03 August 2014

Cure Fibromyalgia With Homeopathy

HOW DOES IT PRESENT:

Fibromyalgia is one of the most common chronic pain disorders, affecting more than 5 million Americans, mostly women. It is characterized by widespread muscle aches & stiffness from all four quadrants of the body that may last the entire day, and most of the times accompanied by incapacitating fatigue, headaches, sleep disturbances, as well as memory and mood alterations. One of the key features of fibromyalgia is the presence of specific tender points. The inability to focus or concentration on mental tasks is often labelled as 'Fibro Fog'. The condition typically develops between the ages of 30 and 50, but can occur in people of any age, including children and the elderly.

HOW IS IT DIAGNOSED:

Since there is no lab test that can objectively confirm the diagnosis, it is usually concluded as 'diagnosis by exclusion' after ruling out other ailments based on the clinical features presented by the patient. The intensity and character of pain may be individualistic but patients often describe pain as stabbing or shooting kind. It is also believed that the condition can amplify painful sensations by affecting the way our brain can process pain signals.

CAUSATIVE FACTORS:

The symptoms sometimes can begin after an accident (PTSD), major surgical procedure, infective episode or after a period of psychological stress. In many cases the symptoms gradually accumulate over time without having any specific triggering factor. It is often seen that the condition can run in families, pointing to genetic link. It is often observed that the patients have low concentrations of magnesium in their blood; 

Interestingly, the patients suffering with fibromyalgia also show concomitant presence of tension headaches, temporomandibular joint affection, irritable bowel syndrome, anxiety or depression; most of which are psychosomatic in origin.

TREATMENT OPTIONS:

Though claimed none of the diet-supplements or specific diets has shown any effect on fibromyalgia. However, it is important for fibromyalgia patients to eat a healthy and balanced diet.

Exercise has been found to improve outcomes for people with fibromyalgia. Available pain relievers fail to provide any significant relief from the pain, making it an utmost frustrating situation for patient. That is the main reason why almost 90% of the patients take help of various alternative therapies to achieve desired relief. Homeopathy is one of the leading treatment options among them.

TOP FIVE HOMEOPATHIC REMEDIES FOR FIBROMYALGIA:

Since every true homeopathic prescription is individualistic in nature, one must select the remedy based on symptom-similiarity alone. Although the following can be named as top five remedies for fibromyalgia, an individual case might need a totally different remedy as per the characteristic presentation. Thus it is strictly advised to consult a professional homeopath for the treatment.

Here are the top five remedies with their respective indications...

Bryonia:
Pains are stitching or stabbing in nature that get aggravated by slightest motion. Patient prefers to sit or sleep quietly without moving a bit. Every spot on the body is painful on pressure. In general the patient gets worse by warmth or on waking up in the morning. The pain feels better by lying on painful side, hard pressure, absolute rest and cold applications.

Rhus Tox:
This is the key remedy for any kind of rheumatic ailment. The pain appears after getting wet or being overheated. Fibromyalgia starting after strain or sprain of muscles gets relived with this remedy. Pains are as if a muscle was torn from its attachment or the bone has got scraped with a sharp knief. There is generalized soreness of the joints. Lameness, stiffness and pain on first moving after rest or on getting up in the morning indicates this remedy. One of the trio for restlessness. Patient feels better in warm and dry weather or by continued motion.

Kalmia:
Pains are sticking, darting, pressing, or shooting in nature. The most peculiar presentation will be the joints of upper part of the body getting involved first and then the pain travelling downwards to the lower limbs. The pain is assocaited with numbness of the affected part. It is mostly a right sided remedy, but the pains can change places often going from joint to joint. The affected joints are red and swollen. 

Causticum:
This remedy is typically indicated in patients who have long-lasting grief or sorrow leading to fibromyalgia. The pains appear suddenly due to fear, fright or anger. Like rhus tox, there is a marked restlessness where the patient feels like moving constantly but motion does not relieve. Pains are associated with paralysis or paresis of single parts. Typically precipitated after getting exposed to cold air or draft. the most peculiar feature of this remedy is getting aggravated in clear fine weather while feeling relieved in damp wet weather.

Arnica:
Typically helps nervous women affected with fibromyalgia with bad effects from mechanical injuries. There is sore, lame and bruised feeling all through the body, as if beaten. Everything on which the patient lies seems too hard. There is a heat of the upper body with coldness in the lower part. Pains are aggravated by lying down and relived with motion.

Once again I would remind you not to try these remedies without a professional supervision.

12 April 2014

Using Mother-Tinctures In Diabetics: My Experience

“Oh! you are a Homeopathic doctor!! Do you have anything to control my blood sugar levels?”

I often come across this question when I get introduced in a social meeting. Diabetes has spread its wings and has quickly started getting grip over the young-adult population as well… thanks to our life-style (do we have any style left in it?) and food habits. I have at least 10 patients who have met this silent-monster before they celebrated their 35th birthday. Thus it becomes extremely essential to think about various options available with us to control and/or eradicate this dreadful disease called diabetes from our society, with the help of homeopathy.

Much before I started treating diabetic patients with the deep-acting constitutional remedies, I had started using mother tinctures. Right from the days when I was studying Homeopathy and had hardly known more than 100 remedies in total. No need to guess the prescription… it was nothing else but ‘Syzigium jambolanum’, which has got its roots from the ancient Indian healing system - the Ayurveda. I had prescribed it to many but with not so promising results. First I doubted its actual role in the treatment of diabetes, but later as I learnt (and grasped) more about the system of Homeopathic healing, I could understand the reason behind the failures. I had simply ignored one of the basic principles of homeopathy - Individualization.

Can we individualize while selecting a mother-tincture?

The question thus arises – whether we can or should apply the theory of individualization while selecting a suitable mother tincture for a patient, or should it be guided by the clinical diagnosis alone?
If it is guided by the clinical diagnosis – then how do we select from multiple remedies indicated for the same disease. Can a clinical picture be utilized to pick up individualizing characteristics for a given case?
After more than 12 years of actively treating diabetic patients, I can now safely say that it is utmost essential to individualize while selecting a suitable mother-tincture for any case. I would like to discuss some of these mother-tinctures and their selection criteria through few case-experiences.

Clinical presentation of diabetes:

The initial presentation of diabetes has always surprised clinicians. The much-learnt clinical presentation of ‘Polyuria – Polydipsia – Polyphagia’ is rarely seen in the clinical practice now. Instead of that, diabetes prefers to declare its arrival through variety of other symptoms. These symptoms or the organs of diabetic complications can be the key to the individual mother-tincture selection.

I have seen Syzygium-jambolanum doing wonders specifically in the cases of diabetes where the degree of rise in the urinary glucose levels is much higher than corresponding rise in the blood glucose levels. I have had a patient whose post-lunch glucose never went beyond 200 mg/dl [11 mmol/l], but his glycosuria always remained in ‘+ + +’ mark. Syzygium given along with Calcarea-carb as the constitutional remedy helped him to have normal glucose reading for the first time.

A diabetic patient presenting with hematuria or cystitis often calls for Rhus-aromatica as the choice of mother tincture. There is a lot of burning during and after passing of urine in large quantities. I have often used it in menopausal ladies who present with diabetes and complain of above symptoms along with stress-incontinence, suggesting of atony at urinary sphincters.

Similarly, a diabetic patient with marked nephropathic manifestations can be helped by Abroma-augusta. It presents with marked albuminuria with offensive and profuse urination along with increased thirst for large quantities of water. Patient often complains about hard stools covered with mucus as a part of obstinate constipation. Loss of bowel-satisfaction that has started since the diagnosis of diabetes always rings bells for this remedy for me. Abroma-augusta can also be selected based on the concomitant presence of severe spasmodic dysmenorrheal in female patients, who react hysterically to the pain. They can categorically mention about the onset of pain just few months before or after diabetes showed its presence.

A diabetic patient with concomitant affection at hepatic sphere, presenting with jaundice marked by loss of appetite and generalized dropsy (anasarca) leads us to Cephalandra-indica as the savior. Dryness and burning are the key manifestations of this remedy.

Gymnema-sylvestre should be labeled as the ‘boon for diabetic men’. I have been using it in cases that either present with sexual debility with erectile dysfunction or report it after few years of diabetic diagnosis. It has not only reduced the sugar levels but has also shown its efficacy in improving the erectile power. 

Calendula ranks the highest when the case presents with wounds that take significantly longer time to heal and also show a tendency to result into non-healing ulcers.

Concomitant symptoms:

We understand concomitant symptom as the one which presents itself along with the chief complaint, but has no patho-physiological connection with the chief complaint except the time correlation. Thus it just exists along with the chief complaint.

In my practice, I have tried to stretch this definition further to assess various systems / organs getting affected along with the primary complaint in patient’s life-time, to check the principle organs of affection and have correlated it with Boger’s sphere of action for the individual remedies.

To give an example – a diabetic patient, after a history of alcoholism, often leads me to the selection of Avena-sativa. In most cases pointing to this remedy, you will find marked exhaustion as the key-presentation. The diabetes gets detected with ‘marked debility not responding to sufficient rest’ as the only presenting symptom for the physician to investigate further. Avena-sativa can also be used in patients where diabetes co-exists with neurological disorders like epilepsy or Parkinson’s disease.

I have already presented a case of diabetes with psychogenic origin, where Abroma-augusta was selected based on the characteristic presentation of constipation with hard ball-like stools & significant offensive urine with proteinuria along with diabetes.

In the earlier days of my practice, I had prescribed Thuja to a case which presented with multiple renal calculi along with cholelithiasis (gall stones) as presenting symptoms along with diabetes that presented with significant pedal edema (water retention). Thuja not only had expelled the renal calculi but also reduced the swelling over the lower limbs in the initial treatment period. Thuja was followed by Lycopodium as the constitutional remedy which further helped the patient.

A remedy like Carduus-marianus that has a marked action on the portal & vascular system can be selected when a patient presents with cirrhosis with ascites and varicose veins.

In general, remedies like Chelidonium that improve hepatic function can be used to boost glucose-metabolism within the hepatic system.

Dosage:

Ideally 30 drops per day, divided in two-to-three parts 

Caution:

Though the utility of mother tinctures in controlling the blood-glucose levels  has been discussed here in great detail, it does not replace the value of a deep-acting constitutional remedy that can restore the fundamental metabolic balance.