Archive for the ‘organon’ Category

E Homoeo-Gyan_Weekly Newsletter


DREAMS e homoeo(Weekly newsletter)_December issue


Subclinical Hyperthyroidism_presented at HMAI Congress 2010


Homeopathy Works Even on Nano grounds!!


IIT-B team shows how homeopathy works
Malathy Iyer | TNN

Mumbai: Six months after the British Medical Association rubbished homeopathy as witchcraft with no scientific basis, IIT scientists have said the sweet white pills work on the principle of nanotechnology.
Homeopathic pills containing naturally occurring metals such as gold, copper and iron retain their potency even when diluted to a nanometre or one-billionth of a metre, states the IIT-Bombay research published in the latest issue of ‘Homeopathy’, a peer-reviewed journal from reputed medical publishing firm Elsevier.
IIT-B’s chemical engineering department bought homeopathic pills from neighbourhood shops, prepared highly diluted solutions and checked these under powerful electron microscopes to find nanoparticles of the original metal.
‘‘Certain highly diluted homeopathic remedies made from metals still contain measurable amounts of the starting material, even at extreme dilutions of 1 part in 10 raised to 400 parts (200C),’’ said Dr Jayesh Bellare from the scientific team. ‘Homeo pills get potent on dilution’
His student, Prashant Chikramane, presented the homeopathy paper titled, ‘Extreme homeopathic dilutions retain starting materials: A nanoparticulate perspective’, as part of his doctoral thesis.
‘‘Homeopathy has been a conundrum for modern medicine. Its practitioners maintained that homeopathic pills got more potent on dilution, but they could never explain the mechanism scientifically enough for the modern scientists,’’ said Bellare.

A HOLISTIC APPROACH TOWARDS OBESITY


Dr. Archana Narang (M.O.T), Dr. Saurav Arora (SRF),

Dr. Latika Nagpal (SRF)

Thyroid Clinic, Dr. B. R. Sur Homoeopathic Medical College & Hospital,

Nanak Pura, Moti Bagh, New Delhi – 110021

shmc.thyroidclinic@gmail.com

Life style and endocrine disorders would be the next challenge to medical fraternity in coming few years.

Anonymous

ABSTRACT

In this ever-changing era of competition and stress we are losing harmony with nature and our surrounding environment. Life style and endocrine disorders are on the verge and to a certain extent we may be responsible for them. Many risk factors are now identified, most common being related to life style. It is very hard to deal with them especially when they assume a state of ‘poor response to offered or prevalent therapies’. Many a times, we being practitioners of the true healing art encounter ‘obstacles to cure’ for these life style disorders. Thus it becomes need of the hour to learn the scopes, limitations and how to deal with them judiciously. In this article, obesity’, one of the rapidly emerging life style disorders is discussed keeping in mind the basic philosophy of Homoeopathy.

INTRODUCTION

According to textbook of medicine by Harrison ‘Obesity is a state of excess adipose tissue mass’. It can also be defined as a progressive disease with excess fat accumulation which has multiple consequences. It is associated with the accumulation of adipose tissue in the body (as body fat) that is excessive for an individual’s height, weight, gender and race to an extent that it produces adverse health outcomes. It is one of the most neglected yet visible risk factor contributing to the several other disorders worldwide. Obesity is the tip of ice berg which includes various diseases like cardio vascular disease, Type II Diabetes, osteoarthritis or even some types of cancers. On many occasions it becomes a cosmetic issue, but at the same time can cause various other risks and decreased quality of life.

EPIDEMIOLOGICAL CONSIDERATION

Obesity is emerging as one of the major health problems, particularly in the urban areas of the country. About 30 – 65 % of adult urban Indians is either overweight, obese or has abdominal obesity. In 1997, the World Health Organization (WHO) formally recognized obesity as a global epidemic. According to a recent survey it is estimated that at least 1.1 billion adults and 10% of children are overweight and/or obese. Comparison of two major studies conducted by National family health survey (NFHS-2) in 1998–1999 and NFHS-3 in 2005–2006 shows that prevalence of obesity among Indian women has elevated from 10.6% to 12.6% (increased by 24.52%).

ASSESSMENT OF OBESITY

Body fat percentage is total body fat expressed as a percentage of total body weight. It is generally agreed that men with more than 25% body fat and women with more than 33% body fat are obese. A certain amount of fat is necessary for body to function properly as it is the key factor for storing energy, heat insulation, shock absorption, and other functions. It is stored in the form of adipose tissue in our body. Although not a direct measure of adiposity, the most widely used method to gauge obesity is the body mass index (BMI), which is equal to weight/height2 (in kg/m2). The reference range used to categorize individuals is:

BMI CLASSIFICATION
< 18.5 Underweight

18.5–24.9

Normal weight

25.0–29.9

Overweight

30.0–34.9

Class I obesity

35.0–39.9

Class II obesity

> 40.0

Class III obesity

(Morbid Obesity)

Along with BMI certain other measures may also be taken into consideration to assess an individual in terms of nutrition. These are:

  • Waist circumference
  • Hip circumference
  • Waist to hip ratio: a ratio of >0.9 in women and >1. 0 in men is considered abnormal
  • Markers of nutrition e.g. mid arm circumference, skin fold thickness, etc.

OBESITY PATTERNS

Two major patterns of obesity are observed in population, although these patterns are not gender specific, both the sexes can have any pattern, but it is seen that cross patterns are more dangerous. In females, the pattern seen is pear-shaped obesity, i.e. they tend to collect fat in their thighs and buttocks. In males, fat usually collect around the belly, giving them “apple” shaped pattern of obesity.

CAUSES OF OBESITY

For each individual, body weight is the result of a combination of genetic, metabolic, behavioural, environmental, cultural and socioeconomic influences. Behavioral and environmental factors are large contributors to overweight and obesity and provide the greatest opportunity for actions and interventions designed for prevention and treatment.

  • Fundamental or the miasmatic causes:
    • Heredity: determines how susceptible an individual is to become overweight or obese.
    • Genetically a person is influenced by how the body uses calories for energy and how the body stores fat.
    • Familial obesity is an established risk factor, which exposes an individual to develop obesity.
  • Exciting and  maintaining factors:
    • Eating habits: contribute to the development of overweight and obese states specially in individuals consuming food rich in animal fats, vegetable oils and sugar/syrups and less of vegetables, fruits and other high fibre starchy foods.
    • Lack of exercise and workout.
    • Increasing industrialization, better transportation facilities, more mechanization at home and workplace.

Medical causes associated with obesity

o  Cushing’s syndrome

o  Hypothyroidism

o  Insulinoma

COMPLICATIONS

Obesity is just the tip of the “ice berg” of major symptom syndromes. It has direct association with many syndromes like Diabetes, Hypertension, Insulin resistance, etc. (Mixed miasmatic states which are harder to treat). Obesity affects more or less every system of the body. Some of the complications associated with obesity are:



Cardiovascular System: Ischemic heart disease, angina and myocardial infarction, congestive cardiac failure, hypertension, dyslipidemia, deep vein thrombosis and pulmonary embolism.

Endocrinology and Reproductive System: Diabetes mellitus, polycystic ovarian syndrome, menstrual disorders, infertility, complications during pregnancy, birth defects and intrauterine fetal death.

Neurological disturbances: Stroke, meralgia paresthetica, migraines, carpal tunnel syndrome, dementia, idiopathic intracranial hypertension,

Psychiatric Problems: Depression and social stigmatization, disrupted self image, lack of confidence.

Dermatological problems: Stretch marks, acanthosis nigricans, lymphedema, cellulitis, hirsutism, intertrigo.

Gastrointestinal Problems: Gastroesophageal reflux disease, fatty liver disease, cholelithiasis, hernias.

Oncology: Breast, ovarian, Esophageal, colorectal, Liver, pancreatic, Gallbladder, stomach, Endometrial, cervical, Prostate, kidney, Non-hodgkin’s lymphoma, multiple myeloma.

Respiratory Problems: Obstructive sleep apnea, Obesity hypoventilation syndrome, Asthma, Increased complications during general anesthesia

Rheumatology & Orthopaedic problems: Gout, Poor mobility, Osteoarthritis and low back pain.

Urological & Nephrological Problems: Erectile dysfunction, Urinary incontinence, chronic renal failure, Hypogonadis.


MANAGEMENT

Hahnemann in aphorism 261 has rightly stressed on the importance of proper diet and exercise. “The most appropriate regimen during the employment of medicine in chronic diseases consists in the removal of such obstacles to recovery, and in supplying where necessary the reverse: innocent moral and intellectual recreation, active exercise in the open air in almost all kinds of weather (daily walks, slight manual labor), suitable, nutritious, unmedicinal food and drink, etc.”

Management is one of the most important key factors in dealing with obesity in long-term.

It is a chronic dis-ease that requires long-term intervention and judicial employment of medication, if necessary. The intervention in obesity can be from any of the following listed strategies, single or in combination:

þ Dietary

þ Life style related physical exercise, behavior modification etc.

þ Medicinal

þ Surgical

All of the above intervention require close monitoring and follow ups.

Physical exercise: Weight reduction is not only the mathematical calculation and reduction in calories; rather it is an array of complex mechanism to be understood keeping in mind other factors also. Minimum public health recommendation for physical activity is 30 minutes of moderate intensity physical activity on preferably all days of the week. This duration also depends upon lifestyle, average daily workout, age, gender and other circumstances like nutrition, weight etc. A simple mathematical calculation of daily caloric intake helps in planning the average daily physical activity. Exercise helps in maintaining circulation, reduces the risk for cardio vascular diseases, diabetes and other complications of obesity.

Commonly followed patterns of exercise in our society are:

  • Brisk walking (for about 30 minutes) at an intensity that makes speaking difficult during walking. It is the preferred initial mode of exercise.
  • Work related exercise: taking 10-15 minutes break to walk around during working hours.
  • Muscle strengthening exercises such as lifting weights or push ups.

Amount of calories burnt during some of common exercises:

TYPE OF EXERCISE kcal/hr
TABLE TENNIS 245
TENNIS 392
DANCING 372
GARDENING 300
CYCLING (15 km/hr) 360
WALKING (04 km/hr) 160
RUNNING (08 km/hr) 353
JOGGING 145
SWIMMING 180

Behavioral therapy: Cognitive behavioral therapy is used to help change and reinforce new dietary and physical activity behaviors. Strategies include self-monitoring techniques (e.g. weighing, and measuring food and activity); stress management; stimulus control (e.g., using smaller plates, not eating in front of the television or in the car); social support; problem solving; and cognitive restructuring to help patients develop more positive and realistic thoughts about themselves.

Dietary modification: A few suggested behavior modifiers include change in eating habits, e.g. less of caloric and fat intake. National Institute of Health guidelines suggest that people who desire to lose weight should reduce their caloric intake by 500 to 1000 kcal per day, which may produce a weight loss of 0.45 to 0.90 kg per week. Women may choose a diet of 1000 to 1200 kcal per day and men may choose a diet of 1200 to 1500 kcal per day. Along with this basic knowledge about nutritional facts like following diet and calorie charts is recommended.

Surgical treatment: surgery is indicated for the treatment of morbid obesity which includes co-morbid conditions which are life-threatening. It is only advised for those with very high BMI of 40 or more. Bariatric surgery changes the anatomy of the digestive system. It leads to early satiety, reduction in appetite and also hormonal changes that lead to weight reduction. This surgery lowers the risk of medical problems associated with obesity.

HOMOEOPATHIC APPROACH TOWARDS OBESITY

Homoeopathy has long been remained a therapeutic tool which goes by symptom similarity. The homoeopathic approach towards obesity should be scientific and feasible. In our materia medica many remedies are given which act wonderfully in cases of obesity and overweight, but it needs an understanding of the sphere of action of these remedies. Literature is loaded with many discoveries and experiences, which must be explored and understood.

The basic approach should be the judicial approach. Many a times, remedies alone are not able to benefit a patient fully, here comes the concept of obstacles to cure and exciting and maintaining factors. Thus it becomes necessary to motivate the patient to follow others management factors like diet control, controlled exercise, changes in life style pattern, etc.

Homoepathy has a vast scope to offer individuals suffering from obesity or related disorders. Like other systems, Homoeopathy has its own scopes and limitations. A basic knowledge of disease process and sound knowledge of homoeopathic philosophy can make one fully enabled to deal with these cases.

In aphorism 5 of Organon of Medicine, Hahnemann has described the constitutional approach towards state of the patient. By constitutional approach one means “An individual”, his moral and intellectual character, his occupation, mode of living and habits, his social and domestic relations, his age, sexual functions etc. An individual is the basic unit which is affected by interior (mental generals) and exterior (environment), thus the approach to rectify it should be holistic. For internal phenomenon and obstacles we may give the best similimum remedy, this will make one individual strengthen from inside so that the vital force can preserve the state to health whereas the exterior phenomenon are dealt with various management tools (e.g. exercise, weight reduction, diet etc) discussed in the previous section.

The brief importance of various factors associated with obesity and their homoeopathic approach are:-

FACTOR CAUSING/ASSOCIATED WITH OBESITY HOMOEOPATHIC APPROACH
1. Type of obesity: familial or hereditary Fundamental maintaining factor is underlying miasm. Thus antimiasmatic approach can be adopted.
2. Constitutional predisposition of the subject Selection of the constitutional remedy with intercurrent antimiasmatic remedy is suggested.
3. Mode of living.

  • Sedentary lifestyle, lack of exercise.
  • Faulty diet
These factors are obstacles to cure, so selection of appropriate constitutional remedy with dietary and exercise management should be done.
4. Stress related factors. De-stressing techniques and counselling along with appropriate constitutional remedy help removing obstacles to cure.
5. Obesity associated with specific diseases. Diagnosis of underlying cause and its treatment with appropriate indicated remedy can be adopted.

Case analysis and justification is same for an individual who is obese and require intervention as for any other diseased condition. The commonly used drugs are:

  • Drugs in potencies e.g. calc. carb, graph, caps, ferr met, etc
  • Drugs in trituration e.g. phytolacca berry, fucus, thyroidinum, etc.,
  • Drugs in crude form: e.g. phytolacca, fucus, etc.

Some references from repertory:

Obesity in young people: Antim crud, Calc, Calc act, Lach.

Obesity abdomen: Pip-n

Obesity abdomen but thin legs: Am-c, Am-m, Ant-c, Graph, Lith-c, Plb (as in Cushing’s)

Obesity in old people: Am-c, Aur, Bar-c, Fl-ac, Kali-c, Op, Sec.

Obesity during menopause: Calc-ar, Graph, Sep.

Obesity in children due to improper nutrition: Calc, Carc, Graph.

Obesity in children: Ant-c, Bad, Bar-c, Bell, Brom, Calc, Caps, Cina, Coloc, Ferr, Graph, Guaj, Ipecac, Kali-bi, Kali-c, Puls, Sars, Senegam Sulph.

Indigestion accompanied by obesity: All-s.

Obesity with goiter: Fucus

The common indications of some remedies are presented below:-

Antim crud: Tendency to grow fat, obese people with thickly coated tongue and digestive disturbances of varying degrees. The constitutions are very irritable and fretful.

Calcarea carb: suitable for women and children of leucophlegmatic temperament with tendency to obesity. Constitutions deficient in assimilative powers are benefited by this remedy. Rapid deposit of fat in cellular tissues, especially around abdomen but tissues is imperfectly nourished.

Capsicum: suited to persons who are fat, indolent, opposed to physical exertion, get homesick easily. Persons having feeble digestion and lax fiber. Chilly subjects with lack of vital heat.

Ferr met: Flabby, anemic and plethoric persons with false plethora and relaxed muscles. Easily irritable constitutions having voracious appetite.

Fucus vesiculosis: obesity associated with non-toxic goitre with flatulent tendency and obstinate constipation. This remedy is used in material doses and triturated preparations.

Graphites: Suitable for women, inclined to obesity with habitual constipation and delayed menstruation. It follows well calc carb in young women with large amount of unhealthy adipose tissue.

Kali brom: it is adapted to persons who are inclined to obesity; it also acts better in children than in adults.

Kali carb: For diseases of old people, dropsy and paralysis; with dark hair, lax fibre, inclined to obesity.

Lac def: obesity associated with fatty degeneration of tissues, dropsy and liver complaints. It is also helpful in dealing with complications of obesity.

Phytolacca berry: Clinically found to be efficacious in obesity.

So the primary goal of management of obesity should be improvement of obesity-related co-morbid conditions and reduce the risk of developing future co-morbidities. It involves balance of three essential elements of lifestyle: dietary habits, physical activity, and behavior modification along with Homoeopathic intervention. Hahnemann has rightly mentioned in Aphorism 4: “He is likewise a preserver of health if he knows the things that derange health and cause disease, and how to remove them from persons in health.

“If we could give every individual the right amount of nourishment and exercise, not too little and not too much, we would have found the safest way to health.” – Hippocrates c. 460-377 BC.

Logical Homeopathy


Samuel Hahnemann Memorial at Scott Circle in W...

Image via Wikipedia

It is not a matter of wonder that Homoeopathy is existing but is a matter of science and nature’s law which is saving Homoeopathy for centuries to disappear in darkness. For hundred of years it remained in era of darkness, ignored by the brilliant minds. It was in late 1700’s when Hahnemann observed the pattern of nature’s law of cure. To his surprise he went on to uncover its validity and find the real truth. It took him decades to refine and research into the real meaning of Homoeopathy. Today also Hanhnemann is the authority and our master. This all happened because of laborious work and hard efforts which he put in his life time towards Homoeopathy.
Homoeopathy is nothing magical, its logical. Logical only when we are willing to understand the in depths. It’s a human tendency to search for the truth and criticize the unknown. The same thing happens with Homoeopathy also, those who know it cherish it, others feel unhappy. Homoeopathy as we all know is a therapeutic science of symptom similarity discovered some 200 years back. This means that it was present before that also whose examples are written in Organon of Medicine.
Let us go back to the initial publication of Hanhnemann, “Medicine of Experience”, now why I emphasized on experience is because it is related to experience of a judgmental and rational mind. There were no complex investigative modalities at that time in Hanhnemann’s era, it was all based on what you could see, prove and presented in easy words. This is the reason why many of Hahnemann’s theories and writings are still mysterious and loaded with vast experiences and observations of him written in pure language.
It’s a saying that ten people will ten opinions on one thing, this is very obvious with respect to the complexity of human mind. The same goes for the theories and principles of Homoeopathy. We know what is true, but still we express that in different forms and words.

The whole of Hahnemann’s teaching are close to ground realities. He accepted the limitations with the aim that we will learn to cross those after a substantial research. But somewhere this is lacking (what i perceived over these few years being a homeopath), not only we lack in funds and opportunities, but because many of us are not open to new ideas and work. It’s not the question for us, “Does Homoeopathy works?”, but it’s a pressure on us to explain how it works. I know that it is impossible (as now) to explain how it works on cellular and metaphysical level, but we cannot deny the well-known philosophy of ours “EVIDENCE BASED MEDICINE”. If some effects are being produced then there must be a stimulus (strong enough then psychological and placebos effects). This we can only observe by contrast (James Krauss in Introduction to Organon of Medicine, 6th edition)… to be continued…

Its all about scientificity


Well, I am again here to discuss the most firey topic of today’s scenario…. scientificity and homeopathy…. one of the recent article at Homeopathy Shake-Up Goes Global – Christopher Wanjek – Live Science (richarddawkins.net) said that ignorance of Homeopath killed a two months old baby. Well again Homeopathy has not failed, it was sheer ignorance, which can be done by anyone, be it Homeopath or Allopath or whatever….

Science and homeopathy has long been remained together, but their exact existence is still a query for most of the macro and microscopic researchers and scientists. For a simple reason that it cannot be judged by naked or microscopic eyes, its existence cannot be challenged. There are subtle sciences beyond materials, whose existence can only be proved not “checked”, likewise is the case of Homeopathy. One can prove it wonderfully at clinical level, by proving that it acts. Now the biggest question is raised… how to standardized the proving and research. This is the most difficult part to achieve, because only on this part depends the outcomes and their utility and application. Doing a research with no or vague motives and without a road map of guidelines will end in bogus and useless work which invites nothing but insult and criticism form every nook and corner of world. The question also doesn’t end here, there is one more aspect associated with it, how many of us are actually interested in these kind of scientific and literary activities? because this is the basic what is expected, if one is not interested and doing some w0rk in compulsion, then we can think of the quality of work.

We can be more simple yet strong! rather than actually proving some unknown theories with proper tools and techniques we can go by simpler means to achieve our goals. I am not denying or speaking against the ultra or nano molecular research in homeopathy, but I am in favor of simple and scientific work. Rather than concentrating fully on molecular theories at this point of time, we can spend some time and finances for the “Clinical Science” or in simpler words “Evidence based Homeopathy” , when magnetism was discovered nobody knew how it attracts iron, but one thing was sure, that “IT ATTRACTS”. It was proved that there is something immaterial and hidden (and which cannot be proved at this point of time) which “exists”. Likewise should be our effort, we can divided our energy and hard work for the scientific, literary and clinical provings.

Its not impossible, but yes difficult to follow the path. The only reason I think is the absence or improper or you can say inadequate guidelines which we are following. I will take an example here, suppose a teacher ask students to write an essay on myself, every kid will write in different words, and difference in count of words. This is individuality, but let us put some guidelines in this, Teacher says to write an essay on myself limiting to 1000 words (for example), to be written in half an hour, on single side of paper. In this case the uniformity will be formatting and count of words which help teachers to check and give proper time of analysis to each and every essay written.

Thus, uniformity in “diversity” is the key of future research. Once protocols and guidelines are set and followed, we can draw some basic conclusions out of them. This will also preserve the integrity of Homoepathy. For example, if I am working on Diabetes mellitus and i have to get the HbA1c done every three months, then it after applying different or single mode of treatment I can judge whether the research is right or not, if one treatment plan doesn’t work or work partially I can switch over to other methods and materials. This is just an example.

We have to go a long way, and to cover this long way we must make pillars, for others to follow the right path.

%d bloggers like this: