In day today practice, homoeopathic doctors frequently face many of allergic conditions, in which the most common one is Allergic rhinitis. This upper respiratory tract nuisance may affect the quality of human life. Symptoms like fatigue, drowsiness and malaise may occur after severe episodes and it can lead to work impairment of adults and affect the school performance in children, some time it may cause traffic accidents.
When an allergen may contact with the body, the body itself defends by producing certain antibodies to defend the allergens. This may cause release of histamine and other chemical substances into the blood stream, and thus producing and allergic response.
There is usually a family history of allergic rhinitis. This disease affects up to 20 percent of children and 15 to 30 percent of adolescents. It is estimated that 75 percent of children with asthma also have allergic rhinitis.
The causes of allergic rhinitis may differ depending on whether & occupational. They are seasonal, perennial, or sporadic/episodic.
Seasonal allergic rhinitis
Seasonal allergic rhinitis is commonly caused by allergy to seasonal pollens and outdoor molds. Usually results from:
- Tree pollens, peak level during the spring, except some species produces their pollens in the fall.
- Grass pollens are most prominent from the late spring through the fall but can be present round the year in warmer climates.
- Weed pollens.
Perennial allergic rhinitis
Typically caused by allergens within the home but can also be caused by outdoor allergens that are present through out the year.
- Out door allergens such as –
- § Grass pollens in the warmer climates.
- § Trees and grasses in the warmer months.
- § Molds (a fungus that produces a superficial growth on various kinds of damp or decaying organic matter) and weeds in the winter.
- Indoor allergens such as –
- House dust mites
- These mites feed on organic material in households, particularly the skin that is shed from humans and pets. They can be found in carpets, upholstered furniture, pillows, mattresses, comforters, curtains, and stuffed toys.
- While they thrive in warmer temperatures and high humidity, they can be found year-round in many households. On the other hand, dust mites are rare in arid climates.
- Pets: Allergy to indoor pets is a common cause of perennial allergic rhinitis.
- Cat and dog: Most common, although furry animals and birds that are kept as indoor pets may cause allergy.
- Cockroaches: Most frequently considered a cause of asthma, it can also cause perennial allergic rhinitis in infested households.
- Rodents: Rodent infestation may cause allergic sensitisation.
Sporadic allergic rhinitis:
Short intermittent episodes of allergic rhinitis, is caused by intermittent exposure to an allergen.
- Pets or animals to which a person is not usually exposed.
- Pollens, moulds, or indoor allergens to which a person is not usually exposed.
- Specific foods, which can cause rhinitis, an individual affected by food allergy also usually has some combination of gastrointestinal, skin, and lung involvement.
Occupational allergic rhinitis:
Which is caused by exposure to allergens in the workplace, can be sporadic, seasonal, or perennial.
- People who work near animals (e.g., veterinarians, laboratory researchers, farm workers).
- Occupational allergens include wood dust, latex (due to inhalation of powder from gloves), acid anhydrides, glues, and psyllium (e.g., nursing home workers who administer it as medication).
Allergic rhinitis involves inflammation of the mucous membranes of the nose, eyes, Eustachian tubes, middle ear, sinuses, and pharynx. Inflammation of the mucous membranes is characterized by a complex interaction of inflammatory mediators but ultimately is activated by an immunoglobulin E (IgE)–mediated response to an extrinsic protein.
In susceptible individuals, exposure to certain foreign proteins leads to allergic sensitisation, which is characterized by the production of specific IgE directed against these proteins. This specific IgE coats the surface of mast cells, which are present in the nasal mucosa. When the specific protein (eg, a specific pollen grain) is inhaled into the nose, it can bind to the IgE on the mast cells, leading to immediate and delayed release of a number of mediators.
The mediators that are immediately released include histamine, tryptase, chymase, kinins, and heparin. The mast cells quickly synthesize other mediators, including leukotrienes and prostaglandin D2. These mediators, via various interactions, ultimately lead to the symptoms of rhinorrhea like nasal congestion, sneezing, itching, redness, tearing, swelling, ear pressure, postnasal drip and etc. Mucous glands are stimulated, leading to increased secretions. Vascular permeability is increased, leading to plasma exudation. Vasodilatation occurs, leading to congestion and pressure. Sensory nerves are stimulated, leading to sneezing and itching. All of these events can occur in minutes; hence, this reaction is called the early, or immediate, phase of the reaction. Over 4-8 hours, these mediators, through a complex interplay of events, lead to the recruitment of other inflammatory cells to the mucosa, such as neutrophils, eosinophils, lymphocytes, and macrophages. This results in continued inflammation, termed the late-phase response. The symptoms of the late-phase response are similar to those of the early phase, but less sneezing and itching and more congestion and mucus production tend to occur. The late phase may persist for hours or days.
Systemic effects, including fatigue, sleepiness, and malaise, can occur from the inflammatory response. These symptoms often contribute to impaired quality of life.
Allergic rhinitis itself is not life threatening, unless accompanied by severe asthma or anaphylaxis.
Allergic rhinitis often coexists with other disorders, such as:
- Otitis media,
- Eustachian tube dysfunction,
- Nasal polyps,
- Allergic conjunctivitis,
- Atopic dermatitis.
Allergic rhinitis may also contribute to:
- § Learning difficulties,
- § Sleep disorders,
- § Fatigue.
- A number of complications that can lead to increased morbidity or even mortality can occur secondary to allergic rhinitis.
- Possible complications include:
- Otitis media,
- Eustachian tube dysfunction,
- Acute sinusitis
- Chronic sinusitis.
- Allergic rhinitis can be associated with a number of co morbid conditions, including:
- Atopic dermatitis
- Nasal polyps.
Sex: In childhood, allergic rhinitis is more common in boys than in girls, but in adulthood, the prevalence is approximately equal between men and women.
Age: Common in childhood, adolescence, and early adult years, but may occur in persons of any age. In 80% of cases, allergic rhinitis develops by age 20 years, subsequently decreasing with age. In the geriatric population, it is less common.
A thorough history may help identify specific triggers, suggesting an allergic aetiology for the rhinitis.
Important elements include an evaluation of:
4 Nature of the symptom.
4 Duration and time course of symptoms.
4 Possible triggers for symptoms.
4 Response to medications.
4 Comorbid (The presence of coexisting or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study) conditions.
4 Family history of allergic diseases.
4 Environmental exposures.
4 Occupational exposures.
4 Effects on quality of life.
Symptoms that can be associated with allergic rhinitis:
4 Itching (of nose, eyes, ears, palate).
4 Postnasal drip.
4 Red eyes.
4 Eye swelling.
Symptoms and chronicity
- Find out the age of onset of symptoms and whether symptoms have been present continuously since onset. While the onset of allergic rhinitis can occur well into adulthood, most patients develop symptoms by age 20 years.
- Find out the time pattern of symptoms and whether symptoms occur at a consistent level throughout the year (i.e., perennial rhinitis), only occur in specific seasons (i.e., seasonal rhinitis), or a combination of the two.
- During periods of exacerbation, determine whether symptoms occur on a daily basis or only on an episodic basis.
- Find out whether the symptoms are presented all-day or only at specific times during the day. This information can help suggest the diagnosis and determine possible triggers.
- Find out which organ systems are affected and the specific symptoms. Some patients have exclusive involvement of the nose, while others have involvement of multiple organs. Some patients primarily have sneezing, itching, tearing, and watery rhinorrhea (the classic hay fever presentation), while others may only complain of congestion. Significant complaints of congestion, particularly if unilateral, might suggest the possibility of structural obstruction, such as a polyp, foreign body, or deviated nasal septum.
- Trigger factors:
4 Find out whether symptoms are related temporally to specific trigger factors. This might include exposure to pollens outdoors; mold spores while doing yard work, specific animals, or dust while cleaning the house.
4 Irritant triggers such as smoke, pollution, and strong smells can aggravate symptoms in a patient with allergic rhinitis. These are also common triggers of vasomotor rhinitis. Many patients have both allergic rhinitis and vasomotor rhinitis.
4 Other patients may describe year-round symptoms that do not appear to be associated with specific triggers. This could be consistent with non-allergic rhinitis, but perennial allergens, such as dust mite or animal exposure, should also be considered in this situation. With chronic exposure and chronic symptoms, the patient may not be able to associate symptoms with a particular trigger.
- Comorbid conditions:
4 Patients with allergic rhinitis may have other atopic conditions such as asthma or atopic dermatitis. Of patients with allergic rhinitis, 20% also have symptoms of asthma. Uncontrolled allergic rhinitis may cause worsening of asthma or even atopic dermatitis. Explore this possibility when obtaining the patient history.
4 Look for conditions that can occur as complications of allergic rhinitis. Sinusitis occurs quite frequently. Other possible complications include otitis media, sleep disturbance or apnea, dental problems (overbite), and palatal abnormalities. The treatment plan might be different if one of these complications is present. Nasal polyps occur in association with allergic rhinitis, although whether allergic rhinitis actually causes polyps remains unclear.
4 Investigate past medical history, including other current medical conditions. Diseases such as hypothyroidism or sarcoidosis can cause non-allergic rhinitis.
- Family history:
4 Allergic rhinitis has a significant genetic component; a positive family history for atopy makes the diagnosis more likely.
4 Allergic rhinitis exists if both parents are atopic than if one parent is atopic. However, the cause of allergic rhinitis appears to be multi-factorial, and a person with no family history of allergic rhinitis can develop allergic rhinitis.
- Environmental and occupational exposure:
A thorough history of environmental exposures helps to identify specific allergic triggers. This should include investigation of risk factors for exposure to perennial allergens (e.g., dust mites, mold, and pets).
4 Risk factors for dust mite exposure include carpeting, heat, humidity, and bedding that does not have dust mite–proof covers.
4 Chronic dampness in the home is a risk factor for mold exposure.
4 A history of hobbies and recreational activities helps determine risk and a time pattern of pollen exposure.
4 Ask about the environment of the workplace or school. This might include exposure to ordinary perennial allergens (e.g., mites, mold, and pets) or unique occupational allergens (e.g., laboratory animals, animal products, grains and organic materials, wood dust, latex, enzymes).
- Effects on quality of life
4 An accurate assessment of the morbidity of allergic rhinitis cannot be obtained without asking about the effects on the patient’s quality of life.
4 Find out the presence of symptoms such as fatigue, malaise, drowsiness (which may or may not be related to medication), and headache.
4 Investigate sleep quality and ability to function at work.
The physical examination should focus on the nose, but examination of facial features, eyes, ears, oropharynx, neck, lungs, and skin is also important. Look for physical findings that may be consistent with a systemic disease that is associated with rhinitis.
- General facial features:
4 “Allergic shiners” are dark circles around the eyes and are related to vasodilatation or nasal congestion.
4 “Nasal crease” is a horizontal crease across the lower half of the bridge of the nose that is caused by repeated upward rubbing of the tip of the nose by the palm of the hand (ie, the “allergic salute”).
The nasal examination is best accomplished with a nasal speculum or an otoscope with nasal adapter.
4 The mucosa of the nasal turbinates may be swollen (boggy) and have a pale, bluish-grey colour. Some patients may have predominant erythema of the mucosa, which can also be observed with rhinitis medicamentosa, infection, or vasomotor rhinitis. While pale, boggy, blue-grey mucosa is typical for allergic rhinitis, mucosal examination findings cannot definitively distinguish between allergic and non-allergic causes of rhinitis.
4 Assess the character and quantity of nasal mucus. Thin and watery secretions are frequently associated with allergic rhinitis, while thick and purulent secretions are usually associated with sinusitis; however, thicker, purulent, coloured mucus can also occur with allergic rhinitis.
4 Examine the nasal septum to look for any deviation or septal perforation, which may be present due to chronic rhinitis, granulomatous disease, cocaine abuse, prior surgery, topical decongestant abuse, or, rarely, topical steroid overuse.
4 Examine the nasal cavity for other masses such as polyps or tumors. Polyps are firm gray masses that are often attached by a stalk, which may not be visible. After spraying a topical decongestant, polyps do not shrink, while the surrounding nasal mucosa does shrink.
- Ears, eyes, and oropharynx
4 Perform otoscopy to look for tympanic membrane retraction, air-fluid levels, or bubbles. Performing pneumatic otoscopy can be considered to look for abnormal tympanic membrane mobility. These findings can be associated with allergic rhinitis, particularly if eustachian tube dysfunction or secondary otitis media is present.
4 Ocular examination may reveal findings of injection and swelling of the palpebral conjunctivae, with excess tear production. Dennie-Morgan lines (prominent creases below the inferior eyelid) are associated with allergic rhinitis.
4 The term “cobble stoning” is used to describe streaks of lymphoid tissue on the posterior pharynx, which is commonly observed with allergic rhinitis. Tonsillar hypertrophy can also be observed. Malocclusion (overbite) and a high-arched palate can be observed in patients who breathe using their mouths excessively.
- Neck: Look for evidence of lymphadenopathy or thyroid disease.
- Lungs: Look for the characteristic findings of asthma.
- Skin: Evaluate for possible atopic dermatitis.
- Other: Look for any evidence of systemic diseases that may cause rhinitis (eg, sarcoidosis, hypothyroidism, immunodeficiency, ciliary dyskinesia syndrome, and other connective tissue diseases).
- Acute Sinusitis
- Chronic Sinusitis
Other Problems to be considered:
- Vasomotor rhinitis.
- Gustatory rhinitis (vagally mediated).
- Rhinitis medicamentosa (eg, due to topical decongestants, antihypertensives, cocaine abuse).
- Hormonal rhinitis (eg, related to pregnancy, hypothyroidism, oral contraceptive use).
- Anatomic rhinitis (eg. deviated septum, choanal atresia, adenoid hypertrophy, foreign body, nasal tumor).
- Immotile cilia syndrome (ciliary dyskinesis).
- Cerebrospinal fluid leak.
- Nasal polyps.
- Granulomatous rhinitis (eg, Wegener granulomatosis, sarcoidosis).
- Allergy testing:
The most common methods of allergy determination to a particular substance are:
4 Allergy skin testing (testing for immediate hypersensitivity reactions)
4 In vitro diagnostic tests.
- Allergy skin tests (immediate hypersensitivity testing):
In this test introducing an extract of a suspected allergen percutaneously, an immediate (early-phase) wheal-and-flare reaction can be produced. Placing a drop of extract on the skin and scratching or pricking a needle through the epidermis under the drop can accomplish percutaneous introduction. The antigen in the extract binds to IgE on skin mast cells, leading to the early-phase (immediate-type) reaction, which results in the release of mediators such as histamine. This generally occurs within 15-20 minutes. The released histamine causes the wheal-and-flare reaction (A central wheal is produced by infiltrating fluid, and surrounding erythema is produced due to vasodilation, with concomitant itching.). The size of the wheal-and-flare reaction roughly correlates with the degree of sensitivity to the allergen.
- In vitro allergy tests, ie, RAS:
Allow measurement of the amount of specific IgE to individual allergens in a sample of blood. The amount of specific IgE produced to a particular allergen approximately correlates with the allergic sensitivity to that substance.
- Total blood eosinophil count:
As with the total serum IgE, an elevated eosinophil count supports the diagnosis of allergic rhinitis, but it is neither sensitive nor specific for the diagnosis. The results can sometimes be helpful when combined with other factors.
- Radiography: To evaluate any possible structural abnormalities or to detect complications or comorbid conditions, such as sinusitis or adenoid hypertrophy.
4 Sinus X-ray: Can be helpful in evaluating for sinusitis of the maxillary, frontal, and sphenoid sinuses. The ethmoid sinuses are difficult to visualize clearly on x-ray films. Plain x-ray films can be helpful for diagnosing acute sinusitis, but CT scanning of the sinuses is more sensitive and specific. For chronic sinusitis, plain x-ray films are often inconclusive, and CT scan is much preferred.
4 Neck X-ray: A lateral view of the neck can be helpful when evaluating for soft tissue abnormalities of the nasopharynx, such as adenoid hypertrophy.
- CT scanning:Coronal CT scan images of the sinuses can be very helpful for evaluating acute or chronic sinusitis. In particular, obstruction of the osteomeatal complex (a confluence of drainage channels from the sinuses) can be seen quite clearly. CT scanning may also help delineate polyps, turbinate swelling, septal abnormalities (e.g., deviation), and bony abnormalities (e.g., concha bullosa).
- MRI: For evaluating sinusitis, MRI images are generally less helpful than CT scan images, largely because the bony structures are not seen as clearly on MRI images. However, soft tissues are visualized quite well, making MRI images helpful for diagnosing malignancies of the upper airway.
- Nasal cytology: A nasal smear can sometimes be helpful for establishing the diagnosis of allergic rhinitis. A sample of secretions and cells is scraped from the surface of the nasal mucosa using a special sampling probe. Secretions that are blown from the nose are not adequate. The presence of eosinophils is consistent with allergic rhinitis but also can be observed with NARES. Results are neither sensitive nor specific for allergic rhinitis and should not be used exclusively for establishing the diagnosis.
- Rhinoscopy: While not routinely indicated, upper airway endoscopy (rhinolaryngoscopy) can be performed if a complication or comorbid condition may be present. It can be helpful for evaluating structural abnormalities (eg, polyps, adenoid hypertrophy, septal deviation, masses, foreign bodies) and chronic sinusitis (by visualizing the areas of sinus drainage).
Medical Care: The management of allergic rhinitis consists of:
- Environmental control measures and allergen avoidance
- Mediccinal management.
- Environmental control measures and allergen avoidance:
This involves both the avoidance of known allergens (substances to which the patient has IgE-mediated hypersensitivity) and avoidance of nonspecific, or irritant, triggers.
Pollens and outdoor molds:
- Due to widespread presence in the outdoor air, pollens can be difficult to avoid. Reduction of outdoor exposure during the season in which a particular type of pollen is present can be somewhat helpful.
- Pollen counts tend to be higher on dry, sunny, windy days. Outdoor exposure can be limited during this time, but this may not be reliable because pollen counts can also be influenced by a number of other factors. Keeping the windows and doors of the house and car closed as much as possible during the pollen season (with air conditioning, if necessary, on recirculating mode) can be helpful. Taking a shower after outdoor exposure can be helpful by removing pollen that is stuck to the hair and skin.
- Despite all of these measures, patients who are allergic to pollens usually continue to be symptomatic during the pollen season and usually require some other form of management.
- Depending on the allergen, environmental control measures for indoor allergens can be quite helpful. For dust mites, covering the mattress and pillows with impermeable covers helps in reducing exposure. Bed linens should be washed every 2 weeks in hot (at least 130°F) water to kill any mites present. Thorough and efficient vacuum cleaning of carpets and rugs can help, but, ultimately, carpeting should be removed. The carpet can be treated with one among a number of chemical agents that kill the mites or denature the protein, but the efficacy of these agents does not appear to be dramatic. Dust mites thrive when indoor humidity is above 50%, so dehumidification, air conditioning, or both are helpful.
- Indoor environmental control measures for mold allergy focus on reduction of excessive humidity and removal of standing water. The environmental control measures for dust mites can also help reduce mold spores.
- For animal allergy, complete avoidance is the best option. For patients who cannot, or who do not want to, completely avoid an animal or pet, confinement of the animal to a non-carpeted room and keeping it entirely out of the bedroom can be of some benefit. Cat allergen levels in the home can be reduced with high-efficiency particulate air (HEPA) filters and by bathing the cat every week (although this may be impractical). Cockroach extermination may be helpful for cases of cockroach sensitivity.
As with indoor allergens, avoidance is the best measure. When this is not possible, a mask or respirator might be needed.
Exposure to smoke, strong perfumes and scents, fumes; rapid changes in temperature, and outdoor pollution can be non-specific triggers in patients with allergic rhinitis. Consider avoidance of these situations or triggers if they seem to aggravate symptoms.
Surgical care is not indicated for allergic rhinitis but may be indicated for comorbid or complicating conditions, such as chronic sinusitis, severe septal deviation (causing severe obstruction), nasal polyps, or other anatomical abnormalities. The value of turbinectomy is not established.
You cannot prevent an allergy, but you can prevent a reaction. The most effective method you can use to prevent a reaction is to avoid the allergen that triggers your allergic response. Try these steps as well:
- If you are allergic to warm-blooded animals, confine your pet to a particular area of your home. It is especially important to keep warm-blooded pets out of the bedroom. If the effects on your health are severe, consider giving your pet away.
- Avoid pollen by using air conditioning, by avoiding outside activity during pollen season, and by timing your vacations away from home to benefit your health.
- Check the material from which your pillows and comforters are made. Feathers, foam rubber, or pillows more than five years old are often allergens.
- Avoid dust and mold. Since this is difficult and it may be impractical for you to create an “allergy-proof” home, at least make sure that your bedroom is as allergen-free as possible:
- Move out all unnecessary furniture
- Keep windows tightly shut
- Frequently clean the curtains, blinds, bedding and carpeting
- Use pillows and comforters stuffed with dacron or polyester
- Enclose mattresses and box springs in plastic
- Cover or filter all vents
- Move out decorative pillows, books, and stuffed animals
- Keep the floors bare, never use carpets.
- Use dusting products formulated to hold the dust
- Store clothing not allowing dust to settle on it.
- Never sweep – use a vacuum cleaner only
These tips may also decrease the severity of your allergic reaction and for increasing your comfort:
- Maintain a balanced diet to improve your body’s ability to heal itself
- Sleep with your head elevated to prevent nasal congestion during the night
- Drink adequate fluids (at least eight glasses per day) to loosen the secretions in your nose and throat
- Exercise regularly
Homoeopathic treatment – An Overview
As in every other diseased condition, this condition also is homoeopathically treatable on the basis of symptoms similarity. But the truth is that the common symptoms alone will not help a goal of cure in allergic rhinitis. Consider patient’s physical general and mental generals together and find out the similimum. It is not at all an easy work. After considering the totality, better utilise the great tool Repertory either manually or by computerising to find out the exact similimum. The selection of similimum will alone is not sufficient for a cure. The next step is choosing exact potency and timely application of the same. Here there are lot of questions will arise. How to select a correct potency? How often to repeate the dose? When to stop the medication? And Etc. Of course, these questions arise during treatment of any diseased condition. If we choose the centesimal potency, definitely we face such problems. Even master Hahnemann faced problems. Medicinal aggravation is a very common problem in the centesimal scale. The action of centesimal potency is slow, so cure takes place very slowly. In very weak and sensitive patients with chronic diseases, lower centesimal potencies were not able to stimulate a healing process and at the same time higher potencies may cause serious aggravations. These problems may surface at any phase of the treatment of every diseased condition. In these circumstances, I choose LM potencies (50 millismal potencies) for the treatment of allergic rhinitis. With the help of LM potencies one can offers a permanent restoration of the health of the patient.
Unfortunately very few percentages of homoeopathic physicians have awareness about 50 milliesmal potencies, and very few among them use it in their practice. Among the LM potency users, some of them make serious mistakes in the selection of potency and mode of prescribing. Most of the LM potency users start their treatment with 0/3 potency. It is not judicious. According to master Hahnemann, begin the treatment from the 1st potency (0/1) itself and in due course of time go up to the desired level of potencies. Some LM potency users dispense their medicines in dried form, i.e. put a large number of medicated pellets in sugar of milk and dispense in 5, 10 or 15 packets and like that. This mode of prescription is not only ineffective but also it makes serious injurious effects in the patient like serious aggravations, etc. This may cause the said doctor to forcefully to think that the LM potency is ineffective or useless. Here the field of marvellous use and effect of homeopathic medicine in the most effective way of prescribing is lost for the said doctor.
Master Hahnemann clearly has given instructions regarding the dispensing of LM potencies. Take a 4 oz. new clean bottle (never use old or used bottles). Put one or two pellets of LM potency and add about 20 drops of dispensing alcohol for preservation and stabilization purpose, then fill up to 3/4th of the bottle with distilled water or pure boiled and cooled water. Now the medicinal solution is ready for use. It is advised to succuss the medicinal solution for 8, 10, or 12 times according to the sensitivity of the patient (8 succession for very sensitive patient, 10 for less sensitive one and 12 times for least excited and sensitive patient). From this solution one can use 7 doses per potency. Take a spoon full of prepared solution and put in a glass containing 4 oz of pure water and from which take one or two teaspoonfuls at a time and the remaining liquid is poured away.
The above said preparation is very useful in every kind of disease, both acute as well as chronic conditions. But this is very difficult and makes confusion to cretain extend in patients. Hence for convenience I used to dispense the fifty-millismal potency in a peculiar manner. I frequently and quiet often verified its efficacy from last few years in hundreds of patients at different age group and sex in various diseased conditions. So I can say confidently that this method of dispensing is quiet effective. It is very effective, convenient, easy to prepare, dispense, handle and consume. There is no unpleasant taste. A faint taste of tender coconut water is present in this solution, so every one likes to consume the medicine, especially the children. The only one disadvantage is to give proper succession with this small dispensing bottle is not much convenient.
My new Method of dispensing LM potency
(effective and repeatedly verified method)
Take a new clean 5 ml dropper bottle (eye lotion bottle) and put one or two pellets of desired potency of LM scale in it. Then add few drops, say three to five drops of dispensing alcohol for preserving and stabilizing purpose, and then fill the bottle with pure boiled and cooled water. Now the dispensing solution is ready to use. One can use this medicinal solution according to the intensity and necessity of the condition.
Take 2 drops directly on the tongue in acute and chronic condition. In very urgent cases place the drops sublingually.
For further more effectiveness add the two drops of solution in a teaspoonful of pure water and administer. This may cause the medicine to touch more nerves in the tongue instead of few in taking two drops dose directly. But the effectiveness of this method is still under observation
It is advised to succuss the medicinal solution for 8, 10, or 12 times according to the sensitivity of the patient (8 succession for very sensitive patient, 10 for less sensitive one and 12 times for least excited and sensitive patient).
- Very urgent cases – take the medicine every hour or oftener.
- Acute disease – repeats the medicine every two to six hours.
- Chronic disease – repeats the medicine daily or on alternative days.
In order to achieve effectiveness of LM potency in full swing take cares the following:
- Start the treatment from the lowest possible degree of potency and increase the potency gradually higher.
- Never mix or alternate more than one remedy at a time, instead of that use single medicine only.
- Use new bottle for each new dispensing and potency.
- Keep away the medicine from strong smelling substance, extreme heat and cold.
- Never refrigerate the medicine.
- Keep at least one hour gap between medicine and food you have to take.
- The total quantity of medicine is reduced when compared to the conventional type of LM dispensing.
- Minimal the quantity of medicine and the maximum effect of the medicine is the end result.
- Very convenient and simple way for dispensing and consuming.
- As much as effective with that of conventional type of LM dispensing.
- Safely applied in all sorts of diseases either acute or chronic form.
- Equally effective in all age groups and both sexes.
- Pleasant smell and taste, every one likes to consume.
- Medicinal action starts as soon as the medicine touches the tongue.
There are lot of medicines available in the Homoeopathic database for the treatment of Allergic rhinitis. For your convenience few among them narrated below:
Agaricus, Allium cepa, Arsenicum album, Arundo, Gelsemium, Lycopodium, Natrum muriaticum, Psorinum, Pulsatilla, Sabadilla, Tuberculinum and various other medicines are recommended by different authors.
May be the above said medicines are effective. But any one seriously thinking about the complete annihilation of the disease, consider the physical generals and mental generals of the patient and then find out the similimum, it will really work
Let me conclude my article here. If any one is impressed with this new method of dispensing the LM potency please try it in your practice and send me the feedback in written form. It will help me in making others confident with increased number of verifications by different Homoeopaths.
Thanks to the Almighty to show this light of thought in my mind and thus reducing the effort and increase the effectiveness.
Thanks to Master Hahnemann and Thanks to Homoeopathy.
Wish you a successful and effortless prescribing.
R.M.O & Lecturer, Dept. Of Pharmacy, S.V.R. Homoeopathic MedicalCollege & Hospital,
Author: Endocrine disorders and its treatment in Homoeopathy,
Author: A complete clinical Hand Book for Every day Practice,
Author: Homoeopathic Clinical Prescriber,
Author: Homoeopathic Experience.