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| Hpathy Ezine - February, 2006 | |||||
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Idiopathic Thrombocytopaenic Purpura-- Dr. Dilip B. Dikshit LCEH, MICR |
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| Introduction: Dr. Dilip Dikshit, is a respected homeopath from Mumbai with wide and deep experience. These cases represent the art of perceiving what needs to be cured during the management of a complicated case, especially those where the disease has progressed and developed furthur 'complications 'due a factor that we all encounter in practice, the Drug-Disease. What this represents is deviated disease that are observed as 'complex disease' or 'multimiasmatic expression' of disease that can be traced back to early suppression due to either drugs or surgery. The method of choice for the appropriate similimum at different
points of the case management are either based on keynotes, miasmatic
totality or constitutional totality. The chief methods used for
reptorization and analysis are either Boenninghausen's, Kent's or
Bogers, depending on the characteristics in the presenting totality.
An essential attribute of the homeopathic prescriber in such situtaions
is the art of perceiving the prescriptive totality for the similimum. Case 1: Idiopathic Thrombocytopaenic PurpuraMiss S; Age: 11 years; Non-veg Diagnosis: Chronic case of Idopathic Thrombocytopaenic Purpura with repeated bleeding episodes. Recent bleeding episodes: Observation of a keynote: Movement of tongue, side to side Basis for selection of the remedy: Destruction, Bleeding tendency, Movement of tongue from side to side, Patient 'hot' during the acute episode (while constitutionally chilly). Progress notes: Lachesis 30C was administered. the bleeding stopped immediately but the patient became very anxious with a FEAR OF UNKNOWN-3. This had never been present earlier even with more severe episodes. It was interpreted as an over-dose, Lachesis 30C being too crude for the patient. After the dose of Lachesis 30C, she had one episode of Hematemesis which consisted of large clots. In subsequent episodes, Lachesis 200 was used and the 'fear' symptom did not return. However in subsequent episodes, it was observed that after the first dose of Lachesis, there was a slight aggravation or no change for about 3 hours and then the bleeding stopped. If the dose was repeated earlier, severe bleeding took place. Background: The patient was under my treatment for 2.5 years. Phos used to control her earlier bleeding episodes. Her constitutional remedy is Nat Phos and Tuberculinum was given as intercurrent. At the age of 3 years she had an attack of measles followed by purpuric rash. The post nasal bleeding started since then and she used to get < at full moon and New Moon, < draft and cold. She was treated with prednisolone and other suppressive drug therapy. At the age of 7, there was no change in her condition and as the bleeding episode continued to be frequent, splenectomy was done. After the operation, the patient was on prednisolone but this did not check the frequency or the severity of attacks. In March 1976, I started homeopathic treatment. In the last 2.5 years, there were only 2-3 bleeding episodes whereas earlier they used to occur once or twice every month.
Before Homeopathic treatment the platelet count used to be as low
as 40,000. At present, it is estimated every week. It consistently
ranges between 90,000 to 1,000,000. |
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