<ul><li>DOES NOT WARRANT AN ACUTE REMEDY </li></ul><ul><li>ACUTE FLOW CHART SHOULD NOT BE USED </li></ul><ul><li>IF USED a) temporary amelioration </li></ul><ul><li> b) followed by aggravation </li></ul><ul><li> c) might lead to suppression </li></ul>ACUTE EXACERBATIONS OF CHRONIC DISEASES
Acute treatment <ul><li>Misunderstood by majority </li></ul><ul><li>Under the guise of acute treatment a lot of liberties are taken </li></ul><ul><li>Any medicine unrelated to the constitution is selected on the basis of just one or two symptoms </li></ul>
Any remedy which gets indicated in an acute stage is bound to be in mathematical relation with the Genetic Constitutional Similimum
It is very important for a Homoeopathic Physician to thoroughly understand the Classification of Diseases by Dr. Hahnemann and to identify the disease condition presented by his patient before he attempts to cure him.
INDISPOSITION One or more trivial symptoms. Observed only a short time (DR. HAHNEMANN) Not a fully developed disease that requires serious medical aid. Slight alteration in diet or/and regimen will dispel. (Para-150)
<ul><li>They also involve sensitivity, susceptibility,intolerance etc.. </li></ul><ul><li>Eg: Taking something against your liking in a party. </li></ul><ul><li>Same causation affects different individuals differently. </li></ul><ul><li>Eg: Taking something in excess which you like more. </li></ul><ul><li>They are all acute exacerbations of Chronic diseases. </li></ul><ul><li>Eg: Gastric complaints like Diarrhoea, vomiting, colic etc </li></ul><ul><li>or Headaches, Chest pains etc. likely to recur. </li></ul><ul><li>Every symptom is an attempt of the body to defend itself. </li></ul><ul><li>True indispositions are rare. </li></ul>INDISPOSITION ? (Reflections by Dr. C.J.Varghese)
NATURAL DISEASES OR DYNAMIC DISEASES INDIPOSITION MECHANICAL DEFICIENCY DISEASES THEY HAVE NATURAL ORDER OF ONSET, PROGRESS , DECLINE OR NO DECLINE.
ACUTE DISEASES Rapid morbid process of abnormally deranged Vital Force · Tendency to finish quickly· Always in a moderate time· Period of prodrome, progress, recovery or death· Acute miasm come violently· May cause death· Comes like a storm, stays for a period, and goes like a storm Recovers or dies with or without medicines. (DR. HAHNEMANN)
ACUTE DISEASES CLASSIFICATION A. ACUTE EXACERBATION OF CHRONIC DISEASES E.g. Cold, Asthma, Colitis,Tonsillitis, Cystitis, Rheumatism etc .
B. SPORADIC Several persons at the same time here and there. <ul><li>Atmospheric/meteoric influence, conditions of water, soil and other injurious agents </li></ul>E.g. Viral Fever, Influenza, Dysentery, Typhoid etc
C. EPIDEMIC Many persons at one time. Infectious and contagious. Terminate in a moderate time. In death or recovery. In war or famine
<ul><li>a. Immunizing : Once in a life time </li></ul><ul><li>E.g. Small pox, Chicken pox, Measles, Whooping Cough, Scarlet Fever, Mumps etc. </li></ul><ul><li> </li></ul><ul><li>b. Non-immunizing (Recurring) </li></ul><ul><li>E.g.: Cholera, Plague, Yellow Fever, Diphtheria etc. </li></ul>C. EPIDEMIC
<ul><li> All are acute manifestations of Chronic Diseases. </li></ul><ul><li> Microorganisms can produce disease conditionally only. </li></ul><ul><li> This conditioning is done by Miasms. </li></ul><ul><li>They are no separate entities. </li></ul><ul><li>The influence of the Miasms is visible in the onset and development of the acute diseases. </li></ul>Acute Diseases (IN MY OPINION )
Recovery or death varies from individual to individual depending on Miasms. Triggered by different causative factors- internal or / and external . Development is always under the influence of the Miasms. Every individual is coded with a particular combination of Miasms. It determines the susceptibility. It decides the nature of development and progress. One of the episodes among whole process of development of disease. Complications and Prognosis decided by Miasms. ACUTE DISEASES (Reflections by Dr. C.J.Varghese )
<ul><li> In the process of infection, mere contact with organisms does not involve any Miasm </li></ul><ul><li> Infection is the establishment of a colony of disease producing microorganisms. </li></ul><ul><li> Nature of the organisms, period of their existence, nature of their adverse activities, involvement of the tissues, return to recovery or decline or death etc. all conditioned by Miasms. </li></ul>
<ul><li> All complications or sequelle are due to wrong and unscientific (including wrong Homoeopathic) treatments. </li></ul><ul><li>Nature of the complication or sequelle decided/determined by Miasms. </li></ul><ul><li> Many treat chronic diseases as ‘acutes’ out of ignorance or negligence. </li></ul><ul><li> I would like to treat ‘acute diseases’ as ‘chronic’. </li></ul>
PSORA SYCOSIS SYPHILIS IN ACUTE DISEASES DEATH OCCURS DUE TO THE INFLUENCE OF A HIGH PREDOMINANCE OF SYPHILIS, OFTEN BYPASSING A NEGLIGIBLE RATIO OF SYCOSIS.
True cure does not lie in a mere removal of the disease symptoms or in their transfer from one organ to another, but in annihilating the very tendency for having the disease. (Several Anti Rheumatic Drugs are banned due to the finding that they affect Heart !)
INFECTION THEORY FAILING !!! <ul><li> </li></ul><ul><li>“ Although great strides have been made in the fight against infectious diseases, many problems remain, even in developed countries. The spread of certain diseases (such as sexually transmitted infections) is difficult to control except by modifying human behaviour . For many infections, no effective vaccine has been developed. The majority of viral diseases cannot be entirely combated with drugs and some bacteria have developed resistance to the drugs available. When a new infectious disease appears, it may be years before an effective vaccine or drug treatment can be devised. In the mean time, large numbers of people may die”. </li></ul><ul><li>Complete Family Health Encyclopedia (British Medical Association ) </li></ul>
<ul><li> Failure because of considering infections as independent of host factors </li></ul><ul><li> Failure to understand the theory of Chronic Diseases of Dr. Hahnemann </li></ul><ul><li>Should homoeopaths follow this theory? </li></ul><ul><li>Proving the importance of </li></ul><ul><li>Miasmatic theory </li></ul><ul><li>( Unpardonable if not one becomes well versed in it) </li></ul>
I BEG TO DIFFER <ul><li>ALL ACUTE DISEASES ARE THEREFORE MIASMATIC AND HENCE UNDERSTANDING THE MIASM OF THE PATIENT IS USEFUL FOR PREVENTIVE AND CURATIVE TREATMENT OF ACUTE DISEASES ALSO. </li></ul>
KNOW THE INDIVIDUAL - WHAT TYPE OF A MAN OR WHAT CONSTITUTION YOU ARE DEALING WITH- KNOW HOW HE HAS BEHAVED WHEN ATTACKED BY BACTERIA OR VIRUSES
REACTION SHOWN BY A PATIENT TO THE DISEASE OR INFECTION WILL TELL A PHYSICIAN WHAT CONSTITUTION HE IS DEALING WITH. WHEN YOU HIT YOUR FIST ON A WOODEN PANEL , GLASS PANEL, THERMOCOL, COIR, COTTON MATTRESS, THE REACTION OBTAINED BY YOUR HIT IN TERMS OF NOISE OR BEHAVIOUR OF THE PANEL CONCERNED WILL MAKE YOU AWARE OF WHAT MATERIAL YOU ARE DEALING WITH.
WHAT CHANGES OCCUR OR DO NOT OCCUR IN THE ORGANISM / CONSTITUTION IS REFLECTED BY THE ACTIVITIES OF THAT AFFECTED CONSTITUTION.
Therefore the acute chart is based on ACTIVITY OBSERVE THE CHANGE IN THE ACTIVITY WHEN THE CONSTITUTION IS AFFECTED
If Opium Constitution is affected by stronger dynamic influences, it will bring about temporary change in the basic constitutional picture in terms of activity, thermals and thirst and will be giving rise to a picture either of Aconite or Ant Tart or Belladona or Bryonia or Hyoscyamus or Nux vom or Nux mosch which are in relation with Opium.
This may occur if and only if Opium picture changes, which is not a must. That means, sometimes, the same picture of Opium can come up then another dose of Opium will help to manage the situation.
Once you become aware of the Dynamis behind Life (Vital Dynamis), Disease (Disease Dynamis) and Drug (Drug Dynamis) you can very well take decisions at every instance. (Just like an expert in music can understand that the musical notes are in order or not- sharp, flat etc…)
This change in activity, Thermals and thirst and physical and mental symptoms which are thrown out by the constitution are basically compensatory in nature.
It is a natural effort by the organism to provide immunity and restore the sick to health. Therefore very often health is restored without the aid of any medicine- homoeopathic or allopathic. If such recovery does not take place then and then only it calls for an intervention.
If required to prescribe, it shall be keeping with our basic law of similimum to the acute totality which of course should be based on activity, thermals , generals like thirst, and food and mentals changed state or attitude (PQRS) and not only on physical symptoms.
All the cardinal principles of prescription have to be obeyed ie., one remedy, one dose … then the Hering’s law will be applied… magical speed of recovery will be visible…general sense of well being…no subsequent weakness will ensue…gets back the appetite faster…can resume work earlier…
Such results are guaranteed when prescribed on activity, thermals, thirst and mentals that are changed. This is called ACTIVITY-THERMAL-THIRST AND MENTAL AXIS
Flow Chart is prepared for simplifying this especially for new Homoeopaths.
ACTIVITY DECREASED INCREASED NO CHANGE SLEEP OVER POWERING DULLNESS PHYSICAL RESTLESSNESS MENTAL ANXIETY VERBAL SING VERSES MAKES LOQUACITY CHILLY HOT CHILLY HOT CHILLY HOT THIRSTY THIRSTLESS THIRSTY THIRSTLESS THIRSTY THIRSTLESS THIRSTY THIRSTLESS THIRSTY THIRSTLESS
EVERY SECTION IS FURTHER DIVIDED INTO HOT CHILLY
FURTHER DIFFERENTIATION IS DONE ON THE BASIS OF THIRSTY THIRSTLESS
THE WHOLE CHART IS BASED ON ACTIVITY. ACT OR ACTIONS REPRESENTS LIFE. SPEED AND ACTIONS ARE SPECIFIC TO CONSTITUTIONS. SHOULD NOT BE ASKED BY DIRECT QUESTION. IT SHOULD BE OBSERVED. EXCEPT IN CASE OF INFANTS
ACTIVITY DECREASED EG:- <ul><li>JUST LIE DOWN WITHOUT SLEEPING </li></ul><ul><li>SLEEPS CONTINUOUSLY </li></ul>
Brought to you by Similiacare.com GOLDEN RULES FOR ACUTE PRESCRIBING
1. BE A MINIMUM PRESCRIBER <ul><li>ACUTE DISEASE INITIATES A REACTION IN THE BODY CALLED IMMUNE RESPONSE </li></ul><ul><li>Disease Manifestations Are Basically Defense Mechanisms at Work. </li></ul><ul><li>MOST OF THEM ARE SELF-LIMITING </li></ul><ul><li>IF THE ORGANISM FAILS TO RECOVER WITHIN A STIPULATED TIME, INTERFERE WITH A HOMOEOPATHIC REMEDY. </li></ul><ul><li>PRESCRIBE ONLY IN INEVITABLE SITUATIONS </li></ul>
<ul><li>CURE SHOULD TAKE PLACE BY THE REACTION OF THE BODY TO THE REMEDY AND NOT BY THE ACTION OF THE DRUG EG: FERR. PHOS , BELLADONA, ACONITE ETC. REPEATED FOR FEVER. </li></ul><ul><li>THIS IS WRONG AND MAY LEAD TO SUPPRESSION. </li></ul>1. BE A MINIMUM PRESCRIBER
1. BE A MINIMUM PRESCRIBER <ul><li>HE WHO PRESCRIBES THE LEAST IS THE BEST HOMOEOPATH </li></ul><ul><li>HE SHOULD KNOW WHEN TO PRESCRIBE AND WHEN NOT TO PRESCRIBE. </li></ul><ul><li>RESPECT THE INTERNAL PHYSICIAN </li></ul><ul><li>HE KNOWS WHAT IS BEST FOR THE PATIENT AND HOMOEOPATH HAS NO RIGHT TO INTERFERE WHEN HE IS CURING </li></ul><ul><li>‘ NO PRESCRIPTION YET CURE’- HIDDEN ART OF HOMOEOPATHIC PRACTICE. </li></ul>
2. BE A SINGLE REMEDY PRESCRIBER <ul><li>THERE CANNOT BE TWO OR MORE SIMILIMUMS OF THE GIVEN STATE AT ONE TIME IN ONE ORGANISM </li></ul><ul><li>ANY MULTI-REMEDY THEORY IS VIOLATION OF CARDINAL PRINCIPLES OF HOMOEOPATHY. </li></ul><ul><li>SIMILIMUM IS ALWAYS A SINGLE REMEDY </li></ul><ul><li>IF A HOMOEOPATH WANTS TO SEE MIRACLES HAPPENING WITH HOMOEOPATHY </li></ul><ul><li>ADHERE TO THE LAW OF SIMPLEX </li></ul>
3. BE A SINGLE DOSE PRESCRIBER <ul><li>IF THE SELECTED REMEDY IS THE SIMILIMUM, ALL THAT IS REQUIRED TO TAKE CARE OF ANY ACUTE OR SERIOUS ILLNESS IS ONE DOSE . </li></ul><ul><li>IF ONE DOSE DOES NOT INITIATE A CURATIVE PROCESS, YOUR REMEDY IS WRONG. </li></ul><ul><li>ADHERE TO THE LAW OF MINIMUM DOSE </li></ul>
Brought to you by Similiacare.com 3. BE A SINGLE DOSE PRESCRIBER <ul><li>DO NOT TRY TO REPEAT AND REPEAT AND GET RESULTS. </li></ul><ul><li>HOMOEOPATHY IS A GENTLE TOUCH ART. </li></ul><ul><li>NOT MORE THAN ONE STIMULUS IS REQUIRED TO PRODUCE RECOVERY OR CURE. </li></ul>
4. HUNT FOR ACTIVITY – THERMAL- THIRST AXIS <ul><li>ACTIVITY OF THE AFFECTED PATIENT </li></ul><ul><li>RIGHT THERMAL- HOT OR CHILLY </li></ul><ul><li>MENTAL CHANGES </li></ul><ul><li>PHYSICAL GENERALS- THIRSTY OR THIRSTLESS& DESIRES AND AVERSIONS </li></ul>
4. HUNT FOR ACTIVITY – THERMAL- THIRST AXIS <ul><li>HAS THE CONSTITUTION BEEN AFFECTED SO DRASTICALLY AS TO BRING ABOUT A CHANGE IN ACTIVITY , OTHER GENERALS, THERMALS, THIRST AND MENTALS? </li></ul><ul><li>OR HAS THE CONSTITUTION REACTED TO THE ACUTE ILL NESS? </li></ul>
4. HUNT FOR ACTIVITY – THERMAL- THIRST AXIS <ul><li>IF AND ONLY IF , THE GENERALS, THE THERMALS, THE THIRST AND THE MENTALS HAVE CHANGED FROM THE ‘ORIGINAL’ THEN AND ONLY THEN, SHOULD THE PATIENT REQUIRE SOMETHING DIFFERENT FROM THE ORIGINAL CONSTITUTIONAL DRUG. </li></ul>
4. HUNT FOR ACTIVITY – THERMAL- THIRST AXIS <ul><li>IF THERE IS CHANGE IN ACTIVITY- THE GENERALS HAVE CHANGED </li></ul><ul><li>IF THERE IS CHANGE IN TOLERANCE TO HEAT AND COLD- THERMALS HAVE CHANGED </li></ul><ul><li>IF THERE IS A CHANGE IN WATER INTAKE- THIRST IS CHANGED </li></ul><ul><li>IF THERE IS CHANGE IN MENTAL ATTITUDES- MENTALS HAVE CHANGED. </li></ul><ul><li>IF THE GENERALS-THERMALS-THIRST-MENTALS AXIS IS CHANGED, SELECT A REMEDY SIMILIMUM TO THE NEW AXIS TO CURE ON THE BASIS OF OUR CARDINAL PRINCIPLE OF ‘SIMILIA’ </li></ul>
5. KNOW THE REMEDY- RELATIONSHIPS <ul><li>ACUTE SIMILIMUM INDICATED IS MOSTLY RELATED TO THE GENETIC CONSTITUTIONAL SIMILIMUM. </li></ul>
6. LOOK OUT FOR FULL MOON OR NEW MOON <ul><li>IF THE CONSTITUTION IS VERY SENSITIVE TO FULL MOON OR NEW MOON, DO NOT PRESCRIBE TO THIS PATIENT ON THESE DAYS. </li></ul>
7. EXPECT FEVERS, DIARRHOEAS OR AGGRAVATIONS <ul><li>FEVER, DIARRHOEA OR AGGRAVATION ON THE FIRST DAY AND RELIEF ON THE SECOND DAY IS A GOOD SIGN OF IMPROVEMENT </li></ul><ul><li>FEELING BETTER ON THE FIRST DAY AND WORSE ON THE SECOND DAY IS A SIGN OF WRONG MEDICINE. </li></ul>
8. KNOW HOMOEOPATHIC PARAMETERS <ul><li>DESIRE TO WORK </li></ul><ul><li>STAMINA TO WORK </li></ul><ul><li>DESIRE TO EAT AND DRINK </li></ul><ul><li>SLEEP </li></ul><ul><li>EXCRETIONS:- STOOL, URINE AND PERSPIRATIONS </li></ul>
8. KNOW HOMOEOPATHIC PARAMETERS <ul><li>LOOK OUT FOR THEIR IMPROVEMENT RATHER THAN THE IMPROVEMENT OF FEVER, COUGH, HEADACHE, THROAT PAIN ETC… </li></ul><ul><li>LOOK OUT FOR THEM EVEN BEFORE THE LABORATORY OR X-RAY EVIDENCE COMES TO SUPPORT IMPROVEMENT… </li></ul>