REORIENTATION PROGRAM HOMOEOPATHIC MANAGEMENT OF PNEUMONIA

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REORIENTATION PROGRAMHOMOEOPATHIC MANAGEMENT OF
PNEUMONIA
Dr.Hitesh Purohit M.D.(Hom.) Academic
Convener, HOD Dept Of M.M. Smt. Malini Kishore
Sanghvi Homoeopathic Medical College, Miyagam -
karjan
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Borland Pulford.
Experiences of the MASTERS


Our Experiences
Deriving Concepts.
Application to other cases.
Consolidating Conceptual Base
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BORLANDS PNEUMONIA
Greater Your Clinical Medicine Experience, The
More Successful You Are Going To Be We Are
Always Hearing That We Homoeopaths Are Symptom
Hunters. We Do Nothing Of That Kind
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THE ONLY SUCCESSFUL HOMOEOPATHIC
PRESCRIBERS I HAVE KNOWN HAVE BEEN MOST
OBSERVANT CLINICIANS
SUCCESSFUL HOMOEOPATHIC PRESCRIBING DEPENDS
ON HOW MUCH ONE PAYS ATTENTION TO
CLINICAL WORK
TOTALITY OF SYMPTOMS SYMPTOMS OF DISEASE
ALL OTHER SYMPTOMS.
DRUG
AFFINITY ? ORGAN PATHOLOGY EVOLUTION

CHARACTERISTIC SYMPTOM ?
INDIVIDUALISATION.
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SUSCEPTIBILITY
CRISIS
LYSIS
Aborting the disease. Cutting down the course.
Complications less. Later stress
less. Repetition till six hours after temp
touches to normal ?2hrly ? 4hrly.
Repetition till end. May require more than one
drug to complete the cure (one after another)
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PULFORD
Similimum will cut short any disease at any time
will cut short the course of the disease

• DONT GET PANICKY
• DONT GIVE TOO LOW A POTENCY
• DONT REPEAT TOO OFTEN

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Case 1
Baby c, 3 yrs, under Rx?19.9.92. recurrent attack
of U.R.T.I. -----BRONCHITIS from July---sept 92.
K.C. 200 infrequent to daily H.S. (2
Powder)helped her. (bronchitis with fever)
Lung parenchyma
Inflammation Congestion hepatisation
7th
5th
Nose block, Cough bouts , lt NIGHT- 9 to10p.m. lt
Lying down Rattling2, vomiting of sputum and
ingesta Fever ? 103F heat of forehead, palm,
sole and forehead, Cough lt LYING DOWN, pain in
abdomen Pain in extremities. TC W.B.C.---7000,
N58, ESR42. Thirst Few sip/ frequent
1st
2nd

• ? In Nasal Mucociliary Clearance.
• ? Cough reflex.
• ? Compliance of Lung. Hyperventilation.
• - Altered Gaseous exchange.

Fever continue lt midnight lt 10pm-12am In Temp
forehead, palm , sole warm
O/E Tg yellowish cremish, P/A Mild
tenderness in left hypo, Chest Occ. Creps on Lf.
Side. P 70/min, T 100.8
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CASE1
Case Analysis

• Time Gradual onset with slow progress in
  8-10 days, with Few characteristics in
  the case.
• Location Lung parenchyma Lt. Lower Lobe.
• Pathology Consolidation.
• Sensation Fever, Cough, sputum,
• Modalities Char. Available
• Concomitants Heat of forehead palms/sole pt. is
  complaining of pain in abdomen Fever
  during.

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TOTALITY
Chest , Serous Membrane, Lungs
Inflammation Congestion3. Exudation2.
HOT PATIENT
Irregular distribution of the heat
lt Midnight lt Lying down lt 2 P.M.
Pace Gradual. Poor reaction. When well
selected remedies fails to produce
result. Neglected Pneumonia.
Dryness of mouth2 with ? Thirst.
SULPH 1M / 2 hrly
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Case 2
Baby v, 7 yrs ?steroid dependent asthma
Left lung? Parenchyma? Inflammation? exudation?
penumogastric nerve
2 day
1day
Pace slow
Cough, Rattling3, Vomitingsticky3, stringy3,
Cough 3lt 3a.m., 3lt Talking, lt 12 midnight, 3lt
Wakes up, 2lt Lying gt2 Lying rt side. Nausea2 3lt
Site of food. Appetite Reduced2, Thirst for
small quantity often2. prefers hot drink2 Dull,
Does not like to talk, O/E chest Ronchi/Creps
on left side. Tongue Coated thick.

• ? Cough reflex.
• - ? Compliance of Lung.

gt Kali Bich 301000,
X-Ray chest Patchy consolidation is seen in the
left lower lobe with mucous filled bronchi at
bases.
5pm100f, Mo Feels head is warm3, Palm warm2
and sole is cold2, Chest Creps2 Lf.
Base/Middle, Rt Harsh sound, Ronchi
generalized.
TC 14,500 N74, ,
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Chest Lungs left side
Hot patient Thirst for small quantity often
Desire for hot drinks fever during Forehead/Palm
warm and sole cold Nausea lt site of
food Stringy, sticky, yellow discharges PACE SLOW
REMEDY RELETIONSHIP CAL IOD, KALI BICH TO
LYCOPODIUM
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Case 3
Pleura Serous Membrane Lung lt. Basal Zone
-Parenchyma. Inflammation ? Congestion Red
Hepatization.
Master M, 2 yrs--gt H/O recurrent asthmatic
bronchitis?under Rx?NAT SULPH
Running nose, Discharge yellowish, greenish,
thick, sticky2, cough bouts3, Rattling3,
Whistling sound, Breathlessness, O/E Wt 13 kg,
Tongue Yellowish cremish coated, Temp102F,
Chest Ronchi/Creps, Left side whole
Ronchi, Generalized, Pulse108/min ITC 14700,
N 71, L29, ESR 37 X-Ray chest Shows
Ill-defined haziness at left basal region.
FINDINGS ARE SUGGESTIVE OF LEFT BASAL PATHY
CONSOLIDATION IN PARA CARDIAC REGION

• Cough reflex.
• ? Compliance of Lung.
• Hyperventilation.
• - Altered Gaseous exchange.

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Serous Membrane Chest,
Chilly patient Complains goes from above downwards
Weakness Obstinacy ?ed
KALI CARB
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CASE4
Mst. A. 2 yrs old, P/H age of 5 month Boncho--
pnuemonia
1st
3 mths
Every 15

• Alteration in Gaseous exchange.
• In lung Compliance.
• ? In cough reflex.

Now fever?103.2 O/E Chest generalized creps3,
Pulse 120, R.R. 32/min Cervical glands
Palpable, Tender Rt3/Lf2,
X-Ray chest PA Right lower zone and left upper
zone consolidation, Blood TC23,800,
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Serous membrane Chest, Rt. LZ Lt. UZ
Chilly patient Complains goes from above
downwards Weakness, Lie down quietly, fearful3
noise/alone, Obstinate3, if his demands not
fulfilled? crying. takes time in mixing with
strangers/children.
KALI CARB
A/F loss of attachment
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Pneumonia In CHD CASE Baby A 3YRS
OLD PT IS UNDER CARE OF ICR TRAINED
PHYSICIAN. CLINICAL DIAGNOSIS RECURRENT
URTI. IN CASE OF CHD. ACUTE REMEDY ARS ALB
200 4 HOURLY. CONSTITUTIONAL REMEDY CAL CARB
200 WEEKLY INTERCURRENT REMEDY TUBERCULINUM
1M INFREQUENT
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(No Transcript)
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CURRENT EPISODE SINCE 7 DAYS COLD COUGH WITH
HIGH FEVER NO RESPONSE WITH ARS ALB 200 1M
X RAY CONSOLIDATION LT MIDDLE ZONE WBC
17000. CLINICAL DIAGNOSIS PNEUMONIA
CHARACTERISTIC FEVER lt 2 PM DURING FEVER
HEAT OF HEAD WITH COLD EXTREMITIES
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ASSESMENT SUSCEPTIBILITY REACTIVITY
MODERATE IMMUNITY LOW SENSITIVITY
MODERATE VITALITY GOOD FUNDAMENTAL MIASM
SYPHILITIC/TUBERCULAR DOMINANT MIASM
TUBERCULAR.
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CASE PAUCITY OF SYMPTOMS ONLY GENERALS 1ST
DAY TUBERCULINUM 1M 2ND DAY CAL CARB
200 RESPONSE PT RESPONDED WITHIN 24
HOURS.. OUT OF FEVER WITHIN 48 HOURS X RAY
NORMAL WITHIN 5 DAYS.
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CASE 5 Pt is 47 yrs
old male , belonging from muslim community, doing
business of electric Goods Came with the
complation of pain 3 in Rt. Side chest with
gradual onset since 15 days Pain Is Throbbing
type. lt 3 Coughing, lt 2 3 to 5 a.m. lt 3
Breathing, lt 2 Lying On Rt Side, gt 2 Lying on
lt side, Dry Cough 2, Weakness 2, with c/o of
fever 2, Bitter taste in mouth, Thirst N,
App - ?es. Took Medicine from local G.P. but does
not relived. O/e Wt 53 KG. T 101.2 F,
P 120/min, B.P. 130 / 80 mm of
hg, Nail Pale Conjuctiva
Pale, Tongue Pale,
P/A NAD CVS
NAD R.S. Air Entry - ?es. , Rt
lower zone crepitus Investigation Reports
X-Ray Chest In homogenous shadow is seen in
right lower zone S/o Consolidation with
mild pleural effusion. CBC / ESR Hb 9.2,
R.B.C. 4.07 mill/cumm, W.B.C. 22,300/cumm,
PCV 30, MCV 73.7 MCH
22.6, MCHC 30.6, N 83, L-13, E
2, M 2, Plt 503000, ESR 150
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Case5
Pleura Serous Membrane (Early
Involvement) Lung Rt. Lower Lobe -Parenchyma.
Inflammation ? Congestion Red Hepatization.
Structure
15 days

• Cough dry3, pain 3 in Rt. Side chest
• Pain Is Throbbing type
• lt 3 Coughing, lt 2 3 to 5 a.m. lt 3 Breathing, lt 2
  Lying On Rt Side, gt 2 Lying on lt side
• fever 2, Weakness 2, Bitter Taste in mouth, App
  ?es.
• O/e . T 101.2 F, P 120/min,
• R.S. Air Entry - ?es. , Rt lower zone
  crepitus
• X-Ray Chest In homogenous shadow is seen in
  right lower zone S/o Consolidation with mild
  pleural effusion.

Function
Form

• Cough reflex.
• Hyperventilation.

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FOLLOW UPS 13/4/07. Patient can able to sleep
upto 230am to 430am, cough bouts, Coughgt
since morning, chest pain while
coughingS, Weakness gt, Temp
11am100F, Pulse 94/min, Chest S
---------------------------------------ACTION
B 17/4/07 Chest paingt2, Coughgt2 esp lt 5-6am,
No feverish feeling. O/E
Temp100f, Pulse 96/min, Chest
Clear-----------------------------------------ACTI
ON C 21/4/07a.m. chest pain 0, Dry cough
gt75, No feverish feeling, O/E
Temp 99f, P 84/min, Chest clear, ADV CBC,
ESR----------------------------ACTION
D 25/4/07a.m. coughgt3 once 2-3 bouts at
night, No other complains, Generalsgt2, No fever,
chest pain,
O/E Temp 98F(O), RS clear, TC 9100,N 77,
l20, E1, M2, ESR132,---------ACTION
E 28/4/07 Coughgt3, Breathlessness0, No fever,
chest pain, App increased.
O/E P 96 / Min, T 98.2 RS NAD
ACTION F
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BRYONIA.
Mucous membrane. Serous membrane. Nerves.
Muscles.
Inflammation. Congestion.
Exudation.
lt3 motion, Hot , lt 3 to 5 p.m. gt2 pressure, rest
Pace Slow gradual onset with early pleural
involvement
DRYNESS OF ALL MUCOUS MEMBRANE
Concomitants Thirst for large quantity often ,
Irritability. Headache.
RS Dry3 hard 3 cough with sharp stitches in the
chest
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Case - 6
D/O/C 11.09.07 Before 10
days c/o cold ? Running Nose ? watery ,
Non sticky, sneezing 4-5 at a time. A.F. Getting
Wet. No Cough. Thirst N, No weakness, No
Bodyache, App - N , No any Modality On 3rd day
cold , running Nose , fever with chill ?
Whole body, Bodyache , Weakness , Throat
Soreness, lt swallowing Liquid, No thermal
Modality, gt Open air No cough, Thirst N,
Took allo Rx But not better. Now since 4 days,
fever , Cold , Throat Soreness , Nausea ,
Urine Yellow , Vomitting , lt Eating
after, Stool-1/day Pasty , Cough lt
night, Expectoration Yellow, Weakness ,
Bodyache ? gt by pressure , gt by Warm
Application, Dryness Of Mouth, Thirst - ?es
Small Quantity every 10 15 min O/e ? P
120/ min, T 100.6, B.P. 110/70 mm of Hg , Rs
? Rt Mid Zone Creps , CVS N, P/A N Chest
X- Ray Rt Mid Zone Consolidation CBC/ESR Hb
14.1 , TC 8100/Cumm, N 69, L 27, E 2, M 2, B
0, MP Negative, Widal Negative ESR 72mm /
hr
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Pleura Serous Membrane Lung Rt. Mid Zone
-Parenchyma. Inflammation ? Congestion Red
Hepatization.
Case - 6
Structure
cold , running Nose , fever with
chill ? Whole body, Throat Soreness, lt
swallowing Liquid, No thermal Modality, gt Open
air Nausea , Vomitting , lt Eating after,
Cough lt night, Expectoration Yellow,
Weakness , Bodyache ? gt by pressure , gt
by Warm Application, Dryness Of Mouth, Thirst
- ?es Small Quantity every 10 15 min O/e P
120/ min, T 100.6, B.P. 110/70 mm
of Hg , Rs ? Rt Mid Zone Creps , CVS
N, P/A N X-Ray Chest
Rt Mid Zone Consolidation
10 days
Form
Function

• Cough reflex.
• ? Compliance of Lung.
• Hyperventilation.
• - Altered Gaseous exchange.

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TOTALITY

• Thirst ?es frequently
• Dryness Of Mouth
• Fever with Bodyache
• Bodyache gt Pressure
• Bodyache gt warm Application
• Fever with Weakness
• Cough lt Night
  

Action A Final Choice Rhus Tox 200/ qds
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Follow Ups
14.09.07 Coughing gt 50 , Weakness gt 30 40
, Backpain , No fever, No Nausea, No
vomiting, No Bodyache, Throat Soreness gt 60
O/e T 97.6, B.P. 110/68 mm of Hg, P 72/
min RS Rt mid Zone Creps Action
B ? Rhus Tox 200 / qds 18.09.07 No C/o Fever,
Nausea, Vomiting, Cough, Throat soreness,
Bodyache, Mild Backache
Thirst N, App N, Stool N,
Urine N O/e T 98.4, P
80/min, B.P. 110/80 mm of hg, RS Clear, P/A
Soft

Action C ? Rhus Tox 200 / qds  
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Case 7
Mr. P., 58 yrs old,
URT M.M. Lung left base and middle Rt
upper-Parenchyma Pleura Serous Membrane.
Inflammation ? Congestion Exeudation
5th
2nd
4th
Sudden onset and progress fast PACE FAST,
1st d
Running nose3, Watery discharge 3lt Cold,
cough bouts, Rattling Difficulty in raising
sputum, Weakness, Does not like to talk, Cough
bouts 3lt Lying in bed, ThirstIncreased small
quantity frequent, Nausea Chest Harsh sound
Tongue white coated, Temp100, TC 17,000,
N78, ESR 50,
weakness3, Irritable3, Suffocative
sensation3 Tired feeling in chest due to cough
bouts. Perspiration often continuous with cough
Pneumonic consolidation of left lung and ?Rt lung
begins
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Old age pneumonia Chilly patient Weakness
lungs? Rt UZ, Lt MZ LZ
Catarrhal Pneumonia.
A/F Cold air Desire for sour drink Tongue white
coated
Hypersecretion Spasm
(Loose rattling where sputum cant raised)
Capillary Congestion,
Pace Rapid Travel from URT to LRT
Discharges vicious Cough rattling Perspiration
cough with Suffocative feeling
Concomitant Weakness. Tongue White
Coated State of
prostration. Decreased
Appetite. Increased
Thirst for sips of water.
Chilly.
ANT ARS
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Inflammation
Case8
Nose Mucous membrane.
Bacterial Infection.
Mr. H. 30 yrs old sr manger
Congestion
Lung Lt. Lobe - Parenchyma
Red hepatization Exudation ? Suppuration
Pleura Serous membrane.
3rd
8th
1st
throat pain-pricking pain 2ltSwallowing,gtcold
water. Thirst increased large quantity and for
cold water. Hoarseness of voice.
Dry cough, 3ltEvening, 2ltLying on lt side.
suffocation/tightness in chest with pricking
pain.

• ? In Nasal Mucociliary Clearance.
• Cough reflex.
• Compliance of Lung.
• Hyperventilation.
• Altered Gaseous exchange.

Cough bouts-Rattling-Sputum, Greenish
yellowish, Profuse once blood was there
. Tightness of chest/Pain o/e O/E Tongue
Yellowish coating. T102F P130/min, RS Creps
on Rt base and harsh sound on Lt side, Chiily
patient Investigation Hb 15.4, TC 13,400,
N74, L22, E2, M2, X-Ray chest Patchy
consolidation in Rt lower zone.
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CASE8
Mucous membrane, Circulation, Nerves
Inflammation. Exudation.
Cause Cold In General
Chilly patient
lt lying on left, gt Rubbing
Pleuro pneumonia
Pace Insidious onset ending in severe or rapid
disease
Company desire Thirst large quantity for cold
water Profound weakness
Hoarseness of voice Discharges yellowish,
greenish once with blood, Burning in chest lt
coughing, Tightness of chest
PHOSPHOURS
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