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Summer Fun #2: Water

7/9/2022

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Whether a river, an ocean or a pool -- nothing is as inviting as a body of water on a hot, summer’s day. It’s cool and refreshing, but, after a shallow dive into the subject … I hate to be the bearer of bad news, but it can be dangerous!

Let’s start with a dip in the pool, which is most likely chlorinated. Some people are particularly sensitive to the chlorine and can develop what is known as SWIMMER'S EYE or, chlorine conjunctivitis. It is essentially eye irritation but it stings and it can be pretty miserable. Goggles can help, but that's not a sure thing to keep it at bay.

Homeopathic Euphrasia or “Eyebright” for burning eyes and watery eyes. Pain as if something were in the eye. Puffy eyes. Red eyes. When “eye” is in the name of the remedy, you know it’s a good place to start.

Arsenicum album for profuse, watery, burning discharge. There is often a level of restlessness.

Or, Similisan’s Redness & Itchy Eye Relief* would be a good thing to keep in the cupboard if you or your child is prone to this. 
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Moving from the pool to a natural body of water can bring it’s own set of problems, namely, SWIMMER'S ITCH or Cercarial Dermatitis.

Caused by a parasite that gets under the skin (Kolářová et al. 2012) and triggers an allergic reaction, swimmer’s itch is as the name suggests, an itchy rash.

If the rash is blistery and oozy, look to Graphites.

If the rash burns, stings and itches, try Sulphur.

If the rash stings and is raised and fluid filled, try Apis.

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SWIMMER’S EAR
Regardless of what kind of water you’re swimming in, swimmer’s ear is basically an outer ear infection caused by trapped water in your ear that can lead to the growth of bacteria (Mayo Clinic).

For sharp ear pain with a sudden onset, Belladonna. There may be redness and throbbing pain.

An aching ear pain that feels like the ear is stopped up, Chamomilla.

If there is discharge and itching, try Hepar sulph.

Or, Similason has a new formula: Swimmer's Ear Relief*.

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If you are lucky enough to be near the ocean, beware of JELLYFISH!

Potentially harmful jellyfish are found in most oceans and can cause both dermatological problems as well as systemic issues (Mebs 2014). The venom of the 51 species of box jellyfish  can kill a human in less than 2 minutes (Baldwin 2022). 

The Wilderness Medical Society has published “Jellyfish Stings: A Practical Approach” (Lakkis et al. 2015). If you left your stinger suit hanging in the closet and manage to get stung, conventional medicine doesn’t have a lot to offer. “The literature published on the treatment of jellyfish stings is limited, conflicting, and lacks consensus.” In short, help the person out of the water, keep them from rubbing the stung area and reassure them. Some say to apply cold, others heat. If it’s a life-threatening species, call an ambulance immediately. (Be careful when helping someone with a jellyfish sting as stinging cells may be spread on contact.)

Once again, this is a situation where homeopathy can come in very handy. Homeopathy doesn’t care if the sting is a result of a jellyfish or a bee. If the symptoms match the remedy, there is a good chance relief will follow.

First Aid with Homeopathy (Mateu 2020) says applying vinegar can decrease the effect of the toxins.

For all these homeopathic jellyfish remedy recommendations, repeat every five minutes until significantly better and then begin to lengthen the time between doses.

For most “run of the mill” jellyfish stings, try Apis mellifica. For intense burning and stinging followed by redness and swelling. The person needing Apis will generally be worse from warm applications.

If the affected area feels cold and also feels better from cold, try Ledum.

Urtica urens can be applied topically as well as ingesting the homeopathic remedy. The person needing Urtica will be experiencing great itchiness and burning, similar to experiencing stinging nettles (from which the remedy is made).

If the pains are more neuralgic in nature and radiating out, try Hypericum.

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HYPOTHERMIA
It’s a warm, beautiful day with a little breeze and you think, “what could possibly go wrong?” Well, Hypothermia is one thing that can ruin your day.

“That only happens in the cold, right?” Um. Nope. The only requirement for hypothermia to set in is anything that causes a severe drop in body temperature. It can happen in perfect conditions (Florida Fish and Wildlife Commission 2022) and, actually, swimming doesn’t even need to be involved.

It can happen from being in the water or from being caught in a rainstorm. When I was a kid, my brother went sailing on a too cold day and he returned way too cold. I remember being instructed to lie down on the kitchen floor next to him under a blanket to try and warm him up. I now know that is termed “external passive rewarming” and is the method of choice for mild hypothermia. A slow and gentle warming is what you’re after.

For hypothermia to set in, the water doesn’t have to be cold, just cooler than your body temperature. Children, the elderly, injured or intoxicated people are more susceptible (Paal et al. 2022). Shivering, confusion, breathing issues, and muscle dysfunction are some of the symptoms which may be experienced with a significantly lowered body temperature.

The Natural First Aid Handbook (Mars 2017) recommends hot water bottles to the groin and sides of the torso and warns against rubbing or massaging an individual with hypothermia. First Aid with Homeopathy (Ratera 2016) recommends hot liquids and moderate warmth to the abdomen via a hot water bottle and also talks about breath as a treatment for hypothermia. “The helper places his mouth against the spine, between the shoulder blades, and breathes out in long breaths, blowing directly against the clothing. Almost immediately, local heat is felt, and gradually this heat spreads through the body if the exercise is continued. This technique helps to warm, and also to calm the patient. It can therefore also be used in crises of asthma or panic, to calm the patient and restore natural breathing.” Fascinating!

Other than warming the person, what can be done? Homeopathy, of course!

If the person is conscious, give a dose of Aconite to help with the shock.

Bellis perennis is useful in thermal shock (Ratera 2016). Thermal shock can happen from any sudden exposure to cold when the body is hot — even drinking cold drinks when the body is hot.

Carbo vegetabilis can be useful for persons who are chilly, with cold perspiration and cold breath. Other symptoms may include coldness, numbness and weakness.

Veratrum album is for internal coldness, as if ice-water is in the veins. Weakness and collapse with coldness.

If the person is icy cold but wants to be uncovered, consider some homeopathic Camphor. Cramps, convulsions or shock may be present.

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DROWNING
Regardless of the size of the body of water, drowning is always something to watch out for and contrary to what we have seen in the movies, drowning is often completely silent (Redcross. CA 2013). See sidebar for "signs a swimmer is in trouble."

According to Stop Drowning Now (2018), in the US, 10 people die every day from drowning. “Drowning is fast and silent and can happen in as little as 20-60 seconds.”

When my  son was little, I turned my back to get his floaties and the other mother with me (who I thought was watching all the kids!) said, “I didn’t know he could swim.” I turned around and I saw him standing on the bottom of the pool, completely underwater, eyes open, looking up at me. He couldn’t swim! He definitely did not belong there! That could have been a disaster. It was absolutely instantaneous — shockingly fast! Thankfully, he was completely fine. I will never be able to get that vision out of my mind. It was terrible.

CPR or the Heimlich maneuver, followed by mouth-to-mouth is the standard recommendation. Venema (et al. 2010) claim that 30% of rescued drowning victims require CPR. Get medical help immediately.

If the person is unconscious, administer homeopathic Carbo vegetabilis while waiting for help to arrive. Carbo veg is known as “the corpse reviver” and should be administered frequently. To avoid inhaling the remedy, place the pellet between the lips and the teeth and let it dissolve there.

If the person is better when sitting up but is experiencing a rattling in the chest, try Antimonium tart.

Lachesis is indicated when the person is suffering asphyxia and the pulse is very weak.

If there is a “near miss” like I described with my son, it may not be over and done with when you have them out of the water and breathing on their own again. Jama Pediatrics (Stern and Thompson 2022) notes that “symptoms of drowning such as gasping or difficulty breathing most commonly occur immediately. In rare cases, symptoms may develop after a nonfatal drowning. If a child develops worsening cough, fast breathing rate, vomiting or change in mental status after nonfatal drowning, take them to the nearest emergency department for evaluation.”

It may seem like it’s better (and safer!) to just dip your toes in the water to cool off, but no! Life is too short to sit out the swim!

​
Julia Coyte, CHom
Classically Practical homeopath

​#wellnessawaits


* I have no affiliation with this company, I just like their products.

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REFERENCES AND FURTHER READING:

​Baird, J. K. and Wear, D. J., 1987. 12 
Cercarial dermatitis: The swimmer’s itch. Clinics in Dermatology, 5 (3), 88–91.

Baldwin, E., 2022. Box Jellyfish: The Dangerous Jellyfish | Ocean Info [online]. oceaninfo.com. 

Florida Fish and Wildlife Commission, 2022. Hypothermia [online]. Florida Fish And Wildlife Conservation Commission. 

Gordy, M. A., Cobb, T. P. and Hanington, P. C., 2018. Swimmer’s itch in Canada: a look at the past and a survey of the present to plan for the future. Environmental Health, 17 (1).

Hoeffler, D. F., 1977. ‘Swimmers’ itch’ (cercarial dermatitis). Cutis [online], 19 (4), 461–465, 467. 

Kolářová, L., Horák, P., Skírnisson, K., Marečková, H. and Doenhoff, M., 2012. Cercarial Dermatitis, a Neglected Allergic Disease. Clinical Reviews in Allergy & Immunology [online], 45 (1), 63–74. 

Lakkis, N. A., Maalouf, G. J. and Mahmassani, D. M., 2015. Jellyfish Stings: A Practical Approach. Wilderness & Environmental Medicine [online], 26 (3), 422–429. 

Lessell, C. B., 1999. The world travellers’ manual of homoeopathy. Saffron Walden: C.W. Daniel.

Mateu, M., 2020. First aid with homeopathy. Kandern, Germany Narayana Verlag.

Mayo Clinic, n.d. Swimmer’s ear - Symptoms and causes [online]. Mayo Clinic. 

Mayo Clinic, n.d. Swimmer’s itch - Symptoms and causes [online]. Mayo Clinic. 

Mebs, D., 2014. Durch Quallen verursachte Verletzungen. Jelly Fish Sting Injuries Der Hautarzt [online], 65 (10), 873–878.

Paal, P., Pasquier, M., Darocha, T., Lechner, R., Kosinski, S., Wallner, B., Zafren, K. and Brugger, H., 2022. Accidental Hypothermia: 2021 Update. International Journal of Environmental Research and Public Health [online], 19 (1), 501. 

Ratera, Dr. M. M., 2016. First Aid with Homeopathy. Kander, Germany: Narayana Verlag.

Redcross. CA, 2013. Drowning: A silent killer - Canadian Red Cross [online]. Red Cross Canada. 

Schmukler, A. V., 2006. Homeopathy : an A to Z home handbook. Woodbury, Minn.: Llewellyn Publications.

Smith, S., 2007. Medical homoeopathy. West Wickham England: Winter Press.
Stern, A. M. and Thompson, L. A., 2022. What Parents Should Know About Drowning and Dry Drowning. JAMA Pediatrics [online]. 

Stop Drowning Now, 2018. Facts & Stats About Drowning - Stop Drowning Now [online]. www.stopdrowningnow.org. 

Szpilman, D., Bierens, J. J. L. M., Handley, A. J. and Orlowski, J. P., 2012. Drowning. New England Journal of Medicine [online], 366 (22), 2102–2110. 


Venema, A. M., Groothoff, J. W. and Bierens, J. J. L. M., 2010. The role of bystanders during rescue and resuscitation of drowning victims. Resuscitation [online], 81 (4), 434–439. ​
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Jet Lag

4/28/2022

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Our first houseguests in over 2 years have arrived. A lovely thing, I can assure you!

After enduring this enforced time of not traveling, I (happily) forgot how horrible jet lag is, but I am reminded of its nastiness as I watch our over-seas visitors make the adjustment to the new time zone.

Why do we feel so exhausted after getting off a plane? All we do is sit (and eat), watch movies and maybe snooze a little bit for all those hours. We should be refreshed, like we had a day of relaxation! Yet, when finally stepping off that smelly tube with wings, it’s not at all uncommon to feel like you’ve run a marathon and got hit by a truck when you crossed the finish line!

The experts say it’s precisely because we’re sitting for long periods of time in dry air and become dehydrated, etc., etc., etc. Whatever the true pathophysiologic reasons are, jet lag is a miserable feeling.

Mainstream medicine has nothing to offer, really. Melatonin (Cipolla-Neto and Gaspar do Amaral 2018) apparently can help, and you can see how it would work (Herxheimer and Petrie 2002). Though short-term melatonin use is generally regarded as safe, I must admit, I wouldn’t mess with my hormones in this way (because melatonin is indeed a hormone)… especially when homeopathy has some simple answers. For more information on possible side effects of melatonin: (Bauer 2017; American Sleep Association 2022; Drugs.com 2021).

So, what did I do for our tired guests?
In anticipation of their arrival, I left two remedies on the dresser in their room:
JetZone: Jet Lag Prevention & Helios’ Jet Candy

JETZONE, remedy information as listed on the packet:
Arnica: Sleepless and restless when overtired
Cocculus: Constant drowsiness after loss of sleep
Kali phos: Weak and tired from overexertion. Headache from fatigue.
Gelsemium: Insomnia from exhaustion
Nux vomica: Heartburn, anxiety and restlessness
Argentum nitricum: Mental anxiety

Jet Candy, by Helios:
JetCandy doesn’t list their reasonings for including the remedies, but I will fill in the blanks.
Arnica
Bellis perennis: Another trauma remedy. Some call it a “deeper” Arnica.
Cocculus
Gelsemium
Petroleum: I wrote about Petroleum’s role in seasickness here. In short, Petroleum is particularly helpful for nausea.

There are other homeopathic combination remedies for jet lag, these are just the two I happened to have lying around. 

No-Jet-Lag, by Miers Labs:
No-Jet-Lag doesn’t list their reasonings for including the remedies, but I will fill in the blanks.
Arnica
Bellis perennis
Chamomilla: Oversensitivity, anger and for when falling asleep is difficult.
Ipecac: Nausea, headache
Lycopodium: Gas and bloating; frequent waking and unrefreshing sleep


Jet Lag Relief, by Boiron 
Arnica: Relieves muscle pain and stiffness
Cocculus: Relieves nausea associated with jet lag
Nux vomica: Relieves drowsiness and digestive problems associated with travel

What do all of these jet lag combination remedies have in common? Arnica montana. Arnica is a well known homeopathic remedy for injury and trauma. Let’s face it — changing time zones is absolutely an assault on your person. It affects your body, your mind and your emotions. If you are unable to get your hands on one of these combo remedies prior to your trip, bring along a tube of Arnica and half your battle will be won.

Jetlagreview.com (who knew such a thing existed?!), claims to be “the #1 source for helping people find effective ways to effectively combat jet lag.” I have no idea who is behind this site, but I was very intrigued to see 1/2 of the products they review are homeopathic (the others are vitamins and/or herbs).

No-Jet-Lag is jetlagreview’s #2 Silver Award Winner, for whatever that’s worth.

If you find yourself headed overseas, pick up one of these combination remedies and slip it in your carry-on. They’re all slightly different, but basically the same and any one of them will certainly be better than nothing. Or, take along just a tube of Arnica and see if one of these can’t put a little spring in your exhausted tourist step!


Julia Coyte, CHom
Classically Practical homeopath


#wellnessawaits


* I have no affiliation with any of these products. I have used Jetzone and No-Jet-Lag, to good effect. Follow the directions listed on the packet.


Reference list
American Sleep Association, 2022. Melatonin Side Effects [online]. American Sleep Association. 

Bauer, B., 2017. Pros and cons of melatonin [online]. Mayo Clinic. 

Cipolla-Neto, J. and Gaspar do Amaral, F., 2018. Melatonin as a Hormone: New Physiological and Clinical Insights[online]. academic.oup.com. 

Cleveland Clinic, n.d. Jet Lag: What is it, Symptoms, How Long Does it Last & Treatment [online]. Cleveland Clinic.

Drugs.com, 2021. Melatonin Side Effects, Uses, Dosage (Kids/Adults) [online]. Drugs.com. 

Herxheimer, A. and Petrie, K. J., 2002. Melatonin for the prevention and treatment of jet lag. Cochrane Database of Systematic Reviews.

Jet Lag Review, 2022. Top Products [online]. jetlagreport.com. 
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Stuck!

1/28/2022

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I mentioned last time that our children always seemed to have made some emotional growth spurts following a big, acute illness and I wondered if that could be the case for me. Here’s what happened…

I could not budge my low-grade fever. No remedy made a dent. Period. I eventually contacted one of my previous instructors asking for help.

Her response: “something is stuck inside. Your symptoms are being too shy.”

Hmmm.

She recommended some Sulphur 30c.

Sulphur is an interesting remedy. It is often used to clear up/clean out the remnants of an acute illness. I had considered the idea, but given I was not at the end, I didn’t think it was time for me yet. The Father of homeopathy, Samuel Hahnemann, used to begin every case with Sulphur because it was going to illicit some sort of a response in everybody.

Sulphur definitely pulled a little somethin’ somethin’ out of me. Immediately upon taking it (I mean immediately), I became so weak I had to abandon the shower I had just turned on. Within 5 minutes, I began weeping and the tears simply wouldn’t stop. For the first time since my illness began, I couldn’t get out of bed.

The tears eventually stopped and I was able to get out of bed again, but the fever remained. I wondered and pondered at what could be "stuck." December was a fraught month for me — it could have been any number of emotions that got stuck.  

Anger was stuck.

I raged in my mind for hours one morning and I could literally feel the crud breaking up. My temperature dropped a bit but it soon went back up again. 

So, I wrote and I wrote and I wrote. I raged and I raged again and I began to understand what was stuck inside of me. Again, I felt the crud breaking up. By the next morning, the fever was gone, for the first time in nearly 2 weeks.

Coincidence? Perhaps. But I had also worked through serious amounts of stagnant emotion and that can only be a good thing.

Was Sulphur the only remedy I needed? Nope.

Sulphur got things going.

Once I recognized anger as the culprit, Nux vomica was suggested and it made good sense, homeopathically speaking. Nux vomica is a major liver remedy and the liver, of course, is where that anger gets processed. But, Nux didn’t do much for me this time around.

Natrum muriaticum was suggested. Nat Mur is a well indicated remedy for ailments from anger. I only took 1 dose and it was abandoned in order to keep chasing the current symptoms.

Chamomilla was suggested and Chamomilla definitely did something. It was as if the Chamomilla opened the door to usher the anger through.

Then, it was suggested to take Bryonia alba in 3 ascending potencies. I took the first dose and the fever continued to improve, so I left it at that.

The next morning was when the fever was gone.

So, what’s left?

Fatigue is what’s left and a little dizziness. Turns out a low-level fever for 2 weeks and very little appetite takes its toll on a person’s energy.

So, was there emotional growth that happened for me?

Why, yes! There was some growth that happened!
Some emotional growth and some good homeopathic education, too!

Julia Coyte, CHom
Classically Practical homeopath


​#wellnessawaits

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Relief

11/21/2021

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T-Relief, that is. I was annoyed when the company changed the name of Traumeel to T-Relief. No reason, I guess I just liked the name Traumeel. But today, I think the name T-Relief is far superior. 

I am riddled with osteoarthritis. It seems every time I have an x-ray done, I get confirmation as to why this or that place was stiff, sore or uncomfortable. My hands, wrists, knees, hips, ankles, feet — I’m sure there are more, but I haven’t had those black and white internal pictures yet. For the most part, my osteoarthritis is a non-issue. I credit bone broth and homeopathy (of course!) and exercise. If I don’t move regularly, my knees (right knee in particular) and hips get ornery. So, I make sure to walk frequently and for fairly long distances. Conversely, my hands and wrists can get sore if I use them too much. Go figure. (Actually, as I am thinking about it, perhaps that has to do with broken bones, as I broke a bunch of fingers and my wrist. Hmmm. I’ll have to noodle this further. I’ve never really given it any thought before.) 

I take absolutely no medicines or painkillers of any kind, aside from homeopathy. It is important to note that I have arthritis in many places, but I need to acknowledge that my arthritis is considered mild to moderate. (If you are suffering with severe osteoarthritis, homeopathy can probably still help, but I would recommend a more targeted homeopathic approach in addition to T-Relief.)

Occasionally, I wake up with sore hands. Today was one of those days. I grabbed T-Relief and put a small amount of the cream on my hands. Within less than 2 minutes, I had relief. True relief. No remnants of stiffness or soreness. None. That’s the moment I decided I prefer the new name of this homeopathic combination. (A few years ago I watched an older woman with pretty advanced arthritis use Traumeel and she said, “it’s like I put on gloves and I have new hands.” Yes! I can now relate to that! 

What’s in T-Relief and why does it help? Let’s take a look. Interestingly, this combination uses extremely low potencies: 1X, 2X, 3X, 4X, 6X and 10X. (For a refresher on homeopathic potencies, click here and ​here.) With these low potencies, the instructions of using it “2 to 3 times daily, or more often if necessary” make good sense*. 

Aconitum napellus or Aconite for short. Numbness and tingling can result when the inflamed joints press on nerves. Raynaud’s disease occurs more frequently in arthritis patients and it, too, can be helped by Aconite. “Red, shining swelling, very sensitive joints” (Murphy 2020) are helped by Aconite as are weak and lax ligaments of joints and sharp joint pains. Hip joints and thighs that feel lame. Trembling can also be associated with osteoarthritis and Aconite can help with this, too. 

Arnica montana. T-Relief takes, in my opinion, a scattershot approach (in a good way!) with their Arnica by including it in 1X, 3X and 10X potencies. One of these potencies is most likely going to provide some relief. Arnica is the go-to remedy for over-doing it, as well as experiencing a lame feeling. Limbs which ache as if they had been beaten. Aching as a result of exposure to cold and damp or muscular strain. Cramps, like writer’s cramp. Weakness in the hands, especially when grasping. Arnica is shown here and here and here to have anti-inflammatory effects.

Baptisia tinctoria is also excellent for aching, sore and bruised pains with great weakness. Wandering pains as well as stiffness and pain. 

Belladonna is well known for any ailment which is red and hot. Swollen joints, cramping pains. Spasms and shifting pains and the cold limbs which can sometimes result from arthritis. 

Bellis perennis, the common daisy, is amazing for aching pains, new or old. (If you are suffering from old injury pains, Bellis perennis may be your new best friend.) Sore joints as well as muscular soreness. A bruised, aching, sore pain. Tight wrists. Hip pains that are worse for exertion. 

Calendula officinalis. Calendula has been shown to be anti-inflammatory (and here, too) as well as being useful in repairing damaged tissues and when we get right down to it, what is osteoarthritis? “Osteoarthritis is a joint disease in which the tissues in the joint break down over time” (NIAMS 2019) so it makes sense that Calendula would be helpful in repairing not just superficial wounds, but also the deeper tissues. Like Belladonna, Calendula can also help with cold hands and feet. 

Chamomilla The Materia Medica does have some guidance regarding Chamomilla assisting when ankles give way, when there are pains in the hips and loins and numbness and stiffness of hands, particularly when grasping objects. However, I think Chamomilla’s biggest contribution to this combination remedy is its ability to soothe irritability and anger. Not being able to easily do, or do at all, what you want to do, inevitably leads to irritability. If Chamomilla can help soothe a teething toddler, it can help a grumpy old arthritic person! 

Echinacea also addresses cold hands and feet as well as aching, weakness and pain in general. 

Hamamelis virginiana is another good pain remedy. It is indicated in very sore muscles and joints and it is one of the most highly indicated remedies for varicose veins which have been found to be associated with osteoarthritis (Sisto et al. 1995). 

Hypericum perforatum is another excellent nerve remedy as well as a good remedy for when the joints feel bruised. It is also a highly indicated remedy for pain in general, especially radiating or shooting pains.

Millefolium is a pain remedy, not terribly specific to arthritis with the exception of sprains and strains of joints. (Remember, T-Relief is not specifically formulated for arthritis, it is for pain, in general.)

Ruta graveleons is a big remedy for bruised pain, particularly in the bones and shows an affinity for joints, ankles and wrists. Cracking in joints. Knees which give way. Pains in the bones of feet and ankles. Pain and stiffness in wrists and hands. 

Symphytum officinale is for bone pain and more importantly, complaints and pains of cartilage. Aching hip pain as well as joint pain, generally. See here and here for research on Comfrey, AKA Symphytum.)

As you can see, T-Relief is a beautiful combination of low potency homeopathic remedies to assist in the relieving of mild to moderate arthritis pain.

P.S. Don’t be surprised if you rub some T-Relief into your hands and find relief in your knee. Once the remedies are in your system (in this case via the skin), you will likely find relief all over, not just where it was applied.


Julia Coyte, CHom
Classically Practical homeopath


#wellnessawaits


* It’s always important to read the directions and use according to manufacturer’s recommendations.

REFERENCE LIST

Arthritis National Research Foundation, 2021. Does arthritis cause numbness or tingling? [online]. Arthritis Research | Arthritis National Research Foundation. 

Carmona-Terés, V., Moix-Queraltó, J., Pujol-Ribera, E., Lumillo-Gutiérrez, I., Mas, X., Batlle-Gualda, E., Gobbo-Montoya, M., Jodar-Fernández, L., and Berenguera, A., 2017. Understanding knee osteoarthritis from the patients’ perspective: a qualitative study. BMC musculoskeletal disorders [online], 18 (1), 225. 

Grube, B., Grünwald, J., Krug, L., and Staiger, C., 2007. Efficacy of a comfrey root (Symphyti offic. radix) extract ointment in the treatment of patients with painful osteoarthritis of the knee: Results of a double-blind, randomised, bicenter, placebo-controlled trial. Phytomedicine [online], 14 (1), 2–10. 

Jurca, T., Józsa, L., Suciu, R., Pallag, A., Marian, E., Bácskay, I., Mureșan, M., Stan, R. L., Cevei, M., Cioară, F., Vicaș, L., and Fehér, P., 2020. Formulation of Topical Dosage Forms Containing Synthetic and Natural Anti-Inflammatory Agents for the Treatment of Rheumatoid Arthritis. Molecules [online], 26 (1). 

Marzotto, M., Arruda-Silva, F., and Bellavite, P., 2020. Fibronectin Gene Up-regulation by Arnica montana in Human Macrophages: Validation by Real-Time Polymerase Chain Reaction Assay. Homeopathy [online], 109 (03), 140–145. 

Murphy, R., 2006. Nature’s materia medica : 1,400 homeopathic and herbal remedies. 3rd ed. Blackburg, Va.: Lotus Health Institute, November.

Murphy, R., 2020. Nature’s materia medica : 1,400 homeopathic and herbal remedies. 4th edition. Blackburg, Va.: Lotus Health Institute, November.

NIAMS, 2019. NIAMS Health Information on Osteoarthritis [online]. National Institute of Arthritis and Musculoskeletal and Skin Diseases. 

Sisto, T., Reunanen, A., Laurikka, J., Impivaara, O., Heliövaara, M., Knekt, P., and Aromaa, A., 1995. Prevalence and risk factors of varicose veins in lower extremities: mini-Finland health survey. The European Journal of Surgery = Acta Chirurgica [online], 161 (6), 405–414. 

Staiger, C., 2012. Comfrey: A Clinical Overview. Phytotherapy Research [online], 26 (10), n/a-n/a. 
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    Julia Coyte, CHom

    I am passionate about homeopathy and I love sharing this passion. Having a working knowledge of homeopathy shouldn't be kept a secret. If people have the ability to help themselves, their children and their friends when they have minor ailments, life just gets better for everyone. That is the purpose behind Ruminating on Remedies. 

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