Diabetes Mellitus and Homeopathy

INTRODUCTION

Diabetes mellitus is a disease which is known to everybody nowadays. It is to be noted with astonishment that DM has an attracting global importance as it is rocking the world as a non-infectious epidemic/pandemic. “SUGAR” is the common name given to DM by the Indian layman. Actually, it comprises a group of common metabolic disorders that share the phenotype of hyperglycemia (increased level of glucose in blood plasma). Nowadays, it is one of the leading causes of morbidity and mortality because Diabetes mellitus causes secondary pathophysiologic changes in the multiple organ system. Most likely, the complications of DM are adult blindness; non-traumatic lower extremity amputations (diabetic foot); end stage renal disease (ESRD); neuropathy etc. In the forecoming days it is presumed to be increasing day by day due to an increase in factors contributing to hyperglycemia, which may include dietetic irregularities, metabolic dysfunction, lack of exercise, stress, and busy lifestyle. As concerned about the cure of DM by Homoeopathy, it could be possible in the early stages but we can at least assure to give a peaceful and prolonged life to a diabetic patient.

ETIOLOGICAL CLASSIFICATION

Recent studies in the etiologies and pathogenesis of Diabetes mellitus lead to a revised classification. Recent changes in classification reflect an effort to classify DM as the basis of the pathogenesis process leading to hyperglycemia, as opposed to criteria such as age of onset or type of therapy. Some forms of Diabetes mellitus are characterized by an absolute insulin deficiency or a genetic defect leading to defective insulin secretion, whereas other forms share insulin resistance as their underlying etiology. Diabetes mellitus has two broad categories designated as type1 and type2.

TYPE 1 Diabetes mellitus (previously designated as IDDM): Type 1 DM is categorized into two subgroups, i.e., type 1A and type 1B. Type 1A results from autoimmune ß cell destruction, which usually leads to insulin deficiency; where as type 1B DM occurs due to lack of immunologic marker inductive of an autoimmune destructive process of the ß cells. Type 1 DM is hereditary in character and develops before the age of 30 years. The patient is young, lean and thin, and has an absolute requirement for insulin therapy.

TYPE 2 Diabetes mellitus (previously designated as NIDDM): Type 2 DM is characterized by a variable degree of insulin resistance, impaired insulin secretion, and increased glucose production. Type 2 DM more typically develops with increase in age; it also occurs in children, particularly in obese adults. It does not require insulin therapy.

GDM: This type of Diabetes mellitus is recognized during pregnancy. It is due to insulin resistance related to its metabolic changes.

MODY: It is a subtype of Diabetes mellitus is characterized by autosomal dominant inheritance, early onset of hyperglycemia and impairment in insulin secretion. It is also divided into MODY1, MODY2, MODY3, MODY4, and MODY5 according to genetic defect of beta cell function characterized by mutation in Hepatocyte nuclear transcription factor (HNF), glucokinase, HNF1 a, insulin promoter factor (IPF), HNF1 ß.

OTHER CAUSES:

• Drug or chemical induced Diabetes mellitus: Some drugs such as Nicotinic acid, Glucocorticoids, Thyroid hormones, Diazoxide betaadrenergic agonists, Thiazides, ß blockers etc causes DM.
• Endocrinal Diseases: This includes Hyperthyroidism, Hypersecretion of Adrenal cortex, Hyperpituitarism, Cushing’s syndrome, Pheochromocytoma, Acromegaly, Somatostatinoma.
• Diseases of Pancrease: This includes Pancreatitis, Cystic Fibrosis, Hemochromatosis, Pancreatopathy, Cancer of pancreas, Pancreactectomy.
• Other Genetic Syndrome sometime associated with DM like as Down’s syndrome, Klinefelter’s Syndrome, Turner’s syndrome, Huntington’s corea.

RISK FACTORS FOR TYPE 2 Diabetes mellitus

• A strong family history
• Obesity
• Age = 45 years
• Previously identified IFG or IGT
• History of GDM
• Hypertension (Blood pressure = 140/90 mmHg)
• HDL cholesterol level = 35 mg/dl
• Triglyceride level > 250 mg/dl
• Polycystic ovarian syndrome

EPIDEMIOLOGY

The prevalence of Diabetes mellitus in adults was 4 percent worldwide; this means that over 143 million persons are now affected. It is projected that disease prevalence will be 5.4 percent by the year 2025, with global diabetic population reaching to 300 million. The rising prevalence of Diabetes mellitus in developing countries is closely associated with industrialization and socioeconomic development. Diabetes mellitus, a chronic disease once though to be uncommon in the developing world has now emerged as an important public health problem in Asia. An estimated 30 million persons in South-East Asian region are affected at present. It is estimated that by the year 2025 there will be nearly 80 million diabetics in the region- the highest among all WHO regions. Thus, the South-East region will bear the maximum global burden of the disease. The result of prevalence study of DM in India was systematically reviewed with emphasis on these utilizing the standard WHO criteria for Diabetes mellitus diagnosis. The prevalence of disease in adults was found to be 2.4 percent in rural and 4-11.6 percent. This indicates the potential for further rise in prevalence of DM in the coming decades. It is estimated that during 1997 about 102,000 persons died of DM in India with about 1,981,000 DALYs.

PATHOGENESIS

The pathogenesis of each type of Diabetes mellitus is different and discussed separately.
TYPE 1: This type of DM is characterized by an absolute lack of insulin, which is why patient always wants insulin. It is previously called as IDDM. The absolute lack of insulin is due to the beta cell destruction. There are three main mechanisms responsible for beta cell destruction that is genetic susceptibility, autoimmunity, and environment insult. These factors of genetic predisposition and environmental insult causes unnecessary immune response against normal functioning beta cells. This immune response triggers the auto immunity, which causes beta cell destruction. When complete destruction of beta cells occurs, no insulin secretion occurs in the bloodstream that causes type 1 Diabetes mellitus.

TYPE 2: Type 2 Diabetes mellitus is characterized by decrease in beta cell secretion of insulin or a decrease response of the tissues to respond to insulin, i.e. insulin resistance. The main factor involved in the pathogenesis of type 2 Diabetes mellitus is environmental factor. Obesity is one of the most important cause although genetic predisposition is also important which causes deranged insulin secretion and cause hyperglycemia. This hyperglycemia causes ß cell exhaustion and decrease in insulin secretion. Other metabolic disturbances cause reduced responsiveness of tissues to insulin action called as insulin resistance. It is a major factor in the development of type 2 Diabetes mellitus.

Gestational Diabetes mellitus (GDM): GDM is a prodromal form of type 2 DM being unmarked by pregnancy. Pregnancy is associated with insulin resistance that necessitates an increase in insulin production to maintain euglycemia (a normal insulin concentration of glucose in blood). Placental hormones that rise late in pregnancy induce the insulin resistance in GDM. Gestational Diabetes mellitus itself is typically found late in the second or early third trimester. Some studies suggest that there is an exaggeration of the pregnancy induced insulin resistance in GDM, but it appears that the major determinant of whether a woman develops DM is likely insulin reserve. This reserve is blunted in women with GDM. In severe GDM an element of glucose toxicity supervenes which may further blunt the insulin sensitivity. The elevated free acids that are also found in GDM may be a further cause of insulin resistance as may be a manifestation of the disease process itself. Thus, GDM is similar to type 2 DM with insulin resistance and impaired insulin secretion, and persistence of these abnormalities postpartum contributes to the increased risk of type 2 DM in the long term.

DIAGNOSIS

New revised criteria for the diagnosis of DM from the expert panel of WHO and National Diabetes Data Group emphasize the FPG as the most reliable and convenient test for diagnosing Diabetes mellitus in asymptomatic individual.
Glucose tolerance is classified in to three categories based on the FPG
• FPG < 110 mg/dl is considered as normal
• FPG = 110 mg/dl but < 126 mg/dl is defined as IFG (Impaired Fasting Glucose)
• FPG = 126 confirm the diagnosis of DM

IFG is a new diagnostic category analogous to IGT, which is defined as the plasma glucose level between 140mg/dl and 200mg/dl, 2 hour after a 75gm oral glucose load.

A random plasma glucose concentration = 200 accompanied by classic symptoms of Diabetes mellitus, for example polydipsia (increased thirst), polyuria (increased micturation), polyphagia (increased appetite), weight loss is sufficient for the diagnosis of DM.

The two-hour plasma glucose commonly referred to post parendial is still a valid mechanism for diagnosing DM but is not recommended as a part of routine screening.

CLINICAL FEATURES
Type 1 DM Type 2 DM

Increased thirst
Increased micturation
Weight loss in spite of Increased/normal appetite
Fatigueness
Nausea
Vomiting

Increased thirst
Increased micturation
Increased appetite

Blurred vision
Slow healing infections
Fatigueness
Impotency in men

MIASMATIC BACKGROUND

Diabetes mellitus comprises the pseudopsoric miasm. The pseudopsoric miasm is also known as Tubercular miasm. It is a combination of both Psora and Syphilitic miasm. Tubercular miasm is usually characterized by a “problem child” i.e. slow in comprehension, dull, unable to keep a line of thought, unsocial, morose. He/she gets relief from offensive foot or axillary sweat which when suppressed often induces lung troubles or some other severe disease. The patient's mental symptoms tend to be ameliorated by an outbreak of an ulcer. The slightest bruise suppurates; the strong tendency is to the formation of pustules. As a general rule, the patient is very intelligent, keen observer and a programmatic planner who wants his life always busy but possesses a sedentary lifestyle.

INDICATION OF MIASM

As the miasm progress and predominates, weight loss, depreciation and destruction are the first indication of this miasm. Other indications are cosmopolitian habits, mentally keen but physically weak. Symptoms are ever changing. Rapid response to any stimuli (e.g. any slightest change of weather or atmosphere). Emaciation instead of taking proper diet and drink, tendency to cough and cold easily, desire and craving for unnatural things to eat, with desires and cravings for narcotics such as tea, Coffee, tobacco and any other stimulants have often their origin in psoric or tubercular miasm. They sometimes have constant hunger and eat beyond their capacity to digest or they have no appetite in the morning but hunger for other meals.

COMPLICATIONS OF Diabetes mellitus

The complications of Diabetes mellitus are categorized into two main groups i.e. Acute and Chronic complications. The acute complications are due to metabolic disturbances. These include DKA (Diabetic Ketoacidosis) and Nonketotic Hyperosmolar state.

The chronic complication are also categorized into two broad groups

1. Microvascular complications: These include Ophthalmic Disorders (Retinopathy, Macular edema, Cataract, Glaucoma), Neuropathy (Peripheral neuropathy, Sensory and Motor polyneuropathy), and Nephropathy (ESRD).
2. Macrovascular complications: These include Coronary Artery Diseases (CAD), peripheral vascular disorders, and cerebrovascular diseases.
3. Other complications include Gastroparasis, Diarrhoea, Uropathy, Sexual dysfunction and Dermatologic complications like eczema, cellulites, and gangrene of distal part of limbs (Diabetic foot).

MISAMATIC DISCUSSION ON COMLICATIONS OF Diabetes mellitus

As I discussed in the "miasmatic background" section, DM has a psorosyphilitic background. As the syphilitic miasm becomes predominant the complications arise. The acute complications are of the psoric character because they have metabolic disturbances while the chronic complications are associated with syphilitic background or as a result of a mixture of two. As the strong syphilitic character is going to destruction and degeneration it leads to mixed miasmatic diseases. These diseases are more difficult to cure especially when they go to irreversible changes. When the syphilitic miasm is dominant in the condition of chronic complications the condition should become violent. At this stage the individual needs a complete Miasmatic and Therapeutic treatment.

MANAGEMENT

Before we are going to start treatment of DM, it is very essential to know about proper nutrition and exercise plan for diabetic patient to reduce the prevalence and incidence of complications. It must also include preventive plan for an individual.

• Diet and Nutrition plans
• Exercise plans

DIET AND NUTRITIONAL PLAN:

Proper nutritional management or food plan is essential for better glucose control. This in turn helps to reduce the risk of diabetic complications. Daily consistency regarding the types of food including in the meal, their nutritional information, and the time at which they are consumed will help to normalize the blood glucose levels.

The common meal planning tips are:

• Avoid saturated fats and oils; instead of that use unsaturated oils found in olive oil, nuts, and canola oil
• Moderate salt and salty food consumption, especially when high blood pressure is present.
• Watch the amount of protein-rich food.
• Incorporate high-fiber food such as grains, raw vegetables and fruits (fruit is better than the fruit juice).
• Spread your daily carbohydrate intake through the day. Don’t eat too much carbohydrate at any time.

EXERCISE PLAN:

Physical activity is recommended for everyone. It should take place any time when a person can and is willing. The minimum time recommended is about 30 minutes; three or more times a week. Activity can include moderate walking and household chorus, such as gardening and cleaning as well as jogging, biking, dancing and other sort of exercises.
The benefits of exercise include:

Improved blood sugar control
Weight loss
Lower blood pressure
Lower cholesterol level
Improved circulation

Improved muscle strength and tone
Improved digestion and appetite control
Better sleep
Improved mood, attitude
Increases energy level

When starting an exercise plan, be sure to warm up, set a comfortable pace, wear good shoes and drink plenty of water. Make it as enjoyable as possible without overdoing it. A good partner will make it easier to commit to it. Be cautious with the duration and intensity of the exercise; then gradually increase the length of the activity by a few minutes every week.

WHEN NOT TO EXERCISE:

• If you are ill.
• In extreme heat or cold.
• During peak insulin action times.
• If your blood sugar is high exercise will usually help bring it down; but if your blood sugar is over 250mg/dl do not prefer exercise.

TREATMENT

As Homoeopathy is not a science of therapeutics, it is concerned with totality of symptoms or individuality. As regarding the cure of DM by homoeopathic medicine, the individual needs the complete miasmatic and constitutional therapy in the very early stage.

MIASMATIC TREATMENT:

If we are going through complete miasmatic study of the individual in early stages then we can easily find out about the disease for witch an individual is prone to suffer. Then, we can apply the antimiasmatic therapy as a preventive measure which causes a decline in the tendency for the progression of the miasm.

The main antimiasmatic remedies for Tubercular miasm are:

“A” Grade: Agar, Ars-i, Aur, Bac, Calc-c, Calc-p, Car, Hep, Iod, Kali-c, Kali-p, Lyc, Med, Nat-s, Phos, Puls, Sep, Sil, Stann, Sulp, Thuj, Zinc.
“B” Grade: All-c, Ant-i, Ars, Bap, Bar-m, Bry, Bufo, Calc-s, Carb-v, Chin, Dulc, Kreos, Nat-m, Nit-ac, Ph-ac, San, Sep.
If family history presents: Carc, Sacch, Thuj.

THERAPEUTIC TREATMENT:

I found over 50 remedies for DM but when totality of symptom agrees every medicine from Materia Medica can be employed. However, only a smaller group is employed most frequently such as -

Acetic acid (Glacial acetic acid) 6, 30: Large quantity of pale urine, unquenchable thirst, and great debility.
Abroma augusta (Olatkambal) ?, 2X, 3X: Frequent and profuse urination, dryness of the mouth and great thirst, urination leads exhaustion, Fishy odour of the urine, Diabetes mellitus and insipidus.
Argentum metallicum (Silver) 6, 30, 200: Polyuria, frequent urination, urine profuse at night, turbid and sweetish odour, restless sleep, frightful dreams, edematous swollen feet, flatulent distention of abdomen.
Arsenicum album (Arsenic trioxide) 6, 30: Urine scanty, burning albuminous, ascites, all prevailing debility, restlessness, burning thirst, drinks often but little at time.
Codeinum (An Alkaloid from Opium) 3X, 3: Sugar in urine, quantity of urine increased, great thirst, it is said to control disease.
Cephalandra indica (Telakucha) ?, 1X, 3X: DM and insipidus with profuse urination; weakness and exhaustion after urination; sugar in the urine.
Gymnesa sylvestre (Meshasringi or Gurmar) ?, 3x, 6: Is almost specific for DM called as “Sugar Killer” diminishes sugar in urine; Profuse miturition loaded with sugar, extreme weakness after passing large quantities of urine. Polyuria; day and night.
Helleborus (Snow-rose) 3X, 3: Frequent urging to urinate but small quantities emitted, profuse urination, urine pale and watery, dropsical swelling.
Helonias-Chamailirium (Uricorn-root) ?, 6: DM and insipidus, urine profuse and clear, phosphatic and albuminous, great thirst, restlessness, profound melancholy, irritable, boring pain across the lumbar region.
Insulin 3X, 6X: Supposed to be specific and useful in case of carbuncles resulting from DM.
Lacticum acidum (Lactic acid) 6, 30: Frequent passing of large quantities of sugar in urine, great thirst, rheumatic pains in joints.
Natrum Phosphoricum 6X, 12X and Natrum Sulphuricum 3X, 12X, 30: They are of great value in diabetes. Profuse urination, urine loaded with bile, lithic deposition in urine, sedentary habits especially when there is a succession of boils.
Phosphoricum acidum (Phosphoric acid) 2X, 30: Frequent and profuse watery urination, milk-like urine, great debility.
Phosphorus 3, 30: DM in phthisis in impotency, urine contain large amount of salt in the morning and excess of sugar in the evening.
Plumbum metallicum (Lead) 6, 30: Urine frequent, scanty, albuminous, low specific gravity.
Rhus aromatica (Fragrant sumach) ?: Large quantity of urine, urine pale, albuminous, specific gravity low.
Syzygium Jambolanum (Jambol seeds) ?: It has a specific action in diminishing and causing to disappear the sugar in urine, great thirst, and weakness, urine in very large quantities, specific gravity high. Ten drops to be taken twice or thrice daily.
Uranium nitricum (Nitrate of Uranium) 3X, 30: Profuse urination, debility, acid in urine, incontinence, unable to retain urine, excessive thirst, diarrhea of the dyspepticus.
Terebinthinum (Turpentine) 3, 6: Profuse, cloudy, smoky, and albuminous urine, sediments like coffee grounds, haematuria.
Other valuable medicines are: Arsenicum iodatum; Aurum metallicum; Boricum acidum; Bryonia alba; Chamomilla umbellate; Chionanthus virginica; Coca (Erythroxylon coca); Crotalus horridus; Curare; Iris versicolor; Kreosotum; Morphinum; Nux vomica; Pancreatinum; Silicea terra; Strychninum arsenicosum.

DIABETES

What is Diabetes insipidus?

A form of diabetes resulting from a deficiency of vasopressin (the pituitary hormone that regulates the kidneys); characterized by the chronic excretion of large amounts of pale dilute urine which results in dehydration and extreme thirst.

Diabetes - Treatment & Homeopathic Medicines

#Uranium nitrate. [Uran]
This remedy is praised highly by Hughes and others in diabetes originating in dyspepsia. It has polyuria, polydypsia, dryness of the mouth and skin. It causes sugar in the urine. Dr. Laning said that no remedy gives such universally good results; it lessens the sugar and quantity of the urine; he recommended the 3X trituration. It is when the disease is due to assimilative derangements that Uranium is the remedy, and symptoms such as defective digestion, languor, debility and much sugar in the urine, enormous appetite and thirst, yet the patient continues to emaciate. Syzygium jambolanum is a remedy capable of diminishing the amount of sugar in the urine, especially when used in the tincture and lower triturations, and some cases have been reported cured, but it cannot be considered a reliable drug , and its use seems entirely palliative.

#Phosphoric acid [Phos]
corresponds to diabetes of nervous origin; the urine is increased, perhaps milky in color and containing much sugar. It suits cases due to grief, worriment and anxiety, those who are indifferent and apathetic, poor in mental and physical force. It is unquestionably curative of diabetes mellitus in the early stages, great debility and bruised feeling in the muscles. There will be loss of appetite, sometimes unquenchable thirst and perhaps the patient will be troubled with boils. When patients pass large quantities of pale colorless urine or where there is much phosphatic deposit in the urine it is the remedy. It thus may be a remedy in the form known as diabetes insipidus. Hering considered Plumbum one of the most important remedies in diabetes mellitus. Causticum, Scilla and Strophanthus may be of use in diabetes insipidus. Lycopodium cured a case in a weary, wretched patient; emaciated, increased appetite and great thirst; pale, profuse urine. Eight quarts in 24 hours.

#Phosphorus. [Phos]
Useful in diabetes and pancreatic diseases, especially in those of a tuberculous or gouty diathesis. The pancreatic involvement will call attention to Phosphorus. Natrum sulphuricum corresponds to the hydrogenoid constitution, with dry mouth and throat,and Arsenicum should be studied in diabetic gangrene, thirst and emaciation. Sudden and extreme dryness of the mouth and marked physical restlessness are also guiding symptoms to this remedy, especially with a dark watery stool. Dr. P.Jousset reports positive success where the mouth is dry; frequent, abundant urination and tendency to skin eruption.

#Lactic acid. [Lact]
An exceedingly good remedy in the gastrohepatic variety of diabetes and good results often follow its use. It has a fine clinical record. The symptoms are: urinates copiously and freely, urine light yellow and saccharine, thirst, nausea, debility, voracious appetite and costive bowels. Dry skin, dry tongue, gastralgia. Acetic acid is also a valuable diabetic remedy, and it has passing of large quantities of pale urine, intense thirst, hot, dry skin and marked debility Carbolic acid may also be found useful.

#Bryonia. [Bry]
Should not be neglected in this disease. No remedy has dryness of the lips as a symptom of hepatic disorder more marked than Bryonia, and this is often one of the first symptom of diabetes. There is a persistent bitter taste, the patient is languid, morose and dispirited, thirst may not be extreme nor the appetite voracious, the patient may lose strength through inability to eat. Podophyllum has a bitter taste, but the tongue is flabby. It may be of use in the disease. Chionanthus is a remedy used by the Eclectic School upon the indications of thirst, frequent and copious urine; constipation with stools light colored, devoid of bile. Functional liver disorders. Argentum metallicum. Hahnemann suggests the use of this remedy in diuresis, it is decided use in diabetes insipidus. The urine is profuse, turbid and of sweet odor. Micturition is frequent and copious. Natrum sulphuricum. Hinsdale reports good results with this remedy. It has polyuria, intense itching of the skin, especially upon the upper surface of the thighs. It is the Tissue Remedy of diabetes.

#Insulin. [Insulin]
Long before the discovery of Insulin Dr.Pierre Jousset of Paris prepared a pancreatic juice on a glycerine basis which he administered to diabetic patients in doses of 10 or 20 drops a day in water and had results sufficiently good to consider pancreatic juice, orally administered, as a remedy of great value in diabetes. Dr. Cartier, his practical successor, praised it insisted on smaller doses given by mouth as larger doses and hypodermic injections of it had no effect in ordinary diabetes. Baker advises the homoeopathic strengths of Insulin 3d to 30th and reports happy results therefrom. Great care must be taken not to overdose. Boericke says that it maintains the blood sugar at a normal level and the urine remains free of sugar. Epileptic convulsions and mental derangements have been produced by hypodermic use of this hormone.

Homeopathic Remedy for Diabetes: Syzygium j.Q (Mother Tincture), 8 - 10 drops,

Dosage: 4 Hourly.

Homeopathic natural Diabetes Cure Remedy Syzygium j.Q is primary remedy recommended to control the blood sugar level in diabetic patient.

Homeopathic Remedy for Diabetes: Uranium Nit. 3X,

Dosage: 4 Hourly.

Homeopathic natural Diabetes Cure Remedy Uranium Nit. is recommended by the homeopath in case of emaciation is marked in diabetic patient.

Homeopathic Remedy for Diabetes: Acid Phos.Q or 6X

Dosage: 4 Hourly.

Homeopathic natural Diabetes management Remedy Acid Phos.Q is given when the diabetic patient is suffering from nervous weakness. In case, the symptoms of Diabetic men are that he feels lethargic, listless and overall weakness.

Homeopathic Remedy for Diabetes: Natrum Mur 12X or 30

Dosage: 4 Hourly.

Homeopathic natural Diabetes Control Remedy Natrum Mur is given under the pronounced symptom of excessive thirsty feeling among the diabetic. Also when the diabetic patient is suffering from wasting disease, if the person is feeling sad and in presence of constipation.

Intercurrent Homeopathic remedy for Diabetes: Medorrhinum 200 to be taken fortnightly. Number of Doses being three.

Homeopathic Remedy for Diabetes: Cephalandra Ind. Q (mother tincture), 5 -10 drops.

Dosage: 4 Hourly.

Homeopathic natural diabetes relief Remedy Cephalandra Ind. Q is given when diabetic patient is suffering from of general powerlessness, feeling very thirsty, passing more urine, with frequent occurrence of boils along with problem of diabetic itching.

Homeopathic Remedy for Diabetes: Gymnema Syl. Q., 5 - 10 drops

Dosage: 4 Hourly.

Homeopathic safe and natural diabetes cure medicine Gymnema Syl. Q is given in case of problem of general incapability in diabetic patient. When the diabetic person complains of excessive thirst along with dryness in mouth along with the problem of urination more frequently at night and in large quantity. This natural remedy can also be administered when there is complain of pruritus vulvae without eruptions.
Sulphur.
Phosphoric acid.
Phosphorus.
Nat.sulph.
Nat-mur.
Lactic acid.
Syzygium jambolinum.
Uranium nitrate.
Helonias dioca.

Sulphur
Hot patient.
Desire for sweets.
Desire for warm food.
Appetite ravenous
Thirst profuse.
Stool early morning.
Urine involuntary.
Sleep disturbed
Dream vivid
Wound healing delayed
Laziness
Untidy.
Burning palms and soles.

Natrum mur.
Hot patient.
Desire salt.
Aversion milk.
Sweat from palms and soles.
Appetite increased.
Thirst profuse.
Constipation.
Desire to be alone.
Consolation <
Fear of robbers.
Fear of thunder storms.
Obssessiveness.
Desires bitter.

Phosphoric acid
General nervous debility.
Apathy.
Rest aggravates.
Chilly patient.
Creeping, tingling and crawling sensation over the whole body.
Falling of hairs from all over the body.
Any attempt to use the mind brings on headache.
Disappointed love.
Milky white urine.

Phosphorus
Chilly patient
Desire for cold drinks.
Aversion for sweats.
Ailments from being alone.
Amorous disposition.
Anxiety about future.
Anxious dreams.
Cloudy urine.

Uranium Nitricans
Depression, sadness, melancholy.
Tendency for anger.
Ailments from grief, sorrow etc.
Albuminuria with Cardiac problems.
Emaciation.
Appetite excessive.
Thirst increased for large quantities.
Urination involuntary < night.
Impotence with seminal emissions.

Lactic acid
Voracious hunger.
Increased thirst.
Profuse urine.
Association rheumatic pains.
Trembling of the whole body while walking.
Aggravation from smoking.

Helonias Dioca

Contradiction intolerance of.
Dullness, sluggishness and difficulty in comprehension
Company and conversation aversion to.
Mania to work.
Riding or motion aggravates.
Dropsy with albuminuria.
Gestational diabetes.
Aversion and aggravation from open air Emaciation.

Syzygium jamb.
Prickly heat eruption especially on upper part of the body.
Old non healing ulcers.
Profuse urine great thirst.
Glycosuria.

COMMON COLD

Euphrasia

Profuse acrid lachrymation, with profuse bland coryza (reverse of Allium Cepa). Short-acting remedy: very useful in catarrhal affections without fever. Sneezing; fluent bland coryza with acrid tears Eyes worse open air, and wind.

Allium Cepa

Begins sneezing, with increasing frequency. Watery discharge drips from nose; excoriates lip and wings of nose. (Ars., Arum trip.) Rawness in nose; copious lachrymation. Fluid from nose excoriating: from eyes bland. (Reverse of Euphrasia). Generally begins left side and goes to right. Every year in August (Naja) morning coryza with violent sneezing: very sensitive to odor of flowers and skin of peaches. Spring coryza: Hayfever in August every year on rising from bed, and handling peaches.

Arsenicum

Discharge burns a red streak over upper lip and about wings of nose, with sneezing and profuse, watery nasal discharge The typical Ars. patient is anxious, restless, often asthmatic, when his worst hour is soon alter midnight. Sneezing a prominent symptom, but sneezing no joke. Starts from tickling in one spot nose; after sneezing tickling as bad as before. Hay asthma.

Arum Triphyllum

A prickling sensation that cannot be left alone. Pinches and pricks, and bores into the nostrils, however sore. A dreadful catarrh. Nose stopped, worse left side. Sneezing worse during the night. Fluent acrid coryza, with lachrymation usually bland. (Comp. Allium Cepa.) Fluid from nose, produces rawness, smarting, burning: leaves red streaks as it flows over skin'. (Ars.) - KENT.

Arsenicum Iodatum

Hay fever with fetid, corrosive discharge. Discharges excoriating, thick and yellow, resembling honey. (Graph.)

Kali Iod

Violent sneezing, acrid, watery discharge. Worse cool air, worse open air: but patient feels better in open air: i.e.: finds no quarters for relief. Frontal sinuses involved with the coryza; much pain in forehead, eyes, cheekbones.

Carbo Veg

Frequent sneezing, with constant violent crawling and tickling in nose; lachrymation and biting pain in and above nose. Ineffectual desire to sneeze, with crawling in left nostril. Watery discharge, and sneezes day and night. Suffers from heat: is chilled by cold: sweats in a hot room. No comfortable place.

Ranunculus

Eyes smart; lips burn and are sore. Nose stuffed, especially evenings, with pressure root of nose and tingling and crawling inside. May attack posterior nares: hawks and swallow in effort to scratch affected part. (Comp. Wyeth.) Hoarseness: stitching pains chest: muscles sore.

Silica

begins with itching and tingling in nose. Violent sneezing and excoriating discharge. Itching in posterior nares, or orifice of Eustachian tubes. (Ars., Sil., Wyeth.)

Natrum Mur

Squirming as from a small worm. Watery discharge from eyes and nose. Severe coryza, had to lay a towel under nose. Woke with headache; after rising nasal discharge with violent and frequent sneezing. Loss of taste and smell: cough from tickling in throat pit. Lachrymation acrid; canthi red and sore. Characteristics: Worse in sun; desire for salt in hay fever, better at seaside. Recorded case, cured by a swim in the sea.

Zincum

Frequent sneezing starts with cutting-crawling in nose, without coryza; or fluent coryza; sensitive nostrils; crawling in nose; frequent sneezing. Itching in left nostril: in right: followed by frequent sneezing. Much burning in eyes. Itching. Photophobia. Overworked; over-excitable; extremely over-sensitive. (Nux.) Characteristic: Burning whole length of spine: fidgety feet; relief with menstruation.

Bromium

Fluent coryza with frequent violent sneezing. Corrosive soreness under and margins of nose. Right nostril more affected. Aversion to smoking: to drinking cold water.

Gelsemium

Sneezing: hot face: feeling of great weight and tiredness in whole body and limbs. Violent morning paroxysms of sneezing: tingling in nose. Watery, excoriating discharge. Curious symptom, a feeling from throat up to left nostril, like a stream of scalding water.

Nux Vom

Distressing prolonged paroxysms of sneezing. Excessive irritation in nose, eyes. face; - Heat as if a hot iron plate were near it. Itching extends to larynx and trachea. Nux is very irritable: very sensitive to cold.

Dulcamara

Nostrils stopped up, cannot breathe through nose. (Lach) Constant sneezing, profuse watery discharge from nose and eyes. Worse open air: better in closed room: worse near newly cut grass: better at Seaside. (Nat.mur.) Eyes swelled and full and most affected, then nose, then again eyes. Dulc. cannot stand cold and wet: worse from chill when hot.

Psorinum

A sort of continuous hay fever, runs all the year and ripens up in the Fall. Catarrhal state of eyes and nose. Nose dries up part of the time and runs part of the time: must continually use handkerchief. "Hay fever a difficult condition to fit a remedy to; constitution must be built up before hay fever will cease" - KENT. Must wrap up in hottest summer. Wants head covered. Skin greasy, oily, looks unwashed.

Sabadilla

Spasmodic sneezing: fluent coryza. Nostrils stuffed up: inspirations through nose laboured: snoring. Itching in nose; bleeding from nose. (Zinc.)Violent sneezing; with copious watery discharge. Severe frontal pains and redness eyelids. Very sensitive to smell of garlic.

Arundo Mauritanica

KENT gives this drug in black type in the Repertory for Hay Fever. Hay fever begins with burning and itching of palate and conjunctiva. Coryza with snuffling. First water runs from the nose, later green mucus. With sneezing, pieces of indurated greenish mucus. Itching, burning, dryness of Schneiderian membrane. Curious symptoms, when sneezing, stitches in loins.

Wyethia

Peculiar itching in roof of mouth (Arund.), for relief patient must draw tongue back and forth over soft palate; with this coryza, sneezing, etc.

Kali Phos

Hay fever, said to be prophylactic. Itching in posterior nares. Sneezing ; at 2 a.m. Eyes burn, sting, swim in tears. Tongue coated like stale brownish liquid mustard.

Sanguinaria

Rose colds in June. Sensitive to flowers and odors. Hay fever with burning in nose, throat - dry: as if mucous membranes would crack open. Dry burning in larynx with hoarseness of chest with asthma. Palms dry, burning, wrinkled. Burning palms and soles: puts them out of bed. (Sulph., Puls., Cham., Med.)

Naja

Much sneezing: water runs from nose: cannot lie down at night; dryness of air passages of nose. Hay fever. Suffocative attacks in August. (All. Cepa.). Like Lach. wakes suffocating gasping, choking. Rawness of trachea and larynx, as if excoriated.

Lachesis

Paroxysms of sneezing worse after sleep even in the day time. Headache extending into nose, with frequent and violent paroxysms of sneezing. Mucous membrane or nose thickened: dry stuffed sensation through head: face red, puffed: eyes seem almost pressed out. Red, sore nostrils and lips. Lach. is purple: sleeps into aggravation; throat sensitive to touch or pressure.

Sticta Pulmonaria

Constant need to blow nose, but no discharge results on account of dryness. Nose is stuffed up; secretion drying so rapidly it cannot be discharged. Almost constant sneezing; tingling right side nose. Fullness right side forehead to root nose. Excessive dryness of soft palate. Tickling high up in pharynx.

Sinapis Nigra

Mucous membrane of nose dry and hot: worse afternoon and evening: one nostril affected, or alternate nostrils. Nose swollen, stuffed: discharges a thin acrid mucus. (Ailanthus.) Eyes suffused, itch, smart .

Homeopathic treatment for Arthritis

Most of the major homeopathic remedies are useful to treat arthritis. Homeopathic remedies to relieve immediate pain and joint stiffness may include Rhus toxicodendron or Bryonia. What remedy is selected depends on the symptoms. Some homeopathic remedies include:

Aconitum: 3X, every hour in rheumatic subjects with fever, restlessness, anxiety.

Actea spic - The arthritis is centered in the hands and feet. Joints are painful and swollen.

Apis mellifica: 3X for much swelling, little pain.

Arctium: 6X, every four hours for pain in joints, co

Arctium: 6X, every four hours for pain in joints, colalgia, neuralgia.

Arnica montana - The person is in denial. Denies that anything is wrong and prefers to be left alone. Is nervous and overly sensitive. The person may be suffering from rheumatoid arthritis related to cold, damp conditions. Soreness and bruising are problems.

Belladonna - The pain strikes suddenly. The person does not like stimulus of any kind. The afflicted joints are swollen and red. The pain is "sharp" and related to chills or getting wet.

Berberis vulgaris: 1X, every four hours for chronic synovitis of the knee.

Bryonia alba: 3X for pain worse with movement, part sensitive to touch.

Calcarea carlionica-ostrearum - The person is fearful and confused. Suffers from rheumatoid arthritis affecting the shoulders and upper back, which is made worse with wet or damp conditions.

Chamomilla - Useful when the person is angry and restless. The pain is severe.

Cimicifuga racemosa - The person is overly talkative and restless, appearing to be alternately happy and miserable. The pain appears more in the muscles than in the bones.

Dulcamarta: 3, hourly for subacute rheumatism due to cold and wetness.

Hepar sulphurls calcareum: 6, four d when suppuration has taken place.

Kalmia latifolia: 3 T 3h for acute nonfebrile rheumatism with migratory pains.

Mercurius: 12, every two hours for pain and swelling of joints, worse at night, profuse sweat, pericardial complications.

Mercurius sulphuricus: 6, every four hours for rheumatic synovitis.

Pulsatilla nigricans: 3X, every hour in women and children with pain worse by heat, better by cold.

Rhus toxicodendron - The person is apprehensive and depressed, particularly at night. Lack of movement causes pain and stiffness. F

Sulphuricum: 1-30, every two hours when the pains are worse at night, by warmth.

Rheumatoid Arthritis

Homeopathic Remedies

Homeopathic remedies are useful in relieving the pain and stiffness associated with rheumatoid arthritis. A constitutional remedy is often the best approach for dealing with chronic conditions.

Arnica: Useful for chronic arthritis with a feeling of bruising and soreness. The painful parts feel worse from being moved or touched.

Aurum metallicum: This remedy is often prescribed for wandering pains in the muscles and joints that are better from motion and warmth, and worse at night. The person may experience deep pain in the limbs when trying to sleep. Also may feel discomfort that may wake the person up. People who need this remedy are often serious and focused on work or career, with a tendency to feel depressed.

Bryonia: Helpful for stiffness and inflammation with tearing or throbbing pain, made worse by motion. The condition may have developed gradually, and is worse in cold dry weather. Discomfort is aggravated by being touched or bumped, or from any movement. Relief can be had from pressure and from rest. The person may want to stay completely still and not be interfered with.

Calcarea carbonica: Helpful for deeply aching arthritis involving node formation around the joints. Inflammation and soreness are worse from cold and dampness, and problems may be focused on the knees and hands. Common symptoms are: weakness in the muscles, easy fatigue from exertion, and a feeling of chilliness or sluggishness. The person who benefits from Calcarea is often solid and responsible, but tends to become extremely anxious and overwhelmed when ill or overworked.

Causticum: Useful when deformities develop in the joints, in a person with a tendency toward tendon problems, muscle weakness, and contractures. The hands and fingers may be most affected, although other joints can also be involved. Stiffness and pain are worse from being cold, and relief may come with warmth. The person often feels best in rainy weather and worse when the days are clear and dry.

Calcarea fluorica: Helpful when arthritic pains improve with heat and motion. Joints become enlarged and hard, and nodes or deformities develop. Arthritis after chronic injury to joints also responds to Calcarea fluorica.

Dulcamara: Indicated if arthritis flares up during cold damp weather. The person gets chilled and wet. They are often stout, with a tendency toward back pain, chronic stiffness in the muscles, and allergies.

Kali bichromicum: This is useful when arthritic pains alternate with asthma or stomach symptoms. Pains may suddenly come and go, or shift around. Discomfort and inflammation are aggravated by heat, and worse when the weather is warm.

Kali carbonicum: Arthritis with great stiffness and stitching pains, worse in the early morning hours and worse from cold and dampness, may respond to Kali carbonicum. The joints may be becoming thickened or deformed. People who can benefit from this remedy often have a rigid moral code, and tend to feel anxiety in the stomach.

Kalmia latiflora: Useful for intense arthritic pain that flares up suddenly. The problems start in higher joints and extend to lower ones. Pain and inflammation may begin in the elbows, spreading downward to the wrists and hands. Discomfort is worse from motion and often worse at night.

Ledum palustre: Arthritis that starts in lower joints and extends to higher ones are candidate for this remedy. Pain and inflammation often begin in the toes and spread upward to the ankles and knees. The joints may also make cracking sounds. Ledum is strongly indicated when swelling is significant and relieved by cold applications.

Pulsatilla: Applicable when rheumatoid arthritis pain is changeable in quality, or when the flare-ups move from place to place. The symptoms (and the person) feel worse from warmth, and better from fresh air and cold applications. Can benefit people who are emotional and affectionate, sometimes having teary moods.

Rhododendron: Strongly indicated if swelling and soreness flare up before a storm, continuing until the weather clears. Cold and dampness aggravate the symptoms. Discomfort is often worse toward early morning, or after staying still too long.

Rhus toxicodendron: Useful for rheumatoid arthritis, with pain and stiffness that is worse in the morning and worse on first motion, but better from continued movement. Hot baths or showers, and warm applications improve the stiffness and relieve the pain. The condition is worse in cold, wet weather. The person may feel extremely restless, unable to find a comfortable position, and need to keep moving constantly. Continued motion also helps to relieve anxiety.

Ruta graveolens: Arthritis with a feeling of great stiffness and lameness, worse from cold and damp and worse from exertion, may be helped by ruta graveolens. Tendons and capsules of the joints can be deeply affected or damaged. The arthritis may have developed after overuse, from repeated wear and tear.

Arthritis

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