Arthritis is inflammation of one or more joints. Besides the bones, the cartilages, muscles, ligaments, tendons, and synovial membranes etc are involved in arthritis. Term rheumatism indicates a variety of disorders that have a common pain and stiffness referable to the musculoskeletal system. Arthritis is a common disorder of elderly, especially those over the age of 60.
Common symptoms of arthritis include pain, tenderness, stiffness, swelling, instability, warmth, weakness, and deformities at joints. Pain at the joint can occur as a secondary symptom in many other diseases. These include
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Acromegaly.
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Leukemia.
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Alkaptonuria.
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Lyme disease.
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Behcet’s syndrome.
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Osteoporosis.
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Colitis.
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Polyarteritis nodosa.
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Crohn’s disease.
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Polymyalgia rheumatic.
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Dermatomyositis.
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Reiter’s disease.
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Endocarditis.
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Relapsing polychondritis.
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Familial Mediterranean fever.
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Reynaud’s disease.
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Haemochromatosis.
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Sarcoidosis.
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Henoch-schonlein purpura.
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Serum sickness.
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Hepatitis.
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Sickle cell diseases.
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Hemarthrosis.
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Sjogren’s syndrome.
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Hyper immunoglobulinemia.
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Systemic lupus erythematosus.
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Haemoglobinopathies.
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Wilson diseases.
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Hypercholesterolemia. Dyslipidemia
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Hypertrophic pulmonary
osteoarthropathy.
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Classification
Crystal deposit arthritis.
Degenerative arthritis.
Inflammatory arthritis.
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Mono- arthritis
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Poly-arthritis
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Transient fleeting arthritis
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Septic arthritis. Tubercular arthritis.
Traumatic arthritis.
Gout.
Pseudo gout.
Spondyloarthritis
Osteoarthritis.
Hemarthrosis.
Neoplasm arthritis.
Rheumatoid arthritis.
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Viral arthritis. Rheumatoid arthritis.
Osteoarthritis. Spondyloarthritis.
S.L.E. Henoch-schonlein purpura. Tubercular arthritis. Drug allergy.
Acute rheumatic fever. Gonorrhoea. Dengue arthritis.
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Rheumatic fever. Henoch-schonlein purpura. Serum sickness. Drug reaction. S.L.E. Bacterial endocarditis. Rubella. Infectious mononucleosis.
Reiter’s disease. Acute rheumatoid arthritis.
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Female are more affected than
male. It may occur in either acute or chronic form.
1. Rheumatoid arthritis
Rheumatoid arthritis is
progressive illness affecting synovial membrane and extra articular tissues.
It is three times common in
female.
It most often starts after 20
years and before 60 years of age.
Incidence is less in hot and
polar zone than mid zone. Relapse is less in summer and rainy season than
winter and spring.
It affects multiple joints of
both sides of body.
Peripheral joints are first
involved. It affects intercarpel joints, MP joints, proximal IP joints, tarsal
joints, knees, small joints of cervical spine and sub acromial bursa.
Rheumatoid arthritis first
affects synovial membrane and cartilage. Synovial membrane is thickened.
Synovial fluid is increased and become turbid.
Erosions of two opposing bones
are taken place in advanced stage. Damage to joints can occur early and
does not always correlate with the degree of pain, stiffness, or swelling present
in the joints.
Risk factors
Hereditary.
Allergic factor include
infectious agents possibly viruses, bacteria or fungi; gluten, potato, tomato
etc.
Environmental factors such as
cat dung, silicea, tobacco, Manganese etc.
Presentation
A. Vague myalgia and different
aches in limbs, head, neck, shoulder, chest, upper back, or lower back.
B. Sausage shaped swelling in
peripheral joints. Swelling and pain are worse in morning. Larger joint
affected later.
C. Minimum joint problems with systemic
symptoms like pleurisy, pericarditis and weight loss.
D. Relapsing mono arthritis of
different large joints.
E. Persistent monoarthritis.
F. Wide spread arthritis with
sudden onset.
Clinical
manifestations
Common symptoms are pain, swelling,
stiffness, and warmth on peripheral joints in a
symmetrical distribution.
Malaise, fatigue, loss of
energy, anorexia, low-grade fever, poor sleep, rashes etc may appear before the
joint pain.
Pain and stiffness are
continuance, worse on motion, after periods of rest, at night and in early
morning.
The first attack lasts 8-12
days. The course varies among affected individuals. Exacerbation may occur
after stress, emotional shock, worry, hard work, exposure to acute infection or
malnutrition. Relapse can occur after weeks, months, or years.
Different joints may be affected
on each atmospheric change.
Hoarseness may occur when cricoarytenoid joint is
involved.
Rheumatoid arthritis can affect
the other parts of body.
Painless and hard cutaneous
nodules (25%) under the skin may present around the elbows and
fingers.
Episcleritis, kerato conjunctivitis sicca, iritis, pneumonitis, nodules formation in lungs, pulmonary fibrosis, pleurisy, pericarditis, diarrhoea, oro genital ulcer, splenomegaly, scanty urine, urethritis, enlarged lymph glands, multifocal peripheral neuropathy, tenosynovitis, carpal tunnel syndrome, osteoporosis, vasculitis (black nail or leg ulcer), vasomotor symptoms in hands and feet, Reynaud’s phenomenon, increased sweat,
oedema etc. may develop with rheumatoid arthritis.
Complications
Chronic inflammation can cause loss of cartilages, erosion of bone, atrophy superficial muscles and
tendons, thickening of peripheral nerves and loss of its functions.
Other complications are joint deformity, obesity, and wasting.
Diagnosis
It is based on clinical history, the blood and x-ray findings.
Blood may show "rheumatoid
factor (in 75%), antinuclear antibody” (in 30 %), high ESR (> 40 mm/hour),
high C-reactive protein (>10 mg/L), low Hb (<12 gm), low white blood cells (5000/cu mm), high level of plasma phosphatase, and reversed ratio of plasma albumin/
globulin in patient with rheumatoid arthritis.
RA factor may also positive in
Liver disorder, S.L.E, Kala azar, Syphilis, Sarcoidosis, Bacterial endocarditis.
T.B, and Acute viral infections.
Normal concentration of C Reactive Protein in healthy human serum is usually lower than 10 mg/L. Its level is increased in active inflammation (40- 200 mg/L). It falls more
promptly than ESR in recovery period of septic arthritis.
Joint X-rays may show evidence
of soft tissue thickening, widening of joint space, loss of joint space, bone thinning, erosions, calcifications, and subluxation of joints.
Punched out appearance on bony
ends is more in gout than RA. Chest X ray is helpful in SLE, RA and TB.
Other investigation
Joint aspiration for culture;
microscopy for blood, pus, and crystals; blood- culture in septic arthritis; estimation of Uric acid (7 mg %), Urea (20
- 40 mg %), Cholesterol (150mg %-250mg %) and Creatinine
(0.7-1.5 mg %).
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2. Gout
Gout is due to deposition of
sharp crystals of sodium biurate in joints and tendons.
It may be either excessive production of uric acid in liver or decreased excretion through kidneys.
It is first deposited on inner
surface of synovial membrane and surface of cartilages. Then the entire joint
cavity is filled with these crystals.
It is also deposited on tendons, extra surface of synovial membrane, stomach, intestine, kidneys, heart, brain,
and blood vessels.
Gout is very rare in
children.
It affects more rich than poor, more in wise than fool.
It is eight times common in male.
It is absent in eunuchs.
Patient with RA almost never affect gout and vice versa.
Risk factors
Heredity.
Excess of nitrogenous foods,
excess of meat.
Excess of alcohol, coffee, and
soft drinks.
Excess of purine synthesis, enzyme deficiency for converting into uric acid.
Stress induced adrenal insufficiency.
Obesity, hyperlipidemia,
sedentary life style.
Previous injury to joints.
Intestinal bacterial deficiency due antimicrobial agents, hyperchlorhydria.
Lead poisoning.
High blood uric acid (5%).
Clinical manifestations
Acute gout occurs as sudden
onset of pain and tenderness in first metacarpo phalangeal joint of thumb or great
toe. It may develop in other joints.
Skin over the part is tense and shiny red or purple.
Pain is progressively
worse from hour to hour in acute primary attack. It last for 1-3 weeks and
disappear gradually. Skin over the affected joint is peels off.
Remission occurs within few
months with involving multiple joints.
Soft nodules contain chalk like
materials and it may be formed in bursa, tendons, pinna, and other soft
tissues.
Other symptoms are depends on
the part affected.
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Causes of high uric acid
Hereditary. Myelo proliferative disorder. Leukaemia. Lead nephropathy. Renal insufficiency.
Hypothyroidism. Hyperparathyroidism. Hypokalemia. Ketosis. Acidosis. Starvation.
Obesity. Psoriasis. Drugs: Thiazide, aspirin, niacin, alcohol. Purine rich diet: Organ meat, game meat, herring, gravy, dried beans, green peas, oatmeal, dried peas, and mushrooms. High fructose corn syrup.
Table sugar.
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Normal blood uric acid is about 7 mg %.
75 % of uric acid is formed endogenously.
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3. Osteoarthritis
Osteoarthritis is a condition of localized or generalized degeneration of
articular cartilage and formation of spur at the edges of joints.
It is the commonest arthritis.
It is a disorder of poor class.
Female predominance is
3:1.
The peripheral joints are more
involved in female.
Primary osteoarthritis is
symmetrical and affects mainly on distal interphalangeal joints.
Other common sites are knee,
great toe, thumbs, MPs joints, acromio-clavicular joints, and small joints of
spine.
Secondary osteoarthritis is
asymmetrical and affects on weight bearing joints-hip, knee, and inter
vertebral disc.
Risk factors
Congenital malformation of bones and cartilages.
Old age.
Female sex.
Injury.
Job with repetitive workload on joints.
Obesity.
Endocrinal insufficiency like hypothyroidism, hyperthyroidism,
acromegaly, and diabetes.
Undernutrition.
Other joint diseases include Septic arthritis, Gout, Paget’s
disease, Haemophilia, Sickle cell anemia, Heredity, and Connective tissue
disorders.
Toxicity from grass peas (Lathyrus sativus).
Signs and symptoms
Pains in joints are worse in
evening, during and after movement, and better on rest.
Stiffness of ligaments and
muscles around the joint are worse on rest and in the morning.
Pain and stiffness are
better after some joint movements.
The pain may be continuous, and
even occur while in a state of rest in advanced stage.
Swelling and tenderness on
joint, loss of flexibility, and grating sensation on movement are the other
most common symptoms.
Peripheral arthritis may be
painless in some individual.
When it affects spines, spur
formation causes compression on nerves. This leads to root pain, muscular
weakness, and autonomic dysfunctions.
The quantity of phosphoric acid
in urine is less.
Symptoms often develop slowly
and worsen over time.
Articular end of bones become
thickened and displaced.
Surrounding tendons and
ligaments are weakened.
It never suppurates.
X-ray shows loss of joint
space, cartilaginous sclerosis, and bone spurs.
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4. Ankylosing spondylitis
It is an erosive inflammatory arthropathy affecting sacro iliac joint and the spine in asymmetrical pattern with marked tendency to ankylosing.
It is common in young male.
History of non-specific urethritis is present in some people.
Clinical manifestations
It include pain and stiffness in back, tenderness on anterior superior iliac spines, hyper extended neck, and restriction of respiratory movements. Pain is worse in early morning.
Other patterns are iritis, uveitis, plantar fasciitis, achilles tendinitis, and osteochondritis.
Investigation
X- ray shows bamboo spine with squaring of vertebra, erosion of apophyseal joints and obliteration in sacroiliac joints. ESR is high.
5. Systemic lupus erythematosus
It occur more in West Indian blacks.
It is nine times common in female 9:1
Clinical manifestations
They include acute joint pain, continuous fever, haemolytic anemia, photosensitivity, splenomegaly, renal insufficiency, sclerosis of kidneys, or sclerosis of esophagus, lupus alopecia, chorea, erythema, and various symptoms of arteritis.
Predisposing factors
Hyperfunction of ovaries, photosensitivity, allergy to ergot, reserpine, nicotinic acid, Manganese and sulpha drugs.
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6. Rheumatic arthritis
Children of temperate climate are affected generally.
It usually follows throat infection.
Fever remains high.
Joint pain fleets joint to joint.
Sweating is profuse.
ESR is high.
Cardiac involvement is more frequent.
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7. Psoriatic arthritis
It occurs as polyarthritis in 30% of psoriasis patient.
It mostly affects terminal small joints of hands, and sacro iliac joints but asymmetrical.
Pains are severe and continuous.
Periodic remission and relapse are common.
Systemic complication is uncommon.
Medicine like Cinchona can aggravate Psoriasis (Homeopathicity)
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8. Calcium pyrophosphate arthropathy
It occurs as polyarthritis.
Pain is less severe.
Risk factors
Hyperparathyroidism, hypothyroidism, hemochromatosis and joint diseases.
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9. Whipple disease
Arthritis occurs following inflammatory bowel disease.
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10. Reiter’s disease
It usually occurs following 4 weeks after gastrointestinal or genitourinary infections.
It affects ankle, all joints of feet, knees, hips, sacro-iliac joints, and spine.
Clinical manifestations include joint pain, oral and genital ulcers, dull red macules, and pustule on sole of feet, and palm, urethritis, prostatitis, and conjunctivitis.
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11. Sjogren’s syndrome
Clinical manifestations are dryness in mouth, eyes, vulva, nose, and throat with Joint symptoms.
RA factor is present ( 80%).
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12. Infective arthritis (Septic arthritis)
Infectious agents include Staphylococcus, Haemolytic streptococci, Pneumococcus, Gonococcus, Meningococcus, Influenza, Escherichia coli, Salmonella typhi, Brucella, TB, Actinomycosis, Blastomycosis, Coccidioidomycosis, Histoplasmosis, Sporotrichosis etc.
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13. Viral arthritis
Infectious agents include rubella, mumps, hepatitis B, entero virus, dengue fever, and chikun gunya. It occurs as sudden onset with chills and fever.
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Treatment for Arthritis
Aim of treatment includes
Elimination of etiological factors.
Elimination of body toxins through skin, kidneys and gall bladder (Bowel).
Relief of symptoms.
Prevention of complications.
Improvement in general health.
Correction of deformity.
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Treatment options vary depending
on the type of arthritis present, and its stage.
They include a combination of following.
Rest.
Physical therapy.
Diet modification.
Medication.
Joint-strengthening exercises.
Joint protection.
Lifestyle changes.
Preventive measures
Osteoarthritis
Correct obesity.
Lose weight to reduce pressure on joints.
Correct malnutrition.
Vitamins, minerals, and
antioxidants are essential for limiting the degenerative process. Intake
of refined carbohydrates reduce vitamins and minerals reserve in body.
Vitamin C is essential for collagen synthesis and to prevention of extravasations.
The recommended daily in therapeutic dose.
Vitamin A 50000 i.u.
Folic acid 75 mg.
Vitamin C 5 gm.
Vitamin D 400 i.u.
Vitamin E 400 mg.
Manganese 2 mg.
Magnesium 300 mg.
Selenium 100 mcg.
Zinc 30 mg.
Calcium 1000 mg.
Correct hormonal imbalance: Hypothyroidism, Hypo or hyper adrenal dysfunction, Hypogonadism.
Avoid sexual
excess.
Avoid sedentary life
style.
Avoid improper lifting, positions, movements that make extra stress on painful joints, and joint overuse.
Avoid unnecessary and prolonged intake of synthetic steroids as it induces aseptic bone necrosis.
Get treatment in acute
infections (Bacterial, Viral, and Protozoal).
Prevent the early “wear and
tear" with proper diet and exercises.
Avoid injury.
Take proper precaution in sports and driving.
Rheumatoid arthritis
Avoid food grains that contaminated with ergot.
Avoid gluten contain items (wheat).
Avoid unpolished rice and rye in sensitive families.
Avoid silicea contain items (Bamboo, barley, beer, oats, maize, cucumber, tomatoes, rice
bran, cane sugar, banana, egg white, mussels and tobacco) in sensitive
families.
Avoid solonacea rich items.
Change the living style.
Correct septic focus.
GENERAL TREATMENT
Rest
Take rest for 24 hours during
acute stage.
Avoid staying in one position
for too long.
Get 6 to 8 hours sleep.
Physical therapy
It can help improve circulation, muscle strength, flexibility, and sense of
balance.
It is also helpful to relieve stiffness, pain, inflammation, and
fatigue.
Get continue physical
therapy for 2 months.
Heat is better to relieve
stiffness.
Apply moist heat, heat from
Mercury vapor lamp, or hot soaks.
Apply alternate hot and cold water directly on painful area.
Apply ice (Cold can relieve
muscle spasms and pain).
Apply paraffin wax: Heat paraffin and mineral oil (4:1) up to 130 F, and apply on painful part repeatedly.
Make deep massage on
indurate area and sensitive joint for 20 minutes.
Make spinal massage to correct autonomic dysfunctions.
Place the foot on a pillow at
night in leg pain.
Apply vegetable oil.
Massage on opposite feet and ear
in numbness of feet.
Press the tip of thumb and index
finger.
Rub with nylon brush on soles
until the sloes get warmth than head.
Exercise
Practice stretching exercises and deep breathing.
Regular exercise can stimulate
cartilage growth.
Diet modification in
Osteoarthritis
Unfavourable
Avoid excess of meat (It
contains 5 times more Phosphorus than Calcium. Phosphorous can stimulate
parathyroid and promote liberation of calcium from bone).
Avoid soft drinks (It contain
Phosphorous) with meals.
Avoid refined carbohydrate,
honey, barley, corn syrup, fat, wheat, dairy products (Goat milk is
allowed), fried foods and alcohol.
Avoid processed foods. It
contains less Potassium and high Sodium than fresh vegetables.
Avoid Sodium and Potassium
rich salt in paralysis of ligaments.
Favourable
Take fast with fruits and
vegetable juice for 7 to 21 days.
Prefer non-citrus vegetable
diet.
Take bone meal (Chondroitin
present in soft bones can help for the formation of cartilage).
Diet modification in
Rheumatoid arthritis
Correct gastrointestinal dysfunction: Hypoacidity, Hyperacidity (Gout also), Gastro intestinal enzyme
deficiency, Poor peristalsis, Poor digestion, and Poor assimilation,Toxins (Ama - poison vata).
Unfavorable
Allergic items: Shellfish,
Prawn, Sweet peas, Gluten containing food (Wheat, barley, and
rye), tobacco, tomato, potato etc.
Fiber rich diet.
Black Gram.
Horse Gram.
Curd.
Items of nightshade family- Potatoes, Tomatoes, Tobacco, Pepper, and Brinjal (Eggplant).
Inflammatory items: Sugar, Cottonseed oil, Safflower oil, Soy oil, Sunflower oil, Trans
fats, Vanaspathi, Red meat, Sardine, Refined carbohydrate, Alcohol, Aspartame,
Garlic, and Milk.
Sun heat.
Battery contaminants.
Favorable
Prefer anti - inflammatory food:
Sesame (It contains Cu, Mg. fatty acids), Apple (It contains boron), Pineapple (It contains bromelain. It can digest fibre- Oats induced arthritis), Black grape, Carrot juice, Soya bean, Papaya, Cherries, Shark cartilage, Fish oil,
Salmon (cold water fish), and Olive oil.
Zinc can act as immunity factor with vitamin A and E.
Take milk rice in claudication.
Take milk.
Take green gram.
Diet modification in
Gout
Gout is a diet-related arthritis.
Correct diet imbalance.
Reduce consumption of refined carbohydrate, acid forming foods, salt, vitamin D, spices, coffee, and alcohol.
Correct liver functions insufficiency.
Unfavorable
Wine and beer. Many acute attacks follow the evening dining and wining.
Alcohol inhibits excretion of
uric acid through kidneys. Whisky is harmless.
Food have high in purines: Red meats, Organ meat, Sweetbread, Liver, Fish roes, Tripe, Kidney, Shellfish,
Herring, Mackerel, Mussels, Oats, and Spices.
Oxalate contain items include Spinach, Rhubarb, Asparagus, Tomato and Strawberries.
Turkey.
Cauliflower.
Lead contamination.
Favorable
Take plenty of fluid to excrete
uric acids.
Take fast for 3 days and repeat
it after 5 days intervals.
Prefer items with purine free or low purine: Poached eggs, goat milk, low fat cheese, brown rice, corn bread,
rice, millet, nuts, green vegetables, sea vegetable, and fruits.
Take non-citrus alkaline
fasting.
Weak vinegar, juice of cabbage,
carrot, cherries, banana, and strawberries.
Prevent acidosis.
Add baking soda on cooking the grains and vegetables.
Prefer alkaline food for 30 days
especially in hot climates.
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ALKALINE ITEMS
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ACID ITEMS
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Lemons. Watermelon.
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Artificial sweeteners. Carbonated soft drinks.
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Mango, papaya,
grapes, passion fruit, pears, pineapple, orange, apricots, avocados,
bananas (ripened), apples, guavas, sapote, cherries, peach, almonds, chestnuts.
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Cranberries.
Nuts.
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Whey, protein powder, cottage
cheese, chicken breast, eggs (poached).
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Beef, goat, pork, chicken,
turkey, carp, fish, lamb, lobster, mussels, oyster, rabbit, salmon, shrimp,
scallops, tuna, dairy.
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Dried dates, figs,
coconut.
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wheat flour, white rice.
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Capsicum, tamarind, cinnamon,
mustard, chilli pepper, peppers, garlic, onions, coconut vinegar.
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Pesticides, herbicides,
alcohol, spirits, beer, white vinegar.
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Arrowroot, ginger, peas
(less sweet), potatoes, carrots, tomato, melons, gooseberry, lettuce,
alfalfa, beans, greens cucumber, eggplant, lcabbage, cauliflower, pumpkin.
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Beans, peas, soy milk, rice
milk.
Fats & oils, butters,
rice, wheat, barley, corn, noodles.
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Sea salt.
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Table salt, Table sugar,
Fumaric acid.
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Vegetable juices, green tea,
herbal tea, dandelion tea, ginseng tea.
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Chocolate, coffee, tea
black.
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Kindness, love.
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Overwork, stress, anger, fear,
jealousy.
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Correct liver dysfunctions early.
Mental activities
Avoid stress promoting relationships and activities. Stress can cause digestive insufficiency. It can also cause early depletion of adrenal hormones. Intermediate products formed from weak protein digestion can act as auto allergens.
Avoid fear, worry, envy, depression and resentment.
Protective measures
Protect the joints with splints, braces, or orthotics.
Make some changes on jobs and around the home to reduce some stress on joints.
Install grab bars in the shower, the tub, and near the toilet.
Medications
Aims of medicinal treatment are
to relieve the symptoms, and support the immune system.
Medicines can correct the inflammation, dryness, and infiltrations in joints; weakness
in muscles and ligaments; degeneration of cartilages, and proliferation of
bone.
Characteristics of symptoms are different in every individual with arthritis. So different remedies may be required.
Medicinal treatment in Acute gout
Medicine: Viscum album, Cinchona, Colchicum, Aratium lappa, Alpinia galangal and Urtica urens.
Bitter medicines
Rauwolfia (Snake poison- snake root), Quassia amara.
Chronic Gout
Common remedies: Achilus millifolium, Actea racemosa, Ammonium phosphoricum, Ammonium benzoicum,
Ephedra, Plumbum ammonium, and Rheum.
Salicylic acid contains
remedies
Aloe socotrina, Chamomile, Cinchona, Gaultheria, Oleander, Salix nigra, and Trifolium pretense.
Androgen related remedies
Thuja, Withania somnifera and Yohimbinum.
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Medicinal treatment
in Osteoarthritis
General
Calcarea phos (Calcium deficiency may promote inflammation, scrofula, spur formation, calcification, or abscess), Ricinus com and Tinospora.
Remedies
Avena sativa, Syzygium aromaticum, Piper nigrium, Agaricus, Manganese nigrim and Plumbum aceticum.
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Medicinal treatment
in Rheumatoid arthritis
General medicines
Allium sativa,
Sinapis alba, Sulphur (Sulphur
normally present micro level in Hb, Rennin, Insulin, cartilage,
muscle, bone, and connective tissues. It can act as antioxidants in micro
level like selenium).
Aloe socotrina,
China, Cimicifuga, and Salix
nigra.
Tinospora,
Terminalia chebula and Muriatic
acid (It can increase calcium absorption, reduce flatulence, and
prevent formation of allergic factors).
Immune promoting
medicines
Arsenic album,
Liquorice, Zinc sulphate, Manganum nigricum, Syzygium aromaticum, Guggul Pura, Azadirecta, Zingiber, Mercurius.
Argentum nitricum, Alfalfa.
Anti-inflammatory
medicines
Alfalfa, Allium sativa, Apis, Azadiracta indica (shoulder), Bryonia, Cimicifuga, Curcuma longa, Discorea villosa, Kali iodide, Liquorice, Lupulus, Ginseng (Panax Quinquefolius), Rhus tox, Millefolium, Salix alba, Salix nigra, Taraxacum, Urtica urens, Vaccinum myrtillus, Withania somnifera, Yucca (Bacterial toxin from from GI tract), Zingiber.
Analgesic medicines
Aloe socotrina, Bryonia,
Cinchona, Colocynth, Gelsemium, Magnesium phos, Salix alba.
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General medicines
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Stiffness Joint
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Kali carb.
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Stiffness Heart muscle
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Kali carb.
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Synovial fluid lack, dry
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Mercurius,
Fenugreek, Physostigma.
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Synovial effusion
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Kali mur.
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Spasm muscles
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Natrum mur.
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Elasticity loss
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Graphites, Calcarea fluoride, Sinapis, Manganum nigricum.
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Paralysis, emaciation,
swelling and bleeding
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Calcium phos.
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Muscle degeneration
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Calcium fluoride. Causticum.
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Feet numbness
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Aegle folia.
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Shoulder muscle weakness
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Kali carb.
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Frozen shoulder
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Sarsaparilla.
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Sciatica
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Gingiber, Ricinus communis, Tinospora cordifolia, Vitex negundo.
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Anti-allergic
medicines
Curcuma longa, Licorice, Rosmarinus officinalis, Urtica urens.
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Remedies for
rheumatoid arthritis
Phosphorus contains
remedies
Piper nigricum, Allium cepa, Curcuma
longa, Lycopodium, Phosphoric acid.
Oestrogen related
remedies
Aconitum, Baptisia,
Fenugreek, Thuja.
Silicea contain
remedies
Berberis aquafolium,
Millefolium, Tanacetum vulgare, Taraxacum.
Solanine contains
remedies
Belladonna,
Dulcamara, Solanum lycos, Solanum nigrum,
and Tabacum.
Arsenic contains
remedies
Arsenic album, Arsenic sulphide, Kali
arsenate, and Sinapis alba (It
can correct haemochromatosis. It can promote microcirculation), Taraxacum.
Anti-inflammatory
remedies
Arnica montana, Belladonna, Stramonium, Capsicum, Lobelia, Medicago sativa, Tabacum, Kala gonda.
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Manganese related remedies. Syzygium aromaticum, Cardamon, Alpinia galanga, Zingiber, Calotropis. Remedies-Some
indications
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Oedema, insufficient general
circulation.
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Zingiber.
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Oedema, with urethral
discomfort.
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Eupatorium
purpureum, Uva ursi.
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Gonococal arthritis, Reiter’s
disease.
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Thuja.
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Arthritis with glandular
enlargement.
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Phytolocca.
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Arthritis with constipation.
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Ricinus communis.
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Regional remedies
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Neck -pain and stiffness.
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Cimicifuga.
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Deltoid region- pain and
stiffness.
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Kalmia.
|
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Lower lumbar-pain and sciatica.
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Berberis vulgaris.
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Ankle- rheumatism.
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Ledum pal.
|
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Modalities
|
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Pain worse from exposure to
cold damp weather. | Dulcamara.
|
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Pain worse in rain season
worse and during rest.
|
Rhus tox.
|
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Chest pain worse on motion.
|
Bryonia.
|
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Acute pain and rigidity worse
on motion.
|
Belladonna.
|
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Worse at night.
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Arsenic album.
|
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Pain worse on mental exertion.
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Chamomila.
|
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Peripheral arthritis better by
hard massage.
|
Cinchona.
|
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Pain better by perspiration.
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Apis.
|
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Spine
|
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Degeneration of cartilage.
|
Acid phos, Angustura
vera, Fluoric acid, Nitric acid, and Silicea.
|
|
Degeneration of spine,
vertebra
|
Acid phos, fluoric
acid, and Phosphorus.
|
|
Spinal muscle weakness & pain.
|
Kali phos, Zinc.
|
|
Muscle
|
|
Ligamentaneous and tendon weakness.
|
Rhus tox.
|
|
Muscle weakness.
|
Antimonium tart, Causticum,
Kali carb, Selenium and sulphur.
|
|
Degeneration of muscle (Weakness in climbing).
|
Argentum, Arsenic
alb, Fluoric acid and Nitric acid, Rhus tox, Arsenic sulphide.
|
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Chronic spasm.
|
Aconitum, Angustura vera, Calcium carbonate, Cuprum, Conium, Cicuta,
Cocculus, Hydrocyanic acid, Lachesis, Nux vomica, Physostigma, Phytolacca,
Piper nigrim, Secale cor, Veratrum.
|
|
Lack of synovial fluid,
dryness.
|
Alumina, Causticum,
Guaiacum, Kali bich, Kali carb, Kali iodide, Kali mur.
|
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Bone
|
|
Spur, exotosis
|
Thuja.
|
|
Spur degeneration
|
Silicea.
|
|
Osteoporosis
|
Angostura vera, Manganum nigrim,
|
|
Bone abscess
|
Calcarea- Sulphur-
Silicea (series).
|
|
Nail atrophy
|
Calcium fluoride and Sulphur.
|
|
Nerves
|
|
Dryness
|
Kali phos.
|
|
Blood & Blood vessels
|
|
Loss of fluids- Weakness
|
Cinchona.
|
|
Blood decomposition- Weakness
|
Apis, Baptisia.
|
|
Arteritis
|
Arsenic album,
Lupulus.
|
|
Polyarteritis nodosa
|
Arsenic,
Mercurius, Silicea, Sulphur.
|
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Arthritis with arteritis
|
Absinthium, Equisetum, Lupulus, Silicea,Tritica repens.
|
|
Fatty degeneration, hypercholesterolemia
|
Phosphorous.
|
|
Calcification
Atherosclerosis
|
Plumbum, Calcarea
fluor.
Plumbum, Calcarea fluor, Manganum nigrim.
|
|
Skin
|
|
Warts, Subcutaneous nodules
|
Thuja.
|
|
Psoriasis
|
Cinchona.
|
|
Arthritis with
photosensitivity
|
Cinchona.
|
|
Arthritis from Mercuric
toxicity | Asafoetida. It acts better after Bryonia.
|
|
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|
|
|
|
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Other remedies
Allium
sativa, Aluminum, Cinnamon, Clematis, Phosphorus (Phosphoric acid,
Lycopodium, Curcuma, Sanguinaria, Chelidonium, Berberis, and Allium
cepa), Radium, and Strontium.
Antidote therapy
(Chelation)
Manganese < Ferrum.
Ferrum compounds. < Lead (Podophyllum).
Lead (Podophyllum). < Alumina.
Alumina. < Arsenic (Sinapis).
Arsenic (Sinapis). < Copper
(Nux vomica).
Copper (Nux vomica). < Mercury (Podophyllum).
Mercury. < Sulphur (Arnica, Asafoetida, Viscum
album).
Sulphur < Phosphorus (Allium sativa,
Lycopodium).
Phosphorus. < Aurum (Alfalfa), Magnesium, Calcium.
Acute arthritis
Prefer herbs those have taste of sweet, salt, and sour.
Chronic arthritis
Prefer herbs those have taste of pungent, bitter, and astringent.
Systemic lupus erythematosis (medicine)
Cinchona officinalis.
Specific remedies
Syzygium aromaticum, Agaricus, Arnica, Lycopodium, Secale cor, Thea, and Viscum Album.
Pearls.
Guggul, Pura (M).
Mirrh (H).
Alfalfa (A & A).
Which is the Khidr medicine, Khidr remedy and khidr magic for auto immune disorder? Fate and destiny for cure and healing? Yes.
Other measures
Promote perspiration locally by hot application.
Apply medicated alcoholic lotion (Gaultheria) in upper part of spine and early stage.
Apply cool ammonium chloride lotion in on warm joints.
Prefer camphorated oil in cool joints.
Prefer oil to lower region.
Avoid bitter, pungent and astringent items for lower joints (except gout).
List of external
agents
|
Arnica montana ext.
|
Magnesium sulphate bath.
|
|
Azadirachta indica ext.
|
Mustard seed plaster.
|
|
Belladonna ext.
|
Peppermint ext.
|
|
Camphor ext.
|
Rhus tox ext.
|
|
Cantharis ext.
|
Rosemarinus officinalis.
|
|
Capsicum ext.
|
Stramonium ext.
|
|
Curcuma longa in hot oil.
|
Terebinthinae oil ext.
|
|
Dillweed in Ricinus communis oil. Wintergreen oil.
|
Viburnum opulus ext.
|
|
Fenugreek in hot oil. | Withania somnifera ext.
|
|
Zingiber ext compress.
|
Warm sesame oil ext.
|
|
Hypericum
perforatum ext.
|
Warm mineral oil.
|
|
Lobelia inflata ext.
|
Warm mustard oil.
|
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