TREATMENT OF BRONCHIAL ASTHMA WITH SIMILIMUM

DR. S. GOPINADHAN ASSISTANT DIRECTOR C.R.I.H., KOTTAYAM

INTRODUCTION
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Bronchial Asthma is a chronic inflammatory disorder of the airways. This airway inflammation underlies disease chronicity and contributes to airway hyper-responsiveness, air flow limitation and respiratory symptoms such as recurrent episodes of wheezing, breathlessness, chest tightness and cough particularly during the night time and early morning hours.
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aspiartion.Introduction contd……. cats and seasonal pollens. URTI. Common aeroallergens include house dust mites (often found in pillows. www. mattresses. sinusitis. and stress. 3 Patient may develop symptoms immediately or 4-6 hours after their exposure to allergens. gastro-oesophageal reflux.).com . Non specific precipitants of asthma include exercise. cockroaches. carpets etc. rhinitis. changes in weather.similima. postnasal drip.

Introduction contd……. analgesics etc. Occupational asthma is triggered years after exposure. NSAID. www.com . Women may experience asthma at predictable time during menstrual cycle.similima. 4 Some individuals develop asthma due to certain medication such as aspirin.

similima.may be agitated www. 5 Severity of asthma: Mild Breathless – with activity Speech – sentences Body position – able to recline Respiratory rate – increased Use of accessory muscles – Usually not Breath sounds – moderate wheeze Mental status .Introduction contd…….com .

usually agitated www. 6 Severity of asthma: Moderate Breathless – with talking Speech – phrases Body position – prefers sitting Respiratory rate – increased Use of accessory muscles – commonly Breath sounds – loud wheeze during expiration Mental status .com .Introduction contd…….similima.

com .similima.usually agitated www. 7 Severity of asthma: Severe Breathless – at rest Speech – words Body position – unable to recline Respiratory rate – > 30/minute Use of accessory muscles – usually Breath sounds – loud wheeze during expiration & inspiration Mental status .Introduction contd…….

Introduction contd…….confused and drowsy www. 8 Severity of asthma: Impending respiratory failure Breathless – at rest Speech – mute Body position – unable to recline Respiratory rate – > 30/minute Use of accessory muscles – always Breath sounds – little air movement without wheeze Mental status .com .similima.

com . This can be done only by a systematic approach to the patient without compromising the basic principles of homoeopathy www. The advantage of a homoeopathic bronchodilator over other bronchodilator is that it produces a continuous dilatation of the bronchial tubes even after the withdrawal of the drug.HOMOEOPATHIC MANAGEMENT OF BRONCHIAL ASTHMA 9 If the law of similars is true.similima. medicines prescribed according to this principle will act as true bronchodilators in bronchial asthma.

to administer the remedy in proper dosage .similima.proper repetition .accessory management .educating the patient www.com .HOMOEOPATHIC MANAGEMENT OF BRONCHIAL ASTHMA 10 Systematic approach includes: .to select apt potency .diet and regimen .to find out totality-several methods .

Mental symptoms .HOMOEOPATHIC MANAGEMENT OF BRONCHIAL ASTHMA 11 Different methods to select the similimum in bronchial asthma: .similima.Physical generals .Physical findings .Severity of episodes www.Modalities .Aetiology .com .

Spong. Kalibich. aetiology and physical findings. Ipec. Cina etc.. Kali carb.. there are certain drugs which are very effective in acute episodes such as Ant.tart.. Ars.com .. However. These drugs are usually selected on the basis of modalities. Bry.HOMOEOPATHIC MANAGEMENT OF BRONCHIAL ASTHMA 12 Management of acute episodes: Strictly speaking we can not make a definite distinction between drugs which are useful for acute episodes and those for inter-episodic state.similima. www.

similima. www. repertorial totality etc. In some occasions the drug used to control acute episodes itself will found continuously indicated I during inter-episodic state.com . constitution. mental generals.HOMOEOPATHIC MANAGEMENT OF BRONCHIAL ASTHMA 13 Management of inter-episodic phase: This can be done by the drugs selected on physical general.

Kalibich. Sil.. Nux v.. Hep.similima. Alcohol . Any dust . www. other animal hairs – Nat..Kali bich Wooden dust . ars House dust . Hep..CLINICAL TIPS FOR PRESCRIPTION 14           Dust mites – Kali bich Cockraoches. Calc. Ars URTI – Ars... Bry Sinusitis – Bry. Seasonal pollens – Lach. Kali carb. Sulph. Spongia Exercise induced – Lyco. cats.Ars.. Rhust.Ars.Ipec.com .

. s.similima. Kali bich. Hep sulph.Kali carb.Ars. Sil.a.. NSAID. Wet weather . Changes in weather – Ars. Bry.CLINICAL TIPS FOR PRESCRIPTION 15           Postnasal drip – Kali bich Gastro-oesophageal reflux – Nux v.Ars... Thuja www.. Occupational causes ..m. Nat.. analgesics . Rhust.Ant tart. During menstrual cycle . Vaccination from ... Sulph Stress – Ign. Ars. Nat. Cham.Kali bich... Ars.Nux v.com . Nat. Ipec. Aspirin.. Warm season ...

Ars..com . Bry. Nux v.may be agitated .... Phos.CLINICAL TIPS FOR PRESCRIPTION 16 Depending on severity: Mild cases Breathless Speech Body position Respiratory rate Use of accessory muscles Breath sounds Mental status – with activity – sentences – able to recline – increased – Usually not – moderate wheeze . www.similima. Psor.Lyco..

Igna.. Ant.com .. Lyco. Kali carb.similima.. www.CLINICAL TIPS FOR PRESCRIPTION 17 Depending on severity: Moderate cases Breathless Speech Body position Respiratory rate Use of accessory muscles Breath sounds Mental status – with talking – phrases – prefers sitting – increased – commonly – loud wheeze during expiration .t. Spong... Phos....usually agitated . Ars. Lach.Dros.. Ipec.

Ars.CLINICAL TIPS FOR PRESCRIPTION 18 Depending on severity: Severe cases Breathless Speech Body position Respiratory rate Use of accessory muscles Breath sounds Mental status – at rest – words – unable to recline – > 30/minute – usually – loud wheeze during expiration & inspiration .t. Igna.. www... Spong.similima.Dros. Lach.usually agitated ... Phos. Kali carb.... Bry.. Lyco.. Ant.com . Ipec.

www... Carb v. Ipec.similima.confused and drowsy - Ars. Ant.t..com .CLINICAL TIPS FOR PRESCRIPTION 19 Depending on severity: Impending respiratory failure Breathless – at rest Speech – mute Body position – unable to recline Respiratory rate – > 30/minute Use of accessory muscles – always Breath sounds – little air movement without wheeze Mental status .. Lach.

.com ..t Blue blotter Lyco. Accessory muscle into action Ars..CLINICAL TIPS FOR PRESCRIPTION 20 Depending on physical findings: Cynotic features Lach.t..t Flapping alae Ant. Ant. Ant.t Coarse crepitus Ipecac Dryness of lips Ars.similima.Ars Fine crepitus Ant. Lyco. Carb v. Ars Pink puffer Ant.. Air entry poor Lyco www.t Bilateral rhonchi .

com .similima. Cina Sitting upright Kali carb Sitting and supporting on bed with hand Kali carb Sitting and supporting face with hand Kali carb Knee elbow or knee face position Ars Sitting and bending forward Ars.CLINICAL TIPS FOR PRESCRIPTION 21 Depending on the position of the patient: Lying on back Psor Lying on left side Ars Lying on abdomen Ars. Lach.Sulph Sitting in open air Sulph Walking slowly Kali carb Carried Ars www. Standing near window and arm raised above head ...

scolding – Cham Fright – Ars..com .. www. Lyco Indignation – Igna Guilty of conscience – Igna. Long continued grief .CLINICAL TIPS FOR PRESCRIPTION 22 Mental symptoms: Acute emotional excitement – Ign. Ars. Ars. Ign...Ars Anger.similima.Nat m Overanxious patient ..

Nux v Cold drinks – Rhust. Puls...c.s www.ac Sour – Ant. Calc. Ant.. Nit.. Lyc Milk – Ars. Hep.. Phos Curd – Ars Egg – Sulph Meat – Ars. Ars. Ars Vegetables – Bry.. Nat.t.CLINICAL TIPS FOR PRESCRIPTION 23 Dietary errors: Cold food – Ars.com .. Nux v.similima. Puls Shell fish and Oyesters – Lyc Fruits – Ars. Fish – Ars. Chicken – Ferr Flatulent food – Lyc...

com . Kottayam during the period 1985 – 1990 Aims and objectives:  To evolve a group of most effective drug to control acute episodes  To find out the reliable indications of the effective drugs  To find out the most useful potencies  To find out the reliable frequency of repetition www.OPEN CLINICAL TRIAL ON BRONCHIAL ASTHMA 24 CCRH has conducted an open clinical trial on Bronchial Asthma at CRIH.similima.

Patients with age up to 60 were included in this study All cases of bronchial asthma except status asthmaticus. Kottayam. cases with other systemic disorders and those with severe withdrawal symptoms were included. IPD and MCRU of CRIH. www.similima.OPEN CLINICAL TRIAL ON BRONCHIAL ASTHMA 25 MATERIALS: 1934 cases of bronchial asthma treated in the OPD.com .

OPEN CLINICAL TRIAL ON BRONCHIAL ASTHMA 26 METHODS: Diagnosis: Clinical history Radiological findings Laboratory findings Basis of selection of remedies: -Aetiology -Modalities -Physical generals -Mental symptoms -Physical findings -Severity of episodes Outcome measure : Improvement in symptoms and signs Follow up: Once in 14 days for period of 2 years www.com .similima.

Cina. Nux v.s. Phos. Nat.t. Sulph.similima. Bry. Ipec. Carb.OPEN CLINICAL TRIAL ON BRONCHIAL ASTHMA 27 RESULTS: 973 cases had marked to moderate improvement 262 cases had only mild improvement 131 cases did not show any improvement 54 cases became worse 514 cases were dropped out Medicines found most useful: Ant. General management: Dietary management Most useful potencies: 30 and 200 www. Lyc. Ars. Kali c. Psor. Kali b.com .v. Lach.

com .28 www.similima.