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
- Constricting pain in left side of chest radiating down the left hand with heaviness++.
- 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 (Homeopathy for 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.
- Suffocation, Breathlessness. Table 3 Follow up chart v. Palpitations.
- Pulse intermittent.
Repertorial totality
- CHEST – PAIN – constricting.
- CHEST – PALPITATION of heart – exertion.
- CHEST – OPPRESSION – lying, while.
- GENERALS – PULSE – intermittent.
- CHEST-MURMURS-CARDIAC MURMURS.
- CHEST-MURMURS-CARDIAC MURMURS-VALVULAR-MITRAL VALVE (Figure 1).
Figure 1 Repertorisation.
Probable remedies
Cactus Grandiflorus, Digitalis, Kalmia Latifolia
Indicated remedy
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.
Figure 2 Before treatment.
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 parth.aphale@gmail.com
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.
Can we see the medical documents before and after better scanned please. My cardiologist friend would like to examine the case at deeper level.
Thank you for a very interesting case. You refer to Table 3, but I can’t find it in the article.