Generals
Hot + Thirsty + Polyp + A/N state + profuse Discharge yet not relief + congestion + alcoholic or sedentary life+ burning all the orifice
Portal congestion (All veins engorged, full, but anal sphincter relaxed) : eg piles , varicose veins ; Varocosele ; portal hypertension etc
Heat, sensation of heat in the orifices of the body; Heat internal Hot stool, flatus, urine, etc; Burning in anus, piles, etc
Hot discharge ( aloe , borax , bell ) : hot urine,stool, diarrhea,menses etc
Case : burning in anus + hot diarrhea+ swelling at anal region+ thirsty: aloe
Case : Hot + thirsty + H/o Piles + o/e : bunch of grapes like blueish + Piles pain a/n headache: aloe { deviation+ disposition }
Case : Nasal Polyp + hot + thirsty + migraine a/n with piles + mood alternate sust & active : Aloe
Alternating states:
Lassitude ( dull ho jana ekdum sust ho jana ) A/N with great mental activity.
Lumbago A/N with headache or backache and Piles. { Lumbago with piles : aloe , aesculus }
Headache dependent upon bowel or uterine affection ( uterine polyps , dysmenorrhoea) , and A/N with them.
Case : Migraine better during menstruation then come back + hot + thirsty+ history of piles operation: aloe
Sensation: Fullness, heaviness or pressure in the pelvis (rectum or uterus), with a plug-like sensation; with dragging down pains.
Case : Angina Pectoris + pain with sweating + weakness+ heaviness fullness congestion of chest + hot + thirsty+ history of piles : Aloe
all pains cease after stool,
Pain type with Colic, cutting, excruciating,
Pain in right hypogastrium before and during stool;
Pain with profuse sweating and extreme weakness.
Case : Uterine fibroid+ dysmenorrhoea a/n with migraine + sweating & weakness during menses : aloe soc
Key notes
Sense of insecurity in the rectum, as if stool would escape while passing flatus or urine.
Sphincter control’ loss : flatus ke saath saath stool aajyega ya urine pass karne ke time stool pass ho jayega
Case : Old age + BHP + Urine congestion + pass karne ke time stool pass ho jayega aisa lagta hai + h/o suppress Piles ( surgical ) + Hot + thirsty : Aloes
Colic attacks preceded by obstinate constipation.
Hemorrhoids/intestinal obstruction/intussusception/appendicitis + constipation+ colic : aloe
Stool:
urging for, but passes only flatus. Rumbling of flatus before stool;
Much flatus with small stool;
Lampy gelatinous stool;
Headache after insufficient stool;
extreme prostrated after stool.
Jab acchese stool pass nahi hota hai na tab mujhe headache/angina Pectoris/mood upset etc ho jata hai..: aloe
Solid stool and masses of mucus pass involuntarily. (Loss of sensation in the rectum); Must keep mind on sphincter, else stool will escape.
Dysentery/IBS/IBD/h/o suppressed hemorrhoids ( surgical ) : loss of sphincter
Children, even old people, drop their stools all over the floor-pass stools without being conscious of it. Peculiar, uncommon, grand characteristics.
Case : Old age + inko pata hi nahi chalta hai ke stool pass kar diya hai.
Itching of anus prevents sleep; has to bore into it with finger, it drives one to distraction, amel, by cold applications
Case : Old / children+ itching in anus ( piles , worms , fissure) + sleep disturb + hot + thirsty : aloes
O/E : Piles, protrude like a bunch of grapes, sore and tender, amel, by cold washing.
Piles : sore & tender : ( Sulph , caust, aloe )
Abdomen distended, not relieved by passing flatus even in great quantities.
Koi bhi Discharge ( urine , stool, flatus, phlegum etc ) ke baad bhi relief nahi mil raha hai : aloe
Case : DM + hot + night urging for urine+ urine pass karne ke baad bhi nahi maza aata hai firse jana padega+ thirst: aloe
Case : COPD/ Asthama+ bahut balgam nikalta hai lekin nikalne ke baad bhi relief nahi milta : aloe
Liver, pain in the liver, worse on standing, so that he bends forward. ( Sulph )
Key notes
Want of confidence in sphincter ani;
driving out of bed early in the morning: ( early morning diarrhea: sulph )
must eating or drinking
Dysentery after parturition.
Diarrhoea from oysters ( seafood) : (aloes,phos ), out of season.
Case : kal raat Fish khane ke baad se LM + diarrhea with bahut mucus + stool ke liye bhagna padta hai warna nikal jayega : aloe
Hungry during diarrhoea
Diarrhoea; has to hurry to closet immediately after eating and drinking;
Diarrhea with want of confidence in sphincter ani;
Diarrhoea drives him out of bed early in the morning
Diarrhoea worse from standing and walking.
Uterine haemorrhage with great heaviness of uterus, and a sensation of plug between pubes and coccyx
Bleeding piles / Epistaxis with congestive headache : aloes
Sexual erethism in children ( agn c , bufo , con , aloe )
Hot flushes, soles of feet burn and he uncovers them. ( Sulph )
Case : DM + raat ko foot me jalan hota hai + burning soles+ open rakhta hai feet : aloe , sulph
Case : Menopausal lady + hot flush+ burning sole + raat ko foot open rakte hai : Medo , Lach ,Aloe , graph
Case : COPD / Viral pneumonia /TB etc + bahut balgam nikalta hai + nikalne ke baad bhi relief nahi + heaviness+ congestion of chest + sedentary life style : aloe
Case : Angina Pectoris+ thoda chalta hai haanfne lagta hai + piles in past history: aloe
Case : Alcoholic+ acsitis+ congestion+ history of piles + hot + thirsty + sheep dung like stool or diarrhea: aloe
Causation and Modalities
Causation:
Sedentary life
Beer-drinking
Modalities:
Agg:
Early morning, summer heat, in hot dry weather, after eating or drinking; standing or walking.
Amel : Cold, open air ( puls) , bathing with cold water.
Food and drinks
Appetite: Good Hungry during diarrhoea.
Desire: Juicy things; salty food, fruits. ( Puls , ant C )
Aversion: Meat ( puls ) ; bread.
Mind
Dissatisfied and angry about himself or his complaint, esp. when constipated.
Indolent, “weary”: averse to either mental or physical labour, mental labour fatigues.
Dreams of soiling himself.
Philosophy:
Deviation+Disposition= totality of disease
Koi bhi remedy inherently acute ya chronic nahi hoti. Har remedy ka action us waqt ke current deviation aur patient ke disposition par depend karta hai. In dono se jo totality banti hai, wahi us phase me us remedy ko similimum banati hai — chahe case acute ho, chronic ho, ya acute exacerbation of chronic.
Acute conditions ya acute exacerbation me hum present deviation symptoms par based acute prescribing karte hain, kyunki is phase me physical generals ( thermal, thirst, desires Aversion etc) clear nahi milte. Isliye specific characteristic indications se totality banakar remedy deni hoti hai. Jab acute phase settle ho jaye aur deviation ke saath disposition bhi clearly saamne aaye, tab complete totality of disease ke basis par simillimum prescribe karna chahiye.
Gurukul me starting me apko tharmal thirst desire Aversion par prescription sikhaya gaya lekin is tarah se wahi 30-40-50 remedy tak aap limited rahoge aur jab usme results nahi aayega to apko out of the box sochna pad sakta hai tab hum organ ya system specific key notes indication. ke base par prescription karna pad sakta hai ..
Iske liye apko personalized Regional Repertory banani hogi ..
Oyester kha liya to bahut zyda stool with mucus+ stool apne aap ho jayega aisa lagta hai : aloe
Copd ( ars Kali c , ip , ant t )
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