Thursday, December 19, 2019

Wonders of Homoeopathy an evidenced based study by Dr G R Mohan


 Wonders of Homoeopathy: An Evidence-based Study by Dr G R Mohan







Wonders of Homoeopathy: An Evidence-based Study is a compilation of
case studies and scientific papers those deep dives into diagnosis and
treatment of common and rare disorders such as Cervical Spondylosis,
Gilbert’s Syndrome – Lycopodium, Cerebral Palsy, Bipolar Mood Disorder
and Prolapse Inter Vertebral Disc ect

Written topics describe the clinical studies conducted for a specific
ailment supported by scientifically valid medical literature and
clinical evidences such as before/after treatment observations,
The topics covered in this book will serve as a guide and a ready reference for
Homoeopathic Practitioners, Post Graduate and Undergraduate students
in the field of Surgery, Practice of medicine, Pediatrics, Preventive
medicine and Gynaecology. Some case studies and success
stories presented in this book have been published in various national and international scientific journals
such as British Homoeopathic Journal, Homoeopathic Links, Asian Journal of Homoeopathy, NHJ and the
Homoeopathic Heritage

The author is the former Principal of Devs Homoeopathic medical college,
Telangana , and a Homoeopathic He was  the Director of
a multi-specialty homeopathic research centre at Hyderabad and Principal Investigator for Central Council for
Research in Homoeopathy for extra-mural research project.
Wonders of Homoeopathy: An Evidence-based Study is a compilation of Dr. Mohan's
work and research ..
*Dr. Mohan is a recipient of Government of
Andhra Pradesh Meritorious Best Teacher Award for 2005.
*Recipient of Indo-Global Education Summit National Award for Teaching Excellence for 2013
*Recipient of Abdul kalam memorial award 2015

*** Wonders of Homoeopathy: An Evidence-based Study book

Available  with Amazon


Wednesday, March 27, 2019

Tuesday, April 10, 2018

World Homoeopathy day

10th April 2018,
World Homoeopathy day
as it happens to be Birthday of founder of Homoeopathy

Dr Samule Hahnemann
(1755-1843)

Friday, February 9, 2018

A Case of Paediatric Cholelithiasis treated with Homoeopathy, Prof G R Mohan


A Case of Paediatric Cholelithiasis treated with Homoeopathy

Prof G R Mohan
M D (Hom) PG dip (Env Stud)
Former ,Principal, Devs Homoeopathic Medical College,
RR District, TL, India
Abstract:
Introduction: Gallstones are a major public health problem in all developed countries. Although gallbladder disease had traditionally been considered an adult condition, the prevalence has been rising in the pediatric population. Baby aged 5year came with multiple Gall stones was treated successful with Lycopodium and Carduus Marianus.   Treatment was guided by ultra sound scan of abdomen before and after treatment. It is an Evidenced based Homoeopathic treatment.
Key words: Cholelithiasis, Homoeopathy,
Introduction:
Cholelithiasis is defined as “the presence or formation of stones in the gall bladder”. Cholelithiasis incidence ranging from 0.15% to 0.22%.. Cholelithiasis is common throughout the adult population, affecting as many as 25 million Americans and resulting in 500,000-700,000 cholecystectomies per year.
The Cholelithiasis prevalence has been rising in the pediatric population. Gallbladder disease is much rarer in children, with 1.3 pediatric cases occurring per every 1000 adult cases .A population-based study estimated that the prevalence of gallstones and biliary sludge in children is at 1.9% and 1.46%, respectively2.Pediatric patients undergo 4% of all cholecystectomies. Cholecystectomy is the procedure of choice for symptomatic children with Cholelithiasis, regardless of age 2, 3. Cholelithiasis can occur at any age, including prenatally, but is most common during puberty. Females are at significantly higher risk, with an overall 4:1 female-to-male predominance that increases to 11 to 22.1 during adolescence.
The common causes related to predisposing factors  are Hemolytic disease, hepatobiliary disease, obesity, prolonged parenteral nutrition, abdominal surgery, trauma, sepsis, and pregnancy. In children one fourth of total Cholelithiasis cases are Calcium carbonate stones, remaining 48% of gallstones in children belongs to Black pigment stones. They are formed when bile becomes supersaturated with calcium bilirubinate, the calcium salt of unconjugated bilirubin. Black pigment stones are commonly formed in hemolytic disorders and can also develop with parenteral nutrition. The complications of Cholelithiasis in children are similar to those in adults.2

A Case: Baby aged 5year came with following complaints
Complaints: Pain in the abdomen on and off, pain in the throat with recurrent fever. with multiple Gall stones.
Presenting complaints : Pain in the right hypochondria  on and off since a year shifting from right to left, fullness of abdomen, on and off pain in the throat < by eating Chocolates, she has great desire to eat.
Past history: nothing particular
Treatment history: took conventional medicine for above problem.
Family history: mother is suffering from Migraine.
Personal history:
Appetite: Normal
 Thirst:  normal
 Desires: Chocolates
 Aversions: - Nothing Particular
 Bowel movements: Normal.
 Urine: normal
 Sleep: normal
General physical examination & observations : normal built with 20 KGs; child is fussy in nature,  on examination of throat : no congestion only chronic enlargement of tonsils.
Systemic examination:

CVS:   NYD
RESP: NYD
CNS: NYD
GIT: abdomen on palpation soft, NYD
Investigations of significance: WBC: 18200, ESR: 15mm, CRP: 60mg/l, ASO: 200IU/ml,
Alkaline Phosphate: 650IU/L, SGPT 45IU/Land SGOT 37IU/L. Ultra sound Scan: Multiple stones in Gall bladder.
Provisional diagnosis: Cholelithiasis
Clinical diagnosis: Cholelithiasis, Chronic Tonsillitis,
Clinical classification: Dynamic chronic fully developed miasmatic disease
Miasmatic diagnosis: Trimiasmatic
Totality of symptoms: A shown in reportorial chart
Repertorial totality: A shown in Repertorial chart
Repertorial result:
Analysis of repertorial result:
Susceptibility: Moderate
Reasons for selecting the remedy:
Reasons for selecting the remedy:
8/9/2009: Nux Vomica 200,3doses was given and 15 days Rubrum was given.
25/09/09: no change in her complaints, 7 days Rubrum was given
09/10/09: no change in her complaints as per the Repertorisation, Lycopodium covered 7 out of six symptoms, I gave   Lycopodium 30 C 3doses were given, 15 days Rubrum was given.
24/10/09: pain in throat reduced, appetite no improvement, pain right hypochondrium was persisting, 15 days Rubrum was given
19/11/09   appetite improved. Pain right hypochondrium was persisting, fullness of abdomen was slightly better, Tuberculinum 200C, 3doses were given, 15 days Rubrum was given.
28/11 / 09 she came with pain in right upper quadrant of abdomen, bowel movement was normal, regular. Cardus M 6C, 2pill twice a day for 1O days followed by Rubrum 20 Days,
25/12/09 :  Weight has increases to 21 kgs, General condition was normal,  repeated  Cardus M 6C , 2pill twice a day for 1O days followed by Rubrum 20 Days advised them to go for  Ultra sound Scan,  Liver function Test
17/01/2010: General condition was normal Ultra sound Scan was normal as shown below.
Liver function Test Within normal limits. Advice the father of the patient to come after 2 months for review. 
Reasons for selecting the remedies:
Nux Vomica was selected as case has come from conventional system of treatment; it has covered five out of seven symptoms. Lycopodium  was selected as  it  has covered  six  out of seven symptoms. It is a right sided remedy ,Tuberculinum was prescribed  as well indicated remedies are not giving desired results, Carduus Marianus 6C was given as it is a very important remedy for Gall Stones , there was lot of pressure on me as said  patient was relative of  local Gastroenterologist , there was fear of obstruction, parents were afraid of  going for Surgery. For this reasons  I have changed the remedies frequently. But  child got desired cure.
Conclusion: estimated the prevalence of gallstones and biliary sludge in children at 1.9% and 1.46%, respectively.2 in children very common presentation will be pain in right upper quadrant of abdomen, most of the Physicians don’t dream of this Cholelithiasis condition. In majority of cases we can relive the pain by our homoeopathic remedies. Sometimes we may not get expected results, only ultra sound Scan can give us the direction to proper treatment. The above case is one example, an organopathic remedy helped to dissolve the multiple stones. In children we have to depend  only objective symptoms , as children are not in position to give their subjective symptoms.
Authors' information: www.drgrmohan.com
Acknowledgements   : I thank the patient for the cooperation she has extended during the time of treatment.
References:
3)      http://pedsinreview.aappublications.org/content/11/9/268.
Repertorisation chart of Cholelithiasis case:

Scan reports before and after treatment
. Picture 007aPicture 006aa
Picture 005a

(for full-length article ref : Hpathy.ezine, nov 2011 & Wonders of Homoeopathy an evidence based study )

                                      






Monday, August 15, 2016

A case of poly cystic ovarian syndrome Homeopathic cure

The journey to fertility -  A case of  poly cystic ovarian syndrome 
Prof  G R Mohan
M D (Hom)., P G Dip (Env Stud)
Former Principal, Devs Homeopathic Medical College,
Deva nagar, Ankireddypalli, Kesara mandal, R R Disrtict, A
drmohangr@yahoo.co.in
www.drgrmohan.com


Key words: Poly cystic ovarian syndrome, Homeopathic remedies

Introduction:
Poly cystic ovarian syndrome first described by American gynecologists Stein and Leventhal in 1935,  the Poly cystic ovarian syndrome  is a hormonal disorder affecting 10-15% of women, worldwide, irrespective of race or color. The World Health Organization estimates that it affects 116 million women worldwide as of 2010 (3.4% of the women). According  Dr Rajeev Punjabi India witnesses alarming rise in the incidence of  PCOS, India has witnessed about 30 per cent rise in polycystic ovary syndrome (PCOS) cases in the last couple of years. Lack of awareness and lifestyle changes are considered to be the major factor leading to this phenomenon., 1 2
At least 12 follicles  develop in the ovaries (polycystic means 'many cysts'). Cysts are fluid-filled sacs. Increased  testosterone  level,  raised levels  of insulin in the bloodstream is thought to be the main underlying reason to develop PCOS. A high level of  Luteinising hormone  is found in about 4 in 10 women with PCOS this test is suggestive but not diagnostic. 1,3
Symptoms: menstrual intervals longer than 35 days; less than eight menstrual cycles a year, in some cases, failure to menstruate for four months or longer; and that prolonged periods may be scant or heavier.
Elevated levels of male hormones androgens  lead to Acne Vulgaris ,oily skin, Hirsutism (69%) androgenic alopeciaaround the armpits, groin, neck, and breasts dark or thick skin markings and creases , Clitoris swelling, Central Obesity (apple shaped ) BodyMass Index over 27  Mood disturbance . 74% Infertility and Recurrent Miscarriage are noticed.
Management :
A systematically selected homeopathic remedy has the capacity to correct hormonal imbalance due to poly cystic ovarian syndrome  by stimulating the glands to secrete various hormones in the required manner, on the the basic pathology, miasmatic nature, individual study, a suitable homeopathic similimum  will bring  an excellent change in blood and sonographic reading. Homeopathic remedies would help in the regression of ovarian cysts.
Losing 5 percent to 10 percent of weight according to BodyMass Index, can help to restart ovulation, Exercise can help you lose weight. Diet : Low glycemic index foods, diet include whole grains, beans, fruit, vegetables and lean protein , Eating a few small meals rather than three big ones may help even out blood sugar levels


A case  of Poly cystic ovarian syndrome  : Patient by name MS S, aged 20 years, unmarried , student , who was dreaming to get married and conceive , came to me on 10-02-2013 who was medium built, with 64.9 Kg weight, hot patient, very irritable, known case of hypothyroidism since 4 years presented the following symptoms
Presenting complaints:
Menses delayed by 5 months, irregularity since 3 years
Irritability 2 years
Anxiety about health 1year
Haughty since 8 months
Hair over upper lip, neck. 2 years
                                                                                               
Past history:
Since 2007 period is late, was diagnosed as hypothyroidism and kept on allopathic medication, taking medication for P C O S also.
Family history:  F/H hypothyroidism
Personal history
Appetite- Good
Diet- mixed.
Thirst- less.
Desire- Cold food , desire spicy food.
 Aversions/ intolerance- NS.
Bowels- Regular.
Urine- 5/6 times/day. No special. Characteristics.
Sweat- NP
Sleep- refreshing
Habits and addiction : no
Life space investigation.
 She  belongs to an upper middle class family of Hyderabad. Her  father is a business person   . She is a  first child of her parents. Had normal childhood, 3 years back her mother died due to health problem.
 General physical examination
The patient was short stature  64.9  Kg weight, B M I: 25,  no pallor, cyanosis, edema, clubbing or lymphadenopathy.
Systemic examination
 Examination of neck : slight swelling of thyroid gland on deglutition.
 GIT System: abdomen was soft, liver palpable, spleen not enlarged
 CNS System: Nothing abnormal detected
 CVS System: Nothing abnormal detected
 Respiratory System: Nothing abnormal detected



Investigations:
U S Scan on different times : P C O D ( 2009, 2010 & 2012 )
Antverted uterus, Endometrial thickness :
F S H 6. 7.9 ; L H :21.78 ; S Prolactine : 8.8
T S H : 3.78uiu/ml
Clinical diagnosis: P C O D
 Clinical classification :
 Dynamic chronic fully developed miasmatic disease.
 Miasmatic diagnosis
 Psoro -Sycotic and Syphilitic.
 Susceptibility: moderate
 Totality of symptoms :
 Irritability
 Anxiety about health
 Haughty
 Desire for open air
 Desire for cold  Food , desire spicy food 
 Menses late
*         Thirstless
*         Repertorisation chart (attached below4
*         Phosphorus  and Pulsatilla were the first two remedies emerged on Repertorisation. Reasons for selecting Pulsatilla was due to as it covered  all symptoms with  maximum score. Boericke says  "it is pre-eminently a female remedy , He says that the disposition and mental state are the chief guiding symptoms to the selection of Pulsatilla.
Treatment:
*         10/02/2013   before the total case was taken , on the day one Thuja30C, Five doses were given every 12 the hourly, along with Placebo 5 days .
*          patient came on 26-2-13 no trace of menses Pulasatilla 200c ,5doses were given  with Placebo for 20 days .
*          24-03-13 :  patient came with  no trace of menses Pulasatilla IM, 3doses  were given with Placebo 30 days . 
*         21-04-13 :  patient came  and said that menses appeared on 17-04-13, bleeding was more. Only Placebo 30days  was given. 
*         19-05-13 :  patient came  and said  menstrual bleeding continued  for 20 days, extreme weakness  China 200C, 5 doses ,  Placebo 15days,  Carcinosin 1M , one dose , Placebo 15days  was given.
*         16-06-13 :  patient came  and said weakness reduced, Menses was again delayed 12 days, it appeared on 29-05-13, LM P  was on 17-04-13,  Pulasatilla I0M, one dose  was  given with Placebo 30 days .  I have advised her to undergo U S Scan of the abdomen.
*         14-07-13 :  patient came  and said menses appeared  on 29-06-13, two days bleeding was present, weakness reduced, Placebo 30days . 



25-08-13 :  patient came  with the U S Scan report which was showing Normal study (attached below). Irritation and other symptoms were normal. Carcinosin 1M , one dose , Placebo 15days  was given.Ahoka Q, was given daily .

Discussion :
In the above case  all investigations were pointing towards  Poly cystic ovarian syndrome . since 2009 she is having the problem, took various treatments with out any benefit, as her age was marriage age, any girl wish to get married and concive, but her periods were very irregular, many times she was kept on contraceptive pills to regulate periods and used metformin without any benefit. with that she gained her weight. 2009 to 2013 she has put on 11 kg weight.developed sever anxity about her health and future.
In the conventional treatment Medical treatment Polycystic ovaries are treated with a laparoscopic procedure called "ovarian drilling" Or Reducing insulin resistance by improving insulin sensitivity through medications such as Metformin anti diabetic drug. If fertility is not the primary aim, then menstruation is  regulated with a contraceptive pill . 1
 Pulasatilla has given good result in regulating menstruation , it has changed her mood, helped Her to shed weight and lastly  Poly cystic ovarian Cysts  vanished with homeopathic remedies. In the above case Carcinosin Burnett was given; as  it coved  Sycotic, Tubercular, Syphilitic miasms, it’s a  Chronic, Intercurrent remedy . Thuja Occidentalis  covered   Psoric, Sycotic, Syphilitic miasms
It's surprising to note that Pulsatilla which is selected  on the basis of repertriation , given to the patient gave success, but following observations were noted.
In Murphy’s repertory  under the rubric  female-Tumors, genitals-ovaries, cysts : 44 remedies are there but Pulsatilla is missing
Synthesis 8.1 V repertory  under the rubric  female-Tumors, genitals-ovaries, cysts : 32 remedies are there but Pulsatilla is missing
Boericke O, repertory  under the rubric  female sexual system -ovaries, cysts dropsy  : 25 remedies are there but Pulsatilla is missing

References :

1) Ganie M A, Kalra S. Polycystic ovary syndrome - A metabolic malady, the mother of all lifestyle disorders in women -2011 [cited 2013 Sep 16]; 15:239-41. Available from: 
http://www.ijem.in/text.asp?2011/15/4/239/85571

 4) Hompath Wildfire

https://1.bp.blogspot.com/-KiS5RWLmRe0/UlVwwSw8RNI/AAAAAAAALtQ/lwmHrkjErRo/s320/pcos.png

https://4.bp.blogspot.com/-Lig34R7ouUI/UlVxV4oEysI/AAAAAAAALtU/m7Tv2iQb9oo/s1600/pcos2.jpg