Tuesday, September 18, 2012

Anxiety Neurosis


Role of Major Homoeopathic Remedies in the Treatment of cases of Anxiety Neurosis      
Defination :
         Anxiety may be defined as a state of anticipation of something unpleasant about to happen, Accompanied by a feeling of inner tension and somatic manifestations Such as - Tense muscles, Sweating ,Tremor  ,Tachycardia .
         Although anxiety is a symptom of many psychological disorders, there is a state in which it dominates the picture and this is known as anxiety neurosis. This is most common form of psychoneurosis.
    Symptoms of Anxiety Disorder
(i)Psychological  - Apprehension, Fear of impending disaster, Irritability, Depersonalisation.
(ii)Somatic symptoms- Tremor , Sweating , Palpitations, Chest pain, Breathlessness , Headache, , Dizziness,.Diarrhoea, Frequency of micturation, Initial insomnia, Poor concentration.
   Comparision of some remedies      

Aconite
Ars

Ars iod

Arg nit
Aurum

Belladonna
Bismuth
Bryonia


Much more an anxiety remedy than an anger remedy
States resulting from sudden terror, or fright, or accident, resulting in fear of death, of crowds, of crossing the street, of the future.

Are nervous and restless.
Become oversensitive and fault-finding.
Attached to money, to people with lots of influence, power and are afraid to lose them because they want their support
A warm blooded person with all symptoms of Ars.

Apprehensive kind of anxiety that often makes them  feel impulsive and hurried.

Fear of heights , desire for sweets,
warm blooded, poor digestion with bloating
Sense of fear similar to Gelsemium

Aurum has anxiety about duty.
Debility from mental labor 
Melancholic mood with restlessness and longing for death. He does nothing but ask questions.
 From slightest opposition he flies into a heated passion and anger
Fear of specters , delusion that they see ghosts. Totally unaware of reality.
Resembles lot of Cal and Bell can be indicated in acute stages of Cal.

Anxiety associated with horrible pain in stomach. He can faint with the pain in stomach.
A definite desire for company.
Company to complain to
The main anxiety
in Bry will be about
the future,
about his retirement,
 about his pension
fund, about his
 investments.
Despair of recovery.

Effects of vexation,
leaving irritability,
 with chill and
coldness of body
 behind.























 Cactus







Calcarea







Calc phos







Camphor







Carbo veg 







China







Conium
Sensation that his heart is going more quickly or will stop suddenly.
Palpitations from disappointment in his love affairs.
Fear of death

Every time when you have a person with many fears, in the first place think about Calc and Phos.
The anxiety of Calc is especially about what people would think of him. He is worried that people could observe how confused is he.
Anxiety about the future, about money, about being robbed, about being poor, like in Bry.
Horrible stories, car accident on television, threat of nuclear war etc bring on terrible anxiety.They are easily  embarrassed.
Horrible things and sad stories affect profoundly. Ailments from bad news.
Anxiety will drive from place to place.
It is an inner restlessness, an inner excitement, an inner discontentment, like Tuberculinum.
Children show anxiety on raising from the cradle [opp Bor]
Anxiety in thunderstorm, fear of thunderstorm

Anxiety in states of collapse, with an icy cold feeling of the whole body eg . in cholera
Strange mental symptom is feeling better by thinking of pain.
Cannabis indica -Anxiety and fear is to lose control. An overactive mind with much theorizing, afraid to become insane. Often grind their teeth in sleep and are very forgetful. Have to write everything down to the last detail.

Anxiety about darkness and ghosts.
Resembles a lot like Ars but is less fearful than Ars
Much more indifference in Carbo veg and they are very shy like Puls.

Anxiety of china is out of suspicion.
He fears some kind of misfortune.
He has absolutely no confidence in the world around him.

Has a fear of being alone.
Anxiety of pregnant women    
Anthrophobia  , yet fears to
 be alone. Weakened power
of intellect and memory ;
very forgetful
Very ill humoured










Causticum
Digitalis
Gelsemium
Iodium
Kali ars
Kali carb
Kali phos
Is cautious, very cautious, anxiously cautious, always expecting something could happen. [Phos]. But in Phos it is more clairvoyance, he just feels it will happen. In Caust it is a mental process. He thinks about everything that could happen in order to avoid it. Full of cares. Always thinks that he has forgotten something like did I lock the door? Did I switch off the lights ? Very much concerned about everybody. There is much sympathy. Will weep out of sympathy with others. Feel uncomfortable on injustice. This may incite them to rebellion.
Every form of anxiety is worse in the evening. Fear of darkness.

Has an anxiety about the future.
Has anxiety of conscience.
He will sense the fear in his stomach and usually there will be some cardiac symptoms.
Keynotes for digitalis are slow pulse and the desire for bitter things.

There is a contrast with Aconite, the excited , intense aspect is lacking. Anxiety from pending ordeal such as examination or other event. Can tend towards hysteria but more often become dazed .Often has diarrhoea

Feel anxious , worried, uncontrollable when they are quiet, when they are resting. Feeling as if forgotten something like Caust and he has to write everything down. They are loners like Nat m, Sep and Arn. Can not stand hunger and heat.
It is the health condition that preoccupies Kali ars the most . They will have a check up every month, they will visit every specialist and still feel uncomfortable.  The main fear they have is of a heart disease
Anxiety arises from the stomach. They fear to be alone
Angry and irritable Very easily frightened Anxious fears Reticent

Anxiety after being
overworked.
He will suffer from a
tremendous lack of
self – confidence,
as before an exam.
Forgets everything he learnt,
 he will even not find his
words when he is speaking. 








Lycopodium     
Mezerium
Nat cab
Nit acid
Phos
Psorinum
Rhus tox
Verat
Cowardness is a main symptom in Lyc.
Nice outside but tyrant at home
Anxiety while appearing in public and. Before exam ,but once they start they do well

Anxiety comes from plexus solaris.
He has an apprehension in stomach. Restlessness when alone , with desire for company

Anxiety is provoked by thunderstorms or noises or music.
Very civilized, refined, delicate people. Very precise, conscientious about trifles.
Ailments from exposure to sun

Anxiety about health.
They will actually go from one doctor to another and never feel quieted by their diagnosis.
They are difficult to please, not moved by apologies, complaining a lot and they will try to transfer their anxiety into you.
“Are you sure that you will cure me? How many cases have you cured?
Phos and Calc are the most fearful remedies of our materia medica.
 They are easily out of balance.
Enormous anxiety. Like Caust  they fear that something might happen.
Anxiety worse when they are alone.

Very similar to Bry in his anxiety  about the future and his anxiety about the state of his stock market.
Anxiety drives him quickly to despair and suicidal thoughts
Feel anxious that they will never get cured, easily have a forsaken feeling.

Apprehension at night in bed, driving out of bed.
Better motion or tossing about in bed.
Sad , anxious and tearful
Anxiety with fear of death or of being poisoned 

Anxiety drives him to all kinds of fruitless activity, repetitive action, gestures, singing, wringling of hands etc
Fear of cancer or some incurable disease.


RECENT ADVANCES IN HOMOEOPATHY
PROFESSIONAL STANDARDIZATION WITH EMPHASIS ON “MAINTAINING CAUSE” AND “CLINICAL INVESTIGATION” DURING HOMOEOPATHIC CASE TAKING
(I)                           Professional standardization-  
Homoeopathic medicines dispensed and used since Dr Hahnemann’s Era
                                                     
Homoeopathic medicines dispensed and packed in this modern era
      

With availability of blister packing machine, standard of homoeopathic system of medicine has been improved.

(II)                  Maintaining cause-
Along with our homoeopathic medicines which are based upon holistic approach ( including blood group to form symptom totality) if we give due consideration to maintaining cause many life threatening diseases can be managed for example, following justification can be given, particularly for the cases belonging to blood group B.
Symptoms observed in this blood group  :
·        Weak memory
·        General debility
·        Hypoglycaemia after having meal
·        Cramps in calf < during sleep
·        Unrefreshing sleep
·        Prone to Chronic Sinus Infection
·        Higher rate of kidney infection
·        Desire for sweets after meal
·        Desire – ice cream, tomato,
·        Stool- just or few minutes after having wheat in their meals
·        Dislikes for pumpkin. brinjal
Hence the maintaining cause found in this group of patients is:
Dairy products;    Ice cream
CEREALS –          Wheat
VEGETABLES - Pumpkin, radishes, tomato.
Fruits -                 Coconut, pomegranates, star fruit
JUICES -             Tomato juice (ketchup)

Keeping in mind the aforesaid, following Homoeopathic medicines can be used along with constitutional remedy, in order to avail complete cure
1)  Alfa Alfa with ginseng + vitamin b12 concerning symptoms related to indigestion and abdominal discomfort
 2) Lecithin -for anaemia, common in young girls
 3) Gingko biloba- amnesia(nerve tonic)(which begins in elderly persons but also seen in young adults)
 4) kali phos -(to enhance muscle activity and ameliorates the complaints   related to cramps in calf region)
5) Gnaphylium – cramps in calf
6) Petroselenium – kidney infection
7) Collinsonia – sinusitis
8) Mag carb – nervous disorders, fatigue, depression, low immunity. Adequate magnesium is necessary for proper muscle functioning.  Magnesium deficiency promotes excessive muscle tension, leading to muscle spasms, tics, restlessness, and twitches.  This is due to an imbalance of the ratio of calcium to magnesium, as calcium controls contraction, while magnesium controls relaxation. magnesium also affects carbohydrate metabolism in a different manner, as a magnesium deficiency appears to create resistance to insulin,  Insulin resistance increases levels of insulin, which may result in  a form of diabetes.
(III) Clinical   Investigations should be performed in this group of patients
  (1)– Food allergy- for wheat, tomato, coconut.
  (2) HbA1C - glycolated haemoglobin-more prone to type I diabetes
  (3) Serum creatinine & serum potassium –kidney functioning
            (4)  Serum iron-
a) Elevated in  HaemochromatosisAplastic anaemiaHaemosiderosisHaemolytic    anaemiasPernicious anaemia
b)Decreased in  Iron deficiency anaemiaNephrosisChronic renal insuffiencyParoxysmal nocturnal haematuria.
EXERCISE Profile :  (three times a week 30 – 40 mins.)       
  Cycling,   swimming,  jogging,  brisk walking
Conclusion : Since the homoeopathic system of medicine is purely based upon keen observation therefore it is the duty of the physician to also analyse and evaluate  the maintaining cause with help of clinical investigation.