ADD ON HOMOEOPATHIC MEDICINES ALLEVIATED SCHIZOPHRENIA SYMPTOMS IN HAEMOPHILIA B PATIENT: A CASE REPORT
Abstract
A psychiatric disorder like paranoid schizophrenia as a concomitant with haemophilia B (Factor IX deficiency) is extremely rare combination. Genetic mutation in the F9 gene leads to deficiency in factor IX synthesis which in turn causes prolonged bleeding from various organs. This patient is 1 out of 564 haemophilia patients treated at Homoeopathy in Haemophilia Nashik center. In this case report, homoeopathic management of a patient with haemophilia B along with paranoid schizophrenia is presented. Inferiority feeling lead to suspicious behavior towards his wife which was the major cause to develop schizophrenia. The patient underwent homoeopathic treatment for 4 months. After closely assessing the patient's condition, individualized homoeopathic medicine was prescribed on the basis of characteristic concomitant symptom. Homoeopathic medicines greatly alleviated the schizophrenic symptoms, and also reduced the pain and swelling in the limbs. The scale used for the assessment was PANSS (Positive and negative syndrome scale), its score before the treatment was 144, at first follow-up was 45, and after 4 months of treatment was 54 respectively. Although annihilation of the disease to its whole extent was not possible because of the maintaining cause i.e. his genetic disease, still substantial improvement occurred in schizophrenic symptoms and developed a better coping with his environment and family. In this case, homoeopathy as an add-on therapy caused miasmatic descent for better adaptation.
Keywords: Paranoid schizophrenia, psychiatric disorder, Haemophilia B, Homoeopathy, Case report.
References
NORD (National Organization for Rare Disorders). 2022. Hemophilia B - NORD (National Organization for Rare Disorders). [online] Available at: <https://rarediseases.org/rare-diseases/hemophilia-b/> [Accessed 16 April 2022].
Shah, H., Kundu, T. and Shaikh, A. Homoeopathic Management of A Case Of Severe Haemophilia Type A With Inhibitor Positive: Case Report. Homoeopathic Links 2020; 33(4):302-308. DOI: https://doi.org/10.1055/s-0040-1718775. ISSN 1019-2050.
National Hemophilia Foundation. 2022. Haemophilia B | National Hemophilia Foundation. [online] Available at: <https://www.hemophilia.org/bleeding-disorders-a-z/types/hemophilia-b> [Accessed 16 April 2022].
Rarediseases.info.nih.gov. 2022. Haemophilia B | Genetic and Rare Diseases Information Center (GARD) – an NCATS Program. [online] Available at: <https://rarediseases.info.nih.gov/diseases/8732/hemophilia-b> [Accessed 16 April 2022].
Philip, J., Sarkar, R. S., Kumar, S., Prathip, B. R., & Pathak, A. (2012). Factor IX deficiency (Christmas disease). Medical journal, Armed Forces India, 68(4), 379–380. https://doi.org/10.1016/j.mjafi.2011.12.007
Homeopathy360:https://www.homeopathy360.com/2020/12/14/schizophrenia-and-its-homoeopathic-approach/
Coffey M. Schizophrenia: a review of current research and thinking. J ClinNurs. 1998 Nov;7(6):489-98. doi: 10.1046/j.1365-2702.1998.00204.x. PMID: 10222943.
UpToDate [Internet]. Uptodate.com. 2022 [cited 16 April 2022]. Available from: https://www.uptodate.com/contents/schizophrenia-in-adults-epidemiology-and-pathogenesis#H31673348
McGrath J,Saha S, Chant D, WelhamJ.Schizophrenia: a concise overview of incidence, prevalence, and mortality.Epidemiol Rev 2008; 30:67.
Abel KM, Drake R, Goldstein JM. Sex differences in schizophrenia. Int Rev Psychiatry 2010; 22:417.
Shankar G, Nate C. Positive and Negative Syndrome Scale as a long-term outcome measurement tool in patients receiving clozapine ODT: a Pilot Study
Lamba C, Gupta V, Haselen R, Rutten L, et al. Evaluation of the Modified Naranjo Criteria for assessing causal attribution of clinical outcome to Homeopathic intervention as presented in case reports. 2019
Bhardwaj S, Jadhav AB, Dolas VV. A single-blindplacebo-control clinical study to see the specificity of concomitant symptoms in process of cure in homoeopathic prescribing. Int J Health Sci Res. 2020; 10(2):23-27.
Robert HA. (2005) The principles and art ofcure by Homeopathy. Chapter 17, Susceptibility. (3rdedn.) Indian Books & Periodical Publisher. N.Delhi, India.
Kundu Rita, Shaikh Afroz, Kundu Tapas, MirzaGulfisha, Kumat Omkar, Ghosh Kanjaksha. Substantial reduction of cost of care of PWH by add on homoeopathic medicine reduced the parental anxiety and stress. Int J HomSci 2021;5(1):401-405. DOI: 10.33545/26164485.2021.v5.i1g.343
Hahnemann S. Organon of medicine. 6thedn. New Delhi: B. Jain Publication, 1990. Aphorisms 7.