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Managing Allergic Rhinitis with Multiple Level of Management

By Dr. R. Valavan, Manager – Scientific Affairs, Dr. Willmar Schwabe India

For keeping up the faith of people in homoeopathy and the physician, successful management of acute episodes of allergy becomes essential. It should be managed at multiple levels. In managing the acute episodes, many mother tinctures and lower potencies are used. This article gives a glimpse on some of the short and quick acting drugs with specific potencies from literature which have been clinically verified.


People turning to homoeopathy for allergic rhinitis mostly present with chronic picture and with prolonged usage of anti-histamines. Such cases sometimes turn out to be difficult ones to cure or it may take longer period than usual. Homoeopaths usually make a plan for eradicating the deep malady with constitutional and anti-miasmatics along with concurrent management of the acute episodes. For keeping up their faith on homoeopathy and the physician, successful management of acute episode becomes essential. It should be managed at multiple levels. In managing the acute episodes, many mother tinctures and lower potencies are used. It is aimed to give instant relief to the patient. Other constitutional and miasmatic inter-current remedies like Arsenicum album, Bryonia, Kalium iodatum, Medorrhinum, Natrum muriaticum, Natrum sulphuricum, Nux vomica, Psorinum, Pulsatilla, Sabadilla, Silicea, Sulphur, etc. are given to cure the patient slowly and steadily. Since the indications of above constitutional polychrest remedies are well known, this article gives a glimpse on some of the short and quick acting drugs with specific potencies from literature which have been clinically verified.

Pathophysiology of allergic rhinitis – modern scientific understanding
Allergic rhinitis is a condition due to sensitised immune system, where an allergen such as pollen or dust triggers the inflammation of mucous membrane of the nose, eyes, eustachian tubes, middle ear, sinuses, and pharynx. It leads to symptoms like sneezing, itching of nose, swelling of mucous membrane of nose, runny nose, etc. According to modern concept it is characterized by a complex interaction of inflammatory mediators but ultimately is triggered by an immunoglobulin E (IgE)–mediated response to an extrinsic protein. Supporting the miasmatic theory, recent findings have linked the tendency to develop allergic, or IgE-mediated, reactions to extrinsic allergens (usually proteins capable of causing an allergic reaction) with genetics. In susceptible individuals, exposure to certain foreign proteins leads to allergic sensitization, which is characterized by the production of specific IgE directed against these proteins. This specific IgE coats the surface of mast cells, which are present in the nasal mucosa. When the specific protein (eg, a specific pollen grain) is inhaled into the nose, it can bind to the IgE on the mast cells, leading to immediate and delayed release of a number of mediators.


Allergic Rhinitis - Symptoms
Symptoms of allergic rhinitis may develop within minutes after you breathe in an allergen, or they may not occur for another 4 to 8 hours. Symptoms often last longer than 10 days. The most common immediate symptoms include:

  • Sneezing repeatedly, especially after you wake up in the morning. Sneezing can occur as soon as 1 to 2 minutes after you breathe in an allergen. A runny nose (rhinorrhea). The drainage from a runny nose caused by allergies is usually clear and thin but may thicken and become cloudy or yellowish if a nasal or sinus infection develops.
  • A runny nose can occur as soon as 3 minutes after you breathe in an allergen.
  • Postnasal drip, which often feels like a tickle in your throat. It can trigger a cough as you try to clear your throat.
  • Watery, itchy eyes. This may be allergic pinkeye.
  • Itchy ears, nose, and throat.
Symptoms that may take longer to develop include:
  • A stuffy nose, possibly with sniffing. This is the most common symptom in children and may be their only complaint.
  • Eyes that are sensitive to light.
  • Feeling grumpy or moody.
  • Loss of energy.
  • Poor sleep.
  • Breathing through your mouth because your nose is blocked.
  • An altered sense of smell.
  • A long-lasting (chronic) cough.
  • Problems with sinuses and the tubes that run between the inside of the ears and the back of the throat (eustachian tubes).
  • A sense of pressure in an ear or difficulty hearing.
  • Discomfort or pain in the face.
  • Dark circles or patches under the eyes (allergic shiners).
  • Rubbing the nose, which may cause a crease on the bridge of the nose (allergic crease).

Short and quick acting tinctures and low potencies for instant relief
Ambrosia artemisiaefolia Q/1x to 3x. In the 19th century much attention has been called to this species of the genus Ambrosia (the Rag Weeds) causing hay fever through its pollen. A researcher Dr. E. T. Marsh and another experimenter suffered severely from symptoms of coryza and hay-fever whilst observing the pollen of this plant. These observations have lead to use of this drug in similar affections. There are much lachrymation and intolerable itching in the eyes in cases of coryza and hay fever. Sometimes it is associated with nosebleed. Stuffed up feeling of nose and head is observed. Irritation of trachea and bronchial tubes, with asthmatic attacks and wheezy cough.

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