Homoeopathy in chronic renal failure

Homoeopathic treatment can help improve quality of life and help preserve existing renal function in cases of CRF.

1. PRESENTATION BY :DR. BIPIN
JETHANI
Assistant Professor, Department of Organonof Medicine,
Nehru Homoeopathic Medical College & Hospital,
New Delhi.
E-mail: [email protected]
Scope of
homoeopathy
in
chronic renal
failure

2. HOMOEOPATHIC APPROACH IN CASES OF
CHRONIC RENAL FAILURE

3. SCOPE OF HOMOEOPATHY IN CRF
In cases of CRF, homoeopathic
treatment can help to improve
patient’s quality of life through
relief of troublesome
symptoms, limit renal damage
and preserve existing renal
functioning as well as prevent
complications.

4. MY EXPERIENCES
IN CASES OF
CHRONIC RENAL
FAILURE

5. Cases of
grade 4-5 ckd
treated with
homoeopathy

6. CASE OF CRF (grade 5 CKD) WITH DM/ CAD
A 68 yr. old
female with
mesomorphic
build (wt. =75
kg.) and mole
on left cheek
reported with
c/o recurrent
dyspnoea
during sleep

7. PRESENTING COMPLAINTS
•Inspite of extreme
weakness,sheneverlikedto
restandbadlymissedher
‘morningwalks’.
•Appetitewasmuchreduced.
•Occasionalcoughespeciallyin
winters.
•Hadtendencytoeveningriseof

8. PHYSICAL GENERALS
•Chillypatient
•Thirstforverycoldwater---almost
chilled.
•Desireforverycoldwaterand
extremelywarmfood.
•Desireforsaltyfoods
•TendencytoincreasedPerspiration
especiallyinaxillaregion.
•Sleep;disturbed,unrefreshing.

9. EVOLUTIONARY STUDY OF PATIENT
•Strongfamilyhistoryof
Pulmonarykoch.
•H/osevereattackofmeaslesat
ageof8years.
•h/otonsillectomyatageof12
years.
•Recurrenthistoryofacute
bronchitisinchildhood.

10. FIRST prescription –PHOS. 0/1
•Keeping in
view,desirefor
chilledwater
andsaltyfood
withTubercular
background,I
started with
PHOSPHOROU
S in LM

11. PRESCRIBING CLUE –
IMPORTANCE OF SOIL
•The STRONG TUBERCULAR
FAMILIALBACKGROUND AND
TUBERCULAR TAINT
(RESTLESSNESS WITH
EMACIATION, DESIRE FOR
EXTREMESTEMPERATURE FOOD
& EVENING RISE OF
TEMPERATURE) WITHH/OCRF
LEDMETOPRESCRIPTIONOF:
KOCH LYMPH

12. KOCH’S LYMPH
Acuteandchronicparenchymatous
nephritis; produces
pneumonia, broncho-
pneumonia,andcongestionofthe
lungsintuberculouspatients,and
isaremarkablyefficacious
remedyinlobularpneumonia-
broncho-pneumonia.

13. KOCH’S LYMPH
It is especially useful in
cases of family history
or personal history of
tuberculosis or strong
tubercular diathesis
with renal

14. MARKED SYMPTOMATIC AND
BIOCHEMICAL IMPROVEMENT
PRE-TREATMENT POST TREATMENT

15. CREATININE LEVELS REDUCED
FROM 7.6 T0 5.73 mg%
Thepatientcould
reduce the
frequencyofdialysis
fromthriceaweek
totwiceaweekand
most
importantly,her
creatininelevels
reducedandsheis
nowclinicallyGRADE
4CKD.

16. A CASE OF CHRONIC kidney disease
(ckdgrADE4)
A45yrs.malepatientofGRADE
4CKDreportedinNHMCOPD
withhighcreatininelevels(4.5
mg%)withhypertension.He
was infactincidentally
diagnosedbecausewhenhe
hadgoneforcheckupofhis
mother,hetoothoughtof
gettingBPmeasured.Hehad

17. A CASE OF CHRONIC RENAL FAILURE
Furtherfollow-up investigations
revealedCRFwithhighcreatinine
levels4.1mg%);muchtothesurprise
ofpatientwhowasotherwise
FEELINGQUITEWELL.
Hisanamnesisrevealedthathehad
recurrenth/ofeverwithsorethroat
andcoryzasincechildhoodforwhich
hehadtakenlotsofantibiotic
treatment.FurtherhehadEXERTIVE

18. PHYSICAL GENERALS
•Thirst much decreased
•Appetite good; craved rich food
•Tongue thick coated, with superficial
cracks.
•Perspiration on forehead especially
during fevers.
•Slightly chilly patient.

19. A CASE OF CHRONIC RENAL FAILURE
Says there is nothing the matter
with him.
ARNICA
MONTANA
GOOD APPETITE IN GRADE4
CKD -----FEELING WELL IN
DANGEROUSCASES
H/O PROLONGED PHYSICAL
EXERTION

20. Arnica montanain case of CRF
•PATIENTshowedmarked
improvement(bothclinical
and symptomatic)with
ARNICA MONTANA
PRESCRIBED INLM
POTENCY.Thecreatinine
levelsimprovedto2.8mg%
andthepatientcouldavoid

21. KNOWN CASE OF CRF (Grade 5 CKD) WITH
DM, H/T AND CAD
A dark
complexioned48
yearoldmale
patientwithlean
build(wt.51kg.)
reportedwithc/o
graduallossof
appetitewith
excessive
tiredness,nausea
andvomitingafter
eachmeal.

22. PRESENTING COMPLAINTS:
•ABSOLUTELOSSOFAPPETITE.
•TENDENCYTOpittingswellingoffeetespeciallyafter
longjourney
•EXTREMEWEAKNESS,DIFFICULTYEVENTO
PERFORMHISDAILYCHORES.
•Tendencytoconstipation;stoolpassedwithgreat
straining.
•IncreasedCHILLINESSSINCELAST1YEAR
(DAIGNOSEDASCRF).

23. LIFE SPACE & ANAMNESIS
•Hewaseldestsoninthefamily.Hasbeen
pursuingbusiness(Homeinteriors)since18
years.
•Hasbeenahardworkerandhasputinlotsof
effortstobuildhisbusiness.
•H/Orecurrentitchingwithannularlesionson
chestandabdomen(?taeniacorporis)in
winters.

24. PHYSICAL GENERALS
•Chilly patient (since childhood) –chilliness increased since
CRF
•Appetite : SIGNIFICANTLY reduced
•Perspiration: normal, more on forehead, cold sweat
especially when eating
•Sleep: normal, occasional salivation during sleep
•Thirst: normal, slightly warm water preferred
•Stool: very hard, missed often.

25. HAHNEMANNIAN
BASIS OF
PRESCRIBING
‘The internal essential nature of every malady, of
every individual case of disease, as far as it is
necessary for us to know it, for the purpose of
curing it, expresses itself by the symptoms, as
they present themselves to the investigation of the
true observer in their whole extent, connexion
and succession.’
‘THE MEDICINE OF EXPERIENCE (1805)’

26. ALUMINA IN CASE OF CRF
•Keepinginviewthebuildof
patient,chillinesswithextreme
exhaustion,costivenessandtendencyto
eruptionsinwinters,thepatientwas
prescribedALUMINAinLMpotency.
•Subsequently,hisfrequencyofdialysisnot
onlydecreasedbuthiscreatininelevelsalso
camedownwithmarkedsymptomatic
improvement.

27. PRE-TREATMENT

28. POST TREATMENT

29. CLINICAL TIPS:
China officinalisin POST DIALYSIS WEAKNESS
Consideringthattheprocessofdialysis
causessuddenosmosisoflarge
quantityofbodyfluids,China
officinalisinLMPOTENCYserves
asanimportantremedytobe
consideredincasesofthisdebilitation
from‘LOSSOFVITALFLUIDS’.

30. CUPRUM ARS.
•Crampsincalvesoflegs,worseafter
midnight,onlyrelievedbygettingoutofbed
andstanding.
•UREMICCONVULSIONS
•Diabetes.Urineofhighspecificgravity;
increased,acetonesanddiaceticacid.

31. STIGMATA MAYDIS
•Asapowerfuldiureticinrenaldisorders
unconnectedwithcardiacinvolvement.
•Heartandurinaryconditionscombined.
•Suppressionofurinewithlackofsolidsandlow
specificgravity.
•Hasmarkedurinarysymptoms,andhasbeen
usedwithsuccessinorganicheartdisease,with
muchœdemaoflowerextremitiesandscanty
urination.

32. SERUM ANGUILLAR ICHTHYOTOXIN &
DIGITALIS IN CKD
SERUM ANGUILAR ICHTHYOTOXIN
OPHIDIA CHARACTERISTICS
(clothing intolerance esp.
around neck, <: during
sleep, clammy skin)
OLIGURIA HYPERTENSION
DIGITALIS
OEDEMA with abnormally slow
pulse & extreme prostration
OLIGURIA HYPERTENSION