19 April 19, 2020 by Team Homeopathy 360
Author: Dr Rohit Gupta, BHMS,
Author of the book “KEYNOTES ADVANCE & COMPLETE” (new
& updated edition of Allen’s Keynotes)
“Brief resume of the intended work”
Corona Virus Disease characterized by fever, cough, dyspnea,
muscle ache, sore throat, headache of patient and positive RT-PCR test for
covid19. The present strategy of Homoeopathy in the treatment of Corona virus
disease and utility of Homoeopathic management in this type of case. This
strategy is intended to perform proper case taking and individualization for
prescribing the similimum. Each case will be assessed on the basis of
Subjective, objective symptoms and Laboratory Investigations.
Introduction
Definition: Coronaviruses are pleomorphic, single-stranded RNA viruses. Corona virus,
most frequently causes common cold. In general, human
corona viruses have been difficult to cultivate in vitro, and some strains grow
only in human tracheal organ cultures rather than in tissue culture. People
with COVID-19 have had a wide range of symptoms reported – ranging from mild
symptoms to severe illness.
Cause: The mechanisms of transmission of SARS are
incompletely understood. Clusters of cases suggest that spread may occur via
both large and small-droplet aerosols and perhaps via the fecal-oral route as
well. Corona virus infections appear to be particularly prevalent in late fall
winter and early spring-times when rhinovirus infections are less common.
Symptoms & Signs: After an incubation period that
generally lasts 1-14 days,SARS usually begins as a systemic
illness marked by the onset of fever, which is often accompanied by
malaise headache and myalgias and is followed in 1-2 days by a nonproductive
dry cough, sore throat, shortness of breath. Approximately 25% of patients have
diarrhea.
Complications: In severe cases, respiratory function may
worsen during the second week of illness and progress to frank adult
respiratory distress syndrome accompanied by multi-organ dysfunction. Risk
factors for severe disease include an age of >50 years and co-morbidities
such as cardiovascular disease, diabetes and hepatitis. Illness in
pregnant women may be particularly severe.
Investigation: Laboratory tests are Blood tests for
CBC(Complete blood count), RT-PCR test for covid-19, nasal or throat swab test,
CXR.
Dietary recommendation: Plenty of liquids with vitamin c
supplementation from natural sources.
Homoeopathic Management: There is no specific therapy for
SARS with established efficacy. Homoeopathy is a science of therapeutics which
assumes that a deviation from normal that can be restored to normal by means of
stimuli, applied in the form of medicine, in very minute doses necessary to
provoke a change in the state of disorder.
In treatment of corona virus disease, medicine will be prescribed on the
basis of keynotes symptoms and for genus epidemicus, medicine will be
prescribed on the basis of totality of symptoms of different constitution in
different age groups of many cases.
In homoeopathy, medicine is obtained after drug proving
(§105-§145) & prepared (§264-§271) according to guidelines laid down by
Homoeopathic Pharmacopoeia of India (HPI), are selected on the basis of
constitutional & PQRS symptoms obtained after proper case taking
(§82-§104), and are administered (§272-§291) to the patient. After proper case
taking totality is formed & finally the medicine has given in accordance
with the principles of homoeopathy as given in ‘Organon of Medicine’ and giving
due importance to underlying miasm.
CONCLUSION:
5 step strategy for the treatment of coronavirus disease,
based on knowledge & reference of Materia Medica, Organon Of Medicine and
Allied subjects –
1. Coronavirus disease’s natural prophylaxis with an
important suggestion for preparation & clinical trial of 2 Homeopathic
prophylaxis – COVID 30 & Hydroxychloroquine 200 for Corona Virus disease to
CCRH,
2. Homoeopathic Treatment for Corona Virus infection,
3. Differential Diagnosis of Corona Virus, Influenza, Swine
Flu & Viral Fever with differential Homoeopathic treatment,
4. Post effect of Allopathic Treatment of Corona Virus by
some Homoeopathic medicines,
5. The miasmatic approach in the context of the Organon Of
Medicine in complicated cases of Corona Virus.
1. Natural prophylaxis: As per reference of Park’s
Preventive & Social Medicine, (20th ed) Vitamin C has an important role to
play tissue oxidation and a potent antioxidant, which can help in the
prevention of Common Cold(coronavirus) if consume according to dietary
requirements 40-60mg/day (1 medium size of Amla/Guava/Lemon). It also has been
published on medicinenet.com, named ‘To test the efficacy of vitamin C
infusions for the treatment of severe acute respiratory infection associated
with the novel coronavirus‘ and on clinicaltrials.gov, named ‘Vitamin C
infusion for the treatment of severe 2019-nCov Infected Pneumonia’. And as we
know that coronavirus disease is made from RNA virus and some nosodes already
prepared from RNA virus disease named, Lyssin from the saliva of a rabid dog,
Morbililinun from the exudate of the mouth and pharynx of patients suffering
from measles and not yet treated, and Infuenzinum under the reference of
aphorism 266 of Organon Of Medicine. So this is my sincere suggestion to CCRH
for manufacturing and clinical trial of COVID 30/covid.19 30ch and
Hydroxychloroquine 200 for prevention of side effects of allopathic medicinal
hazards if it will be given before allopathic treatment.
2. Differential diagnosis of CORONAVIRUS, INFLUENZA (Flu),
SWINE FLU and VIRAL FEVER:
CORONA VIRUS DISEASE: common signs & symptoms are fever,
body aches, malaise, dry cough, sore throat, shortness of breath (dyspnea),
headache and approximately 25% of patients have diarrhea.
INFLUENZA (Flu): common signs & symptoms are
fever/feverish feeling, body aches, malaise/fatigue, headache,
runny(watery)/stuffy(mucus) nose, sore throat, and cough.
SWINE FLU: common signs & symptoms are fever, chills, body
aches, malaise/fatigue, headache, sore throat, and cough.
VIRAL FEVER: common
signs & symptoms are fever, body aches, malaise/fatigue, runny(watery)
nose, sneeze, and cough.
All symptoms which have been written in bold, are
concomitant associated symptoms of the disease, necessary for differential
disease diagnosis.
3. Homoeopathic treatment of coronavirus should be followed
like treatment of any disease as written in aphorism 153, “the more striking,
singular, uncommon, and peculiar characteristic signs and symptoms” in Organon
Of Medicine, preferably under some homoeopathic medicine like: Allium Cepa,
Ars.alb., Belladonna, Bryonia Alba, Gelsemium, Merc., Nux Vom, Pulsatilla, Rhus
T, etc.
4. Homoeopathic treatment for Post/Side effects of Allopathic
treatment of Corona Virus patient by Apocynum can., Ferrum Met, Ipecacuanha,
Natrum Mur, Pulsatilla as written under after abuse of quinine in the book
‘Keynotes Advance & Complete’ and Hydroxychloroquine 200 if prepared in
future.
5. The miasmatic approach in the context of the Organon Of
Medicine in complicated cases of Corona Virus, Dr Hahnemann has guided us for
antipsoric aid ‘in such persons psora, striving to develop itself, always lies
at the root of the malady, and their intermittent fever cannot be cured in the
marshy district without antipsoric treatment and if the psora was not
completely developed and can consequently return to its latent state in
epidemic/endemic disease of Intermittent fever’ in aphorism 244 and its
footnote of Organon Of Medicine. He has suggested for use of Sulphate of
Quinine, and Chininum Sulph is the medicine which has been prepared from
Sulphite of Quinine. And another medicine is Chininum Ars(Arsenite of Quinine)
for prostration with the periodical asthmatic attack.
Genus epidemics of Corona virus disease has not decided
under the guidelines written in aphorism 100-102 in Organon Of Medicine by any
published clinical trial yet, which have been written as ‘Take a thorough case
for totality of symptoms when investigating an Epidemic or Sporadic disease, it
makes no difference if something similar has ever appeared before under the
same name or any other new name.The sketch of the epidemic disease picture
becomes complete with characteristics & peculiarities, like general
symptoms. But an epidemic disease and the totality of its symptoms can’t be
learned from single patient, only from the sufferings of several patients of
different constitutions.
A Homoeopathic physician must have knowledge of diseases for
diagnosis of corona virus disease, etc. as written in aphorism3,6,14,71,83,104
and as preserver of health(aphorism 4) follow all the preventive criteria of
the disease.
BIBLIOGRAPHY:
HARRISON’s Principles of internal medicine, 19th ed.
PARK, Preventive and Social Medicine, 20th ed.
TEXT BOOK OF PATHOLOGY, Harsh Mohan, 5th ed.
https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
Organon Of Medicine by Samuel Hahnemann, 5th & 6th ed.
Keynotes Advance & Complete, 1st ed.