dr saboor,

I ned your comments

Dr Shahzad, I am responding here since you sent a private message.

The only homoeopathic symptoms you presented were as follows:

[SIGN/SYMPTOMS]
Pain in the back below the ribs
Blood in the Urine
Increase need to Urinate especially at night
Protein in the Urine
Nausea Occasionly
Fatigue
Slight High Blood Pressure
Slight Swelling of Hands and Feet
Morbid Obesity

The other symptoms you presented were those of allopathic diagnostic techniques, which have their place in monitoring progress, but not in selecting the opening remedy.

As Dr Saboor replied earlier, a far more detailed presentation of sympotoms is required in order to make a sure selection of opening remedy. Modalities in particular are of importance.

If you do not know what is needed, I suggest (with no offence intended) that you refer this case to a homoeopath who is able to take a detailed homoeopathic case - a case of this severity is not one on which to learn.

I wish the best to you and to your patient.

Dr. Shahzhad,

I agree that there is simply not enough information here to delineate a similimum. However, I do think eel serum, as Ricky suggests, is a good remedy to consider in the case. It may be a way to buy some time for the patient, as well--get him or her out of immediate danger.

Here is some information from Boericke I hope you find useful: as you can see, it does correspond to the information you've provided, but its action may be limited because you must prescribe on more than just the physical symptoms common to the ailment.

Serum Anguillar Ichthyotoxin (Eel Serum)

The serum of the eel has a toxic action on the blood, rapidly destroying its globules. The presence of albumin and renal elements in the urine, the hemoglobinuria, the prolonged anuria (24 and 26 hours),...plainly demonstrate its elective action on the kidneys.

From all these facts it is easy to infer, a priori, the therapeutical indication of the serum of the eel. Whenever he kidney becomes acutely affected, either from cold or infection or intoxication, and the attack is characterized by oliguria, anuria, and albuminuria, we will find the eel's serum eminently efficacious to re-establish diuresis, and in rapidly arresting albuminuria. When during the course of heart disease, the kidney, previously working well, should suddenly become affected and its function inhibited; and when besides we observe cardiac irregularities and a marked state of asystolia, we may yet expect good results from this serum. But to determine here the choice of this remedy is not an easy matter. While digitalis presents in its indications, the well known symptomatic trilogy: arterial hypertension, oliguria, and oedema; the serum of the eel seems better adapted to cases of hypertension and oliguria, without oedema. We should bear in mind that the elective action of the eel's serum is on the kidney and I believe we can well assert that if digitalis is a cardiac, the eel's serum is a renal remedy. So far, at least, the clinical observations published seem to confirm this distinction. The serum of the eel has given very small results in attacks of asystolia; but it has been very efficacious in cardiac uremia. There, where digitalis is powerless, the serum of the eel has put an end to the renal obstruction and produced an abundant diuresis. But its really specific indication seems to be for acute nephritis a frigori (Jousset).

Subacute nephritis. Heart diseases, in cases of failure of compensation and impending asystole. The experiments of Dr. Jousset have demonstrated the rapid haematuria, albuminuria and oliguria caused by it. In the presence of acute nephritis with threatening uraemia we should always think of this serum. Very efficacious in functional heart diseases. Mitral insufficiency, asystolia with or without oedema, dyspnoea and difficult urinary secretion.

Great analogy exists between eel serum and the venom of the Vipera. Compare, also: Pelias; Lachesis.

You would need to consider the mental/emotional symptoms, plus the presence/absence of heart pathology, to differentiate among these remedies.

Hope this helps,
Divina

__________________
...and deliverance has many faces<br />but grace<br />is an aquaintance of mine

Dear aamir shahzad,

You raised some questions. I don't want to comment on this BB. I am sending you a private email in detail.

Just for the sake of writing the post. I feel that homeopaths are doing practice in some other way in their clinics and they have different approach on the net. When they are treating the patient. They used every method of treatment but when they talk on homeopathy. They talk according to so called philosophy which have no practical value. That is why our homeopathic system is not recognised in most of the modern world.

They can not stand on one point. Every body has different approach in homeopathy. They will prescribe on different method but will not accept on forum. I am against this type of method.

I thank you for your acknowledgement.

I am also sending you the software via email. Try this software for study purpose. I am not asking to change your method of prescription. I am just giving you information that you can get help from this software. It will provide you assistance in your homeopathic prescription.

I have to travel to the camp 70 to 80 KM on 10th of Feburary. I will meet you at the camp. Please do visit the camp on the respective dates with your patients which need medical board assistance.

__________________
Hafeez
Forum Pk

I am going to upload the software for all members on my secret website address which tells the pictorial profile of my life .... for few days I am going to change her route on the following web. Within two or three days I will send the complete live coverage of the free medical camp on the following web site.

www.drmas.com

Today you can only download that software for which the Ex-Prime Minister of Pakistan Mian Nawaz Sharif given me excellent certificate.

[URL removed by Admin - virus infected]

On recent visit of President and Chief of Army staff Gen Pervaiz Musharaf also appreciated my work on homeopathic software. The name of that software is Homeo Vision 2001 (Urdu) which is free for all homeopaths and is available on WHCC website. Before his departure, he specially returned to me shake hand three time. He is also geting homeopathic treatment from homeopathic doctor.

[ 08 February 2002, 00:48: Message edited by: jonh ]

__________________
Hafeez
Forum Pk

Dear Amir
one important chemistry you have missed to mention ,ie. Blood Urea .
does the pt. suffers Hiccough ?

__________________
Dr.P.K.Sinha

There was a VIRUS in the first file I tried to download!!!!!!! Luckily it was picked up by my virus checker!!

__________________
RSHom - Registered Homeopath

I also intereted in drmas diagnostic software. Please send me through email.

__________________
<b>With warmest regards<br />Q.T</b>

Dr. Aamir,

I think Apocynum and strophanthus may be helpful here for quick palliation. I have some good experience on these medicines in mother tincture form.

It is a challenge for me to treat this patient through homeopathy. I have also done herbal course. But I believe that homeopathy has lot of potential to treat this kind of patient.

Before sending this case to BB for mutual discussion and opinions. I referred the patient for renal biopsy. Today, I received this report. I was waiting for this report. I believe that it is a matter of health of a patient. So, I am going to write complete report with conclusion.

1. Report: The biopsy contains tissue from both cortex and medulla. It contains up to eight glomeruli per section. Two are obsolete. The rest of the glomeruli are all involved, but the degree of involvement varies somewhat. The basic lesion is a segmentally accentuated, measangial hypercellularity, which is associate with segmental mesangial widening. The widened mesangia sometimes stain intensely with eosin. Occasionally, small eosinophilic deposits can be identified in them. Focal fibrin exudation is seen in one glomerulus. Capsular adhesions are present in two glmeruli. No peripheral, segmental, proliferative lesions or crescents are present.

The tubulointerstitial parenchyma shows good preservation of the tubules in most of the biopsy, but streaky areas of interstitial fibrosis are present, mostly in relation to the obsolete golomeruli. The scars contain atrophic tubules and a mild, mononuclear, cellular infiltrate.

The vessels are not remarkable.

I.F. Report: The snap frozen tissue contains two glomeruli. They show positive, mesangial staining for IgA, C3, and lambda light chains. Staining for Rappa Light chains is milder. No fluorescent staining is present for IgG, IgM, C4 or fibrinogen.

Conluding Comments: Chronic Glomerulonephritis, ? IgA.

3. E.M. Report: The plastic embedded material contained no glomeruli. The paraffin embedded tissue was reprocessed for E.M. The basic glomerular structure was well preserved. Mild mesangial hypercellularity, mesangial widening and matrix increase were present. Small clumps of electron dense deposits were present along the periphery of the mesangial waists.

Diagnosis: Segmentally accentuated mesangial proliferative glomerulonephritis, with

Mesangial IgA deposits
Consistent with IgA associated nephropathy

Could any one help in accomplishing my challenge.