Homoeopathic Queries & Solutions
NATIONAL JOURNAL OF HOMOEOPATHY 1999 Mar / Apr VOL VIII NO 2.
Prof Dr Kasim Chimthanawala
1. What is the significance of Tautopathy in treating Drug-Diseases?
Dr Ritu Parekh, Nagpur
Tautopathy is the treatment when drugs, mostly allopathic, are potentised as per Homoeopathic method and prescribed when there are clear indications that the presenting disease symptoms are clearly attributable to the side effects of overdosing with that allopathic drug. Drug-effects take different forms. The indication for Tautopathy depends on the type of effect:
- Pharmacological Effect: a drug may have many effects but very often it is prescribed for its main effect. eg Aspirin, an analgesic, also irritates the gastric mucosa and produces hyperacidity; Sorbitrate, given for coronary dilatation, also dilates other arteries and leads to heaviness of head because of increased flow of blood to the brain. These are termed as side effects. These effects subside as soon as the drug is stopped. If severe they need to be managed by short acting drugs eg Nux-vom 30 for apthae after prolonged intake of Antibiotics.
- Toxicological Effect: Certain drugs, if given in high doses or continued for long time produce toxic effects. for eg
- Gastric ulcer after prolonged intake of Aspirin.
- Hair fall after radiation or Chemotherapy. For Management of these effects, first stop the drug and then give the Antidote.
- Immunosuppressive Effect: There are certain drugs, which are known to suppress body immunity and render the individual prone to diseases like Tuberculosis, Idiopathic Thrombocytopenic Purpura, and Aplastic anemia etc. For management of such diseases, first stop the drug and then adopt Tautopathic procedure i.e. drug prepared from the alleged drug itself.
- Drug-Miasm Effect: Prolonged use of certain constitutional drugs produces a Drug Miasm. It is more powerful than the natural morbific agents are. The patient then produces symptoms, which are called Drug Diseases. These diseases are most difficult to cure eg Steroid Diabetes, Thyroid disorders etc. For managing such cases, first stop the drug and than start constitutional treatment along with intermittent doses of tautopathic drug, if available.
2. Do you advise TT injection for injury to your patients?
Dr Jai Kukreja, Gwalior.
My answer is no, never. Yes I may give few doses of Hypericum or Ledum depending upon the case. But this question must be understood in its wider perspective. Medicolegally, it is obligatory for every physician to, at least, offer Tetanus Toxoid if he thinks there is even a remotest chance of getting Tetanus. Hence in Calcutta Medical College where I worked, we used to write TT on the case card, but verbally they were told that Homoeopathic medicines given will prevent the danger.
At times I have observed my teachers at Calcutta advising TT to patients. If the injury has taken place due to an old rusted iron piece & there is a potential danger of infection then, to be on the safer side along with our medicines, TT injections are advised. Such situations are of course very rare.
3. Do we permit parenteral fluids in cases of PCF resulting due to profuse loss of fluids?
Yes. Of course parenteral fluids must be given to replenish the fluid level. If there is gross dehydration and the BP is very low & when oral intake is either not possible or will take sometime for replenishment, than do go for IV fluids without any hesitations. It is Homoeopathic.
4. Can constitutional treatment be given to a patient who is taking oral contraceptive pills?
Of course. In exceptional cases, when it is essential, one may select an antimiasmatic remedy even when the patient is taking oral pills. But it is always advisable to construct the essential totality for the selection of similimum after omitting the hormonal tablets, so that the drug effects do not interfere with the Symptom Format.