Wednesday, March 31, 2010

Diet for BODY.., Nutrition for MAN

Food is requiring living alive, it is basic need of every human being but it should be taken in a proper manner in diseases like diabetes, heart diseases & obesity. Diet such as carbohydrates, protein, fat, minerals & vitamin is requiring live alive & healthy.

Proper management of diet should be given to our patients but it always considers that which class of patients is coming to you. Most of time we advice diet which can not afford to people along with medicine we give to them. People in the Mumbai do not have that much time to look over his health. So, many people are suffering from any one disease.

In cases of diabetes diet should be given in balance so that sugar level will be maintained in average range. I advised diet according to plan that I have made. This is helping my diabetic, hypertensive, obese patients. & it is working all the time. Many patients find a way to overcome their long standing complaints.




There are 4 strategies –

1. Diet & nutrition management
2. Habit control
3. Weight management
4. Medicine management

Diet & nutrition management

Morning breakfast 8 a.m.

1. Idly 2-3
2. Upma 1 plate (less sugar)
3. Shira 1 plate (less sugar)
4. Dosa
5. Poha 1 plate
6. marri biscuits with tea (sugar free)

Any one of them according like and dislike of the person. Such food contains fewer carbohydrates.

Mid morning 11-12 noon

Milk: 1 glass skimmed milk

Lunch, afternoon 2-3 p.m.

All types of salads with normal salt.
Or
All types of pulses kept in water overnight or boiled & fried with require taste Masala, 1 plate, and whenever hunger appears.

In this we take more protein & vitamin, minerals by lowering fats.




4 p.m.

Tea (without sugar or sugar free) with 2-4 marri biscuits.

Dinner

Any food should be taken such as 1-2 Chapattis (70% wheat & 30% soybean) or 1 bhakri, 1 plate rice, dal, all green leafy vegetable, pulses, including non vegetarian food. (Such as chicken, meat, or fish), oil also used which is highly saturated fat. For night food it should be taken full because there much period till morning. After eating at night we do take food again because of sleep & complete rest.


No any added food such as snacks can be taken in between two meals. If you want to take any juice or any sweet dish take it immediately after food or replace your normal food instead this. There should be gap about 4-5 hrs in each meal. Lots of water about 2-3 litres per day & 30 – 45 minutes regular walking is compulsory.

Many patients in first time when we begin this management says that I got more hungry but as time passes body get adapt then it is very easy control over hunger. Then also you feel hungry take prepared fried pulses to relieve the hunger.

From this type of diet management sugar remain under good control. Patient like diabetes 1 & diabetes 2 got excellent control over sugar.

Habit control

Alcohol should be avoided or 1 peg i.e. 70ml as per day or occasionally recommended by WHO. Coffee, Tobacco also avoid in any form.





Weight management:

It also helps to reduce weight about 3 kgs in a month without losing your strength and heath. More fats burns & liver try to maintain its normal metabolism.





One of the liver’s primary jobs is to store energy in the form of glycogen, which is made from a type of sugar called glucose. The liver removes glucose from the blood when blood glucose levels are high. Through a process called glycogen sis, the liver combines the glucose molecules in long chains to create glycogen, a carbohydrate that provides a stored form of energy. When the amount of glucose in the blood falls below the level required to meet the body’s needs, the liver reverses this reaction, transforming glycogen into glucose.
Many other chemicals are produced by the liver. These include fibrinogen and prothrombin, which help wounds to heal by enabling blood to form clots, and cholesterol, a key component of cell membranes that transports fats in the bloodstream to body tissues. Which is also helps to control over hypertension, heart attack etc.

More fat got burn by reducing weight. Reduction in weight also helps to maintain the sugar, blood pressure.


Medicines management

Along with that homoeopathic medicine also play important role. It helps to the patient to control mind, body & soul to run perfect harmony with help of vital force; medicines are only stimulus for the man, he himself has to cure.


At last I can say we not only cure our patient but preserve health of human being. And that is more important in present day.
Appeare in NJH DIET AND NUTRITION ISSUE

Tuesday, March 30, 2010

Treat the Man, Not the Disease’

This is the first case of Diabetes in my Practice Where I have got such a Brilliant result. Since then I started believing on this concept i.e. Treat the Man, Not the Disease’, With the Classical selection of Homoeopathic medicine based on the totality of symptoms we can achieve best result in diabetes patients.

Pt. Name TP. Age 49 yrs. came to my consulting, on 21 July 08. Hindu, vegetarian, Married, Working in BMC as a Assistant Pathologist

Chief Complaints:
Known c/o Diabetes recently diagnosed. On anti-diabetic drugs since 15 days
Hypertensive i.e. Maclazide M, T. Pioz 15 & T. Enam.
Weakness++;
Frequency in micturation,
Wight loss by 6-8 kgs in 2 months,

Sexual power weak++
Erection deficient, weak, no desire.

Associated Complaints:
Nervousness,
Restlessness.

Appearance
Height : 5.6 inch’s
Weight : 68 kgs
Built : Average
Hair : White, became grey early, male pattern baldness++
Gait : Normal
Skin: Greasy, dark complexion

Mind Intellectual:
Memory good sometime forget things, Names, ECT

Mental State
Anger : Contradiction from
Sadness: Family people did to him.
Love : His family, his son.
Fear : Failure in life
Anxiety Agitation : About financial condition.
Anxiety Depression : About Diabetes
Conflict : With Brothers/ separation

General
Appetite : DECREASE ++
Thirst : Cold Water++.Frequent.
Habits : Chewing tabacoo.Gutka, Mava, ECT.
Craving : Sweet+++, Sugar++, Spicy++
Aggravation : heat in general
Stool : N
Urine : Frequent, Profuse, Forceful
Perspiration : Profuse, smelling, White staining.
Sleep : Late due to anxiety
Dreams : Death bodies, occasional.
Sexual Functions : Erection deficient, weak. Want daily but now no desire. He requires daily sex.

Others: Warts on Back, Black, Neck around pedunculated.

Systemic
Head : Baldness male pattern, grey become
Face : Greasy,
Eyes/Vision : N
Mouth/Tongue : Flabby
Teeth/Gums : Black, brown.
B.P: 150/90.

Thermal
Weather/Season : Winter likes
Sun : heat Causes profuse perspiration
Fan/Air Condition : D+++
Bath : Cold water
Covering : Aversion
Thermal State : C0H5

Life Space
Life Situation:
He has been working from his age of 13. He never experienced the Happiness. Work, work & only work, financial condition was very poor, not able to take education. He is elder in family. He is Responsible person of family after death of his Father.
Since age of 13 He has been doing for his family. Was working under doctor as a Receptionist, Salary was too less that he couldn’t able full fill the demand of the family. Take a loan & Financial burden on shoulder. 15 yrs ago he got job in BMC Hospital.
Two yrs ago there were some Quarrels between Brother & him. Since then he was under STRESS & STRAIN, PRESSURE. He said that his whole life was devoted to his family. Finally they have given me such bad fruit of my work. They got separated. He was straight forward person but now he feels Insulting, inferior.
Now he is living with Wife & 3 daughters & son.
He doesn’t like Argument &also Aggravation by contradiction.
Want to be alone & think about past.
Always want support.
He is the right person.
Whenever there is contradiction he keeps quite & do not speak to anybody
Anxiety about Future,
He never desire to have failure in future.
Irritable,
Inferioriority complex.

Past History:
Jaundice once.
Typhoid once.

Family History:
Father hypertensive. (Dead)
Mother Diabetes.

Notes /Observations: Disposition to frown, restlessness, Nervous.

Investigations: (12/07/08)
Hb%: 13.5,
Blood sugar Fasting: 306
Urine sugar: +++.
Ketone: Absent.
Blood sugar Post meal after 2 hrs: 523.
Urine: sugar +++
Ketone: Absent.
SERUME CRAETININE: 1.0
HbA1c: 12.1 %.









Reportorial Totality: Kent rep.

1. Mind-Anger, irascibility: contradiction from,
2. Mind-company: aversion to,
3. Mind-Memory: weakness of,
4. Stomach-Desire: Sweets,
5. Urine: Sugar
6. Urine: Aluminous,
7. Sexual passion: wanting,
8. Sexual passion: Erection without,
9. Perspiration: Profuse,
10. Generalities: Sexual: excess, after.
11. Head: hair: falling.


Result

Lyco 11/31
Sulph 10/22
Nat Mur 9/21
Phos acid 8/21

Selected Medicine (21/07/08)

Stop all allopathic medicines.

Lycopodium 200. Single dose with placebo for one month.
& Synzygium jam mother tincture.TDS, 10 DROPS AFTER EACH MEAL WITH HALF CUP OF WATER.
SL OD.

Auxiliary Measures

Regular fast waking for 45 mins.
Do not take any snacks in between meal.
Strictly stop all stimulants immediately.


Follow -ups

26/o7/08

Weakness+
Erection improve but no sexual desire,
Urine frequency +
Sleep normal.
No dreams.
Anxiety reduce,
Wt: 68.
B.P: 140/90
Appetite Good.
Blood sugar fasting: 146.
Blood sugar pp: 198.

Phos. Acid. 200. Single dose.
Synzygium Jam TDS. 10 drops with half cup of water.
SL OD.











06/08/08.
Blood sugar fasting: 124.
Blood sugar pp: 162.
B.P: 130/80.
No anxiety.
Weakness totally gone.
Erection, sexual desire improves.
Irritability decrease.

SL OD.







23/ 08/08.
Blood sugar fasting: 108.
Blood sugar pp: 126.
No any fresh c/o.
SL OD.



07/10/08.
HbA1c: 4.7.
Blood sugar random: 125.
SL OD.


18/10/08.
Blood sugar fasting: 107.
Blood sugar pp: 130.
S. creatinine: 0.45.
Pt. BETTER,
No fresh c/o.
SL OD.
Advised to check blood sugar every month & inform me.




Appeared in NJH Diabetic issue,

A case of lac caprinum

This case I had taken when I was in second yrs of B.H.M.S, totally new method of Dr .Rajan Sankaran, Considering the delusion, sensation & the energy level of the patient.

A male of 20 yrs. on 15 January 2004, Religion Hindu- mang, He is student of homoeopathy& he was my colleague also. He was diagnosed as a case of ASTHMA 1 yrs ago, on inhalers.

Q: what is your complaint?
A: I have CHOCKING & SOFFOCATING feeling. I feel there is no air & I can’t breathe.
Q: tell me more about your feeling?
A: I feel as if glass is put kept over inverted over the lighted candle, the way the candle extinguishes due to lack of oxygen, because fire require oxygen to burn,
To the suffocated sensation of Nanny (female goat)& Billy (the male goat) when she/ he put his/ her mouth in the narrow vessel while drinking water. They introduce their mouth easily but not able to remove. (Here he gave some gesture with making fist of his hand)
My complaint began with coryza when I drank cold water that was hard (boring water is quite hard)
Q: when do your complaints aggravated?
A; they < by lying on back, drinking cold water, eating cold food& while talking cough aggravates, damp & cloudy whether.
Q: when do you get better?
A: in open air.
Q: what else?
A: I get rattling& barking like dog while coughing.
Q: tell what is rattling & barking.
A: I have difficulty in respiring. When blood comes from heart to lungs, which is impure, it gets pure in the lungs & it goes back to heart. When O2 taken by the blood & carbon dioxide given out. But I require more O2. That sound comes. (Rattling& barking)
Q: tell me more about blocking & suffocation?
A: I feel like there is some weight on my chest which causes suffocation & it > by open air.
(Here I stopped asking question about his complaints. I ask him about his dreams)
Q: Tell me about your sleep & dreams?
A: Dreams of goddess & my family.
Q: Tell me about dream of goddess?
A: I had dreamt of visiting many religious places specially my goddess ‘Bhavani manta’ but I dreamt it happen later in reality.
Q: Tell me more about Bhavani Mata?
A: My family is religious about Bhavani Mata. We all fast for her. She helps to overcome our plight & grief. We in turn offer essence sticks, coconut. We offer her goats (male goat, Billy). Kill it in front of her as a superstition.
Q: Dreams of anything like ANIMALS?
A: yes, I had dreamt of Cobra snake & it is chocolate in colour, but only once not frequently.
Q: which season do you like?
A: I like winter most because I feel fresh. I like go to cold places.
Q: why?
A: Summer heat irritates me & at that time I want go under shade of trees, especially in the field of mountains & hills.
Q: Which diets you take mostly?
A: I eat more vegetables like cauliflower, potato, bitter gourd, fenugreek, bean pods, & non vegetable like eggs & meat (especially goat meat)
Q: tell me about the things you don’t like?
A: I like goat milk which is fresh one, but my grand father told me never take goat’s milk. (Here is desire for goat milk but his grand father advice he never took the goat milk). He told me when I was child since then I never took the goat milk. Other milk nauseates me. I vomit after taking other milk & milk products & it also < my complaints.
Q: tell about your Sexual feeling?
A: People ogle at girls so I have same attitude towards them. I get attracted by their dress, their nature, walking etc. some people having sexual desire they try to get intercourse with them. I don’t have control on my desire. Some people see sexy pictures & films that’s why they do not have control over their sexual desire. I also do the same. I have habit of masturbation & weakness follows. (This question I had asked after reading Dr, Sankaran’s ‘Proving’ later)

I had tried this method of case taking from Rajan Sankaran’s seminar held on 16 January 2003.There I had learnt that ‘Depth of Homoeopathy’, the patient himself guide us the source of Drug where the Energy he get from.

While taking the case I observe that he was looking like Goat i.e. Billy. Most interesting thing was that he was dark complexion, he cough like goat, he is very restless, and he walks like goat, take long walk after night meal, small beard on the chin like the goat.
Following points that I had seen in patient that lead me to think over the goat as follows,

1. Taking in to account his peculiar Delusion, which he explained as an example as that goat’s mouth stuck in narrow vessel unable to remove it & had suffocating feeling.
2. There is a reference of Bhavani Mata. But he said it an offence & it is superstition.
3. His desire to go on hills, mountains, green areas, where there is no heat of Sun. His desire for shade in summer.
4. His sexual desire that of goat. In India goats are found in herd, there is only one Billy (male goat).Every Nanny bears child from one Billy. The Billy is always behind Nanny in order to intercourse with them.
5. His avoidance of goat milk on his grand father advice & his Desire for goat meat especially for goat meat & all vegetables likes him like that of goat.
6. So I come to conclusion that the patient is male goat (Billy). He gets energy from GOAT.

Considering all above points I got the idea of any drug prepared from goat’s milk. But I did not any idea whether there is such a drug. I searches over different Materia Medica, but couldn’t found. Later with the help of Dr. Prasad Rasal we search over different sites of internet, where we found proving of Lac- Caprinum & also in Sankaran’s ‘Proving’
After reading the matter of ‘PROVING’ I asked some more questions, like which colour do you like & which music do you prefers. & the answers was surprising, it was colour green & old music.

Now the question was to find the POTENCY OF THE DRUGS. We failed to find it in Pharmacies we known. So we decided to prepare potency with hand by Hahnemannian method of CENTICIMAL SCALE. Then we came to know &realise that how much effort Hahnemann took to introduce Homoeopathy to the world.
One more observation of mine was villages in India goat’s fresh milk in its crude form is used as a drug for ASTHMA& the urine for PNEUMONIA. Especially in Hindu- mang community people, they rear the goats so the patient was very close to goats from childhood. They rear the goat for milk & kill them for meat & offer to Bhavani-Mata.


CONTENT OF GOAT MILK

Fats: 4.5 gm Protein: 3.3gm
Lactose: 4.6gm Calcium: 170mg
Potassium: 160mg Magnesium: 80mg
Cobalt: 150mg Phosphorus: 1090mg
Copper; 110mg Iodine: 122mg
Iron: 0.3mg Vitamin C: 1mg
Minerals: 0.8mg Water: 86.8gm
Energy: 72 kcal.

The prepared potency of Lac – Caprinum 30 one dose was given on 3 February 2004. When the potency was given the whether was damp & cloudy. To my astonishment he didn’t get any complaints of Asthma up to 4 days.

Follow-ups

On 16 February 2004,

No dyspnoea, he was free from chocking & suffocating feeling, had sound sleep, with no dreams.
He craves for goats milk& other milk products. He started drinking one- one & half litres/day.

On 1 march 2004,

No complaints up to 100% better.
Desire for milk +++,
His sexual thoughts improves, mix with girls very easily,
Masturbation habit completely went,
Studied well & passed 1 st yrs B.h.m.s & started believing on homoeopathy.

1 yrs later he suffered from Herpes zoster, complaints was totally went & he stopped offering goat to Bhavani Mata.
Appeare in NJH ISSUE