hesupplementarytreatmentofdepressionFacultyofHomeopathy抑郁症的辅助治疗的顺势疗法课件

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1、The Supplementary Treatment Of Depression Using Homeopathic and Bach Flower remediesThe Supplementary Treatment Of Depression Is Useful For Patients who will not take anti-depressantsPatients who develop side effects on anti-depressantsTreatment resistant depressionSamuel Hahnemann 1755-1843The “Lik

2、e Cures Like”Principle (similia similibus curentur)The drug which cures is capable of producing symptoms similar to those which it cures (eg.onions for colds)Materia MedicaSymptoms produced by poisoningsSymptoms produced by provingsSymptoms relieved when remedy given for other symptomsTaking A Homeo

3、pathic HistoryPresenting complaint-aetiology,modalitiesPMHDHFHSHGenerals-environment,foodMentals-personality,anxieties,mood Patient Remedy Symptom PictureSymptom PicturePhysical Physical characteristicscharacteristicsLocal & general Local & general symptomssymptomsTemperamentTemperament Drug Picture

4、Drug PictureToxicologyToxicologyProvingsProvingsExperienceExperienceRepertorisationRepertories-books or computer programmesList symptoms under body systems and the remedies which produce them Ideally choose prominent symptoms in each area-mind,general and localAetiologyPeculiar symptomsHow Are Remed

5、ies Prepared ?From- plants,minerals,animals,disease -macerated in alcohol = mother tinctureSerial dilution - 1 part added to 9 or 99 parts of solution = 1X or 1C potencySuccussion in between dilutionsCommon potencies :- 6C, 30C, 200C, 1M, 10M, 50MPrecipitating FactorsAcute grief reaction - IgnatiaSu

6、ppressed grief - Natrum Mur.Emotional shock - OpiumWorry,grief,homesickness,disappointed love - Phosphoric AcidResentment - StaphysagriaLoss of property - AurumAurum (Gold)Often suicidal thoughts - talks of suicide and desires death,but also fears it.Dreams of death.Ideas of worthlessness,critical o

7、f self and othersBroods,wants to be alone.Sensitive to noiseCraves alcohol-can feel better for itOften unable to cryNatrum Sulph.(Glaubers Salt)Often suicidal thoughts,but fights against themOften early morning wakening, 4-5 amHates coversingPoor memoryPeriodicity,down every springArsenicum Album(Wh

8、ite Arsenic)Depression and anxiety or agitated depression.Very restless,never placidDespairing,hopeless,irritatedFears + + death,being aloneLack courage,aggressive to othersVery tidyHallucinations of smell and sightExhausted after slight exertionCimicifuga(Actea Racemosa)Depression & anxiety- Depres

9、sion & anxiety- “like a black cloud”“like a black cloud”Often pre-menstrual or Often pre-menstrual or puerperalpuerperalFeeling of impending Feeling of impending evilevilFears- going mad,being Fears- going mad,being killedkilledHallucinations-rats and Hallucinations-rats and micemiceCalc .Carb.(Chal

10、k)Depression with psychomotor retardationSit staring in front,heavy,dull, not restlessBroods over little thingsFears- insanity,illness,dark, “something terrible” will happenSensitive to injustice to othersSilent tearsPoor memoryPhosphoric AcidExtreme indifferenceSettled despair - often after grief,

11、worry, homesickness, disappointed loveTATTImpaired memoryOften young peopleUseful in PVFS with depressionPhosphorusDisinclined to work,study or converse.Weary of life.Indifference even towards own children.Weeps before menses.Anxious and restless esp.in dark or twilight.Memory poor.Dread of death wh

12、en aloneIgnatia (St.IgnatiusBean)Acute grief reaction -Acute grief reaction -usually expressed, usually expressed, often remorseful and often remorseful and self-criticalself-criticalMay be silent and May be silent and broodingbroodingNatrum Muriaticum (Salt)Depression following grief, rejection - p

13、rolonged grief reactionIndifferent (usually sympathetic)Anxiety,hypochondriacalPoor appetite,bad dreamsAfraid will go to hell,but may feel suicidalWorse pre-menstruallyStaphysagria (Delphinium)Suppressed resentment Suppressed resentment or guilt (esp. sexual)or guilt (esp. sexual)Difficulty expressi

14、ng Difficulty expressing angerangerAnxious, irritable, Anxious, irritable, hypochondriacalhypochondriacalVery sensitive to remarks Very sensitive to remarks of othersof othersPrefers to be alonePrefers to be aloneEdward Bach 1886-1936Cherry PlumUncontrollable fears - Uncontrollable fears - going mad

15、 , suicidegoing mad , suicide“Out of control”“Out of control”Sweet ChestnutIntense severe Intense severe suffering.Feel trapped. suffering.Feel trapped. Isolated. Silent tears. Isolated. Silent tears. Not usually suicidal , Not usually suicidal , but feel ttere is no way but feel ttere is no way out

16、.out.GentianDepression when the Depression when the cause is known eg. cause is known eg. disappointment in job disappointment in job or love.or love.Disillusion , doubt .Disillusion , doubt .GorseHopelessness , despair Hopelessness , despair More profound than More profound than Gentian , but not s

17、o Gentian , but not so acute as Sweet acute as Sweet Chestnut.Chestnut.Useful in terminal Useful in terminal illness , patients in illness , patients in long term care .long term care .MustardDepression when cause Depression when cause unknown .Out of the unknown .Out of the blue “like a black blue

18、“like a black cloud” (cf.Cimic.) cloud” (cf.Cimic.) Lifts of its own accord Lifts of its own accord Not as hopeless as Not as hopeless as Gorse.Gorse. Can be useful for SAD Can be useful for SADStar Of BethlehemAfter effects of loss , After effects of loss , grief .grief .Depression that feels like

19、Depression that feels like a loss .a loss .Can seem to cope Can seem to cope superficially , but no superficially , but no joy ,anhedonia . joy ,anhedonia . HoneysuckleUseful for regrets after a Useful for regrets after a bereavement .bereavement .Keynote - “ Living in the Keynote - “ Living in the

20、past”past”ClematisCan be useful in grief .Can be useful in grief .Lack of concentration , Lack of concentration , thinking of lost person thinking of lost person May escape into alcohol May escape into alcohol or drugs .or drugs .Keynote - lack of interest Keynote - lack of interest in the present .

21、in the present .HornbeamMental fatigue and Mental fatigue and lassitude .lassitude .Dont want to get up , Dont want to get up , cant be bothered .cant be bothered .OliveExhaustion, longstanding Exhaustion, longstanding overwork, burn-out .overwork, burn-out .Overtired , cant sleep .Overtired , cant

22、sleep .More physical than More physical than Hornbeam .Hornbeam .PineGuilt .Punish themselves Guilt .Punish themselves Often insidious Often insidious depression .depression .Unhappy relationships Unhappy relationships because they feel because they feel unworthy . unworthy . Feel guilty if they rel

23、ax Feel guilty if they relax or go on holiday - or go on holiday - workaholics .workaholics .Willow“ Victim mentality “ Victim mentality “Not true depression , but Not true depression , but may present as such .may present as such .Resentment ( cf. Staph )Resentment ( cf. Staph )Not happy with Not h

24、appy with improvementimprovementPut responsibility for Put responsibility for their feelings onto their feelings onto others (opp. Pine )others (opp. Pine )ElmOverwhelmed by Overwhelmed by responsibility .responsibility .Usually temporary .Usually temporary .Normally capable ,take Normally capable ,

25、take on too much and feel on too much and feel inadequate and inadequate and depressed .depressed .Less physical than Olive Less physical than Olive Wild RoseApathy and resignation .Apathy and resignation .Chronic illness or Chronic illness or situation .situation .Reluctant to change .Reluctant to

26、change .Flat affect .Sit down Flat affect .Sit down heavilyheavilyScleranthusUncertainty, changeable .Uncertainty, changeable .Useful for mood swings , Useful for mood swings , cyclothymic or bipolar cyclothymic or bipolar illness .illness .“ Bach remedy lithium”“ Bach remedy lithium”Outcomes for Patients with Depression 1996 - 2000 n=24GHHOS0=No improvement1=Minor 2=Moderate 3=Major 4=Cured

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