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 and marked forgetfulness. Marked forgetfulness: Names, Those around her, What she has seen. Forgetfulness makes the person low spirited. Marked absent mindedness and a deficiency of ideas.	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.
Senile Dementia	Bar-c Bar-m	Progressing mental weakness. Forgetfulness while speaking and the mind seems clouded. He forgets the words that he is about to speak. Loss of memory: 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)	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) Strangeness Feeling (Bar-c ₳ Nux-m) 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	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 and then suddenly loses the thread of conversation. While writing, he forgets what he intends to write. The mind is foggy, and there is an inability to recall past events or Difficulty in focusing	Excellent for sudden loss of memory Absentminded: Sudden loss of Speech/ Thoughts, begins a sentence but cannot finish it. 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.
Forgets Names and Words	Med	He is forgetting the names of friends and familiar people. The patient may not even remember their own name. There is also forgetfulness while writing, both regarding the words that are to be written as well as their spelling. While speaking, the person may 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 as well. 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 Accompanies Memory Loss	Graph	He forgets recent events but remembers past events that occurred at a young age. Indifference to everything and everybody.	Obstinate and moody. Dullness and anxiety, mostly in the mornings
Prostration Accompanies Memory Loss	Kali-p	There is exhaustion on both mental and physical levels. He doesn’t recognize his surroundings and 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 ₳ Nux-m) esp in depressed ones (Never laughs)	Alum	Marked forgetfulness: Memory is weak or completely lost. The person’s 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. 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	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
Second polycrest of Dementia (Similar to Alum) But Alum is slow and Nux-m is hysteric	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	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 impotence + dementia 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.
	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