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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Homoeopathic Queries & Solutions
NATIONAL JOURNAL OF HOMOEOPATHY 1998 May / Jun VOL VII NO 3.
Prof Dr Kasim Chimthanawala

1. What are 50 millesimal potencies? Do you use them? If so, what are your experiences?

Dr Sunil Kanal, Mumbai

It is for the past decade or so that I am using these potencies in my routine practice, particularly at my indoor, for main acute states. I also had an opportunity to observe its use more frequently when I was working with the late Dr J N Kanjilal at Calcutta.

The concept, preparation, indications and merits of 50 millesimal potency have been aptly explained in the aphorism No 269 of the 6th edition of Dr Hahnemann's Organon. The medicines in these potencies are designated as 0/1 to 0/6 to 0/24 to 0/30 and are available only in selected places, viz Hahnemann Publishing co, Calcutta, Dr R P Patel of Kottayam, Dr Harimohan Choudhary, Calcutta etc. They are sold in No 10 [poppy sized] globules and are dispensed by dissolving only one pill in a mixture of alcohol and distilled water. They act favourably both in acute as well as chronic states. These potencies claim to act fast without aggravations, but my experience is otherwise. I had to manage very severe aggravations in about 3 cases when Sulphur 0/3 was administered frequently for 6 days.

2. What is the role of Homoeopathy in treating Medical Emergencies like Myocardial Infarct, Peripheral Circulatory Failure, Abdominal Colic etc.

Dr Olive Noronha, Goa

Effective management of an emergency poses a challenging task to every physician, no matter to which school s/he belongs. Along with the appropriate medicinal tools, it calls for a confident artistic skill and an acute presence of mind of the attending physician while he is dealing with a life-endangering situation.
In Homoeopathy we have a number of drugs for treating acute states even when they are life threatening. You will be surprised to know that Homoeopathy came to India for treating "cholera sicca" with Cuprum-met 200 and to Maharashtra -Vidarbha sub state, to treat "malignant malaria" with Chin-sulph CM, both serious states. The most common emergencies clinically met with are pain, dyspnoea, unconsciousness [collapse, PCF, Coma etc] , bleeding, vomiting , loose motions,etc.

Management of these conditions depends upon the intensity of the symptoms, bearing capacity of the patient, the target organ involved and the envelope of emotional anxiety present. Homoeopathic management includes general treatment, medicinal tools and, if necessary, mechanical means also. General measures include rest, close monitoring of vital parameters like pulse, temp, BP, respiration etc, removal of cause if any, replacement therapy like IV of saline, blood etc, steam, oxygen, inhalations, hot/cold fomentation, pressure bandages, tourniquets etc; SWD, I R rays etc for reducing pains; traction, physiotherapy exercises, etc.

As far as medicinal treatment is concerned I use the following for treating
1] Fever - Aconite and Belladonna are the firsts. Then follow them with Bryonia, Gelsemium or Pulsatilla according to the symptoms. Eupat-perf is a good drug for break bone viral fevers.
2] Pains - For colic's I always use Mag-phos or Colocynth. Bryonia, Chamomilla etc are also indicated in some cases and are administered in Millisemal potencies at frequent intervals for fast relief.
3] Loose motions - Arsenic-alb, Verat-alb, Camphor, Cuprum-met, Secale-cor, Podophyllum, Bryonia, Croton-tig etc are indicated.
4] Bleedings - Always think of Millifolium Q and Ipecac for bright red Hemorrhages.
5] Cough - Hepar-sul, Spongia, Coccus-cacti, Drosera, Sambucus-nigra, Hyoscyamus etc.

From my small experience of 30 years, I can say with confidence that, if a Homoeopathic physician is fully equipped with all the medicinal tools with their potencies and has adequate facilities for auxiliary measures with strong confidence in himself and his methods; he will be able to successfully manage quite a number of emergency cases. At our Indoor hospital we have succeeded in managing cases of Angina with Amyl-nitr Q and Bryonia 30; PCF with Arsenic-alb, Verat-alb etc; renal colics with Colocynth 10M, Cervical dystocia and Caullophyllum 200 and Acute retention of urine in newborns with Aconite and Staphysagria 30.

3. Is there any Homoeopathic medicine to cure sickle cell disease?

Dr Shabbir Ahmed, Mumbai

I am afraid, on the face of it, the answer is NO. Sickle cell disease is a congenital disorder in which the Hb produced by the bone marrow is itself abnormal. It is unable to sustain even mild anaerobic environment. In such situations the hemoglobin gets contracted which in turn makes the red blood cells sickle shaped. These changes in the contour of the RBCs make their movement sluggish and easily vulnerable to destruction. Depending upon the extent of the defect, the normal life span of the RBC of 120 days is reduced to merely 30 to 40 days. The fundamental cause for such a haemoglobinopathy is a psorasyphillitic miasmatic complex. Under its influence the genetic infrastructure responsible for hemoglobin metabolism etc mutated in utero itself and instead of normal adult HbA we get defective HbS.

All congenital disorders are manufacturing defects. They are defects produced due to the miasmatic influence in the abnormal anatomy and physiology of the economy of the newborn. So, it is essential to understand that because congenital disorders are not natural disease per se as described by Hahnemann, they cannot be cured and the abnormalities /anomalies cannot be corrected by medicines. No constitutional remedy will be able to undo whatever has been done in utero. Yes, there are certain short acting/organ remedies, which can be used, in lower potencies, to relieve symptoms so as to make life of such a patient comfortable. For sickle cell disease we use Caenothus Q, Cardus-mar Q in drop doses for combating the dangerous effects of splenic stress.

Along with these, an appropriate deep acting constitutional remedy selected on other symptoms, if any, will definitely prevent or at least postpone the undesirable effects on other organs. In addition to medicinal help, certain appropriate auxiliary measures like iron rich diet, living in airy and ventilated places, iron supplements, I.V blood/substitutes etc must be adopted.

From my experience of two decades, I can say that if an overall approach,viz, medicinal, along with necessary auxiliary measures, is adopted for managing individuals suffering form such diseases, we can make the life of these unfortunate individuals comfortable and can postpone the complications, thereby reducing mortality.

4. In the article "Trauma" by Kulay F M [P33, Jan/Feb '98 issue] the author has mentioned a case of his friend in which a senior Homoeopath prescribed high potency of CF, NM and NS several times a day for several months without any record. But why proving does not take place in such cases? If one is insensitive to one drug, will she/ he be insensitive to other drug also? What percentage of patients treated in such manners are likely to develop drug proving?

Dr V K Jain [Hissar]

A debatable question indeed. If I correctly recall, Kent has aptly cautioned in this very context when he stated "Homoeopathic failures" are the worst failures on the earth. Today he would have corrected himself and said 'The worst and most dangerous enemies of Homoeopathy are "Homoeopaths themselves"

It is a fact that since the time of Hahnemann himself, Homoeopathy has been subjected to vagaries depending upon the way it was perceived by individual practitioners. Every second physician who entered into the field contributed his own share according to the way he conceived the basic tenets and the objectives he wanted to be fulfilled. In this exercise practically every fundamental tenet of Homoeopathy got twisted. So much so that the fundamental principles of single medicine and minimum dose also became tainted. With changing times, materialism started overshadowing the dynamic outlook towards diseases and their treatment. In the name of fast relief and easy selection, multiple drug therapy became the order of the day. Monopharmacy was soon looked upon as time consuming and less reliable. As a result of which Polypharmacy became readily acceptable by the materialists. There are no two opinions that frequent repetition of deep acting constitutional drugs like NM, NS etc in high potencies, for long periods will definitely produce dangerous effects. Unfortunately, they take some time to surface hence are very often ignorantly overlooked or are ill understood as new symptoms requiring fresh medicine and likewise the journey continues in the dark. For your information, I have with me dozens of cases suffering from Nat-mur symptoms which had developed after they were given NM CM frequently for months.

5. Do all Allopathic ointments suppress? If not please enlist the ones according to your experience.

Dr Geeta Ingole, Sholapur.

It is essential for every rational physician to understand the Phenomenon of Suppression. Any expression, if treated with any medicine and if it does not recur and instead internalize to express from an internal organ, must be termed as suppression and is to be avoided. In this context it does not matter whether the tool applied is an allopathic ointment or even plain Vaseline. Many a times, we have found even homoeopathic ointments, patents etc suppress superficial expressions. Hence, never blame only Allopathy for suppression. Homoeopathic suppressions are the worst, as no one is then able to cure them.

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