Homeopathy Papers

Restoring Vitality and Functional Status after COVID-19 A Homeopathic Holistic Approach

Dr. Ajit Kulkarni discusses the numerous symptoms that may emerge as sequelae of covid-19 and suggests homeopathic remedies that may apply.

INTRODUCTION

This life is being ruled by a super shocker. Day by day, SARS-CoV-2, the virus that causes COVID-19, is showing itself to be the joker in the pack of viruses. The virus can be called unpredictable, nonconformist, maverick and equipped with invincible characteristics and capable of dangerous moves. It is interesting that knowledge of the slippery virus shifts daily. It’s pretty hard to keep up with the devilish twists and turns of the coronavirus story.

Covid-19 is one of the strangest diseases of this century. As the virus is new, we don’t yet know what its trajectory will be. Normally with viruses one is ill for a few days and then he gets better, but with this virus, it comes back and slaps one around the face time and time again with different symptoms.

It is a true roller coaster of symptoms and severities, with each new day offering many new symptoms and pathologies. It has become increasingly clear that Covid-19 is not just a turbo-charged version of the virus that causes the common cold; it has a number of quirky, unusual and sometimes terrifying traits.

Most countries are reporting new COVID-19 cases every day, and data for the global picture shows that the pandemic is far from over. New strains are getting developed and it seems the fight will go on for long.

When the virus makes its surreptitious entry into the human body, it goes after most parts of the human system. The thing about the virus is, it is like Pandora’s box. All the evils of the world jump out when you open it. Every time we look at it, and we’re working every day, we discover a new and nasty thing about it.

Apart from S glycoprotein present on the surface of coronavirus attaching to the ACE2 receptor, COVID-19 virus can enter the body without causing pain, because it craftily manipulates the pain response.

The longevity of Covid-19 isn’t clear and there’s emerging evidence that people are shedding the virus for months afterwards; the virus isn’t going away.

Though scientists and doctors are engaged in finding the cure, there is a limited focus on long-term effects which have been underestimated. It is possible to assume that some people may take even years to recover.

The condition is called ‘Post-acute Covid’ or ‘Chronic Covid’ and sufferers as ‘Long haulers’ or ‘Long-Covid’ patients.

There is, definitely, a subset of patients who suffer long-term damage. There is a need to explore the long-term and significant health consequences. Wide-ranging and often ‘bizarre’ symptoms which range from strange pains and fevers to debilitating headaches and lethargy can persist weeks and even months after first falling ill.

Depending on the duration of the illness, many patients will be severely debilitated, deconditioned and could require chronic management.

NEW STRAINS OF VIRUS

In view of the new strains appearing (new UK strain B.1.1.7 or VUI-202012/01 or new South Africa strain 501.V2 or P681H), there is panic and no one knows what will be the fate of the human species. We need to review the biomedical  model/Cartesian view (Fritjof Capra), which is reductionistic and wise men should understand the limitations of focussing only on the virus and vaccines.

The important fact here is that viruses mutate ALL THE TIME. This means that there is a small change in the genetic code of the virus, and it happens in the DNA of every living organism during cell division – it isn’t as rare as one thinks!

What’s come through very strongly is the need to be holistic. It is here that homeopathy, the holistic therapy which represents mind-body-spirit as a co-ordinate system has a lot to offer.

HOLISTIC THINKING

  • Infection à Inflammation
  • In-flam-mation (flames characteristic of war)
  • A war within the body
  • If the patient’s system gains victory against an invading agent à survival
  • If the disease agent wins à death
  • Correspondence between inflammation and war

Analogy

  • Both war and inflammation demonstrate the same inner structure.
  • The same principle is embodied within both, on different levels of manifestation
  • Every infection is a conflict that has taken on the physical form.
  • War is the father of all things” – Heraclitus

Chronicity

  • Neither of two sides – virus or the host- manage to resolve the conflict in its favour à compromise à chronicity
  • Failure to clear up the situation à absorbing energy at the expense of the rest of the organism à the patient feels run down, tired, lacking in drive, listless and apathetic.

Mental aspects

  • Trench-warfare à irretrievably enmeshed in the conflict and can find neither the will nor the energy to resolve the problem.
  • Only a host response in the holistic way can help resolve the problem.

VULNERABILITY

The following conditions can weaken the immune system.

  • Cancer or its treatment (surgery, chemotherapy, radiotherapy).
  • Immuno-suppressive therapies being employed for auto-immune diseases and other medical conditions
  • Systemic steroid therapy
  • Chronic use of antibiotics
  • Tuberculosis and its treatment with chemotherapy
  • Surgeries of the vital organs such as heart, brain, liver, spleen, kidneys etc.
  • Repeated surgeries
  • Chronic debilitating diseases like multiple sclerosis, interstitial fibrosis of the lungs etc.
  • Chronic addictions such as drug substance abuse, alcoholism, cocaine, cannabis (marijuana), hashish, tobacco, opioids (like heroine), prescription drugs (sedatives, hypnotics,, anxiolytics, tranquilizers, sleeping pills), amphetamines, hallucinogens, inhalants, phencyclidine, etc.

The infection that might be trivial to a healthy person can be debilitating and potentially life-threatening for the vulnerable.

Corona virus is very pernicious in the sense that it suppresses interferons and thus reduces immunity to either revisiting of corona infection or potential susceptibility to other viruses, (including influenza, rhinovirus or respiratory syncytial virus) or to other infections.

RELATED RUBRICS

Generalities; weakness; progressive:

acon ars calc-hp calc-p caust cupr cupr-ar DIG kou kreos lach lat-k myric OL-J PHOS PHYT PLB PSOR stram verat

Generalities; vitality decreasing:

ARS aur CAMPH carb-an carb-v cean chlorpr cocc CROT-H echi-a LAUR mag-m nat-c nat-glt op scut SEC sulph verat vinc ZINC.

ARRAY OF SYMPTOMS AND CONDITIONS

The following symptoms may be experienced for a long time by some patients after recovery from Covid-19 infection.

  • Low energy level, fatigue and delayed recuperation
  • Headaches, joint and muscle pains
  • Difficult breathing and becoming breathless after physical exertion
  • Hair loss
  • Dizziness
  • Fluctuating BP
  • Chest congestion and a lot of phlegm
  • Cough with phlegm
  • Poor appetite and/or changed taste in the mouth
  • Red eyes
  • Swollen hands or feet

The following symptoms are the warning signals if a patient experiences them six to eight weeks after being declared COVID-free.

  • Palpitation, pain in chest and breathing difficulty
  • Bluish lips and face
  • Diarrhoea
  • Vomiting
  • Rashes

As far as pathologies are concerned, the organs which are affected due to Covid-19 can show tissue changes such as fibrosis, necrosis, thrombosis, embolism etc. Clinical conditions like kidney failure, cardiac failure, paraplegia, septicemia, etc. may be the complications of covid.

In Update III, I mentioned fibrosis. If there is combination of weakness and fibrosis, associated with classical personality dispositions such as lack of confidence, timidity, etc. think of Baryta carb.

For kidney failure, think of Digitalis, Eel’s serum and Plumbum met.

RELATED RUBRICS

Generalities; convalescence, during; infectious diseases, after; viral:

abrot bac cadm cath-a cypr cytom DES-AC eps-b gins influ lycpr okou scut sulfonam torul tub tub-a tub-k

Apart from the four nosodes in the above rubric (Bac., Tub, Tub-a and Tub-k), DES-AC (DNA) should be studied. When there is weakness in an immune-compromized individual, think of DNA.

Generalities; weakness; influenza; after; chief remedies

ABROT anthr ars ARS-I AVEN bac camph carb-ac CARB-V CHIN CHIN-AR CON crot-h EUP-PER gels IBER kali-p lath lob-p ph-ac phos psor scut tarent torul TUB-A

Clinical; fatigue syndrome, chronic; chief remedies

ACET-AC AETH ARS CAMPH CARB-AC carb-an CARB-V carc CHIN CROT-H GELS HELON kali-c LYC MUR-AC PH-AC PIC-AC sel stann TUB

In addition to the corona virus, the body has to deal with the toxic effects of anti-virals, steroids, hydroxychloroquine, Remdesivir, tocilizumab etc.

Generalities; intoxication, after; medicaments

acon aloe arn ars bapt bry camph carb-v carc cham coff COLOC com CUPR hep HYDR kali-i lac-f LOB lyc mag-s nat-m nit-ac NUX-V op paeon PH-AC PULS SEC sep sil SULPH teucr thuj torul URAN

CLINICAL CONDITION: HAIR FALL

Head; falling out, hair, alopecia; diseases, after:calc CARB-V chin ferr hep lyc manc phos-ac sil thal thal-s

MATERIA MEDICA

Carbo-veg:

  • A restorative, rejuvenator and tissue remedy; very deep and long acting. It enters deeply into the life and cures conditions that are of long standing, those that come on insidiously and slowly when diseases take on a sluggish form. Chronicity.
  • Symptoms in confusion, the patient doctored so much that there is no congruity left in the symptoms ().
  • Hair falls out; < on back of head; after severe illness.

Thallium

  • Hair loss and Alopecia (with great rapidity) following acute, exhausting diseases.
  • Hair loss in thyroid patients or with endocrinological problems.
  • General emaciation with lack of strength.
  • Depression.
  • Extreme uneasiness with insomnia.
  • Lungs: Slow and difficult breathing. Cyanosis. Pleurisy. Emphysema.

CARDIO-VASCULAR SYSTEM

Covid-19 survivors may experience long-lasting cardiac damage and cardiovascular problems, which could increase their risk for heart attack and stroke.

Covid-19 could worsen existing heart problems. Even without any symptoms, COVID can wreak havoc on the heart through myocarditis. “My personal take is that COVID will increase the incidence of heart failure over the next decades,”-  Elike Nagel, lead investigator for the Germany study.

RELATED RUBRICS

Heart & circulation; weakness; heart; influenza, in or after; chief remedies

camph carb-v crat dig iber

Heart & circulation; inflammation; heart, carditis; myocardium, myocarditis:

ACON ADON ant-ar APIS apoc ARS ARS-I asar asc-t aur beryl BRY butho-t CACT calc-f cann-s CARB-V caust chim chin-ar chlorpr colch CRAT cur DIG diph eberth ferr-p flor-p GALA gels glon HED hoit IBER iod kali-bi kali-n kres LACH lycps mand meli morg NAJA paro-i PHOS pineal prim-v psor raja-s rhus-t saroth sica-a SPIG stigm stroph sulo-ac sulph sumb tity-t toxo VERAT-V VIP

RESPIRATORY SYSTEM

Patients who developed ARDS could have a greater risk of long-term health issues such as permanent lung damage or fibrosis, lead to anything from a simple cough and a general increase in shortness of breath which may last for a few weeks or months to full-blown chronic wheezing or asthma. The reason may be thrombosis or embolism left behind from hyperactive immune response.

Some patients can experience pain in chest.

Fibrosis

  • Permanent lung damage or fibrosis, lead to anything from a simple cough and a general increase in shortness of breath that lasts for a few weeks or months to full-blown chronic breathlessness.
  • Intrinsic, autocrine and epigenetic mechanisms regulate fibrosis.

RELATED RUBRICS

Generalities; clinical; Fibrosis

  • ANT-A ANT-T ARN ARS ARS-BR ARS-I brom BAC BERYL BRY CALC-AR CALC-F CARB-AN CARB-V CARC chr-met CAUST CON CROT-H CUPR cur dig dros ferr Ferr-p FL-AC GRAPH GRIN HEP hip-ac HYDR IOD ion-rad KALI-BI kali-c KALI-I LACH LAP-A LYC MED MERC MERC-D MUR-AC NAT-M NIT-AC penic PHOS PLB PSOR SIL stann STRONT-C SULPH SYPH THIOSIN THUJ TUB Ver-v Ver-alb

Generalities; pneumonia, after; never well since pneumonia (78 remedies)

DISUSSION OF SOME REMEDIES FOR FIBROSIS

ARNICA MONTANA

Damage to the lungs is nothing but wounds and Arnica is always indicated for repair of wounds. Three monogram words typify Arnica – Overworked, Stressed and Aged. Breathlessness and Covid-19 put a great load over the system. ARDS makes the lungs work heavily; inflammation of heart makes the heart work under stress.

Also, if a patient has consumed Hydroxichloroquine, it is an additional load to keep the rhythm of heart harmonious. Thrombosis and bleeding are also the indications of Arnica. Arnica promotes fibrosis and saves the organ from further damage. Once fibrosis has set in, Arnica should not be used.

ARSENICUM BROMATUM

A strong halogen being attached to a strong Arsenic. Hence the remedy becomes syphilitic (like Ars-iod). The co-morbidity of diabetes, hypertension and obstinate intermittents are major pointers to Ars-brom.  It is observed that blood sugar level increases in Covid-19 and Ars-brom should be thought of.

DROSERA ROTUNDIFOLIA

Drosera has action of absorption. Drosera heals the wounds as caused by tubercular bacilli or viruses by aiding fibrosis.

KALI REMEDIES have fibrosis in their pathogenesis. Kali iodum ranks high and Kali-bich as well.

CROTALUS HOR and LACHESIS are major anti-inflammatory remedies when there is cytokine storm, fulminating infection and affected tissues are rapidly damaged and fibrosed. Remember, fibrosis is better than “ground glass opacities” in the lungs.

For improving the lung function, I suggest the indicated remedy (including the constitutional one) in LM scale to be repeated frequently. Diaphragmatic and pursed-lips breathing are important breathing exercises for improving lung function.

IMPAIRMENT

Three types of impairment are observed.

  • Physical impairment: Weakness, malnutrition
  • Cognitive impairment: Decreased memory and attention
  • Psychiatric impairment: Low comprehension and inability to solve problems

RELATED RUBRICS

Mind; mistakes, making; perception, of (189 remedies)ALUM AMBR ANH ARG ARG-N CANN-I CENCH COCC CUPR ELAPS GLON HYOS KOLA MED MERC NUX-M ONOS PLB STRAM THEA THUJ TUB VALER

Mind; concentration difficult; dullness (715 remedies)

Mind; comprehension; loss of:aeth AIL ANAC gall gymn lyc lyss merc-c nat-c nit-ac OP thal trach-v tub ZINC

NEUROLOGICAL SYSTEM

The brain is shielded from infectious diseases by the ‘blood-brain barrier’. This blocks microbes and other toxic agents from infecting the brain.

Corona virus can cross this barrier and it suggests that not only can the virus get into the core of the central nervous system, but also that it may remain there, with the potential to return years down the line. Some patients may be left with long-term disability. The full range of brain disorders caused by Covid-19 may not have been picked up yet and the brain damage may become apparent in years to come.

Prominent remedies for neurological deficit

AGAR ALUM AM-C ANT-T APIS ARG-N ARN AUR BAR-C BELL BRY CAMPH CARBN-S CIC COCC CON CROT-H CUPR DIG GELS HELL HYDR-AC HYOS KALI-BR LACH LYC MERC MUR-AC NUX-V OP OX-AC PH-AC PHOS PSOR RHUS-T SIL STRAM SULPH TARENT TUB VERAT VERAT-V VIP ZINC ZINC-CY

RELATED RUBRICS

Generalities; faintness, fainting; weakness; from:acet-ac ant-t ARS ars-h BAPT bism-n CARB-V caust chin COCA dys-co FERR HYDR hydrog kali-p LACH loxo-r merc-cy nux-m nux-v quas ran-b rumx-a SANG VERAT vip ZING

Guillain-Barré Syndrome

Generalities; paralysis; Landry’s ascending paralysis, acute idiopathic polyneuritis

aconin alum ARG-N ARS bar-acet con cur dpt dulc gels karw-h lath led lyss mand MANG OX-AC PHOS pic-ac plb sec sulfon VIP

Extremities; paralysis; extending; upward

absin agar ARS bar-acet cocc CON gels hydr-ac KALI-C lyss mang mang-o ox-ac PHOS pic-ac pras-s sulfon thal-s

MUSCULO-SKELETAL SYSTEM

Generalities; paralysis; extending; upward

absin aconin AGAR alum ALUM-MET alum-p alum-s ARG-N ARS bar-acet bar-c chin-ar cocc colchin CON cur dpt dulc gels HYDR-AC KALI-C karw-h lath led lyss mand MANG mang-o nux-v OX-AC PHOS pic-ac plb pras-s rhus-t sec sulfon thal-s VIP

Generalities; pain; influenza; after:

adax ARS-S-R bapt cob GELS iris LYCPS mag-p rhus-t thuj

Generalities; pain; muscles:

ACON AGAR AM-M AMBR ANAC ANG ANT-C ANT-T ARG ARN ARS ASAF BAR-C BELL BRY CALC CAMPH CARB-V CARBN-S CAUST CHAM CHIN CIMIC COCC COLCH COLOC CON CUPR CUPR-ACET CYCL DULC EUP-PER EUPH EUPHR FERR GELS GRAPH GUAI HELL IGN KALI-BR KALI-C LAUR LED LYC M-ART MAG-M MAG-P MANG MENY MERC MERC-C MEZ NAT-C NAT-M NIT-AC NUX-M NUX-V OLND PHOS PHYT PLAN PLAT PLB PULS RAN-B RAN-S RHOD RHUS-T RUTA SABAD SARS SEC SEP SIL SPIG SQUIL STANN STAPH STRONT-C SUL-AC SULPH TARAX TEUCR THUJ VALER VERAT VERB VIOL-T ZINC ZINC-P

MENTAL SPHERE

For the mentally ill patients in lockdown, the uncertainty is terrifying. Social isolation and fear of contracting Covid-19 are aggravating anxiety, depression, OCD, substance abuse issues, bipolar disorder and even relapses in some cases. Patients requiring intensive care are at increased risk for mental health issues like post-traumatic stress disorder (PTSD), anxiety and depression.

There is exacerbation of the patient’s already existing OCD for which he was being treated. Emphasis on hygiene reinforces the pre-existing disorder.

Difficulty remembering things and poor concentration

Difficulty falling asleep

Fear of relapse or a family member contracting the illness

Nightmares or bad memories of the time in the hospital

Diminished cognitive abilities, lack of concentration, weakness of memory

RELATED RUBRICS

Mind; fear; disease, of; contagious, epidemic, infection

andri-q ARS aur-m-n bar-c BOR bov bufo CALAD CALC calc-s caras CARC chin cur electr falco-p ferr-m haliae-lc ign lac-c lach lat-h lim-b-c med nat-m oscilloc POSIT psor sil SULPH SYPH tax thuj thul-c vac

Mind; compulsive disorders

ALOE ARS CALC-P CAUST CON GINK HYOS IOD LACH MANC NUX-V PHYS RAT RHUS-T SANIC SIL THUJ TUB VALER

Mind; bathing, washing; desire for; cleanliness, mania for

agar am-i arist-cl ARS calc-s calop-s clad-r coca cur dysp-s electr excr-can gink heli herin ignis kryp LAC-C lac-l-g lux-s-p lycps lyss MED merc NAT-M nat-p neod neon nux-v ory-c oscilloc plat posit psor pter-a puls scirr sep sil SULPH SYPH tab tax thuj torul tritic-v uran vani-p

Mind; indifference, apathy (652)

Chief remedies for indifference:

AGAR ALUM AMBR ANAC ANT-T APIS ARG-N ARN ARS BAC BELL BOV BUFO CALC CARB-V CAUST CHAM CHIN CINA CON CROT-C FALCO-P FL-AC GERM HARP HELL HEP HYDR-AC IGN KALI-C LAC-H LACH LIL-T LYC MERC MEZ NAT-C NAT-M NAT-P NIT-AC NIT-S-D NUX-M ONOS OP PETR PH-AC PHOS PHYT PLAT POSIT PULS RHEUM RHOD SANG SEL SEP SIL STAPH STRAM SULPH TAB TELL THYR VERAT

Mind; mania, madness; alternating with; sadness

arg cadm CON cyt-l herin kres naja-m NAT-S phos psor STAPH stram sulfa TUB verat

SECOND WAVE OF COVID-19

New symptoms

  • Chills
  • Absence of fever
  • Loss of appetite
  • Pain in abdomen
  • Vomiting
  • Diarrhoea
  • Shortness of breath
  • Fatigue
  • Chest tightness/pain
  • Muscle pain
  • Sore throat
  • Jaundice
  • General weakness

Throat as a target in second wave

  • Viral material can remain in the back of the throat and in nasal passages long after prodromes have abated.
  • “Active replication in the throat was confirmed by viral replicative RNA intermediates in throat samples. Sequence-distinct virus populations were consistently detected in throat and lung samples from the same patient, proving independent replication.

Shedding of viral RNA from sputum outlasted the end of symptoms. Seroconversion occurred after 7 days in 50% of patients (14 days in all) but was not followed by a rapid decline in viral load. COVID-19 can present as a mild upper respiratory tract illness. Active virus replication in the upper respiratory tract puts the prospects of COVID-19 containment in perspective”. – A new study published in the journal ‘Nature’.

RELATED RUBRIC

  • Throat; inflammation, sore throat; influenza, from:

acan-p acon ALL-C alum am-m apis ARS bar-c bell brom bry CAPS cham chin cocc coff dulc hep ign lach mang merc merc-cy nit-ac nux-v phos puls RHUS-T SABAD sulph trio verat

Differentiation from first wave

Sneezing is not a symptom and mucus is a rare symptom, as are dizziness, loss of consciousness, strokes, ataxia, epilepsy, neuralgia, heart failure, myocardial damage and Guillain Barré syndrome. Other rare symptoms are cardiac ischemia, sudden death, embolism and deep vein thrombosis, blurred vision, foreign body sensation and conjunctival congestion.

Children suffer from an ear infection, in addition to severe headaches and head pain, which was not seen during the first wave, especially among children aged two and three years (Syria).

Fever is the most likely first symptom of COVID-19. When one gets the flu, cough is the most likely first symptom.

CONCLUSION

In view of the unprecedented outbreak of Corona virus pandemic, homeopathy, the rational therapeutical therapy, has a large scope in several disease conditions of post-covid status.

It will be the responsibility of the homeopathic community to prepare the database and conduct the research to uplift the science and art of homeopathy to a high level as homeopathy possesses the intrinsic merit and the kind of lifetime opportunity of the century given by the Covid-19 outbreak.

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About the author

Ajit Kulkarni

Ajit Kulkarni

Dr. Ajit Kulkarni M.D. (Hom.) is a veteran homoeopath, an academician and a famed international teacher, known for his innovative ideas. Dr. Kulkarni has presented 70 international seminars around the world and more than 100 seminars in India. He is Director of the Homeopathic Research Institute, Pune, India. He is a prolific writer on homeopathy and his works include co-authoring Absolute Homeopathic Materia Medica, and authoring “Law of Similars in Medical Science”, “Homeopathic Posology”
“Kali Family and Its Relations”, Body Language and Homeopathy”, as well as 22 books in the Russian language. He received the Award of Excellence in Homoeopathy (2011), from the Post-Graduate Association of India, the ‘Homoeo-Ratna’ award (2014) from ‘Homoeo-Friends’, India, and the “Life Achievement Award”, (2018), from the Sontara Bhansali Charitable trust and Indian Homeopahic Forum.” Dr. Kulkarni has represented homeopathy on Bulgarian TV and gave an address at Kachare Classic, Erandwane, near New Karnataka High school, Pune. Visit him at his website: Website: www.ajitkulkarni.com E-mail ID: [email protected]

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