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Showing posts with label Skin Diseases. Show all posts
Showing posts with label Skin Diseases. Show all posts

Aug 1, 2017

शिखर होम्योपैथिक क्लिनिक, हल्द्वानी

शिखर होम्योपैथिक क्लिनिक
कपिल काम्प्लैक्स,
मुखानी, 
के डी रोड़
हल्द्वानी
जिला:- नैनीताल
उत्तराखंड


डॉ रविंद्र सिंह मान
बी एच एम एस(जयपुर)

डॉ वंदना पाटनी
बी एच एम एस(जयपुर)

Consult @9897271337


वर्तमान समय में होम्योपैथिक चिकित्सा, ऐलोपैथी के बाद इस्तेमाल की जा रही दूसरी सबसे बड़ी चिकित्सा पद्वति है. भारत जैसे विशाल आबादी वाले विकासशील देश में प्रतिदिन 10 फीसदी मरीज होम्योपैथिक चिकित्सकों से परामर्श लेते हैं. केंद्र व राज्य सरकारें भी बड़े राजकीय चिकित्सालयों से लेकर प्राथमिक चिकित्सा केंद्रों के स्तर तक होम्योपैथिक डिस्पैंसरियों के माध्यम से होम्योपैथिक चिकित्सा उपलब्ध करवा रही हैं.

होम्योपैथिक चिकित्सा विधि द्वारा सामान्य खाँसी, बुखार, मलेरिया, वायरल जैसी मौसमी बीमारियों के साथ- साथ ल्युकोडर्मा, सोरायसिस, कोलाइटिस, गंजापन, एक्जिमा, मानसिक रोगों, अनिद्रा, यौन रोगों जैसे बेहद पुराने, व लाईलाज रोगों का भी सफलता पूर्वक ईलाज संभव है.

नवजात बच्चों, गर्भवती महिलाओं, तथा बुजुर्ग मरीज़ों को भी किसी साईड-इफेक्ट के डर के बिना होम्योपैथिक दवायें दी जा सकती हैं.

शिखर होम्योपैथिक क्लिनिक की स्थापना 2003 में हुई. तभी से हम होम्योपैथिक चिकित्सा के उच्चतम मानदंडों का पालन करते हुऐ, लाखों मरीजों की सफल चिकित्सा करने में कामयाब हुये हैं. 

होम्योपैथिक चिकित्सा अन्य चिकित्सा पद्धतियों से दो मुख्य कारणों से भिन्न है. पहला तो यह कि, होम्योपैथी में चिकित्सा व दवा, रोग (disease) के डायग्नोसिस के आधार पर नहीं, बल्कि रोगी के विभिन्न शारीरिक, मानसिक व भावनात्मक लक्षणों के आधार पर दी जाती है. होम्योपैथी का मूल मंत्र सिर्फ रोग ठीक करने से भी बढ़कर, रोगी को पुनः स्वस्थ करना है.

दूसरा, अन्य सभी चिकित्सा पद्धतियों के विपरीत, होम्योपैथी न्यूनतम दवा की मात्रा, व कम से कम दवाओँ के इस्तेमाल के सिद्धांत पर विश्वास करती है.यही वजह है कि, होम्योपैथिक चिकित्सा बिना साईड इफ़ेक्ट वाली चिकित्सा पद्वति के रूप में प्रसिद्ध है.

किसी भी चिकित्सा पद्धति की मान्यता बढ़ने और अधिक इस्तेमाल शुरू हो जाने पर उसमें दोष आने लगते हैं. होम्योपैथिक चिकित्सा भी कोई अपवाद नहीं है. ऐलोपैथी की ही तरह होम्योपैथिक दवा कंपनियों ने भी विभिन्न काम्बिनेशन पेटन्ट्स बनाने प्रारम्भ कर दिये हैं. अलग- अलग रोगों के लिये कई- कई दवाओं को मिलाकर काम्बिनेशन तैयार किये जा रहे हैं, व अनेक होम्योपैथिक चिकित्सक भी इन पेटन्ट्स को खुल कर इस्तेमाल कर रहे हैं, जो कि होम्योपैथिक चिकित्सा के मूल सिद्धांतों के खिलाफ है. रोगी के रूप में यदि आपको इसी प्रकार के काम्बिनेशन किसी होम्योपैथिक चिकित्सक द्वारा दिये जा रहे हैं, तो सावधान हो जाएं, क्योंकि इन काम्बिनेशन से आपको थोड़ी राहत जरूर मिलेगी लेकिन होम्योपैथी द्वारा बिना साईड इफेक्ट के जड़ से रोगों के ठीक हो जाने का आपका विश्वास शायद कायम न रह पाये. 


इस प्रकार के सभी काम्बिनेशन होम्योपैथिक दवाओं से जरूर बने हैं, लेकिन ये होम्योपैथिक चिकित्सा के सिद्धांतों का उल्लंघन करके बनाये गए हैं, इनके उपयोग से गम्भीर साईड इफेक्ट भी हो सकते हैं तथा फौरी राहत से ज्यादा आराम आप इन पेटन्ट्स से नहीं पाएंगे.






Jul 11, 2014

Homeopathic Case Study of Severe Generalized Itching (Pruritus) with Staphysagria



© Dr Ravinder S Mann 2014





A 39 years old male has presented on May 2, 2014 with voluptuous itching all over the body especially over legs (over Tibia bone) and forearm. Itching aggravated by touch, undressing and dryness of skin. Itching was very severe and patient has not given any other differentiating clinical features or symptoms.

Repertorization



Prescription on
May 2, 2014

Cocculus Ind 30      1 dose with S L for a week.

 Patient returned back on May 26, 2014 and reported a partial relief in itching for 2 days after medicine but it is same again. After last prescription he tried some allopathic medication too, because homeopathic medicines remained unable to improve his itching. But allopathic medicines are equally helpless in his itching, so he returned back again.

On May 26, patient is asked about this itching in detail. Every year in dry, warm weather this itching recurs from many years but this time it is most severe. Itching is now on legs, whole upper limb, around head. 

Modalities are same – aggravation of itching by dryness of skin, undressing and touch.   

On further inquiry he told that he always thinks about sex. He imagines girls and women in different postures and doing sex. He masturbates frequently and sometimes many times a day. His sexual desire is very much increased. Although he is married and his sexual life is well.

Repertorization

 

Prescription On May 26, 2014 

Staphysagria  200    only 1 dose is prescribed with sac lac for 10 days.




June 3, 2014

Patient reported on June 3, 2014 that his itching stopped on same evening and not a trace of itching returned back. Now he feels cool and relaxed without any constant sexual thoughts and not even masturbated since last prescription.

No further medicine is prescribed and advised to consult again if any of the symptoms recur.


June 24, 2014

Patient came to take advice for his wife. And told that his itching and sexual thoughts have not recurred.

 





 

Jan 31, 2014

A case of Multiple Warts

© Dr. R. S. Mann 2014 

A 40 yr old man presented with multiple warts of different sizes and shapes. He was suffering from 5 years and tried multiple treatments under various system of medicine from allopathy, ayurveda, unani, homeopathy to even surgical removal but all in vain. Warts are on face, corner of mouth, angle of lips, in ear, on chest, between thighs, near genitals, on back, on upper limb, on fingers, back of hand and everywhere. Warts were hard, horny, soft, pedunculated, broad, large and has variety of colors from skin tone to darkest.

Patient is an overburdened journalist who has to work late in night until 2 am. He is much stressed, displeased, disappointed and under pressure from very keen responsibilities on his chair. Very irritable, get angerd easily, can’t bear even mild contradiction, but has to hide all his feelings and disappointment on work. This stressed and depressed environment at workplace make him aggressive at home. He accepts, he misbehaves with his wife on slight contradictions. He felt left behind in comparison to his friends, in carrier. Displeased about loss of money in past. Fear of failure. He feel he made some mistakes in past. Very cautious about mistakes. Very anxious.  During work he feels he is doing wrong, making mistakes which irritate him, make angry. Lack of confidence in work and others. So, don’t share him with others. Very sad and in grief. Talks very much and explain by emphasizing on unnecessary details. Patient has persistent thoughts which make him sad. Very timid to make bold decisions. Facing property disputes between siblings. 

Thirst very much, drinks a plenty of water. Likes salty food. Hypertensive. Just quit smoking and tobacco chewing 6 weeks back, was heavily dependent on tobacco. Now on antidepressant, antihypertensive and sedative medicines for 8 years.

Rubrics Selected

Following 34 symptoms selected.

MIND - AILMENTS FROM - grief
MIND - AILMENTS FROM - money; from losing
MIND - ANGER - contradiction; from
MIND - ANXIETY
MIND - ANXIETY - fear; with
MIND - CAUTIOUS
MIND - CONFIDENCE - want of self-confidence
MIND - CONTRADICTION - agg.
MIND - DELUSIONS - fail, everything will
MIND - DELUSIONS - right - doing nothing right; he is
MIND - DELUSIONS - wrong - done wrong; he has
MIND - DISCONTENTED
MIND - FEAR - failure, of
MIND - FORSAKEN feeling
MIND - IRRITABILITY
MIND - LOQUACITY
MIND - MENTAL EXERTION - agg.
MIND - RESPONSIBILITY - agg.
MIND - RESPONSIBILITY - taking responsibility too seriously
MIND - SADNESS
MIND - SADNESS - grief, after
MIND - SADNESS - money - losing; after
MIND - THOUGHTS - persistent
MIND - TIMIDITY

FACE - WARTS - Lips
MALE GENITALIA/SEX - CONDYLOMATA
EXTREMITIES - WARTS - Fingers
SKIN - WARTS
SKIN - WARTS - hard
SKIN - WARTS - horny
SKIN - WARTS - large

STOMACH - THIRST
GENERALS - FOOD and DRINKS - salt - desire
GENERALS - HYPERTENSION



  








Repertorization

Aurum met  28/57,  Calc carb 24/57  Thuja 23/42, Natrum Mur 22/47,  Causticum 22/45,  Sepia 22/43,  Sulphur 22/42, Nitric acid 21/44, Silcea 21/39, Ars Alb 21/37.
   

Mental history of severe stress, anxiety, disappointment and hopelessness guide for Aurum Metallicum in this case.

Jan 7, 2014

Aurum Metallicum 200 C,  3 doses prescribed half hourly with sac lac for a week.


Jan 30, 2014


Patient reported on Jan 30, 2014 with a surprised recovery of all the warts, not a single one remained behind. Mental stress very less. Patient looks happy, charming and satisfied. Has discontinued sedative and antidepressant drugs. Sadness, aggressive behaviour, anxiety all gone.

Sac Lac prescribed for 15 days.

Feb 20, 2014
(edited on April 5, 2014) 

Sleep, mood are in very good shape. Blood pressure comes under control. Has dropped all the allopathic medicines. All the warts are gone without any trace. Patient has decided to shift to another job with better incentives. Earlier he was unable to decide and was not much courageous to take decisions.

No medicine was prescribed.

Mar 3, 2012

A Case of Nodular Acne with scaring on Face


Presented By

Dr. R. S. Mann
Consultant Homeopath
   B.H.M.S. (Jaipur)


A 25 yr old male presented with acne for more then 3 years. He has recurrent acnes, since last 3 years not a single day he passed without one or two acne at a time. Acne resolved with discharge of pus mixed with blood. Acnes leave scaring on face. Mild pain is present on pressing acne. While he has acne on all over the year but in summers it gets much worse.

Patient has itching on face, not on acne, but on cicatrix after healing of earlier acne.

Patient has one more complaint of vertigo while standing. This complaint is started later after acne and present off and on.

Constitutionally patient is lean and thin. 

On 15/12/2011:

© Dr.R.S.Mann 2011



© Dr.R.S.Mann 2011





On Repertorization:

VERTIGO - STANDING, while
FACE - ERUPTIONS - acne
SKIN - CICATRICES
SKIN - CICATRICES - itching
GENERALS - LEAN people
GENERALS - SEASONS - summer; in - agg.

Medicines:

6 rubrics are selected for repertorization.

Acid Fluor 6/12, Phos 5/10, Lach 5/9, Sil 5/9, Iod 5/8, Nat Mur 5/8, Graph 5/7

On Small rubrics and Small Medicines:  Acid Fluor, Iod, Sil, Graph

Vithoulkas Expert System: Acid Fluor, Iod, Nux Mos, Graph


Prescription:

Acid Fluor 30 CH, 3 Doses 6 hourly.
S.L. for 7 days.


On 23/12/2011: 

Patient is better.
Acne reduced in size.
Itching on cicatrix reduced.
Vertigo improved.

© Dr.R.S.Mann 2012



© Dr.R.S.Mann 2012




Prescription:

S.L. for 7 days.


On 2/1/2012:

2 new acne started to erupt.

Older acne is improving.

Prescription:

Acid Fluor 200 CH, 1 Dose
S. L. for 7 days.


On 9/1/2012: 

Two new eruptions which seem starting on last consultation, they disappear after last prescription and do not proceed further.

Itching on cicatrix completely improved.

Nodular acne improved.

No vertigo.

© Dr.R.S.Mann 2012



Prescription:

S. L. for 14 days.

On 23/1/2012: 

© Dr.R.S.Mann 2012



No new eruptions, old one is already cured. First time since last three years that he has no eruption or acne on face.


No itching.

No vertigo.

His complexion improved.

Scars reduced.


Prescription:

S. L. for 7 days.

And consulted to stop treatment after it.




Sep 15, 2011

Photos Before and After in a Case of Dermatitis



A Case Of Allergic Dermatitis

Patient has complaint of itching, eruptions behind the right knee every year in rainy weather since 3 years. 


Rubrics Taken are:-  Radar 9

                            
EXTREMITIES - ERUPTIONS - Knee - Hollow of
EXTREMITIES - ITCHING - Knee - Bend of
GENERALS - WEATHER - wet weather - agg.
SKIN - ITCHING - scratching - bleeds; must scratch until it
GENERALS - PERIODICITY - year - every


Medicine Prescribed:-  Arsenicum Alb. 30    3 doses 6 hourly with placebo.

All The Pictures are copyright under International Copyright Act
© Dr.R.S.Mann 2011


Allergic Dermatitis Before Treatment









Allergic Dermatitis After Treatment

Apr 29, 2011

Sweating: Some Rubrics and their medicines.

Sweat on forehead with heat in head: Carbo. Veg.


Warm Sweat with hot and red cheeks and attacks of anxiety: Pulsatilla



Cold sweat and open fontanels: Calc Phos., Mercurius



Sweat driving out of bed: Carbo.Veg.


Sweat in attacks: Calc. Phos


Sweat in Large drops: Platina


Sweat staining the linen, difficult to wash: Lac.D., Mag.C., Merc., Sepia



Sweat profuse from music: Tarentula H.


Sweat profuse on uncovered parts except head: Thuja


Sweat profuse on covered parts: Chammomila, China, Ferrum M, Nitric Acid, Thuja, Belladona, Nux. V., Secale C.


Sweating on painful parts: Kali Carb


Sweating after disappearance of pains: Chelidonium


Sweating on hearing unpleasant news: Calc. Phos.


Sweating when passing flatus: Kali. Bichrom.


Sweating from conversation: Ambra G.


Sweating, icy cold: Tabacum





Mar 13, 2011

Abscesses and Boils- Homeopathic Medicines

Angustura- Abscess of the ankle joint.
Apis Mellfica- Stinging, burning pains in incipient abscesses. Diffuse inflammation of the cellular tissue.
Arnica- Arnica has an action on skin, producing crops of boils all over the body. They begin with soreness and go on to suppuration and are followed by another crop of boils. It may also be used in boils and abscesses which have partially matured but which instead of discharging, shrivel up by reason of absorption of the contained pus.
Hot, hard and shining swelling; pricking pains and dull stitches in the part.
Arsenicum Album- Arsenicum may be used in carbuncles or in boils with pepper-box openings and dipping deeply into the cellular tissues. It is indicated when the character of the pain is cutting, lancinating, burning with aggravation after midnight and irritability of mind and body is present.
Intolerable burning pains with fever, pus copious, bloody, corroding, ichorous, watery and of a putrid smell. Great debility, muscular prostration, sleeplessness and restlessness is present.
Belladona- In beginning of inflammation, scarlet redness, hot swelling, sudden onset, great sensitiveness to cold air.
Belladona is indicated by the violence of symptoms, by radiating redness, by throbbing and tendency towards suppuration.
Bellis p- Boils all over with sore, bruised feeling.
 Carbo Veg- Carbo veg can be administered in carbuncles, particularly when the affected parts are bluish and livid and when discharges are offensive and associated with burning pains. When carbuncles or boils are become gangrenous , carbo veg may be indicated. In these cases it is distinguished from Arsenicum by the absence of the extreme restlessness.
Chamomilla- Abscess very hot and painful with clear, serous suppuration not relieved by Arsenicum Album.
Hepar Sulf- Throbbing and beating in the abscess, skin over the abscess is highly inflamed , hard, hot and swelling; pus scanty, bloody, corroding, smelling like old cheese; pains worse at night and by exposure to cold.
If suppuration occurs as the result of the inflammation, we have Hepar indicated and exercising a double function. If you give it in a high potency when the throbbing, stabbing pains in affected part and the general rigor show the onset of inflammation, it may abort the whole trouble. In other cases, if you see that suppuration is necessary and wish to hasten the process, then you give Hepar in low potency.
Mercurius Sol- Slowly suppurating abscess. Burning redness of the skin, with prickling and tingling sensation.
Another condition in which we may use Mercurius is one of inflammation which has gone on to suppuration, whether the disease be a boil , a tonsillitis or any other form of inflammation. Mercurius belongs to an interesting little group of medicines which you will use very often; they are Belladona, Hepar, Mercurius and Lachesis. To these we may also add Silicea and Sulphur. You should prefer Belladona in the beginning of inflammation.
You should change to Hepar when the sharp sticking pains and chills indicate the beginning of suppuration. It may prevent suppuration when given in the incipiency of that process.
Mercurius is suited to a still more advanced state when pus has formed and you wish it evacuated. Mercurius does not prevent the formation of pus but rather favors it.If you give it too soon you will spoil the case. In felons , if it is given low, it will generally favor the rapid formation of pus.
When pus continues to discharge and the wound refuses to heal, Silicea follows Hepar. In some of these cases, the benefit under Silicea will cease, Then a dose or two of Sulphur will excite reaction and Silicea can effect a cure.
Lachesis- is indicated when the pus degenerates and becomes of a dark , thin, offensive character with the sensitiveness to touch of that drug.
Silicea- Silicea produces inflammation of cellular tissue, going on to suppuration which is rather indolent or sluggish in type and become chronic. Persistent cases of ulceration, cellulitis come under this medicine.
Cases of Furuncles which occur in crops and which do not heal readily but continue to discharge a rather thin, watery pus.

Repertory for boils and abscess-
Multiple Boils- Arnica, Arsenic, Nux Vomica, Sulphur
Successive Crops- Antim Crud, Arsenic, Aster. R., Calcarea Pic., Iodum, Mercurius Sulph
Large Boils- Antim Tart., Crotalus, Hepar sulf, Hysocyamus, Lachesis, Lycopodium, Mercurius Sol., Nitric Acid, Petroleum, Phosphorus, Silicea
Small Boils- Arnica, Belladona, Hydrastis, Lycopodium, Magn.,Natrum Mur, Nux Vomica, Sulphur, Zincum.


Bibiliography-
1.Homeopathic Therapeutics- Samuel Lilienthal
2.Clinical Materia medica- E.A.Farrington
3.Allen's Keynotes- H.C.Allen
4.Homeopathic Drug Pictures- M.L.Tyler
5.Pocket Manual of Homeopathic Materia Medica and Repertory- W. Boericke
6.The Leaders in Homeopathic Therapeutics- E.B.Nash
7.Boenninghausen’s Therapeutic Pocket Book- T.F.Allen


Jan 11, 2011

Psoriasis: Few Pictures of cases Before and After Treatment

All the pictures are copyright under International copyright act.

© Dr.R.S.Mann 2010
Read Psoriasis .
-----: Case 1:-----
DSC02481
Before Treatment
DSC03052
During Treatment
DSC03332
After Treatment
-----: Case 2:-----
DSC02482
Before Treatment
DSC02745
During Treatment
DSC03336
After Treatment
-----:Case 3:-----
DSC02911
Before Treatment
DSC03038
During Treatment
DSC03060
During treatment
DSC03112
During Treatment
DSC03164
After Treatment
Above cases are treated by Dr R.S.Mann and Dr. Vandana Patni. Homeopathy has more effective and profound results in psoriasis. Recurrence is very less under homeopathic treatment and whenever it recur it is in smaller area, fewer spots and less scaly than original case.

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Sep 3, 2008

Terms in Skin Diseases and their Definitions

Terms Used in Skin Diseases and their Definitions:-

Macule- Small flat area of altered color or texture

Papule- Small solid elevation of skin, less than .5 cm in diameter

Nodule- A solid mass in skin, greater than .5 cm in diameter

Plaque- Elevated area of skin greater than 2 cm in diameter but without substantial depth

Vesicle- Circumscribed elevation of skin , less than .5 cm in diameter and containing fluid

Bulla- Circumscribed elevation of skin over .5 cm in diameter and containing fluid

Pustule- A visible accumulation of pus in skin

Abscess- A localized collection of Pus in a cavity. More than 1 cm in diameter

Wheal- An elevated white compressible , evanescent area produced by dermal edema

Papilloma- A nipple like mass projecting from skin

Petechiae- Pinhead size macules due to bleeding in skin

Purpura- Large area of bleeding in skin

Ecchymosis- A larger extravasation of blood into skin

Hematoma- A swelling from gross bleeding

Burrow- A linear or curvilinear papule, caused by a burrowing scabies mite

Comedo- A plug of keratin and Sebum wedged in a dilated pilosebaceous orifice

Telangiectasia- The visible dilation of small cutaneous blood vessels

Scale- A flake rising from the horny layer

Crust – Looks like a scale but is composed of dried blood or tissue fluid

Erosion- An area of skin denuded by a complete or partial loss of the Epidermis

Ulcer- An area of skin from which the whole of the epidermis ( Uppermost layer of skin) and at least the upper part of Dermis ( Inner layer of skin below epidermis) is lost

Excoriation- An ulcer or erosion produced by scratching

Fissure- A slit in the skin

Sinus- A cavity or channel that permits the escape of pus or fluid

Scar- The result of healing in which normal structures are permanently replaced by fibrous tissue

Atrophy- Thinning of skin due to diminution of the epidermis ,dermis, subcutaneous fat

Stria - A streak like linear, atrophic, pink, purple or white lesion of the skin due to changes in the connective tissue

Aug 21, 2008

Leukoderma ( Vitiligo)

Colour of our skin, hairs and iris(eye) is depend on Melanin pigment. Melanin is produced by melanocytes, these are cells in skin layers which works under control of Melanocyte Secretory Hormone from brain. When these melanocytes reduce production of Melanin pigment, skin starts to loss it's colour and becomes white. 

There are many disorders which are caused by deficiency of pigmentation of skin, and they all are grossly known as Leukoderma. Few disorders are caused by inability to produce Melanin pigment by Melanocytes ( Melanin producing cells), while other disorders are caused by absence of Melanocyte cells or due to destruction of melanocytes later on.

In Vitiligo Melanocytes starts to destroy and reduce the pigmentation of skin. Clinically vitiligo appears as milky-white, irregularly oval patches of skin. These patches are more or less symmetrical. Most common places are hands, wrists, face, neck, knee and various openings of body as around eyes, lips, nose etc. These patches are small at beginning but enlarge gradually. Hairs growing in these patchy area also lost their colour and becomes white. The exact reason of Vitiligo not yet clear. But many theories are proposed for this condition.

At least 1% of population, world wide suffers by Vitiligo.


Production of Melanin-


The melanocyte cells transform the peptide tyrosinase into two different forms of melanin, which is spread throughout the dermal cells and the keratinocytes via melanosomes to darken tissue.


Causes of Vitiligo


Many theories are described about causation.


A. Autoimmune Theory-

It is known vitiligo appears in conjunction with several other autoimmune disorders, such as juvenile Diabetes Mellitus, Addison's disease, Pernicious Anemia and additionally organ-specific antibodies can often be seen in patients with vitiligo. Now this theory is accepted as most common cause of Vitiligo. 

Autoimmune disease means, body's own immune system develops antibodies against Melanocyte cells, which start to destroy them. Few other Autoimmune diseases may be present in cases of Vitiligo as - Pernicious Anemia, Diabetes Mellitus and disorders of Thyroid.


B. Genetic theory-

About 20% patients have strong family history of Vitiligo. Genetic factors probably play a key role in the pathogenesis of vitiligo, but the exact cause is unknown.


C. Self Destruct Theory-

In process of producing melanocyte pigment, melanocytes produce some pre-metabolites as dopa and dopachrome. These metabolites are toxic for Melanocytes,but usually Melanocytes have counteract measures against these substances. But sometimes Melanocytes lost this ability to counteract these toxic substances. In that condition Melanocytes destroyed by these toxic substances.


D. Neural theory-

Sometimes peripheral nerves endings may secrete some cytotoxic substances which damage melanocytes. This theory is supported by cases of segmental vitiligo, in which a whole dermatone is hypo-pigmented due to destruction of melanocytes in that dermatone.


E. Convergence Theory-

After genetic studies, researchers have begun to lean towards a multi-faceted etiology for vitiligo. This theory states that genetic influences have a role in causing vitiligo in addition to other elements, such as stress, accumulation of toxic compounds, infection, autoimmunity, mutations, and impaired melanocyte proliferation.




Factors Important from Homeopathic Point of view-


A. In some cases Mental state of patients as- shock, anxiety, tension, depression, constant grief may cause changes in skin pigmentation.


B. Suppression of other skin diseases, cauterization for skin growths like warts, moles, lot of external application of strong chemicals on skin may cause vitiligo.


C. Melanin formation depends on enzyme Tyrosinase activity. Normal vitamin levels are prerequisite for tyrosinase activity.


D. Intestinal disturbances and infections as Chronic amoebic dysentery and intestinal giardiasis may cause mal-absorption of tyrosin, which is an important substance for melain pigmentation.


E. Family history of Vitiligo, Tuberculosis and Diabetes is very important for Homeopathic treatment.


Treatment-


Modern allopathic science offer following way of treatment-


1. Immuno suppressive treatment- Because vitiligo is a autoimmune disorder,so topical Corticosteroids are used to cure small vitiligo patches. But in big patches systemic corticosteroids therapy may be more harmful due to its side effects in comparison to its benefit.


2. Phototherapy and Photo-chemotherapy-
Many artificial ultra violet radiation ( UV) methods are offered with less and more success. Among them PUVA, BUBV,NBUVB and Laser methods are used.


3. Surgical Treatment-

Grafting of skin patches with melanocytes is done for pigmentation of Vitiligo patches.


Homeopathic Treatment-


Scope- Homeopathy cures 60% cases of Vitiligo in 1 to 3 years. Another 25% cases which continue Homeopathic Treatment for 3 years show very good recovery for 80% spots . 15% cases which have very large and bilateral de-pigmented spots never get good recovery. 

For permanent cure by Homeopathy it needs to start treatment earliest, continue it for 1 to 3 years, cases which are bilateral takes longer time, big spots take much time and patience is needed.


There are numerous medicines for Vitiligo. Few are described here.


A. Thuja- It is an Anti Sycotic medicine . In homeopathy all the chronic diseases are supposed to be born from any one of the three Miasms - Psora,Sycosis,Syphilis.
In cases where Vitiligo develops after Vaccinations and recurrent inoculations, Thuja works very finely. In cases where other skin growths like warts are present with Vitiligo lesions Thuja helps. In cases with history of Tuberculosis, where Bacilinium is prescribed, Thuja must be given first, cause Bacilinium works very good after Thuja.


B. Sulphur- It ia great Anti Psoric medicine. This medicine is indicated where there is - History of suppressed Sycotic and Syphilitic miasmatic symptoms, suppressed diarrhea, Dysentery, Jaundice, Typhoid fevers etc. Symptoms of sulphur must be present in the case as- Burning soles, palms, heat in eyes, anus, vagina or other openings of body. Irritable and obstinate person. Sometimes this medicine can aggravate the symptoms, in that case Sulphur must be stopped.


C. Bacillinum- In cases where history or family history of Chest diseases found as Tuberculosis, Asthma, Bronchitis, Pneumonia, Pleurisy. Present symptoms may be Loss of weight, Loss of appetite, Flat chest, Prominent ribs and clavicle.


D. Cuprum Aceticum- Cuprum is important part of melanin pigment. And most of the time Copper deficiency is found with Vitiligo. This medicine show very impressive and remarkable results in many cases.


E. Sepia- In female Vitiligo patients Sepia is indicated very frequently. Where coexisting symptoms are irregular menses,scanty and painful menses, leucorrhea, pruritis, dysparunia and patient is very cold .

Nausea, morning sickness, vomiting, motion sickness, headache all these symptoms indicate Sepia. But sepia does not cure completely a patient and many of times Natrum Mur is needed to complete the recovery started by Sepia.


H. Hydrocotyle- is indicated in cases of suppressed skin eruptions. It is very helpful in cases where history of filariasis is present.


I. Acid Nitricum- This medicine indicated where spots of vitiligo found on muco-cutaneous junction as lips, nose, nipples, glans penis, vulva etc. Cracks may coexist with these white spots. In patients with desire to eat strange things as chalk, pencils etc. indicate towards Acid Nitricum.


J. Mercuris Sol- In patients with history of dysentery with mucus and blood. Patient which feel worse in night, extreme salivation in night, perspiration in night in bed. Patients of mercuris sol can not tolerate both extreme cold and hot weathers.


K. Ars. Sulf. Flav.- This medicine is used very much ,even in cases which are not indicated for this medicine. Patients who are -very irritable,quarrelsome,fear at night in dark, very suspicious, weeping in night, aversion from milk, desire warm things to eat, itching worse in cold weather and better by warmth of bed- only indicated for this medicine with marvelous outcome.


L. Cantharis V - This medicine is indicated in cases where Vitiligo start after burn in some part. Cases where injury on skin caused by Burn starts whiting of skin can be cured by this medicine.


M. Ami Vishnaga- This medicine is used externally on vitiligo spots in Mother tincture form. External use increase the rate of improvement.


Beside these medicines Syphilinum, Medorrhinum, Natrum Mur, Lycopodium, Ars Iod, Cobalt and so many other medicines help to recover the vitiligo spots.

Jan 31, 2008

Hair Falling

Hair Falling

Hair loss is very common disorder among males, females, all age groups and all ethnic groups. There are many patterns of Hair Falling.

A. Baldness- It is not actually hair falling.Hair becomes very fine and colorless instead of falling.Now hairs is called Vellus.
B. Alopecia aerata- It is an autoimmune disorder, body's defense system(immunity) start to destroy hair roots by forming antibodies against Hair roots. It is common among adolescents and young but may effect any age group.
C.Medications used for Gout,Heart diseases,Hypertension,Arthritis,Mental Disorders,Depression and chemotherapy used in Cancer and another cases may cause Hair Falling.
D.Male hormones(Androgens) causes hair loss,this type of hair loss is called Male Pattern Baldness. But this male pattern baldness may occur in females too,because females also have Androgen(Male Hormones).
E.Hair falling May occur in females during pregnancy and when using Birth control pills.Hair falling may continue for 6 months after stopping Birth control pills and after delivering a baby.
F.Large doses of Vitamin A may cause hair loss.

Hair Loss in diseases


A.Thyroid Disorders
B.Anemia- Low hemoglobin level in blood,generally in females.
C.Diabetes
D.Fungus infection of hair roots.
E.Major surgical procedure or some chronic illness
F.Insufficient diet specially low protein diet
G.Allergic Disorders

Few other reasons of Hair Loss

A.Frequent shampoo and conditioning of hair
B.Heat and Chemical treatment on hairs for coloring
C.Perming and Hard combing may weaken the hairs and cause hair falling

Few Facts About Hairs


A.A Person has nearly 50,00,000(5 million) hairs on all over the body. 120,000 hairs only on scalp.
B.Hairs on scalp grows continually for 5 years,after that hair stop to grow and after few weeks it fall out.Then new hair start to grow from same hair root. up to 100 hairs fall everyday normally.
C.Growth of hair depend on health status of person and blood supply to hair roots.

Common Baldness


More then 95% cases of Hair falling are of common baldness. Hairs not actually fall in Baldness but they become very thin,fine and colorless called Vellus.

Alopecia Aerata


Nearly 2% population suffer by Alopecia Areata. Usually it occurs on scalp only but sometimes may involve other part of body too. Pattern of hair loss in Alopecia Areata is different from Male pattern Baldness. Usually hair loss more on one side of scalp(Head).Hairs loss is Rapid in this condition. Alopecia Areata is an Autoimmune disorder, it means body's own immunity produces antibodies against hair roots. And those antibodies destroy the hair roots.Usually hair falls in patches.There may be more then one patch on head.
Sometimes hair falls from all of the scalp(head) and this is known as Alopecia Totalis. And sometimes this process goes further and hair falls from all over the body and now it is called Alopecia Universalis.

Treatment


Conventional Treatment
Common Baldness has no effective treatment. Lotion Minoxidil used to improve blood supply of scalp. A pill Finasteride is used to block the effect of Male Hormones(Androgens) on hair roots. But this medicine can produce Birth Defects on Pregnant Women.
Alopecia Aerata is reversed in 50% cases spontaneously in 6 months to 1 year. But the remaining cases need Treatment.Oral steroids and injections are prescribed but curability is very less. Treatment of Skin by ultraviolet rays may helpful in some cases. And somtimes Immunity suppressive drugs are used.
In conclusion Not any effective treatment is available to treat hair falling in Conventional Therapy. Very few patients get effective cure for hair falling here.

Homeopathic Treatment
Homeopathy offer very effective and permanent cure for most of cases of hair falling. In homeopathy more than 95 drugs are available for hair falling. Selection of medicine depends on Individual features of patient,modalities,behavior pattern, mental attitude,reactions,temperature modalities and coexisting disorders. Homeopathy cure effectively common baldness,Alopecia Aerata, hair falling during pregnancy and after childbirth. Treatment of Hair falling takes long time to cure. Even you will not find any sign of improvement in first few weeks,but take medicines with patience.

Psoriasis

Psoriasis

Psoriasis is a chronic,non-infectious disease. It has thick,well defined plaques of inflammatory silvery scales. 1-3% population suffer by this disease. Psoriasis is a long term disorder, exacerbation and remissions are very common. Generally people of 10-45 year of age suffer more by Psoriasis.
This disease is Non-infectious.But genetic predisposition is found ,it means if one or both parents have Psoriasis then chances of this disease in children are much more.

                                                                © Dr. R. S. Mann 2010

Psoriasis




What happen in Psoriasis?

Our skin is made up of two layers, outer layer is epidermis and inner layer is dermis. Our outer layer of skin- Epidermis shed off in every 35 days and a new layer of epidermis grow up and takes place . But in Psoriasis this process of growing new layer of epidermis becomes fast,and whole process now complete in 3 to 5 days in place of normal 35 days.

Types of Psoriasis


1. Plaque Psoriasis:- This is most common type of psoriasis. Lesions have clear cut boundaries, size may be from a few millimeters to several centimeters in size. Psoriasis spots are red and covered with dry-silvery-scales. Usually knees,elbows and back involved in this type of Psoriasis.

2. Guttate Psoriasis:- Psoriasis spots are droplet-shaped small in size less then 1 centimeter usually and covered with scales. Often throat infection by hemolytic streptococcal bacteria is cause of this type of Psoriasis. This type of Psoriasis resolves in few months commonly but later Plaque Psoriasis can develop in these persons.Usually lesions of Guttate Psoriasis are found on trunk,upper arms,thighs,face,ears and scalp.

3. Erythrodermic Psoriasis:- Whole skin becomes red and scaly. this is an Universal pattern of Psoriasis.

4. Pustular Psoriasis:- Pustule(eruptions fill up of Pus) formed on spots of Psoriasis. Fever may or may not be present with these spots. Mostly this type of Psoriasis spots develop on palms and soles.

Causes of Psoriasis

1. Trauma- Trauma or injury to skin may produce Psoriasis. Common sites for Psoriasis is Knees,Elbows has to bear low grade injuries in day to day practices. Trauma to skin must be avoided. Concept of Kobner phenomenon is concerned with this cause of Psoriasis.

2.Infection- Streptococcal bacterial infection of throat may cause guttate Psoriasis.

3. Drugs- Several drugs causes Psoriasis.
A. Anti-Malarial drugs such as hydroxychloroquine which are used as long term therapy for arthritis and lupus.
B. Beta Blockers - Propanolol used in Hypertension(High Blood Pressure).
C. Lithium Salts.
D. Calcium channel blockers and Angiotensin Converting Enzymes(ACE) used for High Blood pressures.
E. Smoking Cessation Drug -Bupropion may cause Psoriasis.

4. Sunlight- Severe ultra violet radiation may increase Psoriasis.

5. Emotional stress,Anxiety may flare up Psoriasis.

Symptoms and Signs of Psoriasis


1. Typical spots of Psoriasis with red, thick,scaly plaques are marked.

2. Itching may or may not be present .

3. Joint pains and inflammation- About 10% patient of psoriasis may have one or more joints involved this is called Psoriatic Arthritis or Arthropathy.

4. Nail changes-Pitting, Ridges and thickening.

5. Hair falling- Psoriasis of scalp presents as falling of flakes from head like dandruff with falling of hairs.

Treatment of Psoriasis


Conventional Medicine


1. Coal Tar preparations - Crude coal tar inhibit DNA synthesis.It is effective in few patients.
2. Dithranol- It also inhibit DNA synthesis and used more commonly.
3. Calcipotriol.
4. Steroid Creams- It is effective but on withdrawal,psoriasis may relapse rapidly.
5. Systemic Treatment for extensive Psoriasis include immunosuppresive drugs such as Methotrexate etc.
6. Phototherapy- Using ultraviolet light is more effective then earlier described treatments. Earlier U VB and PUVA(UVA exposure after injesting Psoralen) were most common forms of Phototherapy. But now a days Narrow Band U VB(NB-UVB) is used with fewer side effects.
Sun light has Ultra Violet(UV) rays of three types- UVA,UVB,UBC. UBA And UVB are used for Psoriasis. Phototherapy is given constantly 3 to 5 times for 2 months at least. After one month of constant phototherapy few signs of improvement starts. And after complete treatment once a week therapy is needed for a very long time.

Homeopathic Treatment


Homeopathy has more then 100 medicines for different types of Psoriasis.Psoriasis patients need a long term therapy from 1 to 3 years. 60 to 80% cases of Psoriasis are curable by homeopathic medicines.Homeopathic medicines are prescribed on patient's Individual pattern of Psoriasis lesions,Modalities according the weather and temperature changes, Personality traits,Behavioral pattern and Mental attitude of patient. General features,family history,co-existing symptoms, temperament, likings/disliking all are important for Homeopathic Prescription.

Jan 22, 2008

Acne


Acne

Acne is a very common skin disorder that most young people suffer in early puberty. It is caused by inflammation of the small oil glands (sebaceous glands) that surround the fine hairs on the face,chest and back. Acne lesions are commonly referred to as pimples, spots or zits. Although acne is usually not a serious health threat, it can be a source of significant emotional distress. Severe acne can lead to permanent scarring.
Sebaceous glands are found together with a hair shaft in a unit called a sebaceous follicle. During puberty, the cells of the skin that line the follicle begin to shed more rapidly and stick together, when cells mix with the increased amount of sebum being produced, they plug the opening of the follicle. Meanwhile, the sebaceous glands continue to produce sebum, and the follicle swells up with sebum.
In addition, a normal skin bacterium called P. acnes, a common bacterium on the skin that feeds on sebum, begins to multiply rapidly in the clogged hair follicle, and produces waste products and fatty acids that irritate the sebaceous glands and make them inflamed. Sometimes, the wall of the follicle bursts, spreading inflammation to the surrounding skin.


A normal follicle looks like this:







Causes of acne


The cause of pimples is unknown. The process by which a pimple develops is highly intricate. We do not fully understand why this process takes place in one sebaceous gland versus another, why some people get acne and some do not. Several factors are known to be responsible for acne :-
One important factor is an increase in hormones called androgens (male sex hormones). These increase in both boys and girls during puberty and cause the sebaceous glands to enlarge and make more sebum. Hormonal changes related to pregnancy or starting or stopping birth control pills can also cause acne.

Other factors

• Heredity or genetics
• Hormonal activity, such as menstrual cycles
• Diet
• Stress, through increased output of hormones from the adrenal (stress) glands.
• Hyperactive sebaceous glands.
• Accumulation of dead skin cells.
• Bacteria in the pores, to which the body becomes 'allergic'.
• Skin irritation or scratching of any sort will activate inflammation.
• Use of anabolic steroids.
• Any medication containing halogens (iodides, chlorides, bromides), lithium, barbiturates, or androgens.
• Exposure to high levels of chlorine compounds, particularly chlorinated dioxins, can cause severe, long-lasting acne, known as Chloracne.



Acne myths


Myth: Washing your face more often will help clear up acne
Reality:Many people still believe that acne is caused by dirty skin. The truth is, washing alone will not clear up or prevent acne. Washing does, however, help remove excess surface oils and dead skin cells. Many people use all kinds of products, including alcohol-based cleansers, and scrub vigorously, only to irritate the skin further and worsen their acne. Washing the skin twice a day gently with water and a mild soap is usually all that is required. However, acne is actually caused by a variety of biologic factors that are beyond the control of washing. For that reason, you should use appropriate acne treatments for the acne.


Myth: Stress causes acne
Reality:Stress may have an effect on hormones and theoretically can promote acne, Stress can have many physiologic effects on the body, including changes in hormones that may theoretically lead to acne, but is not a very important factor. An effective acne treatment regimen is more powerful than a bout of stress any day. If the acne is being treated effectively, stress is not likely to have much impact on the majority of people. Better spend your time determining the right course of acne treatment rather than feeling guilt about stress.

Myth: Masturbation or sex causes acne
Reality: No, Don't believe the hype.

Myth: The sun will help get rid of acne
Reality: Many patients feel that sunlight improves their acne lesions and go to great lengths to find sources of ultraviolet light. The sun may work in the short-term to hasten the clearing of existing acne while reddening your skin, thus blending your skin tone with red acne marks. However, a sun tan is actually skin damage. Sun exposure causes irritation which can make acne worse. In addition , ultraviolet light in sunlight increases the risk of skin cancer and early aging of the skin. It is, therefore, not a recommended technique of acne.

Goal of treatment

The goals of treatment are to heal existing lesions, stop new lesions from forming, prevent scarring and minimize the psychological stress and embarrassment caused by this disease. Homeopathic treatment is aimed at reducing several problems that play a part in causing acne:

· abnormal clumping of cells in the follicles
· increased oil production
· bacterial growth
· inflammation

Homeopathic Treatment

Homeopathy has more then 40 medicines for Acne. Homeopathic medicines not only cure Acne but also reduce the scarring and dark pigmentation around scars. Homeopathic medicines work very specifically on Acne according to their location on body, patients physical constitution and mental trait.