Abstract
The neurological illness known as autism spectrum disorder (ASD) is typified by repetitive behaviors, speech difficulties, and poor social interaction. Immunological, environmental, and genetic variables are all part of its complex etiology. In the treatment of ASD, conventional and complementary methods— such as homoeopathy—are essential. The epidemiology, etiology, clinical characteristics, diagnostic procedures, and homeopathic treatments of ASD are all examined in this article.
Keywords
Autism Spectrum Disorder, Neurodevelopmental Disorder, Social Communication, Repetitive Behaviors, Sensory Processing, Developmental Delays, Behavioral Therapy, Speech and Language Therapy, Early Intervention, Genetic Predisposition, Hypersensitivity, Applied Behavior Analysis (ABA), Isotherapy, Cognitive Impairments, Adaptive Functioning
Epidemiology
About 1% of the world’s population has Autism Spectrum Disorder (ASD), with a male to female ratio of approximately 4:1. The rising diagnosis rates are said to stem from increased awareness, improved diagnostic tools and the expanded diagnostic criteria. The prevalence is higher across developed countries probably owing to improved detection facilities. This rise in diagnosis can be explained by greater
awareness and better diagnostic tools. The rise is due to many factors including urbanization, genetic disposition, and environmental factors.
Introduction
ASD is a range of ailments that influence social interaction and communication. Leo Kanner first used the term “autism” to describe a group of individuals in the 1940s. The range includes Asperger’s syndrome and pervasive developmental disorder-not otherwise specified (PDD-NOS). While many individuals with ASD have cognitive and functional impairments, they also differ widely in skills and abilities, leading to the need for plans that are tailored to an individual’s health care needs. (by Tinus Smits: Autism Beyond Despair is one of the best books on treating the Autism spectrum disorder from a holistic point of view).
Etiology and Risk Elements
The etiology of ASD is complicated and includes:
- Genetic Factors: There is a substantial correlation between mutations in genes such as SHANK3, MECP2, and CHD8.
- Environmental Triggers: Exposure to heavy metals, poisons, or diseases (like rubella) during pregnancy may raise the risk.
- Immune Dysregulation: ASD is frequently linked to inflammatory indicators and autoimmune reactions.
- Gut-Brain Axis: Behavioral problems are a result of intestinal dysfunction, which includes changes in microbiota.
- Maternal infections, low birth weight, and advanced maternal age are prenatal and perinatal factors.
Clinical Features and Symptoms
- Social Communication Deficits:
▪ Lack of eye contact.
▪ Difficulty in understanding social cues.
▪ Preference for solitude.
▪ Difficulty understanding emotions and maintaining relationships.
- Repetitive Behaviors:
▪ Hand flapping, rocking, or spinning objects.
▪ Fixations on specific topics or routines.
- Cognitive and Sensory Issues:
▪ Hypo- or hypersensitivity to stimuli like light, sound, or textures.
▪ Variable intellectual abilities.
▪ Delayed speech, echolalia, or total nonverbal behavior.
- Associated Conditions:
▪ Epilepsy, ADHD, and gastrointestinal problems.
▪ Sleep disturbances, and sensory sensitivities.
Diagnosis
ASD is diagnosed using DSM-5 criteria, which require deficits in social communication and restricted behaviors.
Diagnostic methods include:
➢Screening Tools: M-CHAT (Modified Checklist for Autism in Toddlers).
➢Standardized Assessments: Autism Diagnostic Observation Schedule (ADOS).
➢Investigations: To rule out metabolic and genetic conditions.
Homoeopathic Approach and Therapeutics
Homoeopathy treats ASD holistically by addressing underlying constitutional imbalances and chronic miasms. Key concepts include individualized remedies, miasmatic influences, and restoring the vital force.
Key Homoeopathic Remedies :-
- Carcinosin:
- For children with perfectionism, hypersensitivity, and rhythmic behaviors.
- Miasmatic Background: Sycosis.
- Tarentula Hispanica:
- For hyperactivity and impulsiveness.
- Indicated for children drawn to rhythmic music or repetitive movements.
- Baryta Carbonica:
- Useful in children with delayed milestones and shyness.
- Natrum Muriaticum:
- For children with marked introversion and sensitivity to criticism.
- Silicea:
- For cases with developmental delays and weak immunity.
Therapeutic Principles
❖ Constitutional Treatment: Remedies are selected based on mental, emotional, and physical symptoms.
❖ Miasmatic Considerations: Chronic miasms (syphilitic, sycotic, and psoric) often underlie ASD.
❖ Isotherapy: Addressing vaccine injuries, where applicable, using potentized vaccines.
Management of ASD
A multidisciplinary approach, combining medical, behavioral, and homoeopathic interventions, is crucial:
- Behavioral Interventions: Applied Behavioral Analysis (ABA) and speech therapy.
- Nutritional Support: Diet modifications like gluten-free and casein-free diets.
- Homoeopathic Remedies: Addressing root causes while reducing sensory overload and enhancing social engagement.
- Family Education: Empowering caregivers with strategies for daily management.
Conclusion and Summary
Since ASD is a complex disorder, management must be all-encompassing. With its personalized and all encompassing approach, homeopathy offers a complementary treatment option that can enhance the quality of life for autistic people and their families. More investigation into the integration of homoeopathy with traditional therapies may result in better approaches to the management of ASD. This article offers a thorough explanation of autism spectrum disorder and how it is managed by combining current, evidence-based medicine with homeopathic remedies. A patient-centered approach to treatment is provided by homoeopathy, which addresses the biological, psychological, and environmental aspects of ASD.
List of References :-
1) Autism beyond despair by Tinus Smits, M.D
2) Harrison’s principles of internal medicine, 20th edition
3) APT textbook of medicine by Sandhya Kamath, 8th edition
4) Textbook of medicine for MBBS by Dr. S.N.Chugh, 4th edition
5) Psychiatry and Homoeopathy by Fernado Risquez, 1st edition
6) Textbook of medicine with Homoeopathic therapeutics
7) Lotus Materia Medica by Robin Murphy, 2nd revised edition
8) Medicine Prep Manual for undergraduates, 5th edition
9) Golwalla’s medicine for students
10) Materia Medica of Homoeopathic medicines by Dr. S.R.Phatak
11) Lectures on Homoeopathic Materia Medica by J.T.Kent
12) A synoptic key of the Materia Medica by C.M.Boger.
Author
Chauhan Mahek
Student of 2nd BHMS
Rajkot Homoeopathic Medical College Parul University
Rajkot, Gujarat