MS, Multiple Sclerosis

Clinic

• MS is a demyelinating autoimmune disease of nervous system.

Specific symptoms:	Related disease	MS types
Double vision / Blindness in one eye Muscle weakness Trouble with sensation Incoordination Cognitive disturbance	GBS Acute disseminated encephalomyelitis Subacute sclerosing panencephalitis	I think MS is an umbrella covering a list of demyelinating disease. I suggest a new classification Considering sign / Symptoms which equals the localization of demyelination. Autonomic Visual Motor Sensory Vestibular Cerebellar

Miasmatic analysis

In order to find appropriate miasm, I need to know series of miasms which could cause Encephalomyelitis. Then the localized involvement could specialized the miasm. ADEM could be a good choice.

MS types	Pathology	Sign / Symptoms	Entities	Miasms	Suggested Remedies
Vestibular MS (49–59%)	Intra-pontine 8th nerve fascicle involvement= Acute Vestibular Syndrome (AVS)	Vertigo, dizziness Imbalance Impaired functional ability, contribute to falls and significant health and social care costs	ADEM Ataxia Vertigo or Dizziness	VZV for vertigo STLE for dizziness	Gels Alum
Autonomic MS	Cardiovascular / Thermoregulatory function during exercise Due to Hypothalamus temperature regulation disorder.	Uhthoff's sign: Agg from higher than usual temperatures Attenuated elevations in blood pressure during exercise can negatively impact blood flow to skeletal muscle. Diminished sweating during exercise	ADEM / SSPE Thermoregulation impaired	RBOL
	Bowel MS: Bowel accidents can also be caused by reduced sensation in back passage, so he dose not recognize the urge to go to the toilet, and reduced control of the muscles at the bottom of his anus.	Constipation due to Decreased or slowed Bowel motility. Hard plug of impacted stool builds up in the back passage, Overflow incontinence: A loose, watery stool can leak out	Constipation Involuntary stool	HSV-1 HSV-2	Alum
	Bladder MS:Urge incontinence (8%): Spastic/ Overactive bladder:	Incontinence: Unable to hold urine Frequency / Urgency Hesitancy / Difficulty in starting urination	ADEM / Brain-stem Incontinence Frequency / Urgency	HTLV-1 STLE	Caust
	Bladder MS: Overflow Bladder that does not empty properly Nocturia	Bladder does not empty properly (retains some urine in it)	ADEM Bladder/Atonia	HSV-1
UMN MS	Corticospinal tract involvement		ADEM Spasticity Paralysis/Weakness: Hyper Reflexia Reflexes, Primitive	HTLV-1 HIV	Arg-n Lat-s Plb Pic-ac
Cerebellar MS			ADEM Tremor Cerebellar Ataxia Dysarthria	CXB VZV	Alum Con
Visual MS	Sudden visual loss		ADEM / SSPE Optic neuritis/Atrophy	EBV WNE HTLV-1 RBOL	Gels Phys
Cognitive MS	40-65 % Cognition skills such as Cognitive miasms: VZV, EBV, HHV-6, CMV, HSV-2, RBOL, HSV-1 Aphasic Miasms: VZV	Memory Attention span Information processing (Decision making, Problem solving) Visual-Spatial Abilities Verbal Fluency: Word-Hunting or mixing words	ADEM / SSPE Cognition Concentration Memory Aphasia	VZV EBV INFL MMP
Painful MS	Central sensitization and second Hyper Stasia	There are two different form first . It seems that both of them have same maiasmatic origin. Central sensitization and sensory MS could be explained commonly.	Hyper Stasia Dysesthesia	HSV-1 HSV-2 HTLV-1	Ox-ac Pic-ac

Related disease

RBD

• Rapid eye movement sleep behavior disorder (RBD) is a parasomnia characterized by brief recurrent episodes of loss of muscle atonia during rapid eye movement sleep, with enacted dreams that cause sleep disruption.
• MS patients have an increased risk compared with the general population to be affected by a sleep disturbance, including RBD. Patients affected, however, uncommonly can present RBD as the first clinical manifestation of MS without other neurologic deficits. These clinical presentations have usually been attributed to inflammatory lesions in the pedunculopontine nuclei, located in the dorsal pons. We present a case of RBD in a 38-year-old woman who was later diagnosed as having MS due to imaging findings and development of focal neurologic deficits. MS should be considered among the differential diagnoses in patients who present with symptoms of RBD, particularly if they are young and female.

Suggested remedies

Caust 200

• Esp where it is associated with urinary incontinence (Involuntary passage of urine, on coughing , walking, blowing nose or sneezing)
• Weakness and progressive loss of muscular strength, causing paralysis of single organs or parts.
• Urine dribbles or passes slowly. Unsteady walking and easily falling.

Plb 200

• An excellent remedy for MS with paralysis of lower limbs.
• Paralysis of single muscles.
• Pain in atrophied muscles with colic.
• Cramps in calves.
• Stinging and tearing pain in limbs, also twitching and tingling , numbness , pain, or tremor.
• Constipation

Following homeopathic medicines cover symptoms of various types and stages of Multiple Sclerosis:

– Begins in lower limb – con.

– Double vision, with – gels

– Grief from – caust, con, phos, nat-m

– Influenza shots after – gels

– Softening of spinal cord, with – arg-n, atro, aur, crot-h, lah, phos, phys, plb, stry, chel, ox-ac, tarent, thuja, sulph, bar-c, bell, gels, lyc, nux-v, sil, calc.

– Vertigo, with – conium.

Common homeopathy medicines for Multiple sclerosis

• Causticum
• Gelsemium
• Oxalic acid
• Phosphorus
• Natrum muriaticum
• Conium maculatum
• Plumbum metallicum
• Zincum metallicum
• Cuprum metallicum
• Syphilinum
• Cicuta virosa

The detail symptoms of these homeopathic remedies for MS are as follows:

Causticum

• Homeopathy medicine for multiple sclerosis with chronic paralytic affections indicated by tearing, drawing pains and severe weakness.
• Local paralysis, paralysis of vocal cords, tongue, eyelids, face, bladder and extremities.
• Paralysis of single parts ofextremities with dull, tearing pains and loss of sensation.
• Impaired vision with sparks and dark spots before eyes. Ptosis and paralysis of extra ocular muscles.
• Restless legs at night with weak ankles.
• Better by warmth especially heat of bed.
• Paralysis of bladder with involuntary urination on sneezing and coughing.

Gelsemium

Oxalic acid

Phosphorus

• Produces softening and atrophy of brain and spinal cord causing marked prostration and trembling, numbness with complete paralysis
• Sensory and motor paralysis from ends of fingers and toes.
• Weakness and trembling from every exertion. Arms and hands become numb. Can scarcely hold anything.
• Great susceptibility to external impressions as light, sound, touch, thunders. Black points seem to float before the eyes.
• Fatigue of eyes and head with hands.

Natrum muriaticum

• Multiple sclerosis with painful contractions of muscle of thigh.
• Ankles weak and turn easily. Coldness of legs with congestion of head, chest and stomach.
• Eyelid heavy. See sparks. Fiery zigzag lines running.
• Emaciated patient with great weakness and emaciation. Psychic causes of diseases and ill effects of grief, fright and anger. Consolation aggravates.

Argentum nitricum

Conium

Plumbum metallicum

• This is a great homeopathy medicine for multiple sclerosis for sclerotic conditions causes paralysis chiefly of extensor, forearm or upper limb from centre to periphery with partial anesthesia or excessive hyperesthesia preceded by pain.
• Localized neuralgic pains with neuritis.
• Eyes – sudden loss of sight after fainting.
• Paralysis of single muscles. Cannot raise arms, can’t lift anything. Extension is difficult. Paralysis from overexertion of extensor muscles in piano players.

Prominent Eye Symptoms	Phys	Dim vision, blurred vision, partial loss of vision and Trembling of vision	C 30 Pain over orbits, cannot bear to rise eyelids. Spasm of ciliary muscles + Irritability after using eyes.
	Gels	Optic neuritis or Orbital neuralgia Blurred/ Foggy vision, Double vision, Pain in the eyes and Varying degree of vision loss Vision blurred or smoky Blurring and discomfort in eyes even after accurately adjusted glasses. Contraction and twitching of muscles. Dim sighted, pupils dilated and insensible to light. C200
Numbness, Tingling, Pin/Needle-like Sensations	Ox-ac	It is effective remedy, where extremities are involved in MS. Weak trembling hands and feet. Numbness extends from shoulders to finger tips. Backache with numbness: Pain Drawing/ Sharp / Shooting/ Lancinating starting from spine and extend through limbs. Muscular prostration: Weakness and coldness in the lower limbs	Multiple cerebral and posterior spinal sclerosis. Lancinating, shooting and jerking pains in various parts. Paralysis with pains very violent and in small spots worse motion and thinking about them. C30
	Pic-ac	Feel pin and needle pricks in their limbs. The limbs often feel tired and heavy in such cases. Marked prostration, muscle weakness and spasms from MS Weakness may worsen with exertion. Patients also complain of a burning sensation along the spine.	C 30 Worn out persons, both mentally and physically. Great weakness, tired, heavy feeling all over the body esp limbs. Burning sensation in many parts esp along spine.
Weakness in Lower Limbs	Con	Best for MS with muscular weakness, especially lower limbs. Weak and weary legs, Sudden loss of strength while walking, Difficult gait and stiffness in legs. Weakness in calf muscles, rigidity in calves, unsteady walk, a Heaviness of limbs where the limbs feel as if they were made of wood and trembling legs Sudden loss of strength while walking. Positive Romberg test: Can walk straight and steadily with eyes closed, but staggers, becomes giddy is nauseated while walking with open eyes. Trembling of all the limbs. Numbness of fingers and toes.	C200 Excellent remedy for old age problems of weakness, languor, local congestions and loss of strength where difficult gait, trembling and painful stiffness of legs are often found. It corresponds to debility, urinary troubles, weakened memory and eye troubles. Eyes – dim sighted worse artificial lights. Paralysis of ocular muscles. Heavy, weary, paralyzed and trembling unsteady hands. Numbness of toes and fingers.
	Arg-n	Best Homeopathic remedy for MS Esp in great weakness of lower limbs. With softening of spinal cord. (Myelomalacia) Weakness, rigidity, or twisting in calf muscles. Walks and stands unsteadily. Legs feel as if made of wood or padded Trembling and numbness of limbs + General debility.	The neurotic effects in this drug are very marked, many brain and spinal symptoms are present. Symptoms of in-coordination, loss of control and want of balance every where. Trembling in affected parts with great desire for sweets. Spots before eyes. Eye strain from sewing worse in warm room. Blurred vision.
Difficulty in Balance and Coordination (Ataxia)	Gels	Lack of muscle coordination in persons dealing with MS. Gait is slow and unsteady. Loss of balance while walking is also marked. Intense dizziness may be experienced along with these symptoms.	C200 Varying degrees of motor paralysis. General prostration + Dizziness, Dullness, Trembling and Drowsiness. Paralysis of various groups of muscles about eyes, throat, larynx, extremities etc. Muscular weakness / Complete relaxation. Ptosis, eyelids heavy, patient can hardly open them with double vision. Cramps in muscles with profuse, clear, watery urine and chilliness and tremulousness. Partial paralysis of bladder. Muscular weakness. Loss of power of muscular control\ Coordination Loss of balance while walking
	Alum	Locomotor ataxia Sluggish and staggering gait, Tottering and falling on closing the eyes, Numbness and a bandaged feeling in the legs.	C200 Staggers on walking. Spinal degeneration and paralysis of lower limbs Inability to walk, expect when eyes are open or in day time (Romberg test) Legs feel numb Constipation
Spasticity in Multiple Sclerosis	Lat-s	Lathyrus Sativus is one of the majorly indicated medicines for spasticity in multiple sclerosis cases. Lathyrus Sativus is noted among the best medicines for multiple sclerosis cases where spasticity is most marked in the legs. The legs feel extremely rigid, with a spastic gait. This is accompanied by trembling or tottering while walking. Cramps in the legs may also be felt along with these symptoms. Lower limbs may show emaciation in some cases.	Lat-s 3C MS with spastic paralysis of lower limbs. Reflexes are increased. Tremulous tottering gait. Excessive rigidity of legs, spastic gait. Cramps in legs, worse from cold. Cannot extend or cross legs while sitting. Gluteal muscles and muscles of lower limbs are emaciated. MS with softening of spinal cord.

Homeopathic medicines are selected on the basis of symptoms, cause, family history and constitution of the person affected. Considering all these factors any of the above (or some other) homeopathic medicine may be indicated and helpful in a case of Multiple Sclerosis.