Category Archives: classical=homeopathy
Homeopathic Medicine survived despite the challenges thrown at it in the two centuries of its existence. The salvo of today is from the scientific world, which is unrelenting and vows to snatch the carpet underneath the feet of our art and science and banish it from the planet.
Science has the habit of making new heroes, but there are some who stand the test of time. To uphold the ethos of the eternal hero of Homeopathy you need a man who treads with a firm stead and sound moorings. The research study on Haemophilia with homeopathic medicine has brought one such to the fore in the form of Dr.Tapas Kundu. ‘Cometh the hour,Cometh the man’.
If there is one set of diseases that are disconcerting to any Physician, it has to be the hereditary and genetic diseases which at best can be managed but are difficult tocure. Haemophilia is one such disease inherited genetically and modern medicine is at its wits end to find a way to keep the patient from bleeding. Let us look at the salient aspect of this disease and what this genial homeopath’s work on this malady has brought to Homeopathy.Haemophilia, as we all know is an inherited blood disorder due to a defective coagulation mechanism as there is a deficiency of a couple of clotting factors.
Mechanism of coagulation:
Coagulation is a complex process where the blood clots to see that there is no loss from the site of the injury. A fibrin mesh is formed as the platelets rush in to seal the block. As soon as the endothelium is damaged, platelets rush to the site of the injury. Simultaneously the proteins in the blood plasma are set into a chemical reaction and fibrin strands form. Fibrinogen is the essential factor which converts into fibrin when the situation demands it. But initially it is the clotting factors that are primary in this set of chemical reaction. If there is a deficiency of Factor VIII it leads to Haemophilia A and the lack of Factor IX leads to Haemophilia B.
What causes Haemophilia?
The genes for the formation of the clotting factors is in the X-chromosome. If the X-chromosome is defective in a man, the factor necessary for clotting does not form in the blood leading to Haemophilia. But in a woman with a defective X-chromosome, the other normal chromosome rises to rescue and takes care of the formation of the clotting factors. But a woman with the defective X-chromosome is the carrier and 50% of their progeny if boys; are likely to develop haemophilia.
Symptoms of Haemophilia:
Depending on the amount of the clotting factors available in the blood of the affected patient, the degree and symptoms of Haemophilia vary.
Mild Haemophilia: If the clotting factor is above 5% it leads to mild haemophilia and the symptoms usually show up when there is a dental procedure or a surgery. According to few cultures, circumcision is done in infants and that is the earliest when Haemophilia could show up as the bleeding doesn’t seem to cease.
Moderate Haemophilia: If the clotting factor is from 1-5%, then it leads to moderate haemophilia. In such patients they tend to bruise easily and can develop internal bleeding symptoms after a blow or a fall. There could be bleeding inside a joint, which could lead to an irritation and pain. If left untreated there could be stiffness of the joint with severe pain. Tenderness, swelling and heat locally of the affected joint can be experienced. Itusually affects the weight bearing joints like the ankles and knees and sometimes the elbows.
Severe Haemophilia: If the clotting factor is less than 1% of the necessary amount it leads to severe haemophilia. These patients tend to bleed for no obvious reason. The Little’s area of the nose and the gums are the initial spots of bleeding. Bruises are more common which can be large and deep and in numerous places over the body. Pain in the joints with swelling and tightness is common. Haematuria, occult bleeding and unexplained bleeding from the gums and nose become the order of the day. Such patients best always be observed as the probability of developing intracranial haemorrhage is very high. A bad headache, disturbance of vision, loss of balance, speech slurring and loss of coordination need to be looked out for.
Dr.Tapas Kumar Kundu
Management of Haemophilia:
Decades ago, patients would be infused with fresh whole blood. As the factor deficiencies were studied and diagnosed, the plasma would be frozen and was infused as and when necessary. As of now, recombinant and synthetic factors with mammalian plasma are being infused.
RICE (Rest, Ice, Compression, Elevation) remain the main stay of treatment.
The main challenge of recombinant factors being infused has come in the form of inhibitors. These are nothing but the antibodies that the body produces against the new antigen. These prevent the infused Factor VIII and IX from working properly, making them resistant to medication.
Now that we have an idea about Haemophilia let us look at the work that has been executed by Dr.Tapas Kundu and his team.
The first research paper was successfully published in www.sciencedirect.com in 2011, which reads:
Homoeopathic Medicines substantially reduced the need for clotting factor concentrates in haemophilia patients; results of a blinded, placebo controlled cross over trial.
This was a single blind placebo trial in 28 persons with severe (24) and moderately severe (4) patients of haemophilia. This study was conducted over a period of two years. During the firstyear,patients were given placebo and during the second year, acute medication was prescribed as and when the need arose, and also a deeper constitutional remedy was simultaneously administered. If the patient did not respond in the first six hours of medication, they were given factor concentrates.
During the first year there were a total of 203 bleeding episodes in 28 patients. This had come down to a phenomenal 28 bleeding episodes in the second year of observation with homeopathic remedies. The pain score and behavioural scores improved significantly and so did the need for analgesics. No patient developed inhibitors!
Arnica, Ledum pal, Mag phos and Hypericum were most useful for pain while Arnica Hamamelis andMillefolium were of use in acute bleeding. Calc flour was of great help with haemophilic synovitis. Millefolium proved its worth in the acute phase. Causticum, Calcarea carb, Heparsulph and Lachesis were the deep acting remedies that suited 16/28 patients.
The second research publication was in 2015 in the Journal of Traditional Medicine & Clinical Naturopathy which reads:
Management of Acute Bleeding in Severe Haemophilia using Homoeopathic Medicines: a Multicentric Case Series
The analysis of this paper was done from 2007 till 2014 involving 494 patients with ages between 9-51 years. Of 578 bleeding episodes, a staggering 91%of them responded successfully with homeopathic medicines, while 3.1% did not and factor substitutes had to be given. Patients who had inhibitors also responded 65% of the time. Pain was relieved in 83% of the cases.
The 636 bleeding episodes in the seven years of study included, epistaxis, bleeding from the gums, haematuria and miscellaneous bleeding. Hamamelis Q was found effective for open bleeding and was applied over the area for about 15-20 minutes. Arnica 30, Ledum pal 30 or Rhus tox 30 were the frequently used medicines apart from Merc sol, Calc carb, Sepia, Sulphur, Silicea, Veratrum alb, Tuberculinum, Medorrhinum, Lachesis, Lycopodium, Phosphorus, Pulsatilla etc. as and when the symptoms corresponded. These were given every half an hour and when there was no response in a fourhour period, factor precipitates were resorted to, to achieve haemostasis.
It was found that most of the cases responded with stoppage of bleeding within half an hour and pain was relieved within a two hour period.
Standard biochemical, haematological, grouping, cross matching and coagulation work up was done as per the clinical requirement and situation. Dr.Kanjaksha Ghosh(Director, National Institute of Haematology), Surgeon-Dr.Sudhir Kulkarni and Dr.Ranjana Kulkarni clinically evaluated the effects of homeopathic medicine single-blinded, and provided factor concentrates whenever possible. Apart from Dr.Tapas Kundu, Dr.Afroz Shaikh, Dr.Priyanka Singh andDr.Afiya Shaikh were the prescribing homeopathic physicians.
The third research study was published in Journal of Evidence-Based Complementary & Alternative Medicine in 2017 and is available as reprint in sagepub.com. The title of the paper is:
An Exploratory Study of Autonomic Function Investigations in Haemophiliacs on Homeopathy Medications Using Impedance Plethysmography
A medical analyzer system helps in finding the heart rate variability (HRV) and blood flow variability (BFV). It has been found that the autonomic nervous system has an impact on homoeostasis. This is measured by the medical analyzer system produced by the Bhabha Atomic Research Centre. It has been proven that HRV and BFV arefound more often in haemophiliacs than in the normal population.
A total of 80 subjects were studied amongst which were 18 healthy controls and 62 were severe haemophiliacs where Factor VIII was less than one percent. Heart rate and peripheral blood flow were recorded over one hour in all the subjects.
Amongst the 62 haemophiliacs, 49 were on individualized homoeopathic medicines and 13 were not on individualized medicines. Amongst the 49 haemophiliacs, 34 were feeling better symptomatically while 12 were not better. Three patients were not recorded due to technical limitations.
It was found that there was a decrease in parasympathetic activity in haemophiliac patients taking homoeopathic medicines, which suggests that the BFV is impacted by reducing vagal input to the heart, allowing the sympathetic system to respond to stress and haemostasis.
The fourth research study was published in Complementary Medicine Research in May 2018, titled:
Homoeopathic Medicine Reduces Pain and Haemarthrosis in Moderate and Severe Haemophilia: A Multicentric study
This study was done over a period between 2007 and March 2014 with 1679 episodes of haemarthrosis in 343 patients with haemophilia. This study included the knee joints, shoulder joints, elbows, ankles and the wrists. This also included patients who had already developed inhibitors but still responded to homeopathic medication.
In 23 patients, 99 episodes could not be managed with homeopathic medicines and required factor concentrate infusion. But a staggering 1550 plus episodes of pain in the joints due to haemarthrosis responded to homeopathic medication. The progression of improvement was seen in six hours. It was studied as reduction in the joint swelling, reduction of joint girth and relief of pain.
If the improvement did not occur in 24 hours they were told to resort to factor concentrates. The following remedies were prescribed on symptom similarity in lower trituritions. Arsenic alb, Belladonna, Apismellifica, Calc carb, Calc flour, Bryonia, Rhus tox, Sepia, Sulphur, Silicea, Veratrum album, Tuberculinum, Medorrhinum, Thuja, Sticta, Stellaria media, Ledum pal, Lachesis, Lycopodium, Phosphorus and Pulsatilla. If the change did not happen in two hours of starting the medicines, they were re-assessed and changed, which accounted for 497 episodes of the total 2173 occasions.
This study was helpful as homeopathic remedies have been able to arrest bleeding apart from providing significant pain relief, and they reduced the long-term tendency of frequent joint bleeds in a significant number of patients.
As always, observation was done by seasoned allopathic doctors who were unaware of the nature of the homoeopathic medicines given.
The fifth research publication was published in European Journal of Biomedical and Pharmaceutical Sciences in April 2018, titled:
Effective Management of Haemophilia patients with a combined therapy to reduce cost: A New Approach
This study measured the work done by the centres of Dr.Tapas Kundu and was accepted for publication. This showed that the periodic medical camps at different cities treating haemophilia patients with homoeopathic remedies have met with remarkable success in reducing the clotting times and gaps between hospital visits for transfusion concentrates, causing improvement in general health, a feeling of well-being and considerably bringing down the cost of overall management of haemophilia. All of this brings a ray of hope to the poor patients.
Takeaways for Homeopathy with this research studies:
Original article from http://www.hpathy.com
Labor and Delivery (Birth)
Giving birth to a child can be a different and unique experience for each new mom. And homeopathy can be very easily incorporated into any birth plan. The following are some of the most common remedies that can provide assistance and relief during labor and delivery:
- Aconite: Everything is happening too fast. Contractions are running into each other without a break. There’s tremendous anxiety and fear, especially fear of death. After the birth, this is the best remedy for shock for mother, baby, and/or partner (look for “big eyes”—that is, who looks and feels shocked, like they’ve been through quite an experience).
- Arnica: If you had to choose only one remedy to using during labor, this would be it. Take it throughout labor to prevent bruising—every 4 hours, or more frequently if it provides relief from pain. Typically, it will be more effective for those contractions that feel sore, bruised, aching—but manageable. After labor, take 3–6 times daily for up to a week to speed the healing of bruised muscles and to help with after pains.
- Chamomilla: Backache labor with intense, unbearable pains. The cervix is slow to dilate. The birthing woman is very angry—she screams with pain and demands relief but nothing is right.
- Cocculus: After the birth, there may be tremendous tiredness because of breastfeeding and the nights of broken sleep. Exhaustion is accompanied by dizziness, trembling, and/or a mild headache.
- Kali carbonicum: Backache labor with chilliness and exhaustion. Pains in the lower back radiate down into the legs and are better for very hard pressure. Contractions slow down or stop. The birthing woman is anxious and irritable, bossing everyone around.
- Kali phosphoricum: For simple exhaustion during or after the birth. In labor, one dose can be taken between each contraction until energy starts to return. After the birth, it will help if there’s exhaustion with insomnia from the excitement of the birth itself.
- Pulsatilla: The cervix doesn’t dilate, and the contractions stop and start. The birthing woman feels pathetic, weepy, and clingy—like she “can’t do it” and she says so. She wants company and reassurance, and she feels better when she gets
it. She doesn’t want anything to drink. She craves fresh air, feels much better from it, and much worse in a stuffy, hot room. After the birth, she feels depressed with all of the above general symptoms only more so and says “I want my mommy,” either literally, or in the way of wanting someone to take care of her.
- Sepia: The birthing woman gives up, becomes completely exhausted, and sags on every level. She is miserable and irritable—wanting to be alone but tending to snap only at loved ones. After the birth, she feels depressed— “burnt out,” irritable, and just wanting to be alone. The after-pains are severe.
- Sulphur: During labor, the contractions become very weak or stop. The birthing woman becomes very restless and feels hot, sweaty, thirsty, and irritable (unlike with Pulsatilla). She wants fresh air (like with Pulsatilla).
Labor and Delivery: Special Guidelines for Prescribing
- Select a potency that matches the intensity of the symptoms; 200C often works well during and after labor, the only exception being Kali phosphoricum which works best in a 6X potency.
- You’ll want to repeat more often than you would for an acute illness:
- every 5 to 15 minutes or even between contractions if symptoms are very strong;
- less often (i.e., every half hour to hour) if the symptoms are not very strong.
- Don’t worry if you jump from one remedy to another during the birth. Different remedies may be needed at different points in the process.
- Just as you would in using homeopathy in other situations, remember to:
- Stop the remedy once it “works,” i.e., once you see an improvement.
- Repeat the same remedy if the same symptoms return.
- Change the remedy if you’ve taken 6 doses and it hasn’t helped.