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desperate help!!!!

OLD MAN AGE 65 YEARS has POTTS Disease

Tuberculosis of Spine

History ;-


Had pain in low back Four Months ago and it was diagnosed as sciatica in Xray. Medicines were given like Colocynthis, Gnaph, Mag-phos, Rhus tox in differnt times since last 4 months but no improvent came.


Then MRI was done and it was diagnozed as Vertebral TB . Right now only L2 Vertebrae has caries and it has pressesd the sciatic nerve. Due to this patient on bed since last 20 days.


Pyrogenium 200 C 1 dose was given then after few days Bacillinium 200 c 1 dose was given.

Now Silicea 200 C 1 dose was given day before yesterday. And after 3 hours patient developed fever, which ameliorated with Ferrum Phos 30 x and BC 11.




20/6/2008 Fever 104 Degrees . Severe Pain in sciatica.
And Bone TB.


No TB in lungs. No Cough.

ESR is 80

Kindly HELP
 
  satwinder99 on 2009-06-20
This is just a forum. Assume posts are not from medical professionals.
mistake in date

date is 20/6/2009
 
satwinder99 last decade
immediate problem is that 104 temperature due to tb infection.

any body there,, any body can help... please help....


what medicine to give to him now...
 
satwinder99 last decade
Now As there has been an aggravation due to Silicea 200

The next medicine of interest is

Silicea 6C or Silicea 30 C


Reason for silicea is ;-
 
satwinder99 last decade
repertory
by oscar e. boericke, m.d.

generalities


spinal


caries (pott's disease) -- arg. m., aur., calc. c., calc. iod., calc. p., con., iod., kali iod., merc. i. r., phos. ac., phos., pyr., sil., still., sul., syph., tub., virum.
 
satwinder99 last decade
repertory
by oscar e. boericke, m.d.


nervous system


sciatica --

vertebral origin -- lac. c., nat. m., phos., sil., sul., tellur.
 
satwinder99 last decade
The next medicine will be Silicea 6 C or Silicea 30 C

Kindly give advise also on Silicea 6x and Silicea 12 x


Silicea if given in low potency for a long time can can actually cause more absess and pus in that area...

But The Million Dollar question is that What is the duration for which it can be given in Low Potency in such a case when actually an abscess is there and the patient is in excess pain.
 
satwinder99 last decade
The only advisory I had of Silicea is that ;-


Sil possesses the ability to to simulate absorption of fibrosed and scar tissue, it should therefore be avoided or used with caution and not in high potency in old cases of pulmonary tuberculoses where there may be encapsulated pockets of tubercle bacilli which might be released to cause fresh active disease.
 
satwinder99 last decade
But the patient doesnot have pulmonary tuberculoses..


Only Bone TB.

So was it a mistake to give it in 200 c ? one does of 3 drops directly on tongue ?
 
satwinder99 last decade
Today all day he was fine, the temperature rose only in the evening at 4 pm and right now its 11 pm and its around 104 degrees inspite of many doeses of ferrum phos 30x and BC11 and a tablet of crosin and an intramuscular injection called Febrinil
 
satwinder99 last decade
The lesson learnt so far is that Silicea should have been given in 6x, 12x , 6c or 30c and then later on progress to 200c.

But I had suggested higher potency because patient is under allopathic 9 month TB Treatment and i thought that silicea in material dose might interfere in that treatment or bring any new surprise, also advise on this thats why only silicea in potency was prescribed.

Another medicine of interest is Calcarea Carb
 
satwinder99 last decade
Below medicines are also suggested:-

Caries of Spinal Cord : Calcarea Carb 200 or 1M weekly


Tuberculosis of bone Drosera 200 or 1M


------ By Dr KPS Dhama
 
satwinder99 last decade
HOMŒOPATHIC MATERIA MEDICA
by William BOERICKE, M.D.

SILICEA TERRA


Below are the symptoms of patient which match with the Materia Medica of Silicea


Back.--Weak spine; very susceptible to draughts on back. Pain in coccyx. Spinal irritation after injuries to spine; diseases of bones of spine. Potts' disease


Extremities.--Sciatica, pains through hips, legs and feet. Cramp in calves and soles. Loss of power in legs.
 
satwinder99 last decade
Dose.--Sixth to thirtieth potency. The 200th and higher of unquestioned activity. In malignant affections, the lowest potencies needed at times.



Reading from above 200c was prescribed and a single- ONE dose was given only.
 
satwinder99 last decade
The Next course of action is

1. Wait of one week and let the patient to suffer. Patient in this case is my father.


2. Antidote Silicea with Calc-s, Camph, Fl-Ac, Merc

3. Or some other medicine to be given immediately.



Also here note that Sil if given in low potency and in too frequent repetition can actually cause suppuration and destruction. So thats why i had given one dose in higher dilution


So thats why I had given on Sil 200 ?
 
satwinder99 last decade
Kindly help in this case what should i do...


Patient is having severe pain sciatica and there is abscess in spine.



A genuine help shall greatly be appreciated.
 
satwinder99 last decade
Patient is having severe pain sciatica as vertebra has infection and has compressed the sciatica nerve and there is abscess in spine due to this and high temperature of 104 degrees.


Patient on bed in hospital. Something urgent and useful expected from this forum......

Kindly be helpful this is the reason this forum was made.
 
satwinder99 last decade
Can Tuberculinium 1M help in this stage ?


Patient in hosp and doctors giving high doses of anti biotics.



Any help any sort of help shall be appreciated . Even the smallest part of your experience shall be appreciated. Kindly reply.
 
satwinder99 last decade
On one hand some doctor tells not to give it in high potency in lung tb, but patient doesnot have lung tb.



On second hand some doctor tells not to give in low potency in too frequent repetition as it can actually cause supporation and destruction.



On third hand a doctor tells that

Dose.--Sixth to thirtieth potency. The 200th and higher of unquestioned activity. In malignant affections, the lowest potencies needed at times.



This has made me confused regarding potency for silicea . Kindly advise...
 
satwinder99 last decade
I think I should have given

Silicea 30 c once daily for like 2 weeks..


Any advise on when can i start to give sil 30 c.

Can i give it immediately when an aggravation is already there with high fever ?

Or should i first control the fever with other remedies and then after fever has subsided return back to silicea.
 
satwinder99 last decade
If the fever is still not controlled and if the fever has started after taking silica, it is better to antidote silicea by taking three doses of camphor 30c at a gap of 4 hours on a single day. i think that no more doses of camphor are required only 3 doses are sufficient.
 
kadwa last decade

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