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Friday, April 23, 2010
CA Cervix
CARCINOMA OF CERVIX
Carcinoma of the cervix was one of the most common causes of cancer death in women, but over the past 30 years, mortality rate has decreased by 50% due to the widespread screening with the PAP smear. It remains the major gynecologic cancer in undeveloped countries. It is more common in lower socioeconomic groups, in women with early initial sexual activity and/or multiple sexual partners, and in smokers. Venereal transmission of human papilloma viruses has an important etiologic role. Over 66 types of HPV have been isolated, and many are associated with cervical carcinoma are 16,18,31,45, and 51 to 53. These along with many other types are also associated with cervical intra epithelial Neoplasia (CIN). Vaccination against pathologic HPV appears quite promising as a cervix cancer prevention strategy.
Uncomplicated HPV lower genital tract infection and Condylomatous atypia of the cervix can progress to CIN. This lesion precedes invasive cervical carcinoma and is classified as low grade squamous intraepithelial lesion (SIL), high-grade SIL, and carcinoma in situ. Carcinoma in situ demonstrates cytologic evidence of Neoplasia without invasion through the basement membrane can persist unchanged for 10 to 20 years, but eventually progresses to invasive carcinoma.
The PAP smear is 90-95% accurate in detecting early lesions such as CIN but is less sensitive in detecting cancer when frankly invasive cancer or fangating masses are present. Inflammation, necrosis, and haemorrhage may produce false-positive smears, and colposcopic directed biopsy is required when any lesion is visible on the cervix, regardless of PAP smear findings. The PAP smear can be reported as normal, atypical squamous cells of undetermined significance (ASCUS) or cannot exclude high grade SIL (ASEH); low-or high grade CIN; or frankly malignant. Women with ASCUS, ASC-H, or low-grade CIN should have repeat smears in 3-6 months and be tested for HPV. Women with high grade CIN or frankly malignant PAP smears should have colposcopic directed cervical biopsy.
Approximately 80% of invasive cervix cancers are squamous cell tumour, 10-15% are adenocarcinomas, 2-5% are adenosquamous with epithelial and glandular structures, and 1-2% are clear cell mesonephric tumours.
Patients with cervix cancer generally present with abnormal bleeding or post coital spotting that may increase to inter-menstrual of prominent menstrual bleeding. Yellowish vaginal discharge, lumbo-sacral back pain, and urinary symptoms can also be seen.
The staging of cervical carcinoma is clinical and generally completed with a pelvic examination under anesthesia with Cystoscopy and proctoscopy. Chest x-rays, intravenous pyelograms, and computed tomography are generally required and magnetic resonance imaging (MRI) may be used to asses extra-cervical extension.
Stage 0 is carcinoma in situ
Stage I is disease confined to the cervix
Stage II is disease invades beyond the cervix but not to the pelvic wall or lower third of the vagina
Stage III-disease extends to the pelvic wall or lower third of vagina or causes hydronephrosis
Stage IV is present when the tumour invades the mucosa of bladder or rectum or extends beyond the true pelvis.
Five year survivals are follows
Stage I- 85%
Stage II- 60%
Stage III- 33%
Stage IV- 7%
Carcinoma in situ (Stage 0) can be arranged successfully by biopsy or by abdominal hysterectomy. For Stage I disease, results appear equivalent for either radical hysterectomy or radiation therapy. Patients with Stage II to IV diseases are primarily managed with radical radiation therapy or combined modality therapy
CANCER OF OESOPHAGUS
CANCER OF OESOPHAGUS
The Gastrointestinal tract is the second most common noncutaneous site for cancer and the second major cause of the cancer related mortality in the United Stated.
Incidence
Cancer of the Oesophagus is a relatively un-common but extremely lethal malignancy. It occurs frequently within a geographic region extending from the southern shore of the Caspian Sea on the west to northern China on the east and encompassing parts of Iran, Central Asia, Afghanistan, Siberia, and Mongolia. The disease is more common in Blacks than whites and in males than females; it appears most often after age 50 and seems to be associated with a lower socioeconomic status.
Aetiology (Cause of Disease)
A variety of Causative factors have been implicated in the development of the disease. In the United States, esophageal cancer cases are either squamous cell carcinomas or adenocarcinomas. The aetiology of squamous cell esophageal cancer is related to excess alcohol consumption and/or cigarette smoking. The relative risk increases with the amount of tobacco smoked or alcohol consumed, with these factors acting synergistically. The consumption of whiskey is linked to a higher incidence than the consumption off wine or beer. Squamous cell esophageal carcinoma has also been associated with the ingestion of nitrites, smoked opiates, and fungal toxins in pickled vegetables, as well as mucosal damage caused by such physical insults as long term exposure to extremely hot tea, the ingestion of lye, radiation induced strictures, and chronic achalasia. The presence of an esophageal web in association with glossitis and iron deficiency and congenital hyperkeratosis and pitting of the palms and soles have rich been linked with squamous cell esophageal cancer, as have dietary deficiencies of molybdenum, zinc, and vitamin A.
The rate of adenocarcinoma has risen dramatically, particularly in white males. Adenocarcinoma arises in the distal esophagus in the presence of chronic gastric reflux and gastric maetaplasia of the epithelium, which is more common in obese persons. Adenocarcinomas arise within dysplastic columnar epithelium in the distal esophagus. These adenocarcinomas behave clinically gastric adenocarcinomas and now account for >50% of esophageal cancer.
Clinical Features
About 15% of esophageal cancers occur in the upper third of the esophagus, 35% in the middle third, and 50% in the lower third. Squamous cell carcinoma and adenocarcinomas of the esophagus cannot be distinguished radiographically or endoscopically.
Progressive dysphagia and weight loss of short duration are the initial symptoms in the vast majority of cases. Dysphagia initially occurs with solid foods and gradually progresses to include semisolids and liquids. By the time these symptoms develop, the disease is usually incurable, since difficulty in swallowing does not occur until >60% of the esophagus circumference is infiltrated with cancer. Dysphagia may associate with pain on swallowing, pain radiating to the chest and/or back, regurgitation or vomiting, aspiration pneumonia. The disease most commonly spread to adjacent and supra-clavicular lymph nodes, liver, lungs, pleura. Tracheo-esophageal fistula may develop when the disease advances, and may lead in to severe suffering. As with other squamous cell carcinomas, hypercalemia may occur in the absence of osseous metastasis, probably from parathormone related peptides secreted by tumour cells.
Diagnosis
Various modern techniques are used to find out the carcinomas, some important tests are:
Endoscopic and cytologic screening.
Routine contrast Radiographs.
Computed Tomography Scans.
Positron emission Tomography Scanning
Important Books of Homoeopathy (Part-2)
IMPORTANT BOOKS OF HOMOEOPATHY (Part-2)
DEWEY W.A.
Practical Homoeopathic Therapeutics
Essential Homoeopathic Therapeutics
Essential of Materia Medica and Pharmacy
DOUGLAS M.E.
Skin Diseases
Pearls of Homoeopathic Materia Medica
The treatment of Certain Heart Complaints
DUDGEON R.E.
Organon of Medicine 5th and 6th edition (Translation)
Lectures on the Theory and Practice of Homoeopathy
Hahnemann’s Therapeutic Hints
DUNHAM C.
Lectures on Materia Medica
The Principles of Homoeopathy and The Science of Therapeutics
How to Take a Case
FAROKH J. MASTER
Bed Wetting
A Patients Guide to Homoeopathy
Perceiving Rubrics of Mind
Hair Loss Including of Explained and Analysis
Homoeopathy in Cancer
Sycotic Shame Analysis
Mysterious Thuja
Mr. Lycopodium
St. Ignatius Bean
Tubercular Miasm- Tuberculines
Sandy Silicea
Dictionary of Dreams in Homoeopathy
Web Spiners
Tumors and Homoeopathy
Homoeopathy in Cervical Spondylosis
The Fascinating Fungi
Cross Reference of Mind Symptoms
Agitated Argentums
The Bedside Organon of Medicine
Acid-Base Disorders
Naja-Naja-Naja
Snakes in Homoeopathic Grass
Ammonium to Sour Prunes
Suppressed Staphysagria
The State of Mind that Influence the Foetus
A Proving of Moccasin Snake Toxicophis
Bedside Clinical Tips
FARRINGTON E.A
Lectures on Clinical Materia Medica
The Comparative Materia Medica
Lesser Writings with Therapeutic Hints
Therapeutic Pointers
IMPORATANT BOOKS OF HOMOEOPATHY (Part-1)
IMPORATANT BOOKS OF HOMOEOPATHY (Part-1)
ALLEN H. C.
Allen’s Keynotes
Materia Medica of Nosodes
Therapeutics of Fever
Therapeutics of Intermittent Fever
ALLEN T. F
Encyclopedia of Pure Materia Medica
Boenninghausen’s Therapeutic Pocket Book
Hand Book of Materia Medica and Homoeopathic Therapeutics
BOENNINGHAUSEN
The Lesser Writings
BOERICKE W M.D.
Pocket Manual of Homoeopathic Materia Medica with Repertory
A Compend of the Principles of Homoeopathy
Regionals Materia Medica
BOGER C. M.
A Synoptic Key of the Materia Medica
Boenninghausen’s Characteristic Materia Medica and Repertory
Times of the Remedies and Moon Phases
A Systematic Alphabetic Repertory of Homoeopathy Remedies
Studies in the Philosophy of Healing
The Study of Materia Medica and Taking the Case
How to Find Similimum with Boger-Boenninghausen’s Repertory
BORLAND DOUGLAS, M.
Influenzas
Pneumonias
Some Emergencies of General Practice
Homoeopathy in Theory and Practice
The Treatment of Certain Heart Complaints
BURT W. H.
Physiological Materia Medica
Characteristic Materia Medica
Therapeutics of Tuberculosis
CHOUDHURY N.M.
A Study of Materia Medica
CLARKE J.H.
Condensed Homoeopathic Materia Medica and Repertory
Decachords- Top ten indications of 120Homoeopathic Remedies
Homoeopathy Explained
Constitutional Medicine
Cholera, Diarrhoea & Dysentery
Gunpowder as a War Remedy
Indigestion: Its causes and Cure
Whooping Cough
Diseases of the Heart and Arteries
Catarrh, colds and Grippe
Diseases of the Glands and Bones with Homoeopathic Treatment
The Cure of Tumours by Medicines
Grand Characteristics of Materia Medica
Dictionary of Practical Materia Medica
The Prescriber
A Clinical Repertory to the Dictionary of Homoeopathy
Therapeutics of Serpent Poison
Dictionary of the Domestic Medicine
Radium as an Internal Remedy
Therapeutics of Cancer
Revolution in Homoeopathy
Haemorrhoids and Habitual Constipation
CLOSE STUART
The Genius of Homoeopathy, the Lectures and Essays on Homoeopathic Philosophy
COWPERTHWAITE
A text Book of Materia Medica and Therapeutics
Disorders of Menstruation
Homeopathic colleges in India
Homeopathic colleges in India
With Homoeopathy booming all over the World with its efficacy and minimal side effects, more and more students want to pursue Homoeopathy as a career so here is my little effort to guide them. Below I have tried to list various Homeopathic colleges in India.
The information mentioned is best to my knowledge but in case of any discrepancy kindly write to me.
I hope the list proves useful for everyone linked to the system and to people who want to join in .In case a student finds his/her college name missing do inform and pour in.
ANDHRA PRADESH
-Dr. Alluramalingaiah Govt. Homoeopathic Medical College and Hospital
Address -D.No. 26-1-11,
'Y' Junction, East Godavari
Dist. Rajahmundry 533105 (A.P.)
Seats-50
-Dr. Gururaju Govt. Homoeopathic Medical College
Gudivada (A.P.)
Seats – 40
-Govt. Homoeopathic Medical College
Ravindra Nagar Post,
Cuddapah 516003 (A.P.)
Seats-30
-JSPS homeopathic medical college n hospital
(jaisoory potti srreeramulu govt HMC n H)
ASSAM
-Arunachal Homoeopathic Medical College
Naharlagun
-North East Regional Homoeopathic Medical College & Hospital
Vivek Vihar, Itanagar
Seats-50
BIHAR
-G.D. Memorial Homoeopathic Medical College & Hospital East Ram Krishna Nagar, Patna 800020
-Gaya Homoeopathic Medical College & Institute Amwan-Bodh Gaya
-Homoeopathic Medical College Mihijam
-K.N.H. Homoeopathic Medical College Bhagalpur ,Bihar
-Kent Homoeopathic Medical College P.O. Khilwat 844516 (Bihar)
-Magadh Homoeopathic Medical College & Hospital Biharsarif, Station Road, Nalanda, Bihar
-Maharshi Mahi Homoeopathic Medical College Katihar, Bihar
-Mangala Kamla Homoeopathic Medical College Professor Vishnu Kumar Marg, Srinagar Siwan 841226,Bihar
-Mirganj Homoeopathic Medical College, Mirganj
-Muzaffarpur Homoeopathic Medical College & Hospital, Muzaffarpur, Bihar
-Patna Homoeopathic Medical College Ram Krishan Nagar, Sorangpur, Patna
-R.B.T.S. Govt. Homoeopathic Medical College Muzaffarpur,Bihar
-R.D. Kedia Homoeopathic Medical College Motihari, East Champaran ,Bihar
-R.N.S. Homoeopathic Medical College Begusarai, Bihar
-Saran Homoeopathic Medical College Chhapra, Bihar
-Sinha Homoeopathic Medical College Lahariasarai, Darbhanga
-The Temple of Hahnemann Homoeopathic Medical College Munger, Bihar
CHATTISGARH
-Chhadamilal Chouksey Homoeopathic Medical College & Hospital
Karbala Road, Bilaspur
-Raipur Homoeopathic Medical College & Hospital
Ram Kund, Chaube Colony, Raipur 492001
DELHI
-Nehru Homoeo Medical College & Hospital
B-Block, Defence Colony New Delhi
Ph: 24623803
Website: www.delhihomeo.com
-Dr. B.R. Sur Homoeopathic Medical College, Hospital & Research Centre
Nanak Pura, Moti Bagh, New Delhi- 110021
Ph/Fax 24105298
Website: www.delhihomeo.com
GOA
-Kamaxi Devi Homoeopathic Medical College
Hill Top, Shiroda
GUJARAT
-Ahmedabad Homoeopathy Medical College, Ahmedabad
-Anand Homoeopathic Medical College Near Sardar Baug, Bhalej Road, Anand 383301, Distt. Kheda
-Baroda Homoeopathic Medical College, Sindhrot - Sevasi Road, Opp. Xavier Technical Institute,Near Sonarkui, Sevasi, Vadodara, Gujarat ,
Pincode 390029, Phone 0265- 5531832
-C.D. Pachigar Homoeo Medical College Surat
-Dr. V.H. Dave Homoeopathic Medical College & Smt. S. I. Patel (Ipcowala) Homoeopathic Hospital Anand
-Gujarat Homoeopathy Medical College Savli, Baroda
-Navyug Shiksha Samiti's Brahamanand Homoeopathic College Sector-8, Urban Estate, Karnal 132001
-Rajkot Homoeopathic Medical College Jainath Petrol Pump, Gondal Road, Rajkot
-Samarpan Charitable and Educational Medical & Research Trust's Homoeopathic Medical College Opp. IOC Depot, Jamnagar Road, Rajkot 360006
-Shri Chotalal Nagindas Kothari Homoeopathic Medical College and Research Centre C/o Aruna Anil Vyara Pradesh, Vikas Pratisthan Kanchwala Street, Surti Bazar, Post Box. 51, Vyara, Surat
-Shri Mahalaxmi Mahila Homoeopathic College Shree Shamlaji Arogya Seva Trust, Kalyan Nagar, Opp. Mental Hospital, Karelibaug, Vadodara 390018
-Shri Shamlaji Homoeopathic Medical College and Institute Godhara, Near Moon Light Cinema, Godhra 389001
-Smt. A.J. Savla Homoeopathic Medical College and Research Institute Mahsana
-V.N.S.G.U, Baroda, Gujarat
HIMACHAL PRADESH
-Solan Homoeopathic Medical College & Hospital
Barog Bye-pass, KUMARHATTI – 173 229
Distt. Solan, Himachal Pradesh,
Phone(s): +91 1792 266741, 266742
Fax: +91 1792 266743
Mobile:+91 94180 70202, 98160 86657
Email: shmchsolan@hotmail.com
Website: www.solanhomoeocollege.com
Seats - 75
.
KARNATAKA
-A.M. Sheikh Homoeopathic Medical College
Nehru Nagar, Belgaum 590010
Seats-100
-AI-Ameen Homoeopathic Medical College
P.B. No- 54, Chandpur Colony,
Bijapur 586101
Ph: 080-51248201
Email: info@alameenmedical.org
Website: www.alameenmedical.org
Seats-25
-Alva's Education Foundation
Alvas Health Centre Complex,
Moodbidri, Karkala Taluk, Dakshina Kannada 574227
Ph: 08258-238104-11
Email: alvas@sancharnet.in
Website: www.alvaseducation.com
-B.D. Jatti Homoeopathic Medical College & Hospital
D.C. Compound, P.B. No. 42,
Dharwad 580001
Ph: 0836-4464301
Email: bdjhmcdwd@rguhs.nic.in
Seats- 75
-Bhagavan Budha Homoeopathic Medical College
Srinidhi Complex, Mallathalli,
Bangalore 560056
Ph: 080-23211056
Seats- 40
-Bharatesh Homoeopathic Medical College
Dhawad Road, Belgaum 590016
Seats- 100
-Fr. Muller's Homoeopathic Medical College
Kankanady Mangalore 575002
Ph: 0824-2436301
Email: muller@sancharnet.in
Website: www.fathermuller.com
Seats- 40
-Govt. Homoeopathic Medical College
No. 17718, 27th "B" Cross,
Magadi Main Road,
Bangalore 560040
Ph: 080-23359413
Seats- 40
-H.K.E. Society's Homoeopathic Medical College & Hospital
University Road, Gulbarga 585105
Ph: 08472-421620
Seats-75
-Homoeopathic Medical College
Gulbarga (Kar.)
Ph: 08472-221620, 224400
-Lea Homoeopathic Medical College
Durga Devi Temple Road, Dharwad 580008 (Kar.)
Email: leahmcdwd@rguhs.nic.in
Seats- 25
-Maratha Mandal's Homoeopathic Medical College
#1007, Malmaruthi Extn. Belgaum 590016
Seats- 25
-Moulana Azad Homoeopathic Medical College
Highlands, Anand Nagar Road, Hubli 580024
Seats- 25
-Rajiv Gandhi Memorial Karnataka Homoeopathic Medical College
Hubli
-S.B. Shirkoli Homoeopathic Medical College
Sankeshwara, Belgaum 590013
Seats- 25
-Shiva Basava Jyothi Homepathic Medical College
Chavat Galli, Court Road, Belgaum 590002
Seats- 40
-St.joseph college , Calicut
MADHYA PRADESH
-District Homoeopathic Medical College & Hospital
Ratlam
-Hanemann Homoeopathic Medical College
Bhopal
-Lal Bahadur Shastri Homoeopathic Medical College
Bhopal
-Pandit Ravishankar Shukla Memorial Homoeopathic Medical College
Indore
-Rajiv Gandhi Homoeopathic Medical College
Indore
-Swami Pranavanand Homoeopathic Medical College and Hospital
Chattarpur
-Vasundra Raje Homoeopathic Medical College & Hospital
Gwalior
-Arihant homeopathic medical college and hospital
MAHARASHTRA
-Ahmednagar Homoeopathic Medical College Sawadi Road, Ahmednagar 414001
Ph: 0241-2778455, 2426433
Seats-50
-Antrabharti Homoeopathic Medical College Dhaba, Nagpur 440023 Ph: 0712-2533940, 2436001
Seats-50
-Baliraja Shikshan Prasarak Mandal's Padmashree Shyamraoji Kadam Homoeopathic Medical College CIDCO, New Nanded 431603
Seats-50
-Bharati Vidyapeeth's Homoeopathic Medical College Pune
-Dr. J.J. Magdum Trust's Homoeopathic Medical College Jaysinghpur, Tal. Shirol, Dist. Kolhapur 416101
Seats-100
-Dakshin Kesari Muni Mishrilalji Homoeopathic Medical College Behind Bibika Makbara, Aurangabad
Seats-100
-Dapoli Homoeopathic Medical College Vidya Vaibhav Shikshan Mandal, At Apati, Post Talasure, Tal. Dapoli, Distt. Ratnagiri
Ph: 02358-282554
Seats-50
-Dr. D.Y.Patil Homoeopathic College & Research Centre
Pimpri
Email:dypatil@dyphmcrc.com
Ph: 02027423185
-Dhondumama Sathe Homoeopathic Medical College Final Plot NO. 23, Opp. Karve Road, Pune
Seats-100
-Foster Development Homoeopathic Medical College N-5, Behind Gulmohar Colony, Aurangabad 431003 (Maha.)
Ph: 0240-2484738
Seats-100
-Gondiya Homoeopathic Medical College Suryatola, Gondiya, Distt. Buldhana 441614
Ph: 07182-223365, 221924
Seats-50
-Gulabrao Patil Homoeopathic Medical College 795, Near Govt. Milk Dairy, Miraj, Dist. Sangli 416410
Seats-75
-Homoeopathic Medical College Gunjanwadi, Sangamner, Navin Nagar Road, Ahmednagar 422605
Seats-100
-Homoeopathic Medical College Akot Road, Akola 444001
Seats-75
-Homoeopathic Medical College Gandhinglaj, Kolhapur
Ph: 02327-223044
-Homoeopathic Medical College Bhagwat Kirti Mandir, III-Floor, Murarji Peth, Solapur 413001
-Kaka Saheb Mhaske Homoeopathic Medical College Nagpur Road, MIDC Area, Ahmednagar 414111
Ph:0241-2779358
Seats-100
-Kishan Gnyanoday Mandal Gudhe Sanchalit Homoeopathic Medical College Nimzari Road, Shirpur, Distt. Dhule 425405
Seats-100
-Kishan Shikshan Prasarak Mandal's Latur Homoeopathic Medical College Barshi Road, MIDC, Latur 413531
Seats-75
-Konkan Education and Medical Trusts' Homoeopathic Medical College Vir Sarvarkar Marg, Virar (East), Tal Vasai, Distt. Thane 401303
-Lokmanya Medical Foundation's Homoeopathic Medical College Near Elpro Company, PCMC, Chinchwad, Pune 411033
Seats-100
-Motiwala (National) Homoeopathic Medical College & Hospital Motiwala Nagar, Gangapur, Nashik 422001
Ph: 0253-2351693, 2351819
Seats-100
-Nagpur College of Homoeopathic and Bio-Chemisty 543, azamshah Layout, Great Nag Road, Nagpur 400009
Ph: 0712-2746502, 2817648
-Panchsheel Homoeopathic Medical College Kalangar, Khamgaon, Distt. Buldhana 444303
Ph: 07264-252352
-Pandit Jawahar Lal Nehru Memorial Institute of Homoeopathic & Medical Sciences Badnera Road, Distt. Amravati 444605
Ph: 0721-2510223, 2511287
-Prabhat Education Society's P.D. Jain Homoeopathic Medical College Vakil Colony, Behind State Bank of Hyderabad, Parbhani 431401
Seats-40
-Purushottam Bagala Homoeopathic Medical College Bagala Chowk, Babu Peth, Chandrapur 442403
Ph. 07172-225176
-Samarth Educational Trust's Homoeopathic Medical College AM 1/1, MIDC, Satara 415004
Ph: 02162-245063
-Similia Similibus Curentur Janaeva Mandal's Homoeopathic Medical College Dugadphata, Tal. Bhiwandi 421302, Distt. Thane
-Sonajirao Kshirsagar Homoeopathic Medical College Vidya Nagar (W), Distt. Beed 431122 (Maha.) Ph. 02442-222594
-Shri Bhagwan Homoeopathic Medical College CIDCO, N-6, Aurangabad 431003
-Shri Janta Homoeopathic Medical College Kediya Plot, Tower Jatharpeth Road, Akola 444005
-Shri Takhatmal Shrivallabh Homoeopathic Medical College Homoeo Sadan, Raje Peth, Amravati 444605
-Smt. Chandaben Mohanbhai Patel Homoeopathic College Natakkarr RG Gandkari Marg, Irla, Vile Parle (West), Mumbai 400056
Ph: 022-26204045/1135
Website: homeopathyinstitute.com
Seats-100
-Smt. Kanchanbai Babulalji Abad Homoeopathic Medical College Neminagar, Chandwad, Nashik 423101
-Vengurla Homoeopathic Medical College and Hospital Main Road, Bhiwandi, Vengurla, Sindhudurg 416516
-Venutai Yaswant Chavan's Homoeopathic Medical College 2968-C, Dasara Chowk, Kolhapur 416002
-Yerala Medical Trust's Homoeopathic College Triveni Sangam Bldg. Curry Road, Mumbai 400012
Ph. 022-24703425
ORISSA
-Co-Operative Homoeopathic Medical College
Berhampur, Orissa
-Dr. Abhin Chandra Govt. Homoeopathic Medical College
Bhubaneshwar
-Mayurbhanj Homoeopathic Medical College and Hospital
Baripada
-Utkalmani Homoeopathic Medical College
Rourkela
PUNJAB
-S INHomoeopathic Medical College
Abohar (Punjab)
-Homoeopathic Medical College and Hospital
M-671, Sector-26, Chandigarh
(Ph: 2791760, 2793327)
-Institute of Homoeopathic Medical Education and Research
V.P.O. Chunni Kalan District- Fatehgarh Sahib (Punjab) Near Chandigarh
-Institute of Post-Graduate Homoeopathic Medical Education and Research, Mohali, Punjab
-Kalyan Homoeopathic Medical College
Jadila Road, Taran ,Punjab
-Lord Mahavira Homoeopathic Medical College
Ludhiana
Shri Guru Nanak Dev Homoeopathic Medical College
Canal road , barewal, Ludhiana
RAJASTHAN
-Bhartiya Homoeopathic Medical College and Hospital
Bharatpur
-Dr. Madan Pratap Khuteta Rajasthan Homoeopathic Medical College
Jaipur
-Homoeopathic Medical College
Dabok 313022 Udaipur
Ph: 0294-2655975, 2655974
-Yuvraj Pratap Singh Memorial Homoeopathic Medical College
Alwar
UTTAR PRADESH
-Bakson Homoeopathic Medical College Plot No. 36-B, Knowledge Park, Phase I, Greater Noida 201306, Distt. G.B. Nagar
Ph: 0120-2230752, 2230861/62
-Dr. Brij Kishore Homoeopathic Medical College and Hospital Faizabad
-Homoeopathic Medical College and Hospital Bijnor
-K.G. Homoeopathic Medical College and Hospital Moradabad
- Kanpur Homoeopathic Medical College and Hospital Kanpur
-Lal Bahadur Shastri Homoeopathic Medical College and Hospital Allahabad
-Mohan Homoeopathic Medical College and Hospital, Lucknow
- National Homoeopathic Medical College and Hospital Lucknow
-Shri Durgaji Homoeopathic Medical College and Hospital Azamgarh
- Tilak Dhari Homoeopathic Medical College and Hospital Jaunpur
-Sri sainath postgraduate institute of homoeopathy, Allahabad
Website – www.ssnpgih.org
-Chandola homoeopathic medical college and hospital
WEST BENGAL
-Bengal allen medical institute, kolkata
-Bengal Homoeopathic Medical College and Hospital Asansol
-Birbhumj Vivekanand Homoeopathic Medical College and Hospital Birbhum
-Burdwan Homoeopathic Medical College and Hospital Burdwan
-Calcutta Homoeopathic Medical College and Hospital Kolkata
-D. N. De Homoeopathic Medical College and Hospital Kolkata
-Kharagpur Homoeopathic Medical College and Hospital Kharagpur
-Mahesh Bhattacharya Homoeopathic Medical College and Hospital Howrah
-Metropolitan Homoeopathic Medical College and Hospital Kolkata
-Midnapore Homoeopathic Medical College and Hospital Midnapore
-Natai Charan Chakravarty Homoeopathic Medical College and Hospital Howrah
-National Institute of Homoeopathy,Block-GE, Sector-III Salt Lake, Kolkata 700106
-Pratap Chandra Memorial Homoeopathic Medical College and Hospital Kolkata
Website – www.pcmhhc.org
-Purulia Homoeopathic Medical College and Hospital Purulia
By Dr.shalini kapoor
shalini.dr.kapoor@gmail.com
Homoeopathic paediatrician and counseling expert.
A short note on MIASM by Dr.Sreechithra H
A short note on MIASM
by
Dr.Sreechithra H
dr.sreechithra@gmail.com
Introduction
It is one of the cardinal principles of homoeopathy. Defined and explained by a number of homeopaths, both new and old, still, unexplainable and ambiguous. Hahnemann introduces this concept after along and tiresome research and this concept gives us an opportunity to compare and contrast basic theories of life, health and disease. Of various medical systems, and rational explanations for many of questions asked by both homoeopaths and non homoeopaths
Though we consider Miasm as the basis of all human nature it has the width and depth to contain more than that. every Miasm has both positive as well as negative aspects, when the positive elements predominates the Miasm will act creatively on a human nature to form well respected and world renowned personalities, again when the negative elements predominates, they form the most contempt and the most spiteful personalities that we see around. Each of the 3 miasm is seen in an individual in different proportions, but the personality of that person depends upon miasm which predominate upon him at that time.
Master Hahnemann has classified Miasm as:
- psora
- sycosis
- syphilis
PSORA
Appearance
- She has a constitution, which is neither too fat nor too thin.
- face has an appearance of inverted pyramid
- very bright eyes
- small head
- hair is apt to be thin, dry and lusterless
- unhealthy skin
Excitable
- they are mentally very active and quick
- they are easily affected by slightest mental impression
Sensitive
- They are sensitive to all impression such as odour of flowers, smell of cooking food, atmospheric changes, bad news, joy, etc.
- they are mentally disturbed easily
Fearful
- Easily frightened by trivial things - fear is always associated with trembling and copious perspiration.
- Fear of death, illness, or that their case is hopeless
- Fear of labour, of dark, of being alone, of strangers.
Thoughts and ideas
- Free outflow of thoughts and ideas.
- There may be a passionate craving or indulgence to obtain unnecessary object and aims and they tend to build castles in the air.
- They are mentally very alert and are quick and active in their motions.
- they will work like 'Trojans' for a short time, but they become fatigued easily- both mentally and physically
- they will not carry their thought and ideas to proper end, they tend to switch ideas or drop their work half done
- hence they can not achieve large goals or aims in life
Anxiety
- Anxiety especially on morning.
- Anxiety when ill, thinks that his disease is going to be fatal.
- anxiety about anything and everything
- they become dizzy and faint in a crowd , when they meet strangers, or when any unusual ordeal is to take place
Anger
- they easily fly to passion and in anger they tremble with rage
- in one moment they are angry and the next moment they weep and become repentant
Chronic complaints
- they never satisfy with the present condition of life
- always fault finding
- They always complaints about their health, yet quite unable to locate their trouble.
- Torment their friends with their trouble.
Open minded, extroverted
- speak out his mind , even about his future
Restless and unsatisfied
- never satisfied with exciting state of things
- he think he is not rich enough and tries to acquire more wealth
- never satisfied with his married life and seek gratification from other women
SYCOSIS
Appearance
- they tend to grow fat and obese
- their face is round with chubby cheek
- eyes are dull
- Their head is large with curly hairs.
Personality
- They are fat people, who are indolent and prefer sedentary type of work.
- they are closed people, who will not reveal his thinking to others
Suspicious
- He won't easily trust his friends, also he won't dare trust him self.
- He is suspicious over things he has done, of what he said, and also broods over things he did.
- He is suspicious that he is misunderstood, go back and repeats what he meant , recheck everything what he has done and said
Jealousy
- he is jealous of his friend, others prosperity , post and hence he want to acquire more money and position
Secrecy
- He has a peculiar tendency for making a secret of everything- about what he thinks, about his plans, future etc.
- he also thinks that others are also mentally same and are trying to keep things from him
Quarrelsome
- Has a great tendency to harm others - at the same time he try to preserve his image.
- he is cross and irritable and they easily tends to get into fits of anger but he never do it publicly, he does it privately ( never loose his temper in front of public )
Cunning
- He is very cunning and mischievous of all miasm.
- He will take all the possible means to attain position and prosperity.
- but also he will keep his image clean - he is a liar
Selfish and avarice
- he will do everything to achieve personal gain and comfort
- he is avarice and conserve money
Fearful
- he is very fearful about his image in the society hence he will keep his image clean
- he often have a dual personality , he will cover all his negative feeling and action and will project a clean image before society
Thoughts
- since he is quite jealous and selfish mentally he always want to attain high position in society
- so he will always try to engage in such job that often have high status in society
- he will lay definite plans and work tremendously hard and will adopt all possible means to attain his goal – and he often become successful in it
Criminal Tendency
- Sycotic criminals will do the crime after well planning
- He never leaves any clue that will trace back to him.
- they tends to become a well planned professional killers
SYPHILIS
Appearance
- They are often very lean and emaciated.
- They tends to have a very large head compared to rest of body
- Eyes are very sharp with penetrating look.
- Hair- they often have loss of hair especially on the frontal region
- Face- wrinkling of forehead especially looks prematurely old.
Personality
- They are hyper energetic individual – like a candle that burns both ends
- They radiate energy, and they are often very active and energetic
- And hence they will also exhaust their energy very easily and end up crippled at a very early age
- They are destructive in nature - they do things that disrupt social setup, always any thing that do not fit with in the social good looking frame and hence they are often not acclaimed during their life time
Fearless
- They are very fearless they do not care what society think about them
- and hence he will take the path that was not traveled before and their thought may sound 'crazy to the society'
Bold
- He is very bold and daring and together with his hyper energy, he is bond to attain goals in a short period, which a common man cannot do in their life time.
Impulsive
- He will do things impulsively with out thinking, he will not have a flickering of thought before destroying the 1000 years old social set up
Fixed ideas
- They have fixed ideas and thinking and it is not very easy to win them over or to change their ideas.
- they will stick to their ideas and they are not easily influence able
Destructive tendency
- destructive tendency is very marked through out the miasm
- They are destructive to themselves – after exhausting their excess of energy.
- they can either destroy them selves ( suicide) or they may fall into fatal destructive disease like cancer or they become idiotic because of destruction of the brain
- they are destructive to others – tendency for violence, great tendency to hurt others
- they can easily destroy the concept of others and society
Anger
- they easily explodes to anger and they explodes it publicly
- In anger they may show destructive tendency like destroying things and other violent activities
Thoughts
- Their thoughts and ideas are "odd" when compared to age old concept of society
- they often take lonely path that are not often walked before and attain its heights at a very short period
- they are " genius " – who are not bothered about the society and they receive acceptance only years after their lifetime
Criminal Tendency
- In negative side, they have a great tendency towards criminal side.
- Since they are impulse they often indulge in alcohol drugs, sex etc.
- Their impulsive nature and fearlessness can also convert them to cold blooded murderer
dr.sreechithra@gmail.com
Rubrics with one or two medicines from Kent’s Repertory Part-1
Rubrics with one or two medicines from Kent's Repertory
Abrupt: Nat-m, Tarent
Absent-Minded > 11am-4pm : Kali-n
Absent-Minded > noon : Mosch
Absent-Minded > meses, during: Calc
Absent-Minded > periodic attacks of, short lasting : Fl-ac, Nux-m
Absent-Minded > starts when spocken to : Carb-ac
Absent-Minded > writing, while : Mag-c
Absorbed > day time : Elaps.
Absorbed > morning : Nat-c, Nux-v
Absorbed > after noon : Mang
Absorbed > evening : Am-m, Sulph
Absorbed > alternating with frivolity : Arg-n
Absorbed > as to what would become of him : Nat-m
Absorbed > eating, after : Aloe
Absorbed > menses, during : Mur-ac
Abstraction of mind > morning : Guaj
Abusive > forenoon : Ran-b
Abusive > evening : Am-c
Abusive > angry, without being : Dulc
Abusive > pains, with the : Cor-r
Abusive > scolds until the lips are blue and eyes stare and she falls down fainting : Mosch
Activity > fruitless : stann
Admonition > agg : Bell, Plat
Affection : Stram
Amusement > desire for : Lach, Pip-m
Anger > forenoon : Carb-v
Anger > forenoon > 11am : Sulph
Anger > caressing, from : Chin
Anger > convulsion , before : Bufo
Anger > misunderstood, when : Bufo
Anger > thinking of his ailments : Aur-m
Anger > throws things away : Staph
Anguish > 5am-5pm : Psor
Anguish > 4am : Alum
Anguish > Chill, during : Arn
Anguish > driving from place to place : Ars
Anguish > eating, while : Sep
Anguish > heat, during : Arn
Anguish > menses, before ; Graph
Anguish > open air, amel : Cann-i
Anguish > perspiration, during : Arn
Answers > foolish : Ars, Bell
Answers > spocken to, when, yet knows no one : Cic
Anxiety > 5am- 5pm : Psor
Anxiety > noon, till 3pm : Aster
Anxiety > after noon > 3-6pm : Con
Anxiety > after noon > 4pm : Lyc, Tab
Anxiety > after noon > to 5pm : Thuj
Anxiety > after noon > to 6pm : Carb-v
Anxiety > after noon > 5-6pm : Am-c
Anxiety > evening > until 11pm : Bor
Anxiety > evening > bed, in > amel : Mag-c
Anxiety > evening > bed in > closing the eyes, on : Mag-m
Anxiety > evening > bed in > violent exercise, from : Ox-ac
Anxiety > evening > 6pm : Dig
Anxiety > evening >7-8pm : Am-c, Dros
Anxiety > evening > 8pm: Mur-ac
Anxiety > midnight > before, on walking, amel, on rising : Sil
Anxiety > midnight > before > 11pm : Ruta
Anxiety > midnight > after >1-3 am : Hep
Anxiety > midnight > after > 2am : Nat-m
Anxiety > midnight > after > until 2am : Carb-an
Anxiety > midnight > after > 3am : Ars, Sil
Anxiety > midnight > after > 4am : Alum
Anxiety > alternating with indifference : Nat-m
Anxiety > anger, during : Sep
Anxiety > apparition, from horrible, while awake : Zinc
Anxiety > ascending steps, on : Nit-ac
Anxiety > bathing the feel, after : Nat-c
Anxiety > business, about : Anac, Puls
Anxiety > Chagrin, after : Lyc
Anxiety > Children > about his : acet-ac
Anxiety > children > when lifted from the cradle : Calc-p
Anxiety > chill > after : Chel, kali-c
Anxiety > church bells, from hearing : Lyss
Anxiety > coition >after : Sep
Anxiety > coition > thought of (in a woman) : Kres
Anxiety > cold, becoming, from : Manc
Anxiety > continence prolonged, from : Con
Anxiety > cough > before attack of whooping cough : Cupr
Anxiety > cruelties, after hearing of : Calc
Anxiety > dinner, during : Mag-m
Anxiety > dinner, after, amel : Sulph
Anxiety > drinking, after : Cimx
Anxiety > eating, before : Mez, Ran-b
Anxiety > eating, while, warm food : Mag-c
Anxiety > emission, after : Carb-an, Petr
Anxiety > eructation, amel : Kali-c, Mag-m
Anxiety > excitement, from : Asaf, Phos
Anxiety > exercise, amel : Tarent
Anxiety > exertion of eyes : Sep
Anxiety > expected of him, when anything is : Ars
Anxiety > flatus >from : Coff, Nux-v
Anxiety > flatus > emission of, amel: Calc
Anxiety > foot bath, after a: Nat-c
Anxiety > hot air, as if in: Puls
Anxiety > house, in > amel, in : Ign
Anxiety > house, in > on entering : Alum, Rhod
Anxiety > hungry, when : Iod, kali-c
Anxiety > ineffectual desire for stool, from : Ambr
Anxiety > looking steadily : Sep
Anxiety > lying > amel : Mang
Anxiety > lying > side on> right, from flatulence: Kali-c
Anxiety > menses > after >which prevents sleep: Agar
Anxiety > motion > Downward : Bor, Gels
Anxiety > music, from : Dig, Nat-c
Anxiety > Paroxysms : Nit-ac
Anxiety > playing piano, while : Nat-c
Anxiety > pressure on the chest : Sulph
Anxiety > pursed when walking as if: Anac
Anxiety > railroad, when about to journey by, amel, while in trail: Ars
Anxiety > reading, while: Mag-m, Sep
Anxiety > riding> down hill : Bor, Psor
Anxiety > rising > from a seat > on : Berb, Verat
Anxiety > rising > from a seat > amel: Mill
Anxiety > salvation > morning : Psor
Anxiety > sedentary employment, from : Ars, Graph
Anxiety > sewing : Sep
Anxiety > shaving > while: Calad
Anxiety > sitting > amel : Iod
Anxiety > sitting > bent : Rhus-t
Anxiety > sleep > evening : Berb
Anxiety > sleep > loss of sleep : Cocc, Nit-ac
Anxiety > sleep > on starting from: Clem, Samb
Anxiety > sleep > partial slumbering in the morning, during: Junc
Anxiety > sleep > soup, after : Mag-c, Col-an
Anxiety > speaking > in company : Plat
Anxiety > stool > while straining at : Caust
Anxiety > stooping > When : Bell, Rheum
Anxiety > stooping > amel : Bar-m
Anxiety > supper > after: Mag-c, Nux-v
Anxiety > thoughts, from : Calc
Anxiety > tobacco > from smocking: Petr, Sep
Anxiety > Urination > during : Acon, Cham
Anxiety > urination > after : Dig
Anxiety > voice, on rising the : Cann-s
Anxiety > walking > rapidly > when: Nit-ac, Staph
Anxiety > walking > which makes him walk faster : Arg-n
Anxiety > warm bed yet limbs cold if uncovered : Mag-c
Anxiety > warmth > amel : Graph, Phos
Ardent : Nux-v
Attitudes assumes strange: Plb
Aversion > friends > during pregnancy : Con
Aversion > those around : Ars
HOMOEOPATHY - THE FUTURE OF MEDICINE! by Dr Sreevals G. Menon
HOMOEOPATHY - THE FUTURE OF MEDICINE !
by
Dr Sreevals G. Menon
Medical treatment with Homoeopathic therapeutics, at its very outset aims at management of disease beyond the actual expectation of the sick humanity! The complete nature of this therapeutic science gets important around the globe year by year for reasons more that one. Gifted by clairvoyance, extreme linguistic skills and extraordinary intelligence, Dr Samuel Hahnemann, a leading Surgeon and Physician of Germany suffered from contempt towards his own allopathic school of medical studies and sets out into hunting literatures for the right alternatives. While exercising his linguistic abilities during a translation of medical literature he finds clues about a virgin concept in medicine which had not seen light until then. His desire to develop on those despite immense opposition was the reason for the birth of 'Homoeopathy' 200 years back. Post modern by its concept and inception 400 years after the so-called modern medicine took shape, Homoeopathy continues it triumph into time setting free the bindings of side-effects of drugs and delivering cure of a complete nature, avoiding many a surgical intervention and with a softer impact on ones medical expenses !
Discussing about the major domains of Homoeopathic efficiency I would first talk about ALLERGY. A difficult situation resulting from hyper-responsiveness to external and internal causes and at times from unfavorable descend through genetic inheritance, this multi-headed monster often has its impact on upper, lower respiratory tracts and skin, and nomenclatures by various disease names !. Be it Atopic Dermatitis, Bronchial Asthma, Allergic Bronchitis, Allergic Rhinitis, Contact Dermatitis, Allergic Nasal polyp, Allergic pharyngitis and laryngitis…., all find their roots at allergy. Homoeopathy by its novel idea of introspection of the case by the individualization mandate in case-taking diagnoses the person beyond the disease per se. The application of this holistic science in the form of therapeutics often compromises hyper-responsiveness setting him free from the clutches of allergic disorders and facilitating normal life.
The other major sectors of Homoeopathic excellence are Obstetrics & Gynecology, Trichology [hairfall and other related diseases], Dermatologic ailments, Gastro-intestinal disorders, Cancer, Neurological disorders, Psychiatry, Renal diseases, Male & Female Infertility, Diabetes, Rheumatology, Hypertension and Cholesterol related ailments. Homoeopathy also does immensely well in diseases related to the heart.
Among the Gastrointestinal disorders the best treated illnesses are those related to the stress factors, and other psycho-somatic disorders. The major conditions are Irritable Bowel Syndrome, Acid Peptic Disease, Flatulent Dyspepsia, Peptic Ulcer & Chronic gastritis. Disorders of Liver, Pancreas and Intestines often turn a major reason for suffering in many patients which are often corrected with ease using Homoeopathic Therapeutics. Here again the diagnosis is very vital in prescribing under various heads and approaches which entirely depends on the seat of the disease. Very often all major investigations are often sought for interpreting the disease in detail and also as prognostic criterions to assess development towards cure.
The approach in female disorders is very holistic where the individual is deeply assessed in terms of thermal reactions, reactive patterns of the mind, basic attitudes, meteorological reactions, factors modifying the illness, temperament etc. The stress factors are deeply assessed. Every disease related to the female genital organs, diseases related to the menstrual cycles and other organs can be treated well by the Homoeopathic system leaving absolutely negligible possibilities of recurrence.
Prophylaxis, or in other words the preventive aspects of diseases, mostly endemic and epidemic diseases has been proved off late as a major advancement in Homoeopathy. In the past decade Homoeopathy was solely responsible for limiting many outbreaks by the appropriate intervention of the Government sectors and the Homoeopathic Medical Colleges with support from the urban and rural private practitioners who shouldered the mission. The preventive medicines revealed by the 'Genus Epidemicus' study was widely used for Cholera, Japanese Encephalitis, Chikun Guniya, Dengue Hemorrhagic Fevers, Leptospirosis [Weil's Disease] etc. Preventive medicines were widely distributed by these bodies at the disease stricken areas and surrounding promptly reducing new outbreaks, incidences of cases and thus setting new standards in community health care.
The recent advancement in Science and Materials Labs, Arizona has helped interpret the extreme scientificity of Homoeopathic medicines through the explanations favoring the formation of nano-molecular bubbles in the vehicle [water, alcohol] as a part of the act of homoeopathic potentisation where the OH radicals present in these inherits the properties of the mother drug substance at its sp hybridization levels which remains in the vehicle much after the non- existence of the mother drug quantitatively, thus explaining the action of Homoeopathic medicines of higher dynamization status !
The recent development as a part of a conference in favor of NASA, at the Rutger's University says that Homeopathy could be the next choice in their Lunar Settlement projects for future!! The conventional medicines of allopathy are found to fail for space conditions. This is because of problems related to absorption and solubility of such medicines in extreme environments, where there is no gravity. This is where our ultra-diluted medicines could come up as a possible substitute as they are easily absorbed by the body. The only system of medicine which uses ultra-diluted medicines is Homoeopathy which gives it a huge momentum into a futuristic medicine!!
The similarities in the Mitochondrial DNA concepts and the fundamentals of Homoeopathic philosophy about concepts of miasms, the formation of Psora in particular!, gives hope in a new direction, where the genetically inherited diseases could be added to Homoeopathic scope and domain with possibilities of efficient intervention. The observation also adds credibility to the Homoeopathic philosophy. The miasmatic assessment of individuals could be done and diseases could be anticipated, envisioned, treated and controlled efficiently abiding the concepts in the Homoeopathic Philosophy!
I therefore leave the readers to ponder on these and to assess if Homoeopathy is just a complementary & alternative system of medicine, or a post modern system of medicine which could also be addressed as the future of Medicine!
Dr Sreevals G Menon [PH-9349117833, sreevalsm@gmail.com]
Special Consultant, Allergy-Asthma & Respiratory Clinic
Director, AIHMS HOMOEOPATHY
[KANNUR-KOZHIKODE-COCHIN-TRIVANDRUM]
Tuesday, April 20, 2010
Homeopathic Seminar: Constitution and Temperament by Anishya V K
Monday, April 19, 2010
Fluoric acid by Dr. Sreechithra H
Fluoric acid
Dr. Sreechithra H
Psoric++
Sycotic++
Syphilitic+
Tubercular++
Hot++
Materialistic; enjoy life to its full extend; not bothered about spiritual development, awareness, discipline etc
Crude energy:
- They have a driving force for sexual intercourse.
- Early intercourse (begins at the age of thirteen to Fourteen)
- Insensitivity and aggressive
Relationship:
- No satisfaction in any relationship, they frequently change them.
- Beautiful girlfriends, but superficial relationship.
- Early but short marriage.
- Cannot relate wife and children if they don't please him.
- Promote their own feeling of enjoyment.
Superiority:
E.g. will get all girlfriends to wear blue shirt
Kindness:
- Help others materially, don't understand any other help.
Sensitivity to suffering of others:
- Go to extreme to save the life of a child with cancer because deep down, there is an anxiety about his own health.
- Tremendous fear of suffering. Make friends with doctors, want to enjoy life and die with out suffering.
Fear of cancer; fear of suffering in future.
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Causticum by Dr. Sreechithra H
Causticum
Dr. Sreechithra H
Psoric+++
Sycosis+++
Syphilitic++
Tubercular+++
Chilly++
Constitution
- Sensitive, excitable people, quick to react responds with hyperactivity and over reaction
Sympathetic
- they have strong sense of social justices
- intolerance to any kind of authority
- he will not tolerate anything that oppresses either himself or others
- Excessive concerned for injustice in the world, and pain of others.
- The patients are extroverted, revolutionist and he want to destroy the world, because it is not what it should be
- When such people have been through grieves and vexation, the initial state of over reactivity becomes turned inward and become introverted and gradually become paralyzed mentally, physically and emotionally.
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