Monday, May 26, 2014

CONVULSIONS

Dictionary Meaning -
(according to Dorland's pocket medical Dictionary)

1. An Involuntary Contraction Or Series Of Contractions Of The Voluntary Muscles.2. Seizure.

Febrile Convulsions- Those Associated With High Fever, Usually In Infants & Children.



Epilepsy- Any Of A Group Of Syndromes Characterized By  Paroxysmal Transient Disturbances Of Brain Function That May Be Manifested As Episodic Impairment Or Loss Of Consciousness, Abnormal Motor Phenomena, Psychic Or Sensory Disturbances, Or Perturbation Of The Autonomic Nervous System; Symptoms Are Due To Disturbance Of The Electrical Activity Of The Brain.

  • Absence Epilepsy- That Characterised By Absence Seizures, Usually Having Its Onset In Childhood Or Adolescence.
  • Baltic Myoclonic Epilepsy- Unverricht-Lundborg Disease.
  • Focal Epilepsy- That Consisting Of Focal Seizures.
  • Generalised Epilepsy- Epilepsy In Which The Seizures Are Generalised; They May Have A Focal Onset Or Be Generalised From Beginning.
  • Grand Mal Epilepsy- A Symptomatic Form Of Epilepsy, Often Preceded By An Aura, Characterised By Sudden Loss Of Consciousness With Tonic-Clonic Seizures.
  • Jacksonian Epilepsy- Epilepsy Marked By Focal Motor Seizures With Unilateral Clonic Movements That Start In One Muscle Group And Spread Systematically To Adjacent Groups, Reflecting The March Of Epileptic Activity Through The Motor Cortex.
  • Juvenile Myoclonic Epilepsy- A Syndrome Of Sudden Myoclonic Jerks, Occurring Particularly In The Morning Or Under Periods Of Stress Or Fatigue, Primarily In Children And Adolescents.
  • Lafora Myoclonic Epilepsy- Lafora Disease.
  • Myoclonic Epilepsy; Myoclonus Epilepsy- Any Of A Group Of Disorders In Which Seizures (Epilepsy) Are Accompanied By Muscle Contractions (Myoclonus); Included Are A Benign Idiopathic Form, Juvenile Myoclonic Epilepsy., As Well As Various Progressive Inherited Disorders.
  • Petit Mal Epilepsy, Absence Epilepsy, Photic Epilepsy, Photogenic Epilepsy- Reflex Epilepsy In Which Seizures Are Induced By A Flickering Light. 
  • Post-Traumatic Epilepsy- That Occurring After Head Injury.
  • Psycho-motor Epilepsy, Temporal Lobe Epilepsy, Reflex Epilepsy- Epileptic Seizures Occurring In Response To Sensory Stimuli.
  • Rotatory Epilepsy- Temporal Lobe Epilepsy In Which Automatisms Consist Of Rotating Body Movements.
  • Sensory Epilepsy- 1.Seizures Manifested By Paresthesias Or Hallucinations Of Sight, Smell, Or Taste.  2.Reflex Epilepsy, Somatosensory Epilepsy, Sensory Epilepsy With Paresthesias Such As Burning, Tingling, Or Numbness.
  • Temporal Lobe Epilepsy- A Form Characterized By Complex Partial Seizures.
  • Visual Epilepsy- Sensory Epilepsy In Which There Are Visual Hallucinations.




Pathological Point Of View -


" A Convulsion Is A Medical Condition Where Body Muscles Contract And Relax Rapidly And Repeatedly, Resulting In An Uncontrolled Shaking Of The Body "




   Mechanism -

  • Normally Brain Electrical Activity Is Non Synchronous.
  • In Epileptic Seizures, Due To Problems Within The Brain, A Group Of Neurons Begin Firing In An Abnormal, Excessive, And Synchronized Manner.
  • This Results In A Wave Of Depolarization Known As A Paroxysmal Depolarizing Shift.




For More Details-


First Aid In Case Of Seizures-






Ayurveda In Case Of Epilepsy-




 Allopathy In Case Of Epilepsy-

           During Active Convulsions :
  • Put A Spatula Or Wooden Ruler, Covered With Cloth ( Like Handkerchief ), Between The Teeth, To Prevent Tongue Bites.

           If Not Controlled :
  • Give Anticonvulsants.
  • If The Patient Is A Known Epileptic, Do Not Give Any Injection - Except If Convulsions Are Frequent Or Prolonged.



After The Convulsions Are Controlled :
If The Patient Is Known Epileptic, No Investigations Are Required. 
If The Patient Is Not A Known Epileptic,

  • A new Convulsion, Esp. In The Middle Age Or Later, Must Be Investigated Fully With E.E.G and C.T. Scan.
  • If There Is History Of Injury - X-ray Skull & C.T. Scan.
  • If Patient Has Fever & Headache - L.P. For Meningitis.
  • If Pregnant Or Recently Delivered, Check B.P. And Urine Albumen For Toxaemia.
  • If Limbs Are Rigid In Between Convulsions Or If Lock Jaw - Tetanus.



           Instructions To Epileptic Patients :
  • Do Not Miss The Treatment Even For One Day.
  • Avoid Places Where Convulsions Can Be Dangerous. e.g. Swimming, Driving Vehicles, Climbing Heights, Work Near Moving Machinery, Standing In Train Or Bus Doors, Work Near Fire.
  • Drugs To Be Continued For At Least 5 Years After The Last Fit, & Then Slowly Tapered Off Over 6 Months.
  • If Treatment Is Stopped Suddenly, Rebound May Occur And Patient May Even Go Into Status Epilepticus. So Stress Repeatedly, The Importance Of Taking Treatment Regularly.
  • Instruct All Relatives About The Possibility Of Recurring Fits, If They See The Patient Getting Convulsions, Support Him Immediately And Make Him Lie On The Ground, Then Put A Put A Spatula Or Wooden Ruler, Covered With Cloth ( Like Handkerchief ), Between The Teeth, To Prevent Tongue Bites And Wait For Convulsion To Stop.

Hysterical Fit :
  • If The Convulsions Are Not Typical ( Tonic - Clonic - Unconscious ), Ask Whether The Patient Has Ever Hurt Himself / Herself.
  • If There Is Never A Injury Or Tongue bite, Suspect Hysterical Convulsions. Other Features = More Dramatic And Only In Presence Of People.
  • All Causes Of Convulsions Must Be Ruled Out Before Labelling A Patient As Hysterical.



Homoeopathy In Case Of Epilepsy -

 CONVULSIONS -- Absinth., Acon., Æth., Agar., Alum. sil., Antipyr., Arg. n., Ars., Art. v., Atrop, Bell., Camph., Can. ind., Canth., Carb. ac., Castor., Cham., Chloroform, Cic. mac., Cic., Cim., Cina, Cocc., Cupr. ac., Cupr. ars., Cupr. m., Dulc., Euonym., Gels., Glon., Helleb., Hydroc. ac., Hyper., Hyos., Ign., Illic., Iris fl.,Kali br., Laburn., Laur., Lonic., Lyssin, Mag. p., Morph., Nat. s., Nux v., Œnanthe, Op., Ox. ac., Passifl., Phos., Physost., Plat., Plumb. chrom., Plumb., Santon., Sil.,Solan. c., Solan. n., Stram., Strych., Sul., Upas art., Upas t., Ver. a., Ver. v., Verbena, Zinc. m., Zinc. oxy., Zinc. s.



CAUSE AND TYPE
Anger affects mother's milk -- Cham., Nux v.
Apoplectic; in inebriates; hæmorrhagic or broken down systems -- Crot.
Carphopedal -- Cupr. ac., Ign.
Cataleptic -- Cic., Mosch.Cerebral sclerosis or tumor -- Plumb. m.
Children, infants, from reflex causes, dentition (See Worms.) -- Absinth., Acon., Æth., Art. v., Bell., Calc. c., Camph. monobr., Caust., Cham., Chloral, Cic.Cina, Cocc., Cupr. m., Cyprip., Glon., Helleb., Hydroc. ac., Hyos.Ign.Kali br., Kreos., Laur., Mag. p., Meli., Mosch., Nux v., Œnanthe., Op., Santon., Scutel., Stann., Stram.Zinc. m., Zinc. sul.
Clonic -- Antipyr., Apis., Bell., Camph., Carb. ac., Cina, Cupr. m., Gels., Hyos., Ign., Nicot., Plumb. m., Upas art.
Crying; approach of strangers -- Op.
Exanthemata -- Acon., Bell., Glon., Thea, Ver. v.
Suppressed -- Apis, Ars., Cupr. m., Op., Stram., Zinc. m., Zinc. s.
Foot sweat, suppressed -- Sil.
Fright -- Acon., Cupr. m., Hyos., Ign., Op., Stram.
Fright, anger or emotional disturbance in nervous, plethoric persons -- Kali br.
Grief, or any emotional excitement -- Ign.
Hypochondriacal -- Mosch., Stann.
Hysterical -- Absinth., Asaf., Asar., Castor., Caul., Cim., Cocc., Gels., Hydroc. ac., Hyos.Ign., Kali p., Mosch., Nux m., Plat., Stann., Tar. h.
Injury -- Cic., Hyper.
Isolated groups of muscles -- Acon., Cic., Cina, Cupr., Ign., Nux v., Stram.Strych.Labor (See Female Sexual System.) -- Acon., Bell., Cic., Cupr. m., Glon., Hyos., Ign., Kali br., Œnanthe, Stram., Ver. v.
Meals followed by vomiting, shrieking, spasms -- Hyos.
Menses suppressed (See Female Sexual System.) -- Gels., Millef.
Metastases, from other organs -- Apis, Cupr., Zinc. m.
Prodromata -- Acon., Bell., Cham., Ipec., Op.
Reflected light from water, mirror -- Bell., Lyssin, Stram.Sleep, loss of -- Cocc.
Spinal origin -- Acon., Cic., Cim., Hydroc. ac., Hyper., Ign., Nux v., Œnanthe, Physost.Terminal stage -- Op., Plumb., Zinc. m.
Tonic: Opisthotonos -- Apis, Cic., Cina, Cupr. ac., Curp. m., Hydroc. ac.Ign., Ipec., Mag. p., Mosch., Nicot., Nux v., Physost., Plat., Plumb. m., Solan. c., Solan. n., Stram., Strych.Upas, Ver. v.
Uremic (See Urinary System.) -- Carb. ac., Cic., Cupr. ars., Glon., Helleb., Hydroc. ac., Kali br., Merc. c., Œnanthe, Op., Plumb., Piloc., Urt.
Uterine disease -- Cim.
Vaccination -- Sil., Thuya.
Whooping cough -- Cupr. m., Kali br.
Worms -- Cic., CinaHyos.Indigo., Kali br., Sabad., Santon., Spig., Tanac.
CONCOMITANTS
Beginning
Face [in]; unilateral; shallow breathing -- Cina.
Fingers [in], toes, radiates all over -- Cupr. m.
Bladder, chest, intestines, striated muscles, cheifly involved; drowsiness rigid limbs; sudden onset; head hot, feet cold -- Bell.
Calves of legs; clenched thumbs; cyanosis -- Cupr. m.
Chorea-like -- Sticta.
Convulsive jerkings, of limbs and head -- Bufo, Cham., Cic., Hyos.
Cyanosis -- Cupr. ac., Hydroc. ac.
Extremities cold -- Bell., Helleb., Hydroc. ac., Nicot., Œnanthe.
Eyes
Half open, upturned; breathing, deep, stertorous -- Op.
Turned downward -- Æth.
Fever; skin hot, dry; child frets, screams, gnaws its fists; twitching of single muscles -- Acon.
Collapse [followed by] -- Nicot.
Deep sleep [followed by] -- Cupr. ac., Op., Zinc. m.
Paresis [followed by] -- Acon., Elaps., Lonic., Plumb. m.
Restlessness [followed by] -- Cupr. m.
No cerebral congestion -- Ign.
No fever -- Ign., Mag. p.Zinc. m.Pale face; rolling eyes; gnashing teeth -- Zinc. m.
Preceded,
Gastro-intestinal symptoms [by] -- Æth., Cupr. ars.
Restlessness [followed by] -- Arg. n., Hyos.
Shrieks, screams, before, and during -- Apis., Cina, Cupr. m., Helleb., Op.
Terrible pains -- Plumb. chrom.
Tremor, spasm of glottis, febrile paroxysm -- Ign.
Twitchings
Cramps, gastro-enteric symptoms -- Nux v.
Of single muscles or groups, especially of upper body -- Stram.
Over entire body -- Cic., Hyos.
Worse upper body, continue after delivery -- Cic.
Violent vomiting -- Æth., Upas.
With consciousness -- Cina, Nux v., Plat., Stram.Strych.Without consciousness -- Bell., Calc. c., Cic., Cupr. ac., Cupr. ars., Cupr. m., Glon., Hydroc. ac., Hyos.Mosch., Œnanthe, Op., Stram.
Worse from touch, motion, noise -- Cic., Ign., Lyssin, Nux v., Stram., Strych.


For Detail Study Of Above Mentioned Individual Remedy From HOMŒOPATHIC MATERIA MEDICA
by William BOERICKE, M.D.:-





Special Thanks To Damini Rathwa, Ruchi Jha, Vidita Rathwa & Moriwala Mahera.



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