Transcript Pseudo Surgical

Homoeopathic Management of
Pseudo Surgical cases
Re Orientation Presentation by
Dr. Deepti Chawla
Discussion Agenda
Pseudo Surgical diseases
Homoeopathic approach
Detailed overview
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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
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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:
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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:
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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
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Changes in or loss of one's voice
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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:
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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:
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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:
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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
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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.
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P/G:
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M/G:
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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
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single pus follicle in right tonsil
erythema++
The following prescription was made on the basis of acute totality
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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
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O/Eerythema>>
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no pus focus seen
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No gain of weight in the last 2 years despite normal appetite
Prescription
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Tuberculinum 200 x 2 doses
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Baryta carb 30 x T.D.S x 5days
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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
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O/E
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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
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Mouth breathing especially in sleep
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Cough off and on with yellow expectoration
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Snoring
Past history:
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H/O mouth breathing
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Recurrent attacks of sore throat
O/E:
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Tonsils enlarged
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Erethema +
Investigations
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X- Ray nasopharynx: Soft tissue shadow nasopharynx, obstructing airway. Suggestive of
adenoids.
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Adenotonsillectomy had been recommended by ENT surgeon. The following
prescription was made:
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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:
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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
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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:
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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).