Application of Repertory in management of non insulin Dependent Diabetes Mellitus

Application of Repertory in management of non insulin Dependent Diabetes Mellitus

Dr  DG BAGAL and Dr UTTARA  AGALE

Keywords:-Non Insulin Dependent Diabetes Mellitus, Repertory.

Abstract:- The term diabetes mellitus refer to a group of metabolic disorders characterized by chronic hyperglycaemia. The advent of homoeopathy and its holistic concept opened a new era in the world of medicine.  The holistic concept of disease takes not only the clinical symptoms of diabetis mellitus into cognizance but also thee biological, social and psychological aspects of man to give the appropriate treatment whereas the holistic concept of cure gives a special meaning to the word cure.

Summary and Conclusion
The prevalence of diabetes mellitus in adults worldwide has risen. The factors for this steep rise include genetic predisposition, urbanization, ethnicity, insulin resistance central obesity and stress (mental, physical)

The study arrived at following conclusions

1. Causes of diabetes mellitus in general and type 2 diabetes mellitus are multiple viz. Heredity, obesity, stress, environmental factors, hormonal etc are important
2. The most commonly affected age group for type 2 diabetes mellitus in general study is from 35 –65years
3. From our study it was observed that the family history of diabetes mellitus was present in most of these patients thus it becomes strong risk group for the screening and preventive purpose
4. Out of various studies of cases and as per the classification, type  diabetes mellitus occupies the major places
5. There are certain clinical conditions that sometimes present with a clear clinical symptomatic but more often then not evolve silently and come to the forefront only through a solitary expression or an accidental biochemical finding. Diabetes mellitus is one of then where the classical triad of poly uria, polydypesia or polyphagia is rarely present. The study of all cases beautifully demonstrated the same. Most of the cases come to know    BGL by routing test or while undergoing some other process (e.g. tooth extraction etc.)
6. Thus in view of rising trends and relatively asymptomatic phase for prolonged time calls for the importance of screening. It is imperative to screen high risk groups and the population at large
7. As per the classification and study of several cases and pathophysiology of type 1 and type 2. it is important to derive conclusion that type 1 is in the scope of homoeopathy as there is complete less of beta cells by destruction, but study has shown type 2 is very much in the scope, if detected early and is without much of the complications
8. The understanding of type 2 is a resultant of obesity where insulin receptor sensitivity is lessened and the gland goes into exhaustion due to overwork resulting in a burn out where actual beta cell destruction does not take place thus detection in early phase renders cases into structural (reversible) zone
9. Considering the miasmatic background in type 2  diabetes mellitus the sycotic and tubercular miasms are predominantly present; as compare to psora and syphilis
10. Chronic remedies used were: -Acid – Fl. Acid, Ph. Acid, Picric Acid, Arg. Nit.,Ars. Brom.,Calc Carb., Causticum, Ferr. Met., Kali Carb., Kali.Bich., Kali Phos., Mag Mur., Nat Mur., Nat Sulph., Silica, Uranium Nitricum
11. Intercurrent remedies used were: Tub. Bov, Bacilinum
12. Specific Remedies used were: Cephalandrica Indica, Gym. Syl
13. The potencies 30, 200 and 1M were all found to be indicated at various times during course of management of ease
14. In cases where action of the chronic or constitutional remedy were no longer operative the miasmatic block was considered and on the basis of the past history and family history of the patient the miasm was determined. Accordingly an antimiasmatic remedy or nosode was prescribed as an intercurrent remedy, which removed the block.
15. In 4 cases out of 30 the repertory was not used. In remaining 24 cases Kent’s repertory has been used. Knerr’srepertory were used in 2 cases. Kent’s repertory has been used more often (24 cases) as these cases had strong mental and physical generals.
16. Out of 30 treated cases 5 patients recovered well and are still under monitoring and observations. 24 shown improvement and 1 patient did not respond much. This shows the efficacy of Homoeopathy in the management of patients suffering  from Type 2 diabetes mellitus, through a reportorial application.

Bibliography

1. Robert H. Williams; Textbook of Endocrinology
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