotá, 2007. John Armstrong, “ The water of life “, 1995, *
HOMOEOPATHIC MEDICINE Atom Inoue, “ Urine Therapy Manual”, ed.Yug,
[202]https://www.minsalud.gov.co/salud/Paginas/ Mexico, 1998, * Wong Shi-La, “ The healing
[185] Sitges-Serra, Op.cit. Zoonosis%20y%20cuída%20de%20mascotas. powers of urine”, ed.Astri , Barcelona, 2001. *
[186] “If medicine is not an exact science –it is aspx Arthur Lincoln Pauls, “Healing with urine and
more social- by what right does medical other natural methods “, ed. Yug, Mexico, 1998.
science abrogate the scientificity and efficacy IX- HOMOEOPATHIC [227] Every plant in the universe would supply a
of its methods, which in many cases it cannot
demonstrate?”, Francesca Gargallo Celentani ,
MEDICINE: UNDERSTANDABLE book. See relevant bibliography.
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ECOFRONTERAS # 70, ECOSUR, México,
[187] PSA (Prostate Specific Antigen) tests that were Dec.2020.
[203] DrMarcelo E. Candegabe, “Dialogues with
done since the age of 50, today are done since
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[204] Castelblanco, Carlos, A., “ Medical, [230] Dr Atom Inoue, “ Urine Therapy Manual “,
[188] Morrison, Op.cit.
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[189] “Poisonings due to adverse drug effects Op.ined, Bogotá, 2003. 1998.
represent the third leading cause of admissions
[205] “Little observation and a lot of reasoning [231] Tomás Pablo Paschero, “Homoeopathy”, Kier,
to the Emergency Department and deaths in the
can lead to error. Much observation and little ed., Buenos Aires, 2003.
US”: Sitges-Serra. “The best remedy is not to
reasoning to the truth. ”, Alexis Carrel, in Op.cit.
take any . “ [232] Center for Homoeopathic Studies of Argentina
[206] I have seen on several occasions how a patient, Farma Green, “Homoeopathy “, Buenos Aires,
[190] “The salvation of humanity could lie more
while speaking, looks at his doctor with anguish 2003.
in the development of the strong than in the
and even fear, as if insistently looking for his
protection of the weak.” (eugenics?), The Nobel [233] Guillén, Raúl, “ The gold of customized
gaze, fixed on the paper, as if to know if what he
Prize in Medicine 1912, the French Alexis Carrel, medicine”, in Le Monde diplomatique, ed. Col.,
says to the doctor, he believes it, or at least, that
“ The incognito of man “, Ed. Diana, Mexico, # 214, Bogotá, Sept. 2021.
he is listening to you. It seems that the patient is
1953. If in 1912 Dr Carrel spoke of the salvation
more of a psychologist than the doctor. Result: [234] Castelblanco, Carlos A., Op.cit.
of humanity, what would he say today?
the patient leaves the office dejected. The doctor-
[191] Robin Williams in the movie “ Awakenings” patient relationship reduced to zero. [235] LABIOFAM, from Cuba, for example,
(Patch Adam’s?) States: “It is up to the doctor to developed a new alternative homoeopathic
[207] Dalessandra Hom, “The secret code of the face medicine against prostate cancer from the
improve the quality of life of the patient, and not
“, edit. Il Postino, Bogotá, 2004. venom of the blue scorpion Rhopalurus Junceus,
only to delay his death.”
[208] “Listen, listen to your patient! He is making endemic to the island, such as Escozul (oral
[192] Google is allocating hundreds of millions of solution) and VIDATOX 30CH.
the diagnosis ”, RTH Laennec. (Homoeopathic
dollars for the fight against aging and searching
anamnesis:… and look him in the eye!) [236] Dr Fernando Martínez Vello, M.HOM.,
for the key to perpetual life (? Sic!), And large
corporations that are freezing (cryogenesis?) [209] And avoid the accusation of Dr Joseph UNAM, ECOSUR, Sn. Cristobal, Mexico, 2021.
Very sick people, so that when science allows, Menguel: “ Many doctors, every day, kill [237] Enrique Pérez Arbeláez, “ Useful plants of
thaw and revive healthy: https://espanol.yahoo. patients” by iatrogenesis. Colombia “, E.Víctor Hugo, Medellín, 1990.
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[210] Dr Hans Heinrich Reckeweg, “ Homotoxine [238] Hahnemann, Samuel, “ Organón de la
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P.146 and following.
to move to make a ‘new life’: Importing fresh the pharmaceutical industry produces. Without
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Ed.Manual Moderno, Bogotá, 2005. Acupuncture and Homoeopathy, a priori,
[194] “The strength of Mexicans is in the womb
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patriot César Chávez, of whom, curiously, “Homoeopathy “, Op.cit. “, Dr Guillermo Fergusson,” Critical scheme of
Biden exhibits an effigy in his office (¿¡). On one medicine in Colombia “, Dean of the Faculty
[214] Dr León Vannier, “HOMOEOPATHIC of Medicine, National University of Colombia,
occasion, Yaset Arafat, the leader of the PLO, MEDICAL MATTER “, Ed. Porrúa, Mexico, 2001.
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Nueva, Bogotá, 2006. next.

36 | The Homoeopathic Heritage January 2022


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[242] “I don’t ask you to think like me, I only ask Therapy by Lasers), Ayurveda, Reflexology [252] Dr Conrado Medina, “Homoeopathic
you to think ”, Frida Kahlo. (Brain, nervous, foot, sexual), Reiki, Hatha Yoga, Doctrine”, B. Jain, New Delhi, 1999.
[243] Many medical schools of universities in Massage and massage therapy, Alkaline Diet, [253] Dr Carlos Hugo Burgstaller, “The return to
the world are including within their study MMS (Chlorine Dioxide) and Urine Therapy (Dr vegetables “, Buenos Aires, 1976.
programs, as well as Postgraduate programs, the John Armstrong, Dr Arthur Lincoln Pauls and
Dr Atom Inoue). [254] Alchem Bernardus Trevisanus, in “ Phallos”,
area of Homoeopathy and Non-Pharmacological
by Eugene Monik, ed. Four winds, Santiago,
Alternative Therapies and Non-Traditional [246] “All diseases are acidic, and where there 1984.
Medicines. (See page 123, ref. 220). is oxygen and alkalinity they cannot thrive,
including cancer”, Otto Warbürg, Nobel Prize [255] “Man cannot remake himself without
[244] See: Http://revistas.ecosur.mx/ecofronteras/
1931. suffering, because he is both the marble and the
index.php/eco.
sculptor”, Dr Alexis Carrel, 1912 Nobel Prize in
[245] On the subject of the different disciplines [247] Medicorpas, Non-Pharmacological Therapies- Medicine.
governed by Biological and Natural Medicine, TNF2 , Cellular Therapy , Fedicor, Bogotá, 2006.
refer to the final list described in chapter IX-1. [248] Dr Robert Young and Shelley Redford, “The
NATURAL DEFENSES AND HOMOTOXINS:
Chinese, Japanese and German Acupuncture,
miracle pH diet ,” Op. Cit. About the author
Homoeopathy (Unicist, Pluralist, and [249] Dr Guillermo Fergusson: “The pharmaceutical
French Hahnemannian by Dr Leon Vannier, industry combines the intoxication of the people
Nosodotherapy, Bach flower essence therapy, with over-exploitation. His moral laxity goes 1. Carlos Alberto Castelblanco
trace elements, Cell therapy), Huneke’s Neural hand in hand with his enormous power ”, in
Therapy (procaine therapy) and Mathias Op.cit. Roberto, DM., PS., Hom.
Dosch, Non-Pharmacological Therapies
(Thermodynamic Bioenergetics, Polarizing
[250] BM / Nutrition, Prevention & Health. DOCTOR MEDICINE,
Solutions, Magnetotherapy, Polarizing Diet, [251] “If the misery of the people is not caused by PSICOLOGO, HOMEOPATA
pH Diet, Ozone Therapy, Oxygen Therapy, the laws of nature, but by our institutions, how
Metabolic Therapies, Dr Sodi-Pallares Diet, great is our sin “, Charles Darwin, The Voyage
Systemic Enzymotherapy, Muxibustion, of the Beagle. 

SWEET PILLS
Dr Mayuresh S Mahajan

• The author has compiled his experience and


knowledge with reference to the pain of the
patients in context with their psyche or the
emotional understanding.
• The book is meant to help with recognizing pain
in its diversity and the process of reaching the
similimum based on the symptom of pain.
• In this book, the author has tried to decipher
and direct prescribing remedies based on
differentiation of pain among the different
remedies stated in Materia Medica.
• The author has explained the various types of
pain, be it physical or mental along with its
causative factors which gives a better insight to
the physician about the patient and further helps
with the prescription.

ISBN: 978-81-319-1960-6 | ` 595 | 200 pp

January 20212| The Homoeopathic Heritage | 37


CASE STUDY ARTICLE

Endurance and wind: horse’s remedy rides to the rescue


By Claudia Gutiérrez Maupomé

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)

Introduction “post-COVID conditions occurs rashes


in individuals with a history of • Neurologic: including loss of
T he World Health Organisation
(WHO) in a news release october
16, 2021 described a post COVID-19
probable or confirmed SARS COV-
2 infection, usually three months
taste and smell, as well as sleep
disturbances
from the on-set of COVID-19 with
condition as “long covid” where • Psychiatric with depression and
symptoms that last for at least two anxiety, with changes in mood
in some instances the symptoms
months and cannot be explained
last for weeks or months after the Some 30 percent of the patients
by an alternative diagnosis. These
infection has ceased. surveyed had persistent symptoms
include fatigue, shortness of breath,
cognitive dysfunction, impact on after nine months, while 85 percent
It cites that approximately 15 were outpatients with mild illnesses.
every day functioning. Symptoms
percent of these cases progress to Any age of persons who had Covid
may be a new onset following initial
a severe disease and a five percent 19 can develop later a post-COVID
recovery or persistent, fluctuation or
become critically ill. There is typical condition. Long-term conditions can
relapse.
recovery period from two to six occur in children and adolescents.
weeks, while others have symptoms Anyone with COVID-19 can get a
with a continuation of the symptoms post-COVID condition irrespective Case study and repertorisation:
for weeks or months after their of the severity of the initial case The persons that were recommended
recovery from the acute illness, even of the disease. Serious long-term Arsenicum album 0/6 LM with post
though they are no infectious to
complications are also reported that COVID-19 situation, presented
others anymore.
affect different organ symptoms in single or included several symptoms
Even patients that were not the body: described in the following taken
hospitalised can experience from Clarke’s clinical description in
• Cardiovascular, including
persistent or late symptoms, his dictionary2. It was particularly
inflammation of the heart
while others develop medical effective for those underlined
muscle
complications that may have lasting symptoms. abscess, acne rosacea,
• Respiratory, with lung function amenorrhoea, anaemia, aphthae,
health effects.
abnormalities asthma, atrophy, bronchitis, cancer,
The WHO case definition is the • Dermatologic expressed by cold, coldness, cough, coxalgia,

38 | The Homoeopathic Heritage January 2022


ARTICLE
CASE STUDY

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

January 20212| The Homoeopathic Heritage | 39


CASE STUDY ARTICLE

over a short time if the symptoms Conclusion References


improved. With the improvement 1. Clarke, J.H. A Dictionary of Practical Materia
it was allowed the observation to It was very beneficial to find the Medica. Bjain, New Delhi. Jan. 1, 1990

continue and refrained from giving AYUSH ministry proposal of 2. Ibid.

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

them were hospitalised and two of to a hospital facility


these were intubated. These were About the author
delicate but responded well to an Some of the stricken children have
evolved notably rapidly, except for 3 Claudia Gutiérrez Maupomé
initial dose of Arsenicum album twice studied to her doctorate in
a week. Only five percent needed or 4 malnourished youths, fed with
sugared beverages plus farinaceous psychotherapy with more than 35
a 200 c h twice a week up to five years of clinical work. She combines
doses, and only 25 needed a M c h foods.
that with her federal license in
of Arsenicum album. Three needed Even 94, 95 and 96 year-olds have Mexico as a homoeopathic therapist
an M c h daily for 10 days and one responded notably well, as has a to offer an effective and well-
required a 10 M c h twice in 10 days. woman of 55 years with trembling rounded approach to her patients
hands, although they were treated that come from a range of social,
The two that were very delicate in
with Gelsemium sempervirens 0/6 ethnic and educational backgrounds.
previous psora stages and were sent She previously published in H.H.
LM10. The ones that developed
baack to hospital conviniences were on topics of the effectiveness of
gangerous conditions were still
given 30C in plus method up to five homoeopathy in the treatment of
administered Arsenicum album as an
doses a day with other intercurrents. canine parvovirus, influenza, two in
intercurrent.
They did not show any improvement cataracts, cervix uterine cancer, plus
from the beginning. Given the conditions, altitude, the uses of remedies in rescuing
weather, place, food and other victims of drowning.
One woman had post-COVID as
factors, Arsenicum album has been
well as an inflammation as if eight
the remedy that has healed the 
months pregnant for a span of
most people and prevented the
more than four months previous
continuation of the of the disease in
to homoeopathic treatment. She
99.9 percent of the cases.
responded partially well t several
doses of o/6 LM and was able “Present case series emphasises
to evolve better to a 200 c h and the rapidity of response among
much better to a M c h. No other moderate to severely ill patients
complications evolved. to homoeopathic treatment when
conventional medical options have
Prognosis:
been unable to relieve or shorten the
Good for life and health for 99.9% disease.”11

40 | The Homoeopathic Heritage January 2022


CLINICAL

Inguinal hernia cured by homoeopathy: a case report


By Dr Dhanya G. Nair

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.

Keywords: inguinal hernia, children, homoeopathy, cure.

Introduction strains. Complications of inguinal given any other treatment for the
hernia include incarceration and complaint. There is no relevant

A hernia is the protrusion of


a viscus or part of a viscus
through an abnormal opening in the
strangulation. They can result in
sequelae like gonadal dysfunction,
previous illness or treatment
reported.
intestinal necrosis and perforation,
walls of its containing cavity.(1) An intestinal stricture, testicular Physical generals
inguinal hernia is the protrusion of necrosis, testicular atrophy, ovarian
intra-abdominal contents through a His appetite was good and he had
necrosis, ovarian atrophy and
defect in the abdominal wall. It can increased thirst for cold water. He
tubal stricture. They can become
be fat, bowel or genitourinary tract. had good sleep. He had irregular
life threatening if not managed
(2)
Inguinal hernia can be indirect or bowel movements. His urine was
effectively.(3)
direct. An indirect inguinal hernia normal and he had increased
travels down the inguinal canal on perspiration on chest. He had an
the outer side of the spermatic cord. Case report intolerance to hot climate and he
It forms as a result of the failure in had a desire for cold food and drinks
the obliteration of the processus A male child aged one and a
half years old presented with a and fatty food caused diarrhea.
vaginalis, and the opening favours
herniation of the abdominal bulging of left testicle on 30/5/2016.
Mental and emotional state
contents. A direct hernia comes According to his mother, he had
out directly forwards through the been suffering from the complaint He was active, restless, sociable,
posterior wall of the inguinal canal. for the last 2 months. She told us that obstinate, got easily angered and
It forms as a result of the weakening the swelling got worse on passing he had the habit of throwing things
of the posterior wall of the inguinal stool and urine, after food and on when angered.
canal. Inguinal hernia in infants and crying. The child often screamed
children are almost always indirect.(1) before micturition. Milestones of development
The baby had a premature birth. He
Inguinal hernia is more common in
had delayed walking (stability not
males than in females. Premature
attained yet). Other milestones were
birth increases its incidence. Most
normal. His birth weight was 2.6 kg.
pediatric inguinal hernias are
detected during the first year of
Pregnancy history
life. Sometimes, they are detected
even later in life. The child usually Mother had difficult labour.
presents with a bulging of the
scrotum with or without pain or PHYSICAL FINDINGS
discomfort. Mostly they are painless,
General examination
unless there is any complication. History of presenting complaints
The bulge may become more The swelling appeared before 2 His vitals were normal and he had a
prominent when the child cries or months, gradually. He was not body weight of 9kg.

January 20212| The Homoeopathic Heritage | 41


CLINICAL

Systemic examination embryonic development. A reactive occidentalis 200.The symptoms


hydrocele develops as a result of which were considered in erecting
The swelling was pear shaped with
trauma, infection or a defect in the totality were:
well-defined edge which extended
lymphatic drainage.(4) In the above
up to the scrotum. Expansile cough • Late learning to walk
case, percussion revealed resonant
impulse was present, which was • Desires cold drinks
notes showing that the bulging
palpable. On percussion, resonant
contained intestine and not fluid. • Fatty food aggravation
note was heard, which shows that it
Transillumination test was negative. • Sweat increased on chest
contains intestine.
Orchitis- it is an acute inflammatory • Inguinal hernia of left side in
TRANS-ILLUMINATION TEST (8)- reaction of the testis, secondary children
negative as it contains no fluid. to an infection. Most cases are RADAR 10 (6)(Synthesis repertory)
associated with viral mumps. Other was used in repertorising the case.
PROVISIONAL DIAGNOSIS viruses and bacteria can also cause
orchitis. Induration of the testis, Repertorial analysis
Indirect inguinal hernia.
tenderness, erythema and oedema
of the scrotal skin can be seen (5) .In Thuja occidentalis-7/5
DIFFERENTIAL DIAGNOSIS
this case, the testis has no induration
Hydrocoele- it is a collection of Calcarea carbonicum-9/4
or tenderness, and erythema and
fluid within the processus vaginalis oedema of the scrotal skin are not Phosphorus-9/4
which produces swelling in the seen.
inguinal region or scrotum. It is Lycopodium clavatum-7/4
due to the failure in the closure Based on the totality of symptoms,
of processus vaginalis during the patient was given a dose of Thuja Sepia officinalis-7/4

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

42 | The Homoeopathic Heritage January 2022


CLINICAL

becomes worse from cold in any of right side.(7) hernia.(7)


form(7) as well as worse from hot.
Lycopodium clavatum – is a right Sepia officinalis – indicated in
Phosphorus – the abdominal sided remedy and desires warm abdominal symptoms of right side(7),
complaints of Phosphorus are mostly drinks. It is indicated in right sided but the patient has left sided hernia

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

Today, inguinal hernia repair is


one of the most common pediatric About the author
surgeries performed all over the 1. Dr Dhanya G. Nair, BHMS,
world. The modern medicine MD(Hom.) (Practice of

January 20212| The Homoeopathic Heritage | 43


SUBJECTIVE

Homoeopathic approach to nocturnal enuresis in children


By Dr Koushik Bhar, Dr Supriya Pramanik , Dr Prabin Kumar Shaw

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.

Keywords: Nocturnal enuresis; children; homoeopathy.

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)

Introduction week, in children aged >5 years 6-12 years is 1.4%-28%.3


in the absence of congenital or • Indian data on incidence and
N octurnal enuresis
widespread and distressing
condition that can have a deep
is a acquired defects of the central
nervous system.1
prevalence are very limited. In
general, prevalence of nocturnal
Types: enuresis is higher among male
impact on the child/young person’s
children than female children.
behaviour and on their emotional • Monosymptomatic nocturnal
and social life. It is also particularly The prevalence in India is 7.61%-
enuresis (MNE) is defined as 16.3%. The prevalence is highest
stressful for the parents or guardians. nocturnal enuresis inchildren
Nocturnal enuresis can affect normal in children aged 5-8 years and
without any other lower urinary lowest in children aged 11-12
daily routines and social activities. tract symptoms (LUTS) and
It can also generate much more years.3 The prevalence in adult
without a history of bladder is ⁓ 0.5%.2
serious feelings and behaviours,
dysfunction.1 MNE accounts
such as a sense of helplessness • In rural areas in India,
for <50% of children with
and a lack of hope and optimism, the prevalence is higher
bedwetting.2
feelings of being different from among children from poor
others, feelings of guilt and shame, • Non-monosymptomatic socioeconomic class compared
humiliation, victimization and loss nocturnal enuresis (NMNE) to those from the upper middle
of self-esteem. There is evidence includes children with class. A family history of
that children with bedwetting associated voiding dysfunction.2 enuresis has been identified
have higher than average levels of • Primary nocturnal enuresis in enuretic children from both
oppositional behaviour and conduct refers to children that have rural and urban areas.3
problems.1 never been dry for more than a
6-month period; it is the more Pathophysiology:1,2,3
Definition: common form, occurring in 80% The exact cause of nocturnal
• Nocturnal enuresis is defined as of cases.3 enuresis is not clearly known, but
intermittent incontinence whilst • Secondary nocturnal enuresis several factors may be contributory.
sleeping.2 refers to the re-emergence of Three main factors that interact to
• The diagnostic and statistical bedwetting after a period of produce nocturnal enuresis are:
manual of mental disorders being dry for at least 6 months.3
• Altered antidiuretic hormone
(DSM- IV) defines nocturnal Epidemiology: (ADH) or arginine vasopressin
enuresis as an involuntary (AVP) secretion: an abnormal
voiding of urine during sleep, • The worldwide prevalence of
enuresis among children aged decrease in ADH levels
with a severity of at least twice a

44 | The Homoeopathic Heritage January 2022


SUBJECTIVE

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.

January 20212| The Homoeopathic Heritage | 45


SUBJECTIVE

CONDITIONS DIFFERENTIATING SIGNS/ SYMP- DIFFERENTIATING TESTS


TOMS
Congenital abnormality of Urinary tract infections, continuous in- Ultrasound of kidney and bladder;
urinary tract continence or dampness, hydronephro- voiding cystourethrogram
sis
Constipation Faecal incontinence, hard stools, rectal Bladder x-ray or ultrasound
bleeding
Diabetes mellitus Glycosuria, polyuria; possible weight Urinalysis, fasting serum glucose, gly-
loss and polydipsia cated hemoglobin
Detrusor over activity Daytime urinary frequency, urgency; Urodynamics, bladder ultrasound
possible daytime incontinence
Emotional disturbance Depression and/or defiant activity Clinical diagnosis
Neurological disorder (spina Epilepsy at least two unprovoked sei- Electroencephalogram, radiograph,
bifida, epilepsy) zures and may be associated with in- computed tomography, or magnetic
continence resonance imaging scan
Urinary tract infection Fever, dysuria, abdominal pain Urinalysis and urine culture
Pediatric vesicoureteral reflux Voiding symptoms, abdominal pain Renal ultrasound
Chronic kidney disease Increased urination especially at night, Renal ultra sound, urine tests, renal
decreased urination, hematuria, puffy function test
face or hands or feet
Posterior urethral valve Urethral obstruction, incontinence Renal ultrasound
Neurogenic bladder Spontaneous bladder contractions, in- Uroflowmetry, Filling cystometro-
continence gram

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

46 | The Homoeopathic Heritage January 2022


SUBJECTIVE

• 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

January 20212| The Homoeopathic Heritage | 47


SUBJECTIVE

Conclusion Regent’s Park, London, NW11 4LE. First


published 2010. About the authors
This assignment is an effort to 2. Reynard J, Brerwster S, Biers S. Oxford 1. Dr Koushik Bhar, M.D.(Hom.),
handbook of urology. 3rd edition. Oxford
understand nocturnal enuresis university press. Oxford. 2013: 694-95. Lecturer, Dept. of Practice of
including definition, types, 3. Reddy NM, Malve H, Nerli R, Venkatesh
Medicine, Bengal Homoeopathic
epidemiology, pathophysiology, P, Agarwal I, Rege V. Nocturnal enuresis Medical College and Hospital,
risk factors, evaluation, in India: Are we diagnosing and managing Asansol, West Bengal
correctly? Indian J Nephrol. 2017;27:417-26.
investigations, and differential DOI: 10.4103/ijn.IJN_288_16. 2. Dr Supriya Pramanik,
diagnosis along with management. 4. Farrington EA. Comparative materia medica. M.D.(Hom.), Lecturer, Dept.
There are plenty of homoeopathic B Jain Publishers (P) Ltd. New Delhi. 14th
of Organon of Medicine, The
impression. 2012.
medicines to treat nocturnal enuresis Calcutta Homoeopathic Medical
5. Lilienthal S. Homoeopathic therapeutics. B
cases successfully. According to the College and Hospital, Kolkata
Jain Publishers (P) Ltd. New Delhi. 1986: 178-
situation, conventional treatment 79.
may be required. 3. Dr Prabin Kumar Shaw,
6. Boericke W. Pocket manual of homoeopathic
materia medica. B Jain Publishers (P) Ltd. M.D.(Hom.), corresponding
New Delhi. 56th impression. 2016. author , Lecturer, Dept. of
References 7. Johnson ID. Johnson’s therapeutic key. World Homoeopathic Materia Medica,
1. Nocturnal enuresis the management of Homoeopathic links. New Delhi. 17th edition: The Calcutta Homoeopathic
126-27.
bedwetting in children and young people Medical College and Hospital,
clinical guideline methods, evidence and 8. Allen HC. Keynotes and characteristics with
recommendations October 2010. The National
Kolkata
comparisons of some of the leading remedies
Clinical Guideline Centre at The Royal of the materia medica. A. B. Publications.
College of Physicians, 11 St Andrews Place, Reprint edition. 2002. 

48 | The Homoeopathic Heritage January 2022


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ARTICLE
CASE STUDY

Case of post-COVID hypochondriacal disorder


By Prof. Dr A.V.Rajeshwar Rao

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.

Keywords: anxiety, hypochondriasis, illness anxiety disorder.

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

P atients manifest persistent


somatic complaints or persistent
preoccupation with their physical
hence was not a surgical case, and
showed good follow up and rapid
then if she gets headache, she feels
anxiety that it is migraine. After
cure. COVID, she started developing
appearance. Normal or common
anxiety with shortness of breath,
sensations and appearances are
often interpreted by a patient as
Case History palpitations at least once in a
day. She suffered from headache,
abnormal and distressing, and
Ms. “K” is a 22-year-old female around 6 pm in the evening, in
attention is usually focused on only
medical student, moderately the occipital region, relieved after
one or two organs or systems of the
built, with normal behaviour and sleeping. She has consulted many
body. The feared physical disorder
or disfigurement may be named by appearance, who attended our doctors, her symptoms persisted
the patient, but even so the degree psychiatry out-patient department disproportionately in spite of
of conviction about its presence and in Dharmakiran Government reassurance that they are minor
the emphasis upon one disorder Homoeopathic hospital, ailments and not dangerous.
rather than another usually varies Ramanthapur, Hyderabad on 13
between consultations; the patient July 2021, presented with greenish Patient, as a person, she cannot
will usually entertain the possibility brown soft stool for four days with mingle with others easily, feels
that other or additional physical offensive smell which smells like a like crying when she is angry. Her
medicine. She thinks that may be appetite - moderate, thirst- drinks
disorders may exist in addition to because of eating pastry four days large quantity of water 5 to 6 litres
the one given pre-eminence1. As ago outside she developed this per day (before COVID-19 3-4 litres
stated in DSM 5: Most individuals complaint. Frequency of stool- once per day). Desires-chicken, potato,
with hypochondriasis are now or twice in a day. Develops nausea sweets. Aversion to raw onions2+;
classified as having somatic because of offensive stool, she also intolerance -ice-creams cold drinks,
symptom disorder, however in feels nauseating while eating food fanning as it causes itching in
minority of cases, the diagnosis because of its odour which gets nose and ice, watering from nose
of illness anxiety disorder applies relieved one hour after eating+3. and sneezing. Bowel movements-
instead2. The incidence of any Nausea without vomiting. She was greenish brown soft stool with
psychiatric diagnosis in the 14 to tested positive for COVID-19 on 23rd offensive smell, sleep- 10 pm to 6
90 days after COVID-19 diagnosis may 2021, from then onwards she am difficulty in falling asleep gets
was 18·1% (95% CI 17·6–18·6), developed anxiety about her health up 4-5 times, refreshing, position of
including 5·8% (5·2–6·4) that were a with general weakness. She had sleep – right/left side. Cannot sleep
first diagnosis3. The following was anxiety when she was tested positive in the darkness, she wants open

January 20212| The Homoeopathic Heritage | 53


CASE STUDY ARTICLE

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

1 MIND Anxiety about her health mental generals Uncommon


2 MIND Thoughts about disease mental generals Common
3 MIND Fear of impending disease mental generals Common
4 MIND Hypochondriasis mental generals Uncommon
5 MIND Delusions-sick-being mental generals Uncommon
6 STOMACH Nausea-eating-amel physical generals Uncommon
7 STOMACH Nausea-odors-agg physical generals Common
8 STOOL Odor-offensive physical generals Common
9 CHEST Palpitations of heart-anxiety-with particulars Common
10. E X T R E M I - Perspiration-hand-palm physical generals Uncommon
TIES
11. E X T R E M I - Perspiration-foot-sole physical generals Uncommon
TIES
12. SLEEP Disturbed-noise, by the slightest physical generals Uncommon
13. GENERALS Cold taking- a tendency physical generals Uncommon

54 | The Homoeopathic Heritage January 2022


ARTICLE
CASE STUDY

14. GENERALS Cold air-agg physical generals Uncommon


15. GENERALS Food and drinks- onions-aversion physical generals Uncommon

Miasmatic classification4

Sr. No Chapter Symptoms P SYC SYP LTP LTSYC LTSYP


TOTAL 14 2 2 6
1 MIND Anxiety about her health 1 1
2 MIND Thoughts about disease 1
3 MIND Fear of impending disease 1 1
4 MIND Hypochondriasis 1 1
5 MIND Delusions-sick-being 1 1
6 STOMACH Nausea-eating-amel 1
7 STOMACH Nausea-odors-agg 1
8 STOOL Odor-offensive 1
9 CHEST Palpitations of heart-anxiety-with 1 1
10. EXTREMITIES Perspiration-hand-palm 1 1
11. EXTREMITIES Perspiration-foot-sole 1 1
12. SLEEP Disturbed-noise, by the slightest 1
13. GENERALS Cold taking- a tendency 1 1 1
14. GENERALS Cold air-agg 1
15. GENERALS Food and drinks- onions-aversion 1

REPERTORISATION

REPERTORY: Synthesis treasure edition (SE92) [RADAR 10.0 software]5.

January 20212| The Homoeopathic Heritage | 55


CASE STUDY ARTICLE

Prescription- SEPIA OFFICINALIS Basis of prescription (justification PROGNOSIS: On clinical


200C/ 1dose. of remedy)-In terms of repertorial examination, there was no gross
scoring SEPIA OFFICINALIS scored pathology, so prognosis will be
Susceptibility of patient- 14/24, Phosphorus 12/23, Sulphur good6.
moderately susceptible6,7. 11/22, Arsenicum album 11/21. In this
case, Sepia officinalis is preferred as it Treatment plan: Based on
Selection of potency: 200C was covered all the three miasms, nausea characteristic symptoms (PQRS)6
chosen as patient has moderate eating after amelioration5 (PQRS), available, one can expect a complete
susceptibility6. nausea aggravation from odours5. cure.

Follow up of the case-

DATE COMPLAINTS REMEDY REASON


15/7/2021 She was feeling better by 50% of her complaints. R x - S e p i a As it is an acute disease,
Offensiveness of the stool also decreased. Stool officinalis 200 C remedy exhausts its
colour was red. 1dose action quickly so it needs
repetition.
19/7/2021 Nausea relieved completely, offensiveness of stool Rx-Placebo 1 As there was improvement
decreased. Stool colour greenish pale. In the last dose placebo was given.
two days, thirst increased with dryness of tongue.
Sleep improved without getting up in the middle
of night.
29/7/2021 No further improvement of symptoms, so medicine R x - S e p i a As per aphorism 246 and
was repeated in higher potency. o f f i c i n a l i s 247 7
1M,1dose
16/8/2021 Dryness of tongue decreased with increased thirst. Rx-Phosphorus Phosphorus 200 C as it is
200 C,1 dose5,8 complementary to the Sepia
New symptoms-while passing stools, burning officinalis8 and covered all
sensation which persisted for one hour after passing the symptoms with higher
stool. She observed two drops of bright red colour score5
blood after passing stool. Flatulence only morning.

30/8/2021 Complete relief of all the symptoms Rx-Placebo 1 As there was improvement
dose placebo was given.

Conclusion in treating mental disorders and 6. Close S, The genius of Homoeopathy,


2nd Editions, 5th impression 2010, B. Jain
post-COVID-19 ailments. Publishers(P)LTD. New Delhi.
In this case, after administering 7. Hahnemann S. ORGANON OF MEDICINE
Sepia officinalis 1M/one dose, there 6th Edition. New Delhi. Indian Books and

was relief of her symptoms by Bibliography Periodicals Publishers.

1. World Health Organization, ICD-10 8. Boericke W. New manual of Homoeopathic


50 %. As it is an acute disease, Classification of Mental and Behavioural Materia Medica with Repertory.3rd revised
disorders. Indian edition ‎2007. Delhi. and augmented ed. New Delhi: B. Jain
remedy exhausts its action quickly A.I.T.B.S. Publishers & Distributors.1994.362. publisher (P) ltd.2007.
so it needs repetition. As there 2. Kaplan & Sadock’s, ‘’Synopsis of Psychiatry’’,
were new symptoms based on her 11th Edition, Copyright © 2015 by Wolters
About the author
Kluwer (India) Pvt Ltd, New Delhi.
presenting totality, we changed 3. Taquet M, Luciano S, Geddes JR, Harrison PJ;
the remedy to Phosphorus 200 Bidirectional associations between COVID-19 1. Prof. Dr A. V. RAJESHWAR
C as it is complementary to the
and psychiatric disorder: retrospective cohort RAO, M.D. (HOM),
studies of 62 354 COVID-19 cases in the USA;
2021 February 01, Vol 8; ISSUE 2; P130-140. M.Sc. (Psychology)
Sepia officinalis8 and covered all
4. Patel RP. Chronic Miasms in Homoeopathy P G Guide and H.O.D, Dept.
the symptoms with higher score5, and Their Cure with Classification Of Their
Rubrics/Symptoms In Dr Kent’s Repertory.
of Psychiatry, J.S.P.S. Govt.
her complaints got relieved where Indian Edition, New Delhi. Indian Books and Homoeopathic Medical College,
repetition was not required. This Periodicals Publishers.
Hyderabad
shows the efficacy of homoeopathy 5. RADAR 10.0 Software


56 | The Homoeopathic Heritage January 2022
CLINICAL

Homoeopathic approach in lichen planus-a case report


By Neeta Sharma1*, Yashasvi Shakdvipiya2

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

Introduction complaining of intensely itchy, Associated complaints: Lower back


small, erythematous, flat-topped, pain

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)

Analysis and evaluation of symptoms:


Symptom Analysis Intensity
Restlessness, both physically and mentally. mental general ++

January 20212| The Homoeopathic Heritage | 57


CLINICAL

Fear of darkness mental general ++


Feeling of despair mental general +
Desire for milk physical general ++
Lower back pain characteristic particular +
Itchy, erythematous, vesicular eruptions over scalp characteristic particular ++

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)

Figure 3 -Repertorisation sheet from RADAR 10.0 version

58 | The Homoeopathic Heritage January 2022


CLINICAL

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.

Table 1: Follow-up with prescription and justification

Date Symptoms Prescription with justification

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.

6.5.19 Old eruption begins to start fading. Phytum/TDS for 14 days

No new eruption. As improvement was evident and amelioration


going on with no new eruptions, patient was kept
Low back pain resolved around 80%. on wait n watch.

24.5.19 Relief in all symptoms Phytum/TDS for 14 days

As improvement in all symptoms, patient was kept


on wait n watch.

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.

Discussion and disappearance of old eruptions as Homoeopathy is a system of


well new eruptions appeared during medicine which treats the patient as
conclusion treatment course. Itching was
a whole and not the disease through
After repertorisation, Rhus completely resolved and new hair
toxicodendron was prescribed initially follicle begins to form over affected selection of simillimum, as stated by
there was slight improvement area. The prescribed medicine not Hahnemann in his Lesser writings.
in old eruption but a few new only improved the symptomatology This case has relevant evidence of
eruptions appeared so the potency but also improved other general
LP being treated effectively from
was increased which resulted symptoms of the patient as reported
into drying up of discharges and by him in follow ups. single homoeopathic medicine.

January 20212| The Homoeopathic Heritage | 59


CLINICAL

References 5. Kent JT. Lectures on Homoeopathic Professor, Dept. of Surgery,


Philosophy reprint edition .New Delhi: B.Jain
1. Khanna N. Illustrated Synopsis of Publishers(P) Ltd.2009. Homoeopathy University,
Dermatology and sexually Transmitted
Disease.5 ed.New Delhi: Reed Elsevier India
th
6. 6. Mirowski GW, Schlosser BJ. Oral lichen Jaipur
planus: Pathogenesis, clinical features, and
Pvt. Ltd. 2016. diagnosis. Dellavale RP (Ed.). Up To Date.
2. Patel RP. Repertory of miasm. First ed. topic last updated: Jul 11, 2017. https:// 2. Yashasvi Shakdvipiya,
Kottayam, Kerala, India: Hahnemann www.uptodate.com/contents/oral-lichen-
Homoeopathic Pharmacy. 1996 planus-pathogenesis-clinical-features-and- Associate Professor, Dept.
diagnosis Accessed Nov.16, 2021.
3. Schroyens F. [Software] RADAR 10.0 Kent of Repertory, Homoeopathy
Repertory. Archibel homoeopathic software.
2007. University, Jaipur
4. Boericke W. New Manual of Homoeopathic
About the author
Materia Medica with Reperotry. 9th ed. New
Delhi: B.jain Publishers (P) Ltd. 2016. 1. Neeta Sharma, Assistant 

Figure-1 before treatment Figure-2 Biopsy Report

Figure-3 during treatment Figure-4 after treatment

60 | The Homoeopathic Heritage January 2022


SPECIAL ARTICLE

Dr Hahnemann was RIGHT! Proved


By Prof. L. Krishna Rao

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]

in those days any rational and for one dimension


theoretical explanations for
following law of similars (similia d2Ψ/dx2 + 2m/ ħ 2 +(E-U) Ψ=0----(1)
similibus curentur[3]) and how
higher potencies from 12C onwards where E= Total energy of once Fig 1. Infinitely Deep potential well
30C, 200C, 1M, 50M, 1MM work. microparticle (one atom or one
The author studied all actions molecule) of mass m The probability of detecting the
and practices of Dr Hahnemann particle and hence Ψ beyond the
very closely, precisely and U = Potential energy walls is zero
comprehensively to establish the
procedure followed by Hahnemann. ħ = Planck’s constant Therefore Ψ(0)=0= Ψ(l) ---- (2)

Ψ = Wave function Writing equation (1) as


Objective of the study:
The purpose of this paper is to Schrodinger developed this theory d2Ψ/dx2 + ω2 Ψ=0 ---- (3)
establish with full theoretical as an extension of De Broglie
particle-wave hypothesis. where ω2 = (2m/ ħ 2) E ---- (4)
explanations the procedures
followed by Dr Hahnemann in three Solution of (3) is Ψ(x) =A sin(ωx+α)
Consider a microparticle in an
chapters to prove beyond doubt that where A and α are constants (5)
infinitely deep potential well. Assume
Dr Hahnemann was cent percent
the particle can move only along the Using (2), we get α=0 and
‘RIGHT’ as summarised below:
X-axis.
ωl= ± nπ (n=1,2,3, ….) ---- (6)
1. To prove that reduction of Let the motion of the particle be
mass of medicinal substance is restricted by the walls of the well at from (4) En = (π 2 ħ 2 / 2ml2) n2
inversely proportional to the x=0 and x=l that are impenetrable (n=1,2,3,….) ---- (7)
energy produced. for the particle
E1, E2, E3………., En…. are called the Eigen
2. To prove that trituration results See Fig- 1 values and Ψ1, Ψ 2, Ψ 3………., Ψ n….
in the liberation of energy of the are called the corresponding Eigen
medicine. Let U=0 for 0⩽ x ⩽ l functions.

January 20212| The Homoeopathic Heritage | 61


SPECIAL ARTICLE

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)

62 | The Homoeopathic Heritage January 2022


SPECIAL ARTICLE

The author therefore studied Free energy F. T= Absolute temperature


two thermodynamic processes
(i) Keeping p and T constant and 2.4. Finally, loss of △F and △G is a gain Ei is given by Schrodinger equation
(ii) Keeping V and T constant, for the medicinal mixture of 1/100 (7)
which are surprisingly present potency. this is what Dr Hahnemann
in the trituration process of Dr called “the liberation of the dynamic 2.6. Why was Dr Hahnemann
Hahnemann. powers of the medicinal substance insisting on repeated succussions
so as to excite astonishment”. during trituration process and also
2.2. The author studied P and while dispensing medicines in vials
T constant process. Maxwell [2] 2.5 What is the nature of this energy after dilution?
equations for such a process are liberated?
To explain this, one can refer to
-(∂s/∂p) T = (∂V/∂T) p = (∂2G/∂p∂T) --- The total energy of a medicinal statistical Maxwell-Boltzmann law [1]
-(11) microparticle can take on only a
discrete series of values E1, E2, E3…. En.., dNVx,Vy,Vz,x,y,z = A exp(-
This equation shows that an as is the case for the internal energy. (PE+KE)/KT) dVx.dVy.dVz dx dy
irreversible process of trituration dz----(14)
carried under constant p and Boltzmann statistical distribution of
constant T entails reduction in Gibbs energy is of the form [1] The PE and KE and hence the total
energy G. energy can take on continuous
Ni = N exp ( - Ei/KT)/ ∑ exp(-Ei/KT)-
series of values in the distribution
2.3. The author studied V and T ---( 13) i
mentioned above.
constant trituration process. The
Where Ni= Number of particles in a
relevant Maxwell’s [2] equations are: Armed with this knowledge, the
state with energy Ei
author studied the first (1/100)
(∂s/∂V) = (∂p/∂T) = -∂2F/∂V ∂T---
T V
N=Total number of particles trituration process to find out the
--(12)
number of particles Ni with energy
This process entails a decrement of K= Boltzmann constant Ei. See the following table

Stage md ms Total grains Ni/N


grains grains

I 1 100/3 34.333 0.2749 10 min


9.438 24.895 34.333
Repeat 16.602 17.731 34.333 0.4836 20’
II 16.602 51.604 67.666 0.4898 30’
33.142 34.524 67.666
Repeat 33.813 33.853 67.666 0.4997 40’
III 33.813 67.186 101 0.4963 50’
50.126 50.874 101
Repeat 50.49 50.51 101 0.4999 60’
Repeat EXTRA 50.5 50.5 101 0.50 70’

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

January 20212| The Homoeopathic Heritage | 63


SPECIAL ARTICLE

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

Stage md ms Total grains Ni/N

grains grains
I 0.5 0.5+33.333 34.333 0.1223 10’

4.199 =33.833 34.333

30.134
Repeat 15.412 18.921 34.333 0.4489 20’
II 15.412 52.524 67.666 0.48885 30’

33.055 34.611 67.666


Repeat 33.806 33.860 67.666 0.4996 40’
III 33.806 67.193 101 0.4963 50’

50.126 50.874 101


Repeat 50.49 50.51 101 0.4999 60’
Repeat EXTRA 50.5 50.5 101 0.50 70’

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,

64 | The Homoeopathic Heritage January 2022


SPECIAL ARTICLE

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

January 20212| The Homoeopathic Heritage | 65


SUBJECTIVE

Post COVID-19 complications and their homoeopathic


management
By Dr Amit Arora, Dr Udesh Kumar, Dr Dhananjay K. Shukla

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)

Introduction complications have started coming. 1. Fatigue4,5,6: Some patients after


As per the experts COVID-19 may recovery developed severe

P ost COVID-19 complications are


a wide range of new, returning,
or on-going health problems
present with long term effects after
the recovery. These long term effects
fatigue, lethargy, body-ache,
loss of sleep, feverish feeling,
are more common in patients who less tolerance to exercise or
that people can experience more suffered from the severe form of the dizziness3.
than four weeks after first being disease2. In the 2nd wave, the hospitals
infected with the corona virus 2. Lung fibrosis7,8: It is seen that
admissions have increased due to some of the patients who had
(SARS-CoV-2). Even people, who
appearance of more moderate and severe pneumonia developed
were asymptomatic during the
severe disease, so post COVID-19 lung scarring after the recovery.
infection, can have post COVID-19
complications are bound to rise. It is being seen that many patients
complications1.
who recovered from COVID-19
Reports showing that some of the
COVID-19, caused by SARS CoV2, and had not any pre-existing
recovered patients are coming
a new pandemic, which originated lung disease. It causes shortness
back with fatigue or body ache,
in december 2019 in Wuhan, China, of breath and some individuals
respiratory or heart related issues,
from where it spread to almost may require long term oxygen
renal or liver complications3. So
whole of the world, affected millions support. In severe cases of
it is the need of the hour that long
of people and caused mortalities. pneumonia in COVID-19, there
term effects shall be taken care of
Since the time COVID-19 started is inflammatory response due
so that recovered patients lead a
every day we are seeing some new to cytokine storm and can
good quality of life. These long
developments related to the disease, cause long-standing damage to
term outcomes may vary depending
new appearance of symptoms and the tiny air sacs (alveoli) in the
upon severity of disease and age of
new complications. Almost one lungs which results in scarring
patients.
and half years have passed and (fibrosis) of lung and thus long
still learning phase of this disease As per prevailing literature, the most term breathlessness3.
is going on. Now with the time the common post COVID-19 recovery 3. Pulmonary thromboembolism:
reports of post COVID-19 recovery complications are: Patients with COVID-19 are at

66 | The Homoeopathic Heritage January 2022


SUBJECTIVE

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

January 20212| The Homoeopathic Heritage | 67


SUBJECTIVE

oxidation15. of misfortune, disaster and needs extensive evaluation.


(i) Aspidosperma quebracho: and contagious disease. Presently we do not exactly know that
Thrombosis of pulmonary Nightmares and poor sleep. to what extent these complications
artery15. Hopeless of ever getting well. tend to develop. The reports from
Melancholic or doubting various places are showing us
(ii) Pituitaria glandula: Checks moods16. that those who developed severe
haemorrhage and aids in ab-
VIII. Psorinum: Anxiety and COVID-19, in that group we are
sorption of clots15.
restlessness. Despair of seeing post recovery complications.
recovery. Constant thoughts Hence, one needs to access the
4. Myocarditis: impact of COVID-19 and plan
of dying. Hopelessness.
I. Iodum: Heart feel squeezed. Desire to remain in bed. accordingly, so that each life lives it
Myocarditis, painful Melancholy and gloomy. best. Homoeopathy has proven to be
compression around heart. Thoughts which he cannot effective in overall improvement of
Feel as if squeezed by iron get rid of reappear in his immunity in the general population
hand. Palpitation from least dreams. Despondent, fear he and many research studies are
exertion.15,16. will die15,18. going on to prove the efficacy of
the homoeopathic medicines in the
II. Crataegus oxycantha: IX. Medorrhinum: Fears going
treatment of COVID-19 in different
Myocarditis. Irregularity of insane. Panic attacks. Fear of
stages. Homoeopathy, with its
heart. Heart disease with misfortune. Persistent ideas.
holistic approach, can serve the post
extreme weakness. Very Dwells on the past. Difficult
COVID-19 complications which are
feeble and irregular heart concentration. Weakness of
being observed in the patients.
action. Extreme dyspnoea on memory15.
least exertion. Heart muscle X. Gelsemium sempervirens:
worn out. Sustains heart in Anxiety about future and References
infectious diseases15,16. present. Anxiety about 1. Nikhra V. Identifying patterns in COVID-19:
Morbidity, recovery and the aftermath.
III. Adonis vernalis: Myocarditis, health. Overpowering gear Updated on 2020 May 25 [Cited on 2021 May
16]. Available from: https://www.heighpubs.
irregular cardiac action, with fatigue. Fear from org/hjcv/ijcv-aid1016.php
constriction and vertigo. traumatic shock. Bad effects 2. National center for Immunisation and
Pulse rapid and irregular15,16. of bad news. Ailments from respiratory diseases, Division of Viral diseases,
Post COVID conditions. Updated on 2021
IV. Digitalis purpurea: Frequent anticipation. Desire to be April 08 [Cited on 2021 May 16]. Available

stitches in heart. Cardiac alone15. from: https://www.cdc.gov/coronavirus/2019-


ncov/long-term-effects.html
failure following fevers16. XI. Ignatia amara: Silently 3. Mayo Clinic Staff, COVID 19(Coronavirus)-

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

68 | The Homoeopathic Heritage January 2022


SUBJECTIVE
pneumonia lung fibrosis- a worrisome Failure. Updated on 2020 July 29 [Cited on and Hospital.
sequelae in surviving patients. Updated 2021 May 16]. Available from: https://www.
on 2021 April 13 [Cited on 2021 May 16]. medscape.com/viewarticle/934819
Available from: https://ejrnm.springeropen.
15. Boericke W. Pocket manual of Homoeopathic
2. Dr Udesh Kumar (M.D) is
com/articles/10.1186/s43055-021-00484-3
Materia Medica with Indian Medicine and working as Medical officer for the
9. Sakr Y, Giovini M, Leone M , Pizzilli G et Repertory. 9th edition. New Delhi. Indian Book
all, Pulmonary embolism in patients with and Periodical publishers, 2002
past 13 years in the Directorate
coronavirus disease-2019 (COVID-19)
16. Robin M. Lotus material Medica, 3rd revised
of AYUSH, Department of
pneumonia: a narrative review. Updated on
2020 September 16 [Cited on 2021 May 16].
edition, B Jain publishers (P) Ltd, 2017 health and Family Welfare, Govt
Available from: https://annalsofintensivecare. 17. Burt W.H. Physiological Materia Medica, 3rd of NCT of Delhi. He is presently
springeropen.com/articles/10.1186/s13613- edition, B Jain publishers (P) Ltd. 2013
020-00741-0
posted as Chief Medical officer
18. Allen H.C. Keynotes and Characteristics with
10. Janyala S. Severe lung damage, blood clots: comparison of some of leading remedies of at Delhi Govt. health center,
Covid 19 signatures that linger Updated on the Material Medica with Bowel Nosodes. 8th Delhi Secretariat and Nand
2020 July 17 [Cited on 2021 May 16]. Available edition (15th impression). New Delhi. B Jain
from:https://indianexpress.com/article/
Nagri. He was awarded with
Publishers(P) Ltd. 2016
explained/coronavirus-signatures-lung- “Hahnemann Award” by Delhi
damage-blood-clots-6509778/ Homoeopathic board in 2018
11. Wise J. Covid-19 and thrombosis: what do About the authors and “Homoeo Icon award” by
we know about the risks and treatment?
Updated on 2020 May 21 [Cited on 2021 May Delhi homoeopathic Federation
1. Dr Amit Arora (B.H.M.S) is
16]. Available from: https://www.bmj.com/ in 2019. He has experience of
content/369/bmj.m2058 working as Medical officer for the
teaching for 2 years in Nehru
12. Sharma M. Coronavirus recovery may take past 14 years in the Directorate
over a month, new evidence shows symptoms Homoeopathic Medical College
of AYUSH, Department of
linger on post recovery. Updated on 2020 and Hospital.
July 16 [Cited on 2021 May 16]. Available health and Family Welfare, Govt
from: https://www.indiatoday.in/india/
story/coronavirus-post-recovery-symptoms- of NCT of Delhi. He is presently 3. Dr Dhananjay K. Shukla (MD)
experts-research-1701245-2020-07-16 posted as Chief Medical officer is working as Associate Professor
13. Isalkar U, Covid-19-linked brain stroke cases at Delhi Govt. health center, at Nehru Homoeopathic
prompt doctors to prescribe blood thinners
long after discharge. Updated on 2020 Aug
Rao Tula Ram Memorial Medical College and Hospital,
21 [Cited on 2021 May 16]. Available from: Hospital. He was awarded New Delhi. He has experience of
https://timesofindia.indiatimes.com/city/
pune/covid-19-linked-brain-stroke-cases-
with “Homoeo Icon award” by teaching surgery at NHMC for
prompt-doctors-to-prescribe-blood-thinners- Delhi homoeopathic Federation
long-after-discharge/articleshow/77664191.
last 15 years.
cms
in 2019. He has experience of
14. Stiles S. Heart Damage Even After COVID-19
teaching for 3 years in Dr B R Sur
‘Recovery’ Evokes Specter of Later Heart Homoeopathic Medical College 

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.

ISBN: 978-81-319-0291-2 | ` 425 | 800 pp


SUBJECTIVE

Recovered from COVID-19 but are still experiencing


some symptoms/ post-COVID ailments and its
homoeopathic management
By Dr Srabani Pal, Dr Falguni Patel and Dr Shweta Patel

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.

Keywords: COVID-19, SARS-CoV-2, post COVID, WHO, homoeopathy.

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)

Introduction “long-term COVID-19” defines diagnosis. Common symptoms


those individuals who have had include fatigue, shortness of breath,

A s the pandemic of COVID-19


continues, numerous
additional symptoms, such as fever,
SARS-CoV-2 infection but do not
recover completely over a period of
cognitive dysfunction but also others
and generally have an impact on
a few weeks (commonly 2–3 weeks). everyday functioning. Symptoms
dry cough, shortness of breath, Based on the COVID-19 symptom may be new onset following
fatigue, myalgias, nausea/vomiting study, a study carried-out on more initial recovery from an acute
or diarrhoea, headache, weakness, than 4 million people in the US, COVID-19 episode or persist from
rhinorrhoea, anosmia/ageusia, and
UK, and Sweden, in which people the initial illness. Symptoms may
many laboratory abnormalities,
enter their ongoing symptoms on also fluctuate or relapse over time.”
i.e. lymphopenia and elevated
a smartphone app, around 10% of This definition may change as new
inflammatory markers (e.g.,
patients who have tested positive for evidence emerges and our understanding
erythrocyte sedimentation rate,
C-reactive protein, ferritin, tumour SARS-CoV-2 virus remain unwell continues to evolve.
necrosis factor-α, IL-1, and IL-6) have beyond 3 weeks, and a smaller
proportion for months. Thus, it is Symptoms reported after
been reported. Other critical and
becoming clear, that some people COVID-19 infection
severe complications of COVID-19
can include impaired function of the who had a SARS-CoV-2 infection,
Anyone with COVID-19 can get post
heart, brain, lung, liver, kidney, and even those described as “mild,”
COVID-19 condition, irrespective
coagulation system. continue to suffer from persisting or
of the severity of disease. Common
cyclical symptoms. [1]
symptoms include fatigue,
Most of the infected patients shortness of breath and a decline
Post COVID-19 condition (long
completely recovered after in mental abilities like memory or
COVID)
COVID-19 infection. However, a brain fog (cognitive dysfunction).
substantial proportion of patients WHO’s case definition is as follows: The case definition does not include
who have been infected with SARS- “Post COVID-19 condition occurs an exhaustive list of reported
CoV-2 continue to have symptoms in individuals with a history of symptoms.
long past the time that they recovered probable or confirmed SARS
from the initial phases of COVID-19 CoV-2 infection, usually 3 months Preventing the long term effects of
disease. Clinicians worldwide from the onset of COVID-19 COVID-19
called these long-term effects of with symptoms and that last
COVID-19 “long-Haul COVID-19” The best way to prevent post-COVID
for at least 2 months and cannot
or “long-term COVID-19”. In detail, conditions is to prevent COVID-19
be explained by an alternative

70 | The Homoeopathic Heritage January 2022


SUBJECTIVE

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

January 20212| The Homoeopathic Heritage | 71


SUBJECTIVE

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]

carbonic acid. Pulmonary stenosis. factors, age, occupation, previous


4. URL: https://www.who.int/srilanka/news/
detail/16-10-2021-post-covid-19-condition
Thrombosis of pulmonary artery. illnesses and life circumstance 5. 3. DrSushil Kumar Vats; Post Covid
An effective remedy in many cases of unique to that individual Complications and Homoeopathy Treatment;
New Delhi; DrReckeweg / DrRoshanlal
asthma. It stimulate the respiratory irrespective of the disease which Aggrawal and sons Pvt Ltd; 24th September
centres and increase the oxygen in he/she is suffering from, are also 2021[Cited: 27-11-2021]
the blood; “want of breath” during taken into consideration; thus the 6. URL: https://www.reckeweg-india.com/blog/
post-covid-19-complications-homoeopathy-
exhaustion is the guiding symptom. dictum “Homoeopathy treats the treatment- 3.html
[6]
patient but not the disease”. After 7. 4. Homoeopathicology; Ashwagandha
Homoeopathic Medicine;
the appropriate medicine is selected, Homoeopathicology.com; 10 March 2018;
th
TINOSPORA CORDIFOLIA
it is essential to decide the requisite [Cited: 27-11-2021]
8. URL: https://www.homeopathicology.com/
It has a curative influence over potency, dose and repetition which ashwagandha-homeopathic-medicine/
seminal debility, fevers, especially is imperative for optimum response 9. 5. Willium Boricke; Avena Sativa; Medi-T
intermittent fevers, jaundice, splenic and faster recovery in each case. 2000; 9th Edition, [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

72 | The Homoeopathic Heritage January 2022


SUBJECTIVE
Homoeopathic Materia Medica & Repertory, LPE homeopathy-guidelines.pdf - [Accessed on & toxicology, jawaharlal nehru
Ed. New Delhi: B. Jain Publishers (P) Ltd.; 27/11/2021]
2014 homoeopathic medical college,
12. 7. DrTanuj Rajvanshy, DrJasmeet Patel; parul university
Tinospora Cordifolia: A fountain of life ABOUT THE AUTHORS
force; International Journal of Homoeopathic
Sciences; www homoeopathic journal .com; 1. Dr Srabani Pal, associate prof. 3. Dr Shweta Patel, prof. & Hod.
Dhaka Bangladesh; 2020, 4(4) 31-32. [Cited:
& Hod. Department of anatomy, Department of homoeopathic
27-11-2021]
13. URL: https://www.homoeopathicjournal. jawaharlal nehru homoeopathic pharmacy jawaharlal nehru
com/articles/249/4-3-65-234.pdf medical college, parul university homoeopathic medical college,
14. 8. Ministry of Ayush (Government of India); parul university
Guidelines for Homoeopathic Practitioner for
Covid 19; [Cited: 27-11-2021] 2. Dr Falguni Patel, prof. & Hod.
15. URL: https://www.ayush.gov.in/docs/ Department of forensic medicine 

I n the hurry and bustle of the age, sometimes the physician


is not in a position to devote much tie to reach the
simillimum. Allopathy-minded patients demand immediate
relief of ailments. Many mother tinctures will at once arrest
the progress of many diseases and afford instant cure.

• The book Wonder World of Mother Tinctures in


Homeopathy with Therapeutics has been written with great
endeavour and sincerity for the purpose of acquainting
homeopathic practitioners with infallible drugs which can
be used in tincture form.
• It contains materia medica of more than 500 mother
tinctures; with the directions about dosage and repetition
• The book contains the most valuable prescriptions and
experiences of the world-renowned homeopathic physicians
who have gained laurels by using mother tinctures.
• There are special chapters such as instant distress redeemers
in mother tinctures, clinical hits in mother tinctures and
many more clinically relevant sections which add weightage
to the work.

ISBN : 978-81-319-6246-6 | 336pp | ` 249

January 20212| The Homoeopathic Heritage | 73


SUBJECTIVE

Post COVID-19 respiratory complications and


homoeopathic approach
By Dr Sanjay Sarkar, Dr Biswajit Bera, Dr Ashish Biswas

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.

Keywords: Post covid-19, complications, SARS-Cov-2, 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).

Introduction have persistent symptoms and physiology on tests pulmonary


abnormalities in CT findings. After function and also a worse health and

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

74 | The Homoeopathic Heritage January 2022


SUBJECTIVE

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

January 20212| The Homoeopathic Heritage | 75


SUBJECTIVE

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.

76 | The Homoeopathic Heritage January 2022


SUBJECTIVE

References by Smt. Aparna Bhattacharya; 2009.


About the authors
9. Kent JT. Lectures On Homoeopathic
1. MeSH [Internet]. Nih.gov. [cited 2021 Sep 21].
Philosophy. Reprint edn . New Delhi: Indian 1. Dr Sanjay Sarkar, BHMS. PG
Available from: https://www.ncbi.nlm.nih.
gov/mesh/?term=Covid-19 Books & Periodicals Publishers; 2012. scholar- Department of Practice
2. Solomon JJ, Heyman B, Ko JP, Condos R, Lynch 10. Close S. The Genius of Homoeopathy. Reprint of Medicine of The Calcutta
edn . New Delhi: B. Jain Publishers (P) Ltd;
DA. CT of post-acute lung complications of
2008.
Homoeopathic Medical College
COVID-19. Radiology. 2021;211396.
& Hospital. Kolkata-09, WB.
3. Fraser E. Long term respiratory complications 11. Boericke W. Pocket manual of Homoeopathic
of covid-19. BMJ. 2020;370:m3001. Materia Medica: comprising the characteristic
4. Ali RMM, Ghonimy MBI. Post-COVID-19 and guiding symptoms of all remedies 2. Dr Biswajit Bera, BHMS(H). PG
pneumonia lung fibrosis: a worrisome (clinical and pathogenetic). New Delhi: Indian scholar- Department of Practice
sequelae in surviving patients. Egypt J Radiol Books & Periodicals Publishers; 2012.
Nucl Med [Internet]. 2021;52(1).Available of Medicine of The Calcutta
12. Allen HC. Keynotes and Characteristics With
from: http://dx.doi.org/10.1186/s43055-021-
Comparisons of the some of the Leading Homoeopathic Medical College
00484-3
Remedies of the Materia Medica. Kolkata: & Hospital. Kolkata-09, WB.
5. Dudgeon RE, Boericke W. Organon of Medical Book Publication; 2002.
Medicine by Samuel Hahnemann. 5th and 6th
ed. New Delhi: B. Jain publishers(P) Ltd; 2015. 13. Clarke JH. A Dictionary of Practical Materia 3. Dr Ashish Biswas, BHMS. PG
Medica. 3 vol set. New Delhi: B. Jain
6. Roberts HA. The Principles and Art of Cure by
Publishers (P) Ltd; 2010. scholar- Department of Practice
Homoeopathy. New Delhi: B. Jain publishers
(P) Ltd; 2013. 14. Nash EB. Leaders in Respiratory Organs. of Medicine of The Calcutta
7. Dunham C. Homoeopathy the Science of Kolkata: New Central Book Agency Private Homoeopathic Medical College
Limited; 2007.
Therapeutics.10th impression. New Delhi: B. & Hospital. Kolkata-09, WB.
Jain Publishers (P) Ltd; 2012. 15. Murphy R. Lotus Materia Medica. 3rd revised
8. Dey SP. Essentials of principles and practice edn . New Delhi: B. Jain Publishers (P) Ltd;
of homoeopathy. 4th ed. Howrah: Published 2021. 

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

• The book clearly explains how to convert the patient’s


symptoms into rubrics given in the repertory.
• 409 mental rubrics from Kent’s Repertory and Synthesis
Repertory are wonderfully explained starting from
“Abandoned” to “Zealous”, including the meaning of the
rubric, clinical situation, patient’s and attendant’s narration,
the observation of physician, followed by important
remedies given in the rubric.
• The language of the book is kept very simple and
comprehensible language keeping in view the need of the
student making it a handy reference.

ISBN: 978-81-319-1802-9 | ` 245 | 272 pp

January 20212| The Homoeopathic Heritage | 77


CLINICAL

Treatment of seborrheic dermatitis by constitutional


homoeopathic medicine- a case report
By Dr Rajani Kumari

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.

Keywords: Seborrheic dermatitis, Malassezia yeast, dandruff, homoeopathy

Abbreviations: out door patient department (OPD), seborrheic dermatitis (SD), hypertension (HTN), diabetes
mellitus (DM)

Introduction and the immune response of the History of present complaints:


host4. The most common approach

S eborrheic dermatitis is a common


chronic recurrent inflammatory
dermatological disorder that most
towards seborrheic dermatitis
involves the use of topical anti-
fungal and anti-inflammatory
Onset was gradual but now it was
spreading fast. She was taking
allopathic treatment but there was
commonly affects adults; however, agents. Systemic treatment may be only temporary relief.
a more transient infantile form also used when the tropical treatment
occurs1. It presents as red, white and no responds properly. The Past history:
yellow flaking, itch and burning, conventional science also prescribed
hair loss and greasy looking patches other therapies for the management Jaundice and chicken pox in
in areas of the body where there of SD like phototherapy, use of childhood.
is sufficient number of sebaceous immune modulators and natural
glands are present. Most commonly Family history:
remedies.
affect the scalp, anterior hairline,
Father was suffering from HTN and
glabella region, eyebrows, nasal
mother was suffering from DM.
alar, Melo-labial folds, central chest Case study
and ears2. SD affects the two-age Personal history:
group most commonly the infantine A 37-year-old married female
and adults. In first 3 months of life patient attend OPD department of
R.B.T.S Govt Homoeopathic Medical Patient was a home-maker. She
and at puberty and apex at 30-40 resided in a well-ventilated house
years. Approximately 5 to 10% of College and Hospital on 6/01/2021
with following complaints- but in a damp area; there was no
general population world-wide. such addiction of patient.
It affects all ethnic groups in all • Itching and scaling
regions globally3. The exact causes in head for 6 months Physical generals:
of seborrheic dermatitis are not < morning, perspiration
completely understood, multiple > itching Her appetite was good and having
factors appear to be involved in strong desire sweets and meat;
the pathophysiology of the disease. • thickness skin areas on head & tongue was clean, thirst was
The principle three factors involved falling of dandruff adequate; stool was satisfactory
are: sebum secreted from sebaceous • discharge of thick, watery fluid and has to for stool early in the
gland, presence of Malassezia yeast, after scratching. morning; urine was clear, there was

78 | The Homoeopathic Heritage January 2022


CLINICAL

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.

Evaluation of symptom Totality of symptoms Miasmatic analysis6

Mental generals Irritable in morning Irritable -psora

Irritable in morning Religious Religious- psora

Religious Desire for sweets Desire for sweet -psora

Introvert Desire for meat Desire for meat- psora

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

Desire for sweets and meat


Urge for stool in early morning
Clean tongue
Particular symptoms
Itching and scaling in head for 6 months < morn-
ing, perspiration,
> itching
thickness skin areas on head and falling of dan-
druff
discharge of thick watery fluid after scratching.

Miasmatic analysis- followed by Sepia officinalis, • Calcarea carbonicum- 8/4


Staphysagria, Kalium phosphoricum,
Miasmatic evaluation using Natrum muriaticum and Calcarea As Sulphur covers the maximum
“The Chronic Diseases”7 by Dr carbonicum, etc. number of rubrics and carries the
Samuel Hahnemann showed the Repertorial analysis- highest grade, i.e. (12/6) amongst
predominance of psoric miasm.
• Sulphur- 12/6 the medicine comes in reportorial
Case was repertorised by Synthesis • Sepia officinalis- 9/5 analysis and after the proper
Repertory8 using RADAR 10.0 • Staphysagria- 9/5 consultation from materia medica10
software9. Medicine which came • Kalium phosphoricum- 6/5 and miasmatic analysis Sulphur was
out with highest mark was Sulphur • Natrum murjaticum- 6/5 chosen.

January 20212| The Homoeopathic Heritage | 79


CLINICAL

Repertorial sheet

Prescription- Religious melancholy. washing

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

Follow up date Indication Medicine


28/01/2021 Itching eruption in scalp better Rubrum 200/ 1 drachm

Dandruff better Saccharum lactis 1M/ 1 drachm

Discharge better
15/02/2021 No itching on scalp Rubrum 1M/ 1 drachm

Dandruff almost over Nihilinum 1M/ 1 drachm

No discharge was there.

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

80 | The Homoeopathic Heritage January 2022


CLINICAL

our system of medicine by making 2016;1(4):187-96. 8. Schroyens F. Repertorium Homoeopathicum


Syntheticum. 9.1 version. Treasure ed. New
the totality of symptoms and treat 2. Kim GE, Mun KH, Song JY, Kim BG, Jung JK,
Lee CS, et al. Seborrheic dermatitis treatment
Delhi: B.Jain Publishers (P) Ltd; 2007.
according to our principle laid by with stellate ganglion block -a case report. 9. RADAR 10.0. Archibel Homoeopathic
Korean J Anesthesiol. 2016;69(2):171-4. Software. Belgium. 2009.
our master.
3. Tamer F. Relationship between diet and 10. Boericke W. Pocket Manual of Homoeopathic
seborrheic dermatitis. Our Dermatol Online. Materia Medica and Repertory. Reprinted.
Funding: No funding sources 2018;9(3):261-4. New Delhi: B. Jain Publishers (P) Ltd;
2007:240-42
4. Borda LJ, Wikramanayake TC. Seborrheic
Conflict of interest: None declared Dermatitis and Dandruff: A Comprehensive
Review. J Clin Investigat Dermatol.
2015;3(2):10. About the author
Ethical approval: Not required 5. Davidson’s, Principles and practice of Medicine, 1. Dr Rajani Kumari, PG Scholar
19th edition; New York: Churchill Livingstone,
2002. Department of Practice
Reference 6. Speight PA. Comparison of the Chronic of Medicine, R.B.T.S Govt
1. Cheong WK, Yeung CK, Torsekar RG,
Miasms. Reprint ed. New Delhi: B. Jain Homoeopathic Medical College
Publishers (P) Ltd; 1996
Suh DH, Ungpakorn R, Widaty S, et al. and Hospital
Treatment of Seborrhoeic Dermatitis in Asia: 7. Hahnemann S. The Chronic Diseases. New
A Consensus Guide. Skin Appendage Disord. Delhi: B Jain Publishers.

Before treatment (06/01/2021) After treatment (15/02/2021)

January 20212| The Homoeopathic Heritage | 81


CLINICAL

Tinea corporis and homoeopathy: a case report


By Dr B.K. Chauhan, Dr. Mithilesh Kumar Gupta

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

Keywords: homoeopathy, tinea corporis, Natrium muriaticum, miasm

Introduction f. beard area (tinea barbae) RBTS Government homoeopathic


g. hand (tinea mannum) medical college and hospital,

S kin problems become one of


the challenging clinical entity
nowadays. Patients want to be free
h. foot (tinea pedis)
i. nails (onychomycosis)(tinea
Muzaffarpur, Bihar, with the
complaint of recurrent itching
eruptions around the neck more in
from it permanently in a gentle unguium) right side which had spread over
way. Tinea is one of the most
Skin to skin contact is the most face, right shoulder and right ear
frequent agents of superficial fungal
common mode of transmission of with severe itching since one year.
infections worldwide especially
the infection irrelevant to any age The lesion is disseminated, ill-
in the tropical and subtropical
countries like India, where the group. These fungi can more easily defined margin with little scaling.
environmental temperature and infect inflamed or traumatized Major part is blackish without any
relative humidity is high.[1] These skin. Diagnosis is clinical. Typical discharge. Itching followed by
fungus metabolise keratin and are Tinea corporis lesion are annular occasional burning and aggravated
responsible to cause a variety of skin or polycyclic lesion with peripheral by washing and patient feels better
lesions by infecting skin, hairs and rim of activity and central clearing while scratching.
nails.[2,3]Other factors such as tight resulting in a “ring” or “bull’s-eye”
fashioned clothes and hurried life- appearance.[4] History of present complaint and its
style where people dress-up before treatment
proper wipe-off after bath, has been Treatment : In modern medicine
linked to higher prevalence. The low , topical agents followed by oral The lesion was started on the
socio-economic condition with poor antifungal agents and lastly the back of neck one year ago and
personal hygiene also plays a great steroids , are the treatment options gradually distributed. The patient
contributary factor in this infection. but the relapse is frequent. used to apply allopathic antifungal
Diabetic persons are more prone to ointments which provided her
this infection. Homoeopathic approach : There temporary relief but the lesion
are various articles and literatures reappeared.
Depending on the site of infection which shows the remarkable efficacy
of skin, the case is diagnosed and of homoeopathic medicines on Personal history : She was a student
named accordingly;[4] tinea infections. The individualised with no addiction and nothing
homoeopathic remedy has a vital significant habit.
a. fungal infection of scalp (tinea capacity to correct the disease
capitis) predisposition, and hence cut-down Past history : Suffered from typhoid
b. trunk and extremities (tinea the chances of relapse. twice 4 years ago and recovered
corporis) after allopathic treatment.
c. groin (tinea cruris) Case report Family history : Nothing significant
d. axillae (tinea axillaris) A 19 years old muslim girl of dark in maternal, paternal and sibling
e. face (tinea faciei) complexion came to the OPD of side.

82 | The Homoeopathic Heritage January 2022


CLINICAL

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

Pictures taken on 06/01/2020 (Before treatment)


Analysis of the case :

after detailed case taking, the case


was thoroughly analysed with
proper evaluation of symptoms
and finally totality was framed for
repertorisation.

Evaluation of symptoms with


gradation
Fig. 1 Fig. 2

   Disease oriented symptoms Patient oriented symptoms

• Itching eruptions +++ • Weeps when alone +++


• White scaly dry patches ++ • Forgetful ++
• Blackish discoloration over the eruptions ++ • Desire solitude ++
• Peeling of skin + • Weeping tendency ++
• Awkwardness +
• Desires – egg ++, fish ++, salt +++, bitter+
• Thirstless ++
• Constipated bowel +++
• Thermally Hot++
• Perspiration stains cloth white ++
• Eruptions predominates on the right side of the
body++
;

January 20212| The Homoeopathic Heritage | 83


CLINICAL

Totality of the symptoms with miasmatic analysis[5] :

Totality of symptoms Miasmatic analysis


Weeps when alone Psora
Forgetful Psora
Desire –fish Pseudo-psora
Desire – salt Pseudo-psora
Thirstless Psora
Thermally hot Syphilis
Constipated bowel Psora
Itching eruptions< washing Psora

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]

Fig 3 : Repertorisation chart


Basis of prescription : Repertorial number of rubrics . By considering Natrum muriaticum 200 , 2 doses once
result shows that the Natrum patient’s constitution and after a day for 2 days and placebo for 15
muriaticum was covering maximum days was given.
consultating materia medica[7]
rubrics with highest marks , ,finally, Natrum muriaticum was Advise– Don’t use any ointment.
Phosphorus and Veratrum album selected as simillimum. Apply only pure coconut oil.
were carrying higher marks next Keeping the affected areas clean and
to Natrum muriaticum but with less First prescription (on 06/01/2020) : dry and maintain proper hygiene.
Follow up of the case :
Table - 1

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

Marked improvement in itching as well as lesion within a week after giving


15/02/2020 medicine and bowel is very much regularised. As the medicine was still in Placebo for 15 days
action so only placebo was given. (Fig.-5)
Lesion was almost resolved fully without recurrency and no new eruption
19/02/2020 within a few days. Patient was overall happy so he came so early. So placebo Placebo for 15 days
is given. ( Fig.- 6 & Fig.-7)

84 | The Homoeopathic Heritage January 2022


CLINICAL

Pictorial evidences : Different pictures were taken during (Fig.- 4 & 5) and after treatment (Fig,- 6 &7)

Fig.- 4 Fig.- 5 Fig.- 6 Fig.- 7

Discussion homoeopathic simillimum on tinea 3. Uttamchandani PA, Patil AD,


corporis. It can be successfully Homoeopathy an Alternative
This case report describes the treated with the few doses of Therapy for Dermatophyte
efficacy of single individualized individualised homoeopathic Infections, International Journal
constitutional homoeopathic of Health Sciences and Research,
medicines based on detailed
January 2019;9(1),P: 316-320
remedy in obstinate condition case analysis and reconfirms the
called Tinea Corporis. As the typical homoeopathic principles of cure. 4. Soutor C, Hordinsky MK, a
LANGE medical book Clinical
lesion of tinea is well circumscribed Homoeopathic treatment can deliver
Dermatology,1st edition,2013,
boundary with central clearing, the fast cure of the patient and also McGraw-Hill Education.
the lesion of this case is slight removes the predisposition state
5. Speight PA. Comparision of the
different because patient used to the tinea infection holistically.
Chronic Miasms. Reprint ed. New
to apply antifungal ointments A complete disappearing of Delhi: B. Jain Publishers (P) Ltd.,
regularly since a long time.so chronic skin eruptions with other 1996
the lesion had an ill-demarcated complaints within a short period
6. RADAR 10.0Archibel Homoeopathy
boundary. Improvement was of time without any recurrence is Software,Belgium,2009
observed after first prescription. documentary evidence. However,
7. Boericke W., Pocket Manual of
The lesions were started resolving this is a single case study and
Homoeopathic Materia Medica and
requires well designed studies
with slight improvement in itching. Repertory. Reprinted. New delhi:B.
which may be taken up for future Jain Publishers (P) Ltd;2007
As the treatment progressed, the
scientific validation.
lesions were resolving with a faster 8. Close S, The Genius of
rate. Her mental instability and Acknowledgement: None Homoeopathy Lectures and Essays
gastrointestinal dyscrasia were on Homoeopathic Philosophy,12th
Conflict of Interest: None Impression: 2014, B. Jain Publishers
also shorted out in a gentle way. (P) Ltd. P: 202-205
During course of treatment, no Source of Funding: None
other lesion was formed. Thus, this About the authors
case is considered to report because
a decisive role of homoeopathy is References 1. Dr. Bajrangi Kumar Chauhan,
seen here for effective and rapid PG Scholar, Deptt. Of Practice
1. Sahoo AK,Mahajan R, Management
management of tinea corporis. of  tinea corporis, tinea cruris,
of Medicine, R. B. T. S. Govt.
The task of treating ringworm and tinea pedis: A comprehensive Homoeopathic Medical College
review. Indian Dermatol Online & Hospital, Muzaffarpur.
by conventional oral medicine
J.2016; 7(2):77-86. Available from
and external application
https://www.ncbi.nlm.nih.gov/ 2. Dr. Mithilesh Kumar
was unsatisfactory and after getting
pmc/articles/PMC4804599/ Gupta, PG Scholar, Deptt. Of
failure, the patients look for the
2. Lesher JL, Elston DM, Tinea Materia Medica, RBTS Govt.
homoeopathic treatment to get
Corporis.[updated sept. 17, 2020]. Homoeopathic Medical College
permanent cure.
Available from: https://emedicine. & Hospital, Muzaffarpur.
medscape.com/article/1091473-
Conclusion overview [internet source; visited 
on 13/09/2021]
There is a miraculous result of the

January 20212| The Homoeopathic Heritage | 85


SPECIAL ARTICLE

The phases of Hahnemann’s medical practise


By Peter Morrell

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]

Introduction supplemented by data from a to be included in the table, and are


further eight of Hahnemann’s actual therefore omitted from this study.

T he various twists and turns of


Hahnemann’s medical practise
can be revealed by tracking the
casebooks examined personally
in Stuttgart. This broadly-spread The data is condensed and presented
in a more manageable form, so one
sample therefore provides a
changes in his use of medicines and representative picture of data can see at a glance how his medical
potency. This essay takes a close from all 54 casebooks (1801-42). career can be divided into three
look at both these aspects of his phases based on the medicines he
All the data was compiled onto
medical career, and reveals some was using. The dominant drugs of
a spreadsheet and then further
interesting episodes and events that Hahnemann’s medical practice—
manipulation provided ranges of
shed some light on the development spanning his entire career—are
the most commonly prescribed
of homoeopathy, especially during shown in the table below with
the Leipzig period (1812-21). It is medicines.
% range in brackets. D2 etc. =
also possible to connect some of the casebooks names, with dates
From that data, it becomes clear that
these changes in his practise with shown. The colour key shows where
his entire prescribing can be divided
his evolving views on the theory of the medicine provings were first
into three phases as shown in the
homoeopathy as revealed in his own
table below. What characterises each published.
writings of the period.
phase is a general level of consistency
F = Fragmenta de viribus (1805)
in the % ranges for the various
The Medicines medicines in that phase. Differences R = Materia Medica Pura (1811-33)
Prescription data was taken from in his selection and % use of the
CK = Die chronischen Krankheiten
each casebook, totalled up and the medicines also distinguishes one (1828-39)
% use of each medicine worked phase from another. All medicines
out. This was repeated for all of that did not feature higher than 1% Highlighted in yellow are the drugs
the 12 published casebooks [2] and of use were deemed too insignificant he used most in each phase.

1801-16 (D2 to D14) 1814-24 (D11-D27) 1824-43 (D27 to DF5)


Aconite (1-3.5) F Antimony crude (1-11)
Arnica (1-4) F Argentum (1) R
Belladonna (2-4) F Arsenicum (1-4) R Arsenicum (1-5) R CK
Bryonia (1-10) R Baryta carb (1-3) CK
Calomel (1-7) Calc (1-18) CK
Capsicum (1-4) F Cantharis (1) F Carbo veg (1-5) CK
Chamomilla (1-19) F Coffea (1-7) Causticum (1-7) CK
Cinchona (1-5) F Conium (1-4) R Conium (1-4) R CK
Cocculus (1-6) F Cuprum (1-2) F
Drosera (1-2) F Digitalis (1-2) F R
Hyoscyamus (1) F Dulcamara (1) R

86 | The Homoeopathic Heritage January 2022


SPECIAL ARTICLE

Ignatia (1-5) F Ferrum (1) R


Ipecac (1-5) F Hepar sulph (1-5) R Hepar sulph (1-12) R CK
Ledum (1-6) F Kali carb (1-8) CK
Mezereum (1-2) F Lycopodium (2-15) CK
Mercury (1-5) R Mercury (1-7) R
Muriatic acid (1-2) R Natrum mur (1-5) CK
Nitric acid (1-9) Nit acid (1-11) CK
Nux vomica (1-19) F Nux vomica (3-10) F Nux vomica (2-5) F
Petroleum (1-16) Petroleum (1) CK
Phosphoric acid (1-5) R Phosphorus (1) CK
Pulsatilla (7-21) F Pulsatilla (3-8) F Pulsatilla (1-2) F
Stramonium (1-3) F Rheum (1) F R
Valerian (1-6) F Rhus tox (1-10) R
Sassaparilla (2) R Sepia (1-19) CK
Sol phos (2-12) Silicea (1-13) CK
Spongia (1-4) R
Stannum (1-11) R
Staphysagria (1-2) R
Sulphuric acid (1-8)
Sulphur (3-50) R Sulphur (1-32) R CK
Thuja (1-6) R Zincum (1-4) CK

NB. Sol phos is Hahnemann’s shorthand for Solution phosphorous, presumably a soluble form of phosphorus of
his own making.

1801-16 (D2 to D14) 1814-24 (D11-D27) 1824-43 (D27 to DF5)


Fragmenta drugs 17 6 2
Reine drugs 0 19 4
CK drugs 0 4 16

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

January 20212| The Homoeopathic Heritage | 87


SPECIAL ARTICLE

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.

88 | The Homoeopathic Heritage January 2022


SPECIAL ARTICLE

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]

1801-2 1802-7 1811-16 1816-20 1822-24 1826-35 1835-42


D2-D3 D4-D6 D9-D14 D16-D19 D24-D27 D30-D38 DF2-DF5
1x 8 6 7 3
1c 3 2 5 1.6 12.6
3x 8 1 3
2c 7 2 3 4.2 34.3 1 0.1
5x 10 4 1
3c 5 2 6 2.1 5 8 0.2
7x 19 6 3
4c 3 1 3 1.4
9x 19 11
5c 6 4 3
11x 7 5
6c 1 12 10 3.3 32 11 1.6
13x 3 20 3 3.7 2.8 0.5
7c 1 21 38 42 7
15x 1
17x 1
9c 4 1.3 3 4 0.4
19x 1
12c 8 3 9.6 3.8
15c 3.6 4.4 0.5 1
18c 2 0.7 8.5 6.6
24c 1 0.8 1 2.3 22
30c 7 1 47.6 60
60c 11.7 1
90 12 1.5 1.3
195 3
sum 100 100 100 100 100 100 100

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.

1801-2 1802-7 1811-16 1816-20 1822-24 1826-35 1835-42


D2-D3 D4-D6 D9-D14 D16-D19 D24-D27 D30-D38 DF2-DF5
<11x 96 44 34 10.9 53.3 9 1.9
6c to 7c 5 53 51 49 34.8 18.5 0

January 20212| The Homoeopathic Heritage | 89


SPECIAL ARTICLE

9c to 18c 0 1 14 8.6 7.4 22.6 11.8


24c to 30c 0 0 1 7.8 2 49.9 82
Above 30c 0 0 0 23.7 2.5 0 4.3

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 

90 | The Homoeopathic Heritage January 2022


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