TREATING AMY (AMZ), a case of childhood psoriasis

This article was published in the Australian Homeopathy Journal Similia in 2007 under the title Treating Maryam

I first saw AMZ when she was a month old . She was born in 2003.

AMZ is the youngest child in a family o 3 children. Her other siblings had no history of eczema or asthma . Her parents are also healthy and have no history of any chronic skin problems or asthma.

When her mother was pregnant with AMZ , she was treated for a viral fever which subsided after a week.

AMZ first had an exfoliating rash when she was a month old. I treated her with homeopathic remedies based on the law of similars. The remedy that I had given her when she was a baby was Bell which ameliorated what looked like a bad infantile eczema. Bell worked well several times, whenever she had a recurrence.

The reason I chose Bell in the first place was because the rash always had an erysepelous base and in my experience Bell works well. It proved to work quite well at first.

From Lippes Materia Medica on Bell:

Under face:“Erysipelatous swelling of the face.

Under skin:”Vesicular eruptions, with scabs, white edges and œdematous swellings.

Whenever she had a fever, she also had a very mild erythematous rash and Bell also suited the fever which was very hot and dry.

I usually give Bell in 200c potency as a liquid dose. I ask the dose to be stopped when the condition starts to improve. If 5 doses failed to act, they were to stop the dosing and get back to me.

Her condition recurred several times throughout the years, leading up to her flare up in December of 2006 which makes one think of a miasmatic base. I should have suspected it already, seeing that her initial complaint was at one month old!

She was not always treated with homeopathic remedies, since she was also seeing other doctors who were panel doctors for the company her father worked in so I note several occasions when she was given paracetamol, anthistamine and steroid creams for her skin.

What I write below is the focus of this paper so I will put a time line for the events that took place as well as try to give a rationale of my prescriptions.

27/11/2006

She had a bad flare up on for which I gave Bell. Her symptoms at this time were the same rash on an erythematous base  on her head. Her rash was exfoliating, which gave me more reason to prescribe Bell.

I gave Bell 30c to be taken daily until improvement. This time I gave dry doses.

She did not get better and then, in fact she became steadily worse.

In December 2006( 1/12/2006) she had a very bad flare up which spread to her whole body .

Her symptoms were again, an exfoliating rash now not confined to her head but had spread from her head to her limbs as well as her torso in the front and in the back.

15/12/2006

She came to see three days after getting discharged from the General Hospital.

 Two weeks before, I was away from my clinic and my locum  referred her to the General Hospital and admitted to the ward for one week. She was  given IV  steroids and antibiotics. They thought she had childhood psoriasis. The doctors warded her for a week and, 3 days after they discharged her and  she had was ill again, only this time it was worse than before she was admitted.

She was febrile, her joints were stiff and painful, her knees swollen and red with the skin exfoliating.!She also had a wet cough . I gave her hepar sulph 200c , 5 doses in water ,  6 hourly based on her extreme sensitiveness and she seemed a wee bit better  when I saw her after 3 days But , she was still quite bad I changed to pulsatilla 200c , 5 doses 6 hourly in water. My rationale for the pulsatilla was her extreme clinginess as well as the polyarthritis and the weepiness and the cough which was worse lying down. I was also thinking that the rash resembled an  exanthema .

Lippe on Pulsatilla.

Peevishness, which increases to tears, with chilliness thirstlessness

Red-hot swelling of the feet extending up to the calf, with stinging pain.

“Cough, with expectoration in the morning or during the day only, without expectoration at night.

“Exanthemata itching-stinging, chapped.

26/12/2006

 No  improvement , if anything she seemed worse, with severe chilliness, needed to be wrapped up with extreme sensiviteness, joint pain,swelling and stiffness, the whole body was peeling.She was febrile  and her legs looked like erysipelas , with redness swelling and heat as well as pain. I feared for her life since she was losing a lot of heat and moisture from her skin but parents refused to send her to hospital and there are no homeopathic hospitals here. .Her whole body was peeling away , the skin was red and inflammed., she had an exhausting cough and she was also having rigours . It was too painful for her to move so she was lying down semi curled up , at the same time she was uncomfortable and had to move slightly to change position.

Then, based on her appearance which reminded me of scarlet fever and taking note of all her symptoms , I repertorised for the case and I gave rhus tox 200c in water, with instructions not to exceed 5 doses and to stop as soon as there was some change. I also gave her a referral in case the remedy did not work since she was in grave danger of dying from dehydration..You can see the repertorising I did was only for her symptoms .The remedies that were in all the rubrics were Aconite, Arsenicum, Rhus Tox, Sulphur Phosphorus and Mercury.  I chose Rhus Tox because of her modality of finding it painful to stay in one position while it was also painful to move. The desquamation was also a deciding  factor and I  was certainly not going to prescribe sulphur in such an acute state. Arsenicum would seem an obvious choice given the severe anxiety everybody was going through but the extent of the skin made me think Rhus Tox .Mercury might have made some sense as would Phosphorus but Rhus Tox scored higher using weightage.

I saw her  5 days later, a real huge change,the skin on her face and body was no longer peeling, joints were no longer stiff nor were they swollen, the skin on her legs were  still red and the skin from her feet were still peeling but she was cheerful and afebrile. Her cough had become very minimal . Her appetite was good!  No remedies at this point.

When I saw her five days after the Rhus tox, She was very well and very cheerful, all that was left was some rough skin and a wee bit of scurf on her head .

Follow up11 /1/2007

AMZ still had a mild rash but was otherwise well.
I retook her case and gave her Phosphorus a remedy that fitted her very well constitutionally. It is a miasmatic remedy in Hahneman’s book Chronic Disease and seemed to be a good constitional remedy as well. (When she is well, she is a very cheerful and friendly girl) Looking through her notes again I discovered she had seen a regular doctor a month prior to her severe attack complaining of cough and was found to be having asthma. Another reason for the phosphorus since I found that in my practice, more than 60 % of the asthma cases seemed to need phosphorus. I have her 3 dry doses of 200c to be taken 12 hourly.

Follow up: 11/2/2007

 Not even any scurf, very well indeed.

24/4/2007

She came in with a cough cold and fever , for the first time she had a fever without any accompanying rash. Prior to this , she would always develop a slight erythematous rash when she had a fever from a cold or a flu. The dandruff was also  quite persistant. There was none on this visit .What comes to mind is that such chronic symptoms in one so young should have given me warning of the miasmatic basis of her dandruff rash and erythema.

There was some slight exfoliation on the feet , it was very mild and I would wait and see if she needs another remedy. This exfoliation is a feature of both psoriasis and eczema  but at this point , I am thinking perhaps another miasmatic picture is showing itself. Ardavan says to let the miasm speak to you and I think now she is expressing a different miasm. Her mum showed me her nails which recently manifested as pitting of the nails., another feature that could be either eczema or psoriais except it is rare in childhood psoriasis.. According to Ardavan’s materia  virosa , this could be a herpes miasm. 

Here are some photos I took as she was getting better, I did not take any pictures when she was gravely ill, never thought to take them at that point!

1st Jan

5 days after Rhus Tox 200c no more exfoliating on her face which was still slightly red and she had dandruff on her head .

1st Jan

She was very much better but her feet and legs were still red and peeling. This was the first time I thought to take pictures and before this the whole body including the face looked like this.

adryana4 

9th Jan

When she came again a week later, there were only scabs in her scalp .

9th Jan

Her legs look great don t they?

adryana7 

24 April.

 She had a cold and a slight fever, which explains her solemn look. No rash , only  mild exfoliating on her feet which is good because being confined to her feet would be consistent with the direction of cure.

adryana8

Discussion:

Thus far it seems that I have noted that the rash was erythematous and also that right from the start there was an element of exfoliation and desquamation. The clinical picture would be consistent with infantile eczema or childhood psoriasis .

Going by the above description, it would not have been off the mark for the doctors to suspect that AMZ had a severe form of childhood psoriasis as well as their wanting to opt for cytotoxic drugs.

It is claimed that the cause for childhood psoriasis is unknown but also that it can be triggered by a viral such as chicken pox or bacterial infection such at a strep throat .2 This is interesting in the treatment of AMZ because I noted that the symptoms looked like a very bad case of Scarlet Fever .

AMZ did have her skin peeling in the hands and the fingers and toes as well as on the limbs , in fact all over her body! She also had swollen legs which looked like erysipelas , only it did not respond to antibiotics which I presume was chosen according to what the lab findings showed was

Differential Diagnosis for the pitted nails and the skin peeling: Both psoriasis and eczema have pitted nails but pitted nails is rare in childhood

Postcript May 2009

It is almost 3 years since AMZ was cured from this condition.

In this time, the past remedy was repeated 2 times when there was a very mild rash during epsisodes of fever.

For the past one year, AMZ has had a few episodes of viral fevers with NO rash.

Her nails are normal .

There is not the slightest skin problem .

 

1http://www.bbc.co.uk/health/conditions/psoriasis2.shtml

2Childhood bouts of psoriasis can be triggered by a cold, chicken pox, tonsillitis, or a respiratory infection, like strep throat

3http://dermnetnz.org/bacterial/scarlet-fever.html

4http://www.gpnotebook.co.uk/cache/772145171.htm

5http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1112987

HEALING ECZEMA – AN INTEGRATIVE APPROACH

Dato’ Dr. Suriyakhatun Osman MBBCh, MFHom, Dip Rep Med

Introduction

Eczema is not a skin problem; it is a systemic problem that originates from a genetic predisposition as well as triggers that impinge upon the subject.

As such a holistic approach which deals with the genetic origins and the triggers are the most rational approach to healing eczema.

What is eczema?

This is a dictionary definition of eczema

“an inflammatory condition of the skin attended with itching and the exudation of serous matter.

(pathol) a skin inflammation with lesions that scale, crust, or ooze a serous fluid, often accompanied by intense itching or burning

Derived Forms

eczematous (ɛkˈsɛmətəs) adjective

Word Origin

from New Latin, from Greek ekzema, from ek- out + zein to boil; see yeast”

It has been described as a condition in which the immune system over reacts to substances in the environment as well as in the food. Essentially it is a skin condition in which there is itching with the formation of vesicles followed by scratching and excoriation which results in oozing of serious matter. Infection complicates and worsens the condition.

It usually affects babies and young children because their skin has less ceramides than older children and adults. This makes their skins more sensitive and causes it to excoriate more easily when scratched.

Having said that, it can affect people of any age and when it affects the older age group, it is generally thought that is not curable and can only be controlled by immunosuppressant drugs and creams as well as antihistamines.

There is a genetic predisposition that makes a person more likely to get eczema and a family history of allergic or atopic conditions such as asthma, allergic rhinitis and conjunctivitis, urticarial makes a person more like to get eczema when they are exposed to various triggers that initiate the disease.

Conventional treatment seeks to suppress the over reactive immune system by means of immunosuppressive agents and antihistamines and antibiotics .

Mild cases are treated with topical applications which include emollients and also steroid creams. These however usually contain substances that are actually harmful to the skin for example propylene glycol and mineral oils.

Some skin specialists and pediatricians may advise allergy tests and avoidance of allergens in the food and environment. Immunologists would pay more attention to the allergens and may have methods of desensitization.

The condition tends to resolve itself as the patient grows older, usually because of the change in the target cells and as the eczema clears up, asthma or other allergies may become more prominent.

While the disease is not life threatening in most cases, the quality of lilfe of the eczema sufferer and their care givers is considerably diminished and in very many cases their whole like revolves around the eczema.

In some cases of eczema in infants however, it takes its toll in more serious manners such as malabsorption, failure to thrive and delayed milestones.

The Homeopathic approach to eczema.

The first thing a homeopath does is to take a full history. This will include the following items:

1. Mum pregnancy history

2. Birth history

3. Feeding history breast or formula

4. Diseases and interventions

5. Vaccination history

6. Family history

7. Time of itch and associated modalities of itch

8. Distribution and character of the eruptions

9. Perspiration

10. Thirst

11. Character of the stools, frequency etc

12. Temperament and emotions of the patient

13. allergies and intolerances including food

14. Associated conditions and complications

a. Marasmus protein calorie malnutrition

b. Malnutrition Kwashiakor enough carbs not enough proteins baby may be fat

c. Malabsorption

d. Delayed milestones

e. Herpes

f. Bacterial infections

g. Candida

h. Topical steroid withdrawal

COMMONLY USED REMEDIES Indications

Silica Malabsorption, constipated , sheep dung

Calc Carb Sour discharges, cradle cap , eggs aggravate, profuse perspiration, sour

Sulphur Heat aggravates, dry and very itchy

Morgan Pure , Morgan Gaertner Bowel nosodes, clear gut dysbiosis

Merc V Heat and cold intolerance, tend to pus formation

Mezereum Very chilly, moist eczema, purulent and scabs,

Rhus tox Burning itch, versicular, cold bathing aggravates

Sepia Itch when idle, activity ameliorates, milk aggravates,sweaty feet

Berberis aquifolium Skin and blood purifier

Lycopodium Distension bloating, bossy but obey authority nice at school mean at home

Pulsatilla Meat and nuts intolerance weepy clinging poor appetite

Ant Crudum Eczema with digestive symptoms, sensitive to cold bath, urticarial, honey coloured scabs, itch when warm

Dulcamara Itching worse cold, mucous secretions, loose stools, moist eruptions scabs

Oleander Itching scalp , distension with flatus incontinent stools, violent itching and suppressed perspiration

INTERCURRENTS & NOSODES

Carcinocin Universal allergies, family history of diabetes autoimmune conditions and cancer

Tuberculinum Indicated when asthma is also present with night sweats

Psorinum Chilly with bad skin and itching when warm in bed

Candida Nosode Ringworm associated and history of oral trush and candida

Cina & other worm remedies Itching nose and anus and presence of works

Staphylococcus Bacterial infections , infected eczema

Streptoccus As above

Thyroidinum Itching when cold, family history of thyroid complaints, delayed milestones not associated with marasmus

Cortisol Abuse of steroids

Cortico-ACTH To reactivate adrenal glands, in cases with severe stress issues

Potency and dosing

• LM s are preferred

• Diluting and increasing intervals between the doses when aggravations or improvements

• Recalibrating the dosing according to the response of the patient

Some considerations

Herpetiform eczema

• Cold sores infect the already present eczema

• HSV 1& 2

• Use the nosodes

• Main antimiasmatic remedies HSV 2

• MERC, Nat-m, Petr, Nit-ac, Calc, Thuj.

• Related remedies

• Sulph, Puls, Sep, Lyc, Phos, Rhus-t, Sil,

• Bell.

Eczema, Ringworm & candida

• Ringworm remedies

• Study the remedies and chose the one closest to the patients signs and symptoms

• This is done by noting the concomitants and the mental emotional picture as well as the physical generals

• A candida diet , prebiotics and probiotics hasten the cure .

Eczema marasmus and delayed milestones

This is a severe condition in which there is either a lack of appetite leading to malnourishment or, malabsorption when the appetite is may be good but there is loss of nutrient from diarrhea and from the skin via the eczema . A state of hypoalbuminuria is present .

This condition warrants hospitalization and homeopathic management has to be applied in tandem with hospital management AND drugs that are not normally recommended need to be deployed until patient is stable enough to treat at home .

Menangani Stress dari sudut pandangan kerohanian:

Saya melihat gelagat pesakit yang berada didepan saya. Dia bercakap tanpa berhenti . Matanya terkelip kelip, tangannya mengigil dan suaranya cemas. Saya membenarkannya bercakap sehingga dia terdiam.Setelah pesakit saya Zubir terdiam barulah saya dengan perlahan dan dengan jelas memberi keterangan.

“Zubir, saya tahu awak ingin sembuh , awak tak mahu sakit dan awak tak mahu prestasi kerja yang makin menurun , awak juga tidak mahu berjaga malam sebab mata tak mahu lelap.Saya minta anda berjumpa saya pada waktu petang untuk kita dapat merancangkan sesuatu rawatan untuk menyembuhkan penyakit anda. Penyakit anda saya tidak dapat merawatnya dengan beberapa biji pil . Saya perlu penglibatan anda dan juga kerjasama anda untuk merawat penyakti anda ini.”

Zubir adalah salah seorang dari pesakit saya yang mengidap penyakit disebabkan wataknya yang terlalu sensitif kepada alam sekililing . Zubir juga mudah cemas dan juga mudah gelabah. Dengan perasaan harga diri yang rendah , Zubir tidak bekerja sebaik yang dia boleh . Malahan Zubir yang pernah suatu ketika seorang murid yang cemerlang merasakan dia gagal untuk mencapai sebaik yang dia boleh capai dari segi akademik semata-mata sebab wataknya yang mudah gelabah dan cepat risau dan tidak mempunyai daya tahan untuk menghadapi tekananan hidup yang kita kira adalah asam garam kehidupan semua manusia.

Zubur sekarang tidak seperti Zubir yang saya temui buat pertama kali lebih setahun dahulu. Dia sekarang sudah naik pangkat, mendapat kepercayaan majikan , seorang pekerja yang tekun dan berkeyakinan diri memilikki jiwa yang tenang lagi ceria.

Apakah yang telah membawa perubahan yang begitu ketara?

Dalam sessi-sessi rawatan dengan Zubir , saya membenarkannya luahkan segala yang merisaukannya dan setelah puas Zubur luahkan , saya bincang dengannya satu persatu sikap sikap yang mendatangkan masaalah baginya dan mencadangkan perubahan sikap dengan cara latihan , doa dan zikr.

Antara sikap Zubir yang mendatangkan stress adalah berikut:

1.Risaukan perkara yang belum berlaku. Jika dia mulakan kerja, dia takut kerja tak boleh siap mengikut jadual. Kalau dia buat satu kerja, dia fikirkan tentang kerja lain yang belum di mulakan.

2. Sering memikirkan perkara-perkara yang berlaku pada masa silam, sering sakit hati terhadap individu-individu yang pada fikirannya telah melakukan yang tak baik terhadapnya.Setiap kali dia teringat, dia akan rasa sedih , dan sakit hati .

3.Zubir sering tidak memberi tumpuan kepada tugas yang dilakukan sebab dihantui perasaan tidak mampu membuat kerja secara menyeluruh .

4. Bila berhadapan dengan manusia lain , seribu satu perasaan menghantui jiwanya dari perasaan tidak yakin, kepada takut, kepada risau dan lain-lain lagi. Ini adalah kerana pada pandangannnya setiap manusia ada niat jahat terhadapnya dan dia harus berwaspada.
Setelah mengetahui keadaan jiwa Zubir maka inilah penawar yang telah diberikan kepada Zubir sebagai preskripsi nya .

1. Doa nabi Muhammad SAW yang berbunyi; Allahuma inni a’uzubika minal hammi wal hazan meminta Allah SWT melindungi kita dari risau tentang perkara yang akan datang dan juga menyesalkan perkara yang sudah berlalu. Kita perlu menghadirkan hati kepada tugas yang sedang dijalankan supaya tumpuan kita terhadapa apa yang sedang kita lakukan. Sebelum kita mulakan tugasan kita juga perlu merancang supaya kita tahu bila masa kita akan lakukan kerja seterusnya. Mudah-mudahan perancangan yang realistik dan rapi akan menghindarkan kita dari risaukan perkara yang belum kita lakukan. Amalkan doa ini setiap hari pada waktu pagi dan petang dan setiap kali kita dapati hati kita sedang memikirkan perkara yang akan datang atau pemikiran kita sedang melayang kepada perkara yang lepas yang kita kesali.

2. Kita perlu faham bahawa Allah swt akan meringankan dan mempermudahkan segala yang kita lakukan jika kita berserah kepada Allah SWT.Perasaan rendah harga diri timbul bila kita rasakan diri kita ini seorang manusia kerdil yang bertanggung jawab sendiri atas apa yang nak dilakukan. Disebaliknya jika kita faham bahawa segala sesuatu adalah di tangan Allah SWT maka pergantungan kepada Allah SWT meringankan kesemua tugas dan tanggung jawab kita. Nabi Musa Alaihisalam semasa beliau hendak berdepan dengan Firaun telah berdoa ” Rabishruhli Sadri, Wayasirli Amri” Tuhanku, lapangkanlah dadaku dan permudahkanlah urusankanku. Mungkin kita tidak mempunyai tugas yang begitu sukar tetapi apa kata doa ini juga menjadi doa kita dan kita yakin pertolongan Allah akan menolong kita selesaikan tugas yang hendak kita lakukan maka tidak ada tugas yang terlalu berat, serta tidak perlu pada kurang keyakinan sebab yang meringankan , mencemerlangkan adalah pertolongan dari Allah SWT. Allhamduillah adalah ucapan kita setiap kali kita mampu menjalankan tugas dengan baik dan jika tidak maka lihatlah dimana yang kita kurang berserah kepada Allah SWT dan yakinilah bahawa tekad kita untuk terus membaikki prestasi akan berhasil kelak menjadikan kita manusia yang lebih cemerlang.

3.Memanglah manusia sekeliling kita kadangkala kasar, kadangkala ada sifat dengki dan khianat namun demikian , jika kita baik sangka dengan manusia , dan setiap kali kita pandang sesiapa , kita tumpukan perhatian kita kepada kebaikkan yang ada padannya, insya allah inilah yang akan terserlah dan bukan sifat negatif yang ada pada nya. Untuk menimbulkan baik sangka antara manusia , sentiasalah doakan rakan pehabat kita, majikan kita, pelanggan kita dan lebih lagi ahli keluarga kita. Hati-hati bila setiap kali kita kenangkan seorang yang kita ingat adalah sifat jelek yang ada padanya. Ini akan menimbulkan rasa jelek dan tidak enak pada diri kita dan akan menimbulkan sikat aggresif kita bila kita bermuamalah dengan nya. Disebaliknya jika kita bayangkan individu itu dengan keadaan yang paling baik yang mungkin dan sering mengucapkan sejahtera keatasnya dan sering doakan supaya dia menjadi manusia yang positif, kita akan berlembut terhadapnya dan apa-apa ketidaktenteraman yang kita rasa bila berhadapan dan bermuamalah dengannya akan hilang.

Begitlah beberapa preskripsi yang telah diberikan kepada Zubir yang mampu mengubahkan Zubir dari seorang perisau yang kurang keyakinan diri serta berprestasi rendah dalam kerjayanya kepada seorang yang cemerlang dan tenang .

Sebagai rumusan perubahan sikap adalah :

* Dari seorang yang fikirkan dirinya berkuasa atas diri sendiri kepada manusia yang sentiasa bergantung kepada Allah.
* Dari seorang manusia yang sering memikirkan perkara negatif yang mungkin berlaku atau perkara negatif yang sudah berlalu kepada seorang manusia yang hadir hatinya kepada tugasan atau perkara yang ada didepan mata.
* Dari seorang yang sering berburuk sangka terhadapa manusia kepada seorang yang berbaik sangka terhadap manusia

Disclaimer: Nama dan butir pesakit tidak merujuk kepada mana-mana pesakit saya.
Watak pesakit ini adalah gabungan pesakit yang saya pernah jumpa dan kesembuhan yang disebut disini pernah dihasilkan dengan cara yang saya sebut tetapi ia tidak merujuk kepada mana-mana pesakit sekarang . Tujuan penulisan adalah untuk memberi fahaman tentang penyakit emosi yang disebut disini.

The Evolution of Chronic Disease

Dato’ Dr.Suriyakhatun Osman
Current understanding of Hahnemann’s chronic diseases

evolution of chronic diseases

 The nature of chronic diseases is:

Evolving, getting worse and worse unless managed at root cause. This is different from static conditions that are have surgical or traumatic causes or are caused by chemical damage

A.     Pathways to chronic disease

1.      Inherited chronic disease

Genetic, toxins of mum
emotional and chemical

The individual is born with characteristic features and prone to certain states which are tendencies and diathesis.

Tendencies & diathesis are at the beginning stage of chronic diseases. While recurring and getting better, the episodes become more and more frequent then settle in one part progressing from tendencies to diathesis.

·  Tendencies multiple symptoms in multiple systems come and go

·   Diathesis, settled in one system gets more frequent

2.      Acquired are usually viral infection in a great majority of cases, bacterial are opportunistic agents as secondary infections on already weakened terrain.  Only viruses are small enough to affect the DNA and RNA.

 

Outcomes of acquired viral infections:

1. totally resolved = Cured

If the infection faces suppressive treatment it becomes partially resolved and acquires tendencies and diathesis and progresses to Chronic diseases There will be a “History of never been well since.”

 

triggers

Triggers that worsen chronic disease states and cause it to progress

  • Toxin
    • Emotions
    • Chemicals
    • Organic
    • Inorganic
  • Infections
    • Viral
    • Fungal
    • Bacterial
  • Weather changes

 

suppressive treatment

  • Suppressive treatment
    • Checked discharges- example, a runny nose suddenly disappears followed later by enlarged lymph nodes.
    • Other disturbances example a shocking event that cuts short a process in the body .
    • Drugs that suppress symptoms

 

Management of chronic diseases can be divided into three

1.      True cure:

Addresses root cause

Treat using Essential and miasmatic remedies in Homeopathy

Or, any treatment that corrects the original imbalance by first creating an acute state .

Possible when no organic pathological changes

2.      Incurable cases are those with pathological changes present and are in non-regenerating organs

Treatment options

A} Palliative where the disease does not heal but does not progress .

Chronic condition remains static

Support with “

o   Nutritional

o   Supplements
o   Organ remedies
o   Lifestyle changes

 B) Suppressive treatment  is when symptoms are controlled but pathology worsens over time

Examples of suppressive treatment: Strong suppressive drugs

further reading

http://www.beyondconformity.co.nz/hilarys-desk/paracetamol-should-not-be-used-for-infectious-fevers-revisited

http://theheartysoul.com/symptoms-of-a-hidden-viral-infection/?t=TRF

Ardavan Shahrdar’s writing on diseases types

Ardavan virtual body veritable body
LEVEL 1
At the first Level, the Virtual body is equal to the Veritable body. The particular symptoms are less important than general symptoms and patient has both. At this level we usually use polycrests as the similimum.
LEVEL 2
At second level, the Virtual body is different from the Veritable body. It is as if the Virtual Body has been limited to one part of Veritable body. In this type of diseases, the patient describes his/her problems saying “My”; he/she does not use “I”. It is as if his/her whole body is focused on this particular part. Usually in this level, we have prominent sensations, modalities and concomitants describing this particular location of the body. Although concomitant symptoms usually occurs in other part, if you pay attention to the body language of the patient, his/her hand moves around the part of body that has problems. For example a patient describing headache attacks, while he/she talks about nausea his/her hand moves around upper part of body and not to stomach area!
LEVEL 3
In third level, the signs and symptoms are so intense in one location of body that it is severely inflamed and the patient is in crises. In this kind of case, although we see sign and symptoms in one location, the symptoms are so intense that the patient use “I”. They express themselves as if both the Virtual and the Veritable bodies were limited to that single location!
Usually in Level 3, we use anti-inflammatory (antiphlogistic) remedies such Bell, Stram, Acon, Op,… We choose our rubrics from the General Section of repertory.
EXAMPLE TWO
Level 1
Another example can be a patient with Rheumatoid arthritis with pain and stiffness in joints and patient feels better in warm weather and wore in cold and has copious sweating and constipation. This patient is in Level 1 and may need Calc-c.
Level 2
If this patient comes with more pain in one joint which is worse in wet weather and motion is agg in the start and amel in continuous motion is in Level 2 and may need Rhus-t.
Level 3
If above patient comes with severe pain, inflammation, heat and redness in one joint may need Belladonna.
EXAMPLE ONE:
Level 1
A patient has skin eczema, asthma, occasional headache, especially during menses. She is cold patient and perspires profusely. This patient is at Level 1 and may need Calc-c. In this patient, the Virtual Body is equal to Veritable body and we do not need to pay more attention to details of particulars.
Level 2
If above patient comes with severe eczema with cracks, bleeding, sever itching, although the patient has head pain during menses and asthma, it seems that Virtual body is not equal to Veritable body and Virtual body has been limited to Skin. That is, the skin symptoms are more pathologically severe than the other symptoms. In this patient, we do not consider other symptoms of the patient. She may need petr., a specific organ remedy.
Level 3
But if the patient comes with severe eczema with severe inflammation, suppuration and discharge (and no other symptoms elsewhere in the body, we should not refer to skin section in repertory instead, we must find our rubrics in general section and this patient may need Merc. This is a Level 3 case.
Key: Px = patient, Sx = symptom(s)
Virtual body and Levels of Pathology progression
Characteristics of Pathological Development
Level 1
Chronic dynamic state (miasmatic, non-miasmatic, case with paucity of symptoms)
Level 2
One sided type A
Level 3
One sided type B
Body types
1.Virtual Body= Veritable Body
Virtual Body limited to one part of the Veritable Body.
Virtual body = Veritable body but both limited to the diseased part
Px language
Both “I” and “my”
“my”
“I”
Sx location
Anywhere
Single
Single
Sx type
Particular sx less important than general sx.
Sensations, modalities, concomitants
Signs and symptoms are very intense and in inflammatory state.
Sx severity
Varies
Prominent but not very severe
Intense single location.
Remedy type
Polycrests (Usually)
Small remedies (Usually)
Anti-inflammatory remedies
Repertory
General (mental and/or general) + particular
Particular
General
This paper is unfinished, but presented it in hopes that members will present their questions and relate the article to our course of study.
From above description it seems that we have two kinds of bodies!
1- Veritable body, which is static and does not change.
2- Virtual body, which is dynamic, and changes according to the progression of disease.
If you pay attention to these levels, you will understand why some master insist on Generalizations and other on Mental, General and some on Location, sensations, and modalities. They are each focusing on a different level of pathological development.
In a homeopathic clinic, we see in some cases pathology is limited to one part of body with non-specific sensations and modalities. In other cases we see symptoms scattered in different part of body. Some of these body locations have sensation and others have modalities, but symptoms are not prominently focused in one location.
While some patients bitterly complain of sign and symptoms focused in one part of their body, oddly, when asked about other problems these patients are reluctant to answer. It seems that their physical complaints are limited to this single location.
We can classify disease progression on three different levels. As disease progresses the level of the disease increases. From Level 1 to Level 3, the territory of VF becomes more limited and VF has to struggle more to expand its territory. With increased pathology, the VF is bound to a smaller area of freedom!

Pendekatan Holistik Merawat Eczema

Dalam perjalanan menjangkau puluhan tahun sebagai perawat, pada permulaan bagi rawatan ekzema adalah dengan hanya rawatan homeopathy. Sekiranya kegatalan pada kulit adalah di tahap tidak terkawal maka saya akan beri antihistamin, kerana apabila pesakit mula menggaru, luka pada kulit sukar untuk sembuh.
Dengan rawatan sebegini terdapat banyak kes yang berjaya dirawat, oleh itu tidak akan meninjau atau ‘mengorek’ lebih dalam bagi kes-kes ini. Adakalanya pesakit akan dinasihati untuk mengelak beberapa jenis makanan, sekiranya mereka mempunyai alahan yang ketara kepada makanan tersebut, ini dapat diketahui dengan bertambah kesan ekzema atau dalam terma ekzema ‘flare’.
Kalau begitu apa sebenarnya ekzema dan kenapa ia timbul di umur yang paling awal?

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Isi kandungan
Definisi Dan Pengenalan 1
Definisi Dari Sudut Perubatan Moden 1
Definisi Dari Sudut Holistik 2
Punca Ekzema 2
Perawatan Ekzema 3
Ekzema dan Rawatan moden 3
Pendekatan Integrasi Merawat Ekzema 3
Tumpuan Rawatan 4
Kawalan Kepada Ekzema 5
Mengawal di peringkat awal 5
Mengawal gatal dan infeksi 5
Melembabkan kulit ekzema 6
Perkaitan Sistem Pencernaan Dan Ekzema 6
Ekzema Dalam Situasi Yang Biasa Ditemui 9
Ekzema dan hari perayaan 9
Ekzema dan antibiotik 9
Ekzema Dan Bayi 10
Ekzema Dan Bakteria Baik Pada Salur Peranakan Ibu 11
Ekzema: Perubahan Setelah Homeopathy Dan Pemakanan 11
Latarbelakang 11
2 Februari 2014 11
17 Februari 2014 12
KESIMPULAN 13

buku eczema 2buku eczema 3buku eczema1