ABSTRACT: The primary purpose of this text is to
perceive the efficacy of Homoeopathic medicines within the administration of sufferers
with coronary heart failure and enhance their high quality of life.
Key phrases: Symptom, syndrome, Dyspnoea, oedema,
Systemic, PND, Orthopnoea, Anorexia
INTRODUCTION
The character of vitality is dynamic, and this dynamis
penetrates each particle, each cell, and each atom of the human economic system. Any
disturbance of this important vitality or drive ends in a disfigured or disturbed
growth of the entire human economic system.1
Coronary heart failure is a syndrome of ventricular dysfunction. HF impacts about 5
million individuals in us. Greater than 500,000 new circumstances happen in every year2. As Dr Hahnemann says, the
totality of signs is the outwardly mirrored image of the interior essence
of the illness. Whereby the illness could make identified what treatment it requires.3
Pathophysiology
In HF the center might not be offered tissues with
satisfactory blood for metabolic wants and cardiac-related elevation of pulmonary
or systemic venous stress could end in organ congestion. This situation can
outcome from abnormalities of systolic or diastolic operate. or generally each.
Systolic dysfunction: In systolic dysfunction, the
ventricle contract poorly and empties inadequately.
Diastolic dysfunction: Ventricular filling is
impaired. Leading to decreased ventricular–finish–diastolic quantity.
LVF: It’s due
to LV dysfunction. CO decreases and pulmonary capillary stress will increase.
When pulmonary capillary stress exceeds the oncotic stress of plasma
protein . So fluid extravasates from the capillaries into the interstitial
house and alveoli which results in pulmonary oedema inflicting dyspnoea.
RVF: Failure attributable to RV dysfunction. Systemic venous
stress will increase inflicting fluid extravasation and consequent oedema primarily
unbiased tissue.2
Indicators and signs
Dyspnoea – Exertional
Fatigue
If HF worsens dyspnoea can happen throughout relaxation and at
evening additionally
Nocturnal cough
Orthopnoea – In superior HF
PND, Ankle swelling, the fullness of the stomach and
neck
Proper higher quadrant stomach discomfort
Anorexia and stomach bloating
Analysis
Medical analysis
Chest –Xray
Echocardiography, ECG 2
CASE STUDY
The affected person named Mr AF 66 yr outdated male got here with the
grievance of breathlessness, cough and chest ache for five yrs elevated since 1
month
Location
Sensation
Modality
Accompaniment
Respiratory system
Since 5 yrs
Elevated since 1 month
chest
Breathlessness++
Cough with whitish expectoration
ache
< mendacity
down++
< evening++
< exertion
++
< strolling
> sitting
upright
Debility
Swelling of legs
HISTORY OF CHIEF
COMPLAINT
The affected person is okay/c/o DM for 20 years and hypertensive
for two years. 5 years again affected person developed a grievance of breathlessness for a
appreciable time frame .Then began coughing with frothy expectoration,
adopted by chest ache. The breathlessness is extra through the evening, mendacity down
and exertion and higher by sitting upright. Regularly he developed swelling in
the b/l legs and ache which restricted his strolling capacity to an amazing extent
There isn’t any historical past of syncope, radiation of ache to
arms, hemoptysis, and palpitations.
PAST HISTORY
Previous medical historical past: Malaria
Previous surgical historical past: Surgical procedure executed following RTA
Previous therapy historical past: Allopathic treatment after an
accident
Allergic historical past: Not allergic to medicine, mud, and
food regimen.
PERSONAL HISTORY
Food plan: Blended
Urge for food: Decreased
Thirst: Thirsty
Bowel: as soon as/week
Bladder: 3-4t/D 1t/N
Thermals: Scorching affected person
Perspiration: generalized
Sleep: disturbed at evening
GENERAL PHYSICAL
EXAMINATION
Properly-oriented with time, place, and individual
Properly Constructed and effectively nourished
No indicators of Pallor, Cyanosis, Clubbing, Icterous,
Lymphadenopathy
B/L pitting pedal oedema current as much as the knee with
blackish discolouration.
Vitals: RR-22bpm, PR- 78bpm, BP- 150/80mmhg, Temp:
Afebrile
SYSTEMIC EXAMINATIONS
Chest and precordium
Inspection:
No scar mark, seen pulsation
Chest is b/l symmetrical
Kind of respiration: Abdomino – thoracic respiration
Palpation:
No tenderness
Tactile vocal fremitus: felt b/l lung discipline
Chest growth: < 1cm
Transverse diameter:
Inspiration -12.5 inch
Expiration- 12 inch
AP diameter :Inspiration-7.7 inch Expiration-7.5 inch
Apex beat: a palpable, minimal shift in direction of the
mid-axial line
Percussion: Resonant heard bilaterally
Cardiac dullness from 2nd to fifth ics
Liver dullness: fifth to eighth ics
Auscultation: Crepitation heard on left aspect infra
clavicular and supra mammary area
Congestive
cardiac failure
Bronchial bronchial asthma
Breathlessness
Cough
Chest ache
PND
Orthopneoa
b/l pedal edema
Breathlessness
Cough
PND
R/o
Orthopneoa ,chest ache, b/l pedal edema are
outstanding on this pt so Bronchial bronchial asthma is dominated out
SECTOR TOTALITY
Breathlessness ++
< mendacity
down++
Chest ache +
< evening++
< exertion++
< strolling
> Sitting upright
Cough with whitish expectoration
Weak point
Swelling within the legs
Contemplating the pathological state and symptom
similarity drugs chosen was Strophanthus hispidus.4
Prescription
1. Strophanthus Q
5o– 0 – 5o
For two week
FOLLOW UP CRITERIA
1. Breathlessness < evening
< mendacity
down, < exertion
2. Cough with scanty whitish expectoration
3. Chest ache
4. Weak point
5. Pedal oedema
6. Urge for food
7. Sleep
Breathlessness
Cough
with scanty expectoration
Chest
ache
Weak point
Pedal
edema
Urge for food
Sleep
D
D
D
D
D
D
G
CONCLUSION
All of the perceptible indicators characterize the illness to its
entire extent, that’s, collectively they type the true and solely conceivable
portrait of the illness.3In incurable circumstances we should always not put a limitation on the chances of
the same treatment, for in lots of seemingly incurable situations the similimum will
so fully meet the scenario as to obliterate the symptomatology of illness
and the pathology as effectively. Discovering out what’s there to be cured inpatient is
the artwork of a Homoeopathic doctor and that is how we will enhance the standard
of lifetime of the affected person. REFERENCE
Robert
H.A, The Rules and Artwork of Remedy by Homoeopathy, eleventh version, B.Jain p.LTD,
2012. Porter
.S. Robert , The Merck Guide, nineteenth version, Pg: 2118- 2131Hahnemann
s, Organon of drugs,eighth version, B.Jain p.LTD,2014,Pg:33Boericke
W, Pocket handbook of Homoeopathic Materia Medica & Repertory, tenth
version,B.Jain.P.LTD, 2012.Pg: 615
AUTHOR:
1. Dr Ashlin Augustine, M D Scholer
Father Muller Homoeopathic Medical Faculty and
Hospital
Division of Organon of Drugs and Homoeopathic
Philosophy
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