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in Pancreatitis
2-Case Reports
Dr. Paawan Wadhawan
M.D Medicine,
Department of Internal Medicine
Ram Manohar Lohia Hospital,New Delhi
Introduction
The pancreas is a glandular organ in the
digestive system and endocrine system of
our body.
It secretes several important hormones,
including insulin, glucagon, somatostatin,
pancreatic polypeptide, and as a
digestive organ,it secretes pancreatic
juice containing digestive enzymes.
Acute pancreatitis is a sudden
inflammation of the pancreas.
3% of all cases of abdominal pain
admitted to hospital.
Despite recent advances in
management, mortality has remained
unchanged at 10%.
ForSJTs- any acute pain abdomen in
umbilical area raditing to back ,raised
serum Amylase and Lipase is Acute
pancreatitis.
Scenario in modern medicine
At present there is no definitive treatment of acute
pancreatitis in modern medicine.
Disease takes its own course and usually takes up
to 1 weak in mild cases to 3 months in severe
cases.
Mainstay of treatment is to give high dose Opiod
analgesics to control severe pain which occurs in
all cases of pancreatitis with good hydration with
intravenous fluids.
Once the acute phase is over then 85% of cases
develop complications of acute pancreatitis.
At present there is no way in modern
medicine to prevent these complications and
once developed it requires a lot of
radiosurgical skills/high dose antibiotics to
resolve these complications.
Considering all the above factors it can be
considered that acute pancreatitis is a life
threatening disease which is associated with
a high mortalility and morbidity so it will be
prudent to discuss the Impact of Sujok in
patients of acute pancreatitis.
Case 1
Mr Ashok Kumar 64 year old who was a
known case of Hypertension complained of
severe pain in abdomen since morning 4 Am
on 28-7-13.
Pain was of severe intensity .On examination –
pt was dehydrated, tongue was dry, pulse
80/m,Bp -110/80 mm of hg,CVS-s1,s2 heard,
no s3,,no murmur, respiratory system-Bilateral
air entry equal, no crepts, no
wheez,abdomen was soft on palpation ,no
guarding,no rigidity,no bowel sounds.
Immediatelly vertical needling was done
in mini correspondence system of all the 4
fingers of both hands. A total of around 50
needles were used.
Pain gone
By half an hour pts pain was reduced by
90%.Patient was taken to hospital for
consultation where lab reports showed high
values of serum Amylase (617)and Lipase
(2125)consistent with the diagnosis of Acute
Pancreatitis.
Patient was admitted in intensive care unit
and iv fluids were started as pt was quite
dehydrated. But no further analgesia was
given which was quite surprising for doctors in
a patient with so high values of serum
amylase and lipase.
He sedation in pancreas internal organ
HO-HO-Ne(No)-Ho-Ne- He--He
body - layer - int.organ - group –dimen-pancreas
He sedation in pancreas meridian
Ho-He-No-He-Ne-Ne-Ho-He
body-system-energy-meridian-group-dimension-
Pancreatic Meridian
No Improvement
Breathlessness
No urine output, derranged KFT
But
No pain
Homo sedation in pancreas
internal organ
HO-HO-Ne(No)-Ho-Ne- He--Ho
body-layer - int.organ - group–dimen-pancreas
Ho sedation in pancreas
meridian
Ho-He-No-He-Ne-Ne-Ho-Ho
body-system-energy-meridian-group-dimension-Pancreatic
Meridian
NO improvement
Acute renal failure t/t-
Sedation of cold. In nephrons of kidney
Flushing technique used on v3-
v5 zones
AKI-improved,good urine
output
KFT –improved
Blood urea -30 from 70
Creatinine-1.5 from 2.1
High blood sugars so insulin started-20u
TDS
E- I,II,VII ↓ VIII↑
G-
D–
Ho-Ho-No-Ho-He
Body-layer-commun-vein
2 hours after applying this treatment pts
general condition improved dramatically,
there was no fever after that ,TLC came down
to 9000.
Pt was discharged two days after that .
At home Pt sugar values were on higher side
so he continued to receive 50 units of Insulin
per day.
All other physical problems of fever,
edema,pain have gone.
Bed sore treatment by sujok
Next day he complained of burning in
lower back on both sides of back.
Examination showed bedsores of grade 1
along area of G meridian .Bilateral
tonification of G relieved the burning and
bed sores healed in 2 days.
Bed sore is a big issue in Modern
Medicine.
Treatment for diabetes at
pancreas and cell membrane
level
Forsugar control β cells of Islets of
Langerhans were toned along with
improving the quality of cell membranes
of cells with stimulation of liver, pancreas,
spleen, stomach correspondence points
which brought the requirement of Insulin
from 50 U a day to 10 U a day within 1
weak.
Ho-Ho-Ne(No)-Ne-Ne-Ho-Ho-He
body-layer - int.organ -group–dimen-pancreas-Bcells
E-X-A(H)-II, V
Pseudocyst a complication of
pancreatitis
On 15 September pt complained of a
large lump in his abdomen which was
confirmed to be a large Psuedocyst by
USG and CECT abdomen.
This cyst was so large that it was
compressing the stomach and other parts
of abdominal viscera.
What is Psuedocyst
A pseudocyst that does not resolve
spontaneously can occasionally lead to
serious complications, such as (1) pain
caused by expansion of the lesion and
pressure on other viscera, (2) rupture, (3)
hemorrhage, and (4) abscess.
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