BHARATESH HOMEOPATHIC MEDICAL COLLEGE AND HOSPITALS,

POST GRADUATE RESEARCH CENTRE,

BELGAUM-590016.

KARNATAKA.

Recognised by

CENTRAL COUNCIL OF HOMOEOPATHY, NEW DELHI.

Affiliated to

RAJIV GHANDHI UNIVERSITY OF HEALTH SCIENCES, BANGALORE.

SYNOPSIS

MD (HOMOEOPATHY)

“HOLISTIC APPROACH OF HOMOEOPATHY

TREATMENT OF AUSTISM”

by

Dr. SUDHEER BABU.

Under the Guidance of

Dr. Dhanashri. H. Ajgaonkar MD.(HOM)

Guide, H.O.D., Professor of Repertory,

Bharatesh Homoeopathic Medical College and

Hospital, P. G. Research Centre, Belgaum.

From,

Dr.J.SUDHEER BABU

To,

Dr. Dhanashri. H. Ajgaonkar MD(HOM)

Guide, H.O.D., Professor of Repertory,

Bharatesh Homoeopathic Medical College and Hospital, Belgaum.

Sub:- Application to accept my synopsis for the dissertation.

Respected Madam,

I Dr. Nazima Khan. would like to forward my application for the approval of my synopsis under your guidance for the following topic, “ HOLISTIC APPROACH OF HOMOEOPATHY IN TREATMENT OF AUTISM”.

Hope you will approve the same.

Thanking you

Date: 02-06-2008

Place: Belgaum Yours Sincerely

Dr. J.SUDHEER BABU

Department of Repertory

Bharatesh Homoeopathic Medical College,

Belgaum.

From,

Dr. Dhanashri. H. Ajgaonkar MD.(HOM)

Guide, H.O.D., Professor of Repertory,

Bharatesh Homoeopathic Medical College and Hospital, Belgaum.

To,

Dr.J.SUDHEER BABU

.

Sub: Acceptance of synopsis for the dissertation.

Dear Doctor,

I have accepted your topic “ HOLISTIC APPROACH OF HOMOEOPATHY IN TREATMENT OF AUTISM” for the dissertation. Your synopsis will be forwarded to RGUHS.

Date: 02-06-2008

Place: Belgaum. Dr. Dhanashri. H. Ajgaonkar MD(HOM)

Guide, H.O.D., Professor of Repertory

Bharatesh Homoeopathic Medical College &Hospital,

Belgaum.

RAJIV GHANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA, BANGALORE.

ANNEXURE II

APPLICATION FOR REGISTRATION OF SUBJECT FOR

DISSERTATION

1. / NAME OF THE CANDIDATE AND ADDRESS / Dr. J. SUDHEER BABU
DEPARTMENT OF REPERTORY,
BHARATESH HOMOEOPATHIC MEDICAL COLLEGE & HOSPITAL, BELGAUM-16
PERMANENT ADDRESS / Dr. J. SUDHEER BABUc
c\o J. Sunil Babu G3.V.S.Paradise,
S.G. Palya C.V. Raman nagar, Bangalore.
2. / NAME OF INSTITUTION / BHARATESH HOMEOPATHIC MEDICAL COLLEGE & HOSPITAL, BELGAUM-16
3. / COURSE OF THE STUFY & SUBJECT / DOCTOR OF MEDICINE
(HOMOEOPATHIC) REPERTORY
4. / DATE OF ADMISSION TO COURSE / 02/06/2006
5. / TITLE OF THE TOPIC / “ HOLISTIC APPROACH OF HOMOEOPATHY IN TREATMENT OF AUTISM”
6.1 NEED FOR THE STUDY:
Autismis a brain development disorder that is characterized by impaired social interaction and communication, and restricted and repetitive behavior, all starting before a child is three years old. This set of signs distinguishes autismfrom milder autism spectrum disorders (ASD) such as pervasive developmental disorder not otherwise specified (PDD-NOS).
Autismhas a strong genetic basis, although the genetics of autism are complex and it is unclear whether ASD is explained more by multigene interactions or by rare mutations. In rare cases, autism is strongly associated with agents that cause birth defects. Other proposed causes, such as childhood vaccines, are controversial; the vaccine hypotheses lack convincing scientific evidence. Most recent reviews estimate a prevalence of one to two cases per 1,000 people for autism, and about six per 1,000 for ASD, with ASD averaging a 4.3:1 male-to-female ratio. The number of people known to have autism has increased dramatically since the 1980s, at least partly as a result of changes in diagnostic practice; the question of whether actual prevalence has increased is unresolved.
Autism is brain development disorder Impairments result from maruration related. Change in various systems of the brain. Autism is one of the five pervasive developmental disorders (other four PDD form. Asperger syndrome, Rett syndrome, Childhood Disintegrative disorder.)
Null hypothesis: A holistic approach may fail in the treatment of autism.
6.2 REVIEW OF LITERATURE:
Autism is a brain development disorder that first appears during infancy or childhood, and generally follows a steady course without remission. Impairments result from maturation-related changes in various systems of the brain. Autism is one of the five pervasive developmental disorders (PDD), which are characterized by widespread abnormalities of social interactions and communication, and severely restricted interests and highly repetitive behavior. These symptoms do not imply sickness, fragility, or emotional disturbance.1
Signs of Autism may appear during infancy & the disorder is usually diagnosed by the age as 3 sometimes the child’s development appears normal until about 2 years old & then regresses rapidly. Symptoms of autism occur in various combinations.2
Infants with the disorder often display. Abnormal sensory stimuli (eg. Senses may be over –or underactive). Touches may be experienced as painful, smells may be overwhelmingly unpleasant, and ordinary daily noises may be painful, Loud noises (eg. Motorcycle, going by, Vaccum cleaner) and bright lights may cause inconsolable crying.3
CAUSES:
It has long been presumed that there is a common cause at the genetic, cognitive, and neural levels for autism'scharacteristic triad of symptoms.However, there is increasing suspicion that autism is instead a complex disorder whose core aspects have distinct causes that often co-occur.4
Numerous candidate genes have been located, with only small effects attributable to any particular gene. The large number of autistic individuals with unaffected family members may result from copy number variations—spontaneous deletions or duplications in genetic material during meiosis.5
Environmental factors that have been claimed to contribute to or exacerbate autism, or may be important in future research, include certain foods, infectious disease, heavy metals, solvents, diesel exhaust, PCBs, phthalates and phenols used in plastic products, pesticides, brominated flame retardants, alcohol, smoking, illicit drugs, vaccines,[6] and prenatal stress.6
SIGNS AND SYMPTOMS:
  • Appears indifferent to surroundings.
  • Appears content to be alone, happier to play alone.
  • Displays lack of interest in toys.
  • Displays lack of response to others.
  • Does not point out objects of interest too others.
  • Marked reduction or increase in activity level.
  • Resists cuddling.
  • Impaired language development.
  • Difficulty in expressing repetitively.
  • May Laugh, cry, or show distress for unknown reasons.
  • Repeat words or phrases repetitively.
  • Repeat actions over & over.
  • Self-injurious behavior.
  • Little or no eye contact.
  • No fear of danger.7
GENERAL MANAGEMENT:
  • Applied behavior analysis.
  • Structured teaching, speech & language therapy, social skills.
  • Occupational therapy.7
HOMOEOPATHIC MANAGEMENT:
Some of remedy for autism: Agar, bar-c, bufo, kali-brom, lyco, tub.
Some of rubrics from synthesis repertory:
Main rubric-Mind
Rubric –Autism
Rubric-Company
-Aversion, to
-Dullness with
-Looked at, aversion to being
-Sight of people, avoids the
-Shuts herself up
Rubric-Danger
-Lack of reaction to danger
-No Sense of Danger, Has
Rubric-Development-arrested
-Arrested, Injury after
Rubric-Indifference
-Surroundings
Rubric-monomania
Rubric-Unobserving
Rubric-retardation
Rubric-Reserved
Rubric-Ritualistic
Rubric-Sensitive
-Light
-Noise
--Painful sensitiveness to
--Slightest noise, to the
-Odors to
-Pain, to
Rubric-Senses
-Dull
Rubric-Talking
-Himself
-Learning to talk late.8
Main Rubric-Hearing
Rubric-Acute
--Noise
Main Rubric-Nose
Rubric-Smell
--Acute
--Diminished.9
Main Rubric-Generals
Rubric-Energy
--Excess, Children
Rubric-Painlessness of complaints usually painful.10
The psoric state of mind feels it does not have enough (of anything, be it money, food, energy, love, warmth, etc.). You may be familiar with it if you know anyone who had to live through the Great Depression or a war. They may hoard food, toilet paper, rubber bands or twist ties, for no apparent reason other than, "You never know when you may need them." The stereotypical street person illustrates this miasm well, when they are carrying with them every one of their possessions, while wearing virtually all of their clothing, including coats and hats, even in sweltering heat.11
The Sycotic Child
  • Extreme extroversion, vitality and energy
  • Loud, chattering incessantly, irritating
  • Rude and aggressive socially
  • Hurried behavior, stammering, hyperactivity
  • Poor concentration
  • Messy by nature
  • Meanness and cruelty, frequent fighting, screaming, throwing things, hitting, threats of violence. 11
The Tubercular Child
  • Difficulty in comprehension, poor concentration, averse to mental activity, memory weakness
  • Fears of strangers, new situations, dogs, cats, being alone
  • Restlessness, intense energy all day, restless sleep
  • Grind teeth, toss about in bed
  • Love to run, spin and jump 11
6.3 OBJECTIVES OF THE STUDY:
  1. To study clinical presentation of autism.
  2. To study the application of various repertories in the treatment of autism.
  3. To study the homoeopathic management of autism.
7.1 SOURCE OF DATA:
The subject for this study will be collected from I.P.D., O.P.D., Peripheral Clinics of Bharatesh Homeopathic Medical College and Hospital, Belgaum.
7.2 METHOD OF COLLECTION OF DATA:(Including sampling procedure if any)
  • Patients will be selected on the basis of inclusion and exclusion criteria.
  • Minimum sample size will be 30. Simple random sampling procedure will be adopted.
  • All cases will be taken as per the proforma prepared for the study.
  • All patients registered between the periods of Aug 2008 to Sept 2009will be selected for the study. No new case will be taken for study after Sep 2009 only follow-up will be continued till March 2010.
  • Follow ups will be seen weekly or fortnightly as per the requirements.
  • Prognosis-Assessment will be based on the general and local improvement of the patients as per guidelines laid down by Dr. Hahnemann.
InclusionCriteria:
  • Subjects will be selected irrespective of their age, sex and socioeconomic status.
Exclusion Criteria:
  • Case of Asperger Syndrome, PDD form, Rett syndrome & Childhood Disintegrative Disorder.
Results:
  • Recovered.
  • Improved
  • Not improved.
7.3 DOES THE STUDY REQUIRE ANY INVESTIGATION OR INTERVENTION TO BE CONDUCTED ON THE PATIENTS OR OTHER HUMAN BEINGS OR ANIMALS? IF SO, PLEASE MENTION BRIEFLY.
YES,
Diagnostic instruments:
Autism diagnostic interview revised = is a semi structured parent interview.
Autism diagnostic observation schedule (ADOS)- uses observation & interaction with the child.
Childhood Autism rating scale.
7.4 HAS ETHICAL CLEARANCE BEEN OBTAINED FROM YOUR INSTITUTION IN CASE OF 7.3?
Yes. Ethical clearance has been obtained from the institution.
8. / LIST OF REFERENCES:
1.American Psychiatric Association (2000). Diagnostic criteria for 299.00 Autistic Disorder,Diagnostic and Statistical Manual of Mental Disorders, 4th ed.
2.Newschaffer CJ, Croen LA, Daniels J et al. The epidemiology of autism spectrum disorderAnnu Rev Public Health28: 235–58.
3. on 28/10/2008.
4.Rapin I, Tuchman RF. Autism: definition, neurobiology, screening, diagnosis. Pediatr Clin North Am.55 (5): 1129–46.
5.Kinney DK, Munir KM, Crowley DJ, Miller AM . Prenatal stress and risk for autism.Neurosci Biobehav. Rev32 (8): 1519–32.
6.Piven J, Palmer P, Jacobi D, Childress D, Arndt S. Broader autism phenotype: evidence from a family history study of multiple-incidence autism families.8th ed:1997.
7.Braun world. Harrisons Principles of internal Medicine.13th ed.2341,2342 pp.
8.Schroyens Frederik. Synthesis edition 8.1 B.Jain Publishers (p) Ltd.27, 1-269 pp.
9.Kent J.T. Repertory of Homoeopathic Material Medica 6th American ed. New Delhi: Indian Books and Periodicals is Publishers:2004. 321pp.
10.Boger C.M.Bonnighausen Characteristics Material Medica and Repertory, Reprint ed. New Delhi: B.Jain, Publication (p) Ltd.
11. from the book autism accessed on 23/09/2008
9. / SIGNATURE OF THE CANDIDATE
10. / REMARKS OF THE GUIDE
11. / NAME AND DESIGNATION OF
11.1 GUIDE / DR. D.H.AJGAONKAR MD.(HOM)
GUIDE, H.O.D., PROFESSOR OF REPERTORY,
BHARATESH HOMEOPATHIC MEDICAL COLLEGE AND HOSPITAL, BELGAUM.
11.2 SIGNATURE
11.3. CO-GUIDE (IF ANY)
11.4 SIGNATURE
11.5 HEAD OF THE DEPARTMENT / DR. D.H.AJGAONKAR MD.(HOM)
GUIDE, H.O.D., PROFESSOR OF REPERTORY,
BHARATESH HOMEOPATHIC MEDICAL COLLEGE AND HOSPITAL, BELGAUM.
11.6 SIGNATURE
12. / 12.1. REMARKS OF THE
CHAIRMAN AND
PRINCIPAL
12.2. SIGNATURE