Homeopathy Papers

A Repertorial Approach to Cervical Spondylitis

Dr. Rajeev Saxena discusses a reportorial approach to cervical spondylitis.

ABSTRACT: Cervical spondylitis or cervical spondylosis disorder results from chronic cervical disc degeneration, dislocation. This is an article about Cervical Spondylitis focusing on etiology, clinical type and homoeopathic medicines related to various rubrics in different repertories.

KEYWORDS: HOMOEOPATHY, REPERTORY, CERVICAL SPONDYLITIS, HOMOEOPATHIC MANAGEMENT.

INTRODUCTION:

DEFINITION:

Cervical spondylitis or cervical spondylosis disorder results from chronic cervical disc degeneration, dislocation.  Or, it is a degenerative change which occurs in the cervical spine. It is characterized by osteo arthritis of the cervical spine.

Figure 1 – Cervical spondylitis

AETIOLOGY:

It is supposed to be due to:

  1. Postural defect
  2. Advanced age
  3. Rheumatoid arthritis
  4. Hormonal imbalance
  5. Repeated traumatic injury
  6. Psychological causes
  7. Idiopathic

CLINICAL FEATURE:

  1. Pain in cervical region & neck.
  2. Movement of neck is restricted.
  3. Sometimes a feeling of tingling & numbness in upper limb.
  4. Occasionally vertigo & headache.
  5. Feeling of stiffness.
  6. Sensory loss in upper limb may also present.

Investigation:

Radiological examination:

Skiagram of cervical region shows – that:

  1. Narrowing of inter vertebral disc space, with osteophytes formations.
  2. OBLIQUE VIEW: Shows encroachment by osteophytes on the intervertebral foramina.
  3. MYELOGRAPHY: It shows herniation of disc.

Differential Diagnosis:

  1. Coronary artery disease.
  2. Tumors of spinal cord.
  3. Multiple sclerosis.
  4. Syringomyelia.
  5. Sub-acute combined degeneration of cord.
  6. Motor neurons disease.
  7. Myalgia& neuralgia.

MIASM:

From a miasmatic point of view this disease is insidious so psora is in the background.  The sycotic miasm also apples because of –

1.Slow recovery of the disease.

2.. Narrowing of disc with inflammation & stiffness

3. General aggravation in cold, damp weather.

Hence it is a mixed miasm – psora- sycosis.

REPERTORY OR REPORTORIAL ASPECTS:

Reportorial point of view:  During the time of Kent there was no term spondylosis or spondylitis used for cervical spondylosis. Therefor Kent is lacking symptoms relating to cervical spondylitis. But we can take help of Kent from the chapter of generalities.

A. KENT’S REPERTORY:

S.no. Chapter Rubric with 1ST GRADE Medicine Page no.
1. GENERALITIES NUMBNESS externally:

ANACARDIUM, BERB.V., CARB.S., CONIUM, GRAPH., HYOS., KALI.C., CYC., OP., PLB., STRAM.

 

1375
2. GENERALITIES COLD AIR AGG.:

CIMIC. DULCAMARA. HYPERICUM, RHODO., R.T., SIL.

 

1348
3. GENERALITIES PAIN, BONES:

EUP. PERF., IP.. MERC., NIT.ACID., PH.ACID., PULS., RUTA.

1377

 B.  BBCR:

This is a very useful repertory because it is based upon the philosophy of particular to general.

S.no. Chapter Rubric with 1ST GRADE Medicine Page no.
1. NECK AND EXTERNAL THROAT PAIN:

LACHESIS

2ND GRADE MEDICINE BELL.

745
2. NECK AND EXTERNAL THROAT STIFF:

BELL, BRYONIA.

746
3. SENSATIONS & COMPLAINTS IN GENERAL NUMBNESS:

ACONITE, GNAP.

911
4. CONDITIONS OF AGGRAVATION AND AMELIORATION IN GENERAL AIR COLD IN AGG. :

ARS., AUR., CAMPHOR, CAUSTICUM, DULCAMARA, H.S., KALI.C., N.V., R.T.

1105
5. CONDITIONS OF AGGRAVATION AND AMELIORATION IN GENERAL DAMP AGG. :

NAT. SULPH.

1112

C.  BOERICKE’S REPERTORY:

S.no. Chapter Rubric with 1ST GRADE Medicine Page no.
1. LOCOMOTOR SYSTEM NAPE OF NECK, PAIN IN GENERAL:

ACONITE, BELLADONA, CIMICIFUGA, GELS.

879
2. LOCOMOTOR SYSTEM NAPE OF NECK, STIFFNESS:

ACONITE, BRYONIA, CAUSTICUM, CIMICIFUGA, DULCAMARA, PULS.,STICTA.

880
3. MODALITIES AGG. – COLD:

ACONITE, ALUM., ARSENIC, BARYTA CARB,. BRYONIA ,CAMPHOR, CAUSTICUM,CHAM.,DULCAMARA,H.S.,KALI-CARB .,MEZ.,N.V.,RHODO.,R.T.,RUMEX, SEPIA,SIL.

968
4. MODALITIES AGG. – DAMPNESS COLD:

ARANIA, ARNICA,C.C.,C.P.,DULCAMARA,MERC.,R.T.

 

969
5. MODALITIES AGG.WEATHER WINDY, MOIST:

EUPHRASIA, N.M.

975

D. BOENNINGHAUSEN’S THERAPEUTIC POCKET BOOK

S.no. Chapter Rubric Page no.
1. THROAT AND NECK NACK & NAPE OF THE NECK

 

 

131 & 132

E. KNERR’S REPERTORY:

S.no. Chapter Rubric Page no.
1. THROAT EXTERNAL AND NECK PAIN:

 

636-638
2. THROAT EXTERNAL AND NECK STIFFNESS: 640-642

F.  Dr. S.R.PHATAK’S REPERTORY:

S.no. Rubric Page no.
1. SPONDYLITIS CERVICAL 363

Management:

  1. Rest
  2. Reassurance
  3. Psychotherapy
  4. Main role of physiotherapy with active & passive exercise and massage.
  5. Cervical collar should be applied for immobilization of neck.
  6. Cervical traction for immobilization of neck time to time.
  7. Hot formentation.
  8. For temporary relief massage of oil/lotion/liniment/tube etc. & so on.

Homoeopathic therapeutics:

Homoeopathic medicines work very effectively and give marvelous result in joint pain & cervical spondylitis. It contains a large list of such medicines which have been universally acclaimed.

Names, symptoms and other particulars of such medicine are mentioned below briefly:

A. PAIN & STIFFNESS IN NECK:

MEDICINES ARE:

  1. BELLADONA: Stiff neck. Swelling of glands of neck. Pain in nape, as if it would break. Headache temporal region with congestion.
  2. CAUSTICUM: Stiffness between shoulders. Dull pain in nape of neck. Dull, tearing pain in hands and arms.
  3. BRYONIA: Painful stiffness in nape of neck. Stitchesand stiffness in small of back. From hard water and sudden changes of weather. Worse from motion better at rest.
  4. DULCA: Stiff neck. Pain in small of back, as after long stooping. Stiffness and lameness across neck and shoulders, after getting cold and wet. Worse from cold, damp, rainy weather. Better by warmth.
  5. RHUS TOX.: Pain between shoulders on swallowing. Pain and stiffness in small of back; better, motion, or lying on something hard; worse, while sitting. Stiffness of the nape of the neck. Cervical neuralgia. Worse from sitting &rest. Better by motion, stretching the limbs.
  6. CIMICIFUGA: Spine very sensitive, especially upper part. Stiffness and contraction in neck and back. Intercostal rheumatism. Rheumatic pains in muscles of back and neck. Pain in lumbar and sacral region, down thighs, and through hips. Crick in back.
  7. VERTIGO DUE TO C.S.:

MEDICINES ARE:

  1. GNAPHALIUM: Giddy, esp. after rising from recumbent position. Worse on lying down. Better by sitting.
  2. MEDORRHINUM: Vertigo: when stooping; slightly >lying; < on movement. Drawing in cords of neck, causing desire to throw head back.
  3. GELS: Giddiness as if intoxicated, as if he should fall down. Giddiness with loss of sight, chilliness, accelerated pulse, dullness of vision, double vision.

Name of some other remedies are given below:

ACONITE, AVENA SAT., LEDUM, STICTA, KALMIA, C.F., RHODODENDRON, FLORIC ACID, ACTEA SPICATA, ARNICA, RUTA ETC.

CONCLUSION:

Homoeopathic medicines work very effectively and give marvelous results in joint pain and cervical spondylitis.

REFERENCES:

  1. Walker B, Colledge N, Raiston SH, Penman IO, Razak ARA, Angus BJ, et al. Davidson’s Principles and Practice of Medicine. 22nd Edition. Publisher Elsevier.2014.
  2. Sainani G.S., Abraham, Dastur F.D., Abraham P, Dastur FD, Joshi VR, et al. A.P.I. Text Book of Medicine. 6th Edition. Association of Physicians of India Mumbai, 1999.
  3. Kasper D, Fauci A, Longo D.L., Braunwald E., Hauser S.L., Jameson J.L., et al, Harrison’s Principles of Internal Medicine. 17th edition vol 2. The Mcgraw-Hill Companies. 2008.
  4. Tiwari   Essentials  of  Repertorization,  Fifth  Edition,  B  Jain  Publisher  Ltd.,  2012.
  5. Allen   Boenninghausen’s  Therapeutic  Pocket  Book,  Fifth  Indian  Edition,  Indian  Books  &  Periodicals  Publishers,  2012.
  6. Bogar   Boger  Boenninghausen’s  Characteristics  &  Repertory  With  Corrected Abbreviations  &  Word  Index,  37th  Impression,  B  Jain  Publisher  Ltd., 2012.
  7. Kent    Repertory  of  the  Homoeopathic  Materia  Medica,  Reprint  Edition,  Oct.  Indian  Books  &  Periodicals  Publishers, 2013.
  8. Complete Repertory,  Cara  V1.4.
  9. Murphy Homoeopathic   Medical   Repertory,  Cara  V1.4.
  10. Phatak SR. A  Concise  Repertory  Of  Homoeopathic  Fourth  Edition,  B  Jain  Publisher Pvt.  Ltd,  New  Delhi  2005.
  11. Boericke W. Boericke’s New Manual Of Homoeopathic Materia Medica With Repertory, Third Revised & Augmented Edition, B.  Jain  Publisher  Pvt.  Ltd,  New  Delhi,  2008.
  12. Allen HC. Allen’s Key Notes, Rearranged And Classified With Leading Remedies Of The Materia Medica And Bowel Nosodes, Eighth Edition, 2016, B Jain Publisher (P) Ltd, New  Delhi.
  13. Boericke W. Boericke’s  New Manual Of  Homoeopathic Materia Medica With Repertory, Third Revised & Augmented Edition, 2008, B. Jain Publisher Pvt. Ltd, New Delhi.
  14. Clarke JH. A Dictionary Of Practical Materia Medica, B. Jain Publishers (P) Ltd.

About the author

Rajeev Saxena

Rajeev Saxena

Prof. Dr. Rajeev Saxena is a senior homoeopathic physician practicing homoeopathy for 25 years. He completed his Bachelor and Masters in Homoeopathic Science from the University of Rajasthan, Jaipur and did his masters in Repertory. For the last 17 years he has worked as Professor, HoD, PG and PhD guide in the Department of Repertory at S. K. Homoeopathic Medical College and Research Centre, Jaipur. He has tremendous enthusiasm and passion for homoeopathy, more especially studying the repertory keenly and in great detail. He participated in various seminars, workshops and conferences related to homoeopathy and repertory. He has been awarded and honored in the field of health, homoeopathy and social services by various foundations and institutions.

2 Comments

  • Sir,
    Can you suggest any homeopathic medicine for varicose veins in legs.I am 67 years old and these are there since last 15 years.Now there is pain in legs
    Thanks

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