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The building block of life are the cells and their dynamic congregation. Their movements create a flow of life with its pulse , beat and throb. A providential but symbiotic equilibrium among them maintains the flow of life. Every day they regenerate and are self- sustained by their interaction and adaptation with both inside and outside forces. There are several engines that pull and push their orbit in harmony and keep its momentum and unique dance in proper rhythm. One such engine that keeps them renewed and rejuvenated is salt – known figuratively as the salt of life.

The human body cannot live without some sodium or salt. It’s needed to transmit nerve impulses, contract and relax muscle fibers (including those in the heart and blood vessels), and maintain a proper fluid balance.

Salt has played a critical role in ancestral food preparation for thousands of years. Yet, in the last few decades, salt has been made into somewhat of a villain as it’s been associated with hypertension and heart disease.

A high salt diet will alter this sodium balance, causing the kidneys to have reduced function and remove less water resulting in higher blood pressure. This puts strain on the kidneys and can lead to kidney disease.

Today we discuss what if we consume it more? Can it harm our kidneys? Yes!
The organism removes excess water from the body by filtering blood through kidneys. This needs a balance of sodium and potassium in the body to pull the water across the wall from the bloodstream into a collecting channels of the kidneys. A high salt diet will alter sodium-potassium balance, causing the kidneys to have reduced function and remove less water resulting in higher blood pressure. This puts strain on the kidneys and can lead to kidney disease.

The high blood pressure is like hammer on the delicate channels of kidneys
Also, high salt intake has been shown to increase the amount of protein in the urine which is a major risk factor for a decline in kidney function. There is also increasing evidence that a high salt intake may increase deterioration of kidney disease in people already suffering from kidney problems.

About 229 per million people in the India have chronic kidney disease (CKD). And 1 lakh patients enter into renal replacement programs annually.

Who is at risk?
People of Black African and South Asian descent are 3-5 times more likely to suffer from kidney failure as compared to white Caucasians. South Asian patients with diabetes are 10 times more likely to go on to have kidney failure. High blood pressure also puts the kidney under excess stress leading to deterioration of function.

How does salt contribute?
Salt intake increases the amount of urinary protein which is a major risk factor for developing kidney disease and cardiovascular disease.

Homoeopathy can Cure:
Understanding the disease in its very budding state is the key to success. Mostly people do not care about excess intake of salt in their food. They keep liking and relishing it. But when one goes to consult a homoeopathic Dr., he enquires these habits in the person and maps out all the risks and select a medicine which can remove the very tendency to consume more salt. This treatment actually nips the disease at its root.

Watch yourself and your food habits and report to your homoeopathic Consultant to help you better and the resultant diseases.

You can contact AHC …

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Homoeopathy discovered and developed during the 19th century when the concept of immunity was not in prevalence as it is now. In fact, the focus of Homeopathy as a science and art was always to stimulate the immune system that resulted in a cure of a particular disease. Its medicines should be called as Clinically Tailored Vaccines.

When a Homoeopathic Doctor asks a patient about all his symptoms in detail, he is simultaneously selecting a medicine that can elicit similar symptoms. These medicines are amongst the naturally prepared and potentized substances , which is most suitable to the patient based on the Law of Similars. When such a selected medicine is administered to the patient, it provides the required stimulus leading to necessary changes in his immunological system (it may be apt to be called as Psycho-Neuro-Immunology).

Frame of Mind series. Composition of human face wire-frame and fractal elements with metaphorical relationship to mind, reason, thought, mental powers and mystic consciousness

In cases of Infectious diseases like covid, such an indicated medicine will produce necessary antibodies to combat the disease in the least possible time and without any side effects what-so-ever.

Another unique aspect of Homeopathy is that such a Clinically Tailored Vaccine (indicated homoeopathic remedy) is not like the one that is applicable to everyone with Covid. There are several remedies and we need to select it according to the uniqueness of the individual. It means it may be a different medicine for different patients as symptoms tend to vary with every individual in terms of his or her sensitivities and susceptibilities.

Adding to this complex is that the virus is mutatating fast enough to create numerous variants of its own. (a natural tendency of the viruses to mutate for their survival). While selecting a remedy it is also necessary to take into account its varied mutants as its symptoms vary.

Accordingly then the selection of medicine will also differ. Therefore to get the right remedy there has to be a selection of medicine as per the patient as well as their symptoms. Only then the cure is certain without any side effects. Thus Homoeopathy does not recommend ONE BOOT FOR EVERY FOOT! It recommends boots for your foot as per your size.

Now the question that is prevalent everywhere is that when you are not still infected, is there a way to raise your immunity with homeopathy so that you can be protected and the remedy can be a preventative. Yes! It’s possible.

You must have heard every one is not infected with covid. In fact it is most ( not all) of the people get infected. How do we achieve a condition towards prevention of Covid among those who are not affected.

Again, you need to consult your homoeopathic doctor who will take down your details of symptoms in a subtle way to trace back the basic defect in your immunity that can invite an adverse condition . we call it Miasmatic defects. In simple terms in homeopathy it means a supposed predisposition to a particular disease, either inherited or acquired

We look for patients’ cravings and aversions for particular food, peculiar reactions to weather, sleep and dream patterns, sweating and their emotional sensitivity and behavior. It shows a peculiar pattern of your organism indicating the defect which is responsible for you to be susceptible to particular infectious diseases like covid etc.

To come up with some important remedies to prevent you from infection of covid will depend on your symptoms. And I strongly recommend you to always consult your homoeopathic doctor for such treatment.

Here I am giving you some patterns in the form of symptoms of a few remedies. Apart from medicines, I have also indicated as to which potencies they should be used and how many times to be used are some of the very crucial decisions a homoeopathic doctor has to make. But all this depends on the patients’ symptoms and their sensitivities.

Arsenic Album: A person highly sensitive to his surroundings about the cleanliness and very fearful of infections. Such a person should take 4 pills once a day for three days in a week and repeat it in subsequent weeks for a month.

Aconite Nap.: A person has gone in panic state due to the fear of infection. It is so much that he believes that he will surely die of it. Such person should take 4 pills once a day for three days in a week and repeat it in subsequent weeks for a month.

Nitric Acid: A person very anxious about the getting the infection but very obstinate and in his temperament, loves to eat butter and all fatty and fried stuffs, enjoys travelling and his urine is very offensive. Also, he says his soles of feet remain very cold. Such person should take 4 pills once a day for three days in a week and repeat it in subsequent weeks for a month.

Many more such medicines are there in Homoeopathy but immunity of a person is time and situation sensitive , dynamic mechanism outside and well governed from inside by your lineage of diseases load of your family and keeps on modulating accordingly.

Homoeopathy can be effective in promoting immunity keeping in consideration of your inside and outside environment both physical and psychological and your individuality developed as a consequence.
Hence, homoeopathy cares you from inside to outside in a designer way! But you need to consult with the expert who knows the science and art of Homoeopathy.

And AHC treatment Protocol is always the same as described above.

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Singer-composer Bappi Lahiri passed away on Tuesday at the age of 69 in Mumbai. He was ailing for some time and died at CritiCare Hospital in Juhu, Mumbai, due to Obstructive Sleep Apnea.

What is Sleep Apnea? Does Homeopathy has a treatment for this condition. ?

Have you not heard People complaining that they feel sleepy during day and cannot carry on with their routine work or drive a car. On enquiry, it is found that they are unable to sleep in the night as they wake up suddenly gasping for breath. Let’s see what this condition is, its impact on the human body and how this can be treated through Homoeopathy.

“Sleep Apnea” is a disease that we do not know much about. But very few know that it could be dangerous for one’s physical as well as psychological health?

“Sleep Apnea” is a respiratory disease related to the breathing function of your body resulting in sleepiness during the day causing inability to work by remaining active physically. If this disease aggravates it paves the way for other serious diseases like diabetes, high blood pressure, stroke etc.

There are a number of patients in India and Overseas who are totally under the grip of this disease and are being treated regularly through other branches of medicine.

Sleep Apnea is basically of two types: Central and Obstructive. In Central Sleep Apnea the brain fails to send signals to the breathing muscles and it is known to be less common among patients. In Obstructive Sleep Apnea air is obstructed from flowing into and out of the nose resulting in the reduction of oxygen level in the body causing the patient to snore loudly at night. This condition in a person basically persists in lying position and the highest percentage if it is prevalent among patients all over the globe. Men are more prone to get sleep apnea in their life span and are the highest percentage among the patients. Therefore they should be more careful and upon first notice immediately consult an Homoeopathic expert.

It may be noted that it is never confirmed that women are far away from this disease and therefore they also should be aware of any of its symptoms. If the symptoms persist with respect to the respiratory problem or difficulty in inhaling fresh air an Homeopathic Doctor needs to be consulted.

Homeopathy is a holistic system of medicine. The selection of homeopathic remedy is based upon the theory of individualization and symptoms similarity by using a holistic approach.

Homoeopathy thus acts as a boon for treating this disease because it can treat both types of Sleep Apnea without creating serious discomfort to the patients. But the crucial thing is all is dependent on the remedy that a Homoeopathic Physician prescribes to a particular patient according to one’s age and seriousness of the disease. The Doctor asks different questions regarding the ailment and evaluates the sensitivities and susceptibilities of the patient. Here is an example.

Symptoms
1. Problem in inhaling
2. Feeling short of breath
3. Feeling tired the whole day
4. Keeping awake at nighttime
5. Feeling irritated
6. Forgetfulness
7. Feeling tired just by doing some light work
8. Snoring
9. Memory Loss

Homoeopathic Remedies
1. Arsenicum album is prescribed for individuals who have breathing difficulties.
2. Sulphur is a commonly used homeopathic remedy especially given in breathing congestions.
3. Lachesis is a remedy prescribed for uncontrollable conditions which sometimes persist at night.
4. Spongia is also a better option when there is a feeling of a blocked chest area.
5. Opium is also prescribed for patients who feel confused after a sleep disorder.

But this is only a general outline if the symptoms and remedies. But for appropriate prescription it is advised to consult a professional Homeopathic Doctor.

Prevention
1. Stop smoking.
2. Stop the consumption of liquor.
3. Do some respiratory exercises in the morning hours before sunrise.
4. Eat healthy food, especially fibrous eatable items in your diet.

There are various systems of treatment as always for any malady. But Homeopathic treatment is gentle, certain and permanent. Keep faith in Homoeopathy. It certainly is effective and has the ability to cure diseases from its root. Do not ignore symptoms relating to sleep apnea even if they appear mild in the initial stages. Consult your Homeopathic Doctor without losing time.

Dr. Pankaj Aggarwal is a Senior Homoeopath at Agrawal Homoeo Clinic

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Epilepsy: A neurological disorder marked by sudden recurrent episodes of sensory disturbance, loss of consciousness, or convulsions, associated with abnormal electrical activity in the brain. It can be Primary and Secondary types which depends on the underlying cause.
Primary or idiopathic seizures are commonly coming under the diagnosis of “epilepsy”. Secondary epilepsy linked to various other pathologies are entirely different, and require different approaches based on treatment of the primary condition.

Homeopathy Offers Cure: Homeopathy, offers the possibility of a genuine cure in the majority of cases, and in certain circumstances it can be combined with conventional treatment medicines.

The first thing is in homeopathy, there is no such thing as one remedy indicated for every case. Each prescription is individual, and is selected based on the criteria involving the general characteristics of the patient and the modifying factors of the symptoms. We must also appreciate that from a homeopathic approach, seizures are the acute manifestation of an underlying chronic condition, and the latter must be addressed if there is to be a successful cure. Successful homeopathic treatment addresses the underlying chronic condition without merely suppressing external symptoms. The patient will then be free of seizures and healthier overall, with the chance of a longer life. Often, he will not need to stay on medications; conventional drugs can usually be stopped or the dosages dramatically reduced.

Causes of Epilepsy: Trauma, infection, toxins and hereditary factors are all recognized and easily-understandable causes of epilepsy, other causes account for many cases. Vaccination, which can cause neurological problems shortly after the vaccine is given. Mental factors such as fright, and particularly grief, can also be significant in triggering fits.
Additionally, a history of any skin disease that quickly responded to drug therapy (or even to holistic treatments) can be a clue.

Individualized Treatment: Most cases of idiopathic epilepsy fall into the homeopathic category of “one-sided diseases”, in which only one symptom presents, or one symptom is so dominant that it overshadows any others that may be present. Homeopathically, this presents quite a challenge and therefore different strategies are needed to select the curative remedy.

Taking the case includes the symptoms of the convulsions, possible causes in the individual, and any concomitant symptoms.
While in its homoeopathic treatment, such diseases are understood by its detailed symptoms of each part and of whole of the human being and a pattern is seen then its medicine is searched out of the list of homeopathically known medicines. Only one such medicine is selected which corresponds to the pattern of symptoms of the patient.  This process in homoeopathy is called INDIVIDUALLIZATION. The same individualization helps in selecting the potency and repetition of medicine selected. It is all together a very specialized process as it involves the dispensing of medicine as per the need of the patient’s individualization.

This individualization process is the real hard-working task of the homoeopathic doctor which takes a pretty good time and its exactness depends on the skill of the doctor. When a homoeopathic doctor is skilled one then his selection will be the apt one and that medicine works in the case with the very first dose.
This process does not end up with one prescription rather it needs many follow-ups in the required intervals and in each follow-up consultation, changing patterns are studied and further selection of medicines are done. Yes! Know this and it’s very important that at one time only one medicine is given to patient and in the required doses.
Hence, truly speaking homoeopathy can completely root out the epilepsy in whatever stages it is in but one should select the skilled homoeopathic doctor who can really do it with due diligence.
The goal is to use the collected symptoms to select from over 5,000 homeopathic medicines the one that best matches all the symptoms of the individual. Sometimes there will be one clear-cut unique symptom (e.g. seizures only occur at the full moon and/or at night), or else all the symptoms clearly point to one remedy (the similimum).

Potency and Frequency of Dosing: Once trained in homeopathy, people develop a preference for administering single doses only, perhaps repeated for a few days to stimulate the curative effect, or repeated liquid dilutions. Since the goal of homeopathy is to stimulate the body to heal itself, to rebalance, remedies should not need to be given for life.
Homoeopathy offers the solution for its permanent resolution but depends on the skill of homoeopathic doctor.

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When a new life arrives in the womb of the expected mother, around 5th to 6th week of pregnancy we can hear the heartbeat. Since then our heart starts beating for each one of us for the rest of our life.

The heart has its own natural rhythm which under normal circumstances we are not conscious of.
In fact it’s only when the rhythm is lost you become conscious of your heart and start feeling something has gone wrong with your heart. You hear a flutter and It’s called palpitation.

When you are running, exercising or shouting loudly your heart may beat faster and loud. But it comes back to its normal beat soon.

Human body is such a unique design of Mother Nature our acquired intelligence is no match to it. Even now we have not stopped our exploration and research into it. We have been trying to understand the functioning of the heart in all its states as newer and newer awareness of its complex functioning is coming to light.

Each human body is a designer model though it looks alike in some respects. Each cell of it is in close touch with its neighboring cell. It lives in synchronicity with each of its neighboring cell in a harmonious way as if it’s all a big love affair.

They love each other so much that if one is out of rhythm the other begins it’s close chime like the beloved shows it’s concern and sympathy to the other. There is a kind of symbiotic relationship between them.

Human Heart consists of one such group of cells toiling to supply oxygen to each cell though pumping blood. Hence our heart comes in the category of prime organs of the body whose defect cannot be endured even for a minute.

Our heart is a construction work of many million years of evolution. During the ages it has emerged itself by constantly fine tuning itself.

Some 500 million years before it developed as a tube-like structure and then after 50 million years of fine tuning it became a primitive 4 chambered heart as in a fish. Since then it is endlessly remodeling itself. In later years, it became a most evolved organ in the humans.

It originates from the throat and settles in the little left side of the chest and contains 4 chambers. It is situated in between the lungs. But functionally both lungs are in between the heart.

Our when it comes to heart, we start thinking of effects of cholesterol, diabetes, hypertension, thyroid related problems etc. Yes! They all matter for our health. But something more is essential if you are serious about the Heath of your heart.

It’s very important to Mind your feelings: Your heart is mainly attuned with your feelings and emotions. Look for your feelings as it is going to temper the rhythm of your heart.

Are you angry, sad or anxious? These negative emotions affects your heart and as an attempt to deal with them your heart whispers its own language to resolve such issues.

Your heart reads and feels the language of love which puts it to rhythm and makes itself calm and puts you at peace!

Feeling of hostility: This is one of the important of the negative emotions which put you into untold anxiety and fears.
A new meta-analysis of research on hostility and physical health was conducted some time back. It includes 15 studies used in previous meta-analytic reviews and 30 new independent studies. Overall, the results suggest that hostility is an independent risk factor for coronary heart disease (CHD).
Therefore there is a dire need to Self-examine yourself deeply and know the architecture of your mind. Read your thoughts and imaginations.

Homoeopathy delves deep into the human personality, disposition and demeanor. It’s unique system of case taking has such a depth by which this hostility can be addressed and cured. It needs to be emphasized and re-emphasized that Homeopathy is the unique of the medical systems which postulates that an individual is not merely a composition of atoms. It takes into account the total individual and bases it’s therapeutics on the totality of symptoms of an individual.
While diet, exercise are important in the scheme of health, modern research shows that meditation , laughter , peaceful approach can ignite certain neuropeptides like endorphins , oxytocin and contributes to the feeling of love and peace.

The primary source of your health is Peace, Peace and Peace. And Homeopathy can create an effective environment for your peace and health.

But it is your take to choose peace and choose Homoeopathy.

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Diabetes Mellitus, when life does not remain as sweeter as we were finding it earlier. In fact, it is a disease indicating much lack of sweetness in life and now expressing biologically in the form metabolic disorder manifesting array of symptoms everywhere in body. It is of three types:

 

  • Diabetes Mellitus Type 1: It is seen mostly in young children. It is due to the lack of insulin production from beta cells of pancreas. The cause of it mostly due some genetic reasons and auto-immune reactions occurred sometime in womb or after birth.

 

  • Diabetes Mellitus Type 2: This is a condition in which the body becomes resistant to the normal effects of insulin and can gradually lose its capacity to produce enough insulin in the pancreas. Mostly associated with changes in lifestyle factors. It has following sub-types:

 

  • Severe Insulin-Deficient Diabetes (SIDD): Amongst all Type2 cases, it has a share of 26.2% cases. It is second most prevalent and such persons have relatively low BMI and waist size. Always show high HbA1c levels and most prone to the risk retinopathy.

 

  • Insulin Resident Obese Diabetes (IROD): Amongst all Type2 cases, it has a share of 25.9% cases. Here, insulin resistance and deficiency both is present. High BMI and waist size. And having increased risk for diabetic kidney disease.

 

  • Combined Insulin Resistant and Deficient Diabetes (CIRDD): Amongst all Type2 cases, it has a share of 12.1% cases. It is the lowest number of cases and has an early age onset. Keeping high triglycerides and low HDL levels. These are more prone to both retinal and kidney complications.

 

  • Mild Age-related Diabetes (MARD): Amongst all Type2 cases, it has a share of 35.8% cases. Older persons having highest HDL levels and well-preserved C-peptides. A mild diabetic less prone to complications.

 

Diabetes Mellitus Type 3: It is a title that has been proposed for Alzheimer’s disease which results from resistance to insulin in the brain. It is not yet a medical term or a recognized condition, but is a term now used in research looking into the causes of Alzheimer’s disease.

 

Common Mistakes done by diabetics: Which type of diabetes are you suffering from? Once you mistake your type then you mistake on medications, diet, exercise and life-style to be followed. In this article, I am telling about the 7 mistakes in exercise.

 

Exercise: This is the particular way of activity to influence your body, mind and metabolism. Here are most common mistakes about it. Here are 7 Common exercise mistakes in diabetes management:

  1. Mistaking activities with exercise: On advising exercise to such patients, they have instant excuse that we walk a lot in home or taking household work as exercise. No, it is not. The activities for which you are used to is not exercise as it cannot further influence your system. So, do it as per the advice. Moreover, exercise means strength, flexibility and stamina. All three needs different exercises. For flexibility do Yoga, need to build muscles the do weights and resistance band exercises and for stamina do cardio-based exercises.
  2. Getting over enthusiastic: Your excitement for exercising might lead you to too much too soon. Listen to your body and know when to back off from overworking your body. Muscles building is most important in the management of diabetes but muscles grow in millimeters so will take months to grow. And, muscles need rest to grow.
  3. Choose your exercises: To start with, look into you and perceive which exercise regime you love to go for and start accordingly. It takes a lot of planning to execute a successful workout routine and maintain a healthy lifestyle.
  4. Have rhythm: Our body has a biological clock, circadian rhythm, which ensures the time of all kinds of activities and sleeping. So, any time is not exercise time. You better do it at the right time for better results.
  5. Have a coach: A common mistake people do while exercising is to not do it right. Not exercising in the right posture and form can damage your body.
  6. Not resting: You may start your exercise routine to lose weight, but not giving your body rest is harmful. Resting well and enough is important for the muscles to heal itself after all the stress.
  7. Have Body Composition Machine: They like weight machines but tell you about your BMI, BMR, visceral fat, body fat, muscles mass etc. apart from weight

 

Monitoring regime: Not keeping a check on sugar levels then how will you know exercise has good and bad effects; it may help you lose weight but fluctuate your sugar levels as well. It is important that you monitor sugar levels at 4 times, fasting, 2 hours after breakfast, lunch and dinner (F, PP1, PP2, PP3). How would you calculate two hours? You must note the time as soon as you start eating till two hours is time to check your PP sugar. It is advisable to invest in a glucometer which can help monitor your blood sugar levels. They come with their apps.

The benefit of connectivity via diabetes management app is that it can help you get instant check reminders, and alert members or your doctor when blood sugar levels drop. The price of glucometer may vary from brand to brand, weigh and compare before buying.

 

Treatment Protocol: It will be as per your type of diabetes the treatment will be planned. Apart from main-stream medical regime, it is advisable to adopt Homoeopathic Treatment Protocol. It will help lower the other medicine and prevent complications due diabetes.

 

 

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Human life starts with a very simple cell and then gradually it becomes complex. Similarly, there is evolution of man. Primitive man life was very simple and were less civilized. They ate raw food and wore animal skin but as the time went primitive man also evolved himself and his lifestyle also changed. Lifestyle is defined as the typical way a person/individual, group or a culture live.

It constitutes both mental and physical make up of a man. Along with the civilization the lifestyle of human being has also changed which has affected both the mental and physical make-up. Our ancestors lived a much calmer life and had less worries but along with the civilization the stress has changed and now life becoming target oriented and completing the deadlines has mentioned the levels of stress.

With the advancement in science and technology we are gifted by gadgets and means which has made our lives much easier. Now we can communicate with each other in fraction of seconds, can search anything around the corner of the world in seconds through internet. All this civilization and advancement has made our life comfortable and easier but as said that every coin has two sides and so goes with the civilization. Although civilization has made our lives easier but with this comfort, we have invited many diseases such as diabetes mellitus, thyroid, obesity, hypertension etc. and this is the reason these diseases are known as diseases of civilization or lifestyle diseases. Human body is gifted with various organs each given its unique feature to perform. Similarly, kidneys in our body are very important and has excretory, biosynthetic and regulatory functions to play. Kidneys help in excretion of waste material and any abnormal function of kidney can lead to accumulation of these waste material in the body which can lead to increased levels of blood urea nitrogen and creatinine and the condition is known as azotaemia. Kidney still have an adaptive response until 3/4th kidney is damaged. When there is further destruction it leads to uraemia and there occur imbalances in fluid, electrolytes, hormones, along with metabolic abnormalities. If this condition persists for many days then it leads to Chronic kidney failure and finally causing end stage kidney disorders.

 

Chronic kidney failure is defined as –

  1. Kidney damage for more than 3months in respect to structural and functional abnormality of the kidney with/without decreased GFR manifest either by-
  • Pathological abnormality
  • Markers of kidney damage, including abnormality in the composition of the blood/urine or abnormality in imaging tests.
  1. GFR < 60ml/min/1.73m2 for>3months, with or without kidney damage.

 

Causes of Chronic Kidney Failure

Cause of the CRF can be differentiated into following types-

IATROGENIC

Prolonged use of—-

 

  • Antibiotics
  • Painkillers
  • Others

 

LIFESTYLE

 

  • Smoking
  • Diet
  • Diabetes mellitus
  • Hypertension
  • Older age

 

MIASMATIC

Familial

 

  • F/H/O Diabetes
  • F/H/O CKD
  • F/H/O Hypertension

 

Renal

 

  • Renal artery stenosis
  • Glomerular diseases
  • Interstitial diseases

 

Congenital and inherited

Stages of CRF

Each patient is classified into one of the following 5 stages of CKD because management and prognosis varies according to the progression of damage.

  • Stage 1: Kidney damage with normal or increased GFR(>90 mL/min/1.73 m2)
  • Stage 2: Mild reductionin GFR (60-89 mL/min/1.73 m2)
  • Stage 3: Moderate reductionin GFR (30-59 mL/min/1.73 m2)
  • Stage 4: Severe reductionin GFR (15-29 mL/min/1.73 m2)
  • Stage 5: Kidney failure(GFR <15 mL/min/1.73 m2 or dialysis)

According to homoeopathy stages of CKD can be divided as mentioned below –

Stage 1 & Stage 2 – Homoeopathy can very well help in bringing cure by treating the patient as a person and thus slowing the further progression of destruction and thus restoring the function of kidney.

Stage 3, 4 & 5 – Homoeopathy can only help by palliating the disease along with auxillary treatment.

GFR – CALCULATION METHOD

Cockcroft-Gault Method (Adult)
GFR for male – (140 – age) x wt (kg) / [72 x Serum Creatinine] GFR for female – GFR (females) = GFR (males) x 0.85

For e. g:

MALE BODY WGT FEMALE BODY WGT AGE CREATININE MALE GFR FEMALE GFR
75 55 50 2 22.56 19.17
75 55 50 4 11.28 9.58

 

Kidney consist of around 1million nephrons in the glomeruli and the number of nephrons is calculated by the surrogate of glomerular number. The relationship between glomeruli number and number of nephrons is considered as compensatory enlargement of the remaining glomeruli in situations of nephron deficiency or a process in order to restore the normal functioning of kidney back to normal. Hence the increased glomerular volume might be an important marker for nephron deficiency. Nephrons decreases with increasing age. GFR is the best measurement of overall kidney function and for the identification of kidney function in clinical practice GFR can be estimated from the creatinine clearance or creatinine level which helps in knowing that how much creatinine is cleared out from the body. The normal level of GFR in young adults is approx.-125ml/min & declines by approximately 1ml/min/year thereafter. Although serum creatinine is considered as a poor predictor of GFR as it is influenced by factors such as age, sex, body weight, muscle mass, diet, drugs etc.

Symptoms of CRF

The early symptoms of chronic kidney disease are also symptoms of other illnesses. These symptoms may be the only signs of kidney disease until the condition is more advanced.

Symptoms may include:

Other symptoms that may develop, especially when kidney function has gotten worse, include:

 

Methodology

Let us create a standard plan of treatment for Chronic Kidney Failure keeping Organon of Medicine by Master Samuel Hahnemann as our basis.

Master Hahnemann has very beautifully explained about the aim of the physician from Aphorism 1-Aphorism 4 which can be classified as-

  • Cure in Curable Cases-In Stage 1 &Stage 2 homoeopathic physician can help a patient of CRF easily by prescribing him with a similimum homoeopathic medicine.
  • Palliation in Incurable Cases- palliation can be done in Stage 3, Stage 4 & Stage 5 cases of CRF
  • Prevention in who are Liable- Certain cases of CRF can be prevented by following certain steps such as-
  1. No Iatrogenic causes
  2. Improved lifestyle
  3. Thorough case taking & screening test repeating periodically
  4. Preventive wholistic treatment for patients as a person
  5. Homoeopathic prescription

What should be done in order to achieve our aim?

There should be certain plans made in order to complete the objective. Following steps can be taken-

  • Standardization in prescription-case taking procedure (Aphorism 5-Aphorism7, Aphorism 82-Aphorism 104).
  • Easy, Quick selection of medicine (Aphorism 153)
  • Easy, Quick selection of potency (Aphorism 279)
  • Easy, Quick selection of Quantum & Repetition (PQR-Aphorism 246 F.N.)
  • Correct selection at the earliest (Aphorism 2, Aphorism 149)

In Homoeopathy the physician has to understand wholism in two respects. These 2 aspects are mentioned as below-

Understanding the patient who has chronic kidney failure .CRF is diagnosed with various constitutional signs & symptoms which must cover up the wholistic approach upto terminal stage (Aphorism 5).

Must be covering stage of CRF in vogue and in time to come (changing pattern of diseases)

Understanding the medicine – which cover the symptoms of CRF.These medicines include both the well-known i.e. Well known medicines (extensively proved) and lesser known medicines (need extensively proving) and then medicine is used on patient considering the following points-

  • Patient as a person
  • As an intercurrent
  • To set in reaction

Selection of remedy-Remedy should be selected on the following basis-

  • To the patient as a person
  • Seeing through the hole (regional remedies)
  • Selection of medicine must have in-built concept of miasm (homoeopathic etiology) by understanding presenting complaints with encapsulated past of the patient.

Miasm analysis

Miasm analysis should be done of the patient who has the disease and not of the disease.

Selection of Dose-PQR

Selection of the dose should be done according to the potency (P), Quantity (Q) &Repetition (R) as mentioned in Aphorism 246 FN.

Potency should be decided according to the understanding of pathology & susceptibility

Quantity of the medicine & repetition of the medicine should be decided keeping the below mentioned things-

  • Nature of medicinal substances
  • Physical constitution of patient
  • Magnitude of his disease

Management

Homoeopathic management of chronic kidney failure should be to remove the obstacles or causes. Master Hahnemann has been described about the various factors which act as obstacles while treating the patient.

A homoeopathic physician should carefully notice these obstacles & treat accordingly. The obstacles are mentioned as below-

Fundamental cause

  • Master Hahnemann in aphorism 5 described about miasm which he considered as the fundamental cause of any disease.

Causa occassionalis

  • Master Hahnemann in aphorism described about causa occassionalis which consist of either an exciting cause (aphorism 5) or maintaining cause (aphorism 7).

Diet & lifestyle

Since we can see that all the lifestyle diseases are caused by the adoption of incorrect lifestyle thereby it is high time that we should now correct out lifestyle which includes both our diet and our mode of living.

Lifestyle – Avoid stress, Regular exercise

Diet

  • Restrict protein consumption- Protein breakdown is cleaned by kidney and intake of proteins will burden the functioning of proteins. Total protein required by an adult man is 56 grams a day and that by an adult woman is 46 grams a day or it is = 0.60 mg protein/kg/day
    • Decrease potassium level-
    • Decrease sodium food content-sodium causes fluid retention
    • Cut down milk, coconut water and citrus fruits
    • Eliminate high phosphorous foods-increased phosphorous levels will cause decrease calcium and thus causing bone diseases
    • Stay away from saturated fats and trans fatty acid- as they cause increased cholesterol level leading to heart diseases

Follow up of case

Follow up includes either the selection of next suitable medicine or from the relationship of remedies. During a follow up of a case either the patient presents with improvement or with no improvement or is worse than before. It is mentioned as below –

If the case shows improvement then the follow up should be

  • General to Particular –In this case either follow HERING’S LAW or if there is no progressive improvement then follow relationship of medicine.

If the case is not improving or is worse than before then check the whole case and then act accordingly

  • At the Patient level
  • At the Doctor level
  • At the Quality/Dispensing of medicine.

Cases

Case 1

 

Mr. A, 47yrs/M diagnosed case of diabetic nephropathy came to our clinic with the following complaints-

 

  • Pain left foot with difficulty walking.
  • B/L pitting knees & pedal edema
  • Swelling face.
  • Increased frequency of urination.
  • Itching in genitals. (for 1 year).
  • Husky and Hoarse Voice

 

Past History

 

  • Fracture Radius (15 yrs. back)
  • Head Injury (10 yrs. back)
  • Operated for subdural hemorrhage (9 yrs. back)

 

Life Situation

  • Separated from wife and children 10 yrs. back. Still misses his family.
  • Tensed due to younger brother’s career.
  • Under financial constraint.

 

 

Family History-Not significant.

 

Physical Generals

 

  • Thirst: Increased.
  • Desire: Fried food, chilled water.
  • Dreams: Nightmares as if legs were cut while crossing the road, flying in air
  • T/R: Hot.

 

Mental General – VERY SYMPATHETIC.

 

Habit and Addictions – Chronic smoker and alcoholic (left since 1 yr).

 

Remedy – Causticum LM 1/ BD – LM 14/BD, 1 tsp.

 

Follow Up

 

  • C. Better.
  • Voice better.
  • Pain foot better.
  • Swellings better.

Biochemical Marker/ Dialysis (BEFORE) CASE NOT ON DIALYSIS

 

  1. Hb: 11.4gm%
  2. Urea: 119 mg %
  3. Uric Acid: 16.4 mg %
  4. Creatinine: 10.0 mg %
Duration of treatment Biochemical Marker / Dialysis

 

AFTER 1 MONTH

 

Hb: 11.2 gm %

Urea: 136 mg %

Uric Acid: 11.4 mg %

Creatinine: 6.10 mg %

 

 

AFTER 6 MONTHS

 

Hb: 11.4 gm %

Urea: 72.5 mg %

Uric Acid: 8.9 mg %

Creatinine: 5.4 mg %

 

 

AFTER 1 YEAR

 

Hb: 12.6 gm %

S. Urea: 78.6 mg %

S. Uric Acid: 9.6 mg %

S. Creatinine: 3.54mg %

 

 

Case 2

 

Mr. M,16/M, visited our clinic with diagnosis of chronic renal failure from an unknown cause complaining of weakness

 

Past History

 

· Physiological jaundice (after birth)

· Pneumonia (3rd month of birth)

· Dyspnea at 8 years of age

· Delayed milestones

· IUH: Mother suffered an injury-Bleeding P/V (1st trimester)

· Low birth weight baby with hydrocephalous

 

 

Life situation – Did not score well in board exams →Grief (Prior to the onset of complaints)

 

Habit and Addictions – Nothing significant

 

Remedy – Fluoric acid LM1/ BD/ 1 tsp to LM6 /BD/1tsp

 

Follow Up – Weakness better

 

Biochemical Marker/ Dialysis (BEFORE) CASE ON BIWEEKLY DIALYSIS

 

Hb: 9.1

S. Urea: 154mg %

S. Uric Acid: Not available

S. Creatinine: 6.3mg %

 

 

Duration of treatment Biochemical Marker / Dialysis

 

AFTER 1 MONTH

 

 

Hb: –

S. Urea: 169mg %

S. Uric Acid: -mg%

S. Creatinine: 5.9mg %

 

 

AFTER 6 MONTHS

 

Unable to continue with the treatment as he was from Coimbatore.

 

 

 

Case 3

 

Mr. J, 67yrs/M visited our clinic with a pre diagnosis of hypertensive nephropathy and complaining of –

 

· B/L Pedal edema

· Itching all over body

· Involuntary urination at night

· Headache

· Decreased appetite

· Heartburn

 

Past History

 

· Pneumonia: 4 years ago

· Typhoid: 15 years ago

 

Life situation:

 

· Has had to struggle a lot throughout his life

· Has become anxious about his business since 1 ½ years

 

Family History

 

Father: CAD, diabetes Mellitus

Mother: Breast cancer

2 siblings: Hypertension, Diabetes Mellitus.

 

Physical Generals

 

· Desires: Salty

· Intolerance to fried food caused constipation

· Urine: Offensive

· T/R: Chilly

 

Mental Generals

 

· Angered easily

· Anxiety about business

· Sympathetic

· Likes clear fine weather

 

Habit and Addictions – Nothing Significant.

 

Remedy – Staphysagria LM1/ BD/2 strokes/ Olfaction to Staph LM13/BD/2 strokes

 

Follow Up

 

· Appetite: Good,

· Heartburn: absent,

· Pedal edema-better, Headache; No change

· Weakness: Better

 

Biochemical Marker/ Dialysis (BEFORE) CASE ON DIALYSIS

 

Hb: –

S. Urea: 108mg %

S. Uric Acid: Not available

S. Creatinine: 5.2mg %

 

Duration of treatment

 

Biochemical Marker / Dialysis

 

AFTER 1 MONTH

 

Hb: –

S. Urea: 133mg %

S. Uric Acid: 7.1mg%

S. Creatinine: 4.0mg %

 

AFTER 6 MONTHS

 

Hb: –

S. Urea: 107mg %

S. Uric Acid: 6.6mg%

S. Creatinine: 2.4 mg %

 

AFTER 1 YEAR

 

Dropped out

 

Result

 

If we see the result of the above mentioned cases, we can observe that in all the three cases we have a decrease/fall in the level of creatinine

 

Name Before the treatment After the treatment
Mr. A 10mg/dL 3.54mg/dL
Mr. J 5.2mg/dL 2.4mg/dL
Mr. M 6.3mg/dL 5.9mg/dL

 

 

Observation /Result

An observational study was done in Dr. Pankaj Aggarwal’s clinic on 46 cases of chronic kidney failure in order to see the effect of homoeopathic treatment and management of these cases. During the study the below mentioned results were found –

Sex Total
Age Group F M
11-20 1 2 3
33.3% 66.7% 100.0%
21-30 1 3 4
25.0% 75.0% 100.0%
31-40 2 6 8
25.0% 75.0% 100.0%
41-50 3 7 10
30.0% 70.0% 100.0%
51-60 2 11 13
15.4% 84.6% 100.0%
61-70 0 7 7
.0% 100.0% 100.0%
80-90 0 1 1
.0% 100.0% 100.0%
Total 9 37 46
19.6% 80.4% 100.0%

 

 

 

Table: Age Group * Sex Cross tabulation

 

 

The cause of the disease was found out to be various emotional factors and then idiopathic and then the various lifestyle diseases.

 

 

Table: Causes

 

Frequency Percent
Antibiotics 1 2.2
DM 2 4.3
DM + Emotional 3 6.5
Emotional 16 34.8
Emotional + Antibiotics 1 2.2
Emotional + DM Hypertension 2 4.4
Emotional + Pain-killers 1 2.2
Hypertension 4 8.7
Hypertension + Emotional 4 8.7
Idiopathic 8 17.4
Physical injury 4 8.7
Total 46 100.0

 

In most of the cases CRF showed an insidious onset and the patient who consulted (46), 9 were on dialysis whose frequency of dialysis decreased along with the homoeopathic treatment with decreased bio-chemic levels

 

 

Status Total
Age Group Dropped No improvement Not Relieved Relieved Relieved Slightly
11-20 1 0 0 2 0 3
33.3% .0% .0% 66.7% .0% 100.0%
21-30 1 0 0 3 0 4
25.0% .0% .0% 75.0% .0% 100.0%
31-40 0 0 3 5 0 8
.0% .0% 37.5% 62.5% .0% 100.0%
41-50 3 0 0 6 1 10
30.0% .0% .0% 60.0% 10.0% 100.0%
51-60 6 1 1 5 0 13
46.2% 7.7% 7.7% 38.5% .0% 100.0%
61-70 4 0 0 3 0 7
57.1% .0% .0% 42.9% .0% 100.0%
80-90 0 0 0 1 0 1
.0% .0% .0% 100.0% .0% 100.0%
Total 15 1 4 25 1 46
32.6% 2.2% 8.7% 54.3% 2.2% 100.0%

 

Among the 46 patients who consulted it was observed that 54.3% patients were relieved by taking homoeopathic treatment which in itself is a fair result.

 

 

Conclusion

 

From the study done we can conclude that almost in all the cases there was one or another emotional factor preceding the illness. Hence, we can say that life situation plays a very important role in either causing or precipitating disease/illness. The relationship between mind and body is studied now as psycho-neuro-immunology. The study on 46 cases is evident that homoeopathy can very well manage the cases of CRF both symptomatically and bio-chemically as creatinine, an important marker in CRF cases has reduced significantly with homoeopathic indicated medicines. But, to find out the Similimum to find out this emotional factor or situation we must treat the patient holistically and giving importance to anamnesis and not just considering the end result of the disease as other sciences do. Homoeopathy in these types of cases has a limitation that when the organ is compromised it is very difficult to regenerate its function and thus hard for us to bring cure but we can help these cases by palliating the condition at a very good level. But, along with the medicine lifestyle modifications are a must in these cases and then only further complications of the disease can be managed very well.

 

My Experience with End Stage Renal Disease – Limitation of Homoeopathy

Dr.Pankaj Aggarwal (M.D.)

Dr.Nidhi Navin Sharma (B.H.M.S)

 

Human life starts with a very simple cell and then gradually it becomes complex. Similarly, there is evolution of man. Primitive man life was very simple and were less civilized. They ate raw food and wore animal skin but as the time went primitive man also evolved himself and his lifestyle also changed. Lifestyle is defined as the typical way a person/individual, group or a culture live.

It constitutes both mental and physical make up of a man. Along with the civilization the lifestyle of human being has also changed which has affected both the mental and physical make-up. Our ancestors lived a much calmer life and had less worries but along with the civilization the stress has changed and now life becoming target oriented and completing the deadlines has mentioned the levels of stress.

With the advancement in science and technology we are gifted by gadgets and means which has made our lives much easier. Now we can communicate with each other in fraction of seconds, can search anything around the corner of the world in seconds through internet. All this civilization and advancement has made our life comfortable and easier but as said that every coin has two sides and so goes with the civilization. Although civilization has made our lives easier but with this comfort, we have invited many diseases such as diabetes mellitus, thyroid, obesity, hypertension etc. and this is the reason these diseases are known as diseases of civilization or lifestyle diseases. Human body is gifted with various organs each given its unique feature to perform. Similarly, kidneys in our body are very important and has excretory, biosynthetic and regulatory functions to play. Kidneys help in excretion of waste material and any abnormal function of kidney can lead to accumulation of these waste material in the body which can lead to increased levels of blood urea nitrogen and creatinine and the condition is known as azotaemia. Kidney still have an adaptive response until 3/4th kidney is damaged. When there is further destruction it leads to uraemia and there occur imbalances in fluid, electrolytes, hormones, along with metabolic abnormalities. If this condition persists for many days then it leads to Chronic kidney failure and finally causing end stage kidney disorders.

 

Chronic kidney failure is defined as –

  1. Kidney damage for more than 3months in respect to structural and functional abnormality of the kidney with/without decreased GFR manifest either by-
  • Pathological abnormality
  • Markers of kidney damage, including abnormality in the composition of the blood/urine or abnormality in imaging tests.
  1. GFR < 60ml/min/1.73m2 for>3months, with or without kidney damage.

 

Causes of Chronic Kidney Failure

Cause of the CRF can be differentiated into following types-

IATROGENIC

Prolonged use of—-

 

  • Antibiotics
  • Painkillers
  • Others

 

LIFESTYLE

 

  • Smoking
  • Diet
  • Diabetes mellitus
  • Hypertension
  • Older age

 

MIASMATIC

Familial

 

  • F/H/O Diabetes
  • F/H/O CKD
  • F/H/O Hypertension

 

Renal

 

  • Renal artery stenosis
  • Glomerular diseases
  • Interstitial diseases

 

Congenital and inherited

Stages of CRF

Each patient is classified into one of the following 5 stages of CKD because management and prognosis varies according to the progression of damage.

  • Stage 1: Kidney damage with normal or increased GFR(>90 mL/min/1.73 m2)
  • Stage 2: Mild reductionin GFR (60-89 mL/min/1.73 m2)
  • Stage 3: Moderate reductionin GFR (30-59 mL/min/1.73 m2)
  • Stage 4: Severe reductionin GFR (15-29 mL/min/1.73 m2)
  • Stage 5: Kidney failure(GFR <15 mL/min/1.73 m2 or dialysis)

According to homoeopathy stages of CKD can be divided as mentioned below –

Stage 1 & Stage 2 – Homoeopathy can very well help in bringing cure by treating the patient as a person and thus slowing the further progression of destruction and thus restoring the function of kidney.

Stage 3, 4 & 5 – Homoeopathy can only help by palliating the disease along with auxillary treatment.

GFR – CALCULATION METHOD

Cockcroft-Gault Method (Adult)
GFR for male – (140 – age) x wt (kg) / [72 x Serum Creatinine] GFR for female – GFR (females) = GFR (males) x 0.85

For e. g:

MALE BODY WGT FEMALE BODY WGT AGE CREATININE MALE GFR FEMALE GFR
75 55 50 2 22.56 19.17
75 55 50 4 11.28 9.58

 

Kidney consist of around 1million nephrons in the glomeruli and the number of nephrons is calculated by the surrogate of glomerular number. The relationship between glomeruli number and number of nephrons is considered as compensatory enlargement of the remaining glomeruli in situations of nephron deficiency or a process in order to restore the normal functioning of kidney back to normal. Hence the increased glomerular volume might be an important marker for nephron deficiency. Nephrons decreases with increasing age. GFR is the best measurement of overall kidney function and for the identification of kidney function in clinical practice GFR can be estimated from the creatinine clearance or creatinine level which helps in knowing that how much creatinine is cleared out from the body. The normal level of GFR in young adults is approx.-125ml/min & declines by approximately 1ml/min/year thereafter. Although serum creatinine is considered as a poor predictor of GFR as it is influenced by factors such as age, sex, body weight, muscle mass, diet, drugs etc.

Symptoms of CRF

The early symptoms of chronic kidney disease are also symptoms of other illnesses. These symptoms may be the only signs of kidney disease until the condition is more advanced.

Symptoms may include:

Other symptoms that may develop, especially when kidney function has gotten worse, include:

 

Methodology

Let us create a standard plan of treatment for Chronic Kidney Failure keeping Organon of Medicine by Master Samuel Hahnemann as our basis.

Master Hahnemann has very beautifully explained about the aim of the physician from Aphorism 1-Aphorism 4 which can be classified as-

  • Cure in Curable Cases-In Stage 1 &Stage 2 homoeopathic physician can help a patient of CRF easily by prescribing him with a similimum homoeopathic medicine.
  • Palliation in Incurable Cases- palliation can be done in Stage 3, Stage 4 & Stage 5 cases of CRF
  • Prevention in who are Liable- Certain cases of CRF can be prevented by following certain steps such as-
  1. No Iatrogenic causes
  2. Improved lifestyle
  3. Thorough case taking & screening test repeating periodically
  4. Preventive wholistic treatment for patients as a person
  5. Homoeopathic prescription

What should be done in order to achieve our aim?

There should be certain plans made in order to complete the objective. Following steps can be taken-

  • Standardization in prescription-case taking procedure (Aphorism 5-Aphorism7, Aphorism 82-Aphorism 104).
  • Easy, Quick selection of medicine (Aphorism 153)
  • Easy, Quick selection of potency (Aphorism 279)
  • Easy, Quick selection of Quantum & Repetition (PQR-Aphorism 246 F.N.)
  • Correct selection at the earliest (Aphorism 2, Aphorism 149)

In Homoeopathy the physician has to understand wholism in two respects. These 2 aspects are mentioned as below-

Understanding the patient who has chronic kidney failure .CRF is diagnosed with various constitutional signs & symptoms which must cover up the wholistic approach upto terminal stage (Aphorism 5).

Must be covering stage of CRF in vogue and in time to come (changing pattern of diseases)

Understanding the medicine – which cover the symptoms of CRF.These medicines include both the well-known i.e. Well known medicines (extensively proved) and lesser known medicines (need extensively proving) and then medicine is used on patient considering the following points-

  • Patient as a person
  • As an intercurrent
  • To set in reaction

Selection of remedy-Remedy should be selected on the following basis-

  • To the patient as a person
  • Seeing through the hole (regional remedies)
  • Selection of medicine must have in-built concept of miasm (homoeopathic etiology) by understanding presenting complaints with encapsulated past of the patient.

Miasm analysis

Miasm analysis should be done of the patient who has the disease and not of the disease.

Selection of Dose-PQR

Selection of the dose should be done according to the potency (P), Quantity (Q) &Repetition (R) as mentioned in Aphorism 246 FN.

Potency should be decided according to the understanding of pathology & susceptibility

Quantity of the medicine & repetition of the medicine should be decided keeping the below mentioned things-

  • Nature of medicinal substances
  • Physical constitution of patient
  • Magnitude of his disease

Management

Homoeopathic management of chronic kidney failure should be to remove the obstacles or causes. Master Hahnemann has been described about the various factors which act as obstacles while treating the patient.

A homoeopathic physician should carefully notice these obstacles & treat accordingly. The obstacles are mentioned as below-

Fundamental cause

  • Master Hahnemann in aphorism 5 described about miasm which he considered as the fundamental cause of any disease.

Causa occassionalis

  • Master Hahnemann in aphorism described about causa occassionalis which consist of either an exciting cause (aphorism 5) or maintaining cause (aphorism 7).

Diet & lifestyle

Since we can see that all the lifestyle diseases are caused by the adoption of incorrect lifestyle thereby it is high time that we should now correct out lifestyle which includes both our diet and our mode of living.

Lifestyle – Avoid stress, Regular exercise

Diet

  • Restrict protein consumption- Protein breakdown is cleaned by kidney and intake of proteins will burden the functioning of proteins. Total protein required by an adult man is 56 grams a day and that by an adult woman is 46 grams a day or it is = 0.60 mg protein/kg/day
    • Decrease potassium level-
    • Decrease sodium food content-sodium causes fluid retention
    • Cut down milk, coconut water and citrus fruits
    • Eliminate high phosphorous foods-increased phosphorous levels will cause decrease calcium and thus causing bone diseases
    • Stay away from saturated fats and trans fatty acid- as they cause increased cholesterol level leading to heart diseases

Follow up of case

Follow up includes either the selection of next suitable medicine or from the relationship of remedies. During a follow up of a case either the patient presents with improvement or with no improvement or is worse than before. It is mentioned as below –

If the case shows improvement then the follow up should be

  • General to Particular –In this case either follow HERING’S LAW or if there is no progressive improvement then follow relationship of medicine.

If the case is not improving or is worse than before then check the whole case and then act accordingly

  • At the Patient level
  • At the Doctor level
  • At the Quality/Dispensing of medicine.

Cases

Case 1

 

Mr. A, 47yrs/M diagnosed case of diabetic nephropathy came to our clinic with the following complaints-

 

  • Pain left foot with difficulty walking.
  • B/L pitting knees & pedal edema
  • Swelling face.
  • Increased frequency of urination.
  • Itching in genitals. (for 1 year).
  • Husky and Hoarse Voice

 

Past History

 

  • Fracture Radius (15 yrs. back)
  • Head Injury (10 yrs. back)
  • Operated for subdural hemorrhage (9 yrs. back)

 

Life Situation

  • Separated from wife and children 10 yrs. back. Still misses his family.
  • Tensed due to younger brother’s career.
  • Under financial constraint.

 

 

Family History-Not significant.

 

Physical Generals

 

  • Thirst: Increased.
  • Desire: Fried food, chilled water.
  • Dreams: Nightmares as if legs were cut while crossing the road, flying in air
  • T/R: Hot.

 

Mental General – VERY SYMPATHETIC.

 

Habit and Addictions – Chronic smoker and alcoholic (left since 1 yr).

 

Remedy – Causticum LM 1/ BD – LM 14/BD, 1 tsp.

 

Follow Up

 

  • C. Better.
  • Voice better.
  • Pain foot better.
  • Swellings better.

Biochemical Marker/ Dialysis (BEFORE) CASE NOT ON DIALYSIS

 

  1. Hb: 11.4gm%
  2. Urea: 119 mg %
  3. Uric Acid: 16.4 mg %
  4. Creatinine: 10.0 mg %
Duration of treatment Biochemical Marker / Dialysis

 

AFTER 1 MONTH

 

Hb: 11.2 gm %

Urea: 136 mg %

Uric Acid: 11.4 mg %

Creatinine: 6.10 mg %

 

 

AFTER 6 MONTHS

 

Hb: 11.4 gm %

Urea: 72.5 mg %

Uric Acid: 8.9 mg %

Creatinine: 5.4 mg %

 

 

AFTER 1 YEAR

 

Hb: 12.6 gm %

S. Urea: 78.6 mg %

S. Uric Acid: 9.6 mg %

S. Creatinine: 3.54mg %

 

 

 

 

Case 2

 

Mr. M,16/M, visited our clinic with diagnosis of chronic renal failure from an unknown cause complaining of weakness

 

Past History

 

· Physiological jaundice (after birth)

· Pneumonia (3rd month of birth)

· Dyspnea at 8 years of age

· Delayed milestones

· IUH: Mother suffered an injury-Bleeding P/V (1st trimester)

· Low birth weight baby with hydrocephalous

 

 

Life situation – Did not score well in board exams →Grief (Prior to the onset of complaints)

 

Habit and Addictions – Nothing significant

 

Remedy – Fluoric acid LM1/ BD/ 1 tsp to LM6 /BD/1tsp

 

Follow Up – Weakness better

 

Biochemical Marker/ Dialysis (BEFORE) CASE ON BIWEEKLY DIALYSIS

 

Hb: 9.1

S. Urea: 154mg %

S. Uric Acid: Not available

S. Creatinine: 6.3mg %

 

 

Duration of treatment Biochemical Marker / Dialysis

 

AFTER 1 MONTH

 

 

Hb: –

S. Urea: 169mg %

S. Uric Acid: -mg%

S. Creatinine: 5.9mg %

 

 

AFTER 6 MONTHS

 

Unable to continue with the treatment as he was from Coimbatore.

 

 

 

Case 3

 

Mr. J, 67yrs/M visited our clinic with a pre diagnosis of hypertensive nephropathy and complaining of –

 

· B/L Pedal edema

· Itching all over body

· Involuntary urination at night

· Headache

· Decreased appetite

· Heartburn

 

Past History

 

· Pneumonia: 4 years ago

· Typhoid: 15 years ago

 

Life situation:

 

· Has had to struggle a lot throughout his life

· Has become anxious about his business since 1 ½ years

 

Family History

 

Father: CAD, diabetes Mellitus

Mother: Breast cancer

2 siblings: Hypertension, Diabetes Mellitus.

 

Physical Generals

 

· Desires: Salty

· Intolerance to fried food caused constipation

· Urine: Offensive

· T/R: Chilly

 

Mental Generals

 

· Angered easily

· Anxiety about business

· Sympathetic

· Likes clear fine weather

 

Habit and Addictions – Nothing Significant.

 

Remedy – Staphysagria LM1/ BD/2 strokes/ Olfaction to Staph LM13/BD/2 strokes

 

Follow Up

 

· Appetite: Good,

· Heartburn: absent,

· Pedal edema-better, Headache; No change

· Weakness: Better

 

Biochemical Marker/ Dialysis (BEFORE) CASE ON DIALYSIS

 

Hb: –

S. Urea: 108mg %

S. Uric Acid: Not available

S. Creatinine: 5.2mg %

 

Duration of treatment

 

Biochemical Marker / Dialysis

 

AFTER 1 MONTH

 

Hb: –

S. Urea: 133mg %

S. Uric Acid: 7.1mg%

S. Creatinine: 4.0mg %

 

AFTER 6 MONTHS

 

Hb: –

S. Urea: 107mg %

S. Uric Acid: 6.6mg%

S. Creatinine: 2.4 mg %

 

AFTER 1 YEAR

 

Dropped out

 

Result

 

If we see the result of the above mentioned cases, we can observe that in all the three cases we have a decrease/fall in the level of creatinine

 

Name Before the treatment After the treatment
Mr. A 10mg/dL 3.54mg/dL
Mr. J 5.2mg/dL 2.4mg/dL
Mr. M 6.3mg/dL 5.9mg/dL

 

 

Observation /Result

An observational study was done in Dr. Pankaj Aggarwal’s clinic on 46 cases of chronic kidney failure in order to see the effect of homoeopathic treatment and management of these cases. During the study the below mentioned results were found –

Sex Total
Age Group F M
11-20 1 2 3
33.3% 66.7% 100.0%
21-30 1 3 4
25.0% 75.0% 100.0%
31-40 2 6 8
25.0% 75.0% 100.0%
41-50 3 7 10
30.0% 70.0% 100.0%
51-60 2 11 13
15.4% 84.6% 100.0%
61-70 0 7 7
.0% 100.0% 100.0%
80-90 0 1 1
.0% 100.0% 100.0%
Total 9 37 46
19.6% 80.4% 100.0%

 

 

 

Table: Age Group * Sex Cross tabulation

 

 

The cause of the disease was found out to be various emotional factors and then idiopathic and then the various lifestyle diseases.

 

 

Table: Causes

 

Frequency Percent
Antibiotics 1 2.2
DM 2 4.3
DM + Emotional 3 6.5
Emotional 16 34.8
Emotional + Antibiotics 1 2.2
Emotional + DM Hypertension 2 4.4
Emotional + Pain-killers 1 2.2
Hypertension 4 8.7
Hypertension + Emotional 4 8.7
Idiopathic 8 17.4
Physical injury 4 8.7
Total 46 100.0

 

In most of the cases CRF showed an insidious onset and the patient who consulted (46), 9 were on dialysis whose frequency of dialysis decreased along with the homoeopathic treatment with decreased bio-chemic levels

 

 

Status Total
Age Group Dropped No improvement Not Relieved Relieved Relieved Slightly
11-20 1 0 0 2 0 3
33.3% .0% .0% 66.7% .0% 100.0%
21-30 1 0 0 3 0 4
25.0% .0% .0% 75.0% .0% 100.0%
31-40 0 0 3 5 0 8
.0% .0% 37.5% 62.5% .0% 100.0%
41-50 3 0 0 6 1 10
30.0% .0% .0% 60.0% 10.0% 100.0%
51-60 6 1 1 5 0 13
46.2% 7.7% 7.7% 38.5% .0% 100.0%
61-70 4 0 0 3 0 7
57.1% .0% .0% 42.9% .0% 100.0%
80-90 0 0 0 1 0 1
.0% .0% .0% 100.0% .0% 100.0%
Total 15 1 4 25 1 46
32.6% 2.2% 8.7% 54.3% 2.2% 100.0%

 

Among the 46 patients who consulted it was observed that 54.3% patients were relieved by taking homoeopathic treatment which in itself is a fair result.

 

 

Conclusion

 

From the study done we can conclude that almost in all the cases there was one or another emotional factor preceding the illness. Hence, we can say that life situation plays a very important role in either causing or precipitating disease/illness. The relationship between mind and body is studied now as psycho-neuro-immunology. The study on 46 cases is evident that homoeopathy can very well manage the cases of CRF both symptomatically and bio-chemically as creatinine, an important marker in CRF cases has reduced significantly with homoeopathic indicated medicines. But, to find out the Similimum to find out this emotional factor or situation we must treat the patient holistically and giving importance to anamnesis and not just considering the end result of the disease as other sciences do. Homoeopathy in these types of cases has a limitation that when the organ is compromised it is very difficult to regenerate its function and thus hard for us to bring cure but we can help these cases by palliating the condition at a very good level. But, along with the medicine lifestyle modifications are a must in these cases and then only further complications of the disease can be managed very well.

 

 

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welcome readers to the new series of Blog named as AHC Talks!

Here, AHC is ‘Agrawal Homoeo Clinic’ established by Dr. M. L. Agrawal, talking to you on most important or routine issues needs immediate attention. It is to address you all about the Concept and Practice of Homoeopathy at AHC. This Clinic is serving the peoples of 11 countries in the world for 53 years and now the 3rd generation of Dr. M. L. Agrawal has started serving the masses.

We urges you to please ask your queries in the comments section below regarding Homoeopathy and about the treatment of your diseased condition at AHC.

Homoeopathy in Cancer

Dr. Pankaj Aggarwal, M.D. (Hom.); Ph.D. Homoeopathy

At AHC, we do treat all kind of cancer conditions for 35 years. mostly such cases comes here after all kinds of treatments taken available on the highway of Medicine. And now, such cases are treated with homoeopathy in my way.

My way is understanding the patient and his circumstances having cancer to find out if solutions can be achieved. Solutions means if cure is possible or otherwise palliate (alleviation of sufferings) it well so that patient and his family can have a soothing life. My way is not studying the disease like a disease expert. Its already done and patient comes here with all possible reports and treatment taken.

So, its a ‘Unique Homoeopathic Approach for Cancer’ where patient is extensively interviewed or reviewed about his life, his past sufferings, family trend of diseases and his circumstances now and down the line since his childhood. Also, his all medical reports are studied well to understand whole of his present in relation with his past and family. This is an extensive profiling of the patient can be called as his ‘Psycho-Socio-Pathological Biography’. this profiling is the most useful my way to treat such cases with fairly good success. For any patient or his family member may think about this profiling is nothing or a waste of time then better avoid treatment at AHC.

 

 

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