psora sycotic tubercular syphlitic
HAHNEMANIAN CONCEPT OF MIASMS BACKGROUND 18’th century physicians weak in chronic diseases Avoidence of T/t Hahnemann --- he can cure what he will and what he is asked to cure. Knowledge Acute sub – acute chronic diseases -- veneral disease ( syphillis )
Hahnemann --- leipzic --- coethen (1821 attention more on chronic sufferers. Mode of T/t -- by name ---- gout (sulfuric acid) -- by symptoms. -- by cause -- material. SITUATION -- dynamic. Non – venereal chronic diseases T /t - remedies fully proved unto the time. always returned _ in more or less varied form _ with new symptoms. repeated annually with increased complaints
SOLUTION proving of new remedies didn’t advanced healing BUT by single step. Thought provoking experiments and observations C Not only to combat disease presented before eyes. L U E BUT To encounter fragments of deep – seated original disease. well defined , separately existing disease CHRONIC DISEASE
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. and enables to continually rise and grow. CHRONIC MIASM
KENTS CONCEPT OF MIASM
Psora… the beginning Evil Thinking willing
The Original Sin
No one on earth without psora.
The Itch Simple state to very complex state.
Lasts until last breath , contagious
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.
• • 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.
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.
• • • Transformation of miasm From generations ……… generation. Primary psora…………. . primary psora. 1 st stage sycosis……… 1 st 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.
Psora-1 6 yrs old child, a eldest son of the family SKIN - A/F WINTER ITCHING DRYNESS Foreign body in the eyes Pricking in the eyes EYES - ITCHING IRRITATION REDNESS LACRYMATION S E N S A T I O N Burning sensation A S Noises in the ears I F
Lean thin person Fears of being scolded Fear of animals Fear of ghosts Fear of darkness & alone SENSITIVE CHILD 3 Laughs on being scolded No regrets Dreams frightful Cr – eggs 2 sweets 2 cold drinks 2 Av - milk 2 o/e – T- N Tg – moist coated R. S. / P. A. - NAD
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 sweets 2 cold drinks 2 • Av - milk 2 • Perspirations - back SULPH
• PHYSICAL MIND HYPERSENSITIVE • IDIOSYNCRACY PHYSICAL • SENSATIONS AS IF • AS THE STRESS FACTORS ARE REMOVED SYMPTOMS DISAPPEAR • NO STRUCTURAL CHANGES
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 IRRITABLE OBSTINATE ACTIVE
SKIN MUCOUS MEMBRANE OBSTINATE ACTIVE PSORIC ITCHING PLAYFUL IRRITABLE HOT SUPPURATION < Summer < Night < Morning
Psora-2 M. S. Y – 2 Yrs F/H-NAD P/H-NAD LEAN THIN HOT PT PRS-PROFUSE-FACE CR-EGGS MILK SWEETS SLEEPS ON ABDOMEN MIND ACTIVE INTILLEGENT MIXES EASILY TIMID ATTACHMENT IRRITABLE FEAR OF DARK FEAR OF ANIMALS
Dermatitis S Skin- dermis – inflammation vesicular dilatation, vesicle formation, thickening of dermis T – 1½ yrs Fo Itching of whole body, esp. palms , soles, back & trunk Fn protection • vesicular erruption scaling, PSORA watery discharge • < scratching after. • < winter, O/E – palm, scalp, feet, trunk – vesicular • > local appl erruptions, scaling, thickening.
Chronic constipation S Rectum, sigmoid colon T - 11/2 yrs Fo Hard stools has to remove mechanically Stool ball like, & recedes back Pain < before stools h/o of worm infestation > deworming Fn Motility & capacity for absorbtion decreased PSORA
TOTALITY CONSTIPATION IN CHILDREN– HARD STOOLS SKIN SUPPRESSION BY LOCAL APPLICATION RESERVIBLE NO STRUCTURAL CHANGES P S O R A Loving Affectionate, mixing Active playful, restless timidity CR – Egg Cr sweets Sleep on abdomen Hot pt Sulph 200 1 P
Case No. 1 Presentation 7 yr old /girl Proteinurea +++ Edema Hematuria Totality A/f Fright Suppression Fearful Hot Cr sweet Associated complaints Nocturnal enuresis helminthiasis Fear Fever Suppression Posology Susceptibility moderate Sensitivity high Nephritis Opium 200 single dose
8 WEEKS CONVENTIONAL 7 HOMOEOPATHI WEEKS C 6 5 4 3 2 1 ODEMA HYPERTENSION HEMATURIA PROTEINUREA
Psora-3 M. S. – 3 yrs 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 1 mnth on & off
![TOTALITY OF SYMPTOM • • Lean , Thin [Looks like old man] Marasmus shrivelled](https://present5.com/presentation/39b44c48a54dd879c1543008249ea5e4/image-31.jpg "TOTALITY OF SYMPTOM • • Lean , Thin [Looks like old man] Marasmus shrivelled")
TOTALITY OF SYMPTOM • • Lean , Thin [Looks like old man] Marasmus shrivelled skin Anal excoriation with peeling of skin and redness Body warm always • poor assimilation PSORA
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
TOTALITY SENSITIVE SYMPATHETIC REPRIMANDS 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 Sensitivity pace moderate pathology functional characteristics moderate mind high Dominant Miasm psora
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 1 M WEEKLY SINGLE DOSE AT THE END OF 4 MONTHS COMPLETELY AMELIORATED
Case 1 Jaundice since 6 days Fever moderate range Loss appetite Icterus Vomiting Stool pale coloured Chilly Lean Delivered a child 1 day ago Serum bilirubin 9. 8 Born in a poor fisherman family Felt bad about being poor Could not take single word from anyone Very sensitive ego Simple husband dissatisfied Looks down on husband Irritable Looked into eyes of physician Contemptuous gestures
Egoistic Dominating Irritable Manipulative Dissatisfied Indifference Chilly prime contemptuous weepy sad beyond self Susceptibility Pace moderate Pathology Inflammation infective cholestatic stage Sensitivity MENTAL SENSITIVITY: DOMINANT MIASM: HIGH PSORA
PLATINA 200 SINGLE DOSE FOLLOW UP ASYMTOMATIC IN 24 HOURS S. BILURUBIN 2. 2 IN 5 DAYS NORMAL WITHIN 7 DAYS
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
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
LIFE SUSCEPTIBILITY FUNCTIONING VITAL PHYSIOLOGICAL • • • Ingestion Digestion Assimilation Nutrition Repair Secretion Excretion Metabolism Catabolism PATHOLOGICAL • • Diathesis Prodrome Functional Phase Structural Phase Reversible 5. Complications 6. Squeal 7. Covalence Irreversible
CLINICAL PHYSIOLOGY CHARACTERISTICS Appetite / Weight Sleep / Height Stool / skin Individualizing characteristic reflection of susceptibility Urine / Hair Menses Perspiration Epochs Sensation as if: Birth / Puberty / Pregnancy / old age
MENTAL HEALTH 1. Milestones ---- Psychological 2. Emotions 3. Intellectual Mental state 4. Subconscious 5. Vulnerabilities Causation 6. Sensation as if Modalities
Heightened sensitivity 1. Pregnancy 2. Neonate 3. Hypersensitive disorders 4. Disabled / Individual with special abilities 5. Idiosyncracies
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
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.
• 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.
Case 40/f Nuchal headache Pulsating pain Nausea Palpitation giddiness Patient as a person Hot Menses stains Av sweet Sun headaches BP 180/110 Sensitive to reprimands Anxious Timid Fear dark/ghost Suspicious Confused due to anxiety
form time structure function Susceptibility Pace moderate Pathology Sodium retention increased intracellular fluid + Atherosclerosis Characteristic generals Sensitivity mind /nerves mod …. high
Dates 2/1 3/1 4/1 7/1 9/1 1 o/1 11/1 12/1 18/1 19/1 20/1 24/1 5/2 23/2 12/3 Am Pm Rx 150/100 140/100 130/90 120/80 150/110 130/96 130/90 120/80 180/110 150/100 140/98 140/100 140/96 120/90 130/90 120/84 120/80 no medicine medo 200 hs Headache Headche medo 200 bd medo 200 tds medo 1 m hs Headache
v Restoration of the patients to health represents. The reaction of the susceptible organism to impression of curative remedy v Reaction to medicines depends upon the degree of susceptibility of the patient. v Since cure consists simply in satisfying the morbid susceptibility of the patients v Implies – susceptibility as attribute exists in every individual & carries its peculiar stamp in health. In disease it may become morbid & perverted hence to satisfy the susceptibility supply need & modify it. By using suitable modifying agents.
AS A CONSTITUTIONAL GENERAL OPD- DR. NAVIN / BELLWIN DIAGNOSIS: 1. GASTRIC ULCER 2. ESSENTIAL HYPERTENSION 3. PRIMARY IDIOPATHIC HYPOTHYROIDISM 4. HAEMORRHOIDS 5. OSTEOARTHRITIS PASTHISTORY 1. BRONCHIAL ASTHMA 2. LEIOMYOMA OF UTERUS – HYSTERECTOMY
PRIMARY IDIOPATHIC HYPOTHYROIDISM STRUCTURE THYROID GLAND FOLLICLEINFLAMMATIONATROPHY SUDDEN ONSET INSIDIOUS 1 YEAR FORM A/F HYSTERECTOMY CHILLY ? WEIGHT GAIN MIASM SYCOSIS FUNCTION T 3, T 4↓ TSH ↑ BMR ↓. SLOWING OF PHYSIOLOGICA. FUNCTIONS. AFFECTION OF LIPID METABOLISM. ↓ LIPOLYSIS. ACC. OF HYDROPHYLLIC MUCOPOLYSACCHARIDE IN CONNECTIVE TISSUE.
ESSENTIAL HYPERTENSION STRUCTURE BLOOD VESSELS HYALINE DEPOSITION WALL THICKENING OF ARTERIOLES – NARROWING OF LUMEN SUDDEN ONSET INSIDIOUS 1 YEAR FORM ARTERIOSCLEROSIS FUNCTION RENIN ANGIOTENSIN 11 MECH. ↑ PERIPERAL RESISTENCE, ↑ CO, VASO CONSTRICTION, ↑ ALDOSTERONE SECR, SODIUM FLUID RETENSION. ↓ NA. EX CERETION. MIASM : SYCOSIS
GASTRIC ULCER STRUCTURE STOMACH : MUCOUS MEMBRANE _ EROSION MUCOSAL ATROPHY ? THICKENED BOGGY MUCOSA SUDDEN ONSET INSIDIOUS 1 YEAR FORM PAIN IN EPIGASTRIUM COLICKY PAIN A/F HYSTERECTOMY BURNING , NAUSEA, VOMITING. FUNCTION ↑ HP COLONISATION ↑HCL SECR. & PEPSIN SECR. IMBALANCE B/W MUCOSAL DEFENCE MECH & DAMAGING FORCES. MIASM : SYCOSIS
BRONCHIAL ASTHMA STRUCTURE INSIDIOUS ONSET SLOW PROGRESS ( 13 YEARS) FORM TRACHEO BRONHIAL TREE AIRWAY INFLAMMATION BRONCHO SPASM HYPERTROPHY OF BRONCHIAL MUSCLE INCREASE SIZE OF MUCOUS GLANDS. FUNCTION BREATHLESSNESS ↑ MUCOUS SERETION STARTS W ITH CORYZA ↑ RELEASE OF MEDIATORS COUGH HYPER RESPONSIVENESS OF AIR WAY < CLOUDY WEATHER SPUTUM: WHITE, STICKY. MIASM: SYCOSIS
SYCOSIS – MIASM FEATURES. DISEASE – FEATURES BRONCHIAL ASTHMA. HYPERTROPHY OF BRONCHIAL MUSCLE EXUDATION ↑ MUCOUS SECRETION SPASM BRONCHO CONSTRICTION BRONCHO SPASM OEDEMA ↑ SIZE OF MUCOUS GLANDS. PHASE CHRONIC - 13 YEARS SLOW PHASE SLOW INSIDIOUS S Y C O S I S ( HYPERRESPONSIVENESS IS THE FEATURE OF PSORIC MIASM. IN BRONCHIAL ASTHMA HYPERRESPONSIVENESS OF AIRWAYS IS AN IMPORTANT FEATURE. BUT WHILE CONSIDERING THE DISEASE PROGRESS ( SLOW INSIDIOUS PHASE) AND THE OTHER FEATURES STRUCTURAL ALTERATIONS) , THIS CASE FIT IN TO THE SYCOSIS, AS A DOMINANT MIASM. )
TOTALITY OF THE PATIENT 1. A/F HYSTERECTOMY – SUPPRESSION ( SURGICAL) 2. A/F DELIVERY 3. A/F SCOLDED BEING , ADMONITION – WEEPS 4. < ANTICIPATORY ANXIETY 5. TRAVELLING IN BUS < 6. SUN HEAT < 7. SMELL OF FOOD – NAUSEA & VOMITTING 8. FEARFUL – ON SEEING DEAD PEOPLE. 9. ACCIDENT, BLOOD, ANIMAL 10. ANXIOUS ABOUT OWN HEALTH. 11. FASTIDIOUS, SENTIMENTAL, SYMPATHETIC 12. WEEPS EASILY, BROODING 13. MENSES: BLACK, STAIN – BROWN/ 14. AVERSION – SWEETS, MILK 15. CRAVING – HIGHLY SEASONED FOOD 16. CRAVING – SOUR, PICKLE 17. SUPPURATION TENDENCY 18. BLOCKING / LUMP SENSATION IN RECTUM & THROAT 19. THIRST- REDUCED.
REPERTORIAL SYNDROME: 1. A/F SUPPRESSION 2. A/F DELIVERY 3. A/F ANTICIPATORY ANXIETY 4. < RIDING ON CAR 5. < SUN HEAT 6. < SMELL OF FOOD 7. SUPPURATION TENDENCY 8. LUMP/BALL SENSATION IN RECTUM PDF 1. FASTIDIOUS 2. SENTIMENTAL 3. SYMPATHETIC 4. ANXIOUS ABOUT OWN HEALTH 5. MENSES: BLACK 6. MENSES: STAINING 7. CRAVING – SOUR 8. AVERSION – MILK 9. AVERSION – SWEETS 10. A/F ADMONITION
REPERTORIZATION 1 2 3 4 5 6 7 8 TOTAL CALC-C 2 2 3 1 1 3 3 --- 15/7 LACH. 3 --- 1 2 3 1 3 2 15/7 PULS 2 1 3 3 5 --- 18/7 SIL 3 1 3 2 --- 3 5 2 19/7 SULPH 3 2 1 1 4 1 15/8 THUJA 3 1 1 1 2 1 11/8 NAT. M --- 1 1 1 3 1 2 2 11/7 PHOS --- 2 3 1 --- 3 3 1 13/6 SEPIA --- 3 1 3 --- 1 4 3 15/6 NUX-V --- 2 1 1 2 1 3 --- 9/6
CHOICE OF REMEDIES CALC-C SIL LACH PULS SULPH THUJA PDF 1 2 3 4 5 6 7 8 9 10 TOATAL CALC-C --- 1 --- 2 2 1 1 LACH. --- 1 1 --- 3 --- 2 - 1 --- 8/5 PULS 3 2 1 1 3 1 2 2 1 SIL 1 --- 2 SULPH 1 2 --- 2 2 THUJA 1 1 --- --- --- 5/5 1 8/6 --- 16/9 --- 5/4 2 --- 12/7
HOT CALC-C CHILLY FINAL CHOICE CALC-C LACH PULS SIL SULPH THUJA SIL SULPH --THUJA PATIENT MIASM S Y C O S I S REMEDY T H U J A
U T E R U S M Y O M A HYSTERECTOMY SYCOSIS E X P R E S S I O N STRU CTUR AL METASTASIS SUPPRESSION AFFINITY JOINTS THYROID HYPO THYROID SLUGGISH METABOLISM WT GAIN SYCOSIS ARTHRITIS STIFFNESS SWELLING + C. F STOMACH GASTR. ULCER BL- VES RECT- VEIN ESSEN. HT PILES COLIKY PAIN NO FORM LUMPY SENS. + CHILLY THUJA
SYCOSIS – MIASM FEATURES. DISEASE – FEATURES BRONCHIAL ASTHMA. HYPERTROPHY OF BRONCHIAL MUSCLE EXUDATION ↑ MUCOUS SECRETION SPASM BRONCHO CONSTRICTION BRONCHO SPASM OEDEMA ↑ SIZE OF MUCOUS GLANDS. PHASE CHRONIC - 13 YEARS SLOW PHASE SLOW INSIDIOUS S Y C O S I S ( HYPERRESPONSIVENESS IS THE FEATURE OF PSORIC MIASM. IN BRONCHIAL ASTHMA HYPERRESPONSIVENESS OF AIRWAYS IS AN IMPORTANT FEATURE. BUT WHILE CONSIDERING THE DISEASE PROGRESS ( SLOW INSIDIOUS PHASE) AND THE OTHER FEATURES STRUCTURAL ALTERATIONS) , THIS CASE FIT IN TO THE SYCOSIS, AS A DOMINANT MIASM. )
THE COMPARISON OF CHRONIC MIASMS BY PHYLLIS SPEIGHT
• Mr. Noel Puddephatt introduced her to the writings of the homoeopathic masters like Hahnemann, Herring, Kent, Clarke, to name a few. • Hahnemann’s chronic diseases -- Psora • Haehl’s “Life of Samuel Hahnemann”
• J. H. Allen’s 2 volumes of “The Chronic Miasms” • Based entirely according to Allen’s book on miasms. • She calls the tubercular miasm mentioned by Allen as “Pseudo Psora”. • Claims no originality of work and is very modest.
Sources: • Allen J H- Chronic miasms. • Hahnemann- Theory of chronic diseases • Robert’s philosophy • Banerjee - Chronic diseases
• HAS MENTIONED IMPORTANT POINTS IN THE CHAPTER OF TASTE. FINE DISTINCTION OF TASTES IN ALL THE 4 MIASMS IS EXPLAINED. • TASTE SHOULD BE NEUTRAL AND ANY PERVERSION OR FALSIFICATION HAS A MIASMATIC BASIS. • FOUL TASTE OF NUX VOMICA WORSE MORNING • HEPAR, TUB AND PYROGEN HAVE TASTE OF PUS BEFORE COUGHING. • ALL METALLIC TASTES MAKE US THINK OF SYPHILIS OR THAT THE TUBERCULAR ELEMENT IS PRESENT.
• Desires and aversions stand high in therapeutic value as they are the basic miasmatic symptoms next in importance to perverted mental phenomenon in disease • Skin and mind are exhaustively covered.
Sycosis • Sycotic patient is barometer. • In any stage, in any form, it takes the precedence of the 3 miasms. • Natural discharges never ameliorate sycotic patients…like persp, etc. • Sycotic manifestations are characterized by slowness of recovery.
Suppressions: • PSORA spends it force when suppressed upon the nervous system, or upon nerve centers, often producing nervous and mental phenomena of a serious character, all ameliorated when an eruption is thrown up on skin. • SYCOSIS- Sexual organs are affected producing inflammatory diseases, hypertrophies and abscesses, cystic degeneration, mucous cysts and when thrown upon brain produces headaches, severe acute mania, and central insanity.
• PSORA – ITCH OR ITCHING PAPULE • SYCOSIS – CATARRHAL DISCHARGE • SYPHILIS – VIRULENT OPEN ULCER • ADDITIONAL NOTE ON SYCOTIC AND SYPHILLITIC REMEDIES IS ALSO GIVEN.
Inflammation and fever are in reality the manifestation of that vital reaction or resistance on the part of the organizations which is the means by which the real natural, curative antibodies and antitoxins are produced Inflammation & fever are not evils per se.
DR. HAHNEMANN’S VIEW SCABETIC ERUPTION (ITCH) H I S T O R Y URETHRAL DISCHARGE (GONORRHOEA) VENERAL ULCER (CHANCRE) S U P P R E S S I O N PSORA SYCOSIS SYPHILIS (LOCAL APPLICATION)
POST HAHNEMANN’S DEATH EXTENSIVE DEVELOPMENT IN FIELD OF PATHOLOGY INCREASE KNOWLEDGE OF PATHOGENESIS
INTERPRETATION OF MIASMS KNOWLEDGE OF PATHOGENESIS PACE TISSUE
DISEASES ALTERED RESPONSE STIMULUS
INTERNAL EXTERNAL STIMULUS external MENTAL physical PHYSICAL
STIMULUS PSORIC SYCOTIC TUB RESPONSE ? SYPHILIS
R E STIMULUS +1 E N PSORIC V S P O N S E APPROPRIATE PROPORTIONATE FUNCTIONAL REVERSIBLE E L O P E S +1 MIND emotion M. M SKIN
STIMULUS +1 R E S P O N S E SYPHILITIC RESPONSE GRADUAL OR SUDDEN DISPROPORTIONATE DESTRUCTIVE LACKING IN SYMPTOMATOLOGY AFFECTING VITAL ORGANS -4 V I T A L O R G A N S
THE CHRONIC DISEASES. HAHNEMANN’S TASK SEEN AS THE GREATEST WORK ON THE CLASSIFICATION OF DISEASES IN A LOGICAL MANNER, ACCORDING TO THEIR ORIGIN (FUNDAMENTAL CAUSE) THE FOUR MAJOR CLASSES: 1. OCCUPATIONAL OR DRUG DISEASES. 2. PSORA 3. SYPHILIS 4. SYCOSIS
Ø HAHNEMANN HELD THAT ALL THE CHRONIC DISEASES ARE DERIVED FROM 3 PRIMARY, INFECTIOUS AND PARASITIC SOURCES. ØTHEY CANNOT BE ERRADICATED FROM THE SYSTEM AND THEY ONLY GROW WITH TIME IN A PARTICULAR PERSON, AND ONLY LIVING ORGANISMS GROW. Ø HENCE MIASM HAVE TO BE LIVING ORGANISMS. Ø HAHNEMANN’S TEACHING ABOUT THIS “LIVING, INFECTIOUS AND PARASITICAL” NATURE OF THE DISEAE PRODUCING AGENT WAS CONFIRMED BY THE DISCOVERY OF THE MICROORGANISM. Ø CONDITIONALITY OF THE ACTION OF THE MAISM
DOCTRINE OF LATENCY: Ø THE COPNCET OF LATENT MIASM COMPARED WITH THE LATENCY OF THE BACTERIA IN THE BODY FOR LONG TIMES BEFORE IT PRODUCED ANY VISIBLE MANIFESTATIONS. Ø e. g. INFCTION OF TUBRCULOSIS OCCURS IN YOUNG AND IT MAY MANIFEST MANY YEARS AFTER. METASTASIS: THE TRAVEL OF DISEASE FROM THE SKIN TO THE INTERNAL ORGANS COMPARED TO THE EMBOLISM AND SPREAD OF THE CANCEROUS CELLS TO DISTANT PARTS.
THE IDENTITY OF PSORA AND TUBERCULOSIS: Ø TUBERCULOSIS WAS RGARDED AS “THE MOST UNIVERSAL SCOURGE OPF THE HUMAN RACE. ” Ø LEPROSY BACTERIA RESEMBLES THE TUBERCULOSIS BACTERIA VERY CLOSELY. HENCE TUBERCULOSIS AND ALL THE RELATED ILLNESS TO IT WERE CLASSIFIED AS PSORIC. Ø TUBERCULAR MIASM WAS NOT ESTABLISHED TILL THEN. Ø TUBERCULOSIS WAS CONSIDERED TO BE THE SAME AS PSORA
THE CAUSE: TOXICOLOGICAL THEORY OF DISEASE Ø THE BACTERIA WAS ONLY THE MOST ANTECEDENT EVENT OF THE WHOLE PROCESS OF THE DISEASE. OTHER FORCESES Ø THE DISEASE IS CAUSED BY THE TOXINS RELEASED BY THE BACTERIA. Ø ALONG WITH THE LOCAL EFFECT THERE IS A DYNAMIC DISTURBANCE Ø HENCE THERAPEUTICS SHOULD BE AIMED NOT ONLY AT THE REMOVAL OF THE BACTERIA BUT ALSO THE ASSOCIATED DYNAMIC DISTURBANCE
ALLEN’S CONCEPT OF MIASM SIMILIMUM CHRONIC DISEASE > FOR SOME TIME WHY ? R E L A P S I N G SIMILIMUM COMPLAINTS COMING UP AGAIN > SOME TIME AGAIN C/O COMING UP
VITAL FORCE ( DYNAMICS) HEALTH F 1 NATURAL BOND F 2 F 1>F 2 -HEALTHY (MIASM) DERANGING FORCE, F 2>F 1 - DISEASE LATENT INHERITANT PREEXISTING CAUSE, DESTRUCTIVE)
EXTERNAL FACTORS F 2 AROUSED NOT TAKING CARE OF DIET, HYGIENE F 2> F 1 LEADING TO DISEASE INDULGENCE IN DRUG, STIMULANCE IT WILL EXPRESS ITSELF HOW ? ? ? UN FAVOURABLE / BAD ENVIR. CONDITIONS THROUGH WEAK END ORGANS OVER STRESS, WORRY, GRIEF EG: LIVER, EYE, KIDNEY
PSORA TO SYPHILIS PREDOMINANTLY FUNCTIONAL PREDOMINANTLY STRUCTURAL PSORA 70% SYP 50% SYCOSIS 20% SYP 10% PSORA 20% SYC 30%
DIEASE PROGRESS STRUCTURAL (PATHOLOGY) FIRST FUNCTIONAL IS THE REFELECTION OF MIASM (DESTRUCTIVE FORCE) MIASM IS A CONCEPT WHERE AS PATHOLOGY IS THE FACT OPERATING ON IT. IT IS EVIDENCE OF PRESENCE OF MIASM.
FOR CURE F 3 NEEDED ARTIFICIAL FORCE/ DYNAMICFORCE >F 2 THROUGH POTENTISATION DRUG PRODUCE ARTIFICIAL DISEASE F 1+F 3> F 2 CURE
KENT CONCEPT – LIFE SIMPLE - NO DISEASE ↓. THINKING (SINFULL) WILL ACTION- WRONG DISEASE
TUBERCULAR MIASM ( PSEUDO PSORA) EXPRESSION INTENSIFIED LIKE PSORA & PATHOLOGY DESTRUCTIVE LIKE SYPHILIS TUBERCULAR
Case No 3 17 Yrs /Male CHIEF COMPLAINTS ANASARCA MASSIVE EDEMA HYPERTENSION 150/90 PROTEINURIA +++ HEMATURIA ++ DYSPNOEA SPLIT S 2 TOTALITY • SLOW LAZY • DISLIKE FOR MENTAL LABOUR • SENSITIVE TO REPRIMANDS • LACK OF COURAGE • OBSTINATE • FEAR OF GHOST • DREAMS OF GHOST • CHILLY • CR SWEETS • CR PICA • WATER LOGGING
PACE RAPID CHARACTERISTICS FEW PATHOLOGY ADVANCED -= SECONDARY EFFECTS MIND LOW NERVES LOW
1 ANASARCA 2 HYPERTENSION 3 PROTEINURIA 4 HEMATURIA SINGLE DOSE NO CHANGE 1 2 3 4 24 HRS AFTER CALC CARB 200 3 DOSES PLACEBO
Case 35 female Trans abdominal hysterectomy was done to treat leucorrhoea and Menorrhagia Post op day 1 Post op day 2 Post op day 3 & 4 vomiting abdominal pain with loose motion vomiting with fever Post op day 7 fever with rigors bright red profuse bleeding per vaginum On examination Pulse 120/min BP 90 systolic Pallor not responding to Monocef not much chance with blood transfusion Post operative sepsis with gaping of vaginal vault
P/h Breast abscess Typhoid Fever Hemorrhage bright red Abdominal pain Smiling hope rapid Function Structure Loss of adherence Mucosa +connective tissue Slow healing Infected inflamed necroses Erosion of blood vessel …. . shock
Chilly Lean with sharp features Expressive eyes Craving sweets Motion sickness Fearful ghost, dark, quarrels---gets palpitation Pet lovable, affectionate, Desire for company Sensitive to reprimands Gets irritated quickly and cools down quickly
Case 73 male NIDDM ON OHA DEEP NON HEALING ULCER ON 3 RD TOE OF LEFT FOOT Pulling pain in left lower limb Per rectal bleeding with pain On examination Deep ulcer - muscle to bone deep with scanty secretions. Non tender Odema in the surrounding area No signs of Hansen’s or PVD Ambithermal
Loquacity Boasting Insensitivity Pains Swelling Ulcer Urine sugar Blood sugar Ulcer completely healed In one week No pain and swelling thereafter By second week tone mellowed down Loquacity decreased US trace Third week RBS 145 Wanted to know if wife can be helped
Case 25/female FEVER WITH CHILLINESS YELLOW URINE VOMITING INSOMNIA DELIRIOUS ……. DROWSY NOT RESPONDING TO ORAL COMMANDS RESPONDS TO PAIN Examination findings Afebrile Icterus ** Rt Hypo tender liver 2 F+ Responding to pain Disoriented in time and space Moving all 4 limbs Investigations S. Bil 20. 66 Wbc 13, 000 Hb. Sag +ve
Level of consciousness Delirium Sleep Fever App Abdominal pain Urine color Icterus S. Bil Slight change in app and Sleep in first 24 hrs Loc much better in 48 hrs Sleep and app further improved S. Bil 18. 2 5 th day asymptomatic except icterus Not much change in Bil TUBERCULINUM 1 M 3 Week S, bil 2. 2 KALI PHOS 1 m Single
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Case 64/m DIABETIC SINCE 12 YRS ON INSULIN ASYMTOMATIC DELAYED HEALING OF WOUNDS 2 YRS AGO GANGRENE FOUR TOES AMPUTED NOW SINCE FOUR MONTHS BLACK DISCOLORATION OF TOES WITH BURNING AND ANESTHESIA A/C CORYZA WATERY <WINTER < RAINY F/H DM P/H TYPHOID
ANXIETY ANTICIPATORY ANXIOUS MISTRUSTFUL ANXIETY BUSINESS AVARICE ANXIETY HEALTH FASTIDIOUS COLD < DM: TUBERCULAR SYPHLITIC CHILLY SUSCEPTIBILITY LOW SENSITIVITY VITALITY MOD. . LOW
CASE 11 MONTH FEMALE CHILD RECURRENT COUGH…. . BREATHLESSNESS…. RATTLING LOW THIRST FREQUENT CONVULSIONS………COMATOSE FLACCID LYING QUIETLY FASCICULATION FEEDING THROUGH NASOGASTRIC TUBE NOT PASSED STOOL FOR 10 DAYS BOWEL SOUNDS –VE ON EXAMINATION NO RESPONSE TO PAIN FLACCID HYPOTONIA PLANTAR EXTENSORS
DAY 1 SQ OP 2 HR DAY 15 DAY 3 TWITCH> STOOLS RESPONSE TO PAIN DROWSY OP 2 HR DAY 16 OP 2 HR DAY 30 TUB DAY 45 SLEEPS HALF EYE SMILING LYCO LOC FLUC TUATE LYCO 1 M TUB SQ DAY 5 DAY 7 DAY 9 DAY 11 DAY 13 SULPH CRY B. S START CALC SWEAT CHILLY
SALIENT FEATURES OF TUB MIASM • • PREDISPOSITION CONTSITUTION DIATHESIS DISPOSITION PHYSICAL FACTORS MODALITES PATHOLOGY CLINICAL CONDITIONS
PREDISPOSITION • • Past History & Family History Tuberculosis of lung , Glands etc. Hemorrhagic diathesis Tendencies Suppuration & recurrent abscess. Diabetes Typhoid etc.
CONSTITUTION & DIATHESIS • Tall , Lean , Thin • Fair complexion • Emaciated , Stooping , with narrow chest depressed sternum winged scapula • Fine silky reddish hair, delicate long eye lashes with blue sclera • Tubercular diathesis • Hemorrhagic diathesis • Scrofulous diathesis
DISPOSITION EMOTIONS Heightened unstable emotions Oversensitive Anxiety Fear , Fright, Grief Craves for sympathy & gives it Desire to be magnetized Hopeful & Cheerful Friendly nature but Unpredictable Extreme desire of sex, giving rise to sexual perversions Strong attachment to objects & persons Poor M. W. D. Poor performance
• • INTELLECT Acute perception –E. S. P. Clairvoyance Responses are sharp , quick but for short time Changeability , alterations , oscillations Strong / heightened imagination Artistic Perception alterd
DREAMS • • Amorous Frightful Violent Prophetic Distressing Gloomy Cries out in dreams
PHYSICAL FACTORS • Hypersensitive to environmental influences, touch, light , noise, odour etc. • Immune levels low • Discharges – Profuse, serosaguinous with musty mouldy odour • Increased appetite yet looks emaciated • Pica • Aversion to meat
MODALITIES Aliments from suppression • • AGGRAVATION Mental excitement Physical exertion From evening to night Change of weather After sleep Over eating Warm room • • AMELIORATION Open air Motion Natural discharges Day time Sleep Rest Eating
SYSTEM INVOLVED • • Reticulo Endothelial system Psyco Neuro Endocrinal system Glands Blood C. N. S R. S. & Mucous membrane
CLINICAL CONDITIONS • • INFECTIOUS TUBERCULOSIS TYPHOID MALARIA HANSEN’S RECURRENT U. T. I WORM INFESTATIONS • • • NON INFECTIUS N. I. D. D. M. I. H. D. HYPERTENTION CEREBRAL INFARTIONS
SUMMARY • • ONSET: Insidious PACE: Fast SPEED: Rapid INTENSITY : Heightened • PATERN : Erratic • FREQUENCY : Irregular • SENSITVITY : Increased • REACTIVITY: Unpredictable • PROCESS : Chronic • IMMUNITY : Low • SUCEPTIBLITY : Moderate to High
Tubercular miasm HYPERSENSITIVE HYPERDYNAMIC HYPERACTIVITY HYPERMOBILE HYPERCHANGE INFLAMMATION SUPPURATION ABBERANT IMMUNE REACTION EXHAUSTION LASSITUDE CATABOLIC DEPLETION ENERGY LOW EMOTIONS INTELLECT SUBCONSCIOUS RES SYSTEM BLOOD FIBROUS TISSUE
ORTEGA’S CONCEPT OF MIASM.
THE EVIL – IN MAN. SICKNESS INDIVIDUALS-OWN WAY ALTERATION IN STATE OF HEALTH STRIKING- STATE OF HEALTH COMMON CONSTITUTIONAL WAYS LOST HIS PLACE IN THE ENVIRONMENT CONSTITUTIONAL BASIS - DIATHESIS CAUSA CAUSORAM (MIASM. )
MIASM THAT IS DESTRUCTIVE, DISTURBING & DISPLEASING PRESENT IN US RELATED 3 FORMS OF CELLULAR FUNCTION EXCESS DEFICIENCY PERVERSION NUTRITIONAL ALTERATION OF CELL DYSFUNCTION STRUCTURAL ALTERATION NATURAL PATHOLOGY. STATE
MIASM EXCESS DEFICIENCY PSORA PERVERSION SYPHILIS SYCOSIS CONSTITUTIONAL STATE DEFICIENT EXURBERANCE OSTENTATION DESTRUCTION AGGRESSIVENESS FLIGHT DEGENERATION CAUSES INDIVIDUAL CELL INHIBITED AGGRESIVE FIRST REACTION MODE OF EXPRESSION AGGRESSIVE AGENT PSORIC CONDTION REDUCED DEBILITATED PSORIC INHIBITION POOR NOURISHMENT EXCESS PERVERSION DEFICIENCY INHIBITION ALTERATION SYCOTIC STIMULEN T TO FIGHT INHIBITION FLIGHT AGGRESSION
COLOUR &MIASMS BASIC 3 MIASMS & 3 PRIMARY COLOURS EACH COLOUR REPRESENTS – REFLECTION OF THE CHARACTERISTICS- ONE OF THE MIASMS PSORA – BLUE COLD TEMPERATE PASSIVE COLOUR SYCOSIS – YELLOW BRILLIANT, OSTENTATION GAY SYPHILIS -RED HOT & PASSIONATE WITH DESTRUCTIVENESS OF FIRE
SYPHILITIC MIASM LEARNING FROM CLINICAL EXPERIENCE
PANORAMA OF SYPHILITIC MIASM PREDISPOSITION TISSUE/ PATHOLOGY C SENSITIVITY O N S TT SUSCEPTIBILITY UT I O POSOLOGY N
SYPHILITIC SUSCEPTIBILITY CORRELATION CLINICAL PATHOLOGY
SYPH-CASE 1 • 75 yrs old male, farmer. • Lean & thin with hardness of hearing. • Complaints • -Gangrene of Rt little toe with autoamputation with maggots. • A/f-working in cold water. • Doppler-Bil. atherosclerosis of major arteries of both limbs. • X-ray-foot-Bone resorption of the little toe. • X-ray-Cxl spine-Osteoporosis, ostoephytes, loss of disc space-C 5 -C 6.
CHRONIC TOTALITY • • • Shy 3 Timid/soft spoken Responsible 3 Fear of Injections 3 Anxious 2 about children’s future • • Chilly-C 4 H Suppurative tendency 3 Cravings-Milk 2 Perspiration-Profuse Silica
Clinico-pathologico-miasmatic correlation OLD –SENILE CONSTITUTION AGE DEGENERATION -NO PAIN -NO CHARACTERISTICS -SENSITIVE TO COLD PATHOLOGY ARTERIES BONES & SPINE EARS-NERVES ISCHEMIA NECROSIS DRY & SHRIVELLED GANGRENE
• • Phase totality Senile A/f, < -Cold 3 Anaesthesia Shrivelled parts Dry gangrene Necrosis Atherosclerosis Complementary relation to Sil. Baryta carb.
Susceptibility understanding of syphilitic miasm Predominant epochs—birth & old age Pathology—Structural, degenerative , necrotic , irreversible Sensitivity--blunting of sensitivity as pathology progresses. Immunity—Compromised & poor, hence poor healing. Nutrition—Tissue nutrition i. e. O 2 & proteins is poor. Pace—Rapid or slow & insidious. Correspondences—based mainly on basis of pathology & sector. Approach—most of the times is Boger’s. TPD & TPR—focuses mainly on palliation Posology—Low potency & freq. repetition.
SYPH –CASE 2 • 80 yrs old female / farmer • Chronic tobacco smoker • C/O- Intense PAIN in Lt. foot as if bursting like • <3 BURNING crackers Sudden shock. Screaming with pain Touch, draft of air
O/E Undernourished (wt-29 kgs). Dusky, shrivelled, cold to touch. Bluish hue. Peripheral pulses absent. USG-Doppler-atherosclerotic plaques in descending aorta, & lt. common iliac vessel. Monophasic blood flow in all arteries of lt. lower limb. Arteriogram-of Lt. leg-angiographic findings consistent with PVD of rt. SFA. Lt. CIA occlusions. Poor distal run off in both legs.
PATHOLOGY MAJOR BLOOD VESSELS ATHEROSCLEROTIC PLAQUES ISCHEMIA NERVES AFFECTED LOCAL ANOXIA ISCHEMIC PAINS IMPENDING DEATH
SUSCEPTIBILTY UNDERSTANDING • • • Pathology-Structural irreversible Sensitivity-very high –pain, touch, draft of air Characteristics-++ Nutrition-poor Correspondence at the level of pathology & sector —Naja • POSOLOGY-Potency-moderate due to high sensitivity
Extremes of syphilitic expressions Case of dry gangrene Case of PVD Epochs Old age Pathology Structural, destructive , necrotic, Irreversible Structural, degenerative, Irreversible Sensitivity anesthesia Low Hypersensitive high Immunity Compromised Nutrition Poor Characteristics Nil ++ Pace Rapid gradual Susceptibility Low Correspondence Pathology & sector Posology Low potency , freq repetition Moderate potency, freq. repetition
SYPH CASE 3 • 63 yrs old male/widower since 1 year • Wife died of Ca uterus 1 yr back • C/o-Redness in throat since 1 yr with mild dysphagia & slight pricking sensation since 1 m. • Addictions-alcohol & tobacco. • Biopsy done at TATA-Ca base of tongue & oropharynx(T 2 N 0 M 0) done 3 days back. • Laryngoscopy-Ulcerative lesion involving base. of tongue
Chronic Totality • • • Egoistic Independent Hard working Ambitious Boaster Attachment-self, money • Stocky, hefty man • Hot • Craving-Milk 2, Sweets 2 • Calc. Fl.
Phase totality • Ulceroproliferative growth • Pricking pain in throat radiating to ear • L. N—hard, right side • Tongue-thick white coated Merc. i. f
Planning & programming • Pathology • • -Ulceroproliferative, Metastasis-L. N. + Pace -fast Sensitivity -low Characteristics -absent Tissue susceptibility-low Susceptibility -low Posology low potency-6 c Repetition -frequent Expectation -palliation
Syph case 4 • 25 yrs old male. • Diagnosed as ankylosing spondylitis since 3 -4 yrs. Constitutional—Calc. carb. • C/o- Severe pain in back since 3 -4 months • < night 3. • Used to moan & scream whole night due to pain. • Pain <3 draft of air. • X-ray - Bamboo spine • Rapid progression
• • Mentals: Would not sleep & would not allow others to sleep. Used to sleep early in the morning till mid day Throughout the day used to feel lazy, depressed. No desire to do any work. Irritable-used to get frustrated with the others & the illness. No desire to live due to illness. Suicidal thoughts on various occasions. Relatives were afraid of his threat & feared that he would take this extreme step. Intercurrent- Syphillinum 1 M
Syph Case 5 • 45 yrs old male. • Hard worker-worked in fields all life. • Fearless. • Anxious about money matters.
Presentation • • • C/o- Severe OA with genu varum deformity. ROM-restricted due to arthrodosis No effusion X-ray- Severe osteoporosis & joint space reduction 3 Not > with allopathic treatment Advised surgery but cannot afford. Sever night pains. <cold 3 Remedy –Syphillinum 1 M, Calc. flour 6 C multiple doses
SYPHILITIC MIND • TRAITS • DISPOSITION • MOODS P E R S O N A L I T Y
• • • • Syph case 6 A 11 month old female baby C/C-URTI TOTALITYHYPERACTIVE. RESTLESS <CONTRADICTIONS-throws herself in anger, rolls down from bed-mother unable to control her, bangs head against wall Fearless-animals-enjoys riding on cattle -pulls dog’s/cat’s tail & throws them Fears-dark, of strangers Likes playing with animals-yet cruel to small animals-crushes insects to death Loves music 3 -cannot sleep without it. Wants to go out always.
PHYSICALSThermals-C 2 H 2—C 2 H 3 Perspiration-Scalp Cravings-sour 3, spicy 2 Aversion-Sweets 3 Sleep-on abdomen Dentition-delayed, other milestones on time
Syphilitic traits • Intense RAGE excessive strength during rage. • Violent anger Destructive— hurts self, throws things, breaks toys, head banging. • Cruelty • Insensitive to pain—of self ---of others Remedy selected =Tarentula. h.
Syph case 7 • 61/2 yrs old girl, lean, thin. • Mischievous look with wide gap in between the teeth. • C/C-Nocturnal enuresis. • Pricks teeth with sharp instrumentspins, needles, blades or even a knife • During interview • Restless, heedless, mischievious, making faces. • Constantly picking teeth with a pin & continuously eating biscuits. • Interrupting mother in-between the interview.
• • • TOTALITY Hyperactive 3 Restless 3 Insensitive to pain 3 Inflicting pain on self 3 Heedless 3 Fearless 3 Obstinate 3 Mischievous 2 Irritable—Abusive Vivacious Creative-likes drawing • • • Hot < Motion/bus 2 <Sun 2 <Hunger 2 Craving. Chocolate 3, Salt 2, sour 2 Tarentula
SELF INSENSITIVE OTHERS RAGE UNCONTROLLABLE VIOLENCE
Syph case 8 • 40 yrs old male • Look-rough, robust, arrogant • C/o-coryza-acrid, corrosive. • Childhood-Stealing habit, caught by father-abused him, quarrelled & walked off & never spoke to him till his Fa died at 70 yrs, although stayed together. Several quarrels in & outside the house.
• Adolescence- Strong sexual desire -Freq. multiple non emotional phy. relations with prostitutes. -“I need one fresh woman everyday. ” • Marriage- Extremely dominating. Violent rage, beat wife. After marriage raped 3 women in the nieghbourhood. His wife once casually spoke to a male neighbour. Pt couldn't bear it. fractured her hand. Banged his son against the ceiling for picking up a wafer from his plate.
Dreams-Rape, Snakes-biting him Nightmares-of being murdered/killed, somebody is sitting on his chest & trying to throttle him. Awakens with intense fear as if he would die.
Totality • • • Violent - Destructive Impulsive Hard-hearted Suspicious – Mistrustful Fear of death from dream Dreams – Rape -- Snake-biting him Cenchris
• LOVE • CONSCIENCE • HUMANE C O R R O S I O N HARD HEARTED UNFEELING VIOLENCE DESTRUCTIVE SELF ANTISOCIAL SOCIETY PERSONALITY RACE CRIMINAL
Syph case-9 25 yrs/ Male Organophosphorus poisoning Antisocial element Deeply comatose Respiratory arrest Patient on ventilator. GTC Pupils constricted and fixed Extensor plantar. Not better Atropine 50 amp. And PAM every ½ hr.
Totality A/F: Poisoning Reaction poor (Not responding to Atropine and PAM ) Respiratory Paralysis Pin point constricted and fixed Toxic Encephalopathy FOLLOW UP. After 2 hrs patient fighting the E. T. Anxious look on the face. Pleading to save through gesture No further H/O. available Consumed poison in temple had never visited temple past.
• INSTINCTIVE • IMPULSIVE V I O L E N C E SELF CONTROL LACK DISCRIMINATION DEATH SLOW INSTANT
SYPHILITIC MIASM & THERAPEUTIC IMPLICATIONS
Syph case 11 62/Male C/O. Rt. Sided Hemiplegia with Aphasia Pseudobulbar Palsy; Bilateral Pneumonitis Sticky offensive discharges TC : 10, 400 XRC : Bilateral Pneumonitis CT (Brain) : Diffuse Supra Tentorial White matter Ischemia which is secondary to Hypertension
HISTORY ÿ Highly IRRITABLE ÿ VIOLENT BEATING till the person would die ÿ VINDICTIVE ÿ BREAKES OF RELATIONSHIP ÿ NEVER FORGIVES insulting, abusing ÿ NO FEELINGS towards wife Would hit her on slightest provocation ÿ HARD HEARTED ÿ Orthodox and DOMINATING ÿ CAN’T TOLERATE CONTRADICTION ÿ AGGRESSIVE EVEN ON DEATH BED
TOTALITY A Anger trifles at A Anger Violent A Hatred towards person who has offended A Dominating A Contradiction in tolerance of A Egoistic A Cr. Fish A Av. Egg, Milk, < Milk A Hot Patient Irreversible structural changes Susceptibility – Low Miasm – Tubercular – Syphilis
23/10/02 6 pm: Remedy Reaction Lachesis 30 1 P Stat 7. 30 pm LOC Maintain 9. 30 Pm GIT Bleed stop LOC Maintain 10. 30 pm 24/10/02 GIT Bleeding Massive Haemoptysis gas ping Drowning in his own blood. LOC Maintain 9 am Chest clear Inves. N: Prothrombin time LOC Maintain
Syph case 12 45 YRS/MALE CC: : KCO RENAL CELL CARCINOMA WITH IDDM WITH SEVERE U. T. I. PT OPERATED FOR CARCINOMA HAS METASTASIS IN LT LOBE OF LIVER FEVER HIGH GRADE WITH CHILLINESS WITH SEVERE DYSURIA BEDRIDDEN URINE OUTPUT 100 C. C. NO INTAKE O/E: CACHECTIC TEMP: 103 F PULSE: 112/min. CHEST: CLEAR P/A: LIVER 4 FP, FIRM, TENDER++ INVESTIGATIONS SPLEEN NP Hb: 5. 5 URINE P. C: ABOVE 250 Tc: 12, 500 BSF: 250 USG: 89 X 95 mm WELL CIRCUMSCRIBED MASS IN Lt. LOBE OF LIVER
TOTALITY 1. SYMPATHETIC 2. HARD WORKING 3. DOES SOCIAL SERVICE 4. ANXIOUS ABOUT HEALTH OF OTHERS & SELF 5. C 3 H 2 6. AVERSION SWEETS 2 7. CRAVING FISH RX: CAUSTICUM PATIENT ADMITTED IVF STARTED RX. PULSATILLA 30 MULTIPLE DOSES AS SUSPECTED KILLERS AGGARAVATION HENCE SUPERFICIAL ACTING REMEDY RELATED TO CHRONIC REMEDY SELECTED
FOLLOW UP: APP: BETTER FEVER: > URINE OUTPUT: 2000 CC URINE P. C. : 100 – 150 AFTER 4 DAYS CAUSTICUM 30 1 P GIVEN NEXT DAY RIGORS+++, EVERY 3 -4 HRLY. FOR 24 HRS. TEMP: 106 F AFTER 24 HRS. FEVER 0 APP: BETTER DYSUREA: > 75% CONSTITUTIONAL SYMPTOMS; >2
CHARACTERISTICS OF SYPHILIS MIASM MIND DESTRUCTIVE ANGER –VIOLENT IMPULSIVE RAGE—Uncontrollable CRUELTY INSENSITIVE V/S HYPERSENSITIVE TO PAIN INSESITIVITY TO PAIN SELF SUICIDE OTHERS RECKLESS / HEEDLESS / CARELESS FEARLESS V/S INTENSE FEARS SYPHILITIC PARANOIA DEPRESSED MOOD SUICIDE
• PHYSICALS EPOCHS PATHOLOGY BIRTH & OLD AGE IRREVERSIBLE STRUCTURAL CHANGES DEGENERATION NECROSIS DEATH MODALITIES < NIGHT , CHILLY. PACE – SLOW ---DEGENERATIVE -SUDDEN– DESTRUCTIVE SENSITIVITY HEIGHTENED V/S BLUNT CHARACTERISTICS POOR SUSCEPTIBILITY LOW TISSUE SUSCEPTIBILITY LOW IMMUNITY COMPROMISED NUTRITION POOR
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