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	Related diseases	Related entities
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	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	Memory weakness

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

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

Remedies

			Other characteristics
Top remedy	Anac	Impaired memory Marked forgetfulness: Names, Those around her What she has seen Forgetfulness makes her low spirited. Marked Absent mindedness / Deficiency of ideas.	Manic – Depressed or profound Depression Progressive memory losing Brain fatigue: Mental and physical lack of power. Unsociable, Great irritability / Anxiety/ Angry /Abusive Jealous / Suspicious.
Senile Dementia	Bar-c Bar-m	Progressing mental weakness. Forgetfulness while speaking The mind seems clouded. He forgets the words that he is about to speak. He is unable to recollect past events Dementia due to stroke. Disorientation (Alum, Nux-m) Bar-c / Bar-m is more shier than Alum. (Alum ₳ Bar-c) Strangeness Feeling (Bar-c ₳ Nux-m) Slow and lazy (Ambr, Hyos, Nux-m, Op)	Passive / Shy 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. Atherosclerosis+ 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
Difficulty in Communication Sudden loss of memory	Cann-i	Extremely forgetful while communicating. He forgets the last words spoken by him as well as what he is about to say. He begins to speak a sentence but suddenly loses the thread of conversation. While writing, he forgets what he intends to write. Foggy mind/ Inability to recall past events or Difficulty in focusing	Absentminded: Sudden loss of Speech/ Thoughts, He begins a sentence but cannot finish it. Inability to recall ideas even after exerting his mind Anxiety/ Anguish, better in open air Misconception of time and space. Time passes too long, seconds seem ages, a few miles an immense distance.
Forgets Names /Words Severe mood changes	Med	Forgetting the names of friends and familiar people. He may not even remember his own name. Forgetfulness while writing, both the words and/ or their spelling. Forget the appropriate words, names, words, and places. During a conversation, the patient may forget what he was asked; and the question has to be repeated.	Severe mood changes: Happiness alternates with sadness. Marked irritability over small things. He is hurried and anxious cannot speak without weeping, tells it over and over again. Time passes too slowly
Indifference	Graph	He forgets recent events but remembers past events that occurred at a young age.	Obstinate and moody. Dullness and anxiety, mostly in the mornings
Prostration (Mental & Physical)	Kali-p	Exhaustion on both mental and physical levels. He doesn’t recognize his surroundings He is not inclined to speak with others.	Anxiety / Depression / Gloomy Angry / Irritable / Nervousness Brain-fag: He forgets every thing, Great loss of memory Marked exhaustion / Fatigue. Slightest task seems heavy.

Other Remedies

Polycrest of dementia Alum is Slow/ Depressed (Never laughs) and Nux-m is hysteric	Alum	Marked forgetfulness: Memory is weak or completely lost. His consciousness of reality and judgment is disturbed. Absentminded, Mistakes in writing and speaking Weakness / Laziness (Sep, Ph-ac, Op), Paralysis / Slowness (Alum ₳ Hell), Heaviness (Alum ₳ Plb) His Nerves/ Muscles are not able to speed things up. He knows it and when he is asked to do so, he panics and haste leads to confusion and mistakes. They aware of this slowness and they may gradually get fed up with themselves. He is in hurry but does his job slowly, as if the neuromuscular system is defying his brain	Body self-awareness problems such as Depersonalization, Identity confusion DE realization 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	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
Paranoia Agitation Neurological heaviness	Plb	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. Progressive Physical / Cognitive weakness+ Depression Progressive confusion ends in mistaking about his identity. (Alum, Kali-br)	Repulsive and disgusting morals. (Ambr, Con) 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)
Indifference (Hell) Slow motion (Plb) Deep emotional problems Sexual suppression	Con	Reading / Comprehension problems Several problems that lead to progressive weakness and Alzheimer's disease 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)	Premature aging (Dizziness in the elderly) Con is good follow well of Bar-c since both have Atherosclerosis (Bar-c ₳ Con) Constipation (Con ₳ Plb) He is afraid of being alone, at the same time he avoids society (Kali-c, Lyc) Grumpy and easily suffering Having problems with superiors, fighting, resenting him, not tolerating opposition (Aur)
He moves his hands regularly He is constantly doing something with his hands Male impotence Demonization Aphasia	Kali-br	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 - IMPOTENCY, male - memory, with loss of Sudden or periodic dementia Mind - MEMORY, general, active - weakness, of - sudden and periodical	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)
Osteoporesis + dementia	Sel	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.
Suicidal disposition	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.
	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

Second class remedies

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.