CSCH-Canadian Society of Cardiovascular Homeopathy
CAD- Coronary Artery Disease
DASH diet-Dietary Approach to Stop Hypertension
TLC-Therapeutic Lifestyle Changes
EBH-Evidence Based Homeopathy
PAF-Platelet Activating Factor
CABG-Coronary Artery Bypass Graft
ACS-Acute Coronary Syndrome
The ultimate goal of the majority of cardiology consultations is to prevent coronary artery disease (CAD).We are constantly updating our database of homeopathic remedies with the latest research on nutraceuticals, homeopathy and herbal remedies, to better support our patients. The judicious combination of dynamized homeopathic remedies and lower dilutions is a giant step forward in Homeopathic Cardiology. Apart from single cured case discussions we have to think of protocols of treatment without sacrificing the soul of individualization. A single case of ‘Miraculous cure’ will be there in the account of all homeopaths, however repeatability of the same matters, in building a medical science.
The majority of the cases in cardiology are stereotyped and the prognosis is assessed by biochemical and imaging parameters. Our goal in homeopathic cardiology is to create working homeopathic protocols that display consistent favorable outcomes for the patient that are proven and verified by scientific parameters. A protocol is not permanent but when we try it in more cases the feedback helps to revise it.
Each year more than 305,000 Canadians are hospitalized for heart disease. Heart disease and stroke costs the Canadian economy more than $20.9 billion every year in physician services, hospital costs, lost wages and decreased productivity. This scenario shows homeopathy is desperately needed in cardio vascular healthcare.
Protocols of Canadian Society of Cardiovascular Homeopathy (CSCH) for CAD
Before applying the protocols of CSCH we have to be careful about the criteria of candidate selection. Due to the risks involved in CAD patients, candidate selection for homeopathic cardiology treatment is of paramount importance.
A diagnosed CAD patient is always a candidate for sudden cardiac death. Though the undiagnosed CAD patient carries more sudden death cardiac risk, homeopaths are always on the safer side technically while treating them. That is why when a patient comes to a homeopath with a medical report of CAD (and is under CAD medication) and insists on a homeopathic solution, it becomes challenging.
The CHCS protocols for primary prevention have different steps. Before going into the steps of primary prevention proper, we must keep in mind that prevention of risk factors is the primary step of preventive cardiology. The risk evaluation according the latest guidelines like an Adult Treatment Plan (ATP chart) is an integral part of CAD prevention. The commonest etiopathological factors like Lipid disorders, hypertension, obesity, family history, cigarette smoking, physical inactivity, mental stress, diabetes, haemostatic factor etcetera must be considered. The modifiable risk factors are specifically managed by the respective CSCH protocols (e.g. CSCH protocol for dyslipidemia) therapeutic lifestyle changes DASH diet etc. The non modifiable risk factors like genetic factors we target with constitutional remedies. There are case histories published by homeopaths as they cured many auto-immune conditions. These are shedding light on the action of constitutional remedies in modifying “non-modifiable” risk factors. We need more clinical studies in those areas. The positive outcomes will definitely help CAD prevention as well.
The constitutional remedies come under all CSCH protocols.
Primary Prevention of CAD, CSCH protocol
- Constitutional Remedy preferably in LM
- Anti-miasmatic Remedy
- Optimal CAD prevention protocols after evaluating risk factors
- Therapeutic life style changes as per international guidelines
We have to work on the constitution of the patient and the well selected homeopathic constitutional remedy is given in LM potency, as the least medicinal aggravation is dangerous to CAD patient. The current theory about the etiology of CAD warns homeopaths of the dangers of medicinal aggravations. Therefore, the constitutional remedy is selected in LM. With LM potency we could continue without medicinal aggravation for a longer time. The repetition is done in daily doses and it has the ‘start and stop convenience’ in situations of acute illness like influenza and throat infections. We could stop and start the constitutional remedy as it is in LM.
For optimal CAD treatment we have many remedies of choice. Ginkgo Biloba is well-known for PAF inhibitor so becomes a key remedy in CAD prevention. There are other Cardio-selective remedies like Amyl nitro, Alisma Plantago, Arnica Mon, Adonis Ver, Cratagus Oxy etc. The optimal dosing should be as per CSCH has guidelines.
Depending on the predominant miasm we need anti-miasmatic remedies as intercurrents. CSCH considered shyphyllinum as a good anti-miasmatic remedy considering the destructive changes in coronary endothelium. The newer theory of inflammation of the endothelium as the key pathology of CAD makes a paradigm shift in CAD miasms. We have to consider pseudo-Psora and tubercular miasms as well.
There are international guidelines for TLC and we have to follow updated information on TLC.
- All steps in Primary prevention in more aggressive dosing
- Homeopathic analogues for currant medications
All the steps of the primary prevention protocols are applicable in secondary prevention but we have to depend an empirical data for specific remedies to homeopathically antidote drugs patients are already taking. CSCH guidelines are reasonably helpful in such situations to find specific antidotes.
Protocol based treatment, the foundation of EBH
- Fool proof and more rational
- It can validate and include clinical experiences of homeopaths
- Enables retrospective studies and revision of protocols
- Team work is possible
- No gray areas for unnecessary theorization
- It is a modern approach so there may be criticisms from orthodox schools of Homeopathy
As I mentioned, most of the cases of CAD are stereotyped. Working on sample cases will help to learn the application of CSCH protocols
56 year old gentleman who has undergone CABG 2 years ago, no chest pain, leading normal active life, hypertension (150/100) not controlled well with medication No dyslipidemia consulting for keloid in chest as well.
He has done CABG 2 years back and he is stable and needs secondary prevention. If his constitution remedy is ‘X’, we could immediately prescribe ‘X’ in LM potency daily. The stage 1 hypertension we could manage with CSCH hypertension protocol and eventually optimal CAD protocols for secondary prevention. The ‘start and stop convenience’ of constitutional remedies in LM shall help to treat keloid with another remedy (say thiosinaminum) in the course of treatment when we could control all other parameters.
67year old lady with unstable angina and H/O and multiple factors of risk present.
She is not a candidate for homeopathy at that point.
45 year old man with no ACS history but high risk of CAD on risk evaluation. Pre-hypertension and no dyslipidemia
If his constitution is remedy is ‘Y’ we could right away prescribe Y in LM potency daily. The optimum CAD treatment as per primary prevention works good in him. Most often the pre-hypertension is also taken care of by constitutional remedy.