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Therapeutics

Lopez M. It is important to note what this book is not, it is not a first aid book for patients to look after themselves. It is a serious work to share clinical experiences of a father and son and extended family, who have their own hospital specialising in emergency surgical and medical care in Agra, not far from the Taj Mahal. This is truly another Indian wonder. That homeopathy is effective in acute care of patients I can attest, not least from 16 years of acute care on the telephone, 2 or 3 days each week, quite apart from acute prescribing in my own practice.

The limits of each are described in detail. There are special chapters on cardiac and circulatory emergencies; neurological emergencies such as stroke, intra-cerebral haemorrhage, epilepsy, transient ischaemic attack; and more on psychiatry, trauma and injury, post-operative care including iatrogenic emergencies, oncology, alcoholism, environmental disasters such as industrial pollution, pernicious anaemia and more. Always there is respect shown for the necessary medical and surgical care given, homeopathy may be in some cases the primary therapy but in others the alternative philosophy to which we adhere creates a complementary service.

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In addition to decades of clinical experience, what the authors share are some brilliant case histories with just enough clinical detail, and then a differential materia medica of possible medicines in each case. You can see for yourself with this reading excerpt. In many ways Ayurveda is like an instruction manual of natural living for human beings. It provides a systematic approach to health that includes a proper diet,exercise,seasonal daily practices that lead to healthy living.

Ayurveda can be defined as a system, which uses the inherent principles of nature, to help maintain health in a person by keeping the individual's body, mind and spirit in perfect equilibrium with nature. The fundamentals of Ayurveda can be found in Hindu scriptures called the Vedas — the ancient Indian books of wisdom. The Rig Veda, which was written over 6, years ago, contains a series of prescriptions that can help humans overcome various ailments. Principle:Ayurveda is based on the premise that the universe is made up of five elements: air, fire, water, earth and ether.

These elements are represented in humans by three "doshas", or energies: Vata, Pitta and Kapha. When any of the doshas accumulate in the body beyond the desirable limit, the body loses its balance. Every individual has a distinct balance, and our health and well-being depend on getting a right balance of the three doshas "tridoshas". Ayurveda suggests specific lifestyle and nutritional guidelines to help individuals reduce the excess dosha.

A healthy person, as defined in SushrutSamhita, one of the primary works on Ayurveda, is "he whose doshas are in balance, appetite is good, all tissues of the body and all natural urges are functioning properly, and whose mind, body and spirit are cheerful It is now one of the most recognized and widely practiced disciplines of alternative medicine in the world.

Some of the popular practices of Ayurveda are Meditation, Yoga, chanting, breathing exercises, Panchakarma and Herbs. Presented as poetry, Samhita contains more than 8, verses in its chapters. Modern Ayurvedic physicians still use Samhita in their medical training, and the text has been widely translated.

Homoeopathic Emergency Therapeutics: 120 Acute Disorders

The most widely recommended translation is one by Dr. Sharma, which contains extensive appendices and a rich index. SushrutaSamhita by Sushruta This surgical text, which dates back to approximately BCE, contains seminal content such as the Ayurvedic definition of health, information on blood, and the description of five sub-doshas of Pitta and the marma points. This volume also includes pioneering techniques in skin grafting and reconstructive surgery.

The Sangraha is primarily written in poetry, while The Hridayam is presented as prose. These texts define the five subdoshas of Kapha and emphasize the material value of life. The Hridaya is still highly regarded as a primary Ayurvedic medical textbook; Srikantha Murthy's translation is recommended for English readers. Minor Ayurvedic Classics Lghutrayi : SarangadharSamhita by Sharngadhara:This text was written in the 13th century CE, and is valued for its explanation of the Ayurvedic concept of materiamedica, as well as for its pharmacological formulations.

It is also considered the foremost text on pulse diagnosis. BhavPrakashNighantu by Bhavamisra:This 16th century text contains approximately 10, verses of varying meters and focuses on herbal descriptions, food, the therapeutic use of trace metals, and rejuvenation therapies. Information on sexually transmitted diseases, particularly syphilis, is also included. MadhavaNidan by Madhava Kara: This text was written between CE and CE, and is valued for its precise classification of diseases and disease etiology, particularly in the fields of pediatrics and toxicology.

MadhavaNidan is considered the Bible for Ayurvedic clinical diagnosis. To maintain the health of a healthy person and cure the disease of a diseased: Preventive Medicine — Creates and maintains health and longevity of an individual by maintaining balance of a person's prakturi or constitution by creating daily and periodic regimens. These health routines focus on diet and exercise, herbals, massage, meditation, and social behavior and positive relationships. Curative Medicine — Treatments to cure the disease by one or combination of the following approaches: Internal measures, including shodhana detoxification and shamana methods used to improve quality of life via palliative care.

External measures, including snehana oil treatments , svedana steam therapy using herbal steam , and use of herbal pastes. Surgical methods, including removal of tissues, organs, and harmful growths. Mental and spiritual therapies or daivyachikitsa. Herbal therapy, including astute pharmacology. Ayurvedic Specialties. Ayurvedic medicine features the following eight specialty branches. These trainings are achieved at accredited Ayurvedic medical Schools.

Internal Medicine Kaya-Chikitsa , which focuses on doshic imbalance, metabolic function, and digestion. Surgery Shalya Chikitsa. However, like any other medical system, Ayurvedic therapies have contraindications and potential for adverse effects or side effects. This is of particular concern when therapies are prescribed by unqualified practitioners, are not used correctly and are abused by self prescription.

Ayurveda does not propagate that herbs are safe. Consumers must bear responsibility when seeking Ayurvedic therapies to check the credentials, training, and experience of the practitioners. Consumers must also communicate, with their conventional and Ayurvedic practitioners and practice full disclosure about the therapies they are using. It is important to note that the United States Food and Drug Administration does not regulate herbs or dietary supplements.

The International Society for Ayurveda and Health ISAH , a professional society of Ayurveda in the United States, recommends Ayurvedic therapeutic herbal use or detoxification only when prescribed, administered and properly supervised by a trained practitioner. When seeking Ayurvedic practitioner, ISAH recommends partnering with a practitioner who holds a doctoral degree e. The medical works of both Sushruta and Charaka were also translated into the Arabic language during the 8th century.

The 9th- century Persian physician Rhazes was familiar with the text. The Arabic works derived from the Gupta-era Indian texts eventually also reached a European audience by the end of the medieval period. In Renaissance Italy, the Branca family of Sicily and GaspareTagliacozzi Bologna are known to have been influenced by the Arabic reception of the surgical techniques of Sushruta.

How to treat Acute diseases by Homeopathic Medicine ?

British physicians traveled to India to observe rhinoplasty being performed using native methods; reports on Indian rhinoplasty were published in the Gentleman's Magazine in Instruments described in the SushrutaSamhita were further modified in Europe. In Brett published an article about this technique. During the period of colonial British rule of India, the practice of Ayurveda was neglected by the British Indian Government, in favor of modern medicine. After Indian independence, there was more focus on Ayurveda and other traditional medical systems. By , Ayurveda was part of the Indian National health care system, with state hospitals for Ayurveda established across the country; however, Ayurveda treatments were not always well integrated with others, especially in allopathic hospitals.

It also stresses a need for healthy metabolic system, good digestion, proper excretion, exercise, yoga, and meditation. Whereas, homeopathy follows the "laws of similars" which means that to rid a person of a disease one has to treat the person with drugs that produce the same symptoms as the disease. Ayurveda and homeopathy are similar in the sense that they both use natural remedies. However, they are various key differences among them. Ayurveda is much older, almost 3, years older than the much recent homeopathy. A main difference is that ayruveda believes in preventing a disease while homeopathy believes in curing a disease.

Ayurvedic medicine complements the scientific Allopathic medicines, where as homeopathy is against it. Ayurveda believes that the health of a human body depends on the balance on the three key components, wind, bile and phlegm. It uses herbs and minerals to bring and keep body in balance. It also stresses need for healthy metabolic system, good digestion, proper excretion, exercise, yoga, and meditation.

Homeopathy, on the other hand, believes in the "vitalist" philosophy, that various external and internal causes disturb the "vital force" which negatively affects the health of a person. Homeopathy says that the diseases are already present in the body and that like cures like, i. Uses herbs and minerals to bring and keep body in balance. Also, stresses need for healthy metabolic system, good digestion, proper excretion, exercise, yoga, and meditation.

Preparation of Medicine: Uses vegetable drugs, herbs, minerals like sulphur, arsenic, copper, lead, gold and animal products like milk, bones, and gallstones to produce medication. Uses various plant, animal, synthetic materials, and mineral substances prepared by diluting the substance in alcohol or distilled water and shaken to pass the properties of the substance to the dilution.

Final medicine contains only a small percentage of the original ingredients. Issues of Safety: May incorporate toxic minerals such as lead, mercury and arsenic in small doses.

In rare cases, has lead to arsenic poisoning and zinc poisoning. Difference between Allopathy and Ayurveda: Ayurveda is a year old medical knowledge system that originated in india. Difference between Allopathy,Homeopathy,Ayurveda: Allopathy is commonly called as drug therapy. It involves chemical treatment for diseases and weaknesses. Now allopathy is only a partial cure. This is because the drugs you buy from chemists are only made to cure the reaction and not the cause. Here only the result of an infection is cured and not the infection as a whole.

Homeopathy is another field of medicine which deals with the root of the problem. The medicines given in this type of medication are meant to cure the root of the problem. Also most of the homeopathic medication is permanent.

Human studies

Heart: a left ventricular heave indicates severe or long standing hypertrophy. Pulses: radio-femoral delay in coarctation of aorta; loss of peripheral pulses in atherosclerosis. History of previous antihypertensive therapy, including adverse effects experienced, if any.

Past history or current symptoms of coronary artery disease CAD , heart failure, cerebrovascular disease, peripheral vascular disease, CKD, diabetes mellitus, dyslipidaemia, obesity, gout, sexual dysfunction and other co-morbid conditions. Family history of hypertension, obesity, premature CAD and stroke, renal diseases, dyslipidaemia and diabetes. Symptoms suggesting secondary causes of hypertension. History of smoking or tobacco use, physical activity, dietary assessment including intake of sodium, alcohol, saturated fat and caffeine.

Socioeconomic status, professional and educational levels. These may raise blood pressure or interfere with the effectiveness of antihypertensive drugs. History of oral contraceptive use and hypertension during pregnancy. Psychosocial and environmental factors. Fasting blood sugar level diabetes and hyperglycemia is a feature of pheochromocytoma. Lipid profile atherosclerosis.

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Serum uric acid if elevated then contraindication for diuretic therapy. Serum electrolytes. Renal USG polycystic kidney, obstructive uropathy. Renal arteriography renal artery stenosis. Lifestyle modifications to manage hypertension Modification Recommendation Approx. Dietary sodium reduction Reduce to 2g sodium or 6g sodium chloride 2 — 8 mm Hg. Also relaxation techniques like yoga and meditation. Moderation of alcohol consumption Not more than two drinks per day 30 ml ethanol. Dietary approaches to stop hypertension Stop smoking Lifestyle modifications to manage hypertension contd.

Lifestyle management has an important role in both non-hypertensive and hypertensive individuals. Whilst these modifications shows modest reduction in BP, all too often these treatments are not adopted and, even if they are, but not sustained. In non-hypertensive individuals, including those with pre-hypertension, lifestyle modifications have the potential to prevent hypertension and more importantly to reduce BP and lower the risk of BP-related clinical complications.

In hypertensive individuals, lifestyle modifications can serve as initial treatment before the start of medicinal treatment and as an adjunct to medicinal treatment in persons already on medication. In hypertensive individuals with medication — controlled BP these modifications can facilitate medicinal stepdown in individuals who can sustain lifestyle changes.

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Drug therapy in conventional medicine 1. Renin inhibitors Aliskiren was recently approved by FDA Angiotensin-Converting Enzyme inhibitors useful in type 1 diabetes with frank proteinuria or evidence of kidney dysfunction; drug of choice in pt. Follow-up of pt. Disease is a deviation from health, which develops when the life force is unable to overcome obstructions to its smooth functioning. It can be seen as the total response of the organism to adverse environmental factors, internal or external, conditioned by constitutional factors, inherited or acquired.


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This stands true for all diseases, including hypertension Thus in the case of hypertension, homoeopathy focuses on the patient with the hypertension, rather than on the hypertension itself. The totality of various characteristic signs and symptoms exhibited by this patient leads the homoeopath to the similar remedy. The similar remedy relieves the totality of symptoms, and with it the symptom of an elevated blood pressure. Hypertension…miasmatic influences contd.

Hyperactivity is a psoric trait. Sclerotic changes also occur as age advances. These represent the sycotic and tubercular influences. Clinical presentation : 1. The asymptomatic presentation in many cases, in spite of sustained hypertension with pathological changes, clearly indicate that psora is not the only miasmatic influence. The purely psoric patient is usually the victim of many unpleasant sensations. It is the syphilitic or sycotic stigmata which usually present with only a few or no symptoms at all.

On examination of the more common symptoms, we find that occipital headache is syphilitic in origin. Vertigo is the other symptom more frequently complained of, and the psoric miasm is known to produce many kinds of vertigo. But it is the union of syphilis and psora which stresses it to a marked degree 4. From the miasmatic analysis given above, it is clear that hypertension is a disorder with multi-miasmatic influences, with strong psoric and pseudopsoric influences.

Many authors10 have classified hypertension under the pseudopsoric miasm. But it is quite possible that the individual presentation and course of the disease depends on the relative predominance of different miasmatic influences. The symptomatology is strongly influenced by emotions like joy, grief, anxiety etc They may have for many years a slight dyspnea or pain or perhaps no symptoms at all. They have few subjective symptoms, desires. Typically, they have little mental disturbance accompanying the heart conditions, even when they are critical.

Many of the life threatening complications of hypertension, like cerebral and myocardial infarction, malignant phase etc. They are much aggravated by higher altitude, climbing stairs or ascending. We find none of the fears and apprehensions of the psoric patients, but these are the conditions that have a fatal outcome The combination of psora with sycosis may also cause marked changes of structure of the heart, as well as dropsical conditions The dyspnea is seldom painful, as opposed to the psoric or tubercular miasms These pains are ameliorated by motion, walking, riding or gentle exercise.

The totality of symptoms guides the physician to the indicated remedy. Being a chronic disease, it requires constitutional, antimiasmatic treatment. Smaller or lesser known remedies may be required to control high blood pressure or to manage the complications. Agrees with the conventional school on the necessity for lifestyle modifications along with medications for proper management. Any medicine in the materia medica may be potentially capable of bringing down the elevated blood pressure.

In the search for the similar remedy, homoeopathy lays emphasis on the individuality of the patient. Hahnemann stressed the prime importance of the mental symptoms in all physical disorders. He said that the mental disposition and emotional reactions are too be particularly noted, as they often determine the remedy selection. This will apply quite naturally to cases of hypertension, where psychological factors play a significant part in the causation of illness.


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  • While treating diseases with multimiasmatic influenced diseases like hypertension, it is also important that the remedy selected correspond to the dominant miasm Afterwards, the dormant syphilitic or sycotic miasm, as the case may be, manifests itself and may call for appropriate changes in remedy. Even in predominantly psoric cases, several antipsoric remedies may be required, each one homoeopathically chosen in consonance with the group of symptoms remaining after completion of action of the previous remedy….. This medicine will produce accessory symptoms disease.

    Subsequent prescriptions are to be made depending on the symptoms remaining, until recovery is complete. Such cases require a much longer time for their recovery, often indeed are they incurable5. Difficulties in Homoeopathic treatment One should not discontinue the allopathic treatment abruptly; sudden withdrawal may do more harm than good. When the homoeopathic remedies seem to have an effect, the drugs may be reduced very cautiously. The remedies grouped under this heading also may be useful in high rise of blood pressure, especially when symptoms of cerebral congestion are present.

    Hypertension as described in repertory contd.