Most of people think that homoeopathy is unable to manage emergency or acute conditions. But it is only due to lack of knowledge in people and lack of confidence in new homoeopath.
Homoeopathy gives fast reaction and as effective in acute disease as in chronic disease.
The homoeopathic selection of medicine required vast knowledge of materia medica, philosophy, knowledge of disease and keen observation of physician.
First we have to know what the exact meaning of first aid is. According to famous Wikipedia- ‘’First aid is the provision of initial care for an ILLNESS or INJURY. It is usually performed by a non-expert person to a sick or injured person until definitive medical treatment can be accessed. Certain self-limiting illnesses or minor injuries may not require further medical care past the first aid intervention. It generally consists of a series of simple and in some cases, potentially life-saving techniques that an individual can be trained to perform with minimal equipment’’. Any layperson can be trained to administer first aid, which can be carried out using minimal equipments. Basic training in first aid skills should be taught in school, in work places and, in general, be learnt by all, as it is mandatory to our modern and stressful life. So the main object of first aid is to get primary treatment of sick person or management of primary care before reaching the hospital facility. In our country there is lacking of good health service in villages and small cities, so it is our responsibility as being doctor to give immediate relieves to the patient from their suffering, but it is still have to prove that homoeopathy is useful for these situation. Although now a class of people takes only homoeopathy for their all major and minor complain; but they are few; we have to increase number of these people.
So first aid required some techniques and medicines, homoeopathy has a lot of medicine to overcome that critical situation although in major case we have to give advice to patient for hospitalization like life threatening condition. It has been always a challenge for homoeopathy to give immediate relief or give first aid relief, but it is not as difficult as we understand. When patient come in clinic with acute trouble then use your all senses and knowledge with intellectual and believe you can do. Let we start to discuss how we can manage these acute cases with positive result.
Polycrest medicine have vast range of their sphere of action on almost every organ and system of the body; produce changes in all system, so they can be used as first aid medicine in acute condition. Some short acting medicine also has wonderful action on especial group of organs or particular disease condition. But although I believe that selection of medicine is completely should be depend upon presenting symptoms of patient, there is no prejudization. if we choose medicine according to symptometology of patient, we can handle the emergency successfully.
We have to notice following points during taking a case of acute trouble: -
- IN PATIENT –
- CAUSATION OF PRESENTING COMPLAIN
- MODALITY- AMELIORATION AND AGGRAVATION
- MAJOUR COMPLAIN WHICH NEED IMMEDIATE RELIF
- ATTITUDE AND ACTIVITY OF PATIENT
- LANGUAGE OF PATIENT
- KNOWELDGE OF DISEASE
2. REGARDING MEDICINE -
a. REDLINE AND KEYNOTE SYMPTOMS
b. SPHERE OF ACTION
d. GENERAL SYMPTOMS
3. WHAT PHYSICIAN HAVE TO DO -
a. SAY TO PATIENT FOR LIYING DOWN IN COMFORTABLE POSITION.
b. CONSTANT MONITORING OF PATIENT
c. GIVE MEDICINE IN SINGLE DOSE AND WATCH, IF ANY IMPROOVEMENT SHOW THEN DOESN’T REPEAT THE NEXT DOSE OF MEDICINE.
d. IF IT IS NECESSERY TO REPEAT THE DOSE THEN MAKE DILUTION OF SELECTED MEDICINE IN WATER AND GIVE ONE SPOON IN INTERVAL OF 10, 15 MINUTES OF INTERVAL.
e. ALWAYS USE SINGLE MEDICINE IN MINIMUM OR SINGLE DOSE. ALWAYS REMEMBER THAT QUALITY OF HOMOEOPATHIC MEDICINE IS INVERSLY PROPORTIONAL TO ITS QUANTITY. MINIMUM DOSES SHOWES GREATER RESULT.
I want to share my experience. This happened when I was new in practice. Once a night a leady came to me she was very anxious, feeling vertigo, she had fall down in way before coming to me, was feeling nausea also repeatedly saying I will die surely. She was unable to tell any symptoms. I measured her BP, which was 190/120 mmhg. I noticed that she had a bottle of water and was drinking in small amount in every few minute. Immediately I gave her ARS. ALB. 1m single dose, and said her to lie down. After 15-20 minute I again measured BP, surprisingly it falls down up to 130/90 mmhg. She became normal in further few minutes. She went back her home happily. This case gives me lots of confidence to handle acute case. As you can understand by activity of patient, she has very restless and very thirsty; this is redline symptoms of arsenic album, so it gave relief immediately.
In an another case I went to see a lady in her home, she was suffering severe cold and chill from last two hrs, she covered herself from about 7-8 blanket and still she was shivering, I gave her BELLADONA and watched but she didn’t get any relief, she told me that she is seeing that two person in the sky [YAMDOOT] says her to go with them and she don’t want to die, here was fear of death, immediately I remembered ACONITE and gave in 200 power two dose in interval of 15 minute. It was very wonderful to see that she thrown all the blanket within 45 minute within prescribing medicine. Aconite is very chilly violently and fear of death and want to live; so here aconite has been use, although Arsenicum is also chilly and fear of death but he don’t call for doctor think he is incurable, and arsenic don’t like to cover head. It is basic difference; this situation may produce many time when we will found two or more medicine at a time for one complain; then we have to know basic difference between two similar remedy to give immediate relief.
So always watch the presenting symptoms and attitude of patient then select the medicine according the symptoms, which you have, notice I am sure you will get success.
Every science has its own scope and limitation, that’s like homoeopathy has its own limitation also; so it is also more important that if you seem that patient is in serious condition or require life saving support then immediate refer him in nearest multi-specialty hospital. Don’t be hesitating to refer a patient in right time.
Here I am not interested to give therapeutic hints for diseases, you can get it better by simply reading material medica, but I am trying to give few first aid tips with homoeopathic medicine-
Make sure you have a first aid kit. It should have basic medicines, which are readily accessible and other essential instrument, bandage, cotton, germicide etc.
Ledum Pal is used as a preventive against tetanus after injury, and also use for abuse of alcoholism.
ARNICA is useful in swelling, inflammation, sprain, pain or any kind of trouble arises after injury. It’s important not to move a person with serious neck or back injuries. If he has vomited and there is no danger that his neck is broken, turn him aside to prevent choking
Cantharis is useful after burn. If the skin is not broken, run cool water over the burn for several minutes. Cover the burn with a sterile bandage or clean cloth.
Apply powder of Ferrum phos 3X externally on wounded area to prevent bleeding, can be use China internally to prevent bleeding from any places.
Apismel is very useful in insect bite.
For surgical wound, injury from knife, blade or any sharp instrument use Staphysigria.
Cimex lectularis can be use in any type of fever to give immediate relief. Use Acetanilidum in very high temperature fever [105- 107*F] with rapid heart rate. Heloderma is useful in internal coldness, body is cold as ice, subnormal temperature- 96*F.
Blatta Q gives immediate relief in difficulty in breathing especially for asthmatic patient.
Latrodectus Mactanus relieves the terrible torture of angina pectoris very promptly and it will hold for some time, Glonoine is for high blood pressure.
In attack of epilepsy use Cuprum met, it stops the attacks better more than any other medicine. [Read the difference between cuprum met and cicuta for better understanding]
To prevent sunstroke and to get relive from effect of sunstroke use Nat mur. You also can use Belladonna, Glonoine and Gelsemium according on symptoms. Drink plenty of water at regular interval with glucose to avoid sunstroke.
Ipecac acts better in any type of vomiting. But be careful because vomiting is first sign of much disease. Use Petroleum in vomiting during traveling, you can use Podophylum also.
Caulophylum may be indicating during last week of pregnancy when the patient suffers from false labour pain.
Rhustox and Dulcamara is useful for complain arising after getting wet in rain.
For throat hoarseness, tonsillitis acute, and pharangitis use Belladonna.
Don’t give fluids to an unconscious or semiconscious person. Fluids may enter his windpipe and cause suffocation. Don’t try to arouse an unconscious person by slapping or shaking.
Be calm and give psychological support to the patient.
All above mentioned medicine list is so long. . a good student of materia medica may know all important symptoms and medicine as above. Selection of dose is also important; selection of low potency is always safe, according situation and experience you can use higher also.
Dr. Bhupendra Gupta
Distt. – korba, Chhattisgarh