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- ECZEMA | Dr. Ritu Sharma
Eczema is a condition that causes your skin to become dry, itchy and bumpy. ECZEMA Eczema is skin condition in which skin becomes irritated and inflamed. Itch with dry skin is main characteristic feature of eczema. Eczema occurs in two stages: Acute and chronic stages. Acute eczema symptoms: Eruptions in eczema starts with formation of small vesicles filled with fluid with irresistible itching. In acute eczema eruptions starts oozing discharge which is sometimes thick like sticky fluid and sometimes thin like water. Chronic eczema symptoms: With time skin eruption becomes dry, thickened, sometime scaling also appear and affected skin area becomes darker, pigmented than usual. Itching persist with eczema which becomes worse after exposure to specific irritants like chemical, dust, pollens, cosmetics, metals, or having food that contains allergens. In babies eczema commonly seen at diaper areas, scalp, hands, abdomen due to vitamin & minerals deficiency, warm infection, cosmetic allergies. Eczema is also seen in adults in the form of atopic eczema (Allergic dermatitis) along with tendency to have asthma, hey fever or other allergic conditions. Most of people with eczema have allergies to specific substances may be from particular food, environmental factors, chemical or dust and it is necessary to find out that disease maintaining cause by your own observation or through allergy tests. Homeopathic treatment for eczema: We provide treatment for eczema by prescribing constitutional homoeopathic medicine prescribed by a qualified homoeopathic doctor. Homoeopathic treatment is best approach to relieve from itch and preventing further infections. There are many remedies that relieve eczema without any side affect and without leaving any scar or pigmentation. Homoeopathic medicines also treat eczema with its associated problems like allergic asthma and allergic rhinitis, sinusitis.
- Impotency | Dr. Ritu Sharma
Impotency Impotency is a sexual dysfunction in which a person unable to maintain or develop erection of penis during sexual intercourse also known as erectile dysfunction. Impotency is mainly characterised by regular or repeated inability to maintain an erection. Most of cases cause of impotency is psychological but there are also disease condition such as cardiovascular diseases, diabetes, neurological trauma due to prostate surgery or other accidental injuries mostly seen in bicycle riders, hypogonadism, certain drugs side effects that causes impotency. Impotency causes negative impact sexual relationships, and is also a common cause of stress, depression, loss of confidence. Impotency can affects a person’s life, so it is necessary to follow some preventive measure such as doing some physical exercises, avoiding smoking, take enough sleep, follow healthy diet and avoid alcohol and drug abuse, reducing stress, anxiety, depression. Homeopathic treatment for impotency: Homeopathic approach is best way to deal with impotency safely without any side effect. We had treated a number of cases of impotency successfully with homoeopathic medicine. A constitutional medicine selected after a brief case history that helps body to deal with factors that are the root cause of impotency like hormonal imbalance, diabetes, cardiac disease. There are many homoeopathic remedies that proved effective in impotency when prescribed in most constitutional type with proper diet and exercise consultation.
- Carpal tunnel syndrome | Dr. Ritu Sharma
Carpal tunnel syndrome (CTS) Carpel tunnel syndrome is a painful condition of hand in which the median nerve is compressed as it travels through the wrist at the carpal tunnel and causes pain, numbness and tingling sensations, Pain of carpel tunnel syndrome may goes up to the arm leading to discomfort feeling in shoulder and whole arm. Main cause of carpel tunnel syndrome is injury to hand or wrist joint to compression of nerve other contributing factors are diabetes, obesity, pregnancy, hypothyroidism, and a narrow-diameter of carpal tunnel of hand, injury that causes internal scarring or misaligned wrist bones. Occupational causes like continuous manual work, handling vibrating machine can also be responsible for compression of nerve leading Carpel tunnel syndrome. Carpel tunnel syndrome symptoms includes numbness of thumb, index and middle finger, also involve medial side of ring finger, pain or numbness worse at night causes sleep disturbance. Homeopathic treatment for Carpel tunnel syndrome: A constitutional homoeopathic remedy is prescribed by qualified homoeopath that gentle and permanent relief from pain and numbness. We identify the root cause of disease via a thorough case taking and prescribe medicine that give permanent relief from carpel tunnel syndrome. There are number of homoeopathic medicine that shows their highest effectiveness in cases of carpel tunnel syndrome, when prescribed on the basis of constitution.
- Articles | Dr. Ritu Sharma
Recent Updates The Latest from the Industry 10 Ways to Stay Warm This Winter This is your clinic news update article. It’s a great place to update your visitors with industry insights, business development tips or additional success stories. You can also use this space to publish relevant industry updates and link to helpful resources for your visitors. Choose a great image or photo to feature in your article or add a video for extra engagement! Healthy Tips & Tricks This is your clinic news update article. It’s a great place to update your visitors with industry insights, business development tips or additional success stories. You can also use this space to publish relevant industry updates and link to helpful resources for your visitors. Choose a great image or photo to feature in your article or add a video for extra engagement! How to Treat Your Body Well This is your clinic news update article. It’s a great place to update your visitors with industry insights, business development tips or additional success stories. You can also use this space to publish relevant industry updates and link to helpful resources for your visitors. Choose a great image or photo to feature in your article or add a video for extra engagement!
- About | Dr Ritu's Homoeopathic ' N' Acupressure Clinic
About Us Dr. Ritu is a fully dedicated & compassionate doctor treating the patients since 2004. She received her Bachelor's degree of Homoeopathy in Medicine & Surgery from Homeopathic Medical College and Hospital, Sector 26, Chandigarh Patients consulting Dr. Ritu are not only from regional area of Punjab but from all over India & often from countries like Australia, Canada, etc. She is also a dietitian and helped a lot of patients suffering from obesity, diabetes, hypertension and helped them to lead a healthy life by simply providing diet plan customised accordingly. She always encourages the patients to live a healthy, active lifestyle so as to prevent many diseases. Book an Appointment About Homeopathy About Naturopathy About Acupressure
- Attention Deficit Hyperactivity Disorder | Dr. Ritu Sharma
Attention Deficit Hyperactivity Disorder (ADHD) Attention Deficit Hyperactivity Disorder (ADHD) is a neurological disorder. ADHD manifests itself as a persistent pattern of inattention and/or hyperactivity/impulsivity that occurs very frequently and with severity than a normal child. ADHD child is more active and impulsive than normal child. Attention Deficit Hyperactivity Disorder (ADHD) Symptoms include difficulty in staying focused and paying attention, difficulty in controlling behaviour, and hyperactivity. Inattention, hyperactivity, and impulsivity are the main three behaviours of ADHD. Inattention symptoms of Attention Deficit Hyperactivity Disorder (ADHD) Children: Easy distraction, difficulty in focusing on one thing, frequently switch from one activity to another, forget easily, difficulty in learning new task due to lack of focus, Not listening when spoken to, move slowly, easily get confused, unable to follow instructions. Hyperactivity symptoms of Attention Deficit Hyperactivity Disorder (ADHD) Children: Fidget and squirm in their seats, Talks incoherently, restless, cannot stay at one place, dash round, touching and playing with things asked not to touch, constantly in motion, cannot be calm down. Impulsivity symptoms of ADHD Children: Impatient, No emotional control, extreme anger and crying, don’t wait for things they demands, throw things without sensing it could harm other. Homeopathic Approach for ADHD Verbal and non-verbal communicatioUnlike allopathic, we don’t use sedatives and steroids to supress ADHD child’s aggressive and hyperactive behaviour that can cause harmful effects on child’s mental and physical development. We provide symptomatic treatment based on child’s will, desires, aversion, way of responding to different situation, birth history, family history. We treat ADHD patients with Constitutional homoeopathic treatment by qualified homoeopath without any side effects and without hindering child’s mental and physical development.
- Vitiligo | Dr. Ritu Sharma
Vitiligo Vitiligo is a chronic skin disorder characterized by portions of the skin losing their pigment. Vitiligo also known as leucoderma occurs when skin pigment cells die or are unable to function. Cause of vitiligo is unknown, but autoimmune, genetic, oxidative stress, contact with some kind of chemicals are most suspected. Autoimmune diseases like Addison's disease, Hashimoto's thyroiditis, and type 1 diabetes mellitus tend to occur more likely in patients with vitiligo. Vitiligo/ leucodermais typically classified into two main categories: segmental and non-segmental vitiligo. White patches are main symptoms of vitiligo. Vitiligo patches are more commonly seen in areas that exposes to sun. Vitiligo/ leucoderma patches may appear on the hands, feet, arms, face, and lips. Other common areas for white patches of vitiligo are: The armpits and groin, Around the mouth, Eyes, Nostrils, Navel, Genitals, Rectal areas. Greying of Hair in Patients with vitiligo especially in small patches more commonly seen in vitiligo. Homeopathic treatment for Vitiligo: We have best treatment for vitiligo via constitutional homoeopathic approach given by a qualified homoeopath. Homoeopathic treatment for vitiligo is safe and efficacious method. We provide a safe and mild cure for leucoderma without any side effect and with proper diet consultation. Duration of homeopathic treatment for vitiligo depends upon its site of patch, appearance of patch, extent of spread of patches. Homoeopathic medicine act like immunity booster and help body to cure vitiligo itself.
- Corns/ Callosities | Dr. Ritu Sharma
Corns, callosities, warts, ulcers Homoeopathic treatment for Corns, callosities, warts, ulcers Corns and calluses painful thickenings that form in the skin in pressure areas like palms, soles. Signs and symptoms of corns are thick , hard patch or bump on skin with dryness and pain or tenderness over affected area. In allopathic treatment surgical removal is only way to get rid from corns but reoccurrence with more severity is seen in most of cases. So homoeopathy is best choice to get rid from corns permanently without any surgery by giving constitutional remedy prescribed by a qualified homoeopathic doctor. Warts are over growth of skin appear on any parts of body specially face, neck, back, hands and genital areas. We have best medicine that can make body to get rid from corns and warts without any other side effect and also prevent their re-occurrence.
- FAQ | Dr. Ritu Sharma
Frequently Asked Questions Holistic Care Questions What insurances do you accept? Enter your answer here. Be thoughtful with your answer, write clearly and concisely, and consider adding written as well as visual examples. Go over what you’ve written to make sure that if it was the first time you were visiting the site, you’d understand your answer. How is Dr. Ritu Sharma different from other clinics? Enter your answer here. Be thoughtful with your answer, write clearly and concisely, and consider adding written as well as visual examples. Go over what you’ve written to make sure that if it was the first time you were visiting the site, you’d understand your answer. Who can benefit from your treatments? Enter your answer here. Be thoughtful with your answer, write clearly and concisely, and consider adding written as well as visual examples. Go over what you’ve written to make sure that if it was the first time you were visiting the site, you’d understand your answer.
- Migraine | Dr. Ritu Sharma
Migraine Migraine is severe type of headache with intense throbbing and pulsating sensation in head accompanied by some symptoms like nausea, vomiting, bloated feelings. Main cause of migraine is stress, alcoholism, smoking, sun exposure. In most of cases migraine is one sided headache worse by heat, worm weather, stress and lights affects. Patient feels better in dark rooms. Migraine patients are extreme sensitive to sounds and lights which worse their migraine. Migraine attack occurs in four stages: prodrome, aura, headache and post-drome. Prodrome stage of migraine starts one to two days before migraine, you may notice some changes that signify an oncoming migraine, including: Constipation, Anxiety, Depression, Craving For Different Food, Hyperactivity, Irritability, Neck Stiffness, Uncontrollable Yawning. Aura stage is occurring just before or during migraine. Migraine patient feels lights flashes, pin and needle sensation in arms or legs, movement or verbal disturbance. Migraine can be present with or without aura. Headache: During attack headache last one day to three days. Migraine headache is usually one sided headache; frequency varies from patient to patient. Symptoms are throbbing, pulsating pain accompanied by nausea, vertigo, blurred vision, vomiting. Postdrome: Last stage of migraine, patients feels drained, exhausted, light headed. Homoeopathic treatment for migraine: We treat migraine with homeopathic constitutional medicine by proper case taking by a qualified homoeopathic doctor and prescribe medicine for migraine on basis of symptoms similarity and cure patients without any side effects. By homoeopathic treatment we do not only gives relief to patient from pain, but also reduces frequency of attacks steadily and cured migraine permanently with time.
- About | Dr. Ritu Sharma
About Homoeopathy Homoeopathy is a system of natural medicines introduced by a German physician, Samuel Hahnemann (allopathic physician MD), at the end of 18th century. Recognizing that the whole person mind, body, spirit (vital force) is affected when there is disease or illness. Homoeopathy seeks to treat the whole person. The focus is not only the diseased parts as the sickness, rather the totality of the individual. Homoeopathic remedies stimulate the body Self Regulating Mechanism to invite the healing power of the body (Immunity). Homoeopathy directs the way to safe and permanent cure. Homoeopathy work towards nature. All the homoeopathic medicines are proved (Drug Proving) on human beings instead on animals. Homoeopathy deals with patient then disease only (Whole Complete Man). Homoeopathic medicine are very minute refined and are given in minimal and minute dose so there is no side effects if given accurately and in proper dose. This medical system treats the patient as a whole ie mind and body for permanent cure. SCOPE Homeopathy has wide scope for all kinds of skin problems, acne, blemishes, hair loss, dandruff and much more. It provides permanent relief from constipation, Irritable bowel syndrome, colitis, thyroid, hypertension, etc. Very good results for kids, allergies, like wheat allergies, sinusitis, recurrent cold, behavioural problems. Female problems like PCOD, irregular menses, excess hair on chin, dysmenorrhea. Infertility and other male problems are also treated well with homeopathy. About Naturopathy Naturopathy, as the name indicates is the made of treatment in a natural way like with Sun and Magnetic therapies which have no side effects and treat the person in a most pleasurable way. About Acupressure Acupressure is very effective in treating various kinds of problems like Cervical spondylosis, lumbago, Sciatica, Backache, pain in body by pressing acupressure points manually and with electric equipment giving relief to thousands of patients. Homoeopathy Naturopathy Acupressure
- Homoeopathy For Coronavirus Prevention | Dr. Ritu Sharma
Homoeopathy For Coronavirus Prevention : Factsheet Background On 31 December 2019, WHO was alerted about outbreak of several cases of pneumonia in Wuhan City, Hubei Province of China which raised concern because when a virus is new, we do not know how it affects people. Affected patients were geographically linked with a local wet market as a potential source. One week later, on 7 January 2020, Chinese authorities confirmed that they had identified a novel coronavirus, named “2019-n CoV” from the family of viruses that include Severe Acute Respiratory Syndrome coronavirus SARS-CoV) and Middle East Respiratory Syndrome coronavirus (MERS-CoV). Coronaviruses are zoonotic and detailed investigations found that SARS-CoV was transmitted from civet cats to humans and MERS-CoV from dromedary camels to humans. The genetic sequence of the 2019 novel coronavirus (2019-nCoV) enabled the rapid development of point-of-care real-time RT-PCR diagnostic tests specific for 2019-nCoV which is based on full genome sequence data on the Global Initiative on Sharing All Influenza Data [GISAID] platform. Scientist in China have shared its genome sequence, but the Australian scientists have for the first time recreated the virus. About the Epidemic A World Health Organization (WHO) senior leadership team, led by Director General Dr Tedros Adhanom Ghebreyesus, met President Xi Jinping of the People’s Republic of China in Beijing, who shared the latest information on the outbreak and reiterated their commitment to bring it under control. The discussions focused on continued collaboration to improve containment measures in Wuhan, to strengthen public health measures in other cities and provinces, to conduct further studies and transmissibility of the virus, to continue to share data, and for China to share biological material with WHO. WHO is continually monitoring developments and the Director-General can reconvene the Emergency Committee on very short notice. Consequently, WHO is convening a bi-weekly call with clinical experts around the globe, to better understand, in real-time, the clinical presentation and treatment interventions. So far, 4593 globally confirmed cases are reported and 4537 confirmed cases from China but 56 confirmed cases from outside China. WHO. Novel Coronavirus (2019-nCoV). Read More . Accessed on: 29 Jan 2020. Hongying Li, Emma Mendelsohn, Chen Zong, Wei Zhang, Peter Daszak et al. Human-animal interactions and bat coronavirus spill-over potential among rural residents in Southern China. Biosafety and Health 1(2) 2019: 84-90. Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet. 2020 Jan 24. pii: S0140-6736(20)30185-9. doi: 10.1016/S0140-6736(20)30185-9. No abstract available. PMID: 31986257 making China “Very High” under WHO risk assessment as of Jan 23, 2020, a total of 835 cases with laboratory-confirmed 2019-nCoV infection have been detected in China, of whom 25 have died and 93% remain in hospital. Person-to-person transmission of this novel coronavirus in hospital and family settings may be suggested, as reports of infected travellers in other geographical regions surface. In India, 9150 passengers have been screened so far, according to Ministry of Health and no case of novel coronavirus detected. The Indian Health Ministry has asked travellers from China to immediately report to nearest health facility in case they do not feel well. Pathogenesis There are six known human coronaviruses which were first identified in the 1960s from noses of patients with the common cold. Two human coronaviruses that are responsible for a large proportion of common colds OC43(beta) and 229E(alpha). Following the entry of coronavirus into the cell, the uncoated particle and the RNA genome is deposited into the cytoplasm. The coronavirus RNA genome has a 5′ methylated cap and a 3′ polyadenylated tail, which allows the RNA to attach to ribosomes for translation. Coronaviruses also have a protein known as a replicase encoded in its genome which allows the RNA viral genome to be transcribed into new RNA copies using the host cell's machinery. The replicase is the first protein to be made; once the monocistronic gene encoding the replicase is translated, the translation is stopped by a stop codon. A coronavirus non-structural protein provides extra fidelity to replication since it confers a proofreading function, which lacks in RNA-dependent RNA polymerase enzymes alone. Coronaviruses have a non-structural protein – a protease – which can separate the proteins in the chain. Case Definition Severe Acute Respiratory Infection suspected of 2019-CoV infection may be defined as- WHO. Novel Coronavirus (2019-nCoV). Read More. Accessed on: 29 Jan. 2020 Chan JF, Yuan S, Kok KH, To KK, Chu H, Yang J et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet. 2020 Jan 24. pii: S0140-6736(20)30154-9. doi: 10.1016/S0140-6736(20)30154-9. PMID: 31986261. The Economic Times. ET Explains: All you need to know about the deadly novel coronavirus. Read More. Accessed on: 29 Jan 2020. Medical News Today. What’s to know about coronaviruses? Read More. Accessed on: 29 Jan 2020. Sexton NR, Smith EC, Blanc H, Vignuzzi M, Peersen OB, Denison MR (August 2016). "Homology-Based Identification of a Mutation in the Coronavirus RNA-Dependent RNA Polymerase That Confers Resistance to Multiple Mutagens". Journal of Virology. 90 (16): 7415–7428. doi:10.1128/JVI.00080-16. PMC 4984655. PMID 27279608. Fehr AR, Perlman S (2015). "Coronaviruses: an overview of their replication and pathogenesis". Coronaviruses. Methods in Molecular Biology. 1282. pp. 1–23. doi:10.1007/978-1-4939-2438-7_1. ISBN 978-1-4939-2437-0. PMC 4369385. PMID 25720466. 2019-20 Wuhan coronavirus outbreak. Read more. Accessed on: 29 Jan 2020. WHO. Clinical management of severe acute respiratory infection when Novel coronavirus (2019-nCoV) infection is suspected: Interim Guidance. 28 January 2020. Patients with severe acute respiratory infection (fever, cough, and requiring admission to hospital), AND with no other aetiology that fully explains the clinical presentation AND at least one of the following: A history of travel to or residence in the city of Wuhan, Hu bei Province, China in the 14 days prior to symptom onset, patient is a health care worker who has been working in an environment where severe acute respiratory infections of unknown aetiology are being cared for. Patients with any acute respiratory illness and at least one of the following: Close contact* with a confirmed or probable case of 2019-nCoV in the 14 days prior to illness onset, or visiting or working in a live animal market in Wuhan, Hubei Province, China in the 14 days prior to symptom onset, or worked or attended a health care facility in the 14 days prior to onset of symptoms where patients with hospital associated 2019-nCov infections have been reported. Close contact is defined as: Health care associated exposure, including providing direct care for nCoV patients, working with health care workers infected with novel coronavirus, visiting patients or staying in the same close environment as a nCoV patient. Working together in proximity or sharing the same classroom environment with a nCoV patient - Traveling together with a nCoV patient in any kind of conveyance. Living in the same household as a nCoV patient. Clinical Syndromes associated with 2019-nCoV infection Syndrome Definition Uncomplicated illness Patients with uncomplicated upper respiratory tract viral infection, may have non-specific symptoms such as fever, cough, sore throat, nasal congestion, malaise, headache, muscle pain or malaise. The elderly and immunosuppressed may present with atypical symptoms. These patients do not have any signs of dehydration, sepsis or shortness of breath. Mild pneumonia Patient with pneumonia and no signs of severe pneumonia. Child with non-severe pneumonia has cough or difficulty breathing + fast breathing: fast breathing (in breaths/min): <2 months, ≥60; 2–11 months, ≥50; 1–5 years, ≥40 and no signs of severe pneumonia. Severe pneumonia Adolescent or adult : fever or suspected respiratory infection, plus one of respiratory rate >30 breaths/min, severe respiratory distress, or SpO2 <90% on room air. Child with cough or difficulty in breathing, plus at least one of the following: Central cyanosis or SpO2 <90%; severe respiratory distress (e.g. grunting, very severe chest indrawing); signs of pneumonia with a general danger sign: inability to breastfeed or drink, lethargy or unconsciousness, or convulsions. Other signs of pneumonia may be present: chest indrawing, fast breathing (in breaths/min): <2 months, ≥60; 2–11 months, ≥50; 1–5 years, ≥40.The diagnosis is clinical; chest imaging can exclude complications. Acute Respiratory Distress Syndrome Onset: new or worsening respiratory symptoms within one week of known clinical insult. Chest imaging (radiograph, CT scan, or lung ultrasound): bilateral opacities, not fully explained by effusions, lobar or lung collapse, or nodules. Origin of oedema: respiratory failure not fully explained by cardiac failure or fluid overload. Need objective assessment (e.g.echocardiography) to exclude hydrostatic cause of oedema if no risk factor present. Oxygenation (adults): • Mild ARDS: 200 mmHg < PaO2/FiO2 ≤ 300 mmHg (with PEEP or CPAP ≥5 cmH2O, or non-ventilated) • Moderate ARDS: 100 mmHg < PaO2/FiO2 ≤200 mmHg with PEEP ≥5 cmH2O, or non-ventilated) • Severe ARDS: PaO2/FiO2 ≤ 100 mmHg with PEEP ≥5 cmH2O, or non-ventilated) • When PaO2 is not available, SpO2/FiO2 ≤315 suggests ARDS (including in non-ventilated patients) Oxygenation (children; note OI = Oxygenation Index and OSI = Oxygenation Index using SpO2): • Bilevel NIV or CPAP ≥5 cmH2O via full face mask: PaO2/FiO2 ≤ 300 mmHg or SpO2/FiO2 ≤264 • Mild ARDS (invasively ventilated): 4 ≤ OI < 8 or 5 ≤ OSI < 7.5 • Moderate ARDS (invasively ventilated): 8 ≤ OI < 16 or 7.5 ≤ OSI < 12.3 • Severe ARDS (invasively ventilated): OI ≥ 16 or OSI ≥ 12.3 Sepsis Adults: life-threatening organ dysfunction caused by a dysregulated host response to suspected or proven infection, with organ dysfunction. Children: suspected or proven infection and ≥2 SIRS criteria, of which one must be abnormal temperature or white blood cell count. Septic Shock Adults: persisting hypotension despite volume resuscitation, requiring vasopressors to maintain MAP ≥65 mmHg and serum lactate level >2 mmol/L. Children: any hypotension (SBP 2 SD below normal for age) or 2-3 of the following: altered mental state; tachycardia or bradycardia (HR 160 bpm in infants and HR 150 bpm in children); prolonged capillary refill (>2 sec) or warm vasodilation with bounding pulses; tachypnea; mottled skin or petechial or purpuric rash; increased lactate; oliguria; hyperthermia or hypothermia. Clinical features The first fatal case of 2019-nCoV infection had continuous exposure to Wuhan Market, China was admitted with a 7-day history of fever, cough and dyspnoea. After 5 days of onset of illness, the wife of the patient who had no known history of exposure to the market, also had pneumonia and hospitalized in the isolation ward. The 2019-nCoV infection has so far caused clusters of severe respiratory illness like severe acute respiratory syndrome coronavirus and was associated with ICU admission and high mortality in China. In a first-hand data reported from Hospital of China, it was found that, by Jan 2, 2020, 41 laboratory- confirmed 2019-CoV infection admitted hospital patients had a higher plasma level of IL2, IL7, IL10, GSCF, IP10, MCP1, MIP1A, and TNFα. Fever, cough, myalgia or fatigue is most common symptoms reported whereas less common symptoms include sputum production, headache, haemoptysis and diarrhoea. Diagnosis Multiplex RT-PCR, whole genome sequencing done in in-patient department cases in China. Clinical Management Patients with 2019-nCoV infection are exhibiting a wide range of symptoms. Most cases reported have mild disease, and nearly 20% appear to progress to severe disease, including pneumonia, respiratory failure and in some cases death. Currently, there is no evidence from RCTs to recommend any specific anti-nCoV treatment for suspected or confirmed 2019-nCoV infection. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020 Jan 24. pii: S0140-6736(20)30183-5. doi: 10.1016/S0140-6736(20)30183-5.PMID: 31986264. WHO. Novel Coronavirus (2019-nCoV). Situation Report-8 *As reported by 28 January 2020. Read More. Accessed on: 29 Jan. 2020. Health Advisory WHO encourages all countries to continue epidemic preparedness. WHO’s standard recommendations for the general public to reduce exposure to and transmission of a range of illnesses are as follows, which include hand and respiratory hygiene, and safe food practices: 1. Frequently clean hands by using alcohol-based hand rub or soap and water; 2. When coughing and sneezing cover mouth and nose with flexed elbow or tissue – throw tissue away immediately and wash hands; 3. Avoid close contact with anyone who has fever and cough; 4. If you have fever, cough and difficulty breathing seek medical care early and share previous travel history with your health care provider; 5. When visiting live markets in areas currently experiencing cases of novel coronavirus, avoid direct unprotected contact with live animals and surfaces in contact with animals; 6. The consumption of raw or undercooked animal products should be avoided. Raw meat, milk or animal organs should be handled with care, to avoid cross-contamination with uncooked foods, as per good food safety practices. Homoeopathic Genus Epidemicus The preventive aspect of Homoeopathy is well known, and historically, Homoeopathy has reportedly been used for prevention during the epidemics of Cholera, Spanish Influenza, Yellow fever, Scarlet fever, Diphtheria, Typhoid etc. Homoeoprophylaxis or, prevention through Homoeopathy, can be met through using individualised medicine or Genus Epidemicus,(GE) which means a remedy which is found to be curative in most cases of the same disease is also the most likely preventive for that disease. The GE is considered whenever a specific area has been invaded by an epidemic outbreak. As in all collective diseases, the image of the pathological picture emerges after observing a considerable number of patients, Hahnemann suggests to observe several cases in order to paint “the full picture of the disease”, “totality of characteristic signs and symptoms” or “epidemic genius”, according to the homeopathic connotation of this term. The Genus Epidemicus is identified through observation of several cases of an epidemic disease, and analysing the symptomatology of those cases for the most indicated medicine. This medicine is the preventive medicine for the ongoing epidemic of that disease. It was reported that, during recent past GE had been used during various disease outbreak for preventing the spreading of diseases like Chikungunya, Dengue Fever, Japanese Encephalitis and Cholera with good results. Chikungunya Central Council for research in Homoeopathy (Council) endeavoured to find usefulness of homoeopathic genus epidemicus (Bryonia alba 30C) for the prevention of chikungunya during its epidemic outbreak in the state of Kerala, India. The result reflects a 19.76% relative risk reduction in medicine group compared to placebo. Dengue During 2016 in Delhi there was severe outbreak of both Dengue and Chikungunya. CCRH had undertook preventive study with Eupatorium perfoliatum as genus epidemicus in Mayapuri JJ clusters. Eight five percent (85%) of population were protected in homoeopathic group compared to no intervention cohort. Japanese Encephalitis (JE) In Japanese Encephalitis, (JE) positive role of Belladonna in prevention of JE was assessed in preclinical , studies in collaboration with school of tropical Medicine, Kolkata. Further to assess the effectiveness of Belladonna in clinical trial initial exploratory observational comparative study of JE was conducted wherein there was reduction of mortality and morbidity with add-on homoeopathic medicine. To validate these results Council conducted randomised controlled trial on the evaluation of homoeopathic medicines as add-on to institutional management protocol in acute encephalitis syndrome which concluded Adjunctive homeopathic medicines may improve clinical outcomes associated with Acute Encephalitis Syndrome. Coronavirus Keeping in view the positive results from the genus epidemicus as prophylactic during epidemic outbreaks of various diseases during recent past, Scientific Advisory Board of the Council in meeting held on 28.1.2020 discussed to find out possible genus epidemicus for recent outbreak of corona virus in China. The sign and symptoms of the patients were referred from the recent publication from the clinical history of patients of Wuhan, China in Lancet titled, “Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China”.

