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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Queries & Solutions -8.
NATIONAL JOURNAL OF HOMOEOPATHY 1995 Jan / Feb Vol IV No 1.
Kasim Chimthanawala.

1: What is your opinion on the use of local applications along with indicated remedies for the treatment of skin diseases? Also, do you permit Vitamins to combat deficiencies?

Dr. B.C.ROY
Howrah

A majority of disorders of the skin are the attempts by the constitution to exteriorize the effects of the sickness, at the same time protecting the internal organs from damage. Even the miasmatic load is reduced through skin manifestations in the form of eruptions or discharges.

Hence any attempt to treat skin disorders with local applications will amount to suppression or hinder the natural process of elimination.

So it must be discouraged until and unless the manifestations are unbearable and severe leading to secondary symptoms like frustrations, anxiety, depression, etc.

I allow local applications only in two conditions -

  1. For distressful manifestations like burning, itching etc, non-medicinal agents like plain vaseline, pure coconut oil, white petroleum jelly may be used for local applications.
  2. As an alternative route of administration particularly in children with vomiting and diarrhoeas, when the remedial agent is massaged on normal skin of fontanelles, palms, soles etc.

Intake of Vitamins may be advised either in patients whose diet is deficient resulting in gross deficiency symptoms of during convalescence when the patient gets totally exhausted after an attack of acute illness like typhoid.

2: Please explain the exact rules of potency in detail. The subject seems to be very confusing, some authorities like Dr. Clarke, claim good results with low potencies whereas Dr. Maganbhai Desai claimed cures even of Pulmonary Tuberculosis with cavities with very high potencies infrequent doses. What have you to pay?

Dr. GANESH BODHALE Dhamangoan

The subject of Homoeopathic Posology her remained a debatable area ever since the time of the Master. Varied opinions are expressed by different authors both for low and high potencies and both claiming excellent results.

Hereunder are certain guidelines which must assist a treating physician for selection of an appropriate potency. (refer Dr. Sarkars Organon P.428.)

There are five fold considerations for potency selection -

  1. The susceptibility of the patient.
  2. The target organ involved and the seat of th pathological changes.
  3. The nature and the intensity of the disease.
  4. The stage (extent, depth etc) and duration of the disease.
  5. Type and duration of treatments undertaken in the past - to assess the suppression, modification or transformation, of the symptom picture.

A. Broadly speaking HIGH POTENCY (1M and beyond) should be considered in the following conditions -

  1. When the symptom picture is clear with good individualistic manifestations of mental and physical level, rendering the selection of similimum easy.
  2. In acute, short lasting and self limiting diseases. Diseases of sudden onset, with manifestations which are violent, forceful and intense etc.
  3. In children and young adults.
  4. Sensitive individuals of nervous and sanguine temperament, hypochondriacs, intelligent impulsive patients or those quick to react, jealous, critical etc.
    Higher the susceptibility, higher the potency.
  5. Educated persons, those working under stressful conditions or administration, incompatible occupations, etc.
  6. In emotional disorders, psychosomatic disorders or ailments from emotional suppressions.
  7. In persons who are addicted to stimulants, those who have undertaken prolonged courses of symptomatic treatments.
  8. In cases with pathological changes which are functional, reversible with or without eliminations in the form of eruptions or discharges.
  9. Deep acting anti-miasmatic drugs and Nosodes.

LOWER POTENCY (below 30) is preferred in

  1. Chronic cases of long durations in which gross organic changes have taken place.
  2. Persons with mental dullness, lack of reactivity - sensitivity.
  3. Complicated cases where too much suppressions of or mechanical interventions for manifestations have been done.

NOTE:

Mind you, these are mere suggestions, but the attending physician is the final judge to select the drug and decide on the potency and repetition.

3: Kindly guide me about the symptom in Allens Keynotes under Lycopodium - foetus appears turning somersaults. How does the patient complain of this symptom and what is its clinical significance?

DR.JANARDHAN REDDY

Normally after 20 weeks of gestation, a pregnant lady feels th movement of the foetus. If these movements get exaggerated either as sensation as if, or factually as in foetal distress due to gross CPD or Uterine inertia then the patient may manifest this type of symptom. Palpation of the uterus and auscultation of FHS can distinguish between the two. Please note that in Lycopodium it is a sensation as if.

4: What medicine will you suggest after family planning operation in either sexes, in order to prevent postoperative complications and bed effects of the procedure?

As a routine, at our hospital we give 2 doses of Staphysagria 200 immediately after the operation. It helps in rendering the post-operative period uneventful.

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