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Severe Acute Respiratory Syndrome

(SARS) / Atypical Pneumonia

-- Dr. Manish Bhatia

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------------- Dr. kamal -----------------------------------------

Dear Dr B,

Thanks again for your explanation. Here is my response:

You wrote: "So, if I have to begin my work, I would prefer to start with Chelidonium. If it fails, then I would move to other remedies." Well, you'd get chance to switch to another remedy as prophylaxis - but if the 1st remedy was of little value as prophylaxis, people would contract the infection already, and belief in the prophylactic power of homeopathic medicine would be lessened severely.

Again, you wrote: "Also, I think 'absence of a symptom' can not be a criteria to rule out a medicine, if other criteria's fit in properly. No patient can give ALL the symptoms of any given medicine." You are absolutely right. I would like to supplement your version with what Kent said in his Philosophy: "After working in an epidemic for a few weeks, you will find perhaps that half-a-dozen remedies are daily indicated and one of these in a larger number of cases than any other. This one remedy seems to be the best suited to the general nature of the sickness. Now you will find that for prophylaxis there is required a less degree of similitude than is necessary for curing. A remedy will not have to be so similar to prevent disease as to cure it, and these remedies in daily use will enable you to prevent a large number of people from becoming sick. We must look to Homoeopathy for our protection as well as for our cure." Probably, this is the core idea, very much in line with what Hahnemann did with Belladonna for scarlet fever prevention.

Now, the question remains: has Chelidonium been used with success for actually SARS affected patients so far? In fact, if we imagine the sick image of the patients afflicted with the severity of SARS (with respect to the respiratory problems) - does it call for Chelidonium instantly on one's mind? Clarke has put only two symptoms of relevance, viz: "1.Short breath and tight chest. 2.Nightly attacks of asthma with sense of constriction in region of diaphragm." All other symptoms are up to trachea, or at diaphragm, and not really severe anything. And Phatak: "Bilious pneumonia. Respiratory symptoms with liver symptoms." (also other symptoms as of Clarke).

I think, what I really want to point out - has been nicely stated by Kent: "Right-sided pneumonia complicated with liver troubles or jaundice. This remedy seems to act throughout the system but almost always along with it the liver is involved and it is suitable for what the old people and the doctors called biliousness. The patient is generally bilious, has nausea and vomiting."

I do not (rather never) intend to say, at least on the controversial topic like homeopathic prophylaxis, that someone is wrong! But our mission is the same: cure people, and save them in case of epidemics, as Kent uttered. May be, within couple of days (or weeks), we would be able to come up with the most effective SARS remedy - pointing towards its capability of being the prophylaxis.

All the best for you.

Dr Kamal.

------------ Dr. B's Reply --------------------------------------

Thanks again Dr. kamal. I do understand that it is necessary that the prophylaxis that we administer should be able to prevent the disease or some beliefs will get shaken. But the big question is how do we know beforehand that a remedy will work? We can only judge the action of a medicine after administration. When Kent wrote those words, they had the opportunity to work on such epidemics. These days how many homeopaths will get a chance to work on a known SARS case? How many have worked 'in field' in this outbreak? I doubt many! So Kent's words can only be applied if we test a probable group of remedies in field. This whole exercise has been to work out that probable group. But unless and until we get to work on large number of cases in the field, it will not be possible for anyone to make definite judgments regarding the prophylaxis issue.

Regarding Chelidonium and severity of respiratory problems. Firstly, Clark is just one author and it does not list all the symptoms. Have a look at Allen's encyclopedia. There are hundreds of symptoms indicating the severity of respiratory oppression. Having said that I must say that although the current illness is termed as 'Severe Acute Respiratory Disorder', but not all cases become 'serious' or have 'acute' respiratory difficulty. Actually, only 15-20% go that way. The current illness can range from symptoms of acute flu to severe pneumonia and respiratory failure. With most people it remains on the lighter side. So what do we give more focus to while choosing a prophylaxis - 'flu-like' symptoms which are found in all cases or 'severe dyspnoea' which is found in much smaller percentage of cases and that also in later stages? We give more focus to symptoms at the start or the symptoms at the end? I had these questions in mind in the beginning too and chelidonium appealed to me as it covers symptoms of both the stages equally well. Anyway, I am not dogmatic about chelidonium. I do agree that some other medicine (aconite, sulphur, tuberculinum, spongia, carbo veg, bryonia etc have been suggested by others) may work out to be a better choice. I have just presented my own analysis.

I invite further comments on this.

Dr. Manish Bhatia


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