ROD (Rubric Of the Day)

SATYRIASIS: Excessive, often uncontrollable sexual desire in and behaviour by a man. It is excessive or abnormal sexual craving in the male. One of my patients reached in our de addiction clinic told me that he is not satisfied with his wife and even after having a number of extra marital relationships. He was depending alcohol to get a sound sleep otherwise he will think about sexual relation with all ladies irrespective of their age that he met on that day. Irresistible desire with erection was his problem. Few doses of Verat Alb saved him from both alcoholism and loss of morality. Verat Alb, Kali Brom, CANTH

TOD (Tips of the Day)

Amativeness : Relating to or inclined toward love, especially sexual love. It stands for the reproductive instinct and the sexual desire. It is the faculty concerned with physical love and sexual attraction it has nothing to do with the eternal love. It is more or less physical attraction than a love from the bottom of heart. : Cantharis, Hyoscyamus, Lyco.

ROD (Rubric Of the Day)

ALOOF: Distant physically or emotionally; reserved and remote. At a distance but within view. He is reserved to keep dignity. An Aloof patient doesn’t get along with people easily. They never enter in to the intimate zone of others in physical and mental level. 75 centimetres around a person is considered as his intimate zone. Only a very close person shall enter in to your intimate zone for communication. Aloof person never enter in to this zone. He hesitates to shake hand with you without an invitation. He never asks your personal matters and even personal details. One of my friends in Jaycees (An international youth organization) doesn’t know the whereabouts of his fellow members. Once he was appointed as the programme director of an event. His duty is to call every member over telephone and to welcome the gathering. He literarily failed in these 2 duties because he doesn’t know what his fellow members so as to guests! Remember he was the winner of 100% attendance Award in the previous year. He presented in all meetings attended all training programmes but keep a distance from his fellow members! In another occasion one of the member of the same organisation brought all members and beautifully introduced not only the guest but also all members! He introduced each every member of our organization by narrating an event in their life and their reaction to that event. This introducer was a part of each event! He took initiative in others matter and played his role without anticipating a negative outcome. He made certain condition worsen because of his interference. When both these patients consulted me on different occasions I take Aloof for former and Meddlesome for the later.

OD(Observation of the Day)

Psoric selfishness are positive, to make money so as to overcome the situation of poverty. But Sycotic selfishness     are manipulative, that is avarice. To accumulate money he adopt any way.

Dr Asha Rekh Mini

Team SAHYA

OD(Observation of the Day)

The best house maids are of cancerous miasm, fastidious, behaves attractively and most perfect.

Dr Asha Rekh Mini

Team SAHYA

ROD (Rubric Of the Day)

CHARLATAN: A person who makes elaborate, fraudulent, and often voluble claims to skill or knowledge; a quack or fraud. A retired air force officer told me that he is an encyclopaedia in aviation. Whenever he reached in my clinic he narrated something that I couldn’t get in terms of aviation. He uses technical terms of aviation. He knows only aviation and what he told was aviation always. I took his rubric as boaster, flattering desire to be. Etc. After few months I purchased a new car. It was written on the dickey of the car that “Quadra jet”. I hesitate to ask Car Company about the meaning of “Quadra jet” and I thought that I can ask aviation man who is well versed with engines and all as he stated. Meanwhile I got information that my new car’s is engine is “turbo” that too I don’t know what is. I kept both questions for aviation man. When he reached I just asked him both questions. He was literally hunting for words, he don’t know the answer of both questions. Later I invited him for a speech in the nearby school in connection with Independence Day organized by Rotary International. He skulked from that invitation by saying some unbelievable excuses. I called him for another occasion for a speech about aviation in Rotary club. At that time I told him to choose the date and time but till date he postponed it even after my repeated request. It was actually a fraudulent clam about his aviation knowledge! His rubric changed from Boaster to Charlatan and thus received a dose of CALC instead of Verat Alb & Medorrhonium that was prescribed most to him. : Calc, Nat M, Puls Plat Sul

OD(Observation of the Day)

Tubercular children had a combination of symptoms- Pin worm, Carries of teeth, Abusive, Fearful, Spitting, Capricious, Intelligent and Affectionate.

Dr Asha Rekh Mini

Team SAHYA

ROD (Rubric Of the Day)

VAGABOND: A wanderer who has no established residence or visible means of support, move about aimlessly or without any destination, often in search of food or employment. :Oxygen

Common Auto Immune Disease

Common Auto Immune Disease

by

Dr Rahees K
TEAM SAHYA

drraheesk@gmail.com

All wars are against Humanity. If a war started in human body it is called autoimmune diseases. The Body has its own Immune system to fight against the germs, pathogens and organisms that attack body. But what will occur when this immune system, that is the soldiers of Human body attack tissues and cells?, autoimmune disease is such a state.  Auto immune diseases are first identified by a Japanese researcher Hashimoto Hakaru. He found the autoimmune nature of thyroiditis and it is called as Hashimoto thyroiditis. The latest studies are shown that many diseases which have called as unknown etiology, has a connection with autoimmune mechanism. Many researchers close their research work with adding a new disease to the list of autoimmune diseases!

Patients suffering from auto immune disease are submitted for immune suppressive therapy. Main drawbacks of immune suppressive therapy are recurrent infection, loss of bone marrow, osteoporosis, organ damages especially liver, kidney and pancreas. There is chance of development of cancer in patients under immune-suppressive therapy. Most of autoimmune diseases are having multi system disorders. List of auto immune disease is endless. But following autoimmune diseases are common in Homoeopathic clinics.

1.        Alopecia areata

2.        Ankylosing spondylitis

3.        Auto immune hepatitis

4.        Crohn’s Disease

5.        Diabetes mellitus type 1

6.        Good pasture's syndrome

7.        Graves' disease

8.        Guillain-Barré syndrome (GBS)

9.        Hashimoto's thyroiditis

10.   Irritable Bowel Syndrome-SUSPECTED

11.   Myasthenia gravis

12.   Narcolepsy

13.   Pemphigus vulgaris

14.   Polymyositis

15.   Primary biliary cirrhosis

16.   Psoriasis

17.   Psoriatic Arthritis

18.   Rheumatoid arthritis

19.   Sjögren's syndrome

20.   Systemic Lupus erythematosus

21.   Temporal arteritis (also known as "giant cell arteritis")

22.   Ulcerative Colitis

Alopecia areata

Mainly alopecia areata, universalis, alopecia  totalis, alopecia areata barabae only affecting beard, etc. are common clinica presentation. In alopecia the Immune mechanism work against the follicles of hair. The peculiarity is that it will affect only black hair follicle, so thought that autoimmune action related with melanin production mechanism. In alopecia areata there is small black spots seen in hair loosed area, it is due to the destruction of hair in hair follicle while its formation.

Ankylosing spondylitis

This is the most common chronic arthritis seen. It is the chronic inflammatory arthritis of autoimmune nature mainly affecting spine and sacroiliac joint. Complication of this disease includes fusion of spine, bamboo spine. It is a gradually appearing disease. Most important problem in AS is diagnosing because average onset to diagnosing lag time has been estimated to be approximately 8.5 to 11.4 year. In AS X-ray is the commonly using diagnostic technique. But the bone change that appears in X-ray will take 8-10years to develop. That means its signs and symptoms will start showing years back before its changes appear in X-ray. Another diagnosing technique is HLAB27 gene, which is positive in 90% of AS Patients, but it will be positive in 5% of normal people too. Like other inflammatory diseases C-reactive protein and ESR will be increase in acute phase.

Auto immune hepatitis

Autoimmune hepatitis is less common. In autoimmune hepatitis Anti-Nuclear Antibody  (ANA), anti-Smooth Muscle antibody, Liver-Kidney Microsomal antibody (LKM-1,LKM-2,LKM-3), anti-soluble liver antigen and Anti-Mitochondrial antibody will be present in Blood.

Diabetes mellitus type 1

In autoimmune diabetes mellitus immune system work against beta cells of pancreas and cause insulin deficiency, there by develop diabetes mellitus. Anti-Insulin Antibody & Anti Islet cell antibody will be positive in auto immune DM.

Good pasture's syndrome

This is an autoimmune disease characterized by glomerulonephritis and hemorrhaging of lung.Good pasture’s antibody cause this autoimmune disease. This antibody present in kidney and Lungs.

Graves' disease

Here autoantibody (TSHR-Ab) activates TSH receptor of thyroid gland and produce more thyroid hormone.

Guillain-Barré syndrome (GBS)

This is an acute inflammatory demyelinating polyneuropathy. The disease is mainly affecting peripheral nerve system. This also listed under autoimmune disorder.

Hashimoto's thyroiditis

This is the first discovered autoimmune disease. Japanese Researcher Hashimoto Hakaru discovered antibodies against thyroid gland. In this disease antibodies formed against thyroid gland will destry thyroid. This disease is commonly misdiagnose as chronic fatigue syndrome, depression, anxiety disorder, etc. hashimoto’s thyroiditis can be diagnosed by testing T3,T4, TSH, Anti-thyroid antibody, Thyroid peroxidase antibody.

Myasthenia gravis

This disease characterized by muscular weakness and fatigability. In MG the acetylcholine receptor mechanism of neuro-muscular junction is affected by circulating autoantibodies and cause impairments in neuro-muscular transmission of impulses.

Narcolepsy

Narcolepsy is a chronic sleep disorder. In narcolepsy patient sleeps while studying, while doing their jobs, sleep in inappropriate time. They will go to REM (Rapid Eye Movement) sleep within 10minutes, but in a normal person it will take about 90 minutes to go to REM sleep.

Pemphigus vulgaris

It is a chronic inflammatory and very painful bullous lesions affecting skin. Autoantibodies form against desmoglein 1 and desmoglein 3, resulting in loss of adhesion between keratinocytes in the epidermis, resulting in bullous painful lesions.

Polymyositis

Polymyositis is infection of multiple muscles of the body.

Primary biliary cirrhosis

This disease characterized by the destruction of small bile ducts of liver. It can be diagnosed by Liver Function Tests, and by identifying the presence of Anti-nuclear antibody and anti-mitochondrial antibody.

Psoriasis

Psoriasis is multi-system autoimmune disease.

Rheumatoid arthritis

RA is very common multi-system autoimmune disorder.  Mainly affects joints, skin, Lungs, Kidney, Heart and blood vessels, etc. Blood test reveals presence of RA Factor, ACCP, but absence of  RA Factor or ACCP does not rule out the Rheumatoid arthritis. Presence of RA factor not confirms rheumatoid arthritis too.  X-ray and other imagine study can also be used for diagnosis of Rheumatoid arthritis.

Sjögren's syndrome

Here autoantibodies attack exocrine gland such as salivary gland and tear gland. Dryness in mouth and eye is the main symptoms. In blood examination ANA (Anti-nuclear antibody) may be seen. In SS ANA patterns are SSB/La.

Systemic Lupus erythematosus

SLE is autoimmune diseases that affect any part of the body. Now a days SLE is a common disease in clinical practice .  Anti-nuclear antibody and Anti-ds DNA Antibody is almost specific to SLE, but it is positive only in 70% of SLE cases, but it will be positive in only 0.5% of people without SLE. American College of Rheumatology established 11 criteria for diagnosing SLE, in which presence of 4 can suggestive of SLE. The 11 criterias are:

1. Malar rash (rash on cheeks).
2. Discoid rash (red, scaly patches on skin that cause scarring).
3. Serositis: Pleurisy (inflammation of the membrane around the lungs) or pericarditis (inflammation of the membrane around the heart).
4. Oral ulcers (includes oral or nasopharyngeal ulcers).
5. Arthritis: nonerosive arthritis of two or more peripheral joints, with tenderness, swelling, or effusion.
6. Photosensitivity (exposure to ultraviolet light causes rash, or other symptoms of SLE flareups).
7. Blood—hematologic disorder—hemolytic anemia (low red blood cell count) or leukopenia (white blood cell count<4000/µl), lymphopenia (<1500/µl) or thrombocytopenia (<100000/µl) in the absence of offending drug. Hypocomplementemia is also seen, due to either consumption of C3 and C4 by immune complex-induced inflammation or to congenitally complement deficiency, which may predispose to SLE.
8. Renal disorder: More than 0.5 g per day protein in urine or cellular casts seen in urine under a microscope.
9. Antinuclear antibody test positive
10. Immunologic disorder: Positive anti-Smith, anti-ds DNA, antiphospholipid antibody, and/or false positive serological test for syphilis. Presence of anti-ss DNA in 70% of cases (though also positive with rheumatic disease and healthy persons).
11. Neurologic disorder: Seizures or psychosis.

Temporal arteritis (also known as "giant cell arteritis")

It is an autoimmune inflammatory disease of vessels of head.

Ulcerative Colitis and Crohn’s Disease

Both are chronic inflammatory autoimmune disease of intestinal tract. The main differences are:-

symptoms	Crohns disease	Ulcerative Colitis
Stool	Often porridge-like, sometimes steatorrhea	Often mucus-like and with blood
Fistula	Common	Seldom
Terminal ileum involvement	Common	Seldom
Colon involvement	Usually	Always
Rectum involvement	Seldom	Usually
Distribution	Patchy areas of inflammation	Continuous areas of ulcer
Endoscopy	Deep geographic or serpiginous ulcers	Continuous ulcers
Depth of inflammation	May be transmural, deep in to tissues	Shallow or mucosal
Stenosis	Common	Seldom
Colon cancer risk	Slight	significant

These are the common autoimmune diseases prevailing in our country. Day by day diseases are falling under the fold of autoimmune disease. One should use his logic to interpret the autoimmune nature of disease before switching over to the treatment. A modern trend is to list all unexplainable health problems under autoimmune disease. An auto immune disease should confirm only by laboratory investigation for an antibody. Scope of homoeopathy shall get an extra millage as new disease comes to the fold of autoimmune diseases.  

ROD (Rubric Of the Day)

Impressionable: Readily or easily influenced; suggestible. Capable of receiving an impression. Most of the interpreted Sympathetic shall be impressionable. Sympathetic will respond to the suffering of others in a positive way. Impressionable make it as his grief too but never responds with a deed than word. They will take the impression of sufferings of others to their mind and think that if it occurs to me what will be my feeling? They will share it with others and make them sympathetic but didn’t do anything for which they are letting tears. But a sympathetic person will do something for them. He himself jump into the issue and lead for an action. His deed will be appreciated by others than his words. But the word of an impressionable man will be appreciated by others. 2 Patients reached in my clinic after few days of a bus accident. Both of them were reached from the same rout. One among them was suffering from sleeplessness after seeing the pitiful seen of accident dead bodies, injured people etc. The other person was suffering from IVDP due to lifting people who met accident. He was not able to get treated because he was running after the injured for rescue operations and to console the relatives of dead people. The former included under impressionable and the later under Sympathetic. TUB, IOD, CIC