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IIHP(Mumbai)
ESSENCE OF FERRUM STRONG N SENSITIVE FERRUM CORRELATION OF MATERIA MEDICA OF FERRUM WITH CLINICAL CONDITIONS FERRUM IN PAEDIATRICS CROSSWORD
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President: Dr.PrafullVijayakar VicePresident: Dr.P.Humranwala AdvisorySecretary: Dr.PragnaJuthani Secretary: Dr.AmitVora Treasurer: Dr.VarshaTrivedi Communication Secretaries: Dr.ArtiAjmera Dr.BhaktiPoojara ExecutiveMembers: Dr.ShaileshMehta Dr.RameshKatoch Dr.PoojaMehta Dr.BhavnaSumra
EDITORS DESK:
Dear members,
I am sure, all of you had a wonderful and joyous Deepavali- the festival of lights which we celebrate to mark the victory of Good over Evil. Fortunately or unfortunately, after lighting the lamps of Good Virtues, many evil facts were unearthed one by one- like 2G scam, Army Land scam, corruption in IPL and CWG. This list is endless and the amount of money involved is mind boggling. The nation and the society pay heavy economic and social costs of corruption. It affects the very fabric of the society. It is a vicious circle- corruption distorts the value system and a distorted value system leads to more corruption. The need of the hour is an Iron Man, who would be able to iron out things by his iron discipline. The key solution of corruption and low ethical system is self discipline like that of Ferrum personality. The Essence of Ferrum and its alloys is well illustrated by Dr. Anita Salunkhe through her cases and vast knowledge. Dr. Pragna Juthani has brought to light a lesser known side of Ferrum through its proving symptoms & rubrics with a case illustration. Dr. Varsha Pednekar, in her inimitable style has given an insight into study of Ferrum through repertorial study. Dr. Pravin Jain has beautifully illustrated the picture of ferrum in different age groups of pediatrics.
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We have an interesting crossword on Ferrum group prepared by Dr. Rachana Bagaria. The person, who solves this correctly and sends it early, will be rewarded handsomely!! So get down solving it at the earliest!! It is a well know idiom, Sharing is Caring. So, if you care for Homoeopathy, it becomes ones moral duty to share ones experiences and knowledge attained there from. If it is a bad experience, it will help others from making similar mistakes, and if its a good one, it helps others to utilize it in their own practice. So, please do communicate and share.
Flash News A prize will be declared for the best article of the year 2010-2011 on Hahnemann day of 2011 So send in your entries soon!!
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ESSENCE OF FERRUM
Dr. Anita Salunkhe (MD)
CASE 1: Name: Mrs. A. J. Chief complaints:1] K/C/O DM 2] K/C/O HTN- PalpitationsTaking Telma 3] K/C/O Lumbar spondylosis 4] Cholesterol increased 5] Acidity < 4pm 6] Vertigo 7] Sneezing < morning Watery coryza 8] Fatty degeneration 9] K/C/O hypothyroidism- but reports are normal since 15 yrs Menses: Menopause F/H: Thermals: Perspiration: Craving: Mo- DM, HTN, Renal failure. HOT Sun < - Headache Profuse on head. Fruits. Father DM. Age: 56 yrs.
Mental with life space: Mother expired in last may 2009.Mother used to stay with her brother. But she has no relation with him since 16 yrs. Long back, when mother was in hospital, brother refused her wish to meet her mother in his house (weeping),Mother used to stay with her brother. So before the death of her mother, she couldnt go to meet her, felt very bad about that. At that time she was crying for long time and trembling. Used to brood over the fight between her and brother, but her son helped her to come out of that. Fear of death. Feels that how her mother died, she will get the same death as her mother Gharat dadpan yete. Anxiety conscience, maze kahi chukle nasel na???(I had done any mistake or what), so mother died. Has guilt feeling about that, feels that mother is sitting besides her (weeping) In the evening, feels depressed. Fear that husband will die as his weight is too much. Read Patrika of son & came to know that hell not have kid, his wife will die in middle age etc., so got scared a lot. Fear of being alone. Feels that if something will happen to me, Suffocative feeling. Takes challenges, because of that went alone to Europe as someone challenged her that she cant go alone. Delusion of smells, when mother was alive, her urine used to smell. After her mothers death, she used to get the same smell. Sometimes she used to feel that mother is around. VITALFORCE Page3
Trembling when angry. Feels lethargic. Previously Strong - physically and mentally, Confident, Conscientious, sincere, Speed- fast, Fastidious, perfect in work, Courageous, Jesting, jovial, Excited, Impatient. Redness of cheeks when get excited. INV.: 14/4/10 - ESR 44, FBS- 119, PPBS- 162, S. calcium- 8.81, S. Cholesterol- 227, LDL- 156.4, Urine routine- Protein- Trace, Pus cells- 4-6/hpf. ANALYSIS: Fear of death Death thoughts of Anxiety conscience of Precision of mind increased Fastidious Firm, strong Anger trembling with A/F: Checked perspiration Jesting Courageous Sun < Excitement, excitable Superficial redness REMEDY GIVEN: Ferrum Phos 200 (1) Ferrum-Phos Fear death of +2 D/D: Phos Phos Fear death of +3 Death thoughts of +1 Anxiety conscience of +1 Precision of mind increased +1 Jesting general +1 Courageous +1 Anger trembling with +1 Excitement +2 Anxiety conscience of +1 Fastidious Jesting general +1 Courageous +1 Anger trembling with +1 Excitement +3
Constitution: Nervous, sensitive, anemic with the false plethora easy flushing. S/A: Blood, blood vessels, GIT, Bones, R.S. A/F: Checked perspiration.
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Phosphoricum Communication Sympathetic Friends, acquaintances, neighbors Brothers Homesickness Language and learning Curiosity and travel Restlessness and fears
They feel that they have to stick up for their friends and their brothers. They are intensely sympathetic and if someone is bothering them, they feel they have to do something about it. They feel that they have to be firm and bold on behalf of their friends. A variation on the theme could be that they have to force themselves to study. It may be that they have had little chance in life to learn anything, and now they must do their very best otherwise they dont deserve this opportunity. Another variation could be that they have to do their very best to make contact with others. They have to keep up the communication, even if they are being hindered by, for instance, language problems or opposition in any form. They feel that they are the ones on whose shoulders rest the responsibility to keep up the contact Essence: The idea that you have to do your very best to be allowed to study, or to keep your friends Location: right sided. Thermals: Chilly Rubrics: Ailments from indignation (Allen) Anger, trembling, with (Kent) Anxiety conscience, of Busy (Allen) Concentration difficult studying, reading, while (Kent) Courageous (Allen) Discontented, everything, with (Kent) Excitement, alternating with sadness (Kent) Fear death, of (+2) Firmness (Allen) (Lach, Squilla) Firmness morning (U) (Allen) Hurry (Allen) Indifference, apathy exciting events, to (Kent) Indolence ordinary matters, as to (U) (Allen) Insanity, madness delivery, parturition after, puerperal (Kent) VITALFORCE Page5
Intolerance annoyance (U) (Allen) Intolerance hindrance, of (U) (Allen) Intolerance vexation of (U) (Allen) Irresolution, indecision evening obstacles, from (U) (Allen) Irresolution, indecision trifles, about (Allen) Jesting, general Mania, brain congestion of, from sudden (Knerr) (Verat-v) Memory weakness, loss of facts, for (Clarke) Pessimist (Allen) Precision of mind increased (U) (Allen) Sadness, morning agg dyspepsia, with (+2) (Knerr) (Lach) Shrieking, (Boen) Starting, startled (Knerr) Stupor (Boen) Temperament phlegmatic (Knerr) Temperament phlegmatic leuco-phlegmatic (Clarke) Timidity (Allen) Trifles important, seem evening (U) (Allen) Complementary: Kali m, Nat m Case 2: Name: K. B. Chief Complaints: 1] K/c/o HYPERTENSION Weight increased after c-section. Now 105 kg Pain in the chest since 3-4 yrs Dyspnoea while walking up to 1st floor. 2] Pain in the knees while descending. 3] Cervical spondylosis since 15 yrs Generals: Appetite: Normal. Urine: N.S. Thermal: HOT Age: 48
Mental with life space: Childhood was in vasaiparents were uneducatedwanted to study but parents did not allow her to studyparents told her to stop studying after 7th std but her fiance insisted that she should study and only then he will get married to herstudied BEd...during school days used to feel that her should have been educatedfriends parents are educated and my parents are not educated(pratishthecha problem hota)felt that I should also have a good housewhen parents used to come to school used to feel that other students are looking at themgot married when she was 21in 83 got daughterhusband used to do social workpt felt that he should give time to herhad interest in educationwas interested in writing VITALFORCE Page6
poemslikes creative workwanted to work with social organizationsdoes not like routinefeels like doing something for someonefelt nav asayala pahijefelt revoltingthat girls should not be considered inferiorused to write articles on thiswrites prayers.husband expired 12 yrs backdid not weep because she had responsibility of her childrenused to feel I should get money fastI should be with best peoplebest schoolher ideal was dhirubhai ambani.my daughter and son are very intelligentafter husband died had to strugglehad to take care of the finances and also social things.says I had got status because of my husbandI should maintain itshe thinks that while getting married daughter saw looks and nothing elsethat time she felt that when she wishes I should respect herI have not just brought them up me tyanchyat kalagun vikasit kele ahetbut her got married to wrong people they were evil peoplefeels I should have stopped my daughterfeels guiltyI damaged her lifeI am not a good mother..i am a failure in case of my own beloved daughterfeels luck was lessdoes meditationin school teaches Marathicreative..Generous..Charityfeels nice when people clap at hercannot tolerate lie I am not after moneyI am happy people read my booksI will get my daughter married again. I am possessive about my daughterI dont like that my children dont have chalakhipana Inv: ECG - Inferior and lat wall ischemia. S. triglycerides 183, Wt: 105.8 Kg, BP: 140/90.
Analysis: Perseverance Firm Self pity Guilt feeling that she has not done good for her children Strong to take care of her family Wants identity Optimistic High BP Cannot tolerate opposition They feel that they have to remain strong to take care of their children. Remedy: Ferrum Mur 200(1) FERRUM FIRM STANDING ONES GROUND PERSEVERANCE BEATING IRRITABILITY 4TH ROW & 8TH COLUMN Theme- capacity to protect self, need to maintain the position &start facing opposition. S/A: Blood, joints especially right side of shoulder joint, DM. Side: Right. MURIATICUM SELF PITY NURTURING MOTHER ATTENTION SELF AWARENESS
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Main feeling: Ferr-m greatly resembles Kali-m in its mental symptoms. In quite a few Ferrum cases I first gave Kali-m with partial success. But I had to keep repeating Kali-m because some of the complaints kept coming back, until I discovered that Ferr-m was the similimum. Both remedies have the feeling that they have to be a good mother. And there is often a common childhood history of being the eldest child and having to help their mother. The aggravation at 3 am is also a common symptom, which is why we sometimes get confused between these two remedies. But what are the essential differences? Ferr-m has the feeling of being forced or forcing themselves, whilst Kali-m lacks this compulsive element. In Kali-m the feeling is one of duty, steadily carrying on with their task. Because Ferr-m is more forced in their activities there is a greater chance of irritability. They are easily irritated by their children because they feel that they have to be brave and grown up. A variation on this theme is the situation where they have a mother who is very firm. This mother is a person who knows what she wants and if the children dont obey they can get a smack. Or they may have a mother who has her own career and who doesnt have so much time for the children. But she doesnt want to hear any complaints from them about that, she doesnt allow any fuss. This is a Ferr-m situation, both for the mother as well as for the children Essence: They feel that they have to remain strong in order to be able to take good care of the children. Mind: They are bold and resolute. They feel they have to be because they must be able to take care of others. As a child they often had to help, being the eldest child. They really like to have children and to look after them well. They may even make it their profession, for instance by becoming a school teacher. They cant tolerate opposition or criticism very well, they might even get extremely irritable. They are also easily frightened. Rubrics Anger (jahr) Anxiety (U)Anxiety chest in heart region of insupportable almost in heart disease (jahr)-2mark Anxiety perception with Irresolution (Jahr) Sadness(Knerr) Sighing (hering) Sighing involuntary(Knerr) [cal phos ,ignatia] Talk indisposed to (Allen) Unconscious coma during (Allen) Compare: Nat Mur, sang. FERRUM SULPH [Sulphate of iron, Fe So4, 7H2O] Theme: Having problem with relationship, with quarrels. Strong person, selfish, demanding behavior. Having idea that they have to stand firm in their relationship. VITALFORCE Page8
There is feeling of standing all alone in the task to make the relationship work& feels that they are the only person who is doing anything towards it while their partner is just neglecting the relationship. This is true but their reason is that their partner has given up & lost all enthusiasm because of continuous pressure by her. They feel their husband should play a part in bring up the children & share in house hold duties. Have great desires to share their emotions with their partner to create a mutual understanding ,but it doesnt happen so the result is feeling of irritability towards partners & towards others especially when other dont respect their space. Even sound made by their partner can make them angry. Clinical: Bulimia Watery painless stool Worms Basedows disease Anemia, blood , hemolytic chlorosis Menorrhagia Chorea Convulsion Injuries ,sprain distortion Gall bladder pain Cardialgia Chlorosis Characteristics: Pulsation internally Distracting pain in calves and feet Allen Toothache -agg-warmth ,amel-cold air ,ice Side: Left Unique: Gall bladder pain Noises, ringing, menorrhagia in Pain toothache menses during menorrhagia FERRUM Firm personality: solid, stable, steady, determined. Irritable Perseverance Task Duty Work Maintaining Craft Use Force Ability Perfectionism Heavy Pressure Routine Order Rules Resistance Opposition Control Exam VITALFORCE Page9
Calculating Observed Criticism Planning Failure Guilt Crime Concentration Pursued Tried
Ferrum personality: Solid, stable, steady, determined. Perseverance: Ferrum people have the delusion that they will be pushed aside, so they are afraid to lose their place. . That is why the characteristic of Ferrum is that they have to remain steadfast and resolute. Perseverance also has an element of compulsion. They have to persist, they have to hold out. That is why they cant tolerate contradiction or Interference with their plans Beating: Ferrums is that they have often been beaten in their childhood. For instance, sudden and unexpected beatings from their father who used to be unpredictable in his moods. This has made them very wary, as they had to constantly be on their guard. This takes the form of being sensitive to other people's opinions. They are afraid that others will give them a negative remark, which they would experience as a heavy beating. Feeling: I must protect and defend .I have resistance, pressure and opposition. They feel compelled to do something against their wish and have to fight against it Forced: They all have the feeling that they have to do something; they have to comply with some sort of rule. This is more than a sense of duty. It is a compulsive feeling that they have to fulfill some sort of task. Suppression: They are not allowed to listen to their own feelings, thoughts and wishes; they have to comply with the wishes of someone else. This leads us to the second characteristic trait of this group: suppression. They easily let their own emotions be suppressed by outside forces. . Crime: Having to live up to something, having to fulfill some sort of task, can also result in a feeling of having failed, or having done something wrong. This is expressed in the delusions: being pursued by the police, having committed a crime, 'having neglected their duty. The police represent the law, and their delusion is that they have committed a crime. Anxiety of conscience: They suffer from great feelings of guilt and anxiety of conscience. This guilt can be totally out of proportion to the so called crimes they have committed. They usually have very high moral standards and even very minor faults may be seen as major misdeeds. Restlessness: Because they feel hurried and persecuted, their behavior tends to be restless. They cant sit still and do nothing.
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STRONGandSENSITIVE FERRUM
The proving of Ferrum, the element was done with following preparation as given in Allens Encyclopedia;Preparation:Triturationsofpuremetalliciron;solutionsoftheAcetateandtriturationsofthe Carbonate. Under this head are included symptoms from Ferrum metallicum pulveratum and Ferrum aceticum,sincebothwereusedbyHahnemannwithoutdistinction.(Ferrumcarbonicumisalsoincluded). IronisachemicalelementwiththesymbolFe(Latin:ferrum)andatomicnumber26.Itisa metalinthefirsttransitionseries.ItisthemostcommonelementinthewholeplanetEarth,formingmuch ofEarth'score,anditisthefourthmostcommonelementintheEarth'scrust. Pure iron is soft (softer than aluminium), but is unobtainable by smelting. The material is significantlyhardenenedandstrengthenedbyimpuritiesfromthesmeltingprocess,suchascarbon. Thus, we see by analogy, that basically ferrum is a very soft and sensitive remedy. It appears hardenedontheoutsidebecauseofthecarbonelementinit. On studying this remedy from the source books like Herings Guiding Symptoms, Allens Encyclopedia, Kents Lectures, M.M M.L Tyler, Phatak and Boericke, the understanding I gathered is as follows: CONSTITUTION: Adaptedtopersonsofsanguine,cholerictemperament;pettish,quarrelsome,disputative, easilyexcited,leastcontradictionangers;womenareweak,delicate,chlorotic,yethaveaveryredface. Suitedtopersonswhoareveryweakandthin,darkhair,generalhemorrhagicdiathesis.(Hering). TEMPERAMENT:Choleric. MIND:TheSENSITIVEnatureofferrumisunderstoodfromthefollowingsymptoms: Hering: Kent: Allen: Anxietyasaftercommittingacrime. Fromslightestcause,anxiety,withthrobbinginpitofstomach. Nervous,hystericalfeeling;fearofapoplexy. Irritability;littlenoises,suchascracklingofanewspaper,drivehimtodespair. ThesensitivewomanwhoneedsFerrumhasaflushedfaceandisoftencomplainingbecauseshe getsnosympathy. Emotional.Constantdesireforsolitude;horrorofconversation,noise,visits,andeventhesociety ofhercherishedfriends.
TheSTRONGnatureofferrumisunderstoodfromthefollowingsymptoms: Hering: Pettish,quarrelsome,disputative;easilyexcited,leastcontradictionangers. Excitedbyslightestopposition;everythingirritatesordepressesher.Vehement;quarrelsome; anxious. Haughtinessandselfcontentedlook. Ailmentsfromanger.Moderatementalexertionimprovesmanysymptoms. Allen: Illhumor;disinclinedforeverything;indifferenteventosubjectsinwhichheusuallytookactive interest;joyfulnesswasimpossible. Excitedbytheslightestopposition;everythingirritatedordepressedher;evenherchildren's caressesincreasedherbadtemper;shewasoftenrudetothoseabouther,becameshehatedto seeortalktothem,andwantedthemtoleaveherinsolitude,whichalonewaspleasingtoher. Violence,quarrelsomeness;insiststhatheisright(afterfourhours).
Rubrics: Anger,contradictionfrom2 Contradictionisintolerantof2 Excitement,excitable,contradictionfromslightest2 Haughty,lookselfcontented Positiveness Serious,ernest Triflesseemimportant SUMMARY: Fromtheabove,weinferthatFerrumMetallicum,beingaleftsidedremedy,i.eRightbrain dominant,isverysensitive.(Rightbraindominancesuggestssensitivenature,beingartistic,creative, imaginative,spiritualistic,philosophicalandhysterical.)Heissensitivetonoiseandhencehasaversionto company,indisposedtotalk.Heisnervous,restless,especiallyrestlessnessoflegs.Theresanxietyover smallmattersbecauseofthenatureofdoingthingsinasystematicandorderlymanner.
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Atthesametime,heisconscientiousandgivesimportancetotrifles.Thismakeshimselfrighteous. HefeelsIamright,thoughhewillnotforcethatonothers,but,atthesametime,nottakeanydomination. Dr,VijayakarwritesinhisbookDisputatious,dogmaticbutnotdictatorial. FEWMARKEDPHYSICALGENERALS: 1) OverexcitabilityandSensitivityoftheNervesoversensitivetopain,toleastnoise. 2) LaxityofMusclesofbloodvesselscausingeasyhemorrhage,congestion,flushedfacethoughanemic. ofintestinalvillicausingeasyvomiting,vomitingwithoutnausea. painlessdiarrhea,prolapsusofrectum,vagina,uterus. 3) Allthesufferingscomeupduringrestpalpitation,dyspnoea,weakness. Restlessnesswhenkeepingstill,mustkeepthelimbsmoving. 4)Amelgentlymovingabout. 5)Aggrapidmotion. 6)CaninehungerDoubletheamountofordinarymealwashardlysufficient. 7)GoodremedyforObesity(calc.,Graph,caps.) 8)Allsourthingsdisagree. Followingisacasetohelpusunderstandthistheoryinabetterway: CaseRegistrationNo:M50 PatientName:Mr.T.M. Age:28yrs. Sex:Male Education:B.Com Occupation:Prof.incoachingclass. Religion:Hindu Brother:1younger CHIEFCOMPLAINTS: LOCATION 1.G.I.T SENSATION MODALITIES <leastovereating <immediately eatingafter <eatingatodd times >sleep++ >afterpassing stools >drinkinghot drinksteaor coffee. Lotofantibiotics antiparasitics. ACCOMPANIMENTS Lotofsalivation++ Lethargysp.In morning,nodesire towork Sister:0 Father:47yrs. Address:Thane Mother:45yrs.
Frequenturgeforstools7 8/day,paininabdomenonleast since1415yrs. overeating,colickygripingpain. Sleepdisturbed,hencelotof more since 1 lethargy.Heavinessinabdomen tillgetclearstools. month Stoolwatery,withmucusand blood.Sincebirthfreq.diarrhea withmucus,formedstoolsonly after5monthsage. Frequentdewormingtape wormexpelledwithdysentery.
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ASSOCIATEDCOMPLAINTS:NS. PATIENTASAPERSON Appearance: Appetite: Cravings: Thirst: Moderatebuiltwithsharpbonystructure. Good,butaftereatingfeelsheavinessabdomen.Thencanteatmore.Easysatiety. Hotfood+++,canteatfoodthathasbecomecold. Atlongintervals,smallquantity.Less.
Perspiration: Scanty,evenafterexertion,sweatverylittle. Sleep: Dreams: Habits: Thermal: F/H: P/H: Disturbedduetofrequenturgeforstoolandabdominalpains. Unremembered. Tobaccosince10yrs78/d,occ.drinksalcohol.Incollegeheavysmoking,now1atnight. Cannottoleratecoldatall.SleepswithoutfanasdraftoffanintolerableC4H0(CHILLY). Pat.GFAsthma;Pat.GMHT,CVAduetohaematoma;Pat.greatGFcancer;Mat.GFHT. Jaundicetwiceat7yrs.ageand14yr.age.
CBCHb.12.7,WBC7300,N/L/E54/31/13.EndoscopyFindingss/oUlcerativecolitis.
LIFESPACEINVESTIGATION: At present, taking private tuitions. I had taken computer engineering, but because of bowel problem, had to take a drop. Also, MGM and MGF, to whom I was very attached, were very ill, so much tension at home. I am very fast in everything. Eat lunch in 2 minutes. I am very quick in logical, technical andconceptualstudies.(Quick)Itakemyowndecisions.Idonotevenlistentomyfather.Iwouldnottake anybodysdominancebeyondacertainarea.Icantlistentoanybodyslecture. Egotism As a teacher, very strict, even hit students if they are not perfect in their studies. As I am perfect, I want them to be perfect. I am a fighter, do not get nervous with problems. I just find solutions (Courageous). I do not like to meet people. I have apprehension meeting new people. I would like to stay alone, even go to hotel alone. Also, I dont have shame of going around in dirty clothes. I will not let anybody enter my private space. I cant disclose things easily. I dont think I will be able to express it to anyone.(Reserved).
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ANALYSIS: Event Studies Decisions School,college TOTALITYOFSYMPTOMS: Egotism,selfesteem Reserved Positiveness Contradictionintolerantof REMEDY:FERRUMMET200Idose FOLLOWUPS: Date 10/11/06 17/11/06 01/12/06 22/12/06 Symptoms Sleep>,Appetite>,stoolsfrequency, passeslotofmucusinstool,with abdominalpain. Stoolsfrequency78/day,immediately eatingafter,withmuchmucusandabdo. Pain.Feelshungry,butcanteat.Sleep disturbed. Slightchangeinstoolfrequency,56/day, butabdo.PainSQ.Passesmucusinstool. Inference Treatment FerMet2001dose Placebo Placebo Placebo Page15 CravingHotfood Thermalstate:C4H0(CHILLY) Abdominalpain>sleep Feeling Quickinstudies Strictaboutstudies Takesowndecisionsfeels Iamalwaysright Confident Notliketobedominated. Cannotsharehistensions withanybody Likestostayalone Reaction Veryresponsible Particularinwork Egotism <contradiction Amafighter,notbecome nervous,findsolutions Veryfewfriends Inference Conscientious. Fastidious. Dictatorial. Ambitious. Domination intolerantof. Positiveness. Reserved Company aversion to.
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Frequencystoolreducedto45/day, mucusinstool,painabdo.less,Sleep>> Sleep>>,notdisturbedbyloosestoolsor painabdo.Appetite>>,Stoolfreq.23/day, mucusless.Slightcoryzasince23days Occ.Painabdo.,stools12/day,nomucus, semisolidinconsistency,Appetite>,Sleep> Coryzaless. Loosestoolswithmucussince23days, withcolickyabdo.pain Appetitegood,stools12/day,semisolid consistency,noabdo.pain. Loosemotions45/daywithmucussince1 week,A/foutsidefood,slightabdo.pain Burningsensationstomach. Stools12/day,nomucusorblood,even aftereatingoutsidefood,noabdo.pain, Appetitegood,sleep>>,boilonnosesince 45days,painful
INFERENCE: In this Acute Exacerbation of Chronic disease of Ulcerative Colitis, the first remedy that was chosenonentiretotalitygaveaggravationofsymptomsfor12monthsfollowedbycompleteamelioration ofcomplaintsintherightdirection;withoutsuppression. CONCLUSION:ThisinferenceistestimonytoDr.Kents2ndObservationthatstates,Thenthesecond observationis,thelongaggravation,butfinalandslowimprovement.If,attheendofafewweeks,heisa littlebetterandhissymptomsarealittlebetterthanwhenhetookthedose,thereissomehopethat finallythesymptomsmayhaveanoutwardmanifestationwherebyhewillattainfinalrecovery,butfor manyyearsyoumaygoalongwithprolongedaggravations.Youwillfindinsuchapatienttherewasthe beginningofsomeverymarkedtissuechangeinsomeorgan.Wemayknowbyobservingtheactionofa remedywhatstatethetissuesarein,aswellasknowsomethingabouttheprognosisforthepatient. VITALFORCE Page16
FerrumisLeftsided,moreeffectoncardiovascularsystem,relaxationofmusclescausingpainless diarrheaandvomiting.Itiszealoustopreserveitsjob.Thewordfirmsaysitall.Theydon'tgiveway,they arebrave,robust,steadfast,straightandtothepoint.Althoughtheylookpowerful,itisnotpowertheyare afterinitself,itismoreadeterminationthatthejobshouldbedoneproperly.Enforcingroutines: discipline NuxVomicaisRightsided,moreeffectonnervoussystem,constrictionofmusclescausing ineffectualurgeforstool.Nuxiszealoustoachievehisambition,isfastidiousandardent. AURUMMETItissimilartoFerruminbeingselfrighteous,anxietyconscienceof,thermallychilly,effect oncardiovascularsystem. Aur.Metisrightsided.Heisveryconsciousabouthisresponsibilities.Aurumcannotletdownthe personorthetaskthathasbeenentrustedintohiscare.AssoonasAurumisunabletoliveuptohis responsibilitiesheisinclinedtodropeverything.Theyfeelveryimportantintheirpositionatthetop.And theywanttobetreatedaccordingly.Depressionsetsinassoonastheycan'tliveuptotheirown expectations. Ferrumisleftsided.Ferrumisverypositiveoptimisticandassertive.Eveniftheyfail,theystriveto correctthingsandgoahead. LYCOPODIUMItissimilartoFerruminbeingHaughty,dogmatic,workaholic,GIaffections,desirefor warmfood. Lyco.isRightsided,thermallyHot,suffersfromconstipation.Lycoisbasicallyveryambitious,to achievepower.But,helackscourage.Heisacoward.Hencehewouldbesoftwithandhardwithinferiors. Inthebargaintoachievehisambition,hegetsestrangedfromhisfamily.HisdispositionisTimid. FerrumisLeftsided,thermallyChilly,getsfrequentpainlessdiarrhea.Ferr.workstopreservehis jobandnotforpower..Heisprotectiveabouthisfamily,likeirongate.Heiscourageousandpositive.He isnottimid,butinsteadhegoesaboutdoinghisworktillthegoalisachieved.
Dr.PRAGNAS.JUTHANI
M.D.(Hom.) AdvisorySecretaryIIHPMumbai VicePresidentIIHPStatebranch ClinicDadar(E)Mumbai400014 Mobileno.: 09322252522
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CORRELATION OF MATERIA MEDICA OF FERRUM WITH CLINICAL CONDITIONS. Dr. Varsha V. Pednekar,. M.D. (Hom) Here are some interesting rubrics regarding Ferrum met from Complete repertory:--- Delusion large surrounding are Delusion surroundings capacious are Excitement menses after Sadness exertion amel. In all these 4 rubrics, Ferrum met is the only drug given with 1 grade. Below mentioned are other rubrics with Ferrum met in it along with other drugs, grade of Ferrum met is mentioned in the bracket. Mood changeable,variable (2) Restlessness nervousness (3) Restlessness bed driving out of (3) Restlessness tossing about in bed(3) Sadness,melancholy, depression of mind, dejection(3) Ferrum Phos is present in following rubrics:- Impetuous even (1):-- only drug given Restlessness nervousness (1) Restlessness bed driving out of (1) Restlessness tossing about in bed(1) Ferrum Iod is present in following rubrics:- Mood changeable, variable (1) Sadness, melancholy, depression of mind, dejection(3) Restlessness nervousness (2) Ferrum Ars is present in following rubrics:- Mood changeable,variable (1) Restlessness bed driving out of (1) Restlessness tossing about in bed(1) Restlessness nervousness (3)
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Correlation with clinical aspect:-We always have a portrait of Ferrum as very strong, firm, defensive personality with iron like will. But above mentioned rubrics show the other side of Ferrum where Ferrum can become sad with depression & anxiety neurosis like symptoms where other elements added to the main basic constitution i.e. Ars or Iod added to Ferrum give excitability & restlessness to the entire personality. So if a person with metal qualities such as performance, defense, strong belief in self; comes to us with clinical symptoms of mental depression on anxiety, one can think of Ferrum too. Now if we go through Cowperthwaite Textbook of Materia Medica, we get some really interesting clinical tips such as below:-1) Hughes says that regarding anaemia in Ferrum; its not the element iron which is deficient in the food but the fault lies in the assimilative processes. Quantity of iron supplied in the food is sufficient for the person to prevent him going into anaemia but assimilative process is to be corrected with Ferrum. Correlation with clinical aspect:-If we go in depth of causes of anaemia, then here we are not treating nutritional anaemia but we are treating anaemia induced by deficiency of Vitamin B12 & folic acid which are not absorbed well by gastric mucosa leading to Megaloblastic anaemia. So person with anaemia with low Vit B12 & folic acid level with other mentals & physical aspect matching we can think of Ferrum in such cases. This shows that Ferrum would be a better choice of drug in cases of malabsorption syndrome leading to anaemia, also in deficient intrinsic factors in gastrectomy cases, also in intestinal & jejunal resections provided he or she is having ferrum personality. 2) Cowperthwaite mentions Ferrum is never indicated in anaemia with torpid, sluggish conditions. Patient can not keep quiet & are better by very gentle exercises. 3) T.F. Allens views on Ferrum:--Ferrum has been overlooked as a valuable remedy for inflammation of the thoracic organs with marked febrile excitement. Farrington mentions that:-1) Ferrum has action on blood vessels & it dilates them & so Ferrum pulse is not full bounding as that of Aconite. It has power of dilating bl. Vessels by diminishing action of vasomotor nerves. Also, patient complains of soreness of abdominal walls as if bruised, but its not due to inflammation but due to dilated bl. vessels. 2) In Ferrum, cheeks are bright red flushed though patient has anaemia & this is called by Farrington as Masked Plethora & the reason is irregular distribution of blood in Ferrum. 3) According to Farrington, Ferrum has 2 complementary drugs & those are, Cinchona (in anaemia from loss of fluids) & Alumina (in chlorosis). Ferrum has Pulsatilla as its antidote which is an antidote to Cinchona too.
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4) Ferrum Phos is midway between Aconite & Gels in inflammation. Here inflammation has not gone in exudation & discharge is blood streaked. Pathologically bl. vessels are enlarged &with paresis of vasomotor nerves. 5) Ferrum haemorrhage is midway between Cinchona (with prostration) & Ipecac (bright red gushing flow of blood) 6) Ferrums are used in intermittent type of fever where there is abuse of quinine, distension of blood vessels in temples & face, throbbing headache with enlarged spleen , dropsy with severe haemorrhage. Correlation with clinical aspect:-Now this picture of a patient reminds us a case of dengue fever where patient is given antimalarials but to no avail & now he has gone into complications of dengue were blood count shows very low platelets & patient has started bleeding on that account. If mental & physical aspect matches then we can think of Ferrum as life saving drug in complicated case of Dengue fever. Thus, Homoeopathic Materia Medica has given us a weapon, AN IRON WEAPON & that is FERRUM with the help of which we can FIGHT various diseases, the way Ferrum personality fights & defends itself.
DR. VARSHA V. PEDNEKAR, MD Clinic: Shah polyclinic, Sunil Sadan, 1st floor, Opp. Hotel Grand Central, Near Chembur Rly. station, Chembur, Mumbai 7
SMSGYAN
WhateverwereceiveisInformation, WhateverwepreserveisKnowledge, WhateverweuseisWisdom, HowweuseisIntelligence. Changethetextureofyourthoughts, Andyourlifewillchange, Thefutureisnotsomethingweawait, Itissomethingwecreate.
FERRUM IN PAEDIATRICS
Dr.PravinJainM.D.(Hom.)
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Axis:
Withdrawing + Hyperactive + anemic (Red cheeks false plethora) Chilly + Thirsty + Right sided Authority + Contradiction intolerant + Hypersensitivity to noise + Easily fatigued + gentle motion amelioration.
Keyword
Firmness: The main theme of ferrum is Firmness. They are authoritarian.
Cyrus 3 yr old child once told his maid to prepare bournvita for him. The maid was busy and hence she said that she will prepare it later. Cyrus very coolly said I want bournvita now means I want it now. The maid had to give him bournvita. This is the authoritarian behaviour of ferrums, which is quite distinct from obstinacy. Here the anger part is missing when they demand things. Whatever they say (instruction) has to be followed immediately.
Constitution: Suited to child who are anaemic, who flush easily and feel fatigued from any active effort. Introduction Withdrawing
Irritable - Slightest contradiction aggravates. If anything does not happen as per their wish, they become irritable and angry. They cannot take no. Nervous.
Hyperactive
Sensitive to least noise. Slightest noise is intolerable. (crackling of paper, pressure cooker etc) Hyperactivity is more at mental level. Physically he is indolent (gets fatigued easily), but mentally easily excited.
Contradiction
Slightest contradiction aggravates.
Adult
Sardar Vallabhbhai Patel High morals. Strong and self willed. Positive. Feels they are right. A ferrum adult sets very high morals and values for himself. They are very obedient and duty conscious. Whenever a task is given to them or a problem arises, or they see any injustice, they fight it positively. (here it seems very close to aurum). They are task master, trouble shooter in all situations. Decisions are instantaneous and can handle any situation. Positivity and firmness is seen in all their actions. If they encounter a problem, they will not shy or run away from that, but will face it boldly. But they have high morals. After sometime he develops more positivity and he feels that whatever he does or thinks is always right. He becomes intolerant of contradiction. Gets easily angered when somebody contradicts him.
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The problem for ferrum arises from their parents or from guru whom he respects a lot. When suddenly his guru, whom he has respected all these years; he finds him doing deceit or cheating. This triggers the pathology in him. So when the problem is created by their near ones like their father or their guru, like their father doing something immoral, they will not accept it. At the same time they have high respect and regards for them. So they will put across their point, fight with them (not in public but privately) and then leave them and will never see their face. If the same thing is done by others they will fight and resist it openly. Ferrum adults are very sensitive and feel that they are being dominated by others (esp father) and hence they try to defy them by being non communicative and avoiding the sight of them. They feel they are being forced, and their positivity makes them defy or challenge the force and later they react by moving away from the force.
Infant Ferrum infants are very sensitive to slightest noise. (Asar, bor, Kali-c). They do not like solid foods, and want all the foods to be mashed and pureed. They cannot bite food. When mother tries to force feed them, they become red very easily. They do not like to be rocked but are better by gentle motion. Emaciated and feeble children. Diarrhoea-painless, at night; Toddler Toddlers do not like much of physical activity. They get fatigued very easily. Schooling Child Schooling children are very firm on their opinions. Once they are convinced about an idea, it is very difficult to change it, and they always feel they are right. They cannot stand slightest contradiction. They love challenges and are positive and strong willed in execution of their duties. They are dominating and dictatorial.
Reactiontoexamination Reactiontostimulus
Anger Inhibited Anger Intrapunitive. Does not want to talk, does not want to work. Does not want anyone to talk to him. Even does not want company of his best friends. Misanthropy.
Entrypoints Ruleout