APPROACH TO MANAGEMENT OF CONTINUED FEVERS

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HOW TO TEACH PHYSIOLOGICAL MATERIA MEDICA Dr
Anand Kapse, MD (Hom) Director, Rural
Homoeopathic Hospital, Palghar
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Sources to study of M.M.

• Proving
• Commentators
• Keynotes
• Chemical
• Physiological
• Toxicological
• Pathological
• Psychological
• Doctrine of signature
• Empirical/Folklore
• Clinical Experiences

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Study of Inorganic M.M.

• Problem Provings grossly incomplete in
  functional data and lacking in structural data
• Hence it needs to be supplemented by information
  from other sources
• Synthetic prescribing (Kent) has widened
  applications of many salts, but is unsafe hence
  to be used only when other approaches prove
  unsatisfactory
• We must bear in mind that Pure chemical or
  physiological study can, under no circumstances
  give us prescribing totality of any drug
• Correlation of physiological studies with
  clinical experiences will allow scientific
  conclusions

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Group Approach to study of M.M.

• Group Approach with Kations having well-defined
  actions and effects as the basis of study to
  derive general properties
• Activity of Anions is slowed down by the Kation
  to produce chronic effects of a long standing
  type
• Specific data like Cr, Av, Dreams belongs to
  individual remedy and not to group

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Kations
Anions
Group
The Periodic Table
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The Alkaline Earth Group
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CALCAREA GROUP

• CALC ARS
• CALC CARB
• CALC FLUOR
• CALC IODATA
• CALC PHOS
• CALC SILICATA
• CALC SULPH

• CALC ACETICA
• CALC HYPOPHOS
• CALC MUR
• CALC BROMATA
• CALC CAUSTICA
• CALC METALLICA

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Physiological Role of Calcium in Body

• Bones Rigidity
• Muscles Excitation-Contractions
• Synapses Release of neuro-transmitters
• Glands (Exocrine Endocrine) Secretion of
  granular material
• Cell membrane Stabilisation
• Role in various stages of blood clotting
• Role in Synthesis of Nucleic acids
• Role in Activation or regulation of enzymes

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CALCAREA
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CALCARIA MIND
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Intra cellular
Extra cellular
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ARK CASE 1

• A CASE OF NODULAR VASCULITIS

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F Religious
Love marriage No child
Step S Jealous ?black magic
Fearful3 Anxious3 Sentimental3 Reserved
Mind Grief3 Pseudocyesis Brooding Depression
Pet child
Sudden noise cockroach
Skin Scalp Lice infestation with suppuration
C3H2 Obese, truncal Cr Sweets3 Motion
sickness Delayed healing Cracks lt Winter
Bones Delayed Standing walking
M.M. Coryza, yellow ltC.O.W.
Calf Vessels Nodules Ulcers Yellow pus
F.G.T. Early, Profuse Menses Pain lt.
buttock lt M.B. M.D.

• Weak legs
• gt Calc
• tablets

Cold hands Nails moons, white spots
Nodular Vasculitis
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Follow up Summary

• Calc Carb 30 3PHS to 7PHS to BD, TDS QDS
• All ulcers healed nodules stopped appearing
  after 3 months
• ESR remained high despite raising potency and use
  of Tub Bov and Thuja

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ARK CASE 2

• A CASE OF MENIERES DISEASE

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Locations Pathology

• Respiratory System Inflammation
• Ear
• Tympanic cavity Suppuration
• Eustachian tube
• Mastoid
• Labyrinth Oedema
• F.G.T. Congestion,
• Fluid retention

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Totality

• Fear of thunderstorms, ghosts dark
• Weeps when reproached /admonished.
• Anticipatory anxiety. Dependent. Weak
• Suppressed Anger. gt Company, Consolation
  Narrating
• Easy mixing. Sympathetic. Artistic. Dreams
  traveling
• Chilly
• Cravings H/O Egg3, Ice cream2, Milk2, Potatoes2,
  Sweets 2
• Aversions Sour3
• Eggs2 lt Pain abdomen
• Before Menses abdomen pain, thigh pain and
  heaviness in breast2 (since menarche)
• Perspiration Neck , palms , axilla .

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Planning of Rx

• Constitutional Calc-Carb (D/D Calc-Phos
  Kali-carb)
• Intercurrent Tub-bov
• Acute for respiratory complaints Pulsatilla,
  Allium-cepa

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Follow up Summary

• Calc-carb was started in 200 weekly doses. After
  2 months it was made 3P weekly later daily
  bedtime. Response was better with daily doses of
  Calc-carb. It improved further with infrequent to
  weekly doses of Tub-bov 1M. Patient is better 70
  after 6 months of Rx. She had 2 acute respiratory
  episodes in this period which required Pulsatilla
  Allium-cepa respectively.

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ARK 3

• A CASE OF HYPERTHYROIDISM

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Syc Tub
Love marriage X M-in-L

SENSITIVE FEAR 3 ANXIOUS 3 ANTICIPATORY3
Irritable M3 W weak D fluctuating Confidence
poor
Dreams Fearful Death parents Pursued Kidnapped Eun
uchs
Falling From Heights. H/O Thunders In Childhood
Tub
MORTIFICATION H/O
VEXATION lt3
ANTICIPATION lt3
LEAN C4H Cr SOUR Salad Vegetables
Av Fats Rich Food M.B, M.D. lt Mind,
Mammae FASTINGlt MILK Products lt SLEEP LOSS OFlt
R.S Nose Throat ltCHALK lt DUST
Glands M.M. Measles Mumps Jaundice Typhoid
THYROID Bleeding PR WEAKNESS
Coldness Feet ltWinter
Perspiration Palms ltAnxiety
Hyperthyroidism With hot nodule
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ARK 4

• A CASE OF A QUIET GIRL

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SKIN
JOINTS
KIDNEYS
Allergic Vasculitis
Glomerulus Hyper cellular Proliferation
of Endothelial Mesangial cells. Neutrophilic
Monocytes infiltration
Inflammation Mediated by Immune
Complexes Collection of Inflammatory
cells Destruction of Articular cartilage
Cutaneous Vessels Inflammation with
Deposition of Fibrinoid and Intense
Neutrophilic Exudation.
IMMUNE SYSTEM
A\FBACTERIA, ALLOPATHIC DRUGS
S
Since 9/5/03
Fever lt 4-5 PM. Fever lt2 evening. Fever lt2
Night. Thirstlessness, Tastelessness. Headache,
Lachrymation Fever during. Fever with Rigors.
Fn.
Fo
Antigen-antibody reaction. Immune complex
formation Inflammatory reactions Micro vascular
thrombi Formation.
SKIN Erythematous Rashes, painful Swelling
with Tender subcutaneous Nodules.
JOINTS Small big Joints (except Shoulder
hip) Pain, swelling lt2 touch, lt2pressure lt2 cold
application, gtlying on soft parts.
Joints decreased ROM
KIDNEYS No form available
Kidneys Increased permeability
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TUBERCLE
SYPHILIS
Headings
PSORA
SYCOSIS
Appendicitis Cellulitis
P/H
Type
M W D - Low
I
FEARFUL DEPENDENT
E
Sluggish Fastidious Shy
B
Chilly. Desire Sweet,
Sour. Aversion Milk. BM lt2 Abdomen
Pain. Stool hard.
P
Recurrent URTI. Laryngitis.
Functional Phase
Drug induced Gastritis
Structural phase
Allergic Vasculitis.
Lt. ankle arthritis.
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TUBERCLE
SYPHILIS
Headings
PSORA
SYCOSIS
Bacterial Infection. Allopathic Drugs.
Cause
lt2 4-5 PM. lt2 Evening. lt2
Touch. lt2 Pressure. lt2
Cold water. lt2 Movement of Jt lt2 Night.

lt
lt1 Riding.
gt
gt2 Lying on Soft parts.
Fever with rigors2. SKIN Erythematous
rashes. Subcutaneous Painful Swelling2, Nodules
Joints Swelling, Pain,
Redness, ROM.
Thirstlessness2, Tastlessness2, Appetite ?2 with
fever.
S C in General
Trembling of limbs, Perspiration, Collapse
Sleeplessness on sight of Blood.
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TUBERCLE
SYCOSIS
SYPHILIS
Headings
PSORA
Fear Sight of Blood. Dark, Dogs, Cats, Being
Alone, Accidents. Cockroaches, Dreams
Unremembered, village, vehicles.
Mental State.
Characteristics Particular.
Headache with Lachymation2. Vomiting lt2 Milk.
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Family
TAMIL COMMUNITY.
12 Yrs of inertia. No activities.
TUB
PROTECTIVE SHELL
DESIRE TO STAY AT HOME.
FEARFUL Dependent MWD Low Sluggish Fastidious Shy
Sight of blood Dogs cats Cockroaches
Accidents
Wants neat clean. Prefers to do of her own.
NO ECA
Work
SLOW IN WORK
Society
No desire to stay at other home.
TUB
Trembling, Perspiration, Collapse Sleeplessness.
Chilly. Desire Sweet, Sour. Aversion
Milk. Stool hard.
Joints, Skin-Blood vessels Kidneys
In last 1 yr
Since 1 yr
9/5/03
1 yr back
Fever lt 4-5 PM. Fever lt2 evening. Fever lt2
Night. Thirstlessness fever during. Tastelessness
fever during. Headache fever during. Lachrymation
Fever during. Fever with Rigors.
Residual mild swelling Pain Lt Ankle Jt.
PULS
Joints Skin-vessels Kidneys
Lt. Ankle Arthritis LLL Swelling, Pain.
Hypersensitivity type III reaction
Recurrent URTI
Cellulitis
Appendicitis
CALC CARB
17/5/03
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REPERTORIAL TOTALITY.
Kent Approach
R.S.
P.D.F.

• Fear sight of blood.
• Fear of dogs.
• Fear of cats.
• Fear of cockroaches.
• Fear of accidents.
• Fear being alone.
• Dependent.
• Sluggish.
• Fastidious.
• Shy.
• Collapse from fear.
• Trembling from fear.
• Sleeplessness from fear.
• lt1 Riding.

Chilly Desire Sweets, Sour. Aversion
Milk. Dreams Unremembered. Vomiting lt2 Milk.
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ACUTE TOTALITY
F.G.T.
S. T.

• Fever lt 4-5 PM.
• Fever lt2 evening.
• Fever lt2 Night.
• Thirstlessness fever during.
• Tastelessness fever during.
• Headache fever during.
• Lachrymation Fever during.
• Fever with Rigors.

• Joints.
• Skin.
• Kidney.
• Hypersensitivity Type III reaction.

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Intercurrent totality.

• Recurrent Infections at the level of M.M., Soft
  tissue.
• Aberrant Immune response.
• Hypersensitivity at the level of Mind Body
  with Poor Resources.

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PLANNING PROGRAMMING OF Rx.
Characteristics symptoms . Stage
of disease Structural Reversible pathology.
Immune response Aberrant.
Reactivity High. Pace Rapid.
CONCLUSION HIGH MORBID. Potency
Repetition 200. Infrequent.
SUSCEPTIBILITY
Mind Hypersensitive. Nerve
High. Conclusion
High. Potency
Repetition 200. Infrequent.
SENSITIVITY
CORRESPONDANCE Const. Rx.
TOTAL At The Level Of Disposition, Physical
Generals Potency Repetition 200. Infrequent.
CORRESPONDANCE Sector Rx.
TOTAL At The Level Of F.G.T. Sector
affinity. Potency Repetition 200. Infrequent.
CORRESPONDANCE Inter-current Rx.
TOTAL At The Level Of Miasmatic expression.
Potency Repetition 1M. Infrequent.
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FUNCTINAL CHANGES
Inflammation at Mucous Membrane URT Gastric
Potency Repetition 200.
Infrequent.
Hypersensitive type III reaction producing
Inflammatory reaction infiltrations, exudation,
destruction effusion at the Level of Skin
(cutaneous vessels) Kidney (glomerulus), Joints
(juxta-articular).
Structural reversible changes.
Potency Repetition 200. Infrequent.
STRUCTURAL CHANGES
Good. Potency Repetition 200.
Infrequent.
GENERAL VITALITY
Recurrent Infections at the level of M.M., Soft
tissue. TUBERCULAR MIASM. Potency
Repetition 1M. Infrequent.
PRESENTATION
A) FUNDAMENTAL MIASM
Aberrant Immune response. Hypersensitivity at the
level of Mind Body with Poor Resources. Rapid
Pace. TUBERCULAR MIASM.
Potency Repetition 1M. Infrequent.
B) DOMINANT MIASM
C) SECTOR
Acute Exacerbation of chronic Auto-immune
Process. Potency Repetition 200. Frequent.
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ENTRY FIRST Rx WITH REASONS DATE.
THIRD Rx WITH REASONS DATE.
SECOND Rx WITH REASONS DATE.
17/5/03 8PM. PULS200 1P Stat 4 hrly.
20/5/03 HS. TUBERCULINUM 1M in 3rd dilution
after temp comes down.
21/5/03. CALC.CARB 200 1P HS. As a
Constitutional remedy.
Acute exacerbation showing characteristic form
Stage of the disease requires an acute force
having sector affinity
Role of acute Remedy is over. Acute
form has disappeared. To
prepare ground for the dose of constitutional
force.
A deep acting constitutional force is needed to
complete the curative process.
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GENERAL MANAGMENT
EDUCATION ORIENTATION
DIET
ANCILLARY MEASURES
REGARDING THE NATURE PROGNOSIS OF DISEASE. NEED
FOR CLINICAL EVALUTION OF THE CASE FROM TIME TO
TIME WITH THE HELP OF LAB. INVESTIGATION
SPECIALIST OPINION TO COME TO THE RIGHT CLINICAL
ASSESSMENT
HIGH PROTEIN DIET. PLENTY OF ORAL FLUID.
HOT FOMENTATION. EXERCISE FOR JOINT
MOVEMENT. WALKING. COLD WATER SPONGING DURING
HIGH GRADE FEVER. Tab. CROCIN SOS.
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THERAPEUTIC PROBLEM DEFINATION RESOLUTION
RECOMMENDATIONS.
RESOLUTION
PROBLEM DEFINATION
PRECAUTION DANGERS.
NO.
DATE
PROCESS ( M T )
END-POINT
ACUTE EXACERBATION OF CHRONIC DISEASE WITH
HIGH AND MORBID SUSCITIBILITY, HIGH
SENSITIVITY, STRUCTURAL REVERSIBLE
PATHOLOGY, ABERRANT IMMUNE RESPONSE WITH POOR
RESOURCES.
ACUTE DEEP ACTING FORCE IN MODERATE POTENCY IN
FREQUENT REPETITION FOLLOWED BY IR/CR IN MODERATE
POTENCY IN INFREQUENT REPETITION.
IN ADMINISTRATION OF IR CR FORCE. CHANCE OF
REMEDIAL lt IS HIGH. THE UNDERLYING CHRONIC
DISEASE PROCESS IS STILL UN-DIAGNOSED
SUSTAINED gt OF HYPERSENSITIVITY REACTIONS AT THE
GENERAL PARTICULAR PLANE WITH SUBJECTIVE
OBJECTIVE PARAMETERS.
17/5
1
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R. R. E. F.- 1
EXPECTATION / DEVIATION
Date
FU ANALYSIS
INTERPRETATION
ACTION
17/5/03 8 pm
Sustained gt of Hypersensitivity reactions at the
general particular plane with subjective
objective parameters.
Susceptibility S. Reactivity S Sensitivity S.
Clinical thinking Hypersensitivity type III
reaction.
Subjective distress gt due to effect of
T. Crocin as Puls not to be introduced during lt
time. General S. Disease activity S.
Puls-200 1 dose SOS 4 hrly.
Subjective distress lt2 General S.
Disease activity S.
Susceptibility S. Reactivity S. Sensitivity S.
Clinical thinking S.
Same.
Puls-200 1 dose SOS 4 hrly.
18/7/03 3 Am
Subjective distress gt1 General gt1. Disease
activity gt
Susceptibility Better. Reactivity better.
Sensitivity Better. Clinical thinking
? Rheumatic fever. W/F Murmur. Amelioration.
18/7/03 830 am
Puls-200 4 hrly.
Same.
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R. R. E. F.- 2
EXPECTATION / DEVIATION
Date
FU ANALYSIS
INTERPRETATION
ACTION
Susceptibility ?. Reactivity ?. Sensitivity ?.
Clinical thinking ASO titer ve. R/O RF.
Amelioration.
Subjective distress Improved. General
Improved. Disease activity ?.
Puls-200 4 hrly.
Same.
18/5/03 830 pm
Susceptibility ?. Reactivity ?. Sensitivity ?.
Clinical thinking S. Amelioration.
19/5/03 830am
Subjective distress gt1 General Improved.
Disease activity ?.
Same.
Puls-200 4 hrly.
Subjective distress gt1 General gt1. Disease
activity gt New symptoms loose stools ?A/f
Mangoes
Observe . Rx ii
Emergence of clearer picture.
Susceptibility ?. Reactivity ?. Sensitivity
?. Clinical thinking ? New symptom
disease. ? Indisposition.
? Exteriorization
19/5/03 845am
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R. R. E. F.- 3
EXPECTATION / DEVIATION
Date
FU ANALYSIS
INTERPRETATION
ACTION
Susceptibility ?. Reactivity ?. Sensitivity ?.
Clinical thinking Indisposition has settled
Subjective distress gt2. General gt2.
Disease activity ?. New symptomsgt3
Observe . Rx ii
20/5/03 800 Am
-------------
Susceptibility ?. Reactivity ?. Sensitivity ?.
Clinical thinking role of acute remedy over,
as form has disappeared.
- Simple gt - Transient
disturbance lt - No obvious
change. To prepare the ground for a dose of
const Rx
20/5/03 800 PM
Subjective distress gt2 Generalgt2. Disease
activity ?.
TUB 1M in 3rd dilution.
21/5/03 815am
Susceptibility S. Reactivity S. Sensitivity
S. Clinical thinking Transient lt
Subjective distress gt2 General gt2. Disease
activity?lt/SQ
Observe . Rx ii
To settle down the transient lt
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R. R. E. F.- 4
EXPECTATION / DEVIATION
Date
FU ANALYSIS
INTERPRETATION
ACTION
Calc carb 200 1P HS
Susceptibility S. Reactivity increased.
Sensitivity S. Clinical thinking Transient lt
Subjective distress General S Disease
activitylt
21/5/03 815 Pm
Simple gt
- Sustained gt
Susceptibility improving Reactivity ?.
Sensitivity ?. Clinical thinking simple gt
22/5/03 830 AM
Subjective distress gt Generalgt. Disease
activity ?.
Rx ii
Subjective distress gt General N Disease
activitygt
Rx ii
22/5/03 800PM
- Sustained gt
Susceptibility improved. Reactivity gt50
Sensitivity gt Clinical thinking Continued gt
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R. R. E. F.- 5
EXPECTATION / DEVIATION
Date
FU ANALYSIS
INTERPRETATION
ACTION
SusceptibilityImproved2 Reactivity gt2.
Sensitivitygt2 Clinical thinking continued gt
Rx ii
- Sustained gt
Subjective distress gt2 General N Disease
activitygt2
23/5/03 800 AM
SusceptibilityImproved3 Reactivity gt3.
Sensitivitygt2 Clinical thinking continued gt
- Sustained gt3
Rx ii
Subjective distress gt3 General N Disease
activitygt2
23/5/03 830 PM
Rx ii
- Sustained gt3
Susceptibility improved2 Reactivity gt2.
Sensitivity gt2. Clinical thinking
continued gt
Subjective distress gt2 General N
Disease activity ?2.
24/5/03 800 AM
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ARK 5

• A CASE OF A BUSINESSMAN

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Luxury goods Foreign trips Treks
F K.C. M C.C. W M.M Insults Wife
Tub
Materialistic Irritable lt Contradiction Sensitive
Pain Insensitive Emotions Hard working
Successful Businessman
Many Friends
Good friend Crook businessman
Stocky C3H2 Teeth Caries Perspiration Odors
Connoisseur of food
Musculo Skeletal System
Left
Shoulder To Neck lt OVERLIFTING

Syc
Skin Cracks Boils Suppurations
Styes lt Warm Weather

Cardio Vascular System B.P 140/94
Cervical Spondylosis Hypertension Hyperlipidaemia
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Follow up Summary

• Calc Fluor 200 HS gt3
• Regular Morning walk
• Business loss duped by many during recession,
  Court cases
• Wife strong support
• Recovery thru hard work yet sensitisation remains
• Fear of pain/poverty

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• A Case of Rheumatoid Arthritis with
  Osteoarthritis

C.F. 1
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PRELIMINARY INFORMATION

• Mrs. S.G. a short, obese, 59 yrs old Married
• Mother expired when the pt was 4 years old.
  Father expired 1975
• Step mother, Brother -1 Stepsisters - 2
• H retired
• Sons 2
• Daughter - 1 expired (Rheumatic Heart Disease)

C.F. 1
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CHIEF COMPLAINT

• Pain swelling hands feet since 17 yrs
• Pain swelling IP joints since 2 ½ yrs
• Pain stiffness

C.F. 1
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PHYSICAL EXAMINATION

• Tenderness along the medial joint line of knee
  bil. crepitus, hallux valgus Lt. gt Rt., IP
  joints tenderness, swelling with inability to
  form fist
• INVESTIGATIONS
• ESR 55
• RA Non-reactive
• Uric acid 4.3

C.F. 1
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ORTHOPAEDIC OPINION

• Polyarticular, distal gt proximal joint
  involvement with pain, stiffness swelling
• Bilateral Lt gt Rt hallux valgus
• PIP MCP joint synovitis stiffness
• Subtaloid mid tarsal joints mild swellings
• Bilateral knee medial joint line tenderness,
  pronation and terminal flexion painful
• Handgrip weak
• Impression OA knee RA

C.F. 1
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MENTAL STATE

• Attachment to her family
• Anxiety regarding her childrens future
• Emotional, weepy
• Bold, Tough, Good sustenance
• Adjusting nature
• Degenerative changes
• lt initial motion
• gt continuous motion

C.F. 1
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PLANNING PROGRAMMING

• Susceptibility Low to Moderate
• Sensitivity Moderate
• Phase Structural
  irreversible
• Dominant Miasm Sycosis
• Fundamental Miasm Tub Syph

C.F. 1
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PRESCRIPTION

• Calc Fluor 30 3 doses a week to multiple doses
• Intercurrent Thuja 200 1PHS infrequent
• gt 80

RESULT
C.F. 1
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• A Case of Non healing sinus in Breast

C.F. 2
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A Case of Non healing sinus

• Mr. M age 30 worker chemical company
• Non healing sinus on breast since 2 years after
  surgery for gynaecomastia
• Not gt scraping the sinus twice
• Watery discharge
• Primary infertility due to azoospermia
• Keloid at the site of surgery on other breast
• Recurrent Colds A F change of weather

C.F. 2
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Bogers Approach

• A F Surgery, Change of weather
• Skin Suppuration, Slow healing, Hypertrophy
• M M Inflammation
• Gland Breast Hypertrophy
• Testes Degeneration
• Teeth Enamel poor
• Eyes Arcus senilis
• C2H2, Well built muscular
• Cr Salt2, Sour

C.F. 2
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Planning and programming of Rx

• Susceptibility Low
• Sensitivity Moderate
• Miasm Sycosis? Tubercular
• Phase Structural reversible
• Problem definition failure of the immune system
  to throw up inflammatory response necessary for
  healing

C.F. 2
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Summary of follow up

• Calc Fluor 30 daily to 4 hourly
• Tub Bov 1M weekly
• After 6 weeks pt developed pain in wound with
  axillary lymphadenopathy
• Interpretation stimulation of immune system to
  produce inflammatory response
• Action Placebo
• Sinus healed completely

C.F. 2
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CASE 6

• THE BOY WITH DISCHARGING SINUS

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PATHOLOGY
PHYSIOLOGY
CONNECTIVE TISSUE
DEFECTIVE Ca METABOLISM POOR ASSIMILATION OF
CALCIUM AND PHOSPHATES
BONE

BONE
SUPPURATION
OSTEOMYLITIS
BOSSYING FONTANEELES
DISCHARGES THICK, YELLOWISH, OFFENSIVE WITH
PASSIVE OOZING
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CRAVING SWEETS HUNGERlt DENTITIONAL DIARRHOEA HOT
PATIENT
LEAN,THIN, SMILING EXPRESSION
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DOMINANT MIASM
T U B E R C U L
A R
MENTAL
PHYSICAL
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REMEDY CALCAREA
SULPH

• CONNECTIVE TISSUE REMEDY
• USEFUL IN THIRD STAGE OF INFLAMMATION
• WOUNDS ARE SLOW TO HEAL WITH SUPPURATTVE TENDENCY
• ABSCESS, BOILS VENT FORMATION
• DISCHARGES-THICK, YELLOWISH, OFFENSIVE

BOGER, ALLEN, CLERK, KENT. SCHOLTEN,
SCHUSLER, HERING AND PULPFORD
REFERENCES FROM MATERIA MEDICA
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PULPFORD CAL. SUL HAS
TENDENCY TO FORM ABSCESS THAT ARE SLOW
TO HEAL HAVING FOUND VENT CONTINUE TO DISCHARGE
A YELLOW PUS, DISCONTENTED, HURRIED
AND IRRITABLE, EASILY ANGERED AFTER
WHICH ONE BECOMES WEAK.
CALC. SULPH CLOSELY RESEMBLES HEPAR SULPH.
IT HAS WIDE SPHERE AND ACTS MORE
INTERNALLY. IT ACTS BETTER IN LATER
STAGES OF PUS FORMATION WHEN THE PUS
HAS FOUND VENT.
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Follow up Summary

• Calc Sulph 30 1PHS weekly to 3 PHS weekly
• Complete healing of the wound
• Finger movements became normal
• Marked change in behaviour, return of original
  behaviour

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ARK 7

• CHRONIC
• BULLOUS
• DERMATOSIS OF
• CHILDHOOD

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Location Pathology

• SKIN
• Eruptions Vesicle Bullous 3
• Pain3
• Itching
• Burst with bloody watery discharge2

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Totality

• Repertorial Syndrome
• lt Dentition Loose stools Vomiting
• lt Touch
• lt Cold Drinks Cough
• Potential Differential Field
• Cr Sweets
• Cr Fruit
• Cr Pica H/O
• C2H3
• Perspiration Scalp

96
PLANNING PROGRAMING

• Susceptibility low to moderate. Considering
  fast pace absence of characteristics.
• Pathology structural reversible
• Sensitivity high. Intense pains, itching with
  weeping excitability.
• Suppression Patient developing side effects
  of steroid which was suppressing the eruptions
  without dealing with the underlying disease
  process. (But no travel to deeper level of organ)
• Dominant Miasm Tubercular

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Follow ups

• The high sensitivity coupled with low
  susceptibility with tubercular miasm presented
  interesting challenge. The patient had been put
  on steroids, which were producing side effects.
  Cautious withdrawal of allopathic treatment was
  indicated, considering the painfulness of the
  lesions the anxiety levels of the parents. On
  29/3/94, Calc Iod 30 single dose was given. After
  the first dose, old eruptions were better 50 and
  there were no new eruption. On 12/4/94 patient
  was asked to stop Betnesol, as old eruptions were
  almost better. Then at the end of April there was
  slow response, so Calc Iod was made 200. On
  1/7/94 patient was asked to stop Dapsone. Lesions
  came back, but settled with Calc Iod 200 HS daily
  and very infrequent dose of Tub 1M. There were 2
  episodes of URTI physician jumped the potency
  after each episode. Single dose of 1M or 3P
  produced short lasting relief. Calc Iod 1M Daily
  brought adequate control. Disease halted
  completely in the month of OCT 94 with a single
  dose of Calc Iod 10m 1P H.S.

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A CASE OF POTTS SPINEFROM DR DILIP DIKSHIT

• Spine Tuberculosis
• Bones Severe Osteoporosis
• Low vitality
• Attachments Son
  
• Sensitive
• Hopeful
• Chilly

ARK 8
99
(No Transcript)
100
Calc Carb Clinical Experiences

• Pituitary Microadenoma
• Hyperthyroidism
• Iridocyclitis
• Menieres Disease
• Uterine Fibroid
• Typhoid, Malaria
• Tonsillitis Adenoids
• Rec URTI
• Warts, Molluscum Contagiosum, Allergic
  dermatitis, Cracks soles
• Rheumatoid arthritis, osteoarthritis, Lumbar
  Cervical Spondylosis
• Varicose veins, Allergic Vasculitis
• Hypertension
• Schizophrenia
• Fears
• Psora3, Syc3, Tubercular3, Syph1

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Calc Fluor Clinical Experiences

• Rheumatoid arthritis, Osteoarthritis
• Ankylosing Spndylitis, Lumbar Cervical
  Spondylosis
• Sebaceous cyst, Keloid
• Non healing Sinus
• Liver- Cholangio-carcinoma, alcoholic liver
  disease
• Laryngeal Carcinoma
• Hypertension
• Psora1, Syc3, Tubercular1, Syph3

102
Calc Iod Clinical Experiences

• Rec URTI
• HAD
• Tonsillitis Adenoids
• Leprosy
• Mesenteric Lymphadenopathy Cervical
  lymphadenopathy due to Kochs
• Tuberous sclerosis
• Duchenes Muscular Dystrophy
• Cerebral Palsy
• Osteoid Osteoma with agonizing night pains
• Typhoid, Malaria, Encephalitis
• Autism
• Leukaemia ALL, AML
• Psora2, Syc1, Tubercular3, Syph3

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Calc Phos Clinical Experiences

• Potts Spine
• Osteoporosis with compression fracture vertebrae
• Tonsillitis, Adenoids
• Malnutrition
• Pulmonary Kochs
• Epilepsy, febrile Convulsions
• IBS
• Warts Molluscum Contagiosum
• Typhoid, Malaria
• Psora3, Syc1, Tubercular3,Syph1

104
Conclusion

• Physiology Approach to study of M.M. is a useful
  tool in expanding our M.M Portraits
• It is not a substitute for proper proving of
  remedies
• It should be taught in a way where student can
  analyze the facts and derive valid generals
• Scientific validation through clinical
  experiences is crucial, other wise erroneous
  conclusions thru flights of imaginations are
  possible
• Synthetic Prescribing has proved the test of
  practice

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THANK YOU