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RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA, BANGALORE ANNEXURE II PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION 1. NAME OF THE CANDIDATE AND ADDRESS (In Block Letters) DR. SARVANI KALUVAKUNTLA DEPARTMENT OF MATERIA MEDICA, FATHER MULLER HOMOEOPATHIC MEDICAL COLLEGE AND HOSPITAL, UNIVERSITY ROAD, DERALAKATTE, MANGALORE – 574160 D/O K. VENKATESWARLU PERMANENT ADDRESS L.I.C. CHAIRMAN’S CLUB MEMBER, H.No. 4-2-150/2/3C, SRINIVAS NAGAR, KHAMMAM-507003 ANDHRA PRADESH. 2. NAME OF THE INSTITUTION FATHER MULLER HOMOEOPATHIC MEDICAL COLLEGE & HOSPITAL, DERALAKATTE, MANGALORE – 574160 3. COURSE OF STUDY AND M.D. (HOM.) HOMOEOPATHIC MATERIA MEDICA SUBJECT 4. DATE OF ADMISSION TO 16.06.2008 COURSE 5. TITLE OF THE TOPIC “A STUDY ON THE CONSTITUTIONAL MURIATICUM.” 1 ASPECT OF NATRUM 6. BRIEF RESUME OF THE INTENDED WORK 6.1 NEED FOR THE STUDY A homoeopathic physician take a total view of man, conceptualizing him as body , soul, and spirit. Man consists of an inseparable whole of mind and body. Any change in external or internal environment, which is capable of producing alteration, does effect the whole man during healthy as well as disease state. The successful application of the law of similars depends entirely on the concept of individualization and susceptible constitutions which forms the cornerstone of homoeopathic practice. The concept of individualization takes into consideration total response of the organism to the unfavorable environment seen through signs and symptoms on three planes emotional intellectual and physical where the life force manifested itself. Mental symptoms are mostly different in different individual, hence they really represent the patient and for a homoeopathic physician it is really the main thing to match. In modern times, weakness on the emotional plane has become one of our major existing health problems, whether because of lack of understanding of law of nature, or because of continuous “therapeutic” suppression of relatively peripheral ailments into the core of human existence, many of the problems of today’s world can be seen as arising from emotion s which are imbalanced, misdirected and destructive. Natrum Muriaticum (Sodium Chloride) is an important constituent of human body. All body fluids contain sodium including blood. The major physiological functions are maintaining fluid balance, generating electrical impulses in nerve and muscle and in generating gradients across cells to enable uptake of nutrients. Moreover when potentised sodium chloride is a very useful medicine for many acute and chronic diseases. It has profound impact on human mind. In the society a large number of patients is sufferings from psycho-somatic illness due to anxiety, grief, worries, vexation etc. Homoeopathic medicines like Nat.mur are found to be very effective in the treatment of such complaints. Further, there are a number of somatic illnesses of different tissues and organs which respond positively to potentised Natrum Muriaticum. This study is an attempt to understand the clinical utility of Natrum muriaticum as a constitutional medicine in patients suffering from various diseases. 2 6.2 REVIEW OF LITERATURE Synonyms of Natrum Muriaticum – Sodium Chloride, Chloruretum sodium, Natrum Chloratum purum, Sodii chloridorm. Common name – Common salt, table salt.1 Natrum muriaticum introduced and proved by Hahnemann.2 It is a deep acting and long acting polychrest.3,4 A salt represents the union of two qualities. Natrum is a strong desire to form a relationship, so much so that any rejection would cause tremendous hurt and disappointment. This need of Natrum has to be balanced by a quality of expecting disappointment and rejection, and unwillingness to form relationships. This is provided by the muriaticum element (chlorine). Thus, Natrum Muriaticum is understandably a very salt for it represents man’s need to form relationships, and at the same time the ability to withstand rejection.11 Salt is a regulator of osmosis without its presence in the fluids of the body, there would be no absorption of nutritive matter and no elimination of waste. Excessive use dries up the secretions, inhibits assimilation, impoverishes the blood weakens the nervous system and causes as tendency to idiopathic oedema. Mind – Patients are emotionally very sensitive, consolation aggravates, hopeless feeling about the future.5,6 Melancholic and depressed.7 This will be followed by tearfulness, great sadness. There is a tendency to brooding over old disagreeable, insults. Unrequited affection brings on complaints. Awkward and hasty, extremely forgetful.8,9 Their primary concern is not to hurt and not to be hurt. They have a high degree of objectivity and awareness, responsibility. Enjoy being presented with challenging circumstances even those involving emotional risk. Delusions inferiority complex, love with wrong person, disappointment in love, love with silent grief.10 Taciturn, offended at every word, likes to be alone. Sad and weeping mood without any cause. Absent minded while talking. 3 Physical Generals – Appetite: Excessive hunger or no appetite. Thirst: Constant, without desire to drink. Desire: Beer, wine, bitter drinks, bread, coffee, cold drinks, farinaceous food, fish, salty things, sweets. Aversion: Fats, rich food, tobacco, smoking, water. Urine: Involuntary when walking, coughing, laughing. Cutting pain just after urination. Bowels: Stool dry, hard, knotty like. Perspiration: Day time, while eating, slight exertion, uncovered, symptoms ameliorates, during sleep. Sleep: Sleepy but cannot sleep, sleepy by day, sleepless at night. Dreams: Amorous, of anger, anxious, confused, of death, robbers. Child – Very sensitive and delicate, take the smallest and most irrelevant fights between the parents to the heart, depressed mood, deeply thinking about her proble ms. Baby is very much cross, irritable even when kindly spoken to, cries from the slightest cause. The child gets into a passion about trifles, especially when consoled, consolation aggravates all troubles. Craving for salt and aversion to bread12 Great emaciation especially marked in the neck with long neck. Hot baby, catches cold easily, losing flesh while living well, weak ankles, they stumble or feet turn under them. Pale, anaemic13,14 Head – Sensation as if a thousand little hammers are knocking on the brain. Headache is splitting, throbbing, hammering accompanied by nausea and vomiting, congestive, neuralgic, blurring blindness, aching and zigzags before the eye.15 Eye – Feel bruised with headache in school children, eye lids heavy, lachrymation – acrid. Ears – Noises; roaring and ringing. Nose – Violent, fluent coryza, difficult breathing. Discharge thin and watery, like raw white of egg. Infallible for stopping a cold commencing with sneezing. 4 Face – Oily, shiny as if greased. Fever – blisters. Mouth – Sensation as if a hair on the tongue, mapped with red insular patches. Gastrointestinal Tract – Stimulates and increase digestibility. Indigestion with vomiting. Violent thirst for large quantities. Ravenous hunger, heart burnt after eating.16 Constipation, stool hard like sheep dung, fissures in anus, hemorrhoids. Diarrhoea alternate with constipation.17 Urinary System – Involuntary, scalding when urinating, cannot pass presence of others18. Male Reproductive System – Seminal emission soon after coition, impotence. Female Reproductive System – Prolapsus uteri, menses irregular; usually profuse, increase sadness before menses. Hot during menses. Respiratory System – Sticking sensation in throat. Cough with bursting pain in head; shortness of breath, sputa is thick whitish, watery, like the white of an egg, whooping cough.19 Cardiovascular System – Palpitates, flutters, pulsates violently. Extremities and Back – Joints weak, especially the ankle, small of back pain. Nerves System – Stimulating effects on the nervous system, keeping up its tone, spinal irritation. Skin – Shiny, pale, waxy, oily.20 Fever – Chilly between 9 and 11 A.M, violent thirst, continued chillness in malarial states. Sleep – Drowsy by day wakeful by night. Disinclined to rise in morning. Modalities – Aggravation: 10 to 11Am, music, warm room, lying down, at sea shore, mental exertion, consolation, heat of sun. Amelioration: In the open air, 5 cold bathing, lying on right side. 6.3. OBJECTIVES OF THE STUDY 1. To highlight the efficacy of Natrum muriaticum as a constitutional remedy. 2. To highlight the important therapeutic utility of Natrum muriaticum 7. MATERIALS AND METHODS 7.1 Source of Data: The subjects will be selected from OPD, and peripheral centers of Father Muller Homoeopathic Medical College, Deralakatte, Mangalore. A minimum of 30 cases will be selected randomly as per the inclusion criteria and will be followed for a minimum period of 3-6 months duration. 7.2. Methods of Collection of Data (including sampling procedure if any): The data will be collected by purposive sample method and processed in a standardized case record. Every case will be analyzed and repertorised using suitable repertories, then further reference will be made from the materia medica to select the constitutional medicine. The potency selection and repetition of the doses will be done according to the demand of the case, with consideration of potency selection criteria such as susceptibility vitality, changes in structural and functional level and the degree of correspondence to the remedies selected. Inclusion Criteria: The samples of both sexes aged 12-60 yrs. Patients suffering from long standing complaints Cases with similar mental and physical attributes like that of Natrum muriaticum. 6 Exclusion Criteria: Cases with severe mental retardation. Malignant and other incurable diseases. Cases treated with non-homoeopatic drug for long duration (more than 2 yrs) Tools: The data will be collected by purposive sample method and processed in a standardized case record. Research Hypothesis: Natrum muriaticum is an effective constitutional remedy. Null Hypothesis: Natrum muriaticum is not effective as constitutional remedy. Potentization does not bring about any curative property in sodium chloride. 7.3. Does the study require any Interventions to be conducted on patients or other humans (or animals)? If so please describe briefly. The following investigations may be done to rule out incurable medical conditions. Blood routine – Hb, TC, DC, ESR. Urine examination Stool examination 7.4. Has ethical clearance been obtained from your Institution in case of 7.3? Yes enclosed 7 8 LIST OF REFERENCES 1. Boericke & Dewey. The Twelve tissue remedies of Suchussler. 6th ed. New Delhi: B. Jain Publisher Pvt. Ltd; 2000. p.107. 2. Tyler M L. Homoeopathic drug pictures. New Delhi: B. Jain Publisher Pvt. Ltd; 1996. p.567. 3. http://www.midwifery.com/articles/salt of earth.asp. 4. Kent James Tyler. Lectures on Homoeopathic Materia Medica. New Delhi: B. Jain Publisher (P) Ltd; 2006. p.770-767. 5. Vithoulkas George. Essence of Materia Medica, 2nd ed. New Delhi: B. Jain Publisher Pvt. Ltd; 2004. p.130,131. 6. Jain J P. Highlights of Homoeopathic Materia Medica including Therapeutic Index. 2nd ed. New Delhi: B. Jain Publisher Pvt. Ltd; 2004. p.304, 305. 7. Cowperthwaite A C. A Text Book of Materia Medica and therapeutics. 13th ed. New Delhi: B. Jain Publisher Pvt. Ltd; 2001. p. 534. 8. http://www.apathy.com/materia medica/allenkeynotes/allen-natrum-muriaticum 9. Patil J D. Text Book of Applied Materia Medica. 1st ed. New Delhi: B. Jain Publisher Pvt. Ltd; 2005. p. 85. 10. Sharma Rashmi. Natrum Muriaticum – The Mannish Girls, Aude Sapere. Vol.5, Issue 1, Nov – Dec. New Delhi: B. Jain Publisher Pvt. Ltd; 2007. p. 22. 11. Sankaran Rajan. The Soul of Remedies. 1st ed. Mumbai: Homoeopathic Medical Publishers; 2005. p.144, 232. 12. Gopinath Mridula, Anand P. R. Perceiving the Minds of Ignatia, Natrum Muriaticcum and Sepia (Part II), The Homoeopathic Heritage. Journal Vol. 33. June 2008. New Delhi: SBL, Pvt. Ltd. P. 37. 8 13. Allen H C. Allen’s Key notes, Leading Remedies of the Materia Medica and Bowel Nosodes, 10th ed. New Delhi: B. Jain Publisher Pvt. Ltd; 2007. p. 213- 215. 14. Burt Willium H. Physiological Materia Medica. 1st ed. New Delhi: B. Jain Publisher Pvt. Ltd; 1995. p. 630. 15. Couter Catherine R. Portraits of Homoeopathic Medicines. Vol. I. Quality Medical Publishing, Inc. p. 349, 350. 16. Farrington E A. Lectures on Clinical Materia Medica. 4th ed. New Delhi: B. Jain Publishers Pvt. Ltd; 2006. p.855, 857, 858. 17. Nash E B. Leaders in Homoeopathic Therapeutics with Grouping and Classification.1st ed. New Delhi: B. Jain Publisher Pvt. Ltd; 1999. p. 332. 18. Clarke. A Dictionary of Practical Materia Medica Iberis-pediculus. Vol. II. 1st ed. New Delhi: Indian Books and Periodicals Publishers, 1996. p.547. 19. Boericke William. Pocket Manual of Homoeopathic Materia Medica & Repertory and a chapter on Rare and uncommon Remedies.1st ed. New Delhi: B. Jain Publisher Pvt. Ltd; 2007. p.459, 461, 462. 20. Choudhuri N M. An Study on Materia Medica. 1st ed. New Delhi: B. Jain Publisher Pvt. Ltd; 1999. p.504. 9 9. SIGNATURE OF CANDIDATE 10. REMARK OF THE GUIDE 11. NAME AND DESIGNATION OF DR. SUNNY MATHEW BHMS, MD PROFESSOR, DEPARTMENT OF MATERIA MEDICA, FATHER MULLER HOMOEOPATHIC MEDICAL COLLEGE AND HOSPITAL, DERLAKATTE, MANGALORE – 574160 KARNATAKA. 11.1 GUIDE 11.2 SIGNATURE 11.3 CO-GUIDE 11.4 SIGNATURE DR. SHRINATH RAO BHMS, MD PROFESSOR, DEPARTMENT OF MATERIA MEDICA, FATHER MULLER HOMOEOPATHIC MEDICAL COLLEGE AND HOSPITAL, DERLAKATTE, MANGALORE – 574160 KARNATAKA. 11.5 HEAD OF THE DEPARTMENT 11.6 SIGNATURE 12. 12.1 REMARKS OF THE CHAIRMAN & PRINCIPAL 12.2 SIGNATURE 10