1. Question: If a patient comes with arthritis, do I give him CC20.3 or are there other combos that I should consider?

Answer: When a patient comes with arthritis, even if it is diagnosed by a doctor, it is a good idea to start treatment with CC20.1, or CC20.2 if pain is excessive. Only if the patient is not relieved by either of these combos, give CC20.3. If this also does not help the patient then add CC20.4 which covers muscles and supportive tissues, because the latter may have been affected by the patient’s arthritic condition.

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2. Question: Which combo is effective for low haemoglobin? Many women come with this problem.

Answer: Anaemia or low haemoglobin is treated using CC3.1 Heart tonic but one should try to find the cause of anaemia e.g. heavy periods in the case of women. In this case, give CC8.7 Menses heavy to treat this problem also. If it is lack of iron then CC4.2 Liver tonic should be added to CC3.1.

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3. Question: During treatment of a patient for chronic problem, he got the flu. Should I stop the treatment for chronic problem while dealing with this acute condition

Answer: There is no hard and fast rule for this situation. It is up to the practitioner to make an intelligent decision. If for example, the patient is being treated for cancer and then catches a cold, one would continue with cancer treatment as it is better not to stop that. The same would apply when one is treating arthritis and the patient catches flu. However, it will not hurt if you were to stop the combo for arthritis for a few days while CC9.2 is given for flu.

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4. Question: Can I mix remedies from different Narayani groups? Is there a criterion for combining vibrations

Answer: You may combine any remedy or mixture with any other remedy or combo. The criterion for combining vibrations is simply to get the patient well as soon as possible. What you are trying to do when combining one remedy or mixture with others is to cover all facets of the illness or disease and all the symptoms. For example with a cold there might be a fever, heavy head, stuffed up nose, sore throat, cough or gastric problems and one would try to cover all these symptoms with the combo: NM11 Cold + NM18 General Fever + SM35 Sinus + SM40 Throat + NM8 Chest + NM80 Gastro. For acute problems like the above, give the combo 6TD for 1-2 days, then reduce to TDS.