Pediatrics in Homoeopathy
Pediatrics is concerned with the health of infants, children and adolescents, their growth and development; and their opportunity to achieve full potential as adults.
As physicians we assume a responsibility for children’s physical, mental and emotional progress from conception to maturity.
More than a century ago, Pediatrics emerged as medical specialty in response to increasing awareness that the health problems of children differ from those of adults and that a child’s response to illness and stress varies with age
Pediatric Treatments in Homoeopathy
Pediatric basics are in Growth and Development
Growth denotes a net increase in the size or mass of tissue, its multiplication of cells and increase in intracellular substance.
Development depends on the maturation and myelination of nervous system.
The sequence of the development is the same for all children, but the rate of development varies from child to child. Certain primitive reflexes anticipate corresponding voluntary movement and have to be lost before the voluntary movement develops.
Growth and development of children is a continuous and orderly process.
There are specific periods in a child's life when the rate of growth is steady, accelerates and decelerates
The fetus grows fast in the first half of gestation. Thereafter, the rate of growth is slowed down until the baby is born. In the early postnatal period the velocity of growth is high. Second phase of accelerated growth occurs at puberty. Growth pattern of every individual is unique. Order of growth in human beings is cephalocaudal and distal to proximal.
Different tissues of the body grow at different rates. Cephalocaudal the upper portion of the body develops quicker than the lower part of the body Proximodistal the middle part of the body develops quicker than the outer part of the body
Cephalocaudal Pattern: The greatest growth always occur at the top of the head with physical growth in size, weight and feature differentiation gradually working from top to bottom sensory and motor development proceed according to the Cephalocaudal Pattern.
An infant first gains control of his head and neck, then his shoulders, and finally steady control of the upper body.
Next Milestone is to gain control of his chest for sitting. Generalized mass activity is replaced by specific individual responses.
If we observe these laws of growth more closely, we find that there is a definite and systematic pattern in which the body grows.
This pattern very closely resembles Hering’s law of cure.
The laws of nature corroborate ‘Hering’s Law of cure’. Constantine Hering had the merit of formulating for the first time the law of the direction of symptoms, i.e. from above downwards, from within outwards, from a more important organ to a less important one and in the reverse order of their coming.
Child's growth and development can be divided into four periods:
Infancy (Birth to 1 year), Toddler (1-3 years), Pre-School Age (3-5 years) and School Age (5-10 years)
Parents – Physician - Child Relationship
Anxiety of parents should be allayed. Overanxious parents will ask many questions about the child.
Proper explanation in context to the questions and relevant developmental milestones of a normal child along with its normal variations should be explained to allay the anxieties of parents.
Case Taking & Treatment
Smiling and being polite to children and never getting angry with children even if they are at their worst.
Making child comfortable when he comes to our clinic. Approaching the child with a smiling face and treating him as child and not as a patient.
Pediatrics case taking depends on careful observations followed by proper interpretation.
Next step is direct questioning to mother to confirm observation which completes the first aspect of case taking.
Below factors will be considered while Case Taking
Complaints, Ailments from (CAUSATIONS), PHYSICAL constitution, Mother’s history during pregnancy, Obstetrics history, Feeding history, GENERALS – Thermals, Thirst, Sleep, Milestone, Desires and aversion, Characteristic physical generals
MIND - Moral character of the child is assessed by finding out whether the child is destructive or non-destructive.
Intellectual character of child - assess only in pre-school and the schooling age group.
Unlike adults, a child doesn’t tell about it’s problem. the evaluation of these cases is based on history that is provided by the guardian and on the physician’s interpretation.