Worms

Ft By There are many parasitic worms as many as about 135 which infest man. These worms mainly infest various sections of the intestinal tract, sometimes only the rectum, certain worms infest muscular tissues, the liver, the lungs and the brain. Infants or children are often the victims of different types of worms, mainly the following four types, which are common.
Round worms (ascaris lumbricoides)
Hook worms (ankylostoma duodnale
Thread worms (Oxyuris vermicularis)
Tape worms  (Taenias) 
Some of the characteristics for identification of these worms are disused here so that the treatment of any type of worms can be more specific and successful.
Round worms
This worm is similar to an earthworm, but is comparatively paler in colour. The adult male and female of these worms measure about 15 to 20 cm and 20 to 40 cm in length respectively and 3 to 5 mm in thickness. The Ascaride eggs are excreted in faeces and are yellow and elliptical in shape possessing a thick outer cell. These worms exist in the small intestine but often come up to stomach or go downwards and are excreted with the stools. In the intestine, larvae emerge from the eggs and penetrate through the mucous membrane of the intestine into the blood stream and then they are carried into the lungs, bronchi, trachea, larynx etc. The entire cycle of development takes approximately 75 days. Children aquire these worms due to poor hygiene, impure water and contaminated fruits and vegetables. Some children get the infection through the habit of mud eating. A round worm eats about 0-1 g of protein per day from the intestine. A child suffering from this type of worms often develops loss of appetite, nausea vomiting and at times dizziness and faintness, abdominal pain and constipation or diarrhoea. The child becomes listless and generally develops a protruberant abdomen. In certain cases, if number of worms is too large, it can lead to intestinal obstruction and acute colicky pains.
In some nervous children, the symptoms of irritability, hysterical or apoplectic attack may occur. When these worms migrates to the respiratory tract, these cause bronchitis and eosinophilia. The diagnosis of these worms can be established by examination of eggs in the faeces.
Hook worms
These worms enter in to the body of a person through skin and the infection is mainly acquired when a child walks bare footed. The adult male and female measure 8 to 10 mm and 12 to 18 mm in length respectively and 0.5 to 1mm in thickness. The egg is elliptical and thick shelled, and segmented in to 2 to 8 spherules.
On contact with the skin, the larvae bore their way into the blood vessels and many times pass to the right heart and lungs. When in the upper intestine,  they suck the blood and cause iron deficiency anaemia. Sometimes, the worms may cause local bleeding.
In the beginning, the larvae may cause ground itching or ankylostome dermatitis. Later, microcytic and the hypochromic anaemia may ensue. Children who are already malnourished and poor in iron and protein may suffer heavily due to the worm infestation. The children who are moderately infested may suffer from lethargy, hyper acidity and shortness of breath while the severe cases may show earthy colour skin, pallor of mucous membrane, mental sluggishness, constipation, cough, dyspnoea, oedema of the feet etc..
The diagnosis of this type of worm can be established by the examination of the stools for Ova and anaemia, especially if associated with eosinophilia.
Thread worms
These worms habitats the small and large intestines, the females descend into the rectum to lay their eggs in the creases of the anus. These worms measures about 10 mm in length and exist in clusters and rolled up masses. These look like threads and are white fusiform in shape and move swiftly. The female worms taper to a finer point and the males have a blunt and curved tails.
The chief symptoms caused due to infestation in children are itching in the area of the anus and genitals,  redness round the anus that may later change into abscess formation Anorexia, nausea, diarrhoea, abdominal pain, disturbed sleep,  offensive breath etc, . In girls, the worm infestation may cause itching in vulva. In severe cases of infestation,  inflammation of the caecum and the appendix may occur. In certain children, frequent micturition prolapsus ani may be observed. Long standing infestation may result from auto infection through the infected fingers of the child as it scratches the anus violently at night.
The diagnosis of this type of worms can be established by inspection of swabs made from the perianal skin. Sometimes female worms outside the anal canal may be observed at night immediately after the itching commence in the child.
Tape worms
Mainly there are two types of this worms, namely, measly pork tape worm and beef tape worm encountered in children. These are acquired by eating uncooked measly pork or beef. The tape worm measures 2 to 8 cm in length and is white in colour, articulated and flattened. The worms grow by formation of new segments below the head. The tape worm has slender neck and the body, its head being globular with four suckers, a b rostellum and a double row of hooks unless the head is destroyed and expelled, the worm grown Again and again. The following common species of tape worms are found infesting in children.
Taenia solium (pork tape worm)
Taenia saginata (beef tape worm) 
Taenia armata
Taenia cucumina
Hymenolepis nana ( dwarf tape worm) and
Diphylobothrium latum  (broad fish tape worm)
The cattle and swine ingest the eggs or the segments of tape worms with grass or water, or gets infested with the larvae which are carried to all the parts of the animal body with the blood where they become encysted (the form in which they can exist for years)  in the tissues of their intermediate hosts. The child becomes infested by consuming raw or poorly cooked Cysticercus beef or pork, the Cysticerci mature into the tape worm in the human intestine 2/3 months after ingestion. Some by the symptoms caused in the children due to infestation by the tape worm are gastro intestinal disturbances,  such as loss of appetite or voracious appetite, colicky pains and diarrhoea some children develop convulsions and strabismus. Occasionally, diphyllobothrium latum can cause megalocystic anaemia.. The diagnosis may be established by identifying the appropriate segments or Ova of the worm in the excreta. Often eosinophilia is present.
According to the homoeopathic philosophy, a child with psoric constitution falls prey to the worm infestation and when it gets appropriate anti psoric treatment so as to remove the psoric taint, the worms will find the habitation unfavorable for their nourishment and growth.
Management
Proper hygienic conditions, personal hygiene and consumption of clean and washed fruits and vegetables are an absolute necessity to avoid infestation of children by worms. It is absolutely essential that the habit of washing hands before meals and after going to the toilet should be inculcate in children. Nails must be cut short and wearing shoes should be made habit in children so that hook worms cannot get into the body.
Homoeopathic Therapeutics
Homoeopathic treatment aims at the Constitution of a child which pre disposes it to the worm infestation. In treating a child for worms, the identification of the worm, or the presence of ova in the faeces or the presence symptoms pointing to worms are not sufficient to arrive at a prescription. It is essential that all the signs and symptoms of the child should be taken into consideration and the prescription based on the totality. Following medicines have been found effective in the treatment of worms and are discussed below, though other medicines, based on the totality,  may sometimes be found necessary.
Dr. J. T. Kent advises under Calc carb in lecture on Homoeopathic Materia Medica :
The idea with homoeopathic physician is not to give vermifuges,  but to so correct the digestion that worms will not thrive, and it is that worms will not thrive in healthy stomach and intestines. Whether they leave by expulsion or whether they are destroyed, or what becomes of them, I do not know. To remove them by physicking them out,  and by vermifuges, only makes a bad matter worse, because it increases the indigestion,  it increases the turmoil. So is with all worms in the stomach and rectum, all those worms will come if they are favored with just exactly the right kind of fluids to hatch out in. They come and they grow. I suppose at least twenty five times the last twenty years have I known Calc carb to bring away tape worms, and in most instances I did not know it was present, but I simply prescribed for the patient. I was aware of its existence. It is so with many remedies.
Calc carb
It is one of the strong anti psorics and is useful for treatment against worms in order to correct the worm constitution or hereditary pre disposition to a helminthiaasis is especially indicated in children who eat mud owing to deficiency of certain minerals and ingest round worms. The typical Calc carb child is flabby and fair with the abdomen like an inverted saucer. The child perspires profusely especially on head. It craves for indigestible things like chalk,  coal, pencils etc.
Cina
It is leading remedy against worms, more so for effects worms. The Cina child is irritable, and cross and does not want to be touched or carried. The child rubs or picks nose constantly, bores fingers in to nose. There is variable appetite, grinding of teeth, convulsions and violent Jerkings of hands and feet. Itching of nose all the time. One of the characteristic symptom of Cina is that there is circumscribed redness of cheeks with pale face and dark rings around eyes. Often one cheek is red and other pale. This remedy is especially useful for round or thread worms causes considerable itching of anus. The typical Cina stool is white, watery stool, the child throws arms from side to side and stretches out feet spasmodically.
Cup oxy nig
This is for tape worms this remedy to be excelling in removing all kinds of worms, curing trichinosis and even tape worms.
Filix mas  This remedy is recommended for tape worms. The child suffers from diarrhoea and vomiting and has intense Itching of nose, pale face, blue rings around eyes. Typical worm colic accompanied with constipation makes this remedy indicated against worm complaints of children. Dr Hering recommend use of this remedy along with Kousso, in mother tincture against tape worms.
Granatum It is an excellent remedy for vermifuge especially for tape Worms. The child complaints of pain in stomach and abdomen worse about navel. Great itching at anus, constant hunger and profuse salivation. Convulsions due to worms.
Nat phos it is against Worms and worm like symptoms in children. Hyper acidity with sour vomiting and sour taste in the mouth. Tongue is coated yellow. Diarrhoea with green stools. It is especially useful for children who indulge excessive sweets and other starchy foods. This remedy is useful for round and thread worms.
Santonin  Chief symptoms of the medicine are foul breath, heavily coated tongue, restlessness and moaning at night, grinding of teeth, itching of nose, enuresis and night cough. Round and thread Worms.
Siliceia Against sickly children who are constitutionally chilly and perspire all over the head hands feet. The children are faint hearted and sensitive and cry when spoken to kindly. One of the characteristic symptom of this remedy is sensation of hair on tongue.
Stann  Cramps like colic around navel with a feeling of emptiness relived by hard pressure. According to Dr. Hahnemann, Stannum so stupefies the worms what they are easily dislodged by any purgative and expelled. The  child has a pale sunken countenance with dark rings around eyes and is hungry but cannot eat enough except in the evening, felling of weakness in chest so child can hardly talk. Teuc Is a great remedy against ascarides. The child is very restless at night, and great itching of anus and constant irritation after going to bed it is especially useful in children with psoric and tubercular taint. Crawling sensation in rectum after stools. Pin Worms.
Chenopodium and Thymol
Specific for hook Worms.
Cases treated
A 3 years old male child was brought to me for treatment of persistent itching of anus and complete loss of appetite. On observation it was found that there was redness in the perianal area and slight ulceration due to hard scratching. On an inquiry, the parents informed that the child occasionally had vomiting of milk and food which smelt very sour and also periodically suffered from green diarrhoea. Based on the above symptoms Nat phos 3 x three tablets four times daily was prescribed. In addition the lime water as prepared in the earthen pot and discussed earlier recommend to the parents. After about a week, the parents informed me that the child had passed 6/7 round Worms and enquired whether they should give any purgative which I did not advise. After about three weeks of treatment, the child regained appetite and the skin of the perianal area regained normal colour. The case was dismissed after administration of Calc carb 1m based on constitutional symptoms. The child has no trouble since then.

Pyoderma Gangrenous

Pyoderma Gangrenous disease that causes tissue to become narcotic, causing deep ulcers that usually occur on the legs. When occur, can lead to chronic wounds. It looks like a small bug bites or papules, and they can progress to larger ulcers. Though the wounds rarely cause to death, it can cause pain and scars.
There are two types of pyoderma Gangrenous. Normal ulcerative form, occurs in legs
An atypical form that is more superficial and occurs in the hands and other parts of the body.
Causes
Due to immune system dysfunction and particularly improper functioning of neutrophils. At least half of all pyoderma Gangrenous patients also suffer from illnesses that affect their systemic function for instance ulcerative colitis Crohn's diseases, rheumatoid arthritis, myeloma sufferers have the condition.
Symptoms
Inflammatory bowel disease
Chronic ulcerative colitis
Crohn's disease
Myelocytic leukemia
Hairy cell leukemia
Monoclonal gammopathy
Women are more affected than men
The disease is most common seen in elderly people of the age 40 to 50 years are more susceptible to the disease.
Homoeopathic medicines
Clean the wound with Calendula lotion three times daily as well as internally Calendula Q five drops twice daily.
Acid flour relieved by cold dressing
Hepar Sulph An excellent remedy for curing ulcers
Siliceia Ulcers which do not heal quickly better by hot dressing. Granulations difficult proud flesh.
Gunpowder 3 x ulcers around the ankles and other parts red and shiny
Aranea diad Gangrenous ulcers patient chilly and worst on alternate day. Hydrastis can Deep eating spreading ulcers upon the skin or mucous membranes with burning and thick, viscid, yellow pus.
Comociadia dentata  Ulcers with hard edges great swelling, intense Itching
Sulphur Ulcers with violent scratching
Staphysagaria skin readily ulcerates in rickety people
Kali Sulph multiple ulcers, patient feels better in open air.
Crocus Old cicatrised wounds when open again and again and suppurate.
Phosphorus wounds which appears to have been healed, break out again and again and bleed. Desquamation of skin, burning in the skin.
Tarentula cub Malignant Gangrenous ulcers. It stops recurrence of suppuration when Siliceia fails. Condourango Ulcers with foul smell
Opium Ulcers which are perfectly painless, which do not heal granulate and do not heal or spread. Insensibility of parts which are in high grade inflammation.
Kali Sulph Leg ulcers brown crusts on ulcers surrounded by very dark copper coloured skin drops every thing from hands if spoken to suddenly.
Belladonna Throbbing and bursting headache in temples due to pituitary tumour
Gelsemium pain beginning in the nape of neck and shift over to head, causing a bursting sensation in the forehead and eye balls.
Spigelia Nervous headache begging in the morning at base of brain spreading over the head and locating in eye orbit and temple of left side. Intolerable pressive  pain in the eye balls. Sensations as though the head were bound around the vertex.
Headache with menstrual flow thick.
Sanguinaria Same symptoms as Spigelia except that it is a right sided remedy.
Lac vac Headache with nausea and constipation at the time of menstruation relived by frequent urination.
Ruta Brought on by reading and eye strain. Eye strain.
Lac Defl  Nervous headache with vanishing of sight and icy cold sensation in vertex.
Chionanthus Specific for sick headache listless and apathetic dull frontal headache over the root of nose, over eyes, through temples.

Leukemia

Cancer which starts in the bone marrow where the blood cells develop is generally termed as leukemia and myeloma where as those which affects the lymphatic system are called lymphomas.
A group of cancers which originate in the bone marrow blood cells are known as leukemia or blood cancer. Generally bone marrow contains of few healthy and many immature blood cells which are known as a blast cells.
There are mainly four types of blood cancers.
Acute Myeloid leukemia (AML)
Chronic Myeloid leukemia (CML)
Acute Lymphoblastic leukemia (ALL
And Chronic Lymphocytic leukemia (CLL)
Signs and symptoms
Paleness
Tiredness
Shortness of breath
Excessive bleeding

Feeling unusually tired or weak
Unexplained weight loss.
Night time sweating
Frequent nose bleeds
Occasional rashes and bruises on the skin.
There can be enlargement of lymph nodes, spleen, and liver. Most of the patient do not experience any symptoms during early stages of the disease.
Diagnosis
Physical test Physical examination is conducted to find out swollen lymph nodes, spleen and liver.
Blood test to count the number of red blood cells, platelets and white blood cells.
Biopsy Samples of tissues of bone marrow are examined under a microscope to ascertain whether leukemia cells exist.
Cytogenetic test  on the samples of blood, bone marrow and lymph nodes for abnormal chromosomes in the blood and it also identifies the type of leukemia
Spinal tap By taking spinal fluid from the lower spine area and is test the presence of leukemia.
Chest X-ray to identify lymph nodes and diseases in the chest.
Leukemia or Myelodysplastic Syndrome. Can cause bone or joint pain, usually because your bone marrow has become over crowded with cancer cells, when bone pain occurs,  it's most often felt in the long bones of the arms and legs and in the ribs and sternum of the rib cage.
Homoeopathic medicines
Antipyrinum 30 c potency one dose daily it increases number of immature white blood cells in blood streams.
Ars hydr 6 c potency twice daily extremely effective in treatment of the disease without any side effects. The characteristic symptom include restlessness in the afternoon and midnight, debility, shortness of breath, weak heart action and pale of the face loss of weight. Swollen sensation in parts.
China When the periodicity of fever and chills with enlargement of spleen is marked. Bowels disturbed and the skin is short and dry
Ferrum phos 3 x  anaemia with haemorrhage and general debility and constipation. Chlorosis in young girls with delayed menses.
Phosphorus  The patient is very much relaxed and debilitated. Palpitation of heart and shortness of breath on least exertion. Loose and offensive stools with complete exhaustion thereafter.
Ars iod may be given after meals
Nat mur 6 x when the complexion is pale, earthy, Skin greasy, anaemia with chilliness, cold feet and chills down the back.
Calc carb and Cal iod
Are especially indicated when the lymphatic glands especially the cervical glands are involved
Nat Ars and Nat Sulph in severe cases of leukemia these may be tried.
Ceanothus It is specific for enlargement of spleen resulting in anaemia Q.
Ars alb. Pallor debility, shortness of breath, action of heart weak, profound blood changes, glandular enlargement. Midnight aggravation, nervous apprehension and anxiety which should not be ignored.

Some fever cases

It is often considered difficult by the homoeopathicians to treat the cases of malaria and fevers especially the acute attacks, and therefore, are tempted to prescribe quinine. But some of the peculiar and strange symptoms often make the choice of the proper remedy easy. Dr. S.M.Pease cured a case of intermittent fever with Nat Sulph on a strange and rare symptom, when he took off his boots at night, the ball of the right great toe invariably inched.
The following cases cured by me or cited in other books will help the drs and readers in relying more on the materia medica than on quick snap shot prescribing.

Case 1.
A delicate 9 years old boy had quotidian type malaria for 3 days. On the fourth day at about 10 am, parents brought the child to me when chill shook the boy so violently that his parents held him, though heavily wrapped in their embrace to hold him. Considering the above symptom and the time of occurrence of the chill as well as thirstlessness  ( as I was told that the child never asked for water during any of the stages on previous days)  I prescribed Gelsemium 200, two doses 15 minutes apart. The effect was rapid. The violence of the chill reduced and heat with prostration superseded. The temperature rose to 39 °C and the child lay down quietly. He complained of pain in forehead. A dose of Gelsemium 200 was repeated in heat stage as well. No more attacks of the intermittent fever. Though it is often recommend that the medicine should better be given after the attack and in repeated doses, I chose to administer the medicine during the chill and heat stages in frequent doses and the rapid recovery followed.
Dr. T. D. Stow cured the following intermittent fever case.
M  had tertian fever for five or six weeks. Pulsatilla 200 was administered, which seemed to aggravated, changing the fever to a quotidian type symptoms. Paroxysm commenced at 8 am. Hard and shaking chills, last one hour after great thirst followed by fever with no thirst, headache, flushed face, dry red eyes and after the fever, sweating with thirst, but very profuse perspiration at night, particularly upon the parts on which he lies. Great debility after perspiration. China 200,  ten doses, one dose every three hours. Speedy recovery followed.

Case 3
One of the most puzzling cases of internment fever I have cured is that of a boy of 13 years old who lacked most of the routine symptoms but had some striking symptoms which I missed owing to my absence at the time of the occurrence and going according to the narration of the parents.
The child has paroxysms on alternate days around 8 am. The chill was violent and was preceded by intense thirst and pain in the whole body. Vomiting water during chill. During heat,  the temperature rose sharply to 40 °c and the child went into convulsions and had considerable difficulty in breathing  (as was narrated to me by the parents).  The heat stage was followed by scanty sweating. When I seen the paroxysms was over. Any way, considering the above symptoms, I prescribed a dose of Eup perf  200 with the instructions to immediately call for me as soon as the next paroxysms started. I was told that the child felt prostrated during the apyrexia period and complained of bitter taste in the mouth. I was called when the paroxysms struck the child again on the third day. The chill had just started after the child had taken two glasses of water and it was heavily covered with blankets. Eup perf 200 was administered every ten minutes without any difference in the intensity of the chill which then was followed by great heat. I was baffled by the apparent inefficacy of Eup perf in spite of it being well indicated and being given after the earlier attack and during the present attack. Soon I observed that the heat stage brought the frightening convulsions and terrible dyspnoea. On examination, I observed terrible swelling of spleen. During the convulsions, the child became very rigid bending backward. The mother of the child started weeping as she thought the child was going to die. The convulsions and rigidity immediately brought to my mind the drug picture of Cicuta vir, which was immediately administered in 30, potency, two doses ten minutes apart. The picture immediately changed for the better. The child straightened up, the convulsions disappeared, the breathing became free, which brought great relief to me and the child's parents. It seems, the dyspnoea of Cicuta is connected with the enormous swelling of spleen. The child had no more attacks of fever, but as a safeguard, a two doses of Cicuta vir 200 was administered to the child to check the recurrence of cerebral symptoms.
Case 4
A 15 years old school girl consulted me for her severe headache over eyes, in temples and occupit which according to her lingered on after a bad attack of malaria about 6 months ago. She had been treated with quinine after positive blood tests for plasmodium. The dull pain remained almost throughout the day was worse from the studies or mental exertion. She also complained of coryza with thin watery discharge and sneezing worse in the noon. She had grey hair which reported had started appearing 5 years ago. Sometimes she had severe earache and swelling of the lymphatic glands.
On these symptoms, I prescribed two doses of Nat mur 1m. Potency one dose second dose after gap of one hour. After about 10 days she had great relief in headache and coryza later of Nat mur 10 m potency completely cured her. Her hair also started regaining normal colour.

Epistaxis

Epistaxis or nasal haemorrhage or nose bleed is characterised by haemorrhage from the nose, usually due to rupture of small vessels overlying the anterior part of the cartilaginous nasal septum. It is very common feature of of the childhood and a varied etiology ranging from traumatic to serious blood dyscrasias. The common site of the nose bleeding is the anterior part of the nasal septum approximately 1 cm above the nasal orifices. The mucosa of the nasal conchae or other parts of the nose is less likely to bleed. Bleeding is usually of sudden onset without any apparent cause and very often it ceases spontaneously through some times it may go on for a long time draining the patient of blood, slowing down the pulse rate and causing constitutional debility and fainting. The blood may be either of bright red colour or clotted, coagulated or dark, black or fluid or pale or stringy.
Causes
Numerous causes are assigned to Epistaxis, but most frequent cause in children is nasal trauma including blow on the nose, picking the nose, injuries to the nasal mucosa or removal of hard, crusts, general congestion caused by adenoids, foreign bodies violent exertion and from colds and other infections. Besides, atherosclerosis, disease of the heart, kidneys, liver, etc, also produce copious haemorrhage. Yet other causes of Epistaxis may be bleeding polypus, bronchitis, whooping cough, pernicious anaemia, leukemia, acute infectious fevers, influenza,  malaria, and high blood pressure. Some of the rare causes may be mountaineering, aeroplane journey and poisoning by some drugs especially quinine and salicylates. In New born infants a recurrent nasal discharge, which is blood stained should arouse suspicious of nasal diphtheria,  foreign bodies or congenital syphilis.
Constitutional causes
The children of psoric and tubercular constitution suffer from nasal haemorrhage more frequently of other than Constitutions. In tubercular children, Nasal haemorrhage are profuse, bright red, difficult to arrest and are ameliorated by cold applications. Over heating and violent exercises will often trigger off the haemorrhage. The children will have a haemorrhage from the nose on the slightest provocation, that is blowing the nose, a slight blow, or washing the face, etc. In this constitution, Epistaxis often proves to be beneficial as it ameliorated headaches, vertigoes and congestion to the brain and head
Effects
The Epistaxis in infants and young children may result in swallowing of blood which may consequently result in haematemesis ( vomiting of blood)
Preventive Children who are given to the attacks of Epistaxis should avoid violent exercise and other exertions. They should avoid exposure to hot sun which may cause congestion of head and lead to Epistaxis. Some of the conditions like nasal polypi, adenoids, whooping cough, nasal catarrhal, anaemia and fever should be treated properly with due regards to the Constitution of the child to avoid recurrence of Epistaxis.

The child should be put in the bed with his head propped high or two or three pillows and his nasal wings should be pressed to the septum to stop the bleeding. Child should be asked to hold the hands as high above the head as possible. Cold application to any part of the head constricts the bleeding vessels and helps to stop bleeding.
Homoeopathic therapeutics.
Aconite useful for violent bleeding in plethoric patients as a result of over heating or due to rush of blood to the head. This remedy is especially useful when Epistaxis is associated with headache or with cough.. Ammonium carb  this remedy is useful in Epistaxis coming on after washing face in cold water, in morning. Bleeding may also occur after eating, after blowing the nose or during headache.
Arnica This is one of the important remedies for Epistaxis caused by a blow, fall or any external injury. The nose may feel hot and bleeding bright or dark or pale colour. Epistaxis during whooping cough or typhoid fever is also covered by this remedy.
Belladonna  Epistaxis from congestion to head with flushed face injected eyes and throbbing in temples. The blood is bright red or clotted, coagulated or dark black and usually comes on at night. This remedy is also useful in case of infants when the nasal discharge is blood strained.
Bryonia Epistaxis in the morning after rising particularly at 3/4 o'clock in the morning. In young girls, frequent bleeding of nose when menses should appear, this remedy will be of particular use.
Carbo veg  Daily attacks of Epistaxis with pale face before and after attack is highly indicative of this remedy. The Epistaxis usually comes in the morning when the child is still in the bed or at night. The bleeding is periodic in nature and persistent and greatly debilitates the child.
China Useful in debilitated children who have frequent and long attacks of Nasal haemorrhage with great pallor of face and coldness, convulsions and twitching. Habitual and easy bleeding from nose even with slightest touch is successfully cured by this remedy..
Croc  The Nasal haemorrhage is accompanied by cold sweat on forehead in hot weather or in diphtheria and is usually of persistent nature. Better in open air.
Crotalus horridus Epistaxis with black and stringy blood ozaena and occurring after eruptive fevers or syphilis. As this remedy causes blood decomposition and haemorrhage, the children showing general tendency to hemorrhagic diathesis are especially benefited by this remedy. The Epistaxis from the blowing the nose or during whooping cough or typhoid fever is also relieved by this remedy.
Ferrum phos This is one of the important remedies for Epistaxis when the blood is bright red and comes out in the form of a steady flow. Bleeding from blowing the nose, during fever and during headache or cough is often relived by this remedy.
Hamamlis  This is one of the often used remedies for Epistaxis when bleeding is profuse with tightness in bridge of nose. The nature of bleeding is characterised by passive, venous flow and the blood is non coagulated. This remedy is also useful in frequent oozing of dark fluid and in haemorrhagic tendency.
Ipeca  when the bleeding is bright red or clotted and coagulated. Epistaxis in whooping cough and diphtheria is also relived by this remedy. Epistaxis accompanied by nausea and dyspnoea often calls for this remedy.
Lachesis Blood containing flakes of decomposed blood looking like charred straw after drying. This remedy is useful in Epistaxis during hot weather and during typhoid fever.
Millefolium One of the characteristic symptoms of this remedy is piercing pain from eyes to the root of nose.
Phosphorus This remedy is especially useful in tall and slim girls approaching puberty, who suffer from vicarious menstruation ( Epistaxis from suppressed menstruation) . Chronic Epistaxis with small haemorrhages, handkerchief is always bloody. Nasal haemorrhage due to bleeding polypi. The bleeding usually comes in morning or in evening. The haemorrhage may come suddenly on touch and due to strong odours or sound. Better by cold application, open air and lying on right side.
Pulsatilla Useful in young girls suffering from vicarious menstruation.
Bleeding may occur during evening or at night and may be aggravated by blowing the nose especially in the morning and with hard coughing. The Pulsatilla patient often suffers from nasal haemorrhage after being wet and by sitting in a warm stuffy room. The blood is often black and clotted. Epistaxis in sensitive, gentle weepy children will often call for this remedy.
Sulphur Children given to repeated attacks of Epistaxis are specially benefited by this remedy. Sulphur being a strong anti psoric often helps children of psoric constitution who have bright red lips and red and scabby nasal alae. Epistaxis due to dry scabs forming in the nose which when dislodge cause bleeding. Also haemorrhage due to nasal polypi and adenoids.
Tub Children tubercular constitution are benefited by this remedy. Bleeding occuring on slighted provocation namely on touch, blowing the nose, washing the face, as well as over heating and exercise often calls for this remedy on constitutional plane.
Some case
An 11 years old boy was brought to me by his worried mother of recurrent nasal haemorrhage. The child was robust and in good health and often complained of headache especially in the morning after arising. The mother reported that the child had frequent attacks of nose bleeding, mainly in hot weather and from blow and sudden touch. The blood was usually of dark colour and was profuse. The child was more liable to Nasal haemorrhage when he suffered from headache. On further interrogation, it was learnt that the bleeding was generally profuse and more from the left nostril which was slightly better after lying on the right side. Based on the above symptoms the boy was administered Lachesis 0/12 potency (50 millisimal scale)  in repeated doses for 3 days. After about a month, the mother reported that the frequency and the intensity of bleeding had greatly reduced. To the great joy and the amazement of the mother, the child had no headache during this period which was otherwise of frequent occurrence. Lachesis 0/18 was administered in frequent doses which completely cured the boy of all the troubles stated above..
Case 2
A 14 old girl suffered from Epistaxis with profuse and bright red blood without any apparent cause. She stated that during hard study particularly in the days of examination,  she had frequent attacks of Epistaxis. The girl was menstruating regularly and normally. Further interrogation did not reveal any significant symptoms as the bleeding was reported to occur any time during day or night, during any season and under any condition. But going deep into the family history of the child it was learnt that her grand father had died of tuberculosis and her father usually suffered from bouts of loose coughing. Based on the family history Tuberculinum 1m was administered followed by occasional doses of Millefolium whenever the attack came, which cured her permanently.

Fibroids

Fibroids are abnormal growth which develop in or on a woman's uterus. If ignored, they can become very large and cause severe pain and heavy bleeding, impacting quality of life and disturbing daily activities.
Fibroid are very common non cancerous tumours arising from muscle layer of the uterus. One in three women suffer from Fibroids, 40 percent of all women over 35 years have a Fibroid of significant size but majority go unnoticed.
Symptoms
Mostly asymptomatic.
Menorrhagia
Heavy regular periods
Iron deficiency anemia
Pressure effects
Urinary frequency
Pelvic tumor awareness
Difficulty in initiating urination
Pain, infertility  and irregular bleeding
.
Types of Fibroids.
There are three types depending upon location,
Subserosal  Grows on the outer side of the uterus. They may Have grow large enough to make uterus appear bigger on one side..
Intramural  Grows inside the mucle layer of the uterus and responsible for causing severe cramping pain during menses.
Submucosal Grows towards the inner cavity of the uterus from the middle muscle layer. When large in size, they cause excessive bleeding leading to weakness.
Fibroids and Fertility
Depending upon the location of the Fibroid in the uterus. It can impact fertility by distorting the shape and size of uterus. Women who believe that they may have Uterine Fibroid should see a Doctor sooner, especially if they hope to conceive soon. Unfortunately, Fibroids can grow at a rapid rate, so one should have these tumours dealt with before they interfere with fertility.. Fibroids and pregnancy.
Most women with Fibroids may cause complications depending on the size and the location.
Treatment
Hysterectomy
Suitable for large, symptomatic fibroids affecting quality of life.
Uterus along with fibroids is removed completely.
Provides permanent cure for this problem with homoeopathic treatment.
Laparoscopic or keyhole surgery
Minimally invasive
Cosmetically better
Homoeopathic treatment.
Profuse haemorrhage, Epiphegus virginiana 30 c potency once or twice in a week.
In women with tendency to enlarged thyroid. Thyriodinum 3 x three tablets three times daily
Intractable bleeding Ficus r 3 x three tablets twice daily
And Thalaspi bursa mother tincture ten drops three times daily.

Hydrastinum mur 3 x twice daily
Pain from sacrum to pubes, flow bright but intermittent Sabina 30 four times a day
Dark flow but painless Hamamelis 3 c potency four times a day
Fibroids tumours in uterus near fundus Pulsatilla 30 c potency five pills or five drops twice daily
Womb packed with fibroid tumour in uterus, burning feet and sometimes shivering Kali Iod 30
For Fibroid tumour with painful menses Fraxinus American mother tincture ten drops in little water twice at night and Veratrum alb 30 every morning
Dr. Boericke recommended Calc iod and Trillium, Ergot and Lapis for fibroma
Dr. Nash suggests Phosphorus for growth like fibroids and other fungus growth.
Fibrous bodies Calc carb,  plat met, Staphysagaria and Thuja according to symptoms
Large Uterine Fibroid Tumour covering the entire womb,  frequently repeated haemorrhage as if the patient would bleed to death, discharge horribly offensive Lapis alb

Aurum mur Nat 6 c potency have a more power over Uterine tumours than any other remedy.

Cement

The preparation for possible use is made by triturating a good cement with sugar of milk on the decimal scale
Dose trituration and all potencies.
Uses Eczema, cement maker's itch  persons working in cement manufacturing factories and who works as a Mason's job.
Cement maker's itch is an occupational disease, entirely distinct from ordinary itch being neither parasitic nor contagious, but produced by the chemical or mechanical action of the cement upon the skin.
Cement maker's itch and ordinary itch have one symptom in common, intense Itching, especially at night. The itching appears to be increased by the heat of the bed and also is more annoying in summer than in winter. Scratching may produce Infected wounds and swelling. It is likely to be followed by eczema and other complications like asthma. Because eczema suppressed with allopathic medicines.
The mangers of cement works should always require their workmen to wear cotton gloves and garments tightly fastened at the neck and at the wrists. Cement workers on arches or ceilings should wear masks. Both gloves and masks should be frequently be washed.
In cases of eczema, itching cement 30 c potency five pills or five drops twice daily can be used.