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14/02/2016

POST TRAUMATIC STRESS DISORDER - CURED BY PHOSPHORUS

History:
A patient of mine brings her sister aged 32 years for her psychological problem. This lady stays in New Delhi and has arrived in her sister’s house (in Durgapur, WB, India ) for treatment.

Profession:
Interior designer – works mostly from her home and is working on her laptop always.

Date of consultation: 19/05/2015

Excerpts of conversation:

Patient: Doctor, I am suffering from a peculiar problem. I did share my problem with my husband but he is too busy with his official commitments – I cannot remain alone in my flat anymore leave alone doing my regular work. Suddenly I have developed a great fear since the terrible Nepal earthquake on 25/04/2015. I was working on my laptop at that time when I felt tremors – people started shouting and running out of their flats. I could realize that it was an earthquake and I was all alone in my room. Suddenly I felt that the building is going to collapse and run of my flat terror-stricken. I ran down the flight of stairs and came out in the lawn. People were panicked – mostly women were there at that time. Doctor, didn’t you feel it here?

Doctor: Yes – please continue your experience and problem in detail.

Patient: Since that day, I couldn’t get out of that phobia. I feel that everything is shaking. I can’t sleep lest the building comes down. I can’t remain alone in my flat – feels the earth is shaking.

Doctor: Any other problem?

Patient: I don’t feel like eating since that shock. But I’m not like that, you know. Basically I’m not a coward though I become stressed easily. Triffling matters affect me too much but I can get out of these easily. You can say – I’m sensitive. I am not able to watch TV news these days who are telecasting the devastating images of the earthquake.

Doctor: Did you take any medical help?

Patient: Yes. Initially I thought that I could get out of this traumatic fear but it was gripping me regularly. I went to a local physician who advised me to take some sedatives for a few days – I took them but they were really not helping me. I consulted with my sister who asked me to come down to her place for a change. She insisted me to come to meet you and take your professional help. Doctor, please help me.

On examination:

Physicals were normal. Pulse: 80/ min. BP – 110/70 mm of hg.

Diagnosis: Post Traumatic Stress Disorder (PTSD)

What is post traumatic stress disorder?

It is natural to be frightened in danger. But if that traumatic event continues to scare the affected person even when the latter is out of that situation, that reaction is known as post traumatic stress disorder (PTSD). PTSD was first brought to attention and coined in relation to the plight of US war victims during the Vietnam war but it can also result from variety of traumatic incidents such as mugging, r**e, torture, being kidnapped or held captive, child abuse, car accidents, train or ship wrecks, plane crashes, bombings or natural disasters like flood, earthquake etc.
Scientists are currently focusing on genes which play a role in creating fear memories. They have identified chemicals and proteins which are released during fearful memories. They are also focusing on areas of brain such as amygdala which help in retaining fearful memories. Sometimes these painful memories (such as touching a hot plate in childhood) help in learning to be careful in future but if these memories cause hyperarousal features, it becomes a problem and precipitates into PTSD.

FEATURES OF PTSD:

PTSD develops slowly over a considerable period of time right after the traumatic incident till weeks or months or even years.

They can be divided into 3 types:

1. RE-EXPERIENCE THE TRAUMATIC EVENT
• Reliving painful or upsetting memories of the event
• Flashbacks
• Nightmares
• Helplessness or distressed when the event is recalled
• Physical uneasiness or symptoms like rapid breathing, palpitation, nausea, sweating etc

2. AVOIDANCE AND NUMBLING: The patient avoids the reminders of the traumatic event.
• Avoid places, thoughts, feelings or activities that remind of the incident.
• Loss of interest in activities and life in general
• Feeling detached from other and become emotionally numb.
• Inability to remember important aspects of the event
• Depressed and loss of interest in leading normal life or participate in normal social activities.

3. HYPER-AROUSAL OF EMTIONS OR INCREASED ANXIETY
• Difficulty in sleeping and remains awake
• Outbursts of anger
• Difficulty in concentrating
• Felling on the edge always – feeling tense.

Children may not have the same symptoms as those of adults. They may have some very innocuous but annoying symptoms which include:
• Bedwetting ( suddenly forgetting the already acquired skills)
• Being unusually clingy to parent or anybody nearby
• Sleep problems and nightmares
• New phobias
• Aching and pains without demonstrable cause
• Aggression and irritability.

Treatment module:

1. Behavioural therapy: This involves careful, gradual exposure of the patient to the traumatic feelings and replacing these distorted facts or thoughts with more balanced picture.

2. Family / Social support: This is too important as the family members or friends can build up a great support base for the victim – ensure that the patient is safe and involves them in social events more intensely. These victims should not get disconnected from the surrounding society or else they might enter a point of no return. In this context, we can always refer to the ORGANON where Hahnemann insisted on this supportive therapy rather than inflicting injurious punishments or abandonment. Here the sister and her family were doing this part of the job.

3. Individualised medication: Conventionally the PTSD patients are prescribed some medicines by doctors to relieve secondary symptoms of depression or anxiety or restlessness. While these drugs might help the patient temporarily in lifting mood, pulling out of depression or getting medicine induced sleep, they do not treat the cause or relieve the core problem of this stressful ordeal – PTSD.

In this case, the most important symptoms were identified –

a. Fear of earthquake and the after shocks
b. Fear of being alone
c. Delusions of accidents or harm arising out of earthquake
d. Delusion of trembling or shaking of surrounding objects around her
e. Sympathetic to the plight of victims
f. Industrious
g. Insomnia

The following rubrics were taken and repertorised:

1. Mind, Ailments from fright or fear
2. Mind, Ailments from fright or fear: Fear of the fright still remaining
3. Mind, Ailments from: Fright or fear: long lasting
4. Mind: Ailments from: Fright or fear: ordeal, of an
5. Mind: Fear: accidents of
6. Mind: Fear: alone, of being
7. Mind: Fear, Sleep: go to, to
8. Mind: Delusions, imaginations: Earthquake of a
9. Mind: Delusions, imaginations: accidents
10. Mind: Industrious
11. Mind: Sympathetic

Repertorial result:

Phos: 6/12; Arg Nit: 5/10; Lyc: 4/10; Nat Mur: 6/9; Opium:3/9; Caust: 5/8

Prescription: Phosphorus 10M / 1 dose in distilled water.

I did not hear from the patient any further. On 12th January, another lady brought her brother with depression to me – from her I came to know that the patient could come out of her problem after Phosphorus and that the earlier patient had actually referred this lady to me.

Case by: Dr. Partha Chakraborty
MD(Hom), BHMS, B.Sc, FF Hom, FSS(Apollo)
drpartha@yahoo.com
0091-9433288849

Appropriate use of a nosode:Case: A young man, 25 years old came to me on the fifteenth day of August this year with a d...
23/12/2015

Appropriate use of a nosode:

Case: A young man, 25 years old came to me on the fifteenth day of August this year with a depressed look. On asking he showed me his main complaint which was an objective symptom. An apparently innocuous dirty/ugly looking wart on the face was his sole cause of coming to me -

Location: Left side of face near the angle of mouth.

Onset: About 8 months back.

Nature: Viral wart ??

History: The wart gradually started in the above said location with no notable sensation and modalities (these are the prime guidelines we look in any case to construct our totality). It looked very ugly and that too in an unmarried office goer young man.

Treatment: He went to a dermatologist and he suggested electrocautery without any improvement. It was an obstinate wart - that was the dermatologist's opinion. Feeling dejected he went to a Homeopath and he was prescribed medicines like Thuja, Causticum, Acid Nitric, Sepia etc. It did not respond.

M/H: HTN;

F/H: Cholelithectomy, Chronic Liver disease, NIDDM, HTN

P/H: Recurrent tonsillitis in childhood

General features:

Food: Desire: sweet, chicken, cold drinks
Aversion: vegetables, too hot food
Stool: regular
Urine: No abnormality
Perspiration: Sweats profuse in summer
Sleeping position: Likes to lie on abdomen

Mind: Very fastidious; dress nicely; enjoys thunderstorm

Repertorisation: Ars, Phos, Lyc, Calc, Carcinosin

Prescription: Rx: Carcinosin 200.

Result: The wart got cleared after 2 weeks.

This was the email I got from the patient after 2 weeks which is not a personal accomplishment but Homeopathy's accomplishment and once again it has been confirmed that individualisation is the key to success in Homeopathy.

" Dear sir,
I continued your medicine only for 2 weeks and the facial warts disappeared.Please find an attached image of it.
Thanks and Regards, "

10/07/2015

TRIGGER FINGER:

What is trigger finger?

It is a condition where one of the fingers gets struck in bent position. Medically it is known as ‘Stenosing tenosynovitis’. The finger suddenly straightens in a snap or remains locked when one opens or closes the hand. This is becoming a very common painful problem nowadays.

Those whose job involves lot of gripping activities like gripping of pen, gripping cooking utensils in kitchen etc are more liable to get this problem.

Signs and symptoms:

These may vary from mild uneasiness to severe intensity and usually people go to doctors when they can’t do with this problem anymore.

• Finger stiffness especially in morning after waking up from sleep
• There might be clicking noise when the finger is moved
• Movement i.e. opening or closure of the affected finger is not smooth or continuous – difficult to straighten affected finger along with the other ones
• Pain is felt at the base of the finger or digit
• Tenderness (pain felt on pressing) at the base of the affected finger

Causes of Trigger finger:

Tendons are chords which attach a muscle to a bone in our body and are responsible for the movement of the joints by contraction and expansion. These chords are surrounded or covered by a covering or sheath. When the protective sheath becomes inflamed, the smooth, gliding motion of the tendon gets affected. Prolonged, forceful attempts to move lead to scarring, thickening and nodule formation which hamper the movement of the tendon (& finger). This results in tenosynovitis i.e. trigger finger.

Risk factors:

• Repeated gripping
• Diabetes mellitus / Rheumatoid arthritis
• Women

Common presenting symptoms of patients / versions of patients to doctors:

• “I was feeling that my ring finger got jammed and the pain grew worse at night while sleeping – had to get up at night and pull my finger straight with excruciating pain coming up to my palm….”
• “My hands will not straighten without force and with that there is severe pain…”
• “I work in an office where I have to lift heavy boxes - recently I’m having pain in the base of the middle finger – it sometimes gets locked while moving the fingers – one doctor told me that this is trigger finger which I have never heard of…”
• “When I wake up in the morning, my middle finger would be stuck in bent position. It would be shifted back to its position with the other hand and it is very painful. The pain radiates to my palm – now I’m using a splint at night to keep it straight and I’m too scared of an injection over there – please help…”
• “I would feel pain in the affected finger especially at the base when I try to open or close my hand early in the morning – this finger gets locked up – the pain in that area remains for the whole day….”
And there are countless expressions of the patients describing this problem.

Case of Trigger finger:

A retired PSU official aged 63 years (male) whose office job involved a lot of writing and file work (and he has joined a private sector office where the same ordeal continues) came to me on 29th Jan 2015 with the following complaints:

• Stiffness and inability to fold middle finger of right hand properly
• Difficulty to open the folded finger
• Pain in the base of the middle finger when opening the ‘stuck’ finger forcibly with the other hand

Associated features:

• Hypothyroid – is on Thyronorm for long time
• Non diabetic, Non hypertensive
• Bald headed ( Male pattern baldness)
• Sleep – ok – not disturbed by pain
• Body discharges like urination, bowel movements and perspiration revealed no abnormalities.
• Appetite: Good. Prefers vegetarian dishes, warm foods, sweets and rice.

On examination of local parts:

• Tenderness at the base of the middle finger of right hand – no major bump or swelling noted
• Finger getting stuck while opening the hand
• Patient feeling pain (squeezing his face) while opening the finger forcibly
• BP: 130/80 mm of Hg

Provisional diagnosis:

• STENOSING TENOSYNOVITIS (TRIGGER FINGER)

Differential diagnosis:

• Carpal tunnel syndrome
• Rheumatoid arthritis
• Diabetes Mellitus
• Dupuytren contracture

Treatment:

• 29/01/2015:

Ruta 200/ 1 dose dissolved in 60 ml of DW – 8 marks – 1 mark to be taken on alternate days

[Boericke MM: Complaints from straining flexor tendons especially – causative or aetiological prescription;]

• 24/02/2015:

o Trigger finger pain relieved substantially.
o Acute pain, drawing/radiating in nature, in medial side of left thigh (Myalgic pain ??)
o Associated burning sensation on the overlying skin of the affected part of the thigh
o Pain is aggravated on walking and descending stairs.
o No associated fever or chill or back pain or urinary disturbances

Rx: Berberis vulgaris 200/ 1 dose dissolved in 30ml of DW – bd x 2 days

[Note: It is prudent to treat the dominating complaint. Hence Berberis was given to the patient]

• 27/02/2015:

o Acute pain of left thigh relieved

Rx: Ruta 200 / 1 dose dissolved in 60 ml of DW – 8 marks; 1 mark to be taken on alternate days

• 02/04/2015:

o Pain of the affected finger increased. Reason: Excess finger work due to financial year ending. [After retirement, he is working in a tax related office]
o In addition to the right finger pain, the left hand and fingers were also having pain and stiffness on flexing
o Associated problem: Dyspepsia and excessive flatulence; aggravated in the evening hours

Rx: Lycopodium clavatum 1M / 1 dose dissolved in 30 ml of DW. 4 marks – b.d. x 2 days

• 19/05/2015:

o The dyspeptic features were more relieved in proportion to the finger pains.

[N.B: The last appearing symptoms should go first if the prescription is correct – here the development in the patient was in the right direction. {Pl refer: Hering’s law of cure}]

No medicine.

• 04/06/2015:

o Over telephone: He is much better – the pain in the trigger finger and the left hand were almost nil.

Dr. Partha Chakraborty
Mobile: 9433288849 / 7699992425
Skype ID: drpartha67

27/06/2015

Case: TENNIS ELBOW

A senior bank manager of a nationalized bank came to me on 4th March 2014 with the following complaints:

• Pain in the left elbow and surrounding areas since 1 month.
• Pain is affecting his daily banking activity like raising and carrying files
• No recent h/o trauma to the affected part.

Modality:

• Aggravation: Pronation or twisting of the hand, carrying weight like files, lifting files(even lifting a glass of water was painful)

• Amelioration: bandaging the elbow tightly, warm application

Constitutional features:

• Non diabetic
• Non hypertensive
• Stool: NAD
• Urine: NAD
• Perspiration: NAD
• Appetite: Good and not affected by the pain(details not given as they are not pertinent to the case)
• Sleep: not disturbed by pain( this question is very important in pain management because it is a symptom which denotes the severity or intensity of the pain)

Investigations:

• X-ray of left elbow: WNL. No sign of any fracture
• ECG: Tracing WNL
• Thyroid profile: WNL

Treatment:

• He was an amateur Homeopath besides being a bank manager. He consulted his case with another Homeopath friend and took Rhus tox in increasing potencies from 200 upto 10M. When the pain was too unbearable, he took some analgesics and applied some analgesic ointments and gels.

Diagnosis:

• LATERAL EPICONDYLITIS (Commonly known as TENNIS ELBOW)

What is a tennis elbow?
Tennis elbow is a typical term (according to some, a misnomer) used to describe a pathology where there is inflammation of the tendons of the elbow (epicondylitis) caused by overuse of the muscles of the forearm. The muscles and tendons become damaged from overuse, from repeating the same strenuous motion again and again. The pathology was first described by Runge in 1873 and the term ‘Tennis Elbow’ first appeared in an 1883 paper by Major called ‘Lawn Tennis Elbow’.

Prominent Signs and Symptoms:

• Pain on outer part of elbow
• Pointed tenderness over the lateral epicondyle
• Pain from gripping and movements of wrist especially wrist extension and lifting movements
• Pain felt on shaking hands with others, torquing a door k**b or a bolt by a maintenance man; weakness of the arm and inability to hold heavy items

• NB: The pain is very similar to the condition “Golfers’ Elbow” which typically affects the medial side of the elbow.

Prescription:

A normal repertorisation of the particular symptoms presented by the patient suggested Rhus tox as the principal remedy. So his friend was correct and Rhus tox was given a wide scope though it could not provide the minimum relief.

• 04/03/2014: Ruta G 10M

• 15/03/2014: No improvement. Patient was feeling very depressed and annoyed because he was unable to do his normal office work. One interesting observation was made during this phase of meeting – despite the fact that he was suffering from acute pain, he didn’t forget to request me to take up the case of his fellow bank man who was suffering from some medical problem. I could smell a sense of “SYMPATHETIC ATTITUDE” on the part of the bank manager : Causticum 1M

• 25/03/2014: Patient came back and complained that there was no remission of pain. Still he had great confidence on Homeopathy and so would I. I started to analyse the pathology behind his problem – it was an injury inflicted by repetitive movements - unknowingly or out of compulsion to do work the tendon of the patient was getting traumatized – I could remember a term nicely termed by one of our best prescribers Dr. J.C.Burnett – AUTOTRAUMATISM. The soreness of the affected part was due to autotraumatism. Dr. Burnett has written in one of his books about the drug – “In the giddiness of elderly people(cerebral stasis) it acts well and does permanent good; likewise and particularly in fag from ma********on, in old workmen, labourers and the overworked and fa**ed, it is a princely remedy”. And I prescribed: BELLIS PER 200.

• 22/04/2014: Patient came almost a month after stating happily that there was 60% improvement in pain – BELLIS PER 1M

• 07/06/2014: Almost 80% improvement – BELLIS PER 10M

• 19/07/2015: PLEASE NOTE THE DATE – the bank manager appeared almost a year after to consult for his wife and son and told me that his elbow pain went away totally never to return so far after the last dose (Rx on 07/06/2014) and now he is the principal of the training school of that bank.

NB: Many times we remain unaware of our good prescriptions as patients do not feel the necessity to report that he has been cured. I also would have remained in oblivion regarding this case and the successful application of Bellis per in Epicondylitis / Tennis elbow.

Thank you Homeopathy, Thank you Dr. Burnett for giving us this wonderful remedy.

Partha Chakraborty
Mobile: 9433288849
Email: drpartha@yahoo.com

06/06/2015

Case: Appendicitis / Gastric infection

A small girl, D.S. aged 7 yrs and 8 months was brought to me with the following history on 10th Feb 2015:

History: Had acute pain in abdomen with vomiting and mild fever on 07/01/2015 and was admitted to hospital with a provisional diagnosis of appendicitis. She was put under antibiotics and antiemetics. The blood reports were: Hb :9 gm%; Neutrophil: 70%, Lymphocyte: 26%, Eosinophil: 4 %. ( indicating an acute infection). After a brief treatment, the girl was discharged from the hospital and was advised to undergo an operation after the course of medicines were finished.

When she was brought to me, she was out of the acute stage but not fully stable. Her parents brought her to me because:

1) They wanted me to make their daughter stable and clinically normal.
2) They wanted to avoid an operation.

I took the case as follows:

HISTORY OF ILLNESS: As stated above

PRESENTING COMPLAINTS:

Pain in abdomen - frequent bouts of pain

Nausea and often vomiting - mostly after eating oily food or cakes and pastries(which she was fond of). After vomiting, she felt chilliness

Onset of the attack was after attending a family social function where she had taken lots of rich, oily food, cold drinks etc.

CONSTITUTIONAL SYMPTOMS:

Stool: Indigestive, soft, offensive odor and sometimes it was of normal consistency

Urine: no abnormality.

Appetite: though she is foody and likes fatty food, cakes etc, now she is having loss of appetite.

Thirst: thirstless - had to be reminded by parents to drink water.

Felt chilliness after vomiting though her external body temperature was normal

General feeling of stuffiness in room - better with open windows

MIND SYMPTOMS:

Soft minded; Weeping when she used to have pain in abdomen

Observation by me: Well behaved girl. Once she entered my clinic, she never changed her place or showed any restlessness or capriciousness - although her sister was annoying her, she didn't get angry. When I asked her to lie down on the examination table, she looked towards her mother and when she nodded, she got up and moved towards the examination table.

CONCOMITANT SYMPTOM: The girl has a sublingual cyst - painless and symptom free.

REPERTORISATION RUBRICS: (COMPLETE)

GENERALITIES, EATING, OVEREATING AGG
GENERALITIES, FOOD AND DRINKS, FRIED FOOD, DESIRES
GENERALITIES, FOOD AND DRINKS, CAKES: DESIRES
GENERALITIES, FOOD AND DRINKS, PASTRY: DESIRES
MIND: YIELDING DISPOSITION
MIND: YIELDING DISPOSITION, CHILDREN
MIND: TIMIDITY
MIND: WEEPING, TEARFUL MOOD, TENDENCY: PAINS WITH
STOMACH: THIRSTLESSNESS

RESULT: PULSATILLA , LYC, NUX VOM, PLUMBUM ETC

PRESCRIPTION:

10TH FEB 2015: Pulsatilla 30 C - dissolved in 30 ml of DW - make 4 marks. 1 mark on one day x 4 days

REPORTING:

27TH MARCH 2015: Clinically better and stable. No further incidence of pain in abdomen, nausea or vomiting or fever. The sublingual cyst was also diminished. (Note: Constitutional medicine gives an all round relief)

04 TH JUNE 2015: Stable. No further adverse reporting. Child is playful and jovial. There was no tenderness in the abdomen on palpation.

The parents of the child were advised to discontinue treatment as she is ok now.

THEME: GOOD AND DETAILED CASE TAKING IS URGENT AND RELY ON COMMON AND WELL PROVED MEDICINES. KNOW YOUR REPERTORY AND MM WELL.

01/06/2015

CASE : ACUTE LOW BACK PAIN:

A doctor suddenly had an acute excruciating low back pain (LBP). He was fit physically and was working in his clinic over 10 hours a day on an average. He used to sit on an hydraulic chair in his clinic. No recent h/o trauma, sprain or fall. As he was a doctor himself, he didn't bothered to take his own case and took the following medicines at random:
Day 1: Rhus tox 200 / 1 dose dissolved in distilled water - no relief of pain. Waited patiently for another 2 days.
Day 4: Rhus tox 10M dissolved in distilled water - still no relief.
In fact the pain was increasing with no signs of relief.
Day 6: Nat. Mur 1M - no relief.

On 7th day evening, he came to me when he couldn't see any more patients in his clinic. I took the case and obtained the following history:

Acute excruciating, sharp and stitching pain in LS region - could not sit for long; initially he was relieved by standing up and stretching his body. There was no extension of the pain in the legs nor he felt any nausea or had vomiting out of the pain. While interviewing I could notice that he could not sit in one position for long. On asking about time modality, he informed that the pain was increased in the night when it was time to sleep. He could sleep for a couple of hours from 11.30 pm and suddenly woke up at around 2.30 - 3 AM at night - could not lie down any further and would have to get out of bed and walk in the house. This tormenting phase would go on for hours together and could finally sleep around 5.30 in the morning getting exhausted. NO MORE PHYSICAL SYMPTOMS.

On asking his mental symptoms, he confessed: nowadays he has become very irritable. He is losing his temper and scolding the patients which he never used to do. The irritability increased at night when he was moving around and other members were sleeping. He became too depressed with the pain and was even considering consulting a surgeon for relief of the pain.

PHYSICAL EXAMINATION: Only mild tenderness over LS region.

X- RAY: Revealed early lumbar spondylosis.

Following our master's suggestion I jumped on the most striking, peculiar and uncommon symptom of the case: Sharp, stitching pain aggravating at 2.30 - 3 am and the patient had to get out of bed and walk around.

I did a quick repertorisation from Kent's repertory taking the following rubrics:

- MIND, ANGER, IRRASCIBILITY
- MIND, IRRITABILITY
- BACK, PAIN, NIGHT: 3 PM
- BACK, PAIN, NIGHT, 3 PM, driving out of bed

First remedy that came out: KALI CARBONICUM

REF: HERING GUIDING SYMPTOM:
Lumbago: Sharp, stitching pains awaken him 3 AM - he must get up and walk about.

TREATMENT: Kali Carb 6.

Reporting on next day morning: My phone rang in the morning and he informed that he had an undisturbed sleep last night after 7 days. No more medicines.

Reporting after 2 days: No pain and the mental irritation has also gone.

Theme: Catch the most striking and peculiar symptom and prescribe on that symptom - forget the common symptoms.

DR. PARTHA CHAKRABORTY: 0091 - 9433288849:

Case: A young man, 26 years old, came to my clinic with the complaint of some warty growths on the fingers of his hands....
17/08/2014

Case:
A young man, 26 years old, came to my clinic with the complaint of some warty growths on the fingers of his hands. There were 3 verrucous lesions on fingers and 2 periungual warts on the other hand. The onset has been around 2 years ago when one appeared but now is gradually growing in numbers. He had been taking some Homeopathic medicines from a shop nearby but to no avail. On asking about his other problems, he has nothing significant.

Q) What are the different types of warts we commonly find in practice?

Warts are papular lesions caused by viral infections (human papilloma virus) on the skin and confined to the epidermis.

1) Common warts (Verruca vulgaris): firm, irregular verrucous papules, number variable; can be located anywhere in the body especially exposed parts.
2) Verruca plana: Smooth, flat topped papules and more frequently seen in children on the face or hands.
3) Plantar warts: painful, keratotic plaques with a central depression; irregular surface.
4) Venereal warts: Mostly located in ge***al region; cauliflower like appearance and sexually transmitted.

The other viral infection of the skin that should be studied along with warts is the Molluscum contagiosum.

As no important constitutional symptoms could be found, a quick repertorisation was carried out with the local symptoms only. The repertorisation was as follows:

The medicine prescribed:

Causticum 6.

After 2 months, the result was a gentle, rapid cure.

01/08/2014

I was asked over facebook in response to my post regarding the vitamin deficiency case in the page “Homeopathy” the following question by an esteemed reader:

‘good evening sir I wana ask as a Homoeopath what should be the approach? regarding CURRENT MAJOR VIT. D Dficiency in adults and children both due to modern life style except educating people to sit in sunlight (which is not possible these days for most of us due to modern houses and lack of time ) and food sources .. only giving similimum to correct morbid process in system both in mind and body is sufficient...??’

My response:

This is a pertinent question that is being asked by students and even doctors who are practising Homeopathy. In response to this general query, I can quote a paragraph from a book by the legendary Indian Homeopath and the teacher of teachers Dr. S.P.Dey:

“Homoeopathy has no scope in pseudo-chronic diseases resulting from absolute deficiency of food, Vitamins etc, e.g. rickets due to absolute deficiency of Vitamin D, anaemia due to absolute deficiency of blood forming materials and so on. These are not true diseases and hence Homoeopathy has nothing to do with these cases. Proper nutrition, vitamins etc are to be substituted in such cases. Of course, deficiency diseases due to relative deficiency of proteins, vitamins etc, resulting from faulty assimilation are true diseases and very well amenable to Homoeopathic treatment. To understand the scope of Homoeopathic medicines in such cases, we must of course be able to diagnose the conditions properly.”

I feel this is the best solution that we have to this question and that so from a teacher like Dr. Dey.

But the real problem and concern nowadays due to economic affluence that we must be aware of are the clinical syndromes arising from excess intake of Vitamins. Nowadays, doctors are prescribing vitamins (artificial ones) and even patients are buying them over the counter after seeing the prescriptions and commercial advertisement on the TV though they might not require them – this in turn are making the pharma companies richer and the people poorer in the long run. The R & D departments of these pharma companies are quite competent in explaining theoretically the necessity of impregnating vitamins in artificial food stuffs in order to make the population more healthy and even the Governments are allowing admixture of vitamins into many basic foods consumed by the population. However after careful research from all angles, concerns are being raised about this supplementation practice implemented worldwide. There is wide danger from too many vitamins as from too few or deficiencies and perhaps more. These effects are being documented as hypervitaminosis and can present to us as simple diseases which can be rectified by simple measures like preventing intake of excess vitamins in the form of tonics and so called healthy foods.

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