ENT Disorders

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ENT Disorders

• Presented by
• Dr. Kelly Farnsworth

• January 2002

2
Samuel Hahnemann
1755 - 1843
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Hans-Heinrich Reckeweg, M.D.
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ENT Presentation

• Homotoxicology
• Preparations Slides 6-16
• Theory and Ground Substance Slides 17-25
• Allergic Basis of ENT Symptoms Slides 26-36
• Rhinitis Allergic and Viral Slides 37-47
• Viral Influenza Slides 48-49
• Sinusitis Slides 50-59 Health Break

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ENT Presentation

• Asthma Slides 61-63
• Tonsillitis Slides 64-66
• Otitis media and Epistaxis Slides 67-69
• Cradle cap, Dermatitis, Eczema Slides 70-74
• Gingivitis Slides 75-76
• Apthous ulcers (Canker Sores) Slides 77
• Toothache/ Teething Slides 78-79
• Mastoiditis Slides 80
• Headache and Migraine Slides 81-83
• Vertigo Slides 84-88

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Anti-Homotoxic Preparations

• Sublingual Tablets
• Drops
• Sterile Drinkable Ampoules
• Ointment/Creams
• Nasal Sprays
• Suppositories
• Liquids

• ORAL
• PARENTERAL
• EXTERNAL

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Compositae Preparations

• Highly effective
• Low in risk and side effects
• Multiplicity of constituents achieves a broad
  in-depth therapeutic effect

• Unites
• Various homeopathic singe-remedy medications
• Homeopathically adjusted allopathic medications
• Intermediary catalysts
• (suis-organ preparations sometimes)

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Compositae Remedy
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Single-Constituent Homeopathic Preparations

• Injeel or Injeel Forte
• Homeopathic single remedy agents
• Principal of potency cord Any adverse reaction
  can be mitigated and reduced through simultaneous
  administration of different potencies

• INJEEL
• D10 or D12 with equal parts of D30, D200
• INJEEL FORTE
• Equal parts of D4, D6, D12, D30, D200 possibly
  D1000

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Homaccords

• Particularly suited for chronic diseases
• Low and high potencies of basic materials are
  included
• Inclusion of both moderates preliminary reactions

• Contain one or several active substances
• The Homaccords are arranged alphabetically
• Ampoules have potency levels that are 2-3 stages
  higher than drops

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Homaccord Remedies Homotoxicological
Constitutional Remedies
Natrium-Homaccord
Phosphor-Homaccord
Graphites-Homaccord
Schwef Heel
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Suis-Organs or Sarcodes

• Specific stimulus of organic function
• Activation of organic revitalization
• Used to treat or support the corresponding human
  tissue
• Direct influence on endocrine balance

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Nosodes

• Homeopathic remedies prepared from human
  pathogenic secretions and from microbic cultures,
  carefully sterilized before dilution
• Specific immune information and stimulation of
  immune systems a different type of vaccination
• Essential in treatment of chronic disease

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Intermediary Catalysts

• Cells biochemical metabolites in homeopathic
  potency in order to influence the different
  metabolic pathways
• Specific stimulus of cell function
• Disease prevention at the cell mitochondrial level

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Ubicoenzyme
Amino acid
Trace elements
Homeop. remedies
Catalysts of Krebss cycle
Other catalysts
Vitamins
D10
D8
D6
Vit. C
Vit. B6
Acidum citricum
Acidum DL malicum
Natrium oxalacet.
ATP
a-lipon saeure
Mg orotic
Sulfur
Vit. B1
Nicotin- amid
Acidum fumaricum
Acidum succin.
Natrium pyruv.
NAD
Cerium oxalicum
Pulsatilla
Vit. B2
Acidum cis-aconitum
Acidum a-ketogl.
Baryum oxalsucc.
Cystein
CoA
Mn phosph.
Hepar sulfuris
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Trace Elements

• Trace elements like Selenium, Manganese,
  Magnesium, Zinc, Sulfur and many others are
  essential for healthy function of tissues
• Essential for enzyme reactions
• Support for the defense mechanisms

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The Pischinger Ground System
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Extracellular Matrix (Ground Substance) -
Electron Microscopy
Magnified 50,000 times
Magnified 100,000 times
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Ground Regulation System -GRS-

• The dynamic structure and regulation of the
  extracellular space
• Determines the effectiveness of extracellular and
  intracellular catalysts
• Ground substance a molecular sieve of matrix
  components

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System ofGround Regulation
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Homotoxicology

• Is a reconciliation between homeopathy and
  science
• Uses scientific terms
• Allows for solid clinical reasoning
• Uses remedies based on their cellular and
  biological actions
• Attempts to give not only symptomatic relief but
  also to treat the cause of disease

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Table of Homotoxicosis
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6 Phases of the Defensive Reaction Against Toxins
Toxin neutralization
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Relationship Between Systems

• Share immune cells
• Cells sensitized in one organ can manifest
  symptoms in another
• Suppression will result in the so called
  allergic march
• This can be explained with Reckewegs table of
  homotoxicosis

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Relationship Between Systems
excretion reaction deposition impregnation
degeneration neoplasm
eczema
asthma
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Allergic Basis of ENT Symptoms

• Prevalence of allergies and asthma rising all
  over the world
• Children and young adults most affected
  (1-20)
• 20 of all individuals have allergic rhinitis
• Genetics, environment and triggers such as
  infection play major role

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ENT Symptoms of Food Intolerance

• Asthma
• Eczema, hives, cradle cap, psoriasis
• Headache, migraine
• Otitis media
• Rhinitis
• Chronic, recurrent throat infection
• Acne
• Canker Sores

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Food Antibody Assessment

• ELISA Technology
• IgE and IgG measurement
• RAST/RASP and MAST technology can not measure for
  IgG antibodies
• Semi-Quantitative
• 0, VL, 1, 2, 3

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IgG1 vs IgG4

• IgG 4
• Does not contribute to true inflammation
• Does not activate complement
• Slower reaction
• Less acute response
• Does not precipitate the release of histamine

• IgG 1
• Main instigator of inflammation
• Activates complement
• Quicker reaction
• More acute response

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Hepar comp. Hystamin D10
Alimentary intolerance
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Hepar compositum

• Anti-inflammatory stimulus
• Histamin, Sulfur
• Detoxification Remedies with a specific liver
  tropism
• China, Lycopodium Chelidonium, Carduus marianus,
  Taraxacum, Cynara
• Stimulus of liver functions
• Cholesterinum
• General stimulus
• Avena sativa, Calcium carbonicum

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Total IgE

• Total circulating serum IgE
• Provides added insight into Atopic allergy
  (asthma, eczema, etc.)
• Clearly differentiates between general,
  non-specific IgE reactions and specific IgE
  reactions to foods or inhalants

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IgEInhalantsProfile
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House Dust Mite Allergy

• Steam cleaning
• Special covers
• Cold treatment
• Dehydration

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Signs of Allergic Rhinitis
Runny nose Sneezing Red Eyes Allergic
Shiners! The Allergy Salute! One or more of the
above symptoms lasts longer than one hour per day
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Immunological Bystander Reaction

• A D1-D14 potency of an antihomotoxic preparation
  contains sufficient substance quantities to
  stimulate macrophages to form antigen motives
  after application
• This is the prerequisite for the formation of
  regulatory lymphocytes (Th3)
• Th3 cells find chemotactically phlogogenic
  lymphocytes with similar antigen motives and
  suppress these by releasing TGF-b

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Allergic Rhinitis

• The Allergy Kit!
• Luffa compositum Nasal spray and tablets
• Dose Every half hour as needed!
• Hepar compositum
• Sorinoheel
• 2,820,100 patients treated in Germany in 1998

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Studies Luffa and Rhinitis/ Allergies

• Double-Blind Comparison of a Homeopathic Nasal
  Spray with Cromolyn Sodium Nasal Spray in
  Treatment of Seasonal Allergic Rhinitis
• 1Weiser M, 2Gegenheimer LH, 3Klein P 
• 1Biologische Heilmittel Heel GmbH/Baden Baden,
  2Reporting and Consulting Services in Clinical
  Pharmacology/Mannheim, 3Datenservice Dipl.-Chem.
  Eva Hönig GmbH - biostatistical research/Rohrbach
  (all Germany)
• Are the Clinical Effects of Homeopathy Placebo
  Effects?A Meta-Analysis of Placebo-Controlled
  Trials
• Linde K, Clausius N, Ramirez G, Melchart D, Eitel
  F, Hedges L, Jones W. The Lancet . Vol. 350 no.
  9081 pp 834-843
• Homeopathic and Homotoxicological Treatment of
  Allergies
• Riley D. 1993.

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Galium-Heel Apis D12

• Chronic Rhinitis and Allergies

Chronic allergic conditions Allergy as symptom
of immunological derangement
Natrium-Homaccord Chronic Catarrh
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Galium-Heel

• Connective drainage
• Stimulus of kidney function
• Stimulus on skin
• Galium aparine, Clematis, Ononis spinosa, Caltha
  palustris, Betula alba, Saponaria, etc.

Anti-inflammatory action Apis, Pyrogenium,
Echinacea, etc.
Galium-Heel
Anti-degenerative and Anti-neoplasic
action Galium aparine, Sedum acre, Sempervivum
tectorum, Thuja, Caltha palustris, Phosphorus,
Acidum nitricum, Aurum, Argentum, etc.
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Homeotherapy of Viral Rhinitis

• Euphorbium compositum Nasal Spray and liquid
  drops
• Euphorbium compositum Nasal Spray in the ENT
  Practice Klein W, MD. Biological Therapy. Vol.
  IX, No. 2 April 1991

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Rhinitis
Euphorbium comp. Nasal Spray
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Plaque Reduction Assay
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In-vitro test for viral inhibition
A test
B placebo
C negative control
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Influenza

• Gireel(Gripp-Heel)
• Aconitum, Bryonia, Phosphorus, Eupatorium
• Engystol
• Traumeel
• Brocosin cough syrup
• Wet and dry coughs

NEW!
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Engystol

• Support of immune defenses against viruses
• Vaccinations
• 1 tablet in the morning and the evening, starting
  3 days before vaccination and 1 week after

D6
D30
D10
D4
Vincetoxicum
Sulfur
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Bacterial Pathogens Implicated in Sinusitis

• Coagulase negative Staphylococci (36)
• Staphylococcus aureus (25)
• Streptococcus viridans (8.3)
• Corynebacterium (4.6 )
• Anaerobes (6.4 )

Biel M A et al. 1998
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Allopathic Treatment of Sinusitis

• Antibiotics
• Decongestants
• Nasal corticosteroids
• Functional endoscopic surgery

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Sinusitis

• Key role in respiratory disease
• Effects of untreated sinusitis
• Obstruction of the osteomeatal complex
• Descending infections
• Asthma
• Bronchiectasis
• Focus for chronic disease

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Homeotherapy of Sinusitis

• Aim of treatment
• Induce vicariation
• Reduce symptoms
• Regenerate mucus membranes
• Check and treat integrity of the greater defense
  system

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Treatment of Sinusitis

• Acute
• Euphorbium compositum (nasal spray, liquid
  drops, oral vials)
• Traumeel ( liquid drops, tablets, oral vials,
  injectable ampules)
• Echinacea compositum (oral vials)

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Homeotherapy of Sinusitis

• Chronic
• Euphorbium compositum
• Nareel drops
• Lamioflur
• for skin and mucus membranes

• Sinus Lavage
• Mix vials in a syringe
• Echinacea compositum
• Endoteel
• Ubicoenzyme

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Echinacea Compositum
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Endoteel
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Ubicoenzyme
Catalysts for the stimulus of cell function
Cleansing Homeopathic remedy
D10
D8
D6
D4
Thuja
Calc. carb
Citricum Acidicum
Natrium oxalac..
Selenium
Hydrastis canadensis
Cerium oxalicum
a-lipoic acid
Succinic Acid
Sulphur
Nadidum
Sulfur
Homoeopathycally adjusted allopathic remedies
Antidegenerative and antineoplastic Homeopathhic
remedies
Stimulus and cleaning Quinones
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Krebs Cycle
Other amino acids, purines, pyrimidines
Acetyl - CoA
Pyruvic acid
Aspartate
Trans-animation
Citric acid
Oxalacetic acid
Phosphoenol-pyruvate
Fatty acids, sterols
PEP carboxylase
a-ketoglutaricum acid
Malate
Pyruvic acid
Malic enzyme
Trans-animation
Glutamate
Succinyl - CoA
Other amino acids, purines
Heme, chlorophyl
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Health Break!!
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Allopathic Treatment of Asthma

• Bronchodilators
• Beta 2 agonists
• Short acting
• Long acting
• Steroids
• Inhalant
• Oral

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Antihomotoxic Asthma Therapy

• Cough symptoms
• Tartephedreel drops catarrh
• Drosera-Homaccord drops
• Husteel drops
• Bronchospasm and Wheezing
• Spascupreel
• Inflammation
• Traumeel

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Clinical Studies

• The Effect of a Homeopathic Preparation on the
  Clinical Condition of Patients with
  Corticosteroid-dependent Bronchial Asthma
• Matusiewicz R. Reprinted from Biologische
  Medizin
• 1995 October 242-246.
• The Homeopathic Treatment of Corticosteroid-depend
  ent Asthma - a Double-blind, Placebo-controlled
  Study
• Matusiewicz R. Reprinted from Biologische
  Medizin
• 1996 June 107-112.

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Tonsillitis

• Lyphosot
• Angeel

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Lyphosot
D12
D6
D5
D4
D3
Myosotis arvensis
Gentiana lutea
Juglans
Apis mellifica
Fucus vesciculosis
Pinus silvestris
Scrophularia nodosa
Fumaria officinalis
Teucrium scorodonia
Sarsaparilla
Natrium sulfuricum
Geranium robertianum
Veronica
Equisetum hiemale
Calcium phosph.
Urtica urens
Single Homeopathic Remedies
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Lyphosot
LYMPHATISM Pinus Scrophularia Aranea
diadema Calcium phosph. Juglans Ferrum
jodatum Levotiroxin
Lung
Lymphatic system
CATARRH Myosotis Teucrim Natrium
sulfuricum Nasturtium
Action on the respiratory level
Action on the lymphatic level
Lyphosot
Action on the digestive level
Action on the kidney level
DYSPEPSIA FLATULENCE Fumaria Geranium Gentiana
KIDNEY DRAINAGE Sarsaparilla Equisetum
Liver
Kidney
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Otitis Media

• Traumeel Eardrops
• Viburcol (Monodoses, suppositories)
• Belladonna-Homaccord

NEW!
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Epistaxis

• Cinnamomum-Homaccord

• Phosphor-Homaccord

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Epistaxis
NEW!

• French Paradox

Protects Walls of Blood Vessels -Bruising -Bleed
ing -Heart Disease
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Cradle Cap
Basic remedy Sorinoheel
Tissue remedy Cutisitum
Drainage remedy Hepar compositum
Symptomatic remedy Schwef Heel Viburcol
Homaccord remedy Graphites-Homaccord
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Atopic Dermatitis and Eczema

• Dry skin
• Abropernol
• Itchy
• Sulfur-Heel
• Hyperhydrosis (sweaty patient)
• Schwef Heel (dry or weepy eczema, itchy)
• Thickened skin, honey colored exudate
• Graphites-Homaccord

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Atopic Dermatitis and Eczema

• Cutis compositum oral vials
• Regeneration of skin and HPA
• Three times per week by mouth
• Echinacea compositum oral vials
• For infected or severely inflamed eczema
• Lyphosot
• Lymphadenopathy
• Traumeel
• Inflammation

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Eczema and Traumeel

• Traumeel
• with Graphites or Cutis compositium
• Other
• Arthritis
• Tendinitis

• In all cases where conventional NSAIDs would be
  used

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Traumeel

• A biotherapeutic antiphlogistic that contains low
  potentised proteins and complies completely with
  the conditions for arousing an immunological
  bystander reaction

• By stimulating the formation of the Th3-cells,
  the inflammation will be restrained
• Therapy is not suppressive but stimulating
• No masking effect

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Traumeel in Dental Practice

• Gingivitis
• Root Canals
• Before and after operations
• Injection sites
• Use in place of NSAIDs

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Gingivitis
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Apthous Ulcers

• Main remedy
• Traumeel
• Astricumeel
• Secondary
• Nux Vomica-Homaccord diet or nicotine abuse
• Strumeel for parenchymal support
• Sorinoheel - as an intermediate catalyst
• Veratrum-Homaccord in relapsing cases

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Toothache

• Main Remedy
• Osteel
• Lamioflur
• Secondary
• Cruroheel substitution for Osteel
• Staphisagria-Injeel for dental pain
• Kreosotum-Injeel forte stubborn cases

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Teething Infants

• Viburcol
• Belladonna
• Calc. carb.
• Chamomilla
• Dulcamara
• Plantago major
• Pulsatilla
• Arsenicum album- Injeel forte S

• Teething
• Hyperactivity
• Otitis media
• Colic
• Flu symptoms
• Restlessness, especially associated with fussing
  late at night

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Mastoiditis

• Traumeel
• Viburcol
• Osteel
• Cruroheel
• Mercurius praecipitatus ruber

Inflammation
Periositis
Periositis Growing pains
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Headache and Migraine

• Gelsemium-Homaccord
• Cimicifuga
• Rhus tox.
• Gelsemium
• Indications
• Cervical syndrome or migraine
• Neuralgia in various positions

• Suggested Dose
• In general 1 tablet or 10 drops sublingually 3
  times daily
• Drinkable ampules - 1 - 3 times weekly
• Acute dosage every 15 min.
• Given over a period of months

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Headache and Migraine

• Spigelon
• Spigelia left sided neuritic pains
• Belladonna cerebral congestive headache
• Gelsemium band-like or pain behind eyeballs
• Bryonia inflammation of serous membranes
• Melilotis congestive headache better after
  nosebleed
• Natrium carb catarrh, sensitivity to cold
• Silicea weakness of connective tissue, vertigo
• Thuja left hemicrania, consequences wet weather

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Vertigo

• False sensation of movement of ones self or of
  ones surroundings
• Diaphoresis (excessive perspiration)
• Blurred vision
• Nausea / Vomiting
• Anxiety / Fear

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Development of Vertigo

• Ear infections
• Structural deformities
• CNS conditions head trauma, migraine, whiplash,
  brain tumours
• Vestibular neuritis or labyrintitis

• Stress / Fatigue
• High dose or long term use of some drugs and
  antibiotics
• Advanced age

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Conventional Drug Treatment of Vertigo

• H1-Agonists
• Serc-Sanofi Winthrop most commonly prescribed in
  Europe
• Antihistamines (H1-blockers)
• Diuretics
• Benzodiazepines
• Vasodilators

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Vertigoheel Study

• Double blind study of Vertigoheel compared to
  betahistine
• Archives of Otolaryngology
• Head Neck Surgery

• Randomized clinically controlled double blind
  study
• 15 independent centres
• 105 patients from November 1995 to November 1996
• Treatment period 6 weeks

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Ventigoheel

• Comparable to Betahistine (Serc)
• For all types of vertigo
• No side effects
• Can be taken long term no toxicity

• Tablets, drops and injections usual dose
• Ventigoheel is the top product on the German
  allopathic market yearly
• Double blind studies-proven effectiveness

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