Aphorism §5 : fundamental cause
Useful to the physician in assisting him to cure are particulars of the most probable exciting cause of the acute disease, as also the most significant points in the whole history of the chronic disease, to enable him to discover its fundamental cause, which is generally due to a chronic miasm.
In these investigations,
the ascertainable physical constitution of the patient (especially when the disease is chronic),
his moral and intellectual character,
his occupation,
his mode of living and habits,
his social and domestic relations, his age, sexual function, etc., are to be taken into consideration.
Assisting -help (someone), typically by doing a share of the work.
Particulars-an individual item, as contrasted with a universal quality.
Probable-that you expect to happen or to be true; likely
Exciting– give rise to (a feeling or reaction).
Cause-a reason for an action or condition
Acute disease : Acute diseases come on rapidly, and are accompanied by distinct symptoms that require urgent or short-term care, and get better once they are treated.
Significant point – having or expressing a meaning; indicative
Chronic disease -A disease or condition that usually lasts for 3 months or longer and may get worse over time.
Enable to make (someone or something) able to do or to be something.
Discover-be the first to find or observe (a place, substance, or scientific phenomenon).
Fundamental cause – of, involving, or comprising a foundation; basic cause
Miasm– (in homeopathy) a supposed predisposition to a particular disease, either inherited or acquired.
Ascertainable -find (something) out for certain; make sure of.
Physical constitution: the physical makeup of the i individual especially with respect to the health, strength, and appearance of the body a hearty :-
Chota hai ,bada hai , Mota hai
Obese: thoda chalta hu to saans phul jati hai : adv : lose weight..
Lean thin : bahut physical work hai ,thak jata hu jaldi se , kamzori rahti hai
Adv : good nutrition diet, weight gain.
Piles with obese with constipation
Adv : avoid spicy oily food , exercise, high fiber diet..
Moral-concerned with the principles of right and wrong behavior.
Intellectual character-the faculty of reasoning and understanding objectively, especially with regard to abstract matters.
Occupation – a job or profession
Eg : ek sailor hai Jo sea shore me work karta hai ab usko asthma ka problem hai aur uski tabiyat tab hi bigadti hai jab woh shore par hota hai…
Aise patient ka occupation hi problem hai to usko apna occupation change karne ki advice karni hai ya fir kuch dino ke liye aise environment se dur rahne ke liye kahna hai.
Mode of living –
a concept used in the social sciences to characterize the distinctive features of people’s everyday life in a given society…
High civilized life
Sedentary life
Ek room me 5 log rahte hai..
Har ek ke mode of living ke hisab se bhi bimari hoti rahti hai…
Habits–
a settled or regular tendency or practice, especially one that is hard to give up.
Eg :
COPD patient with habit of smoking 🚬
Social & domestic relation –
dealings – mutual dealings or connections or communications among persons or groups…
Sexual function –
Sexual function is how the body reacts in different stages of the sexual response cycle, or as a result of sexual dysfunction.
Eg :-
Erectile dysfunction
Reduce sexual desires…
Iske peeche kya wajah ho sakti hai ??
Substance abuse ?
Prolong masturbation..etc
Sycosis & syphilis:- due to multiple sexual partner:- venereal diseases: STD .
Eg :-
Ek 15 saal ka ladka Jo ek religious mahole me bada hua ab usko masturbation ki habit lag gai aur usko us baat ka guilt bhi hai aur saath me ringworm hai…
Yaha Humein treatment ke saath saath usko guilt ka bhi management karna hai..
Hum usko explain kar sakte hai is age me yeh baat common hai agar fir bhi bacche ko samjh na aaye to usse bolo theek hai aap ko lagta hai aap ne paap Kiya hai to uski apne rab se maafi mang lo..
Eg :
Ek mota sa patient aaya jiska chalne par saans phule lagti thi.ab aise patient ko medicine Dene ke saath weight loss Kam karne ke bhi advice de di…
Eg :
Ek couple ka infertility case tha sab report normal hone ke bawajood conceive nahi ho pa rahe the.
lekin details investigation par pata chala ke wife ke ander apne husband aur uske ghar walo ko lekar strong rejection tha..
Aise case me advice Dena pada ke jab Tak aap apne husband ko accept nahi karogi tab Tak conceive nahi ho sakta…
Ek physician hi Jaan sakta hai ke Jo samne dikh Raha hai uske peeche asal wajah kya hai. Aur uske liye konsi medicine ya advice Dena hai..
Ab usko kya advice karna hai ??
Guide karna hai !
Kis cheez se bachna hai kis cheez ko Lena hai ?
Kya sahi hai kya galat hai ??
Kya sochna hai ya nahi sochna hai ??
Konse environment me rahna hai ya nahi rahna hai..
Kya khana peena hai aur kya avoid karna hai .
Etc etc…
Eg :-
Ek person se nadi me kud kar apni Jaan de di..
Yaha par immediate cause of death kya tha.. respiratory system failure due to drowning..lekin jab details investigation karenge tab pata chalega …
Uski biwi se jhagda rahta tha..
Uske upar bahut Sara loan tha
Uske boss ne usko job se nikal Diya tha
Uski GF ne usko blackmail karke rakha tha…
Usko koi khatarnak Jaan leva bimari thi.
Usko koi raaj khul Jane ka dar tha…
Uska business me bahut bada loss ho Gaya tha.
Ab koi bhi wajah ho Jo usko suicide karne par mazboor kar Diya ….
Yeh sab detail investigation kiye Bina nahi pata chalega ….uska mental behavior,uska habits ,life style,mode of living,social behavior etc …sab level par jaanch karna padega..
Hamari Nazar acute cause ke saath saath maintaining cause par bhi hona chahiye tab ja kar hum us healthy state ko maintain kar payenge.jo.maintaining cause ki wajah se baar baar health se deviate ho ja Raha hai…
Q : Miasm kaise pata chalega ?
Patient ki past me kon konsi bimariya Hui thi unka main affectation body ke kis system par ho Raha tha… is se idea 💡 mil sakta hai …
Eg : Ek patient hypothyroidism lekar aaya ,past me usko recurrent Tonsillitis ho jata tha ,ek do baar ovarian cyst bhi hua tha…
Is se pata chalta hai is Miasm ka main affection glandular hai…
So humein aisi remedy dekhna hai jiska glandular affection zyda ho.
Conium, bromium:- recurrent glandular affection : Tonsillitis, hypothyroidism….
Physician ko us miasm ko de sensitize karna hai jis se woh further illness produce na kare..
Humein medicine ke saath saath advice bhi karna hai….
Aise tamam factor jis se miasm sensitize hota hai usko avoid karne ke liye advice karna hai..tab bhi patient ka health maintain rahega aur uska health preserve karke rakhna hi asal zimmedari hai.
Ab yeh sab kaise karenge woh next aphorism 6 me dekhenge…
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