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Thursday, October 26, 2006

PREDICTIVE HOMEOPATHY

PART III - CLINICAL

Helpful Hints
Cases
Remedy Relationship Chart
Hot and Chilly remedies
Thirty and thirstless remedies

OTHER HELPFUL HINTS:

There are times when certain presenting symptoms lead us to think of a particular group of remedies. These presenting symptoms form a strong basis for prescription, of course by equating their generals and thermals with that of the patient.

a) Excessive thirst for cold water makes us think primarily of
Chilly: Aco, Eup. Perf., Phos., Calc. C., Verat. Alb.
Chilly and Angry: Cham, Nux-v, Coloc, Hepar-s.
Hot: Nat-mur, Bry, Sulph, Merc-sol, Tub.

b) No desire to drink at all: Puls, Apis Bry

c) Thirst for sips of water often:
Chilly: Ars, Ant-tart, Nat-ars, Coloc, China
Hot: Puls, Sulph.

d) Thirst for warm or hot drinks: Lyc, Casc, Eup-perf.
(Eup, perf has desire for ice cold drinks as well as warm drinks)

e) Nausea accompanying a fever - one should think of Nat-mur first. Other remedies in differential diagnosis are: Ipecac, Ars, Eup-perf, Phos, Bry, Sepia.

f) Excessive vomiting accompanying the chief complaints:
NAT-MUR, EUP-PERF, ANT-TART, IPECAC
Verat-alb, Cocculus, cina, cham, lyc, Ars, Ferr.

g) Fever with headache at vertex: Graphites should be ruled out.


h) Patients removing covers for sometime and taking covers back again, alternately with perspiration, weakness and yet strong mental state is Camphor.

i) Children who insist on going to school or insist on studying and doing homework in high fever, which in normal condition they tend to neglect should get one of the GOOD BOY REMEDIES e.g. Aur iod, Aur met, Silicea, Ignatia, Staph or Lyc. (If generals and thermals correspond)

j) Children who are friendly with the doctor but become panicky and do not allow the doctor to touch or examine require (if generals, thermals and thirst correspond) - Aco, Thuja, Stram, Lyc, Ars, Ambr, Bar-c, Ip, Ant-tart, Arg-nit.

k) Points to note:
Some drugs can be both Thirsty and Thirstless. e.g. - Ars, Ant-tart, China, Puls, Apis, Bell, Sil.
Thirsty in Chronic and Thirstless during Acute illness: e.g. Cina, Kali-carb, Lachesis, Bryonia, Sulph, Tarent, Bell, Baryta-carb.
Thirstless in Chronic and Thirsty in Acute: Ipecac, Apis, Puls (for sips), Ant-tart (for sips), China.

l) When a patient does not like to be questioned about how are you feeling or what would you like to eat or drink? specially by his wife, or why you did not take your medicine today? Or if he is asked the same question twice and he expresses his irritation by a frown or not answering --- the remedies to be considered are
CHILLY: Nux-v, Ac-phos, Arn, Ars, Colo
HOT: Pulsatilla, Nat-mur


m) All Kalis and silicas -- Anxiety disappears during fever or illness (except Kali-carb -- Anxiety1)
Kali-ars along with other kalis (except Kali-carb) are ANXIOUS3 have anxiety of health, but Anxiety disappears during fever or illness.
LYCO3 has A. about health -- disappears during fever
NIT-AC.3 has A. about health -- disappears during fever
SILICEA3 has A. about health -- disappears during fever

Bar-C, Bar-S, have hardly any anxiety about health, but tremendous anxiety during fever.
Similarly Cina, Tub, Ipecac have no anxiety about health, but increased anxiety during illness or fever
Natrums -- less A. about health during both - so averse to consolation.
Arg-n -- Anxiety in general, but no anxiety of health and no anxiety of fever.
Silent Anxiety of health (Where patient is just looking steadily and indifferent with) is Sepia.

n) EASY WAY TO REMEMBER THIRSTY AND THIRSTLESS REMEDIES
(a) Most CARBONS and CARBONATES are thirsty.
CARBONS: Carb-veg, Carbo-an, Carb-sulph, Carb-ac, Graph, Kreos, Petrol.
CARBONATES: Calc-carb, Kali-carb, Mag-carb, Nat-carb, Amm-carb

(b) Most POLYCHREST are thirsty: Sulph, Nat-mur, Phos, Ars, China, Op, Sil, Verat-alb, Stram, Secal-cor, Rhus-tox,

(c) Most angry drugs are thirsty - Nux-vom, Colo, hep-s, Cham, Aco

(d) Most BARYTAS are thirsty - Bar-c, Bar-m, Bar-Iod

(e) Most CALCAREAS are thirsty except Calc-p which can be thirstless also.

(f) Most MERCURIES are thirsty except Merc-cor and
Merc-i-r which can be thirstless also.

(g) Most KALIS are thirsty except Kali-c, kali-P which can be thirstless also.

(h) Most NATRUMS are thirsty

(i) Most MAGNESIUMS are thirsty but to a lesser degree than natrums.

(j) All SNAKES are thirsty

(k) Most SPIDERS are thirsty except Tarentula which can be thirstless

(l) Most METALS are THIRSTLESS except Cup-met, Plb

(m) Most ACIDS are THIRSTLESS but desires juices and refreshing things

(n) POLYCHREST which are THIRSTLESS are Lyc, Puls, Amm-mur, China, Gels, Sep, Apis, Ant-tart, Nux-mosh, Tarent, kali-c.

(o) Tarentula Kali-carb and China can be both.


CASES
Case 1 :

Date 18-2-97

Case of child 6 years old. Fever since 2 days. X-ray showed :- Right sided mid-zone pneumonic consolidation - on 18-2-97 Fever 103 degrees F; The child was quiet. Sleep was less. Wanted to open his books and read during fever. Did not trouble the mother. Mother had brought the child with a blanket wrapped around with a warm sweater inside. All this did not disturb or discomfort the child indicating he was 'chilly' at that stage. No thirst at all. One thing which was peculiar was that this mild, quiet child would 'hit' his father but very slowly. He was as though angry with the father but friendly to all in the clinic.

Activity Thermal Axis :-

General Activity



- DULL (Not sleepy)
Thermal






- Chilly
Thirst







- Thirstless
Activity Thermal Thirst
= D.C.T.L.

D.C.T.L.:- SEP, GELS, Ac-Ph, Ign, Staph, Nat Carb, Ipecac, China

Diligent- Conscientious - Ac-Ph, Ign, Staph, Nat Carb.

No craving for refreshing drinks - Ign, Staph, Nat Carb

No Misanthropy, not unfriendly, no effects of study - Ign, Staph



Ignatia and Staph coming up meant the child has had some mental cause for fever either the child was insulted or hurt. So a direct confirmatory question was asked - What had occurred before the fever? The answer confirmed the drug. The child had been scolded by the father for not keeping things in the proper place after which the child was not angry but hurt and he went into brooding without giving any expression after which he got fever.

18/2/98 - Ignatia 30 single dose was given

19/2/98- Fever increased to 103.5 degrees F at night of 18th
Cough increased at night of 18th
Fever came to normal on 19th morning. Appetite improved, Thirst increased. Child started


Playing around - Sac.lac.

27/2/98 - X-ray showed complete regression of lung pathology.

Here in this case things to note are:
Scolding was an action:

Staph. Reaction would have been -- giving vent to his anger in some way or the other e.g. kicking, throwing things; or showing anger on other people whom he knows will cause him no harm e.g. his mother …..

But Ignatia being a more cultured and intellectual constitution broods as a reaction -- feels bad, hurt and broods which staph does not.

So Ignatia was selected over staph.

These subtle difference in reaction give us the right similimum and the desired result!!


Case 2 :-

A girl aged 10 years with high fever since 5 days, coughing day and night and fever not responding to antibiotics and other allopathic line of treatment. She had come to me after a gap of 2 years. The mother said, "After you treated her last for recurrent cough and cold and asthmatic bronchitis, she was just fine. She could eat and drink cold things and any trash but she never really fell ill. Therefore, when the doctor could not cure her with antibiotics, I thought of coming to you especially since he said she has to be X-rayed".

I looked up her registered case and found she had responded excellently to a dose of Pulsatilla 200, 2 years
back.

I looked at the girl who did not look sick, sitting calm and quietly on the chair. As I told her to lie on the examination bed, she got up promptly and followed the orders. The mother said, " Yes, she's not worried about her fever, cough; she is more worried about me. She says she wants to help me. Even for water which she is drinking a lot, she gets up on her own and drinks so that I don't get troubled. She feels cold and lies with a thick blanket".

I got her X-ray chest done and Blood C.B.C. done. X-ray showed left-sided pneumonia and W.B.C. count was 18000.
In the above case I perceived that she had first of all shifted from Pulsatilla which had cured her of the asthma. She was no more hot or anxious, weeping Pulsatilla type.

Fever had not changed her activity. She was neither dull nor anxious. She was chilly, thirsty. Above -all, she was a 'Good Girl'. Obedient and caring towards her mother.

So the good Girl type i.e. Silicea which has no change of activity, thirstless, chilly was prescribed in ONE DOSE.

Fever rose to 103 degrees F the same night.

Next day fever was gone. No cough or lethargy was observed.

X-ray chest showed clearing and complete regression of lumps on the 4th day.
W.B.C. count came down to 9000 on 5th day.


Case 3 :-

Fever in child 3 years of age.
The child wanted to be carried continuously. Wanted to go out of the house where he was comfortable. If kept down, would constantly hold mother's hand. If the mother went away he would cry and force her to come back. Thirst the child had was for cold water but he would sip and even force the mother to sip. If she would not, he would start crying. He did not bear any coverings on him. The case was studied thus.

General Activity
- Activity Increased
- Mental Anxiety.
- (PULS, SULPH, APIS)

Thermals



- HOT (PULS, SULPH, APIS)

Thirst





- For cold water.
Actually thirstless (but sips often and wants
Mother also to sip.) He was drinking only to keep his mummy near and occupied. The child wanted her attention.

ANXIOUS + HOT+ THIRSTLESS = (PULS, SULPH, APIS)
Wants to hold mother's hand = Wants consolation } PULS
Wants to be carried out

= Better in open air.

12/12/95
Hb 9.3 gm %
WBC Total count 28000
Neutrophils 76%

(allopathic doctor had frightened the parents that the child might go into Leukaemia).

13/12/95 -
Child was playful, fever gone. No medicine

15/12/95 -
Child was completely O.K., playful, eats well; no fever.
Blood report :- Hb. - 9.3
WBC - 19000
Neutro - 64%

25/12/95 - Child reported fine.
Blood report :- Hb. - 10.8 gm
WBC - 8,700
Neutro - 60%.

Case 4 :-
Case of ACUTE OTITIS MEDIA

Girl aged 8 years complains of acute pain in right ear. Since the pain had started, she had become listless, was not moving about, was just lying down covering herself with a blanket. She was not interested in drinking, eating or even television programmes.

Activity Thermal Axis : = Dull, Chilly + Thirstless
D.C.T.L. = Sep, Ac/Phos, Ign, Staph, NC, Ipecac, China

Indifferent to everything + Indolent = Sepia
One dose of Sepia 200 cured her pain forever.


Case 5 :-
Case of Typhoid.

Girl aged 16 years suffering from Typhoid having serum Widal +ve. S. Typhi A titre of 350 units presented with a history of fever since 6 days not responding to antibiotics. She presented as a silent, quiet girl, more or less sullen looking answering my questions with a constant frown. The mother told me that since she's unwell, she's been sitting n her room and only wanting me to be in the room as company. She hates me or anybody questioning her about her illness. She would love to be under the fan constantly even when the fever was high. She loved only to drink cold water and was averse to eating food or reading books.

The patient was :-
DULL+ HOT + THIRSTY
+ Averse to Visitors
+ Irritated when obliged to answer.
+ Wants loneliness but wants one person in the room.

She was given Nat.Mur 200 single dose. Fever was gone the next day. Started going out on third day to her college. Widal titre high or not, the patient resumes normal activities within 24 to 48 hours of Homoeopathic dose - the Similimum!

(For other indications of Materia Medic refer page no 107)

Case 6 :-
Case of U.T.I. + Jaundice + Bronchitis

A Parsi child, age 2 years, was brought to me crying continuously with urine pus cell count of 40 - 60 h.p.f., serum bilirubin 1.7 mg and chest severely congested. The child was constantly crying and wanting to be carried. I saw the mother trying to distract the child by showing her electric switches. The child would keep quiet for some time seeing the switches and cry again. It was having intolerance to fan, drank no water and the face had a reddish discoloration around the mouth.
When I heard the child cry - it was a piteous and nagging one. The anxious, cranky chilly thirstless axis mad me ask her a confirmatory question of whether she bores into the nose." Yes, her hand has to be pulled away from her nose again and again", came the reply.
The drug given was CINA 200 - in one dose.
Next day: The mother reported that the child asked for food after 4 days; was less cranky and played for a little while alone.

But pus cells had risen to 80 - 90 h.p.f. and cough was more. But because pus cells are particular; and both were <.
Where as Generals of appetite was >, playing away from the mother was a General improvement. So, I waited with placebo.

Fourth Day : Fever had gone on the 2nd day,
Pus cells 0 - 5 h.p.f.,
Serum bilirubin came to 1.1mg.

The child was transformed into a playful, cheerful, independent, naughty child.

The chest X-ray came clear on the 6th day. Here Cina worked as an antibiotic, and anti-jaundice remedy and B'complex 'all-in-one' and all this in ONE DOSE.


Case 7 :-
Case of Acute Headache after Diarrhoea.

Lady aged 35 years, complaining of severe headache rang me up for help. "Headache is torturing me", she said. "Please cure me. But without asking me your whole set of questions. I can't come to your clinic because I can't sit there in chilled atmosphere for two - two hours. I know you will ask me my thirst. I feel like drinking lots of water." Most of the history which I required she had given me. I said, "Just one thing. Tell me whether you had a quarrel with someone just before this headache?". "No" was the answer." I will now tell you something. I'm SURE you've taken antibiotics for something
About 5 days back. "Yes, for diarrhoea" she said.
I knew Nux.Vom. was the remedy.
She was : 1. Mentally Anxious - chilly - thirsty and
2. Angry when obliged to answer.
She was either Bell, NV, Ars, China - from rubric No.1, or she requires Ars, NV, Ac-phos, Colo, Arn - angry when obliged to answer.

Chilly and large quantity of water means she was either Nux.V or Colo.

There was no ailment from anger, quarrel, vexation, etc. hence, Colo was ruled out. Only Nux.V was coming up.
Hence, my last question about antibiotics .

She was advised a dose of Nux.V. 200 after which she should expect transient loose, motions for a day as headache goes down.

She reported on the 3rd day saying, "I'm fine. All that you predicted came true.".


Case 8 :-
A child with Bronchitis.

A child of 2 years with Bronchitis starting after some work of repairs started at home. The child was cranky, wanted to be carried, wrapped up cozily in a blanket with the mother carrying a bottle of water which he would drink in-between crying spells.

Increased Activity - Mentally Anxious + Chilly + Thirst for little water often. -

Arsenic Alb 30 cured the child.
(The only other drug indicated - Anxious, Chilly, Thirsty - was Cina which was ruled out because there was no rubbing or boring of nose.)







Case 9:-

11 year old girl with Hyper Pyrexia : 105 degrees F.
She couldn't come to the clinic obviously because of excessive weakness with fever only of one day's duration. The mother said," She just covered up and was sleeping since afternoon. She didn't even get up to take tea or water. She's sweating like hell. Please come and see her." I said, "I can't come at least upto 11.30 p.m. I'll come and see her only after I have finished seeing all the patients but in the meanwhile, give this single dose to her and let me know within two hours from now.". It was 6.30 p.m. then. At 9.00 p.m., to my surprise, the 'girl' herself walked in saying, "Thank you, Uncle I'm fine. I just came to thank you and tell you don't take the trouble of coming for visit.".

Such results stun not only the patients, the allopathic world, but also the Homoeopaths themselves. The remedy was worked out on the following points :

Activity Decreased - sleep overpowering - chilly - thirstless and the triad of DROWSINESS + WEAKNESS + PERSPIRATION made me give her Ant.Tart 200 which made the MIRACLE.

Next day of hyperpyrexia, she resumed her school again.


Case 10 :-
A Homoeopath with hyperpyrexia

This is a case of hyperpyrexia about 105 degrees F of a homoeopath whose wife, also a homoeopath, rang me up saying, "My husband has got fever since two days partially responding to homoeopathic drugs. Very peculiarly, my husband goes into a peculiar delirious state as soon as the fever rise, he starts saying a sequence of words in Marathi, his mother tongue, which does not make sense at all but is quite rhyming. After this he wants all the family members to come and sit around him. He then starts giving lectures of advice to them. The lectures are on Hahnemann and Homoeopathy. He has 'BORED' us all since the last two days - especially at night he calls all of us. We all family members have not slept at all. But one thing is certain all family members have received full knowledge of Homoeopathy. Do something; We all are tired of his lectures on Homoeopathy. He is outright chilly and lively. Sir, I've tried Belladonna which relieved him slightly but now he is worse.".
Assessment : - (a) Makes verses
(b) Chilly
(c) Talks nothing but one subject
(d) Talks science of

A SINGLE DOSE OF CANN. I 200 first increased the fever slightly and then cured him with sense of well-being.




INCONCLUSIVE -CONCLUSION

After having gone through this book many an eyebrow will be raised. The sceptics and critics will have a field day, for I have given them food for thought. The mixture prescribers and single remedy similimum prescribers both may disagree with the pattern forwarded by me of Activity-Thermal-Thirst-Mental Axis. But then I have found this axis covering the holistic concept.. The remedy thus evolved is a representative of one of each of the constituents that man is made up of. Man as we all know is a part of the Universe and is made up of five essential elements or the 'Panchatatva' which is accepted by Hindus, Chinese, Buddhists, Judaists and Mohammedans alike.

These five elements are: Fire, Water, Air, Earth and Ether.

Ether represents the cosmic energy which is all-pervading and which controls the activities of this universe as well as the activities of man. The Activity-Thermal-Thirst Axis based similimum is a true representative of the holistic man since the Activity represents Ether, the Thermals i.e. the heat regulatory mechanism of the body represents Fire, and Thirst which controls the osmolality i.e. water content of the body represents Water.

This covers three of the five essential elements which each human being is made up of. To this we add either a symptom from air (mind) or earth (body). This covers the man as a whole. So, the drug prescribed has a representative from each of the elements and hence works holistically to give miraculous cures in incurable or advanced or serious cases with minimum effort. Above all, Hering's Law of Cure can also be observed in such cures. We will discuss more about it in my forthcoming book- The Theory of Chronic Diseases.
HOMOEOPATHY IS EASY!
Homoeopathy is mathematicS

PREDICTIVE HOMEOPATHY


THE MATERIA MEDICA OF ACUTES

CHAPTER 6

ACTIVITY DECREASED.

Sleep Overpowering

Dullness

ACTIVITY DECREASED.

A) SLEEP OVERPOWERING:-

This section constitutes all patients or constitution which become dull to such an extent that they sleep a lot during acute infections or fevers. The mother complains that the child who wakes up daily at 7 am slept today upto 12 noon, woke-up had something to eat and went back to sleep again. In short, need for sleep becomes great. Sleep overpowers all sense. The patient is difficult to arouse. This should be differentiated clinically from `sleep comatose' or Coma or unconsciousness. Here unlike the coma or unconsciousness the patient is fully alert when awake. His consciousness is not altered.


SLEEP OVERPOWERING
(Opium, Ant-Tart, Nux-M)

After waking

Quick in actions-OPIUM
Irritable-ANT-TART
Too giddy to move-NUX-MOS

OPIUM

AXIS: SLEEPY+ HOT

POINTERS TO REMEDY
1) Sleep-difficult to awaken or disturbed by slightest noise.
2) Never complains.
3) Constipated.

OTHER INDICATIONS
1) Deep profound slumber during fever or alternatively awakened at slightest noise or knock at the door.
2) Appears contented, complacent and has no complaints.
3) Hot, thirsty or at times thirstless.
4) Stools- obstinate constipation.
5) When awake actions are quick, quick to move, turns the head, change the position etc (Unlike Helleborus or Nux Moschata.)

ANT-TART

AXIS: SLEEPY+CHILLY+THIRSTLESS

POINTERS TO REMEDY
1) Excessive Weakness
2) Excessive perspiration
3) Excessive sleep

OTHER INDICATIONS
1) Irritability
2) Thirstless or sips of water often.
3) Aversion to milk.

NUX-MOS

AXIS: SLEEPY+CHILLY+THIRSTLESS

POINTERS TO REMEDY
1) Sleep Excessive
2) Dry mouth with no thirst.
3) Fainting spells.

OTHER INDICATIONS.
1) Dryness+++ of mouth causing dry cottony saliva.
2) Dry stools.
3) Excessive drowsiness with neuralgic pains and abdominal pains.
4) Tendency to blank out without any reason.

ACTIVITY DECREASED

DULLNESS

By dullness we mean hypo-activity of mind and body. whenever any acute illness occurs certain constitutions reduce in activity.

Reduction in activity is obvious from the fact that these patients would like to lie-down on bed more than usual. Their voice does not have zest and vivacity. They just rest and sleep. They may not be in slumber or many not be in overpowering sleep.

DCTL
4)Sepia 5)Gels 6)Ac. Phos 7)Ignatia 8)Staph 9)Ipecac 10)Nat-Carb 11)China

DCT
12)Nux-vom 13)Eup-per 14)Phos 15)Calc-c 16)Bell 17)China 18)Silicea 19)Hyos

DHTL
20)Puls 21)Bry 22)Apis 23)Lach 24)Sulph 25)Lyc 26)Thuja 27)Opium 28)Carbo-v

DHT
29)Bry 30)Nat. Mur 31)Sulph 32)Lyc 33) Merc. S. 34)Apis

SEPIA

AXIS: DULL+CHILLY+THIRSTLESS (DCTL)

POINTERS TO REMEDY

Dull. chilly. thirstless, indifferently and Indolent.

1) Indolent:- No desire for any work or Amusement.
2) Indifferent:-
a) to complaints and pain
b) to amusement.-no desire to watch T.V. or listen to music.
3) Lies down but does not sleep
4) Averse to consolation or help.

Note:- sepia is indicated
1) when patient becomes dull or when new symptoms develops after WRONG HOMOEOPATHIC DRUGS.

2) Also indicated when patient becomes dull chilly after exposure to strong vibrations or energy, e.g.: electric shock, after sonography, after x-rays being taken etc.

Rule-out:- if there is desire and interest in work and surroundings.

GELSEMIUM

AXIS: DULL+CHILLY+THIRSTLESS (DCTL)

POINTERS TO REMEDY
1) dull
2) Thirstless with heavy eyes.
3) Very sleepy but cannot sleep.

OTHER INDICATIONS:-
1) Heaviness above eyes and of upper eyelids with occasional heaviness of limbs.
2) Sleepy but cannot sleep.
3) Timid and apprehensive
4) Ailments from vexation.

Rule-out:- If no heaviness of eyelids.

ACID-PHOS

AXIS: DULL+CHILLY+THIRSTLESS (DCTL)

POINTERS TO REMEDY
1) Dullness, chilly, thirstless with strong desire for cold refreshing drinks. e.g.: lemonades.
2) Anger++ when forced to answer.
3) A/F:- Grief, Anger, Mortification.

OTHER INDICATIONS:-
1) Mental weakness followed by physical.
2) Desire cold-drinks, cold milk, refreshing things though thirstless.
3) Aversion to dry food. e.g.: Bread, biscuits, pizza.
4) Pain in limbs > motion.
5) A/F vexation, mortification.
6) Fever after Suppressed skin eruptions
7) Resignation.

Rule out:- if no desire for cold drinks.

IGNATIA

AXIS: DULL+CHILLY+THIRSTLESS (DCTL)

POINTERS TO REMEDY
1) Very studious
2) Sits erect without support
3) A/F Hurt.

OTHER INDICATIONS:-
1) Good boy/girl Image: Children who become obedient or start taking interest in studies suddenly when ill. They study despite fever-Conscientious(diligent)
2) Always sitting erect without support of the back of the chairs.
3) Fever or diarrhoea etc coming on after being upset e.g. on losing 1st rank, acquiring less marks than her friend, from being scolded or punished.
4) Anxiety coming on suddenly at night between 2am and 5am.
5) Desires hot food, which ameliorates.
6) Hungry after fever. (Hunger before/during fever - Staph)
7) Raw food ameliorates. (Raw, dry food aversion Ac-Phos)

STAPHYSAGRIA

AXIS: DULL+CHILLY+THIRSTLESS (DCTL)

POINTERS TO REMEDY
1) very studious
2) A/F anger, Mortification, vexation.
3) Hunger.

OTHER INDICATIONS:-
1) Studious-"Good Boy" Image- wants to study or go for daily work despite fever or pain; not out of any compulsions.
2) Increased HUNGER fever before and during
3) Acute complaints come after having had a quarrel with someone or being angry with someone and not able to express it.

IPECAC

AXIS: DULL+CHILLY+THIRSTLESS (DCTL)

POINTERS TO REMEDY
1) Nausea Incessant which is not be relieved by vomiting.
2) Clean tongue.
3) Haughty.

OTHER INDICATIONS:-
1) Continuous Nausea not ameliorated by vomiting pale, cold, clammy looks.
2) Haughty, difficult to please, contemptuous.
3) Disdainful humor.
4) Clean tongue.

NAT-CARB

AXIS: DULL+CHILLY+THIRSTLESS (DCTL)

POINTERS TO REMEDY
1) Chilly yet heat of sun aggravates.
2) Conscientious.
3) Misanthropy yet fear of being alone.

OTHER INDICATIONS:-
1) TIMID, BASHFUL, LONER, RESERVED yet fighter
2) Desires bread, Aversion-milk.
3) Nibbling Hunger at 5am
4) < sad music, Thunderstorm.
5) Wants to be alone, yet dreads being alone.
6) Aversion to certain persons.

CHINA

AXIS: DULL+CHILLY+THIRSTLESS (DCTL)

POINTERS:
1) Sensitivity to touch (Slightest / lightest)
2) Periodicity.
3) Desires Fruits

OTHER INDICATIONS:
1) Irritation seen on the face as reverse frown
2) Weakness flatulence, craves fruits
3) Sensation as if everything is hindering or tormenting him- tormented face.
4) Physically sensitive to slightest noise
5) Periodicity, weakness, tormented face.

NUX VOMICA

AXIS: DULL+CHILLY+THIRSY (DCT)

POINTERS:
1) Anger when obliged to answer or on being disturbed.
2) Anger noise, light
3) Ineffectual urge for stool

OTHER INDICATIONS:
1) Anger on himself
2) Angry/irritable when disturbed or asked
what he wants or if question is repeated twice.
3) Irritable by T.V, light, children, noise.
4) A/F Antibiotics.
5) Stools-ineffectual urge

EUPATORIUM PERFOLIATUM

AXIS: DULL+CHILLY+THIRSY (DCT)

POINTERS:
1) Unquenchable thirst for (ice) cold water
2) Severe bone pains
3) Vomiting

OTHER INDICATIONS:
1) Postponing fever or fever with 25 hrs periodicity.
2) Desires Hot or warm drinks sometimes.

PHOSPHORUS

AXIS: DULL+CHILLY+THIRSY (DCT)

POINTERS:
1) Fearful- dark; in room.
2) Desires touch - magnetized desires to be
3) Desires Ice-creams

OTHER INDICATIONS:

1) Thirst for ice-cold drinks or water
2) Desires- Touch, hugging, holding hand of visitors.
3) Fear of darkness, of somebody in the room or something creeping out of the corner.
4) Good looking (tubercular features)
5) Loves drawing or painting
6) Aversion Sweets
7) No desire to work or study.

CALCAREA CARB

AXIS: DULL+CHILLY+THIRSY (DCT)

POINTERS:
1) Timid
2) Wants mother's touch
3) Desires Eggs, sweets

OTHER INDICATIONS:
1) Mild, timid
2) Desires touch company, protection.
3) Wants mother by the side
4) Craves Sweets and cold drinks
5) Extreme thirst
6) Perspiration cold, clammy, profuse.

BELLADONNA

AXIS: DULL+CHILLY+THIRSY (DCT)

POINTERS:
1) Suddenness
2) Redness
3) Desires Lemonades

OTHER INDICATIONS:
1) Great sensitiveness to light, jar, noise.
2) Sudden appearance and sudden disappearance of pains and
complaints.
3) Redness, heat, congestion.
4) Desires Lemonades.

SILICEA

AXIS: DULL+CHILLY+THIRSY (DCT)

POINTERS TO REMEDY
1) Studious/Conscientious.
2) Mild and yielding yet obstinate
3) Face bloated.

OTHER INDICATIONS:-
1) Mild yielding yet obstinate children looking SAD and SENSITIVE.
2) Extreme desire to study or go to school or work despite high fevers.
3) Concerned about mothers problems more than her own illness.
4) Silicea though otherwise anxious has no anxiety about health during fever or acute ailments.
5) Aversion to cooked food. Desires raw vegetables (Sulph, Alum, Calc, Tarent, Ign)
6) Bloated face with or without redness and distended abdomen.
7) Though chilly, heat in head, spine and feet
8) A/F cooling after overheating; Anticipation.
9) Extreme thirst. Thirsty at night/thirstless during day.
10) Ability to swallow only liquids but Aversion to Milk.

NOTE:- Silicea has extreme thirst but could also present itself as
thirstless during day, thirsty at night.

HYOSCYAMUS

AXIS: DULL+CHILLY+THIRSY (DCT)

POINTERS TO REMEDY:
1) naughty looks
2) Sings
3) Smiling

OTHER INDICATIONS:
1) Child is dull, heavy eyelids but easily. Smiling (Carcinosin) responds smilingly to your questions.
2) Goes to the extent of joking, playing mischief quietly with a naughty look in the eyes, all this despite high fever.
3) Entertains by reciting rhymes or poems.
4) Hyperactive and Jesting.

PULSATILLA

AXIS: DULL+HOT+THIRSTLESS (DHTL)

POINTERS:
1) Dry mouth with no thirst.
2) Changeable modalities and symptoms.
3) Desires consolation and open air.

OTHER INDICATIONS:
1) Dry mouth yet thirstless or changeable thirst.
2) Mild, meek, weeping, wants mother near, carrying, caring, consoling.
3) Wants doors and windows open.
4) Changeable: thermals, thirst e.g. felt chilly yesterday, hot today or thirsty in the morning, thirstless in the evening.
5) Involuntary moaning with fever.
6) A/F specially diarrhoea from rich food, heavy, fried food.


BRYONIA

AXIS: DULL+HOT+THIRSTLESS (DHTL)
(see also DHT)

POINTERS:
1) Dry mouth yet thirstless.
2) Lies motionless.
3) > Pressure.


OTHER INDICATIONS:
1) Dry mouth- thirstless; or thirst for large quantities at large intervals.
2) Dry, listless, irritable people lying or emotionless.
3) Dull but not sleepy.
4) Bodyache > pressure < movements.
5) Hard stools.
6) Business thoughts.
7) A/F anger, mortification.
8) Diligent/ Conscientious.

APIS

AXIS: DULL+HOT+THIRSTLESS (DHTL)

POINTERS:
1) Oedema
2) Anger/ Dominating.
3) Associated urinary symptoms.


OTHER INDICATIONS:
1) Angry, Dominating, Jealous.
2) Sadness, indifferent, stuporous.
3) Oedematous face especially eyelids with frequency of urine increased but scanty urine.
4) Loss of speech or inability to talk i.e aphasia with fever.
5) Does not complain.
6) Shrieking in sleep.

LACHESIS

AXIS: DULL+HOT+THIRSTLESS (DHTL)

POINTERS:
1) Jesting with complaints.
2) Increased sensitivity to clothes.
3) < Sleep after/ during.

OTHER INDICATIONS:
1) Eructations, hiccoughs with fever,
2) Speech becomes fast.
3) Jesting with pain and acute complaints.
4) Quick in action and perception.
5) Night or sleep<; waking <.

SULPHUR

AXIS: DULL+HOT+THIRSTLESS (DHTL)
(See also DHT)

POINTERS:
1) Lips bright red.
2) Head, palms, soles hot.
3) Angry with himself.

OTHER INDICATIONS:
1) Internally, anxious but bursting open with anxiety at night at 1.00 a.m.
2) Angry on himself for feeling ill.
3) Reddish hue on face with red lips palms soles red, hot.
4) AV to bath, hair haphazard, dirty appearance. Indifference to external appearance.
5) Anxiety health, yet not ready for any investigations; not even measuring BP.

LYCOPODIUM

AXIS: DULL+HOT+THIRSTLESS (DHTL)

POINTERS:

1) Loves studies, books, knowledge
2) Desires hot food/drinks, sweets
3) Hard on inferiors, soft with superiors

OTHER INDICATIONS:

1) Serious looking, never smiling child.
2) Child with bean shaped face with bossed forehead
3) Anger with timidity surfaces on face as doctor approaches to examine.
4) Hot patient who loves hot food, hot milk.
5) Adult who are always keen on thorough investigations.

THUJA

AXIS: DULL+HOT+THIRSTLESS (DHTL)

POINTERS
1) Diligent
2) Cautious
3) A/F Vaccinations.

OTHER INDICATIONS
1) Delicate but, fat, stout children.
2) Cautious afraid to walk or move or jump lest he /she might be injured (frail sensation)
3) Crankiness < 5a.m. - 10 a.m.
4) A/F Vaccination, insect - bites.

OPIUM

AXIS: DULL+HOT+THIRSTLESS (DHTL)

POINTERS:
1) sleep+++
2) Contented and complainless
3) Constipated

OTHER INDICATIONS
1) Sleepy, never complains.
2) Contended with himself or his condition but irritated when disturbed.
3) SLEEP : deep, long difficult to waken or sleep disturbed by slightest noise.
4) Never anxious about his condition.

CARBO-VEG

AXIS: DULL+HOT+THIRSTLESS (DHTL)

POINTERS:
1) Stasis of all systems.
2) Unfortunate feels he is
3) Wants fan

OTHER INDICATIONS:
Mental / Physical stasis

1) Quiet slow, confused, sad, silent.
2) Timid yet sarcastic, mocking as if deeply hurt.
3) Physical stasis or slowness of all systems causes offensive discharges e.g.- stool, urine, perspiration.
4) Flatulence with H /O jaundice in past.
5) Excess perspiration yet wants fan, chilly in collapse HOT in infective acute illnesses.
6) Slow portal circulation causing piles, jaundice, cramps in legs, varicose veins, headaches

RULE OUT - If active.
N.B. -carbo-veg is gen. Thirsty.

BRYONIA

AXIS: DULL+HOT+THIRSY (DHT)
(See also DHTL)

POINTERS
1) Dry, Business minded
2) Motionless
3) > pressure

OTHER INDICATIONS:
1) Dry mouth, tongue.
2) Dry, listless, irritable people lying motionless, dull but not sleeping.
3) Business thoughts.
4) A / F anger, mortification.
5) Diligent conscientious.
6) Bodyache >> pressure.
7) < movement.
8) Hard Stools.

NAT-MUR

AXIS: DULL+HOT+THIRSY (DHT)

POINTERS
1) Non - diligent
2) < SUN
3) < Visitors

OTHER INDICATIONS:
1) Silent, quiet Aversion to guests, people asking how are you?
2) Angry when obliged to answer.
3) Desires loneliness but wants one person in room.
4) Vomitting with fever.
5) Craves salt.
6) Lower lip scaly or cracked in middle.

SULPHUR

AXIS: DULL+HOT+THIRSY (DHT)
(See also DHTL)

POINTERS
1) Lips bright red.
2) Head, palms, soles hot.
3) Angry with himself.

OTHER INDICATIONS:
1) Internally, anxious but bursting open with anxiety at night at 1.00 a.m.
2) Angry on himself for falling ill.
3) Reddish hue on face with red lips palms soles red, hot.
4) Aversion to bath, hair haphazard, dirty appearance. Indifference to external appearance.
5) Anxiety health, yet not ready for any investigations not even measuring BP.

LYCOPODIUM

AXIS: DULL+HOT+THIRSY (DHT)
(See also DHTL)

APIS

AXIS: DULL+HOT+THIRSY (DHT)

Pointers:
1) Oedema
2) Anger/ Dominating.
3) Associated urinary symptoms.

OTHER INDICATIONS:
1) Angry, Dominating, Jealous.
2) Sadness, indifferent, stuporous.
3) Oedematous face especially eyelids with frequency of urine increased but scanty urine.
4) Loss of speech or inability to talk i.e aphasia with fever.
5) Does not complain.
6) Shrieking in sleep.

MERCURY

AXIS: DULL+HOT+THIRSY (DHT)

POINTERS:
1) Disobedient
2) Excess thirst
3) Salivation

OTHER INDICATIONS:
1) Constantly moving, restless.
2) Rough behaviour, revolting against whatever told hence disobeys mother's commands.
3) Precocious, intelligent but not at all studious
4) Excess perspiration
5) Obese but active
6) Anarchist, revolutionary
7) Hurry, haste, chaotic

RHUS-TOX

AXIS: Physically restless/Active + Chilly + Thirsty

POINTERS:
1) Physical restless no mental anxiety.
2) > Motion
3) Mild + obsequious

OTHER INDICATIONS:
1) Patient Moves from one seat to other without reason, or moves or paces in the room.
2) Offers seat to others and pays excessive undue respect to others. As if he is willing to go out of way to give you any thing ( OBSEQUIOUS)
3) Fever comes on usually in the evening about 6pm. and lasts upto early morning.
4) Pains and bodyache > by motion < rest
5) Patient becomes extremely superstitious during acute illness.

KALI-SULPH

AXIS: Physically restless/Active + Hot + Thirsty or Thirstless

POINTERS:
1) Restless, but not anxious
2) Timid
3) Fair, lean, thin

OTHER INDICATIONS
1) Restlessness here means only playful jumping from bed to chair to table etc.
2) Child has no anxiety, no weeping, no discomfort despite high fever
3) Movements are pure physical. It is parents who are more anxious hearing the chest rattling and seeing the child cough and temperature rising
4) Appearance of child is fair with red tips, delicate features, mild look.
5) Never well since pneumonia

MERC-SOL

AXIS: Physically restless/Active + Chilly or Hot + Thirsty

POINTERS:

1) Disobedient
2) Excess thirst
3) Salvation

OTHER INDICATIONS:
1) Constantly moving, restless.
2) Rough behavior, revolting against whatever cold hence disobeys mother's commands.
3) Precocious, intelligent but not at all studious
4) Excess perspiration
5) Obese but active
6) Anarchist, revolutionary
7) Hurry, haste, chaotic

TARENTULA

AXIS: Physically restless/Active + Chilly + Thirsty

POINTERS:
1) Constantly motion of limbs
2) > Music
3) Disobedient, contrary behaviour.
4) Eats indigestible things collar of shirt, towels, send etc.

OTHER INDICATIONS:
1) Child has to be forced to eat, drink, sleep, get dressed.
2) Mischievious, loves to Trouble others
3) Destructive even while loving the child will slap or pinch
4) Bites Or Strikes
5) Thirsty constitutionaly-Thirstless in fevers.
6) Heedless not afraid of being hit or hurt.

ARSENIC

AXIS: Mental restless/Anxiety + Chilly + Thirstless/Thirsty

POINTERS:
1) Desire sips of water
2) Desire warm food and drinks
3) Fastidious

OTHER INDICATIONS:
1) Anxiety about health
2) Graceful
3) Weakness
4) Conscientious
5) Midnight aggravation

CINA

AXIS: Mental restless/Anxiety + Chilly + Thirstless

POINTERS:
1) Boring Nose
2) Thirstless
3) Cranky; Piteous crying

OTHER INDICATIONS:
1) Boring in any of the orifices esp. the nose
2) Capricious + cranky
3) Carried desire to be with abdomen over shoulder Which relieves

temporarily.

NUX VOMICA

AXIS: Mental restless/Anxiety + Chilly + Thirsty

POINTERS:
1) Fastidious
2) Irritability, crankiness < questioned when
3) < Light, Noise

OTHER INDICATIONS:
1) Quarrelsome, spiteful, malicious
2) A/F High living, stimulants, late hours, sedentary life
3) H/O Allopathic medicines
4) Oversensitiveness to noise, light, strong odours, talking
5) Ineffectual urgings

CHAMOMILLA

AXIS: Mental restless/Anxiety + Chilly + Thirsty

POINTERS:
1) Uncivil, snappish
2) Desires to be carried, >>carried
3) Red Hot

OTHER INDICATIONS:
1) Offensiveness - Mental and physical
2) One cheek red, other hot (Unbalanced state)
3) A/F After a fit of anger / Emotion
4) Oversensitiveness - Mental/Physical - Intolerence to

pain/suffering
5) Thirst +++
6) Kicking and crying(demanding cry)
7) <<<9.a.m.(bryonia-similar state <9.p.m)

BARYTA-CARB

AXIS: Mental restless/Anxiety + Chilly + Thirsty

POINTERS TO REMEDY
1) Functional deficiency of mind &body
2) Averse to strangers.
3) Misplaced Anxiety.

OTHER INDICATIONS:-
1) Mind and body do not work upto their fullest capacity. Thus mind has reduced capacity of thinking, reduced confidence, reduced will, lack confidence, shy of strangers, does not talk during illness.
2) Misplaced anxiety:-Patient who come for Bell's Palsy or ptosis of eyelids do not understand the importance or seriousness of the disease but will be more anxious of cough or sneezing or itching which disturbs their sleep at night. Anxiety not in proportion to illness.
3) Patient appears TIMID-answers foolishly.(but not mild).

Note:- Baryta carb, Baryta sulph which have absolutely no anxiety of health. Become very anxious during fevers but has misdirected anxiety.

FERRUM MET

AXIS: Mental restless/Anxiety + Chilly + Thirsty

POINTERS:
1) Reddish discoloration
2) Strong positive
3) Conscientious

OTHER INDICATIONS:
1) < Contradiction
2) Anaemic, chlorosis - False plethora
3) > Open air /Cool air, > Gentle motion

FERRUM PHOS

AXIS: Mental restless/Anxiety + Chilly + Thirsty

POINTERS:
1) Reddish discoloration / Flushing of face
2) Timidity
3) Acuteness of complaints

OTHER INDICATIONS:
1) Aversion to company
2) Intolerence to interruption / hinderance
3) Right sidedness
4) Anaemic
5) Relaxation (General)
6) > Open air,confusion>walking.
7) Indifference to exciting events

CHINA

AXIS: Mental restless/Anxiety + Chilly + Thirsty

PULSATILLA


Axis: Mental Anxiety + Hot + Thirstless

SULPHUR

Axis: Mental Anxiety + Hot + Thirstless

APIS

Axis: Mental Anxiety + Hot + Thirstless

TUBERCULINUM

AXIS: Mental restless/Anxiety + Hot + Thirsty

POINTERS:
1) Travel/Wander desire to
2) Desire cold milk and sweets
3) Loquacity during fever

OTHER INDICATIONS:
1) Long bones, Nose,sharp features.
2) Fearless,hopeful

MERC-SOL

AXIS: Mental Anxiety + Hot + Thirsty

CHAMOMILLA

AXIS: Mental Anxiety + Hot + Thirsty

VERBAL ACTIVITY INCREASED.

BELLADONNA
The redness, suddenness and desire for lemonades with such singing will point towards BELLADONNA. The song sung are usually in loud voice.
Example: A doctor who was treated by a close friend of mine and for whom I was also consulted developed suddenly side-effects of Norflox antibiotic taken for some infection. The side-effect of Norflox was Psychosis. The 60yr old doctor started talking continuously in a loud voice. The 'talk' was so continuous that people hearing it would be tired, but the patient was not. This went on throughout the night, non-stop. When I visited him his face was 'flushed' and on seeing me he started - Prafulbhai, Prafulbhai, Prafulbhai; How are you, How are you, How are you, ? every question or sentence was being talked in a rhythm of three. Without waiting for reply he went on I'm fine, I'm fine, I'm fine. A dose of belladonna 30 administered by my friend Dr. Mehta, cured him completely to the surprise of the hospital authorities who were treating him in vain.

STRAMONIUM:

1) Panic in dark
2) Aversion to bright light also.
3) Singing or talking on one subject
4) Chilly - Thirsty
5) Face Dull - Anxious- Panic Stricken

OPIUM :

1) Singing
2) Sleep - Over powering
3) Sleep- difficult to awaken or disturbed by slightest noise
4) No complaints- contented
5) Ailment from fright
6) Hot

VERAT ALB:

1) Singing
2) Loves Lemonades or cool refreshing drinks
3) Chilly in collapse condition or perspiring condition. HOT

otherwise.
4) Haughty, Hopeful, Slanders, Curses at the same time prays.

CANN IND:

1) Vivacious speech, Laughs+++
2) Talks on one subject specially science
3) Makes verses
4) Chilly + Vivacious

LACHESIS:

1) Hot Thirst or Thirstless
2) Sensitive to clothes touching throat, averse to tight clothing
3) Worse sleep during or after
4) Jesting on his own illness.

COFFEA:

1) Vivacious, Timid, Benevolent
2) Talks irrationally during fever
3) Makes plans for future
4) Talks of pleasant scenes and surroundings
5) Makes verses on Nature
6) Easily overjoyed, easily saddened.

ANTIM CRUD:

1) Though Chilly, aggravated by the Sun
2) Desires sour which aggravates
3) Gastric disturbances
4) Aversion to people, oversensitive, sentimental
5) Makes Verses.

NO CHANGE: There are certain conditions which do not change under the ravages of Acute infections or illnesses. This means there is no change in ACTIVITY of the patient. The patient has neither dulled nor become hyperactive.

For all practical purposes these patients are the ones who tolerate their illness without complaining.

"No complaint" is due to various causes
(a) because of contentment e.g. opium;
(b) because the patient is averse to pity and sympathy from others e.g. Nat. Mur.,
or the patient does not want others being troubled for him nor does he or she wants to miss his duties, work or school e.g. silicea.

PREDICTIVE HOMEOPATHY
CHAPTER 5

CHAPTER 5

SCIENTIFIC EXPLANATIONS OF THE GOLDEN RULES

BE A MINIMUM PRESCRIBER

BE A SINGLE REMEDY, SINGLE DOSE PRESCRIBER.

THERMAL AXIS






SCIENTIFIC EXPLANATIONS OF THE GOLDEN RULES

BE A MINIMUM PRESCRIBER:

He who prescribes the least is the best Homoeopath. This is a Golden Rule. One who wants to be a successful homoeopathic physician has to be wary of prescribing unnecessarily. He should in the first place be aware of 'when to prescribe and when not to'.

There are thousands of books on Materia Medica, as well as Organon and Philosophy which give you indications of prescribing remedies. None of these tell you when not to!

But in my practice of 25 years, that has given me credit and that too predictive credit is 'No-Prescribing' or 'Minimum-Prescribing'- both in Acute as well as Chronic diseases!

Paradoxical as it may sound this Golden-Rule of NON-PRESCRIBING has a Scientific base.

Case: A patient having acute infective diarrhoea came to me complaining, Doctor, today is the third day of severe watery diarrhoea. I have been suffering since two days. I have passed more than 25-30 stools all liquid, almost transparent or sometimes yellowish. As soon as I would eat, I had an intense urge to run to the toilet. If there was a fraction of a second delay, I was unable to control my stools. When asked-"Why didn't you come to me yesterday or 2 days back?"

Prompt came the reply "I had no strength to move about nor did I have any control over my stools to wait in your clinic for 2 hours". "Then how did you come today?" was my next question. He said "I just couldn't eat, drink since I had no desire to. Hence, I felt weak and drowsy since 2 days. Since yesterday, the number of stools have gone down, I could get the desire to eat and today, since morning, I have passed only three loose motions. I have the energy to walk after a good night 's sleep and so I came to you."

Next question to the patient from me "do you really feel like eating today or you have forced yourself to eat?" "No-no I had a real desire to take my breakfast today almost after 3 days!"

In the above case the diarrhoea which occurred was no doubt due to some infection or some toxins which were consumed with food. The body or the system of the human being is so made up that it tolerates no nonsense or no toxins or nothing which can cause harm to the person. Hence, it has its own defensive mechanism which instantly starts throwing out the toxins in the gut by inducing hyper-peristalsis which appears to us as diarrhoea. In fact, diarrhoea at least in this case, was a defensive mechanism of the body to cure itself. The Cure was already taking place and after the eviction of the toxins from the system the patient was already feeling better e.g. less of tiredness, less weakness, good sleep, less stools. He was gaining in strength and his appetite was already back.

Overall, the general parameters of health in a human being e.g. desire to move, to work, stamina to work, desire to eat (not forcefully) and sleep are more important than the loose motions. If these parameters are better then, it goes without saying that the loose stools HAVE TO STOP! Stop is a wrong word used here. What should happen is, stools have to become normal and this normalisation should occur at the most in the next 24 hours. Thus, what the patient required was placebo with a sure short prediction- "Go, your stools will be normal by tomorrow morning"!

Such predictions are possible, if you understand the physiology of man well.

The Internal Physician residing inside the body has to be respected.

When HE is Curing, a Homoeopath (or even an Allopath) has no right to interfere for HE knows what is best for him.

Case: A child coming to us for treatment of fever since 4 days.

The child was dull, drowsy, coughing badly at night with thirst for little quantity often.
This child when treated with Homoeopathy or Allopathy before coming to you has to be assessed not in terms of what medicine to prescribe, but in terms of whether he requires a remedy, as on today. First of all, find out whether the range of fever has come down in the last 3 days or not. Find out whether the child is less cranky today. Find out whether the child has asked for something to eat today or not? If yes, then the child is definitely on the improving path.

If the child is playful today vis-à-vis yesterday, and asked for something to eat by itself is a clearcut indication (even if the fever persists) that this child is 'curing' itself (the allopathic physicians may call it a self limiting viral infection). It is not only WRONG to treat this child with indicated (or non-indicated) remedy but grossly 'criminal'! Any prescription or stimulation of the child's immunity is bound to bring about exacerbation or aggravation of the fever or diarrhoea and the child's recovery will be prolonged. Respect the Internal Curative Immune Mechanism of Man.

When not to prescribe and yet Cure is a hidden art of Homoeopathic practice.

BE A SINGLE REMEDY, SINGLE DOSE PRESCRIBER.

If a Homoeopath wants to see miracles happening; if he wants to see typhoid fever vanish in just 24 hours; if he wants to see pneumonia's clear up (radiologically too) within 48-72 hours; if he wants to see 100-135 pus cells in urine disappear within 48 hours; or for that matter wants to surprise his allopathic counterpart, it is only possible with a single dose of a SIMILIMUM and the similimum is always a SINGLE REMEDY.

Doctors who prescribe mixtures, patents and combinations of say Ferrum phos 3x, Kali Mur 3x, Nat. Mur 3x for fevers or Aloes 30, Podo 30, Crot. Tig 30 for diarrhoeas etc, etc are entirely not at fault for Abandoning the very principles of Similia Similibus Curantur or the Seven Cardinal Principles of Homoeopathy.

There has been up-to-date NO REAL EFFORT on the part of Homoeopathic Scientists to justify these principles scientifically (i.e. as much as or as far as science has advanced). Secondly, Homoeopaths practising rightly have never expressed their views on HOW TO STICK TO THE CARDINAL PRINCIPLES and yet get results. Thirdly, EGO of other friendly neighbour Homoeopath is so big that he refuses to accept anything which another Homoeopath proposes and sticks to his own guns. Fourthly, the knowledge of the right prescribing image or drug picture not being available, failures abound.

Example:- a) Patient coming with chills at 3 a.m.; followed by fever at 4 a.m.; intense thirst for ice cold water during chill; headache after fever and chill has subsided; the patient lies dull no sleep though; wants fan despite chilliness; no bone pains or bodyache; does not complain much. When the case is analysed and repertorised :

a) Chill at 3 a.m.- Symptom Rubrics which can be considered
1) Chill (chapter); Night; midnight after; 3 hrs on waking- only Ferr

2) Chill, night, midnight after- Ars, Calad, Hep, Op, Thuj, Coff, Dros, Mag-s, Mang, Merc, Mez, Petr, Sil, Sulph

3) Chill (chapter); Time, 3 hrs- Aloe, Amm-mur, Canth, Cedron, Cimic, Cina, Eup-perf., Ferr, Lyss, Nat. Mur. Rhus. t. Sil, Thuja..

4) Same rubric: 3 a. m- Ars (complete repertory)3-5a.m. Kali. Carb (complete repertory)

5) Fever (chapter); succession of stage Chill followed by heat- 98 drugs.

Such rubrics when considered confuse the homoeopath completely. Besides, the questions asked by the physicians, confuses and frustrates the patient.

The smaller rubric of Chill followed by perspiration with thirst or without thirst and heat following chill and perspiration whether it is before the heat or after the heat or chill etc, are totally confusing with different repertories giving different versions and indicating different remedies. Thus, the Homoeopath is taken on a wild goose chase. He lands up with two, three or at times six remedies(?) being indicated commonly in chills, heat, thirst and administers the mixture every 2 hourly or 1 hourly as the emergency demands. The fever comes down gradually from 103 F to 102 F to 100F on the 3rd day and may disappear on the 4th day. The homoeopath is pleased and happy that he has kept the patient away from anti-typhoid drugs or anti-malarial drugs or at least away from an allopath. He does not realize that the fever has subsided because it had to subside. The viral or the bacterial infection had to run its course and the immunity was geared up again to gain equilibrium.

I have in the beginning of my career practised in all these and other ways frantically trying to get results. I even admit of being so non-confident with so many drugs and so many repetitions that many cases were referred to the allopathic physicians saying that serious diseases have no treatment in homoeopathy. "You take a course of antibiotics, control the acute infection, then, I will strengthen your immunity". These words are not just mine. I'm sure most of us who have a conscience will agree that they have done this innumerable times in their practice. BUT and this is a real BUT when I started understanding the importance of treating Man in Disease and not Disease in Man the whole world changed. To treat disease i.e. fever I had to give so many medicines, repeatedly, to literally hammer down the fever or diarrhoea etc. To treat the MAN, I had to just stimulate the man with a single dose of similimum! I had to just perk-up the immunity, to just encourage the man "come on-fight the disease.

You'll remember, when we are seemingly doing this in modern medicine. Yes, it's when we vaccinate, Vaccination is Homoeopathic in principle. We stimulate the immunity with an antigen which is either the bacteria in subclinical form or an immunogen which simulates the bacteria which is injected inside the body. This stimulus procures a reaction in the body which subsequently develop antibodies to the antigen or bacteria and thus defend our body. It 'cures' and protects by 'Reaction'. (and not action). Our Homoeopathic medicines also cure similarly by REACTION and not by ACTION. Now, a million dollar question is when allopaths can use Homoeopathic Principle Similia Similibus Curantur. (i.e.: inject tubercular bacilli for protection against Tuberculosis and Tetanus toxoid to cure tetanus) and for all this require only one dose per month or then at the most three doses (spread over six months or five years) to make the person healthy. Why? Oh Why? Should a Homoeopath whose science is based on this principle require repeated Stimuli and Repeated doses? Do the allopaths require three or four types of bacteria to be attenuated and injected together to give immunity to a patient from Tuberculosis? Then, why do Homoeopaths require two or three or more remedies to be administered to boost the patient's immune system? If Allopathic vaccinations can work (selectively though) with a single dose and single bacterial stimulus, the Homoeopath with his holistic approach has to cure following Law of SIMPLEX and Law of MINIMUM DOSE.

Thus, by this method of single dose single drug practice, one manages to adhere to two of the most important cardinal principles of Homoeopathy.

By not using mother tinctures and sticking to dynamised single doses, the third LAW of DRUG DYNAMISATION IS ALSO ADHERED TO.

Coming back to case A, the importance should never be given to chill, the time of chill, the type of chill, the succession stages, the headache, the time of perspiration. This chill and shivering is a symptom of disease or rather a general mechanism of heat production. It has manifested itself only when the patient is diseased.

Chill or shivering occurs as a temperature increasing mechanism when primary motor centre for shivering situated in the dorsomedial portion of posterier Hypothalamus is excited by cold signals from skin and spinal cord. This results from feedback oscillation of muscle spindle stretch reflex. Shivering causes body heat production to kill the bacteria or virus or parasite. This is a part of immune or defensive mechanism of the body and no doubt may be exhibited differently in different constitutions. But with the profuseness of material available in the repertory all of which may not be reliable, one is bound to be confused. And above all, it is a disease symptom, a reaction to a disease. Then, if we don`t consider fever, chill, what should we consider for prescribing?

We are interested in treating the MAN in disease. The MAN or CONSTITUTION or the changed IMAGE is what is required by us, to understand and prescribe the SIMILIMUM. No doubt, every symptom whether it is a pain, or a chill, or the type of fever is going to be the representative of the ill person, but some are more representative of the person than others! These vital representatives of the VITAL FORCE are on the Activity-Thermal-Thirst axis in acute illnesses, to which we add other important symptoms to get the similimum.

Activity - Thermal - THIRST - (Mental) Axis

What we would like to know is, has the constitution been affected so drastically as to bring about a change in Activity, other Generals and thermals, thirst and mentals. This means, how has the constitution reacted to the ACUTE ILLNESS? If, and only if, the Generals, the thermals, the thirst and the Mentals have changed from the 'original' then, and only then, should the patient require something different from the original constitutional drug.

This means that if there is change in ACTIVITY of a person the Generals have changed. If there is a change in tolerance to Heat and Cold - the THERMALS have changed. If there is a change in water intake, - the Thirst is changed. If there is a change in Mental attitudes e.g. irritability, anxiety, etc., - the 'MENTALS' have changed. Thus, the ACTIVITY-THERMAL-THIRST (MENTAL) AXIS has changed. A new remedy which is 'Similimum' to the new Activity-Thermal-Thirst Mental Axis is required to bring about a 'cure' on the basis of our cardinal principle of SIMILIA.

Generals - Activity: Why 'Activity' is important in assessing the changed constitution is already explained in the previous chapter of ACTIVITY (ref. Page 27- for scientific explanation)

Q. What to Assess in Activity?
ACTIVITY of a person may be
a) INCREASED
b) DECREASED or
c) NO CHANGE

This change should not be asked by a direct question but has to be observed by the physician; except ion case of infants.

Activity Decreased

Normally an active person, talkative person, fast moving person, becomes dull, inactive, quiet and slow. He either
1. just lies down not doing anything
2. Sleeps continuously.
The mother may point out that the child is sleeping today almost for 10 hours, and did not wake up to eat or to drink etc. In the above case (a) the patient was dull though not sleepy; hence, we chose the first option. 1. Dull and just lies down. Decreased activity is due to large amount of energy i.e. ATP from the mitochondria of the cell is being used up to combat the invader, or transfer the toxins from cell to cell by means of active transport.

Activity Increased: This increase in activity can take place in physical sphere or mental sphere. The mental activity can result in either mental anxiety or mental hyperactivity causing loquacity. Thus, Increased Activity is further divided into
a) Physical Restlessness (without mental Anxiety)
b) Mental Restlessness (with Anxiety)
c) Verbal Activity (Loquacity)

Physical Restlessness:- Here, the patient just moves or is compelled to move by inner unknown urge. The patient just does not sit in one place. Moves constantly; knows not for what. He either paces the floor or goes out for walks just to keep moving.

Mental Activity: Here, changes in the biochemistry of the patient make him ill-at-ease in mind hence, the patient becomes ANXIOUS. A child keeps on crying or becomes snappish or just becomes ununderstandably obstinate and starts kicking, striking, biting, etc. an adult cannot bear anybody disturbing him or asking him questions all of which send him in a fit of Anger. In short, the mental tolerance to all external stimuli is reduced causing the patient to go in a state of anxiety; a state of insecurity as to what will happen to me next?

Verbal Activity: In certain constitutions an acute illness can cause confusion in Wernicke's area in the brain wherein due to unsynchronized impulses from the neighbouring areas, the interpretation area of Wernicke's sends chaotic messages to Broca's area of speech thus causing loquacity. This is expressed in three forms
(a) Singing,
(b) Makes Verses and
(c) Cursing.

SINGING:- The patient, as the fever or toxicity rises becomes more exhilarated and rhythmic. He starts singing or talking in rhyming language. Singing always does not mean actual singing song. He starts becoming rhythmic, starts substituting words from famous songs by his own words. "Jack and Jill went up the hill to fetch a pail of water!- nursery rhymes or a famous film song is repeated again and again.

c) No Change: There are certain conditions which do not change under the ravages of acute infections or illnesses. This means there is no change in ACTIVITY of the patient. The patient has neither dulled nor become hyperactive.

For all practical purposes these patients are the ones who tolerate their illness without complaining.

No complaint are be due to various causes
(a) because of contentment e.g. opium;
(b) because the patient is averse of pity sympathy from others e.g. Nat. Mur.,
(c) or the patient does not want others being troubled for him nor does he or she wants to miss his duities, work or school e.g. silicea.


Question 2. We come to the next question whether the patient is
hot
chilly

THERMAL AXIS -- Hot or Chilly: This is controversial. I've seen Homoeopaths not believing in Hot or Chilly. Excuses being given for not believing are: -

a. Hot or Chilly recorded in books are by western standards, which may not be true by Indian standards.
b. If mentals or PQRS or all other symptoms are coinciding with a particular remedy, neglect the thermals.
c. Hot or Chilly are very difficult to derive, hence neglect it.

My answer to this:

a. If Hot or Chilly has been recorded in the western temperatures even 4-a.m. aggravation or mid-night aggravation is also by western standards. Should we then convert it to Indian standard time and take mid-night aggravation as 7 p.m. or 8 p.m.? Then, arsenic will be given to Bryonia etc. If time is relative so also is temperature. Hot or Chilly is to be taken according to the Indian standards, which also varies according to altitudes.

A Chilly patient of Punjab may feel hot in Mumbai or Chennai. A Hot patient of Mumbai may feel Chilly in Delhi.

Hot patient does not mean repertorily "Heated becoming aggravation" or "Warmth aggravation" or "Sun aggravation".

Similarly, Chilly patient does not mean "Cold aggravation" or "Cold air aggravation" or "Cold becoming aggravation" as given in the repertory.

Hot or Cold aggravation makes it a particular. We are concerned with "GENERALS". Now, we are concerned with the tolerance of that person to heat or cold as compared with others around him in the same environment.

a. Decreased tolerance to heat (as compared to others in the same climate) can safely be taken as HOT.

b. Decreased tolerance to cold (as compared to others in the same climate) can safely be taken as CHILLY.

c. Increased tolerance to cold (as compared to others) can safely be taken as HOT.

d. Increased tolerance to heat can be taken as Chilly.

Examples:
(i). People who cannot sit in a place without AC or fan even in winters or pleasant climate in which others are comfortable are distinctly HOT. People who need AC or Fan to be comfortable even in a pleasant climate are bound to be hot. People who rarely wear sweaters or are the last to wear sweaters as compared to his friends or family members are apt to be HOT.

(ii). People who require double clothing or put-on a sweater easily on the slightest drop of mercury are mostly CHILLY. People who can sit comfortably with Tie and closed collars in a warm sultry room can be taken as CHILLY.

Many a times one finds the patient mentioning " I feel heat as well as cold very easily". There are patients who say, " I cannot bear the extremes of both heat and cold". These are Ambi-thermal drugs. e.g. : - Merc-sol, Antim-crud, Natrum-carb, Cinnabaris may be constantly sensitive to, intolerant to, and aggravated by both heat and cold.

Mercury in acute diseases like cough, cold, coryza, fever or diarrhoea i.e. in PSORIC conditions presents itself as Hot. In chronic conditions like hypertension due to atherosclerosis, ulcerative colitis etc. i. e. when sycotic or syphilitic miasm prevails mercury presents itself as Chilly.

In demonstrating Chilly constitution please do not ask for warm bathing or cold bathing. I have students being misled by bathing water temperature.

Bathing with warm or cold water is not reliable because it is more of a habit. In cities and advanced urban areas where electricity is easily available and heaters and geysers are easily available there is tendency of bathing with warm water which ultimately becomes a habit. The more the sophistication the more the people tend to incorporate geysers and heaters even in a warm climate as in Mumbai. In the rural areas or not so advanced areas where heating of water daily is impracticable one shall find people bathing with cold water even in coldest of winters, but it does not stamp them as hot. It is more of habit.

Sitting and working daily in an airconditioned environment is also habit forming. One finds that chilly person working continuously in AC and that too chilled environment through the day but hates AC or even fan at night when he is going to bed. He has a constant tussle with his wife or room partner who puts on the fan when he goes and switches it off again and again.

Talking of beds, one finds many patients saying, " I have to have a thin or a thick covering on myself when I sleep at night"; again here it could be a habit. In such patients, one has to take the nature of the patient into consideration before stamping him as hot or chilly.

A timid constitution like Calcarea who prefers to retire into a shell finds blankets and covers simulating a shell and hence wants them for comforts irrespective of hot or chilly.

Another point to note in this hot or chilly section is, in most of the neurotic hysterical patients, one can safely neglect the importance of thermals. This sounds antagonistic. The reason here being that hysterical patients as the word hysteria suggests have a tendency to react more than normal to natural-normal stimuli. Say for instance an ordinary tussle for fan at night between husband and wife is going to be exaggerated by one of them to lead to a divorce to suicide; one of them is positively reacting hysterically. When ordinary contradiction by one sends the other into a rage the person is hysterical. In short, when any reaction to a situation is out of proportion to the action or stimulus the sensitivity of that person is increased bordering on hysteria.

Here in thermals too, same rule applies. Heat or Cold is a stimulus. If a patient is already hypersensitive to all stimuli he/she is bound to react more to heat or cold as well. Hence, hysterical drugs cannot be confined to the mathematics of hot or chilly. They either react excessively to both or on the other hand you find them changing from hot to chilly at a drop of a hat with swings of the moods. Pulsatilla, a definitely a hot remedy in acute illnesses with intolerance to heat and closed rooms with desire for cold open air is known to be chilly at times albeit when hysterical symptoms predominate. The changeability of Pulsatilla can also make it swing from hot to chilly or thirsty to thirstless with its famous now well-now ill constitution.

Other hysterical drugs like Moschus, Valeriana Asafoetida etc. should be considered similarly.

Now, comes the "Million Dollar Question" whether one should consider the genetic constitutional hot or chilly or the changed state of hot or chilly in acute illnesses.?
HOT AND CHILLY: In order to understand the importance of Hot and Chilly it is important to study and understand the Insulator system of the Body.

THE INSULATOR SYSTEM OF THE BODY

There are two Temperatures of the Body.

1. Core temperature
2. Surface temperature

The temperature of the deep tissues of the body the "CORE" remains almost exactly Contrast within +/- 1؛ F, day in and day out except when a person develops a febrile illness.

The Surface temperature, in contrast to the core temperature, rises and falls with the temperature of the surroundings. This is the temperature that is important when we refer to the ability of the skin to loose heat to the surroundings.

The mechanisms for control of the body temperature represent a beautifully designed control system, which operates in health and in disease.

IN HEALTH

The skin, the subcutaneous tissues, and the fat of the subcutaneous tissues are a heat insulator for the body. The fat is especially important because it conducts heat only one third as readily as other tissues because most body heat is produced in the deeper portions of the body, the insulation Beneath the skin is an effective means for maintaining normal internal core temperature.

Heat is continually being produced in the body as a byproduct of metabolism differently in different constitutions. Body heat is also continually being lost to the surrounding. The various methods by which heat is lost from the body are
(1) Radiation 60%
(2) Evaporation 22%
(3) Conduction 18%
when the rate of heat production is exactly equal to the rate of loss the person is said to be in "Heat balance".

The factors that are important in determining the rate of heat production are

Basal rate of metabolism of all the cells of the body

Increase in rate of metabolism caused by muscle
activity.

Increase in metabolism caused by the effect of
epinephrine norepinephrine and sympathetic
stimulation on cells.

Increase in metabolism caused by increased
temperature of the body cells.

Effect of thyroxin on body cells.

Hence heat production in every individual depends upon the basal metabolic rate, muscle activity, amount of epinephrine, nor-epinephrine thyroxin and sympathetic stimulation. All these are different in different individuals depending upon their genetic constitutions (code) To maintain the heat balance in every healthy individual and make all the systems function normally the amount of heat radiated has to be controlled, This means people who have less heat generated through their metabolic or muscular activity have to conserve heat by accumulating more fat underneath the skin. Therefore Chilly people will have excess fat. This is proved by the fact that three or two marks drugs listed in the repertory under General rubric of Obesity in Synthesis Repertory are mostly chilly drugs. Out of 30 drugs mentioned 24 drugs are out right chilly.

OBESITY:

3 Grade remedies - CALC, CAPS, FERR, GRAPH, PHYT,
All 3 grade remedies are CHILLY

2 Grade remedies -
CHILLY REMEDIES: acon, am-br, am-c, am-m, ang, ant-c, ars, asaf, aur, bell, calc-ar, calo, coc-c, cupr, elaps, fuc, hura, hyos, kali-bi., kali-c, lac-d., phos, pitu-a, thyr.

HOT REMEDIES: apis., croc., lyc., nat-m., puls., sulph.

Their excessive fat is deposited to prevent the loss of internal heat to the environment by radiations.

Vice-versa the patient or constitutions which have excessive heat produced within them have to release it out to the surroundings Hence fat which is a poor conductor of heat as mentioned earlier is an obstacle and should be done away with so lean thin people like Iodum, Tuberculinum, Secale cor, Bry, etc. shall be hot.

The above idea is not a hard and fast rule but just an indication of how the constitution of a person can have an effect on his built and how thermals i.e. tolerance to heat or cold is a part and parcel of the constitution prescribed for.

IN DISEASE

In acute cases i. e. during fevers or loss of fluids from diarrhea, maintaining the heat balance is slightly more intricate and different. It is the neuronal effect mechanism that decreases or increases the body temperature here. When the hypothalamic thermostat detects the body temperature as either too hot or too cold it institutes appropriate temperature decreasing or temperature increasing procedures.

Temperature decreasing mechanism are: -
(a) Vasodilatation all over the body caused by sympathetic centres in posterior hypothalamus,
(b) Sweating too causes heat loss by evaporation.
(c) Decrease in heat production by inhibiting shivering and chemical thermogenesis.

In order to achieve this the changes which are brought about in the activity of person as a whole, the osmotic regulation increasing or decreasing the thirst, the increase or decrease in secretion of epinephrine, nor-epinephrine and thyroxin thereby giving rise to change in the behaviour of the patient. All these constitutes an image as a drug picture which may or may not be the constitutional, but definitely has to be in relation to the original constitutional similimum.

Example: If a constitutionally known 'sulphur' patient has to suffer from fever with rigors. If he has changed thermals from hot originally to chilly. If he, who liked being with many friends suddenly starts getting angry at the crowd around him or gets irritated at slightest noise or questions or when disturbed and has tremendous increase in thirst than it is Nux vomica single dose which is indicated and not sulphur because his Activity-Thermal-Thirst-Mental axis has thus changed (For Chilly and Hot remedies chart see page no.157)

Relationship of Remedies:
It has been observed that this world is mathematics. Human being and its beautifully well-balanced feedback systems are all in homeostasis because of mathematics. Even the intricate mechanism inside a cell or in human is governed by the laws and mathematical formulae.

Nernst equation that governs the sodium and potassium in all tissues and cells. States.

Diffusion Potential (in millivolts) For sodium







= - 61 X log concentration of sodium inside
Concentration of sodium outside

Permeability of a cell membrane to various elements is given by a formula

Permeability of membrane
= No of channels per unit area X Temp









Resistance of channels per unit length X length of channels X square root of molecular weight .

These and many other mathematical formulae abound in physiology textbooks. The definite values quoted as normal for hemoglobin, leukocytes, M. C. V., M. C. H. C., blood sugar fasting and post-prandial, cholesterol, triglycerides, proteins etc. are in it self ample proof of mathematicity of the body.

It will be only adamancy (if not foolishness) on the part of physician who does not agree that if any changes occur in the nature or behaviour or in other words in secretions of neurotransmitters which result in anger and fear (adrenaline), depression and sadness (serotonin, epinephrine) etc. are unrelated to the original nature of a person.

In short, if changes are temporarily seen in genetic constitutional similimum during acute phase the new drug picture is almost certain to be in relation to the original drug picture that is a Sulphur might develop diarrhoea of a Nux vomica or a Pulsatilla or an Aloe Soc. or Arsenic all etc. A Calcarea Carb constitution in fever shall develop generals e.g.. Thirst and thermals of Belladonna or a Rhus tox or Nux vomica or Sepia or Silicea or Graphites or Nat Carb if chilliness in thermals is still maintained. If the thermal has changed from chilly to hot during the fever then it may mathematically manifest the symptoms of Lycopodium or Pulsatilla etc.

Lycopodium constitution if affected by dynamic stronger influence may change to manifest general symptoms of Lachesis, Sulphur, Pulsatilla, Bryonia, Iodium, Kali Iod or Ignatia, Ipecac, Silicea, Sepia, Nux vomica, Phos.

Thus it is of utmost importance to know the relationship of remedies.

This knowledge may accidentally help us or guide us to find the right genetic constitutional simillimum. A case of tuberculosis of the lungs which I have cured amply demonstrates the upper concept.

Case: A lady aged 38years suffering from Pulmonary koch's came to me with a picture of Rhus Tox. She would be better and relapse again and again and dose of Rhus Tox every 15days would relieve her. But the X rays follow-up after 1 month did not show any change in her cavity. This led me to interrogate her husband about her nature again. He insisted that she has not told me her real nature. He summed up her whole nature as "unlivable with". She's so touchy, anxious, irritable and discontented that everybody in the house is afraid to talk to her. We keep distance from her because of her irritating nature. Then she nags and nags and complains that we don't care for her. She wants me to be with her everywhere she goes. She is so restless that she just cannot sit and do anything continuously (This restlessness perhaps had misguided me to Rhus Tox). Here after seeing Rhus Tox act partially I was sure the constitutional was not far off. I had only to open the relationship book to find out which drug had Rhus Tox following well. Since Rhus was acute the constitutional drug has to have Rhus Tox following well.

The remedy Cina showed Calc, China. Ignatia, Nux vom, Plat, Puls, Rhus tox, Silicea and Stannum following it well. With the picture now clearly showing the mentals and generals of Cina. I did not hesitate to prescribe a single dose of Cina 200. Believe it or not the cavity disappeared within 3 weeks never to relapse again.

Thus knowing of relationships of remedies is a must.

Those who do not feel the need to do so perhaps are not practicing "holistically hence when I used to practice it that way haphazardly. I never realised the importance of relationship of remedies.

Dr S.R.Wadia has tremendous sucess rate in treating leucoderma cases. I found this article in Homeopathic links , however i never found this article elsewhere in web His experience,research and insight in the disease will definitely guide all of us in exploring the new dimension in treating leucoderma cases.

LEUCODERMA- A SOCIAL STIGMA


Leucoderma, which causes white patches on the skin, has been known for centuries. Though it is not contagious, it causes a lot of embarrassment, particularly in females, who regard it as a social stigma. Hence, from a cosmetic point of view its treatment is important.
Human skin has different hues in different parts of the world The colour of the skin is due to a pigment called melanin, which is more in coloured people. When this pigment decreases, the skin turns white. The pigment increases when the parts are exposed to sun or ultraviolet rays. Hence, physicians ask their patients to expose these parts to the sun after applying their medicine. However, this effect is short-lived and at times may cause blisters. One of my patients who applied Bavchi powder mixed in water had huge blisters which had to be dressed. When the blisters healed, the skin still remained white.
COMMON TREATMENTS USED IN THE PAST AND PRESENT.

1. Psoralent compounds and Amimajus (Unani) were hailed as a great research. Side effect-digestive upsets and blisters with itching all over the skin.
2. Corticosteroids have many side effects and cannot be given for long.
3. Cuban cure for leucoderma is a placental extract and as a lotion is applied locally on the patches and then exposed to ultraviolet light.
4. Injections too have been tried, unsuccessfully. Research has to be made with Homoeopathic potencies.

HOMOEOPATHIC VIEW POINT

Causes The most important cause according to my findings and statistics are
1) Chronic amoebic dysentery and intestinal parasites. 50 percent of patients give a history of worms preceding the diseases.
2) Other skin disease suppressed by external application and by internal allopathic drugs.
3) History of repeated vaccinations as in frequent travellers and those in the Army and Navy.
4) P / H or F / H of Tubercular infection.
5) P / H or F / H of Diabetes.
6) Shock, anxiety, mental strain. Case have been mentioned, where continuous air raids in a war have turned the skin white in a couple of days!
7) A young Christian lady visited me for white spots. On questioning, she told me that her husband was at sea and she had two children to look after. She earned a little by giving tuitions but that was taken away by her mother in law. There was a constant friction between them. She burst into tears while narrating the story. Her deep grief was responsible for the white patches.
8) A family history of Leucoderma is seen in many patients. So I think that marriage between two individuals with Leucoderma should be avoided. Dr Mofti gives a case, where a young lady developed vitiligo during her pregnancy. The ladys mother had vitiligo. Her child also developed vitiligo at age of 6 years.
I had a case of a 20 year old girl with leucoderma, where there was a history of leucoderma in the grand mother as well as mother.
9) Cauterisation done for warts or moles may result in subsequent leucoderma. A friends daughter had extensive white patches all over the body after cauterisation of warts.
10) Miasmatic conditions: a) From among the three miasms, Psora is maximally responsible for the condition. This is mainly in cases where skin complaints like eczema, ringworm, scabies etc have been suppressed by ointments. In such cases our greatest antipsoric remedy Sulphur is of great help.
b) For Sycotic conditions with a history of vaccination, Thuja found to be useful.
c) The third miasmatic condition, ie Syphilis: has bilateral patches, stomatitis and aggravation at night, Mercury preparations, or preferably Lueticum is useful.
d) In some cases where there is Tuberculosis in the family and the patient suffers from chronic colds and cough, then Tuberculinum and Bacillinum are useful.
There are some cases of Leucoderma, where there is no family history of Leucoderma, but the patient had suffered from gastro- intestinal diseases such as amoebic or bacillary dysentery, gastroenteritis, enteric fever, etc which were treated with antibiotics and chemo-therapeutic drugs. Here, probably as a result of the powerful drugs the intestinal mucosa is affected, causing a deficiency of Tyrosine, leading to a disturbed melanin formation. The choice of remedies here is Nux-vomica, Bacillinum, Chelidonium or Phosphorus followed with constitutional remedies.
12) In a paper on Vitiligo and albinism published in the Indian Journal of Medical Science 27-86, 1973 Dr J C Shroff, reported the findings of a relationship between Vitiligo and several autoimmune disorders like pernicious anaemia, thyroid disease and diabetes mellitus.
13) (i) Genetic predisposition is recognised. A number of vitiligo patients do give family history of the disease.
(II) Neurogenic factor- There is some evidence to suggest that the loss of pigment could be attributed to the failure of neural or neurochemical control of melanocytes, resulting from damage to nerve fibres.
(III) Vitamin B Complex- Since nutritional factors affects the process of pigmentation, direct proteins, vitamins and certain metals should not be lost sight of.
14) According to Vaidya, Journal of Gujarat University, B-Science of August 1975, the reasons for depigmentation are unknown. Many factors eg genetic, dietary, autoimmune bodies, vitamin deficiency, neuroendocrinal mechanisms, neurodermatosis and inhibition of some intracellular enzymatic process have been suggested. According to Siddick (1962) heredity seems to play a positive role and Fitzpatrick (1965) believes it is an irregular dominant trait.
15) Biochemistry and Endocrinology- Melanin formation depends on enzyme tyrosinase. Since optimum body levels of Vitamins are a prerequisite for Tyrosinase activity (Breathnach, 1971), Leucoderma is often associated with deficiency of Vitamins (Sieve, as cited by Sulzberger et al, 1965)
Gonadal, adrenal, thyroidal as well as pituitary dysfunctions have been associated with skin depigmentation (Robert, 1951; Learner, 1959) and specific antigens in Saliva of vitiligo patients). Female hormones taken for a long time are often said as a block to curing Vitiligo.
16) Minerals: Copper has the highest catalytic activity on Tyrosine (Fleshch and Rotham 1948). It is more active than Manganum and 100 times more active than Ferrous ions. (Scalon 1969). The Tyrosin molecule itself contains 0.2 percent copper and is synthesized in the ribosomal fraction of melanocytes. Ghoshal (1959) has reported significantly high level of Ceruloplasmin (the form in which 90 percent of copper occurs in blood) in Leucoderma patients. Our studies of the blood mutabilities of normal and Leucoderma patients, have shown that both copper and ceruloplasmin level are low in Leucoderma patients. (V C Shah, NJ Chinoy, M V Majumdar and K S Sharma, Zoology department, School of Sciences, Gujarat University, Ahmedabad 380009)
17) Diet-Flesh of unhealthy animals mainly ham, bacon, pork harbour a lot of parasites, eggs and cysts. When digested they release tiny worms in the intestine and do havoc in Human beings. If cooked pork is pink it has not been properly cooked. The meat must be white to be safe. Citrus fruits should be avoided. Papaya and mangoes can be taken. Nonvegetarians can take fish, meat and eggs in moderation but no milk products. Chapattis with bran instead of white bread is recommended.
Clinical Cases
CASE 1:
Baby Vandana, 9 years old, came in May 1983 with white patches on the feet, legs, back and the left eye. Ayurvedic treatment, Psoralen and cortisones gave no result.
Past History-Dysentery, Bone Tuberculosis, Measles, Chicken pox, The child studies in a boarding school where repeated inoculations are given. BCG, Polio, Triple vaccination given.
Family History-Tuberculosis in paternal aunt and grandmother.
Stool Examination-showed Giardial Lambia, cysts of E Histolytica.
X ray heels showed osteomyelitis of the Calcaneous bone. Treated with Isonex. Patient occasionally passed threadworm and round worms.
Treatment.
Thuja 10M was given on 6-5-83.
13-6-83 Spots same, Repeated colds. Bacillinum 200 (3)
1-10-83 Spots improving. Bacillinum 1M (3) *(See Dosage Schedule)
2-5-84 Only one spot on ankle remains Drosera 1M (3)
Gradually Drosera was given upto CM potency with excellent results.
24-8-85 Spot on the foot same and new spot around left eye. Applied ointment.
Spot appeared after TABC vaccine Thuja 10M (3)
21-9-85 Spots improving. Tub-bov 1M (3)
8-11-85 Spot on eye disappeared.
Faint spot on ankle Tub-bov 1M (3)
Tuberculinum-bov was continued upto 10 M potency with excellent results.
This girl is now absolutely healthy with no spots, and very infrequent colds. The cause in this case was bone tuberculosis in the family. Margaret Tyler recommends Drosera for bone tuberculosis, which proved useful in this case.
CASE 2:
A patient, 6 years old, was brought by his father in Nov 1986 with white patches on the face, knees, elbows, left upper eyelid and groin. Psoralen was given a year ago for four months. His father was a Doctor and a Lt Col in the Army.
Past History- Measles, pneumonia. Treated with antibiotics which produced a severe diarrhoea and resulted.
*Note: Dosage Schedule
(3) 3 doses per day for 1 day
(6) 3 doses per day for 2 days
TDS-3 doses per day for one week or till reports again in dehydration. Vaccinated for Polio, DPT and BCG. She grinds her teeth and talks in sleep. Appetite poor. Dreams of falling from bed.
Family History- Mother had Leucoderma in pregnancy. Boils.
The child is average in studies.
Treatment- Thuja 10 M was given on 8-11-86 in vies of history of vaccination.
24-12-86 Reduction of spots on face Grinds the teeth Thuja 10M (3).
19-2-87 Father wrote that the spots on the knee and face disappeared. However one on the groin remained. Teeth grinding persists Nat-phos 6x tds.
13-6-87 One spot persists. Perspiration profuse Silicea 200 (6)
6-1-87 Grinding of teeth stopped. No dreams of falling. Tiny spot left Thuja 50 M (3)
The cause was vaccination and drugs.
CASE 3:
Miss A B C, 14 years of age came with Leucoderma on the eyelids, both the legs, knees, back, at the buttocks near the anus, below the navel and lips since four years (see photo 3a).
Past History-Dysentery, worms, ringworm.
Family history of arthritis in mother and Leucoderma in maternal uncle.
Other Symptoms- Motion sickness. Frequent headaches. Menses normal. Sleep disturbed, funny dreams. Skin dry in winter and pimples in summer. Appetite normal with increase thirst. Stool and urine normal.
Mentals- nervous, sad and fastidious.
Treatment and Follow up-
11-5-82-Sepia 200 (3)
3-6-82- Same Sepia 1M (3).
31-10-82-Appearance of ringworm. Sulphur 1M. (3)
The patient improved with Sulphur which was gradually stepped upto CM potency, 3 doses.
16-6-83 Spots fainter, white spots on mucocutaneous junction Sulphur CM (3)
23-12-83-Spots on face disappeared, few spots remain and so do few grey hair. Menarche with dysmenorrhoea Mag-Phos 6x tds.
11-7-85-Patients mother came and gave a history of Primary complex in her child. Tub- bov 1M (3)
19-12-85- Spots on back disappeared completely. Mentally irritable Tubbov 1 M (3)
16-11-86- Occasionally irritable. depressed and angry Tub-bov 10M (3).
Initially Sulphur was given for suppression of Dysentery and ringworm. After knowing that she had primary complex, Tuberculinum was given which completely cleared the case. (See Photo 3b).
CASE 4:
Miss A S, 8 year old child was brought by her mother with white spots on upper and lower extremities, chest and back since past nine months. Frequent coughs and colds with sneezing. Past history of tonsillitis, boils on the leg.
Triple and polio vaccination. Worse since then.
Family History- recurrent colds in mother and bronchitis in grandfather.
Perspiration ++. Hot patient.
Sleep restless. Shreiking in sheep. Frightful dreams of falling. Talks in sleep. Grinding of teeth in sleep.
Treatment - On 23-6-73 Thuja 10 M (3 doses) was given, based on history of vaccination.
7-7-73- Very restless at night. Dreams ++ Thuja 50 M (3)
6-3-76- Patient was back as few spots had appeared (The old ones having disappeared) Thuja CM (3).
21-6-76- Spots fading, loose stools. Feels very hot Sulphur 200 (3).
25-2-78 Seen after 2 years. Was better but treated for tonsillitis and grew worse. REstless at night and a lot of dreams. Sulphur 1 M (3)
Sulphur was given in 1978, 1981, 1983 and patient is not completely cured.
In this case, causes were vaccinosis and suppressed skin disease. Patient enjoys good health and I am now treating her child for common day to day illnesses.
CASE 5:
Mrs B H B aged 60 years, came with leucoderma since 8-10 months on the flexors of wrists, finger folds, around the lips and chest with occasional itching.
Other Symptoms
Craving-chocolates, sweets.
Sweats on the palms.
Sleep normal. No dreams.
Menopause at 42 years of age.
Likes winter and bathes with cold water.
P-H of Haemorrhoids. Pleurisy 20 years ago. Occasional pain due to pleurisy. Pneumonia in childhood, Rheumatic heart disease.
All these have been treated with allopathic medicine.
Mentals- Short tempered, cries easily on consolation.
Treatment- On 6-6-91 started to antidote the effects of allopathic drugs by Nux-vom 30 tds.
13-6-91- H-O Pleurisy, pneumonia. Bacillinum 200 (3)
19-6-91- Spots improving. Bleeding piles. for 1 week. Hamamelis 30 tds.
24-7-91 Spots improving. However spots on hand same. Piles improving Bacillinum 1 M (3). Cuprum-acet 30 tds.
Patient improved overall with Bacillinum which was slowly stepped up to CM potency. The occasional pain in the left lung also disappeared. Here leucoderma which the miasmatic brunt bore due to pleurisy, was cured by treating the miasmatic predisposition. Patient was seen in this year and is 99 percent better. (see Photograph
5b)
CASE 6: Mrs S G, 52 years of age, has Leucoderma since 20 years, all over the body, face, eyes, legs, breast, lips. Face badly affected. (see Photo 6a) Past history- of threadworms, dysentery, typhoid, breathlessness.
Family History- Tuberculosis in sister and paternal grandmother. Constipation +
Hot patient. Heat of palms and soles. Head feels hot.
Temperamentally very irritably.
Diagnosis. Psoriasis based Leucoderma.
Treatment-
On 30-5-88 Sulphur 200 (3 doses) followed by Hollariana antidysenterica 30 tds was started.
27-6-88- Same Sulphur 10M (2)
Hollariana-antidysenterica 30 tds
11-7-88 Menses expected. Heaviness in breast. Must support them. Cold sweat Calc-carb 200 93) Hollariana antidysenterica 30 tds.
Calc-carb was stepped upto CM gradually over a period of one year with good improvement. When improvement stopped- Rub-bov 10 M (3) followed by Nat-mur 6x tds was given. 9-10-89-Spots gradually improving. Tub-bov 10M (3)
16-2-90-Spots backache + Drosera 10 M (3)
29-10-9- Spots But cough and cold Tub-bov 50 M (3) Calc-phos 6x tds. (Tub-bovinum CM was then given every month).
Patient examined after two and a half years on 10-1-93. Only a single small spot remained on right upper lid. (see photo 6b)
CASE 7:
Mrs E came with white spots on both the hands, legs, nape of neck since 5 years. She had freckles on the face which were treated with Betnovate cream. H-o 3 Caesareans and hysterectomy 15 years back.
Warts on the face. Sea aggravates. Hyperemesis. Vaccination
F-H angina in mother, pleurisy in uncle. Father had cancer and constipation.
Dreams of missing steps.
Thermal- Better in moderate climate.
Mentals- irritable, short tempered, avoids crowds and company.
Treatment-
Treatment started with Thuja 10 M (3) followed by Nux-vomica 30 tds on 20-12-89.
16-1-90, Constipation. Feels hot in winter. Sulphur 200 (3)
31-1-90. Constipation better, spots same, Car sickness Sepia 200 (3).
(Sepia was given upto 50 M potency which improved her spots)
12-6-90-Anxiety about her fathers Ignatia 200 93) health, as he suffered from cancer.
31-7-90-Father expired, grief. Desires salt. Spots same Nat-mur 200 (3)
18-9-90- No change in spots Carcinosin 200 (3)
Carcinocin was stepped upto 10 M potency sand repeated at long intervals. Spots almost gone.
CASE 8:
A female child, Miss N D, 9 years of age, had white mottled spots on the nape of the neck and margin of hair. She had tried a lot of medicines and local applications.
Past history of measles.
History of vaccination +. Allergic to nylon panties.
Family history- Jaundice, eczema in father. Boils in mother. Eczema in grand father and diabetes in grand mother.
Sleep sound. Grinding of teeth in sleep.
Quick tempered.
Treatment-
On 1-12-79 Thuja 10 M (3) followed by Silicea 30 was given.
5-1-80- Same Sulphur 200 (3)
28-3-80- Spots on forehead, nose, axilla gone Sulphur 1 M (3) a month ago. No improvement after this.
7-9-80 No spots on neck, hair still white Sulphur 1 M (3)
Sulphur in stepping potencies upto C M potency was given. However the hair remained white.
9-1-82 patient moved by sad stories. Weeps Weight increased suddenly.
Sweats profusely, Menses profuse Calc-carb 200 (3)
13-2-82 Mental symptoms but hair still white. Calc-carb 1 M (3)
Then Calc-carb was given in 10 M potency which helped most of the hair to regain its original black colour within one year.
CASE 9:
Mrs P G, 40 years of age, came with huge white spots on the left side of the neck as well as on forehead between the eyebrows.
(see photo 9a) Has taken a lot of Allopathic as well as Homoeopathic treatment (dysentery-co 1M, Cup-met 1M, Silicea 200, ARs-sulph-flav 6x) without relief. Was better with application of neopsoralen and UV light but no further progress.
Minor diffuse goitre.
Stools - 3-4 times a day.
Ambithermal. Nervous temperament. Likes company.
Investigations
Blood report shows eosinophil count-11 percent.
Stool report shows cysts of Giardia and ova of Ascarides Lumbricoides.
Treatment-
Started with Nux-vom 200 (6) and Merc-sol 200 tds on 5th Jan 1988.
The patient discontinued being out of town and opted for PUVA therapy, which resulted in burns.
11-4-89 Burns caused by PUVA. Sulphur 200 (3)
28-4-89- Stools 3-4 times a day with mucus Merc-sol 200 (6). Cantharis 30 tds.
20-12-89 Over a period of 8 months Merc-sol CM (1)
Merc-sol was stepped upto.
CM potency. Complaints today of aphthae and salivation Nit Acid 30 tds.
Spots and stools improved gradually in 3 months. Patient is much better now with few white streaks. (see Photo 9b)
CASE 10:
Mr S, aged 55 years, a bachelor, had extensive Leucoderma since 20 years which was worse after vaccination. (See photo 10 a)
He also has Diabetes and oedema feet. Breathlessness worse on walking.
Past history of amoebic dysentery, malaria and typhoid.
Family history- Two of his brothers have Leucoderma. Diabetes and dysentery in father.
Sleep-good, occasional dreams.
Treatment- Sulphur 200 (2) was given on 25th Jan 1988. After 2 weeks Sulphur 1M (2) followed by Carbo veg 30. After six weeks Thuja 10 M (3) and Cup-acet 30 was given. In Aug 1988 black discolouration was noted. He also had bad dreams. Thuja CM and Cup-acet 30 was given. In Nov 1988 Sulphur 10M (2 doses) was repeated with Cup acet 30 3rd December 1899 Sulphur 50 M was given followed by Sulphur CM on 31 Dec 1988. Patient was better but for reasons unknown has discontinued treatment. (see photo 10b)
Case 11: Miss F E, aged 17 years was born with congenital white spots on her right hand, face, right breast, right elbow.) See photo 11a)
PH-O jaundice (since then the spots have increased)
Mother had taken some tablets to abort her pregnancy but did not succeed. Stool, urine, thirst, appetite normal. Menses delayed. Dysmenorrhoea, leucorrhoea. She prefers open air. Mentally friendly, mixes easily, weeps often, sympathy ameliorates.
Treatment Pulsatilla 200 was given and raised upto 50 M with good results. Dull spots on dorsum of right palm, face and elbow improved. Treatment was discontinued in a years time. (see Photo 11b)
CASE 12:
A male patient, Mr H B M, 61 years of age came with huge patches of white discolouration of the skin. The patches were on the chest and both the upper extremities. (see photo 12a) On enquiry it was revealed that they appeared one and a half years ago as result of burns due to a burst boiler.
The patient was working on a ship.
Patient had taken Neopsoralen tablets for a year with no result.
Past history- Malaria, worms, drug allergy and asthma.
Family history- of Filaria in father and heart disease in mother.
A soft wart was present on the patients body. Hot patient. Vaccinations +, Innoculations +, TABC many times while on the ship.
Dreams- of dead, snakes and falling recurring every few months.
Treatment-
26-1-86- Thuja 1M (3) and Silicea 30 tds was started.
After a month the patient was given Sulphur 200 which was gradually raised in stepping potencies upto 50 M in a period of 5 months.
27-7-86- Skin better. Occasional attacks of asthma and colds Bacillinum 200 (3) Apis 30 tds.
Bacillinum 200 was given in rising potencies upto 10M.
After six months there were occasional attacks of asthma; Skin was better and white spots were fading.
5-9-88- No dreams. Repigmentation of the hands seen. Bacillinum 50 M
Patient discontinued treatment there after. (see photo 12b)
Drugs helpful in my Practice
At the outset, I may mention that the constitutional remedy works the best, if we can find matching symptoms. LAter, an intercurrent remedy or a miasmatic remedy can be given.
1. Thuja-occ- I use this remedy very frequently. My reasons.
a) A number of vaccinations and modern drugs have been given especially in children. Here Thuja works as an antidote and clears the sycotic background.
b) Symptoms of Thuja are present not only children but adults too have dreams of falling, startling in sleep, have warts on the face or body, loss of appetite and dullness since those innoculations. After three doses of Thuja 200, the patients general condition improves. Now is the time to give the indicated remedy which starts working well.
c) My third reason for giving this remedy, is in cases of history of tuberculosis or respiratory diseases in the patient. According to Dr Barnett in his book on tumours on pg 315, Bacillinum will not act very well unless Thuja is given first. Vacinosis evidently comes in the way, very much the same as Hahnemann mentions for Psora and the use of Sulphur as an intercurrent remedy.
2. Sulphur- This is an important remedy and also the greatest antipsoric. It will also cure (along with psora) the suppressed sycotic and syphilitic miasmatic symptoms. If there is a history of suppressed shin diseases, diarrhoea, dysentery, jaundice, typhoid and other fevers then this remedy is of help. But the most important thing is that symptoms of Sulphur should be present like.
a) Heat of palms, soles, eyes, anus, vulva, vagina and top of head.
b) Generally patient is hot yet sometimes could be chilly.
c) Irritability and obstinacy can also be noticed.
d) Books describe Sulphur as a ragged philosopher but that is not found in all the cases. Due to poverty or lack of toilet facilities he may not take a bath and look dirty. The remedy can be given in clean patients also if other symptoms agree.
3. Bacillinum- The third most important remedy is Bacillinum or Tuberculinum. Many times we get cases, where the patient suffers from a chronic cold, with an occasional history of haemoptysis. Loss of weight, loss of appetite, flat chests of boys and girls, prominent ribs and clavicles etc may be other symptoms. We could get a family history of TB or pleurisy. We ask a patient of Sulphur repeatedly for a history of skin diseases, similarly we must ask a Bacillinum patient for a history of chest diseases. Many patients who are not clear or intelligent give a history of pleurisy more often than a history of TB. So we must try and get the symptoms in a tactful manner. Tuberculinum-bovinum and Drosera act better if there is a history of glandular or bony tuberculosis. The first case baby V G had bone TB for which she was given the drugs mentioned above. Now 19 years old, she goes to college in perfect health.
4. Nux-vomica- is required initially when the patient comes after taking a lot of the Modern drugs. It acts as an antidote to clear the background. This remedy also helps the patient to get over the problem of ineffectual urge for stool and also improves his digestion. It however has no specific action on the white spots.
5. Sepia- useful particularly in females. Besides the usual white discolouration, these patients have irregular menses-late, scanty, painful, menses in young girls, leucorrhoea, pruritis, dyspareunia and frigidity.
Most patients give H-O morning sickness, vomiting, nausea, travellers headache. Swings, merry-ground etc also affect her. The remedy removes the above symptoms and the white spots become pink in colour, but do not disappear completely. Sepia requires to be complemented with Nat-mur, to complete the cure.
6. Merc-Sol- is indicated in cases with a history of dysentery with mucus and blood, jaundice and liver enlargement. These patients are worse at night with salivation and have a syphilitic miasm. They perspire in bed and do not tolerate extremes of climate.
7. Acid-nit- I have used this remedy in cases of white spots around mucocutaneous junctions. There may also be fissures at the same site. Other indications are-craving for chalk, pencils etc mainly in children. This remedy, like Sepia removes the other symptoms but spots do not disappear completely.
8. Graphites and Calc-carb-also do come in the picture occasionally. Both are obese but their other symptoms are different. There is a history of suppressed itch in Graphites and irregular menses in a Calc-carb.
9. Ars-sulph-flav-Many doctors say that they are disappointed with the use of this remedy. The real cause is that they merely prescribe it as a specific for the disease. This is the most abused prescription. Very few books have given characteristic symptom of this drug. On the lookout for a good literature of the drug I was pleasantly surprised to find it in Kents Lesser Writings a detailed description on page 18. It states that if one find either mental, general or sexual symptoms along with the white spots the patient will definitely get well.
In addition to these I have used various other remedies like.
10. Cup-aceticum- in lower potencies. This is because copper is the chief source to produce melanin.
11. Cantharis- In our materia medica nothing is mentioned about skin discolouration. Dr R S Pareek who has given a great important to this remedy states that in burns the skin loses its pigmentation and Cantharis restores it.
12. Restinon- has also been recommended by a doctor friend of mine from Calcutta.
13. Psoralin- I have used this in potencies, as antidote in those cases where a lot of it was given by the allopathic doctors in crude form.
14. Carcinocin- must be used when there is a definite history of cancer in the patients family. Mrs E whose case has been mentioned was perfectly well after giving Carcinocin.
15. Bowel Nosodes- Morgan-bach, Morgan=gaertner, and Dyscentrico have been used by me with good success.
Statistics-
I have had 500 cases of Leucodermal from 1974 to 1992. Of these
10 percent case have been completely cured; 40 percent were relieved of 90 percent of the spots, 25 percent of cases are improving and another 25 percent have discontinued treatment or are incurable.
Bibliography:
1. Vitiligo and Psoralens- A M Elel Mofty.
2. Medicinal plants of India and Pakistan J F Dastur.
3. Everybodys guide of Ayurvedic medicine. J F Dastur.
4. Drugs of Hindustan- Sarat Chandra Ghosh. III edition.
5. Leucoderma and its Homoeopathic treatment- S R Wadia.
6. Diseases of the skin- Fredriek M Dearborn.
7. Disc / Electrophoretic studies of serum proteins in Vitiligo.
8. Vidya, Journal of Gujarat University, Ahmedabad, August 1975- Biochemistry and Endocrinology of Melanin formation.
9. Dr Kents Lesser writing- Pg 18, 1st Edition, (Sett Dey Co), Calcutta.