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Homoeopathic Management of Pseudo Surgical cases Re Orientation Presentation by Dr. Deepti Chawla Discussion Agenda Pseudo Surgical diseases Homoeopathic approach Detailed overview Homoeopathic Management of Tonsillitis Common Medications Conclusion ‘Pseudo’ Surgical cases Conventional classification Surgical Treated by mechanical intervention Non Surgical Treated with medications Pseudo Surgical: Cases classified as surgical by specialist but respond well to Homoeopathic medications Hahneman’s classification Clinical Classification of Diseases Surgical Diseases (Local malady due to causa external) Acute Diseases Diseases with fully developed systems Dynamic Diseases Chronic Diseases One sided diseases Having Internal Complaints Local Disease External Cause Internal Cause Hahneman’s classification Local Diseases One sided diseases which appear on external or local parts of the body External Cause Local diseases due to some external cause such as an injury , fracture etc. may be treated with surgery followed by a suitable homoeopathic medicine Internal Cause Local diseases due to internal cause which have been triggered by some immediate exciting cause. Cases falling under this category may be classified as pseudo surgical cases Pseudo Surgical cases Interpretation of Pseudo Surgical cases in light of Hahneman’s classification Local Diseases of Internal Cause Internal cause : Altered immune status Exciting cause: Exposure to pathogen Management of Pseudo Surgical Cases Formation of complete picture of disease Exact character of local affection All observable changes in health , symptoms Symptoms present before any medicine was used Selection of homoeopathic remedy corresponding to the totality Acute totality to be tackled first ( in case of acute affection) Anti miasmatic treatment, once the acute state has subsided Common Surgical conditions in which Homoeopathy has a role to play: Tonsillitis Adenoids Urolithiasis Warts Uterine fibroids CAUTION: Not ALL cases of the above conditions can be treated without surgical intervention. Practitioners are advised to follow guideline protocols in identifying cases suited for homoeopathic management Tonsillitis Inflammation of tonsils (tonsillitis) can be bacterial or viral Symptoms of tonsillitis include: Tonsils visibly red and swollen Patches of white discharge on infected tonsils Severe sore throat Difficult or painful swallowing Headache Fever and chills Enlarged, sore glands in the jaw and neck Changes in or loss of one's voice Tonsillitis Clinical Signs Source: http://www.hcs.calpoly.edu Adenoids The nasopharyngeal tonsil when hypertrophied so as to produce symptoms is called Adenoids This leads to symptoms of nasal obstruction such as: mouth breathing noisy breathing nasal tone of voice persistent nasal discharge deafness due to obstruction if Eustachian tubes. Inflammation of Adenoids may cause persistent nasal discharge, post nasal drip, cough or otitis media Adenoids Source: www.arthursclipart.com/medical Conventional Treatment of Tonsillitis and Adenoids Medication: Tonsillitis resulting from a streptococcal infection is usually treated with an antibiotic Unfortunately, there is currently no medication for the viruses that cause tonsillitis Surgical removal of Tonsils: In general, a patient may be a candidate for tonsillectomy if he or she meets one of the following criteria: Seven or more episodes of tonsillitis in one year Five or more episodes of tonsillitis each year over a period of two years Three or more episodes of tonsillitis a year for a period of three years Tonsillitis that recurs despite treatment with antibiotics Airway or swallowing obstruction due to swollen tonsils Drawbacks of conventional treatment In day to day practice we encounter Surgery is advised arbitrarily even to patients not meeting the previously stated criteria Surgery can never be without its accompanying risks, morbidity and complications Post operative haemorrhage Infection in some cases Ear Pain Poor oral intake of fluids Lower immunity hence overall increase in susceptibility to infections Iatrogenic complications Removing tonsils may reduce the risk of throat infections, it won't necessarily prevent them completely . Surgery is expensive. Homoeopathic Management of Tonsillitis & Adenoids : Case Studies Three case studies in all of which Tonsillectomy or adenoidectomy were recommended as the treatment of choice by ENT Surgeons All were treated effectively with homoeopathic medicines. Needless to say surgery was no longer required in any of them Homoeopathic Management of Tonsillitis Case Study 1 : Tanshi 6/C A six year old female child presented with complaints of cough, sore throat and pain in swallowing solids, accompanied by fever at night. She had a past history of recurrent episodes of acute tonsillitis with a frequency of an episode almost every two weeks. P/G: M/G: marked tendency to take cold easily on the slightest exposure increased thirst tendency for every cold to settle in throat the child appeared to be shy++ dull expression according to the attendant her concentration and memory were poor O/E single pus follicle in right tonsil erythema++ The following prescription was made on the basis of acute totality Merc. sol 200 x TDS x 2 days Belladonna 200 x TDS x 2 days Homoeopathic Management of Tonsillitis Case Study 1 : Tanshi 6/C On follow up the patient reported general improvement. She was afebrile and sore throat and cough were better O/Eerythema>> no pus focus seen No gain of weight in the last 2 years despite normal appetite Prescription Tuberculinum 200 x 2 doses Baryta carb 30 x T.D.S x 5days Further improvement over the next 3 months during which placebo was prescribed Patient reported with sore throat and dry cough Patient was afebrile and symptoms were much milder than earlier O/E Tonsils were enlarged but less as compared to previously slight erythema no pus follicles seen Homoeopathic Management of Tonsillitis Case Study 1 : Tanshi 6/C There was swift recovery with a repetition of the previous prescription of Tuberculinum 200 and Baryta carb 30 Subsequently follow up was continued for six months during which patient did not present with acute tonsillitis. The patient’s weight gain is now satisfactory Homoeopathic Management of Adenoids Case Study 2 : Lakshya 10/C A ten year old male child presented with c/o: Persistent nasal blockage Mouth breathing especially in sleep Cough off and on with yellow expectoration Snoring Past history: H/O mouth breathing Recurrent attacks of sore throat O/E: Tonsils enlarged Erethema + Investigations X- Ray nasopharynx: Soft tissue shadow nasopharynx, obstructing airway. Suggestive of adenoids. Adenotonsillectomy had been recommended by ENT surgeon. The following prescription was made: Silicea 200, 3 doses stat Agraphis Nutans 30 x TDS x 3 days Homoeopathic Management of Adenoids Case Study 2 : Lakshya 10/C On follow-up, general improvement was noted in cough and sore throat, expectoration was white. Mouth breathing and snoring were same as before Agraphis Nutans 30x TDS was repeated over the next two weeks Patient continued to improve and placebo was prescribed Follow-up: Child was reported to be breathing normally through nose in sleep within four weeks of starting treatment There was no snoring On examination, tonisllar enlargement was markedly less than previously observed Follow-up was continued for approx 6 weeks after the condition improved Patient has ever since remained asymptomatic Homoeopathic Management of tonsillitis Case Study 3: Akanksha 5/C A five year old female child presented with c/o pain throat since two days fever pain right ear < swallowing P/H: Recurrent episodes of sore throat with fever almost every 20-25 days. Patient continued to improve and placebo was prescribed Follow-up: Child was reported to be breathing normally through nose in sleep within four weeks of starting treatment There was no snoring On examination, tonisllar enlargement was markedly less than previously observed Follow-up was continued for approx 6 weeks after the condition improved Patient has ever since remained asymptomatic Conventional Treatment of Tonsillitis and Adenoids Surgical removal of tonsils and/or adenoids has remained the mainstay of treatment in conventional allopathic school of medicine. However, even minor surgery can never be without its accompanying risks, morbidity and side effects. There may be post operative haemorrhage, infection in some cases and since swallowing is painful after surgery, there may be poor oral intake of fluids. Footnote On August 24, 2005, Prince Charles commented that up to 480 million pounds could be saved by the UK government if one in 10 family doctors offered Homeopathy treatment to their patients as an alternative to standard drugs - The Times newspaper. It is well-known that traditionally the British Queen's family favours and follows Homeopathy. Prince Charles always insists that the UK government provide Homeopathy treatment in the National Health Services (NHS).
