Role of Homoeopathy in Uterine Fibroid and Ovarian Cyst Treatment

-- Dr.G.K.Shangloo , Dr.Sharad Shangloo, Dr.Sunit Shangloo

Homoeopathic approach to the treatment of Uterine Fibroids and Ovarian cysts:

In homoeopathy we believe that the vital force is the most important, and the governing, constituent of the human being. If the vital force is deranged then only the person is sick. Vital force is intelligent. It is evident that when the vital force is encumbered with chronic disease, it adopts a plan. The plan is of developing a local malady on external part i.e the least important part solely for the object to thereby silence the internal disease , which otherwise threatens to destroy the vital organs. The vital force or the force that pervades the cells has its own intelligence. It is only because of its intelligence that the cells and tissue recognize what is harmful to it; what belongs to the internal environment and what does not; what primary steps to be taken, such as psychological defense responses; when to change the physiological defense to morphological defense; what to produce, what to accumulate in excess or what to produce lesser; which organ or tissue to destroy. It is because of intelligence that it knows which is the least important organ, for example skin; and above all, it is this very intelligence which induces the body to produce pain, sensitivity, or a growth or ulcer so it can draw attention of outsiders and to make it known that all is not well within.

Miasm have clear mentals. In sycotic minds there is impending fear of being finished or destroyed. There is a false projection onto the exterior; not reflecting the interior is part of a shrewd, sly, maneuvering tack. The whole mentality is based on selfish motives and gratification of urges. Thus cowardice, fragility, fears, hiding, cover-up, projections, façade, thick skinned, hoarding, accumulation of money, treasures, showmanship, cunningness, slyness, shrewdness, maneuvering, political shamelessness, self centeredness are some of the rubrics which can describe the sycotic mentality.
Here we also have to understand whether the patient has a sycotic mentality or not. If yes we have to understand whether it is of sycotic excess or less.

In sycotic excess the person indulges in over expression and over projection. These are applied to expression, will, intellect, emotions, morals, etc., and will give us a sycotic excess trait. Thus sycotic excess has traits like loquaciousness, dictatorial, profuseness of thoughts, over expressive and intelligent. Quick perception, theorizing, high achiever, slyness and non-conscientiousness. Behavior patterns in sycotic excess is exaggeration, or expression, deceitfulness, slyness, show off or false show pseudoism. Modern religious gurus and politicians fit very well into this description. They indulge in aberration, departure from what is true, right and correct.

In sycosis, less there is under use of intellect, under willed, under expressed and under growth of intellect. Thus in such persons adaptability is conspicuously lacking. There is under expression of one’s self, indisposed to talk, secretive, reserved, under expression of will. These people compromise easily, they recognize but do not move. They are quiet, reserved, introverts, desiring obscurity and solitude. And they suffer from indigestion.

The significance of determining the dominant miasm helps us to determine the similimum. Even though the symptoms will indicate an appropriate remedy for permanent dissolution of fibroid or ovarian cyst a miasmatic remedy is required as a main remedy or as an intercurrent remedy.

Every individual defends according to his underlying miasm. All the emotions and intellect are defensively oriented and evolved. Thus various traits of an individual will reflect the miasm ruling her at that stage. The reactions to situations will be completely different in different miasms because the defensive method is different.

Hahnemann states that miasm is the root of all diseases. Mordern pathology also confirms that cell defense response is of three types .Hahnemann’s description of itch as psora, fig warts as sycosis and chancre as syphilis match with the three basic defense of cell psychological defense, i.e. psora, constructive defense i.e. sycosis and destructive defense i.e. syphilis.

1] Individualistic.
2] Symptomatic
3] Rare uncommon Peculiar Symptoms
4] Reportorial
5] Causative

How to take case of the Patient:

Case taking is the most important part in the prescription for the case. The case should be taken by the unprejudiced mind. No medicine or a group of medicine should be presumed to be given on just the name of disease.

The body of an individual has the defense mechanism of its own. The defense has a genetic code and the genetic code decides the reactions of an individual to an action. You have to be very cautious while writing the reactions of the case.
The reactons are of two types:-

1] Physical reactions.
2] Mental reactions

Physical Reactions:

The tolerance and intolerance to various stimuli like sun, wind, rain, damp, cold, heat, noises, colors, touch, emotions, decides how the concerned individual will react in different circumstances. The reactions to the situations i.e general makeup of an individual are basically defense mechanism at work and hence defense oriented. These are influenced by genetic code.

Mental Reactions:

These reactions solely depend on the intelligence of the individual .The intellect, will, morals, etc. allows the person to react according to the needs and circumstances to form a defense. The innate character of the reactive mechanism, the attitudes and defenses, together with susceptibility, make up the mental aspect of the individual, which in turn is governed by the genetic code of the individual.

Disease pathologies are due to the three defense mechanisms at work. Like all the properties of the cell, even the three defense responses to stimuli are genetically governed. Whether the cell should inflame, indurate or ulcerate depends on the genetic code character of the cell. The physical makeup, the mental makeup ,the general makeup and the disease susceptibility of an individual depends upon defense .These makeups arise from the genetic code and are genetically governed. The whole genetic setup of an individual is designed to ensure that the mind, physique, tolerance, likes, dislikes, as well as susceptibility to diseases are designed for prolonged survival of an individual.

Points on which the emphasis should be given while case taking:

1] Character of pain is most important if it is there. Like weather it comes suddenly, or gradually. How does it subside or decrease.
2] Another thing which has to be heeded is how one gets relief in pain. Here, along with the physical modalities, thermal modalities are most important. According to Weir and Tyler.
3] Character of bleeding and color and texture of blood and clots.
4] Mental state of the patient. Especially if there is prolonged mental stress they act as obstacles of cure.
5] Past history of the patient. It helps us to clear the case in many ways.
6] Family history of the patient Generally of –Tuberculosis, Cancer, Arthritis, Asthma, Diabetes. Etc.
7] Miasmatic Constitution of the patient:

We should group the patient in dominating miasmatic tendencies. Fibroid and cysts are generally sycotic in nature. The sycotic constitution has an innate and predominant tendency to fight all the invasions whether they are pathogens, toxins or on the mental plane, i.e. emotions, by constructive defense responses of the cells and the tissue. These people are bound to get easy growths, thickenings, tumors and chronic non-resolving inflammations. Insidious diseases like diabetes, hypertension, anemia, hyperlipidaemias, ischaemias, are common at the early age. Warts ,moles, keloids throw up externally to give us an indication that the patient has entered the sycotic defense stage.

Patients get primary inflammations and go into constructive pathology easily. Wounds and injuries are deceptive, never clean cut nor do they heal neatly and clearly .They are deep inside and concealed with yellow or green coloured discharges. Deposition of pigments, hence blackening of skin or wound is a rule to this miasm.
So, there can be two forms of it:
A] Sycosis excess
B] Sycosis low
Uterine fibroids ,ovaran cysts are due to high sycosis.

7] Miasms have clear mentals:

We have to search for the dominating miasm in the patient and this can be done by studying the mental aspect of the patients. On your patient you can go into his dominant miasm not only by physical features but also having an idea about his mental symptoms. In sycotic mentals you will find that there is impending fear of being finished or destroyed. There are

Parameters of Layers in the case:

Here I would like to clarify that I am not contradicting the three miasm theory of Dr. Samuel Hahnemann. However, I put cancer , tuberculosis, vaccinations, plague, malaria and typhoid under miasm because they also have a long lasting effect and a the intercurrent medicine has to be given accordingly if required in the case.

Case Analysis:

Case analysis is not symptom analysis. No symptom in any case stands alone. Symptoms flow from a source. Suppose for example a person has pain in leg and due to that he is very depressed and there is loss of sleep. So, in this case the medicine will be given for the pain in leg not for insomnia because the pain in leg is the source or the cause. But in case of other patient who is suffering from gastric complaints and is very irritable and due to increased suppressed anger he gets a gastric ulcer. The medicine will be prescribed for gastric ulcer.

Different levels of case analysis:

There are seven different levels of case analysis :
1] Psychology – It includes mentals , emotional, cultural and social state of the patient.
2] Vitality – Vital leaks, blockage of vital energy, susceptibilities, weakness.
3] Causation – Images , time-line, stories, medical history
4] Clinical
5] Different layers of case: In any chronic case

a] Constitutional
b] Miasmatic
c] Fundamental
d] Pathological

6] Symptoms –The symptoms help us to confirm the remedy.
7] Perceiving the case. In Homeopathy we must perceive what has to be cured in the case. In every case there is a cause due to which there is a change in state of health, which produces symptoms.

a] In every case you ask your self what is most important in case?
Suppose there is a dam and due to the leakage the water is flowing from it you can not repair the leakage just by seeing the flow of water. You have to find out the leakage point in the dam.
Suppose a lady has a menopause after child birth and she is never well since. She is producing all kinds of symptoms like flushes of heat, depression. Loss of sleep, the remedy that we would like to select will be post partum antidepressant remedy, i.e a remedy, which in repertorisatin should cover basic rubrics of ailments caused from suppressed menses or menopause.

b] Symptom Analysis;

Common mistake of analyzing the symptoms separately, by predetermined hierarchies, or analyzing symptoms numerically is not the correct method.
Symptom analysis is not case analysis.
The remedy, which covers the cause, then the change in state of health, plus a few symptoms, is the perfect selected remedy.
On the contrary the remedy, which covers all the symptoms but does not covers the cause and the change in state of health will do no good.
The importance of the symptom should be determined by analyzing its place in a particular case.

Understand the structure of the individual case:

Understanding the structure of the case helps us to determine what to repertorise.

1] Chief complaints-- At times suppose the women is suffering from intense pain the medicine had to be given on the chief complaint first.
2] Cause/Etiology:
We always say in homoeopathy we treat the cause but not the symptoms. But how to find the cause.
The cause can be found in different cases in any of the following heads.

a] Mental or emotional stress or shock
b] Infection from some diseases. Like never will since typhoid, pneumonia, jaundice, suppressed skin affections.
c] Physical trauma- injury after, profuse bleeding after.
d] Toxic exposures – Suppose a lady painted her house 2 days back lead to pain in abdomen and the symptoms totally resembled colocynth. But it gave no relief. We all know that paint contains high amount of lead . Plumbum met. cured the case.
e] Vitality factors- Suppose a lady with fibroid and ovarian cyst has a husband; the husband is suffering from terminal stage of cancer. The wife serves the husband day and night. This causes loss of her vitality due to loss of sleep and over strain.
f] Excess or deficiency of any thing
g] Miasmatic factor
h] Diet and nutritional factors
i] Life style
j] Medical intervention
k] Hygiene factors
l] Sorting out layers in a case.—Draw the time lines which thing happened first It is governed by the Hering’s law of cure.
m] What are the vital layers?

Like the tree that has annual rings, some are thin, some are thick, depicting the weather and environmental factors of that year. So is the case with the disease also.
In the human body there are four different types of layers:
1] constitutional
2] Miasmatic
3] Fundamental
4] Pathological

Each layer has susceptibility and each layer has symptoms.

• Clinical or pathological layer
• Fundamental Layer
• Constitutional
• Miasmatic Layer

How to select a Remedy:

1] by assessing which symptom is to be given importance and when.

In homeopathy, much emphasis is given on mind. So, some doctors who try to collect tiniest of the tiny mental symptoms. For them, Dr. Kent had given a warning – Just because the homeopathic physician knows that mental symptoms are most important he should not hunt for a tiny mental symptom in the hay sack to open up his case. All the symptoms should have same importance as assigned to them as symptoms.

2] Elimination of useless symptoms

Many a times it happens that the remedy that we select after complete repertorisation or after assessing the rare, uncommon and peculiar symptoms does not match all the symptoms recorded in a particular case.
Here also one should keep in mind Dr.Kent’s saying –
Do not expect that the remedy that has the generals should have all the little symptoms. If the remedy has the generals it is sufficient to prescribe for a case.
Dr. Kent says nothing disturbs me as much as the long letters I get from the doctors showing me how they had wasted time on useless particulars. Common particulars are generally worthless.

3] Elimination of Medicines after Repertorisation-On the basis of thermal modalities

The British school of Homeopathy headed by Tyler and Sir John Weir advocated to first taking most characteristic symptoms carefully followed by separating medicines in hot and chilly type.
In chilly patients medicines < warmth are eliminated
In hot patients medicines < cold are eliminated.
Hence resulting in the similimum.
4] Selecting remedies without repertorization on the basis of rare, uncommon and peculiar symptoms:
This is one of the many modes of prescribing for a particular case. In this, Allen’s Keynotes are of great help. Here two or three rare, uncommon and peculiar symptoms are sufficient are enough to prescribe for a case. Here patients should verify the rare, uncommon and peculiar symptom again and again before prescribing on it.

5] Selecting intercurrent remedies on the basis of past history of the patient.
At times it happens that a well-selected remedy after complete repertorisation fails to provide complete cure to the patient when the patient is also adhering to the diet and regime advised by us. This is because there are a few obstacles to cure. Many learned physicians have described these obstacles. In case of fibroid and ovarian cyst it is found that past history, family history and causative factors act as obstacles of cure.

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Dr.G.K.Shangloo , Dr.Sharad Shangloo, Dr.Sunit Shangloo
Meera Shangloo Homoeopathic Research center
70/59 Rani Mandi Allahabad U.P India 211003
web-www.meerashangloohomeopathic.com
e mail- merashah@rediffmail.com

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