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International Journal of
eISSN: 2574-8084

Radiology & Radiation Therapy

Case Report Volume 2 Issue 5

The stenosed heart revived by homoeopathy

Parth Aphale

DY Patil Homoeopathic Medical College & Research Centre, India

Correspondence: Parth Aphale, DY Patil Homoeopathic Medical College & Research Centre, Pune, India

Received: February 24, 2017 | Published: April 6, 2017

citation: Aphale P. The stenosed heart revived by homoeopathy. Int J Radiol Radiat Ther. 2017;2(5):132-134. DOI: 10.15406/ijrrt.2017.02.00040

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Abstract

In mitral valve disease, the mitral valve, which is located between your left heart chambers (left atrium and left ventricle), doesn't work properly.

Types of mitral valve disease include:

Mitral valve regurgitation. In this condition, the flaps (leaflets) of the mitral valve don't close tightly, causing blood to leak backward into the left atrium of your heart. If not treated, it can result in heart muscle damage. The most common cause of blood leakage is mitral valve prolapse, in which the leaflets bulge back into the left atrium as your heart contracts.

Mitral valve stenosis. In this condition, the flaps of the mitral valve become thick or stiff, and they may fuse together. This results in a narrowed valve opening and reduced blood flow from the left atrium to the left ventricle.

Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat mitral valve disease but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat mitral valve disease that can be selected on the basis of cause, sensations and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person.

Keywords: mitral valve regurgitation, mitral valve stenosis, individualization, susceptibility

Introduction

A male patient, XYZ, 65YRS. old came to my clinic on 30/08/2015 complaining of breathlessness, heaviness of chest and chest pain. Dyspnoea <exertion, lying down >sitting erect. Constricting Pain in left side of chest radiating down the left hand with heaviness++. Feeling of suffocation. Palpitations++. K/C/O-HTN.

Chief complaint

Chest pain with heaviness, dyspnea on exertion.

Associated complaint

No associated complaint.

Past history

Angioplasty 4yrs ago.

Family history

No major illness in the family (Table 1) (Table 2).

Appetite

Normal

Thirst

Increased for large quantities of water

Cravings

Sweet ++

Aversions

Nothing Specific

Bowels

Hard stools with straining

Urine

Normal

Perspiration

Scanty , no staining, no odor

Thermals

Hot(wants fan++, < hot weather, >cold)

Sleep

Normal

Dreams

Nothing specific

Table 1 Personal History

General Examination

Vital Data

Lean, thin, tall

Temperature- Afebrile

Dark complexion

Pulse- 60/min, intermittent

B.P- 150/100 mm. Hg.

R.R- 18/min.

Table 2 General Examination

 Systemic examination

CVS: S1, S2 heard, Mid Diastolic murmur heard.

2-D Echo- Mild Mitral Regurgitation.

Trivial Aortic regurgitation.

Mild Concenteric Ventricular Hypertrophy.

LVEF- 25%.

No Thrombus or Pericardial Effusion.

Dilated L.A.                                                                                                   

Clinical diagnosis

Mitral & trivial aortic regurgitation.

 Acute totality

    1. Constricting pain in left side of chest radiating down the left hand with heaviness++.
    2. Dyspnoea <exertion, lying down > sitting erect.
    3. Heaviness of chest <exertion, lying down.
    4. Suffocation, Breathlessness.
    5. Palpitations.
    6. Pulse intermittent.

 Repertorial totality

    1. CHEST - PAIN – constricting.
    2. CHEST - PALPITATION of heart – exertion.
    3. CHEST - OPPRESSION - lying, while.
    4. GENERALS - PULSE – intermittent.
    5. CHEST-MURMURS-CARDIAC MURMURS.
    6. CHEST-MURMURS-CARDIAC MURMURS-VALVULAR-MITRAL VALVE (Figure 1).

Figure 1 Repertorisation.

Probable remedies

Cactus Grandiflorus, Digitalis, Kalmia Latifolia

Indicated remedy

Digitalis.

Prescription

Digitalis 200, 3 pills T.D.S, x7days (Table 3) (Figure 2) (Figure 3).

Follow up

Symptoms

Remedy

07/09/2015

Slight Improvement. Pain and heaviness in chest slightly less. Breathlessness on exertion+, Palpitations+

Digitalis200 T.D.S for 15days.

26/09/2015

Better. Pain and heaviness much less. Breathlessness much better, palpitations much less

Digitalis200 T.D.S for 15days.

15/10/2015

Much better. Occasional pain, No heaviness, breathlessness only on over-exertion, no palpitations

Digitalis200 T.D.S for 1month

20/11/2015

Much better. No Pain, No heaviness, occasional breathlessness, no palpitations

Digitalis200 T.D.S for 1month

25/12/2015

Much better No Complaints

Digitalis200 T.D.S for 1month

30/01/2016

No complaints

Digitalis200 T.D.S for 1month

03-02-2016

Breathless+, Palpitations+

Digitalis200 T.D.S for 1month

05-03-2016

Better

Digitalis200 T.D.S for 1month

02-04-2016

Slight Breathlessness H/O- Overexertion.

Digitalis200 T.D.S for 1month

10-05-2016

Much better. No Breathlessness

Digitalis200 T.D.S for 1month

09-06-2016

No Complaints. Advised 2-D Echo on next follow up

Digitalis200 T.D.S for 1month

15-07-2016

2-D ECHO shows normal L.V size, and resolved mitral stenosis

S.L T.D.S for 1 month

18-08-2016

No Complaints. Much Better

S.L T.D.S for 1 month. The dose of Allopathic medicines has been reduced. Anti-Hypertension medicine has been reduced form 3 tablets per day to only ½ tablet at night as B.P is constantly normal. Tab. Ecosprin is going on only now.

06-12-2016

No Complaints. Medicnes have reduced. Patient is happy. Has done ECG. It is perfectly normal. No new changes in ECG.

Stop treatment. Follow up as and when needed.

Table 3 Follow up chart

Figure 2 Before Treatment.

Figure 3 After Treatment.

Post treatment 2-D Echo: Normal L.V. Size, LVEF-36%.

LA, RA, RV Normal.

Mitral leaflets normal texture and excursion.

No Mitral Regurge.

Case discussion

From the above case, it is evident that Digitalis proved to be the similimum. If we were to compare the reports of 2-D Echo before and after treatment, then before starting the treatment, there was mild L.V Hypertrophy, effective volume was 25-30%, dilated L.A,mitral stenosis, aortic regurgitation, pulmonary hypertension. After 10 months of treatment, no mitral stenosis as well as regurgitation, effective volume increased from 25% to 36%, L.A normal, mitral leaflets show normal texture and excursion, Normal L.V size no pulmonary hypertension. This shows that Digitalis has potent action on the heart, mainly the Mitral valves, and left ventricle. If we look in to the Clinical Materia Medica of Digitalis, it is one of the fore-runners for mitral valve disease, mainly mitral stenosis. If we see at some of the rubrics that were considered in this case, GENERALS-PULSE– intermittent, CHEST- MURMURS- CARDIAC MURMURS,CHEST- MURMURS- CARDIAC MURMURS- VALVULAR- MITRAL VALVE, we see that all these are pathological generals. Thus pathological generals are very much important while treating such deep seated diseases.

Conclusion

To conclude, deep knowledge of Materia Medica along with pathological generals and their practical application is very much important in treating deep seated organic chronic disease.

Acknowledgements

None.

Conflict of interest

Author declares that there is no conflict of interest.

Creative Commons Attribution License

©2017 Aphale. This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and build upon your work non-commercially.