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A grade 3/6 harsh systolic ejection murmur is heard at the left upper sternal border treatment centers discount 200 mg quetiapine. An x-ray of the chest shows a small boot-shaped heart and decreased pulmonary vascular markings medicine naproxen order 50 mg quetiapine overnight delivery. A 15-year-old girl is brought to the physician 3 months after she had a blood pressure of 150/95 mm Hg at a routine examination prior to participation in school sports medicine for high blood pressure purchase quetiapine 50mg overnight delivery. Twelve months ago symptoms queasy stomach discount quetiapine 100mg visa, she was diagnosed with a urinary tract infection and treated with oral trimethoprim-sulfamethoxazole. Subsequent blood pressure measurements on three separate occasions since the last visit have been: 155/94 mm Hg, 145/90 mm Hg, and 150/92 mm Hg. Her blood pressure today is 150/90 mm Hg confirmed by a second measurement, pulse is 80/min, and respirations are 12/min. A 47-year-old man comes to the physician 12 hours after the sudden onset of a severe occipital headache and stiff neck. A 72-year-old man comes to the physician because of a 7-month history of leg weakness and dry eyes and mouth. His neurologic findings are most likely due to a lesion involving which of the followingfi A 65-year-old man who is quadriplegic as a result of multiple sclerosis is hospitalized for treatment of left lower lobe pneumonia. Examination of the heart, lymph nodes, abdomen, and extremities shows no abnormalities. There is a 1-cm area of erythema over the sacrum with intact skin and no induration. A 45-year-old woman has a 2-week history of increased anxiety, abdominal discomfort, irritability, and difficulty concentrating; she was robbed at knifepoint in a parking lot 3 weeks ago. She takes levothyroxine for hypothyroidism and uses an over-the-counter inhaler as needed for exercise-induced asthma. She is cooperative but appears anxious, glancing around quickly when a loud 3 noise is heard outside the office. Leukocyte count is 12,000/mm, and serum thyroid-stimulating hormone concentration is 5. An 87-year-old woman is brought to the physician by her son because of progressive memory loss over the past 2 years. Her son says that she repeats herself frequently and has been forgetting to take her routine medications. She takes hydrochlorothiazide for mild systolic hypertension and levothyroxine for hypothyroidism. Laboratory studies, including serum vitamin B12 (cyanocobalamin), thyroxine (T4), and thyroid-stimulating hormone concentrations, are within normal limits. Her second child was delivered by lower segment transverse cesarean section because of a nonreassuring fetal heart rate; her other three children were delivered vaginally. There is blood on the vulva, the introitus, and on the medial aspect of each thigh. A previously healthy 14-year-old girl is brought to the physician because of a 2-day history of fever and pain and swelling of the right knee. She remembers injuring the knee while playing soccer last week, but she was able to finish the game. Examination of the right knee shows swelling, tenderness, warmth, and erythema; range of motion is limited. A 77-year-old man is brought to the physician because of a 12-hour history of word-finding difficulty and weakness and sensory loss of the right arm and leg. His pulse is 80/min and irregular, respirations are 16/min, and blood pressure is 170/90 mm Hg. There is moderate weakness and decreased sensation of the right upper and lower extremities. A 62-year-old man comes to the physician because of a 2-month history of progressive fatigue and ankle swelling. He had an anterior myocardial infarction 3 years ago and has had shortness of breath with mild exertion since then. His pulse is 100/min and regular, respirations are 20/min, and blood pressure is 130/75 mm Hg. Further evaluation of this patient is most likely to show which of the following findingsfi A 19-year-old college student comes to the physician because of vaginal irritation and pain with urination for 5 days. She has been sexually active with two partners over the past year; she uses condoms for contraception. Pelvic examination shows erythema of the vulva and vagina and a thick white vaginal discharge. Examination, including neurologic examination, shows no abnormalities 3 except for multiple ecchymoses. Her hemoglobin concentration is 13 g/dL, leukocyte count is 5000/mm, and platelet count 3 is 35,000/mm. A 65-year-old woman has a 6-month history of progressive irritability, palpitations, heat intolerance, frequent bowel 131 movements, and a 6. I scan shows an enlarged thyroid gland with multiple areas of increased and decreased uptake. A 52-year-old man comes to the physician with his wife because of a 1-year history of excessive daytime sleepiness. He does not think the symptoms are problematic, but his wife is concerned because he sometimes falls asleep on the sofa early in the evening when guests are present. He also once fell asleep while driving at night and drove off the road, narrowly avoiding injury. His wife says that he has always snored loudly, and over the past year, he has had episodes of choking or gasping for 2 breath while sleeping. A 22-year-old woman comes to the physician in October for a follow-up examination. Which of the following health maintenance recommendations is most appropriate at this timefi A 47-year-old woman comes to the physician because of persistent nonproductive cough for 6 weeks. A 42-year-old woman comes to the physician because of an 8-week history of intermittent nausea and abdominal pain that occurs 20 to 30 minutes after eating. The pain extends from the epigastrium to the right upper quadrant and is sometimes felt in the right scapula; it lasts about 30 minutes and is not relieved by antacids. He has a history of chronic recurrent otitis media and recently completed a 10-day course of antibiotics. Examination shows clear ear canals and intact tympanic membranes; a brown, irregular mass is visualized behind the tympanic membrane. A 67-year-old woman has had fatigue, dry skin, brittle hair, swelling of the ankles, and cold intolerance for 1 year; she has gained 9 kg (20 lb) during this period. Examination shows dry skin and a nontender thyroid gland that is enlarged to two times its normal size. A 10-year-old boy is brought for a follow-up examination 2 days after he was seen in the emergency department because of hives, hoarseness, and light-headedness. His symptoms began 15 minutes after he was stung by a bee and lasted approximately 60 minutes; they resolved before he was treated. He has been stung by bees three times over the past year, and each reaction has been more severe. Which of the following is the most appropriate recommendation to prevent future morbidity and mortality from this conditionfi A previously healthy 17-year-old girl comes to the emergency department because of a 5-day history of progressive lower abdominal pain, fever, and malodorous vaginal discharge. Menarche was at the age of 12 years, and her last menstrual period was 2 weeks ago. She is sexually active with one male partner and uses a combination contraceptive patch. Pelvic examination shows a purulent cervical discharge, cervical motion 3 tenderness, and bilateral adnexal tenderness. Ultrasonography shows a dichorionic-diamniotic twin intrauterine pregnancy consistent in size with an 8-week gestation.

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Such persons should observe the general laws of hygiene and especially should they practice daily those forms of physical exercise that tend to counteract the effects of mental work treatment breast cancer generic 200 mg quetiapine with mastercard. Physical Exercise properly taken is beneficial to the nervous system through both direct and indirect effects treatment 5th toe fracture 50 mg quetiapine for sale. A large proportion of the nerve cells have for their function the production of motion medicine disposal quetiapine 50mg free shipping, and these are called into play only through muscular activity symptoms non hodgkins lymphoma cheap quetiapine 50 mg free shipping. Then, as already suggested, physical exercise counteracts the unpleasant effects of mental work. Hard study causes an excess of blood to be sent to the brain and a diminished amount to the [329] arms and to the legs. A daily walk of two or three miles is also an excellent means of counteracting the effects of mental work. The brain worker should, however, avoid violent exercise or the carrying of any kind of exercise to exhaustion. To shorten the time for sleep is to weaken the brain and to lessen its working force. No one should attempt to get along with less than eight hours of sleep each day and most people require more. Those under six years should have from eleven to twelve hours 416 Physiology and Hygiene for Secondary Schools of sleep per day. Insomnia, or sleeplessness, on account of its effects upon the nervous system, is to be regarded as a serious condition, and hygienic means for relieving it should be diligently sought. Having its cause in nervousness, a disturbed circulation of the brain, or some form of nervous exhaustion, it is benefited through relieving these conditions and in the manner already described. The bed should be comfortable, and the room should be cool, well ventilated, dark, and quiet. The inducing of sleep by means of drugs is a dangerous practice and should never be resorted to except under the direction of the physician. Heat increases the nervous irritability, while cold acts as a natural sedative to the nerves. A nervous person is made more nervous by an overheated atmosphere, but derives beneficial effects from exposing the body freely to cold air and water. The tonic cold bath (page 273), if taken with the usual precautions, can be used to good advantage in diminishing nervousness. The taking of outdoor exercise in cold weather is, for the same reason, an excellent practice. Emotional states are also known to interfere with breathing and with the action of the heart. Such effects are explained through the close relation of the mind to the work of the nervous system in general. While certain emotional states, such as fear, anger, melancholia, and the impulse to worry, interfere seriously with the normal action of the nervous system, others, such as contentment, cheerfulness, and joy, are decidedly beneficial in their effects. How important, then, is the habit of suppressing the states that are harmful and of cultivating those 417 that are beneficial. From a hygienic, as well as social, standpoint a cheerful, happy disposition is worth all the effort necessary for its attainment. The Nervous Condition of Children should be a matter of deep concern on the part of both parents and teachers. In the home, as well as in the school, the child may be "pushed" until the nervous system receives permanent injury. Exhaustion of nerve cells is produced through too many and too vivid impressions being made upon the immature brain. He should have the benefit of [331] outdoor exercise and should be early inured to cold. He should be shielded from the poisoning effects of tea, coffee, tobacco, alcohol, and other drugs. He should not be indulged in foolish caprices or whims, but should be taught to be content with plain, wholesome food and with the simple forms of enjoyment. Night study added to the work of the day makes a heavy burden for elementary pupils to bear. Though the legal school age is usually fixed at six years, delicate children should be kept out of school until they are seven or eight years old, provided they have good homes. In addition to the excitation incident to studying and reciting lessons, conditions frequently arise both in the schoolroom and upon the playground that create a feeling of fear or dread in the minds of children. Quarrels and feuds among the children and the bullying of big boys on the playground may work untold harm. All conditions tending to develop fear, uneasiness, or undue excitement on the part of children should receive the attention of those in authority. Excessive Reading is a frequent cause of injury to the nervous systems of children. This has a bad effect, both on account of too many impressions being made upon the mind and also on account of the strain to the eyes. Then if the reading consists mostly of light fiction, the mind is directed away from the really 418 Physiology and Hygiene for Secondary Schools important things of life. The reading of children should be thoughtfully controlled, both as to quality and quantity. Exciting stories should, as a rule, be excluded, but a taste for biography, [332] historical and scientific writings, and for the great works of literature should be cultivated. Simple fairy tales which have a recognized value in developing the imagination of the child need not be omitted, but it is of vital importance that the "story-reading habit" be not formed. Some of these are violent poisons, while others, in small quantities, are mild in their action. Certain drugs, in addition to their immediate effects, bring about changes in the nervous system which cause an unnatural appetite, or craving, that leads to their continued use. This is the case with alcohol, the intoxicating substance in the usual saloon drinks, and with nicotine, the stimulating drug in tobacco. The same is also true of morphine, chloral, and several other drugs used as medicines. The danger of becoming a slave to some useless and pernicious habit should dissuade one from the use of drugs except in cases of positive emergency. Through its action on this system, it interferes with the circulation of the blood, produces a condition of "temporary insanity" called intoxication, weakens the will, and eventually dethrones the reason. Worst of all, it produces a condition of "chronic poisoning" which manifests itself in an unnatural craving, and this causes it to be used by the victim even when he knows he is "drinking to his own destruction. But even if this does not occur, the practice 419 is objectionable for its unhygienic effects in general. Whenever a crime is committed somebody is injured, and alcohol is known to be a chief cause of crime. Alcohol causes crime through the loss of self-control, seen especially in intoxication, and also because of the moroseness and quarrelsomeness which it developes in certain individuals. Indirectly it causes crime through the poverty which it engenders and through its influence in bringing about social conditions out of which crime develops. Everything considered, the free use of alcohol is incompatible with the nervous health and moral tone of a community. Taken in small quantities, it is a mild stimulant and, if the doses are repeated, a habit is formed which is difficult to break. While not so serious in its results as the alcohol and other drug habits, the use of tobacco is of no benefit, is a continual and useless expense, and, in many instances, causes a derangement of the healthy action of the body. It induces, as already stated (page 56), a dangerous nervous derangement called "tobacco heart," and it causes a serious disorder of the retina (retinitis) which leads in some instances to loss of vision. Tobacco smoke also acts as an irritant to the delicate lining of the eyes, especially when the tobacco is smoked indoors. In addition to the harmful effects observed in those of mature years, nicotine interferes with the normal development of the body and lays, in many instances, the foundation for physical and mental weakness in later life. The cigarette is decidedly harmful, especially when inhalation is practiced, its deadening effects being in part due to the wrappers, some of which have been shown to contain arsenic and other poisonous drugs. While dulling the intellect and weakening the body, cigarette smoking also tends to make criminals of boys.

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In this fever medicine 1800s discount 200mg quetiapine with visa, susceptible to Mercury medications and mothers milk discount 200mg quetiapine free shipping, one sign is that the childs eyes appear glossy as if painted with varnish medications ordered po are discount 100 mg quetiapine overnight delivery. In measles and chicken pox too treatment anal fissure purchase 100 mg quetiapine with amex, the eyes have a similar appearance for as long as the rash has not appeared. I also use a biochemic prescription for such conditions and that is Natrum Phos, Ferrum Phos, Silicea, Kali Mur and Calcarea Phos in 6X. For inflamed tonsils, Calcarea Fluor should also be added and the mixture administered repeatedly. If the illness is still not controlled and the patient has the symptoms of Mercury, then Mercury must be used, after Hepar Sulph of course. In other words, Merc Sol should be used for the treatment of any inconsistent type of condition. Mercury may possibly be of benefit in the treatment of epilepsy-like conditions in children as well as neurological diseases associated with spontaneous involuntary movements of the limbs (chorea, athetosis. The headache in a Mercury patient is connected to the suppression of body discharges. For example, the suppression of sweating of feet or the sudden stoppage of nasal secretions will precipitate the headache. All the eye symptoms of pink eye at the onset of summer are also found in Mercury. It is not possible to repair the detached retina that definitely needs to be treated with laser surgery. Some doctors are of the opinion that Merc Sol, in a low potency, may benefit many retinal conditions. Stinky, white or dark green pus discharging from the ears is a typical sign of Mercury. Sometimes, Merc Sol can quickly control the common cold, although this is only a superficial treatment. Kali Iodide is intimately related to the conditions affecting the mucous membranes. Mercurius 501 Nevertheless, Kali Iodide alone may not be sufficient for catarrhal conditions. Kent has warned against the repeated use of Mercury for skin diseases, lest it causes permanently serious ill effects. It is possible that Mercury may only be related to certain skin diseases and may not have any similarity to the overall constitution of the patient. The result would be that some diseases might get better while the majority would merely be suppressed or rendered latent. Mercury is very useful in the treatment of diseases of the teeth, especially when they become brittle and the gums recede, along with the formation and collection of offensive discharge (pyorrhoea. Teeth turning black and decaying at their root can be treated with Kreosotum as well as Merc Sol. If the roots of the teeth have become black, then Staphysagria works better than Merc Sol. In congenital syphilis, the teeth of the children decay at an early age and become black. A worsening of the discomfort on drinking hot fluids, the difficulty in swallowing liquids and the persistent feeling of something being stuck in the throat (as in Hepar Sulph), need to be treated with Mercury. The appetite of a Mercury patient is either markedly increased or it is totally lost. In the presence of all these Mercurius 502 symptoms, Merc Cor proves to be almost a sure shot remedy. One symptom of Mercury is that the heart starts beating fast on the slightest physical exertion. Regarding the diseases of women, such as stinging and burning the ovaries, excessive menstrual bleeding, abdominal pain, the abrasive type of leucorrhoea getting worse at night, morning sickness and scalding urination, followed by itching which gets relieved on washing with cold water; are all the signs of, and effectively treatable with, Merc Sol. Abortion, in the early months of pregnancy, resulting from weakness can be treated with Merc Sol. Merc Sol removes the weakness and provides the strength to carry the pregnancy through. Mercury cannot cure the cancer of the uterus or the breast, but definitely ameliorates the pain and relieves the suffering. One Mercury compound called Proto Iodide has proved to be very useful in the treatment of breast cancer. Kent used to prescribe Proto Iodide 100 for the treatment of pain due to cancer of the breast. Kent had noted an egg-sized cancerous lump of the breast was resolved or dissolved completely with the use of Proto Iodide of Mercury. It benefits more on the right-sided tumour, while another compound of Mercury-bin-Iodide, works better on the left-sided tumour. Merc Sol is very useful in the treatment of spasmodic stiffness of the neck, on exposure to the cold. If the suffering is noted as first thing in the morning, then Belladonna should be used first. In certain paralytic conditions, there can be spontaneous jerky movements of the limbs, bending them. Its Eczema and the ulcers are associated with a Mercurius 503 burning and piercing sensation. In this type of symptom complex, any homoeopathic remedy of which the main constituent is Mercury will be found useful with rare exceptions. The symptoms of a patient of Mercury aggravate at night, like Syphilinum and Sulphur. In Sulphur, the aggravation is due to the warmth of the bed, while in Mercury it is the time of the night, that aggravates whether the patient is asleep in bed or not. Boericke has also restricted this medicine to the out-flow of bright red blood only (arterial), without mentioning its relationship to the venous blood. Kent right from the start describes Millefolium as the top class treatment for varicose veins. Therefore, he does not describe Millefoliums blood as always bright red, but rather describes it as generally red. Anyhow, Millefolium is the best treatment for any bleeding, be it of bright red or darkish colour. Perhaps there is no other drug that has more symptoms related to bleeding than Millefolium. Millefolium may also be effective whenever there is increased bleeding from cancerous wounds, in stopping such a bleed. It is now well established that repeated local application of pure honey on the wounds helps healing. One symptom of Millefolium is that the eyes become red and there is a strong feeling that a lot of blood has accumulated in the eyes. Millefolium will also be useful when the eyes become red due to the increase in local blood flow, the vision becomes blurred and there is a strong tendency of nosebleed. Millefolium 30 given in combination with Phosphorus 30 proves to be much more effective against this ailment. In women, excessive and prolonged menstrual bleeding and cramps over the uterus and lower part of the abdomen are a specific symptom of Millefolium. The triad of these symptoms occurring simultaneously in a patient will, by the grace of God, immediately benefit from the use of Millefolium, with rare exception. Quite often, Millefolium 505 a single dose of Millefolium may cure them of this problem forever. By Gods grace, just one dose of Millefolium in 100 000 potency completely cured him, If patients who have the tendency to bleed are given one dose of Millefolium in 1000 potency before a surgical operation, they will be saved from the complications of excessive bleeding during the operation. On the contrary, allopathic drugs that are used to stop bleeding usually make the blood thick, whereas homoeopathic remedies stop the bleeding while keeping the blood flowing healthily. From this point of view, Millefolium is an excellent remedy as it stops bleeding without making the blood unnecessarily thick and prone to clotting.

Birds are known to express violent noisy reactions before a change in weather becomes noticed symptoms kidney pain quetiapine 200mg with mastercard. In homoeopathic treatment medicine 101 purchase 100mg quetiapine fast delivery, the remedy is administered in such delicate amounts that there is no chance of adverse effects on the body ad medicine purchase quetiapine 200mg line. It is the soul medicine you can overdose on cheap quetiapine 50 mg amex, the real subtle entity, which is able to perceive the delicate presence of medicines or poisons otherwise undetectable or unperceivable. No wonder the Founder of Ahmadiyyat named this system of medicine, the spiritual system, i. Preface 4 Proving the characteristic features of different medicines have been investigated for thousands of years. Although people knew the effects of this poison before this, the personal experience and the moment-by-moment, detailed description of the effects of this poison as given by Socrates had never been known as before. As the poisonous symptoms gradually worsened, he kept describing to his attendants precisely as to what, where and in what order was his body being affected by the poison. Hahnemann also tried many poisons on himself, in diluted form, and also noted the effects that had been minutely described by Socrates. He also found that when a weakened poison is administered in small doses repeatedly, its unique properties become manifest but do not last forever. This process of registering minute details of the actions of the poison and like substances is called Proving. Hahnemann, many homoeopaths have experimented on themselves with various poisons and noted their detailed effects. For proper acceptance, the proving has to be done by many: in different times, weather and localities and on people with different dispositions. Proper registry into the Materia Medica is attained after collective group discussions on the methods and results of proving arrived at individually, as some drugs may work better on obese people and some on thin and lean people. The volunteers of these experiments are not told of what and from what source they have been given a substance. Experimentation is repeated in different seasons and the effects are noted on the body as well as the mind. One remedy has a similar effect on two patients with similar mental symptoms, but may not have a similar effect on two patients with similar physical appearance. Methods of Preparing Homoeopathic Remedies Homoeopathic remedies are prepared in two ways: 1. The original substance or extract is mixed in alcohol, stored for a while and then sifted. Many remedies are used in this form such as Carduus Marianus in Preface 5 liver diseases. Eight to ten drops dissolved in water and taken by mouth are very useful in many liver disorders. The Mother Tincture is diluted with alcohol or distilled water in a bottle, one drop in ninety-nine drops of the diluent and shaken vigorously two to four times so that it becomes completely homogeneous. For example, a drop of Mother Tincture of Aconite shaken well in ninetynine drops of the diluent, alcohol or distilled water is Aconite potency 1. A drop of Aconite 1 added to ninty-nine drops of alcohol and shaken well will make Aconite 2. A drop of Aconite 2 vigorously shaken in ninety-nine drops of alcohol will make Aconite 3 and so on. The letter C written along with the potency indicates that in each dilution, the medicine is diluted one in a hundred. If the process consists of putting one drop of the Mother Tincture in nine drops of the diluent instead of ninety-nine drops, the medicine prepared would be potency 1D, which means ten. Some Homoeopaths use the original poison instead of the mother tincture in a very small amount and mix it in 9 grams of the powdered Dextrose. In fact, an increase in potency denotes a decrease in the quantity of the poisonous substance or extract. In the biochemical system, as the quantity of poison decreases by one in ten, this is called potency 1. In some countries, however, they still write C or D with the potency of their prepared remedies. In the biochemical system, X is always written as a measure of potency such as 1X, 2X, 3X, 6X or 12X etc. Usage of Homoeopathic Remedies It must be remembered that in cases of well-established illnesses of long-standing such as asthma and epilepsy, it is not right to prescribe a Preface 6 casual prescription. Instead, one must see the patient and have a detailed discussion with him or her to find out about the illness as well as the constitution of the person in order to reach the constitutional remedy. In my experience, many a time, the patient did not respond to the standard well known prescription but after a detailed personal examination of the patient, including his state of mind, the prescription given worked wonderfully well. For example, patients of epilepsy experience auras of a different nature before the actual attack. One such patient used to experience loud, unbearable noises and would not go to sleep out of fear. If a rush of blood to the head is noted and the blood pressure rises, Cactus would be the ideal medication. Similarly, one should look for typical signs and symptoms of the illness before prescribing. After a personal examination of the patient, I found that he was a nervous, psychic wreck. On another occasion, I gave Aconite and Belladonna to a kidney patient in view of the acute nature of the sickness but it simply did not work. Belladonna and Aconite would have worked if heat had been making him worse and if cold offered him relief. As soon as I gave him Magnesia Phosphoricum and Colocynth, he immediately got better. One should get into the habit of forgetting the disease for a moment and give due attention to the individual symptoms and constitution of the patient. In a person of hot temperament, the medication designed for a cool-minded person will do harm instead of doing good. All these factors form the constitution of the patient and should be kept in mind while prescribing a remedy. In a busy practice, the experienced homoeopath can prescribe a routine and well tried prescription for a particular ailment and it often works. However in case of chronic, long-standing illnesses, Preface 7 one must spend enough time on a detailed study of the patient as well as the illness. In Rabwah, I was deeply involved in my official duties: in Waqf-e-Jadid, Ansar Ullah and Khuddamul Ahmadiyya etc. I had to be present in committee meetings of Anjuman Ahmadiyya and Tahrik-e-Jadid. Apart from that, I ran a homoeopathic dispensary in the Waqf-e-Jadid office in the evenings and would see up to one hundred patients a day. I had started the dispensary at home during the time between Maghrib and Isha (evening and night prayers. The shortage of time compelled me to devise the compounding of more than one remedy. As I already indicated, I had done an extensive study of homoeopathic remedies and had informally practised homoeopathy for years. On the basis of this knowledge and experience, the compounding of medicines worked very well. In some cases, I had to change the compounds and in certain obstinate cases, I carried out a detailed personal study of the patients constitution and his disease. Secondly, more and more remedies are being added to the homoeopathic Materia Medica. Many of the old remedies are already natural compounds themselves, such as Nux Vomica, which is a combination of many natural constituents. While prescribing compounds, my concern is about their final characteristic features. It is not necessary that the total effect of the constituted remedies must be the sum total of all. Antibiotics will fight some viruses but the remaining ones will go into mutation, proving extremely dangerous. Preface 8 A General Principle Generally speaking, chronic illnesses, which have gradually invaded and taken over the body systems over a long period, are amenable only to slow but progressively acting remedies.

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