tag:blogger.com,1999:blog-7254441578396066862024-03-16T06:40:16.611+05:30Homoeo Cure with Dr. MohanDr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.comBlogger206125tag:blogger.com,1999:blog-725444157839606686.post-63432020711540499852023-04-21T19:53:00.001+05:302023-04-21T19:55:55.641+05:30<p> </p><div class="separator" style="clear: both; text-align: center;"><iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='331' height='267' src='https://www.blogger.com/video.g?token=AD6v5dysblceJhQHersgaD4m5gvPGnpKc7visIQr27dthm8IpwvfoalAqU8j3kEfTuf_Qfas0MN9oizrCO-vpqd9JA' class='b-hbp-video b-uploaded' frameborder='0'></iframe></div><br /><p></p>Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com0tag:blogger.com,1999:blog-725444157839606686.post-21630273376915626452020-12-10T10:38:00.000+05:302020-12-10T10:38:13.079+05:30Homoeopathic treatment in Polycystic ovary disease 1<p> </p><p class="MsoNormal"><b style="mso-bidi-font-weight: normal;"><span style="color: red; font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Are
you a victim of PCOD ?<o:p></o:p></span></b></p>
<p class="MsoNormal"><b style="mso-bidi-font-weight: normal;"><span style="color: red; font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">1
in 10 women have PCOS<o:p></o:p></span></b></p>
<p class="MsoNormal" style="background: white; line-height: normal; margin-bottom: 21.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="color: #4f81bd; font-family: "Bookman Old Style","serif"; font-size: 8.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 7.5pt; mso-fareast-font-family: "Times New Roman"; mso-themecolor: accent1;">PCOS<span style="mso-spacerun: yes;"> </span>polycystic
ovary disease is a variable disorder that is marked primarily by <o:p></o:p></span></b></p>
<p class="MsoNormal" style="background: white; line-height: 200%; margin-bottom: 21.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="color: #4f81bd; font-family: "Bookman Old Style","serif"; font-size: 8.0pt; line-height: 200%; mso-bidi-font-size: 7.5pt; mso-fareast-font-family: "Times New Roman"; mso-themecolor: accent1;">Acne
(Pimples), Hair loss 40%-70% , Hirsutism <span style="mso-spacerun: yes;"> </span>(unwanted hair over upper lip , external neck
) 70%, Irregular Menstruation <span style="mso-spacerun: yes;"> </span>like<span style="mso-spacerun: yes;"> </span>Amenorrhea 75%-80% , Weight gain 55%-80% and
mood swings</span></b><span style="color: #4f81bd; font-family: "Bookman Old Style","serif"; font-size: 8.0pt; line-height: 200%; mso-bidi-font-size: 7.5pt; mso-fareast-font-family: "Times New Roman"; mso-themecolor: accent1;"> <o:p></o:p></span></p>
<p class="MsoNormal" style="background: white; line-height: 200%; margin-bottom: 21.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Bookman Old Style","serif"; font-size: 5.0pt; line-height: 200%; mso-bidi-font-size: 7.5pt; mso-fareast-font-family: "Times New Roman";">.</span></b><b style="mso-bidi-font-weight: normal;"><span style="color: #4bacc6; font-family: "Bookman Old Style","serif"; font-size: 8.0pt; line-height: 200%; mso-bidi-font-size: 7.5pt; mso-fareast-font-family: "Times New Roman"; mso-themecolor: accent5;">There are several factors that
researchers think, plays roles in the cause of PCOS. Excess insulin </span></b><b style="mso-bidi-font-weight: normal;"><span style="color: #4bacc6; font-family: "Bookman Old Style","serif"; font-size: 8.0pt; line-height: 200%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-themecolor: accent5;">Usually
initiated by an elevated level of luteinizing hormone, androgen, or estrogen,<o:p></o:p></span></b></p>
<p class="MsoNormal"><b style="mso-bidi-font-weight: normal;"><span style="color: #c00000; font-family: "Bookman Old Style","serif"; font-size: 8.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">There is no proper treatment in
other systems of medicine,<o:p></o:p></span></b></p>
<p class="MsoNormal"><b style="mso-bidi-font-weight: normal;"><span style="color: #c00000; font-family: "Bookman Old Style","serif"; font-size: 8.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Only in Homoeopathic system of medicine<span style="mso-spacerun: yes;"> </span>there is<span style="mso-spacerun: yes;"> </span></span></b><b><span style="color: #c00000; font-family: "Bookman Old Style","serif"; font-size: 8.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">treatment, as treatment is given
by individual constitution </span></b><b><span style="color: #215868; font-family: "Bookman Old Style","serif"; font-size: 8.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt; mso-themecolor: accent5; mso-themeshade: 128;">.</span></b></p>
<p class="MsoNormal" style="background: white; line-height: normal; margin-bottom: 21.0pt;"><br /></p>Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com2tag:blogger.com,1999:blog-725444157839606686.post-85694500258723383242020-12-10T10:29:00.000+05:302020-12-10T10:29:27.524+05:30A case of poly cystic ovarian syndrome -Homoeopathic treatment<p> <b><span style="font-family: "bookman old style" , serif; font-size: 16pt;">The journey to fertility - A case of poly cystic ovarian syndrome </span></b></p><div class="MsoNormal" style="margin-bottom: 0.0001pt;"><b><span style="font-family: "bookman old style" , serif; font-size: 13.5pt;">Prof G R Mohan</span></b><span style="font-family: "bookman old style" , serif; font-size: 13.5pt;"><o:p></o:p></span></div><div class="MsoNormal" style="margin-bottom: 0.0001pt;"><b><span style="font-family: "bookman old style" , serif; font-size: 8pt;">M D (Hom)., P G Dip (Env Stud)</span></b><span style="font-family: "bookman old style" , serif; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal" style="margin-bottom: 0.0001pt;"><b><span style="font-family: "bookman old style" , serif; font-size: 10pt;">Former Principal, Devs Homeopathic Medical College,</span></b><span style="font-family: "bookman old style" , serif; font-size: 10pt;"><o:p></o:p></span></div><div class="MsoNormal" style="margin-bottom: 0.0001pt;"><b><span style="font-family: "bookman old style" , serif; font-size: 10pt;">Deva nagar, Ankireddypalli, Kesara mandal, R R Disrtict, A</span></b><span style="font-family: "bookman old style" , serif; font-size: 10pt;"><o:p></o:p></span></div><div class="MsoNormal" style="margin-bottom: 0.0001pt;"><b><span style="font-family: "bookman old style" , serif; font-size: 8pt;">drmohangr@yahoo.co.in</span></b><span style="font-family: "bookman old style" , serif; font-size: 8pt;"><o:p></o:p></span></div><div class="MsoNormal" style="margin-bottom: 0.0001pt;"><b><span style="font-family: "bookman old style" , serif; font-size: 8pt;">www.drgrmohan.com<o:p></o:p></span></b></div><div class="MsoNormal" style="margin-bottom: 0.0001pt;"><br /></div><div class="MsoNormal" style="margin-bottom: 0.0001pt;"><br /></div><div class="MsoNormal" style="margin-bottom: 0.0001pt;"><b><span style="font-family: "bookman old style" , serif; font-size: 12pt;">Key words:</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt;"> Poly cystic ovarian syndrome, </span><span style="font-family: "bookman old style" , "serif"; font-size: 9pt;">Homeopathic remedies<o:p></o:p></span></div><div class="MsoNormal" style="margin-bottom: 0.0001pt;"><br /></div><div class="MsoNormal" style="margin-bottom: 0.0001pt;"><b><span style="font-family: "bookman old style" , "serif"; font-size: 12pt;">Introduction:<o:p></o:p></span></b></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">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<b> </b>Dr Rajeev Punjabi<b> </b>India witnesses alarming rise in the incidence of PCOS,</span><span style="color: #333333; font-family: "bookman old style" , "serif"; font-size: 9pt; line-height: 18px;"> 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</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">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. <sup>1,3</sup><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><span style="font-family: "bookman old style" , serif; font-size: 12pt; line-height: 24px;">Symptoms: </span></b><span style="color: #111111; font-family: "bookman old style" , "serif"; font-size: 9pt; line-height: 18px;">menstrual intervals longer than 35 days; less than eight menstrual cycles a year</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">, </span><span style="color: #111111; font-family: "bookman old style" , "serif"; font-size: 9pt; line-height: 18px;">in some cases, failure to menstruate for four months or longer; and that prolonged periods may be scant or heavier.</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="color: #111111; font-family: "bookman old style" , "serif"; font-size: 9pt; line-height: 18px;">Elevated levels of male hormones androgens lead to </span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Acne Vulgaris ,oily skin, Hirsutism (69%) androgenic alopecia<b>, </b>around the armpits, groin, neck, and breasts dark or thick skin markings and creases , Clitoris swelling, </span><span style="font-family: "bookman old style" , "serif"; font-size: 9pt; line-height: 18px;">Central <a href="http://www.fpnotebook.com/Endo/Obesity/Obsty.htm"><span color="windowtext" style="text-decoration-line: none; text-underline: none;">Obesity</span></a> (apple shaped ) BodyMass Index over 27 <b>, </b>Mood disturbance . 74% <a href="http://www.fpnotebook.com/Gyn/Endo/FmlInfrtlty.htm"><span color="windowtext" style="text-decoration-line: none; text-underline: none;">Infertility</span></a> and <a href="http://www.fpnotebook.com/OB/Bleed/RcrntMscrg.htm"><span color="windowtext" style="text-decoration-line: none; text-underline: none;">Recurrent Miscarriage</span></a> are noticed.<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Management :<o:p></o:p></span></b></div><table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable"><tbody><tr style="height: 13.5pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0; mso-yfti-lastrow: yes;"><td style="height: 13.5pt; padding: 0cm;"><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , "serif"; font-size: 9pt; line-height: 18px;">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.<o:p></o:p></span></div><div class="MsoNormal" style="background: white; line-height: 24px; margin-bottom: 7.5pt; text-align: justify;"><span style="font-family: "bookman old style" , "serif"; font-size: 9pt; line-height: 18px;">Losing 5 percent to 10 percent of weight according to BodyMass Index, can help to restart ovulation, Exercise can help you lose weight. <b>Diet :</b> <span style="color: #333333;">Low glycemic index foods, </span>diet include whole grains, beans, fruit, vegetables and lean protein<span style="color: #333333;"> ,</span> Eating a few small meals rather than three big ones may help even out blood sugar levels<o:p></o:p></span></div><div class="MsoNormal" style="background: white; line-height: 24px; margin-bottom: 7.5pt; text-align: justify;"><br /></div></td></tr></tbody></table><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><br /></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><span style="font-family: "bookman old style" , serif; font-size: 12pt; line-height: 24px;">A case of </span></b><b><span style="font-family: "bookman old style" , serif; font-size: 12pt; line-height: 24px;">Poly cystic ovarian syndrome </span></b><b><span style="font-family: "bookman old style" , serif; font-size: 18pt; line-height: 36px;"> </span></b><b><span style="font-family: "bookman old style" , serif; font-size: 12pt; line-height: 24px;">:</span></b><span style="font-family: "bookman old style" , serif; font-size: 12pt; line-height: 24px;"> </span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">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<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><span style="font-family: "bookman old style" , "serif"; font-size: 9pt; line-height: 18px;">Presenting complaints:</span></b><b><span style="font-family: "bookman old style" , "serif"; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></b></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Menses delayed by 5 months, irregularity since 3 years<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Irritability 2 years<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Anxiety about health 1year<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Haughty since 8 months<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Hair over upper lip, neck. 2 years<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> <o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><u><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Past history:</span></u></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Since 2007 period is late, was diagnosed as hypothyroidism and kept on allopathic medication, taking medication for P C O S also.<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><u><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Family history: </span></u></b><u><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">F/H<b> </b></span></u><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">hypothyroidism<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><u><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Personal history</span></u></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Appetite</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">- Good<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Diet</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">- mixed.<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Thirst</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">- less.<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Desire</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">- Cold food , desire spicy food.<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> <b>Aversions/ intolerance</b>- NS.<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Bowels</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">- Regular.<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Urine</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">- 5/6 times/day. No special. Characteristics.<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Sweat</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">- NP<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Sleep</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">- refreshing<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Habits and addiction : no</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><u><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Life space investigation.</span></u></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> </span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">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.<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> <b>General physical examination</b></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">The patient was </span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">short stature 64.9 Kg weight, B M I: 25,</span><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> no pallor, cyanosis, edema, clubbing or lymphadenopathy.</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Systemic examination</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> Examination of neck : slight swelling of thyroid gland on deglutition.</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> GIT System: abdomen was soft, liver palpable, spleen not enlarged</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> <span lang="EN-GB">CNS System: Nothing abnormal detected</span></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> <span lang="EN-GB">CVS System: Nothing abnormal detected</span></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> <span lang="EN-GB">Respiratory System: Nothing abnormal detected<o:p></o:p></span></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><br /></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><br /></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><br /></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Investigations:</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">U S Scan on different times : P C O D ( 2009, 2010 & 2012 )</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Antverted uterus, Endometrial thickness :</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">F S H 6. 7.9 ; L H :21.78 ; S Prolactine : 8.8</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">T S H : 3.78uiu/ml</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><b><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Clinical diagnosis: P C O D</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> <b>Clinical classification :</b></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> <span lang="EN-GB">Dynamic chronic fully developed miasmatic disease.</span></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> <b><span lang="EN-GB">Miasmatic diagnosis</span></b></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> <span lang="EN-GB">Psoro -Sycotic and Syphilitic.</span></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> <span lang="EN-GB">Susceptibility: moderate</span></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> <b><span lang="EN-GB">Totality of symptoms :</span></b></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> Irritability<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> Anxiety about health<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> Haughty<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> Desire for open air<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> Desire for cold Food , desire spicy food <o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> Menses late<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">* Thirstless</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">* <b>Repertorisation chart (</b>attached below<b>) <sup>4</sup></b></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">* 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. </span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Boericke says </span><span lang="EN-CA" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">"</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">it is pre-eminently a female remedy</span><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> ,</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> He says that the disposition and mental state are the chief guiding symptoms to the selection of Pulsatilla.<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 12.9pt; margin-bottom: 0cm;"><b><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt;">Treatment:</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">* 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 .<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">* patient came on 26-2-13 no trace of menses Pulasatilla 200c ,5doses were given with Placebo for 20 days .<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">* 24-03-13 : patient came with no trace of menses Pulasatilla IM, 3doses were given with Placebo 30 days . <o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">* 21-04-13 : patient came and said that menses appeared on 17-04-13, bleeding was more. Only Placebo 30days was given. <o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">* 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.<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">* 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.<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">* 14-07-13 : patient came and said menses appeared on 29-06-13, two days bleeding was present, weakness reduced, Placebo 30days . <o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><br /></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><br /></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><br /></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">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 .<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 12.9pt; margin-bottom: 0cm;"><br /></div><div class="MsoNormal" style="line-height: 12.9pt; margin-bottom: 0cm;"><b><span style="font-family: "bookman old style" , serif; font-size: 9pt;">Discussion :</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">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.<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">In the conventional treatment Medical treatment <span style="background: white;">Polycystic ovaries are treated with a laparoscopic procedure called "ovarian drilling" Or</span> <span style="background: white;">Reducing insulin resistance by improving insulin sensitivity through medications such as </span></span><span style="font-family: "bookman old style" , "serif"; font-size: 9pt; line-height: 18px;"><a href="http://en.wikipedia.org/wiki/Metformin" title="Metformin"><span color="windowtext" style="text-decoration-line: none; text-underline: none;">Metformin</span></a> anti diabetic drug. If fertility is not the primary aim, then <a href="http://en.wikipedia.org/wiki/Menstruation" title="Menstruation"><span color="windowtext" style="text-decoration-line: none; text-underline: none;">menstruation</span></a> is regulated with a contraceptive pill . <sup>1</sup><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> 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<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span lang="EN-CA" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">It's surprising to note that </span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Pulsatilla which is selected on the basis of repertriation , given to the patient gave success, but following observations were noted.<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">In Murphy’s repertory under the rubric female-Tumors, genitals-ovaries, cysts : 44 remedies are there but Pulsatilla is missing<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Synthesis 8.1 V repertory under the rubric female-Tumors, genitals-ovaries, cysts : 32 remedies are there but Pulsatilla is missing<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;">Boericke O, repertory under the rubric female sexual system -ovaries, cysts dropsy : 25 remedies are there but Pulsatilla is missing<o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><br /></div><div class="MsoNormal" style="margin-bottom: 0.0001pt;"><b><span style="font-family: "bookman old style" , serif; font-size: 9pt;">References :</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm; tab-stops: 120.5pt;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"><br />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: </span><span style="font-family: "bookman old style" , "serif"; font-size: 9pt; line-height: 18px;"><a href="http://www.ijem.in/text.asp?2011/15/4/239/85571"><span color="windowtext" style="text-decoration-line: none; text-underline: none;">http://www.ijem.in/text.asp?2011/15/4/239/85571</span></a><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><br /></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , "serif"; font-size: 9pt; line-height: 18px;">2) <a href="http://ayurbhishak.wordpress.com/2010/09/23/%E2%99%A3-india-witnesses-alarming-rise-in-incidence-of-pcos-dr-rajeev-punjabi/"><span color="windowtext" style="text-decoration-line: none; text-underline: none;">http://ayurbhishak.wordpress.com/2010/09/23/%E2%99%A3-india-witnesses-alarming-rise-in-incidence-of-pcos-dr-rajeev-punjabi/</span></a><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , "serif"; font-size: 9pt; line-height: 18px;">3) <a href="http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001408/"><span color="windowtext" style="text-decoration-line: none; text-underline: none;">http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001408/</span></a><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 24px; margin-bottom: 0cm;"><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 18px;"> 4) Hompath Wildfire</span><span style="font-family: "bookman old style" , "serif"; font-size: 9pt; line-height: 18px;"><o:p></o:p></span></div><div class="MsoNormal" style="line-height: 12.9pt; margin-bottom: 0cm;"><br /></div><div align="center" class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: center;"><span style="font-family: "bookman old style" , "serif"; font-size: 9pt;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEilMVwKgRa5hMKPJ5PHd6LguJCtjrbAabHqHZ-RYQAHgF8vDOlKbSnbKXtBEMjNvQWxQMkQSz4zp6hkhal9zeQUuMsik7YJR_wp2e9t_4IOcTeLibMBvcWhO2UuC_TPU6Qbq8m9Fj-5rqE/s1600/pcos.png"><span style="color: blue; text-decoration-line: none;"><!--[if gte vml 1]><v:shapetype
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treatment - Its safe <o:p></o:p></span></b></span></p>
<p class="MsoNormal" style="line-height: 150%; text-align: justify;"><span class="hgkelc"><span lang="EN-IN" style="background: white; color: #202124; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Arial;">An <b>Indian</b> study reported that <b>prevalence
of allergic rhinitis</b> was 11·3% in children aged 6–7 years, and 24·4%
in children aged 13–14 years. </span></span><span class="kx21rb"><span lang="EN-IN" style="background: white; color: #70757a; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Apr 1,2020</span></span><span lang="EN-IN" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">,
In terms of the age-groups affected, about 70 per cent of patients develop
allergic rhinitis before they are 30 years of age and, the adolescent children
have greater incidence with allergic rhinitis occurring between 8-11 years of
age.<span style="mso-spacerun: yes;"> </span>Over $600 million is spent annually
in the management of this disease by United States which does not include the
costs of the 2 million lost workdays, 3 million lost school days and 28 million
days of decreased productivity from the symptoms of the disease and/or
side-effects of the medications used to treat them.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-IN" style="background: white; color: #202124; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Arial; mso-bidi-font-size: 7.5pt;">Among <b>India's</b> 1.31 billion people, about 6%
of children and 2% of adults have <b>asthma</b>.</span><span lang="EN-IN" style="font-family: "Bookman Old Style","serif"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-IN" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Heredity
plays a role in the development of allergies.<span style="mso-spacerun: yes;">
</span>The risk of the developing allergies is 18% if neither parent is atopic,
20% if one parent is atopic and 50% if both parents are atopic.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: 150%; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-IN" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Common Causes<o:p></o:p></span></b></p>
<p class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-IN" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Irritants
like smoke, perfumes, strong smells, air pollutants and temperature changes,
dust mites (see figure), polluted areas having high levels of sulphur dioxide
and nitrogen diospets, moulds growing on wallpaper, upholstery, carping and
plants within the house are found to cause allergic rhinitis.<span style="mso-spacerun: yes;"> </span>Grasses and trees (in fig ) that release minute pollen
grains are also known to cause allergies.<span style="mso-spacerun: yes;">
</span>Allergies contracted from grass are experienced more in the late
afternoon while that from mould spores may peak on dry windy afternoons or on
damp or rainy days in the early morning.<span style="mso-spacerun: yes;">
</span>Intake of alcoholic drinks like wines and beer, sea foods, chlorine in
swimming pool water, drugs like birth control pills and female hormones, some
drugs used for blood pressure control, aspirin and chronic use of decongestants
in the nose can also produce rhinitis.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: 150%; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-IN" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Perennial rhinitis:<span style="mso-spacerun: yes;"> </span></span></b><span lang="EN-IN" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">common causes
are dust mite (in fig) found in many homes, and domestic pets.<span style="mso-spacerun: yes;"> </span>Salivary protein of cat, allergens from
cockroaches etc. also cause perennial rhinitis.<span style="mso-spacerun: yes;">
</span>Occupational rhinitis is caused by an agent inhaled at the work place.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: 150%;"><span lang="EN-IN" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Symptoms of
allergic rhinitis include frequent or repetitive sneezing (it is an allergic
reaction to something in the air); a runny or congested nose; itching in the
nose, eyes, throat, or roof of the mouth; plugged-up ear canals; sore throat;
occasional nose-bleeds; impaired smell and wheezing.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-IN" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Almost
20-50 percent of patients with allergic rhinitis go on to develop asthma as
allergic rhinitis is a risk factor for developing asthma.<span style="mso-spacerun: yes;"> </span>A large number of children who start with
asthma also develop allergic rhinitis.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: 150%; text-align: justify;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-IN" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Diagnosis<o:p></o:p></span></b></p>
<p class="MsoNormal" style="line-height: 150%;"><span lang="EN-IN" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">The most
important diagnostic tool is the history of the illness.<span style="mso-spacerun: yes;"> </span>The timing of symptoms also helps in making
the diagnosis.<span style="mso-spacerun: yes;"> </span>Allergic rhinitis that
appears seasonally is almost always due to pollen; and outdoor allergens can be
detected by conducting a skin test when the patient is not taking
antihistamines. Skin-testing should also be avoided in patients with extensive
eczema.<span style="mso-spacerun: yes;"> </span>For such patients, ELISA and
RAST are two commonly used methods that measure the presence of food-specific
IgE I the blood of the patients<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-IN" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Treatment:
A detailed clinical history of the patient’s illness will identify the likely
cause of rhinitis. Medical philosophy is increasingly coming to the conclusion
that the mere treatment of symptoms and organs can only help temporarily and
that it is the healing power of the body as a whole that has to be
enhanced.<span style="mso-spacerun: yes;"> </span>Homoeopathy believes in a
holistic, totalistic and individualistic approach which provides relief, free
of side-effects.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-IN" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">The following <span style="mso-spacerun: yes;"> </span>homoeopathic remedies which can be tried under
the guidance of qualified Homoeopathic Physician, Arsenicum album, Allium Cepa,
Euphrasia, Arum triphyllum,Lemna Minor, Kali lod, Sulphur,Teucrium <span style="mso-spacerun: yes;"> </span>marum verum, Solidago, Sanguinaria nitrate, Pothos
and Psorinum.<o:p></o:p></span></p><p class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="EN-IN" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;"></span></p><p class="MsoNormal" style="margin-left: .25in; text-align: justify;"><b><u><span lang="EN-IN">This article is for
creating awareness towards Homoeopathy, which is safe and gives almost permanent
cure in respiratory allegies</span></u></b></p><p class="MsoNormal" style="margin-left: .25in; text-align: justify;"><u><b> Full length article available in authors book 'Wonders of Homoeopathy an evidenced based study ' available in Amazon India </b></u></p><p class="MsoNormal" style="margin-left: .25in; text-align: justify;"><u><span lang="EN-IN" style="font-weight: bold;"></span></u></p><div class="separator" style="clear: both; text-align: center;"><u><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhtVOjjA0GZn4M9KbgYpcTAkA6rEwOUca4YaZUYFrMCTKm1HhSEN4n0UHQBxnEhfxZ5zIe1F4t2PlSlb-bALD5KVqI4eUihUdG56fmIwsB-2sLT28Q6gS50tsqJbu4TjggXhcctPdY-QqQ/s1124/Parthenium-.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1124" data-original-width="720" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhtVOjjA0GZn4M9KbgYpcTAkA6rEwOUca4YaZUYFrMCTKm1HhSEN4n0UHQBxnEhfxZ5zIe1F4t2PlSlb-bALD5KVqI4eUihUdG56fmIwsB-2sLT28Q6gS50tsqJbu4TjggXhcctPdY-QqQ/s320/Parthenium-.png" /></a></u></div><u><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhk7f1tJHplNE5iNx65XOqNtJJYOJqOknMuINyR-a6U8JnVDrz-wH7uH2voJi1FBHHk1cMK5olychm-GNh5SvUPWFhM9w9QpXkAraAJyOWgzJrIWHtSTQilAXLImXeiSGNtkXfnhm_hHw0/s207/99.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="207" data-original-width="157" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhk7f1tJHplNE5iNx65XOqNtJJYOJqOknMuINyR-a6U8JnVDrz-wH7uH2voJi1FBHHk1cMK5olychm-GNh5SvUPWFhM9w9QpXkAraAJyOWgzJrIWHtSTQilAXLImXeiSGNtkXfnhm_hHw0/s0/99.png" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiQxRayQwpiae4Yam6tp6ihKhPfuWnZPuZ8ZV8HsuFI1MPdG5zgaAHhEHUSs-EekiUQ49Tx5_z8ph8SRdmGe7yeUW8VDx1F6XWRCXCsLXf5lPwwBfYM8xd7QFKkwz45UKh0h2bE3e1fGaI/s665/22.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="543" data-original-width="665" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiQxRayQwpiae4Yam6tp6ihKhPfuWnZPuZ8ZV8HsuFI1MPdG5zgaAHhEHUSs-EekiUQ49Tx5_z8ph8SRdmGe7yeUW8VDx1F6XWRCXCsLXf5lPwwBfYM8xd7QFKkwz45UKh0h2bE3e1fGaI/s320/22.jpg" width="320" /></a></div><br /> </u><u><span lang="EN-IN"><o:p></o:p></span></u><p></p><br /><p></p>Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com1tag:blogger.com,1999:blog-725444157839606686.post-77971166118646596462020-10-05T18:45:00.000+05:302020-10-05T18:45:22.270+05:30Homoeopathy short educative video <p></p><div class="separator" style="clear: both; text-align: center;"><iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.blogger.com/video.g?token=AD6v5dyQg2g3uIkG-9DoVVlO1Nev7R69TN_KsPvemDjTmL4LqgTZdks9Ii5L3Rf3C1p8VYZYS4_zNW0z6GxWWi49LQ' class='b-hbp-video b-uploaded' frameborder='0'></iframe></div><br /> <p></p>Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com0tag:blogger.com,1999:blog-725444157839606686.post-10624610231983340012020-09-29T19:53:00.003+05:302020-09-29T19:55:43.590+05:30Wonders of Homoeopathy an Evidence based study by Prof G R Mohan<p> </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEglsgv3XEwcITpil8hFr9hFTdVqYkZjZefCb9zmlynmyZCxHcWElUycpMb9-AJtT8dsKFhS_KiAxhNMzQIJNiRSWLL7oDOWSPKtxUS8ugl4RcD6ZMBU-hycK4SqE_6oOFMrOJsoL1jcWZE/s1280/IMG-20180803-WA0030.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="988" data-original-width="1280" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEglsgv3XEwcITpil8hFr9hFTdVqYkZjZefCb9zmlynmyZCxHcWElUycpMb9-AJtT8dsKFhS_KiAxhNMzQIJNiRSWLL7oDOWSPKtxUS8ugl4RcD6ZMBU-hycK4SqE_6oOFMrOJsoL1jcWZE/s320/IMG-20180803-WA0030.jpg" width="320" /></a></div><br /><p></p><p class="MsoNormal"><b style="mso-bidi-font-weight: normal;"><span lang="EN-IN" style="background: white; color: black; font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">About<span style="mso-spacerun: yes;"> </span>author Prof G R Mohan, </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-IN" style="background: white; color: black; font-family: "Arial","sans-serif"; font-size: 8.0pt; line-height: 115%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">MD
(Hom).,P G Dip (Env Stu) </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-IN" style="background: white; color: black; font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">:<o:p></o:p></span></b></p>
<p class="MsoNormal" style="text-align: justify;"><span lang="EN-IN" style="background: white; color: black; font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Former
Principal of </span><span lang="EN-IN">Devs Homoeopathic Medical College,
Telangana , India, he is a </span><span lang="EN-IN" style="background: white; color: black; font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Homoeopathic Consultant practicing for over forty
five years. With twenty seven Years of teaching experience. </span><span lang="EN-IN" style="color: #222222; font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%;">Dr Mohan is the recipient of Govt of A P Meritorious Best
Teacher Award for 2005.<o:p></o:p></span></p>
<p class="MsoNormal"><b style="mso-bidi-font-weight: normal;"><span lang="EN-IN" style="color: black; font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">About<span style="mso-spacerun: yes;"> </span>the<span style="mso-spacerun: yes;">
</span>book:<o:p></o:p></span></b></p>
<p class="MsoNormal"><span lang="EN-IN" style="background: white; color: black; font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span><i style="mso-bidi-font-style: normal;">Wonders of Homoeopathy: An Evidence-based
Study</i> is a compilation of his work and research of over 30 years. 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. Fore words were written by Dr K Siva Shankar, former
Addl Director AYUSH dept A P, and by Prof Chaurbhuja Nayak,Former Director
General CCRH, Govt of India, <o:p></o:p></span></p>
<p class="MsoNormal"><i style="mso-bidi-font-style: normal;"><span lang="EN-IN" style="background: white; color: black; font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Wonders
of Homoeopathy: An Evidence-based Study</span></i><span lang="EN-IN" style="background: white; color: black; font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"> is a
compilation of his work and research of over 30 years 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 , Cerebral
Palsy, Bipolar Mood Disorder and Prolapse Inter Vertebral Disc etc. The topics
covered in this book will serve as a guide and a ready reference for
Homoeopathic Practitioners, Post Graduate and Undergraduate..<o:p></o:p></span></p>
<p class="MsoNormal" style="text-align: justify;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-IN" style="background: white; color: black; font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Price Rs 300/<span style="mso-spacerun: yes;">
</span>available on online through<span style="mso-spacerun: yes;">
</span>Amazon <o:p></o:p></span></b></p>
<p class="MsoNormal"><span lang="EN-IN" style="background: white; color: black; font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><o:p> </o:p></span></p>Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com0tag:blogger.com,1999:blog-725444157839606686.post-34404099117835209132020-09-29T19:49:00.001+05:302020-10-02T16:30:03.468+05:30A Case of Cerebral palsy treated with Homoeopathy<p></p><div class="separator" style="clear: both; text-align: center;"><iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.blogger.com/video.g?token=AD6v5dxPorfWIk-HAjh2lqu_GwP-Thw3rO1Z-aeEvD5M7dtEcEl4UjqfJAZ03aKWGmnhR59H3RQcFihzflPnsnILQg' class='b-hbp-video b-uploaded' frameborder='0'></iframe></div><br /> <p></p>Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com2tag:blogger.com,1999:blog-725444157839606686.post-47136441155676811262019-12-19T13:21:00.002+05:302019-12-19T13:21:45.935+05:30Wonders of Homoeopathy an evidenced based study by Dr G R Mohan<!--[if gte mso 9]><xml>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-IN" style="color: #222222; font-family: "Segoe Print"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-IN" style="color: #222222; font-family: "Segoe Print"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Wonders of Homoeopathy: An Evidence-based Study by Dr G R Mohan</span></b></div>
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<div class="separator" style="clear: both; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj_wbwLaNtUWvIB9MQT838Ao7oW2YAtBj2skvI0ZmxlrsU3N96XQHuEyp36tqy75H9a-AbeZSipe2K0g3CfU3b1Bzj9CCTBmhERmhinUU8so3Qnsi5whZ3z0doQRhyFUprkS2JOmEMFWWY/s1600/title+%25281%2529.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1062" data-original-width="1375" height="247" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj_wbwLaNtUWvIB9MQT838Ao7oW2YAtBj2skvI0ZmxlrsU3N96XQHuEyp36tqy75H9a-AbeZSipe2K0g3CfU3b1Bzj9CCTBmhERmhinUU8so3Qnsi5whZ3z0doQRhyFUprkS2JOmEMFWWY/s320/title+%25281%2529.jpg" width="320" /></a></b></div>
<b style="mso-bidi-font-weight: normal;"><br /></b><br />
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<br /></div>
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<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-IN" style="color: #222222; font-family: "Segoe Print"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Wonders of Homoeopathy: An Evidence-based Study is a
compilation of<br />
case studies and scientific papers those deep dives into diagnosis and<br />
treatment of common and rare disorders such as Cervical Spondylosis, <br />
Gilbert’s Syndrome – Lycopodium, Cerebral Palsy, Bipolar Mood Disorder<br />
and Prolapse Inter Vertebral Disc ect<br />
<br />
Written topics describe the clinical studies conducted for a specific<br />
ailment supported by scientifically valid medical literature and<br />
clinical evidences such as before/after treatment observations, </span></b></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-IN" style="color: #222222; font-family: "Segoe Print"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">The topics covered in this book will serve as a guide and
a ready reference for<br />
Homoeopathic Practitioners, Post Graduate and Undergraduate students<br />
in the field of Surgery, Practice of medicine, Pediatrics, Preventive<br />
medicine and Gynaecology. Some case studies and success<br />
stories presented in this book have been published in various national and
international scientific journals <br />
such as British Homoeopathic Journal, Homoeopathic Links, Asian Journal of
Homoeopathy, NHJ and the<br />
Homoeopathic Heritage<br />
<br />
The author is the former Principal of Devs Homoeopathic medical college, <br />
Telangana , and a Homoeopathic He was <span style="mso-spacerun: yes;"> </span>the Director of<br />
a multi-specialty homeopathic research centre at Hyderabad and Principal
Investigator for Central Council for<br />
Research in Homoeopathy for extra-mural research project. </span></b></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-IN" style="color: #222222; font-family: "Segoe Print"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Wonders of Homoeopathy: An Evidence-based Study is a
compilation of Dr. Mohan's<br />
work and research .. </span></b></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-IN" style="color: #222222; font-family: "Segoe Print"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">*Dr. Mohan is a recipient of Government of<br />
Andhra Pradesh Meritorious Best Teacher Award for 2005.</span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Symbol;">*</span><span style="font-family: "Segoe Print"; font-size: 10.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Recipient of
Indo-Global Education Summit National Award for Teaching Excellence for
2013 </span></div>
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<span style="font-family: "Segoe Print"; font-size: 10.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">*Recipient of
Abdul kalam memorial award 2015</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-IN" style="color: #222222; font-family: "Segoe Print"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;"></span></b></div>
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<span lang="EN-IN" style="line-height: 115%; mso-bidi-font-size: 10.0pt;">*** </span><span lang="EN-IN" style="line-height: 115%; mso-bidi-font-size: 10.0pt;"><b style="mso-bidi-font-weight: normal;"><span lang="EN-IN" style="color: #222222; font-family: "Segoe Print"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Wonders of Homoeopathy: An Evidence-based Study book </span></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 16.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Available <span style="mso-spacerun: yes;"> </span>with Amazon </span></b></div>
<br />
<br />
Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com2tag:blogger.com,1999:blog-725444157839606686.post-4392205385740785182019-03-27T19:17:00.003+05:302019-03-27T19:17:27.987+05:30own health<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhRG1GCG6cXBE2fkL1I1dKmJ06EGyqFKLXwJygu1GotQOv7pkps8F_Nqd7q4m-aLl9CIXPK3e4TVj7XmRkFMUAzdcuj2gpA_jbREjXaqiM_VhRiSYrkQJCN3ZChs-DDa5_XWvP-vY8WHfY/s1600/3-min.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="800" data-original-width="800" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhRG1GCG6cXBE2fkL1I1dKmJ06EGyqFKLXwJygu1GotQOv7pkps8F_Nqd7q4m-aLl9CIXPK3e4TVj7XmRkFMUAzdcuj2gpA_jbREjXaqiM_VhRiSYrkQJCN3ZChs-DDa5_XWvP-vY8WHfY/s320/3-min.jpg" width="320" /></a></div>
<br />Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com6tag:blogger.com,1999:blog-725444157839606686.post-42341918081961064302018-04-10T09:26:00.001+05:302018-04-10T09:27:24.478+05:30World Homoeopathy day10th April 2018,<br />
World Homoeopathy day<br />
as it happens to be Birthday of founder of Homoeopathy<br />
<br />
Dr Samule Hahnemann<br />
(1755-1843)<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-7pGNMoZDC3OKkK13ZXjauAO4eGR7iiQIKVQtabekZB1pc6w4fJUw7Lrre93GafRo3dDXNkNUb6zFXwvqQGvgS0otlb1ikSnJzQVLkfPRzIQ8h1gusaPJtRjhFw5vkfQ9h-8mDbOXMZE/s1600/images+dr+hahnemman2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="183" data-original-width="275" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-7pGNMoZDC3OKkK13ZXjauAO4eGR7iiQIKVQtabekZB1pc6w4fJUw7Lrre93GafRo3dDXNkNUb6zFXwvqQGvgS0otlb1ikSnJzQVLkfPRzIQ8h1gusaPJtRjhFw5vkfQ9h-8mDbOXMZE/s1600/images+dr+hahnemman2.jpg" /></a></div>
<br />Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com12tag:blogger.com,1999:blog-725444157839606686.post-87914468686627985932018-02-09T23:13:00.001+05:302018-02-09T23:13:26.600+05:30A Case of Paediatric Cholelithiasis treated with Homoeopathy, Prof G R Mohan<br />
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">A
Case of Paediatric Cholelithiasis treated with Homoeopathy<o:p></o:p></span></b></div>
<div class="MsoNormal">
<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">Prof G R Mohan<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">M D (Hom) PG dip (Env
Stud</span><span style="font-family: "Times New Roman","serif";">)<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 6.0pt; line-height: 115%; mso-bidi-font-size: 10.0pt;">Former ,Principal, Devs
Homoeopathic Medical College, <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 6.0pt; line-height: 115%; mso-bidi-font-size: 10.0pt;">RR District, TL, India</span><span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; line-height: 115%; mso-bidi-font-size: 10.0pt;"><o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; line-height: 115%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">Abstract:<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Introduction:</span></i></b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">
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 </span><span style="font-family: "Times New Roman","serif";">Carduus
Marianus. </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Treatment
was guided by ultra sound scan of abdomen before and after treatment. It is an
Evidenced based Homoeopathic treatment.<b style="mso-bidi-font-weight: normal;"><o:p></o:p></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">Key words</span></b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">: </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Cholelithiasis,
Homoeopathy, <o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;">Introduction</span></b><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;">:<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 14.0pt;">Cholelithiasis
is defined as <i style="mso-bidi-font-style: normal;">“the presence or formation
of stones in the gall bladder”</i>.</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">Cholelithiasis
incidence ranging from 0.15% to 0.22%.</span><sup><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">. </span></sup><span style="font-size: 10.0pt; line-height: 150%;">Cholelithiasis<sup> </sup>is common
throughout the adult population, affecting as many as 25 million Americans and
resulting in 500,000-700,000 cholecystectomies per year. </span><span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">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%, respectively<sup>2</sup><sub>.</sub>Pediatric patients
undergo 4% of all cholecystectomies. Cholecystectomy is the procedure of choice
for symptomatic children with Cholelithiasis, regardless of age <sup>2, 3</sup><sub>.</sub></span><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 9.5pt;">
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.</span><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">The common causes related to predisposing factors<span style="mso-spacerun: yes;"> </span>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.<sup>2</sup><o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">A
Case: </span></b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Baby aged 5year came with following complaints<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Complaints:</span></b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">
Pain in the abdomen on and off, pain in the throat with recurrent fever. with
multiple Gall stones.<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Presenting
complaints : </span></b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Pain in the right hypochondria<span style="mso-spacerun: yes;"> </span>on and off since a year shifting from right
to left, fullness of abdomen, on and off pain in the throat < by eating <span style="mso-bidi-font-weight: bold;">Chocolates, she has great desire to eat.</span><b style="mso-bidi-font-weight: normal;"><o:p></o:p></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Past
history: </span></b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">nothing particular<b style="mso-bidi-font-weight: normal;"> <o:p></o:p></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Treatment
history: </span></b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">took conventional medicine for above problem.<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Family
history:</span></b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;"> mother is suffering from Migraine.<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Personal
history:<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Appetite: Normal<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span>Thirst:<span style="mso-spacerun: yes;"> </span>normal<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span>Desires: Chocolates<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span>Aversions: - Nothing Particular<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span>Bowel movements: Normal.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span>Urine: normal<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span>Sleep: normal<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;">General
physical examination & observations : <b>normal built with 20 KGs; child is
fussy in nature,<span style="mso-spacerun: yes;"> </span>on examination of
throat : no congestion only chronic enlargement of tonsils. </b><o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Systemic
examination:<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold;">CVS:<span style="mso-spacerun: yes;"> </span>NYD<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold;">RESP: NYD<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold;">CNS: NYD<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold;">GIT: abdomen on palpation soft, NYD<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Investigations
of significance: <b>WBC: 18200, ESR: 15mm, CRP: 60mg/l, ASO: 200IU/ml, <o:p></o:p></b></span></div>
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<b><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Alkaline Phosphate: 650IU/L, SGPT
45IU/Land SGOT 37IU/L. Ultra sound Scan: Multiple stones in Gall bladder.<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Provisional diagnosis<b style="mso-bidi-font-weight: normal;">: </b></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;">Cholelithiasis<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; line-height: 115%; mso-bidi-font-size: 10.0pt;">Clinical
diagnosis</span></b><span style="font-family: "Times New Roman","serif"; line-height: 115%; mso-bidi-font-size: 10.0pt; mso-bidi-font-weight: bold;">: </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-size: 16.0pt;">Cholelithiasis, Chronic Tonsillitis,</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold;"><o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Clinical
classification</span></b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold;">: Dynamic
chronic fully developed miasmatic disease<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Miasmatic
diagnosis</span></b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-weight: bold;">: Trimiasmatic <o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Totality of symptoms: </span></b><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">A shown in reportorial chart<b style="mso-bidi-font-weight: normal;"><o:p></o:p></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Repertorial
totality: </span></b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">A shown in Repertorial chart<b style="mso-bidi-font-weight: normal;"><o:p></o:p></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Repertorial
result: </span></b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;"><o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Analysis
of repertorial result: </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Susceptibility:
Moderate<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Reasons
for selecting the remedy:</span></b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;"><o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Reasons
for selecting the remedy: <o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">8/9/2009:
</span></b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Nux
Vomica 200,3doses was given and 15 days Rubrum was given.<b style="mso-bidi-font-weight: normal;"><o:p></o:p></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">25/09/09:
</span></b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">no
change in her complaints, 7 days Rubrum was given<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">09/10/09: no change in
her complaints as per the Repertorisation, Lycopodium covered 7 out of six
symptoms, I gave<span style="mso-spacerun: yes;"> </span>Lycopodium 30 C 3doses
were given, 15 days Rubrum was given.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">24/10/09: pain in
throat reduced, appetite no improvement, pain right hypochondrium was
persisting, 15 days Rubrum was given<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">19/11/09<span style="mso-spacerun: yes;"> </span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">appetite improved. Pain
right hypochondrium was persisting, fullness of abdomen was slightly better,
Tuberculinum 200C, 3doses were given, 15 days Rubrum was given.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">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,<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">25/12/09 : <b style="mso-bidi-font-weight: normal;"><span style="mso-spacerun: yes;"> </span></b>Weight
has increases to 21 kgs, General condition was normal,<span style="mso-spacerun: yes;"> </span>repeated<span style="mso-spacerun: yes;">
</span>Cardus M 6C , 2pill twice a day for 1O days followed by Rubrum 20 Days
advised them to go for <b><span style="mso-spacerun: yes;"> </span></b><span style="mso-bidi-font-weight: bold;">Ultra sound Scan,<span style="mso-spacerun: yes;"> </span>Liver function Test </span><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">17/01/2010: General
condition was normal <span style="mso-bidi-font-weight: bold;">Ultra sound Scan
was normal as shown below.</span><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Liver function Test Within normal limits. Advice the father of the
patient to come after 2 months for review.<span style="mso-spacerun: yes;">
</span><o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 10.0pt;">Reasons for selecting the remedies:</span></b><span style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 16.0pt;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif";">Nux
Vomica was selected as case has come from conventional system of treatment; it
has covered five out of seven symptoms. </span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;">Lycopodium<span style="mso-spacerun: yes;"> </span>was selected as<span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif";">it<span style="mso-spacerun: yes;"> </span>has covered<span style="mso-spacerun: yes;">
</span>six<span style="mso-spacerun: yes;"> </span>out of seven symptoms. It is
a right sided remedy ,Tuberculinum was prescribed<span style="mso-spacerun: yes;"> </span>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<span style="mso-spacerun: yes;"> </span>patient was relative of<span style="mso-spacerun: yes;"> </span>local Gastroenterologist , there was fear of
obstruction, parents were afraid of<span style="mso-spacerun: yes;">
</span>going for Surgery. For this reasons<span style="mso-spacerun: yes;">
</span>I have changed the remedies frequently. But<span style="mso-spacerun: yes;"> </span>child got desired cure.<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">Conclusion:</span></b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif";">estimated
the prevalence of gallstones and biliary sludge in children at 1.9% and 1.46%,
respectively.<sup>2 </sup>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<span style="mso-spacerun: yes;"> </span>only objective symptoms , as
children are not in position to give their subjective symptoms.<o:p></o:p></span></div>
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<strong><span style="font-family: "Calibri","sans-serif"; line-height: 115%; mso-bidi-font-size: 10.0pt;">Authors' information: </span></strong><a href="http://www.drgrmohan.com/"><span style="font-family: "Times New Roman","serif"; line-height: 115%; mso-bidi-font-size: 10.0pt;">www.drgrmohan.com</span></a><strong><span style="font-family: "Calibri","sans-serif"; line-height: 115%; mso-bidi-font-size: 10.0pt;"><o:p></o:p></span></strong></div>
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<b><span style="font-family: "Times New Roman","serif"; line-height: 115%; mso-bidi-font-size: 10.0pt;">Acknowledgements<span style="mso-spacerun: yes;"> </span>: </span></b><span style="font-family: "Times New Roman","serif"; line-height: 115%; mso-bidi-font-size: 10.0pt; mso-bidi-font-weight: bold;">I thank the patient for the cooperation she has extended during the time
of treatment.</span><span style="font-family: "Times New Roman","serif";"><o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif"; line-height: 115%; mso-bidi-font-size: 10.0pt;">References:</span></b><span style="font-family: "Times New Roman","serif"; line-height: 115%; mso-bidi-font-size: 10.0pt; mso-bidi-font-weight: bold;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; line-height: 115%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><a href="http://emedicine.medscape.com/article/927522-overview#aw2aab6b2b5aa"><span style="color: windowtext; font-family: "Times New Roman","serif"; line-height: 115%; mso-bidi-font-size: 10.0pt;">http://emedicine.medscape.com/article/927522-overview#aw2aab6b2b5aa</span></a><span style="font-family: "Times New Roman","serif"; line-height: 115%; mso-bidi-font-size: 10.0pt;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; mso-bidi-font-size: 10.0pt;">http://pedsinreview.aappublications.org/content/11/9/268.<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">Repertorisation chart of </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif";">Cholelithiasis
case</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 115%;">:<o:p></o:p></span></b></div>
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id="_x0000_t75" coordsize="21600,21600" o:spt="75" o:preferrelative="t"
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: #403838; font-size: 9.5pt;">Scan reports before and after treatment <o:p></o:p></span></b><br />
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<span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; line-height: 115%; mso-bidi-font-size: 10.0pt;">(for full-length
article ref : Hpathy.ezine, nov 2011 & Wonders of Homoeopathy an evidence
based study )<o:p></o:p></span></div>
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<br />Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com10tag:blogger.com,1999:blog-725444157839606686.post-42746312233090856702016-08-15T14:44:00.001+05:302018-03-24T15:50:18.218+05:30A case of poly cystic ovarian syndrome Homeopathic cure<div class="MsoNormal" style="background: white; margin: 22.5pt 0cm;">
<b><span style="font-family: "bookman old style" , serif; font-size: 16pt;">The journey to fertility - A case
of poly cystic ovarian syndrome <o:p></o:p></span></b></div>
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<b><span style="font-family: "bookman old style" , serif; font-size: 13.5pt;">Prof G R Mohan</span></b><span style="font-family: "bookman old style" , serif; font-size: 13.5pt;"><o:p></o:p></span></div>
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<b><span style="font-family: "bookman old style" , serif; font-size: 8pt;">M D (Hom)., P G Dip (Env Stud)</span></b><span style="font-family: "bookman old style" , serif; font-size: 8pt;"><o:p></o:p></span></div>
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<b><span style="font-family: "bookman old style" , serif; font-size: 10pt;">Former Principal, Devs Homeopathic Medical College,</span></b><span style="font-family: "bookman old style" , serif; font-size: 10pt;"><o:p></o:p></span></div>
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<b><span style="font-family: "bookman old style" , serif; font-size: 10pt;">Deva nagar, Ankireddypalli, Kesara mandal, R R Disrtict, A </span></b><span style="font-family: "bookman old style" , serif; font-size: 10pt;"><o:p></o:p></span></div>
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<b><span style="font-family: "bookman old style" , serif; font-size: 8pt;">drmohangr@yahoo.co.in</span></b><span style="font-family: "bookman old style" , serif; font-size: 8pt;"><o:p></o:p></span></div>
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<b><span style="font-family: "bookman old style" , serif; font-size: 8pt;">www.drgrmohan.com<o:p></o:p></span></b></div>
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<b><span style="font-family: "bookman old style" , serif; font-size: 12pt;">Key words:</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt;"> Poly cystic ovarian
syndrome, </span><span style="font-family: "bookman old style" , "serif"; font-size: 9.0pt;">Homeopathic
remedies<o:p></o:p></span></div>
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<b><span style="font-family: "bookman old style" , "serif"; font-size: 12.0pt;">Introduction:<o:p></o:p></span></b></div>
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<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">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<b> </b>Dr
Rajeev Punjabi<b> </b>India witnesses alarming rise in the incidence
of PCOS,</span><span style="color: #333333; font-family: "bookman old style" , "serif"; font-size: 9.0pt; line-height: 150%;"> 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</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
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<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">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. <sup>1,3</sup><o:p></o:p></span></div>
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<b><span style="font-family: "bookman old style" , serif; font-size: 12pt; line-height: 150%;">Symptoms: </span></b><span style="color: #111111; font-family: "bookman old style" , "serif"; font-size: 9.0pt; line-height: 150%;">menstrual intervals longer than 35 days; less than eight
menstrual cycles a year</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">, </span><span style="color: #111111; font-family: "bookman old style" , "serif"; font-size: 9.0pt; line-height: 150%;">in some cases,
failure to menstruate for four months or longer; and that prolonged periods may
be scant or heavier.</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
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<span style="color: #111111; font-family: "bookman old style" , "serif"; font-size: 9.0pt; line-height: 150%;">Elevated levels of male hormones androgens lead to </span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Acne Vulgaris ,oily
skin, Hirsutism (69%) androgenic alopecia<b>, </b>around the armpits,
groin, neck, and breasts dark or thick skin markings and creases , Clitoris
swelling, </span><span style="font-family: "bookman old style" , "serif"; font-size: 9.0pt; line-height: 150%;">Central <a href="http://www.fpnotebook.com/Endo/Obesity/Obsty.htm"><span style="color: windowtext; text-decoration: none; text-underline: none;">Obesity</span></a> (apple
shaped ) BodyMass Index over 27 <b>, </b>Mood disturbance . 74% <a href="http://www.fpnotebook.com/Gyn/Endo/FmlInfrtlty.htm"><span style="color: windowtext; text-decoration: none; text-underline: none;">Infertility</span></a> and <a href="http://www.fpnotebook.com/OB/Bleed/RcrntMscrg.htm"><span style="color: windowtext; text-decoration: none; text-underline: none;">Recurrent
Miscarriage</span></a> are noticed.<o:p></o:p></span></div>
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<b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Management :<o:p></o:p></span></b></div>
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<span style="font-family: "bookman old style" , "serif"; font-size: 9.0pt; line-height: 150%;">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.<o:p></o:p></span></div>
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<span style="font-family: "bookman old style" , "serif"; font-size: 9.0pt; line-height: 150%;">Losing 5 percent to 10 percent of weight
according to BodyMass Index, can help to restart ovulation, Exercise can help
you lose weight. <b>Diet :</b> <span style="color: #333333;">Low
glycemic index foods, </span>diet include whole grains, beans, fruit,
vegetables and lean protein<span style="color: #333333;"> ,</span> Eating
a few small meals rather than three big ones may help even out blood sugar
levels<o:p></o:p></span></div>
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<b><span style="font-family: "bookman old style" , serif; font-size: 12pt; line-height: 150%;">A case of </span></b><b><span style="font-family: "bookman old style" , serif; font-size: 12pt; line-height: 150%;">Poly cystic ovarian
syndrome </span></b><b><span style="font-family: "bookman old style" , serif; font-size: 18pt; line-height: 150%;"> </span></b><b><span style="font-family: "bookman old style" , serif; font-size: 12pt; line-height: 150%;">:</span></b><span style="font-family: "bookman old style" , serif; font-size: 12pt; line-height: 150%;"> </span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">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<o:p></o:p></span></div>
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<b><span style="font-family: "bookman old style" , "serif"; font-size: 9.0pt; line-height: 150%;">Presenting
complaints:</span></b><b><span style="font-family: "bookman old style" , "serif"; font-size: 9.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Menses delayed by 5 months, irregularity since 3 years<o:p></o:p></span></div>
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<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Irritability 2 years<o:p></o:p></span></div>
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<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Anxiety about health 1year<o:p></o:p></span></div>
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<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Haughty since 8 months<o:p></o:p></span></div>
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<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Hair over upper lip, neck. 2 years<o:p></o:p></span></div>
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<o:p></o:p></span></div>
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<b><u><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Past history:</span></u></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
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<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Since 2007 period is late, was diagnosed as hypothyroidism and kept on
allopathic medication, taking medication for P C O S also.<o:p></o:p></span></div>
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<b><u><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Family history: </span></u></b><u><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">F/H<b> </b></span></u><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">hypothyroidism<o:p></o:p></span></div>
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<b><u><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Personal history</span></u></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
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<b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Appetite</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">- Good<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Diet</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">- mixed.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Thirst</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">- less.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Desire</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">- Cold food , desire spicy food.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> <b>Aversions/ intolerance</b>- NS.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Bowels</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">- Regular.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Urine</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">- 5/6 times/day. No special.
Characteristics.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Sweat</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">- NP<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Sleep</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">- refreshing<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Habits and
addiction : no</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><u><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Life space investigation.</span></u></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> </span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">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.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> <b>General
physical examination</b></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">The patient
was </span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">short stature 64.9 Kg weight, B M I: 25,</span><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> no pallor, cyanosis, edema, clubbing or
lymphadenopathy.</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Systemic
examination</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> Examination
of neck : slight swelling of thyroid gland on deglutition.</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> GIT
System: abdomen was soft, liver palpable, spleen not enlarged</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> <span lang="EN-GB">CNS System: Nothing abnormal detected</span></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> <span lang="EN-GB">CVS System: Nothing abnormal detected</span></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> <span lang="EN-GB">Respiratory System: Nothing abnormal detected<o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Investigations:</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">U S Scan on
different times : P C O D ( 2009, 2010 & 2012 )</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Antverted
uterus, Endometrial thickness :</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">F S H 6. 7.9 ;
L H :21.78 ; S Prolactine : 8.8</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">T S H :
3.78uiu/ml</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Clinical
diagnosis: P C O D</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> <b>Clinical
classification :</b></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> <span lang="EN-GB">Dynamic chronic fully developed miasmatic disease.</span></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> <b><span lang="EN-GB">Miasmatic diagnosis</span></b></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> <span lang="EN-GB">Psoro -Sycotic and Syphilitic.</span></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> <span lang="EN-GB">Susceptibility: moderate</span></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> <b><span lang="EN-GB">Totality of symptoms :</span></b></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> Irritability<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> Anxiety about health<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> Haughty<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> Desire for open air<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> Desire for cold Food ,
desire spicy food <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> Menses late<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">* Thirstless</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">* <b>Repertorisation
chart (</b>attached below<b>) <sup>4</sup></b></span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">* 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. </span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Boericke says </span><span lang="EN-CA" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">"</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">it is pre-eminently a
female remedy</span><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> ,</span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> He says that the disposition and mental state are the chief
guiding symptoms to the selection of Pulsatilla.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 12.9pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-GB" style="font-family: "bookman old style" , serif; font-size: 9pt;">Treatment:</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">* 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 .<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">* patient
came on 26-2-13 no trace of menses Pulasatilla 200c ,5doses were given
with Placebo for 20 days .<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">* 24-03-13
: patient came with no trace of menses Pulasatilla IM, 3doses were given with Placebo 30 days . <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">* 21-04-13 :
patient came and said that menses appeared on 17-04-13, bleeding was
more. Only Placebo 30days was given. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">* 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.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">* 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.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">* 14-07-13 :
patient came and said menses appeared on 29-06-13, two days
bleeding was present, weakness reduced, Placebo 30days . <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">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 .<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 12.9pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 12.9pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="font-family: "bookman old style" , serif; font-size: 9pt;">Discussion :</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">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.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">In the conventional treatment Medical treatment <span style="background: white;">Polycystic ovaries are treated with a laparoscopic procedure called
"ovarian drilling" Or</span> <span style="background: white;">Reducing
insulin resistance by improving insulin sensitivity through medications such as </span></span><span style="font-family: "bookman old style" , "serif"; font-size: 9.0pt; line-height: 150%;"><a href="http://en.wikipedia.org/wiki/Metformin" title="Metformin"><span style="color: windowtext; text-decoration: none; text-underline: none;">Metformin</span></a> anti diabetic drug. If fertility is not the
primary aim, then <a href="http://en.wikipedia.org/wiki/Menstruation" title="Menstruation"><span style="color: windowtext; text-decoration: none; text-underline: none;">menstruation</span></a> is regulated
with a contraceptive pill . <sup>1</sup><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> 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<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-CA" style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">It's surprising
to note that </span><span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Pulsatilla which is selected on
the basis of repertriation , given to the patient gave success, but following
observations were noted.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">In Murphy’s repertory under the rubric female-Tumors,
genitals-ovaries, cysts : 44 remedies are there but Pulsatilla is missing<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Synthesis 8.1 V repertory under the rubric female-Tumors,
genitals-ovaries, cysts : 32 remedies are there but Pulsatilla is missing<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;">Boericke O, repertory under the rubric female sexual system
-ovaries, cysts dropsy : 25 remedies are there but Pulsatilla is missing<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<b><span style="font-family: "bookman old style" , serif; font-size: 9pt;">References :</span></b><span style="font-family: "bookman old style" , serif; font-size: 9pt;"><o:p></o:p></span></div>
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<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"><br />
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: </span><span style="font-family: "bookman old style" , "serif"; font-size: 9.0pt; line-height: 150%;"><a href="http://www.ijem.in/text.asp?2011/15/4/239/85571"><span style="color: windowtext; text-decoration: none; text-underline: none;">http://www.ijem.in/text.asp?2011/15/4/239/85571</span></a><o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "bookman old style" , "serif"; font-size: 9.0pt; line-height: 150%;">2) <a href="http://ayurbhishak.wordpress.com/2010/09/23/%E2%99%A3-india-witnesses-alarming-rise-in-incidence-of-pcos-dr-rajeev-punjabi/"><span style="color: windowtext; text-decoration: none; text-underline: none;">http://ayurbhishak.wordpress.com/2010/09/23/%E2%99%A3-india-witnesses-alarming-rise-in-incidence-of-pcos-dr-rajeev-punjabi/</span></a><o:p></o:p></span></div>
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<span style="font-family: "bookman old style" , "serif"; font-size: 9.0pt; line-height: 150%;">3) <a href="http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001408/"><span style="color: windowtext; text-decoration: none; text-underline: none;">http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001408/</span></a><o:p></o:p></span></div>
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<span style="font-family: "bookman old style" , serif; font-size: 9pt; line-height: 150%;"> 4) Hompath Wildfire</span><span style="font-family: "bookman old style" , "serif"; font-size: 9.0pt; line-height: 150%;"><o:p></o:p></span></div>
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Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com9tag:blogger.com,1999:blog-725444157839606686.post-77751630279754862002016-06-08T13:55:00.000+05:302016-06-08T13:55:13.747+05:30Irritable Bowel syndrome & Homoeopathy<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-family: "Bookman Old Style","serif"; font-size: 16.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;">Irritable Bowel syndrome - a
challenge in medical practice<o:p></o:p></span></b></div>
<div class="MsoNormal">
<span style="font-family: Bookman Old Style, serif;"><span style="font-size: 21.3333px; line-height: 32px;"><b>Prof G R Mohan</b></span></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">(NHJ, Vol 8, no 2,
March/April-2006</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
full length article in Wonders of Homoeopathy an evidence based study</div>
<div style="text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Irritable bowel syndrome </span><em><span lang="EN-US" style="font-style: normal; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">a motility disorder involving the entire GI tract, it is a challenge to
treat Irritable Bowel Syndrome in clinical practice with high prevalence of one
in four. </span></em><span lang="EN-US">The
cause of irritable bowel syndrome is unknown. No anatomic cause is seen.
Emotional factors, diet, drugs, or hormones may precipitate or aggravate GI
motility. Some patients of IBS have anxiety disorders, particularly panic
disorder; major depressive disorder; and somatization disorder. However, stress
and emotional conflict do not always coincide with symptom onset and
recurrence. This clinical condition, which has long been misunderstood and misdiagnosed,
may represent a complex interaction of altered neurochemical mediators in the
enteric nervous system with psychosocial and environmental influences. (2).<o:p></o:p></span></div>
<div class="darkorangebold11" style="text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">The pathogenesis of IBS is poorly
understood although roles for abnormal gut motor and sensory activity, central
neural dysfunction, psychological disturbances, stress and other factors have
been proposed.<o:p></o:p></span></div>
<div class="darkorangebold11" style="text-align: justify;">
<span lang="EN-US"> Abnormal
psychiatric features are recorded in upto 80% of IBS patients, however no
single psychiatric diagnosis predominates. An association between prior sexual
or physical abuse and development of IBS has been reported. Forms of sexual abuse associated with IBS
include verbal aggression, exhibitionism, sexual harassment, sexual touching
and rape. The pathophysiologic relationship between IBS and sexual and physical
abuse is unknown. However physical and sexual abuse may result in hyper
vigilance to body sensations at CNS level and visceral hypersensitivity at the
gut level.<o:p></o:p></span></div>
<div style="text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Gender, race, and age all play a role in the
prevalence of IBS. Recent studies suggest that in the <st1:country-region w:st="on"><st1:place w:st="on">United States</st1:place></st1:country-region>
the incidence of IBS is 10% and its prevalence 20%. These numbers are dependent
on the diagnostic criteria used as well as on the population studied.
Approximately 70% of patients who meet the diagnostic criteria for IBS do not
seek medical care; the remaining patients account for 12% of primary care
visits. Community-based estimates suggest that up to 30% of patients with a
gastrointestinal complaint will have IBS but only a minority of patients
diagnosed by a gastroenterologist. <o:p></o:p></span></div>
<div style="text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">There are two
major clinical types of IBS, constipation predominate IBS, and Diarrhea
predominate IBS. </span></div>
<div style="text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">In <strong><span style="font-weight: normal; mso-bidi-font-weight: bold;">constipation-predominant
IBS,</span></strong> constipation is common, but bowel habits vary. Most
patients have pain over at least one area of the colon, associated with
periodic constipation alternating with a more normal stool frequency. Stool
often contains clear or white mucus. The pain is either colicky, coming in
bouts, or a continuous dull ache; it may be relieved by a bowel movement. Eating
commonly triggers symptoms. Bloating, flatulence, nausea, dyspepsia, and
pyrosis can also occur.</span></div>
<div class="MsoNormal" style="text-align: justify; text-indent: 36.0pt;">
<strong><span style="font-family: "Calibri","sans-serif"; mso-bidi-font-weight: normal;">Diarrhea-predominant
IBS</span></strong><b> is characterized by
precipitous diarrhea that occurs immediately on rising or during or immediately
after eating. Nocturnal diarrhea is unusual. Pain, bloating, and rectal urgency
are common, and incontinence may occur. Painless diarrhea is not typical and
should lead to consider other diagnostic possibilities e.g., malabsorption,
osmotic diarrhea, and etc. <o:p></o:p></b></div>
<div class="MsoNormal" style="text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-indent: 36.0pt;">
<b>The key to diagnosis of IBS is effective
history taking, which requires attention to directed, but not controlled,
elaboration of the presenting symptoms, history of present illness, past
medical history, family history, familial interrelationships, and drug and
dietary histories. Equally important are the patient's interpretation of
personal problems and overall emotional state. The quality of patient-physician
interaction is key to diagnostic and therapeutic efficacy. Patients with IBS
generally appear to be healthy. Palpation of the abdomen may reveal tenderness,
particularly in the left lower quadrant, <a href="https://www.blogger.com/null" name="A003-032-0962"></a>(4)<o:p></o:p></b></div>
<div class="darkorangebold11">
<st1:city w:st="on"><st1:place w:st="on"><b><span lang="EN-US">Rome</span></b></st1:place></st1:city><b><span lang="EN-US"> II Criteria for <span class="lightbluebold10">diagnosis of </span>Irritable Bowel Syndrome<o:p></o:p></span></b></div>
<span lang="EN-US">Abdominal discomfort or
pain with two of the following three features for at least 12 weeks, not
necessarily consecutive, during the previous 12 months:<br />
<br />
• Relief with defecation <br />
<br />
• Onset associated with change in stool frequency.<br />
<br />
• Onset associated with change in stool formation. <o:p></o:p></span><br />
<span class="lightbluebold10"><b><span lang="EN-US">Supportive Symptoms-</span></b></span><span lang="EN-US"><br />
1. Fewer than three bowel movements per week. <br />
<br />
2. More than three bowel movements per day. <br />
<br />
3. Hard or lumpy stools. <br />
<br />
4. Loose or watery stools. <br />
<br />
5. Straining during bowel movements. <br />
<br />
6. Fecal urgency. <br />
<br />
7. Feelings of incomplete evacuation. <br />
<br />
8. Passage of mucus during bowel movement. <br />
<br />
9. Sensation of abdominal fullness or bloating <o:p></o:p></span><br />
<div style="text-indent: 36.0pt;">
<span lang="EN-US">Diarrhea-predominant irritable bowel syndrome = one or more of 2, 4, and
6 and none of 1, 3, and 5 <o:p></o:p></span></div>
<div style="text-indent: 36.0pt;">
<span lang="EN-US">Constipation-predominant irritable bowel syndrome = one or more of 1, 3,
and 5 and none of 2, 4, and 6 (4)<o:p></o:p></span></div>
<div style="text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Symptoms can
be triggered by stress or the ingestion of food is 50% higher than for patients
who do not fit the diagnostic criteria. These patients undergo more surgical
procedures (such as hysterectomy, appendectomy, and cholecystectomy) and have a
higher rate of work absenteeism and an increased number of physician visits per
year. Moreover, these patients have significantly impaired quality of life even
when compared with chronic disease such as diabetes. Upto 40% of referrals to
gastroenterologists are IBS. (2,3).</span></div>
<div class="MsoNormal" style="text-align: justify; text-indent: 36.0pt;">
<b>Lactase intolerance is another common
condition that can mimic diarrhea-predominant IBS, antecedent event such as a
viral gastroenteritis or food-borne illness is important because there is
evidence that up to 30% of patients will develop IBS-like symptoms after experiencing
<i>Salmonella</i> enteritis, <o:p></o:p></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<strong><span style="font-family: "Calibri","sans-serif"; font-weight: normal; mso-bidi-font-weight: bold;">Laboratory examination</span></strong><strong><span style="font-family: "Calibri","sans-serif"; mso-bidi-font-weight: normal;">:<o:p></o:p></span></strong></div>
<ul type="disc">
<li class="MsoNormal"><b>Physical exam. <o:p></o:p></b></li>
<li class="MsoNormal"><b>Blood tests. <o:p></o:p></b></li>
<li class="MsoNormal"><b>X ray of the bowel: This x-ray test is
called a barium enema or lower GI (gastrointestinal) series. Barium is a
thick liquid that makes the bowel show up better on the x-ray. Before
taking the x ray, the doctor will put barium into your bowel through the
anus. <o:p></o:p></b></li>
<li class="MsoNormal"><b>Endoscopy: The doctor inserts a thin
tube into your bowel. The tube has a camera in it, so the doctor can look
at the inside of the bowel to check for problems.<o:p></o:p></b></li>
</ul>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNormal">
The approach by conventional system in the treatment of IBS
is without consideration of person as a whole but in Homoeopathic system the
successes rate is more due to holistic approach, in considering the mental and
physical aspects of the individual. Giving importance to mind in treatment is
the need of the hour in IBS; so homoeopathic treatment has edge over other
systems</div>
<div style="text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US">A high-fiber
diet should be advised to reduce digestive system irritation. Alcohol,
caffeine, and fatty, gassy, or spicy foods should be avoided. Recommended
stress management techniques include yoga, meditation, hypnosis, biofeedback,
and reflexology. Reflexology is a technique of foot massage that is thought to
relieve diarrhea, constipation, and other IBS symptoms.</span></div>
<div style="text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US">The following
two interesting cases of IBS treated in OPD<b><o:p></o:p></b></span></div>
<div class="MsoNormal">
<strong><span style="font-family: "Calibri","sans-serif"; font-weight: normal; mso-bidi-font-weight: bold;">C A S E S:<o:p></o:p></span></strong></div>
<div class="MsoNormal">
<b>NAME- Mr.G, 35years.
Male-Sex, <o:p></o:p></b></div>
<h1>
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Religion-
Hindu. Married.<o:p></o:p></span></h1>
<div class="MsoNormal">
<b>Occupation – Works in
a Private Bank.<o:p></o:p></b></div>
<div class="MsoNormal">
<b>Date of first
visit-13.03.03 (OPD)<o:p></o:p></b></div>
<h2>
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-size: 10.0pt;">Presenting
complaints</span><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; mso-bidi-font-size: 10.0pt; mso-bidi-font-weight: bold;">-</span><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; mso-bidi-font-size: 10.0pt;"><o:p></o:p></span></h2>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 18pt; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><b>Burning
in throat since 3 years.<o:p></o:p></b></div>
<div class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 18pt; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><b>Irregular bowel habits since 10 months.<o:p></o:p></b></div>
<h3>
<span lang="EN-US" style="font-size: 12.0pt;">History of presenting complaints</span><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; mso-bidi-font-weight: bold;">-<o:p></o:p></span></h3>
<div class="MsoBodyText" style="text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Patient was well before 3-4
years; to start with he developed symptoms of pain in the right hypochondrium,
burning pain in throat, sour eructations, regurgitation of food after eating.
he was diagnosed as having cholelithiasis and he was operated for it. He was
very well up to 5/6 months of operation, but gradually he developed following
symptoms. <o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<b>Burning in throat since 3 years < Afternoon <st1:time hour="14" minute="0" w:st="on">2-3 p.m.</st1:time>, taking spicy food, excess quantity of
food and after any anxiety or tension.<o:p></o:p></b></div>
<div class="MsoNormal">
<b>Regurgitation of food
and water <any and="" anxiety="" o:p="" tension.=""></any></b></div>
<div class="MsoNormal">
<b>Irregular bowel
habit-morning at least gets 3 times urgency before <st1:time hour="9" minute="0" w:st="on">9 a.m.</st1:time> (before going to office, in holidays also he gets
for 3 times.)<o:p></o:p></b></div>
<div class="MsoNormal">
<b>First –just after
raising from bed.<o:p></o:p></b></div>
<div class="MsoNormal">
<b>2<sup>nd</sup>-
mostly after breakfast.<o:p></o:p></b></div>
<div class="MsoNormal">
<b>3<sup>rd</sup>-
commonly before starting for office.<o:p></o:p></b></div>
<div class="MsoNormal">
<b>Itching in scalp
since 4-5years.<o:p></o:p></b></div>
<h3>
<span lang="EN-US" style="font-size: 12.0pt;">Past history- <o:p></o:p></span></h3>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Chickenpox in childhood.<o:p></o:p></span></div>
<div class="MsoBodyText">
<b><span lang="EN-US" style="font-size: 12.0pt;">Treatment history</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">.<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">1.Allopathic <o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">2.Homoeopathic-a) Ars.alb200.b) Arg.Nit 200.<o:p></o:p></span></div>
<h3>
<span lang="EN-US" style="font-size: 12.0pt;">Personal history-<o:p></o:p></span></h3>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Appetite-good, now taking food in small quanties.<o:p></o:p></span></div>
<div class="MsoNormal">
<b>Thirst- normal.<o:p></o:p></b></div>
<div class="MsoNormal">
<b>Desires –cold drinks.<o:p></o:p></b></div>
<div class="MsoNormal">
<b>Aversions-Sweets.<o:p></o:p></b></div>
<div class="MsoNormal">
<b>Bowels-3/4 times
daily. (3times before <st1:time hour="9" minute="0" w:st="on">9 a.m.</st1:time>).<o:p></o:p></b></div>
<div class="MsoNormal">
<b>Sweat- on exertion,
offensive odour.<o:p></o:p></b></div>
<div class="MsoNormal">
<b>Sleep –sound.<o:p></o:p></b></div>
<div class="MsoNormal">
<b>Dreams –not specific.<o:p></o:p></b></div>
<div class="MsoNormal">
<b>Thermal reactions-
Likes open air. Likes winter.<o:p></o:p></b></div>
<div class="MsoNormal">
Life space
investigation<b>- He hails from one
middle class family. Now works in a private bank. Happy with his work. Married
and having a son of two year. Relationship with family members and others is
good. Can’t concentrate in one thing for a long time, low in confidence.<o:p></o:p></b></div>
<div class="MsoBodyText">
<b><span lang="EN-US" style="font-size: 12.0pt;">Physical examination</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">- Well nourished, moderate
built.<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">No signs of pallor, icterus, cyanosis, clubbing and edema.<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">B.P-120/80 mm of Hg.<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Pulse rate-75/min, regular, full, and no spl. character.<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Heart rate –75/min regular, full, no spl. character<o:p></o:p></span></div>
<div class="MsoHeading7">
<span lang="EN-US">Systemic examination-</span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">GIT- No relevant sign found.<o:p></o:p></span></div>
<div class="MsoHeading7">
<span lang="EN-US">Investigations- </span><span lang="EN-US">Within the normal range.</span></div>
<div class="MsoBodyText">
<b><span lang="EN-US" style="font-size: 12.0pt;">Clinical diagnosis</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">- Irritable bowel syndrome.<o:p></o:p></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<b><span lang="EN-US" style="font-size: 12.0pt;">Disease classification</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">: Dynamic chronic
fully developed miasmatic disease.<o:p></o:p></span></div>
<div class="MsoBodyText">
<b><span lang="EN-US" style="font-size: 12.0pt;">Miasmatic Diagnosis</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">: Mixed miasmatic disease
(Predominantly Psoric) <o:p></o:p></span></div>
<div class="MsoBodyText">
<b><span lang="EN-US" style="font-size: 12.0pt;">Repertorial totality.<o:p></o:p></span></b></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Complete Repertory Selected<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Mind- Anxiety.<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;"> Ailments from anxiety.<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;"> Confidence want of self.<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;"> Concentration difficult.<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Male genital- Sexual; Desire
increased<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Generalities- Food and drinks
sweets aversion.<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;"> Food and
drinks, cold drinks water desires.<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Perspiration- Odor- offensive.<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Stool- Frequent.<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;"> Morning.<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Throat- Pain – Burning.<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Stomach-Eructations-food of, regurgitation.<o:p></o:p></span></div>
<div class="MsoBodyText">
<b><span lang="EN-US" style="font-size: 12.0pt;">Result of repertorisation.<o:p></o:p></span></b></div>
<div class="MsoBodyText" style="margin-left: 18.0pt; mso-list: l2 level1 lfo3; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">1.<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Lyco-26/11. 6.Ars.alb-20/10.<o:p></o:p></span></div>
<div class="MsoBodyText" style="margin-left: 18.0pt; mso-list: l2 level1 lfo3; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">2.<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Phosp-25/10. 7.Caust-20/10.<o:p></o:p></span></div>
<div class="MsoBodyText" style="margin-left: 18.0pt; mso-list: l2 level1 lfo3; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">3.<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Merc-22/10. 8.Puls-20/10.<o:p></o:p></span></div>
<div class="MsoBodyText" style="margin-left: 18.0pt; mso-list: l2 level1 lfo3; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">4.<span style="font-size: 7pt; font-stretch: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Sil-22/10. 9.Sulph-20/10.<o:p></o:p></span></div>
<div class="MsoBodyText">
<b><span lang="EN-US" style="font-size: 12.0pt;">Remedy selected</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">.<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Lyco 200/ 1 dose on <st1:date day="20" month="3" w:st="on" year="2003">20/03/2003</st1:date><o:p></o:p></span></div>
<h3>
<span lang="EN-US" style="font-size: 12.0pt;">Follow up</span><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; mso-bidi-font-weight: bold;">-<o:p></o:p></span></h3>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; width: 682px;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.65pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<st1:date day="27" month="3" w:st="on" year="2003"><b>27/03/2003</b></st1:date><b><o:p></o:p></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 313.05pt;" valign="top" width="417">
<div class="MsoNormal">
<b>No change in
symptoms.<o:p></o:p></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.55pt;" valign="top" width="177">
<div class="MsoNormal">
<b>Placebo- 1 dose<o:p></o:p></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.65pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<st1:date day="5" month="8" w:st="on" year="2004"><b>8/05/2004</b></st1:date><b><o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 313.05pt;" valign="top" width="417">
<div class="MsoNormal">
<b>No change in
symptoms.<o:p></o:p></b></div>
<div class="MsoNormal">
<b>Along with previous
mental symptoms patient now have a marked aversion to do the official work.<o:p></o:p></b></div>
<div class="MsoNormal">
<b>As before he has a
strong desire for cold drinks,<o:p></o:p></b></div>
<div class="MsoNormal">
<b>Basing upon these
symptoms and as before also Phos. was in the 2<sup>nd</sup> position in
repertorization , Phos 200 planned to be prescribed. <o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.55pt;" valign="top" width="177">
<div class="MsoNormal">
<b>Phosphorus 200C / 1
dose.<o:p></o:p></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.65pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<st1:date day="22" month="5" w:st="on" year="2004"><b>22/05/2004</b></st1:date><b><o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 313.05pt;" valign="top" width="417">
<div class="MsoNormal">
<b>Feels better. <o:p></o:p></b></div>
<div class="MsoNormal">
<b>Bowel habit reduced
to 2 times in morning.<o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.55pt;" valign="top" width="177">
<div class="MsoNormal">
<b>Placebo/1 dose.<o:p></o:p></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.65pt;" valign="top" width="88">
<div align="center" class="MsoNormal" style="text-align: center;">
<st1:date day="29" month="5" w:st="on" year="2004"><b>29/05/2004</b></st1:date><b><o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 313.05pt;" valign="top" width="417">
<div class="MsoNormal">
<b>Feels better.<o:p></o:p></b></div>
<div class="MsoNormal">
<b>Bowel habit once in
the morning. <o:p></o:p></b></div>
<div class="MsoNormal">
<b>Burning pain and
regurgitation reduced.<o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.55pt;" valign="top" width="177">
<div class="MsoNormal">
<b>Placebo /1 dose<o:p></o:p></b></div>
</td>
</tr>
</tbody></table>
<h6>
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: normal;">Case Summary:</span><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;"> In this case due importance was given to the mental
symptoms of the patient and the case was marked improved after Phos 200 may be
due to its highest similarity to the case and as it covering more prominent
mental symptoms. <o:p></o:p></span></h6>
<h6>
<span lang="EN-US">CASE NO.2<o:p></o:p></span></h6>
<div class="MsoBodyText3">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Mr. K, 51yrs/M, Hindu, Married, illiterate, Agricultural laborer,
admitted in our IPD, Bed no.31 with the complaints of sensation of fullness of
abdomen < after eating, stool >flatus; aching pain in the abdomen on and
off with urging to stool < during urging to stool >flatus; constipation,
frequent, ineffectual, urging and burning sensation in both soles <night 6="" for="" last="" months.="" o:p="" the=""></night></span></div>
<h4>
<b><span lang="EN-US">Past History<o:p></o:p></span></b></h4>
<div class="MsoNormal" style="text-align: justify; text-indent: 36.0pt;">
<b>No significant past history. Took allopathic treatment for the presenting
complaints for the last 6 months with only temporary relief<o:p></o:p></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Personal History:<u><o:p></o:p></u></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<b>Appetite: reduced Thirst: 5-6 glasses/day.<o:p></o:p></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<b>Desires: Sweets Aversions: sour things<o:p></o:p></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<b>Urine: (D/N): 6-7/0-1 Perspiration:
only on exertion <o:p></o:p></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<b>Bowels: Constipated, frequent, ineffectual,
urging.<o:p></o:p></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<b>Sleep: refreshed<o:p></o:p></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<b>Thermal state: Ambithermal<o:p></o:p></b></div>
<div class="MsoBodyText" style="text-align: justify;">
<br /></div>
<div class="MsoBodyText" style="text-align: justify;">
<br /></div>
<div class="MsoBodyText" style="text-align: justify;">
<b><span lang="EN-US" style="font-size: 12.0pt;">Mental generals</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">: Ailments from
silent grief, cannot bear contradiction.<o:p></o:p></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<b><span lang="EN-US" style="font-size: 12.0pt;">Investigations</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">: On 24/06/2004,
CBP: Hb%- 13.5gm%, T.RBC-4.8 milli/cu mm, T.WBC-8,000cells, ESR-5mm/1<sup>st</sup>
hr, 9/2<sup>nd</sup> hr; DC-L.60%, L.33%, E.5%, M.2%: Stool analysis-No cyst,
No ova, No occult blood, No parasite. FBS, LPT – with in normal limits <o:p></o:p></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<b><span lang="EN-US" style="font-size: 12.0pt;">Diagnosis</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">: Irritable Bowel
Syndrome.<o:p></o:p></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<b><span lang="EN-US" style="font-size: 12.0pt;">Disease classification</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">: Dynamic chronic
fully developed miasmatic disease<o:p></o:p></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<b><span lang="EN-US" style="font-size: 12.0pt;">Miasmatic Diagnosis</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">: Predominant
Psora - Syphilis <o:p></o:p></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<b><span lang="EN-US" style="font-size: 12.0pt;">Repertorial Totality:</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;"> <o:p></o:p></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">[KT] [Stomach] Desire:
Sweets:<o:p></o:p></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">[KT] [Stomach] Desire: Sour:
<o:p></o:p></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">[KT][Abdomen] Fullness,
sensation of: Eating: after:<o:p></o:p></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">[KT][Abdomen] Fullness,
sensation of: Flatus, passing: amel:<o:p></o:p></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">[KT][Abdomen] Pain: Aching:
Flatus, passing: amel:<o:p></o:p></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;"> [KT][Abdomen] Pain: Aching: Stool: Urging,
during. <o:p></o:p></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">[KT][Abdomen] Pain: Aching:
Stool: Before:<o:p></o:p></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">[KT][Rectum] Constipation: Ineffectual
urging and straining<o:p></o:p></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">[KT][Extremities Pain] Pain:
Burning: Hand: Palm: Night:<o:p></o:p></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">[KT][Extremities Pain] Pain:
Burning: Foot: Sole: Night:<o:p></o:p></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<b><span lang="EN-US" style="font-size: 12.0pt;">Repertorial Result</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">: Sulph <sup>20/9</sup>,
Lyc <sup>17/7</sup>, Carb.veg <sup>16/8</sup>, Sep <sup>15/8</sup>, Calc.carb <sup>12/6<o:p></o:p></sup></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<b><span lang="EN-US" style="font-size: 12.0pt;">Previous Homoeopathic Treatment:</span></b><span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;"> Initially Nux
vom 200C and Lyco 1M prescribed based upon the prominent physical generals and
gastric symptoms but there has been no relief for 15 days, but after careful
interrogoration about his life space investigation, he revealed the death of
his son 6 months back, after that he was constantly brooding over that matter
without expressing outwards and from then onwards started his complaints
gradually and cannot bear contradiction </span><b><span lang="EN-US" style="font-size: 12.0pt;"><o:p></o:p></span></b></div>
<div class="MsoBodyText" style="text-align: justify;">
<b><span lang="EN-US" style="font-size: 12.0pt;">Follow Ups:<o:p></o:p></span></b></div>
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<div class="MsoNormal" style="text-align: justify;">
<b>Date<o:p></o:p></b></div>
</td>
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<h1 style="tab-stops: 120.0pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Observation and progress<o:p></o:p></span></h1>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.45pt;" valign="top" width="145">
<h1 style="tab-stops: 120.0pt; text-align: justify;">
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: bold;">Treatment<o:p></o:p></span></h1>
</td>
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<div class="MsoNormal" style="text-align: justify;">
<st1:date day="26" month="6" w:st="on" year="2004"><b>26/06/2004</b></st1:date><b><o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 300.65pt;" valign="top" width="401">
<div class="MsoNormal" style="text-align: justify;">
<b>First prescription (Based on acute emotional causative modality)<o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.45pt;" valign="top" width="145">
<div class="MsoNormal" style="text-align: justify;">
<b>Ign 200C/1D<o:p></o:p></b></div>
</td>
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<div class="MsoNormal" style="text-align: justify;">
<st1:date day="7" month="1" w:st="on" year="2004"><b>01/07/2004</b></st1:date><b><o:p></o:p></b></div>
</td>
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<div class="MsoNormal" style="text-align: justify;">
<b>Complaints slightly reduced.
General’s normal.<o:p></o:p></b></div>
</td>
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<div class="MsoNormal" style="text-align: justify;">
<b>S.L / 2 weeks<o:p></o:p></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.25pt;" valign="top" width="88">
<div class="MsoNormal" style="text-align: justify;">
<st1:date day="7" month="7" w:st="on" year="2004"><b>07/07/2004</b></st1:date><b><o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 300.65pt;" valign="top" width="401">
<div class="MsoNormal" style="text-align: justify;">
<b>Complaints completely reduced. Generals’ normal. Patient was discharged and advised to
attend OP every Thursday.<o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.45pt;" valign="top" width="145">
<div class="MsoNormal" style="text-align: justify;">
<b>S.L/ 1 month<o:p></o:p></b></div>
</td>
</tr>
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<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.25pt;" valign="top" width="88">
<div class="MsoNormal" style="text-align: justify;">
<st1:date day="15" month="7" w:st="on" year="2004"><b>15/07/2004</b></st1:date><b><o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 300.65pt;" valign="top" width="401">
<div class="MsoNormal" style="text-align: justify;">
<b>Recurrence of complaints since 3 days. App-reduced, thirst- more, H/o
of grief<o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.45pt;" valign="top" width="145">
<div class="MsoNormal" style="text-align: justify;">
<b>Nat.m 1M/1D<o:p></o:p></b></div>
<div class="MsoNormal" style="text-align: justify;">
<b>S.L / 2 weeks<o:p></o:p></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.25pt;" valign="top" width="88">
<div class="MsoNormal" style="text-align: justify;">
<st1:date day="19" month="8" w:st="on" year="2004"><b>19/08/2004</b></st1:date><b><o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 300.65pt;" valign="top" width="401">
<div class="MsoNormal" style="text-align: justify;">
<b>No recurrence of complaints.
Burning pain in the soles reduced completely.<o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.45pt;" valign="top" width="145">
<div class="MsoNormal" style="text-align: justify;">
<b>S.L/2 weeks<o:p></o:p></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.25pt;" valign="top" width="88">
<div class="MsoNormal" style="text-align: justify;">
<st1:date day="23" month="9" w:st="on" year="2004"><b>23/09/2004</b></st1:date><b><o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 300.65pt;" valign="top" width="401">
<div class="MsoNormal" style="text-align: justify;">
<b>No recurrence of complaints. <o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.45pt;" valign="top" width="145">
<div class="MsoNormal" style="text-align: justify;">
<b>S.L / 2 weeks<o:p></o:p></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.25pt;" valign="top" width="88">
<div class="MsoNormal" style="text-align: justify;">
<st1:date day="28" month="10" w:st="on" year="2004"><b>28/10/2004</b></st1:date><b><o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 300.65pt;" valign="top" width="401">
<div class="MsoNormal" style="text-align: justify;">
<b>No recurrence of complaints.
Patient feels better<o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.45pt;" valign="top" width="145">
<div class="MsoNormal" style="text-align: justify;">
<b>S.L / 2 weeks<o:p></o:p></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.25pt;" valign="top" width="88">
<div class="MsoNormal" style="text-align: justify;">
<st1:date day="20" month="1" w:st="on" year="2005"><b>20/01/2005</b></st1:date><b><o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 300.65pt;" valign="top" width="401">
<div class="MsoNormal" style="text-align: justify;">
<b>No recurrence of complaints. <o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 108.45pt;" valign="top" width="145">
<div class="MsoNormal" style="text-align: justify;">
<b>S.L/2 weeks<o:p></o:p></b></div>
</td>
</tr>
</tbody></table>
<div class="MsoBodyText2" style="text-align: justify;">
<br /></div>
<div class="MsoBodyText2" style="text-align: justify;">
<b><span lang="EN-US">Case Summary:</span></b><span lang="EN-US"> Mr. K, aged 51 years, developed
fullness and aching pain in the abdomen after stool and burning sensation in
the soles following his son’s death. He was treated initially with Ign 200C/1D
and later Natr.mur 1M/1D as per the case required. This led to marked improvement as there was
no recurrence of complaints and the patient is still under observation and
further results awaited. <o:p></o:p></span></div>
<h6>
<span lang="EN-US" style="font-size: 12.0pt; mso-bidi-font-weight: normal;">Bibilography<o:p></o:p></span></h6>
<div class="MsoNormal">
<b>1) Lynn, Richard B.,
and Lawrence S. Friedman. Irritable bowel Syndrome In <em><span style="font-family: "Calibri","sans-serif";">Harrison's Principles of Internal Medicine,</span></em>
edited by Anthony S. Fauci, et al. <st1:state w:st="on"><st1:place w:st="on">New
York</st1:place></st1:state>: McGraw-Hill, 1998<o:p></o:p></b></div>
<div class="citatio">
<span lang="EN-US">2) By
Rebecca C. Dunphy, MD, and G. Nicholas Verne, MD, <st1:place w:st="on"><st1:placename w:st="on">Malcom</st1:placename> <st1:placename w:st="on">Randall</st1:placename> <st1:placename w:st="on">Veterans</st1:placename>
<st1:placename w:st="on">Affairs</st1:placename> <st1:placename w:st="on">Medical</st1:placename>
<st1:placetype w:st="on">Center</st1:placetype></st1:place> and the <st1:place w:st="on"><st1:placetype w:st="on">University</st1:placetype> of <st1:placename w:st="on">Florida</st1:placename></st1:place> <st1:place w:st="on"><st1:placetype w:st="on">College</st1:placetype> of <st1:placename w:st="on">Medicine</st1:placename></st1:place>
in <st1:city w:st="on"><st1:place w:st="on">Gainesville</st1:place></st1:city>.<o:p></o:p></span></div>
<div class="MsoNormal">
<b>3) Manning AP, et al: Towards a positive
diagnosis of the irritable bowel syndrome. <i>BMJ</i> 2:653, 1978.<o:p></o:p></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>4) Thompson WG, et
al.Functional bowel disorders and Functional abdominal pain. <i>Gut</i>
45(suppl II):1143, 1999.<o:p></o:p></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>5) Phlip M Bailey,
Homoeopathic psychology,B.Jain publications<o:p></o:p></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>6) Weatherall D.J,
Ledingham G.G and Wavell D.A : <st1:city w:st="on"><st1:place w:st="on">Oxford</st1:place></st1:city>
textbook of medicine. <st1:city w:st="on"><st1:place w:st="on">Oxford</st1:place></st1:city> medical publishers, <st1:city w:st="on"><st1:place w:st="on">Oxford</st1:place></st1:city>, 3<sup>rd</sup> edition – 1996.</b><b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 115%;"><o:p></o:p></span></b></div>
<span class="boldred"><i><span lang="EN-US">“</span></i></span><i><span lang="EN-US" style="font-size: 16.0pt; mso-bidi-font-weight: bold;"> </span></i><b><i><span lang="EN-US" style="font-family: "Arial","sans-serif";">Doctors are men who
prescribe medicines of which they know little, to cure diseases of which they
know less, in human beings of which they know nothing”</span><span lang="EN-US"> - VOLTAIRE, 1694-1778<o:p></o:p></span></i></b><br />
<div style="text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div style="margin-left: 252.0pt;">
<span lang="EN-US">Prof. G. R. Mohan, H.O.D, P.G.
Dept. of Organon and Phil.
Dr. Ch.v.Kishore kumar, P.G. Final year. Dr
Amulya Ratna Sahoo, P.G. Final year.</span><span class="boldred"><span lang="EN-US"><o:p></o:p></span></span></div>
<div class="MsoNormal">
<br /></div>
<br />
<div class="MsoNormal">
<br /></div>
Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com12tag:blogger.com,1999:blog-725444157839606686.post-69357994905261571222015-10-25T22:04:00.002+05:302015-10-25T22:04:34.735+05:30RESPIRATORY ALLERGIES and HOMOEOPATHY<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 16.0pt; mso-bidi-font-size: 10.0pt;">HOMOEOPATHY<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 16.0pt; mso-bidi-font-size: 10.0pt;">ANSWER FOR RESPIRATORY ALLERGIES<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt;">Dr.G.R.Mohan<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: 'Bookman Old Style', serif; font-size: 10pt;">(Health ACTION,
April 2008)<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt;">key words : </span></b><span style="font-family: 'Bookman Old Style', serif; font-size: 13.3333px; line-height: 20px; text-align: justify;">respiratory allergy </span><span style="font-family: 'Bookman Old Style', serif; font-size: 13.3333px; line-height: 20px; text-align: justify;">Homoeopathy</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Allergies
are a common and significant cause of morbidity, lost-productivity and
increased health care. It is not
uncommon to see children on antibiotics, antihistamine cough syrups, tonic and
off-and-on bronchodilators for years together without any referral to a
specialist. This irrational treatment
not only results in disease and economic burden on the family but also lost
opportunities of growth and development for the child. A respiratory allergy is a specific
immunologic response to a normally harmless allergen. Some people with allergy develop asthma and
some allergic rhinitis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Homoeopathy
offers very effective treatment for all allergic diseases such as various skin
diseases like urticaria, eczema, and contact dermatitis, as well as given
unbelievably miraculous results in asthmatic bronchitis etc. Allergic rhinitis is defined as an
allergen-induced inflammation of the membranes lining the nose and the sinus,
often due to an allergic reaction to pollen, dust or other airborne
substances. The various types of
allergic rhinitis include Atopic Rhinitis, Seasonal Allergic Rhinitis (also
known as hay fever) and Perennial Rhinitis (year round).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Of
these, allergic rhinitis remains the common cause of morbidity and social
embarrassment. Recent surveys revealed a
four-fold increase in the number of consultations with general practitioners,
although the reasons are unclear.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">RAPID increase<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">A
rapid increase in allergic diseases like asthma, allergic rhinitis, atopic
dermatitis and food allergies has been observed worldwide. Globally, it has been noted that allergic
rhinitis affects 24% of the population n the United Kingdom, 20.6% in Norway,
and 19.6% in Germany and 26% of the population in India. Today, the incidence of asthma-related cases
is 10-12 percent. In terms of the
age-groups affected, about 70 per cent of patients develop allergic rhinitis
before they are 30 years of age and, the adolescent children have greater
incidence with allergic rhinitis occurring between 8-11 years of age. Over $600 million is spent annually in the
management of this disease by United States which does not include the costs of
the 2 million lost workdays, 3 million lost school days and 28 million days of
decreased productivity from the symptoms of the disease and/or side-effects of
the medications used to treat them.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Heredity
plays a role in the development of allergies.
The risk of the developing allergies is 18% if neither parent is a topic,
20% if one parent is atopic and 50%, if both parents are atopic.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Common Causes<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Irritants
like smoke, perfumes, strong smells, air pollutants and temperature changes,
dust mites (see figure), polluted areas having high levels of sulphur dioxide
and nitrogen diospets, moulds growing on wallpaper, upholstery, carping and
plants within the house are found to cause allergic rhinitis. Grasses and trees that release minute pollen
grains are also known to cause allergies.
Allergies contracted from grass are experienced more in the late
afternoon while that from mould spores may peak on dry windy afternoons or on
damp or rainy days in the early morning.
Intake of alcoholic drinks like wines and beer, sea foods, chlorine in
swimming pool water, drugs like birth control pills and female hormones, some
drugs used for blood pressure control, aspirin and chronic use of decongestants
in the nose can also produce rhinitis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Perennial
rhinitis: </span></b><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">common
causes are dust mite found in many homes, and domestic pets. Salivary protein of cat, allergens from
cockroaches etc. also cause perennial rhinitis.
Occupational rhinitis is caused by an agent inhaled at the work place.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">When
an allergen such as pollen or dust is inhaled by a person with a sensitized
immune system, it triggers antibody production.
These antibodies mostly bind to mast cells, which contain histamine and
when the mast cells are stimulated by pollen and dust, histamine and other
chemicals are released. This results in
itching, swelling, and mucus production.
Symptoms vary in severity from person to person with very sensitive
individuals experiencing hives or other rashes.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Symptoms
of allergic rhinitis include frequent or repetitive sneezing (it is an allergic
reaction to something in the air); a runny or congested nose; itching in the
nose, eyes, throat, or roof of the mouth; plugged-up ear canals; sore throat;
occasional nose-bleeds; impaired smell and wheezing. Sometimes, cross-reactive allergy to some
fruits such as the skin of apples or potatoes occurs because of similarities in
the proteins of the pollen and the food.
Additional symptoms include fever, fatigue, flushing and
irritability. Many patients develop watering,
itching and redness of the eyes, collectively known as allergic rhino
conjunctivitis. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Almost
20-50 percent of patients with allergic rhinitis go on to develop asthma as
allergic rhinitis is a risk factor for developing asthma. A large number of children who start with
asthma also develop allergic rhinitis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Diagnosis<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">The
most important diagnostic tool is the history of the illness. The timing of symptoms also helps in making
the diagnosis. Allergic rhinitis that
appears seasonally is almost always due to pollen; and outdoor allergens can be
detected by conducting a skin test when the patient is not taking
antihistamines. Skin-testing should also be avoided in patients with extensive
eczema. For such patients, ELISA and
RAST are two commonly used methods that measure the presence of food-specific
IgE I the blood of the patients.
However, they are more costly than skin tests and also take more time
and a simple method for detecting common allergens.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Complications
of allergic rhinitis lead to ear infections due to blockage of the Eustachian
tube, recurring headaches, reduced concentration, reduced hearing, appetite,
and growth.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Symptoms of Asthma<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Asthma
is a chronic disease in which the airways of the lungs become inflamed or
narrowed, resulting in disruptions to normal breathing patterns, often called
attacks’ or “episodes’. The level of
severity of asthma suffered by each individual, and further, the severity of
each attack, varies greatly. Genetic
predisposition toward developing asthma and environmental factors play a role
in the actual development of the disease.
Symptoms of asthma include wheezing, shortness of breath, a feeling of
tightness in the chest, and coughing, which are due to a narrowing of the
bronchial passages in the lungs, and to excess mucus production and
inflammation. Asthma can be disabling
and sometimes fatal.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Treatment:
A detailed clinical history of the patient’s illness will identify the likely
cause of rhinitis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Medical
philosophy is increasingly coming to the conclusion that the mere treatment of
symptoms and organs can only help temporarily and that it is the healing power
of the body as a whole that has to be enhanced.
Homoeopathy believes in a holistic, totalistic and individualistic
approach which provides relief, free of side-effects.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%;">Clinical
trials conducted on allergic disorders like atopic dermatitis and childhood
asthma in Hyderabad showed encouraging results with homoeopathic remedies. The same was published in an international journal
Homoeo Links.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<b><span lang="EN-US">A few homoeopathic remedies with their indications<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">Arsenicum album: sneezing (with
every change in the weather), watery discharge from the nostrils, excoriation
of the upper lip, itching, burning and watering from eyes.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">Allium Cepa: Prepared from red
onion has this excoriating nasal discharge, there is more lachrynation which is
bland. The discharge ceases when the
patiehnt goes into the open air, but returns when entering a warm room again.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">Euphrasia: is similar to Allium
cepa, but it has profuse lachrymation, while having bland nasal discharge.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">Arum triphyllum: all the seretions
are acrid, the nostrils and lips are sore.
There is thirst, but drinking causes pain. The nostrils are sore, and there is contant
desire to bore the finger into the nose.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">Lemna Minor: A catarrhal
remedy. Nasal polyps, swollen
turbinates. Atrophic rhinitis asthma
from nasal obstruction, wrose in wet weather.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">Kali lod. Constitutional remedy, starts with sneezing,
pfofuse watry acrid coryza with pain in frontal sinus, cold travels downward to
chest, laynhx feel raw, violent cough <morning back.="" from="" lungs="" o:p="" pain="" stiching="" to="" with=""></morning></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<st1:city w:st="on"><st1:place w:st="on"><span lang="EN-US">Sulphur</span></st1:place></st1:city><span lang="EN-US"> – found to be helpful in asthma
alternating with recurrent skin eruption, fluent burning coryza, worse when
outdoors, stops when indoors. Frequent
sneezing.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">Teucr ham marum: Catarrhal
condition of both anterior and posterior nostrils. Mucous polyps. Chronic catarrh, crawling in nostrils with
lachrymation and sneezing. Coryza with
stoppage of nostrils.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">Solidago: Hay fever. Spasmodic sneezing with runny nose. Copious, watery nasal discharge, worse from
the odour of flowers, even thinking of flowers increases the discharge. Oversensitiveness to odours.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">Sanguinaria nitrate: Acute clods
with sneezing, profuse discharge, burning and rawness in posterior nares, husky
voice (must clear throat before speaking).<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">Pothos: Asthma fromdust exposure
(Kalic, Batta, O\, Solanum)<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">Asthma relieved by stool.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<br /></div>
<br />
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">Psorinum: nose dry, coryza, with
stoppage of nose, chronic catarrh; dropping from posterior nares, Asthma, with
dysponea; worse, while sitting up; better, on lying down.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US"><br /></span></div>
Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com1tag:blogger.com,1999:blog-725444157839606686.post-12285112971943711092015-05-16T22:38:00.001+05:302015-05-16T22:38:07.801+05:30Role of Homoeopathy in TRIGGER FINGER<div align="left" class="MsoTitle">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 16.0pt; mso-bidi-font-size: 10.0pt;">A
CASE OF TRIGGER FINGER<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;">(</span><span style="font-family: "Bookman Old Style","serif"; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Calibri;">The Homoeopathic HERITAGE, Vol 30,no 12,Dec 2006 </span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;">)<o:p></o:p></span></div>
<h1>
<span style="color: #365f91; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Prof G.R. MOHAN<o:p></o:p></span></h1>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 262.15pt; text-align: justify;">
<b><span style="font-family: "Bookman Old Style","serif"; font-size: 8.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Calibri;">Professor Vinayaka
Mission’s <o:p></o:p></span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<b><span style="font-family: "Bookman Old Style","serif"; font-size: 8.0pt; line-height: 115%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Calibri;">Homoeopathic medical college &
hospital, Salem, TN<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;">INTERDUCTION</span></b><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;">:
Trigger Finger or snapping finger or Digital Tenovaginities Stenosans are
SYNONYMS. In this condition when patient attempts to open the closed fist the
affected finger remains in flexed position (locked) and it has to be passively
stretched with other hand. It goes into extension with click. More commonly
seen in females with a frequency 2-6 times that
observed in men. (1). The most commonly affected digit is the thumb, followed by
the ring, long, little, and index fingers Increased incidence in the dominant
hand is observed. Involvement of several fingers is not unusual. It is a
result of nodule formation on flexor tendon. It occurs as complications of
either simple Tendon Synovities or Rheumatic Arthritis. Nodule is usually
small. The Nodule commonly is trapped under the Meta carpo Phalyngeal ligament
as the tendon flexes. The finger is them locked in flexon and active extension
is impossible. To unlock the finger passively pressure is used. Sudden snapping (Trigger) of the digit
occurs, finger is extended. Locking or catching
during active flexion-extension activity may need passive manipulation to
extend the digit in later stages .Stiff digit, especially in long-standing or
neglected cases ,Pain over the distal palm ,Pain radiating along the digit are symptoms.
Systemic causes of Trigger Finger are
collagen-vascular diseases, including Rheumatic Arthritis, Diabetes, psoriatic arthritis, amyloidosis,
hypothyroidism, sarcoidosis, and pigmented villonodular synovitis. <o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt;">Treatment
is not satisfactory in other systems of medicine. Only cartico steroid
injection or operation in which incising the mouth of the fibrous flexor sheath
longitudinally (1).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><u><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;">CASE:<o:p></o:p></span></u></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;">Patient
by name Ms. J. aged 45 years, married with two children without any history of
Diabetes or Hypertension. She was diagnosed as Trigger finger by local
orthopedic surgeon. She came to me with following symptoms to avoid Surgery.
Pain in Rt. Little finger since one year – pain drawing type, aggravated by
initial movement, aggravated early morning, inability to extended the finger, only
passively she has to extend the finger with other hand and in general
aggravated in damp weather. Sleep: N, appetite: N, Bowels: Regular, Urine:
free, perspiration: Normal and menses: attained Menopause.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;">F/H
Arthritis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;">O/E
Slight swelling the finger with tenderness.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;">There
are no much symptoms, only probable cause is over use of her fingers in daily
dowe mixing. On 22/6/05 Rhus Tox 200 C, 3 doses. 4<sup>th</sup> hourly one dose
was prescribed followed placebo for 5 days. Very slight improvement was
noticed. 30/06/05 Rhus Tox 1M, 1 dose followed by placebo 7 days was
prescribed. After this course pain reduced slightly only, inability to extend
finger is as usual. Nodular condition, involvement of flexor tendons (3) Ruta
Graveolen 200 C, 3 doses, 6<sup>th</sup> hourly one dose followed by placebo
for 7 days prescribed. After Ruta.G patient was able to extend the finger
little bit and pain reduced. Ruta G 1M, 1 dose was given along with placebo for
15 days. Patient reported back and she was able to extend her finger without
any help, pain totally reduced. A complimentary drug Cal Phos 200 C, 3 doses
was given lastly. The symptoms did not return even after one year.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><u><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;">DISCUSSION:</span></u></b><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;"> <o:p></o:p></span></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;">This is
a case of few symptoms. Rhus Tox only helped her to some extent. Ruta G is having </span><span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 150%;">tendency
to the formation of deposits in the periosteum, tendons, and about joints,
especially wrist </span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;">it </span><span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 150%;">acts upon the
periosteum, cartilages and Flexor tendons,</span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;"> was tried up to 1m potency
with good response even after one year there were no recurrence of symptoms.
Case was diagnosed on clinically only. Most of the Pathological and
radiological investigations will be normal.<o:p></o:p></span></div>
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<b><u><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;">REFERENCE:<o:p></o:p></span></u></b></div>
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<!--[if !supportLists]--><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Bookman Old Style"; mso-fareast-font-family: "Bookman Old Style";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;">John Crawford Adams and David L.
Hamblen (1991) Outline of Orthopedics, 272 Churchill Livingstone.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Bookman Old Style"; mso-fareast-font-family: "Bookman Old Style";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;">C. Vyaghreswarudu, Principles and
Practice of Orthopedics, Andhra University Press – Waltair.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Bookman Old Style"; mso-fareast-font-family: "Bookman Old Style";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;">J.T. Kent (2EDI) Lecturer on
Homeopathic Materia Medica, 834)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Bookman Old Style"; mso-fareast-font-family: "Bookman Old Style";">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri;">Robin Murphy ND, Lotus Materia Medica.<o:p></o:p></span></div>
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Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com3tag:blogger.com,1999:blog-725444157839606686.post-38646159869580248532014-11-22T16:00:00.001+05:302014-11-22T16:00:26.992+05:30Stop Journeying towards fatigability<div style="margin-bottom: 7.5pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; mso-line-height-alt: 13.75pt;">
<b><i><span style="color: #111111; font-family: "Segoe Print"; font-size: 22.0pt; mso-bidi-font-family: Helvetica; mso-bidi-font-size: 10.0pt;">Stop
Journeying towards fatigability <o:p></o:p></span></i></b></div>
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<b><i><span style="color: #111111; font-family: "Segoe Print"; font-size: 10.0pt; mso-bidi-font-family: Helvetica;">Prof G R Mohan<o:p></o:p></span></i></b></div>
<div style="line-height: 13.75pt; margin-bottom: 7.5pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm;">
<b><i><span style="color: #111111; font-family: "Segoe Print"; font-size: 10.0pt; mso-bidi-font-family: Helvetica;">MD (H0m) P G Dip (Env
Stud)<o:p></o:p></span></i></b></div>
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<b><i><span style="color: #111111; font-family: "Segoe Print"; font-size: 10.0pt; mso-bidi-font-family: Helvetica;">www.drgrmohan.com<o:p></o:p></span></i></b></div>
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<span style="font-family: 'Bookman Old Style', serif; font-size: 10pt;">Beware of false knowledge; it is more dangerous than ignorance-</span><a href="http://www.brainyquote.com/quotes/authors/g/george_bernard_shaw.html"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; mso-bidi-font-family: Helvetica; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; text-decoration: none; text-underline: none;">George Bernard Shaw</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt;"><o:p></o:p></span></div>
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<b><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">Key
Words :</span></b><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;"> fatigue, </span><span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Helvetica;">nutritional anaemia,</span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: AGaramond-Regular; mso-fareast-language: EN-IN;"> iron deficiency anaemia</span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<b><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">Introduction
:<o:p></o:p></span></b></div>
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<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">Fatigue</span><span class="apple-converted-space"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;"> </span></span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">called<span class="apple-converted-space"> </span>exhaustion,<span class="apple-converted-space"> </span>tiredness,<span class="apple-converted-space"> </span>languidness,<span class="apple-converted-space"> </span>languor, lassitude,
and<span class="apple-converted-space"> </span>listlessness) is a subjective feeling of tiredness which is
distinct from<span class="apple-converted-space"> </span></span><a href="http://en.wikipedia.org/wiki/Weakness" title="Weakness"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: windowtext; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%; text-decoration: none;">weakness</span></a><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">, and has a gradual onset. Unlike weakness, fatigue can
be reduced by periods of<span class="apple-converted-space"> </span></span><a href="http://en.wikipedia.org/wiki/Sleep" title="Sleep"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: windowtext; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%; text-decoration: none;">rest</span></a><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">.
Fatigue has physical or mental causes. Physical fatigue is the transient
inability of a<span class="apple-converted-space"> </span></span><a href="http://en.wikipedia.org/wiki/Muscle" title="Muscle"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: windowtext; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%; text-decoration: none;">muscle</span></a><span class="apple-converted-space"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;"> </span></span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">to maintain optimal physical
performance, and is made more severe by intense<span class="apple-converted-space"> </span></span><a href="http://en.wikipedia.org/wiki/Physical_exercise" title="Physical exercise"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: windowtext; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%; text-decoration: none;">physical exercise</span></a><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">.<span class="apple-converted-space"> </span>Mental
fatigue is a transient decrease in maximal cognitive performance resulting from
prolonged periods of cognitive activity. It can manifest sleepiness,<span class="apple-converted-space"> </span></span><a href="http://en.wikipedia.org/wiki/Lethargy" title="Lethargy"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: windowtext; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%; text-decoration: none;">lethargy</span></a><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">, or<span class="apple-converted-space"> </span></span><a href="http://en.wikipedia.org/wiki/Directed_attention_fatigue" title="Directed attention fatigue"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: windowtext; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%; text-decoration: none;">directed
attention fatigue</span></a><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">. <sup>[4]</sup></span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Helvetica;"> A
tendency to get tired or lose strength.</span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> <sup>1</sup><o:p></o:p></span></div>
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<span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Helvetica;">One of the common causes of fatigability is
nutritional anaemia;</span><span style="color: #4f4f4f; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: "Lucida Sans Unicode";"> </span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">chronic
fatigue is a symptom of many diseases and conditions. Like </span><a href="http://en.wikipedia.org/wiki/Autoimmune_disease" title="Autoimmune disease"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; text-decoration: none; text-underline: none;">Autoimmune diseases</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">, </span><a href="http://en.wikipedia.org/wiki/Anemia" title="Anemia"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; text-decoration: none; text-underline: none;">anaemia</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> and </span><a href="http://en.wikipedia.org/wiki/Hemochromatosis" title="Hemochromatosis"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; text-decoration: none; text-underline: none;">hemochromatosis</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">, </span><a href="http://en.wikipedia.org/wiki/Drug_abuse" title="Drug abuse"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; text-decoration: none; text-underline: none;">drug abuse</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">, mood</span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> disorder, malnutrition, </span><a href="http://en.wikipedia.org/wiki/Diabetes_mellitus" title="Diabetes mellitus"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; text-decoration: none; text-underline: none;">diabetes mellitus</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> and </span><a href="http://en.wikipedia.org/wiki/Hypothyroidism" title="Hypothyroidism"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; text-decoration: none; text-underline: none;">hypothyroidism</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">, </span><a href="http://en.wikipedia.org/wiki/Fibromyalgia" title="Fibromyalgia"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; text-decoration: none; text-underline: none;">Fibromyalgia</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">, </span><a href="http://en.wikipedia.org/wiki/Sleep_deprivation" title="Sleep deprivation"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; text-decoration: none; text-underline: none;">Sleep deprivation</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">, </span><a href="http://en.wikipedia.org/wiki/Lyme_disease" title="Lyme disease"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; text-decoration: none; text-underline: none;">Lyme disease</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">, </span><a href="http://en.wikipedia.org/wiki/Liver_failure" title="Liver failure"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; text-decoration: none; text-underline: none;">Liver failure</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> and in
malignant conditions <sup>1</sup><o:p></o:p></span></div>
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<span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Helvetica;">Fatigability is a common problem in students, employees,
home makers.</span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> </span><span style="color: #4f4f4f; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: "Lucida Sans Unicode";">Due </span><span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Helvetica;">fatigability day to day work
performance is hampered like poor turnout of targeted work, absenting from work,
bunking college and schools, poor scoring in examinations, ECT.</span><span style="color: #4f4f4f; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: "Lucida Sans Unicode";"> </span><span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Helvetica;">Fatigability is grossly neglected
condition However, we are educated we
compromise with our health problems more so with fatigability by seeing a T V
advertisement, buying glucose pack consuming it for months together without any
result, on a day when blood examination
is done, seeing haemoglobin levels one open the eyes </span><span style="color: #4f4f4f; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: "Lucida Sans Unicode";">, even some
percentage of people still neglect. Commonly </span><span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Helvetica;">symptoms</span><span style="color: #4f4f4f; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: "Lucida Sans Unicode";"> of anaemia are overlooked.<o:p></o:p></span></div>
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<b>Epidemiology:<o:p></o:p></b></span></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">Nutritional anaemia is very much
prevalent and largely undiagnosed among students in the Professional
Institutes. Nutritional anaemia is a disease syndrome caused by malnutrition..
It has been defined by WHOM as “a condition in which the haemoglobin content of
the blood is lower than normal as a result of a deficiency of one or more
essential nutrients, regardless of the cause of such deficiency”. By far the
most frequent cause of nutritional anaemia is iron deficiency, and less
frequently foliates or vitamin B12.Various socio-demographic characteristics
like age, sex, social class, dietary habits, and infections are the etiological
factors for nutritional anaemia <sup>3.</sup> <o:p></o:p></span></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: AGaramond-Regular; mso-fareast-language: EN-IN;">Anaemia is a global public health problem affecting
both developing and developed countries. In 2002, iron deficiency anaemia (IDA)
was considered to be among the most important contributing factors to the
global burden of disease. Anaemia is an indicator of both poor nutrition and
poor health <sup>4.</sup></span><span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Helvetica;"><o:p></o:p></span></div>
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<span style="background: white; color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Global prevalence of anaemia in (preschool aged children is
47.4%, in pregnant women is 41.8%, in non-pregnant women is 30.2 %,) 818
million women worldwide (both pregnant and non-pregnant) and young children
suffer from anaemia and over half of these, approximately 520 million, live in
Asia.<sup>5</sup></span><span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Helvetica;">In one </span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">cross sectional study on </span><span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Helvetica;">study conducted in a medical
college show the following results, </span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">the study was about
100 Medical students, 32.0% students were anaemic, out of which 44.0% were
girls and 20.0% boys. 25.0% students had mild anaemia. The majority (81.8%) of
anaemic students was undernourished as per their Body Mass Index <sup>6</sup></span><span style="color: #4f4f4f; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: "Lucida Sans Unicode";"> </span><span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">According to one study conducted by <em>Arlappa, N Balakrishna</em> in Maharashtra, 59.2 % of the
rural pre-school children of Maharashtra were anaemic. <sup>2, 6, 7</sup></span><span style="color: #4f4f4f; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: "Lucida Sans Unicode";"><o:p></o:p></span></div>
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<b><span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 150%;">Causes:<o:p></o:p></span></b></div>
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<span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">The following are the causes a) Poor
dietary intake, b) poor bioavailability of iron
in the diet consumed c) and
increased requirements of iron </span><span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">d) </span><span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;"> malabsorption leads to poor iron
absorption e) any Blood loss from Any
orifice of the body, ( Gastrointestinal
blood loss. Bleeding from gums and oral cavity, Bleeding piles .Bleeding from
the genito-urinary tract, in females Menorrhagia, and ante partum and
postpartum haemorrhages.</span><span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="background: white; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">A woman loses about 500 mg of iron with each pregnancy. Menstrual losses
are highly variable, ranging from 10 to 250 mL (4-100 mg of iron) per period, an
adult male absorbs and loses about 1 mg of iron from a diet containing 10-20 mg
daily.</span><span style="color: #525252; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> Children who drink more than 16 to
24 ounces of cow's milk per day also have a higher risk of </span><span style="background: white; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">Iron deficiency
anaemia</span><span style="color: #525252; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">, because cow's milk can interfere
with iron absorption and irritate the lining of the intestines, leading to
blood loss. </span><span style="background: white; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">Each gram of haemoglobin contains 3.47 mg of iron; thus, each mL of
blood lost from the body (haemoglobin 15 g/dL) results in a loss of 0.5 mg of
iron.</span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;"> </span><span style="color: #525252; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;"><o:p></o:p></span></div>
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<b><span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; mso-bidi-font-family: Helvetica;">Symptoms<o:p></o:p></span></b></div>
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<span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Helvetica;">Initially, anaemia goes unnoticed in majority of people. But
symptoms increase as anaemia worsens, </span><span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Fatigue , a feeling of laziness, dizziness, pain in head,
tinnitus, diminished vision a vague
feeling that one is not well ; difficult or laboured breathing, Poor concentration, Palpitations, irregular,
forceful beating of the heart, Sensitivity to cold temperatures, </span><span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">Cold intolerance,</span><span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> </span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">Pica is not a cause of iron deficiency anaemia;
pica is a symptom of iron deficiency anaemia</span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> i.e. craving for ice, chalk, dry rice etc<span style="color: #111111;"> ,
sufferer looks pale and life less </span></span><span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">Leg cramps on climbing stairs, Poor
educational performance, Reduced
resistance to infection, Altered behaviour, Dysphasia with solid foods (from
oesophageal webbing <sup>8</sup><o:p></o:p></span></div>
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<i><span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">The
following symptoms are less common</span></i><span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">, </span><a href="http://www.medicalnewstoday.com/articles/156286.php" title="What Is Tinnitus? What Causes Tinnitus?"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-weight: bold; text-decoration: none; text-underline: none;">Tinnitus</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> ,</span><a href="http://www.medicalnewstoday.com/articles/177473.php" title="What Is Dysphagia? What Causes Dysphagia?"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-weight: bold; text-decoration: none; text-underline: none;">Dysphagia</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">,</span><a href="http://www.medicalnewstoday.com/articles/7882.php" title="What Is Restless Legs Syndrome? How To Treat Restless Legs Syndrome"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-weight: bold; text-decoration: none; text-underline: none;">Restless leg syndrome</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">,</span><span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;"> Impaired growth in infants,
Spoon-shaped nails (koilonychia) A glossy tongue, with atrophy of the lingual
papillae, angular stomatitis Splenomegaly <o:p></o:p></span></div>
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<b><span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Helvetica;">Investigations:<o:p></o:p></span></b></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">Complete blood cell picture, Evolution of Iron
status is based on Haemoglobin</span><span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;"> concentration,
Serum iron, total iron-binding capacity , serum ferritin.</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #252525; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;"> </span><span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">and</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #252525; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;"> Reticulocyte counts (</span><span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">Reticulocyt0paenia occurs in
Nutritional deficiency Anemias,)</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #252525; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">,</span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> Haemoglobin and haematocrit are all decreased in Iron Deficiency
Anaemia. MCV, MCH and MCHC are also decreased. The peripheral blood film shows
hypo chromic microcytic red cells, Serum iron is decreased, examination of the
stools for occult blood and helminthiasis is mandatory in all patients. <sup>8<span style="color: #111111;"> <o:p></o:p></span></sup></span></div>
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<b><span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">Homoeopathic perceptive</span></b><span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">: <o:p></o:p></span></div>
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<span style="background: white; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">Iron deficiency anaemia is an easily treated disorder with an excellent
outcome, but ignorance is becoming hurdle.<o:p></o:p></span></div>
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<span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">However, we educate about the
importance of a balanced diet, people they have their own reservation about
diet, per capita income is less purching capacity to buy nutritious food items
becoming difficult, small group interaction was conducted in a medical
institute revelled that 95% are not consummating nutritious iron rich food.
hand full people buy the costly anihaemtics which are prescribed by health care
persons, but they do not consume due intolerance,</span><span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;"> oral iron in small percentage of people causes nausea, epigastria
discomfort, vomiting, constipation and diarrhoea.</span><span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">,
The only options left is giving the indicated homeopathic remedy on the basis
of the totality of symptoms and suggesting a balanced iron rich food. But still
people avoid advised diet due to various reasons. In Homoeopathy Ferum Phos 3x,
Lecithin 3x and Vanadium 3x helped majority of people not in people who wants
to live with Anaemia. According to
Hahnemann a classification of diseases Anaemia comes under pseudo chronic
disease,<o:p></o:p></span></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;"> Lecithin is
important in the vital processes of plant and animal organisms. It is prepared
from the yolk of egg, phosphorus containing complex organic body. Lecithin has
a favourable influence upon the nutritive conditions and especially upon the
blood, hence its uses in anaemia and convalescence, neurasthenia and insomnia.
(Lotus) Tired, weak short of breath; loss of flesh symptoms of general
breakdown. (Patak)<span style="background: yellow; mso-highlight: yellow;"><o:p></o:p></span></span></div>
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<b><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">Ferrum
Phos</span></b><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">
3X: In pale, anaemic subjects with violent local congestions. Ferr-p. Increases
haemoglobin. Haemorrhages, bright from any orifice. Anaemia. Emaciation. Takes
cold easily. Inflammation of the soft parts. Bruised soreness, chest, shoulders<o:p></o:p></span></div>
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<b><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">Vanadium</span></b><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">
is a remedy in degenerative conditions of the liver and arteries. Anorexia and
symptoms of gastrointestinal irritation, albumen, casts and blood in urine.
Tremors, vertigo, hysteria and melancholia, Neuro-retinitis and blindness.
Anaemia, emaciation. Cough dry, irritating and paroxysmal, sometimes with
haemorrhages. Irritation of nose, eyes and throat.. (Lotus) Murphy<o:p></o:p></span></div>
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<b><span style="background: white; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">If you fail to stop your journeying towards
fatigability you have to face following:<o:p></o:p></span></b></div>
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<br /></div>
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<span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Helvetica; mso-bidi-font-weight: bold;">You suffer with </span><span style="color: #111111; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Helvetica;">severe anaemia and Severe
fatigue. you may be so tired that you can't complete everyday
tasks; you may be too exhausted to work or play.</span><span style="background: white; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;"> Impaired immune function is reported and
prone to infections, doctor visits will be more.</span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;"> </span><span style="background: white; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;"> increased risk for psychiatric disorders, The
intelligence quotients (IQs) of students will be low . </span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">An
estimation of haemoglobin should be done to assess the degree of anaemia.</span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> For </span><a href="http://www.medicinenet.com/mens_health/article.htm"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; text-decoration: none; text-underline: none;">men</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">, anaemia is typically
defined as a haemoglobin level of less than 13.5 grams/100 ml and in </span><a href="http://www.medicinenet.com/womens_health/article.htm"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; text-decoration: none; text-underline: none;">women</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> as haemoglobin of
less than 12.0 grams/100 ml. </span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;"> If the anaemia is “Severe”, 10 g/dl high doses
of iron or blood transfusion may be necessary. If haemoglobin is between 10-12
g/dl, the other interventions are like iron and folic acid rich diet,
supplementation and other strategies such as changing dietary habits, control
of parasites and nutrition</span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> </span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">Education.<o:p></o:p></span></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">Evidenced
based Case : is available at homoeocure with </span><a href="mailto:drmohan@blog.com"><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">drmohan@blog.com</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<b><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">References:<o:p></o:p></span></b></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">1) </span><a href="http://en.wikipedia.org/wiki/Anemia"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; text-decoration: none; text-underline: none;">http://en.wikipedia.org/wiki/Anemia</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">2) </span><a href="http://medind.nic.in/ice/t12/i1/icet12i1p16.pdf"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; text-decoration: none; text-underline: none;">http://medind.nic.in/ice/t12/i1/icet12i1p16.pdf</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">3) </span><a href="http://medind.nic.in/ice/t12/i1/icet12i1p16.pdf"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; text-decoration: none; text-underline: none;">http://medind.nic.in/ice/t12/i1/icet12i1p16.pdf</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">4) Worldwide prevalence of anaemia 1993–2005 WHO
Global Database on Anaemia. W H O<o:p></o:p></span></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;"> 5) </span><a href="http://www.mayoclinic.org/diseases-conditions/anemia/basics/complications/con-20026209"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; text-decoration: none; text-underline: none;">http)://www.mayoclinic.org/diseases-conditions/anemia/basics/complications/con-20026209</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">6) Rubeena
Bano, Nadeem Ahmad, B. C. Sharma, Ashok Agarwal,</span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: "Gatineau\,Bold"; mso-bidi-font-weight: bold;"> Nutritional
Anemia in the Medical Students,</span><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;"> </span><a href="http://medind.nic.in/ice/t12/i1/icet12i1p16.pdf"><span style="color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; text-decoration: none; text-underline: none;">http://medind.nic.in/ice/t12/i1/icet12i1p16.pdf</span></a><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;">7)<em><b> </b></em><em>N Arlappa, N Balakrishna, A Laxmaiah, GNV Brahmam,</em>
prevalence of anaemia among rural pre-school children of Maharashtra, India,</span><span style="background: white; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;"> </span><a href="http://www.iapsmupuk.org/"><span style="background: white; color: windowtext; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial; text-decoration: none; text-underline: none;">www.iapsmupuk.org</span></a><span style="background: white; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;"><o:p></o:p></span></div>
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<span style="background: white; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">8) A P
I Text book Of Medicine,8<sup>th</sup> Edition,vol 2. <o:p></o:p></span></div>
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<b><span style="background: white; color: #006621; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">If U have a
“Magnetic Personality and still u can’t attract a giral/guy towards U,<o:p></o:p></span></b></div>
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<b><span style="background: white; color: #006621; font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%; mso-bidi-font-family: Arial;">It’s not your fault,
it just means that the girl /guy has Iron deficiency Anaemia “—by Namam</span></b><b><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;"><o:p></o:p></span></b></div>
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<span style="font-family: Tahoma, sans-serif; font-size: 8pt; line-height: 115%;"><br />
<!--[if !supportLineBreakNewLine]--><br />
<!--[endif]--><o:p></o:p></span></div>
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<b><u>CASE</u></b>:
Patient named Ms S, aged 19 years, Female, Intermediate student came with
following complaints ON 11-03-2014 came with following symptoms:</div>
<div class="MsoNormal">
MIND – SADNESS</div>
<div class="MsoNormal">
MIND - TIMIDITY - public; about appearing in</div>
<div class="MsoNormal">
RECTUM - CONSTIPATION - chronic</div>
<div class="MsoNormal">
FEMALE GENITALIA/SEX - MENSES - painful</div>
<div class="MsoNormal">
GENERALS - ANEMIA - nutritional disturbance, from</div>
<div class="MsoNormal">
GENERALS – WEAKNESS</div>
<div class="MsoNormal">
HB % was 8, </div>
<div class="MsoNormal">
ON repertorisation Plumbam Met 32/13, Lyco 29/13, Nux Vom 29/13
and Silicia 29/13.</div>
<div class="MsoNormal">
ON 12<sup>TH</sup> March Plumbam Met 30C 5does was given
Rubrum for 15 days were given, there was not much improvement, </div>
<div class="MsoNormal">
ON 28<sup>TH</sup> March Plumbam Met 200 C 5does was given Lacethine
3x four grains twice a day was given, Rubrum for 15 days were given,</div>
<div class="MsoNormal">
12<sup>th</sup> April patient came weakness’ and
constipation were to some extent relived Rubrum 5 doses and LACETHINE 3X FOUR
GRAINS TWICE a was given,</div>
<div class="MsoNormal">
20<sup>th</sup> June 2014 she came with same complaints, as I
enquired why she has not regular to collect medicines, she told me she
consulted a general physician, took allopathic medicines without any benefit. Haemoglobin
was 9 grams</div>
<div class="MsoNormal">
Nux Vomica 200C, 5doses were given along with Lacethine 3X four
grains twice a day was given for 15 days.</div>
<div class="MsoNormal">
21<sup>TH</sup> July she told me that she is feeling better
physically and mentally, but constipation was still persisting, Sulphur 200C, 3doses
were given along with Lecithin 3X four grains twice a was given for 15 days.</div>
<div class="MsoNormal">
22<sup>nd</sup> Aug 2014 she came with complete Blood
picture report Haemoglobin was 10.4 grams.</div>
<div class="MsoNormal">
Tuberculinum 1M, 1dose was given along with Lecithin 3X four
grains twice a day for 30 days. </div>
<div class="MsoNormal">
27<sup>th</sup> Sept 2014 she has put on weight, feeling
better physically and mentally, Constipation was not totally relived, I advised
the patient to take opinion of Surgeon, surgeon opinion was rectal stricture. </div>
<div class="MsoNormal">
Conclusion: </div>
<div class="MsoNormal">
Lecithin is important in the vital processes of plant and
animal organisms.</div>
<div class="MsoNormal">
It is prepared from the yolk of egg, a phosphorus containing
complex organic</div>
<div class="MsoNormal">
Body. Lecithin has a favourable influence upon the nutritive
conditions and</div>
<div class="MsoNormal">
Especially upon the blood, hence its uses in anaemia and
convalescence,</div>
<div class="MsoNormal">
Neurasthenia and insomnia. (Lotus) Tired weak short of
breath; loss of flesh </div>
<div class="MsoNormal">
Symptoms of general break down. ( Patak)</div>
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Article was published in first college day Souvenir 0n 07-11-2014</div>
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Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com2tag:blogger.com,1999:blog-725444157839606686.post-50576476425642419312014-10-03T22:31:00.001+05:302014-10-03T22:31:10.343+05:30Role of Homoeopathy in Irritable Bowel Syndrome<h3 style="background-color: white; border: 0px; clear: both; font-family: Arial, sans-serif; font-size: 14px; margin: 10px 0px 2px; outline: 0px; overflow: hidden; padding: 0px; vertical-align: baseline;">
<cite style="border: 0px; font-family: inherit; font-style: inherit; font-weight: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Irritable Bowel Syndrome & Homoeopathy paper was presented at Omics Traditional and Alternative Medicine at Hyderabad on 9-11 Dec 2013</cite></h3>
<div class="MsoNormal" style="background: white; line-height: 18.0pt;">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; mso-fareast-font-family: "Times New Roman";"> Irritable bowel syndrome is a functional
gastrointestinal disorder characterized by abdominal pain, discomfort and
alteration of bowel habits in the absence of any organic disorder.</span><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; mso-bidi-font-family: Arial;"> Irritable Bowel Syndrome is a very common
gastrointestinal dysfunction with </span><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt;">the world wide prevalence among general population ranges from 5.7% to
34%,<span class="apple-converted-space"> </span>the overall prevalence of IBS in
western countries as reported by various studies ranges from 17-22%. However,
in Asian countries a highly variable range of prevalence has been observed i.e.
2.3-34%<span class="apple-converted-space">. </span>Many studies have reported
that IBS is associated with elevated levels of emotional and psychological
stress is a major contributing factor. </span><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";">In spite of strong evidence of a
high prevalence of depression and anxiety in IBS there is very limited research
on this in India.</span><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; mso-bidi-font-family: Helvetica; mso-fareast-font-family: "Times New Roman";"> As there is no clear causes of irritable bowel
syndrome, treatment focuses on the relief of symptoms.</span><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; mso-bidi-font-family: AdvTTb5929f4c; mso-bidi-font-size: 10.0pt;"> <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 18.0pt;">
<span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; mso-bidi-font-family: AdvTTb5929f4c; mso-bidi-font-size: 10.0pt;">Many sufferers seeking</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> </span><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">homeopathic,
</span><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; mso-bidi-font-family: AdvTTb5929f4c; mso-bidi-font-size: 10.0pt;">complementary
and alternative medicine as a part of treatment</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">.</span><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; mso-bidi-font-family: Helvetica; mso-fareast-font-family: "Times New Roman";"> </span><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; mso-bidi-font-family: AdvTTb5929f4c;">Homeopathic treatment is based on Individualization,
Constitutional approach with lifestyle modification. In Homoeopathy, </span><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; mso-bidi-font-family: Arial;">Importance is given to psyche symptoms along with
bowel symptoms in the plan of treatment, </span><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; mso-bidi-font-family: AdvTTb5929f4c;">There is quite a good number of remedies in Homoeopathy like </span><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Bookman Old Style', serif; font-size: 9pt;">Argentum
nitricum</span><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; mso-bidi-font-family: AdvTTb5929f4c;">.</span><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Bookman Old Style', serif; font-size: 9pt;"> Sulphur, Podophyllum,Cynodin</span><b><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: Arial, sans-serif; font-size: 7pt;"> </span></b><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: 'Bookman Old Style', serif; font-size: 9pt;">and
carcinocin</span><span lang="EN-US" style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; mso-bidi-font-family: AdvTTb5929f4c;"> etc Results are quite encouraging. <o:p></o:p></span></div>
<br />
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<b><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 10pt;">Magnitude of the Problem ;</span></b><b><span style="font-family: Arial, sans-serif; font-size: 10pt;"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">20% Adults in western
world . More or less same in India.</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">Significant impact on quality of life. 2nd common
cause (after cold) of absenteeism .</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; tab-stops: 191.4pt; text-autospace: none;">
</div>
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<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">Contribute to 25 - 40 % of practice of
gastroenterologists</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">Rome II Criteria for diagnosis 2</span></b><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">Pain or discomfort for 12 weeks of the previous 12 months, associated
with</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 32.4pt; margin-right: 0cm; margin-top: 0cm; text-indent: -27.0pt;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">two Of the following three:</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;"> Relief on
having a bowel movement,</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 32.4pt; margin-right: 0cm; margin-top: 0cm; text-indent: -27.0pt;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">Looser or more frequent stools,</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">
</span></div>
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<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">Harder or less frequent stools</span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 32.4pt; margin-right: 0cm; margin-top: 0cm; text-indent: -27.0pt;">
<b><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">Symptoms 2,3</span></b></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 32.4pt; margin-right: 0cm; margin-top: 0cm; text-indent: -27.0pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt; line-height: 15.05pt;">Abdominal pain associated with defecation.</span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 32.4pt; margin-right: 0cm; margin-top: 0cm; text-indent: -27.0pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt; line-height: 15.05pt;">Irregular pattern of defecation for at least two days a week.</span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 32.4pt; margin-right: 0cm; margin-top: 0cm; text-indent: -27.0pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt; line-height: 15.05pt;">Three or more of the following:</span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 32.4pt; margin-right: 0cm; margin-top: 0cm; text-indent: -27.0pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt; line-height: 15.05pt;">altered stool frequency; altered stool form (hard/loose);</span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 32.4pt; margin-right: 0cm; margin-top: 0cm; text-indent: -27.0pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt; line-height: 15.05pt;">altered stool passage (straining/urgency/ sense of incomplete evacuation);</span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 32.4pt; margin-right: 0cm; margin-top: 0cm; text-indent: -27.0pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt; line-height: 15.05pt;">mucus per rectum,</span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 32.4pt; margin-right: 0cm; margin-top: 0cm; text-indent: -27.0pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt; line-height: 15.05pt;">bloating or feeling of abdominal distension.</span></div>
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<span style="font-family: Arial, sans-serif; font-size: 9pt; line-height: 15.05pt;"><br /></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<b><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;"> Homoeopathic Approach</span></b><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
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<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">· Case recording</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">· Physical
examination</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">· Provisional
diagnosis</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">· Differential
diagnosis</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">· Investigations</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">· Final
diagnosis</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">· Analysis of
the symptoms</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">· Evaluation
of the symptoms</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">· Results of
repertorisation</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">· Analysis of
repertorial result</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">· Classification
of disease ( according to hahnemann)</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">· Miasmatic
diagnosis</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">· Choice of
remedy</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">· Potency
selected</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 15.05pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">· Diet</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">STUDY</span></b><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">My study of 23 cases( was from june 2011 –may 2012 ) average
age was 25 years ,female gender were more, home makers were
more with large size of family, 3% were employees . DIBS was more seen then
CIBS, past treatment history majority took conventional
treatment with out any result.</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">every case was thoroughly investigated and came to conclusion that
there was no pathology.</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 9pt;"> 15-25 years age group males were (1) females (6)<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 9pt;"> 26-35 years age group males were (2) females (10)<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 9pt;"> 36-40 years age group males were (1) females (3)<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;"> In occupation out of 17 females 8 were home makers, in out
of 6 males 3 were I T professionals 2 were teachers.</span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 9pt;"> Remedies used:<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 9pt;"> Arsenic Alb , Gelsemium , Argenticum Nitrricum, Mer Sol , Nux
Vom , Cynodyon, Carcinocine were the remedies ,potency used
200 ,I M.<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 9pt;"> </span><b style="line-height: 15.05pt;"><span style="font-family: Arial, sans-serif; font-size: 9pt;">Improvement was as
follows</span></b></div>
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<span style="font-family: Arial, sans-serif; font-size: 9pt;">No reoccurring of
symptoms three months after stopping medicines ( 6 T + 3 ST) no reoccurrence of
symptoms : took it as good improvement<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 9pt;">reoccurring of
symptoms three months after stopping medicines ( 6 T + 3 ST) no reoccurrence of
symptoms, intensity of symptoms were less , took it as moderate improvement<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 9pt;">reoccurring of
symptoms very frequent with treatment took
it as poor improvement<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 9pt;"> </span><span style="font-family: Arial, sans-serif; font-size: 9pt; text-indent: -27pt;"> </span><b style="font-family: Arial, sans-serif; font-size: 9pt; text-indent: -27pt;">Improvement
in 23 cases was as follows</b></div>
<ul type="disc">
<li class="MsoNormal" style="margin-bottom: 0.0001pt;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> N : 23</span><span style="font-family: "Arial","sans-serif"; font-size: 9.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"><o:p></o:p></span></li>
<li class="MsoNormal" style="margin-bottom: 0.0001pt;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> drop
outs : 2 (
8.7%)</span><span style="font-family: "Arial","sans-serif"; font-size: 9.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"><o:p></o:p></span></li>
<li class="MsoNormal" style="margin-bottom: 0.0001pt;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> cases </span><span style="font-family: "Arial","sans-serif"; font-size: 9.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">good improvement :
15 ( 65.2%)<o:p></o:p></span></li>
<li class="MsoNormal" style="margin-bottom: 0.0001pt;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> cases </span><span style="font-family: "Arial","sans-serif"; font-size: 9.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">moderate improvement : 4
(17.4%)<o:p></o:p></span></li>
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<span style="font-family: Arial, sans-serif; font-size: 9pt;">· no improvement :
2 (8.7%) </span></div>
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<span style="font-family: Arial, sans-serif; font-size: 9pt;"> Treated case</span></div>
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<span style="font-family: Arial, sans-serif; font-size: 9pt; text-indent: -18pt;"> <o:p></o:p></span><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt; line-height: 115%; text-indent: -18pt;">Patient Ms V, aged about 39 years with weight 56 KGs, consulted me on 5<sup>th</sup> June
2011 for pain abdomen > stool after, pain drawing in lumbar area, passing
stools 4-5 times stool. C T Scan abdomen
was done it was WNL. Case was
diagnosed as a case of I B S by local Gastroenterologist</span></div>
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<span style="font-family: Arial, sans-serif; font-size: 9pt; line-height: 115%;"> </span><span style="font-family: Arial, sans-serif; font-size: 9pt; line-height: 115%;">Irritability, anxiety about health of his own health,
pain abdomen > stool after, diarrhea anxiety after, cold water cold drinks
<, cold food <.,</span><span style="font-family: Arial, sans-serif; font-size: 9pt; line-height: 115%;"> </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;">Ars alb 33/15 , NUX Vom 25/11, Silicia 23/15 were choice remedies <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt; line-height: 115%;">Treatment follow up</span><span style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%; mso-ansi-language: EN-US;">5/06/2011 Nux Vomica 30 c 3 doses
were given</span><span style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%; mso-ansi-language: EN-US;">15/07/2011 case was repertorised as shown
in next slid Ars Alb 200, 5
doses was given </span><span style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%; mso-ansi-language: EN-US;">14/08/2011 pain in abdomen reduced ,
general condition improved,</span><span style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%; mso-ansi-language: EN-US;">29/09/2011 Nat sulf 200 was given and followed by Ars Alb</span><span style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%; mso-ansi-language: EN-US;">27/10/2011 general condition improved, Ars Alb 1m
one dose was given </span><span style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt; line-height: 115%;">02/12/2011 was a symptomatic , with good general
health , Tuberculinum 1M one dose was
given as closing remedy and
treatment was stopped and advised her to see me after 4 months .</span><span style="font-family: "Arial","sans-serif"; font-size: 9.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-size: 48.0pt; mso-font-kerning: 12.0pt; mso-hansi-font-family: Calibri;">Bibliography</span></b><b><span lang="EN-US" style="font-size: 8.0pt; mso-ansi-language: EN-US; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-bidi-font-size: 24.0pt; mso-font-kerning: 12.0pt; mso-hansi-font-family: Calibri;"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 32.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 8.0pt; mso-fareast-font-family: Arial; mso-font-kerning: 12.0pt;">•<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-ansi-language: EN-US; mso-font-kerning: 12.0pt;">1) Govind K Makharia, Anil K Verma, Ritvik Amarchand
Anil Goswami J Neurogastroenterol
Motil. 2011 January; 17(1): 82–87.Published online 2011 January 26<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 20.0pt; mso-bidi-font-size: 8.0pt; mso-fareast-font-family: Arial; mso-font-kerning: 12.0pt;">•<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-ansi-language: EN-US; mso-font-kerning: 12.0pt;">2) </span><span style="font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-font-kerning: 12.0pt;">http://www.mayoclinic.com/health/irritable-bowel-syndrome/DS00106">Irritable
bowel syndrome <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 20.0pt; mso-bidi-font-size: 8.0pt; mso-fareast-font-family: Arial; mso-font-kerning: 12.0pt;">•<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-font-kerning: 12.0pt;">3) </span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-font-kerning: 12.0pt;">http://www.onhealth.com</span><span style="font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-font-kerning: 12.0pt;">
Irritable_ bowel _syndrome paged4htm<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 20.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 8.0pt; mso-fareast-font-family: Arial; mso-font-kerning: 12.0pt;">•<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-font-kerning: 12.0pt;">4) Dr GRMohan </span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-ansi-language: EN-US; mso-font-kerning: 12.0pt;">Irritable bowel syndrome challenge in medical
practice, NHJ, Vol 8, no 2, March-April-2006<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 20.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 8.0pt; mso-fareast-font-family: Arial; mso-font-kerning: 12.0pt;">•<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 8.0pt; mso-ansi-language: EN-US; mso-font-kerning: 12.0pt;">5) http://en.wikipedia.org/wiki/holmes_and_rahe_stress_scale</span></div>
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Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com2tag:blogger.com,1999:blog-725444157839606686.post-67921836497664105612014-08-09T12:43:00.003+05:302014-08-09T12:43:35.061+05:30Back pain Agony<div style="line-height: 150%;">
<b><span style="color: #333333; font-family: "Verdana","sans-serif"; font-size: 16.0pt; line-height: 150%; mso-bidi-font-family: Arial; mso-bidi-font-size: 11.0pt;">Back pain
Agony <o:p></o:p></span></b></div>
<b><span style="color: #333333; font-family: "Verdana","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: Arial;">Prof
G R Mohan<o:p></o:p></span></b><br />
<span style="font-size: 6pt;">M D (Hom), PGDip (Env
Stud)</span><span style="color: #333333; font-family: "Verdana","sans-serif"; font-size: 9.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span><br />
<span style="color: #333333; font-family: "Verdana","sans-serif"; font-size: 9.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 11.0pt;">Principal, Devs homoeopathic medical
college, Hyderabad<o:p></o:p></span><br />
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<span style="font-family: 'Times New Roman', serif;">Visiting Professor (P G), VM Homoeopathic Medical College, Salem,
TN,India.</span><span lang="EN-IN" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div>
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<span lang="EN-IN"><a href="http://in.mc955.mail.yahoo.com/mc/compose?to=drmohangr@gmail.com" target="_blank"><span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">drmohangr@gmail.com</span></a></span><span lang="EN-IN" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 11.0pt; line-height: 150%;">Pain according to the International
Association for the Study of Pain defined as: An unpleasant sensory and emotional experience associated with actual
or potential tissue damage or described in terms of such damage.<o:p></o:p></span></div>
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<span style="font-family: "Verdana","sans-serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">There are two major types of pain, nociceptive and neuropathic.
Nociceptive pain results from tissue damage. Nociceptive pain can be subdivided
into somatic and visceral pain. Nociceptive pain can be experienced as sharp,
dull, or aching. There may be radiation of the pain, but it will not be in a
direct nerve distribution.</span><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">
Nociceptive pain tends to worsen when stress or pressure is applied to an
affected area. </span><span style="font-family: "Verdana","sans-serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"><o:p></o:p></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">Neuropathic
pain descriptions often have an electrical quality: burning, lancinating,
buzzing, tingling, zapping, and lightning like. Neuropathic pain tends to
radiate in a distribution that follows nerves. Classic examples include
trigeminal neuralgia and herpes zoster pain.</span><span style="font-family: "Verdana","sans-serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> Neuropathic pain may occur when there is either damage to
or dysfunction of nerves in the peripheral or central nervous system.
Neuropathic pain frequently coexists with nociceptive pain.</span><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> Neuropathic pain may have "reverb"-like
phenomenon, with paroxysms of pain due to light touch, temperature change, or
even air movement.<o:p></o:p></span></div>
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<span lang="EN-IN" style="color: #333333; font-family: "Verdana","sans-serif"; mso-bidi-font-family: Arial;">Back pain </span><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">is one of humanity's most frequent complaints
in the US.</span><span lang="EN-IN" style="color: #333333; font-family: "Verdana","sans-serif"; mso-bidi-font-family: Arial;"> About eight in ten Americans are
suffering from back ache at some point in their lives. </span><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">Is the fifth most common reason for
physician visits</span><span lang="EN-IN" style="color: #333333; font-family: "Verdana","sans-serif"; mso-bidi-font-family: Arial;"> after colds, it's the No. 1 cause of
missed work. Yet a cure for the common backache is as elusive as ever. Back
pain can originate from many sources, and treatments are just as varied,</span><span lang="EN-IN" style="font-family: Verdana, sans-serif;"> Lower back pain can be very agonizing. The pain can make a person
feel helpless, can irritate a person and lead to psychological distress .<sup>1,2</sup></span><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"><o:p></o:p></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif";">Back pain is divided into following grades a) acute (less than 4 weeks), b) sub acute (4
– 12 weeks), c)chronic (more than 12 weeks).<b><span style="background: rgb(255, 255, 102);"> <o:p></o:p></span></b></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif";">Low back pain may be classified on the involvement are
organs: <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-family: Verdana; mso-fareast-font-family: Verdana;">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">Skin: (herpies zoster )
b) muscles : sprain ,strain, myositis , fibositis and muscular spasm c) bones :</span><span lang="EN-IN"><a href="http://en.wikipedia.org/wiki/Spinal_disc_herniation" title="Spinal disc herniation"><span style="color: windowtext; font-family: "Verdana","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; text-decoration: none; text-underline: none;">spinal disc herniation</span></a></span><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> and </span><span lang="EN-IN"><a href="http://en.wikipedia.org/wiki/Degenerative_disc_disease" title="Degenerative disc disease"><span style="color: windowtext; font-family: "Verdana","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; text-decoration: none; text-underline: none;">degenerative disc disease</span></a></span><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> or isthmic spondylolithesis and </span><span lang="EN-IN"><a href="http://en.wikipedia.org/wiki/Spinal_stenosis" title="Spinal stenosis"><span style="color: windowtext; font-family: "Verdana","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN; text-decoration: none; text-underline: none;">spinal stenosis</span></a></span><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">, trauma, cancer, infection,
fractures, and inflammatory disease</span><span lang="EN-IN" style="font-family: "Verdana","sans-serif";"> d) spinal cord : (sub arachnoid, syringiomyelia e) viscera : ( carcinoma of oesophagus, Acid
peptic disorder, pancreatitis ,diseases of gall bladder, f)febrile conditions
like Dengue, g)Psychogenic : (The researchers determined that patients
suffering </span><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-family: Arial;">psychological</span><span lang="EN-IN" style="font-family: "Verdana","sans-serif";"> distress were three times more
likely to develop </span><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-family: Arial;">back pain</span><span lang="EN-IN" style="font-family: "Verdana","sans-serif";"> than those with better coping skills) <sup>1</sup>. </span><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-family: Arial;">In
a survey conducted amongst sufferers of chronic low back pain of more than
three months, it was observed psychological distress with abnormal illness
behavior was about 43% and the contribution by the actual physical problem was
only 67%. In 1996 published their studies on the role of psyche in 131 subjects
with chronic low back pain in which they concluded that the demonstrable bone
or soft tissue structural problems accounted for only 38% of the pain and the
rest of it was all due to the psychological stress <sup>2 </sup><o:p></o:p></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif";">Lumbar disc prolapse has become one
of the most common problems in the Indian population.Conventional systems of medicine have its limitation in tackling these
disorders, and their approach in the treatment of disc prolapse is to provide temporary
relief than a permanent cure through drugs and Microdisectomy, which a common Indian cannot afford. Homoeopathic
system of medicine, however, provides hope for a more permanent cure and relief
if the treatment is planned methodically. With the Homoeopathic treatment with
minimum rest pain reduction was seen.<b><o:p></o:p></b></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif";">Although homoeopathic medicines have
been proven to be effective in treating Disc prolapse, not much evidence based
ground work has been conducted in this field.<o:p></o:p></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif";">Ultimate answer</span><span lang="EN-IN"> </span><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">from
homoeopathic medicines gave good results are shown in the. Pain reduction 90%,
Work returns 90% and increased physical function 60%(<sup>3,4</sup>)<o:p></o:p></span></div>
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<b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">A live case
:<o:p></o:p></span></b></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif";">Name:Mr (322H),<b> </b>Hindu
male,<b> </b>aged: 31 years, married, engineer by occupation Consulted me on Date 14/04/07
with following <b>PRESENTING
COMPLAINTS</b>:<o:p></o:p></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif";">Patient experienced sudden pain while getting up from
seat, 10 days back, for which he took pain killers without any relief , Pain in
lumbar area, aching type of pain, <
lying on the back, inability to walk straight, pain the left calf muscle,
numbness in the left foot since 10days, < cloudy weather,> warmth in
general,<o:p></o:p></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif";">Temperament of the patient was hurry, irritable and
offended easily, from the beginning, <o:p></o:p></span></div>
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<b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">PAST
HISTORY:</span></b><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;"> H/o. injury to knee joint.</span><b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">
FAMILY HISTORY:</span></b><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;"> Father & G Father: obesity, HTN. Mother: HTN
& PILES,</span><b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";"> <o:p></o:p></span></b></div>
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<b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">PERSONAL
HISTORY:</span></b><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;"> Appetite: moderate, Thirst: moderate Desires: NP Aversions: NP B/M:
regular, Urine: N Sleep: Sound <o:p></o:p></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">GENERAL PHYSICAL EXAMINATION:
Pt is well built and well nourished.<o:p></o:p></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">No
pallor, Icterus, no cyanosis, no clubbing, no lymphadenopathy<o:p></o:p></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-weight: normal;">SYSTEMIC
EXAMINATION:<o:p></o:p></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">CVS: NAD .RESP: NAD .CNS: reflexes normal, motor
power slightly decreased in left lower limb, Sensations normal GIT: No organomegaly,
abdomen soft.<o:p></o:p></span></div>
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<b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">PROVISIONAL
DIAGNOSIS: Disc prolapse.</span></b><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;"><o:p></o:p></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-weight: normal;">Investigations
of significance:<o:p></o:p></span></div>
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<b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">M
R I of lumbar spine</span></b><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;"> (09-04-07):
central and bilateral Para central Disc herniation noted at L5---S1 level, with
caudal migration causing thecal and root compression.<o:p></o:p></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">Spinal
canal and neural foraminal stenosis noted at l5—s1 disc level. <o:p></o:p></span></div>
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<b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">Nerve
conduction study (19-04-07)</span></b><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">: prolonged F response suggestive early L5—S1
radicular involvement.<o:p></o:p></span></div>
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<b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">X-Ray
L S Spine AP/LAT ( 08-04-07)</span></b><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;"> : Sbluxation of L5 over S1,
disc space normal.<o:p></o:p></span></div>
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<b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">CLINICAL
DIAGNOSIS</span></b><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">: </span><b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">Disc prolapse.</span></b><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;"><o:p></o:p></span></div>
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<b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">CLINICAL
CLASSIFICATION</span></b><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">: Dynamic chronic fully developed miasmatic disease<o:p></o:p></span></div>
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<b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">MIASMATIC
DIAGNOSIS</span></b><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">: Psora (41.99 %) –sycotic (34.02 %)-Syphilis (23.38
%). (CARA miasmatic chart)<o:p></o:p></span></div>
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<b><span style="font-family: "Verdana","sans-serif"; font-size: 11.0pt; line-height: 150%;">TOTALITY OF SYMPTOMS/<o:p></o:p></span></b></div>
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<b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">REPERTORIAL
TOTALITY:<o:p></o:p></span></b></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Mind – hurry haste <o:p></o:p></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">Mind –offended easily <o:p></o:p></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">Mind – abusive insulting<o:p></o:p></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">Generals- > warmth, <o:p></o:p></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">Generals – cloudy weather
< <o:p></o:p></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">Generals – obesity,<o:p></o:p></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">Back – pain aching lumbar
area <o:p></o:p></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif";">< lying on the back,<o:p></o:p></span></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">Extremities: Numbness in left
foot<o:p></o:p></span></div>
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<b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">REPERTORIAL
RESULT:<o:p></o:p></span></b></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">Mercurius: 14/9, Nat
mur-16/9, Pulsatilla 20/9, Sepia 15/9.<o:p></o:p></span></div>
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<b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">ANALYSIS OF
REPERTORIAL RESULT:<o:p></o:p></span></b></div>
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<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">Nat Mur covered more marks
and score more for general symptoms also.<o:p></o:p></span></div>
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<b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">SUSCEPTIBILITY:
</span></b><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">Moderate<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;"> </span><b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">TREATMENT AND FOLLOWUP:</span></b><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span lang="EN-IN" style="font-family: "Verdana","sans-serif";">First
prescription</span></b><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">: <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">16/4/07:
as expressed by patient, for pain due to slip disc without seeing the case on
phone Hypericum 1M, one dose in water was given, Rubrum for 2 days as he was
away, was not in position to come to the clinic.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">19/4/07: Still he was walking
with pain, case was taken and repertorised, the remedy selected was Nat Mur
200C, and 3doses was given,<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">* Reason for selecting Nat mur covered 9 symptoms with 16 marks as
shown in reportorial chart given below. Even though Pulsatilla covered 20/9,
numbness in left foot has been covered by Nat Mur only, <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">16/5/07: pain in the sacral area reduced by 30% was
able to walk, numbness was still persisting, and Rubrum was given.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">2/6/07: pain in the sacral area reduced 30%, numbness
was still persisting Nat Mur 200C, 3doses was given,<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">19/6/07: pain in the sacral
area reduced 50% numbness was still persisting, Nat Mur 1M, 1dose was given,<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">30/6/07:
Numbness in the foot was better by 25% only, rubrum was given for 10days<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">11/07/07:
Numbness in the left foot was present; he developed upper respiratory symptoms
like sneezing, nose dripping. Because of change of season (wet weather <) <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">Thuja
30C, 3doses were given, as Numbness in the left foot, was persisting (only two
remedies are there Nat Mur and Thuja) It has 14/9 score in follow up
Repertrisation it is a follower to Nat Mur.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">27/07/07:
Numbness in the left foot was better by 25%, upper respiratory symptoms have
reduced. Thuja 30C, 3doses was repeated. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">12/08/07:
Numbness in the left foot was better by 35-40% only, with general well being.
Rubrum for 15days was given.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">23/06/08
Patient has come for his son’s problem, meanwhile he stopped treatment numbness
in the left foot was better by 40-50 % only. <o:p></o:p></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgqr6RULmKnRNVPFomaVKbzkZqLuQVDSNjDaUHKcu8drxgxEAaWNHvqrCQjLAORnqi5HUvNgY0_zK4XIqbUWlyrPv_pLbOClnLuvdfBeap3ZHUzmp65T82gJ5cJG_vNLgBFmpSYSRDsCZA/s1600/back1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgqr6RULmKnRNVPFomaVKbzkZqLuQVDSNjDaUHKcu8drxgxEAaWNHvqrCQjLAORnqi5HUvNgY0_zK4XIqbUWlyrPv_pLbOClnLuvdfBeap3ZHUzmp65T82gJ5cJG_vNLgBFmpSYSRDsCZA/s1600/back1.jpg" /></a></div>
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<span style="font-family: "Verdana","sans-serif"; mso-ansi-language: EN-US; mso-no-proof: yes;"><!--[if gte vml 1]><v:shapetype id="_x0000_t75" coordsize="21600,21600"
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<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
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<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif";">1) </span><span lang="EN-IN"><a href="http://www.scientificamerican.com/article.cfm?id=psychological-stress-bett"><span style="font-family: "Verdana","sans-serif"; mso-bidi-font-family: Arial;">http://www.scientificamerican.com/article.cfm?id=psychological-stress-bett</span></a></span><span lang="EN-IN" style="font-family: Verdana, sans-serif;"><o:p></o:p></span></div>
<h1 style="line-height: 150%; margin-bottom: .0001pt; margin: 0in;">
<span lang="EN-IN" style="font-family: Verdana, sans-serif; font-size: 11pt; line-height: 150%;">2) </span><span lang="EN-IN" style="font-family: Verdana, sans-serif; font-size: 11pt; font-weight: normal; line-height: 150%;">Yoga for back pain-(psychological stress)<o:p></o:p></span></h1>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> Tuesday,
November 25, 2008, 11:7 [its)
ving.oneindia.in/yoga-spirituality/yoga/2008/back-pain-psychological-stress-220908.htm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">3)</span><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-ansi-language: EN-GB;"> </span><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; mso-ansi-language: EN-GB;">Prof
Gundimeda Ram Mohan, Herniated Lumbar Disc - A Clinical Study,</span><span lang="EN-IN" style="font-family: "Verdana","sans-serif";"> Homoeopathic Links,
Volume 21,winter 2008.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in;">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif";">4) </span><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; mso-ansi-language: EN-GB;">Prof
G.R. Mohan, lifestyle and lumbar spondylosis, The Homoeopathic Heritage,
vol.33, no 1, Jan 2008</span><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;"> *** published in .,Homoeorizone.com ( vol:3, issue :4)</span></div>
<br />
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com2tag:blogger.com,1999:blog-725444157839606686.post-29113446702827085982014-06-14T22:51:00.001+05:302014-06-14T22:51:25.268+05:30Looking at an aquarium is also the best way to relax your mind<div class="MsoNormal" style="background: white; line-height: 12.75pt; margin-bottom: 3.75pt; margin-left: 15.0pt; margin-right: 7.5pt; margin-top: 3.75pt; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">Looking at an aquarium is also
the best way to relax your mind : <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.75pt; margin-bottom: 3.75pt; margin-left: 15.0pt; margin-right: 7.5pt; margin-top: 3.75pt; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;"><b><i>my collection</i></b></span></div>
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</div>
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<ol>
<li><span style="color: #333333; font-family: Verdana, sans-serif; font-size: 9pt; line-height: 115%; text-indent: -18pt;">Researchers
have found an aquarium, fishless vs. fish filled aquariums, and no aquarium vs.
having an aquarium. In all cases, having some sort of aquarium reduced blood
pressure.</span><span style="color: #333333; font-family: Verdana, sans-serif; font-size: 9pt; line-height: 115%; text-indent: -18pt;">having
some sort of aquarium reduced blood pressure. Interestingly enough, greater
reduction in blood pressure occurred when there were fish in the tank, vs
pleasingly decorated, but fishless, tanks (nt).</span><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #2c2b2b; font-family: Arial, sans-serif; font-size: 9pt; line-height: 115%;">Apparently nature is one of the best and most
efficient elements<span class="apple-converted-space"> </span>that can treat
a busy mind.<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjKZNUalMBxM70tP1vt0R1vj5apSvAaaoKj5nWSGLfXxtgPWp_DYNOPdlM4QMdlWzLbH1naP9N5qmBRVrP7Pi4zkZVycwixqdFma4HH3ocWXfwjYlrHkUJSmJq5VgywJprlyOFwoISx6zA/s1600/IMG_4369.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjKZNUalMBxM70tP1vt0R1vj5apSvAaaoKj5nWSGLfXxtgPWp_DYNOPdlM4QMdlWzLbH1naP9N5qmBRVrP7Pi4zkZVycwixqdFma4HH3ocWXfwjYlrHkUJSmJq5VgywJprlyOFwoISx6zA/s1600/IMG_4369.JPG" height="180" width="320" /></a></div>
</span></li>
</ol>
Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com1tag:blogger.com,1999:blog-725444157839606686.post-27709450675987709102014-04-08T15:48:00.003+05:302014-04-08T15:48:52.612+05:30<span style="font-family: "Calibri","sans-serif"; font-size: 10.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br /></span>
<span style="font-family: "Calibri","sans-serif"; font-size: 10.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br /></span>
<span style="font-family: "Calibri","sans-serif"; font-size: 10.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br /></span>
<b><span style="font-family: "Calibri","sans-serif"; font-size: 10.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">259<sup>th</sup>
birth anniversary celebrations of
Dr S C F Hahnemann, by </span><span style="font-family: "Calibri","sans-serif"; font-size: 10.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin;">Devs
Homoeopathic Medical College &
Hospital , R R District , A P , India.</span></b><br />
<span style="font-family: "Calibri","sans-serif"; font-size: 10.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin;"><br /></span>
<span style="font-family: "Calibri","sans-serif"; font-size: 10.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin;"><b>Invitation :</b></span><br />
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<span style="font-size: 10.0pt; line-height: 115%;">Devs
Homoeopathic Medical College &
Hospital , R R District , A P , </span><span style="font-size: 10.0pt; line-height: 115%; mso-ascii-font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;">staff and
students are </span><span style="font-size: 10.0pt; line-height: 115%;"> Organizing
one day Seminar on the eve of </span><span style="font-size: 10.0pt; line-height: 115%; mso-ascii-font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;">259<sup>th</sup> birth anniversary celebrations of Dr S C F Hahnemann’s</span><span style="font-size: 10.0pt; line-height: 115%;">,</span><span style="font-size: 10.0pt; line-height: 115%; mso-ascii-font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"> on 10<sup>th</sup>
April 2014 at 9.30 AM. </span><span style="font-size: 10.0pt; line-height: 115%;">The
venue of the </span><span style="font-size: 10.0pt; line-height: 115%; mso-ascii-font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;">Seminar </span><span style="font-size: 10.0pt; line-height: 115%;">is </span><span style="font-size: 10.0pt; line-height: 115%; mso-ascii-font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;">at Jupalli Ballamma seminar hall ,A P
Homoeopathic Association buildings, Street no 1, Himayatnagar,</span><span style="font-size: 10.0pt; line-height: 115%;">Hyderabad,</span><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 10pt; line-height: 115%;"> Dr K P
Srivasuki Commissioner,Department of
AYUSH, </span><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 10pt; line-height: 115%;">has given consent to </span><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 10pt; line-height: 115%;"> </span><span style="font-size: 10.0pt; line-height: 115%; mso-ascii-font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;">inaugurate the Seminar</span><span style="font-size: 10.0pt; line-height: 115%;">.<o:p></o:p></span></div>
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<span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 9pt; line-height: 115%;">Dr J Rameshwara Rao ,Chairman, My
Home Group of Industries and Dr N
Sreeinivas Rao , Member C C H agreed to
be guest
of Honor.<o:p></o:p></span></div>
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<span style="font-size: 10.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Dr Satya Dev President, Devs Medical and Educational Society
will grace the occasion.<o:p></o:p></span></div>
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<span style="font-size: 9.0pt; line-height: 115%; mso-bidi-font-size: 10.0pt;">Dr K Siva Shankar Former Addl Director Dept of AYUSH will give Key note address <o:p></o:p></span></div>
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<b><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 12pt; line-height: 115%;">S E M I N A R F O L L
O W S:<o:p></o:p></span></b></div>
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<br /></div>
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<b><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; line-height: 115%;">Pre
Lunch Session <o:p></o:p></span></b></div>
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<b><u><span style="font-size: 10.0pt; line-height: 115%;">11 AM:<o:p></o:p></span></u></b></div>
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<b><u><span style="font-size: 10.0pt; line-height: 115%;"> Homoeopathic management of Phobias By </span></u></b><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 10pt; line-height: 115%;">Dr G Janardhan Reddy,
garu,<o:p></o:p></span></div>
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<span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 10pt; line-height: 115%;">Former Addl
Director,Department of AYUSH<o:p></o:p></span></div>
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<span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 9pt; line-height: 115%;">12 Noon <o:p></o:p></span></div>
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<b><u><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 10pt; line-height: 115%;">Over
coming the anxieties in Medicos</span></u></b><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 10pt; line-height: 115%;"> : by Dr Baskar Naidu , Clinical Psychologist,
Roshni Counselling center , Begampet ,Hyderabad.<o:p></o:p></span></div>
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<br /></div>
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<b><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 10pt; line-height: 115%;">1
PM To
1.45 L U N C H<o:p></o:p></span></b></div>
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<span style="background-color: white; background-position: initial initial; background-repeat: initial initial; line-height: 115%;">1.45 PM <o:p></o:p></span></div>
<div style="background: white; line-height: 15.0pt; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: 7.5pt; margin-top: 0in;">
<span style="background-position: initial initial; background-repeat: initial initial; font-family: Calibri, sans-serif; font-size: 11pt;">Basic life support – by Dr M Vidyut Kumar , Consultant
Homoeopath, </span><b><span style="color: #161616; font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ascii-theme-font: minor-latin; mso-bidi-font-size: 10.0pt; mso-hansi-theme-font: minor-latin;">Hon.Joint Secretary<o:p></o:p></span></b></div>
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<span style="background-color: white; background-position: initial initial; background-repeat: initial initial; line-height: 115%;">St Johan ambulance Association,<o:p></o:p></span></div>
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<br /></div>
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<span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 9pt; line-height: 115%;">2.45 PM<o:p></o:p></span></div>
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<span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 9pt; line-height: 115%;">Case presentations by :<o:p></o:p></span></div>
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<span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 9pt; line-height: 115%;">Chair person <b>: Dr Venu Gopal Gouri</b>, <b>Homoeopathic consultant <o:p></o:p></b></span></div>
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<b><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 10pt; line-height: 115%;">Speakers
<o:p></o:p></span></b></div>
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<span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 9pt; line-height: 115%;">Dr C V Swamy, <b>Homoeopathic consultant,</b><o:p></o:p></span></div>
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<span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 10pt; line-height: 115%;">By Prof Ramakrishna,
Supdt, Devs<o:p></o:p></span></div>
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<span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 10pt; line-height: 115%;">By Dr Muralidhar Rao Reader, Devs<o:p></o:p></span></div>
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<span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 10pt; line-height: 115%;">ByDr Sreenivas babu,
Lecturer, Devs<o:p></o:p></span></div>
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<span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-size: 10pt; line-height: 115%;">By Dr Chakravarty , Lecturer, Devs <o:p></o:p></span></div>
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Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com2tag:blogger.com,1999:blog-725444157839606686.post-77640901810756572922013-11-17T22:12:00.000+05:302013-11-17T22:12:11.012+05:30 Role of Homeopathy Viral Pneumonias and Viral Gastroenteritis.<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<b><span style="font-family: "Bookman Old Style","serif"; font-size: 16.0pt; line-height: 150%; mso-bidi-font-family: "Courier New"; mso-bidi-font-size: 9.0pt;">Role
of Homeopathy in reducing the Morbidity
and mortality rates in under five children due to Viral Pneumonias and Viral
Gastroenteritis.<o:p></o:p></span></b></div>
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<br /></div>
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<b><span style="font-family: "Bookman Old Style","serif"; line-height: 115%; mso-bidi-font-size: 9.0pt;">Prof
G R Mohan<o:p></o:p></span></b></div>
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<b><span style="font-family: "Bookman Old Style","serif"; font-size: 6.0pt; line-height: 115%; mso-bidi-font-size: 9.0pt;">MD (HOM), P G Dip (Env Stud)<o:p></o:p></span></b></div>
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<b><i><span style="font-family: "Bookman Old Style","serif"; font-size: 8.0pt; mso-bidi-font-family: Constantia; mso-font-kerning: 12.0pt;">Principal,<o:p></o:p></span></i></b></div>
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<b><i><span style="font-family: "Bookman Old Style","serif"; font-size: 8.0pt; mso-bidi-font-family: Constantia; mso-font-kerning: 12.0pt;">Devs Homoeopathic
Medical College,<o:p></o:p></span></i></b></div>
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<b><i><span style="font-family: "Bookman Old Style","serif"; font-size: 8.0pt; mso-bidi-font-family: Constantia; mso-font-kerning: 12.0pt;">Devanagar,
Ankireddypalli, Mandal Keesara -501301. District R R , A P</span></i></b><i><span style="font-family: "Bookman Old Style","serif"; font-size: 8.0pt; mso-bidi-font-family: Constantia; mso-bidi-font-weight: bold; mso-font-kerning: 12.0pt;"><o:p></o:p></span></i></div>
<br />
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<span style="font-family: "Bookman Old Style","serif"; font-size: 8.0pt;"><a href="mailto:drmohangr@gmail.com">drmohangr@gmail.com</a></span><span style="font-family: "Bookman Old Style","serif"; font-size: 8.0pt; mso-bidi-font-family: Constantia; mso-bidi-font-weight: bold; mso-font-kerning: 12.0pt;"><o:p></o:p></span></div>
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<b><span style="font-family: "Bookman Old Style","serif"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: "Courier New"; mso-bidi-font-size: 11.0pt;">Abstract
: </span></b><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";">Theme of the conference is the need of the
hour , It’s a Challenging topic . I choose a topic with high morbidity and mortality among under five
children in relation to viral cause. Diarrhoea and pneumonia are the leading
infectious causes of childhood morbidity and mortality. India, Nigeria,
Democratic Republic of Congo, Pakistan and China collectively accounted for
half of the total number of under-five deaths globally. Homeopathic
medicines can play a great role in Viral Pneumonias and
Viral Gastroenteritis cases if the treatment plan is given in a more methodical
manner. Viral infections can be treated with confidence by the homeopathic
system, in the Allopathic system has no
curative treatment for viral diseases except giving Antibiotics to prevent
secondary Bacterial infections. <sup>1</sup> every system of medicine has got
their own positive and negative role in treatment. Every Physicians main aim is
to cure the Sick, by this he will be doing a service to the suffering Humanity.
To create awareness about the seriousness of both Viral Pneumonias and
Viral Gastroenteritis cases, author emphasized the need of prevention of the above said diseases by
good planning among rural health care personnel.<o:p></o:p></span></div>
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<b><span style="font-family: "Bookman Old Style","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";">Introduction : <o:p></o:p></span></b></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";">In India, around 1.7 million children die before reaching the
age of 5 years in 2010, and more than half of them (52%) die in the first month
of life. The major causes of deaths were pneumonia (24%), prematurity (20%) and
diarrhea (13%) <sup>2</sup>. Pneumonia and diarrhoea, which often occur
simultaneously, account for 29 percent of deaths among children under five
worldwide. Nearly 90 percent of the children who die from the two diseases live
in sub-Saharan Africa and South Asia. According to the IAP records, annually,
India witnesses 45 million pneumonia cases among children below 5 years of
which 0.37 million die due to pneumonia," added Dr Kapoor.<o:p></o:p></span></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";">Source ref <sup>3</sup><o:p></o:p></span></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";">Rotavirus is the most common causes of severe diarrheal disease
in infants and young children globally, It's estimated to be responsible for
approximately 527,000 deaths each year <sup>4.</sup> Most Rotavirus disease in
India occurs in the first two years of life. Due to persistence maternal
antibodies Only 13% children younger than 6 months old are commonly affected. Severity of the disease is less common in this group.
According to a study
Rotavirus-associated diarrheas are commonly seen during the winter months ie October to February months<sup>5</sup> <sup>7</sup>
Poor Environmental Sanitation and personal hygiene are the main factors for diarrheal disease .<o:p></o:p></span></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";">Rotavirus was discovered in 1973, Rotavirus is so named because of its characteristic
circular outline with radiating spokes. </span><span style="background: white; font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial;">The virus is transmitted by the<span class="apple-converted-space"> </span></span><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%;"><a href="http://en.wikipedia.org/wiki/Fecal-oral_route" title="Fecal-oral route"><span style="background: white; color: windowtext; mso-bidi-font-family: Arial; text-decoration: none; text-underline: none;">fecal-oral route</span></a></span><span style="background: white; font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial;">. It infects and damages the<span class="apple-converted-space"> </span></span><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%;"><a href="http://en.wikipedia.org/wiki/Enterocyte" title="Enterocyte"><span style="background: white; color: windowtext; mso-bidi-font-family: Arial; text-decoration: none; text-underline: none;">cells</span></a></span><span class="apple-converted-space"><span style="background: white; font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial;"> </span></span><span style="background: white; font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial;">that line the<span class="apple-converted-space"> </span></span><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%;"><a href="http://en.wikipedia.org/wiki/Small_intestine" title="Small intestine"><span style="background: white; color: windowtext; mso-bidi-font-family: Arial; text-decoration: none; text-underline: none;">small intestine</span></a></span><span class="apple-converted-space"><span style="background: white; font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial;"> </span></span><span style="background: white; font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial;">and causes<span class="apple-converted-space"> </span></span><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%;"><a href="http://en.wikipedia.org/wiki/Gastroenteritis" title="Gastroenteritis"><span style="background: white; color: windowtext; mso-bidi-font-family: Arial; text-decoration: none; text-underline: none;">gastroenteritis</span></a></span><span class="apple-converted-space"><span style="background: white; font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial;">.</span></span><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";"><o:p></o:p></span></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial;"><a href="http://en.wikipedia.org/wiki/Incubation_period" title="Incubation period"><span style="color: windowtext; text-decoration: none; text-underline: none;">Incubation
period</span></a><span class="apple-converted-space"> </span>is about two
days, severe disease characterized by<span class="apple-converted-space"> </span><a href="http://en.wikipedia.org/wiki/Vomiting" title="Vomiting"><span style="color: windowtext; text-decoration: none; text-underline: none;">vomiting</span></a>
followed by four to eight days of profuse watery<span class="apple-converted-space"> </span><a href="http://en.wikipedia.org/wiki/Diarrhoea" title="Diarrhoea"><span style="color: windowtext; text-decoration: none; text-underline: none;">diarrhoea</span></a>,
and low-grade<span class="apple-converted-space"> </span><a href="http://en.wikipedia.org/wiki/Fever" title="Fever"><span style="color: windowtext; text-decoration: none; text-underline: none;">fever</span></a>.<span class="apple-converted-space"> </span><a href="http://en.wikipedia.org/wiki/Dehydration" title="Dehydration"><span style="color: windowtext; text-decoration: none; text-underline: none;">Dehydration</span></a><span class="apple-converted-space"> </span>is more common in Rotavirus infection
than in most of those caused by bacterial pathogens, and is the most common
cause of death related to rotavirus infection.<span class="apple-converted-space"> As </span><a href="http://en.wikipedia.org/wiki/Immunity_(medical)" title="Immunity (medical)"><span style="color: windowtext; text-decoration: none; text-underline: none;">Immunity</span></a><span class="apple-converted-space"> </span>develops
with each infection, so subsequent infections are less severe; adults are
rarely affected.<o:p></o:p></span></div>
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<b><span style="font-family: 'Bookman Old Style', serif; font-size: 9pt; line-height: 150%;">Homeopathic Perceptive :<o:p></o:p></span></b></div>
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<span style="color: #333333; font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial;">Towards the last part of his life Louis Pasteur's confessed that germs may not be the cause of
disease, h but also the factors like compromise host resistance and other environmental
factors are important (agent ,host and environment know as epidemiological tried ). Since
homeopathic medicines stimulate the body's own defence, rather than directly attack specific
pathogens, In recent research on viruses
that attack chicken embryos, 8 of the 10 homeopathic medicines tested inhibited
the growth of the viruses 50 to 100%. <sup>11</sup>. This research is of
particular significance because, in conventional medicine only few number of drugs that have antiviral action,
and none of these drugs are as safe as the homeopathic medicines.<o:p></o:p></span></div>
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<span style="font-family: 'Bookman Old Style', serif; font-size: 9pt; line-height: 150%;">Gastro Enteritis
cases either they appear as epidemic or individual , Their plan of
treatment will be according to the outbreak
of an Epidemic. It is mandatory on the part of Homeopathic Physicians to chose a Genus Epidemic along with treatment
by giving more emphasis on good personal and Environmental hygiene.</span><span style="font-family: 'Bookman Old Style', serif; font-size: 9pt; line-height: 150%;">The following are few homeopathic medicines <b> </b><strong><span style="font-family: "Bookman Old Style","serif"; font-weight: normal; mso-bidi-font-weight: bold;">Aconite</span></strong><span class="apple-converted-space"><b> </b></span><b>,</b><strong><span style="font-family: "Bookman Old Style","serif"; font-weight: normal; mso-bidi-font-weight: bold;"> Arsenicum album, Aloe</span></strong><span class="apple-converted-space"><b> ,</b><b> </b></span><strong><span style="font-family: "Bookman Old Style","serif"; font-weight: normal; mso-bidi-font-weight: bold;">Podophyllum</span></strong><span class="apple-converted-space"><b> </b></span><strong><span style="font-family: "Bookman Old Style","serif"; font-weight: normal; mso-bidi-font-weight: bold;">Cinchona</span></strong><span class="apple-converted-space"><b> </b></span><strong><span style="font-family: "Bookman Old Style","serif"; font-weight: normal; mso-bidi-font-weight: bold;">Veratrum album</span></strong><span class="apple-converted-space"><b> </b></span><strong><span style="font-family: "Bookman Old Style","serif"; font-weight: normal; mso-bidi-font-weight: bold;">Mercurius solubilis and </span></strong></span><strong><span style="font-family: 'Bookman Old Style', serif; font-size: 9pt; font-weight: normal; line-height: 150%;">Sulphur.<o:p></o:p></span></strong></div>
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<b><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";">Case :</span></b><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";"> A baby aged about
18M who was admitted in a local
nursing home , with following symptoms passing liquid stools countless number,
mild Fever, was on allopathic medication and intravenous rehydration without
any improvement, on the request of Doctor friend of the patient requested me to give
Homoeopathic medicine. On the bases of the history given and objective symptoms
presented by doctor , Arsenicum album
30c 10 pills of 28 size pills were mixed in one cup of mineral water and advised the mother to give 5ml of liquid
medicine every 30 minutes, and advised mother and father of the baby to check
the consistence of stool, number of stools in one hour. After the third dose of
Ars Alb consistence of stool has progressively turned to semisolid then the
number of stools came down progressively . Child partially recovered within 12
hours. Totally recovered in the next 12 hours according to attending
Pediatrician.<o:p></o:p></span></div>
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<b><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";">Discussion </span></b><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";">: It’s an acute case in which allopathic
treatment not responding, Arsenicum album selected on the bases of symptoms
presented by a Doctor friend of the patient. As it is acute case doses were
repeated, ultimately child recovered from death. <o:p></o:p></span></div>
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<b><span style="font-family: "Bookman Old Style","serif"; font-size: 16.0pt; line-height: 150%; mso-bidi-font-family: "Courier New"; mso-bidi-font-size: 9.0pt;">Viral Pneumonias :<o:p></o:p></span></b></div>
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<span style="background-position: initial initial; background-repeat: initial initial; font-family: 'Bookman Old Style', serif; font-size: 9pt; line-height: 150%;">Pneumonia is often caused by viral infections,
including<span class="apple-converted-space"> </span></span><span style="font-family: 'Bookman Old Style', serif; font-size: 9pt; line-height: 150%;"><a href="http://en.wikipedia.org/wiki/Human_respiratory_syncytial_virus" title="Human respiratory syncytial virus"><span style="color: black; text-decoration: none; text-underline: none;">Respiratory syncytial virus</span></a></span><span style="background-position: initial initial; background-repeat: initial initial; font-family: 'Bookman Old Style', serif; font-size: 9pt; line-height: 150%;">, the parainfluenza virus, adenovirus, and the<span class="apple-converted-space"> </span></span><span style="font-family: 'Bookman Old Style', serif; font-size: 9pt; line-height: 150%;"><a href="http://pediatrics.about.com/od/kidsandtheflu/"><span style="background-position: initial initial; background-repeat: initial initial; color: black; text-decoration: none;">flu</span></a><span style="background-position: initial initial; background-repeat: initial initial;">. </span></span><span style="background-position: initial initial; background-repeat: initial initial; font-family: 'Bookman Old Style', serif; font-size: 9pt; line-height: 150%;">Viral pneumonia occurs in about
200 million people a year which includes about 100 million children
and 100 million adults</span><span style="background-position: initial initial; background-repeat: initial initial; font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 150%;">.</span><sup><span style="background-position: initial initial; background-repeat: initial initial; font-family: 'Bookman Old Style', serif;"><o:p></o:p></span></sup></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%;">In infants and toddlers viruses are the most
common cause of pneumonia, accounting for approximately 90% of all lower
respiratory infections.</span><span style="color: #333333; font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";">Children with cardiac problems , HIV
infection and children with chemotherapy
for cancer who are having Low Vitality
suffer from serious type Viral pneumonia .</span><span style="font-family: 'Bookman Old Style', serif; font-size: 9pt; line-height: 150%;">A virus will reach the lungs by droplets, the virus invades
the cells lining the airways and the<span class="apple-converted-space"> </span><a href="http://en.wikipedia.org/wiki/Alveolus" title="Alveolus"><span style="color: #0b0080; text-decoration: none; text-underline: none;">alveoli</span></a>.
This invasion often leads to cell death either through direct killing by the
virus or by self-destruction through<span class="apple-converted-space"> </span><a href="http://en.wikipedia.org/wiki/Apoptosis" title="Apoptosis"><span style="color: #0b0080; text-decoration: none; text-underline: none;">apoptosis</span></a>.
Further damage to the lungs occurs when the immune system responds to the
infection.<span class="apple-converted-space"> </span></span><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<span style="font-family: 'Bookman Old Style', serif; font-size: 9pt; line-height: 150%;">Clinical
features in newborn will be a poor
intake of feed , irritability,
tachypnea, retractions, grunting (<span style="background: white;">The grunt
occurs because the glottal stops the flow of air for a brief period , halting
the movement of the lungs and their surrounding or supporting structures.) </span>And
hypoxemia .</span><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Grunting
suggests a lower respiratory tract disease. In </span><span style="font-family: 'Bookman Old Style', serif; font-size: 9pt; line-height: 150%;">infants Cough is the
most common symptom of pneumonia , along with tachypnea, retractions, and
hypoxemia. These may be accompanied by congestion, fever, irritability, and
decreased feeding.</span><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">
In older infants grunting may be less common; however, tachypnea, retractions,
and hypoxemia are common and may be accompanied by a persistent cough,
congestion, fever, irritability, and decreased feeding. </span><span style="font-family: 'Bookman Old Style', serif; font-size: 9pt; line-height: 150%;">But according to the World Health Organization (WHO) respiratory
rate thresholds for identifying children with pneumonia are as follows:</span><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: 'Bookman Old Style', serif; font-size: 9pt;">Children younger than 2 months: Greater than or equal to 60
breaths/min<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: 'Bookman Old Style', serif; font-size: 9pt;">Children aged 2-11 months: Greater than or equal to 50 breaths/min<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span style="font-family: 'Bookman Old Style', serif; font-size: 9pt;">Children aged 12-59 months: Greater than or equal to 40
breaths/min <sup>12</sup><o:p></o:p></span></div>
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<b><span style="font-family: 'Bookman Old Style', serif; font-size: 10pt; line-height: 115%;">Contribution of specific pathogens to severe episodes of, and
deaths from, childhood diarrhea and pneumonia, by WHO region 6</span></b><b><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 115%;"><o:p></o:p></span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-table-layout-alt: fixed; width: 691px;">
<tbody>
<tr style="height: 12.75pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td colspan="3" style="border: none; height: 12.75pt; padding: 0in 5.4pt 0in 5.4pt; width: 74.0pt;" valign="top" width="99">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">African region </span></b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;"><o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 12.75pt; padding: 0in 5.4pt 0in 5.4pt; width: 74.0pt;" valign="top" width="99">
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<b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">American region </span></b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;"><o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 12.75pt; padding: 0in 5.4pt 0in 5.4pt; width: 74.0pt;" valign="top" width="99">
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<b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Eastern
Mediterranean region </span></b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;"><o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 12.75pt; padding: 0in 5.4pt 0in 5.4pt; width: 74.0pt;" valign="top" width="99">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">European region </span></b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;"><o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 12.75pt; padding: 0in 5.4pt 0in 5.4pt; width: 74.0pt;" valign="top" width="99">
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<b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Southeast Asian
region </span></b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;"><o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 12.75pt; padding: 0in 5.4pt 0in 5.4pt; width: 74.0pt;" valign="top" width="99">
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<b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Western Pacific
region </span></b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;"><o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 12.75pt; padding: 0in 5.4pt 0in 5.4pt; width: 74.2pt;" valign="top" width="99">
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<b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">World </span></b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;"><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 1;">
<td colspan="15" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 518.2pt;" valign="top" width="691">
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<b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Severe diarrhea
episodes </span></b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;"><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 2;">
<td colspan="15" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 518.2pt;" valign="top" width="691">
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<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Rotavirus: <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 3;">
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<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Episodes (×10</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 3.5pt;">3</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
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<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">2557 (1901–3026) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">1129 (833–1330) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">1344 (990–1576) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">660 (488–781) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">2382 (1753–2790) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">1781 (1312–2090) <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">9853 (7277–11593)
<o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 4;">
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Proportion of all
severe episodes (%) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">26·8% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">23·4% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">31·3% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">25·9% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">25·5% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">32·6% <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">27·3% <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 5;">
<td colspan="15" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 518.2pt;" valign="top" width="691">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<i><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Vibrio cholerae</span></i><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">: <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 6;">
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Episodes (×10</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 3.5pt;">3</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">38 (28–45) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">·· <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">·· <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">·· <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">416 (306–488) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">2 (2–3) <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">456 (336–536) <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 7;">
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Proportion of all
severe episodes (%) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">0·4% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">·· <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">·· <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">·· <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">4·5% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">0·04% <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">1·3% <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 8;">
<td colspan="15" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 518.2pt;" valign="top" width="691">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Diarrhea deaths </span></b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;"><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 9;">
<td colspan="15" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 518.2pt;" valign="top" width="691">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Rotavirus: <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 10;">
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Deaths (×10</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 3.5pt;">3</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">95 (52·5–151·3) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">2·6 (1·9–5·6) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">30·2 (20·1–48·0) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">1·6 (1·1–2·8) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">58·1 (47·7–74·7) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">5·5 (2·0–7·7) <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">192·7
(133·1–284·4) <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 11;">
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Proportion of diarrheal
deaths (%) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">26·8% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">23·4% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">31·3% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">25·9% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">25·5% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">32·6% <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">27·1% <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 12;">
<td colspan="15" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 518.2pt;" valign="top" width="691">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<i><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">V cholerae</span></i><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">: <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 13;">
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Deaths (×10</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 3.5pt;">3</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">1·4 (0·8–2·3) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">·· <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">·· <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">·· <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">10·2 (8·4–13·2) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">0·1 (0·02–0·1) <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">11·7 (7·9–16·8) <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 14;">
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Proportion of diarrheal
deaths (%) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">0·4% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">·· <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">·· <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">·· <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">4·5% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">0·04% <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">1·6% <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 15;">
<td colspan="15" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 518.2pt;" valign="top" width="691">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Severe pneumonia
episodes </span></b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;"><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 16;">
<td colspan="15" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 518.2pt;" valign="top" width="691">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<i><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Streptococcus
pneumoniae</span></i><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">: <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 17;">
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Episodes (×10</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 3.5pt;">3</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">774 (453–1069) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">127 (74–175) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">349 (204–482) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">70 (41–97) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">1001 (585–1382) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">263 (154–363) <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">2585 (1511–3568) <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 18;">
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Proportion of all
severe episodes (%) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">18·6% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">16·4% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">18·6% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">16·9% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">18·4% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">18·4% <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">18·3% <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 19;">
<td colspan="15" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 518.2pt;" valign="top" width="691">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<i><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Haemophilus
influenzae</span></i><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">: <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 20;">
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Episodes (×10</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 3.5pt;">3</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">130 (0–312) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">14 (0–34) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">52 (0–124) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">15 (0–35) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">291 (0–698) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">72 (0–172) <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">574 (0–1376) <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 21;">
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Proportion of all
severe episodes (%) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">3·1% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">1·9% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">2·8% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">3·6% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">5·4% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">5·0% <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">4·1% <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 22;">
<td colspan="15" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 518.2pt;" valign="top" width="691">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Influenza <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 23;">
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Episodes (×10</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 3.5pt;">3</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">172 (86–307) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">84 (56–126) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">155 (57–500) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">52 (33–76) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">273 (78–1094) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">246 (105–597) <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">982 (414–2699) <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 24;">
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Proportion of all
severe episodes (%) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">4·1% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">10·8% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">8·3% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">12·6% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">5·0% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">17·2% <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">7·0% <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 25;">
<td colspan="15" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 518.2pt;" valign="top" width="691">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Pneumonia deaths </span></b><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;"><o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 26;">
<td colspan="15" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 518.2pt;" valign="top" width="691">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<i><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">S pneumoniae</span></i><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">: <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 27;">
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Deaths (×10</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 3.5pt;">3</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">177 (94–245) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">7 (4–10) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">55 (29–77) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">6 (3–8) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">146 (77–202) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">20 (11–28) <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">411 (218–569) <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 28;">
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Proportion of
pneumonia deaths (%) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">32·7% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">29·1% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">32·9% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">30·8% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">33·0% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">32·8% <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">32·7% <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 29;">
<td colspan="15" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 518.2pt;" valign="top" width="691">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<i><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">H influenzae</span></i><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">: <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 30;">
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Deaths (×10</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 3.5pt;">3</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">70 (9–125) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">2 (0–4) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">19 (3–35) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">3 (0–5) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">92 (13–156) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">12 (2–21) <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">197 (27–345) <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 31;">
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Proportion of
pneumonia deaths (%) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">12·9% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">9·2% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">11·3% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">14·3% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">20·7% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">19·6% <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">15·7% <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 32;">
<td colspan="15" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 518.2pt;" valign="top" width="691">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Influenza: <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 33;">
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 59.4pt;" valign="top" width="79">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Deaths (×10</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 3.5pt;">3</span><span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">) <o:p></o:p></span></div>
</td>
<td colspan="3" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 70.1pt;" valign="top" width="93">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">60 (16–71) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">3 (1–4) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">19 (5–22) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">0 (0–1) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">49 (13–58) <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">7 (2–8) <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">137 (38–163) <o:p></o:p></span></div>
</td>
</tr>
<tr style="height: 4.25pt; mso-yfti-irow: 34; mso-yfti-lastrow: yes;">
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 59.4pt;" valign="top" width="79">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">Proportion of
pneumonia deaths (%) <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";">. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
</td>
<td colspan="3" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 70.1pt;" valign="top" width="93">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">11·1% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">10·7% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">11·1% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">5·7% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">11·1% <o:p></o:p></span></div>
</td>
<td colspan="2" style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.75pt;" valign="top" width="86">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">11·0% <o:p></o:p></span></div>
</td>
<td style="border: none; height: 4.25pt; padding: 0in 5.4pt 0in 5.4pt; width: 64.95pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 7.05pt; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: 'Shaker 2 Lancet Regular', sans-serif; font-size: 7pt;">10·9% <o:p></o:p></span></div>
</td>
</tr>
<!--[if !supportMisalignedColumns]-->
<tr height="0">
<td style="border: none;" width="79"></td>
<td style="border: none;" width="7"></td>
<td style="border: none;" width="12"></td>
<td style="border: none;" width="74"></td>
<td style="border: none;" width="25"></td>
<td style="border: none;" width="62"></td>
<td style="border: none;" width="37"></td>
<td style="border: none;" width="49"></td>
<td style="border: none;" width="49"></td>
<td style="border: none;" width="37"></td>
<td style="border: none;" width="62"></td>
<td style="border: none;" width="25"></td>
<td style="border: none;" width="74"></td>
<td style="border: none;" width="12"></td>
<td style="border: none;" width="87"></td>
</tr>
<!--[endif]-->
</tbody></table>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<b><span style="font-family: "Bookman Old Style","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: "Courier New"; mso-bidi-font-size: 9.0pt;">Treatment
: <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="color: #333333; font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";">Antibiotics do
not have a role in viral pneumonia. Antiviral medication only
works against influenza pneumonia .</span><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-family: 'Bookman Old Style', serif; font-size: 9pt; line-height: 150%;">All viral pneumonia patients must receive
supportive care with oxygen and close observation</span><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-family: Arial, sans-serif; font-size: 10pt; line-height: 150%;">.<span class="apple-converted-space"><sup>9,10</sup></span></span><span class="apple-converted-space"><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%;">Case
:</span></b><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%;">
Baby girl aged 22 months was admitted in my IPD ward , it was known case of
Cerebral palsy , two days after admission she started coughing, fever, with
slight restlessness, this was before we planned
to treat cerebral palsy, Ipecacuanha
30c, ten pills were given and asked the mother of baby to mix the medicated
globules in 15 ml mineral water and asked her to give 2 teaspoons of medicated
water every 2 hours. There was not much improvement but rattling started , the child
becoming drowsy Anti tart 30 c was given in liquid form and asked the mother to
give two teaspoons every 30 minutes, and I advised her to take the baby to a
specialized hospital as it is a case is going from bad to worse as it is viral
pneumonia, after giving three doses of the medicine, the mother of the
child took discharge from the hospital
to take the baby for better treatment. As it is linked with financial
expenditure she was moving from one hospital to another, parallel giving a
homeopathic remedy which was given in hospital. To the parents surprise child
recovered, the rattling was reduced , cough and drowsiness reduced after 36
hours after initial dose. This
information was received after a weak through the parents of the baby.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<b><span style="font-family: "Bookman Old Style","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Courier New"; mso-bidi-font-size: 9.0pt;">Summary
:</span></b><span style="font-family: "Bookman Old Style","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Courier New"; mso-bidi-font-size: 9.0pt;">
</span><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";">In both the cases were very serious nature,
in both cases Homoeopathy saved the babies from death, as cost of treatment in a
conventional system is very high beyond the reach of the poor, along with
giving good supportive treatment
with homeopathic treatment, we can reduce the morbidity and mortality of
these dreadful Viral diseases. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<b><span style="font-family: "Bookman Old Style","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Courier New"; mso-bidi-font-size: 9.0pt;">References
:<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0in; mso-add-space: auto; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";">
1)<a href="http://www.who.int/topics/rotavirus_infections/en"><span style="color: windowtext; text-decoration: none; text-underline: none;">http://www.who.int/topics/rotavirus_infections/en</span></a><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .25in; margin-right: 0in; margin-top: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="background: white; font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Helvetica;">2) </span><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%;"><a href="http://www.who.int/gho/child_health/mortality/mortality_causes_text/en/"><span style="color: windowtext; text-decoration: none; text-underline: none;">http://www.who.int/gho/child_health/mortality/mortality_causes_text/en/</span></a><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";"> 3) </span><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%;"><a href="http://www.jhsph.edu/departments/international-health/the-glbe/archive/summer2012/child-causes-of-death.html"><span style="color: windowtext; text-decoration: none; text-underline: none;">http://www.jhsph.edu/departments/international-health/the-glbe/archive/summer2012/child-causes-of-death.html</span></a></span><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .25in; margin-right: 0in; margin-top: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="background: white; font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Helvetica;">4) </span><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";"><a href="http://www.cdc.gov/rotavirus/about/treatment.html"><span style="color: windowtext; text-decoration: none; text-underline: none;">http://www.cdc.gov/rotavirus/about/treatment.html</span></a><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .25in; margin-right: 0in; margin-top: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";">5) <a href="http://emedicine.medscape.com/article/967822-overview"><span style="color: windowtext; text-decoration: none; text-underline: none;">http://emedicine.medscape.com/article/967822-overview</span></a><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .25in; margin-right: 0in; margin-top: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";">6) </span><span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-size: 7.0pt;">www.thelancet.com Published online April 12, 2013<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-size: 7.0pt; mso-bidi-font-weight: bold;"> 7) </span><span style="font-family: 'Bookman Old Style', serif; font-size: 9pt; line-height: 150%;"><a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Mukherjee%20A%5BAuthor%5D&cauthor=true&cauthor_uid=23280762"><span style="color: #660066; text-decoration: none; text-underline: none;">Mukherjee A</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Mullick%20S%5BAuthor%5D&cauthor=true&cauthor_uid=23280762"><span style="color: #660066; text-decoration: none; text-underline: none;">Mullick S</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Deb%20AK%5BAuthor%5D&cauthor=true&cauthor_uid=23280762"><span style="color: #660066; text-decoration: none; text-underline: none;">Deb AK</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Panda%20S%5BAuthor%5D&cauthor=true&cauthor_uid=23280762"><span style="color: #660066; text-decoration: none; text-underline: none;">Panda S</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=Chawla-Sarkar%20M%5BAuthor%5D&cauthor=true&cauthor_uid=23280762"><span style="color: #660066; text-decoration: none; text-underline: none;">Chawla-Sarkar M</span></a>., First report of
human rotavirus G8P[4]
gastroenteritis in India: evidence of ruminants-to-human zoonotic transmission,
<a href="http://www.ncbi.nlm.nih.gov/pubmed/23280762" title="Journal of medical virology."><span style="color: #660066; text-decoration: none; text-underline: none;">J Med Virol.</span></a> 2013 Mar;85(3):537-45.
doi: 10.1002/jmv.23483. Epub 2012 Dec 21<o:p></o:p></span></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: "Courier New";"> 8) <a href="http://emedicine.medscape.com/article/967822-overview"><span style="color: windowtext; text-decoration: none; text-underline: none;">http://emedicine.medscape.com/article/967822-overview</span></a></span><b><span style="font-family: "Bookman Old Style","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Courier New"; mso-bidi-font-size: 9.0pt;"><o:p></o:p></span></b></div>
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<span style="font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 150%;">9 ) <a href="http://emedicine.medscape.com/article/967822-overview"><span style="color: black; text-decoration: none; text-underline: none;">http://emedicine.medscape.com/article/967822-overview</span></a><o:p></o:p></span></div>
<div style="background: white; line-height: 18.0pt; margin-bottom: 12.5pt; margin-left: 0in; margin-right: 0in; margin-top: 0in;">
<span style="font-family: 'Bookman Old Style', serif; font-size: 9pt;">10) <a href="http://www.mayoclinic.com/health/rotavirus/DS00783/DSECTION=treatments-and-drug"><span style="color: black; text-decoration: none; text-underline: none;">http://www.mayoclinic.com/health/rotavirus/DS00783/DSECTION=treatments-and-drug</span></a></span><span style="color: #54585a; font-family: "Helvetica","sans-serif"; font-size: 8.0pt;">’<o:p></o:p></span></div>
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<span style="color: #54585a; font-family: "Helvetica","sans-serif"; font-size: 8.0pt; line-height: 115%;">11) </span><span style="color: #333333; font-family: "Bookman Old Style","serif"; font-size: 9.0pt; line-height: 115%; mso-bidi-font-family: Arial;">L.M. Singh and Girish Gupa, "Antiviral Efficacy of
Homoeopathic Drugs Against Animal Viruses,"British Homoeopathic Journal,
74(3):168-174, July, 1985<o:p></o:p></span></div>
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12 )<a href="http://emedicine.medscape.com/article/967822-overview"><span style="color: black; text-decoration: none; text-underline: none;">http://emedicine.medscape.com/article/967822-overview</span></a><span style="font-family: Arial, sans-serif; font-size: 10pt;"><o:p></o:p></span></div>
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Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com3tag:blogger.com,1999:blog-725444157839606686.post-4239378011244147712013-10-09T20:39:00.001+05:302013-10-09T20:39:27.450+05:30A case of poly cystic ovarian syndrome treated with Homoeopathy<h1 style="background: white; margin-bottom: 22.5pt; margin-left: 0in; margin-right: 0in; margin-top: 22.5pt;">
<span style="color: windowtext; font-family: "Verdana","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 10.0pt;">The
journey to fertility - A case of </span><span style="color: windowtext; font-family: "Verdana","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: Arial; mso-bidi-font-size: 10.0pt;">poly cystic ovarian syndrome <o:p></o:p></span></h1>
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<b><span style="font-family: "Verdana","sans-serif";">Prof
G R Mohan <o:p></o:p></span></b></div>
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<b><span style="font-family: "Verdana","sans-serif"; font-size: 6.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">M D(Hom)., P G Dip(Env Stud)<o:p></o:p></span></b></div>
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<b><span style="font-family: "Verdana","sans-serif"; font-size: 7.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Principal, Devs Homoeopathic Medical College,<o:p></o:p></span></b></div>
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<b><span style="font-family: "Verdana","sans-serif"; font-size: 7.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Deva nagar, Ankireddypalli, Kesara mandal, R R
Disrtict, A P<o:p></o:p></span></b></div>
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<b><span style="font-family: "Verdana","sans-serif"; font-size: 7.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">drmohangr@yahoo.co.in<o:p></o:p></span></b></div>
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<b><span style="font-family: "Verdana","sans-serif"; font-size: 7.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">www.drgrmohan.com</span></b></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";">Poly cystic ovarian syndrome</span><span style="font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;"> first described by </span><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;">American gynecologists
</span><span style="font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;">Stein and Leventhal in
1935, PCOS is a hormonal disorder affecting 10-15% of women, worldwide,
irrespective of race or color. </span><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;">The World Health Organization estimates that it affects
116 million women worldwide as of 2010 (3.4% of the women). </span><span style="color: #333333; font-family: "Verdana","sans-serif"; font-size: 9.0pt; letter-spacing: -.75pt; line-height: 150%; mso-bidi-font-weight: bold;">According<b> </b></span><span style="color: #333333; font-family: "Verdana","sans-serif"; font-size: 9.0pt; letter-spacing: -.75pt; line-height: 150%;">Dr Rajeev Punjabi<b> </b>India witnesses alarming rise in the
incidence of PCOS <b>,</b></span><span style="color: #333333; font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;"> India has witnessed about<span class="apple-converted-space"> </span><strong><span style="font-weight: normal;">30 per cent rise in polycystic ovary syndrome (PCOS) cases in the last
couple of years.</span></strong> Lack of awareness and lifestyle changes are
considered to be the major factor leading to this phenomenon.,1 2</span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<span style="font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;">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</span><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;"> test is suggestive
but not diagnostic</span><span style="font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;">.<sup>1,3</sup><o:p></o:p></span></div>
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<b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Symptoms : </span></b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">80% Menstrual Disorders (absent), </span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;"><a href="http://www.fpnotebook.com/Gyn/Menses/AnvltryBldng.htm"><span style="color: windowtext; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">Anovulatory Bleeding</span></a></span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> (<6 nbsp="" span=""><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;"><a href="http://www.fpnotebook.com/Gyn/Exam/MnstrlBldng.htm"><span style="color: windowtext; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">Menses</span></a></span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> per year)<b> </b></span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;"><a href="http://www.fpnotebook.com/Gyn/Endo/FmlInfrtlty.htm"><span style="color: windowtext; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">Infertility</span></a></span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> (74%) and </span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;"><a href="http://www.fpnotebook.com/OB/Bleed/RcrntMscrg.htm"><span style="color: windowtext; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">Recurrent Miscarriage</span></a></span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">, Acne Vulgaris</span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;"> </span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">oily skin, Hirsutism (69%) Dark
or thick skin markings and creases around the armpits, groin, neck, and breasts
, androgenic alopecia<b>, </b>Clitoris swelling, 49% Central </span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;"><a href="http://www.fpnotebook.com/Endo/Obesity/Obsty.htm"><span style="color: windowtext; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">Obesity</span></a></span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> (apple shaped ) BMI over 27
(65% of PCOS patients) <b>, </b>Mood disturbance (e.g. </span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;"><a href="http://www.fpnotebook.com/Psych/Depress/MjrDprsn.htm"><span style="color: windowtext; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">Major Depression</span></a></span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">, Anxiety).<o:p></o:p></span></6></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt;"><a href="http://www.fpnotebook.com/Gyn/Rad/TrnsvgnlUltrsnd.htm"><b><span style="color: windowtext; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;"> Ultrasound</span></b></a>,
<a href="http://www.fpnotebook.com/Endo/Lab/GlcsTInslnRt.htm"><span style="color: windowtext; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">Glucose to Insulin Ratio</span></a></span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; mso-fareast-font-family: "Times New Roman";"> < 4.5,<o:p></o:p></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";">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</span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial;">,</span><span style="font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;">
basic pathology, miasmatic nature, individual study, a suitable homeopathic
similimum will bring an excellent change in blood and sonographic
reading.</span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial;"> </span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";">Homeopathic
remedies would help in the regression of ovarian cysts</span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial;">.<o:p></o:p></span></div>
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<span style="font-family: Verdana, sans-serif; font-size: 9pt;">Losing
5 percent to 10 percent of weight according to B M I, can help to restart
ovulation, Exercise can help you lose weight. </span><b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt;">Diet
:</span></b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt;">
<strong><span style="color: #333333; font-weight: normal;">Low glycemic index foods, </span></strong>diet include whole grains, beans, fruit, vegetables and
lean protein<strong><span style="color: #333333; font-weight: normal;"> ,</span></strong> Eating a few small meals rather than three big ones may
help even out blood sugar levels<span style="color: #333333;"><o:p></o:p></span></span></div>
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<b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">A
case of P CO D :</span></b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;"> Patient
by name MS S, aged 20 years, unmarried ,<o:p></o:p></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;"> a B Tec 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<o:p></o:p></span></div>
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<b><u><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">PRESENTING COMPLAINTS:<o:p></o:p></span></u></b></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%; mso-bidi-font-weight: bold;">Menses delayed by 5 months, irregularity
since 3 years<o:p></o:p></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%; mso-bidi-font-weight: bold;">Irritability 2 years<o:p></o:p></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%; mso-bidi-font-weight: bold;">Anxiety about health 1year<o:p></o:p></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%; mso-bidi-font-weight: bold;">Haughty since 8 months<o:p></o:p></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%; mso-bidi-font-weight: bold;">Hair over upper lip, neck. 2
years<o:p></o:p></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-weight: bold;"> <o:p></o:p></span></div>
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<b><u><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">PAST HISTORY:<o:p></o:p></span></u></b></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%; mso-bidi-font-weight: bold;">Since 2007 period is late,
was diagnosed as hypothyroidism and kept on allopathic medication, taking
medication for P C O S</span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<b><u><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">FAMILY HISTORY: </span></u></b><u><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%; mso-bidi-font-weight: bold;">F/H<b>
</b></span></u><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%; mso-bidi-font-weight: bold;">hypothyroidism</span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;"><o:p></o:p></span></div>
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</span></span><!--[endif]--><b><u><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">PERSONAL HISTORY</span></u></b><b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;"> </span></b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">Appetite</span></b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">-
Good<o:p></o:p></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;"> <b>Diet</b>- mixed.<o:p></o:p></span></div>
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<b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">Thirst</span></b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">-
less.<o:p></o:p></span></div>
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<b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">Desire</span></b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">-
Cold food , desire spicy food.<o:p></o:p></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;"> <b>Aversions/ intolerance</b>- NS.<o:p></o:p></span></div>
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<b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">Bowels</span></b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">-
Regular. <o:p></o:p></span></div>
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<b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">Urine</span></b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">-
5/6 times/day. No special. Characteristics.<o:p></o:p></span></div>
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<b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">Sweat</span></b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">- NP<o:p></o:p></span></div>
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<b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">Sleep</span></b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">- refreshing<o:p></o:p></span></div>
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<b><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB;">Habits and addiction : no</span></b><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold;"><o:p></o:p></span></div>
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</span></span><!--[endif]--><b><u><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">LIFE SPACE INVESTIGATION. </span></u></b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;"> </span></b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;">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.</span><b><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB;"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB;">General physical examination<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold;">The patient was </span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;">short stature 64.9 Kg weight, B M I: 25,</span><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold;"> no pallor, cyanosis, edema, clubbing or
lymphadenopathy.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB;">Systemic examination</span></b><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB;">Examination
of neck : slight swelling of thyroid gland on deglutition.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold;">GIT System: abdomen was soft, liver palpable, spleen
not enlarged<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold;">CNS System: Nothing abnormal detected<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold;">CVS System: Nothing abnormal detected <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold;">Respiratory System: Nothing abnormal detected <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB;">Investigations:<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB;">U
S Scan : P C O D ( 2009, 2010 & 2012 )<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB;">Antverted
uterus, Endometrial thickness :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB;">F S
H 6. 7.9 ; L H :21.78 ; S Prolactine : 8.8<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB;">T
S H : 3.78uiu/ml<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%; mso-ansi-language: EN-GB;">Clinical diagnosis: P C O D</span></b><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB;">Clinical classification :</span></b><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold;">Dynamic chronic fully developed miasmatic disease.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB;">Miasmatic diagnosis</span></b><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold;">Psoro -Sycotic and Syphilitic.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold;">Susceptibility: moderate<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB;">Totality of symptoms :</span></b><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 115%; mso-ansi-language: EN-IN; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;"> Irritability</span><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%; mso-ansi-language: EN-IN;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;"> Anxiety about health<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;"> Haughty<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle">
<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;"> Desire for open air <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">Desire for cold Food , desire spicy food <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">Menses late <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold;">Thirstless<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><b><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB;">Repertorisation (</span></b><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB;">attached below<b>)
<sup>4</sup></b><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold;">Phosphorus
and Pulsatilla were the first two remedies emerged on </span><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB;">Repertorisation. Reasons for selecting Pulsatilla was due to as it covered all symptoms with maximum score. </span><span style="font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;">Boericke says that </span><span lang="EN-CA" style="font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;">"</span><span style="font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;">it is pre-eminently a female remedy</span><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold;"> ,</span><span style="font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;"> He says that the disposition and mental state are the chief
guiding symptoms to the selection of Pulsatilla.</span><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold;"><o:p></o:p></span></div>
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<b><span lang="EN-GB" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-GB;">Treatment:<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;">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 . <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;"> patient
came on 26-2-13 no trace of menses Pulasatilla 200c ,5doses were given with Placebo for 20 days .<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;"> 24-03-13
: patient came with no trace of menses Pulasatilla IM, 3 were
given with Placebo 30 days . <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo1; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-IN; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;">21-04-13 :
patient came and said that menses
appeared on 17-04-13, bleeding was more. Placebo 30days . </span><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-IN;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-IN" style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-IN; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;">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.</span><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-IN;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;">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.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">*<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;">14-07-13 :
patient came and said menses
appeared on 29-06-13, two days bleeding
was present, weakness reduced, Placebo 30days .
<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;">25-08-13
: patient came with the U S Scan report which was showing
Normal study (attached below)</span><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-IN;">.
Irritation and other symptoms were normal. </span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;">Carcinosin 1M , one dose ,
Placebo 15days was given.Ahoka Q, was
given daily .</span><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-ansi-language: EN-IN;"><o:p></o:p></span></div>
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<b><span style="font-family: "Verdana","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Discussion :<o:p></o:p></span></b></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;">In the above case all
investigations were done , all investigations were pointing towards </span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";">Poly cystic ovarian syndrome</span><span style="font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;"> . since 2009 she is
having problem, took various treatments with any benefit, as age is 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</span><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;"> used metformin
without any benefit. </span><span style="font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;">with that she gained her weight.2009 to 2013 she has put on 11 kg
weight.developed sever anxity about her health and future.</span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;">In the conventional treatment Medical treatment
of PCOS is </span><span style="font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;">lowering of
insulin levels<span style="background: white;"> , </span>restoration of fertility<span style="background: white;">, </span>treatment of<span class="apple-converted-space"> </span><a href="http://en.wikipedia.org/wiki/Hirsutism" title="Hirsutism"><span style="color: #0b0080;">hirsutism</span></a><span class="apple-converted-space"> </span>or
acne<span style="background: white;"> and </span>restoration of regular
menstruation, and prevention of<span class="apple-converted-space"> </span><a href="http://en.wikipedia.org/wiki/Endometrial_hyperplasia" title="Endometrial hyperplasia"><span style="color: #0b0080;">endometrial
hyperplasia</span></a><span class="apple-converted-space"> </span>and<span class="apple-converted-space"> </span><a href="http://en.wikipedia.org/wiki/Endometrial_cancer" title="Endometrial cancer"><span style="color: #0b0080;">endometrial cancer</span></a>.
<span style="background: white;">Polycystic ovaries are treated with a
laparoscopic procedure called "ovarian drilling"<span class="apple-converted-space"> OR </span>Reducing insulin resistance by
improving insulin sensitivity through medications such as<span class="apple-converted-space"> </span></span></span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;"><a href="http://en.wikipedia.org/wiki/Metformin" title="Metformin"><span style="background: white; color: #0b0080; mso-bidi-font-family: Arial;">metformin</span></a>
anti diabetic drug.</span><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;"> If fertility is not the primary aim, then<span class="apple-converted-space"> </span></span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;"><a href="http://en.wikipedia.org/wiki/Menstruation" title="Menstruation"><span style="background: white; color: #0b0080; mso-bidi-font-family: Arial;">menstruation</span></a></span><span class="apple-converted-space"><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;"> </span></span><span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;">can usually be regulated with a contraceptive pill . <sup>1</sup><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;"> </span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;">Pulasatilla
has given good result in regulating </span><span style="font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;">menstruation , it has changed her mood, helped Her to shed weight and
lastly P C O Ds vanished with homeopathic
remedies. </span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-weight: bold;">In the above case Carcinosin Burnett
was given; as it coved </span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;">Sycotic, Tubercular,
Syphilitic miasms, it’s a Chronic,
Intercurrent remedy . Thuja
Occidentalis coved Psoric, Sycotic, Syphilitic miasms </span><span style="font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-CA" style="font-family: Verdana, sans-serif; font-size: 9pt; line-height: 150%;">It's surprising to note that </span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;">Pulsatilla which is
selected on the basis of repatriation ,
given to the patient gave success, but following observations were noted.</span><span style="color: #333333; font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">In Murphy’s repertory
under the rubric female-Tumors,
genitals-ovaries, cysts : 44 remedies are there but Pulsatilla is missing<o:p></o:p></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">Synthesis 8.1 V repertory under the rubric female-Tumors, genitals-ovaries, cysts : 32
remedies are there but Pulsatilla is missing<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">Boericke O, repertory
under the rubric female sexual
system -ovaries, cysts dropsy : 25
remedies are there but Pulsatilla is missing<o:p></o:p></span></div>
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<br /></div>
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<b><span style="font-family: "Verdana","sans-serif"; line-height: 115%; mso-bidi-font-size: 9.0pt;">References
:<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%;">
<span style="color: #1f1f3f; font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial;"><br />
</span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial;">1) Ganie M A, Kalra S. Polycystic ovary syndrome -
A metabolic malady, the mother of all lifestyle disorders in women - Can Indian
health budget tackle it in the future?. Indian J Endocr Metab [serial online]
2011 [cited 2013 Sep 16]; 15:239-41. Available from: </span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%;"><a href="http://www.ijem.in/text.asp?2011/15/4/239/85571">http://www.ijem.in/text.asp?2011/15/4/239/85571</a></span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 150%; mso-bidi-font-family: Arial;"><o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 115%;">2) <a href="http://ayurbhishak.wordpress.com/2010/09/23/%E2%99%A3-india-witnesses-alarming-rise-in-incidence-of-pcos-dr-rajeev-punjabi/">http://ayurbhishak.wordpress.com/2010/09/23/%E2%99%A3-india-witnesses-alarming-rise-in-incidence-of-pcos-dr-rajeev-punjabi/</a><o:p></o:p></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt;"> 3)</span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; mso-fareast-font-family: "Times New Roman";">
<a href="http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001408/">http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001408/</a><o:p></o:p></span></div>
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<span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt; mso-fareast-font-family: "Times New Roman";"> 4) Hompath Wildfire<o:p></o:p></span></div>
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<b><span style="font-family: "Verdana","sans-serif"; font-size: 5.0pt; line-height: 115%; mso-bidi-font-size: 9.0pt;">11-02-2013<o:p></o:p></span></b></div>
Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com59tag:blogger.com,1999:blog-725444157839606686.post-75674581073775224652013-09-05T23:20:00.001+05:302013-09-05T23:20:47.118+05:30Teachers Day celebrations at Devs Homoeopathic Medical College , Ankireddypalli, R R District , A P , India , Sept 2013<div class="MsoNormal" style="margin-left: .5in; text-align: justify;">
<span style="font-size: 18.0pt; line-height: 115%;">Dr.S.Radhakrishna’s birth anniversary
was celebrated in Devs Homoeopathic medical college on 5-9-2013 Prof.Dr.G.R.Mohan
principal of the college priced over the function. On the occasion Dr.Mohan
enlightened the salient events of the life history of Dr.S.Radhakrishnan
,futher he said the difficulties of teachers while teaching, the average and
below average student also should be benefited with the teaching then only
He will be considered as a teacher. Students of the college felicitated
all the faculty members of the college. Prof.Dr.M.Ramakrishna and
Prof.Dr.P.Shankar also spoke on the occasion. The function ended with cultural
program me and lunch. </span></div>
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<o:p></o:p>Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com5tag:blogger.com,1999:blog-725444157839606686.post-85204513102652007082013-08-31T14:05:00.002+05:302013-08-31T14:05:17.882+05:30Is there a need to rewrite the textbook of Practice of medicine according to the need of homeopaths ?<div class="MsoNormal">
<b><span style="font-size: 18.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Is there a need to rewrite the textbook of Practice of medicine
according to the need of homeopaths ?</span></b><span style="font-size: 18.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal">
<b>Prof G R Mohan,<o:p></o:p></b></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Principal, Devs Homeopathic Medical
College,</span><b><o:p></o:p></b></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ankireddipalli,
Keesara Mandal, -501301<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">R.R.District,
AP<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><i><span style="font-family: "Verdana","sans-serif";">A
Teacher is a performer like an actor- the only difference is that the teacher
expects learners to perform </span></i></b><span style="font-family: "Verdana","sans-serif";"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
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<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="line-height: 135%; margin-bottom: 11.25pt; margin-left: 0in; margin-right: 0in; margin-top: 7.5pt;">
<b><span style="color: #333333; font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 135%; mso-bidi-font-size: 11.0pt; mso-fareast-language: EN-IN;">Samuel Hahnemann states in The third aphorism in the Organon :</span></b><span style="color: #333333; font-family: "Verdana","sans-serif"; font-size: 9.0pt; line-height: 135%; mso-fareast-language: EN-IN;"><o:p></o:p></span></div>
<div class="MsoNormal">
<i><span style="font-family: "Verdana","sans-serif"; mso-fareast-language: EN-IN;">If the physician clearly perceives what is to be
cured in diseases, that is to say, in every individual case of disease
(knowledge of disease, indication), if he clearly perceives what is curative in
medicines, that is to say, in each individual medicine<o:p></o:p></span></i></div>
<div class="MsoNormal">
<span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-ansi-language: EN-IN; mso-bidi-font-weight: bold;">Basic objectives of
education and training in a Homoeopathic institution is to prepare a competent
Homoeopathic Physician who is capable of functioning independently and
effectively under Rural and Urban set ups (CCH) </span><span style="font-family: "Verdana","sans-serif";"><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">According
to C C H syllabus there are three papers for practice of medicine examination
which is scheduled in the final year of B H M S course. Two papers are mainly
concerned to homeopathic therapeutics. In true sprit a teacher in the
Department of medicine has to refer text book of medicine along with material
medica and Organon books to deliver a
lecture to satisfy the examination modalities. How far is this practicable?
Majority time of 85% is spent on medicine proper; in reaming fifteen percent of
time only homeopathic treatment is discussed in the class. Even for students it
becomes difficult to collect information with this cumbrous</span><span style="font-family: "Verdana","sans-serif"; mso-fareast-font-family: +mn-ea;">
syllabus.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif"; mso-fareast-font-family: +mn-ea;">Present day there is a criticism that newly passed out graduates are
not able to give correct prescription. How far is it correct ? It is a question
to be answered by every teacher in homeopathic medical college. Is it the fault
of the teacher ? Can it be the student? Or non availability of Homoeopathic oriented books ?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0in; mso-add-space: auto;">
<i><span style="font-family: "Verdana","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Late Prof. John Mitchell & his team have shown that :80% of the accurate final diagnosis &
100% of the management strategies, could be arrived at the end of reading the
referral letter and carefully listening to the patient. This clinical accuracy
could only be 4% more refined by all the physical examination and only 8% more
refined by all the investigations including PET scan.</span></i><i><span style="font-family: "Verdana","sans-serif"; font-size: 11.0pt; line-height: 150%;"><o:p></o:p></span></i></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0in; mso-add-space: auto;">
<span style="font-family: "Verdana","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Elizabeth Hubbard said : </span><span style="font-family: "Verdana","sans-serif"; font-size: 11.0pt; line-height: 150%;">A
through physical examination and routine laboratory investigations has to be
done, so that the physician is thoroughly scientific.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">Stuart Close
said</span><span style="font-family: "Verdana","sans-serif";"> : Hahnemann devoted twenty two paragraphs in the ‘Organon’ on
examination of the patient ( 83-105<b>)</b><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Verdana","sans-serif"; mso-fareast-font-family: +mn-ea;">Really there are no good homeopathic oriented text books
for practice of medicine </span><span style="font-family: "Verdana","sans-serif";">are
available but they are quite good number
</span><span style="font-family: "Verdana","sans-serif"; mso-fareast-font-family: +mn-ea;">text books in allopathic
oriented practice of medicine which
naturally impress on the student‘s mind the allopathic approach. Medicine books
are written by allopathic oriented authors with mechanical-materialistic
approach and outlook</span><span style="font-family: "Verdana","sans-serif";">. </span><span style="font-family: "Verdana","sans-serif"; mso-fareast-font-family: +mn-ea;">Very
little attention paid to the dynamic vitalistic aspect of all these subjects .The
disease is described more from nosological diagnostic point of view less from
the angle of dynamic vitality and individualistic concept. Prognosis not
described according to the homeopathic point of view. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-IN"> </span><span lang="EN-IN" style="font-family: "Verdana","sans-serif"; mso-ansi-language: EN-IN;">Medicine is essentially a practical science and can be
more learnt at the bedside than in a classroom. Care should therefore be taken
to impart an intensive clinical training to the students during the later part
of their study in the college. </span><span style="font-family: "Verdana","sans-serif";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">Therapeutic
method of study consists of studying a remedy in relation to its action in
different disease conditions. For example<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">Nat.mur- Eczema, Headache etc.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">Pulsatilla-
Mumps, Measles, Haemorroids
etc.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">Iris Tenax-
Appendicitis.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">As teachers we have to discuss the predominant site of action drugs which
are mentioned in Materia Medica with the knowledge of Practice of medicine e.g.:
Cheledonium- Liver, Ceanothus- Spleen,
Sabal ser- Prostrate , Ruta- Periosteum,
Hypericum- Nerves. Digitalis – Heart, Euphrasia – Eye and Iodum- Thyroid. <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">The modern
physiologist reflects the theory that the vast majority of human ills are
related in some degree to endocrine imbalance. Every drug in Materia Medica
should be studied in relation to the affection of endocrine glands.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">Iodum-
Hyperthyroidism.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">Graphites-
Hypothyroidism, Hypogonardism. <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">Fucus
Vesiculosus- Nontoxic Goiter. <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">Nat. Mur-
Addision’s Disease. Hyperthyroidism<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">In therapeutics explanation should be more scientifically like :</span><span style="font-family: Verdana, sans-serif; position: relative; top: -0.5pt;">Hardness of hearing> by riding in carriage
or train is seen in </span><span style="font-family: Verdana, sans-serif;">Otosclerosis (medicine), this symptom is present in <span style="mso-text-raise: .5pt; position: relative; top: -.5pt;">Nit. Acid, Graph
(materia medica) Enlarged glands.</span></span><span style="font-family: Verdana, sans-serif; position: relative; top: -0.5pt;"> Hodgkin’s Disease. Seen in </span><span style="font-family: Verdana, sans-serif;"> Scrophularia. N.</span><span style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">Even in Materia Medica books contains a vast number of medical terms with
many nosological names of disease. So it is difficult to understand Materia
Medica without knowing the meaning of the term or signs and symptoms of the
disease.</span><span style="font-family: "Verdana","sans-serif";"><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">Wen- Sebaceous cyst.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">Paralysis
agitans- Parkinsonism.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">Somnambulism-
Sleep Walking.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">Hive- Urticaria.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">Zona- Herpes zoster.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">The
knowledge about the diagnostic symptoms i.e. the pathognomonic symptoms helps
in determining the individual characteristic symptoms which form the basis of
the prescription in homeopathic practice according to the concept of the
totality of the symptoms. It aids prescription by giving information about the
location and nature of pathological changes present – pathological generals. It
determines whether the pathological changes are far advanced and have affected
any of the vital organs. Diagnosis gives indication to use of deep acting
constitutional remedies like Silicea, Lycopodium, and Sulphur etc.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">Administration
of the superficially acting related remedy, Use of high potencies frequent
repetition of similar deep acting remedies in acute diseases, the clear
diagnosis helps in the differentiation of a natural disease process from other
disturbances in the health, E.g.: Asiatic cholera from Arsenic poisoning,
cholera from Camphor poisoning .The clinical diagnosis helps the physician in
instituting the prophylactic measures (Genus epidemicus) at the time of
epidemics. It also makes possible the comparative assessment of the therapeutic
results, it also helps to know, to which stage of disease, the drug is more
similar. So helps in - Speed prescribing, - Prescription in case of the paucity
of symptoms- Comatose patient. <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif";">In reality
patients come to teaching hospitals either acute , psedochronic and chronic
type, but when a teacher in the practice of medicine has to teach according to
the above said classification so that for the plan of the treatment. A teacher
who is senior can tackle but for junior teacher it becomes difficult , because no
book covers the above problems. <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">Lastly even after introduction of post graduation in the practice of
medicine there is no improvement, </span><span style="font-family: "Verdana","sans-serif";">even in examinations also when the student writes the
long or short case , he fails to mention the classification of diseases ,
fundamental cause exiting cause, answering blunders in Viva, Performing Very poor clinical examination,
writing very few remedies in
therapeutic part, no mention of diet
nor mentioning general management . Views of a cross section of
Homoeopaths who don’t know about the
difficulties in teaching comment like, No Homeopathic orientation,</span><b> </b><span style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;"> Poor clinical skill</span><span style="font-family: "Verdana","sans-serif";">, no filtering in examinations and on teacher’s attitude <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">The practice of medicine , Orgonon and materia medica are interrelated , when
discussing about a remedy it should not
be theoretical oriented better it should be clinically oriented material medica to students. Twelve
observations of Kent are not shown at the bedside in some of the institutions. Majority
of homoeopathic hospitals admission strength is coming down as there is no
special care for admitted patients compared to out patiently treated patients.
It becomes difficult to demonstrate a good clinical case (successfully
homeopathically treated case).</span><span style="font-family: "Verdana","sans-serif";"><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">It is for young dynamic teachers of this great system,to come out with a
book on the practice of medicine which cover all above said deficiencies.</span><span style="font-family: "Verdana","sans-serif";"><o:p></o:p></span></div>
<div class="MsoNormal">
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<span style="font-family: "Verdana","sans-serif"; mso-bidi-font-weight: bold;">*** article is published in Medicina Futura homoeopathica, vol :1 issue :9 Sept 2013</span></div>
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Dr. G R Mohanhttp://www.blogger.com/profile/03165448813634771073noreply@blogger.com1