Book-borland

Dr. (Mrs.) Arpana Pareek Reader, Dept Of Repertory Smt. KBAHMC, Chandwad

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Borland’s Pneumonia By Douglas N. Borland Total no. of remedies: 24 Reprint edition published in 1997

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Introduction  It

is one of the therapeutic index where second part is a short repertory to pneumonia and their associated complaints.  In first topic, every details of pneumonia are explained.  This book is printed from shorthand notes of post graduate lectures delivered at the London Homoeopathic Hospital. www.similima.com

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This book consists of Pneumonias Group I: Incipient Stage Group II: Frankly developed Pneumonia Group III: Complicated Pneumonia

 1. 2. 3.

4. 1. 2.

5. 6.

Mixed Infection or alcoholic patient Creeping type of Pneumonia or definite bronchopneumonia in adult

Group IV: Late pneumonia Repertory Part www.similima.com

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PNEUMONIAS  In

this section the author has described how to tackle the case of acute pneumonia from homoeopathic point of view before prescribing.  According to Author, in homoeopathic prescribing, your aim is to find a drug which will cover not only the actual pathological picture but also the reaction of the individual patient to that disease. www.similima.com

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 Suppose

you consider an acute illness, you want a drug which will cover the symptoms that are produced by the infective organism, that is to say, the ordinary symptoms on which you found your diagnosis.  The patient has the symptoms of pneumonia so you want a drug which will cover the pneumonic symptom complex. This is similar to ordinary system of medicine. www.similima.com

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 Our

first aim is to find the group of drugs which produces the symptom complex of a pneumococcal infection; and second aim is to choose from that group the individual drug which covers not only the pneumococcal symptoms but also the manner in which the patient A reacts to his pneumococcal infection. www.similima.com

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 The

drug which covers the combined picture is the one you want for the patient A, but it would not be successful for patient B who is reacting differently to the same infection.  So your whole aim is to establish the differences between one patient with a pneumococcal infection and another. www.similima.com

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 First

of all you find the common ground, on which you make your diagnosis; then you look for the contrasting points in your different cases in order to make your individual prescription.

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 The

whole of your success in homoeopathic prescription depends on your power of recognizing which symptoms are common to every case of infection by a specific organism and which are dependent on the individual reaction of the patient who is infected and hence  The experienced clinician is a far more successful homoeopathic prescriber than the inexperienced. www.similima.com

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Potency Selection In acute diseases – simplified.  In chronic diseases – difficult.  In acute diseases, there are two methods. 

1.

1.

Theory of Lysis (gradual healing): Low Potency (play for safety) Theory of Crisis (crucial stage): High Potency (above 30) www.similima.com

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THEORY OF LYSIS  Benefits:   

Avoided the complications of the disease. Patient is more comfortable Decreased mortality rate.

 Limitations:  



Cannot reduce duration of disease The crisis would be very much more of a lysis than a crisis, but it would not occur before the normal period of seven to ten days. The patient would never cause a moment’s anxiety, he would just steadily get better. www.similima.com

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THEORY OF CRISIS  Benefit: 



Reduce the duration of disease. Instead of getting the crisis from the 710th day we get it from 12-48 hrs after starting treatment, irrespective of the day of the disease No question of complications.

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 Limitations: 



We have precipitated crisis, and a crisis is always attended by an certain amount of stress, possibly a certain amount of risk, although this is not so likely when the crisis occurs early in the disease as when it occurs after 7-10 days of continue fever. The temperature crashes over a few hrs, but we don’t get a collapse because we have a perfectly healthy patient to start with instead of one whose vitality is impaired by long toxaemia. www.similima.com

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Conclusion regarding Potency  By

using the lower potencies, matching of the drug symptoms with the symptoms of patient does not require to be quiet so accurate as it does when using the higher potencies.  It is easier to prescribe the lower potencies and get a general similarity, whereas if you are prescribing the higher potencies you have to get a much more accurate matching. www.similima.com

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Repetition 1.

Low potencies: 1. Continue the medicine up till the course of disease 2. You will probably find that you have to give more than one drug; your first drug modifies the picture and you then get indications for a second prescription, and possibly a third, before the crisis takes lace. 3. As regards the frequency of administration of the drug where you are using a low potency, it is quite sufficient to give the drug about once in four hours. www.similima.com

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2. Higher potencies: 



It is advisable to continue the administration of the selected drug until the temperature has reached normal and remained normal for at least six hours. As regards the frequency of administration of the drug, it is wiser to give the drug every two hours, the reason being that you want a number of stimuli in a comparatively short period of time in order to obtain crisis within 12-24 hours.

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Stages of Pneumonia INCIPIENT Stage i.e. stage of congestion or invasion

1.    

Aconite Ferrum Phos Belladonna Ipecac.

Frankly developed (Consolidation)

2.    

Bryonia Phosphorus Veratrum viride Chelidonium www.similima.com

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3.

Complicated Pneumonia 1. Mixed infection or alcoholic patient      

Baptisia Pyrogen Lachesis Mercurius Hepar Sulph Rhus tox

2. Creeping type of pneumonia or definite bronchopneumonia in adult. 1. 2. 3. 4.

Nat sulph Pulsatilla Senega Lobelia www.similima.com

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4.

Late Pneumonia (Resolution) Antim tart Carbo Veg Kali Carb Lycopodium Arsenic Alb Sulphur

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Repertory Part 1.

2. 3. 4.

5. 6. 7.

8. 9. 10.

General Mentals Head and Vertigo Face and lips Mouth Tongue Eyes Nose Throat Stomach www.similima.com

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11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21.

Abdomen Rectum Chest Cough Sputum Heart Pulse Temperature Extremities Skin Sleep www.similima.com

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Plan and Construction  Total

Remedies: 24  Total Chapters: 21  Rubrics: Capital  Subrubrics: Italics  Gradation: Roman letter along with page no. (reference)  Cross references: in bracket. www.similima.com

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