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MEDORRHINUM :
DR VANITA JOHARI
MD (HOM), MSC (COUNSELLING PSYCHOLOGY)
PROF & HOD, DEPARTMENT OF HOMOEOPATHIC
MATERIA MEDICA.
SMT CHANDABEN MOHANBHAI PATEL
HOMOEOPATHIC MEDICAL COLLEGE, MUMBAI.
WHAT ARE NOSODES ???
 MEANING: The term ‘nosode’ is derived
from Greek word “nosos” which is a prefix
that indicates a disease and morbid root as
compared to the Latin word NOXA which
means damage
 DEFINITION: Homoeopathic preparations
from diseased tissue and clinical materials (
secretions and discharges) of human
beings, animals and plants.
INDICATIONS FOR USE OF NOSODES
 SYMPTOM SIMILARITY
 SECOND PRESCRIPTION TO ENHANCE ACTION
OF FIRST PRESCRIPTION
 INTERCURRENT REMEDY
 OPEN AN UNCLEAR CASE
 COMPLEMENTARY REMEDY
 MAIZE OF SYMPTOMS
 NEVER WELL SINCE.,
 STRONG FAMILY HISTORY
 PAST UNSYSTEMATIC UNSUCCESSFUL
TREATMENTS
 WHEN WELL INDICATED REMEDY FAILS
CASE 1 – HORN LIKE WART
 Personality like that of
typical Lycopodium
 Did not respond ?
 Based on unnatural
appearance and ugly
look of the lesion…
 Medorrhinum 200 OD
was prescribed
 Horn like wart
disappeared in 3
months time
CONSTITUTION
 For the constitutional effects of mal-treated
and suppressed gonorrhoea,
 For persons suffering from gout,
rheumatism, neuralgia and diseases of the
spinal cord and its membranes - even
organic lesions ending in paralysis - which
can be traced to a sycotic origin.
 For women, with chronic ovaritis,
salpingitis, pelvic cellulitis, fibroids, cysts,
 Children, pale, rachitic; dwarfed and
stunted in growth (Bar. c.); mentally, dull
and weak.
CAUSATIONS :
Suppressed emotions
Disappointment
Shock or sudden emotions
SUPPRESSED GONORRHOEA
SYCOTIC MIASM
Sexual excess
Maltreated conditions
PHYSICAL GENERALS
 SHORT AND DARK CONSTITUTION
 TENDENCY TO GROWTH
 OFFENSIVE DISCHARGES
 GREENISH, DARK, PITCH-LIKE, INDELIBLE
 AGGRAVATION CLEAR FINE WEATHER (
ACON, CAUST, NUX VOMICA)
 HEAT AND SUN AGGRAVATES
 BETTER DAMP WEATHER
 COMPLAINTS MORE DURING DAY TIME
 CRAVINGS – SWEET-SOUR, FRUITS
CLINICAL OBSERVATIONS
 Most of the skin diseases are
psychosomatic causes
 Vital force protects vital organs from getting
the brunt of stress
 Diseases are manifested on skin
 Hence, we have to probe into the mind for
understanding the underlying stress
1. CHARACTERISTIC LOOK OF THE SKIN
The look of the
skin may be
REPULSIVE
UGLY
HORRIBLE
2. MORPHOLOGICAL APPEARANCE
OF THE LESION DOES NOT
RESEMBLE THE ORIGINAL LOOK OF
THE DISEASE
 Warts
 Psoriasis
 Eczema
 Acanthosis nigricans
 Lichen planus
 Seborrhea
3. REPULSIVE ODOUR
 REPULSIVE
 FISH BRINE ODOUR
FROM ALL
DISCHARGES
 PERSPIRATION
 STOOLS
 LEUCORRHOEA
 MENSES
 URINATION…..
4. ADULTS LOVE RAINS
Adults love rains
Better at sea
Asthama
Arthritis
Skin – fungal
infections
5. BELOW THE BELT !!
 Affection for uterus
 External gentalia
 Ovaries
 Prostate gland
 Rectum
 Lower extremities
6. PIGMENT DISORDERS
 Post inflammatory
hyperpigmentation
 Dark circles under
eyes
 Sun allergy
 Melasma
 Freckles
 Acne vulgaris
WEAKNESS OF MEMORY
 Cannot remember names, words or
initial letters; has to ask name of most
intimate fried; even forgets his own
name.
 Cannot spell correctly; wonders how a
well-known name is spelled.
 Constantly loses the thread of
conversation.
 Great difficulty in stating her symptoms,
question has to be repeated as she loses
herself.
 Cannot speak without weeping.
ANXIOUS DREADFUL
 Anticipates death; always
anticipating, Wild desperate feeling
as if incipient insanity. starts at the
least sound.
 FEAR OF THE DARK.
 Anxiety about her salvation.
 Clairvoyance feels matters most
sensitively before they occur and
generally correctly.
 Irritated at trifles; cross during the
day, exhilarated at night.
NO SENSE OF TIME
 Time passes too slowly (Alum., Arg.
n., Can. I.).
 Is in a great hurry; when doing
anything is in such a hurry she gets
fatigued.
 Very impatient; peevish.
 Many symptoms are < when thinking
of them (pains return as soon as he
thinks about them, Ox. ac.).
MIND….
 Thinks some one is behind her;
hears whispering.
 Sees faces that peer at her from
behind the furniture (PHOS.).
 Changeable state of mind; one
moment sad, the next mirthful.
 Can sleep only on the back with
hands over head. Sleeps on her
knees with face forced into the
pillow.
SLEEP
 Can sleep only on the
back with hands over
head.
 Sleeps on her knees
with face forced into
the pillow.
 Terrible dreams of
ghosts and dead
people; she dreads the
nights.
DIFFERENCE BETWEEN SUPPRESSED EMOTIONS OF
NAT MUR AND MEDORRHINUM
 Brooding and over
thinking makes them
positive
 Holds back the tears
while narrating
symptoms
 Suppressed emotions
lead to depression and
failure
 Overpowered by
suppressed emotions
and haunting thoughts
And sadness
 Cannot narrate
symptoms without
weeping
Nat mur Medorrhinum
DIFFERENCE BETWEEN SUPPRESSED
EMOTIONS OF THUJA AND MEDORRHINUM
 Patient looks very rich
and clean though has
many out growths
 Fixed ideas
 Complaints from damp
and cold
 Worse in rainy season
 Chilly patient
 Patient looks very poor
uneducated and dull
 Confused
 Complaints from supp
emotions
 Enjoys rainy season
 Hot patient
Thuja Medorrhinum
OTHER ANTISYCOTIC DRUGS
PULSATILLA –
COMBINATION OF THUJA
AND MEDORRHINUM
STAPYSAGRIA –
GOING FROM SUCCESS
TO FAILURE
HEAD
 Vertigo when stooping; ameliorated lying;
aggravated on motion. Fear of falling.
 Wandering neuralgia of head, worse in
cold damp weather. Sharp pains come
and go suddenly
 Band across forehead. Pain in occiput
and nape, aggravated on motion.
 Intense itching of scalp. Herpetic
eruptions on scalp; ringworm.
 Copious dandruff. Hair dry and crispy.
ENT
 Eyes : Flickering before the eyes. Blurred
vision, and black or brown spots in the
field of vision. Inflammation of conjunctiva
with ulceration of the cornea. Ptosis.
Smarting of lids. Eyelashes fall out.
 Ear : Impaired hearing and total deafness.
Imagines he hears voices or people in
conversation. Stitching pains in ears.
 Nose : obstinate nasal catarrh, also post
nasal obstruction with loss of smell.
Mucus, white or yellow. Bleeding from the
nose, and bloody nasal discharge. Nose
sensitive to inhaled air. Itching and
crawling in nose.
GIT
 The teeth are always sensitive when
chewing and the tongue is foul and
white at base.
 Ravenous hunger immediately after
eating (Cina, Lyc., Psor.). Constant
thirst, even dreams she is drinking.
Insatiate craving: for liquor, which
before she hated (Asar.); for salt
(Cal., Nat.); sweets (Sulph.); for ale,
ice, acids, oranges, green fruit.
 Unquenchable thirst.
 Craves stimulants, tobacco, sweets,
green fruit, ice, sour things, oranges,
ale, salt.
GIT
 Nausea after eating, and after drinking
water. Vomiting without nausea.
 Gnawing in stomach, not relieved by
eating or drinking, aggravated by
drawing up the knees.
 Diarrhea : Stools: tenacious, clay-like,
sluggish, cannot strain from a sensation
of prolapse of rectum
 Constipation. Can pass stool only by
leaning far back when straining at stool,
very painful, as if there was a lump on
posterior surface of sphincter; so painful
as to cause tears.
 Oozing of moisture at the anus,
smelling like fish-brine.
GUT
 Scanty, high-colored, strong-smelling urine
in a patient suffering from rheumatic
lameness and stiffness.
 Sever pain (backache) in renal region, > by
profuse urination (Lyc.). Renal colic; intense
pain in ureters, with sensation of passage
of calculus (Berb., Lyc., Ocim. c.); craving
for ice.
 Nocturnal enuresis: passes enormous
quantity of ammoniacal, high colored urine
in bed every night; < by over-work or over-
play, extremes of heat or cold, when the
best selected remedy fails; with a history of
sycosis.
FEMALE
 Menses; profuse, very dark, clotted; stains
difficult to wash out, at climacteric; profuse for
weeks, flow dark clotted, offensive; in gushes,
on moving; with malignant disease of uterus.
 Intense menstrual colic, with drawing up of
knees and terrible bearing down labor-like
pains; must press feet against support, as in
labor.
 Intensive pruritis of labia and vagina < by
thinking of it.
 Breasts and nipples sore and sensitive to
touch. Breasts cold as ice to touch, especially
the nipples, rest of body warm (during
menses).
RESPIRATORY SYSTEM
 Asthma: choking caused by a weakness
or spasm of epiglottis; > by lying on face
and protruding tongue.
 Dyspnoea and sense of constriction; can
inhale with ease, but no power to exhale
(Samb.).
 Cough: dry, incessant, sever; painful, as
if mucous membrane was torn from
larynx; deep, hollow, like coughing in a
barrel; < at night, from sweets, on lying
down; > by lying on stomach.
 Sputa: albuminous, frothy; small, green,
bitter balls; viscid, difficult to raise.
Incipient consumption;
 Severe pains in middle lobes.
RHEUMATIC AFFECTIONS
 Pain in back between scapulae; whole length of spine sore to
touch (Chin. s.). < by stretching.
 Rheumatism of top of shoulder and arm; pains extend to
fingers, < by motion (right, Sang. - left, Fer.).
 Lumber vertebrae painful and sensitive to touch. Pain in
sacrum, coccyx, and back of hips running around and down
limbs.
 Heaviness of legs, feel like lead; walking very difficult, legs are
so heavy, legs give way. Lower limbs ache all night,
preventing sleep. Intensely restless and fidgety legs and feet
(Zinc.). <during an electrical storm. Aching in legs, with
inability to keep them still in bed, < when giving up control of
himself, when relaxing, in trying to sleep.
 Coldness of legs and feet; of hands and forearms.
 Ankles easily turn when walking (Carbo an., Led.).
 Burning of hands and feet, wants them uncovered and fanned
(Lach., Sulph.).
TO SUM UP SPECIAL INDICATIONS OF
MEDORRHINUM IN
COMMON SKIN CONDITIONS
 THICKNESS OF THE EPIDERMIS AS CRUST,
SCABS ETC., - VERY THICK AND IRREGULAR
 COLOUR – DARKER THAN NORMAL FOR THE
GIVEN CONDITION
 ODOUR – REPULSIVE, HORRIBLE
 DISCHARGES – THICK, BLACKISH, SCANTY
 PERSPIRATION – INDELIBLE STAINS WITH
TYPICAL ODOUR
 MARKED AGGRAVATION DURING DAY TIME
 PROGRESS OF THE DISEASE – SLOW AND
VERY CHRONIC IN NATURE.

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Medorrhinum and its utility in management of skin (2)

  • 1. MEDORRHINUM : DR VANITA JOHARI MD (HOM), MSC (COUNSELLING PSYCHOLOGY) PROF & HOD, DEPARTMENT OF HOMOEOPATHIC MATERIA MEDICA. SMT CHANDABEN MOHANBHAI PATEL HOMOEOPATHIC MEDICAL COLLEGE, MUMBAI.
  • 2. WHAT ARE NOSODES ???  MEANING: The term ‘nosode’ is derived from Greek word “nosos” which is a prefix that indicates a disease and morbid root as compared to the Latin word NOXA which means damage  DEFINITION: Homoeopathic preparations from diseased tissue and clinical materials ( secretions and discharges) of human beings, animals and plants.
  • 3. INDICATIONS FOR USE OF NOSODES  SYMPTOM SIMILARITY  SECOND PRESCRIPTION TO ENHANCE ACTION OF FIRST PRESCRIPTION  INTERCURRENT REMEDY  OPEN AN UNCLEAR CASE  COMPLEMENTARY REMEDY  MAIZE OF SYMPTOMS  NEVER WELL SINCE.,  STRONG FAMILY HISTORY  PAST UNSYSTEMATIC UNSUCCESSFUL TREATMENTS  WHEN WELL INDICATED REMEDY FAILS
  • 4. CASE 1 – HORN LIKE WART  Personality like that of typical Lycopodium  Did not respond ?  Based on unnatural appearance and ugly look of the lesion…  Medorrhinum 200 OD was prescribed  Horn like wart disappeared in 3 months time
  • 5. CONSTITUTION  For the constitutional effects of mal-treated and suppressed gonorrhoea,  For persons suffering from gout, rheumatism, neuralgia and diseases of the spinal cord and its membranes - even organic lesions ending in paralysis - which can be traced to a sycotic origin.  For women, with chronic ovaritis, salpingitis, pelvic cellulitis, fibroids, cysts,  Children, pale, rachitic; dwarfed and stunted in growth (Bar. c.); mentally, dull and weak.
  • 6. CAUSATIONS : Suppressed emotions Disappointment Shock or sudden emotions SUPPRESSED GONORRHOEA SYCOTIC MIASM Sexual excess Maltreated conditions
  • 7. PHYSICAL GENERALS  SHORT AND DARK CONSTITUTION  TENDENCY TO GROWTH  OFFENSIVE DISCHARGES  GREENISH, DARK, PITCH-LIKE, INDELIBLE  AGGRAVATION CLEAR FINE WEATHER ( ACON, CAUST, NUX VOMICA)  HEAT AND SUN AGGRAVATES  BETTER DAMP WEATHER  COMPLAINTS MORE DURING DAY TIME  CRAVINGS – SWEET-SOUR, FRUITS
  • 8. CLINICAL OBSERVATIONS  Most of the skin diseases are psychosomatic causes  Vital force protects vital organs from getting the brunt of stress  Diseases are manifested on skin  Hence, we have to probe into the mind for understanding the underlying stress
  • 9. 1. CHARACTERISTIC LOOK OF THE SKIN The look of the skin may be REPULSIVE UGLY HORRIBLE
  • 10. 2. MORPHOLOGICAL APPEARANCE OF THE LESION DOES NOT RESEMBLE THE ORIGINAL LOOK OF THE DISEASE  Warts  Psoriasis  Eczema  Acanthosis nigricans  Lichen planus  Seborrhea
  • 11. 3. REPULSIVE ODOUR  REPULSIVE  FISH BRINE ODOUR FROM ALL DISCHARGES  PERSPIRATION  STOOLS  LEUCORRHOEA  MENSES  URINATION…..
  • 12.
  • 13. 4. ADULTS LOVE RAINS Adults love rains Better at sea Asthama Arthritis Skin – fungal infections
  • 14. 5. BELOW THE BELT !!  Affection for uterus  External gentalia  Ovaries  Prostate gland  Rectum  Lower extremities
  • 15. 6. PIGMENT DISORDERS  Post inflammatory hyperpigmentation  Dark circles under eyes  Sun allergy  Melasma  Freckles  Acne vulgaris
  • 16. WEAKNESS OF MEMORY  Cannot remember names, words or initial letters; has to ask name of most intimate fried; even forgets his own name.  Cannot spell correctly; wonders how a well-known name is spelled.  Constantly loses the thread of conversation.  Great difficulty in stating her symptoms, question has to be repeated as she loses herself.  Cannot speak without weeping.
  • 17. ANXIOUS DREADFUL  Anticipates death; always anticipating, Wild desperate feeling as if incipient insanity. starts at the least sound.  FEAR OF THE DARK.  Anxiety about her salvation.  Clairvoyance feels matters most sensitively before they occur and generally correctly.  Irritated at trifles; cross during the day, exhilarated at night.
  • 18. NO SENSE OF TIME  Time passes too slowly (Alum., Arg. n., Can. I.).  Is in a great hurry; when doing anything is in such a hurry she gets fatigued.  Very impatient; peevish.  Many symptoms are < when thinking of them (pains return as soon as he thinks about them, Ox. ac.).
  • 19. MIND….  Thinks some one is behind her; hears whispering.  Sees faces that peer at her from behind the furniture (PHOS.).  Changeable state of mind; one moment sad, the next mirthful.  Can sleep only on the back with hands over head. Sleeps on her knees with face forced into the pillow.
  • 20. SLEEP  Can sleep only on the back with hands over head.  Sleeps on her knees with face forced into the pillow.  Terrible dreams of ghosts and dead people; she dreads the nights.
  • 21. DIFFERENCE BETWEEN SUPPRESSED EMOTIONS OF NAT MUR AND MEDORRHINUM  Brooding and over thinking makes them positive  Holds back the tears while narrating symptoms  Suppressed emotions lead to depression and failure  Overpowered by suppressed emotions and haunting thoughts And sadness  Cannot narrate symptoms without weeping Nat mur Medorrhinum
  • 22. DIFFERENCE BETWEEN SUPPRESSED EMOTIONS OF THUJA AND MEDORRHINUM  Patient looks very rich and clean though has many out growths  Fixed ideas  Complaints from damp and cold  Worse in rainy season  Chilly patient  Patient looks very poor uneducated and dull  Confused  Complaints from supp emotions  Enjoys rainy season  Hot patient Thuja Medorrhinum
  • 23. OTHER ANTISYCOTIC DRUGS PULSATILLA – COMBINATION OF THUJA AND MEDORRHINUM STAPYSAGRIA – GOING FROM SUCCESS TO FAILURE
  • 24. HEAD  Vertigo when stooping; ameliorated lying; aggravated on motion. Fear of falling.  Wandering neuralgia of head, worse in cold damp weather. Sharp pains come and go suddenly  Band across forehead. Pain in occiput and nape, aggravated on motion.  Intense itching of scalp. Herpetic eruptions on scalp; ringworm.  Copious dandruff. Hair dry and crispy.
  • 25. ENT  Eyes : Flickering before the eyes. Blurred vision, and black or brown spots in the field of vision. Inflammation of conjunctiva with ulceration of the cornea. Ptosis. Smarting of lids. Eyelashes fall out.  Ear : Impaired hearing and total deafness. Imagines he hears voices or people in conversation. Stitching pains in ears.  Nose : obstinate nasal catarrh, also post nasal obstruction with loss of smell. Mucus, white or yellow. Bleeding from the nose, and bloody nasal discharge. Nose sensitive to inhaled air. Itching and crawling in nose.
  • 26. GIT  The teeth are always sensitive when chewing and the tongue is foul and white at base.  Ravenous hunger immediately after eating (Cina, Lyc., Psor.). Constant thirst, even dreams she is drinking. Insatiate craving: for liquor, which before she hated (Asar.); for salt (Cal., Nat.); sweets (Sulph.); for ale, ice, acids, oranges, green fruit.  Unquenchable thirst.  Craves stimulants, tobacco, sweets, green fruit, ice, sour things, oranges, ale, salt.
  • 27. GIT  Nausea after eating, and after drinking water. Vomiting without nausea.  Gnawing in stomach, not relieved by eating or drinking, aggravated by drawing up the knees.  Diarrhea : Stools: tenacious, clay-like, sluggish, cannot strain from a sensation of prolapse of rectum  Constipation. Can pass stool only by leaning far back when straining at stool, very painful, as if there was a lump on posterior surface of sphincter; so painful as to cause tears.  Oozing of moisture at the anus, smelling like fish-brine.
  • 28. GUT  Scanty, high-colored, strong-smelling urine in a patient suffering from rheumatic lameness and stiffness.  Sever pain (backache) in renal region, > by profuse urination (Lyc.). Renal colic; intense pain in ureters, with sensation of passage of calculus (Berb., Lyc., Ocim. c.); craving for ice.  Nocturnal enuresis: passes enormous quantity of ammoniacal, high colored urine in bed every night; < by over-work or over- play, extremes of heat or cold, when the best selected remedy fails; with a history of sycosis.
  • 29. FEMALE  Menses; profuse, very dark, clotted; stains difficult to wash out, at climacteric; profuse for weeks, flow dark clotted, offensive; in gushes, on moving; with malignant disease of uterus.  Intense menstrual colic, with drawing up of knees and terrible bearing down labor-like pains; must press feet against support, as in labor.  Intensive pruritis of labia and vagina < by thinking of it.  Breasts and nipples sore and sensitive to touch. Breasts cold as ice to touch, especially the nipples, rest of body warm (during menses).
  • 30. RESPIRATORY SYSTEM  Asthma: choking caused by a weakness or spasm of epiglottis; > by lying on face and protruding tongue.  Dyspnoea and sense of constriction; can inhale with ease, but no power to exhale (Samb.).  Cough: dry, incessant, sever; painful, as if mucous membrane was torn from larynx; deep, hollow, like coughing in a barrel; < at night, from sweets, on lying down; > by lying on stomach.  Sputa: albuminous, frothy; small, green, bitter balls; viscid, difficult to raise. Incipient consumption;  Severe pains in middle lobes.
  • 31. RHEUMATIC AFFECTIONS  Pain in back between scapulae; whole length of spine sore to touch (Chin. s.). < by stretching.  Rheumatism of top of shoulder and arm; pains extend to fingers, < by motion (right, Sang. - left, Fer.).  Lumber vertebrae painful and sensitive to touch. Pain in sacrum, coccyx, and back of hips running around and down limbs.  Heaviness of legs, feel like lead; walking very difficult, legs are so heavy, legs give way. Lower limbs ache all night, preventing sleep. Intensely restless and fidgety legs and feet (Zinc.). <during an electrical storm. Aching in legs, with inability to keep them still in bed, < when giving up control of himself, when relaxing, in trying to sleep.  Coldness of legs and feet; of hands and forearms.  Ankles easily turn when walking (Carbo an., Led.).  Burning of hands and feet, wants them uncovered and fanned (Lach., Sulph.).
  • 32. TO SUM UP SPECIAL INDICATIONS OF MEDORRHINUM IN COMMON SKIN CONDITIONS  THICKNESS OF THE EPIDERMIS AS CRUST, SCABS ETC., - VERY THICK AND IRREGULAR  COLOUR – DARKER THAN NORMAL FOR THE GIVEN CONDITION  ODOUR – REPULSIVE, HORRIBLE  DISCHARGES – THICK, BLACKISH, SCANTY  PERSPIRATION – INDELIBLE STAINS WITH TYPICAL ODOUR  MARKED AGGRAVATION DURING DAY TIME  PROGRESS OF THE DISEASE – SLOW AND VERY CHRONIC IN NATURE.