Clinical Cases

The Stenosed Heart Revived by Homoeopathy

heart diseases

Dr. Parth Aphale treats a patient with mitral stenosis, mild L.V hypertrophy, dilated L.A, aortic regurgitation and pulmonary hypertension. The simillimum reverses the pathologies.

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 a 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, 65 years 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).

Systemic examination

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

2-D Echo- Mild Mitral Regurgitation.

Trivial Aortic regurgitation.

Mild Concentric Ventricular Hypertrophy.

LVEF- 25%.

No Thrombus or Pericardial Effusion.

Dilated L.A.

Table 1 Personal history

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

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. Prescription Heaviness of chest <exertion, lying down. Digitalis 200, 3 pills T.D.S, x7days (Table 3) (Figure 2) (Figure 3).
Follow up Symptoms Remedy
7/9/2015 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
3/2/2016 Breathless+, Palpitations+ Digitalis200 T.D.S for 1month
5/3/2016 Better Digitalis200 T.D.S for 1month
2/4/2016 Slight Breathlessness H/O-Overexertion. Digitalis200 T.D.S for 1month
10/5/2016 Much better. No Breathlessness Digitalis200 T.D.S for 1month
9/6/2016 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 1month
18-08-2016 No Complaints. Much Better S.L T.D.S for 1month. 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.
6/12/2016 No Complaints. Medicines have reduced. No new changes in ECG. Stop treatment. Follow up as and when needed.
6/12/2016 No Complaints.

Table 2 General examination

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.

Medicines 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.

  1. Suffocation, Breathlessness. Table 3 Follow up chart v. Palpitations.
  2. 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

The Stenosed Heart Revived by Homoeopathy 1

 

 

Digitalis.

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

LA, RA, RV Normal.

Mitral leaflets normal texture and excursion.

No Mitral Regurge.

The Stenosed Heart Revived by Homoeopathy 2

 

Figure 2 Before treatment.

The Stenosed Heart Revived by Homoeopathy 3

 

Figure 3 After treatment.

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 the Clinical Materia Medica of Digitalis, it is one of the fore-runners for mitral valve disease, mainly mitral stenosis. If we look 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 important in treating deep seated organic chronic disease.

Acknowledgements

None.

Conflict of interest

Author declares that there is no conflict of interest.

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

Volume 2 Issue 5 – 2017

Dr. Parth Aphale

DY Patil Homoeopathic Medical College & Research Centre, India

Correspondence: Parth Aphale, DY Patil Homoeopathic

Medical College & Research Centre, Pune, India,

Email [email protected]

Received: February 24, 2017 | Published: April 10, 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

Copyright: The stenosed heart revived by homoeopathy ©2017

Parth Aphale        134

This is an open access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use and distribution.

The Stenosed Heart Revived by Homoeopathy 4

 

http://medcraveonline.com/IJRRT/IJRRT-02-00040.pdf

About the author

Parth Aphale

Parth Aphale

Dr. Parth Aphale, M.D.(Hom.), is a homeopathic physician in Pune, and Assistant Professor, Department of Homoeopathic Pharmacy at Dr. D.Y. Patil Homoeopathic Medical College and Research Centre, Pune.

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