Volume 8, Issue 9, September – 2023 International Journal of Innovative Science and Research Technology

ISSN No:-2456-2165

A Narrative Evaluation of Homeopathic Relevance in

Treating Autoimmune Diseases, Including
Rheumatoid Arthritis, with Rubrics and Justifications
1 2
Dr. Chitram Umashankar, Dr. Anita Sardar Patil*
1 *2
Post Graduate Scholar, Department of Homoeopathic Professor, H.O.D. of Department of Repertory,
Pharmacy, Bharati Vidyapeeth (Deemed to be University), Bharati Vidyapeeth (Deemed to be University)
Homoeopathic Medical College and Hospital, Pune-Satara Homoeopathic Medical College and Hospital, Pune-411043
Road, India-411043. ORCID: 0000-0001-5215-6793 ORCID: 0000-0003-0958-8640

Author for Correspondence: 2Dr. Anita Sardar Patil*

Abstract:-  Conclusion:
Women are more likely to suffer autoimmune
 Background: disorders than men are, according to conventional
This review discusses about Autoimmune diseases sciences, yet the homeopathic concept claims that as it is
exist on a physical level; they can also exist on a mental autoimmune at the physical level, autoimmunity at the
level. Understanding autoimmunity at the mental level mental level may come before it. To put it another way,
will make homeopathic treatment easier. importance of in terms of self-destruction, self-blame, by
anti-miasmatical treatment with rubrics and their herself/himself, suicidal ideas, delusions, and
justifications of Homoeopathic medicine for autoimmune destructiveness. If autoimmune at the level of the mind
diseases, rheumatoid arthritis. the repertory is an is understood, an effort is made here to clarify mental
essential part of the treatment for autoimmune rubrics connected to autoimmunity by making use of
disorders. since it has a wide range of rubrics, including synthetic repertory homeopathic therapy can be made
clinical rubrics that can be applied as an initial point for easier.
selecting similimum in autoimmune disorders.
Keywords:- Homoeopathy, Autoimmune Disorders,
 Objectives: Immunity in Homoeopathy, Rheumatoid Arthritis, Adverse
To review the effectiveness of Homoeopathic Effects.
medicine against autoimmune diseases, and rheumatoid
arthritis. Keymessages:- A Narrative Review on Homeopathic
Intervention, as an Anti-Miasmatical Treatment for
 Methods: Autoimmune Illnesses in Treating Rheumatoid Arthritis.
Google Scholar and PubMed databases were
searched for these studies that analyzed the effects of I. INTRODUCTION
Homoeopathic medicine against rheumatoid arthritis.
After scrutiny of abstracts, full texts of shortlisted Autoimmune disorders, such as thyroid, liver, and
studies were reviewed for study design. rheumatoid arthritis, are more common in women than men.
The cause remains unclear. Rheumatoid arthritis (RA)
 Results: affects multiple systems and is linked to HLA-DR4. Factors
The Google Scholar and PubMed databases like synovial hyperplasia and lymphocytic infiltration
searched for the concerned studies with the following contribute to its progression. 0.5-1.0% of the population has
search parameters: article types – immunity in RA, with women being three times more affected. (1)
homeopathy, statistics, control and prevention,
Homoeopathic prophylaxis, and Adverse drug effects of In the last few years, doctors have begun to administer
corticosteroids. Full texts of shortlisted studies after hardly any painkillers and very little steroid medication. The
scrutiny of abstracts were analyzed for study design, The term Disease-modifying antirheumatic drugs (DMARDs)
majority of the studies show the consequences of refers to a group of drugs that includes Methotrexate,
Homoeopathic medicines used to treat the patient who Leflunomide, Hydroxychloroquine, and Sulphasalzine.
tends to the condition as well as to control the ongoing Additionally, JAK inhibitors are commonly utilized in the
inflammatory process without having any negative side treatment of rheumatoid arthritis. These are among the
effects on other body parts, thereby lowering the risk of medicines recommended. Due to the aggressiveness of the
developing further complications from the illness. and disease, DMARDS are prescribed to patients 80% of the
results were analyzed. time, while biological medications or JAK inhibitors may be
prescribed to 20% of patients. (2)

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According to the World Health Organization, II. INCIDENCE, PREVALENCE, AND
homoeopathy is one of the second most widely accepted STATISTICS IN THE OCCURRENCE OF RA
medical systems. (3) Homoeopathy treats the whole person
by individualizing treatment plans and choosing Rheumatoid arthritis affects over 1.3 crore population
constitutional medicines, which prevents the recurrence of in India; it is a disease that does not just affect the elderly.
auto-immune diseases like rheumatoid arthritis, psoriasis, Most sufferers of rheumatoid arthritis are in their 20s to 40s,
and others without causing additional suffering or side which is the younger age range. Among women, it is also
effects. Homoeopathy adheres to the law similia similibus more prevalent. Approximately 1% of people in India are
curenter. affected by rheumatoid arthritis. Therefore, according to
estimations, this type of arthritis affects about 10 lakh
people. (2)

Between 2013 and 2015, 22.7% of Americans (58.5

million) had arthritis, gout, lupus, fibromyalgia, or
rheumatoid arthritis diagnoses by a medical professional. (4)

Picture No1 Mechanism of Pathology(5)

Rheumatoid arthritis is a condition where joints If a close family member has RA, you are at a higher
become inflamed, and the cartilage within them degrades. risk of developing it too.
This happens due to the activation of complement by IgM
immune complexes that release cytokines such as TNF and Women and individuals assigned female at birth have a
IL-1. These cytokines are chemotactic for neutrophils, two to three times higher risk of developing rheumatoid
which are inflammatory cells that secrete lysosomal arthritis. Smoking increases the risk and severity of
enzymes. That causes cartilaginous degradation, bone symptoms. Obesity also increases the risk. (7)
erosions, and joint deformity, as well as vasodilation and
discomfort. HLA-DR4 has been linked to the disease;  The RA Disease Cycle
genetic and environmental variables may both contribute to
disease onset. (5)  Stage 1: The tissue surrounding your joint(s) is swollen
in the early stages of rheumatoid arthritis. There could be
 Age of Onset some stiffness and soreness.
Rheumatoid arthritis (RA) typically manifests between  In stage 2 of this condition, the inflammation starts
the ages of 30 to 60, whereas it can affect anyone regardless damaging the cartilage in your joints. At this stage, you
of age. Young-onset rheumatoid arthritis (YORA) may experience stiffness and limited range of motion.
specifically affects individuals between 16 to 40 years old,  In stage 3, inflammation causes your bones to
Later-onset rheumatoid arthritis (LORA) occurs when deteriorate, leading to even more soreness, stiffness, and
symptoms develop after age 60. (6) decreased range of motion. Physical changes may also
become noticeable. As the swelling subsides
 Risk Factors  Stage 4, joint deterioration continues, resulting in
Rheumatoid arthritis can develop for a variety of excruciating pain, edema, stiffness, and limited
reasons. These are as follows: movement. (8)

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 The symptoms of RA  Anti-CCP (Cyclic Citrullinated Peptide) Antibodies
Symptoms of rheumatoid arthritis include pain, Blood test detects anti-CCP in rheumatoid arthritis
swelling, tenderness, and stiffness in multiple joints. patients, aiding early diagnosis and confirming diagnosis
Stiffness is particularly noticeable in the mornings or after using RF and RA results.
prolonged periods of sitting. Pain and stiffness are felt in the
same joints on both sides of the body. Other symptoms  Complete Blood Count.
include severe exhaustion, weakness, and fever. This blood test evaluates distinct blood cell counts and
can aid in the diagnosis of a, which is frequent in persons
Physical Examination includes Inspection of your with RA.
joints. Observing how you move, bend, and perform daily
chores. Examine your skin for a rash or nodules. Listen to  Erythrocyte Sedimentation Rate (Also Known as the Set
your chest for symptoms of pulmonary inflammation. Rate).
This test monitors disease activity and how well
 Laboratory Tests medications are functioning by evaluating inflammation in
Rheumatoid The RF antibody test detects rheumatoid the body.
arthritis in blood, but not all patients will test positive. It can
help clinicians identify the condition alongside other tests  Protein C-Reactive.
and assessments. Element (RF). An inflammatory test aids in the diagnosis and
progression of rheumatoid arthritis. Additional blood tests to
examine general health, renal, liver, thyroid functions,
muscle markers, and infection markers may be conducted. (9)

 Allopathic Management (10)

Fig 1 Allopathic Management

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 Adverse Drug Effects  Homeopathic Management
Every medicine has the potential to have side effects, According to the World Health Organization,
thus whenever medication is administered, the therapeutic homoeopathy is the second most generally acknowledged
advantages must be considered along with the potential risks and practiced system of medicine in the world and is
to choose whether to use the medication in question or not developing at the fastest rate. (3) Homoeopathy treats the
for a certain patient. Consider the possibility of bone person as a whole. In the case of an autoimmune disorder,
marrow depression when treating cancer, or the possibility rheumatoid arthritis, homoeopathic medicine is used to treat
of slight drowsiness brought on by an antihistamine when the patient who tends to the condition as well as to control
treating the ordinary cold. (10) the ongoing inflammatory process without having any
negative side effects on other body parts, thereby lowering
 Adverse Side Effects of RA Treatment the risk of developing further complications from the illness.
(12)
Aspirin, ibuprofen, or naproxen are a few examples of
over-the-counter medications that some people use to
manage their symptoms. These medications are referred to  Anti-Miasmatical Treatment
as NSAIDs or nonsteroidal anti-inflammatory drugs. They Anti-miasmatic drugs can treat autoimmune diseases
might also interfere with some prescription medications. such as rheumatoid arthritis, diabetes, psoriasis, and others.

 Methotrexate Miasm is an invisible, animated creature influencing or

Early RA treatment is preferred to prevent excessive infecting specific illness forms, involving dynamic concepts.
joint damage from inflammation. Some potential side effects
of methotrexate include nausea, vomiting, altered liver III. HAHNEMANN'S DYNAMIC PATHOLOGY OF
function, redness, diarrhea, and mouth sores. DISEASE

 Leflunomide Homoeopathic theory suggests life is explained by an

Leflunomide, when used alongside methotrexate, can autocratic spiritual vital force in every living organism.
help control RA progression, but liver damage and birth Aphorism 11 of the Organon suggests sickness manifests
defects should be monitored through routine blood tests. when the vital force is disturbed by a harmful agent, which
may be due to their specific dynamic influence.
 Hydroxychloroquine and Sulfasalazine
The medicine may work better if taken with food. Skin  Why Is Understanding Miasm Important?
changes are less frequent. Very rarely, the medication may To evaluate the homeopathic prognosis, consider the
have an impact on vision. symptom clarity resulting from removing layers of
suppression, leading to a significant improvement in overall
 Biologics: Anti-TNF Drugs well-being. Anti-miasmatic medications dissolve these
The therapy of RA has been significantly enhanced by layers, resulting in improved feelings of well-being,
biologics. They function by preventing the immune system's increased vitality, greater appetite, restorative sleep,
various parts from doing their jobs. One of the most temperament harmony, weight growth, and clarity of
dangerous side effects of these medications is infection present-day symptoms. These medications help eradicate
because they depress the immune system. suppressed symptoms, enhancing the constitution and
future.
 Immunosuppressants
Immunosuppressants, such as cyclosporine and  Past
azathioprine, were initially prescribed to prevent organ Anti-miasmatical medications' centrifugal activity
transplant rejection in RA. However, they are now helps frame the right totality by bringing suppressed
infrequently used, due to potential side effects like renal symptoms to the surface, organizing symptoms, and
damage, high blood pressure, and gout. Cytoxan, a strong providing a clear picture.
immunosuppressant, is used only for severe RA and can
cause low blood counts and bladder inflammation.  Present
Miasmatic treatment involves removing suppression
 Older Medications: Minocycline and Gold Formulations layers, adjusting treatment plans based on surface miasm
Gold preparations can be effective, but may cause side and symptom totality, reducing illness susceptibility, and
effects like skin rashes, oral sores, and taste changes. achieving long-term health restoration.
Minocycline, a dated antibiotic, can treat mild RA cases.
 Future
 Biologics: JAK Inhibitors Miasmatical stigma removal improves immunity,
Tofacitinib is the first biological RA therapy, and strengthens the constitution, and prevents disease
patients should report infection signs and be cautious of susceptibility through correct diagnosis and therapeutic
histoplasmosis, a common lung infection in the central and purposes. (13)
eastern US. (11)

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Picture No 2 Stages of Osteoarthritis(28)

Table 1 Modalities (13)

Psoric Extremities Sychotic Extremities Syphilitic Extremities
Various forms of rheumatism, The majority of mild and large joint pains are Sphyilis exhibits a highly erratic
particularly those with an sychotic. pattern of symptom progression.
inflammatory and functional basis.
The psora's extremities pains are Joint deposits, tophi, and arthritic deformations. Syphilitic pain is felt in lengthy
typical of the neuralgic variety. Sycosis doesn't always show symptoms and bones.
sometimes does so covertly.
Sycotic pale, oedematous, and puffy pains include Pains that are burning, exploding, or
stitching, pulsating, and wandering pains. These tearing are syphilitic.
traits include stiffness, discomfort, and lameness. The bones don't get enough
Gouty arthritis is sycotic in nature. nutrients.

Table 2 Modalities of Various Miasams (13)

Psora Sycosis Syphilis
Motion makes acute inflammatory rheumatic aggravating rest, a wet, rainy, humid Acute rheumatic pain, ulcerous
pain worse whereas calm, warmth, and rest environment, thunderstorms, weather inflammations, necrotic changes in the
make it better. When the weather gets cold, fluctuations, and meat. bones, and searing pains are all made
people want both internal and outward A barometer, the schizophrenic patient worse by the beach, thunderstorms,
warmth. aggravated by the cold and from experiences pain and suffering when it perspiration through natural discharge,
standing between sunrise and sunset. rains.. and sunset to sunrise.

 Patients on Long-Term Allopathic Medication [Patients  Antibiotics:

on Allopathic Medication] Only in extreme circumstances can antibiotics be
Long-term use of potent allopathic drugs, such as administered. Homoeopathic medicines work more quickly
Cortisone tablets, prolonged antibiotic therapy, and than antibiotics. (14)
psychotropic medications, presents significant challenges
for homoeopathic treatment. Allopathic drugs can be IV. IMMUNITY AND HOMEOPATHY
categorized into essential, comfort, and socially essential
groups. Proper treatment can improve general energy, but Immunity, derived from the Latin word immunize, is
some medications may be lowered. Taking more potent the body's natural defense against infections. Homoeopathy,
allopathic medication can shorten the response duration of a a medical approach, aims to boost the immune system by
homoeopathic remedy. combining drug formulations with the body's immune
system. This approach considers a patient's physical, mental,
 Cortisone – and inherited circumstances, resulting in healthier patients
The main disorders for which cortisone is prescribed and reduced illness. Homoeopathic medicines accelerate the
include allergies, rheumatoid arthritis, asthma, and body's natural healing process by administering carefully
autoimmune diseases. Cortisone is the drug that suppresses analyzed medications in small doses. Despite the unknown
the immune system the most. Most homoeopathic symptoms nature of how homoeopathic medications work, they are
are covered up by cortisone. believed to enhance the body's defenses against infections.
(15)

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 Homoeopathic Studies Related to Rheumatoid Arthritis: Priyanka D, et al, this pilot study evaluates the
Raza SA, et al, since 1790, over 3000 homoeopathic effectiveness of homoeopathic treatments for rheumatoid
remedies have been used successfully, Rheumatic disease, arthritis (RA) in India, a prevalent autoimmune disease.
affecting joints, ligaments, tendons, bones, and muscles, Results show individual homoeopathic treatment is
cannot be cured by current medical practices. Patients often statistically more effective than conventional medicine, with
seek alternative therapies, such as homoeopathy, which customized remedies potentially beneficial. The study
treats conditions like uterine fibroids and kidney stones highlights the need for further research and further
without side effects. (16) investigation into this condition. (18)

Spana G, et al., 2020, The study compares the V. THE METHODS

effectiveness of physiotherapy, homoeopathic medications,
and a placebo in treating rheumatoid arthritis. It examines The following search criteria were used to find the
the relationship between miasms and pain management in relevant studies in the Google Scholar and PubMed
both therapy groups. 60 patients were divided into two databases: The search term used was ‘Homeopathy AND
groups: Group A, which received homoeopathic medicine, rheumatoid arthritis with search details (‘homeopathy’ [All
and Group B, which received a placebo. After three months, Fields] OR ‘homeopathy’ (MeSH Terms) OR 'homeopathy'
the NPRS Scores in both groups were reduced. The study [All Fields] AND ('Anti-Miasmatic' [MeSH Terms] OR
found that sycoticmiasm and Psora-sycosis showed notable miasm [All Fields])article types – immunity in
improvement in Group A, while Group B's primary miasms homoeopathy, statistics, control and prevention,
showed only slight improvement. The most commonly Homoeopathic prophylaxis, Adverse drug effects of
given medications were Bryonia, Rhustox, and corticosteroids. Full texts of shortlisted studies after scrutiny
Calcareaphos. Homoeopathic treatments were found to be of abstracts were analyzed for study design, The majority of
more effective than placebo in reducing pain in RA cases. the studies show the consequences of Homoeopathic
(17)
medicines used to treat the patient who tends to the
condition as well as to control the ongoing inflammatory
process without having any negative side effects on other
body parts, thereby lowering the risk of developing further
complications from the illness. and results were analyzed.

VI. RESULT

Table 3 Studies Conducted to Explore the Usefulness of Homoeopathic in Rheumatoid Arthritis

Studies Conducted to Explore the Usefulness of Homoeopathic In Rheumatoid Arthritis
S. No Author year Article title Result
Raza SA, 2020 Raza SA, Ali S, Qureshi MZ, Raza A, Rheumatic disease, causing inflammation in joints,
et al Waqar A, Yasmeen F, Hassan HA, Naz S. ligaments, tendons, bones, and muscles, cannot be
Use of Homeopathic Therapeutic Regimens cured by current medical practices, leading most
for the Treatment of Uterine Fibroids, patients to seek alternative therapies like
Expulsion of Kidney Stones & Rheumatoid homoeopathy. (16)
Arthritis: A Systematic Review.
Sapna G, 2020 Sapna G, Sulemani AA, Ghosh S, Kansal S, The study compares physiotherapy, homoeopathic
et al Kaur P, Mehrotra S. The Relation of Miasms medications, and a placebo in treating rheumatoid
in Homoeopathic Treatment, as add on, in arthritis. Results show that sycotic miasm
Management of Rheumatoid Arthritis. improves in 7 cases with a decrease in average
Advancements in Homeopathic Research. NPRS, while primary miasms in Group B show a
2020 Nov 22;5(3):13-8. slight improvement in one case. (17)
Priyanka 2020 Priyanka D, Mishra K, Singh J. Can Rheumatoid arthritis, a prevalent autoimmune
D,et al individualized homoeopathic medicines disease, can be effectively treated with customized
bring a ray of hope to the patients of homeopathic remedies, according to clinical case
rheumatoid arthritis: A pilot study. reports, observational studies, and RCTs. (18)
Ling HW. 2020 Ling HW. Constitutional homeopathy of five Homeopathy is a treatment method that focuses on
elements based on traditional Chinese treating the cause rather than just the symptoms of
medicine. Acta Scientific Medical Sciences. a disease. It analyses symptoms and creates
2020;4(7):57-69. specific therapies for major organs using the
principle of Five Elements in traditional Chinese
medicine., putting more emphasis on the cause
than the symptoms. (19)
Ling HW 2021 Ling HW. What Do All Autoimmune The author identifies patients as
Diseases Have in Com? on. J Clin Exp immunosuppressed and non-immunocompetent
Immunol, 6 (3): 301. 2021;304. due to a lack of energy in internal organs. To
improve immunity, she uses highly diluted

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medications like homeopathic, based on
Traditional Chinese Medicine theory, by Arndt
Shultz's Law as concentrated drugs reduce vital
energy and can be fatal. (20 )
Dwivedi 2020 Dwivedi AK. IMMUNITY AND Homoeopathy, a natural medical approach, boosts
AK. HOMEOPATHY the immune system through carefully analyzed
medications, considering a patient's physical,
mental, and inherited circumstances, resulting in
healthier patients and reduced illness. (21)

VII. DISCUSSION Homoeopathy is a boon for rheumatoid arthritis Bone

serves as the framework for the human body and is essential
All selected studies of the pilot study, random control to the body's overall structure. Rheumatoid arthritis is a
study, systematic review study, anti–miasmatic study in severe auto-immune condition This condition harms the
homoeopthay, immunity in homoeopathy, and studies that lining of the joints, leading to damage. Cartilage deteriorates
analyzed the effects of Homoeopathic medicine and were and bulges. The most prevalent rheumatic disease is
evaluated for treatment for rheumatoid arthritis. rheumatoid arthritis, and the use of dubious medications to
treat it has been limited. (22)
Homoeopathy is based on examining symptoms caused
by drugs and applying this knowledge to patients with Using a visual analog scale, patients with rheumatoid
similar symptoms. There is debate on the exact cause and arthritis were asked to rate how willing they were to take a
energy-based behavior of medicine. Observational studies medicine linked to 17 particular adverse effects. 35 % of
on conventional Chinese, homoeopathy, and Western those surveyed said they were unwilling to tolerate the
medicine have shown connections between the Five possibility of cosmetic alterations, 38 % of momentary
Elements theory and specific treatments for major organs. discomfort, and 45% of the potential for substantial toxicity.
The author suggests using traditional Chinese medicine in Patients who had experienced negative outcomes in the past
energy-based treatment, focusing on the cause rather than were more accepting of the chance of transient discomfort,
just symptoms, rather than treating symptoms with significant toxicity, and cosmetic alterations. (23)
homoeopathic drugs. (19)

They are classified as immunosuppressed and non- Homeopathy provides gentle, permanent cures for
immunocompetent in an essay written by the author conditions like rheumatoid arthritis using potentized
because, as she recently showed, practically all of her medicines. It offers a wide range of treatments without
patients have an absence of energy in their internal organs. adverse side effects. Further studies are needed for scientific
The Constitutional Homeopathy of the Five Elements, based evidence. Homeopathy has good results for providing a
on Traditional Chinese Medicine, uses diluted medicines to permanent cure.
improve organ energy.., For instance, homeopathic remedies
can be used to enhance the immunity of all patients. The  Rubrics And Their Justifications About Rheumatoid
author utilizes greatly diluted medications because, by Arndt Arthritis
Shultz's Law, highly concentrated drugs reduce vital energy
and are potentially fatal. (20)  Rubrics:
It is a clear or brief heading or title that represents a
These signs of a mental illness are not signs of a recurrent theme of comparable symptoms listed on their
mental illness. Person's Mental Symptoms A Person’s associated drugs in a repertory/ the use of rubrics to translate
Mental Symptoms are a collection of Changing Symptoms the patient's symptoms into reportorial language. Examples
that might help to distinguish the condition.2. Patient Mental with some related physical and mental features.
Symptoms of patient symptoms are those that can and ought
to be altered by a carefully chosen remedy. (21) Every symptom contains distinct mental factors
generated from people's earlier experiences, resulting in an
aggravated sickness. There should always be both physical
and mental generals. If the former is sufficiently powerful,
the latter may be able to pass for the former.

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Table 4 Rubrics and their Justifications about Rheumatoid Arthritis
REMEDY RUBRICS SYMPTOMS INTERPRETATION
BRYONIA [Bry] [Knerr] [Limbs general] joints:  Disturbed, averse to The unusual symptoms of Bryonia
swelling: Rheumatism. in: being rheumatism get worse with even the smallest
[complete][Extremities]inflammat  Talk indisposed to, movement. Consider that Bryonia's basic
ion Rheumatic joints: desires to be silent, feeling is one of loss, which must be swiftly
[Gentry] [Lower Extremities] taciturn. (25) made up for, to further explain this symptom.
Inflammation in Rheumatic They will suffer these strange symptoms as a
inflammation of joints; result of their financial loss since he is quiet
worse evening and night; intense, and dislikes interruptions. Being a tubercular
bright-red, shining swelling, miasm, it frequently causes joint symptoms to
sensitive to least contact; (24) change or move. (25)
RHUS  Rubrics: [Knerr] [Limbs in  Anxiety, air, in the Rhus Toxicodendron feels abandoned and
TOXICODEND General] joints: Rheumatism: open, ameliorate powerless by others while also being in There
RON [Rhus-t] (24)
 Fear, superstitious. is a risk of being attacked by one's family
 Fear, poisoned, of members.. He can't settle down for any
being (25) amount of sleep due to his ongoing anxiety.
Additionally, this anxiety is more prevalent
inside the home, and getting outside helps to
reduce it.
He is extremely superstitious, as evidenced by
his claims that eating sour food causes joint
discomfort and that consuming yogurt or
Eating curd can lead to stiffness in the neck,
which can be mistakenly attributed to
superstition or fear of being poisoned. These
are evident here. (25)
PULSATILLA  [Phatak] [Phatak A-Z]  Symptoms ever Pulsatilla is characterized by a prevailing
[Puls] Arthritis deformans: (24) changing; no two sense of gentleness. The belief is that one can
chills, no stools no two endure by being gentle and soft, rather than
attacks alike, very well rigid and inflexible. In terms of physical
one hour, very symptoms, Pulsatilla often experiences
miserable the next. wandering and fluctuating aches and pains.
 Changing and The sensations that the mind experiences are
contradictory reflected on the body and they are never fixed.
(25)
symptoms have no Or permanent.
(25)
head or tail to them.
CALCAREA NA  Ascending Bone and joint afflictions are frequently a part
CARBONICA (breathlessness, of Calcarea carbon’s pathology. Calcarea's
[Calc] weakness). primary emotion is a need for security and
 Exertion of any kind. stability. Calcium not only strengthens human
(25) bones but also forms shells, exoskeletons, etc.
for earlier forms of life. The Carbonates' main
idea is a crucial reaction. (25)
Thuja  [Knerr] [Limbs in general] NA Thuja is a remedy with strong sycotic
Occidentalis limb: Rheumatism: Arthritis characteristics. One of its primary symptoms
deformans, better morning(24) is feeling weak, or fragile. This, in my
 Delusion, The body is delicate. opinion, is the sycotic perception of having a
 Delusion, The body is thin. flaw or being weak within oneself. The dread
 Delusion, The body is brittle. of being weak in front of others makes up this
 Delusion, that she is made of fragile feeling on an emotional level. Thus, he
glass. provides a positive image of himself and
 insanity, will not be touched. worries that any small mistake could disclose
 Sensation as if something the true him—or the negative side of him—
above the abdomen, like that he has worked so hard to hide. The person
with When speaking to a doctor, Thuja's
limbs, were made of glass and
personality tends to be secretive and speaks in
would break.
a hushed tone while remaining aware of
 Eruptions only on covered
others' presence. Stiffness, a physical
parts.
manifestation of fixity, is one example of this.
 Sweats on uncovered parts. (26)
(25)

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Table 5 As a Result, Some Significant RA Rubrics are Provided below after Referring to Numerous Repertories
SYMPTOMS OF KENT REPERTORY (24) REPERTORY OF THE SYNTHESIS REPERTORY
(26)
RHEUMATOID SYMPTOMS OF
ARTHRITIS RHEUMATISM (27)
Rheumatic Pain in [Kent] [Extremities Spain] PAIN: FINGRS – PAIN EXTREMITIES - PAIN -
joints of the finger Fingers: Joints: Rheumatic: Joints – Fingers - Joints - rheumatic
Fever with pain in [Kent][Extremities GENERAL-FEVER-pain GENERALS - PAIN - Joints -
the joint pain]PAIN:Tearing:Joints: Fever, during: – severe – rheumatic fever
Pain in small joints [Kent] [Extremities pain] PAIN: Toes: GENERAL –ARTRITIS – GENERALS - PAIN -
Joints of Small joints: small joint rheumatic - Joints - Small joints
Stiffness of joints [Kent][Extremities]STIFFNESS: Joints: GENERAL-JOINTS- EXTREMITIES - STIFFNESS
stiffness - Joints - rheumatic
Swelling of joints [Kent][Extremities]SWELLING: Joints: GENERAL-JOINTS- GENERALS - SWELLING -
swelling Joints; of
Inflammation of [Kent][Extremities]INFLAMMATION: GENERAL – GENERALS -
joints Joints: INFLAMATORY –pain INFLAMMATION - Joints; of
severe-rheumatism. - rheumatic
Hard nodular lumps NA FINGERS – ARTHRITIC EXTREMITIES - ARTHRITIC
present in fingers –nodosities in joints nodosities- Finger joints
Hard nodular lumps NA GENERAL –ARTHRITIS EXTREMITIES - ARTHRITIS
present in joints with –nodosa deformans DEFORMANS
deformity of joints

Table 6 Here, an Effort is Made to Explain a few of the Autoimmune Rubrics Included in the
Synthesis Repertory Mind Chapter(26)
RUBRICS INTERPRETATION
Abstraction of mind A destroying sign that suggests that the mind has lost something
Involuntary The will and the muscles are totally out of sync. spontaneous or unplanned behaviour
Automatism Automatic process. Even if something is in the right position, an organized individual will unconsciously
arrange things in the right place.
Aversion, herself to An intense sense of dislike for oneself
Blames himself To accept responsibility for information or mistakes made
Biting a person's altered state of consciousness that makes them want to bite objects or articles.
Blindness pretending a wilful and intentional attempt to represent oneself as blind
Brutality the state of being extremely brutal, violent, and cold-blooded
Cruelty Lower than brutality.
Contemptuous oneself of Lack of admiration of oneself, or a state of putting oneself down
Censorious oneself to Being very critical of oneself
Delusion A wrong assumption with inconsistent proof
Destructiveness A natural person who enjoys inflicting pain on others is cruel and hard-hearted, lacking moral obligation.
Despair due to illness or other circumstances, loses all hope and confidence
Detached separation or detachment from emotional, intellectual, or social participation, which is present in
depression and schizophrenia
Delusion wrong done Succeed means achieving desired or expected results, but hardworking individuals often face negative
outcomes due to numerous failures in their lives, leading them to believe they will never succeed.
Eccentricity a deviation from the accepted normative behavior
Ennui, tedium boredom with life, losing interest in enjoyable pursuits, and common daily activities
Euphoria A heightened sense of well-being
Exhilaration Inordinately happy without sufficient cause
Fanaticism Intolerant of any beliefs or ideas that differ from his own, including those related to politics or religion
fancies imagination, particularly fantasy-based imagination
Hurting himself Causing pain or injury to self
Indifference lack of interest in or concern for family, friends, or the workplace
Injuring himself Causing physical harm or damage to oneself mentally or physically
Far way Depression-like apathy and indifference to the future
Forsaken feeling A feeling of being abandoned
Godless Lack of reverence for God
Homosexuality An erotic attraction toward same sex
Hysteria an emotional neurosis characterized by amnesia, somnambulism, etc.

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Imbecility A feeble-minded person with a defect in mental ability
Remorse painful recollection of wrongdoing, bitter regrets resulting from repentance for previous conduct
Self-blaming The patient blames him or her for a stressful event
Torturing Threatening and tormenting
Tormenting His minor problem causes great grief, anguish, and distress to others around him.

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