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Bringing Classical and Contemporary Homoeopathy Together


ISSN: 9070-6038 Vol. 46, No. 02, May 2020

Scope of Homoeopathy in Hypertensive disorders


ƒƒ Homoeopathy in a case of hypertension
ƒƒ A case on hypertension with Boger’s Synoptic Key
ƒƒ Psychodynamic and psychosomatic nature of essential
hypertension and emerging homoeopathic remedies
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6 | The Homoeopathic Heritage | May 2020


Vol. 46, No. 02, May 2020, ` 30
Total No. of pages: 60
EDITOR
C O N TE N TS
EDITORIAL SECTION ON COVID 19
Dr Farokh J. Master
EDITORIAL BOARD Enough of homoeo ‘n’ corona, 20
Dr Yashika Arora 9
Dr Geeta Rani Arora now talk on homoeo ‘n’ coronary
Dr Yashika Arora
hheditor@bjain.com Dr Rakesh Gohel

Language Editor
Dayna Lynn Davis FROM THE EDITOR’S DESK
REVIEWERS
Dr Clare Relton
Homoeopathy for high blood pressure 10 CASE STUDY
Dr Chaturbhuj Nayak
Dr Eswara Das A case on hypertension with 23
Francis Treuherz Boger’s Synoptic Key
Dr Meeta Gupta
Dr Queenita Fernandes Dr J. Senthil Kumar and Dr A. Sumaiyah
Dr Raj Kumar Manchanda SUBJECTIVE
Dr Robert Mathie A case report of hypertension associated 36
Dr Saurav Arora Hypertension and it’s homoeopathic 13 with hypercholesterolaemia cured by
Dr Sandeep Sathye homoeopathic individualised simillimum
Prof Dr Anwar Amir management by using different clinical
Dr Monika Kathuria repertories Dr Yashveer Singh, Dr Mukesh Solanki,
Dr Yashveer Dr Chitralekha Tiwari
Dr Ashish Indani Dr Ayushi Malhotra, Dr Yogyata
Dr Kamal Sethi A brief therapeutic index of lesser known 26
Dr Yogesh Niturkar
homoeopathic remedies for hypertension
CLINICAL
INTERNATIONAL ADVISORS Dr Shishir Mathur, Dr Rajesh Kumawat,
Subrata Kumar Banerjea Ms. Meenal Saini Psychodynamic and psychosomatic 33
Grant Bentley
Miranda Castro Hypertension in paediatric age group 45 nature of essential hypertension ARTICLE

Tarkeshwar Jain and scope of homoeopathy in and emerging homoeopathic


Ajit Kulkarni
its management remedies
Robin Murphy
Uttareshwar R. Pachegaonkar Dr Pathak Amol Pramodrao, Dr Neha Patel
Roberto Petrucci Dr Pathak Vibhuti Amol
Chaim Rosenthal Homoeopathy in a case of hypertension 40
Todd Rowe Factors about hypertension 50 Dr Ruchi Singh, Dr Anjana Kumari
M.K. Sahani
Luc De Schepper Dr Mini I V
Jan Scholten
Frederik Schroyens Lycopus virginicus – a complete review on 53
Sanjay Sehgal hypertensive remedy
L.M. Khan
Yogesh Sehgal Dr S. Sabarirajan, Dr S. R. Ameerkhan Babu INTERACTION
Jeremy Sherr Can Adrenalinum in decimal potency be 55
P. K. Sudhir Open Discussion 48
Praful Vijayakar used to treat hypertension?
Torako Yui Dr Darshan J. Shah
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8 | The Homoeopathic Heritage | May 2020


EDITORIAL

Dear Readers, were seen “chewing hawthorn”, due Ms. Meenal Saini, Hypertension in
to its cardio-protective qualities. paediatric age group by Dr Pathak
Is it true if a patient suffering Thus, the homoeopathic remedy, Amol Pramodrao, Dr Pathak Vibhuti
from high blood pressure and Crataegus oxyacantha, i.e. hawthorn, Amol, Factors about hypertension
is symptom-free, he needs no helps to “clean up” the arteries by Dr Mini I V, Lycopus virginicus
treatment? Homoeopathy possess a removing the crustaceous matter review by Dr S. Sabarirajan, Dr S. R.
very significant role in supporting stuck to their lining. Ameerkhan Babu, Adrenalinum by Dr
the standard treatments as well as Darshan J. Shah are the highlighted
creating a sense of well-being in A Quick Word on Issue Content: articles of this issue. An article on
such patients. the current pandemic of COVID 19
All the articles published under
Homeopathic prescription is best this issue, includes high quality by Dr Rakesh Gohel has added more
when tailored to the individual research papers, covering the role worth to this issue of the journal.
constitutional make up of a person. of homoeopathy in the management As a homoeopathic physician,
Homeopaths assess the constitutional of hypertensive cases, thus proving one must aim to reduce the blood
type, personality, lifestyle, family that homoeopathy can bring about pressure to a level at which the
background, likes and dislikes, miraculous results even in lifestyle patient can reduce or stop the
taking into consideration the diseases. A wonderful research allopathic medicine. This will
totality of symptoms, and prescribe paper on psychodynamic and surely prove to be a very rewarding
a simillimum remedy which psychosomatic nature of essential exercise for a homoeopath for sure.
stimulates the body’s own healing hypertension and emerging
powers, along with diet and homoeopathic remedies by Dr Neha We hope this issue will help the fellow
lifestyle management. Homeopathic Patel. A clinical study on the efficacy homoeopaths to understand the
medicine works best for those with of homoeopathic medicines in the situations of hypertensive patients
early or borderline hypertension, treatment of hypothyroidism by and manage such cases in a better
who are not yet taking medication, or Dr Y. Uma Devi, Prof V.V.S. Murali way, thus bring the sick to health
to help maintain good blood pressure Krishna is another feather in the cap rapidly, gently and permanently.
control in those who are on only of this issue. Clinical case stuides Also, I look forward to hearing
one antihypertensive drug. A recent of hypertension by Dr Ruchi Singh, opinions and recommendations.
pilot study, in 2014, assessed the Dr Anjana Kumari, Boger’s Synoptic You may also login to our website,
effects of Viscum album (mistletoe), Key by Dr J. Senthil Kumar and Dr A. www.homeopathy360.com for more
an infrequently used homeopathic Sumaiyah, hypertension associated information and opportunities
remedy for hypertension, wherein with hypercholesterolaemia by Dr related to homoeopathy.
after 12 weeks’ treatment, there was Yashveer Singh, Dr Mukesh Solanki, Dr
a statistically significant fall seen Chitralekha Tiwari, subjective articles Dr Yashika Arora
in blood pressure from an average by Dr Ayushi Malhotra, Dr Yogyata, hheditor@bjain.com
of 155.8/84.4 mmHg to 141.5/79.5 a brief therapeutic index by Dr nn
mmHg. In the times past, older men Shishir Mathur, Dr Rajesh Kumawat,

Note: The Homoeopathic Heritage is now a peer reviewed journal since January 2013. All the articles are peer
reviewed by the in-house editorial team and selected articles from each issue are sent for peer review by an
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Call for papers for the upcoming issues:

Unbolt Yourself
September 2020 Skin diseases and Homoeopathy July 15, 2020
October 2020 Homoeopathic Aggravation August 15, 2020
November 2020 Role of Homoeopathy in Lifestyle Disorders September 15, 2020
December 2020 Cancer and Homoeopathy October 15, 2020

May 2020 | The Homoeopathic Heritage | 9


FROM THE EDITOR'S DESK

Homoeopathy for high blood pressure

at home, he used to keep on walking in his balcony due


to anxiety. He also used to develop nervous diarrhoea
whenever he had to face any government officer.
At physical level, he had headache, especially at
frontal area and vertex. His mouth was very dry with
extreme thirst for icy cold water. Whenever he thought
of inquiry, he used to get palpitation. He also suffered
from weakness in eyes due to excessive reading.

Past history

B lood pressure refers to the measured pressure in the His past history included recurrent tonsillitis for which
circulatory system. Though many anti-hypertensive he took repeated course of augmentin.
medicines available, only 17% to 27% of people
with  hypertension achieve optimal blood pressure control Family history
with medical treatment. Some doctors believe that
Family history of ischaemic heart disease, stroke,
homoeopathy can play a beneficial role in supporting
arthritis was present.
standard treatments. The homoeopathic prescription is
best found when tailored to the individual constitutional
Treatment history
make up of a person.
He was on tablet labetol 100mg 2 times a day.
Case study On examination, at the first day of consultation, his B.P.
was measured as 148/95 mm Hg. He wanted to take
Chief complaints
homoeopathy instead of western medicine.
In June 2013, an 42 years unmarried man working in
a reputed financial company since last seven years, Totality of symptoms
earning good salary, came with the complaint of acute
MIND - ANGER - easily
hypertension since 6 weeks. His ECG showed enlarged
heart, with pulse rate of 123 per minute. He was very MIND - ANGER - interruption; from
anxious and nervous because his cardiologist mentioned
MIND - ANXIETY - bed - in bed
that this can lead to heart attack.
MIND - ANXIETY - inactivity, with
History of presenting complaints
MIND - CONCENTRATION - difficult
The patient was MBA in finance from American
MIND - DELUSIONS - persecuted - he is persecuted
university. The story of current illness started six
months ago when one of the director, under whom he MIND - DISCOURAGED
worked earlier, was caught by government agencies for
a financial fraud worth ten million dollars. Immediately MIND - HELPLESSNESS; feeling of
after, an inquiry was set up by government, and one by MIND - INDIFFERENCE - duties; to
one, everyone was grilled for the fraud by the agency.
As the inquiry progressed, the patient became anxious, MIND - LAZINESS
disturbed sleep with tossing and turning in bed, no
MIND - RESTLESSNESS - move - must constantly
concentration in work, didn’t feel like going to office, total
indifference and laziness for work, afraid of being put in HEAD - PAIN - Forehead - Eminence; frontal
jail though he had done nothing wrong. He became very
irritable with his parents and sister for no reason. When HEAD - PAIN - Vertex

10 | The Homoeopathic Heritage | May 2020


FROM THE EDITOR'S DESK

EYE - WEAK

FACE - CRACKED - Lips

MOUTH - DRYNESS - thirst; with

STOMACH - HEARTBURN

STOMACH - THIRST - extreme

RECTUM - DIARRHEA - anticipation, after

RECTUM - DIARRHEA - excitement agg.

CHEST - HYPERTROPHY

CHEST - PALPITATION of heart - anxiety - with

GENERALS - FOOD and DRINKS - cold drink, cold


water - desire - ice-cold water

GENERALS - PULSE – frequent

Repertorial sheet
Figure 1

24 June 2013: Arsenicum album 0/1 was prescribed, 3


times a day for 4 days.

Follow up

1 July 2013: B.P. came out to be 140/90 mm Hg, the


patient felt little better in anxiety and restlessness. He
was prescribed Arsenicum album 0/1, 3 times a day for
15 days.

20 July 2013: B.P. was observed as 168/98 mm Hg, felt


worse than before. He spent ten hours at the government
agency, talking with officer in charge, where he suffered
from fear of death. He was very certain due to vivid
thought process that he might be jailed.

Cenchris contortrix 200c/ 1 dose was given followed by


Arsenicum album 0/3, 3 times a day for seven days.

See Figure 2
Justification
See Figure 1 Follow up

29 July 2013: B.P. as 141/85 mm Hg was observed, felt


Prescription much better in his anxiety restlessness, fear, sleep
He was asked to stop allopathic treatment and control became better.
diet. Avoid aluminium vessel cooking, strong tea, coffee
Cenchris contortrix 0/6/ 2 times for one month.
and nicotine. Opt for salt restriction. Exercise regularly,
especially in fresh air. 4 August 2020: B.P. was 138/ 84 mm Hg, felt much better.

May 2020 | The Homoeopathic Heritage | 11


FROM THE EDITOR'S DESK

Mind

Forgetful; [dreamily] absent-minded; alternating


moods. Delusion that she will be sent to asylum. Anxiety
in evening in bed. Anxiety while lying. Presentiment of
death. Delusion of being in two places at the same time.
Fear of apoplexy. Jealousy. Quarrelsome; from jealousy.
SUSPICIOUS. Time passes too slowly.

Head

Aching, in left frontal eminence and left side of teeth.

Eyes

Swelling around eyes, aching and itching in eyes.

Face

Upper lip swollen.

Abdomen

As of a bottle of water shaking up and down in left


hypochondrium, while riding in a carriage. Tight clothes
around waist unbearable.
See Figure 2
Female
Cenchris contortrix 0/6, once a day for one month.
Yellow leucorrhoea, and pain in right ovary.
3 Sept 2013: B.P. was 136/82 mm Hg with no symptoms,
office stress was still going on but patient felt much
Respiration
better.
Frequent sighing.
Placebo with all auxillary methods like diet, exercise,
salt restriction was continued.
Heart

Keynote symptoms from Concordant As if distended, fills whole chest, as if it fell down in
Materia Medica by Frans Vermuelen abdomen. Sharp stitches, fluttering under left scapula.

Characteristics Lower extremities

Like the other snake poisons, it affects the system As of a cord around hips. OB 6 Nates cold at night in
profoundly. Like Arsenicum album, it has dyspnoea, bed.
mental and physical restlessness, thirst for small
quantities of water, necessity to have loose clothing, Dreams
like Lachesis mutus. Marked alternation of moods; vivid
Horrible and vivid dreams, can’t be shaken off during
dreams. Is a wonderful restorative and deep acting
waking hours; lascivious, especially of seeing rape and
remedy. Increased sexual desire in both sexes. Ineffectual
sexual intercourse.
attempt to recline. Right ovarian region painful. Must lie
with the head drawn back or will choke and suffocate.
Offensive discharges. Whole body seems enlarged to Modalities
bursting, esp. about the heart. Throbbing in anus and Worse: Pressure. Lying down. Afternoon. Night. On
vulva on waking, followed by a dull aching in sacral waking.
region, ameliorated by walking about.
nn

12 | The Homoeopathic Heritage | May 2020


SUBJECTIVE

Hypertension and it’s homoeopathic management by


using different clinical repertories
Dr Ayushi Malhotra, Dr Yogyata

Abstract: The following article describes about hypertension, increasing at a very fast pace nowadays. Different repertories are
being used like Murphy’s Repertory, Synthesis Repertory, etc with its general as well as homoeopathic management. This can be
controlled by homoeopathic medicine like Crataegus oxyacantha, Lachesis mutus, Baryta carbonica, Rauwolfia serpentina, etc.

Keywords: Hypertension, homoeopathy, high blood pressure, Rauwolfia serpentina, Scutellaria laterifolia.
Abbbreviations: WHO – world health organization.

Introduction William Boericke, JH Clarke, Robin • Severe hypertension can cause


Murphy, as well as guidelines of fatigue, nausea, vomiting,

H ypertension is known as a
“silent killer” since most of the
people suffering from hypertension
hypertension by WHO, etc. confusion, anxiety, chest pain,
and muscle tremors. [1]
Risk factors
are usually unaware of the problem
Complications
because it may present no warning 1. Modifiable risk factors
signs or symptoms. For this reason, • Unhealthy diet (excessive In case of uncontrolled hypertension,
it is essential that blood pressure salt consumption, a diet high following complications can occur:
should be measured regularly. • Chest pain, also called angina.
in saturated fat and trans
Hypertension is defined as high
fats, low intake of fruits and • Heart attack, which occurs when
blood pressure the (force exerted by
vegetables), the blood supply to the heart is
circulating blood against the walls
blocked and heart muscle cells die
of the body’s arteries, the major • Physical inactivity,
from lack of oxygen. The longer
blood vessels in the body). Blood • Consumption of tobacco and the blood flow is blocked, the
pressure is measured as systolic and alcohol, greater the damage to the heart.
diastolic. The systolic represents
the pressure in blood vessels when • Being overweight or obese. • Heart failure, which occurs when
the heart contracts or beats whereas 2. Non-modifiable risk factors the heart cannot pump enough
the diastolic represents the pressure blood and oxygen to other vital
• A family history of body organs.
in the vessels when the heart rests
hypertension,
between beats. Hypertension is • Irregular heartbeat which can
diagnosed if, when it is measured • Age over 65 years, lead to a sudden death.
on two different days, the • Co-existing diseases such • Hypertension can also burst or
systolic blood pressure readings as diabetes or kidney block arteries that supply blood
on both days is ≥140 mmHg and/ disease. [1 and oxygen to the brain, causing
or the diastolic blood pressure a stroke.
readings on both days is ≥90 mm
Hg. [1]
Symptoms • Hypertension can cause kidney
damage, leading to kidney
• Early morning headaches.
failure. [1]
Methodology • Nosebleeds.
The data related to this article • Irregular heart rhythms. Prevention
was being collected from the • Vision changes. Reducing hypertension prevents
source books of the authors like
• Buzzing in the ears. heart attack, stroke, and kidney

May 2020 | The Homoeopathic Heritage | 13


SUBJECTIVE

damage, as well as other health Glon. sound in head with laboured


problems. 3. Phatak Repertory – [4] breath. Palpitation from least
• Reducing salt intake (to less than exertion. Throbbing all through
▪ HYPERTENSION (BLOOD
5 grams daily) the body. Skin flushed and
PRESSURE - HIGH) –
• Eating more fruit and vegetables - Aur, Bar-c, Bar-m, Coff, Con, hot. Anxiety or fear; no thirst.
Crat, Glon, Iod, Lycps, Stront, Vertigo with falling on the left
• Being physically active on a
Tab, Uran, Verat-v, Visc. side or backward. Worse from
regular basis
touch, noise, jar and lying
• Avoiding use of tobacco  Sudden rise of – Coff. down.
• Reducing alcohol consumption ▪ Complete Repertory [5]–
3. RAUWOLFIA SERPENTINA-
• Limiting the intake of foods high ▪ CLINICAL – HYPERTENSION
in saturated fats High blood pressure without
- Arg-n, Aur , Bar-c, Cact, Calc,
marked atheromatous changes
• Eliminating/reducing trans fats in Caust, Crat, Ign, Kali-c, Kali-
in the vessels. It also acts as a
diet.[1] chl, Lyc, Nat-m, Phos-ac,
sedative.
Phos, Plum, Psor, Puls, Rad,
Management Rauw, Sec-c, Sep, Sil, Stront, 4. CRATAEGUS OXYACANTHA
• Reducing and managing mental Stront-i, Sumb, Thuja. - Pain in region of heart and
stress under left clavicle. Heart
• Regularly checking blood
Some commonly muscles seem flabby, worn out.
pressure prescribed medicines for Heart dilated; first sound weak.
hypertension Pulse accelerated, irregular,
• Treating high blood pressure
feeble, intermittent. Valvular
• Managing other medical 1. GLONOINUM- Excessive murmurs. Cutaneous chilliness,
conditions.[1] throbbing of heart, pulse beats blueness of fingers and toes;
rapidly with increasing force all aggravated by exertion
Repertorial approach and frequency; throbbing in or excitement. Faintness and
according to different the vessels of neck, pulsating collapse. Heart failure in
repertories headache in forehead and hypertrophy and valvular
temples, agg. when stooping disease .
[7]
1. Synthesis Repertory [2] - which causes stitching pain
▪ GENERALS- HYPERTENSION of great violence in cardiac 5. CONIUM MACULATUM -
– region; laborious action of Anxious sensation with rapid
- CON, VERAT. heart, oppression, frequent action of the heart. Pressure
- Am-m, Ambr, Aur, Bar-c, Bry, pulse; blood seems to rush to at times in the praecordial
Ferr, Op, Plb, Rauwolf, Sec, heart and mount rapidly to region, as if the heart would be
Stront, Stront-i, Visc. head; alternate congestion to pressed down, with oppressed
heart and head; severe stitches breathing (third day). Dull
 Accompanied by – heart –
from heart extending into back, stitches above the heart on deep
Crataegus
between shoulders; purring inspiration, although also soon
 Sudden – Adren, Coff, noise in cardiac region when afterwards on every motion
Lat-m. lying, pulse intermittent, must of the body. Flying stitches
2. Murphy’s Repertory [3] - have head high; agg. lying and tearings, at one time in
on left side, amel. on right the cardiac region, at another
▪ CLINICAL- HYPERTENSION –
side, blending of first and in the hands, head, and legs.
- Crataegus, Lach
- Aml-n, Aur, Glon, Nat-m, second sound, so that they Palpitation on rising, after a
Nux-v, Verat cannot be distinguished; stool, with intermissions in the
restlessness in limbs, relieved beats of the heart, and after
 Heart disease with - Crat, by walking. drinking.
Lach
2. BELLADONNA- Violent 6. VERATRUM ALBUM - Violent
 Sudden rise of- Adren, Coff, palpitation, prolonged echoing palpitation of heart, which

14 | The Homoeopathic Heritage | May 2020


SUBJECTIVE

pushes out the ribs, with taking a long breath and on https://www.who.int/news-room/
choking, and severe fits of motion; pulse slow and weak, fact-sheets/detail/hypertension-
anxiety in praecordium. Pulse sometimes intermitting; slow ACCESSED ON 5/03/2020
slow, almost lost. Great activity during day, more frequent at 2. Schroyens F. Augmented Clinical
of arterial system. The blood night.
Synthesis. 9.1 ed. New Delhi: B. Jain
runs like cold water through
12. BARYTA MURIATICUM- Publishers (P) Ltd; 2005.
the veins.
Arteriosclerosis and cerebral 3. Murphy R. Homeopathic Medical
7. STRONTIUM CARBONICUM- affection in the aged. Vertigo Repertory. Third Revised Edition.
High blood pressure with and noises in the ears. Increased Noida: B. Jain Publishers (P) Ltd;
flushed face pulsating arteries, tension of pulse. Icy cold body 2016.
threatened apoplexy. with paralysis. Thickening of
arteries and bronchial affection 4. Phatak S.R..A Concise Repertory
8. STROPHANTHUS HISPIDUS- of Homoeopathic Medicines. 4th ed.
in old persons.
It is a muscle poison; it New Delhi: B. Jain Publishers (P)
increases the contractile power 13. LACHESIS MUTUS- It is the Ltd; 2009.
of all stiped muscles. Acts on head remedy for high blood
the heart, increasing the systole 5. Zandvoort R. Complete Repertory.
pressure. The patient is worse
and diminishes the rapidity. 2019.
on waking. Sleep into an
May be used with advantage aggravation. Restlessness. 6. Allen H.C. Allen’s keynotes
to tone the heart and run off Cannot bear tight clothes, rearranged and classified with
dropsical accumulations. In wants to loosen them. the leading remedies of Materia
small doses for weak heart, medica and bowel nodoses. New
it feels enlarged. In mitral 14. ADRENALINUM- High arterial
Delhi: Indian Books & Periodicals
regurgitation, where oedema blood pressure. Roaring in the
Publishers; 2010.
and dropsy have supervened. ears due to high blood pressure.
7. Clarke JH, A Dictionary of Practical
9. VIPERA BERUS- violent pain in Conclusion Materia Medica Volume I, II, III.
chest with Chilliness, bloating New Delhi: B. Jain Publishers (P).
up of chest, with difficulty of In modern world, hypertension is
Ltd.; 1995.
breathing, violent congestion becoming very serious problem
day- to-day due to sedentary 8. Boericke W. New manual of
to heart, he tears his clothing
open, with excessive sensation lifestyle and mental stress. Homoeopathic Materia Medica and
of sickness in abdomen, Hypertension is not an incurable repertory. 9th ed. New Delhi: B. Jain
anguish about heart, numbness disease but can be treated and Publishers (P) Ltd; 2011.
and lameness of upper controlled by some changes in
9. Lilienthal S. Homoeopathic
dietary habits and modified
extremities. Therapeutics. New Delhi: B.Jain
lifestyle, along with homoeopathic
10. SCUTELLARIA LATERIFOLIA- medicine. Homoeopathic medicines Publishers Pvt. Ltd.; 2008.
Irregular action of the heart, gives great results in the cases
from derangement of the of hypertension by using clinical About the authors
cardiac plexus, tremulousness repertories and finding simillimum
with the help of Materia medica. Dr Ayushi Malhotra, MD Scholar,
and twitching of the cardiac
muscels, oppression of the Scaling up protocol-based Dept of Materia Medica, Dr. M.P.K
chest with a sticking pain on management, improving access Homoeopathic Medical College,
cardiac region, sensation of to medicines and technologies, Homoeopathy University, Jaipur.
throbbing about the heart with and better measuring outcomes,
flushed face. will surely lead to another level of Dr Yogyata, MD Scholar, Dept of
success. Repertory, Dr. M.P.K Homoeopathic
11. MURIATICUM ACIDUM-
Palpitation of heart felt in face; Medical College, Homoeopathy
References
stitches in heart; tension and University, Jaipur.
1. WHO. Hypertension [internet].13
pain on sternum; agg. when September 2019. Available at: nn

May 2020 | The Homoeopathic Heritage | 15


RESEARCH PAPER

“A clinical study on the efficacy of homoeopathic


medicines in the treatment of hypothyroidism”
Dr Y. Uma Devi, Prof V.V.S. Murali Krishna

Abstract: Nowaday, thyroid diseases are one of the commonest endocrinal disorders worldwide. The prevalence of hypothyroidism
is much more common in India compared to the other developed countries. Hypothyroidism is a type of chronic disease, for which
many of us think that it requires lifelong follow up and treatment as the disease has a long lasting effects on cardiovascular health
and mortality. In addition to being a direct cardiovascular risk factor, hypothyroidism contributes to enhancing other risk factors
like hyperlipidaemia and hypertension. Even the subclinical hypothyroidism of moderate severity is associated with higher risk of
heart failure and stroke in younger population.
In this paper, the results of the work done on 30 hypothyroid patients using homoeopathic medicines is presented, based on the
psychosomatic origin of disease and the totality of symptoms of the case.

Keywords: Endocrinal disorder, hyperlipidaemia, hypertension, subclinical hypothyroidism, psychosomatic.


Abbreviations: SCR: standardised case record, ASS: associated with.

Introduction from a dynamic point of view, homoeopathic approach.


considering the psychosomatic

S cience is the enterprise that


builds and organises knowledge
in the form of prediction and
origin and ailment as the basis
of disease3. For the totality of
Objectives of the study
1. To study in detail about the
symptoms, the elements like the
testable explanation. Homoeopathy hypothyroidism.
physical constitution of the patient,
is one of the sciences which his moral and intellectual character, 2. To emphasise the effectiveness of
addresses, among other things, his occupation, mode of living and homoeopathic medicines in the
the unexplained health mysteries1. habits, his social and domestic treatment of hypothyroidism.
As the hypothyroidism is the relations, his age, sexual function
commonest endocrinal disorder etc are considered4. Homoeopathy Materials and methods
worldwide, there is definitely a need is a system where in the indicated • This study has been conducted on
for study on the hypothyroidism medicines while relieving the the patients of hypothyroidism
because of the diversified patient their symptoms brings the to assess the effectiveness
morbidities it causes on the general improvement of the patient of homoeopathic medicines
various systems of the body. Each as a whole and also decreases the in the treatment of
and every cell of the body has an susceptibility of the patient to hypothyroidism.
influence of the thyroid hormones2. disease5.
• To emphasise the effectiveness of
The disease is ever increasing, after
In this paper, an attempt to has homoeopathic medicines in the
once it is diagnosed and there is
been made study the effectiveness treatment of hypothyroidism.
no appropriate treatment for this
of homoeopathic medicines in the
disease till date, except the gradual
increasing dosage of levothyroxine
treatment of hypothyroidism and Research design
also to minimise the complications
supplementation. Non-controlled experimental study
associated with the chronicity of
design.
Homoeopathy is a system of disease. We have made a sincere
medicine which is based on the effort to understand the essential
principle that sick man is prior to
Sample design
nature of Hypothyroidism, its
sick body. Every disease is dealt clinical presentation and it’s Total 30 cases were selected by

16 | The Homoeopathic Heritage | May 2020


RESEARCH PAPER

purposive sampling method. Analysis of data Follow ups


All cases were selected according
to inclusion criteria and All the collected symptoms of Majority of cases were reviewed for
excluded according to exclusion each patient were analysed & every 15 days to 1 month basis to
criteria. totality of symptoms was obtained assess the subjective and objective
in each case by taking into changes. Each case was followed
Inclusion criteria consideration the homoeopathic for a period of 6 – 12 months
• People between 15–60 years age principles. from the commencement of
group of both genders. treatment.
The potency selection was done
• All clinically diagnosed cases based on the demand of the
of hypothyroidism patients case, taking into consideration Diet and regimen
irrespective of their sex, socio- the following criteria such All the patients are advised to
economic status, ethnic group as susceptibility, vitality and avoid goitrogens6 and to avoid
and occupation will be suppression (if any), changes other medicinal agents during the
considered. in the structural and functional mode of treatment except Thyroxine
level. Mostly single potentised supplementation.
Exclusion criteria dose was prescribed, based on the
1. Cases of pregnancy totality of symptoms. Very rarely Assessment of
or postpartum related single dose of the complementary
effectiveness
hypothyroidism will not be medicine was also prescribed
considered. based on the requirement of the Effectiveness of the medicines
2. Cases of any other brain case. Occasionally Thyroidinum was assessed on the basis of
pathology due to which there is 3X supplementation was clinical improvement and
some secondary dysfunction of prescribed for very severe the disappearance or relief of
thyroid gland. cases. symptoms, improvement in general
3. All types of thyroid cancers. health by the disease intensity
These cases were followed for a scores and the improvement in the
Source of data period of 6–12 months duration. Thyroid Profile. After competition
During the follow up each case of treatment, the post – treatment
• The data is collected from was evaluated keenly including the disease intensity was compared
the patients reported to the intensity of symptoms before and taking into consideration the
outpatient department, inpatient after treatment. Thyroid profile general well being of the patient and
department, peripheral was repeated for every 3 months, also comparing the improvement in
centres and camps of Dr. to consider the improvement of the Thyroid Profile before and after
Allu Ramalingaiah Govt.
the case not only in the symptoms treatment.
Homoeopathic Medical
but also in the pathological point
College and Hospital,
Rajamahendravaram, Andhra
of view. The method used for Plan and data analysis
this study was a clinical method
Pradesh. Data will be analysed using
along with the results obtained
• Data was collected from patients has been statistically analysed descriptive statistics and the results
or their parents/attenders, by and evaluated. No controls were will be presented by using frequency
interviewing the patient’s history tables, percentages, diagrams and
considered during the study. All
in detail and after thorough graphs. The significance of the
cases were treated after taking case
physical examination. treatment before and after using
with the help of SCR, in which
homoeopathic medicine is tested by
• All data collected in the form of the complete sympatomatology
using paired t-test.
symptoms were recorded in the of patients (clinical presentation
standardised case record (SCR) and individual symptoms) was
recorded. Selection of remedy in
Tools used
of Dr Allu Ramalingaiah Govt
Homoeopathic Medical College each case was based on the totality • Standardised case record (SCR).
and Hospital. of symptoms. • Master chart.

May 2020 | The Homoeopathic Heritage | 17


RESEARCH PAPER

Results: Distribution of cases according to Statistical data of result of the treatment:


gynaecological disorders / ass with
Distribution of cases according to age
hysterectomy

Distribution of cases according to sex

Discussion and conclusion


In the past, iodine deficiency
was being for the occurrence of
Association of goitre in hypothyroid cases hypothyroidism in India, but the
disease is still prevalent despite the
promotion of iodised salt since 1983.
Distribution of cases according to Iodine supplementation can also
occupation induce or aggravate autoimmunity,
resulting in goitre and thyroid
dysfunction. India has completed
its transition from iodine deficiency
to iodine replete status. According
to research done by Unnikrishnan,
chief endocrinologist et.al, across
the world, with the advent
of iodisation, autoimmune
thyroid disease has become the
Distribution of constitutional remedies in most common cause of
the treatment of hypothyroidism hypothyroidism7.

From the above study,


Distribution of cases according to family
it was clearly evident that
history of hypothyroidism
hypothyroidism does not just
require a mere supplementation,
but something more is needed to
be understood in order to cure the
disease permanently from the root
cause.

Although some group of


individuals are being exposed to
same environmental and physical
conditions, not everyone are being
suffered from the disease and not

18 | The Homoeopathic Heritage | May 2020


RESEARCH PAPER

even the same individual remains which made the patient prone 4. Hahnemann S. Organon of
the same as before in the similar to the disease and finally the Medicine. 6th ed. Reprint ed. New
environmental conditions, which totality of symptoms is arrived, Delhi, India: B. Jain Publishers (P)
might be due to some triggering basing on which the remedy is Ltd; 2004.
factors making the person liable to prescribed12. 5. .Dhawale M.L Principles and
suffer8. practice of homoeopathy , Reprint
Out of the 30 cases, Natrum
According to Sigmund Freud, a Muriaticum ( in 4 cases); edition ,published by B. Jain
famous psychoanalyst, “emotions Pulsatilla and Lachesis(in 3 cases); publishers New Delhi,2016
are responsible for mental disturbances Alumina, Calcarea Ars, Kali bich, 6. Cecil R, Goldman L, Bennett
and somatic disorders. Physical Kali carb, Lycopodium and Sepia J. Cecil textbook of medicine.
symptoms are often the surface (in 2 cases each); Argentum Philadelphia: W.B. Saunders;
manifestations of deeply repressed Nitricum, Calcarea Carb, Calcarea 2000.21st edition
conflicts.” Sulph, Carcinosinum, Crotalus
Cascavalla, Graphites, Spongia (in 7. Abilash Nair et al., Journal of
James Tyler Kent has stated, 1 case each) were selected on the Thyroid Research; Volume 2018.
“It is not from the external things that constitutional basis and found to be 8. Rajan Sankaran. Homoeopathy
man becomes sick, not from bacteria effective in the treatment of : The Science Of Healing. 1st Ed.
nor environment, but from causes with hypothyroidism. New Delhi: B Jain Publishers Pvt
himself. That which we call disease is Ltd; 1999.
but a change in the Vital force expressed From the analysis of the
result obtained, it is obvious that 9. Kent JT. Lectures on Homoeopathic
by the totality of symptoms.9”
the homoeopathic medicines Philosophy. Reprint ed. New
In the Textbook of Pathology are effective in the treatment of Delhi, Indian Books & Periodical
by William Boyd, the author hypothyroidism. Publisher; 2011.
clearly states that the emotional
10. Boyd W. A Text-book of Pathology
disturbances are the main cause Limitations ... Fourth edition, thoroughly
of thyroid disorders and the
1. Since this is a time bound study, revised, etc. London; printed in
hypothalamus is the controlling
therefore cases could not be America: Henry Kimpton; 1943.
centre of the emotional activity of
studied for longer period. Some 11. Pierrie Schmidt . The Art Of Case
the body. Even the pituitary gland
cases could not be considered Taking And Interrogation Including
itself is also under the influence
in this study because of Other Treasure Work. New Delhi:
of nervous stimuli from the
discontinuation of treatment.
hypothalamus and thus directly B.Jain Regular;
controls the activities of all the 2. Since the sample size is limited to 12. Roberts HA. The Principles
hormones of the body10. So not 30 cases, generalising the result and Art of cure by Homoeopathy.
only the thyroid disorders but all and conclusions of this study 2nded. New Delhi, India: B. Jain
the endocrinal diseases are a direct need to be done cautiously.
Publishers (P) Ltd; 1999.
result of the emotional disturbance
in the person. When these emotional References About the authors
disturbances are considered and 1. George Vithoulkas . The Science
given prime importance and Of Homoeopathy. Greece: Grove Dr Y. UMA DEVI, PG scholar,
treated accordingly, the cure will Press / Atlantic Monthly Press ; Department of Materia Medica,
ensue in a simple and permanent 2000. Dr. A.R.G.H.M.C Rajamahendravaram.
way11. 2. Hall JE. Guyton and Hall Textbook Prof. V.V.S. MURALI KRISHNA
of Medical Physiology. 12th ed. B.H.M.S., M.D, working as a Professor
Homoeopathy is a such a
Philadelphia, USA: Churchill
precise system of medicine, which of the Department of Materia Medica,
Livingstone, An imprint of
considers the person as a whole Dr. G.G.H.M.C, Gudivada, Andhra
Elsevier Limited; 2011.
by taking into consideration his Pradesh. He has more than 25 years of
3. Mathur K. Principles of prescribing. teaching and clinical experience.
physical, mental and emotional
Jain Regular; 1st Aril 2008
symptoms along with the ailment, nn

May 2020 | The Homoeopathic Heritage | 19


SECTION ON COVID 19

Enough of homoeo ‘n’ corona,


now talk on homoeo ‘n’ coronary
Dr Rakesh Gohel

Abstract: Acute diseases, especially epidemics, always drive attention of all because of its suddenness involving majority of people
and occasionally comes in the form of undertaker. Corona played the same role in the form of pandemic. Similarly, certain non-
communicable diseases are slowly progressively acting as undertaker which is always overlooked. One of major such diseases is
cardiovascular diseases. Homoeopathy has pivotal role in preventing cardiac diseases as well as promoting health.

Keywords: Cardiovascular disease, homoeopathy, materia medica, medicines, repertory.


Abbreviations: non-communicable diseases (NCD), cardiovascular diseases (CVD), ischaemic heart disease (IHD),
rheumatic heart disease (RHD).

Burden of communicable diseases (NCDs). Among these, man regarded as an animal, has been
cardiovascular diseases constituted created more helpless than all other
v/s non-communicable
the largest proportion of NCD animals. Man has been subjected to
diseases (NCDs) deaths (47.9 %), followed by far larger numbers of diseases than

W orld is passing through such cancers (21%), chronic respiratory animals. It is the man who painfully
a phase when, at regular diseases (11.72 %), digestive escapes from his mother’s womb,
intervals, some or the other mishap diseases (6.1%), diabetes (3.5%) and
soft, tender, naked, defenseless,
in the form of meteoric or telluric rest of the NCDs were responsible
helpless and destitute of all that can
disturbances ends up increasing for 9.78% of deaths. India have been
render his existence supportable
the morbidity and mortality. Since facing a rise in the burden of NCDs
last few years, homoeopaths have causing significant morbidity and and happy. Hahnemann has stated
witnessed varied form of epidemics mortality, both in urban and rural that there are medicines which can
and pandemics. Latest worldwide population. (2) protect man from various diseases,
threat happened to be in form and therefore he must know all
of corona virus infection – Among the cardiovascular
about it. (3)
COVID-19. (1) diseases (CVD), the major
conditions include ischaemic Homoeopathic chest box is
Along with such threats heart disease (IHD), hypertension, full of useful medicines for various
world is also facing problems cerebrovascular disease (stroke), cardiovascular diseases acting over
of critically high incidence of congenital heart disease, rheumatic different parts and conditions of
non-communicable diseases heart disease (RHD). (2) heart.
which gradually have become an
undertaker for large population Homoeopathy for heart Following is the chart which
worldwide. As per the data can be used for clinical snap shot
provided in book of preventive Hahnemann had nicely written
prescription. The medicines are
medicine by Park, the developing in “Medicine of experience” that on
presented according to their action
countries should be alarmed to this earth, many animals, insects
take immediate proper steps to and creatures have one or the other on various parts/ locations of
get rid of the “epidemics” of non- protective features which help heart as well as in different heart
communicable diseases. It is them to fight against predator, for diseases. For reference, Boericke’s
said that out of 57 million global example, snakes have fang with materia medica and its Repertory, Kent
deaths in 2008, 36 million (63%) venom, tortoise with armour, deer Repertory and Phatak Repertory are
were due to non-communicable with stags, etc. On the other hand, consulted. (4, 5, 6)

20 | The Homoeopathic Heritage | May 2020


SECTION ON COVID 19

manifest itself in many ways


like angina pectoris, myocardial
infarction; irregularities of the
heart, cardiac failure, even
sudden death. (2)
• If homoeopathic medicines
are given in time it can check
further progress of such diseases.
Following medicines may prove
to be useful:
▪▪ Arnica montana: In material
doses, it prevents clotting as well
as thrombotic phenomenon.
For angina pectoris with severe
pain in elbow of left arm. Fatty
heart and hypertrophy. (4)
▪▪ Ceanothus americanus: Active
haemostatic, materially
reducing the clotting of blood.
Like aspirin, these 2 drugs, i.e.
Arnica montana and Ceanothus
americanus, helpful as blood
thinner. (4)
▪▪ Crataegus oxyacantha: A heart
tonic, which is said to have a
solvent power upon crustaceous
and calcareous deposits in
arteries. This indication makes
the role of Crataegus oxyacantha
worthy in heart conditions.
Arteriosclerosis, in majority
of the cases, acts as mischief.
Whatever may be the name of
arteries when they get affected
by time with deposition of
various deposits and leading
to narrowing, this remedy
comes in action to dissolve
this deposits and increasing
diameter of vessels so increase
in the blood flow. In my
clinical practise, many heart
patients are benefitted with this
medicine. In true sense it act as
cardiovascular tonic. (4)
Chart ▪▪ Squilla maritima: This is unique
but neglected remedy for
heart. Along with Tabacum,
Chart: Homoeopathy for it has special affinity for
coronary affections: coronary arteries. This
See Chart • Coronary artery diseases remedy should keep in mind

May 2020 | The Homoeopathic Heritage | 21


SECTION ON COVID 19

for cardiac diseases as it is a over distended and dilatation vascular degeneration. Usually,
cardiac stimulant affecting the begins, and when there is for high systolic pressure with
peripheral vessels and coronary an absence of compensatory a comparatively low diastolic
arteries. (4) hypertrophy, and when venous tension. (4)
▪▪ Tabacum: This remedy plays a stasis is marked along with • Vanadium: This remedy is
pivotal role for cardiac affection dyspnoea, dropsy, aneuric known as oxygen carrier and a
but still it is overlooked. For tendency. So, in cases where there catalyser, so it is very useful in
dealing with heart patients, this is no compensatory mischief, this wasting diseases like myocardial
is one of the essential medicines remedy is helpful. (4) degeneration even indegenerative
as it is said to be the most • Adonis vernalis: How can one conditions of arteries. It is also
homoeopathic drug for angina forget “pheasant’s eye”. Most known to increase and stimulate
pectoris, with coronaritis useful heart medicine, after phagocytes which helps to
and high tension. Patient has rheumatism, influenza, or combat infection. (4)
palpitation when lying on bright’s disease, where the • Aspidosperma: In mother tincture
left side; intermits, feeble and muscles of the heart are in stage doses this medicine act as
imperceptible pulse; angina of fatty degeneration. Here it “Digitalis of the lungs.” It has
pectoris, pain in præcordial regulates the pulse and increasing capacity toremove temporary
region, pain radiates from the power of contractions of obstruction to the oxidation of the
center of sternum. (4) heart, with increased urinary blood by stimulating respiratory
secretions. Most valuable in centers, increasing oxidation and
Remember me too! cardiac dropsy. Useful in many excretion of carbonic acid. Very
Following are few remedies which cardiac mischiefs such as mitral useful for pulmonary stenosis,
must not be overlooked for cardiac and aortic regurgitation, chronic thrombosis of pulmonary artery
conditions: aortitis, fatty heart, pericarditis, and cardiac asthma. (4)
rheumatic endocarditis,
• Strophanthus hispidus: This
myocarditis and cardiac References
remedy increases the systole and
asthma. (4)
1. World Health Organization, Coronavirus
diminishes the rapidity. May
disease (COVID-19) Pandemic. Available
be used with advantage to tone from: www.who.int/emergencies/diseases/
the heart, and run off dropsical Quick reference novel-coronavirus-2019
accumulations. Main feature of • Allium sativum: Useful for 2. Park K.; Park’s Textbook of Preventive and
hypertension as has vasodilatory social medicine; 23rd Edition, 2015; Bhanot
this remedy is that it has no gastric Publishers, Jabalpur.
distress, has no cumulative properties produces arterial
3. Dudgeon R E; The Lesser writings of
effects and it is a greater diuretic, hypotension within 30 to 45 Hahnemann; Reprint edition, 2002; B. Jain
is safer for the aged as it does minutes after twenty to forty Publisher Pvt. Ltd, New Delhi.
not affect the vaso-motors. drop doses of the tincture. (4) 4. Boericke W.; Pocket Manual of Homoeopathic
Materia Medica and Repertory; Low price
Helpful in cases where irritable • Baryta carbonicum: Baryta edition, 2005; B. Jain Publishers Pvt. Ltd.,
heart noticed on consequence of carbonicum is said to be New Delhi.
the long term use of stimulants cardiovascular poison acting 5. Kent J T.; Repertory of the Homoeopathic
especially tobacco-smoking. This on the muscular coats of heart
Materia Medica; ; Reprint edition, 2012;
Indian Books & Periodicals Publishers, New
remedy has capacity to restore and vessels leading to arterial Delhi.
tone to a brittle tissue, especially fibrosis. Blood vessels soften and 6. Phatak S. R.; A Concise Repertory of
of the heart muscle and valves. It degenerate, become distended, Homoeopathic Medicines; 4th edition, 2016;
is useful in failing compensation B. Jain Publisher Pvt. Ltd., New Delhi.
and aneurysms, ruptures, and
dependent upon fatty heart.  So, apoplexy results in. Useful
one can see vast sphere of action for diseases of old men when
About the aurthor
of this medicine for cardiac degenerative changes begin; Dr Rakesh Gohel, M.D. (Hom.)
affections. (4) whether its cardiac, vascular or P.G. Coordinator; P.G. and Ph.D.
• Convallaria majalis: Useful for cerebral; who have hypertrophied Guide; Professor, Jawaharlal Nehru
smokers, for tobacco heart, prostate or indurated testes. (4) Homoeopathic Medical College, Parul
especially when due to cigarettes. University, Vadodara.
• Baryta muriatica: Useful when
Useful when the ventricles are
there is hypertension and nn

22 | The Homoeopathic Heritage | May 2020


CASE STUDY

A case on hypertension with Boger’s Synoptic Key


Dr J.Senthil Kumar and Dr A. Sumaiyah

Abstract: A condition in which the force of the blood against the artery walls is too high. Usually hypertension is defined as blood
pressure above 140/90 mm Hg and is considered severe if the pressure is above 180/120mm Hg. High blood pressure often has
no symptoms. Over time, if untreated, it can cause heart diseases and stroke.

Keywords: Cardiovascular disease, homoeopathy, materia medica, medicines, repertory.


Abbreviations: non-communicable diseases (NCD), cardiovascular diseases (CVD), ischaemic heart disease (IHD),
rheumatic heart disease (RHD).

Keywords – HTN, hypertension, homoeopathy, Boger’s Diagnosis


Synoptic Key.
Hypertension is diagnosed on the basis of a persistently
Abbreviations – HTN – hypertension, mm – millimetre, high resting blood pressure. The American Heart
Hg – mercury, BP – blood pressure. Association recommends at least three resting
measurements on atleast two separate health care visits5.
Introduction
Prevention

H ypertension, also known as high blood pressure is


a long term medical condition in which the blood
pressure in the arteries gets persistently elevated (1). High
• Maintain body weight.
• Reduce salt intake.
• Regular physical activity.
blood pressure typically does not cause any symptoms. • Limit alcohol consumption.
Long term high blood pressure, however, is a major risk • Consume a diet rich in fruit and vegetables5.
factor for coronary artery disease, stroke, heart failure,
atrial fibrillation, peripheral arterial disease, vision loss, Homoeopathic approach
chronic kidney disease and dementia (2, 3).
Homoeopathy operates on the law of similars.
Types Homoeopathy can help high blood pressure,
determining its cause through a holistic approach.
1. Primary essential hypertension – about 90 to 95 % Homoeopathic treatment is recommended because it
are primary due to non-specific lifestyle and genetic not only can lower and stabilise blood pressure, it also
factors like excess salt in the diet, excess body has a positive effect on overall health.
weight, smoking and alcohol use.

2. Secondary hypertension – remaining 5 to 10% are


Repertorial approach
categorised as secondary high blood pressure due Synoptic key of Materia medica by Dr C.M. Boger is, in real
to an identifiable cause, such as chronic kidney sense, a key to homoeopathic materia medica, something
disease, narrowing of the kidney arteries, an which is not only useful in bed side prescription but also
endocrine disorder or the use of birth control pills (4). in a classical way. This book intends to make the general
expression or genius of the remedy, thereby helping
Symptoms the prescriber to correct the manner of his practise. The
repertory is too instructive in its own way and many
Hypertension is rarely accompanied by symptoms and hints can be gathered from its unusual layout. It can also
its identification is usually through screening, or when be applied as supplementary reference table.
seeking healthcare for an unrelated problem. Some
• Year of publication - 1931
people with high blood pressure report headache as • Number of remedies – 489 ( repertory part)
well as light headedness, vertigo, tinnitus, altered vision
323 (synopsis part) (6)
or fainting episodes (5).

May 2020 | The Homoeopathic Heritage | 23


CASE STUDY

Editions Past history – Nothing specific.

I edition – 1915. Family history – Father – Hypertensive.


II edition – 1916.
Physical generals
III edition – 1928.
IV edition – 1931. The patient had desire for salty foods, and aversion to
Augmented edition – 1935. fatty foods.

Gradation Mental generals


st
1ndgrade – CAPITAL ROMAN. The patient used to become angry easily and was
2rd grade – bold roman. irritable in nature.
3 grade – ordinary roman.
Analysis and evaluation of symptoms
Plan and construction
Mental Physical Particulars Intensity
The entire book consists of three parts. They are as generalsIntensity generalsIntensity (miasm)

follows: (miasm) (miasm)

st
1 part – analysis. Irritable++ (psora) (10) Aversion – fatty Heaviness of
nd Anger++ (psora) (10) foods++ (sycosis) (10) occiput+++ (syphilis) (10).
2 part – synopsis. Desires – salty Sudden blackness of
rd
3 part – consists of: things+++ (tubercular) vision++ (syphilis) (10)
(10)
< standing up+++ (psora)
a) Table of approximate duration of action of remedies. (10)

b) Complementary remedies.
c) Antagonistic remedies. Rubrics 8

d) Supplementary reference table. (7)


S.No. Symptoms Chapter Rubric Page
Boger’s evaluation of symptoms/ totality in the number
Synoptic key of Materia medica is as follows: 1. Irritable, an- MIND anger, ir- 49
ger ritability,
1. Modalities. fretfulness,
2. Mind. bad tem-
3. Sensation. per, vexa-
4. Parts affected. tion, etc.
2. Desire, salty CRAV- salty 74
So here also Boger is sticking to his old format of things INGS & things.
Boger Boenninghausen Characteristics and Repertory, that DESIRE
is, location, sensation, modalities and concomitants. (8) 3. Aversion – AVER- fats. 73
fatty foods SIONS TO
Case study FOOD,
ETC
A. Introduction
4. Heaviness HEAD heaviness, 57
Mr. X of age 54 came with the complaints of on and in occiput. occiput.
off vertigo since 5 months. Vertigo occurred especially 5. Sudden VISION black, 61
on standing, with heaviness in the back of the head. blackness of sudden-
He also complained of sudden blackness of vision. On vision ly, blind
spots, etc.
examination, his blood pressure came out to be 180/100
mm hg. 6. < Standing CONDI- position – 27
up TIONS OF standing-
AGGRA- agg.
Presenting complaints VATION
& AME-
Location Sensation Modality Concomitant LIORA-
Head Vertigo < standing Sudden blackness of TION
Occiput Heaviness up vision

24 | The Homoeopathic Heritage | May 2020


CASE STUDY

Repertorial result9 Conclusion


Thus, it is clear that homoeopathy treats the patient
as a whole, not just the disease. Individualisation
plays a major role in homoeopathic prescription and
Boger’s Synoptic Key helps in finding the individualised
simillimum remedy, as a quick reference.
Prescription
References
Natrum muriaticum 200/1 dose was prescribed ( including 1. Naish. J, Court DS. Medical Sciences, II edition, 2014.
symptoms such as heaviness of head, feeling of fainting
2. Mendis S, Puska P, Norrving B. Global atlas on
when raising, sudden darkness of vision, great longing Cardiovascular disease prevention and control, I edition,
for salt, aversion to fatty foods), 11 followed by placebo 2011.
(3 – 0 – 3) pills for 15 days.
3. Lau DH, Nattel S, Kalman JM, Sanders P. Modifiable risk
Potency and dosage – twelfth to thirtieth and higher, in factors and atrial fibrillation, circulation, August 2017.
infrequent dosage. 12 4. Poulter NR, Prabhakaran D, Caulfied M, Lancet.
Hypertension, August 2015.
Follow up 5. Fisher ND, Williams GH. Harrison’s principles of internal
medicine, 2005.
Date Symptoms Prescription
6. Tiwari S.K., Essentials of Repertorization, IV edition,
30.10.2019 Patient felt Natrum muriaticum 200/ B.Jain Publishers, New Delhi.
better. There 1 dose. ( every correctly
7. Siju P.V. A reference to repertories for Homoeopathic
was decrease in chosen homoeopathic
students, B.Jain Publishers, New Delhi.
the heaviness medicine, even those whose
of the head but action is of long duration, 8. Boger C.M. A Synoptic key of the Materia Medica, revised
vertigo still may be repeated daily for edition, B.Jain Publishers, New Delhi.
persisted. BP – months with ever increasing 9. RADAR software.
180/100 mm Hg success - § 248) 13
10. Choudhury H. Indications of Miasm, II edition, 2005,
Placebo (3- 0 – 3 )/ 15 days B.Jain Publishers, New Delhi. p. 22, 36, 52, 54, 74.
15.11.2019 Patient felt Placebo (3-0-3)/ 15 days 11. Hering C. The Guiding symptoms of our Materia Medica,
better. 30% B.Jain Publishers, New Delhi.
improvement.
12. Boericke W. Boericke’s New manual of Homoeopathic
Vertigo Materia Medica with Repertory, third revised &
persisted. BP – augmented edition based on ninth edition, B.Jain
170/90 mm Hg Publishers, New Delhi.
02.12.2019 Patient felt Placebo (3-0-3) / 15 days 13. Hahnemann S. Organon of Medicine, VI edition, B.Jain
better. Generals Publishers, New Delhi.
b e c a m e
good. Vertigo
About the author
presented
occasionally. BP Dr J.Senthil Kumar, B.H.M.S, M.D (HOM)1, Dr A.
– 150/90 mm Hg
Sumaiyah2
18.12.2019 Patient felt Placebo (3-0-3) / 15 days.
better. Generals 1. Professor, PG Guide, Head of Department, Department
became good. of Repertory, Vinayaka Mission’s Homoeopathic Medical
No new
College and Hospital, A Constituent college of VMRF-
complaints. BP-
130/80 mm Hg Deemed to be University, Salem, Tamilnadu.
03.01.2020 Patient felt Placebo (3-0-3) / 15 days. 2. Post Graduate Student, Department of Repertory, Vinayaka
better. Generals Mission’s Homoeopathic Medical College and Hospital,
became good.
No new A Constituent college of VMRF-Deemed to be University,
complaints. BP Salem, Tamilnadu.
– 130/80 mm Hg nn

May 2020 | The Homoeopathic Heritage | 25


SUBJECTIVE

A brief therapeutic index of lesser known homoeopathic


remedies for hypertension
Dr Shishir Mathur, Dr Rajesh Kumawat, Ms. Meenal Saini

Abstract: Hypertension is one of the leading causes of global burden of disease. Hypertension doubles the risk of cardiovascular
diseases, including coronary arterial disease (CAD), congestive heart disease (CHD), ischaemic and haemorrhagic stroke, renal
failure, and peripheral arterial disease. In children and adolescents, blood pressure is associated with growth and maturation.
Homoeopathic treatment is based on individualisation as the patient is treated as a whole entity rather than only for hypertension.

Keywords: Hypertension, congestive heart disease, renal failure, homoeopathic therapeutics.


Abbreviations: coronary arterial disease (CAD), congestive heart disease (CHD), National health and nutrition
examination survey (NHANES), angiotensin-converting enzyme (ACE), multiple risk factor intervention trial
(MRFIT), sodium chloride (NaCl), deoxyribonucliec acid (DNA), International Classification of Diseases (ICD), less
than (>), miilimetre of mercury (mm Hg), blood pressure (BP).

Introduction hypertension. Several strategies are being used in the


search for specific hypertension -related genes. Current

H ypertension, also known as high blood pressure,


is the lateral pressure exerted by flowing blood on
the walls of arteries. In ICD-9, essential hypertension
evidence suggests that genes that encode components of
the renin-angiotensin-aldosterone system, along with
angiotensinogen and angiotensin -converting enzyme
was coded using 401.0 (malignant), 401.1 (benign), or
(ACE) polymorphism, may be related to hypertension
401.9 (unspecified). ICD-10 uses only a single code for
and to blood pressure sensitivity to dietary NaCl.
individuals meeting the criteria of hypertension having
no co-morbid heart or kidney disease. This code is 110, In the future, it is possible that DNA analysis will
essential (primary) hypertension..1 Blood is carried from predict individual risk for hypertension and target
the heart to all parts of the body in the vessels. Each time organ damage and will identify responders to specific
the heart beats, it pumps blood into the vessels. Blood classes of anti-hypertensive agents. In adults, there
pressure is created by the force of blood pushing against is a continuous, incremental risk of cardiovascular
the walls of blood vessels (arteries) as it is pumped disease and renal disease across levels of both systolic
by the heart.2 In every case of hypertension, there is and diastolic blood pressure. The multiple risk factor
an increase in peripheral resistance. This increased intervention trial (MRFIT), which included >350,000
peripheral resistance is due to spasm of the arterioles, male participants, demonstrated a continuous and
or due to the narrowing of their channels on account graded influence of both systolic and diastolicblood
of thickening of their walls. Peripheral resistance may pressure on CHD mortality, extending down to systolic
also be increased due to the interference with capillary
blood pressures of 120 mm Hg. A recent classification
circulation in the kidneys, or due to the inflammation
recommends blood pressure criteria for defining
of these organs. 3 In the united states, based on result
normal blood pressure, prehypertension, hypertension
of the National health and nutrition examination
survey [NHANES], approximately 30% of adults, or at (stages I and II), and isolated systolic hypertension,
least 65 million individuals have hypertension. Recent which is frequent among elderly.4
evidence suggests that the prevalence of hypertension
is increasing, possibly as a consequence of increasing Blood pressure classification5
obesity. Among populations, hypertension prevalence S.No. Blood pressure Systolic Diastolic
is related to dietary NaCl intake, and the age-related classification (mm Hg) (mm Hg)
increase in blood pressure may be augmented by
1 Normal <120 And <80
a high NaCl intake. Low dietary intake of calcium
and potassium may also contribute to the risk of 2 Pre- 120-139 Or 80-89
hypertension

26 | The Homoeopathic Heritage | May 2020


SUBJECTIVE

3 Stage 1 140-159 Or 90-99 which can be used in cases of hypertension, not getting
hypertension fit into totality. These medicines are effective but are
not frequently used by practitioners.
4 Stage 2 ≥160 Or ≥100
hypertension
1. Lycopus virginicus (Bugle weed):
5 Isolated systolic ≥140 And <90
hypertension Morrisson made an extensive proving of lycopus and
developed unmistakable heart symptoms. Lowers
Recommended criteria for a diagnosis of hypertension, the blood pressure, reduces the rate of the heart and
based on 24-hour blood pressure monitoring, are increases the length of systole to a great degree.7 It is
awake blood pressure ≥135/85 mmHg and asleep blood indicated in diseases with tumultuous action of the
pressure ≥120/75 mm Hg. heart and more or less pain. 8Cardiac irritability with
depressed force .This may be found with organic
Treatment disease as well as without. 9

Lifestyle interventions 2. Strophanthus hispidus (Kombe seed):

Implementation of lifestyle that favourably affects It is a muscle poison; it increases the contractile power
blood pressure has implications for both the of all striped muscles especially the heart. 8It acts on
prevention and treatment of hypertension. Dietary the heart increasing the systole and diminishing the
rapidity.3 May be used with advantage to tone the
modifications that effectively lower blood pressure are
heart, and run off dropsical accumulations.8 Especially
weight loss reduced NaCL intake, increased potassium
useful in failing compensation dependent upon fatty
intake, moderation of alcohol consumption. Blood
heart. After the long use of stimulants. Arteriosclerosis,
pressure may be lowered by 30 min of moderately
rigid arteries of aged.7
intense physical activity, such as brisk walking,
6-7 days a week, or by more intense, less frequent 3. Adrenalinum:
workouts. 4
Its chief therapeutic use depends on its vaso-constriction
Homoeopthic view point action. It appears to possess a very powerful local action
over dilated blood vessels.7 Useful in arterio-sclerosis
Homoeopathic physician, on the other hand, considers and blood pressure. Vertigo, nausea and vomiting are
disease as a disturbance of the life force, made known to prominent.3
him only through signs and symptoms. He understands
that the patient is prior to the localisation of disease. 4. Tabacum nicotiana:
Hypertension, like other diagnosis, is considered only
as a part of the whole. 6 Produces high tension and arteriosclerosis the coronary
arteries. Angina pectoris with coronary sclerosis and
Although homoeopathic treatment is based on high tension.7 Dilatation of heart caused by shock or
individualisation and totality of person as a whole, violent physical exertion.8 unsteady heartbeat.10
there are certain repertoriers where one can find
‘HYPERTENSION’ as rubric, like Lotus Materia 5. Spartium scorpariums:
Medica by Robin Murphy and A Concise Repertory Of
Spartien sulphate increases the strength of the
Homoeopathic Medicines by Dr S.R. Phatak. In Lotus heart, slows it and reduces the blood pressure. It
Materia Medica by Robin Murphy total 118 medicines lowered the systolic and diastolic pressures in the
are mention under this rubric out of which 10 are of provers. It weakens the cardiac contraction. Used
highest grade. 7A Concise Repertorial of Dr S. R. Phatak, palliatively in physiological dosage to combat arterial
total 16 medicines are mentioned.10 hypertension.8

Lesser known homoeopathic 6. Radium bromatum:


medicines for hypertension Constriction. Wakes with palpitations. Low blood
pressure.8 Pulse, rapid, irregular, fluttering.10
Following are some homoeopathic medicines

May 2020 | The Homoeopathic Heritage | 27


SUBJECTIVE

7. Sumbulus moschatus: a reputation of lowering the blood pressure. Leaping


beats of the heart.7 Arterial hypotension begins usually
It affects heart causing nervous palpitation.10 High
in 30 to 45 minutes after twenty to forty drop doses of
blood pressure due to arteriosclerosis. Pulse irregular.
the tincture.8
Cardiac asthma.9 A tissue remedy for sclerosed arteries.
Pulse irregular.8
References
8. Terminarie arjuna: 1. Beckmen KD. Essential hypertension.
[Available from:https://www.aafp.org/
It has been used as a cardiac tonic since the
fpm/2014/0300/p5.html
ancient times by ayurvedic physicians, it has been
used in both functional and organic diseases of the 2. World health organization. Hypertension
heart like angina, palpitation and weakness of the [homepage on the internet].Available from:https://
heart.11 www.WHO.int/health-topics/hypertension/

A great heart remedy. Highly effective in cases 3. Banerjee NK. Blood pressure-its etiology and
of high blood pressure, with vertigo, palpitation and treatment: B jain publisher;2016.
a sense of mental and physical exhaustion.3 Cardiac 4. Kasper DL, Hauser SL, Jameson JL ,et al. Harrison
asthma.11 principles of internal medicine,2015;p.1611-1622.

9. Boerhaavia diffusa: 5. AV Chobanian et al: JAMA 289:2560, 2003.


6. Acharya T. Clinical verification of ten rare
Palpitation with dyspnoea. Hypertension with
homoeopathic medicines in the treatment of
palpitation, Blurred vision and profuse perspiration,
hypertension.
aggravated bystretching the arms, pressure, changing
position, evening, bending forward. Increased 7. Murphy R. Lotus materia medica; B Jain
blood pressure with ringing in ears and heat of Publishers:2016
vertex.11 8. Boericke W. Boericke’s new manual of homoeopathic
materia medica with repertory; B Jain publishers;
10 . Adonis vernalis:
2018
It is a herbal heart tonic. Indications include rapid and 9. Kent J.T. Lectures on homoeopathic materia
feeble action of the heart. It acts predominantly on the medica;b jain publishers;2017
heart when it is affected after rheumatism, influenza.
10. Phatak S.R. Materia medica of homoeopathic
Low vitality with weak heart and slow, weak pulse.7 It
medicines; B Jain Publishers;2016
is useful in lowering arterial pressure.3
11.
Homoeopathic materia medica of Indian
11. Viscum album: drugs[Available from: www.ccrhindia.org]
In middle ages, it was used as an hypo-tensor, anti- About the authors
epileptic. Lowered Blood pressure.7 It acts on lowered
blood pressure with dilated blood pressure but does Dr Shishir Mathur, professor and Vice principal,
act on the centres of medulla. Pulse is slow due to Department of Physiology and Biochemistry, Dr.M. P. K.
central irritation of the vagus.l1 H. M. C and R.C., Constituent college of Homoeopathy
University, Jaipur, Rajasthan.
12. Strontium carbonicum:
Dr Rajesh Kumawat, Asst. Professor , Department of
High blood pressure with a flushed face, pulsating Physiology and Biochemistry, Dr.M. P. K. H. M. C and
arteries and threatened apoplexy. Arteriosclerosis. R.C., Constituent college of Homoeopathy University,Jaipur,
Restlessness at night, smoothering feeling.8 Dull, Rajasthan.
intermitting pressure in precordial region.7
Ms. Meenal Saini, Intern, Dr. M.P.K.H.M.C and R.C.,
13. Allium sativa: Constituent college of Homoeopathy University, Jaipur,
Rajasthan.
Allium sativa has vasodilatory properties .Thus, it has
nn

28 | The Homoeopathic Heritage | May 2020


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32 | The Homoeopathic Heritage | May 2020


ARTICLE
CLINICAL

Psychodynamic and psychosomatic nature of essential


hypertension and emerging homoeopathic remedies
Dr Neha Patel

Abstract: Various authors have done the study on essential hypertension as a psychosomatic disorder; But this study attempts to
demonstrate the connections between psyche and soma; study the significant life events, causative factors, dispositional qualities,
psychological conflicts and defense mechanism used in cases of essential hypertension. Remedies matching this would enhance
the knowledge of psychodynamic and psychosomatic nature of the remedies.

Keywords: psychodynamic, psychosomatic, homoeopathic remedies.


Abbreviations: MIL-DIL-mother in law-daughter in law, OPD-out patient department, IPD- in-patient department,
Hg - mercury.

Introduction Aim 3. Criteria


Inclusion criteria:

E ssential hypertension was one of To understand the psychodynamic i. Cases diagnosed with
the seven classic psychosomatic and psychosomatic relationship in essential hypertension
diseases for which psychoanalytical patients with essential hypertension cases with stage 1 and stage
investigators have proposed and study the emerging 2- hypertension (stage 1:
psychodynamic etiologies. In homoeopathic remedies. systolic 140–159 mm Hg,
considerable proportion of cases, the diastolic 90–99 mm Hg;
disease tends to be asymptomatic for Objectives stage 2: systolic 160 mm Hg,
prolonged time, hence also labelled diastolic 100 mm Hg.).
1. Understanding the
as silent killer. Hypertension, this ii. Cases above the age group
psychodynamic and
silent killer is estimated to affect 1.56 of 20 years – 65 years.
psychosomatic relationship
billion worldwide by the year 2025.[1] iii. Cases of both sexes.
in patients with essential
Modern civilisation has contributed iv. Cases having significant life
hypertension.
to the stressful or traumatic life events.
2. Studying the group of
situations to which the organism Exclusion criteria:
homoeopathic remedies
cannot effectively respond. When i. Cases with known
matching the psychodynamic
combined with faulty lifestyle, psychiatric illness
and psychosomatic in patients
disturbed equilibrium results in 4. Study design (type of study):
with essential hypertension.
contributing to the development of prospective qualitative case
psychosomatic disorder like essential series.
hypertension, which is seen in 90% Material and methods 5. Tools used: life space
of cases and is a highly important 1. Study setting: - Cases of table, psychodynamic and
public health challenge that remains, essential hypertension from the psychosomatic tool.
however a major modifiable cause OPD, IPD and peripheral OPD 6. Brief procedure:
of morbidity and mortality. Hence, of Rural Homeopathic hospital i. Identified cases as per the
this study attempts to understand (Centre of Excellence), Palghar inclusion and exclusion
the connection between psyche district, Maharashtra, India. criteria was taken up for
(mind) and soma (body) and the 2. Sample size and selection of study.
remedies matching these factors samples: 50 cases meeting ii. The screening questionnaire
would enhance knowledge of the inclusion criteria were selected for physician was used for
psychosomatic and psychodynamic by purposive sampling identification of cases.
of the remedies. technique. iii. Detailed case taking and

May 2020 | The Homoeopathic Heritage | 33


CLINICAL ARTICLE

the checklist to assess the hypertension.


conflicts helped in assessing ii. Identifying the
the psychosomatic aspect. remedies matching the
iv. Cases processing were done psychodynamic and
and senior consultant gave psychosomatic relationship
prescription. in patients with essential
v. The emerging patterns of hypertension.
2. Comparative line graph
psychological conflicts, 8. Statistical technique: The
representing gender wise age
dispositions, causative qualitative data was analysed
group suffering from essential
emotions and defense by summarisation technique.
hypertension:
mechanism seen in cases Proportion, the mode was used
of hypertension were for making a conclusion.
concluded.
vi. Correlation of the Observations and results
psychosomatic aspects in
the cases with homoeopathic All data were analysed on the basis
remedy was done. of objectives of the study.
7. Outcome assessment criteria 1. Pie chart representation of the
i. Identifying the gender wise distribution of Males between age group of 46-
psychodynamic and essential hypertension: 50 have 10 cases and females 55-60
psychosomatic relationship have 5 cases.
in patients with essential

3. Tabular representation of significant life events, causative factors, psychological conflicts and dispositional
qualities with the emerging remedies in cases of essential hypertension

Significant life event Causative emo- Psychological Disposition Defense Remedy


tion conflict mechanism
Husband’s illness, Anticipation, Breakage of bond Irritable, Acting out, Natrium
dowry issue, criticised suppressed an- with loved ones, reserved,anxious, avoidance , muriaticum
by authority, misuse of ger, mortifica- suppressed anger sensitive to: scold- suppression, [4,5,6,7,8]

money by family mem- tion, vexation, and dependency ing, comments, rationalisation [7 cases]
ber, extramarital affair, greif [8] criticism
misuse of money by [4,5,6,7,8]

family member,
death of son
Cheated by students, Suppressed an- Suppressed anger Anxious, irritable, Acting out, avoid- Lycopodium
niece suicide, ger, fright, and dependency, boaster, ambitious, ance, displacement, [4,5,6,7,8, 11]

son being a special child anticipation,, role conflict, Self- image-conscious, identification, ratio- [5 cases]
Misuse of money by vexation[8] Image conflict manipulative nalisation, reaction
family member, [4,5,6,7,8, 11]
formation, suppres-
cheated by relative sion
MIL-DIL – dispute, Guilt, vexation, Anger outburst, Irritable, obstinate Acting out Ferrum
physical fight for mon- fear of death, hostile impulses sentimental, im- metallicum
ey, death of colleague, indignation [8] and dependency pulsive, sensitive [6,7,8, 9]

no share in property to: opposition, [5 cases]


division, criticised by comments [6,7,8, 9]
family members
Donation for daughter’s Anxiety about Suppressed anger Anxious, Suppression, Calcarea
admission in school,son money matters, and dependency, fearful, rationalisation carbonicum
being a special child, anticipation, self- doubt conflict indecisive, [4,5,6,7,8, 9]

death of father- fam- vexation[8] sensitive to: repri- [4 cases]


ily responsibility on his mand, comment
shoulders, dispute be- [4,5,6,7,8, 9]

tween family and his


wife

34 | The Homoeopathic Heritage | May 2020


ARTICLE
CLINICAL

Son being a special Anticipation [8] Acceptance and Anxious, fearful, Anticipation, Silicea
child, staying in a sepa- rejection conflict, shy, image con- suppression [4,5,6,7,8, 12]

rate house with daugh- self- image conflict, scious [4 cases]


ter’s children, death of suppressed anger [4,5,6,7,8, 12]
husband, working in a and dependency
new project
Bad news of husband’s Anticipation, Suppressed anger Anxious, Acting out, suppres- Kalium car-
accident, no share disappointment and dependency fearful, irritable, sion, rationalisation bonicum
in property division, [8]
attachment with [4 ,6,7,8]

daughter ran away to family, fastidious [3 cases]


dolove marriage [4, 6,7,8]

Money stuck up Anxiety about Self- doubt conflict Irritable, anxious, Anticipation, Bryonia
money reserved [6,7,8] suppression [6,7,8]

matters[8] [2 cases]
Death of father, Grief, Self- doubt conflict, Ambitious, abu- Acting out, Nux vomica
Son’s marriage contradiction[8] anger suppressed sive, irritable, introjection, [4,5,6,7,8]

and dependency jealous [4,5,6,7,8] suppression [2 cases]


Criticised by authority, Indignation [8]
Suppressed anger Sensitive to: scold- Suppression Staphysagria
MIL-DIL dispute and dependency ing, criticism[4,6,7,8, 10] [4,6,7,8, 10]

[2 cases]

Other emerging remedies seen in emotions, psychological conflicts Publisher, New Delhi, 2004.
single cases were Calcarea arsenicosa, generated, dispositional qualities 7. Sankaran R, The soul of remedies,
Ferrum phosphoricum, Kalium and defense mechanisms used in Mumbai, India, Homoeopathic
aresenicosum, Kalium silicicum, each case of essential hypertension medical publisher 1997.
Lachesis, Magnesium muriaticum, and the matching remedies, thus
8.
Schroyens F., Synthesis
Naja, Natrium suphuricum, Sepia, enhanced the knowledge of the
(Repertorium Homoeopathicum
Sulphur and Veratrum album. psychodynamic and psychosomatic Syntheticum), edition 8.1.
nature of the remedies. London, Homoeopathic Book
Discussion and Publishers; 2001.
conclusion References 9. Dhawale ML, Symposium
1. Chockalingam A, Worldwide volume, part II, Area F, 2nd
Significant life events seen in epidemic of hypertension, Reprint edition, Mumbai, Dreams:
majority of cases of essential Canadian journal of Cardiology, M. L. Dhawale Memorial Trust,
hypertension were illness or death 2006 May; 22(7): 553–555. doi:
2014.
of loved one, financial issues, and 10.1016/s0828-282x(06)70275-6
dispute with family members. 10. Jain B, Staphysagria: the wounded
2. Cameron N, Rychlak J (1985),
The common causative emotions Personality Development And hero, Reprint edition, Mumbai,
underlying theses events were Psychopathology – A Dynamic Dreams: M. L. Dhawale Memorial
suppressed anger, anticipation and Approach, 2nd edition, Houghtan Trust, 2013.
grief. Psychological conflicts majorly Miffin Company, Boston. Page. 11. Master FJ, Mr Lycopodium,
seen were suppressed anger and No.530. 1st edition, New Delhi, B. Jain
untoward dependency towards a 3. Dethlefsen T, Healing power of Publishers Pvt. Ltd., 2002.
person/thing. The common defences illness, Munich, Feb 1983 Chapter 12. Master FJ, Sandy Silicea, New
mechanism used were suppression, 10, Pg. Nos.195- 198. Delhi, B. Jain Publishers Pvt. Ltd.,
acting out and rationalisation. 4.
Bailey, P, Homoeopathic 2015.
Emerging remedies seen in majority Psychology, the personality
of cases were Natrium muriaticum, profiles of the major constitutional About the author
Lycopodium clavatum and Ferrum remedies. B. Jain Publisher. 2002.
metallicum. 5. Coulter CR, Portraits of Dr Neha Patel [M. D Homeopathy
Homoeopathic Medicines, Psychiatry], Assistant Professor, Dept
This study helped to Quality medical publication, 2002. of Case taking & Repertory, Smt. C. M.
understanding the significant life
6. Tyler M, Homeopathic drug P Homeopathic Medical College.
events, the underlying causative picture, 2nd edition, B Jain nn
May 2020 | The Homoeopathic Heritage | 35
CASE STUDY

A case report of hypertension associated with


hypercholesterolaemia cured by homoeopathic
individualised simillimum
Dr Yashveer Singh, Dr Mukesh Solanki, Dr Chitralekha Tiwari

Abstract:
Objective: This case report is presented to establish how hypertension can be controlled by reducing hypercholesterolaemia,
considering the metabolic pathways and the pathogenetic mechanisms connecting the two risk factors.
Background: Hypertension is a common disease that leads to high morbidity and mortality. General recommendations like exercise,
low salt diet and avoiding stress are of great importance. This case report will help to find out how much homoeopathy is effective
in treating hypertension associated with hypercholesterolaemia. In homoeopathy, each patient’s clinical picture is determined and
analysed to find appropriate drug. Each drug prescribed to a patient, strengthens the patient’s vital force and cause remission of
symptoms.
Results: Homoeopathy proves to be effective in treating hypertension associated with hypercholesterolaemia.

Keywords: Hypertension, hypercholestrolaemia, homoeopathy, hyperlipidaemia, Lycopodium clavatum.


Abbreviations: Hg – mercury, AT1 – angiotensin 1, RNA – ribonucleic acid, kg – kilogram, P.L. – placebo, TDS – ter
die sumendum (thrice a day), B.P – blood pressure.

Introduction hypertension is frequently observed in combination with


hypercholesterolaemia which is related to accelerated

H ypertension, one of the most common


cardiovascular disorders, is a major risk factor
for the development of stroke, coronary heart disease,
atherosclerosis.3
Studies have shown the interaction of
and renal failure. It affects approximately 26% adult hypercholesterolaemia and hypertension in initiation of
population worldwide and its prevalence is predicted glomerular injury causing further hypertension. 4
to increase by 60% in 2025. Hypertension is defined as a
systolic blood pressure of 140 mm Hg or higher, and a Case report
diastolic blood pressure of 90 mm Hg or higher.1 A 63 year old male patient came to clinic on 13.2.2019 as
Hypertension and hypercholesterolaemia are highly a hypertensive patient with the complaints of sweating,
prevalent in the general population and their coexistence heat sensation, and dyspnoea, especially after exertion
and stress.
in the same subjects additively increases the risk of
cardiovascular disease. Probably, hypercholesterolaemia In physical examination, heart, lungs, pulse,
is also a risk factor for the development of hypertension.2 abdominal auscultation, and opthalmoscopy were all
Several biohumoral mechanisms explain the relationship normal. Blood pressure came out to be 168/108 mm
between hypertension and hypercholestrolemia and the Hg and weight was 90 kg. On further evaluation and
association between these risk factors and accelerated laboratory investigations, he was found to be suffering
atherosclerosis. The most investigated mechanisms are from hypercholesterolaemia.
the rennin-angiotensin-aldosterone system,oxidative
stress,endothelial dysfunction, and increased production History of presenting complaints
of endothelin-1.1 In particular, hypercholesterolaemia
The patient was apparently well 6 months before when
seems to promote the upregulation of type 1 angiotensin
he started complaining of recurrent headache, pain and
II (AT1) receptor genes because of an increase in the heaviness of eyes, sweating, anxiety, fatigue, feverish
stability of mRNA followed by structural overexpression feeling. On consultation with the doctor, he was found
of vascular AT1 receptors for angiotension II. 1 Arterial

36 | The Homoeopathic Heritage | May 2020


CASE STUDY

to be hypertensive. He was prescribed allopathic anti- Irresolute ++


hypertensive medicines which he disagreed to take.
Anxiety ++
Patient as a whole Aversion to company ++
The patient was a retired engineer with obese built. P h y s i c a l Hypertension +++
Mentally, he was timid, earlier he used to be very Generals
confident but since past few years, he was facing lack of
Particulars Sweating with difficult +
confidence, loss of memory, poor decision making. Also,
respiration
he doesn’t like to meet anyone, want of solitude.
Headache +
Analysis of case
The case was analysed as per the characteristic mentals, Table 2- Repertorial sheet5
physical generals, particular and pathological symptoms
for framing the totality (the analysis and evaluation of
symptoms are listed in the Table 1). Considering the
presenting symptomatology, Synthesis Repertory was
preferred and using RADAR 10.0 software, systemic
repertorisation was done (repertorial chart is given in
table 2). 5 Miasmatic evaluation showed the predominant
miasm as syco-syphlitic (miasmatic predominance chart
is given in table 3). 6
Table 1: Analysis and evaluation of symptoms

Category Symptoms Intensity


Mentals Timidity +++
Want of self confidence ++
Loss of memory ++
Table 3: Classification of symptoms and their miasmatic predominance 6i.-

S. No. Presenting symptoms Classification of Psora Sycosis Syphilis Predominant miasm


symptoms
1. Timidity Uncommon - √ - Syco-syphlitic
2. Want of Self Confidence Uncommon - √ -
3. Loss of memory Uncommon - √ √
4. Irresolute Uncommon - √
5. Anxiety Uncommon - √ -
6. Aversion to company Uncommon - - √
7. Hypertension Common - √ -
8. Sweating with difficult Common - √ √
respiration
9. Headache Common √ √ -

Selection of remedy and its potency with constitutional and mental picture of the patient was
justification: also similar to Lycopodium clavatum as described in
materia medica. 7,8 In miasmatic prescribing, Lycopodium
The repertorial result of the case showed that most of clavatum also covered syco-syphlitic miasm. 6i
the symptoms of this case are covered by Lycopodium
clavatum. After considering materia medica, Lycopodium So, according to totality and miasmatic basis,
clavatum is found to be a useful remedy for hypertension Lycopodium clavatum was prescribed. 30C potency
and hypercholesterolaemia (hyperlipidaemia). General was selected due to progressed pathology of case,

May 2020 | The Homoeopathic Heritage | 37


CASE STUDY

as in chronic disease with organic change the lower Repetition of the medicine was done because after some
preparation should be used. 6ii improvement, when the action of medicine stops, the
case comes to standstill position, even after waiting for
Prescription with general management- considerable period.
Lycopodium clavatum 30/2 doses, P.L.30 TDS was Change in potency:
prescribed for 14 days. Low salt diet with moderate
Robert’s concept:
exercise was advised.
1. Either inadequate relief or early cessation of the
Table 4- Follow-up of the case
good effect of the potency.
Date Symptomatology Prescription 2. When the potency has exhausted its action and is
01.03.2019 Headache,anxiety P.L.30 TDS incapable of achieving further improvement.
much better. prescribed for 30
No more dyspnoea days. Kentian concept: the same potency may not be
B.P.- 140/92 mm Hg repeated on more than two occasions.
01.04.2019 No more headache, P.L.30 TDS Hahnemannian concept: the same potency not being
anxiety and prescribed for 60 repeated again has recorded favourable effect6iii.
dyspnoea. days.
B.P.- 140/96mm Hg At one stage of the disease, when the vital reaction
is low, the patient may need a low potency and frequent
01 .06.2019 Slight headache, Lycopodium repetition and at another a high potency. 6iv
dyspnoea, anxiety clavatum 200/1
and sweating dose* , P.L.30 TDS In section 246 of 5th edition of Organon of Medicine,
B.P.- 149/100 mm prescribed for Hahnemann has asserted that the minutest yet powerful
Hg 30days. dose of the best selected medicine should be repeated
01.07.2019. Patient shows P.L.30 TDS at suitable intervals. Kent has warned that a case can
m a r k e d prescribed for 60 be completely spoiled by improper repetition of dose.
improvement in days. Higher and higher potencies of the medicine may be
headache, anxiety, continued as long as the patient experiences continues
dyspnoea and improvement without encountering one or another
sweating, he felt complaint that he never had before in his life.9
very well in his
general well being Laboratory report before treatment
B.P.- 136/88 mm Hg
01..09.2019 Patient became P.L.30 TDS
much better, his prescribed for 60
memory and days
confidence also
improved
B.P.- 130/96 mm Hg
01.11.2019 Patient showed P.L.30 TDS
improvement in prescribed for 60
all his mental and days.
physical complaints
B.P.- 130/80 mmHg
05.01.2020 Patient better in P.L.30 TDS
all aspects his prescribed for 60
cholesterol profile days.
also became normal

*Justification of repetition of medicine and


increasing potency on 4th visit:

38 | The Homoeopathic Heritage | May 2020


CASE STUDY

Laboratory report after treatment Homoeopathy works effectively by lower-


ing hypercholesterolaemia, and thereby hy-
pertension as evident in the above case.

Conclusion
The legacy effect results in significant clinical benefits
in treating hyperlipidaemia and hypertension, and is
probably related to prevention of non-fatal events, less
disease progression and potentially disease regression
which speaks in favour of early initiation of therapy.

References
1. Kumar S. Dandapat J. Chainy N.B. G. Hatl A.K. Nanda L. Nath I.
Homoeopathic Medicine Rauwolfia Serpentina Ameliorates Blood
Pressure and Oxidative Stress Parameters of Kidney by Modulating
Expression of Antioxidants Enzymes in Deoxycorticosterone
Acetate(DOCA)-Salt –inducedHypertensive Rat model., Journal of Drug
Research And Development, SciForschen, ISSN 2470-1009, Vol.2.1 p-1
2. Borghi C. Urso R. Cicero AF. Renin Angiotensin System at the Crossroad of
Hypertension and Hypercholesterolemia,Nutr Metab Cardiovasc Dis.2017
Feb; 27(2): 115-120.doi : 10.1016/j.numecd.2016.07.013.Epub 2016 Aug 6.
3. Ivanovic B.Tadic M. Hypercholesterolemia and Hypertension: Two Sides
of the Same Coin.Am J Cardiovasc Drugs.2015; 15(6) : 403-414.doi 10.1007/
s40256-015-0128-1.
4. Tolins J. P. Stone B. G., Raij L. Interaction of Hypercholesterolemia and
Hypertension in Initiation of Glomerular Injury ,Kidney International,
Vol41(1992),p-1254-1261
5. RADAR (Computer program).Version 10.0.London:Archibel
Homoeopathic software
6i. Das A.K. Part III, Second Edition 2001,Calcutta,Souvik Homeo
Publications,p-169-276
6ii. Das A.K. Part III, Second Edition 2001,Calcutta,Souvik Homeo
Publications,p-65
6iii. Das A.K. Part III, Second Edition 2001,Calcutta,Souvik Homeo
Publications,p-17-25

Discussion 6iv. Das A.K. Part III, Second Edition 2001,Calcutta,Souvik Homeo
Publications,p-67.
7. Allen H. C. Allen Keynotes Rearranged And Classified With Leading
In 1987, Bignamini and Master proved the effectiveness Remedies Of The Material Meica & Bowel Nosodes ,Ninth Edition,Reprint
of homoeopathy in treating hypertension in two Edition 2003, New Delhi, B.Jain Publishers, p- 188-191.
different studies. 8. Boericke W. Boericke’s New Manual of Homoeopathic Materia Medica
with Repertory, Third Revised & Augmented Edition, based on Ninth
Edition,Reprint Edition 2007-2008, New Delhi, B.Jain Publishers, p- 362-
There are some studies that have tested biologic 365.
effects of ultra high dilutions. Their results help to 9. Das A.K. Part II, Second Edition 2001, Calcutta,Souvik Homeo
percept the effectiveness of homoeopathic drugs, for Publications,p-64-69
10. Mahmoudian A. Homoeopathy Effect on High Blood Pressure, Journal of
example, shaken samples of ultra high dilutions of Research In Medical Sciences 9(6).
3,5-dichlorophenol significantly inhibit luminescence of
the bacterium, vibrio fischeri. In addition, the effectiveness About the authors
of homoeopathy in treating some other diseases like
migraine, ileus, fibromyalgia and ocular allergy has Dr Yashveer Singh, M.D (Hom.),Reader, State K.G.K.
also been shown. Body reaction to homoeopathic drugs Homoeopathic Medical College and Hospital, Moradabad
leads to change the dynamism of this disease with an (U.P.).
unknown mechanism.
Dr Mukesh Solanki, M.D (Hom.), PGDHR, Medicalofficer,
Most patients coming to homoeopathic centres from Homoeopathic Chikitsa Vibhag, Govt. of Rajasthan
all over the world get high satisfaction in remission of
Dr Chitralekha Tiwari, M.D.(Hom.), Assistant Professor,
their symptoms, limitation of activity and well-being
Aarogya Homoeopathic Medical College & Hospital, Jaipur.
after use of homoeopathy. 10
nn
May 2020 | The Homoeopathic Heritage | 39
CLINICAL

Homoeopathy in a case of hypertension


Dr Ruchi Singh, Dr Anjana Kumari
Department of Organon of Medicine, Dr. MPK Homoeopathic Medical College Hospital & Research Centre (Under
Homoeopathy University), Saipura, Sanganer, Jaipur, Rajasthan, India.

Abstract: Hypertension is one of the most common chronic medical conditions characterised by a persistent elevation in the
arterial pressure. The definition and categories of hypertension have been evolving over years, but there is a consensus that
persistent BP readings of 140/90mm Hg or more should undergo treatment with the usual therapeutic target of 130/80mmHg or
less. The case scenario mentioned below includes details of the person’s initial presentation, their medical history and their care.
Clinical decisions about diagnosis and management with homoeopathic medicines have been discussed whichproved to have a
positive effect on the hypertensive status of the patients.

Keywords: Hypertension, case study.


Abbreviations: Hypertension (HTN), systolic blood pressure (SBP), diastolic blood pressure (DBP), blood pressure
(BP), millimetre (mm), mercury (Hg), renin-angiotensin-aldosterone system (RAAS), target organ damage (TOD),
full blood count (FBC), fasting blood sugar (FBS), electrocardiogram (ECG), aggaravated by (<), ameliorated by (>).

Introduction prevalence all around the globe can include headaches, transient
[6-7]. Around 7.5 million deaths ischaemic attacks, mild visual

C hronic elevation in BP >140/90;


etiology unknown in 80–95% of
patients (“essential hypertension”).
or 12.8% of the total of all annual
deaths worldwide occur due to high
disturbances, epistaxis, exertional
dyspnoea (if heart failure has
blood pressure [8]. It is predicted to developed), angina, claudication,
Always consider a secondary be increased to 1.56 billion adults weight gain (in cushing’s syndrome),
correctable form of hypertension, with hypertension in 2025 [9]. nocturia, and haematuria (with renal
especially in pts under age 30 or disease).
those who become hypertensive after Category Systolic Diastolic
55. Isolated systolic hypertension BP (mm BP (mm Causes of secondary hypertension
(systolic ≥ 140, diastolic < 90) most Hg) Hg)
common in elderly pts, due to 1. Alcohol
BP-Optimal < 120 < 80
reduced vascular compliance.[1] Normal < 130 85 2. Obesity
Hypertension, defined as a High normal 130-139 85-89 3. Pregnancy (pre-eclampsia)
systolic blood pressure ≥140 mmHg Hypertension 140-159 90-99
and/or a diastolic pressure –grade 1 4. Renal disease
≥90 mmHg, is one of the most (mild) ▪▪ Renal vascular disease
common chronic diseases. The Grade 2 160-179 100-109 ▪▪ Parenchymal renal disease,
overall hypertension prevalence (moderate) particularly glomerulonephritis
among the adult population was
Grade ≥ 180 ≥110 ▪▪ Polycystic kidney disease
estimated at 26.4% in 2000 [2];
3(severe)
moreover it has been reported that 5. Endocrine disease
this prevalence increased from Isolated
systolic ▪▪ Phaeochromocytoma
23.9%, in 1994, to 29.0%, in 2008, 140-159 <90 ▪▪ Cushing’s syndrome
in the USA [3]; from 25.0%, in 1993, hypertension
▪▪ Primary hyperaldosteronism
to 43.2%, in 2006, in Mexico [4]; and Grade1 (Conn’s syndrome)
from 15.3%, in 1995, to 24.5%, in ▪▪ Glucocorticoid-suppressible
Grade 2 ≥160 <90
2005, in Canada [5] hyperaldosteronism
History-taking is straightforward ▪▪ Hyperparathyroidism
Hypertension is a major public
since, in most cases, hypertension is ▪▪ Acromegaly
health problem due to its high
asymptomatic. However, symptoms ▪▪ Primary hypothyroidism

40 | The Homoeopathic Heritage | May 2020


CLINICAL

▪▪ Thyrotoxicosis three main objectives i.e.: irregular heartbeat Blood Pressure


▪▪ Congenital adrenal hyperplasia was high, calculated as 158/94 mm
1. To exclude secondary causes of
due to 11-β-hydroxylase Hg, and pulse as 72/minute.
▪▪ or 17α-hydroxylase deficiency HTN.
▪▪ Liddle’s syndrome 2. To ascertain the presence or
Modalities:
▪▪ 1 1 - β - h y d r o x y s t e r o i d absence of target organ damage
(TOD). < warm room, mental exertion.
dehydrogenase deficiency
3. To assess lifestyle and identify
6. Drugs open air/cold bathing, pressure, tight
other cardiovascular risk factors
clothing
▪ e.g. Oral contraceptives and/or concomitant disorders
containing oestrogens, anabolic that affect treatment and
Past history
steroids, corticosteroids, prognosis.
NSAIDs, carbenoxolone, From her records, it was noticed that
The baseline investigations
sympathomimetic agents blood pressure increased twelve
should include the following:
months ago. She didn’t smoke, but
7. Coarctation of the aorta [10] • Full blood count (FBC) used to drink 10-12 units of alcohol
• Fasting lipid profile a week and had no notable medical
Pathophysiology
• Urine albumin excretion or history.
There are various mechanisms albumin/creatinine ratio
described for the development On examination
• Fasting blood sugar (FBS)
of hypertension which includes
• Urinalysis Blood pressure was measured as
increased salt absorption
158/94 mmHg. Her heart rate was 72
resulting in volume expansion, an • Electrocardiogram (ECG)
beats per minute and regular.
impaired response of the renin- • Renal profile and serum uric acid
angiotensin-aldosterone system • Chest x-ray (if clinically indicated) (Note: when using automated
(RAAS), increased activation of the [12] devices to measure blood pressure,
sympathetic nervous system. These palpate the radial or brachial pulse
changes lead to the development of before measuring blood pressure.
increased total peripheral resistance
Case study If pulse irregularity is present,
and increased afterload which in A 45 years old female consulted measure blood pressure manually
turn leads to the development of at outpatient department using direct auscultation over the
hypertension.[11] of homoeopathy university brachial artery.
on 6/1/2020, for the following
Differential diagnosis Mental generals- Suppressed anger,
complaints:
weeping disposition, consolation
Secondary hypertension should Blood pressure was observed aggravated wanted to be alone.
always be sought for as the high after regular checkups along
differential especially if the patient Physical generals:-. Patient had
with:
is at extremes of age (young or desire for spicy food and salts. She
• Severe headache also had unsatisfactory stools (once
elderly).
• Fatigue or confusion a day), constipation with hard stools,
Hyperaldosteronism, coarcta- much strain to expel. Perspiration
• Vision problems
tion of the aorta, renal artery was normal, non offensive, non
stenosis, chronic kidney disease, • Chest pain
staining.
and aortic valve disease should • Difficulty breathing
always be kept in the differential. [11] • Irregular heartbeat Particular symptoms

Diagnosis Blood pressure was observed high


History of presenting complaints
after regular checkups. Severe
HTN is a silent disease; 64% of cases Patient was apperantly well 12 headache, fatigue or confusion, vision
remain undiagnosed. Therefore, BP months back, when she suffered problems, chest pain, difficulty in
should be measured at every chance from was severe headache fatigue breathing, irregular heartbeat,< warm
encounter. Evaluation of newly or confusion vision problems, room, mental exertion, >open air. cold
diagnosed hypertensive patients has chest pain, difficulty in breathing, bathing, pressure, tight clothing.

May 2020 | The Homoeopathic Heritage | 41


CLINICAL

Analysis and evaluation of symptoms

Symptoms Intesity
Mental generals • anger suppressed (+3)
• consolation aggravates (+2)
• wants to be alone (+2)
• weeping disposition (+1)
Physical generals • patient had desire spicy, salts (+3)
• she also had unsatisfactory, constipation with hard stool (+3)
much strain to expel.
• Perspiration normal, non offensive, non staining (+1)
Particulars • Blood pressure was high (+3)
• Severe headache (+3)
• Difficulty in breathing (+3)
• Irregular heartbeat (+2)
• < warm room, mental exertion. (+2)
• >open air, cold bathing, pressure, tight clothing (+2)
• Chest pain (+1)
Uncommon • Nothing specific found in patient. -
Common • Fatigue or confusion -
• Vision problems

Miasmatic analysis of symptoms[13][14][15][16][17]


 SYMPTOMS PSORA SYCOSIS SYPHILIS
Mind-anger irascibility–suppressed from. 

Mind-company – aversion to  
Mind-weeping tearful mood,etc. -consolation agg. 
Stomach-desire–pungent things 
Head-pain –warm room– agg. 
Head-pain – Pressure,amel. 
Respiration-difficult 
Chest-pain- warm room agg 
Chest-pain – pressure-amel. 

Predominant miasm: [13] Mind – anger irascibility-suppressed Head – pain – pressure,amel.


[14][15][16][17] from.
Respiration – difficult
Mind – company – aversion to
Psora Chest–pain- warm room - agg.
Mind – weeping tearful mood,etc.
Repertorial totality.[18] Chest– pain – pressure-amel.
-consolation agg.
The following rubrics were selected Stomach – desire –pungent thigs. Repertorial sheet [18]
from RADAR 10.0:
Head – pain –warm room- agg. See Repertorial sheet.

42 | The Homoeopathic Heritage | May 2020


CLINICAL

and salts. High BP, severe headache,


fatigue or confusion, vision problems,
chest pain, difficulty in breathing,
irregular heartbeat< warm room,
mental exertion.>open air, cold
bathing, pressure, tight clothing. The
patient had moderate susceptibility
and the medicine covered maximum
symptoms. [19]

Prescription –
Natrium muriaticum 200/1dose and
Phytum 30 thrice a day for 7 days.

General management
Repertorial sheet • Eat healthy foods like fruits,
vegetables, whole grains, low fat
Selection of remedy repertorisation. After comparison dairy foods.
and its potency with of symptoms from various books of • Decrease the salt in diet. low-
justification materia medica, Natrium muriaticum fat dairy products, dietary and
appears to be most similar remedy soluble fibre, whole grains and
Natrium muriaticum 200/1dose/stat to the totality of symptoms of the protein from plant sources.
followed by Phytum for 7 days was patient; such as suppressed anger,
first prescription because Natrium • Maintain a healthy weight.
weeping disposition, consolation
muriaticum covered maximum aggravated, wanted to be alone. • Physical activity increase.[20][21]
marks with maximum rubrics after Patient had desire for spicy food

Follow-up

Date Changes in symptoms Prescription Justification


6/1/2020 BP-158/98 mm Hg Natrium muriaticum After comparison of symptoms
Pulse-72/min 200/1dose from various books of materia
Severe headache Phytum 30 for 7days medica, Natrium muriaticum
Fatigue or confusion appears to be most similar remedy
Vision problems to the totality of symptoms of the
Chest pain patient.
Difficulty breathing
Irregular heartbeat
< warm room, mental exertion.
> open air, cold bathing, pressure,
tight clothing.
14/1/2020 Better-Severe headache, fatigue Phytum 30 for 7 days As there was improvement patient
or confusion, vision problems, symptoms.
chest pain, difficulty in breathing,
irregular heartbeat
BP-150/98mm Hg
21/1/2020 Severe headache, fatigue was still Natrium muriaticum Symptoms was returned.
present 200/1dose
BP-145/90mm Hg. Phytum 30 for 7 days
There was difficulty in breathing.

May 2020 | The Homoeopathic Heritage | 43


CLINICAL

28/1/2020 Better Phytum 30 for 7days As there was marked improvement


BP-140/80mm Hg so Phytum 30 for 7 days repeated.

11/2/2020 Better Phytum 30 for 7days As there was marked improvement


BP-140/80mm Hg so Phytum 30 for 7 day repeated.

Conclusion Kocak M., Deger O., Topbas M. 16. Robert HA. The principles and art
Prevalence of prehypertension of cure by Homoeopathy. 3rd reprint
Homoeopathic medicines have a and hypertension and associated ed. New : B Jain Publishers Pvt.Ltd;
positive effect on the hypertensive risk factors among Turkish adults: 2007.
trabzon hypertension study. Journal 17.
Hahnemann S. the Chronic
status of the patients.The prevalence of Public Health. 2009;31(1):47–58.
of hypertension in the age group diseases their peculiar Nature and
doi: 10.1093/pubmed/fdn078.
Their Homoeopathic cure.Low
below 50 years is not uncommon. 7. Abebe S. M., Berhane Y., Worku Price Edition. New Delhi: B. Jain
Hypertension can be treated best A., Getachew A. Prevalence and Pulishers Pvt. Ltd.; 2002.
before becoming chronic and it associated factors of hypertension:
18.
RADAR [computer program].
should be patient oriented rather a crossectional community based
Version 10.0. London: Archibel
than disease oriented.it can best study in Northwest Ethiopia.
Homeopathic software.
PLoS ONE. 2015;10(4) doi: 10.1371/
be treated at “prehypertensive 19. Mandal P P,Mandal B.A Textbook
journal.pone.0125210.e0125210
stage”. Patients may respond of hooeopathic Pharmacy .2nd
8. Mendis S. World Health Organisation;
well to the constitutional remedy ed, Kolkata: New Central Book
2010. Global status report on non
than to a specific remedy like communicable diseases 2010. Agency(p)Ltd 2009.
Rauwolfia serpentina, Viscum album or 9. Tabrizi J. S., Sadeghi-Bazargani H., 20. Appel LJ, Brands MW, Daniels
Strophanthus hispidus. Farahbakhsh M., Nikniaz L., Nikniaz SR, Karanja N, Elmer PJ, Sacks
Z. Prevalence and associated FM; American Heart Association.
Dietary approaches to prevent
References factors of prehypertension and
and treat hypertension: a scientific
hypertension in Iranian population:
1. Harrison Manual of Practical statement from the American
the lifestyle promotion project (LPP)
Medicine, Jaypee Brothers Medical Heart Association. Hypertension.
PLoS ONE. 2016;11(10) doi: 10.1371/
Publishers, 20thEdition. 2006;47:296–308.
journal.pone.0165264.e0165264
2. Kearney PM, Whelton M, Reynolds 21. Gupta R, Guptha S. Strategies for
10. Edwards C, Bouchier I, Davidson L.
K, Muntner P, Whelton PK, He J. initial management of hypertension.
Davidson’s principles and practice
Global burden of hypertension: Indian J Med Res. 2010 Nov; 132(5):
of medicine. [Edinburgh]: ELBS
Analysis of worldwide data. The 531–542.
with Churchill Livingstone; 1993.
Lancet. 2005;365(9455):217–223.
11. Iqbal A M; Jamal S F. Essential
3. Egan BM, Zhao Y, Axon RN. US About the authors
HypertensionDecember 1, 2019.
trends in prevalence, awareness,
treatment, and control of 12. Abdul Rashid A, Khalid Y, Chia Dr Ruchi Singh MD (Associate
hypertension, 1988–2008. Journal Y. Management of Hypertension.
professor, Department of Organon
of the American Medical Association. Malays Fam Physician. 2011 Apr
2010;303(20):2043–2050. 30;6(1):40-3. of Medicine,Dr. MPK Homoeopathic
13. Pate RP. Chronic miasms in Medical College Hospital & Research
4. Barquera S, Campos-Nonato
I, Hernández-Barrera L, et al. homoeopathy & their cure with Centre (Under Homoeopathy
Hypertension in Mexican adults: classification of their rubrics/ University), Saipura, Sanganer, Jaipur,
results from the national health and symptoms in Dr. kent’s repertory Rajasthan, India.)
nutrition survey 2006. Salud Pública (Repertory of miasms).kottayam,
de México. 2010;52, supplement kerala: Hahnemann homoeopathic Dr Anjana Kumari MD(PGR,
1:S63–S71. Pharmacy; 1996. Department of Organon of Medicine,
5. Tu K, Chen Z, Lipscombe LL. 14. Allen JH. The Chronic Miasms: Dr. MPK Homoeopathic Medical
Prevalence and incidence of Psora and Pseudopsora, Vol. College Hospital & Research Centre
hypertension from 1995 to 2005: a I&II Reprint ed new Delhi: B Jain
Publishers Pvt. Ltd; 2006.
(Under Homoeopathy University),
population-based study. Canadian
Medical Association Journal. Saipura, Sanganer, Jaipur, Rajasthan,
15. Benerjee SK. Miasmatic Prescribing.
2008;178(11):1429–1435. 2nd extended ed. New Delhi: B Jain India.)
6. Erem C., Hacihasanoglu A., Publishers Pvt.Ltd; 2011. nn

44 | The Homoeopathic Heritage | May 2020


SUBJECTIVE

Hypertension in paediatric age group and scope of


homoeopathy in its management
Dr Pathak Amol Pramodrao, Dr Pathak Vibhuti Amol

Abstract: This article is an attempt of explaining aetiopathogenesis, clinical features, investigations for hypertension in children’s
along with scope of homoeopathy in its management with a special emphasis upon Murphy’s repertory.

Keywords: Hypertension, BP, systolic, diastolic, repertorisation.


Abbreviations: BP- blood pressure, HTN- hypertension mm of Hg- millimetres of mercury, CNS- central nervous
system, ANS- autonomic nervous system

Introduction seen in children (2). pressure, polio, encephalitis,


etc.

I n infants and young children,


systemic hypertension
uncommon but if it is found
is
Risk factors
hypertension:
for primary
5. Miscellaneous
fracture of
causes
long
like
bone,
present in childhood, it is indicative 1. Heredity hypercalcemia, white cell
of serious underlying disease transfusion, etc. (1)
2. Diet
process. Secondary hypertension
is common in most of the children. 3. Psychological stress Aetiology of persistent
In order to increase early detection hypertension:
4. Obesity (1)
of hypertension, accurate blood
1. Intrinsic renal diseases: chronic
pressure measurement should be
Aetiology of secondary glomerulonephritis, chronic
a part of routine annual physical
hypertension: pyelonephritis, obstructive
examination of all children above
uropathy, congenital lesions,
3 years of age. Blood pressure 1. Hypertension in newborn is renal tumours, etc.
increases gradually with age and it associated with renal artery
varies with sex (1). thrombosis. 2. Renovascular causes: renal
artery stenosis, renal arteritis,
Average blood pressure 2. Hypertension in early childhood renal vein thrombosis.
is because of renal diseases,
in children (2) coarctation of aorta, endocrine 3. Endocrinal causes:
disorders, medications, etc. pheochromocytoma, cushing’s
See table.
disease, aldosteronism,
3. In adolescence, essential or neuroblastoma .
Incidence
(2)

primary hypertension becomes


Essential hypertension accounts common. Aetiology of transient
for 5 – 10 % cases of paediatric
4. CNS and ANS associated causes hypertension:
hypertension; secondary
hypertension is more commonly like increased intra cranial 1.
Renal diseases: acute
post streptococcal
Table
glomerulonephritis, haemolytic
Sr. Age Systolic BP Diastolic BP uremic syndrome, post renal
No. transplant, urologic surgery,
1 1-3 months 70-80 mm hg 45-55 mm hg acute tubular necrosis.
2 4-12 months 80-90 mm hg 60-70 mm hg 2. Miscellaneous causes:
3 1-8 years 90- 100 mm hg 60-70 mm hg administration of steroids,
4 9-14 years 100-110 mm hg 60-70 mm hg oral contraceptive pills,

May 2020 | The Homoeopathic Heritage | 45


SUBJECTIVE

hypernatraemia, poliomyelitis, when subjected to stress or pallor, weight loss, oedema in


porphyria hepatica, coarctation competitive task, the offsprings chronic renal disease.
of aorta etc (2). of hypertensive adults respond
10. In coarctation of aorta, femoral
with greater increase in heart
pulse is weak; BP in lower limbs
Pathophysiology rate and blood pressure than
is less than in upper limb.
do children of normotensive
Renal and renovascular
parents. Similarly, some 11. In pheochromocytoma, there
hypertension accounts for majority
children of hypertensive are episodes of palpitation,
of children with secondary
parents respond to sodium sweating, flushing, weight
hypertension. The children may give
loading with weight gain and loss.
history of urinary tract infections,
increase in blood pressure than
obstructive lesions of urinary tract. 12. Patient with cushing syndrome
those without family history of
In renal diseases, hypertension have plethoric face, buffalo
hypertension.
may be related to sodium retention hump type of obesity, hirsutism
and hypervolaemia, diminution 2. Children and adolescent with and abdominal striae.
of vasodilator substances. essential hypertension are
Renovascular hypertension is usually asymptomatic and BP 13.
In severe hypertension,
associated with sodium retention elevation is usually mild. These patients present with visual
and increased renin secretion children may also have mild to disturbance, convulsions,
which, in turn, activates renin – moderate obesity. nerve palsy and neurologic
angiotensin – aldosterone system deficit (2).
3. Children with secondary
leading to sodium and water
hypertension have BP ranging Differential diagnosis
retention, increased peripheral
from mild to severe. Unless the
resistance, vasoconstriction, plasma 1. Asymmetrical pressures with
pressure is sustained or rising
volume expansion and increased right and left arm indicate
rapidly hypertension doesn’t
cardiac output. Endocrinopathies coarctation of aorta, obstructive
usually produce symptoms.
involving thyroid, parathyroid, aortoarteritis.
and adrenal gland are 4. There is growth failure in
associated with hypertension. children with chronic renal 2. High BP in arms compared to
Hyperthyroidism is associated failure. legs occurs in coarctation of
with systolic hypertension and aorta and obstructive aortitis.
5. There is headache, dizziness,
tachycardia. Hypercalcaemia in 3. Renal artery stenosis and
epistaxis, anorexia, visual
hyperparathyroidism is associated obstructive aortoarteritis result
changes and seizures.
with hypertension because calcium in abdominal bruits.
plays an important role in increasing 6. If there is presence of vomiting,
vascular tone. Congenital adrenal temperature elevation, ataxia, 4. Hypertension, pallor and
hyperplasia, aldosterone secreting stupor, seizures, it indicates oedema indicates chronic renal
tumours, cushing’s syndrome hypertensive encephalopathy. failure.
can also produce hypertension.
7. Cardiac or renal failure can 5.
Weight loss, headache,
Pheochromocytoma can lead to
occur in cases of marked palpitation, flushing, sweating,
hypertension because cardiac
hypertension. postural hypotension indicate
and peripheral vascular effect of
pheochromocytoma.
epinephrine and nor epinephrine, 8. Persistent and sustained
such children usually have persistent hypertension in children 6. Obesity, hirsutism, abdominal
hypertension. Poliomyelitis can can give rise to unexplained striae and buffalo hump
lead to hypertension because of seizures and heart failure (1). indicate cushing’s syndrome
altered sympathetic tone (1).
9. The patient presents with 7. Abdominal mass, history of
symptoms of underlying haematuria suggest renal
Clinical features
disease, for example, polyuria, tumour, obstructive uropathy,
1. It has been noted that polydipsia, weakness, fatigue, polycystic kidney, etc. (2)

46 | The Homoeopathic Heritage | May 2020


SUBJECTIVE

Diagnosis in essential 1. Nature of underlying disease factors such as gross pathological


changes may be present in patients
hypertension 2. Response to therapy
of renal failure, pheochromocytoma,
Age of patient (adolescent), level 3. In case of surgical intervention, renal artery stenosis, etc. and there
of BP elevation (usually mild), prognosis depends upon the is very limited literature is available
weight of patient (mild to moderate age of patient at which the in homoeopathy for this condition.
obesity), positive family history correction is performed (2). After comparing some modern
and paucity of signs and symptoms repertories like Complete repertory,
of underlying disease (1). Prevention Murphy’s repertory, Synthesis
repertory for finding the simillimum;
1. Prevention of HTN in
Diagnosis in secondary I came to know that only limited
children will prevent risk of
hypertension cardiovascular disease, stroke,
data available for this and that to in
Murphy’s repertory. So, the budding
1. Patient are rarely obese except etc.
homoeopaths can do the clinical
in cases of diseases of adrenal 2. Correct modifiable risk factors research or the literature research
cortex. such as obesity, sedentary life for the same. Both the things will
2. Level of BP elevation (mild to style, high dietary sodium contribute a lot to the field (3).
severe), age of patient (usually intake, consumption of alcohol
young), presence of symptoms and tobacco (2). References
of underlying disease, family 1. Behrman R. E., Kliegman R. M.,
history of renal disease, Repertorisation jenson H. B., Nelson textbook
hypertension, premature 1. Murphy’s repertory: of paediatrics, 17th edition,
cardiovascular disease (1). Elsevier publisher, 2004, pg. no.
Chapter: blood and diseases 1592 - 1598
3. Urine analysis should be done
2. Ghai O. P., Gupta P., Paul V. K.,
in all cases. Clean voided Rubric: hypertension
Essential paediatrics, 6th edition
midstream urine collected with revised and enlarged, CBS
CRAT, LACH, NAT-M, VERAT,
aseptic precautions should be publishers and distributors,
adren, aur, bar-c, calc, glon,
cultured for bacterial isolation New Delhi, 2004, pg. no. 432 -
grat, nux-v, plum, raulw, sec,
in case of suspected urinary 436
stront-c, sulph, sumb (3).
tract infection. 3. Murphy R., Homoeopathic
4. Renal function test to rule out Conclusion medical repertory, 2nd revised
renal failure. edition, B. Jain publications,
Hypertension in paediatric age New Delhi, 1998, pg. no. 193
5. Intravenous pyelogram helps group is a very uncommon and is and 418
to assess size and shape of often incidental finding. It’s presence
kidneys, anomaly of calyx, signifies serious underlying About the author
pelvis and ureter. pathology. The consequences of
Dr Pathak Amol Pramodrao, BHMS,
hypertension depend upon the
6. Plasma renin activity, urinary MD (Practice of Medicine) MA (Psy.)
age of onset of the disease. The
catecholamine’s to rule out Ph. D. Scholar, Assistant Professor-
earlier the onset, the severe will
pheochromocytoma. Practice of Medicine, Jawaharlal Nehru
be the consequences. Whether
Homoeopathic Medical College, Parul
7.
Renal biopsy, renal the hypertension is essential University
ultrasonography, chest X ray, or secondary, it will contribute
contrast aortography, renal to risk of developing serious Co Author: Dr Pathak Vibhuti Amol,
scintiscan, etc. (2) cardiovascular or cerebrovascular BHMS MD (Organon of Medicine)
diseases in adulthood. MA (Psy.) Ph. D. Scholar, Assistant
Professor- Organon of Medicine, Parul
Prognosis Homoeopathy has a limited institute of homoeopathy & research,
The prognosis of case depends scope in treatment of paediatric Parul University.
upon: hypertension because of various nn

May 2020 | The Homoeopathic Heritage | 47


OPEN DISCUSSION

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Dr Varsha Manchanda
Prize:
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Question for June 2020 is


Discuss the protective role of homoeopathy in the management of stroke cases?

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Prize

Question for May 2020 was


What is the role of homoeopathy in the management of hypertensive cases?

Homoeopathic treatment depends what one needs is a holistic approach psora-sycotic manifestations, stressful
upon the symptoms of the disease prescribing on the basis of patient environment and come under life style
condition and individual character of individualisation. In severe cases and disorder cases. The salt concerned is
the patients. As the disease is severe the cases having any deep pathology primarily sodium (besides calcium,
and related to severe complications, behind hypertension, one must magnesium) chloride, especially when
its management is also essential. understand that it’s the limitation consumed in artificial preparations,
There are certain drugs which prove where one has to refer the case to the uncooked forms, excess amount,
to be helpful for the management of allopathic physician. with inadequate water intake. These
cases of hypertension with or without are to be administered the remedy
constitutional medicines depending – Dr Amanpreet Singh Chhabra in doses according to homoeopathic
upon the nature and degree of disease Cases that have hypertensive laws, especially susceptibility
condition such as Rauwolfia serpentina, categorisation are best handled by with appropriate advise including
Natrum muriaticum, Belladonna, the simillimum arrived at by careful low dietary intake of salt, regular
Baryta muriaticum, Aurum metallicum, homoeopathic case taking and remedy exercise, maintain stress free habits.
Gloninum, Gelsemium sempervirens, etc. search along with dietary and regimen For example, Rauwolfia serpentina
Along with this dietary management, regulations. In homoeopathy, one can Q for the cases with pathological
regular exercises must be advised. take up clients who are hypertensive affections, Phosphorus 200 for ones
Even in those patients having family as the treatable entity, with cure as the with functional disturbances related
history of hypertension, one should target. Hypertensive cases are among to hypertensive disorders, Sulphur
advise proper monitoring of blood the most common diseased cases 1M in single dose for those that have
pressure, so that they can easily start in India, besides other developing emotional imbalance, anxiety caused,
their treatment in early stage of blood and developed countries of the stress induced hypertensive disorders,
pressure fluctuations. world. They pertain to the iceberg and also as intercurrent for the cases
PHENOMENA of the hypertensive with miasmatic background.
– Dr Varsha Manchanda
afflicted population that is the 1/10th – Dr Bharat Motiani
It depends on the severity of the of total suffering ones. A community
case and the cause behind the approach under homoeopathy would Managing hypertensive cases in
hypertension. If the case is of essential be of serviceable role to effectively homoeopathy is an art, thus in case
hypertension, and in a mild form, manage, and prevent cascading of primary/essential hypertension,
one can manage it with homoeopathy effects of hypertensive incidences. homoeopathy is concerned with
successfully conjoint with the general Hypertensive cases are those suffering the patient having high blood
management and the patient can from elevated levels of blood pressure pressure rather than the HTN itself.
expect cure. In moderate cases of and salt imbalance consequent to The homoeopathic management of
hypertension, homoeopathy can help, irregularities in salt intake and/or essential hypertension is based on the

48 | The Homoeopathic Heritage | May 2020


NEWS AND EVENTS

‘principle of similia’ being a chronic Academy of Homoeopathy, India uncontrolled HTN, at times her systolic
disorder, it calls for constitutional anti- (NAHI), Nagpur, Maharashtra. The BP had reached upto 180mmHg, was
miasmatic treatment. It is the totality purpose was to access the efficacy of treated successfully with homeopathic
of various characteristics symptoms homeopathic treatment compared to remedy “Lachesis muta” showed
that guides the homoeopath towards integrated treatment (Homeopathy the effectives of complementary
the simillimum. When a case is + conventional pharmacotherapy) medicines in the management of HTN.
presented as acute emergency, one in terms of BP control. Cases were An observational cohort study was
can also manage the case by using diagnosed and treated for HTN conducted by Bignamini in 1987 to
mother tinctures as an alternative or under outpatient department in determine the efficacy of Crataegus
as a reserve. Mother tincture of Amyl year 2013. Arithmetical results with preparation for cardiac insufficiency,
nitrosum, Allium sativa, Rauwolfia repeated measures and analysis the drug proved effective in
serpentina, Crataegus oxyacantha, showed that there lies no marked lowering both systolic and diastolic
Passiflora incarnata, Baryta muriaticum, alteration in the homeopathy and the hypertension [15]. The efficacy of an
Adonis vernalis, Strophanthus hispidus integrated group in reducing blood infrequently used antihypertensive
are proved useful in managing pressure at week six of treatment as homeopathic remedy “Viscum album”
hypertension till the individual drug suggested by ANOVA. It concludes was determined by 1-group pretest–
of patient comes out. that homeopathy solitary is as effective posttest model in primary HTN. By
as homeopathy + conventional only few drops of drug a significant
– Dr Megha Patel pharmacotherapy in the treatment of fall in BP (P<0.0001) and Serum
Number of individuals suffering hypertension [12]. In order to evaluate triglyceride (P<0.0001) was observed in
from HTN have increased over years the determinants, pattern and the test group. The dual action of Viscum
however, the rate of controlled BP association between CAM use and the album, shows that it as an optimizing
(<140/90mmHg) remain poor. The adherence behaviour of hypertensive therapy for primary hypertension [16].
demand of traditional, complementary patients in Ghana a cross-sectional was 4. Conclusion Use of homeopathic
and alternative medicines (CAM) conducted in Teaching Hospitals in remedies in the treatment of HTN is
is increasing especially in chronic Ghana from May-July, 2012. Data was proved effective clinically, but more
diseases like Hypertension. Various collected on the socio-demographic scientific researches need to be done.
researches in this regard show that characteristics of patients. The results Managing an individual having HTN
CAM is effective in the treatment of showed a significant relationship with homeopathic drugs is an art, the
hypertension but further researches between CAM use, the widespread success of treatment is based upon
are still needed. A cross-sectional use of CAM among hypertensive in the selection of a drug similar in
questionnaire survey was conducted Ghana. The side-effects of use of anti- picture to the acute totality, followed
for hypertensive patient, in order to hypertensive drugs in also observed by the administration of appropriate
measure the prevalence, effectiveness [13]. A nationally representative cross- constitutional remedy. A strict
and pattern of CAM use. The CAM sectional survey was conducted to guideline regarding diet and life-style
users did not differ statically from measure the prevalence of CAM use modifications is very essential along
non-CAM users by age, health among older adults with diagnosed with similimum, in order to get the
status, marital status, duration of or un-diagnosed HTN and the extent best possible outcomes. When a case
hypertension, education or income. to which CAM is used specifically for is not going to resolve and becoming
The prevalence of use of CAM is the treatment of HTN. HTN status was worse, even after different suitable
higher in females than males. >70% evaluated by self-report. Use of CAM remedies, it is advisable to refer the
of responses reflects the effectiveness was high among older adults with case to higher center.
of alternative medical system, mind- HTN, but in majority of CAM was
used for the prevention and treatment – Raju
body medicines in the management nn
of hypertension [11]. A retrospective of other conditions [14]. A case of
cohort study was made at the National 28 year old lady who suffered from

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May 2020 | The Homoeopathic Heritage | 49


SUBJECTIVE

Factors about hypertension


Dr Mini I V

Abstract: High blood pressure, also known as hypertension, affects millions -- including children and teens. Learn about causes,
symptoms, diagnosis, treatment and prevention, and discover natural ways to manage your blood pressure and stay well. The exact
cause of hypertension is unknown, but there are several factors and conditions that may contribute to its occurrence. Lifestyle
adjustments are the standard, first-line treatment for hypertension.

Keywords: Hypertension, Systolic Blood pressure, Diastolic Blood pressure, Primary, Secondary and Homoeopathy.

Introduction and being overweight or obese. Symptoms include early


morning headaches, vertigo,
H ypertension also known as
high blood pressure. It is a
long term medical condition in
Classification1
Hypertension can be classified as
buzzing in the ears, nosebleeds,
vision changes, irregular heart
rhythms, confusion, anxiety, chest
which the blood pressure in the Primary (essential) hypertension
pain, fatigue, nausea, vomiting, and
arteries is elevated. Blood pressure or Secondary hypertension1.
muscle tremors1.
is determined both by the amount Primary is due to nonspecific
of blood your heart pumps and the lifestyle, environmental factor
amount of resistance to blood flow and genetic factors. Secondary is Complications
in your arteries. You can have high due to identifiable causes, such as Circulatory system- Atherosclerosi,
blood pressure (hypertension) for chronic kidney disease, narrowing Aneurysm, Aortic Dissections
years without any symptoms. High of the kidney arteries, an endocrine
blood pressure generally develops disorder, or use of birth control pills. Chronic Kidney Disease
over many years, and it affects Primary is about 90 to 95%, and -Haematuria, Ureamia, Proteinuria
nearly everyone eventually. Nearly secondary is about 5to 10%.
Cardiac Failure- Pulmonary
one-third of people who have Classification – British oedema, Myocardial Infarction, Left
hypertension may not be aware of it. Hypertension Society Ventricular Hypertrophy
This is the most dangerous aspect of Category Systolic Diastolic
Hypertension. Hypertension is called Stroke- Haemorrhage, Infarction,
Blood Blood
a “silent killer”. Hypertension is Seizures, Vascular Dementia
Pressure Pressure
a major cause of premature death (mm Hg) (mm Hg) Blindness- Haemorrhage, Exudate,
worldwide1.
Blood Pressure AV Nipping, Papilloedema.
Systolic Blood pressure Optimal <120 <80
represents the pressure in blood Investigations –All patients2
Normal 120-129 <80-84
vessels when the heart contracts or
High 30-139 85-89 Blood Urea, electrolyte glucose and
beats. The Diastolic Blood pressure
Normal creatine
represents the pressure in the vessels
when the heart rests between beats. Hypertension Urine for blood, protein, glucose
Grade 1 40-149 90
Lipid profile
Risk factors (mild )
There are some risk factors of Grade 2 160-179 100-109 ECG
Hypertensions are drinking too (moderate)
much alcohol, smoking, and family Grade 3 >180 >110 Investigations – Selected
history. Unhealthy diets like (Severe) Chest X-Ray: Cardiomegaly, Heart
salt consumption, a diet high in Isolated Systolic Hypertension Failure, Coarctation of aorta
saturated fat and trans fats, low
Grade 1 140-149 <90
intake of fruits and vegetables, Echocardiogram : Left ventricular
sedentary life, Physical inactivity Grade 2 >160 <90 failure

50 | The Homoeopathic Heritage | May 2020


SUBJECTIVE

Renal Ultrasound: Renal disease nature of disease. By hitting the stress level. And if you have high
fundamental cause of chronic blood pressure, doing activities
Renal Angiography : Renal artery
disease he could formulate that the that can help manage your stress
stenosis
major portion of dynamic disease and improve your health can make
Urinary Catecholamines : are of miasmatic nature4. a long-term difference in lowering
Phaeochromocytoma your blood pressure.
Illness occur in 3 different
Urinary Cortisol and dexamethasone circumstances Homeopathic medicines
: Cushing’s Syndrome
• Agitation may need Arsenicum
1. An external invading factor
Plasma Renin Angiotensin : Primary album
with overwhelmingly increased
Aldosteronism strength, or virulence may • Fear may need Aconite
unconditionally override the • Anxiety may need Gelsemium
Prevention2 body’s resistance. • Anger may need Nux vomica
Reducing salt intake (below 5g 2. One or several of the specific • Resentment may need
daily) resistance factors is weakened Staphysagria
Increase dietary Potassium somehow thereby allowing • Grief may need Ignatia
for the invasion of the
• Black depression may need
Eating more fruits and vegetables corresponding outer infective
Aurum metallicum6
agent.
Avoiding use of tobacco
1. Argentum nitricum: If blood
3. Any function of system, of
Avoiding use of Alcohol pressure rises with anxiety
itself may be altered in such a
and nervousness, Argentum
Avoid trans fats in diet way to become similar instead
Nitricum is indicated. “Stage
of opposed to any of the outer
Regular Physical exercise fright” or anticipation of
extra human process, thus it
a stressful event can bring
Limit the intake of high saturated fat spontaneously would create an
on dizziness, headache,
enslave, as it were of an extra
diarrhea, and a pounding
Approach to newly diagnosed human inimical functioning,
pulse. People who need this
Hypertension3 endogenous factor, thus the
remedy are typically warm-
susceptibility over rides all
blooded, iaginative, impulsive,
Detail History other considerations.
claustrophobic, and have
Examination cravings for sweets and salt6.
Emotionalstress
2. Calcarea Carbonica: This is one
Investigations of the important remedy helpful
This affects the production of
To obtain accurate and chemical changes in the body to people with high blood
representivemeasurements of blood leading to hypertension. The pressure who easily tire and
pressure tension produced can lead to many have poor stamina. They are
varied emotions. Body produces typically responsible types who
To identify contributory factors and a surge of hormones when you’re feel overwhelmed when ill and
any underlyimg cause in a stressful situation. These fear a breakdown. Palpitations
To assess other risk factors and hormones temporarily increase and breathing problems can be
quantify cardiovascular risk your blood pressure by causing worse from walking up a slope
your heart to beat faster and your or stairs, and also when lying
To detect any complications that are blood vessels to narrow. There’s down. A general chilliness with
already present no proof that stress by itself causes clammy hands and feet (the feet
long-term high blood pressure5. But may heat up in bed at night) and
Homoeopathic approach reacting to stress in unhealthy ways sweat on the head during sleep
can increase your risk of high blood are other indicators. The person
Hahnemann conclude by saying
pressure, heart attacks and strokes5. may have cravings for sweets
causation of disease through
Exercising three to five times a week and eggs, and tend toward
different stages of disease, first
for 30 minutes can reduce your weight problems7.
should have definite idea about

May 2020 | The Homoeopathic Heritage | 51


SUBJECTIVE

3. Glonoinum: In Glonion the main of pulses throughout body, the lateral walls of their blood
important feature is flushed face more in right thigh. Constant, vessels. This pressure depends on
with a pounding headache and dull, burning pain in region the resistance of the blood vessels
visible throbbing in the blood of heart. Congestion of face and how hard the heart has to
vessels of the neck may indicate and apoplectic. Convulsive work. There are so many risk
a need for this remedy. The twitching of facial muscles. factors for Hypertension. If we are
chest can feel congested or hot, 7. Viscum album: In this the able to identify these risk factors
with a pounding or irregular person feels as if whole vault of
then we can avoid complications
heartbeat. The person is worse skull were lifted up. There will
like cardiovascular disease,
after moving around, heat and be double vision and buzzing
including stroke, heart attack, heart
sun exposure, and drinking and stopped-up feeling in ear.
alcohol. A feeling of “being lost Also there is facial muscles in failure, and aneurysm. Keeping
in a familiar place” is a strong constant agitation. Pulse will blood pressure under control is
indicator for this remedy. be small and weak; unable to vital for preserving health and
4. Natrum muriaticum: A person rest in a reclining position. reducing the risk of these dangerous
who needs this remedy seems Persistent vertigo and giddiness conditions. Complication can be
reserved and responsible, along with intense throbbing controlled by regular check-up and
but may have strong feelings headache. Sharp pain in head proper medication.
(of grief, disappointment, and face, leaving them sore and
anger, grudges, a fear of numb feeling in head. Blue ring References
misfortune) inside. Headaches around the eyes9. 1. Davidson’s Principles & Practice
and palpitations are common, 8. Rauwolfia Serpentina is a safe of  Medicine (Book 21); Paperback: 1376
pages;  Publisher: Churchill Livingstone; 21
as well as a feeling of tension and effective treatment for edition (March 25, 2010)
(even coldness) in the chest. hypertension.  Carbophosphoric 2. Harrison’s Principles of Internal Medicine,
The person feels worse after sun type with nervous and sanguine 20th Edition Vol-I & II, New York: McGraw
exposure, worse around mid- temperament. Lack of tone in Hill Education, 2018.

morning, and better when alone nerves and circulatory system, 3. Wilkisons. Ian B. , Oxford handbook of
Clinical medicine- Mini edition, Flexibound:
in a quiet place. Craving for congestive vascular conditions, 904 pages; Publisher: Oxford University Press;
salt is the important feature of insomnia after midnight. High 4. Hahnemann Samuel, Boericke MD William,
Natrum Mur and strong thirst blood pressure without marked Organon of Medicine: Delhi, B Jain Publishers
(P) LTD; 1994.
can help to confirm the choice8. atheromatous changes in the
5. Your reaction to stress may affect your blood
5. Phosphorus: Phosphorus vessels9. pressure Available from: URL of part https://
patient is usually sensitive, 9. Baryta Muriatica: This is one www.mayoclinic.org/diseases-conditions/
suggestible, and sympathetic, of the deep acting remedy in high-blood-pressure/in-depth/stress-and-
high-blood-pressure/art-20044190
with a tendency toward Homoeopathy. In this remedy
6. Boericke William, M.D, Pocket manual of
weakness, dizziness, a “spaced- the physical anxiety is more Homoeopathic Materia Medica and Repertory
out” feeling, and fearfulness. marked. There is palpitation, and a chapter on Rare and Uncommon Remedies:
Delhi Jain Publishers PVT Ltd, 1991.
Nosebleeds, facial flushing, dyspnoea and weakness which
7. Nash E.Leaders In Homoeopathic
palpitations, feelings of is more on ascending stairs. All Therapeutics, Presented by Médi-T, Publisher:
heaviness or pain in the chest, the complaints are more marked B Jain Pub Pvt Ltd (1 August 2013).
and left-sided problems are on left side, and worse on sitting. 8. Kent JT. Lectures on Homœopathic Materia
Medica. New Delhi: B. Jain Publishers Pvt.
often seen. A strong desire for Patient feels comfortable on Ltd; 2012.
cold drinks and refreshing lying down but the complaints 9. Clarke Henry John MD, Clarke a Dictionary of
things, and a marked comes during sleep. Dread Practical Materia Medica. vol- I, II & III Delhi B
improvement after eating and of bathing and worse while Jain Publishers (P) Ltd; 1995.

sleeping are other indicators for standing. Frequent fainting


Phosphorus8. spells can be seen in this along About the author
6. Veratrum viride: Paroxysms with the convulsive tendency9. Dr Mini I V, Associate Professor
of auricular fibrillation. in Dept. of Materia Medica, Father
Induces fall of both systolic Conclusion Muller Homoeopathic Medical College,
and diastolic blood pressure.
Bloated and livid face. Beating Blood Pressure is the force that Mangalore
a person’s blood exerts against nn

52 | The Homoeopathic Heritage | May 2020


SUBJECTIVE

Lycopus virginicus – a complete review on hypertensive


remedy
Dr S. Sabarirajan, Dr S. R. Ameerkhan Babu
Abstract: Lycopus virginicus commonly called bugleweed or gypsywort, a homoeopathic medicine, chief action is upon the heart.
On reviewing numerous literatures, it was proved that Lycopus virginicus gave great results in many cases of lowering blood
pressue and heart disorders. The following article includes the review about the importance of Lycopus virginicus, its profile and
the clinical indications.

Keywords: Lycopus virginicus, heart, homoeopathy, blood pressure.

Introduction Therapeutic uses and benefits of of the antibodies to the thyroid


bugleweed gland.
Plant profile.
• Traditionally, this herb has been • The herb is commonly used
Botanical name: Lycopus virginicus, used to cure cough and other as a natural treatment for
Lycopus europaeus. respiratory disorders. It is also some symptoms of grave’s
thought of as a natural remedy disease, such as palpitation and
Other common names: bugleweed, for sleeplessness. convulsions. The herbal activity
gypsywort, european bugleweed. is sufficient for mild cases of the
• American bugleweed (Lycopus
The bugleweed or gypsywort plant virginicus) and its european disease and is considered safe for
(Lycopus virginicus)1 counterpart gypsywort (Lycopus long-term administration.
europaeus) were widely used • It is traditionally used to stop
Habitat: in folk medicine for treating iodine conversion in the thyroid
anxiety, tuberculosis, and heart gland and can be used as a natural
Bugleweed is a rhizomatous herb
palpitations. treatment for hyperthyroidism
endemic to Europe and Asia, and
• Bugleweed was also utilised by and related diseases.
introduced in the United States.
In the wild, it proliferates in gypsies of old as a cosmetic as • Bugleweed extracts mainly affect
marshlands and wetlands.1 this herb is a major component for the vascular tissues as well as the
manufacturing black dye, hence sympathetic nervous system.
Plant description the common name “gypsywort”. • The leaves may also be used as
Bugleweed is a perennial plant • Bugleweed’s medicinal a natural cure for wounds and
belonging to the mint family and properties are said to be due abrasions.1
is closely related to a european to the presence of lithospermic
acid. Potential side effects of
herb known as gypsywort (Lycopus
bugleweed
europaeus). The two herbs are so • Extracts from this herb are
closely related they are often used thought to aid in normalising • Use of bugleweed is
interchangeably as medicinal heart rate, indicative of its contraindicated for pregnant
herbal treatments.1 potential as an alternative women and women who are
treatment for tachycardia. nursing.
Sources: • Bugleweed is used as an • Because bugleweed may interfere
alternative treatment to hormone with blood glucose medication,
The plant is collected fresh just when
therapy. Components of the it is contraindicated for patients
in blossom to prepare a tincture as
plant may lower the levels of the with diabetes or hypoglycaemia.
well as a fluid extract. Tincture of
thyroid-stimulating hormone People with endocrine disorders
fresh plant in flower. Tincture of
and thyroxine. This action could such as hypopituitarism, pituitary
whole plant by macerating one part
be due to the inhibitory effect of adenoma or hypogonadism
by weight of the fresh plant in two
the herbal drug on the binding should not take it.
parts by weight of alcohol.2

May 2020 | The Homoeopathic Heritage | 53


SUBJECTIVE

• Patients who suffer from cardiac disease. An excellent The Herbal Resource (cited
osteoporosis or who are taking substitute for Digitalis purpurea 13 March 2020) Available
oral contraceptives or fertility in such affections, it quiets from : https://www.herbal-
drugs this drug is contra cough and irritation of the lungs; supplement-resource.com/
indicated. lessens arterial action in fevers bugleweed-herb.html
• Bugleweed has only been tested and plethora. Haemoptysis 2. Murphy R. (2002) Robin
in thyroid conditions involving in phthisis with palpitation,
Murphy Nature’s Materia
overactive thyroid. There pains in chest and cardiac
Medica, Lotus Health
have been no clinical studies weakness. An excellent remedy
publishers,2; 1067-1068.
performed on humans. The for exophthalmia from cardiac
disease, relieving the protrusion 3. HOMPATH, homutil 8.1,
information on the effects of it
of the eyes and tumultuous therapeutics, high blood
was derived from animal studies.
action of the heart.4 pressure, homeopathic
The effects of medication on
mother tincture’s – Materia
animals may be different from • Lower the blood pressure reduces
Medica.
the effect on humans. Researchers the rate of the heart and increases
have not yet evaluated the the length of systole to a great 4. Cowperthwaite A.C. © 2020
inhibiting effects of it on degree. Passive haemorrhages Hpathy Medical Publishers
hormones.1 (Adrenaline 6x). (cited 13 March 2020).
• A heart remedy, indicated in Available from : https://
Indications diseases with tumultuous action homeopathybooks.in/textbook-
• Lycopus virginicus Q lowers blood of the heart and more or less pain. materia-medica-therapeutics/
pressure. Reduces the heart rate Haemoptysis due to valvular lycopus-virginicus-3/
and increases length of systole heart disease. Rapid heart action Boericke
5. W. (1927);
to a great degree. Indicated in of smokers. Precordial pain; Homeopathic Materia Medica;
diseases with tumultuous action constriction, tenderness, pulse, Pocket Manual of Homeopathic
of the heart and more or less weak, irregular, intermittent, Materia Medica & Repertory;
pain, 5 drops of tincture.3 tremulous, rapid. Cyanosis. B.Jain Publishers, 9; 413
• Rapid heart action of smokers. Heart’s action tumultuous and
Precordial pain, constriction, forcible. Palpitation from nervous About the author
tenderness, pulse weak, irregular irritation, with oppression
Dr S. Sabarirajan, 1 Professor,
intermittent, tremulous, rapid. around heart. Rheumatoid,
HOD and PG Guide, Department
Cyanosis. Heart’s action is flying pains, associated
of Practice of Medicine, Vinayaka
tumultuous and forcible. with heart disease. Cardiac
Mission’s Homoeopathic Medical
Palpitation from nervous asthma. 5
College and Hospital, (A constituent
irritation with oppression around college of Vinayaka Mission’s Research
heart. Rheumatoid flying pains, Conclusion
Foundation - Deemed to be University,
associated with heart diseases. The main outcome of homoeopathic Salem, Tamil nadu) Salem, Tamilnadu,
Cardiac asthma.2 approach is to regains the body’s India.
• Lycopus is especially in cardiac natural healing and immune the
irritability and weakness, body cells to treat the conditions Dr S. R. Ameerkhan Babu, Professor,
whether from over-strain of the that affect the body, prevent it and Department of Practice of Medicine,
heart, from rheumatic disease, restore the good level of health Vinayaka Mission’s Homoeopathic
constitutional debility, or from and well-being. Lycopus virginicus Medical College & Hospital, (A
the use of drugs or stimulants is found as effective pathological Constituent college of Vinayaka
affecting the heart, such as prescription for lowering blood Mission’s Research Foundation -
tobacco, etc. It renders the beats pressure. Deemed to be University, Salem,
of the heart slower, fuller and Tamil nadu) Salem, Tamilnadu,
more regular. Palpitation from References India.
nervous irritation or organic 1. Sturluson T. © Copyright 2018 nn

54 | The Homoeopathic Heritage | May 2020


SUBJECTIVE

Can Adrenalinum in decimal potency be used to treat


hypertension?
Dr Darshan J. Shah
Abstract: Can we use homoeopathy to treat HYPERTENSION without the use of modern medicines? Can a homoeopathic medicine
in DECIMAL potency act as a replacement to modern medicine? Can we give a constitutional medicine in centesimal or 50
millesimal potency along with this decimal potency to STOP the allopathic medicine of the patient and switch them to ONLY
homoeopathic medicines?

Keywords: Hypertension, Adrenalinum, decimal potency, constitutional, allopathic medicine.


an improved life expectancy.[12] As a hormone, epinephrine acts on nearly
Introduction all body tissues. Its actions vary by tissue type
BUT, Can we use Homoeopathy to treat
H ypertension (HTN or HT), also known
as high blood pressure (HBP), is a
long-term medical condition in which the
HYPERTENSION without the use of Modern
medicines? Can a Homoeopathic Medicine
and tissue expression of adrenergic receptors.
For example, high levels of epinephrine
causes smooth muscle relaxation in the
in DECIMAL potency act as a replacement
blood pressure in the arteries is persistently airways but causes contraction of the smooth
to Modern medicine? Can we give a
elevated.[1] High blood pressure usually does muscle that lines most arterioles.
Constitutional medicine in Centesimal or LM
not cause symptoms.[2] Long-term high blood
potency along with this Decimal potency to Epinephrine acts by binding to a
pressure, however, is a major risk factor for
STOP the allopathic medicine of the patient variety of adrenergic receptors. Epinephrine
coronary artery disease, stroke, heart failure,
and switch them to ONLY homoeopathic is a nonselective agonist of all adrenergic
atrial fibrillation, peripheral vascular disease,
medicines? receptors, including the major subtypes α1,
vision loss, chronic kidney disease, and
α2, β1, β2, and β3.[20] Epinephrine’s binding
dementia.[3,4,5,6] Body to these receptors triggers a number of
High blood pressure is classified as To find out the answer to this, I read about an metabolic changes.
either primary (essential) high blood pressure interesting drug called “ADRENALINUM”. Its actions are to increase peripheral
or secondary high blood pressure.[7] About
Some of them are mentioned below – resistance via α1 receptor-dependent
90–95% of cases are primary, defined as high
vasoconstriction and to increase cardiac
blood pressure due to nonspecific lifestyle
and genetic factors.[8,9] Lifestyle factors that
Adrenaline output via its binding to β1 receptors. The
Adrenaline, also known as adrenalin or goal of reducing peripheral circulation is to
increase the risk include excess salt in the
epinephrine, is a hormone, neurotransmitter, increase coronary and cerebral perfusion
diet, excess body weight, smoking, and
and medication.[13,14] Epinephrine is normally pressures and therefore increase oxygen
alcohol use.[2,7] The remaining 5–10% of cases
exchange at the cellular level.[21] While
are categorized as secondary high blood produced by both the adrenal glands and
epinephrine does increase aortic, cerebral,
pressure, defined as high blood pressure certain neurons.[13] It plays an important role
and carotid circulation pressure, it lowers
due to an identifiable cause, such as chronic in the fight-or-flight response by increasing
carotid blood flow and end-tidal CO2 or
kidney disease, narrowing of the kidney blood flow to muscles, output of the heart,
ETCO2 levels. It appears that epinephrine
arteries, an endocrine disorder, or the use of pupil dilation, and blood sugar.[15,16] It does
may be improving macro-circulation at the
birth control pills.[7] this by binding to alpha and beta receptors.[16]
expense of the capillary beds where actual
It is found in many animals and some single
Blood pressure is expressed by two perfusion is taking place.[22]
cell organisms.[17,18] Napoleon Cybulski first
measurements, the systolic and diastolic
isolated epinephrine in 1895.[19] As a medication, it is used to treat a
pressures, which are the maximum and
number of conditions including anaphylaxis,
minimum pressures, respectively.[3] For Mechanism of action cardiac arrest, and superficial bleeding.
most adults, normal blood pressure at rest
Physiologic responses to epinephrine by
[23]
Common side effects include shakiness,
is within the range of 100–130 millimetres
organ anxiety, and sweating. A fast heart rate and
mercury (mmHg) systolic and 60–80 mmHg
high blood pressure may occur. Occasionally
diastolic.[9,10] For most adults, high blood
Organ Effects it may result in an abnormal heart rhythm.
pressure is present if the resting blood
While the safety of its use during pregnancy
pressure is persistently at or above 130/90 or Heart Increases heart rate;
and breastfeeding is unclear, the benefits to
140/90 mmHg.[7,9] contractility; conduction
the mother must be taken into account.[23]
Lifestyle changes and medications can across AV node
Adrenalinum and various other studies –
lower blood pressure and decrease the risk Lungs Increases respiratory
of health complications.[11] Lifestyle changes rate; bronchodilation 1. Arterio-sclerosis, Angina pectoris,
include weight loss, decreased salt intake, chlorosis, Chronic-aortitis, Haemophilia,
Systemic Vasoconstriction and Hypotension, shock (myocardial
physical exercise, and a healthy diet.[7] If
vasodilation infarction) have been helped with
lifestyle changes are not sufficient then blood
pressure medications are used.[11] Up to three Liver Stimulates adrenalinum.[24]
medications can control blood pressure in 90% glycogenolysis 2. The main action of Adrenalin is
of people.[7] The treatment of moderately high stimulation of the sympathetic endings,
Systemic Triggers lipolysis
arterial blood pressure (defined as >160/100 notably the splanchnic area, causing
mmHg) with medications is associated with Systemic Muscle contraction constriction of the peripheral arterioles,
with resulting rise in blood pressure.[25]

May 2020 | The Homoeopathic Heritage | 55


SUBJECTIVE
3. It appears to possess a very powerful capillary haemorrhages from all parts, PMID 23771844.
11. How Is High Blood Pressure Treated?” National
local action over dilated blood vessels. where local or direct application is Heart, Lung, and Blood Institute. 10 September
When injected into the circulation feasible, for homœopathic use 2x to 6x 2015. Archived from the original on 6 April 2016.
Retrieved 6 March 2016.
blood pressure rises, the arteries being attenuation.[34] 12. Musini, VM; Tejani, AM; Bassett, K; Wright,
contracted.[26] 14. Its main action is as the mediator of JM (7 October 2009). “Pharmacotherapy for
hypertension in the elderly”. The Cochrane
4. It causes very prompt rise of blood the fight or flight response. It quickly Database of Systematic Reviews (4): CD000028.
pressure and increases the slow pulse increases heart rate, blood pressure, doi:10.1002/14651858.CD000028.pub2. PMID
19821263.
rate to normal one, because it stimulates cardiac output.[35] 13. Lieberman M, Marks A, Peet A (2013). Marks’
the nerve ends attached to the blood Basic Medical Biochemistry: A Clinical Approach
vessels of the heart especially 3x and Conclusion (4th ed.). Philadelphia: Wolters Kluwer Health/
Lippincott Williams & Wilkins. p. 175. ISBN
6x.[27] 9781608315727.
The question which arose in my mind 14. “(-)-adrenaline”. Guide to Pharmacology. IUPS/
5. Blood - BLOOD vessels, general, was, can we give ADRENALINUM IN BPS. Retrieved 21 August 2015.
- aorta, inflamed, acute – chronic, 15. Bell DR (2009). Medical physiology: principles
DECIMAL POTENCY and try to reduce for clinical medicine (3rd ed.). Philadelphia:
Blood - BLOOD vessels, general, - the Anti-hypertensives for the same patient? Lippincott Williams & Wilkins. p. 312. ISBN
aorta, inflamed, acute – ulcerative, 9780781768528.
Here, we could continue our Individualized 16. Khurana (2008). Essentials of Medical Physiology.
Blood - BLOOD vessels, general, - Homoeopathic Medicine for the patient and Elsevier India. p. 460. ISBN 9788131215661.
arteriosclerosis, Blood - BLOOD vessels, 17. Buckley E (2013). Venomous Animals and Their
wean off the Anti-hypertensive and shift the Venoms: Venomous Vertebrates. Elsevier. p. 478.
general, - inflammation, of – chronic, patients on Adrenalinum in decimal potency ISBN 9781483262888.
Blood - HYPERTENSION, high blood 18. Animal Physiology: Adaptation and Environment
(preferably 3X and 6X). (5th ed.). Cambridge University Press. 1997. p.
pressure.[28] 510. ISBN 9781107268500.
6. Adrenaline or Epinephrine, the I urge senior homoeopaths and others to 19. Szablewski, Leszek (2011). Glucose Homeostasis
active principle of the medulla of the consider this thought for further evaluation and Insulin Resistance. Bentham Science
Publishers. p. 68. ISBN 9781608051892.
suprarenal gland is employed as a with their vast experience and huge daily 20. Shen, Howard (2008). Illustrated Pharmacology
chemical messenger in the regulation of Memory Cards: PharMnemonics. Minireview. p.
practice. 4. ISBN 1-59541-101-1.
the activities of the body in fact. 21. “Guideline 11.5: Medications in Adult Cardiac
7. Its presence is essential to the activity References Arrest” (PDF). Australian Resuscitation Council.
December 2010. Retrieved 7 March 2015.
of the sympathetic nerves. Adrenaline 1. Naish, Jeannette; Court, Denise Syndercombe (2014).
22. Burnett AM, Segal N, Salzman JG, McKnite
Medical sciences (2 ed.). p. 562. ISBN 9780702052491.
appears to possess a very powerful Archived from the original on 26 December 2016.
MS, Frascone RJ (August 2012). “Potential
negative effects of epinephrine on carotid blood
local action over dilated blood vessels. 2. “High Blood Pressure Fact Sheet”. CDC. 19 February
flow and ETCO2 during active compression-
2015. Archived from the original on 6 March 2016.
When injected into the circulation Retrieved 6 March 2016.
decompression CPR utilizing an impedance
threshold device”. Resuscitation. 83 (8): 1021–
blood pressure raises, the arteries being 3. Lackland, DT; Weber, MA (May 2015). “Global burden
4. doi:10.1016/j.resuscitation.2012.03.018. PMID
of cardiovascular disease and stroke: hypertension at the
contracted.[29] core”. The Canadian journal of cardiology. 31 (5): 569–71.
22445865.
23. “Epinephrine”. The American Society of Health-
8. Malignant hypertension, Atherosclerosis doi:10.1016/j.cjca.2015.01.009. PMID 25795106.
System Pharmacists. Retrieved Aug 15, 2015.
4. Mendis, Shanthi; Puska, Pekka; Norrving, Bo (2011).
in young people, Angina pectoris; Global atlas on cardiovascular disease prevention
24. (Materia medica made easy, S. K. Banerjea)
25. (Pocket manual of homoeopathic materia medica,
constriction chest with anguish, vertigo and control (PDF) (1st ed.). Geneva: World Health
W. Boericke, Pocket manual of homoeopathic
Organization in collaboration with the World Heart
and nausea/vomiting, Pulse rapid/ Federation and the World Stroke Organization. p. 38.
materia medica, , 9th edition, Motilal Banarasidas
Publishers Pvt Ltd, pg 13-15)
irregular, Haemorrhages from any part ISBN 9789241564373. Archived (PDF) from the original
26. (J. H. Clarke, Dictionary of practical materia
on 17 August 2014.
with hypertension.[30] 5. Hernandorena, I; Duron, E; Vidal, JS; Hanon, O (July
medica, 3rd edition, Vol 1, The Homoeopathic
Publishing Company Ltd, London, pg 31.)
9. Is cowardly, despondent, nervous, 2017). “Treatment options and considerations for
27. (Directory of diseases and cures in Homoeopathy,
hypertensive patients to prevent dementia”. Expert
distracted, averse to mental labor; the Opinion on Pharmacotherapy (Review). 18 (10):
R. L Gupta)
eyes feel strained, as if one must open 28. (R. Murphy, Homoeopathic medical repertory, 2nd
989–1000. doi:10.1080/14656566.2017.1333599. PMID
edition 1996, Hahnemann Academy of North America,
them wide or press on them, the eyeballs 28532183.
ISBN – 0-9635764-0-2, Chapter – Blood, pg 188-197.)
6. Lau, DH; Nattel, S; Kalman, JM; Sanders, P (August
ache, better rubbing and pressure; the 29. (Homoeopathic Remedy Guide, R. Murphy, 2nd
2017). “Modifiable Risk Factors and Atrial Fibrillation”.
edition, Hahnemann Academy of North America,
face flushed, but not red, the urine hot, Circulation (Review). 136 (6): 583–96. doi:10.1161/
ISBN – 0-9635764-0-2, pg 32)
CIRCULATIONAHA.116.023163. PMID 28784826.
strong, scalding, copious, frequent and 30. (Keynotes, Samuel, from RadarOpus 2.1)
7. Poulter, NR; Prabhakaran, D; Caulfield, M (22 August
31. (Pulford, Homoeoapthic Materia medica of
pale; the arms and legs, especially below 2015). “Hypertension”. Lancet. 386 (9995): 801–12.
graphic drug pictures, Reprint edition 1996, B Jain
doi:10.1016/s0140-6736(14)61468-9. PMID 25832858.
the knees, tire and ache, especially on 8. Carretero OA, Oparil S; Oparil (January 2000).
Publishers Pvt Ltd, ISBN – 81-7021-117-4, pg 12)
32. (C.K. Shreedharan, A concise materia medica and
walking; the pulse is rapid, irregular “Essential hypertension. Part I: definition and etiology”.
repertory of Nosodes)
Circulation. 101 (3): 329–35. doi:10.1161/01.CIR.101.3.329.
and intermittent.[31] PMID 10645931. Archived from the original on 12
33. (Varma P. N and Indu V., Encyclopedia of
homoeopathic pharmacopoeia)
10. Arteriosclerosis, Angina pectoris, Shock February 2012.
34. (F. Vermeulen, Concordant Reference, Complete
9. Whelton, Paul K.; Carey, Robert M.; Aronow, Wilbert
or heart failure during anesthesia, to S.; Casey, Donald E.; Collins, Karen J.; Dennison
classic materia medica, 1st edition 2011, B Jain
Archibel S.P.R.L, ISBN – 978-2-87491-020-3, pg 28-
raise the blood pressure.[32] Himmelfarb, Cheryl; DePalma, Sondra M.; Gidding,
29)
Samuel; Jamerson, Kenneth A.; Jones, Daniel W.;
11. Adrenaline or Epinephrine, the MacLaughlin, Eric J.; Muntner, Paul; Ovbiagele,
35. (F. Vermeulen, The ultimate Prisma, Synoptic
Reference 2, 1st edition, , Saltire Books Ltd, ISBN –
active principle of the medulla of the Bruce; Smith, Sidney C.; Spencer, Crystal C.; Stafford,
978-1-908127-13-6, pg 32-36)
Randall S.; Taler, Sandra J.; Thomas, Randal J.;
suprarenal gland is employed as a Williams, Kim A.; Williamson, Jeff D.; Wright, Jackson
chemical messenger in the regulation of T. (13 November 2017). “2017 ACC/AHA/AAPA/
the activities of the body in fact. ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA About the author
Guideline for the Prevention, Detection, Evaluation,
12. Its presence is essential to the activity and Management of High Blood Pressure in Adults”.
of the sympathetic nerves. Adrenaline Hypertension: HYP.0000000000000065. doi:10.1161/ Dr Darshan Jayesh Shah is a
HYP.0000000000000065.
appears to possess a very powerful 10. Giuseppe, Mancia; Fagard, R; Narkiewicz, K; Redon, Consulting Homoeopath and is
J; Zanchetti, A; Bohm, M; Christiaens, T; Cifkova, R;
local action over dilated blood vessels. De Backer, G; Dominiczak, A; Galderisi, M; Grobbee, fascinated with and has a special
When injected into the circulation DE; Jaarsma, T; Kirchhof, P; Kjeldsen, SE; Laurent, S;
blood pressure rises, the arteries being Manolis, AJ; Nilsson, PM; Ruilope, LM; Schmieder, RE; interest in the in-depth study
Sirnes, PA; Sleight, P; Viigimaa, M; Waeber, B; Zannad,
contracted.[33] F; Redon, J; Dominiczak, A; Narkiewicz, K; Nilsson, of Hahnemann’s Organon of
13. Its chief therapeutic use depends on its PM; et al. (July 2013). “2013 ESH/ESC Guidelines for
the management of arterial hypertension: The Task Medicine and Aphorisms and its
vasoconstriction action; therefore a most Force for the management of arterial hypertension of
powerful and prompt astringent and the European Society of Hypertension (ESH) and of the application in practice.
European Society of Cardiology (ESC)”. European Heart
haemostatic; and invaluable in checking Journal. 34 (28): 2159–219. doi:10.1093/eurheartj/eht151. nn

56 | The Homoeopathic Heritage | May 2020


BOOK REVIEW

Treasure Works of John Henry Clarke – A compendium of his


philosophical writings
Book compiled and edited by Dr Himanshu Sekhar Tiwary
Forward by Francis Treuher

Book review by Dr He had the credit of


ISBN: 978-81-319-3689-0
Mansoor Ali introducing many remedies into
the homoeopathic materia medica. Pages: 508

T he author managed a painful


attempt to collect the most
trustworthy philosophical
He introduced
Carcinosinum,
Pertussinum,
Epihysterinum,
Publisher: B Jain Publishers

Morbillinum, Parotidinum, Bacillinum


viewpoints of JH Clarke at one testicum, Scarlatinum, Scirrhinum
place. The most important aspects into materia medica.
of Clarke’s life also compiled in
chronological order. Previously, no significant
attempt has been made to study
Dr Himanshu Sekhar Tiwary the entire length and breadth of
ensured the original structure of Clarke’s philosophy, homoeopathic
the literature remains intact as far profession has missed a great and
as possible. profound voice necessary for the
This work will help us in re- science of homoeopathy. This
discovering the philosophical book will definitely improve the
wisdom and clinical gems of JH understanding of the development
Clarke with illustrative cases and of homoeopathy to a great
clinical tips. extend.

Dr John Henry Clarke was born First chapter – the essence of


in 1853. He was one of the most Clarke’s philosophy and practice
eminent homoeopaths of England, give a bird’s eye view on his and
who devoted his whole life for the homoeopathy’s development in
advancement of homoeopathy. that era.
He took his degree at Edinburgh Major sections include: Author
University in 1875 as gold medalist
• JH Clarke – his life and
in several subjects, followed it up Dr Himanshu Sekhar Tiwary,
contributions
with M.D., academic success, and a very well known name in the
further appointments in 1877. • The essence of Clarke’s subject of Organon of Medicine and
philosophy and practise homoeopathic literature. He is one
He became a keen follower • Bird’s eye view on Hahanemann’s of the strongest voices in India for
of Dr Compton Burnett who was Organon the revival of original and time
himself in the direct hierarchy
• The revolution in medicine tested literature of homoeopathy.
of Ruddock. In April 1885, Dr
His past contribution to the
Burnett edited his last volume of • Homoeopathy explained
treasure works of P. Schmidt as
The Homoeopathic World and the • The enthusiasm of homoeopathy well as therapeutics of cancer from
next month, May 1885, Dr Clarke • Constitutional medicine masters of homoeopathy is already
commenced as editor. He was
• Life and works of Burnett well appreciated by the profession.
editor of ‘The Homoeopathic World’
• Biographical sketch of Thomas He is presently serving as Medical
for twenty-nine years. He was also a
Skinner Officer in CGHS, New Delhi, Govt.
consulting physician to the London
Of India.
Homoeopathic Hospital.
nn
May 2020 | The Homoeopathic Heritage | 57
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Get expert help to Solve cases Open, Inclusive & Most reliable and transparent
Flexible Software Repertory is the basis for
RadarOpus for more than 25yrs.
Makes the software the most
accepted and lovable product
in terms of functionality!

Call on 09312402065 | 09990018149 | +91-120-49 33 333


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