Tratamiento homeopático de la cefalea tensional con Nux vómica: reporte de un caso
Tension headache is a highly prevalent pathology, which has impacts not only on the physical health of people, also on the work and social level. Considering the above, from Complementary Medicines there are different therapeutic tools, including Homeopathy. The present work describes the report of...
- Autores:
-
Hernandez Sanchez, Erika Ruth
- Tipo de recurso:
- Fecha de publicación:
- 2021
- Institución:
- Universidad Nacional de Colombia
- Repositorio:
- Universidad Nacional de Colombia
- Idioma:
- spa
- OAI Identifier:
- oai:repositorio.unal.edu.co:unal/80169
- Palabra clave:
- 610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiología
Alternative therapies
Terapias alternativas
Headache
Cefalalgia
Strychnos
Cefalea tensional
Homeopatía
Nux vómica
Tension headache
Homeopathy
Nux vomica
- Rights
- openAccess
- License
- Atribución-NoComercial 4.0 Internacional
| id |
UNACIONAL2_d60f24145c2405534d1b336709fbf9ab |
|---|---|
| oai_identifier_str |
oai:repositorio.unal.edu.co:unal/80169 |
| network_acronym_str |
UNACIONAL2 |
| network_name_str |
Universidad Nacional de Colombia |
| repository_id_str |
|
| dc.title.spa.fl_str_mv |
Tratamiento homeopático de la cefalea tensional con Nux vómica: reporte de un caso |
| dc.title.translated.eng.fl_str_mv |
Homeopathic treatment of tension headache with Nux vomica: a case report |
| title |
Tratamiento homeopático de la cefalea tensional con Nux vómica: reporte de un caso |
| spellingShingle |
Tratamiento homeopático de la cefalea tensional con Nux vómica: reporte de un caso 610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiología Alternative therapies Terapias alternativas Headache Cefalalgia Strychnos Cefalea tensional Homeopatía Nux vómica Tension headache Homeopathy Nux vomica |
| title_short |
Tratamiento homeopático de la cefalea tensional con Nux vómica: reporte de un caso |
| title_full |
Tratamiento homeopático de la cefalea tensional con Nux vómica: reporte de un caso |
| title_fullStr |
Tratamiento homeopático de la cefalea tensional con Nux vómica: reporte de un caso |
| title_full_unstemmed |
Tratamiento homeopático de la cefalea tensional con Nux vómica: reporte de un caso |
| title_sort |
Tratamiento homeopático de la cefalea tensional con Nux vómica: reporte de un caso |
| dc.creator.fl_str_mv |
Hernandez Sanchez, Erika Ruth |
| dc.contributor.advisor.none.fl_str_mv |
Beltrán Dussan, Eduardo Humberto Correa Cruz, Florencia |
| dc.contributor.author.none.fl_str_mv |
Hernandez Sanchez, Erika Ruth |
| dc.subject.ddc.spa.fl_str_mv |
610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiología |
| topic |
610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiología Alternative therapies Terapias alternativas Headache Cefalalgia Strychnos Cefalea tensional Homeopatía Nux vómica Tension headache Homeopathy Nux vomica |
| dc.subject.lemb.none.fl_str_mv |
Alternative therapies Terapias alternativas Headache Cefalalgia Strychnos |
| dc.subject.proposal.spa.fl_str_mv |
Cefalea tensional Homeopatía Nux vómica |
| dc.subject.proposal.eng.fl_str_mv |
Tension headache Homeopathy Nux vomica |
| description |
Tension headache is a highly prevalent pathology, which has impacts not only on the physical health of people, also on the work and social level. Considering the above, from Complementary Medicines there are different therapeutic tools, including Homeopathy. The present work describes the report of a successful case of a tension headache box managed homeopathically with the drug Nux vomica in the Student Health Care Center (CASE), within the Alternative Medicine consultation of the National University of Colombia- Headquarters Bogotá, during the years 2018-2019. |
| publishDate |
2021 |
| dc.date.accessioned.none.fl_str_mv |
2021-09-13T20:19:57Z |
| dc.date.available.none.fl_str_mv |
2021-09-13T20:19:57Z |
| dc.date.issued.none.fl_str_mv |
2021-08-26 |
| dc.type.spa.fl_str_mv |
Trabajo de grado - Maestría |
| dc.type.driver.spa.fl_str_mv |
info:eu-repo/semantics/masterThesis |
| dc.type.version.spa.fl_str_mv |
info:eu-repo/semantics/acceptedVersion |
| dc.type.content.spa.fl_str_mv |
Text |
| dc.type.redcol.spa.fl_str_mv |
http://purl.org/redcol/resource_type/TM |
| status_str |
acceptedVersion |
| dc.identifier.uri.none.fl_str_mv |
https://repositorio.unal.edu.co/handle/unal/80169 |
| dc.identifier.instname.spa.fl_str_mv |
Universidad Nacional de Colombia |
| dc.identifier.reponame.spa.fl_str_mv |
Repositorio Institucional Universidad Nacional de Colombia |
| dc.identifier.repourl.spa.fl_str_mv |
https://repositorio.unal.edu.co/ |
| url |
https://repositorio.unal.edu.co/handle/unal/80169 https://repositorio.unal.edu.co/ |
| identifier_str_mv |
Universidad Nacional de Colombia Repositorio Institucional Universidad Nacional de Colombia |
| dc.language.iso.spa.fl_str_mv |
spa |
| language |
spa |
| dc.relation.indexed.spa.fl_str_mv |
Bireme |
| dc.relation.references.spa.fl_str_mv |
Jensen RH. Tension-Type Headache – The Normal and Most Prevalent Headache. Headache Curr [Internet]. 2018; 58(2):339–45. Available from: https://pubmed.ncbi.nlm.nih.gov/28295304/ Pérez R, Esteban, Sanchez F, Jimenez M. Cefalea Tensional. In: Grupo de Estudio de Cefaleas de la Sociedad Andaluza de Neurología (SANCE). Guía oficial de cefaleas 2019 [Internet]. Madrid: Medea, Medical Education Agency S.L.; 2019. 62–74. Available from: http://www.saneurologia.org/wp-content/uploads/2019/03/Guia_Cefaleas_san-2019.pdf Kristoffersen ES, Aaseth K, Grande RB, Lundqvist C, Russell MB. Self- reported efficacy of complementary and alternative medicine : the Akershus study of chronic headache. J Headache Pain. 2013 Apr; 14(1): 113-20. Linde K, Clausius N, Ramirez G, Melchart D, Eitel F, Hedges L V., et al. Are the clinical effects of homoeopathy placebo effects? A meta-analysis of placebo-controlled trials. Lancet [Internet]. 1997;350(9081):834–43. Available from: https://pubmed.ncbi.nlm.nih.gov/9310601/ Witt CM, Lüdtke R, Mengler N, Willich SN. How healthy are chronically ill patients after eight years of homeopathic treatment? - Results from a long term observational study. BMC Public Health [Internet]. 2008 Dec; 8(413):1- 9. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-8-413 Muscari,G; Allegri, F; Miali, R Pomposelli;Tubia, P ; Targhetta, A; Castellini, M and Bellavite P. Observational study of quality of life in patients with headache , receiving homeopathic treatment. Br Homeopath [Internet]. 2001;90(4):189–97. Available from: http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.629.6005&rep=rep1&type=pdf Chen J, Wang X, Qu YG, Chen ZP, Cai H, Liu X, et al. Analgesic and anti-inflammatory activity and pharmacokinetics of alkaloids from seeds of Strychnos nux-vomica after transdermal administration: Effect of changes in alkaloid composition. J Ethnopharmacol [Internet]. 2012 Jan;139(1):181–8. Available from: http://dx.doi.org/10.1016/j.jep.2011.10.038 Patel K, Laloo D, Singh GK, Gadewar M, Patel DK. A review on medicinal uses, analytical techniques and pharmacological activities of Strychnos nux-vomica Linn.: A concise report. Chin J Integr Med [Internet]. 2017 Jan:1-13. Available from: https://link.springer.com/article/10.1007/s11655-016-2514-1 Rosero Paredes SJ. Caracterización de la cefalea en pacientes hospitalizados en el Hospital Universitario Nacional de Colombia [Internet]. Bogotá: Universidad Nacional de Colombia; 2018. Available from: http://bdigital.unal.edu.co/70484/1/1085260373.2018.pdf GBD 2016 Headache Collaborators. Global, regional, and national burden of migraine and tension-type headache, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neuro [Internet]. 2018 Nov; 17(11):954-976. Available from: https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(18)30322-3/fulltext Jay GW, Barkin RL. Primary Headache Disorders- Part 2 : Tension-type headache and medication overuse headache. Disease-a-Month [Internet]. 2017;63(12):342–67. Available from: https://doi.org/10.1016/j.disamonth.2017.05.001 Folchini C. Neurotrophic factors and tension-type headache: another brick in the wall? Arq. Neuro- psiquiatr [Internet]. 2015;73(5):377–80. Available from: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004282X2015000500001&lng=en&nrm=iso&tlng=en Reilly D, Taylor MA, Beattie NG, Campbell JH, Mcsharry C, Aitchison TC et al. Is evidence for homoeopathy reproducible? Lancet [Internet]. 1994 Dec; 344(8937):1601–6. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0140673694904073 Ernst E. Homeopathic Prophylaxis of Headaches and Migraine ? A Systematic Review. J Pain Symptom Manag [Internet]. 1999 Nov; 18(5):353–7. Available from: https://www.jpsmjournal.com/action/showPdf?pii=S0885-3924%2899%2900095-0 Vega J. Cómo escribir y publicar un caso clínico. Guía práctica. Rev Med Chile. 2015;143 (4):499–505 Ghadiri-sani M, Silver N. Headache ( chronic tension-type ). BMJ Clin Evid [Internet]. 2016; 2016 (1205):1–32. Available from: https://www-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/pmc/articles/PMC4747324/pdf/2016-1205.pdf Ortiz Caranguay J. Cefalea tensional y homeopatía. Monografía. Bogotá Universidad Nacional de Colombia; 2016. Marchand A, Houle M, Girard M, Hébert M-ève, Descarreaux M. Comparing neck extensor muscle function in asymptomatic Canadian adults and adults with tension-type headache : a cross-sectional study. BMJ Open [Internet]. 2019 May; 9(5): 1-9. Available from: https://www-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/pmc/articles/PMC6530443/ Jay GW, Barkin RL. Primary Headache Disorders- Part 2 : Tension-type headache and medication overuse headache. Disease-a-Month [Internet]. 2017; 63(12):342–67. Available from: https://doi.org/10.1016/j.disamonth.2017.05.001 Bendtsen L. Central Sensitization in Tension-Type Headache—Possible Pathophysiological Mechanisms. Cephalalgia [Internet]. 2000 Jun; 20(5):486–508. Available from: http://journals.sagepub.com/doi/10.1046/j.1468-2982.2000.00070.x Machado-Alba JE, Gaviria-Mendoza A, Machado-Duque ME. Patterns of pharmacological treatment of patients with migraine , tension-type headache , and cluster headache in a large group of patients in Colombia, 2019. Int Clin Psychopharmacol [Internet]. 2020; 35 (5):279–84. Available from: https://journals.lww.com/intclinpsychopharm/Abstract/2020/09000/Patterns_of_pharmacological_treatment_of_patients.6.aspx Rizzoli P, Mullally WJ. Headache. Am J Med [Internet]. 2018;131(1):17–24. Available from: https://www.amjmed.com/action/showPdf?pii=S0002-9343%2817%2930932-4 Lipton RB, Diener H, Robbins MS, Garas SY, Patel K. Caffeine in the management of patients with headache. J Headache Pain [Internet]. 2017 Oct; 18(1). Available from: https://www-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/pmc/articles/PMC5655397/pdf/10194_2017_Article_806.pdf Cumplido C, Fernández P, Alguacil D, Molina F. Article in Press. Neurologia [Internet]. 2010;1(1):1–6. Available from: https://pubmed-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/29525399/ Zhou J, Cheng S, Yang H, Lan L, Chen Y, Xu G, et al. The brain structure and function alterations in tension-type headache. Medicine (Baltimore) [Internet]. 2020 Jun; 99(24). Available from: https://www-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/pmc/articles/PMC7302660/pdf/medi-99-e20411.pdf Organización Mundial de la Salud. Estrategia de la OMS sobre medicina tradicional 2014-2023 [internet]. Ginebra: OMS; 2013. Available from:https://www.who.int/topics/traditional_medicine/WHO-strategy/es/ Bell IR, Schwartz GE. Adaptive network nanomedicine: an integrated model for homeopathic medicine. Front Biosci (Schol Ed) [Internet]. 2013 Jan; 5(1):685–708. Available from: https://www.bioscience.org/2013/v5s/af/400/fulltext.htm Vengoechea Ballesteros N. La Homeopatia y su trascendencia social. Bogotá: Universidad Nacional de Colombia; 2018. Sánchez Liévalo CV. Breve mirada al desarrollo de la historia de la Homeopatía en el mundo durante los dos últimos siglos. Bogotá: Universidad Nacional de Colombia; 2013. López González I, Pérez González M, Artiles López L. La Homeopatía como modalidad terapéutica en América: un recuento histórico necesario. Edumecentro [Internet]. 2016;8 supl. 1:74–86. Available from: http://scielo.sld.cu/pdf/edu/v8s1/edu07116.pdf Hurtado Cortés E. Revision histórica sobre la llamada ley de curacion o ley de hering [Internet]. Bogotá: Fundacion Universitaria Escuela Colombiana de Medicina Homeopática Luis G Paez; 2015. Available from: http://docs.bvsalud.org/biblioref/2018/02/879448/revision-historica-sobre-la-llamada-ley-de-curacion-o-ley-de-hering.pdf Bellavite P, Ortolani R, Pontarollo F, Pitari G, Conforti A. Immunology and homeopathy. 5. The rationale of the ―Simile.‖ Evidence-based Complement Altern Med [Internet]. 2007;4(2):149–63. Available from: https://www-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/pmc/articles/PMC1876612/pdf/nel117.pdf Gómez, Salazar LA. Mecanismos de acción de los medicamentos homeopaticos. Bogotá: Universidad Nacional de Colombia; 2018. Pirra G. Órganon del Arte de Curar, en búsqueda del pensamiento original de Hahnemann Edición Argentina. Buenos Aires: 2008 p. González F. Introducción a la Homeopatía. En: Instituto Luis G. Páez. Fundamentos teóricos de la Homeopatia. Bogotá: Comité de Publicaciones de la Fundación Instituto Colombiano de Homeopatía Luis G. Páez; 2014. p. 20-36. Clausen J, van Wijk R, Albrecht H. Review of the use of high potencies in basic research on homeopathy. Homeopathy [Internet]. 2011;100(4):288-92. Available from: https://www.thieme-connect.com/products/ejournals/abstract/10.1016/j.homp.2011.07.003 Grimaldi-Bensouda L, Bégaud B, Rossignol M, Avouac B, Lert F, Rouillon F, et al. Management of upper respiratory tract infections by different medical practices, including homeopathy, and consumption of antibiotics in primary care: The EPI3 cohort study in france 2007-2008. PLoS One [Internet]. 2014 Mar; 9(3):3–8. Available from: https://www-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/pmc/articles/PMC3960096/pdf/pone.0089990.pdf Haidvogl M, Riley DS, Heger M, Brien S, Jong M, Fischer M, et al. Homeopathic and conventional treatment for acute respiratory and ear complaints: A comparative study on outcome in the primary care setting. BMC Complement Altern Med [Internet]. 2007 Mar; 7:1–11. Available from: https://www-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/pmc/articles/PMC1831487/pdf/1472-6882-7-7.pdf Sharma N, Ameta A, Sharma S. Effect of homeopathy on chronic tension-type headache: a pragmatic, randomised controlled single blind trial. J Headache Pain [Internet]. 2013 Feb; 14 Suppl 1. Available from: http://www.thejournalofheadacheandpain.com/content/14/S1/P56 Danno K, Colas A, Masson J, Bordet M. Homeopathic treatment of migraine in children : results of a prospective, multicenter, observational study. J Altern Complement Med. 2013; 19(2): 119-23. Owen JM, Green BN. Homeopathic Treatment of Headaches: A Systematic Review of the Literature. J Chiropr Med. 2004; 3(2):45–52 Piraneo S. Unicist Homeopathy and Primary Headache. Homoeopathic Links [Internet]. 2014; 27(4): 252-255. Available from: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0034-1383200 Libera DD, Colombo B, Pavan G, Comi G. Complementary and alternative medicine ( CAM ) use in an Italian cohort of pediatric headache patients : the tip of the iceberg. Neurol Sci [Internet]. 2014; 35 suppl 1:145–8. Available from: https://link-springer-com.ezproxy.uniandes.edu.co:8443/article/10.1007/s10072-014-1756-y Guo R, Wang T, Zhou G, Xu M, Yu X. Botany, Phytochemistry , Pharmacology and Toxicity of Strychnos nux - vomica L .: A Review. Am J Chin Med [Internet]. 2018; 46(1): 1-23. Available from: https://www.worldscientific.com/doi/10.1142/S0192415X18500015?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub 0pubmed Eldahshan OA, Abdel-Daim MM. Phytochemical study, cytotoxic, analgesic, antipyretic and anti-inflammatory activities of Strychnos nux-vomica. Cytotechnology [Internet]. 2015 Apr; 67: 831–44. Available from: http://dx.doi.org/10.1007/s10616-014-9723-2 Steffy K, Shanthi G, Maroky AS, Selvakumar S. Potential bactericidal activity of S. nux-vomica–ZnO nanocomposite against multidrug-resistant bacterial pathogens and wound-healing properties. J Trace Elem Med Biol [Internet]. 2018; 50:229–39. Available from: https://www-sciencedirect-com.ezproxy.uniandes.edu.co:8443/science/article/pii/S0946672X18301287?via%3Dihub Shu G, Mi X, Cai J, Zhang X, Yin W, Yang X et al. Brucine, an alkaloid from seeds of Strychnos nux-vomica Linn., represses hepatocellular carcinoma cell migration and metastasis: The role of hypoxia inducible factor 1 pathway. Toxicol Lett [Internet]. 2013 Oct; 222(2): 91–101. Available from: http://dx.doi.org/10.1016/j.toxlet.2013.07.024 Ren H, Zhao Y, Fan D, Wang Z, Adelson D, Hao H et al. Alkaloids from nux vomica suppresses colon cancer cell growth through Wnt / β ‐ catenin signaling pathway. Phyther Res [Internet]. 2019; 33(5):1570–8. Available from: https://onlinelibrary-wiley-com.ezproxy.uniandes.edu.co:8443/doi/epdf/10.1002/ptr.6347 Yu G, Qian L, Yu J, Tang M, Wang C, Zhou Y et al. Brucine alleviates neuropathic pain in mice via reducing the current of the sodium channel. J Ethnopharmacol [Internet]. 2019 Apr; 233: 56–63. Available from: https://doi.org/10.1016/j.jep.2018.12.045 Alexandra Y, Meneses N. Medición de citoquinas en cultivos in vitro de células mononucleares de sangre periférica humana expuestos a Nux vómica homeopatizada. Bogotá: Universidad Nacional de Colombia; 2012. Lathoud J, Materia médica homeopática. Buenos Aires, Editorial Albatros; 1987. Vasquez S. Representación de los síntomas característicos de los medicamentos Lycopodium y Nux vomica en formato video como ayuda audiovisual. Bogotá: Universidad Nacional de Colombia; 2011. Vijnovsky B. Tratado de Materia Medica Homeopatica. Buenos aires: Editorial Provisional para Códigos;1974. Villalba FF. Escala LM: potencias homeopáticas a la 50 milesimal Preparacion, Dosis, Casos. Un método para recetarlas. Buenos Aires: Editorial Kier; 2006. Merrell WC, Shalts E. Historical background. Complement Altern Med. 2002; 86(1): 47–62. Vithoulkas G. Serious mistakes in meta-analysis of homeopathic research. J Med Life [Internet]. 2017;10(1):47–9. Available from: https://www-ncbi-nlm-nih gov.ezproxy.uniandes.edu.co:8443/pmc/articles/PMC5304371/pdf/JMedLife-10-47.pdf Frenkel M. Is There a Role for Homeopathy in Cancer Care ? Questions and Challenges. Curr Oncol Rep [Internet]. 2015;17(9):1–6. Available from: https://dx-doi-org.ezproxy.uniandes.edu.co:8443/10.1007/s11912-015-0467-8 58. Hahn RG. Homeopathy : Meta-Analyses of Pooled Clinical Data. Forsch Komplementmed [Internet]. 2013; 20(5): 376–81. Available from: https://pubmed-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/24200828/ Teixeira MZ. Special Dossier : ―Scientific Evidence for Homeopathy‖. Rev Assoc Med Bras [Internet]. 2018; 64(2):93–4. Available from: https://www.scielo.br/pdf/ramb/v64n2/0104-4230-ramb-64-02-0093.pdf Dei A. Hormesis and Homeopathy : Toward a New Self Consciousness. Dose Response [Internet]. 2017 Nov; 15(4): 1–4. Available from: https://www-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/pmc/articles/PMC5714091/pdf/10.1177_1559325817744451.pdf |
| dc.rights.coar.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
| dc.rights.license.spa.fl_str_mv |
Atribución-NoComercial 4.0 Internacional |
| dc.rights.uri.spa.fl_str_mv |
http://creativecommons.org/licenses/by-nc/4.0/ |
| dc.rights.accessrights.spa.fl_str_mv |
info:eu-repo/semantics/openAccess |
| rights_invalid_str_mv |
Atribución-NoComercial 4.0 Internacional http://creativecommons.org/licenses/by-nc/4.0/ http://purl.org/coar/access_right/c_abf2 |
| eu_rights_str_mv |
openAccess |
| dc.format.extent.spa.fl_str_mv |
vi, 48 páginas |
| dc.format.mimetype.spa.fl_str_mv |
application/pdf |
| dc.publisher.spa.fl_str_mv |
Universidad Nacional de Colombia |
| dc.publisher.program.spa.fl_str_mv |
Bogotá - Medicina - Maestría en Medicina Alternativa |
| dc.publisher.faculty.spa.fl_str_mv |
Facultad de Medicina |
| dc.publisher.place.spa.fl_str_mv |
Bogotá, Colombia |
| dc.publisher.branch.spa.fl_str_mv |
Universidad Nacional de Colombia - Sede Bogotá |
| institution |
Universidad Nacional de Colombia |
| bitstream.url.fl_str_mv |
https://repositorio.unal.edu.co/bitstream/unal/80169/1/license.txt https://repositorio.unal.edu.co/bitstream/unal/80169/2/1366900350.2021.pdf https://repositorio.unal.edu.co/bitstream/unal/80169/3/1366900350.2021.pdf.jpg |
| bitstream.checksum.fl_str_mv |
cccfe52f796b7c63423298c2d3365fc6 a544947ada18b7e338573fe9967dec04 7b48298acf4d35a400f97d7d52a77fce |
| bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 |
| repository.name.fl_str_mv |
Repositorio Institucional Universidad Nacional de Colombia |
| repository.mail.fl_str_mv |
repositorio_nal@unal.edu.co |
| _version_ |
1814089272324521984 |
| spelling |
Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Beltrán Dussan, Eduardo Humbertof053e4da9fd14ac7df6f82326d621497Correa Cruz, Florencia04f896e3d51d9cb8ded180fc8475d401Hernandez Sanchez, Erika Ruth3c7a2cc12b84cc7498fe168f1f3eb9d52021-09-13T20:19:57Z2021-09-13T20:19:57Z2021-08-26https://repositorio.unal.edu.co/handle/unal/80169Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/Tension headache is a highly prevalent pathology, which has impacts not only on the physical health of people, also on the work and social level. Considering the above, from Complementary Medicines there are different therapeutic tools, including Homeopathy. The present work describes the report of a successful case of a tension headache box managed homeopathically with the drug Nux vomica in the Student Health Care Center (CASE), within the Alternative Medicine consultation of the National University of Colombia- Headquarters Bogotá, during the years 2018-2019.La cefalea tensional constituye una patología de gran prevalencia, que tiene impactos no solo a nivel de la salud física de las personas sino también a nivel laboral y social. Considerando lo anterior, desde Medicinas complementarias existan diferentes herramientas terapéuticas, entre ellas la Homeopatía. El presente trabajo describe el reporte de un caso exitoso de un cuadro de cefalea tensional manejado homeopáticamente con el medicamento Nux vómica en el Centro de Atención de Salud a Estudiantes (CASE), dentro de la consulta de Medicina Alternativa de la Universidad Nacional de Colombia- Sede Bogotá, durante los años 2018-2019. (Texto tomado de la fuente).MaestríaMagíster en Medicina Alternativavi, 48 páginasapplication/pdfspaUniversidad Nacional de ColombiaBogotá - Medicina - Maestría en Medicina AlternativaFacultad de MedicinaBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiologíaAlternative therapiesTerapias alternativasHeadacheCefalalgiaStrychnosCefalea tensionalHomeopatíaNux vómicaTension headacheHomeopathyNux vomicaTratamiento homeopático de la cefalea tensional con Nux vómica: reporte de un casoHomeopathic treatment of tension headache with Nux vomica: a case reportTrabajo de grado - Maestríainfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/acceptedVersionTexthttp://purl.org/redcol/resource_type/TMBiremeJensen RH. Tension-Type Headache – The Normal and Most Prevalent Headache. Headache Curr [Internet]. 2018; 58(2):339–45. Available from: https://pubmed.ncbi.nlm.nih.gov/28295304/Pérez R, Esteban, Sanchez F, Jimenez M. Cefalea Tensional. In: Grupo de Estudio de Cefaleas de la Sociedad Andaluza de Neurología (SANCE). Guía oficial de cefaleas 2019 [Internet]. Madrid: Medea, Medical Education Agency S.L.; 2019. 62–74. Available from: http://www.saneurologia.org/wp-content/uploads/2019/03/Guia_Cefaleas_san-2019.pdfKristoffersen ES, Aaseth K, Grande RB, Lundqvist C, Russell MB. Self- reported efficacy of complementary and alternative medicine : the Akershus study of chronic headache. J Headache Pain. 2013 Apr; 14(1): 113-20.Linde K, Clausius N, Ramirez G, Melchart D, Eitel F, Hedges L V., et al. Are the clinical effects of homoeopathy placebo effects? A meta-analysis of placebo-controlled trials. Lancet [Internet]. 1997;350(9081):834–43. Available from: https://pubmed.ncbi.nlm.nih.gov/9310601/Witt CM, Lüdtke R, Mengler N, Willich SN. How healthy are chronically ill patients after eight years of homeopathic treatment? - Results from a long term observational study. BMC Public Health [Internet]. 2008 Dec; 8(413):1- 9. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-8-413Muscari,G; Allegri, F; Miali, R Pomposelli;Tubia, P ; Targhetta, A; Castellini, M and Bellavite P. Observational study of quality of life in patients with headache , receiving homeopathic treatment. Br Homeopath [Internet]. 2001;90(4):189–97. Available from: http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.629.6005&rep=rep1&type=pdfChen J, Wang X, Qu YG, Chen ZP, Cai H, Liu X, et al. Analgesic and anti-inflammatory activity and pharmacokinetics of alkaloids from seeds of Strychnos nux-vomica after transdermal administration: Effect of changes in alkaloid composition. J Ethnopharmacol [Internet]. 2012 Jan;139(1):181–8. Available from: http://dx.doi.org/10.1016/j.jep.2011.10.038Patel K, Laloo D, Singh GK, Gadewar M, Patel DK. A review on medicinal uses, analytical techniques and pharmacological activities of Strychnos nux-vomica Linn.: A concise report. Chin J Integr Med [Internet]. 2017 Jan:1-13. Available from: https://link.springer.com/article/10.1007/s11655-016-2514-1Rosero Paredes SJ. Caracterización de la cefalea en pacientes hospitalizados en el Hospital Universitario Nacional de Colombia [Internet]. Bogotá: Universidad Nacional de Colombia; 2018. Available from: http://bdigital.unal.edu.co/70484/1/1085260373.2018.pdfGBD 2016 Headache Collaborators. Global, regional, and national burden of migraine and tension-type headache, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neuro [Internet]. 2018 Nov; 17(11):954-976. Available from: https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(18)30322-3/fulltextJay GW, Barkin RL. Primary Headache Disorders- Part 2 : Tension-type headache and medication overuse headache. Disease-a-Month [Internet]. 2017;63(12):342–67. Available from: https://doi.org/10.1016/j.disamonth.2017.05.001Folchini C. Neurotrophic factors and tension-type headache: another brick in the wall? Arq. Neuro- psiquiatr [Internet]. 2015;73(5):377–80. Available from: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004282X2015000500001&lng=en&nrm=iso&tlng=enReilly D, Taylor MA, Beattie NG, Campbell JH, Mcsharry C, Aitchison TC et al. Is evidence for homoeopathy reproducible? Lancet [Internet]. 1994 Dec; 344(8937):1601–6. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0140673694904073Ernst E. Homeopathic Prophylaxis of Headaches and Migraine ? A Systematic Review. J Pain Symptom Manag [Internet]. 1999 Nov; 18(5):353–7. Available from: https://www.jpsmjournal.com/action/showPdf?pii=S0885-3924%2899%2900095-0Vega J. Cómo escribir y publicar un caso clínico. Guía práctica. Rev Med Chile. 2015;143 (4):499–505Ghadiri-sani M, Silver N. Headache ( chronic tension-type ). BMJ Clin Evid [Internet]. 2016; 2016 (1205):1–32. Available from: https://www-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/pmc/articles/PMC4747324/pdf/2016-1205.pdfOrtiz Caranguay J. Cefalea tensional y homeopatía. Monografía. Bogotá Universidad Nacional de Colombia; 2016.Marchand A, Houle M, Girard M, Hébert M-ève, Descarreaux M. Comparing neck extensor muscle function in asymptomatic Canadian adults and adults with tension-type headache : a cross-sectional study. BMJ Open [Internet]. 2019 May; 9(5): 1-9. Available from: https://www-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/pmc/articles/PMC6530443/Jay GW, Barkin RL. Primary Headache Disorders- Part 2 : Tension-type headache and medication overuse headache. Disease-a-Month [Internet]. 2017; 63(12):342–67. Available from: https://doi.org/10.1016/j.disamonth.2017.05.001Bendtsen L. Central Sensitization in Tension-Type Headache—Possible Pathophysiological Mechanisms. Cephalalgia [Internet]. 2000 Jun; 20(5):486–508. Available from: http://journals.sagepub.com/doi/10.1046/j.1468-2982.2000.00070.xMachado-Alba JE, Gaviria-Mendoza A, Machado-Duque ME. Patterns of pharmacological treatment of patients with migraine , tension-type headache , and cluster headache in a large group of patients in Colombia, 2019. Int Clin Psychopharmacol [Internet]. 2020; 35 (5):279–84. Available from: https://journals.lww.com/intclinpsychopharm/Abstract/2020/09000/Patterns_of_pharmacological_treatment_of_patients.6.aspxRizzoli P, Mullally WJ. Headache. Am J Med [Internet]. 2018;131(1):17–24. Available from: https://www.amjmed.com/action/showPdf?pii=S0002-9343%2817%2930932-4Lipton RB, Diener H, Robbins MS, Garas SY, Patel K. Caffeine in the management of patients with headache. J Headache Pain [Internet]. 2017 Oct; 18(1). Available from: https://www-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/pmc/articles/PMC5655397/pdf/10194_2017_Article_806.pdfCumplido C, Fernández P, Alguacil D, Molina F. Article in Press. Neurologia [Internet]. 2010;1(1):1–6. Available from: https://pubmed-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/29525399/Zhou J, Cheng S, Yang H, Lan L, Chen Y, Xu G, et al. The brain structure and function alterations in tension-type headache. Medicine (Baltimore) [Internet]. 2020 Jun; 99(24). Available from: https://www-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/pmc/articles/PMC7302660/pdf/medi-99-e20411.pdfOrganización Mundial de la Salud. Estrategia de la OMS sobre medicina tradicional 2014-2023 [internet]. Ginebra: OMS; 2013. Available from:https://www.who.int/topics/traditional_medicine/WHO-strategy/es/Bell IR, Schwartz GE. Adaptive network nanomedicine: an integrated model for homeopathic medicine. Front Biosci (Schol Ed) [Internet]. 2013 Jan; 5(1):685–708. Available from: https://www.bioscience.org/2013/v5s/af/400/fulltext.htmVengoechea Ballesteros N. La Homeopatia y su trascendencia social. Bogotá: Universidad Nacional de Colombia; 2018.Sánchez Liévalo CV. Breve mirada al desarrollo de la historia de la Homeopatía en el mundo durante los dos últimos siglos. Bogotá: Universidad Nacional de Colombia; 2013.López González I, Pérez González M, Artiles López L. La Homeopatía como modalidad terapéutica en América: un recuento histórico necesario. Edumecentro [Internet]. 2016;8 supl. 1:74–86. Available from: http://scielo.sld.cu/pdf/edu/v8s1/edu07116.pdfHurtado Cortés E. Revision histórica sobre la llamada ley de curacion o ley de hering [Internet]. Bogotá: Fundacion Universitaria Escuela Colombiana de Medicina Homeopática Luis G Paez; 2015. Available from: http://docs.bvsalud.org/biblioref/2018/02/879448/revision-historica-sobre-la-llamada-ley-de-curacion-o-ley-de-hering.pdfBellavite P, Ortolani R, Pontarollo F, Pitari G, Conforti A. Immunology and homeopathy. 5. The rationale of the ―Simile.‖ Evidence-based Complement Altern Med [Internet]. 2007;4(2):149–63. Available from: https://www-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/pmc/articles/PMC1876612/pdf/nel117.pdfGómez, Salazar LA. Mecanismos de acción de los medicamentos homeopaticos. Bogotá: Universidad Nacional de Colombia; 2018.Pirra G. Órganon del Arte de Curar, en búsqueda del pensamiento original de Hahnemann Edición Argentina. Buenos Aires: 2008 p.González F. Introducción a la Homeopatía. En: Instituto Luis G. Páez. Fundamentos teóricos de la Homeopatia. Bogotá: Comité de Publicaciones de la Fundación Instituto Colombiano de Homeopatía Luis G. Páez; 2014. p. 20-36.Clausen J, van Wijk R, Albrecht H. Review of the use of high potencies in basic research on homeopathy. Homeopathy [Internet]. 2011;100(4):288-92. Available from: https://www.thieme-connect.com/products/ejournals/abstract/10.1016/j.homp.2011.07.003Grimaldi-Bensouda L, Bégaud B, Rossignol M, Avouac B, Lert F, Rouillon F, et al. Management of upper respiratory tract infections by different medical practices, including homeopathy, and consumption of antibiotics in primary care: The EPI3 cohort study in france 2007-2008. PLoS One [Internet]. 2014 Mar; 9(3):3–8. Available from: https://www-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/pmc/articles/PMC3960096/pdf/pone.0089990.pdfHaidvogl M, Riley DS, Heger M, Brien S, Jong M, Fischer M, et al. Homeopathic and conventional treatment for acute respiratory and ear complaints: A comparative study on outcome in the primary care setting. BMC Complement Altern Med [Internet]. 2007 Mar; 7:1–11. Available from: https://www-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/pmc/articles/PMC1831487/pdf/1472-6882-7-7.pdfSharma N, Ameta A, Sharma S. Effect of homeopathy on chronic tension-type headache: a pragmatic, randomised controlled single blind trial. J Headache Pain [Internet]. 2013 Feb; 14 Suppl 1. Available from: http://www.thejournalofheadacheandpain.com/content/14/S1/P56Danno K, Colas A, Masson J, Bordet M. Homeopathic treatment of migraine in children : results of a prospective, multicenter, observational study. J Altern Complement Med. 2013; 19(2): 119-23.Owen JM, Green BN. Homeopathic Treatment of Headaches: A Systematic Review of the Literature. J Chiropr Med. 2004; 3(2):45–52Piraneo S. Unicist Homeopathy and Primary Headache. Homoeopathic Links [Internet]. 2014; 27(4): 252-255. Available from: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0034-1383200Libera DD, Colombo B, Pavan G, Comi G. Complementary and alternative medicine ( CAM ) use in an Italian cohort of pediatric headache patients : the tip of the iceberg. Neurol Sci [Internet]. 2014; 35 suppl 1:145–8. Available from: https://link-springer-com.ezproxy.uniandes.edu.co:8443/article/10.1007/s10072-014-1756-yGuo R, Wang T, Zhou G, Xu M, Yu X. Botany, Phytochemistry , Pharmacology and Toxicity of Strychnos nux - vomica L .: A Review. Am J Chin Med [Internet]. 2018; 46(1): 1-23. Available from: https://www.worldscientific.com/doi/10.1142/S0192415X18500015?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub 0pubmedEldahshan OA, Abdel-Daim MM. Phytochemical study, cytotoxic, analgesic, antipyretic and anti-inflammatory activities of Strychnos nux-vomica. Cytotechnology [Internet]. 2015 Apr; 67: 831–44. Available from: http://dx.doi.org/10.1007/s10616-014-9723-2Steffy K, Shanthi G, Maroky AS, Selvakumar S. Potential bactericidal activity of S. nux-vomica–ZnO nanocomposite against multidrug-resistant bacterial pathogens and wound-healing properties. J Trace Elem Med Biol [Internet]. 2018; 50:229–39. Available from: https://www-sciencedirect-com.ezproxy.uniandes.edu.co:8443/science/article/pii/S0946672X18301287?via%3DihubShu G, Mi X, Cai J, Zhang X, Yin W, Yang X et al. Brucine, an alkaloid from seeds of Strychnos nux-vomica Linn., represses hepatocellular carcinoma cell migration and metastasis: The role of hypoxia inducible factor 1 pathway. Toxicol Lett [Internet]. 2013 Oct; 222(2): 91–101. Available from: http://dx.doi.org/10.1016/j.toxlet.2013.07.024Ren H, Zhao Y, Fan D, Wang Z, Adelson D, Hao H et al. Alkaloids from nux vomica suppresses colon cancer cell growth through Wnt / β ‐ catenin signaling pathway. Phyther Res [Internet]. 2019; 33(5):1570–8. Available from: https://onlinelibrary-wiley-com.ezproxy.uniandes.edu.co:8443/doi/epdf/10.1002/ptr.6347Yu G, Qian L, Yu J, Tang M, Wang C, Zhou Y et al. Brucine alleviates neuropathic pain in mice via reducing the current of the sodium channel. J Ethnopharmacol [Internet]. 2019 Apr; 233: 56–63. Available from: https://doi.org/10.1016/j.jep.2018.12.045Alexandra Y, Meneses N. Medición de citoquinas en cultivos in vitro de células mononucleares de sangre periférica humana expuestos a Nux vómica homeopatizada. Bogotá: Universidad Nacional de Colombia; 2012.Lathoud J, Materia médica homeopática. Buenos Aires, Editorial Albatros; 1987.Vasquez S. Representación de los síntomas característicos de los medicamentos Lycopodium y Nux vomica en formato video como ayuda audiovisual. Bogotá: Universidad Nacional de Colombia; 2011.Vijnovsky B. Tratado de Materia Medica Homeopatica. Buenos aires: Editorial Provisional para Códigos;1974.Villalba FF. Escala LM: potencias homeopáticas a la 50 milesimal Preparacion, Dosis, Casos. Un método para recetarlas. Buenos Aires: Editorial Kier; 2006.Merrell WC, Shalts E. Historical background. Complement Altern Med. 2002; 86(1): 47–62.Vithoulkas G. Serious mistakes in meta-analysis of homeopathic research. J Med Life [Internet]. 2017;10(1):47–9. Available from: https://www-ncbi-nlm-nih gov.ezproxy.uniandes.edu.co:8443/pmc/articles/PMC5304371/pdf/JMedLife-10-47.pdfFrenkel M. Is There a Role for Homeopathy in Cancer Care ? Questions and Challenges. Curr Oncol Rep [Internet]. 2015;17(9):1–6. Available from: https://dx-doi-org.ezproxy.uniandes.edu.co:8443/10.1007/s11912-015-0467-8 58. Hahn RG. Homeopathy : Meta-Analyses of Pooled Clinical Data. Forsch Komplementmed [Internet]. 2013; 20(5): 376–81. Available from: https://pubmed-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/24200828/Teixeira MZ. Special Dossier : ―Scientific Evidence for Homeopathy‖. Rev Assoc Med Bras [Internet]. 2018; 64(2):93–4. Available from: https://www.scielo.br/pdf/ramb/v64n2/0104-4230-ramb-64-02-0093.pdfDei A. Hormesis and Homeopathy : Toward a New Self Consciousness. Dose Response [Internet]. 2017 Nov; 15(4): 1–4. Available from: https://www-ncbi-nlm-nih-gov.ezproxy.uniandes.edu.co:8443/pmc/articles/PMC5714091/pdf/10.1177_1559325817744451.pdfPúblico generalLICENSElicense.txtlicense.txttext/plain; charset=utf-83964https://repositorio.unal.edu.co/bitstream/unal/80169/1/license.txtcccfe52f796b7c63423298c2d3365fc6MD51ORIGINAL1366900350.2021.pdf1366900350.2021.pdfTesis de Maestría en Medicina Alternativaapplication/pdf693421https://repositorio.unal.edu.co/bitstream/unal/80169/2/1366900350.2021.pdfa544947ada18b7e338573fe9967dec04MD52THUMBNAIL1366900350.2021.pdf.jpg1366900350.2021.pdf.jpgGenerated Thumbnailimage/jpeg4853https://repositorio.unal.edu.co/bitstream/unal/80169/3/1366900350.2021.pdf.jpg7b48298acf4d35a400f97d7d52a77fceMD53unal/80169oai:repositorio.unal.edu.co:unal/801692024-07-29 00:02:50.916Repositorio Institucional Universidad Nacional de Colombiarepositorio_nal@unal.edu.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 |