Minutus

Dear Group,

I was seeing a phone in program in the local channel. Which is on
Plumonology related diseases
mainly on Asthma as it is the most common disease. The Doctors
opinion is that only the
allopathic medicine can mange the disease, And the best medicine is
Inhalers he even
told that use to tablets in not needed it is a waste and the cause the
increased
amount of side effects. The used to cortisone in inhalers is also
safe by use of
inhalers as there is absolutely no side effects. The so called
cortisones are the
preventive inhalers as are safe. He told that there are pt how fear
cortisone and it is called corticophobia.
One pt told that the Doc she was seeing had advised not to take the
inhalers when she was pregnent and before she could complete the doc
told that it was a totally wrong advise as the tab have more side effects.
He also told that the preventives are better that the relivers. etc.

Now i what to know the opinion about this from You.

I have seen that now the pts who come for tt say that they where advised
Inhalers as a preventive for them,
so that their allergic sneezing would not change to asthma that also
containing large quantity of cortisones.

I have also see that the pts change to hot pts after this.

And pt who are taking inhalers for more than one year tell it us
difficult to get of the inhalers.
Pts are addicted to it "A strong addiction"

Can any body give an advice to replace it with out tt. I know the
constitution will help. But one pt of mine when advice to stop the
inhalers so that the true picture of the disease come out had to be take
to the casualty as a result of stopping the inhalers. ( was not given
the constitution was the modalities where not clear.

Plz dont disappoint me telling that this is off topic. I believe that
the medicines are as important as the advices and accessory methods are
very very important in managing and helping the case to cure.

Dr. Nandana

Dear Colleagues

The lungs and Skin are connected.

We are seeing more and more babies born with eczema.

They are quickly put of some ointment - some of which contain cortisones.

We now embark on a life long - ever worsening and terminal oscillation between skin and lung problems.

As the skin heals, lung symptoms, wheezing, breathlessness etc start, it is diagnosed as asthma and more cortisone is given in form of inhalers.
As the lung get better, the skin becomes worse (than before), more cortisone, then more lung symptoms and so on a vicious spiral develops.

Not many people have died of eczema but plenty die from asthma.

In the whole of my school days, (pre 70's) I remember only one person with asthma. I have checked with colleagues and friends and the numbers were very low.
Now something like 20% of kids in England's schools have these god damned inhalers.
WHY???

I have also seen a kid of about 11 who could not run the length of the football field!. His story was that some 6-9 months before eczema had developed on his leg and cortisone cream had been applied.

After homoeopathic treatment, the eczema returned but the boy's lungs worked well and now he could run.
Then his eczema also went away.
All within 3 months!
If I am not mistaken his remedy was Sil and he was given it in LM potency.

One word of WARNING - never withdraw the inhaler in one go.
Establish your homoeopathic remedy (pref with LM potencies), the patient despite the inhaler should see benefits and less need for the inhaler, you can now start to reduce.
The only problem is the 'preventative' mentality that some doctors have developed for the use of cortisone inhalers.

Rgds
Soroush

Hello, don't want to campaign for him but in Jamie Oliver's School Dinner
Revelution the children of one school completely managed to abandon their
inhalers when their diet was transformed from rubbish to excellent. What an
eye opener that was for all concerned. For those who don't know him Jamie is
one of Britain's great chefs. Thanks, Kerry.
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Hi Kerry

I second that about Jamie Oliver (I really am a fan of his). I knew about his campaign with school dinners and that he met Blair to discuss setting it up, but didn't know about one shool abandoning their inhalers when their diet was transformed. So thanks for that bit of info.

Christine

Hi Nandana,

Somewhere I have a good stash of posts on the subject, which I'll try
to find and re-post. But here are a couple of things I recall:
1) Will Taylor, in a *wonderful* post on the topic, said that, in the
early stages when you don't yet have control of the asthma, it is *far*
better for the parents to learn to recognize when an attack is coming
on, and have the child use the inhaler in the *early* stages, to avert
it, rather than hold back until a full-blown attack takes place; he
says you will use *far* less medicine by nipping an attack in the bud.
using it. This will alert them that lung function is being compromised
before the situation really becomes bad.

2) Some people (I *think* a large percentage) are able to avoid asthma
attacks simply by drinking sufficient plain, pure water--around 8 cups
daily for an average-sized adult, proportionately more or less
according to weight. (This was 100% successful for my daughter and two
others that I know, and was mostly successful for another person; he
says it would probably be enough if he could *remember* to drink more
regularly.)

3) Lobelia is said to be useful, tho for my own daughter (before we
got her "water cure") mullein was more successful.

I'll try to find the rest tomorrow, unless others beat me to it.
Shannon

PS 4)
4) For patients who have been on steroids, ACTH (aka corticosteroid)
in 6c (or other low potency) as-needed doses, can re-set the adrenals,
which will have partly shut down from the steroids, and can
eliminate(?) the severe aggravations that these people can be prone to.

Nandana

corticoid tablets are worse than corticoid inhalers because they act in the whole body trough the GI tract while inhalers acts "mainly" in the target organ (lung, nose, etc) "reducing" the side effects
that doesn't mean they cannot lead to a suppression
if we know that a corticoid ointment leads to suppression, think in an inhaler used on a regular basis for months or years

there are corticoids inhalers, bronchodilator inhalers and combination of both
never stop the corticoids from one day to the other, taper them down slowly while the patient is getting better
bronchodilators may be useful until the patient has no more attacks.

I hope it helps

Dr Guillermo

-----Mensaje original-----
De: minutus@yahoogroups.com [mailto:minutus@yahoogroups.com]En nombre de
Nandana T. Pai
Enviado el: sábado, 28 de mayo de 2005 7:59
Para: minutus group; homeopathy open; homeopathy@homeolist.com
Asunto: [Minutus] Inhalers
Dear Group,

I was seeing a phone in program in the local channel. Which is on
Plumonology related diseases
mainly on Asthma as it is the most common disease. The Doctors
opinion is that only the
allopathic medicine can mange the disease, And the best medicine is
Inhalers he even
told that use to tablets in not needed it is a waste and the cause the
increased
amount of side effects. The used to cortisone in inhalers is also
safe by use of
inhalers as there is absolutely no side effects. The so called
cortisones are the
preventive inhalers as are safe. He told that there are pt how fear
cortisone and it is called corticophobia.
One pt told that the Doc she was seeing had advised not to take the
inhalers when she was pregnent and before she could complete the doc
told that it was a totally wrong advise as the tab have more side effects.
He also told that the preventives are better that the relivers. etc.

Now i what to know the opinion about this from You.

I have seen that now the pts who come for tt say that they where advised
Inhalers as a preventive for them,
so that their allergic sneezing would not change to asthma that also
containing large quantity of cortisones.

I have also see that the pts change to hot pts after this.

And pt who are taking inhalers for more than one year tell it us
difficult to get of the inhalers.
Pts are addicted to it "A strong addiction"

Can any body give an advice to replace it with out tt. I know the
constitution will help. But one pt of mine when advice to stop the
inhalers so that the true picture of the disease come out had to be take
to the casualty as a result of stopping the inhalers. ( was not given
the constitution was the modalities where not clear.

Plz dont disappoint me telling that this is off topic. I believe that
the medicines are as important as the advices and accessory methods are
very very important in managing and helping the case to cure.

Dr. Nandana

Another saved bit re asthma and inahalers. From Will Taylor,
M.D.--interesting and useful, I think!
************
Joanne -

Sorry I couldn't jump in soon enough to be of help in the moment, but
with the future in store, here are some thoughts. P.S., you are a
saint (but aren't all mothers):

* Get the book _Children with Asthma_. I posted the author &
publisher in a previous note, it's at work tonight, if you want that
info write me for it. I think the author is Kaplan. Allopathic re tx,
but really valuable for understanding asthma home management whether
using allopathic meds or other approaches. This book evolved out of a
spiral-bound manual written for a family asthma education project at
the Medical Center at Hershey, PA.

* If you don't already, get & use a peak flow meter; about $15, easy to
learn to use; good instructions in the book noted above. Establish a
baseline norm when well, & monitor at these times to see if asthma is
around the corner. It is *much* easier to prevent or abort an attack
early than to salvage it later - whether using allopathic inhalers or
nebulizer, or homoeopathic tx, or both. Many parents try to hold off
on meds until they can't anymore, but you'll use much less medication
(of any kind) jumping in earlier. The peak flow meter will indicate an
incipient attack well before cough or wheeze or shortness of breath or
chest pressure sets in.

he played so I waited. Mistake 2

With the peak flow meter, you would have started tx well before this &
interupted the spiraling course of this illness earlier, when it is
much easier to do. Missing that, here you have learned a really
valuable thing, an early symptom for your child - and this will be
different for different children, so *you* are the one who has to
identify it. I have learned *never* to argue with a mother who tells
me that her child is nearing the edge of an asthma attack, even if the
sign or symptom she reports to me seems implausible to medical science.
Following with a peak flow meter, you would have seen that you were not
really "out of the woods", and could maintain your aggressiveness in
treatment. It is very possible that the tea (black tea?) palliated the
attack somewhat - the caffeine-like xanthine in tea is theophylline,
which was once used as the first-line allopathic medication for asthma.
We used to think it acted as a bronchodilator, but it appears more
likely that it is a diaphragmatic stimulant. A cup of black tea is
often sufficient to palliate asthma significantly for a few hours.
Problem is, he'll wake up a few hours later tight again, & you'll think
he needs Kali-c 'cause it's worse at 4 a.m.

slightly flushed in face. Drank some warm tea this morning.
it is 7 am and breathing is a little deeper BUT now he is developing a
fever. A good >sign? He is not grunting but is wheezy still.

In choosing the "acute" remedy here, it is important to bear in mind
that this "acute" is actually the transient surfacing of a chronic
(syco-psoric) disease; even if it is precipitated by an epidemic viral
illness. A total anamnesis of the chronic disease will help a lot in
finding the remedy needed in this "acute" setting; it may be the
chronic remedy, or a remedy complementary to the chronic remedy for the
case. Most of my asthmatic kids have a pretty standard "acute"
picture, which can be found by looking at the various acutes they have
had in the past collectively, as well as at the case when not "acute".
Some have more than one "acute" picture, and may respond one time to
one remedy, and on other occasions to another. It is important to look
at this larger picture when choosing a remedy in the acute setting, as
the picture in the moment may be somewhat one-sided, making an "acute"
remedy difficult to identify.

The timing of this aggravation may be unreliable as a symptom - it may
be the result of the wearing off of the theophylline from the tea.

You make a pretty good case here for Ant-t. It sounds like Sulphur may
have been a big remedy for him in the past by your choice of the 10M?
These 2 points, along with the absence of fever, make me think (I'm
brainstorming now! not a remedy suggestion, but an idea to expand your
thinking here) of Kali-s. Kali-s has a real rattly asthma, lots of
bronchial mucus, like Ant-t; it's complementary to Sulphur; comes on
gradually out of a "cold", like Puls; has the redness, like Sulphur, &
the heat. It won't come up easily in a repertorization - it's really
underrepresented in the repertory, you'll see stuff suggesting Sulphur,
& stuff suggesting Kali-c, & maybe some respiratory stuff like the
Antimoniums (rattly, bronchial mucus, heard across the room), and some
stuff like Pulsatilla & you have to know to look for it.

I use the "acute" Rx in water, so frequent repetitive dosing in the
attack is easier to do effectively. LMs are nice here (usually LM1 or
LM3), but 12C or 30C in water (e.g., 1 pellet in 4oz, dosing 1/2 tsp
from the bottle) works well too. Dosing of course needs to be
individualized, but the above is what I most often end up with.

Now I'll expose myself to possible attack here, (I will only respect
flames from parents who have had to take care of asthmatic children
turning blue in the face at 1 a.m.) but - remember the "wagon of rice
and water" vs "digging wells and growing crops" metaphor? Well, once
we *know* the remedy that will probably work acutely, and are also
addressing the chronic nature of the asthma with a chronic treatment
plan (i.e., we are digging wells & planting crops in anticipation of
irrigation), I see nothing wrong with hitting up the relief supplies &
helping everyone sleep. Get a nebulizer (not just a hand-held inhaler;
for about $150 you can get an ultrasonic nebulizer; threaten your
insurance plan with ER visits for asthma, they should pay for it with a
doc's prescription - I've never had a hassle with this) & use a
prescribed bronchodilator (e.g. albuterol), & use it *early* in the
attack, per the peak flow meter, so you don't need to use much of it.
If you wait 'till he's in distress, you'll end up using a *lot* more
medicine. Repeat this as indicated (use the peak flow meter, & repeat
if/when he *starts* to tighten up again) to keep him open, while using
the remedy as well. You'll use a lot *less* albuterol using an
ultrasonic nebulizer than you would with a hand-held inhaler, 'cause
the delivery is just so much more efficient.

The mistake here would be to consider this the solution to his chronic
disease - and send him to school or whatever with a hand-held albuterol
inhaler, so he gets referred to me for ADHD 'cause he can't sit still
with all that albuterol swishing thu his system (Jack Kerouac did some
of his best writing while doing asthma medication - I love his train of
thought, but it won't get you by in the 6th grade).

I have never seen this to be suppressive (it only palliates
transiently), and it is usually very well tolerated, the only real
problem would be that it may mask & alter the acute picture, so it may
be hard to perceive the acute remedy if you have not done that already;
and if you start working with a kid who uses a bronchodilator
routinely, you'll convince yourself he needs Kali-c 'cause he routinely
has aggravations at 4 a.m., when the bedtime dose wears off. Although
albuterol is stimulating, when used for a kid who's been sick & is
exhausted from not being able to breath well, *most* fall asleep with
the relief offered. The ultrasonic nebulizer also delivers the
medication efficiently to the bronchi, so much less medication is
needed, and systemic side effects (restlessness) are minimized.

I have folks start out with both this and the acute remedy, & follow
peak flows, repeating the nebulizer if they drop; most often the remedy
moves things along, & the nebulizer is held in the wings as long as the
peak flows stay up.

The other advantage of doing this, is that it gives you the principal
tool that is used in the ER, in your own control, to keep you out of
that damned place & the inevitable Prednisone (often disguised under
other names for parents who object to it) that will follow a nebulizer
treatment there. And the machine costs *much* less than just walking in
the ER door even once. So if things are not going well with the
homoeopathic acute remedy, you don't have to lose control of
home-management.

I do not recommend the herbal bronchodilator ephedra - it is the
substance from which albuterol is modified, and is much "dirtier" re
side-effects (especially cardiac stimulation & anxiety, restlessness,
insomnia). Likewise I don't recommend using black tea specifically for
the theophylline - too stimulating, disturbing of needed sleep, and too
much of a roller-coaster ride with its short duration of action. Maybe
to add (the tea, *not* the ephedra) to a nebulizer treatment if you are
about to give up on home treatment & hoof it to the ER.

Hope this is helpful.

Will Taylor, MD Homoeopathy Website at:
************
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