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RF_DR.A_11_SUDHA
DP-A U-l
COMMUNITY HEALTH CELl,
‘7/1, G-irst Floor)St. Marks Road
'
560 G 01
Evaluation F.enwrt of Homeopathic Conn unity Health "r.-jcct,
Ti was a.
I spent two days (1
*+th
and 15th. August,81) at the
project seeing the w rk at "’iwsa clinic and in the? villages
an 1 discussing
villagers.
I th d; ctors, VIWs, patients, and the other
AIsp went through the original project 'roposal,
■-'rogress reports, records of the clinic and VHWs and the book
collection at the project.
I ha 1 previously read some basic
things about Homeopathy - its ahi 1 ■sophy an 1 application, and
opportunity to discuss with the Actors at the project and
know more.
The project had ^objectives for Itself (sec original
project proposal, cage To.-3) and there were some specific
points cn which C XF h wanted information and opinion (Haghts
letter of 3lst y ar ch, 31)
I shall describe my observations
ar und tiehe objectives and points.
Establishing h^iaconathy as an alternative tn all nathv
1)
(modern medicine) has been the main thrust of the programme
for lost 11/2 years:.
This w«-s one of the Q^jcctives i? the project
. mo t of the efforts in last 1-1/2 year wore directed at this
end.
There are both oresitlve anl negative sides of this.
To intro luce and establish i’omeonathy (which is non-dramatic,
a)
simple l-oo ■ ins method of th.ranv) newly in a rural ere a
(-.•Mere ?eonle have mystic faith in injections, tonics or
witch craft) is a real difficult tark.
Unlike most of the
practising homeopaths wre t -.e resort t> injections and other
<0
allnathie medicines, the project has used nure homeopathy.
dr
The records and talks with people indicate that tie project
has been successful in achieving this objective of stabllshing
homeopathy as’alternative technology.’
Unfortunately well maintained recur is and figures
are not available.
But the approximate calculations that I
made sag est that ^8,000 natlen^s used project facilities in
1-1/2 year.As many patients came repeatc‘41y
chronic Illnesses
for new minor illnesses, the rough assessment showed that in
all 6,000 ~>ersons took treatment once or more in last 1-1/2
year.
The total project ponulation is 23,000 (about 13,000
in 9 villages and 10,000 at Tiwsa) so about 2J percent of
the population tried homeopathy.
good success.
This must be considered a
(Even at a successful project like Jamkhed
which uses allopathy and vhich has hospital to bbek up,
only 30 percent of the population uses projects curative health
services)
Out of these 28,000 about 1^,000 patients have
been treated by VHtfs in the villages, about 7,000 by the
doctors on viliege visits, remaining 7,000 by the doctors at
Tiwsa clinic.
Again this 50 percent share by VHWs is a good
proportion (compared with 11 percent by paramedics with two
years training at Go nos as thy a project).
But looking at the
fact that main advantages of the homeopathy are its simplicity
and lack of complications, and that VHWsi have gained people?s
faith row, it seems that this proportion can be further
increased, specially by restricting the patients seen by
doctors in the villeges.
Only those patients refereed by
■'HWs might be seen by the doctors.
This will reduce dependance
on doctors and will increase use of VHh’s.
Out of I? VHWs, about 10 are working fairly well
while with 9 there are problems about lack of motivation or
'f 'h
some personal difficulties. ft can be further improved by
looking in^to the individual cases.
The advantages of homeopathy are low cost of
medicines (about 5,OOORs for 28,000 patients is very cheap as
compared to modern medicine), lack of side effects, hence
safety.
b)
The negative side of this is the to
much of riligious
fervour for homeopathy and a strong cur a vivo bias.
The
main motivating force has become ‘spread of homeopathy as
aagainst allopathy’.
This is obvious in the consciousness
of doctors, in the training of VHWs, in the message that
VHWs are supposed to convey to the oeonle. The major content
Of health ^education is ’how homeopathy is better that
allo pa thy ’ ______
_______________________ -3=_____ >
The only narrmeter to judge the performance is 'how mqpy
patients ■’hlftei from allopathy to homeopathy
This is unlerst-ndable to s me extent as the
project h' i to establish a new ’pathy’ against the ‘ruling
*
pathy'.
3ut now, as the project has achieved this initial
objective, it must acme out of this narrow- ’pathy'
complex anl see that the health is much wider anl fundamental
goal thQji merely establishing homeopathy in the place of
allopathy.
2)
how effective is homeopathy
in treating various forms of
illnesses?
This is difficult to answer becaE®e of two
reasons.
i)
It is not possible to carry out on opinion survey of
ueonlo in such a short visit.
!"uch bigger sample on
random basis will have to be taken to r< ally know
people’s opinion about effectlvity of homeopathy.
ii)Even people’s opinion is not a scientific proof.
"’eo It are known to carry many wrong raisbcli«fs like
magic of injections anl tonics, withh craft and so on.
So wart people believe is not necessaafcitv correct.
The only way to answer this question is
carefully and scientifically aereS-illy carried ouicontroiled
trials on large number of cases -f pi’oWed diagnosis.
.his can bo lone only At research institutions.
This was
neither the aim rvr the scope of this project.
In the absence of such wo/k, it can’t be
commented whether homeopathy is effective in curing minor
and major illnesses.
But peoolc seem to carry an opinion that
the homeopathy is effective in chronic illnesses which are
not cured by allopathy and hence recur again
ag®l%
This is reflated in the type, of oases earning to Tiwsa
clinic and in talk with
co ilc.
People also take resort
v
to homeopathy for minor illness.
by VHWs belong to this type.
Kost of the cases seen
This might mean that
homeopathy really gives relief in minor illnesses as
well or that there were self hi limiting illnesses which
would have got relieved otherwise also.
Most of the cases taking resort to homeonathy
are from thejfce two types.
Major serious illnesses or
rente emergencies go str^ght was to modern medicine
facilities.
3)
To provide curative, preventive services and annronriate
health education to a population of 19,000 (Objective Mb. 3)
Status about curative health care has been
already described.
Unfortunately the programme does not have
any preventive or health education contents in the sense
modern medicine Understands it.
The job description of
VHWs, their working, people’s peif&ption about role of
THWs, doctors understanding and perception about health
services everything is purely curative.
Hence all the
action by doctors or VHWs is only curative and all the
health education is about superiority of homeopathy.
AMC, PMC, family planning, under five care,
immunisation, sanitation are all absent.
But one must understand the complex
situation in this regard.
The question is whether to
evaluate the preventive and educative componedtin a
homeopathy project through homeopathy ooint of view or
modern medicine noint of view.
As far as I have understood and as far as
the doctors in the orojedt know, homeopathy does not
believe in the disease causation and prevention as
unierstood by modern medicinemaf role of infection,
mosquitos, sanitation, nutrition, immunisation etc.
Hence most of the conventional preventive programmes
will not fit or carry importance with the homeopathic
-5-
nhil sophy.
The main, causes of the li serges are constitute n
an 1 imbalance of various elements; and hence the main method
of prevention as well cure is giving homeopathic medicines to
alter these.
Doctors of the project, who are honest foil wars
• f homeopathy naturally find themselves in a philosophical
dilemma about various preventive measures based on the
knowledge of disease causation of modern medicine.
This
ex'l-.lns their inability to understand and accent With conviction
various preventive programmes.
The advice given to them
luring project formation and later on didn't cnsider this
basic dilemma and the project doctors, it seems, accepted
the oreventive programmes (ANC,
under five cere and so on)
under a §..rt of pressure of dominating vic -s in the field
of community health.
They spent some time at ^achod, I'adhon
and othe- places and were advised to an .ter take these activities.
But the homeopathy to ctors have in reality not. understood
and accepted the role and importance of these nrogrammes.
This is quite uniersVndable, in view of basic philsophical
difference.
This explains, at least portly, why the oreven-
line programmes have not been rt. dlly implemented insnite of
such commitment in the oronosal.
The programme of’nosodes
*
(homeopathic way
of immunisation) was also not implemented.
Reason lies in
the too much preocupation with establishing homeopathy as on
alternative curative method and in the lack of emnhasis on
preventive and cemmunity aopr: ach in the philosophy and
training of homeopathy which hils essentially ctn individual
approach to health care.
M ’Ito carry oili an experimental community health program^ based
on the homeopathic system of medicine' (^Objective NO. 1)
This objective is riddled with the basic
problem mentioned above.
The question is what is community
health programme in homeopathy ?
The ho no ep 3thio community health programme,
at least as these doct or’s unlerstand, means using homfb-
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pathlc medicines instead of allopathy.
This proposition itself can be a topic for
experimentation in community health.
Can extensive use of
homeopathy have on impact on the health status of the community?
Early detection and treatment of illnesses
prevent development of serious complications.
Treating common
cold will prevent possible complication of pneumonia.
Treating minor illnesses has definite role in improving
children’s nutrition.
Thus impact of homeopathic Intervention alone
(in the form of treatment of various illnesses) on the health
indices of coEimunity can be studied and a role of homeopathy
alone in community health can be proved or disproved.
But
such type of study will require rigorous experimenlal methods,
surveys, records, statistics etc.
As the 'training of homeopathy
lacks this type of discipline and methods, the present group,
in my view, can rot undertake such experimentation.
The experimental part of this programme can be
i) Can homeopathy be used and popularised as a curative
method instead of allopathy in a community health programme
in rural area?
ii) Can the homeopathy services be delivered through VHWs.
ill) Cost factor of such programmes as compared to allopathic
pro gramme.
All these questions have been already proved in this
project in a positive way.
During our discussion Dr. Curable realised that
their programme has been almost exclusively curative.
But as
they have achieved their first goal of introducing homeopathy
as alternative curative method, he agrees that the preventive
programmes should now be taken up seriously.
The community health aspect of this programme
in future can take one of the following forms.
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i) After our discussion Dr. Gitenble said he would discuss the
issue of community health programmes in homeopathy with
some other more knowledgablc homeopaths and try to find
out if there are any such possibilities.
it) In the absence of such onesj
llfew Me the project will
have to take up preventive programmes like maternal and
chili health care, health education etc. from the modern
medicine models of community health.
cf
Adontion^second
alternative will make this programme a broader community
hehlth programme with homeopathy based curative services.
To bring this sten in reality, the project will have to
a) Resolve its philosophical dilemma either by finding
cut methods of community health in homeopathy and
experiment them or reconcile to the acceptance of
preventive methods from the science of community health
from modern medicine.
b) Make strong efforts to change their purely curative
vision.
An intensine educative process (Reading,
visiting, discussions) will have to be taken up by
by the doctors to make this change in themselves.
c)
The use of interns though saves noney (because they
work on lower salary) will have to be abandoned because
constant change of doctors will make the above
process impossible.
Permanent homeopathy doctors should
be chosen.
d)
A female homeopathy doctor is difficult to find and
retain.
It is also vary difficult to train her in
the maternal and child health care methods starting
frdm a,b,c,.
The female doctor with the project was
sent for short periods to other projects to learn Alia,
PdC, under five care etc., but in my opinion she has
learnt nothing.
She has any how left the job
recently.
a-
It will be much no re sensible t- appoint a trained
AT f r this tync of work instead of a female homeopathy doctor.
If necessary, Alt-'; can be easily taught use of homeopathy medicines
*s
A-S5
arc basically trained for preventive programmes,
specially MCH. 30 she will be more effective in running a
rCH Wgramme and training 7H.7’s in it then a female to moo-
pathy doctor whose Qelientatio r. makes such change difficult.
e)
Changes in the tools and techniques of commhcalth will have
to be mt-de to suit them to the homeopathy project.
This is
a problem. of hybridisation which will have to be overcome.
The project has bev : given A‘!J, under five Cards etc by the
’’aci.od staff.
For
But this blind transfer vh.ll create problems.
u.-t>
9. weight, Blood pressure, whfex? albumin check up in
AHC ere
eacly kt< -jtior end -sreatment Of toxemia, of
*
pregnancy
But detection of such early signs is of no use
to a tomeont th because he treats on the basis of symptoms.
This is a tricky oroblem.
jither suitable changes in A’lC,
mer five carls will hwC t-^maWe and new cards to suit
to neouathy methods will have t- be developed.
Dr. Gamble
will discuss this issue with senior homeopaths.
be quite an innovatinc work.
This will
Or the modern medicine
methods in such programmes will have to be accepted.
’.Ise of
A’SZ can make this easily possible.
6)
’Is me programme likely to have permanent impact in terms of
reduced chiId mortality?’
Difficult to answer because of two reasons.
i)The project does not have a baseline data and no proper
records of vital statistics in the villages are being kept.
The proforma of the baseline survey which was done in 1979
was too to mol ex and overprcfcs$ionalised.
Doctors and
surveyors didn’t propei’ly understand ’why’ and *B-w ’ of
many points in it.
'b the results of the baseline s®
*vev
are
vor’y unreliable.
In the absence of such baseline arK* records, no
inference can be drawn even in future.
*t>re
simple baseline
survey by VHWs and proper recording of vital event’s should
he tone to overc-roc- this .difficulty.
-9-
■911) Even if
*
concrete data 13 not available, a curative
programme will reduce chili mortality because early
treatment has an important impact on mrtallty.
3ut
-U-M(S
here the problem is lack of scientific tsiiffii to> prove
that the homeopathy is effective in treating illnesses.
But my own personal experience makes me .feel
that homeopathy has an curative effect,
if we accent
tills tentatively, then the nrogr rame should have an
irspect on child nortality.
.ProbaWy the homeopathy project will h«Ve
more impact on rorbietity than on mortality because
n conic use it more commonly tor chronic illnesses than
in the acute life threatening illnesses.
Introduction of preventire programmes like
MCIi, health education will definitely enhance the
ner-munent impact on health status.
7)
Economic self reliance'.-^ In trie original nronnsal this
was an objective, to be achieved mainly through an health
insurance scheme.
This has mt been achieved,
' he minimum
target was to enroll 2> percent families (1,000) as insurance
members.
today there arc only 100 families who are
regular members.
To me this is not a failure of the programme
but a result of too unrealistic objective.
Even the
projects who use allopathy and who have strong backing of
hospitals and hence have lot more to offer to the members
have found it impossible to enroll and maintain large number
of insurance members. (Eg. Medical college Sevegrom,
Gono sasthya Kendra).
The advantage of using homeopathy is reflected
in the low cost of curative care, (About 2 & per canita)
But it also must be taken in-to accoimt that these services
da n’t include hospital care for wore serin us illness
*
People use other sources tor such type of cardio-But still
the homeopathy care is cheaper than corres^niing level of
all's at hie care.
-1n-
-108)
Can the existing structure of VHHs and doctors bo used as
a basis fbr other work ?
It Is possible.
The programmes which can be
undertaken through the same structure and which can be helpful
In making the health programme more effective, comprehensive
anl acceptable are i)
Balwadis - same VH'Js can run these with some training
end little more salary.
A >34 can supervise them.
Balwadis
will make un ’er five caste more comprehensive and will
give more access to mothers.
ii)
Cultural media like slide shows, nunpet shows, songs,
plays can be used to enhance the educative o-moonent
in healrh ca.lc.
A snail group of part timers can do it.
A cask? must be taken that ’education’ does not mean
only the nropogenda of homeopathy.
But to take up this additional burden, new
competent persons must be added to the team.
At present
it is all on the rtrength of one man only.
9)
’’Should BB^e^saaS be-eachhsaggdrmore such homeopathic health
i>e ^'rrcc-L-fa^^
programmes^,elsewn ere in India ?!S
There are two unanswered question, as yet.
i) Whether mere use of homeopathy as a curative agent has a
1.
permanent Impact on health indices.
1’1) Can this programme be broadened to make it a community
health programme rather than mere curative programme?
Unless at least one of these two is answered
affirmatively it will not be advisable to enco'sjragc wore
homeopathy based projects on large scale.
But by the time these questions are answered,
two tilings can be done.
1) As homeopathy seems, in people’s opinion, to be effective
in curing the chronic type of illnesses to many of which
allopathy does not have satisfactory treatment, 9°me sliy“
pathy based community health projects can be encourage!
to incorporate a homeopathy component *n their curative
range by employing one homeopath on the staff.
This will
reduce the cost of treatment f}r sach Hln®s«es and
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_11_
increase the ropul'-rity of the whole programme.
AS modern
medicine base! co munity health projects have the personnel
and methods to study more scientifically, they can evaluate
the effectiveness of homeopathy in treating various types of
illnesses.
2)
As the results from one project are rot always reprensant.-tive and duo lie able, homeopathy based community health
projects may be encouraged at 2-3 new places f-r experiment.
But here a ca<tc must be taken from the bogining that proper
rec ris are maintained and that the nrogramme is of
community health and not merely curative.
Only such
homeopathy ,gc-uns bo selected wir: have capacity to under
stand and follow the methods necessary for such tyne
of rork.
To summer!se
1) The ■!' ject hns fairly successfully introduced and establi
shed r! ■' based homeopathy care as an alternative method of
curative care f r minor and chronic illness acceptable to
the r’tral people.
This sets the stage f r further w.rfc.
2) The cost of care is really low, self-aehleve< but economic
self reliance is rot achieved.
3)
The programme is merely curative till now.
The problems
involved in making it preventive oriented have been
discussed and specific suggestions have been male.
Areas f r future exploration have been discussed and
suggested.
1+) some questions like effectiveness of homeopathy medicines
or impact on health indices can rot be answered because
of the difficulties Of method or because nroncr data is
rot available,
y) Same o til er programmes like balwnfts and. eiltui'rl nro gramme
can be token up by the seme slfruetupc.
the effect!vity of the health n»>grOTne.
Tills will add to
But to undertake
this, the team mast be expanded.
z\ Hsmeopathy can be encouraged at few other places under cert' 1
qualified conditions on CXnorlmontol bQ3t
v
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■
U-'Z-
HAHNEMANNIAN
lyUf RECORDER
Vol.
0
Book
2
October 1989
Price Rs. Two
Editorial
<1 * Integration of Systems :!-A Wider Perspective is Necessary *
Now a days we are frequently hearing about the integration of medical
systems. It is an already accepted fact that the health problems of a society are
not limited only to the narrow circle of the so called medical systems.
Health is a social problem too, and the laws of social changes surely
have a role in restoring and maintaining the health of the people. Different me
dical systems have evolved under the influence of diverse social, geographical and
historical factors. Each system developed closely in accordance with the necessities
of its society. Thus we may see that the discussion on integration of different
systems 6f medicine cannot be confined within the sphere of medical systems or
contemporary social set up.
Every system invariably possesses its own philosophy, hypotheses and
methods. Even the concept of health, patient and disease are so different with
every system, as is the case even with their world views. Because of these wider
differences between the medical systems from their very basis upto the therapeu
tics and also because the factors which effected this diversity still prevails, no
creative progress can be expected from mere dialogues. In the current social str
ucture which is so much disintegrated and highly competitive, even a fruitful
communication in this respect with a deep insight seems to be very difficult.
Analysis of social, historical and geographical factors etc., behind the evolution
of different medical systems are to be considered before we proceed.
COMMUNITY 1-lEAt! CEU.
first Floor) St. Marks Road
BANGAIO 36-550 001
2
As we know, the modern medicine, the dominant system of oUr times,
has emerged and developed within a capitalist social structure following the indu
strial revolution. Along with the advent of colonialism, this western knowledge
has extensively disseminated almost all over the world. In a mechanical, compe
titive and commercialized social system, it has done its best to solve the problems
of the society and became the accepted scientific version of health care. The
mechanical materialism on which this system has been constructed, is very much
suited to the world view of the modern society’.
On the other hand, at a time when the reductionistic (mechanomaterialistic) world view was in its ascending phase, Homoeopathy arose as a historiacl
necessity in the medical field of eighteenth centuary. Inspite of long array of
drawbacks of this new system, still exsistir.g (chiefly owing to- its allegiance with
ideailist section) it has a base in practical experience, which can hardly be ignored
In a capitalistic society, Homoeopathy cannot fully express itself, where the gene
rally accepted views about health, disease and cure are different from that of
Homoeopathy or any other Holistic system.
Indigenous systems also have origin in their respective social grounds
existed before the advent of colonialism, and it is quite natural that, they contain
the values and concepts of the societies from which they emerged,
The treatment method of each of these systems is determined by their
own concepts about health, disease and cure- That is why these systems have
never tried to ignore the cultural, economical or other aspect of the societies
which have given birth to them. From a mechanical purview, as in our capitalist
society, health is to be achevied by a mechanical removal of the immediate or
apparent cause of illness, and the consideration of other wider factors are treated
as ‘old fashioned.’ Due to the similarity of this view to the current social trends,
the modern medicine have flourished in this social structure, absorbing the values
of this society, such as commercialism, institutionalisation; bureaucracy, mechani
sation, centralisation etc. Consequently, the traditional alternatives also made
attempts to adopt these values. The more they adopted these values the more
they lost their identity. This phenomena has again rewarded the modern medicine
a high dominance over the traditional and other holistic alternatives. In this situ
ation, what will be the aftermath of an artiticial integration7 It will naturally be
detrimental or even suicidal to the alternative systems, as can be seen by any one
on a closer look.
Most of our alternative systems are holistic in all directions including
their methods of treatment. So, their approach is more humane and organic than
mechanical. Their efficacy is based on the creative talent of the physician than
richly furnished institutions. If we relinquish these qualities and adopt the’values
(See Page 4)
Moleculor Memory of Water & Homoeopathy
[Homoeopathy emerged as a therapeutic system by end of eighteenth century. Attem
pts for scientific vindication of this system was going on from that time onwards. Efforts of
Bidgman A. Gay, W. E. Boyd etc; were some of them. Latest one in this saga of these experi
ments is that of Prof. Jaques Benveniste, even though no such direct claim has been made. The
nature of experiments make it quite obvious. A scientific paper by Benveniste
was
published in vol 333 of Nature. In this article Benveniste and his collegues claimed that they
were successful in confirming experimentally the power of anti Ige molecules to degranulate
basophils even in solution of the order of 1x10. The essential criteria being shaking of the
dilution in the time honoured homoeopathic fashion. Numerous letters followed criticizing
Prof-Benvcniste. Natures investigation team visited Benveniste’s lab and supevised the repetition
of the experiments. So far you have read.)
The report stated that Benveniste’s exp
eriments are statistically ill controlled, from
which no substantial effort had been made
to eliminate systematic error, including ob erver bias and whose interpretation has been
clouded by the exclusion of measurements
in conflict wilh the claim that, anti IGE at
high dilution will degranulate basophils. The
phenomenon described was found to be non
reproducible Benveniste was prai ed in the
report for his openness in discussing most
of the questions raised and for his allowing
to take photocopies of the relvent laboratory
note books
Their investigation was concentrated exc
lusively on the experimental system in which
publication was based. They found that the
experiment do not always work. There was
ample evidence for the fact that maximum,
degranulation was between LOG 2 and 4
(dilution). There also have been periods of
several months at a time during which solu
tions at a high dilutions have not degranu
lated basophils.
Seven runs of the experiments were
witnessed by the team of which three were
routine repetitions of the standard procedure.
jn the fourth dilution samples were trans
ferred by one of the team members and read
blind by Dr. Davenas. All four gave positive
results. But all the three followed under
strict blind basis gave negative results, when
questions about sampling errors were raised
by the investigating team they found that Btnveniste and his friends were not knowing of
it. The experiment was found to give more
result at the hands of Davenas. All chances
for observer bias was noted by the team.
Whenever reading of diluted sample was
greater than the control counts, the experi
menter often counted sample again, on
grounds that the first reading “must have
been wrong”. There i no need to say this
practice makes the control value Unreliable.
This practice was considered as a significant
pointer to laboratory’s disregard for stastical
principles.
The duplicate measurements in the strictly
blinded experiments were very important
because (1) They show that sampling errors
do indeed excist and are not theorotical
objections. (2) They show that the two obs
ervers were counting as accurately as could
be expected which gives no room for the
later complaints that the result of double
blinded experiments might be unreliable because
the observers had been exhausted by • the
investigators demands.
After going through one week long
investigations the team came to the following
conclus ons.
1.
The care with which the experiments rep
orted have been carried out does not
match the extraodinary character of the
claims made in their interpretation.
4
The phenomena described are not repro
ducible, but there has been no serious
investigation of the reasons for it.
3. The data lack errors of the magnitude
that would be expected and which are
unavoidable.
4 No serious attempts have been made to
eliminate systemic errors including observer
bias.
5. The climate of the laboratory is inimical
to an objective evaluation of this kind
of exceptional data i e. “A Folklore of
high dilution work prevades the laboratory’.
Based on the above obscrvaiions the team
arrived at the final conclusion that the
claims made by Benveniste and his
2.
( Cont.
friends ar® not substantial enough to be
approved as a new scientific finding.
Dr. Jacques Benveniste’s reaction to the
investigation report may be summarised as
follows: He dismissed enquiry saying that the
investigatigators were incompetent for asse
ssing such a work. He asks '‘Who with even
a slightest research background, would blotout five years of our work and- that of
five other laboratories in such grounds'’? i. ewith judgement based on the dilution series
experiments conducted hurriedly in about
five days. He accused the natures team for
not checking the data for two years even
on his requests to them repeatedly. He also
Page 2 )
of the prevailing social systems to get more acceptance, it will undermine the very
foundation of holistic alternatives itself. From this, it is clear that a dialogue on
integration of medical systems cannot be a creative one unless the various factors
which operated behind the origin of diverse medicial systems from the pre-historic
time and its current relation to the class character, mode of production, economic
and ecological factors, value systems etc.- of society are thoroughly examined. To
put it in other words, any qualitative change such as integration of medical
systems is closely related to the qualitative change in the ecological as well as the
social system as a whole. In such a change, evolution of a single scientific medical
system may be unnecessary or even unacceptable Let different systems, diff
erent methods and approaches, flourish for the welfare of living race. It can be
utilized according to the need and demand of the situation.
* STANDARDISATION AND HOMOEOPATHY *
It is high time to cosider the necessity of standardisation in different
aspects of homoeopathy so that its errors are corrected and practicablity becomes
more evident- Preserving its innateness, search for an accurate criteria of standardisation requires a very careful and tiresome work. This comprise of subjects
like examination of patient, case analysis, drug selection, adminstration, collection
of raw materials to its manufacturing and its distribution. At the same time we
shall give importance to all possibilities for progressive and continuous develop
ment of Homoeopathy. Articles, collected opinions etc. in this connexion from
readers are solicited-
5
added that they even violated the simple rule
“That refree should respect the initial expe
rimental design.’ The investigators were dealing
him and his friends as people who were
trying to hide some thing he said. He further
accused them for creating an environment inte
nse and constant suspicion, fear and psycological and intellectual pressure unfit for
scientific work He cismissed their central
objections of possibility of sampling error
stating that they had taken care to eliminate
the same.
He concluded remarking he cannot und
erstand why the very same refree who cleared
PROBLEMS
IN
the paper with raw data and statistics in
hand allowed it to publish on 30th June
tnd destroyed it on July 8th so easily spoting out the data as wrong and made up.
Last thing hiared about this was that
Benveniste refused to accept the challenge
by a popular french science magazine to
repeat experiments in controlled conditions
and to prove the result are consistant.
Thus ended another attempt and also
hopes of Homoeopaths to get scientific
vindication, perhaps for the time being.
SR 3R
HOMOEOPATHY . 1
[ Questionable statements and controversies may be there in Homoeopathic literature,
which are yet to be discovered. First of all we shall try to identify them. A regualr feature
>s begining from this issue onwards with the help of NCHS information service. We invite
articles and comment from readers in this concrn. We begin with these questions which are
connected with Homoeopathy either directly or indirectly. : Editor]
* SIX QUESTIONS *
Q. No. 1
What is health? How can we define a
healthy man and unhealthy man?
Q. No. 5
Q. No. 2 What is -cure1? What is the basic
differences betwnen cure and pall
iation? How can we differentiate
whether a patient is .cured or merely
palliated when he says that bis sym
ptoms have already subsided after
the Homoeopathic treatment?
Q. No. 3. What is permanant restoration of
health? Is it denote a state that no
more illness can be affected during
the rest of life except that by mecha
nical means?
Q. Nu, 4 Is the Homoeopathic theory of
vitas force and the vital force
theory of olden times which exi
sted till the synthesis of urea the
same? If so, can it exist today?
Q. No. 6
If not so, what is the difference
between them?
Are miasms only three in number
Or may there more be more than
three? What is the criteria to find
a solution for this problem?
Can a pathogenic organism produce
a miasm? If so, can different
organisms cause different miasms
such as T. B. miasm, smallpox
miasm, dys ntary miasm etc? If
not so, how can the Triponema
Pallidum and Neisseria Gonorrhoea
causes syphylitic and Sycotic miasm
respectively?
By
DR. K. C. SURESH BABU
6
STUDENT’S COLUMN
This regular feature
includes a qucstonaire and a short note
prepared from current literatures in
medicine and allied brancnes. Topics
relevant to Tropical countries will only
be included. For details regarding those
statements please write to NCHS info
rmation service, P. B. 4203, Cochin682 017
QUESTIONA1RE No. I
1.
An increasing breathlesseness bet
ween the 12th and 24 th week of
pregnancy is suggestive of what?
2.
In a goitre patient, concomittant
attack of flushing and diarrhoea
raise the possibility of a serious
condition. What is it?
3.
An elderly patient complained rectal
bleeding, constipation alternating
with diarrhoea, pneumaturia and
a mass in the left illiac fossa What
is your first inquiry to suspect a
carcinoma?
4.
In a patient with insufficiency of a
particular organ, deficieny of vit.
D and E will always be thereWhat is that organ?
5.
During the treatment of a partic
ular disease, plants or parts of
plants belonging to N. O. Cruciferae must totally be controlled from
the diet to facilitate the improve
ment. What is the disease? What
are commonly used food stuffs
from plants belonging to that N. O' in India?
GOUT.
SHORTNOTE No. 1
(A disease which has affected many
emminent personalities like Alexander
the Great, Louis VII and Louis XIV of
France. Queen Anne of England, John
Calvin, Martin Luther, Leonardo da
Vinci, Sir Issar Newton, Sir William
Harvey, Thomas Sydenham, Sammuel
Johnson, John Milton etc.)
Cardinal features.
1.
2,
3.
4.
5.
Increased serum urate conce
ntration.1
Recurrent arthritic attacks.
Appearance of tophy.
Renal disease (interstitial tiss
ues and blood vessels).
Uric acid nephrolithiasis.
‘
PRIMARY GOUT
It is a hereditary disoder charact
erized by over production or reduced
excretion or both, of uric acid. Depo
sition of urate crystals in the joints is
an essential feature. Primary gout is
rare in India.
SECONDARY GOUT
It is characterized by increased
turnover of nucleic acids as in leukemia
or decreased elimination of uric acid
as in renal falure.
Secondary gout is common in India
4
'
IN FLAMMATION-PAIN MECHANISM
■ :i
W
Circulating blood contaion^ uric
acid as sodium urates, in normal PH.
It does not precipitate as it ) is))con.plexed with albumin and globulin prote
ins of plasma. When the plasma gets
supersaturated with urate and passes
through the joint Jspaces) where the pH
(See Page 8)
7
Dialogue
Reinterpreting Homoeopathy
ch v subha rao
This is an article taken from the Radical journal of health Decmber 1987. The article
posserses a high significance in the present developements in Homoeopathic researches. We
wish to make this article a subjeet for active discussion among the readers. Your comments
and remarks are most welcom.
—Editor
If homoeopathy is to take its right
ful place in the health care systems of
the 21st century, it must be re-interpeted from the standpoint of dialectical
materialism. Samuel Hahnemann, the
celebrated founder of homoeopathy,
was never so dogmatic as to rule out
new interpretations. He says that natu
ral laws cannot be capitalised or kept
under the seal of human authority.
People may utilise natural laws and yet
may not be able to understand tha crux
thereof. Thus Hahnemann indirectly
admits that natural laws may be more
fully understood by future generationsHe terms as probably correct his explof the mode of action of homoeopa
thic medicines. He expressly states that
others can form their opinions in the
matter. He prepared six editions of his
magnumopus The Organon in his life
time and he was constantly innovating.
Nearly 150 years have elapsed since the
deathe of Hahnemann. It is high time
somebody reinterpreted homoeopathy
and surveyed medical science in gene
ral in the light of subsequent develop
ment in philosophy and seienceJn his book Principles and Art of
Cure by Homoeopathy, Herbert Roberts
tried to demonstrate that homoeopathy
was based on the bedrock of natural
laws. More effort on those lines is
required now In the Soveit Union,
philosophers and medical scientists are
trying to develop modern marxsit con
cepts of life, health and disease. Hah
nemann’s role in medicine may be
compared to that of Hegel in philoso
phy. Both were philosophical idealists.
The rational kernel of their teaching
was enveloped by a mystical shell. Marx
accepted Hegelian dialectics but rejected
idealism. Similary, it should be possi
ble to separate homoeopathic therape
utics from its idealist shell.
During Hahnemann’s lifetime(17551843) there were hardly any scientists
who were consciously and consisteatly
materialistic in their world-outlook. It
is, therefore- not surprising that Hahn
emann was deeply influenced by and
deeply dissatisfatied with idealist philo
sophers. He was a deist and a religious
free-thinker. He wrote: “lhe everbeneficent Godhead animating the
infinite universed wells in us also”.
He felt attracted by philosophy, but
the philosophers and their works offered
him little stisfaction. He said: “Philos
ophy is not the highest of all sciences,
it is also the basis and the fundamen
tals of all others. No science can exist
without philosophy, for without its held
it falls to the level of a handicraft or
8
at any rate of a subsidiary subject, This
is true above all of medicine” (Haehl)-
Hahnemann’s biographer Richard
Haehl says- “What particular philoso
phic system he supported is not disce
rnible from his writings or his letters.
It seems very questionable whether he
definitely accepted any special system.
He should rather be regarded as an
eclectic who se[ected from each system
the best for his own view of life and
the world. From his schooldays onwards
he had followed Descartes, Spinoza and
Leibnitz (whose systems dominated the
schools of the time) and then proceeded
to vitalism and to the naturalism of
Schelling and Hegel. He advanced bey
ond this to spiritualism and for a time
lost his way in occultism. In temperment and development, both as man
and as phystcian, he was a storng
opponent of materialism. With all; his
embhasis on scientific exactitude and
empiric certainty as the starting point
of his therapeutic reform he rejected
materialism equally as an outlook on
life and as a fundament of his new
theory: -- But, on the other jhand, he
( Students’ column, Cont.
tends to be lower on account of acidic
products from metabolic errors, urates
crystalizes out and get deposited These
crystals are swallowed by neutrophils
but they get disintegrated during the
process. The disintegrated neutrophils
liberate certain enzymes (Lysozomal)
which bring about pain and inflamma
tion of joints. The pain producing sub
stance is called ‘Kinins’.
PSEUDO GOUT
Instead of urate, if calcium pyrophoshate dihydrate (CPPD) is the mat
erial deposited in joints (mostly knee),
a state resembling gout develope which
is known as chondrocalcinosis. CPPD
present in the synova and cartilage
results in pain. This condition is called
pseudo gout, crystal synovitis or CPDD.
DIAGNOSIS
(Patients should always be examined
for evidence of tophi and an asymme.
trical chronic arthritis ) Quantitation of
urine uric acid,2 synovial fluid examin
Page 6 )
ation for crystals of monosodium uraet
(MSU). Joint radiographs after repea
ted attacks may show characteristic
changes.
HOMOEPATHIC MANAGEMENT
A low purine diet must be
advised with respect to the patient’s
preference, indigineous origin and sea
sonal availability. Nutritional status
must be maintained in a good state
when diet chart is prepared. Foods and
drinks having power to induce alkaline
urine should be given in plenty during
acute exacerbation.
THERAPEUTIC
Effecting a cure in primary gout
is a matter of dispute. In case of
secondary gout the homoeopathic rem
edy with planned diet & regimen may
be much rewarding.
1. Normal range -42 mmol,
2. Normal range up to 5, mmol.
C9
took for his own purposes the basic tho
ughts of doubt from materialism. He
took up a. definitely conscious standpo
int from facts of experience and rejec
ted every philosophic speculation which
did not agiee with the latter. For this
reason Kant was too impracticably
abstract for him and not clear enough
in his manner of presentation. Of Plato
he complains that he is only valuable
when he speaks intelligibly and expres
sively. His critcism of the philosophers
after Kant is that they wrote ‘even
more mystically’ than Kant, that they
composed too freely in fancy and that
that they had therefore not kept to the
bounds of experience” (Haehl)-
Q
For Hahnemann, theory was of
minor importance (Haehl). Engels, on
the other hand, attaches great import
ance to theory “However great one’s
contempt for all theoretical thought,
neverthtk-ss one cannot bring two
natural facts in-to relation with each
other, or understand the connection
existing between them, without theore
tical thought. The only question is
whether one’s thinking is correct or
not, and contempt of theory is eviden
tly the most certain way to think naturalistically, and therfore incorrectly.
But, according to an old and well-known
dialectical law, incorrect thinking, carried to its logical conclusion, inevitably
arrives at the opposite of its point of
departure. Hence, the empirical con
tempt for dialectics is punished by some
of the most sober empiricists being led
into the most barren of all superstitions,
into modern spiritualism” (Engels, 1982).
Let us now turn to Hahnemann’s
concept of vital force. “In the healthy
condition of man, the spiritual vital
force (autocracy) the , Dynamis .that
animates, .thei.material body (organism),
.rules with unbounded sway, and retains
.all parts, of .the organism in admirable,
.harmonious, vital operation as regards
both sensations and functions
lhe
material orgaism -without.the vital force
ii^ .capable of. np.sensation,, no function,
no self-preservation;, it,.derives all sens
ations and performs,. all the functions
of life, .solely by means: of,.the, im
material being (the yital principle) which
animates the material organismin health
and in disease” (Haehl).
On the concgpf of vital force Eng
els says: “If by this j(vital force) is meant
that the form of motion in the organic
body is different from, the mechanical,
physical, or chemical form,and contains
them all sublated in itself, t(ien it is a
very lax manner of expre^ipn, and
especially so because the forcej-presupposing transference of motion ^appears
here as something pumped into the
organism from outside, not as inherent
in it and inseparable from it, and
therefore this vital force has been the
last refuge of all supernaturalists”
(Engels, 1982). And again: “The Orga
nism is certainly the higher unity which
within itself unites mechanics, physics,
and chemistry into a whole (emphasis
original) where the trinity can no longer
be separated. In the organism, mecha
nical motion is effected directly by
physical and chemical change, in the
form of nutrition, respiration, secretion
etc, just as much as pure muscular
movement ” Thus it may be necessary
to modify or even altogether abandon
some of the concepts of Hahnemann-
All this, however, should not detr
act from the merits of homoeopathy
10
which are many and solid. The patient
is treated on the basis of ‘totality of
symptoms’. The uniqueness of each
patient is recognised. Permanent cures
are accomplished in the gentlest manner
possible. The pills are sweet and incre
dibly cheap. I he efficacy of homoeopa
thic remedies is beyond question. Indeed
allopathic treatment is said to be absol
utely necessary only in a new cases.
Homoeopathy provides prophylatics as
it did when encephaiities was taking a
heavy toll of lives of children in our
country.
We are chasing the mirage of Hea
lth for All by 2000 AD. In a rational
world there will of course be great
emphasis on prevention of disease. It
will be a non-violent, nuclear-weaponfree world. It will be free from pollu
tion. People will consume unadulterated
and uncontaminated foods free from
toxic food additives There will be
excellent sanitary arrangements. Every
one will get food, clothing and housing.
Occupational hazards will be minimised.
Consumption of narcotics, alcoholic
liquors, cigarettes etc, will be drastica
lly reduced. There will be less stress
and fewer deaths due to accidents.
Nowadays goods are being produced,
advertised and sold without the slightest
regard for their harmful effects on the
consumers. The elimination of profit
motive in production is a pre-condition
to achieve the goal of Health for All.
If the masses are the real makers
of history, it follows that the above
goal cannot be reached without a
people’s movement. In India, progress
ive forces have been demanding the
nationalisation of drug industry and
rationalisation of drug policy. They
have not met with much success. Drugs
constitute one important area of mult
inational swindling- Drug dependence
on transnational drug manufactures
and on drugs themselves must be red
uced. Right now state aid to systems
like homoeopathy, ayurveda, and unani
is just nominal. It is nobody's case
that the baby should be thrown away
along with bathwater- The dialectical
method should be applied to the facts
of medical science and health careSuch a comprehensive critique willenable us to see things in proper perspec.
tive and to assign to each system the
role it deserves. The quest for truth
and for cures must be the motive of
such an inquiry and neither passion
nor prejudice nor private profit should
be allowed to hinder it. The rcinterpre.
The editoriel board wish to convey their best regards to the following prize
winners in the competition conducted in introductory issue of the HAHNEMANNIAN
RECORDER.
1. Sheena Anine Thomas, Madathil house,
Thevalakkara P O., Quilon—690 524
2-
George Mathew, Vadakkencheril,
Nadavayal P- O-,Waynadu District
11
tation of homoeopathy will form
of such a critique.
part
Much basic research has to be done
if homoeopathy is to gain wider accep
tability For instance the mode of action
of homoeopathic remedies has not been
satisfactorily explained so far. I he
materia medica can and must be enric
hed. Potentisation of drugs can perhaps
be explained in terms of the law of
transformation of quantity. The law of
cure ‘Similibus Curantur’ may have
something to do with the law of nega
tion of negation. If sufficient funds
and talents are pumped into homoeo
pathy, it may develop into the healing
system par excellence of the future.
Bibliography
Haehl, Ruchard- iamuel Hahnemann
His Life and Works, Vol J, B Jain
Publishers, Delhi.
Engels: Dialectics of Nature, Moscow,
1982.
Ch.tV. Subha Rao
LIC City Branch I
Visakhapatnam
530 004
Efiei3.icin.al Plants used in Homoeopathy
Editorial Note: If some one is to ask us about the source of a particular medicine, most
of us find it difflcut to answer. Even if at times we are able to answer this query, it is
only vaguely. This is particularly true in case of plant medicines. Confusion exists even
regarding their identity. So to give a general information in this regard a regular feature
begins from this issue “Medicinal plants used in Homoeopathy”.
|. Chelidonium Majus Linn
We may begin with this remedy for
there is a mistaken notion among some
of us, that this is phyllanthus ni.
RURI Linn” (Kizhanelli) a commonly
used herb for jaundice in kerala- Act
ually they are different Botanically and
also in their medicinal actionPhyllanthus Niruri belongs to that
Natural order Euphorbieace from which
about 15 medicines come to our Mate
ria Medica while Chelidonium belongs
to that N. O. Papaveraceae from which
2 other medicines viz Opium and
Sangunaria Canadensis come to our
Materia medica.
Herb-Chelidonium Majus Common
names-Greater celandine,
Garden celandine, Tetter-Wort.
Division
— phanerogamia
Sub divison — angiospermia
Class
— dicotyledons
Sub class
— polypetalae
Series
—
Natural order —
Habitat
THALAM1FLORAE
papaveraceae
It is indigenous to Europe and
naturalized in U- S. A. It grows in
hedgerows, along Fences, road side,
Banks, and wastelandsDescription
It is a palegreen, evergreen Peren
nial having stems to a height of 30-100
ems (12-40 inches). It has a stout con
ical Rhizome. Leaves are round’smooth,
12
Bodily Influence,
,
c
••
I
1. Cathartic 2. Diuretic 3. Diaph
oretic 4. Expectorant 5. Purgative
6- Alterative 7- Antispasmodic on
smooth muscles,') (intestines, stomach,
biliary duct) 8- Profound action on
liver and spleen 9-tSome action on
uterus 10- Its alkaloids cause depression
in C-N-S & Paralysing effect ton
terminales of sensory nerves 11 • Slowing
of heart rate by virtue of its action on
cardiac muscle 12- Respiration is lowered
and deepenedUses Both internal & ExternalNative
A Internal
alternate, hairy, pinnate and 1.5 to 2.5
inches long. But upper leaves are lobed.
Flowers are golden-yellow in col
our usually having a hairy stalk and
4 petals. All parts exude an orange
yellow acrid Latex, when cut or Broken
which is having an offensive odour,
nauseous and bitter taste with a biting
sensation when put to the month.
(i) Used as tincture or decoction
for hepatic affections, dropsy and skin
complaints(ii) As a sedative in inflammatory
conditions of biliary duct: stomach pain
and asthma(iii) Clinically fresh extract in spas
modic conditions of liver gall bladder,
kidney and urinary bladder(R)-
Flowering occurrs from May to
October.
(iv) Malignant conditions of stomach
used in the form of tea (R)-
Collection
B- External
(i) Used to cleanse eyes of film
and cloudiness that darkened sight(mixed with braset milk)
(ii) Application in progressive spr
eading ulcers, malignant running sores
and other spreading skin conditions
such as tetters, ringworm or cancers-
Collected while flowering (May to
October) dried in shade or sunlight
Constituents.
An acrid latex containing different
alkaloids similar in structure to those
of Opium, (viz. Chelidonine, Alpha,
Beta and Gama Homochelidonine) and
saponin.
Parts Used Herb and Root
(iii)
To rub on warts (fresh latex)
(iv) In controlling malignant swelling
and skin T- B- (fresh extract) (R).
( Cont. next issue )
y-e-A
>9 67
V'kWl
£>&lA
..
.
-■
n-i
4?'
;Low Cost Drugs Page
ChHd Health—The Homoeopathic Way
(An eight page booklet is available from the
■ Department of Family Welfare, Government of India,
entitled Homoeopathic Treatment for Common Ail
ments of Infants and Children. It suggests treatments
for colic, diarrhoea, vomiting, cold and cough, sore
throat and tonsilitis, constipation, disturbed sleep,
indigestion, troubles during the dentition, pain in the
chest, loss of appetite, toothache, worms trouble,
boils and abscesses, and injuries. The treatment is to
be used, says the booklet, only as a first aid and in
case the child does not feel better after a day or two
he should be referred to the doctor. For copies of the
booklet, write to : MCH Unit, Publications Section,
Nirman Bhavan, Ministry of Health and Family Wel
fare, New Delhi 110 011. We reproduce below some
extracts.—Ed-HFM)
Homoeopathic medicine is the safest medicine and
is based on the law that medicine in very small doses
can cure a disease provided that medicine is known
to cause similar symptoms in an apparently healthy
human being. The homoeopathic medicine helps the
:patient by raising his own defences against the invad
ing organisms. The patient is helped in mobilising
inherent powers of curative reactions in the body.
Because of its ease of administration and sweet taste,
the homoeopathic medicine is most welcome by the
children. It is a common experience that these medi
cines bring about very speedy relief to children suffer
ing from diseases.
Dispensing and Storage
The medicine can be dispensed either in small
globules made up of cane sugar or in powders of
milk sugar (Lactose). This can also be dispensed in
plain drinking water. It is better to store these medi
cines in globules away from strong smelling subs
tances like camphor, menthol, etc., and they should
be stored in cool places away from exposure t<\ the
sun. Medicines stored like this can retain efficacy for
many years. The bottle should be tightly corked.
(HEALTH FOR THE MILLIONS FEBRUARY
1982
Doses
For infants 1 or 2 globules of No. 20 size is enough
for a dose. For older children up to 8, they can be
given about 4 globules a dose. In the case of adults,
6 globules will be enough. In case of combination of
tablets, dissolve 4 tablets in half a cup of lukewarm
drinking water and give one teaspoon full of this to
the infants as recommended. The paper used for dis
pensing should be clean and white.
Common Ailments
Colic Baby
Colic is one of the commonest ailments to which
a new-born child is subject to. Such colic usually
continues till the age of 3 months and colic is usually
worse towards the evening and is very annoying both
to the mother as well as to the other members of the
family.
Treatment : Give Colocynth 30, every half an hour,
till the relief is obtained.
As a preventive measure, this medicine could be
given three times a day and if there is no colic for a
week, it could bestopped. If no relief is obtained,
give the following combination alternately everyone
hour and if it is better, every two hours : Mag, Phos.
12x, Ferrum Phos12x, Nat. Mur. 12x. Silincea 12x,
Kali Phos 12x.
Vomiting
Vomiting in little children is a fairly common symp
tom. In case a child vomits soon after taking milk,
and goes to sleep after vomiting, give Aethusa 30,
every 3 hours. In case of vomiting accompanied with
diarrhoea, fever or colic, give Ipecac 30, alternately
with Arsenic—Album 30, every one hour and if better
every two hours.
Troubles During Dentition
Diarrhoea, crying, sleeplessness, irritability, etc.,
are the common conditions which are associated with
the teething in children. Give Chamomilla 30, alter
nate to Calcium Phos 6x for 7 days every two hourly.
21
If the stool is offensive followed by i."'rmal stool in
the? evening give Podophyllum 30, every two hourly
for two days.
Worms Trouble
This is one of the commonest complaints in young
children which very frequently invite medical atten
tion. The complaints are bedwetting, grinding of
teeth and occasional abdominal pain with a great
craving for sweet. Give China 30, thrice daily for
seven day.
Diarrhoea
This is another common condition which very often
invites medical attention in children. This may be
accompanied with other ailments
1. Give China 6, and Cynodon Dactyton 6x,
alternately two hourly.
2.
Give Chamomila 30, every two hours, to
children having diarrhoea during detention,
especially when the child is cranky irritable.
If the stools are :
(i)
watery, profuse,
painless, offensive;
...
(ii)
mixed with blood
and mucus;
...
(iii)
accompanied by
nausea, or vomiting;
...
(iv)
of undigested milk
...
Podophyllum 30,
and Combination
No. IV. alternately
every two hours
Merc. Sol. 30, and
Combination
No.
IV.
Arsenic—Album 30,
alternately
with
Ipecac every 2
hours.
Mag. Carb. 30,.
| hourly,
Counselling for Family Life Education
Date
: April 12th-16th, 1982
Venue
: Ashirvad 30 St. Mark's Road Cross,
Bangalore-560 001
Organisers : CREST—Centre for Research Education
Service and Training for Family Life
Promotion, 14, High Street,
Bangalore-560 005
PARTICIPANTS: Lecturers, Teachers. Social Workert
& Youth Leaders
For details write to above address
Training for Doctors
Resource Persons
VHAI is currently preparing a register of qualified
resource persons who would be available to assist
health care programmes in activity related to health
and development. At present concentration is on the
U.P. and Delhi Area. It is intended gradually to extend
this coverage if the response is good.
Any person in these or other areas of India
interested in being listed in our register may fill out
one of the information sheets being sent out or con
tact Dr. Tunnie Martin at the VHAI office for more
information.
*
22
*
»
Applications are invited from inservice Doctors
preferably from voluntary organisations for 6 weeks
intensive training in leprosy. They should be below
45 years of age and should have at least 2 years of
experience in leprosy. Four doctors will be selected
for the award every year. Besides actual first class
train fare to and fro or Rs. 500/- which ever is less,
each candidate will be paid Rs, 30 - per day as
allowance during tbe training period. Training will
be in one of the six centres selected by the Technical
Committee. They should give an undertaking to
continue working in the field of leprosy after training
at least for another 3 years. Application forms can be
had from the Hind Kusht Nivaran Sangh, 1-Red Cross
Road, New Delhi-—110 001, and the last date for
receipt of completed application forms is April 15,
1982.
health for the millions,'February
1982.
r)i-2_n
u f
COMML’NITY HEALTH CELL
47/1,(First Ftoor)St. Marks Hoad
HOI 0 HD PATH’8 VIEWS Cli DIABETES
BANGALORE -560 001
o
Diabetes mellitus is a hereditary disease.
Tendency
to diabetes is present at birth or at conception and lies
dormant for variable period^
When one or both the parents
have diabetes, the person hasntendency to get diabetes.
If
such a person receives cortisone for treatment of any
problem the diabetes comes to the airface early.
We have
found that mothers who give birth to big babies later on
develop diabetes.
Diabetes mellitus is due to deficiency of insulin
secreted by pancreas.
Beta cells of pancreas secrete insulin.
When a person takes sugar, carbohydrates etc., in the diet,
these are digested in the intestine.
The stigar from intestine
is then transferred to blood and from blood it goes to the
ce' i.s of the body which require sugar as nutrition.
This
transfer of sugar from blood to the cells takes place with the
help of insulin.
If insulin is not available as in cases of
diabetes mellitus, sugar instead of being transferred to the
cejls goes on circulating In blood and causes high blood
sugar level or diabetes.
Tn all patients who have tendency to get diabetes due
to heredity, their blood sugar should be checked regularly -
say atleast once a year for early detection.
Also in mothers
who have given birth to big babies, blood sugar should be checked
this helps in early detection of cases of diabetes.
It takes
two or three years of the disease suffering for the classical
symptoms of diabetes to develop.
Obesity is the pr edisptnsigg factor for early diabetes.
So all those also are prone fco get diabetes daould be advised
to lose weight.
fnere is a fear among people that if a person takes lot
of sweets can develop diabetes.
This is only in persons.
...2)
with heredity influence.
Otherwise, even if a person takes
one plate of sweets daily for a period of teo years also,
does not develop diabetes.
the treatment given by allopaths is some tablets,
these
tablets stimulate the pancreas to secrete i nsuj in.When that
fa-’/.'s
insulin by injections is given.
?iic air of treatment is not only to con:.ro. the bjood
sugar cut also to prevent the changes due to diabetes.
These changes are known as microangiopathy - that 1 s -
*
narrow
ng of blood vessels.
?his takes place in heart giving
a nigh risk of heart trouble.in ba blood vessels, giving high
blood pressure, or in kidney giving renal failure or in brain
may later on given rise to paralysis.
ch
*
wh
When a person is pui either on tablets or on insulin
injections, it onj.y rowers the blood sugar and keeps it under
control but Homoeopathic medicines not only control the blood
sugar but also prevent changes due to diabetes and prevent
comp,, i c ati o ns.
I! he Homoeopathic medicine stimulates the
pancreas so that its functioning becomes normal.
Unlike the
tablets, the medicine takes time to bring the bj.ood sugar
xexsI’
under control, so tne chances of patient getting attacks of
hypoglycalmia or low brood sugar are less.
Tn Homoeopathy we do not treat these cases by standard
drugs,
d’ace diabetes is a metabolic disorder, a constitutional
medicine for each patient is found out.
This is done with the
help of present symptoms and the mental symptoms and the general
symptoms of the parient.
Constitutional medic
*
nes k like Calcarea
conb, sulphur, ly ©podium etc., bring very good results.
o
Rep’ardipg diet, we restrict the intake of sugar and sweets.
The pati efit is allowed to take the remaining items.
is advised to take j.ess carbohydrates.
However, he
- 3 Walking does the sane work as insu.in.
so a patient
is advised to walk for 40 minutes.
c
Complications of diabetes:
One of the .complications is gangrene.
We nave very good
*
.med
ci nes in Homoeopathy like Aesenic ali, Lachesis etc.,
wa-’ch give good results.
Another compiic tion is the effect on kidneys where
tae iJdneyja beccr. e smaller and these cases go into renal
Homoeopathic medicines if given in t-’u.e, help<>
failure.
the remaining portion of the kidneys to take up the function
and prevent rena_ fai.ure.
The patients when under Homoeopat&t treatment are asked
to stop taking sugar completely.
Tae bjood sugar is checked
every 3 months and when four reports show norr.ai blood
sugar, the patients are allowed to take sugar with tea or
coffee.
.After another four normal reports they are then able
to take sweets also.
However, in patients above the age of
55 years, such cure may not take place.
Langs, ore,
Date:
I* 3-•
G • G. H .1. • , 1. • D •, AC •
Consultant Homoeopathic Physician
Vijaya Clin-’c , TV Cross,
Hanumanthanagar, Bangalore-560 019
DP-A <'?T"
THE PHILOSOPHY OF HOMOEOPATHY
1.
INTRODUCTION:
-
P^s^d.
Homoeopathy started as an alternative to
Allopathic medical practice in the beginning of the 19th Century.
The Allopathic modalities of treatment at that time consisted
of the use of emetics for ’bilious fevers' and stomach disor
ders, purging of mucus in abdominal complaints, venesections for
haemorrhages and blood-letting with leeches for inflammation.
The other remedies used were compounds of lead, copper, zinc,
sulphur and mercury, in addition to surgery.
Dr Samuel Hahnemann, a physician and radical thinker of
those times believed that the fundamental laws of nature were
ill understood, and set about studying disease and medicine
afresh.
His diligent records of observations and experiences led
him to propound the theories of Homoeopathy in his work - THE
ORGANON OF MEDICINE in 1810.
This went into five more editions
(1819/1824/1829/1833/ and 1842) and he gives due credit to earlier
physicians who perceived the principles he put forth in their
recordings, but left them as passing observations,
A deeply religious man, he believed that in practice,
medicine should be more humane and gentle while respecting and
following nature's ways and laws.
He laid the £>asis of all
Homoeopathic concepts with the theory of the vital force?
2.
VITAL FORCE
Hahnemann defines vital force in para 9 of the Organon as
follows:
"In the healthy condition of man, the spiritual vital
force, the dynamis that animates the material body, rules with
unbounded sway, and retains all parts of the organism in admirable
harmonious, vital operation as regards both sensations and
functions, so that our indwelling reason gifted mind can freely
employ this living, healthy instrument for the higher purposes
of our existence".
This vital force is the essence of all life, and its absence
means death.
It pervades the entire material substance of the
2
2
body without disturbing or replacing it, akin to magnetic energy
in a magnetised iron bar.
It is dynamic and constantly interacting
with the environment, while striving to maintain its equilibrium.
Each individual affection is considered an
alteration or
distunement in the vital force .
3.HOMOEOPATHY AND HEALTH
Homoeopathy is primarily a system of therapeutics.
Moral
and spiritual hygiene is considered essentid. to maintain the vital
force in a healthy state.
In para 4 of the Organon, the role
of the physician in health is given as follows - " He is likewise
a preserver of health if he knows the things that derange health
and cause disease, and hou to remove them from persons in health".
Nutrition, exercise and hygiene were, and are accepted as prevalent
in society, with advice to avoid excess and choose what an
individual is comfortable with
The vital force when deranged,
of an individual,
shows as changes in the mind
progressing to skin manifestations where the
vital force interacts with the environment.
untreated,
If suppressed or
it permeates internal organs and weakens them.
Thus
the mind and subjective sensations are of orime importance to
assess the State of health of the vital force.
4.
4.1
BASIC PRINCIPLES OF HOMOEOPATHY:
The__l.£w_of _similars:
A drug capable of producing a set of
symptoms in health is curative,
in disease with the same
set of symptoms - SIMILIA SIHILIBUS CURRNTOR.
4.2
4.3
The minimum dose required to achieve cure is to be used
A single remed^
which fits the pattern of the disease is the
best way to treat.
4.4
Theory of chronic diseases: Hahnemann perceived an underlying
taint to the vital force modify,^^.faction in health and
disease — this he called the miasm, of which he wrote of three
types - PSORA, SYPHILIS and SYCOSIS
3
3
5.
5.1
UNIQUE FEATUHES OF HOMOEOPATHY:
Hahnemann’s study of drugs (called provings)
was by giving
thsm to healthy volunteers and recording the sensory data
of their effects.
Ha found the results to be
a.
remarkably constant in various individuals,
b.
reproductible
c.
transient, leaving no long term or residual effects and
d.
manifest as Primary andSecondary affects.
Tha Primary affects (recorded as provings) were the toxic
affects of the drug9 while the Secondary effects reversed the
Primary effects and was considered the reaction of the vital
fores•Itfith dilution of a drug, the Primary effects reduced,
while the Secondary effects were accentuated, in proportion to
the dilution.
The homoeopathic aggravation of a disease is
the Primary action of a drug.
This procedure of Homoeopathic provings of action of drugs
a.
avoids recourse to the disease entity
b.
is based primarily on sensory data C'L
eliminates
c.
provides
d.
<«, „«
»
animal research models
a materia
medica which has not altered for
over 175 years for some of the earliest provings - additional
data may only be added on.
opens
e.
up a new look at medicine and disease, where there
is a constant
factor,
such that disease states are
classified in terms of medicines which cure them.
5.2
Homoeopathy holds thedeep conviction that the
internal
processes of the organism are extremely complex and
interdependent, such that any attempt at treatment must
include the whole patient and not merely ene organ or part
of the body.
Thus it holds a very holistic view of the
patient.
5.3
The principles of immunization and vaccines are basically
homoeopathic in principle, where the body is exposed to the
4
4
agent(vaccina)i which; produces a transient, less hareful state
vary similar to the actual disease, thus protecting the body
from the actual disease.
ADVANCES:
1.
Computerisation of the Materia medica has bean possible, since
it is a siaso of fixed, unaltering data.
2.
Acupuncture is being integrated with homoeopathy and an
interesting branch ’homoeD-puncture
*
3.
is evolving
Bio—energy is being measured and quantified along acupuncture
meridians using the present day sophisticated electronic
technology, and alterationssin the bio—energy is being rectified
using homoeo drugs.
4,
The concepts of chronic diseases are found to be:
a.
Psora - corresponding to deficiency states
b.
Syphilis - corresponding to states where an acute
c.
Sycosis
infection is present
- corresponding to states where
a long term
illness has left some residues
5.
In paras 2B6—288 of the Organon, Hahnemann refers to the
dynamic force present in mineral magnets, electricity,
galvanism and Animal magnetism (Mesmerism)
to be adequately
studied for their potential in altering the vital force and
hence use f->r curative purposes.
This is being explored
now.
REFERENCES:
1. Samuel Hahnemann
— Organon of Medicine
6th Edition (1842) - 1922 Reprint
2. James Tyler Kent
- Lectures on Homoeopathic Philosophy
5th Edition (1954) - 19B7 Reprint
3. Herbert A Roberts
- The Principles and Art of cure by
Homoeopathy
2nd Edition (1942) - 1981 Reprint
4. Sultan Alam M Biharl
Homoeopathy
— Unfathomed regions of
i
2nd Edition (1977)
5.
Hartls L Coniter
- Homoeopathic Medici
IPilffilffl
.przA it. q
THE PHILOSOPHY OF HOMOEOPATHY
1.
( VK •
Homoeopathy started as an alternative to
I NTRODOCT ION:
Allopathic medical practice in the beginning of the 19th Century.
The Allopathic modalities of treatment at that time consisted
of the use of emetics for
ders,
'bilious fevers'
and stomach .disor
purging, of mucus in abdominal complaints,
venesections for
haemorrhages and blood-letting with leeches for inflammation.
The other remedies used were compounds of lead,
sulphur and mercury,
copper,
zinc,
in addition to surgery.
Dr Samuel Hahnemann,
a physician and radical thinker of
those times believed that the fundamental laws of. nature were
ill understood,
and set about studying disease and medicine
His diligent records of observations and experiences led
afresh.
him to propound the theories of Homoeopathy in his work - THE
ORGANON OF MEDICINE in 1810.
This went into five more editions
(1819/1824/1829/1833/ and 1842)
and he gives due credit to earlier
physicians who perceived the principles he put forth in their
but left them as passing observations,
recordings,
A deeply religious man,
he believed that in practice,
medicine should be more humane and gentle while respecting and
following nature's ways and laws.
He laid the oasis of all
Homoeopathic concepts with the theory of the vital force-,
2.
VITAL FORCE
Hahnemann defines vital force in para 9 of the Organon as
follows:
force,
"In the healthy condition of man,
the spiritual vital
the dynamis that animates the material body,
unbounded sway,
rules with
and retains all parts of the organism in admirable,
harmonious,
vital operation as regards both sensations and
functions,
so that our indwelling reason gifted mind can freely
employ this living,
healthy instrument for the higher purposes
of our existence".
This vital force is the essence of all life, and its absence
means death.
It pervades the entire material substance of the
... .2
WAITH CSVt
CONlMtfN1TY
.. ryiarks R°a<s
2
body without disturbing or replacing it,
in a magnetised iron bar.
with the environment,
akin to magnetic energy
It is dynamic and constantly interacting
while striving to maintain its equilibrium.
Each individual affection is considered an
alteration or
distunement in the vital force .
3.HOMOEOPATHY AND HEALTH
Homoeopathy is primarily a system of therapeutics.
floral
and spiritual hygiene is considered essential to maintain the vital
force in a healthy state.
In para 4 of the Organon,
the role
of the physician in health is given as follows - " He is likewise
a preserver of health if he knows the things that derange health
and cause disease, and how to remove them from persons in health?.,
Nutrition,
exercise and
hygiene were,
and are accepted as prevalent
in society, with advice to avoid excess and choose what an
individual is comfortable with
The vital force when deranged,
of an individual,
shows as changes in the mind
progressing to skin manifestations where the
vital force interacts with the environment.
untreated,
If suppressed or
it permeates internal organs and weakens them,
Thus
the mind and subjective sensations are of prime importance to
assess the State of health of the vital force.
4.
4.1
BASIC PRINCIPLES DE HOMOEOPATHY:
The law of similars:
A drug capable of producing a set of
symptoms in health is curative,
in disease with the same
set of symptoms - SIi'lILIA Sibil LI BUS CURANTOR.
4.2
4.3
The minimum dose required to achieve cure is to be used
A single remedy
which fits the pattern of the disease is the
best way to treat.
4,4
Theory of chronic diseases: Hahnemann perceived an underlying
taint to the vital force modify'iftij.inaction in health and
disease - this he called the miasm,
types - PSORA,
of
which he wrote of three
SYPHILIS and SYCOSIS
.... 3
5.
UNIQUE FEATURES OF HOMOEOPATHY:
5 .1 Hahnemann's study of drugs (called provings)
was by giving
them to healthy volunteers and recording the sensory data
of their effects.
a.
He found the results to be
remarkably constant in various individuals,
b.
reproductible
c.
transient,
d.
manifest as Primary andSecondary effects.
leaving no long term or residual effects and
The Primary effects (recorded as provings) were the toxic
effects of the drug,
while the Secondary effects reversed the
Primary effects and was considered the reaction of the vital
forcea With dilution of a drug,
the Primary effects reduced,
while the Secondary effects were accentuated,
in proportion to
The homoeopathic aggravation of a disease is'
the dilution.
•,thf; Primary action of a drug.
This procedure of Homoeopathic provings of action of drugs
a.
avoids recourse to the disease entity
b.
is based primarily on sensory data C~'
eliminates
c.
*/-vcc
y
i rj V
animal research models
a materia
provides
d.
fi • . /-(. U.b
medica which has not altered for
over 175 years for some of the earliest provings - additional
■data may only be added on.
opens
e.
up a new. look at medicine and disease,
is a constant
factor,
where there
such that disease states are
classified in terms of medicines which cure them.
5 .2 Homoeopathy holds the deep conviction that the
internal
processes of the organism are extremely complex and
interdependent,
such that any attempt at treatment must
include the whole patient and not merely ane organ or part
of the body.
Thus it holds a very holistic view of the
patient.
5 .3 The principles of immunization and vaccines are basically
homoeopathic in principle, where the body is exposed to the
4
4
agent (vaccine) which produces a transient,
less harmful state
very similar to the actual disease, thus protecting the body
from the actual disease,
ADVANCES:
1.
Computerisation of the Materia medica has been possible,
it is a mass of fixed,
2.
Acupuncture is being integrated with homoeopathy and an
interesting branch
3.
since
unaltering data.
'homoeo-puncture'
is evolving
Bio-energy is being measured and quantified along acupuncture
meridians using the present day sophisticated electronic
technology,
and alterationncin the bio-energy is being rectified
using homoeo drugs.
4.
The concepts of chronic diseases are found to be:
a.
Psora - corresponding to deficiency states
b.
Syphilis - corresponding to states where an acute
c.
Sycosis
infection is present
- corresponding to states where a long term
illness has left some residues
5.
In paras 286-288 of the Organon, Hahnemann refers to the
dynamic force present in mineral magnets,
galvanism and Animal magnetism (Mesmerism)
electricity,
to be adequately
studied for their potential in altering the vital force and
hence use for curative purposes.
This is being explored
now.
REFERENCES:
1. Samuel Hahnemann
- Organon of Medicine
6th Edition (1842) - 1922 Reprint
2. James Tyler Kent
- Lectures on Homoeopathic Philosophy
5th Edition (1954) - 1987 Reprint
3. Herbert A Roberts
- The Principles and Art of cure by
Homoeopathy
2nd Edition (1942) - 1981 Reprint
4.
Sultan Alam M Bihari
5. Harris L Coniter
- Unfathomed regions of Homoeopathy
2nd Edition (1977)
- Homoeopathic Medicine (1972)
Cki - fl
"
-£>P-A 11-6
Homoeopathy
I
Introduction
Homoeopathy is a system of treatment by which diseases are cured by drugs which produce
effects on the body similar to the signs and symptoms of diseases.
Minute doses of homoeopathic medicines mobilize the inherent mechanisms of the body
against the influence of disease producing organisms and various types of other human sickness
This, therefore, results in rapid, gentle and permanent restoration of health. Since the doses of
homoeopathic medicines used are very small, there arc practically no side-effects. With the aid of
homoeopathic medicines, many cases of common ailments can be managed successfully and serious
cases can be greatly helped before the arrival of proper professional help. Homoeopathic treatment
does not conflict with surgery, physical therapy or other non- medical measures.
17.1
Preparation, handling and storage of homoeopathic medicines
The "Homoeopathic-kit" contains all the important and commonly used medicine- winch one
may need to treat common ailments. While giving the medicine to a patient, the name and pwenev ol
the drug should be noted carefully. Extreme care is needed in handling and storage of homoeopathic
medicines The xials containing the medicines should be tightly corked. 1 hey should always be put
back in the kit-box which should be kept closed and in a cool, dry and preferably in a shaded place.
No other strong smelling things like camphor, menthol essences, scents, etc., should be kept nearbv
as these may destroy the action of homoeopathic medicines and mal e them inert If carefully -tore-1
and handled, the homeopathic medicines will not deteriorate and will keep (heir power lot a lone
time
17.2
Administration of medicines
The medicines may either be administered dry. by placing them upon the tongue, or dissolved
in water.
In most cases. 5 to 8 globules should be placed dry on the tongue Eor children 2 to 4;globuleand for infants 1 to 2 globules will be sufheient for a dose If the tongue is dry . add a few drops of
drinking water. Even new-born babies are able to swallow this. In the case of Combination
Tablets, give 4 tablets with a small amount of warm drinking water to adults In children and infants.
dissolve 4 tablets in half a cup of warm, drinking waler and give one teaspoon of thi- Avoid undue
handling and touching the medicine. The drug should be taken from the bottle on to a piece of clean
paper.
Where repeated doses of the medicine at short interval- are required, the appropriate reinedx
should be administered in solution in water. Eor this purpose take a clean tea cup and rinse n with
water, bill it half full of drinking waler, put 5 to 8 globule- of medicine into the water, mix it
thoroughly by stirring with a clean spoon. Keep the tumbler containing the medicine well covered
with a clean saucer in a cool place, free of odours of any kind. \\ hen thus prepared, a dessertspoonful
to adult-, or a teaspoonfill to children and infants may be given at a time
The more active or virulent the disease, the more frequently mu-i the rcmedv be repeated In
acute condition- like severe pain, troublesome cough, diarrhoea or vomiting, the medicine inav have
to be repeated a- often as every 10 to 15 minutes until the patient gets relief from the pain, or the
vomiting ceases, or the diarrhoea stop.-, or the cough get.- easier and the patient goe- to sleep With
relief of symptoms, the patient wilt have a sense of well being These reactions will -how that th173
medicine is doing it- work.
17.4
Regimen during homoeopathic treatment
The patient should partake of light, digestible and nourishing food. In lever- onlv the lighle-t
COMMUNITY HEALTH CELL
47/1,(First Floor)St. Marksjtoad
BANGAL03E - SuO 001
17.2
MANUAL FOR COMMUNITY HEALTH WORKER
and simplest kinds of foods are proper. Both mental and physical rest arc most essential.
While taking homoeopathic remedies the patient should be careful to refrain from taking
other medicines. Certain articles of diet are forbidden such as strong coffee or excessive spices. The
patient should also abstain from tobacco and alcoholic drinks.
175 Referral & records
Refer your cases as necessary to the Health Worker. Subcentre or Primary Health Centre in
good time according to the instructions given under each ailment. Whenever in doubt about the
disease or its treatment, contact the Health Worker attached to your Subcentre or Primary Health
Centre.
Keep a record of the treatment given to each patient. Refer cases to the Health Worker or to
the Subcentre or Primary Health Centre as necessary with their records
17.6
Homoeopathic treatment for common ailments
17.6.1 Fever
Fever is a common condition and is generally accompanied by other signs and symptoms such
as headache, bodyache, shivering, running of the nose, sore throat, nausea, vomiting, diarrhoea, or
skin rash. Proceed as follows:
1, Ask the patient to remain in bed.
2. Tell the patient to drink plenty of fluids.
3. At the onset of fever give Aconite 6X and Combination No. 1 tablets alternately every' one
hour: if better, two hourly.
4. If the fever is accompanied by sore throat, earache, cough, bodyache, or running of the
nose give Belladonna 6 and Merc bin iodide 6 alternately every two hours.
5. If the fever does not subside, give Baptisia 3X. two hourly till such time that he is assisted
by the Subcentre or Primary Health Centre.
6. Refer to the Subcentre if:
(/) The fever does not come down within two days
(n) The fever is accompanied by stiff neck, convulsions, unconciousness or vomiting.
17.6.2 Headache
Like fever, headache can also be accompanied by other signs and symptoms such as fever.
rash, earache, running of the nose, sore throat, or vomiting. Proceed as follows:
1. Give Mellilotus 30 and Combination No. II tablets alternately every two hours for two
days.
2. Treat the other symptoms accompanying the headache as follows:
Headache accompanied by
(i) Fever
(ii) Sore throat
(iii) Cold and Cough
(iv) Earache
Aconite 6X and Combination No. 11 tablets alter
nately every two hours.
Belladonna 6 and Merc bin iodide 6 alternately
every two hours.
Bryonia Alba 30 and Combination No. 1 tablets
alternately every two hours.
Belladonna 30 and Combination No. 11 tablets
alternately every two hours.
Refer the patient to the Subcentre if:
(i)
The headache is accompanied by stilf neck
(17) The patient is pregnant
(Hi) The headache is accompanied by fever and there is no relief even after two days.
17.3
HOMOEOPATHY
17.63 Backache
Proceed as follows:
1. Bed rest
2. Treatment:
(i) If backache is due to injury
Arnica 200every’ two hours.
(i7) If backache is accompanied by joint pain and
the pain is felt more with the least movement
Bryonia 30 and Combination No. Ill tablets
alternately every two hours.
(177) If the backache is accompanied by joint pain
and if the pain is relieved by movement
Rhustox 30 and Combination No. Ill tablets
alternately every two hours.
3.
Refer the patient to the Subcentre if the backache persists for more than three days or if
there is any restriction in movement.
17.6.4
Joint pains
Proceed as follows:
1.
Bed rest
2.
Apply heat to the joint by means of a hot water bottle or hot sand or by wrapping the joint
with a cloth soaked in hot water and wrung out.
3.
Treatment:
(!) If joint pain is more on the least move
ment
(n) Ifjoint pain is better by movement
(Hi) Ifjoint pain is accompanied with fever and
the joint is red. hot. swollen and painful to
touch
4.
Bryonia 30 and Combination No. Ill tablets
alternately every two hours.
Rhustox 30 and Combination No. Ill tablets
alternately every two hours.
Belladonna 30 and Combination No. Ill tablets
alternately every two hours.
Refer the patient to the Subcentre
(/) If the patient is a child with pain in several joints and fever
(17) If there is no improvement after 3 days of treatment.
17.6.5
Diarrhoea
Proceed as follows:
1. Give plenty of fluids to drink
2. Give soft diet like banana, buttermilk, arrowroot conjee, and rice gruel.
3. If there are signs of dehydration, i.e., sunken eyes, dry mouth, or wrinkled skin, give
rehydration mixture, orfollow the instructions given in Chapter 11, Section 11.1.5.
4. ’ Give China 6 and Cynodon Dactylon 6X alternately two hourly.
5. Give Chanjomilla 30 every two hours in children having diarrhoea during dentition when
the child is cranky and irritable.
6. Treatment:
If the stools are:
(t) Watery, profuse, painless, offensive
Podophyllum 30 and Combination No. Il' alter
nately every two hours.
(17) Mixed with blood and mucus
Mere Sol 30 and Combination No. IV alternately
every two hours.
(177) Accompanied by nausea, vomiting or dehy
dration
Arsenic Album 30 and Ipecac 30 alternately every
two hours.
17.4
MANUAL LOR COMMUNITY HEALTH WORKER
7.
Refer the patient to the Subcenlre if:
(/) There are signs of dehydration
(i7) T here is no improvement within two days.
17.6.6 Cold
Proceed as follows:
1 Give Arsenic Album 6 and Combination No. 1 tablets every two hours lor four days.
2. Refer the patient to the Subcentre if the cold does not subside after 4 da vs of treatment.
17.6.7 Cough
Proceed as follows:
I. Treatment:
(1) Dry cough accompanied by fever
______________ __________
Belladonna 30 and Merc Sol 30 alternately every
two hours for 3 days.
Arsenic Album 6 and Ipecac 30 alternately every
two hours for 3 days.
(17) Loose cough
________
2. Refer the patient to the Subcentre:
(/) If the cough docs not subside
(17) If the cough is accompanied by fever and chest pain.
17.6.8 Vomiting
Vomiting may occur alone or it may be accompanied by pain in the abdomen, diarrhoea or
fever. In women it may occur during pregnancy.
Proceed as follows:
1. Give a milk diet
2. If there arc signs of dehydration, give rehydralion mixture or as suggested in Chapter 1 1.
Section 11.1.5.
3. Give Ipecac 30 and Arsenic Album 30 alternately every one hour and if belter, every 2
hours.
4. Refer the patient to the Subcentre:
(/) If the vomit contains blood
(17) If the patient is dehydrated
(Hi) If the patient is unable to retain anything
(iv) If there is no improvement within two days.
17.6.9 Pain in the abdomen
Pain in the abdomen can also occur with other signs and symptoms like nausea, vomiting.
diarrhoea or constipation.
Proceed as follows:
1. Advise milk and a soft diet.
2. Treatment:
Pain in abdomen associated with
(7) No symptoms
(71) Diarrhoea
(i7i) Constipation
(/>•) Nausea and vomiting
(v) Passing worms
(vi) Fever
Colocynth 30 and Combination No. I' tablets
alternately every two hours.
China (i and Cvnodon dactylon (>\ .dtcrnatelv
every two hours.
Nits Vomica 30 and Combination No. I alternate
ly every two hours.
Ipecac 30 and Arsenic Album 30 alternately every
two hours.
Cina 30 every two hours.
Belladonna 30 every two hours.
OCfc
HOMOEOPATHY
3.
<■ '.G3,:
17.5
Refer to the Subeenire:
(z) li the pain does not subside within 24 hours
(zz) II there are signs of shock
(zz'z) li the patient is pregnant.
17.6.10 Indigestion
Proceed as follows:
I. treatment:
Indigestion
(/) With heaviness and belching
(zz) Due to rich, greasy food
(zzz) Due to spicy food
(zv) With nausea orvomiling
(r) With diarrhoea
(iv) In children during dentition
Carbo Veg 30 and Combination No. XI1 alternate
ly every two hours
Pulsatilla 30 and Combination So. XII Tablets
alternately every two hours.
A’zz.v Vomica 30 every two hours.
Ipecac 30 and Arsenic A /burn 30.
China 6 and Cynodon Dactylon 6 X alternately
every two hours.
Chamomilla 30 and Combination No. VI alternate
ly every iwo hours.
2. Refer the patient to lhe Subeenire if there is no improvement within two days.
17.6.11 Constipation
Constipation may also be accompanied by pain in the abdomen, nausea and vomiting.
Proceed as follows:
I Advise the patient to drink plenty of water
2. Advise the patient to eat plenty of fresh fruits and green leafy vegetables.
3. Treatment:
Constipation
(i) Of long standing
(zz) Of recent origin
4.
(zz) Sulphur 30 in the morning and A'zz.r Vomica
30 in the evening for seven days.
(/>) Combination So. 17/thrice a day.
Cascara Sagrada Q. 4 to 6 drops in half a cup
of water, one teaspoon every three hours for
two days.
Refer the patient to the Subcentre if lhe patient is vomiting and has severe pain in the
abdomen accompanied by fever.
17.6.12 Earache
Earache may be accompanied by running of the nose, sore throat, discharge from the ear.
dizziness, disturbances of hearing, or fever.
Proceed as follows:
1. Treatment:
Earache:
(z) With fever
(zz) With catarrh, sore throat.
but without fever
Belladonna 30 and Merc Sol 30 every hour: if
severe pain then half hourly.
Merc Sol 30 and Combination So. I'll I tablets
alternately every two hours.
17.6
MANUAL FOR COMMUNITY HEALTH WORKER
2.
Refer the patient to the Subcentre:
(i) If the pain does not subside within 24 hours
(ii) If there is a foreign body in the ear
(Hi) If the patient has dizziness or disturbances of hearing
(iv) If the fever does not subside and pain is more severe.
17.6.13 Sore eyes
Treat the patient as follows:
1. Clean the eyes with boiled, coded water and cotton wool. Use separate cotton wool for
each eye. Clean the eye from the inner to the outer end.
2. Drop Euphrasia eye drops inside the lower eyelid. Repeat three times a day. Or use eye
drops as in Chapter 11. Section 11.1.11.
3. Give Belladonna 30 and Euphrasia 30 alternately every two hours.
4. Keep the patient away from bright lights and dust.
5. Refer the patient-to the Subcentre:
(i) If there is an eye injury' ora foreign body in the eye
(it) If there is no improvement within 24 hours after the treatment
(Hi) If the child with sore eyes lias measles.
17.6.14 Toothache
Toothache may be accompanied by fever, swelling and redness of the gums, or by decay of the
tooth.
Proceed as follows:
1. Add two drops of Kreosote Q in half a cup of water. Use this solution as a gargle. Repeat
as necessary.
2. With cotton wool on a match stick apply Kreosole Q on the decayed tooth. Repeat as
nectssary.
3. Treatment:
(
Toothache
(i) Without fever
(n) With fever and swelling of the gums or
if painful to touch
4.
Staphysagria 200 and Combination No. IX alter
nately every tw'o hours.
Belladonna 30 and Merc Sol 30 alternately every
two hours.
Refer the patient to the Subcentre:
(/) If the pain does not subside within two days
(ii) If the swelling increases or the fever does not subside.
(Hi) For further treatment in cases of a decayed tooth, or swelling and redness of the
gums.
17.6.15 Boils and Abscesses
These are skin infections seen most frequently in children who are not kept clean. If neglected.
a boil develops into an abscess which contains pus. This has to be removed.
1. Treatment:
(i) In early stages of boils
Belladonna 30 and Merc Sol 30 alternately everv
two hours.
Arnica 200 and Combination No. XIII tablets
(ii) Very painful to touch
alternately every two hours.
(Hi) If the abscess is formed and is
painful
Hepar Sulph 30 every two hours.
<
HOMOEOPATHY
2.
17.7
Refer the patient:
(0 If there are red streaks running beyond the area of the boil and the part becomes
painful to touch
(//) If the abscess is formed
(iii) If there is no relief after two days of treatment.
17.6.16 Ulcers
Proceed as follows:
I. Clean the ulcer with boiled, cooled water and cotton w'ool.
2 Dry it with clean cotton wool.
3. Apply Calendula ointment.
4. Apply a clean dressing and keep in place with a bandage or adhesive plaster.
5. Give Merc Sol 30 and Combination No. X tablets alternately every two hours.
6. If there is no rebel, change the dressing as necessary, and give Hepar Stdph 30 and
Combination No. X tablets every two hours for one week.
7. Refer the patient to the Subcentre:
(/) If there is fever
(ii) If the patient has several ulcers and gels tired easily or eats and drinks water
excessively.
17.6.17 Scabies
Proceed as follows:
1 Ask the patient to bathe the part with soap and water.
2. Clean the part with cotton wool.
3. Apply Calendula ointment. Repeat twice daily. (See also Chapter 11. Section 11.1. D
No. I).
4. Ask the patient to put on clean clothes and change the clothes daily.
5. Ask the patient to boil the clothes and the bedding with soap or washing soda Dry' them
in the sun.
6. Give Merc Sol 6 and Combination No. XI tablets alternately every four hours for seven
days.
7. Refer the patient to the Subcentre if there is no improvement.
17.6.18 Ringworm
Proceed as follows:
1. Bathe with water and soap.
2. Dry with cotton swabs.
3. Apply Calendula ointment. Repeal as necessary.
4. Give Sepia 6 and Combination No. XI tablets alternately every' three hours for seven days.
5. Refer the patient to the Subcentre if there is no improvement.
17.6.19 Burns and Scalds
Proceed as follows:
1. Cases where skin is intact or only partially destroyed
(/) Wash with running water.
(ii) Apply Cantharis ointment.
(Hi) Dress with gauze. Keep the gauze in position with a loose bandage and adhesive.tape.
(tv) Make the patient drink plenty of fluids.
(v) Give Cantharis 30 and Urtica Urens 3X alternately every hour.
2. Cases where skin is completely destroyed
Thelburnt area looks raw', there is severe pain andthe patient may go into shock'In suel leases
treat as follows:
(i) Cover the affected area with a clean sheet or piece of cloth.
(ti) Make the patient drink plenty of fluid.
17.8
MANUAL IOK COMMUNITY HEALTH WORKER
(Hi) Give Cantharis 30. Urlica Urens 3X alternately every ten minutes. Kush the patient to
the Primary Health Centre.
17.6.20 Wounds
.A wound may be a .simple grazed skin, a skin cut by a knife or other sharp cutting instrument.
a torn skin, or a punctured skin.
Proceed as follows:
1.
Simple grazed wound: Wash the wound with clean waler and cotton wool and dry with
cotton wool. Apply Calendula ointment, dress the wound and bandage.
Give Calendula 30 and A mica 200 alternately every two hours for two days.
2.
Cuts:
(a) If the cut is small
(i) Slop the bleeding by using direct pressure.
(ii) Wash the wound with water, then dry it with cotton wool.
(Hi) Apply Calendula ointment.
lie) Dress the wound and bandage it.
(v) Give Arnica 200 every two hours lor two days.
(iv) Dress the wound daily as necessary.
(/>) If the cut is big
(/) Stop the bleeding by direct pressure. If bleeding still continues, apply a tourniquet.
(ii) Give Arnica 200 every 5 minutes.
(ini Rush to the hospital.
3.
Torn skin:
(n) II the skin is torn
(i) Remove as much dirt or foreign matter as possible.
(ii) Wash the wound with soap and water.
(in) Dry with cotton wool.
(it’) Apply Calendula ointment
(v) Dress the wound with a clean bandage.
(tv) Give Arnica 200 every half an hour.
(/>) If the wound is gaping
(i) Bring the edges together by using strips of adhesive tape.
(ii) Give Arnica 200 and Calendula 30 alternately every' 20 minutes.
(hi) Rush the patient to the Primary Health Centre.
4.
Punctured wound:
(a) If the wound is small
(i) Stop the bleeding by direct pressure.
(ii) Wash the wound with waler.
(in) .Dress with Calendula ointment.
(ir) Give Arnica 200 and Ledum 30 alternately every 15 minutes.
(/>) If the wound is big and is bleeding profusely or the wound is in the abdomen or chest
and is deep
(i) Stop the bleeding by direct pressure or by applying a tourniquet.
(ii) Give Arnica 200 every 10 minutes.
(iiil Rush the patient to the Primary Health Centre.
17.6.21 Sprains
Proceed as follows:
I Gise rest and support to the injured joint.
HOMOEOPATHY
17.9
2. Apply a cold compress.
3. Apply Arnica mother tincture.
4. Bandage the joint firmly.
5. Give Rhustox 30 and Arnica 200 alternately every two hours.
6. Rush the patient to the Primary Health Centre
All cases of fractures and dislocations should immediately be referred to the Primary Health
Centre (refer to Chapter 10).
17.6.22 Dog bite
Proceed as follows:
1. Clean the wound with soap and water.
2. Apply Calendula Ointment.
3. Dress the wound and applya clean bandage.
4. Give Ledum 6 and Hydrophobinum 30 alternately every two hours.
5. Refer to the Primary Health Centre.
17.6.23 Scorpion sting and Insect sting
Proceed as follows:
I. Apply a cold compress.
2. Apply Echinacea ointment locally.
3. Give Apis Mel 6 and Ledum 6 alternately every two hours.
4. Refer the patient to the Health Worker or the Primary Health Centre:
(/) If the pain does not subside
(it) If the patient is in shock
(Hi) For further treatment.
17.6.24 Snakebite
Treat the patient as mentioned in Chapter 10.Section 10.1.4.
17.6.25 Lice
Proceed as follows:
1. Wash the hair with soap and warm waler daily.
2. Give Carbolic Acid 6 and Psorinum 30 alternately every 4 hours for 7 days.
3. Repeat the treatment as necessary.
Note: See Appendix 17.1: Homoeopathic Medicines and Appendix 17.2: Guide for the Use
and Administration of Homoeopathic Drugs for External Use.
17.10
MANUAL FOR COMMUNITY HEALTH WORKER
APPENDIX 17.1
Homoeopathic Medicines to be Carried by
Community Health Worker
For internal use:
5. A o.
Drugs
PiUcnc r
•V ,V„.
Drugs
Poicnc r
1
Aconite
Apis mel
Arnica
Arsenic album
Baptisia
Belladonna
Bryonia alba
Calendula
Cantharis
Carbolic acid
Carbo veg
Cascara sagrada
Chamomilla
China
Colocynth
Cynodon dactylon
Euphrasia
6
6
200
6.30
3x
6,30
30
30
30
6
30
Q
30
6
30
6x
30
18.
19.
20.
21.
22
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
Hepar sulph
Hydrophobinum
Ipecac
Ledum
Mellilotus
Merc bin iodide
Merc sol
Nux vom
Podophyllum
Psorinum
Pulsatilla
Rhustox
Staphisagria
Sepia
Sulphur
Urtica urens
30
30
30
6. 30
30
6. 30
6. 30
30
30
30
30
30
250
6
30
3x
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
Tissue remedics-combination (ablets
S.No.
Tablets
1.
Ferrum Phos 3x, Kali Mur-3x. Kali Sulph 3x, Nat Sulph 3x, Nat Mur 6x.
II.
Ferrum Phos 3x, Kali Phos 3x, Mag Phos 3x, Nat Mur 6x.
Ill-
Ferrum Phos 3x, Mag Phos 3x, Kali Sulph 3x, Nat Sulph 3x
IV.
Cal Phos 3x, Ferrum Phos 3x, Kali Phos 3x, Kali Mur 3x, Mag Phos 3x.
V.
Ferrum Phos 3x, Mag Phos 3x, Cal Phos 3x, Nat Sulph 3x.
VI.
Cal Phos 3x, Ferrum Phos 3x.
VII.
Cal fluor 3x, Kali Mur 3x. Silicea 6x, Nat Mur 6x.
VIII.
Kali Mur 6x. Mag Pho.s3x. Ferrum Phos3x.
IX.
Ferrum Phos 3x, Mag Phos 3x, Cal Phos 6x.
X.
Cal Phos 6x, Cal Sulph 3x. Kali Sulph 3x. Nat Mur 6x. Nat Sulph 3x.
XI.
Cal flour 6x. Cal Sulph 3x, Kali Sulph 3x. Nat Mur 6x, Nat Sulph 3x.
XII.
Mag Phos 3x, Kali Mur 3x, Nat Phos3x.
XI11.
Silicea 3x. Cal. Sulph 3x, Ferrum Phos 3x.
For external use;
S.No.
Drugs
1.
Arnica
external
2.
Calendula
ointment
ointment
Use
3.
Cantharis
4.-
Echinacea
external
5.
Euphrasia
eye drops
6.
Kreosote
external
Cipla
|milestones«B
LOUIS PASTEUR
ouis Pasteur was born in
Dole, Jura, in 1822, He
was the son of a tanner
who had been an army sergeant
during the Napoleanic wars.
Pasteur was a somewhat slow
and methodical youth but he
showed considerable talent as
an artist. He received his
Bachelor of Science degree in
1842. In 1843, he was admitted
to the Ecole Normale and was
appointed as laboratory assis
tant to A.J. Balard. the chemist.
L
0
10
Louis Pasteur was one i
of the most brilliant
scientists of his time. His i
research work in the
field of bacteriology has
proved to be of immense
use to mankind. His
work on fermentation of
wine and alcohol is still
used today and has
perpetuated his name
with the term
“pasteurisation”. His
contribution to the silk
industry, and the
isolation of the anthrax
bacillus were other
milestones in his career.
That rabies was
transmitted by rabid
dogs due to presence of a
virus in their nervous
system was another
discovery by this
scientist. Louis Pasteur
will be remembered
eternally for his
remarkable discoveries,
his vision and his forceful
personality and as a
scientist who proved the
germ theory of
bacteriology.
His scientific abilities became
apparent during his student
days. Thus commenced a sys
tematic and strenuous research
devoted to the solution of one
problem after another, the re
sults of which proved to be of
immense use to mankind. He
studied diseases of wine, in
sects, domestic animals and of
man and even suggested a re
medy for them.
His research work started
with the study of crystals of tar
taric acid. He found the crystals
showed faces that were inclined
MARCH-APRIL 1990
LOUIS PASTEW
A life sketch.
to the right while those of para
tartaric acid showed some faces
inclined to the right and left.
Separating the two types, he
proved that a solution of “right
faced” crystals rotated pola
rised light to the right and a
solution of “left faced” crystals
rotated light to the left and a
mixture of the two were inac
tive. This discovery was re
ported at the Academie des Sci
ences, and the young man of 26
was highly praised for his re
markable work.
PASTEUR’S WORK ON
FERMENTATION
asteur’s first study on bac
teria came about when he
studied the process of fer
mentation. Hestudied alcoholic
fermentation and lactic fermen
tation in sour milk. He said that
fermentation is caused by mi
nute organisms and that when
it does not occur, these orga
nisms either have not been in
troduced or find it impossible
to live. The process of fermenta
tion was hastened on exposure
to air. To this he stated that
“there were minute organisms
in the air which hastened this
process. An infusion which was
exposed to air would putrefy
whereas if the same infusion
was
covered,
putrefaction
would not occur.”
He showed that parasitic
growths in wine could make it
sour and unpalatable. Pleating
the wine to 50-60° C destroyed
these growths and made it palat
able. This process has since
been extended to other fields
and has perpetuated his name
with the term “pasteurisation"
ons” in “damp mulberry
leaves.” Hence proper feeding,
he said would be the best way
to eradicate the infection.
Pasteur isolated the anthrax
bacillus, the causative organism
in anthrax which infected sheep
in large numbers killing flock
after flock. He demonstrated
that if the bacillus is attenuated
by growing the organisms at
42° C and then injected into the
infected sheep, further fatalities
were prevented.
That rabies was transmitted
by rabid dogs due to presence
of a virus in their nervous sys
tem was another discovery by
Pasteur. He isolated and at
tenuated this virus and inocu
lated the same into normal dogs.
These dogs did not develop the
disease. His first human patient
was Joseph Meister who re
sponded very well to the anti-
Lowering the pressure
is now as easy as deflating the cuff
OTHER MILESTONES
asteur saved the silk in
dustry from disaster when
he demonstrated the
cause of an epidemic which de
stroyed the silk worms. He de
monstrated that the disease was
transmitted by certain “vibri-
rabic vaccine. The success of
this first case spread like wild
fire and people came from far
and near to receive the treat
ment.
An establishment was foun
ded in Paris by the Academie
des Paris and was called the Institut Pasteur. A sum of 2,500,000
francs were raised for this pur
pose. The list of contributors in
cluded the Czar of Russia, the
Emperor of Brazil and the Sul
tan of Turkey. The Pasteur insti
tute was dedicated at a simple
ceremony in 1888.
By the time Pasteur was ill
and weary and hence was never
able to take up work in the new
laboratories. In 1892 on his
seventieth birthday, a great in-^h
ternational celebration was
held in Paris. He visited the in
stitute for the last time in June,
1895, and in September of that
year, died quietly one hand
clasping a crurifix the other
hand of his wife.
During his lifetime, Pasteur re
ceived all the honours that
France could bestow. These in
cluded membership in the Aca
demie des Sciences (1862, the
Academie et Medicine (1873),
the Academie Francaise (1862)
and the Grand Cross of the Leg
ion of Honour. Pasteur believed
that the domain of religion and
science “are distinct, and woe
to him who tries to let them tres
pass on each other in the so imperfect state of human knowledge.”
P
Cipla
0
4^
IN THIS ISSUE
CURRENT
medical
scene
g.ciplaIlWWMmfflE
Reg No 43864 86 Registered with the Registrar of Newspapers for India
Vol.5. No.2 MARCH-APRIL 1990
LIU
’NTS
A gift from live donors
rgan transplants repre
sent a major advance in
man’s combat against
disease. Doctors have taken kid
neys from live donors since the
1950’s because the human body
needs only one of its kidney to
survive. A few surgeons have
also removed sections of the
pancreas from live donors to
treat diabetics. Liver transplant
is the most recent and perhaps
the most interesting develop
ment in this field. Since no one
can survive without a liver, sur
geons were dependent on cada
vers with healthy livers. Now,
live liver transplants promise to
ease critical situations arising
due to shortage of organs. It has
become a promising approach
for patients whose liver disease
is
progressive,
life
threatening and beyond the
reach of traditional therapy.
O
transplant cases). The mother’s
liver is expected to return to
normal size within a month
while the infant’s new liver
would grow with the child.
INSIGHTS INTO LIVER
REGENERATION
he liver is known to have
a greater capacity to re
generate after severe loss
than any other organ in hu
mans.It has been shown in ex
periments that even if threequarters of the liver is removed
the organ quickly grows back to
normal size. Then in an equally
mysterious way - the growth
stops. Both these qualities - the
ability to regenerate and the
timely hall of the extra growth
- has made successful liver
transplants from live donors
possible.
This has led to further explo
ration of the concept by scien
tists. They intend to grow the
liver cells on a scaffolding of
biodegradable material and im
plant this in the patient. Cellu
lar growth factors that act on the
liver or promote the formation
of blood vessels would be incor
porated in the transplant to help
the cells grow. The scaffolding
would gradually disappear.
THE FIRST LIVER
TRANSPLANT
The first liver transplant
using a living donor was suc
cessfully performed recently, in
the United States. A third of a
woman’s liver was transplanted
on her infant who was suffering
from a liver disease called
biliary atresia. There have been
no signs of rejection, and both
the donor and recipient appear
to be recovering well.
The operation involved seve
ral distinct steps. Surgeons first
tied off the blood vessels to the
mother’s liver and removed her
gall bladder which hampered
their access. The left lobe of the
liver was excised and immersed
in a chilled preserving solution.
While some members of the
team trimmed the tissue to fit
the infant, others removed the
little girl’s own diseased liver.
Then, painstakingly, blood ves
sels were attached to the new
liver and a new bile duct was
created using a part of the
child's small intestine. Further
surgery was required in the in
fant to stop the bleeding from
the new liver (not unusual in
PAGE
HOMOEOPATHY
2
MYOCARDIAL
SCINTIGRAPHY
3
ANKYLOSING SPONDYLITIS 4
DYSPEPSIA
5
BLOOD EOSINOPHIL
COUNTS
6
MILESTONES
7
SPECTRUM
8
3uc;...->tui liver transplants from live donors is a recent
akthrough in organ transplant surgery. Such transplants.
only small parts of the liver from live donors have been
ibit because of the amazing property of (he liver to rebuild
:if. This capacity for controlled regeneration opens up the
i tility of trani planting only liver cell
COMMUNITY HEALTH CELL
4?/i,(First Hoorl’S .. M 4. ks Road
This would then be a new kind
of transplant needing only -a
small sample of growing cells.
THE ADVANTAGES
ive donor transplants
would be a great boon
especially for infants.
In the past, the donated organs
have mostly come from other
small children who have died
from sudden injuries with no
damage to the livers. The shor
tage of infant size organs for
transplants have always been
very acute and most of the chil
dren die before transplants are
made available for them. Using
tissue from living donors will
add to the pool of available or
gans and increase the survival
rate as transplants can be per
formed sooner, before the child
becomes critical ill. Using close
relatives as donors would also
lessen the risk of rejection bee
ause of genetic similarities.
L
However, the future of liveorgan donations may be influ
enced by ethical considera
tions. Experts fear that liveorgan donations could eventu
ally tempt people to sell tissues
and organs. Aware that parents
might feel intense pressure to
sacrifice organs for their chil
dren, it has been decided to
hold extensive public discus
sions before embarking on the
procedure. Strict guidelines are
being set up for selecting pa
tients. Potential donors must
undergo
physical
and
psychological exams and then
wait for two weeks after they are
chosen, allowing ample time to
back out. Such considerations,
however, may be possible only
in patients who are not yet crit
ically ill.
Liver transplants using a live
donor will be more expensive,
given the need to operate on and
hospitalize two patients. Yet,
organ transplants using live
donors brings a new ray of hope
to millions of people all round
the world.
rrtl
----- health CELL
coW»on"y
47,'’lBASoae-ssoo»’
DM ’11’^'
CURRENT MEDICAL SCENE
VIEWPOINT
HOMOEOPATHY
omoeopathy was de
veloped as an alterna
tive to conventional
medicine by the German physi
cian Samuel Hahnemann in
early 19th century. Though its
rationale and efficacy have not
been definitively established,
the popularity of this discipline
is growing worldwide and
hence a critical evaluation is
warranted.
H
Homoeopathy is based on
several concepts such as “the
law of similars”, “the potency
principle” and “the doctrine of
miasms”. These concepts, for
mulated nearly 200 years ago,
need to be interpreted in the
context of an improved under
standing of anatomical, clinical
and pathological relationship of
various diseases.
THE LAW OF SIMILARS
s per this law a
homoeopathic remedy
can cure only that ill
ness which it can by itself in
duce in a healthy person. The
accent is on treating the symp
toms, regardless of the underly
ing cause. In contrast, modern
medicine considers symptoms
as mere manifestations of a dis
ease which needs to be treated.
The present trend is to analyse
the exact pathological cause of
the disease and evolve a specific
therapy to eradicate it. More
over, as per the concept of diffe
rential diagnosis, identical
symptoms could be produced
by different diseases. For exam
ple, asthenia may be due to in
cipient tuberculosis, early Ad
dison’s disease, malignant dis
ease or neurosis. In such a situ
ation, to treat only the symptom
in accordance with the law of
similars would be inapprop
riate.
2
A
A critical evaluation
THE ‘POTENCY’
PRINCIPLE
omoeopathic remedy is
prepared by diluting the
mother tincture serially.
One drop is added to either 9
or 99 drops of diluent which is
usually alcohol-water. The de
cimal scale is designated as ‘X’
or ‘D’ potencies and the centes
imal scale as ‘C’ potencies. An
additional range of very high
‘M’ potencies is prepared by
diluting one drop in 999 drops
of diluent. At each dilution,
the liquid is shaken in a stan
dard manner and the process is
known as succussion. Although
the higher dilutions may not
contain a single molecule of the
drug, the therapeutic properties
of the drug are believed to be
transferred to the solvent
vehicle.
It is believed that the drug is
potentiated by repeated mecha
nical shocks (succussion) at
each stage of dilution. The suc
cussion induces electrochemi
cal patterning of the diluent
vehicle which is replicated at
every stage of dilution. This in
formation then spreads like a
liquid crystal through the body
water, modifying receptor sites
or enzyme action.
Although the concept of mic
rodose is acceptable to science
without any difficulty, poten
tiation by dilution is not easily
understood. However there
have been attempts to validate
this concept. One study on yeast
showed effects of frequency and
amplitude of succession and
varying internal between diffe
rent stages of the potentiating
process. Another study of
nuclear magnetic resonance
claimed to distinguish between
simple solutions and succussed
solutions.
This data is preliminary. But,
at least there has been a sincere
attempt to prove the potency
principle in a scientific manner.
However, much more data is re
quired to prove that the power
of a drug is enhanced by dilu
tion and succussion.
INDIVIDUALISATION
n homoeopathy, each indi
vidual is treated as a sepa
rate entity. Although two
patients may present with the
same disease, the selection of
remedy may be different. To
identify this, a detailed case
study has to be done which will
give a clue to select the ideal
remedy for that particular pa
tient. There is a universal con
sensus on this principle. Mod
ern medicine also acknow
ledges this concept of indi
vidualisation.
I
However, it will also be better
to talk in terms of groups or av
erages. For example, patients of
muskuloskeletal pain may need
different homoeopathic re
medies such as bryonia, rhustox, arnica, pulsatilla, sepia and
so on. In such a situation, it is
worth studying a consecutive
1000 patients and finding out
how many needed bryonia,
rhustox arnica and so on. This
will give information regarding
the commonly indicated re
medies and the rarely indicated
remedies.
Based on
this
guideline,
the
practising
homoeopath will be in a better
position to individualise the
therapy.
.
DOCTRINE OF MIASMS
his concept was formu
lated by Hahnemann to
explain the origin of chro
nic illness. He ascribed it to the
transdermal invasion of one of
three ‘taints’ or miasms. These
he believed caused all manifes
tations not ascribed to adverse
physical conditions. He came
close to describing a microbial
pattern of illness, some years
before its actual demonstration.
These miasma were syphilis,
sycosis (from genital warts) and
psora (from scabies). This doc
trine appears to be based on
heredo-familial
traits
and
shows the insight of Hahne
mann to account for genetic and
transmissible disorders. How- I
ever there is a need to interpret
this doctrine in the context of
modern understanding of dis
eases. So far there has been no
attempt in this direction.
To conclude, every scientific
discipline undergoes a process
of continual evolution and
change and homeopathy should
not be an exception to this rule.
T
In every science, even rigor
ously conducted scientific ex
periments can yield only provi
sional findings. These in turn
lead to new experiments that re
fute or confirm the hypothe
ses. This is the dynamic process
of discovery. Homoeopathy has
not undergone this process'ove^
the past 200 years. Therefore the '
process of validating the basis/
concepts of Homoeopathy is'-'
long overdue. This will help us
to interpret Hahnemann’s doc
trines from the viewpoint of
modern understanding of dis
ease processes.
(Next issue:
Homeopathy)
Controlled
trials
in
MARCH-APRIL 1990
? v VAM V A R
—
rRAeLTIAV-
v’1
URjfc
_T)p.A H-c(
dysfunction of the organ connected to that point can be found out. This instnnnentis very
sensitive. It is possible to point out the particular affected part of the organ and the degree
of it e.g. not only the heart but which valve is affected. It is a very useful instrument in
diagnosis of congenital deformities of the heart. It can be of help to find out which part
of the gastro intestinal tract has get malignancy. Early diagnosis is possible with this
instrument and thus helps the early treatment. It also indicates degree of deterioration of
the function of the organ. If the disorder does not need the surgical interventions it can be
treated with this instrument. It is a painless procedure.
PERIOSTEAL ACUPUNCTURE :
This method was discovered by Dr. Felix Mann of U.K. The normal acupuncture
needle is inserted over the bone. Then the needle is lifted up and again pressed down to
touch the periosteum of the bone. This lifting and thrus ting is repealed for sometime. This
also called as periosteal pecking. This procedure can be carried out when the bone is
superficial or w'here there are no organs but only the muscles in between tire bone and the
skin. For example the tip of the coracoid process, sacrum, sternum, iliac crest, small joints
of fingers and toes, spinal column, olecranon process, patella etc. Patient feels the pain
during this procedure but it can be called as sweet pain.
Periosteal acupuncture is contraindicated in the pain of malignant diseases, in sensitive
patients and in inflammatory conditions. Periosteal tapping can be done with the plum
blossom needle when the bone is just underthe skin like sternum, scalp, olecranon process,
styloid process of radius etc.
HOMEOPUNCTURE:
Homeopathy combined with acupuncture is called homeopuncture. The needle is
dipped in alcoholic homeopathic medicine and inserted deep into the tissue at predeter
mined acupuncture point Result obtained with this combined therapy is much better than
acupuncture alone. As the remedy is put directly into the tissue, it acts immediately and
enhances the effect. Only three to four points should be tackled in this way for one sitting.
Other points are given as usual. Strength of the homeopathic medicine used is usually of
30 potency.
No electrical stimulation should be given to the points where homeopathic medicine is
used. Patient is advised to follow normal rules of homeopathy i.e. he should keep away
form alcohoL, coffee, perfume, garlic etc for 2 hrs before and after the treatment
Side effects, reactions and aggravations are minimal.
In Sri Lanka it is tried on barren trees and the results are good. (Phytopuncture)
Homeopathic medicines usedfor various disorder
Joint pains in general :
1.
Bryonia, Mercuricus virus, Rhustox, Colchicum, Gelsemium.
2.
As a result of injury (trauma) to the joint - Ruta, Veratrum Viride, Arnica, a
Symphytum, Calendula.
3.
Swollen joint - Fe phos, Calc flor, Kali mur, Calc carb, Nat phos, Calc phos, Nat Mur.
4.
Red hot swollen joint - Belladona
Cervical spondylosis :
1. If pain is better by movements - Rhustox
2.
If pain is worst by movements - Bryonia
3.
If pain is due to injury - Arnica
74
Lumbar backacthe :
Rhus tox
Sciatic pain :
Gnaphalium, Colocynthis, Rhustox.
Shoulder pain - (Frozen shoulder)
Calcaria Carb, Rhustox.
Fleeting Joint pains:
Pulsatila
Shooting pain :
Belladona, Sulphur.
Fracture of the bone :
Calc carb, Ruta, Calc phos, Silicea, Symphytum, Arnica.
Knee joint :
Nat phos, Nat mur.
Muscle sprain :
Arnica, Rhustox, Causticum.
Muscle cramps :
Mag Phos, Calc Phos, Nux Vomica, Calc Carb.
Cramps of calf muscles - Podophyllum peltatum, Cuprum metallicum, Veretrum
album, Stannum metallicum.
Muscle wasting :
Gelsemium.
Muscle weakness or dystrophy or paralysis :
Gelsemium, Mag phos. Plumbum metallicum, Kali phos, Asterias rubens, Conium
maculatum.
Writer's cramps :
Gelsemium, Argentum muriaticum, Plumbum metallicum, Sulphuricum acidum.
Wrist reheumatism:
Actaea Spicata.
Neuralgias in general :
Belladona, Aconite, Colocynth, Kali phos, Mag phos, Medorrhinum, Sangumaria.
Neurasthenia :
Sabina, Picricum acidicum, Taraxacum.
Intercostal neuralgia :
Ranunculus Bulbosa, Mezereum.
75
Herpeszoster :
Mezcreum, Rhustox, Ranunculus bulbosus, Hypericum, Nux Vomica, Kali phos.
Post needling pain :
Ledum, Mag phos, Spigelia.
Injury to the nerve :
Hypericum, Mag phos.
Over exertion, injury and straining of the muscles :
Arnica, Rhustox.
Parkinsonism :
Hyocyamus, Hydrophobinum.
Paralysis :
Gelsemium, Plumbum metallicum.
1. Right sided - Sangoneria.
2.
Left sided - Spigelia.
3.
Post dephtheretic Paralysis - Causticum.
4.
If paralysis is a result of suppression of skin disease - Start with sulphur and then treat
paralysis.
Gout :
Colchicum, Silicea, Medorrhinum, Benzoicum acidicum, Nat sulph, Bryonia.
Allergic skin conditions :
1.
Urticaria - Apis, Sulphur, Ulrica urens, Nat Mur, Pulsatilla, Psorinum,
2.
Eczema - Hepar Sulph, Ars album, Psorinum, Pulsatilala, Sulphur, Nat mur,
Mezerium.
3. Weeping Eczema - Mezerium helps crust formation,
Carbuncle :
Anthracinum, Ars album, Tarantula, Silicea, Lachesis.
Drandrujf :
Ars album, Lycopodium, Thuja, Phos.
Psoriasis :
Ars album, Psorinum, Borax, Sulphur, Ulrica urens for itching.
Lichen Planus :
Ulrica urens (for itching), Psorinum, Sulphur.
Hemorrhage', as acupuncture complication.
Apes, Arnica.
Rough fissured hands :
Petroleum.
Oily greesy skin :
Natrum Mur.
76
Depigmentation :
Sepia.
Dark skin pigmentation patchy :
Crotalus horridus, Lachesis.
Suppurative irruptions :
Sulphur, Silicea, Hepar Sulph, Psorinum.
Pustule or boil :
In the begining before reaching the level of pus formation give silicea in high dose
(200). Once the pustule is formed give low dose 30 (Silicea is contraindicated in
tuberculosis) Belladona, Hepar sulf.
For blunt wound with ecchymosis :
Arnica, Calendula.
Overgrowth of soft tissue :
Nux vomica followed by Hydrocortinum, Chamomila, Heclalava.
Keloid or Pox marks :
Silicea, Graphites.
Acne with pustules :
Silicea to prevent scar.
Over growth of skin - (Warts, fungoid growth)
Causticum, Nitrum acidicum, Sabina, Thuja, Staphis agria.
Polyp Calc Carb, Thuja, Sabina,
Hyperhydrosis - (Cold moist palms and feet)
Nat mur, Pilo carpinum, Taraxacum, Phos acid, Tubcrculinum.
Night Sweats :
Phos phoricum acidum, Pilocarpinum, Taraxacum.
Ulcers Arsenicum album, Calendula, Hepar sulph, Silicea.
Alopecia :
Aurm metallicum, Sepia, Phos, Nat mur, Sulphur, Syphillinum, Kali phos, Silicea,
Kalium carbonicum, Fluoricum acidicum.
Hiccups :
Mag phos.
Gastritis :
Antimonium crudum, Ars album, Carbo vegalis,
Chinchona, Kali bi chrom, Lycopodium, Nux Vomica.
77
Diarrhoea ;
Arsenicum Album, Nux Vomica.
Constipation':
Abrotanum, Alum, Graph, Mag phos;
Nux V, Causticum
Acidity :
Calc carb, Sulphuricum acidicum, Nux vomica.
Nausea :
Nux Vomica
1. If decreased after eating - Alumina.
3. Due to fright - Belladona, Gelsemium.
Vomiting :
Nux Vomica, Cocculus.
Abdominal distension
Ars, Cinchona, Lycopodium, Nux Vomica;
Pulsatilla.
Vertigo :
Nux Vomica, Belladona, Gelsemium.
Vertigo on closing eyes - Ledum, Thuja.
Vertigo on opening eyes - Tabacum.
Vertigo on Looking up - Pulsalila, Silicea Theridion.
Tinnitus :
Chincona, Cannabis Ind, Cal Sulph.
Menier's Syndrome
Cocculus indicus, Theridion.
Chronic effects of head injury :
Nat Sulph
Drug and Alcohol addiction :
Nux vomica, Kali phos, Lachesis, Opium, Agariscus muscarius, Calc acctica, Stramo
nium, Ranariculoiis’bulbosus.
Tabaco addiction :
Tabacum, Daphne Ind.
Insomnia :
(1)
Adult Hyoscymus niger, Kali brom, Kali phos, Nux vomica, Opium, Pulsatila.
(2)
Cranky child at night - Psorinum, Rheum.
Anxiety Tension, Restlessness :
Aconite, Kali phos.
78
Headache :
(1) Due to emotional tension - Gelsemium, Ignecia.
(2) Due to vision disordrs - Cimisifuga, Ruta, Nat mur, Gelsemium.
(3)
Due to gastro intestinal disorders - Cincona, Antimony crudum, Pulsatila, Nux
vomica.
(4)
Due to alcohol - Nux vomica, Antimony crudium, Zincum metallicum.
Stomatitis :
Urgentinum nitricum, Borax, Kali mur, Nitric acid.
Tooth ache :
Bclladona, Chamomilla, Plantago major.
Hemorrhage after tooth extraction :
Arnica, Bovista, Phos, Hamamelis.
Common Coid :
Fe phos, Allium cepa, Ars, Natrum Mur.
Cough :
Allium cepa, Bryonia alba, Hyoscyamus niger, Ipecacuanha, Drosera.
Female Problems :
Pulsatilla, Sepia,
Uterine Bleeding :
Trillium pendulum, Sabina.
Obesity :
Calc carb. Capsicum, Graphite, Kali brom, Thyroidinum.
Cystitis :
Dulcamara, Cantharis, Nitricum Acidum.
Enuresis :
Fe phos, Benzoic acid, Causticum.
Hoarseness :
Aconite, Bryonia, Drosera, Carbo animalis.
Hypertension :
Arum metallicum, Baryta muriatica, Glonine, Phos, Veratrum viride.
DORSAL COLUMN STIMULATION
This is a type of analgesia which was discovered by Normal Shealey from Visconsin
U.S. A. In this technique pain is relieved by the direct stimulation of the tracts of Goll and
Burdach (dorsal column of the spinal cord). These tract consist of fast conducting afferent
nerves of large diameters.
Stimulation of these nerves will result in over crowding and hence closure of the gate
(gate control theory) thus preventing the pain impulses from reaching the brain.
Dro (I..2
STH IWIELU
< K.ftl.DHAWflLE
Kent has written that it
is fortunate that quite
a few so-called
homoeopaths never
find the correct drug,
because they would
not know what to do
with it if they did
Dr. Kumar M. Dhawale is a doctor trained in
modern medicine who has subsequently switched to
homoeopathy. He did his MBBS followed by an md in
psychiatry, both from the Seth G.S. Medical College
and K.E.M. Hospital, Bombay. Learning homoeopathy
under the guidance of his father, the late Dr. M. L.
Dhawale, one of Bombay's leading homoeopaths (who
had also qualified in modern medicine initially), he
subsequently did a stint at the Faculty of Homoeopathy
in London. At the Homoeopathic Post-graduate
Association, founded by his father and based at
Girgaon in Bombay, he consults, teaches homoeopathy
to practitioners qualified in modern medicine,
documents his cases, and performs clinical research.
In this interview, Dr. Dhawale gives his opinions
on a variety of topics. Always modest, he never
hedges, admits occasionally that he doesn't have an
answer, and accepts with an open mind apparent
challenges to his vocation that could make an orthodox
homoeopath bristle.
In the wake of the tremendous publicity generated
by the Benveniste experiments (see box on page 89)
which seem to support homoeopathy, 2001 asked its
advisor of Health and Fitness Section, Dr. Prakash
Nadkarni, to talk to Dr. Dhawale for his reactions to this
and other points of controversy.
Incidentally, although Dr. Nadkarni dabbles in
homoeopathic prescribing, he refuses to abandon
fundamental concepts that have served science for a
century and a half.
COMMUNITY HEALTH CELL
<17/1,(First Floor)St. Marks Road
3ANGAL03E - 560 001
Likeness: Prabhakar Bhatlekar
34
2001, OCTOBER 1988
_
2001: What about the claim made by
many homoeopaths that
homoeopathy is harmless and
without side-effects? I think that if a
drug cannot have any side-effects
even if improperly used, it cannot
have many therapeutic effects to
begin with—it may be a pure placebo,
and even placebos have side-effects;
some people have been known to
break out into a rash and start
wheezing in the belief that they have
been given an active drug.
Dhawale: Agreed. The claim is quite
false. The administration of the
wrong drug, as you know, produces
its own picture and a set of
unpleasant effects, some of which the
patient has never experienced before.
Even when the correct
drug has been
selected, the time of
administration and
dosage can be critical
36
2001, OCTOBER 1988
And even when the correct drug has
been selected, the time of
administration and dosage can be
critical. Kent (James Tyler Kent, one
of the leading figures in late
nineteenth-century homoeopathy,
and the author of several texts-PN)
has written that it is fortunate that
quite a few so-called homoeopaths
never find the correct drug, because
they would not know what to do with
it if they did. If the patient is severely
ill, administration of the similium (the
matching remedy) at a wrong stage
of the illness can kill (and has killed) the
patient. In malaria, for example, it is
recommended that the drug should
not be administered during the peak
of the fever because the patient is at
the time highly sensitive to the effects
of the drug—beneficial as well as
harmful. The administration should
be done at a time when there is no
fever.
2001: Is homoeopathy incompatible
with modern medicine if both kinds of
drugs are given simultaneously to a
patient? Do homoeopathic drugs, in
your experience, interact adversely
with drugs used in modern medicine?
I've heard of a
homoeopath-cum-modern medicine
practitioner who gave a patient
chloramphenicol for typhoid.
Normally, fever comes down within
48 hours after the start of
chloramphenicol therapy, but this
particular patient simply didn't seem
to respond. On inquiry, the patient
admitted that he was taking Nux
Vomica given to him by another
homoeopath. After being
warned that he could be killed if he
continued Nux Vomica, the patient
stopped the homoeopathic drug and
his fever came down dramatically.
Dhawale: I wasn't aware of this case
myself. Homoeopathy is compatible
with replacement therapy in modern
medicine. Hormones such as insulin,
thyroxine or physiological doses of
adrenal steroids are perfectly all right
and even necessary for a particular
patient. Similarly, there is no
question that oral rehydration
therapy or intravenous fluids are
necessary for a dehydrated patient.
Homoeopathy is definitely
incompatible with adrenal steroid
therapy when the latter is used to
suppress allergy and immunity;
occasionally, it is incompatible with
aspirin-like drugs when the latter are
used to suppress inflammation.
Regarding antibiotics, while I
wouldn't hold these drugs back for a
i
INTERVIEW
diss
clin:
on t
autr
any
bef
offi;
2001: What about restrictions on
diet? I've known homoeopaths who ster
give patients a huge list of things not eigi
to eat, and some dietary restrictions lite.
war
are almost impossible to follow
continuously considering the Indian ste
diet. It seems to me that these doctors ou.
are playing safe. If the patient doesn't sec
get well because of a wrong drug, the
ter
doctor can always blame it on the
patient, claiming that she or he didn't rec
follow the recommended diet strictly. nei
Dhawale: Quite right. Specific dietary tru
\
restrictions are to be followed only
I n<
with certain drugs. For example,
his
patients on the drug lycopodium
fol
shouldn't touch coffee.
the
wc
2001: What about the belief among
wh
lay people that homoeopathic drugs
W.
take a long time to act?
ha
Dhawale: That's quite false. It
depends on the disease and the state to
wi
of the patient. A neuralgia or
ca
migraine can respond in minutes, a
wt
lingering osteoarthritis will naturally
th:
take time.
to
fo:
2001: What is the status of
homoeopathy in the West—in
particular, in Germany, the birthplace th
lifi
of Hahnemann, the founder of
Or
homoeopathy?
Dhawale: In the US, a homoeopath is thstr
not allowed to practise unless in
collaboration with someone qualified re'
sn
in modern medicne. In Britain, the
tr<
facultyof homoeopathy conducts
training, and practitioners qualified in cc
modern medicine may practise
w
homoeopathy. Australia is closer to
la
the US. The place where the greatest
freedom is given to the homoeopath
Phr.
is France. In West Germany, the
u
National Institute of Homoeopathy
ir.
near Hanover is government-backed.
Ti
Post-graduate medical students may
learn homoeopathy on their own as
al
ic
an optional subject—several
universities offer homoeopathic
P
training. I had a German student who
was doing his Ph.D. on some aspects
e
of homoeopathy. [There is something e
of a revival in alternative medicine in
P
West Germany—India exports large
d
amounts of the plants Adathoda
r
vasica and Boswellia serrata to West
Ti
e
Germany, which people over
there use as herbal teas. Further,
ke
patient who needed them, I've found
that a patient's susceptibility to
homoeopathic medicine changes
when they are given antibiotics. Then
the higher potencies have to be used.
Continued on page
INTERVIEW
'Continued from page 36/
isa
homoeopath and naturopath
pni
2001: Hahnemann emphasized R&D in
his work. Whatp&D—in particular,
good quality research—is being done
in the world today?
Dhawale: r&d in homoeopathy is by
and large concentrated in two
areas—verification and validation of
the older homoeopathic remedies,
and testing of new drugs. Validation
hasn't been done well everywhere. In
many places, a poor study design and
the use of inappropriately applied
statistics has rendered the studies
worthless. The richness of
description obtained in the original
provings of Hahnemann is missing.
According to the texts,
potency increases on
I
mere vortensing
'(shaking) even without
dilution
Either patient susceptiblity has
changed in these one hundred and
fifty years, or else the study has been
sloppy.
Testing of new drugs is mainly done
in France while the British were fairly
active in the fifties and sixties with
work on Bowel Nosodes
(homoeopathic preparations of
bacteria that normally exist in the
human bowel).
2001: Has it made any difference to
the content of the
literature —textbooks, repertories that
a homoeopathic student must study
or that a practitioner must refer to?
Has it made any difference to clinical
homoeopathic practice? This is
specially so since most of the
textbooks studied by homoeopathic
students today were written at the
turn of the century, or even earlier.
Dhawale: The validation, as I
mentioned, has been
inconsequential. The French have
prepared homoeopatnic forms of dna
and rna, but since I haven't used
them myself I can't vouch for them.
I've found some of the Bowel
Nosodes useful. One of them, called
Morganco, fits the profile of irritable
bowel syndrome quite well. In
irritable bowel syndrome, patients
without bowel infection have
symptoms like diarrhaoea alternating
with constipation, or bowel hurry
after meals.
2001: What is the quality of the
research being done in India?
Dhawale: There is a Central Council
for Research in Homoeopathy, a
government body with branches in
most of the homoeopathic colleges in
India, which mainly tests new
remedies. None of the research done
here has percolated down to clinical
practice.
2001: What do you think is the reason
for this?
Dhawale: Without being offensive, I
think that is a problem facing central
institutes as a whole. Many of the
people there are earning their salaries
and going through the motions rather
than showing any love for research.
2001: Are you familiar with the
Benveniste controversy that ipsofacto
seems to support homoeopathy?
Dhawale: I've read about it—but
what I went through was quite brief.
2001: Care to opine on it? What about
the conflict with the foundations of
modern chemistry and physics—in
particular, the limit laid down by
Avogadro's number?
Dhawale: I haven't gone through the
original reference, so I really can't.
From what I hear, there is a definite
conflict, and the results do seem
unbelievable. Interestingly (pulls out
the Organon and browses through it)
Hahnemann himself never went
beyond potency 30. But that's still
past the Avogadro limit.
2001: What about potencies used in
homoeopathy like cm 100,000, which,
taken literally, would mean a
concentration of 1 in 10 raised to the
power 200,000. Assuming that each
dilution to the next potency and
subsequent mixing takes about
three minutes, to dilute the starting
material to this potency would take
about 200 days of continuous
24-hour-day labour.
Dhawale: You're quite right. I don’t
know how it's done—or even whether
dilution is done to that extent or
whether some steps are skipped.
According to the texts, potency
increases on mere vortensing
(shaking) even without dilution.
2001: Could it be that, beyond a
particular limit, only shaking of the
mixture is done rather than further
dilution, so that in most cases, we are
still well within the Avogadro limit?
Dhawale: It's quite possible. Because
of my modern medicine training, I'm
not quite acquainted with
homoeopathic pharmacy.
2001: Can you tell me something
about the research you're doing?
Dhawale: Our team (he mentions Dr.
Dikshit, a practitioner at Thane, and a
dermatovenereologist who evaluates
skin biopsies) has done a workup of
137 patients with all forms of leprosy
treated with homoeopathy, some of
whom weren’t doing too well with
modern medicine. We found that
some homoeopathic remedies match
the symptoms fairly well in both the
acute and chronic states.
Clinical response to these drugs is
seen usually by two weeks—and yes,
we have observed lepra reactions
with acute therapy (a lepra reaction is
a temporary flare-up of the
symptoms of leprosy, usually due to
slaughter of the leprosy bacilli— ph ).
Surprisingly, unlike in modern
medicine, we’ve found that patients
with the lepromatous form of leprosy
(with skin nodules and facial
deformity) are more sensitive than
2001. OCTOBER 1988
87
INTERVIEW
THE BENVENISTE CONTROVERSY
OMOEOPATHY, surreptitiously practised by some main
responding to a solution which did not even contain one
culprits in the body responsible for the rapid and severe form of
allergy called anaphylaxis, of which asthma is a variant. Mast
cells have an antibody called immunoglobulin E (igE) bound to
their surface, and when the igE is exposed to the antigen (the
substance to which the patient is allergic), antigen and
antibody combine. The combination triggers the release of
granules (degranulation) from the mast cell, and the subst
ances released cause the symptoms of anaphylaxis.
A research team led by Benveniste in France took human
basophil cells (the circulating form of the mast cells) and
exposed them to^goat antiserum against human IgE, which
acts like an antigen.
As expected, with moderate concentrations of albumin, the
mast cells underwent degranulation.Theantiserumsolution was
then diluted in steps in order to measure the smallest
concentration of antiserum that the mast cells could respondto.
And here the results seem unbelievable. The mast cells could
apparently degranulate when exposed to a concentration of
antiserum of 1 part in 10 raised to the 120th power! Which
doesn't sound so shocking until you realize that the total
number of atoms in the visible universe is estimated to be only
around 10 raised to-the 86th power.
In other words, if the results are to be believed, the cells were
cated Benveniste's results, which were then published in
Nature after a two-year lag. The editor, himself sceptical.stated
that he was allowing publication only because the results were
being leaked to the sensationalist French press.
The parallel to homoeopathy is obvious—homoeopathy also
uses very small concentrations of drugs, though not always
beyond the limit of Avogadro's number (6.023 x 10;3),the
number of molecules 'in a mole of a substance (that is,
molecular weight expressed in grams). The experiment was in
fact partly funded by a French homoeopathic company (which
might lead some to suspect cooked-up results).
An investigation team led by magician James ('The Amaz
ing’) Randi, who had previously exposed Uri Geller as a fraud,
along with the editor of Nature, John Maddox, and Walter
Stewart, arrived on the scene. They stated that the work was
shoddy, and since then Benveniste has been subjected to what
he calls a 'witch hunt'. He did, however, in a rejoinder
published in Nature claim that two out of the four double-blind
experiments did support his work.
It still remains to be seen how the Benveniste 'affair' will end.
stream doctors and laughed at by others, is suddenly in
molecule of antiserumIThe obvious query:was the experiment
H
the news. It all began on a study of mast cells, which are the
correct? Purportedly, centres in Israel, Canada and Italy dupli
tnose with the tuberculoid form (with
one or two pale, anesthetic patches
on the skin). We don't know why this
should be so.
We've done some work
on psychoanalytical
dream interpretation
as a pointer to the
correct homoeopathic
drug
2001: Have you been able to integrate
homoeopathy with your psychiatry
skills?
Dhawale: To some extent. I haven't
handled many cases of schizophrenia
because they're not the kind of
patients who are likely to seek
homoeopathic treatment. I mainly
handle neuroses, where
homoeopathy has a far richer
armamentarium than modern
medicine.
We've done some work on
psychoanalytical dream
interpretation as a pointer to the
correct homoeopathic drug—you
know that the homoeopathic texts,
written before Freud's work, are quite
inadequate in this respect. For
example, dreams suggestive of
suppressed hostility might suggest
magnesium salts as a remedy forthe
patient.
2001: What about applying a battery
of psychological tests to a patient to
look for clues?
Dhawale: We had that in mind, but at
present, we don't have the
resources—either personnel or
PRAKASHNADKARNI
funds—for it.
2001: What R&D needs to be done that
hasn't been done so far?
Dhawale: The symptom indexes
need expansion—the researchers of
that era had only their five senses to
go by, today we've got a clinical
laboratory. Adding extra indexes to
the source books might prove useful.
No work has been done on the
fundamental mechanisms of how
homoeopathic drugs are able to work
in such small doses. When
homoeopaths use terms like 'vital
force' and 'imbalance', these terms
are essentially labels to describe
something observed at the gross
level—they have served us well,
because they have a clinical correlate,
but it may be necessary to look
deeper. Something like correlation of
a patient's homoeopathic drug
susceptibility with his/her hla type.
Most patients with ankylosing
spondylitis have the hla type B-27,
and Calcarea fluoridatum is a drug
that commonly matches patients with
this disease.
This might give us information on the
likely homoeopathic remedy even in
an apparently healthy individual, so
that information complementary to
that obtained from the history may be,
obtained.
SiS3S
2001. OCTOBER! SJ8B
PROPOSED LAY PUT PF THE..PLAN FOR AN EXPERIENTIAL STUDY ..OE_STATE
OF HOMOEOPATHY IN INDIA
AIM
s
To
present a synoptic, view of role
of
Homoeopathy
Indian
health
care system, with a perticular focus on
role
homoeopathy in community health care.
OBJECTIVE:
in
of
1. Give an introduction to Homoeopathic scenario in
India
2.
Policy issues related to Homoeopthy
3.
Issues involved in Rational Drug Use
4.
Homoeopathic views on matters related to
Public health
4. Reviewing training module of VHWs.
5.
Experiencial study of community health
projects
where
Homoeopathy is
involved
signifcantly or community health care where Homoeopaths
are involved.
METHPDS AND MATERIALS UTILISED:
a.
b.
c.
Literature review.
Correspondence.
Interactive dialogue.
NEED FDR THE STUDY:
I.
H&FW. ministry's directive to utilize the services
of any systems of medicine in primary health care
depending upon the popularity in particular locality.
II.
Very poor documentation efforts which has gone in
in the field of Homoeopathy in India in last SOyrs.
III.
Belief that Homoeopathy in very individual centered
and has very little scope in community health care.
MY CREDENTIALS TO UNDERTAKE THIS BROAD STUDY.
1.
Graduate from Govt. Homoeopathic medical college.
2.
Appointed as Research associate at Community health cell, a
Bangalore based NGO
which is working in the field of commun
ity health care. Have the peer support of public health expe
rts at the centre.
3.
Have all the logistical
such a study.
support and assistance to undertake
INTRODUCTION
HOMOEOPATHY 8
ft
ft
ft
ft
Definition
Founder
Introduction in India
How it Flourished
EDUCATIONS
ft
ft
ft
ft
Degrees
Diploma
Correspondence
Any other
COLLEGES
ft ND. of colleges- State wise break up.
ft Govt. & Pvt.
ft Comparison to other syst. of med.
STUDENTS OUT
PUT
ft NO. of students passing out annually
ft Gender ratio
ft Comparison
SCOPE
ft the prospectus/scope for a graduate professionally
PDST8RADUATI0N
ft Where and in what subjects
HOSPITALS
ft No. of. all over India
ft No. of dispensaries all over India
ft Kinds of Hospitals
STRUCTURE
ft Administrative structure
ft Hi-gherarchy— Top down.
RESEARCH
CENTRES
ft Where located.
ft What kind- a. Lab based
b. Clinical based
*H'SOFTWARES
ft Kinds of
ft Utility
SCIENTIFICITY
ft Why it is disputed?
ft What are the attempts to prove it?
MEDLINE
ft No.of Homoeopathic studies recorded in it.
ft Non 'H' faculty who have experimented on 'H'
NURSING
ft Present state since its not yet operational
PHARMACY
ft Present state as even this has'nt started.
POPULARITY
ft In various states, with probable reasons
also In various countries.
CONVERTS
ft Why and how people get converted to Homoeopaty.
POLITICS
ft Inter/Intra profession.
ft Is it on ideological or other lines?
PERIODICALS
ft Leading Journals/News letters
HOBBY
Homoeopaths
ft Who ar© they?
HtAV
ft Why they are controversial?
10
POLICY ISSUES
#
*
*
*
#
8
*
8
8
*
8
*
*
Look into various committes on ASMs for any rsfarsmca to 'H'
ISM&H - what is the position of 'H' in it
Look into the report of WHO on ASM for any referece to 'H'
Look into the compendium of committee for any reference to'H'
Look into encyclopedia of sci. and Tech, for H/o of medicine
the '^reference.
Look into the Committee set in 'H' if any.
Internship and postings - utility as it is in vogue at present.
Jurisdiction of Homoeopathic councils over the practitioners.
'H' and Consumer court.
Scope for Integration
Criteria for setting up of new colleges
Allopathic kind of syllabus.is it correct?
Examination pattern... is it suitable.?
jK
.
©XZkCUuL. UVA
J
“
RATIONAL DRUG USE ISSUE
QUALITY STAND^R^Da
# Who monitors the quality?
# What are the standards?
COMBINATIONS
s
# What is 'H' stand?
# How rational or irrational are they?
COST
a
# does'H' treatment works out cheap?
it is there any price regulation for drugs?
EXPIRY DATE
a
# is there no expiry period for drugs?
# Efficacy of very long stored drugs
SIDE EFFECTS
1 # is there no side effects to 'H' drugs? ■
# does it differ from that of allopathic?
DRUG INTERACTION
a
SPECIAL PRECAUTION
# Does it take place?
what are the general and specifics?
# is there scarcity/paucity of important
drugs?
AVAILBILITY
# Policy with respect to manufacturing,
storing., dispensing, Licencing etc.
DRUG POLICY
a
ESSENTIAL DRUGS
a # Is there a list of essential drugs?
# is there
any obligatory directive with respect to it?
11
PUBLIC HEALTH ISSUES & HOMOEOPATH I CHZIEMJ?DLN.I.
*
#
*
*
#
t
#
#
S
*
«
#
Prophylaxis
Immunisation
Nutrition
Addiction
Chronic diseases
Epidemiology
Housing
Safe water
Waste disposal
Mental Health
MCH
Prevention and promotion of health
EX PER I ENT I AL__SI11D2L—QE—ALL—IHE—CQMMUNJ~T_Y_,HEA1_TH—ER£M£CTS™WHEP.E
HOMOEOPATH IC
MEDICINES
ARE SI GN IXLG ANTUL.11SED.,
QE-----HOMOEOPATHS
INVOLVED IN COMMON ITY HEALTH . WORE;
Letters to the Editor
Is the evidence for homoeopathy
reproducible?
Sir—Reilly et al (Dec 10, p 1601) report a randomised
controlled trial of homoeopathic treatment in 28 patients
with allergic asthma selected from an unspecified number of
outpatients. 4 cases (14%) were lost to follow-up during the
8-week study. Of three tests of respiratory' function
measured at the end of follow-up, 1 (forced vital capacity)
was statistically significantly improved in patients receiving
homoeopathic treatment compared with placebo. However,
neither daily peak-expiratory flow measurements nor daily
patient-recorded seventy scores for daytime asthma, night
time asthma, moming tightness, cough, nasal symptoms,
and use of medications were improved by treatment.
Unusually for a tnal of a treatment for asthma, a visual
analogue scale assessing general wellbeing was the main
outcome measure. This differed significantly between the
homoeopathy and treatment groups, mainly because of
deterioration in patients on placebo. The analysis was,
however, misleading. A 100 mm scale from “fine” to
“terrible” was used. The mean deviation in mm from
baseline was compared. Since the baseline symptom severity
varied considerably (<5 mm to >60 mm), the overall result
was mainly determined by those cases with high baseline
scores: a doubling of symptom severity in a patient with a
baseline score of 5 mm would contribute much less to the
mean change than a doubling of severity in a patient with a
baseline score of 40 mm. In fact, 35 mm of the total of
79 mm improvement in the homoeopathy-treated cases (11
cases, mean 7-2 mm) was due to a single case. Similarly, over
70 mm of the 101 mm deterioration (13 cases, mean 7-8) in
the placebo group was due to 4 cases with high baseline
scores. A more appropriate analysis would be the proportion
of cases in which symptoms improved, irrespective of
baseline severity: 9 of 11 homoeopathy cases compared
with 5 of 13 placebo cases (x2 with Yates’ correction 3-0,
P=0-08).
The trial was thought to be double-blind, yet patients and
trial doctors correctly assessed treatment allocation
significantly more frequently than would have been expected
by chance. Given that homoeopathic treatment had no
significant effect on the 6 patient-reported asthma symptoms
and little or no effect on the general wellbeing score in the
majority of cases, this unblinding is difficult to explain.
Reilly et al conclude that their trial shows that
homoeopathy works or clinical trials are a flawed
methodology. Reality is rather more mundane: it is a small
miblinded trial with a large drop-out rate and selective
Presentation of data; of 11 outcomes measured, only 2 were
S1gnificantly improved by homoeopathic treatment. 1 of
^ese, the main trial outcome measure, was incorrectly
jmalysed and on reanalysis is no longer significantly
mtproved.
M Rothwell
P®Mrtment of Clinical Neurosciences. Western General Hospital. Crewe Road.
td.nburgh EH4 2XU. UK
V°> M5 'January 28, 1995
Sir—Before calling into question the fundamental basis of
pharmacology, it would be wise to identify potential errors in
Reilly et al’s study. The small number of subjects (28
enrolled, 24 evaluable) may have increased the likelihood of
finding a statistical difference due to chance alone, and
patients were allowed to continue their usual treatments,
including bronchodilators. As the authors give no precise
data on the consumption of these drugs during the study
period, it is reasonable to assume that the difference in
favour of homoeopathy was in fact accounted for by
increased use of conventional drugs in the group receiving
the homoeopathic treatment.
In their meta-analysis, Reilly et al also failed to distinguish
between patients with atopic asthma and those with allergic
rhinitis, a critical methodological error.
Jean-Jacques Aulas
La Revue Prescnre. 75527 Pans Cedex 11, France
Sir—Reilly is well known as a herald of homoeopathy. His
work has been supported by homoeopathic foundations
including a French company which has an aggressive
commercial policy.
A study by Rochon et al,' which dealt with manufacturersupported trials of non-steroidal anti-mflan ..dory drugs
(NSAIDs), concluded that “these data raise concerns about
selective publication as biased interpretation of results in
manufacturer-associated trials”. What is true for NSAIDs
can be true for homoeopathy. In France, we have seen a case
in which a double-blind prospective controlled study of
homoeopathic treatment of postoperative ileus gave positive
results, whereas an attempt to reproduce these results,
carried out under the supervision of independent people, did
not confirm these results.Reilly’s figure 5 provides “the pattern of change within
each tnal”. Even if in each trial the improvement seems
identical for the homoeopathic treatment, this is not the case
for placebo; the improvement of placebo-treated patients
(we are not provided with the Cis) is quite different in the
three trials. Improvement with placebo in the pilot study is
barely different from the improvement observed with
homoeopaffiy in the so-called principal trial. One can ask
why placebo responds in such a non-reproducible way. In
figure 7, the authors pool three different trials done for
different situations (two hay fever, one asthma). Placebo
responses do not leave the baseline, a surprising finding if
one considers the well-known placebo sensitivity of many
patients with allergic conditions. Marcel Proust, who
suffered severe asthma attack merely on looking at artificial
flowers, was a good example of this sensitivity.
Marcel-Francis Kahn
Service de Rhumatologie. Hdpital Bichat. 46 rue Henri Huchard. 750
*
1
rr. ;e
Rochon PA, Gurwitz JH, Simms RVC, et a!. A study of manu;
rsupported trials of non-steroidal anti-inflammatory drugs in the
treatment of arthritis. Arch Intern Med 1994; 154: 157-63.
2
Mayaux MJ, Guihard-iMoscato ML, Schwartz D, et al. Controlled
clinical trial of homoeopathy in postoperative ileus. Lancet 1988; i528-29.
Sir—Reilly et al's article has led journals in Canada to give
overoptimistic coverage to these apparently convincing
results. First, this study is not a replication study; in
comparison with the principal study, different allergen
preparations are used for a different pathology.1 Second,
both patients and doctors tended to guess correctly the
treatment received or given—a possible bias which may be
important since the main results are based on a self
assessment score. Third, the homoeopathic model predicts
an aggravation of symptoms early after the onset of
treatment; a phenomenon observed and considered
important in the principal study, but neither observed nor
discussed in the confirmatory study. Fourth, if we define a
significant change by a change of at least 5 mm on the visual
analogue scale (to account for measurement error; taking the
samples’ standard deviation of 9-6 and assuming a reliability’
coefficient of 0-95) only 9 patients in both groups (n=24)
show significant changes (4 improvement in homoeopathy
group and 5 deterioration in placebo group); or we could say
that 15 patients had no significant change (7/11 in
homoeopathy, 8/13 placebo, p>0 50). In other words, the
so-called effect of homoeopathy seems to be attributable to
the difference between a good progression in 4 patients and
a bad progression in 5 patients in the placebo group. Fifth,
data analysis by a parametric statistical approach assumes an
interval scale which could not be the case with a visual
analogue scale. It also assumes a reasonable normality of the
distributions, which is not shown in any of the two studies.
For example, in the principal study, whereas the difference
between mean scores is 14-6 mm, the difference between the
medians is only 5 mm. Analysing the data with a median test
makes the main result simply vanish (\ =0-98, p=0-34).‘ Reanalysing data from the principal study with a categorical
approach (deterioration, no change, improvement) also
makes the results disappear (x’=3-8, p=0-I5). Finally, there
is no case for a meta-analysis: results from different
treatments for different pathologies showing so different
response patterns cannot be reasonably combined.
*
This so-called replication study docs not replicate
anything, and the conclusions are based on too small sample
sizes and observations’ on a small proportion of subjects to
provide evidence for a homoeopathy effect different from a
placebo effect.
Robert Gagnon
Family Medicine Clinic. Verdun General Hospita:. 4000 Boul Lasalle. Montreal.
Quebec. Canada H4G 2A3
1
Reilly D. Taylor M, McSharry C, Aitchison T. Is homoeopathy a
placebo response? Controlled trial of homoeopathic potency, with
pollen in hayfever as a model. Lancet 19S6; h: 881-85.
2
Grossman SA, Sheidler VR, McGuire DB, Geer C, Santor D.
A comparison of the Hopkins pain ranng instrument with standard
visual analogue and verbal descriptor scales in patients with cancer
pain . J Pain Symptom Management 1992; 7: 196-203.
3
Glass GV, Hopkins KD. Statistical methods in education and
psychology. Englewood Cliffs, New Jersey: Prentice-Hall, 1980: 578.
4
Eysenck H. Meta-analysis and its problems. BMJ 1994; 309: 789-92.
Sir—Can Reilly et al be sure that the fluid sprayed on the
sugar globules that were given to the patients did not contain
traces of the original allergen material obtained from the
Pasteur Institute? It is stated that the homoeopathic drug
laboratory received the allergen uin the liquid form”. Does
this mean that the allergen itself was a liquid? In the more
probable case that it was a solid in a liquid, one can ask
whether it was a solution of low-molecular-weight
compound, a colloidal solution, or a suspension of small
panicles. In the last two cases, the addition of alcohol in the
first step could have precipitated the material and some of it
could have stuck to the walls of the glass vial. On the
procedure that follows, the report is unclear. Were the
dilutions carried out 30 times in the same vial or were 30 of
these vials used? Assuming the first, it cannot be excluded
that some allergen adhering to the walls of the vials were
carried over to the globules, despite what is called “a
dilution procedure according to Hahnemann”.
Ukracentrifugation of the liquid used in the later stages of
the procedure could overcome these objections.
P van Duijn
Jacob van Maeriantlaan 3. 2343 JX Oegstgeest. Netherlands
Sir—When considering Reilly and colleagues’ surprising
results we should ask: what is the criterion for distinguishing
between verum globules and placebo globules? For those
who adhere to the principles of logical thinking, the answer
is that nothing distinguishes between them.
Hence, Reilly and colleagues have convincingly shown
that nothing provides a reliable and reproducible effect in
the treatment of allergic asthma—an outcome similar to that
suspected for a long time by numerous asthma patients.
Rudolf Happle
Department of Dermatolog), University of Marburg. Deutschhausstrasse 9.
35033 Marburg, Germany
Authors' reply.
Sir—Our experiment was an independent replication of
previous results with a sceptical scientific team who co
designed the protocol and independently monitored each
stage. No drug company funds were accepted and grants
received went direct to the university
Biased interpretation or reporting was excluded by a peerreviewed protocol which pre-defined the main measures of
outcome. rXll measured parameters were reported. The study
and analyses were double-blind, contrary’ to Rothwell’s
assertion. Comments on treatment allocation based on
therapeutic effect were gathered at the end of the study. We
thus had the advantage of a shield against our biases which
these critics lack in their post-hoc reflections.
Aulas is wrong to say that smaller numbers in a trial
increase the chance of false-positive results: the opposite is
true, making positive results all the more noteworthy.
Trends in favour of homoeopathy were seen in every
parameter, and more might have reached 5% statistical
significance in a larger sample size. Drug intake did not
differ between the groups and so cannot account for the
difference as Aulas suggested. We can assure Khan that a
variation in placebo between trials is normal, which is why
each trial must have its own control.
Gagnon and Rothwell’s proposal of categorical analysis
ignores the data and the clear time-patterns shown in the
graphs. Giving equal weight to small and large changes, their
dismissal of quantitative analysis is over-simplified and
inappropriate. We also disagree with Rothwell’s analysis: x2
with Yates’ correction according to Altman
*
gives p=0-05.
Contrary to Gagnon’s assumption, parametric analyses of
visual analogue scales taken as 100 intervals of 1 mm are
wholly suitable, if, as was the case in studies 2 and 3, data
plots of changes confirm normal distributions. Gagnon then
takes median values that are not included in the paper he
quotes and wrongly applies a x* test to these non-existent
data. Mann-Whitney U tests give significant results in all
three studies. Naturally we checked on the effects of
removing the outlier mentioned by Rothwell; the result was
still significant at p=0-005.
Van Dunn’s contamination theory can be excluded;
dilutions were prepared in a series of 30 fresh test-vials and,
as we reported, checks for traces of allergen were negative. It
is logical to compare the three experiments. They are one
series addressing one question—homoeopathy versus
placebo—each used the same pathological model of inhalant
allerg}', the same treatment model of desensitisation, and the
same outcome measure. The challenge remains: how do we
explain a repeating pattern of homoeopathy working better
than placebo?
>
•David T Reilly, Morag A Taylor
Department of Medicine. University of Glasgow. Royal Infirmary.
Glasgow G31 2ER. UK
1 Altman DG. Practical statistics for medical research. London:
Chapman and Hall, 1091: 235.
Electric shock to paramedic during
cardiopulmonary resuscitation of patient with
implanted cardiodefibrillator
Jj^^-We report an accidental electric shock to a paramedic
pSorming cardiopulmonary resuscitation (CPR) on a
65-year-old woman with an automatic implanted
cardiodefibrillator (AlCD).
The patient received an AICD 2 years previously because
of ventricular tachyarrhythmias. No problems had been
reported with the defibrillator. On Aug o, 1904, the woman
developed sudden dyspnoea and collapsed. Some minutes
later the paramedic squad and the emergency physician
arrived at the scene and found the patient in asystole
(identification with external electrocardiogram [ECG]
defibrillator device by the .squad). After starting CPR the
spontaneous circulation was restored. In the ambulance,
ventricular fibrillation occurred but, before charging the
ambulance defibrillator, one of the paramedics started CPR
and received an electric shock. Neither the physician nor the
paramedics knew that the patient had an AICD. and they
assumed that the patient had a pacemaker. After the third
external defibrillation spontaneous circulation was restored
and the patient was transferred to the nearest hospital.
Some hours later, on the intensive care unit, additional
CPR was necessary and the performing physician also
ved a shock. The patient died of cardiogenic shock 2
later.
There are some reports about malfunctioning of AICDs1 *
but no information is available about shocks to rescue
personnel (eg, during CPR). None of the personnel was
seriously injured, but there are no data on possible risks. We
assume that the current conduction between patient and
paramedic was enhanced by ECG-paddle gel. We
recommend rescue personnel to first look for AICDs and to
remove gel on ECG'defibrillator paddles from the patient’s
skin for CPR if an AICD is found. CPR should then be done
"nth the physician wearing gloves.
«
Lechleuthner
nre Department. EMS Cologne. 50475 Cologne. Germany
* Pfeiffer D, Jung W, Fehske W, ct al. Complications of pacemakerdeGbrillator devices: diagnosis and management. Am Heart J 1994;
127: 1073-80.
2 Singer I, Adams L, Austin E. Potential hazards of fixed gain sensing
and arrhythmia reconfirmation for implantable cardioverter
3
deGbnllators. PACE 1993; 16: 1070-79.
Grimm W, Flores BF, Marchlinski FE. Complications of implantable
cardioverter defibrillator therapy: follow-up of 241 patients. PACE
1993; 16:218-22.
345 * January 28, 1995
Cancer mortality and low doses of ionising
radiation
Sir—No general conclusion about “radiation protection
recommendations” should be based on the IARC Study
Group’s report (Oct 15, p 1039) because these workers
studied only mortality from leukaemia among nuclear
industry’ workers exposed to low doses over many years.
Leukaemia is unique among radiogenic cancers in that the
latency after exposure is typically 1-5 years.1 Almost all the
excess risk of leukaemia from a single high-dose exposure to
ionising radiation is dissipated within 5-10 years after that
exposure.1 There is no reason to expect a cumulative effect
on leukaemia mortality’ from non-leukaemogenic doses over
several or many years. None was found. On the other hand,
for radiogenic breast cancers there is substantial evidence for
a cumulative effect of fractionated doses distributed over
several years.
*'
Many women receive substantial cumulative
doses of ionising radiation to the breast from medical
diagnostic X-ray procedures, including mammograms. Data
from a study of leukaemia mortality are not relevant to the
risk of breast cancer after cumulative low-dose exposures to
ionising radiation.
The IARC investigators offer no evidence that their data
“provide the most precise direct estimates so far made of
carcinogenic risk after protracted exposure to ionising
radiation”. In particular, despite their general claim, their
data do not show “that the estimates that form the basis of
current radiation protection recommendations” are correct
for breast and other radiogenic cancers.
M.-cnael Swift
Depa’tnwnt of P.iecii.wic
*.,
Division of Human Moiecul.it Genetics.
*.
Nr
>0'- Medical College. Hawthorne. NY 1053?. USA
1
2
National Research Council, Committee of the Biological Effects of
Ionising Radiation. Health effects of exposure to low levels ot ionising
radiation V Heir (chapter 5). Radiogenic cancer at specific sites:
leukemia Washington. DC: National .Academy of Sciences, l‘>90:
212 51
National Research Council, Committee of the Biological Effects of
Ionising Radiation. Health effects of exposure to low levels of ionising
radiation. V Bcir (chapter 5). Radiogenic cancer at specific sites:
leukemia. Washington. DC. National Academy of Sciences. 1900:
Gynaecological monitoring during tamoxifen
therapy
Sir—We take issue with several of Bissen and co-workers’
statements (Nov 5, p 1244) about gynaecological
surveillance of women during tamoxifen therapy. These
commentators quite rightly emphasise that (1) tamoxifen has
oestrogenic effects on the endometrium, (2) endometrial
polyps and hyperplasia might develop in as many as a
quarter of patients receiving this drug for a long-time, and
(3) 1-2 women per 1000 per year might develop
endometrial carcinoma.
In view of these facts, it is hard to believe that Bissen and
colleagues should not consider an annual gynaecological
examination and an annual transvaginal ultrasound
examination of the endometrium in these patients as a must.
To await the occurrence of vaginal discharge or bleeding,
before referring a breast cancer patient on tamoxifen to a
gynaecologist is unacceptable. Should we assume that the
highly questionable notion of cost-benefit ratio is a sufficient
reason for Bissett and colleagues not to treat patients
properly? Can there be any justification for letting atypical
endometrial hyperplasia develop and to treat it, once
present, by a (very costly) hysterectomy?
I
ANALYSIS
(ion, childhood diarrhoea, influenza, malaria and filaria to
more complicated problems like allergy and asthma, rheuma
toid disorders, diabetes, migraine and fibromyalgia, many of
which have defied a permanent cure even in allopathy.
Hahnemann's cures
Homoeopathy (from the Greek words homois, meaning ‘simi
lar’. and pathos meaning ‘suffering’) was developed by German
physician Christian Fredrick Samuel Hahnemann (17551843)- An allopath himself, Hahnemann gave up his
lucrative practice realising that side effects of
allopathic treatment often outweighed the
cure, and took to translation of medical
books. In the 1780s, while translating
Cullen’s Treatise on Materia Medica, he
came across a statement that the cin
chona bark (which contains quinine)
cured malaria because of its tonic
action on the stomach. Deciding to
experiment, he took a strong dose
of cinchona tincture himself and
experienced fever, chills, headache
and thirst — symptoms typical of
malaria.
He theorised that a drug’s
power to cure a disease arose from
its ability to produce symptoms in a
healthy person that were similar to
those caused by the disease itself.
Strong doses of drugs produce symp
toms of diseases that can be cured by the
same drugs when given in smaller doses.
Based on this premise, homoeopathic reme
dies are prepared by repeatedly diluting an active
ingredient until it virtually disappears from the solution; the
higher the dilution, the higher the potency of the medicine.
The doses are usually given as sugar pills that have absorbed
the prepared solution. For example, while conventional
allopaths prescribe a few drops of belladonna tincture for a
variety of gastrointestinal problems, homoeopaths use bel
ladonna diluted trillions of times. A 30c-dose of belladonna (c
stands for one-in-100 dilution, and 30 denotes the number of
times the dilution is repeated) is about a million billion times
more dilute than a solution containing one molecule of salt in
a volume of water as large as all the earth’s oceans combined.
According to the laws of chemistry and probability, even at
a lower dilution of l:1021, or a homoeopathic potency of 12c,
a remedy would be diluted beyond a point where theoretically
>t would not contain even a single molecule of the original sub
stance. Aware of this problem, Hahnemann proposed that vig
orous shaking after each dilution causes the dilutant to imbibe
the properties of the original substance in the drug. He called
n “potentisation".
and against
Advocates of homoeopathy point to immunisation and allergy
’reatment as two allopathic practices that follow the ‘Law of
Similars’. In both cases, allopaths use substances that are idenbcal to disease-causing agents, but are administered either in
benign modified forms (vaccines) or in smaller doses (aller
gens). Critics, however, argue that these analogies are flawed,
since homoeopathic treatments are based on substances that
produce similar symptoms, and not the same causative agents.
Similarly, while proponents argue that homoeopathy has
stood the test of time (about 200 years), opponents point out
that such successes could be simply due to a ‘placebo’ effect
(homoeopathic cures are placebos, effective due to the psy
chological influence of close personal attention from the doc
tor). In a classic study on placebos in the ’60s, Arthur Shapiro,
now professor of psychiatry at Mount Sinai School of
An allopath himself,
Hahnemann gave up
his lucrative practice
realising that side
effects of allopathic
treatment often
outweighed the cure,
and took to translation
of medical books. An
experiment with the
cinchona bark in the
1780s led him to
develop homoeopathy
Medicine in New York, gave pregnant women ipecac, which
usually induces vomiting, and told them it would stop their
nausea. The impact of their belief was so strong that in most
cases the nausea-inducing drug actually prevented nausea!
Supporters of homoeopathy argue that homoeopathy pro
vides many therapeutic benefits which cannot be explained by
the placebo effect.
The most fundamental objection to homoeopathy is that
the mechanism of action of homoeopathic drugs is not known.
However, proponents contend that most treatments prescribed
even by allopaths are unproven and the methods by which 85
per cent of their medications work are not understood.
Testing times
According to modern pharmacological methods, ‘randomised
double-blind’ clinical trials are necessary to establish the clini
cal efficacy of a drug as against a placebo, a look-alike dummy
medication. The subjects are randomly assigned to“receive
either the drug or the placebo, and neither the subject nor the
investigator knows which is which. Over the last decade, most
results of clinical trials conducted for homoeopathic remedies
reported that these remedies worked better than placebos.
A review of 107 such studies was done in 1991 by Dutch
epidemiologists Jos Kleijnen, Paul Knipschild and Gerben ter
Riet from the University of Lumburg, the Netherlands (British
Medical loumal. Vol 3f 2, p316-3231. They observed that of the
105 studies with in erpretable results, 81 showed that
Down To Earth September 15, 1996
Q
ANALYSIS
In India: a matter of money and training
Homoeopathy came to India In 1839 with John Martin Honlgberger, a
doctor who was invited to treat Ranjit Singh, the ruler of Punjab, for
paralysis of the vocal cords and oedema. India's first homoeopathic
medical college was established in Calcutta in 1881.
Today, there are over 1,50,000 registered homoeopathic practi
tioners in India, and more than 100 pharma companies produce
homoeo remedies exclusively. About 110 degree colleges and 12
post-graduate colleges impart homoeopathic education, adminis
tered by the Central Council
of Homoeopathy. A separate
Central Council for Research in
Homoeopathy (CCRH) was estab
lished in 1978, which today has
51 units all over the country.
According to V P Singh, senior
scientist at CCRH, the council has
"developed anti-epidemic pre
ventive treatments which were
successfully used in smallpox and
plague prevention
*.
He adds,
homoeopathy
was
effective.
However, since all the studies
reviewed were not of the same qual
ity, the reviewers scored different
studies according to their scientific
rigour. Of the 23 ‘best’ studies
which scored more than 55 points,
they found that 15 showed positive
results.
Based on this, the researchers
commented that this body of evi
dence “would probably be sufficient
to establish homoeopathy as a regular treatment for certain conditions”. However, they also
added, “At the moment the evidence of clinical trials is posi
tive but not sufficient to draw definitive conclusions because
most trials are of low methodological quality and because of
the unknown role of publication bias. This indicates that there
is a legitimate case for further evaluation of homoeopathy, but
only by means of well-performed trials.”
Among the ‘good quality’ randomised, double-blind clini
cal trials, the most significant ones have tested homoeopathic
remedies for the following disorders:
• Migraine: Trial conducted in Italy by B Brigo and
G Serpelloni (1991) showed that homoeopathic remedies
were active in migraine headaches (Berlin Journal of
Research in Homeopathy, Vol 1, p98-106).
• Childhood diarrhoea: In the first successful clinical trial of
homoeopathy (conducted in Nicaragua) to be accepted by
an American peer-reviewed medical journal, J Jacobs and
his colleagues from the University of Washington reported
(1994) that homoeopathic treatment brought about a statis
tically significant (15 per cent) decrease in diarrhoea
(Pediatrics, Vol 93, pl 19-725).
• Influenza: In 1989, J P Ferley and his colleagues from the
Grenolobe University Hospital (France) reported that
September 15, 1996 Down To Earth
The
India see
methodof
are n
jds to con
Since
"Within the first few years of establishment of CCRH we
have done elaborate clinical trials to establish the efficj.
cy of homoeopathic remedies for tonsilitis, sinusitis
pharyngitis, laryngitis, allergic rhinitis, contact dermatitis
and allergic dermatitis, In collaboration with the doctors
of the All India Institute of Medical Sciences (AllMS), New
Delhi..."
Singh, however, laments the termination of these
trials due to non-cooperation of AllMs
administrators. Says V M Nagpaul, deputy
director of CCRH, "Allopaths and medical
scientists often do not cooperate with us
and act like big brothers. The
trials at AllMS were made possible
because of the interest taken by the then
director, V Ramalingaswamy. As soon as
he was replaced, everything changed and
our trials ended abruptly. Today, we do
not even have access to the full records of
our trials."
compared to placebos, homoeo
pathic treatment was highly
effective (British Journal of
Clinical Pharmacology, Vol 27,
p329-335).
• Fibromyalgia: In a study (1989)
of fibrositis (primary fibromyal
gia) patients, Peter Fisher and his
associates from St Bartholomew’s
Hospital, London, showed that
homoeopathic remedies brought
about a decrease in pain and the
number of tender spots (British
Medical Journal, Vol 299, p365-366).
• Rheumatoid arthritis: In 1980, R G Gibson conducted clini
cal trials on 46 patients (British Journal of Clinical
Pharmacology, Vol 9, p453-459), who showed improve
ments in subjective pain, morning stiffness and grip
strength, compared to placebo-treated patients who did
not. Another study by Andrade et al in 1991 (Scandinavian
Journal of Rheumatology, Vol 20, p204-208) had found that
placebo patients showed almost as much improvement as
those receiving homoeopathic treatment, but the number of
patients observed was so small that the authors could not
dismiss Gibson’s findings.
• Pain and inflammation: Kleijnen’s review of clinical trials of
homoeopathic remedies referred to 20 studies on trauma
and pain, of which 18 indicated that homoeopathy was
effective in treating a variety'of pains. But in a recent trial o
24 patients who underwent dental surgery (Lokken eta
1995, British Medical Journal, Vol 310, p!439-I442), it was
found that pain after surgery was essentially the same, irrc"
spective of treatment with homoeopathy or placebos.
However, the authors acknowledged that “attainment of
clinical proof for the non-existence of a homoeopath11-
effect is impossible.” .
uate the <
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NAME
FROM
ACTIVITY
Dr. K.S. Das
CALCUTTA
[W.B]
Immunisation for measles
with homoeopathic
remedies;
Blood donation camp;
Advocacy & Lobbying.
General Health Check up.
Routine lab check up.
Chariatable clinic.
Dr. Amaresh Ghosal
CALCUTTA [W.B]
Rohini Printers
Dr.David Shimra
TIRUNELVELLI T.N
MANIPUR
Dr.Achintya Kumar
CALCUTTA W.B
Dr. J. Samson
Dr.B.M Sharma
KANYAKUMARI,
TAMELNADU
UDAIPUR,
RAJASTHAN
Publication
Inviting me to study his
project
Community Health Care
Community Health care
Herbal medicine
Purpose of project
JOURNAL/MAG
w
MEDITIMES
LETTER
w
W
FOLLOWING ARE THE HOMOEOPATHS WHO ARE SAID TO HAVE DOING
COMMUNITY HEALTH IN THE FOLLOWING WAY.
FROM
ACTIVITY
Dr. Anand Prasad,
BSc., BHMS.
Dr. Das
MIRGANG [BIHAR]
Running community health
centre since 10 years.
Awareness and motivation
for AIDS / STD.
Dr.Lok Mani Gupta
KOTA [RAJASTHAN] Medical camp since 10
years.
Medical camp since 7 years.
GULBARGA
[KARNATAKA]
Serving people in backward
NELLIMARLA [A.P]
tribal area since 10 years.
Free clinic since 10 years
BANGALORE
[KARNATAKA]
NAME
Dr. Siddhapurkar
Dr. Suiyanarayan
Mr. H.S. Narayan
TULSIGHAT[W.B]
JOURNAL/MAG
MEDITIMES
MEDITIMES
MEDITIMES
MEDITIMES
MEDITIMES
FOLLOWING HOMEOPATHS HAVE EVINCED KEEN INTEREST IN MY
PROJECT/COMMUNITY HEALTH,FOLLOWING MY PROJECT'S ADVERTISEMENT
NAME
FROM
REQUEST
Dr, Gopal Pandit
BHAGALPUR [BIHAR]
Aims & objective of CHC
Dr. Ram Nivas Jain
HISSAR [HARYANA]
Dr.I.N. Saha
KOKHARAJHAR
[ASSAM]
RAMKOLA [U.P]
HARDOI [U.P.]
BOOTISPURAM [T.N.]
BILASPUR [ASSAM]
TUNGABHADRA DAM
New DeUii
BANGALORE,
KARNATAKA
Input to start community
Health Programme.
Running Charitable clinic &
wants sponsorship
Wants to join Project.
Wants to join Project
Wants to join Project.
Wants to know about my Project
Details of project
Publication of my announcement
Aims & Objectives of CHC
Dr. G.P. RAO
Dr. Satya Prakash.
Dr.P.S. Sannasi.
Dr. Ankur.
Mr.R Subbaiah.
Dr.Manish Bhartiya
Dr.Pradeep Nayak
HOMEO
MIRROR
ess?
&&
W
W
<s>
«s®
HtsMOfcoPftTHV X' Community
'Pc>
How
Present
a
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Znofficer
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Rsor
S.
(Jie^n. ^evccplrvi^-- rnclfi/fc/uali^Hc.
f?Okt OF HOMOtoPflTHY IAJ.
G H. CARfc.
Advantages
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ProfesSftwx/
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rtj CONCEPTS.
PoBkr<^- hearth
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I
FOREWORD
On 2nd October, 1977 a massive programme was launched by the Government of ■
India for the delivery of health care in the rural areas through Community Health
Workers. These workers are selected by the people of the community to which they i
belong, and they serve a population of about 1,000. They are trained to educate the :
people in the villages as to how to keep healthy and how to prevent disease by taking the
necessary immunizations, drinking safe waler, eating nutritious and clean food, maintain
ing personal and environmental hygiene, and utilizing the available services for maternal
and child health, family planning and medical care.
Each Community Health Worker is provided with a kit containing a few simple
medicines so that he or she can give immediate treatment for common minor ailments
and provide first aid before referring the sick or injured to the Subcentre or Primary
Health Centre for medical care.
The Manual for the Community Health Worker is meant to serve as a guide and
reference book for the Community Health Workers, to enable them to carry out the tasks
which they have been trained to perform. It contains chapters on maternal and child
health, family planning, nutrition and the control of communicable diseases including
immunization and environmental sanitation. Il also contains chapters on rendering first
aid to the injured and simple treatment of minor ailments.
Our country has a wealth of knowledge in various traditional systems of medicine,
and chapters on these systems have also been included in the Manual, so that in those
areas where indigenous systems of medicine are popular, the Community Health Workers
can be trained to use these traditional remedies.
The second edition of this Manual has incorporated suggestions received from
several individuals and institutions. It also contains two additional chapters on
Naturopathy and Medicinal Plants which, it is hoped, the Community Health Workers
will find useful.
In the task of promoting and maintaining the health of otir people, it is necessary
for the Community Health Workers and the Government Health Workers to coordinate
their efforts and to develop a deep sense of dedication to the community which they serve.
We have great expectations from the Community Health Workers and feel sure
that they will serve as an important link in the chain of delivery of health cure to our
people.
New Delhi
October 2. 1978
(RAJESHWAR PRASAD)
Secretary to the Government of India
Ministry of Health and Family Welfare
CHAPTER 17
Homoeopathy
Introduction
Homoeopathy is a system of treatment .by which diseases are cured by drugs which produce
effects on the body similar to the signs and symptoms of diseases.
Minute doses of homoeopathic medicines mobilize the inherent mechanisms of the body
against the influence of disease producing organisms and various types of other human sickness.
This, therefore, results in rapid, gentle and permanent restoration of health. Since the doses of
homoeopathic medicines used are very small, there are practically no side-effects. With the aid of
homoeopathic medicines, many cases of common ailments can be managed successfully and serious
cases can be greatly helped before the arrival of proper professional help. Homoeopathic treatment
does not conflict with surgery, physical therapy or other non-medical measures.
17.1
Preparation, handling and storage of homoeopathic medicines
The "Homoeopathic-kit" contains all the important ami commonly used medicines which one
may need to treat common ailments. While giving the medicine to a patient, the name and pomm-rof
the drug should be noted carefully. Extreme care is needed in handling and storage of homoeopathic
medicines. The vials containing the medicines should be tightly corked. They should always be put
back in the kit-box which should be kept closed and in a cool, dry and preferably in a shaded place.
No other strong smelling things like camphor, menthol, essences, scents, etc., should he kept nearby
as these may destroy the action of homoeopathic medicines and make them inert. If carefully stored
and handled, the homeopathic medicines will not deteriorate ami will keep their power for a long
time.
17.2
Administration of medicines
The medicines may either be administered dry, by placing them upon the tongue, or dissolved
in. water.
In most cases, 5 to 8 globules should be placed dry on the tongue. For children 2 to 4 globules
and for infants I to 2 globules will be sufficient for a dose. If the tongue is dry. add a few drops of
drinking water. Even new-born babies are able to swallow this, tn the case of Combination
Tablets, give 4 tablets with a small amount of warm drinking waler to adults. In children and infants..
dissolve 4 tablets in half a cup of warm, drinking water and give one teaspoon of this. Avoid undue
handling and touching the medicine. Thc'drug should be taken from the bottle on lo a piece of clean
paper.
Where repeated doses of lhe medicine at short intervals are required, thy appropriate remedy
should be administered in solution in water. For this purpose take a clean tea cup ami rinse it with
waler. Fill il half full of drinking water, put 5 lo 8 globules of medicine into the water, mix it
thoroughly by stirring with a clean spoon. Keep the tumbler containing the medicine well covered
with a clean saucer in a cool place, free of odours of any kind. When thus prepared, a dessertspoonful
to adults, or a leaspoonful to children and infants may be given at a lime.
The more active or virulent the disease, the more frequently must lhe remedy he repeated. In
acute conditions like severe pain, troublesome cough, diarrhoea or vomiting, the medicine may have
to be repeated as often as every 10 to 15 minutes until the patient gets relief from the pain, or the
vomiting ceases, or the diarrhoea stops, or the cough gets easier and the patient goes to sleep. With
relief of symptoms, the patient will have a sense of well being. These reactions will show that the
medicine is doing its work.
173
17.4
Regimen during homoeopathic treatment
The patient.should partake of light, digestible and nourishing food. In fevers only the lightest
17.2
MANUAL FOR COMMUNITY HEALTH WORKER
and simplest kinds of foods are proper. Both mental and physical rest are most essential.
While taking homoeopathic remedies the patient should be careful to refrain from taking
other medicines. Certain articles of diet are forbidden such as strong coffee or excessive spices. The
patient should also abstain from tobacco and alcoholic drinks.
Referral & records
Refer your cases as necessary to the Health Worker, Subccntrc or Primary Health Centre in
good time according to the instructions given under each ailment. Whenever in doubt about the
disease or its treatment, contact the Health Worker attached to your Subcenlre or Primary Health
Centre.
Keep a record of the treatment given to each patient. Refer cases to the Health Worker or to
the Subcentre or Primary Health Centre as necessary with their records.
173
17.6
Homoeopathic treatment for common ailments
17.6.1 Fever
fever is a common condition and is generally accompanied by other signs and symptoms such
as headache, bodyache, shivering, running of the nose, sore throat, nausea, vomiting, diarrhoea, or
skin rash. Proceed as follows:
I. Ask the patient to remain in bed.
2. Tell the patient to drink plenty of fluids.
3. At the onset of fever give Aconite 6X and Combination No. I tablets alternately every one
hour; if belter, two hourly.
4. If the fever is accompanied by sore throat, earache, cough, bodyachc, or running of the
nose give Belladonna 6 and Merc bin iodide 6 alternately every two hours.
5. If the fever does not subside, give Baptisia 3X, two hourly till such time that he is assisted .
by the Subcenlre or Primary Health Centre.
6. Refer to the Subcenlre if:
(i) The fever does not come down within two days
(it) The fever is accompanied by slilf neck, convulsions, unconciousncss or vomiting.
17.6.2 Headache
Like fever, headache can also be accompanied by other signs and symptoms such as fever,
rash, earache, running of the nose, sore throat, or vomiting. Proceed as follows:
1. Give Mellilotus 30 and Combination No. II tablets alternately every two hours for two
days.
2. Treat the other symptoms accompanying the headache as follows:
Headache accompanied by
(i) Fever
(17) Sore throat
(iii) Cold and Cough
(iv) Earache
Aconite 6X and Combination No. II tablets alter
nately every two hours.
Belladonna 6 and Merc bin iodide 6 alternately
every two hours.
Bryonia Alba 30 and Combination No. I tablets
alternately every two hours.
Belladonna 30 and Combination No. Il tablets
alternately every two hours.
Refer the patient to the Subcentre if:
(i) The headache is accompanied by stiff neck
(i7) The patient is pregnant
(iii) The headache is accompanied by fever and there is no relief even after two days.
17.3
HOMOEOPATHY
17.63 Backache
Proceed as follows:
1. Bed rest
2. Treatment:
(z) If backache is due to injury
Arnica 200 every two hours.
(//) If backache is accompanied by joint pain and
the pain is fell more with the least movement
Bryonia 30 and Combination No. Ill tablets
alternately every two hours.
Rhustox 30 and Combination No. Ill tablets
alternately every two hours.
(<77) If the backache is accompanied by joint pain
and if the pain is relieved by movement
3.
Refer the patient to the Subcentre if the backache persists for more than three days or if
there is any restriction in movement.
17.6.4 Joint pains
Proceed as follows:
1. Bed rest
2. Apply heat to the joint by means of a hot water bottle or hot sand or by wrapping the joint
with a cloth soaked in hot waler and wrung out.
3. Treatment:
(/) If joint pain is more on the least move
ment
(/7) If joint pain is better by movement
((77) If joint pain is accompanied with fever and
the joint is red, hot, swollen and painful to
touch
4.
Bryonia 30 and Combination No. Ill tablets
alternately every two hours.
Rhustox 30 and Combination No. Ill tablets
alternately every two hours.
Belladonna 30 and Combination No. Ill tablets
alternately every two hours.
Refer the patient to the Subcentre
(/) If the patient is a child with pain in several joints and fever
(z7) If there is no improvement after 3 days of treatment.
17.6.5 Diarrhoea
Proceed as follows:
1.
2.
3.
Give plenty of fluids to drink
Give soft diet like banana, buttermilk, arrowroot conjee, and rice gruel.
If there are signs of dehydration, i.c., sunken eyes, dry mouth, or wrinkled skin, give
rehydration mixture, or follow the instructions given in Chapter 11, Section 11.1.5.
4. Give China 6 and Cynodon Dactylon 6A'hlternately two hourly.
5. Give Chamomilla 30 every two hours in children having diarrhoea during dentition when
the child is cranky and irritable.
6. Treatment:
If the stools are:
(rj Watery, profuse, painless, offensive
Podophyllum 30 and Combination No. IV alter
nately every two hours.
(if) Mixed with blood and mucus
Merc Sol 30 and Combination No. IV alternately
every two hours.
((77) Accompanied by nausea, vomiting or dehy
dra lit) fl
Arsenic Album 30 and Ipecac 30 alternately every
iwo hour,’,
17.4
MANUAL FOR COMMUNITY HEALTH WORKER
7.
Refer the patient to the Subcenlre if:
(') There arc signs of dehydration
(/7) There is no improvement within two days.
17.6.6 Cold
Proceed as follows:
I. Give Arsenic Album 6 and Combination No. I tablets every two hours for four days.
2. Refer the patient to the Subcentre if the cold docs not subside after 4 days of treatment.
17.6.7 Cough
Proceed as follows:
I. Treatment:
Belladonna 30 and Merc Sol 30 alternately every
two hours for 3 days.
(") Loose cough
Arsenic Album 6 and Ipecac 30 alternately every
_______________________________________ two hours for 3 days.
2. Refer the patient to the Subcentre:
(r) If the cough does not subside
(it) If the cough is accompanied by fever and chest pain.
(i)
Dry cough accompanied by fever
17.6.8 Vomiting
Vomiting may occur alone or it may be accompanied by pain in the abdomen, diarrhoea or
fever. In women it may occur during pregnancy.
Proceed as follows:
1. Give a milk diet
2. If (here are signs of dehydration, give rehydralion mixture or as suggested in Chapter 11.
Section 11.1.5.
3. Give Ipecac 30 and Arsenic Album 30 alternately every one hour and il better, every 2
hours,
4. Refer the patient to the Subcentre:
(i) I f the vomit contains blood
(z7) If the patient is dehydrated
(Hi) If the patient is unable to retain anything
(rv) If there is no improvement within two days.
17.6.9 Pain in the abdomen
Pain in the abdomen can also occur with other signs and symptoms like nausea, vomiting.
diarrhoea or constipation.
Proceed as follows:
1. Advise milk and a soft diet.
2. Treatment:
Pain in abdomen associated with
(i) No symptoms
(z7) Diarrhoea
(Hi) Constipation
(iv) Nausea and vomiting
(v) Passing worms
(vi) Fever
Colocynlh 30 and Combination No. K tablets
alternately every two hours.
China 6 and Cynodon dactyloil OX alternately
every two hours.
Nux Vomica 30 and Combination No. V alternate
ly every two hours.
Ipecac 30 and Arsenic Album 30 alternately every
two hours.
Cino 30 every two hours.
Belladonna 30 every two hours.
HOMOEOPATHY
3.
'
'V.V
17.5
Refer to the Subcentre:
(/) 1f the pain docs not subside within 24 hours
(//) If there are signs of shock
(Hi) If the patient is pregnant.
17.6.1(1 Indigestion
Proceed as follows:
1. Ireatnienl:
Indigestion
(i) With heaviness end belching
(ii) Due to rich, greasy food
(Hi) Due to spicy food
(if) With nausea or vomiting
(v) With diarrhoea
(tv) In children during dentition
Carbo beg .10 and Combination /Vo. XII alternate
ly everv two hours.
1‘nlsutilla 30 and Combination No. XII Tablets
alternately every two hours.
Nux Comica 30 every two hours.
Ipecac 30 and Arsenic A Ibutn 30.
China (> and Cynodon Dactylon 6 X alternately
every two hours.
Chamomilla 30 and Combination No. I7/ alternate
ly every two hours.
2. Refer the patient to the Subcentre if there is no improvement within two days.
17.6.11 Constipation
Constipation may also be accompanied by pain in the abdomen, nausea and vomiting.
Proceed as follows:
1. Advise the patient to drink plenty of water
2. Advise the patient to eat plenty of fresh fruits and green leafy vegetables.
3. Treatment:
Constipation
(i) Of long standing
(ii) Of recent origin
4.
(a) Sulphur 30 in the morning and Nux Comica
30 in the evening for seven days.
(b) Combination No. CH thrice a day.
Cascara Sagrada Q, 4 to 6 drops in half a cup
of waler, one teaspoon every three hours for
two days.
Refer the patient to the Subcentre if the patient is vomiting and has severe pain in the
abdomen accompanied by fever.
17.6.12 Earache
Earache may be accompanied by running of the nose, sore throat, discharge from the ear,
dizziness, disturbances of hearing, or fever.
Proceed as follows:
1. Treatment:
Earache:
(i) With fever
(ii) With catarrh, sore throat,
but without fever
belladonna 30 and Merc Sol 30 every hour: if
severe pain then half hourly.
Merc Sol 30 and Combination No. Till tablets
alternately every two hours.
17.6
MANUAL FOR COMMUNITY HEALTH WORKER
2.
Refer (he patient to the Subcentre:
(Z) If the pain docs not subside within 24 hours
(ZZ) If there is a foreign body in the ear
(ZZZ) If the patient has dizziness or disturbances of hearing
(Zv) If the fever docs not subside and pain is more severe.
17.6.13 Sore eyes
Treat the patient as follows:
1. Clean the eyes with boiled, cooled waler and cotton wool. Use separate cotton wool for
each eye. Clean the eye from the inner to the outer end.
2. Drop Euphrasia eye drops inside the lower eyelid. Repeal three times a day. Or use eye
drops as in Chapter 11. Section 11.1.11.
3. Give Belladonna 30 and Euphrasia 30 alternately every two hours.
4. Keep the patient away from bright lights and dust.
5. Refer the palicnt-to the Subeentre:
■ (r) If there is an eye injurv or a foreign body in the eye
(ZZ) If there is no improvement within 24 hours after the treatment
(ZZZ) If the child with sore eyes has measles.
17.6.14 Toothache
Toothache may be accompanied by fever, swelling and redness of the gums, or by decay of the
tooth.
Proceed as follows:
1. Add two drops of Kreosoie Q in half a cup of water. Use this solution as a gargle. Repeat
as necessary.
2. With cotton wool on a match stick apply Kreosoie <2 on the decayed tooth. Repeal as
nectssary.
3. Treatment:
Toothache
(I) Without fever
(ZZ) With fever and swelling of the gums or
if painful to touch
Staphysagria 200 and Combination No. IX alter
nately every two hours.
Belladonna 30 and Merc Sol 30 alternately every
two hours.
4. Refer the patient to the Subeentre:
(Z) If the pain docs not subside within two days
(ZZ) If the swelling increases or the fever does not subside.
(ZZZ) For further treatment in cases of a decayed tooth, or swelling and redness of the
gums.
17.6.15 Boils and Abscesses
These are skin infections seen most frequently in children who arc not kept clean. If neglected.
a boil develops into an abscess which contains pus. This has to be removed.
1. Treatment:
Belladonna 30 and Merc Sol 30 alternately every
(Z) In early stages of boils
two hours.
Arnica 200 and Combination No. XIII tablets
(r'Z) Very painful to touch
alternately every two hours.
Hepar Sulph 30 every two hours.
(ZZZ) If the abscess is formed and is
painful
HOMOEOPATHY
17.7
, 2. Refer the patient:
(/) If there are red streaks running beyond the area of the boil and the part becomes
painful to touch
(n) If the abscess is formed
(lit) If there is no relief after two days of treatment.
17.6.16 Ulcers
Proceed as follows:
1. Clean the ulcer with boiled, cooled water and cotton wool.
2. Dry it with clean cotton wool.
3. Apply Calendula ointment.
4. Apply a clean dressing and keep in place with a bandage or adhesive plaster.
5. Give Merc Sol 30 and Combination No. X tablets alternately every two hours.
6. If there is no relief, change the dressing as necessary, and give Hepar Sulph 30 and
Combination No. X tablets every two hours for one week.
7. Refer the patient to the Subcentre:
(/) If there is fever
(«) If the patient has several ulcers and gels tired easily or eats and drinks water
excessively.
17.6.17 Scabies
Proceed as follows:
1. Ask the patient to bathe the part with soap and water.
2. Clean the part with cotton wool.
3. Apply Calendula ointment. Repeal twice daily. (See also Chapter 11. Section II.1.13
No. 1).
4. Ask the patient to put on clean clothes and change the clothes daily.
5. Ask the patient to boil the clothes and the bedding with soap or washing soda. Dry them
in the sun.
6. Give Merc Sol 6 and Combination No. XI tablets alternately every four hours for seven
days.
7. Refer the patient to the Subcentre if there is no improvement.
17.6.18 Ringworm
Proceed as follows:
1. Bathe with water and soap.
2. Dry with cotton swabs.
3. Apply Calendula ointment. Repeat as necessary.
4. Give Sepia 6 and Combination No. XI tablets alternately every three hours for seven days.
5. Refer the patient to the Subcentre if there is no improvement.
17,6.19 Burns and Scalds
Proceed as follows:
1. Cases where skin is intact or only partially destroyed
(i) Wash with running water.
(ii) Apply Cantharis ointment.
(Hi) Dress with gauze. Keep the gauze in position with a loose bandage and adhesive tape.
(tv) Make the patient drink plenty of fluids.
(v) Give Cantharis 30 and Urlica Urens 1X alternately every hour.
2. Cases where skin is completely destroyed
The\burnt area looks raw, there is severe pain andthe patient may go into shock'ln sue! \cases
treat as follows:
(/) Cover the affected area with a clean sheet or piece of cloth.
(ii) Make the patient drink plenty of lluid.
17.8
MANUAL LOR COMMUNITY HEALTH WORKER
(Hi) Give Cantharis JO. Urtica Urens 3X alternately every ten minutes. Rush the patient to
the Primary Health Centre.
17.6.20
Wounds
A wound may be a simple grazed skin, a skin cut by a knife or other sharp cutting instrument,
a torn skin, or a punctured skin.
Proceed as follows:
1. Simple grazed wound: Wash the wound with clean water and cotton wool and dry with
cotton wool. Apply Calendula ointment, dress the wound and bandage.
Give Calendula 30 and Arnica 200 alternately every two hours for two days.
Cuts:
(a) If the cut is small
(i) Stop the bleeding by using direct pressure.
(ii) Wash the wound with water, then dry it with cotton wool.
(iii) Apply Calendula ointment.
(iv) Dress the wound and bandage it.
(v) Give A mica 200 every two hours for two days.
(w) Dress the wound daily as necessary.
(6) If (he cut is big
{/) Stop the bleeding by direct pressure. If bleeding still continues, apply a tourniquet.
(n) Give Arnica 200 every 5 minutes.
(iii) Rush to the hospital.
2.
3.
Torn skin:
(a) If the skin is torn
(i) Remove as much dirt or foreign matter as possible.
(ii) Wash the wound with soap and water.
(iii) Dry with cotton wool.
(iv) Apply Calendula ointment.
(v) Dress the wound with a clean bandage.
(w) Give Arnica 200 every Itali an hour.
(/>) If the wound is gaping
(/) Bring the edges together by using strips of adhesive tape.
(ii) Give Arnica 200 and Calendula 30 alternately every 20 minutes.
(iii) Rush the patient to the Primary Health Centre.
4.
Punctured wound:
(a) If the wound is small
(i) Slop the bleeding by direct pressure.
(ii) Wash the wound with waler.
(iii) Dress with Calendula ointment.
(iv) Give Arnica 200 and Ledum 30 alternately every 15 minutes.
(b) If the wound is big and is bleeding profusely or the wound is in the abdomen cr chest
and is deep
(0 Slop the bleeding by direct pressure or by applying a tourniquet.
(ii) Give Arnica 200 every 10 minutes.
(iii) Rush (he patient to the Primary Health Centre.
17.6.21 Sprains
Proceed as follows:
1. Give rest and support to the injured joint.
HOMOEOPATHY
17.9
2. Apply a cold compress.
3. Apply /Imica mother tincture.
4. Bandage the joint firmly.
5. Give Rhuslox 30 and Arnica 200 alternately every two hours.
6. Kush the patient to the Primary Health Centre.
All cases of fractures and dislocations should immediately be referred to the Primary Health
Centre (refer to Chapter 10).
17.6.22. Dog bite
Proceed as follows:
1. Clean the wound with soap and water.
2. Apply Calendula Ointment.
3. Dress the wound and apply a clean bandage.
4. Give Ledum 6 and llydrophobinum 30 alternately every two hours.
5. Refer to the Primary Health Centre.
17.6.23 Scorpion sting and Insect sting
Proceed as follows:
1. Apply a cold compress.
2. Apply Echinacea ointment locally.
3. Give Apis Mel 6 and Ledum 6 alternately every two hours.
4. Reler the patient to the Health Worker or the Primary 1 Icalth Centre:
(/) If the pain does not subside
(//) If the patient is in shock
(Hi) For further treatment.
17.6.24 Snakebite
Treat the patient as mentioned in Chapter 10, Section 10.1.4.
17.6.25 Lice
Proceed as follows:
1. Wash (he hair with soap and warm water daily.
2. Give Carbolic Acid6 and Psorinum 30 alternately every 4 hours for 7 days.
3. Repeat the treatment as necessary.
Note: See Appendix 17.1: Homoeopathic Medicines and Appendix 17.2: Guide for the Use
and Administration of Homoeopathic Drugs for External Use.
17.10
MANUAL FOR COMMUNITY HEALTH WORKER
APPENDIX 17.1
Homoeopathic Medicines to be Carried by
Community Health Worker
For internal use:
.S'. /Vo.
Drugs
Poletier
.S' No.
Drugs
Pnicnte
1.
2.
Aconite
Apis mel
Arnica
Arsenic album
Baptisia
Belladonna
Bryonia alba
Calendula
Cant harts
Carbolic acid
Carbo veg
Cascara sagrada
Chamomilla
China
Colocynth
Cynodon dactylon
Euphrasia
6
6
200
6. 30
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
Heparsulph
Hydrophobinum
Ipecac
Ledum
Mcliilotus
Merc bin iodide
Merc sol
Nux vom
Podophyllum
Psorinum
Pulsatilla
Rhustox
Staphisagria
Sepia
Sulphur
Urlica urens
30
30
30
6.30
30
6.30
6.30
30
30
30
30
30
250
6
30
3x
3.
4.
5.
6.
7.
8.
9.
10.
il.
12.
13.
14.
15.
16.
17.
3x
6.30
30
30
30
6
30
Q
30
6
30
6x
30
Tissue rcmedies-conibinalion tablets
S.No.
1.
Tablets
Ferrum Phos 3x, Kali Mur-3x, Kali Sulph 3x, Nat Sulph 3x, Nat Mur 6x.
11.
Ferrum Phos 3x, Kali Phos3x, Mag Phos 3x, Nat Mur 6x.
111.
Ferrum Phos 3x, Mag Phos 3x, Kali Sulph 3x, Nat Sulph 3x.
IV.
Cal Phos3x, Ferrum Phos 3x, Kali Phos 3x, Kali Mur 3x, Mag Phos 3x.
V.
Ferrum Phos 3x, Mag Phos 3x, Cal Phos 3x, Nat Sulph 3x.
VI.
Cal Phos 3x, Ferrum Phos 3x.
VII.
Cal fluor 3x, Kali Mur 3x, Silicca 6x, Nat Mur 6x.
VIII.
Kali Mur 6x, Mag Phos3x, Ferrum Phos3x.
IX.
Ferrum Phos 3x. Mag Phos 3x, Cal Phos 6x.
X.
Cal Phos 6x, Cai Sulph 3x, Kali Sulph 3x, Nat Mur 6x. Nat Sulph 3x.
XI.
Cal flour 6x. Cal Sulph 3x, Kali Sulph 3x, Nat Mur 6x, Nat Sulph 3x.
XII.
Mag Phos 3x, Kali Mur 3x, Nat Phos 3x.
XIII.
Silicca 3x, Cal. Sulph 3x, Ferrum Phos 3x.
For external use.
.S.No.
Drugs
Use
1.
Arnica
external
2.
Calendula
ointment
3.
Cantharis
ointment
4.
Echinacea
external
5.
Euphrasia
eye drops
6.
Kreosote
external
- H•
APPENDIX 3
USE OF HOMOEOPATHIC MEDICINES FOR THE TREATMENT OF
MINOR AILMENTS
3.1
INTRODUCTION TO HOMOEOPATHY
Homoeopathy is a methodology of therapeutics first propounded by Samuel Hahnemann
in 1796. It is based on the principle of similars, namely that diseases are curable by those drugs
which produce effects on the body similar to the symptoms of the disease (similia similibus curanturlet likes cure likes). A similar thought has been expressed in the ancient text of India as fa'R’t
farnftron
Homoeopathy is a safe, scientific method of restoring and maintaining health and is effective
in many acute and chronic disorders of the body or mind which may or may not respond to other
measures.
The discipline of homoeopathy is based on the following premises :
1.
Normal health depends on the ability of the body to maintain homceostasis or balance
of the various biochemical factors regulating the body functions.
2.
Recovery from illness is dependent on the inherent vital force of the body, i.e. the
basic pattern of health.
3.
Most disorders or diseases of the human body produce symptoms which are
emotional, mental and/or physical in nature.
4.
A substance which is capable of evoking certain symptoms when administered to an
apparently healthy human being under controlled conditions may become a poten
tially effective therapeutic agent when it is prepared according to the homoeopathic
pharmacopeial techniques of bringing out the potency of the drug, and if it is admi
nistered according to the principles of similars.
5.
A single drug should be prescribed if possible and administered in the minimum effective
dose.
In homoeopathic treatment, small doses of natural remedies arc used to stimulate the body’s
own defence mechanisms and curative processes. Sickness is not considered as a local condition
but as a process involving the whole individual—i.e. his psychological as well as physical make up.
The patient is, therefore, treated on a total (or holistic) basis and the treatment is based on the
individual patient and is not directed at a particular diagnosis or disease.
In dosage the quality or potency selected is of significance and not the quantity of the re
medy. Normally four to five pills of medicated globules of the homoeopathic medicine is the adult
dose while for children and infants the dose is one or two pills. The medicine may be placed di
rectly on the tongue or it may be dissolved in a little water. Homoeopathic medicated globules
are dispensed in a lactose base in packets of individual doses which arc to be taken direct orally,
untouched by hand. Biochemic tablets can, however, be touched by hand. Homoeopathic medi
cines have no expiry date for their effectiveness but they should be kept away from sunlight, heat,
and strong scents and other odours.
During treatment with homoeopathic medicines, patients should avoid taking onion, garlic,
stimulants, or alcohol. Coffee and tea should also be avoided but, if necessary, they may be taken
one hour before or after the medication. Homoeopathic medicines should not be taken simul
taneously with drugs of other systems of medicine. However, if a patient has been receiving homoeo
pathic treatment but has not shown any signs of improvement, the treatment should be stopped and
there is no contraindication to changing over to another system of medicine.
MANUAL FOR HEALTH WORKER (FEMALE)
Homoeopathic medicines have no side-effects or toxic untoward reactions. Occasionally
aggravation of the symptoms may develop which will, however, disappear if further medication is
stopped. Whenever in doubt consult a qualified homoeopathic physician.
3.2
LIST OF HOMOEOPATHIC MEDICINES TO BE CARRIED BY THE HEALTH
WORKERS (MALE AND FEMALE)
Name of drug
Sr. No.
A. Medicines for internal use only
1.
Aconite
Antim. tart
Apis mel
3,
Arnica
4.
Arsenic album
5.
Baptisia
6.
Belladonna
7.
Bryonia
8.
Calendula oil'.
9.
Camphor
10.
Cannabis sativa
11.
Cantharis
12.
Carduus marianus
13.
China
14.
Colocynth
15.
Crotalus horridus
16.
Croton tig.
17.
Cynodon dac.
18.
Echinacea ang.
19.
Euphrasia
20.
Graphites
21.
Hepar sulph.
22.
Hydrastis
23.
Hydrophobinum
24.
Hypericum
25.
Ipecacuanha
26.
Kali carb.
27.
Ledum
28.
Melilotus
29.
Merc-bin-iodide
30.
Merc. sol.
31.
32.
Nux vomica
33.
Phosphorus
34.
Podophyllum
35.
Pulsatilla
36.
Rhus. Tox.
37.
Ruta
38.
Sepia
39.
Sulphur
40.
Symphytum
41.
Ustilago
42.
Veratrum alb.
Vipcra
43-
Potency
6X
6X
3X; 6X
30; 200
30
3X
6; 30; 200
3X; 30; 200
30
30
30
30
3X
6X
30
30
30
6X
30
30
6X
30
Q
30
200
30
30
30
30
6; 30
30; 200
30
200
30
30
30; 200
30
6X
6X; 30
30; 200
6X
30
30
A—3.3
APPENDIXES
B. Medicines for external use only (Q indicates ‘Mother Tincture')
1.
Calendula ointment
2.
Cantharis Q
3.
Urtica urens Q
4.
Euphrasia eye drops
C. Bio-chemic Medicines (for internal use)
Calcarea fluor.
1.
Calcarea phos.
2.
Calcarea sulph.
3.
4.
Ferrum phos.
Kali mur.
5.
Kali phos.
6.
Kali
sulph.
7.
Mag. phos.
8.
Nat. mur.
9.
Nat. phos.
10.
Nat. sulph.
11.
Silicea
12.
3.3
Sr.
No.
GUIDE FOR
MEDICINES
Condition
THE
USE
AND
Name of medicine
with potency
12X
3X; 12X
I2X
IX;I2X
6X;12X
12X; 30X
12X
12X
12X
6X;I2X
6X; 12X; 30X
12X
ADMINISTRATION OF HOMOEOPATHIC
Dose
Duration
Remarks
1. CONDITIONS AFFECTING THE SKIN
a. Sulphur 6
1.1 Itching :
4 pills one dose
i days
daily in the
or until
morning
improved
b. Natrum mur. 12X'1 1 tablet of each
—do—
Kali sulph.
12X > four limes during
Calc. phos.
I2XJ the day
If the above medicines do. not help then give
c. Graphites 6
4 pills one dose
7 days
daily in the
or until
morning
improved
d. Calc. phos.
12X 1 1 tablet of each
—do—
Nat. sulph.
12X > 4 times during
Kali mur.
12X.J the day
1.2 Skin rashes :
—Skin rashes,
hives and
nettlerash
—Ringworm
a. Apis mel 3X
4 pills
b. Kali sulph. 12X3 1 tablet of each
Nat. sulph. 12X
every 2 hours
Silicea
12X >
Nat. phos. 12X
Ferrum phos. 12X J
a. Sepia 6
b. Kali, sulph. 12X3
Nat. sulph. I2X k
Nat. mur.
12XJ
4 pills once in
the morning
1 tablet of each
four times during
the day
15 days
15 days
15 days
COMMUNITY HE 'I th CELL
32F. ’•
| clock
Koirr:;- ,-.-ls
Banml-.GJ034
India
A—3.4
Sr.
No.
MANUAL FOR HEALTH WORKER (FEMALE)
Condition
—For other
rashes
Name of medicine
with potency
a. Belladonna 30
b. Calc, sulph.
Kali sulph.
Nat. mur.
Silicea
12X'
12X
12X
12X,
a. Belladonna
b. Merc. Sol.
200
200
Dose
Duration
.Remarks
4 pills
alternate 15 days
1 tablet a & b
of each every
2 hours
1.3 Skin
swelling :
(Boil, Abscess,
etc.)
4 pills
4 pills
alternate
2 days
a & b every
2 hours
If the above medicin :s do not help then :
c. Calc, sulph. 12X'
Ferrum phos. 12X 1 tablet of each
7 days
Kali mur.
12X ’ every 2 hours
Kali sulph. 12X
Silicea
\2XJ
1.4
Ulcers :
a. Hepar Sulph. 30
4 pills
b. Silicea
12X'
Calc, fluor. 12X
1 tablet
Ferrum phos. 12X f of each
Calc. phos. 12X
Nat. sulph. 12X
1.5 Abrasions
—If there is
vesication
(z.e. blister
formation)
4 pills
b. Calendula 30
4 pills
Urtica urens Q
(One part to 4
parts of water)
to be applied as
lotion and the rags
kept wet with it
without being re
moved.
(One part to ten
parts of water)
to be applied
externally
Cantharis Q
and Cantharis 30
1.7 Dog bite :
4-5 days
For external
application :
Calendula
ointment.
4-5 days
For external
application :
Calendula
ointment.
2hours
a. Arnica 30
AND WOUNDS :
1.6 Burns and
scalds :
—If slight
without
vesication
alter
nate a
and b
Alter
nate a
and b
every
2 hours
Till burning
is relieved
and later
every 4
hours for
2-3 days
4 pills to be taken
every 2 hours
Along with the general
measures :
a. Hydrophobinum 30 4 pills three times
daily
One week
If the dog is
found to be
rabid, these
A—3.5
APPENDIXES
Sr.
No.
Name of medicine
Condition
1.8 Scorpion
sting :
with potency
Dose
Duration
Remarks
b. Belladonna 30
4 pills twice daily
Six months
at least
patients should
be referred to
the hospital
immediately.
a. Echinacea ang. 3X
4 pills
b. Ledum 3X
4 pills
alter
2-3 days
nate a
and b
| to
1 hourly;
when
better,
every 2 to
4 hours
2.
CONDITIONS AFFECTING THE MUSCLES AND JOINTS
2.1
Pain in joints :
—If pain is
aggravated
by movement
a. Bryonia
30
4 pills
alterb. Nat. phos.
12X
nate a
Calcarea phos. I2X 1 tablet andb
Ferrum phos. 12X r of each
Nat. sulph.
J2X
2 hours
Silicca
12X
—If pain during c. Rhus. Tox. 30
4 pills
movement is
relieved or
d. Calc. phos.
12X'
reduced
Ferrum phos. 12X „ 1 tablet
Nat. sulph.
12X of each
Silicea
12X_
alternate c
and d
every
2 hours
Till relief is
obtained or
for 7 to 10
days
12X1 _ 3 tablets alter12XJ' of each nate a
and b
3X
4 pills
every
2 hours
Till relief is
obtained or
for 7 to 10
days
—If patient feels a. Rhus. Tox. 200
4 pills
alterrelief with
nate a
movement
b. Nat. sulph.
6X1 1 tablet and b
Nat. phos.
6X V of each every
Calc, fluor.
6X J
2 hours
Till relief is
obtained or
for 7 to 10
days
4 pills
—If pain is
c. Bryonia 200
aggravated by
movement
d. Ferrum phos. 12X1 1 tablet
Kali mur.
12X of each
Calc, sulph. 12X^
Till relief is
obtained or
for 7 to 10
days
2.2 Swelling of
joints:
a. Calc, fluor.
Nat. sulph.
b. Bryonia
2.3
Till relief is
obtained or
7 to 10
days
Backache :
alternate c
and d
every
2 hours
A—3.6
Sr.
No.
MANUAL FOR HEALTH WORKER (FEMALE)
Condition
2.4 Sprains and
Name of medicine
with potency
Dose
a. Arnica 30
4 pills
b. Rhus. Tox. 30
4 pills
a. Symphytum 30
4 pills
DISLOCATIONS :
2.5
Fractures :
b. Calc. phos.
12X
Duration
morning Till union of
and bed the bones
time
occurs
2 tablets three
times
during
the day
3.
CONDITIONS AFFECTING THE RESPIRATORY SYSTEM
3.1
Sore throat
3.2 Couch :
—If dry cough
—If loose
cough
3.3 Pain in
chest :
Remarks
alterTill relief is
nate a
obtained
and b
every
two hours
a. Belladonna 6
4 pills
b. Merc-bin-iodide 6
4 pills
a. Belladonna 200
4 pills
b. Merc. sol. 200
4 pills
c. Arsenic alb. 30
4 pills
d. Ipecac. 30
4 pills
alternate a
and b
every
2 hours
Till relief is
obtained or
for three
days
alter
nate a
and b
every
2 hours
alter
nate c
and d
every
2 hours
5-6 days
5-6 days
a. Bryonia 30
4 pills
alterFor 24
nate a
hours
12X3 3 tablets and b
12XJ of each every
2 hours
If no improvement is noted within 24 hours then :
c. Kali Carb. 30
4 pills
every
Till relief
2 hours is obtained
or for
3-4 days
b. Calc. phos.
Calc, sulph.
3.4 Chest
injuries :
a. Arnica 200
4 pills to be
taken every hour
The patient
should be
moved to the
hospital as early
as possible.
MAVELIL
HOMOEO MISSION
PUBLISHED
' JUNE
JOURNAL
MONTHLY
1983
HOMOEOPATHY la the only rational system of medicine
based on natural laws: and it takes note of the patient as a
whole and effects cure of diseases in rapid, gentle and perfect
manner.
CONTENTS
■ .
,
•
Page
Respiratory illness in adults-by Frank Johnson.
93
Calories, fat.and cholesterol- by Arthur B- Green.
95
Reflections- by A. C. Gordon Ross.
.96
Disease process and medicinal plant- by Wilhelm Pelikan
The problem of life and potentization in homoeopathyby L. R. Twentyman.
-
97'
98
A homoeopathic approach to schizophrenia-
by Trevor Smith.
gg
Cases Treated By
' ’ (J.
2.
Mrs. Savita Srivastava, Ranchi.
101
Dr..(Mrs.} Pramila Chatterjee, C7o 56 A PO. .
.103
Vflauelil 9(iomoeo Mission fl-oiu’iia.l
Published Monthly
June 1983
Vol IX
No. 7
(Respii'aloi'ii illness in adnlls
FRANK JOHNSON, M.B., B.S„ M.F-HOM.
My practice is in the north-east of England, adjacent to
the river Tyne, four miles west of Newcastle. A bad area for
bronchitis. The remedies I want to present to you are
those I have found most useful in my practice-
ACUTE BRONCHITIS
My most frequently used remedy is Gelsemium. Last
winter I saw an influenza like syndrome accompanied by dry
unproductive cough with aching chest muscles. The main
indication for a Gelsemium was not the type of cough but
the picture of prostration which the patient presented. He
lay in bed, quite flat, head raised, and too weary to move.
He complained of inability to keep warm.
The indications for Gelsemium
pict ure I saw.
matched
the clinical
Muscular weakness
Apathetic
Dull generalized headache
Flushed, hot skin
Worse for cold and damp.
My next remedy in order of frequency is Hepar sulph.
note one repertory states that an indication for this remed'
is found in blonde females with weak muscles. There's;!
proving for you! Search as I may I was unable to find thi
type of bronchitic patient, so I will return to my more mun
dane experiences. Indications for Hepar:
1
2
3
4
5
94
1 Irritable
2 They sweat more than Gelsemiurn cases
3 Dry, hoarse, thick croupy cough aggravated by cold,
even smelling cold air
4 Dry air will bring on a paroxysm of coughing which
will make the patient choke
5 Often relieved by damp air.
The above two remedies are given in 10M potency,
four-hourly to a dose of six.
My next remedy is Bryonia- These patients have a dry
cough resembling tracheitis rather than bronchitis. It is a
painful cough. Quite unlike Hepar, these patients cough
worse in a warm atmosphere. The great symptom here is
pain. Pain which is worse for any movement, even slight
•inspiration. You rarely find them lying in bed like the GelseJmium who is too weary to move. They sit up in bed and stay
put, too pained to move. They are at greater risk for obvious
reasons. They are often irritable. Pain is the give-away
Symptom. I use a potency of10M two-hourly, reducing as
pain is reduced. I have given it more frequently.
CHRONIC BRONCHITIS
I see plenty of these cases at all stages, with emphysema,
vithout it, and with ultimate Cor pulmonale. In all stages I
ind them extremely difficult to treat. I try to find the contitutional remedy which is of help We are all aware that these
ases present with minor changes in their symptomatology
s the disease progresses. So often the mentals change. I
ndeavour to change my remedy to this changing pattern.
ou will appreciate one cannot enumerate the range of remeies used. I do however give all my chronic bronchitics
atrum sulph. when I first see them, with some success.
u's remedy in addition to their constitutional remedy I have
und the best combination in these most distressing cases.
he Natrum sulph. chest is always dyspnoeic and worse in
rth-east winters which are invariably damp.
(To be continued)
□
95
(Salaries flal and cholesterol
Arthur B- Green
Needham, Massachusetts
(Continued from last issue)'
It is modern man who demands meat from over-fatte
ned animals, so farmers seeking top prices, cause
docility, laziness and rapid weight gains in males
by castration, and add synthetic hormones to fodder
The resulting weight is not healthy, but the steaks
are tender.
9.
Over-refined foods highly processed are huckstered
to home-makers everywhere today, ranging from
prepared cereals to gourmet dessert, 70° Jo of which
were not even known less than 20 years ago. What
is the result? Heart disease? Yes, heart disease.
But not from natural fats.
10.
Take a good look at "Bossy". She is a Jersey. She
weighs 1,000 pounds. Every day she eats 40 pounds
of food- Her food contains less than 1 pound of fat.
Yet she produces 80 pounds of milk each day which
analyze 5°7O fat, or 4 pounds. She produces 3
pounds more fat than she consumes. Obviously she
metobolizea this 3 pounds of fat.
This summarises the remarks of E. R. Kuck, Administr
ative Director of Brookside Research Laboratories, Inc., New
Knoxville, Ohio. The garrison of the medical citadel, if
it would cling to calories, fat and cholesterol for an explan
ation of heart disease, could find small comfort in them.
Modern Medicine’s Responsibility
According to E. R- Kuck, what serves the commercial ex
ploitation of dead skim milk-the whipped-up scare over calo
ries, fat and cholesterol - is modern medicine's escape from
responsibility for a fast-rising incidence of heart diseese.
(To be continued)
96
(Re^leclions
A. C. GORDON ROSS, M.B-. CH.B., M.F.HOM.
(Continued from last issue)
It is now long past midnight and the old man must make
tracks for bed with the thoughts of Plato ringing in his ears. It
is his pious hope that the drug proving comnittee will look at >
the drugs proved from every aspect, and perhaps learn some
thing from the thinkers of the past- Hahnemann cleared the
paths, but time and the Establishment have put many obst
acles in the way of truth.
This paper is in no way a criticism of the various drug
proving committees— it is more a plea for more information
about their provings to be set out in handy form. For inst
ance, the writer would like to see a comparison of Alloxan,
Uranium nitrate and Syzygium Jambolanum in the treat
ment of diabetes mellitus. His personal reference would be
for the jambol seeds, but he would like the drug provers to
look into tha plant-potentized metals as developed by the
Weleda Company. This consists of treating certain plants
with metal during their growth. The plants are then made
into compost, and used to enrich the soil in which further
plants are grown. The final plant is then treated and the
remedy extracted from it without any further potentization.
Examples of preparations are Aurum per Hypericum, Cupr
um per Chamomilla, and Stannum per Taraxacum, to
name but a few.
Here we would seem, in theory at least, to be getting
the best of both worlds, the metals having greater dynamic
action. Have the provers looked into this idea?
In our famous golf course, the R & A are worried about
the poor condition of the turf for the open championship next
year, due to overplay and two poor seasons of growth due to
the searing winds.
(To be continued)’
101
CASES TREATED BY THE STUDENTS OF
MAVELIL HOMOEO MISSION
o
Mrs- Savita Srivastava- M.Sc., L L B., Lecturer in Chemistry,
women's College, Ranchi, Ref. No- 197367 wrote: "Recei
ved your letter dated 2-6-83 stating that I have secured 70°7o
marks in the Final Examination.
I sincerely thank you and other
members of the staff for my
success. Your system of corres
pondence course is unique. All
the lessons are explicit, simple
and lucid. The prompt service
rendered by your mission is
really praise-worthy. I am very
much impressed by the way they
did corrections to all my answers
to M.H-M- test papers. Your
Mrs. Savita Srivastava.
M H M. Journal provides useful and instructive material- I
want to become a life-time member of your M.H.M. magazine
and will send subscription of Rs. 1507-very soon. I have
•suggested this course to my friends and relations; many of
•them will join your course soon- I wish the Mission success
and all the best in future. I have been keeping the record of
•cases treated by me- An extract of 12 cases is enclosed here
with. I would-like to know your comments and suggestions
regarding these cases.
Case No. 1. Two years back, I fell down from scooter
and since then I had complaint of severe muscular pain in
back and shoulders 2 or 3 times a month, I had tried many
allopathic medicines, antibiotics, even injections. All of them
gave only temporary relief. In September last, when the pain
started, I took Nux Vomica 30, one dose to counteract the
effects of allopathic drugs. Then I took Arnica 30, 3 doses
102
the same day. The pain became [ess and after third dose it
had completely gone. I continued the medicine for two’
more days. After that I took Arnica zOO one dose. I am
glad to inform you that seven months have passed and till
now I have no complaint of that horrible pain.
Case No 2. Babu, age 5 years, was brought to me. He
was dwarfish in appearance and seemed not more than 2-3
years of age. His mother stated that he was very susceptible
to cold and always had swollen tonsils. He was very quiet
and did not like to play with other children. He was timid
and easily frightened. He was very slow in learning anything.
He was a student of standard I, but had aversion towards
studies. His mother was anxious because of his behaviour
towards guests. Whenever any stranger arrived, he used to
hide himself from them and was frightened. I gave Baryta
Carb 6, 3 times a day for a week- It was observed that his
swellings of tonsils and abdomen were reduced to a great
extent- I asked his mother to continue the medicine- After
one month's treatment, we were surprised to learn that he
started taking interest in things around him. He also started
playing with strangers. His mother is grateful for taking
homoeopathic treatment-
Case. No- 3- My husband Mr. Srivastava age 34 yrs.
was suffering from typhoid fever in November last year- He
had pain and restlessness to such an extent that he was not
even able to sleep. The temp, was high 102 - 104°F. He
got some alleviation after taking pain-killers but the same
complaints continued when their effect was gone. He was
given Chloromycetin capsules for u-4 days but temperature
was not coming down, I gave him Camphor 200 one dose to
counteract the allopathic drugs. Then I started giving Kali
Phos 3x, 4 tablets every two hours. After 2 doses his
temp, came down to 100°. After the 6th dose, it became
99°, and he had sound sleep. In the morning his temperature
was normal and he was feeling much better- I continued
the medicine for two more days at an interval of six hours
and he was ompletely cured.
103
Dr, (Mrs-) Pramila Chatterjee, M.B
218 Medium Regi
ment. C7o. 56 APO, Ref. No. 196x10 wrote on x3rd April 1983,
I received the good news that I passed my Final Examination
with 70°7o marks- I am very grateful to the mission, especi
ally to Mr- M. T. George, for the
prompt and excellent guidance,
I received throughout my studies,
I was motivated to learn Homoeo
pathy during my stay in Trivandr
um, 7 years ago, when my daugh
ter was treated for acute asthm
atic Bronchitis by Homoeopathic
doctor there, lama doctor and
am married to an Army Officer.
I look after the welfare centre
and I deal with Jawan's wives
Dr. (Mrs ) Pramila Chatterjee,
and their children- I combine Allopathy and Homoeopathy
in my daily practice and have achieved the most satisfying
results- This added knowledge has made me very popular
with the families and they have developed so much faith in
me that they come to me even with complicated cases. I have
already told my friends about this course and two of my
friends, one a doctor and the other a beautician, have already
applied to you, for enrolment. Once again I thank this Mission
for giving me this wonderful knowledge. I am enclosing re
ports of 1 4 cases successfully treated by me for your scrutiny
and approval.
Case No. 1. A Jawan's wife 26 years old had a daugh
ter 6 years old- After her first confinement she had 2 miscarri
ages at 3 months and 6 months and 2 still born- She came
to me 7 months pregnant- She did not know the cause of all
these mishaps. On examination! found her extremely anaemic
with a pale waxy appearance. She felt very weak and com
plained of nausea and giddiness- She had 1st degree prolapse
of uterus and white discharge which was thin and watery. I
realised all her complaints were due to her very anaemic con-
104
dition- Her only worry was that she should be able to give
birtn to a live child. There was no history of Syphylis. The
following treatment was given:-
1. Calcar Phos 3x-2 tabs 3 times a day for 2 weeks.
Followed by 2. Feirum P.ios 1^x - 2 tabs 3 times a day
for 2 weeks- This was continued alternatively. In between
I gave her Kali Mur 30. This treatment was given throughout
her pregnancy with intervals of I week in between 3. To
ensure live birth-2 months before delivery I asked her to take
C micifuga I drop in 2 tsf of water as a daily dose till the
time of her delivery. In between she was hospitalised for
bleeding; but she recovered and was sent home. After that
she had a full term live child (Female) without any compli
cation Thanks to God and homoaopathy - the mother and
baby are absolutely fineCase No- 2. Mrs. Pushpa Devi (w/o.
Singh), A lady aged ,5 years-
NK
Virendra
1. Intermittent fever with shivering, extreme weakness
and prostration. She had Menorrhagia, lecucorrhoea- Pain
in abdomen. Her main complaint was thirstlessness and
stinging burning pain in the uretnra during Micturition, wnich
was relieved by cold water. She was sad and tearful, she
complained of severe prostration and fainting attacks; she
was anaemic and there was pallor on her face. I gave her
Ap s-30, just l doses; I find these small doses do wonders in
my patients- I dose on Friday morning and 1 dose on Tues
day mam ng to be taken on empty stomach. The next week
she was smiling and there was no more pain. Her gynaec
problems were still there. 2. I gave her Biochemic 15 - Con
taining Calc phos, Ferr phos, Kali phos. Mag phos and Kali
sul 6, tab. four times a day for a week She had recovered
completely and could not thank me enough. I directed her to
take 2 more courses of I week each before the onset of her
menstiuation. She's gone home completely satisfied.
For Private Circulation Only.
mtoso mm
LESSON No. Hti0
BARYTA CARB, ACETIC ACID AND
AGNUS CASTUS
Baryta Carbonica
Pure carbonate of Barium is triturated for useIts sphere of action is nutrition- Tnis is one of the leading
anti-scrofulous remedies. Children physically and mentally
weak find in this a good remedy. Useful in condition of
malnutrition in children when there is imperfect development
•of mind.
Chief characteristics
1. Cornplaints of dwarfish children; mind and body weak.
z. Paralytic condition3. Inclined to glandular swellings.
4. Defective assimilation.
5. Leading anti-scrofulous remedyBaryta Carb patients have great mental and bodily weak
ness. loss of memory, critical and irresolute. Marked weaknessB
with feeble pulse. He must lie down, worse standing or
sitting.
Headache in evening, worse from noise. Vertigo with
nausea. Eye sight weak due to age- Cataract, opaque cornea.
Difficult hearing. Glands around ears painful and swollen. Fre
quent nose bleed. Bad odour from mouth. Paralysis of tongue
in old people. Teethache with swollen gums before menses.
Takes cold easily, with stitches and smarting pain. Suppur
ating tonsils from every cold. Tonsils inflamed with swollen
veins Repeated inflammation of throat after slightest cold.
Swollen and suppuration of tonsils; can swallow fluids only.
The head is disproportionately large for the bodv. Dwarfish
ness in body and mind. Children are late to come into use
fulness of activity, late with their studies, late learning to
walk. It compares with Borax and Nat. Mur. in this respect.
Appetite little, but food tastes well. Taste bitter in the
mouth, in the morning- Weakness of digestion. Pressure in
stomach after eating; hiccough, eructation and water brash re
lieves the pressure. Abdomen distended. Habitual, colic with
hunger, but food is refused. Intense urging of stools with ag
onising pains. Urine frequent and profuse. Weak sexualpower. Enlarged prostateHoarseness and loss of voice. Paralysis of lungs in 00
people. Difficult expectoration of a yellowish, starchy, saltish
mucus in the morning. Palpitation and distress in the region of
heart. Offensive sweat on the feet. Swelling of arm, sprained
pain in hip joint. Fatty tumours about neck. Burning, prickin g
here and there.
Want of clear censciousness It is not the confusion of
mind, but is not clear in his intellect- The Baryta Carb child
will be seen hiding behind the furniture when strangers come
in; will hide as for shame of something or as if afraid- The ,
mother wonders if the child is going to learn something, the
teacher reports that the child lacks capacity. But homoeopathic
Physician knows that the child can be cured in the clinic- The
child will keep the hand uo over the face and peep out through
the fingers. Bashful, timid, easily frightened, afraid of
"strangersThe child does not want to olay, but sits in a
corner Child grows up without ability to perceive and there
fore fails to develop.
Comparative Study.
Baryta Carb is to be compared to Cal. Carb for the con
stitution of.the patient. The complaints of dwarfish children;
do not grow, mind and body weak. For loss of memory, it is
to be compared to Anacardium. Baryta Carb is suited to old
age with mental and physical weakness.
Baryta Carb has symptoms common with Silicea. Both
have offensive sweat on feet. The head is disproportionately
large for the body. Both are sensitive to cold about the head
and suffer from damp changes in weather. But Silicea and CalCarb, have profuse sweat on head but not Baryta Carb.
3
Baryta has a strong affinity of the throat, especially the
tonsils, which become greatly inflamed and swollen and sup
purate on the least exposure to cold, it is valuable in old
quinsy subjects. Occasional doses of.this in high potency
usually aborts an attack of quinsy- For tonsilitis and adenoids
it is a valuable remedy- Cal. Carb., Bell-, Hep. Sulph-,
Merc , Silicea, Cal-phosetc. are some other useful remedies
in this respect.
It is useful in dyspepsia of the young, who have mastur
bated and who suffer from seminal emissions, with heart trou
bles- Chronic cough of children with enlarged tonsils is often
cured by this remedy- It cures fatty tumours especially about
back, neck and scalp.
Modalities. Aggravtion - morning, while sitting, when
thinking of complaints- Better in open air, when standing or
moving.
Dose- 30th is usually used. But some prefer higher
potencies.
Acetic Acid.
For use, dilutions are prepared with pure water. This
emedy is useful in complaints of pale, sickly people. Persons
who have been weak for many years, who have inherited
phthisis, emaciation, anaemia, weakness, loss of appetite,
burning thirst and copious pale urine, find a good remedy in
Acetic acid.
It has cured diabetes, with sugar in the urine or without,
weakness, pallor and loss of flesh.
It has cured chronic, dry hacking cough in sickly, pale
persons who have inherited phthisis with oedema of extrem
ities, diarrhoea, dyspnoea, or night sweats. Profuse bleeding
of piles.
Confusion of mmd. Does not know her own children.
Forgets what has recently happened. Anguish- Constantly
Peevishness,
complaining.
borrows trouble- "
‘
Great thirst- Sensitive to stomach, vomiting of blood
and food taken. Great pain and distension of abdomen,
ameliorated by lying on the abdomen. Sour, frothy expecto
ration. Haemorrhage after labour.
Dose-: 30th and upwards.
Agnus Castus:
The tincture is prepared from bruised berries- it is a
shrub found in the south of Europe and on the shores of the
Mediterranean, it is found growing on sandy spots, at the
foot of rocks.
Chief characteristics.
1.
2.
3.
4.
Loss of sexual power.
Premature old ageA depressing influence on sexual organs.
Sadness with impression of speedy death.
A depressing influence on sexual organs without previous
excitement in botn male and female, even to complete extin
ction of the virility, without a corresoending loss of nervous
energy.
It should coma to mind for sufferers who are broken from
sexual excesses and secret vices. A young woman or a young
mm, who has indulged extensively in secret vices finds after
marriage that she or he has no sexual thrill, can be cured by
this remedy. Useful in premature old age, which arises in
young persons from abseice of sexual po ver. Useful in
atonic condition of the sexual power and spermatorrhoea,
specially in those who have abused themselves and who have
frequently had gonorrhoea, especially for women in whom
sexual instinct is entirely absent. Emission of prostatic fluid
when straining at stoolIt cures uterine haemorrhage and restores suppressed
menses in young women. The vagina is much relaxed, there is
often orolaosa and there is copious leucorrhoea.
Out of the above causes and conditions come many dis
tressing symptoms. These patients suffer from headache
photophobia, nervous synotons, stomach disorders etc. He
presses hard at stool, wiich often fails and slips back. [Sil.
Sanicula and Thuja] •
Caladium and Salen. follow well after Agnus in weak
ness of sexual organs or impotence-
HOMOEO MISSION
P. B. No. 1015
Pattom Palace, Trivandrum - 4, (S. India.)'
SPECIAL CONCESSION OFFER
MAVEL1L
Ref: No
Date
Dear Sir/Madam,
It has been brought to my notice that some of you find
it hard even to pay as per concession scheme. As medical
expert of the Institution I feel that those who are hard up for
money may be encouraged to master this science of healing so.
that they can be of service to the poor ailing people of India
The very needy persons can select any of the following schemes
of payment and can useany of the application forms with them.
A typed copy of it will also serve the purpose. But please
write on the top of the application, "Special Concession”
1)
Lump Sum Scheme:
sum in advance.
Rs. 135/- to be paid in lump
2)
Instalment Scheme A:
ments of Rs. 25 each.
Rs. 150/-, 6 monthly instal
3)
Instalment Scheme B: Rs. 165/-,
instalments of Rs. 15/- each.
i. e., 11
monthly
Please note that you are receiving a substantial reduction
in the total fees to be paid. As a 'Special Concession' student,
you will net be treated in any way different from your fellow
students. Your studentship will be registered in the same
series as other studentships and you will receive the full course
and the same attention.
We give more than 1000 pages of printed lessons and our
fee for the complete course of lessons is low when compared
with other institutions. In this connection we wish to inform
you that our lessons are prepared by experts in the line, who
2
are conducting tuition in Homoeopathy and Allied Sciences
from the year 1948. Our idea is to impart the best tuition so
that by the time you complete your course you will have the
most practical and sound training.
Most of the diseases in your family can be cured with
Homoeopathy and you will be able to save the Doctor's bills.
Also it will save your relatives from the toxic effects of costly
allopathic medicines and thus avoid unfavourable reactions of
them.
We write this letter to give you the last opportunity and
maxium concession we can offer. If you are really interested
in joining our course at these concession rates, you must
send your application fee of Re. 1/- and course fee so
as to reach us within ten days after receipt of this reminder.
After that this concession will automatically cease.
This is our LAST OFFER. Thank you for letting us to tell
you about our Mission. We hope it will not be long before we
can write again to bid you welcome to the distinguished
membership of our institution.
If you are not interested, kindly give the relevant papers to
any of your friends who are interested in the subject.
We
have spent about Rs. 4/-, for sending prospectus etc. We shall
be thankful, if you can send the amount by M. 0., Postal order
or stamps.
JAI HIND
Yours cordially,
Dr. A. George.
Medical Expert.
Encl: A few pages of the institution's magazine (not complete.)
MAVELIL homoeo mission journal
A monthly journal published by Mavelil Homoeo Mission
devoted to the propagation of Homoeopathy.
EDITORIAL COMMITTEE
1. Dr. A. George.
2. Dr. A. G. VaJIakalil..
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„
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„
»
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Special concession will be allowed for advertisements fo
six months and more. Blocks should be supplied by advertisers.
Apply for particulars to :
MAVELIL HOMOEO MISSION
Pattom Palace, Trivandrum - 4.
Registered., Reg.? No: KL 1 TV (N)185
R. N. 23434 f 79
STUDY HOMOEOPATHY DURING
YOUR SPARE TIME BY CORRESPONDENCE.
Homoeopathy is a harmless system suited
to the non-violent genius of India.
BEST AND EFFICIENT TUITION
IN
ENGLISH, HINDI OR MALAYALAM.
The Institution teaching the Science in 3 languages.
Thinking layman finds out
branch of medicine that:-
that
Homoeopathy
Is a
Defines precisely what it is to be cured. Never confuses
Symptoms with Diseases; has a clear conception of
symptoms and how to use the Totality of symptoms to
find the correct individual remedy.
Realises the connection between successive maladies.
By its teatment strengthens the ability to remain well.
Instead of "fighting diseases," treats patients. Makes no
experiments on the sick. Understands the difference between
Palliation, Suppression and Cure. Suppression drives light
maladies to serious ones or the "diseases of the youth"
to "diseases of old age."
Apply for free Prospectus to:-
Mavelil Homoeo Missipn
Pattom Palace, Trivandrum-4’?,
■
' £r k
Printed and published by M. T. George for Mavelil Homoaa
Mission at H. M. M. Press. Trivandrum-4.
P. B. No.
1015.
PATTOM PALACE, TRIVANDRUM-4,
S. INDIA, Pin 695 004.
(Established in 1948)
c5«vne ^acls aboui Ihe bourse
e<££ered b>of our mission.
1. Our Course covers a wide range of subjects,
the knowledge of which is very useful to a practising
Homoeopath.
2.
The subjects we offer are given in the "Cur^\)
cula of the Course”, which we cover in its entirety.
3. The lessons which we send are prepared by ex
perts in the various fields of the medicine.
4. The lessons are written in simple language, so
that even laymen can follow without difficulty.
5.
Tests are conducted from time to time, so as
to judge the progress in studies and give the necessary
guidance,
6.
The fee for the course is very nominal, and is
well within the reach of an average individual.
7.
You can start the course any time of the year,
study at your own pace in the comfort of your own
home, and finish the course at your own convenience.
8.
We keep in contact with our students even aftCr^
the completion of the course so as to enable them to ‘
setup successful practice in Homoeopathy.
9. We publish a monthly journal for the benefit of
our students, so as to keep them in touch with the
latest
developments and concepts in Homoeopathic
treatment.
gxRdWPWiis
MAVELIL
HOMOEO
MISSION
Post Box No. 1015
PATTOM PALACE, TRIVANDRUM-4
Pin. 695 004.
Telephone 8206
The Mavelil Homoeo Mission which is founded on
concepts of social service is primarily devoted to the
task of propagating homoeopathic mode of treatment
among the masses.
The Mission's objectives could be outlined as follows:
1. Tocreate a sense of awareness among the people,
that most of their bodily ailments can be cured by
natural systems of treatment such as Homoeopathy,
Naturopathy and Biochemistry.
2. To propagate the merits of these systems,
as the treatment is cheap, and the cures are of a
permanent nature and do not cause any harmful side
effects.
3. To build up a band of people devoted to the
noble cause of Homoeopathy, a band who would bring
relief to the sufferings of the sick, and in the process
create a career for themselves.
4. To educate the common people in matters of
personal hygiene, sanitation and disease preventive
methods, create in them the care and consciousness
to lead a healthy, vigorous life, and to deliver them
from energy sapping diseases and dependance on
costly and habit forming patented medicines.
5. To strive for the promotion of homoeopathy in
India and abroad so that it can attain its undisputed
place as a well accepted system of medical science.
2
We coach our students by correspondence course
in any of the three mediums of instruction - English,
Hindi and Malayalam. We are also planning to coach
in some more major Indian languages, such that the
benefit of this knowledge in Homoeopathy could reach
as many people as possible.
Some facts about Homoeopathy
The practice of Homoeopathy and Biochemistry
dates back to the 19th century.
Even in countries
like U.K. and U. S„ Homoeopathy has been a reco
gnised system of medicine.
In India, Homoeopathy is being given much gre
ater patronage and importance than ever before. As
a system of treatment which is very efficient and yet
very cheap, its popularity is increasing day by day. Even
the ardent believers of Allopathic medicine are now swit
ching over to the time-proven concepts of Homoeopathy.
Some
highlights of the system
The Father of the nation, Gandhiji once remarked,
"Just as non-violence will
never fail, so also
Homoeopathy never fails. But the followers may fail
by faulty application of the principles". Homoeopathic
remedies are prescribed in such infinitesimal doses,
that even a new born baby cannot get adversely
affected by it. The system of treatment is so simple
that a layman can understand it easily and practise it.
Further, the cheapness of the drug makes it within the
reach of even the poorest. In a country like ours Homoeo
pathy can be the answer for the poor ailing masses
3
who cannot afford costly treatment. The miraculous
cures that Homoeopathy has achieved needs no special
mention as these are already of common knowledge.
Even in situations where allopaths had spread their
hands in helplessness. Homoeopathy had brought timely
and lasting cures. Homoeopathic remedies are easily
administered by oral route and they get quickly absorbed
Mrs. L. V. Dharain Dass,
Mrs. Lovely George,
M4, LaJpatnaSar
AL Mulwa.
Post BOX 343,
New Delhi.
Ref. No.
191791
Dammam Saadi Arabia.
Ref. No, 19201 1
to produce therapeutic effects. Homoeopathy has an
undisputed place in epidemics like influenza, smallpox,
cholera etc. Their prophylactic effects against Virus
diseases are also well known. Unlike other systems,
very little dietary restrictions are necessary while under
Homoeopathic treatment.
4
Correspondence Course
Unlike other systems of medicine. Homoeopathy
is eminently suited for learning by a correspondence
course. You can undergo this course side by side with
whatever occupation you are pursuing. This saves the
time, trouble and money in going through a regular
course. The correspondence course can be started any ■
time of the year; you can study at your own pace,
in the comfort and luxury of your own home. It takes
an average, intelligent person about one year to com
plete our course; but a person who is able to
put in extra effort can finish it even in six months
time. Our lessons, which number more than 250, are
prepared by Experts in the various branches of the
Medical science. We judge the progress in the stu
dies by conducting regular tests and guide the students
according to their performance.
Fee for the Course
The Tuition Fee can be either in lump sum
by instalments as given below:a)
Lumpsum Scheme.
Rs. 250 to be
b)
or
paid on enrolment.
Instalment Schemes.
(1) Five monthly instalments of Rs.50 each and
a last instalment of Rs.25, for a total of Rs. 275.
(2) Twelve monthly instalments of Rs.25 each,
for a total of Rs. 300.
Overseas students would pay 65 dollars (U.S.A.)
or 35 pounds (U.K.) or their equivalent which would
cover the higher incidence of postal expenses.
t
5
Concessional Schemes.
o
O
As our Mission is essentially a social service
institution, we offer the financially hard pressed, con
cession in payment of fees by any of the following
schemes:-
Lump sum scheme of Rs-150 to be paid on
enrolment.
(ii) Seven monthly instalments of Rs. 25 each,
totalling Rs. 175.
,(i)
Mr. J. P. Mittal.
i|071. Sarata Bazar.
Ambala Cant).
Haryana,
Ref. Ho. 193196.
(iii)
Mr. Prem Chandra Lal, M.st.
Ganda Bansh Copal Ashram,
Gallahatl Approach Road,
P. 0. BARPETA, Assam,
Ref. Mo. 180398.
Thirteen monthly instalments of Rs.15 each,
totalling Rs. 195.
Overseas students are not eligible for concession.
Free Offer. We offer the same course and the
same coaching facilities to our concessional students
6
as to our Regular fee students- However we send our
monthly homoeopathic journal free to our Regular stu
dents for a period of twelve months, whereas the con
cessional students get it free for six months. We also
offer the book "Common'.Diseases and Their Treatment"
by Dr. A. George free to our Regular students, and the
concessional students a medical dictionary, provided
they pay the fee in lumpsum on enrolment.
Eligibility for admission.
The minimum qualification for admission into the
course is Secondary School Leaving Certificate or its
equivalent. The qualification could however be waived,
if the Mission is satisfied that the candidate is suffi
ciently literate and intelligent to successfully undergo
the course. The lower age limit for admission to the
course is sixteen.
Remittance of fee
1.
Fee can be remitted by M. 0., bank draft or
postal orders. For amounts above Rs. 50/-, cheques
could be sent provided a collection charge of Rs. 4/is also included in the cheque amount.
2.
Those who enrol as par instalment schemes
should send the fee every month.
3.
Students who default payment of fee for three
consecutive instalments will be removed from the rolls.
For re-entry of their names in the rolls, they have to
remit a readmission fee of Rs. 5/- along with the
balance of fee in arrears.
7
4. All correspondences and fee remittances should
be made in the name of Prof. M. T. George, Managing
Partner, Mavelil Homoeo Mission, Pattom Palace.
Trivandrum, 695004,
Our Guarantee
With all justifiable pride we assert that we are
Number One in the Field of Coaching Homceopathy
by correspondence. We have achieved this position
Mrs. Heather Susan Rnaid,
6241; KhawaJa Baiu.
Anand Villa,
JaSraon, Punjab,
(Toronto, Canada)
Ref. Ho. 190608.
Mrs. B. A. Soares,
Breezy ilpartme it,
Flat No, 1
C/6, J. B. NaSar.
Borivll East, Bombay,
Ref. No. 185795.
by dint of hard and selfless work and we solemnly
pledge to continue in this position. If anyone can
prove that he has received better postal coaching in
homoeopathy from any other institution on compa
rable fees, we guarantee to repay the full amount
of fee charged by us.
8
CURRICULA OF THE COURSE OF STUDY
Organon of Medicine
The theoretical basis of the Science of homoeopathy.
Vital force. Mechanism of drug action in homoeopathy
as compared to Allopathy and other systems of medi
cine. Disease, their symptoms and correlation to
homoeopathic remedies.
Pharmacy and materia medica
Commonly used homoeopathic remedies and their
relationship with one another. Method of preparation of
mother tinctures, solution of different potencies. Ad
ministration of drugs. Difference between Allopathic
and Homoeopathic approach.
Basic Sciences
Physics, Chemistry, Botany, Zoology (Essentials only).
Anatomy and Physiology
Skeletal system: Bones that make up the human
skeleton. Their articulation with each other and functions.
Muscular system: various muscles of the body. Their
action, Voluntary and involuntary muscles and their nerve
supply in brief. Nervous System: Sensory and other ner
ves. Spinal cord, elemantary knowledge of brain. Excretoiy System: formation of Urine, Kidneys, bladder;
composition of Urine-normal and abnormal constituents.
Methods of testing urine, Digestive system. Anatomy
of the oral cavity, pharynx, Oesophagus. Stomach, small
and large intestines. Pancreas, Liver, their functions.
Functions of the various organs of the body, digestion
and assimilation of food. Blood, its composition, clo
tting mechanism. Pulse, blood pressure; lymph, its
composition and function. Physiology of respiration.
The role played by the different structures in
9
respiratory mechanism. Reproductive Physiology, Hor.
mones, structure and function of endocrines. Vitamins,
minerals in growth and development.
Pathology and Bacteriology
Signs and symtpoms of inflammation, repair, irnmu®nity, infection. Acute and chronic changes in the organs
Hav L. S. Khatri.
C-52, Kumbha Hagar,
Chltorgarh. Rajasthan.
Rtf. Ho.66727.
Mr. 0. Pertin, B.A. lions,
frt.fi., B.D.
P.O. Pastel: at,
Arunachal Pradesh.
Ref. Ho. 188776.
■□ue to disease process. Different types of Bacteria like
Staphylococci, Streptococci, Pneumococci, Tubercular
Bacillus, Filarial & Malarial Parasites. WormsSocial and preventive Medicine:
Causative factors for disease. Sanitation and hygiene.
Spread of disease in epidemic. Agents responsible
10
for spread of infection.
sation and control.
Preventive concepts. Immuni
Treatment of Diseases:-
Most common Diseases, their signs and symptoms.
Diagnosis. Totality of symptoms-treatment by homoepathic remedies. Hahnemann's theory and its application ^
in the treatment of chronc diseases. Management J
ailments which had even puzzled eminent physicians.
Diseases like measles, pneumoina, typhoid, diabetes,
heart disease, mumps, whooping cough, rheumatic fever,
different types of dysentery etc. Disinfectants and
antiseptic agents. Prophylactic agents. We give im
portance to the cause, symptoms, prognosis, diagnosis
etc. of important diseases, with Allopathic treatment
where needed.
Surgery:
Principles of Surgery-Management of conditions
like fracture, abrasions, burns, accidental injuries and
first aid.
Diagnosis as applied to Homoeopathy:
Patient analysis as a whole.
for diagnosis.
Instruments and aids
Repertory:
Methods of finding the exactly indicated remedy
from among the probables-a very important procedure
which is the very basis of successful homoeopathic
practice.
Gynaecology:
Signs and symptoms of pregnancy-Menstrual cycle
disorders-amenorrhoea, menorrhagia, uterine prolapse,
abortion. Labour - the three stages.
Dietics:
'
Essentials of a normal diet, minerals and vitamins;
deficiency symptoms. Role of carbohydrates, proteins
and fats.
11
Opthalmology:
Common affections of the eye, like conjunctivitis,
disorders of vision, cataract, glaucoma, myopia etc.
Cataract treated with homoeo madicines without
operation.
Biochemic System:
General principles of Biochemic system. Manage
ment of d'seasea w’t'i Biochemic remedies. Benefits
Smt. Prabha Dixit,
w/o Dr. il.lt. Dixit,
Odd. ASri. College,
P.O. Rdhartal.
Jabalpur, M. P.
Re’. Mo.63437.
Mrs, BhuwanI Pasliupathi. B. Com.
c/o Sqn. Id. V. PashupatlH,
Air force Academy,
Hyderabad. A. P.
Ref. Ho. 189706.
of Homoeopathic Medicines used in conjunction with
Biochemic remedies.
Medical Jurisprudence & Toxicology:
Death - chief forms of unnatural’deaths. Death from
asphyxia - hanging, strangulation, suffocation and drown
ing- Death from burns, scalds and starvation. Signs
of virginity and rape. Signs of pregnancy.
Family Planning - Birth Control:
The "Safe period". Hormones and Spermatoxins,
Surgical Methods, Oral Methods, Mechanical Methods,
Family planning in all its aspects.
12
Psycho-Therapy;
How |to develop the
powers of memory and
concentration-the sure keys to success. How to win
the hearts of people and make you popular in Society.
The efficacy of prayer in healing sickness. Efficacy
of suggestion and autosuggestion. The power of
imagination- How to conquer fear and cowardice and
Mfss. K. Sobha Rani B.Sc,
21/1. Mallakarluna
Ternate Street,
BasavanSudi. Bangalore,
Ref. No. 191779
Mrs. Amariit Kaur.
c/o Lt. Cdr. HJit sinSh,
J-6 Navy NaSar,
Bombay.
Ref. No. 188U8R.
make you mentally strong and fit, how to overcome
inferiority complex, how to acquire peace of mind in
times of dangers and difficulties.
Naturopathy: A very useful adjunct to Homoeo
pathy, is taught in all its aspects; Fasting, Kuhne's
System, Grape cure, etc.
13
Method of Evaluation
After every 30 or 35 lessons, we send to the
student a test paper which shall be answered by him.
We value the test papers, make the necessary correc
tions and guide the student according to the progress
tf)he makes in his studies. We quote below, a verba^tim appreciation of a student in this method of gui
dance:- Student S. C. Arora, Ref. No. 193524, of 35,
Mr. Maresh Mishra
7/10, Vlvekairand Road,
DurSaour-d. W. B.
Ref. No. 165332.
Mr. Jashi Blttn lain.
Chemist, Qr. No. 91,
D. C. W. Road,
Dhra£adhra, Gujarat,
Ref. No. 187168.
Krishna Nagar, P. O, S. J. Enclave, New Delhi-110029
writes, ''Please accept my thanks from the core of
my heart the pains you have taken in advising me about
my answers to test papers 1, 2 & 3. In fact, your entire
Medical Board deserves thanks for this Yeoman service.
When I read through your corrections, I felt as if I am
a regular student of your esteemed Mission, instead
of a correspondance course student."
On completion of the course the student will be
asked to appear for the Final Examination on any
day convenient to the student at his place of residence.
The student is placed in 1st, 2nd, or 3rd division;?
according to the marks he obtains in this examination.
An Examination Fee of Rs. 25 has to be remitted by
each candidate who appears in the Final Examination, I
Practical Training
i
;
As the student approaches the end of the course,’
we encourage him to practise what he has learned,
first among his family and friends and then gra
dually widen his circle of practice. On the com
pletion of the theoretical course, if the student so de
sires, we arrange for practical training with any of
our ex-students who ere practising Homoeopathy in
or near about his place of residence.
A Few Unsoliciated Testimonials
Mr. R. Pandian. B. A., 3 Aranganatha Perumal Kovil
St., Srivilliputhur, Tamilnadu, Ref. 188456 stated -"Thank
you very much for vour kind letter dated 20-2-82,
intimating my success in the
Final Exam of Mavelil Homoeo
Mission, securing I class w th
high marks. I wou'd like to
express my thanks and grati
tude to you for your valu t ale
lessons and excellent guidance
which has helped me in ac ieving this success.
Please convey my heart/
thanks to the staff and other
members of your mission for
Mr. R. Pandian.
15
their'-painstaking effortsand ready response to various
queries and clarifications on the subject. My life's jam- 1
bition to become a qualified Homoeopath has now
beep fulfilled, mainly with your help. As advised by
you I. shall study various books written by eminent')
homoeopaths and make use of them as well, to serve1*
the ailing and suffering humanity. I have already
talked -to my friends, colleagues and relatives about the
best and splendid coaching offered by you to propagate'
the Homoeopathic science. I am proud to inform you 1
that .Thiru R. Sethurathinam who is a colleague of '
mine has since enrolled as a member of our institution.
I hope-some more people will follow suit in the near
future. I assure you that I will be ever helpful to my
institution to the best of my ability In this connection I
am happy to inform you that as soon as green signal
was'given by you through your letter dated 2-11-81.
I started practising Homoeopathic system of medicines
among the needy people. The reports of a few cases
treated by me are enclosed here-with as required by
you for ready reference. I shall continue treatment
with utmost care and missionary zeal and keep up the
name and tradition of my Institution for ever".
f
Miss. Salma Banu M.,
D/6. Mr. S. Md. Moosa Khan,
District Munsif cum Sub Divisonal Judicial Magistrate. Hosur,
Ref. No. 189058, has written-"!
am in receipt of your kind letter
dated 9th March 1982, intima
ting me that I have secured
Distinction i. e. 75 °/o in the
Final Examination. I sincerely
thank you for tne good news.
Miss. Salma Banu
16
Certainly the credit of my success goes to Prof.
M. T. George & other staff of the mission, who prepared
such nice lessons. Candidly saying, Homoepathic system
is much better compared to Allopathy as the Allo
pathic system suppresses the disease but the Homoeo
pathic system cures it completely.
I have taken Mavelil Homoeo Mission as my
Alma mater for Homoeopathic & Biochemic studies, i
have persuaded some of my friends to join this course.
I shall send you Rs. 12 7- by M. O. for annual subscri
ption of the magazine in due course. I am enclosing
herewith a report of cases successfully treated by me
for your perusal''.
Major Padamjit Singh Hara, Armoured Corps
Centre and School, Ahmednaaar, Pin-41480', Ref: No.
184122 wrote "Reports forlOcases, successfully tre
ated by me are enclosed herewith for your perusal. I take
this opportunity to thank you
and the staff of the Mission
for the diligent efforts enabl
ing my endeavours to result
in a first division in the final
examination. Your coaching
has been painstaking and the
student - teacher relationship
very warm and genial. I would
definitely like to record my
appreciation of your understa
nding of the exigencies of
Major Padamjit Singh
service for us people and permitting us to complete the
course in the time available to us. Could you please let
me know the next steps for the post graduate courses.
With kind regards".
17
Mr. Charles Ferreira Alvares, M.A., L.L.B. M.B.A.,
Large de Igreja, Margao-Goa,. Ref. No. 181803 wrote,
"I am deeply grateful to you for the opportunity you
gave me to become a qualified Homoeopath. Through
your course my faith in the superior merits of Homo
eopathy has been confirmed.
I am grateful to your devoted
staff for valuing my answer
papers patiently and guiding
me through my studies. I had
been instrumental in produc
ing some miraculous cures
through Homoeopathy; the re
ports of a fewof such cases are
being forwarded for the Missi
on's scrutiny. It shall always
be my endeavour to pioclaim
to others tne good work you are doing in propaga
ting this harmless, but effective system of healing."
M Gad jdhar Barik,Vill. Chasakhand, P-O. Danar, Orrisa,
Ref. N 5. 131 740, wrote ' The day I received your letter in
forming me that I passed the
Final Examination creditably
with 67°/0 marks, was the
happiest day in my life. I
have achieved a major mile
stone in my life. I am now
looking forward to having
a successful career as a ho
moeopathic practitioner. I
I am very grateful to you for
Mr. Gadadhar Barik
the wonderful way you had
been guiding me through my studies. I pledge that
18
my practice I sha!l show the same kind of devotion
you had shown in your teaching. The advancement of
Homoeopatny and the interest of your Institute shali
always be uppermost in my mind,"
hi
Miss Feeroz Khatoorr, D7o Mr. Rifaquat Ullah, Kachery
Road, J. P. Badaun, U. P., Ref. No. 67364. wrote "I arrs
very h.ppy to know that I have passed the Final Exa- ■
mination in first division. I am so grateful to you for
the excellent coachinn you gava ma. Piease convey my
heartfelt thanks to your staff
for the patient and methodi
cal way they guided me thr
ough the course. I shall
strive my utmost to spread
the superior merits of Homo
eopathy as a modern Medical
Science. I wish the Institute
all success in its mission to
propagate Homoeopathy.''
M sa. Feeroz Khatoon
Dr. P. K. Trahan Ph. D., 427-L, Model Town,
Ludhiana, Ref. No. 161403 on 8th Nov. 81 wrote
as follows- "I was overjoyed to learn from your
letter that I have passed the final Examination withf
76°/o marks. Tnanks for the same. All the credit
of this success goes to you and the experienced
doctors of the mission who have prepared the less
ons in most simple, easily understandable, clear,
self-explanatory and comprehensive manner. I have
no words to explain my gratitude to them.
Please find enclosed herewith 10 cases of the pati
ents whom I have
cured. During 4 the last two
19
years, 1 am practising Homo
eopathy not only on humans
but also on animals and
plants.
Dr. P. K Trehan Ph. D.
I have also found Homopathy very effective in ani
mals and
plants. These
days, I am
applying it
extensively on Poultry at
the various
farms, inclu
ding Poultry farm of the
Punjab Agriculture Univer
sity, Ludhiana."
Miss. Urmiia Kumar, C/o.
Brig. B. B. Kumar, Block-21,
Flat-575, S P Marg, New
Delhi - 21, Ref. No. 189352
wrote "Thank you very much
for the beautiful certificate
you sent me. 1 owe my su
ccess to the 'missionary zeal
you have shown in coaching
up your students. I am keep
ing a record cf all the "cases
treated by me. Some of the
Miss. U.mila Kumar
cures effected through this wonderful system had
baffled Allopithic doctors. I shall ,’ever be faithful to
your Institute and to the Homoeopathic system. ,| hope
to send you very soon another set of case reports for
publication in your magazine.
This is to express my gratitude to you and to your
staff for all that they have done for securing me a
high pass in my final examination. The lessons were
written in simple language, easy to follow, but co
vered all the important subjects necessary for a pra
ctising Homoeopath. You have kindled my appetite
for the study of the system in greater detail, and as
suggested by you I shall continue to gather all the
latest information about this Modern healing system.
I am sending Rs. 100 by M. O. to become a life
subscriber of your magazine.
Mr. 1. N. Bhatnagar, Special Judicial Magistrate.
Barabanki, Ref. No. 192503 wrote "Many thanks for
your letter dated 30-12-81 intimating my success in the
final examination. I am glad to know that I secured 70°7O
marks, more than 1st class marks. The credit of my success
goes to the staff of the mission for preparing such extre
mely fascinating lectures in Homoeopathic and Biochemic
system of treatment. They are so elaborate and useful and
very helpful in treating patients. It almost serves the'purpose of Materia Medica. I wish the Mission more success
in the creditable work. I am [sending herewith case re
ports of 10 cases as required. I use mostly Biochemic
medicinesand they give good results. I have not taken
practice as a profession. After obtaining the certificate
from you I may work with more zeal."
N. B. If any dispute arises out of postal tuition and
our transactions; it will be settled only in Trivandrum
courts.
Application Form
MAVELIL
HOMOEO
MISSION
P. B. No. 1015
Pattom Palace, Trivandrum-4
Pin. 695004
S.
INDIA
1.
Name (Mr. / Mrs. 7 Miss.}
2.
General Education & present occupation
3.
Address of the applicant In full
4.
Regular or Concessional
5.
Amount of fee sent By M. 0. or P.O. or bank draft
including the registration fee of Re. 1 /-
(Capital letters)
Agreement:-1 solemnly agree on my word of honour
that I shall not expose the Postal Lectures to anyone, and
I hereby declare that from the day I commence my study I
shall consider myself morally bound to advance the cause
of Mavelil Homoeo Mission as set forth in the Prospectus
and I shall abide by the rules of the Mission.
place..
Date
...............
Signature
.........
%cii/ o
WE SUPPLY PURE AND GENUINE Homoeopathic
and Biochemic Medicines to our students at reaso
nable prices-cheaper than at Calcutta. We also stock
original B. & T. MEDICINES.
DELISAFE:- A special preparation of the institu
tion. This is a valuable remedy for almost all
ailments occuring during pregnancy. It acts as a
Karam Chand Street,
Lower PuranI Mandi,
Jammu Tawi, J & K.
Ref. No. 191177.
U3. Bunglow Road,
Kamal Nagar,
Delhi,
Ref. No. 188955.
uterine tonic preventing malpresentation of the
foetus. If given during pregnancy it prevents all
complications and ensures SAFE AND EASY DELI
VERY. Guarantees adequate supply of milk in mother’s
breasts. Price for a month's use Rs 9. For 3 months,
use Rs. 25/-only. Postage and picking extra.
Medical Expert:
Dr. A. GEORGE
Dr. Incharge of Training:
Dr. A. G. Valtakalll
Office Manager
Mr. Joseph Ommen B. E.
Managing Partner:
Prof: M. T. George B. 11., B. Sc. (Engg)., M I E.
Qlii'onic diseases
Treated by
Correspondence
We undertake free treatment of all full fee students
in their personal cases. For cases recommended
by our students we charge only Rs. 45/- as con
sultation fee. It is our desire to do what is possible
Dr. RaJcsh Mabafo M.B.B.S.
Lt. Col. n K. BhatnaSar,
A- 322, Shastri tlaSar
Jodhpur, Rajasthan
4 P. C Banerice Road
Allahabad, U. P.
Ref. Mo. 193448
Ref. Ho. 192485
to help all chronic sufferers including those affected
with tuberculosis, mental unsoundness, chronic sto
mach disorder etc. But the acceptances of cases
will be limited by the time available for the medical
staff.
MAVELIL HOMOEO MISSION'
P. B. No. 1015
PATTOM PALACE, TRIVANDRUM-4 (S. INDIA?
Pin: 695004.
Phone- 68256
Ref: No.2-0Z.ZZC-.
Date.^-’^-’Rj
Dear Sir/Madam,
We acknowledge with thanks the receipt of your letter.
We are glad to note that you are interested in the study
of Homoeopathy.
We forward herewith a copy of our prospectus for your
perusal. If you will but go through it carefully you will easily
realise the vast and fascinating opportunities a study of Homo
eopathy would throw open before you.
Medical profession affords the greatest scope for doing
real service to our people while providing decent livelihood.
No one can deny the fact that there is good scope for medical
men to settle in rural areas. Nearly 85 percent of our country
men are living in rural areas and most of our doctors are
concentrated in cities and towns.
As one keenly interested in Homoeopathy you would have
come across various tempting offers of Homoeopathic coaching
at cheaper terms. Thus when you go through our prospectus
you might, as an intelligent person want to know whether ours
is the best one available and if so whether the tuition fees are
moderate. Ordinarily, this is a difficult point to convince any
body. But those are the very questions which we can answer
with confidence. ■ Let us clear your doubts, if you have any.
Our institution is unique in more than one respect. The
experts serving you through the mission are highly qualified
and experienced doctors who have over the pastthirtyfour years
not only coached up thousands of students throughout the
length and breadth of India, but have coached students from
America, Australia, Africa, Ceylon, Europe, Kuwait, MalayaSaudi Arabia, and other countries. These students are now'
practising as fullfledged doctors, bringing honour to themselves
*
and to the art of homoeopathic treatment. We need no creden
tials than the hundreds of letters which we regularly receive
from our students expressing their present position in life and
society.
Our lectures are so elaborately and carefully prepared that
an intelligent reader would easily realise that they are vastly
superior to any others offered by other institutions. Our^
lectures are more than 250 in number. The most careful
attention and painstaking efforts that have gone into the pre
paration of our lessons have put them in a class of their own'.
They are written in very simple English so as to satisfy the
needs of even those who are not very conversant with English.
We also offer the course in Hindi and Malayalam. Hindi and
Malayalam lessons are direct translations from English. Thetuition fee is the same whether you take up tuition in Hindi
or English. A special feature of our course is that we give a
series of lectures on various d:seases, their treatment side by
side with allopathic approach to such conditions. We have also
included a number of lectures on Happy marriage. Birth
control. Mother and Baby care, Modern drugs, Sex and its
problems, use of Stethoscope, testing of urine, checking blood
pressure etc. Technical terms and difficult W'ords are explained
as foot note to the lessons.
We give concession of fee to those who are financially
handicapped. But please note concessions are given only to th a
very needy and deserving candidates. Those who can afford
are advised to join as per non-concessional terms. The various
schemes of payment of fee under concessional terms are given
on page 5 of the English prospectus, on page 6 of the Hindi
prospectus and on page 6 of the Malayalam prospectus.
It may also be noted that all those who join the mission
within 15 days of the receipt of prospectus will get our maga12ine free for six months.
3
All students who pay the fee in lump sum under non
concessional terms will get our magazine free for one yearIn case you still feel that any other detail would be of
assistance to you in choosing this fascinating career, please
do not hesitate to write to us- I would be most happy to
answer your queriesSOME FACTS ABOUT THE INSTITUTION
Mavelil Homoeo Mission is registered with the Govt- of
Kerala. The partners.of the firm form the executive com
mittee which regularly meets to admit students and to
award concession to deserving candidates- The Managing
partner shall be in charge of all the activities of the Insti
tution and shall represent the Institution in all its dealings
and also to receive payments and defray expenses-
We have our approved Doctors in various places in India
and abroad who can give practical training to our students.
It can be arranged at any place to suit your convenience.
Upon the successful completion of this valuable corres
pondence course you will receive 'M. H. M'. of which you will
be aptly proud. Those who complete our course successfully
would be given the required advice for doing homoeopathic
practice- Diplomas are issued by certain institutions on the
mere payment of some money- We do not want to cry down
other institutions but you should not be misguided by such
institutions,
Our Institution is a Social Service Organisation. It is
not an institution founded on commercial lines keeping in
mind mere profits- The fees charged by us are only to meet
the cost of printing lectures, advertisements, clerical and
postal expenses. When you want to select an institution for
homoeopathic study first compare the syllabus and then
compare the cost. To become a good Homoeopath you must
study the science in full as per our syllabus.
4
We have a circulating library which our students can
make use of. Each student has to pay a deposit Rs. 100
which will be refunded. They can keep any book for a fort
night. All good books in Homoeopathy (English, Hindi and
Malayalam) are available in the library.
We coach the candidates until they come out successful
in the Final Examination. Please note that no extra fee. other
than the fee mentioned in the prospectus is charged for addi
tional coaching- If any student can prove that our lessons
are inferior to the lessons of any other such institution w e
are prepared to refund the money paid by him / her for
professional coaching.
Please note that we do not charge the postal expenses as
some others do. We meet all the postal expenses for sending
lessons, magazines, medicines etc. to our students.
This is a turning point in your career. Any decision
you make now may affect you and your family too. We
believe you would take advantage of this offer and get our
help and guidance in making you a successful Homoeopa
thic Doctor.
Yours cordialiy
M. T. George
Managing Partner
N. B. If for any reason you do not wish to enrol now, the
prospectus may kindly be given to any other person who is
interested in the study of the science-
heal-harmony
HOMCEOPATH C CLINIC
312. "7-C Cross. ZStt. Main.
Cth Eteri, Jsvsnorrr. Cer.cslcr
IN PRODUCTION BY DR/RAM SUBRAMANIUM
I am Dr. Ram MD. DCH; - a practicing paediatrician at Muiund, a
suburb next to Thane in Mumbai I have been in practice since 1979,
! have a 20-bedded Paediatric Hospital.
in the year '93. I had a very' bad attack of severe labrynthitis
following Mefloquin - a new drug at that time for Malaria. 1 was bedridden
for 3 weeks. Luckily as god would have it, an elderly homeopath Dr(Mrs)
Phatak administered homeopathic medicines which cuied me completely in 4Shrs.
That was my turning point. .After my recovery she just requested me to try'
Homeopathy in children, she said this branch has tremendous scope because the
susceptibility in virgin and results re phenomenal. I gave it a thought; I
had tried small stints at various places to leam "homeopathy in few weeks"but none of these gave me the mental satisfaction. I got after zeroing down to
I.C.R. Mumbai which 1 joined in Feb '94. After.a lot of sacrifices in my daily
schedules, I finally spoke one day to my director Dr. K.M. Dhawale MD,DPM,MF,HOM
(London) saying that I wanted to dedicate this hospital of mine for full
fledged Homeopathic treatment (indoor & Outdoor). Thus this dream of mine was
given birth to on the 6th of Oct'96 (Dusshera day) following an inauguration by
our stalwarts and senioirnost members of ICR - Dr Kasad/Dr(Mrs)Phatak/Dr Dixit.
Importance of Paediatrics in private piacticc
(a) This is the most important branch of general practice constituting 50-60%
of practice
(b)
It is a barometer of the success of the physician concerned and hence the
success of the country as far as health services me concerned.
(c)
it is very rewarding in the hands of GOD because "A CHILD IS A FORM OF GOD"
(d)
It attracts "world wide care and sympathy "
PAEDIATRIC SET UP AND WORKING: -[Chart provided]
Suffice to say that it is total "TEAM" work i.e. "Together everybody achieves
More T.E.A.M." It needs round the clock close monitoring and assessment, viz
susceptibility & sensitivity and expressions, remedy response etc. which extremely difficult
for one individual.
CASE TAKING [CHART PROVIDED], Action is released after total
' work up of the case thus having an idea of the various Acute, Intercurrent and
constitutional and its related remedies in mind before using them judiciously.
Emergencies are treated with the basic remedy after assessing the form and other
parameters but entire case taking & processing upto planning and programming is
completed within the first 24hrs. The I.C.R. !s Software -"Organon 96"- Homoeopathic
Work Station has been of great assistance, it has become our "Working Partner".
OBJECTIVES OF SET UP
(1)
Clinical diagnosis and logical approach on the grounds of homeopathic
philosophy.
(2)
Infrastructure is provided by S.C.R.(Standard case record of I.C.R.),
Clinical training and Organon 96(Software).
(3)
Convert my hospital into an institution where "all ^ill leam".
(4)
Use of modern technology for diagnostic purposes, record maintenance and
document the data without losing quality, It is total "Team Work".
ADVANTAGES OF HOMEOPATHIC IN PAEDIATRICS.
Side effects compared to Allopathic - negligible if "judiciously" used.
Easily accepted by children’s.
Cost effectiveness -jnajor advantage[Chart provided].
INCREASE IN BODY RESISTANCE
/Late Attacks.
/Less Attacks.
/Mild Attacks.
1) General concepts which I leamt. FULL 2 PAGES(attached on next page RESULTS:Salient features
(1)
Admission have come down by 50%. But still monetary & mental happiness
same, on this contrary increased +2.
(2)
Cost effectiveness is unbelievable [Chart provided],
(3)
No tension at night or on holidays. This is the most important "Nightmare"
every night for a practicing Paediatrician.
(4)
Switch over only 10-15%. i.e. 85% cases treated fully homoeopathically in
the fffst two years after inception- phenomenally great achievement.
(1)
(2)
(3)
(4)
G^SES:-
Cases -b Working + Appraisal in each case enclosed.
CONCLUSION'S:- DREAM X FAITH = MOTIVATION
I
ACTION
..
I
.
'
ACHIEVEMENT
'■
'
I
APPRECIATION
I
SUCCESS
•
|
RECOGNITION
I
THANK YOU "LORD". .
1 General concepts which I have learnt
(1)
The notion in pct pie's mind that Homeopathy is only for chronic- has been
completely eradicate 1 from my mind. Live experiences of umpteen no. of cases
and that too sick children who ideally would haXRneeded institutional management
and sometimes ever. 1 PCU management - Intensive PAEDIATRIC care management have been managed excellently by our team headed by our seniormost Teacher
Dr. Dilip Dixit . LCEH, MJCR - Mumbai.
(2)
Timing is most important in the usage of remedies. Many a times "Masterly
Inactivity", is much safer than "Enthusiastic Overactivity & that too when
you are dealing with the "Virgin" susceptibility..
There are many case instances to document this and the ones which we
have brought to present is only a "tip" of the iceberg.
(3)
Knowledge of Miasms especially Tubercular & Sycotic Miasm & constitutional
Psoric in great detail - forms the hallmark of correct prescription, use of
intercurrent - judiciously at the appropriate time of the possible effects.
It is likely to produce - are all parts of the entire planning and programming
which one has to undertake before understanding what one has to achieve in a
particular disease entity & that too in a child - with all the known text book complications
of that condition glaring at you & warning you
(4)
Knowledge of M.M. especially - commonly used Polycrests in full detail is an
absolute must for selection of appropriate remedy
(5)
Potency & repetition - are the "crux" of therapeutics. I call it "titration"
- which we all have done during our Inter science or 12th standard practicais in
Chemistry'. One drop here & there would make an ocean of a difference
Similarly one dose here & there would make all the differences
in your understanding of the interpretation - viz med aggr. followed by > or
simple > or Homeopathic or disease progression Your next prescription
cannot follow without answering those things & hence using your subjectivity to
the
esf" of your ability to cure tne child rapidly, gently & completely.
(6)
Finally all the above cannot be achieved if you do not have a complete
"Clinical" knowledge of the condition you are treating, viz eteology, Pathology,
Pathogenisis, symptoms & signs of disease, symptoms & signs of complications
(Most imp’; Investigation - Routine, Specific & advanced Treatment of disease.
Treatment,of complications & last but not the least Prongsis is(true recognition
normally & in complications & final outcome) & chances of recurrence.
(7)
Lastily - Faith in God & a small prayer to him daily to help you to remain
humble & tell him that you are grateful to him for all the "wisdom" he has given
to you in alleviating the suffering of these "Precious" children.
APPRAISAL
CASE 1 :
Acute Bronchiolitis - A common condition in practice
but which every paediat.ician dreads to manage due to
its rapid pace & complications; also with many D.D’s.
Srequen-c assessment of vital parameters is of utmost
importance alongwith the proper Remedy & Potency
selection with careful repitition- to deal with this
major emergency.
■
CASE 2
t
Infectious .mononuecleosis- with 9th nerve paresis Important clinical entity closely re-lated to cervical
adenitis & its D.D's.
This case demonstrates the
importance of picking up the complication care & lated
careful management of the same by assessment of
prognostic criterias viz. impending respiratery paralysis
thus preventive- transfer of the child to P.I.C.U.
CASE 31
Intusussception
"Most major" emergency in entire medicint
needing monitoring every 2 hrs. This case would be a
demonstration of importance of careful monitoring &
need of total Team Work.
CASE 41
Atopic .Sczema
- A very common condition in busy
-paediatric practice - suppression of which leads to
Recurrent Respiratory problems esp. Asthama.case.
Case demonstrates the importance of knowledge of
immunology along with careful assessment of susceptibi
lity for excellent response in shortest possible firne.
CASE 5 ;
\cute Nephritis with HT with CCF -
A dreaded condition
which I though of shifting to Nephrology Dept. KEM
Hospital.
But hats of^the Science! Timely use of
accurate Homeopathic forces with careful monitoring
turned the tables of the case like a ’Miracle
*
Recovery was an smooth as a "Wave".
&
uEal-H ahMQMv
homoeoi-ath c clinic
37-g Cl.ss. J
*-' 1 M,,n^BUCE.JC^- I'"”'”"-6’-
PAEDIATRIC SETUP & WORKING
ROPE
WALKING
DELICATE
BRANCH
VIRGIN
SUSCEPTIBILITY
3 CONSULTANTS
3 SUPERVISORS
5 R.M.O’S
8 LEARNERS
20 STAFF
CASE TAKING
OPD
IPD
SCREENING
- EMERGENCY MANAGEMENT
CLINICAL EXAMINATION
- ANCILLARY MEASURES
HISTORY FORMS
- EXAMINATION
CONSTITUTIONAL REM
- ACUTE PRESCRIBING
PHASE REMEDY
- CONSTITUTIONAL PRESCR.
INTERCURRENT REMEDY
- PHASE PRESCRIBING
- INTERCURRENTPRESCR
HOMOEOPATHIC SOFTWARE USED
ORGANON’96
21 ST CENTURY HOMOEOPATHIC WORK-STATION
CASE TAKING
EDITING
|
!
PROCESSING
FOLLOW-UP^
* CHIEF COMPLAINTS
* SYMPTOM CLASSIFICATION
* CRITERIA
* ASSOCIATED COMPLAINTS
* MIASMATIC EXPRESSION
* REM. REACTION ANALYSIS
* PATIENT AS A PERSON
* TOTALITIES
* MENTAL STATE
-REPERTORIAL
* REACTION PHY. FACTORS
-NON REPERTORIAL
* PAST & FAMILY HISTORY
* E.E.T.
* PHYSICAL EXAMINATION
* REPERTORIZAT1ON
£lh Block, JiyanagCr. Bengal
& INVESTIGATIONS ,
THE RESULT-STATISTICS
------------------------1997-----------
....... -........ — -...................... -—1998............................................ —-....... —-.................
APR | MAY
SEP
OCT
NOV
DEC
JAN
FEB
MAR
A.G E. WITH
DEHYDRATION
PNEUMONIA
8
4
3
6
8
10
3
2
3
6
5
4
4
3
1
BRONCHIOLITIS
16
8
2
2
6
1
HEPATITIS
-
1
1
-
1
VIRAL FEVERS
HYPERPYREXIA
MALARIAL
FEVER
ENTERIC
FEVER
SHORT STAY FOR
OBSERVSN
TOTAL
ADMISSIONS
SWITCH OVER
4
5
3
2
1
5
3
2
3
-
DIAGNOSIS
JUN
JUL
4
5
3
1
2
4
4
2
2
1
2
4
3
11
2
1
42
49
7
4
SEP
OCT
7
AU
G
2
5
1
1
3
4
11
3
1
1
6
8
23
11
2
-
1
-
2
1
-
2
-
-
-
3
7
5
3
2
1
2
1
3
3
1
-
-
4
2
2
3
6
5
2
1
1
3
-
-
3
1
1
. 1
1
2
-
-
23
49
49
30
24
39
29
19
32
51
70
39
■ 5
1
6
2
4
7
4
10
4
4
13
3
SURGICAL CASES - ACUTE APPENDICITIS-2
■ INTUSSUCEPTION-2
* COST EFFECTIVENESS OF TREATMENT *
CLINICAL
CONDITIONS
1) A.G.E.
2) PNEUMONIA
3) ENTERIC FEVER
ALLOPATHIC Rx
Iso. P.
Rs. 35X3
Iv SET
Rs. 36
Venflon
Rs. 75
Inj. Mikacin Rs. 33 x 5
100 rngB.D.
Syr. Gramogyl Rs. 21
ISO. P.
Rs. 35
IV SET
Rs. 36
VENFLON
Rs. 75
Inj. Cefaxone Rs. 140 x 5
100 mg tds
x 5d
ISO. P.
Rs. 35X3
IV SET
Rs. 36
VENFLON Rs. 75
Rs. 50 x 5
lilt. Ciplox
x 5d
Inj. Cefaxone Rs. 140 x 5
_250jng ids x 5d
APPROX.
COST
TOTAL
COST
HOMOEO Rx = TOTAL COST
Rs. 387
Rs. 10/If required I.V. Fluids
Rs. 856/-
Rs. 10/-
|<s. 1160/-
Rs. 10/-
Rs. 216
Rs. 150
Rs 21
Rs. 156
Rs. 700
Rs. 216
■
Rs. 250
Rs. 700
NO SIDE EFFECTS
EASY ACCEPTANCE BY CHILDREN
COST EFFECTIVENESS
INCREASE IN BODY RESISTANCE
- INFREQUENT ATTACKS
- LESS ATTACKS
- MILDER ATTACKS
Cf]SE a/Q
: i
-
DIAGNOSIS BRONCHIOLITIS
NAME K. 0.
A5E
4 mts
SEX MOLE
RELIGION MUSLIM
MOTHER housewife '
STATUS SINGLE
FATHER truck driver
ADDRESS
RES.
mumbra
CHIEF COMPLAINTS
■.ut 3 DAYS
tklaking On
Watery Rhinorhoea
Sough
Fever-high G '* a u e
< morning
Sa Iivation/stick
R x Allopathic
Appetite Less
tBRONCHIOLITIS
Cran k iness
>HOLD ING CLOSE
>Rock ing
Greenish Sticky Stool
Spluttering
GIT
Rectum
Freq.:
Fears A Lot
does not accept
Allopathic
Med
A/f
times/day
3
PERSPIRATION
0.
PHYSICAL *CHARACTERISTICS
GENERAL MORE
'
PAR T I AL HEAD
1
STOOL
Semisolid ■
NO. 1/Day
H/o Gd’ses
CONSISTENCY
Urine n
7.
BIRTH
FIND
SLEEP
LIGHT
DEVELOPMENTAL LANDMARKS
HEIGH I 3.3Kg
STARTLING ON
C.REACTIONS
THERMAL - Chilly
>
PROBLEMS
SLIGHTEST NOISE
PHYSICAL FACTORS
C3H2
■
STARTLING FROM SLIGHTEST NOISE
PAST -
HISTORY
ALLERGIC RHINITIS
MOTHER
HYPERTENSION
PATERNAL GRANDFATHER
DIABETES:MELL ITUS
PATERNAL GRANDFATHER
!
HYPERTENSION
PATERNAL GRANDMOTHER
’
BRONCHIAL ASTHMA
MA I l-RMAL GRANDMOTHER
’
ALLERG I'. DERMATITIS
FATHER
f
0/E -- RESTLESSNESS
|
I
|
1
Moaning
RR- 60/ min
chest- crepts
L 2FR
! S NP
INVESTIGATIONS
CEJC • HNL
CHEST X'RAY- NAD
S tra iqh ten inti of
noted
ribs
feed
CASE I - Bronchiolitis
$
i
Clinical Thinking
i
Physical Examination
Investigations
6 month old boy coining with c/o
Pt breathless +
Chest x-ray- Straightening of ribs
rest NAD
Mild cold & cough since 8-10 days
restlessness++
Severe cough since 2-3 days
cranky-H-
Coryza with cough
Moaning+
Breathing difficulty since morning due to
respiratory rate increased- 72-80/min
which the patient reported
Chest crepts ++
in the clinic.
LIVER 2FP
S -NP
There was also high grade fever.
Pt had taken allopathic Rx & came down
i
with loose stools.
■
1
Differential Diagnosis
I. BRONCHOPNEUMONIA - XRAY FINDINGS WILL RULE OUT
2 PNEIJMONITIS - CLINICAL PRESENTATION DIFFERS.ALSO
PACE FAST IN PNEUMONITIS
X RAY FINDINGS -ve
Final Diagnosis
BRONCHIOLITIS
AGE 6 MTHS.
CLINICAL PRESENTATION
X RAY FINDINGS
CASE! - Bronchiolitis
Acute Totalitv
ANT1M TART
Generals - Crankiness3
>carrying on shoulder 3
■
> rocking3
Drowsiness
Very feeble response,
Reaction poor.
Sector - Rapid involvement of chest
Secretions ++,Crcpts-t-+.
Chronic'-Totality
SIL1CEA '
1. Perspiration head profuse3,head3.
2.Sleep-startles on slightest noise3.
3.Chilly patient-.C3H2
4.Physical make up-lean,-thin child
Planning & Programming;
Pace-Moderate to fast
Susceptibility-Poor- Pace moderate
Disease common symptoms coming up.
lack of characteristics.
Sensitivity-High- Crankiness ++ > rocking3, >3holding close
startling on slightest noise
Potency choice - Moderate, frequent repetition in acute.
Moderate, infrequent repetition in chronic treatment.
intercurrent Totality
Not used in this case as no clear cut indications j
of the same.
1
I
i
pu CRITERIA
6- FEVER
C- COUCrH
%. STOOLS
2. 0[E
1 . RESri-ESSN ESS
2- CRMK'j /r^Of)NirJ<S
2). SLEEP
Z?. appetite
FOLLOW-UP SUMMARY
Date
1
2
3
4
12/01/9S
4-4-
4-4-
D
LESS
>4-
>4-
5
•
6
7
8
4-4-
4-.
RR 82-86
Action
Antim tart 200 4 hrly.
L2FP
2PM
12/01/98 PM
Inter-pertntion
case-G
SQ
>3
>3
>2
1
CT ALL
SQ
\
13/01/98
>3
+3/0
E
D3
0
SQ
<2
RR >2
Hom.<
14/01/98
<-f-
+3/0
E
>3
0
0
>.)
RR >+
Potency Exhausted
Omit Antim tart 200
Sac Lac Continued
Antim tan IM (IP) Stat
SL.4.Hrly.
15/01/98
16/01/98
>3
>3/0
>3
G
|
G
G
0
+1
N
RR 72/Min
0
+1
N
RR 64/Min
O/E R.S BARS 4 BRE ATHINfj+. RO MCHI +.
No Crept ..PTC OMFO RTABL E ACTI VE
’ I) ‘ -
DECREASE
’ E' -
ERRATIC
'Sq‘ -
STATES
&U0
>
Better after Const.RX
Sil 200 (IP) HS.
SL continued
PT DISCHARGED
APPRAISAL
A case which every paed.iatri can
: --
Acute Bronchiolitis
dreadts
to manage - Because the pace is very very rapid and complicate' .1
are maximum when listed - viz.
Respiratory failure, metabolic
tetany, encephalopathy, pneumonia, myoca
aciucsis
alkolotic
rditis ,
CCF,
empyema
& then Intercostal Drainage
the
for
ward
Pneumatocoeleslungabscess, pneumothorax
weeks & months,
& its
«
management in
bronchopleural fistula
*
collapse
of lune, Bronchiactasis, meningitis, some times septecaemia , DIC,
renal failure etc. etc
the
list is unending.
This conriton condition in paediatrlces needs proper
(2)
clinical understanding of
diagnosis viz.
Acute
conditions which are close differential
Asthamatic Bronchitis
*
Allergic
Bronchitis,
Actute
Bronchiolitis,
Bronchitis, Pneumonia,
Bronchopneumonia, Acute laryngotracheobronchit-is-.'e'tp. etc.
(3)
Judicious use of remedy/potency/repition.
The respiratory remedies like
very very important.
Hepar, Spongia;,Drossera, Coccus, Rumex,
Arsenic, Merc,
ant-tart
~
all nged proper understanding of
Proper use of potency,
clinical conditions.
monitoring ( as I had mentioned titrating
importance in this condition,
for
critfitia like sleep,
temp.
& final]?
the various
repitition after
) are of paramount
frequent monitering every 4 hrs.
Restlessness, Dromseness, Appetite,
change in subjective symptoms viz.
vomiting etc.
All are
Pulsatila,
cough, fever,
breathlessness,
change in signs viz. level of consciousness,
Pulse, RR,
mov.
of intercostal, suprasternal, s
subcostal areas, chest findings - viz.
Wheezing, crepts,
Bronchial, breathing, harsh breathing (implications of these
terminologies, seeing for liver enlargement and
associated tachvca, rdie
to R/0 p impending CCF etc. etc
*
- All these need to be done
judiciously in quick
precision and proper conveying
to your
Sr. teacher/ccnsultant for release of appropriate remedy in
properly selected potency and careful repetitions after
assessing
viz.
susceptibility/sensitinity during each point of time -
during each follow up and thus nosing the remedy response
which was desired and which happened thereby making you take the
nex : step,
(2)
This case
demonstrate how your knowledge & MM in
dealing with & using imp. pclycrests
er sou. t i a 1 for
hegv
nees ; calves
S:2-2 •r s
Pain
of resp. sector is
Easter results.
a/ f
playing
much
2 -
Ant. tart has a characteristic
a’on" with resp.
RR increase,
dullness, drowsiness,
sectors vital signs alterations viz.
acc. muscles of resp. ++,
& coarse crests ++
Arsenic on the other hand has restlessness / irritability
with more of wheezing component.
Pulsatila comes quiet close but pace is rapid in
tart.
Antin
Merc comes rarely only if syph. miasm +, Salivation +2,
& night
aggravation.
Hepar - more for URTI
& mild LRTI and so on and so forth
CASE II - Infectious Mononucleosis with 9th Nerve Paresis
Clinical Thinking
6
Physical Examination
old
DULL LOOK
TEMP- 102 4 'I
CERVICAL LYMPHNODES + 1GLANDS- BELOW ANGLE OF
MANDIBLE, POST TRIANGLE++
TENDER+
TONS1LS++ FOLL1CLES++
CHEST- CLEAR
LIVER 1FP ; SPLEEN - NP
THROAT PAIN SINCE 2 DAYS
< SWALLOWING
FEVER SINCE Y'DAY
CERVICAL GLAND++ PAIN
NAUSEA VOMITING GIDDINESS
SINCE TODAY
Differential Diagnosis
•
FOLLICULAR TONSILLITIS
•
MALARIA
•
DIPHTHERIA
- NO FEVER
- THROAT SWAB
POSITIVE
•
ANICTERIC HEPATITIS
•
LRT1
investigations
HB- 13 4 ; WBC 14,200
N60 L37 E3
MP- NOT DETECTED
SGPT -27
X’RAY CHEST - NAD
THROAT SWAB- NO C.Diptheria seen
Diplococci+
z Final Diagnosis
•
INFECTIOUS MONONUCLEOSIS
- CERVICAL LYMPHNODES++
- FOLLICULAR TONSILLITIS++
- FEVER++
- LIVER-1 FP
TOTALITY Chronic Totality
CONSTITUTIONAL- CAL PHOS
- Fearful
Intercutrent Totality - Tub
Acute Totality - Hep Sulph
o
FAST PACE
0
TONSILLAR AFFECTION
•
INFECTIOUS
©
PUS POCKETS
- GLANDULAR INVOLVEMENT
•
CHILLY PT.
- Nerve Complication
•
RELATED TO CONSTITUTIONAL
- Wants Company
- Shy
- Chill
- Cr - Cold Food /Drinks Fruits
•
Talks during sleep
•
Fundamental Miasm (load)
Planning & Programming
SUSEPTIBILITY - MODERATE—
POTENCY - MOD
CHARACTRISTICS++
REVERSIBLE PATHO.
SENSIT1VITY -
REPETITION- ACUTE FREQUENT
MODERATE
CHRONIC INFREQUENT
SENSITIVITY TO PAIN ++
INTERCURRENT INFREQUENT
NERVE INVOLVEMENT
FOLLOW- UP SUMMARY Date
Throat Pain
Fever
Temp
2/5
ar
<swallowing
feverish
N
-
4/5
same'
++•?
101.4
-
6/5
same '
-H-
102.4 i
9/5
>2-3 -
-
N'
>2-3 /
>2-3.T
Date
Throat pain
Nasal twang
Liquid
regurgi
follicles
10/5
mild
F
mild
W
+
cervical
lymphnodes
>2-3
-
Samev 7
+
•>
>2-3
+
11/5
12/5
Cervical
Lymphnodes
Tonsils Follicles
Liver
;++i
-
-
New
Complaint
Interpre
tation
Action
-
-
-
Disease Progress '
MIF200
4 hr.lv
Hep. Sul.
200 4hrlv
Tub 1 M
HS; Hep Sul
IM 6hr!v
Hep Sul
lM61uly
? Infect; Mononucl.’
rediiiF
just •
palable ’
prifatsl
movement
>2-3
>2-3
+
..
Same
..
Improving
-
Further
progress
-
Interpret.
nerve paresis -
Action
omit Hep Sul
Tub IM HS
Disch. SL
Tub 1MHS
C.P.200 HS
(Dr Kini's opinion taken-diagnosis—same; Rx Adv —Wyselone 10 mg BD
antibiotics ; Atieast 6 wk.s for recovery with Rx)
Improving
20/5
27/5
-
*'
>2
>2 ■
i
iN"
-
Definite
improvement
Tub IM HS
C.P.200 HS
SL 2-2 X
1WK
Tub IM HS
C.P.200 HS
for 2 Wks
APPRAISAL
Infectious Mononucleosis .
concepts learning in this case.
Importance of knowledge of conditions closely related
(1)
+ fever - e.g. Inf. Mono,
to cervical adenitis
non-specific
lymphadenitis & then
sugg. condi. like Inf Mono
+
sec
asso pus
Mumps,
pockets
-------
folli tonsillitis, Quinsy ,
Diphtheriaetc*
Persistence, of feyer
(2)
like MP
necessitating need for invest.
, SGPT & XRC to R/0, associated
Urine
Malaria,UTI,
Anicteric hepatitis & Pnemonia.
r
9th
(3) Finally picking the complication very early viz.
i.
Nerve palsy - foil Inf, Monoj Taking timely DM
(
Neurologist's Opinion
) ----advised Steroids for 6 weeks late
Reassuring the parents and giving them the option of both
& highlighting the side effects of
therapies
Patient reposing faith on us & the Homeo System.
Oh- 10/5 & full recovery in 2 weeks.
the treatment
(1)
steroids
We starting
(2) Use of TUB----------- When complication sets in
thebody is fighting
its last straw (2)
There is rapid
and erratic
useful at the
down fall within 12 hrs. , the phasic remedy not
stage
(3) The TUB miasmastic
load on the
child
-
needing the judicious use of
along
c
all
intercurrfint TUB -
monitering of prognostic criteria
palatal movements,
regurgition
mov, of diaphagm
F.
spread
most, most imp.
---------
-
amt,freq,
intercostal muscles"
* *
-------
viz.
intensity, duration;
to see if any
any further spread
would have warranted urgent transfer of child to I P.C.U.
(Intensive Paed cure Unit )
other hi-fi gadgets J
(3)
along/'c
Ventilatory support &
Finally seeing the smooth end result -
no steroids,
and its abuse. No financial burden on pt.
(discharged when
generates^ managed purely c regular FU' s on OPD basis).
CASE III - 1NTUSUSSCEPTI0N
Clinical Thinking
Chief Complaint-
Physical Examination
Investigations
Temp - 99.5' F
HbJ1.7
No Icterus
N43 L49 El M7
Vomiting since 2 days
P/A No Lump Felt
MP - Not detected
Severe Abdominal Pain ++
L/S - Not Palpable
SGPT - 22
Chest - C ear
Stool (R) - N
A/F cake
■
>3 Bending
>2 Pressure
Stool passed today after 2 days
Brown Colour,Gases foul smelling
WBC-20.5
USG (urgent) - Intusussception
xX
Ilio-colic
Chronic - CALC IOD
Acute Totality
Intercurrent -TUBERCUL1NUM BOV.
- OBSTINATE
-PATHOLOGY -
>3 bending
- FEAR OF DARK
PROTRUSION/PROLAPSE
>2 pressure
- SHY
-RAPID PACE
COLOCYNTH- Abdominal Pain
SYMPTOMAT1S RELIEF AFTER COLO
- HOT PT
BUT NO FURTHER REDUCTION IN
- PERSPIRATION SCALP
SIZE ON USG
-< DENTITION
-FUNDAMENTAL & DOMINANT MIASM
-TUBERCULAR
ACUTE TOTALITY REVIEWED- ON 21/01/98
PLUMBUM MET -
Spasmodic effects in acute stages & Paralytic effects in later stages
Planning & Programming
SUSEPTIBILITY.- * HIGH
POTENCY- ACUTE HIGH
* RAPID PACE
* STRUCTURAL REVERSIBLE CHANGES
CHRONIC MOD
REPETITION-
* CHARACTERISTICS
SENSITIVITY (MIND & NERVES)
MODERATE - HIGH : - * CRYING CONTINUOUS ++ DUE TO PAIN
ACUTE FREQUENT
CHRONIC INFREQUENT
FOLLOW UP SUMMARY DATE
18/1/98
20/1
PM
21/1
ACTIVITY/
CRYING
fiJBAKNBSS4>?
SLEEP/APP
ABD
PAIN/VOM
D1STURBED/N
/W<
/4i£<
S/LESS
*
44/S
>3?
N/N
-o/o /
P/A-LUMP
USG
INTERPRET
ATION
fOODPOISONING-
INTUSSUSCE
PTION
£.0 X 3:2 cm ?
RAPID PACE'
SiB.DR.'SHE£H/S’U
;5.9X4;'|l;cm-'
LUMP FEET
SYMPTOMATIC
RELIEFBUT’
NO LUMP
CLINICAL
THINKING
ACTION
AA200
QDS
COLO200
1 DOSE ->
COLOIOM
1HRLY
PLUMBUM 200
2HRLY
'
SIZE’S?"
PARALYTIC
* STATff'
22/1
24/1
26/1
29/1
n;x
N..f
0?
S/B DR. SHETH
5.4 X2]8 cm?
*
/PARTIAL
'
PLUMBUM IM
2HRLY
CT ALL
$:4X219X3:7'
CM
•MIASMATIC?
BLOCK
iW
>5'3
TUB IM HS
PLUMB IM 2
HRLY
CALC I 200
HS
NO LUMP
APPRAISAL
Intususseption-
This__is one of the 3*11 Most major "
emergencies in the entire medicine. No surgeon would ever dare
to take risk. I an very much thankful to the pati<3at®s parents.
Aunty - a Homeopath at Bhivandi - 1.72 hrs -From Bombay and my
ex houseman - who reposed so much faith on our team that the
Paed. Surgeon himself was baffled - Not to underestimate his
excellent cooperation ( our Paed Surgeon collegue) who has helped
us not only in this Ease bjrt 3 other cases
1
2
I ntv suss eption
Acute appendicitis
all managed homeopathically.
Concepts which I would like to highlight -
|(1) Emergenoy__case of such dimension needs monitering
every"2 hrs, since impending complications ----viz. obstruction
gangrene, persj5©ration, shock etc. can occur very rapidly,
\ (2)
Need for total team work - Paedratrician -cum -
Homeopath, RMO_& Nurses for round the clock vigil, & the j
co-operation of the
Paedriatric surgeon.
Hats off to him for
having taken such a major risk on his shoulders.
Thus reposing
faith on our team and homeopathic system in particular.
(3)
Use of plumb uh
* -
This was an important learning
and should be understood by one and all.
After colo had
completed its action ( viz. - no further reduction in size of
lump as per USG)
our Sir immediately switched' over to plumbum
.,
*
He told us to go and refer source books
We came to know about
the spasmodic effect ++
in the acute stage and paralytic effect ++
in the later stages of its proving.
used and
Thus later effect was
lol the results were mind boggling to one and all
A case which will take us a long way in years to come.
CASE IV 1)
CLINICAL THINKING
CHIEF COMPLAINT
ONSET - SINCE 15-20 DAYS REDDISH PAPULAR
ERUPTIONS ++
LOCATION - NECK
I
SKIN
’ FOREHEAD
|
SCALP
I
DRYNESS *
■
I
FOLD OF HANDS
&
LEGS
> OIL
APPLICATION
F.BABY 10MTS
PHYSICAL EXAMINATION
TPR = N
SYSTEMIC - NAD
SKIN - REDDISH PAULAR
ERUPTIONS - DRYNESS
*
4
SCALP - CRADLE CAP
SCALING '
ITCHING **
'I
-
VULVA
ASSOCIATED COMPLAINTS 1.
2.
O = SINCE 3 MTS OF
AGE
0 = 3 MTS OF AGE
F=M
CONSTIPATION
HARD STOOLS
URT1
A/F COW
Cold -» MILD
COUGH
FINAL DIAGNOSIS - S/B DR. D. THAKKAR (M.D. DERMAT)
* CRADLE CAP WITH SEBORRHIC ECZEMA WITH A TOPIC ECZEMA
TOTALITY ; CONSTITUTIONAL
INTERCURRENT
SILICA:-
BACCILINUM:-
SESITIVITY TO SLIGHTEST NOISE’
FUNDAMENTAL & DOMINANT MIASM - TUBERCULAR
HYPERSENSITIVITY OF SKIN
CHILLY PT
RAPID PACE
FEARFUL3 COOKER NOISE
MIXER NOISE
DOOR BELL
STARTLING SLEEP DURING ++
CHILLY
CRAVING - MILK2, BANANA2.PICA2
PERSPIRATION
CONSTIPATION - BALL LIKE HARD
PLANNING & PROGRAMMING OF Rx
SUSCEPTIBILITY
MODERATE
SENSITIVITY
HIGH
(MIND & NERVES)
•
PATHOLOGY REVERSIBLE
’
PACE RAPID’
«
CHARACTERISTICS '*
•
MENTAL CH? RACTERIST1CS”
POTENCY:CONSTITUTIONAL - LOW
INTERCURRENT - MODERATE IN
DILUTIONS
REP1T1TION
INFREQUENT
FOLLOW-UP SUMMARYDATE
SLEEP
SKIN
HANDS/
LEGS
NECK/
CHEEK
LESIONS
NEW/OLD
ITCHING
STOOL
INTER PRE
TATION
SCALP/
VULVA
19/3/98
26/3
G
't'For 1*
day '
>'ohTts‘
own'
S
0/>‘
HARD++
CRIES SINCE
2 DAYS
2/4
G
>2
S
2-3 heat boils
9/4
19/4
G
G
HARD’
’ Once blood
SLIGHT
>
23/4
G
14/5
25/5
0
G
&/>
+/0
>
S
N
SLIGHT^'
THEN SO ■
0
SLIGHT/
0
0/0 '
0/0
>/M
0/>
BACC 200 3rd dil
HS
BACC 200 3rd dil
SIL 30(IP) HS
wkly
ct all
~w
ACUTE
COMP.
C/O EXCE SS1VE CRY NG SINCE Y’DAY >” LYIb4G ON ABDC MEN
0/E - P/A NO LLIMP USG = NA D
HARD’
0
0/0
ACTION
ct all x 2 wks
COLOCY 200
IP=6 4 hrly (IP)
BACC 200 3rd dil
SIL 30 IPHS
wkly x 2wks
ABD 3M1NAL PAI N = 0
>3
>
• >■ •
0
N
>
ct all
BACC 200 3rd dil
SIL 30 IP HS
PLACEBO x 2 wks
SENSITIVITY TO NOISE
o
COOKER SOUND
.
MIXER SIUND
•
TALKING IN LOUD VOICE
.
CAR HORN
•
OPENING OF BEDROOM DOOR
•
TOUCH
.
PLASTIC (POLYTHENE) BAG NOISE
.
SNEEZING OF OTHERS
•
COUGHING
.
' CRACKLING OF PAPERS
DOORBELL
An •
APPRAISAL
(1) Very very cornnon icondition in paediatric practice.
In a busy practice, I would put the incidence as 1-2 week
(very high incidence) .
I have been fully convinced that suppression of this c
steroids, definitely produces Respiratory problems (recurrent).
in each and every case. Thus there is no other alternative
other than homeopathy so that the
totally and
freed from thS
condition but also the
poor child is aileniated
suffering of
not only this
recurrent respiratory infection.
(2) Knowledge of immunology
essential - Types of
hypersensitivity
reaction - I, II, III, IV. This falls in
1(G)
- igE mediated . What exactly occurs & how it produces
reaction on the skin etc. - all these knowledges are imp.
to decide the state of susceptibility ,
diluted form repetition etc.
potency - lowest or in
(3) Use of Baoillinum - which is more when allergy
component is predominant and that too diluted
so as to
avoid erratic responses.
(4)
Sensitivity of silica - appreciated by sensitivity
to noise of cooker,
sound etc. etc.
whistle,
mixer,
door bell any slight
(5) Excellent respdnse in shortest possible time
complete cure.
with
CASE V-ACUTE NEPHRITIS WITH C.C.F. + HYPERTENSION
CLINICAL THINKING
•
•
FACE PUFFINESS SINCE 2D WIT^
INVESTIGATIONS
PHYSICAL EXAMINATION
CHIEF COMPLAINT |(\|..
®
CBC- WNL
PALLOR +
•
URINE - Occult Blood +ve
ABDOMINAL PAIN
®
PUFFINESS OF FACE
URINE OUTPUT ? 4-
e
TPR = N
o
OEDEMA FEET +
®
B.P. 120/80 mm of Hg
S. Creatinine = N
ECG = WNL
2D ECHO = Dilated RA & RV
(Expected 90/50)
? due to HT with CCF with
O
LIVER - 4FP
•
CVS - Cardiac Murmur
Acute Glomerulo Nephritis
DIFFERENTIAL DIAGNOSIS
FINAL DIAGNOSIS:-
- NEPHROTIC SYNDROME
* ACUTE NEPHRITIS WITH CCF WITH HT
AGE 1 TO 3 YRD
NO H/O SORE THROAT
TRIAD OF
-
HYPOPROTEINEMIA
-
HYPERCHOLESTREREM1A
-
HYPERTENSION
- CRITER1AS AS ABOVE
TOTALITY
ACUTE
VERAT VIRID
■=> CONGESTION IN
VARIOUS ORGANS
INTERCURRENT
CHRONIC
NAT, MUR.
CONSTITUTIONAL
REMEDY AFTER
CASE TAKING
O PATHOLOGY
T> INDUCES FALL IN
SYSTOLIC &
DIASTOLIC B.P.
TUB, BOV.
■ > IMMUNE COMPLEX
REACTIONS IN
GLOMERULAR
BASEMENT
MEMBRANE WITH
RES ACTIVITY
O RAPID PACE
PLANNING & PROGRAMMING OF Rx : SUSCEPTIBILITY
LOW - MOD
♦
STRUCTURAL CHANGES'
-REVERSIBLE
PACE-FAST"
♦
♦
LESS CHARACTERISTICS
DM - TUBERCULAR
♦
LACK OF MENTAL
SYMPTOMS
♦
POTENCY . - LOW
REPITION : - FREQUENT
SENSITIVITY : -
LOW - MOD
FOLLOW-UP SUMMARYDATE
FACE
ABD
PUFFINESS
PAIN
13/4/97
14/4
am
14/4
11 pin
15/4
130/80
NO MURMUR
140/100
3FP
4F$
.100;cc'in' 9hrs:/‘
100/70
NO MURMUR
120/90.'
2FP
CHILD ALERT
DISEASE
AGGRAVATION
>2"
2FPf
700 dC
SQ
136/90
3FP'
-
130/94
2 1/2 FP
-
110790'
ZFP'
-
120/80
•h
+«
>
>
>2
>
S
17/4
S'
18/4
19/4
13/5
LIVER
■
16/4
am
21/4
28/4
6/5
B.P.
J*
-
URINE
OUTPUT
SQ
540fdc'
>
w
104/70
N
110/70
2 FP
N
90/50 to 80/50
N
Checked Daily ’
NO COMPLAINTS - RECOVERED FULLY
w
INTERPRE
TATION
Slight Disease
Aggra.
Slight >
>
SQ
*3
ACTION
PUS 200 4 hrly
(3 doses)
VERAT V1R1D 30
2 hrly
Nat Mur 30 1PHS
Verat Vir 30 4hrly
TUB BOV IM IPHS
Verat Vir 30 4 hrly
Nat Mur 200 (IP)
Stat
Verat V 200 4hrly
Nat Mur 200 4 hrly
Nat Mur 200 4 hrly
PLACEBO
PT DISCHARGED
PLACEBO
Tub Bov 1M(IP)HS
Tub Bov IM (IP) HS
Nat Mur 200 IP HS
PLACEBO ■
APPRAISAL
A dreaded condition viz,
Hypertension c CCF.
Acute
Nephritis
Dopamine
S/B Cardiologist - Advised
Lasix
c
Drip
etc. etc.
But the total case
taking, sector involvement,
presence of Hypertension & timely use of Verat Viridum,
turned the tables of this case like a " miracle " . Cl thought
of shifting the case to Nephrology
Dept. - KEM Hospital, but
seeing the progress viz. fall in B.P.
liver sIze reduction,
decrease in: oedema feet
cardial
Rub
, output adequate, absence of peri
.■ improvement in Generals - all occur! ng within
24 hrs. - made me say hats off J
to the Science.
the early days when our centre was set up
It was
The recovery was as smooth as a " wave " . The turbulance
was over.
Our Sir calls susceptibility a wave - which is in
turmoil
or
is smooth.
We have to use the forces which he
compares to Dagger & Sword ( Actutsx
- which can kill 5-7 people)
or an AK-47 (Intercurrent - which can kill many people or the
Patton tank - (constitutional - which can kill Everybody, en
masse)
in the war between disease and medicinal forces.
Thus
my
fascinating
travel through these baffling
experiences is getting enriched
further & further daily.
Thanks
to our team, My Institute, My teachers & last but
not the least MY PATIENTS.
(/•>
SCIENCE
AND
i ART OF
j HOMEOPATHY
Dr. Nora Satin Choudhary
*
omeopathy was
discovered by Samuel
Hahnemann, a German
doctor, in the late eighteenth
century. By the middle of the
nineteenth century he had
experimented and discovered
ninety nine medicines. After his
son's death due to malaria, he
experimented with China (the
Peruvian bark) and found that it
caused the same symptoms of chill
and paroxysms when given to a
healthy person. Taking a clue from
that, he established the theory of
'similars'. Disease effects are
removed by the application of
medicines having corresponding
medicinal effects.
Hahnemann, through
experimentation, found that the
thing that cured the disease
symptoms could cause it too. The
principle is known as 'Similia
Similibus Curentis'. Hence any
element, insect, plant or mineral
that has medicinal qualities of
curing a particular disease or
group of diseases (or the
derangements of the vital force)
can also cause it. It is for this
reason that homeopathic
H
medicines are tried on human
beings directly. Healthy people
taking the medicine, develop the
symptoms and the medicine then
is 'proved' by its ability to cure
those very symptoms in a sick
organism. That's the reason why
these medicines do not get
outdated. Even after years of use
they are found to be as useful.
New medicines are being added to
the repertory but the old ones are
not being discarded. They still
have their use — as much now as
earlier.
By and large these medicines
do not have any adverse side
effects. That does not mean that
they can be taken or prescribed
indiscriminately. Given wrongly it
can inflame the symptoms
uncontrollably and cause much
harm. Tire lower potencies are not
as dangerous as the higher ones.
During his experiments
Hahnemann found that the
medicine in its crude form, in
large doses, had an affect but also
had other undesirable side effects.
Whereas when diluted they
became even more efficacious.
This experimentation in
The history of homeopathy began
with Samuel Hahnemann's
famous theory of 'similars'
through which disease effects are
removed by medicines having
corresponding medicinal effects.
Later, better cures and less side
effects continued to be sought
through experimentation with
greater and greater drug dilutions.
On these cornerstones rest the
whole regimen of homeopathic
cures through acute, chronic and
the less identifiable illness for
which the individual's mental,
physical and environmental
situation has to be considered as
a whole. Dr. Nora Satin
Choudhary describes how this
science blends with art when a
patient's symptoms along with
his sensations, the time of day,
the weather, the food eaten, his
mental state all synthesize into a
drug picture for which cure begins
with the right drug.
'potencizing' the drug continued
after Hahnemann and was taken
to 'greater heights' by Kent who
specialized in Im, cm, mm
potencies. It is because of this
infinite dilution that the medicine
becomes unidentifiable, but that
does not mean that it does not
have the curative power. Very
recent research has shown how
water retains the 'memory' of the
molecule long after that molecule
cannot be identified by scientific
research methodology. As
Shakespeare had put it "Thereare
more things in Heaven and Earth
than you dream of". This
'Molecular Memory' discovery
has been described as it were if
you throw your car-key in the
river and further on take a little
water and start the car with it.
Further research in this field may
bring to light the secret of this
melluxl of potencizing.
The organic or inorganic
materials used for medicine are
more or less the same in various
systems of medicine. It's the stress
' A-10, Press Enclave,
New Delhi - HO 017
on one aspect or the other that
makes the difference. There are
certain fundamental and basic
differences in the philosophies of
allopathy and homeopathy. The
latter tends to treat each
individual as a separate entity
whereas in allopathy everyone
gels the same medicine for that
particular malady. This is where
comes the importance of the vital
life-force in an organism. To quote
Hahnemann himself: 'The material
organism, without the vital force,
is capable of no sensation, no
function, no self-preservation; it
derives all sensation and
performs all the functions of life
solely by means of the immaterial
being (the vital principle) which
animates the material organism in
health and in disease: Any illness
is due to some derangement of
this 'spiritual self' acting
(automatic) vital force or
principle: The homeopath,
therefore, sets out to cure this
derangement, of the vital
principle, in its totality. If a
person has a headache and also
pain in the stomach with fever, it's
the task of the homeopath to find
a medicine which will cure all
three for, after all, all parts belong
to one individual entity. He will
not prescribe different medicines
for the three different ailments but
see them as various disturbances
of one organism.
A very major chasm that is
slowly narrowing down is the
importance of the mental states or
symptoms that manifest
themselves along with the
physical ones. Homeopathy has
always stressed the mental state of
a patient more than the physical.
The manifestations of the former
are, therefore, emphasized and
great care is taken to see that the
doctor gets the right mental
symptoms or picture. Now, slowly
the doctors of other systems of
medicine are also realizing this.
Research has shown how
depression and loneliness erode
the body's defence mechanism,
thus proving the age old dictum of
laughter being the best medicine.
The two broad classifications of
illnesses are — acute and chronic.
"The diseases to which man is
liable are either rapid morbid
processes of the abnormally
deranged vital force, which have a
tendency to finish their course
more or less quickly, but always in
a moderate time - these are termed
acute' diseases". In contrast "The
true natural 'chronic' diseases are
those that arise from a chronic
miasm, which when left to
themselves, and unchecked by the
employment of those remedies
that are specific for them always
go on increasing and growing
worse, notwithstanding the best
mental and corporeal regimen,
and torment the patient to the end
of his life with ever aggravated
suffering" — (Samuel Hahnemann
in Organon of Medicine)
Last but not least comes the
part where a truly scientific
system of medicine becomes an
art. There are no specific remedies
for specific problems, the
individual has to be taken as a
whole — mental, physical and the
environmental factors to be
considered and the symptoms
matched to that of the medicine.
The peculiar sound of a cough, the
ache on the left or right side and
even finer points of psychological
outlook have to be found among
hundreds of remedies and
matched. That's where the
perception of the prescriber comes
in. A difference of shade here or
there and it makes all the change.
The highest artistic ability and
reasoning combined together will
make this truly scientific system of
medicine a real success and a
winner. This is where comes the
understanding of the chronic
miasms of psora, syplilis and
sycosis. They are responsible for
the origin and sustenance of all
chronic diseases. Though there are
conflicting opinions about the
importance of understanding
these miasms, Dr. Herring felt it
not of vital importance for "what
influence can it have, whether a
physician adopts or rejects the
psoric theory, so long as he always
selects the most similar medicine
possible?" (Dr. Herring in his
introductory remarks in the
Organon (3rd American edition).
Dr. Allen, however, in "The
Chronic Miasms" argues that the
most similar remedy cannot be
selected "unless weunderstand the
phenomena of the acting and basic
miasms; for the true similia is
always based upon the existing
basic miasms, whether, we be
conscious or unconscious of the
fact. The curative remedy is by the
pathoprocess of a certain
pathogenesis of existing miasms".
As both doctors, with conflicting
opinions about this aspect, were
eminently successful shows that
though they were reaching the
same conclusions of similiars it
was by varied ways. Each
practising the art in his own way,
but with a sound scientific base.
Even more delicately balanced
is the discriminative art of sighting
the sensations. There are of course
the physical sensations as of cold,
heat etc. and the mental
perceptions as to how a person
feels — happy, gay, depressed
brain-fag etc. But the most
complicated are the sensations —
'as if'. They are not always true or
probable but they are very strong
and, unless taken into
consideration while prescribing,
they will render the treatment
futile. They can be sensations as
varied as if an impending
accident or death to an intensely
physical feeling of having received
a bruise over the eye or of having
warts in the eyes. Neither of these
things arc really there in the eye —
but the sensations itself is an
important symptom.
Added to this media of
symptoms — physical, mental and
through sensations — real and 'as
if' — is the influence cast on an
organism by the weather. For
there arc medicines which work
better during cold nightsand hot
days (always of course keeping in
view the principle of the similars).
But then we are all aware that
certain weather conditions make
us feel better or worse. Some
asthmatics have problems in
humid climate while others arc
worse off during hot or cold
weather. Headaches can come
Continued on page 3(>
Moving 1 .•■hnologv
-Di'ifi- i/. 13
' •
LETTERS
? Bla^eMbmoeopathWas
J inexpensive remedies
’ --3?
Sir, ’ In 1944 there^was^a
widespread attack' of plague.;in
Ramanagara ,Taluk ofJjBahgalore?-District and..; Hlndupur
Taluk of Ananthpur District;5
I had the? occasion'to 'treat
hundreds of plague .cases at
Ramanagara and surrounding
places.AiThere were a llot- of
deaths'in spite of the allopathic
treatment Some local?people
urged the patients to give a trial
to homoeopathic treatment.
In a locality where.already a
few deaths had-occurred-de>^
pite allopathic treatmen^-peopie switched over to.homoeopathlc treatment. Four persons
suffering from buboniciplague
were treated by me'andLw^thln
j^a week they were
restorsd
*
to
’ their original health?.
The news spread likeWwlld
Are and people began totflock
to me and most of thepeople
- survived. Only about seveh.or
1 eight people, who were'Un a
critical r conditions when" they
■„ cameto me, died.
v
£ The remedies used?were Ignada and Badlaga both^lm, 30
potei eies.
.r.
:...,'
.--■.
.
The news reached Hlndupur
One late Rao Saheb Raja Rac
opened a plague relief commit
tee. He invited me to serve
there. There 11 people took this
treatment and all of them sur
vived.
People who have faith in ho
moeopathy may keep a phial o
Ignatla 30 as a prophylactic anc
take 2 doses a day till the epi
demic lasts.
When fever nuri pain ir.
glands are found, they should
use both i^naiia and Badiaga
alternately, once in an hour or
two, about 4 to 8 times a day.
The patient should be all right
within about 5 days or at most
1 week.
In case of involvement of
lungs with cold and cough and
haemaptysis, Phosphorus 30,
Bryonia 30, Arsenic Album 30
and Ipecac 30 may be thought of
and administered by experi
enced homoeopaths.
I am 81 years old, and have
written these lines solely with
the purpose of helping people.
D SUNDARA RAO
; ... . Bangalore
DRO It.Il
Homoeopathy
17.5
Introduction
Homoeopathy is a system of treatment by which diseases are cured by drugs which produce
effects on the body similar to the signs and symptoms of diseases.
Minute doses of homoeopathic medicines mobilize the inherent mechanisms of the body
against the influence of disease producing organisms and various types of other human sickness
This, therefore, results in rapid, gentle and permanent restoration of health. Since the doses of
homoeopathic medicines used are very' small, there are practically no side-effects. With the aid of
homoeopathic medicines, many cases of common ailments can be managed successfully and serious
cases can be greatly helped before the arrival of proper professional help. Homoeopathic treatment
does not conflict with surgery, physical therapy or other non-medical measures.
Preparation, handling and storage of homoeopathic medicines
The "Homoeopathic-kit"contains all the important and commonly used medicines which >nc
may need to treat common ailments. While giving the medicine to a patient, the luimc and pmem v of
the drug should be noted carefully. Extreme care is needed in handling anil storage 01 homoeopathic
medicines. The vials containing the medicines should be tightly corked. They should always be pin
back in the kit-box which should be kept closed and in a cool, dry and preferably in a shaded place.
No other strong smelling things Sike camphor, menthol, essences, scents, etc., should be kept nc.irbv
as these may destroy the action of homoeopathic medicines am! make them inert. If carefully stored
and handled the homeopathic medicines will not deteriorate and will keep their power for a long
time.
17.2
Administration of medicines
The medicines may either be administered dry . by placing them upon the tongue or dissolved
in waler.
In most cases. 5 to 8 globules should be placed dry on the tongue. For children 2 to 4 globules
and tor infants 1 to 2 globules will be sufficient for a dose. If the tongue is dry. add a few drops of
drinking water. Even new-born babies are able to swallow this, tn the case of Combination
Tablets, give 4 tablets with a small amount of warm drinking waler to adults. In children and infants.
dissolve 4 tablets in half a cup of warm, drinking water and give one teaspoon of this. Avoid undue
handling and touching the medicine. The drug should be taken from the bottle on io a piece ot clean
paper.
Where repeated doses of the medicine at short intervals are required, the appropriate remedy
should be administered in solution in water. For this purpose take a clean tea cup and rinse it with
water. Fill it half full of drinking waler, put 5 to 8 globules of medicine into the water, mis ii
thoroughly by stirring with a clean spoon. Keep the tumbler containing the medicine well covered
with a clean saucer in a cool place, free of odours of any kind. When thus prepared, a dessertspoonful
to ad ults. ora lea spoon tul to children and infants may be given at a time.
1 he more active or virulent the disease, the more frequentlv must the remedy be repeated. In
acute conditions like severe pain, troublesome cough, diarrhoea or vomiting, the medicine may have
to be repealed as often as every 1(1 to 15 minutes until the patient gets relict from the pain, or the
vomiting ceases, or the diarrhoea slops, or the cough gets easier and the patient goes to sleep With
relief of svniptoms. the patient will have a sense of well being. These reactions will show that the
173
medicine is doing its work'?
17.4
Regimen during lionfoeopalliic treatment
Flic patient should partake of light, digestible and nourishing food. In levers only the lightest
17.2
MANUAL FOR COMMUNITY HEALTH WORKER
and simplest kinds of foods are proper. Both mental and physical rest are most essential.
While taking homoeopathic remedies the patient should be careful to refrain from taking
other medicines. Certain articles of diet are forbidden such as strong coffee or excessive spices. The
patient should also abstain from tobacco and alcoholic drinks.
175 Referral & records
Refer your cases as necessary to the Health Worker, Subcentre or Primary Health Centre in
good lime according to the instructions given under each ailment. Whenever in doubt about the
disease or its treatment, contact the Health Worker attached to your Subcentre or Primary Health
Centre.
Keep a record of the treatment given to each patient. Refer cases to the Health Worker or to
the Subcentre or Primary' Health Centre as necessary with their records.
17.6
Homoeopathic treatment for common ailments
17.6.1
Fever
Fever is a common condition and is generally accompanied by other signs and symptoms such
as headache, bodyache, shivering, running of the nose, sore throat, nausea, vomiting, diarrhoea, or
skin rash. Proceed as follows:
1. Ask the patient to remain in bed.
2 Tell the patient to drink plenty of fluids.
3. At the onset of fever give Aconite 6X and Combination No. I tablets alternately every' one
hour; if better, two hourly.
4. If the fever is accompanied by sore throat, earache, cough, bodyache, or running of the
nose give Belladonna 6 and Merc bin iodide 6 alternately every two hours.
5. If the fever does not subside, give Baptisia 3X. two hourly till such time that he is assisted
by the Subcentre or Primary Health Centre.
6. Refer to the Subcentre if:
(i) The fever does not come down within two days
(if) The fever is accompanied by stilf neck, convulsions, unconciousness or vomiting.
17.6.2 Headache
Like fever, headache can also be accompanied by other signs and symptoms such as fever.
■ rash, earache, running of the nose, sore throat, or vomiting. Proceed as follows:
1. Give Mellilotus 30 and Combination No. II tablets alternately every two hours for two
days.
2. Treat the othersymptoms accompanying the headache as follows:
Ileadache accompanied by
(i) Fever
(17) Sore throat
(177) Cold and Cough
(/>’) Earache
Aconite 6X and Combination No. Il tablets alter
nately every two hours.
Belladonna b and Merc bin iodide b alternately
every two hours.
Bryonia Alba 30 and Combination No. 1 tablets
alternately every two hours.
Belladonna 30 and Combination No. 11 tablets
alternately every two hours.
Refer the patient to the Subcentre if:
(0 The headache is accompanied by still'neck
(i7) The patient is piegnant
(177) The headache is accompanied by fever and there is no relief even after two days.
17.3
HOMOEOPATHY
17.63 Backache
Proceed as follows:
I Bed rcsl
2. Treatment:
(i) If backache is due to injury
Arnica 200 every two hours.
(zz) If backache is accompanied by joint pain and
the pain is felt more with the least movement
Bryonia 30 and Combination No. Hl tablets
alternately every two hours.
(zzz) If the backache is accompanied by joint pain
and if the pain is relieved by movement
Rhustox 30 and Combination No. Ill tablets
alternately every two hours.
3.
Refer the patient to the Subcentre if the backache persists for more than three days or if
there is any restriction in movement.
17.6.4 Joint pains
Proceed as follows:
1. Bed rest
2. Apply heat to the joint by means of a hot water bottle or hot sand or by wrapping the joint
with a cloth soaked in hot water and wrung out.
3. Treatment:
(z) If joint pain is more on the least move
ment
(zzj Ifjoint pain is better by movement
(Hi) Ifjoint pain is accompanied with fever and
the joint is red, hot. swollen and painful to
touch
4.
Bryonia 30 and Combination No. HI tablets
alternately every two hours.
Rhustox 30 and Combination No. Hl tablets
alternately every two hours.
Belladonna 30 and Combination No. Hl tablets
alternately every two hours.
Refer the patient to the Subcentre
(z) If the patient is a child with pain in several joints and fever
(z’zj If there is no improvement after 3 days of treatment.
17.6.5 Diarrhoea
Proceed as follows:
1.
Give plenty of fluids to drink
2.
Give soft diet like banana, buttermilk, arrowroot conjee, and rice gruel.
3.
If there are signs of dehydration, i.e., sunken eyes, dry mouth, or wrinkled skin, give
rehydration mixture, or follow the instructions given in Chapter 11. Section 11.1.5.
4.
Give China 6 and Cynodon Dactylon 6X alternately two hourly.
5.
Give Chamomilla 30 every two hours in children having diarrhoea during dentition when
the child is cranky and irritable.
6.
Treatment:
If the stools are:
(z) Watery, profuse, painless, offensive
Podophyllum 3(1 and Comlfmation No. /I alter
nately every two hours.
(zz) Mixed with blood and mucus
Merc Sol 30 and Combination No. 11 alternately
every two hours.
(Hi) Accompanied by nausea, vomiting or dehy
dration
Arsenic Album 30 and Ipecac 30 alternately every
two hours.
17.4
MANUAL FOR COMMUNITY HEALTH WORKER
7.
Refer (he patient to the Subcentre if:
(/) There are signs of dehydration
(n) There is no improvement within (wo days.
17.6.6 Cold
Proceed as follows.
1. Give Arsenic Album 6 and Combination No. I tablets every two hours for four da vs.
2. Refer the paticnl to the Subcentre if the cold does not subside after 4 days of treatment.
17.6.7 Cough
Proceed as follows:
I. Treatment:
(/) Dry cough accompanied by fever
______________________
Belladonna 30 and Merc Sol 30 alternately every
two hours for 3 days.
Arsenic Album 6 and Ipecac 30 alternately every
I tw'o hours for 3 days.
(") Loose cough
____________
2. Refer the patient to the Subcentre:
(/) If the cough does not subside
(17) If the cough is accompanied by fever and chest pain.
17.6.8 Vomiting
Vomiting may occur alone or it may be accompanied by pain in the abdomen, diarrhoea or
fever. In women it may occur during pregnancy.
Proceed as follows:
1.
Give a milk diet
2. If there are signs of dehydration, give rehydration mixture or as suggested in Chapter I 1.
Section 1 1. 1.5.
3. Give Ipecac 30 and Arsenic Album 30 alternately every one hour and if better, every 2
hours.
4. Refer the patient to the Subcentre:
(i) If the vomit contains blood
(17) If the patient is dehydrated
(177) If the patient is unable to retain anything
(/»•) If there is no improvement within two days.
17.6.9 Pain in the abdomen
Pain in the abdomen can also occur with other signs and symptoms like nausea, vomiting.
diarrhoea or constipation.
Proceed as follows:
1.
Advise milk and a soft diet.
2. Treatment:
Pain in abdomen associated with
(/) No symptoms
(i7) Diarrhoea
(Hi) Constipation
(iv) Nausea and vomiting
(r) Passing worms
(i7) Fever
Colocynth 30 and Combination No. I' tablets
alternately every two hours.
China 6 and Cynodon dactylon n.V alternately
every two hours.
A'u.v i'omica 30 and Combination No. I'alternate
ly every two hours.
Ipecac 30 and Arsenic Album 30 alternately every
two hours.
Cino 30 every two hours.
Belladonna 30 every two hours.
17.6
MANUAL FOll COMMUNITY HEALTH WORKER
2.
Refer the patient to the Subcentre:
(i) If the pain does not subside within 24 hours
(hj If there is a foreign body in the ear
(Hi) If the patient has dizziness or disturbances of hearing
(iv) if the fever does not subsideand pain is more severe.
17.6.13 Sore eyes
Treat the patient as follows:
1. Clean the eyes with boiled, cooled water and cotton wool. Use separate cotton wool for
each eye. Clean the eye from the inner to the outer end.
2. Drop Euphrasia eye drops inside the lower eyelid. Repeat three times a day. Or use eye
drops as in Chapter 11. Section 11.1.11.
3. Give Belladonna 30 and Euphrasia 30 alternately every' two hours.
4. Keep the patient away from bright lights and dust.
5. Refer the patient-to the Subcentre:
(i) If there is an eye injury' or a foreign body in the eye
(ii) If there is no improvement within 24 hours after the treatment
(iii) If the child with sore eyes has measles.
17.6.14 Toothache
Toothache may be accompanied by fever, swelling and redness of the gums, or by decay of the
tooth.
Proceed as follows:
I. Add two drops of Kreosote Q in half a cup of water. Use this solution as a gargle. Repeal
as necessary.
2. With cotton wool on a match stick apply Kreosote 0 on the decayed tooth Repeat as
nectssary.
3. Treatment:
Toothache
(i) Without fever
(ii) With fever and swelling of the gums or
if painful to touch
4.
Staphysagria 200 and Combination No. IX alter
nately every two hours.
Belladonna 30 and Merc Sol 30 alternately every
two hours.
Refer the patient to the Subcentre:
(z) If the pain does not subside within two days
(ii) If the swelling increases or lhe fever does not subside.
(iii) For further treatment in cases of a decayed tooth, or swelling and redness of the
gums.
17.6.15 Boils and Abscesses
These are skin infections seen most frequently in children who are not kept clean. If neglected,
a boil develops into an abscess which contains pus. This has to be removed.
1.
Treatment:
(/) In early stages of boils
(ii) Very' painful to touch
(iii) If the abscess is formed and is
painful
Belladonna 30 and Mere Sol 30 alternately every
two hours.
Arnica 200 and Combination .Vo. XIII tablets
alternately every' two hours.
Hepar Sulph 30 every two hours.
HOMOEOPATHY
2.
17.7
Refer the patient:
(f) If there arc red streaks running beyond the area of the boil and the part becomes
painful to touch
(ii) If the abscess is formed
(Hi) If there is no relief after two days of treatment.
17.6.16 Ulcers
Proceed as follows:
I. Clean the ulcer with boiled, cooled water and cotton wool.
2. Dry it with clean cotton wool.
3. Apply Calendula ointment.
4. Apply a clean dressing and keep in place with a bandage or adhesive plaster
5. Give Merc Sol 30 and Combination No. X tablets alternately every two hours.
6. If there is no relief, change the dressing as necessary, and give Hepar Sulph 30 and
Combination No. X tablets every two hours for one week.
7. Refer the patient to the Subcentre:
(i) If there is fever
(tt) If the patient has several ulcers and gets tired easily or eats and drinks water
excessively.
17.6.17 Scabies
Proceed as follow’s:
1. Ask the patient to bathe the part with soap and water.
2. Clean the part with cotton wool.
3. Apply Calendula ointment. Repeal twice daily. (See also Chapter II. Section 11 1.13
No. 1).
4. Ask the patient to put on clean clothes and change the clothes daily.
5. Ask the patient to boil the clothes and the bedding with soap or washing soda Dry them
in the sun.
6. Give Merc Sol 6 and Combmation No. XI tablets alternately every four hours for seven
days.
7. Refer the patient to the Subcentre if there is no improvement.
17.6.18 Ringworm
Proceed as follow’s:
1. Bathe with w’ater and soap.
2. Dry’ with cotton swabs.
3. Apply Calendula ointment. Repeat as necessary.
4. Give Sepia 6 and Combination No. XI tablets alternately every three hours for seven days.
5. Refer the patient to the Subcentre if there is no improvement.
17.6.19 Burns and Scalds
Proceed as follows:
1. Cases where skin is intact or only partially destroyed
(i) Wash with running water.
(ii) Apply Canthoris ointment.
(Hi) Dress with gauze. Keep the gauze in position with a loose bandage and adhesive tape.
(iv) Make the patient drink plenty of fluids.
(v) Give Cantharis 30 and Urtica Urens 3X alternately every hour.
2. Cases where skin is completely destroyed
The\5urnt area looks raw. there is severe pain and the patient may go into shoek'ln sue! leases
treat as follow’s:
(i) Cover the affected area with a clean sheet or piece of cloth.
(ii) Make the patient drink plenty of fluid.
17.8
MANUAL FOR COMMUNITY HEALTH WORKER
(Hi) Give Canlharis 30. Urtica Urens 3X alternately every ten minutes. Rush the patient to
the Primary Health Centre.
17.6.20 Wounds
A wound may be a simple grazed skin, a skin cut by a knife or other sharp cutting instrument.
a torn skin, or a punctured skin.
Proceed as follows:
I. Simple grazed wound: Wash the wound with clean water and cotton wool and dry with
cotton wool. Apply Calendula ointment, dress the wound and bandage.
Give Calendula 30 and Arnica200 alternately every two hours for two days.
2.
Cuts:
(a) If the cut is small
(z) Stop the bleeding by using direct pressure.
(zzj Wash the wound with water, then dry it with cotton wool.
(Hi) Apply Calendula ointment.
lie) Dress the wound and bandage it.
(v) Give Arnica 200 every two hours for two days.
(vz) Dress the wound daily as necessary.
(/>) II the cut is big
(t) Stop the bleeding by direct pressure. Il' bleeding still continues, apply a tourniquet.
(ii) Give Arnica 200 every 5 minutes.
(in) Rush to the hospital.
3.
Torn skin:
(a) If the skin is torn
(iI Remove as much dirt or foreign matter as possible.
(ii) Wash the wound with soap and water.
(Hi) Dry with cotton wool.
(tv) Apply Calendula ointment.
(v) Dress the wound with a clean bandage.
(vz) Give Arnica 200 every Itali an hour.
(/>) If the wound is gaping
(z) Bring the edges together by using strips of adhesive tape.
(ii) Give Arnica 200 and Calendula 30 alternately every 20 minutes.
(Hi) Rush the patient to the Primary Health Centre.
4.
Punctured wound:
(a) If (he wound is small
(z) Stop the bleeding by direct pressure.
(ii) Wash (he wound with water.
(Hi) Dress with Calendula ointment.
(iv) Give Arnica 200 and Ledum 30 alternately every 15 minutes.
(/’) If the wound is big and is bleeding profusely or the wound is in the abdomen or chest
and is deep
(z'l Slop the bleeding by direct pressure or by applying a tourniquet.
(ii) (iive Arnica 200 every 10 minutes.
(Hi) Rush the patient to the Primary Health Centre.
17.6.21 Sprains
Proceed as follows:
I. Give rest and support to the injured joint.
HOMOEOPATHY
17.9
2. Apply a cold compress.
3. Apply Arnica mother tincture.
4. Bandage the joint firmly.
5. Give Rhustox 30 and Arnica 200 alternately every’ two hours.
6. Rush the patient to the Primary Health Centre.
All cases of fractures and dislocations should immediately be referred to the Primary Health
Centre {refer to Chapter 10).
17.6.22 Dog bite
Proceed as follows:
1. Clean the wound with soap and water.
2. Apply Calendula Ointment.
3. Dress the wound and apply a clean bandage.
4. Give Ledum 6 and Hydrophobinum 30 alternately every two hours.
5 Refer to the Primary Health Centre.
17.6.23 Scorpion sting and Insect sting
Proceed as follows:
1. Apply a cold compress.
2. Apply Echinacea ointment locally.
3. Give Apis Mel 6 and Ledum 6 alternately every two hours.
4. Refer the patient to the Health Worker or the Primary Health Centre:
O') If the pain does not subside
(//) If the patient is in shock
(in) For further treatment.
17.6.24 Snakebite
Treat the patient as mentioned in Chapter 10. Section 10.1.4.
17.6.25 Lice
Proceed as follows:
1. Wash the hair with soap and warm water daily.
2. Give Carbolic Acid b and Psorinum 30 alternately every 4 hours for 7 days.
3. Repeat the treatment as necessary.
Note: See Appendix 17.1: Homoeopathic Medicines and Appendix 17.2: Guide for the Use
and Administration of Homoeopathic Drugs for External Use.
17.10
MANUAL FOR COMMUNITY HEALTH WORKER
APPENDIX 17.1
Homoeopathic Medicines to be Carried by
Community Health Worker
For internal use:
S'. /Vo.
Drugs
Potency
S'. No.
Drugs
Patent: i
I.
Aconite
Apis mel
Arnica
Arsenic album
Baptisia
Belladonna
Bryonia alba
Calendula
Cantharis
Carbolic acid
Carbo veg
Cascara sagrada
Chamomilla
China
Colocynth
Cynodon dactylon
Euphrasia
6
6
200
6.30
3x
6.30
30
30
30
6
30
Q
30
6
30
6x
30
IS.
19.
20.
21.
22
23.
24.
25.
26.
27
28.
29.
30.
31.
32.
33.
Hepar sulph
Hydrophobinum
1pecac
Ledum
Mellilotus
Merc bin iodide
Merc sol
Nux vom
Podophyllum
Psorinum
Pulsatilla
Rhustox
Staphisagria
Sepia
Sulphur
Urtica urens
30
30
30
6. 30
30
6.30
6. 30
30
30
30
30
30
250
6
30
3x
3.
4.
5.
6.
7.
8.
9.
10.
Il
12.
13.
14
15.
16.
17.
Tissue reniedics-conibination tablets
S.No.
Tablets
I.
Ferrum Phos 3x, Kali Mur-3x, Kali Sulph 3x, Nat Sulph 3x. Nat Mur 6x.
H.
Ferrum Phos 3x, Kali Phos 3x, Mag Phos 3x. Nat M ur 6x.
Hl.
Ferrum Phos3x, Mag Phos 3x, Kali Sulph 3x, Nat Sulph 3x.
IV.
Cal Phos 3x. Ferrum Phos 3x, Kali Phos 3x, Kali Mur 3x, Mag Phos 3x.
V.
Ferrum Phos 3x, Mag Phos 3x, Cal Phos 3x, Nat Sulph 3x.
VI.
Cal Phos 3x. Ferrum Phos 3x.
VII.
Cal fluor 3x, Kali Mur 3x, Silicea 6x, Nat Mur 6x.
VIII.
Kali Mur 6x. Mag Phos 3x, Ferrum Phos 3x
IX.
Ferrum Phos 3x, Mag Phos 3x. Cal Phos 6x.
X.
Cal Phos6x, Cal Sulph 3x, Kali Sulph 3x, Nat Mur6x, Nat Sulph 3x.
XI.
Cal flour 6x. Cal Sulph 3x, Kali Sulph 3x, Nat Mur 6x. Nat Sulph 3x
XII.
Mag Phos 3x, Kali Mur 3x. Nat Phos 3x.
XIII.
Silicea 3x. Cal. Sulph 3x, Ferrum Pfros 3x.
For external use;
S.No.
Drugs
Use
1.
Arnica
external
2.
Calendula
ointment
3.
Cantharis
ointment
4.
Echinacea
external
5.
Euphrasia
eye drops
6.
K reoso te
external
DP-A It ID
HOMOEOPATHY
INTRODUCTION
Homoeopathy is a system of treatment by which diseases are curing by drugs which
produce effects on the booy similar to the symptoms of diseases.
Minute doses of homeopathic medicines mobilize the defence mechanisms of the
body againist the offending disease processes.
and permanent restoration of health.
The results are rapid, gentle
Homeopathic medicnes are best suited to
children and weak, elderly individuals.
With the aid of homeopathic medicines,
many cases of common ailments can be mamaged successfully and serious cases
greatly helped before the arrival of proper professional help.
Homeopathic
treatment does not conflict with surgery, physical therapy or other non—medical
measures.
Preparation, hand ling and storage of homeopathic medicines
The "Homeopathic-kit" contains all the medicines which one may need to treat
common ailments.
While giving the medicine to a patient, the name end potency
of the drug should be noted carefully.
Extreme care is needed in handling and
They st.oulc always be put back in the ki,t-box
storage of homeopathic medicines.
which should be kept closed and in a cool, dry and preferably in a shaded place.
No other strong smelling things like camphor, menthol, essences, scents etc.
should be kept nearliy as these will destroy the action of homcop:thio medicines
will not deteriorate and will keep their power'for many years.
Administration of medi_cin_cs
The medicines may cither be administered dry, by placing them upon tho tongup,
or dissolved in water.
In most cases, 10 to 15 globules should be placed dry on the tongue.
for
children - 7 to 10 globules and for infants 3 to 5 globules will be sufficuent
for a dose. If the tongue is dry, add a few drops of drinking water. Even
»ew-born babies arc able to swallow this.In the case of Combination Tablets,
give 4 tablets with a small amount of warm drinking water to adults. In
children and infants, dissolve ^'tablets in half a cup of warm, drinking water and
give one teaspoon of this. Avoid undue handling and touching the medicine.
The drug should be taken from the bottle on to a pieoc of clean paper.
Where repeated doses of the medicine at short intervals arc required, the
appropriate remedy should be administered in solution in water.
For this purpose
take a clean tea cup and rinse it with water. Fill it half full of drinking
water, put 10 to 15 globulus of medicine into the water, .mix it thoroughly
by stirring with a clean spoon.
Keep the tumbler containing the medicine well
covered with a clean saucer in c cool place, free of odours of any kind. When
thus prepared, a dessert spoonful to adults, or a tcaspoonful to children
and infants may be given at a time.
2
The more active or virulent the disease, the more frequently must the remddy
be repeated.
In acute conditions like severe pain, troublesome cough, diarrhoea
or vomiting, the medicine may have to be
repeated as often as every 10 to 15 minutes
until the patient gets relief from the pain, or the vomiting eeases, or the
diarrhoea stops, or the cough gets easier and the patient goes to sleep. With
relief of symptoms, the patient hill hove a sense of well being.
These
reactions will show that the medicine is doing its work.
Regimen during homeopathic treatment
The patient should partake of light, digestible and nourishing food.
In fevers
only the lightest and simplest kinds of foods arc proper. Both mental and
physical rest arc most essential.
While taking homeopathic remedies the patient
should be careful to refrain from taking other medicines,
Certain articles of
diet are forbidden such, as strong coffer or excessive’ spices.
.The patient
should also abstain from tobacco and alcoholic drinks.
Referral & Records
Refer your casts as necessary to the Health Worker, Subcentrc or Primary Health
Centro in good time according to the istructions given under each ailment. When
ever in doubt about the disease or its treatment, contact the Health Worker
attached to your Subcentrc or Primary Health Centre.
Keep a record of the treatment given to each patient
''ofer cases to the Health
Worker or to the Jubccntru or Primary Health Centre as necessary with their records.
Homeopathic treatment for common ailments
Fever
,
Fever is a common condition and is generally accompanied by other signs and
symptoms such as headache, bodyache, shivering, running of the nose, sore throat,
nausea, vomiting, diarrhoea, or skin rash. Proceed as follows;
1)
Ask the patient to remain in bed.
2)
Tell thte patient to drink plenty of fluids
3)
At the onset of fever given Aconite 6X and
every one hour; if better, two hourly.
4)
If the fever is accompained by sori throat, earache, cough, bodyache, or
running of the nose give Belladonna 6 and Merc bin iodide 6 alternately every
two hours.
5)
If the fever does not subside, give Baptisia 3X, two hourly till such time
that he is assisted by the Subcentre or Primary Health Centre.
6)
Refer to the Subcentrc if;
i) The fever does not come down within two days
Combination No.1 tablets alternately
ii) The fqver is accompanied by stiff, neck, convulsions, unenneiousness or..„
' vomiting.
../3
3
Headache
Like fever, headache can also be accompanied by other signs and symptoms
such as fever, rash, eara che, running of the nose, or vomiting. Proceed as
follows s
1) Give flellilotus 30 and Combination fJn.11 tablots alternately every two
hours for two dayn.
2) Treat the other symptoms accompanying the headache as follows;
Headache accompanied by
i) Fever
Aconite 6X and Combination No.11
tablets alternately every two hours
ii) Sore throat
Belladonna 6 and Here bin iodide 6
alternately every two hours.
iii) Cold and cough
Bryonia Alba 30 and Combination No. 1
tablets alternately every two hours.
iv) Earache
Belladonna 30 and Combination No.11
tablets alternately every two hours.
Refer the patient to the Subcentre if 8
a) The headache is accompanied by stiff neck
b) The patient is pregnant
c) The headache is accompanied by fever and there is no relief even
after two days.
Backache
Proceed as follows.
Bed rest
T reatment
i) If backache is due to injury
Arnica 30 every two hours
ii) If backache is accompanied by
joint pain and the pain is felt
more with the least movement
Bryonia 30 and Combination No.III
tablets alternately every two hours
iii) If the backache is accompanied
by joint pain and if the pain
is relieved by movement
Rhustox 30 and Combination No.Ill
tablets alternately every two hours
Refer the patient to the Subcentre if the backache persists for more than
three days or if there is any deformity.
../4
4
Joint pains? Proceed as follows;
1)
2)
Bea rest'
Apply heat to the joint by means of a hot water bottle or hoc sand or by
wrapping the Joint with a cloth soaked in hot water and wrung out.
- Treatment?
3)
i)
If joint pain is more on the .least Bryonia 30 abd C umoinetion Pc ...II
movement
tablets alternately every two hours
ii)
If joint pain is better by movement
Rhustox. 30 and Combination No.Ill
tablets alternately everv two hours
iii)
If joint pain is accompanied with
fever and the joint is red, hot,
swollen and painful to touch
Belladonna 30 every two hours.
4. Refer the patient to the Sub-Ccntrc
i)
ii)
If the patient is a child with pain in several joints and fever
If there is no improvement after 3 days of treatment
Diarrhoea
Proceed as follo.wss
1) Give plenty of fluids to drink
2) Give soft diet liki banana, buttermilk, arrowroot conjee, and rice gi.el.
3) If there are signs of dehydration, i.u. sunken eyes, dry mouth, or wrinkled
skin, give rehydration mixture-, or follow the instructions given in Chapter
11, Section 11.1.5
4) Give China 6 and Cynodon elactylon 5X alternately two hourly.
5; Give Chomomilla 30 every two hours in children having diarrhoea during
dentition when the child- is cranky and irritable.
6) Treatment
If the stools arcs
7)
i)
Watery, profuse, painless,
offensive
Podophyllum 30 and Combination No.IV
alternately every two hours.
ii)
Mixed with blood and mucus
Fiore Sol 30 "■nd Combination No. TV
Iturnately every two hours
iii)
Accompanied by nausea, vomiting
or dehydration
Arsenic Album 30 and Ipecac 30
alternately c-vory two hours.
Refer the patient to the Subcentre if?
i) There are signs of dehydration
ii) There is no improvement within two days
. ./5
3
Headache
Like fever, headache can also be accompanied by ocher signs and symptoms
such as fever, rash, earache, running of the nose, or vomiting. Proceed as
follows s
1) Give Mellilotus 30 and Combination fjo.11 tablets alternately every two
hours for two days.
Treat the other symptoms accompanying the headache as follows;
2)
Headache accompanied by
i) Fever
Aconite 6X and Combination No.11
tablets alternately every two hours
ii) Sore throat
Belladonna 6 and Merc bin iodide 6
alternately every two hours.
iii) Cold and cough
Bryonia Alba 33 and Combination No. 1
tablets alternately every two hours.
iv) Eurache
Belladonna 30 and Combination No.11
tablets alternately every two hours.
Refer the patient to the Subcentre if;
a) The headache is accompanied by stiff neck
b) The patient is pregnant
c)
The headache is accompanied by fever and there is no relief even
after two days.
Backache
Proceed as follows.
Bed rest
T reatment
i)
If backache is due to injury
ii)
If backache is accompanied by
joint pain and the pain is felt
more with the least movement
Bryonia 30 and Combination No. III
tablets alternately every two hours
iii)
If the backache is accompanied
by joint pain and if the pain
is relieved by movement
Rhustox 30 and Combination No.lII
tablets alternately every two hours.
Arnica 30 every two hours
Refer the patient to the Subcentre if the backache persists for more than
three days or if there is any deformity.
../4
4
Joint pains; Proceed as follows;
1) Bea rest
2) Apply heat to the joint by means of a hot water bottle or hoc sand or by
wrapping the .joint with a cloth soaked in hot water end wrong out,
- Treatment 2
3)
i)
If joint pain is more on the least Bryonia 30 abd Combination Pc-...II
movement
tablets alternately every two hours
ii)
If joint pain is better by movement
Rhustox. 30 and Combination No.Ill
tablets alternately everv two hours
iii)
If joint pain is accompanied with
fever and the joint is red, hot,
swollen and painful to touch
Belladonna 30 every two hours.
4.
Refer the patient to the Sub-Ccntro
i)
ii)
If the patient is a child with pain in several joints and fever
If there is no improvement after 3 days of treatment
Diarrhoea
Proceed as follo.wss
1) Give plenty of fluids to drink
2) Give soft diet like banana, buttermilk, arrowroot conjee, and rice gi.el.
3) If there are signs of dehydration, i.e. sunken eyes, dry mouth, or wrinkled
skin, give rehydration mixture-, or follow the instructions given in Chapter
JJ, Section 11.1,5 _ .
4) Give China 6 and Cynodon Dactylon 6X alternately two hourly.
5; Give Chamomilla 30 every two hours in children having diarrhoea during
dentition when the child- is cranky and irritable.
6) Treatment
If the stools ere.
7)
i) Watery, profuse, painless,
offensive
Podophyllum 30 and Combination No.IV
alternately every two hours.
ii) Mixed with blood and mucus
More Sol 30 and Combination No.■ IV
alternately every two hours.
iii) Accompanied by nausea, vomiting
or dehydration
Arsenic Album 30 and Ipecac 30
alternately every two hours.
Refer the patient to the Subcentre if;
i) There are signs of dehydration
ii) There is no improvement within two days
6
3.
Rcfer to the Subcentres
i)
ii)
iii)
If the pain does not subside within 24 hours
If there are signs of shock
If the patient is pregnant
Indigestion
T reatment
___________
i)With heaviness and belching
Carbo Veg 30 and Combination No.XII
alternately every two hours.
ii) Due to rich, greasy food
Pulsatilla 30 and Combination No.XII
tablets alternately every two hours
iii) Due to spicy food
Nux Vomica 30 every two hours
iv) With nausea or vomiting
Ipecac 30 and Arsenic Album 30
v) With diarrhoea
China 6 and Cyncdon Dactylon 6 X alternately
every two hours.
vl) In children during dentition
Chamomilla 30 and Combination No.VI
alternately every two hours-
2. Refer the patient to the subcenter if there is no improvement within
t wo days.
Const ipat ion,
Constipation may also b'e accompanied by pain in the abdomen, nausea and
vomiting.
Proceed as follows?
1) Advise the patient to drink plenty of water
2) Advise the patient to eat plenty of fresh fruits and green leafy vegetables
3) Treatment ?
Constipation
i)
Of long standing
a) Sulphur 30 in the morning ano Nux
Vomica 30 in the evening for 7 days
ii)
Of recent origin
b) Combination No.VII thrice a day
Cascara Sagrada Q, 4 to 6 drops in
half a cup of water, one teaspoon
every three hours for two days.
4. Refer the patient to the subcentre if the patient is vomiting and has
severe pain in the abdomen accompanied by fever.
Earache
Larache may be accompanied by running of the nose, sore throat, discharge
from the ear, dizziness, disturbances of hearing, or fever.
1..Treatment
_______
i) With fever
Belladonna 30 and Merc Sol 30 every hr;
if severe pain then half hourly.
ii) With catarrh, sorethroat, but
without fever
Merc Sol 30 and Combination No.VII I
tablets alternately every two hours.
../7
5
Cough
Proceed as follows?
1) Treatment
i) Dry cough accompanied by fever
Belladonna 30 and More Sol 30
alternately every two hours for 3 days
ii) Loose cough
Arsenic Ablum 6 and Ipecac 30
alternately every two hours for 3 days
2.
Refer the patient to the Subcentre?
i) If the cough does not subside
ii) If the cough is accompanied by fever and chest pain
Vomiting
Vomiting may occur alone or it may be accompanied by pain in the abdomens
diarrhoea or fever.
In women it may occur during pregnancy
Proceed as follows?
1.
2.
Give a milk diet
If there are signs of dehydration, give rehydration mixture or as
suggested in Chapter 11, Suction 11.1.5
3.
Give Ipecac 30 and Arsenic Album 30 alternately every one hour and if
better, every 2 hours.
Refer the patient to the Subcentre?
i) If the vomit contains blood
ii) If the patient is dehydrated
iii) If the patient is unable to retain anything
iv) Iftthere is no improvement within two days
4.
Pain in the abdomen
Pain in the abdomen can also occur with other signs and symptoms like
niausca, vomiting, diarrhoea or consti npation
Proceed as follows?
1) Advise milk and a soft diet
2) Treatment?
Pain in abdomen associated with
i) No symptoms
Colocynth 30 and Combination No.V
tablets alternately every two hours
ii) Diarrhoea
China 6 and Cyhodon Dactylon 6
alternately every two hours
ii) Const imp,nt ion
Nux Vomica 30 and Combination No.V
alternately every two hours
iv) Nausea and Vomiting
Ipecac 30 and Arsenic Album 30
alternately every two hours.
v) Passing worms
Cina 30 every two hours
vi) fever
Belladonna 30 every two hours
../6
7
Rr-fer the patient to the Subcentref
i) If the pain docs not subside within 24 hours
ii) If there is a foreign body in the ear
iii; If the patiLnt has dizziness or disturbances of hearing
iv) If the fever docs not s'.'bj.oidc and pain is .more severe
2.
Sore eyes
Treat the patient as po.’.lows;
1.
Clean the eyes witn bnlcd, coded water and cotton wool- Use separate
cotton wool for each eye. Clean the eye from the inner to the outer end.
2.
Oreo Euphrasia' eye drops inside the lower eyelid. Repeat three times a
day. Or use eye drops as in Chapter 11. S^ctipn 11.1.11
every twe hours,
3.
Give Belladonna 30 and Euphrasia 3:1 alternately
4.
Kesp the pacient - kaxtefc away prom bright lights ano dust
5.
Rr-fer the patient to the Subcentre
i) If ther. is an eye injury or a foreign body in the eye
ii) If there is no improvement within 24 hours after the treatment
iii) If the chile with sore eyes has measles
Toothache
Toothache may be accompanied by fever- swelling ano recness of the gums
or by decay of the tooth.
Proceed as follows
*
1) Add two drops of Kreosoto Lt in half a cup of water.
as a gargle. Repeat as necessary.
2) With cotton wool on c match
Ri.peat as necessary.
3)
Use this solution
stick aoply Kreosote Q on the decayed tooth.
Treatment
Toothache
i) Without fever
Staphysagri a 200 and Combination No.IX
alternately c-'-ary two hours
ii) With fever and swelling of the
gums or if painful to touch
belladonna 30 and Here Sol 30 alternately
every two hours.
4)
R .fer the patient to the Subcentre s
i) If the pain does not subside within two days
ii) If the swelling increases or the fever does not subside
iii) for further treatment in cases of a decayed tooth, or swelling
and redness of the gums
Boilsand Abscesses
These are skin infections seen most frequently in children who are not kept
clean. If neglected, a boil develops into an abscess which contain pus.
This has to be removed.
Tr eatment
.. . ______
—________________
I. In early stages of boils
Belladonna 30 and Merc Sol 30 alter
*
nately every two hours.
2.
Very painful to touch
Arnica 200 and Combination No.XIII
tablets alternately every two hours
3.
If the abscess is formed and
is painful
Hcpar Sulph 30 evt. ry two hours.
.8
C
2. R.fer the patient"
i) If there are r-d stren.s running beyond the area of the boil ano the
part becomes painful to touch
ii) If the abscess is formed
iii) If then-'is no relied n’L.r two days of treatment
Ulcers
Proceed
ns follows:
1.
2.
3.
4.
5.
6.
Clean the ulcer with boiled, cooled water one cotton wool.
Dry it with clear: cotton wool.
Apply Calendula ointment
Apply a clean dressing and ki:p in pleuc- with c bandage or adhesive plaster
Give flerc lol 30 and Combination * No X tablets every two hours
If there is no relief, cr ,-nge the dressing as necessary, and give Hepar
Sulph 30 and Combination No.X tablets every two hours for one week
7„ Refer the patient to the. Subcentres
i) If there, is fever
ii) If the patient has several ulcers and gets tired easily or eats and
drinks water excessively.
Scabies
Proceed as follows:
1. Ask the. patient to bathe the p.-rtwith soap and water.
2. Clean the part with cctton wool
3. Apply Calendula ointment. Repeat twice daily
4. Ask the patient to put on clean clothes and change the clothes daily.
5. Ask the. patient to boil the clothes -ad ths bedeing with soap and washing
soda. Ury them in ths sub..
S. Give Merc bol 6 ane Cqmbinetion No.XI tablets alternately every four
hours for seven days.
7. R: fer the patient to the jub-Centre if there in no improvement.
Ringworm
Proceed as follows:
1. Bathe with water end soap
2. Dry with cotton swabs
3. Apply Calendula ointment. R. peat as necessary
4. Give Sepia 6 and Combination No.XI tablets alternately every three
hours for seven days.
5.
Refer the patient to the Subcentre if there is no improvement.
Burns and Scalds
'
Proceed as follows:
1) Cases where skin is intact or only partially destroyed
i) Wash with running water
ii) Apply Canthcris ointment
iii) Dress witi gauze. Keep the nnuze in position with a loose
bandage and adhesive tape..
iv) ('lake the patient drink plenty o fluids
v) Give Cantharis 30 and Urtic.-.Urins 3X alternately every hour.
2) Cases where skin is completely destroyed
The burnt area look raw, there is sev-rc pain and the patient may
gn into shock. Ir. such casus treat as follows:
i) Cover the affected area with a clean sheet or piece of cloth
ii) moke the patient drink. pl.nty of fluid
iii) Give X Cantharis 30, Untie? Urens 3X alti rn.-ti ly every fine.
minutes. Rush the patient to the Primary Health Centre.
../9
9
Wounds
A wound may be- a simple grazes skin, a skin cut by a knife or other sharp
cutting instrument, a torn skin, or a punctured skin.
Proceed as follows;
1. Simple grazed w >unds
Wcsh the wound with clean water and cotton wool and dry with cotton
wool. Apply Calendula ointment, dress the wound and bandage. Give
Calendula 30 and Arnica 200 alternately every two hours for two days.
2) Cuts;
q)If the cut is small
i) Stop tbe bleeding by using direct pressure
ii) Wash the wound with water, then dry it with cotton wool
iii) Apply Calendula ointment
iv)
Dress the- wound and bandage it
v)
Give Arnica 200 every two hours for two days
vi)
Dress the wound daily as necessary
b)If the cut is big
i) Stop the bleeding by direct pressure.
apply a tourniquet.
ii) Give Arnica-200 every 5 minutes
iii) Rush to the hospital
-■
3)
If bleeding still continues
Torn skin
a) If the skin is torn
i) Remove as much dirt or foreign matter as possible
ii) Wash the wound with soap end water
iii) Dry with cotton wool
iv) Apply Calendula ointment
v)
Dress the wounu with a clean bandage
vi) Give Arnica 200 every half an hour
b) If the wound is gaping
i) Bring the edges together by using strips of adhesive tape
ii) Give Arnica 200 and Calendula 30 alternately every 20 minutes
iii) Rush the patient to the Primary Health Centre
4)
Punctured wound
a) If the wound is small
i) Stop the bleeding by driect pressure
ii) Wash the wound with water
iii) Dress with Calendula ointment
iv) Give Arnica 200 and Lc-dum 30 alternately t.very 15 minutes
*)
b) If the wound is big and is bleeding profusely nr the wound is in
the abdomen nr chest and is deep
i) Stop the bleeding by direct pressure or by applying a tourniquet
ii) Give Arnica 200 every 10 minutes
iii) Rush the patient to the- Primary Health Centre
Sprains
Proceed as follows8
1. Give rest and support to tie injured joint
2. Apply a cold compress
3.
Apply Arnica mother tincture
4.
Bandage the joint firmly
5.
Give Rhustux 30 and Arnica 200 alternately every two hours
6.
Rush the patient to the Primary Health Centre
All casus of fractures and dislocations shoulo immediately be referred to
the Primary Health Centre.
../10
GUIDE FOR THE USE ANu ADMINISTRATION OF HOMOEOPATHIC DRUGS FOR EXTERNAL USE
S.No.
Drugs
Use
Method of application
1.
Arnica external
Sprain
Rub gently on painful part. Cover with a
piece of warm cloth and bandgge the part
firmly. Repeat treatment as necessary.
2.
Calendula
Ointment
cuto..
Clean wound with water.Dry with a cotton
swab. Apply ointment on the wound.Cover
with dressings and bandage. Repeat daily.
scratches
2. Wounds
3. Ulcers
3.
Cantharis
ointment
Burns & scalds
Clean wound with water and soap. Apply
ointment on affectes area and cover with
clean dressing. Repeat daily.
4.
Echinaccea
ext ernal
1.Insect sting
2.Scorpion
sting
Clean area with water. Dry with a cotton
swab. Apply lotion on the wound.
5.
Krccsotu
external
Toothache
1. With cotton wool on a match stick
apply kreosote external on the
. decayed tooth.
2. Add 2 drops to i cup of water, Use
this solution as a mouth wash.
Repeat as necessary.
HOMOEOPATHIC MEDICINES to be carried by community health worker
For internal uses
S.No .
Drugs
Potency
S.No. Drugs (
Potency
1.
Aconite
6
17.
Hepar sulph
30
2.
Apis mel
6
18.
Hyurophobinum
30
3.
Arnica
20D
19.
Ipecac
30
4.
Arsenic album
6?30
20.
Ledum
6/30
5.
Ba pt is in
3x
' 21 .
Fie Hi lot us
30
6.
Belladonna
Merc bin iodide
Bryonia alba
6/30
30Z
22.
7.
23.
Merc sol
30
6^30
8.
Cantharis
30
24.
Nux vom
30
9.
Carbolic Acid
6
25.
Podophyllum
30
10.
Qarbo Veg
30
26.
30
Casca»a sagrada
Q
17.
Psorinum
11.
Pylsatilla
30
12.
Chamomilla
30
28.
Rhustox
30
13.
China
6
29.
St aphisagria
30
14.
Colocynth
30
30.
Sepia
6
30
3x
15.
Cynodon dactyl on
6x
31.
Sulphur
16.
Euphrasia
30
32.
Urtica urens
Tissues remedies - combinationss
Numbers 1 to XIII
For external uses
S.No .
Drugs
Use
1.
Arnica
external
2.
Calendula
Ointment
3.
Cantharis
Ointment
4.
Echinacea
external
5.
Euphrasia
eye drops
6.
Kreosote
ext ernal
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