Dyspepsia and homeopathic treatment

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DYSPEPSIA AND HOMEOPATHY TREATMENT BYDR.V.Karunakar

SPECIAL THANKS TO

DR.M.Supriya

PREFACE This book was originally written for the use of my own students.It is the general tendency of mankind todrift towards easy solutions. The common reader is baffled and lost in the lyberinth when he is out to search for a simillimum in the vast ocean of homeopathic therapeutics. Many people were not cured even by taking homeopathic drugs and the problem is even turned into serious disable state. I thought they were not selected simillimum, not atleast similar remedy as they miss important content in the case thinking that the content is simple expressed by patient. In reality those simple things make much matter as it is the important concept in case. For eg. Stomach is deranged after taking cheese if we neglect the word cheese and consider vomitings,pain etc.,its of no use. So remedies for these simple things are listed and primary way of digestion and its process is being dealt in this book. Not only this but also homeopathic approach of dyspepsia is also being dealt here. This book contains the teachings of great authors which are verified in my clinical experience.

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INTRODUCTION

3 Through century s food has been recognized as important factor for human being in maintaining the health and causing the disease. Food helps us to grow well and enjoy the good health. The digestion process is one of the most important and one which is easily deranges. In the present society human beings are ingesting foods in large quantities, Which are not that essential for proper growth and normal development of the body. Things like coffee, tea alcohol, gutka, tobacco beetle nut, and narcotic drug substances taken frequently with some many side effects. These substances powerfully affect the digestion. If the digestive organs are good the rest of the systems are active. The digestive system (esp. the stomach)is the primary organ affected reflexely and expressed its manifestations outwardly when other systems are in disorder . Eg:- if the mind is disturbed the stomach is affected and it is expressed as nausea and vomiting., in all fevers and acute inflammations the digestion is more or less interfered with, though the stomach may not be originally at fault. It doesn t matter how wholesome the food may be if there is not enough of it, or if is too much, the stomach will resent it, or if the quantity as well the quality be right and if it be given irregularly, at improper intervals, allowing on time for the stomach to recover it self after all its last digestive effort, indigestion will result. A large number of the cases of indigestion will meet arise from violation of these three cardinal rules Dyspepsia is a major gastrointestinal manifestation. This is one of the most common compliant met with in general practice. It is a collective term for many symptoms thought to originate from upper gastrointestinal tract. Dyspepsia is extremely prevalent, affecting up to 80% of the abnormality is discovered during investigations esp. in young adults. Dyspepsia is major functional disease. People of any age and either sex can suffer from dyspepsia. About 1 out of every 4 persons presents with symptoms of dyspepsia. Dyspepsia includes heart burn, pain, distention, nausea, an acid feeling occurring after eating or drinking, the symptoms are subjective, frequent and usually benign in origin although some times associated with peptic ulceration. Even though dyspepsia is a highly prevalent condition on definite studies have yet established the guidelines for the work up of dyspeptic patients in the primary care setting. In the present industrialized society dyspepsia is thought to be caused by more of mental stress and strain so it is considered as psycho somatic in nature. Psychological factors such as nervous stress in nature. Psychological factors such as nervous stress in job and progress of Dyspepsia. Dyspepsia

4 interferes with patients comfort and daily activities. Persons who develop nausea and pain after eating may skip break fast or lunch. The interference with daily activities also can lead to problems with inter personal relationships especially at domestic and as well as work environment. Dyspepsia may be precipitated by several food items such as fried things, beer, spices or onions. Most of the sufferers have no demonstrable cause and lead to economic, domestic and personality difficulties. Transient frank indigestible food is eaten or over indulgence in food or alcohol Conventional system of medicine treats dyspepsia in one sided manner by considering one or two symptoms like burning in the stomach treated by antacids etc., for obtaining temporary relief and it suppress the problem, acts as palliative rather than curative. Repeated suppression may lead to structural cahnes leading to Peptic ulcer and several other complications.

Homoeopathy has a great scope in the treatment of dyspepsia because of its dynamic, individual and holistic concept where individual is considered for the treatment and not the disease. Homoeopathy treats the psychosomatic disease. More effectively and successfully than any other systems. Homoeopathic treatment is more advantageous in cases of functional disturbances like dyspepsia and effective in preventing and treating e complications associated with dyspepsia

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ANATOMY & PHYSIOLOGY OF DIGESTIVE SYSTEM

There are 2 major groups of organs in the digestive system: Alimentary Canal - Organs thru which food actually passes (in order they are the: oral cavity, pharynx, esophagus, stomach, small intestine, and large intestine). Accessory Organs - They assist in digestion, but no food actually passes through them. Includes the teeth, tongue, salivary glands, pancreas, liver, and gallbladder.

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The human digestive canal is a long muscular tube consisting of the following parts from above downwards the mouth (guarded by lips and teeth), tongue, pharynx oesophagus, stomach, small intestine, rectum and anal canal. The ducts of the salivary glands open into the mouth. The proximal end of the stomach is guarded by the cardiac sphincter. The distal end of the stomach is guarded by pyloric sphincter. The small intestine begins after the pyloric sphincter and consists successively of the following subdivisions; duodenum, jeiunum and ileum. The duodenum receives food from the stomach. The bile duct and pancreatic duct jointly open in it through armpula of vater. The small intestine is very long and

7 is roughly about 76 metres (25 feet). The great length of the small intestine provides enough time and surface area so that digestion and absorption of food stuff may be complete. The small intestine opens into the next part the large intestine. The opening between them is guarded by ileo -Colic sphincter. In the large intestine opens into the last part rectum and anal canal. The latter opens outside through the anal orifice. Peritoneum is a serous membrane and lines the interior of abdominal cavity.

The Abdominal Cavity The majority of digestive organs are located Peritoneum Visceral peritoneum Parietal peritoneum Peritoneal cavity Mesenteries

Retroperitonium Duodenum Pancreas Colon

The parietal outer layer is in contact with the body and the visceral layer envelops the abdominal organs. The mesentery is the continuation of the peritoneum and extends to the small and large intestines from dorsal body wall. The lesser omentum hangs from the greater curvature of the stomach over the intestine to the colon as an apron.

Functions Ingestion Mastication Propulsion

8 Mixing Secretion Digestion Absorption Elimination Movements : certain types of movements are to facilitate admixture of food onwards, to help blood and lymphatic circulation through the intestinal wall. Defecation is also due to the movements of the large intestine. Erythropoiesis : Stomach manufacturers a substance called the intrinsic factor. The extrinsic factor is Vitamin B12 the intrinsic factor interacts with it an helps in the absorption of the extrinsic factor. The extrinsic factor promotes the maturation of the erythroids cells. Regulates blood reaction The alimentary canal takes part in the regulation of blood reaction. Regulates blood sugar It takes part in the regulation of blood sugar. Maintains water balance the phenomenon of thirst is an important function of the digestive

tract by which the fluid balance of the body is maintained.

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Histology 1. Mucosa - innermost tunic, consists of three layers. Mucosa epithelium, stratified squamous epithelium Lamina propria, loose connective tissue. Muscularis mucosae, outer thin smooth muscle. 2. Submucosa thick connective tissue layer containing nerves blood vessels and small glands. 3. Muscularis inner layer of circular smooth muscle and an outer layer of longitudinal smooth muscle.

10 Exceptions superior esophagus has striated muscle, and the stomach has three muscular layers. 4. Serosa or Adventitia connective tissue.

Innervation of the digestive tract : The nerve supply consists of I) an intrinsic part which is represented by nerve cells and fibres originating and located in the intestinal wall it self. II) an extrinsic portion which is represented by vagal fibres and post ganglionic fibres of the sympathetic. The intrinsic mechanism consists of a series of plexures i.e., myentric plexus of Auerbach, Submucous plexus of meissiener. The sympathetic fibres which are branches of the splanchnic nerves originating the coeliac ganglion.

Innervation of GI tractLocatedIn the submucosa (submucosal or Meissners plexus ) and between circular and longitudinal muscle layers (myenteric or Auerbachs plexus).Excitatory Acetylcholine

Substance P

ControlMotility Myenteric plexus