Darmnosoden and cervical spondylosis

https://homeopathy360.com/2017/04/19/the-management-of-cervical-spondylosis-the-bowel-nosodes-way-2/

https://hpathy.com/homeopathy-papers/a-repertorial-approach-to-cervical-spondylitis/

[Valerian Mendonca]

A study published in the Indian Journal of Research in Homoeopathy reported positive results in treatment of cervical spondylosis. Patients were administered bowel nosode selected on the finding of their stool culture report. Nosode Sycotic Co. yielded the most favorable results.

[Chaturbhuja Nayak]

Cervical spondylosis: a form of arthritis in which the vertebrae in the neck begin to grow extra bone causing numbness, stiffness, “pins and needles” and pain into the hands.

Headache, vertigo, unsteadiness and diplopia can result.

Study on effectiveness of homoeopathic bowel nosodes in the treatment of cervical spondylosis on the basis of stool culture report.

Abstract

A prospective study of the patients suffering from cervical spondylosis treated with bowel nosodes was conducted with the objective to study their efficacy when prescribed on the basis of stool culture report. The stool cultures of 82 enrolled cases were done for isolation of non-lactose fermenting bowel organisms. On the basis of the presence of the predominant bacteria in the stool of patient suffering from cervical spondylosis, the corresponding bowel nosode was administered. Out of 82 patients enrolled in this study, 31 patients were given bowel nosodes only;

69 patients (84.14%) were given bowel nosode alone or along with homoeopathic/biochemic medicines. The results of the study were, therefore, assessed in these 69 patients only. The study concluded that bowel nosodes could possibly be used effectively on the basis of the stool culture in the treatment of patients suffering from cervical spondylosis.

There is a growing concern about the human body ecosystem-the GI tract. The GI tract harbours a rich flora of more than 500 different bacterial species, some of which have important health related functions. It has been suggested that this flora be regarded as part of the human body.

These flora comprise of both beneficial and pathogenic organisms. But these flora are not static.

Among these probiotic bacteria are the live microorganisms which belong to the natural flora with low or no pathogenicity. It is increasingly accepted that probiotic bacteria are effective tools for controlling overgrowth of potentially pathogenic microorganisms (PPM)

1. These flora of GI tract are influenced by dietary and environmental stress, causing an increase in potentially pathogenic microorganisms versus decrease in probiotic bacteria. Various medical treatments also cause serious derangements in the structure and functions of the probiotic flora.

These include antibiotics, cytostatics, and irradiations, as well as failure to provide sufficient enteral nutritions for the flora

1. The stress of modern life, reduced physical activity, and consumption of manipulated and processed foods and of chemicals (pharmaceuticals), constitute the stressors to human body that may predispose to inflammatory, infectious, ulcerative, degenerative and neoplastic diseases

1. When normal balance of the colonic flora is upset, there is possibility that the normal colonic organisms may play a part in the disease pathogenesis

2. Significant differences have been observed in the faecal flora and bacterial enzyme activity between individuals residing in countries with high incidence of colon cancer and individuals in countries with low incidence

3. Similarly a high frequency of small intestinal bacterial over growth was found in patients with rheumatoid arthritis (RA)

4. In 1986, a study had shown the role of bowel flora particularly Klebsiella species in Ankylosing Spondylitis.

It was presumed that similar mechanism might be involved in the reactive arthropathies which may follow bowel infections, and probably in Reiter’s syndrome also

5, 6. Bach started investigating about the role of intestinal bacteria in the pathogenesis of chronic diseases. He found that certain intestinal germs which belong to the non-lactose fermenting, gram –ve coli typhoid group have close association with the pathogenesis of chronic diseases. Though they were present in the intestine of healthy human beings, yet there were definite increase in the number of these organisms in the diseased persons

7. He treated successfully the chronic cases with vaccines prepared from the organisms obtained by stool culture of diseased persons. In the mean time,

while going through the Organon of Medicine, he found the striking similarity between his proposed theory and principle of Homoeopathy

8. Gradually many physicians started potentising the various non-lactose fermenting bowel bacteria and administering them (bowel nosodes) clinically. Though the journey of these group drugs into homoeopathic armamentarium was not through the traditional route i.e. proving, yet their use travelled from stool culture to clinical based prescriptions. But, unfortunately, with the passage of time, this group of drugs have been gradually sidelined by the profession.

‘Cervical spondylosis’ is a degenerative disc disease in middle-aged and elderly patients and usually produces intermittent neck pain. Repeated occupational trauma may contribute to the development of this condition. Flexion-extension injuries, blows to the head, or neck injury while lifting heavy objects may precipitate an acute exacerbation. Functional outcome noticeably declines with long-term follow-up, which raises the question of whether, and how much, surgical treatment affects the natural course of the disease

9. This work was an attempt to enlarge the field of clinical application of bowel nosodes in cervical spondylosis. It was expected that the bowel nosodes prescribed on the basis of stool culture reports of the patients might reiterate the basic concepts of J. Paterson and the outcome would pave the way for further studies.

Aim and Objectives

The primary objective of the study was: “To determine the efficacy of bowel nosodes in the treatment of Cervical Spondylosis, prescribed on the basis of stool culture report.”

The secondary objectives of the study were:

1. To find out the efficacy of the bowel nosodes in LM (50 Millesimal) potencies.

2. To study the effects of the bowel nosodes, non-bowel homoeopathic/bio-chemic medicines in cases where the stool culture reports do not reveal the presence of non-lactose fermenting organisms.

Materials & Methods

A total of 82 patients were recruited from the general O.P.Ds of Dr. A.C. Homoeopathic Medical College & Hospital, Bhubaneswar, from March 1999 to March 2002. Subjects were diagnosed on the basis of presenting symptoms, signs and radiological findings.

The stool cultures of enrolled cases were done for isolation of non-lactose fermenting bowel organisms.

On the basis of the presence of the bacteria in the stool of the patient suffering from Cervical Spondylosis, the corresponding Bowel Nosode was administered as per table-1.

A standard case recording proforma was prepared for maintaining the clinical profiles of the patients.

The non-bowel homoeopathic/biochemic medicines were prescribed in the following conditions:

i. To the patients who did not exhibit the presence of any non-lactose fermenting organism, in their stool culture.

ii. When the stool culture revealed the presence of bowel organisms for which the corresponding bowel nosodes were not available.

iii. Where a non-bowel homoeopathic medicine was clearly indicated.

iv. Where aggravation of symptoms remained for a long time and caused distress to the patients following administration of bowel nosodes.

v. In cases where new symptoms cropped up, lasted for a long time troubling the patients.

In such situations, care has been taken to choose medicines from the list of related medicine suggested by J. Paterson and E. Paterson. If no such related

medicine was available then medicines were prescribed on the basis of the totality of symptoms outside the list of related drugs.

Study on effectiveness of homoeopathic bowel nosodes in the treatment of cervical spondylosis on the basis of stool culture report

Chaturbhuja Nayak

Table-1:

Bowel organisms and related bowel nosodes

Bowel organisms Corresponding bowel nosode (s)

Morgan co.

Proteus morganii/ Morganella morganii Morgan gaertner

Morgan pure

Shigella dysenteriae Dysentery co.

Salmonella enteritidis Gaertner co.

Proteus vulgaris Proteus

Proteus mirabilis

Bacillus asiaticus

Bacillus cloacae Bacillus no. 7

Bacillus freundii

Streptococcus faecalis Sycotic co.

E. coli B. coli

1. These flora of GI tract are influenced by dietary and environmental stress, causing an increase in potentially pathogenic microorganisms versus decrease in probiotic bacteria. Various medical treatments also cause serious derangements in the structure and functions of the probiotic flora.

These include antibiotics, cytostatics, and irradiations, as well as failure to provide sufficient enteral nutritions for the flora

1. The stress of modern life, reduced physical activity, and consumption of manipulated and processed foods and of chemicals (pharmaceuticals),

constitute the stressors to human body that may predispose to inflammatory, infectious, ulcerative, degenerative and neoplastic diseases

1. When normal balance of the colonic flora is upset, there is possibility that the normal colonic organisms may play a part in the disease pathogenesis

2. Significant differences have been observed in the faecal flora and bacterial enzyme activity between individuals residing in countries with high incidence of cancer of

the colon and individuals in countries with low incidence

3. Similarly a high frequency of small intestinal bacterial over growth was found in patients with rheumatoid arthritis (RA)

4. In 1986, a study had shown the role of bowel flora (Klebsiella species) in Ankylosing Spondylitis.

It was presumed that similar mechanism might be involved in the reactive arthropathies which may follow bowel infections, and probably in Reiter’s syndrome also

5, 6. Bach started investigating about the role of intestinal bacteria in the pathogenesis of chronic diseases. He found that certain intestinal germs which belong to the non-lactose fermenting, gram-ve coli typhoid group have close association with the pathogenesis of chronic diseases. Though they were present in the intestine of healthy human beings, yet there were definite increase in the number of these organisms in the diseased persons

7. He treated successfully the chronic cases with vaccines prepared from the organisms obtained by stool culture of diseased persons. In the mean time,

while going through the Organon of Medicine, he found the striking similarity between his proposed theory and principle of Homoeopathy

8. Gradually many physicians started potentising the various non-lactose fermenting bowel bacteria and administering them (bowel nosodes) clinically. Though the journey

of these group drugs into homoeopathic armamentarium was not through the traditional route i.e. proving, yet their use travelled from stool culture to clinical based prescriptions. But, unfortunately, with the passage of time, this group of drugs have been gradually sidelined by the profession.

‘Cervical spondylosis’ is a degenerative disc disease in middle-aged and elderly patients and usually produces intermittent neck pain. Repeated

occupational trauma may contribute to the development of this condition. Flexion-extension injuries, blows to the head, or neck injury while lifting heavy objects may precipitate an acute exacerbation. Functional outcome noticeably declines with long-term follow-up, which raises the question of whether, and how much, surgical treatment affects the natural course of the disease

9. This work was an attempt to enlarge the field of clinical application of bowel nosodes in cervical spondylosis. It was expected that the bowel nosodes prescribed on the

basis of stool culture reports of the patients might reiterate the basic concepts of J. Paterson

10 and the outcome would pave the way for further studies.

Aim and Objectives

The primary objective of the study was: “To determine the efficacy of bowel nosodes in the treatment of Cervical Spondylosis, prescribed on the

basis of stool culture report.”

The secondary objectives of the study were:

1. To find out the efficacy of the bowel nosodes in LM (50 Millesimal) potencies.

2. To study the effects of the bowel nosodes, non-bowel homoeopathic/bio-chemic medicines in cases where the stool culture reports do not reveal the presence of non-lactose fermenting organisms.

Materials & Methods

A total of 82 patients were recruited from the general O.P.Ds of Dr. A.C. Homoeopathic Medical College & Hospital, Bhubaneswar, from March 1999 to March 2002. Subjects were diagnosed on the basis of presenting symptoms, signs and radiological findings.

The stool cultures of enrolled cases were done for isolation of non-lactose fermenting bowel organisms.

On the basis of the presence of the bacteria in the stool of the patient suffering from Cervical Spondylosis, the corresponding Bowel Nosode was administered as per table-1.

A standard case recording proforma was prepared for maintaining the clinical profiles of the patients.

Out of 82 patients, 31 (84.14%) were given bowelnosodes alone and 17 patients with bowel nosodes and non-bowel homoeopathic medicines and

7 patients with bowel nosodes and bio-chemic medicines and 14 cases with bowel nosodes, non-bowel homoeopathic medicines and biochemic medicines, while 13 patients were prescribed with medicine other than bowelnosode, out of which 5 patients with both non-bowel homoeopathic medicines and biochemic medicines and 8 patients with non-bowel homoeopathic medicines only.

The bowel nosodes were mostly prescribed in 50 millesimal potencies. The non-bowel homoeopathic medicines were administered mostly in centesimal

potencies. Repetition of medicines were done at suitable intervals, as per the need of each individual case in pursuance of the guidelines given by H.

in Organon of Medicine; Bach, J. Paterson and E. Paterson in their books on bowel nosodes.

The patients were asked to report, every 15 - 30 days, on the progress of their ailments and the findings were recorded in the prescribed format.

Outcome Assessment

The results of the treatment with Bowel Nosodes and other medicines were assessed as follows:

i. Marked improvement: Absence of pain, stiffness, tingling sensation, numbness in upper limbs, headache and vertigo; neck movement markedly

improved and localized tenderness was absent after treatment.

ii. Moderate improvement: Absence of stiffness, tingling, numbness, headache, vertigo; moderate improvement in neck movement and significant

decrease in localized tenderness and parasthesia, periodic manifestation of neck pain of lesser intensity at longer intervals.

iii. Mild improvement: Slight reduction of tingling, numbness, headache, vertigo, parasthesia and localized tenderness, periodic recurrence of pain,

stiffness and restriction of neck movement.

iv. No improvement: Status quo ante.

v. Dropout: The patient who did not turn up after one or two visits.

Results

The figure shows that most of the patients presented with pain in scapular region(s)/ shoulder(s)/ arm(s) and neck pain (table -2).

Regarding the radiological findings 50 patients had positive findings, while 19 cases had normal findings.

From the stool cultures of the patients enrolled, the bowel organisms isolated were

E. coli (50 patients),

Streptococcus faecalis (35 patients),

Enterobacter species (23 Patients),

Proteus vulgaris (20 patients),

Proteus morganii (19 patients),

Citrobacter species (5 patients).

In some cases more than one bowel organisms have been isolated.

Sixty-nine (69) patients were administered with Bowel Nosodes in 75 different sittings. The bowel nosodes administered were

Morgan pure,

Morgan gaertner,

Sycotic co.,

Proteus,

Bacillus No. 7.

Out of these cases, 2 patients were administered with both Proteus and Sycotic co., one patient was administered Proteus and Morgan pure, one patient with Proteus

and Bacillus No.7 and one was given Morgan pure, Proteus and Sycotic co.

Of the 69 patients to whom bowel nosodes were administered singly or with non-bowel homoeopathic/biochemic medicines, there was varying degrees of improvement

in 58 patients, no improvement in 9 patients and 2 patients dropped out of the study. Of the 42 male patients, 11 showed marked improvement, 13 showed moderate improvement and 15 mild improvement. Three (3) male patients showed no improvement in their complaints.

Out of the 27 females enrolled in the study, 3 showed marked improvement, 9 showed moderate improvement, 7 mild improvement and 6 no improvement.

Two female patients enrolled dropped out of the study.

The non-bowel medicines which were prescribed during the period, after the administration of each bowel nosode are given in table-3.

The improvement status of patients according to individual bowel nosode is given in table- 4.

A comparative presentation of improvement status of groups of patients according to the medicines prescribed is given in table-5.

Table-2:

Presenting symptoms of the patients with cervical spondylosis

Symptoms No. of patients

- Neck pain 61

- Pain in scapular region(s)/ 65

Shoulder (s)/ arm (s)

- Stiff neck 07

- Stiffness of shoulder (s) 04

- Tingling/numbness in arm (s)/ 18

Finger(s)

- Headache 06

- Vertigo 03

Study on effectiveness of homoeopathic bowel nosodes in the treatment of cervical spondylosis on the basis of stool culture report

Table-3:

Bowel nosodes and non-bowel medicines prescribed

Name of the bowel nosode Name of non-bowel medicine(s)

Bacillus no. 7 • Homoeopathic medicines – Rhus-t.

Morgan gaertner • Homoeopathic medicines – Caust. Hep. Sulph. Lyc. Merc. Rumx, Spong.

Morgan pure • Biochemic medicines – Ferr-p. Mag-p.

• Homomoeopathic medicines – Cimic. Phyt. Rhus-t. Sep.

Proteus • Biochemic medicines – Calc-f. Calc-p. Ferr-p. Kali-p. Mag-p. Nat-s.

• Homoeopathic medicines – Chel. Cimic. Cob-met. Gnaph. Kali-bi. Med. Rhus-t. Sep.

Sycotic co. • Biochemic medicines – Calc-f. Calc-p. Ferr-p. Kali-p. Mag-p. Nat-p.

• Homoeopathic medicines – Bry. Calc. Caust. Kalm. Lachn. Lyc. Nat-m. Rhus-t. Syph. Thuj.

Table-4:

Assessment of results of individual bowel nosodes

Bacillus no. 7 3 Patients Improved: Marked 01 Not improved: 02

Morgan gaertner 5 Patients Improved: Marked 01 Moderate 03 Mild 01

Morgan pure 6 Patients Improved: Moderate 03 Mild Not improved: 02

Proteus 22 Patients Improved: Marked 02 Moderate 05 Mild 09 Not improved: 12

Sycotic co. 37 Patients Improved: Marked 10 Moderate 12 Mild 11 Not improved: 04

Table-5:

Assessment of results of different groups

- Bowel nosodes only Improved: Marked 10 Moderate 05 Mild 11 Not improved 03

- Bowel nosodes with non-bowel homoeopathic medicines Improved: Marked 02 Moderate 11 Mild 01 Not improved 03

- Bowel nosodes and biochemic medicines Improved: Marked 03 Moderate 01 Mild 02 Not improved 03

- Bowel nosodes, non-bowel homoeopathic + bio-chemic medicines Improved: Marked 01 Moderate 05 Mild 06 Not improved 02

The response of various bowel nosodes in relieving the particular symptoms of patients suffering from cervical spondylosis given below:

I. Bacillus no. 7

Particular symptoms No of cases No of cases

Pain in neck Patients prescribed 02 Patients improved 01

Stiffness of neck Patients prescribed 01 Patients improved 00

Tingling + numbness arms/ fingers Patients prescribed 01 Patients improved 00

II. Morgan gaertner

Pain in neck Patients prescribed 05 Patients improved 04

Pain scapular region/shoulders/arms Patients prescribed 04 Patients improved 02

Tingling + numbness in arms/fingers Patients prescribed 03 Patients improved 01

III. Morgan pure

Pain in neck Patients prescribed 05 Patients improved 02

Pain scapular region/shoulders/arms Patients prescribed 06 Patients improved 02

Stiffness of neck Patients prescribed 02 Patients improved 00

Tingling + numbness in arms/fingers Patients prescribed 01 Patients improved 00

IV. Proteus

Neck pain Patients prescribed 20 Patients improved 12

Pain scapular region/shoulders/arms Patients prescribed 15 Patients improved 07

Tingling + numbness in arms/fingers Patients prescribed 04 Patients improved 03

Weakness of limbs Patients prescribed 01 Patients improved 00

Vertigo Patients prescribed 01 Patients improved 00

V. Sycotic co.

Pain in nape of neck Patients prescribed 30 Patients improved 21

Pain scapular region/shoulders/arms Patients prescribed 40 Patients improved 028

Stiffness of neck Patients prescribed 04 Patients improved 03

Stiffness of shoulder Patients prescribed 04 Patients improved 03

Tingling + numbness in arms/fingers Patients prescribed 10 Patients improved 07

Weakness of limbs Patients prescribed 03 Patients improved 00

Vertigo Patients prescribed 03 Patients improved 01

Discussion

This study has shown that bowel nosodes play an important role in the management of cervical spondylosis when prescribed on the basis of the stool

culture and otherwise confirms the findings of the pioneers in the field like (Bach/J. Paterson).

Out of the 82 patients of cervical spondylosis treated under this clinical research trial, maximum cases (26) belong to the age group of 41-50 years and 21 cases belong to the age group 31-40 years. There were 49 males and 33 females. 53 patients (64.63%) were accustomed to manual work against 29 patients (35.37%) doing sedentary work. 12 patients suffered for less than 1 month, where

as 70 patients had complaints ranging from 1 month to 3 years and more.

49 cases (59.76%) were diagnosed from signs and symptoms as well as radiological findings, whereas 33 (40.24%) were diagnosed from signs and

symptoms alone.

Repeated radiological assessments could not be done and the response to treatment was based on subjective assessment of patients through symptoms and signs.

The bowel organisms isolated in the stool culture of these patients were:

E. coli (50 cases),

Streptococcus faecalis (35),

Enterobacter species (23),

Proteus vulgaris (20),

Proteus morganii (19),

Citrobacter species (5).

Bowel nosodes were prescribed according to the bowel organisms isolated from the stool of each patients (Table-

1). In those cases, where more than one bowelorganisms were isolated, the symptoms of the patients were matched with those of the bowel nosodes and

the most appropriate bowel nosode was prescribed.

The bowel nosodes used in this study were

Sycotic co. (39 patients),

Proteus (22 patients),

Morgan pure (6 patients),

Morgan gaertner (5 patients)

Bacillus no. 7 (3 patients).

More frequent use of Sycotic co. may vindicate the predominance of Sycotic miasm in cervical spondylosis.

B. coli, the corresponding bowel nosode for E. coli could not be assessed due to non-availability of the medicine in L.M. potency during the study period.

From the view of bowel nosode used in this study,

Sycotic co. was more frequently administered bowel nosode. From 37 patients administered with Sycotic co., 10 cases showed marked improvement, 12 moderate improvement, 11 mild improvement and 4 cases no improvement.

Considering the particular complaints of the patients cured/relieved by a specific bowel nosode as well as the physical and mental characteristics of the patients in whom such bowel nosodes acted more favourably, the following comprehensive profile of each drug is delineated:

Morgan gaertner

Particulars:

- Pain in nape of neck

- Pain/soreness in scapular region (r.)

- < at night

Physical generals

- Hot patient

- Desires: sweet, warm food;

- Rectum: constipated

Mental generals

- Irritable

- Short tempered

Morgan pure

Particulars

- Pain in nape of neck

- Pain/soreness in scapular region/shoulder region

- < at night/during first motion;

- > by continued motion

Physical generals

- Hot patient, but easily catches cold

- Desires: sweet, oily food

- Appetite: decreased

- Rectum: constipated

- Sweat profuse

Mental generals

- Irritable

- Short tempered

Proteus

Particulars

- Pain in nape of neck and pain/soreness in scapular region

- < at night, from cold exposure

Physical generals

- Hot patient

- Desires: sweet/salt/lukewarm foods;

- Thirst increased

- Rectum: mostly constipated, not clear

- Sweat profuse

Mental generals

- Irritable

- Short tempered

- < Consolation

- Obstinate

Sycotic co.

Particulars

- Pain in the nape of neck

- Pain/ soreness in shoulder/ scapular region, mostly affecting left side.

- <: at night/in cold weather (winter/rainy season)/on beginning to move;

- >: by hot application;

Physical generals

- Chilly patient

- Desires: sweet

- Intolerance: egg, fatty foods;

- Rectum: mostly constipated, scanty stool.

- Sleep disturbed due to pain

- Sweat profuse

Mental generals

- Irritable

- Short tempered

- > Consolation

The non-bowel homoeopathic medicines prescribed were:

Bry. Calc. Caust. Chel. Cimic. Cob-met. Gnaph. Hep. Sulph. Kali-bi. Kalm. Lachn. Lyc. Med. Merc. Nat-m. Phyt. Rhus-t. Rumx. Sep. Spong. Syph. Thuj.

The biochemic medicines used in the study were:

Calc-f. Calc-p. Ferr-p. Kali-p. Mag-p. Nat-p. Nat-s. (Possible ?Cadm-s. Agar. Cadm-s. Pic-ac. Kalm. Tree Calcite. Lepisma saccharina.?).

Comparing these drugs with the list of the related drugs suggested by J. Paterson, it is evident that majority of these drugs are not from the list recommended by him. Further study can be taken up to verify this so that these additional medicines may be incorporated in the related drug list.

As we know cervical spondylosis is a degenerative disease of the intervertebral discs, LM potencies of Study on effectiveness of homoeopathic bowel nosodes in the treatment of cervical spondylosis on the basis of stool culture report bowel nosodes were used in most of the cases to overcome the limitation of repetition of bowel nosodes in centesimal potencies, and to obtained quick response in the patients.

In the patients suffering from cervical spondylosis, though regeneration of the degenerated vertebrae or intervertebral discs with medicines may not be

expected, yet the sole purpose of the treatment was to relieve the symptoms and avert the possible complications. The mode of selection of the bowel

nosodes is different from the conventional method of selection of homoeopathic medicines (on the basis of the law of similia). Rather the selection of the medicine in this clinical research study was based on the presence of non-lactose fermenting organism in the stool culture of the individual patient concerned. This novel method of selection of medicine posed a number of limitations particularly the non-availability of pharmaceutical preparations of the corresponding bowel nosodes and their literature. Notwithstanding these difficulties, the results of the study are encouraging as evident from the general assessment of results.

The positive results of the study prompt the need for conducting further clinical trials on the clinical efficacy of bowel nosodes on the basis of symptoms similarity.

The symptoms relieved by the bowel nosodes can be added in the Materia Medica as clinical symptoms of the respective bowel nosodes. Further, the post-treatment radiological assessment of the patients can be conducted to bring objective evaluation in the study.

Different potencies on Decimal, Centesimal and LM scale of the bowel nosodes can be clinically tested to identify the most useful scale.

Conclusion

Bowel nosodes when prescribed on the basis of positive stool culture could reduce the symptoms of cervical spondylosis, particularly neck pain, stiffness, tingling, headache, vertigo, numbness etc. and improve neck mobility. By doing the stool culture of the individual patients suffering from cervical spondylosis, the selection of the bowel nosode corresponding to the presence of a non-lactose fermenting organism in the stool becomes easier and more objective. Among the bowel nosodes, Sycotic co. has yielded most favourable results. For further confirmation of the above findings,

a large sample study with more quantifiable outcome parameters is required.

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