rheumatoid arthritis with homoeopathy approach by dr.ankit srivastav

Objective Sign & Symptoms of Rheumatoid Objective Sign & Symptoms of Rheumatoid Arthritis with its Homoeopathy Management:Arthritis with its Homoeopathy Management:

RA is RA is persistent inflammatory synovitispersistent inflammatory synovitis,, usually usually involving peripheral joints in a involving peripheral joints in a symmetricalsymmetrical distribution.distribution.

Definition:Definition:

-Harrison’s Principle of internal medicine.-Harrison’s Principle of internal medicine.

The potential of synovial distribution is to cause cartilage destruction and bone erosions and subsequent changes in joint integrity is the hallmark of the disease.

-Harrison’s Principle of internal medicine.

•Chronic PolyArthritisChronic PolyArthritis

Insidiously development of fatigue, Anorexia, Generalised weakness and Vague musculoskeletal symptoms.

Gradual involvement of joints in symmetric fashion.

-Harrison’s Principle of internal medicine.-Harrison’s Principle of internal medicine.

•Pain in affected joints aggravated aggravated by movement,by movement, is the most common manifestation of established RA.

•Morning stiffnessMorning stiffness of greater than 1hr. duration is an almost invariable feature of inflammatory arthritis.

•Synovial inflammation causes swelling tenderness and limitation of motion.

•RA most often causes symmetric symmetric arthritisarthritis with characteristic involvement of certain specific joints such as proximal proximal interphalangeal and interphalangeal and metacarpophalangeal joints.metacarpophalangeal joints.

•Synovitis of wrist joint is a nearly uniform feature of RA and may lead to limitation of motion, deformity and median nerve entrapment (carpal tunnel syndrome)

•Synovitis of the elbow joint often leads to flexion contracture.

•Knee joint is commonly involve with synovial hypertrophy chronic effusion and ligamentous laxity.

•Pain and swelling behind the knee may be caused by extension of inflamed synovium into Popliteal space (Baker’s cyst).

•Inflammation from the synovial joints and bursa of the upper cervical spine leads to atlantoaxial-sublaxation. This usually present as pain in the occiput but on rare occasion lead to compression of spinal cord.


•Radial deviation at the wrist with ulnar deviation of digits often with palmar sublaxation of the proximal phalanges (“Z” deformity).

•Hperextension of the proximal interphalangeal joints with compensatory flexion of the distal interphalangeal joints. (swan neck deformity.).

•Flexion deformity of the proximal interphalangeal joints and extension of distal interphalangeal joints. (boutonniere deformity).

•Hyperextension of the first interphalangeal joint and flexion of the first metacarpophalangeal joint with a consequent loss of thumb mobility and pinch.


•Eversion at hindfoot Eversion at hindfoot (subtalar joint).(subtalar joint).

•Plantar Sublaxation of the metatarsal heads.

•Widening of forefoot.

•Hallux Valgus.

•Lateral deviation of dorsal sublaxation of the toes.


Extra Articular manifestation-Extra Articular manifestation-

•Rheumatic nodule develope in 20 to Rheumatic nodule develope in 20 to 30%, usually found on periarticular 30%, usually found on periarticular structure extensor surfaces or other structure extensor surfaces or other area subject to mechanical pressure.area subject to mechanical pressure.

•Clinical weakness and atrophy of skeletal muscle are common.

•Muscle biopsy may show type 2 fibre atrophy and muscle fibre necrosis.

•Rheumatoid vasculitis- Rheumatoid vasculitis can cause Polyneuropathy and Mononeuritis multiplex, cutaneous ulceration and dermal necrosis digital gangrene and visceral infraction.

•Cutaneous vasculitis usually presence as crops of small brown spots on the nail beds, Nail fold and digital pulp.

•Large ischemic ulcers, especially in the lower extremity develop.

EXTREMITIES - INFLAMMATION - Joints - synovitis Acon. Am-p. ant-t. apis arn. bell. Benz-ac. Berb. bry. calc-f. calc-p. calc.

canth. caust. ferr-p. fl-ac. Hep. iod. kali-c. kali-i. led. lyc. merc. myris. phyt. puls. rhus-t. ruta Sabin. sep. sil. slag staph. Stel. stict. sulph. tub. verat-v.

Synthesis repertory 9.0Synthesis repertory 9.0

LOCOMOTOR SYSTEM - Joints - Inflammation, chronic Am-p. Benz-ac. Berb. calc-f. calc-p. calc. caust. hep. Iod. Kali-i.

Merc. phyt. puls. Rhus-t. Ruta sil. staph. Stel. sulph. tub.Boericke Repertory.Boericke Repertory.

GENERALS - INFLAMMATION - chronic kali-p. sil.


EXTREMITIES - PAIN - Joints – rheumatic: abrom-a. abrot. Acon. act-sp. aesc. agn. all-c. am-c. ant-c. Ant-t. apoc. arg-met. Arn. ars-i.

Ars-s-f. ars. asc-c. asc-t. aur-m. AUR. bacls-10. bacls-7. bar-act. Bell. Benz-ac. berb. BRY. Cact. caj. CALC-P. Calc-s. Calc. cann-s. carbn-s. carc. caul. CAUST. cedr. Cham. Chel. Chim. Chinin-s. chlf. Cimic. clem. Cocc. COLCH. Coloc. corv-cor. dig. dros. Dulc. euphr. fago. ferr-i. FERR-P. ferr-pic. Ferr. fic-m. flav. form-ac. FORM. gels. germ-met. gonotox. Guaj. ham. Hep. ign. indg. IOD. KALI-BI. kali-c. Kali-chl. Kali-i. kali-m. kali-p. Kali-s. Kalm. kreos. Lac-ac. Lac-c. Lach. lap-la. Led. lith-be. LYC. mag-p. mand. Mang. meli. Merc. mez. morg. Nat-m. nat-p. nat-pyru. Nat-s. Nux-v. ol-j. Olib-sac. ox-ac. petr. Phos. Phyt. pic-ac. prot. psor. Puls. ran-b. rheum Rhod. RHUS-T. rumx. Ruta sabin. Sal-ac. Sang. sec. senec. sep. SPIG. spong. Staph. stict. stront-c. sul-i. Sulph. Ter. teucr. thuj. vac. Verat-v. viol-t.


Constitutions - RHEUMATIC, constitutions:- Acon. Act-sp. Bad. Benz-ac. Calc. CAUST. CHAM. CIMIC. COLCH. Crot-h.

Form. Guaj. Kali-i. Kali-m. Kalm. Lac-ac. LED. LYC. Med. Phyt. RHOD. RHUS-T. sabin. Sal-ac. spig. Sulph. ter.

Murphy repertory.Murphy repertory.

Joints - STIFFNESS, of – rheumatic: Calc. Lyc. RHUS-T.

Murphy repertory.Murphy repertory.

Guajacum officinale:Guajacum officinale:

Chronic inflammation and degeneration of bones, which are sore and cannot bear the slightest touch.

-ALLEN T. F., A Primer of Materia Medica

PharmacyCommon name: Guai. (Guaj.) Guaiacum officinale. Resin of Lignum Vitae. Gum guaiacum.

Natural order: Zygophyllaceae.

Preparation: The gum-resin of Lignum sanctum or Lignum vite, a large tree growing in W. Indies. Tincture of the gum-resin.

Historical dose: Tincture and all potencies, tincture to sixth potency.

-MURPHY R., Homeopathic Remedy Guide

History Guaiacum, which is one of Hahnemann's anti-psorics is

best known as a remedy in gout and rheumatism and as

a diuretic, but latterly it has also taken a place in old-

school therapeutics as a remedy for tuberculosis.

Guaiacum was first recommended by Brinton in the

Lancet in 1857 for quinsy, was given in full doses and

produced a crisis of sweat and profuse urination.

Ozanam gave it in the 1c, 2c and 3c dilutions and found

that he got the curative effects without crisis, which was

an unnecessary effect of the drug. Guai., says Ozanam,

seems to combine the properties of Bell., Apis and Bar-

c. -MURPHY R., Homeopathic Remedy Guide

Homeopathic provings have

developed and defined the sphere of its utility in all

these respects and many more. It acts on mucous

membranes, muscles, joints and bones and causes

contraction of tendons with resulting deformity.

Gouty nodosities on joints.


Chronic inflammation of the knee; pains agg. at night, could not remain in bed.

Kalium iodatumKalium iodatum

-ALLEN T. F., A Primer of Materia Medica

Pharmacy Kali-i. Kali iodatum. Potassium iodide. Kali

hydroiodicum. Solution. Trituration.

Historical dose: Trituration and all potencies, crude drug

in small material dosage. When strictly homeopathically

indicated, as in acute respiratory disorders the third

potency or higher potencies.


Homeopathic:Homeopathic: Kali-iodatum acts prominently on fibrous and connective tissues, producing

infiltrations, edema.

Kali-i. has glandular swellings. Purpura and hemorrhagic diathesis. Diffused

sensitiveness, of glands, scalp, etc. Rheumatism in neck, back, feet, especially

heels and soles, worse cold and wet. Iodide of Potassium in material doses acts

in the different forms of fungoid disease (thrush, ringworm, etc.) offer

simulating syphilis and bacterial diseases like tuberculosis.


Continued treatment with moderate doses

prevents new attacks in chronic arthritis, the

tophi decrease and cease to be inflamed; and

even a case may be possible without the least

danger of metastasis to the heart, lungs, brain or

stomach.

Salicylicum acidumSalicylicum acidum

-BOERICKE W., Pocket Manual of Homeopathic Materia Medica-BOERICKE W., Pocket Manual of Homeopathic Materia Medica

Pharmacy Sal-ac. Salicylic acid. Found in Spiraea blossoms,

Gaultheria.

Prepared from Phenol. Trituration.

Historical dose: Trituration and all potencies.


History Salicylic acid is found in nature in the leaves and barks of Willows, in Oil

of Wintergreen (Gaultheria), which is one of the chief sources of its

supply, and is obtained synthetically from Carbolic acid. Like Carbo-ac. it

has been largely used as a disinfectant, and as it is supposed to be non-

poisonous it is used for mixing with and so preserving foods.

Mac Lagan of London and Senator of Berlin, introduced it into medicine

as a remedy for rheumatism. Over-dosings led to the discovery of its

power to set up the phenomena of Meniere's disease, auditory nerve

vertigo, gastric disturbances and delirium.


Homeopathic: The symptoms point to its use in rheumatism, dyspepsia and

Meniere's disease. Sal-ac. has a specific relation to rheumatism,

but the massive doses given in allopathic practice have been

attended with so many unpleasant symptoms of vital

depression, fainting, flatulent dyspepsia and delirium.

Prostration after influenza, also tinnitus aurium and deafness.

Hematuria. In ordinary practice it is used as an acute rheumatic

remedy. In homeopathy it is useful in Meniere's disease.

Roaring and ringing in the ears. Deafness with vertigo. Effects

of suppressed foot sweats.


Silicea terra:-Silicea terra:-

Chronic inflammation of the knee-Chronic inflammation of the knee-joint, with great swelling and joint, with great swelling and partial anchylosis, in scrofulous partial anchylosis, in scrofulous children. (Of great value.) children. (Of great value.)

-BURT W. H., Physiological Materia Medica -BURT W. H., Physiological Materia Medica

Pharmacy: Common name: Sil. Silica terra. Flint. Silex. Silicic anhydride. Silicon

dioxide. Trituration of pure, precipitated silica.

Historical dose: All potencies, Sixth to thirtieth potency.


History:Outside homeopathy Flint as an internal remedy is practically unknown. Hahnemann introduced it

into medicine and it was his method of attenuating insoluble substances that enabled him to discover

its powers. Silica forms one of the most important remedies for chronic diseases.

A large proportion of the earth's crust is composed of Silica. Sea sand (Silica marina) is mainly

composed of it. The spicules of many sponges are made up of Silica. Silicates are taken up by plants

and from them Silica is often deposited on the surface or in the interior of their stems. The strength of

straw is due to Silica. Equisetum generally contains as much as 18 per cent. of Silica to the fresh plant.

Flint supplies the "grit" of the earth's crust of plant life and to a large extent of animal life also. "Want

of grit, moral or physical," is a leading indication for Sil. in homeopathic practice. The action of Sil. on

the connective tissues may end in new growth as well as in suppuration and ulceration.


We are now ready to take up the effects of the drug. First, on cellular tissue

Silicea has long been known as a valuable drug, because of its affinity for

cellular tissue. It produces inflammation of this extensive tissue of the body,

going on to suppuration, and suppuration, too, which is rather indolent or

sluggish in type, not necessarily malignant, but tending to perpetuate itself

and become chronic. The termination of the Silicea cellulitis, then, is in

suppuration, which is persistent, in ulceration which is persistent, or in

induration.

-FARRINGTON E. A., Clinical Materia Medica

About the Silicea Farrington says:

Cadmium iodatum Cadmium iodatum

He has seen it give great relief in nodes He has seen it give great relief in nodes and chronic inflammation of the joints. and chronic inflammation of the joints.

-HALE E. M., Special Therapeutics of the new remedies-HALE E. M., Special Therapeutics of the new remedies

Pharmacy: Cadm-i. Cadmium iodatum. Historical dose: Trituration and all potencies.

History Grimmer says this remedy is a powerful anti-syphilitic as well as anti-psoric and anti-

sycotic. All the Cadmiums cover the three miasms of Hahnemann. Cadmium iodatum has

an aggravation from extreme heat, as well as from extreme cold. As a rule, this patient

becomes less chilled than when under the influence of other Cadmiums due to the iodine

component of the remedy.


Phytolacca:Phytolacca:

Dr. P. H. Hale reports the following cure of a Dr. P. H. Hale reports the following cure of a severe case of chronic rheumatism, treated with severe case of chronic rheumatism, treated with Phytolacca. Mrs. S-, aged about 40, had a severe Phytolacca. Mrs. S-, aged about 40, had a severe attack of inflammatory rheumatism fifteen years attack of inflammatory rheumatism fifteen years ago, which ran into a chronic form, affecting the ago, which ran into a chronic form, affecting the left hip-joint, which she lost the use of. Upon left hip-joint, which she lost the use of. Upon examination, the synovial membrane was found examination, the synovial membrane was found implicated, with considerable tumefaction from the implicated, with considerable tumefaction from the effusion. effusion.

-HALE E. M., Special Therapeutics of the new remedies-HALE E. M., Special Therapeutics of the new remedies

Pharmacy:

Common Name: Phyt. Phytolacca decandra. Poke

root. Poke weed. Virginian Poke. Pole-root. Red Ink Plant.

Garget Weed.

Natural Order: Phytolaccaceae. Tincture of fresh

root dug in winter. Tincture of the ripe berries. Tincture of

fresh leaves. Solution of the resinous extract, Phytolaccin.

Historical dose: Tincture and all potencies, tincture to third

potency.


HERING C., Guiding Symptoms of our Materia MedicaHERING C., Guiding Symptoms of our Materia Medica

¤ Chronic inflammation of articular structures, especially when resulting from blows, strains, etc.

Rhus toxicodendron Rhus toxicodendron

Pharmacy Common Name: Rhus-t. Rhus

toxicodendron. Poison oak. Rhus

radicans. Tincture of fresh leaves

gathered at sunset just before flowering

time.

Historical dose: All potencies, sixth

to thirtieth potency. The 200c and higher

antidote to poisoning from the plant.


Alloxanum:

Chronic rheumatism (non-inflammatory) of the hip.

-JULIAN O. A., Materia Medica of New Homeopathic Remedies

Pharmacy: Allox. Meoxalylurea. Alloxanum. It takes the form of rhomboid crystals soluble in alcohol and

insoluble in water. The anhydrous crystals are dark yellow in color, the hydrogenized crystals are

colorless. Historical dose: All potencies, 4c to 30c.

History: Alloxan was discovered accidentally by Dum and his collaborators in 1943. The toxicological

action can be seen at the level of the pancreas, the kidneys, the liver, the lungs and in the blood.

The Homeopathic proving of Alloxan was undertaken by Templeton on two occasions, in 1949

on six provers, when the potencies 6c and 30c were tried out and in 1951 on nine provers and

seven controls. -MURPHY R., Homeopathic Remedy Guide

Sarothamnus scoparius

Chronic inflammation of the hip.Chronic inflammation of the hip.

JULIAN O. A., Materia Medica of New Homeopathic RemediesJULIAN O. A., Materia Medica of New Homeopathic Remedies

Pharmacy: Saroth. Sarothamnus scoparium. Spartium scoparium.

Cystisus scoparius. Broom. Leguminosae family. The

mother tincture is prepared from the flowers which contain a

small amount of spartein, (10%), scoparoside and tyramine.

Historical dose: Tincture and all potencies, 2x to 30c.

Rheumatic pain like drawing and

stiffness at its union with shoulder on

bending neck forward; right pain like a

drawing in nape and between scapula

mornings preventing motion of arms on

rising,

StaphysagriaStaphysagria

-ALLEN T. F., Hand Book of Materia Medica and Homoeopathic Therapeutics

Jacaranda carobaJacaranda carobaSeveral cases of muscular rheumatism characterised by a peculiar soreness and stiffness of muscles in the morning agg. by any motion.

-CLARKE J. H., Dictionary of Practical Materia Medica

Morning soreness and stiffness of muscles; agg. motion. Gonorrhoeal rheumatism.

-VERMEULEN F., Concordant Materia Medica-VERMEULEN F., Concordant Materia Medica

Gettysburg Aqua- Gettysburg Aqua-

Subacute and chronic rheumatism.

Sensation of rigidity, agg. motion. Esp. in lumbar region and joints of hips, shoulders and wrists.

More in morning.

Stiffness of muscles on moving.

-VERMEULEN F., Concordant Materia Medica

Stellaria Media Stellaria Media

Morning agg.. Sharp, shifting, rheumatic pains

in all parts very pronounced. Rheumatism,

darting pains in almost every part; stiffness of

joints; parts sore to touch; agg. motion.

Chronic rheumatism.


Aqua petraAqua petra

Hardening of tendons, contractures of

muscles and tendons; rheumatic

complaints, arthritis, slowly progressing

paralysis;

- RICHARDSON-BOEDLER C., Psychic causes of Illness: Applying Homeopathy and Bach flowers therapy to Psychosomatic illness

Bacillus 7 (paterson)

Rheumatoid arthritis shoulders, elbow,

wrists. Relaxed fibrous tissue with

tendency to the formation of "rheumatic

nodules".

- MURPHY R., Homeopathic Remedy Guide

Eucalyptus globulus

Rheumatic; agg. at night, walking or

carrying anything. Nodular swellings

over metacarpal and metatarsal joints.

- VERMEULEN F., Concordant Materia Medica- VERMEULEN F., Concordant Materia Medica

Lithium carbonicum

Rheumatic, throughout , shoulder-

joint, arm and fingers and small joints

generally.

Nodular swellings in joints.


Cramps, pinching, burning, and arthritic

pains in the groins and thighs.

Swelling of the feet, with redness, heat,

and arthritic pains.

Rheumatic, arthritic, and bone pains.

Robinia pseud-acacia,

-ALLEN T. F., Encyclopedia of Pure Materia Medica

Fraxinus excelsior

Rheumatic arthritis and in

intermittents.

This remedy has been employed as a

specific for gout by European

peasants.

-BLACKWOOD Alexander L. A Manual of Materia Medica Therapeutics and Pharmacology.

Gaultheria procumbens

It is also useful in articular rheumatism

both of the acute and subacute varieties,

as well as in gouty arthritis and chorea

in children.


Methylenum coeruleum

In several obstinate cases of rheumatic

arthritis a two-grain tablet was given twice a

day after meals, resulting in great

improvement, arresting the process,

improving the nutrition and leading to an

increase of the bodily weight.


Arbutus andrachne (strawberry tree)

* A remedy for eczema associated with gouty

and rheumatic symptoms.

* Arthritis; especially larger

joints.

-BOERICKE W., Pocket Manual of Homeopathic Materia Medica.

Tylophora indica

Rheumatic pain, rheumatoid arthritis

-CHATTERJEE T. P., My Random Notes on Some Homoeo-Remedies

Mephitis putorius

|| Rheumatic pains from hips to feet; arthritic pain in heel.

-HERING C., Guiding Symptoms of our Materia Medica

Aristolochia clematitis

Arthritis in women with the menopause.

Rheumatism (non-inflammatory) of the knee,

with congestion of the veins.


Bellis perennis

Muscular and articular rheumatism.

Post-traumatic haematoma.

Arthritic, neuralgic, myalgic conditions

Post-traumatic and rheumatic myalgic pains.


Bunias orientalis

Bouts of rheumatoid arthritis with swollen

joints.

Bouts of fever in the child suffering from poly-

arthritis, adenoma, splenomegaly, and illness

affecting the general condition.


Caulophyllum thalictroides

Rheumatism associated with hormonal

changes: Menses, menopause, after

childbirth.

MORRISON R., Desktop Companion to Physical Pathology

Cichorium intybus

In the diseases of soft tissue rheumatism

and rheumatoid arthritis of a psychosomatic

origin


Salix lasiolepis

Related species of Salix vitellina,

homeopathically prepared from the bark, have

been used in the treatment of rheumatism

(Salix nigra, Salix purpurea),

-RICHARDSON-BOEDLER C., Psychic causes of Illness: Applying Homeopathy and Bach flowers therapy to Psychosomatic illness

Calcarea caustica

Calcarea caustica has many rheumatic pains. It may

be indicated in rheumatic conditions, polyarthritis

and rheumatoid arthritis, particularly if the jaws and

their articulation are involved, and especially if Rhus

toxicodendron or Thuja have failed.

-VITHOULKAS G., Materia Medica Viva

Lac vaccinum

Short rheumatic pains in knee and tarsal

joints when walking

-ALLEN H. C., The Materia Medica of Some Important Nosodes

rheumatoid arthritis with homoeopathy approach by dr.ankit srivastav

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