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From the desk of: Dr. Subrata K.

Banerjea
GOLD MEDALIST

ACUTE PRESCRIBING

FAST PRESCRIBING TECHNIQUE

Look & diagnose : gesture & posture, facial expression, gait etc.

Organopathic approach Miasmatic nature &


expression of the person

PQRS or RSP ( 153, 209) Aetiology & (N.B.W.S.)

Key Note (Red-line) symptom

FILE : C:\POST GRADUATE COURSE\PG-ACUTE PRESCRIBING-PART-1.DOC


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From the desk of: Dr. Subrata K. Banerjea
GOLD MEDALIST

CHAPTER 1

ACUTE PRSCRIBINGCOUGH & COLD


I) CLINICAL & COMPARATIVE MATERIA MEDICA
OF COMMON COUGH & COLD MEDICINES
POINTS ANTIMONIUM FERRUM KALI SULPHURICUM RUMEX CRISPUS SABADILLA
TARTARICUM PHOSPHORICUM
1. Aetiology / (i) Effects of anger and (i) Checked perspiration (i) Chill when (i) Exposure to cold air. (i) Fright and mental
Causation : vexation on warm summers day. overheated. exertion.
resulting (ii) Chilled drinks. can result
(iii) Ill-effects of Sun heat
Cough (Ref. Clarke) (Ref. Mathur). Cough
(ii) Diseases originating (ii) Worms
from exposure in damp
basements or cellars
(Ars. Alb., Aranea, Calc. Nasal irritation
C., Tereb.).
(iii) Bad effects of
vaccination (when Thuja Sneezing
fails and Silicea is not
indicated).
Cough.
2.Therapeutic (i) Asphyxia neona- (i) Bronchitis. (i) Bronchitis and (i) Bronchitis. (i) Allergic rhinitis.
Field : torum. (ii) Cold. broncho-pneumonia. (ii) Bronchospasm (ii) Cold & Coryza.
(ii) Bronchitis and (iii) Congestion. (ii) Catarrh. (asthma). (iii) Cough.
broncho-pneumonia. (iv) Epistaxis and (iii) Cough. (iii) Cold. (iv) Hay fever
(iii) Catarrh. haemoptysis with chest (iv) Eustachian catarrh. (iv) Cough. (v) Sneezing.
(iv) Cold. congestion. (v) Hay fever. (vi) Sore throat.
(v) Cough. (v) Fever. (vi) Hoarseness.
(vi) Death-rattle.

FILE : C:\POST GRADUATE COURSE\PG-ACUTE PRESCRIBING-PART-1.DOC


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From the desk of: Dr. Subrata K. Banerjea
GOLD MEDALIST

POINTS ANTIMONIUM FERRUM KALI SULPHURICUM RUMEX CRISPUS SABADILLA


TARTARICUM PHOSPHORICUM
3. Key When the patient Can be thought of in first The yellow colour of all Extremely sensitive to Sneezing and sore
Indication : coughs, there appears to stage of all inflammatory discharges. open air : slightest throat : periodical and
be a large collection of affec-tions, before inhalation of air brings paroxysmal.
mucus in the bronchi : it exudation sets in. on cough.
seems as if much would
be expectorated but
nothing comes up.
4. Three 3 Ds Congestion & Yellowish Sensitive - Open air. Sneezing and coryza
Major Death Rattle Inflammation. Expectorations - Mucus- with face hot and eyes
Indications membrane red.
in Cold : - Skin

COLD CONGESTION CATARRH CORYZA


COUGH
Flushed Lassitude Sore Periodical
Damp Drowsiness - Physical. Better in Chilliness throat > &
Dwelling - Mental. open, cool Tickling Early by warm Paroxysmal
air. in throat morning foods.
pit diarrhoeas
(associated
feature)

FILE : C:\POST GRADUATE COURSE\PG-ACUTE PRESCRIBING-PART-1.DOC


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From the desk of: Dr. Subrata K. Banerjea
GOLD MEDALIST

POINTS ANTIMONIUM FERRUM KALI SULPHURICUM RUMEX CRISPUS SABADILLA


TARTARICUM PHOSPHORICUM
5. Look and (i) Face : (a) Cold, blue (i) Face : Anaemic but (i) Yellowish (+++), slimy (i) Puts a scurf around (i) Heat in face and
Diagnose : and pale. Covered with easy flushing. coated tongue. the throat to prevent the redness of eye.
cold sweat. (b) Flapping contact of cold air.
of the alae nasi. (ii) Appearance : Young (ii) Chilliness associated (ii) Coryza, sneezing or
persons with varicose with every complaints. (ii) Covers head with bed sore throat < at new or
(ii) Gesture : (a) Child veins. clothes, to make the full moon.
clings to those around; inhaled air warm.
wants to be carried; cries
and whines if anyone (iii) Touching the throat
touches it; will not let you brings on cough.
feel the pulse. (b)
Children like to be
carried during illness.

(iii) Posture :
(a) Lies with head
back : a characteristic in
respiratory affections.
(b) Vomiting except lying
on right side.

FILE : C:\POST GRADUATE COURSE\PG-ACUTE PRESCRIBING-PART-1.DOC


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From the desk of: Dr. Subrata K. Banerjea
GOLD MEDALIST

POINTS ANTIMONIUM FERRUM KALI SULPHURICUM RUMEX CRISPUS SABADILLA


TARTARICUM PHOSPHORICUM
6.Onset and Damp dwelling; Neonatal Checked perspiration Chill when overheated Exposure to cool open Sneezing (spasmodic
Chain of asphyxia (cord-round- air and paroxysmal)
Development: neck); suppressed
vexation Congestion Exposure to cool open
air Tickling in throat Lachrymation

Features of Cyanosis First stage of


and hypoxia inflammation Catarrh Cough Coryza (Copious &
watery)

Face cold, blue Susceptibility to chest Croupy hoarseness Covers all the body and
infections (Ref. head with bed cloth Sore throat (L R)
Boericke)
Catarrh (+++) with death Rattling in chest
rattle Sensation of something
Bronchitis of young hanging loosely in
children. Also first Yellowish expectoration throat, must swallow
Vomiting remedy for colds in the (even yellowish sputa, over it
chest - especially which is worse in the
children evening & heated room
Sleepy and drowsy >> in open cool air) Dryness of fauces

Bright red epistaxis or


haemoptysis Fears that he has some
horrible throat disease
and that will prove fatal

FILE : C:\POST GRADUATE COURSE\PG-ACUTE PRESCRIBING-PART-1.DOC


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From the desk of: Dr. Subrata K. Banerjea
GOLD MEDALIST

POINTS ANTIMONIUM FERRUM KALI SULPHURICUM RUMEX CRISPUS SABADILLA


TARTARICUM PHOSPHORICUM
7. Associated (i) Vomiting : in any (i) Red flushing of the Heaviness and weari- (i) Hoarseness < (i) Headache < from too
Symptoms : position except lying on chin and haemorrhagic ness. evening. much thinking and too
right side. tendency. (ii) Morning diarrhoea : close attention.
(ii) Vomiting followed by driving out of bed. (ii) Worm infestations.
drowsiness and
prostration.
(iii) Irresitible inclination
to sleep with nearly all
complaints.
8. PQRS : (i) Extraordinary craving (i) Catches cold easily (i) Chilly but likes to be (i) Touching the throat (i) Illusion : that he is
for apples. but better from cold. in open cool air. brings on cough. sick, parts shrunken;
(ii) Allergic to meat, that she is pregnant,
causes eructation and when merely distended
pruritus. with flatus; that she has
some horrible throat
disease that will be
fatal.
(ii) Allergic to the odour
of flowers.

FILE : C:\POST GRADUATE COURSE\PG-ACUTE PRESCRIBING-PART-1.DOC


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From the desk of: Dr. Subrata K. Banerjea
GOLD MEDALIST

POINTS ANTIMONIUM FERRUM KALI SULPHURICUM RUMEX CRISPUS SABADILLA


TARTARICUM PHOSPHORICUM
9. Differentiat- (i) Warm drink < cough. (i) Warm drinks < cough. (i) < in warm and close (i) < from inhaling cold (i) < during new moon
ing Moda- (ii) Cough < by anger, (ii) Cough > at night room. air. and full moon.
lities : < at 4 p.m. (Ref. Boericke). (ii) > in open, cool air. (ii) < by touch. (ii) < at the same hour,
(iii) Morning < (Ref. (iii) < lying on left side. everyday.
Clarke). (iv) Cough may be only (iii) > in open air.
(iv) > in solitude (Ref. during the day, < by lying
Mathur) on left side, > lying on
right side and wrapping
up the head warmly, to
make the inhaling air
warm.
10.Pin-point Advanced stage with lots Initial stage with Later stages of Exposure to air is the Sneezing lachry-
Defferentia- of catarrh and rattling. congestion before inflammation with prime exciting cause mation coryza
tion Point : exudation. profuse and intermittent tickling in throat. sore-throat cycle.
yellow expectoration. (Everytime he takes
cold it settles in nose
and throat).
11. Potencies 30, 200, 1M 3X (fever) 6X, 30, 200, 1M, 10M, 30, 200, 1M, 10M, 50M, 30, 200, 1M, 10M, 50M,
of Choice : 6X (haemorrhage) 50M, CM. CM. CM. (Long acting
CM (Chronic Suppura- remedy).
tive Otitis Media)

FILE : C:\POST GRADUATE COURSE\PG-ACUTE PRESCRIBING-PART-1.DOC


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