| “Down the ages, drugs
have been eaten, drunk, and smoked as a means of attaining a state
of narcosis with colorful and fantastic visions.”
DEFINITION: Addiction means a recurring compulsion
by an individual to engage in some specific activity despite harmful
consequences to the individual health, mental state or social life;
be it heroin or alcohol, chocolate or work, sex or church.
PSYCHOLOGY AND PATHOLOGY OF ALCOHOLISM: It was
formerly believed that alcoholism was due to some inherited weakness,
and also prevalent was the concept of alcoholism as moral inadequacy,
constituting a religious or ethical rather than a medical or psychological
problem. It is now, however, generally accepted that alcoholism
is a surface manifestation of a basic personality disturbance. In
some instances it is a form of escape for the person unable to cope
with the stress of reality. For such persons drinking is compulsive
and they will regain control over their drinking only through a
resolution of the basic personality problem. There are also apparently
some individuals who find that even a small quantity of alcohol
will destroy control over their drinking; once having started, they
are unable to stop. Possible explanations for this type of alcoholism
include: (1) Constitutional or physiological factors, which may
be of genetic origin; (2) Body conditioning or tissue changes resulting
from a long continued use of alcohol which create a situation akin
to addiction; and (3) psychological factors in which the impact
of taking the first drink breaks down the volitional resistance
to further drinking. The following are some of the diseases that
are caused by long-term alcoholism: (I) Cardiovascular disease.
(II) Alcoholic liver. (III) Fetal alcoholic syndrome and (IV) Alcoholism.
Burton, in his Anatomy of Melancholy, also states “If a drunken
man gets a child it will never likely have a good brain”.
“Woe unto the children of darkness, the sons of drunkenness
who were, nine months before their birth, an outrage on their mothers”.
Michelet.
PSYCHOLOGY OF DRUG ADDICTION: - Addiction to a
drug is usually a symptom of a basic personality disturbance. Drug
addiction, when occurring in the absence of recognizable neurosis
or psychosis, is considered a sociopathic personality disturbance.
The true addiction means that the body physiology is so altered
by the repeated administration of drug, that withdrawal symptoms
occur when the administration is not continued. Drug Addiction is
distinguished from habituation, the latter condition being characterized
by psychological rather than physiological need.
The major drug is opium and its derivatives like morphine and heroin,
although cocaine and marijuana are also widely used. Morphine and
heroin are administered principally by hypodermic injections and
in some cases smoking, eating and inhalation of the drug occurs.
Cocaine is most often sniffed but may be taken hypodermically. Marijuana
is commonly rolled into cigarettes (reefers) and smoked.
PATHOLOGY OF DRUG ADDICTION: Drug addiction is
considered a pathological state. The disorder of addiction involves
the progression of acute drug use to the development of drug-seeking
behavior, the vulnerability to relapse, and decreased or slowed
ability to respond to naturally rewarding stimuli. The Diagnostic
and Statistical Manual of Mental Disorders, 4th edition
(DSM-IV) has categorized three stages of addiction: Preoccupation/anticipation,
binge/intoxication, withdrawal/negative affect. Drug addiction differs
from drug dependence and drug tolerance.
SOME OF THE MOST COMMONLY ABUSED DRUGS: Alcohol,
amphetamines, barbiturates, benzodiazephines, cocaine, methaqualone,
opium alkaloids, etc. To day some of the drugs used by the allopathic
system of medicine for therapeutic use, e.g., steroids, anti-inflammatory
steroid drugs and anti-epileptic drugs are also cursed with severe
withdrawal symptoms.
TREATMENT:
1. Some alcoholics fall prey to criminality and addicts using hypodermic
drugs fall prey to the menace of AIDS due to the use of the same
needle. Such cases are best treated in a hospital or rehabilitation
centers. Moreover some alcoholics become highly excitable, violent
and aggressive after drinking. They may not be treated at private
clinics.
2. Only those drug addicts and alcoholics who are willing to get
rid of the menace and are ready to cooperate with the physician
can be benefited with medication.
PROGNOSIS: The prognosis is a poor one. The addict
having lost the control of his own life, sinks continuously lower
and lower, psychically as well as physically; he becomes a wreck
if not taken care of by others, goes certainly down to destruction.
However, it depends on the general health of the addict and the
type of drug and the quantity one takes, and how long one is addicted.
The addict should be willing and have a cooperative and sympathetic
family environment.
HOMEOPATHIC TREATMENT: Homeopathy too has its
role to help addicts in taking them out of this mire of addiction.
In emergencies and acute phases various homeopathic remedies can
be used on acute symptom totality. Homeopathy also offers
constitutional treatment to remove the craving, boost, general health,
vitality, self-control and confidence. After stopping drinking
it is important to eat a healthy, varied diet and to make up deficiencies
of Vitamins A, B, C, D, K, folic acid, bioflavinoids, iron, manganese,
potassium, and Cysteine (an amino acid found in dairy products,
whole grains, nuts and seeds). A high-dose multivitamin and mineral
supplement would be the most convenient way of doing this in the
first month after stopping drinking. Regular intake of all the nutrients
mentioned above is advised even for moderate social drinkers. Evening
primrose oil would also be beneficial.
Miasmatic involvement.
Syco-syphilitic miasm at the background.
HOMEOPATHIC THERAPEUTICS:
(The following remedies may be more useful where they are supported
by accessory symptoms as per aphorisms 94 and 95 and footnotes to
aphorisms 128 and 235 and the remedy administered and repeated as
per the instructions given By the Master Hahnemann in the last organon
and highlighted by Dr. Pierre Schmidt).
Angelica: In fifteen-drop doses of the tincture, three times a day has caused disgust
for liquor.
Avena Sativa: Mental symptoms from Morphine or Opium. Alcohol
and Heroin addictions. Opium, Morphine addictions. This is a specific
remedy for drug addiction. It is a sedative and tonic par excellence
for depletions. It is good for loss of initiative and will, to get
well and one will resume one” daily work.
Arsenicum album: It has visions of ghosts, with great weakness; diseases
from overuse of alcohol; patients must have their accustomed drinks;
great tremulousness and nervous weakness. Suicidal tendency and
constantly annoyed by bugs and vermin that he sees on his person
and unceasingly tries to brush them off.
Cannabis Indica: A very reliable remedy in acute alcoholism.
Some violence, talkative and active mind; subjects crowd upon it,
delusions and hallucinations related to exaggerated subjects, time,
space, etc.; face flushed, pupils dilated, perspires easily. Surprise
is constantly expressed on countenance.
Capsicum: in 10 drop doses of the tincture will stop the morning
vomiting, sinking at the pit of the stomach and intense craving
for the alcohol in dipsomania.
Ferrum Phosphoricum: Craves brandy.
Hyoscyamus: When delirium tremens occurs this is usually
one of the first remedies indicated. The delirium is constant with
loquaciousness, rarely inflammatory enough for Belladonna or maniacal
enough for Stramonium; the pulse is small, and quick and compressible,
the skin is cold and clammy, the patient is tremulous and picks
constantly at objects in the air. Marked sexual excitement, desire
to expose self and fear of poison. The visions are those of persecution,
are terrifying, and the patient makes efforts to escape. Constant
insomnia is an excellent indication; outburst of laughter alternating
with weeping may also occur. Dr. Butler says that for the production
of sleep no remedy compares with Hyoscyamus in the tincture, five
or ten drops in a half glass of water, and teaspoonful doses given
half-hourly.
Lachesis: Ill-natured, inclined to violent crimes, vindictive,
wicked, jealous, envious, induced to kill others and not himself.
Talkative, before and during drunkenness.
Nux
vomica: Nux is the great anti-alcoholic remedy. It corresponds to the tremor, to the
nervous affections, to the headache, to the bad taste. It also corresponds
to delirium tremens, where every little noise frightens and the
victim finds no rest any place, springs up at night and has frightful
visions. The tremor is marked with ugliness and irritability and
gastric disturbance. It is the remedy for the acute results of a
spree; the morning big head is often large enough for the Nux cap,
and the "rich brown" taste corresponds beautifully. It
is a remedy to be given while the patient is still under the influence
of liquor or any of the stages of alcoholism. Agaricus will
sometimes control the characteristic tremor when Nux fails.
Opium: This is a remedy indicated in "old sinners"
who have had delirium tremens over and over again. There is a constant
expression of fright or terror, they have visions of animals springing
up everywhere, they see ghosts, the sleep is uneasy, the breathing
is stertorous. It is especially indicated in those cases simulating
apoplexy.
Lachesis has visions of snakes and hideous objects. It has
a choking sensation in throat, which awakens suddenly from sleep.
Stramonium is suitable in habitual drunkards. The prevailing
mental characteristic is terror; all hallucinations and illusions
are fright and terror producing. It has visions of animals coming
at him from every corner and he tries to escape. The face of Stramonium
is bright red, not dark red as in Opium. Arsenic has
visions of ghosts, with great weakness; diseases from overuse of
alcohol; patients must have their accustomed drinks; great tremulousness
and nervous weakness. Suicidal tendency, constantly annoyed by bugs
and vermin that he sees upon his person and unceasingly tries to
brush them off. Belladonna, too has delirium with visions
of rats, mice, etc., and so has Calcarea carbonica. Belladonna
is easily distinguished from Opium, and Calcarea comes
in as a last resort after Belladonna and Stramonium have
ceased to do well.
Aconite also has worked well in the acute mania of delirium
tremens where the prevailing attitude is fear. Fears darkness, ghosts,
with the same desire to escape found under Belladonna. Ranunculus
bulbosus given in the tincture has been found to be most calming
in attacks of delirium tremens. It is undoubtedly one of our best
remedies in the treatment of acute alcoholism. Phosphorus
sees faces peering at him from all parts of the room. Cimicifuga
is useful in cases that are mentally depressed and tremor is a prominent
symptom. The delirium is mild and the hallucinations of sight relate
to small objects; there is persistent sleeplessness and physical
restlessness. Avena sativa is a valuable remedy in alcoholism
where the victim is nervous and sleepless almost to the point of
delirium tremens. It is also a useful remedy in the opium
and cocaine habits. Strophanthus has also been successfully
used.
Pulsatilla: It is a better antidote to whisky than even
Nux vomica.
Ranunculus bulbosus: One of our most effective agents for the removal of
bad effects from the abuse of alcoholic beverages. It is very useful
in acute stage of delirium tremens. It has the calming effect.
Spiritus glandium quercus: It is a good remedy as an antidote to the effects
of alcohol. It will frequently cause disgust for the alcoholic beverages.
Sulphuric acid: This is a remedy for chronic alcoholism.
It corresponds to inebriates on their last legs, who are pale and
shriveled and cold, whose stomach will not tolerate the slightest
amount of food. They can’t drink water unless mixed with whiskey.
They are quick and hasty in everything, and have a constant craving
for brandy. It suits the sour breath and vomiting of alcoholic dyspepsia.
It comes long after the Nux vomica stage.
Syphilinum: Craving for alcohol in any form. Hereditary tendency
to alcoholism.
HOMEOPATHIC THERAPEUTICS FOR DRUG ADDICTION:
Morphinism: agaricus; anhalonium lewinii; Aurum. mur.
Nat.; Belladonna; Chammomilla; Ipecacuanha; Lachesis; Macrotinum;
nux vomica; Passiflora Incarnata.
Narcotics; abuse, of: Avena sativa; Belladonna; Camphor; carbo
vegetabilis; CHAMMOMILLA; COFFEA CRUDA; Ipecacuanha; LACHESIS;
Lycopodium; NUX VOMICA; Opium; Valeriana.
Narcotics, ailments from: belladonna; carbo Vegetabilis;
chammomilla; Coffea cruda; Lachesis; NUX VOMICA.
Narcotics,
desire for: buthus australis;
chlamimydinum; opium; tabacum.
Psychotropic
drugs: androcctonus amoreuxii
hebraeus; aurum metallicum; lachesis; medorrhinum; natrum muriaticum;
natrum sulphuricum; nux vomica; peganum harmala; positronium.
Psychotropic
drugs, ailments from: arbutus
menziesii, china, sepia.
Marijuana,
desire for: rhus glabara.
Reference:
1. E. Harris Ruddock, Vade Mecum, 11th edition,
Published by The Homeopathic publishing co, London.
2. Dewey W A, Practical Homeopathic Therapeutics, 1st
Indian edition, 1960 by M. Bhattacharya & Co, Calcutta.
3. Lilienthal Samuel, Homeopathic Therapeutics, by
Join Publishing Co, New Delhi.
4. Talcott S H, Mental Diseases and their Modern Treatment,
Indian Ed., 1973, by Sett Dey and Co Calcutta.
5. Raue C G, Special Pathology, 4th Ed,
by Join Publishing Co, New Delhi.
6. Gallavardin JP, Psychism and Homeopathy. 2nd
Revised Ed., 1987 by B. JAINS, ND.
7. Kichlu and Bose, Descriptive Med., 2nd
Edition Revised and Enlarged, 1996, by B Jains, New Delhi.
8. Rai Bahadur Bishambar Dass, Select Your Remedy,
3rd Edition, 1962, by Vishwamber Free Dispensary, New
Delhi.
9. P. Ishwardas Tarkas and Ajit Kulkarni, Select
MM, Rev and Augmented Ed, 2002, By B. Jains, New Delhi.
10.
Walter J Coville, Timothy W Costello, Fabian L Rouke,
Abnormal Psychology, by Barnes and Noble, Inc., New York.
11.
Synthesis Repertory 9.2 (RADAR 10)
12.
Samuel Hahnemann, 6th edition by Boericke
William imported edition.
13.
Schmidt Pierre, Hidden Treasure of the Last Organon,
Published by B. Jains, ND.
14.
www.nlm.nih.gov/medlineplus/encyclopedia.html
15.
www.hpathy.com/disease/alcoholism.asp
16. www.dr.lockie.com/disease/alcohol.htm
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Dr. Ajit Singh Tanda
1001 Preet Nagar, Darapur Mandi, PO Tanda,
Dist. Hoshiarpur 144204
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