Authors: Dr. Ashok yadav, HOD Dept. Of Practice of Medicine (Hom.) Dr. M.P.K. Homoeopathic Medical College, Hospital and Research Center. Homoeopathy University, Jaipur.
Dr. Virendra chauhan , Prof. Dept. Of Practice of Medicine (Hom.) Dr. M.P.K. Homoeopathic Medical College, Hospital and Research Center. Homoeopathy University, Jaipur.
Dr. Bhupendra Arya , MD Scholar, Department of Practice of Medicine (Hom.) , Dr. M.P.K Homoeopathic Medical College, a constituent college of Homoeopathy University, Jaipur.
Dr. Manish singh , MD Scholar, Department of Repertory (Hom.) , Dr. M.P.K Homoeopathic Medical College, a constituent college of Homoeopathy University, Jaipur.
Dr.Pushpendra maharshi , MD Scholar, Department of Repertory (Hom.) , Dr. M.P.K Homoeopathic Medical College, a constituent college of Homoeopathy University, Jaipur.
Abstract: Gout is a metabolic disease that most often affects middle-aged to elderly men and postmenopausal women. It results from an increased body pool of urate with hyperuricemia. This article provide information about gout along with homoeopathy medicine and important rubric in Synthesis Repertory. 2
Keywords: Gout , Homoeopathy , Synthesis repertory
Introduction : Gout is a metabolic type of arthritis. It typically is characterized by episodic acute arthritis or chronic arthritis caused by deposition of MSU crystals in joints and connective tissue tophi and the risk for deposition in kidney interstitium or uric acid nephrolithiasis. 1 The raised levels of uric acid in body may be due to over production of uric acid or reduced excretion of uric acid. gouty causes severe pain, swelling and redness of that area.
Clinical features :
- Intense joint pain
- Lingering discomfort
- Limited range of motion
- Inflammation and redness
Investigation :
- Serum uric acid
- Joint fluid test.
- X-ray
- Ultrasound
- Dual energy CT scan
Different rubrics which are related to gout in synthesis repertory2 :
EXTREMITIES
– PAIN – Joints – gouty
Abrot. adren.
aesc. agar. AGN. Alum. am-be. am-c. am-m. am-p. ambr. ambro. anac.
anag. ant-c. ant-t. anthraco. Apis. apoc-a. arb. ARG-MET. ARN. Ars. ars-h. Ars-i. Asaf. asar.
asper. aur. aur-ar. aur-i. Bapt. Bar-c. bar-i. BELL. bell-p. Benz-ac. berb. bism. borx. bov. BRY. Bufo. cact. caj.
cal-ren. CALC. calc-f. calc-i. CALC-P. CALC-S. canth.
caps. carb-an. carb-v. Carbn-s. carl. CAUST. cedr. cham. Chel. Chim. Chin. Chinin-ar. chinin-s. chr-o. Cinnb. Cocc. COLCH. Coloc. Cupr. daph. dros. Dulc. eucal.
eup-per. Ferr. ferr-ar. ferr-i. ferr-p. Form. frag. gast. gent-l. get. gnaph. Graph. grat. Guaj. hell. Hep. hera. hydrc. Hyos. Ign. ins. Iod. irid-met.
jal. Kali-ar. kali-bi. KALI-C. Kali-i. kali-n. kali-p. kali-sil. Kalm. kiss. lappa Laur. LED. lith-be. lith-c. LYC. lycpr. lysd. m-ambo. MAG-C. mag-m. mag-p. malar. Mang. mang-act. med. meny. MERC. Mez. Nat-ar. Nat-c. nat-lac. Nat-m. nat-ox-act. nat-p. Nat-s. nit-ac. nux-m. NUX-V. ol-j. Ox-ac. pancr.
petr. Ph-ac. Phos. Phyt. pin-s. pipe. plat. Plb. plb-xyz. prim-v. PSOR. Puls. pyrus,
querc-r. querc-r-g-s. rad-br. Ran-b. ran-s. Rhod. RHUS-T. ruta SABIN. sacch-l. Sal-ac. samb. Sang.Sars. sec. SEP. Sil. solid. spig. SPONG. squil. Stann. STAPH. stel.
stram. Stront-c. sul-ac. sul-i. SULPH. tarax. tax. tep. thlas. Thuj. ur-ac. urea Urt-u. valer.
verat. verb. vichy-g. viol-o. viol-t. Visc. wies.
wildb. zinc.
GENERALS
– PAIN – gouty
acon.
agar. AGN. alum. am-c. am-m. ambr. anac. ang. ant-c.
ant-t. ARG-MET. Arn. ars. Asaf. asar. aur. Bar-c. BELL. bism. borx. bov. BRY. Calc. camph.
cann-xyz. canth. caps. carb-an. carb-v. Caust. cham.
chel. Chin. cic. cina clem. Cocc. COLCH. coloc.
con. cupr. cycl. dig. dros. dulc. euph. euphr. Ferr. Graph. guaj. hell. hep. Hyos. Ign. iod. KALI-C. kali-n. kreos. laur. LED. lyc. m-ambo. mag-c. mag-m. Meny. MERC. Mez. mosch. mur-ac. Nat-c. Nat-m. nit-ac.
nux-m. nux-v. olnd. par. petr. ph-ac. Phos. plat.
plb. Puls. ran-b. ran-s. rheum rhod. RHUS-T. ruta sabad. SABIN. samb. Sars. sec. Sep. sil. spig. SPONG. squil. Stann. STAPH. stram. Stront-c. sul-ac. Sulph. tarax.
teucr. Thuj. valer. verat. verb. viol-o. viol-t. Zinc.
EXTREMITIES – WEAKNESS – gout, after bell-p.
EXTREMITIES – SWELLING – Knee – gouty “BENZ-AC. CALC. KALI-I. LED. LYC. PLB.
EXTREMITIES – SWELLING – Fingers – Joints – gouty agn. anag. Kali-i. LYC. stel. Sulph.
EXTREMITIES – STIFFNESS – Fingers – gouty
AGAR. Carb-an. Lyc. petr. sulph.
EXTREMITIES – STIFFNESS – Joints – gouty caps.
EXTREMITIES – PAIN – tearing – Toes – gouty Benz-ac. Graph.
EXTREMITIES – PAIN – tearing – Toes – First – gouty ant-c. benz-ac.
EXTREMITIES – PAIN – tearing – Feet – gouty graph.
EXTREMITIES – PAIN – tearing – Fingers – Joints of – gouty nodosities; in agn.
EXTREMITIES – PAIN – drawing – Knee – Patella – gouty crot-h.
EXTREMITIES – PAIN – drawing – Knee – gouty Ant-c. crot-h. sep.
EXTREMITIES – PAIN – drawing – Fingers – Second – gouty bamb-a.
EXTREMITIES – PAIN – drawing – Upper limbs – Joints of – gouty caust.
EXTREMITIES
– PAIN – Toes – First – Joints – gouty
acon.
am-c. ambr. ammc. apis apoc-a. Arn. ars. asaf.
aster. bell. Benz-ac. Bry. calc. Calc-p. canth.
carb-v. Caust. Cimic. con. Dulc. elat. eup-per. Gnaph. graph. guaj. kalm. LED. LYC. m-ambo.
mosch. Nux-v. olnd. par. ph-ac. phos. plat. ran-b.
ran-s. Sabin. sep. Sil. squil.
staph. sulph. Tarax. thuj. Verat. zinc.
EXTREMITIES – PAIN – Toes – Joints, of – gouty ambr. arn. asaf. calc. calc-p. Caust. Dulc. graph. kali-bi. lyc. Mang. nat-p. positr. ran-s. Sabin. sulph. thuj.
EXTREMITIES – PAIN – Foot – Heel – gouty calc. kali-i. led. lyc. med. meph. sabin.
EXTREMITIES – PAIN – Foot – gouty Led. lyc. nat-p. Nat-s. urt-u.
EXTREMITIES – PAIN – Ankle – gouty abrot. ambr. arn. LED. petr. stel.
EXTREMITIES – PAIN – Leg – gouty anan. Apis Bry. psor. sars.
EXTREMITIES – PAIN – Hip – gouty am-p. bell. coloc. Led. Nit-ac. petr. Sil.
EXTREMITIES – PAIN – Knee – gouty :BENZ-AC. CALC. caust. con. Eup-per. Guaj. Lach. Led. Nux-v. petr. verat.
EXTREMITIES – PAIN – Lower limbs – gouty Bry. led.
EXTREMITIES – PAIN – Thumb – Joints – gouty carb-v. lyc.
EXTREMITIES – PAIN – Fingers – Joints – gouty berb. Calc. calc-p. Hep. LYC. sabin. stel. Sulph.
EXTREMITIES – PAIN – Hand – Joints of – gouty pin-s. plb.
EXTREMITIES – PAIN – Hand – gouty Carbn-s. gins. lyc.
EXTREMITIES – PAIN – Wrist – gouty abrot.
EXTREMITIES – PAIN – Elbow – gout ars-h. caust. kali-i.
EXTREMITIES – PAIN – Upper limbs – Bones – gouty lach.
MIND – FEAR – touched; of being – gout; in ARN.
MIND – ANXIETY – alternating with – Joints; pain in – gouty asaf.
URINE – ALBUMINOUS – accompanied by – gout am-be.
RESPIRATION – ASTHMATIC – alternating with – gout benz-ac. lyc. Sulph.
STOMACH – GOUTY metastasis ANT-C. benz-ac. cinnm. colch. Nux-m. sang.
FACE – PAIN – gouty Caust. ruta
HEARING – IMPAIRED – accompanied by – gout Ferr-pic. ham. kali-i. led. sil. sulph. visc.
EYE
– INFLAMMATION – arthritic
Ant-c. ANT-T. Apis Ars. arum-m. bell. Borx. Bry. cact. CALC. Cham. Chin. Cocc. Colch. Coloc. dig. Euphr. FORM. Graph. Hep. ilx-a. kali-i. Kalm. Led. LYC. med. Merc. Mez. nat-m. Nux-v. PHYT. Psor. Puls. RHUS-T. SEP. spig. Staph. Sulph.
HEAD – PAIN – gouty asar. Bry. chin. coloc. guaj. Ign. ip. mosch. NUX-V. Rhus-t. Sep.
HEAD – PAIN – alternating with – Joints – gouty pain in eup-per. sulph.
FACE – PAIN – gouty Caust. ruta
HEARING – IMPAIRED – accompanied by – gout Ferr-pic. ham. kali-i led. sil. sulph. visc.
EYE
– INFLAMMATION – arthritic
Ant-c. ANT-T. Apis Ars. arum-m. bell. Borx. Bry. cact. CALC. Cham. Chin. Cocc. Colch. Coloc. dig. Euphr. FORM. Graph. Hep. ilx-a. kali-i. Kalm. Led. LYC. med. Merc. Mez. nat-m. Nux-v. PHYT. Psor. Puls. RHUS-T. SEP. spig. Staph. Sulph.
HEAD – PAIN – gouty asar. Bry. chin. coloc. guaj. Ign. ip. mosch. NUX-V. Rhus-t. Sep.
HEAD – PAIN – alternating with – Joints – gouty pain in eup-per. sulph.
Homoeopathic management :
- Arnica Montana: Gout. Great fear of being touched or approached. Pain in back and limbs, as if bruised or beaten. Sprained and dislocated feeling. Soreness after overexertion. Everything on which he lies seems too hard. Deathly coldness of forearm. Cannot walk erect, on account of bruised pain in pelvic region. Rheumatism begins low down and works up . Sensation as if the foot were compressed by a hard body.
- Abrotanum: Pain in shoulders, arms, wrists, and ankles. Pricking and coldness in fingers and feet. Legs greatly emaciated. Joints stiff and lame. Painful contraction of limbs
- Belladonna: Shooting pains along limbs. Joints swollen, red, shining, with red streaks radiating. Tottering gait. Shifting rheumatic pains. Phlegmasia alba dolens. Jerking limbs. Spasms. Involuntary limping.. Pain is worse during night and cold and it is better by pressure.
- Benzoic acid: oints crack on motion. Tearing with stitches. Pain in tendo Achillis. Rheumatic gout; nodes very painful. Gouty deposits. Ganglion; swelling of the wrist. Pain and swelling in knees. Bunion of great toe. Tearing pain in great toe.. Old nodes become painful and as the pains abate palpitation sets in, ceasing only when pain increase. Urine is of highly offensive odour, depositing a reddish cloudy sediment.
- Colchicum: Sharp pain down left arm. Tearing in limbs during warm weather, stinging during cold. Pins and needles in hands and wrists, fingertips numb. Pain in front of thigh. Right plantar reflex abolished. Limbs, lame, weak, tingling. Pain worse in evening and warm weather. Joints stiff and feverish; shifting rheumatism; pains worse at night. Inflammation of great toe, gout in heel, cannot bear to have it touched or moved. Tingling in the finger nails. Knees strike together, can hardly walk. odematous swelling and coldness of legs and feet. Uric acid diathesis. Gout in persons of vigorous constitution.
- Ledum: Gouty pains shoot all through the foot and limb, and in joints, but especially small joints. Swollen, hot, pale. Throbbing in right shoulder. Pressure in shoulder, worse motion. Cracking in joints; worse, warmth of bed. Gouty nodosities. Ball of great to swollen (Bothrops). Rheumatism begins in lower limbs and ascends (Kalmia opposite). Ankles swollen. Soles painful, can hardly step on them (Ant c; Lyc). Easy spraining of ankle.
- Staphysagria: Extremities feel beaten and painful. Joints stiff. Crural neuralgia. Dull aching of nates extending to hip-joint and small of back. Arthritic nodes on skin. Chronic gout of men advanced in life, corpulent with feeble pulse, palpitation, dyspnoea on exertion.Pains in smaller joints of hands and feet, with much swelling and hardness; skin affections alternating with pains in joints; weakness of knees; soles of feet tender.
- Urtica urens: Pain in acute gout deltoid; pain in ankles, wrists. Symptoms return at the same time every year. Gout and uric acid diathesis. Can be used to reduce uric acid levels even in the absence of symptoms.
References:
- Kasper, D. L., Fauci, A. S., Hauser, S. L., Longo, D. L. 1., Jameson, J. L., & Loscalzo, J. (2015). Harrison’s principles of internal medicine (19th edition.). New York: McGraw Hill Education. principles of internal medicine. 18th ed. New York: McGraw Hill, HealthProfessions Division; 2012. p. 2382.
- Schroyens Frederik. Augmented Clinical Synthesis. 9.1 ed. New Delhi: B.Jain Publishers(P)Ltd; 2011
- Boerick’s New manual of homoeopathic MATERIA MEDICA with REPERTORY 3rdrevised & augmented edition based on ninth edition New Delhi: B. Jain Publishers(P)Ltd;2007
