Source of image: http://freepik.com
Authors
Dr. R.Valavan, BHMS, MD (Hom), MBA
Dr. Nitesh Sharma, BHMS, CDO, CSG, CCD
Homoeopathic Practitioners
Indirapuram, Ghaziabad.
Almost
the whole world is suffering from pandemic known as COVID-19 by one or the
other way, irrespective of economic, technologic, weapon, political advantages
they have. From the ever increasing cases of the COVID-19 and the subsequent
lockdown, it’s understandable that many might begin to feel increasing stress.
If we look at the statistics,total confirmed cases of COVID-19 worldwide are close
to 20 lakhs and death cases are 1.25 lakhs as on 16th April 2020. Ever
increasing death toll, lack of proven line of treatment,isolated at home, lack
of social life and financial crisis lead us to develop various social, psychological
and emotional trauma. There are several homoeopathic medicines which are known
to increase the immunity of individual and bring down the anxiety and stress.
In this article, detail about the different factors of anxiety and fear along
with its general and homoeopathic management are discussed.
What are coronavirus and
COVID-19?
Common
cold can be caused by several viruses. Among them Rhinovirus, Coronavirus, RSV
and para-influenza are the most common. The coronavirus is the cause of about
20% of colds especially in the winter and early spring.[1],[2]Coronavirus is
broadly of 7 types. Most of the coronaviruses are not life threatening but
current one has high mortality rate. This new strain of coronavirus is
officially named as severe acute respiratory syndrome coronavirus 2
(SARS-CoV-2). Disease caused by SARS-CoV-2 is named in the abbreviated from COVID-19
(COronaVIrusDisease
- 2019).Other severe diseases
causes by other coronaviruses include Middle East Respiratory Syndrome (MERS)[3] and Severe Acute Respiratory
Syndrome (SARS)[4].
What are the signs and
symptoms of COVID-19?
Symptoms
of COVID-19 are similar to common cold like fever, tirednessand dry cough.
Bodyaches and pains, nasal congestion, runny nose, sore throat or diarrhea may also
present in some individuals.2 In 80% of cases patient recovers from
the disease without any treatment,just like other common colds.Data analysis
done by researchersshows that COVID-19 affects older persons and persons with medical
conditions such as high blood pressure, heart disease, lung disease, cancer or
diabetes with serious illness more often than others.
Causes of stress and
anxiety due to COVID-19
Coronavirus
spreads from person to person by the droplets from the nose or mouth of the
infected person coming out when he coughs, sneezes, or exhales. That is why one
meter distance between two people is necessary. It can spread if the droplets
land on objects and surfaces around the person. Other people then catch
COVID-19 by touching these objects or surfaces, then touching their eyes, nose
or mouth. Hence to avoid such contact spread government has taken a bold step
to lockdown the whole country.On the other hand,some people may have impact on
psychology due to self-isolation, lack of social life, too much use of
electronic devices, etc.Impact of the infection is rapidly changing and can be
confusing, overwhelming and scary. Dealing with high risk family member or
patients, a roller coaster economy, adjustment of unfamiliar situation can pile
up the stress and can negatively impact the mind and body.Below are 6 important
factors affecting psychologicallyduring COVID-19.
1. Stress and anxiety due to lack of
social life
Human beings are the social animal.
This social distancing come with own risks. This isolation and loneliness can
increase the depression and anxiety even impact the physical health. Psychologist
Samantha Brooks, PhD, at Kings College London, and colleagues in their research
found the negative psychological impact of the quarantine such as
post-traumatic stress, confusion of mind and anger.[5]
2. Stress due to financial problem
Due to lockdown many people become
jobless especially who were relying on daily wages. People are in fear and
anxiety of losing jobs. Unemployment rate has always been on higher side in India
in recent times. The urban unemployment rate was 7.16% in January 2020 which
rose by 30.9% in March 2020 due to COVID-19 according to data released by the
Centre for Monitoring Indian Economy (CMIE).[6]
3. Fear of lack of daily usage products
Many people are doing panic purchasing
due to fear of non-availability of the daily usage product in the market/shops.
Unnecessarily they are storing the material in their house which is leading to
high demand and high price rate and burden to poor people.
4. Fear of near and dear one getting
infected
People are in constant fear of being
infected due lack of awareness and constant increase in the infection data.This
virus becomes a pandemic in very short span of time which has created the panic
condition among the people. As we have discussed above that COVID-19 shows
severe symptoms in people suffering from diabetes, hypertension, or any medical
conditions and older people. India is home to over 60 million adults with
diabetes[7], 32.5% are suffering from
hypertension[8],
1.31 billion people are suffering from asthma[9]. This data can be the
matter of concern.
5. Role of media in anxiety and distress
It is vital to be aware and informed
but obsessively checking the data can lead to fear anxiety and depression.
Undisrupted news of COVID 19 on news channels and unauthenticated news from
social media are working as a fuel in this panic situation. As per the study media
of any kind can undermine mental health.[10]
6.
No treatment in main stream medicine
As we are aware there is no line of
treatment in main stream medicine or any vaccine is available. This is creating
chaos in the society. Hence even common flu causes much fear in the patients.
Impact of stress and
anxiety on mind and body
Reaction
of stress, anxiety and depression can appear in a variety of physical,
psychological, emotional and behavioral symptomsof an individual.Individual may
feel headaches, neck tension,gastrointestinal problems, lack of sleep, fatigue
feeling, lack of appetite, etc. Emotionally and psychologically it can appear
as negative vision of things or daily events, discouragement, insecurity,
sadness, anger, etc. Difficulty in concentration, irritability, increase use of
tobacco, alcohol can be the behavioral symptom.
Some important tips to
manage the stress and anxiety in COVID-19
- Getting enough sleep is very important during times like this.
- Minimize the news watching time to half an hour. Minimize the social media activity and be active in spending time with family members.
- Time
can be utilized to listening music, dancing, exercising, reading or any hobby
that makes individual satisfies.
- Doat
least 1 hour exercise for the better digestion and to boost the immunity.
- Social
media can be a powerful tool if used wisely people may connect to their loved
ones.
- Make
it a priority to stay in touch with friends and family. If you tend to withdraw
when depressed or anxious, think about scheduling regular phone, chat, or Skype
dates to counteract that tendency.
- Sunshine
and fresh air helps the individual to take out from the depression and low
mood.
Association between
anxiety, stress and weak immunity
There
are several studies supporting that stress and anxiety are interlinked. The relation
between psychological and physiological features of disease and progression
through psychoneuroimmunology is reported.It is found that chronic stress and
depression probably impair the immune response and contribute to the
development and progression of disease.[11]In the report relationship
between anxiety disorders and a wide range of physical disorders was examined.
Multiple logistic regression analysis is used to find the relationship between
past‐year
anxiety disorder diagnosis and past‐year
chronic physical disorder. Anxiety disorders were positively found associated
with physical disorders.[12] Homoeopathic master Dr.
Kent quoted referring an incidence of epidemic “Man is protected from sickness
in two ways, by Homoeopathy and by use.The physician and the nurse who go into
the district of yellow fever or typhoid or diphtheria or smallpox, who keep
busy, who have, in the highest sense of the word, the true love of the use, who
have gone into the work as mediums of mercy, will be largely protected just
simply from their love of the work, from their delight in it.They have no fear.
Fear is an overwhelming cause of sickness; those who fall prey to fear are
likely to become sick, but those who, face disease with no fear are likely to
remain well; they do sometimes fall sick, it is true, but I believe it is
because they begin to have fear in the work.”[13].
Homoeopathic
remedies have been used as prophylactic to prevent the epidemic since centuries.Tracing
the history it was Hahnemann who first applied the genus epidemicus in 1799
during a scarlet fever epidemic he treated in the German town Königslutter. It is
an interesting story that how Dr. Hahnemann had accidentally discovered the
genus epidemicus. A few members of large family with scarlet fever approached
Dr. Hahnemann for treatment. He noticed that a child already under the doses Belladonna
for other problem did not develop symptoms of scarlet fever. That was the
moment he discovered Belladonna as a prophylactic for the entire family which
he administered to all of them. Hahnemann concluded that a remedy that rapidly
cures at the onset of an illness would be the best preventative.[17]
Homoeopathy
was successfully applied during the epidemic of Spanish flu in 1918-19, where
around 20 million people died globally. Mortality rate in homoeopathic treated
population was 1-2%, whereas it was 30-60% in people treated by conventional
physicians.[18],[19]Chikungunya, dengue
fever, acute encephalitis/japanese encephalitis, cholera and dengue were also
successfully managed with homoeopathy.[20]
Recenlty
Ministry of AYUSH, Government of India has published the recommendation of
Expert Committee constituted by CCRH for the using of Arsenicum album 30CH as
Genus epidemicus for prevention.[21],[22],[23] Following that,
many governments and autonomous bodies under different governments have used
this as prophylactic.[24],[25]Apart from that, many
other stalwarts have suggested possible role of other drugs in the current
situation[26],[27],[28]A group of
homoeopaths from Italy have published an observational study of confirmed or
suspected COVID-19 patients.[29] None of the patients was
required hospitalization.
There
are several concepts of homoeopathic prescription. One among them is
psychosomatic concept. Prescription is based on analyzing the symptoms of mind
and body. Below we are elaborating the indications of few homoeopathic remedies
that can help to boost the immunity against infections and also to manage
stress during the lockdown.
Proposed homoeopathic
remedies for COVID-19 symptoms and the stress thereof
Arsenicum album
Thin,
watery, excoriating discharge. Nose feels stopped up. Sneezing without
relief.coryza; worse in open air; better indoors. Burning and bleeding. Unable
to lie down; fears suffocation. Air-passages constricted. Difficult respiration
after midnight. Cough dry better by warm drink. Great anguish and restlessness.
Changes place continually. Fears, of death, of being left alone. Profound
weakness with restlessness. Thinks it useless to take medicine. Suicidal.
Hallucinations of smell and sight. Despair drives him from place to place.
Allium cepa
Coryza,
with acrid nasal discharge and laryngeal symptoms, eye secretion bland; Sneezing,
especially when entering a warm room. Copious, watery and extremely acrid
discharge.Hacking cough on inspiring cold air.Tickling in larynx. Sensation as
if larynx is split or torn. Oppressed breathing from pressure in middle of
chest. Very melancholy and often very anxious, with catarrh, dulness of
intellect.
Argentum nitricum
Coryza,
with chilliness, lachrymation, and headache.Raw, rough and sore in
throat.Sensation of a splinter in throat on swallowing.Suffocative cough, as if
from a hair in throat. Dyspnoea. Chest feels as if a bar were around it.
Fearful and nervous; impulse to jump out of window. Melancholic; apprehensive
of serious disease.Impulsive; wants to do things in a hurry. Peculiar mental
impulses. Fears and anxieties and hidden irrational motives for actions.
Aconite napellus
State
of fear, anxiety due to disease; anguish of mind and body. Physical and mental
restlessness, fright, is the most characteristic manifestation of Aconite.
Acute, sudden, and violent invasion, with fever.Pain at root of nose.Coryza
much sneezing; throbbing in nostrils.Mucous membrane dry, nose stopped up; dry
or with but scanty watery coryza.Hoarse, dry, croupy cough; loud, labored
breathing.Cough, dry, short, hacking; worse at night and after midnight.
Belladonna
Coryza;
mucus mixed with blood. Throat dry, as if glazed; angry-looking congestion;
red, worse on right side. Tonsils enlarged; throat feels constricted; difficult
deglutition; worse, liquids. Dryness in nose, fauces, larynx, and
trachea.Tickling, short, dry cough; worse at night.Barking cough, whooping
cough, with pain in stomach before attack, with expectoration of blood.Stitches
in chest when coughing. Larynx very painful; feels as if a foreign body were in
it, with cough. Melancholy, with grief, hypochondriacal humour, moral
dejection, and discouragement. Melancholy, with grief, hypochondriacal humour,
moral dejection, and discouragement.Nervous anxiety, restlessness, desire to
escape.
Bryonia alba
Bursting,
splitting headache with coryza, as if everything would be pressed out.Coryza
with shooting and aching in the forehead. Swelling of tip of nose, feels as if
it would ulcerate when touched. Dryness of mouth, tongue, and throat, with
excessive thirst. Cough, dry, at night; must sit up; worse after eating or
drinking, with vomiting, with stitches in chest, and expectoration of
rust-colored sputa. Frequent desire to take a long breath; must expand lungs.
Difficult, quick respiration; worse every movement; caused by stitches in
chest. Anxiety and inquietude, with fear of the future. Exceedingly irritable
and inclined to be angry. Restlessness, with fear of the future; fear of death,
which he thinks is near.
Calcarea carbonica
Catarrhal
symptoms with hunger; coryza alternates with colic.Stoppage of nose, also with
fetid, yellow discharge. Swelling of tonsils and submaxillary glands; stitches
on swallowing. Tickling cough troublesome at night, dry and free expectoration
in morning.Extreme dyspnoea.Painless hoarseness; worse in the
morning.Expectoration only during the day; thick, yellow, sour mucus.Chest very
sensitive to touch, percussion, or pressure. Anxiety and anguish, excited by
fancies, or frightful stories, also with shuddering and dread during the
twilight, or at night. Excessive anguish, with palpitations of the heart,
ebullition of the blood, and shocks in the epigastrium.
Camphora
It
is suitable in some acute complaints attended with nervous excitement, even to
frenzy, with spasms and convulsions and finally exhaustion. In the mental
state, there is anxiety and extreme fear; fear of persons, of strange spheres,
of the dark; the dark is filled with imaginary specters; he dare not get out of
bed in the dark; everything that moves is a specter and the inanimate things of
the room become alive and terrify him.Nose stopped; sneezing. Fluent coryza on
sudden change of weather.Cold and pinched.Persistent epistaxis, especially with
goose-flesh state of skin.Præcordial distress.Suffocative dyspnœa.Asthma.Violent,
dry, hacking cough.Palpitation.Breath cold.Suspended respiration. Anxiety with
fretfulness. Great anguish and discouragement. Afraid of his own thoughts.
Dulness of the senses. Loss of consciousness. Confusion of ideas; delirium.
Carbo vegetabilis
Coryza
with cough, especially in moist, warm weather.Ineffectual efforts to
sneeze.Cough with itching in larynx; spasmodic with gagging and vomiting of
mucus.Whooping cough, especially in beginning.Hoarseness of voice; worse,
evenings, talking; evening oppression of breathing, sore and raw chest.
Wheezing and rattling of mucus in chest. Cough, with burning in chest; worse in
evening, in open air, after eating and talking.Persons who have never fully
recovered from the effects of some previous illness. Inquietude and anxiety, esp. in the evening
(4-6 p.m.). Fear of spectres, esp. at night. Timidity, irresolution, and
embarrassment in society. Despair with lachrymose humour, and discouragement,
with desire for death, and tendency to suicide.
Dulcamara
Dry
coryza. Complete stoppage of nose.Thick, yellow mucus, bloody crusts. Profuse
coryza. Wants nose kept warm, least cold air stops the nose. Headache relieved
by conversation. Cough worse cold, wet weather, with free expectoration,
tickling in larynx. Cough, hoarse, spasmodic.Whooping-cough, with excessive
secretion of mucus. Winter coughs, dry, teasing. Asthma with dyspnœa.Loose,
rattling cough; worse wet weather.Must cough a long time to expel phlegm. Cough
after physical exertion. Impatient desire for different things, which are
rejected as soon as they are obtained. Inclination to scold, without being
angry.
Hepar sulphur
Sneezes
every time he goes into a cold, dry wind, with running from nose, later, thick,
offensive discharge. Cough troublesome when walking. Dry, hoarse cough. Cough
excited whenever any part of the body gets cold or uncovered, or from eating
anything cold. Croup with loose, rattling cough; worse in morning.Choking
cough. Rattling, croaking cough; suffocative attacks; has to rise up and bend
head backwards. Anxious, wheezing, moist breathing, asthma worse in dry cold
air; better in damp.The slightest cause irritates him. Anguish in the evening
and night, with thoughts of suicide.
Kali carbonica
Nose
stuffs up in warm room. Thick, fluent, yellow discharge.Post-nasal dropping.
Anxiety felt in stomach. Hoarseness and loss of voice.Dry, hard cough about 3
am, with stitching pains and dryness of pharynx. Cough with relaxed uvula. Expectoration
scanty and tenacious, but increasing in morning and after eating. Anxious
apprehension and inquietude, esp. about the health, with fear of not being
cured.Shrieks about imaginary appearances.
Mercurius solubilis
Much
sneezing.Sneezing in sunshine. Nostrils raw, ulcerated; nasal bones
swollen. Coryza; acrid discharge, but
too thick to run down the lip; worse, warm room.Pain and swelling of nasal
bones, and caries, with greenish fetid ulceration.Coryza, with sneezing; sore,
raw, smarting sensation; worse, damp weather; profuse, fluent. Cough, with
yellow muco-purulent expectoration. Stitches from lower lobe of right lung to
back. Complaints increase with the sweat and rest; all associated with a great
deal of weariness, prostration, and trembling. Great anguish, restlessness (is
constantly changing from place to place), and agitation, with fear of losing
the reason, or with excessive internal torment, principally in evening, or in
bed at night, as if conscious of having committed some crime.Great indifference
to everything. Home-sickness with nightly anxiety and perspiration.
Phosphorus
Great
lowness of spirits. Dread of death when alone. insanity, with an exaggerated
idea of one's own importance. Nose red, swollen, and painful to touch.Coryza;
with inflammation (soreness) of throat and dullness and confusion of head;
fluent and dry alternating.Frequent sneezing.Obstruction of nose, espesially in
morning. Nervous coughs provoked by strong odors, entrance of a stranger; worse
in the presence of strangers; worse lying upon left side; in cold room.
Pneumonia, with oppression; worse, lying on left side.Tightness across chest;
great weight on chest. Affections of the mind in general; amativeness;
dizziness of the mind. Fear: in evening; of darkness; of spectres; of things
creeping out of corners. Becomes easily vexed and angry, which makes him exceedingly
vehement, from which he suffers afterwards.
Mother tinctures to
boost the immunity
Echinacea angustifolia
It
is a remarkable remedy used as a corrector of blood dyscrasia. For acute auto-infection.Research
establishes it as immune stimulant against both virus and bacteria, is
antifungal, anti-inflammatory, detoxifying, wound healing drug.
Ginseng
It
is an adaptogenic tonic; helps the body to adapt to stress, fatigue, cold,
mental or emotional problems. Recent research indicates it as immunostimulant,
for improving resistance to infections. It also improves liver functions.It is
also used in paralytic weakness, hiccough, skin symptoms, itching, pimples on
neck and chest.
Propolis
The
drug comes from Mexican origin with the old established value to improve vital
functions. Traditionally used for various disorders, the drug has attracted
modern medical research teams who have established that it has antibacterial
properties.
Thuja occidentalis
A
drug of choice where the condition is attributed to infection with discharge of
puss. It has antibacterial activity and also overcomes the side effects of
vaccinations.
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