Abstract
To ascertain efficacy of Homoeopathy in treatment of sarcoidosis, 50 cases during the period since 2007-2013 were selected for study at Homoeo Cure and Research Institute., Kashipur (INDIA). The efficiency of homoeopathic treatment was miraculously seen in all the cases. Almost all were either cured or much relieved.
Aims and objectives
- To study scope of Homoeopathy in treatment of ‘Sarcoidosis’ with its miasmatic analysis.
- To analyze the results of Homoeopathic medicines when prescribed on the basis of Miasms and on totality of symptoms.
- To prepare an evidence based report on the treatment of Sarcoidosis with Homoeopathy.
Introduction
‘Sarcoidosis’ is a ‘not well understood’ complex multisystem, commonplace inflammatory disease, characterized by the formation of noncaseating granulomas. The granuloma is a battle clashed on a genetically susceptible ground between an unrecognized antigen(s) and a highly organized squad of lymphocytes and macrophages. The lungs are the most commonly involved organs, but no structure of the body is known to be immune to its wrecks.
The cause of sarcoidosis is not known. Though not common, it often leads to permanent failure or disabilities of the organs ultimately leading to the end of vital functions.
‘Sarcoidosis’, like other disease, affects the person as a whole irrespective of the cause. The whole economy of the patient is altered producing the signs of ‘Sarcoidosis’ as well as a characteristic picture of sick individual including mental and physicals specific to his personality. This disease picture specific to that particular patient is always different from that in another one, due to his particular identity proving him to be an ‘Individual’. The totality of symptoms depends upon the Miasms under-running the disease process in that individual.
The Psora being the fundamental miasm plays a maximum role in altering the physiology and rendering the entire imbalance. While in combination with other miasms, it produces the worst stage of the sickness. The syphilis produces destruction of tissues. To combat it, Sycosis and Psora play their vital part. This combination in turn increases the destruction as well as new tissue formation too, producing granulomas and fibromas publishing the complete portrait of Sarcoidosis.
This article examines the current understanding of sarcoidosis in terms of Homoeopathy.
Definition of Sarcoidosis
“Sarcoidosis is a disease characterized by the formation in all of several affected tissues of epithelioid-cell tubercles without caseation though fibrinoid necrosis may be present at the centre of a few, proceeding either to resolution or to conversion into hyaline fibrous tissue”.
Epidemiology of Sarcoidosis
- Age at presentation 20–40 years
- More common in females and black people
- Present throughout the world, but more common in temperate climates
Causes of Sarcoidosis
Possible Causes of Sarcoidosis |
|||||
Mycobacteria | Bacteria | Fungi | Viruses | Dusts | Metals |
Tuberculous | Corynebacterium spp. | Cryptococcus spp. | Cytomegalovirus | Clay | Aluminum |
Non-tuberculous | Propionibacterium | Endemic fungi | Epstein-Barr virus | Pine | Beryllium |
Cell-wall deficient(L-forms) | acnes | Herpes simplex virus | Pollen | Zirconium | |
Tropheryma whippleii | Talc | ||||
Mixed |
Signs and Symptoms of ‘Sarcoidosis’ with Miasmatic Analysis
- Up to one-third are asymptomatic
- Acute presentation (Lofgren’s syndrome) with fever, malaise, arthralgia, erythema nodosum and uveitis
- Chronic presentation with fever, weight loss, dry cough or SOB
- Symptoms are usually mild if thoracic disease only
Rarer presentations include-
- Hypercalcaemia (renal stones, constipation and dehydration)
- Red eyes
- Skin rashes
- Central and peripheral nerve palsies
- Hypothalamic deficiency
- Bilateral salivary gland enlargement
- Cardiomyopathy or arrhythmias
Sign or Symptom | Fundamental Miasm | Secondary/ Associated Miasm |
General discomfort, uneasiness, or ill feeling (malaise) | Psora | Psora- Syphilis |
Fever | Psora | |
Shortness of breath | Psora | Sycosis |
Cough | Psora | Sycosis, Syphilis |
Skin lesions | Psora | Sycosis |
Skin rash | Psora | |
Headache | Psora | Sycosis, Syphilis |
Visual changes | Psora-Sycosis-Syphilis | |
Neurological changes | Sycosis-Syphilis | Psora |
Enlarged lymph glands (armpit lump) | Psora | Sycosis |
Enlarged liver | Psora | Sycosis |
Enlarged spleen | Psora | Sycosis |
Dry mouth | Psora | |
Fatigue (one of the most common symptoms in children) | Psora | Syphilis |
Weight loss (one of the most common symptoms in children) | Psora-Syphilis | |
Tearing, decreased | Psora | Sycosis, Syphilis |
Seizures | Psora | Psora- Syphilis |
Nosebleed – symptom | Psora- Syphilis | |
Joint stiffness | Psora | Sycosis |
Hair loss | Psora | Sycosis, Syphilis |
Eye burning, itching, and discharge | Psora | Psora- Syphilis |
Abnormal breath sounds (e.g. rales) | Psora- Syphilis | Sycosis |
Radiological features of Sarcoidosis
CXR
- May be normal.
- Stage 1 – bilateral hilar and mediastinal lymphadenopathy (particularly right paratracheal and aortopulmonary window nodes).
- Stage 2 – lymphadenopathy and parenchymal disease.
- Stage 3 – diffuse parenchyma disease only.
- Stage 4 – pulmonary fibrosis.
Egg shell calcification of both hila
‘1-2-3 sign’ – Posteroanterior (PA) chest radiograph of a 31-year-old woman with class I sarcoidosis shows right paratracheal (arrowheads) and bilateral hilar (arrows) lymphadenopathy. This pattern of lymphadenopathy is classic for sarcoidosis and is referred to as the 1-2-3 sign or Garland triad.
The parenchymal disease involves reticulonodular shadowing in a perihilar, mid zone distribution. There is bronchovascular and fissural nodularity. Rarely air space consolidation or parenchymal bands may also be present. Fibros is affects the upper zones where the hilar are pulled superiorly and posteriorly. Lymph nodes can demonstrate egg shell calcification.
HRCT
Very good at confirming irregular septal, bronchovascular and fissural nodularity. Traction bronchiectasis, fibrosis and ground glass change may be present. There may also be tracheobronchial stenosis. Also may be seen subdiaphragmatic, cardiac, bone, hepatic and splenic involvement on the same scan.
CT shows precarinal lymphadenopathy with rim calcification (arrow). This pattern of calcification is referred to as eggshell calcification and is commonly seen with sarcoidosis
A: CT shows ill-defined nodules in a bronchovascular distribution (arrow) in the right upper lobe
B: CT with mediastinal windowing shows right hilar lymphadenopathy (arrow)
C: CT at the level of the inferior pulmonary veins shows left hilar lymphadenopathy (arrow)
D: CT at the level of the lower lobe pulmonary arteries shows subcarinal lymphadenopathy (arrow
)
HRCT. Irregular septal, bronchovascular and fissural nodularity
Radiological Differential diagnosis
- Lymphoma
- Infection – TB
- Lymphangitis carcinomatosis
- Chronic hypersensitivity pneumonitis
Clinical Staging of Sarcoidosis
Stage 0 | A normal chest radiograph |
Stage I | Lymphadenopathy only |
Stage II | Lymphadenopathy and lung parenchymal disease |
Stage III | Parenchymal lung disease only |
Stage IV | Pulmonary fibrosis |
Diagnosis of Sarcoidosis
- Histological evidence of granulomatous inflammation.
- The exclusion of the known causes of granulomatous inflammation other than sarcoidosis.
- Evidence of at least two separate organs involved with the disease.
Examinations and Tests for Sarcoidosis
- CBC, Chem-7 or Chem-20, ACE levels
- Chest x-ray to see if the lungs are involved or lymph nodes are enlarged and CT scan
- Biopsy of Lymph node, Skin lesion biopsy, lung, Liver, Kidney
- Bronchoscopy and PFT
- EKG to see if the heart is involved
Common Complications of Sarcoidosis
- Diffuse interstitial pulmonary fibrosis and / or Pulmonary hypertension
- Anterior uveitis and / or Glaucoma and blindness (rare)
- Cardiac arrhythmias
- Cranial or peripheral nerve palsies
- Kidney stones
- Organ failure, leading to the need for a transplant
Treatment of Sarcoidosis
Treatment of Sarcoidosis |
|
Main Goals of treatment |
The treatment depends on |
To improve how the organs affected by sarcoidosis work | Involvement of vital organs (e.g., lungs, eyes, heart, or brain) |
To relieve symptoms | Severity of symptoms |
To shrink the granulomas | Extent of affection of the organs. |
Sarcoidosis and Homoeopathy
In clinical study carried out at Homoeo Cure and Research Institute, Kashipur, a total 50 cases of Sarcoidosis were considered. The following results were observed in the research.
Master Chart
S. No. | 1 | 2 | 3 | 4 | 5 |
Legends |
|||
Case no. | 13196 | 13672 | 14015 | 14063 | 14126 | ||||
Date of Reg. | 02-09-2007 | 22-07-2008 | 01-04-2009 | 27-04-2009 | 14-06-2009 | Male= MaleF= Female
H= Hindu Ml= Muslim SK= Sikh CH= Christian SD= Student HW= House wife W= Working NW= Not Working M= Married MW= Widow S= Unmarried OB= Obese TH= Thin MD= Moderate Pulmo = Pulmonary Cardio= Cardiological Nephro= Nephrological Neuro= Neurological Arthro= Arthrological Dermo= Dermatological Ophth= Ophthalmological EN= Erythema nodosum |
|||
Name | GSG | KM | NK | NS | AA | ||||
Sex | M | F | F | F | F | ||||
Age | 24 | 18 | 41 | 29 | 45 | ||||
Occupation | SD | SD | W | HW | W | ||||
Marital status | S | S | M | M | M | ||||
Caste | SK | H | H | H | H | ||||
Built | TH | TH | OB | MD | MD | ||||
Diagnosis | Sarcoidosis (Pulmonary) | Sarcoidosis (Pulmonary) | Sarcoidosis (Arthro- ophth) | Sarcoidosis (Arthro) | Sarcoidosis (Arthro- EN) | ||||
Miasm | Sycosis | Pseudo-psora | Sycosis | Psora | Psora | ||||
Normal Menses | + | + | |||||||
Scanty Menses | + | + | |||||||
Profuse menses | |||||||||
Postmenopausal | |||||||||
Sterility | |||||||||
Family income | Average | Poor | Good | Good | Good | ||||
Remedy 1 | Ars iod | Tuberculinum | Pulsatilla | Rhus Tox | Rhus Tox | ||||
Remedy2 | Iodium | Rhus Tox | Nat mur | Pulsatilla | |||||
Remedy3 | |||||||||
Basis of Prescription | Constitutional | Constitutional | Constitutional | Constitutional | Constitutional | ||||
Result | Cured | Cured | Cured | Relieved | Relieved | ||||
S. No. | 6 | 7 | 8 | 9 | 10 | 11 | |||
Case no. | 14136 | 14165 | 14180 | 14252 | 14369 | 16658 | |||
Date of Reg. | 22-06-2009 | 10-07-2009 | 21-08-2009 | 26-10-2009 | 11-11-2009 | 14-12-2009 | |||
Name | SP | AG | SM | SB | PC | UM | |||
Sex | F | M | M | F | M | F | |||
Age | 56 | 38 | 34 | 32 | 48 | 57 | |||
Occupation | HW | W | W | NW | W | HW | |||
Marital status | M | M | M | M | M | M | |||
Caste | H | H | H | ML | H | H | |||
Built | OB | OB | MD | MD | MD | TH | |||
Diagnosis | Sarcoidosis (Pulmo-arthro) | Sarcoidosis (Neuro) | Sarcoidosis (Pulmo-Lymphatic) | Sarcoidosis (Neuro) | Sarcoidosis (Pulmonary) | Sarcoidosis (Cardio- Nephro-Pulmonary) | |||
Miasm | Sycosis | Pseudo-psora | Sycosis | Psora | Psora | Pseudo-psora | |||
Normal Menses | |||||||||
Scanty Menses | + | ||||||||
Profuse menses | |||||||||
Postmenopausal | + | + | |||||||
Sterility | + | ||||||||
Family income | Average | Good | Average | Poor | Average | Good | |||
Remedy 1 | Pulsatilla | Beryl met | Lycopodium | Pulsatilla | Phosphorus | Pulsatilla | |||
Remedy2 | Beryl met | Plumb met | Beryl met | Thuja | Pulsatilla | Digitalis | |||
Remedy3 | |||||||||
Basis of Prescription | Constitutional | Pathological | Pathological | Pathological | Constitutional | Constitutional | |||
Result | Relieved | Relieved | Relieved | Relieved | Relieved | Relieved | |||
S. No. | 12 | 13 | 14 | 15 | 16 |
Legends |
|||
Case no. | 16458 | 16921 | 16868 | 17319 | 14476 | ||||
Date of Reg. | 24-11-2009 | 01-05-2010 | 29-03-2010 | 03-12-2010 | 20-02-2010 | Male= MaleF= Female
H= Hindu Ml= Muslim SK= Sikh CH= Christian SD= Student HW= House wife W= Working NW= Not Working M= Married MW= Widow S= Unmarried OB= Obese TH= Thin MD= Moderate Pulmo = Pulmonary Cardio= Cardiological Nephro= Nephrological Neuro= Neurological Arthro= Arthrological Dermo= Dermatological Ophth= Ophthalmological EN= Erythema nodosum |
|||
Name | JS | KS | AK | DA | PK | ||||
Sex | F | M | F | F | F | ||||
Age | 22 | 42 | 41 | 30 | 49 | ||||
Occupation | SD | SD | W | HW | W | ||||
Marital status | S | S | M | M | M | ||||
Caste | SK | H | M | H | H | ||||
Built | TH | TH | OB | MD | MD | ||||
Diagnosis | Sarcoidosis (Pulmonary) | Sarcoidosis (Pulmonary) | Sarcoidosis (Arthro- ophth) | Sarcoidosis (Arthro) | Sarcoidosis (Arthro- EN) | ||||
Miasm | Sycosis | Pseudo-psora | Sycosis | Psora | Psora | ||||
Normal Menses | + | + | |||||||
Scanty Menses | |||||||||
Profuse menses | + | + | |||||||
Postmenopausal | |||||||||
Sterility | |||||||||
Family income | Average | Poor | Good | Good | Good | ||||
Remedy 1 | Ars iod | Tuberculinum | Pulsatilla | Rhus Tox | Rhus Tox | ||||
Remedy2 | Iodium | Rhus Tox | Nat mur | Pulsatilla | |||||
Remedy3 | |||||||||
Basis of Prescription | Constitutional | Constitutional | Constitutional | Constitutional | Constitutional | ||||
Result | Cured | Cured | Cured | Relieved | Relieved | ||||
S. No. | 17 | 18 | 19 | 20 | 21 | 22 | |||
Case no. | 14918 | 14922 | 15069 | 14801 | 14733 | 14847 | |||
Date of Reg. | 21-09-2010 | 22-09-2010 | 10-12-2010 | 24-07-2010 | 12-06-2010 | 21-08-2010 | |||
Name | KM | MF | AP | PS | VG | GB | |||
Sex | F | M | M | F | M | F | |||
Age | 36 | 31 | 32 | 54 | 47 | 40 | |||
Occupation | HW | W | W | NW | W | HW | |||
Marital status | M | M | M | M | M | M | |||
Caste | H | M | H | ML | H | H | |||
Built | OB | OB | MD | MD | MD | TH | |||
Diagnosis | Sarcoidosis (Pulmo-arthro) | Sarcoidosis (Neuro) | Sarcoidosis (Pulmo-Lymphatic) | Sarcoidosis (Neuro) | Sarcoidosis (Pulmonary) | Sarcoidosis (Cardio- Nephro-Pulmonary) | |||
Miasm | Sycosis | Pseudo-psora | Sycosis | Psora | Psora | Pseudo-psora | |||
Normal Menses | |||||||||
Scanty Menses | + | ||||||||
Profuse menses | |||||||||
Postmenopausal | + | + | |||||||
Sterility | |||||||||
Family income | Average | Good | Average | Poor | Average | Good | |||
Remedy 1 | Pulsatilla | Beryl met | Lycopodium | Pulsatilla | Phosphorus | Pulsatilla | |||
Remedy2 | Beryl met | Plumb met | Beryl met | Thuja | Pulsatilla | Digitalis | |||
Remedy3 | |||||||||
Basis of Prescription | Constitutional | Pathological | Pathological | Pathological | Constitutional | Constitutional | |||
Result | Relieved | Relieved | Relieved | Relieved | Relieved | Relieved | |||
S. No. | 23 | 24 | 25 | 26 | 27 |
Legends |
|||
Case no. | 16359 | 14318 | 28-05-2011 | 14643 | 14946 | ||||
Date of Reg. | 13-06-2011 | 09-10-2009 | 16316 | 03-05-2010 | 02-10-2010 | Male= MaleF= Female
H= Hindu Ml= Muslim SK= Sikh CH= Christian SD= Student HW= House wife W= Working NW= Not Working M= Married MW= Widow S= Unmarried OB= Obese TH= Thin MD= Moderate Pulmo = Pulmonary Cardio= Cardiological Nephro= Nephrological Neuro= Neurological Arthro= Arthrological Dermo= Dermatological Ophth= Ophthalmological EN= Erythema nodosum |
|||
Name | AK | P | NG | SR | MM | ||||
Sex | M | F | F | F | F | ||||
Age | 28 | 4 | 25 | 29 | 41 | ||||
Occupation | SD | SD | W | HW | W | ||||
Marital status | M | S | S | M | M | ||||
Caste | SK | H | H | H | H | ||||
Built | TH | TH | OB | MD | MD | ||||
Diagnosis | Sarcoidosis (Pulmonary) | Sarcoidosis (Pulmonary) | Sarcoidosis (Arthro- ophth) | Sarcoidosis (Arthro) | Sarcoidosis (Arthro- EN) | ||||
Miasm | Sycosis | Pseudo-psora | Sycosis | Psora | Psora | ||||
Normal Menses | + | + | |||||||
Scanty Menses | + | ||||||||
Profuse menses | |||||||||
Postmenopausal | |||||||||
Sterility | |||||||||
Family income | Average | Poor | Good | Good | Good | ||||
Remedy 1 | Ars iod | Tuberculinum | Pulsatilla | Rhus Tox | Rhus Tox | ||||
Remedy2 | Iodium | Rhus Tox | Nat mur | Pulsatilla | |||||
Remedy3 | |||||||||
Basis of Prescription | Constitutional | Constitutional | Constitutional | Constitutional | Constitutional | ||||
Result | Cured | Cured | Cured | Relieved | Relieved | ||||
S. No. | 28 | 29 | 30 | 31 | 32 | 33 | |||
Case no. | 16784 | 16225 | 16434 | 16289 | 16432 | 16224 | |||
Date of Reg. | 11-02-2010 | 15-04-2011 | 05-01-2011 | 09-05-2011 | 19-07-2011 | 15-04-2011 | |||
Name | K | VK | BG | RB | SM | AK | |||
Sex | M | M | M | M | M | M | |||
Age | 48 | 62 | 34 | 37 | 58 | 53 | |||
Occupation | W | W | W | NW | W | HW | |||
Marital status | M | M | M | M | M | M | |||
Caste | H | H | H | ML | H | H | |||
Built | OB | OB | MD | MD | MD | TH | |||
Diagnosis | Sarcoidosis (Pulmo-arthro) | Sarcoidosis (Neuro) | Sarcoidosis (Pulmo-Lymphatic) | Sarcoidosis (Cardio) | Sarcoidosis (Pulmonary) | Sarcoidosis (Nephro-Pulmonary) | |||
Miasm | Sycosis | Pseudo-psora | Sycosis | Psora | Psora | Pseudo-psora | |||
Normal Menses | |||||||||
Scanty Menses | |||||||||
Profuse menses | |||||||||
Postmenopausal | |||||||||
Sterility | |||||||||
Family income | Average | Good | Average | Poor | Average | Good | |||
Remedy 1 | Pulsatilla | Beryl met | Lycopodium | Pulsatilla | Phosphorus | Pulsatilla | |||
Remedy2 | Beryl met | Plumb met | Beryl met | Thuja | Pulsatilla | Digitalis | |||
Remedy3 | |||||||||
Basis of Prescription | Constitutional | Pathological | Pathological | Pathological | Constitutional | Constitutional | |||
Result | Relieved | Relieved | Relieved | Relieved | Relieved | Relieved | |||
S. No. | 34 | 35 | 36 | 37 | 38 | ||||
Case no. | 16571 | 16617 | 16682 | 16714 | 16757 | ||||
Date of Reg. | 18-09-2011 | 13-10-2011 | 31-10-2011 | 20-11-2011 | 13-12-2011 | Male= MaleF= Female
H= Hindu Ml= Muslim SK= Sikh CH= Christian SD= Student HW= House wife W= Working NW= Not Working M= Married MW= Widow S= Unmarried OB= Obese TH= Thin MD= Moderate Pulmo = Pulmonary Cardio= Cardiological Nephro= Nephrological Neuro= Neurological Arthro= Arthrological Dermo= Dermatological Ophth= Ophthalmological EN= Erythema nodosum |
|||
Name | RS | SJ | R | US | UJ | ||||
Sex | M | M | M | F | F | ||||
Age | 51 | 47 | 42 | 49 | 56 | ||||
Occupation | W | W | W | W | HW | ||||
Marital status | M | M | M | M | M | ||||
Caste | H | H | H | H | H | ||||
Built | TH | MD | TH | TH | OB | ||||
Diagnosis | Sarcoidosis(Pulmonary) | Sarcoidosis(Ophth) | Sarcoidosis(Pulmonary) | Sarcoidosis(Pulmonary) | Sarcoidosis(Pulmonary- Artho) | ||||
Miasm | Pseudopsora/ Sycosis | Psora/ Syphilis | Sycosis | Psora/ Syphilis | Psora/ sycosis | ||||
Normal Menses | |||||||||
Scanty Menses | |||||||||
Profuse menses | |||||||||
Postmenopausal | + | + | |||||||
Sterility | |||||||||
Family income | Average | Good | Average | Good | Good | ||||
Remedy 1 | Thuja | Aur met | Pulsatilla | Pulsatilla | Argentum nit | ||||
Remedy2 | Pulsatilla | Gelsemium | Sulphur | Lycopodium | Causticum | ||||
Remedy3 | Bryonia | Colchicum | Oleander | ||||||
Basis of Prescription | Constitutional | Constitutional | Constitutional | Constitutional | Constitutional | ||||
Result | Cured | Cured | Cured | Cured | Relieved | ||||
S. No. | 39 | 40 | 41 | 42 | 43 | 44 | |||
Case no. | 16830 | 16932 | 17103 | 17363 | 17408 | 17448 | |||
Date of Reg. | 23-09-2012 | 17-03-2012 | 30-05-2012 | 09-09-2012 | 23-09-2012 | 12-10-2012 | |||
Name | SR | SH | SS | AG | AG | NS | |||
Sex | F | M | M | F | F | M | |||
Age | 52 | 32 | 46 | 37 | 36 | 56 | |||
Occupation | HW | W | W | HW | W | W | |||
Marital status | M | M | M | M | M | M | |||
Caste | H | MI | H | H | H | CH | |||
Built | MD | MD | MD | TH | TH | MD | |||
Diagnosis | Sarcoidosis(ARTHR)) | Sarcoidosis (Pulmonary) | Sarcoidosis (Pulmonary) | Sarcoidosis (Pulmonary) | Sarcoidosis (Pulmonary) | Sarcoidosis (Pulmonary) | |||
Miasm | Sycosis/ Syphilis | Psoa/ Sycosis | Sycosis/ Syphilis | Psoa/ Sycosis | Psora/ Syphilis | Pseudo-psora | |||
Normal Menses | + | ||||||||
Scanty Menses | + | ||||||||
Profuse menses | |||||||||
Postmenopausal | + | ||||||||
Sterility | |||||||||
Family income | Average | Average | Good | Good | Good | Good | |||
Remedy 1 | Tuberculinum | Lycopodium | Medorrhinum | Pulsatilla | Tuberculinum | Carcinosin | |||
Remedy2 | Dulcamara | Causticum | Pulsatilla | Arnica | Sulphur | Phosphorus | |||
Remedy3 | Bryonia | Carcinosin | Pulsatilla | ||||||
Basis of Prescription | Constitutional | Constitutional | Constitutional | Constitutional | Constitutional | Constitutional | |||
Result | Cured | Cured | Relieved | Relieved | Cured | Relieved | |||
S. No. | 45 | 46 | 47 | 48 | 49 | 50 | |||
Case no. | 17450 | 17453 | 17460 | 17464 | 17672 | 17993 | |||
Date of Reg. | 13-10-2012 | 15-10-2012 | 17-10-2012 | 20-10-2012 | 25-12-2012 | 05-04-2013 | |||
Name | JM | RNS | SPA | JB | NPS | MV | |||
Sex | M | M | F | F | M | F | |||
Age | 41 | 46 | 49 | 28 | 55 | 27 | |||
Occupation | W | W | W | W | W | HW | |||
Marital status | M | M | M | M | M | M | |||
Caste | CH | H | SK | H | H | H | |||
Built | MD | TH | Th | TH | OB | TH | |||
Diagnosis | Sarcoidosis (Pulmonary) | Sarcoidosis (Pulmonary) | Sarcoidosis(Arhtro) | Sarcoidosis (Pulmonary) | Sarcoidosis (Pulmonary) | Sarcoidosis (Pulmonary) | |||
Miasm | Sycosis/ Psora | Psora/ Sycosis | Sycosis/ Psora | Sycosis | Psora/ Syphilis | Sycosis/ Pseudopsora | |||
Normal Menses | + | ||||||||
Scanty Menses | + | ||||||||
Profuse menses | |||||||||
Postmenopausal | + | ||||||||
Sterility | |||||||||
Family income | Good | Poor | Good | Average | Good | Average | |||
Remedy 1 | Tuberculinum | Ignatia | Beryllium met | Carcinosin | Tuberculinum | Thuja | |||
Remedy2 | Natrum mur | Ammonium mur | Ruta grav | Argentum nit | Cicuta verosa | Pusatilla | |||
Remedy3 | Arnica | ||||||||
Basis of Prescription | Constitutional | Constitutional | Constitutional | Constitutional | Constitutional | Constitutional | |||
Result | Relieved | Relieved | Cured | Relieved | Cured | Relieved | |||
Observations
On analyzing the master chart, the following observations are found-
Sex | Male |
24 |
||||
Female |
26 |
|||||
Age in years | 0-10 |
1 |
||||
11–20 |
1 |
|||||
21–30 |
11 |
|||||
31–40 |
11 |
|||||
41–50 |
15 |
|||||
51–60 |
10 |
|||||
61–70 |
1 |
|||||
Occupation | Working |
28 |
||||
Nonworking |
3 |
|||||
Housewife |
13 |
|||||
Student |
6 |
|||||
Marital status | Married |
44 |
||||
Single |
6 |
|||||
Separated |
0 |
|||||
Caste | Hindu |
38 |
||||
Muslim |
6 |
|||||
Christian |
2 |
|||||
Sikh |
4 |
|||||
Built | Thin |
16 |
||||
Moderate |
23 |
|||||
Obese |
11 |
|||||
Diagnosis | Pulmonary |
32 |
||||
Arthropathy |
14 |
|||||
Cardio |
4 |
|||||
Nephro |
3 |
|||||
Ophthalmic |
4 |
|||||
Dermo |
3 |
|||||
Neuro |
5 |
|||||
Miasm | Psora |
18 |
||||
Pseudopsora |
9 |
|||||
Sycosis |
20 |
|||||
Syphilis |
6 |
|||||
With Menses | Normal Menses |
8 |
||||
Scanty Menses |
7 |
|||||
Profuse menses |
2 |
|||||
Without Menses | Postmenopausal |
8 |
||||
Sterility |
1 |
|||||
Family income | Good |
24 |
||||
Average |
19 |
|||||
Poor |
7 |
|||||
Remedies with | First Remedy | Second Remedy | Third Remedy | |||
Frequency of Use | Ars iod |
3 |
Iodium |
3 |
Bryonia |
2 |
Tuberculinum |
7 |
Rhus tox |
3 |
Colchicum |
1 |
|
Pulsatilla |
15 |
Natrum mur |
4 |
Oleander |
1 |
|
Rhus tox |
6 |
Pulsatilla |
9 |
Carcinosin |
1 |
|
Beryllium met |
4 |
Beryllium met |
6 |
Pulsatilla |
1 |
|
Lycopodium |
4 |
Plumbum met |
3 |
Arnica |
1 |
|
Phosphorus |
3 |
Thuja |
3 |
|||
Thuja |
2 |
Digitalis |
3 |
|||
Aur met |
1 |
Gelsemium |
1 |
|||
Argentum nit |
1 |
Sulphur |
2 |
|||
Medorrhinum |
1 |
Lycopodium |
1 |
|||
Carcinosin |
2 |
Causticum |
2 |
|||
Ignatia |
1 |
Dulcamara |
1 |
|||
Arnica |
1 |
|||||
Phosphorus |
1 |
|||||
Argentum nit |
1 |
|||||
Cicuta verosa |
1 |
|||||
Ammonium mur |
1 |
|||||
Ruta |
1 |
|||||
Basis of Prescription | Constitutional |
41 |
||||
Pathological |
9 |
|||||
Result | Cured |
19 |
||||
Relieved |
31 |
Discussions
Prevalance of Sarcoidosis on basis of Sex
Sarcoidosis was found more prevalent in Male patients (52%) than Females (48%).
Prevalance of Sarcoidosis on basis of Age
Sarcoidosis was found most prevalent in age group 41-50 years (30%) and least in below 20 and above 60 years of ages (all 2%). Age groups 21-30, 31-40 and 51-60 showed almost equal prevalence (20-22 %).
Prevalance of Sarcoidosis on basis of Occupation
The prevalence of Sarcoidosis was mostly in working patients (56%), house wives (26%), Students (12%) and non-working ones (06%).
Prevalance of Sarcoidosis on basis of Marital Status
Sarcoidosis was found more prevalent in married patients (88%) than single ones (12%).
Prevalance of Sarcoidosis on basis of Caste
Sarcoidosis was found in mostly in Hindus (76%) and least in Christians (4%), in Muslims 12% and in Sikhs 8%. (As per Indian Population).
Prevalance of Sarcoidosis on basis of Physical Built
Sarcoidosis was found in moderate built individuals (46%), obese (22%), thin (32%).
Prevalance of Sarcoidosis on basis of Diagnosis
The most frequent was Sarcoidosis pulmonary (49%), with arthritis (21%), skin lesions (5%), uveitis (6%), with Cardiac (6%), with Neuorological (8%) and with Nephrological manifestations (5%).
Prevalance of Sarcoidosis on basis of Miasms
The most frequent miasm was found to be Sycosis (38%). Others being Psora (34%), Pseudopsora (17%) and Syphilis (11%).
Prevalance of Sarcoidosis on basis of Menstrual History
Sarcoidosis was found most common in females with normal menses (31%) and in postmenopausal ones (31%). It was the least seen in nonmenstruating females including prepubertal cases (2%) and sterile ones (2%). In females with profuse menses, it was 7%.
Prevalance of Sarcoidosis on basis of Family Income
Sarcoidosis seen most common in good family income group (48%), least in poor ones (14%) and moderate in average income group (38%).
Prevalance of Sarcoidosis on basis of Choice of Remedies
First Remedy
The most indicated remedy in first prescription was Pulsatilla (30%), next Tuberculinum (14%) and the third one was Rhus tox (12%).
Second Remedy
The most indicated remedy in second prescription was Pulsatilla (19%), next Beryllium met (13%) and then Natrum mur (9%).
Third Remedy
The most indicated remedy in third prescription was Bryonia (29%), next Colchicum (15%) and then Oleander, Carcinosin, Pulsatilla and Arnica, all 14%.
Prevalence of Sarcoidosis on basis of Basis of Prescription
Most of the cures of Sarcoidosis were seen with constitutional treatment (82%) pathological prescribing (18%).
Prevalance of Sarcoidosis on basis of Basis of Prescription
38% os Sarcoidosis cases were cured and 62% relieved. There was no case which was not relieved with Homoeopathy.
Prevalance of Sarcoidosis on basis of Basis of Prescription
The highiest percentage of cure was in Sycosis (22%) with 22% relieved, Psora 12% cured and 32% relieved, Syhilis 10% cured with 2% relieved and Pseudopsora 8% curedwith 16% relieved.
Miasm |
Cure |
Relief |
Psora |
6 |
16 |
Pseudopsora |
4 |
8 |
Sycosis |
11 |
11 |
Syphilis |
5 |
1 |
Prevalance of Remedies on basis of Basis of frequency of indication
Remedies used |
Cure |
Relief |
Score (10 for Cure + 5 for Relief) |
Pulsatilla |
7 |
18 |
160 |
Tuberculinum |
6 |
1 |
65 |
Rhus tox |
3 |
6 |
60 |
Beryllium met |
1 |
9 |
55 |
Lycopodium |
2 |
3 |
35 |
Thuja |
1 |
5 |
35 |
Ars iod |
3 |
30 |
|
Iodium |
3 |
30 |
|
Bryonia |
2 |
20 |
|
Natrum mur |
4 |
20 |
|
Phosphorus |
4 |
20 |
|
Sulphur |
2 |
20 |
|
Arnica |
1 |
1 |
15 |
Carcinosin |
3 |
15 |
|
Causticum |
1 |
1 |
15 |
Plumbum met |
3 |
15 |
|
Argentum nit |
2 |
10 |
|
Aur met |
1 |
10 |
|
Cicuta verosa |
1 |
10 |
|
Colchicum |
1 |
10 |
|
Digitalis |
2 |
10 |
|
Dulcamara |
1 |
10 |
|
Gelsemium |
1 |
10 |
|
Ruta |
1 |
10 |
|
Ammonium mur |
1 |
5 |
|
Ignatia |
1 |
5 |
|
Medorrhinum |
1 |
5 |
|
Oleander |
1 |
5 |
Grades of the remedies as per frequency of indication in this study were Pulsatilla > Tuberculinum > Rhus tox > Beryllium met > Lycopodium > Thuja > Ars iod > Iodium > Bryonia > Natrum mur > Phosphorus > Sulphur > Arnica > Carcinosin > Causticum > Plumbum met > Argentum nit > Aur met > Cicuta verosa > Colchicum > Digitalis > Dulcamara > Gelsemium > Ruta > Ammonium mur > Ignatia > Medorrhinum > Oleander.
Thus, we can see that Pulsatilla was the most important and most indicated remedy in Sarcoidosis.
Prevalance of Remedies on basis of Basis of result
Remedies used |
Cure |
Relief |
Score = {(10 for Cure + 5 for Relief)/ no. of cases} |
Ars iod |
3 |
10 |
|
Iodium |
3 |
10 |
|
Bryonia |
2 |
10 |
|
Sulphur |
2 |
10 |
|
Aur met |
1 |
10 |
|
Cicuta verosa |
1 |
10 |
|
Colchicum |
1 |
10 |
|
Dulcamara |
1 |
10 |
|
Gelsemium |
1 |
10 |
|
Ruta |
1 |
10 |
|
Tuberculinum |
6 |
1 |
9.28 |
Arnica |
1 |
1 |
7.5 |
Causticum |
1 |
1 |
7.5 |
Lycopodium |
2 |
3 |
7 |
Rhus tox |
3 |
6 |
6.66 |
Pulsatilla |
7 |
18 |
6.4 |
Thuja |
1 |
5 |
5.83 |
Beryllium met |
1 |
9 |
5.5 |
Natrum mur |
4 |
5 |
|
Phosphorus |
4 |
5 |
|
Carcinosin |
3 |
5 |
|
Plumbum met |
3 |
5 |
|
Argentum nit |
2 |
5 |
|
Digitalis |
2 |
5 |
|
Ammonium mur |
1 |
5 |
|
Ignatia |
1 |
5 |
|
Medorrhinum |
1 |
5 |
|
Oleander |
1 |
5 |
Thus we can clearly see that the most effective cures are met with Ars iod, Iodium, Bryonia, Sulphur, Aur met, Cicuta verosa, Colchicum, Dulcamara, Gelsemium and Ruta.
The next important remedies are Tuberculinum, Arnica, Causticum, Lycopodium, Rhus tox, Pulsatilla, Thuja, Beryllium met.
Other ones are Natrum mur, Phosphorus, Carcinosin, Plumbum met, Argentum nit, Digitalis, Ammonium mur, Ignatia, Medorrhinum, Oleander.
Conclusion
The above study confirms the efficacy of Homoeopathy in treatment of Sarcoidosis in all stages and all types, with amazing success when applied as per laws of similia and proves its superiority among all the existing streams of treatment.
All the reports and details of every patient are kept secret to avoid disclosure of their identity and can be seen in our records if needed.
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An excellent analysis attempted by DR.Rajeensh kumar Sharma. the presentation is beautiful.
Thanks Dr. Sundaram. Regards.
When the word “efficacy “is used you should include control effect of the medicine…..
Fantastic work, analysis and presentation about treatment for this silent killer.
Congratulations.
Hi
I Just read your entire post. My mother has been diagnosed with sarcoidosis. It’s been a yr since she is on steroid prednisone…There has been some improvement but there are side effects and her cough keeps coming back…I want to know if there is some drug in homeopathy that can help her…
My son 30 years suffering sarcoidosis with granuloma in lungs liver kidney and diabetes type 1 bilirubin level 4.7 . Pl suggest treatment
I am 40 yrs if male, suffering from sacoidosis. I want to meet you and also take your treatment. Please reply me.
I am 40 years old,,suffering from sarcoidosis,,need ur help,,kindly share contact details
You can contact on drrajneeshhom@hotmail.com
My father whose age is 84 years is suffering from Sarcoidosis. he is in icu & on 5 ltr oxygen, previous it was declared as ILD UDP pattern now Dr are saying that the patient would depend on oxygen till lifetime kindly suggest me the homeopathy solution thanks