ICR, Silver Jubilee Seminar Feb 01, Kolhapur
NATIONAL JOURNAL OF HOMOEOPATHY 2001 May / Jun VOL III NO 3.
Dr Leena Y Shinde
24th and 25th February 2001: Kolhapur hosted the event as a part of ICR silver jubilee celebration. The ICR team included Dr Kumar Dhawale, Dr Sunil Balinge, Dr Bipin Jain and Dr Sonali Datye. The seminar was a first for south of Maharashtra.
Dr Leena Shinde welcomed and introduced the guests. Dr Dhawale garlanded the photograph of late Dr H Gaikwad and paid homage to this senior most teacher of philosophy, a principal of many colleges.
Dr K M Dhawale
Introduction of ICR, its foundation & functioning: Awareness of difficulties students face in Homoeopathic practice due to lack of a standard approach, led our Guru, the late Dr M L Dhawale, to establish the ICR. MLD, as he was affectionately called, believed in patient care, learner care and knowledge care triangle. The approach of ICR is student based. There are group disciplined discussions, sharing of ideas and synthesis. Every session ends with evaluation of what we are doing. Continuous feedback is given to action learning. This helps overcome our shortcomings and prejudices. There is a total nonhierarchical approach.
Dr Bipin Jain - presented acute cases with stress on management of acute state: how acute disease evolve, pace of the diseases, fixed general totality, sector totality, right diagnosis with clinical pathological correlation, assessment of susceptibility, sensitivity, analysis, evaluation and right remedy.
Case 1
A 24-yr old patient under treatment for Idiopathic thrombocytopenic Purpura. Constitutional remedy was Natrum-phos, intercurrent Tuberculinum-bov, Patient responded well. Acute menorrhagia & bleeding gums were treated by Phosphorous.
Patient gets repeated phone calls threatening her at night 2.30 am. She comes down with chills, chattering of teeth, high fever & pain in extremities. At 7 am she gets vague pain radiating from left to right side. Crocin helped. The diagnosis remains?
Next day she reports with pain localized in right dorsal back. Generals same. On examination: air entry down, crepitations+ and dull note on percussion.
New additional symptoms: giddiness, burning and head heavy. Voice is hoarse with very minimum throat congestion. Diagnosis - Pneumonia.
Here we see that after an acute stress a level of psyche, the susceptible host tries to resist through the nervous autonomic system first. In many cases these expressions are constitutional symptoms which come in forefront & are the first defense of the body. They are called the fixed general totality [FGT]. After localization takes place there are tissue symptoms. The FGT remain constant, whereas in ST changes according to localization for this case:
- A/F fright
- Sudden onset, rapid progress
- Heat sensation
- Weakness, unable to move
- Minimum congestion but voice hoarse
The remedy prescribed was Phosphorous 200. First generals felt better > [Herring's law].
Case: 2
A 15 year old boy got up at night, saw a doll on his T V cabinet and got frightened. At 2 am breathlessness started. He reported next day at 5 pm. with breathlessness and nose block. On examination: nose and throat showed no signs of upper respiratory tract infection.
Evaluation:
- A/F freight
- rapid onset
- breathlessness fright after
- nose block with breathlessness and no local pathology.
Kent's repertory: only 2 remedies for breathlessness fright after - Sambucus, Cuprum-met. Sambucus 200 single dose was administered and breathlessness was better within 2 hrs.
Case 3
A boy of 15 y got fever only for 2 hrs and then was afebrile. Along with fever, he got toothache, (which subsided with fever); abdominal pain, distention, nausea, vomiting, bitter taste and headache.
The characteristic symptom: Only 1 remedy for fever with toothache ie Carbo-veg which relieved. Here we see importance of characteristic symptom.
Case 4
Patient is a relative of the physician. He calls at night with sudden, rapid abdominal pain which be-came worse and within 5-10 min it was agonizing, colicky and radiating from umbilicus to right iliac fossa. Physician finds patient restless and jumping with pain aggr touch of physician or others. Face congested3. O/E tenderness, guarding.
Diagnosis: Acute Appendicitis.
Remedy: A clear Belladonna.
Here we make sense out of this picture by forming a totality:
- Pace very fast
- Restlessness
- Congestion
- pain < touch
- Pain < jar. Disease is at first stage of inflammation and circular muscles involved. This confirms our understanding of Rx.
As the disease is rapidly progressing, complications need to be avoided. With high sensitivity and susceptibility Bell 1 M every 10 minutes; repeated till response. Better in an hour.
Case 5
A patient with known allergic bronchitis. As usual his complaints were weakness, thirst decreased, evening aggravation and gradual pace of complaints. He took allopathic treatment for 2-3 days, but was not better. The same treatment used to relieve him previously. After 3 days he came to our clinic with the above generals. In addition there was fever of 103, respiratory rate 40, chest pain, bronchial breathing, air entry down, rales and patient felt better by walking.
Diagnosis: Pneumonia.
In this case we are unable to find causation. The general symptoms, which have remained same throughout, gain importance. Hence we evaluate as follows:
- Insidious pace.
- Weakness
- Thirst decreased
- Evening aggravation.
- > walking
The remedy prescribed was Pulsatilla 200 repeatedly. Patient better in 2 days. Later detailed case taking was done and constitutional remedy defined.
