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Modern Classical Prescribing

PRACTICAL APPROACH - CLASSICAL PRESCRIBING

By
Dr. Subrata K. Banerjea,Gold Medalist
B.H.M.S. (Honours in Nine Subjects of Calcutta University)

Fellow: Society of Homoeopaths, U.K Fellow: Homoeopathic Medical Association of the United Kingdom.
Fellow: Association of Natural Medicine, U.K
Fellow: Akademie Homoopathischer Deutscher Zentralverein, Germany.
Director: Bengal Allen Medical Institute
Principal: Allen College of Homoeopathy, Essex, England.

"Sapiens", 382, Baddow Road, Great Baddow,
Chelmsford, Essex CM2 9RA, England
Tel. 44 (0) 1245 505859
This email address is being protected from spambots. You need JavaScript enabled to view it.
www.homoeopathy-course.com

This section is meant for homoeopaths only.

Applying the following protocol it may be possible in some instances to reduce the dependence on conventional medicine. The practice in India by licensed doctors such as B.H.M.S, who can reduce pharmaceutical drugs, if deemed appropriate. However, in the U.K, if the patient is requesting the reduction and is deemed fit enough they may consult with the GP about such reduction of medication, then the following protocol may be useful as a guide.

The control lies with the patient who will consult with the conventional medicine prescribing doctor. I have found that with collaboration between medical doctors, patients and homoeopaths this empowers the patient and gives confidence to the process. The involvement in this process may, in some instances, raise the patient's energy . I do not advise how much medication to be reduced because that should be guided by the G.P/ Doctor. Any reduction in allopathic drugs mentioned in this section is related to my experience in my Indian Homoeopathic Centres. In the U.K it should be done with full consent of the patient and the prescribing medical doctor/ G.P.

This do not represent evidence but personal opinion of the patients treated by Dr. Banerjea. Also there is no claim for weaning off is always possible or successful, neither any intention to imply that all such diseases can be improved by homoeopathy.

 

MODERN CLASSICAL-PRACTICAL PRESCRIBING: METHODOLOGY

INTRODUCTION:

This practical approach for the present drug dependant world is aimed to give you and your patient the confidence that homoeopathy is working within 1st or 2nd follow-up. Also when possible, through gradual reduction of the conventional medication, the patient becomes free from the side effects of the chemicals and develops trust upon you and your prescribing.

The "Modern Classical Prescribing" has been specifically designed to use homoeopathic medicines (homeopathic medicine) in drug dependant cases and gradually reduce, the conventional chemicals without any complications or side effects. Dr. Banerjea has extensively used either deep acting anti-miasmatic medicines or lesser known organopathic medicines to open such cases and when the totality is clearer, prescribe a polychrest or constitutional medicine.

In aphorism §91 of Organon, Hahnemann clearly mentions prescribing for natural disease and not for conjoint disease (where the drug induced artificial chronic disease is super-imposed on natural disease and patient cannot give us a clear picture e.g. modalities, sensation or characters of pain etc.). For example, in a pain-killer dependant migraine case, you ask the patient about the character of the pain (e.g. whether it is stitching, tearing, throbbing, dull aching, bursting, numbness, fullness etc) or you ask the modalities (e.g. if the pain is better by cold or warm application; how about the open air, warm room etc.) and the patient replies, 'whenever I have the pain, I take the pain killer; so I don't know!' Therefore, you cannot frame an uncontaminated picture of the disease, as you are unable to complete the symptoms with sensations, modalities and characteristics in order to prescribe your powerful polychrest.

In such a situation, which is very common in the present drug dependant world, on the basis of the few available symptoms, prescribe an organopathic medicine (as discussed here under Approach B) and start gradual reduction of the conventional medicine. You may be hesitant but have the confidence that the patient is tired of the ever increasing dosage of the conventional medication or its side effects. So, as soon as the patient feels more in control of their situation, this also helps them in a positive way. 'Yes, I can control the dosage, and homoeopathy is working for me!' The weaning off will be very gradual, without any distress to the patient, at all; e.g. for a 4 hourly dosage of pain killer in a migraine type of case, select an Organopathic homoeopathic medicine and the patient can take homoeopathic medicine, and thereby defer (even 1 or 2 hours) the conventional medicine. By reducing the conventional medication the uncontaminated picture of the natural disease surfaces. In this way, the pain-killer dependent patient who used to take the medication 4 hourly can, with the help of homoeopathic medicine now defer the pain-killer. In this way the conventional medication may be gradually reduced or weaned off, if this is what is required by the patient (with the consent of the prescribing doctor)So please prepare the patient for receiving the polychrest (PPPP).

"My years of clinical experience in busy Indian Clinics and in my Clinics in England, where I see extensively drug dependant patients; and also understanding and reading of Homoeopathic literatures, have brought me to the conclusion that the totality of the following six methodologies will enable the prescriber to reach the "Similimum" efficiently and quickly:

I) Emphasis on Aetiologies (search for physical and emotional aetiologies, past history of disease, conventional medication and/or vaccination: Never Been Well Since).
II) Totality of Physical Symptoms (with special emphasis on generals, modalities and sensations).
III) Emotional Symptoms (with emphasis on personality profile and the nature of the person).
IV) Behaviour, Gesture, Posture, Hobbies (how the person speaks, behaves during the consultation, his nature, interests, tendencies and values etc.).
V) Miasmatic Totality (diagnosing the surface miasm, please refer to my book "Miasmatic Prescribing" for quick miasmatic diagnosis).
VI) Homoeopathic Generalities: (a) Thermal reactions, (b) Food preferences and appetite, (c) Thirst, (d) Sleep and dream, (e) General eliminations, (f) Diathesis or tendencies & (g) Allergies."

In my experience, the Totality or a combination of any three of the above methodologies can get you to the Similimum.

This is a time tested, repeatedly verified, scientific, classical and practical approach which has been practiced for centuries by Master Homoeopaths including Drs. Kent, Hering, Lippe, Tyler, Nash, etc.

PRESCRIBING APPROACH- A

NON-SUPPRESSED CASES: CASES WITH CLARITY OF SYMPTOMS:

MTEK is an useful memory aid to arriving at a correct prescription.

M = Miasmatic Totality
T = Totality of Symptoms
E = Essence (should include gestures, postures, behaviours etc)
K = Keynotes (which should encompass PQRS symptoms, refer §153 and §209 of Hahnemann's Organon)

When the above criteria are considered and the steps below followed, a correct prescription can be made.

The beauty of this methodology of M-TEK:

(Miasm (50% emphasis) + [Totality, Essence+ Keynotes] (50% emphasis), which is the classical and practical prescribing approach in this drug dependant world, is shown by the benefits which are as follows:-

1) Time tested;
2) Scientific;
3) Methodical and logical;
4) Founded on solid principles; and 5) Not confusing.

Step-I: Make the miasmatic diagnosis of the case i.e. ascertain the surface miasm.

Step-II: Assess the Totality of Symptoms + Essence + Keynotes and PQRS (if any) of the case and formulate the indicated remedy.

Step-III: Ensure that the indicated remedy covers the surface miasm, as diagnosed in Step I.

Step-IV: Administer the remedy, which encompasses the miasm as well as the Totality of Symptoms.

Step-I- Illustration:

First, make the miasmatic diagnosis of your each and every case i.e. ascertain the surface miasm, this can be done by:

(a) Head to foot assessment of symptoms (please refer Miasmatic Prescribing by Subrata K. Banerjea);

(b) Through clinical manifestation of disease, e.g. hypo/scanty/less are psora (e.g. hypotension, atrophy, anaemia etc); hypers are sycotic (e.g. hypertension, hypertrophy, hyperplasia etc.); dyses are syphilitic (e.g. dystrophy, dysplasia etc.) and allergies and haemorrhages are tubercular (e.g. hay fever, menorrhagia etc).

(c) Through psychic essence, nature and character of the individual case (e.g. suspicious, jealous and exploiting in nature represents sycosis; destructive and cruel to animals represents syphilis; stubborn, changeable and impatient natures are tubercular etc.)

(d) We can diagnose the miasm from other, different aspects, e.g. reference to hair falling: alopecia with dry lustreless hair and bran-like dandruff is psora; circular or spotty baldness is sycotic; diffused hair falling is syphilitic, and thick yellow crusts in the hair are tubercular; in reference to taste: burnt is psoric; fishy is sycotic; metallic is syphilitic and taste of pus is tubercular; in reference to pulse: bradycardia is psoric; tachycardia is sycotic and irregular pulse is syphilitic; in reference to bowels: constipation is psoric; diarrhoea is sycotic; dysentery is syphilitic and malaena is tubercular; in reference to pains: neuralgic pains are psoric; joint pains are sycotic; bone pains are syphilitic and pains with exhaustion are tubercular.

(e) Diathesis (tendencies/pre-disposition) can also hint the miasm: eruptive diathesis is psoric; rheumatic-gouty, lithic-uric acid or proliferative diathesis is sycotic; suppurative-ulcerative is syphilitic and haemorrhagic diathesis is tubercular.

(f) Psoric secretions are watery, mucusy, and serous; sycotics are purulent, yellowish; sticky, acrid, putrid and offensive are syphilitic and haemorrhagic secretions/discharges are tubercular.

(g) if you ask your patient what his hobbies are: 'hunting' reflects syphilitic taint; 'travelling' is tubercular, whereas 'gambling' is sycotic!

(h) Ask your patient: 'If you could take a week off and money would be no object, what would you do?' Mr. Psora is lazy and will do nothing; Mr. Tubercular will go on a round the world trip! Thereby you understand the innate dyscrasia and miasmatic nature of your patient.

(i) Miasmatic diagnosis can be made from nail appearance; e.g. dry harsh nails are psoric; thick, wavy, ribbed, corrugated, convex nails are sycotic; thin, spoon shaped concave nails are syphilitic and glossy and spotted nails are tubercular.

(j) Miasmatic observation of children: nervous, anxious, constipated children are psoric; restless, hyperactive (ADHD), colicky, diarrhoeic children are sycotic; withdrawn, dull, extremely forgetful, convulsive, dysenteric children are syphilitic and allergic, haemorrhagic, stubborn, impatient children are tubercular. ;

(k) LOOK AND DIAGNOSE THE MIASM:

(1) PSORA: (i) Hair: Dry, harsh, dandruff++. (ii) Face: Bluish appearance. (iii) Facial expression: Anxious, nervous, apprehensive, and fearful. (iv) Lips: Dry, features of cyanosis. (v) Skin: Dry, harsh. (vi) Nails: Dry, harsh. (vii) Dress: Wears light colours. (viii) Personality: Affectionate, amiable, caring, cautious, collector, compassionate, conservative, considerate, dutiful (over the top Sycosis joins), easy-going, emotional, forsaken, kind, naïve, peace-maker, perceptive, private, reserved, sensitive, thoughtful, worrier. (ix) Hobbies: Watching TV, video, films (cinema), reading, board games, playng cards. (x) Occupation: Carer, clerical, nurse, nursery-nurse.

(2) SYCOSIS: (i) Hair: Fishy smell, alopecia in circular spots. (ii) Face: Yellowish colour, puffy, oedematous congenital/acquired overgrowth. (iii) Facial expression: Greedy, cunning, exploitative, jealous, suspicious, mischievous. (iv) Lips: Thickened. (v) Skin: Thickened, fish-scale, vesicular. (vi) Nails: Thick, ridged, ribbed corrugated, convex. (vii) Dress: Wears yellow/bright colours (ostentatious and fatuous). (viii) Personality: Aggressive, ambitious, arrogant, assertive, bossy, charismatic, enthusiastic, fanatic (if destructive Syphilis joins), faultfinding, friendly, gregarious, humorous, intense, list maker, manipulative, outgoing (if changeable Tubercular joins), perfectionist, planner, possessive, ritualistic serious, sincere, sociable (Tubercular joins). (ix) Hobbies: Gambling, casinos, bingo, fast dancing (rock and roll), shopping (excess due to greed). (x) Occupation: Accountant, chief executive officer, dictator (successful), doctor (Psora also present), lawyer, pimp, policeman, politician, receptionist, stockbroker (Syphilis joins), under-cover agent

(3) SYPHILIS: (i) Hair: Falling from all over the body. (ii) Face: Reddish appearance, cleft palate and allied congenital abnormalities. (iii) Facial expression: Cruel, brutal, vindictive, spiteful, dull, and depressed. (iv) Lips: Cracked. (v) Skin: Cracks and fissures, ulcerative. (vi) Nails: Thin, break easily, channelled, pitted, concave (spoon shaped). (vii) Dress: Wears non-matching colours (lack of conception and realisation), dark colours, and black. (viii) Personality: Abusive, closed, depressed, dogmatic, pessimistic, revengeful, and rude. (ix) Hobbies: Hunting, wrestling, boxing, martial arts, archery, ten-pin bowling, speedway, coarse fishing (sea fishing). (x) Occupation: Butcher, manual labourer, publican

(4) TUBERCULAR: (i) Hair: Breaks, splits and sticks together. (ii) Face: Purple colour, flushed cheeks. (iii) Facial expression: Indifferent, discontented, independent, stubborn, changeable. (iv) Lips: Bright red, flushing. (v) Skin: Flushing, bleeding. (vi) Nails: Glossy, white spots, flush easily. (vii) Dress: Wears red, purple and pinkish colours. (viii) Personality: Adventurous, artistic, bubbly, changeable, creative, fearless, fun loving, independent, rebellious. (ix) Hobbies: Creative hobbies (cooking, knitting, drawing, acting), traveling, horse riding, motor racing, golf, skiing, music, gardening, lake fishing, swimming, shopping (likes changes). (x) Occupation: Actor, air hostess, artist, craftsman/artisan, detective, driver, gardener, kindergarten nurse (Psora joins), postman, salesman, teacher.

For details, please refer my book, "Miasmatic Prescribing".
Details: http://www.homoeopathy-course.com/index.php/homoeopathy-resources-media/homoeopathy-books/dr-banerjea-book-on-miasm

By such a prescription, which covers the miasmatic dyscrasia of the person, the chances of recurrence are eradicated and the axiom of 'rapid, gentle and permanent recovery' (Hahnemann's Organon §3) is encompassed. In cases of one-sided disease with a scarcity of symptoms, the action of the anti-miasmatic remedy is centrifugal, and by bringing the suppressed symptoms to the surface, allows a proper totality to be framed.

The miasmatic consideration is therefore of great importance as demonstrated in the following example:-

A person is suffering from features of gastric ulcer, which has been confirmed by radiography. As ulceration is syphilitic, the surface miasm is therefore syphilitic also. Let us say that the totality of symptoms (physical, emotional and essence) of the person reflects towards Kali Bichromicum, an anti-syphilitic remedy. The choice of remedy is therefore simple, as Kali Bich covers both the totality of symptoms and the surface miasm of this gastric ulcer case. Kali Bich will peel away the outer layer and reveal a second layer underneath. This second layer may perhaps manifest through the appearance of warts or moles on the face, an indication of suppressed sycosis and the next assessment of the case should include this new surface totality. Following Kentian ideology we now know that there needs to be a change in the plan of treatment, that is, the previous syphilitic plan needs to change to a current sycotic plan, and a new anti-sycotic medicine needs to be selected based on the presenting totality.

Step II- Illustration:

Assess the Totality of Symptoms + Essence + Keynotes and PQRS (if any) of the case and formulate the indicated remedy.

Totality of symptoms:

(1) Each of the symptoms must be complete with regard to its location, sensation, and modality and concomitant (Subrata's addition: Cause and onset, duration of the suffering and treatments he/she had in the past.)

(2) The symptoms should have a chronological order of development and progression.

(3) Environmental, occupational and other exogenous influences on the case must be evaluated.

(4) Then the background of the case from (a) the past history (with special reference to various forms of suppressions) and (b) the family history (inherited miasmatic influences), must be in the purview.

(5) The qualitative totality of all the symptoms (outwardly reflected picture of the internal essence of the disease) is the sole indication for the choice of the remedy.

For details, please refer my book, "Classical Homoeopathy for an Impatient World". Details: http://www.bjain.com/index.php/store/viewdetail/1666.

Illustration of the Essence and Behavioural aspect of the patient:

i) Acquaintance with the psychic essences and personification of 'Drug Pictures' [e.g. Mr. Lycopodiums are teachers, doctors, successful dictators, and politicians; and their personality characteristics reflect they are careful; cautious; conscientious; conservative; courteous; contained; avoid risk and commitments - Mr. Safe; Mr. Nux Vomicas are CEO, share brokers, salesman, and their personality characteristics reflect they are ambitious, impatient, arrogant, charismatic, aggressive, independent, confident, courteous, workaholics, perfectionists; Mrs. Pulsatillas are nursery nurses teachers, carers. and their personality characteristics reflect they are emotional-tearful, moody, changeable, pleasing, perceptive, affectionate, caring, forsaken, worriers; and Miss Phosphorus' can be artists, actors, receptionists, maitre d'hotel, politicians, and their personality characteristics reflect they are expressive, emotional, social, artistic, impressionable, gregarious, sympathetic and sensitive] with modern interpretations of old proving symptoms;

ii) To ascertain a clearer picture for the constitutional medicine e.g. ask about the innate nature of the person, for example 'Give ten words to describe you'. and when patient says I am COMPASSIONATE: - e.g. Arg-nit, Bell, Calc, Calc.Phos, Carcin, Caust, Coccul, Graph., Ign, Lach, Nat-c. Nat-m, Nit-ac, Nux-v, Phos, Puls., Sulph; DUTIFUL :- Calc, Calc-I, Carcin.,Cocculus, Ignatia, Kali-ars., Kali-c, Kali iod., Lyco, Nat-m, Puls; EASY GOING :- Ars, Calc, Carc, Lil.Tig., Lyco, Mag Mur., Nat-m, Nux-v, Phos-ac, Phos, Puls, Rhus Tox, Sepia, Sil., Sulph, Thuja; FAMILY ORIENTED :- Acet-ac, Anac., Ars, Baryta C., Calc, Calc-I, Calc-sil, Carc., Graph., Hep, Ign., Iod., Kali Br., Kali Nit., Kali Phos., Lyco.,Mag Carb., Nat Carb.,Nat Mur., Petr, Phos, Phos.Ac., Puls, Psor., Rhus-t, Sulph. etc.

Picturised representation of Behavioural Materia Medica: http://www.homoeopathy-course.com/index.php/homoeopathy-resources-media/materia-medica-lectures

These are modern extensions/ interpretations of old proving symptoms and not found in the Repertory books and Subrata has developed an extensive Repertory of Personality Characters.

Step III & IV - Illustration:

Ensure that the indicated remedy covers the surface miasm, as diagnosed in Step I. Subrata has developed a "Miasmatic Weightage" of medicines, which can be found in his book, "Miasmatic Prescribing".

http://www.homoeopathy-course.com/index.php/homoeopathy-resources-media/homoeopathy-books/dr-banerjea-book-on-miasm/2-uncategorised/133-part-vi-miasmatic-weightage-of-medicines

Administer the remedy, which encompasses the miasm as well as the Totality of Symptoms (M-TEK).

PRESCRIBING APPROACH- B CONTAMINATED DRUG DEPENDENT CASES: CASES WITHOUT CLARITY OF SYMPTOMS:

i) In drug dependent cases placing emphasis on Lesser Known Medicines (e.g. Franciscea, Ginseng, Pimpenella, Stellaria, Viola etc. to open the steroid dependant arthritic cases with few uncontaminated symptoms and absence of clear modalities can prove beneficial; such lesser known organopathic medicines have capability to alleviate symptoms to certain extent, thereby giving the chance to wean off the conventional medication, and experience shows that after 40-50% weaning off; uncontaminated symptoms of the natural disease surface and give scope for constitutional prescribing) can succeed when well selected remedies fail;

ii) In drug dependent dependant arthritic type of cases where medicines like Actaea Spicata, Angustura Vera, Benzoic Acid, Caulophyllum, Cobaltum Nitricum, Cyclamen Europaeum, Eupatorium Perfoliatum, Formica Ruffa, Franciscea Uniflora, Gettysburg Water, Ginseng (Panax), Gnaphalium, Guaiacum, Hedeoma Pulegioides, Helonias, Kali Iodatum, Lacticum Acidum, Lithium Carbonica, Macrotin, Manganum Aceticum, Natrum Salicylicum, Oleum Jecoris Aselli, Pimpenella Saxifraga, Radium Bromatum, Rhamnus Californica, Rhododendron, Stellaria Media, Viola Odorata, X-Ray etc may wean-off the conventional medication. In this way, we can open the steroid dependant arthritic cases. Such lesser known organopathic medicines have capability to alleviate symptoms to a certain extent, thereby giving the chance to wean off the conventional medication, and experience shows that after 40-50% weaning off; uncontaminated symptoms of the natural disease surface and give scope for constitutional prescribing.

iii) In the same way, for conventional pain killer dependent Migraine type of cases, the artificial chronic disease is superimposed on the original natural disease, therefore symptoms are contaminated or suppressed and the patient cannot give a clear picture for a constitutional medicine as well as the modalities of the pain are masked. In such cases, the following medicines can be selected on the basis of few available symptoms, e.g., Acetanilidum, Anagyris, Bromium, Chionanthus Virginica, Epiphegus, Ferrum Pyro-Phosphoricum, Indium, Iris Versicolor, Kalmia Latifolia, Lac Defloratum, Melilotus, Menispernum, Menynanthes, Oleum Animale, Onosmodium, Saponin, Usnea Barbata, Yucca Filamentosa etc. Accordingly the conventional allopathic pain killer may be gradually withdrawn and after approximately 50% weaning off of the conventional medicine, suppressed symptoms surfaces and now the patient can give much clearer modalities.

iv) Similar example for drug dependent Hypertensive type of cases where the following medicines Allium Sativa, Crataegus Oxyacantha, Eel Serum, Ergotinum, Lycopus Virginicus, Rauwolfia Serpentina, Spartium Scoparium, Strophanthus Hispidus etc. or for drug dependant Hyper-cholesterolaemia cases use of Adrenalin, Crataegus Oxycantha, Ergotin, Polygonum Aviculare, Spartium Scoparium, Sumbul may be capable of gradually weaning off the conventional medication.

v) Similar example for drug dependent Hayfever type of cases where the following medicines Ambrosia, Arundo, Linum usitatissimum, Phleum pratense, Rosa damascena, Skookum Chuck, Wyethia may be capable of gradually weaning off the conventional medication.

vi) In drug dependent asthma type of cases, when the patient is on an inhaler and/or steroids; in such cases it is very difficult to get a clear picture of the case. The artificial chronic disease is superimposed on the original natural disease (Aphorsim 91, Organon), therefore symptoms are contaminated or suppressed and the patient cannot give a clear picture e.g., modalities, etc. In such cases, homoeopathic bronchodilators e.g., Aralia Racemosa, Blatta Orientalis, Aspidosperma, Cassia Sophera, Eriodictyon, Pothos Foetidus etc., can be prescribed on the basis of few available symptoms (according to §173--§178, Ref. Organon of Medicine) and gradually the conventional allopathic bronchodilator may be withdrawn [Subrata asks the patient to sip the homoeopathic bronchodilator medicine prescribed on the basis of few available symptoms in those drug-dependant asthma cases, therefore considering the partial symptomatic similarity in accordance with §173--§178. So when the patient is out of breath and in need of conventional bronchodilator, patient takes the homoeopathic medicine and tries to defer the conventional medicine as much as s/he can. In this way, a steroid dependent patient who used to take steroid/inhaler 8 hourly; may be, with the help of homoeopathic medicine can defer the steroids to 12 hourly, then 24 hourly and so on. In this way the conventional medication/inhaler etc may be gradually weaned off].

EIGHT HOMOEOPATHIC BRONCHO-DIALATORS: WHICH MAY HELP TO GRADUAL WEAN-OFF THE CONVENTIONAL MEDICATION:

1) AMYL. NITROSUM:

(i) Asthmatic dyspnoea with angina.
(ii) Chest:- (a) Oppression, (b) Fullness, (c) Suffocation.
(iii) Anxiety : must have fresh air.
(iv) Cough:-(a) Spasmodic, (b) Suffocative, (c) Paroxysmal.
(v) Constriction:- (a) Throat, (b) Chest, (c) Larynx.
(vi) Manifestation:- (a) Pulsation, (b) Oppression, (c) Constriction.
Miasmatics: Psora (++), Sycotic(+), Syphilis (+), Tubercular (+)
Potency of Choice: 1x, 6 C.
DOSE : Adult : 2 drops x 6 hourly SOS

2) ARALIA RACEMOSA:

A = Asthma with wheezing.
R = Right lung : affected
A = Agg. at 2 A.M.
L = Lying agg.
I = Inspiration is difficult
A = A f.b. (foreign-body) sensation.
(i) Wheezing in throat. Constriction in chest and throat with a sensation of foreign body in the throat.
(ii) Inspiration is difficult than expiration.
(iii) Cough < after lying, < 2 A.M.
(iv) Expecto¬ration is salty and hot.
Miasmatics: Psora (++),Sycotic(++), Syphilis (+), Tubercular (++)
Potency of Choice: Q, 6 C.
DOSE : Children : 2-4 drops x 6 hourly SOS. Adult : 8-10 drops x 6 hourly SOS

3) ASPIDOSPERMA:

(i) Want of breath during exertion is the guiding symptom.
(ii) Useful in Cardiac asthma.
(iii) It is the Digitalis of the lungs : broncho-dilatation.
Miasmatics: Psoric (++),Syco(++), Tubercular (+).
Potency of Choice: Q, 30 C ;1M.
DOSE : Children : 2-4 drops x 6 hourly SOS. Adult : 8-10 drops x 6 hourly SOS

4) BLATTA ORIENTALIS:

(i) Doctrine of Signature: Cockroach lives in cracks and crevices; in damp shady places, therefore it is a wonderful medicine for Asthma for people who lives or works in damp basements, cellars, etc. damp dwelling. Aggravation from damp and rainy weather. Agg. from change of weather.
(ii) Asthma with bronchitis, especially indicated after Arsenic when this is insufficient.
(iii) Acts best, in stout, or corpulent persons.Seem to act on patients who have a tendency to obesity. (iv) Much pus like mucus. (v) After the spasm. for the remaining cough use higher, stop with improvement.
Miasmatics: Psora (++)-Sycotic(+++).
Potency of Choice: Q, 30 C ; 1M.
DOSE : Children : 2-4 drops x 6 hourly SOS. Adult : 8-10 drops x 6 hourly SOS

5) CASSIA SOPHERA:

(i) Skin diseases (like dandruff, eczema, itching, ringworm etc.) are associated with bronchial troubles.
(ii) More the cough (in asthmatic patients) and more it is a painful and distressing cough, better it is indicated.
(iii) Asthmatic symptoms with rattling of mucus in the throat but not much expulsion.
(iv) Aggravates during rainy and winter season,
(v) < later part of the evening and past mid-night, towards early morning, better by sitting up. Note:- Cassia sophera is antidoted by smoking or chewing tobacco, so patients, should avoid them during medication.
Miasmatics: Psora (++),Syco(+++),Syphilitic (+).
Potency of Choice: Q, 30 C;1M.
DOSE : Children : 2-4 drops x 6 hourly SOS. Adult : 8-10 drops x 6 hourly SOS

6) ERIODICTYON GLUTINOSUM:

(i) Bronchitis followed by tubercular cough. Past history of recurrent bronchitis, pneumonia when the lung vitality is really low and patient coughs and coughs to bring the expectoration; finally when the expectoration comes, s/he feels so much better.
(ii) Profuse nocturnal sweat and spasm > by expectoration.
(iii) Cough after influenza.
Miasmatics: Psora (++),Sycotic(++),Syphilis (+),Tubercular (+++)
Potency of Choice: Q, 30 C.
DOSE : Children : 2-4 drops x 6 hourly SOS. Adult : 8-10 drops x 6 hourly SOS

7) POTHOS FOETIDUS:

(i) For asthmatic complaints, which is caused and are made worse from inhaling any dust. Allergic broncho-spasm.
(ii) Difficult, troublesome respiration; oppression with perspira¬tion. Anguish with oppression.
(iii) Asthmatic symptoms are better by passing stool.
(iv) Deep acting Syco-Psoric remedy
Miasmatics: Psora (++),Sycotic(++),Tubercular (++)
Potency of Choice: Q, 30 C ; 1M ( For Allergic Broncho-spasm).
DOSE : Children : 3-5 drops x 6 hourly SOS. Adult : 10-12 drops x 6 hourly SOS

8) SOLIDAGO VIRGA:

(i) Periodical asthma with nightly dysuria.
(ii) 15 drops doses promote expectoration in bronchitis and bronchial asthma, in old people.
(iii) Expectoration:- (a) Profuse, (b) Blood stinged.
Miasmatics: Psora (++),Sycotic(++),Syphilis (+),Tubercular (+++).
Potency of Choice: Q, 30 C.
DOSE : Children : 3-5 drops x 6 hourly SOS. Adult : 12-15 drops x 6 hourly SOS

Dispensing of the dose of Homoeopathic broncho-dialators:

When the patient is out of breath and in need of a conventional broncho-dilator, patient can take any of the above homoeopathic medicine (or any other homoeopathic organo-pathic medicine, in accordance with the few symptomatic similarity) and tries to defer the conventional medicine as much as s/he can. In this way, a steroid dependent patient who used to take steroid/inhaler 8 hourly can, with the help of homoeopathic medicine now defer the steroids to 12 hourly, then 24 hourly and so on. In this way the conventional medication/inhaler may be gradually weaned off.

In the same way, for pain killer dependent migraine type of cases, the artificial chronic disease is superimposed on the original natural disease, therefore symptoms are contaminated or suppressed and the patient cannot give a clear picture for a constitutional medicine as well as the modalities of the pain are masked. Therefore, the following medicines can be selected on the basis of few available symptoms, e.g., Acetanilidum, Anagyris, Bromium, Chionanthus Virginica, Epiphegus,Ferrum Pyro-Phosphoricum, Indium, Iris Versicolor, Kalmia Latifolia, Lac Defloratum, Melilotus, Menispernum, Menynanthes, Oleum Animale, Onosmodium, Saponin, Usnea Barbata, Yucca Filamentosa. Accordingly the conventional allopathic painkiller can be gradually withdrawn and after approximately 50% weaning off of the conventional medicine, suppressed symptoms surface and now the patient can give much clearer modalities. This will lead to making a change in the plan of treatment and on the basis of 'MTEK' a constitutional prescription can now be made.

Similar example for Drug Dependent Hypertensive type of cases where the following medicines (Allium Sativa, Crataegus Oxyacantha, Eel Serum, Ergotinum, Lycopus Virginicus, Rauwolfia Serpentina, Spartium Scoparium, Strophanthus Hispidus) may be capable of gradually weaning off the conventional medication.

In my experience after the patient has weaned off approximately 50% of the conventional medicine, suppressed symptoms surface and the patient can give much clearer modalities. This will lead to making a change in the plan of treatment and on the basis of 'MTEK' a constitutional prescription can be made. Through this approach, not only does the patient gain immediate confidence that homoeopathy is acting, but has also may have weaned off the conventional medication to a certain extent.

The patient is often aware of the side effects of the chemicals of the conventional medicine and may want to stop or reduce the dose. This has to be done if the patient wants (with the consent of the patient &/or GP).

Using this method the conventional medicine may be gradually reduced if the patients so desires. I give full control to the patient who often consults with the conventional medicine doctor. If conventional drugs are reduced that empowers the patient and gives confidence to the process. The involvement in this process may assists in raising the patient's energy level. I do not advise exactly how much to wean-off because that should be guided by the G.P/ Doctor. As I give the control in the hand of the patient, and you can have disclaimer signed by the patient. Any weaning off mentioned in this section is related to my experience in my Indian Homoeopathic Centres. In the U.K it should be done with full consent of the patient and the G.P.

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