THERAPEUTICS OF INJURY by Dr. Saralekshmi

THERAPEUTICS OF INJURY

by

Dr. Saralekshmi

saralekshmi@gmail.com

RUBRIC

GENERALITIES, INJURIES (KENT)

3 Marks:

Arn,Con,Hep,Hyper,Puls,Rhus tox,Sulph a,Ruta.

2 Marks:

Bad,Cic,Carb v,Dulc,Iod,Lach,Led,Nat sulph,Nit a,Phos,Symph,Sil,Staph,Sulph.

Generalities, Injuries (traumatism)-Boericke

2 Marks:

Arn, Bellis, Calend, Cic, Ham, Hypr, Led, Rhus t.

1 Mark:

Acet .ac; Acon; Angust.; Bufo; Crot. T; Euphras.; Glon.; Mag. C.; Millef.; Nat. s.; Physost.; Ruta.; Stont. c.; Sul. Ac.; Verb.

MEDICINES

1. ARNICA:

• Bad effects of injuries, falls, blows, contusions.
  
• Any injuries however remote seems to have caused the present problem.
  
• Tendency to haemorrhage.
  
• Head hot with, cold body.
  
• Sore, lame, bruised feeling.
  
• Bed feels so hard.
  
• < Touch, motion, damp, cold weather.
  

2. CONIUM:

• Bruised feeling after blows.
  
• < lying down, turning in bed.
  
• > Motion, pressure.
  

3. HEPAR SULPH:

• Great sensitiveness, touch even of clothes is intolerable.
  
• Pain causes fainting.
  
• Feeling as if wind were blowing on some part.
  
• The side of body on which he lies at night becomes gradually insufferably painful.
  
• < Cold weather, touch.
  
• > Warmth.
  

4. HYPERICUM:

• Injuries to nerves, especially of fingers, toes and nails.
  
• Crushed fingers.
  
• Excessive painlessness.
  
• Punctured wounds.
  
• Pain after operations
  
• Spasm after injury.
  
• Coccydynia.
  
• Injured nerves from bites of animals.
  
• Neuritis, tingling.
  
• Right sided neuralgia.
  
• Drowsiness.
  
• Tetanus.
  
• Head feels as if elongated.
  
• Pressure along ulnar side of arm.
  
• <cold, touch
  
• >Bending head backwards.
  

5. PULSATILLA:

• Injuries, pain with chilliness.
  
• Right sided neuralgia.
  
• Symptoms ever changing.
  
• Thirst less.
  
• Thick bland, greenish, yellowish discharge.
  
• < Heat
  
• >lying on painful side, cold.
  

6. RHUS TOX:

• Affects fibrous tissue, joints, tendons, and sheath.
  
• Produces pain and stiffness.
  
• Post-operative complications.
  
• Tearing pain.
  
• Ailments from strain.
  
• Jaws crack when chewing.
  
• Eye painful on turning.
  
• < Wet, rainy weather.
  
• > Change of position.
  

7. RUTA:

• Injuries to bones.
  
• Acts upon periosteum, cartilages, eyes and uterus.
  
• Affects flexor tendons.
  
• All parts of body, feel as if bruised.
  
• Sprains (after arnica).
  
• Lameness after sprain.
  
• Deposits on periosteum, tendons, joints, wrist.
  
• < Cold weather.
  

8. SULPHURIC ACID:

• Tendency to gangrene following mechanical injuries.
  
• Haemorrhages of black blood.
  
• Purpura haemorrhagica.
  
• Cicatrices turn red and blue, become painful.
  
• Right sided neuralgia.
  
• Writer's cramp.
  
• Debility, tremor, weakness.
  
• < Excess of heat and cold.
  
• > Warm, lying on affected side.
  

9. BADIAGA:

• Soreness of muscles.
  
• Skin sore to touch.
  
• Sensitive to cold.
  
• < Motion, friction of clothes.
  

10. CICUTA:

• Cervical muscles contracted.
  
• Convulsions from concussion of brain.
  
• Cerebrospinal meningitis.
  
• Head symptoms relieved by emission of flatus.
  
• Tearing in coccyx.
  
• Sensation of internal chill.
  
• < Menses, touch.
  

11. CARBO VEG:

• Epistaxis after straining.
  
• Imperfect oxidation.
  
• Venous congestion, dark blood.
  
• Head: hot, breathe cold, blue skin.
  
• Wants to fanned.
  
• < Night.
  

12. DULCAMRA:

• Injury to skin, glands.
  
• Ailments from damp, cold weather.
  

13. IODUM:

• Injuries of glands and connective tissue.
  
• Debility, great perspiration.
  
• Thirsty, hungry.
  
• Craves fresh air.
  
• < Warm room.
  
• > Open air.
  

14. LACHESIS:

• Injuries, haemorrage of dark blood.
  
• Debility after haemorrhage.
  
• Bad effects of suppressed discharge.
  
• Cannot bear tight clothes.
  
• Desires to fanned.
  
• < Warm bath, touch, pressure.
  
• > Appearance of discharge.
  

15. NATRUM SULPH:

• Head symptoms from injuries to head, mental troubles there from.
  
• Capillary bleeding after curettage.
  
• Spinal meningitis.
  
• Occipital pain.
  
• Hot feeling on top of head.
  
• Epistaxis.
  
• Right sided neuralgia.
  
• Dreams of running water.
  
• >dry weather, pressure.
  

16. NITRIC ACID:

• Capillary bleeding after curettage.
  
• Offensive blood.
  
• Sticking, splinter like pain, appear and disappear quickly.
  
• Epistaxis with chest affection.
  
• Tongue clean, red and wet with centre furrow.
  
• < Night, cold.
  

17. PHOSPHORUS:

• Injury, haemorrhage, bright red blood.
  
• Post operative neuritic pain.
  
• Wounds bleed very much even it small; they heal and break out again.
  
• Suddenness of symptoms.
  
• Spinal burning, coldness of occiput.
  
• Neuralgia, parts must keep warm.
  
• < lying on left side.
  

18. SYMPHYTUM:

• For traumatic injuries of eyes, pain in eye after blow of an obtuse body, no remedy equals this.
  
• Acts on joints.
  
• Wounds penetrating to perineum and bones, non union of fractures.
  
• Irritable, stump after amputation.
  
• Irritable, bone at point of fracture.
  
• Neuralgia of limb.
  
• Psoas abscess.
  
• Pricking pain and soreness of periosteum.
  

19. SILICEA:

• Abscess in cornea, after traumatic injury.
  
• Every little injury suppurates.
  
• Painless swelling of glands.
  
• Cracks at end of fingers.
  
• < Cold.
  
• > warm
  

20. STAPHYSAGRIA:

• Lacerated tissues.
  
• Sphincters lacerated or stretched.
  
• Lacerated or incised wounds of cornea.
  
• Pain and nervousness after extraction of teeth.
  
• < touch.
  
• > Warmth.
  

21. CALENDULA:

• Open wounds.
  
• Promotes granulation by first intension.
  
• Haemostatic after tooth extraction.
  
• Neuroma.
  
• Severe pain.
  
• Tendency to take cold.
  
• Lacerated scalp wounds.
  
• Injuries to eyes, after operation.
  
• Burns and scalds.
  

22. SULPHUR:

• Red orifices.
  
• Offensive discharge.
  
• Burning
  
• < Warmth of bed.
  

23. ACETIC ACID:

• Bruises, sprains.
  
• Haemorrhage from any part.
  
• Debility after hemorrhage.
  
• Blood rushes to head with delirium.
  
• Skin hot, profuse sweat.
  
• Intense thirst.
  

24. BELLIS:

• Acts upon muscular fibers of blood vessels.
  
• Muscular soreness.
  
• Venous congestion due to mechanical injuries.
  
• First remedy in injuries to deeper tissues after major surgical works.
  
• Injuries to nerves with intense soreness and intolerance of cold bathing.
  
• Traumatism of pelvic organs, auto traumatism.
  
• Sprains and bruises.
  
• Sore bruised feeling in pelvic region.
  
• Suited to gardeners.
  
• Varicose vein with bruised sore feeling.
  
• Applied externally in naevi.
  
• < Warm bath.
  

25. EUPHRASIA:

• Consequence of external injuries.
  
• <warming.
  

26. HAMMAMELIS:

• Open painful wounds, with weakness from loss of blood.
  
• After operations, supercedes the use of morphine.
  
• Venous congestion hemorrhages.
  
• Varicose vein with bruised soreness of affected part.
  
• Acts upon the coats of vein causing relaxation and engorgement.
  
• Fullness of head following epistaxis.
  
• Hastens absorption of intra ocular hemorrhages.
  
• < Warm weather.
  

27. MILLEFOLIUM:

• After operation for stone.
  
• Bad effects from falls from height, overeating.
  
• Various types of hemorrhages, bright red blood.
  
• Painful varices during pregnancy.
  
• Hemorrhage from bowel.
  
• Nose bleed.
  
• Hemoptysis from suppressed menses and hemorrhages.
  
• Bad effects of continued high temperature.
  

 

Notes On Tonsilitis by Dr. Ramseer Ali

TONSILLITIS

Palatine tonsils are two in number

Each tonsils are ovoid mass of lymphoid tissue situated in the lateral wall of oropharynx between the anterior and posterior pillars.

FUNCTIONS OF TONSILS

Palatin tonsils have a protective role.

Acts as sentinals at the portal of air and food passage.

Tonsils are larger in child hood and gradually diminish near puberty.

ACUTE  TONSILLITIS

CLASSIFICATION

1.ACUTE CATARRHAL OR SUPERFICIAL TONSILLITIS.

Tonsillitis is a part of generalized pharyngitis.

Mostly seen in viral infectins

2.ACUT E FOLLICULAR TONSILLITIS.

Crypts filled with purulent material.

Presenting at the opening of crypts as yellowish spots.

3.ACUTE PARENCHYMATOUS TONSILLITIS.

Tonsil is uniformly enlarged and red.

4.ACUTE MEMBRANOUS TONSILLITIS.

Exudation from the crypts coalesces to form a membrane on the surface of tonsil.

AETIOLOGY.

Commonly affect school going  childrens.

Also affects adults.

Rare in infants and persons above 50 years of age.

Haemolytic strepto coccus is the most commonly infecting organism.

Other causes of infection may be staphylo cocci,pneumococci,or h.influenae.

SYMPTOMS.

Predominant symptoms are;

1.       Sore throat

2.       Difficulty in swallowing.

3.       Fever,it may be 38 to40 c and may be associated with chill and rigor

4.       Earache.it is either from tonsil or the result of acute otitis media.

5.       Constitutional symptoms.

It includes head ache,general body aches,malaise and constipation.

SIGNS.

1.breath is foetid and tongue coated

2.tonsils are red and swollen with yellowish spot of purulent material presenting at the opening of crypts,in acute follicular tonsillitis

Whitish membrane on medial surface of tonsil ,in acute membranous tonsillitis.

Tonsils may enlarged and congested,in acute parenchymatous tonsillitis.

3.the jugulo digastrics lymph nodes are enlarged and tender.

COMPLICATIONS.

1.chronic tonsillitis with recurrent acute attacks.

2. peri tonsillar abscess.

3.parapharyngeal abscess.

4.cervical abscess.

5.acute otitis media

6.rheumatic fever

7.acute glomerulonephritis.

8.subacute bacterial endocarditis.

CHRONIC TONSILLITIS

AETIOLOGY

1.it may be a complication of acute tonsillitis.

2. subclinical infections of tonsils without an acute attack.

3.mostly affects children and young adults.

4. chronic infections in sinuses or teeth may be a predisposing factor.

CLASSIFICATION

1.CHRONIC FOLLICULAR TONSILLITIS.

Here tonsillar crypts are full of infected cheesy material.

2.CHRONIC PARENCHYMATOUS TONSILLITIS.

Tonsils are very much enlarged and may interfere with speech,deglution  and respiration.

Attacks of sleep apnoea may occur.

3.CHRONIC FIBROID TONSILLITIS.

Tonsils are small but infected,with history of repeated sore throats.

CLINICAL FEATURES

1.recurrent attacks of sore throat or acute tonsillitis.

2.chronic irritation in throat with cough

3. bad taste in mouth and foul breath

4.thick speech,difficulty in swallowing and choking spells at night.

EXAMINATION

1.tonsils may show varying degree of enlargement,sometimes they meet in mid line

2. there may be yellowish beads of pus on the medial surface of tonsil

3.tonsils are small but pressure on anterior pillar expresses frank pus or cheesy material

4. enlargement of jugulodigastric lymph nodes is a reliable sign of chronic tonsillitis.

COMPLICATIONS

1.       PERITONSILLAR ABSCESS
2.       PARAPHARYNGEAL ABSCESS.
3.       INTRATONSILLAR ABSCESS.
4.       TONSILLOLITH.
5.       TONSILLAR CYST.
6.       RHEUMATIC FEVER.
7.       ACUTE GLOMERULONEPHRITIS.

DISEASES OF LINGUAL TONSILS

1.       ACUTE LINGUAL TONSILLITIS.
Acute infection of lingual tonsillitis give rise to unilateral dysphagia and feeling of lumb in throat
Cervical lymph nodes may enlarged.
2. LINGUAL TONSILS.HYPERTROPHY OF
Usual complains are discomfort on swallowing,feeling of lump in throat,dry andcough and thick voice.
3.ABSCESS ON LINGUAL TONSIL.
It is a rare condition but can follow acute lingual tonsillitis.
Symptoms are severe unilateral dysphagia,pain in tongue, excessive salivation and some degree of trismus.

Jugulodigastric lymph nodes will be enlarged and tender.

HOMOEOPATHIC MEDICINES

1.BARYTA CARB

Take cold easily,with stitches and smarting pain

Suppurating tonsils from every cold.

Tonsils inflamed,with swollen veins.

Smarting pain when swallowing,worse empty swallowing,

Can only swallow liquids.

Stiching pain in tonsils.

2.BELLADONNA

Tonsils red,dry and glazed

Tonsils enlarged,throat feel constricted.

Difficult deglution,worse on right side.

Sensation of lump.

Continous inclination to swallow.

3.LACHESIS

Tonsils purplish.

Purple, livid colour of throat.

Sore, worse on left side,swallowing liquids.

Pain aggravated by hot drinks.

Touch is even more annoying.

Collar and neck band must be very loose.

Pain in throat shoot in to ear.

4.MERCURIUS

Bluish red swelling.

Smarting, burning in throat,

Stitches in to ear when swallowing.

Complete loss of voice.

Burning in throat,as from hot vapor ascending.

Ulcers and inflammation.

5.CALCAREA FLUORICA

Follicular tonsillitis

Plugs of mucus are forming on crypts of tonsils.

Pain and burning on throat,better by warm drinks,worse cold drinks.

REFERENCE BOOKS

1.DISEASES OF EAR,NOSE AND THROAT .BY P L DHINGRA.

2.A CONCISE REPERTORY OF HOMOEOPATHIC MEDICINES BY DR.S.R. PHATAK

3.REPERTORY OF HOMOEOPATHIC MATERIA MEDICA BY J.T.KENT.

4.POCKET MANUAL OFHOMOEOPATHIK MATERIA MEDICA BY BOERICKE.

Interview with Dr.Biju G Nair

 

Interview with Dr.Biju G Nair

Source: Asianet

Homeopathic Seminar: Clinical Application of Materia Medica Repertory and Homeopathic Philosophy by Dr. Biju G Nair

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