Homeopathy for family and National Health care

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Homeopathy for family and National Health care

• Dr D P Rastogi,
• DMS,MBS,DFHomLondon, PGCRH Glasgow MD Hom

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• Homeopathy is a safe, effective system of
  natural medicine, used by millions of people
  world wide for more than 200 years
• Homeopathy recognizes that each person manifests
  illness in a unique and slightly different way.
• That is why two people with the same illness will
  not necessarily receive the same homeopathic
  remedy.

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• A cold sufferer with a stopped-up nose and dry
  eyes would receive a different remedy than a cold
  sufferer with a runny nose and watering eyes.
• A homeopath chooses a remedy that matches a
  persons unique symptom profile including
  physical, mental, and emotional symptoms.

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• Thus from very ordinary ailment like coryza to
  very serious aliment like cancer and Aids
  homeopathy is useful.
• It is a myth that homeopathy is useful only for
  minor ailments like cough and cold and affections
  of children.
• The fact is that homeopathy treats all the
  ailments of an individual successfully.

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Some examples
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Case of headache

• When I was working in CGHS dispensary in Delhi I
  got a patient who had chronic problem of
  headache. I got the following particulars
• Patient complained of pain in head.
• Worse at 4 am
• The case was solved by using Kents repertory

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Kents repertory

• Head Pain GENERAL midnight before (9) lach.,
  am-m., anac., caust., chin., dulc.
• Head Pain GENERAL midnight about (12)
  kali-c., agar., all-s., arn., ars., elaps
• Head Pain GENERAL midnight after (18) ars.,
  sil., thuj., agar., bufo, carb-an.
• Head Pain GENERAL midnight 1 a.m (1) pall.
• Head Pain GENERAL midnight 1 a.m.-10 a.m (2)
  chin., elaps
• Head Pain GENERAL midnight 2 a.m (2) cimic.,
  sulph.
• Head Pain GENERAL midnight 3 a.m (5) agar.,
  bov., chin-s., nat-m., thuj.
• Head Pain GENERAL midnight 4 a.m (3) chel.,
  raph., stram.
• Head Pain GENERAL midnight 5 a.m (2)
  Kali-i., dios.

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A case of Rheumatoid arthritis

• Miss NS aged 23 years was diagnosed a case of
  Rheumatoid arthritis.
• As usual homeopathic treatment was not her first
  choice. She approached me after she failed to get
  relief under allopathy.
• Her left wrist , dorsum of foot and elbow were
  affected.
• She was greatly aggravated in cold.

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• She had a desire for sweets, sour and condiments.

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Rubric selection

• The following rubrics were selected
• Lower extremity left
• Lower extremities foot dorsum
• Lower extremities swelling foot dorsum of
• Lower extremity pain simple foot
• Upper extremities, joints wrist
• Upper extremities, joints elbow

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• Upper extremity rheumatic pain
• Generalities Agg when becoming cold
• Desire for sweets
• Desire for condiments
• Desire for sour things

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The case was repertorized
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Remedy selection

• Sulphur and Rhus tox were the two remedies which
  were very close.
• As Rhus tox had higher grade in aggravation from
  cold than Sulphur, it was decided to be given.
• It was given in LM 1 and resulted in increasing
  relief.
• The case was finally closed with Sulphur LM1

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A case of Ankylosing arthritis

• Mr. PSK aged 24 yrs, a soft ware engineer
  consulted me for treatment.
• He was undergoing treatment at the best treatment
  center in New Delhi without relief.
• His knee joints and back , both dorsal and lumbar
  regions were affected.
• He was diagnosed to be suffering from Ankylosing
  spondylitis.

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Other symptoms of the case

• He had a desire for salty things.
• Desired cold ,icy liquids.
• Had desire for juicy things.
• He had great aggravation at the change of
  weather.
• He revealed a tendency of procrastination.

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Selection of rubrics

• I selected the following rubrics
• Joints knee
• Back dorsal region
• Back lumbar region
• Lumbar region rheumatic pains
• Arthritic pains
• Disease Ankylosing spondylitis

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• Desire for salty things
• Desire for cold icy liquids
• Desire for juicy things
• Agg weather change of
• Mind Procrastinates
• I had to use Murphy repertory besides BBCR as
  some rubrics were not found in BBCR.

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Remedy selection

• Phos acid covered most of the rubrics including
  modalities and the mental symptom
  procrastination.
• Therefore it was selected and administered in LM
  1
• It was continued and brought quick overall relief
  to the patient.
• An intercurrent dose of Sulphur LM 1 was given
  every 2 weeks.

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Discussion

• The patient did not want to stop the allopathic
  medication and therefore simultaneous use of
  homeopathic medication continued.
• The patient continues well and had no pains and
  has no difficulty in ascending stairs.
• His ESR westergren has come down to 10mm/1st
  hour from 80mm/1st hour during 5 months of
  treatment.

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HIV/AIDS Research

• A double blind randomized placebo controlled
  clinical trial of homeopathic medicines in
  HIV/AIDS 1995-1997 on a group 100 patients,
  showed that homeopathic medicines initiate steady
  increase in CD4 cell number marker for
  assessment of drug effects and enhance immune
  response in HIV infected individuals.

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• In a parallel open study in HIV disease it was
  seen that many opportunist infections related to
  HIV disease also respond favorably to homeopathic
  therapy. It has been published in the British
  homeopathic Journal BHJ (1999) 88,49-57.
• Another paper entitled Evaluation of
  homeopathic therapy in 129 asymptomatic HIV
  carriers was published in BHJ,January
  1993,Vol.82,pp.4-8

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Research project on Aids cases receiving ART

• This is a study in which 4 reputed organizations
  are taking part.
• The study is being carried on in a reputed
  Hospital in Delhi where the CCRH has established
  a Homeopathic treatment center.
• There is a target of 100 cases getting ART with
  CD4 count below 200 out of which 50 cases would
  get an add on individualized homeopathic
  treatment and this group would be compared with
  the group getting only ART
• I am associated with this research as a senior
  consultant and would like to show one case.

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• This is a case of a young lady whose husband died
  from Aids.
• This lady got the infection from him and was
  suffering a lot.
• She was on ART yet she was in a very bad shape.
  CD 4 was 73
• She developed esophageal candidiasis endoscopy
  confirmed and was unable to drink or eat.

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• She was helped to a very great extent.
• Within a week of homeopathic remedy her
  candidacies cleared and she was able to eat.
• On follow up she showed improvement in her CD4
  count which has become 173
• Her condition improved so much that she married
  leaving behind her frustration and helplessness .
• This is an advantage with homeopathic treatment
  which provides real healing.

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INCEPTION IN INDIA

• Travelers, missionaries and military personnel
  from the West brought Homeopathy to India as
  early as 1810. The credit of receiving official
  patronage goes to Dr. John Martin Honigberger who
  was called to the Court of Maharaja Ranjit Singh
  in 1839 for his treatment.

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• After treating Maharaja Ranjit Singh, Dr.
  Honigberger settled in Calcutta.
• This paved the road map of development of
  homeopathy in this country.
• However it was the state of Bengal, which
  nurtured homeopathy in its early period through
  certain training institutions and treatment
  centers.

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• During the course of its development in India, it
  has gained substantial governmental patronage and
  has vast infrastructure.
• It is one of the medical systems recognized by
  the Government of India.  

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• The Homeopathic hospitals in Calcutta were
  famous for the treatment of intractable diseases.
• The success of controlling epidemics like
  Cholera and enduring efforts of several stalwart
  homeopaths helped its acceptance in other parts
  of the country.

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Homeopathic Infrastructure
(i) State Homeopathic Boards/Councils 24
(ii) Total Registered Homeopathic Practitioners About 400 thousand
(iii) Number of Primary Health Centers 7800
(iv) Numbers of Hospitals 307
 
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Reasons of Preference for Homeopathy
Most of patients were of the opinion that
homeopathy is safe, easy to take, cost effective
and had faith in homeopathy due to their past
experiences.
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• For these reasons Homeopathy has been accepted
  for the care for the Individual and the family.
• Homeopathic use is based on the simple study of
  presenting complaints of the illness and finding
  a match for these from homeopathic Materia Medica
  which lists these in simple language.
• This has also attracted laymen to adopt it for
  treatment of common ailments and First Aid.

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• Besides India use of homeopathy is immensely
  popular in countries like USA where Laymen groups
  have come up for the study and use for individual
  care
• It has become a first line of care in common day
  to day ailments.

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Benefits

• Homeopathy is free from side effects.
• It provides real healing which is felt at the
  level of body , mind and spirit.
• Its regular use builds up immunity and in the
  long run the individual turns healthier.
• It provides simple answers for various viral
  diseases for which there is no treatment in
  conventional medicine

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Homeopathy for Mother and Child

• Realizing the important role of homeopathy in the
  sphere of Mother and Child , the Govt of India
  has decided to carry forward the message for the
  benefit of the people of the country through
  National Campaign on homeopathy for mother and
  Child Care through its department AYUSH.

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National Campaign on homeopathy for mother and
Child Care

• The department of AYUSH launched a multimedia
  campaign Three tier workshops at National ,
  State and district levels for the following
  target groups
• Policy and opinion makers
• Medical practitioners
• Common man

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Expected outcomes

• Sensitizing the target group about the potential
  role of Homeopathy in the management of Mother
  and Child Health problems.
• Greater coordination among practitioners of all
  the systems of medicine resulting in in an
  integrated health approach for Mother and Child
  health.

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• Equipping homeopathic practitioners to deal with
  mother and child diseases by utilizing the
  knowledge acquired from the campaign in the
  management of Mother and Child health matters.
• A significant improvement in Mother and Child
  health as a result of Homeopathic treatment.

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Topics covered in the workshops

• Potential of homeopathy in maternal and child
  health
• Homeopathy in obstetric care
• Homeopathy in primary health care
• Homeopathy for safe motherhood
• Homeopathy for complaints of a new mother

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• National Rural Health Mission A commitment of
  GOVT OF INDIA
• Managing obstetric problems homeopathically
• Obstetric care and caution
• Caring of neonates and infants
• Childhood care
• Homeopathy for the health of school children
• Pediatric practice Care and cautions

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• Attention deficit hyperactivity disorder
• Role of homeopathy in ADHD and Autism
• Efficacy of homeopathy in a pre-term child with
  failure to thrive
• Management of obstetric problems in Homeopathy

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• Besides this the AYUSH department has initiated
  an out reach program through which care to the
  grass root level is being provided through
  allopathic along with AYUSH systems which
  includes homeopathy.
• This is called National Rural health Mission

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National Rural Health Mission

• This seeks to provide effective healthcare to
  rural population throughout the country with
  special focus on 18 states ,which have weak
  public health indicators and /or weak
  infrastructure.
• Training including preparation of basic materials
  has been entrusted to the CCRH

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• Homeopathy has been successful in managing
  effectively various epidemics

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MANAGEMENT OF EPIDEMICS

• Historically Homeopathy has been used in the
  treatment of diseases that occurred in the form
  of Epidemics, particularly in Europe and America
  in 19th century.

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• It is repeatedly seen during endemics/epidemics
  that genus epidemicus prevents disease in people
  living in close proximity of the patients down
  with disease and also in the population living in
  the affected area. 
• Genus epidemicus identified during an
  endemic/epidemic, proves to be specific for that
  endemic/epidemic only

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HOMEOPATHY AND EPIDEMIC DISEASES INDIAN SCENARIO

• Homeopathy has been successfully used, both as
  preventive and therapeutic intervention, in acute
  microbial infections that keep occurring now and
  then in endemic and epidemic form in different
  parts of the country.
• Notable among them are Japanese Encephalitis,
  Dengue, Measles, Meningitis, Jaundice, Gastro
  enteritis and Conjunctivitis.

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Homeopathy in Japanese Encephalitis

• CCRH have provided treatment and preventive
  measures in the Japanese Encephalitis endemic in
  Uttar Pradesh, West Bengal, Andhra Pradesh, and
  Delhi in 1984 and in Tripura, Gudivada (AP),
  Hyderabad (AP), Diphu (Assam), Basti (UP), and
  Gorakhpur (UP)in 1986, 1988, 1989, 1992 and 1999
  respectively.

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• The Council had also established a Clinical
  Research Unit in Gorakhpur (UP) in 1997
  exclusively to evaluate prophylactic role of
  homeopathic medicines in Japanese encephalitis
• A study carried out in Oct-Nov. 1991 had shown
  usefulness of Belladonna, these studies were,
  however, confined to distribution of genus
  epidemicus among the people who lived in the
  affected areas.

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• Belladonna was identified as Genus Epidemicus.
• Single dose of Belladonna 200 was administered to
  1, 71,273 persons in 62 villages.
• A follow up of 71,503 persons was done. None of
  them came down with Japanese Encephalitis. 

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Japanese Encephalitis Epidemic of 2005

• The Council had also undertaken a study during
  Japanese Encephalitis epidemic that affected some
  parts of Eastern Uttar Pradesh in 2005.
• Based on the clinical presentation of 30 cases of
  Japanese Encephalitis (22 at Civil Hospital and 8
  cases at BRD Medical College, Hospital,
  Gorakhpur), including 15 women, Belladonna was
  again identified to be the Genus Epidemicus.
• Belladonna in 200 potency two doses a day on
  three consecutive days was administered as
  preventive to the people living in the region
  affected by epidemic.

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Distribution as Preventive

• In addition, the team also distributed Belladonna
  to a population of 1,42,739 at Gorakhpur and
  88,481 at Maharajganj through the village
  Pradhans. The team also distributed Belladonna
  to 31,526 students of 83 schools at Gorakhpur and
  15,241 at distributed/administered Belladonna to
  30,161 people at Gorakhpur and 18,267 at
  Mahrajganj.

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Follow up

• Follow up of the population which was given
  Belladonna as preventive was made. One to one
  follow up covered 1,07,883 people, including
  children in 14 Villages in Gorakhpur District.
• Follow up of 72,327 people who were provided
  Genus epidemicus by Village Pradhans was done
  through them. Only three of the persons (2 at
  Gorakhpur and 1 in Mahrajganj got a mild
  affliction.

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Homeopathy in priority areas

• Efficacy of homeopathy in the treatment of
  diseases like Malaria, Filaria, Diabetes,
  Hypertension,Bronchial Asthma has been proved.
• CCRH has worked on these diseases and has evolved
  a group of most useful remedies.
• In a research project effectiveness of homeopathy
  has been demonstrated in the treatment of multi
  drug resistant tuberculosis.

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Conclusion

• Although homeopathy is very effective yet its
  help is sought after very late when the other
  systems have given up .
• It provides relief even at this late stage.
• There is a need to use its full potential and
  make it a first line medicine.