HOMOEOPATHIC CONCEPT OF

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WELCOME
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HOMOEOPATHIC CONCEPT OF PREVENTION
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PRESENTATION
BY Dr.J.HARIKRISHNA
PILLAI , MD( Hom)
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HISTORY OF HOMOEOPATHIC PROPHYLAXIS
THE FIRST USED
HOMOEOPATHIC PROPHYLATIC MEDICINE WAS
BELLADONNA. Dr.SAMUEL HAHNEMANN HIMSELF USED THIS
MEDICINE TO PREVENT SCARLET FEVER IN THE YEAR 1799
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SOCPE AND LIMITATIONS OF HOMOEOPATHIC PREVENTIVE
MEDICINE
SCOPE 1.HOMOEOPATHIC MEDICINES CAN BE SAFELY USED
AS PREVENTIVE MEDICINE 2. THIS MEDICINES CAN BE
ADVISED FOR PREGNANT WOMEN 3.DISEASE DIAGNOSIS IS
NOT A REQUIREMENT 4. VIRAL AND BACTERIAL
DISEASES CAN BE PREVENTED. LIMITATIONS CANT BE
SAFELY APPLIED IN THE PREVENTION OF DISEASES
WHICH ARE 100 FATAL Eg. RABIES
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HOMOEOPATHIC MEDICINES AND IMMUNITY

• We get sick not just because of micro organisms.
  Many micro organisms, both pathogenic and
  non-pathogenic, are always present in our body or
  regularly enter our body through the nose, mouth,
  or other roots of entry or opening. We do not get
  sick when our immune system is strong enough to
  fight them, keeping our body healthy. But when
  our immunity goes down, the micro organisms
  multiply in our body and cause sickness. So the
  basic cause of sickness is the decreased or
  deficient immunity or body resistance. Micro
  organisms like bacteria and viruses are only
  secondary factors, except in occasions like
  epidemics in which a large number of organisms
  enter the body simultaneously and become the
  cause of the disease condition. In such a
  situation, the micro organisms gain dominance and
  destroy the immunity in the process of their
  fight for the upper hand.

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• In all the above conditions the homoeopathic
  treatment is the most beneficial since the
  destruction of the immunity has already taken
  place and needs to be stimulated to the healthy
  level of existence for the cure to take place and
  for the complete restoration of health. Hence, in
  order to get a complete cure, it is most
  essential to increase or correct our immunity or
  body resistance, rather than just kill or destroy
  the microorganism. This is the situation in which
  conventional antibiotic therapy fails to attain
  the goal. Antibiotics are able to kill the micro
  organisms (only bacteria) , but they are not able
  to increase the immunity of the body. This is one
  of the reasons why patients who get relief after
  the antibiotic therapy suffer secondary
  infections because the immune system still
  remains deficient in strength. So when such
  individuals get exposed to organisms, the latter
  enter the body and multiply, producing secondary
  infection.

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• On the other hand, when the patient get cured
  with homoeopathic medicines, The patient regains
  immunity, strength and vitality completely and
  there is less or no chance to get a secondary
  infection unless (1) The patients expose
  themselves to conditions which can decrease the
  immunity of the body (2) The maintaining cause
  like the inhalation of toxic gases or fumes etc.
  in the case of occupational diseases persist, or
  (3) a large number of micro organisms enter into
  the body, which are beyond the destruction ,
  capacity of the immune system, as in the case of
  epidemic diseases. But it is important to
  remember that homoeopathic medicine has already
  established its supremacy in curing epidemics all
  over the world, eg the epidemics of the 19th
  century like cholera, particularly in Europe.

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HOW HOMOEOPATHIC MEDICINE INCREASES THE IMMUNITY
OR RESISTANCE POWER OF THE BODY

• As mentioned earlier, homoeopathic medicines are
  able to increase the immunity of our body. But
  how is this possible?. A homoeopathic physician
  makes a homoeopathic prescription through the
  holistic approach by considering the totality of
  symptoms manifested in a patient. These include
  the mental, emotional spiritual and physical
  peculiarities of a patient and also the uncommon
  peculiar signs and symptoms of the manifestations
  of the disease in each patient. The same disease
  has different manifestations in different
  individuals because the extent of damage to the
  immunity and other functions in the body are
  different in different individuals. These
  manifestations represent the corresponding
  reflection of their inner abnormality, which is
  hidden from our perception. Hence, a Homoeopathic
  physician gets hold of the hidden interior
  through perceivable expressions like the totality
  of symptoms of the patient, by looking the
  patient as a whole.

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EFFECT OF HOMOEOPATHIC PREVENTIVE MEDICINE AND
GENUS EPIDEMICUS

• An epidemic (epiupon, demospeople) is the
  unusual occurrence in a community or region,
  specific health related behaviour or other
  related event, clearly in excess of expected
  occurrence. The term expected occurrence is one
  of the key words in the definition as in one
  locality where no cases of a particular diseases
  is reported even one case should be potential
  epidemic. Where as in another locality when
  hundreds of cases of that particular diseases is
  endemically prevalent/it requires lot many cases
  of it to be considered as an epidemic.

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Significance of Homeopathy in epidemics

• In a country as large as ours, the occurrence of
  epidemic is not infrequent and they usually
  spread like wild fire creating chaos. And it is
  in this chaos that homeopathy hopes to restore
  order. When there arises situations where the
  cause of the disease appears to be an enigma and
  every other system of medicine is clueless
  regarding what preventive / curative medicine is
  to be given, homeopathy has been able to solve
  the problem.

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• Even when in the course of the epidemic there can
  be changes in the strains of the causative
  organism and the new drug cannot be found out in
  time, homeopathy can overcome the crises. This is
  possible because unlike the commonly used
  medicines, which are directed towards the
  destruction of causative organisms, homeopathic
  medicines aim to improve the immune system of the
  individual. Here the basis of selection of remedy
  is not dependent upon the nature of organism, but
  on the signs and symptoms of the diseased
  individual.

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• The age old adage \\ prevention is better than
  cure" holds good here. When few cases of epidemic
  diseases are studied carefully in all their
  aspects a single medicine can be selected which
  will correspond with the characteristic symptoms
  of the disease as well as that of the patient.
  Homeopathy gives importance not only to the
  symptoms of the disease but also that peculiar
  symptoms exhibited by the patients and that is
  why they differ even when the disease is the
  same. The climatic conditions during the time of
  epidemic also plays role in remedy selection.

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• In epidemics of such nature that are transmitted
  only through bites of infected insects, the most
  important preventive step is vector control.
  However due to practical problems like large
  population, poverty, poor hygiene and lack of man
  power this becomes a long drawn procedure. Hence
  the best solution is to administer preventive
  medicines in the fastest and the most extensive
  way.

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Reasons for homeopathic preventive medicine
becoming the best option in epidemics

• l) Economic viability Cost of the homeopathic
  medicine is minimal from the consumer point of
  view.
• 2) Distribution of medicine
• Homeopathic medicines though packaged as
  medicated globules, which makes the transport
  distribution and administration easy.

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• 3) Action of medicine
• Action is rapid in case of epidemic diseases of
  virulent nature and the immunity rendered to
  healthy persons or an unaffected person is
  immediate provided the dose taken is accurate.
• 4) Change in nature of disease During an
  epidemic many a times it is found that maturation
  of the infective organism has resulted in the
  change in nature of epidemic and this requiring
  an exhaustive research to found a different
  medicine since homoeopathic medicines aim to
  boost the individual's own immune system, genetic
  mutation will no affect the person.
• 5) Unidentified cause In case of epidemic where
  the infective organism is not found or if found
  is not always the signs and symptoms
  characteristic of the disease to rely upon

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Investigation of epidemic diseases and the
selection of genus epidemic

• Dr Sammuel Hahnemann has described investigation
  of epidemic diseases and also the selection of
  Genus epidemicus after studying the nature
  endemic prevalent in the given area in the
  aphorisms 100, 101, 102 in Organon of medicine

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HOW Dr.HAHNEMANN DISCOVERED THE PREVENTIVE
ACTION OF HOMOEOPATHIC
MEDICINES

• " I reasoned thus, a remedy that is capable of
  quickly checking a disease in its onset, must be
  its best preventive and the following
  occurrence strengthened me in the correctness of
  this conclusion Some weeks previously three
  children of another family lay ill of a very bad
  scarlet fever the eldest daughter alone, who, up
  to that period, had been taking Belladonna
  internally for an external affection on the
  joints of her fingers, to my great astonishment
  did not catch the fever, although during the
  prevalence of other epidemics she had always been
  the first to take them. This circumstance
  completely confirmed my idea. I now hesitated not
  to administer to the other five children of this
  numerous family this divine remedy, as a
  preservative, in very small doses, and, as the
  particular action of this plant does not last
  above three days, I repeated the dose every
  seventy two hours, and they all remained
  perfectly well without the slightest symptoms
  throughout the whole course of the epidemic, and
  amid the most virulent scarlatina emanations from
  the sisters who lay ill with the disease.
  Dr.Hahnemann

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• 100
• In investigating the totality of the symptoms of
  epidemic and sporadic diseases it is quite
  immaterial whether or not something similar has
  ever appeared in the world before under the same
  or any other name. The novelty or peculiarity of
  a disease of that kind makes no difference either
  in the mode of examining or of treating it, as
  the physician must at any way regard the pure
  picture of every prevailing disease as if it were
  something new and unknown and investigate it
  thoroughly for itself, if he desires to practice
  medicine in a real and radical manner , never
  substituting conjuncture for actual observation,
  never taking for granted that the case of disease
  before him is already wholly or partially known,
  but always carefully examining it in all, it's
  phases and this mode of procedure is all the
  more requisite in such cases , as a careful
  examination will show that every prevailing
  disease is in many respect a phenomenon of a
  unique character, differing vastly from all
  previous epidemics to which certain names have
  been falsely applied -- with the exception of
  those epidemics resulting from a contagious
  principle that always remain the same, such as
  small pox, measles etc.

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• l0l
• It may easily happen that in the first case of an
  epidemic disease that presents itself to the
  physician's notice, he does not at once obtain a
  knowledge of its complete picture, as it is only
  by a close observation of several cases of every
  such collective disease that he become
  conversant, with the totality of its' signs and
  symptoms .The carefully observing physician can,
  however, from the examination of even the first
  and second patients, often arrive so nearly at a
  knowledge of the true state as to have in his
  mind a characteristic portrait of it, and even to
  succeed in finding a suitable, homoeopathically
  adopted remedy for it.

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• l02
• In the course of writing down the symptoms of
  several cases of this kind the sketch of the
  disease picture becomes ever more and more
  complete, not more spun out and verbose but more
  significant (more characteristic) , and including
  more of the peculiarities of this collective
  disease on the one hand, the general symptoms,
  (eg. Loss of appetite, Sleeplessness etc.) Become
  precisely defined as to their peculiarities, and
  on other, the more marked and special symptoms
  which are peculiar to but few diseases and of
  rarer occurrence, at least in the same
  combination, become prominent and constitute what
  is characteristic of this malady, all those
  affected with the disease prevailing at a given
  time have certainly contracted it from one and
  the same source and hence are suffering from the
  same disease but the whole extend of such an
  epidemic disease and the totality of its
  symptoms (the knowledge there of, which is
  essential for enabling us to choose the most
  suitable homoeopathic remedy for this array of
  symptoms, is obtained by a complete survey of
  the morbid picture) cannot be learned from one
  single patient ,but is only to be perfectly
  deduced (abstracted) and ascertained from the
  suffering of several patients of different
  constitutions.

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• "The above preparation of copper, together with
  good and moderate diet, and proper attention to
  cleanliness, is the most certain preventive and
  protective remedy those in health should take,
  once every week, a small globule of it (Cupr.
  30C) in the morning fasting, and not drink
  anything immediately afterwards, but this should
  not be done until the cholera is in the locality
  itself, or in the neighbourhood." (The Lesser
  Writings of Samuel Hahnemann S. Hahnemann
  (Dudgeon Edition), Cure and Prevention of Asiatic
  Cholera, page 755.)

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• The key to finding a specific prophylactic is
  constructing a clear picture of the prevailing
  epidemic. Hahnemann did not give a prophylactic
  remedy unless there was a clear and present
  danger of contracting the disease. This is why he
  said to wait until the disease is in the near or
  in the locality. He did not want the general
  populace to take preventative remedies out of
  fear and phobia. Dread of the miasms have woven
  themselves so deeply into the collective human
  psyche that it invokes archetypal fears as seen
  in Lyssophobia. This is where the terror of
  getting a disease leads to psychological
  disturbances and can even psychosomatically mimic
  the symptoms of the disease! Nether the
  allopathic doctor nor homoeopath should succumb
  to such exaggerated fears by given too many
  medicines.

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DIFFERENT METHODES OF HOMOEOPATHIC PROPHLAXIS

• There are three major methods of
  homœoprophylaxis. These are the constitutional
  approach, the genus epidemicus remedies, and the
  nosodes. All of these methods are very effective
  and can be used together according to the time
  and circumstances.

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CONSTITUTIONAL PREVENTION

• . The study of preventive medicine should begin
  with an examination of the diathetic
  constitution, innate temperament and
  predispositions. The genetic blue print holds the
  key to predispositions. The foundation of
  prevention is the remedy for the chronic disease,
  that is selected by the essential nature of the
  totality of the symptoms. Constitutional
  treatment removes the susceptibility to
  infectious miasms as well as strengthening the
  vital force. The chronic remedy provides the best
  general protection from all diseases. This method
  is the central strategy of Homœopathy because it
  removes the greatest number of predispositions.

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• The effectiveness of constitutional treatment in
  the prevention of manifold diseases can not be
  denied. Anti-miasmatic treatment in the early
  years of life prevents manifold diseases.
  Susceptibility to acute miasms is based on the
  chronic miasms. If we treat the chronic miasms we
  remove the predispositions to acute miasms and
  their complications. Those that suffer the most
  from the common childhood infections like mumps
  and measles have psora or some other miasm.
  Anti-miasmic treatment makes the human organism
  more immune to infectious disease.

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2. Genus Epidemicus Remedies

• The second method of prophylaxis is the genus
  epidemicus remedies. These remedies are chosen by
  the totality of the symptoms of an epidemic as
  reflected in a group of patient. This offers
  specific protection against epidemic, endemic and
  pandemic diseases. For example, homœopaths in
  India have confirmed that Lathyrus Sativa is an
  effective genus epidemicus remedy for polio. The
  signs, befallments and symptoms of Lathyrus have
  a close correspondence to this disease."Homœopat
  hic physicians are satisfied that they have very
  safe and better polio prevention in Lathyrus
  Sativa when properly given." (Homœo Prophylactic
  Remedies Sethi.)

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3. Nosode Prophylaxis

• The third method involves the use of the nosodes
  that are made from the same or similar disease
  genus. The homœopaths who worked for the public
  health departments of the USA gained great
  experience with the use of nosodes against
  smallpox epidemics. In August 1974 in Brazil, a
  major epidemic of meningitis threatened the
  countryside. Homœopaths gave 18,640 children
  Meningococcinum 10C, and 6,340 children were used
  as controls. . Out of the 18,640 children given
  Meningococcinum 10C there were 4 cases. Out of
  the 6,340 children in the control group there
  were 34 cases.

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• The above study shows the positive potential and
  minimal cost of a mass public health program
  based on a single homœopathic remedy. Any simple
  health care worker can be trained to assist in
  such a program. Genus epidemicus remedies and
  nosodes are used to provide specific prophylaxis.
  The genus remedies can be found for new or
  unknown miasms. The nosodes can only be used when
  the cause of the disease is known. When epidemic
  diseases threaten the population, specific
  prophylactic remedies can be applied immediately.
  Specific protection is useful when one is
  traveling in areas with dangerous endemic miasms.
  The homœopath may also use specific protection
  when treating epidemics to offset exposure.
  Constitutional and specific prophylactics are a
  functional polarity that completes our
  therapeutic treasury.

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• It is the life-force which cures diseases because
  a dead man needs no more medicines."Samuel
  Hahnemann

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MANAGEMENT OF AN EPIDEMIC. GENERAL
CONSIDERATIONS

• HEALTH EDUCATION TO THE PUBLIC SHOULD BE IMPARTED
  REGARDING THE PRESENT EPIDEMIC AND ITS GENERAL
  CONTROL MEASURES LIKE PERSONAL HYGEIN ,PROPER
  WASTE DISPOSAL AND INSECT CONTROL.

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SELECTION OF SUITABLE HOMOEOPATHIC
PREVENTIVE MEDICINE

• 1.CASE TAKING
• 2.TOTALITY OF SYMPTOMES
• 3. REPERTORISATION AND ANALYSIS
• 5.SELECTION OF MEDICINE
• 6 SELECTION OF POTENCY
• 7.SELECTION OF DOSE

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CASE TAKING

• SHOULD BE DONE IN SPECIAL CASE RECORD FORMS.
• MODEL IS ATTACHED

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TOTALITY OF SYMPTOMS

• THE SYMPTOMS PRESENTED BY THE MAJORITY OF THE
  PATIENTS SHOULD BE INCLUDED IN THE TOTALITY.

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ANALYSIS (USING SYNTHESIS REPERTORY)
RADAR

• YOU CAN USE RADAR WITHOUT CONSIDERING THE
  INTENSITY OF SYMPTOMES

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MANY TYPES OF ANALYSISIN RADAR

• ANALYSING THE SOME OF SYMPTOMS (SORT ALPHA.)
• THE REMEDY WHICH COVERES THE GREATEST NUMBER OF
  SYMPTOMS IS GIVEN THE HIGHEST PROBABILITY

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• ANALYSING THE SOME OF SYMPTOMS (SORT DEG.)
• THE REMEDY WHICH COVERES THE GREATEST NUMBER
  OF SYMPTOMS IS GIVEN THE HIGHEST PROBABILITY

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• ANALYSING THE SUM OF DEGREES
• SORT (ALPHA)
• THE REMEDY WHICH COVERES THE HIGHEST DEGREE IN
  THE REPERTORY GIVES THE BEST PROBABILITY

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• ANALYSING THE SUM OF DEGREES
• SORT (SPT)
• THE REMEDY WHICH COVERES THE HIGHEST DEGREE IN
  THE REPERTORY GIVES THE BEST PROBABILITY

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• ANALYSIS ACCORDING TO THE SUM OF SYMPTOMS AND SUM
  OF DEGREES.
• THE RESULTS OF BOTH PREVIOUS METHODS ARE ADDED
• THIS GIVES IMPORTANCE TO TOTALITY AND DEGREE.

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• CONSIDERING THE PROMINENCE OF A REMEDY
• THIS METHOD CONSIDERES THE PROMINENCE OF REMEDIES
  IN THE SECOND THIRD AND FOURTH DEGREE AND USES A
  CERETAIN FORMULA TO UPGRADE THE MORE PROMINENT
  REMEDY IN EACH RUBRIC. AS A RESULT THOSE REMEDIES
  IN WHICH A SYMPTOM OCCURES IN THE MOST PROMINENT
  WAY WILL HAVE THE HIGHEST SCORE.

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VITHOULKAS EXPERT SYSTEM

• HERE WE HAVE TO CONSIDER SYMPTOMS IN VARIOUS
  INTENSITIES FOR EACH SYMPTOMS .
• YOU CAN INCLUDE ALL SYMPTOMS PRESENTED BY THE
  PATIENT.THERE IS NO LIMIT.

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INTENSITY 1

• SYMPTOMS CLEARLY PRESENT

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INTENSITY-2

• SYMPTOMS VERY FREQUENT OR VERY INTENSE

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INTENSITY-3

• SYMPTOMS VERY FREQUENT AND VERY INTENSE

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INTENSITY-4

• SYMPTOMS VERY VERY FREQUENT AND INTENSE

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• NOT MORE THAN 80 OF THE SYMPTOMS SHOULD HAVE AN
  INTENSITY OF 1
• NOT MORE THAN 80 OF THE SYMPTOMS SHOULD HAVE AN
  INTENSITY OF 2

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• NOT MORE THAN 50 OF THE SYMPTOMS SHOULD HAVE AN
  INTENSITY OF 3
• NOT MORE THAN 20 OF THE SYMPTOMS SHOULD HAVE AN
  INTENSITY OF 4

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SELECTION OF REMEDY

• THE REMEDY CAN BE SELECTED FROM THE SUITABLE
  ANALYTICAL METHOD LIKE VES,SUM OF DEGREE AND
  SYMPTOMS OR PROMINENCE
• THE ABOVE SELECTED REMEDY CAN ONLY BE FINALISED
  WITH THE CONCURRENCE OF MATERIA MEDICA.

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SELECTION OF POTENCY

• 30TH IS THE MOST SUITABLE POTENCY BECAUSE THE
  GENUS EPIDEMICUS IS TO BE APPLIED TO A LARGE
  GROUP OF PEOPLE HAVING A WIDE RANGE OF
  SUCEPTIBILITY. PERSONS WITH LOW SUCEPTIBLITY MAY
  NOT RESPOND TO HIGHER POTENCIES
• THE DYNAMIC ACTION OF THE POTENCIES BELOW 30
  CANT BE PREDICTED .
• ONLY WITH DYNAMIC ACTION OF HOMOEOPATHIC
  MEDICINES RAPID IMMUNITY CAN BE ESTABLISHED

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SELECTION OF DOSE

• THE DOSE WILL BE BASED ON THE MEDICINE SELECTED.
• EACH MEDICINE HAVE A DIFFERENT DURATION OF ACTION
• AFTER ADMINISTERING THE FIRST DOSE THE SECOND
  DOSE CAN BE ADMINISTERED AFTER THE MAXIMUM KNOWN
  DURATION OF THE MEDICINE.
• THIS SHOULD BE REPEATED UNTIL THE EPIDEMIC IS
  UNDER CONTROL.

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EXAMPLE WITH SCARLET FEVER
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Examples from a Pertussis Epidemic
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FROM HISTORY

• Several surveys have also been published
  evaluating the efficacy of homeoprophylaxis. A.D
  Fox treated 97 children with Pertussin to prevent
  whooping cough. His survey in 1987, with only 63
  of the patients responding, showed that as many
  as 18 may have developed whooping cough after
  the treatment. Golden, in the same survey
  mentioned above, reported that his
  homeoprophylactic regimen was 89 effective in
  preventing the diseases treated

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• Studies during epidemics have also given some
  valuable information. In 1902, during a smallpox
  epidemic in Iowa, Dr. Eaton reported that 2806
  patients were treated with Variolinum. Of the 547
  patients who were definitely exposed, only 14
  developed the disease. Overall protection rate
  was 97.24 In 1958, during an influenza epidemic
  in Great Britain, 1100 workers were given
  prophylaxis and 500 workers were given no
  treatment. There was no statistical difference in
  the attack rates between the groups. And in 1974,
  during a meningococcus outbreak in Brazil, 18,640
  patients were given Meningococcinum prophylaxis
  while 6,430 received no treatment. The treatment
  group reported 4 cases to 32 cases in the no
  treatment group (23 times more effective than no
  treatment)

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• Wayne Jonas provides us with the best-constructed
  study on homeoprophylaxis in 1999. A nosode for
  tularemia was tested against placebo and
  allopathic vaccination in 142 mice that were
  subsequently infected with tularemia. Six
  different potencies of the nosode were used to
  account for that variable. The nosode was given
  before and after the challenge. The results
  showed that allopathic vaccination produced 100
  protection from death. The tularemia nosode
  produced 22 protection compared to placebo.
  Clearly the nosode had some efficacy, but much
  less than vaccination.

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• But when data from the epidemics of the past is
  taken as a whole, Genus Epidemicus prescribing
  clearly appears to be effective. Discussions with
  numerous homeopaths today reveals that this
  method has survived into modern practice,
  primarily due to its efficacy. Moreover, the
  theory of Genus Epidemicus prescribing is
  consistent with all primary homeopathic
  principles laid down in the Organon, and proven
  over the past 200 years of practice. The concept
  of similar disease is virtually identical to the
  practice of conducting a proving. Symptoms are
  taken from a variety of individuals, with varied
  constitutions, and summed together to form the
  totality of the response to the presented stress.
  Although further study on the prophylactic effect
  of this style of prescribing is warranted, Genus
  Epidemicus prescribing should be a tool in every
  homeopath¹s repertoire, both for prophylaxis and
  for treatment.

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REFERENCES

• Dr.SAMUEL HAHNEMAANNS ORGANON OF MEDICINE
• LIFE AND LETTERES OF Dr. SAMUEL HAHNEMANN BY
  THOMAS LINDSLE BRADFORD
• TODD.A.HOOVER, M.D
• WILL TAYLOR, M.D

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• THANK YOU