312015May

MALAYSIA SEMINAR MARCH 2006

Homoeopathy, The Ways of Management of Ailment,

Introduction,
History,
of the chronic diseases and the present day ailment, over all view.
Chronic Diseases
An integrated Approach to the diseases of the civilization

Allergic Disorder—
upper and Lower respiratory
Autoimmune Disorder—
RA, Gout,
Cancer —-
Breast, Lungs, Prostate
Life Style Disorder.
Diabetes M
CVS
Spondylo- Arthrosis
General Scenario
Management
Preventive
Therapeutic
Management of Bird Flu and its homoeopathic Approach
Therapeutic
Susceptibility
Individuality
Clinical Cases
Mr Khalid Stricture of Urethra
Materia Medica
Clinical Feature and observation of Drugs

Introduction

I quote from Boericke,
“ Homoeopathy is essentially not only many sided but all –sided. It investigates the action of all substances, whether articles of diet, beverages, condiments, drugs or poisons. It investigates their action on the healthy, the sick, animals and plants. It gives a new interpretation to that ancient, oft quoted saying of Paul, Prove all things- a new meaning, a new application that acts universally. Elimination of the useless may gradually take place with the growth of accurate physiological and pathological knowledge”.
WHO STATISTICS

• Chronic diseases are now the major cause of death and disability worldwide. Lifestyle disorders, including cardiovascular diseases (CVD), diabetes, obesity, cancer and respiratory diseases, now account for 59% of the 57 million deaths annually and 46% of the global burden of disease.
• A relatively few risk factors – high cholesterol, high blood pressure, obesity, smoking and alcohol – cause the majority of the chronic disease burden.
• A change in dietary habits, physical activity and tobacco control, have a major impact in reducing the rates of these chronic diseases, often in a relatively short time.
• Heart attacks and strokes kill about 12 million people every year; another 3.9 million die from hypertensive and other heart conditions.
• More than one billion adults worldwide are overweight; at least 300 million of them are clinically obese.
• About 75% of CVD can be attributed to the majority risks: high cholesterol, high blood pressure, low fruit and vegetable intake, inactive lifestyle and tobacco.
• Sustained behavioural interventions have been shown to be effective in reducing population risk factors.

HISTORY OF CHRONIC DISEASES
History teaches us how the primitive men treated their illness and at the same how they look at it. The knowledge of diseases does not matter what they concern was the ow the be able to eliminate the suffering. At the most they were worried about is the effect of moon either full or new moon, thunderstorms, lightning and eclipse and many other phenomena, which they think, has an effect of the human being. The cycle of menses and mood changes has always been associated with phases of moon. This makes us understand the supernatural power that controls the human being. Like earthquake and flood. The trauma of displacement, uprooting from the homes due earthquake and flood is still to come to light. The natural and man-made calamities are being considered as the vengeance order from high up.
From these belief came the disease in the form of a evil deed of the human being which is order from high up as a wrath of the god. We all know the birth of the Aesclapius Temples and from one of the temple came Hippocrates whose father was a priest of this temple. This is how the medicine from Priest came to orderly man although still attached to priest. It was the priest son who became the medicine. What I am trying to say the medicine is strongly associated with religion at the bent of mind needed. For every calamities or any unforeseen happening, which may come in the form of epidemic, rain, cold or hot wind, tsunami flood, war, we all look for help from above the powerful al mighty.
From the history reveals the use of drug for therapeutic purpose in different part of the world. Western had and healing god like the one in India, China. These healers had a super power of some form or other to heal difficult patient even to the extent bring live in dead. Also different religion had healing men.
Aesculapius
The god of healing, established temple was the priest was assign to treat the ill people with the herbs. This is the first record of the healing available to us in the European country

Hippocrates
460BC, was clinician of it own, his view on pulses and its significant is still valid. It gives us an idea how important he gave to clinical examination and observation. A masterly and objective description of the diseases along with his therapeutic advice was purely based on observation still valid. He did put the theory of therapy on the basis of similar or opposite and practice as per the requirement of the patient as he learned from his father or teacher of those days.
Sydenham’s Concept.
Way back sydenham (1624-1689) well respect figure in the medicine described disease as definite clinical entity grafted on the host. And the treatment prescribed those days was such a crude that led Hahnemann to rebel.

Morgagnian Era.
The period of Anatomy which focus on the pathological changes in the organ or tissue. It was Morgani (1682-1771) who considered Disease due to Pathological changes in the tissue or organs. This gave birth to organ treatment, like prescribing for
liver—Chelidonium,
Heart Crataegus,
Lung Aspidosperma etc. of course the location theory came from here.
Hahnemann again opposed this, as the pathological changes are the end products of the disease. It is very well understood now that the functional disturbances lead to changes in the tissues. The disturbed physiology—-pathology.

Era of Cellular Pathology Virchow: 1821-1910
Who lived during the early phase of Hahnemann, must have been a disturbing factor. Virchow theory was more detailed and went from organ and tissue to cell. The changes in the structure of cell were responsible for the disease. Though the physiology of the cell is under study. This was possible as the microscope came in existence. This can be called of Microscope. It really revolutionized the study of the diseases in human and animal.

Era of Bacteriology (Koch: 1843-1910)
It was Koch who explained the theory of Bacteria. Here there was a shifted in thinking from the patent to the environment, external factor. Pettenkoffer’s 1818-1910 experimented on swallowing the virulent live culture of V. Cholerae.
Claude Bernard’s 1813-1878 did try to explained the important of the susceptibility or resistance of the host in the development of infectious diseases. The medical fraternity failed to appreciate his theory.
Viruses, the ultra-microscopic, have change the image of the disease. The viruses are responsible for the many diseases today from fever to tumour.
These discoveries have made many important contributions in the health of the society like the knowledge of Bacteriology helped to eradicate many of the infectious diseases—Public Health.
The other side of this is the growth tumour and degenerative changes in the tissue and
The wide spread growth of tumour and degenerative changes today is the cause of worry. The disability cause by these diseases in the work force is creating a major problem and concern. This increases the number of people becoming disabled and remains out of work, incurring extra money.
PREVENTION BY
• Eating more fruit and vegetables, as well as nuts and whole grains;
• Daily physical activity;
• Moving from saturated animal fats to unsaturated vegetable oil-based fats;
• Cutting the amount of fatty, salty and sugary foods in the diet;
• Maintaining a normal body weight (within the Body Mass Index (BMI) range of 18.5 to 24.9.);
• Stopping smoking
• Alcohol
• Thinking, —change in mental attitude.

Rudolf Virchow, a founding father of epidemiology, wrote in the nineteenth century “epidemics are great warning signs against which the progress of civilizations can be judged.” A case in point is the rapidly increasing incidence throughout the world of the chronic diseases that are accompanying economic development and urbanization.

ENVIRONMENTAL ORIGINS OF CHRONIC DISEASES
Life expectancy at birth has greatly increased in economically developed countries, largely because of secure food supplies, improved sanitation, and other public health measures. It is sometimes thought that chronic diseases are a price to pay for longevity, but scientific evidence amassed since the 1960s shows that many if not most chronic diseases are caused principally by pathogenic environmental pressures. Although diseases do have genetic aspects, and the prevalence of many diseases increases with age, inborn predisposition generally is “unmasked” and progresses to disease only in certain environmental conditions. Therefore, at least in principle, many chronic diseases are preventable.

THE MAIN ENVIRONMENTAL FACTORS
Environmental causes of many chronic diseases include smoking, pathogenic microorganisms, occupational and domestic hazards, and–perhaps most important–unhealthy diets combined with physical inactivity. All of the diseases discussed here are diet-related.
For example, a healthy diet protects against chronic diseases. Such a diet should be rich in vegetables and fruits; include a plentiful variety of starchy staple foods (preferably in whole form); contain modest amounts of meat and dairy produce, preferably fish and poultry; and include plenty of dietary fiber, unsaturated fats, vitamins, minerals, and other bioactive compounds. The less saturated fat, sugar, and salt that are consumed, the better for health. And no more than one or two alcoholic drinks should be taken in a day.
Malnutrition. Poor nutrition is the immediate cause of a number of chronic diseases, including heart disease and many forms of cancer. A root cause of poor nutrition is types of food technology that transform perishable raw materials into products that exploit natural human appetites for fat, sugar, and salt. For example, the process of hydrogenation is a root cause of heart disease: in converting volatile oils into hard, stable fats with a long shelf life, hydrogenation increases the proportion of total fats and saturated and trans fatty acids in the human food supply.
Tobacco. Tobacco use is an important immediate cause of heart disease and of cancers of the mouth, throat, esophagus, and lung. But why do so many people smoke? The root causes of these diseases are the political, industrial, and social settings in which tobacco production is subsidized, cigarette manufacture is made lucrative, cigarettes are sold cheaply, smoking is glamorized, and advertising and promotion to young people is sanctioned. Exhortations to quit smoking are effective only when cigarettes are made expensive through taxation and when cigarette smuggling and advertising are minimized. Governments should also encourage industry to quit growing tobacco and making and selling cigarettes, and instead to make other profitable products that benefit.

Displacement. The typical consequences of urbanizationCpollution, sedentary occupations, and the pathogenic transformation of food supplies–increase the risk of chronic diseases. Cities in Africa, Asia, and Latin America have not become vast by chance. Instead, social factors magnified by political decisions have increased rural insecurity and displaced rural populations, forcing farmers off the land and into urban environments unfit for human habitation.
Poverty. Other environmental pressures also contribute to chronic diseases. Poverty is a root cause of poor diets: people who live at subsistence levels in rural areas often have no choice but to eat monotonous diets that are poor in nutrients. Impoverished people who live in cities often subsist on cheap fatty and sugary foods. Poverty together with depression are other underlying reasons why people smoke and abuse alcohol.
Agriculture. Many if not most current agricultural policies that affect price, such as research priorities and production and marketing subsidies, make unhealthy foods artificially cheap and healthy foods relatively expensive. New policies should encourage the production and marketing of vegetables, fruits, legumes, and a variety of other foods of plant origin, and decrease support for the production of fat and sugar and fatty, sugary foods and drinks. Many developing countries have abundant supplies of fruits and other foods of plant origin. Plans to prevent chronic diseases should emphasize the value of traditional farming and food systems as well as encourage food technologies that are beneficial to human health.
Transportation. Regular physical activity reduces the risk of a number of major chronic diseases, including obesity, heart disease, colon cancer, and osteoporosis. But people who live in cities are usually sedentary. Urban planning and transportation policies can make cities safe places in which to enjoy physical exercise, such as walking, cycling, and other sports and recreational activities. Such policies also can make public transport an attractive alternative to private automobiles.

BIRD FLU
DIETARY MANAGEMENT
Asthma
Vitamin C, present in fruits, is a powerful antioxidant and anti-inflammatory agent. Its anti-inflammatory activity may decrease the incidence of asthma symptoms. Young children with asthma experience significantly less wheezing if they eat a diet high in fruits rich in vitamin C.
Milk
Bronchitis
A diet high in antioxidants may protect against the free-radical-damaging effect of environmental toxins or cigarette smoke. Studies comparing different populations have shown that increasing fruit consumption may reduce the risk of developing chronic bronchitis.
Coronary Heart Disease
A diet high in fiber prevents coronary heart disease. Eating fruits high in the soluble fiber pectin has also been linked with reduced cholesterol levels, which protects against atherosclerosis.
Congestive heart failure (CHF)
Whole fruit and fruit and vegetable juice, which are high in potassium, are recommended however, because several drugs given to people with CHF can actually cause retention of potassium, making dietary potassium, even from fruit, dangerous. Bananas are a rich source of potassium and need to be avoided in persons taking potassium-sparing diuretics.
Heart attack
A high-fiber diet, particularly one that is high in water-soluble fiber (such as fruit), is associated with decreased risk of both fatal and nonfatal heart attacks, probably because presence of such fiber is known to lower cholesterol. In a preliminary study, the total number of deaths from cardiovascular disease was found to be significantly lower among men with high fruit consumption.
Making positive dietary changes immediately following a heart attack is likely to decrease one’s chance of having a second heart attack. In one study, individuals began eating more vegetables and fruits, and substituted fish, nuts, and legumes for meat and eggs 24 to 48 hours after a heart attack. Six weeks later, the diet group had significantly fewer fatal and nonfatal heart attacks than a similar group that did not make these dietary changes. This trend continued for an additional six weeks.
High cholesterol
Soluble fiber from fruit pectin has lowered cholesterol levels in most trials. Doctors often recommend that people with elevated cholesterol eat more foods high in soluble fiber.

High triglycerides
There is evidence that ingesting fructose in amounts that are found in a typical Western diet can raise TG levels, although not all studies agree on that point. It should be noted that most studies of fructose investigated the refined form, not the fructose that occurs naturally in some fruits.
Diets high in fiber have reduced TG levels in several clinical trials, but have had no effect in other clinical trials. Water-soluble fibers, such as the pectin found in fruit, may be particularly helpful in lowering triglycerides.
Hypertension
As with conventional drugs, the use of natural substances sometimes controls blood pressure if they are taken consistently, but does not lead to a cure for high blood pressure. Thus, someone whose blood pressure is successfully reduced by weight loss, avoidance of salt, and increased intake of fruits and vegetables would need to maintain these changes permanently in order to maintain control of blood pressure. Left untreated, hypertension significantly increases the risk of stroke and heart disease.
Vegetarians have lower blood pressure than do people who eat meat. This occurs partly because fruits and vegetables contain potassium—a known blood pressure–lowering mineral. The best way to supplement potassium is with fruit, which contains more of the mineral than do potassium supplements. However, fruit contains so much potassium that people taking potassium-sparing diuretics can consume too much potassium simply by eating several pieces of fruit per day. Therefore, people taking potassium-sparing diuretics should consult the prescribing doctor before increasing fruit intake.

Irritable bowel syndrome (IBS)
The conventional treatment for IBS includes limiting the intake of fructose. Fructose is found in concentrated amounts in dried fruit and fruit juice. Preliminary evidence suggests that some people with IBS have greater trouble absorbing fructose (as found in high concentration in fruit juice and dried fruit). In this report, restricting intake of fructose and lactose (as found in milk) led to reduction in symptoms in 40% of people with IBS symptoms. Therefore, when attempting to uncover food sensitivities, people with IBS should consider the possibility that fruit juice and dried fruit might trigger symptoms.
Kidney stones
Potassium reduces urinary calcium excretion, and people who eat high amounts of dietary potassium appear to be at low risk of forming kidney stones. Most kidney stone research involving potassium uses the form of the element called potassium citrate. However, increasing dietary potassium may reduce the risk of kidney stone recurrence. The best way to increase potassium is to eat fruits and vegetables. The level of potassium in food is much higher than the small amounts found in supplements.

Cancer
Consumption of fruits is widely accepted as lowering the risk of most common cancers except prostate cancer
• Focus on fiber
• Eat foods rich in fiber, especially those made with whole grains.
• Find healthy fats
• Meals containing olive oil or fish help protect against cancer, and avoiding fat from meat, dairy, and processed foods, may decrease cancer risk
• Vegetarian diet
• Lower cancer risk by eating plenty of fruits, whole grains, legumes, and vegetables (especially tomatoes and cruciferous vegetables like cabbage), which helps to optimize body weight, immune function, hormone regulation, and to avoid meat-related carcinogens.
• Avoid alcohol
• Use alcoholic beverages in moderation or not at all to reduce the risk of many cancers
INTEGRATED TREATMENT
HYPERTENSION
DIABETES M.
CANCER
RENAL DISORDER
Mrs Madhuri Jain
Mrs Hanifa
“My heart is disquieted within me: and the fear of death is fallen upon me”.

“Fearfulness and trembling are come upon me: and a horrible dread hath overwhelmed me”.

The Sweet Psalmist of Israel , the Warrior king, who nearly three thousand years ago swept the strings of all human emotions and experiences: who has inspired a hundred generations with courage, reliance, confidence – repentance: who reached the sublimest heights, and fathomed the depths of suffering, bereavement, and remorse, even he had his Aconite moment of solid, unreasoning FEAR.
Our existence is a struggle, struggle means fight or flee from any adverse situation which comes in our way of existence. In the process we react, this reflects our emotions and it continues throughout our lives

Thus emotion becomes part and parcel of our lives. How we deal depends entirely on our individual strength. Some of us can carry the emotional storm well where others cannot take it, the burden of storm reaches to a level which damages the psyche.

Today the scenario in the world is completely changed, unrest and violence is the scene of the day. These impress our mind and emotions and so
1. anxiety
2. depression
3. phobias
4. insomnia

are some of the things which we have to live with in this world and which we cannot understand, infact we are unable to recognise ourselves and people around us.
Today all the major illness find its root cause in the disturbance of emotion.

Cancer, AIDS, DM, Cardiac problems, Allergic conditions, Migraine, the list is unending
Psychological problem needs to be addressed properly, religiously and effectively, mother of all diseases. More than 70 % of all illnesses will find emotional component

Many people do not seek medical advise and can tolerate well the adverse state.
Role of homoeopathy in these kind of illnesses has been accepted. The system has a special link to the emotion, remedy touch the psyche level of the individual, to reach the core point and inner soul of the individual. The remedy matching the patient emotionally and physically alters the course of mind and disease thus healing takes place. In cases where deep pathological changes have taken place it improves the quality of life. The agitated mind, restless mind finds peace and solace under the homoeopathic science, it is so close and congenial to the human nature. It acts in close relation to the human nature, body and mind, heart and soul. It is the ideal line of therapeutics for calming the troubled waters of the mind.

I now emphasize here that this therapeutic may not be able to solve the problem caused by the emotional problem. But it opens up the mind big panaroma to vision in perspective and it gives a rational view, which later can be solved

Our emotions govern our lives, we witness many changes in our selves in the course of the day, month and years, all depending in state of mind we are in. face is the index of mind very well said and so are our emotions. Emotions effects the way we think and feel. Homoeopathy aims directly at the emotion re harmonises and rebalances the individual.
EMOTIONS

Emotions and thoughts are two things common to any individual they are interlinked, our thoughts and emotions are interdependent

Our emotions affect our thinking
Thought makes us feel emotional

I often find in our clinic, patient seems to be normal and pleasant, but during the course of interrogation when touched on a very sensitive point like death of a loved one, tear rolls in the eyes without saying any word, the thought makes us emotional, indicating deep wound seated in the bottom of the mind

Two persons in one individual clearly indicates the effect of emotion in the thought process and unexplainable
Through emotion we experience feeling ones mood resulting to act or think in a particular manner. This may manifest some physical sensations
Yesterday April 21 02 had a similar experience, we a group of about 200 people had assembled to exchange their views and listen to people have been in Gujarat. During the tea break I met a friend of mine exchanged greetings hugged each other and she started weeping strongly she was emotionally charged after seeing the carnage in Gujarat witnessing the victims all built up emotion came out meeting a very congenial and similarly sensitive emotion, let out causing her to relax, burden has been unloaded.

This is what happens on meeting 2 similar sensitive persons, the emotions are expressed in the form of tears the pressure from the heart is relaxed. It acts as a safety valve releasing the pressure from the affected and weak area of the body. This is a useful purpose of the emotion. The other act, which may be, appropriate and associated with the feeling of pain, the emotion recognises the pain and helps us to find the cause. So emotion does help a useful purpose in the act of focusing the mind in a particular direction or finding the cause of pain.

We take the other aspect of the emotion where it persists for a longer period of time after it has been stimulated. This persistent problem developed into a proper emotional problem.

The difference between the two is the pain leaves after it has healed and the cause is removed whereas emotional problems produces all sorts of secondary effect which ruins one’s sense of well being.

There are cases where we find that a nursing mother has a fit of anger, the emotion settles in the breast and if the mother is lactating the milk causes indigestion to the baby. Hahnemann says in a footnote in Mat Med Pura “ sometimes dangerous illness is resembling acute bilious fever that often comes on immediately after violent vexation causing anger heat of face unquenchable thirst taste of bile nausea, anxiety, restlessness etc has such great homoeopathy, analogy with the symptom of chamomile that chamomile cannot fail to remove the whole malady perpetually and specifically which is done as if by a miracle by one drop of above mentioned juice.

Emotion is considered into three different phases
Psychology, physiology and behaviour.

Physiology of emotion is a chapter in textbook of physiology, which describes and gives details of organs involved with emotional problems. One of the commonest emotion we encounter off and on is fear. It is one of the child’s play that we have seen in the child play like hide and seek. Sudden act to make one fearful and see the reaction on the face. This is one of the way to get rid of a dangerous situation to avoid the feeling of unpleasantness fear expresses something will happen or has happened and in both cases
1.one begins to perspire.
2. heart races
3. butterflies in the stomach escape or running away from the situation is the demand of the time but if caught during his fight he tries to overcome the fearful situation.


Homoeo therapeutics is a very specialised branch of medical science. The therapeutic agent used is very minute and acts on a dynamic level to reinstate the deranged state of health. This is true for both acute and chronic diseases depending on the pathological changes. In cases where there are gross and irreversible pathological changes, this agent improves the quality of life of the individual and in some cases, the patient reverts to a near normal state. This also happens in cases of cancer and other difficult cases, provided the organs are in their normal or abnormal states without being changed by the advanced medical technology.
Definition : A mass of cells or tissue resembling those normally present
but arranged atypically.

Causative Factors :
Hereditary
Physical
Chemical
Environmental- atmospheric pollution
Iatrogenic
Biological
Injuries due to radiation
Increased cigarette smoking, berries more toxic
Any prolonged illness
Chronic gastric irritation
Above all, EMOTIONAL

Injuries due to radiation for example exposure to X-rays,
radioactive substances etc are very common causes for cancer.
Cancer of alimentary canal & Bronchi has shown a increase in the
recent years due to greater petrol consumption, with subsequent
contamination of air by irritating fumes. Increased cigarette smoking is
alleged to be the cause of increased frequency of Bronchial Carcinoma.
The other types of CA like that of skin; lips and tongue are less.
(A Short Practice Of Surgery By Bailey & Love.)
Cancer never develops in a normal stomach. Hurtz and others
believe that evidence of chronic gastric irritation in form of repeated
dietetic and other insults may perhaps be one factor in causation.
Any disease remaining for a long period of time should be looked after carefully, as there is medical evidence to prove that it may lead to cancer of that particular organ.
We also know that for all these there is one supreme cause, i.e.
emotional, a nagging problem at home or in office for a considerable period of time produces emotional & physical changes and ultimately leads to a
major disease of any kind.
Fear predominates in all respects. Fear of anything, a constant
mental anxiety or worry sometimes unexplainable by the patient and
mostly misunderstood by the physician of all the systems of medicine.

TRAUMA
“One of the most difficult questions to answer is the casual
relation of trauma to the subsequent development of cancer
at the site of trauma. It is surely significant that the vast
majority of instances of cancer supposedly due to trauma
have been workmen’s compensation or insurance cases”.

A Textbook of Pathology By William Boyd (8th edition.)
“Inflammation may kill the patient, but recovery is the rule,
whereas CANCER if untreated will kill the patient, but in
rare cases there may be spontaneous regression and
recovery”.

A Text Book of Pathology By William Boyd.
8th edition.

According to Dr. H.A.Roberts:

“Erysipelatous & carcinomatous conditions, epithelioma & lupus, are all manifestations of the union of the three stigmata. In acute exanthematous diseases we see the tubercular diathesis. These conditions show the psora in the severity of the attack, but the profound prostration from the lowered vitality is the mark of the syphilitic taint. Urticarias occur in the tubercular diathesis. Marked freckling is also a manifestation of the tubercular diathesis; this has the clear, almost transparent skin of the tubercular patient, with the pigmentation of the psoric and syphilitic stigmata, while those without this dyscrasia will not become infected.”

This indicates that Cancer is a complex disease and the line of
treatment should be followed as advised by Dr. Roberts, like a anti –
syphilitic drug for profound prostration and low vitality, and anti- psoric or
anti- tubercular drug for urticarial rash etc.
Nowadays we do not see the clinical or typical cases of cancer,
they are all mixed up and maltreated case and come to us at a very late
stage with advanced pathology. This already makes it difficult for the
– selection of the medicine.
– fear of immediate death of the patient prevents us from
completely stopping the allopathic drugs.
– in cases where we dare to stop the allopathic medicines
we are in a position to help the patient, and relieve the
physical suffering.

In Organon, it has been very clearly and often stressed the need to
understand, what is curative in medicine and also what is curative in
disease. In profound states, we must be careful not to stir the vital energy
to its depths. More time should be allowed for a gradual restoration as
there has been a gradual decline. The less deep acting medicine will
react and relieve the suffering in the incurable diseases. This is because
the remedy acts more superficially. This phenomenon has been observed
and verified in a number of incurable and difficult cases. This also has
been very well explained by Dr. H.A.Roberts, in “ The Principles And Art
Of Cure By Homoeopathy “ as follows:

“ They act upon the sensorium & do not act upon the deep recesses of the vital force itself, & yet make the patient much more comfortable by relieving the symptoms annoying through the sensorium”.

Regarding potency, Dr. Roberts says:

“In such cases as these profound incurable conditions we should avoid giving a high potency of the remedy; by administering a low potency we may be able to go on and develop the case gradually until later it may possibly react favourably to a higher potency”.
In these case where pathological and organic changes have taken place, the period of aggravation will be longer. The general improvement in
incurable case will be manifested later on, e.g. a lady aged above 70 years, writer by profession, developed very painful corn of the heel. Antim crud 200, increased her pain and swelling. With consolation and assurance she
waited, which ultimately bore the fruit, and she was cured in a week.
CLINICAL FEATURES
Features Benign Tumours Malignant Tumours

Structure Often typical of the particular tissue of origin.
Often atypical

Mode of growth Usually expansive and a capsule is formed. Infiltrative and expansive strict encapsulation is absent.

Rate of growth Usually slow. May be rapid.

End of growth May come to a standstill or retrogress Rarely ceases, usually progressive and fatal.

Metastasis Absent. Mostly present.

Clinical Results Dangerous only because of position, accidental complications or prod- uction of excess of hormone.
Dangerous because of progressive infiltration and metastasis,sec.complications.
Treatment:
1. Inactivation of the Carcinogenic agent.
2. Interference with the mitotic process.
3. Inhibition of the metabolism of the cancer cell.
The analogy of the successful control of Bacterial infection with
Homoeopathic remedy is to point to the possibility of altering metabolism
in the case of neoplasia or any chronic disorder with it changed behaviour.


Though any Homoeopathic medicine can be prescribed successfully in
Cancer, but in my personal experience, I have found the following
medicines to be of extreme benefit :

Acetic Acid Arsenic Album
Asarum Europeum Calcarea Acetica
Calcarea Arsenica Calcarea Iodata
Calcarea Oxalica Carbon Group
Carcinosin Colchicum Autumnale
Lactic Acid Medorrhinum
Phosphoric Acid Phosphorus
Thuja Occidentalis Tuberculinum
It has been observed by me, that in cases of cancer, a small
differentiating feature between Ars. and Phos. has helped to relieve the
suffering patient and bring a smile. A case of renal failure where one of
the kidneys had been removed and ultimately suffering from phaeochromocytoma, a rare disease, has improved with Phos where Ars
seemed very much indicated. I illustrate the case below :


CASE- REPORTS
Case No. 1

Age: 39 years, male. Date of visit: Oct. 5, 1985.
Presenting Complaints:
A case of renal failure.
Right kidney removed.
Left kidney enlarged and tender,
mass in the upper pole of left kidney,
possibly a renal cell carcinoma.
Undergone dialysis 3-4 times.
Very uncomfortable, restless,
constant nausea, unable to digest
anything.
Haematuria.

Medication: Phosphorus 6 on Oct. 5, 85.
He reported smiling after 2-3 days, with no complaint
of vomiting, able to eat well. His blood picture
improved and toxicity reduced.

He lived comfortably for another one and a half year and ultimately
died of heart failure.

Case no. 2
A case of cancer of stomach, in a man of 50 years.
Very thin constitution.
Known alcoholic and smoker.
Recently stopped smoking.

Presenting Complaints;
Acute pain in abdomen.
Bending double due to pain, with no relief.
Extreme anxiety and restlessness with pain.

Medication:
Asarum Europeum, 6, on March 5th, 1987.

Basis of Prescription:

On the indication, “ unconquerable desire for alcohol, a popular remedy in Russia for drunkards” & also he came from a low-income family & consumed more of country liquor.

He was much relieved in his acute condition of pain and continued to live in peace and comfort for another 6 months.
Case no. 3
A case of P.U.O. in a lady, of 33 years of age, brought by her
husband, an allopathic doctor.
Presenting Complaints:
Low grade fever, specially 6 p.m. onwards.
Fever with perspiration & shivering.
No thirst.
Loss of weight.
Constipation, misses stool for 2-3 days.
Hard and dry stool.
Calf muscles painful, specially on standing.
Mentally very anxious.
Weeping.
Profuse perspiration with a peculiar smell,
RANCID SMELL.
Medication : Thuja 6 on July 8,95.

Basis of Prescription: Perspiration, odor, rancid smelling, at night
Thuja, single medicine in 3rd grade, K-1298.

After Thuja 6, she was immediately relieved after 3 days, &
gradually regained her health with subsequent increase in potency.

Looking back to her previous record in August 89, she came for her
facial eczema and was given Thuja 6 which had helped her a lot.
These days there are different manifestations of low grade fever. I
have cases where the fever rises during summers and is back to normal
in winters and vice-versa.
In all these cases we have to have a penetrating eye, find out a
peculiar habit or a outstanding symptom out of a maze of symptoms given
by the patient or to stress on the causative factors like excess of heat or
cold, smell of perspiration, compromising attitude, sympathetic nature or
irritable temperament, any peculiar fear like that of animals etc. All these
can be helpful in selecting the true similimum.

In each case of cancer there are two distinguished features,
namely the chief complaint and the auxillary symptoms in relation to the
case. Each case ,in turn ,has two distinguished parts :
– First part comprising the most annoying,outstanding and
recognisable symptom.
– Second part comprising of those symptoms which are not
recognised, and considered not worth reporting or not
seemingly related to the case.
The chief complaint has a psychological value. It brings the
patient to the physician. A carefully taken history gives satisfaction and
confidence to the pateint in the physician.
The chief complaint is often a pathological state. The leading
symptom has a clear pathological foundation. It attracts the attention of
both the patient and the physician. It indicates definitely the seat and nature
of the morbid process forming the “ WARP OF THE FABRIC ’’.
The auxillary or concomitant symptom seldom has any definite
relationship to the leading symptom as far as the theoritical pathology is
concerned. This is named as accidental or meaningless. But its occurrence
in the same patient makes it important. It is important because it occurs in the same patient, same time, in relation to the time or other symptoms of
the chief complaint.
Of radiation and chemotherapy, the chemotherapy is the most
dangerous therapy in vogue. This has a very deteriorating effect on the body
and brings down the immunity to the lowest degree.
The question in front of us is whether to advise the patient for this therapy or not. I think that we should not recommend chemotherapy. What should be our approach in these kinds of cases, in the early or late stages ? The stress should be on QUALITY OF LIFE, which we can provide to these kinds of patients with full confidence of the patient and their relatives.
The major role, in the untimely death of the patient, is played
by the relatives and well wishers, with their unwanted advice. A case of breast cancer in an old lady of 75 years of age, progressed steadily with keeping a good quality of life, which was very much recognised by the family members including their Doctor family living in U.S.A. On their visit to Delhi, knowing the advancement of the disease, observing the patient’s quality of life, they were amazed to see her walking. On my visit to U.S.A. subsequently, they gave me a very special treatment.
Similarly a case of Bronchogenic carcinoma, living in Dubai,
having chemotherapy but stll not improving, a few doses of Kali bi advised on the phone, made him well enough to come to Delhi. He became very much mobile and ambulatory with minimum of discomfort. He was a very pious person, never smoked or had alcohol. He was very happy with my treatment, but the well wishers thought otherwise, and literally forced me to refer him for chemotherapy.
I still remember his parting words, “ I am going to Bombay for
chemotherapy because of your advice”. The first dose of chemotherapy killed him.
REPERTORIAL REFERENCE OF CANCER
FROM
Repertory of the Homoeopathic Materia Medica
By
Dr.J.T.Kent

Page no. Chapter Rubrics

22 Mind Delusion – Cancer, has a: Verat
Imagines she has cancer Sabad,
( Boericke)
235 Eye Cancer: many medi.
various sub-rubrics.
268 Tumours:many medi.
various sub-rubrics.
324 Nose Cancer: many medi.
epithelioma:Many medi.

319 Ear Tumours,cystic:Nit-ac.
steatoma:Calc,nit-ac.

355 Face Cancer:many medi.
epithelioma:
lupus:
many other sub-rub.
395 Tumour,cystic on cheek:graph.
lips: Con,Kreos,Sep.

398 Mouth Cancer,Palate:Aur, hydr.
Tongue:many med
427 Tumour:benz-ac,calc,lyc,nit-ac.
many sub-rub.

482 Stomach Cancer: many medi.

475 Ext.Throat Tumours,side:Brom
cystic:Brom.
fatty :Bar-c.
605 Abdomen Tumours :Con.

606 Rectum Cancer:Alum,nit-ac,ruta,sep.

668 Prostrate Pain,cancer in: Crot-h.

652 Bladder Tumours:Calc.

680 Urethra Tumour: Lach.

693 Genitalia Cancer:
Scrotum:
Testis:
713 Tumour, indolent, testis:Tarent.

715 Cancer of ovaries:
uterus:
vagina:
745 Tumours : many sub-rub.
746 Larynx Cancer: Ars, nit-ac, phos,sang,
Thuja.

824 Chest Cancer, axilla: Aster.
clavicles, Sep.
mammae: many medi.
sternum: Sulph.

1346 Generalities Cancerous affections: many
medi.
various sub-rub.

GENERALITIES

1368 Injuries (including blows, falls and bruises ): ARN,bad, bell-p,
bry,calc,canth, carb-v,cham,chin,cic,CON,croc,dulc,euph,
HEP,hyos,HYPER,iod,kali-c,kreos, lach,laur,led,lyc,merc,
mez,nat-c,nat-m,nat-s,nit-ac,nux-v,par,ph-ac,phos,plat,plb,
PULS,RHUS-T,ruta,samb,sec,seneg,sil,staph,sulph,
SUL-AC,symph,verat,zinc.

extravasations, with: ARN,bad,bry,cham,chin,cic,con,dulc,
euphr,ferr,hep,iod,lach,laur,nux-v,par,plb,puls,rhus-t,ruta,
sec,sulph,SUL-AC.

Bone: calc,calc-p,RUTA, sul-ac,symph.

Glands,of: Arn,cic,CON,dulc,hep,iod,merc,phos,puls,rhus-t,
sil,sul-ac.

Nerves with great pain: HYPER,phos.

Periosteum:ruta.

Soft parts,of: ARN,cham,CON,dulc,euphr,lach,puls,samb,
sulph,sul-ac.

Tendons: anac.

METHODOLOGY FOR DETECTION OF CANCER

The patients were treated in Dr Qasim’s Clinic, Hazrat
Nizamuddin Basti, New Delhi.
History was properly recorded on a proforma.
Each was diagnosed with the following investigations as
per the case requirement :
1. Complete Haemogram.
2. X-ray- General and also regionwise, as of chest, abdomen,
Barium meal follow-through, Bronchogram etc.
3. Biopsy of the region.
4. Whole body M.R.I.
5. CT Scan: Head, brain, orbit, upper thorax, and spine.
6. Mammography for early detection of breast cancer.
7. Ultrasound of whole abdomen (Prostate, Liver, Gall bladder,
Pancreas, Uterus etc)
8. Colonoscopy.
9. Oesophagoscopy.
10. Cytology of Pap smear.
11. Liver function test.
12. Renal Profile e.g. urea, uric acid, creatinine etc.
13. Tumour marker study.


HOMOEOPATHIC CONCEPT OF URINARY TRACT INFECTION AND ITS MANAGEMENT
By Prof .Dr Mohammad Qasim

It is a very vast subject and needs to be studied as its implications reflect on the human body in a destructive nature, seems to be a minor ailment but invades the vital organs of the body weakening the economy.

I present here briefly the area related to immediate cause –the uro-genital organs, but actually its infection extending upwards to the kidney. Sometimes it is the other way round, the infection somewhere else in the system infects the kidney. In both these conditions either systemic or local, the science of homoeo – therapeutics has a wide role to play in maintaining the balance and harmony in the system.

It plays a special role in that it looks into the local conditions and takes into consideration the systemic dispositions in treating these, so called, minor ailments. Thus arresting the disease in further spreading. The scope of homoepathy in this area is brighter and beneficial for the suffering humanity.

UTI has been recognised as one of the most troublesome illness, effecting various age groups. Biologically it is unfortunate that the females are more prone to urinary infections than their male counterparts. The children have special predisposition to this condition.

It is commonly noticed after marriage in young women, very annoying and troublesome due to post coital bladder trauma. (Staphysagria)

The frequent incidents leads to a susceptibility sp. in women for repeated infections and hence the chronicity of the disease. It may not be out of place to say, that acute diseases are the basis to all chronic diseases.

Hahnemann has said
“ Therefore, a life sentence unless combated and “annihilated” by the appropriate homoeopathic remedies”
These remarks are in relation to cases not treated homeopathically, such cases remain for life.
I further quote, to elaborate what he means by remedies

“He put forward two of these, Thuja and Nitric acid as producing symptoms “like” those of the acute gonorrhoeal manifestation and therefore potently causative, give one or other as most indicated.”
Unquote.
It must be clear to the learned gathering here, emphatically no one must think that sycotic remedy called for by the symptoms of any case of UTI, that the case presenting have had the disease. The assumption is that the gonorrhoeal taint may have filtered through several generations.

Many acute and chronic cases have responded brilliantly to the nosodes, sycotic and syphilitic remedies. It constantly does not impress the stamp of gonorrhoea on the individual, it only shows the “like” of symptoms. Let everyone be assured that the method of preparation of remedy and prescription is such, that, it is not possible to do harm to the individual. It only affects curatively to a patient rendered abnormally sensitive to the action by a sickness of “like” symptoms.
Nosodes has been intelligently used by the profession It is relevant to quote Dr S Close word of appreciation he wrote for Dr Burnett, who had great experience of the nosodes,
“And by them largely won his enormous practice and the almost adoration of the patients who found in him a help nowhere else to be obtained, used to insist that “the vilest filth, prepared in the homoeopathic manner, may be not only harmless, but the purest gold- homoeopathically applied”
He further says: –
“Sycotic manifestations are characterized by slowness of recovery; the subject is constantly slipping backward because of the destructive character of the stigma, whenever he gets an acute manifestation.”

Here I would like to bring to you a case of healthy well-built pleasant personality in early 30s in 1986, came to consult me for orchitis with repeated UTI. The indicated remedy Rhododendron helped him in every acute attack. But the complaint kept relapsing even after a high dose of rhododendron. Pain in testicles and burning in urethra continued even though there were no classical symptoms of Medorrhinum. Finally a dose of Medorrhinum helped him so much that he comes every 6 months to report how healthy and energetic he is feeling. Although he had no history of suffering from gonorrhoea and no specific symptoms of Medorrhinum. It was only the “like” of symptoms.
Mr. S aged 32 suffering from orchitis, lt. side visited my clinic on Jan 14th, 86 with the following complaints:

a. Pain in the testicle lt. side. Irritation and slight pain, sometime both the
testicles but usually more on left side.
b. History of severe pain.
c. History of urethritis, causing chilliness, not now.
d. Appetite normal, liking for spices and hot chillies.

14.01.86 Medorrhinum 200, 3 doses every 10 min followed by sac
lac for 5 days.
21.01.86 He reported slightly better, S.L. given for 8 days.
01.02.86 Now pain every 2nd or 3rd day, but less intense. S.L.
given for 8 days .
11.02.86 Urine report, acidic, rest NAD. Pain very slight today.
Medorrhinum 200, I dose and S.L. for 8 days.
10.03.86 Couple of very mild attacks of pain.
Medorrhinum 200, 1 dose and S.L. for 12 days.
23.06,86 Very little uneasiness in testicle specially after fried meat.
Rhododend 30 for 8 days.
27.07.87 On the whole healthy and free from symptoms, swelling
reduced, very occasional twitch.
Sulph 1M & S.L. for 12 days.
17.08.87 Feeling better, no twitching or any pain, no swelling.
S.L. for 2 weeks.


Comments

The first medicine was on the line of urethritis and probably gonorrheal in origin. Gonorrhoeal being the causative factor, a dose of Medorrhinum was selected and given. Though Medorrhinum helped to a great extent but was not able to eradicate the trouble altogether. The discomfort kept coming now and then. Realising that the selected remedy and the patient needed an extra help, to penetrate deeper by way of removing the obstacle. There were two options before me, one was to select an antipsoric, second to live on an acute remedy. I thought, since there is a likelihood of infection every now and then, either due to irritation of testicles during intercourse or while passing urine. To remove this intercurrent acute exacerbation, I selected Rhododendron. This ultimately removed the uneasiness in the testicles and reduced the swelling. It acted as a similimum.

A very occasional twitch remained, indicating that the deeper infection has not been touched. Finally a dose of Sulphur cleared the remaining symptomatology. He is now a healthy, vigorous person free from nagging problem.

It is difficult to treat a chronic case. There are large number of population suffering from chronic ailments of various kinds and varieties. A thorough study reveals the link between all chronic diseases with acute conditions. History and pre interrogation reveals the link between the two. Some are very well known to the medical profession some are coming to light with advancement of research. For e.g. tonsillitis leads to rheumatism and heart problems this is a very common example.


Gonorrhoeal UTI leads to knee joint problems in another word Suppressed gonorrhea leads to Infective arthritis. It is better to keep in mind Tuberculosis of the urinary tract
Treating early stages like preventing the consequences of the disease. Shahbaz Khan came for his knee joint pain with chronic tonsillitis. Tonsillitis is treated, knee pain disappeared. Nipping in bud in time prevents the spread of the disease.

Let us look at the physiology and pathology of the UTI to understand from homoeopathic line of therapeutics.
UTI occurring in patients with FUNCTIONALLY NORMAL URINARY TRACTS: in such cases the persistent or recurrent infections rarely results in serious kidney damage.
There is another group, which need to be study intelligently so that Homeopathy is applied more accurately and efficiently.

ABNORMAL URINARY TRACTS here cases which are complicated (e.g. with stones) or associated diseases (e.g. diabetes mellitus) which themselves cause kidney damage may be further made worse by infection.

Chronic Pyelonephritis, also called atrophic pyelonephritis or reflux nephropathy is now known to result from a combination of:
Vesicoureteric reflux, and
Infection acquired in infancy or early childhood

Normally the vesicoureteric junction acts as one way valve, urine entering the bladder from above, the ureter is shut off during bladder contraction, thus preventing reflux of urine. In some infants and children, this valve mechanism is incompetent. A secondary consequence is incomplete bladder emptying, as refluxed urine enters the bladder after voiding. This predisposes to infection, and the reflux of infected urine leads to kidney damage.

Reflux usually ceases around puberty but the damage already done persists. Chronic pyelonephritis acquired in infancy predisposes to hypertension in later life. Once on homoeopathy in the early stages of life further complication is arrested, health is restored. Body vibration and biophysical reaction synchronized with annihilation of the disease.

Miasm, is introduced to enlarge the scope of homoeopathy in therapeutic field.
Theory of miasm comes into play in difficult cases, which keep recurring. The enthusiastic prescriber has covered only the surface totality and palliated the symptoms. This palliation may last for years and may recur after that in severe form. These kind of cases need special attention and plan and method of approach. Here the Miasmatic medicine has it role. Other factors which will help in curing is the proper evaluation of cases, and recognition of the responsible factors such as
 removal of irritating substances
 rectification of diet
 change of environment
 anything and everything that may place the patient in the best possible relation for complete cure.

Its (Miasm) sensitivity is entirely different and needs to be related in totality to the physical and mental state of the individual.

Acute cases:
Pneumonia and typhoid, pharyngitis, PUO etc can be treated without the application of miasmatic theory. Acute diseases have sudden onset due to exciting causes, runs a limited course and terminates in recovery or death. Recovery may be with or without medicine. On exposure to sun/heat causing headache, any analgesic will help or Bell/NV may be beneficial, on complete rest, recovery is full without any trace of headache. In some cases a good rest, with a cup of chamomile tea, coffee or brandy.

These are natural recovery of the indisposition; similarly most of the acute cases will recover sometime even without the application of any medicine. Here the concept of miasm may not be always necessary.

But in cases where even after proper case taking and symptomatic treatment recovery is not full. Full recovery makes it impossible without the miasmatic concept link with the disease. The link (–sycotic) is to some ancestral predisposition linking to the LIKE of symptoms. Such cases require MIASMATIC HELP. Chronic diseases never end up spontaneously. It needs the skill of the physician to treat with homeopathic accuracy and efficacy.

The most frequent location of the sycotic manifestations in women is in the pelvic organs. Pelvic inflammations such as inflammation of the ovaries, fallopian tubes etc are due to this taint. In more chronic types there is cystic degeneration of the ovaries, uterus and the fallopian tubes. Later the infection may pass on to the peritoneal cavity, general peritonitis and general cellulitis may occur.
Appendicitis is directly traceable to sycotic influence.

Sycosis is generally understood to be the gonorrheal poison. The distinction between gonorrhoea and Sycosis is to be fully understood.

Gonorrhoea is an acute manifestation of gonococci and after an incubation period it develops urethritis, which is a local manifestation. The acute infection is treated and eliminated superficially but it goes into the system permeating every living cell of the organism. Its destructive force is visible to us in the offspring by way of different anomalies and diseases. One of the indications we have observed in the infancy period is an “infant turns to sleep on the belly”. This is not a common posture for the baby.

Physiologically it seems good because after a full stomach feed infants normally regurgitate and this is a safe posture for it. But if we relate the posture it indicates one of the special symptoms of a sycotic child.

According to a study done by “Archives of Pediatrics and Adolescent Medicines”, Hindustan Times dated 15.5.03