PSYCHOLOGICAL IMPACT OF ALOPECIA (HAIR LOSS/BALDNESS) - HAIR CARE MANAGEMENT

Abstract 

 

Hair is almost like a social status for both men and women, and also children. Hair loss can affect scalp or entire body. Anyone like men, women and children can experience hair loss. Baldness typically refers to excessive hair loss from scalp. Hereditary hair loss with age is the most common cause of baldness. Some people prefer to let their baldness run its course untreated and unhidden.  It can be the result of heredity, hormonal changes, medical conditions or medications. Homoeopathy is considered as one of the very best alternative system for treating hair loss.

Introduction

 

Hair is almost like a social status for both men and women, and also children. It is society’s expectation that you will have a head of hair! Hair states ones personality and adds additional beauty. Hair is a statement about yourself, how you have your hair. Women who desire to be beautiful almost always start with their hair. There’s nothing more stunning than long, shiny, healthy hair! Elegant and versatile, long hair gives women many options when it comes to styling and creating new looks. Even though the hair is a dead tissue, it suffers from numerous hazards mirroring hair problems. Everyone who desire to be beautiful and takes hair care should understand the basics of hair.

Most people normally shed 50 to 100 hairs a day. This usually doesn't cause noticeable thinning of scalp hair because new hair is growing in at the same time. Hair loss occurs when this cycle of hair growth and shedding is disrupted or when the hair follicle is destroyed and replaced with scar tissue.Hair loss can appear in many different ways, depending on what's causing it. It can come on suddenly or gradually. Some types of hair loss are temporary, and others are permanent.

Causes of Alopecia

The exact cause of hair loss may not be fully understood, but it's usually related to one or more of the following factors: Family history (heredity), Hormonal changes, Medical conditions, Medications

Family history - The most common cause of hair loss is a hereditary condition called male-pattern baldness or female-pattern baldness. It usually occurs gradually and in predictable patterns — a receding hairline and bald spots in men and thinning hair in women. Heredity also affects the age at which begin to lose hair, the rate of hair loss and the extent of baldness. Pattern baldness is most common in men and can begin as early as puberty. This type of hair loss may involve both hair thinning and miniaturization (hair becomes soft, fine and short).

Hormonal changes and medical conditions - A variety of conditions can cause hair loss, including: Hormonal changes and imbalances can cause temporary hair loss. This could be due to pregnancy, childbirth or the onset of menopause. Hormone levels are also affected by the thyroid gland, so thyroid problems may cause hair loss.

Patchy hair loss - This type of nonscarring hair loss is called alopecia areata. It occurs when the body's immune system attacks hair follicles — causing sudden hair loss that leaves smooth, roundish bald patches on the skin.

Scalp infections - Infections, such as ringworm, can invade the hair and skin of your scalp, leading to scaly patches and hair loss. Once infections are treated, hair generally grows back.

Other skin disorders - Diseases that cause scarring alopecia may result in permanent loss at the scarred areas. These conditions include lichen planus, some types of lupus and sarcoidosis.

Hair-pulling disorder - This condition, also called trichotillomania, causes people to have an irresistible urge to pull out their hair, whether it's from the scalp, the eyebrows or other areas of the body.

Medications - Hair loss can be caused by drugs used for cancer, arthritis, depression, heart problems, high blood pressure and birth control. Intake of too much vitamin A may cause hair loss as well.

Hair loss can also result from Radiation therapy to the head. The hair may not grow back the same as it was before.

Many people experience a general thinning of hair several months after a physical or emotional shock. This type of hair loss is temporary. Examples of trigger events include sudden or excessive weight loss, a high fever, surgery, or a death in the family.

Certain hairstyles and treatments. Excessive hairstyling or hairstyles that pull your hair tight, such as pigtails or cornrows, can cause traction alopecia. Hot oil hair treatments and permanents can cause inflammation of hair follicles that leads to hair loss. If scarring occurs, hair loss could be permanent.

Clinical Presentation

 

Hair loss can appear in many different ways, depending on what's causing it. It can come on suddenly or gradually. Some types of hair loss are temporary, and others are permanent.

Signs and symptoms of hair loss may include:

Gradual thinning on top of head. This is the most common type of hair loss, affecting both men and women as they age. In men, hair often begins to recede from the forehead in a line that resembles the letter M. Women typically retain the hairline on the forehead but have a broadening of the part in their hair.

Circular or patchy bald spots. Some people experience smooth, coin-sized bald spots. This type of hair loss usually affects just the scalp, but it sometimes also occurs in beards or eyebrows. In some cases, your skin may become itchy or painful before the hair falls out.

Sudden loosening of hair. A physical or emotional shock can cause hair to loosen. Handfuls of hair may come out when combing or washing your hair or even after gentle tugging. This type of hair loss usually causes overall hair thinning and not bald patches.

Full-body hair loss. Some conditions and medical treatments, such as chemotherapy for cancer, can result in the loss of hair all over your body. The hair usually grows back.

Patches of scaling that spread over the scalp. This is a sign of ringworm. It may be accompanied by broken hair, redness, swelling and, at times, oozing.

Diagnosis

Diagnosis made with help of physical exam, medical history, and family history and with some tests.

Blood test - This may help uncover medical conditions related to hair loss, such as thyroid disease.

Pull test - gently pulls several dozen hairs to see how many come out. This helps determine the stage of the shedding process.

Scalp biopsy - scrapes samples from the skin or from a few hairs plucked from the scalp to examine the hair roots. This can help determine whether an infection is causing hair loss.

Light microscopy - Microscopy helps uncover possible disorders of the hair shaft and to examine hairs trimmed at their bases.

MANAGEMENT

These tips may help avoid preventable types of hair loss:

· Eat a nutritionally balanced diet.

· Avoid tight hairstyles, such as braids, buns or ponytails.

· Avoid compulsively twisting, rubbing or pulling your hair.

· Treat your hair gently when washing and brushing. A wide-toothed comb may help prevent pulling out hair.

· Avoid harsh treatments such as hot rollers, curling irons, hot oil treatments and permanents.

· A good daily multivitamin containing zinc, vitamin B, folate, iron, and calcium is a reasonable choice, although there is no good evidence that vitamins have any meaningful benefit in alopecia. Newer studies suggest that vitamin D may be somewhat helpful and worth considering. Specific vitamin and mineral deficiencies like iron or vitamin B12 may be diagnosed by blood tests and treated.

· Multiple vitamins, including biotin, have been promoted for hair growth, but solid scientific studies for many of these claims are lacking. 

Home natural remedies

 

· Onion Juice for hair growth - This remedy is regarded as one of most effective and oldest ones. The reason behind is that it contains sulphur that boosts collagen production in the tissues and helps in the re-growth of hair. Don’t let its strong smell keep you away from using it, because it goes off just after one rinse. To try this remedy, cut a few slices of onion and squeeze out its juice (either by mashing it or grating it) and apply it on your scalp for about 10-15 minutes. Let it work its magic and then rinse it off with a mild shampoo.

· Coconut Milk - it is rich in iron, potassium and essential fats, take coconut milk from a fresh coconut, to it add half a squeeze of lemon, 4 drops of essential lavender oil. Mix it thoroughly and apply it on your scalp, leave it on for 4-5 hours and then rinse it off.”

· Apple Cider Vinegar – This vinegar gently cleanses the scalp and maintains the pH balance of the hair thereby accelerating hair growth.  Start for making a diluted solution by mixing 75ml of it in one litre of water for a larger batch or 15 ml of it to a cup of warm filtered water for a smaller batch.

· Egg Mask – This home remedy is used all over the world for quick and natural hair growth. As we know, eggs contain high levels of proteins which help in the formation of new hair. It is also rich in sulphur, zinc, iron, selenium, phosphorous and iodine.
For the egg mask, separate one egg white in a bowl and add one teaspoon of olive oil ( you can also use grape seed oil or lavender oil )and honey. Make a paste of it and apply it all over your hair and scalp for about 20 minutes. Rinse it off with cool water and some shampoo.  

· Fenugreek– This herb is also an age-old remedy for hair growth problems. It contains proteins and nicotinic acid; protein-enriched diets have been known to encourage stimulation of hair growth. Add a tablespoon of this herb and water in a grinder till a smooth paste it formed. Add a little coconut oil (or milk) to it and apply on your hair and scalp for half an hour. Wash it off with a mild shampoo.

· Green tea, as you know is super rich in antioxidants and that helps in boosting hair growth and preventing hair loss. Apply warm green tea (from the used tea bags) over your scalp and leave it for an hour. Wash it off with cool water.

· Indian Gooseberry (amla) – This magical fruit is a powerhouse of nutrients. It’s rich in Vitamin C and that accelerates hair growth. All you need to do is, mix 2 teaspoons of amla powder or juice with equal amounts of lime juice and let it dry. Rinse it off with some warm water. It will also prevent hair pigmentation.

 

HOMOEOPATHIC MANAGEMENT

   Homoeopathic mode of treatment has good scope and can aid regrowth of hair. Homoeopathic medicines stimulate the hair roots to promote regrowth. The medicines used in Homoeopathy to aid hair regrowth are all of natural origin and therefore, safe for use among persons of all age groups. Hair-loss is again just an indicator that there is something not well in our body. The hairs may fall due to a local infection or due to a systemic disorder or deficiency. The treatment also varies accordingly. The following homoeopathic medicines are often found indicated in cases of hair fall:

Medicine	Indication
Arsenic album	Alopecia due to use of metallic arsenic, scalp itches intolerable. Circular patches of bare spots, hair fall in debilitated persons. Patients is mentally restless and very anxious about his/her health or hair fall. Sensitive to cold in general and cold drinks. Fastidious temperament.
Fluoricum Acidum	It is considered excellent for hair loss, especially alopecia areata, where the patient loses hair from spots on the scalp. It is also adept at dealing with the resulting hair fall after a period of sickness, hair breakage, hair fall caused by syphilis, and hair gets tangled a lot. It is recommended by a lot of homeopathic doctors.
Phosphorus	It is a medicine that is capable of curing a wide array of diseases. While it is popular for treating alopecia, it is also used to heal issues of the gastrointestinal tract, blood, nervous tissue, and bones.
Calcarea Carbonica	Calcarea Carb, has been found to be one of the best homeopathic medicines for hair regrowth. It is often prescribed to patients for whom hair loss is accompanied by intense itching and sweating of the scalp.
Silicea	It is hard to believe that this deep acting remedy is inert before it undergoes potentization. It is used to treat a wide range of diseases. Homeopaths commonly prescribe Silicea for baldness accompanied with pain. It also treats skin conditions like eczema, which may sometimes cause dandruff.
Rosmarinus Officinalis	This tincture promotes healthy hair growth and revitalizes the skin, making it an excellent natural remedy for alopecia and general skin care.
Jaborandi  (Pilocarpin)	Helps to reduce hair loss, Helps to nourish the hair follicles, Helps to counter premature greying of hair and baldness
Baryta Carbonica	This homeopathic cure is administered to young people suffering from premature baldness. It is generally used to treat timid people who are experiencing baldness along with throat complaints and issues such as tonsillitis.
Lycopodium Clavatum	This is one of the best homeopathic medicines for preventing a number of hair-related problems. Lycopodium is a wonderful remedy for hair loss, premature graying of the hair, and even baldness. It is prepared from club moss (fungus), which is potentized for its usage. This homeopathic medicine also tackles premature balding.
Psorinum	Psorinum is the best treatment for hair loss that is caused due to dandruff. Dandruff is a common result of skin conditions like psoriasis and eczema. Psorinum tackles the root of the cause, reducing hair fall and dandruff at the same time.
Mezereum	This is another medicine that efficiently deals with conditions of the skin such as rashes, lesions, and psoriasis. It tackles hair fall in people who have crusty scalps and infected scalps with pus. It is also ideal for encouraging hair growth.
Kali Sulphuricum	When the dandruff is yellow in color, Kali Sulphuricum is a good treatment to resort to. It promises great results and is often prescribed by homeopaths to patients who complain of dandruff and hair loss together.
Mercurius solubilis	falling of hair due to syphilis. Alopecia with eruptions on scalp; discharge from eruptions is fetid and accompanied by burning pains in scalp. Patient has profuse perspiration, excessive thirst and salivation.
Natrum Muriaticum	The interesting thing about Natrum Muriaticum is that it is made from common salt through potentization. It is used to treat a myriad of issues and is perfect for treating post childbirth hair fall. It is also prescribed for hair fall in women suffering from anemia.
Pulsatilla Pratensis	This is administered to women suffering from post-delivery hair loss. The people to whom this medicine is prescribed often report a lack of thirst and a desire for breathing in fresh air. It is also administered to women who have trouble in digesting fatty food.
Selenium	falling of hair from whole head leaving the scalp smooth and hairless (alopecia universalis). Falling of hair from eyebrows and face giving a strange appearance.
Vinca minor	Vinca Minor is efficient in treating alopecia when it is accompanied by dandruff. It is also used to treat abnormal hair growth i.e. when the hair grows out like white wool. Bald spots with itching of the skin, oozing moisture, matting hair together. Irresistible desire to scratch. Hair-loss, sharp and well defined, circumscribed patches which leave the scalp smooth and white or gray hair may grow on the bald spots like white wool.
Wiesbaden	the hair grows rapidly and become darker by the use of this remedy. Arnica and Cantharis are also known to promote hair growth.

 

Conclusion

The aim of homoeopathy is not only to treat hair loss but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several well-proved remedies are available for homoeopathic treatment of hair loss that can be selected on the basis of cause, location, modalities and extension of the hair loss. Hair-loss is again just an indicator that there is something not well in your body. The hairs may fall due to a local infection or due to a systemic disorder or deficiency. The treatment also varies accordingly. The main advantage of opting for Homoeopathic medicines for hair regrowth is the absence of any related toxic side effects.For individualized remedy selection and treatment, the patient should consult a qualified homoeopathic doctor in person. Homoeopathy has to treat the cause and the person a a whole, after due individualization of every patient.

References 

1. Harrison's Principles of Internal Medicine

2. Davidson’s Principles and Practice of Medicine,

3. http://www.mayoclinic.org/

4. http://hpathy.com/

5. https://homeopathica.com/

6. http://food.ndtv.com

7. http://www.stylecraze.com

8. Dewey WA, Practical Homoeopathic Therapeutics,

9. W. Boericke, Pocket Manual of Homeopathic Materia Medica and Repertory

10. Lilienthal S., Homoeopathic Therapeutics

  

WARTS - MIRROR OF INTERNAL DISEASES, CONQUER WITH GENERAL AND HOMOEOPATHIC MEASURES

 Abstract 

Wart is a small growth with a rough texture that can appear anywhere on the body. It can look like a solid blister or a small cauliflower. A small, fleshy bump on the skin or mucous membrane. Warts are benign skin growth that appears when a virus infects the top layer of the skin. And the viruses that cause warts are called human papillomavirus (HPV). Warts can apply anywhere on the skin and are noticed mostly on the hands and feet. They are highly contagious and spread to other areas of the skin as well as spread to others when shared towels, razors etc are used. The skin is where internal diseases manifest. This article provides an overview of the aetiology, diagnosis, and appropriate general & homoeopathic management of this disorder.

 

Introduction

 

Warts are typically small, rough, hard growth that are similar in colour to the rest of the skin. Warts are common, harmless skin growth usually asymptomatic but may present with itching and bleeding, may be painful if present on pressure bearing site. While they usually occur on the hands and feet, they can also effect other location such as-face, palm, shoulder, back. They are not cancerous. Although they are usually painless but can bleed and cause pain when bumped up. Warts are the expression of deranged vitality reflected on skin and must not be treated as local or regional maladies. There are more than 100 types of HPV, the virus that causes warts. Almost all types of HPV cause relatively harmless warts that appear on hands or feet. However, there are a few strains of HPV that cause warts on, in, and around your genitals. In women, these warts — called “genital warts” — can eventually lead to cervical cancer, a potentially fatal disease. A well selected suitable remedy is required to cure the disease in its whole extent. Homeopathy is a unique system of medicine which deals with the disease in a holistic manner and at the root.

 

 

Causes of Warts

 

Warts are nothing but skin growths caused by human papilloma virus (HPV) and spread easily when in direct contact with them, Common warts are caused by the human papillomavirus (HPV). The virus is quite common and has more than 150 types, but only a few cause warts.

Some strains of HPV are acquired through sexual contact. Most forms, however, are spread by casual skin contact or through shared objects, such as towels or washcloths. The virus usually spreads through breaks in skin, such as a hangnail or a scrape. Biting nails also can cause warts to spread on fingertips and around nails.

Each person's immune system responds to the HPV virus differently, so not everyone who comes in contact with HPV develops warts.

Risk Factors of Warts:

 

People at higher risk of developing common warts include: Children and young adults, because their bodies may not have built up immunity to the virus, People with weakened immune systems, such as those with HIV/AIDS or people who've had organ transplants

l Having an impaired immune system

l Patients who are on immuno suppressive drugs.

l Walking barefoot on moist surfaces, as in public showers and locker rooms and around swimming pool areas.

l Sharing towels, razors, and other personal items with a person who has warts.

l Biting your nails or cuticles.

l Wearing closed or tight shoes that cause sweaty feet.

Clinical manifestations of Warts

 

Common warts usually occur on fingers or hands and may be:

Ø Small, fleshy, grainy bumps

Ø Flesh-colored, white, pink or tan

Ø Rough to the touch

Ø Sprinkled with black pinpoints, which are small, clotted blood vessels

Types of Warts:

Common Wart: It usually appears singly or in groups on the hands, although they may grow on any part of the body. They usually are rough, gray-brown, dome-shaped growths.

Plantar Warts: It can develop on any part of the foot. As the wart gets larger, walking can become painful, much like walking with a pebble in your shoe. When pressure from standing or walking pushes a plantar wart beneath the skin’s surface, a layer of thick, tough skin develops over it. Sometimes dark specks are visible beneath the surface of the wart.

Flat Warts: They are small warts usually found on the face, arms, or legs and are generally located in one area. They have flat tops and can be pink, light brown, or light yellow. Flat warts are often spread by shaving.

Filiform Warts: It is a kind of flat wart that can grow around the mouth, nose, and beard area. The surface of this type of wart has many flesh-colored, finger-shaped growths.

Periungual Warts: They are found under and around the toenails and fingernails. They appear as rough, irregular bumps.

Many times warts cover the lines and creases in the skin, thus making it difficult to tell a wart from other skin conditions, such as skin tags or moles.

Diagnosis

In most cases diagnose a common wart with one or more of these techniques:

Ø Examining the wart

Ø Scraping off the top layer of the wart to check for signs of dark, pinpoint dots — clotted blood vessels — which are common with warts

Ø Removing a small section of the wart (shave biopsy) and sending it to a laboratory for analysis to rule out other types of skin growths

 

Management

Home Remedies:

Many home remedies have little or no reliable scientific evidence to back them up; however, individuals report success using them to remove warts.

n Cut a potato in half and rub the wart firmly with the potato half, making sure that the skin becomes saturated with raw potato juice. Repeat morning and night for two weeks to start seeing results.

n Soak a cotton wool ball in apple cider vinegar and apply directly to the wart. Use a bandaid to fix the cotton ball to the wart. Remove after three to four hours. Repeat every day for three days to start seeing results.

n Rub the wart with the peel of an orange. The wart will turn orange and then darken and finally drop off. Continue for two weeks to start seeing results.

n Soak a cotton ball in fresh aloe vera and apply directly to the wart. Repeat each day for two weeks to begin seeing a result.

n For plantar warts, apply the inside of a banana peel to the wart. The peel must remain in contact with the wart at all times. Continue for 3 – 4 days to see a result.

n Rub castor oil onto the wart twice a day for two weeks to begin seeing a result.

HOMOEOPATHIC MANAGEMENT

Homoeopathy treats the person as a whole. It means that homoeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homoeopathic medicine for warts are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution etc. In Homoeopathic system warts are classified under one sided disease i.e. disease which have very few expressions in terms of symptoms. Under this it is further categorised under external local maladies. Chronic diseases are classified into 3 main categories of miasm, namely-Psora(Itch), Sycosis(Condyloma), and syphilis(Chancre or bubo). Warts comes under sycosis miasm. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications are also taken into account for selecting a remedy. None of these homoeopathic medicine for warts should be taken without professional advice.

 

Indicated Remedies	Indications
Antimonium crudum	This homeopathic remedy has warts that are Hard and smooth that often appear in groups. Sole, very painful in touch, cannot walk bare feet. Skin is very sensitive to cold bathing.Dry skin. Skin complaints often associated with gastric derangements. Irritability and a thickly coated white tongue also suggest the need for this remedy.
Calcarea carbonica	Warts on the neck and hands. Small, horny warts in large numbers with itching and stinging; inflamed; ulcerated; itching; bleed easily and soft and spongy and have a stinging sensation.Round, hard, solitary growth. Often useful for growth that have a horny wall surrounding a central depression.Indicated in fleshy people with clammy hands and feet.Patients are often fat and flabby; shy children who may be aggressive and obstinate with immediate family but averse to strangers.Profuse sweating in palm and soles.Patient has desire for eggs, sweets and indigestible thing like chalk, charcoal etc.Tendency to hard stool or constipation.
Causticum	Medicine for old, large growth on the face (especially the nose), under the fingernails.Effective when the warts are solid, flat on the surface of the neck, face, eyelids, and tip of nose and on the fingers. Warts on fingertips that bleed easily. Tend to be hard, inflamed, and painful and sit on whitish-yellow, dirty looking skin.People who benefit from this remedy tend fear that something awful will happen. Patients who feel intensely sympathy about the hardship of others. Patient craves salt food and has a sympathetic nature; unable to tolerate any kind of perceived injustice to anyone.
Cinnabaris:	Condyloma, easily bleeding  a common remedy for Molluscum contagious that has a reddish periphery and senile keratosis (thick, crusty, and scaly skin growth of the aged).
Dulcamara	Flat growth located on backs of hands and face and soft brownish to black seborrheic found on the back. Large and smooth. Indicated in people with rheumatic complaints that are worse in cold, damp weather or humidity.
Ferrum picricum	medicine for warts has small pointed growth appearing in large groups. Also useful in some cases of flat or plane warts with irregular borders that grow on the face, neck, wrists, hands and knees. Hands full of warts. Men may have prostatic enlargement. Patients of this medicine usually feels deafness before menses.
Thuja	Thuja is a wonderful medicine for warts, skin complaints associated with urinary and sexual infection.Flat black warts, large seedy, pedunculated; sometimes oozing moisture and bleeding readily.Thuja has family tendency of warts, whichare cauliflower-like in shape, occur in crops, are moist to touch and bleed easily.Warts especially on left side of the body and on covered parts only.Thuja nicely acts on all kind of skin growth and tumors.Growth in anal and genital region.Unhealthy skin, offensive sweating leaves yellow stain.Patient is very sensitive to cold weather.
Medorrhinum:	Small pedunculated warts, with pin heads, like small button mushrooms, on various of body and the thigh. A powerful and deep acting medicine, often indicated for chronic ailments due to suppressed gonorrhoea.
Natrum muriaticum	warts on the palms of the hand and soles of the feet.Skin is dry, with oily sweat. Greasy look of face and dryness of skin of whole body. Skin eruption  specially in skin folds.Patient who are sensitive to sun heat.Indicated in those who are closed, reserved and sensitive.
Natrum Sulphuricum	This remedy is suited for genital warts in damp conditions and for individuals whohave warts along with a history of genital herpes.
Nitricum acidum	indicated in treating large, fissured or gold-yellow warts that itch and sting or bleed upon washing. This remedy is also indicated for people who are anxious about health and worry about cancer.Often useful for growth that have a horny wall surrounding a central depression or the more common plantar wart.
Sepia	Genital warts, warts on margin of prepuce; on the body.Flat warts on face and back of hands.Large black warts that have hair growing from them.Often a female patient with lots of cares and worries; anxiety especially for children and husband.Overworked females may show indifference and uterine prolapse.
Sulphur	Hard, painful, throbbing, itching warts. History of skin eruptions that were suppressed. Dirty skin; They still feel they look good. Over confidence is a common trait in patients requiring Sulphur.
Sabina	Warts especially of black and dark colored, with intense itching and burning. Medicine suited to the women who had history of abortions or having clotted dark menstrual discharge
Ruta graveolens	for plantar warts, especially on the palms of the hand.

Conclusion

From the homoeopathic point of view physician can approach treatment in different ways. Homoeopathy treats the person as a whole and tries to find a constitutional remedy with the aim of strengthening the organism generally. Dr. Kent was of the opinion that every experienced homoeopath knows positively that unless he has penetrated and understood the psychological personality and vicissitudes of adaptation to life which give the earliest symptoms of neuro- vegetative dystonia determining the nature of his character and its particular pathology he will never know what he has to cure in the patient whom he does not know because he has not understood him. Please consult a qualified homoeopath before taking any homoeopathic remedy. Along with Homoeopathic medicines, the lifestyle, personal habits & food habits modification may be useful for treatment of patients