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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Homoeopathic Queries & Solutions
NATIONAL JOURNAL OF HOMOEOPATHY 2004 Nov / Dec VOL VI NO 6.
Prof Dr Kasim Chimthanawala

1 Sir, why is that many homoeopathic practitioners are now frequently using the 50 millisemal scale. Is the Centisimal and Decimal scale out of vogue?

Dr Vaibhav Mhamane, Satara

Such questions have been asked time and again. Well! I generally use Centicimal potencies in my practice. But in many cases LM potencies are required. They are -

  1. Idiosynchronitic cases when one reacts to each and every medicine,
  2. When the vitality has come down to such a lower ebb that the life is in danger, time is short and symptoms distressing, then LM potencies work wonders. A typical example being management of an acute Myocardial Infarction.
  3. When one requires frequent repetitions so that the action of the remedy catches up with the pace of the disease.
  4. In oversensitive patients where aggravations are not tolerated at all.

2 Sir, I have a case of Testicular cancer - seminoma, in a young 18 year old boy. He refuses to be operated and has opted for homoeopathic treatment. How shall I manage this case.

Dr Brijesh Kakadia, Surat

The information provided by you about the case is very scanty for homoeopathic management. First and foremost, take a detailed history, regarding his symptom of malignancy, characteristic physical and mental generalities and family history. If any of his symptoms are increased in intensity, then give a short acting similimum and manage the same. Once the case is settled, then give a deep acting antimiasmatic remedy with proper repetition and follow-up. Remember, malignancy is a constitutional expression and the testes in this case are just target organs. Orchidectomy does not solve the problem because the disease still remains only the target organ is removed.

3 Sir, I have a question regarding dietary protein restriction in patients suffering from Chronic renal failure. As it is the appetite of these patients is very low. If we still subject them to dietary restrictions then will it not weaken them further?

Dr Akhilesh Jaiswal, Nagpur

A good question from the overall management point of view of Chronic renal failure patients. Basically, if we see the disease itself, then we understand that with the progressive decrease in functioning status of the nephrons, patients develop hypertension, proteinuria and finally in end stage renal disease, there is anuria and uremia. It is seen that Dietary protein restrictions decrease the speed of decline of renal function. But in the newer studies carried out, the researchers have observed that there is a limited role. Infact for Indian subjects particularly vegetarians, who normally consume a diet low in proteins, one has to be careful in planning diet schedule in patients of CRF. However, it must be realized that renal replacement therapy (dialysis / renal transplant) if started or has become mandatory, if Chronic renal failure progresses to end stage renal disease is very expensive and beyond the means of many Indians. The compliance rate for such therapies decreases as the disease progresses. Therefore, dietary protein restriction may have to be used to reduce uremic symptoms in such patients. Hence diet of such persons need to be monitored and an individual plan be adopted keeping in mind the extent of disease, the progression rate, the physical generals and overall status.

4 Is melancholia same as depression

Dr Amjad Khan, Bhopal

Depression as a disease entity has been since time immemorial. It was Hippocrate who believed that it is caused due to blockage of black bile in the body (Melan = black, Chole= bile). Hence melancholia is synonymous with depressive states.

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