Apr 2015|Vol 12|Is 4

   
 
Case
 
   
Homoeopathy positive perspectives in Bronchial Asthma
 

 

Dr.R.Gnanasambandam, a renowned clinician and academician, research scholar writes and shares his views in this article about efficacy of Homoeopathy in Bronchial Asthma treatment. He had authored books and articles published in scientific journal. He also presented many papers in the scientific conferences, lectured in many Homoeopathic Medical Colleges. He served in many positions in the state and central Government. He can be contacted at 6, Llyod's II Lane Royapettah, Chennai -600014

 
 
 

Introduction

      The potentiality of Homoeopathy in treating the chronic ailment bronchial asthma is doubtful for the scientific community. We would say that Homeopathy has tremendous efficacy in reversing bronchial asthma and allied disorders. Hahnemann clearly experimented and formulated the therapeutics considering same symptoms will eliminate the disease. The long term benefit of Homoeopathy is that re organising the internal disease in deepest levels will provide long lasting cures. Such tremendous results can be achieved by every homoeopath by understanding the miasm in every case. Applicability in a wide range of disease titles Allergic Rhinitis, Hay fever and other air pathway disorders can be recovered.

Understanding the Pathophysiology

      We know that Bronchial asthma is physiologically obstruction in air pathway and pathologically airway thickening due to scarring and inflammation and secretions of mucus glands. The episodic attacks are accelerated by bronchoconstriction. The periodical “wheezing” is caused by the bronchial constriction which is being elicited by an immune response to allergens.

      Even though the genetics plays an important role in serving intrinsic factor the extrinsic factors are exacerbated by the allergens of different kinds. The altered immune response is seen individually from a number of triggering factors, commonly seen from house dust, animal dander (especially cat and dog hair), cockroach allergens, molds, pollens and perfumes. Cold and rainy weather attributes more distribution in inhalation. Both viral and bacterial infections of the upper respiratory tract can worsen the disease. Psychological stress may worsen symptoms, because the stress alters the immune system and thus increases the airway inflammatory response to allergens and irritants. The reaction is individual to a particular allergen which reminds “one man’s meat is another man’s poison”.

      Physician can diagnose a Bronchial asthma case by history of breathlessness and episodic attacks at intervals. A physician needs to differentiate with other air pathway disorders from Allergic Rhinitis, Sinusitis, Bronchitis, Bronchiectasis, emphysema and pulmonary consumption. He should borne in mind that ‘not all asthma wheezes and all that wheezes is not asthma'.

Clinical Organon

      Kent in his lecture on Natrum Sulphuricum Kent points out the short comings of prescribing on the simple totality of symptoms without any understanding of the underlying miasms. Vide Kent's Lectures on Homoeopathic Materia Medica.
"Asthma, when it is hereditary, is one of the sycotic diseases of Hahnemann......For years I was puzzled with the management of asthma. When a person came to me and asked: "Doctor Can you cure asthma?" I would say "No." But now I am beginning to get quite liberal on asthma, since I have learned that asthma is a sycotic disease, and since I have made judicious application of anti-sycotics I have been able to relieve or cure a great number of such cases. You will find in the history of medicine that wherever asthma was cured, it has been by anti-sycotic remedies. That is one of the first things I observed, that outside of sycotics you will seldom find a cure for asthma."

      Kent goes on to speak about the limitations of the use of Homoeopathy only on the symptoms without taking into account the underlying miasmatic causes and their syndromes.

      "While Ipecac, Spongia, and Arsenicum will correspond just as clearly to the supervening symptoms and to everything that you can find about the case, yet what do they do? They palliate; they repress the symptoms; but your asthma is no better off, your patient is not cured."

      From these quotes we can see that Kent truly followed Hahnemann's teachings and saw the validity of the theory of anti-miasmic remedies. He also clearly states that using the totality of the symptoms without understanding the miasms underlying the case may lead to mere palliation or suppression of the disease. This is why aphorism 5 of the Organon stresses the need to understand the fundamental cause as well as the totality of the symptoms.


"Useful to the physician in assisting him to cure are the particulars of the most probable exciting cause of the acute disease as well as the most significant points in the complete history of the chronic disease, to enable him to discover its fundamental cause, which is generally due to a chronic miasm. In these investigations, the ascertainable physical constitution of the patient (especially when the disease is chronic), his moral and intellectual character, his occupation, mode of living and habits, his social and domestic relations, his age, sexual function, etc., are to be taken into consideration".

      Therefore it is absolutely necessary for a homoeopath to understand the nature of the exciting causes of bronchial asthma, the allergic triggers as well as the underlying fundamental cause of bronchial asthma which is usually due to the chronic miasms. A acquired usually psoric origin and genetic the sycotic base. The acute exacerbations of the chronic state are latent within the constitution and have been brought by exciting factors.

      Each of the chronic miasms has their own characteristic signs that are an integral part of the totality of the symptoms. Psora tends to produce to irritation, inflammation, and hypersensitivity and Pseudo-psora tends toward suppuration Sycosis tends to produce infiltrations, indurations, and over growth and Syphilis tends toward granulation, degeneration and ulceration.

Clinical Materia Medica

      Under Hahnemann’s gleanings I have seen clinically Allergic Rhinitis, Bronchial asthma and Eczema can fulfil the meaning of “Cure” in many cases. It was quite possible with miasmatic interpretation in every case. I would say that the polycrests Arsenicum Album, Sulphur fit the similitude in most of the Psora, Pseudo Psoric states and Natrum Sulph quite useful in Sycotic base. A physician can easily fix the Sycotic by its inheritances. I would say that if these suitable similitude is prescribed to the patients at monthly intervals, we can see the reduction in intensity initially and gradually disappearance of symptoms after few months or few years. On the other hand management of acute exacerbations by the Allergic triggers can be best achieved by lowest potencies and mother tinctures. I have seen in many cases simple inhalation of the drug “Sulphur 6” had act as an inhaler. I tried with few drops on the tongue had brought silent in asthmatic attacks and in severe hypersensitivity reactions in Urticaria. Similarly some had experienced with Aconite, Ipecac. Even though the acute exacerbations can be skilfully tackled by experience, severe attacks need only brethren system of medicine modern system occasionally. Both patient and physician would experience cure over a periods of therapy.

Arsenicum Album

      The polycrest is widely used in clinical practice. The miasmatic applicability is Pseudo Psora. The bronchial asthma patients with absecence of allergic manifestations in family history constitutionally fix this remedy. The key notes great anxiety and restlessness, often worse around midnight and lying down, better by sitting up and warm drinks could lead this remedy.

Natrum Sulphuricum

      The Psoric , Sycotic manifestation can be elicited by inheritance of Bronchial asthma, Allergic Rhintis, Eczema, Urticaria could give miasmatic interpretation in analysing the similitude to a patient Attacks during wet weather or in rainy season. This asthma remedy acts well when the patient gets attacks every change of season.

Sulphur

      A wonderful remedy which can be used constitutionally in High potencies and low potencies for acute attacks. The patients give the history of skin eruptions or runs parallelly.

Aconite

      Excellent remedy during acute attacks of asthma that will ease breathing and coughing. Symptoms are often accompanied by marked anxiety, fear and restlessness.

Ipecac

      Good for asthma patients who suffer from coughing spasms resulting in vomiting or retching. It’s also best for asthma that comes with mucus or phlegm in breathing tubes.

Antimonium Tartaricum

      A good asthma remedy for children and the elderly; especially useful when the asthma has been caused by an infection. The cough will have coarse rattling in the chest on both inspiration and expiration. The patient will be worse lying down and at night generally. They may be irritable and want to be left alone.

Belladona

      This remedy works when there are violent spasms of asthmatic breathing attended by constriction of chest with redness of face.

Aspidosperma

      An effective remedy in asthma used in Q potencies by many Homoeopaths as a palliative. It improves oxygenation
Pothos Foetidus A clinically useful drug in Allergic Rhinitis and Bronchial asthma < Dust. Acts better in Q potencies. Lobelia Inflata, Lemna Minor Blatta Orientalis, Passiflora Incarnata also useful in Q potencies

Investigations

      The scientific parameters help a physician for the prognosis of a patient. A simple blood test for Differential count could give the hypersensitive reactions by studying eosinophil and Monocytes. Variation in Neutrophil and Lymphocytes could give acute and chronic state of infections. An absolute Eosinophil count always high in Allergic Rhinitis and Allergic Bronchitis patients. Serologically we can asses IgE which is elevated in many individuals with inheritance. A plain X ray chest could give the entire conditions of Lungs and Heart and enable us to differentiate the causes for Asthma

Conclusion

      Bronchial asthma can be cured certainly if the similitude is based on miasmatic understanding. The similar nosological labels Allergic Rhinitis, Urticaria and Eczema are also amenable