lesser known remedies-dr. bipin.docx

8/21/2019 LESSER KNOWN REMEDIES-DR. BIPIN.docx

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UPDATE IN MATERIA MEDICA

PERCEIVING THE CLINICAL UTILITY OF

LESSER KNOWN REMEDIES

DR. BIPIN JETHANI M.D. (HOM.)Reader, Department of Organon of Medicine,

Nehru Homoeopathic Medical College, Ne DelhiE!mail" dr#ipin$%ethani&gmail$com

A'(TRACT" The )*o called le**er remedie*+ are in fact not an a

le**er in the lingui*tic e-pre**ion of the ord #ut are merel le**

often #rought into pla and mo*t importantl hen the are indicated.

the do %u*t a* good or/ a* an polchre*t can achie0e$ In m *hort

*pan of clinical e-perience. I ha0e had occa*ionall an opportunit of

pre*cri#ing remedie* that ha0e #een relegated to the *phere of le**er

/non remedie*$ In thi* paper, I i*h to *hare ith the profe**ion the

e-perience that I ha0e *o far gained ith regard* to le**er /non

remedie*$

INTRODUCTION: )All drug* of 0er *pecial and uni1ue action, are

ea*il *tudied, and ell orth learning up$ The polchre*t*, 2the

common drug* of man u*e*2 ill *er0e u* ordinaril. and hen e

ha0e ma*tered (ulphur, (epia, 3copodium, Calcarea, Nu-, etc$, etc$,

e are a long a on toard* running, fairl ea*il and *ucce**full,

an ordinar out!patient clinic$ But th !"" u#$%&"'!!u"*u!

+&u,"- of very peculiar and distinctive features, are less

frequently, yet amazingly helpful. Once ma*tered, the romp in#rilliantl e0er time, and ma/e pre*cri#ing an e-citement and a

delight$ 4enerall the do not 2or/ out2, unle** for one ho ha*

ma*tered the *ecret, that the #e*t or/ i* done ith a fe of the

2*trange, rate and peculiar *mptom*2, 5tting the ca*e, rather than

ith a ho*t of *omehat inde5nite general *mptom*, hich, if

mailto:[email protected]:[email protected]


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politel gi0en precedence, ill often onl *ugge*t *e0ere al remedie*

of the polchre*t tpe, and perhap* completel mi** the one #rilliant

and indi*pen*a#le$+

The*e enlightening ord* of the great compiler Dr$ M$3$ Tler in her

drug picture of )3ac caninum+ 0er aptl underlie the *igni5cance of

percei0ing the enormou* therapeutic e6cac of le**er /non

remedie* of our Materia Medica$ A* the epic 4ree/ poet Homer

encap*ulated in hi* famou* *aing in )The Od**e+"

)7er often a *mall roc/ hold* #ac/ a great a0e$+

CASE DISCUSSIONS" To #egin ith. let me narrate a ca*e of a 8 ear

old female child ho happened to *u9er from recurrent attac/* of

0e*icular eruption* on face ith inten*e itching and hich u*ed to #e

or*e in inter*$ The itching a* or*e at night and *cratching u*ed

to lead to thin di*charge$ The intra!uterine hi*tor of the ca*e #rought

to the fore fact that mother had *u9ered from *e0ere 0omiting for

entire nine month* of pregnanc$ The further e0olutionar hi*tor of

child re0ealed that *he had *u9ered from chic/en po- at the age of :

ear* and her de0elopmental mile*tone* and 0accination *tatu* didnot gi0e a clue to pre*cri#ing$ The anamne*i* of the ca*e and her

de*ire for *eet* and cold ater had made me thin/ of Throidinum

hich did not help$ In *u#*e1uent ca*e percei0ing. a crucial a*pect of

the ca*e a* empha*i;ed upon # the parent came to light !!!! the

child, #eing full of life and acti0it, manife*ted her mental e-cita#ilit

e*peciall at a#out the night time$ (he u*ed to a/e up from *leep

and demanded to pla or in0ol0e in *ome frolic acti0it$ In light of m

e-perience in the OPD of Dr$ 3$M$ ? do*e*$ The

e9ect a* onderful and the concomitance of Cpripedium opened

the magic door$


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4leaning through the page* of ancient pharmacolog. I found that thedrug Cpripedium a* con*idered a ner0ine # the eclectic* i$e$ it a*u*ed a* ner0e tonic, a medicine that act* therapeuticall upon thener0e*, particularl in the *en*e of a *edati0e that *er0e* to calm

ru@ed ner0e*$ It a* reported that thi* plant a* *uperior to opiumfor inducing *leep and a* once commonl u*ed to treat 0ariou*ner0ou* di*order*$

ohn H$ Clar/e in hi* )A Dictionar of Practical Materia Medica+ ha**tated that" It $" $#+$/'t+ $# th 0&'$# h1&'th"$' 2* /h$!+&# 3h2 3'4 $# th #$,ht !$%! '#+ *u!! 2* 1!'5.

'ut in order to more appropriatel reali;e the *cope of therapeuticutilit of the drug Cpripedium. let u* refer to Dr$ N$M$ Choudhar in

hi* *cholarl or/ )A (tud on Materia Medica+$ He lucidl *tate* that"

)BB$$often *uch functional irrita#ilit and cere#ral hperae*the*ia endin con0ul*ion*$ A fe do*e* of Cpripedium ill a0ert the impendingdanger$+

Thi* *tatement merel re!iterate* the *igni5cance of homoeopathic**tem of medicine in a#orting in the di*ea*e in it* na*cent *tage #efore it ha* ta/en it* full pathogenic potential$ In fact, the immen*ecapa#ilit of thi* )*mall+ drug in treating cere#ral hperacti0it at the

functional *tage *hould open a ne 0i*ta for e-ploration of entiretherapeutic e6cac of *uch group of not ell pro0en drug*$

A more thorough under*tanding of the drug Cpripedium furtheridened the hori;on of pre*cri#ing$ The *tud of 'oeric/e+*)Homoeopathic Materia Medica+ led to appreciation of the a#ilit of thi* drug to produce Rhu* li/e */in *mptom* a* a* mentioned #him a*" )The */in *mptom* corre*pond to tho*e of poi*oning # Rhu*,for hich it ha* #een found an e6cient antidote$+

Thi* con0inced me of the clinical e6cac of Cpripedium in ca*e* of */in a9ection* ith the concomitance of ree- ner0ou* e-citementmanife*ted through *leeple**ne**. peculiarit #eing u##'tu&'!!1!'*u! 't #$,ht+$


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In the tune of ela#orating upon the ner0ine*. I ould li/e to *hare mclinical e-perience ith another of the ner0ine* !!!! (enecio aureu*$


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Thu* thi* drug i* capa#le of arou*ing the 0italit in a9ection* of genito!urinar *phere$ In fact. (cudder, an eminent medie0alph*ician, rote"

)The (enecio e-ert* a *peci5c inuence upon the reproducti0e organ*of the female, and to a le** e-tent upon the male$ It relie0e* irritationand *trengthen* functional acti0it$ Hence it ha* ac1uired thereputation of a 2uterine tonic$2 It ma #e pre*cri#ed in all ca*e* inhich there i* an atonic condition of o0arie* or uteru*, ithderangement of function$+

Kurthermore. 'oger impre**ed upon the 0ital import of the doctrine of concomitance practicall through the *tud of drug (enecio hen hede*cri#e* it* pathogene*i* a*"

D"u&$'7 3$th +"6#2&&h2'.5

7ieed in the light of the 'oenninghau*en+* concept of analog. itma percei0ed that (enecio i* a onderful drug in ca*e of an urinar*mptom ha0ing a *patial or temporal a**ociation ith an men*truala#normalit$ 'e it amenorrhoea or d*menorrhoea or menorrhagiaetc$. the a**ociation of men*trual irregularit ith the urinar*mptom ma/e* for a *trong ground for pre*cription of (enecioaureu*$

3i/e the other mem#er* of Compo*itae. it ha* a mar/ed inuence incau*ing hemorrhage in thi* ca*e men*truation$ The hallmar/ of thi*drug i* e-pre**ed # Dr$ N$M$ Choudhar a*" G&'t %'&$t 2* /2#+$t$2#" t&'/'0! t2 #2#'11'&$#, 6#"".5 The *ame had#een conceptuali;ed # 'oger a* 'ETTER MEN(TRUATION$ ith allthe*e concept* in mind, (enecio a* pre*cri#ed in L= potenc and there*ult a* e*ta#li*hment of regular men*trual o$

Another ca*e that i* orth mentioning i* a ca*e of L ear old maleho a* *u9ering from recurrent *inu*iti* and had reported in OPD of National In*titute of Homoeopath, o regular paro-*m*of thic/ na*al di*charge ith frontal headache and na*al #loc/age$

The complaint a* or*e in damp eather and accompanied ithocca*ional di6cult in #reathing during *leep$ He a* an an-ietprone per*onalit and had mar/ed de*ire for cold food$ I pre*cri#ed


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Argentum nitricum hich did him no good$ A +1& u#+&"t'#+$#,2* th /'" &%'!+ th't h 3'" %& "#"$t$% t2 /!2u+3'th& '#+ 3h't 3'" u#+&"t22+ '" ',,&'%'t$2# *&26 +'613'" $# *'/t 8t&6 "#"$t$%$t t2 !/t&$/'! /h'#," $# th

't62"1h&. Thi* *en*iti0it a* of *uch inten*e degree that hecould predict the on*et of rain* from the inten*i5cation of hi* ph*ical*u9ering$ Thi* a* leading me toard* drug* *uch a* Rhododendron,Pho*$, P*orinum etc$

In pur*uance of the forementioned *tri/ingne**. he al*o *tated that hehad *u9ered from *e0ere electric *hoc/ at the age of L ear* andhat a* 1uite remar/a#le a* hi* re0elation that hene0er *omeonetouched him hile he touched a metallic o#%ect. the could feel theelectric current pa**ing through them$ On ad0ice of Dr$3$M$ o recurrentna*al #loc/age and frontal headache impro0ed onderfull and mo*t*igni5cantl. he a* a#le to tolerate the cloud eather ellBBBcould no longer predict rain through hi* #od me**aging

Referring to Dr$ H$C$ Allen+* ma*terpiece )The Materia Medica of theNo*ode* ith pro0ing of the !ra+. e 5nd 1uote* that"

)Inten*e ner0ou* an-ietBBBBDread* the approach of thunder*torm, *u9er* inten*el+

Thi* *tud of the pro0ing of Electricita* ena#led to gra*p the fact thatthe #a*i* of pre*cri#ing in a gi0en ca*e *hould not #e mere cau*e*e0ere electric *hoc/ in thi* ca*eJ #ut it* non!linear a**ociation ithe9ect a* percei0ed through the record* of pro0ing in thi* ca*e,e-treme an-iou*ne** ith aggra0ation from approach of thunder*tormJ$

It i* orth mentioning here that Electricita* or/* e*peciall ell in

ca*e* of Tu#ercular diathe*i*$ In fact Dr$ (eard ha* clinicall 0eri5edthat in%udiciou* u*e of electric #ath* #rought on phthi*i*$

The ne-t ca*e in hand demon*trate* the clinical e6cac of theconcept of *nthetic pre*cri#ing *o 0er ell populari;ed # $T$


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#2"- occa*ionall e-tending to *upra!or#ital region$ Kor the ant of time, the 5r*t pre*cription a* (ticta L=$ He a* no #etter than #eforehen he ne-t reported and hen *till repeated. there a* onl 0er*light impro0ement$

The thread that helped to pull the *tring of the ca*e a* the *potle***hirt that he had ala* #een earing during e0er 0i*it and hicha* *tri/ing enough to merit 1ue*tioning a#out hi* fa*tidiou*ne**$ Here0ealed hi* *u#tle an-ietie* ith regard* to perfect cleanline**$

Ta/ing into the fact that he a* a chill patient and the complaint a*#rought on e*peciall #e dr cold air. I pre*cri#ed Ar*enic al#$ :== #utthe re*ult a* o9 and on impro0ement and relap*e*$ It a* at thi*

%uncture that a *maller remed again came to the re*cue$ ith thetaint of Ar*enic fa*tidiou*ne** and location of root of the no*e. the

attention turned toard* Natrum Ar*$ Thi* remed in repeated do*e*of L=th potenc helped the patient remar/a#l$

ith regard* to Natrum ar*$. $H$ Clar/e ha* empha*i;ed in hi* MateriaMedica that the irritating ar*enical e9ect* preponderate$ Thi* coupledith the Dr$ N$M$ Choudhar+* remar/ that )The *mptom that *houldlead to the *election of Natrum ar*$ i* the pain at the root of the no*e a *mptom greatl characteri*tic of thi* remed+ a* thecorner*tone that led to Natrum ar*$ pre*cri#ing$

Ha0ing del0ed on an impondera#ilia, 0egeta#le and mineral /ingdomdrug. I ould la*tl ta/e up m clinical e-perience ith a little /nonno*ode$ To #egin ith. it i* an ode to Ma*ter Hahnemann ho 5r*t of all ad0ocated the therapeutic utilit of no*ode a* highlighted in 9 ;*22t#2t 2* th S$8th E+$t$2# 2* O&,'#2# < Th A&t 2* H'!$#,5

FTo attempt to cure # mean* of the 0er *ame mor#i5c potenc perIdemJ contradict* all normal human under*tanding and hence alle-perienceBBBBB$$Moreo0er, in thi* a, undou#tedl, certain

di*ea*e* peculiar to animal* ma gi0e u* remedie* and thu* happilenlarge our *toc/ of homQopathic remedie*$GIn the domain of no*ode*. I ould li/e to e-emplif the drug D*entrCo$. a #oel no*ode that *hould #e emploed on account of it*homoeopathic *imilarit$ A* Dr$ H$C$ Allen rote in )Th M't&$'M+$/' 2* th N2"2+"5 in conte-t of Medorrhinum"


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)If the *mptom* of the patient call for thi* remed, it *hould #epre*cri#ed ith the *ame con5dence a* an other remed in theMateria Medica, entirel irre*pecti0e of the *cotic hi*tor in the ca*e$3i/e e0er other no*ode, it *hould #e pre*cri#ed according to it* *trict

indication* %u*t a* e pre*cri#e Ar*enic, Opium or (ulphur,irre*pecti0e of it* origin or the diagno*i*+A L: ear old patient had reported ith complain of fre1uentpalpitation, 0ague che*t pain and occa*ional retro*ternal hea0ine**$He al*o had c>o *light dull ache in left iliac region hich a* #etterafter meal* and recurrent pa**age of mucu* in *tool$ The *toole-amination report *hoed nothing *igni5cant$ The mo*t *tri/ingo#*er0ation in thi* ca*e a* '#8$t 3&$t u12# h$" *'/ a facethat *po/e a lot of the *train* in life that he had undergone$ He a* a#u*ine**man ho had *et up hi* on garment e-port folloing

di*pute ith hi* father from hom he had *eparated$ The e9ort* to*ettle in a ne place of re*idence ith ne #u*ine** had ta/en on tollon thi* apprehen*ion prone indi0idual$ The apprehen*ion* ereala* accentuated # hi* penchant for orderline**$ In the #ac/dropof thi* information. I thought of drug* *uch a* Argentum nitricum andAr*enic al#$ #ut the other detail* elicited from the patient did not#ring around an of the*e remedie* into the *cope of pre*cri#ing$ Thedominance of ner0ou* ten*ion in the aetiopatholog of the ca*e ithcentering of the e9ect on the inte*tinal tract made me thin/ of

D*entr!Co$ hich a* pre*cri#ed in :=: potenc. unit do*e coupledith do*age of appropriate coun*eling$ The patient a* much #ettere*peciall ith regard* to the *omati*ation of hi* mental unea*ine**$

O$A$ ulian ha* e-plicitl *tated in hi* )Materia Medica of no*ode*+

)D*$ Co$ i* *uited to Ner0ou* tpe*, tu#erculinic*, ith re*tle** mind.re*tle** and apprehen*i0e+$ Thi* per*onalit trait ith the chronictendenc to pa**age of mucu* in *tool encompa**e* themanife*tation* of Irrita#le 'oel (ndrome hich thi* patient a*

*u9ering from$ Hoe0er, the inten*it of an-iou*ne** ith it* *omatice-pre**ion and amelioration after eating clinched the i**ue in fa0ourof the drug D*enter!Co$

To *um up the di*cu**ion. I ould li/e %u*t to mention that hate0er#it of learning that I ha0e gained re*t* on the *houlder* of *talart* of


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homoeopathic hori;on ho ha0e guided me through their riting* orclinical ca*e*$

lesser known remedies-dr. bipin.docx

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