CEREBRAL PALSY
It is a non progressive neuromuscular disorder causing mild to severe disabilities throughout life.This condition is manifested as a group of persisting qualitative motor disorders which appear in young children due to damage to the brain during delivery or due to some pathological conditions in the intrauterine life.The neuroligical problems are multiple but non progressive in nature.Approximately 2 per 100 live birth is having this problem.This disease is having no hereditary tendency.
Causes of cerebral palsy:
1) Injury to the brain during delivery.
2) As a complication of forceps delivery.
3) Lack of oxygen supply to the baby during delivery.
4) Infections during delivery.
Signs and symptoms of cerebral palsy:--
The signs and symptoms may not be similar in all babies affected.Depending upon the damage to the brain there may be mild to severe lesions.
Mild cases:- 20% children will have mild disability.
Moderate cases:-50% cases are having moderate disability.The affected children require self help for assisting their impaired ambulation capacity.
Severe cases:-About 30% of the affected children are totally incapacited and bedridden and they allways need care from others.
Abnormal findings in cerebral palsy:-
1,Abnormal neonatal reflexes.
2,Stiffness of all muscles with awkward motion.
3,Extention of extremities on vertical suspension of the infant.
4,Scissoring of the lower limbs due to spasm of the adductor muscles of the thigh.
5,In severe cases the back bend backwards like and arch.
6,May have total or partial paralysis.
7,Arrest of neurological and behavioral developement.
8,Swallowing may be difficult in some cases.
9,Drooling of saliva.
10,Mild to severe mental retardations.
11,Abnormal movements are seen in some cases.
12,Tremors with typical movements.
13,If cerebellum is affected there will be loss of muscle tone with difficulty in walking.
14,Complete or partial loss of hearing.
15,Speech may be affected.
16,Squint and other visual problems may be associated.
17,Convulsions may be seen in some children.
Cerebral palsy is diagnosed by detailed clinical examination and by eliminating other similar diseases like brain tumour, progressive atrophy ect.All investigations like CT scan,MRI and routine investigations are needed to ruleout other diseases.
Management of carebral palsy:--
General management:
This includes proper nutrition and personal care. Symptomatic medicines are needed to reduce convulsions and muscle stiffness. Diazepam can reduce spasticity and athetosis.
Dantrolene sodium helps to relax skeletal muscles.
Physiotherapy:
Here massage,exercise, hydrotherapy and ect are needed.Special training is given to train walking,swallowing and talking.The affected children are also trained to hold articles for routine activities.
Rehabilitation:
Moral and social support should be given to these children.They should be send to special schools where special training can be given by trained staff.Mentally retarded children need special training.Depending up on the disabitity special instruments and machines are given for locomotion and to assist their daytoday activities.
Occupational therapy:
This is given by occupational therapists.They train the disabled people to do some suitable works so that these people can have their own income.
Friday, April 12, 2013
BAD BREATH
BAD BREATH
Causes of bad breath ?
Bad breath is a common health problem which greately affects the daytoday activities of somany people. The offenssive odor from the mouth is unpleasent to those who come in close contact with bad breathers. The problem will be doubled by psychological trauma leading to depression. The sufferers from this problem wil be isolated from the society. This can even lead to marital disharmony.
Literally speaking all humanbeings are badbreathres. Oral cavity contains millions of anaerobic bacteria like fusobacterium and actinomyces which acts on the protein of food materials and putrifies them. This process results in the formation of offenssive gases like hydrogen sulphide,methyl mescaptan,cadaverin,skatol,putrescine ect causing bad odor. If oral hygiene is not maintained properly all will suffer from bad breath. Most of us control this by regular brushing,tongue cleaning and gargling. Even after maintining cleanliness in the mouth some individuals suffer from offenssive smell due to various causes which has to be diagnosed and treated properly.
Some common causes of bad breath.
1) Poor oral hygiene:
If oral hygiene is not maintained properly the mouth becomes the seat for millions of bacteria which produce offenssive gases by degrading the food debris. Bad breath is severe in those who do not brush their teeth regularly and clean their mouth after every food. Snacks taken inbetween meals can also produce bad breath because of improper cleaning.
Badbreath is common in almost all people in the morning on waking. During sleep there is less production of saliva .Saliva has got some antibacterial properties which help to keep the mouth clean. Saliva conains oxygen molecules which is needed to make oral cavity aerobic. So the reduction in it's quantity during sleep makes a favourable condition for anaerobic bacteria.
2) Food habits:
The main cause of bad smell is due to degradation of protein by the bacteria and hence all food products rich in protein favours bad breath. Meat,fish,milk products, eggs,cakes,nuts,pear and ect can cause bad breath. Some food articles can produce particular type of smell which may be unpleasent. Raw onion can produce typical bad smell. It is said that an apple a day keeps the doctor away,a raw onion a day keeps everybody away. Eating groundnuts can also produce bad smell. However if proper cleaning is done smell can be reduced irrespective of the nature of food. Irregularity in timing of food can also produce bad breath. Small food articles taken in between the meals can also produce bad smell.
3) Biofilm:
There is formation of a thin sticky coating called biofilm on the tongue and oral mucosa. This coating is thick on the posterior aspect of the tongue where millions of gram negative bacteriae are seen .The thick coating on the tongue is always associated with badbreath. Even a thin biofilm can make anaerobic condition favourable for bacterial proliferation.
4) Dental caries:
This is a destructive process causing decalcification with distruction of enamel and dentine resulting in cavitisation of the tooth. These are produced mainly by the lactobacilli . Food particles are deposited inside these cavities and are putrified by the anaerobic bacteria producing bad smell. Normal brushing will not remove the food debris easily and hence they are putrified completely. Caries are common in schoolgoing children and in those who donot maintain proper oral hygiene .Calcium and vitamin deficiency can also predispose caries.
5) Gingivitis:
Gum is a mucus membrane with supporting connective tissue covering the tooth bearing borders of the jaw .The main function of gum is protection .Gingivitis is the inflammation of the gum .Due to various causes gum tissue get infected resulting in swelling,pain and discharge. If the condition become worse the infection spread towards peridontal area leading to continuous discharge called pyorrhoea. Some times the infection goes deep producing alveolar abscess with discharge of pus. Infection can even reach the bone causing osteomyelitis.All these conditions can produce offenssive smell.
6) Gum retraction:
When the gums retract from the teeth a gap is developed which will lodge food particles and cause bad breath.
7) Dental plaques and tartar deposits; Plaques and tartar is deposited mainly in the gaps between the teeth and gum. This will provide shelter for the food debris and bacteria causing bad breath.
8) Ulcerative lesions& coatings:
Almost all ulcerative lesions of the mouth are associated with bad breath. These lesions may be caused by bacteria,viruses,food allergies or due to autoimmune disorders. Apthous ulcer is the commonest amoung ulcerative lesions. Others are herpes,fungal infections,vincents angina,infectious mononucleosis,scarlet fever,diphtheria,drug reactions and ect. Cancerous ulcers produce severe bad breath. All fungal infections produce white coating(candidiasis). Leucoplakia is a white thick patch on the mucus membrane of the mouth & tongue. It is considered as a precancerous condition. Offenssive breath is associated with these conditions.
9) Diseases of the salivary glands:
Saliva is very useful to supply oxygen to all parts of the oral cavity. Even a thin film of coating called biofilm can provide an anaerobic condition in the mouth. Saliva can wet these layers and make an aerobic condition which is unfavourable for the bacteria .Any condition which reduces the production of saliva can increase bacterial activity. Some times the salivary duct is obstructed by stones or tumors.Cancer of the salivary gland is associated with offenssive odor. In suppurative parotitis purulant dischrge in to the mouth causes bad breath.
10) Tonsillitis:
Tonsils are a pair of lymphoid tissue situated in the lateral wall of oropharynx. Inflammation of the tonsil is called tonsillitis. Bad breath is seen in both acute and chronic tonsillitis. Quinsy or peritonsillar abscess can also produce bad breath.
11) Tonsillar plaques & tonsillar fluid:
If bad breath persists even after maintaining proper oral hygeine there is possibility of this condition. Serous fluid secreated from the folds of tonsil is very offenssive. Some patients complain that they hawk some cheesy materials from the throat;which are very offenssive in nature. These are formed inside the tonsillar crypts which contain thousands of bacteriae. In such conditions tonsillectomy gives noticiable relief from bad breath.
12) Pharyngitis& pharyngial abscess:
Pharynx is a fibromuscular tube which forms the upper part of the digestive & respiratory tract. Inflmmation of the pharynx is called pharyngitis, caused mainly by bacteria and viruses. Bad breath is present in pharyngitis along with other signs like cough and throat irritation. Abscesses in the wall of pharynx can also produce offenssive discharge of pus in to the throat.
13) Dentures:
Denture users may complain about bad smell due to lodgement of small food debris in between. Proper brushing may not be possible in denture users especially fixed dentures.
14) Tobacco:
Tobacco chewing is associated with bad breath. The smell of tobacco itself is unpleasent for others. Tobacco can irritate the mucus membrane and cause ulcers and coatings. Gingivitis and pyorrhoea are common in tobacco chewers. Tartar is deposited on the teeth mainly near the gums. Tobacco chewers get gastric acidity with eructations. All these causes offenssive smell.
15) Smoking:
Smokers always have bad smell. It can also produce lesions in the mouth & lungs causing bad breath.Smoking increases carbon dioxide in the oral cavity & reduces oxygen level,causing a favourable condition for bacteria. Smoking reduses appetite & thirst hence acid peptic disease is common in chain smokers.
16) Lesions in the nose & ear:
Bad breath is occasionally seen in sinusitis(infection of para nasal sinuses). In case of post nasal dripping bad breath is common due to the presence of protein in the discharges. These proteins are degraded by the bacteria. Infection in the middle ear with discharge of pus in to the throat through the eustachian tube(passage from middle ear to the throat)can also cause offenssive odor. Chronic rhinitis(infection of mucus membrane of nose) and forign bodies in the nose can also produce bad smell in the expired air.
17) Diabetes mellitus:
Mostly all diabetic patients suffer from bad breath. Coated tongue,ulcers &coatings in the mouth ,increased sugar level in tissues ect are responsible for bad breath.Bacterial growth in diabetic patient is very faster than non diabetic individuals.
18) Fevers:
Bad breath is common in almost all fevers. Even an acute fever can produce bad breath. Severe bad breath is seen in typhoid .Other infectious diseases like Tuberculosis , AIDS ect produce bad smell.
19) Fasting & dehydration:
Dry mouth favours bacterial activity. So any condition which produce dryness in the mouth makes the breath offenssive. Eventhough the food particles are known to produce bad breath, fasting can also produce the same. Production of saliva is also reduced during fasting. Chewing and swallowing also helps to keep the mouth clean.
20) Bedridden patients:
Bedridden patients suffer from offenssive breath due to thick coating on the tongue. water intake is also limited in these patients. Regurgitation of food aggravates the condition. Since they talk less aeration in the oral cavity is reduced which favours anaerobic bacteria to become active.
21) Diseases of stomach & esophagus:
Eructation of gas and food produce unpleasent smell. Abnormality in the function of lower sphincter can allow the food to regurgitate upwards causing bad breath. Bad breath is also common in gastritis,gastric ulcer and cancer of stomach.
22) Intestinal diseases:
Bad breath is common in patients suffering from ulcerative lesions of intestine like ulcerative collitis..Other diseases are malabsorption syndrome intestinal tuberculosis, peritonitis ect.
23) Diseases of lungs:
Lung diseases like pneumonia, lung abscess,chronic bronchitis,bronchiectasis,tuberculosis, lung cancer ect can produce bad odor during expiration.
24) Liver disorders:
Liver diseases like hepatitis, cirrhosis,can cause bad breath.Gall bladder diseases with vomiting also causes unpleasent odor.
25) Psychiatric patients:
Bad breath is common in psychotic patients due to poor hygiene,irregular food habits,less water intake and ect.
26) Somatisation disorder:
This is a psychiatric disorder charecterised by the presence of a physical symptom that suggest a medical illness .These patients come with physical complaints like pain,nausea difficult respiration, bad smell ect. This condition is diagnosed after detailed examination of the patient with all investigations.Since this is a psychiatric disorder it has to be managed with a psychological approach.
[ THE POINTS MENTIONED IN THIS ARTICLE IS FOR GENERAL INFORMATION. ANY PERSON HAVING BAD BREATH SHOULD CONSULT A QUALIFIED DOCTOR ]
Causes of bad breath ?
Bad breath is a common health problem which greately affects the daytoday activities of somany people. The offenssive odor from the mouth is unpleasent to those who come in close contact with bad breathers. The problem will be doubled by psychological trauma leading to depression. The sufferers from this problem wil be isolated from the society. This can even lead to marital disharmony.
Literally speaking all humanbeings are badbreathres. Oral cavity contains millions of anaerobic bacteria like fusobacterium and actinomyces which acts on the protein of food materials and putrifies them. This process results in the formation of offenssive gases like hydrogen sulphide,methyl mescaptan,cadaverin,skatol,putrescine ect causing bad odor. If oral hygiene is not maintained properly all will suffer from bad breath. Most of us control this by regular brushing,tongue cleaning and gargling. Even after maintining cleanliness in the mouth some individuals suffer from offenssive smell due to various causes which has to be diagnosed and treated properly.
Some common causes of bad breath.
1) Poor oral hygiene:
If oral hygiene is not maintained properly the mouth becomes the seat for millions of bacteria which produce offenssive gases by degrading the food debris. Bad breath is severe in those who do not brush their teeth regularly and clean their mouth after every food. Snacks taken inbetween meals can also produce bad breath because of improper cleaning.
Badbreath is common in almost all people in the morning on waking. During sleep there is less production of saliva .Saliva has got some antibacterial properties which help to keep the mouth clean. Saliva conains oxygen molecules which is needed to make oral cavity aerobic. So the reduction in it's quantity during sleep makes a favourable condition for anaerobic bacteria.
2) Food habits:
The main cause of bad smell is due to degradation of protein by the bacteria and hence all food products rich in protein favours bad breath. Meat,fish,milk products, eggs,cakes,nuts,pear and ect can cause bad breath. Some food articles can produce particular type of smell which may be unpleasent. Raw onion can produce typical bad smell. It is said that an apple a day keeps the doctor away,a raw onion a day keeps everybody away. Eating groundnuts can also produce bad smell. However if proper cleaning is done smell can be reduced irrespective of the nature of food. Irregularity in timing of food can also produce bad breath. Small food articles taken in between the meals can also produce bad smell.
3) Biofilm:
There is formation of a thin sticky coating called biofilm on the tongue and oral mucosa. This coating is thick on the posterior aspect of the tongue where millions of gram negative bacteriae are seen .The thick coating on the tongue is always associated with badbreath. Even a thin biofilm can make anaerobic condition favourable for bacterial proliferation.
4) Dental caries:
This is a destructive process causing decalcification with distruction of enamel and dentine resulting in cavitisation of the tooth. These are produced mainly by the lactobacilli . Food particles are deposited inside these cavities and are putrified by the anaerobic bacteria producing bad smell. Normal brushing will not remove the food debris easily and hence they are putrified completely. Caries are common in schoolgoing children and in those who donot maintain proper oral hygiene .Calcium and vitamin deficiency can also predispose caries.
5) Gingivitis:
Gum is a mucus membrane with supporting connective tissue covering the tooth bearing borders of the jaw .The main function of gum is protection .Gingivitis is the inflammation of the gum .Due to various causes gum tissue get infected resulting in swelling,pain and discharge. If the condition become worse the infection spread towards peridontal area leading to continuous discharge called pyorrhoea. Some times the infection goes deep producing alveolar abscess with discharge of pus. Infection can even reach the bone causing osteomyelitis.All these conditions can produce offenssive smell.
6) Gum retraction:
When the gums retract from the teeth a gap is developed which will lodge food particles and cause bad breath.
7) Dental plaques and tartar deposits; Plaques and tartar is deposited mainly in the gaps between the teeth and gum. This will provide shelter for the food debris and bacteria causing bad breath.
8) Ulcerative lesions& coatings:
Almost all ulcerative lesions of the mouth are associated with bad breath. These lesions may be caused by bacteria,viruses,food allergies or due to autoimmune disorders. Apthous ulcer is the commonest amoung ulcerative lesions. Others are herpes,fungal infections,vincents angina,infectious mononucleosis,scarlet fever,diphtheria,drug reactions and ect. Cancerous ulcers produce severe bad breath. All fungal infections produce white coating(candidiasis). Leucoplakia is a white thick patch on the mucus membrane of the mouth & tongue. It is considered as a precancerous condition. Offenssive breath is associated with these conditions.
9) Diseases of the salivary glands:
Saliva is very useful to supply oxygen to all parts of the oral cavity. Even a thin film of coating called biofilm can provide an anaerobic condition in the mouth. Saliva can wet these layers and make an aerobic condition which is unfavourable for the bacteria .Any condition which reduces the production of saliva can increase bacterial activity. Some times the salivary duct is obstructed by stones or tumors.Cancer of the salivary gland is associated with offenssive odor. In suppurative parotitis purulant dischrge in to the mouth causes bad breath.
10) Tonsillitis:
Tonsils are a pair of lymphoid tissue situated in the lateral wall of oropharynx. Inflammation of the tonsil is called tonsillitis. Bad breath is seen in both acute and chronic tonsillitis. Quinsy or peritonsillar abscess can also produce bad breath.
11) Tonsillar plaques & tonsillar fluid:
If bad breath persists even after maintaining proper oral hygeine there is possibility of this condition. Serous fluid secreated from the folds of tonsil is very offenssive. Some patients complain that they hawk some cheesy materials from the throat;which are very offenssive in nature. These are formed inside the tonsillar crypts which contain thousands of bacteriae. In such conditions tonsillectomy gives noticiable relief from bad breath.
12) Pharyngitis& pharyngial abscess:
Pharynx is a fibromuscular tube which forms the upper part of the digestive & respiratory tract. Inflmmation of the pharynx is called pharyngitis, caused mainly by bacteria and viruses. Bad breath is present in pharyngitis along with other signs like cough and throat irritation. Abscesses in the wall of pharynx can also produce offenssive discharge of pus in to the throat.
13) Dentures:
Denture users may complain about bad smell due to lodgement of small food debris in between. Proper brushing may not be possible in denture users especially fixed dentures.
14) Tobacco:
Tobacco chewing is associated with bad breath. The smell of tobacco itself is unpleasent for others. Tobacco can irritate the mucus membrane and cause ulcers and coatings. Gingivitis and pyorrhoea are common in tobacco chewers. Tartar is deposited on the teeth mainly near the gums. Tobacco chewers get gastric acidity with eructations. All these causes offenssive smell.
15) Smoking:
Smokers always have bad smell. It can also produce lesions in the mouth & lungs causing bad breath.Smoking increases carbon dioxide in the oral cavity & reduces oxygen level,causing a favourable condition for bacteria. Smoking reduses appetite & thirst hence acid peptic disease is common in chain smokers.
16) Lesions in the nose & ear:
Bad breath is occasionally seen in sinusitis(infection of para nasal sinuses). In case of post nasal dripping bad breath is common due to the presence of protein in the discharges. These proteins are degraded by the bacteria. Infection in the middle ear with discharge of pus in to the throat through the eustachian tube(passage from middle ear to the throat)can also cause offenssive odor. Chronic rhinitis(infection of mucus membrane of nose) and forign bodies in the nose can also produce bad smell in the expired air.
17) Diabetes mellitus:
Mostly all diabetic patients suffer from bad breath. Coated tongue,ulcers &coatings in the mouth ,increased sugar level in tissues ect are responsible for bad breath.Bacterial growth in diabetic patient is very faster than non diabetic individuals.
18) Fevers:
Bad breath is common in almost all fevers. Even an acute fever can produce bad breath. Severe bad breath is seen in typhoid .Other infectious diseases like Tuberculosis , AIDS ect produce bad smell.
19) Fasting & dehydration:
Dry mouth favours bacterial activity. So any condition which produce dryness in the mouth makes the breath offenssive. Eventhough the food particles are known to produce bad breath, fasting can also produce the same. Production of saliva is also reduced during fasting. Chewing and swallowing also helps to keep the mouth clean.
20) Bedridden patients:
Bedridden patients suffer from offenssive breath due to thick coating on the tongue. water intake is also limited in these patients. Regurgitation of food aggravates the condition. Since they talk less aeration in the oral cavity is reduced which favours anaerobic bacteria to become active.
21) Diseases of stomach & esophagus:
Eructation of gas and food produce unpleasent smell. Abnormality in the function of lower sphincter can allow the food to regurgitate upwards causing bad breath. Bad breath is also common in gastritis,gastric ulcer and cancer of stomach.
22) Intestinal diseases:
Bad breath is common in patients suffering from ulcerative lesions of intestine like ulcerative collitis..Other diseases are malabsorption syndrome intestinal tuberculosis, peritonitis ect.
23) Diseases of lungs:
Lung diseases like pneumonia, lung abscess,chronic bronchitis,bronchiectasis,tuberculosis, lung cancer ect can produce bad odor during expiration.
24) Liver disorders:
Liver diseases like hepatitis, cirrhosis,can cause bad breath.Gall bladder diseases with vomiting also causes unpleasent odor.
25) Psychiatric patients:
Bad breath is common in psychotic patients due to poor hygiene,irregular food habits,less water intake and ect.
26) Somatisation disorder:
This is a psychiatric disorder charecterised by the presence of a physical symptom that suggest a medical illness .These patients come with physical complaints like pain,nausea difficult respiration, bad smell ect. This condition is diagnosed after detailed examination of the patient with all investigations.Since this is a psychiatric disorder it has to be managed with a psychological approach.
[ THE POINTS MENTIONED IN THIS ARTICLE IS FOR GENERAL INFORMATION. ANY PERSON HAVING BAD BREATH SHOULD CONSULT A QUALIFIED DOCTOR ]
ACTION OF ALCOHOL ON INTERNAL ORGANS.
ACTION OF ALCOHOL ON INTERNAL ORGANS.
Action on the stomach.
----------------------
The action of alcohol on the stomach is extremely dangerous that it becomes unable to produce the natural digestive fluid in sufficient quantity and also fails to absorb the food which it may imperfectly digest. A condition marked by the sense of nausea emptiness, prostration and distention will always be faced by an alcoholic. This results in a loathing for food and is teased with a craving for more drink. Thus there is engendered a permanent disorder which is called dyspepsia. The disastrous forms of confirmed indigestion originate by this practice.
How the liver gets affected.
----------------------------
The organic deteriorations caused by the continued use of alcohol are often of a fatal character. The organ which most frequently undergoes structural changes from alcohol, is the liver. Normally, the liver has the capacity to hold active substances in its cellular parts. In instances of poisoning by various poisonous compounds, we analyse liver as if it were the central depot of the foreign matter. It is practically the same in respect to alcohol. The liver of an alcoholic is never free from the influence of alcohol and it is too often saturated with it. The minute membranous or capsular structure of the liver gets affected, preventing proper dialysis and free secretion. The liver becomes large due to the dilatation of its vessels, the surcharge of fluid matter and the thickening of tissue. This follows contraction of membrane and shrinking of the whole organ in its cellular parts. Then the lower parts of the alcoholic becomes dropsical owing to the obstruction offered to the returning blood by the veins. The structure of the liver may be charged with fatty cells and undergo what is technically designated 'fatty liver'.
How the Kidneys deteriorate.
----------------------------
The Kidneys also suffer due to the excessive consumption of alcohol. The vessels of Kidneys lose elasticity and power of contraction. The minute structures in them go through fatty modification. Albumin from the blood easily passes through their membranes. This results in the body losing its power as if it were being run out of blood gradually.
Congestion of the lungs.
------------------------
Alcohol relaxes the vessels of the lungs easily as they are most exposed to the fluctuations of heat and cold. When subjected to the effects of a rapid variation in atmospheric temperature, they get readily congested. During severe winter seasons, the suddenly fatal congestions of lungs easily affects an alcoholic.
Alcohol weakens the heart.
--------------------------
Consumption of alcohol greatly affects the heart. The quality of the membraneous structures which cover and line the heart changes and are thickened, become cartilaginous or calcareous. Then the valves lose their suppleness and what is termed valvular disorder becomes permanent. The structure of the the coats of the great blood-vessel leading from the heart share in the same changes of structure so that the vessel loses its elasticity and its power to feed the heart by the recoil from its distention, after the heart, by its stroke, has filled it with blood.
Again, the muscular structure of the heart fails owing to degenerative changes in its tissue. The elements of the muscular fibre are replaced by fatty cells or, if not so replaced, are themselves transferred into a modified muscular texture in which the power of contraction is greatly reduced.
Those who suffer from these organic deteriorations of the central and governing organ of the circulation of the blood learn the fact so insidiously, it hardly breaks upon them until the mischief is far advanced. They are conscious of a central failure of power from slight causes such as overexertion, trouble, broken rest or too long abstinence from food. They feel what they call a 'sinking' but they know that wine or some other stimulant will at once relieve the sensation. Thus they seek to relieve it until at last they discover that the remedy fails. The jaded, overworked, faithful heart will bear no more. it has run its course and the governor of the blood-streams broken. The current either overflows into the tissues gradually damming up the courses or under some slight shock or excess of motion ceases wholly at the centre.
Action on the stomach.
----------------------
The action of alcohol on the stomach is extremely dangerous that it becomes unable to produce the natural digestive fluid in sufficient quantity and also fails to absorb the food which it may imperfectly digest. A condition marked by the sense of nausea emptiness, prostration and distention will always be faced by an alcoholic. This results in a loathing for food and is teased with a craving for more drink. Thus there is engendered a permanent disorder which is called dyspepsia. The disastrous forms of confirmed indigestion originate by this practice.
How the liver gets affected.
----------------------------
The organic deteriorations caused by the continued use of alcohol are often of a fatal character. The organ which most frequently undergoes structural changes from alcohol, is the liver. Normally, the liver has the capacity to hold active substances in its cellular parts. In instances of poisoning by various poisonous compounds, we analyse liver as if it were the central depot of the foreign matter. It is practically the same in respect to alcohol. The liver of an alcoholic is never free from the influence of alcohol and it is too often saturated with it. The minute membranous or capsular structure of the liver gets affected, preventing proper dialysis and free secretion. The liver becomes large due to the dilatation of its vessels, the surcharge of fluid matter and the thickening of tissue. This follows contraction of membrane and shrinking of the whole organ in its cellular parts. Then the lower parts of the alcoholic becomes dropsical owing to the obstruction offered to the returning blood by the veins. The structure of the liver may be charged with fatty cells and undergo what is technically designated 'fatty liver'.
How the Kidneys deteriorate.
----------------------------
The Kidneys also suffer due to the excessive consumption of alcohol. The vessels of Kidneys lose elasticity and power of contraction. The minute structures in them go through fatty modification. Albumin from the blood easily passes through their membranes. This results in the body losing its power as if it were being run out of blood gradually.
Congestion of the lungs.
------------------------
Alcohol relaxes the vessels of the lungs easily as they are most exposed to the fluctuations of heat and cold. When subjected to the effects of a rapid variation in atmospheric temperature, they get readily congested. During severe winter seasons, the suddenly fatal congestions of lungs easily affects an alcoholic.
Alcohol weakens the heart.
--------------------------
Consumption of alcohol greatly affects the heart. The quality of the membraneous structures which cover and line the heart changes and are thickened, become cartilaginous or calcareous. Then the valves lose their suppleness and what is termed valvular disorder becomes permanent. The structure of the the coats of the great blood-vessel leading from the heart share in the same changes of structure so that the vessel loses its elasticity and its power to feed the heart by the recoil from its distention, after the heart, by its stroke, has filled it with blood.
Again, the muscular structure of the heart fails owing to degenerative changes in its tissue. The elements of the muscular fibre are replaced by fatty cells or, if not so replaced, are themselves transferred into a modified muscular texture in which the power of contraction is greatly reduced.
Those who suffer from these organic deteriorations of the central and governing organ of the circulation of the blood learn the fact so insidiously, it hardly breaks upon them until the mischief is far advanced. They are conscious of a central failure of power from slight causes such as overexertion, trouble, broken rest or too long abstinence from food. They feel what they call a 'sinking' but they know that wine or some other stimulant will at once relieve the sensation. Thus they seek to relieve it until at last they discover that the remedy fails. The jaded, overworked, faithful heart will bear no more. it has run its course and the governor of the blood-streams broken. The current either overflows into the tissues gradually damming up the courses or under some slight shock or excess of motion ceases wholly at the centre.
Monday, April 1, 2013
HERNIA
HERNIA
Introduction
Hernia is an abnormal protrusion of internal organs through an abnormal opening in the wall of the cavity.A combination of increased pressure inside the body with weakness in the wall is responsible for this condition.In this condition internal organs or parts of organs are protruded out forming a swelling which will increase the size with coughing and lifting weight,and while passing stool and urine.In lying down position the swelling goes inside except in strangulated and irreducible hernia.
Causes:-
1, Weakness in the body wall:--
a) Congenital weakness.
b) Acquired weakness due to injuries,wasting of muscles,suppurative lesions in the wall and presence of weak natural openings,obesity,lack of exercise,repeated pregnancy.
c) Surgical operation with improper suturing or sepsis of operated site.
2) Increased pressure inside the body.
a) Chronic constipation.
b) Recurrent cough.
c) Weight lifting.
d) Stricture of urethra.
Common sites for hernia:--
Hernia can occure anywhere in the body.However there are some common sites for hernia.Due to the presence of hard bony covering chest wall is normally not affected.Hernia in the lower back is also rare due to spine and back muscles and tough ligaments and sheeths.The common site for hernia is abdominal wall.Compared to other parts the abdominal wall is weak due to the presence of some natural orifices.There are some areas wherein the abdominal muscles are weaker and thin and all these factors make a chance for herniation.The common sites for hernia are following.
a) Inguinal hernia:
Here the abdominal contents protrude through the inguinal canal (passage in the lower abdominal wall just above the inguinal ligament.It is seen on either side).This type is common in males.Initially the swelling comes only while straining and goes back while lying down. Later the large portion of intestine may come out which may not go back easily.
b) Femoral hernia:
This type of hernia is more in females.Here the abdominal contents pass through the femoral canal which is seen just below the junction between the thigh and lower abdominal wall(Inside the femoral triangle).The contents pass downwards and comes out through saphenous opening in the thigh and forms a swelling under the skin.
c) Umbilical hernia:
This is common in children.The umbilicus is the weaker part of the abdomen.The contents of the abdomen may protrude as a bulb like swelling while crying and defecating.
d) Incisional hernia:
These hernias are seen in operated sites. Due to improper suturing or sepsis the operated site becomes weak resulting in hernia.
e) Epigastric hernia:
Here the hearniation occures in the epigastrium. It is a rare type.
f) Lumbar hernia:
Here the hernia appear in the lumbar area on either side of the lumbar spine(in the lumbar triangle).This is also a rare type.
g) Obturator hernia:
This is a rare type of hernia. Here the contents pass through obturator foramen in the pelvic bone.
Complications of hernia:--
1) Strangulation:
If the hernial orifice is narrow the abdominal contents may not go back easily, and later the blood flow to the herniated tissues may be blocked due to constricition.This can cause death of protruded intestine.
2) Intestinal obstruction:
This occures when the whole portion of the intestine is protruded in to the hernial sac. The narrow hernial orifice will block the passage of bowels.
3) Infection and peritonitis:
If there is strangulation with death of a portion of intestine there will be spread of infection to the abdomen resulting in peritonitis.
Treatment of hernia:--
Initial treatment: In the initial stages of hernia the following steps may be useful
1) Use of hernia belt:
Special types of hernia belts are available for each type of heania.This will prevent the protrusion and will reduce pain.
2) Constipation,recurrent cough,urinary obstruction ect should be treated.
3) Fat reduction will increase the strength of abdominal wall.
4) Abdominal exercises to increase the muscle tone.
5) Take plenty of leafy vegetables, fruits and fibrous diet for easy bowel movements.
6) Try other systems like Homoeopathy,Herbal medicine and ect
If no relief by the above steps consult a general surgeon for surgical management.
Surgical treatment.
The following operations are done depending up on the type and nature of hernia.
1) Hertniotomy : In this operation the contents of hernial sac is pushed in to the abdomen and neck of the sac is ligated with transfixion ligature and the sac is cut off.
2) Herniorrhaphy: Here along with herniotomy the posterior wall is repaired.
3) Hernioplasty: This operation is done if herniotomy is not possible due to wide neck of the sac.Here the repair is done with the healp of non absorbable materials like tantalum gauze,polypropylene mesh or stainless steel mesh.
Introduction
Hernia is an abnormal protrusion of internal organs through an abnormal opening in the wall of the cavity.A combination of increased pressure inside the body with weakness in the wall is responsible for this condition.In this condition internal organs or parts of organs are protruded out forming a swelling which will increase the size with coughing and lifting weight,and while passing stool and urine.In lying down position the swelling goes inside except in strangulated and irreducible hernia.
Causes:-
1, Weakness in the body wall:--
a) Congenital weakness.
b) Acquired weakness due to injuries,wasting of muscles,suppurative lesions in the wall and presence of weak natural openings,obesity,lack of exercise,repeated pregnancy.
c) Surgical operation with improper suturing or sepsis of operated site.
2) Increased pressure inside the body.
a) Chronic constipation.
b) Recurrent cough.
c) Weight lifting.
d) Stricture of urethra.
Common sites for hernia:--
Hernia can occure anywhere in the body.However there are some common sites for hernia.Due to the presence of hard bony covering chest wall is normally not affected.Hernia in the lower back is also rare due to spine and back muscles and tough ligaments and sheeths.The common site for hernia is abdominal wall.Compared to other parts the abdominal wall is weak due to the presence of some natural orifices.There are some areas wherein the abdominal muscles are weaker and thin and all these factors make a chance for herniation.The common sites for hernia are following.
a) Inguinal hernia:
Here the abdominal contents protrude through the inguinal canal (passage in the lower abdominal wall just above the inguinal ligament.It is seen on either side).This type is common in males.Initially the swelling comes only while straining and goes back while lying down. Later the large portion of intestine may come out which may not go back easily.
b) Femoral hernia:
This type of hernia is more in females.Here the abdominal contents pass through the femoral canal which is seen just below the junction between the thigh and lower abdominal wall(Inside the femoral triangle).The contents pass downwards and comes out through saphenous opening in the thigh and forms a swelling under the skin.
c) Umbilical hernia:
This is common in children.The umbilicus is the weaker part of the abdomen.The contents of the abdomen may protrude as a bulb like swelling while crying and defecating.
d) Incisional hernia:
These hernias are seen in operated sites. Due to improper suturing or sepsis the operated site becomes weak resulting in hernia.
e) Epigastric hernia:
Here the hearniation occures in the epigastrium. It is a rare type.
f) Lumbar hernia:
Here the hernia appear in the lumbar area on either side of the lumbar spine(in the lumbar triangle).This is also a rare type.
g) Obturator hernia:
This is a rare type of hernia. Here the contents pass through obturator foramen in the pelvic bone.
Complications of hernia:--
1) Strangulation:
If the hernial orifice is narrow the abdominal contents may not go back easily, and later the blood flow to the herniated tissues may be blocked due to constricition.This can cause death of protruded intestine.
2) Intestinal obstruction:
This occures when the whole portion of the intestine is protruded in to the hernial sac. The narrow hernial orifice will block the passage of bowels.
3) Infection and peritonitis:
If there is strangulation with death of a portion of intestine there will be spread of infection to the abdomen resulting in peritonitis.
Treatment of hernia:--
Initial treatment: In the initial stages of hernia the following steps may be useful
1) Use of hernia belt:
Special types of hernia belts are available for each type of heania.This will prevent the protrusion and will reduce pain.
2) Constipation,recurrent cough,urinary obstruction ect should be treated.
3) Fat reduction will increase the strength of abdominal wall.
4) Abdominal exercises to increase the muscle tone.
5) Take plenty of leafy vegetables, fruits and fibrous diet for easy bowel movements.
6) Try other systems like Homoeopathy,Herbal medicine and ect
If no relief by the above steps consult a general surgeon for surgical management.
Surgical treatment.
The following operations are done depending up on the type and nature of hernia.
1) Hertniotomy : In this operation the contents of hernial sac is pushed in to the abdomen and neck of the sac is ligated with transfixion ligature and the sac is cut off.
2) Herniorrhaphy: Here along with herniotomy the posterior wall is repaired.
3) Hernioplasty: This operation is done if herniotomy is not possible due to wide neck of the sac.Here the repair is done with the healp of non absorbable materials like tantalum gauze,polypropylene mesh or stainless steel mesh.
Friday, March 29, 2013
HOW ALCOHOL RETARDS DIGESTION.
HOW ALCOHOL RETARDS DIGESTION.
And here, in order to give those who are not familiar with, the process of digestion, a clear idea of that important operation, and the effect produced when alcohol is taken with food, we quote from the lecture of an English physician, Dr. Henry Monroe, on "The Physiological Action of Alcohol." He says:
"Every kind of substance employed by man as food consists of sugar, starch, oil and glutinous matters, mingled together in various proportions; these are designed for the support of the animal frame. The glutinous principles of food fibrine, albumen and casein are employed to build up the structure; while the oil, starch and sugar are chiefly used to generate heat in the body.
"The first step of the digestive process is the breaking up of the food in the mouth by means of the jaws and teeth. On this being done, the saliva, a viscid liquor, is poured into the mouth from the salivary glands, and as it mixes with the food, it performs a very important part in the operation of digestion, rendering the starch of the food soluble, and gradually changing it into a sort of sugar, after which the other principles become more miscible with it. Nearly a pint of saliva is furnished every twenty-four hours for the use of an adult. When the food has been masticated and mixed with the saliva, it is then passed into the stomach, where it is acted upon by a juice secreted by the filaments of that organ, and poured into the stomach in large quantities whenever food comes in contact with its mucous coats. It consists of a dilute acid known to the chemists as hydrochloric acid, composed of hydrogen and chlorine, united together in certain definite proportions. The gastric juice contains, also, a peculiar organic-ferment or decomposing substance, containing nitrogen something of the nature of yeast termed pepsine , which is easily soluble in the acid just named. That gastric juice acts as a simple chemical solvent, is proved by the fact that, after death, it has been known to dissolve the stomach itself."
It is an error to suppose that, after a good dinner, a glass of spirits or beer assists digestion; or that any liquor containing alcohol even bitter beer can in any way assist digestion. Mix some bread and meat with gastric juice; place them in a phial, and keep that phial in a sand-bath at the slow heat of 98 degrees, occasionally shaking briskly the contents to imitate the motion of the stomach; you will find, after six or eight hours, the whole contents blended into one pultaceous mass. If to another phial of food and gastric juice, treated in the same way, I add a glass of pale ale or a quantity of alcohol, at the end of seven or eight hours, or even some days, the food is scarcely acted upon at all. This is a fact; and if you are led to ask why, I answer, because alcohol has the peculiar power of chemically affecting or decomposing the gastric juice by precipitating one of its principal constituents, viz., pepsine, rendering its solvent properties much less efficacious. Hence alcohol can not be considered either as food or as a solvent for food. Not as the latter certainly, for it refuses to act with the gastric juice.
"'It is a remarkable fact,' says Dr. Dundas Thompson, 'that alcohol, when added to the digestive fluid, produces a white precipitate, so that the fluid is no longer capable of digesting animal or vegetable matter.' 'The use of alcoholic stimulants,' say Drs. Todd and Bowman, 'retards digestion by coagulating the pepsine, an essential element of the gastric juice, and thereby interfering with its action. Were it not that wine and spirits are rapidly absorbed, the introduction of these into the stomach, in any quantity, would be a complete bar to the digestion of food, as the pepsine would be precipitated from the solution as quickly as it was formed by the stomach.' Spirit, in any quantity, as a dietary adjunct, is pernicious on account of its antiseptic qualities, which resist the digestion of food by the absorption of water from its particles, in direct antagonism to chemical operation."
And here, in order to give those who are not familiar with, the process of digestion, a clear idea of that important operation, and the effect produced when alcohol is taken with food, we quote from the lecture of an English physician, Dr. Henry Monroe, on "The Physiological Action of Alcohol." He says:
"Every kind of substance employed by man as food consists of sugar, starch, oil and glutinous matters, mingled together in various proportions; these are designed for the support of the animal frame. The glutinous principles of food fibrine, albumen and casein are employed to build up the structure; while the oil, starch and sugar are chiefly used to generate heat in the body.
"The first step of the digestive process is the breaking up of the food in the mouth by means of the jaws and teeth. On this being done, the saliva, a viscid liquor, is poured into the mouth from the salivary glands, and as it mixes with the food, it performs a very important part in the operation of digestion, rendering the starch of the food soluble, and gradually changing it into a sort of sugar, after which the other principles become more miscible with it. Nearly a pint of saliva is furnished every twenty-four hours for the use of an adult. When the food has been masticated and mixed with the saliva, it is then passed into the stomach, where it is acted upon by a juice secreted by the filaments of that organ, and poured into the stomach in large quantities whenever food comes in contact with its mucous coats. It consists of a dilute acid known to the chemists as hydrochloric acid, composed of hydrogen and chlorine, united together in certain definite proportions. The gastric juice contains, also, a peculiar organic-ferment or decomposing substance, containing nitrogen something of the nature of yeast termed pepsine , which is easily soluble in the acid just named. That gastric juice acts as a simple chemical solvent, is proved by the fact that, after death, it has been known to dissolve the stomach itself."
It is an error to suppose that, after a good dinner, a glass of spirits or beer assists digestion; or that any liquor containing alcohol even bitter beer can in any way assist digestion. Mix some bread and meat with gastric juice; place them in a phial, and keep that phial in a sand-bath at the slow heat of 98 degrees, occasionally shaking briskly the contents to imitate the motion of the stomach; you will find, after six or eight hours, the whole contents blended into one pultaceous mass. If to another phial of food and gastric juice, treated in the same way, I add a glass of pale ale or a quantity of alcohol, at the end of seven or eight hours, or even some days, the food is scarcely acted upon at all. This is a fact; and if you are led to ask why, I answer, because alcohol has the peculiar power of chemically affecting or decomposing the gastric juice by precipitating one of its principal constituents, viz., pepsine, rendering its solvent properties much less efficacious. Hence alcohol can not be considered either as food or as a solvent for food. Not as the latter certainly, for it refuses to act with the gastric juice.
"'It is a remarkable fact,' says Dr. Dundas Thompson, 'that alcohol, when added to the digestive fluid, produces a white precipitate, so that the fluid is no longer capable of digesting animal or vegetable matter.' 'The use of alcoholic stimulants,' say Drs. Todd and Bowman, 'retards digestion by coagulating the pepsine, an essential element of the gastric juice, and thereby interfering with its action. Were it not that wine and spirits are rapidly absorbed, the introduction of these into the stomach, in any quantity, would be a complete bar to the digestion of food, as the pepsine would be precipitated from the solution as quickly as it was formed by the stomach.' Spirit, in any quantity, as a dietary adjunct, is pernicious on account of its antiseptic qualities, which resist the digestion of food by the absorption of water from its particles, in direct antagonism to chemical operation."
Wednesday, March 13, 2013
HOW ALCOHOL AFFECTS THE BRAIN.
HOW ALCOHOL AFFECTS THE BRAIN.
I once had the unusual, though unhappy, opportunity of observing the same phenomenon in the brain structure of a man, who, in a paroxysm of alcoholic excitement, decapitated himself under the wheel of a railway carriage, and whose brain was instantaneously evolved from the skull by the crash. The brain itself, entire, was before me within three minutes after the death. It exhaled the odor of spirit most distinctly, and its membranes and minute structures were vascular in the extreme. It looked as if it had been recently injected with vermilion. The white matter of the cerebrum, studded with red points, could scarcely be distinguished, when it was incised, by its natural whiteness; and the pia-mater, or internal vascular membrane covering the brain, resembled a delicate web of coagulated red blood, so tensely were its fine vessels engorged.
I should add that this condition extended through both the larger and the smaller brain, the cerebrum and cerebellum, but was not so marked in the medulla or commencing portion of the spinal cord.
The spinal cord and nerves.
--------------------------
The action of alcohol continued beyond the first stage, the function of the spinal cord is influenced. Through this part of the nervous system we are accustomed, in health, to perform automatic acts of a mechanical kind, which proceed systematically even when we are thinking or speaking on other subjects. Thus a skilled workman will continue his mechanical work perfectly, while his mind is bent on some other subject; and thus we all perform various acts in a purely automatic way, without calling in the aid of the higher centres, except something more than ordinary occurs to demand their service, upon which we think before we perform. Under alcohol, as the spinal centres become influenced, these pure automatic acts cease to be correctly carried on. That the hand may reach any object, or the foot be correctly planted, the higher intellectual centre must be invoked to make the proceeding secure. There follows quickly upon this a deficient power of co-ordination of muscular movement. The nervous control of certain of the muscles is lost, and the nervous stimulus is more or less enfeebled. The muscles of the lower lip in the human subject usually fail first of all, then the muscles of the lower limbs, and it is worthy of remark that the extensor muscles give way earlier than the flexors. The muscles themselves, by this time, are also failing in power; they respond more feebly than is natural to the nervous stimulus; they, too, are coming under the depressing influence of the paralyzing agent, their structure is temporarily deranged, and their contractile power reduced.
This modification of the animal functions under alcohol, marks the second degree of its action. In young subjects, there is now, usually, vomiting with faintness, followed by gradual relief from the burden of the poison.
Effect on the brain centres.
----------------------------
The alcoholic spirit carried yet a further degree, the cerebral or brain centres become influenced; they are reduced in power, and the controlling influences of will and of judgment are lost. As these centres are unbalanced and thrown into chaos, the rational part of the nature of the man gives way before the emotional, passional or organic part. The reason is now off duty, or is fooling with duty, and all the mere animal instincts and sentiments are laid atrociously bare. The coward shows up more craven, the braggart more boastful, the cruel more merciless, the untruthful more false, the carnal more degraded. ' In vino veritas ' expresses, even, indeed, to physiological accuracy, the true condition. The reason, the emotions, the instincts, are all in a state of carnival, and in chaotic feebleness.
Finally, the action of the alcohol still extending, the superior brain centres are overpowered; the senses are beclouded, the voluntary muscular prostration is perfected, sensibility is lost, and the body lies a mere log, dead by all but one-fourth, on which alone its life hangs. The heart still remains true to its duty, and while it just lives it feeds the breathing power. And so the circulation and the respiration, in the otherwise inert mass, keeps the mass within the bare domain of life until the poison begins to pass away and the nervous centres to revive again. It is happy for the inebriate that, as a rule, the brain fails so long before the heart that he has neither the power nor the sense to continue his process of destruction up to the act of death of his circulation. Therefore he lives to die another day.
I once had the unusual, though unhappy, opportunity of observing the same phenomenon in the brain structure of a man, who, in a paroxysm of alcoholic excitement, decapitated himself under the wheel of a railway carriage, and whose brain was instantaneously evolved from the skull by the crash. The brain itself, entire, was before me within three minutes after the death. It exhaled the odor of spirit most distinctly, and its membranes and minute structures were vascular in the extreme. It looked as if it had been recently injected with vermilion. The white matter of the cerebrum, studded with red points, could scarcely be distinguished, when it was incised, by its natural whiteness; and the pia-mater, or internal vascular membrane covering the brain, resembled a delicate web of coagulated red blood, so tensely were its fine vessels engorged.
I should add that this condition extended through both the larger and the smaller brain, the cerebrum and cerebellum, but was not so marked in the medulla or commencing portion of the spinal cord.
The spinal cord and nerves.
--------------------------
The action of alcohol continued beyond the first stage, the function of the spinal cord is influenced. Through this part of the nervous system we are accustomed, in health, to perform automatic acts of a mechanical kind, which proceed systematically even when we are thinking or speaking on other subjects. Thus a skilled workman will continue his mechanical work perfectly, while his mind is bent on some other subject; and thus we all perform various acts in a purely automatic way, without calling in the aid of the higher centres, except something more than ordinary occurs to demand their service, upon which we think before we perform. Under alcohol, as the spinal centres become influenced, these pure automatic acts cease to be correctly carried on. That the hand may reach any object, or the foot be correctly planted, the higher intellectual centre must be invoked to make the proceeding secure. There follows quickly upon this a deficient power of co-ordination of muscular movement. The nervous control of certain of the muscles is lost, and the nervous stimulus is more or less enfeebled. The muscles of the lower lip in the human subject usually fail first of all, then the muscles of the lower limbs, and it is worthy of remark that the extensor muscles give way earlier than the flexors. The muscles themselves, by this time, are also failing in power; they respond more feebly than is natural to the nervous stimulus; they, too, are coming under the depressing influence of the paralyzing agent, their structure is temporarily deranged, and their contractile power reduced.
This modification of the animal functions under alcohol, marks the second degree of its action. In young subjects, there is now, usually, vomiting with faintness, followed by gradual relief from the burden of the poison.
Effect on the brain centres.
----------------------------
The alcoholic spirit carried yet a further degree, the cerebral or brain centres become influenced; they are reduced in power, and the controlling influences of will and of judgment are lost. As these centres are unbalanced and thrown into chaos, the rational part of the nature of the man gives way before the emotional, passional or organic part. The reason is now off duty, or is fooling with duty, and all the mere animal instincts and sentiments are laid atrociously bare. The coward shows up more craven, the braggart more boastful, the cruel more merciless, the untruthful more false, the carnal more degraded. ' In vino veritas ' expresses, even, indeed, to physiological accuracy, the true condition. The reason, the emotions, the instincts, are all in a state of carnival, and in chaotic feebleness.
Finally, the action of the alcohol still extending, the superior brain centres are overpowered; the senses are beclouded, the voluntary muscular prostration is perfected, sensibility is lost, and the body lies a mere log, dead by all but one-fourth, on which alone its life hangs. The heart still remains true to its duty, and while it just lives it feeds the breathing power. And so the circulation and the respiration, in the otherwise inert mass, keeps the mass within the bare domain of life until the poison begins to pass away and the nervous centres to revive again. It is happy for the inebriate that, as a rule, the brain fails so long before the heart that he has neither the power nor the sense to continue his process of destruction up to the act of death of his circulation. Therefore he lives to die another day.
Monday, March 4, 2013
HOMOEOPATHY - Introduction
HOMOEOPATHY - Introduction
Homoeopathy is a system of medicine introduced by a german physician Dr Samuel Hahnemann.He was basically an allopathic doctor who has left the practise because of side effects and temporary relief of symptoms of allopathy.For his bread and butter he started translating the medical books to different languages.While he was translating cullen's materia medica he came across a herbal medicine called cinchona.It was written that cinchona can cure malaria and it can also produce symptoms similar to malaria on healthy individuals.This point clicked hahnemann's brain and he prepared an extract of cinchona bark and taken himself.To his surprise he developed some symptoms of malaria like chills and achings.He started doing the same experiment on different individuals and the result was the same.
By this experiment hahnemann came to know that any drug which can produce a set of symptoms on a healthy humanbeing can be used to cure the similar symptoms in a diseased person.He gave cinchona to various malaria patients and the result was wonderful and a system called homoeopathy originated.The word homoeo means similar,pathy means suffering.The basic principle of homoeopathy is 'similia similibus curantur' means like cures cure.Hahnemann prepared some other drugs using alcohol as a vehicle and started experimenting on different age groups and noted down the symptoms produced in them.He proved nearly 30 drugs and the symptoms produced were noted down systematically.The symptoms collected by drug proving were categorised in the order in a book form named materia medica pura.
Hahnemann noticed that by diluting the crude drug substences in spirit a dynamic power is developed and is responsible for producing the symptoms on healthy people.Hahnemann started giving treatement to somany diseased persons with the medicines prepared by him on applying the principle similia similibus curantur and got wonderful cures and homoeopathy started spreading all over the world.
He gave medicines to some patients and noticed that symptoms are coming back again.So he understood that the cause for the disease should be treated .After doing experiments and observations he came to know that diseases are actually caused by some dynamic forces and he named them as miasms.[psora ,syphilis,sycosis] He noticed that to cure a person completely these miasms should be eradicated using a similar dynamic force.This idea lead to antimiasmatic drugs which are drugs having disease producing power similar to miasms.He developed anti miasmatic drugs and experimented on diseased persons and got wonderful cures.
Developement of homoeopathy
The principles of homoeopathy was written in book form and he named it organon of medicine.Lateron he started publishing these works and six editions of organon were published.Right from the beginning of homoeopathy somany doctors of other system started working against homoeopathy.But those who were against homoeopathy lateron came to know the truth behind homoeopathy and started practising the same.Physicians like Dr J T Kent,Dr Hering,Dr Boenonghausen ect followed Dr hahnemann's mission and developed the system.They all started preparing somany other drugs on the basis of guidlines given by Hahnemann.Physicians came to know that by diluting the drug substance in spirit in a systematic way the medicinal power is increasing eventhough the quantity of drug decreases.Since diseases are due to dynamic causes the medicine also should be dynamic.By a process called potentisation same drug in different levels of potencies were made.They found that by increasing the potency the penetrating power of medicine is increased so that it act on a higher level than the usual material form of drugs used in other systems.This unique nature of homoeopathic medicine is the reason for the wonderful cures of even the mental diseases.
General principles
Homoeopathy treats the diseased individual as a whole rather than treating diseased parts or organs.The physical,mental,emotional,social spheres of a person is considered for a permanent cure.This system believes that the diseases are caused due to the derangement of vital force which is an invisible power in every individual.In a healthy state the vital force maintains the equilibrium of mind body and soul .During this man will have normal sensations and functions.When the vital force gets affected there will be external manifestations in the form of signs and symptoms.The imbalance in the body functions makes a shelter for forign organisms(bacteria,viruses,fungi,protozoa ect) and allow them to proliferate &produce so called diseases.Homoeopathy believes thet the real desease comes before the bacteria & viruses,hence the root cause of the disease has to be treated for a permenent cure.The antibacterial and antiviral agents only remove the secondary causes mentioned above.
Diseases are produced by noxious morbific agents called Miasms which are dynamic influences which affect the vital force.There are mainly three miasms PSORA ,SYPHILIS&SYCOSIS. These three causes are accepted by other schools of medicine but called by different names. Psora causes functional disturbances, syphilis causes structural changes in the form of destructions and sycosis causes changes in the form of overgrowth.These three miasms can act individually or in combined form to produce different disease conditions.
Preperation of medicine in homoeopathy
In homoeopathy medicines are prepared from different sources like minerals, plants, animals, toxins, diseased parts ect. Medicines are prepared from these substances by a special process called potentisation.Here the soluble substances are potentised by diluting(mixing with spirit with a downward stroke) with spirit and insoluble substances by grinding(trituration) with sugar of milk.The crude drug substance is first mixed with a calculated quantity of spirit and water and kept for few days .From this mixture extract is taken and is called mother tincture(denoted as Q).From this mother tincture dilutions are prepared by potentisation.Potentisation is a mathematical process by which the quantity of original drug substance reduces but medicinal power increases. Depending upon the ratio of quantity of drug substance and vehicle(spirit or sugar of milk)there are different scales for this process.Each scale has got different potencies which indicate power of medicine.Example in decimal scale the drug substance vehicle ratio is1/10 and the availables potencies are 3x,6x.12x ect.In centismal scale the ratio is 1/100 and the available potencies are 30c,200c ect,in LM potency the ratio is 1/50000 and the available potencies are 0/1,0/2,0/3 ect.Potency is written after the name of every medicine
Same medicine is available in different potencies. Suitable potency is selected according to so many facters like severity,depth of disease,condition of the patient ,nature of disease ,type of symptoms,age of patient and ect.
Subjects studied in homoeopathy:-
History of medicine
History & developement of homoeopathy
Pioneers of homoeopathy
Organon of medicine
Homoeopathic philosophy
Materia medica
Homoeopathic pharmacy & pharmacognosy
Homoeopathic repertory
Homoeopathic case taking
Homoeopathic therapeutics
General medical subjects:
( Anatomy,physiology,pathology,microbiology,parasitology,toxicology,forensic medicine,social & preventive medicine,surgery ,ENT ,gynaecology & obstetrics, opthalmology, dentistry, orthopedics, surgery,general medicine,pediatrics,dermatology ,psychiatry and ect)
Homoeopathic case taking and prescription.
Cure by a homoeopathic medicine is rapid ,gentle and permenent if correct remedy in suitable dose is given. . Just giving one drug for one disease (specific drugs)may not give good result.To come to a correct remedial diagnosis we should have the symptomatology of the person .It is the total symptoms of a person which includes mental generals,physical generals,particular symptoms ect.
All signs and symptoms (mental&physical)of the person is taken in detail.Knowledge about past illness,family history of diseases,food & bowel habits,notable causes,relation to climatic changes and constitution ect are noted down in a systematic order.
Mental symptoms:
Example: fear,anxiety,depression,anger,jealousy and ect....
Physical symptoms:
Example: Body makeup, appetite, thirst, desires, aversions, bowels, urination, sleep, taste, nature of smell, discharges any abnormal sensations like pain, burning, climatic changes, thermal relations, and etc...
Peculiar uncommon symptoms:
This is the speciality of homoeopathic system of medicine.For the selection of a suitable remedy these symptoms are very important.common symptoms which are seen almost in all patients are least important. This is the reason for giving different medicines to different individuals suffering from same disease.Example: Five people suffering from typhoid may get five different remedies because of changes of individual symptoms.
Particular/local signs&symptoms:
This include signs &symptoms related to body parts &organs.
Example: Part affected,any swelling,discolouration ect.
Systemic examination:-
Different systems are examined in a systematic order.(Respiratory system ,digestive system,nervous system,cardio vascular system and ect....) Vital signs
Pulse,blood pressure,temperature,respiratory rate ect are checked here.
General physical examination:
Here body parts are examined from head to foot to findout any changes.
provisional disease diagnosis; Here probable diseases are diagnosed. In homoeopathy disease diagnosis is not that much important for the selection of a remedy,but needed for general management and to know the prognosis.
Investigations : This includes lab investigations and other methods to find out any other major illnesses.
Final disease diagnosis:
After doing all investigations the disease is diagnosed.
Remedial diagnosis:
This is the most importnant part as far as homoeopathy is concerned. For this the selected symptoms are arranged in a systematic order on the basis of importance. Symptoms are analysed to find out the importance of each symptom for the selection of a remedy.Remedies are selected on the basis of similarity.
Suitable remedies are diagnosed by a process called repertorisation. Here books called repertories are used. Repertory is the index of symptoms of materia medica(books which contain the symptoms of drugs).Nowadays computer softwares are used for repertorisalion.By this process we will get the remedies covering maximum important symptom of the patient.
Amoung this group of remedies the most suitable remedy is selected by referring various books and considering the life space investigation of the patient..The selected medicine is given in suitable potency & dose.
ANTI MIASMATIC TREATMENT:
The root cause of disease is miasms which should be eradicated using suitable anti miasmatic drugs.Every drug can eradicate the miasm if there is symptom similarity.There are anti psoric drugs,anti syphilitic drugs and anti sycotic drugs.After diagnosing the miasm suitable anti miasmatic drug has to be given to complete the cure.
Homoeopathy is a system of medicine introduced by a german physician Dr Samuel Hahnemann.He was basically an allopathic doctor who has left the practise because of side effects and temporary relief of symptoms of allopathy.For his bread and butter he started translating the medical books to different languages.While he was translating cullen's materia medica he came across a herbal medicine called cinchona.It was written that cinchona can cure malaria and it can also produce symptoms similar to malaria on healthy individuals.This point clicked hahnemann's brain and he prepared an extract of cinchona bark and taken himself.To his surprise he developed some symptoms of malaria like chills and achings.He started doing the same experiment on different individuals and the result was the same.
By this experiment hahnemann came to know that any drug which can produce a set of symptoms on a healthy humanbeing can be used to cure the similar symptoms in a diseased person.He gave cinchona to various malaria patients and the result was wonderful and a system called homoeopathy originated.The word homoeo means similar,pathy means suffering.The basic principle of homoeopathy is 'similia similibus curantur' means like cures cure.Hahnemann prepared some other drugs using alcohol as a vehicle and started experimenting on different age groups and noted down the symptoms produced in them.He proved nearly 30 drugs and the symptoms produced were noted down systematically.The symptoms collected by drug proving were categorised in the order in a book form named materia medica pura.
Hahnemann noticed that by diluting the crude drug substences in spirit a dynamic power is developed and is responsible for producing the symptoms on healthy people.Hahnemann started giving treatement to somany diseased persons with the medicines prepared by him on applying the principle similia similibus curantur and got wonderful cures and homoeopathy started spreading all over the world.
He gave medicines to some patients and noticed that symptoms are coming back again.So he understood that the cause for the disease should be treated .After doing experiments and observations he came to know that diseases are actually caused by some dynamic forces and he named them as miasms.[psora ,syphilis,sycosis] He noticed that to cure a person completely these miasms should be eradicated using a similar dynamic force.This idea lead to antimiasmatic drugs which are drugs having disease producing power similar to miasms.He developed anti miasmatic drugs and experimented on diseased persons and got wonderful cures.
Developement of homoeopathy
The principles of homoeopathy was written in book form and he named it organon of medicine.Lateron he started publishing these works and six editions of organon were published.Right from the beginning of homoeopathy somany doctors of other system started working against homoeopathy.But those who were against homoeopathy lateron came to know the truth behind homoeopathy and started practising the same.Physicians like Dr J T Kent,Dr Hering,Dr Boenonghausen ect followed Dr hahnemann's mission and developed the system.They all started preparing somany other drugs on the basis of guidlines given by Hahnemann.Physicians came to know that by diluting the drug substance in spirit in a systematic way the medicinal power is increasing eventhough the quantity of drug decreases.Since diseases are due to dynamic causes the medicine also should be dynamic.By a process called potentisation same drug in different levels of potencies were made.They found that by increasing the potency the penetrating power of medicine is increased so that it act on a higher level than the usual material form of drugs used in other systems.This unique nature of homoeopathic medicine is the reason for the wonderful cures of even the mental diseases.
General principles
Homoeopathy treats the diseased individual as a whole rather than treating diseased parts or organs.The physical,mental,emotional,social spheres of a person is considered for a permanent cure.This system believes that the diseases are caused due to the derangement of vital force which is an invisible power in every individual.In a healthy state the vital force maintains the equilibrium of mind body and soul .During this man will have normal sensations and functions.When the vital force gets affected there will be external manifestations in the form of signs and symptoms.The imbalance in the body functions makes a shelter for forign organisms(bacteria,viruses,fungi,protozoa ect) and allow them to proliferate &produce so called diseases.Homoeopathy believes thet the real desease comes before the bacteria & viruses,hence the root cause of the disease has to be treated for a permenent cure.The antibacterial and antiviral agents only remove the secondary causes mentioned above.
Diseases are produced by noxious morbific agents called Miasms which are dynamic influences which affect the vital force.There are mainly three miasms PSORA ,SYPHILIS&SYCOSIS. These three causes are accepted by other schools of medicine but called by different names. Psora causes functional disturbances, syphilis causes structural changes in the form of destructions and sycosis causes changes in the form of overgrowth.These three miasms can act individually or in combined form to produce different disease conditions.
Preperation of medicine in homoeopathy
In homoeopathy medicines are prepared from different sources like minerals, plants, animals, toxins, diseased parts ect. Medicines are prepared from these substances by a special process called potentisation.Here the soluble substances are potentised by diluting(mixing with spirit with a downward stroke) with spirit and insoluble substances by grinding(trituration) with sugar of milk.The crude drug substance is first mixed with a calculated quantity of spirit and water and kept for few days .From this mixture extract is taken and is called mother tincture(denoted as Q).From this mother tincture dilutions are prepared by potentisation.Potentisation is a mathematical process by which the quantity of original drug substance reduces but medicinal power increases. Depending upon the ratio of quantity of drug substance and vehicle(spirit or sugar of milk)there are different scales for this process.Each scale has got different potencies which indicate power of medicine.Example in decimal scale the drug substance vehicle ratio is1/10 and the availables potencies are 3x,6x.12x ect.In centismal scale the ratio is 1/100 and the available potencies are 30c,200c ect,in LM potency the ratio is 1/50000 and the available potencies are 0/1,0/2,0/3 ect.Potency is written after the name of every medicine
Same medicine is available in different potencies. Suitable potency is selected according to so many facters like severity,depth of disease,condition of the patient ,nature of disease ,type of symptoms,age of patient and ect.
Subjects studied in homoeopathy:-
History of medicine
History & developement of homoeopathy
Pioneers of homoeopathy
Organon of medicine
Homoeopathic philosophy
Materia medica
Homoeopathic pharmacy & pharmacognosy
Homoeopathic repertory
Homoeopathic case taking
Homoeopathic therapeutics
General medical subjects:
( Anatomy,physiology,pathology,microbiology,parasitology,toxicology,forensic medicine,social & preventive medicine,surgery ,ENT ,gynaecology & obstetrics, opthalmology, dentistry, orthopedics, surgery,general medicine,pediatrics,dermatology ,psychiatry and ect)
Homoeopathic case taking and prescription.
Cure by a homoeopathic medicine is rapid ,gentle and permenent if correct remedy in suitable dose is given. . Just giving one drug for one disease (specific drugs)may not give good result.To come to a correct remedial diagnosis we should have the symptomatology of the person .It is the total symptoms of a person which includes mental generals,physical generals,particular symptoms ect.
All signs and symptoms (mental&physical)of the person is taken in detail.Knowledge about past illness,family history of diseases,food & bowel habits,notable causes,relation to climatic changes and constitution ect are noted down in a systematic order.
Mental symptoms:
Example: fear,anxiety,depression,anger,jealousy and ect....
Physical symptoms:
Example: Body makeup, appetite, thirst, desires, aversions, bowels, urination, sleep, taste, nature of smell, discharges any abnormal sensations like pain, burning, climatic changes, thermal relations, and etc...
Peculiar uncommon symptoms:
This is the speciality of homoeopathic system of medicine.For the selection of a suitable remedy these symptoms are very important.common symptoms which are seen almost in all patients are least important. This is the reason for giving different medicines to different individuals suffering from same disease.Example: Five people suffering from typhoid may get five different remedies because of changes of individual symptoms.
Particular/local signs&symptoms:
This include signs &symptoms related to body parts &organs.
Example: Part affected,any swelling,discolouration ect.
Systemic examination:-
Different systems are examined in a systematic order.(Respiratory system ,digestive system,nervous system,cardio vascular system and ect....) Vital signs
Pulse,blood pressure,temperature,respiratory rate ect are checked here.
General physical examination:
Here body parts are examined from head to foot to findout any changes.
provisional disease diagnosis; Here probable diseases are diagnosed. In homoeopathy disease diagnosis is not that much important for the selection of a remedy,but needed for general management and to know the prognosis.
Investigations : This includes lab investigations and other methods to find out any other major illnesses.
Final disease diagnosis:
After doing all investigations the disease is diagnosed.
Remedial diagnosis:
This is the most importnant part as far as homoeopathy is concerned. For this the selected symptoms are arranged in a systematic order on the basis of importance. Symptoms are analysed to find out the importance of each symptom for the selection of a remedy.Remedies are selected on the basis of similarity.
Suitable remedies are diagnosed by a process called repertorisation. Here books called repertories are used. Repertory is the index of symptoms of materia medica(books which contain the symptoms of drugs).Nowadays computer softwares are used for repertorisalion.By this process we will get the remedies covering maximum important symptom of the patient.
Amoung this group of remedies the most suitable remedy is selected by referring various books and considering the life space investigation of the patient..The selected medicine is given in suitable potency & dose.
ANTI MIASMATIC TREATMENT:
The root cause of disease is miasms which should be eradicated using suitable anti miasmatic drugs.Every drug can eradicate the miasm if there is symptom similarity.There are anti psoric drugs,anti syphilitic drugs and anti sycotic drugs.After diagnosing the miasm suitable anti miasmatic drug has to be given to complete the cure.
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