Homeopathic approach in Acute Cases

Acute – OBSERVATIONS

Approach: To find the indicated Remedy

• Present Predominating symptoms• Location• Sensation• Modalities• Concomitant• Mind Symptoms• Characteristics

Indicated remedySeries of remedies

Deep acting remedy

Nosodes and Anti Miasmatic : Medo, pneumoccocinum

Quick acting specific : Aspidosperma,

aconite Ferox and others

Out of box: Sarcodes, individualisation

case of Covid 19 Pneumonia Treated at Home only with Homeopathy

A 51 year old man, staying In Gujrat Detected with Covid - 19 Pneumonia

With Complaints of Fever ,body pain ,headache ,cough ,vomiting

Symptoms

Fever had came four five days back with vomiting

Body painHead HeavinessVomiting only for one time Vomiting of only bile sour

Fever heat body Heat Forehead and abdomen Thirst was there during fever No covering desire during fever

In general whole body pain

Head pain Above eyebrows pain Above eyebrows pains was more During fever agg Pressure amel

Perspiration - Forehead Cold perspiration on forehead

Dry cough is there Very occasionally

Weakness is there since two days Weakness in lower limbs below knee

Feels like lying down and sitting

Analysis

What to Focus at

What is individualisation in this case • Heat in forehead • Perspiration forehead • Cold sweat • Craving • Desire uncovering

Boger BoeninghausenCharacteristics repertory

• 8 diff Repertory

6c- organ remedy – Blatta – asthma 30 c –physical – common 200- medium - characerst

1m- Physical + mental 10 M – lack reaction

50 M / CM – cases admitted Hospital

Veratrum Album 200

Six hourly

Follow up First day after remedy

Spo2 -96-97%Fever was there in morningAfter medicine it got settled **Fever was less then yesterday **

There was pain in both upper and lower limbs **But pain was less then yesterdayCough is there occasionally Head pain above eyebrow pain is thereThis pain is same **Pressure amel the pain

Rx same

Follow up second daySPo2-96-97%

BetterNo fever since yesterday morningDry cough occasionallyForehead pain is same at isAbove eyebrow pain same Pain is therePressure amel Pressing with finger amel the pain Body ache is also better Weakness is there slight Appetite is normalSleepiness is more Feeling like to lie down Thirst is normal

Rx continue

Follow up third day

SpO2 is 97 -98%

No fever since two daysHeadache is also lessCough is still thereCough dry Weakness is also betterBody pains are also there Generally better

Follow up forth day

Spo2 97 -98%

No coughNo fever No body achesNo headacheMuch better Generally betterAppetite better

CASE COVID 19 – Admitted in hospital ICCU

• 45 year old male patient from Belgaum• Complaint started he developed 10 days

back with fever• Fever begin with Heat, chill then sweat• Heat was more on Palms• Chill was all over the body no particular

place more or less• Sweat was also all over no particular

direction

Present complaint of:

• Cough with breathlessness , no fever• Expectoration is difficult to come out• Colour: White• Paroxysm: 2-3 times• Aggravation: lying on left side, while passing

urine or stool he holds up his chest it causes pricking pain

• Amelioration: lying on right side, passing flatulence or eructation

• Along with it there is lots of acidity• Complaint of heaviness all over the

abdomen with burning pain in oesophagus• Aggravation: eating solid food it is causing

burning in oesophagus can eat only liquid food

• Amelioration: Passing gas and flatulence

Physical Generals:• Thirsty• Appetite increased wants liquid food• Urine : N• Stool: N• Cravings: None• Perspiration: face shoulder• Sleep: unrefreshing - He haven't 2-3

month properly no night sleep

• Position: right• Dreams: No• Hands and feet normal to touch

Mind:• He looks hard and arrogant but soft from

inner• He is dictator• Leadership• He never expresses his emotion• He is very strong• He is positive about disease that he will be

fine soon• No fear or anything

Effect of this problem:

• Nothing much he says I will be out soon• And will cope up all the situation

• Past history: Psoriatic arthritis Rt leg

• Family History: Father CA scrotumMother CA

• Sp02: 82%• Pulse : 100/min• RR: 25-30/min

Analysis

How to analyse

• Agg Lying left side – respiratory • Better flatus > right side • Dictatorial • Dominating • Hopeful

• Miasm – hopeful – psoric

Analysis:

Mind + Physical

Rx- Lyco 1m6 hourly

Follow up: Day 1• Started feeling better• Asked for food• Pulse: 72/min• Spo2 without oxygen : 90%• With oxygen: 95%• Could turn his body little side wise which he was

not able to before• Sleep was disturbed• Difficulty in breathing reduced by 20%• Burning in throat reduced by 20%

Follow up : 3rd day

• Had his meal little• Temperature : N• Difficulty in breathing was reduced 40%• Sleep was proper• Thirst : N• Patient felt much better then before• SPO2: without oxygen : 92%• Pulse: 74/minute• Was feeling fresh

Could expectorate cough littleBurning in throat reduced by 40%

Follow up : 7th day

• Had his meal properly• Difficulty in breathing reduced by 60%• SPO2: 96%• Pulse : 72/minute• Started talking with family member• Was able to sleep properly• No burning in throat

Follow up : on 10 th day

• Cough is reduced by 80%• Difficulty in breathing reduced by 75%• SPO2: 98%• Pulse : 76/minute• Was discharged from hospital and was asked for

home quarantine• No burning in throat

Follow up after 15 days

• No cough• No difficulty in breathing• Appetite Normal• Thirst Normal• Doing his daily activities

1st Day 3rd day 7th Day 10th Day 15th DayBreathles

sness+++ ++ + No

breathlessness

No breathles

snessSleep disturbe

dgood good good good

Burning in throat

+++ ++ + No burning

No burning

Cough +++ ++Could

expectorate little

+Cough

reduced

No cough No cough

case of Covid 19 Pneumonia and patient is chronically suffering from Cracks of soles and Palms

A 55 year old lady Detected with Covid Pneumonia

Main chief complaint is Nausea and Fever is there till 99 - 100 °F (fever is not continues Since they are checking it So daily once it is keeping on thermometer and it gets better automatically)

It's not coming daily

Taste is less in mouth since eight days

Nausea feelingNo vomiting Nausea is there Abdomen cramping Abdomen cramping with nausea Taste bitter in mouth during fever

Fever heat below chest Thirst is less Expectoration is there thick very mild Yellow yesterday today white Cough is there very mild Cough with expectoration

Rx Ipecac 200 two times a day for two days

Follow up after two days

Feeling better *Now normal *Nausea is better then earlier **Weakness is better Appetite is also improved ** Headache is also better **Fever is also not there since two days **Sp02 saturation 98-99 normal **Cough was there slight in morning **Thirst is less **As such no complaints for now

Follow up after two days

37 % dmage Headache was there In morning *Slight Chills and Nausea was also there in morning *Morning (4:15 am Nausea agg)

It got better after eating at 5 am Was not liking fan Chills Nausea headache in the morning *

After eating it got amel ***Doesn't covering during Chills Only switched off fan and cooler **Headache and Nausea after eating amel ***

In diffcult acute acute Totality

chronic totality acute is oppurtunity treat

the chronic state

ANALYSIS

petroleum 30 c four pills two times for 7 days

30 – Physical

Follow up after three days

Today discharge from hospitalNo Nausea No fever Weakness better Appetite is OK No cough *Sp02 is normal *Burning in feet is also better Feeling better

Even cracks on palms and feet got better

Learning

Acute can be a good opportunity to treat chronic state

Before

After

Allopathic Dr Working in Covid 19 Centre detected with Covid with extreme prostration and weakness

Allopathic Dr Working in Covid 19 Centre detected with Covidwith extreme prostration

Aged 24 years

Fever since four days Cough cold since three daysSaturation normal

Stiffness in body.Weakness **Was posted in covid department

Exertion was very much Was working 16 hours a dayWhole body Soreness Weakness

Nausea was there during fever Loss of appetite Nausea while waking up in the morning aggEating amel Emaciation loss of weight during fever

Blurred vision always during fever (everytime it happens during fever after exhaustion from work) Weakness was very much during fever Body stiffness fever Dorsal neck stiffness fever

Weakness and Tiredness and eyes are felt more weak during feverRest amel the weakness

Cigratter coffee tea makes it more worst weakness **(stimulants)

When exhausted always first there is blurr Ness of vision

Doesn't requires covering during feverHeadache continues fever during Temples pain during fever Inspiration cold air agg the headache agg, Only one time he had Chills Upper part of the body Covering Fever, cold, cough Agg by inspiration cold air

Cold and cough Cough with expectoration Cough agg by inspiring cold air Expectoration - Whitish Thick

Leg pain Calf pain is countinues Especially at night

Heat in soles now also there Covering is must (in childhood while going to sleep Covering it used to amel Has to cover feet then only he gets sleep Uncovering agg leg pain Covering amel

Desire - cold drinks *****now ***Carbonated drinks more ****Desire-Cold coffee **, cigarettes (which agg)Never had drink cold drinks but now very much ***craving

Mentals

Now just working Not other activities ****Nature -more angry **(main easy Irratibilty ****)More sensitive My staff, senior not working goodAnger

Main thing weakness

exhaustion chills

cold drinks covering irritable

Weakness exertionacid

Phosphoric acid 30 od 7 days

Follow up first day

There has been no spike of fever Weakness improved by 10%but then too feeling much weak Occasional Bouts of cough Desire craving Sleep is less Fatigue still persist Cough and cold Body ache Soreness still there Not so significant improvement

Rx Phosphoric acid 30 Bd now

Follow up after 3 days

Weakness improved by 40-50%No spike of fever Cough and cold lessSoreness and stiffness better Appetite improvedSleep is lessBody ache is less Sp02 - NormalVitals stable

Follow up after seven day

No fever Weakness 90%better No new symptoms No cough, no cold Body ache is also better Vitals stable Generally feeling better Sleep is fresh Appetite good and improved.

Case – Covid Pneumonia

Male patient of name Mr.A.B of age 66 came with complaints of

Breathlessness++Granting BreathlessnessNoisy breathing++ (on additionally O2)Dropping of eyelid, looseness of eye lid.

< Talking, exertion, coughing> Lying down with head high

Pneumonia patch in left lower lobe

He is calm

Positive

Worried about business and work ,who will see after business..?,

Lots of work is pending.

Cautious about Health.

State of Mind:

Physical Generals :-Thirst :- Thirsty, likes only warm water, he don't like to eat and drink of hospital food, because it is very oily.

Stool :- no complaints

Urine :- no complaints

Thermally :- cold agg

Perspiration :- on trunk

Sleep :- snoring while sleep, acute sleep, noise disturbs him.

Body cold to touch +

Co morbidity :-Renal stone in both kidney.

Before two days of Feverhe was normal RobustCommanding

During Fever:-

Fever with weaknesses+

Fever with heat only++

Didn't wanted to talk+

Wanted to be quite

Calm, lying down

Analysis

When I used BBCR Repertory to analyse this

case

ARSENIC ALB comes up in Repertorise Generally arsenic patient is very anxious and Restless

This was contraindicating feature here

Also – Breathlessness symptoms were pointing towards another state

This is when one start looking at different Salts of Arsenic ( out of Box )

Salt salt arsant

Antim-Ars 1mLife Saver of a Remedy

Concomitant-Swelling face, conjuctivitis

Sciatic pain wander in Sciatic nerve

KEYNOTESEmphysema/AsthmaRestlessnessWhite coated tongueThirst frequentWeakness, feels like lying down

State of mind

Homoeopathic Inhaler

Medicine given :-Antim ars 1m, 4 pills, 6

Hourly for 7 days.

Follow up after 24hrs20% improved after 24 hrsCough was reduced by 20%Breathless improved by 20%Patient was able to sleep for some time

Follow up after 3days :Patient has improved by 40%Grunting reducedDifficulty in breathing reduced Breathlessness only on exertion and talking.Tachypnoea rescued Dropping of eye lid reduced Additional support of O2 rescuedThirst improvedAppetite improvedState of mind , little calmer as compare to before.

Follow up after 7 days :

Follow up after 1monthAfter one month Patient improved wellNo difficulty in breathing , neither on exertion More then 95% improvement O2 was maintained between 96 to 98% No coughNo breathlessness

1st day 3rd day 7day 1month

Breathlessness

20% 40%

State of mind ,much better and relax, because of speedy recovery, was very thankful to Homoeopathy

, because he could see other patients who was admitted couldn't get discharge from hospital but he got early discharge from hospital , thoguh there was

much symptos previously.

When all remedy Coryza and throat –strep 1m – 2 times 2 days – then const• Eye • Nose • Palate

Steam inhalation- eucaly

Pranayama – Yoga

Acon,all-c, caust, Dros, cina

Throat pit: Rumex

Tub Avis, Sticta, Antim -Sulp

Calc-p, Lob-S, Sepia

Camph, Chel, Nat-S,Ox-acid, phos, sulph, Tub

Apex:Calc-c, Kali Iod

Ant-t, Iodum, Phos, Sulph, Kali Carb, Kali Bi, Merc, Cheli, Lyco

02 – LEVEL GO LOW

• 5 REMEDIES • 1 Aspidosperma / querbacho – 6c • 2 ANTIM ARS 1m • 3 CARBON REMEDIES • 4 NOSODES- miasm – MEDO • 5 CONSTITUINAL REMEDY

Carbon Remedies:Kali CarbPerspiration Never well pneumoni Post covid 02Low

Carbo Veg 1m / 10 m

Carbo AnimalisOld people 0 2

Pix Liquida Carboneum-Oxygenatum

Late stage

Antim Tart – flapping alae naise- white tongue Opium- snoring Carbo veg- cold sweat fanning Nosode ( esp Tub Aviare, Medo) Pyrogen- pulse temperature – shiny tongue Craboneum Oxygenum

High potency in 10M/50M

Sometimes need to alter it

Clinical TIP - Post CovidSyndrome

1. Indicated remedy2. Phosphoric acids – LM 1 daily 21

days 3. Kali Sulph 30 2 times 15 4. Antim Ars5. Nosodes6. Sulphur 30 - few symptoms 7. Out of box : Thyroidinum and

others

Aspidosperma 6 c / 30 c

Repertories:• BBCR• Clarke• Roberts• Phatak• Boericke• Others

System /kingdom Miasm

Check MM source book to get Exact Remedy

gauranghg@gmail.com

You Tube Channel –500 videos Homeopathic Hub

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E BOOK – about how to treat acute cases – if you write me what was your learning today

Books:

Nosodes and Sarcodes workshop

Website:www.drgauranggaikwad.

com

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Namaste from india

Slide Number 1Homeopathic approach in Acute Cases Slide Number 3Slide Number 4Slide Number 5Slide Number 6Slide Number 7Slide Number 8Acute – OBSERVATIONS Slide Number 10Slide Number 11Slide Number 12Approach: �To find the indicated Remedy���Slide Number 15Slide Number 16Slide Number 17Slide Number 18Slide Number 19Slide Number 20Slide Number 21What to Focus at What is individualisation in this case Boger Boeninghausen Characteristics repertory Slide Number 25Slide Number 26Slide Number 27Slide Number 28Slide Number 29Slide Number 30Slide Number 31Slide Number 32CASE COVID 19 – Admitted in hospital ICCU Slide Number 34Present complaint of:Slide Number 36Physical Generals:Slide Number 38Mind:Effect of this problem:Slide Number 41Analysis How to analyse Slide Number 44Analysis:Mind + Physical Rx- Lyco 1m �6 hourly�Follow up: Day 1Follow up : 3rd daySlide Number 50Follow up : 7th dayFollow up : on 10 th dayFollow up after 15 daysSlide Number 54Slide Number 55Slide Number 56Slide Number 57Slide Number 58Slide Number 59Slide Number 60Slide Number 61Slide Number 62In diffcult acute �acute Totality �chronic totality �acute is oppurtunity treat the chronic state Slide Number 64Slide Number 65Slide Number 66Slide Number 67Slide Number 68Slide Number 69Slide Number 70Slide Number 71Slide Number 72Slide Number 73Slide Number 74Slide Number 75Slide Number 76Slide Number 77Slide Number 78Main thing �weakness �exhaustion �chills �cold drinks �covering �irritable Slide Number 80Weakness exertion�acid Slide Number 82Slide Number 83Slide Number 84Slide Number 85Slide Number 86Case – Covid Pneumonia Slide Number 88Slide Number 89Physical Generals :-Co morbidity :-�Renal stone in both kidney.�During Fever:-Analysis When I used BBCR Repertory to analyse this case Slide Number 95Slide Number 96Slide Number 97Salt �salt �ars �ant Slide Number 99Slide Number 100Slide Number 101Slide Number 102Concomitant-Slide Number 104Slide Number 105Sciatic pain wander in Sciatic nerveKEYNOTESState of mindSlide Number 109Homoeopathic InhalerSlide Number 111Slide Number 112Medicine given :-�Antim ars 1m, 4 pills, 6 Hourly for 7 days.�Follow up after 24hrsFollow up after 3days : Follow up after 7 days : Follow up after 1monthSlide Number 118State of mind ,much better and relax, because of speedy recovery, was very thankful to Homoeopathy , because he could see other patients who was admitted couldn't get discharge from hospital but he got early discharge from hospital , thoguh there was much symptos previously.Slide Number 120Slide Number 121Slide Number 122Slide Number 123Slide Number 124Slide Number 125Slide Number 126When all remedy Coryza and throat – strep 1m – 2 times 2 days – then const �Steam inhalation- eucalyPranayama – Yoga Slide Number 130Slide Number 131Slide Number 13202 – LEVEL GO LOW Carbon Remedies:Late stageClinical TIP - Post Covid SyndromeAspidosperma 6 c / 30 c Slide Number 138gauranghg@gmail.comYou Tube Channel –500 videos Homeopathic Hub E BOOK – about how to treat acute cases – if you write me what was your learning today Books:Nosodes and Sarcodes workshopWebsite:Slide Number 145Namaste from india