Comparative Materia Medica of Acidity

TREATMENT METHODOLOGY IN ACUTE PRESCRIBING

There are two types of cases we get for Acute Prescribing

1. Acute diseases (e.g., cold, fever, etc.)
2. Acute exacerbation of chronic cases (e.g., acute status asthmaticus in a chronic case of asthma; acidity in a chronic gastritis etc.

Therefore, when the patient is on a chronic constitutional deep acting medicine, I prefer not to disturb the dynamic resonance of the chronic medicine and would prefer to give acute medicines either in tincture or in very lower potency, so that it does not go in the level of the dynamic deep acting medicine.

APPROACH IN ACUTE PRESCRIBING:

During acute stage, we Homoeopath can handle the acute cases with courage and prescribe the following medicines. As the patient wants immediate relief, so in my long experience, I have used extensively the medicines, which has pronounced action on the main symptoms of the specific acute situation and have the capability of giving the patient instant relief. Some times patient is drug dependent even for an acute situation e.g., acute acidity in chronic gastritis and constantly takes antacids on a daily basis (in such situation, according to §173--§178, Ref. Organon of Medicine: Treatment of One Sided Diseases with scarcity of symptoms) we can gradually withdraw/wean off the conventional medication [Subrata asks the patient to sip the homoeopathic medicine prescribed on the basis of few available symptoms in those drug-dependant acute cases, considering the symptomatic similarity of few symptoms in accordance with §173--§178. So when the patient have acute problem and in need of conventional medicine, patient takes the homoeopathic medicine and tries to defer the conventional medicine as much as s/he can. In this way, a drug dependent patient who used to take conventional medication 8 hourly; can, with the help of homoeopathic medicine now defer the medication to 12 hourly, then 24 hourly and so on. In this way the conventional medication is gradually weaned off]. In such way patient can avoid the use of conventional chemicals (as patients get frustrated of prolonged / regular use of conventional chemicals in this era of organic food; and also suffer from the side-effects etc.) I get a disclaimer signed by the patient who wishes to wean off the conventional medicines gradually. I give the entire power and decision in the hand of the patient (as the patient is also aware of the side effects of the chemicals of the conventional medicine and wants to wean-off them). Giving the "weaning off power" in the hand of the patient, makes him/her feel that s/he is taking control of what s/he is taking and therefore patients will power of weaning-off the conventional medicine work as well towards raising of patient's energy level, so that they can very gradually wean off without much suffering.I do not advice exactly how much to wean-off because that should be guided by the G.P.

I like to share the courage with my fellow homoeopaths, so that they can confidently prescribe the indicated acute medicine and handle the attack. Homoeopathy is not complementary medicine but it is an Alternative medicine to the conventional chemicals and we can do this by adopting proper methodology and thereby give fast relief to our patients during their acute suffering, as well.

In drug dependent cases, when the patient is on conventional medications; in such cases it is very difficult to get a clear picture of the case. The artificial chronic disease is superimposed on the original natural disease (Aphorism 91, Organon), therefore symptoms are contaminated or suppressed and the patient cannot give a clear picture e.g., sensations, modalities, etc. I select Lesser Known Organopathic Medicines, where there is absence of good totality for polychrest prescribing. In such cases lesser known organopathic medicines have capability to alleviate symptoms to a certain extent, thereby giving the chance to wean off the conventional chemicals (so called medicines), and experience shows that after 40-50% weaning off; the uncontaminated symptoms of the natural disease surfaces and gives us the proper modalities, sensations etc which will enable for constitutional prescribing, which is obviously our final motto.

In the same way, for conventional pain killer dependent Migraine cases, the artificial chronic disease is superimposed on the original natural disease, therefore symptoms are contaminated or suppressed and the patient cannot give a clear picture for a constitutional medicine as well as the modalities of the pain are masked. Therefore, the following medicines can be selected on the basis of few available symptoms, e.g., Acetanilidum, Anagyris, Bromium, Chionanthus Virginica, Epiphegus, Ferrum Pyro-Phosphoricum, Indium, Iris Versicolor, Kalmia Latifolia, Lac Defloratum, Melilotus, Menispernum, Menynanthes, Oleum Animale, Onosmodium, Saponin, Usnea Barbata, Yucca Filamentosa etc. Accordingly the conventional allopathic pain killer is gradually withdrawn and after approximately 50% weaning off of the conventional medicine, suppressed symptoms surfaces and now the patient can give much clearer modalities. This will lead to making a change in the plan of treatment and on the basis of `MTEK' [Miasm + Totality + Essence + Key notes] a constitutional prescription can now be made.

Similar example for Drug Dependent Hypertensive cases where the following medicines (Allium Sativa, Crataegus Oxyacantha, Eel Serum, Ergotinum, Lycopus Virginicus, Rauwolfia Serpentina, Spartium Scoparium, Strophanthus Hispidus etc.) are capable of gradually weaning off the conventional medication.

Through this approach, not only does the patient gain immediate confidence that homoeopathy works, but can also wean off the conventional medication to certain extent.

ACIDITY (ACUTE): COMPARATIVE MATERIA MEDICA

POINTS	ACID SULPH	CINCHONA OFFICINALIS	CORNUS FLORIDA	LACTIC ACID	NATRUM PHOS.	ROBINIA
1) AETIOLOGY	(a) Alcohol+++ (long continued indulgence to wine / spirits +++). (b) Dyspepsia	(a) Ill effects of tea +++. (b) Milk and Milk products. (c) Fruits. (d) Alcohol (Ref. Dr. Clarke). (e) Bad meat or fish. (f) Beer.	(a) Abuse of quinine. (b) Malaria: N.B.W.Sà Acidity. .	(a) Acidity with morning sickness; with diabetes.	(a) Sugar. (b) Milk. (c) Fat foods+++. (d) Bitter foods. (e) Acidity in children fed with excess of milk and sugar.	(a) Excess of starch. (b) Acidity of children. (c) From fat & flatulent foods e.g. Cabbage, turnip, raw fruits etc.
2) CHARACTER	(a) Acid risings. (b) Sour eructations à sets teeth on edge. (c) Water = coldness of stomach. (d) Aversion: smell of coffee; desire: fresh food. (e) Nausea with chilliness. (f) Stools: Chopped, saffron yellow, sour.	(a) Belching of bitter fluid à regurgitation à No relief.. (b) Bitter taste+++. (c) Food tastes salty. (d) Nash's trio of tympanitic and flatulent medicines (affects whole abdomen). (e) Hungry (+++) without appetite: eats à remains undigested à after a meal = Fullness of stomach.	(a) Distressing acidic heartburn. (b) Nausea à vomiting à bilious diarrhoea. (c) Old cases of dyspepsia à Acid regurgitation (+++). (d) Desire: Sour++, pickles, cakes. (e) Slow digestion. (f) Ineffectual urging for stool.	(a) Copious salivation (+++). (b) Water-brush (++). (c) Hunger (+++) à salivation (+++) à constant nausea (+++) à >> by eating. (d) All edible substances à acidifies à hot & bitter eructation. (e) Plug sensation in throat. (f) Burning: Mouth à to à stomach.	(a) Lump in throat à sour vomiting. (b) Yellow, creamy, coating at the back part of tongue. (c) Desire: Strong tasting foods, eggs, fried fish, beer. (d) Aversion: Bread & butter. (e) Goneness in stomach & abdomen < after eating. (f) Colic with acidity.	(a) Associated with frontal headache (+++). (b) Acrid (+++) eructations. (c) Acrid & greenish vomiting à colic à flatulence à burning pains in stomach à constipation. (d) Sour (+++) eructation à vomiting of sour (+++) fluid. (e) Distension (+++) of stomach à  flatulent colic.
3) MODALITIES	(a) Aggravation: < Touch, pressure. < Morning. < Drinking cold water. < Wine & spirits. (b) Ameliorations: > Rest.	(a) Aggravation: < Fruits; < after eating < light touch to abdomen. < Smoking. (b) Ameliorations: Bloatedness > by movement. > bending double. > Hard pressure.	(a) Aggravation: < soon after eating.	(a) Aggravation: < smoking, Coffee. (b) Ameliorations: > by eating. > by eructation.	(a) Aggravation: << Fat food. < after eating. (b) Ameliorations: > from beer.	(a) Aggravation: < lying down (Ref. Dr. Clarke). < Fat, gravies(curries), flatulent food, < cabbage, raw fruits, ice cream. (b) Ameliorations: > by passing flatus.
4) CONCOMITANT AND ASSOCIATED SYMPTOMS	Debility (Tremor weakness & hurry) Impatient Hotflushes	Debility (Tremor weakness & hurry) Depression Puffiness & oedema	Debility (Tremor weakness & hurry) Neuralgic pain in arms Night sweats	Debility (Tremor weakness & hurry) Morning Sickness Limbs feels chilly	Debility (Tremor weakness & hurry) Greenish Diarrhoea Hives	Debility (Tremor weakness & hurry) Stool Sour Perspiration Colic
5) PRESCRIBING     POINTS	Aetiology: Alcohol +++ (long continued indulgence to wine / spirits +++). Character: Sour eructations à sets teeth on edge. Aversion: smell of coffee; desire: fresh food. Modalities: (a) Aggravation:- < Touch. (b) Amelioration:- > Rest.	Aetiology: Ill effects of tea +++. Fruits. Character: Bitter taste +++. Hungry (+++) without appetite: eats à remains undigested à after a meal = Fullness of stomach. Modalities: (a) Aggravation:- < Fruits. (b) Amelioration:- Bloatedness > by movement.	Aetiology: Abuse of quinine. Malaria: N.B.W.S. Character: Distressing acidic heartburn. Old cases of dyspepsia à Acid regurgitation (+++). Desire: Sour++.	Aetiology: Acidity with morning sickness diabetes. Character: Copious salivation (+++). Water-brush (++). Hunger (+++) à salivation (+++) à constant nausea (+++) à >> by eating. Plug sensation in throat. Burning: Mouth à to à stomach. Modalities: (a) Aggravation:- < Smoking, Coffee. (b) Amelioration:- > by eating.	Aetiology: Fat foods +++. Acidity in children fed with excess of milk and sugar. Character: Lump in throat sour vomiting. Desire: Strong tasting foods, eggs. Aversion: Bread & butter. Colic with acidity. Modalities: (a) Aggravation:- << Fat food. (b) Amelioration:- > from beer.	Aetiology: From fat & flatulent foods e.g., Cabbage, turnip, raw fruit etc. Character: Associated with frontal headache (+++). Acrid (+++) eructations. Sour (+++) eructation à vomiting of sour (+++) fluid. Distension (+++) of stomach flatulent colic. Modalities:  (a) Aggravation:- < Fat, gravies, flatulent food, < cabbage, raw fruit, ice cream. (b) Amelioration:- > by passing flatus.
6) POTENCY	200C.	Q. (5 drops à in ½ cup of luke warm water à 6-8 hourly àSOS x as & when necessary à stop soon improvement ensues) 30C	Q. (5 drops à in ½ cup of luke warm water à 6-8 hourly à SOS à as & when necessary à stop soon improvement ensues) 30C	30C	6x tablets (Bio-chemic tissue salts: 3-4 tablets - in ¼ cup of luke warm water à 6-8 hourly à SOS à as & when necessary à stop soon improvement ensues) 30C	Q. (5 drops à in ½ cup of luke warm water à 6-8 hourly à SOS à as & when necessary à stop soon improvement ensues) 6C

Clinical Tips:

Atropin 3x Trituration: Hyperacidity; pyrosis. 1/4^th tsf (tea-spoon) in half cup of luke warm water X 8 hourly X S.O.S

Orexine tannate Q; Hyperacidity; deficient and slow digestion. 10 drops à Twice daily à S.O.S.