个体化顺势疗法治疗精神分裂症2例

D. Gilla, Akhila Al, Neethu Raj
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摘要

背景:精神分裂症是一种慢性、使人衰弱的精神疾病,是全世界致残的主要原因之一,对个人、家庭和社会产生重大影响。关于顺势疗法治疗精神分裂症的文献很少。病例总结:2例精神分裂症患者采用阳性和阴性综合征量表(PANSS)进行症状评估,并在(盲法回顾)病例1的精神科接受治疗(偏执型精神分裂症)表现为失眠、情绪急躁、参照妄想和迫害妄想、听觉幻觉和嗅觉幻觉以及思想传播。根据肯特法对病例进行分析,处方石蒜30c。PANSS评分从基线的135分在4个月内恢复到30分(正常),并维持24个月的观察期。案例2(紧张性精神分裂症)表现为失眠,哭笑交替,不回答问题,傻笑,活动缓慢,需要强迫做日常活动,像雕像一样站几个小时,以奇怪的姿势站立,社交能力差,并妄想她的身体垂直地一分为二。该病例使用伊格纳提亚200C进行了紧急处理,随后使用磷200C作为宪法补救措施。PANSS评分从基线的157分在3个月内变为30分(正常),并维持24个月。阳性、阴性和一般症状减少,心理社会适应良好。顺势疗法治疗对病情变化的因果归因由修改的纳兰霍标准评分来描述。结论:在个体化的基础上选择顺势疗法药物治疗精神分裂症是有效的。
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Two Cases of Schizophrenia Treated with Individualized Homoeopathy
Background: Schizophrenia is a chronic, debilitating psychiatric disorder which is one of the leading causes of disability worldwide and has a large impact on individuals, families and society. There is paucity of literature on usefulness of Homoeopathy in Schizophrenia. Cases summary: Two cases of Schizophrenia are assessed symptomatically using Positive and Negative Syndrome Scale (PANSS) and treated in Psychiatry Department of (blinded for review) Case no.1 (Paranoid Schizophrenia) presented with sleeplessness, irritable mood, referential and persecutory delusions, auditory and olfactory hallucinations and thought broadcasting. The case was analyzed according to Kent’s method and Lycopodium 30c was prescribed. PANSS score of 135 at baseline turned to 30(Normal) within 4 months and maintained for the next 24 months of observation period. Case no.2 (Catatonic Schizophrenia) presented with sleeplessness, laughing and crying alternately, not responding to questions, silly smiling, slow activities, need for compulsion to do her daily activities, standing like a statue for hours assuming strange postures, poor sociability and delusion that her body is split vertically into two. The case was managed acutely with Ignatia 200C followed by a dose of Phosphorus 200C as a constitutional remedy. PANSS score of 157 at baseline turned to 30 (Normal) within 3 months and maintained for 24 months. There is reduction of positive, negative and general symptoms along with good psycho-social adaptation. Causal attribution of changes in condition to the homoeopathic treatment was depicted by the Modified Naranjo Criteria score. Conclusion: Homoeopathic medicines selected on the basis of individualization are useful in the management of Schizophrenia.
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