3. SCOPE OF HOMOEOPATHY IN CRF
In cases of CRF, homoeopathic
treatment can help to improve
patient’s quality of life through
relief of troublesome symptoms,
limit renal damage and preserve
existing renal functioning as well
as prevent complications.
6. CASE OF CRF (grade 5 CKD) WITH DM/ CAD
A 68 yr. old
female with
mesomorphic
build (wt. =75
kg.) and mole
on left cheek
reported with
c/o recurrent
7. PRESENTING COMPLAINTS
• Inspite of extreme weakness,
she never liked to rest and
badly missed her ‘morning
walks’.
• Appetite was much reduced.
• Occasional cough especially in
winters.
8. PHYSICAL GENERALS
• Chilly patient
• Thirst for very cold water --- almost
chilled.
• Desire for very cold water and
extremely warm food.
• Desire for salty foods
• Tendency to increased Perspiration
especially in axilla region.
9. EVOLUTIONARY STUDY OF PATIENT
• Strong
family
history
of
Pulmonary koch.
• H/o severe attack of measles at
age of 8 years.
• h/o tonsillectomy at age of 12
years.
• Recurrent history of acute
10. FIRST prescription – PHOS. 0/1
• Keeping in view,
desire for chilled
water and salty
food
with
Tubercular
background,
I
started
with
11. PRESCRIBING CLUE –
IMPORTANCE OF SOIL
• The
STRONG
TUBERCULAR
FAMILIAL
BACKGROUND
AND
TUBERCULAR
TAINT
(RESTLESSNESS
WITH
EMACIATION,
DESIRE
FOR
EXTREMES TEMPERATURE FOOD
&
EVENING
RISE
OF
TEMPERATURE) WITH H/O CRF
LED ME TO PRESCRIPTION OF :
KOCH LYMPH
12. KOCH’S LYMPH
Acute and chronic parenchymatous
nephritis; produces pneumonia,
broncho-pneumonia,
and
congestion of the lungs in
tuberculous patients, and is a
remarkably efficacious remedy in
lobular
pneumonia-bronchopneumonia.
13. KOCH’S LYMPH
It is especially useful in
cases of family history
or personal history of
tuberculosis or strong
tubercular diathesis
15. CREATININE LEVELS REDUCED
FROM 7.6 T0 5.73 mg%
The patient could
reduce
the
frequency of dialysis
from thrice a week
to twice a week and
most
importantly,
her creatinine levels
reduced and she is
now clinically GRADE
4 CKD.
16. A CASE OF CHRONIC kidney disease
(ckd grADE 4)
A 45 yrs. male patient of GRADE
4 CKD reported in NHMC OPD
with high creatinine levels (4.5
mg%) with hypertension. He
was
infact
incidentally
diagnosed because when he
had gone for check up of his
mother, he too thought of
17. A CASE OF CHRONIC RENAL FAILURE
Further
follow-up
investigations
revealed CRF with high creatinine
levels 4.1 mg%); much to the surprise
of patient who was otherwise
FEELING QUITE WELL.
His anamnesis revealed that he had
recurrent h/o fever with sore throat
and coryza since childhood for which
he had taken lots of antibiotic
18. PHYSICAL GENERALS
• Thirst much decreased
• Appetite good; craved rich food
• Tongue thick coated, with superficial
cracks.
• Perspiration on forehead especially
during fevers.
• Slightly chilly patient.
19. A CASE OF CHRONIC RENAL FAILURE
Says there is nothing the matter
with him.
GOOD APPETITE IN GRADE 4
CKD ----- FEELING WELL IN
DANGEROUS CASES
H/O PROLONGED PHYSICAL
EXERTION
ARNICA
MONTANA
20. Arnica montana in case of CRF
• PATIENT showed marked
improvement (both clinical
and
symptomatic)with
ARNICA
MONTANA
PRESCRIBED
IN
LM
POTENCY. The creatinine
levels improved to 2.8 mg%
21. KNOWN CASE OF CRF (Grade 5 CKD) WITH
DM, H/T AND CAD
A
dark
complexioned 48
year old male
patient with lean
build (wt.51 kg.)
reported with c/o
gradual loss of
appetite
with
excessive
tiredness, nausea
and vomiting after
each meal.
22. PRESENTING COMPLAINTS:
• ABSOLUTE LOSS OF APPETITE.
• TENDENCY TO pitting swelling of feet especially after
long journey
• EXTREME WEAKNESS, DIFFICULTY
PERFORM HIS DAILY CHORES.
EVEN
TO
• Tendency to constipation; stool passed with great
straining.
• Increased CHILLINESS
(DAIGNOSED AS CRF).
SINCE
LAST
1
YEAR
23. LIFE SPACE & ANAMNESIS
• He was eldest son in the family. Has been
pursuing business (Home interiors) since 18
years.
• Has been a hard worker and has put in lots of
efforts to build his business.
• H/O recurrent itching with annular lesions on
chest and abdomen (?taenia corporis) in
winters.
24. PHYSICAL GENERALS
• Chilly patient (since childhood) – chilliness increased since
CRF
• Appetite : SIGNIFICANTLY reduced
• Perspiration: normal, more on forehead, cold sweat
especially when eating
• Sleep: normal, occasional salivation during sleep
• Thirst: normal, slightly warm water preferred
• Stool: very hard, missed often.
25. HAHNEMANNIAN
BASIS OF
PRESCRIBING
‘The internal essential nature of every malady, of
every individual case of disease, as far as it is
necessary for us to know it, for the purpose of
curing it, expresses itself by the symptoms, as
they present themselves to the investigation of the
true observer in their whole extent, connexion
and succession.’
‘THE MEDICINE OF EXPERIENCE (1805)’
26. ALUMINA IN CASE OF CRF
• Keeping in view the build of patient,
chilliness with extreme exhaustion,
costiveness and tendency to eruptions in
winters, the patient was prescribed
ALUMINA in LM potency.
• Subsequently, his frequency of dialysis not
only decreased but his creatinine levels also
came down with marked symptomatic
improvement.
29. CLINICAL TIPS:
China officinalis in POST DIALYSIS WEAKNESS
Considering that the process of dialysis
causes sudden osmosis of large
quantity of body fluids, China
officinalis in LM POTENCY serves
as an important remedy to be
considered in cases of this debilitation
from ‘LOSS OF VITAL FLUIDS’.
30. CUPRUM ARS.
• Cramps in calves of legs, worse after midnight,
only relieved by getting out of bed and
standing.
• UREMIC CONVULSIONS
•
Diabetes. Urine of high specific gravity;
increased, acetones and diacetic acid.
31. STIGMATA MAYDIS
• As a powerful diuretic in renal disorders
unconnected with cardiac involvement.
• Heart and urinary conditions combined.
• Suppression of urine with lack of solids and low
specific gravity.
• Has marked urinary symptoms, and has been
used with success in organic heart disease, with
much œdema of lower extremities and scanty
urination.
32. SERUM ANGUILLAR ICHTHYOTOXIN &
DIGITALIS IN CKD
SERUM ANGUILAR ICHTHYOTOXIN
OPHIDIA CHARACTERISTICS
(clothing intolerance esp.
around neck, <: during
sleep, clammy skin)
OLIGURIA
HYPERTENSION
DIGITALIS
OEDEMA with abnormally slow
pulse & extreme prostration
OLIGURIA
HYPERTENSION
