Autism Spectrum Disorder (ASD), Genetic and environmental causative factors, early detection and intervention, Individualised and Constitutional treatment, Autism Treatment Evaluation Checklist, Indications of rare remedies.ABSTRACT:
This article aims at unfolding the indications of a few uncommon homeopathic medicines in the treatment of Autism Spectrum Disorder (ASD), which came up repeatedly during the repertorization of their common symptoms from Autism Treatment Evaluation Checklist (ATEC). This article will explore the utility of some of the rare homeopathic remedies in addressing this Disorder in an adept and comprehensive manner so as to showcase the efficacy of Homeopathy as a complementary system of medicine.INTRODUCTION:
ASD is a wide range of conditions characterized by challenges with social interaction and communication skills. The child afflicted with this disorder is obsessed with repetitive behavior and has restricted interests. The chief causative factors of this disorder are genetic and environmental issues. The onset of this disorder usually occurs in the age group of children between 1 and 3 years, during which it comes to the notice of their parents. Though developmental milestones are generally normal during the early stage, they may gradually get delayed later on.
Globally, it has been found that the incidence of Autism is predicted to affect 24.8 million people in the current generation. In developing countries, about 1.5 % of children are diagnosed with ASD as of 2017. The prevalence of this Disorder in male children is 4 to 5 times more than that of female children.
ASD is diagnosed based on observation of the child’s behavior. Though the paediatrician does the basic screening investigations, ASD specialists confirm the diagnosis and the severity of the disorder is detected by advanced diagnostic instruments. This helps in catering their substantial needs and educational requirements. One among them is ATEC scores developed by Autism Research Institute. (1)
Though the disorder is confirmed by the Specialists in the field, parents have difficulty in accepting this medical opinion as this disorder is considered as a stigma. If the ailment is diagnosed at the initial stage itself, the gradual progress of the disorder can be arrested with early interventional behavioural and speech therapies along with Homoeopathic treatment with the help of indicated remedies. Though there are many well-proven, polychrest Homoeopathic remedies indicated in treating ASD, a few rare remedies also come to our rescue when specific troublesome symptoms are to be tackled or when explicitly indicated.
Our team took efforts in repertorizing the common symptoms of ASD from ATEC as part of our project on determining effectiveness of Homoeopathic intervention along with other modules and selected ten uncommon remedies which hold high efficacy in treating the same; clinically. Our aim is to turn floodlights on possible rare remedies which are useful in treating Autism\\\\ASD which is having varied combinations of objective symptoms and basically considered difficult to treat cases.
Remedies which depict most of the common symptoms found in ASD.
Impaired memory, depression, and irritability.
It acts mainly on mind, nerves, stomach, rectum and skin.
Anger, irascibility Anger violent, contradiction from; antagonism with the self.
Aversion to Company
Concentration difficult, dullness, answers slowly, difficulty in comprehension.
Lack of confidence in himself and others; cowardice; aversion to work; indolent.
Weeping, ameliorates symptoms
Intermittency of symptoms.
Fear of examination in students. Dimension and Weakening of all senses, sight, hearing, etc.
Suspicious; doubts everything around him. Cruelty, mischievous, malicious; irresistible desire to swear and curse.
Sensation of a plug in various parts - eyes, rectum, bladder, etc.
Sensation of a hoop or band around a part as if blunt instrument pressing.
Empty feeling in the stomach; Eating temporarily relieves all discomfort. Swallows food and drink hastily.
Fixed ideas; hallucination, delusion of being double; he thinks that he is possessed by two wills, one commanding him to do what the other forbids
Mental excitement, fright and mortification are the usual cause for the troubles.
Warts on palms of hands.
Passive haemorrhage when pulse is feeble and capillaries relaxed, cold skin; Haemophilia.
Checks the morbid secretions, gives tone to stomach and increases appetite.
Fear of being alone, violence and aggression.
Ailments from Shock. Very restless and sleepless.
Great weakness and irritability, wild delirium at night, jumps out of bed, sweats; is jealous; curses every one.
Excessive rudeness and stubborn; manipulative behaviour.
Tantrums, loses control in anger and destructive behaviour.
Wants to be noticed. Lies to cover-up, acts like good person.
No eye contact. Shy outside family.
Pulmonary haemorrhage; excessive expectoration (Tuberculosis)
Sensation of constriction of anus, haemorrhoids, constipation, requiring great effort for expelling the stool followed by great exhaustion
Likes smoked meat
Excessive dryness of the mouth and throat
Itching of skin
Photophobia with burning of lids
Epistaxis; stingy thick discharge from nose
Irritation and catarrhal inflammation of alimentary canal is the key note.
Desire for company, solitude is unbearable; anguish; discontented.
Complaining, lamenting, bemoaning, wailing, etc
Mind, confusion of mind, restlessness; driving out of bed.
Headache every winter; alternating with gastralgia.
Craves cold drinks, which is vomited at once when stomach becomes full. Vomiting of water as soon as it reaches the stomach; food retained for longer of enormous quantities.
Slow digestion, foetid eructation
Pain after laparotomy
Cholera morbis and summer complaints when vomiting predominates.
Toothache better by holding cold water in mouth.
Dry palms and soles.
Ailments from: heat, summer weather, abdominal operations.GERMANIUM METALLICUM:
Ailments from suppressed anger, indignation
Violent outburst of anger, due to frustration of feeling powerless. Such an explosion of anger is very quickly forgotten later.
Apathy, self-loathing, hopeless, weeping, lack of motivation.
Isolates self; feels estranged, no one to talk to.
Feels being a prisoner, fear for opinion of others.
Dyslexia, difficulty in concentration, is always confused.
Extreme weakness, chronic fatigue.
Diseases of nerves, liver and kidneys.
It is perfectionist in order to gain good opinion from others
Feels guilty. Self-reproach, hates him, is disgusted with him.
This remedy has in one hand a state of unity, expansion and feeling of love and on the other a state of feeling very small, separated and alone.
Delusion of being estranged, detached, diminished, criticised, pursued with forsaken feeling.
Delusion that he is in the presence of god, spaced out feeling, expanded, that he is separated from the world.
Being one and desire to be one is the key point of this remedy. These people want to experience the world as one whole unity. The desire for unity is expressed as strong religious feeling.
Absent minded, confused, lacks concentration and makes mistakes.
Strong curiosity towards knowing everything in this world
Difficulty in measuring distance and size.
Very simple, idealistic and naive
Dreams of death, enemies, animals, danger, crime, disgusting, etc.
Fear of accidents, of becoming insane, future, acquiring disease and death.
Right sided; Sudden appearance and disappearance of symptoms, annual return of ailments
Congenital deformities; weakness; digestive disorders.BUFO RANA
The poison of this toad has a remarkable action on nervous system and sexual organs
It arouses lowest passions; patient is not only low minded but develops low type disease also.
It is a remedy for depravities, due to bad inheritance
Early broken down, prematurely senile person.
It affects, circulation causing ebullition of heat, flushing; burning in different parts.
Bloody oozing from nipples, bloody saliva, etc.,
Trembling like paralysis agitans.
Electric like shock, felt throughout the whole body.
Feels as if whole body is swollen.
Falls down unconscious, with a blood curdling scream.
Epileptic seizures; anger before convulsion,
occur during night; connected with sexual sphere; at the time of menses, in women when sexual desire is excited; in young due to onanism or during coition, attacks are followed by headache; becomes unconscious after epilepsy;.
Septic lymphangitis, due to injuries, when pain runs up in streaks.
Spasms in children, after nursing angry or frightened mother.
Anaesthetic spots on skin.
Aversion to the sight of brilliant objects.
The mind remains childish, only the body grows.
Convulsions from suppurative conditions.
Idiotic, imbecility: forgetful
Desire for solitude; taciturn.
Inclination to be angry.CICUTA VIROSA
Commonly known as water hemlock, exerts its chief influences on brain and nervous system producing violent spasmodic effects
Convulsions, trismus, tetanus, hiccough,
Jerks; of head and twitching’s of various parts; of arms and fingers.
Spasms move downwards with terrific violence, with sudden shocks through body or head, then rigidly or shrieks; then prolonged unconsciousness; opisthotonos, and frightful facial distortions; with bloody foam from the mouth then utter prostration; spasms are renewed by touch by noise, loud talking.
Spasms of diaphragm hiccough; of gullet; muscles become rigid.
Childish behaviour, sings, dances, shouts
Moaning, howling and weeping.
Excessively affected by sad stories
Mistrusts and shunning of man.
Confounds present with the past.
Mania, with dancing laughing and ridiculous gestures.
Feels as if he was in a strange place.
Everything appears strange and terrible; Sad when seeing others happy
Memory blank for hours or days
Falls to ground and rolls about with or without convulsions.
Feels herself unsteady ; over estimation of himself
Does not remember what has happened, does not recognize anybody but answers well.
Worse: Injury to the brain, to the oesophagus, from splinters in fresh., jar., noise., touch., cold., dentition., suppressed eruptions., draughts., tobacco., smoke., turning the head.
Better: Thinking of the pain, warmth.HELLEBORUS NIGER
Commonly it is known as Christmas rose or black hellebore
Melancholy, taciturnity; anguish, sobbing, lamenting indolence, obstinate silence; home sickness, irritability aggravation by consolation
Dullness of the internal senses
Stupidity and want of reflection with fixedness of look on one single point, much moaning and inability to think
Weakness of the memory- the mind seems to be loose the command. Stools consisting solely of clear, tenacious , colourless mucus
Dropsical affections of the brain, especially after scarlatina or summer complaints or during dentition
Constantly chewing motion grind the teeth rolls head side to side and buries in pillow.
Patients face, lips, hands etc., become dark, nostrils sooty, hence it is a dark and dusky remedy.
Senses become blunt and responses are sluggish: sees, hears, taste imperfectly.
Absent minded, absorbed in thoughts, forgetful; answers confusedly
Concentration difficult while reading or studying.
Delusion, raving; imagination, delusion, sees devils: fancies he has wrong gestures, picks at bed cloths.
Indifference to loved ones, pleasure, relations. Occupation amelioration
Mind, answers, reflects long
company aversion to, amel., when alone
grimaces , growling like a dog, grunting , heedless , feeling of helplessness, , desire to hide, SUMBULUS MOSCHATUS
Musk root as it name implies closely resembles in its odour to musk, therefore like moschus it is the remedy for hysterical and nervous affections.
It affects heart causing nervous palpitation.
The patient is nervous, irritable and sleepless
Tendency to faint from slightest cause.
Chorea; constant jerking of the head and limbs with protrusion of the tongue.
As of hot water flowing through part.
Yellow tenacious discharges.
Numbness on becoming cold on left side.
Intellect dull in the morning; inability to study; clearer in the evening and in warmth.
Happy disposition with continued smiling.
Expression idiotic; fear of becoming insane
Alternate laughter and tears; Easily excited; emotional;
Fidgety, at first spirits are exalted then depressed.
This remedy produces marked skin, throat and mental symptoms especially, depressed states at puberty and climaxes with exalted sexuality.
Acridity, burning smarting in various parts.
Favours rapid healing of wounds
Sudden vanishing of thought, forgets from one moment to next what she wishes to do.
Fear; getting crazy; of evil spirits;
Averse to work and answering questions,
Anxiety before menses
Bashful and taciturn
Timid look < from anger and after eating.
About ATEC scores: A major obstacle in autism research has been the lack of a valid means of measuring the effectiveness of various treatments. Lacking such a scale, researchers have resorted to using scales such as the Childhood Autism Rating Scale (CARS), the Gilliam Autism Rating Scale (GARS), or the Autism Behavior Checklist (ABC), all of which were designed to diagnose autism- to tell whether or not a child is autistic--and not to measure treatment effectiveness. The Autism Treatment Evaluation Checklist (ATEC) was developed by Bernard Rimland and Stephen M. Edelson of the Autism Research Institute, to fill this need.CONCLUSION:
The intricate cases of Autism/ASD which are treated by the pioneers of Homeopathy as well as Homoeopaths in general without being categorized till now; finds a place of renaissance within the scope of this system with many renowned Homoeopaths handling such cases in an admirable manner.
By combating the challenges faced so far and exploring many possibilities for successfully treating the same by harnessing the medical treasure from the core tenets of Homoeopathic medical science many eminent Homoeopaths are doing a great service, individually. IHRC (Indian Homoeopathic Research Centre) is positioning towards bringing consensus about the same and to involve more and more upcoming Homoeopaths.
1. Autism Treatment Evaluation Checklist (ATEC)
2. A Dictionary of Practical Materia Medica by J. H. Clarke
3. A synoptic key to Materia Medica by C. M. Boger
4. Lectures on Homoeopathic Materia Medica by J. T. Kent
5. Allen’s Keynotes by H. C. Allen
6. New Manual of Homoeopathic Materia Medica and Repertory by William Boericke.
10. www.homoeopathy360.comHMP Vol 24 Issue 3