Asthma remedies: Difference between revisions
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Asthma treatment consists of two stages: | Asthma treatment consists of two stages: | ||
# First | # First Palliative/ Acute treatment | ||
# Then Chronic / Condtitutional / [[Asthma entities|Miasmatic treatment]] | # Then Chronic / Condtitutional / [[Asthma entities|Miasmatic treatment]] | ||
<blockquote>ACUTE DISEASES - Pulmonary disorders - asthma | <blockquote>ACUTE DISEASES - Pulmonary disorders - asthma: Ant-t, Ars, Ip, Kali-ar, Kali-c, Nat-s, Nux-v, Psor, Puls, Samb, Tub</blockquote> | ||
=== | {| class="wikitable" | ||
|+ | |||
! colspan="2" | | |||
== [[Banerji protocols]] == | |||
|- | |||
| rowspan="3" |'''Extrinsic, allergic asthma''' | |||
| | |||
* [[Calc-ars, Calcarea Arsenicosa|Calc]] C30 BD or C1000 one dose weekly | |||
|- | |||
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* [[Ip, Ipecacuanha|Ip]] C30 in Gagging cough | |||
|- | |||
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* [[Kali-i, Kalium Iodatum|Kali-i]] C6 in Wheezing, Dyspnea | |||
|- | |||
| rowspan="2" |'''Intrinsic Chronic asthma in adults''' | |||
| | |||
* [[Chel, Chelidonium|Chel]] 6X every 3 Hours alternating with [[Hep, Hepar Sulphur|Hep]] C6 and [[Kali-i, Kalium Iodatum|Kali-i]] C6 in acute wheezing, dyspnea | |||
|- | |||
| | |||
* Kali-c C200 | |||
|} | |||
==== [[ | == Top Remedies == | ||
{| class="wikitable" | |||
|+ | |||
!Top | |||
!Quality | |||
!Rubrics | |||
!Modalities / '''Triggers''' | |||
!Concomitants | |||
|- | |||
| | |||
=== [[Ars, Arsenicum Album|Ars]] === | |||
* | * Allergic asthma | ||
* Night agg | |||
* Rash suppression | |||
* [[Eczema]] | |||
| | |||
* Dyspnea agg after coughing. | |||
* Typical spastic asthma + Wheezing | |||
* Wheezing or Suffocative cough + Frothy mucus. | |||
* Allergic asthma + [[Rhinitis|Allergic rhinitis]] ([[All-c ₳ Ars]]) , ([[Ars ₳ Carc]]), ([[Ars ₳ Iod]]) , ([[Ars ₳ Thuj]]) , ([[Ars ₳ Nux-v]]) | |||
*[[Hysteria|Hysterical]] asthma ([[Ars ₳ Ign]]) | |||
*Anger ([[Ars ₳ Cham]]) | |||
*Children / Elderly people | |||
*Periodic /Sudden attacks | |||
* Uncomplicated patients who have recently been affected (Ars ₳ Hydr-ac) | |||
* Start Ars with 30C potency, which can be BD. If there is no improvement, you can give 200C or 1M potency. | |||
| | |||
*<small>Lungs - ASTHMA, general - sudden, attacks: Cupr, Ip</small> | |||
*<small>Lungs - ASTHMA, general – suffocative Ant-t, Cupr ,Ip ,Samb</small> | |||
*<small>Lungs - ASTHMA, general - cyanosis, with Carb-v ,Cupr, Samb</small> | |||
< | *<small>Smoking ([[Ars ₳ Calad]]) ([[Ars ₳ Lob]]</small> | ||
*<small>Lungs - ASTHMA, general - recent, uncomplicated cases: [[Hydr-ac, Hydrocyanicum Acidum|Hydr-ac]]</small> | |||
*<small>'''Lungs - ASTHMA, general - midnight, after - must spring out of bed :''' Graph. SAMB</small> | |||
*<small>'''Lungs - ASTHMA, general - night - 2 a.m'''. Kali-bi , Med , Rumx</small> | |||
*<small>'''Lungs - ASTHMA, general - night - 10 p.m. - 11 p.m. to 2 a.m.''' Ars-i, Con</small> | |||
*<small>'''Lungs - ASTHMA, general - anxiety, with''' : Arg-n , Dig , Kali-a</small> | |||
*<small>Lungs - ASTHMA, general - despondency, thinks she will die, with : psor.</small> | |||
| | |||
*Night esp After '''midnight''' ([[Ars ₳ Samb]]) which pulls her out of bed ([[Ars ₳ Samb]]) | |||
*Asthma that agg around 12 -1-2 A.M | |||
* 10 P.M to 2 A.M | |||
* | *Amel with sitting up straight | ||
* Agg by eating | |||
* | |||
*Climate change ([[Ars ₳ Dulc]]) | |||
* Cold and Humid air ([[Ars ₳ Dulc]]) ([[Ars ₳ Nat-s]]) | |||
*Summer [[Common cold|colds]] | |||
*Rash suppression ([[Ars ₳ Puls]]) | |||
| | |||
* Asthma which alternates with skin rash or [[eczema]] ([[Ars ₳ Sul]]) ([[Ars ₳ Psor]]) | |||
* Esp with sneezing | |||
* Anxiety: As if dying ([[Ars ₳ Psor]]) | |||
* Thirst + Fainting / Weakness/ Weak, slow pulses | |||
* Bronchial catarrh / Huge / Foamy Sputum ([[Ant-t ₳ Ars]]) | |||
==== [[ | * Asthma + [[Panic attacks|panic attack]] | ||
* Suffocation / [[Cyanosis]] | |||
|- | |||
| | |||
=== [[Spong, Spongia Tosta|Spong]] === | |||
| | |||
* Asthma with short and tough respiration, and panting. | |||
* Along with difficult respiration, whistling from the chest on inhalation is noted. | |||
* Cough is deep, dry, barking, | |||
* Hacking Cough | |||
| | |||
* It is best to start in 30C potency BD. | |||
* It can also be taken in high (200C) potency. | |||
| | |||
* In most cases, warm drinks bring relief from cough. | |||
| | |||
* Cough with extreme dryness of all the air passages. | |||
|- | |||
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=== [[Ant-t, Antimonium tartaricum|Ant-t]] === | |||
* | * Excessive rattling | ||
| | |||
* | * Asthma with rapid, short and difficult breathing as if gasping for air. | ||
* | * Loose/ Catarrhal Cough: Excessive rattling, Lungs feel full of mucus, but it comes out with much difficulty. | ||
* | * Typical spastic asthma + Excessive phlegm | ||
* Children / Elderly people ([[Ambr ₳ Ant-t]]) ([[Ant-t ₳ Ars]]) | |||
* Gasping feeling when coughing: His breath gets stuck in his trachea | |||
* Periodic asthma attacks ([[Ant-t ₳ Ars]]) | |||
< | | | ||
* | * '''<small>Diseases - ASTHMA - bronchial catarrh, with: BLATTA-O</small>''' | ||
** | * <small>Children - ASTHMA, children ARS , CHAM , KALI- N , KALI-S , MED , NAT-S , PHOS , PULS , SAMB , TUB</small> | ||
** | * <small>Children - ASTHMA, children - vaccination, after ANT-T , THUJ</small> | ||
** | * <small>Breathing – WHEEZING ARS. CARB-V. IP. KALI-C. LOB.</small> | ||
** | * <small>Lungs - ASTHMA, general - spasmodic</small> | ||
** | * <small>Lungs - ASTHMA, general – suffocative</small> | ||
* | | | ||
*Amel | |||
**Expectoration | |||
**Open air | |||
**You must fan him | |||
**He must bend forward to get better | |||
**Lying on the right side | |||
*Agg: | |||
* | * Nocturnal asthma, esp early morning | ||
** | * cold and damp weather. | ||
* Lying down, with a need to sit up. | |||
* | |Accompanying symptoms: | ||
*Nausea ([[Ip, Ipecacuanha|Ip]], [[Lob, lobelia inflata|Lob]]) | |||
*** | *Sleepiness | ||
* | *Twitching of facial muscles + Cough | ||
*Respiratory stridor + coldness of limbs + cold sweat | |||
* | *Dizziness present along with cough. | ||
* | |- | ||
| | |||
=== [[NS, Tissue Salt Remedy|NS]] === | |||
| | |||
* Cough with thick, ropy, green phlegm is present. | |||
* Top-grade remedy in children asthma. | |||
* | | | ||
*It can be taken 3-4 times a day. | |||
| | |||
* Agg around 4 am and 5 am. | |||
* Difficult breathing in damp weather. | |||
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=== [[Blatta-o, Blatta Orientalis|Blatta-o]] === | |||
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* Dyspnea, suffocative cough with difficult respiration and yellow, pus-like mucus. | |||
| | |||
* Mother tincture BD. But can be taken in 30C and 200C if there are not many changes. Usually, 1M potency is not recommended. | |||
| | |||
* Remedy for asthma triggered by dust. | |||
* It can also be given for asthma triggered in rainy weather. | |||
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|- | |||
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=== [[Hep, Hepar Sulphur|Hep]] === | |||
* Cold agg | |||
* Copious dirty mucus | |||
| | |||
* Asthma attacks: Difficult respiration, whistling, wheezing, and preventing sleep at night + Copious mucus expectoration. | |||
* Yellow or whitish dirty mucus | |||
* Difficulty in breathing deeply | |||
* Wheezing + Choking cough | |||
| | |||
* It can be administered in 30C potency 3-4 times in a day. | |||
* 200C can be taken once or twice in a day. 1M is used in very rare conditions. | |||
| | |||
* Agg by cold air or slight draught of air and | |||
* Amel from covering up and Heat/ Warmth. | |||
| | |||
|- | |||
| | |||
=== [[Ip, Ipecacuanha|Ip]] === | |||
* Catarrhal bronchial asthma | |||
* Asthma King remedy | |||
* Asthma with [[Common cold|common colds]] ([[Spong, Spongia Tosta|Spong]]) | |||
| | |||
* Repeated attacks + Dyspnea and gasping for air. | |||
* Catarrhal bronchial asthma ([[Ant-t ₳ Ip]]) | |||
* Constant Wheezing cough + Rattling, chest is full of phlegm but nothing comes out. | |||
* Cough with mucus which is not easy to expel. | |||
| | |||
* Lungs - ASTHMA, general - sudden, attacks : Ars , Cupr | |||
* [[Hysteria|Hysterical]] asthma: Sudden wheezing Dyspneal | |||
* Spastic / Suffocating / Wheezing ([[Ant-t, Antimonium tartaricum|Ant-t]], [[Ars, Arsenicum Album|Ars]], [[Cupr, Cuprum metallicum|Cupr]], [[Samb, Sambucus nigra|Samb]]) | |||
| | |||
* [[Allergic sinusitis|Allergic]] children's asthma (Ars, All-c, Phos) | |||
* Suppression of rashes ([[Puls, Pulsatilla pratensis|Puls]]) | |||
* Motion agg | |||
* Hot, humid weather agg | |||
* Asthma caused by dust inhalation ([[Blatta-o, Blatta Orientalis|Blatta-o]]''')''' | |||
* Sudden wheezing due to Excitement | |||
|Digestive tract | |||
* Asthma attacks alternating with spastic vomiting ([[Cupr ₳ Ip]]) | |||
* Asthma + Nausea / Vomiting ([[Ant-t ₳ Ip]]) ([[Ip ₳ Lob]]) ([[Cupr ₳ Ip]]) which amel with vomiting | |||
* Asthma + Skin diseases ([[Ars ₳ Ip]]) | |||
* Asthma + Cold sweat of limbs | |||
|} | |||
==== [[Lob, lobelia inflata|Lob]] === | == Second class Remedies == | ||
{| class="wikitable" | |||
|+ | |||
!Second class | |||
! | |||
!Rubrics | |||
!Trigger/ Modality | |||
!Concomitants | |||
|- | |||
| | |||
=== [[Lob, lobelia inflata|Lob]] === | |||
| | |||
* [[Hysteria|Hysterical]] asthma (Mosch, Nux-m, Puls) | |||
* Tightness/ Suffocation/ Heaviness in Throat / Chest (Hydr-ac, Lach, cact, Mosch) | |||
* Chest constriction ([[Cact ₳ Lob]]) | |||
*Spasmodic (Ars, Carb-v, Kali-c) | |||
* | * Breathing becomes progressively more difficult. ([[Ip ₳ Lob]]) | ||
*Severe/ Dry / Debilitating coughs | |||
*His breath stops when he coughs | |||
* | |Lungs - ASTHMA, general - itching, with: Calad, Cist, Psor, Sabad | ||
Lungs - ASTHMA, general - nausea, with : Ant-t , Ip | |||
* | |||
Lungs - ASTHMA, general - vomiting, with Cupr, Ip | Lungs - ASTHMA, general - vomiting, with Cupr, Ip | ||
Line 100: | Line 244: | ||
Lungs - ASTHMA, general - digestion disturbed, after | Lungs - ASTHMA, general - digestion disturbed, after | ||
Lungs - ASTHMA, general - gastric derangements, with | Lungs - ASTHMA, general - gastric derangements, with | ||
Lungs - ASTHMA, general - smoking, from: Ars, Calad, Puls | |||
| | |||
* Common cold after (Spong) | *[[Common cold]] after (Spong, [[Dulc, Dulcamara|Dulc]], Ip) | ||
* Caused by Cigarette smoke | * Caused by Cigarette smoke | ||
* Cold agg | |||
* Motion agg (unlike Ip and Lob) | |||
* Warm (Air/ Food) amel | |||
| | |||
* Mass Sensation in epigastrium | |||
* Chest weakness as if coming from the epigastrium | |||
* | * Tingling of body | ||
* | *Headache | ||
*Back Spine pain / Discomfort in the sacrum bon | |||
* | *Feeling cold in the teeth | ||
* | *Cough + Nausea | ||
*Cough + | *Itching | ||
* | *Digestive problems (Nux-v), esp Nausea / Vomiting + Salivation + Extreme hunger + White tongue | ||
|- | |||
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=== [[Carb-v, Carbo vegetabilis|Carb-v]] === | |||
| | |||
* Asthma in Elderly /Weak people (Ars ₳ Carb-v) | * Asthma in Elderly /Weak people (Ars ₳ Carb-v) | ||
* Allergic Asthma ([[ | * Allergic Asthma ([[Rhinitis]] + Sneezing) | ||
* | * Periodic asthma (Ars ₳ Carb-v) | ||
|Lungs - ASTHMA, general - wet, weather, in - warm, wet weather Bell. Carb-v, Nat-s | |||
Lungs - ASTHMA, general - cyanosis, with : Ars , Cupr , Samb | |||
|Agg: | |||
* After midnight (Ars ₳ Carb-v) (Carb-v ₳ Samb) | * After midnight (Ars ₳ Carb-v) (Carb-v ₳ Samb) | ||
* Morning (Carb-v ₳ Kali-c) | * Morning (Carb-v ₳ Kali-c) | ||
* Summer asthma (Ars ₳ Carb-v) | * Summer asthma (Ars ₳ Carb-v) | ||
* Winter asthma | * Winter asthma | ||
* High places ([[Coca]]) | |||
* Warm Wet weather | |||
Amel by: | |||
* Sitting up straight | |||
* Cold amel / Heat agg . | |||
* Closed room agg /Wind amel | |||
Asthma due to | |||
* Suppression eruptions | |||
* Measles ([[Brom, Bromium|Brom]]) | |||
* Disturbed digestion / '''Stomach distension''' | |||
| | |||
* Digestive tract | * Digestive tract | ||
** Amel with belching (Carb-v ₳ Nux-v) | ** Amel with belching (Carb-v ₳ Nux-v) | ||
** Increased salivation in asthma attacks | ** Increased salivation in asthma attacks | ||
** Asthma + Salivation | ** Asthma + Salivation | ||
* Heart and lack of oxygen: feeling of tightness in the chest | * Heart and lack of oxygen: feeling of tightness in the chest | ||
* Asthma with cyanosis | * Asthma with cyanosis | ||
* Respiratory arrest + Sighing and wheezing | |||
* Asthma with coldness of the skin in touch | |||
|- | |||
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=== [[Sumb, Sumbulus moschatus|Sumb]] === | |||
| | |||
* Respiratory arrest + | |||
* Asthma with coldness of the skin | |||
* Fast and loud breathing | * Fast and loud breathing | ||
* Asthma after activity and lying down afterwards | * Asthma after activity and lying down afterwards | ||
* Asthma caused by fright (Carc, Op) | * Asthma caused by fright (Carc, Op) | ||
| | |||
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*After midnight esp between 3 - 4 A.M which forces him to jump out of bed. ([[Ars ₳ Sumb]]) | |||
* Asthma during sleep / On-going sleep | |||
* Spastic and suffocating | |||
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|- | |||
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=== [[Op, Opium|Op]] === | |||
| | |||
* Laryngeal spasm causes cough | * Laryngeal spasm causes cough | ||
* His breathing is moaning and gasping. | * His breathing is moaning and gasping. | ||
* His breathing is fast and deep | * His breathing is fast and deep | ||
* He must stay awake so as not to suffocate | * He must stay awake so as not to suffocate | ||
|Lungs - ASTHMA, general - sleep, coming on during - falling asleep, after: Am-c, Grin, Lac-c Lach, Merc-pr-r | |||
|Loosening his clothes amel | |||
|Asthma with Cold hands and feet | |||
|- | |||
| | |||
=== [[Hydr-ac, Hydrocyanicum Acidum|Hydr-ac]] === | |||
|His face is blue or pale | |||
His face is blue or pale | |||
* Bloody sputum or yellow mucus | * Bloody sputum or yellow mucus | ||
* Asthma+ Weak pulse + Despair | * Asthma+ Weak pulse + Despair | ||
* Severe palpitations + severe asthma | * Severe palpitations + severe asthma | ||
* Dyspnea + Throat tightness | * Dyspnea + Throat tightness | ||
<blockquote>Lungs - ASTHMA, general - constriction in throat, with : Cact , cham , dros , lach , lob , Mosch | <blockquote> </blockquote> | ||
|Lungs - ASTHMA, general - constriction in throat, with : Cact , cham , dros , lach , lob , Mosch | |||
Heart - HEARTBEATS, general - violent - asthma, in | |||
Heart - HEARTBEATS, general - feeble, after disappointment of affections - asthma, with | |||
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|- | |||
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=== [[Am-c, Ammonium Carbonicum|Am-c]] === | |||
| | |||
* Spastic asthma with wheezing | * Spastic asthma with wheezing | ||
* Elderly asthma (Ambr, Ars) | |||
* Elderly asthma | |||
* A lot of Sticky / White sputum, | * A lot of Sticky / White sputum, | ||
* Severe nasal congestion, He must breathe through mouth | * Severe nasal congestion, He must breathe through mouth | ||
|Lungs - ASTHMA, general - morning - waking, early : am-c.mp1 ant-t.mp1 Ars.mp1 grin.mp1 kali-bi.mp1 Kali-c.mp1 nat-s.mp1 nux-v, zing. | |||
Lungs - ASTHMA, general - sleep, coming on during - falling asleep, after am-c.mp1 Grin.mp1 lac-c.mp1 Lach.mp1 merc-pr-r.mp1 op.mp1 | |||
Lungs - ASTHMA, general - evening - bed, in: graph. sep | |||
| | |||
*Cold / Open air amel (Am-c ₳ Puls) | |||
*Lungs - ASTHMA, general - air, draft of, agg. - open, amel | |||
*Warm / Hot food agg (Am-c ₳ Kali-s) | |||
*Lungs - ASTHMA, general - warm, food agg. - room agg. | |||
* | * Night agg (Sleep-beginning / Early morning / Lying down agg) | ||
|Asthma + Heart problems (Exertion agg , Fast, strong and small pulse) | |||
*Unbearable thirst | |||
* Severe burning in the esophagus | |||
* | * Pressure / Heaviness / Fullness in Nasal Root | ||
* | |- | ||
| | |||
=== [[Dulc, Dulcamara|Dulc]] === | |||
| | |||
Asthma attacks following a [[Common cold remedies|common cold]] | |||
* | |||
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|- | |||
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=== [[Mosch, Moschus|Mosch]] === | |||
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[[Hysteria remedies|Hysteric]] Asthma | |||
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=== [[Med, Medorrhinum|Med]] === | |||
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=== [[Laur, Laurocerasus|Laur]] === | |||
| | |||
* Chills and wants you to cover him | * Chills and wants you to cover him | ||
* Spastic asthma, violent and constant coughs | * Spastic asthma, violent and constant coughs | ||
* First a sudden gasping, then 2-3 long breaths, then a breath pause, and then 2-3 gasps. | * First a sudden gasping, then 2-3 long breaths, then a breath pause, and then 2-3 gasps. | ||
| | |||
|Lying down and sitting straight causes congestion in the chest. Therefore, he should be in a semi-sitting-lying position. | |||
| | |||
*Accompanying symptoms: | |||
* Asthma + Heart problems (Clubbing fingers; Cyanotic Face / Lips; Full and irregular pulses)Thirst for low amount of water | |||
* Low urination | |||
|- | |||
| | |||
=== [[Asaf, Asafoetida|Asaf]] === | |||
| | |||
[[Hysteria remedies|Hysterical]] asthma | |||
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|} | |||
== [[Tissue Salt Remedies]] == | |||
*[[KP, Tissue Salt Remedy|KP]]: Neurological (psychological) asthma | *[[KP, Tissue Salt Remedy|KP]]: Neurological (psychological) asthma | ||
*[[NS, Tissue Salt Remedy|NS]]: | *[[NS, Tissue Salt Remedy|NS]]: |
Latest revision as of 14:19, 6 January 2024
Treatment strategy
Asthma treatment consists of two stages:
- First Palliative/ Acute treatment
- Then Chronic / Condtitutional / Miasmatic treatment
ACUTE DISEASES - Pulmonary disorders - asthma: Ant-t, Ars, Ip, Kali-ar, Kali-c, Nat-s, Nux-v, Psor, Puls, Samb, Tub
Banerji protocols | |
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Extrinsic, allergic asthma |
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Intrinsic Chronic asthma in adults | |
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Top Remedies
Top | Quality | Rubrics | Modalities / Triggers | Concomitants |
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Ars
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Spong |
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Ant-t
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Accompanying symptoms: |
NS |
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Blatta-o |
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Hep
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Ip
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Digestive tract
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Second class Remedies
Second class | Rubrics | Trigger/ Modality | Concomitants | |
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Lob |
|
Lungs - ASTHMA, general - itching, with: Calad, Cist, Psor, Sabad
Lungs - ASTHMA, general - nausea, with : Ant-t , Ip Lungs - ASTHMA, general - vomiting, with Cupr, Ip Lungs - ASTHMA, general - digestion disturbed, after Lungs - ASTHMA, general - gastric derangements, with Lungs - ASTHMA, general - smoking, from: Ars, Calad, Puls |
|
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Carb-v |
|
Lungs - ASTHMA, general - wet, weather, in - warm, wet weather Bell. Carb-v, Nat-s
Lungs - ASTHMA, general - cyanosis, with : Ars , Cupr , Samb |
Agg:
Amel by:
Asthma due to
|
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Sumb |
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||
Op |
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Lungs - ASTHMA, general - sleep, coming on during - falling asleep, after: Am-c, Grin, Lac-c Lach, Merc-pr-r | Loosening his clothes amel | Asthma with Cold hands and feet |
Hydr-ac |
His face is blue or pale
|
Lungs - ASTHMA, general - constriction in throat, with : Cact , cham , dros , lach , lob , Mosch
Heart - HEARTBEATS, general - violent - asthma, in Heart - HEARTBEATS, general - feeble, after disappointment of affections - asthma, with |
||
Am-c |
|
Lungs - ASTHMA, general - morning - waking, early : am-c.mp1 ant-t.mp1 Ars.mp1 grin.mp1 kali-bi.mp1 Kali-c.mp1 nat-s.mp1 nux-v, zing.
Lungs - ASTHMA, general - sleep, coming on during - falling asleep, after am-c.mp1 Grin.mp1 lac-c.mp1 Lach.mp1 merc-pr-r.mp1 op.mp1 Lungs - ASTHMA, general - evening - bed, in: graph. sep |
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Asthma + Heart problems (Exertion agg , Fast, strong and small pulse)
|
Dulc |
Asthma attacks following a common cold |
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Mosch |
Hysteric Asthma |
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Med |
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Laur |
|
Lying down and sitting straight causes congestion in the chest. Therefore, he should be in a semi-sitting-lying position. |
| |
Asaf |
Hysterical asthma |
Tissue Salt Remedies
- KP: Neurological (psychological) asthma
- NS:
- Cough + Gray-Yellow sputum
- Humid agg
- A course of treatment with NS can eradicate asthma
- NM:
- Frothy, Watery /Clear sputum
- Hay fever which ends in Asthma
- Cold agg
- CF:
- Asthma + Hard /Lumpy / Pus sputum
- Menses agg
- KM:
- When asthma affects Heart
- Amel with Keeping still and Agg with motion
- Amel with cold applications and agg with physical exertion
- MP: When asthma is spastic and painful