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- Homoeopathy in Geriatrics

- Homoeopathy in Geriatrics

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DR.

DIWAN HARISH CHAND

Homoeopathy in Geriatrics
by
DR. DIWAN HARISH CHAND
M.B.B5; L.R.C.P.(EDIN.); D.T.M. * H.(LPool); M.D. Horn.; F.F. Horn. (Loud); F.I.HA; D-HT. (USA.)

Hony. Physician to the President of India President, International Homoeopathic Medical League (Hq. Switzerland), 1979-82 Recipient, Dhanvantari Award-1979 Recipient, Ashwini Kumars Award-1981 Recipient, National Award in Homoeopathy-1984 Recipient, National Citizen's Award-1987 Recipient, Priyadarshini Award-1989 Recipient, Gold Medal of Academia Medico Homeopatica De Barcelona-1990 Chmn. Homoeo. Pharm. Com, G.O.I., 1980-85 Chmn. S. A. C. Research in Homoeo G. O. I., 1980-85 Hony. Adviser in Homoeopathy, Govt, of India, 1980-85.

Published by National

Homoeopathic Pharmacy
1, Hanuman Road, New Delhi-110001 (India)

All Rights Reserved National Homoeopatic Pharmacy 1, Hanuman Road, New Delhi-110001

This book is sold subject to the condition that it shall not, by way of trade or otherwise, be lent, re-sold, hiredout, or otherwise circulatedwithout the publisher's prior consent in any form of binding or cover other than that in which it is published and without a similar condition including this condition being imposed on the subsequent purchaser.

Dedicated to my parents: Dr. Diwan Jai Chand (1887-1961), my first teacher in Homoeopathy, and Smt. Thakur Devi (1889-1941); & The Senior Citizens of the world.

Published by: National Homoeopathic Pharmacy 1, Hanuman Road, New Delhi-110001 (India)

Anyone whishing to study some aspect in greater detail can refer to the corresponding sources. But. Gout). which was to be one of the Keynote papers of the Congress. "There are no specific diseases of old age. In the different chapters of the book wherever any page number is mentioned it refers to this repertory. In any case according to Steiglitz. In the process of Reflecting on the subject it exceeded the usual limits of an article and requests were received from many quarters to make it available in a book form and also in languages other than English. A compilation from Kent's Final General Repertory has been appended for ready reference. Because of numerous preoccupations and other reasons it has taken unduly long to do so. An extensive literature was scanned in the study of this subject from many angles as can be seen in the list appended. certain disorders increase in frequency after the peak of maturity". Scanning the pages of the repertory would convince Anyone of the great role homoeopathy plays in geriatrics. some Endocrinal disorders and some others have been completely omitted. Any illness may occur at any age. Besides certain illnesses associated with ageing as Cancers. Metabolic disorders (Diabetes mellitus. The presentation is not meant to be an exhaustive treatise on the subject.PREFACE The Organisers of the International Congress of the Liga Medicorum Homoeopathica Interaationalis held in Rome in May 1981 assigned to me the subject of 'Homoeopathy in Geriatrics". The reader will bear in mind that originally it was .

'There are no specific diseases of old age. Gout). Because of numerous preoccupations and other reasons it has taken unduly long to do so. A compilation from Kent's Final General Repertory has been appended for ready reference. Any illness may occur at any age. An extensive literature was scanned in the study of this subject from many angles as can be seen in the list appended. certain disorders increase in frequency after the peak of maturity". Scanning the pages of the repertory would convince Anyone of the great role homoeopathy plays in geriatrics. In the process of Reflecting on the subject it exceeded the usual limits of an article and requests were received from many quarters to make it available in a book form and also in languages other than English. In the different chapters of the book wherever any page number is mentioned it refers to this repertory. Metabolic disorders (Diabetes mellitus.PREFACE The Organisers of the International Congress of the Liga Medicorum Homoeopathica Internationalis held in Rome in May 1981 assigned to me the subject of "Homoeopathy in Geriatrics". The presentation is not meant to be an exhaustive treatise on the subject. which was to be one of the Keynote papers of the Congress. The reader will bear in mind that originally it was . some Endocrinal disorders and some others have been completely omitted. Anyone whishing to study some aspect in greater detail can refer to the corresponding sources. In any case according to Steiglitz. Besides certain illnesses associated with ageing as Cancers. But.

12. 14. 9. DIWANHARISHCHAND National Homoeopathic Centre 1. 10. The book is presented to the profession in the hope that it enables them to help the senior citizens through the benign system of homoeopathy. 15. India 3rd July 1991. 1 6 13 16 23 33 40 42 46 50 52 55 60 66 68 71 74 76 80 101 Introduction and Historical Physiological changes with Advancing years Postponement of Ageing/Prolonging Life Problems of the aged Cardio-vascular system Senile Psychoses and Psycho-Geriatrics Sleep Neurological Disorders Ophthalmological Conditions Ears Respiratory System^ Digestive System Menopause Sexual problems Urinary problems Joints. 4. Bones and Muscles Old Age Remedies 18. 2. 16. 17. Mohit Kundu for preparing part of the repertory study under my direction. 3. 6. I am grateful to Dr. 7. CONTENTS Page No. then Dy. I am also indebted to Vaid Bhagwan Das. 13. 11. Epilogue Repertory Study References .written as a lecture supported with numerous slides (diapositives). Adviser (Ayurveda) in Ministry of Health and Family Welfare for references on Ayurveda. to which the aged are particularly prone. Hanuman Road New Delhi-110 001. 8. 5. Chapter 1. which is free from side effects or iatrogenesis.

is shown holding a pot. HISTORICAL In orthodox medicine. a study of the Science of ageing. is the happiest creature living — Sir Richard Steele If wrinkles must he written upon our brows.) These three words from the immortal Sanskrit poet. even though now considerable attention is being given to them. Amrit Kumbha. sums up the aim of gerentology. let them not be written upon the heart. The spirit should not grow old — James Abram Garfield "Vriddhtvam Jarasa Vina" Translation: Ageing Without Senescence — Kalidasa (Circa I cent. the God of Medicine. that I . In Indian mythology. Gerentology and Geriatrics. However. great attention has been paid to the problem of the aged.B.CHAPTER I Introduction and Historical A healthy old fellow. Kalidasa. in the ancient Ayurvedic system of medicine. Dtaanvantari. The word "AYURVEDA" itself implies the science of life. Who is not a fool. who lived in the century before the beginning of the Christian era.C. are subjects of comparitively recent study. developed and practised in India for centuries.

. creeping Like snail unwillingly to school. with a woeful ballad made to his Mistress' eyebrow Then a Soldier. also gave detailed instructions as to how senility can be prevented as also measures for rejuvenation. Many other medicines and measures are mentioned for this purpose and are under study. With his satchel and shining morning face.C. Medical historians find that matters connected with ageing were already a subject of special study in the Agnivesa Samhita dated to the 10th Century B. Jealous in honour. 78 of Central Council of Research in Indian Medicine & Homoeopathy of Govt. It is more elaborately mentioned as one of the eight specialities of Indian medicine in Sushruta Samhita and Charaka Samhita. and bearded like the pard..contains the 'Elixer of Life' which is supposed to prevent untimely death and till then maintain youth. The latter half of life was to be devoted to increasing activity in spiritualism. A double blind clinical study with an Indian medicine. Sighing like furnace. a retirement from worldly activity and recluse. Full of strange oaths. Aswagandha (Withania somnifera) showed an effect of Rasayana (delaying the process of ageing) in a treatment period of one year (Newsletter No. The only diet in this period is Amla (Emblica officinalis) prepared in a special way. One of the methods of Kaya Kalpa (rejuvenation) is Kuti Pravesika. both dated to the 6th century B. Seeking the bubble reputation Even in the cannon's mouth.C. Then the whining School-Boy. of sight and of speech. And then the Justice. Mewling and puking in the nurse's arms. In fair round belly with good capon lin'd 3 "Jivemah Sharadh Shatam Shrunsiyamah Shasadah Shatam Pashyemah Sharadah Shatam Pravravamah Sharadah Shatam Bhuyashca Sharadah Satah" (Rig Veda) It says not only that one should live for a hundred years but also that one should be in the full possession of one's faculties of mind. of hearing. At first the Infant. sudden and quick in quarrel. but. which could be likened to a sort of 2 . In the daily prayer of the Hindus one of the mantrams (repetitive incantation) is as follows:- hibernation for a period of 3 months. The study comprised not only in what is to be done for the medical problems of the aged. William Shakespeare with a deep insight described seven different ages of man thus: .. And then the Lover. of India). According to the Vedic concept. a full life was constituted of a hundred years and the function of each quarter was clearly mentioned.

biological process. doubling in 30 years. Chancellor of Germany in 1880s. in recent decades. and his big manly voice. — Agnes W. well sav'd a world too wide For his shrunk shank. But if a person doesn't mind. Age doesn't really matter. sans eyes. it has little relevance to functioning as general health. 5 . has directly enlarged the once insignificant group of the aged into a major subject of the population. That ends this strange eventful hjstory Is second childishness and mere oblivion. mental capacity. Turning again toward childish treble.e. sans everything. can cover the extra forty weeks from the moment of beginning of life with impregnation of the ovum. With spectacles on nose and pouch on side. Full of wise saws and modern 'nstances. pipes And whistles in his sound. Thomas Although ageing begins with conception itself. All do not reach their senescence point at a particular fixed age. "In 1970 4 the world population of people aged 60 years was 291 millions. This figure is expected to reach 585 millions in the year 2000 AD. the first question that very naturally arises is "when does old age begin?" 65 years is an arbitrary demarcation between middle and old dge based on the social legislation of Bismarck. The increasing Importance of Geriatrics Improved health care. Some gerontologists further divide this period into Early old age from 65 to 74 years and Advanced Old age at 75 years and above. psychological or physical endurance or creativity. However. Last scene of all." This. When Does Old Age Begin? About a person growing old there's been a lot of chatter.With eyes severe and beard of formal cut. — William Shakespeare "As you like it" Homoeopathy covers not only all the seven ages from the cradle to the grave. It is thus not a chronological but a physiological. sans taste. but. It is likely that it can help in the treatment of the chronic miasms and thus greatly improve or remove inherited tendencies.. i. The single factor that has put gerontology in the forefront is the number of aged in the society. But it is well known that the physiological and chronological period are not identical nor do they run parallel in all men and women. His youthful hose. this monograph concerns the last two stages mentioned by Shakespeare. Sans teeth. Therefore. The sixth age shifts Into the lean and slipper'd pantaloon.has led to the recognition that the aged have problems which are quite distinct from those of the others.

All values obtained over a 5.40. (1958) Handbook of Respiration. heart rate and maximum pulmonary ventilation of men at various ages. & Grebe R. heart rate and maximum pulmonary ventilation during maximal work on a treadmill or ergometer all decrease. It will be seen from the following chart that maximum oxygen uptake. period during maximal work on a treadmill or bicycle ergometer.or 6-min. Nat. p. As we see from the figures. ed. 12. el ai (1957) Geriatrics.Chapter II Physiological changes with Advancing years I would very briefly touch on the physiological changes which reflect on the medical problems that we are called upon to treat. It is also seen that progressively there is an increased accumulation of the pigment lipofucsin in the human 7 . there is a steady fall in functional capacity of most of the organs and systems in 6 Effects of exercise on maximum O2 uptake. From Asmussen E. 146. D.2 i The average per cent of various human functional capacities or values remaining at different ages taking 30 years as 100%. Research Council. Sciences. Fig. the body after the age of 30 years. Nat. Acad. Dittmer. Data from Shock N.W.

(1959) J. Liver decreases in mass by about 30% between young adulthood and old.L. 14. Geront. It has been shown that glomerular filteration falls by 46% and renal blood flow by 53% between youth and old age. et al.3) This pigment and lysosomes may be related with ageing. There is a falling off in activity of the microsomal enzymes thus reducing the efficiency of metabolic 8 . Because of these physiological changes it is said that likelihood of dying doubles every eight years after 30 (Benjamin Gompertz).430.myocardium (Fig. Renal function decreases steadily with age from maturity onwards. activity. Relationship between age and pigment in the human myocardium from Strehler B.

(1960) Science. & Mildvam AS.14. From Strehler B. Medawar has expressed succinctly by defining ageing as 'that change of the bodily faculties. sensibili9 . 4 Gompertz plot of cause-specific human mortality rates.L.20 30 40 50 60 70 80 90 100 Age (years) Fig. 132.

Structural events leading to a blocking of the transcription step of protein synthesis in ageing cells are described. Using the methods of thermal denaturation. The body's ability to cope with stress. Natural ageing may be due to occurrence of gene mutations. Fig.ties and energies which renders the individual progressively more likely to die from accidental causes'. Probably no tissue ages completely independently of the rest of the body yet it may not be altogether an omnibus simultaneous cellular phenomenon. leading to a loss in adaptive capacity and eventually to cell death. There appears some built in code that limits the capacity of the cell to divide only fifty times. According to some. It is possible at any time (although it is rare) for a spontaneous change to occur after which the cells multiply indefinitely (broken line). (Fig. and to control deviations from homeostatic 'set-points' as also the body's ability to cope with infection decrease with age.g. The increased stability of these bonds in 10 nucleoprotein from aged cells inhibits the separation of the two strands in the DNA double helix. aig. there are alterations in the bonds between the basic proteins and the DNA within the nucleoprotein. THEORIES OF AGEING The exact cause of ageing has been a matter of speculation. 5 11 . 5) Life span of human cells determined by allowing a population to multiply until it has doubled in size. 32. After a culture of cells from embryonic tissue has grown to a particular point. Cell division ceases after about fifty such subcultivations. irreversible loss of genetic information for the cell results. it is divided in two. The most popular theory of ageing is that it is due to mutations in DNA of somatic cells. Ovary is an exception as mentioned under menopause. "it is progressive masochism of somatic cells". it is shown that in ageing cells. the vascular.. an essential step in transcription. From Hayflick L. 3. Some harmful substances produced in course of time decrease the vitality of the organism or its certain organ systems. random in time. nervous and endocrine systems. (1968) ScL Amer. A progressive. Tissues most likely to control ageing are those which have the greatest influence over other cells e.

Somerset Maugham. In 1976. Dr. His advice was No. attending not only the Congress but taking keen interest in the teaching seminar that followed. He claimed excellent results and his clientele included Charles de Gaulle and W. whom we affectionately called Cookie. Life patterns and longevity is dictated by our genes and it has been said that. Paul Niehans M. kidney or liver to treat ailments of same organs in humans. Benjamin S. Therefore. More recently Dr.D. Franklin Cookinham. PLASTIC SURGERY can be used for cosmetic purposes but that cannot alter ageing process except possibly by giving a boost to the sagging spirits of the old! In recent times VITAMIN E and VITAMIN C and MINERAL SELENIUM have been mentioned as a help •in delaying the process of ageing. You can draw your own conclusions as to what he meant! Yet it should be remembered that one of the most striking features of age changes is their great variation between individuals and in nature.In a rare disease. Dr. the Nobel Laureate Linus Pauling comes out with Vitamin Calmost 12 13 . at the Athens Congress I felt full of admiration for our nonagenarian. "The best way to attain old age is to have old parents". of Switzerland injected people with cells taken from lamb embryos. (1) Be your age and No. Of course. This has been called the CELL VITAL THERAPY. He being one of the senior-most Homoeopaths then living I asked him how did he keep himself so active and alert. Do we have a choice? Chapter III Postponement of Ageing/Prolonging Life Based on knowledge of cell functioning attempts have been made to postpone the ageing process. is an old man by 7-8 years and dies at 11 or 12 years. it seems at present that life span of a normal human cell cannot be extended without making it either pathological like a cancer cell or truncated like a germ cell. the sperm or ovum. (2) keep your genitals where they belong. Progeria they divide only a few times and this child shows ageing when 1-2 years old. TRANSPLANT of organs is another new method to increase life. CELLULAR THERAPY practiced today is similar to Niehan's original method but more controlled and under better sterile conditions. Frank has developed a method of INJECTING RNA into the body of the patient through his diet. using cells from specific organs like the heart.

EXERCISE is crucial. It nas been tried in rats. It is certain that no advance in medicine will enable us to escape death through old age. Fruits are consumed daily. The chemists have studied the enzyme systems and protein synthesis in ageing and come out with their contribution to retard it. An equimolecular combination of dihydroergocristine. for exercising an organ presents a strategy for modifying the ageing process. positive thinking and staying active. A bold attempt is made in a surgical technique called PARABIOSIS. cockroaches etc. BIO-ENGINEERING offers a possibility for the future by way of modifications in the genes. fantastic these measures may be and perhaps in the future yield positive results but for the moment. 15 . CHOLINE is known to improve brain function and stimulate memory. The body is now felt to rust out rather than to wear out. THYMOSIA improves body's immune system and thus ward off diseases that threaten life. They continue to lead active sex lives. It has been known since 1917 that HYPOTHERMIA can slow down the ageing process. It is said that death is the genes way of ensuring their own survival. with remarkable regenerative changes in the old. They are generally an agricultural society with much physical activity. we have to agree with those researchers who say that warding off old age is in large part a matter of self image. It is even doubtful if 14 they can help in the making of Methuselahs. This consists of joining blood circulation of ageing animals with the young. all one can do is to ensure that it is a healthier period of life. moderate eating habits and regular sleep.as a panacea for many conditions including Cancer. Therefore. Smoking and alcohol is rare. worryfree lives. recreation. However. dihydroergocornine and dihydroergoriptine put up as HYDERGINE is claimed to be useful. A study of some areas of the globe where there is comparatively more longevity in the population brings out some common features.

.88% Lack of occupation 27. which mostly have a nuclear family." (WHO Report 548. Besides the ageing process itself does not remain merely confined to the biological field alone.1974)." The financial condition affects social.88% Dependence & Isolation 7. which is 24 million more than five years ago". The philosophies of strongly work-centered and technology-oriented societies.35% Health 10.29% Family & future worries 10.Chapter IV Problems of the aged "While the ageing of the population is essentially a simple phenomenon. 27-1972) 16 Though as medical men. our direct concern is with the health problems but these are interlinked with the others and are of considerable significance to the homoeopath to enable him understand the life situation. Their power and prestige is in decline undergoing a radical role-change in the economic. its consequences are multiple and not always well recognised. They pose many new problems. social." The problems are social and medical. and that their numbers in developed countries are growing twice as fast as total population. the old have become vulnerable. the report says. build a complete psychosomatic picture and make a proper anamnesis. social and family 17 . it invades psychological. No. occupational and economic fields as well. nutrition and psychic state of man. "tr>day 200 million of the world's population are over 65. health.06% Accommodation 3-52% (Tata Inst. 1980) under the caption "Ageing World Raises Key Policy Issues" it is mentioned that "While it now seems unlikely that the agent of the earth's destruction will be the population explosion feared by Thomas Malthus and his successors. Its report around 1980 says that. In the developed countries. the chief problems of the old have been worked out as follows: Financial 72% Boredom 30% Health 29% Social 19% Housing 13% A survey carried out in India found it to be as >llows: Financial 40. Sc. Soc. SOCIAL PROBLEMS OF THE AGED In addition to what is mentioned elsewhere in this paper I would refer tc a UN study. are already seen by some as "dehumanizing and socially obsolete".. In the World Business Weekly (July 28. the declining birth rates and ageing population now foreseen will have far reaching political. In this connection it is interesting to recall the emphasis by a WHO Committee in that "a decent level of income is a prerequisite for well being. In a survey carried out in the West.. social and economic consequences.

The person whon can no longer work. and I shall be wrong not to repay when you are grown old. it is only in a cultured society where they care for the old. When he was half way across.structures. I can promise this. This is a negative or hostile attitude towards an age group different from one's own. bringing rewards of a full life of honour. The elderly receive economic suppoit and emotional satisfaction from children and grandchildren. Undoubtedly there are strong kinship ties in rural areas. are young-oriented. respect. "it is true that you are struggling mightily and risking your life in my behalf." Love like water is said to flow downwards and there is an old Chinese proverb of Lin Yutang that says that though it is normal to love one's children. There is an old story of an eagle which set out to cross the windy sea with his fledgling. produce and provide for his own basic needs tends to be relegated to the fringes of society. In developing countries. emphasising productivity. This bears no proportion to the earnings made by them. support and power within both family and community. There is comparatively more hold of religion and all religions enjoin respect and honour to the parents and the aged. Robert N. Butler. There comes a generational disequilibrium. "Oh child. look how I am struggling and risking my life in your behalf. The sea was so wide and the wind so strong that the father bird was forced to carry his young one in his claws. I have known families in India where all the earnings by the sons and grandsons are handed over to the head of the family who redistributes it according to his own wisdom and considering the needs of the different members. even reverence from younger generations. which mostly have a joint family system. I shall do as much for them as you have done for me. he said. "Why ? I have some 40 or more!" Then looking at my surprise he added "in my country we do not distinguish between the children of all the brothers and we live together like one family". will you do as much for me and provide for me?' 'Dear father' the eaglet replied. To give an idea of joint family system as it has been operating in most developing countries with an agricultural economy I will tell you an instance. Old age is considered an advantage. When you are grown up. the report notes the aged still enjoy high esteem. I ventured to ask my colleagues "How many children have you got?" He paused for a moment and then replied. To highlight the contrast between these social systems. competitioi and self-sufficiency. says the report. The above story contrasts with the epical story from India where they have traditionally had the joint family 19 . a phenomenon called Ageism by Dr. they usually assume leadership and hold real economic power. Highly industrialised countries. and the wind had turned to a gale. seeing that the wife of one of the 18 participants from an African country was in an advanced stage of pregnancy. when I am grown up and have children of my own. At one of our Congresses. but at this critical time I cannot bind myself. I relate two stories.

the joint family system is crumbling and with it the prestige and power of the older people is declining.30% 37. Stress from drastic changes of situation like sudden loss of income.25% 32:51% Female% 72 27 13 2 9 6 21 23 11 9 6 3 11 0 11 .56% 11. death of spouse etc. their economic struggles and overwhelming consideration for self. thrombosis 10 Pulmonary emphysema 48 Bronchitis 18 Cholelithiasis 4 Cirrhosis of the liver 6 Nephrolithiasis 4 Cystitis. increasing industrialisation. behavioural and physical disorders. loss of prestige and position in family and society. The Indian survey more or less corresponds with the results of a Munich (Germany) survey of a million people which are : Male % Hypertension (160/100) 60 Latent cardiac insufficiency 25 Manifest cardiac insufficiency 10 Cardiac infarction 8 Coronary arteriosclerosis 9 Vascular occlusion 8 Varices.78% 5.21% 4. Homoeopathy is the one system of treatment that takes into cognisance.29% system. with concomittent urbanisation. in fact gives it prime importance. isolation.66% 0. This story describes the devotion of a young man named Sharvan Kumar who carried his blind parents over his shoulders on a pilgrimage all over the country. Unfortunately in developing countries with the process of advancing technology. MEDICAL PROBLEMS OF THE AGED The findings of a study.Nervous 19. the only of its kind carried out in India.60% 45. are given below. What interests us are the impact such changes have in development of disease status. It is held out as an example of good and devout progeny. all systems Most people get some disability in course of time Careful surveys have shown that even the so called healthy old have a few disorders.77% 19. the state of the mind.18% v 11. Briefly the incidence of disorders (Complaints and findings) system-wise shows the frequency % as follows: Cardiovascular Gastro-intestinal Urogenital 20 Respiratory Lymphatic & Blood Ears and Eyes Orthopaedic Surgical Gynaecological Misc. pyelitis 5 Prostatic hypertrophy 24 Prostatic carcinoma 3 Diabetes 10 21 62. can all result in emotional. with increased migration of the young resulting in weakening of family and traditional ties.

5 complaints per person above the age of 65 years were registered. According to Stieglitz: There are no specific diseases of old age. cerebral haemorrhage. with consequent accumulation of lipids including cholesterol. while not limited to senescents. obesity. are nevertheless characteristically geriatric. But. Atherosclerosis may arise in part as a consequence of a normal age change in the form of intimal thickening. but heart rate also falls.2 Chapter V Cardio-vascular system "A Man is as old as his arteries". two leading causes of death in old age. The condition increases in severity with age. gout. the male and female climacteric (a critical crises occurring at a period of life when vital forces begin to decline). This gives an impression that the elderly body is a museum of degenerated systems. In fact the idea has been mooted that the cardiovascular system may be the origin of ageing for the whole body. In the large scale Munich survey you would notice that 4." In these disorders are included several vascular problems such as arteriosclerosis (hardening or thickening of the vessels). The decrease in resting cardiac output is largely due to decline in stroke volume of about 0.7 per cent/year.Gout Osteoarthritis Diagnosis per patient 4 11 4." (Zeman). Such vascular changes of an atherosclerotic type now seem an important factor in ageing.. Also Pneumonia. Included also in the disorders of the later years are several metabolic disorders (chemical transformation). anaemia. certain disorders increase in frequency after the peak of maturity.3 2 18 5. the resulting environment might bring about ageing. 22 . chronicity and duplicity. The microvascular changes in all parts of the body remain unnoticed for a long time. arthritis (inflammation of the joints). nutritional diseases and accidents. but it is of minor degree and usually present as a few small plaques in the aorta. e. and blood flow to all tissues falls as a consequence. high blood pressure and heart diseases. some of which may breakdown any time. This might lead to ischaemia. and 23 Multiplicity of disorders is noted in all such surveys. "Disorders in the aged is pharacterised by multiplicity. causing loss of lipidmobilizing substances from the vessel wall.g. in their twenties. By starving cells of oxygen and nutrients and leaving them with accumulations of carbon dioxide and other waste products. Most individuals begin to develop atherosclerosis at an early age. Cholesterol is sclerogenic and the resulting atherosclerosis is a major factor in ischaemic heart disease and cerebro-vascular accident. diabetes mellitus. These disorders. and many types of cancer. This old proverb has a lot of truth in it. They are inevitable effects of ageing. "Any illness may occur at any age. Cardiac output begins to decrease after the third decade. tuberculosis.

the coronary and cerebral arteries.affects other vessels e. 6 In the incidence of diseases of aged we notice that those of the cardio-vascular system are at the top and out of these the first one is Hypertension followed by Cardiac insufficiency and next is Coronary Thrombosis. There is a gradual transition from the low and safe side to a high and dangerous side of pressures. Arterial pressure is a quality which cannot be strictly either on a physiological or pathological side. It has been noticed that hypertension is more in the developed countries. "By far the most likely answer to me would seem to lie between the security of life in the tribe and the insecurity in civilization—which causes arterial pressure to rise with age" Hypertension may be a common finding (in a large gerontology survey in Germany 60% of all males and 72% of all females above the age of 65 were reported to have high pressure (Stormer). it is difficult to blame blood pressure alone for disorders of the old. Bechgaard (i946) for 160/100. than a low systolic blood pressure. (Fig. Pickering (1974) comments on the "absurdity" of classifying subjects into the two different camps. Burgess (1948) for 180/100. Paul White. Paul White has said. and hypertensive by a sharp dividing line of very arbitrary value. So diverse are the views regarding mere high systolic pressure that one is tempted to quote Anderson in this connection : "If hypertension is systolic in nature only and it can exist without impairment of function of other organs. Ayman (193^ for 140/80. Pickering (1974) puts this to a sociological reason and says. In effect such rise may be considered physiological rather than pathological as many are led to believe. in India under 20%) but. According to Dr.g. while Evans (1956) puts the dividing line at 180/110. 140-170/80-100 is Inter-mediate and below 140/80 Normotensive. 24 .6) Dr. Perera (1948) for 140/90. . as normal. it is possibly more conducive to good health in old age." Hypertension per/se is in my experience somewhat 25 Fig. The general consensus is that 170/100 is Hypertensive. the incidence of coronary and aortic sclerosis is 46 per cent in people in fifties and 84 per cent in the eighties. In the consideration of HYPERTENSION the first question arises as to who is hypertensive? Some of the well known authorities differ much regarding criteria for considering people as hypertensives. "Heart disease is the epidemic of the century". One finds Robinson and Brucer (1939) recommending for 120/80 mm Hg. normotensive.

. Also for old people that are 26 hypochondriacal (Comp. Hubbard mentions that "Plumbum-lead.) or suffering from chronic diseases. twice or thrice a day with considerable success.. For atherosclerosis an American Homoeopath finds much benefit from additional use of VITAMIN E.. slows down and holds back the sclerosis. there being no separate rubric for this condition. 220. BARYTA. AURUM. Hg. and GLONOINE. In the therapeutic index appended to Boericke's Materia Medica only remedies mentioned for Blood pressure—High. The remedies that need to be specially considered in such cases are SULPHUR. are BARYTA MUR. AURUM and PLUMBUM. In support of my views I quote from an article on the "Prescribing Problems in the Elderly.. page 142) I find that ALUMINA should be a very good remedy for the old people.. PLUMB. specially catarrhs. Bar-carb. and For arterial tension raised: VERAT-VIR.yiSCUM. Vol. BAR-CARB. the metal of Saturn.. you will all agree that in your experience patients have been helped with many other remedies. BARMUR. PHOSPHORUS.. AURDM.. Other authors group these remedies under Senile Sclerotic Group : ARS. 27 . For Arteriosclerosis there are AM-IOD. SILICA. He mentions it for vertigo with atheromata or earthy deposits on the cerebral or cardiac arteries.difficult to treat. specially if one was looking for quick results only on the basis of lowering of blood pressure reading. pp.. CACTUS. The indications for lowering blood pressure in the over seventies are few and it must be realized that systolic pressures over 215 mm. which weaken the subjects.. CARDUUS. If I have been asked to make a pathological prescription on the basis of just high blood pressure I have used AURUM MURIATICUM NATRONATUM 6x. CALC-CARB. Please don't rush in with Hypotensives and diuretics. From a description in Hering's Guiding Symptoms (Vol. THUJA. I am sure. Dr. in addition to PLUMBUM MET. DYSENTERY CO. Williamson writes : "Every physician who is especially interested in old age will probably agree that he has seen more ill effects than benefits from hypotensives in this age group. I feel that the best result would come only by constitutional treatment by using the remedy indicated by the totality of symptoms of the individual patients. Many hypertensives are without symptoms and as such Kent's Repertory does not help.. LACHESIS. I. In regard to the Hypotensives. POLYG-AVIC. GLONOINE 2X.." (Lancet. VISCUM ALB." For ATHEROSCLEROSIS the IODIDES OF ARSENIC. and diastolic upto 115 mm. are in themselves not an indication. Dr. Cough with involuntary emission of urine in old withered looking people. 749-755. PLUMBIOD.. NATRUM MUR. Hg. KALI-PHOS. SUMBUL. And this advice applies especially in Geriatrics. May 1978). AUR.

Hypotensives should be used : 1. 2. When congestive cardiac failure is thought to be due wholly or partially to raised pressure. When high pressures are accompanied by signs of left ventricular strain such as gallop rhythm or orthopnoea." For CONGESTIVE CARDIAC FAILURE there would be a long list of remedies. ARSENIC ALB., CARBO VEG., KALI CARB., DIGITALIS, CRATAEGUS, LACHESIS, SPONGIA, LAURACERASUS, LYCOPUS VIRGINICUS are the ones I may have used more frequently. For the resultant oliguria and pedal oedema I have used ADONIS VERNALISw CONVALLARIA MAJALIS in mother tincture but with these I have not had any remarkable effect. SPARTIUM SCOPORIUM is another insufficiently proved drug used for the same purpose. Some books mention a list of remedies for the SENILE HEART. One such list is : CON., DIG., IOD., OR, PHOS., RHUS, SULPH, CRAT., but I suppose any of the remedies considered for the Cardiovascular system and others may be needed. Dr. Garth Boericke puts ARSENIC IOD. as a constitutional remedy for the senile heart, myocarditis and fatty degeneration. There may be a dilated aorta and irregular pulse is often present. Dr. Otto Leeser, whose scientific approach always commands respect, says, "in general BARYTA CARB. is said to be the best remedy in the senile heart where other remedies seem to act too little. The bradycardia which is present in heart block can furnish a very valuable heart indication for Barium preparations." This is not the occasion to talk about the prevention of cardiovascular disease or the regime of heart patients. The diet and cholesterol content, reduced calorie intake for the obese ("longer the waist line shorter the life line"), abstinence from smoking, regular mild exercise and a
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So eventually we can safely rely on the homoeopathic tenet 'Treat the patient and not the disease." In this case you can say *Treat the patient and not the sphygmomanometer." Before I close a consideration of this subject I must make a reference to YOGA . Some of the SADHANAS (practices) connected with relaxation have proved to be very helpful in lowering high blood pressure. The President of the Cardiology Association of India has found it very effective and uses it extensively. Next to Hypertension comes CARDIAC INSUFFICIENCY with symptoms of Angina, Breathlessness and Cardiac vascular failure. There is a rubric for Angina, in Kent's Repertory (see Appendix). I have used LATRODECTUS MACTANS, SPIGELIA, CACTUS, and NAJA TRIPUDIANS, the Indian Cobra more often. Naja has acted remarkably when the pain extended from praecordium up the neck to the jaw. BARYTA MUR. is another remedy useful for pain chest immediately after eating, with epigastric tenderness, in the aged with cardiovascular changes.
The patients have been given ACONITE or ARSENIC ALBUM to keep with them and use during the attack when there is pain and much anxiety.
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regulated life style with adequate relaxation, physical and mental, are all very important and must be taken care of. Now let me get into the field and relate to you two very interesting cases. The first one shows the use of DIGITALIS, which has the outstanding symptom of a very slow pulse. In the symptomatology of Digitalis also appears thready and intermittent pulse, respiration difficult, stops in sleep and the sensation heart would stop beating if she moved (rev. Gels.). The date was 27th March, 1956, time just past 3.00 P.M. I was sent for by a patient 69 years old who had suffered his second major heart attack (coronary thrombosis) 4 days earlier. The reasons for the urgent summons was the fact that he was sinking so rapidly that he wanted to sign his will and some other papers. But this he could not do because the moment, he even slightly raised his head from the pillow, he would have severe vertigo and black-out and turn deathly white. The obvious reason for this was that the blood pressure had fallen to less than 90 systolic as against his usual of 134. The pulse was only 44 / per minute. It was irregular and there were some missed beats. On this basis, the remedy chosen was Digitalis, of which one dose of the thirtieth was administered at 3.15 P.M. The transformation in the condition was rapid and unbelievable and by evening he was more cheerful. The blood pressure started to rise and the pulse was better. A second dose was needed only about 9.00 P.M. This gave him a restful night. One more dose was administered next morning when he tended to slip back slightly. No further medication was needed and from then on, he started to feel quite normal. Two days
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later, he took the courage to have a shower bath, of which I was informed only later. He said he felt so well that he wanted to be back at his table from which he was restrained only by much persuasion. However, ten days later, on the occasion of Hahnemann Birthday Celebration, he announced a handsome donation for Homoeopathy saying that it had given him a second life. He continued to be actively engaged in his work thereafter and the heart did not fail him again and he eventually died at the age of 74 years in May 1961 of Uraemia and not the heart. The patient I refer to was my father, Dr. Diwan Jai- Chand, who was the first qualified Homoeopath in Northern India. The second case shows the use of CRATAEGUS OXYCANTHA. This is a heart tonic that we have used in the mother tincture in material doses. It is to restore some strength to weak heart muscles. To the highbrow Homoeopath, this may seem a humble remedy but I have found it most useful and if I may say so, I have earned both money and name by its use in a patient I was called to see at Pondicherry (a place about 2500 kms from New Delhi, where I work). In April, 19781 was summoned by A.G., an Italian aged 74 years. In the two months prior to my visit, he had been hospitalised four times with lung infection. This he was getting frequently both because of a weak heart with symptoms of Congestive Cardiac Failure as also a history of Asthma, of which he had periodical attacks. On screening it was found that one lobe of his diaphragm was paralysed. This was considered a doubtful complication of Herpes that he had in 1975. On examination, he had basal crepitations, liver enlarged
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two fingers, slightly tender, slight oedema on the ankles. This inspite of his being on Lasix (diuretic) and Digoxin. He had been confined to bed in the previous few months. In view of all the complications, I confess to nervousness in treating someone for whom, I had been called from all this distance. The prescription on 6th April, 1978 was Ars. alb. 30/nine powders t.i.d. and this was followed from the fourth day by Crataegus oxy.Q. 8 drops three times daily. The recovery was so rapid that it amazed me as much as the attendants. In 15 days, he was riding a moped and was thus a great advertisement for Homoeopathy. Crataegus oxy. is for hearts just tired out. It has been mentioned that "For that type of common senile myocarditis with a previous history of hypertension and beginning decompensation, Crataegus oxy. is an extremely valuable drug, suitable to cases complaining of extreme weakness, feebleness and often irregular heart action with runs of extra-systoles or slow fibrillation. Crataegus oxy. should be regarded as an intermediary cardiac remedy possessing no toxic effects. It can be given for long periods of time for such senile hearts."

Chapter VI Senile Psychoses and Psycho-geriatrics Mental changes in aged are most common, most certain and most difficult to deal. Very often difficulties and miseries of the old are due to tfreir mind rather than their bodies. "But worse than any loss of limb is the failing mind, which forgets the names of slaves, and cannot recognise the face of the old friend who dined with him last night, nor those of the children whom he has begotton and brought up." (Juvenal, n.d.) Such references to mental disturbances in the aged and to the more dramatic aspects of apoplexy are found in the earliest scientific and literary works. Shakespeare's King Lear has been considered an example of senile dementia, and in Gulliver's Travels there is a famous passage picturing the progressive physical and mental decline in senility. In the background is a complex interplay of social, psychological ?jid physical components. On the social side the probh ms have already been mentioned earlier. Deprived of dignity, responsibility and a feeling of importance in the scheme of things, there results selfdevaluation and self-deterioration. "Seeing themselves as unable, unacceptable, or useless they behave as though they were, though they may be enjoying perfectly good health." (Combs and Snygg—1959). In such instances, there are strong tendencies for the individual to turn inward, to reduce his involvement in the world around him, and to reminisce about and live increasingly in the past. Often his own lack of attention and interest
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The use of tranquillizers. On the basis of this background develop the mental symptoms of the old people. dislike of being left 35 . There is also the appearance of Alzheimer's neurofibrillary changes. Brain cells once lost are never replaced. contrariness. malicious resentment.000 a day from an initial total of 10. Electron microscope studies suggest that senile plaques involve the destruction of dendrites. often tortuous and appear yellow in severe atherosclerosis. After age of 35 years our brain cells die off at the rate of roughly 100. These get thick. As a result there is decline in memory. temper tantrums and other behaviour problems. forgetful and childish. suspicion. and if he feels he is unwanted. axons with the formation of an abnormal protein of an amyloid nature. These are seldom seen before the age of 65 but rapidly increase thereafter. and the ventricles enlarge. comparatively innocuous in younger years. The degenerative brain changes of old age are accompanied by a clinical picture of progressive mental deterioration. with possibilities of seizures. However. synapses. The cerebral vascular changes and cerebral senile changes can also account for the mind symptoms of the old. easy laughter. and depression to an advanced degree of senile dementia with gross forgetfulness. the sulci open up. From mood changes. symptoms of Parkinsonism and vascular symptoms of raised blood pressure. reasoning." anticoagulants. This last one by use of antidepressants (monoamine oxidase inhibitors) so frequently prescribed these days. Another change in the brain of these senile patients is the development of senile plaques in the cerebral cortex. defective memory.000 million or so. restlessness and agitation. On the physical side the brain function can suffer considerably as a result of infections. 34 rigid. easy tears. It also leads to a sense of hopelessness.helps to account for his poor memory for recent events. malnutrition and poor circulation of blood. This involves the loss of irreplaceable cells. oral antidiabetic pills and heart medications can cause confusion. learning and problem solving. In addition to the defective cerebral cortex it has been shown that in these senile patients the adrenal cortex over-reacts to provocation. Mental confusion in old age can often be accounted for by cerebral arterial changes with resultant cerebral ischaemia. the relationship of these cerebral changes to the development of mental disorder and particularly of mental deterioration is still not clearly established. In bringing about these changes the state of arteries may have a considerable role to play. slow speech. apathy and depression. it is a short step to becoming irritable and suspicious of others' motives and feelings. especially for recent events and names and inability to find the right word. There is a gradual cerebral atrophy in which the brain tissue shrinks. which includes that from many allopathic drugs. tendency to be resentful and suspicious. The brain is known to decrease in weight as age advances.

The patient may refuse medicine because of fear of being poisoned. I have known of a remarkable recovery in an old man who asked for his breakfast in the evening as he was completely disoriented in time. CON. the suspicion and confusion.. 36 For those that are suffering from DEPRESSION the more useful remedy may be found among PLATINA. LACHESIS is another remedy for depression. SEC. more especially fatty tumours. He remained well thereafter for many years and died in his late eighties from a stroke. Then they may roam about and get lost.. place and persons. In such persons diminution of sexual desire and great weakness in genital organs and impotence. For those that have always been intellectually dull.alone. is suspicious. or those who undo the clothing or throw it off because they cannot tolerate any constriction round their body. BAR-C. COCCULUS. It has Cephalalgia of old people. especially when the bereavement has been preceded by a protracted period of nursing.. which would indicate as to why it is such an important remedy in old people. or what he was going to do or get. Cataract. especially of strangers. For the dilirium patients HYOSCYAMUS may be indicated. Hyoscyamus resembles Lachesis in the muttering delirium. forgets what was just said. There may be muttering dilirium. It has fear. It is for those that catch cold easily and are addicted to excessive use of stimulating drinks. Apoplexy and paralysis. Lachesis is also for those that wake out of sleep in a delirious state. PSORTNUM.. has an important role here. Asthma in old people. especially old men. and stupor alternating with excitement. NUX VOMICA. and at times AURUM. Childish and foolish behaviour like King Lear.. This last state is often associated with vascular pathology and other somatic illnesses. CAUSTICUM. with a peculiar tendency to strip off their clothes.. LACH. Dysphagia for solids. CALCPHOS. PHOS. When it is a reactive depression from loss of spouse they respond to the wellknown remedies IGNATTA and NATRUM MUR. NATRUM MUR. Amblyopia by age. the classical remedy for many of the symptoms of the aged. The mania is not as violent as when STRAMONIUM 37 . Some of its features have been considered under Menopause. LYCOPODIUM. It is for great mental and physical weakness in old age. of course is for patients who cannot cry. tendency to hoard and delirium and acute confusions. hide their grief and are worse from consolation. CROT-H. Jt is one of the remedies for impetigo in the old and it is also a remedy for tumours. There can be a feeling of boredom and neglect and depression. CALC-C. twitching and jerking. But Hyoscyamus cases are more frankly maniacal. A list of remedies that may be more often indicated for SENILE DEMENTIA are:ANAC. HEPAR-S. just done. feeling of being under superhuman control or religious insanity. BAR-AC.. A state of confusion and disorientation for time. NATRUM MUR. BARYTA CARB. AUR-IOD. Paresis of the tongue. ARGENTUM NIT. I might as well deal with the other features of Baryta carb.. PHOS-AC.

The great trio of polychrests SULPHUR. It is a difficult business to get them to take baths. and indifferent to the effect of their behaviour on others. sometimes become mentally very tired and feel unable to think. are confirmatory symptoms. and he loses his mental depth. Old people who need CALC-CARB. He talks to himself. For the greedy. Lycopodium has been considered above. exhausted. fibrositic pains. broken down old man you can use ANACARDIUM for all his physical and mental symptoms as they often have the indication of amelioration by eating.M. careless about table manners. For the depression in old age remedies that may be most suitable would be AUR. There is fear of the dark. to untidiness. They are often greedy. 39 . frequent wakings at nights.. malicious. which is in distressing contrast with the patient's normal behaviour. and sleeplessness after 4 38 A. as at any age. find a place here. dirtiness. especially old people with forgetfulness of words and syllables. selfishness and sometimes mildly maniacal behaviour.is required but there is a good deal of swearing. The old person needing SULPHUR shows it by a less restrained expression of tendencies which were always present. of course. LYCOPODIUM is of great value in conditions of mental torpor. He feels he must be going insane and imagines that others notice his strange behaviour. All these remedies according to indications would do great service in cases of depression where these old people find life not worth living. KALI PHOS. and sees faces on closing the eyes to sleep. singing and sexual talk. SELENIUM. and LYCO. CALCCARB. The patient may drift into a state of quiet melancholia.. with slowness of comprehension. both worse from the warmth of the bed. for overworked brains where brain trouble threatens (Dunham). An itchy skin eruption. The mind revolves round trivialities which seem to compel the attention. of insanity. suspicious. of something terrible going to happen and general timidity.

bladder or rectal discomfort. remedies found useful in the sleeplessness of the aged are ACON. An attempt to provide the old person with physical and mental activity by day will help in producing better 40 sleep. pain. Sleep is decreased especially in later part of night. haemorrhoids.Chapter VII Sleep For I am weary. SYPH. COFE. Ruddock gives COFFEA CRUDA for the wakefulness of old people in 3rd or 6th potency and finds it the most effectual in producing calm sleep. It is unfortunate that nature affords old people less and less sleep just at a time when boredom and loneliness lead many to crave more.. S YPHILINUM has been lauded as a real bonanza in the sleeplessness of the aged as well as in their depression and rectal difficulties. with too much care distraught. Other than insomnia from such specific causes. It is important to investigate insomnia carefully and to uncover any underlying cause such as dyspnoea. Lay thy soft hand upon my brow and cheek. with early waking and severe sleeplessness. is the only remedy mentioned by Kent. BAR-C. An important cause is also depression. It is also the remedy for those that are drowsy in day and at night and the remedy for those old people that talk in their sleep. which need treatment and are dealt with in other sections of this paper. 41 . A bedside commode or urine bottle may help in securing more restful nights. fissures and obstinate constipation. And with the iron crown of anguish crowned. nocturia and anxiety. O peaceful sleep! —Henry Wadsworth Longfellow INSOMNIA is one of the most common complaints of the old. BARYTA GARB. With too much toil. and am overwrought.

Unless the haemorrhage is massive these remedies can do much alongwith ACON. of 43 In\he neurological disorders the PARALYTIC GROUP is the largest. at least most of those cases that survive. slight stertor in his breath and blowing of cheeks with each expiration and on examination I found additionally pinpoint pupils. The homoeopathic texts still use the word apoplexy in a loose way to describe this entire group though most of the cases. 42 . The most outstanding remedy. BELL. For the paralysis subsequent to the stroke. they have nothing to lose by the additional treatment that they get from a homoeopath. The only treatment which the other school gives is vitamins.Chapter VHI I have not had occasion to use these three remedies often because by the time the patients have reached me the initial phase is over and it is a problem of the subsequent paralysis. In a case like that no further analysis was necessary and he was immediately given some doses of OPIUM 200. I told them to report in the morning but they came only next evening because within a few hours the patient recovered consciousness and was feeling so well that the whole household had been resting after that sleepless night. so now termed a Cerebro-Vascular Accident. On arrival I found him completely unconscious. homoeopathy has a lot to offer. At the time of occurrence of the stroke ARNICA is an extremely useful medicine. I was called at mid-night in an emergency to this patient in the vicinity of my house.. be common to all systems. by way of passive and active movements. flushed face with considerable warm sweat. Even though I do not usually prescribe any vitamin but if the patient is already using it and feels somewhat concerned that there may not be any ill effects by stoppage I let them use it. Therefore. The attendants said he may have difficulty in swallowing so I told them to put a few tiny globules (of No. Though a problem of the nervous system it is essentially a result of the changes in the cerebral arteries. and NUX VOM. are cases of paralyses as a result of cerebral thrombosis. Physiotherapy. 10) on the tongue. and in some cases electrical stimulation can. One case is very vivid in my memory because of the very remarkable and very rapid effect of medicine. of course. Another remedy at that time and sometimes even in cases of haemorrhage is OPIUM.

This consciousness was for a very brief period of about 15 minutes and he lapsed into his former state thereafter.. After the second dose he opened his eyes. in his 70s had a stroke and was lying in coma in the hospital for more than two weeks. the atherosclerotic process. The doses were continued. However. MERCURIUS. as a medical man himself he knew that allopathy has nothing to offer in his condition. K. who was attending on him. Among the other remedies that are more often found useful are PHOSPHORUS. R.. After about 12 hours he completely regained consciousness and there was no relapse. remains CAUSTICUM. PLUMBUM. He kept quite well and I would see him time to time when he would bring other patients for consultation.N. He had for many years been interested in and been studying homoeopathy. There were not many symptoms to go by except that he was showing the signs of hemiplegia on the left side. in his late fifties consulted me for BELL'S PALSY affecting the left side of his face. Harish Chand be sent for.course. The Allopathic doctors who were unaware of the Homoeopathic medicine that had been 44 given were jubilant and when he insisted that he must leave the hospital they wanted to persuade him saying that now he was responding to the treatment. The remedies as they appear in Kent's Repertory both in the section of extremities and in generalities I need not repeat. Remedies are mentioned for it in Kent's Repertory. under Paralysis Agitans (p. Dr.N. however. when I was called to see him. Dr. 1390). It is. equally useful in the resulting paralysis.e. looked around and finding that he was in an Allopathic Hospital called his daughter. This is rather unusual and I would not have thought of it unless I referred to the Repertory. Curare 200 single dose was administered with very speedy and complete recovery of the paralysis though no effect on the diabetes. Another neurological condition by ageing (mostly after 50 years) is PARKINSONISM. and requested that he be put under homoeopathic treatment and Dr. Looking in the Repertory the only remedy that appears both for left side facial paralysis and sugar in the urine is CURARE.M. a teaspoonful to be administered every 4 hours. 45 . Some years later I learnt that he died at the age of 86 from some kind of Pneumonia. although more specifically advised for right-sided paralysis. Agaricus is not in Kent's list but it is a remedy for tremors and I have tried it on the indication of the tremors ceasing in sleep. She replied that this had already been done. ZINCUM and AGARICUS. Hughes has made a very pertinent point in recommending PHOSPHORUS "for the premonitory signs as it will not only control the determination of blood to the brain but also do something to retard the advance of brittleness and obstruction of the arteries" i. LACHESIS. The remedies I have tried most are PLUMBUM. He was given PHOSPHORUS 30/8 doses in an ounce of water. a retired Civil Surgeon. and other texts but I have in general failed to make much headway with these cases. He had been a diabetic for some years. Thereafter he made a rapid and complete recovery from the paralysis and went back to his home town.

46 However.. I feel the Cataract rubric in general (p. CALCAREA CARB. at the interval of one month and continued upto four months.63). the time honoured succus CINERARIA MARITIMA eye drops have a definite role though it is doubtful if it can reverse the process. Jour. defective vision. Conium maculatum (different homoeopathic potencies) was prescribed for different lengths of period and the condition of the immature cataract was reinvestigated following the abovementioned tests. Horn. The abstract of the paper is as follows:"The immature cataract of 43 patients was determined following the examination of lental opacity. This is in accord with recommendation of Dr. It may retard or stop further deterioration in some cases. PHOSPHORUS. the acute of silica. Other remedies found useful were CAUSTICUM. All the patients were divided into different age groups.Chapter IX Ophthalmological Conditions Old men's eyes are like old men's memories: they are strongestior things a long way off. —George Eliot (Mary Ann Evans) There are changes in the lens as we grow so that from the age of forty years reading material has to be held at longer and longer distance because of decreasing accommodation (PRESBYOPIA). In fact in Burnett's series of cases best results followed the use of such constitutional remedies as SULPHUR. Anshutz based on experience of German physicians. CONTUM and LYCOPODIUM. A case is recorded of bilateral cataract having cleared in an octogenerian by use of Silica 1M (Brit.236) is to be referred to. senile viz. SILICA. 1924-p. Though only two remedies are mentioned under the rubric Cataract. I agree with Burnett that cataract is a constitutional complaint and it is essential to treat the patient and not the cataract. 47 ." GLAUCOMA is another eye condition that may have to be tackled in the senior citizens. Locally. PULSATILLA. The results at the end of four months showed significant improvement in the condition of immature cataract and the fall of vision was improved remarkably. is mentioned as a remedy if cataract develops in a lady soon after the climacteric. a total of 8-9 tabs daily divided in 2-3 doses. A problem that develops later in life is CATARACT and this is far more common in India than in western countries. and SEC. CARB-AN. 6x. presence of iris shadow and fundal glow but interrupted by black spots and presence of all the purkinje images. The Calcareas are the most popular and if I am consulted casually without the opportunity of meeting the patient and taking a proper history I prescribe CALCAREA FLUOR. An interesting study on the "Role of CONIUM MACULATUM in the prevention of immature cataract" was presented at the 66th session of the Indian Science Congress in 1979. This is easily corrected with glasses.

Such cases have. the Sodium Ring and I have known some that treat it with tablets of some Magnesium salts. (Kent's Repertory p.. to be kept under close observation and those that do not respond quickly have to be handed over to the surgeon. Otto Lesser. of course. PHOS. Delbet. Recently it has been considered somewhat significant as an indication of state of arteries in the body and possibility of coronary thrombosis later. The complete rubric has : BELL. Old people become more able to work. presumably from senile changes in the retina. SULPH. a number of old age phenomena were favourably influenced when Magnesium was regularly introduced.. AURUM is for weakness of vision in old people that are corpulent and tired of life.. LAC-C. For DIMNESS OF VISION in old. and pruritus senilis. The iridologists call it. the well known remedy for degenerative changes by age. the remedy I have used is BARYTA CARB. I have not prescribed for the Arcus nor do I think that tne remedies will clear it but may arrest the process. SULPH..Some cases of Glaucoma respond well to Homoeopathictreatment. likewise senile tremor.276). PULS. muscle stiffness is lessened or removed.. prun. COLCH. BRY. MERC. PHYS... Pierre Schmidt. He mentions that according to observations of P. KALI-I. rhus-t. KALI BICH. ARCUS SENILIS : remedies in I & II grade in Kent's Repertory are COCC.. CEDR.. Sexual function is stimulated. This brings to my mind an interesting reference to Magnesium made by Dr.. Studies on the healthy with the use 48 of MAGNESIUM CHLORIDE solution gave an increase in the well being and general activity. CQLOC... SPIG. CROT-H. CAMPH. 49 . The remedies particularly useful are SPIGELIA ANTHELMIA(specially if the trouble is in the left eye) and PHOSPHORUS. This would make it almost a measure for rejuvenation of the old. COLOC. In my copy of Kent's Repertory I have added more remedies which I got from Dr.. who extracted them from Hering.

another troublesome 50 condition frequently found in old people is VERTIGO. SIN-N. GRAPHITES. It is for nerve deafness in old people and in arthritic subjects. 51 . widely used upto the forties of this century. one of the most useful remedies is CONIUM. and hard bed.during work would greatly help. and general instructions about the 'low or no pillow'.) CHIN-SULPH. appears in third grade in the Repertory but I would think of that as the first remedy. feels as if the bed were floating. with many subrubrics but none specifically mentioned for this condition in the aged. and mur. 102) is. It has violent ringing. who suffered with malaria. RHUST. buzzing. Allied to this is TINNITUS AUREUM. ringing and cracking in ears. Many of us from the tropics. SULPHUR. it has very definite symptoms of giddiness in the act of lying down and turning over in bed... Apart from generally helping in the conditions incident to old age. This may not be taken as the total list and other rubrics can be referred to depending on individual symptoms in a patient. If it is due to spondylitis then simple exercises of the neck muscles. and noise unbearable especially when several people are talking together. Blackwood mentions it as almost a specific for elderly women that have constipation alongwith much vertigo. on looking around. with deafness. The other remedy found very useful in positional vertigo where giddiness occurs for any change of position is BRYONIA.. and less bending of the neck. If no other remedy is specifically indicated I would try CHININUM SULPH. In fact. PETROLEUM. The other two remedies in second grade are CICUf A and PETROLEUM. For this although BARYTA CARB. remember such symptoms being produced by Quinine sulph. With or without the tinnitus. CHINA. CAUSTICUM.. and roaring in ears. these measures would probably help all advancing in years. Here again though not specifically mentioned in the rubric. The Repertory list for Vertigo in old people (p. whirling vertigo on rising. CUPR. AMBR. an annoying symptom complained of by many old people.Chapter X EARS HEARING IMPAIRMENTS increase with age. This is mostly linked to the changes in the arteries and poorer circulation. Kent's Repertory has a long list of remedies under Ear.. Remedies that may be indicated more often are BARYTAS (carb. Apart from diminished hearing PETROLEUM has dry catarrh and noises. Noises. BAR-C. In fact if this is too bad it may account for the impairment in hearing. CALC-R.

BARYTA CARB. A rarely thought of remedy in Bronchitis of old people is PROTEUS. even though the irreversible changes that have occurred in emphysema may not get cured completely. in the more serious ones. CARBO VEG. BELLADONNA and BRYONIA in the initial stages to CARBO VEG. and ANT-TART.Chapter XI Respiratory System The conditions of respiratory system as we have seen account for more than 19% of the diseases of aged in India and if we consider the Munich Survey 66% of the males and 34% of the females had either emphysema or bronchitis. and the remedy useful for it at any age—ARSENIC. It is particularly useful for the old people with threatened paralysis of the lungs. Another remedy that may be of special utility hi the respiratory conditions of the ageing is AMMONIUM CARB. There are sudden and alarming symptoms of suffocation. ACUTE CHESTS (bronchitis and pneumonia) are naturally more serious than in the young. there are the usual old age remedies as AMBRA. The relative incidence of different respiratory conditions in the Indian Survey are shown in the'following chart In the weak state of the aged. oppression and short breathing and orthopnoea. CONTUM. In the ASTHMA of the old people. as much help as can possibly be rendered considering the pathology in the lung. This has been specially empha53 Fig. The remedies remain the same right from ACONITE. I may highlight another one and that is SENEGA. In addition to the remedies mentioned. There is much weakness and drowsiness and lack of reaction. This is for Asthenic Bronchitis of old people with difficult raising of tough. The patient is covered with cold sweat. profuse mucus and thus there is rattling in the chest (Anttart). There is accumulation of mucus in the chest with coarse and loud rattling. I have helped with it cases of emphysema. COUGH can be another troublesome sympu^n. The one remedy that J would like to highlight as specially useful here is ANT-TART. 8 In this sphere again Homoeopathy has a lot to offer. 52 . I need not consider these in any detail or give the indications.

There is cold sweat. Now the hard faecal masses refuse to move forward in absence of vigorous motorial activity. Farrington. there may be burning of the chest as from glowing coals. But with all the coldness. It could have been considered in connection with cardio-vascular failure. The reduced activity also results in reduced massaging of the intestine. 55 . prescribed on the above symptoms. Becuase of this reduced motorial activity with age the bowels do not drive the contents further with former efficiency. I remember my grandmother. which weaken and interfere with the defaecation " reflex. that they have. In the early 1940s when I was a medical student. In acute chests there will be marked air hunger referred to above.sised by Dr.. Such drugs are used by the old for the many other complaints. Many of the aged lead a sedentary life. of aches and pains to insomnia and expression. The constipation is also made worse by frequent use of drugs. CARBO VEG. cannot be omitted from the fjeld of geriatrics. But whether air hunger is due to the failing heart and poor oxygen delivery system. This leads to weakened abdominal muscles. aspirin to tranquillisers. It is that indeed. then in her late 70s suffer a pulmonary infarction and being saved by my father with Carbo veg. Few extra glasses of water may help in ridding the patient of hard dry stools. the Homoeopathic corpse reviver. or to an imperfect oxygenation in the lungs due to pulmonary causes the symptom is equally important. may still save them and so justifiably carries the reputation: "corpse reviver". She survived and lived a number of years thereafter Chapter XII Digestive system 54 In the DIGESTIVE SYSTEM one of the most common and distressing symptom is CONSTIPATION. Therefore. leading to stagnation. Carbo veg. The patient wants air moving briskly about him and therefore to be fanned. in addition to the medicine some exercise is to be advised. coolness of mouth and tongue. with cold bream. The abdomen may be burning and considerable relief to breathlessness from passing of wind up or down for patients that are collapsed and almost gone.

Later he developed flatulence and still later pain abdomen off and on. For old people with morning diarrhoea. Sir N. has 56 recommended PHOSPHORUS and for relaxation of bowels in the aged think of SULPHUR. Some of the other remedies like ALUMINA. Horn.1979. CONIUM. Another remedy that is not so well proved and therefore not thought of as frequently is HYDRASTIS. whether as a result of smoking or otherwise. Allen. Cong. All investigations of Gastro-intestinal tract were negative. indicated by the stool and urinary symptoms and a tremulous weakness. CONIUM is to be considered first. 57 . 1927). would be on the general indications. RUTA is of particular interest. The stool was never satisfactory and due to much straining he developed a Hernia. however. that is.P. He was prone to irregular bowel action earlier and would have 2 or 3 stools daily which were. For these cases as suggested by him CARCINOSIN was given as an inter-current remedy (Trans. This remedy seems to suit many of the nutritional and digestive symptoms of the old and those patients would also have the tongue thickly coated white as if a layer of paint has been applied. I briefly mention to you about a case that not only had some digestive complaints but the case history would illustrate the multiplicity of disorders in the old and some of the connected social factors. The skin was very dry and there was itching. He started by saying that his wife had been ill and he had been nursing her through different ailments till her death in 1976.Use of laxatives is not the correct approach. and no expulsive power in the lungs. They had lived together for 49 years and her death was a great shock to him.M. Int. RUTA. age 80 years. R." BRYONIA is already mentioned above (under Ears). A consultant in London had finally put it to emotional factors. BARYTA CARB.R. In the Chronic Diarrhoea in o. The indigestion in the old is aggravated by poor mastication because of loss of teeth. which would be relieved by passing flatus. For constipation alternating with diarrhoea.d men. OPIUM. It also has the rattly chest not uncommon in the aged with chronic bronchitis. a resident of London.. le Hunte Cooper mentions it as an organ remedy for the rectum. his wife's death. I have verified his recommendation in cases of Cancer of the rectum with definite benefit and even a few cures. Dr. In 1976 he suddenly developed constipation. the most effective remedy can be ANT-CRUD. not abnormal. The provision of proper dentures may rebeve the dyspepsia and much flatulence. Westropp and Williams put it that "many people lead an alternate life of constipation and drug induced diarrhoea. etc. consulted me on January 29. This was the time he had the psychological trauma of his wife's death.

digestion is improving but could be better. He was prescribed NUX VOMICA 30/8 powders. age 72 years. I am only belatedly fulfilling his wish to only highlight the fact that "nothing is impossible with homoeopathy" Spaking of hernias I may mention that I have had very good success in babies. 59 .L. As already mentioned most of the old people have a multiplicity of complaints. No one else would benefit by receiving Nat-mur. for hernia. hernia and diabetes. appetite reduced (because of overeating)". the statistics show that after losing one's spouse death occurs sooner than would otherwise be expected. But that is a drawback in individualisation.L. 200. he had the dryness of the skin and itching. On March 29. just before his return home he again complained of slight recurrence of symptoms and was given a single powder of Nux vomica 200 followed by the usual S. Normal bowel action. Though medicines are given in our texts the treatment of hernia in adults is quite frustrating. = Saccharum lactis given as placebo. Repeated Nux vomica 30. He also told me he had Bilateral Inguinal Hernia and Diabetes. I have not had such a patient. When he called me again after one month he pointed to the wall where his truss was hung. one every night. In fact. His report on February 7. This was again followed with improvement. I had seen this patient some thirty years ago and surely he would have by now passed away. the younger the baby the more successful I have been. Dr. I do remember." Prescription S.L.* This case history highlights a number of factors." March 2—"Has had to eat many farewell parties and digestion not as good. The hernia had vanished much to his joy and my absolute surprise.* Report on February 20—"Distinct all round improvement. He came for some other complaints for which I prescribed NAT-MUR. Being an enthusiast for homoeopathy he insisted that I report this case in the journal for benefit of others. Apart from the digestive complaints. another case of Rai Bahadur B. Ghosh has recommended that in ♦S. 58 STRANGULATED HERNIA in old people with severe pain try PITUITARY 30 and it may obviate the need for surgery. 1979— "Immediate effect was agreeably surprising and I was thrilled by it. normal colour and consistency and less effort as in old days. The remedy has mostly been CALCAREA CARB. But. The flatulence in the afternoon is much better.B. Another significant fact is the change in social status and losing one's spouse and thus a break of companionship resulting in much loneliness and boredom.He was suffering from Diabetes from 1961 which was kept under control by Diabenese. This is particularly so for widowers as compared to widows.

or at least impolite.menopausal syndrome is a long one. LACHESIS. even though natural. An undue increase in weight is common at this time with all the attendant problems of obesity. lack of concentration. Although it is a normal physiological process but. Apart from the discomfort and nervousness and palpitation that may accompany it. at times even dangerous floodings. like many other changes in the body. less frequently APIS. However. cholecystitis etc. the patient has an endless spate of talk. and unreasoning jealousy and groundless suspicion combine with a powerful. Some of these are : hot flushes and sweats. SULPHUR. Dr Hubbard in her special style gives some graphic drug pictures. I recall the wife of a diplomat in India who said that she feels so ashamed when in the middle of a formal party she suddenly feels the flush and with it anxiety and palpitation and then breaks out into a sweat. Remember that Lachesis has amelioration from discharges and menopause represents the stoppage of a discharge. energetic personality to make the home impossible. PHOSPHORUS and PSORINUM. In the premenopausal phase. Lachesis 200 61 It may be dangerous. palpitation. it can at times be very embarrassing also. nervous depression etc. Besides the ovary is somewhat of an exception in ageing to a large extent independently of the rest of the body. irritability. Among the more commonly indicated remedies are CALCAREA CARBONICA." Hering says it was characteristic of his Lachesis patients that they had never been well since the menopause. deep vein thrombosis. GRAPHITES. The best treatment for the menopause is the deep constitutional remedy covering the totality of the patient's symptoms at that time. headaches. The list of symptoms put under post . in addition to some of the above symptoms there may be irregular menses. loss of libido. before the menses cease. body or joint pains or backaches. Prolonged use of oestrogens has been implicated as a risk 60 . neckbbeads are discarded and fans carried. dizziness. In fact only about 20% of women go through a symptom-free menopause. to call a woman old at any age and more so when she may not have completed even 50 years. and at times emotional turmoil. SEPIA. that are for the most part functional and without organic disease. metrorrhagia or copious bleeding. is accompanied by symptoms. It is the capital remedy for one of the very distressing and common symptom at this time and that is "hot flushes". the menopause does represent a "change of life" that occurs with advancing years and as such justifies at least a brief consideration here. The other school treats these symptoms with some hormone preparations or sedatives but it is now being realised that this is fraught with many dangers. "LACHESIS is spectacular in the menopause where the neck becomes mottled.Chapter XIII Menopause factor in cervical cancer. insomnia.

with some bleeding and discharge from mechanical irritation and not cancer. The uterus could not even be pushed in. I may relate here a rather unusual recovery with Sepia in a case of procidentia.1980. "We must never forget that SULPHUR is an amazing remedy for the ageing. though not directly connected with menopause. Friends and family are too much effort.K. ACID SULPHURIC is the second most used remedy by me for this condition.1981 she reported "50% relief in uterine prolapse. and one at bed time. Prolapse the same but now no bleeding. 1981 and thereafter she is continuing on placebo as improvement is maintained. 1981. with Lachesis. "75% improvement" and on March 10. Bearing down is a well known symptom of Sepia. She was of feeble constitution and had a number of vague complaints which I need not detail here. 1981: No recurrence. with of without actual prolapse. From passivity she flies into futile rages and makes biting or gross remarks without realizing it. I suggested that if she was averse to an operation perhaps she could try out the "the ring pessary"." Sepia is frigid and disliking sympathy. She had suffered from this for the previous six years. dowdy. Next reported on September 2. In some cases stress incontinence. Sepia 200 was repeated. which is dependent on hormonal changes. Mrs. indifferent in her house-keeping. In the report a month later (November 13. Sepia 200 was repeated : 3 powders to be taken every half hour. 62 Sepia 200 was prescribed: Two powders. Prolapse continues. Temperature continues to be normal. and laziness encroach upon the natural personality.1980." Cn February 3." Last report received on April 13." Hardly any remedy surpasses CALCAREA CARB. She also suffered from a tendency to vomiting quite frequently and this could not be explained. 1981 she said "prolapse completely gone and it does not come down any time. I would'go to the extent of saying that unless any other remedy was specifically called for I would use Lachesis. varicose veins. was seen on July 22.in single dose helped her so tremendously that even when she moved to Gabon she sent a fried to fetch the remedy for a recurrence. I did not think that much good would come out of treatment. particularly in the prolapse. spotted dresses and untidy hair. Also quite frequently she would have low grade pyrexia.1980. 1980) there was again bleeding. She said that this had been suggested by a gynaecologist but she was hesitant. digestion better.. A distressing condition was procidentia. She is cold. On October 13. Their swollen ankles. can have the yellow saddle across nose and cheeks. one to be taken in evening when she came for consultation. for the heavy and continuous haemorrhages 63 . age 70 years.M. no vomiting. M. "The woman needing SEPIA shares the honours. January 2. It may be noted that the last dose of Sepia 200 was given on November 13. and increasing pre-occupation with themselves. Vomiting had stopped.

For heavy bleeding. Jan.VolXXI No. 65 . Less often I have used MILLEFOLIUM. 1972). relaxed and cold. PHOSPHORIC ACID. The cases have been divided mto the ENDOGENOUS DEPRESSIONS. For the contrasting symptoms of the NEUROTIC or REACTIVE DEPRESSIONS the remedies coming through strongly 64 in the Repertory are CALCAREA CARB.. There are also the depressions arising as a result of use of drugs e. At the time of the bleeding I have often used it's acute remedy BELLADONNA. SULPHUR. . I am afraid. The peak incidence of DEPRESSION in women is at the stage of the menopause (age 46-50 years) with an incidence of 17 per 1. and reserved.P. ARGENTUM NIT. SEPIA.l. Or Belladonna as mentioned above.. NUX-VOM. Frank Bodman (British Horn. Dr.g. Journal . especially if it is bright red flow with dark clots. I have found SABINA of great use. In view of its usefulness. or IPECAC. These women are pale.000. flabby.. The flow is hot. SILICA. For a further study of the subject I refer you to an excellent article "Menopausal Depression" by the Psychiatrist Homoeopath.. A fairly usual practice with me is to give the indicated constitutional remedy in high potency in the interval between bleedings and one of the haemorrhagic remedies in low potency during the bleeding. remedies for hypertension that contain Reserpine. bright and gushing. RHUS TOX. FICUS RELIGIOSA and THLASPI B. CARBON-SULPH. Protracted haemorrhages at the menopause. IGNATIA. NATRUM MUR. PULSATILLA.. LACHESIS and MURIATIC ACID have been worked out from the Kent's Repertory. for the symptoms of which remedies like LYCOPODIUM. GRAPHITES. If there is pain it is from the pubis backward to sacrum or vice versa. I have prescribed it routinely in repeated doses of the 6th potency during the bleeding phase unless some other remedy be specifically indicated.CHINA. all in mother tincture.during the menopause. to try and moderate it.

.. (Strych-phos. the result of age. In fact many men. AGNUS C. CON. would consider old age only by the decline in the sexual prowess. LYCO. STRYCH-PHOS. PHOS. particularly the less educated. especially to the ageing male. Dr. have found themselves impotent. THUJ. For an increase in sexual desire in old men who are otherwise impotent the remedies are LYCOPODIUM 66 and SELENIUM. while physically impotent are mentally as in early life. Some of the remedies that may be particularly considered here are: AGN-C. SULPH. is a valuable indication for ALUMINA. and who. Pierce mentions that in sexual weakness and impotency in old age the symptom of involuntary emission. For an increase in sexual desire in old women. 67 .. LYCOPODIUM is another useful and so popular remedy in this sphere. Although Kent's Repertory does not have a separate rubric for impotency in old age but this is definitely a problem which many old people would complain about. PIC-AC. the remedy is MOSCHUS. ALUMINA. Nash says that happy results have been obtained by old men who on marrying young wives.George Royal). I have included on the experience of Dr. SEL. BAR-C..Chapter XIV Sexual problems PA condition that is a cause of considerable worry. Some old men complain of frequent emissions. is the reducing virility and eventually IMPOTENCE. Dr. particularly when straining at stool.. is especially useful in those advanced in years who in their youth have carried sexual indulgence to extreme. The remedy especially useful for this is NAT-C.

A remedy not so well proved in the rest of its symptomatology but found of great benefit here is SAB AL SERR.age in men. 10 Urinary frequency. Chapter XV Urinary problems UROGENITAL The residual urine can lead to infection and occurrence of cystitis. difficulty in passing. I still vividly remember one patient in 68 UTERUS & CERVIX Fig. especially in old men. sudden urge. THUJA and sometimes DIG. Remedies that have shown particular utility in ENLARGED PROSTATE are CON. Malignancy of the prostate is another condition to be kept in mind. incontinence. feeble stream. ineffectual urge and pain are some of the symptoms in the aged. dribbling. Men far outnumber women in the incidence of urinary symptoms and Enlarged Prostate is the most common condition leading to urinary problems in old . BAR-C..

paricular. In fact I confess that I had not known much about it till I started to write this monograph. These are some of the lesser known and used medicines for Hypertrophy of the Prostate and so 1 have 69 . He was in his seventies and had acute retention for which he had been catheterised once. The fuller list of remedies useful in this condition appears on page 667 as also in some of the rubrics in the section of Bladder. his son approached me. Not being happy with the hospital atmosphere. The Biochemic prescribers rely on CALCFLUOR. I ha^e used this with succes in the lower potencies but mostly I tried it only if I failed with Sabal serrulata. 5 to 10 drops of the mother tincture given twice daily. 6x. A few more doses and the whole trouble passed and he died some ten years later of Pneumonia but never any recurrence of prostate. Half way he asked his son to stop the car and found that he was able to pass urine though not freely. Anshutz's remedy for enlarged prostate where catheter must be frequently used is SOLEDAGO VIRGAUREA. I have not had any experience with HYDRANGEA ARBORESCENS. and was then being driven to the hospital for catheterisation. OXYDENDRON ARBOREUM. The following day when he was again in great trouble. It is made out as 'the remedy' for "large prostate and very difficult urination" unless there were clear indications for some other medicine on basis of totality. he asked his son to take him back home. He mentions another little known remedy. The patient received one dose of SAB AL SERR.

RHUS TOX and BRYONIA continue to have a role here as in rheumatism.. Blackwood writes about PIPER METHYSTICUM for nocturnal enuresis of the aged and the feeble. Patient i In that case. is another remedy I have often depended on.. Indications are somewhat like Rhus tox. with pain aggravated by cold and damp and exertion. which it 71 70 . However. I am reminded of an anecdote: Patient : I've got a pain in my left foot. dependent on muscular weakness. Dr.. Chapter XVI Joints. more often deeper acting medicines are needed. Of course. CALC-CARB. For dribbling and enuresis in addition to the list of better known remedies mentioned in Kent's Repertory other authors have highlighted the use of some lesser known ones. which manifests in joint inflammation. COPAIVA is for ineffectual urging in old women. CAUST. For urging and pain after urinating in patients with enlarged prostate the remedies are STAPH. Although the bone changes may not be reversible but treatment can bring about clinical relief and make them more mobile. possibly by reducing some attendant inflammation. BAR-CARB. comes in when the patient is very stiff and rather sluggish generally. At times I have used it in 6x repeated doses and other times in 200c single dose. Bones and Muscles Rheumatism is a common cause of misery and disability in old people. in dribbling and nocturnal enuresis. OSTEO-ARTHRmS is a dengerative disease of the joints that results as a natural part of ageing and is a common disorder of the old. and STAPH. to which it is complementary. I will not consider it here as it also occurs in younger people and the remedies are the same. Doctor : Don't worry.. like RHUS. CALCAREA FLU_OR. why doesn't my right foot hurt-I've had it just as long. The same author also mentions about RHUS AROMATICA in urinary incotinence of the aged.. It's just old age. PULS. SELEN . Nor do I propose to consider the metabolic disorder Gout. as chronic remedies in thses cases CON. However. are to be considered. and SARS.mentioned in some detail.

are sheet anchors for the pains of . "CAUSTICUM and KALI CARB.. AVENA SAT. ALUMINA. like young twigs. Many people in advancing years have a TOTTERING GAIT. CALCAREA CARBONICA and CALCAREA PHOS. In such cases also remember TUBERCULINUM BOVINUM. CANN-IND. As age advances the hands do not remain as steady and the handwriting also gets shaky. PHOS. CONIUM is an excellent remedy and has the symptoms of difficult gait. J be useful or the indicated constitutional. not being sure of their balance.OsteoarthriUs. PHOSPHORUS is reputed to help the stiffness of the aged. ZINC.. For this if there be imperfect callus formation or slow union. the well known ascending weakness etc. It is said where the young bones.. Dr. and SEPIA.. Gordon Ross mentions that old age means a loss of elasticity with stiffness.A. I would add here two other remedies not often thought of as they do not appear in the books.often complements as the deeper remedy. trembling.N. MERC. bend the old ones break. A condition which occurs in the old people as a result of osteoporosis and brittleness of the bones is the frequent fractures. then the usual remedies. painful stiffness of legs. wou. One is OSTEO-ARTHRITIC NOSODE (O. i 73 . For such trembling and SENILE TREMORS the remedies are AGARICUS. especially when the patient feels every change of weather.) and the other is the bowel nosode SYCOTIC CO. In 1980 at the Mexico Congress I related the case of an Italian lady with much arthritis and osteoporosis so amazingly helped by THUJA prescribed on the basis of a recurrent dream of falling. sudden loss of strength while walking.in the joints and wandering pains and kali salts are excellent for this as they have an affinity for connective tissue. relief in rain and aggravated from cold dry winds like NUX and KALI CARB. AMBRA G. SYMPHYTUM. CAUSTICUM has modalities opposite to CALC. LEDUM PAL. 72 There are conditions that may primarily depend on the nervous system or are neuromuscular in their manifestation...

Lycopodium.. Baryta carb.Chapter XVII Old Age Remedies Homoepathy depends on careful individualisation of each case. FLUORIC ACID is another remedy with a reputation for helping the old in some of their symptoms. It is for vertigo in old people that are restless. ALUMINA and to these for the frail condition Dr. The utility of most of these would be apparent from what has been mentioned in considering die different conditions. CONILnVL AMBRA GRISEA. emaciation. Some additional points about CONIUM are inability to sustain any mental effort and a loss of memory. or when walking. HYDRASTIS. spasmodic cough. AMBRA GRISEA is a remedy which I have not seen being used as often in geriatrics as the symptoms would suggest. we find loathing of life. Its use in vertigo has already been referred to. Alumina. CRATAEGUS. certain troubles are common in the old and I have tried to consider the more usual remedies for them. SECALE. has weakness or loss of memory and depression. not surprising that it appears in first grade in the rubric of remedies for old people in the section of Generalities. It has paralysis well known for its ascending character from the feet up. cancerous ulcers on the skin and premature old age. E. fidgety and nervous. I was surprised as to the large number of rubrics in which it was appearing. THUJA. in the rubrics of dullness. bad memory. 1376) If I may list the remedies that are in general more applicable in geriatrics. The patient mistakes right and left. It is there in the sub74 rubrics of old people. But. I have used it with much benefit for alopoecia areata 75 . OPIUM. aversion to talking or laughing. LYCOPODIUM. despair. even of others (naturally the youngsters in the family would consider him a 'joy killer'). cough. (See Kent's Final General Repertory p. Elderly emaciated people when abundant eructations accompany cough. In fact. in compiling the Repertory study for the aged. it has been found useful for asthma in delicate old people. Old people that have vertigo on rising from lying. desire to be quiet. In the Materia Medica. It is an important remedy for alopoecia. It is. A problem that also occurs in advancing years is cancer and Conium is a remedy for cancer in various regions. Opium have mosdy been dealt with. and almost any remedy in our vast Materia medica might be required on occasion. asthma. therefore. headache. It is an important remedy for enlarged prostate and the symptoms that go with it. FLOURIC ACID. Wright has additionally suggested ARNICA. inability to think or fix attention on what he reads. It has also gouty pain in the joints. It has nerve deafness where the hearing decreases very rapidly. these are BARYTA CARB.. great nervousness and mental weakness. vertigo. forgetful. In the younger age group.

do justice to all the facts of a complex situation. On reaching there. When they reached that place. but could not die. they effectively bring home a great moral teaching. "look at me. nobody has time for everything. of the divine potential which lies within every being. I cannot be relieved of my sufferings by merciful death." He guided them to another place where there was a plant which had the qualities of keeping one perpetually young. so that as he matures in years. they were guided by an old hermit to a hidden place. Seeing this. for our comprehension may be only of the abbreviator's neatly formulated notions. In practice we are generally forced to choose between an unduly brief exposition and no exposition at all. The crow was suffering terribly from the injury. someone shot an arrow into it. he said. In this way he can embody Hahnemann's idea that man's life be devoted to the "higher purposes of his existence" and also the spiritualistic concept that the aim of life is the realization. ramifying reality from which these notions have been so arbitrarily abstracted. I am. brevity can never. It came from a very oid man there and when asked the reason for his warning. not of the vast. in many cases. On such a theme one can be brief only by omission and simplification. But life is short and information endless. they heard another voice warning them. he saw ? crow drinking the water and as it was flying off. therefore. Abbreviation is a necessary evil and the abbreviator's business is to make the best of a job. A similar story is related about Alexander the Greas of having sought the well. After much search. In this way his life will be blessed with equilibirum and equanimity and be imbued with dynamic strength to achieve productive Harmony in his environment. The moral is apparent that each phase of life has its own positive and negative aspects and it is a blessing that any one of them is not overlasting. It says diat in ancient times. he may also mature in his depths. to understand the wrong thing. as they were going to drink the water. Omission and simplification help us to understand but help us. drinking the water of which gave immortality. I am infirm and suffering the effects of old age. in the nature of things. 76 Whether these stories are true or not. On reaching there. in its fullness. some invaders in our country learnt that there was a spring. Alexander realised his folly. but as I have drunk from this spring and have immortality. the water of which was said to give immortality. encouraged by what Aldous Huxley writes: "However elegant and memorable. 77 . a feeble voice bade them stop. This was from some people who had partaken of the plant and were now fed up with the turbulence and the struggles of youth. I never had the wisdom of brevity and with increase in age my faculties may have further decreased. Man must develop a philosophy which helps him to accept with grace the changes that occur with the passage of time.Chapter XVIII Epilogue I may conclude by relating a story.

is still better than nothing. Dust into Dust.which. and under Dust to lie." Ah. though intrinsically bad. PIERRE SCHMIDT AND DR. DIWAN HARISH CHAND 78 79 . A REPERTORY STUDY ON SOME OF THE IMPORTANT CONDITIONS IN GERIATRICS A COMPILATION OF RUBRICS EXCLUSIVELY FROM KENT'S FINAL GENERAL REPERTORY EDITED BY DR. He must learn to simplify. Before we too. but not to the point of falsification. but without ignoring too many of reality's qualifying side-issues. sans Singer.into the Dust descend. sans Song. Sans Wine. make the most of what we yet may spend. and sans End! — Omar Khayyam. He must learn to concentrate upon the essentials of a situation.

lach. 66. OLD PEOPLE. bar-c. ka//-j. in.. PAIN.. ph-ac. becomes : Ars.phos. lach. CANCER : Aur-m-n.. MOANING.. ka'i-n. DULLNESS. sil. apis.. gray... Phos.. old people : Ambr. Lach. old age: Am-c. writing. graph. baldness : Anac. 67. old age : Am-c. EYE 235.. old age : Am-c. climacteric period. HEAD 120. 144. 1. hipp.. rhus-t. of: Ambr. old age.. HAIR. old people. ust. sep..MIND ABSENT MINDED.. climaxis. si 1-ac 137. MISTAKES. sil. Lye. speaking.. iod. ther. sil. about: especially during climacteric period: Sil. during the : Carb-v. lye. of: Ambr.. falling. puis. health. during : Aster. Bar-c.. sep. am-c. croc. PAIN. 7... hep. am-c. HAIR... in : Ambr. 81 . thuj.. sec.. ther.. bar-c.. VERTIGO 102. FORGETFUL.. 38. MISTAKES. 56. sang. ph-ac. lye.. Calc. 67.. INSANITY.. sep. menopause : Sep. op. in : Bar-c. lye. Bar-e.. cupr. glon. sin-n.. epithelioma: Cund. 49. calc-p. zinc 120. sep. fl-ac graph. ANXIETY... old people.

. euph. ars. kali-bi. bar-c. CATARACT : Am-c. psor.. am-c. kali-s.. carb-ac.. phyt. Lach... GLAUCOMA : Phos....„lyc. kali-■iC.. bell. keros. lids... aur. con. sep.mere. sil... arcus senilis : Aeon. sulph. con. aur-m.. apis. am-m. Calc... sep. sec. sul-ac 325. sulph. cic. lye.. nit-ac. nolime tangere on nose: cist. sec... of: Hep... seneg. sep.... carb-an. FACE 355. euphr... DISCOLORATION. jab. clem. con. lap-a. eup-per... hydr.. kali-bi. 240.. calc.. 362. calc-p. aur-m. nat-m... chel.. mere-c. \iyos. nit-ac.. cist.. con.. thuj.. rhus-t. hydr. carb-an. lips: cic. lids of: Hydr. medullaris:. clem. sul-ac. sep. sil. kali-i. old people: Agar.. chin. Calc-f. arn.cund..... OPACITY of cornea.. Caust.. ant-t. lye. merc-i-f.. Ars... calc-s. Phos.. carb-ac. cist. phos.. sulph. phyt. Kali-s. DIM. pressure of pipe: Con...thuj.. Calc. kreos. carb-an.. phos... 83 323... clem... ars-i. lap-a.. 269.. cund. bar-c. Aur. Con....... sil. sep.. 326.. Sec.. kali-s... malignant: Phyt. ULCERATION.. kreos. lye. spig...... Calc.... carb-an. pom.... coloc. sil. caust... 337.. cund. 82 NOSE CANCER: Alumn. lower: Apis. Puis. colch. lach. ham. Sul-ac. jug-c.. merei-f. kali-s. kali-chl.... tell... EPISTAXIS. zinc. ter. con. sil.. pliyt.. Lach. 247.... lac-c.... kali-ar. old people : Bar-c. flat. 337. CATARRH.phos.... . dig. on right side: Euphr.. climaxis: Arg-n. lye.. zinc. zinc.. thuj. sulph. during: Graph.. petr.. lye. ars.. lach. CANCER. 236. epithelioma. mere. phyt.. spig... cund. . old age.. kreos.. sil lachrymal glands: Carban. Not specifically mentioned for the old but Tinnitus is a frequent problem of the aged. red. sulph.. Kali-s. phos. thuj. carb-v. CANCER: Ars .. cocc. HEARING IMPARIED. lach. kali-ar. 236. lips: Ars... sil. ruta. lower: Ant-chl. sep. scirrhus: Carban. kalic..EYE 324.. Sil. epithelioma. lach. cie. of: Alum. hep. puis. cornea... sil.. senile: Carb-an. mere... cic... phos. fungus : Bell. aged people: Am-C.. ars. prun. Mag-c. climaxis. sep. hydr.. epithelioma: Ars. CORYZA. VISION 276.. phos. plb. aur.. old people : Bare EAR 292. sep. Sulph.... mosch. camph. lower: Ars.. op.. chim.Bell. cann-s. Sulph. NOISES. near wing of nose: Aur.. sep.

graph.. sabad. aur. calc-fl. Merc..... 84 PAIN.. 433.... ars... lach. sec. plb. TUMORS malignant: Calc.... ars... Lach.. nat-m. bar-m.. anag. spig. All. kali-i... psor.. dulc. hell. verb. guaj. chin-a.. cali-bi.. cham. kali-bi.. spong.. coloc. Con... bufo. bufo.. aur-m... Zinc. nat-m.. ip. kali-n. calad.FACE 377. bor... calc. chen.. raph. camph. phyt... Hyos. Oesophagus : old people.yZ-ac.. croth. kalip... laur.. CANCEROUS : Carb-an........ ail. bar-c. hep. sep. tab.. agar. ars. lye. dios. malignant: Ars. chel. Bell. rhod.. ign... sars. stann. behz-ac. seneg.... cycl.. verat. kali-c. con. Bry. hydr.... thuj. valer. petr. ruta. THROAT-INTERNAL 448. 398. Sil. aspar... kali-i.. thuj. vine.... phyt.. led. carb-ac. nit-ac. staph. ang. aran.. arg-n. phos. phos. Nat-c...... croc. cund. ULCERS. ~alc. TEETH 432. nit-ac. dros. nux-m.. Sul-ac....... echi.. rhus-t. Tongue : Alumn... alum. 415. kali-chl.. nat-p.. carb-s. flashes. bov.. Carb-v. climaxis. grat.. bar-c. tarent.... nat-c. cocc.. hyos. hydr... argm. ph-ac. op... dros. Palate : Aur.. nat-s. ter. iod.. HEAT... cor-r.. ant-c.. Subrubrics of Toothache p. kali-p. nux-v. arn.. merl.. lach.... Nit-ac.. ars-i. Aeon. hux-v. Coff.. Zinc. lye. benz-ac..... iod.. guare.. aur-m-n. mag-aust. olnd. verat. hyper... spong. Staph. ULCERS.. phos. nat-a. nat-a.. asc-t. stry.... aur-m..ferr. colch... calc. chel. kali-bi.. Lach. naja. PARALYSIS.... ign. carb-s. cocc. MOUTH CANCER. mag-s.. lob... ars-h..... com.. ther... tarent. rheum. sulph..... ferr-i. Hep. tongue : old pebple : Bare.. par. during : Amyl-n... mur-ac.... plan... aur... rhus-t. con. sulph. teucr. puis. toothache in general: Acet-ac... Rhod..can only swallow liquids : Bar-c. bry.. sil. sel. ferr-p. caust'... Merc-c.. clem. psor. apis.. ran-s. stront. squil. Chin. plb. lye. ph-ac. canth. sulac.... coch.. aur-m. chin.... kali-s. gels. carb-an. plat. mag-c. mag-s. phyt. sulph. mang... clem.. mag-c... Merc.. Caust. carh-an... Cham.. aur... 433-446. bism. graph. elaps.. mur-ac. mag-m. merc-c. rat. mag-arct.. ambr... phos. all-c. Glon. mur-ac. phos. ant-t. bar-m... phyt.. led. am-m. puis. euph.. carb-an... crot-h. calc-p.. tarax. asar.. sep. carb-v. Carb-an. anac. kali-n. mez.. mux-m. gran... olnd.. kali-c. 96. lye. kalm.. prun. thuj.. caust. 85 ....... nat-p.. 428.. aur-m.. kreos. mag-p. con... am-c. 'LOOSENESS of: Alumn.. am-c.. arn. nat-h. cancerous : Ars.. apis.... sil. nat-s. kali-c. SPASMS.. Sep. 467.... nice..... lips. lach. kali-cy. berb. sang... plan...

CONSTIPATION. stram. carb-v. tab 503. women : Kreos.. Ars. involuntary. chim. petr.. Staph.. rata. caps. rhus-t. benz-ac. from: Apis..... 651. bell. phos.. old people.. cancer... lach. mez. Gamb. nux-v. during: Lach.. cic. sulph. URINATION. op.. thuj... enlarged prostate. Ars... URINATION. kali-i. merc-c. sil.. URGING...... arn. dribbling. CONSTIPATION... sabad. sec.. Sel.. PARALYSIS.. canth.. ferr. nat-s.. sulph..STOMACH 482. cadm. 606.... staph... nit-ac. calc-p.. Con.... ineffectual.. old people.. ars-i. iod. 86 87 . staph. lach. RECTUM CANCER : Alum.. bar-c. DIARRHOEA.... kali-p.. kali-p. con.. staph.. 668. iod. sulph. plat:. old men: Sol-v. 650... ars-i... in : Alumn. fl-ac. 667. frequent.. Dig. phos. Bism.. % PAIN. climaxis... senile: Aloe. 607. INDIGESTION. op.. ant-c. cop. cact. Cund. nux-v. CATARRH. nux-v.. puis. with syphilitic mercurial dyscrasia: Fl-ac. phos. kreos.. con. Phos.. sep.. nux-v... sec. merc-d... with: Aloe. bell. sulph. tereb. 608. apis. rata. equis. nux-v. carb-v. cic. sec. Bar-c. con. dig. alternating with diarrhoea. prematurely. sep. hyos. 660.. con. enlarged prostate. old people: Bar-c. crot-h. cann-s.. 656. in: Crot-h. URINATION. in : Ars... rm-s... iod. lach. bell. old women: Cop. carb-v. old people. 488. 651. sel. sulph. aged people : Carb-ac.... FLATULENCE.. 654.. aur-m. RECTUM 611.... krcos. bar-c bry. gels... puis. RETENTION.. hydr. 610. in: All-c... alum. aged people : Ant-c.. pareir. cann-s. in: Ant-c. con. aloe. op. coil.. sulph.. aged people. mur-ac. benz-ac. climacteric period : Crot-h. alumn. thuj.. PROSTATE GLAND ENLARGEMENT..pJios. nux-v. old people : Aloe... phyt. bar-c.. bry.. sabal. Dig. EMPTINESS. DIARRHOEA. Lye.. old people : Chin-s. Nit-ac. phos. 658. URINARY ORGANS BLADDER 645. Carb-an. pareir.. gels. iris.. sep. sep. RETENTION.. ABDOMEN 548.. CANCER: Acet-ac. Carb-ac. ars.

.. nat-c. spong. calc.. ERECTIONS... arg-n. incomplete : Agar. kali-chl. psor. graph. dios. lach... stann. Chin. mosch.. ferr-p. Sep. uran.. lac-ac. nat-a. Scrotum (epithelioma): Carb. URINE 692. nux-m. natm. iris... carbs.. sabad. Calc-s..... mur-ae.. sulph.. kali-p. Phos... Sel.. mang.. all-s. in an : Fl-ac. aur-s... ATROPHY. dig. 88 . Agn..... SEXUAL PASSION increased ... plb. podo.. cupr. Tarent. carb-v. petr.. sit. ign. 699.... sul-ac. lach.. Con. GENITALIA-FEMALE 715. 693. sulph. phos.. lycps... Con. carb-ac.. hell.. nat-p. amyl-n.. mag-c. bar-c... coc-c. carb-s. dulc. rhod. kali-ar... ther..... med.. caust.. kali-s. Nux-v. nat-s. helon. tab. alumn... fl-ac.. Lye.URETHRA 674. thuj.. ham. nux-m. calc-p. carb-an. Corn. colch.. hep.. phyt. kali-n. pic-ac. nat-c. Qhin-a. ars-i.. hep. calad. caust. ph-ac.... comph... burning in female urethra during climaxis: Berb.. Bar-e.. GENITALIA—MALE CANCER: Ars. ars. Lye. plb. phos.onos.. am-c... con. nuph. Ph-ac... op. kreos. Lye. nux-v... chin-s..... CANCER of ovaries : Ars. kali-i. sil.. calc. Uran. coch. arg-m. coff. nit-ac. SUGAR : Acet-ac. camph... sumb. con. psor. coloc. old man.. iod. frequent. scirrhus: Carb-an. ars-i. kali-p. in an : Caust. nit-ac.MALE 696.. lee.... nat-p. spong. thuj.. Calc.. tus-p..... camph.. INDURATION. Graph.. chel... coff. mur-ac. eug. crot-t. coc-c... sars. Helon. chin-a..... Phos. tarent.. lach..... Sep. Med. puis. caust.. arg-m. merc-cy..... Agn. frequent. Ten. old man.. 711..... kali-c. morph.... ovaries : Apis...... caps. kreos. Bov....an. bar-m.. form... mosch... staph. Testes: Spong GENITALIA . lee. petr. ph-ac.. nat-c.... mag-s. alum. penis ..... stram. staph..... benz-ac. lith... cur..„plb. ant-c. Iod. ther. claps. teucr.. SEMINAL emissions. lack. 715. nat-m. Calad.. phyt.. hyos.... Con.. gels. lac-d. chin. helon. cob... ph-ac. am-c. arg-n. conv. ust. ERECTIONS wanting : (impotency): Agar. bell.. aur. kali-br. ign. elaps. bufo. 710. nuph. in an old man : Bar-c. kreos.. iod. ferr-m. zinc.. thuj... bor. graph../err. rhod. Sulph. op. PAIN.. in an old man : Berb. cob.. mere. ars... ars.. Sulph..... sel. cann-s. lyss Lye.. lyss.. mere... 89 695.. ferr-i. sil.

ign. cund. bufo.. croc.. cic.... mag-m. kali-bi. return after having ceased.: Am-c.. lach.. camph. 771.. merc-if. Lach. chin. climaxis... ign.. Mang. hydr. am-c. magc. RATTLING old people : Ammc. 729.. Hippoz..... nit-ac. cimic. hydr. old people : Bar-c. Vagina: Kreos. bry. kreos... CATARRH..... RATTLING. crot-h. near : Psor MENSES........ Sep. RESPIRATION ASTHMATIC.. 765 COUGH 798.. anan.. SPASMODIC... kali-bi. plb. GENITALIA-FEMALE CANCER. tab. ambr.... old women : Mosch. arg-n. rhus-t.. glon. 718... Psor. in an : Calc. sul-ac. 724. helon.. GENITALIA-FEMALE MENSES. crot-h. ant-t.. phos. DIFFICULT... calc. cycl. mere. EXCORIATION . in : Calc. sei. 727. sang. hydr. ant-c. bar-c. aur-m-n... METRORRHAGIA. nat-c. con... Graph. MENOPAUSE : Agar... Graph. sep. LARYNX AND TRACHEA 746 746 CANCER y larynx : Ars. con. ant-t. winter: Kreos. Sil.. apis. arg-n.. OLD people : Alum. ther... phel. plat... tarent.. Seneg. old people Ammc. nat-m. gels. nit-ac. mere. Thuj. ust.. Uterus : Alum. aloe. Lach. night: Hyos. seneg. bar-c... staph.. mang. carb-v... carb-s. Kreos. sabin. coff.805.. lach. Hydr. WINTER.... laur.. 811.. thuj. lach. mag-m. Phos.. sang... zinc. Crot-c. hyos.ip. menopause... Ars-i. Bar-c. phos. psor 801. sabin. morning. bar-c. bar-c... carb-v.... sulph. old women. sec.. aged women : Lach. Sulph... con. cocc.. painful... increased. ammc. chin. seneg. aged women. helon. puis. durine : Bov. xan.chin. lye.. staph. Murx. brom. sec.... clem. copious. the periods. 728... iod. apis. carb-dn.. Ars. elaps. arg-m. kali-bi.. roc... plat. cham. sep. .. ten. kaliar. MENSES... sulph. 90 . kreos. mosch.. 91 725. seneg... aur.. alumn. aged people :Ambr. sang. seneg. verat.. ip. murx. alumn. plat.<nux-v. catc... Sep.. old people... phyt. Hippoz.. in : Ammc. old people.. in : Ambr. old people.715 717. DESIRE. nit-ac. phos.. aged women : Merc.. sep. chronic : Alumn. hydr. lap-a. psor.. ust... Con.. 775. cimic... Lye. Ars. ars.

cist. climaxis... funges haematodes : Sep. aged people : Ammc.... kreos.. bell-p. bry.f. ars. aur-a.. camph... sep. Graph.. CHEST 824.. op. kali-c. CANCER. carb-v. ip. phos. lact... left: climacteric.. as-ter. puis. phos. mammae. lye. lach. coloc. carb-an. Bufo. sang. EMPHYSEMA : Am-c. in old : Graph.. sep. anac.. Chin-a.. jug-c.. ol-ar. Aur.. chin. Lob. Naja. 874. Arg-n. hep... laur. ant-t. 829..... verat. brom... phyt. dig. samb... axilla : Aster... ang. caust. aeon. 824. phel. carb-ac. Mammas' epithelionla : Arg-n.. Ant-a.. dig. Bufo. Pleura : old people : Nit-ac 846.. PALPITATION. 825. mosch.CATARRH.. ars. Hippoz... DIFFICULT.. contusion.. ANGINA pectoris : Acet-ac. Bar-c 815. thuj.. merc-i-f... MUCOUS. brom... 824. CONGESTION. Mammae : Alumn.... Ars. lach... cupr. ter. heart... sulph.... calc-p.. Lach.EXPECTORATION 814 COPIOUS. old people : Ammc.fiydr. mere. dros.. Aurm. kreos. arn.. con. cliel. Con. ars. ox-ac. ferr-.. Apis. Arg-n. nux-v. stram. op. dig. bell.... nit-ac.. BACK 949. 93 92 . under. 835.. seneg... brom. sep. clem.. carb-s. dros. chim. 879. phel... hydr. Spong. nux-v. Phyt. cupr. cimic... during : Cimic. sil. nat-m.. Lungs. at. cham. cupr-ar. Lach. PAIN .. Ant-t. nightly pains : Aster cicatrices...... Phos. aml-m.... tub. nwc-v.. malignant: Calc-p... bad.. camph. nit-ac... ip. aur-m-n... chins. Clavicles... ant-t.... ars-i. apis. Seneg.. bell. chr-ac... ther.. cur. phyt... cund. Cact... kali-p.. mere.. feir-i. climacteric period: Crot-h. Lach.. chlor. hydr. 836. CHEST 822.. dios.. lack... Spig. kali-c.. nit-ac. calc. TUMORS. Con. carb-v.. 817.. coca.. ca^b-v. old people : Ammc. clem. ars-i. phos. seneg.. tab. Hep. arg-n. thuj. Ox-ac... tarent. caust. sep.... hep. INFLAMMATION Jbronchial tubes (bronchitis) aged people : Am-c. alternating with diarrhoea. aged people : Ammc. hyos...... sulph. Arn. Merc... sulph.. lac-d.. carbs.... PHTHISIS pulmonalis.. lye.. calc. tub. mag-p... kalm. ars.. lye. Rhust-t. psor. tab.. aged persons : Bry. from : Dell-p.. CANCER. merc-i..... nat-s. Sil. Bar-c. Am-c.. Latm. nat-s.. petr. old people : Nat-s. sars..

mez.. spig. carb-v. squil. 5/7... colch.... agar. nux-v. sulph. PAIN. cadm.. tab .. tarax.. old people : Bur-c. climacteric : Sang. Arg-m. SLEEPLESSNESS. zinc... nat-c... aur. stram. ferr-i. thuj... plb. ph-ac. ant-c. coc-c. COLDNESS. carb-s... Lye... kali-p.. gouty....... Spong.. aur... crot-c. ferrar. canth..Bell benz-ac... kali-c 1220. ambr.. sars. lower limbs. Toes.. viol-t.Arn. kali-s... Apis. chin.. dark spots in old people : Ars.. stann. kali-c kali-i. Sec........ sul-ac. anac. Calc. Sulph. carb-v. stann. hep. DISCOLORATION. anag. verb. nit-ac.. kali-p. phos. verat. urt-u. ol-j. cinnb.. cupr.... asar. alum. p\b. rhus-t. ph-ac. ars-L. ran-b..... am. 94 EXTREMITIES 1097. laur.. nat-m. lye. bapt.. bism. graph. bry. carb-an. varicose : Aesc. aur.. Sabin. hemiplegia : Aeon. con. 1390).. ign. after: Alum.... rhod... puis. stann.. iod. cham. apoplexy.... bapt.. ULCERS. cocc. hyos. agn. syph. sang... varicose : Merc-c 1221. staph. phyt. PARALYSIS (also see p. Staph... stront. carb-v.. op. Caust.... plb... rhod. 1047. Calc... kalm. chin-a. Rhus-t. 5/7.. sec.. chim.. burning.. SPOTS. krc-p. ars-h. samb... valler. dig..v. bar-m. con. am-c. nux-m.. sec. crot-h. cic..... Colch. ruta. sec 95 . caust. Led. op.. with coma : Alum...... thuj.. aur. foot.. Merc.. old people : Bar-c. joints. puis. hand . SKIN 1306. dulc.. eup-per. calc-p.. Lach. plb... iod.. bar-c.. alum.. bor.. staph... Agn. Caust. lach. elaps.. ran-s..... nat-s. nat-a. carb-an.. calc-s. lye. hell. Calc-S.. EXTREMITIES ARTHRITIC nodosities : Abrot.. ULCERS .. arg-n. Psor. senile : Carb-an. phos. Sep. graph. kali-n.. guaj. Rhus-t. petr.. nat-m..... phos. ph-ac. both... sars. INTERMITTMENT old people. kali-i. apis... ham.. nat-m. hep. strain.. cocc.... nux. gels.. natc. elaps..form ..... guaj.952. sec 1307.. Nux-v.. Abrot... Mag-c.. Led. mang. dros... card-m. GANGRENE . chel. jerr. bufo. carb-an. cadm. kali-ar... stront. mang.. bar-c. anac. graph. mere.. ars. kali-i. hydr-ac. fago... nat-p. bov. viol-o.. ars. death spots in old people : Ars.. caust. op. old people : Bar-c FEVER 1288. Lye. am-m. sul-ac. Calc-p.. sal-ac.. lach. hyos. Lith.. laur.. con. sabin. cop. cupr. PAIN.. asaf. ante. Bry.. graph. 959. anac. Calc-f. bar-c... meny.. Op.. nux-m. apis.. sul-ac. lach.. ran-b.... coloc... mag-m. bar-c... mur-ac. apis.. form.. Benz-ac. 1009... SLEEP 1254. 1176... kali-s. clem.... cocc... meny.. Kali-c. zinc....

. lye. cupr... bry. crot-h. lack. carb-v.. phyt.. mere. Hep.. sars.. graph. ars. sulac. premature : Agn... dulc.... nat-m. carb-ac.... calc-s. old people : Kali-c. hippoz. sep.. 1330. mere. aur.. bell... kreos. carbac. ars.... am-c. 1352.. phos.. 1337.. •people : Aeon. bufo.ucr. epithelioma : Acet-ac.. Con. 1325.... scirrhus : Alum. stneg.. ERYSIPELAS .. clem... calc. Bar-e. ambr. 1334. ars-i. Lye. Aur.. lyss. calc... 1358.. 1376. CONVULSIONS.. Phyt. kreos. ant-c.. con. cerebral softening : Caust. catc-p... calc-s.. ars-i. carb-an.... kali-i. hydr.. 1328. EMACIATION. sulph. staph. cist. phos. Bufo.. sul-ac. cic... ph-ac. bar-c. ambr....SKIN 1323.. aur-m. GANGRENE. carb-s. arg-m. nit-ac. mang. hydr. mur-ac. sul-ac... thuj. cund. thuj. sulph.. kali-c... cadm. merc-i-f. melanotic. carb-v... Ars-i. Sulph. glands : Aur-m... aur. sec. mere. caust. carb-v. kali-ar. ammc. mere. cancerous : Ambr. Con. Carb-an.. squil.. clem. staph.. kali-c.. antWars.. crot-c.. ran-b. nux-v. old people : Mez.. rumx.. ph-ac. sil.. carbac.... Sil. PURPURA haemorrhagica senilis : Ars. con. lap-a. ATHEROMA (see TUMORS .. spong. Phos. bufo...... alumn. lod. Carb-an.. Phos. brom... kali-ar... sel. sabin. carb-v. keros. agar. kali-i... Sel. 1352... bry.. carbon. alum.. petr. sep.......p. Con. 1376. lap-a..... See. apis. Sel. ars. dulc. ph-ac. aur. Arg-n. te. Sulph. clem.. apis. Nit-ac.. carb-an... CANCEROUS affections : Acet-ac.. thuj. thuj.. anthr. 97 ... arg-m.. Ars.. calc... Lye.. apis. carb-s. op.. kreos. Brom.. sarcomatous : Ant-c.. thuj.. lach. OLD age. kalis. Carb-an.. Lye. aster. hydr. bell. sulph.. Op. chel. phyt.. colch.. lach.. lach. sabad.. phos.. ant-c... rhus-t. con... Ars. caust.. arg-n.. sulph. OBESITY .. anac. camph. 96 GENERALITIES 1346 CANCEROUS affections: encephaloma : Acet-ac. nat-m.. Lye. iod. hydr. GENERALITIES 1345.'alumn... Sil. ITCHING... calc.. sil. calc-s. caust.. bar-C. Con. Lye.fl-ac.. sep. apoplectic : Bell. phos... old people : Ani-c.. hep. Hep. nitac.. nitac.. kreos. carb-s... card-m. kali-s.... graph.. aster. sulph. Sil. senile : Carb-v. calc-p. 1409) 1346.. lack. ULCERS . ars-i.. Coca. Sec... Kali-e.. Sec. cupr... stram.. ars... Nit-ac. rhus-t. phyt. zinc. kali-bi. bism. Bar-c. caust. sep.... lack.... old people : Ambr. aloe.. ULCERS... Ambr... graph.

elaps. Calcp. anac... hell.. sulph. hydr-ac. ph-ac... stann.. bell. mez. arn... nat-c. bapt.. mere. calefy calc-p.. cocc.... mag-p.. carb-an... cycl. clem. Lycps. arn. kali-i.ferr... plb. laur.. Ham.. clem. bell. dulc. canih. cotcn. plb.... Sulph. graph. lach. bell. nat-m.. elaps. mur-ac. bov. sec. phos. zinc. zinc. cur. calc. squil. caust.guaj... Bar-c... sulph.. thuj.... graph.. coc-c.. coloc... ign. hep. calc. colch. nit-ac... nit-ac. phos. nux-v. kali-c... arg-n. apis. hyos. podo.. led. petr... arg-n. gels. zinc. ars-i.... asaf.. rhus-t.. 1410. ph-ac.. . cupr. sil.. VARICOSE veins: Alumn. aur. 1418.... bufo. sul-ac 98 99 ... mill. right: Apis. nat-m. kreos. bell. Arn. plb... op.. nux-v. Calc.. ferrar... zinc. carb-an. PARALYSIS agitans : Bar-c. GENERALITIES 1402. Phos.. rhod. spig.. bar-m.tann. bapt. ars. nux-m. Rhus-t. phos.. WEAKNESS. hep. left: Anac.. nit-ae. caust.. laur.. peon... symph. sep.-. sul-ac.. lach. cadm. lye. puis.. dulc. cop. trot-h.. Con.. lye... ferr.. . graph...... mere. atheroma : Bar-c 1410. ox-ac.. kali-c.. TUMORS. sil.. SLOW repair of broken bones : Asaf.... cancerous : Arn.. sars.. merc-i-f.... kali-i. sep.. bar-c. 1409... chin. elaps... hep. crot-h. olnd. apis.aur. bell. nat-c.... sul-ac... am-m. 1176): Aeon. sep.. sul-ac. Merc.. Puis.... after: Anac.. old people : Ambr. Rhus-t. rhust. op... Nuxv. mez... caust... sel. ruta. sabin. Calc... tab. arg-n. con. alum..stann. mag-c. phos. kreos. dig. agar. vip. nitac. arn. berb... Lach....... bar-c.. arg-m. hyos. sil.. stront..... bell.. staph sulph.. sabin. thuj. tarent..GENERALITIES 1390. gels. tarax. lye.. con.. stram.. mere. co'cc.... spig. rhus-t. one-sided (also see p... Bufo... kali-p. op.. apoplexy. Fl-ac.. stront...... ant-t.. carb-v. Ars..... sep.. syph. chel.. ars. ULCERS. phos. Caust. bar-m.. nux-v. lach.. Zinc. brom.. ph-ac...stram.. sil... ox-ac.. carb-v.. calc.. stram.... lye.. kali-br.Kambr. petr. staph. Carb-v. asar. am. helo... carb-s. podo...

Chand. NatHom. Jan. Binstock. American Behavioral Scientist — Ageism Vol. Therapeutics & Pharmacology Blackwood-Diseases of Heart Bodman. J. and Shanas. D. Horn. Frank (1972)-Menopausal Depression. 78. Horn. Busse. (1880>Curability of Cataract with Medicines. 110 001 (INDIA) 101 .-Handbook of Geriatric Psychiatry. Allen-Cyclopoedia of Pure Materia Medica.H.H.C. Ewald W. Amsterdam. London. 1971 (185) Brody..et al. Robert H. Brit. 1. 14 No. (1978)-Homoeopathy in Rheumatic States..R.Y. Pharm. New Delhi.I. 1-2 (1970) Anshutz-New. Brit. Ethel-Hand book of Ageing and Social Sciences Blackwood-Materia Medica.C. P. Excerpta Medica. Jour. D.& H-Newsletter Nov. Anshutz-Therapeutic Byways. Raven Press. (1980) Kent's Final General Repertory. 8-Physiology & Cell Biology of Ageing. Chand. Hanuman Road. 1. '72 Bodman. Frank (1971)-Psychiatric Disorders of Old Age. N.et al (1976)-Ageing Vol. (1979)-The Heart & Homoeopathy (an article to be published). Jour. D. & Schmidt.REFERENCES Ageing Vol. Chand. C. H.M. Oxford. Old Forgotten remedies. Burnett.H.

London.& A.) Hubbard.(1879)-Guiding symptoms. Gibson. Coleman. New Delhi. (1962)-Mental Illness and the ageing Brain-Oxford Univ. H. 1981 Hindustan Times-How to look 20 at 50-Cell Vital Therapy. 1980.-Hom.25.. E. Jan. Jour. J. A Study-Brit.-The 50 Millesimal-Ist February. Hindustan Times-Echoes in a Monologue. 3. 1970 (47)^ Hering. (Indian Reprint-1970) (497) Cooper-Transaction of Int. Aug.2 No.A. D. Indian Journal of Gerentology Vol. Co. Horn.N. Vol. von(1970) Structural Ageing of Nucleoprotein -Ind Jour. 1978 (318) Hughes. Churchill Ltd. Hoffmeister. Otto-Text Book of Homoeopathic Materia Med. July-Oct.P. 103 .-Physiology of the Hypothalamus. Ciba Foundation (1957)-Colloquia on Ageing Vol.A). Basel (Switzerland) Hahn. April. Goldberg. 3 & 4 July-Oct. Subhas Road. J. 1970 (71). Morgane.S. Paul & Editors of Life-The Individual-Time Life book. (1975)-Practical Geriatrics Karger.. Fayazuddin. During the MenopauseHahnemannian Gleaningsf-July. Hunder. (1975)-Problems of Life in Old Age.65) Homoeotherapy Oct.49) Kripal Singh (1970)-Religiosity among the aged. 3-4) Charaka's oath to Medical Students. Peter J. et al (1979)-Brain Function in Old Age (Bayer-Symposium VII) Springer-Verlag Homoepathic Herald-June.C. Press. D. von. House. 1970 (47. Albert-Growing old in a Youth Directed Society.H. 1981.20. Hahn.-Principles and Practice of Homoeopathy. 1978 Editorial (p. of Gerentology..Gerent. Cong.-Abnormal Psychology & Modern Life III Ed. R. Benjamin-Homoeopathic Therapeutics in Cardiac and Respiratory Ailments in the Geriatric patient. Jour.(1978)-Clinical Therapeutics (Republished Jain Pub. Jan.W.M. PhiladeK phia.'78 (p. Lesser.P. Kakinada-533 001 (India). Pa (U. 1927 (350) Corsellis. 2 July-Oct. H. M. Indian Journal of Genealogy VI-4.M/s Faiz Homoeopathic pub. Horn. Logan-The care of feeding of adults.Chand. 1972 (394) Good. F. James C. (1969)-Baryta Carb. Hoyne.8. 49. (1981)-Role of Homoeopathy in Opthalmological conditions. 102 Hindustan Times-The Old Age Syndrome. '69. Clendming. Temple S.

Jan. 1 & 2. Jul. George (1930)-A Hand Book of Referenced & T 1930 (26) Schmidt. April.-Understanding the Aged. of Gerentology. A..-Oct. Ill Chap. 6. (1924) Chronic Disease in its Last Ditch. XLIII.1981 Troup. Oct. Dr. P & Chand.Oct. 1. .June. W. Pierce-Plain Talks on Materia Medica. Ind. Vol. Marine line Bombay 400 020. 1970 (13) Our Human Body-Its wonders & its care (Reader's Digest Publication) Passamore. Ltd.B.R. Jour.-The Ageing Bladder-Horn. Vol. XIV. 1. Pub: as above. Vol.1979 Do. Albert Hunder-India Journal of Social Research 10(2) A 969 (88-91). 1. '80 Sunday Standard-The Making of Methuselahs. 1 Jan. D. Ind. (1978)-Our Elderly.2. Magazine..-Welfare of the Aged. '80 Time. No. Bombay 400 018.K. (1970)-A Companion to Medical Studies. "Growing Old in a Youth Directed Society.1980 Time-Fighting Off Old Age. Social Welfare-Let's not isolate the aged any more Vol. Nat. 1954 (184) 104 Royal. R. 3. 1981 (11) 105 . N.) Raghani. 15. 81-82) Singh. Trust 12. Aug. 36. Pathak. Horn.Oct. New Delhi-110 001 (India) Singh. Jan. of Social Work Vol.Jan . Ind... XVIII No.Medical care of the elderly (General Planning etc. Horn. 1978-Himalaya Drug Co. Sept. . Probe-Oct. .1980 Time-The making of Methuselahs. N. 74. Ross.. J. Kirpal Singh (1975)-Ageing in India.-Dec. Calcutta. No. Vol.H.D. 1924 (63). 1980 Do. XXX No.-April. 4 Jan. Ind. Gerent.-Kent's Final General Repertory. Oct.-Oct. 1980 Do. V.March. No. Apr..Douglas (1954)-Geriatrics and Homeopathy. 1969 (pp. 1980 Sunday Standarad-Postponing Old Age. Jour. Hanuman Road. Probe. Research Centre. Vol. Gerent.. Jan.W. Singh. Horn. (1975) Disorders of the old. 1 No. No.The old age syndrome. Bombay Hosp. N. 1971.1970 (pp. Jour. Vol. 3 & 4. Jour.April. 1981 . T. (1969)-Understanding the Aged. Road. Pathak. . Pharm. Minerva Assoc. (1970)-Socialist in the Field of Gerontology. Feb. R. 12. Gerent. Jour.K.. 14 No.l.. 1970 (327-33).Neugarten (1970)-Amer. (Publications) Pvt. Ronald M. Jour." Rorke.R. R. Behavioral Scientist. June. Brit. Shiva nagar 'E'. 1970 (29-33) Singh.D. 34-37) Roemer. (1970)-A Survey of Problems of Retired Persons. Soodan.K. Jour. & Singhi. Oxford Vol.. 16.Dec. 12. Ind. Chap. . 1 (Jan 1969) (81). (Chapter V: Health and Physical Handicaps) Sunday Standard-The Old Guard. Brit. J.Dec. Med.

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