5 Finger Management of Homoeopathic Profession by Dr S G Biju

5 Finger Management of Homoeopathic Profession

by

Dr S G Biju

The Homoeopathic Multi Speciality Hospital, Cahnganacherry- 1

• Management of Chronic Diseases.
• Management of Acute Diseases
• Marketing Management
• Credibility Management
• Image Management

Thump – Management of Chronic DiseasesWith out treating Chronic Disease a Homoeopath cannot establish his profession. But we are not supposed to manage all chronic disease 3 types of cases

1. Cases not to be treated With Hom. Medicines
2. Cases shall be treated by Homoeopathic Medicines  & various other systems of medicines
3. Cases to be treated only with Homoeopathic Medicines.

Cases not to be treated by Homoeopathic Medicines

• There are some chronic diseases to be managed surgically or to be managed by changing life style or by removing permanent cause if any.
• Gangrenes with total loss of tissue
• Foreign bodies in cavities,
• Tuberculosis with cavities especially in HIV
• Gross Ascites
• Goiter with gross indurations
• Hernia in adults
• Dislocations and multiple fractures
• Renal failures under frequent dialysis
• Type 1 DM & IDDM where C-Peptide is absent or reduced

What should do in Diabetes Mellitus?Investigation Schedule

• HBA 1c
• C Peptide
• Urinary Microalbuminurea
• Anti Insulin Antibody.

HBA 1C  (Glycated Hemoglobin)

• Below 6% – Normal
• Good Control – 6-7%
• Fair Control – 7 -8 %
• Unsatisfactory – 8 – 10%
• Poor – Above 10%

It indicates Our average Blood Glucose level over the Previous 6 – 8  weeks. (Average Life Span of RBC 120 Days) @ Good Control – 6-7% – Remedy @ Fair Control – 7 -8 % – Medicine @ Unsatisfactory – 8 – 10% – Drug @ Below 6% – Normal – (Diet Control + Constitutional Remedy) @ Good Control – 6-7% – Remedy Preferably a Nosode – Medo @ Fair Control – 7 -8 % – Remedy + Medicines (Acid Phos, Nux Mos, Phos, Argentum Nit) @ Unsatisfactory – 8 – 10% (Medicine – Nat Sul, Ars Brom, Lactic Acid, Opium,) Poor – Above 10% Drugs:- @ Uranium Nit (Sleeplessness, White Discoloration of Tongue, @ Gymnema, (Bitter or Taste of Sugar in Mouth) @ Syzegium (Heat of Upper Part of Body,Ulcers and Miliaria Rub) @ Cephalandra Ind (Dryness of Throat and Mouth) & so on…. AIA – Anti Insulin Antibody

• Normal range – > 10%
• Indication – Insulin Resistant DM
• Ig E antibody = Allergic Response to Medication. -SILICEA
• ICAs – Islet Cell antibodies-Syphilinum

Endogenous (Produced by Pancreas) or Exogenous (Injected) CPEP – C – Peptide CPEP – Is a protein produced by Pancreas (Has No Function) It released in equal amount of Insulin Decreased level of C Peptide indicates Type – I DM AIA + C peptide IncreasedSyphilitic Miasm Is confirmed – SYPHIL or an anti Syphilitic Prominent Remedy AIA + Lowered level of C Peptide Sensitivity + Reactivity + Deficiency+ following Degeneration Tuberculinum or Nearest Anti Tubercular Remedy Or An Animal Remedy Preferably – ELAPS COR or Tarentula Cub     No C Peptide! -No Homoeopathic Treatment! Homoeopathic Hierarchy of Investigation in DM

• C. Peptide (To Decide to be or not to be treated)
• HBA 1 C ( Drug, medicine or remedy)
• AIA – (Need of Animal Remedy in follow up)
• AIC Antibody – (need of Nosode Antimiasmatic Tt.)

  Problem to be solved in acute cases To make patient Symptom Free

1. Choice of Drugs
2. Auxiliary Methods
3. Selection of ‘Pre Paid’ Medicine

1.Choice of Drugs DRUGS – Just to alter the state of Health- Drugs are the substances used for relief of Distressing symptom/Dangerous pathology only

• Hygrophelia Q can make a sleepless patient sleep but it can’t cure the case
• Cochelaria Q External will remove Dandruff But the Tendency will Persist
• Ars Iod 3x will Bring Down ESR count but the disease will persist!
• X Ray 30 will increases the count of Platelet count But ITP or Dengue fever will continue
• Uranium Nit 3x will bring Back Blood Sugar  Level Normal But Diabetes won’t get cured
• Ferrum Met 3x or Vanadium 30 will increases Hb% But Anemia will recur
• Iodoform 1x will act as a broncho dilator But asthma will continue it’s course
• Canchalagua Q will bring down Temperature down abruptly but the course of Specific fevers must continue
• Fagopyrum 30 will give relief for itching but not for disease.

  Prepaid medicines

• Chelidonium is  a prepaid medicine for Infective Hepatitis
• Eupharia is a prepaid medicine for Viral Conjunctivitis
• Gelsemium is a medicine for Influenza
• Rhus Tox is a medicine for Chicken Pox
• Rananculus Bulb is a medicine for Herpizoster
• Eupatorium perfoliatum is a prepaid Medicine for Chikun Gunyea  & Dengue Fever
• Rhus Tox, Bryonia And Belladona are Prepaid Medicine for Viral Fever
• Cinchona is a prepaid Medicine for Malaria
• PULS and Jaborandi are Prepaid medicines for Mumps
• Pulsatilla is a medicine for Measles and German Measles
• Helleborus is a medicine for Viral meningitis

C Majority Viral Diseses are Managed By Vegetable Kingdom Medicines.

• Medicine for Bacillary Dysentery Merc Sol
• Impetigo Contagiosa & Bullosa Acid Nit
• Streptococcal Tonsillitis Merc So,l Baryata Carb
• Leptospirosis Merc sol, Crotalus
• Apthae Merc Sol, Acid nit
• ASOM (Bacterial Structural) SILICEA

C Majority of structural/ bacterial diseases are managed by Mineral Medicines INDEX FINGURE

• We usually use index finger to point out things and to point out a person. This index finger is to show the effectiveness of Homoeopathic medicines within no time. One must use drugs and remedies to reduce the intensity of symptoms of acute disease.
• We can use prepaid medicines to reduce the duration of acute diseases. Don’t bother about the Miasm and underlying reason of the spontaneous out burst of latent psora and all. Try to win the heart of patient by alleviating his/her most distressing symptom at the earliest.

The objective of Management of acute diseases will be as follows.

1. Gave relief to the most distressing symptoms.
2. Cut short the duration of diseases
3. Prevent complications and sequale
4. Prevention of recurrence

5. Resilience (Bring back to the previous state)

• Select a medicine that covers the later symptoms of the disease.
• Eg. Ledum Pal, Urtica Uren or Phytolacca in CG.
• Crotalus Horridus in Leptospirosis,
• Opium or Carbo Veg  in Typhoid,
• PULS in Measles.

Cut short duration of disease

• Use auxiliary methods and dietary restriction and supplementation. ORS, IV.
• Allow Grandma’s Medicines and methods.
• Use Ferrum Phos 1M in the beginning of Chiken Pox
• Use Myristica 30 in secondary infection

3. Prevent complications and sequale

• Use Abrotanum 30 to prevent Metastasis
• Use Puls 1M in Measles, Mumps and German Measles to prevent complication.
• Use Ant Tart and Thuja in Chiken Pox
• Use Streptococcin 200 and sarsaparilla 30 if you are anticipating post streptococcal glomerulo nephritis.

• Use Lyco 1M of gels 1M if you are anticipating GB Syndrome.
• Use organ remedies of the target organ of complication.
• Use Crotal Hor 30 if you are anticipating meningitis in ASOM.
• Use Helliborus if you are anticipating Meningitis in Chicken Pox or any other acute diseases
• Use terebinthina 3x if you are anticipating black water fever in Malaria.
• Use Veratrum Vir 200 frequent doses if you are anticipating Pneumonia.
• Use Pneumococcin 200 in fever with h/o pneumonia.
• Use Carbo veg 1M to prevent hair falling and premature graying in Typhoid.

4. Prevention of Recurrence

• Nat Mur 1M to prevent recurrence of Herpes Simplex.
• Nat Sulph 1M to prevent recurrence of Br. Asthma.
• Lyssin 200 to prevent recurrence of  Dust allergy
• Spongia 30 & Calc Carb 200 to prevent Moon phases asthma.
• Psorinum 200 or Tub 200 to prevent recurrence of tonsillitis.

5. Resilience

• Sulphur 1M to bounce back to previous state except in skin disease.
• Chinninum Ars 30 to re establish appetite and to reduce weakness after fever.
• Sterculia Q to get rid of weariness after acute disease.
• Mancinella 30 to save the hairs from acute disease