Doctor of Medicine in Homoeopathic Materia Medica

Transcription

1 STUDY OF INIMICAL RELATIONSHIP IN HOMOEOPATHIC THERAPEUTICS By DR TRUPTI LAXMI SWAIN Dissertation Submitted to Rajiv Gandhi University of Health Sciences, Karnataka, Bangalore In partial fulfillment of the requirements for the degree of Doctor of Medicine in Homoeopathic Materia Medica Under the guidance of Prof. Dr SRINATH RAO Department of Homoeopathic Materia Medica Father Muller Homoeopathic Medical College & Hospital Derlakatte, Mangalore

2 RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA, BANGALORE DECLARATION BY THE CANDIDATE. I hereby declare that this dissertation/ thesis entitled STUDY OF INIMICAL RELATIONSHIP IN HOMOEOPATHIC THERAPEUTICS is a bonafide and genuine research work carried out by me under the guidance of Dr SRINATH RAO, Professor, Department of Homoeopathic Materia Medica during the year in partial fulfillment of regulations of Rajiv Gandhi University of Health Sciences Karnataka, Bangalore for the award of DOCTOR OF MEDICINE (HOMOEOPATHIC MATERIA MEDICA) I have not previously submitted this work (partial or full) to any other Degree or Diploma. Date: Place: Mangalore DR TRUPTI LAXMI SWAIN ii

3 CERTIFICATE BY THE GUIDE This is to certify that the dissertation entitled STUDY OF INIMICAL RELATIONSHIP IN HOMOEOPATHIC THERAPEUTICS is a bonafide Research work done by DR TRUPTI LAXMI SWAIN during the year in partial fulfillment of the requirement for the award of the degree of DOCTOR OF MEDICINE (HOMOEOPATHIC MATERIA MEDICA). I have satisfied myself regarding the authenticity of her observations noted in this dissertation and it conforms to the standards of Rajiv Gandhi University of Health Sciences, Karnataka, Bangalore. It has not been submitted (partial or full) for the award of any other Degree or Diploma. Guide Date: Place: Mangalore Dr SRINATH RAO BHMS, MD (HOM) Professor Department of Homoeopathic Materia Medica Father Muller Homoeopathic Medical College and Hospital, Derlakatte, Mangalore iii

4 ENDORSEMENT BY THE HOD, PRINCIPAL/ HEAD OF THE INSTITUTION This is to certify that the dissertation entitled STUDY OF INIMICAL RELATIONSHIP IN HOMOEOPATHIC THERAPEUTICS is a bonafide research work done by Dr TRUPTI LAXMI SWAIN during the year , as a partial fulfillment of the requirement for the award of the degree of DOCTOR OF MEDICINE (HOMOEOPATHIC MATERIA MEDICA). I have satisfied regarding the authenticity of her observations noted in this dissertation and it conforms the standards of Rajiv Gandhi University of Health Sciences, Karnataka, Bangalore. It has not been submitted (partial or full) for the award of any other Degree or Diploma. Head of the Department Principal Dr SRINATH RAO B.H.M.S., M.D (HOM) Professor Dept. of Materia Medica Fr. Muller Homoeopathic Medical College& Hospital Deralakatte, Mangalore Dr SRINATH RAO B.H.M.S., M.D (HOM) Fr. Muller Homoeopathic Medical College &Hospital Deralakatte, Mangalore Date : Date : Place : Mangalore Place: Mangalore iv

5 COPYRIGHT Declaration by the candidate I here by declare that Rajiv Gandhi University of Health sciences, Karnataka, Bangalore shall have the rights to preserve, use and disseminate this dissertation/ thesis in print or electronic format for academic / research purpose. Place: Mangalore Date: Dr TRUPTI LAXMI SWAIN Rajiv Gandhi university of Health Sciences, Karnataka v

6 Affectionately Dedicated To My lovable Parents Sri. Jaladhar Swain Smt.Jyoshna mayee Swain & Loving Sisters Dr. Jyotilaxmi Swain Dr. Pritilaxmi Swain & Loving Brothers Dr. Jitendriya Swain Dr. Srinibas Swain vi

7 ACKNOWLEDGEMENT I consider this as my privilege to thank the Almighty God for helping me to achieve this humble task through the following persons who have been of immense help and source of encouragement in my endeavor. I would like to express my sincere and heartfelt thanks to my respected teacher and guide Dr Srinath Rao, Professor, Principal and Head of the Department of Homoeopathic Materia Medica for providing me expert guidance, constructive advice, freedom of thought, personal attention, timely support and encouragement throughout my post graduate course and during the dissertation work. It is my good fortune to do this work under his guidance. Dr Sunny Mathew with out his constant support, I would not have achieved my goal. I would like to express my gratitude and love to my parents for their constant support, care and encouragement. My special thanks to my dear friends and all my batch mates. It is my privilege to express sincere gratitude to Director, Rev. Fr. Patrick Rodrigues, Father Muller Charitable Institutions, The Administrator, Rev. Fr. Wilfred Prakash D souza, Fr. Muller Homoeopathic medical college, Mangalore for providing me an opportunity and adequate facilities to carry out this work to my satisfaction in this reputed institution. I also express my heart felt thanks and gratitude to Prof. Dr Shivaprasad, Vice Principal, & Head of the Department of Organon of Medicine and Homoeopathic Philosophy for his constant support, and encouragement. I have to give a special mention for Dr M.K. Kamath, our PG Coordinator for his guidance. I am failing in my duties if I am not mentioning my sincere gratitude to Dr Praveen Raj, Dr Deepa, Dr Guruprasad and Dr Girish Navada for their constant support, encouragement and for giving me the freedom of thought, in out-patient department. vii

8 I thank all the PGS, Interns, and members of staff of Fr. Muller Homoeopathic Medical College and the non-teaching staff of out patient department who have provided me with the case material required for the study. Last but not the least, my sincere thanks to all the Patients on whom the study was conducted. Place: Mangalore Date: Dr TRUPTI LAXMI SWAIN. viii

9 LIST OF ABBREVIATION + : Present < : Aggravation > : Amelioration A/F : Ailments from D/E : Date of examination DM : Dominant Miasm F : Female FM : Fundamental maism H.S : Hora Somni- At bed time Kg : Kilogram M : Male NAD : No abnormalities Detected O/E : On Examination : Recipio- to take S : Same EMES : Early morning empty stomach TDS : Three times daily 1p : One packet Lt. : Left Rt. : Right ix

10 Background: ABSTRACT The inimical relationship of remedies is the most critical moment in any Homoeopathic cure in second prescription, which demands proper understanding of remedy, reaction & remedy relationship. This inimical relationship is not last in itself for prescription, it provides a clue, makes the prescription easier. Objectives: 1. To enhance importance of inimical remedies in clinical practice. 2. Application of inimical relationship in clinical practice. Methods: The study group of 30 was selected based on random sampling method. The diagnosis was based on clinical history, clinical presentation and examination findings. The cases were selected for the study after fulfilling the inclusion as well as exclusion criteria. Results: Effectiveness of the treatment was noted with the relief of symptoms, aggravation of symptoms and appearance of new symptoms and improvement of general health of the patient. From the statistical analysis, it is found that the Homoeopathic medicines have adverse effects in inimical relationship prescription in clinical practice. Conclusion The inimical relationship of remedies in clinical practice is effective in homoeopathic management which will enhance the percentage of cures. Key words: Relationship, inimical, adverse effect x

11 SL. NO TABLE OF CONTENTS PAGE NO. 1. INTRODUCTION 1 2. AIMS AND OBJECTIVES 5 3. REVIEW OF LITERATURE 6 4. MATERIALS AND METHODS OBSERVATION AND DISCUSSION CONCLUSION SUMMARY BIBLIOGRAPHY ANNEXURES ANNEXURE I 66 ANNEXURE II 91 xi

12 LIST OF TABLES TABLE NO. TITLE PAGE NO. 1 Inimical remedies according to K. N Mathur 7 2 Inimical remedies in BTPB 8 3 Inimical remedies according to J.H Clarke 25 4 Inimical remedies in BBCR 26 5 Inimical remedies according to Gibson Miller 28 6 Inimical remedies according to H.C Allen 37 7 Inimical remedies in encyclopedia of remedy 38 relationships 8 Distribution of cases according to action of medicine Distribution of cases according to different systems Distribution of cases according to clinical diagnosis Distribution of cases according to the remedy with inimical relation 53 Distribution of cases according to highest inimical relation with other drugs 54 xii

13 LIST OF FIGURES FIGURE NO. TITLE PAGE NO. 1. Distribution of cases according to action of medicine Distribution of cases according to different systems Distribution of cases according to clinical diagnosis Distribution of cases according to the remedy with inimical relation Distribution of cases according to highest inimical relation with other drugs 55 xiii

14 1. INTRODUCTION The highest ideal of cure is rapid, gentle and permanent restoration of the heal or removal and annihilation of the disease in its whole extent, in the shortest, most reliable and the most harmless way on easily comprehensible principles ( 2). Homoeopathy is based on individualization of the patients as well as the drugs. Every individual is characterized by some unique features which serve to denote that particular individual from other individuals belonging to the same class or group. Evaluation of symptoms manifested by a sick person is a technique peculiar to the homoeopathic art of healing and implies the principle of grading or ranking of different kinds of symptoms in order to priority, which are to be matched with the drug symptoms in a natural disease condition with that of the drug-disease. Homoeopathy works on many firm principles like Law of Similia, Law of Simplex, and Law of Individualization etc. For the drug therapeutics on the homeopathic principle symptomatology will supersede the diagnosis. Relationship is a connection, association, or involvement. Relationship may refer to: Interpersonal relationship, intimate relationship. An interpersonal relationship is an association between two or more people. The context can vary from family or kinship relations, friendship, marriage, relations with associates, work, clubs, neighborhoods, and places of worship. They may be regulated by law, custom, or mutual agreement, and are the basis of social groups and society as a whole. An intimate relationship is a particularly close interpersonal relationship that involves physical or emotional intimacy. Relationship is a general concept. The general we then apply to the particular: The Homoeopathic Materia Medica- the tool that fashions practice. Therefore we should 1

15 know the method of application of drugs. Hence it is necessary to evaluate these manifestations in such a way as to give them practical importance. Von Boenninghausen was the first homoeopath who tried to understand what is to be cured. His keen observant mind noticed that relationships existed among the remedies. Inimical relationship is one among the relations. Others are: a) Complementary. b) Remedy that follows well. c) Cognate. d) Antidote. e) Compatible remedies. The homoeopath needs to have great respect for inimical relations. They are much related like complementary relationship but act in opposition to each other. The more similar the remedies, the greater of the similarity of their symptoms. For change in remedy always consult the subsequent prescription as remedies bearing inimical relationship will have to avoid at all cost. Such inhibitory or contrary effects may be detected by the practitioner himself becoming wiser or by another practitioner whom the patient consults. The study thus always is and remains a comparative study with interconnections, links and cross-links which weave the entire Materia Medica into a well-knit, integrated grid pattern. A magnificent panorama of the entire Materia Medica can now be visualized as a complex logical pattern that facilitates ready movement- provided we pursue the study in depth, in a right manner. 2

16 There are prescriptions made in the follow up even though the prescribed remedy is inimical in relation to the previously prescribed remedy. Many of our literatures say, such prescriptions have to be avoided, in order to prevent the adverse effects. According to Dr. Farrington, most of the remedies belonging to the same family are inimical in relationship. Though the remedies appear similar superficially, the cores of those remedies are different. Homoeopathic therapeutics of any disease needs more than one remedy both in acute and chronic diseases to achieve the objective. The selection of remedy is more significant, valuable and easy by the knowing the remedy relationships and how to differentiate one remedy from other even if they are similar. In this regard the value of inimical is not well explained and not applied fully. This concept of inimical remedies can bring in a better clarity in the portrait of remedies. Thus here is a sincere effort to find out whether there are any adverse effects where inimically related remedies are prescribed. 1.1 Definition: In this section formal definition of inimical is given. Meaning of inimical in American Heritage Dictionary of the English Language, 1. Injurious or harmful in effect; adverse: habits inimical to good health. 2. Unfriendly; hostile. The origin of the word inimical is from Latin word inimcus, which means enemy. In Collins Thesaurus of the English Language dictionary, an adjective: hostile, opposed, contrary, destructive, harmful, adverse, hurtful, unfriendly, unfavorable, 3

17 antagonistic, injurious, unwelcoming, ill-disposed a false morality that is inimical to human happiness. 1.2 Presence of Inimical In Different fields of Science : Inimical is used in Practice Of Medicine, Pediatrics, Medical Bacteriology, Medical Microbiology, Applied and Environmental Microbiology, Applied Chemistry, Drugs on Trial, Aromatherapy for health, Pharmacology, Dental science, Ayurveda, Toxicology, Astrology, Psychiatric, Bioscience and Biotechnology, Cancer Prevention, Ecology etc. It is an older term used from ancient time to till now. To know when to go away and when to come closer is the key to any lasting relationship. 1.3 Organization of the Thesis: First chapter gives a formal introduction of the topic considered in this thesis. We posed our aims and objectives in the second chapter. An extensive literature survey is done in the third chapter. Inimical relationship of various fields of Homeopathy is represented in this chapter. Several cases are selected on the basis of inimical relationship of remedies, in various prescriptions are described in the fourth chapter. Observation and discussion of the cases described in the fourth chapter is done in the fifth chapter. Finally the limitations of the cases studied in this thesis are described in the subsequent chapters. 4

18 2. OBJECTIVES 1. To enhance importance of inimical remedies in clinical practice. 2. Application of inimical relationship in clinical practice. 5

19 3. LITERATURE REVIEW 3.1 Introduction: In this chapter we did an extensive study of inimical relationship between different Homoeopathic aspects, such as: Organon of medicine, Pharmacy, Repertory and Materia Medica. Study on Hahnemann s view about inimical under different aphorisms with respect to various aspects of homeopathy is elaborated. Views of different stalwarts in the field of Homeopathy are also studied in the subsequent sections of this chapter. 3.2 Hahnemann writes in his Organon, 16 as follows: Our vital force, as a spirit-like dynamis, cannot be attacked and affected by injurious influences on the healthy organism caused by the external inimical forces that disturb the harmonious play of life, otherwise than in a spirit-like (dynamic) way, and in like manner, all such morbid derangements (diseases) cannot be removed from it by the physician in any other way than by the spirit-like (dynamic virtual) alterative powers of the serviceable medicines acting upon our spirit-like vital force, which perceives them through the medium of the sentient faculty of the nerves everywhere present in the organism, so that it is only by their dynamic action on the vital force that remedies are able to re-establish and do actually re-establish health and vital harmony, after the changes in the health of the patient cognizable by our senses (the totality of the symptoms) have revealed the disease to the carefully observing and investigating physician as fully as was requisite in order to enable him to cure it. 1 Antidotal remedies are such as may have a similar potential power to inimical remedies, but in this case the adverse action of the first remedy is checked without the 6

20 impact, and the vital energy which was thrown back upon itself in disorder by the first remedy is now met with a similarity which meets the disordered pace symptomatically and the natural order is rest : Principles of prescribing: As per Dr. K.N. Mathur, incompatible remedies are those that do not follow well after the first prescription. They may be inimical or antidotal. 3 Table 1: INIMICAL RELATION BETWEEN REMEDIES ACCORDING TO DR. K.N MATHUR 4 Name of the drug Apis Arg-nit Bar-Carb Borax Canth Cistus Canadensis Coffea Phytolacca Rhus-tox Sil Ammon-carb Selenium Inimicals Rhus-tox Coffea, Vespa Calc-carb Ac.acetic,Vinum Coffea Coffea Canth,CaustCocc,Ign Merc Apis Merc Lach China,Vinum 3.4: View of Boenninghausen: Boenninghausen has represented it in a systemic way. So he is considered to be a pioneer of this concept. The relationship of remedies is the most useful section in the therapeutic pocket book. In the earlier edition Boenninghausen referred to this chapter as 7

21 concordance of remedies but Allen give a more comprehensive title Relationship of Remedies. Boenninghausen s own experience and study of remedies has helped him to complete this section which should in fact render important service to the system. Sometimes a deep acting medicine, through indicated should not be given so as to avoid unwanted precipitation of adverse symptoms; in those an analogue can be found out with the help of this section. 5 Drugs with a tendency to fuse and produce complexes, where there is a peripheral formal similarity but not a central structural similarity, give rise to inimical relationship. They are very similar like complementary relationship but acts against each other, this is derived from clinical experience. 6 Table 2: According to BTPB, the inimical drugs are listed below. 7 Name of the drug Arnica Bell Borax Camphora Cantharis Caust China Cocculus Coffea Digitalis Dulcamara Ignatia Kali nitricum Lach Ledum pal Inimicals Vinum Acetum, Dulc Acetum, Vinum Kali-nit Coffea Acetum, Coff, Phos Dig, Led,Sele Coffea Cantharis, Caust,Cocc,Ign China,Spir-nit-dulc Bell, Lach Coff,Tab Camphor Ammon.c, Dulc.,Nit.ac,Psor China 8

22 Name of the drug Nitrum acidum Nux-v Phos Ran.b Rhus tox Sepia Staph Zinc Inimicals Lach Acetum, Zinc Rhustox Acetum,Staph,Sulph,Vinum Phos Lach Ran.b Cham,Nux.v, Vinum 3.5: Views in Materia Medica: Dr.H.L.Chitkara: Inimical or Incompatible remedies. Which do not follow each other well. He says, in practice it was found that their use immediately after the other produced complications in the smooth management of the case. 8 Scholar's Manual of Homoeopathic Materia Medica Inimical: Drugs which have a relation of enmity towards each other and therefore don t follow each other well & always prove harmful or spoils the action of the former, when given before or after the inimical remedy. They may resemble each other apparently, but will not for each other : 11 Sixth Edition: When a person falls ill, it is only this spiritual, self acting (automatic) vital force, everywhere present in his organism, that is primarily deranged by the dynamic influence upon it of a morbific agent inimical to life; it is only the vital force, deranged to such an abnormal state, that can furnish the organism with its disagreeable sensations, and incline it to the irregular processes which we call disease; for, as a power invisible in itself, and 9

23 only cognizable by its effects on the organism, its morbid derangement only makes itself known by the manifestation of disease in the sensations and functions of those parts of the organism exposed to the senses of the observer and physician, that is, by morbid symptoms, and in no other way can it make itself known. 10 When searching through the literature and authorities regarding drug relationships, it will be seen that no serious scientific studies have been done on this subject. Most of the drug relationships are proposed by empirical clinical observations of practitioners, and not corroborated by scientific studies or evidences. Moreover, practitioners who are not much bothered over this relationship between drugs swear that their experiences prove otherwise. Some homeopaths prescribe so-called inimical drugs even simultaneously or alternatingly, and get expected clinical results. 11 Compatibility and incompatibility are two facets of the same problem; and incompatible and inimical apply to the same angle of the problem differing only in degree. Granted that a second prescription is required within a short time after the first remedy has been given, and the problem of inimical remedies must be considered, we find ourselves inquiring why some remedies seem to be inimical to others. We can only answer that occasionally certain remedies, frequently those having similar action and perhaps from a congenial source, seem to have the power not only to thwart each others action, but to throw back upon itself in disorder the natural flow of vital energy in the patient as stimulated by the remedy first given. The vital energy of the patient in its individual expression in sickness, and the vital power within the remedies which has been developed by potentization

24 3.7: Views in Pharmacy According to Homoeopathic Posology, drugs are inimical to health in proportion to their power & the size of the dose. In order for a dissimilar drug to produce its so called physiological effect, therefore, the dose must be large enough to overcome first, this bodily resistance; & second to produce its characteristic symptoms : Views in Materia Medica: Introduction to homoeopathic prescribing: aude sapere: Inimical or Incompatible relationship: If the patient s condition worsens, when a remedy is given before or after certain other remedy, we know the two remedies are Inimical or Incompatible to each other. The list of remedies shown as inimical in the book on relationships has grown out of such bitter experiences of master prescribers. 14 In Journal of Homoeopathic medicine: 1. China given for debility produced by Ledum is very injurious. 2. Mercury & Silicea have a number of common spheres of action & are needed abscess, boils, bone troubles. 3. Gladwin found that it took a long time to undo the trouble caused after PHOS was given to a patient for severe frequent colds when he was under the influence of CAUST : Knerr Repertory: Kneer Repertory to Herings Guiding Symptoms, heads his interesting chapter on Drug Relationships with the following definitions: Inimical drugs are very similar, not follow each other. Seems to mix up the case

25 3.10: View of Dr.E.A.Farrington: Inimical: They also will be similar, but the resemblance will be so great, in fact the drugs are so nearly idem" that it is not well to follow one with the other, most of the remedies belonging to the same family are inimical in relationship. Though the remedies appear similar superficially, the cores of those remedies are different. They bear a strong resemblance to each other, and thus may seem as they are concordant remedies. These drugs, though resembling each other apparently, will not follow one another with any satisfaction. They seem to mix up the case. Eg : China & Psorinum, Apis & Rhus, Phosphorus and Causticum, Silicea & Mercury. According to Clinical Materia Medica: LACHESIS & AMMON-CARB: Lachesis, though apparently similar to Ammon- Carb in Scarlatina, is really inimical to that remedy. It resembles Ammon-Carb in the blueness of the surface, in the somnolence, in the engorgement of neck & in the dark red or bluish swelling of the throat. Lachesis has almost always, if n t always that extreme sensitiveness of the surface. So that the patient cann t bear to have anything touch the neck. Then, too, Lachesis affects more the left side & Ammon-Carb the right. This sensitiveness of Lachesis is n t the same kind of soreness that you find in other remedies. Firm pressure does n t aggravate, although a light touch will. Despite the apparent resemblance between carbonate of Ammonia & Lachesis, these two drugs have been found to be inimical. Psorinum is inimical to Lachesis. 12

26 APIS & RHUS-TOX : The swelling of the palpebral conjunctiva under Apis is more from congestion under Rhus-Tox, in a true chemosis, which is very similar. But Apis has less tendency to the formation of pus- a symptom highly characteristic of Rhus-Tox. In Apis, the pains are stinging, the times of exacerbation is the evening, & cold water relieves the inflamed lids. If erysipelatous, the lids are a bluish red, looking watery, as if semi- transparent. In Rhus-Tox,the pains are worse at night., particularly after mid-night; warmth relieves; the erysipelatous lids are of a dusky red, & together with the cheeks, are studied with small watery vesicles. The pains in Rhus-Tox are usually of a drawing, tearing character, although in erysipelas they may be burning or stinging, but with more itching then in Apis. CAUSTICUM & CARBO-VEG : Causticum has hoarseness in morning & Carboveg in evening. Causticum has aggravation in dry, cold weather & Carbo-veg in a damp, warm application. CARBO-ANIMALIS & CARBO-VEG: Carbo-animalis & Carbo-veg do n t follows each other well. They are so far inimical that one may n t be given with benefit after the other. They are too nearly alike. CINCHONA &BELLADONNA: Cinchona & Morphia are antagonistic in brain symptoms. Cinchona & Belladonna are antagonistic in heart symptoms, temperature etc. CINCHONA & DIGITALIS: Even in the form of cerebral disease, when Digitalis is to be your remedy, the pulse comes in as your chief guide. If the symptoms like buzzing in the ears should suggest Cinchona. I entreat you n t to give it after Digitalis, for Hahnemann tells us that although there is similarity in the cerebral symptoms & in the weakness, yet the drugs are inimical. 13

27 SILICEA & MERCURIUS: Mercurius, does n t follow well after Silicea. There symptomatologies are apparently similar, & yet do not seem to agree, although Silicea will antidote some of the effects of crude Mercury, but as poetized medicines, they do not follow each other well, hence you must be careful in deciding between the two drugs. CHINA & SELENIUM: The antidotes to Selenium are PULSATILLA and IGNATIA. China and wine are inimical to it. The debility caused by Selenium, so says Hahnemann, is very much increased by the use of Cinchona. Now the emaciation caused by Selenium is very similar to that of Cinchona. We have debility and emaciation from loss of animal fluids, a condition also found under Cinchona; yet the two drugs are Inimical. ZINCUM METALLICUM & NUX-VOM: Zincum metallicum is the preparation we most frequently used. You will notice the very peculiar fact that two preparations containing Strychina, Nux-vom & Ign, hold opposite relation to Zinc. Ignatia follows Zinc well, & may even act as an antidote to its effect on the nervous system. Nux-vom tends rather to increase the effects of Zinc, in fact, is inimical to it : According to A compend of the principles of Homoeopathy : Inimical relation is the very opposite of the concordant and complementary. There seems to be a lack of harmony between certain drugs, as is also seen in certain chemical affinities. This may be so marked that when following each other in the treatment of a case, disturbance shows itself and the cure is interfered with and the whole case mixed up. Such a relation seems to exist between Apis and Rhus, between Causticum and Phosphorus; Mercurius and Silica; Sepia and Lachesis and others. Do not give these 14

28 remedies after each other. It is well to note these inexplicable conditions of drug action, based on friendly or inimical relationship : Scientific Methodology of Repertorisation: Criteria for the Best Repertorial Result Related remedies Inimical, Antidotes,Compliments If you get inimical remedies (likemerc. sol & Silicica, Causticum & Phosphorous) on the top of your chart Your rubric selection is very good : Views in Materia Medica Clinical Relationships of Drugs with their Modalities, B K SARKAR states that INIMICAL REMEDIES: These remedies resemble one another. They may spoil the action of the previous remedy BUT THEY MAY GO ON TO CURE. 20 Dr Wright Hubbard explains that these are recorded incidents by other homeopaths where adverse reactions have been noted; for example causticum and phosphorus. However, we also know that occasionally these inimical remedies have been prescribed following each other with no ill effect! 21 Dr.C.Hering: Remedies listed by some of our observers as having inimical relationships show a close relationship symptomatically, such as Nux vomica and Ignatia; Lachesis and Ammonium carb.; Zincum and Nux vomica; Rhus tox. and Sulphur; Rhus tox. and Phosphorus - and others classically considered as unfriendly in sequence. In many of these groupings we trace the symptomatic relationship through more than one sphere of action, or it may come with peculiar force through the nervous system, the glandular system, or some other derangement that has its basis in a deeply reactive function in the individual. Thus we find that the animal remedies are very frequently 15

29 contraindicated in close proximity, and the greater the similarity of the symptoms the greater the risk; the more closely similar the remedies, the greater the antagonism between them and the more certain the second remedy will injure the case. 22 HERINGS CONTRIBUTION TO REMEDY RELATIONSHIPS: Aceticum acidum. Inimical: arn., bell., caust., lach., merc, nux v., ran. b., sars. Allium sativum inimical. aloes, cepa, squilla. Ammonium carbonicum inimical: lach Anantherum muricatum inimical: wine and strong liquors Arnica montana. Inimical: after the bite of a dog or any rabid or angry animal; wine increases unpleasant effects Arum triphyllum inimical: calad., which is too similar. Asterias rubens inimical: coffee and nux v Aurum muriaticum inimical: sulphur springs Aurum muriaticum natronatum inimical: coffee and alcohol Baryta carbonica inimical: calc. (in scrofula). Belladonna inimical: dulc, vinegar Benzoic acid inimical: wine. Borax inimical: vinegar, wine Bovista inimical: coffee. Caladium inimical: arum t., and doubtless the other araceae Calcarea carbonica inimical: before nitr. ac and sul. (Hahnemann.) Calendula inimical: camph 16

30 Camphora. Inimical: after nitrum; in some cases coffee aggravated and was followed by vomiting. Cantharides inimical: coffee; oil increases pernicious effects by rendering the active principle canthari-dine nonsoluble, favoring greater absorption Caulophyllum thalictroides incompatible: coffee Causticum inimical: acids, vinegar, coff., phos Cepa inimical: all. sat., aloe, squilla Cinchona officinalis inimical: dig., selen. Cistus canadensis inimical: coffee causes diarrhea Cocculus inimical; coffee Coffea cruda inimical: canth, caust., coccul., ign Digitalis purpurea inimical: cinch, nitr. Sp. d. Dulcamara inimical: bell., lach Ignatia inimical: coffee, nux v., tobacco Kobaltum inimical: carbo v Lachesis inimical: acet. ac Lacticum acidum inimical: coffee increases symptoms Ledum palustre inimical: cinch. Lycopodium inimical: coffee Mercurius (solubilis and vivus). Inimical: sil. 17

31 Millefolium inimical: coffee, which causes congestion to head Nitrum spiritus dulcis inimical: dig., ran. b. Nux vomica inimical: acids, ign., zinc. Paris quadrifolia inimical: ferr. ph Phosphorus inimical: caust. Podophyllum inimical: salt, which increases its action Ranunculus bulbosus inimical: nitr. Sp. d, staph., sul., alcohol, wine and vinegar Rhus toxicodendron inimical: apis Selenium inimical: cinch, wine Sepia inimical: lach, milk. Silica inimical: merc Strammonium inimical: coffee Zincum inimical: Cham., Nux v., wine An area in which adequate attention is to be given while prescribing homoeo medicine is the inimical nature of the medicines. Some medicines do not follow others well, some may create severe aggravation and some should not be given : In Pharmacy: Drugs belonging to the same family (vegetable, animal or mineral) must of necessity have a similar action eg: 18

32 Vegetable Kingdom I. Arum triphyllum and caladium belong to the same family Araceae but are inimical to each other. II. Nux vomica and ignatia belong to the same family Loganiaceae but are inimical to each other. III. Belladonna and Dulcamara belong to the same family solanaceae but are inimical to each other. IV. Ranunculus bulbosus and Staphysagria belong to the same family ranunculaceae but are inimical to each other. V. Aloe soc.,allium cepa,allium sativum and Scilla maritime belong to the same family liliaceae but are inimical to each other : View of Rajan Sankaran schema: LIST OF INIMICAL REMEDIES BELONG TO VEGETABLE KINGDOM Bell-- Dulc China-- Dig,Led Coffea-- Ign Dig-- China Dulc-- Belladonna Ign-- Coffea, Nux-v,Tab Led china Ran-b-- staph Staph-- Ran-b 19

33 Arum-triph-- Calad Bovista-- Coffea Calad-- Arum-triph Calendula Camph Caulo Coff Millef Coffea Nux-v-- Ign Tab Ign Sec.corn-- Acon, Bell, Chin, Puls 25 Animal Kingdom All snake venoms of the same family of ophitoxin possess same similarity in many of their actions, but they donot follow each other well: e.g.lachesis,crotalus horridus,naja,elaps. 24 LIST OF INIMICAL REMEDIES BELONG TO ANIMAL KINGDOM Sepia Lach All nosodes are inimical to snake poison.eg. Psor is inimical to Apis,Crot, Lach & serpent poisons. 26 Mineral Kingdom The halogens, chlorine, iodine, bromine & fluorine have many similitudes, because they belong to one family. While Camphor antidotes almost all medicines from the vegetable kingdom it is inimical after Kali Nit and Coffea Cruda

34 LIST OF INIMICAL REMEDIES BELONG TO MINERAL KINGDOM Sil-- Merc Borax-- Acetic-ac Ferr-- Acetic-ac Kali-bi-- Calc Merc-- Acetic ac, Sil Phos-- Caust Acetic-ac-- Borax, Caust (after) Kreos-- Carbo-v Baryt-carb-- Calc-carb Camphora-- Kali-nit Kali-nit-- Camphora Caust-- Acetic-ac,Phos Ferr-- Acetic-ac Kali-bi-- Calc Calc-c-- Nit-ac,Bar-c, Sulph (After), Kali-bi (Before Calc ) Sul-- Aur-met, after Calc Carbo-v-- Carbo-an, Kreos Carbo-an-- Carbo-veg Nit-ac-- After Calc. 21

35 LILIACEA FAMILY 25 Allium cepa inimical Aloes, Allium sativa Allium sativa inimical Aloes, Allium cepa Vegetable kingdom Aloes inimical Allium sativa CARBON FAMILY Carbo-veg inimical Carbo-animalis Carbo-animalis inimical Carbo-veg Mineral kingdom Carbo-veg inimical Kreosate Kreosate inimical Carbo-veg 3.16: 31 Sixth Edition: The inimical forces, partly psychical, partly physical, to which our terrestrial existence is exposed, which are termed morbific noxious agents, do not possess the power of morbidly deranging the health of man unconditionally1; but we are made ill by them only when our organism is sufficiently disposed and susceptible to attack of the morbific cause that may be present, and to be altered in its health, deranged and made to undergo abnormal sensations and functions - hence they do not produce disease in every one nor at all times.26 In I.C.R. OPERATION MANUAL : the exciting cause or maintaining factors of the disease or in life style, taking into account the understanding of the patient, this ignorance needs to be removed be an inimical life style adopted by supplying data which is missing. At another level, in spite of information, there may for reasons not available to patients

36 141 Sixth Edition: But the best proving of the pure effects of simple medicines in altering the human health, and of the artificial diseases and symptoms they are capable of developing in the healthy individual, are those which the healthy, unprejudiced and sensitive physician institutes on him with all the caution and care here enjoined. He knows with the greatest certainty the things he has experienced in his own person. Those trials made by the physician on himself have for him other and inestimable advantages. In the first place, the great truth that the medicinal virtue of all drugs, whereon depends their curative power, lies in the changes of health he has himself undergone from the medicines he has proved, and the morbid states he has himself experienced from them, becomes for him an incontrovertible fact. Again by such noteworthy observations on himself he will be brought to understand his own sensations, his mode of thinking and his disposition (the foundation of all true wisdom), and he will be also trained to be, what every physician ought to be, a good observer. All our observations on others are not nearly so interesting as those made on ourselves. The observer of others must always dread lest the experimenter did not feel exactly what he said, or lest he did not describe his sensations with the most appropriate expressions. He must always remain in doubt whether he has not been deceived, at least to some extent. These obstacles to the knowledge of the truth, which can never be thoroughly surmounted in our investigations of the artificial morbid symptoms that occur in others from the ingestion of medicines, cease entirely when we make the trials on ourselves. He who makes these trials on himself knows for certain what he has felt, and each trial is a 23

37 new inducement for him to investigate the powers of other medicines. He thus becomes more and more practiced in the art of observing, of such importance to the physician, by continuing to observe himself, the one on whom he can most rely and who will never deceive him; and this he will do all the more zealously as these experiments on himself promise to give him a reliable knowledge of the true value and significance of the instruments of cure that are still to a great degree unknown to our art. Let it not be imagined that such slight indispositions caused by taking medicines for the purpose of proving them can be in the main injurious to the health. Experience shows on the contrary, that the organism of the prover becomes, by these frequent attacks on his health, all the more expert in repelling all external influences inimical to his frame and all artificial and natural morbific noxious agents, and becomes more hardened to resist everything of an injurious character, by means of these moderate experiments on his own person with medicines. His health becomes more unalterable; he becomes more robust, as all experience shows : John Henry Clarke s Concept Of inimical Relationship: The second section of clinical relationship has been given in tabular form and it represents the chief clinical relations of all remedies of the Materia Medica so far as they have been noted. Incompatible Remedies, [Remedies that do not follow each other] The duration of action of remedies have been also added in it

38 Table 3: View of Dr. J.H CLARKE Remedy Complementy Follows well Antidotes Inimical Amm-c Lach Lach Apis Phos Phos Bar-c --- Calc-c ---- Calc-c Bell ---- Dulc Dulc Calc-c Bry Bry Carbo-an Carbo-veg Carbo-veg Chamomilla Nux-vom Nux-vom Nux-vom Dig China China China Dulcarmera Belladonna Belladonna Hepar Spongia Spongia Ign Nux-vom Nux-vom Nux-vom Ledum China China Lyco Sulph Sulph Nit-ac Calc-c Calc-c Calc-c Secale-corn Acon,Ars,Bell,China, Merc,Puls Acon,Ars, Bell,China, Merc,Puls Tabacum Ign Ign 3.18: In General Pathology of Homœopathy: In a strong protest (1830), against the current, terribly pernicious atmospherictelluric theory of the nature of cholera, Hahnemann stated the infectious, miasmaticparasitic nature of cholera and described its rise and growth in the following words: "The 25

39 most striking examples of infection and rapid spread of cholera take place in this way: On board ships in those confined spaces, filled with moldy, watery vapors, the cholera miasma finds a favorable element for its multiplication, and grows into an enormously increased brood of those excessively minute, invisible, living creatures, so inimical to human life, of which the contagious matter of the cholera most probably consists." : C.M.Boger s Concept Of inimical Relationship: The common experience that continued thoughtless and injudicious use of the same medicine often does more harm than good and two very similar remedies do not follow each other well, has its origin in this fact. 31 Table 4: According to BBCR, the inimical drugs are listed below. Name of the drug Ammon.carb Selenium Inimicals Lach China, Vinum 3.20: Synoptic Key of Materia Medica: Dr. Boger has given the relationship of remedies in following way: 1.Follow 2.complementary 3.Related and 4.Antidotes. In the third portion of the same book, he has given following Relationships: 1. Complementary remedies 2. Antagonist remedies - Equivalent to inimical remedies. The hints given by Boger are having great practical value

40 3.21: Theory of Chronic Diseases: After 30 years of homoeopathic practice Dr.Hahnemann realized that homeopathy failed to execute a 'real cure' in some diseases. He observed that in many cases symptoms got ameliorated for a brief period only to relapse at a later date. Hahnemann, by his reasoning and logic, excluded the other probabilities and concluded that certain obstacles were responsible for the relapses and failures. So he studied the chronic cases in great depth and after 12 years of studies, he discovered that chronic diseases are caused by chronic miasmas. Miasma is an obnoxious disease-producing agent, dynamic in nature and inimical to life. He founded the theory of miasma and named the miasma as: Psora Sycosis Syphilis : E-journal, second prescription: Change in the remedy: It is indicated if symptom picture indicates a definite change & no longer corresponds to the original picture on which the first prescription was based. In such cases it is better to give a thought of relationship of remedies. Remedies bearing inimical relation should be avoided. These tend to spoil the case : The elements of homoeopathy: Dr. P.sankarn s concept of inimical relationship is as follows: Incompatible remedy is one that does not follow (or proceed) well the original remedy. This seems to be a lack of harmony between such drugs. Therefore prescription of such remedies in succession is avoided

41 3.24: Dr.Gibson Miller: Dr.Gibson Miller says that some remedies are inimical to each other in their acute spheres & others in their chronic. He said to have remarked that relationship of remedies column is not so useful. 36 Table 5 : View of R. Gibson Miller REMEDY COMPLEMENTY FOLLOWS WELL ANTIDOTES INIMICAL Ac.acet Nux Nux Calc-c Ac-nit Ac-nit,Sul Ac-nit,Sul Carbo-an Carbo-veg ---- Carbo-veg Lach Ac-nit Ac-nit Ac-nit Rhus-tox Phos Phos 3.25: DIET & REGIMEN: It has been observed that people do have quite a misunderstanding about Dietrestrictions while using Homoeopathic Medicines. Unless a particular item in food or otherwise, is known to antidote or hamper the action of the drug administered, there is no necessity for it to be avoidable. (Aphorism ).So here is just an effort to clear these queries. Given a list of Homoeopathic medicines and items of food and drink inimical to them. 28

42 Homoeopathic Medicines Inimical Items 1. Acet.Ac Lime water 2. Aconite Vegetable oils, Wine 3. Ant.Tart Milk 4. Apis Onions 5. Arg.Nit Milk 6. Amm.Carb Vegetable oils 7. Ars Cane juice, honey 8. Arum-Tr Whey 9. Bell Coffee, Vinegar 10. Bor Acid, Wine 11. Bov Coffee 12. Bry Acid, Lemon 13. Canth Oil 14. Caul Coffee 15. Caust Coffee 16. Cham Coffee 17. Chel Acid, Coffee, Wine 18. Cist Tea 19. Coll Vinegar 20. Coloc Coffee 21. Cupr Sugar 22. Ferr Beer, Tea 29

43 23. Ign Coffee, Sweets 24. Kali Br Salt 25. Lyco Coffee 26. Nux Vom Coffee 27. Phyto Milk, Salt 28. Psor Coffee 29. Ran. Bul Vinegar, Wine 30. Sol Lycop Tomato 31. Sel Wine 32. Sulph Tea 33. Thuj Onions 34. Zinc Met Wine Contribution over this topic based on personal & clinical experiences : View of Dr.J.T.Kent: Inimical: He says `they do not like to work after each other.' Eg.: Causticum and Phosphorus. Apis and Rhus. Kent believed that some remedies were inimical to each other in their acute sphere and others only in their chronic sphere. 38 Lectures On Materia Medica: When patients are under constitutional remedies, they need caution about certain kinds of foods that are known to disagree with their constitutional remedies. A Bryonia patient is often made sick from eating saucer kraut, from vegetable salads, chicken salad, etc.,so that you need not be surprised, after administering a dose of Bryonia for a constitutional state, to have your patient come in & say she has been made very ill from 30

44 eating some one of these things. It is well to caution persons who are under the influence of Pulsatilla, to avoid the use of fat foods, because very often they will upset the action of the remedy. It is well to say to patients who are under Lycopodium, See that you do not eat oysters while taking this medicine. These medicines are known to produce states in the stomach inimical to certain kinds of foods; certain remedies have violently inimical relations to acids, lemons, etc. If you do not mention the fact and say, you must not touch vinegar & lemons; nor take lemon juice while taking this medicine, you will have the remedy spoiled, & then wonder why it is. The medicines often stops acting & the patient gets a disorder condition of the stomach & bowels; a medicine that should act for a long time ceases action & you do not know what the trouble is. Homoeopathy will rule out such things as inimical to the remedies & inimical to patients in general, or do not agree with a particular constitution : According to ICR Symposium volume, area-d: Injurious, inimical, incompatible relationship; This is derived from clinical experience by master prescribers. Similar drugs with a tendency to fuse and produce complexes, where there is a peripheral formal similarity but not reflected in the central structural similarity, as for example Phos Caust. 40 THE IMPORTANCE OF SYMPTOMS: In Paragraph 5 of The Organon, Hahnemann wrote that the homeopathy, or the physician, should investigate the facts about the history of the patient's chronic diseases, their moral and intellectual character, their occupation, mode of living, their habits, their social and domestic relations, their age, sexual function etc. 31

45 When a person is under the influence of an inimical force to life, this force will dominate all their life. The homeopath knows the way that this inimical force is working by the symptoms that the person expresses. In the footnote to paragraph 17, Hahnemann wrote that the vital force of the sick person displays these symptoms so that the homeopath knows which remedy should be given. This function is an act of charity given by the Creator for the benefit of human beings. From this we understand that the symptoms of a sick person (or of an individual undertaking a proving) are produced by the vital force, and are a result of the influence caused by the specific inimical force to life that is dominating the sick person (or "prover"). When a vital force cannot give exactly the opposite answers that will antidote the inimical force to life, it brings symptoms. These symptoms will differ according to which inimical force to life influences the person. If we want to know what a force specific inimical to life wants to do to a person, we need to transpose the symptoms presented. For example, if someone who drinks coffee is made more awake, it means that coffee wants to make the person go to sleep and that the sleeplessness is the opposite reaction that is produced by the vital force to prevent the person from falling asleep. A homeopathic remedy can stop the descent of the sick person and strengthen their vital force. When a sick person is given their similimum, their vital force will be able to give the opposite answer to the inimical force to life

46 THE GENIUS OF HOMOEOPATHY LECTURES AND ESSAYS ON HOMOEOPATHIC PHILOSOPHY BY DR STUART M. CLOSE: Practitioners who are not much bothered over this relationship between drugs swear that their experiences prove otherwise. Some homeopaths prescribe so-called inimical drugs even simultaneously or alternating and get expected clinical results. The power of reaction is just opposite to the inimical. The law of nature is the balance between action and reaction, but if the reaction or power of resistance (susceptibility) is weaker, the inimical force will prevail on organism and produce sickness but if the reaction or the power of resistance is stronger, the inimical force will become ineffective and the sickness cannot prevail on the organism. Incompatible/Inimical remedies: Incompatible remedies are homoeopathic drugs which may not be successfully used consecutively. Experience has shown that the administration of incompatible remedies in successive order will cause disturbances of many & various natures to arise which exceedingly complicate the case being treated. Such an antagonists include, for example, homoeopathic drugs of fairly different homoeopathic pathogenesis or those which are characterized by modalities which are strongly adverse in nature. In most cases one could talk an antagonistic action in the ordinary sense. 30 Cases of absolute incompatibility, however, are rare in the context. In many cases the incompatibility of two homoeopathic remedies will entail only certain homoeopathic areas of their homoeopathic drug pictures or of a certain indication

47 3.27: Nash says: I do not believe in the so called incompatible as some do. I should give Caust after Phos, Sil after Merc-sol or Rhus-tox after Apis if I found them indicated. But the fact is these remedies mayn t be really indicated, the one after the other : An over view: An area in which adequate attention is to be given while prescribing homoeo medicine is the inimical nature of the medicines. Some medicines do not follow others well, some may create severe aggravation and some should not be given. 27 DO NOT USE: Acetic Acid After Lachesis Acetic Acid after Belladona Aconitum after Acetic Acid Apis Mel After Rhus Tox Asteria Rubens after Nux Arum Tryphillum after Caladium Seguinum Aurum Muriaticum after Coffea Cruda Belladona after Dulcamera Bryonia after Calcaria Carb Calcaria Carb after Baryta Carb Calcaria Carb after Kali Bich Calcaria Carb after Nitric Acid Carbolic Acid after Lachesis Camphor After Kali Nit. 34

48 Camphor After Coffea Causticum Aftr Phosphorus Chamomilla After Nux Vomica Chamomilla after Zicum Met. China after Selenium Cocculus after coffea cruda Coffea Cruda aftr Asteria Rub. Coffea after Caulophyllum Coffea Cruda after Ignatia Ferrum Mur. After Digitalis Glycerin after Carbolic Acid Ignatia after Coffea Cruda Lachesis after China Lachesis after Dulcarmera Lachesis after Sepia Mercurius after Silicia Mercurius after Phytolacca Nux Vomica after Ignatia Nux Vomica after Asteria Rubens Phosphorus after Causticum Psorinum after Sepia Pulsatilla after Sepia Rhus Tox after Apis Mel Ranunc Bulb. After Staphisagria 35

49 Sepia after Lachesis Silicia after Mercurius Sulphur after Calcaria Carb (should not be given) Tabacum after Ignatia Wine after Benzoic Acid Wine after Selenium Zincum Met after Nux 3.29: Lectures on the theory and practice of Homoeopathy: Contents of the medicine also suggest the inimical. Eg : Lyco contains Sulph. 44 Principles and Practice of Homeopathy: The Therapeutic and Healing Process: Incompatible or inimical remedies are those that are recommended not to be prescribed in succession. However, it is quite possible to see a patient at follow up or to retake a case & to see a remedy that previously was not possible. In this case, knowing that it was inimical to a previously indicated remedy would not to be a contraindication. Prescribing an Incompatible or inimical remedy as the same level as a previous remedy can cause the case to become more confused & hidden. Take the example of an Eczema case where Apis Mel has acted partially. If RhusTox is then used when the case is no clearer at a deeper level, the Apis symptom often return for the case, the case generally gets more confused. There are many other suggested incompatible or inimical remedies, observed by different authors but they should not stop a prescription if a remedy picture is clear & seen deeply. If however, two Incompatible or inimical remedies are equally indicated in a 36

50 case often a deeper level of understanding will reveal which of them is best suited or another layer of the case may be seen pointing to a different remedy : According to Dr. H.C. Allen: Dr. H.C.Allen described about seven types of relationship in his key notes, namely complementary, follows well, followed well by, incompatible, antidote, similar to and compare; without mentioning any gradations of them. 46 Table 6: INIMICAL RELATION BETWEEN REMEDIES ACCORDING TO DR. H.C ALLEN 47 Name of the drug Ammon-carb Apis Kreos Nitric-ac Nux-vom Rhus-tox Sepia Zinc Inimicals Lach Rhus-tox Carbo-veg Lach Zinc Apis Lach,puls Cham,Nux-vom 3.31: Practical Key To Homoeopathy: Some of these practical tips are mentioned below, which will give us an idea how to approach a case:- Bryonia and Calcarea carb are inimical. Calcarea carb must not be given before Sulphur. Silicea should be thought of when the abscess does not heal under 37

51 Merc sol. A dose of Sulphur should be gphosphorus and Causticum must not be used after each other; they are inimical to each other.iven after Merc sol, beforxe giving Silicea; for Merc sol and Silicea are inimical. Silicea follows Sulphur well. 48 Table 7 : INIMICAL REMEDIES IN ENCYCLOPEDIA OF REMEDY RELATIONSHIPS 49 Name of the drug Acon Inimicals Ac.acetic,Vegetable acids,coffee, Lemonade,Acids,Sour fruits, wine Aes-hip Aeth-cyn Agraphis nutans Ambra grisea Amm-carb Ant-tart Antipyrinum Apis Arnica Arum dracunculus Arum italicum Arum maculatum Arum triph Asterias rubens Arum metallicum Nux-vom Ant-c,cicu-v All-c,All-s,Squilla Nux-v,Staph Lach,Anac Kali-s Coffee in excess Rhus-t,Phos Acetic acid,wine Caladium Caladium Caladium Caladium Coffea,Nux-v Gels 38

52 Baptisia tinctoria Baryta iodata Baryta muriaticum Belladona After Calc.(in Scrofula),Calc-p Calc-iod, Fl-ac,Kali-f,Lapis,Mag-f,Nat-f Absin Acetic-ac(Pain in head),dulc,ter,lemon,vinegar Borax veneta Bovista lycoperdon Bryonia alba Calc-c Calendula Cantharis Acetic-ac, Sour fruits, Alcohol, Vinegar, wine Coffee, Coffea Calc-c Bar-c,Bry,Kali-bi,Nit-ac,Sulph Camph,after Coffea Coffea,Oil increases the bad effects of Cantharis Carbolic acid Carbo animalis Carbo veg Lach, Vegetable oils Carbo veg Carbo animalis,caust,kreos, should n t be used alternately with Ars & Lach Caust Acetic-ac (after Caust), occ,coff,coloc, Kali-nit,Nux-v,Phos,Acids,Vinegar Cham Chel China Nux-v(But follows well in coryza),zinc,coffee Acids,Wine & Coffee restrict its action Bell(Heart symptoms & temp),dig(after China),Kreos,Morphia(Brain symptoms),selen(after China) 39

53 Cholesterinum Cistus Canadensis Cobaltum metallicum Cocculus indicus Coffea cruda Lee(In lower dillution) Coffee,Coffea Carbo veg Caust, Coffee,Coffea Arg-nit(Nervous headache),aster, Calen,Camph,Canth,Caust,Cist,Cocc,Ign, Lac-ac,Mill,Stram,Valer Con-mac Duboisinum Ferr-met Glonoinum Hep-s Ipecac Kali-nit Kalmia latifolia After Psor, Nit-ac Musc Acetic-ac,Dig,Thea,Beer Wine Pyrog,Spongia Bism,Op Camph,Caust,Ran-b Acetic-ac,Acon,Amm-c, Carb-ac,Dulc,Nitac,Psor,Samb,Sep Lactic-ac Ledum palustre Lycop Medo Merc Nat-mur Nit-ac Coffee China Coff,Nux-m,Sulph Ipe Ace-ac,Lach,Sil Nit-ac(after Nat-m),Podo Calc,Hep,Lach 40

54 Nux-m Opium Oxalic-ac Paris quadrifolia Petrolium Phos Phytolacca decandra Podo Psorinum Sil,Squila Gels Sugar,Coffee & wine Ferr-p, Phos After Sepia Apis,Caust,Rhus-tox(After Phos),Iod Merc Salt increases its action Apis, Chin, Con, Crot-tig, Lach,Lyco,other serpent poisons,sep Puls Ars,Bell,Cham,Lach,Nux-m, Nux-v,Sep (n t to be alternate with Sepia), Rhus tox Raphanus sativus Rhus tox Milk & Water < the pain in stomach Anac, Apis especially in skin eruptions, Eruptive fevers Selen Sepia Squilla maritime Staph Stramonium Sulph China,Wine Bry,Lach,Puls Aloes, All-c,All-s Ran-b before &after Coffea Aur-m,Calc(before Sulph),Merc(Itching & burning in vulva after prescription of Sulph for 41

55 genital Eczema),Puls,Rhus-tox,Thuja, Merc(Before sul), Nux-m, Ran-b Thea chinensis Valeriana officinalis Vespa crabro Zinc.met Ferr,Adrenalin Coffea,Camphor Arg-nit Cham,Nux,Wine,Alcohol The best known incompatible remedies, that are in some way opposite to each other are naturally predisposed to one another, then remedies that are similar will naturally repeal each other : A few ideas by Dr. S.P. Koppikar in his article on RELATIONSHIP : Incompatible is the least understood or developed. Scattered through the Materia Medica of Hahnemann and his disciples are found remarks like: Does not follow such and such drug well. If administered before or after should not be used before or after such and such drug and so on. Dr. Gladwin states : I have learnt tu have great respect for these incompatible remedies. When it was a well known fact that two remedies would fight when they had a chance, I was careful not to give them a chance : In National Journal of Homoeopathy: Incompatible means: Some injurious effects were observed by prescribers after the administration of some remedies (like a complex dissimilar disease). Central structural similarity is not achieved; instead peripheral formal similarity is only corresponded. This gives rise to some non-desirable effects. Example: Con is inimical to Psor. Caust is inimical to Phos

56 Thus our relationship of remedies tables allows us to benefit from the combined expertise and observation of homeopaths over the years. They by no means preclude other remedy pictures coming up, but they can guide us in our prescribing. This allows us to antidote adverse affects; complement the action of our previous remedy, and to steer clear of inimical reactions : According to Indian Journal of Homoeopathy: After administering a particular medicine, when a change of prescription becomes necessary, should we invariably avoid the medicine listed as antidotal or inimical ones; unless we ascertain and comprehend the basis for arriving at these relationships. We shall not be able to develop and add to these lists but we shall have to satisfied with the existing ones. 52 There may be other explanations and conclusions possible. These ideas have been given in the hope of stimulating study, discussions and experiments; and as hypothesis for further study of one of the most ticklish and imprecise problems in homoeopathic literature : Conclusion: In this chapter we did an extensive review of inimical relationship in Homeopathy. Views of experts in the field of Homeopathy are carefully studied and their instructions are well documented here. Prospective and retrospective studies of different cases are done in the next chapter basing on the study done in the literature review. 43

57 4.MATERIALS & METHODS 4.1 : Introduction: In this section several cases are selected from case records of FMHMC, SCR, depending on duration of inimical prescription and their follow up results. In the subsequent sections the case selection/rejection method is dealt in detail. Finally the diet, assessment and follow up criterions are mentioned. 4.2: Sources of data: The study was conducted in patients who reported to the outpatient department of Fr. Muller homoeopathic medical College and Hospital at deralakatte, as well as from Kankanady from 2000 onwards till today. Moreover 100 cases with inimical prescription was found out of 8,000 case records of FMHMC, SCR. Every prescription was seen & verified. A total number of 30 cases were taken randomly for this study. 4.3 : Methods of collection of data: A sample of minimum 30 cases was selected for the purpose of retrospective and prospective study, following purposive sampling technique based on the inclusion & exclusion criteria. Every case was analyzed with reference from materia medica, repertory and therapeutics whenever required, with a special emphasis on the inimical relationship of remedies. The potency selection and repetition of the doses were done according to the demand of the case, with consideration of potency selection criteria such as Acute or Chronic, Susceptibility, Vitality and Suppression (if any), changes in structural and functional level and the degree of correspondence to the remedies selected on the basis of homoeopathic principles. 44

58 4.4 : Inclusion Criteria: 1. The sample is taken from both the sexes of age 2 years and above. 2. Remedies whose inimical relationship is known are taken for study. 4.5: Exclusion Criteria: 1. Terminally ill patients 2. Patients with advanced pathological changes 4.6 : Follow ups All patients were reviewed on a basis to assess the subjective or objective changes. Follow ups were watched and interpreted as per criteria set up in each case. Each case were followed for a minimum period of 2 months to 6 months duration. The abbreviations used in the follow up are: s, <, > etc. 4.7: Diet and Regimen All the patients were directed to continue with the same diet as earlier. Specific supplementary diet advised whenever required. 4.8: Assessment of Effectiveness Effectiveness of the treatment was assessed on the basis of - Clinical improvement - Disappearance or relief of symptoms, improvement of general health as well as mental health of the patient. - Aggravation or appearance of new symptoms or increased intensity of existing symptoms - Without any response or same as before, after intake of medicines 4.9: Conclusion: In this Chapter we selected 30 cases out of 8000 cases for our study. We observed both diet and remedies play a vital role in inimical prescription. 45

59 5.OBSERVATIONS & DISCUSSION 5.1: Introduction: In this section, the observation of cases is analyzed. A case well taken is half cured. Homoeopathic prescribing strives to keep going with its efforts of upgrading the science through a scientific, pragmatic & rational approach to take homoeopathy to newer heights; via physicianpatient relationship: the universal basis of all meaningful human relationship. The term inimical is very well known to all of us but its real utility & practical importance is not well known. A proper clinical knowledge of inimical relationship will help us in artistic prescription. To initiate, develop & coordinate applied aspects of inimical relationship in homoeopathy, few information to the profession & public; to an intimate acquaintance with these points will enable to follow inimical drugs easily & to the greatest advantage. APPLICATION OF INIMICAL RELATION IN HOMOEOPATHIC PRESCRIBING 5.2:In Problem Definition a) INTERVIEW TECHNIQUE Knowing depth of the case, comparing the inimical remedies which belongs to family relationship (similar origin) or concordant relationship (dissimilar origin) but similar symptoms or some characters in general. Observation of body language, social & individual relation & work area of the patient makes easier to compare between inimical drugs. Exploring an open inquiry to locate the problem which is inimical to the health of the patient. If the physician is not aware to guide the patient properly, then patient- physician relationship becomes inimical. 46

60 Confrontation is a sharp weapon, which can cut both the ways, which is inimical for both physician & patient; if not aware of these aspects before use it. Attempt to give counseling; the skill which physician implanted his plan should not be inimical for patient. Silence is an effective technique, requires considerable, otherwise inimical when patient requires assurance. Interpretation of problem is a skill which depends on physician s knowledge, sensitivity, Sensibility, technical skills, judgments etc. Lack of it is inimical towards disease diagnosis. To accept the patient thoroughly, physician has to play a role of the patient s world to instruct the patient. Otherwise it shows inimical effect towards cure. It is inimical relation to refuse all requests from patient. If physician is not listening properly, the case history is not proper. It is inimical to achieve a problem definition & problem resolution. Physician can ask leading questions to avoid inimical effects of cure. b) CLINICAL RECORD Developing a good rapport with patient, physician will able to condense or scrutinize the inimical effects of drugs as well as disease. Assessment of the patient, at the time of writing case history will recognize the inimical process of cause & effect relationship to develop the disease. Assessing the clinical status of the patient is inimical if the case is not suitable for Homoeopathic treatment. If clinical record is not up-dated by the physician from time to time, it is inimical to achieve ideal cure. Physician has to find difficulty in prescribing acute, chronic and 47

61 intercurrent or anti- miasmatic remedies. Correcting the misconceptions which are inimical for the system of Homoeopathy. c) ANALYSIS & SYNTHESIS Analysis of expressions in various areas of function, perceiving the inter-relationships so that cause-effect became available. Thus inimical relation towards case can be rectified. If the process of analysis of complaints is not suitable depending on case, it is inimical to arrive at a probable diagnosis or differential diagnosis. Suitable planning is inimical to various hypotheses. 5.3: Problem Resolution Depends on physicians sight, judgement, control, sensibility, light of his knowledge GENERAL OR ENVIRONMENTAL MANAGEMENT The exciting or maintaining factors of the disease or in life style adopted by the patient may be inimical to receive the cure. Nothing can take place unless there is a disposition to it or without a cause. ( 31) INDIVIDUAL MANAGEMENT Avoid food items which are inimical to the remedy. ( Refer page no.28 & 29 ) Give assurance, encouragement and positive attitude to the patient which is inimical to the disease. REPLACEMENT Deficiencies in a system have to be corrected through replacement which is inimical to health. ANCILLARY MEASURES Few items are inimical to some disease or clinical condition. We should aware what to 48

62 avoid during that time period. In psychologically disturbed patients, absence of orientation of family members is inimical to cure. SPECIFIC MANAGEMENT Homoeopathic Planning & Programming Remedy Selection, Potency Selection, Repetition Schedule High susceptibility: high potency with infrequent repetition, medium susceptibility: medium potency with infrequent repetition, low susceptibility: low potency with frequent repetition, The physician should aware of it, unless drug produces inimical effects for cure. Perceiving the way of totality is important. Eventually physician has to plan the direction of treatment depending on fixed general totality, sector totality or chronic totality. If this totality is not clear, it is inimical to the healing art. 5.4: Prognosis Scientific Homoeopathic practice allows a physician to offer prognosis with accuracy. Depth knowledge in inimical relation will help the physician for a good prognosis. 5.5: Discussion All thirty cases contain inimical prescription was available were considered for the statistical study. So the statistical analysis made here is based on the data s obtained from these thirty patients. 49

63 Case distribution : Table 8 :Distribution of cases according to action of medicine TOTAL CASE NO % AGGRAVATION % AMELIORATION % SAME % 23 Agg Ame Same Case no Figure 1: Distribution of cases according to action of medicine Among the 30 patients included in the study 23 cases ( 76.68%) were found to have aggravations, in 4 cases ( 13.33%) was noted in amelioration & 3 cases ( 9.99%%) were same. 50

64 Table # 9: Distribution of cases according to different system SYSTEM NO. OF CASES % RS % SKIN 6 20% CNS % LOCOMOTOR % GIT % FGT % CHEST % ENT % MIXED 6 20% SYSTEM CASE NO % RS SKIN CNS LOC GIT FGT CHE ENT MIXED SYSTEM Figure 2: Distribution of cases according to different system 51

65 For this statistical analysis total 30 cases were considered, in 4 cases (13.3%) were from Respiratory system,6 cases (20%) were Skin,1 case (3.33) was from Central nervous system, 4 cases (13.3%) were from Locomotor system, 2 cases (6.66%) were Gastro intestinal system, 2 cases (6.66%) were from Female genital tract, 1 case (3.33%) was from Chest, 5 cases (16.66%) were from Ent and 6 cases (20%) were from mixed system. Table 10: Distribution of cases according to clinical diagnosis CLINICAL DIAGNOSIS NO. OF CASES % ALLERGIC RHINITIS % ACUTE BRONCHITIS % APD & OA % OA % ALLERGIC ACUTE RHINITIS BRONCHITIS APD & OA OA % DIAGNOSIS DIAGNOSIS CASE NO % Figure 3: Distribution of cases according to clinical diagnosis diagnosis Depending on clinical diagnosis, 3cases (9.99%) were Allergic Rhinitis, 4 cases (13.33%) from Acute Bronchitis, 2 cases(6.66%) from Acid Peptic disease with Osteoarthritis & another 2 cases 52

66 (6.66%) from Osteoarthritis. Table 11: Distribution of cases according to the remedy with inimical relation NAME OF DRUG INIMICAL DRUG NO. OF CASE % PULS ARS % SUL PULS % PULS RT % LYCO SUL % LACH BRY % SEP BRY % CALC-C BRY % PHOS RT % PULS BELL % PULS NV % SUL RT % PHOS CAUST % CALC-C SUL % MERC SIL % 6 5 LYCO 4 % SUL PULS PULS LACH SEP PHOS PULS CALC PULS SUL PHOS MERC CALC Case no Inimical drug Drug name 0 ARS PUL RT SUL BRY BRY BRY RT BEL NV RT CAU SUL SIL Figure 4: Distribution of cases according to the remedy with inimical relation 53

67 The series of inimical remedies observed in this 30 cases study were 1. Puls- Ars (2cases-6.66%) 2. Sul- Puls (3cases- 9.99%) 3. Puls- Rhustox (3cases- 9.99%) 4. Lyco- Sul (5cases-16.66%) 5. Lach- Bry (2cases- 6.66%) 6. Sep-Bry (2cases-6.66%) 7. Calc.carb- Bry (2cases-6.66%) 8. Phos- Rhustox (2cases-6.66%) 9. Puls- Bell (2cases-6.66%) 10. Puls-Nux.vom (2cases- 6.66%) 11. Sul- Rhus.tox (2cases-6.66%) 12. Phos- Caust (2cases-6.66%) 13. Calc.carb- Sul (1case-3.33%) 14. Merc- Sil (1case-3.33%) Table 12: Distribution of cases according to the highest inimical relation with other drugs NAME OF REMEDIES MAX. NO. OF INIMICAL REMEDIES % PULS % BRY % RHUS-TOX % CALC-CARB % 54

68 PULS BRY RT CALC-C remedies inimical no of drugs Figure no 5: Diagramatic representation of remedies having highest inimical relation with other drugs Depending on the inimical prescriptions, Puls is having inimical relation with 4 remedies (13.33%), Bry is having with 3 remedies (9.99%), Rhus-tox is having with3 remedies (9.99%) and Calc-carb with 2 (6.66%) remedies. 5.6: Conclusion: Inimical relation of remedies is playing a vital role in case receiving as well as prescribing. Among so many drugs, few are having no inimical relation where as few are having very less and few are less inimical relation with other drugs. Many times it shows adverse effect in homoeopathic prescription. 55