WADIA S Leucoderma

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WADIA S. R., Leucoderma its homeopathic treatment (wda1) WADIA S. R. Foreword PAG i I had presented a paper at the !e"#ium $omoeopathic %on&erence on Leucoderma a' ears a#o. At that time, the materia" at m disposa" was "ess. It has 'een inc passa#e o& ears and I ha e 'een a'"e to co""ect more interestin# cases and mor pro&ession. !e&ore I pu'"ish m &indin#s I thou#ht it &it to contact m homoeopathic pro&ess 'rothers o& some standin# indi idua"" and co""ecti e" throu#h the press so th e*chan#e our ideas and &indin#s and enrich our +now"ed#e a'out this disease. So co""ea#ues whom I +new persona"" and to whom I sent persona" "etters did su##es o& treatin# the disease. he supp"ied me with the names o& the remedies and i their indications. -o pro in#s were a ai"a'"e o& some o& those remedies, 'ut t c"inica" o'ser ations. en re&erence to standard 'oo+s on materia medica did an thin# a'out some o& the remedies ha in# cured white spots. Doctors who ad i su##ested remedies are Dr R.S. Paree+ o& Paree+ $om. Foundation, A#ra, Dr S.P. ditor o& $erita#e, /adras, Dr R.P. Pate", m o"d and "earned co""ea#ue who pre potencies &or me. Dr P.S. rishnamurti o& $ dera'ad, Dr Gandhi o& Surat, Dr R /a"e#aon, Dr A0it umar !asu, Assistant Director, %entra" Research Institute, %a man more. Actua"" I wanted case histor with s mptoms and indication o& the re that was not possi'"e. Some o& m "earned &riends in their "etters were dou't&u Su"pha F"a a and its indications. I searched man 'oo+s where on" a mention is some that it cures white spots. o m #ood "uc+, I &ound a detai"ed descriptio in ent s Lesser Writin#s on pa#e 12, a"so in A""en s nc c"opaedia. his rem misused, not on" in India, 'ut in the 3nited in#dom and the 3SA too. Dr ent menta" s mptoms a"on# with #enera" s mptoms, and i& ou are &ortunate to #et the s mptoms a"on# with the white spots on the patient, this remed wi"" de&inite" he cure ta+es a "on# time, e en 4 to 5 ears in chronic cases o& 16 to 76 ear !est resu"ts are o'tained in recent cases o& 1 to 7 ears duration and where s done 8 much ' e*terna" or interna" medication. I ha e not 'een a'"e to cure sp inches "on# in upper or "ower e*tremities, or e*tensi e white patches co erin# or a'domen. I ha e treated so &ar more than 766 cases and ha e +ept detai"ed c the same. :ut o& them, some discontinued their treatment in a month or two, e not come a#ain as I &ran+" to"d them that we cannot he"p them much. In m capa homoeopathic practitioner, I ha e 'een a'"e to persuade the patients to ha e th e*amination done and a'out 46; ha e % st o& nt Amoe'a $isto" tica or o a o& rou worms or thread worms or other intestina" parasites. Prescri'in# &rom these s m ad isin# them to drin+ 'oi"ed water and impro e the ha'its o& eatin# and drin+i ha e 'een er satis&actor . In case, where there is a histor o& Dia'etes in t parents, urine and '"ood e*amination he"p to con&irm the cause and a suita'"e r &ound. he patients were #i en a diet &or this disease which a"so he"ps. Rout e*amination or '"ood #roupin# was not possi'"e in pri ate practice. !ut some p out the routine '"ood e*amination where it was &ound that $aemo#"o'in was "ow. reports were not possi'"e 'ut in one dou't&u" case, it was done 'ecause two s+in di&&ered in their dia#nosis. PAG ii I am pu'"ishin# a &ew cases which are cured or practica"" cured a&ter a "on# t two cases o& chi"dren, o& recent ori#in, the spots disappeared in a er short t c"aim, as man do, that one dose or one remed was #i en and there was a miracu"

description

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Transcript of WADIA S Leucoderma

WADIA S

WADIA S. R., Leucoderma its homeopathic treatment (wda1)

WADIA S. R.

Foreword

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I had presented a paper at the Belgium Homoeopathic Conference on Leucoderma about ten years ago. At that time, the material at my disposal was less. It has been increased with the passage of years and I have been able to collect more interesting cases and more data for our profession.

Before I publish my findings I thought it fit to contact my homoeopathic professional brothers of some standing individually and collectively through the press so that we can exchange our ideas and findings and enrich our knowledge about this disease. Some of my colleagues whom I knew personally and to whom I sent personal letters did suggest their ways of treating the disease. They supplied me with the names of the remedies and in some cases, their indications. No provings were available of some of those remedies, but they were clinical observations. Even reference to standard books on materia medica did not indicate anything about some of the remedies having cured white spots. Doctors who advised me and suggested remedies are Dr R.S. Pareek of Pareek Hom. Foundation, Agra, Dr S.P. Koppikar, Editor of Heritage, Madras, Dr R.P. Patel, my old and learned colleague who prepared potencies for me. Dr P.S. Krishnamurti of Hyderabad, Dr Gandhi of Surat, Dr Rehmany of Malegaon, Dr Ajit Kumar Basu, Assistant Director, Central Research Institute, Calcutta and many more. Actually I wanted case history with symptoms and indication of the remedies but that was not possible. Some of my learned friends in their letters were doubtful about Ars. Sulpha Flava and its indications. I searched many books where only a mention is made by some that it cures white spots. To my good luck, I found a detailed description of this remedy in Kent's Lesser Writings on page 18, also in Allen's Encyclopaedia. This remedy is much misused, not only in India, but in the United Kingdom and the USA too. Dr Kent's book gives mental symptoms along with general symptoms, and if you are fortunate to get these symptoms along with the white spots on the patient, this remedy will definitely help to cure. The cure takes a long time, even 5 to 7 years in chronic cases of 10 to 20 years' standing. Best results are obtained in recent cases of 1 to 2 years' duration and where suppression is not done - much by external or internal medication. I have not been able to cure spots 10 to 14 inches long in upper or lower extremities, or extensive white patches covering the whole chest or abdomen. I have treated so far more than 200 cases and have kept detailed case reports of the same. Out of them, some discontinued their treatment in a month or two, even some did not come again as I frankly told them that we cannot help them much. In my capacity as a homoeopathic practitioner, I have been able to persuade the patients to have their stool examination done and about 50% have Cyst of Ent Amoeba Histolytica or ova of round worms or thread worms or other intestinal parasites. Prescribing from these symptoms and advising them to drink boiled water and improve the habits of eating and drinking, the results have been very satisfactory. In case, where there is a history of Diabetes in the patients or parents, urine and blood examination help to confirm the cause and a suitable remedy was found. The patients were given a diet for this disease which also helps. Routine blood examination or blood grouping was not possible in private practice. But some patients carried out the routine blood examination where it was found that Haemoglobin was low. Biopsy reports were not possible but in one doubtful case, it was done because two skin specialists differed in their diagnosis.

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I am publishing a few cases which are cured or practically cured after a long treatment. In two cases of children, of recent origin, the spots disappeared in a very short time. I do not claim, as many do, that one dose or one remedy was given and there was a miraculous cure. Depending upon the totality of symptoms, the remedy was prescribed and also on the Miasmatic basis. The remedy was changed when symptoms changed. The past history of the patient and the family history helped much. We have to question the patient very carefully and repeatedly to get the cause. I have repeated high potency when the patients have told me that they were better with the previous medicines and not placebo and there was no further improvement or regression of white spots.

I am publishing very few pictures of patients before and after they are cured. Many patients were ladies and they do not like to be photographed and those that are cured do not like their photos to be printed in the book, so there is a paucity of photographs.

I am thankful to my assistant, Dr Parinaz Humranwala, for helping me in this book.

Readers are requested to give their comments for alteration and addition if any.

Dr S.R. Wadia

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Leucoderma: the homoeopathic view point

Leucoderma

This disease, which causes white patches on the skin, has been known for centuries and different medical sciences are trying to cure it differently.

First and foremost, it is not a contagious disease, but causes a lot of disfigurement, particularly in females. There is a lot of mental confusion in one who develops this disease. It additionally involves a social stigma in this country. As such, its treatment is important even from the cosmetic point of view.

Human skin in different parts of the world has different hues. The colour of the skin is due to a pigment called Melanin. It is more in coloured people than among whites. When this pigment decreases, the skin turns white. It is suggested that the pigment increases when the parts are exposed to sun or ultra violet rays. Hence, many physicians ask their patients to expose the white spots to the sun after application or ingestion of their favourite medicine. But, in my humble opinion, external applications temporarily turn the skin rose red or dark. At times, even blisters are formed. After some time, the skin again turns white. One of my patients, who applied probably Bavchi powder, mixed with water, within a day, had huge blisters on his feet which were opened by me and dressed. After the reaction subsided, the skin turned the same colour.

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Ayurvedic physicians have been using Bavchi or Babchi (Psoralea Corylifolia Linn) for centuries, externally as well as internally. In the Atharva Veda mention is made of Shavata Kushta, and a description of this plant to cure the same is also there. The Unani hakims use a plant called Ami Majus, the powder made from both the preparations has a sweetish, peculiar odour, is brick red in colour, looks like make-up and when applied, covers the white spots and turns the skin pink.

A brief description of both these plants is given below:

1. Babchi (Psoralea Corylifolia Linn)

Is an erect branch tree, 4 feet in height, with stems and branches grooved and with a few hairs. The leaves 1-2 inches broad, covered with numerous black dots on both the surface, 10 to 30 flowered racemes, coralia yellow or bluish purple, pods very small without hair, pitted black beaked. The seeds are used for medicinal purposes. The seeds are powdered, made into a paste and applied to white spots which are then exposed to the sun.

2. Ami Majus

Is an Egyptian plant and has been used for the treatment of this disease from the 11th century onwards. Ibn El Bilar stated that the plant resembles Apium, but its flowers are white, those of Apium are yellow in colour. Its fruit resembles that of Celery, but differs in being longer, narrower and has a pungent and slightly bitter taste. He mentions that the fruit of this plant is used for the treatment of Leucoderma.

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Some mention that their seeds and roots were also used. Here, the seeds are also powdered and applied externally or mixed with honey and given internally as a Linctus. The patient is exposed to the sun for one or two hours till sweating occurs. The picture of the plant is shown with beautiful flowers which resemble the flowers of Lady's lace. A few years back, Psoralea compounds were discovered by scientists from the above two plants and modern medicine is using it a great deal. This was hailed as a great research and even the description and mode of application and ingestion of the drug was found in the press. Some people find it difficult to take as it upsets the digestion, some develop blisters or itching over the skin and some benefit after a prolonged course. Along with this, Corticosteriods are still used by the medical profession, but this drug cannot be given for a long time, as it has side-effects.

The parts most affected by this unfortunate disease are near muco-cutaneous junctions, like the lips, nose, ears, eyes, genital organs and most of the pressure points. In females, who wear tight dresses and bras, this disease appears around the small of the back, the breast and nipple. Friction, as a result of tight shoes, is also responsible.

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Causes from homoeopathic view point

1. The most important cause according to my findings and statistics is chronic Amoebic Dysentery and intestinal parasites. The drinking water is so much infected and polluted with the habits of our people and lack of toilet facilities. There are about 50% of patients with a history of dysentery and worms who developed white spots. This is verified by me by having the stools examined. The stools show vegetative or cystic forms of worms, or Giradia Lamblia. Many patients gave a history of typhoid fever treated with Chloromycetine which destroys bowel flora. Jaundice and liver affections are also found responsible for these conditions.

2. Suppressed skin diseases with a lot of external applications as well as powerful internal modern drugs. After a certain amount of time, the patient develops white spots.

3. Though vaccination is not done nowadays, those patients whom I saw had a history of repeated vaccinations plus inoculations particularly in the Army and Navy persons. One such case of an Army Officer's son has been given on page 29. As mentioned before, in this category falls not only Chloromycetine, but other powerful antibiotics which are also responsible for these conditions.

4. Tubercular infection in the patients and more in the parents have been found very much responsible for this disease. This includes pleurisy, tubercular cervical, adenitis and tabes mesenterica.

5. Diabetes in the parents or in the patients is also found responsible in these cases.

6. In some cases, shock, anxiety, tension causes changes in the skin. Patients look older and the skin turns white including the hair. Cases have been mentioned in literature where continuous air raids in the last war or shock of firing has turned the skin white overnight or in a few days.

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7. A young Christian lady visited me for white spots. There was no history of causation mentioned above. On carefully questioning her, she told me that her husband was at sea and she working here in spite of having two children, and the small amount that she receives giving tuition was not allowed to be retained by here mother-in-law. There was constant friction between them. She burst into tears when she was telling the story. Her deep grief was responsible for this condition.

8. Family history of leucoderma in both or either parents the children inherit the disease. Though many in the medical profession give a green signal for marriage, I have found this should be avoided.

9. Dr Mofti gives cases where a female aged 35 developed vitiligo, when she was pregnant. Her child also developed vitiligo at the age of 6 years. The mother of the patient, that is the child's grandmother also had vitiligo. Case n 6 - a child 8 years old, the fourth child of a vitiliginous mother, was also affected with the disease.

10. One of my cases, a girl aged 20, had bilateral white patches on both the knees and other parts of the body. Here there was a history of Leucoderma in mother as well as grandmother.

11. Cautery of the skin, particularly the growths on the skin like warts, or moles, are very often responsible for some peculiar skin diseases and this is one of them. A daughter of a friend of mine developed extensive white patches all over the body after her warts were injected and removed by a physician. After suppression of skin diseases or removal of the warts by cutting or cautery.

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Thuja will be found very helpful. I have used this remedy in persons who have been repeatedly vaccinated, who have nightmares and the skin over the vaccination marks has turned white.

12. Miasmatic Conditions

From among the three miasms like the Tridosh Theory of Ayurveda, psora is very much responsible for this condition, particularly in cases where chronic eczema, scabies, ringworm have been merely driven inside or cleared as a result of the application of ointments. In such cases, our great antipsoric remedy Sulphur can be thought of. For psychotic conditions, I have already mentioned Thuja. For the third miasmatic condition, which is Syphilis, where there are bilateral patches on the skin, particularly when the patient is worst at night and has stomatitis, Mercury preparations and preferably Leuticum will be found helpful. In my small series of cases, I found tuberculosis and diabetes in the family, responsible for these conditions. In those cases, where I obtained the history of tuberculosis in the family and the patient was constantly suffering from colds, cough etc. Bacillinum and Tuberculinum were found very helpful.

13. Late Prof. Subodh Mehta, homoeopathic physician, experimented with some 250 patients who were under his treatment for Leucoderma. Besides the usual medicines being given, routine blood examinations as well as blood group and serum sodium, potassium and inorganic phosphorus levels were estimated. It was observed that there were certain points where the ratio between sodium and potassium is low, high and very high. He classified them into 4 groups:

(i) Hormonal (ii) Hereditary (iii) Acquired and (iv) Idiopathic

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(i) Hormonal: In this category the large number of cases had low sodium potassium range (15-20) and sodium phosphorus range (80-125) ratios. The homoeopathic drug of choice as per the symptoms for this case was found by him to be Sepia followed by Thuja and Silicea depending on the history of repeated vaccines and diseases.

(ii) Hereditary: Some 50% of cases gave history of this disease in their families. The majority had low sodium potassium ration range 15-30 with higher sodium and phosphorus ratio (125-150). When in the history the cases indicated night aggravation of bone pains or salivation of mouth during sleep, Syphilinum CM was generally administered before Thuja or Silicea. The result was satisfactory. However, depending on the symptoms, individual cases were given Tuberculinum 1M or Calcarea Carb. as an inter-current remedy.

(iii) Acquired: Here there was no family history of Leucoderma, but the patient had suffered from diseases of gastro-intestinal tract such as amoebic or bacillary dysentery, gastro-enteritis, enteric fever and were treated with chemotherapeutic drugs and antibiotics. Probably as a result of these powerful drugs, the intestinal mucosa is affected which causes tyrosin deficiency leading to disturbed melanin formation. The remedies of choice for these cases were Nux Vomica, Bacillinum, Chelidonium or Phosphorus. Thereafter constitutional remedies such as Kali Sulph, Cal. Carb or Cal. Phos or Nat. Sulph were given.

(iv) Idiopathic: These cases would not come in all the above categories. In the course of above studies an interesting observation was made that the majority of cases suffering from Leucoderma belong to blood group O (4) RH + compared to a few of A (2) RH + while A group was an exception. Unfortunately, Dr Subodh Mehta Centre or Research minded homoeopaths have not done any further research from this view point.

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14. A paper on vitiligo and albinism published in the Indian Journal of Medical Science 27-86, 1973 by Dr J.C. Shroff, retired Professor of Dermatology, Sir J.J. Hospital, and others, gave some interesting information. It is stated that a relationship had been found to exist between vitiligo and several presumably auto immune disorders, i.e. pernicious anaemia thyroid diseases and diabetes mellitus. It is reported that vitiligo is associated with certain organ specific auto immune conditions.

15. (i) Dr P.S. Kumta of Pune is of the opinion that fundamental factors influencing formation and subsequent behaviour or melanin pigment are a total body mechanism. Many factors, i.e. humoral, inflammatory, nutritional, enzymatic, genetic, infectious, tropho-neurotic, immunological etc. have been incriminated as etiological agents. Genetic predisposition is recognised. Certain number of vitiligo patients do give a family history of the disease.

(ii) A neurogenic factor is involved. There is some evidence to suggest that the loss of pigment could be attributed to the failure of neural or neurochemical control of melanocytes, resulting from damage to nerve fibres.

(iii) Vitamin B Complex: It is established the nutritional factors affect the process of pigmentation. In this respect dietary proteins, vitamins and certain metals should not be lost sight of.

16. According to Vidya, Journal of Gujarat University B-Science of August 1975, the reasons for this de-pigmentation are unknown. Many factors e.g. genetic, dietary, auto-immune bodies, vitamin deficiency, neuro-endocrine mechanisms, neuro-dermatosis and inhibition of some intra-cellular enzymatic process have been suggested. Ingram and Brain, 1957, Lerner 1959, Sulzberger et al., 1965. Bor et al, 1969, Ochi et al 1969. According to Siddick (1962) heredity seems to play a positive role and Fitzpatrick (1965) believes it to be inherited as an irregular dominant trait.

Biochemistry and Endocrinology

Melanin formation depends on the status of the enzyme tyrosinase. Since optimum body levels of vitamins is a prerequisite for tyrosinase activity (Breathnach 1971), Leucoderma is often associated with the deficiency of the vitamins (Sieve, as cited by Sulzbe ger et al. 1965).

Gonadal, adrenal, thyroidal as well as pituitary disfunctions have been associated with skin de-pigmentation (Rober 1951, Lerner 1959), specific antigens in the saliva of vitiligo patients.

Among the minerals, copper has the highest catalytic activity on tyrosianase (Fleshch and Rothman 1948). It is 70 times more active than manganous and 100 times more active than ferrous ions (Scanlon 1969). The tyrosinase enzyme molecule itself contains 0.2% copper and is synthesised in the ribosomal fraction of the melanocyles. Ghoshal (1959) has reported significantly high levels of serum ceruloplasmin (the form in which 90% of copper occurs in blood) in Leucoderma patients. Our studies on the blood metabolites of normal and Leucoderma patients have shown that both copper and ceruloplasmin levels are low in vitiligo patients.

(V.C. Shah, N.J. Chinoy, M.V. Mojamdar and K.S. Sharma, Zoology Department, School of Sciences, Gujarat University, Ahmedabad- 380009).

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Diet

This plays an important part and certain foods are considered responsible for this disease. Modern people eat too much and it is a fashion to eat out, they don't know what they eat under various fancy names. Flesh of unhealthy animals, particularly the flesh of pigs such as ham, bacon, pork should be avoided by these patients. This animal harbours a lot of parasites and eggs which are in the form of cysts. After eating the cyst wall is digested and the tiny worms are released in the intestines, to do havoc in human beings.

Ayurvedic physicians strongly recommend avoiding contrary diet. For example, milk with oily food or curds with sour dishes and radish. Milk and curds with flesh and fish is also to be avoided. Fruit, milk and meat together, is contrary food. Green and red radish, beet roots, carrots, plumes, spinach, black currents and black dates are very good as diet. Bran should not be removed from the wheat flour. According to Dr Mufti, psoralens may be the components of normal diet as they are present in such plants as celery, figs, parsley, carrots, caraway, anise, citrus fruits etc. They may also play a role in the physiology and biochemistry of normal human skin. As such, the food will play an important part in the cure of this disease. Avoid drinking outside water, boil your water and filter it, milk and milk products are to be avoided. Instead of sugar jaggery preferably black can be taken. Please take wheat chapati and avoid white bread, add bran to the wheat flour as much as possible. Pan and tobacco are to be avoided.

Various Opinions of Homoeopathic Physicians

1. Dr S.P. Koppikar, the famous homoeopath from Madras, states that best results are obtained by him with Acid Nit. 200 and 1M. Sepia up to 10M is also helpful when indicated. Nylon 30 and 200 has also helped him. He has suggested that oil of Bavchi or the Mother Tincture should be added to plane Vaseline in very small proportion and to apply externally on the skin might bring some colour. He has also suggested besides Nylon, Rastinon, but I have not used both the remedies so far.

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2. Dr R.P. Patel, past Principal of Kottayam Homoeopathic College and an ingenious research worker, has suggested the following line of treatment:

(i) Syphilinum 200, 1M single dose every 15 days if syphilitic miasm is there and mucus membrane - lips, genitalia is affected or patches are on bones.

(ii) Medorrhinum 200, 1M on history of Psychotic Miasm and too much vaccination and if patches are on muscular parts.

(iii) Sepia 3, mostly in children and women. Patches on face, lips and scalp.

(iv) Lyco 3, 6, 30 in patients who have liver complaints due to chronic dysentery, alcohol, hepatitis or jaundice.

(v) Ars. Iodide 3, for those children and women who have TB history or hereditary TB.

(vi) Hydrocotyle 1, 3, 10M in cases of suppressed skin troubles and history of Lupus, Filaria.

(vii) Bacillinum 1M, helps in many cases who had asthma, tuberculosis, skin trouble - ringworm in the past.

Extensive patches take years. Bilateral type takes longer. Those which are itching type require Nat. Mur 3. Sulphur brings back white spots which were healed. So beware of it.

(viii) Rastinon: Cases depend on liver problems.

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(ix) Radium Bromide: In case of radiation exposures followed by white spots. Dr Curie proved it by placing on abdomen radium dust.

3. Dr R.S. Pareek of Agra suggests as follows:

(i) Cuprum Aceticum 6: Copper being the chief source to produce melanin and have produced different kinds of skin lesions in poisoning, specially various forms of discoloration.

(ii) Cobaltum Nitricum: In industrial workers handling cobalt, they have faced with the problem of discoloration of the skin usually having hypopigmentary patches. This remedy in lower dilution has helped to devlop re-pigmentation in the victimes.

(iii) Cantharis-V: This is a supreme remedy giving maximum benefit. My uncle, a great Hahnemannian homoeopath, Dr Ganpati Roy, who accomplished dramatic cures in the disease, disclosed me as a specific for vitilago. He supported his reason by saying that in burns, the skin loses its pigments and Cantharis being a great burn remedy, restores it back. Guided by his explanation and 50 years experience with the patients we have been using this drug very often with very good results. With every case of course, we try to push a dose of constitutional remedy which certainly helps the treatment. Our results in the treatment of Vitilago are to the tune of 25% total recovery.

4. Dr P.S. Krishnamurthy of Hyderabad has written an article on amoebiasis which was published in the British Homoeopathic Journal, 1966. He is of the opinion that amoebiasis does a lot of harm and causes white patches on the skin. He has mentioned miasmatic theory in support of the same. He states that along with this miasm, tuberculosis, filariasis and amoebiasis in tropical countries come under that group. He states when these patients become debilitated by stress and strain or by some acute infection, the dormant dysenteric miasm will take the upper hand like psora and invade the organism. He mentions Mercury as a principal remedy. Along with this, Nux Vomica, Pulsatilla, Bryonia, Rhus Tox, Colchicum and Dulcamara are included.

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Recently a Cuban cure for Leucoderma was advised in the press. This is a placenta extract. It is in the form of a lotion to be applied on white patches thrice daily with a 15 minutes exposure to ultra violet-rays once a day. It is also available in the form of injections. I tried to get a homoeopathic potency to try on patients but could not. This requires further research.

The trade name is Melagenina.

5. Professor Ranjit K. Panja of Medical College, Calcutta, has published a paper on 'Etiology of Vitiligo'. The precise cause of vitiligo remains an enigma. Studies on the etiopathogenesis of the disease through clinical genetic, physiological, biochemical, histological, immunological and experimental methods, especially during the last three decades, document isolated but significant facts on the various patho-physiological aberrations. Genetic concept of vitiligo evolves from positive family histories in 7.5-21% in India and 33-38% in Western countries and occurrence in mono-zygotic twins. The disease is thought to be transmitted through an autosomal dominant gene. Various sorts of gastro-intestinal ailments with or without parasitic infestations are by far the commonest associations of vitiligo in Indian patients.

Trauma induces vitiligo, as has been reported after severe sunburn, onset at sites of rubbing and vaccination, sari and dhoti injuries at the waist and gingivitis, herpes simplex, drug rash and heavy smoking predisposing vitiligo of the lips. All mysterious diseases have been linked with auto-immunity and it has indeed been so in vitiligo due to circumstantial association of other auto-immune diseases with demonstrable organ specific antibodies, viz. Addison's disease, hypo and hyper-thyroidism pernicious anaemia, as also diabetes mellitus. The tyrosinase system remaining normal, it may be quite probable that melanin production from tyrosine in vitiligo patients is blocked at the quinone system due to a hypoxic state and the semiquinone system may be the modus operandi.

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6. Dr Govind Agrawal, M.B. B.S.

Assistant Surgeon

Medical Officer, Police Hospital

Vidisha (M.P. )

He is also doing research on Leucoderma with homoeopathic remedies. His patients are all from village side and he is able to take pictures at various stages of cure. He has given me 4 cases which are published in this book. In all, he has treated 154 cases in 10 years. Diagnosis is on clinical grounds only. He states all patients were given: Ferrum Phos 30, Lyco 200 and Arsenic sulf-flavum 30 in common with hydrocotyle Q or Psoralia Q or Piper methysticum Q in common. In addition to this, Nat Mur, Nux Vomica, Cina, Acid Nit., Argentum Nit., Cal-phos, Pulsatilla, Silica (its chronic Silicea) as well as Merc. Sol. and Tuberculinum have been used as inter-current medicines.

Potencies: 30, 200, 1M were used.

According to him, about 50 per cent cure is obtained in those who take treatment for one to three years.

He states that this disease belongs to tubercular group of miasm because Tuberculinum as inter-current remedy gives a good result.

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Natrum mur pons asinorum of homoeopathy

Dr p.m. rahmany, m.b. b. s

Natrium muriaticum

Leucoderma is the effect of excess of crude salt being taken. The physiological action, the dynamic action and the chain of chemical actions between the two must be known to understand Leucoderma. The types of Nat. Mur. we have come in contact, are the various forms of same chemical having variant action on the tissues of the body, i.e. life of cells of the body.

1. Nat mur: Crude not refined containing other salts of magnesium etc.

2. Nat mur: Crude refined (table salt).

3. Nat mur: Biochemic.

4. Nat mur: Homoeopathic.

5. Nat mur: Zodiac sign, with governing salt effect.

6. Nat mur: Cosmic.

7. The sister salt: Nat. Carb.

Physiologists opine that Nat. Mur. is no medicine. One takes salt as food ingredient or as it is natural content of food. But civilised men ingest crude salt in large amounts with any and everything.

Nat. Mur in presence of water hydrolyses into Caustic (NaoH). To neutralise this, lactic acid by normal cell anaerobic respiration is released but this is in very less quantity, thus caustic burns the melanin producing cells of epidermis, and the skin is devoid of normal colour.

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Leucoderma

Leucoderma

Vaidyaratna Dr Chandrasekhar G. Thakkur: Vitiligo or 'Shweta Kustha' is most misunderstood as far as Ayurvedic scientific treaties are concerned. Popularly called 'Safed Dagh' or Leucoderma is never mentioned in Ayurveda as 'Kusutha' or Leprosy. Far from it, in Ayurveda 18 types of Maha Kushta (Leprosy) are mentioned. The panicky fear is due to the word 'Kodha'. In fact for white patches, which is a pigmentary disfigurement. Ayurveda is upveda or 5th veda. Branch of Atharva Veda which dates back to 1500 BC or more. In Atharva veda Swetha Kushta is referred. Later on, Charak in general and Sushruta in special referred to this in detail and use of BVACHI-Ens Purple Flenbane - or (Psoralea Corylifolia) is mentioned. The Bavchi is used externally as well as internally both. Col. Chopra and Dr Basu used and have the opinion as follows:

"So far as is known P. Corylifolia is the only drug which has a duel action on both Roagets cell and the melanoblastic cell of the skin. In Leucoderma ....M. Cell.... and their stimulation by Bavchi oil leads them to form and exceed the pigment which gradually diffuses into the discoloured areas" - says Chopra. Where Dr Basu says, "The oil of Bavchi changes white skin, grey hair, discoloured skin to normal colour within 3 months and this is well tried and prescribed.

I have since 40 years of my medical practice tried combination of Bavachi. Chaulmogra and Tuwaraka oil, for application and orally I prescribe Ayurvedic blood purifies, and especially 'Arogyavardhini' which contains Tamra Bhasma (purified copper oxide) in very small trace of one quarter to one half grain and also contained Triphala and other herbs. My late Guru has explained to me that Arogyavardhini, which is mainly known as a liver tonic and used in jaundice, constipation, obesity, general anasarca, is also useful in Swetha Kustha, Leucoderma or vitiligo and credit goes to ingredients Tamra bhasma, mica, loha triphala and kadu. Since then I started collection on Tamra (copper) in ayurvedic literature. In authentic work like Rasa Tarangini I found.

PAGE 19

"Tamram Drepananam Liffamans Krimimarns Kustha Gomaya Dhawan Sanam," ie Tamra is very good for digestive rejuvenation and excellent vermifuge (worms) and in Rakta vikruti (vition of blood), and kustha ... and then pool of praises we find for use of Tamra. I have tried this Arogyavardini or alone Tamra bhasma in patient with Leucoderma and I strongly advocate research in this direction. All krimshar (Krumi=worms+Hara=destroyer) work well in Leucoderma. A nation must be removed. Many a physician asks the patient to avoid salt in total. This is not necessary, only too spicy, deep fried, too sweets should be cut down or used rarely. No strong dietary regimen is necessary. Many vaidyas use Gandhak rasayan (purified sulphur product) which is used for blood disorders. There dietary restrictions become necessary and alone purified sulphur is to be used with great care. Whereas Arogyavardhini - containing Tamra is completely safe, non-toxic and free from side-effects.

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My findings

Thuja occidentalis

The readers will find this remedy being given very often by me at the beginning of the case. My reason was symptoms of Thuja are present, specially in children and modern patients who have taken a number of vaccinations and inoculations. (Army and Navy personnel). Children are given Polio Triple BCG and MMR inoculations, and a number of modern drugs. I am of the opinion that Thuja works as an antidote to all these things, and clears the sycotic background. Not only children, but adults have dreams of falling, startling in sleep, have warts on the face or on the body, with loss of appetite, are dull since those inoculations were given and I find after three doses of Thuja 200, the patient's general condition improves. Now is the time to give the indicated remedy which starts working well. My second reason for giving this remedy in cases of history of tuberculosis or respiratory diseases in the patients is according to Dr Burnett in his book on "Tumours" on page 315 he states Bacillinum will not act very well unless Thuja is given first. Vaccinosis evidently comes in the way, very much the same as Hahnemann mentions regarding psora and the use of Sulphur as an inter-current remedy.

Sulphur

The second important remedy, or shall we say the first in cases where there are no symptoms of Thuja, this remedy is the most important and greatest anti psoric. It will also cure along with psora where there are suppressed sycotic and syphilitic miasmatic symptoms. If there is a history of suppression of skin diseases or any other suppression in this modern world, like suppressed diarrhoea, dysentery, jaundice. Typhoid fever and in tropics many other fevers, this remedy will help, but the most important thing is this, that Sulphur symptoms should be present like heat in the palms, soles, eyes, anus, vulva, vagina and on the top of the head. Generally, he or she is a hot patient but could be chilly. Irritability and obstinacy is also noted. Books describe Sulphur as a ragged philosopher, but that is not found in all cases. Due to poverty and lack of toilet facilities, he many not take a bath and look dirty, but even in clean patients the remedy can be given if other symptoms are present. You may start from 30 to 200 and can go up to CM gradually and repeat the remedy as long as the patient feels better or spots are decreasing and if general symptoms are improving. The remedy can be stopped if there is an aggravation. Rarely, it requires an antidote. I have found Pulsatilla very useful for the same. Potentised Sulphur is a gift to us from Hahnemann, but it should be used very carefully.

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Bacillinum burnett

The third most important remedy is Bacillinum or Tuberculinum in my cases. Many a time you get symptoms of this remedy. The patients suffer from chronic cold, cough and occasional history of haemoptysis is available. He has loss of weight, loss of appetite, flat-chested young boys or girls, prominent ribs and prominent clavicles. We get history of asthma, pneumonia, bronchitis and even TB in patients. More often there is a family history of TB or pleurisy. As we question the patients repeatedly for past skin diseases when we want to prescribe Sulphur, in the same way, question the patients carefully and repeatedly for past chest disease. There are many patients who are not clear or educated enough to tell us about their parents, particularly about pleurisy. I have often found that they state when we ask them if the fluid in the chest was removed, the reply is in the affirmative, but for TB not. So try to get the symptoms in a tactful manner. If parents are available, ask them whether they had any chest trouble and if a lot of injections are given to them or to the child, we can draw our conclusions about the disease. Here too, Bacillinum will work well if it is TB of the lung, but Tuberculinum Bovinum or Drosera will work better if there is a history of glandular or bony tuberculosis. My first case Baby V.G. had bone TB and recovered one hundred per cent after Tub Bov. and Drosera were prescrbed.

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Sepia officinalis

The symptoms of this remedy are found in a good deal of patients particularly in females. Besides the usual white discoloration, these patients have irregular menses either early or late, scanty and painful menses in young girls. Leucorrhoea, prurites, dysparunia and frigidity is noted.

Most of the patients complain of hypermesis (morning sickness) along with motion sickness, nausea, vomiting or headache travelling in a car or bus. Swing, merry-go-round and giant wheel also upsets the patients. These patients are not social, they prefer to be alone. This remedy definitely helps to remove the above symptoms and white spots become pink or darker, but are not able to cure completely with this remedy alone, as it requires complementary remedy Nat Mur.

Nux vomica

This remedy is required initially when the patients come after having a number of strong modern drugs. It probably acts as an antidote to clean the background. This remedy helps the patient to get over the ineffectual urge for stools and his digestion improves. He is able to eat well, sleep well. He is better on the whole but it has no effect on white spots.

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Mercurius solubilis

This remedy is indicated in many cases with a history of dysentery with mucus and blood, jaundice with liver enlargement. These patients are worse at night with salivation and have a syphilitic miasm. They perspire in bed and do not tolerate too hot or too cold a climate.

Nitricum acidum

I have used this remedy in cases where white spots are found at the muco-cutaneous junction. More at the angle of the mouth, eyes, nose, nipples, glans penis, vulva etc. Along with it, there may be fissure at the same spot. In some of the patients along wit this there is a desire for eating chalk, pencils, etc., particularly in children. This remedy, like Sepia, removes the symptoms but spots do not disappear completely.

Graphites

Besides the above remedy, occasionally, Graphites and Calc. Carb. come in the picture. Both are obese patients but their characteristic and symptoms are different. When there is a history of suppressed itch, Graphites will be found useful. Calc. Carb. will be very often found suitable for females with irregular menses.

Arsenicum sulphuratum flavum

Many of our friends have told me that they are disappointed by prescribing this remedy. The real cause is this; that they are merely prescribing on the name of the disease. This is the most abused remedy because I find that the prescription from foreign countries also for this disease is the same. Very few books have given the characteristic symptoms of this remedy. As such, I was on the look-out for some positive literature, and I found to my pleasant surprise the detailed description of this remedy in Kent's Lesser Writing. Briefly, they are as under:

PAGE 24

If you find either mental, general or sexual symptoms along with the white spots, as mentioned below, the patient will definitely get well.

Mind

Patient is very irritable, quarrelsome, very sensitive and touchy. Fear at night of dark, of evil and ghosts. Fear of cloud also. Suspicious of his friends and family. Weeping at night and occasionally weeps during sleep.

Digestive symptoms

Ravenous appetite with easy satiety, aversion to fat food, meat and stimulant. Very thirsty. Milk upsets the stomach. Desires warm things, constipation alternating with diarrhoea.

Urine

Dribbling, painful, difficult and at times involuntary at night. Must hurry up or urine escapes.

Sex

Stitches in glans penis and scrotum. Perspiration genitalia. Ulcers prepuce. Itching of vulva. Leucorrhoea excoriating, menses copious and too frequent.

Extremities

Cold hands and feet, cramps, calf muscles and soles, pain in the limbs after midnight.

Sleep

Deep, dreams amorous, anxious of death and of the dead. Wide awake 3 am and start to sleep after.

Skin

Marked coldness of the skin of the body. Discoloration of skin. Blotches blue, liver spots and white spots. Eruptions itching moist modular urticaria. Purpura haemorrhagia.

Modalities

Worst before midnight or after midnight. Scratching worst, drafts of cold air. Better warmth of bed. He is a chilly patient.

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I have totally treated about 200 cases from 1974 to 1988

Male 40%

Female 60%

Out of this, 50% of cases dropped out after first or second consultation. Now out of remaining 100 cases, further 25 discontinued the treatment as they had extensive lesions. Now the remaining 75 were treated for a longer period and a good deal of improvement was seen in 25 cases with a complete cure in 10 to 12 patients (case histories are given). The remaining 50 patients have shown improvement to a good deal. They are still continuing the treatment.

The following table shows the past and family history of cases (in number):

1PAST HISTORY Intestinal diseases including dysentery (amoebic), jaundice, typhoid and different types of worms

79

2Vaccination and inoculation25

3Suppressed skin diseases21

4Tuberculosis12

5Asthma5

Family History

1

Tuberculosis

30

2Leucoderma29

3Diabetes15

4Suppressed skin diseases15

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Remedies that helped the patients to get well:

Tuberculinum or Tuberculinum Bovinum Bacillinum

27

Thuja26

Sulphur22

Sepia14

Merc Sol.12

Acid Nitric10

References

1. Vitiligo and Psoralens by A.M. Elel Mofty

2. Medicinal Plants of India and Pakistan by J.F. Dastur

3. Everybody's Guide to Ayurvedic Medicine by J.F. Dastur

4. Drugs of Hindusthan by Sarat Chandra Ghosh, III Edition

5. Transections of International Homoeopathic Congress 1967/Leucoderma by Professor S.M. Mehta

6. Diseases of the Skin by Frederiek M. Dearborn

7. Disc/Electropheretic Studies of Serum Proteins in Vitiligo and Albinism by Dr J.C. Shroff and others

8. Vidya, Journal of Gujarat University, Ahmedabad, August 1975 - Bio-Chemistry and Endocrinology of Melanin Formation

9. Etiology of Vitiligo by Professor Ranjit K. Panja

PAGE 27

Clinical cases

Leucoderma

Case n 1

Name: Baby Vandana. Age 9 years

1. Patient had white patches on feet, legs, back and left eye. Ayurvedic treatment at Wardha and Delhi tried, Psoralin and Cortison also taken. One skin specialist Dr M. injected on the spots.

2. Past History: Dysentery, bone tuberculosis, measles, chicken pox, vaccination once. BCG polio and triple taken.

3. Family History: Paternal aunt tuberculosis. Paternal grandmother also TB.

4. Appetite, thirst, stool, urine normal.

5. The stool examination shows giradia, lamblia and cysts of ent. histoyltica. X-ray of the heels shows ostteomyelitis of calcaneous bone, Isonex given.

Patient has passed thread worms and round worms.

This child is studying in a boarding school where repeated inoculations are given.

06.05.83 Thuja 10M (3)

13.06.83 Frequent cold Bacillinum (3)

PAGE 28

30.08.83 Spots same bacillinum 200 (3)

01.10.83 Patient feels better bacillinum 1M (3)

25.11.83 Better, spots fading SL

05.12.83 Still better

Most of the spots have gone

Only one on left ankle

Weight improved Drosera 1M (3)

This remedy was given up to CM with excellent results.

24.08.85 I saw her again a little worse,

spot on the foot same, but one

more spot on the left eye

appeared as she applied some

ointment and she was given

TABC in the school Thuja 10M (3)

21.09.85 Now better, spot fading Tub. Bov. 1M (3)

08.11.85 Spot on eye disappeared

only faint spot on ankle Tub. Bov. 1M (3)

This remedy was continued till 10M with excellent results. Her weight has improved, appetite better, no cold or cough and she is enjoying excellent health.

The cause behind was bone TB and TB in the family also.

Case n 2

Master C.A. Age 6 years.

C/o Lt. Col.

1. The patient as brought by his father with small white patches on the face, near the knees, elbows, left upper eyelid and groin. Psoralin was given one year back for four months. His father is a medical man and a Lt. Col. in the army.

PAGE 29

2. Past History: Measles, pneumonia, antibiotics given which gave severe diarrhoea and dehydration. Polio Tripple, Booster BCG and vaccination given.

3. Grinds his teeth and talks in sleep.

4. Appetite poor, thirst normal, stool-urine normal.

5. Dreams of falling from bed.

6. Family History: Mother developed Leucoderma during pregnancy, also boils.

7. The child is average in study.

08.11.86 As there was history of

vaccination, repeated

inoculation and drugs Thuja 1M (6)

24.12.86 Slight reduction of white

patches on face and no new

patches. Grinds teeth Thuja 10M (6)

19.02.87 Letter dated 31.01.87 Doctor

stated that his son is much

better, spots on the knee

and face have disappeared,

except one in the groin. N.P. 6x

07.03.87 Father has come here

from Pune. Only one spot

left, all have disappeared.

Medicine continued N.P. 6x

13.06.87 Letter states better. Only

one spot perspiration ++ Silicea 200 (6)

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06.10.87 Letter dated 29.9.87.

Patient better, no teeth

grinding, no dreams of

falling, only one tiny spot

left. Thuja 50M (3)

Here the cause was vaccinosis plus drugs. As such, the remedy worked well.

Case n 3

Miss Suraliwalla. Age 35 years

1. Patient has white spots on the wrist since 5 months. It is exactly like a strap of a wrist watch. It was diagnosed as Henson by one skin specialist and 150 tablets were taken for the same disease. She has also spots on lip and left nipple and left ankle.

2. Past History: Frequent colds.

3. Family History: Grandmother - pleurisy, Mother - bronchitis.

4. Patient has eczema on both feet. Ointment applied.

5. Burning over the whole body.

6. Menses early, every 15 days, flow+

7. Stool, urine, appetite, thirst normal.

8. Patient is emaciated, weight 32 kg and has feverish feeling.

9. Very chilly with frequent colds and coughs.

As diagnosis was doubtful for me, I referred the patient to one Dr Antia, who is doing research work for the same. A skin biopsy was done and he wrote to me that the patient was not suffering from leprosy and those drugs should be stopped. This was a case of Leucoderma.

PAGE 31

22.08.84 As the patient had cold

and cough with low fever,

I prescribed Bacillinum 30 (3)

19.09.84 Slightly better Bacillinum 200 (3)

03.11.84 Better but cough and

cold continued Bacillinum 200 (3)

07.11.84 Slight change in skin

colour. Cough better still

feverish feeling Bacillinum 200 (3)

30.01.85 Cough, cold, fever,

everything better. Patient

feels hot and itch on both

feet Sulphur 200 (3)

13.02.85 Still feet hot, itching

continued Sulphur 1M (3)

13.03.85 Feels slightly better.

Menses again heavy

and early Sulphur 10M (3)

05.03.86 Now the patient has

started improving. She

feels better. No feverish

feeling, black spots appeared

on the the wrist. Occasional

cold and cough Bacillinum 10M (3)

02.04.86 Again feverish feeling,

cough and cold Bacillinum 10M

03.06.87 Now patient comes

occasionally. Weight

37.5 kg. Looks much

better but she has

chronic cough Bacillinum 50M

14.10.87 Skin better, particularly

on the the wrist. Tiny spot on

the axilla, complains of

itch on the the face Sulphur 1 cm (3)

PAGE 32

(Patients photos given before and after, N 2).

Case n 4

Miss V.M. . Age 14 years.

C/o Research Officer, NRC Ltd,

Mohana, Kalyan

1. Patient has white spots since 5 years under both lower eyelids

Also under both eyebrows, also on the left cheek bone and one spot on the left leg.

Allopathic and Ayurvedic treatment taken.

2. Menses delayed. L.M. P. 27.11.81. Weight 45 kg.

3. Past History: Primary complex

Isonex + Streptomycin injections taken.

Dysentery vaccination 3 times. Tripple Polio, BCG given.

4. Family History: Maternal grandfather - hypertension and eczema, maternal grand-aunt - Leucoderma.

5. Appetite, thirst, urine normal.

6. Hot patient.

7. Cool temper, but occasionally irritable.

13.11.81 On the basis of repeated

inoculations and drugs Thuja 1M (3)

12.12.81 Very slightly better S.L.

09.01.82 White spots slightly better

below eyelids. Menses

overdue. Patient feels weak. Silicea 200 (3)

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27.03.82 Spots better now, menses

normal S.L.

24.04.82 Better, weight 47 kg. Spot

fading but one on chest

bone more prominent. Bacillinum 200 (3)

26.06.82 Still better. Spots on

eyes disappearing. Bacillinum 1M (3)

This remedy was continued at interval till CM was given. All spots have disappeared when I saw her on 12.05.84. Weight 52 kg (increased by 7 kg).

Bacillinum was prescribed on the history of primary complex in the patient.

Case n 5

Miss A.B. C. Age 14 years

1. Patient had Leucoderma patches on eyelids, both legs, knees, ankles, back, one near anus also below the navel, lips, since four years.

2. Past History: Dysentery, worms, ringworm.

3. Family History: Mother - arthritis, maternal uncle - Leucoderma

4. Patient feels sick while travelling in a bus, swing etc.

5. Frequent headaches, menses normal

6. Very irritable, nervous, sod, fastidious.

7. Sleep disturbed, funny dreams.

8. Skin dry in winter, summer pimples.

9. Appetite normal, thirst more.

10. Stool and urine normal.

11.05.82 Sepia 200 (3)

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03.06.82 Same Sepia 1M (3)

27.07.82 Same Ars Sulfa Flava 3x

31.10.82 Spots are darker.

Ringworms appeared again.

Patient feels very hot Sulphur 200 (3)

30.11.82 Patient feels better. This

remedy was continued up

to CM 3 doses once a month.

Over which patient feels better Sulphur 1M

17.03.83 Spots on left eyelid disappeared.

White spots on legs better. She

Is very irritable and tense. Ars Sulph Flava (30)

24.04.83 Still better, one round worm

passed. Remedy continued.

16.06.83 Spots fainter but white spots

at cutaneous junction of lips

same. Sulphur CM (3)

31.07.83 Very much better, all spots

from the face disappeared.

Only few white spots here

and there and a few grey

hairs. S.L.

23.12.83 Patient had her period for

the first time. Slight pain

discomfort. MP 6x

10.05.84 Patient goes to Nepal for a

change, fear of car sickness. Cocculus 30

18.10.84 Better, but patches on knees,

ankles, back still persist Sulphur CM (3)

PAGE 35

14.03.85 Patches are fainter, face

better but thin white line

on the upper lip. Sulphur CM (3)

11.07.85 Patient's mother had

accompanied her for the

first time. On careful

inquiry about her past

illness, I found that this

girl had primary complex

as a child which was not told

so far. This was obstruction

to recovery. Hence bacillinum 200 (3)

10.10.85 No change so far. Tub. Bov. 1M (3)

19.12.85 Very much better. All

white spots on back and

face completely disappeared. Tub. Bov. 1M (3)

16.01.86 Same S.L.

16.02.86 Better S.L.

30.03.86 Spots better but mentally

very irritable and tense. Tub. Bov. 1M (3)

17.04.86 Better, still irritable Ars. Sulfa Flava

200 1 week

16.11.86 Spots are better, still

occasionally irritable, tense,

depressed and angry. Tub. Bov. 10M (3)

IN the year 1987, the patient on the whole was very much better, small spots on ankle and knees still persist. The same remedy is repeated every three months, with very good results.

22.08.88 She is practically a normal girl studying in the college, less irritable than before, periods regular. Tiny spots are still present on the knee and ankles.

Tub. Bov. 10M (3)

PAGE 36

Initially, Sulphur was given as a constitutional remedy, for suppression of dysentery and ringworm. After having known that she has primary complex, Tuberculinum completely cleared the case. Her photograph is given before and after. (Photo No. 2).

Case n 6

Miss Alvaris Shirley. Age 8.1/2 years.

Sitaladevi Temple Road, House No. 35

Mahim, Bombay 400016.

1. This child was brought by her mother with white spots on upper and lower extremities, chest and back, for the last nine months.

2. Frequent cold and coughs with sneezing.

3. Past history of tonsillitis, boils on the legs (heat boils). Vaccination four times plus Triple and Polio.

4. Family History: Mother colds, grandfather - bronchitis.

5. Hot patient perspiration ++

6. Sleep very restless. Shrieking in sleep. (See page 80 Kent's Repertory: Frightful dreams of falling. Talks in sleep. (See page 86 Kent's). Grinding of teeth during sleep (page 432).

7. Patient is worse since last vaccination.

23.06.73 Thuja 10M (3)

07.07.73 Same. Still very restless

at night and dreams Thuja 50M (3)

08.07.73 Slightly better.

Sleeps better S.L.

18.08.73 Sleeps better but frequent

cold and cough Bacillinum 10M (3)

01.09.73 All better, spot fading S.L.

06.03.76 Patient suddenly came

after 3 years. All spots

had disappeared, but some

new spots appeared again

after re-vaccination. Thuja CM (3)

27.03.76 Spots fading but the

patient had a fall and

injured her coccyx Hypericum 200 (6)

21.06.76 Spots fading, loose

stools, few skin eruptions,

feels very hot. Sulphur 200 (3)

25.02.78 Seen again after 2 years.

was very much better but

had tonsillitis, treated by

her family doctor, again

restless at night, dreams etc Sulphur 1M (3)

15.04.78 Period on 04.04.78, faint

spots still there, sleeps well,

feels very hot. Sulphur 10M (3)

16.05.81 Again seen after 3 years.

Looks very much better,

Grown up. Very few faint

Spots on the back. All

Old symptoms gone. Same medicine

repeated.

27.05.83 Better, only occasional

pain in abdomen during

menses and loose stools. Sulphur 10M (3)

PAGE 38

22.09.87 Suddenly she appeared

with a baby. Patient perfectly

well. Recently married. S.L.

In this case, causation was vaccinosis and suppressed skin disease. As such Thuja initially and Sulphur later on worked very well. Patient is enjoying good health and now I am treating the child for common complaints.

Case n 7

Baby Riri. Age 2.1/2 years

1. Patient had white spots on the upper lip, forehead and at the angles of the mouth on both sides, since six months.

2. Past History: Cough, cold, skin eruptions and dysentery.

3. Family History: Paternal grandmother - white patches on both the legs, diabetes, blood pressure high. Paternal grandfather - eczema.

4. Hot patient, cannot sleep without A.C. or fan.

5. Patient likes sweets but great desire for eating wall plaster, chalk, mud, rubber, sponge and pencils.

6. Appetite, thirst, stool, urine normal. Stool examination shows Ent. Histolytica, macrophages, RBCs and pus cells.

7. Patient has taken vaccination (small-pox), triple polio and MMR. Sleep is disturbed.

14.07.87 Thuja 200 (6)

05.08.87 Same, sleeps better,

desire for rubbish same. Same

Acid Nitric 200 (3)

02.09.87 Very slightly better, took

tobacco powder. It was

removed from mouth. Acid Nitric 1M (3)

PAGE 39

13.09.87 Better but still eats

rubbish. Aci Nitric 10M

14.10.87 Better, spots fading but

still eats rubbish. Strong

constipation, pain in

abdomen Alumina 200 (3)

11.11.87 Better, most spots have

faded. Still constipation.

No desire for rubbish. Alumina 1M

Thuja was initially given for repeated vaccination and inoculation. Later Acid Nitric and finally Alumina completely cured the patient.

(Patient's photos before and after given, photo No. 3).

Case n 8

Mr Malkan H. Age 34 years.

1. Patient has white spots at the centre of the lip, fingers, big toe, glans penis, scrotum, since 1974. Treated with usual medicines till 1978.

2. He has sinusitis. D.N. S. advised surgery. Worst in the summer, nose block headache. Patient chews tobacco.

3. Past History: Dysentery, amoebiasis, worms, mumps and ringworm groins - vaccinations plus inoculations three to four times.

4. Family History: Father - Leucoderma and hypertension. Brother - T.B.

PAGE 40

5 Stool not satisfactory, loose, urine normal.

6. Appetite, thirst normal.

7. Hot patient, fearful dreams of falling.

15.12.83 Thuja 1M (3)

16.01.84 Patient feels better,

but all same Thuja 10M

10.05.84 Spots same, but patient

has developed sever cold

and sinusitis Bacillinum 200 (3)

This remedy was continued as 1M and 10M with great relief in cold. Sleep is better, no dream.

24.04.86 Patient had developed

eczema in past Sulphur 10M (3)

13.08.86 Stool is better, no pain

in abdomen, spots on

lips fading also glans penis

slightly better but scrotum

same Tuberculinum 10M (3)

02.12.86 Better, spots less. Cold

better, round worm passed Tuberculinum 10M

14.04.87 Better but again cold Tuberculinum 10M

repeated till 50M

was given.

14.09.87 Patient seen again.

White spots very much

better even with a little

moustache. Glans penis

has taken a lot of pink

colour, scrotum also

better, but still white Tuberculinum CM (3)

PAGE 41

28.03.88 Better all round.

No cold, no eczema.

Spots hardly seen Tuberculinum CM (3)

Sulphur was given because of suppressed eczema and Tuberculinum finally helped as there was history of T.B. in the family. Patient has given up eating tobacco.

Case n 9

by Dr Farida Talati (Nee Solapurwalla)

Master Vasim. Age 11 years

1. Patient had small white spots on head, face, lips and the hair was also white.

2. Very slow in everything, does not study.

3. Fear of teacher, urine dribbles out of fear, better after leaving the tuition.

4. Drug allergy after calcium injections. Aversion to milk.

5. Past History: Chicken pox, measles, worms, dysentery. Stools contain cyst of Giradia Lamb.

6. Family History: Mother - arthritis. Grandmother - T.B.

7. Appetite, thirst, stools, urine normal.

8. The following points were considered:

(i) Very slow in everything (p. 81 Kent's)

(ii) Fear of teachers (p. 47 Kent's)

(iii) Aversion to milk (p. 48 Kent's)

(iv) Aversion to mental work (p. 95 Kent's)

(v) Timidity and shyness (p. 88 Kent's)

Sepia was selected as the remedy. It was given from 200 to 10M with a good deal of relief in white spots. Bacillinum was given as an inter-current remedy.

PAGE 42

(Photographs are given before and after, No. 4)

Case n 10

Miss Duriya M. Age 11 years.

1. Patient had white spots in front and behind the left ear, as well as near the hole for the nose ring and ear ring. Thick discharge from both.

2. Dry eczema near the right eye and behind the right ear, also cracks.

3. Purulent discharge from right eye and eyes are itching.

4. Frequent cold and cough. Constipation with mucus threads.

5. Startles in sleep, occasional dreams.

6. Past History: Measles vaccination, triple polio B.C. G.

7. Family History: Paternal grandfather -diabetes and also maternal grand-parents, maternal aunt - T.B. , paternal aunt - asthma.

8 Thin, lean, intelligent girl, irritable.

Graphites was given from 200 up to 50M. The eczema and the skin was better. But the colds persisted. Inter-current Bacillinum was given up to CM with excellent results. The spots have disappeared.

(Photos before and after are given, No. 5)

Case n 11

Mr Bharat N. Age 45 years

1. Leucoderma around lips and face since 2 years. Started with the angle of the mouth with stomatites.

PAGE 43

2. Patient was treated with Psorilin and ultra-violet rays. He had also one white patch on testicle and left leg.

3. Frequent cold and cough with bronchitis, dust allergy.

4. Constipation, urine normal.

5. Past History: Ringworm, eczema suppressed, urticaria vaccination 8 to 10 times.

6. Family History: Paternal grandfather- cancer, prostate, paternal grandmother - skin disease, cousin - T.B. , maternal grandfather - bronchitis.

To start with Thuja 1M and 10M were given followed by Sulphur 200 to 50M. Inter-current - Bacillinum 200, 1M and 10M removed all the white spots.

(Photos given before and after, No. 6)

PAGE 15c Case N 12

Name: Baby Thomas. Age 7 years

1. White discoloration, both the lips more in the centre worse upper lip since 1 year.

2. PH/O: Measles, mumps, dysentery vaccinated once+. Inoculations usual including booster doses.

3. FH/O: Maternal grandmother - eczema both feet, grandfather - secondaries liver, great maternal grandmother - carcinoma cervix.

4. Prefers moderate climate of south, better warm.

5. Appetite, thirst, stool, urin-N. Dislikes milk, likes sour food, stool exam-N.

6. Nausea riding in a bus or car, worse over mountains.

PAGE 44

7. Sleep disturbed by dreams, starting in sleep.

8. Prefers to be alone.

9. Child was seen by me once only. She is in her native place.

09.01.88 This was as an antidote

to vaccination and inoculation Thuja 1M (3)

09.02.88 Same - Sepia 30 for two

weeks, followed by Sepia 200

10.03.88 Lips colour slightly better Sepia 1M (3)

24.03.88 No further change Sulphur 200 (3)

28.04.88 Spots decreased, auntie

goes to Coonoor. This

was for the family history

of carcinoma Carcinocin S.L.

200 (3)

09.06.88 White spots better, one

upper incisor has appeared

which was missing for a

long time. She has brought

a photo which looks better, but

car and bus sickness persist Sepia 10M (3)

18.08.88 Later white spots are

practically gone, but car

sickness there Sepia 50M (3)

Cocculus 30

(Photo given before and after, No. 7)

Cases n 13, 14, 15, 16

(by dr govind agarwal)

He has not given me the detailed histories but one or two symptoms and remedies which are as follows:

Case N 13 - 83-86 treatment continued. Desire sweets + remedy Arg. Nit.

PAGE 45

Case N 14 - 82-84 cured chilly colds - Calc. Carb.

Case N 15 - 83-85 tenesmus before stool better after Nux Vom.

Case N 16 - 85-87 cured boring nose. Potency not given. He states all were given Ars. Sul. Flava and hydrocotyle Q.