Clinical Cases

Hope, Heart and Homoeopathy: Clinical Experiences in the Pandemic of Covid 19 (Case Series Volume 1)

Hope, Heart and Homoeopathy: Clinical Experiences  in the Pandemic of Covid 19 (Case Series Volume 1) 1

Dr. Gyandas G. Wadhwani presents a case series of twenty cured Covid-19 cases which includes the patient’s age, sex, co-existing diseases, laboratory findings, radiological findings, severity of illness, lesser accessory symptoms, the homeopathic prescription and five follow ups, results of treatment and discussion.

Introduction

Novel corona virus disease or Covid 19 continues to spread, and while media is highlighting the upcoming vaccines and high recovery rates, what goes unrecognised and unacknowledged is the role of homoeopathy in those who have recovered. Having treated more than 700 Covid 19 cases, as on date, descriptions of a few shall be shared over successive case series.

A case series is a descriptive study that follows a group of patients who have a similar clinical condition or undertaking the same therapeutic/ diagnostic procedure over a defined period of time. It is suitable for a description of interventions viz. it can serve as a means of initial reporting on novel therapeutic strategies, particularly when the option of waiting for comparative evidence is considered unacceptable.

Though lacking in comparable data and susceptible to bias of different kinds, it is certainly inexpensive, prompt and covers a wide range of patients with high external validity.

Homoeopathic therapeutic approach vis a vis conventional treatment

A homoeopathic therapeutic approach warrants assessment, clinical examination and treatment of the patients with Covid 19 rather than conventional medical targeting of the causative micro-organism or the targeted organ system. This poses unique challenges to each, whilst the former has to ascertain the remedy anew in each case, the latter has to resort to corticosteroids and other immunosuppressants till the vaccine is found. While the former requires no additional funding (since the available remedies are to be administered), the latter requires extreme investments, for example, there are more than 118 vaccine candidates being investigated by various agencies, each with a budget of over a 100 million USD.(1)

The only advantage of the conventional system of medicine is the patient management paraphernalia viz ICU care, ventilator support etc. which shall be required by less than 7% of Covid 19 patients in India.(2)

The remaining nearly 93% of Covid patients can be managed with relatively inexpensive homoeopathic medicines!

Homoeopathic philosophy and rationale to treat Covid 19

Covid 19 as an epidemic/ pandemic disease (3)

Organon § 73: ….Allied to these are those diseases in which many persons are attacked with very similar sufferings from the same cause (epidemically); these diseases generally become infectious (contagious) when they prevail among thickly congregated masses of human beings. Thence arise fevers, in each instance of a peculiar nature, and, because the cases of disease have an identical origin, they set up in all those they affect an identical morbid process, which when left to itself terminates in a moderate period of time in death or recovery

Organon § 73 foot note 1: The homoeopathic physician, who does not entertain the foregone conclusion devised by the ordinary school (who have fixed upon a few names of such fevers, besides which mighty nature dare not produce any others, so as to admit of their treating these disease according to some fixed method), does not acknowledge the names goal fever, bilious fever, typhus fever, putrid fever, nervous fever or mucous fever, but treats them each according to their several peculiarities. (Bold my own) [Comment: The clinical features of previous corona virus infections shall not govern the treatment of current Covid 19, neither shall these during future recurrence. See § 100 below]

Organon § 73 footnote 2: Subsequently to the year 1801 a kind of pupura miliaris (roodvonk), which came from the West, was by physicians confounded with the scarlet fever, notwithstanding that they exhibited totally different symptoms, that the latter found its prophylatic and curative remedy in belladonna, the former in aconite, and that the former was generally merely sporadic, while the latter was invariable epidemic. Of late years it seems as if the two occasionally joined to form an eruptive fever of a peculiar kind, for which neither the one nor the other remedy, alone, will be found to be exactly homoeopathic.

Organon § 100: In investigating the totality of the symptoms of epidemic and sporadic diseases it is quite immaterial whether or not something similar has ever appeared in the world before under the same or any other name. The novelty or peculiarity of a disease of that kind makes no difference either in the mode of examining or of treating it, as the physician must any way regard to pure picture of every prevailing disease as if it were something new and unknown, and investigate it thoroughly for itself, if he desire to practice medicine in a real and radical manner, never substituting conjecture for actual observation, never taking for granted that the case of disease before him is already wholly or partially known, but always carefully examining it in all its phases; and this mode of procedure is all the more requisite in such cases, as a careful examination will show that every prevailing disease is in many respects a phenomenon of a unique character, differing vastly from all previous epidemics, to which certain names have been falsely applied..

Organon § 102: In the course of writing down the symptoms of several cases of this kind the sketch of the disease picture becomes ever more and more complete, not more spun out and verbose, but more significant (more characteristic), and including more of the peculiarities of this collective disease; on the one hand, the general symptoms (e.g., loss of appetite, sleeplessness, etc.) become precisely defined as to their peculiarities; and on the other, the more marked and special symptoms which are peculiar to but few diseases and of rarer occurrence, at least in the same combination, become prominent and constitute what is characteristic of this malady. All those affected with the disease prevailing ….. are suffering from the same disease; but the whole extent of such an epidemic disease and the totality of its symptoms (the knowledge whereof, which is essential for enabling us to choose the most suitable homoeopathic remedy for this array of symptoms, is obtained by a complete survey of the morbid picture) cannot be learned from one single patient, but is only to be perfectly deduced (abstracted) and ascertained from the sufferings of several patients of different constitutions. (bold, my own) [Comment: common clinical features are of little value unless indicated by a modality; it is important to have a characteristic totality of symptoms of each patient of Covid 19]

Some persons are immune to the epidemic/ pandemic of Covid 19

Organon § 31: The inimical forces, partly psychical, partly physical, to which our terrestrial existence is exposed, which are termed morbific noxious agents, do not possess the power of morbidly deranging the health of man unconditionally; but we are made ill by them only when our organism is sufficiently disposed and susceptible to attack of the morbific cause that may be present, and to be altered in its health, deranged and made to undergo abnormal sensations and functions – hence they do not produce disease in every one nor at all times. [Comment: when researchers tested blood samples taken years before the pandemic started, they found T cells which were specifically tailored to detect proteins on the surface of Covid-19. This suggests that some people already had a pre-existing degree of resistance against the virus before it ever infected a human. And it appears to be surprisingly prevalent: 40-60% of unexposed individuals had these cells.(4)]

Assessing the patient and recording the clinical symptoms (for diagnosis) and indications (for individualised homoeopathic treatment) of Covid 19

Organon § 3: If the physician clearly perceives what is to be cured in diseases, that is to say, in every individual case of disease (knowledge of disease, indication)…. (bold, my own)

Comment: In every case of disease of Covid 19, besides the common clinical features (knowledge of disease), there are some symptoms which are unique and distinguishing signs or symptoms, which could be found as a precipitating factor (§ 5), side affinity, direction of symptoms, sensation, alternation of complaints, modality or concomitant generality or disposition. These were termed by Hahnemann as indications, which identify the individual with disease, and which ought to be matched with the symptomatology in materia medica or repertorised.

It is useless to match in materia medica or repertorise the common clinical features of the diseased while determining the individualised homoeopathic remedy.

Organon § 6: The unprejudiced observer – well aware of the futility of transcendental speculations which can receive no confirmation from experience – be his powers of penetration ever so great, takes note of nothing in every individual disease, except the changes in the health of the body and of the mind (morbid phenomena, accidents, symptoms) which can be perceived externally by means of the senses; that is to say, he notices only the deviations from the former healthy state of the now diseased individual, which are felt by the patient himself, remarked by those around him and observed by the physician. All these perceptible signs represent the disease in its whole extent, that is, together they form the true and only conceivable portrait of the disease.

Comment: Only the symptoms or modalities or disposition that have developed or altered (increased, decreased or deviated) ought to be considered for delineating the totality of symptoms or indications of the sick individual. For example, if the patient becomes increasingly or decreasingly or abnormally sensitive to cold after onset of disease, then it ought to be considered as an indication of the sick individual and matched with suitable remedy in materia medica or repertory. Similarly, onset of irritability or weeping disposition concurrent to onset of symptoms ought to be identified as an indication. This has also been mentioned under the chapter on Calcarea ostrearum by Constantine Hering in his Guiding Symptoms to Materia Medica and Henry Clay Allen in his keynotes mention, “During either sickness or convalescence, great longing for eggs

Determining the Genius Epidemicus in homoeopathy

John Henry Clarke in introduction to The Prescriber writes, “The doctrine of genius epidemicus is another practical aid in prescribing. Just as one proving gives only a partial idea of a drug, so one case of an epidemic disease gives only a partial idea of the disease. It is perfectly legitimate homœopathy to take a number of cases and having found the drug disease which corresponds most closely to the disease in all its developments, to give that drug in a routine fashion to all cases which do not manifestly call for some other drug. …. That does not mean that I have given no other remedy, on the contrary, I have had to use in some case or other almost every remedy in the materia medica ; but the knowledge of the doctrine of the genius epidemicus has saved a vast amount of trouble, nevertheless.”(5) (bold, my own)

The key fact is to investigate thoroughly a number of cases and try and find out a drug or drugs that corresponds to the disease process in all its developments, that is to say, in its unique peculiarities that are reflected in those afflicted with the epidemic. The similarity between the disease and pathogenetic effect of the genius epidemicus (on the healthy) should be not at the level of common clinical features of the epidemic but in the unique peculiarities (indication, §3) that are found in the individuals’ reaction. And this is what ought to be studied in materia medica or while repertorising. We can’t study the common clinical features of an epidemic in materia medica or repertorise them in order to find a genius epidemicus.

Further, Clarke recommends routine application of the genius epidemicus in all cases but only after verification of the indications. The availability of genius epidemicus however does not obviate the requirement for assessment of patient, as per the guidelines of Organon and Homoeopathic Philosophy.

Bönninghausen had also published an article titled, ‘Brief instructions for non-physicians concerning the prophylaxis and treatment of asiatic cholera’ for the 1846 epidemic and recommended the use of Camphora as a Genius epidemicus (both therapeutic and prophylactic) to lay-practitioners and non-physicians for public at large. The homoeopathic practitioners were required to prescribe Camphora or any other remedy after thorough case recording.(6) In other words, the scope of genius epidemicus is to help non-physicians and the common man before they find access to a homoeopathic physician for individualised treatment. The determination of genius epidemicus does not preclude recording of details of history and symptoms in each case afflicted with the prevailing epidemic, for the homoeopathic physician.

Case series

S. N. Initials, age, sex Clinical features Co-existing

diseases
Laboratory findings Radiological
findings
Severity of Illness

1: Mild

2:Moderate

3: Severe

4: Critical

Lesser accessory
symptoms
Prescription Follow up 1 Follow up 2 Follow up 3 Follow up 4 Follow up 5 Result of treatment- time of remedial response/ recovery Reflection and discussion
1. 1 . SM

36 years; Female

Productive Cough [yellowish sputum].

Fever ~ 100.4 – 101 F.

Dyspnoea [Grade 4].

Fatigue. [VAS score 6].

SPO2: 88-92

Weakness and bodyache since 3 days.

Prone to respiratory allergies RT PCR: COVID-19 POSITIVE 7-6-2020 CECT CHEST: WIDESPREAD BILATERAL GROUND GLASS OPACITIES WITH POSTERIOR PREDOMINANCE- LIKELY COVID 2 PROFOUND WEAKNESS ESPECIALLY IN THE CHEST WHICH MADE IT DIFFICULT TO TALK +++;

SENSATION OF EMPTINESS IN THE CEHST +++

6-6-2020

Stannum metallicum 200 Thrice a day for 7 days [WATER POTENCY, 1 DROP IN 100 ML OF WATER; 1 TEASPOONFUL DOSE AFTER 10 SUCCUSSIONS]

12-6-2020

Cough improved.

Afebrile post 24 hours of remedy.

Dyspnoea improved post 36 hours. Improved levels of energy.

Rx

Placebo

20-6-2020,

Tested Negative on Day 7th post medication

Complained of profound weakness and drained out feeling which had relapsed. Typhoidinum 200 Thrice a day for 3 days followed by Placebo

.

27-6-2020

She informed that her weakness disappeared in 3 days.

Rx Placebo

4-7-2020

No complaints.

30-6-2020 HRCT CHEST: MARKED IMROVEMENT

Rx Placebo

Prescription of Stannum met does not really require any explanation.

Typhoidinum has been prescribed empirically (and successfully) in some cases wherein weakness persisted in the absence of other indications.

2. 2 PC

50 years, Female

Sore throat.

Dry cough.

Chills and Fever ~ 99 – 100 F.

Bodyache.

Fatigue [VAS score 4]

Dyspnoea [Grade 2] since 6 days

 

NAD RT PCR : COVID-19 POSITIVE 2 CHILLY +++

THIRSTLESS +++

ONSET OF COMPLAINTS WITH SORE THROAT +++ PROFOUND WEAKNESS,

NAUSEA (at times)

4-6-2020

Streptococcin 200 Thrice a day for 7 days [WATER POTENCY, 1 DROP IN 100 ML OF WATER; 1 TEASPOONFUL DOSE AFTER 10 SUCCUSSIONS]

10-6-2020

Cough improved.

Dyspnoea reduced.

Afebrile post 36 hours of remedy.

Rx Placebo

17-6-2020

Tested negative on Day 10th of treatment.

Rx Placebo

Streptococcin is a useful remedy for all infections that begin with sore throat or have that as a predominant or persisting symptom. In addition patient is thirstless and sensitive to cold (Pulsatilla too is thirstless in respiratory affections and chilly but prefers open air)

Also Streptococcin patients describe sore throat as persisting dryness that is soothed but not relieved with warm drinks.

3. 3 BDA

69 years,

Male

Cough with sore throat. Fever ~ 101 – 102 F.

Dyspnoea [Grade 4]

Fatigue [VAS score 4].

Bodyache.

Weakness. Headache. Loose watery diarrhoea with wind since 17 days.

Known case of DIABETES MELLITUS. CABG (2000)

UROLITHIASIS ( UNDERWENT SURGERY WITH DJ STENT INSERTION IN FEB 2020), H/O

RECURRENT DIARRHOEA.

HOSPITALISED AT SAFDARJUNG HOSPITAL FOR PREVIOUS 2 WEEKS.

RT PCR : COVID-19 POSITIVE ON 12-5-20 AND 21-5-20. 3 PERSISTING FEVER WITH CHILLS,

NOT RESPONDING TO ANTIBIOTICS, HCQS AND CORTICOSTEROIDS

26-5-2020

Insulinum LM 1 once a day

10-6-2020

Afebrile after 48 hours of remedy. Dyspnoea improved.

Bodyache and fatigue reduced.

Discharged after testing negative on day 7th of homoeopathic treatment

Rx Insulinum LM2, once daily

27-6-2020

Slight weakness persists.

Notices reducing blood sugar levels, requires lesser units of injectible insulin.

Bowels unfinished.

Rx Insulinum LM3, once daily

Insulinum is useful in remedying obstinate infections, both in diabetics and non-diabetics.

It has proven to be useful in painless suppurations and tendency for diarrhoea.

It can also rile up the vitality to clear up remnant effects of previous infections and their sequelae.

4. 4 SA

65 years, Female

Dry Cough

Sore throat

Fever ~ 101 F

Dyspnoea [grade 4]

Chills

Rigors

Bodyache

Headache

Chest pain for previous 17 days.

Hospitalised at Safdarjung hospital for previous 2 weeks.

HYPERTENSION.

OPERATED FOR RIGHT SIDED BRAIN TUMOR IN 2003

RT PCR : COVID-19 POSITIVE 2020-05-07- HRCT CHEST- ILL-DEFINED PERIPHERAL (MULTIPLE)GROUND GLASS OPACITIES INVOLVING SUPERIOR SEGMENT OF LOWER LOBE OF LEFT LUNG. F/S/O INFECTIVE ETIOLOGY: LIKELY COVID 4 SHOCKED BY THE NEWS OF HER SON TESTING POSITIVE FOR COVID 19 TRIGGERED THE SUDDEN DEVELOPMENT OF SYMPTOMS +++ 17 DAYS BACK. DISORIENTED,

BEDRIDDEN SINCE ONSET OF ILLNESS

LEFT HALF OF BODY PARALYZED SINCE DEVELOPED CVA RECENTLY AFTER SHE FELL ILL.

FREQUENTLY ASKING FOR A GLASS OR MORE OF WATER. +++

COUNTENANCE EXPRESSIVE OF FEAR +++

09-05-2020

Aconite 200 Twice a day [WATER POTENCY, 1 DROP IN 100 ML OF WATER; 1 TEASPOONFUL DOSE AFTER 10 SUCCUSSIONS]

14-05-2020

Afebrile after 12 hours of remedy. Dyspnoea improved.

Bodyache reduced.

Conscious and well oriented after 24 hours of remedy.

Rx Placebo

27-05-2020

Discharged after testing negative on day 10th of treatment.

Rx

Baryta carb LM1, OD

 

Aconite can be useful for ailments triggered by fright, even if the fright has occurred days, weeks, months or even years earlier. The impression of fright is reflected in the countenance of the individual.

Due to hospitalisation, she continued to be on Aconite even after she improved.

At the end of any acute illness there is a window for prescription of deep acting consitutional remedy due to which she received Baryta carb LM1.

5. 5 DA

38 years, Male

Dry Cough

Sore throat

Fever ~ 100.8

Fatigue [VAS score 4]

Dyspnoea [Grade 3]

Chills

Bodyache

Hospitalised at Safdarjung hospital for previous 15 days.

NAD RT PCR : COVID-19 POSITIVE 2 INTENSELY FRIGHTENED AFTER BEING TESTED POSITIVE;

BESEECHING +++

WANTED COMPANY OF FAMILY CONSTANTLY +++

REQUIRED ALL THE LIGHTS SWITCHED ON AT NIGHT +++

28-5-2020

Stramonium 200 thrice a day [WATER POTENCY, 1 DROP IN 100 ML OF WATER; 1 TEASPOONFUL DOSE AFTER 10 SUCCUSSIONS]

2-6-2020

Afebrile after 15 hours of medication.

No fatigue and bodyache.

Slight sore throat. No cough. Dyspnoea improved.

Rx Placebo

4-6-2020

Tested negative on day 7th of medication and discharged from hospital.

Rx Placebo

Stramonium is the remedy of terrors. Along with the fright, the concomitant desire for light and company determined the choice of remedy.
6. 6 KA

34 years, Female

Dry Cough

Sore throat

Fever ~ 100 – 100.8 F

Fatigue [VAS score 4]

Loss of sensation of taste and smell

Chills

Bodyache

Headache for 15 days.

NAD RT PCR : COVID-19 POSITIVE 2 INTENSELY FRIGHTENED AFTER BEING TESTED POSITIVE;

WANTED COMPANY OF FAMILY CONSTANTLY +++

REQUIRED ALL THE LIGHTS SWITCHED ON AT NIGHT +++

29-5-2020

Stramonium 200 thrice a day [WATER POTENCY, 1 DROP IN 100 ML OF WATER; 1 TEASPOONFUL DOSE AFTER 10 SUCCUSSIONS]

3-6-2020

Afebrile after 12 hours of medication.

No fatigue and bodyache.

Headache improved. Sensation of taste and smell better. Slight cough.

Rx Placebo

9-6-2020

Tested Negative on 7th of medication.

Rx Placebo

Same as above
7. 7 VA

5 years,

Male

Dry Cough

Sore throat

Fever ~ 100 – 101 F

Diarrhoea with semisolid consistency of stools

Chills

Rigors

Bodyache Hospitalised since 3 days.

PRONE TO RESPIRATORY TRACT INFECTIONS RT PCR : COVID-19 POSITIVE 2020-05-27: CXR- B/L LOWER LOBE HAZINESS 1 FEVER WITH FLUSHING +++

SUSCEPTIBLE TO CHEST TROUBLES +++

29-5-2020

Ferrum phos 200 every 4 hours [WATER POTENCY, 1 DROP IN 100 ML OF WATER; 1 TEASPOONFUL DOSE AFTER 10 SUCCUSSIONS]

1-6-2020

Afebrile 24 hours after medication.

Cough improved.

Diarrhoea absent.

No chills or rigors. Rx Placebo

5-6-2020

Discharged after testing negative on day 6th of medication. 4-6-20: CXR- WNL

Rx Placebo

Ferrum phos is often overlooked as a remedy for pneumonia, most of the times because people consider it as a remedy for first stages of inflammation only. However, the remedy cures personalities susceptible to chest troubles.
8. 8 RK

46 years,

Female

Dry Cough

Sore throat

Fever ~ 100 – 100.5

Diarrhoea with loose watery consistency of stools

Fatigue [VAS score 4]

Dyspnoea [grade 1 ]

Loss of sensation of taste and smell

Bodyache since 4 days

 

KNOWN CASE OF DIABETES MELLITUS RT PCR : COVID-19 POSITIVE 2 LACHRYMOSE.

DESIRED COMPANY.

DRY MOUTH WITH NO THIRST.

1-6-2020

Pulsatilla 200 every 3 hours for 3 days [WATER POTENCY, 1 DROP IN 100 ML OF WATER; 1 TEASPOONFUL DOSE AFTER 10 SUCCUSSIONS]

5-6-2020

Afebrile since 48 hours of remedy.

Diarrhoea improved. Cough and sore throat improved. No dyspnoea now. Slight improvement in sensation of taste and smell.

Rx Placebo

9-6-2020 Fever spiked once in between to 99.2 F. Rx

Pulsatilla 1000: 1 dose daily for 3 days followed by Placebo

19-6-2020

Cured and tested negative on Day 10. Rx Placebo

Prescription of Pulsatilla does not require any explanation.
9. 9 KK

40 years, Female

Dry Cough

Sore throat

Fever ~ 100.8 – 101

Diarrhoea with loose watery consistency of stools.

Vomiting.

Fatigue [VAS score 6]

Loss of sensation of taste and smell

Bodyache

Headache since 3 days

KNOWN CASE OF INTERVERTEBRAL DISC PROLAPSE RT PCR : COVID-19 POSITIVE 2 POOR THIRST

+++

VOMITING

WANTED TO STAY OUT IN THE OPEN PREFERING A PARK +++

LACHRYMOSE +++

DESIRED COMPANY +++

13-5-2020

Pulsatilla 200 every 3 hours for 3 days [WATER POTENCY, 1 DROP IN 100 ML OF WATER; 1 TEASPOONFUL DOSE AFTER 10 SUCCUSSIONS]

20-5-2020

Afebrile within 48 hours of medication.

Coughing reduced.

Vomiting stopped.

Diarrhoea improved. Rx Placebo

25-5-2020

Continues to be Covid +ve. Fever spiked once in between to 98.8 F. Rx

Pulsatilla 1000: 1 dose daily for 3 days followed by Placebo

28-5-2020

Cured and tested negative on Day 14. Rx Placebo

Prescription of Pulsatilla does not require any explanation.
10. 10 MM

3 years, Female

Cough.

Sore throat

Fever ~ 100 F.

Chills

Wheezing.

TENDENCY FOR CHEST TROUBLES RT PCR : COVID-19 POSITIVE 1 “FEVER WITH FLUSHING.

COUGHING < BENDING FORWARD”

6-6-2020

Ferrum phos 200 Thrice a day for 6 days [WATER POTENCY, 1 DROP IN 100 ML OF WATER; 1 TEASPOONFUL DOSE AFTER 10 SUCCUSSIONS]

12-6-2020

Coughing reduced since the day 2 of treatment. Afebrile since 48 hours of remedy. No wheezing. Rx Placebo

15-6-2020

Tested negative on Day 8th of treatment.

Rx Placebo

Besides what is mentioned under case no 7 above, Ferrum phos has marked flushing with febrile affections (Bell, Ferrum met) and modality of Coughing < bending over and touching larynx.
11. 15 RC

38 years, Female

Dry Cough

Sore throat

Chills and Fever ~ 101 F

Fatigue [VAS score 6]

Dyspnoea [grade 4 ]

Loss of sensation of taste and smell

Bodyache

Headache since 2 days.

Past history OF RECURRENT RTI (RESPIRATORY TRACT INFECTIONS) & MIGRAINE (Cured a few years earlier with Typhoidinum) NASO- PHARYNGEAL SWAB: COVID -19 POSITIVE 2 AMICABLE

INVOLUNTARY TEARS WHILE SMILING +++

GRIEVING OVER THE REPEATED MISBEHAVIOUR BY MEMBERS OF FAMILY+++

INVOLUNTARY SIGHING +++

3-6-2020

Ignatia 200 every 3 hours for 3 days [WATER POTENCY, 1 DROP IN 100 ML OF WATER; 1 TEASPOONFUL DOSE AFTER 10 SUCCUSSIONS]

6-6-2020

Afebrile within 48 hours of remedy.

Cough and dyspnoea improved.

No headache now. Rx Placebo

13-6-2020

Sensation of taste and smell improved. Tested negative on 8th day. Rx Placebo

17-06-2020 Reported relapsing weakness and bodyache. Also, there was slight feverish feeling with temperature hovering between 98.6 – 99 F. Rx Typhoidinum 200 thrice a day for 3 days with Placebo 21-06-2020 Reported that weakness and bodyache completely recovered within 3 days.

Rx Placebo

The prescription of Ignatia was obvious. She was one of the first patients to receive Typhoidinum, which had cured her poor physical stamina, recurrent RTI with fever and migraine few years back. The feverish feeling and weakness was similar to what she had been treated for many years earlier and therefore received Typhoidinum 200 as a constitutional remedy, after the recovery from acute phase and recovered completely.
12. PRD

34 years, Male

Dry Cough

Sore throat

Fever ~ 99.7 – 100.3 F with chills, wanted hot water bags even though it is summers.

Fatigue [VAS score 5]

Dyspnoea [grade 3 ]

Headache

Chest pain since 3 days.

NAD RT PCR : COVID-19 POSITIVE 2 GRIEVING OVER MOTHER’S DEMISE DUE TO COVID-19 ONE WEEK BACK +++

INVOLUNTARY SIGHING +++

 

12-6-2020

Ignatia 200 thrice a day for 7 days [WATER POTENCY, 1 DROP IN 100 ML OF WATER; 1 TEASPOONFUL DOSE AFTER 10 SUCCUSSIONS]

19-6-2020

No chest pain now. Afebrile within 15 hours of medcation. Dyspnoea reduced, however Chest discomfort persists. Rx Placebo

22-6-2020

Tested negative on Day 9th of illness. Rx Ignatia 1000, 3 doses, 12 hourly followed by Placebo

The overwhelming grief of his mother’s demise eclipsed his concerns over his illness. His family members therefore reached out for his treatment. Also Materia Medica for Ignatia mentions chills better by external heat. In spite of Summers, with soaring high temperatures around 40 C, he wanted hot water bag to relieve himself from chills. Ignatia 200 relieved his complaints and he tested negative. But the persisting grief warranted prescription of 1000 potency later.
13. UB

59 years, Female

Dry Cough

Fever ~ 102 F

Diarrhoea with loose watery consistency of stools

Dyspnoea [grade 5 ]

Chills

Episodes of Seizures.

Bodyache

Headache

Disoriented since 5 days. Admitted to the hospital.

 

 

KNOWN CASE OF DIABETES MELLITUS

HYPERTENSION

CAD

COPD

CARPAL TUNNEL SYNDROME

NASO- PHARYNGEAL SWAB: COVID -19 POSITIVE 30-05-2020 NCCT CHEST: MULTIPLE GROUND GLASS OPACITIES INVOLVING RIGHT LOWER ZONE AND LEFT MIDDLE ZONE OF LUNGS. FEW SUBCENTIMETRIC PARATRACHEAL AND SUBCARINAL LYMPHNODES WERE ALSO NOTED. F/S/O INFECTIVE ETIOLOGY: LIKELY COVID 4 DISORIENTEDAGITATED,

CONFUSED,

TREMORS,

EPISODES OF SLURRING SPEECH.

 

MUTTERING religious hymns loudly +++

Lascivious : -PULLING HER CLOTHES UPWARDS EXPOSING HERSELF +++

30-5-2020

Hyoscyamus 200 Thrice a day for 3 days

5-6-2020

Fever started reducing within 12 hours; Afebrile within 72 hours. Other symptoms continue. 3-6-2020: MRI BRAIN- SIGNAL ABNORMALITIES IN MEDIAL TEMPORAL LOBES B/L, AGE RELATED BRAIN ATROPHY, MICRO-HEMORRAHGES IN WHITE MATTER; OLD INFARCTS.

DIAGNOSED with COVID ENCEPHALOPATHY.

Rx Hyoscyamus 200 Thrice a day for 3 days

10-6-2020

Regained orientation and control on day 7 of treatment. Bowels still loose and sometimes involuntary.

 

Tested negative on Day 9th of treatment and discharged from hospital. Rx Placebo

15-6-2020

Speech still slurred. Weakness ++

Coughing on and off Hyoscyamus 1M Thrice a day for 3 days.

22-6-2020 Only slight weakness remains now

Rx

Placebo

1-7-20 Much beteer in all. 28-6-20 NCCT CHEST: FEW MEDIASTINAL LYMPH NODES REMAINING Rx Placebo The lady was extremely conservative by nature and at the time of first visit only partially conscious but constantly pulling her clothes upwards exposing herself. In spite of repeated attempts by family members, she managed to pull some part of her clothes off the moment they stepped out or looked away (§6). Along with the other symptoms, the choice of Hyosyamus was homoeopathic.
14. FODM

60 years, Male

Productive Cough

Fever ~ 100.6 – 100.9 F

Fatigue [VAS score 5]

Dyspnoea [grade 2]

Bodyache

Chest pain

“SPO2 90-91”

Headache since 4 days

 

KNOWN CASE OF DIABETES MELLITUS NASO- PHARYNGEAL SWAB: COVID -19 POSITIVE 2 FEVER WITH FLUSHING +++

CHEST PAIN,

HEADACHE

> COLD APPLICATION +++

BLOOD TINGED SPUTUM

8-6-2020

Ferrum phos 200 every 4 hours for 3 days. [WATER POTENCY, 1 DROP IN 100 ML OF WATER; 1 TEASPOONFUL DOSE AFTER 10 SUCCUSSIONS]

11-6-2020

Dyspnoea improved.

Cough settled.

No blood tinged sputum expectorated.

Afebrile after 36 hours. Rx Placebo

15-6-2020

Tested negative on day 8. Rx Placebo

Besides the other symptoms, Ferrum phos also has the characteristic modality of headache > cold application. The provings also reveal the blood tinged sputum.
15. JM

31 years, Female

Dry Cough

Sore throat

Fever ~ 100.4 – 100.9 F

Diarrhoea with loose watery consistency of stools

Fatigue [VAS score 6]

Pain abdomen with heated feeling.

Bodyache

Headache persistent despite analgesics.

Vertigo since 5 days

Took Arsenicum album 30 once a day for three days as prophylactic.

Later took Camphora 1M once a day for three days again as prophylactic.

NAD RT PCR : COVID-19 POSITIVE 2 HEADACHE BETTER BY CLOSING THE EYES +++

SENSATION OF HEAT IN THE ABDOMEN; WANTED TO UNCOVER THE BELLY +++

PERSISTING NAUSEA AND VOMITING WITH VERTIGO.

VERTIGO BETTER BY CLOSING THE EYES +++

13-6-2020

Tabaccum 200

200 every 4 hours for 3 days. [WATER POTENCY, 1 DROP IN 100 ML OF WATER; 1 TEASPOONFUL DOSE AFTER 10 SUCCUSSIONS]

16-6-2020

Vertigo improved. Pain abdomen and nausea were better. Afebrile after 12 hours. No headache after 6 hours. No cough or sore throat now. Rx Placebo

19-6-2020

Tested negative on day 8th. Rx Placebo

One of the singular modalities of > closing eyes, both in vertigo and headache, is found in Tabaccum. It also has the singular feature of desiring to uncover the abdomen.
16. VP

51 years, Male

Dry cough.

Fever ~ 100.9 F.

Dyspnoea Grade 3.

Fatigue [VAS score 6]

Headache

Bodyache

Chills

Sore throat

Loss of sensation of taste and smell.

Pain in chest since 2 days

 

Known case of Depression NASO- PHARYNGEAL SWAB: COVID -19 POSITIVE 15-6-2020

NCCT CHEST: MULTIPLE GROUND GLASS OPACITIES INVOLVING B/L LUNGS. FEW SUBCENTIMETRIC LYMPHNODES WERE ALSO NOTED IN THE SUBCARINAL, PARATRACHEAL AND AP WINDOW. F/S/O INFECTIVE ETIOLOGY: LIKELY COVID

4 BLACK STOOLS

DURING DECLINING FEVER, SWEATS OVER BACK WITH CHILLINESS

DESIRE JUICY FRUITS

WEAKNESS AND EXHAUSTION

POOR THIRST

15-6-2020

Acid phos 200 every 4 hours [WATER POTENCY, 1 DROP IN 100 ML OF WATER; 1 TEASPOONFUL DOSE AFTER 10 SUCCUSSIONS]

18-6-2020

Afebrile after 36 hours. Normal stolls the following day. Weakness has reduced. Not chilly anymore. Rx Placebo

22-6-2020

Tested negative on 7th day of treatment.

Rx Placebo

 

26-6-2020

Fever relapsed after received news of death of close family member, with bodyache,weakness and chilliness and loss of thirst.

Rx Acid phos 1M: 3 doses 1 daily followed by Placebo

29-6-2020

Reported that weakness and fever vanished after 2nd dose.

27-6-2020 NCCT CHEST: NO SIGNIFICANT LYMPHADENOPTHY SEEN. Rx Placebo

Acid phos is one of the foremost remedies in our materia medica for ailments from grief, and with the other concomitant symptoms, demanded a higher potency of the same to remedy relapse.
17. MXYZ

16 years, Male

Dry Cough

Sore throat

Fever ~ 101 – 102 F

Dyspnoea [grade 5]

Loss of sensation of taste and smell

Chills

Rigors

Bodyache

Headache

Vomiting

SPO2 80 – 82 admitted and on ventilator support since past 15 days. Not much improvement despite corticosteroids through nebulization.

NAD RT PCR : COVID-19 POSITIVE NCCT CHEST: MULTIPLE GROUND GLASS OPACITIES INVOLVING B/L POSTERIOR LOBES OF LUNGS. 4 FIDGETY FEET +++

SLIGHTLY BETTER AFTER VOMITING +++

27-3-2020

Zincum met LM 1 every 3 hours

31-3-2020

Afebrile after 36 hours. Was weaned off ventilator support by 30-3-2020. But required O2 suport and nebulising.

Dyspnoea improved.

No chills and rigors. Fidgety feet +++

Rx Zincum met LM 2 4 Hourly.

4-4-2020

Could maintain SPO2 ~ 92 – 93 at room temperature without O2 support. Not nebulised for previous 24 hours. Rx Zincum met LM 3 QID.

9-4-2020 Discharged on 6-4-20 after tested negative. Still had fidgety feet ++ Rx Zincum met LM 4 TDS. Observing the persisting fidgety feet and > discharges guided towards Zincum met.
18. UBD

32 years, Male

Dry Cough.

Sore throat.

Fever ~ 99.5 – 100.5 F.

Loss of sensation of taste and smell.

Diarrhoea with semi solid to liquid consistency of stools.

Chills.

Bodyache.

Since 3 days.

HEPATITIS C.

VERUCCAE VULGARIS

RT PCR : COVID-19 POSITIVE 3 STRONG CRAVING FOR SWEETS +++

HEAVINESS IN RIGHT HYPOCHONDRIUM < LYING OVER IT +++

INTOLERANCE OF MILK +++

ANXIOUS.

WANTED TO BE LEFT ALONE.

> OPEN AIR +++

13-6-2020

Magnesium mur 200 Thrice a day for 5 days [WATER POTENCY, 1 DROP IN 100 ML OF WATER; 1 TEASPOONFUL DOSE AFTER 10 SUCCUSSIONS]

17-6-2020

Cough and sore throat improved. Afebrile after 48 hours. Diarrhoea stopped after 24 hours. Rx Placebo

19-6-2020

Tested negative on day 9th. Rx Placebo

Magnesia mur is one of the anti-miasmatic remedies mentioned in practical part of Hahnemann’s The Chronic Diseases. It has also produced in the provings the sensation of loss of smell and taste. Besides this the other obvious symptoms like intolerance of milk, heaviness in right hypochondrium < lying on it etc. guided the choice of remedy.
19. MLTLR

58 years, Male

Productive Cough

Fever ~ 101 – 102 F

Fatigue [VAS score 7]

Dyspnoea [grade 5 ]

Loss of sensation of taste and smell

Chills

Chest pain. Since tested positive, hospitalized and was kept on corticosteroids for nebulization and Oxygen support despite that he could only maintain SPO2 81-83. Also was being administered NSAIDs and HCQs.

NAD RT PCR : COVID-19 POSITIVE 2020-07-02 HRCT CHEST- GROUND GLASS OPACITIES IN B/L PERIPHERAL LUNG FIELDS 4 FAN LIKE MOTION ALAE NASI +++

PERSPIRATION OVER FACE +++

WEAKNESS +++

FREQUENT THIRST FOR SMALL QUANTITIES OF WATER +++

CHILLS +++

INCREASED APPETITE

DULL BUT IRRITABLE.

4-7-2020

Antimonium ars 6

EVERY HOUR TILL HE RESPONDS AND THEN GRADUALLY INCREASE THE INTERVAL

6-7-2020

After 8 hours of remedy noticed reduced requirement of nebulization as well as oxygen support/ ventilator as SPO2 was >90. He was gradually weaned off oxygen support over following 48 hours. Afebrile since evening of day 2. O/A- Basal crepts b/l. Rx Antimonium ars 6, every 6-8 hours and Placebo every 4 hours.

9-7-2020

Much better now. Able to maintain SPO2 at 92-93 mmHg. O/A occasional left basal crepts. No chest pain. Appetite good.

Rx Placebo

13-7-2020 Discharged on 11-7-20 after testing negative. Rx Placebo A perspiring face with fan alae and dulling of senses is classic triad calling for Antimonium tart. Antimonium ars has all the symptoms of Antimonium tart (a thirstless remedy) but has thirst of Arsenicum album.
20. MABC

35 Years, Female

Productive cough

Fever ~ 100 – 101 F (Did not reduce even after paracetamol 650)

Dyspnoea [grade 3 ]

Chills

Diarrhoea.

Chest pain

Since past 10 days so hospitalised with ventilator support despite that maintained SPO2 at 85 – 86. Also was being nebulized with corticosteroids.

KNOWN CASE OF BRONCHIAL ASTHMA RT PCR : COVID-19 POSITIVE HRCT CHEST- CRAZY PAVING & GROUND GLASS OPACITIES IN B/L PERIPHERAL LUNG FIELDS. F/S/O INFECTIVE ETIOLOGY: LIKELY COVID. 4 COMPLETE INDIFFERENCE TOWARDS HER STATE OF ILLNESS, HER FAMILY AND NOT COOPERATIVE TOWARDS ATTENDING PHYSICIAN. 17-6-2020

Sepia LM 1 every 3 hours.

20-6-2020

Perspired profusely after 12 hours and was afebrile the following day. Dyspnoea improved. Weaned off ventilator support to O2 support- maintained SPO2 at 91-92. Rx Sepia off LM2, 4 hourly

25-6-2020

Smiled and greeted for the first time. Complained of weakness. Felt chilly and hungry, though ate little. Fretted about the hospital bill. No O2 support or nebulisation and maintained SPO2 at 92-95. Tested positive on 22-6-2020 so still in hospital. Rx Sepia off LM3, QID

30-6-2020 Tested negative and discharged on 29-6-2020. No weakness now but complained about persisting heaviness in belly and flatulence. Rx Sepia off LM4, TDS Sepia is often overlook as a remedy for febrile affections. Reputed as one of the remedies for complicated cases of Malarial affections, the keynote of Indifference that runs through the remedy. The appearance of perspiration or any discharge (as per Hering’s directions of cure) after a homoeopathic prescription indicates incipient cure.

To be continued…..

References

  1. https://health.economictimes.indiatimes.com/news/industry/who-says-8-covid-19-vaccine-candidates-in-clinical-trial/75784597
  2. https://theprint.in/india/6-39-of-all-covid-19-cases-require-hospital-support-says-health-ministry/425870/
  3. Hahnemann, S. Organon of Medicine. New Delhi, India; B. Jain Publishers (P) Ltd.; 5th and 6th edition combined; 2016
  4. https://www.bbc.com/future/article/20200716-the-people-with-hidden-protection-from-covid-19
  5. Clarke, J.H. Genius Epidemicus. The Prescriber. New Delhi India. Indian Books and Periodicals Publishers. Reprint Edition 2009; pp 34
  6. Von Bönninghausen, CMF. Brief instructions for non-physicians concerning the prophylaxis and treatment of asiatic cholera. The lesser writings of C.M.F. von Boenninghausen; New Delhi, India. B Jain Publishers (P) Ltd; 1990 (Reprint edition); pp 299-308.

About the author

Gyandas Wadhwani

Gyandas Wadhwani

Dr. Gyandas G. Wadhwani MD(Hom) was Chief Medical Officer (Homoeopathy) in charge at Delhi Govt Homoeopathic Dispensaries at Aali Village and Directorate of AYUSH (Homoeopathic Wing), 2002 to 2016. Dr Gyandas was a senior lecturer (Organon of Medicine & Homoeopathic Philosophy), Dr B. R. Sur Homeopathic Medical College & Hospital. He was a member of the editorial committee of ‘Homoeopathic Pulse’, quarterly e-newsletter of Homoeopathic wing of Directorate of Ayush. He has presented scientific papers worldwide and been published in numerous journals. His commendations include: ‘Certificate of Excellence’ for meritorious services in the field of Homoeopathy by Directorate of Ayush, Govt of NCT of Delhi and Dr. D. P. Rastogi, Best Teacher Award 2012 by Board of Homoeopathic System of Medicine, Delhi. Visit Dr. Gyandas at his website: www.homoeopathygyan.in

5 Comments

  • Thank you Dr. Wadhwani for this exceptional case series. This is homeopathy at its best. It is a wonderful lesson for students and skeptics alike.

    Martin Earl

  • With the second wave of the pandemic looming large in front of us, this case series reaffirms what homeopaths all over the world have been saying, “Homeopathy can deal with COVID-infected people.” Dr. Wadhwani points out that just a small number of those infected would require hospitalization/ ventilator. The majority of Infected people could be a symptomatic or mild/moderately symptomatic and these people could use Homeopathic remedies that are indicated for their individual symptoms.

    While scientifically tested treatments and vaccines are still in the developmental phase, Dr Wadhwani has shown in this case series that COVID positive people are recovering very well under homeopathic care. Truly an impressive and eye-opening case series.

  • Oh, I think I get it. The patient with fidgety feet got Zinc, the patient with a craving for juicy fruits (refreshing things) got Phos-ac., the patient exposing herself got Hyoscyamus, the one who needed the lights on all night got Stramonium, the one with ailments from fright got Aconite… no one got a “covid remedy”, per se. Some of the remedies I don’t know if I could have come up with them–Sepia because of indifference, for example. But I feel more oriented now, thanks to your article. Please write more.

  • So impressed with this. Loved the references to the Organon at the beginning. The remarkable thing I saw here was not only how the remedies were prescribed to fit the individual’s Lesser accessory symptoms and I understood the reasons for the prescriptions but the low potency and gentle prescribing as most of the reading I have done on COVID19 show high potency frequent prescriptions. This should be compulsory reading for allopathic medical staff treating COVID.

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