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| Title: |
Basic Principles in Treatment of Chronic Diseases (2) |
| By Dr Ardavan Shahrdar - 2006
In the first article, the mechanism of formation of chronic patterns was discussed. It was mentioned that the chronic diseases are actually the persistent reaction of organism to an unresolved original state by defense mechanisms. The organism which is unable to adapt completely has chosen defense mechanisms which are unable to clear the condition. The sum of defense mechanisms and the minimal dynamic symptoms related to the original state constitute the picture of chronic disease.
Defense mechanisms may be also provoked during provings. If the stress of the proving itself is severe, the organism may use secondary defense mechanisms which are somehow related to the primary action of the remedy but are not considered as primary actions. The best homeopathic treatment in chronic diseases follows prescription of the simillimum based on similarity of pure remedy symptoms (related to its primary action) and the pure symptoms of the patient (related to the original state symptoms). Some may say that this original state is related to the past but this is not true. The original state is always present but the picture is persistently, second by second, distorted by defense mechanisms.
Here you see that not everything which is studied in the provings is a pure symptom and not everything which is observed in the patient is a reliable sign or symptom to be used for choosing the simillimum. Throughout history of homeopathy, those systems of analysis which were somehow finding a way to use these pure features were able to increase the efficacy of homeopathic treatments.
The problem is that it is not always easy to find the pure picture related to its original underlying state in the patient. In the chronic diseases, especially those with a hereditary nature, the features related to defense mechanisms are dominant features in the patient and mask the original symptoms.
There are two ways to unmask the original state 'phenomenological study' of patient's personal and family history and the 'epidemic study' of natural diseases.
In phenomenological study of patient's personal and family history we should pay attention to the following features:
1. How did the chronic pattern begin? What was the acute-like original state preceding the formation of chronic pattern?2. What is the quality of sporadic acute diseases in the history of the patient?3. What is the quality of the flare-ups that seem to be related to the original state?4. What are the similarities between patient's and his parents, brothers, sisters dynamic aspects?]
All of these data should be consistent with the partial dynamic symptoms of the patient that escape from the defense mechanisms in the chronic picture. You should build the pictures like a puzzle. Concomitant features help us to understand the hidden relationships in unobvious similarities between related flare-ups. Acute sporadic (not epidemic) infectious diseases also reflect the quality of the original state as they are based on the specific susceptibility created by the underlying miasm their dynamic qualities are the same.
Here you see that 'totality of symptoms' does not simply mean quantitative sum of all the symptoms and signs of the patient in a basket! Actually the totality of the symptoms of the original underlying state should be considered. This is actually 'what is to be cured in diseases' as stated by Hahnemann.
In complicated cases, there may be more than one chronic pattern related to different original states. In these cases, all 4 items mentioned above should be considered separately for each dynamic aspect. Considering the differences in quality of flare-ups and the present dynamic features helps us to differentiate between different dynamic patterns. Later in next articles you will clearly see these differentiations in the treatment of multimiasmatic cases.
You will read about 'epidemic study' of natural diseases and its great use in unmasking the original state in the next part 'Basic Principles in Treatment of Chronic Diseases (3)'
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| Added on: |
April 17 2006 |
| Author/Source: |
Dr Ardavan Shahrdar |
| Author's email/website: |
http://www.minutus.org |
| Posted by: |
Anonymous |
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1 Comment(s) | Rate this Article |
By December 29 2006
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Need some paragraph breaks for easier reading.
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