Aim:
The aim was to evaluate the usefulness of 50 millesimal potency of indicated similimum in treatment of chronic disease from a case report with previous refferences of retrospective study of ijrh 2015.
Introduction:For rapid result in progressive illness with LM potency are useful,in comparison of other potencies,as its advantage over the unique ways given by Dr Samuel Hahnemann,miraculous results will be produced if use in properly indicated way.
Case summary:38 year male presented with DM type 2 with Hypertension and Dyslipidemia.
Keywords:LM potency ,Homoeopathy,DM ,Hypertension,Dyslipidemia.
Case details of hypertension associated co-morbidity..…
Patient information:38 year /male opd of government opd at surat complain of ,high BP,measured 180/120 mmhg.He had a great deal of discomfort and anxiety related to academic work,and family issues.
Past history:allergic rhinities,A/F cold,cough,insomnia and acidity.Due to traveling constipation is sustainable cause since long.
Family History:No specific history except father is suffering from hypertension and death due to IHD….
Personal History: Thermal state:chilly (intolerance to cold).Prspiration:profuse
Thirst:thirsty Diet:Veg
Appetite: reduced Habit/addiction:no specific
Desire:not specific Aversion:not specific
Bowel:constipation urine:6 to 9 times/day 3 times /night
Sleep:disturbed due to anxiety Dreams:Not specific
General Physical Examination:well built /thin but strong enough,rest NAD
Vitals :BP:180/120 mmhg RR:28/min
Pulse:72/min spo2:99%
FBS:112 mg/dl. temp:98.4 °F
Systemic examination:NAD
Clinical findings:High BP with tachycardia and tachyponea.
No swelling
No any specific findings
Diagnostic assessment:
As per the JNC 7 criteria target BP is systolic less then 140 mmhg
Diastolic BP: less then 90 mmhg
This is clear cut diagnosed as “a case of hypertension “
Now which type of hypertension?
That will be diagnosed with the help of laboratory findings ..
Lab diagnostic advice:CBC,LIPID,RBS,Sr creatinine,Sr homocystine level,Sr tsh,24 hour urine metanephrine level,urine R/M.
Organon refferences:aphorism 73 ,aphorism 153,aphorism 217,aphorism 253.
Therapeutic intervention:
(1)In the refferences of NPCDCS-a cross sectional study under AYUSH integration project of IJRH /CCRH NEW DELHI,24/12/2023.
(2)In the refferences of CTRI/2012/02/002404 of 04/06/2013 IJRH/CCRH STUDY of 04/06/2013….the following medicine will be helpful…
(1)Natrum Mur(2)cal carb(3)Sulph (4)thuja(5)nitric acid(6)causticum(7)medorrhinum(8)staphysgria(9)Digitalis(10)Glonoine will be helpful.
With these refferences and from above case individualisation i had selected
Staphysgria 0/1 frequent watery dose on and off for 15 days alternate
with sac lac 4 pills tds.
Life style modification:
(1)Diet management (avoid oil and salt)
(2)walk 3 km
(3)skip
(4)situps
(5)sunbath
(6)yoga
(7)Cycling
(8)Upwas weekly /15 days with liquids only.
Followup and outcomes:reduced BP
After 3 months :SBP =146+/-10 mmhg DBP=100+/-10mm of hgAfter 6 month: SBP=136+/- 10 mmhg DBP=85+/-5 mm of hg
Result and discussion: In this case and many other cases with different criteria of study we come to result that SBP possible to maintain at 136+/- 10 mmhg
DBP is possible to maintain at 85+/-5 mmhg. with above indicated Homoeopathic similimum.
Conclusion: Individualisation principal and selection as per refferences will produce a variable but possible to maintain at “JNC 7 CRITERIA “.
Scope:
(1) LM potency have the scope of being the most curative innert power of individualisation substances that having tendency to produce “highest idel of cure”in stubborn chronic cases.
(2) LM potency the most flexible of all the ways of doing homoeopathy posology.
(3) Milder in reaction so easy to prescribe in possible fatal cases wirhout fear of danger and violent medicinal aggravation.
(4) Frequent repeated dose is possible for even long lasting remedies.
(5) May be applied through olfactory method for avoiding medicinal aggravation especially in hypersensitive patients.
Utility:
(1) Utilized in cases of gradually improvements.
(2) Utility in synonymous observation,however here medicinal aggravation will be handled very easily.
(3) In case of violent aggravation of centesimal potency the cases can be converted to LM potency.
(4) No need of further medicine if selection is perfect
(5) No possibility of severe damage done by repeated use of centesimal potency.
References: (1)MCI,ICMR 2017,new delhi.
(2)WHO 2023 NCD.
(3)NPCDCS AYUSH
(4)Organon of medicine 6th edition by Samuel Hahnemann
(5)API
(6)w.boerick materia medica and repertory.
(7)lesser writing of Samuel Hahnemann collected and translated by RE Dudgeon.(p 773 to 776)
