Inflammatory Bowel Disease

Infammatory bowel disease (IBD) and Homoeopathy

Dr. Rajneesh Kumar Sharma MD (Homo Dr. Dr. Swati Sw ati Vishn Vis hn Dr. Preetika Lakhe Dr. Mohammad ayya! Da Dr. Mohammad ayya! "m

Infammatory bowel disease (IBD) and Homoeopathy Homoeopathy

Infammatory bowel disease (IBD) and Homoeopathy #

Dr. Dr. Rajneesh Kumar Sharma MD (Homoeopathy) Dr. Swati Vishnoi BHMS Dr. Preetika Lakhera BHMS Lakhera  BHMS Dr. Dr. Mohammad Mo hammad ayya! Daud Da ud BHMS Dr. Dr. Mohammad Mo hammad ayya! "mi r BHMS Homoeo Cure Research Institute H !"# Moradabad Road $ashipur (%&&'R'CH') # IDI' h# *+,+!-1,.+" /0 mail# drraneeshhom2hotmail0com www0 treatmenthomeopathy0com3  treatmenthomeopathy0com3 www0homeopathyworldcommunity0com

Contents De4nition0000000000000000000 De4nition000000000000000000000000000000 000000000000000000000 000000000000000000000 0000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000000000000000000000 0000000000000000000000000000 5 athophysiolo6y0000000000 athophysiolo6y000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 00000000000000000 0000000 5 /tiolo6y0000000000000000000 /tiolo6y00000000000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 0000000000000000000000 00000000000 7  &ypes0000000  &ypes000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 00000000000000000000000000000000000000000000000 000000000000000000000000000000000000 7 %nclassi4ed00000000000000000 %nclassi4ed0000000000000000000000000000 0000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 00000000000000000000000000000000000000000000 0000000000000000000000000000000000 7 Classi4ed000000000000000000 Classi4ed00000000000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 0000000000000000000000000000000000000 000000000000000000000000000 7 Crohn Disease0000000000000000000 Disease00000000000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 00000000000000000000000000000000000000000000000 000000000000000000000000000000000000 7 Colitis00000000000000000000 Colitis000000000000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000000000000000000000000000000 00000000000000000000000000000000000000 7 %lcerati8e colitis00000000000000000000 colitis0000000000000000000000000000000 000000000000000000000 000000000000000000000 0000000000000000000000 000000000000000000000 0000000000000000000000000000000 000000000000000000000 " Si6ns and symptoms00000000000000000 symptoms0000000000000000000000000000 0000000000000000000000 000000000000000000000 000000000000000000000000000000000000000000000000000000 00000000000000000000000000000000000000000000 " 9astrointestinal Symptoms0000000000000000000 Symptoms000000000000000000000000000000 000000000000000000000 00000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000 " /:tra#intestinal Mani;estations00000000000 Mani;estations000000000000000000000 000000000000000000000 000000000000000000000 0000000000000000000000000000000000000000000 000000000000000000000000000000000 . arallel disorders000000000000000000 disorders0000000000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000000000000000 00000000000000000000000 . Concomitant disorders000000000000000000 disorders0000000000000000000000000000 000000000000000000000 000000000000000000000 000000000000000000000000000000000000000000000 00000000000000000000000000000000000 . Subse
= Dr0 Raneesh $umar Sharma MD (Homoeopathy) 1

Infammatory bowel disease (IBD) and Homoeopathy Homoeopathy

De4nition  &he relapsin6 and remittin6 (sora) infammatory conditions o; the 9I tract3 includ includin6 in6 Crohn Crohn dis diseas ease e and ulcerat ulcerati8e i8e coliti colitis s (%C)3 (%C)3 are are collec collecti8 ti8ely ely called called as Infammatory bowel disease (IBD)3 characteri>ed by chronic infammation (sora? Sycosis? Syphilis) at 8arious sites in the colon and small intestine3 resultin6 in diarrhea and abdominal pain0

athophysiolo6y  &he e:act etiolo6y is un;amiliar0 un;amiliar0 But it is seen that a cell#mediated immune response in the 9I mucosa leads to infammation by release o; infammatory mediato mediators3 rs3 includ includin6 in6 cyto@i cyto@ines nes33 interle interleu@i u@ins3 ns3 and tissue tissue necro necrotic tic ;actor ;actor (&A) (&A) (sor (sora)0 a)0 &he normal normal intest intestinal inal fora fora tri66e tri66ers rs an abnorm abnormal al immune immune reacti reaction on in indi8i indi8idua duals ls with with a multi;a multi;acto ctoria riall 6eneti 6enetic c tendenc tendency y (Syphi (Syphilis lis)0 )0 &hese &hese ;actors ;actors possib possibly ly in8ol8 in8ol8e e abnorm abnormal al epithel epithelial ial barrier barriers s and mucosa mucosall immune immune de;ens de;ense e mechanisms (sora)0 Crohn disease and ulcerati8e colitis3 are both caused by a wea@enin6 in 6ut barrier (sora? Syphilis) and only dier in that %C is mainly due to incr increas eased ed in4l in4ltr trat atio ion n o; 6ut 6ut bact bacteri eria a and and the the resu result ltan antt recr recrui uitm tmen entt o;  neutrophils and ;ormation o; crypt abscess (sora? Syphilis)3 while CD is mainly due to increased in4ltration o; anti6ens and particles ;rom 6ut lumen and the result resultant ant recrui recruitme tment nt o; macro macropha pha6es 6es and ;ormat ;ormation ion o; 6ranul 6ranulomas omas (sor (sora? a? Sycosis)0

o speci4c en8ironmental3 dietary3 or in;ectious causes are still @nown which tri66er this reaction0 Howe8er3 the ;ollowin6 ;actors ; actors modi;y IBD# • •

•

• • •

'ppendectomy appears to lower the ris@ o; ulcerati8e colitis Ci6arette smo@in6 helps in de8elopment or e:acerbation o; Crohn disease but decreases ris@ o; ulcerati8e colitis It is seen that people with hi6her socioeconomic status are li@ely to ha8e Crohn disease S'IDs may e:acerbate IBD ral contracepti8es may increase the ris@ o; Crohn disease erina erinata tall illn illnes ess s and and the the us use e o; anti antibi biot otic ics s in child childho hood od may may caus cause e increased ris@ o; IBD = Dr0 Raneesh $umar Sharma MD (Homoeopathy) 5

Infammatory bowel disease (IBD) and Homoeopathy Homoeopathy

/tiolo6y Cause o; IBD is still un@nown0 Saccharin may be a @ey causati8e ;actor ;or IBD3 throu6h its inhibition on 6ut bacteria and the resultant impaired inacti8ation o;  di6est di6esti8e i8e prote protease ases s and o8er o8er di6est di6estion ion o; the mucus mucus layer layer and 6ut barrier barrier00 (Causa occasionalis)

 &ypes  & ypes %nclassi4ed Some cases are not primarily distinct and are termed unclassi4ed0 I; a sur6ical patholo6ic specimen cannot be classi4ed3 it is called indeterminate colitis0

Classi4ed Crohn Disease • • • •

• • •

•

•

•

Small bowel in8ol8ement in most o; cases Recto#si6moid o;ten spared Colonic in8ol8ement usually ri6ht#sided 9ross rectal bleedin6 rare3 but o;ten seen in Crohn colitis (sora? Sycosis? Syphilis) Aistula3 mass3 and abscess de8elopment common erianal lesions si6ni4cant in some o; cases (sora? Syphilis) n :#ray3 bowel wall aected asymmetrically and se6mentally3 with s@ip areas between diseased se6ments /ndoscopic /ndoscopic appearance patchy3 with discrete discrete ulcerations ulcerations separated by se6ments o; normal#appearin6 mucosa (Syphilis) Microscopic infammation and 4ssurin6 e:tend transmurally and lesions o;ten hi6hly ;ocal in distribution (sora? Syphilis) /pithelioid3 sarcoid#li@e 6ranulomas detected in bowel wall or lymph nodes in most o; cases (sora? Sycosis)

Colitis  &he infammatory diseases o; the colon are called colitis0 Colitis may be o;  ;ollowin6 types# •

•

•

•

•

9ranulomatous colitis 'lso 'ls o called called Crohn Crohns s coliti colitis3 s3 occurs occurs only in the colon with a typica typicall o histolo6ical pattern o; 6ranulomatous infammation (sora? Sycosis) In;ectious colitis Aood poisonin6 ;rom /0 coli3 Salmonella (sora? Syphilis) o Ischemic colitis %sually due to narrowed or bloc@ed blood 8essels (sora? Sycosis) o Radiation#induced colitis o %sually a;ter e:posure to radiation radiation therapy  therapy (Causa occasionalis) %lcerati8e colitis (sora? Syphilis)

Spastic or mucous colitis is a misnomer and applied to irritable bowel syndrome3 a ;uncti ;unctiona onall dis disor order der (sor (sora)0 a)0 %lcerat %lcerati8e i8e coliti colitis s is the most most common common ha>ar ha>ard d amon6 these all and must be studied separately0 separately0

%lcerati8e colitis •

Con4ned to the colon = Dr0 Raneesh $umar Sharma MD (Homoeopathy) 7

Infammatory bowel disease (IBD) and Homoeopathy Homoeopathy

• • • • • •

• • •

Recto#si6moid in8ariably in8ol8ed Colonic in8ol8ement usually le;t#sided 9ross rectal bleedin6 always present (sora? Syphilis) o 4stulas o si6ni4cant perianal lesions Bowe Bowell wall wall aec aecte ted d symm symmet etric rical ally ly and and unin uninte terr rrup upte tedl dly y ;rom ;rom rect rectum um pro:imally pro:imally (sora) Infammation uni;orm and diuse (sora) Infammation con4ned to mucosa e:cept in se8ere cases (sora) o typical epithelioid 6ranulomas

Si6ns and symptoms Infammatory bowel disease has ;ollowin6 si6ns and symptoms in 6eneral#

9astrointestinal Symptoms Chronic abdominal pain with or without chronic bloody or non#bloody diarrhea ;or more than ;our wee@s associated with# • •

• • • •

'nemia (sora) /8ide /8idenc nce e o; infa infamm mmat atio ion n E ele8a ele8ate ted d CR3 CR3 ele8 ele8at ated ed plat platele elets ts (so (sora ra?? Sycosis) Aamily history o; IBD octurnal diarrhea (Syphilis) utritional de4ciencies E iron3 B153 ;olate3 low albumin (sora) Fei6ht loss (sora? Syphilis)

= Dr0 Raneesh $umar Sharma MD (Homoeopathy) "

Infammatory bowel disease (IBD) and Homoeopathy Homoeopathy

/:tra#intestinal Mani;estations Crohn disease and ulcerati8e colitis both aect the person as a whole0 Most e:tra#intes e:tra#intestinal tinal mani;estations mani;estations are more common in ulcerati8e ulcerati8e colitis than in Crohn disease3 as it is limited to the small bowel0 /:tra#intestinal mani;estations o; infammatory bowel disease may be 6rouped into three#

arallel disorders  &hese include# • • • •

•

'phthous stomatitis (sora? Syphilis) /piscleritis (sora? Sycosis) /rythema nodosum (sora? Sycosis) eriph eriphera erall arth arthrit ritis is## lar6e lar6e oin oints ts and and mi6r mi6rat ator ory y and and tran transi sien entt (so (sora ra?? Sycosis) yoderma 6an6renosum (sora? Sycosis? Syphilis)

Concomitant disorders  &hese include# •

•

• • •

'n@ylo 'n@ylosin sin6 6 spondy spondylit litis# is# in associa associatio tion n with with H'#B H'#B5! 5! (sor (sora? a? Sycosi Sycosis? s? Syphilis) rimary rimary sclero sclerosin sin6 6 cholan6 cholan6iti itis# s# be;or be;ore e IBD or paralle parallell (sor (sora? a? Sycosi Sycosis? s? Syphilis) Sacroiliitis (sora? Syphilis) %8eitis (sora? Syphilis) i8er disease# ;atty li8er3 autoimmune hepatitis3 pericholan6itis3 cirrhosis (sora? Sycosis? Syphilis)

Subse
• •

Malabsorption# may result ;rom e:tensi8e ileal resection (sora? Syphilis) $idney stones# ;rom e:cessi8e dietary o:alate absorption (sora) Hydro Hydrour ureter eter and hydron hydroneph ephro rosis sis## due to urete ureteral ral compr compress ession ion by the intestinal infammatory process (sora? Sycosis) 9allstones# ;rom impaired ileal reabsorption o; bile salts (sora) 'myloidosis 'myloidosis## secondary secondary to lon6#standin lon6#standin6 6 infammatory infammatory and suppurati8 suppurati8e e disease (sora? Sycosis? Syphilis)

 &hromboembolic disease can arise due to 8arious ;actors in all the abo8e 6roups0

Crohn disease  &here are ;our maor mani;estations o; Crohn Crohn disease# Infammation • • • •

'bdominal pain locali>ed o8er infamed i nfamed areas (sora) Diarrhea3 occasional ;e8er3 wei6ht loss (sora? Syphilis) bstructi8e symptoms secondary to infammation (sora? Sycosis)  &o:ic  &o:ic me6acolon (sora? (sora? Sycosis? Syphilis)

= Dr0 Raneesh $umar Sharma MD (Homoeopathy) .

Infammatory bowel disease (IBD) and Homoeopathy Homoeopathy

Obstruction •

• •

'bdominal 'bdominal cramps3 cramps3 bloatin63 bloatin63 distension distension33 nausea3 nausea3 8omitin63 8omitin63 borbory6my borbory6my (sora) uminal narrowin6 secondary to infammation# re8ersible (sora) uminal narrowin6 secondary to 4brosis ? scarrin6 E irre8ersible (sora? Sycosis)

Fistulization • •

•

• •

/ntero#enteric 4stula# asymptomatic (sora? Syphilis) /nte /ntero ro#8 #8es esic ical al 4s 4stu tula la## ;re< ;re
Peroration •

Resemblin6 appendicitis3 di8erticulitis (sora? Sycosis? Syphilis)

%lcerati8e colitis  &here are three three common mani;estations o; ulcerati8e colitis# • • •

'bdominal cramps (sora) Diarrhea with ;resh bri6ht red bleedin6 (sora? Syphilis) %r6ency and tenesmus (sora)

Some associated symptoms are mild ;e8er3 tachycardia3 dehydration3 abdominal tenderness and blood on rectal e:amination0 (sora? Syphilis)

= Dr0 Raneesh $umar Sharma MD (Homoeopathy) -

Infammatory bowel disease (IBD) and Homoeopathy Homoeopathy

Dia6nosis 'lon6 with complete case history3 laboratory in8esti6ations are also needed to con4rm the dia6nosis and pro6nosis o; the case0 &reatment will depend on both o; these0

Routine aboratory &ests • • • • •

• • • • • • • •

CR C#reacti8e protein# non#speci4c infammation /SR /rythrocyte Sedimentation Rate# non#speci4c infammation CBC Complete Blood Count# 'nemia3 in;ection3 infammation /lectrolytes Sodium3 otassium3 Chloride3 C5# Dehydration i8er i8er Aunctio unction n &est# est# i8er i8er /n>yme /n>ymes s and medicat medication ion sid side e eects eects33 SC (primary sclerosin6 cholan6itis) Gitamin B15# 'nemia3 nutritional status Gitamin D# Bone mineral status Calprotectin Stool protein# 'cti8e intestinal infammation acto;errin Stool protein# 'cti8e intestinal infammation p'C' perinuclear anti#neutrophil antibody# Distin6uishes %C ;rom CD 'SC' anti#Saccharomyces cer8isiae antibody# Distin6uishes CD ;rom %C CBir1 anti#fa6ellin antibody# Indicati8e o; Crohns disease mpC anti#mpC antibody# Indicati8e o; Crohns C rohns disease

 &ests  & ests ;or suspected IBD location or complication •

• • • •

•

Ileocolonic disease# Colonoscopy3 SBA&?enteroclysis3 SBA&?enteroclysis3 C&/3 MR/3 capsule endoscopy (C/) %pper tract Crohns disease# /9D#%pper 9I Series (%9IS) erianal Crohns disease# MRI#/%S SC (primary sclerosin6 cholan6itis)# /RC ancreatic ancreatic and bile ducts# MRC er;orations3 er;orations3 bloc@a6es3 abscesses# lain #ray and C& scan

 &reatme  & reatment nt Arom o8erall study o; IBD3 it becomes clear that it is not simply a disorder o; local ;actors3 but whole 6enetics and constitutional disharmony is there0 &he person as a whole is aected by the ;actors causin6 IBSJ and later on3 by the eects o;  established disease in that indi8idual3 physically as well as mentally0 &hus3 whole person needs treatment rather than a local 6astrointestinal system0 Fell ell sele select cted ed cons consti titu tuti tion onal al remed emedy y almo almost st alwa always ys cur cures permanently i; applied as per laws o; similia0

the the

cond condit itio ion n

Common Homoeopathic remedies ;or IBD abrom#a0 'bro 'brot0 t0 'cal0 'cet#ac0 achy achy#a0 #a0 'con#c0 'C0 'ct# 'ct#sp0 sp0 adre adren0 n0 aesc0 'eth0 aethi#a0 aethi# a0 a6ar a6ar#ph0 #ph0 '9'R0 '6n0 a6ra0 ail0 alet0 al;0 'll#c0 all#s0 allo:0 aln0 '/ alst0 alum#p00 alum#s alum#p alum#sil0 il0 '%M0 'lumn0 'm#c0 'M#M0 am#p0 'mbr0 ammc0 anac#oc0 anac#oc0 'nac0 ana60 anan0 andro6#p0 an60 'n6o0 anh0 'nis0 '&#C0 'nt#t0 anth0 aphis 'IS 'poc# a0 'C0 aral0 'ran0 arb0 ar6#cy0 'R9#M/&0 'r6#n0 'r6#o0 ar6e0 arist#cl0 'R0 'rs#i0 ars#s#;0 ars#s#r0 'RS0 arthr#u0 'rum#t0 arund0 'S'A0 'sar0 asc#c0 asc#t0 asim0 astac0 aster00 atis0 atro0 aur#ar0 aster aur#ar0 aur aur#;u0 #;u0 aur aur#i0 #i0 'ur#m#n0 aur#m0 aur#s0 '%R0 bac0 B'&0 B'R# C0 bar bar#i0 #i0 Bar Bar#m0 #m0 bar bar#s0 #s0 baros0 bell#p0 B/0 B/K#' B/K#'C0 C0 ber berb#a b#a00 Be Berb rb00 bi bism sm00 Bol#la0 bold0 BR0 BG0 Brom0 BRL0 bu;o but#ac0 cact0 cadm#met0 cadm#s0 cain0 ca0 cal#

= Dr0 Raneesh $umar Sharma MD (Homoeopathy) !

Infammatory bowel disease (IBD) and Homoeopathy Homoeopathy

ren0 Calad0 calc#act0 calc#ar0 calc#chln0 Calc#;0 Calc#hp0 calc#i0 C'C#0 calc#s0 calc# sil0 C'C0 Ca Camp mph0 h0 ca cann nn#i0 #i0 cann#s cann#s00 Ca Cann nn#: #:y> y>00 Ca Cant nth0 h0 C'S0 Carb#a Carb#ac0 c0 Carb#a Carb#an0 n0 C'RB#G0 carbn#do:0 carbn#o0 C'RB#S0 carc carc00 card# card#b0 b0 Card Card#m0 #m0 Carl0 Casc0 cassia#s0 castm00 casto castm castorr#e<0 catar catar00 Ca Caul ul00 C'% C'%S& S&00 ce cean an00 Cedr Cedr00 cen cench0 ch0 cere#b0 cere#b0 CH CH'M 'M00 chap0 CH/0 che hen# n#8 80 Chin#b0 CH CHI I00 CH CHI II I#' #'R R0 Ch Chin inin in#s #s00 chion0 Chl;0 chlol0 chlor chlor00 Chlora Chl oram0 m0 chol0 Cic0 cimic0 Cim:0 cina cinch0 cinnb0 cist0 Cit# Cit#8 80 Clem0 cob#n0 Cob0 coc#c0 coc #c0 Co Coca ca C CCC0 CC0 Co Coch ch00 Co Co0 0 CCH CCH00 C0 CC0 CC0 colo colocin cin00 com com00 Co Con0 n0 con80 con8o#s con 8o#s00 Cop Cop00 Cor Cor#r #r00 Cor Corn0 n0 cor cortis tiso0 o0 cot0 co co:s0 :s0 croc0 croc0 Cr Crot#c ot#c00 Cr Crot# ot#h0 h0 CR&# CR&#& &0 cub0 Cupr#act0 Cupr#ar0 C%R0 Cycl0 cyn#d0 cyt#l0 daph0 der0 Di60 DIS0 Diosm0 dirc0 dol0 Dros0 D%C0 eberth0 /chi0 echit0 elaps /'&0 epi60 epil0 e0 hir0 hist0 hoit0 hom#:y>0 hura HLDR HL DR00 hyd hydran ran60 60 hydrc0 hydrc0 Hyd Hydrin rin#m0 #m0 HL HLS S00 Hy Hyper per00 Ich Ichth0 th0 I9 900 ind0 Iod od00 io iodo do;;0 I I00 ipom#p0 IRIS Iris#t0 Iris#t0 ab0  ab0 ac#c0 al0 ac#c0  al0 '  '&R#C0 &R#C0 u6#c0  u6#c0 u6#r  u6#r00 $'I#'R0 $'I#BI0 $ali#br0 $ali# c0 $' $'I# I#CH CH00 $a $ali#i li#i00 $a $ali#m li#m00 $a $ali# li#n0 n0 @a @ali li#p0 #p0 $a $ali#p li#pic0 ic0 $' $'I I#S0 #S0 @al @ali#s i#sil0 il0 $' 'M0 M0 $reos0 @urch0 ac#ac0 ac#c0 ac#d0 lacer0 'CH0 lact0 lappa lat#m0 '%R0 ec0 ed0 ept0 liat0 lil#t0 im0 lipp0 I&H#C0 lob0 lu;#op0 LC0 lycps#80 lyss0 m#ambo0 M#arct0 m#aust0 Ma6# Ma 6#c c0 M' M'9# 9#M0 M0 M' M'9# 9# 0 Ma Ma6# 6#s0 s0 Manc0 Manc0 ma mand nd00 man man6# 6#ac act0 t0 ma man6 n6#s #s00 Man Man60 60 Med Med00 ment me ntho ho00 Me Meny ny0 meph0 M/ M/R RC# C#C0 C0 Mer Merc#c c#cy y0 Mer Merc#d c#d00 merc# merc#i#; i#;00 merc merc#i#r #i#r00 merc# merc#sul0 sul0 M/RC0 merl0 Me>0 micr0 mill0 mim#p0 morph0 Mosch0 M%R#'C0 mur:0 myric0 nabal0 naa na a nar narc#ps c#ps00 at#a at#arr0 nat#b nat#brr0 ' '& &#C0 nat#; nat#;00 nat#hc nat#hchls0 hls0 ' '& &#M0 nat nat#n0 #n0 at at#p0 #p0 '&#S0 nat#sal0 nicc0 I&#'C0 nit#m#ac0 nit#s#d0 uph0 %#M0 %#G0 oci#sa0 oci0 ol#an0 ol#0 D0  D0 oni onis0 s0 onos0  00 opun#s0 oreo0 osm0 o:#ac0 o:yd0 o:y60 o:yt0 o:yte#chl0 p# ben><0 paeon0 pall0 ar0 para;0 'R/IR0 penic0 etr0 H#'C0 phel0 phlor0 HS0 hyt0 pic#ac0 pin#s0 pipe0 lan0 lat0 lb#act0 plb#chr plb#chr00 plb#:y>0 B0 D0 poly6#h0 pot#e0 run0 psil0 SR0 tel0 %S0 LR90 00 sec0 Sel :y> Sel00 Semp0 Semp0 sen senec0 ec0 Sen Sene60 e60 S/0 S/0 S/0 SI0 sin#n0 sol#ni0 sol#t#ae0 solid0 sph phin in60 60 SI90 spira ra00 S90 S< Sinc#;cy0 >inc#p0 Kinc#s0 >inc#8al0 Kinc0 KI90

Short repertory o; IBD 'BDM/ # DIS&/SI E pain;ul 'C0 'eth0 alum0 ant#t0 ar6#met0 'RS0 Bar#c0 bell0 Bry0 calad0 canth0 C'%S&0 cham0 chin0 cic0 croc0 /uph0 hedeo0 hell0 Hyos0 i6n0 ip0 @ali#bi0 @ali#c0 @ali#i0 @ali#p0 'CH0 ma6#p0 merc#c0 M/RC0 me>0 nat#c0 nat#m0 nit# ac0 nu:#80 nu:#80 petr petr00 raph0 rhod0 RH%S#&0 sabin0 sep0 sphin60 spi60 stann0 stram0 stront# c0 sulph0 8aler0 8erat0 'BDM/ 'BDM/ # A'&&L D/9//R' D/9//R'&I o; li8er aur0 calc#;0 chel0 @ali#bi0 @ali#s0 lac#d0 yc0 lyss0 man6#act0 man60 Merc0 phlor0 hos0 pic#ac0 8anad0 'BDM/ 'BDM/ E 9'S&/ 9'S&/S S 'RS0 aur0 bapt0 bell0 berb0 bold0 Bry0 calc#;0 calc0 card# m0 Cham0 chel0 chin0 chion0 chl; chl;00 chol0 coloc0 cupr cupr00 di60 dios0 eberth0 euon#a0 euon0

= Dr0 Raneesh $umar Sharma MD (Homoeopathy) ,

Infammatory bowel disease (IBD) and Homoeopathy Homoeopathy

euonin0 ;ab0 ;el ;err#s0 ;uma#ac0 6els0 6uat0 hed0 Hydr0 Hydr0 u6#c0  u6#c0 lach0 ept0 lith#c0 lob0 lyc0 ma6#p0 ma6#s0 mand0 man60 merc#d0 me rc#d0 M/RC0 myric0 nat#s0 nat#sal0 nit#s#d0 nu:# 80 hos0 podo0 ptel0 san60 sulph0 tara:0 thlas0 8erat0 8ichy#60 'BDM/ # IA'MM'&I E Cecum acon0 'IS arn0 'rs0 bapt0 B/0 BRL0 Calad0 cant ca nth0 h0 Car Card#m0 d#m0 Chin0 Chin0 Col Colch0 ch0 co coll ll00 Colo Coloc0 c0 Cro Crot#h t#h00 Dio Dios0 s0 /ch /chi0 i0 ;err#p0 6amb0 6ast0 6ins0 hep0 iris#t0 @ali#m0 'CH0 yc0 Merc#c0 M/RC0 at#s0 u:#80 0 hos0 plb#:y>0 lb0 pyr pyro60 o60 rh rham# am#cal0 cal0 rha rham#c m#cath ath00 RH%S# RH%S#& &0 Sa Samb mb00 Se Sep0 p0 Si Sil0 l0 St Stra ram0 m0 su sulp lph0 h0  &H%0 8erat0 'BDM/ # IA'MM'&I IA'MM'&I # Colon # accompanied by E fatulence ar6#n0 'BDM/ # IA'MM'&I # Colon # accompanied by E hemorrha6e aran0 cyn#d0 ham0 merc#c0 merc0 streptoc0 'BDM/ # IA'MM'&I # Colon # accompanied by # se:ual desireJ increased 6amb0 9rat0 lyc0 nabal0 'BDM/ # IA'MM'&I IA'MM'&I # Colon # accompanied by E wea@ness cadm#s0 'BDM/ # IA'MM'&I # Colon E acute achy#a0 podo0 'BDM/ # IA'MM'&I # Colon E amoebic ars0 atis0 @ali#bi0 @ali#c0 @urc @urch0 h0 lach0 merc#c0 merc0 nat#s0 nu:#80 sulph0 thu0 'BDM/ # IA'MM'&I # Colon E cancerous ma6#c0 ma6#m0 ma6#s0 phos0 'BDM/ # IA'MM'&I IA'MM'&I # Colon # chillinessJ with cadm#s0 'BDM/ # IA'MM'&I # Colon E chronic 6aert0 lyc0 o:yte#chl0 podo0 sulph0 'BDM/ # IA'MM'&I IA'MM'&I # Colon # diarrhea # amel0 lach0 'BDM/ # IA'MM'&I IA'MM'&I # Colon # foraJ with patholo6ical intestinal all#s0 'BDM/ # IA'MM'&I # Colon # 6rie;J a;ter I6n0 ma6#c0 ma6#m0 ma6#s0 nat# m0 nat#s0 Staph0 'BDM/ # IA'MM'&I # Colon E membranous me mbranous colch0 'BDM/ 'BDM/ # IA'MM' IA'MM'&I &I # Colon E mucous aethi#a0 asar0 aur#m#n0 cop0 co:s0 6raph0 hell0 hydr0 merc#c0 merc0 pot#e0 :#ray 'BDM/ # IA'MM'&I # Colon E pain;ul coloc0 merc#c0 merc0 rhus#t0 'BDM/ # IA'MM'&I IA'MM'&I # Colon # radiotherapyJ a;ter podo0 'BDM/ # IA'MM'&I IA'MM'&I # Colon # summer a660 ip0 @ali#bi0 puls0 'BDM/ # IA'MM'&I # Colon E ulcerati8e Chloram0 coloc0 Hell0 lil#t0 Ma6#s0 merc0 at#s0 nit#ac0 nu:#80 podo0 Streptoc0 sulph0 ter0 >inc0 'BDM/ 'BDM/  # IA'MM IA'MM' '&I &I E Colon Colon all#s0 ar6#n0 ars0 asa;0 asar0 bism0 cadm#s0 calc#ar0 canth0 caps0 carc0 cench0 chin0 colch0 cop0 crot#t0 Aer Aerrr#i0 9amb0 6uat0 hell0 hoit0 @ali#bi0 @ali#n0 @ali#p0 lach0 lil#t0 lyc0 ma6#c0 M/RC#C0 merc0 nat#c0 nat#m0 nat#s0 nit#ac0 nu:#80 olnd0 petr0 ph#ac0 phos0 podo0 ptel0 raph0 rhus#t0 sulph0 syph0 ter0 tub0 8erat0 >inc#8al0 >inc0

= Dr0 Raneesh $umar Sharma MD (Homoeopathy) +

Infammatory bowel disease (IBD) and Homoeopathy Homoeopathy

'BDM/ 'BDM/ # IA'MM' IA'MM'&I &I # i8er E chronic chronic 'r 'rn0 n0 aur aur00 bell0 carc0 Card#m0 Corn0 crot# cr ot#h0 h0 a ach ch00 la lact ct00 LC0 ma6 ma6#m0 #m0 nat#c0 nat#c0 a at# t#m0 m0 ' '& &#S0 it#a it#ac0 c0 u:#80 u:#80 hos0 phyt0 podo0 sor0 ptel0 ran#s0 sel0 sil0 Sulph0 'BDM/ # IA'MM'&I E i8er 'C0 act#sp0 aloe alum0 am#c0 ambr0 anan0 andro6#p0 ant#c0 apis ar6#n0 'rn0 ars#i0 'RS0 astac0 aur#m0 'ur0 bapt0 B/0 Brom0 Bry0 calc#;0 Calc0 Camph0 cann#:y>0 canth0 Caps0 carc0 Card#m0 Cham0 CH/0 Chin0 cic00 cocc0 cic cocc0 Co Corn rn00 crot crot#h0 #h0 cupr0 cupr0 di60 Dio Diosm0 sm0 dol0 eup#per0 eup#per0 for for#p0 #p0 6raph0 6uat0 Hep0 Hippo>0 i6n0 iod0 @ali#ar0 @ali#bi0 $ali#c0 @ali#chl0 @ali#i0 @ali#n0 @ali#p0 ach0 aur0 LC0 ma6#c0 Ma6#m0 mand0 man6#s0 man60 merc#d0 merc#d0 Merc0 nat#ar0 nat#c0 at#m0 '&#S0 it#ac0 nit#m#ac0 nu:#m0 %#G0 p#ben><0 petr0 ph#ac0 hos0 phyt0 odo0 sor0 tel0 puls0 ran#b0 ran#s0 ran#s0 san60 scroph#:y>0 scroph#:y>0 sec0 sel0 sep0 Si Sil0 l0 stann0 staph0 stel0 sul;a0 Sulph0 tab0 'BDM/ E IA'MM'&I 'cet#ac0 'C0 aloe alumn0 ant#c0 '&#&0 'IS ar6#n0 'rn0 ars#i0 'RS0 asc#c0 atro0 Bapt0 B/0 brom0 BRL0 bu;o Cact0 calc#sil0 Calc0 Canth0 Carb#8 Carb# 80 car card#m d#m00 Ch Cham am00 chi chin0 n0 cic0 cocc0 co0 co0 C CCH0 CH0 Coloc0 Crot#c0 Crot#c0 Crot#h0 Crot#h0 cupr0 /chi0 euph0 ;err#ar0 ;err#p0 Aerr0 6amb0 9els0 6raph0 6ua0 HLS0 iod0 Ip0 @ali#ar0 @ali# bi0 $ali#c0 $ali#chl0 @ali#i0 $ali#n0 @ali#p0 'CH0 '%R0 LC0 med0 Merc#c0 Merc0 Me>0 u:#80 p0 :#ac0 HS0 plb0 podo0 uls0 LR90 RH%S#&0 sabin0 Sec Sec00 Sil Sil00 spon60 s0 micr meny micr00 Morph Morph00 Mosc Mosch0 h0 Mur Mur#ac0 #ac0 naa at#ar at#ar00 at#c0 nat#;0 at#m0 nat#p0 at#s0 nicc0 it#ac0 u:#m0 %#G0 oci#sa0 ol#0 olnd0 onis0 onos0 0 oreo0 o:#ac0 paeon0 pall0 ar0 para;0 etr0 H#'C0 phel0 phos0 hyt0 ic#ac0 plan0 lat0 lb#act lb#act00 plb#c plb#chr hr00 B B00 D D00 poly6 poly6#h0 #h0 prun0 psor psor00 ptel0 % %S0 S0 pyro60 rad#br0 Ran#b0 ran#s0 Raph0 rat0 rauw0 Rheum rhod0 Rhus#t0 rhus#80 rob0 Rum:0 ruta sabad0 sabin0 samb0 san60 saroth0 sars0 Sec0 senec0 sene60 S/0 Sep0 SI0 Sin#n0 Spi60 spira0 spi ra0 S S9 900 sinc#;cy0 >inc#p0 Kinc0 KI90 'BDM/ # 'I # diarrhea E durin6 'eth 'eth00 '6ar '6ar00 alo aloe e alu alum0 m0 am#c0 am#m0 'nac0 an600 ant an6 ant#t0 #t0 apoc0 aran0 'r 'r6#n0 6#n0 arn arn00 ars ars#i0 #i0 'rs0 asa; asa;00 asar asar00 bapt0 bar#c0 bar#c0 Bel Bell0 l0 bism0 bor:0 bor :0 bo80 bo80 Bry Bry00 cact0 calad0 calc#p0 calc0 canth0 caps0 carb#an0 carb#80 carbn#s0

= Dr0 Raneesh $umar Sharma MD (Homoeopathy) 1*

Infammatory bowel disease (IBD) and Homoeopathy Homoeopathy

caust0 cench0 CH'M0 Chin0 chinin#ar chinin#ar00 cimic0 cob#n0 cob0 Cocc0 Colch0 CC0 com0 con0 Cop0 croc0 Crot#t0 cupr#ar0 cupr0 cycl0 di60 DIS0 dros0 dulc0 euph0 ;err ;err#p0 #p0 f#ac0 for#p0 ;uch0 9'MB0 6els0 9ran0 6raph0 ham0 hell0 hep0 hura i6n0 iod0 Ip0 iris u6#r u6#r00 @ali#ar0 @ali#bi0 $ali#c0 @ali#i0 @ali#m0 @ali#n0 @ali#p0 @ali#s0 lach0 laur0 yc0 lycps#80 m# arct0 ar ct0 m#aust0 m#aust0 Ma Ma6# 6#c0 c0 ma ma6#m 6#m00 ma man6 n600 Me Med0 d0 meny meny00 M/R M/RC#C C#C00 merc merc#i#r #i#r00 Me Merrc0 me>0 mur#ac0 nat#c0 nat#m0 at#s0 nit#ac0 u:#80 op0 o:#ac0 petr0 phos0 plb0 D0 puls0 Rheum rhus#t0 rhus#80 rum:0 sabad0 sanic0 sars0 sec0 senec0 sene60 sep0 sil0 spi60 spon600 stann0 staph0 stram0 stront#c spon6 stront#c00 Su Sulp lph0 h0 ta tab0 b0 ter ter00  &H%0  &  &rom0 rom0 Gerat0 8iol#t0 >inc#s0 >inc0 >in60 'BDM/ 'BD M/  # 'I 'I # draw drawin in6 6 pain pain abr abrot0 ot0 ace acet#a t#ac0 c0 aco acon0 n0 a6ar a6ar00 a6n a6n00 alo aloe e alum alum00 alumn0 am#c0 am#m0 'nac0 an60 ant#t0 apis ar6#n0 ars#i0 ars0 asa; asa;00 aur#i0 aur#m0 aur0 aur0 bar#c0 bar#i0 Bell0 berb0 bor:0 bo80 bry0 Calad0 calc#s0 Calc0 camph0 cann#s0 C'S0 Carb#8 Carb# 80 car carbn# bn#s0 s0 Car Card#m0 d#m0 caust caust00 cham0 chel0 chin0 cic0 clem0 cocc0 colch0 Coloc0 con0 croc0 cupr#act0 cupr#act0 Cupr Cupr00 di60 dros0 ;err0 ;err0 6els0 9r 9ran an00 6ra 6raph0 ph0 6rat0 hell0 He Hep0 p0 hir0 hyos0 I6n0 iod0 u6#r0 @ali#ar0 @ali#ar0 @ali#c0 @ali#n0 @reos0 lach0 aur0 led0 yc0 lyss0 m#ambo0 m#arct0 m#arc t0 m#aus m#aust0 t0 ma6#c ma6#c00 Ma6#m0 ma6#s0 man60 meny0 merc#c0 merc0 me>0 mosch0 mur:0 mur :0 nat nat#ar #ar00 a at# t#c0 c0 nat nat#m0 #m0 nat#s nat#s00 it#a it#ac0 c0 u:#80 u:#80 op0 par0 par0 pet petrr0 pho phos0 s0 l lat at00 plb0 odo0 o do0 pte ptel0 l0 % %S0 S0 ran#b0 rheum rhod0 rhus#t0 ruta sabin0 san60 sars0 sec0 sene60 S/00 spi60 spon60 sin60 'BDM/ # 'I # fatusJ passin6 # amel0 all#c0 aloe am#c0 arn0 bism0 Calc#p0 Carb# 80 ch cham am00 Ci Cim: m:00 colo coloc0 c0 Co Con0 n0 corn corn00 crot crot#t0 #t0 dulc0 ;err ;err00 9ra 9raph0 ph0 6r 6rat at00 9ua 9ua0 0 Iris  atr#c  atr#c00 @ali#n @al i#n00 yc0 ma6#c ma6#c00 merc#c0 merc#c0 '& '&#'R0 #'R0 nat nat#m0 #m0 at at#s0 #s0 nu:#m0 o:#ac0 o:#ac0 phyt0 phyt0 plb0 sor0 Rum:0 Sep0 sil0 spon60 sulph0 & sulph0  &arent0 arent0 til0 'BDM/ # 'I E Intestines Dios0 lacer0 tab0 thal#met0 'BDM/ # 'I E Sides acon0 a6ar0 all#c0 'loe alum0 ant#t0 ars0 asar0 asar0 bell0 Bor:0 brom0 bry0 bry0 cadm#s0 calc0 cal c0 canth0 carb#an0 carb#8 carb#800 castm0 Cham0 chin0 coloc0 com0 con0 cupr0 elaps eup#pur0 eupi0 ;err#ar0 ;err0 f#ac0 6raph0 6rat0 haem0 hep0 i6n0 iris @ali#n0 @alm0 lach0 laur0 lith#c0 lyc0 m#ambo0 ma6#c0 manc0 med0 mur#ac0 mur:0 naa na a nat#c0 nat#c0 nat nat#m0 #m0 at#s at#s00 u:#80 u:#80 par0 phos0 plb0 prun0 rhus#t0 rhus#80 sars0 sec0 sene60 sep0 sphin60 sul#ac0 sulph0 tarent0 thu0 8aler0 8aler0 >inc0 'BDM/ # 'I # stool # a;ter # amel0 a6ar0 aloe alum0 apoc0 ars0 bapt0 bor:0 bo80 bry00 Calc#p0 Carb#80 chel0 chinin#s0 cimic0 cinnb0 coc#c0 CCH bry CCH00 C CC0 C0 di60 dios0 dirc0 ;err ; err00 9'MB0 6els0 6rat0 helon0 ma6#c0 nat#ar0 nat#c0 at#s0 %#G0 phos0 podo0 Rheum Rhus#t0 senec0 sil0 sulph0 thu0 trom0 8erat0 >inc0 'BDM/ E R/&R'C&I acon0 a6ar0 'lum0 am#c0 'pis arn0 ars0 Bar#c0 bell0 bor:0 Bry0 calc#p0 camph0 canth0 Carb#ac0 Carb#80 caust0 Cocc0 colch0 Con0 crot#t0 Cupr0 di60 di 60 Dr Dros os00 ela elat0 t0 euph0 6amb0 HLD HLDR R0 Io Iod0 d0 iodo;0 atr#c0 @ali#bi0 @ali#br0 @ali#c0 laur0 led0 lob0 lyc0 merc#c0 merc0 me>0 mosch0 mur#ac0 nat#c0 at#m0 nat#n0 u:#80 op0 paeon0 pae on0 phos0 phos0 pla plat0 t0 lb lb#ac #act0 t0 plb#c plb#chr hr00  B0 B0 podo0 ptel0 puls0
= Dr0 Raneesh $umar Sharma MD (Homoeopathy) 11

Infammatory bowel disease (IBD) and Homoeopathy Homoeopathy

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= Dr0 Raneesh $umar Sharma MD (Homoeopathy) 15

Infammatory bowel disease (IBD) and Homoeopathy Homoeopathy

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= Dr0 Raneesh $umar Sharma MD (Homoeopathy) 17

Infammatory bowel disease (IBD) and Homoeopathy Homoeopathy

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= Dr0 Raneesh $umar Sharma MD (Homoeopathy) 1"

Infammatory bowel disease (IBD) and Homoeopathy Homoeopathy

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= Dr0 Raneesh $umar Sharma MD (Homoeopathy) 1.

Infammatory bowel disease (IBD) and Homoeopathy Homoeopathy

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