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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

CCRH Workshop: Diabetes Mellitus and its Homoeopathic Treatment, Aug 98, Delhi
NATIONAL JOURNAL OF HOMOEOPATHY 1999 Jan / Feb VOL VIII NO 1.
Reported by
Dr Subhash Arora

Editor: The NJH stand vindicated! In the same month that we had the Vth SSMS on Behavioral Disorders, we received this report plus an IIHP circular on the code of conduct for Homoeopaths which includes clinical examination, investigations, diagnosis and referral even to an allopath colleague.

NJH has been propagating theme issues and theme seminars - both of which give a comprehensive coverage of the topic - including the diagnostic and prognostic parameters as being of equal importance in the Homoeopaths' armamentarium. This has been getting us brickbats off and on, even from within our own ranks, saying that NJH stresses on Allopathy. We have been carrying on despite this, because of a firm conviction in this holistic approach. Yet it does strengthen the case to get outside support, thou inadvertent in this classical case of "ghar ki murgi dal barabar".
Thank you CCRH for this support through this 3 full day work shop on DIABETES.

Central Council organized a three-day Workshop on Diabetes Mellitus and its Homoeopathic Treatment for Research in Homoeopathy (CCRH) from 10-12 August 1998, with grant in aid from World Health Organization, held at JLNBCAH Bhawan, CCRH headquarters, Janakpuri, New Delhi.
Dignitaries Present:

  • Smt Shanta Shastry, Secretary, Dept of Indian Systems of Medicine and Homoeopathy (ISM and H), Ministry of Health and Family Welfare, Govt of India.
  • Shri Pradeep Bhargava Joint Secretary, Dept ISM and H
  • Dr T Walia, WHO's Special representative in India.
  • Shri Kanwar Rajinder Singh, Director, ISM and H
  • Dr S P Singh, Deputy Advisor (Homoeo)
  • Dr Khalid Siddiqqui, Director CCRUM - Unani Medicine
  • Shri Naresh Kumar, Director, CCRYN - Yoga and Naturopathy
  • Dr R K Manchanda, Asst Director (Homoeo) Govt. of Delhi.
Participants: 70 - scientists of CCRH, MO - Delhi Administration dispensaries, Teaching staff, Nehru Homoeopathic Medical College and private practitioners. AIM: To update diagnostic and management skills in Diabetes Mellitus, with reference to case taking and homoeopathic therapeutics, in order to improve documentation of cured cases in practice.

Day 1: Topics covered: Epidemiology, etiology, pathophysiology, laboratory investigations, clinical features, special problems related to Diabetes Mellitus and objective of clinical research, complications, prevention and dietetic management. Presentations by:
Dr B K Ram, Head of Dept of Medicine - University College of Medical Sciences and Guru Tegh Bahadur Hospital, Delhi;
Dr S K Agarwal, Prof and Head of the Dept of Medicine - Maulana Azad Medical College and Lok Nayak Jaiprakash Hospital Delhi.
Dr Varsha Satvik, Hon Pathologist - Regional Research Institute for Homoeopathy, New Delhi and
Dr Tajinder Kaur, Faculty Member - National Institute of Public Cooperation and Child Development, New Delhi.
Remedies for symptoms and complications of D M by Dr R K Kapoor, Paper based on animal experimentation entitled "Screening of Homoeopathic drugs for hypoglycemic activity: an experimental approach" carried out at Homoeopathic Drug Research Institute (HDRI), Lucknow presented by Dr Sunil Kumar.
Four laboratory technicians from CCRH units, engaged in clinical research on DM, gave practical sessions in laboratory diagnostic and prognostic techniques at Regional Research Institute of Homoeopathy, New Delhi.
The aim of this training was to maintain uniformity.

In his welcome speech Dr D P Rastogi, Director CCRH, thanked WHO for providing financial aid. Diabetes mellitus, uncommon 20yrs ago, is rampant now. WHO estimates 143 millions affected throughout the world, which will rise to 300 million by 2025.
Countries with highest incidence: China, India and United States.
Homoeopathy has contributed significantly towards improvement of health of people of our country through its intrinsic merits of being harmless, cost effective and ability to cure long continued diseases from their roots.
He briefed participants about results of study based on animal experimentation undertaken at HDRI, Lucknow in 1986:
Hypoglycaemic activity of Abroma-augusta Q, Syzygium-jambolanum Q, Cephalandra-indica Q and Absinthium D1/Resina laricis D3 (Weleda) were determined in alloxan induced diabetes mellitus in albino rats. This study has shown that Cephalandra-indica Q did not show any toxicity and stabilized blood sugar level even after withdrawal.
Trial: in mother tincture at CCRH. There was evidence that Homoeopathic medicines could:

  1. Control blood sugar levels
  2. Prevent and control complications like renal failure, retinopathy, peripheral vascular disease etc.
  3. Reduce dosage of allopathic anti-diabetic drugs, and insulin.
Dr T Walia special representative, WHO, India, highlighted WHO's efforts in controlling this growing menace. In India 95% were of NIDDM; silent disease in early stages and if undetected, presents later with complications. Therefore, necessary to identify the high risks groups and educate them. WHO fully supports Homoeopathy & the Indian Systems of Medicine which have a great potential, because of India's vast, ever increasing population, more so in rural areas and folklore beliefs.

Smt Shant Shastry in her inaugural speech hoped that the deliberations would conclude what Homoeopathy can offer for mass application. Till now no medicine found to give a radical cure without adverse effects. She said that ISM & H claimed a high rate of cure in DM without any side effects but scientific and statistical corroboration with proper documentation of these claims was a must.

Shri Pradeep Bhargava in his presidential address said that there was an immense scope of development in ISM & Homoeopathy, possible only through quality education and scientific research. He emphasized necessity to collaborate with Homoeopathic research on international level so that studies were not duplicated with wastage of funds and manpower. He urged bridging gap between CCRH and physicians - findings of research should be madee available to physicians over the world with help of technological advances- Website on Internet, Hotline etc.

Dr Tajinder Kaur discussed dietetic management: the role of diet and exercise esp in NIDDM cases as blood sugar could be effectively controlled thru diet - esp fibre in diet.

  • Formula for calculating the daily requirement of calories: desirable body weight * 30 Kcal in sedentary persons, desirable body * 40 Kcal in moderate workers body weight * 50 Kcal in heavy manual workers.
For reducing body weight in obese diabetics, she recommended reduction of 500 Kcal/day for losing half kg/wk and 1000 K cal per day to lose 1 kg/wk.

An Ideal Diet : carbohydrates 55-60% of the total caloric intake, proteins 15-20% and fats 20-25%. Avoid Alcohol - the quickest and concentrated source of energy; each milliliter of alcohol gave double the quantity of energy. She gave list of food items to avoid and a diabetic diet with details of exchanges to suit personal tastes and customs.

Afternoon session: Dr S K Aggarwal talked about two problems that merit special mention in DM i.e. Surgery and Pregnancy. (DM is a serious bar to any surgery; barred until good control obtained). Commonest surgeries related to complications: foot, ophthalmic and coronary artery disease. Since surgery acts as stress, thus inducing hyperglycaemia, insulin, most essential in protein metabolism & repair of damaged tissues, is usually given pre & post operatively. Great care needed as hypoglycaemia under anaesthesia can cause permanent brain damage.

Diabetes & Pregnancy: incidence of gestational diabetes is 1-3% and in pre-insulin era, pregnancy in diabetics was rare with maternal mortality rate of 50 % If born, infant survival rate was poor.
Hormonal alterations during pregnancy were common and also resulted in congenital malformations. The aim: keep the fasting blood sugar less than 90 mg% and PP less than 145 mg% during pregnancy. Professor Dr B K Ram covered Diabetic complications & management.

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