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Based on the assessment made as at 5 above buy mircette online birth control pills hair loss, suggest proportionate expenditure on preventive mircette 15mcg cheap birth control pills rate of effectiveness, promotive 15 mcg mircette free shipping birth control pills with least side effects, curative and rehabilitative health care for non-communicable diseases for maximizing impact of these interventions and optimizing resources available discount generic mircette canada birth control 4 month pill. To deliberate and give recommendations on any other matter relevant to prevention and control of non-communicable diseases. The Chairman may constitute various Specialists Group / Working Groups / Sub- groups/task forces etc. Working Group will keep in focus the Approach paper to the 12 Five Year Plan and monitorable goals, while making recommendations. The Working group would submit its draft report by 31 July, 2011 and final report st by 31 August, 2011. Prevention & Control of Neurological Disorders (Epilepsy, Autism, Dementia) 240 20. Since the majority of deaths are premature there is a substantial loss of lives during the productive years as compared to other countries. Heart diseases, stroke and diabetes are projected to increase cumulatively, and India stands to lose 237 billion dollars during the decade 2005-2015. Road traffic injuries are increasing precipitously, and are estimated to account for as much as 25% of all health care expenditures in developing nations. Injuries and diseases of the musculoskeletal system account for more than 20% of patient visits to primary care. More than 20% of the population has at least one chronic disease and more than 10% have more than one. Chronic diseases are widespread in people who are younger than 45 years and in poorer populations. Whereas socioeconomic development tends to be associated with healthy behaviours, rapidly improving socioeconomic status in India is associated with a reduction of physical activity and increased rates of obesity and diabetes. The emerging pattern in India is therefore characterized by an initial uptake of harmful health behaviours in the early phase of socioeconomic development. Such behaviours include increased consumption of energy-dense foods and reduced physical activity and increased exposure to risk factors. Health-damaging behaviours such as smoking, drinking, consuming unhealthy diets (rich in salt, sugar and fats, and low in vegetables and fruits) are also found to be common among the low socioeconomic group. However, personal behaviours are not only a matter of personal choice, but may be driven by factors such as higher levels of urbanization, technological change, market integration and foreign direct investment. National Health Pogrammes for Cancer and Blindness were started as early as 1975 and 1976 respectively, followed by programme on Mental Health in 1982. Some of the programmes were within the framework of National Rural Health Mission. These programmes have given insights of problems and experiences in implementation that would be useful in upscaling and expanding programmes across the country. Broadly, across programmes, following experiences were observed and lessons learnt in th implementation of programmes, which need to be addressed during the 12 Plan: 1. Convergence and integration would be critical in implementation of large number of interventions which would require unified management structure at various levels. Integration of cross cutting components like health promotion, prevention, screening of population, training, referral services, emergency medical services, public awareness programme management, monitoring & evaluation etc. Costs borne by the affected individuals and families may be catastrophic as treatment is long term and expensive. Investments during the 11 Plan and earlier plans have been more on provision of medical services which have not been adequate in the public sector. Private sector has grown particularly in urban settings but is beyond the reach of the poor and middle sections of the society. While Government of India’s role will be policy formulation, population based multi-setoral interventions, technical and financial th support, the onus of implementation will be with the States. To ensure convergence and integration with public health services, a decentralized approach is proposed with District as the management unit for programs. Oro-dental disorders (b) Programmes for Disability Prevention and Rehabilitation 10. Tertiary Care for advanced management of complicated cases including radiotherapy for cancer, cardiac emergency including cardiac surgery, neurosurgery, organ transplantation etc. Health Promotion & Prevention: Legislation, Population based interventions, Behaviour Change Communication using mass media, mid-media and interpersonal counselling and public awareness programmes in different settings (Schools, Colleges, Work Places and Industry). To ensure convergence, common districts will be selected for all three major programmes. The schemes would be flexible to meet local requirements as there would be 13 variation in prevalence and availability of existing health infrastructure. Airports, Ports and Land Borders covered 19 Neurological Disorders New All districts Thalassemia, Sickle Cell 20 New Pilot in selected endemic districts Disease and Hemophilia Estimated Budget It is envisaged that for comprehensive and sustainable programmes to prevent, control and manage important non-communicable diseases and key risk factors across the country, a large th investment would be required during the 12 Plan. Trauma, Disasters, Emergency Medical Services, Diseases of Bones &Joints, Mental Health and Health Care of the Elderly are disabling diseases and requiring investment for not only treatment but also rehabilitation. It is also important to invest on preventive programmes and health promotion to check occurrence of new cases and reduce at risk population. Nearly one-third of the budget would be required for primary health care in the rural areas. Secondary and tertiary level care is important to manage these chronic and fatal diseases and injuries and large share of the budget would be required to upgrade and strengthen District Hospitals, Medical Colleges and other Tertiary level institutions. About 80% of the burden occurs in low / middle-income countries, and 25% is in individuals younger than 60 years. This 4 goal had been presented as a formal action plan to the 61st World Health Assembly in 2008. Since the majority of deaths are premature there is a substantial loss of lives during the productive years as compared to other countries. The overall non-communicable diseases are the leading causes of death in the country, constituting 42% of all deaths. However, majority of ill-defined causes are at older ages (70 or higher years) and most of ill- defined deaths are likely to be from non-communicable diseases. Urban areas have a lower number of deaths from communicable, maternal, perinatal and nutritional conditions but a higher proportion from non-communicable diseases (56%). Notable differences by gender are seen in the case of diarrhoeal diseases with 10% of women deaths against 7% of men deaths, tuberculosis with 5% of women deaths vis-à-vis 7% men deaths, and cardiovascular diseases with 17% women deaths versus 20% men deaths. Diabetes: Prevalence, increasing in both urban and rural areas, is in the range of 5–15 percent among urban populations, 4–6 percent in semi-urban populations, and 2–5 percent in rural populations. Hypertension: Present in 25 percent of the urban and 10 percent of the rural population. Cancer: Over 70 percent of cases are diagnosed during the advanced stages of the disease, resulting in poor survival and high case mortality rates. Smoking: Prevalence is similar to other South Asian countries (men 33 percent, women 4 percent) while smoking prevalence among youth is higher (boys 17 percent, girls 9 percent). Smoking accounts for 1 in 5 deaths among men and 1 in 20 deaths among women, accounting for an estimated 930,000 deaths in 2010.
Nipah virus manifests mainly as encephalitis; Hendra virus as a respiratory illness (2 cases) and as a prolonged and initially mild meningoencephalitis (1 case) discount mircette generic birth control japan. The full course and spectrum of these diseases is still unknown; symptoms range in severity from mild to coma and death and include fever and headaches quality mircette 15mcg birth control for women 8 in men, sore throat cheap 15 mcg mircette otc birth control for women like me, dizziness generic mircette 15mcg with mastercard birth control pills 4 times a year, drowsiness and disorientation. The case-fatality rate for clinical cases is about 50%; subclinical infections occur. Infectious agent—Hendra (formerly called equine morbillivirus) and Nipah viruses are members of a new genus, Henipaviruses,ofthe Paramyxoviridae family. In 1994, 3 human cases followed close contact with sick horses, the ﬁrst 2 during the initial outbreak in Hendra, the 3rd occurring 13 months after an initially mild meningitic illness when the virus reactivated to cause a fatal encephalitis. Nipah virus affected swine in the pig-farming provinces of Perak, Negeri Sembilan, and Selangor in Malaysia. The ﬁrst human case is believed to have occurred in 1996; although the disease became apparent in late 1998, most cases were identiﬁed in the ﬁrst months of 1999, with over 100 conﬁrmed deaths as of mid-1999. During 1999 11 abattoir workers in Singapore developed Nipah virus infection following contact with pigs imported from Malaysia. Reservoir—Fruit bats for Hendra virus; virus isolation and serolog- ical data suggest that Nipah virus may have a similar reservoir. Dogs infected with Nipah virus show a distemper-like manifestation but their epidemiological role has not been deﬁned. Nipah-seropositive horses have been identiﬁed, but their role is also undetermined. Testing of other animals is under way; susceptibility testing suggests that cats and guineapigs can be infected, sometimes with fatal outcomes, mice, rabbits and rats appear refractory to infection. Mode of transmission—Primarily through direct contact with infected horses (Hendra) or swine (Nipah) or contaminated tissues. Preventive measures: Health education about measures to be taken and the need to avoid fruit bats. Report to local authority: Case report should be obligatory wherever these diseases occur; Class 2 (see Reporting). Isolation: Of infected horses or swine; no evidence for person-to-person transmission. Concurrent disinfection: Slaughter of infected horses or swine with burial or incineration of carcases under govern- ment supervision. Quarantine: Restrict movement of horses or pigs from infected farms to other areas. Speciﬁc treatment: None at present, although there is some research evidence that ribavirin may decrease mortality from Nipah virus. Precautions by animal handlers: protective clothing, boots, gloves, gowns, goggles and face shields; washing of hands and body parts with soap before leaving pig farms. Slaughter of infected horses or swine with burial or incin- eration of carcases under government supervision. International measures: Prohibit exportation of horses or pigs and horse/pig products from infected areas. Identiﬁcation—In most of the industrialized countries, infection occurs in childhood asymptomatically or with a mild illness. The latter infections may be detectable only through laboratory tests of liver function. Onset of illness in adults in nonendemic areas is usually abrupt with fever, malaise, anorexia, nausea and abdominal discomfort, followed within a few days by jaundice. The disease varies in clinical severity from a mild illness lasting 1–2 weeks to a severely disabling disease lasting several months. Prolonged, relapsing hepatitis for up to 1 year occurs in 15% of cases; no chronic infection is known to occur. In general, severity increases with age, but complete recovery without sequelae or recurrences is the rule. If laboratory tests are not available, epidemiological evidence may provide support for the diagnosis. Occurrence—Worldwide, geographic areas can be characterized by high, intermediate, or low levels of endemicity. Levels of endemicity are related to hygienic and sanitary conditions of geographic areas. Improved sanitation in many parts of the world is leaving many young adults susceptible and the frequency of outbreaks is increas- ing. Where environmental sanitation is poor, infection is common and occurs at an early age. Epidemics often evolve slowly in industrialized countries, cover wide geographic areas and last many months; common source epidemics may evolve rapidly. During some outbreaks, day care center employees or attenders, men with multiple male sex partners and injecting drug users may be at higher risk than the general population. In recent years, community-wide outbreaks have accounted for most disease transmission, although com- mon source outbreaks due to food contaminated by food handlers and contaminated produce continue to occur and require intensive public health efforts to control. Outbreaks have been reported among susceptible persons working with nonhuman primates raised in the wild. Common source outbreaks have been related to contaminated water; food contaminated by infected food handlers, including foods not cooked or handled after cooking; raw or undercooked molluscs harvested from contaminated waters; and contaminated produce such as lettuce and strawberries. Transmission through transfusion of blood and clotting factor concentrates obtained from viraemic donors during incubation has been reported, albeit rarely. Period of communicability—Studies of transmission in humans and epidemiological evidence indicate that maximum infectivity occurs during the latter half of incubation and continues for a few days after onset of jaundice (or during peak aminotransferase activity in anicteric cases). Low incidence of manifest disease in infants and preschool children suggests that mild and anicteric infections are common. Preventive measures: 1) Educate the public about good sanitation and personal hygiene, with special emphasis on careful handwashing and sanitary disposal of feces. The dose of vaccine, vaccination schedule, ages for which the vaccine is licensed, and whether there is a pediatric and adult formulation all vary from manufacturer to manufacturer, and they are not licensed for use in children under 1. Protection against clinical hepatitis A may begin in some persons as soon as 14–21 days after a single dose of vaccine, and nearly all have protective levels of antibody by 30 days after receiving the ﬁrst dose of vaccine. In industrialized countries with low endemicity and with high rates of disease in speciﬁc high-risk populations, vaccination of these populations against hepa- titis A may be recommended. Recommendations for hepatitis A vaccination in out- break situations depend on the epidemiology of hepatitis A in the community and the feasibility of rapidly implementing a widespread vaccination program. The use of hepatitis A vaccine to control community-wide outbreaks has been most successful in small self-contained communities when vacci- nation is started early in the course of the outbreak and with high coverage of multiple-age cohorts. Management of day care centers should stress measures to minimize the possibility of fecal-oral transmis- sion, including thorough handwashing after every diaper change and before eating. The same should be considered for family contacts of children in diapers attending centers where outbreaks occur and cases are recognized in 3 or more families. In endemic areas, travellers should take only hot or bottled beverages and hot, well-cooked food.
This may amount to one-session therapy or ﬁrmed when a doctor biopsies the nodules mircette 15 mcg with mastercard birth control pills that increase breast size. Some Treatment modalities have not proved very suc- doctors prefer to use radiation because it produces cessful mircette 15mcg free shipping birth control for 7 years. A rela- that halt the process could possibly prevent and tively recent discovery by researchers is the ﬁnding treat diseases the virus causes discount 15mcg mircette fast delivery birth control for women zumba. This could lead to treatments for Kaposi’s because of the danger that contaminated blood will sarcoma mircette 15mcg overnight delivery birth control and breastfeeding, which is usually a very aggressive disease move from one partner’s mouth to another’s. Herpes simplex virus is advisable for those seeking protection against sex- often triggered (and becomes symptomatic) during ually transmitted diseases because it does not pro- times of immune-system stressors and remains vide such protection. A mother who has respect to sexually transmitted diseases because genital warts when her child is born may possibly condoms are made of latex, as are doctors’ usual pass the virus to her baby; transmission may result protective gloves. Laryngeal wide range of reactions, from rashes to severe reac- warts can be treated but can be very serious in chil- tions (anaphylactic shock). The best approach is to treat the warts before birth so that they are not a factor during delivery. In Texas, for example, the to-child transmission of human papillomavirus is legal deﬁnition of an adult is an individual who is very rare. Research indicates that the occurrence of age 18 or older, married, emancipated via court laryngeal cancer is associated with certain strains order if 16 or 17 years old, living apart from par- of human papillomavirus. According to various state legal codes, a minor laser surgery The use of light beams with highly may consent to treatment in various situations, concentrated energies for various kinds of treat- such as being on active duty with armed services or ment. It can be used to operate on small areas of living apart from parents and managing her or his abnormality without damaging surrounding tissue. A minor can also legally consent to This approach is believed to have some advan- treatment for any infectious, contagious, or com- tages over traditional surgical procedures in that a municable disease that a physician is required by laser light can be extremely precise, is noninva- law to report; for hospital, medical, or surgical sive, and results in less swelling. The downside is treatment if she is unmarried and pregnant; for that much of the success of laser surgery is drug addiction, dependency, or any condition dependent on the particular physician’s skill, so it directly related to drug use; and for hospital, med- is extremely important to choose an experienced ical, dental, psychological, or surgical treatment of and talented doctor. A minor usually 129 130 lentivirus can consent to counseling that is related to sexual, between uses or using a new condom; avoidance physical, or emotional abuse; chemical addiction or of sadomasochistic activities that result in blood- dependency; and suicide prevention. Escaping leukoplakia A condition in which white patches the body’s natural defenses, lentiviruses can exist that cannot be scraped off appear on mucous for long periods subclinically so that the person membranes, typically of the mouth or vulva. Hairy leukoplakia is a viral lesion that primarily affects the lateral margins of the tongue. Also, these implants disease-free or not contagious, although he or she have had a beneﬁcial effect on people’s lives and actually does not know whether he or she is shed- well-being. The 184 people in the tery (sexual contact that is intentional and harm- study were undergoing antiretroviral drug therapy ful). There have been successful and more varied levels of success in using facial lawsuits in regard to transmission of herpes. Next, the person has symptoms; ﬁnally, the conceptions and myths are disseminated. As The months or years an individual spends in each far as the Internet goes, look for articles by physi- stage vary greatly, depending on mode of treat- cians who are specialists in treating sexually trans- ment, effectiveness of treatment, how early in the mitted diseases. For emotional support, many disease treatment was initiated, individual people with herpes have beneﬁted from support immune system and genetic characteristics, and groups and counselors. A person who does have abandoned and wondering who will care for dementia experiences marked changes in attitude, them if the parent dies. Parents should consider usually characterized by extreme apathy, and the provisions they will make for their children in changes in muscle control and mental acuity. Usu- the event of death, so that this information can be ally, days of sharpness alternate with days of slower shared. The degree of plicated picture, and there is a great deal of infor- impairment associated with dementia linked to mation to absorb. Know- patient will receive good advice and treatment, and ing one’s legal rights, understanding how to pay for a specialist stays abreast of all the latest develop- medical care and how the government can help in ments in drug therapy, which are ever-changing this respect, and putting one’s affairs in order all and frequently upgraded. These people usually have the compassion insurance covers and what other options are avail- to approach dealing with saliva without making able, how to assign power of attorney, and how to the patient feel like a pariah. Sexual intercourse with con- itive ﬁnd that staying in the workplace is usually doms falls into this category, as does mutual mas- best, especially when they have no symptoms, turbation. However, the only route that has zero because maintaining a degree of normalcy helps risk is abstinence (not having sex). This is one sexually posed of small groups of cells in the immune sys- transmitted disease in which men are more likely tem that cluster in various body sites—such as the to have symptoms than are women. In infection or malig- A woman’s cervix may be inflamed and nancy, lymph nodes can enlarge. Oral sex with an infected person can result in mouth ulcers and lymph node enlarge- lymphogranuloma venereum A sexually trans- ment in the neck. In some cases, rectal scarring can mitted disease that is very rare in the United States block stool passage. It A blood test checks for antibodies, and the doc- is caused by a very virulent strain of Chlamydia tra- tor will probably screen for other sexually transmit- chomatis. In the United States, lym- transmitted more easily when someone has lym- phogranuloma venereum is often a result of an phogranuloma venereum because of the open sore American having unprotected sex with an infected in the genital area. The medication must be taken for ter, or ulcer that appears in the genital area or on 21 days, and sometimes rectal infection requires the cervix about a week to three weeks after expo- retreatment. Any person who has had sex with About a week or so later, painful enlarged lymph an infected person within 30 days of becoming nodes develop on one side of the groin. At this symptomatic should be treated with antibiotics, time, the inﬂamed lymph nodes may rupture and also, and tested for other sexually transmitted dis- drain pus or form chronic draining sinuses. Condoms can be used to decrease risk of patient usually has fever, chills, and/or a rash. It is there is anorectal node involvement, the person also spread from mother to child at birth. When the insured per- son is forced to pursue the matter through legal appeals, a court decision may be reached too late malnutrition A condition in which an individual for someone who is ﬁghting a terminal disease. Signs of malnutrition include sores in the management of penicillin-allergic patients In corners of the mouth, bleeding gums, atrophy of respect to sexually transmitted diseases, there are the tongue, muscle soreness and lack of muscle no proven good alternatives to penicillin available tone, nonspeciﬁc vaginitis, corneal vasculariza- for treating neurosyphilis, congenital syphilis, or tion, skin rash, and thickening and pigmentation syphilis in pregnant women. If these patients receive peni- of system relies on a primary care physician, who cillin again, they may have severe immediate reac- acts as gatekeeper, making decisions about when to tions. Those who want to sign can be fatal, health care providers are careful to up for a managed care program, usually one that avoid giving penicillin to those who are allergic to was selected by an employer, should make them- it, unless the sensitivity to penicillin has been selves aware of the conditions concerning “preex- removed by desensitization. In many instances, managed care programs their allergic reactions, may stop expressing peni- have shown a reluctance to cover those patients cillin-speciﬁc immunoglobulin E (IgE). One of the major downsides of managed skin testing with major and minor determinants care is that those who administer the programs and can identify persons at high risk for penicillin 135 136 mandatory reporting reactions. Infection is very unlikely by this Experts estimate that testing with only the major route but is within the realm of possibility. Hence, people posedly, the virus escaped accidentally after it was should proceed with caution when the full battery tested on prisoners. Oral desensitization appears to be the 1970s after about three decades of work on it. Desensitization should take place It was Strecker’s theory that the virus was tested in a hospital setting in case an allergic reaction does on African populations and then deliberately occur, although this possibility is unlikely.
This last solution may then be taken in the same manner buy mircette 15 mcg on line birth control essay, or at longer intervals purchase on line mircette birth control online, perhaps also less of the solution at a time ; but every time the solution must be shaken up five or six times purchase 15 mcg mircette amex birth control for 14 year old. This will be continued so long as the remedy still produces improvement and until new ailments (such as have never yet occurred with other patients in this disease) trusted 15mcg mircette birth control pills vitamin deficiency, appear ; for in such a case a new remedy will have to be used. On any day when the remedy has produced too strong an action, the dose should be omitted for a day. If the symptoms of the disease alone appear, but are considerably aggravated even during the more moderate use of the medicine, then the time has come to break off in the use of the medicine for one or two weeks, and to await a considerable improvement. He will dissolve one (two) pellet of the highly potentized, well selected medicine in seven, ten or fifteen tablespoonfuls of water (without addition) by shaking the bottle. He will then, according as the disease is more or less acute, and more or less dangerous, give the patient every half hour, or every hour, every two, three, four, six hours (after again well shaking the bottle) a whole or a half tablespoonful of the solution, or, in the case of a child, even less. If the physician sees no new symptoms develop, he will continue at these intervals, until the symptoms present at first begin to be aggravated ; then he will give it at longer intervals and less at a time. As is well know, in cholera the suitable medicine has often to be given at far shorter intervals. Children are always given these solutions from their usual drinking vessels ; a teaspoon for drinking is to them unusual and suspicious, and they will refuse the tasteless liquid at once on that account. When the medicine has been consumed and it is found necessary to continue the same remedy, if the physician should desire to prepare a new portion of medicine from the same degree of potency, it will be necessary to give to the new solution as many shakes, as the number of shakes given to the last portion amount to when summed up together, and then a few more, before the patient is given the first dose ; but after that, with the subsequent doses, the solution is to be shaken up only five or six times. In this manner the homœopathic physician will derive all the benefit from a well selected remedy, which can be obtained in any special case of chronic disease by doses given through the mouth. But if the diseased organism is affected by the physician through this same appropriate remedy at the same time in sensitive spots other than the nerves of the mouth and the alimentary canal, i. The limbs which are thus rubbed with the solution may also be varied, first one, then another. Thus the physician will receive a greater action from the medicine homœopathically suitable to the chronic patient, and can cure him more quickly, than by merely internally administering the remedy. This mode of procedure has been frequently proved by myself and found extraordinarily curative ; yea, attended by the most startling good effects ; the medicine taken internally being at the same time rubbed on the skin externally. This procedure will also explain the wonderful cures, of rare occurrence indeed, where chronic crippled patients with sound skin recovered quickly and permanently by a few baths in a mineral water, the medicinal constituents of which were to a great degree homœopathic to their chronic disease. Therefore the homœopathic remedy given internally must never be rubbed in on parts which suffer from external ailments. The limb, therefore, on which the solution is to be rubbed in, must be free from cutaneous ailments. In order to introduce also here change and variation, when several of the limbs are free from cutaneous ailments, one limb after the other should be used, in alternation, on different days, (best on days when the medicine is not taken internally). A small quantity of the solution should be rubbed in with the hand, until the limb is dry. Convenient as the mode of administering the medicine above described may be, and much as it surely advances the cure of chronic diseases, nevertheless, the greater quantity of alcohol or whiskey or the several lumps of charcoal which have to be added in warmer weather to preserve the watery solution were still objectionable to me with many patients. I have, therefore, lately found the following mode of administration preferable with careful patients. From a mixture of about five tablespoonfuls of pure water and five tablespoonfuls of French brandy -which is kept on hand in a bottle, 200, 300 or 400 drops (according as the solution is to be weaker or stronger) are dropped into a little vial, which may be half-filled with it, and in which the medicinal powder or the pellet or pellets of the medicine have been placed. From this solution one, two, three or several drops, according to the irritability and the vital force of the patient, are dropped into a cup, containing a spoonful of water ; this is then well stirred and given to the patient, and where more especial care is necessary, only the half of it may be given ; half a spoonful of this mixture may also well be used for the above mentioned external rubbing. On days, when only the latter is administered, as also when it is taken internally, the little vial containing the drops must every time be briskly shaken five or six times ; so also the drop or drops of medicine with the tablespoonful of water must be well stirred in the cup. It would be still better if instead of the cup a vial should be used, into which a tablespoonful of water is put, which can then be shaken five or six times and then wholly or half emptied for a dose. Frequently it is useful in treating chronic diseases to take the medicine, or to rub it in in the evening, shortly before going to sleep, because we have then less disturbance to fear from without, than when it is done earlier. When I was still giving the medicines in undivided portions, each with some water at a time, I often found that the potentizing in the attenuating glasses effected by ten shakes was too strong (i. But during the last years, since I have been giving every dose of medicine in an incorruptible solution, divided over fifteen, twenty or thirty days and even more, no potentizing in an attenuating vial is found too strong, and I again use ten strokes with each. So I herewith take back what I wrote on this subject three years ago in the first volume of this book on page 149. In cases where a great irritability of the patient is combined with extreme debility, and the medicine can only be administered by allowing the patient to smell a few small pellets contained in a vial, when the medicine is to be used for several days, I allow the patient to smell daily of a different vial, containing the same medicine, indeed, but every time of a lower potency, once or twice with each nostril according as I wish him to be affected more or less. The Homoeopathic healing art, as taught in my own writings and in those of my pupils, when faithfully followed, has hitherto shown its natural superiority over any allopathic treatment in a very decided and striking manner; and this not only in those diseases which suddenly attack men (the acute diseases), but also in epidemic diseases and in sporadic fevers. Venereal diseases also have been radically healed by Homoeopathy much more surely, with less trouble and without any sequelae; for without disturbing or destroying the local manifestation it heals the internal fundamental disease from within only, through the best specific remedy. But the number of the other chronic diseases on this great earth has been immeasurably greater, and remains so. Treatment by allopathic physicians hitherto merely served to increase the distress from this kind of disease; for this treatment consisted of a whole multitude of nauseous mixtures (compounded by the druggist from violently acting medicines in large doses, of whose separate true effects they were ignorant), together with the use of manifold baths, the sudorific and salivating remedies, the, pain-killing narcotics, the injections, fomentations, fumigations, the blistering plasters, the exutories and fontanelles, but especially the everlasting laxatives, leeches, cuppings and starving treatments, or whatever names may be given to all these medicinal torments, which continually varied like the fashions. By these means the disease was either aggravated and the vital force, spite of so-called tonics used at intervals, was more and more diminished; or, if any striking change was produced by them, instead of the former. Even in these other kinds of chronic diseases, its disciples, by following the teachings presented in my former writings and my former oral lectures, accomplished far more than all the afore-mentioned methods of curing; i. Using the more natural treatment, Homoeopathic physicians have frequently been able in a short time to remove the chronic disease which they had before them, after examining it according to all the symptoms perceptibly to the senses; and the means of cure were the most suitable among the Homoeopathic remedies, used in their smallest doses which had been so far proved as to their pure, true effects. And all this was done without robbing the patient of his fluids and strength, as is done by the allopathy of the common physicians; so that the patient, fully healed, could again enjoy gladsome days. These cures indeed have far excelled all that allopathists had ever - in rare cases - been able to effect by a lucky grab into their medicine chests. The complaints yielded for the most part to very small doses of that remedy which had proved its ability to produce the same series of morbid symptoms in the healthy body; and, if the disease was not altogether too inveterate and had not been too much and in too great a degree mismanaged by allopathy, it often yielded for a considerable time, so that mankind had good reason to deem itself fortunate even for that much help, and, indeed, it often proclaimed its thankfulness. A patient thus treated might and often did consider himself in pretty good health, when he fairly judged of his present improved state and compared it with his far more painful condition before Homoeopathy had afforded him its help. They had been merely treated with such medicines as Homoeopathically best covered and temporarily removed the then apparent moderate symptoms, thus causing a kind of a cure which brought back the manifest psora into a latent condition and thus produced a kind of healthy condition, especially with young, vigorous persons, such as would appear as real health to every observer who did not examine accurately; and this state often lasted for many years. But with chronic diseases caused by a psora already fully developed, the medicines which were then known never sufficed for a complete cure, any more than these same medicines suffice at the present time. This would be especially the case whenever the seemingly cured disease had for its foundation a psora which had been more fully developed. When such a relapse would take place the Homoeopathic physician would give the remedy most fitting among the medicines then known, as if directed against a new disease, and this would again be attended by a pretty good success, which for the time would again bring the patient into a better state. In the former case, however, in which merely the troubles which seemed to have been removed were renewed, the remedy which had been serviceable the first time would prove less useful, and when repeated again it would help still less. Then perhaps, even under the operation of the Homoeopathic remedy which seemed best adapted, and even where the mode of living had been quite correct new symptoms of disease would be added which could be removed only inadequately and imperfectly; yea, these new symptoms were at times not at all improved, especially when some of the obstacles above mentioned hindered the recovery. Some joyous occurrence, or an external condition of circumstances improved by fortune, a pleasant journey, a favorable season or a dry, uniform temperature, might occasionally produce a remarkable pause of shorter or longer duration in the disease of the patient, during which the Homoeopath might consider him as fairly recovered; and the patient himself, if he good-naturedly overlooked some passable moderate ailments, might consider himself as healthy.
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