A positive homeopathic approach towards Vitiligo treatment

There are different approaches towards reaching the correct similimum. A thorough study of the case along with giving priorities to mental symptoms will enable the physician to select the remedy. In the treatment of vitiligo constitutional treatment + use of Indian drugs seldom  bring remarkable results. Click HERE to read the positive approach towards treating Vitiligo cases.

Related posts:

1. VITILIGO & HOMEOPATHY

2. Leucoderma and Homeopathy ( सफ़ेद दाग और होम्योपैथी)

3. सेंकेंड प्रिसक्पशन और सही पोटेन्सी का चुनाव (Second Prescription & selection of potency)

4. सफ़ेद दाग और होम्योपैथी- आशा की एक किरण -भाग-१ (Leucoderma & homeopathy- an ultimate hope -Part-1)

5. सफ़ेद दाग और होम्योपैथी- आशा की एक किरण भाग- २ (Leucoderma & homeopathy- an ultimate hope-part-2 )

Homeopathy-Quackery vs Future of Medicine

On October 25, 2007, the University of Connecticut Health Center will be
hosting a historic debate on homeopathy. This event will mark the first
time a major U.S. medical school has examined homeopathy in this depth. It
also marks the first time that the clinical, historical and basic science
data will be examined simultaneously.
The University of Connecticut Health Center presents:

A Debate: Homeopathy - Quackery Or A Key To The Future of Medicine?

An international forum to explore the facts around this controversial
modality in an attempt to determine whether it has a place in medical care.

Low Learning Center*
University of Connecticut Health Center
263 Farmington Avenue
Farmington, Connecticut 06030
Thursday, October 25
2:00P.M. - 4:00P.M. ET

Homeopathy is used by tens of millions of people around the world. On
October 25, you are invited to watch a debate between six internationally
renowned experts (Iris Bell, M.D., Ph.D., Rustum Roy Ph.D., Andre Saine
N.D., Donald Marcus M.D., Steven Novella M.D., and Naduv Davidovitch M.D.,
Ph.D.) as they examine the basic science as well as the clinical and
historical evidence around this 200 year old system of medicine. Is
homeopathy pure quackery as some contend or perhaps the future of medicine?
Watch on October 25-2007

The event will be broadcast live over the internet and can be seen by
logging HERE
The forum will also be archived at this url address.

Clinical Homeopathic Research in Tuberculosis/MDRTB

 This research work was undertaken by Dilli Homoeopathic Anusandhan Parishad as a plan scheme during the Ninth Five Year Plan. There are two homoeopathic medical colleges in Delhi with attached hospitals and 73 homoeopathic dispensaries. There are 131 homoeopathic doctors who are engaged in teaching and patient care. The objective of the Parishad is to utilize this manpower and infrastructure for undertaking research activities in homoeopathy.
Parishad is carrying out research in Evaluation of Homoeopathic drugs in the treatment of MDRTB/TB and is co-coordinating research activities in Nehru Homoeopathic Medical College and Hospital and Dr. B. R. Sur Homoeopathic Medical College, Hospital & Research Centre. Special clinics have been established for the research projects.

Last year , I noticed that the complete paper was present on the site but this time Dilli Homoeopathic Anusandhan Parishad has put the information in brief . But I had somehow managed to save the paper in my hard disc .

Click HERE to download the full research paper in PDF format.

 

Clinical Homeopathic Research in Tuberculosis/MDRTB

The research was being undertaken at the following three centres.

Nehru Homoeopathic Medical College and Hospital – July 2000
Nehru Nagar TB Chest Clinic - February 2001
Gulabi Bagh Chest Clinic - January 2003

Staff engaged in the project

Project Guide
Dr. K. K. Goyal, MBBS
Dr. Kusum Chand, MBBS, MD, MF (Hom)

Consultants
Dr. Sandhya Madan, Pathologist, NHMC & H
Dr. Indira De, Radiologist, NHMC & H

Core Group
Dr. Jugal Kishore, Chairman, SAC
Dr. J. N. Banvalikar, TB Programme Officer, MCD
Dr. V. K. Khanna, Principal, NHMC
Dr. R. K. Manchanda, Member Secretary

Research Staff
a) Dr. Surender Verma, Assistant Director (H)
b) Dr. Sudhir Batra, Medical Officer (H)
c)Senior Research Fellows (Homoeopathy)

Dr. Renu Mittal

Laboratory Support

Nehru Homoeopathic Medical College and Hospital

Haemogram and Blood Tests
Sputum for AFB
X- Ray
HIV testing and other biochemistry tests
New Delhi Tuberculosis Centre
Sputum Culture
Sputum for AFB
I. Nehru Nagar TB Center
The Nehru Nagar TB center was started in Feb.2001 to carry out clinical research on multi-drug resistant tuberculosis. A total of 120 patients of CAT-II failure were treated and useful homeopathic drugs were identified for undertaking Double Blind Placebo Control trial according to the protocol.
II. Nehru Homoeopathic Medical College and Hospital
During this year, out of the total of 66 patients, 24 cases followed-up regularly. [CAT-II failure 15, lymphadenitis 09]. Useful Homeopathic drugs were identified.
III. Gulabi Bagh TB Center
The Gulabi Bagh TB Center was started in Jan. 2003 to carry out Double blind Placebo Control Study on MDR TB cases along with standard Reserve Line ATT regimen as per the protocol. A total of 210 cases of MDR tuberculosis were studied and already identified useful homoeopathic drugs were used in parallel designed control trial. The reports were discussed in the Scientific Advisory Committee.

Cuba makes achievements in homeopathy

Experts noted that homeopathy has been successfully used to treat patients suffering from herpes zoster, as proved in a study of 65 patients in the city of Guantánamo. Homeopathy is cheaper than conventional therapy and does not cause side effects.

Cuba's health system has made great achievements in homeopathic medicine, as part of modern procedures to treat a wide range of diseases.

Experts noted that homeopathy has been successfully used to treat patients suffering from herpes zoster, as proved in a study of 65 patients in the city of Guantánamo........

Read the article "Cuba makes achievements in homeopathy"

Homeopathy Pro- a new homeopathy software

 

Homeopathy Pro is a professional computer program for those who practice classical homeopathy. It combines the advantages of time-proved case taking methods with advanced features of up-to-the-minute software. Take case notes in a friendly, convenient environment
enjoy most natural repertory search
get correct results from Repertories by recognized authors
read Мateria Medica to feel confident about your prescription. All this will help save your time and preserve quality of your work.

However I feel the limitations of this software as it's limited to kent & Bonneinghausen's repertory only. But for the newcomers in homeopathy it may be helpful.

My rating for this software is Zero

To download the free trial version , click HERE .

CARCINOSIN-KEY NOTES

 

Mind
- Emotional, PASSIONATE individuals with strong desires,
push themselves, work hard, strong sex-desire (from
early age), surges of passion, outbursts of emotion,
expression, live life intensely.
- FASTIDIOUS, need for order and control over life.
Cannot rest when things are not in proper place.
- Restlessness, discontent, desire to travel.
- Conscientious, great sense of duty, responsible (Aur, Kal-c, Nat-s, Nat-c, Mag-m).
- Anticipation. Lack of self-confidence.
- PRECOCITY.
- SYMPATHETIC. SENSITIVE to suffering of people, animals, planet.
Anxiety for others. Horrible things affect profoundly.
- Affectionate. Want to please other people. 
Fears not to be accepted, not to be loved.
- SENSITIVE TO REPRIMANDS, esp. in children. 
Ailments from rudeness, reproaches.
- Suppress their emotions, the hurt. Yielding, bearing all suffering without protest.
- Ailments from repression
excessive parental control, 
prolonged childhood suffering, 
severe education, too early responsibility. 
- EASILY OFFENDED, intolerant of contradiction, av. to
consolation. 
- Fears: high places, animals, dogs, failure (exams), thunderstorm.
- Anxiety about health (cancer); for others.
- Sensitive to sensual impressions, art, nature.
Love thunderstorms (Sep).
- Sensitive to music, rhythm. Love dancing  (Sep).
Music agg., may cause weeping.
- Slow mental development: easily distracted, difficult concentration.
Generalities
- Warm blooded, but mostly agg. heat and cold.
- amel. Sea. (or agg., or alternating).
- amel. Short sleep. 
- amel. Evening.
- agg. Vaccination.
- Periodicity. agg. 1-6 pm, esp. 5-6 pm. Every 7 days. Annual.
- CONTRADICTORY AND ALTERNATING STATES.
- Mononucleosis, neurodermitis.
- Severe inflammatory illness (whooping cough, pneumonia) in early life, childhood.
- PAST/FAMILY HISTORY OF CANCER, DIABETES, TUBERCULOSIS, PERNICIOUS ANEMIA, INFECTIOUS DISEASES.
- Childhood diseases: too soon; or appear after puberty;
very severe, or absent.
Food and drinks
- The same food can alternately be desire or aversion.
- Desire: Chocolate, sugar, fat, raw potatoes, spices, sweet and sour.
- Aversions: Fruit, potatoes, milk, salt.
- agg.: Eggs.
Vertigo
- High places.
Head
- Migraine, alt. with asthma.
- Constrictive  feeling in brain. Pulsating deep in brain.
Headache agg. right side, before storm.
Pain in forehead above eyes, amel. open air.
Eye
- Blue sclerae.
- Frequent blinking, winking. Tics. Twitchings.
Nose
- Hayfever.
- Chronic coryza. Sinusitis.
Face
- Acne.
- Twitching, tics, esp. eyelids, -brows. Grimaces.
Mouth
- Aphthae.
Throat
- Scraping, agg. before speaking.
- Sensation of lump.
Stomach
- Anxiety or excitement felt in stomach.
- Nausea riding in car.
Abdomen
- Constrictive pain amel. pressure, bending forward, warm drinks.
- Flatulence, distention, with colic in babies.
Rectum
- Severe constipation, even without desire. 
- Dry hard stools like stones.
- Burning pain colon ascendens.
Female genitalia
- Sexual desire high. Masturbation in children.
- Dysmenorrhea. Pain labor-like, cramping.
- Ovarian cysts, agg. right. Fibroids in uterus. Endometriosis.
Respiratory
- Asthma, at young age, from fright, amel. or agg. at sea.
- Cough agg. morning, (un)dressing, washing, shaving, stretching neck, yawning.
- Whooping cough, long-standing; chronic pneumonia.
Chest
- Swelling breasts before menses. 
- Chronic mastitis.
Extremities
- Trembling of muscles, with itching, agg. arms, thighs.
- Rheumatic pains, amel. warmth, slowly moving.
- Weakness, agg. lower limbs, amel. motion.
Sleep
- SLEEPLESSNESS, esp. in children; children have to be rocked.
Wake suddenly as from fright.
- Falling asleep difficult from thoughts, wake frequently, 
esp. 4 am and can't sleep afterwards.
- Position: GENU-PECTORAL.
- Dreams of searching someone he can't find.
Skin
- Dark, brownish complexion. CAFE-AU-LAIT spots.
- MOLES, PIGMENTED NAEVI. M. Recklinghausen.
- Kelo‹d.
- Acne (face, upperback, sternum).
- Boils.
- Eczema: Between shoulderblades, sternum. agg. Milk.
Neurodermitis.
- Itching agg. undressing.
- Warts: lips, abdomen, back of hands, fingers, about fingernails, footsoles.
Compl.
Alum., Ars., Ars-i., Bell-p., Calc., Calc-p., Graph., Lach., Lyc., Med., Nat-m., Nat-s., Nit-ac., Op., Psor., Puls., Sep., Staph., Sulph., Syph., Thuy.
Dd
Ars., Aur., Cocc., Nat-m., Med., Phos., Puls., Sep., Staph., Tub.

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Mind
- LACK OF SELF-CONFIDENCE. Feels weak and inadequate.
- Fear of responsibility. Cowardice.
- Timid. Fear of people.
- Presents themselves different than they feel inside.
- Image of capability and courage. Extroverted, friendly.
- Tries to hide feelings of incapability. Counteracts.
- Boasts. Haughty. Egotism.
- Love of power. Dictatorial towards those who can be controlled. Timid and passive towards superior.
- Irritability, agg. morning.
- Superficial relationships. Fear of marriage. Runs away from family. Promiscious.
- Cries when thanked.
- Often intellectual people like schoolteachers, lawyers.
- Fear of speaking in public, ghosts, dark, suffering (hypochondriacal), conflicts.
Desire for company, but in the next room.
- Confusion. Weakness of memory. Spells wrongly, misplaces words or syllables.
- Children
Bossy, dictatorial, rude at home.
Timid at school; with strangers.
Can also be generally timid, fearful.
Intellectual interests.
Generalities
- agg. RIGHT SIDE. Symptoms go from right to left.
- agg. 4 TO 8 P.M. (Hell), afternoon.
- amel. Evening.
- agg. Morning on waking.
- amel. Open air.
- agg. Fasting.
- Emaciation of upper part of body.
Food and drinks
- Desire: SWEETS, olives.
- Aversion: COLD DRINKS, oysters.
- agg. Cabbage, beans, oysters, onions.
Head
- Headache agg. right side, 4-8 p.m. , fasting, amel. open air.
- LOSS OF HAIR OR GRAY HAIR AT YOUNG AGE.
- DEEP FURROWS IN FOREHEAD.
- Shakes head without apparent cause.
- Eruptions.
Eye
- Styes towards inner canthi.
- Cracks in canthi (Graph).
Ear
- Otitis media agg. right side (Bell).
- Eruptions about and behind ears.
- Noises. Every noise causes peculiar echo.
Nose
- SINUSITIS, agg. right side.
- OBSTRUCTION agg. at night. Snuffles of infants (Nux-v, Samb).
- Fan-like motion of nostrils in respiratory complaints (Ant-t).
- Food and drinks come through nose on swallowing (Arum-t, Lac-c, Lach).
Face
- Emaciated. Wrinkled. Frowning of the eyebrows (Hell).
- Neuralgia, agg. right side (Bell, Chel, Puls).
- Acne.
Throat
- Pharyngitis. Tonsillitis.
agg. Or starts on right side, amel. warm drinks.
Stomach
- HUNGRY AT NIGHT (Phos, Psor).
- APPETITE INCREASES WHILE EATING, OR RAVENOUS APETITE WITH FULLNESS AFTER EATING A MOUTHFULL.(Chin).
- Pain from cold drinks or food.
- Gastritis amel. warm drinks, rubbing.
- Distention. Sour eructations (Rob, Sulph).
Abdomen
- FLATULENCE. Distention. amel. Eructation, flatus.
Everything turns into gas. Rumbling. (Carb-v, Chin).
- Affections of LIVER. Gall-stones with colic (Card-m, Chel, Chin, Nat-s).
- Pain right hypochondrium, ext. to back (Chel), agg. eating to satiety.
- Sensitive to pressure of clothing (Lach).
- Inguinal hernia, agg. right.
- Brown spots on abdomen (Sep).
Rectum
- Constipation when travelling, away from home.
- Diarrhea from cold drinks, fright, excitement, anticipation.
Stool
- First part hard, last part soft and thin.
Bladder
- Retarded urination. Painful.
- Frequent urination at night. Enuresis.
Kidneys
- kidney stones, colic, agg. right side.
Prostate
- Hypertrophy.
Urine
- Sediment of red sand, brick-dust.
Male genitalia
- PROMISCUOUS.
- IMPOTENCY with his wife. PREMATURE EJACULATION OR LOSS OF ERECTION DURING COITION (Graph, Sulph).
- Herpes.
Female genitalia
- PROMISCUOUS.
- Frigidity with husband.
- Ovarian complaints, cysts, agg. right side (Apis, Pall, Podo).
- Flatus from vagina (Lac-c).
- Herpes.
Respiration
- Dyspnea. Asthma.
Cough
- Chronic, dry tickling cough. With emaciation.
Chest
- Bronchitis, pneumonia, agg. right side. Tuberculosis.
- Chronic chest complaints in children.
- Brown spots (Sep).
- Palpitation agg. indigestion, evening in bed.
Back
- Pain amel. urination.
- Burning between scapula (Phos).
- Emaciation of cervical region (Nat-m).
- Torticollis (Lachn, Nux-v, Phos).
- Lumbago, agg. right side.
Extremities
- RHEUMATISM. Gout. Nodosities. Podagra.
agg. Right side, beginning to move.
amel. Continued motion.
- Sciatica agg. right side, lying on painful side, amel. walking.
- ONE FOOT OR HAND HOT, THE OTHER ONE COLD (Chel, Chin, Puls).
- Hot burning foot soles. Uncovers them at night.
- Cracks on heels, agg. right.
- Painful corns.
- Offensive perspiration of feet.
Sleep
- Position: ON RIGHT SIDE (Phos).
- UNREFRESHED (Lach, Mag-m, Mag-c, Phos).
- Waking as from fright; from hunger.
Skin
- Dry, wrinkled (Sec).
- Varicose veins, nevi.
- Brown spots.
- Psoriasis. Tinea.
Compl.
Calc, Carb-v, Chel, Chin, Coloc, Dulc, Graph, Hydr, Ign, Iod, Ip, Kali-c, Kali-i, Lach, Nat-m, Phos, Puls, Rhus-t, Sep, Sulph.
Dd
Arg-n, Ars, Carb-v, Chel, Gamb, Grat, Mag-m, Med, Nit-ac,
Nux-v, Sil, Sulph, Thuj.

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GALEGA OFFICINALIS ,WITHANIA SOMNIFERA & ASPARAGUS OFFICINALIS


GALEGA OFFICINALIS


Galega was proved by Dr Carron de la Carriere. The whole plant of galega is taken for the preparation. It is covered by both :
Homeopathic pharmacopoeia of India & German Homeopathic Pharmacopoeia.
It contains alkaloid , saponnins, flavonoids, and tannins.

Homeopathic Uses:

1- It is used for backache, debility, anaemia,and impaired nutrition.
2- It is also used to increase the quantity & quality of milk in nursing women and also to improve appetite.
3- Galega has the ability to bring down the increased blood sugar levels.

Dosage : M.T. or higher




WITHANIA SOMNIFERA


Withania was introduced by Dr S.C.Ghose. A homeopathic tincture is made up from roots . It is covered by Homeopathic Pharmacopoeia of India.

Homeopathic Uses :

1- It is a great mental tonic . It acts like a magic in slowly advancing mental inertia , with loss of comprehension and expression. Likewise it is beneficial in loss of memory. In short Ashwanghdha Q is highly effacious in total or partial destruction of intellect , where the power of thinking , memory and expression is paralysed .

2- It is also indicated in impotency & all kind of seminal defficiencies.

3- General weakness , sterility, leucorrhoea, menstrual disorder, all are amenable to this drug.




ASPARAGUS OFFICINALIS (common garden asparagus)


Asparagus was proved & introduced by Dr Buchner. A homeopathic tincture is prepred from the young shoots. It is covered by Homeopathic pharmacopoeia of India & German Homeopathic Pharmacopoeia.

Homeopathic Uses:

1- It is used in affections of heart ; violent palpitation , pain in heart < on walking. Dyspnoea due to hydrothorax.
2- Difficult deglutition in hydrophobia .
3- Passage of stones in uine with severe toothache.

ACALYPHA INDICA
Common name : Indian Nettle ,Acalypha spicata
It is an Indian plant & normally found as an annual shrub in Indian garden & waste places throughout the plains of India.
It is an well established herb containing alkaloids, acalyphus & acalyphine.
A homeopathic tincture is made from whole of plant. It is covered by both Indian pharmacopoeia * German Homeopathic pharmacopoeia.

It has a marked action on the alimentary canal and respiratory organs. It is indicated in incipient phthisis, with bard, racking cough, bloody expectoration, arterial haemorrhage, but no febrile disturbance. Very weak in the morning, gains strength during day. Progressive emaciation. All pathological haemorrhages having notably A MORNING AGGRAVATION.

Chest
COUGH DRY, HARD, FOLLOWED BY HOEMOPTYSIS; worse in morning and at night. Constant and severe pain in chest. Blood bright red and not profuse in morning; dark and clotted in afternoon. Pulse soft and compressible. Burning in pharynx, oesophagus, and stomach.

Abdomen
Burning in intestines. SPLUTTERING DIARRHOEA WITH FORCIBLE EXPULSION OF NOISY FLATUS, bearing down pains and tenesmus. Rumbling distention, and griping pain in abdomen. Rectal hemorrhage; worse in morning.

Skin
Jaundice. Itching and circumscribed furuncle-like swellings.

Modalities
WORSE in morning.

Relationship
Compare: MILLEFOL.; PHOSPHOR.; ACETIC ACID; KALI NIT.

Dose
Third to sixth potency.

Homeopathy is in deep trouble



Sue Young is a London based homeopath. She is experiencing the same pain as we feel about the pathetic condition of homeopathy . Recently One of the UK's five homeopathic hospitals, The Royal London, is under threat of closure because of funding cuts. NHS is now going to launch new sets of laws to curb homeopathy. Even the famous news paper "Daily mail " has now launched the campaign against homeopathy. In a recently published article "Homeopathy is worse than witchcraft?" Professor Michael Baum, professor emeritus of surgery at University College London spoke venomously against homeopathy. Please do visit this site and add your comments.
Each & every blogger needs the inspiration & Sue is undoubtedly among one of us. Her blog "Spring Offensive against homeopathy " is in the third stage . Pl visit & add your comments on all of the three blog posts . To read these posts click here, here & here.

Vakil's Aid to Confirm The Similimum (VACS)



VACS is a program which is developed by Prof. Dr.Prakash D. Vakil to create A Practical and Scientific Homoeopathic Method (device) to simplify Homoeopathic prescribing and to confirm a remedy selected by a prescriber.
VACS is a breakthrough in solving the complicated and complex cases which to-day's Homoeopath meets in his/her day-to-day practice.

What is VACS?



Clinical research and clinical observations are important in Homoeopathy. Homoeopathic repertories and Homoeopathic materia medicas have many clinical symptoms. Besides toxicology and proving they form the third source of Homoeopathic materia medica. Constantine Hering, one of the pioneers in Homoeopathy felt that simply proving a remedy was not sufficient. There should be clinical confirmation of the symptoms obtained from proving.

Dr.Vakil has made many clinical observations in connection with tongue examination and findings , desires aversions, aggravations and amelioration as regards colors and different phases of moon affecting human life in general. He has written and published a book titled 'Tongue that does not lie'. It is a compilation of tongue findings from many sources with his own observations added to that. In this book he shows that the tongue findings are 'physical general symptoms' and not 'particular symptoms' as some may think. He has given various examples to prove his point. In an International congress on Homoeopathy an eminent Homoeopath said, 'I find it difficult to differentiate Nux-v. from Nat-m. in some cases.' Dr.Vakil said, 'For me it is very easy. I look at the tongue of the patient and then the case does not look as difficult as it seemed to be.' The color observations and the moon-phase observations have also been made after years of clinical research. Color - desires, aversions, aggravations and ameliorations may be considered as 'mental general symptoms'. Human body is more than 60% water. Just the way there is high tide and low tide in an ocean, the water in the human body is also influenced. Thus symptoms produced by the influence of moon are also considered as 'physical general symptoms'. Observations in connection with this have been made by a stalwart like Boger and also an important personality in the recent past like Dr.P.Smith of Switzerland. Papers in connection with all the three have been presented in International Homoeopathic Congresses where they were open to criticism. They have stood the test of time. As they are 'general symptoms', they form what may be called in Kent's language 'a three legged stool' for a sound and reliable prescribing. When there are other symptoms to select a remedy, they help in guiding and confirming like a blind man's dog. The 'VACS expert system' is mainly based on these TCM (tongue, color and moon) symptoms. He has also made his cough-cassette available which is a recording of different sounds of cough of actual patients recorded for a period of 10 years.
These sounds would be useful to Homoeopaths treating respiratory conditions with cough.
This system essentially envisages good observation on the part of the Homoeopath treating a patient. If he/she does'nt do it he/she is missing something. Hahnemann says that a homoeopath should be a good observer. Writing down history of the patient does not complete the task of the Homoepathic physician. Thus this system will be useful to only those who do that.

TCM is just the beginning. Many more physical findings and clinical observations will be added to guide a homoeopath in choosing a remedy.

So what does the VACS do?

1. After normal repertorization a remedy can be confirmed by taking TCM symptoms from VACS.
2. With RADAR-Synthesis the TCM symptoms may be taken to repertorize to find a remedy.
3. VACS can give TCM symptoms for specific remedies and can give comparative extraction of TCM symptoms of two or three remedies.
4. After TCM symptom repertorization with VACS one can go to RADAR-synthesis and check the remedy symptoms.
5. he actual sounds of cough in VACS help a practitioner in comparing and confirming a remedy.

How does it work?

Prerequisites:

i) Examination of tongue and study of the repertory of the tongue
ii) The prescriber must ask the patient the color of clothes he would prefer to put on and a strong dislike of some certain colored clothes which he/she would never put on. Aggravation and amelioration from wearing some certain colored clothes may be inquired. These desires, aversions, aggravation and amelioration are regardless of the fashion of the day and etiquette.
iii) Observation by the practitioner as well as the patient about the aggravation in his/her condition in relation to the phase of the moon. If the date of aggravation is noted down the phase of the moon can be checked from the lunar-calendar supplied by RADAR.

The computer would ask the practitioner: “Which remedy do you want to confirm?”

After the name of the remedy is given by the practitioner VACS will allow the practitioner to extract the 'tongue findings' of the remedy.

Similarly the color-symptoms as well as symptoms in connection with moon-phase would be also extracted.. If it is a respiratory case with cough as one of the symptoms, it would be possible to play the cough-sounds.

1- If all the TCM-findings of the remedy match "Remedy fully confirmed"
2- If tongue findings match but color and moon phase do not match "Remedy very likely"
3- If tongue-findings + either color or moon findings "Remedy most likely"
? If moon-phase and color findings match and tongue findings do not match "Remedy most likely"

If TCM-findings do not confirm:

Please check your history again. It could be a small remedy for which TCM- findings are not recorded. Please also look for different layers and treat the last layer. Tongue often points out the last layer so take the tongue-findings to clear the last layer.

If inspite of TCM findings matching the remedy does not work:

Look for obstacles to recovery like smoking, drugs, any other maintaining cause etc. The last layer requires to be treated first. The globules given to the patient are not medicated properly. Ask yourself, "Have I forgotten something?"

If remedy works but TCM findings do not match:

Addition to be made after consulting with Dr Vakil in TCM findings. This is a remote possibility.

Source: version 9, ARCHIBEL S.A., Belgium.

To know more about VACS, Click HERE to download the demo ver of RADAR 9.2

Digital Homeopathy in Practice

Dr. Zubkewych is recognized as a leader in the use of digital information and homeopathy, and lectures and teaches around the world. He is also one of the foremost experts in North America in the understanding and use of Dr. Schimmel's Causal Chain.

Dr. Zubkewych talked about a very exciting subject that he has been researching - the use of digital information in homeopathic prescribing for which he credits many of the dramatic results he has with patients in his clinic in Toronto. To listen to a recording of this teleconference please click here . To download the article click here .

To summarize:

"Research by Benveniste has proved that it is now possible to record the activity of a homeopathic remedy or substance on a computer, and then replay it on a biological system that is sensitive to that same remedy or substance."

"It has been proven through research that the human ear, while operating at a frequency range of 20-20,000 hz, is a great receptor for low frequency information found in digital homeopathy."

"Because of the potential for amalgams and root canals to interfere with an oral dose of homeopathy, listening to a remedy can sometimes be more effective."

"High potency remedies have already been made illegal in countries such as Germany and France. And in those countries digital homeopathy was challenged in a court of law and won on the basis that therapeutic music such as Bach and Beethoven would also have to be made illegal."

Relationship of Homeopathic Medicines

I have found in many clinical cases the trios mentioned by Dr Nash & Dr Kent are very useful , if they are given according to the sequence.
Dr Nash has termed as regional trios i.e. three medicines prominently used or useful in certain region of sickness , e.g. trios of digestion, of restlessness, of pain , of delirium etc.
While Dr Kent has mentioned 11 trios for group of three medicines in the sequence as they are useful.

Dr Nash & his trios



Dr J.T.Kent & his trios of sequence

They follow one another in the given order.

Aco, puls, sil
Coloc, caust, staph
Caust, colocy; staph
Merc ; hep ; sil
Puls ; sil ; kali s
Sulp ; calc ; lyco
Sulp ; saras ; sepia
Arn ; rhus tox ; calc
Aco ; hep ; spong
Sulph ; ars ; sulph
Puls ; sil ; acid flouric

Fingernails and What They Reveal

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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.