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 /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 cannot finish his sentences. 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
Top remedies	+++		+++						+
Alone desire / Company aversion	+++								+++
Apathy / Paralysis / Slowness	+				+++	+++					++
Company desire				+++							+++
Constipation					+++						+++
Disgusting		+++			+++						+++
Disorientation	+++			+++					+++
Guilty sensation					+++			+++
Identity Confusion	+++							+++			+++
Knowing anyone	+++		+++				+++	+++		+++	+++
Nausea							+++	+++		+++
Strange seems	+++			+++					+++
Timid	+			+++
Depersonalization / DE realization	+++
Suffereing				+++
Atheriosclerosis/ High blood pressure				+++	+
Aphasia								+++
Male impotence								+++

Important rubrics

• Mind - ACCOUNTING, makes mistakes, in senile dementia, incipient stage
• MIND - MISTAKES; making

Calculating mistakes

• MIND - MISTAKES; making - calculating, in: Con, Crot-h, Plb

Speaking mistakes

• 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 - MEMORY, general, active - forgetful - words while speaking, of, word hunting: Kali-br
  • Mind - MEMORY, general, active - loss, of - aphasia, in : Cann-i , Hyper, Kali-br

Writing mistakes

• MIND - MISTAKES; making - writing, in
• MIND - MISTAKES; making - writing, in - old people; in: Crot-h

General rubrics

• Mind - CONFUSION, mental - old age, in: Bar-c, Con, Kali-br

• Mind - ABSENT-minded, preoccupied - old age, in: Am-c, Con, Lyc
• Mind - MEMORY, general, active - forgetful - names – own: Kali-br
• Mind - CONFUSION, mental - identity, as to his : ALUM, Kali-br
• Mind - CONFUSION, mental - old age, in Bar-c ,Con, Kali-br
• MIND - DEMENTIA - senilis
• MIND - DEMENTIA - senilis - talking, with foolish: bar-c, con, op, plb
• MIND - DEMENTIA - senilis - talking, with foolish - night: puls

Etiology

• MIND - DEMENTIA - cares about business; from: lil-t
• MIND - DEMENTIA - senilis - premature: Ambr, bufo_, Lyc, med
• MIND - DEMENTIA - sexual excesses; from: lil-t.
• MIND - DEMENTIA - syphilitics, of: aur-i, Kali-c, Kali-i, merc, nit-ac, sulph
• Mind - MEMORY, general, active - forgetful - sexual excesses, after: Calad, Kali-br, Nat-p, Ph-ac ,Sec Staph

Accompanied by

• MIND - DEMENTIA - epileptics, of: acon, Bell, cimic, Cupr-act, cupr, Ferr-i, laur, Oena, Sil, stram, verat-v.
• MIND - DEMENTIA - masturbation, with: Agn, calc-p, canth, caust, nux-v, op, Ph-ac, phos, pic-ac, staph
• MIND - DEMENTIA - paretic: Acon, Aesc, agar, ars, bell, cann-i, cimic, cupr,hyos, ign, merc, Phos, Plb, stram, verat-v, verat, zinc
• MIND - DEMENTIA - sadness, with: tarent
• MIND - DEMENTIA - weakness; with: pic-ac

First class remedies

Banerji protocols
First line	Anac C200 every third day Hell C30 BD
Second line	Aur C200 every third day KP 6X BD
Third line	Hydr-ac C30 BD Acon 0 BD

Anac

• Top Dementia remedy
• Marked forgetfulness: Names, Those around her, What she has seen
• Manic – Depressed or profound Depression
• Progressive memory losing
• Brain fatigue: Mental and physical lack of power.
• They are unsociable, Great irritability / Anxiety/ Angry /Abusive
• Jealous and suspicious.

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)
  • Because his nerves and muscles are not able to speed things up.
  • 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.
  • He is in hurry but does his job slowly, as if the neuromuscular system is defying his brain
• Submissive and Naïve
• GI autonomic difficulties: Dysphagia & Constipation
• 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/ Writing.
• Thought vanishing, when he is Writing / Reading / Talking. It causes Using wrong words.
• Objects seem changes or grow larger.
• Absent-minded: Drowsiness and indifferent behavior
• Confusion esp in 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. 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 / Bar-m is 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)
• Agitation + Dementia: 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.
• Progressive confusion ends in mistaking about his identity. (Alum, Kali-br)
• Like Barims, he does not like to be alone.
• GI autonomic difficulties: Insufficient Constipation: He even takes help from his hand to defecate. (Constipation + Dementia)
• Extreme weakness, Heaviness (Paralysis / Progressive atrophy / Trembling of paralyzed limbs+ Dementia)

Con

• Reading / Comprehension problems

• Indifference (Hell)/ Slow motion (Plb)
• Several problems that lead to progressive weakness and Alzheimer's disease
• Premature aging

• Con is good follow well of Bar-c since both have Arteriosclerosis (Bar-c ₳ Con)

• Con caused by Deep emotional problems or Sexual suppression

• Constipation (Con ₳ Plb)
• Dementia due to
  • Loss of Reputation/ Position / Wealth (Aur, Kali-br)
  • Alcoholism (Anac, Hyos, Kali-br)
  • Failed Love (Nat-m)
  • Intense guilt feeling (Aur, Kali-br)
• Dizziness in the elderly

• 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, 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. (Opposite to Op)
• 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

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

• Dementia due to
  • Physical shock
  • Emotional/ Love problems (Death of a friend)
  • Loss of Position / Property / Reputation
  • Religious crisis (Aur)
  • Alcoholism (Anac, Hyos, Con)
  • Excessive sex

• 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. Hopelessness + Grief.
• Disgust of life and thoughts of suicide.
• He talks of committing suicide, but great fear of death.

Lac-c

• Severe loss of memory. Difficulty / Mistakes in Reading / Writing.
• 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 / Depression / Gloomy
• Angry / Irritable / Nervousness
• Brain-fag: He forgets every thing, Great loss of memory
• Marked exhaustion / Fatigue. Slightest task seems heavy.

Med

• Severe weakness of memory.
• He loses the thread of conversation . Forgets names, words, and places.
• He forgets his own name, names of his close friends / 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.