Dementia

Clinic

• Dementia is a an Umbrella which contains Progressive impairments in memory, thinking, and behavior, if it negatively affects everyday functional abilities.
• Along with intellectual inabilities, the most common symptoms are
  • Emotional problems
  • Difficulties with language
  • Decreased motivation.
• Consciousness is not affected

Causative subtypes

• Alzheimer's disease (60–70% of cases)
• Vascular dementia (Stroke) (20% of cases)
• Huntington's disease
• HIV
• Prion diseases (CJD, NVCJD)
• Frontotemporal lobar degeneration
  • Dementia with Lewy bodies
  • Parkinson's disease dementia

Related diseses

• Behçet's disease
• MS
• Sarcoidosis
• Sjögren's syndrome
• SLE
• Celiac disease
• Non-celiac gluten sensitivity. A 2019 review found no association between celiac disease and dementia overall but a potential association with vascular dementia. A 2018 review found a link between celiac disease or non-celiac gluten sensitivity and cognitive impairment and that celiac disease may be associated with Alzheimer's disease, vascular dementia, and frontotemporal dementia.

• Reversible dementia include:
  • Hypothyroidism
  • Vitamin B₁₂ deficiency
  • Lyme disease
  • Neurosyphilis

Sign / Symptoms

Behavioral symptoms	Psychological symptoms	Cognitive symptoms
Agitation Restlessness Inappropriate behavior Sexual disinhibition Aggression (Verbal or physical)	Depression Psychotic Hallucinations / Delusions Apathy Anxiety	Memory loss Visuospatial problems affecting Perception Orientation Language Attention Problem solving

Remedies in brief

• Anac: Manic, Depressed, Unsociable , Abusive
• Alum: The most depressed, Depersonalization , Identity confusion /DE realization, Submissive and Naïve
• Nux-m: The most confused (Spatial), Sleepy + No thirst + Chilly + Thoughts vanish suddenly. Using of wrong words. Comatose state
• Bar-c, Bar-m: The most Stupid / Childish + High blood pressure + Atherosclerosis + Feel suffering
• Plb: The most paranoid + Heaviness / Paralysis due to degenerative brain diseases
• Con: Impaired understanding of content + Apathy
• Hell: Emotional and Neurological Apathy
• Kali-br: The most restless esp Hand restlessness
• Op: Deep indifference and conflicting alternative situations
• Crot-h:Mistakes in Calculating/ Speaking / Writing
• Cann-i: He begins a sentence but cannot finish it. Misconception of time and space
• Aur: Severe acute Depression/ Hopelessness

Key points	Alum	Ambr	Anac	Bar-c Bar-m	Con	Hell	Hyos	Kali-br	Nux-m	Op	Plb
Alone desire / Company aversion	+++								+++
Apathy					+++	+++
Company desire				+++							+++
Constipation					+++						+++
Disgusting		+++			+++						+++
Disorientation	+++			+++					+++
Guilty sensation					+++			+++
Identity Confusion	+++							+++			+++
Knowing anyone	+++		+++				+++	+++		+++	+++
Nausea							+++	+++		+++
Strange seems	+++			+++					+++
Timid	+++			+++

Important rubrics

• Mind - ACCOUNTING, makes mistakes, in senile dementia, incipient stage
• MIND - MISTAKES; making
  • MIND - MISTAKES; making - calculating, in: Con, Crot-h, Plb
  • MIND - MISTAKES; making - speaking, in
    • MIND - MISTAKES; making - speaking, in - spelling, in: Crot-h, Lach, Nux-m
    • MIND - MISTAKES; making - speaking, in - words - misplacing words: Alum, Con, Crot-h, Hyos, Kali-br, Lach, Nux-m
    • MIND - MISTAKES; making - speaking, in - words - wrong words; using
  • MIND - MISTAKES; making - writing, in
    • MIND - MISTAKES; making - writing, in - old people; in: Crot-h

First class remedies

Anac

• Top remedy
• Marked forgetfulness: Names, Those around her, What she has seen
• Manic – Depressed persons
• The memory progressively bad
• Brain fatigue: Mental and physical lack of power.
• They are unsociable, shows great irritability and anxiety, angry and depressed, jealous and suspicious.
• They have profound depression and Abusive

Alum

• Polycrest of dementia (Alum ₳ Nux-m) esp in depressed ones (Never laughs)
• Marked forgetfulness: Memory is weak or completely lost.
• The person’s consciousness of reality and judgment is disturbed. Absentminded, Mistakes in writing and speaking
• Body self-awareness problems such as Depersonalization , Identity confusion DE realization
• Weakness / Laziness, (Sep, Ph-ac, Op), Paralysis / Slowness (Alum ₳ Hell), Heaviness (Alum ₳ Plb)
• Submissive and Naïve
• GI autonomic difficulties: Dysphagia & Constipation
• They aware of this slowness and they may gradually get fed up with themselves.
• He knows that he cannot do two things at the same time, and when he is asked to do so, he panics and haste leads to confusion and mistakes. Because his nerves and muscles are not able to speed things up.
• He is in a hurry but does his work slowly. It is as if the neuromuscular system is defying his brain
• Time passes slowly for him, that means he is in a hurry.
• His Face / Affect / Speech is blunted
• Alternating moods/ Impulsive behavior

Mind - IMPULSE, morbid: alum. anac. Arg-n. ars. caust. hep. iod. lach. lyc. merc

Nux-m

• Second polycrest of Dementia (Very similar to Alum)
• Confusion (Similar to Cann-i) / Impaired memory. Difficulty in reading and writing. Thought vanishing, e.g. when he is Writing / Reading / Talking.
• Thoughts suddenly vanish while Talking/ Reading /Writing. Using wrong words.
• Objects seem changes or grow larger.
• Absent-minded: Drowsiness and indifferent behavior
• Confusion is mostly centered around spatial situations. He gets lost even in well-known streets. (Glon ₳ Nux-m)

• Comatose state: He has many degrees of laziness of mind and soul.

• Drowsiness + Indifference
• Narcolepsy (Nux-m ₳ Op)

• Hysteria

Cann-i

• Excellent for sudden loss of memory
  • Absentminded: Sudden loss of speech, begins a sentence but cannot finish it.
  • Sudden loss of thoughts.
  • Inability to recall ideas even after exerting the mind to do so
• Anxiety, anguish, better in open air
• Misconception of time and space. The person feels that time passes too long, seconds seem ages, a few miles an immense distance .

Bar-c

• Passive patient
  • Childish behavior. He is always Behind his caregiver / Under his umbrella.
  • Lack of self-confidence/ Shyness / Constant need to be guided even in minor matters
  • Extreme fear of exposure (Lyc): When entering a room, they enter cautiously.
• Slow and lazy (Ambr, Hyos, Nux-m, Op)

• Bar-c and Bar-m are more shier than Alum. (Alum ₳ Bar-c)

• Disorientation (Alum, Nux-m)
• Strangeness Feeling (Bar-c ₳ Nux-m)

• Arteriosclerosis + High blood pressure esp Bar-m

• He always feel suffering (Caust)
• Fear of what is about to happen (Caust) / Possible future problems (Ars)
• Full of ideas and imaginations

Plb

• Paranoia: Repulsive and disgusting morals. (Ambr, Con)
• Delusion that everyone around him might be a murderer or that he will be caught soon.
• Core theme: Cold + Weak + Heavy + Paralysis
• Dementia caused by degenerative brain diseases such as ALS, MS and Parkinson.
• Along with progressive weakness, his mood also moves towards depression and cognitive problems.
• His growing confusion causes him to be mistaken about his identity. (Alum, Kali-br) Plb is more severe compared to them so that he even thinks he is someone else.
• Like Barims, he does not like to be alone.
• Stasis in intestines: Insufficient Constipation: He even takes help from his hand to defecate. The patient will feel better after discharge.
• Extreme weakness, even not respond properly to his well-chosen remedy
• Exclusive accompaniments:
  • Paralysis + Dementia
  • Constipation + Dementia
  • Agitation + Dementia
  • Trembling of paralyzed limbs + dementia
  • Progressive atrophy + Dementia

Con

• Reading / Comprehension problems

Mind - CONFUSION, mental - old age, in Bar-c.mp1 Con. Kali-br.

Mind - ABSENT-minded, preoccupied - old age, in: am-c.mp1 Con.mp1 Lyc.mp1

• Indifference (Hell): as if the volume has been turned down.
• Several problems that lead to progressive weakness and Alzheimer's disease
• Premature aging

Constitutions - OLD age, premature : SEL

Face - EXPRESSION, facial - old looking

Constitutions - REACTION, lack of - old age, in con.mp1

• Con is good remedy after Bar-c since both have Arteriosclerosis (Bar-c ₳ Con)

• Con caused by deep emotional problems or cessation of sexual activity

• Con likes to sit like Plb. The movements of both drugs are slowed down.

• Constipation is important in Con and Plb.
• Starting point of Dementia
  • Loss of reputation/position and wealth is the cause (Aur, Kali-br)
  • Alcoholism (Anac, Hyos)
  • Love Failed (Nat-m)
  • Intense guilt (Aur, Kali-br)
• Dizziness in the elderly

Vertigo - ELDERLY people, in : AMBR

• Grumpy and easily suffering, having problems with superiors, fighting, resenting him, not tolerating opposition (Aur)
• He is afraid of being alone, at the same time he avoids society (Kali-c, Lyc)

Kali-br

• Reversal of cognitive abilities (Bar-c, Bar-m)
• A feeling of ill-will, ominousness, or demonization (Hyos, Op have milder degrees of this condition.)
• Feeling of being chased (similar to Anac, Hyos, Plb)
• Insomnia has overtaken him
• Extremely sensitive to pain. (unlike Op, which is resistant to pain)
• With the progress of dementia, Kali-br may not recognize his friends and relatives (Alum, Anac, Hyos, Op, Plb and barium salts).
• He even forgets his own name

Mind - MEMORY, general, active - forgetful - names – own

Mind - CONFUSION, mental - identity, as to his : ALUM

Mind - CONFUSION, mental - old age, in Bar-c ,Con

• Aphasia (Word-hunting) + Dementia (Ph-ac)

Mind - MEMORY, general, active - forgetful - words while speaking, of, word hunting

Mind - MEMORY, general, active - loss, of - aphasia, in : cann-i , Hyper

• Dementia starting point
  • A physical shock
  • Emotional/ Love problems (Death of a friend)
  • Loss of position or property or reputation
  • Kali-br can be the result of a religious crisis (Aur)
  • Alcoholism (Anac)
  • Excessive sex

Mind - MEMORY, general, active - forgetful - sexual excesses, after: Calad, Nat-p, Ph-ac ,Sec Staph

• Male impotence + dementia

Male - IMPOTENCY, male - memory, with loss of

• Sudden or periodic dementia

Mind - MEMORY, general, active - weakness, of - sudden and periodical

• Key point: He moves his hands regularly and is constantly doing something with his hands

Second class remedies

Sel

• Osteoporosis + dementia

• Premature aging (Lyc ₳ Sel, Con ₳ Sel) and premature impotence (Lyc, Kali-br)

• Fear of people and inability to continue working
• Weakness caused by heat is a specific characteristic of this remedy.

Aur

• Alzheimer’s disease with severe acute depression. There is hopelessness and grief.
• Disgust of life and thoughts of suicide.
• He talks of committing suicide, but great fear of death.

Lac-c

• Severe loss of memory so the person finds difficulty in reading and writing.
• Forgetful/ Makes a lot of mistakes in Writing/ Reading
• Very restless, Cannot concentrate to read. Wants to leave everything as soon as it is commenced.
• Highly despondent, thinks her disease is incurable and recovery is impossible.

Kali-p

• Anxiety / Nervousness / Depression / Gloomy / Angry / Irritable
• Brain-fag: He forgets every thing, Great loss of memory
• There is marked exhaustion / Fatigue. Slightest task seems heavy.

Med

• Severe weakness of memory.
• He loses the thread of conversation but forgets names, words, and places.
• He forgets his own name, names of his close friends and family members.
• He is hurried and anxious cannot speak without weeping, tells it over and over again.
• Time passes too slowly

Nux-v

• Extremely sensitive to the words and actions of others
• He is always seeking others attention.
• Extreme irritation, vindictive and quarrelsome
• Suicidal tendency, But does not have the courage to perform the act.
• Inclined towards killing his friends

Merc

• He lost all sense of decency.
• He become Dirty and develop a groveling mentality.
• Memory weakens to a great extent and the patient has problems with vision
• Unpleasant breath odor and a heavily coated tongue.

Ign

• Extreme sensitivity of the mind
• Depression/ Grief due to failure in love relationships.

Calc

• In cases of dementia where the brain and other organs do not develop properly.
• Forgetful and very slow in learning something.

Lyc

• They experience great depression, become despondent
• Constantly worry about themselves and their activities.
• They become fearful, irritable and angry.
• Constipation

Staph

• Sleeplessness
• They becomes cowardly and is full of shamefulness, disgust, humiliation and shyness
• He would rather be alone than have company.

Cham

• Dementia with acute sensitiveness.
• Irritation and peevishness are common, and the patient tends to get angry very easily.

Ambr

• Ambr, like Con, has lost its natural reactions.

• He is shy to the point of suspicion.
• He thinks a lot about the bitter memories of the past (Nat-m)

• Disgusted: Can't stand people,
• He focused on his guts. He feels bad during defecation.
• Like Alum and Nux-m, he has a lot of stress during defecation.
• Ineffectual desire to defecate causes anxiety.

Crot-h

• Crot-h is a restless remedy
• Suspicions (Hyos), (Crot-h ₳ Hyos)
• His mind is too busy with dying
• Talkativeness and tendency to run away (Hyos)
• Sleep disorder/ Incoherent speech are signs of moving towards insanity.
• They may be inclined to gather or refuse to see some of their family members.