|RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
ANNEXURE – II
PROFORMA FOR REGISTRATOIN OF SUBJECT FOR DISSERTATION.
1. Name of the candidate DR. JAYALAXMI
DEPARTMENT OF MATERIA MEDICA
H.K.E.SOCIETY’S HOMOEOPATHIC MEDICAL
COLLEGE AND HOSPITAL GULBARGA 585105
2. Name of the institution H.K.E.SOCIETY’S HOMOEOPATHIC
MEDICAL COLLEGE AND HOSPITAL, GULBARGA.
3. Course of the study & subject M.D (HOM) – MATERIA MEDICA
4. Date of admission to the course 31-5-2008
5. Title of the topic A CLINICAL STUDY ON CERVICAL
SPONDYLOSIS AND ITS HOMOEOPATHIC
6. Brief resume of the Intended work
6.1 Needs for the study:
Cervical spondylosis is a degenerative disorder of the aged people, but now a day’s it is becoming common even in younger people, because of most common use of two wheelers. With the increasing in number of professionals, who sit for hours together doing desk work, or sitting for hours in front of computer, and call center jobs, which require continuous sitting in one posture, the number of people suffering with cervical Spondylosis is on rise.
Cervical spondylosis is a common cause of neck pain. In allopathic medicine their prescription depends on diagnosis, or name of the disease, Irrespective of the patient’s mentality, constitution. Their aim is just to relieve the pain by giving analgesics, anti-inflammatory drugs and Steroids. Prolonged use of these leads to adverse effects. But we Homoeopaths look through the WHOLISTIC APPROACH. Here we consider that, the Individual is sick as a whole and not only his Parts or the Organs.We treat patients with POTENTISED AND DYNAMISED diluted doses of medicine.
I thus feel it a privilege being a HOMOEOPATH and wish to take up this clinical condition to understand its clinical presentation, the utility of HOMOEOPATHIC treatment and arrive at a group of medicines.
6.2 Review of Literature:
1. Spondylosis also called as spondylosis deformans or hypertrophic spondylosis-is a disease peculiar to the vertebral bodies and their articulating surfaces. It is an age linked disorder having its steepest rise in incidence during 4th and 6th decade. The fully developed lesions of the spondylosis are characterized by fraying, fibrillation, and chondrocyte proliferation.(ref 1)
2. Cervical spondylosis is more common in people who have had neck injuries; such trauma may include work and recreational related stress, carrying loads on head, professional dancing and professional gymnastics.(ref 2)
3. Musculo skeletal disorders are the most common cause of pain. Understanding the cause and prevention methods can help you manage such painful conditions. Degenerative joint disease of the neck, also known as arthritis of the neck, cervical osteoarthritis, or cervical spondylosis. (ref 3)
4. The allopathic method of treatment is a method by contraries and as such, these search for cause of particular disease but one who understands homoeopathy and has really entered into its spirits knows that the cause of disease is not outside the patient and that the so called external circumstances that immediately proceeds the disease and looks like the cause is really an exiting cause. The true cause of the disease is in the patient himself. (ref 4)
5. In the present day’s busy life style, the incidence of neck pain is steadily rising in the society. Our necks are very sensitive barometers of our physical and emotional well being since it provides vital link between the brain and the rest of the body. Cervical spondylosis being the common cause of neck pain. Dugs like – Paris quadrifolia, Cimicifuga, Tellurium, China sulph, Kalmia, Zink met. found useful. (ref 5)
6. In cervical spondylosis the constitutional remedies have yielded encouraging results. In most of the cases family history and causation played a measure role in selecting the similimum.Higher potencies were found to be most efficacious. (ref 6)
-Kalmia: pain in neck extends to fingers. Affects C5, C6, C7 & T1, T2, T3. Pain along the ulnar nerve, numbness of the fingers. Vertigo <- stooping. Pulse 30-45/min.
-Medorrhinum: when indicated drugs fail with sycotic history.
>- sea shore, damp weather
Desires – salt, sweet, ice
Intense radiating heat in cervical vertebra radiating down.
7. Degenerative disease is always outcome of active miasmatic mixtures. The miasmatic classification of the human mind, together with its civilization being on a condition following degenerative disease. (ref 7)
8. Increasing disposition to stress and to out lift oneself even at a very slight exertion of the muscles, even in slight mechanical work, in reaching out or stretching for something high up in lifting things that are not heavy, in quick turns of the body, pushing etc. often also, at once severe headache in the crown of head. Which is then painful externally when touched or suddenly a pain in the small of back, painful stiffness of the neck or spine. (ref 8)
9. All emotional and physical stresses put a lot of weight on one’s mind which affects one’s neck and manifests itself with symptoms such as pain, stiffness and immobility of the neck. And one does not pay much attention to the neck until it hurts and hurts severely. Beware of the neck pain and rectify your living habits before you get cervical spondylosis, a degenerating condition of the bones of the neck. (ref 9)
10. Cervical spondylosis is a degenerative condition of the cervical spine giving rise to
compression of the cervical cord and adjacent roots.(ref 10)
11. Sensitiveness of spinous process of dorsal vertebrae to pressure-Phosphorous
Stiffness in nape of neck with headache – Silicea.
Napes of neck weary as if great weight were lying upon it – Paris quadrifolia. (ref 11)
12. Sycosis is secondary response to cell injury brought about by using or sacrificing second
function of generation or reproduction.
DEPOSITIONS OR ACCUMULATIONS may be due to excess generation.
In bones we may see growth increased, osteophytes, osteomas, calcanean spur. (ref 12)
13. GUACO: Pain between scapulae, extending to fore arm. Burning in nape of shoulders. Pain
along spine; worse, bending. Weariness through hips and lumbar region.
GUAIACUM: Pain from head to neck. Aching in nape. Stiff and sore shoulders. Stitches
Between scapulae to occiput. Contractive pain between scapulae
HEDEOMA: Coldness across scapulae. Burning along spine.
NATRUM SULPH: Violent pains in back of neck, and at base of brain. Piercing pain
NICCOLUM SULPH: Stiff, numb sensation, worse in neck. Spine sore. Awakened in
morning with burning soles. Spinal pains, legs and arms heavy and weak, cannot lie on.
RADIUM: Aching in back of neck. Pain and lameness in cervical vertebrae, worse dropping
head forwards, better standing, or sitting erect. (ref 13)
14. Diseases arising from physical injury or mechanical violence are toxemias resulting from
chemical changes in the injured tissues, brought about by mechanical interference with the
circulation and innervations through inhibition of normal functioning, which leads to
degenerative changes and the formation of toxins. Localized circulatory stasis, imperfect
oxygenation and the inhibitory influence of traumatic shock upon the normal functions and
secretions explain the chemico- toxic changes which occur under such conditions.(ref 14)
15. Cervical Spondylosis results from chronic degeneration of the cervical spine including the cushions between the neck vertebrae and joints between the bones and of cervical spine. There may be abnormal growths. These accumulated changes caused by degeneration can gradually compressed one or more of the nerve roots. This can lead to increasing pain in the neck and arm, weakness and changes in sensation.(ref 15)
6.3 OBJECTIVE OF THE STUDY:
1. To study the clinical presentation of cervical spondylosis.
2. To evolve the group of efficacious Homoeopathic remedies.
3. Utility of auxiliary measures in cervical spondylosis.
7 MATERIALS AND METHODS
7.1 Sources of Data
1. H.K.E.S’s Homoeopathic medical college hospital (IPD and OPD).Gulbarga
2. H.K.E.S’s Mayamandir OPD.
3. H.K.E.S’s Sangameshwar homoeopathic OPD
4. H.K.E.S’s Gazipura OPD
5. H.K.E.S’s Nehru Gunj OPD.
6. District government joint Ayurveda and Homoeopathic Medical College
7. Rural OPD’S.
7.2 Method of Collection of Data
(Including sampling procedure, if any)
1. By interrogation of individual cases
2. By physical examination of the patient
3. Sample size: minimum 30 patients
4. Sampling procedure. Simple random method
5. Inclusion criteria:
Patients of all ages and both sexes are considered
6. Exclusion criteria:
Subjects who underwent surgery for cervical spondylosis
Cases with Disc prolapse
7. Duration of study- 30-11-2008 to 30-11-2010.
7.3 Does the study require any investigation or intervention top be conducted on patients or other human
or animals? If so please describe briefly
-Biochemical lab investigation of blood
-X-ray cervical spine – AP and lateral view
- MRI, if necessary.
7.4 Ethical clearance has been obtained from your institution
Yes ethical clearance has been obtained from our institution.
8 List of References:
1. Anderson.W.A.D. and John.M.Kissan – Pathology 7th edition vol 2, The C.V.Moshy
Company. Pg.no 2046, 2047.
2. Back and Neck.about.com
3. Bakson’s Homoeopathy Research Foundation – Painful disorders and Homoeopathy,
Homoeopathy For All, vol.5 no.10 (58) October 15 2004.
4. Banerjee.P.N – The cause of disease, Chronic disease-its cause and cure, pg.no 2
5. Dr.Kadali Srinivas – Neck pain an impact of modern life style, Zivcons 2007, Government
Homoeopathic Medical College. Hyderabad.
6. Dr.Nanda.L.K – Cervical spondylosias and its homoeopathic therapeutics, Homoeopathic
Medical Panorama Journal, April June 2003.
7. Dr. Ortega.P.S – Notes on miasms, First English edition 1980, National homoeopathic
pharmacy, Pg. no.91, 93, 95.
8. Dr. Samuel Hahnemann – The chronic diseases their peculiar nature and homoeopathic
cure, Re print edition 2004, B.Jain Publisher’s private limited New Delhi.
9. Dr. Sanjay Gupta - The Bane of Cervical spondylosis, Homoeopathy For All vol 4 no 48
December 15 2003, pg no 32, 33.
10. Kapser, Braun ward, Fauci and at all – Harrison’s principle of internal medicine vol 1 16th
edition, McGraw Hill Medical Publishing Division.
11. Nash.E.B - Neck and Back, Regional leaders 2nd edition, B.Jain publishing company,
Pg no 212-215,219-220.
12. Prafull Vijayakar – Predictive Homoeopathy. Part III, The End of myasmtoin of Miasms,
Reprint edition 2003, Mrs. Preeti Vijayakar. Pg no 95, 98.
13. Satya Paul – Regionals of Boericke, Reprint edition 1990, B.Jain publisher’s pvt Ltd.
Pg no 430, 433,434.
14. Stuart Close –The Genius of Homoeopathy Lectures and Essays on Homoeopathic
philosophy, Reprint edition, Mayur Jain Indian Books and periodicals publishers,
pg no 106.
9. Signature of the candidate
10. Remarks of the guide
11. Name and designation
(In block letters) of
11.1 Guide DR.RAJESHWARI. K.
PROF & H.O.D OF MATERIA MEDICA
MEDICAL COLLEGE AND
11.5 Head of the department DR. RAJESHWARI. K.
PROF & H.O.D. MATERIA MEDICA
MEDICAL COLLEGE AND
12.1 Remarks of the Chairman