Efficacy of Homoeopathy in Treatment of Sarcoidosis – An Evidence Based Report, Based on 50 cases

Dr. Rajneesh K. Sharma presents a study of the efficacy of homeopathy in treating Sarcoidosis.

image

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

MycobacteriaBacteriaFungiVirusesDustsMetals
TuberculousCorynebacterium spp.Cryptococcus spp.CytomegalovirusClayAluminum
Non-tuberculousPropionibacteriumEndemic fungiEpstein-Barr virusPineBeryllium
Cell-wall deficient(L-forms)acnes  Herpes simplex virusPollen 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 SymptomFundamental MiasmSecondary/ Associated Miasm
General discomfort, uneasiness, or ill feeling (malaise)PsoraPsora- Syphilis
FeverPsora
Shortness of breathPsoraSycosis
CoughPsoraSycosis, Syphilis
Skin lesionsPsoraSycosis
Skin rashPsora
HeadachePsoraSycosis, Syphilis
Visual changesPsora-Sycosis-Syphilis
Neurological changesSycosis-SyphilisPsora
Enlarged lymph glands (armpit lump)PsoraSycosis
Enlarged liverPsoraSycosis
Enlarged spleenPsoraSycosis
Dry mouthPsora
Fatigue (one of the most common symptoms in children)PsoraSyphilis
Weight loss (one of the most common symptoms in children)Psora-Syphilis
Tearing, decreasedPsoraSycosis, Syphilis
SeizuresPsoraPsora- Syphilis
Nosebleed – symptomPsora- Syphilis
Joint stiffnessPsoraSycosis
Hair lossPsoraSycosis, Syphilis
Eye burning, itching, and dischargePsoraPsora- Syphilis
Abnormal breath sounds (e.g. rales)Psora- SyphilisSycosis

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.

Sarcoidosis

Egg shell calcification of both hila

 image002

‘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.

 image003

CT shows precarinal lymphadenopathy with rim calcification (arrow). This pattern of calcification is referred to as eggshell calcification and is commonly seen with sarcoidosis

image004

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
)

image005

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

image006

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 workInvolvement of vital organs (e.g., lungs, eyes, heart, or brain)
To relieve symptomsSeverity of symptoms
To shrink the granulomasExtent 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.12345

Legends

Case no.1319613672140151406314126
Date of Reg.02-09-200722-07-200801-04-200927-04-200914-06-2009Male= 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

NameGSGKMNKNSAA
SexMFFFF
Age2418412945
OccupationSDSDWHWW
Marital statusSSMMM
CasteSKHHHH
BuiltTHTHOBMDMD
DiagnosisSarcoidosis (Pulmonary)Sarcoidosis (Pulmonary)Sarcoidosis (Arthro- ophth)Sarcoidosis (Arthro)Sarcoidosis (Arthro- EN)
MiasmSycosisPseudo-psoraSycosisPsoraPsora
Normal Menses++
Scanty Menses++
Profuse menses
Postmenopausal
Sterility
Family incomeAveragePoorGoodGoodGood
Remedy 1Ars iodTuberculinumPulsatillaRhus ToxRhus Tox
Remedy2IodiumRhus ToxNat murPulsatilla
Remedy3
Basis of PrescriptionConstitutionalConstitutionalConstitutionalConstitutionalConstitutional
ResultCuredCuredCuredRelievedRelieved
S. No.67891011
Case no.141361416514180142521436916658
Date of Reg.22-06-200910-07-200921-08-200926-10-200911-11-200914-12-2009
NameSPAGSMSBPCUM
SexFMMFMF
Age563834324857
OccupationHWWWNWWHW
Marital statusMMMMMM
CasteHHHMLHH
BuiltOBOBMDMDMDTH
DiagnosisSarcoidosis (Pulmo-arthro)Sarcoidosis (Neuro)Sarcoidosis (Pulmo-Lymphatic)Sarcoidosis (Neuro)Sarcoidosis (Pulmonary)Sarcoidosis (Cardio- Nephro-Pulmonary)
MiasmSycosisPseudo-psoraSycosisPsoraPsoraPseudo-psora
Normal Menses
Scanty Menses+
Profuse menses
Postmenopausal++
Sterility+
Family incomeAverageGoodAveragePoorAverageGood
Remedy 1PulsatillaBeryl metLycopodiumPulsatillaPhosphorusPulsatilla
Remedy2Beryl  metPlumb metBeryl  metThujaPulsatillaDigitalis
Remedy3
Basis of PrescriptionConstitutionalPathologicalPathologicalPathologicalConstitutionalConstitutional
ResultRelievedRelievedRelievedRelievedRelievedRelieved
S. No.1213141516

Legends

Case no.1645816921168681731914476
Date of Reg.24-11-200901-05-201029-03-201003-12-201020-02-2010Male= 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

NameJSKSAKDAPK
SexFMFFF
Age2242413049
OccupationSDSDWHWW
Marital statusSSMMM
CasteSKHMHH
BuiltTHTHOBMDMD
DiagnosisSarcoidosis (Pulmonary)Sarcoidosis (Pulmonary)Sarcoidosis (Arthro- ophth)Sarcoidosis (Arthro)Sarcoidosis (Arthro- EN)
MiasmSycosisPseudo-psoraSycosisPsoraPsora
Normal Menses++
Scanty Menses
Profuse menses++
Postmenopausal
Sterility
Family incomeAveragePoorGoodGoodGood
Remedy 1Ars iodTuberculinumPulsatillaRhus ToxRhus Tox
Remedy2IodiumRhus ToxNat murPulsatilla
Remedy3
Basis of PrescriptionConstitutionalConstitutionalConstitutionalConstitutionalConstitutional
ResultCuredCuredCuredRelievedRelieved
S. No.171819202122
Case no.149181492215069148011473314847
Date of Reg.21-09-201022-09-201010-12-201024-07-201012-06-201021-08-2010
NameKMMFAPPSVGGB
SexFMMFMF
Age363132544740
OccupationHWWWNWWHW
Marital statusMMMMMM
CasteHMHMLHH
BuiltOBOBMDMDMDTH
DiagnosisSarcoidosis (Pulmo-arthro)Sarcoidosis (Neuro)Sarcoidosis (Pulmo-Lymphatic)Sarcoidosis (Neuro)Sarcoidosis (Pulmonary)Sarcoidosis (Cardio- Nephro-Pulmonary)
MiasmSycosisPseudo-psoraSycosisPsoraPsoraPseudo-psora
Normal Menses
Scanty Menses+
Profuse menses
Postmenopausal++
Sterility
Family incomeAverageGoodAveragePoorAverageGood
Remedy 1PulsatillaBeryl metLycopodiumPulsatillaPhosphorusPulsatilla
Remedy2Beryl  metPlumb metBeryl  metThujaPulsatillaDigitalis
Remedy3
Basis of PrescriptionConstitutionalPathologicalPathologicalPathologicalConstitutionalConstitutional
ResultRelievedRelievedRelievedRelievedRelievedRelieved
S. No.2324252627

Legends

Case no.163591431828-05-20111464314946
Date of Reg.13-06-201109-10-20091631603-05-201002-10-2010Male= 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

NameAKPNGSRMM
SexMFFFF
Age284252941
OccupationSDSDWHWW
Marital statusMSSMM
CasteSKHHHH
BuiltTHTHOBMDMD
DiagnosisSarcoidosis (Pulmonary)Sarcoidosis (Pulmonary)Sarcoidosis (Arthro- ophth)Sarcoidosis (Arthro)Sarcoidosis (Arthro- EN)
MiasmSycosisPseudo-psoraSycosisPsoraPsora
Normal Menses++
Scanty Menses+
Profuse menses
Postmenopausal
Sterility
Family incomeAveragePoorGoodGoodGood
Remedy 1Ars iodTuberculinumPulsatillaRhus ToxRhus Tox
Remedy2IodiumRhus ToxNat murPulsatilla
Remedy3
Basis of PrescriptionConstitutionalConstitutionalConstitutionalConstitutionalConstitutional
ResultCuredCuredCuredRelievedRelieved
S. No.282930313233
Case no.167841622516434162891643216224
Date of Reg.11-02-201015-04-201105-01-201109-05-201119-07-201115-04-2011
NameKVKBGRBSMAK
SexMMMMMM
Age486234375853
OccupationWWWNWWHW
Marital statusMMMMMM
CasteHHHMLHH
BuiltOBOBMDMDMDTH
DiagnosisSarcoidosis (Pulmo-arthro)Sarcoidosis (Neuro)Sarcoidosis (Pulmo-Lymphatic)Sarcoidosis (Cardio)Sarcoidosis (Pulmonary)Sarcoidosis (Nephro-Pulmonary)
MiasmSycosisPseudo-psoraSycosisPsoraPsoraPseudo-psora
Normal Menses
Scanty Menses
Profuse menses
Postmenopausal
Sterility
Family incomeAverageGoodAveragePoorAverageGood
Remedy 1PulsatillaBeryl metLycopodiumPulsatillaPhosphorusPulsatilla
Remedy2Beryl  metPlumb metBeryl  metThujaPulsatillaDigitalis
Remedy3
Basis of PrescriptionConstitutionalPathologicalPathologicalPathologicalConstitutionalConstitutional
ResultRelievedRelievedRelievedRelievedRelievedRelieved
S. No.3435363738 
Case no.1657116617166821671416757
Date of Reg.18-09-201113-10-201131-10-201120-11-201113-12-2011Male= 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

NameRSSJRUSUJ
SexMMMFF
Age5147424956
OccupationWWWWHW
Marital statusMMMMM
CasteHHHHH
BuiltTHMDTHTHOB
DiagnosisSarcoidosis(Pulmonary)Sarcoidosis(Ophth)Sarcoidosis(Pulmonary)Sarcoidosis(Pulmonary)Sarcoidosis(Pulmonary- Artho)
MiasmPseudopsora/ SycosisPsora/ SyphilisSycosisPsora/ SyphilisPsora/ sycosis
Normal Menses
Scanty Menses
Profuse menses
Postmenopausal++
Sterility
Family incomeAverageGoodAverageGoodGood
Remedy 1ThujaAur metPulsatillaPulsatillaArgentum nit
Remedy2PulsatillaGelsemiumSulphurLycopodiumCausticum
Remedy3BryoniaColchicumOleander
Basis of PrescriptionConstitutionalConstitutionalConstitutionalConstitutionalConstitutional
ResultCuredCuredCuredCuredRelieved
S. No.394041424344
Case no.168301693217103173631740817448
Date of Reg.23-09-201217-03-201230-05-201209-09-201223-09-201212-10-2012
NameSRSHSSAGAGNS
SexFMMFFM
Age523246373656
OccupationHWWWHWWW
Marital statusMMMMMM
CasteHMIHHHCH
BuiltMDMDMDTHTHMD
DiagnosisSarcoidosis(ARTHR))Sarcoidosis (Pulmonary)Sarcoidosis (Pulmonary)Sarcoidosis (Pulmonary)Sarcoidosis (Pulmonary)Sarcoidosis (Pulmonary)
MiasmSycosis/ SyphilisPsoa/ SycosisSycosis/ SyphilisPsoa/ SycosisPsora/ SyphilisPseudo-psora
Normal Menses+
Scanty Menses+
Profuse menses
Postmenopausal+
Sterility
Family incomeAverageAverageGoodGoodGoodGood
Remedy 1TuberculinumLycopodiumMedorrhinumPulsatillaTuberculinumCarcinosin
Remedy2DulcamaraCausticumPulsatillaArnicaSulphurPhosphorus
Remedy3BryoniaCarcinosinPulsatilla
Basis of PrescriptionConstitutionalConstitutionalConstitutionalConstitutionalConstitutionalConstitutional
ResultCuredCuredRelievedRelievedCuredRelieved
S. No.454647484950
Case no.174501745317460174641767217993
Date of Reg.13-10-201215-10-201217-10-201220-10-201225-12-201205-04-2013
NameJMRNSSPAJBNPSMV
SexMMFFMF
Age414649285527
OccupationWWWWWHW
Marital statusMMMMMM
CasteCHHSKHHH
BuiltMDTHThTHOBTH
DiagnosisSarcoidosis (Pulmonary)Sarcoidosis (Pulmonary)Sarcoidosis(Arhtro)Sarcoidosis (Pulmonary)Sarcoidosis (Pulmonary)Sarcoidosis (Pulmonary)
MiasmSycosis/ PsoraPsora/ SycosisSycosis/ PsoraSycosisPsora/ SyphilisSycosis/ Pseudopsora
Normal Menses+
Scanty Menses+
Profuse menses
Postmenopausal+
Sterility
Family incomeGoodPoorGoodAverageGoodAverage
Remedy 1TuberculinumIgnatiaBeryllium metCarcinosinTuberculinumThuja
Remedy2Natrum murAmmonium murRuta gravArgentum nitCicuta verosaPusatilla
Remedy3Arnica
Basis of PrescriptionConstitutionalConstitutionalConstitutionalConstitutionalConstitutionalConstitutional
ResultRelievedRelievedCuredRelievedCuredRelieved

Observations

On analyzing the master chart, the following observations are found-

SexMale

24

Female

26

Age in years0-10

1

11–20

1

21–30

11

31–40

11

41–50

15

51–60

10

61–70

1

OccupationWorking

28

Nonworking

3

Housewife

13

Student

6

Marital statusMarried

44

Single

6

Separated

0

CasteHindu

38

Muslim

6

Christian

2

Sikh

4

BuiltThin

16

Moderate

23

Obese

11

DiagnosisPulmonary

32

Arthropathy

14

Cardio

4

Nephro

3

Ophthalmic

4

Dermo

3

Neuro

5

MiasmPsora

18

Pseudopsora

9

Sycosis

20

Syphilis

6

With MensesNormal Menses

8

Scanty Menses

7

Profuse menses

2

Without MensesPostmenopausal

8

Sterility

1

Family incomeGood

24

Average

19

Poor

7

Remedies with First Remedy Second Remedy      Third Remedy
Frequency of UseArs 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 PrescriptionConstitutional

41

Pathological

9

ResultCured

19

Relieved

31

 

Discussions

Prevalance of Sarcoidosis on basis of Sex

Sarcoidosis was found more prevalent in Male patients (52%) than Females (48%).

image008

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 %).

 image010

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%).

image012

 

Prevalance of Sarcoidosis on basis of Marital Status

Sarcoidosis was found more prevalent in married patients (88%) than single ones (12%).

image013

 

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).

image014

 

Prevalance of Sarcoidosis on basis of Physical Built

Sarcoidosis was found in moderate built individuals (46%), obese (22%), thin (32%).

image016

 

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%).

image017

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%).

image018

 

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%.

image019

 

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%).

image020

 

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%).

image021

 

Second Remedy

The most indicated remedy in second prescription was Pulsatilla (19%), next Beryllium met (13%) and then Natrum mur (9%).

image022

 

Third Remedy

The most indicated remedy in third prescription was Bryonia (29%), next Colchicum (15%) and then Oleander, Carcinosin, Pulsatilla and Arnica, all 14%.

image023

 

Prevalence of Sarcoidosis on basis of Basis of Prescription

Most of the cures of Sarcoidosis were seen with constitutional treatment (82%) pathological prescribing (18%).

image024

 

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.

image025

 

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.

Bibliography

1.        Allen, J. H., The Chronic Miasms, B. Jain Publishers (P.) Ltd., New Delhi
2.        Another important consideration in this group is sarcoid myelopathy (Chap. 322), in which an…- Harrison’s Online > Chapter 372. Diseases of the Spinal Cord > Acute and Subacute Spinal Cord Diseases > Noncompressive Myelopathies > Inflammatory and Immune Myelopathies (Myelitis) > Systemic Inflammatory Disorders
3.        Banerjea, Subrata Kumar- Miasmatic Diagnosis, Revised Edition, 2003
4.        Banerjee, S. K. – Miasmatic Diagnosis Practical Tips with Clinical Comparisons, B. Jain Publishers (P.) Ltd., New Delhi, Revised Edition 2003.
5.        Chapter 12. Sarcoidosis- CURRENT Diagnosis & Treatment in Pulmonary Medicine
6.        Chapter 153. Sarcoidosis- Dermatology
7.        Chapter 322. Sarcoidosis- Harrison’s Online
8.        Chapter 53. Sarcoidosis- CURRENT Rheumatology Diagnosis & Treatment
9.        Choudhary, Harimohan – Indications of Miasm, B. Jain Publishers (P) Ltd., New Delhi, Reprint Edition 1994
10.     Clause, Stuart – The Genius Of Homoeopathy
11.     Figure e10-78. A. Sarcoid. Infiltrated papules and plaques of variable…- Harrison’s Online > Chapter e10. Atlas of Skin Manifestations of Internal Disease > Skin Manifestations of Internal Disease
12.     Figure e24-18. Sarcoid—CXR of stage I (hilar lymphadenopathy without parenchymal…- Harrison’s Online > Chapter e24. Atlas of Chest Imaging > Interstitial Processes
13.     Figure e24-19. Sarcoid—CT scan of stage I demonstrating bulky hilar and mediastinal…- Harrison’s Online > Chapter e24. Atlas of Chest Imaging > Interstitial Processes
14.     Figure e24-20. Sarcoid—CXR of stage II (lymphadenopathy with parenchymal changes). Note…- Harrison’s Online > Chapter e24. Atlas of Chest Imaging > Interstitial Processes
15.     Figure e24-21. Sarcoid—CT scan of stage II (calcified lymphadenopathy, parenchymal…- Harrison’s Online > Chapter e24. Atlas of Chest Imaging > Interstitial Processes
16.     Figure e24-22. Sarcoid—CT scan of stage II (nodular opacities tracking along…- Harrison’s Online > Chapter e24. Atlas of Chest Imaging > Interstitial Processes
17.     Figure e24-23. Sarcoid—stage III with nodular parenchymal infiltrates (yellow arrows…- Harrison’s Online > Chapter e24. Atlas of Chest Imaging > Interstitial Processes
18.     Figure e24-24. Sarcoid—stage IV (fibrotic lung disease).- Harrison’s Online > Chapter e24. Atlas of Chest Imaging > Interstitial Processes
19.     Figure e9-27. Sarcoidosis. There is chronic interstitial nephritis with numerous, confluent,…- Harrison’s Online > Chapter e9. Atlas of Urinary Sediments and Renal Biopsies > Atlas of Renal Biopsies and Urinary Sediments
20.     Granulomatous Processes- CURRENT Rheumatology Diagnosis & Treatment > Chapter 51. Evaluation of Rheumatic Complaints in Patients with HIV > Sicca Syndrome > Differential Diagnosis
21.     Guide to common laboratory tests- p- 3, 7, 21, 23, 25, 34
22.     Hahnemann, Samuel – Organon of Medicine, B. Jain Publishers (P) Ltd., New Delhi 6th Edition Reprint Edition 1996
23.     Hahnemann, Samuel, The Chronic Diseases, Their Peculiar Nature & Their homoeopathic Cure, B. Jain Publishers (P) Ltd., New Delhi 5th Edition
24.     Kent, James Tyler – Lectures on Homoeopathic Materia Medica
25.     Key Syndrome Sarcoidosis- DeGowin’s Diagnostic Examination > Chapter 8. The Chest: Chest Wall, Pulmonary, and Cardiovascular Systems; The Breasts > Chest Wall, Pulmonary, and Cardiovascular Systems > Chest, Cardiovascular and Respiratory Syndromes > Respiratory Syndromes
26.     Laboratory notes guide to laboratory and diagnostic tests- 2005- Hopkins- P – 44
27.     Nodular Dermatitis: Sarcoidosis- Pathophysiology of Disease > Chapter 8. Diseases of the Skin > Pathophysiology of Selected Skin Diseases
28.     Oxford hand book of chemical and laboratory investigations- P- 43,48, 61, 89, 94, 97, 128, 311, 528
29.     Patel, R. P., Chronic Miasms in Homoeopathy & Their Cure
30.     Radar 9.2.1b and 10.0.017- Archibel, Belgium
31.     Robins Pathological basis of diseases- 7th Ed. P- 661, 662, 667, 795, 803, 834, 1501
32.     Sarcoidosis & Other Granulomatous Disorders- Greenspan’s Basic & Clinical Endocrinology > Chapter 9. Metabolic Bone Disease > Hypercalcemia > Disorders Causing Hypercalcemia
33.     Sarcoidosis (Boeck Sarcoid, Benign Lymphogranulomatosis)- CURRENT Diagnosis & Treatment: Surgery, 13e > Chapter 18. Thoracic Wall, Pleura, Mediastinum, & Lung > Diseases of the Lungs
34.     Sarcoidosis- Adams and Victor’s Neurology > Chapter 32. Infections of the Nervous System (Bacterial, Fungal, Spirochetal, Parasitic) and Sarcoidosis > Subacute and Chronic Forms of Meningitis
35.     Sarcoidosis- Adams and Victor’s Neurology > Chapter 46. Diseases of the Peripheral Nerves > Asymmetrical and Multifocal Polyneuropathies (Mononeuropathy, or Mononeuritis Multiplex) > Vasculitic Neuropathies
36.     Sarcoidosis and Other Granulomatous Diseases- Harrison’s Online > Chapter 347. Diseases of the Parathyroid Gland and Other Hyper- and Hypocalcemic Disorders > Hypercalcemia > Vitamin D–Related Hypercalcemia
37.     Sarcoidosis and Other Granulomatous Disorders- CURRENT Medical Dx & Tx > Chapter 26. Endocrine Disorders > The Parathyroids > Hyperparathyroidism > Differential Diagnosis
38.     Sarcoidosis- Clinical Neurology > Chapter 6. Disorders of Somatic Sensation > Polyneuropathies > Infective & Granulomatous Neuropathies
39.     Sarcoidosis- CURRENT Diagnosis & Treatment in Cardiology > Chapter 16. Myocarditis > Specific Forms of Myocarditis
40.     Sarcoidosis- CURRENT Diagnosis & Treatment in Otolaryngology > Chapter 17. Benign Diseases of the Salivary Glands > Nonneoplastic Diseases > Chronic Granulomatous Sialadenitis > Differential Diagnosis
41.     Sarcoidosis- CURRENT Diagnosis & Treatment in Otolaryngology > Chapter 29. Benign Laryngeal Lesions > Rare Laryngeal Lesions
42.     Sarcoidosis- CURRENT Diagnosis & Treatment in Otolaryngology > Chapter 12. Nasal Manifestations of Systemic Disease > Granulomatous & Autoimmune Diseases
43.     Sarcoidosis- CURRENT Diagnosis & Treatment in Otolaryngology > Chapter 26. Neck Masses > Inflammatory Neck Masses > Infectious Inflammatory Disorders > Granulomatous Diseases
44.     Sarcoidosis- CURRENT Diagnosis & Treatment: Surgery, 13e > Chapter 27. Spleen > Operative Indications for Splenectomy > Metabolic Disorders
45.     Sarcoidosis- CURRENT Medical Dx & Tx > Chapter 24. Nervous System Disorders > Peripheral Neuropathies > Polyneuropathies & Mononeuritis Multiplex > Neuropathies Associated With Infectious & Inflammatory Diseases
46.     Sarcoidosis- CURRENT Medical Dx & Tx > Chapter 9. Pulmonary Disorders > Interstitial Lung Disease (Diffuse Parenchymal Lung Disease)
47.     Sarcoidosis- Dermatology > Chapter 151. The Skin and Disorders of the Alimentary Tract, the Hepatobiliary System, Kidney, and Cardiopulmonary System > Specific Organ and System Changes > Respiratory System
48.     Sarcoidosis- Dermatology > Chapter 227. Aminoquinolines > Indications
49.     Sarcoidosis- Dermatology > Chapter 73. Hypomelanoses and Hypermelanoses > Hypomelanosis > Acquired Localized Hypomelanosis
50.     Sarcoidosis- Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology > Section 14. The Skin in Immune, Autoimmune, and Rheumatic Disorders
51.     Sarcoidosis- Goodman & Gilman’s Pharmacology > Chapter 59. Adrenocorticotropic Hormone; Adrenocortical Steroids and Their Synthetic Analogs; Inhibitors of the Synthesis and Actions of Adrenocortical Hormones > Adrenocortical Steroids > Therapeutic Uses > Therapeutic Uses in Nonendocrine Diseases > Miscellaneous Diseases and Conditions
52.     Sarcoidosis- Greenspan’s Basic & Clinical Endocrinology > Chapter 5. Hypothalamus & Pituitary Gland > Pituitary & Hypothalamic Disorders > Hypopituitarism > Etiology > Infiltrative
53.     Sarcoidosis- Harrison’s Online > Chapter 244. Pulmonary Hypertension > Other Disorders Directly Affecting Pulmonary Vasculature
54.     Sarcoidosis- Hurst’s The Heart > Chapter 21. Magnetic Resonance Imaging of the Heart > Clinical Applications > Heart Failure and Cardiomyopathies
55.     Sarcoidosis- Hurst’s The Heart > Chapter 31. Restrictive, Obliterative, and Infiltrative Cardiomyopathies > Specific Restrictive Cardiomyopathic Diseases > Myocardial Diseases > Infiltrative Cardiomyopathies
56.     Sarcoidosis is a systemic granulomatous disorder that characteristically affects the mediastinal …- CURRENT Diagnosis & Treatment in Pulmonary Medicine > Chapter 24. Diseases of the Mediastinum > Pathogenesis > Lymphatic
57.     Sarcoidosis- Schwartz’s Principles of Surgery > Chapter 34. Spleen > Indications for Splenectomy > Storage Diseases and Infiltrative Disorders
58.     Sarcoidosis- Vaughan & Asbury’s General Opthalmology > Chapter 15. Ocular Disorders Associated with Systemic Diseases > Granulomatous Diseases
59.     Sarcoidosis- Williams Obstetrics, 23e > Chapter 46. Pulmonary Disorders
60.     Sarcoidosis-Vaughan & Asbury’s General Opthalmology > Chapter 7. Uveal Tract & Sclera > Uveal Tract > Uveitis > Diffuse Uveitis (Table 7–6)
61.     Schroyens, Frederick – Synthesis 9.2.1b
62.     Sinonasal Inflammatory Disease (Wegener Granulomatosis & Sarcoidosis)- CURRENT Medical Dx & Tx > Chapter 8. Ear, Nose, & Throat Disorders > Tumors & Granulomatous Disease
63.     Sircar, S. D. – Organon Expositor
64.     Speight, Phyllis- A comparison of the Chronic Miasms B. Jain Publishers (P) Ltd., New Delhi, Reprint Edition – 1998
65.     Taber’s Cyclopedic Medical Dictionary
66.     Table 234-1 Common Systemic Disorders and Their Associated Cardiac- Manifestations- Harrison’s Online > Chapter 234. Cardiac Manifestations of Systemic Disease > Cardiac Manifestations of Systemic Disease: Introduction
67.     The cutaneous lesions in sarcoidosis (Chap. 322) are classically red to red-brown in color,…- Harrison’s Online > Chapter 54. Skin Manifestations of Internal Disease > Papulonodular Skin Lesions > Red-Brown Lesions
68.     The differential diagnosis of sarcoidosis includes foreign-body granulomas produced by chemicals…- Harrison’s Online > Chapter 54. Skin Manifestations of Internal Disease > Papulonodular Skin Lesions > Red-Brown Lesions
69.     Tierney, Lawrence M., Stephen J. McPhee- Current Medical Diagnosis & Treatment
70.     Ventricular Tachycardia in Cardiac Sarcoidosis- Hurst’s The Heart > Chapter 39. Ventricular Arrhythmias > Ventricular Tachycardia in Patients with Nonischemic Cardiomyopathy
71.     While pulmonary involvement in sarcoidosis is extremely common, laryngeal disease is relatively rar…- Principles of Critical Care > Chapter 34. Upper Airway Obstruction > Causes of Upper Airway Obstruction > Laryngeal Causes > Miscellaneous Causes
72.     www.cchindia.org
73.     www.emedicine.com
74.     www.healthonline.com
75.     www.healthorg.com
76.     www.hmc.org
77.     www.homegci.net
78.     www.hommiasm.com
79.     www.homoeopathy.com
80.     hpathy.com
81.     www.library.med.utah.edu/kw/human_reprod/lectures/clinical_genetics/index.html
82.     www.pmjonline.com
83.     www.thenewmedicine.org
84.     www.whonamedit.com

About the author

Rajneesh Kumar Sharma

Rajneesh Kumar Sharma

Dr. Rajneesh Kumar Sharma, M.D. (Hom) practices in Uttaranchal, India. He is CMD of the Homoeo Cure & Research Institute since 1994. He is also the founder of Hindi Vikas Kalyan Samiti, Kashipur JCs, Homoeo Cure & Research Institute.
Dr. Sharma's articles and cases have been published in newsletters and online journals. He has been honored with the Bhartiya Chikitsak Ratna Award 2007, Mother India Award for Udyog Pratibha 2007, Kashipur Gaurav Award 2005, Best International Feature Award 2003 etc. etc. Presently he is practicing at HCRC Pvt. Ltd., Kashipur- Uttaranchal (INDIA).

7 Comments

  • 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

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