Approach to oncology
Dr. Vinu Krishnan BHMS MD(HOM) Medical officer, Dept. of Homoeopathy, Malappuram.
Types of diseases
1. D`s which are managed without any aid. 2.D`s «««.with aid- 1.drug 2.surgery/chemo/ physio/etc 3.spiritual/ emotional 3.D`s ««««..incurable
Disease with lack of ³symptoms´ No clear cut symptoms. No direct relation with vital process. Frequent remissions/haphazard endings! Unnatural morbidity & mortality at the end. Numerous pathological symptoms (pathogenic)
s/o seems to be of polycrest medicines. s/o seems to be pathogenic s/o of drugs.!
. But if prescribed according to---..despair.
One sided diseases (172-184)
s/o too few. belong to C/C d¶s. C/C diarrhoea. The main s/o may be internal (H/A.
. cardialgia etc) or external (local maladies).
How do we know which s/o to use at what moment?
.? analytical«? (repertory)
We need both.
It includes-causation---grief/ suppression« tempo-----slow/ fast centre of pathology physiognomy---
. A deep understanding of the basic nature of a particular remedy. (flavor).Various approaches
Essence (soul of the remedy)/true totality of remedy.
2.etc Disadvantages1.Essences «
Cowardice / diffusion/ confusion/ retention«. creates a superficial approach only. essence does not appear in every case.
Essence (3 dimensional)/ totality. More than one remedy will appear.Totality (both psychological & physical s/o)
A mechanical analysis of the information.
s/o should be very emphatically & unambiguously stated.
Eg.puts feet out of covers.
Family h/o & past illnesses
Miasmatic tendency Causation.
complementary.Past h/o of drug use
Changing s/o. inimical
Physical Emotional Mental
Complete Mental confusion Destructive delerium Paranoid ideas Delusions Lethargy Dullness Lack of concentration Forgetfulness Absent mindedness
Suicidal depression Apathy Sadness Anguish Phobias Anxiety Irritability dissatisfaction
Brain ailments Heart ailments Endocrine ailments Liver ailments Lung ailments Kidney ailments Bone ailments Muscle ailments Skin ailments
Includes organ system (particular tissue) Food cravings. Physical temperature, heat/ cold Effect from weather. Position of sleep.
Steps in analysing
1.What type of information do we have?.. essence/ totality/ key note«.? 2.confirming the remedy. 3.contradictory s/o. 4. A lack of confirmation
Approach in cases with lack of s/o
Not able to sketch all s/o even after careful exmn.(83-98). Select a medicine which is the then Homoeopathically indicated.
Accessory s/o are produced when imperfectly homoeopathic medicine is given. Then the whole collection of s/o should be considered. But these are s/o of the disease itself which have been hitherto very rarely perceived. (a 2nd medicine) 183
. the state of the disease that still remains to be noted anew.
After each new dose of medicine has exhausted its action.
totality only. essence +totality + key notes 2. reliable s/o. 6.Hierarchy in case analysis. Main pathology.when totality doesn¶t clearly give a solution & there is no essence. essence +totality/ essence +key notes 3. 5.
1. totality + key notes 4.
3 Key notes. different areas (3 legs of a stool) 10.
8.Key note essence.look at what has caused the drop in health« 9.
. recent pathology.
Doublets. 13. Mental dullness+ constipationAlumina. 12.Nosode ± when we tried several remedies and they didn¶t work or when we cant find the remedy intellectually.we should have s/o from two different remedies+ one key note for that specific combination remedy.
.specific combination of s/o«eg. Combination remedy.
Where not to prescribe?
A Study on Kent¶s observations
6.7 Law of cure 12
.7 Palliative obs188.8.131.52 Ideal cure 4.Classification²> 8 + 2 + 2
<< observations. 1.3 Antidotal obs1.2.11
>> observations 5.
. but no relief (KO-7) New s/o « (KO-11) -ve direction of cure (KO-12)
.Possible out comes.
Too short relief (KO-6) <<<<««««! (KO-1) >> first but <<< (KO-5) Full>>>.
. Prolonged <<<.!
Deep d¶s.1.. deep potency. bad prognosis. deep medicine. Should antidote.death.
prognosis unfavorable.> first.5. then<
Remedy palliative / pt incurable. Prescribe another medicine
6.tissue changes Prognosis ± bad.
. a/c ±inflmn of organs c/c.Too short >>
Interference from the pt. Prescribe another medicine.
Never be cured.
Palliation/ presence of malignant conditions.7. but o improvmnt. Prognosis bad. / only can palliate. Full >>.
. If s/o are trouble some.10. Prognosis. antodote. Wait . New s/o
Antidote.12. Direction of cure
If against direction of cure. remedy wrong.
. prognosis bad.
short & strong. but will improve.(1) << quick.(2) Ideal cure(4) Old s/o reappear(11)
.Where not to prescribe?
. Prognosis very good. Old s/o reappear
III.II.Group classification of Vithoulkas
Group.I.IV Classified according to the order of appearance of ACUTES
reacts well to H'Pathic remedy if Acutes appear not a good sign.
.Group classification of Vithoulkas
Mainly 4 groups1 group.infrequent non severe Acutes organism strong. remedy clear.
. palpitations. rhinitis. conjunctivitis.Eg.lumbago. menstrual irregularities. For diseases of 1 Group
idiopathic HTN. c/c bronchitis.2nd group (Frequent & severe Acutes)
Organism not much stronger (weaker) eg. OA. c/c cystitis.mild asthma. spastic colitis.« ( children with frequent infections/ allergic conditions)
. arrhythmias. hay fever.
Defense mechanism decreased. As it is being pushed down Mental / emotional s/o start to appear. HP<< more than in group 1
. Herring¶s law is not clear. Allows frequent A/C to come.
A/C diseases disappears or only mild if appeared. HTN. Nephritis. Alzheimer's. cancer (in curable limit). ADHD.
. STD¶S. Heart and kidney conditions.3rd group
Organism more weaker and deeper. RA. Epilepsy. psoriasis.
If Acutes appear within first 3 days-a fantastic reaction.
No HP<<.(eg-sudden high fever in asthma & epilepsy cases). then Rpt same remedy frequently
----Rpt the same remedy in the same potency rptdly.If a/c appear within first wk
./ or a series of remedies may be needed.
May be a µdangerous reaction.A/C within 1 month.
. If no clear picture Rpt the original remedy in frequent doses.¶ It needs treatment²if clear picture of A/C --give an acute remedy.
The more we go farther the more severe the reaction.
A/C within 3rd month
It shows the case is of deeper level and will need more remedies. If it is a wrong remedy we will get relapses.
. A/C developing from this level will be severe and the level of health can be improved by right remedies to upper levels.
Organism still weaker.schizophrenia. Neuro muscular diseases. juvenile diabetes. autism«
. NO ACUTES.eg. cancer. late MS. ALS. manic depression.
the correct remedy will lift up to group 2nd where A/C occur frequently. As we go farther in group 4 .
.A/C will be more strong. it shows correct remedy. If relapses occurs it points to another remedy. If A/C occurs a very good sign.
Immediate >> followed by <<<(KO-6).
. We can treat this Acutes even with multiple remedies.
Some can¶t survive from these Acutes.
that must be removed (maintaining cause)/ (KO-6)
.Assessment of improvement
252-256 If the selected medicine fails to make an improvement-it shows something in the mode of life of the patient.
return of the natural state. Increased calmness & freedom of the mind.Features
Greater degree of comfort. Higher spirits. Only perceivable if dose is sufficiently minute
. If new signs & s/o occur----shows medicine not strictly homoeopathic.
If the improvement delays too long---some error of conduct of the pt or other interfering circumstances.
How this be evident in cases?
Disposition of mind Appetite Sleep Bowel movements Urination Thermal Menses
Temperature variations( including fever)
. including TC & ESR Tumor markers.Useful simple parameters in oncology
Appearance Hb. Wt .
chinese tea(herbal).pork. tobacco. enervation.liquors.Also regulate diet& regimen
. suppressed sexual desire«. damp livings. sedentary life. debauchery.highly spiced dishes. perfumes. prolonged suckling.
Take the s/o of the conjoint malady of both medicinal & original diseases.
..Cases under other therapies
Surgery /chemo therapy/ radiation«? 91«.s/o before the use of medicines/ after they had been discontinued for several days.
.look at what has caused the drop in health«(has never been well«.!) If after chemo----. complementary.Past h/o of drug use
Changing s/o.. inimical Recent pathology. after radiation««or after drugs (tranquilizers)«.
When the VF process is very weak & no definite s/o is not available take the pathological s/o as follows.a sector totality Location( organ system)/ (physiology)Modalities (Thermal .>>) Specific drugs
so physiological doses---mother tinctures. low potencies(3c. 1x.
. 6x«)in frequent doses till pt is carried to a better level where s/o are again evident. 3x.