Dr neha surana on scope&limitationofhomeopathyforneurologicaldisorders
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Transcript of Dr neha surana on scope&limitationofhomeopathyforneurologicaldisorders
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Scope of Homeopathy in Scope of Homeopathy in Neurological disordersNeurological disorders
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Neurological diseases in OP Neurological diseases in OP May 1998-August 2000May 1998-August 2000
• Neurological cases: 5728
• Received Homeopathy: 1,550
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Neurological disorder
• Neuroanatomic Syndromes
• Neurocliical Syndromes
• Neuropathologic syndromes
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Neuroanatomic Syndromes
• Cerebral cortex – Gray and white matter
• Basal Ganglion and Thalamus
• Hypothalamus
• Cerebellum
• Brain Stem
• Spinal Cord
• Anterior horn cell
• Peripheral nerve
• Neuromuscular
junction
• Muscle
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Neuroclinical Syndromes
• Disorders of consciousness
• Disorders of behavior and cognition
• Sleep disorders• Disorder of speech
and language
• Motor weakness• Movement disorders• Epilepsy• Disorder of sensation• Bladder and bowel
dysfunction• Vertigo
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Neuropathologic syndromes
• Infectious disorder
• Demyelination
• Metabolic disorders
• Toxic disorders
• Genetic disorders
• Neoplastic diseases
• Neuro trauma
• Vascular disorders
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Disorder of Consciousness
Spectrum of alteration of consciousness
2. Inattention
3. Drowsiness
4. Stupor
5. Coma
6. Brain death
Causes of alteration consciousness
2. Supra tentorial diffuse structural disease
3. Infra tentorial disease
4. Metabolic disease.
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Cognitive and Behavioral Disorders
• Organic brain syndrome– Delirium– Dementia
• Psychosis– Schizophrenia– Mania– Depression – Compulsive neurosis
• Personality disorders• Neurosis
– Anxiety– Hysteria
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Anxiety Disorders
Phobic anxiety disorders• Agoraphobia• Social phobias• Specific phobias
Generalized anxiety disorder
Panic disorders
• Homeo remedies– Aconite– Arsenic album– Argentum nitricum– Causticum– Gelsemium– Ignatia– Phosphorus
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Hysteria (Dissociative disorders)
• Dissociative amnesia• Dissociative fugue• Dissociative stupor• Trance and possession
disorder• Dissociative motor
disorder• Dissociative convulsion• Dissociative sensory
disorders
Homeo remedies– Ignatia– Aquilegia– Castoreum– Moschus– Pothos foetidus– Platina– Valeriana
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Speech Disorder
A. Disorder of articulation -> Brain stem cranial nerve diseases
B. Disorder of phonation -> Laryngeal and cranial nerve diseases
C. Disorder of language -> Diseases of speech center cortical – Expression problem– Auditory and visual reception problem– Reading writing problem
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Sleep Disorders
• Disorder of initiation and maintaining sleep – Insomnia
• Disorder of excessive sleepiness
• Disorder of excessive day time sleepiness– Narcolepsy
– Cataplexy
– Sleep Apnea
• Disorder of sleep wake cycle
• REM sleep related parasomnias
• Sleep arousal syndromes
• Sleep wake transition disorders
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Restless Leg SyndromeRestless Leg Syndrome
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Restless Leg Syndrome Restless Leg Syndrome
Essential featuresEssential features• desire to move the extremities, often associated
with paresthesias/dysesthesias
• unpleasant creeping sensation ;arising deep within the legs and occasionally in the arm.
• motor restlessness;
• worsening of symptoms at rest with at least temporary relief by activity.
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Restless Leg Syndrome Restless Leg Syndrome Other featuresOther features• Sleep disturbance,• Periodic limb movements in sleep and similar
involuntary movements while awake, • A normal neurological examination in the
idiopathic form, • A tendency for the symptoms to be worse in
middle to older age• In some cases, a family history suggestive of an
autosomal dominant mode of inheritance.
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Restless Leg Syndrome causesRestless Leg Syndrome causes
IdiopathicIdiopathic
• Anaemia
• Polyneuropathy
• Cancer
• Motor neuron disease
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Zincum metallicumZincum metallicum
• Kent– Incessant and violent
fidgetiness of feet in sleep and also when awake.
– Formication of feet and legs as from bugs crawling over the skin, preventing sleep - .
• Allen Key notes– Excessive nervous moving
of feet in bed for hours after retiring,even when asleep-
• Boericke– Nervous motion of feet
when asleep
– Body jerks
– Feet in continued motion;cannot keep still
• K.N.Mathur– Fidgety feet,must move
them constantly
– Twitching and trembling even during sleep
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ZZincum metallicum incum metallicum
==Restless Leg SyndromeRestless Leg Syndrome
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RLS CasesRLS Cases
• Period: Sept 99-June 2000
• No of cases : 22
• Male:Female: 15:7
• Age: 35-55years
• Duration of symptoms: 2-20years
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Associated diseasesAssociated diseases
• Hypertension 1
• Diabetes mellitus 1
• Epilepsy 3
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OutcomeOutcome
• Complete recovery: 11
• Partial recovery: 02
• No follow up: 09
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Case 1Case 1
• Age: 51years Male• Profession: Lecturer• Duration of symptom: 20years• Symptoms: Creeping sensation in the legs,
relieved by moving or massaging leg at night with sleep disturbance (2am-10am)
• Treatment received : Nitrovet 5mg BD for 5years without any relief
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Case 1Case 1 TreatmentTreatment
Zincum met 200 one dose given on
Sept 30th 98.
Follow up: Symptoms improved
remarkably with in two days.
Patient was symptom- free after a
month.
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Case 2Case 2• Age : 37years• Duration of symptoms : 2years • History :On 18th Oct 98 at 1am tingling sensation
in the legs;fainted ,when he tried to get up to move his leg.Admitted in Apollo Hospital to investigate for Stroke.
• On further inquiry, these sensation were present over two years at rest, relieved by leg movement. Jerking of legs in sleep
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Case 2 TreatmentCase 2 Treatment
• Treatment: Zinc met 200 one dose
• After two days his symptoms
disappeared completely.
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Other Homeopathic Remedies for Other Homeopathic Remedies for RLSRLS
• Medorrhinum: Intense restless and fidgety
legs feet. Lower limbs ache all night;
preventing sleep. Heaviness of legs, walking
very difficult.
• Graphites: Fidgety while sitting at work.
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Allopathic TreatmentAllopathic Treatment
• Benzodiazepines
• L-dopa and bromocriptine
• Opioids
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Zincum metallicum can be considered as Zincum metallicum can be considered as
a specific homeopathic remedy to treat a specific homeopathic remedy to treat
Restless Leg SyndromeRestless Leg Syndrome. .
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Nocturnal Cramp
• Spasm of calf muscle at night disturbing sleep
• Primary familial• Secondary
– Salt loss– Pregnancy– Renal failure
• Medical treatment– Magicium– Calcium– Vit E– Quinine– Quinidine– Phenytoin
• Homeopathic Tretment – Cuprum Metallicum
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Cuprum Metallicum in Cramp
• Total cases 78
• Male 41
• Females 39
• Result– Improved 45– No impovement 09– No follow up 24
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Motor Weakness
Site of lesionCortical subcortical
Brain stem
Spinal cord
Anterior horn cell
Nerve
Myoneural junction
Muscle
CausesTrauma
Tumor
Infection
Vascular
Degenerative
Demyelination
SyndromesQuadriplegia
Hemiplegia
Paraplegia
Monoplegia
Focal
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Movement disorder
RhythmicTremor – Fast and slow
Arrhythmic– Fast
• Chorea
– Slow• Dystonia• Athetosis
– Mixed• Dyskinesis
Medical treatmentBeta blocker
– Halloparidole
– Pacitan ,– Beclofen– Botox toxin
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Epilepsy
• Focal – Motor– Sensory– Psychic
• Generalized– Major
• Tonic• Clonic• Myoclonic• Tonic clonic
– Minor • Petit Mal
• Complex partial
• Focal motor– Cup met
• Generalized tonic clonic: – Cicuta: – Absinthium– Hydrocyanic acid
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Disorder of Sensation
Paresthesias– Tinglingling numbness– Burning
CausesPeripheral nerve
Central
Psychogenic
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Pain
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Headache
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Backache
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VertigoVertigo
A hallucination of motion in which A hallucination of motion in which
either the patient feels himself either the patient feels himself
spinning or the surroundings spinning or the surroundings
spinningspinning..
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Vertigo CasesVertigo Cases
• Duration - Duration - May’98- June2000 May’98- June2000
• Total cases Total cases 321321
• Age - Age - 20 to 75years 20 to 75years
• Sex - Sex - F:132 : M :189F:132 : M :189
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Types of Vertigo Types of Vertigo
• Vestibular 262
• Cervical 48
• Central 21
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ConiumConium
Vertigo on lying down, turning over in bed,
turning head sideways (esp.to left),turning eyes
Treated : 123 ( 38%)
Relieved : 103 ( 84% )
Unreported : 21
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BryoniaBryonia
Vertigo from motion, rising from bed. Ameliorated
by lying down and head rest.
Treated : 149 ( 46%)
Relieved : 105 (70%)
Not relieved : 15 (10%)
Not reported: 29 (20%)
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CocculusCocculus
Motion sickness (nausea with vertigo) on traveling and
walking
Treated : 30 (9%)
Relieved : 15 (50%)
Not relieved : 05 (16%)
Unreported : 10
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BoraxBorax
Vertigo on looking downwards, descending steps, coming down in a lift.
Treated :02
Relieved :02
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LachesisLachesis
Vertigo on waking from sleep or in sleep; on
closing eyes.
Treated :01
Relieved :01
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SummarySummary
Relieved
259 (80%)
Not relieved
16
Not reported 46
Total 321
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Vertigo Trio
1. Bryonia
2. Conium
3. Cocculus
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Postural HypotensionPostural Hypotension
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Postural Hypotension - CasePostural Hypotension - Case
• A 45 year old diabetic male patient transferred
from other hospital having severe fall in BP to 0
mm Hg on standing with repeated fall.
• He was given Bryonia 200,1 dose after which
the patient showed immediate improvement in
blood pressure
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Postural HypotensionPostural Hypotension
• Fall in blood pressure more than 30mm Hg
systoloic/ 20mm Hg diastolic on changing
position from lying to sitting and from sitting to
standing.
• Associated with
giddiness,palpitations,sweating,swaying and fall.
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Causes of Postural HypotensionCauses of Postural Hypotension
Peripheral1. Diabetic neuropathy
2. Alcoholic neuropathy
3. Guillian-Barre syndrome
4. Familial dysautonomia
Central
1. Shy-Dager syndrome
2. High spinal cord
transection
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Bryonia in Postural Hypotension Bryonia in Postural Hypotension CasesCases
Neurocardiac Syncope: 10
Diabetic Neuropathy: 2
Parkinsonism: 2
HIV: 1
Spinal cord Injury: 2
Total 17
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Commonly used drugsCommonly used drugs
• Bryonia: 149 Giddiness on rising• Arnica: 124 Soft tissue injury• Conium: 123 Giddiness on head movement• Cup met: 78 Cramps of calves• Rhustox: 78 Fibrous tissue injury• Ignatia: 76 -> emotional trauma• Causticum: 55 -> Facial palsies• Ars alb: 47 Constitutional• Zinc met: 38 RLS/Sleep myoclonus• Pulsatilla: 35 Constitutional
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Commonly used drugsCommonly used drugs
1. Nat.mur: 34 Constitutional2. Cocculus: 30 Vertigo on
motion3. Ruta: 30 Tendon injury4. Lachesis: 27 Constitutional5. Arg.nit: 26 Constitutional6. Gelsemium: 25 Constitutional7. Hypericum: 24 Spinal Injuries8. Agaricus: 15 Facial twitching9. Sanguinaria: 10 Constitutional10. Cicuta: 9 Epilepsy
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Mode of PrescribingMode of Prescribing
Constitutional Causation Key notePulsatilla Ignatia Bryonia
Nat mur Aconite Conium
Ars.alb Opium Cocculus
Lachesis Hypericum Cup.met
Arg.nit Arnica Zinc.met
Gelsemium Rhustox Causticum
Sulphur Ruta Agaricus
Calc carb Symphytum Plumbum met
Nux vomica Nat sulph Borax
Lycopodium Bellis per Cicuta
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Thank YouThank YouDr. Neha SuranaDr. Neha Surana, ,
Sumati Polyclinic,Sumati Polyclinic,6 Dealing Corner, Opp Sambhaji Park, Jangali Maharaj RD, Jangali Maharaj Road, Pune - 4110046 Dealing Corner, Opp Sambhaji Park, Jangali Maharaj RD, Jangali Maharaj Road, Pune - 411004 IndiaIndia Phone: +9120-25538904Phone: +9120-25538904Mobile: +91 9881156677Mobile: +91 9881156677 Visiting hours at Sumati Homeopathy polyclinicVisiting hours at Sumati Homeopathy polyclinic - Noon: 12 PM to 2PM, Evening: 5 PM to 7 PM - Noon: 12 PM to 2PM, Evening: 5 PM to 7 PM Email :Email : [email protected] [email protected]: drnehasurana87Skype: drnehasurana87Twitter:drnehasurana87(Twitter:drnehasurana87(https://twitter.com/#!/drnehasurana87https://twitter.com/#!/drnehasurana87))Linkedin: Linkedin: http://www.linkedin.com/profile/edit?trk=hb_tab_pro_tophttp://www.linkedin.com/profile/edit?trk=hb_tab_pro_top