Creating Waves of Awareness
GOUT AND ITS HOMEO TT
Gout is a form of arthritis which is caused by the accumulation of uric acid crystals in joints. In this condition, due to a metabolic dysfunction, there is deposition of uric acid in and around the joints causing severe painfulness, swelling and restricted mobility of the affected joint.
The underlying cause of gout is a disturbance in purine metabolism of the body. Purine is a substance found plenty in the living cells as well as in many food articles. Uric acid is a body waste product, which is produced in the body after the breakdown of Purine. Underexcretion of uric acid through the kidneys and large intestines or excess formation of uric acid due to certain factors (such as alcohol, lack of physical activity, crash diet, meat, etc.) leads to accumulation of excess uric acid in the blood, eventually leading to Gout. The exact cause for the underexcretion remains unknown in many cases.
Gout is an intensely painful condition, which mostly affects only one joint (monoarthritis) at a time, most commonly the big toe. However, Gout may also affect elbows, knees, ankles, wrists or small joints of the hands and feet. The classic history in a patient suffering from Gout is of excruciating and sudden pain, swelling, redness, warmth and stiffness of the joint. Low-grade fever may also be present. The skin overlying the joint can also be swollen, tender and sore if it is touched even lightly. Patients with longstanding hyperuricemia (high levels of uric acid in blood) can have uric acid crystal deposits called tophi in other tissues as well, e.g. the helix of the ear. Gout has four distinct stages:
#Berberis vulgaris. [Berb] This urine of this remedy corresponds to many cases of lithaemia, yet it will be rarely indicated unless the characteristic tearing cutting pains are present. These pains are in the renal region and extend down the ureters to the bladder or into pelvis and hips. The urine is hot, dark or bright yellow or blood red, with white, grayish or bright red mealy sediment, or red granules, or yellowish red crystals.
#Lycopodium. [Lyc] When red sand appears in the urine our first thoughts is for Lycopodium, and indeed it will clear up many cases of lithaemia. Its general digestive disturbances, flatulent conditions are often met with in lithaemia. Particularly is it indicated by its scanty, high-colored urine depositing a red or yellowish red sandy sediment. It has severe backache relieved by passing urine. Burning between scapulae, and the 4 to 8 P.M. aggravations are useful characteristics to decide the choice of this remedy.
#Sepia. [Sep] This remedy must not be neglected in lithaemia. It has a deposit of urates in the urine and of uric acid. Then, too, the general symptoms of venous stagnation, liver troubles, manifested by such symptoms as yellow spots on the face or over dorsum of nose, are important indications. #Cantharis. [Canth] Dr. W. P. Laird says that the great remedy for lithaemia, the one which most accuratley corresponds to the totally of the morbid phenomena, and which we may prescribe with confidence in at least two cases out of three, is Cantharis. The special symptoms are soreness in the region of the kidneys, cutting, contracting pains in the ureters extending to bladder and urethra and down spermatic cord, with retraction of testicles. Urination painful and difficult, passe in drops; cutting before and after urination; urine scanty, dark colored, with oftentimes a sediment looking like old mortar or a reddish brick-dust sediment.