Here are the most commonly indicated remedies to relieve an excruciating toothache
भावनिक बुध्यांक (emotional intelligence) हा शब्द एेकला अाहात का?
बरेचदा अापल्या अाजूबाजूला वावरणारी “हुश्शार” मुलं, ज्यांना परिक्षेत अगदी पैकीच्या पैकी मार्क मिळत असतात, जी परिक्षा देतील त्यात जे पहिले-दुसरे येत असतात, अशी मुलं मोठेपणी फार काही यशस्वी होतातच असं नाही. मेडीकल कॉलेजच्या पहिल्या वर्षाच्या पहिल्या दिवशी रितीरिवाजाप्रमाणे अाम्हाला PCB ग्रुपमधे मिळवलेले मार्क विचारले गेले. अाम्ही सगळे ८५-९० टक्कयातले… एक मुलगी उभी राहिली अाणि म्हणली, “९५%” – अाम्ही अवाक!! पण अाम्ही एेकलेला तिचा तो पहिला अाणि शेवटचा अावाज. त्यानंतर त्या मुलीला कधी चांगले मार्क मिळालेत, तिने कधी वर्गात उत्तर दिलंय किंवा हॉस्पिटलमधे केसेस बघताना काही वेगळा विचार केलाय असं कधीच झालं नाही. असं का?
कारण बारावी पर्यंत परिक्षा ही अगदीच गणितासारखी objective असते. कुठल्या धड़यातून कोणते प्रश्न येतात ते साधारण माहिती असतं. तुम्ही एकदा त्या पुढे गेलात की काहीही व कुठल्याही धड्यातून प्रश्न येऊ शकतात, तुम्हाला विषय किती समजला अाहे यावर तुमचे यश ठरते. अाणि इथेच अाजवर मागे बसलेले काहीजण बाजी मारतात. पुस्तकी घोकंपट्टीचा अायुष्यात काही उपयोग नसतो. अाणि हे ज्याला समजलं त्याला मार्कांच्या पलिकडलं जग दिसायला लागतं.
काही महिन्यात निवृत्त होऊ घातलेल्या एका सीइअोला त्याच्यानंतर कंपनीची धुरा सोपवण्यासाठी दोन पर्याय देण्यात अाले – एक होता कंपनीतला सर्वात यशस्वी व कष्टाळू कर्मचारी, जो अाजवर प्रत्येक परिक्षेत पहिला अालेला होता… अाणि दुसरा होता असा एक जो सुध्दा कष्टाळू होता पण एक दोनदा एखाद्या विषयात नापासही झाला होता. अाजवरच्या कंपनीमधल्या कामात दोघेही जवळपास सारखेच होते.
अायुष्यातले सर्व रंग बघून परिपक्व झालेल्या सीईअोने निवड केली ती त्या दुसऱ्या मुलाची. असे करण्याचे कारण विचारल्यावर त्याने सांगीतले – “अायुष्यात फक्त यश बघितलेला माणूस अपयश अाल्यावर काय करेल याची खात्री नाही, पण जो अपयशातून वर येऊन यशस्वी माणसाच्या तोडीचे काम करु शकतो तोच माझ्या कंपनीला कोणत्याही प्रसंगात योग्य प्रकारे सांभाळू शकेल. कारण जीवनात कष्ट केलेत तरी रोज यश अापल्या पदरात पडेलच असं नाही. अपयश पचवलेला कर्मचारी मला या जागेसाठी योग्य पर्याय वाटतो.”
अपयशातून बाहेर येऊन स्वत:ला शोधण्यासाठी लागतो तो ‘भावनिक बुध्यांक’!
पण म्हणजे काय? तो कसा शोधायचा, जोपासायचा ?
इथेच बोलू… लवकरच!
तुम्ही म्हणाल हा काय प्रश्न? पण प्रत्येक गोष्ट मिळवण्यासाठी काही ना काही कष्ट हे घ्यावेच लागतात. ‘तळहाताच्या रेषांनी सहज सुखा का भोगी कुणी…’ हेच खरे!
तुम्ही बड्या बापाच्या घरी जन्माला या किंवा छोट्याश्या झोपडीत… अापले ध्येय गाठण्यासाठी कष्टाला पर्याय नाहीच. अाणि कष्ट म्हटले की शरीराला तोशीस अाली. वजन घटवायचं तर सकाळची झोप टाळून व्यायाम करणं अालं, मार्क हवे असले तर क्रिकेटची किंवा फुटबॉलची मॅच सोडून अभ्यास करणं अालं… अाणि हे सगळं करुन यश पदरात पडलं की ते टिकवण्यासाठी पुन्हा कष्ट व अापला ‘कम्फर्ट झोन’ झुगारणं अोघानेच अालं.
त्याचबरोबर तोंड देता अालं पाहीजे ते ‘नकाराला’. अाजपासून वीस वर्षांपूर्वी हॅरी पॉटर सिरीजचे पहिले पुस्तक प्रकाशीत झाले. अाजवर अब्जावधी पुस्तके खपलेल्या या पुस्तकाला प्रकाशीत होण्याअाधी पन्नासहून अधिक प्रकाशकांच्या नकाराला सामोरे जावे लागले होते. जे के रॉलींग ने जर त्या नकारांसमोर हार मानली असती तर?
अाज नकार अाला म्हणजे उद्या येईलच असे नाही, अाज अपयश अाले म्हणजे कायम अपयशच पदरात पडेल असा कुठेही नियम नाही… अाणि त्याच चालीवर, अाज अापण विजय मिळवला म्हणजे यापुढे रोजच व अापोअाप तो अापल्यापाशीच राहील असेही नाही.
अापल्या ध्येयाकडे जाणारा मार्ग अापल्याला हवा तस्सा व अापण म्हणू तितका सोप्पा कसा असेल. त्यात खाचखळगे, काटे व पेटते निखारे असणारच! पण त्यांना अोलांडण्यासाठी काहीनाकाही साधने ही ठेवलेली असतात, त्यांना शोधावे लागते. ही साधने कोणत्याही स्वरुपात असतात – एखादा मित्र, बोधकथा अथवा अापल्याच डोक्याचा नेहमीपेक्षा वेगळा केलेला वापर.
ये जिसको जम्या उसकी नैया पार हो गएलीच समझो!!
Shobha came to visit my clinic with a complaint that for her was quite funny to narrate. She felt that though she gets good sleep at night, the legs do not. She had an unpleasant tingling sensation in the legs, especially in the calf muscles, which made her to move around or apply bandage tightly. She felt better by stretching the leg out, but still the uncomfortable pain did persist for some time. The intensity of the pain also prevented her to fall asleep or getting continuous refreshing sleep.
Shobha was suffering with nothing but ‘restless legs syndrome (RLS)’. In this condition, one or both legs can get affected. Though the name suggests it being a disease of the lower limbs, some patients also complain of similar symptoms in the arms as well. Apart from the sleep, the symptoms can get precipitated while being in a prolonged position like sitting at a desk, driving a car, watching a movie. The symptoms appear abruptly and can have a pulse-wave pattern of recurrence, making it more troublesome.
The prevalence of this disease increases with the age and it is believed that almost 10-15 per cent of the population is affected by RLS. It has been reported to be one of the leading causes of sleep-loss or insomnia in elderly population. It is seen more often in women than men. Though rare, children too can get affected with it, but the diagnosis is made difficult and can lead to various hyperactivity disorders or growing pains.
It is believed that RLS runs in the family; and is triggered or aggravated by epochs like Pregnancy, or systemic illnesses like kidney failure, and anemia related to iron or vitamin deficiency. The insufficient iron, which is a common manifestation of the above conditions, can be the reason to have the basic lack of dopamine. The brain uses dopamine to control limb movements. The diagnosis is usually made according to the symptomatology and clinical presentation. There is an opinion to check the levels of iron in the blood, although many people who have RLS can have perfectly normal levels of iron but abnormal levels of iron in the cerebro-spinal fluid that bathes their brain.
The treatment primarily includes dopamine-like drugs, sedatives along with behavioral strategies that include stretching, taking a hot bath, or massaging the legs before bedtime. The patients of RLS are often asked to avoid caffeinated beverages to reduce symptoms. If required and documented by the blood level tests, one can be given iron, vitamin B12, or folate supplements. Some patients may even require mild doses of anti-convulsive therapy, while some do feel relieved with analgesics.
Homeopathic medications have found more effective in relieving the symptoms of RLS without causing any unwanted side effects that are seen with any of the above treatments. A constitutional medicine approach along with the acute remedial prescription based on the symptom-similarity is the best approach to deal with this ailment.
An inquisitive student was asking me this question, as a part of an interview she was conducting before joining my clinic as a learner. That’s a very common experience now days. I remember, not more than 10 years back when I had just passed out, me and my colleagues were interested in learning whatever the physician could teach us from his busy clinic hours, but today’s learners are quite selective, and they have to be! They are much more oriented and aware about homeopathic schools, methods and techniques than what we were even after couple of years of practice.
But what exactly are RARE remedies?
Dictionary gives the meaning of the word ‘Rare’ as – ‘Not widely known; especially valued for its uncommonness’ or ‘recurring only at long intervals’. If I try to apply these definitions to homeopathic practice, I find each and every homeopath has got his own repertoire of medicines that he plays with. To give an example, it might be surprising for most of you but, I have yet not prescribed Thuja, Ambra Grisea, Palladium or Medorrhinum in last 10 years of practice as a constitutional remedy. For me these are rare remedies.
The point I want to put forth here is – do we talk about rare remedies for the faculty of homeopaths or for the individual ? I think what counts the most is the later. And I thoroughly would like to prescribe rare remedies, the remedies that have been prescribed rarely by me till now, due to my ignorance and lack of knowledge about them. It takes some hard case that makes me to solve it in the learnt protocols, to find some odd remedy emerging from the process, leading to a rare remedy prescription.
I have met my colleagues who have prescribed more ‘calcarea silcatas’ than ‘pulsatillas’. I have yet to unfold the mystery behind numerous remedial forces, by rising against my blocks. Yet to discover the scope of known remedies in its true sense.
Thus, my dear student (?), YES, I would like to prescribe rare remedies. Will you help me to reach them by questioning my prescriptions ? Would you like to be my teacher ?
Rohini, a television anchor and a news reader by profession, visited my clinic with a very strange complaint, she had never even heard about before. For the last few months, she was observing patchy white areas of yellowish white coat on her tongue. She first ignored it thinking it just due to the disturbed gastric schedule, but within a couple of months, she started getting burning or soreness in the tongue area on eating any citrus fruits like oranges or lemon. These areas were getting resolved spontaneously, but a new patch used to appear on the other region of the tongue, thus not letting the lesions resolve completely.
She had been to her local physician for the same, who first prescribed her local mouth wash, but instead of relieving the complaints, it aggravated the irritation further. She was then treated with antihistamines and topical steroids, without any significant improvement in the lesions. She was thus asked to continue a dose of multi-vitamin tablet, especially of b-complex vitamins.
Apart from the soreness, the major concern for Rohini was the dirty appearance of the tongue, which was prominently hampering her screen-image. She was once asked by the cameraman not to laugh with mouth wide open, since it made the appearance of the tongue much obvious. One of her friends then suggested her to take a homeopathic treatment and thus she came to me. Rohini suffered with what is called ‘Benign migratory glossitis’ or ‘Geographic tongue’.
As the name suggests, the condition is benign [possessing very less morbidity and no mortality] affecting almost 4% of the human population across the world. It is mostly asymptomatic but patients can experience burning, irritation or soreness that gets aggravated by certain food items and astringent flavored items. Many patients also get swelling of the tongue along with the appearance of deep fissures on the tongue surface.
It is believed that it is more common in patients suffering from psoriasis, but it is insignificant to link the two ailments since geographic tongue is seen commonly in non-psoriatic patients as well. It is also linked with hormonal changes withing the body, diabetes, smoking and spicy diet. It can be seen running in the family, but it is attributed more to the diet pattern than the genetic predominance. Females are seen getting affected more than males.
Ideally, there is no particular treatment for this ailment. Mostly the lesions can resolve without any treatment, giving undue credit to the multi-vitamin or local steroidal preparations prescribed empirically.
Homeopathic approach towards this ailment is that of a constitutional disorder. Rohini was interviewed in detail for the constitutional assessment and was prescribed Natrum mur, which not only resolved her tongue patches but also relieved her recurrent migraine attacks.
Other significant remedies that can be useful are – Nitric acid, Rhus tox, Taraxicum, Arsenic, Kali bich and Mercurius.
“Doctor, please do something for these white patches that appear on his cheeks I have started giving him oral calcium supplements but it didn’t help. Do you think it is because of worms?” a mother was asking me anxiously. She was worried about the light-colored circular patches that had appeared on the cheeks of her son. This is a very common complaint encountered in pediatric patients. Mostly parents connect it with either a deficiency of calcium or due to worm infestation; while some go to the extent of considering it a pre-vitiligo stage. The worried mothers empirically start treating the child with some OTC drugs, without knowing what is it actually?
What Is It:
Pityriasis alba, is a common skin disease, predominantly affecting children of 3-16 years of age [boys affected more than girls] and affects almost 8-10% of children at least once in their lifetime. The word ‘pityriasis’ denotes the finely scaled appearance while the word ‘alba’ is Latin for white, the color of the patches. The patches are definitely not permanent and the condition is known to be self-limiting, resolving on its own after a certain period. There is no evidence that it progresses to vitiligo in future, since pathophysiologically, both are completely different entities.
Pityriasis alba falls under idiopathic dermatosis, which means the cause is yet unknown.
It is considered as superficial dermatitis, that is usually seen in atopic [prone to allergy] children and presents with dry-scaled, light colored patches on the face – especially around the mouth. Due to its color, it seems accentuated during the summer. It might itch during the early stage of appearance.
It is most likely to be mistaken with vitiligo or leucoderma, where there is a complete absence of the dark pigmentation. The pityriasis alba lesions do not usually have a well-defined border [like in vitiligo] and they do not coalesce [as in tinea versicolor].
Ideally, treatment is not necessary for pityriasis alba, but one should consult a physician to rule out the other causes of hypopigmentation, which might need treatment. Antifungal ointments have shown improvement in some patients.
Homeopathy can help these patients with its constitutional treatment approach as per the assessment of individual psycho-somatic disposition.