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Its Reflections in Homoeopathic Prescribing

MAISM & SUSCEPTIBILITY. Its Reflections in Homoeopathic Prescribing. Dr. Navin Pawaskar, BHMS Asst Director Clinical Services, Rural Homoeopathic Hospital, Palghar. high. susceptibility. psora. sycotic. tubercular. syphlitic. miasms. low. BACKGROUND. 18’th century.

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Its Reflections in Homoeopathic Prescribing

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  1. MAISM & SUSCEPTIBILITY Its Reflections in Homoeopathic Prescribing Dr. Navin Pawaskar, BHMS Asst Director Clinical Services, Rural Homoeopathic Hospital, Palghar

  2. high susceptibility psora sycotic tubercular syphlitic miasms low

  3. BACKGROUND 18’th century physicians weak in chronic diseases Avoidence of T/t HAHNEMANIAN CONCEPT OF MIASMS Hahnemann --- he can cure what he will and what he is asked to cure. Knowledge Acute sub – acute chronic diseases -- veneral disease ( syphillis )

  4. Hahnemann --- leipzic --- coethen (1821 ) attention more on chronic sufferers . Mode of T/t -- by name ---- gout (sulfuric acid) -- by symptoms . -- by cause -- material . -- dynamic. SITUATION Non – venereal chronic diseases always returned _ in more or less varied form _ with new symptoms. repeated annually with increased complaints T /t - remedies fully proved unto the time.

  5. SOLUTION proving of new remedies didn’t advanced healing by single step. Thought provoking experiments and observations BUT C Not only to combat disease presented before eyes . To encounter fragments of deep – seated original disease. L U BUT E well defined ,separately existing disease CHRONIC DISEASE

  6. CHRONIC DISEASE if untouched --- as over yrs with mans lifetime. --- food , robust constitutions can’t diminish it. --- never pass away by themselves. but, --- increases and --- aggravates till death. So, Something is there, for there origin and foundation . enables to continually rise and grow. and CHRONIC MIASM

  7. KENTS CONCEPT OF MIASM

  8. Psora… the beginning Evil Thinking willing

  9. The Original Sin

  10. No one on earth without psora.

  11. The Itch Simple state to very complex state.

  12. Lasts until last breath ,contagious

  13. Psora • Always state & condition precedes action . - As life of man, will of man, so body of man. • As internal so is external, image of own comes out. • Itch is limited thing……….Noah’s flood. - Violent aura leprosy…….milder form of psora. - Ancients referred leprosy as an internal itch. - Today's human race is better than moral leper. - Thinking, willing & acting that makes of science of human race.

  14. Lasts untill last breath ,contagious. • Not exists in perfectly healthy state. • To understand have to accept world of god. • False thinking enters state which was perfect correspondence. • No one on earth without psora. • Simple itch……….. Scaly eruptions. • No scabies in healthy child. • Generations to generations susceptibility to it increases.

  15. PSORA • Without psora no disease. • Primary disorder of human race. • Beginning - spiritual sickness (original sin ) progressed to true susceptibility –foundation for other disease. • Simple state to very complex state. • Chronic & acute miasm. • No cure with superficial remedy.

  16. Transformation of miasm • From generations ……… generation. • Primary psora…………..primary psora. • 1st stage sycosis……… 1st stage sycosis. • Advanced stage………. Advanced stage. • Miasms are carried forward as they are i.e. they shows advanced manifestations & do not show the previous stages again. • e.g. wife shows advanced stages of syphilis which she has got from husband already having primary manifestations.

  17. Psora-1 S E N S A T I O N A S I F 6yrs old child, a eldest son of the family SKIN - A/F WINTER ITCHING DRYNESS Foreign body in the eyes Pricking in the eyes Burning sensation Noises in the ears EYES - ITCHING IRRITATION REDNESS LACRYMATION

  18. Lean thin person Fears of being scolded Fear of animals Fear of ghosts Fear of darkness & alone SENSITIVE CHILD3 Laughs on being scolded No regrets Dreams frightful Cr – eggs2 sweets2 cold drinks2 Av - milk2 o/e – T- N Tg – moist coated R.S./ P.A. - NAD

  19. REPERTORIAL SYMPTOMS • Itching < winter • Dryness of skin • Foreign body sensation in the eyes • Pricking sensation in the eyes • Sensation of noises in the ears • Dreams - frightful • Cr – eggs • sweets2 • cold drinks2 • Av - milk2 • Perspirations - back SULPH

  20. PHYSICAL MIND • HYPERSENSITIVE • IDIOSYNCRACY PHYSICAL • SENSATIONS AS IF • AS THE STRESS FACTORS ARE REMOVED SYMPTOMS DISAPPEAR • NO STRUCTURAL CHANGES PSORA

  21. Miss rsd 4/f Blephritis Dermatitis Eye Mucus membrane redness < summer/ < morning Skin eruption Boils discharging itching <night Nose mucus membrane allergy < night HOT PATIENT IRRITABLEOBSTINATEACTIVE

  22. SKIN MUCOUS MEMBRANE OBSTINATE ACTIVE PLAYFUL IRRITABLE PSORIC ITCHING SUPPURATION HOT < Summer < Night < Morning

  23. Psora-2M.S.Y – 2Yrs F/H-NAD P/H-NAD MIND ACTIVE INTILLEGENT MIXES EASILY TIMID ATTACHMENT IRRITABLE FEAR OF DARK FEAR OF ANIMALS LEAN THIN HOT PT PRS-PROFUSE-FACE CR-EGGS MILK SWEETS SLEEPS ON ABDOMEN

  24. Dermatitis S Skin- dermis – inflammation vesicular dilatation, vesicle formation, thickening of dermis T – 1½ yrs Fo Fn • Itching of whole body, esp. palms ,soles, back & trunk • vesicular erruption scaling, watery discharge • < scratching after. • < winter, • > local appl protection PSORA O/E – palm, scalp, feet, trunk – vesicular erruptions, scaling, thickening.

  25. Chronic constipation Rectum, sigmoid colon S T - 11/2yrs Fn Fo Motility & capacity for absorbtion decreased Hard stools has to remove mechanically Stool ball like, & recedes back Pain < before stools h/o of worm infestation > deworming PSORA

  26. TOTALITY Loving Affectionate, mixing Active playful, restless timidity CONSTIPATION IN CHILDREN– HARD STOOLS SKIN SUPPRESSION BY LOCALAPPLICATION P S O R A CR – Egg Cr sweets Sleep on abdomen Hot pt RESERVIBLE NO STRUCTURAL CHANGES Sulph 200 1P

  27. Case No. 1 Presentation 7 yr old /girl Proteinurea +++ Edema Hematuria Totality A/f Fright Suppression Fearful Hot Cr sweet Associated complaints Posology Nocturnal enuresis helminthiasis Susceptibility moderate Sensitivity high Fear Fever Suppression Nephritis Opium 200 single dose

  28. 8 HOMOEOPATHIC WEEKS WEEKS CONVENTIONAL 7 6 5 4 3 2 1 ODEMA HEMATURIA HYPERTENSION PROTEINUREA

  29. Psora-3 M.S. – 3yrs GIT - Loose stools since 3-4 dys Stools semisolid, offensive yellowish 7-8 times per day O/E-R.S – Clear. Redness around anal orifice P.A. - NAD Nose - N R.S. –watering from nose yellowish discharge mild rattling in the chest cough wet vomitting out thick white sticky since 1mnth on & off

  30. TOTALITY OF SYMPTOM • Lean ,Thin [Looks like old man] • Marasmus shrivelled skin • Anal excoriation with peeling of skin and redness • Body warm always • poor assimilationPSORA

  31. CASE 2 STAMMERING IN A 6 YEAR BOY SINCE 1 YEAR INITIAL HESITANCY STAMMERS THEN AFTER 5 MINS STOPS TALKING COMMUNICATES THROUGH GESTURES PATIENT AS A PERSON LEAN AMBITHERMAL …….CHILLY CRAVING ICE CREAM CHOCOLATE

  32. TOTALITY SENSITIVE REPRIMANDS SYMPATHETIC ANXIOUS WHEN SOMEBODY IS ILL DOES NOT ALLOW SCOLDINGS TO SISTER LOVES ANIMALS ANXIETY ANTICIPATORY CONSCIENTIOUS DOES NOT ALLOW COPYING CRAVING CHOCOLATE/ICE CREAM Susceptibility pace moderate pathology functional characteristics moderate Sensitivity mind high Dominant Miasm psora

  33. CARCINOSIN 200 1 DOSE WEEKLY CRITERIA RESPONSE TO CALL REFUSAL TO TALK ANTICIPATORY ANXIETY SENSITIVITY TO REPRIMANDS STAMMERING FOLLOW UP >50% IN FIRST DOSE BUT NO FURTHER RESPONSE FOR NEXT ONE MONTH POTENCY STEPPED UP TO 1M WEEKLY SINGLE DOSE AT THE END OF 4 MONTHS COMPLETELY AMELIORATED

  34. Case 1 Born in a poor fisherman family Felt bad about being poor Could not take single word from anyone Very sensitive ego Jaundice since 6 days Fever moderate range Loss appetite Icterus Vomiting Stool pale coloured Simple husband dissatisfied Looks down on husband Irritable Looked into eyes of physician Contemptuous gestures Chilly Lean Delivered a child 1 day ago Serum bilirubin 9.8

  35. Egoistic prime Dominating contemptuous Irritable weepy Manipulative Dissatisfied sad Indifference beyond self Chilly Susceptibility Pace moderate Pathology Inflammation infective cholestatic stage Sensitivity MENTAL SENSITIVITY: HIGH DOMINANT MIASM: PSORA

  36. PLATINA 200 SINGLE DOSE FOLLOW UP ASYMTOMATIC IN 24 HOURS S.BILURUBIN 2.2 IN 5 DAYS NORMAL WITHIN 7 DAYS

  37. CONCLUSION • Hypersensitivity of mind • Hypersensitive to external stimulation • Sensation & altered functioning • Affections of mainly skin ,mucous membranes & nerves • “ITCH” as presentation on skin • Mainly functional changes are observed • Structural if present are “REVERSIBLE” • suppressions of primary defence. • Primary deficiency syndrome

  38. SUSCEPTIBILITY It is the capacity of living organism to receive and react to stimuli both internal and external Susceptibility is one of the fundamental attributes which differentiates living from non living. Alleviation of disease depend upon the same power of the organism to react to the impression of curative remedy

  39. PATHOLOGICAL • Diathesis • Prodrome • Functional Phase • Structural Phase • Complications • Squeal • Covalence Reversible Irreversible LIFE SUSCEPTIBILITY FUNCTIONING VITAL • PHYSIOLOGICAL • Ingestion • Digestion • Assimilation • Nutrition • Repair • Secretion • Excretion • Metabolism • Catabolism

  40. CLINICAL PHYSIOLOGY CHARACTERISTICS Appetite / Weight Sleep / Height Stool / skin Urine / Hair Menses Perspiration Individualizing characteristic reflection of susceptibility Epochs Birth / Puberty / Pregnancy / old age Sensation as if:

  41. MENTAL HEALTH • Milestones ---- Psychological • Emotions • Intellectual • Subconscious • Vulnerabilities • Sensation as if Mental state Modalities Causation

  42. Heightened sensitivity • Pregnancy • Neonate • Hypersensitive disorders • Disabled / Individual with special abilities • Idiosyncracies

  43. IDIOSYNCRASIES Peculiar corporeal constitutions which although otherwise healthy, posses a disposition to be brought into a more or less morbid state by certain things which seems to produce no impression and no change in many other individual

  44. SYCOSIS

  45. Sycosis • Two types of gonorrhea. • Require antisycotic remedy. • Anamnesis of case enables us to look at constitutional state of sycosis. • Wife gets from husband in which state it was. • Sycotic nasal catarrh, breaking down of organs , rheumatic affections, etc.

  46. In children tendency to marasmus, old appearance of face, waxy, anaemic, lieanteric stools no digestions. • Recovery is always slow. • Who lives proper life escapes from sycosis & syphilis. • More the human race becomes susceptible to acute & epidemic diseases.

  47. Case 40/f Nuchal headache Pulsating pain Nausea Palpitation giddiness BP 180/110 Sensitive to reprimands Anxious Timid Fear dark/ghost Suspicious Confused due to anxiety Patient as a person Hot Menses stains Av sweet Sun headaches

  48. form time structure function Susceptibility Pace moderate Pathology Sodium retention increased intracellular fluid + Atherosclerosis Characteristic generals Sensitivity mind /nerves mod ….high

  49. follow up Dates 2/1 3/1 4/1 7/1 9/1 1o/1 11/1 12/1 18/1 19/1 20/1 24/1 5/2 23/2 12/3 Am 150/100 150/100 140/100 130/90 130/90 120/80 150/110 130/96 130/90 130/90 120/80 120/80 120/80 120/80 Pm 180/110 150/100 140/100 140/98 140/100 140/96 120/90 130/90 120/90 120/84 120/80 Rx no medicine medo 200hs medo200bd medo200tds medo200tds medo 1m hs Headache Headache Headche Headache

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