Immune Thrombocytopenic Purpura (ITP) or Thrombocytopenia, also known as idiopathic thrombocytopenic purpura, previously known as idiopathic thrombocytic purpura, is an autoimmune disease characterized by a low platelet count (less than 100 x10⁹/L) lasting for more than three months.

There are two kinds of immune thrombocytopenic purpura: acute and chronic. Typically, acute ITP is seen in children following a viral infection while adults exhibit the chronic form. About 20% of children with acute ITP progress to develop chronic ITP.

Immune Thrombocytopenic Purpura (ITP) is also classified as primary type (idiopathic) and secondary type (associated with conditions such as lupus, hepatitis and HIV) depending on the etiology.

Anti-platelet antibodies bind to surface proteins on platelets, causing splenic sequestration and phagocytosis by mononuclear macrophages, decreasing platelet life span.

Insufficient compensation from increased platelet synthesis by bone marrow cells leads to reduction in the number of circulating platelets causing thrombocytopenia.

Clinically, the majority of the cases are asymptomatic. However, a few people may occasionally present with mild symptoms such as petechiae, purpura, and epistaxis.

Immune Thrombocytopenic Purpura (ITP) is a diagnosis of exclusion. CBC, coagulation panel and bone marrow biopsy help in differential diagnosis.

Thrombocytopenia

Thrombocytopenia is a condition in which you have a low blood platelet count. Platelets (thrombocytes) are colorless blood cells that help blood clot. Platelets stop bleeding by clumping and forming plugs in blood vessel injuries.

Thrombocytopenia often occurs as a result of a separate disorder, such as leukemia or an immune system problem. Or it can be a side effect of taking certain medications. It affects both children and adults.

Thrombocytopenia may be mild and cause few signs or symptoms. In rare cases, the number of platelets may be so low that dangerous internal bleeding occurs.

Causes

If for any reason your blood platelet counts falls below normal, the condition is called thrombocytopenia. Normally, you have anywhere from 150,000 to 450,000 platelets per microliter of circulating blood. Because each platelet lives only about 10 days, your body continually renews your platelet supply by producing new platelets in your bone marrow.

Thrombocytopenia can be inherited, or it may be caused by a number of medications or conditions. Whatever the cause, circulating platelets are reduced by one or more of the following processes: trapping of platelets in the spleen, decreased platelet production or increased destruction of platelets.

Trapped platelets

The spleen is a small organ about the size of your fist located just below your rib cage on the left side of your abdomen. Normally, your spleen works to fight infection and filter unwanted material from your blood. An enlarged spleen — which can be caused by a number of disorders — may harbor too many platelets, causing a decrease in the number of platelets in circulation.

Decreased production of platelets

Platelets are produced in your bone marrow. If production is low, you may develop thrombocytopenia. Factors that can decrease platelet production include:

• Leukemia
• Some types of anemia
• Viral infections, such as hepatitis C or HIV
• Chemotherapy drugs
• Heavy alcohol consumption

Increased breakdown of platelets

Some conditions can cause your body to use up or destroy platelets more rapidly than they’re produced. This leads to a shortage of platelets in your bloodstream. Examples of such conditions include:

Pregnancy. Thrombocytopenia caused by pregnancy is usually mild and improves soon after childbirth.

Immune thrombocytopenia. This type is caused by autoimmune diseases, such as lupus and rheumatoid arthritis. The body’s immune system mistakenly attacks and destroys platelets. If the exact cause of this condition isn’t known, it’s called idiopathic thrombocytopenic purpura. This type more often affects children.

Bacteria in the blood. Severe bacterial infections involving the blood (bacteremia) may lead to destruction of platelets.

Thrombotic thrombocytopenic purpura. This is a rare condition that occurs when small blood clots suddenly form throughout your body, using up large numbers of platelets.

Hemolytic uremic syndrome. This rare disorder causes a sharp drop in platelets, destruction of red blood cells and impairment of kidney function. Sometimes it can occur in association with a bacterial Escherichia coli (E. coli) infection, such as may be acquired from eating raw or undercooked meat.

Medications. Certain allopathic medications can reduce the number of platelets in the blood. Sometimes allopathic drug(s) for examples (heparin, quinine, sulfa-containing antibiotics and anticonvulsants etc) confuses the immune system and causes it to destroy platelets.

Symptoms

Thrombocytopenia signs and symptoms may include:

• Easy or excessive bruising, red, purple, or brown bruises (immune thrombocytopenic purpura),
• Superficial bleeding into the skin that appears as a rash of pinpoint-sized reddish-purple spots (petechiae), usually on the lower legs, thrombocytopenic purpura,
• Prolonged bleeding from cuts,
• Bleeding from gums or nose,
• Hematuria and/or bloody stools,
• Heat flashes,
• Heavy menstrual flows,
• Fatigue,
• Sensitive to cold,
• Enlarged spleen,
• Jaundice.

Complications

Dangerous internal bleeding can occur when platelet counts falls below 10,000 platelets per microliter. Though rare, severe thrombocytopenia can cause bleeding into the brain, which can be fatal.

Diagnosis

Take the following tests and procedures to determine whether you have thrombocytopenia:

• Complete blood count,
• Liver enzymes,
• Renal function test,
• Vitamin B12 levels and folic acid levels,
• ESR and peripheral blood smear,
• If the cause for the low platelet count remains unclear a bone marrow biopsy is usually recommended, to differentiate the root cause of low platelet count.

Physical exam, including a complete medical history. Look for signs of bleeding, see whether spleen is enlarged. Also enquire about the types of medications and supplements that the patient usually taken.

Differentiation

Differentiate immune thrombocytopenic purpura from the following diseases:

• Reynaud’s syndrome.
• Bone marrow disorders, such as aplastic anemia or myelodysplastic syndrome.
• Leukemia or other bone marrow infections (cancer etc.),
• Thrombosis,
• Lupus,
• Viral infections,
• Liver cirrhosis,
• Hepatic viral infections,
• HIV,
• Bacterial sepsis.

Allopathic treatment of Immune Thrombocytopenic Purpura 

Allopathic: Use of corticosteroids, IVIG or anti-D immunoglobulins is indicated as first line of treatment for patients with non-life-threatening symptoms. Children with little or no symptoms can be managed with observation alone regardless of platelet count.

Second-line treatments such as use of thrombopoietin receptor agonists, rituximab and splenectomy may be recommended to manage chronic/severe cases. Patients with life-threatening complications such as gastrointestinal hemorrhages and neurological symptoms should receive immediate platelet transfusions and hemostatic control interventions when necessary.

Studies suggest that the primary response to corticosteroid therapy is significant only in 15-20% of the cases and splenectomy carries both surgical and anesthetic risks. Hence, if an alternative therapy that provides an effective and safe management of the disease may be available, it would be welcome.

Homeopathic Treatment for Immune Thrombocytopenic Purpura

The Homeopathic approach is to address the immune system which is affected of course, targeting the treatment on for high platelets count. There are many effective medicines available in Homoeopathy for example:

Bothrops Lanceolatus

Thrombosis, also immune thrombocytopenic purpura, as hemiplegia, aphasia, inability to articulate. Broken-down, hemorrhagic constitutions; septic states. Great lassitude and sluggishness; hemorrhages from every orifice of the body; black spots (could be sever low platelets). Hemiplegia with aphasia. Inability to articulate, without any affection of the tongue. Nervous trembling. Pulmonary congestion. Skin swollen, livid, cold with hemorrhagic infiltration. Gangrene. Lymphatics swollen. Dengue fever. Malignant erysipelas.

Amaurosis; blindness from hemorrhage into retina. Hemeralopia, day blindness, can hardly see his way after sunrise, conjunctival hemorrhage. Face swollen and puffy. Besotted expression. Throat red, dry, constricted; swallowing difficult, cannot pass liquids. Epigastric distress. Black vomiting. Intense hematemesis. Tympanites and bloody stools.

Antipyrinum

Antipyrine is one of the drugs that induce leukocytosis. Acts especially on the Vaso-motor centers. Dilation of capillaries of skin. Patches of hyperemia and swelling. In large doses causes profuse perspiration, dizziness, cyanosis, and somnolence, albumen and blood in urine. Acute erythema multiforme. Erythema, eczema, pemphigus. Intense pruritus. Urticaria, appearing and disappearing suddenly, with internal coldness. Angioneurotic-oedema. Dark blotches on skin of penis, sometimes with oedema.

Swelling of lips. Burning of mouth and gums. Ulceration of lips and tongue; vesicles and bullae. Small lump in cheek. Tongue swollen. Bloody saliva. Toothache along lower jaw.

Throat: Pain on swallowing. Expectoration of fetid pus. Abscess, white false membrane. Sensation of burning.

Phosphorus

Chilly every evening. Cold knees at night. Adynamic with lack of thirst, but unnatural hunger. Hectic, with small quick pulse; viscid night-sweats. Stupid delirium. Profuse perspiration. Sour mouth taste and sour eructation after every meal. Dengue fever. Liver congested. Acute hepatitis. Fatty degeneration. Jaundice. Pancreatic disease. Large yellow spots on abdomen.

Carica Papaya

Severe temperature, breathing problem, severe vomiting, red skin, shivering, sever body pain and high blood pressure, lachrymation, vomiting, low appetite, fatigue, hepatomegaly, splenic affections and pain. Dengue fever.

China Officianalis

Debility from exhausting discharges, from loss of vital fluids. Fever – Intermittent, paroxysms anticipate; return every week. Dengue fever – any stage. Chill generally in forenoon, commencing in breast; thirst before chill, and little and often. Debilitating night-sweats. Free perspiration caused by every little exertion, especially on single parts. Hay fever, watery coryza, pain in temples. Hectic fever. Dengue fever. Intermittent fever. Hectic fever. Traumatic fever. Jaundice. Liver diseases, cirrhosis. Meniere’s disease, Psoriasis, Spleen affections, Gall-stone colic. Debility. Delirium. Diarrhea. Dropsy. Dyspepsia. Ears – deafness, tinnitus. Empyema. Erysipelas. Facial neuralgia.  Hemorrhages. Hemorrhoids. Headache.

Arsenic Album

Abscess. Anemia, Bronchitis. Cholera Asiatica. Cholera. Cold. Coldness. Delirium tremens. Diarrhea. Diphtheria. Dropsy. Dengue fever. Duodenum. Vomiting. Glandular swellings. Enteric fever. Typhoid. Fainting. Traumatic fever. Typhus. Fever. Headache. Hectic fever. Intermittent fever. Shivering, Yellow fever, jaundice. Neuralgia. Remittent fever. Rheumatic gout. Rheumatism. Rickets. Ringworm. Scalded. Scarlatina. Scrofulous affections.

Dengue fever. Low appetite. Bones pain. Dyspepsia. Cyanosis. Enteric fever or Typhoid. Typhus. Intermittent fever. Relapsing fever. Measles. Herpes zoster. Influenza. Pneumonia. Hepatic abscess. Scarlatina. Smallpox. Urticaria.

Natrum Muriaticum

Greasy, oily, especially on hairy parts. Dry eruptions. Fever blisters. Urticaria; itch and burn. Crusty eruptions in bends of limbs, margin of scalp, behind ears. Warts on palms of hands. Eczema; raw, red, and inflamed; worse, eating salt, at seashore. Affects hair follicles. Alopecia. Hives, itching after exertion.

Sepia Officinalis

Herpes circinate in isolated spots. Itching; not relieved by scratching; worse in bends of elbows and knees. Chloasma; herpetic eruption on lips, about mouth and nose. Ringworm-like eruption every spring. Urticaria on going in open air; better in warm room. Systemic Lupus Erythematosus. Hyperhidrosis and bromhidrosis. Sweat on feet, worse on toes, intolerable odor. Lentigo in young women. Ichthyosis with offensive odor of skin. Rosacea; saddle-like brownish distribution on nose and cheeks.

Merc Solubilis

Abscess. Anemia. Aphthae. Bone disease. Cancers. Chancre. Condylomas. Eczema. Fainting. Fevers. Fissures. Glandular swellings. Gumboil, gums unhealthy. Teeth affections Throat-deafness. Tongue affections, mapped. Toothache. Jaundice. Liver affections. Mucous patches. Perspiration, abnormal, offensive body odor. Pancreatitis. Immune thrombocytopenic purpura. Pyemia. Rheumatism. Rickets.   Tremors. Ulcers. Vaccination side effects.

Secale Cornutum

Albuminuria. Boils. Carbuncles. Gangrene. Chorea. Convulsions. Epilepsy. Epistaxis. Cramps, cramps and burning or coldness. Fibroma. Goiter. Hematuria. Hemorrhages. Hemorrhagic diathesis. Immune thrombocytopenic purpura. Impotence. Diabetes. Hepatomegaly. Neuralgia. Night sweats. Numbness. Purpura, Raynaud’s disease. Cancer. Thrombosis.

Lachesis

Albuminuria. Alcoholism. Amblyopia. Aneurysm. Apoplexy. Asthenopia. Bedsores. Boils. Bubo. Leukemia. Splenomegaly with pain. Obstinate constipation. Constipation alternately with diarrhea, with violent colic, nausea, vomiting, anguish, pains in rectum during passage of faeces, tenesmus and excoriation of anus. Stools excessively offensive, with undigested substances. Caecum inflammation. Carbuncle. Catalepsy. Chancre. Menopause. Chilblains. Ciliary neuralgia. Cyanosis.  Diphtheria. Gallstones. Intermittent fever. Violent and convulsive vomiting of everything taken, or of bilious, bitter, greenish matter. Vomiting of pure blood, or of bloody mucus. Jaundice. Inflammation and softening of liver. Hepatic abscess. Gangrene. Glanders. Gums, bleeding of. Hemorrhages. Hemorrhoids. Hay fever.

Gangrenous ulcers on legs. Red pimples on the thighs and on the legs, after scratching. Excoriated places, and superficial ulcers with foul bases, on the legs. Red or bluish, and painful swelling of feet and legs. Heaviness, numbness, icy coldness, sweating of the feet. Itching, psoric eruptions, papule and spots as from a burn, in feet and legs. Abscess in the heels. Wounds and ulcers bleed readily and copiously.

Varicose swellings. Dropsical swelling over whole body. Hard and pale tumefaction. Skin yellow, green, lead-colored, or bluish-red or blackish, chiefly round the wounds and ulcers. Yellow, red, copper-colored spots. Pale, livid spots, with fainting fits. Dry, miliary itch, eruption of large vesicles of a yellow or of a bluish black color, swelling of parts affected, pains which drive to despair. Miliary eruption, which resembles nettle-rash, scarlatina, or morbilli. Erysipelas and vesicular eruptions with a red crown. Gangrenous ulcers, blisters. Superficial ulcers, foul at bottom, with a red crown. Cancerous ulceration.

Icy coldness of the skin, sometimes with loss of sensation, clammy sweat, weakness and rapid pulse. Intermittent fever. Typhus fever, especially when the tongue is red or black, dry or in fissures, especially at the tip.

Latrodectus Mactans

Blood thin and florid and uncoagulable. Bloody stools. Bloody vomiting. Itching and redness or black spots on skin. Skin cold as marble, very cold.  Angina pectoris. Paresthesia of limbs.

Chininum Sulphuricum

Angina pectoris. Brow ague. Headache. Noises in the head. Cancerous ulcers. Gangrenous and fetid suppurations. Delirium. Dropsy.  Hematuria. Hemorrhages. Intermittent fever. Neuralgia. Parotitis. Pruritus vulvae. Puerperal convulsions. Pyemia. Remittent fever. Rheumatism. Scarlatina. Spinal irritation. Splenomegaly. Typhus-fever. Urticaria. Varicose veins. Variola.

Crotalus Horridus

Apoplexy. Bilious fever. Boils. Skin eruption, distortion. Ulcers. Urticaria. Cancers. Carbuncles. Cerebro-spinal meningitis. Chancre. Ciliary neuralgia. Convulsions. Delirium tremens. Dementia. Diphtheria. Epilepsy.  Hematuria. Hemorrhagic diathesis. Heart affections. Intestinal hemorrhages. Jaundice. Liver disorders. Immune thrombocytopenic purpura. Pyemia. Remittent fever. Rheumatism. Tetanus. Thirst. Tongue, inflammation of; cancer of.  Vaccination’s side effects. Varicose. Varicocele. Yellow Fever.

Hamamelis Virginica

Black eye. Bruises. Ulcers. Varicose. Wounds. Cancer. Chilblains. Consumption. Enteric fever. Gastric ulcer. Hematemesis. Hematuria. Hemorrhages. Hemorrhagic diathesis. Hemorrhoids. Immune thrombocytopenic purpura. Rheumatism. Scurvy. Testicles inflamed. Varicocele.

Ergotinum

Gangrene. Hemorrhages. Heart paralysis. Sphincters paralysis. Cyanosis. Carbuncles. Gangrene. Chorea. Convulsions. Epilepsy. Epistaxis. Cramps, cramps and burning or coldness. Fibroma. Goiter. Hematuria. Hemorrhages. Hemorrhagic diathesis. Immune thrombocytopenic purpura. Impotence. Diabetes. Hepatomegaly. Neuralgia. Night sweats. Numbness. Purpura, Raynaud’s disease. Cancer. Thrombosis.

Salicylicum Acidum

Spasmodic, flatulent asthma; fetid bronchitis; gangrene of lungs. Pulse small, rapid, weak. Heat, redness, soreness, and swelling about joints with acute, piercing pains. Soreness and pain. Rheumatic pain or rheumatoid arthritis. Necrosis. Copious foul-smelling sweats. Weakness, faintness. Skin red, points like fleabites, sensitive. Urticaria. Yawning. Profuse sweat.

Tuberculinum and Bacillinium

Acne. Albuminuria. Appendicitis. Asthma. Bones diseases. Chilblains. Hematuria. Hemoptysis. Headache. Heart affections. Tachycardia. Edema. Lupus. Mania. Nephritis. Phthisis. Pleurisy. Immune thrombocytopenic purpura.

Carbo Vegetablis

Acidity. Carbuncle. Acne. Hair fall. Headache. Angina Pectoris. Aortitis. Asthenopia. Typhus. Ulcers. Yellow fever. Deafness. Debility. Feet, hands cold. Insensibility of the extremities, drawing and paralytic pain. Gangrene. Hemorrhages. Hemorrhoids. Heart diseases. Influenza. Intermittent. Intertrigo. Irritation. Laryngitis. Lung’s congestion. Nasal and/or gums bleeding. Orchitis. Otorrhea. Immune thrombocytopenic purpura. Itching. Scurvy. Burning sensation in different parts of the skin. Eruption of small pimples like miliary scabies. Shivering. Chilblains. Varices. Plexus of the veins, formed by a dilatation of the capillary vessels, with violent hemorrhage, after the slightest injury. Gangrenous spots.

Arnica Montana

Abscess. Apoplexy. Baldness. Bedsores. Black eye. Boils. Brain affections. Carbuncle. Limbs pain and crawling in, tingling. Red, black, bluish, and yellowish, yellow-green spots on skin/body. Bed sores; blue mortification. Miliary eruption. Petechiae. Small boils, or blood-boils; one after another, extremely sore. Chorea. Corns. Cramp. Diabetes. Bleeding of internal and external parts. Inflammatory erysipelatous swelling of the feet with pain. Feet, sore. Hematemesis. Hematuria. Headache. Heart affections. Impotence. Paralysis. Immune thrombocytopenic purpura. Pyemia. Rheumatism. Sprain. Stings. Suppuration. Taste disorders. Traumatic fever. Tumors. Voice affections. Wounds. Yawning.

Belladona

Abscess. Acne. Amaurosis. Bladder weakness. Boils. Ulcers. Brain affections. Carbuncle. Debility. Vertigo. Convulsions. Stupor and loss of consciousness. Delirium tremens. Ear affections. Enteric fever. Epilepsy. Erysipelas. Erythema. Paleness. Muscular palpitations and convulsive movements. Gout. Headache. Heart affections. Hydrocephalus. Inflammatory swelling and redness. Kidney affections. Bleeding hemorrhoids. Malignant pustule. Sour sweat. Mouth affections. Neuralgia. Nose affections. Nyctalopia. Nymphomania. Paralysis. Swelling, with heats and scarlet redness of the whole body, or of several parts, chiefly the face. Eruption of petechiae, with itching and redness of the whole body. Rheumatism. Hypersensitivity. Smell disordered. Strangury. Taste disordered. Tenesmus. Testicles affections. Tongue affections. Tuberculosis. Uterine affections. Side effects of vaccinia.

X-Ray

X-ray in potency has the property of stimulating cellular metabolism. Arouses the reactive vitality, mentally and physically. Brings to the surface suppressed symptoms, especially sycotic and those due to mixed infections. Its homeopathic action is thus centrifugal, towards the periphery.

Repeated exposure to Roentgen (X-ray) has produced skin lesions and some types of cancers. Sexual glands are particularly affected. Atrophy of ovaries and testicles. Sterility. Changes take place in the blood lymphatics and bone marrow. Anemia and leukemia. Distressing pain. Corresponds to stubbornness, they refuse to heal. Psoriasis.

Lost sexual desire. Re-establishes suppressed gonorrhea. Rheumatic pains. General tired and sick, fatigue. Palms rough and scaly. Skin dry, itching eczema. Erythema around roots of nails. Skin dry, wrinkled. Painful cracks. Warty growths. Nails thicken. Psoriasis.

Bovista

Coccyx, itching of. Corns. Cysts. Diabetes. Eczema. Ganglion. Gleet. Hemorrhages. Immune thrombocytopenic purpura. Headache. Heart affections. Jaundice. Joints, affections of. Menstruation, disordered. Metrorrhagia. Ovaries, affections of. Rheumatic affections. Stammering. Tongue, ulcerated. Tumors. Urticaria. Warts. Whitlow. Wounds.

Margosa Bark or Azadirachta Indica

An afternoon fever and rheumatic pains in various parts are caused by this remedy. Pain in sternum and ribs, in back and shoulders and extremities; heat, pricking and aching in hands, especially palms, fingers, also toes. Splenomegaly. Spleen congested. Dengue fever. It is especially useful in cases previously maltreated with allopathic quinine.

Granatum

Partial and semi-lateral shuddering, sometimes with semi lateral headache. Dry, burning heat over the whole body, with inclination to throw off all covering. Dengue fever. Immune thrombocytopenic purpura. Sweats on the least movement. Appetite alternately diminished and increased.

Apis Melifestida

Skin swellings after; sore, sensitive. Stinging. Erysipelas, with sensitiveness and swelling, rosy hue. Carbuncles, with burning, stinging pain. Sudden puffing up of whole body. Systemic Lupus Erythematosus.

Anthracinum

Epidemic spleen diseases. Septic inflammation, carbuncles and malignant ulcers. In boils and boil-like eruptions, acne. Systemic Lupus Erythematosus. Terrible burning. Induration of cellular tissue, abscess, bubo, and all inflammation of connective tissue in which there exists a purulent focus.

Tissues: Hemorrhages, black, thick, tar-like, rapidly decomposing, from any orifice. Glands swollen, cellular tissues edematous and indurated. Septicemia. Ulceration, sloughing and intolerable burning. Erysipelas. Black and blue blisters. Dissecting wounds. Bad effects or side effects of allopathic medicines. Gangrenous parotitis. Succession of boils. Gangrene. Foul secretions.

Bellis Perennis

Boils. Ecchymosis, swelling, very sensitive to touch. Venous congestion due to mechanical causes. Varicose veins with bruised sore feeling. Exudations and swellings. Acne. Systemic Lupus Erythematosus.

Tarentula Hispanica

Ecchymosed spots. Hepatic spots. Furfuraceous spots. Miliary eruption. Indolent pimples. Vesicular eruption. A small callosity, whitish, indolent, between middle and index fingers, increased, with heat and pain, extended, broke, leaving an ulcer with callus edges, healed leaving a small scar. Painful callosity at end of thumb fell off. Callosity in index fell out. Every year intense pain in toes from reopened wound. Formication; pricking; itching over whole body. Systemic Lupus Erythematosus.

Kreosotum

Skin soft, unnatural feel of skin, with pegged teeth. Violent itching all over body, especially towards evening, and with burning sensation after scratching. Nettle-rash. Systemic Lupus Erythematosus. Eruption, like bug-bites, with violent itching. Large, greasy-looking, pox-shaped pustules. Mealy and pustular, dry or humid tetters with violent itching.

Frequent, and even constant heat in face, with throbbing in cheeks and forehead, and with a deep red color of whole face. Acne. Face pale green with swelling of cervical glands. Greyish, earthy color of the face. Furfuraceous tetters on cheeks, on eyelids, and round mouth. Acute drawing pain.

Sulphur

Dry, scaly, unhealthy skin; every little injury suppurates. Freckles. Itching, burning; worse scratching and washing. Pimply eruption, pustules, rhagades, hangnails. Excoriation. Feeling of a band around bones. Skin affections after local medication. Pruritus, Herpes across the nose. Systemic Lupus Erythematosus. Nose stuffed indoors. Imaginary foul smells. Alae red and scabby. Chronic dry catarrh; dry scabs and readily bleeding. Polyps and adenoids.

Dulcamara

Adenitis. Pruritus, always worse in cold, wet weather. Herpes zoster, pemphigus. Swelling and indurated glands from cold. Vesicular eruptions. Systemic Lupus Erythematosus. Sensitive bleeding ulcers. Little boils. Red spots, urticaria, brought on by exposure, or sour stomach. Humid eruptions on face, genitals, hands, etc. Warts, large, smooth, on face and palmar surface of hands. Anasarca. Thick, brown-yellow crusts, bleeding when scratched. Humid eruption on cheeks and face. Feels as if cobwebs on face. Eczema of nose. Itching pimples. Moist eczema around mouth and chin. Erysipelas, burning and stinging.

Thyroidinum

Psoriasis associated with adiposity (not in developing stage). Systemic Lupus Erythematosus. Skin dry, impoverished. Cold hands and feet. Eczema. Uterine fibroids. Browne swelling. Swelling of glands of stony hardness. Sluggish cases. Jaundice with pruritus. Ichthyosis, lupus. Itching without eruption, worse night.

Ranunculus Bulbosus

Burning and intense itching; worse, contact. Hard excrescences. Herpetic eruptions, with great itching. Shingles, bluish vesicles. Itching in palms. Blister-like eruption in palms. Corns sensitive. Horny skin. Fingertips and palms chapped. Vesicular and pustular eruptions.

Psorinum

Dirty, dingy look. Dry, lusterless, rough hair. Intolerable itching. Herpetic eruptions, especially on scalp and bends of joints with itching; worse, from warmth of bed. Enlarged glands. Sebaceous glands secrete excessively, oily skin. Indolent ulcers, slow to heal. Systemic Lupus Erythematosus. Eczema. Crusty eruptions all over. Urticaria after every exertion. Pustules near fingernails. Humid eruption on face.

Phytolacca Decandra

Itches, becomes dry, shrunken, pale. Papula and pustular lesions. Most useful in early stages of cutaneous diseases. Disposition to boils, and when sloughing occurs. Squamous eruptions. Syphilitic eruptions. Swelling and induration of glands. Venereal buboes. Scarlatina-like rash. Warts and moles.

Iris Versicolor

Herpes zoster, associated with gastric derangements. Pustular eruptions. Psoriasis; irregular patches with shining scales. Eczema, with nightly itching. Systemic Lupus Erythematosus.

Acid Phosphoricum

Pimples, acne, blood-boils. Ulcers, with very offensive pus. Burning red rash. Systemic Lupus Erythematosus. Formication in various parts. Falling out of the hair. Tendency to abscess after fevers. On face feeling of tension as from dried albumen.

Silice Tera

Felons, abscesses, boils, old fistulous ulcers. Delicate, pale, waxy. Cracks at end of fingers. Painless swelling of glands. Rose-colored blotches. Scars suddenly become painful. Pus offensive. Promotes expulsion of foreign bodies from tissues. Every little injury suppurates. Long lasting suppuration and fistulous tracts. Dry fingertips. Systemic Lupus Erythematosus. Eruptions itch only in daytime and evening. Crippled nails. Indurated tumors. Abscesses of joints. After impure vaccination. Bursa. Lepra, nodes, and coppery spots. Keloid growths. Eruption on chin. Facial neuralgia, throbbing, tearing, face red.

Acid Muriaticum

Papulas and vesicular eruptions, with great itching. Carbuncles; foul-smelling ulcers on lower extr Psoriasis. Erysipelas in face. Itching on back of finger-joints. Unhealthy skin; slight injuries suppurate. Herpes. Systemic Lupus Erythematosus. Erysipelatous inflammation with swelling and tension. Chilblains relieved in open air. Trade eruptions on fingers and hands, itching and stinging. Ends of hair become tangled enmities. Scarlet fever, livid, with petechiae; scanty eruption. Eczema on back of hands. Pimples and freckles; lips raw, dry, cracked.

Borax

Psoriasis. Systemic Lupus Erythematosus. Erysipelas in face. Itching on back of finger-joints. Unhealthy skin: slight injuries suppurate. Herpes. Erysipelatous inflammation with swelling and tension. Chilblains relieved in open air. Trade eruptions on fingers and hands, itching and stinging. Ends of hair become tangled. Face swollen, with pimples on nose and lips. Feeling of cobwebs.

Antimonium Crudum

Systemic Lupus Erythematosus. Eczema with gastric derangements. Pimples, vesicles, and pustules.

Sensitive to cold bathing. Thick, hard, honey-colored scabs. Urticaria; measle-like eruption. Itching when warm in bed. Dry skin. Warts. Dry gangrene. Scaly, pustular eruption with burning and itching. Pimples, pustules, and boils on face. Yellow crusted eruption on cheeks and chin. Sallow and haggard.

Natrum Sulphuricum

Itching while undressing. Jaundiced, watery blisters. Sycotic excrescences; wart-like red lumps all over body. Swelling of axillary glands. Inflammation around root of nails. Burning in soles; oedema of feet; itching between toes. Gout. Pain in limbs, compels frequent change in position. Run-arounds. Pain in hip-joints. Stiffness of knees, cracking of joints. Rheumatism. Violent pains. Piercing pain between scapulae. Spinal meningitis; opisthotonos. Systemic Lupus Erythematosus.

Vomits sour. Brown, bitter coating on tongue. Yellow complexion. Bilious vomiting, acid dyspepsia. Flatulence. Hepatitis; icterus and vomiting of bile; liver sore to touch, with sharp, stitching pains; cannot bear tight clothing around waist, worse, lying on left side.

Causticum

Manifests its action mainly in chronic rheumatic, arthritic and paralytic affections, indicated by the tearing, drawing pains in the muscular and fibrous tissues, with deformities about the joints, progressive loss of muscular strength, tendinous contractures. Broken down senile. In catarrhal affections of the air passages. Restlessness at night, with tearing pains in joints and bones, and faint-like sinking of strength. This weakness progresses until we have gradually appeared paralysis. Local paralysis, vocal cords, muscles of deglutition, of tongue, eyelids, face, bladder and extremities. Children are slow to walk. Skin dirty white sallow, with warts, especially on the face. Emaciation due to disease, worry. Burning, rawness, and soreness are characteristic. Systemic lupus erythematosus.

Nostrils ulcerated. Pimples and warts. Rheumatism of articulation of lower jaw. Gums bleed easily. Soreness in folds of skin, back of ears, between thighs. Warts large, jagged, bleeding easily, on tips of fingers and nose. Old burns that do not get well, and ill effects from burns. Cicatrices freshen up; old injuries reopen. Systemic Lupus Erythematosus.

Tinosporia Cardofolia

Fevers; seminal debility; dyspepsia, jaundice, urinary problems, skin diseases, diarrhea and dysentery; heart diseases; leprosy; helminthiasis and rheumatoid arthritis; splenic affections; secondary syphilis; Genito-urinary problems; gonorrhea. In malaria (acute and chronic) it is more efficacious than quinine, also used in intermittent fever and dengue fever.

Trigonella Foenum Graecum

Mucilaginous, demulcent, diuretic, tonic, carminative, emmenagogue, astringent, emollient and aphrodisiac. Useful for fatigue, weight loss colic, flatulence, dysentery, diarrhea, anorexia, cough, dropsy, enlargement of liver and spleen, dengue fever, rheumatism, lymphatics, rickets, anemia, and diabetes. External swellings and burn.

Aletris Farinosa

Late stages of dengue fever. Anemic, relaxed condition, the patient is tired all the time, and suffers from prolapsus, leucorrhea, rectal distress, etc. Chlorotic. Power and energy weakened. Confused feelings. Cannot concentrate mind. Fainting, with vertigo.

Much frothy saliva. Disgust for food. Least food causes distress. Fainting spells, with vertigo. Vomiting. Nervous dyspepsia. Flatulent colic. Rectum loads up with feces-paretic condition. Stool large, hard, difficult, great pain.

Premature and profuse menses, with labor-like pains. Uterus seems heavy. Prolapse, with pain in right inguinal region. Hepatomegaly. Splenomegaly. Leucorrhea due to weakness and anemia. Muscular pains.

Cedron

Periodicity is the most marked characteristic of this medicine. Its particularly useful in tropical or in damp, warm, marshy countries. It has been found curative in dengue fever, malarial affections, especially neuralgia. Adapted to persons of a voluptuous disposition, excitable, nervous temperament. Antidoting snakebites and stings of insects. Mania.

Severe headaches. Migraine – pain over whole right side of face. Roaring in ears produced by Cinchona. Whole body seems numb with headache. Lancinating pain in joints; worse, feet and hands. Chilliness towards evening; then frontal headache extending into parietal region. Dengue fever. Heat, with itching of eyes, tearing in limbs, numbness of limbs.

Ceanothus Americanus

Specific for the spleen. Ague cake of malaria. Dengue fever. Anemic patients where liver and spleen are at fault. Active hemostatic, materially reducing the clotting of blood. Enormous enlargement of the spleen. Splenitis; pain all up the left side. Deep-seated pain in left hypochondrium, hypertrophy of spleen. Leukemia. Violent dyspnea. Menses profuse, and yellow weakening leucorrhea. Unable to lie on left side – splenomegaly. Hepatic pain. Diarrhea. Constant urging to urinate. Green; frothy; contains bile, sugar.

Cornus Circinat

Chilliness, with nausea, dull pain in head, debility, and languor. Chilly – followed by transient flushing. Flushes of heat and coldness in alternation, followed by cold perspiration. Paroxysm preceded for days by sleepiness, dull, heavy headache, sluggish flow of ideas; slight exercise causes sweat and great fatigue: during apyrexia, debility and painful diarrhea; first moderate heat, then light sweat, ending with a crawling sort of chill; when all the stages seem aborted, and the patient says the chills amount to nothing; weak, languid, and loss of appetite. Dengue fever. Chronic ulceration of mouth and throat. Liver derangement with aching eyeballs. Disturbed sleep.

Leptandra

Chilly along spine and down arms – in wet and damp weather. Shivering, or dry, hot skin; limbs cold and numb; tongue black down center. Bilious typhoid fever. Dengue fever. Dry, hot skin. Weary, can hardly walk. Chilly sensation in shoulders and down back. Back pain. Burning distress in back part of liver and spine. Periodical liver derangement, every two or three months. Malignant disease of liver with black, tarry stools. Deliriousness; complete prostration; heat and dryness of skin; cold extremities; fetid, tarry stools; tongue thickly coated with black streak down center. Jaundice with clay-colored stools. Sharp, distressing pains between navel and epigastrium (hepatic). Profuse watery stools, followed by severe cutting pains in small intestines.

Fagopyrum

Chills along back in afternoon. Liver diseases. Heat and restlessness after retiring. Face, head, and hands burn in afternoon. Hands and feet alternately hot and cold. Cold, clammy sweat at night; very profuse. Soles of feet moist; disagreeable odor in axillae. Dengue fever. During the day occasional eructation of scalding, acid, watery substance, so hot as almost to cause strangulation. Nausea. Uneasy, empty feeling in stomach.

Bad taste in mouth in morning. Taste of ingesta after dinner with eructation. Hepatic pain. Abdomen distended with flatulence; tympanitic. Soreness in hypogastrium; sharp pains through hypogastric region extending into left inguinal region. Burning in rectum after stool; creeping; urging; tenesmus. Diarrhea with tenesmus; stools watery or pappy; with flatulence; very offensive.

Myrica Cerifera

Marked action on the liver, with jaundice and mucous membranes. Dull liver pain. Persistent sleeplessness. Irritable, indifferent. Gloomy. Headache, with drowsiness; yellow sclerotic; aching in eyeballs. Pressure in vertex and forehead. Dull, heavy aching in temples and forehead. Pain and stiffness in nape of neck.

Tongue furred, with bitter taste in mouth, and nausea, offensive breath. Tenacious, thick, nauseous secretion. Tender, spongy and bleeding gums. Constant desire to swallow. Stringy mucus; detached with difficulty. Complete loss appetite. Weak, sinking feeling in the epigastrium. Dengue fever.

Urinary dark, frothy, scanty, high-colored, biliary. Staggering gait. Pain under shoulder-blades and back of neck, in all muscles, in hollow of right foot.

Ferrum Metallicum

Anemia. Biliousness. Catalepsy. Chlorosis. Chorea. Consumption. Cough. Cramps. Debility. Goiter. Hemorrhages. Heart affections; palpitation. Hydrocephalus. Kidney’s affections. Neuralgia. Paralysis of viscera. Rectal prolapsus. Rheumatism.

Frequent shivering of short duration. Shivering with violent thirst, preceded or accompanied by headache. Chill with thirst and red, hot face. Dry heat, with urgent inclination to throw off all covering. Pulse full and hard. Fever, with congestion in the head, puffing round the eyes, swelling of the veins, vomiting of food, short respiration and paralytic weakness. Dengue fever. Copious perspiration, excited by the least movement during sleep. Nocturnal perspiration of a strong smell. Colliquative, clammy sweat.

Berberis Vulgaris

Shivering before dinner, and sometimes after, with feet icy cold, mouth dry and clammy, and pains in the left side of the epigastrium. Splenomegaly. Dengue fever. Shivering, followed by burning heat, with giddiness and violent shooting pains in the head, and sore throat; on the third day, sweat, smelling like urine. temperature, continuing for several days. Pulse slow and weak, or full, hard and rapid.

Phosphoricum Acidium

The common acid “debility” is marked in this medicine. Nervous exhaustion. Mental debility first; later physical. Whenever the system has been exposed to the ravages of acute disease, excesses, grief, loss of vital fluids, we obtain conditions calling for it. Pyrosis, flatulence, diarrhea, diabetes, rachitis and periosteal inflammation. Neurosis in stump, after amputation. Hemorrhages in typhoid, dengue fever.

Many plants extract for example, Spilanthes calva, Sterculia guttata, Balanites aegyptiaca, Vitex negundo, Solanum xanthocarpum, Artemisia annua, Fagonia indica, Nerium indicum, in different solvents have been reported to exhibit activity in blood disorders, bone diseases, spleen diseases etc.

PS: This article is only for doctors having good knowledge about Homeopathy and allopathy, for learning purpose(s).

For proper consultation and treatment, please visit our clinic.

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None of above-mentioned medicine(s) is/are not the full/complete treatment but just hints for treatment; every patient has his own constitutional medicine along with these mentioned above.

Dr. Sayyad Qaisar Ahmed (MD {Ukraine}, DHMS) ; senior research officer Dnepropetrovsk state medical academy Ukraine; is a leading Homeopathic physician practicing in Al-Haytham clinic, Umer Farooq Chowk Risalpur Sadder (0923631023, 03119884588), K.P.K, Pakistan.

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