the first JSPS GHMC ALUMNI 2012, on 15th & 16th 2012.

At the outset I would like to congratulate each and every doctor from our association  

For taking this responsibility of organizing the first JSPS GHMC ALUMNI 2012, on

15^th & 16^th 2012.

The Jayasurya Homoeopathic medical college was instituted on 31 st August 1967.

Dr. Dwaraka Bai and Mr Obul Reddy did the inauguration of the college.

Dr N .Krishna Rao, Secretary of he Jayasurya Smaraka Sangam delivered the

inaugural address. Sri Moturi Satyanaryana and Smt Moturi Kamala Devi started Amarajivi potisriramulu Homoeopathic college in the year at Jambagh, Hyderabad.

The two private colleges were merged in 1972 after a great effort from our doctors which was named as JSPS GHMC.

The College which was started at Kachiguda, later shifted to Malakpet then finally  developed into a fully established premier institute of UG & PG courses in India . Many Students from the beginning have contributed for the development of our college.

Dr C. Nagabhushanam garu had got land sanctioned from Osmania University campus for the college.

Our students had achieved great heights in various fields apart from practicing Homoeopathy.

some have manufacturing  of Homoeo  medicines , many have pharmacies, also could establish corporate clinics in entire  south India. a good number of doctors have established

hospitals in the state and serving people.

We had  students as Minister in State & central Cabinets , Chairman & Managing Director of well established companies,  Member  Service commission , worked and working as principal of various Homoeopathic medical  colleges  and many  joined as teaching faculty and serving the system. We also have corporate trainer from our old students.

Prof. G. R. MOHAN                                                                                    

MD (Hom) P.G Dip (Env.Stu)                                     

President, Old Students Association JSPS GHMC, Hyderabad

Principal, Devs Homoeopathic Medical College, A P.

                            

A  Case  of  Carcinosin

Prof G R Mohan

MD (Hom), PGdip (Env Stu)

Principal,

Devs Homoeopathic Medical College,

Ankireddy palli, 501 301 ,R R District,A P

www.drgrmohan.com

Carcinosin is made from cancerous tissue, usually obtained from the breast. Carcinosin is best suited to people who were shy, over sympathetic, and hypersensitive during childhood, People who benefit most from the remedy may have a strong craving for fatty foods, especially butter and Chocolate, Carcinosin may be prescribed for those who have a personal or family history of cancer,diabetes ,or tuberculosis. Skin growths and blemishes - multiple moles and blemishes, acne on the back and chest, or boils . There may be itching  and a tendency to bruise or bleed easily ¹

Case presentation:

A patient aged 50 years, male, came to my clinic on 8th Jan 2011, with a stubborn fungus like growth on middle figure.

Presenting complaints: Eruptions over middle figure, elevated growth over middle figure.

Presenting complaints: by occupation he was in business , he was feeling guilty to sit in the counter, fingers were very sensitive to touch, pain on folding. 

Past history: no significant Past history,

Past treatment history: Took Conventional  treatment and Homoeopathic for same complaint.

Family history: nothing particular.

Personal history:

Appetite: Normal

 Thirst:  modarate

 Desires: Nothing Particular

 Aversions: - Nothing Particular

 B/M: Normal Urine: normal

 Sleep: disturbed due skin problem

 Life space investigation: good childhood, belongs to upper middle class family, educated up to graduation, married, blessed with children, they are also married. By occupation he is a business man,

General physical examination:

Systemic examination:

Obese 73-3 KGs weight, non DM, non HTN

CVS:   NYD

RESP: NYD

CNS: NYD

GIT: NYD

Skin examination: except lesion over middle figure with elevated growth, no other lesion any part of the body.

Provisional diagnosis: fungal growth (as it was diagnosed by a local Dermatologist.)

Investigations:  Biopsy done after 3 months of homoeopathic treatment, it is as follows diagnosis options were Tuberculosis Verrucosa cutis, Lupus Vulganus, and Scrofuloderma.

Clinical classification: One sided disease.

Treatment and follow-up:

on 8th Jan 2011Bacillinum 1M One dose, Rubrum for 15 days was given, without any benefit, As he was a business man   he was feeling guilty to sit in the counter , fingers were very sensitive  to touch.  both the symptoms were present  in both  Lachesis  and Cyclamen europaeum, on 25/01/11 Lachesis  was preferred  over former and  0/1  for 11 days  were given and followed by  15 days  Rubrum ,  there was no relief and Lachesis  0/3  were given (18/2/11) for 11 days followed by  15 days  Rubrum  was given without any benefit. Since 3 months there was no improvement, I asked patient to get biopsy of the lesion, for which he agreed and the report is as (show in the visual) Tuberculosis Verrucosa cutis, Lupus Vulganus, and Scrofuloderma. The nosological diagnosis on the bases of  clinical presentation was not clear and even in the biopsy report diagnosis options were towards Tubercular infection.

As a last resort on 24/03/11.  Carcinosin 1M was given, and Rubrum for 15 days were given to my surprise lesion was better  by fifty percent, Rubrum for 15 days was given, he came after a month with a smooth figure as shown in visual .This was  turning point  . I prescribed Carcinosin 1M on the bases of chronicity of the case, not with the history of malignancy in family or Tuberculosis 

Conclusion:

In this case the nosological diagnosis was obscure , histopathological report leading to tubercular infection, but there were no history nor any signs and symptoms. Only on the patients presentation of symptoms , it  was cured. I prescribed Carcinosin 1M on the bases as it was a chronic skin disease (did not get cured with conventional way of treatment for more than a year, even Homoeopathic remedies didnot help.),  not with the history of malignancy in family or Tuberculosis.

Authors' information: www.drgrmohan.com, drmohangr@gmail.com

Acknowledgements   : I thank the patient for the cooperation.

References:

1)http://www.herbs2000.com/homeopathy/carcinosin.htm

 2) Marks. R, Roxburgh’s Common Skin Diseases, 16^th Edition, Chapman & Hall Medical, London

Teachers day Celebration at Devs Homoeopathic Medical College,

“A teacher's purpose is not to create students in his own image, but to develop students who can create their own image.”

Students achieving Oneness will move on to Twoness.
Woody Allen

Teachers day Celebration at Devs Homoeopathic Medical College,

Teachers day Celebration at Devs Homoeopathic Medical College

Devs Homoeopathic Medical college students celebrated  Self-governing day  on 5^th September 2012, The special feature of this day was students conducted the classes as per time table. It was a great event.

“More important than the curriculum is the question of the methods of teaching and the spirit in which the teaching is given”-------Bertrand Russell quotes

Teachers day Celebration at Devs Homoeopathic Medical College, Ankireddypalli,R R District, Andhra Pradesh, India

Honouring  their teachers by teachers  on Teachers day on 5^th September 2012

By learning you will teach;
by teaching you will understand

Urinary incontinence - a case of Staphysagria

Urinary incontinence is the inability to control the release of urine from your bladder. It is a common and often embarrassing problem. The severity of urinary incontinence ranges from occasionally leaking urine when coughing or sneezing and to urge to urinate sudden and strong before getting in to a toilet in time.

Key words: Urinary incontinence, stress incontinence, Staphysagria

INTRODUCTION:

The disorder is greatly under recognized and underreported. , affecting about 30% of elderly women and 15% of elderly men.

Untreated, incontinence can cause physical and emotional disturbance. Incontinence can also affect patient’s self-esteem and cause depression and social withdrawal. Individuals with long-term incontinence suffer from Urinary tract infections and dermatitis. There are numerous invasive and noninvasive treatment options for Urinary incontinence. Drugs include anticholinergics and antimuscarinics, Surgery is a last resort, usually used only for younger patients with severe urge incontinence refractory to other treatments.(m).Homoeopathy has good say in urinary incontinence As treatment is based on  individualisation. Causticum, Apis Mellifica , Nat-Mur, Nux-Vom,  Phosphorus, Pulsatilla , Sepia ,Squila etc are few important remedies in urinary incontinence. In one case of urge incontinence causation was taken as basis in selection of a remedy (post surgical urinary incontinence),  case was cured with Staphysagria. Prescription on bases of causation gave breakthrough in the case. Knowingly or un knowingly we commit mistakes in selecting a remedy. But timely reviewing the case helped me in successfully treating the case.

During urination, muscles in the wall of the bladder contract, forcing urine out of the bladder and into the urethra. At the same time, sphincter muscles surrounding the urethra relax, letting urine pass out of the body. Incontinence will occur if bladder muscles suddenly contract or the sphincter muscles are not strong enough to hold back urine. Urine may escape with less pressure than usual if the muscles are damaged, causing a change in the position of the bladder (Fig). The urethra is supported by fascia of the pelvic floor. If this support is insufficient, the urethra can move downward at times of increased abdominal pressure, allowing urine to pass.

Types of urinary incontinence (1,2,):

Stress incontinence: This is due the increase in intra abdominal pressure is exerted on bladder by coughing, sneezing, laughing, exercising or lifting something heavy. It occurs when the sphincter muscle of the bladder is weakened in women due physical changes resulting from pregnancy, childbirth and menopause due to development of atrophic urethritis.It is also seen in obese people because of pressure from abdominal contents on the top of the bladder. It is the second largest cause for urinary incontinence in women.

. Urge incontinence: This is a sudden, intense urge to urinate, followed by an involuntary   loss of urine, bladder muscle contracts and gives a warning of only a few seconds to a minute to reach a toilet. Urge incontinence may be caused by urinary tract infections, bladder irritants, bowel problems, Parkinson's disease, Alzheimer's disease, stroke, injury or nervous system damage associated with multiple sclerosis. If there's no known cause, urge incontinence is also called overactive bladder.

According to G Chiara, Patients suffering from urge incontinence showed higher degrees of inner anger and anger trait than those suffering from stress or mixed incontinence. Whereas irritability and general hypochondria prevailed in patients suffering from urge incontinence. Such patients tend to develop psychosomatic reactions that may contribute to the severity of their symptoms.(3)

Overflow incontinence: is the 2nd most common type of incontinence in men. In this     condition   dribbling of urine occurs from an overly full bladder. Quantity of urine is small, but leaks may be constant, resulting in large total losses. It is due damaged bladder, blocked urethra or nerve damage from diabetes and in men with prostate gland problems.

Functional incontinence:  Commonly seen in older adults, incontinence before patients who unbutton his or her pants quickly enough. This is called functional incontinence. It is due dementia or stroke. Due to cognitive or physical impairments the patient may not recognize the need to void, may not know where the toilet is, or may not be able to walk.

Mixed incontinence: If you experience symptoms of more than one type of urinary incontinence, such as stress incontinence and urge incontinence, you have mixed incontinence.

Transient incontinence :Severe constipation with impacted stool, urinary tract infections, Medications etc can trigger Transient incontinence.

Women suffer more than men with stress incontinence. In menopausal period estrogen levels are decreased which leads to atrophic urethritis and atrophic vaginitis which leads to decreasing urethral resistance. Childbirth can weaken the pelvic muscles and cause the bladder to lose some support from surrounding muscles, resulting in stress incontinence. Any surgery involving the urogenital tract runs the risk of damaging or weakening the pelvic muscles and causing incontinence like Hysterectomy. Due to prostate gland problems male are prone for urge and overflow incontinence. With aging, bladder capacity decreases, ability to inhibit urination declines. Involuntary bladder contractions. Incontinence isn't normal at any age. Obesity increases the pressure on your bladder and surrounding muscles, which weakens them and allows urine to leak out when coughing or sneezing. Smoking can cause episodes of incontinence, which aggravates cough and puts stress on your urinary sphincter, leading to stress incontinence. Even certain Kidney disorders and Diabetes are part of risk factors. Interstitial cystitis, multiple sclerosis, stroke, spinal cord injuries, or a brain tumor can cause the bladder to contract involuntarily. Carbonated drinks, tea and coffee with or without caffeine, artificial sweeteners, corn syrup, and foods and beverages that are high in spice, sugar and acid, such as citrus and tomatoes, can aggravate bladder.  Anti hypertensive drugs, Diuretics, Ca channel blockers, antihistamines, antipsychotics blockers,

And other medications may contribute to bladder control problems.

Symptoms: Urinary incontinence is the inability to control the release of urine from your bladder. Some people experience occasional, minor leaks or dribbles of urine. Others wet their clothes frequently

Lab investigations:

Urine analysis, cystometry and post void residual volume, measurement of bladder capacity Testing: Cystometry may help diagnose urge incontinence

Complications:

Skin  problems. Repeated  Urinary tract infections. Psychological problems like anxiety and          depression

The following are few rubrics taken from Synthesis 8.1 V, Repertory ,and Radar 10 software.

BLADDER - URINATION - dribbling - enlarged prostate, with

Aloe. Dig. Nux-v. Puls.  Staph.

BLADDER - URINATION - dribbling - involuntary

Agar. All-c. Arg-n. ARN. Ars.  Bar-c. Bell.  Camph. CANTH. CAUST.  CLEM.  Dig. Dulc. Gels. Hyos. Mag-m.  Mur-ac.  Nux-v. Op. Petr.  Puls. Rhus-t.  Sel. Spig. Staph. Stram. Sulph. Tab. Uran-n. Verb.

BLADDER - URINATION - dribbling - urination – after

CANN-I. . Caust. Chinin-s. CLEM. Con.  Graph. Helon. HEP. Kali-c.  La Nat-m. Petr. Petros.  Sel. Sep.  Staph. Thuj.

BLADDER - URINATION - flatus, with

puls. sars. sulph.

BLADDER - URINATION - frequent - coffee, after

cain. cob. ign. olnd.

BLADDER - URINATION - involuntary

AIL. APIS ARG-N. ARS. ARS-I.  BELL. CAUST. DULC.LYC. NAT-M. NUX-M. PHOS.. PSOR. PULS.  RHUS-T. SEP. . STAPH.

BLADDER - URINATION - involuntary - accompanied by - Prostate gland; swelling of

pareir.

BLADDER - URINATION - involuntary - cough, during

APIS CAUST.  NAT-M. . NUX-V. PHOS.  PULS.  SEP.SQUIL. .

BLADDER - URINATION - involuntary - exertion, during

Bry.  Nux-v.

BLADDER - URINATION - involuntary - old people, in - men with enlarged prostate

All-s. Aloe  Cic  Iod. . Pareir. Sec. Thuj.

BLADDER - URINATION - involuntary - pregnancy, during

ARS.  PULS.

BLADDER - URINATION - involuntary - sneezing, when

Calc. CAUST.. Ferr.  Kali-c.  Kreos. Lac-c. Nat-m. Nux-v. Ph-ac.  Psor. Puls. Ruta  Squil. Staph.  Verat.

BLADDER - URINATION - involuntary - surgical operation; after a

staph.

BLADDER - URINATION - involuntary - stool - straining – while  Alum. Lil-t.

BLADDER - URINATION - involuntary - labor, after

Arn. ARS.

BLADDER - URINATION - involuntary - catheterization, after

arn. mag-p. staph.

BLADDER - URINATION - involuntary - delivery; after

bry. equis-h. mag-m. staph.

Case :

Ms LBV,Patient aged 49,femal sex, cook by occupation, moderate built with 62.5 Kgs weight, who was diagnosed as urge incontinence  came to my clinic Sept 2008, with following symptoms, on interrogation she said as she is cook in a orthodox family.

Presenting complaints: depressed look, pain in lower back, < sitting prolong time, > walking, suddenly dribbling of urine < night mostly occasionally day also, cold perspiration on either physical or mental exertion,

Past history:  Menorrhagia, late menopause.

Family history: mother OA patient,

Past treatment history: Hysterectomy in 2007 underwent various treatments for urinary incontinence without any benefit for one year.

Personal history

Appetite: good, Thirst: thirst less, desires and Aversions: NP, bowel movement: regular /satisfactory, urination: normal flow, occasional urge incontinence, perspiration: cold perspiration on either physical or mental exertion, habits: nil, Sleep: refreshing, Dreams: occasional, thermal state: not able to express and menstrual history: Status Hysterectomy

life space investigation: parents belongs to lower middle class family, 3 brothers and three sisters, she is second, educated up to middle school level, , discontinued studies, started working as helper in houses, married at 18 the year blessed with 3 children, husband is a heart patient, for his health she has incurred heavy expenditure. Family in financial crisis.

Physical examination: Not Anemic, no Jaundice, no Clubbing, no edema

 With pulse rate of 70 PM, regular, Blood pressure: 126/80 mm Hg            

Provisional diagnosis: Urge Incontinence

Results of repertorisation:

 Choice of remedy: Sepia Sepia covered first four symptoms(10), including mind symptom(2)

Sepia 200c, 3doses were given, Rubrum for 15 days were given, case was followed every 15 days, there was no improvement, and Sepia 200C to 10M was given up to without any relief. case was reviewed, causation was taken as important factor in selection of remedy (urinary incontinence was after Hysterectomy). BLADDER - URINATION - involuntary - surgical operation; after a staph. was only single remedy 3^rd grade. Staphysagria suits all three of the miasms, Staphysagria 200c was given on above reason, followed by rubrum for 30 days. The number of involuntary urination has came down;   she stopped treatment on 20^th july 2009, reported back after three months with out any incontinence  (4)

In above case causation was considered which gave breakthrough in the case. Knowingly or un knowingly we commit mistakes in selecting a remedy.

Etiology has been defined as a study or theory of the causation of any disease: the sum total of the knowledge regarding causes. Etiology does not concern itself with synthesis of causative factors in the pathogenesis of a disease to enable an observer to form a comprehensive picture of the development of the disease in all its stages.

Dr. P. Sankaran tried to select a remedy which fitted in with and covers the symptom totality of the patient as well as the cause, but he took the cause as the starting point as well as the most important symptom of the case. He tried to find out from a patient the cause, source or origin of the illness or the circumstances in which it started. And he gave very great importance to this etiology. Sometimes he based his prescription mainly or solely on this etiology and he cured many cases this way. For example if after an operation or mortification, Staphysagria(7)

According to George Vithoulkas These causation symptoms can be considered very strongly. They are the starting points to finding the remedy and a remedy must often be given that fits that causation even if it means ignoring other symptoms(8)

The following are the views of our stalwarts on urinary symptoms of Staphysagria According to Lippe, during and after micturition burning in the urethra, after micturition urging, as if the bladder were not emptied. , According to Phatak materia medica frequently urging to urinate; with scanty or profuse discharge of watery urine; urinates in thin stream of drop by drop.  According to Synoptic key, Cystitis after catheterization. Pain bladder [or abdominal colics] after surgical operation . Boericke says Cystitis in Lying-in patients. Ineffectual urging to urinate in newly married women. Pressure upon bladder; feels as if it did not empty. Sensation as if a drop of urine was rolling continuously along the channel. Burning in urethra during micturition. Prostatic troubles; frequent urination, burning in urethra when not urinating. According to Louise Mclean This remedy highlights ferocity in human emotion which society has tried to groom out of us (9) Staphysagria is one of our most commonly used polycrests, in this remedy  the prescription is often based entirely on the basis of the "essence" or Causation  underlying cause of illness in the Staphysagria patient is suppression. Is most noted in our literature for suppression of anger. It is an important remedy in patients whose complaints originated from anger or insults which have been swallowed. (4,910)

 ****Detailed article published in Homeopathic Journal: Volume: 3, Issue: 4, Feb, 2010,Homeorizone.com