IFPH : Gurukul Homeopathy: Dr Manoj Makani
Ghar Ghar Homeopathy Har Ghar Homeopathy…
Kisi bhi cheez ko safalta ki taraf le Jana ho to uske liye apne mission ko lekar 3P lagte hai ..
1 Purity
2 Persistence efforts
3 Participation…
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Piles, Fissures, and Fistulas
Introduction
– Piles or Hemorrhoids: Enlargement of blood vessels inside the anus; some may protrude outside. Bleeding after defecation
– Fissure: A crack in the anal lining.
– Fistula: An abnormal tract or canal that may discharge pus.
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Q: Why is knowledge of pathology important?
**A:** Understanding pathology helps in explaining the prognosis to patients more effectively.
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Q: What should you ask the patient?
Gathering information is crucial:
– Is there any pain?
– Is there any sign of bleeding?
– Is there any burning sensation?
– Is there any itching?
– Are the piles internal or external?
– Are they small or large?
– When did you first notice them? (e.g., puberty, pregnancy, menopause)
– Are they soft or hard?
– What type are they? (e.g., “bunch of grapes” type or other?)
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Q: What are the next steps?
– Consider surgery?
– Use laxatives* for hard stools?
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Q: Will a soft stool cure it?
Q: Will medications for pain, itching, or bleeding cure this?
Q: Is surgery the only option?
Q: Why do hemorrhoids recur after surgery?
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Master Hahnemann Said
**”Different individuals are of different types, so how can treatment be the same?”**
Individual types are signs that treatment (medicine) should be individualized.
**”A well-taken case is half the cure.” (Dr. Elizabeth)**
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What to Do?
– **Case Taking:** A well-taken case is half cured.
Associated Complaints with Piles:
– What is the primary complaint?
– Type of piles?
– Thermal sensitivity: Are they sensitive to hot or cold?
– Thirst levels.
– Desire/aversion to foods.
– Sleep patterns / Dreams.
– Nature of the patient.
This information helps in individualization and treatment.
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General Management
– Increase intake of fibers, fruits, green vegetables, and salads in the diet.
– Avoid spicy or pungent foods.
– Soak in a hot water tub.
– Administer similimum for the tendency to develop piles or fissures.
This approach will not only help treat the current issue but also mitigate future occurrences, as miasms will go into a latent stage.
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Disease Name: Piles/Fissures/Fistula
Remember, regardless of the pathology, if indications are present, remedies should be administered.
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Medicines :
LSMC (Totality):
– Sulphur:
Left-sided, bleeding, burning, redness, itching, worse in the morning, ameliorated by uncovering, hot, thirsty, sleeps on left or back, cravings for sweet and spicy foods, history of suppressed skin diseases.
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– Nat Mur:
Left-sided, hammering type of pain, thick watery white discharge, aggravated by sun, hot, thirsty, sleeps on left or back, desires salt, bitter, and fish, mapped tongue.
– Lachesis:
Left-sided, bleeding, bluish or purple color, discharge ameliorated, worse at night, tight clothing aggravates, hot, thirsty, sleeps on right or abdomen, cravings for spicy foods, talkative, menopausal symptoms.
– Arg Nit:
Left-sided, splinter-like pain, throbbing, thick yellow bland discharge, loud eructation, tight clothing aggravates, hot, thirsty, cravings for sweets, worsened by sweets and tobacco, red-tipped tongue, anticipatory anxiety.
– Ignatia:
Left-sided, lump sensation, gripping pain, watery discharge, hot, thirstless, sleeps on back and right, desires cheese, cravings for undigestible items, aversion to stimulants, ailments from grief and bad news, hysterical sighing.
– Pulsatilla:
Right sided, bland thick yellow profuse discharge, wandering pain, hot, thirstless, sleeps on back, desires juice, aversion to bread and warm food, ameliorated by open air, typically after puberty.
– Lycopodium:
Right-sided, dryness, aggravated between 4 to 8 PM, hot, thirstless, sleeps on right or abdomen, cravings for sweet foods, warm food desire, gastric and urinary complaints, easy satiety, graying of hair.
– Apis Mellifica:
Right-sided, burning, stinging, swelling, milky discharge, hot, thirstless, sleeps on back, desires milk, prefers sour foods
– Silicea:
Right-sided, suppuration (pus formation), offensive perspiration, weakness, new moon/full moon aggravation, urination ameliorates, chilly, desires eggs, aversion to milk and warm food, restless sleep.
– Causticum:
Right-sided, rawness and soreness, burns after nervous system involvement, chilly, thirsty, sleeps on side, desires salt, cravings for smoked foods, aversion to sweets, complaints in the nose.
– Rhus Tox:
Right-sided, stiffness, aching, sore, numbness, pain continues with motion amelioration, chilly, thirsty, desires cold milk, restless.
– Nat Sulph:
Right-sided, green discharge, aggravated by damp weather, sleep worsened on left side, hot, thirsty, desires yogurt and ice, aversion to fatty foods, prefers cold drinks, history of injury.
– Bryonia:
Right-sided, dryness, stitching pain, heaviness, rheumatic complaints, rest ameliorates, hot, thirsty for large quantities at long intervals, sleeps on back, aversion to milk and warm drinks, prefers stimulant desires.
– Arsenicum Album:
Right-sided, burning, restlessness, offensive corrosive cadaverous discharge, worse around midday or midnight, chilly, thirsty for small quantities at short intervals, sleeps on back, cravings for sour foods, aversion to cold drinks.
– Phosphorus:
Right-sided, bleeding, burning, chilly, thirsty, sleeps on right or back, desires sweet, cold drinks, salt, and ice cream.
– Sepia:
Left-sided, thick foul adhesive discharge, bearing down sensation, heaviness, aggravated before, during, and after menses, tight clothing aggravates, chilly, thirsty, sleeps on left or abdomen, cravings for sour foods, aversion to salt.
– Calc Carb:
Left-sided, easily sour perspiration, full moon aggravation, chilly, thirsty, sleeps on left, cravings for eggs and indigestible things (like chalk), sweet desire, complexion is fair, fatty, flabby.
– Thuja:
Left-sided, greasy oily putrid discharge, cutting pain, aggravated by onion, sleep worsens on left side, offensive growth, discharge ameliorates, chilly, desires potato.
– Nux Vomica:
Left-sided, hypersensitivity, tenesmus, discharge ameliorates, tight clothing ameliorates, better in the evening, gastric complaints, chilly, thirsty, stimulant cravings worsen in the evening, effects from allopathic medicines, after irritability, sedentary lifestyle.
– Nat Carb:
Left-sided, thick putrid yellow discharge, aggravated by sun, gastric complaints, ameliorated by boring ear or nose, chilly, sleeps on left, desires cold water (but aggravated), sleeps with an open mouth, desires salt, aversion to milk.
– Kali Carb:
Left-sided, sharp stitching pain, profuse acrid discharge, easy satiety, worse around 3 AM, yawning aggravates, chilly, thirsty, sleeps on right, sweet cravings, backache, weakness.
*{If hot, consider Aesculus.}*
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Diet & Lifestyle Management
– Administer Tab Homoeolax 🆘.
– Encourage drinking warm water
– Address constipation to resolve the issue.
– Explain that while the problem may be cured, the loosened anal ring will take time to recover.
Regular exercise and walking are recommended.
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Healing: A Process to Achieve Cures
Cure: The achievement of the physician’s mission.
Indication → Potency → Dose Relationship:
– If you have more characteristic indications, use higher potency with less repetition of doses.
– If you have fewer characteristic indications, use lower potency with more repetition of doses.
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