EFFECTIVE HOMOEOPATHIC MANAGEMENT OF VIRAL FEVER

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WELCOME
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EFFECTIVE HOMOEOPATHIC MANAGEMENT OF VIRAL FEVER

• PRESENTED BY
• Dr AJI PUNNEN
• II MD REPERTORY
• ajipunnenkocheril_at_gmail.com
• 9447803575

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• The fevers now prevailing in kerala can be
  considered as acute epidemic diseases

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• Aphorism 73
• Allied to these are those diseases
  in which many persons are attacked with very
  similar sufferings from the same cause
  (epidemically) these diseases generally become
  infectious (contagious) when they prevail
• among thickly congregated masses of human
  beings.

5

• Foot note 17
• A striking fact in corroboration of
  this is, that whilst previously to the year 1801,
  when the smooth scarlatina of Sydenham still
  occasionally prevailed epidemically among
  children, it attacked without exception all
  children who had escaped it in a former epidemic
  in a similar epidemic which I witnessed in
  Konigslutter, on the contrary, all the children
  who took in time a very small dose of belladonna
  remained unaffected by this highly infectious
  infantile disease. If medicines can protect from
  a disease that is raging around, they must
  possess a vastly superior power of affecting our
  vital force.
•  

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• Aphorism 100
• In investigating the totality of
  the symptoms of epidemic and sporadic diseases
  it is quite immaterial whether or not something
  similar has ever appeared in the world before
  under the same name or any other name. 

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• Aphorism 101
• It may easily happen that in the
  first case of an epidemic disease that presents
  itself to the physician's notice he does not at
  once obtain a knowledge off its complete picture,
  as it is only by a close observation of several
  cases of every such collective disease that he
  can become conversant with the totality of its
  signs and symptoms.
•  

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• The carefully observing physician can, however,
  from the examination of even the first and second
  patients, often arrive so nearly at a knowledge
  of the true state as to have in his mind a
  characteristic portrait of it, and even to
  succeed in finding a suitable, homoeopathically
  adapted remedy for it.

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• Aphorism 102
• In the course of writing down the symptoms of
  several cases of this kind the sketch of the
  disease picture becomes ever more and more
  complete, not more spun out and verbose, but more
  significant (more characteristic), and including
  more of the peculiarities of this collective
  disease

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• on the one hand, the general symptoms (e.g.,
  loss of appetite, sleeplessness, c.) becomes
  precisely defined as to their peculiarities and
  on the other, the more marked and special
  symptoms which are peculiar to but few diseases
  and of rarer occurrence, at least in the same
  combination, become prominent and constitute what
  is characteristic of this malady

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• All those affected with the disease prevailing at
  a given time have certainly contracted it from
  one and the same source and hence are suffering
  from the same disease but the whole extent of
  such an epidemic disease and the totality of its
  symptoms (the knowledge whereof, which is
  essential for enabling us to choose the most
  suitable homoeopathic remedy for this array of
  symptoms, is obtained by a complete survey of the
  morbid picture) cannot be learned from one single
  patient, but is only to be perfectly deduced
  (abstracted) and ascertained from the sufferings
  of several patients of different constitutions.

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• Footnote 89
• The physician who has already, in the first
  cases, been able to choose a remedy approximating
  to the homoeopathic specific, will, from the
  subsequent cases, be enabled either to verify the
  suitableness of the medicine chosen, or to
  discover a more appropriate, the most appropriate
  homoeopathic remedy.

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• Aphorism 240
• But if the remedy found to be the
  homoeopathic specific for a prevalent epidemic of
  intermittent fever do not effect a perfect cure
  in some one or other patient, if it be not the
  influence of a marshy district that prevents the
  cure, it must always be the psoric miasm in the
  background, in which case the antipsoric
  medicines must be employed until complete relief
  is obtained.

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• Aphorism 242
• If, however, in such an epidemic
  intermittent fever the first paroxysms have been
  left uncured, or if the patients have been
  weakened by improper allopathic treatment then
  the inherent psora that exists, alas! in so many
  persons, although in a latent state, becomes
  developed, takes on the type of the intermittent
  fever, and to all appearance continues to play
  the part of the epidemic intermittent fever, so
  that the medicine, which would have been useful
  in the first paroxysms (rarely an antipsoric), is
  now no longerm suitable and cannot be of any
  service.
•  

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• Kents lesser writings 
• A rational use of curative agents
• After taking many cases symptoms must be written
  in Hahnemannian scheme ie under regional headings
•  
• All the symptoms gathered must be considered to
  be taken from single person

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• General symptoms must be considered first
  followed by particulars
•  
• Great mistakes may come from going too deeply
  into particulars before the generals are settled.

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• Chronic diseases 
• Nature of chronic diseases
• The Homoeopathic healing art, as taught
  in my own writings and in those of my pupils,
  when faithfully followed, has hitherto shown its
  natural superiority over any allopathic treatment
  in a very decided and striking manner and this
  not only in those diseases which suddenly attack
  men (the acute diseases), but also in epidemic
  diseases and in sporadic fevers.
•  

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• Psora
• But during the treatment of chronic
  diseases by antipsoric remedies we often need the
  other non-antipsoric store of medicines in cases
  where epidemic diseases or intermediate diseases
  (morbi intercurrentes) arising usually from
  meteoric and telluric causes attack our chronic
  patients, and so not only temporarily disturb the
  treatment, but even interrupt it for a longer
  time.

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• Here the other homoeopathic remedies will have to
  be used, wherefore I shall not enter upon this
  here, except to say that the antipsoric treatment
  will have for the time to be totally
  discontinued, so long as the treatment of the
  epidemic disease which has also seized our
  (chronic) patient may last, even if a few weeks
  in the worst cases may thus be lost.

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• But here also, if the disease is not too severe,
  the above mentioned method of applying the
  medicine by smelling a moistened pellet is often
  sufficient to help, and the cure of the acute
  disease may thus be extraordinarily shortened.

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• The intelligent homoeopathic physician will soon
  note the point of time when his remedies have
  completed the cure of the epidemic intermediate
  disease and when the peculiar course of the
  chronic (psoric) malady is continued. The
  symptoms of the original chronic disease will,
  however, always be found somewhat varied after
  the cure of such a prevailing intermediate
  disease.

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• Here is a fitting opportunity to note that the
  great epidemic diseases smallpox, measles,
  purple rash, scarlet fever, whooping cough, fall
  dysentery and typhoid, when they complete their
  course especially without a judicious
  homoeopathic treatment, leave the organism so
  shaken and irritated, that with many who seem
  restored, the psora which was before slumbering
  and latent now awakes quickly, either into
  itch-like eruptions or into other chronic
  disorders, which then reach a high degree in a
  short time, if they are not treated properly in
  an antipsoric manner.

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• Epidemic and sporadic fevers, therefore, as well
  as the miasmatic acute diseases, if they do not
  soon terminate and pass directly over into good
  health, (even when the epidemic and acute
  miasmatic part has found a homoeopathic specific
  which has been rightly used against them), often
  need an antipsoric assistance, which I have
  usually found in sulphur, if the patient had not
  used shortly before a medicine containing
  sulphur, in whichcase another antipsoric suitable
  to this particular case will have to be used.

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• REPERTORIAL RUBRICS
•    
• BACK - PAIN - Lumbar region - fever during
• Acon.bg2 apisbg2 arn.bg2 Ars.bg2 bry.bg2 CALC.bg2
  Caust.bg2 Cham.bg2 chin.bg2 cocc.bg2 Ign.bg2
  kali-c.bg2 lyc.bg2 merc.bg2 Nat-m.bg2 NUX-V.bg2
  phos.bg2 PULS.bg2 Rhus-t.bg2 rutabg2 SEP.bg2
  sil.bg2 stront-c.bg2 Sulph.bg2

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• EXTREMITIES - PAIN - fever, during
• Acon.bg2 agn.bg2 alum.bg2 am-c.bg2 Ant-c.bg2
  apisbg2 Arn.bg2,k ars.bg2,k bell.bg2,k
  BRY.b7.de,bg2,k Calc.b4.de,bg2,k canth.bg2
  CAPS.b7.de,bg2 CARB-V.b4.de,bg2 caust.bg2
  cham.bg2 Chin.b7.de,bg2,k Cimic.sne Colch.bg2
  cypra-eg.sde6.de dulc.bg2 elat.c1
  EUP-PER.bg2,br1,k Ferr.bg2,k Gels.bg2 gink-b.sbd1
  Hell.b7.de,bg2 IGN.bg2 ip.bg2 kali-c.bg2
  kali-n.bg2 Lyc.b4.de,bg2 mag-c.bg2 mag-m.bg2
  mang.k2 Merc.k mur-ac.k2 nat-m.bg2,k nat-s.k2
  NUX-V.b7.de,bg2,k phos.b4.de,bg2,k poliomtf11
  ptel.a1,k puls.b7.de,bg2,k Pyrog.k
  Rhod.b4.de,bg2,k Rhus-t.b7.de,bg2,k samb.bg2
  sec.k sep.a1,b4.de,bg2,k sil.bg2 spong.bg2
  sulph.b4.de,bg2,k tarax.bg2 thuj.bg2 tub.k
  valer.k verat.bg2 Zinc.bg2

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• FEVER - DENGUE fever
• acon.c1,c2 Eup-per.c2 Gels.c2
•  
• SKIN - DISCOLORATION - red - fever during
• Apisbg2 ARS.bg2 bell.bg2 canth.b7.de,bg2 IGN.bg2
  merc.bg2 Nux-v.bg2 Op.bg2 ph-ac.bg2 Puls.bg2
  rhus-t.bg2

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• GENERALS - PAIN - rheumatic - fever during
• led.b7.de
•  
• GENERALS - PAIN - Bones - fever - during
• Arn. chin. EUP-PER. ign. nat-m. Puls.

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• GENERALS - PAIN - Muscles - fever during
• eup-per.br1 tub-a.jl2
•  
• GENERALS - WEAKNESS - fever - after
• Alst-s. Apis Aran. caesal-b. carc. gent-l. morph.
  sal-ac. Sel. stry-p. sulph. syph.
•  

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• GENERALS - WEAKNESS - fever - during
• acon. ail. alum. am-m. anac. ang. ant-t.
  Anthraci. Apis aran. arg-met. Arn. ARS. Bapt.
  bar-c. bell. borx. Bry. cadm-s. calc. camph.
  canth. carb-v. cassia-s. caust. cham. Chin.
  chinin-ar. coli. crot-h. CUPR. dig. dros. elaps
  eup-a. Eup-per. eup-pur. ferr. Ferr-p. Gels. Ign.
  iod. ip. kali-c. kali-i. kali-n. kreos. laur.
  lyc. meny. merc. morph. Mur-ac. nat-c. Nat-m.
  nicc. nit-ac. nit-s-d. nux-m. NUX-V. petr. Ph-ac.
  PHOS. plb. Puls. rheum rhod. Rhus-t. Rob. sabad.
  sarr. sep. sil. spig. Stann. sul-ac. sulph. thuj.
  tub. tub-m. VERAT. verat-v.
•  

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• FEVER - CHILL with
• ACON. ambr. anac. Anders. ant-c. apoc. arg-n.
  ARS. ars-i. ars-s-f. asar. bamb-a. bar-m. BELL.
  benz-ac. bros-gau. Bry. bufo caesal-b. CALC.
  caps. carb-v. cassia-s. CHAM. Chel. chin.
  Chinin-s. choc. cina Cocc. coff. coloc. cycl.
  Dig. Dros. Ferr. ferr-ar. Gels. granit-m. Graph.
  HELL. IGN. iod. ip. kali-ar. kreos. lac-del.
  lac-lup. lat-h. lat-m. Led. lyc. Merc. Mez.
  nat-c. nat-m. Nat-s. nicc. NIT-AC. NUX-V. Olnd.
  petr. phos. pitu-gl. Plb. Podo. positr. Puls.
  Pyrog. ran-b. RHUS-T. sabad. sabin. Samb. Sang.
  Sep. ser-a-c. sil. spig. staph. staphycoc. Stram.
  sulfonam. SULPH. Tarent. Thuj. trem-g. tub.
  Verat. Zinc.

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• SKIN - ITCHING - fever during
• AM-C. Ant-c. ars. bry. Cham. ign. kali-br. lyc.
  MANG. merc. nux-v. Puls. rhus-t. sil. SPONG.
  staph. sulph.

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• REPERTORIZATION
•  
• GENERALS - WEAKNESS - fever - during
• EXTREMITIES - PAIN - fever, during
• FEVER - CHILLINESS with
• BACK - PAIN - fever, during
• EXTREMITIES - SWELLING - dropsical

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• NUX VOMICA 12/4
• ARS ALB 11/5
• EUP PERF 9/4
• IGNATIA 9/4
• RHUSTOX 9/4
• BELLADONA 8/5
• CHINA 8/5
• LYCOPODIUM 8/5
• MERCURIUS 8/5
• PULSATILLA 8/5

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• Differentiation using rubrics
• Thirst chill before -- Ars,china, eup, puls
• Thirst chill during -- apis, arn, caps,cina,
  eup, ign, nux, pyr, sep, sil, tub, ver
• Thirst chill after ars, chin, dros, puls

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• Thirstless heat during apis, cina, gels, sabad,
  sep
• Thirst for small quantities ars, lyc
• Often ars

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• Thirst for large quantities -- ars, bry, nat-m,
  phos, sulph, ver
• Often bry, nat murr
• Long intervals bry

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• Thirst heat during acon, ars, bell, bry, eup,
  natm, nux, tub

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• Pain
• Pain fever during bry, eup,nux
• 2 -- arn, ferr, merc, pyrg rhod rtox
• Pain on motion bry, colch
• 2 cooc coloc, euph, guaic, kalm, led, nat-m,
  nux v, ox-ac, phyt, plb, ran-b, sil

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• Pain motion amel kali-s, puls, pyrg, rhod,
  rhustox
• Continued motion amel cham, rhustox
• Pain move on beginning to ferr, lyc, phos,
  puls, rhustox
• Pain night aggr cham, merc, plb

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• Pain on lying ars, merc
• EXTREMITIES - PAIN - Joints - chill, during
• CIMX. Ferr. Hell. nat-ar. podo.

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• GENERALS - COVERS - amel. - desire for and
• arge-pl. Ars. aur. bell. choc. clem. colch. hep.
  nux-v. psor. Puls. rhus-t. samb. sep. sil. squil.
  stront-c. symph.

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• Bryonia
• Dry mouth thirstless or thirst for large
  quantities at large intervals
• Wants to lie still let be alone
• H/A pain better from pressure worse from
  movement
• Irritable
• Hard stools
• White tongue

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• Fever.-Pulse full, hard, tense, and quick. Chill
  with external coldness,
• dry cough, stitches. Internal heat. Sour sweat
  after slight exertion.
• Easy, profuse perspiration.
• Rheumatic and typhoid marked by gastro-hepatic
  complications.

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• Pulsatilla
• Dry mouth thirstless
• Better by motion
• Changeable symptoms
• Chilliness but external warmth intolerable, worse
  in a close room, craves air or open air
• Chilliness especially in the evening
• Pain with chill

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• Thirstless during chill

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• Fever.-Chilliness, even in warm room, without
  thirst.
• Chilly with pains, in spots, worse evening. Chill
  about 4 p.m.
• Intolerable burning heat at night, with distended
  veins
• heat in parts of body, coldness in other.

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• One-sided sweat
• pains during sweat.
• External heat is intolerable, veins are
  distended.
• During apyrexia, headache, diarrhoea, loss of
  appetite, nausea.

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• Nux vomica
• Coldness or chilliness not relieved by warmth ie
  of stove or by any external covering
• Ineffectual urge for stool
• Angered irritable
• Thirsty

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• Cold stage predominates. Paroxysms anticipate in
  morning.
• Excessive rigor, with blueness of finger-nails.
• Aching in limbs and back, and gastric symptoms.

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• Chilly must be covered in every stage of fever.
• Perspiration sour only one side of body.
• Chilliness on being uncovered, yet he does not
  allow being covered.
• Dry heat of the body.

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• Rhustox
• Physically restless with no mental anxiety
• Ameliorated by continuous motion
• Aggravated by rest
• Thirst for cold drinks especially at night

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• restless, trembling.
• Tongue dry and brown
• sordes bowels loose great restlessness.
• Intermittent chill, with dry cough and
  restlessness.
• During heat, urticaria.
• Chilly, as if cold water were poured over him,
  followed by heat and inclination to stretch the
  limbs.

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• Gelsemium
• Heaviness tired ness of body limbs
• Bursting headache from neck to head to eyes
• H/a releived by copious urination
• Thirstless
• Sleepy but cannot sleep
• Chilliness with heat chills

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• -Wants to be held, because he shakes so.
• Pulse slow, full, soft, compressible.
• Chilliness up and down back.
• Heat and sweat stages, long and exhausting.
• Dumb-ague, with much muscular soreness, great
  prostration, and violent headache.

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• Nervous chills.
• Bilious remittent fever, with stupor, dizziness,
  faintness thirstless, prostrated.
• Chill, without thirst, along spine wave-like,
  extending upward from sacrum to occiput.

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• Eup perf
• Aching in limbs as if bones were broken
• Dare not to move for pain
• Bursting headache

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• Perspiration relieves all symptoms except
  headache.
• Chill between 7 and 9 a.m. , preceded by thirst
  with great soreness and aching of bones.
• Nausea, vomiting of bile at close of chill or hot
  stage throbbing headache.
• Knows chill is coming on because he cannot drink
  enough.

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• Ledum pal
• -Coldness, want of animal heat.
• Sensation as of cold water over parts
• general coldness with heat of face.
• Pain in small finger joints
• Soles painful can hardly step on them

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• Polyporus pinicola
• Useful in intermittent, remittent and bilious
  fevers, with headache, yellow tongue, constant
  nausea, faintness at epigastrium, and
  constipation.
• Deep dull, severe pain in shin bones, preventing
  sleep.
• Fever.-Great lassitude, congestion of head, with
  vertigo, face hot and flushed, prickling
  sensation all over

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• restless atnight from pain in wrists and knee
  rheumatic pains
• Profuse perspiration.
• Headache about 10 a.m., with pain in back,
  ankles and legs increasing until 3 p.m., then
  gradually better.

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• Acetanilidum
• Used as a sedative and antipyretic for various
  forms of headache and neuralgia in doses of one
  to three grains.
• For the homoeopathic indications use the third
  potency.

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• Capsicum
• Coldness, with ill-humor. Shivering after
  drinking.
• Chill begins in back better, heat. Must have
  something hot to back.
• Thirst before chill.

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• Propylamine
• Pain in wrist ankle
• Worse slight motion
• Great restlessness thirst
• Tingling numbness of fingers

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• Solanum Lycopersicum
• Pain left after influenzae
• Severe aching pains all over the body
• Intense aching in lower limbs
• Sharp pain in right deltoid pectoral muscles
• Dull pain in lumbar region

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• Thankyou