Excerpts and Therapeutics tips: Clinical Updates in Medical Cardiology with Homeopathy Panel Discussion

A CME on “Clinical Updates in Medical Cardiology with Homeopathy Panel Discussion” was held at Max Super Speciality Hospital, Dwarka, New Delhi on 01 September 2024 as a collaborative CME by The Homoeopathic Medical Association of India, Delhi State Branch and Max Super Speciality Hospital, Dwarka, New Delhi.

There were detailed deliberations by Dr. Amit Pandekar who deliver insightful keynote addresses on the latest trends in heart diseases and risk factors respectively. 

There was also a special short talk by Dr. Neeraj Godara on micro reconstruction surgery of hand, wrist, foot, etc especially in accidental and congenital disorders.

The expertise and knowledge sharing by eminent speakers greatly enriched the understanding and sparked meaningful discussions. This was appended with  presence of esteemed homeopathic physicians and practicing homeopaths from Delhi and NCR who contributed their valuable contributions to the panel discussion on clinical aspects of CME topics. 

Below are some of the excerpts of discussion:

• Subjective and objective well-being of a patient is of prime importance to a physician. We must be vigilant in our observations both at physical, mental as well as investigative levels. 
• The basic modalities such as blood pressure, heart rate, pulse rate, respiratory rate, chest discomfort etc are not be ignored. They must be thoroughly checked upon.
• There is no harm in having second / expert opinions regarding a patient and for essential medications. Tapering must be done with a logic, confidence and under guidance.
• Investigations must be patient centric and must be repeated at regular intervals.

Homeopathic Therapeutics

For post-operative pains (common potencies as per Panel Discussion – indicative and not absolute). Most common clinical indications are as follows:

• Spigelia 30 – left sided pain especially in the region of heart. Nerve like pains
• Cactus 30 – constrictive pains in chest with anxiety and restlessness. Feeling of cage in and constriction in the heart region.
• Hypericum 1x, 200, 1M – Nerve pains after surgeries. Affected nerves are sensitive.
• Arnica Q, 30 200 – General medicines for injury especially the surgical injuries.
• Acid oxalic 30 – for pains and swelling after surgery.
• Staph 30, 1M – After surgery a general remedy for healing and well being especially when there is too much of stress which can’t be shared with others.
• Aconite ferrox 30 – For fear of surgery
• Lactodractus 30 – Severe chest pain
• Stronphanthus  Q – given as a general heart tonic, to improve functions of heart.
• Bellis p Q – pains especially muscular, in back after surgery

Mother tinctures commonly used in Heart Ailments

• Termanilia – Paplitations, weak cardiac functions, chest pains
• Allium sativum – Heart ailments with dyslipidemia
• Crategus – general heart tonic with constrictive pains and high blood pressure
• Rauwolfia – A general remedy for hypertension leading to heart ailments and stress
• Passiflora – Relieves stress thus can be used in patients having lots of anxiety and sleep issues
• Viscum  album – hypertrophy of heart with valvular complications, it must not be used in cases of Hypertension
• Amyl nitrosum for inhalation

For general immunity and vigour 

• Ferrum phos3x / Ferrum met 3x – Anemia, weakness, lethargy
• Chelidonium 3x – slow metabolism, fatty liver, indigestion
• Avena sativa Q – lethary, weakness, easily fatigued, disturbed sleep

For cases where Ejection fraction is low (weak heart)

• Stronphanthus Q, 30 – increases contractability of the heart
• Digitalis Q – Weak heart with low pulse rate and valvular complications
• Kali Phos – General tonic when heart as well as patient as a whole feels weak
• Gelsimium – Muscles lax, lack of energy, wants to lie down all the time
• Aurum metallicum – Weak heart in old age or in people who had too much of stresses in their life, early phases of depression, long continue grief and anxieties
• Coffea – weak heart but with over excitability of nerves
• Rhustox – muscle pains especially chest, back and knee associated in people having low ejection fraction (weak heart)
• Bryonia – Chest pain and cough on easy exertion
• Ars alb – Anxiety about health to an extent which hampers day to day activities, long continued anxities
• Kalmia – Rheumatic pains with weak heart especially in neck, shoulder and upper back

Fear/ anxiety 

• Aconite ferox – Fear and anxiety about surgery / operations
• Gelsemium – Depression due to surgery, operations and long continued usage of muslce relaxants

Breathlessness

• Carbo veg – Breathlessless, gastric anxiety, indigestion and slow metabolism
• Arsenicum album – long continued anxiety for everything
• Grindelia – Gastric pains, spleenic enlargment, anxiety and heart ailments
• Aspidosperma – Breathlessness with fear and anxiety
• Lobelia inflata – Cough with breathlessnes, fear and anxiety
• Bryonia – Dry cough which may be due lung / cardiac involvments, insecurities especially financial.

Cardiac asthma 

• Naja – dry cough, bronchitis, when spongia fails, with heart troubles
• Bothrops – Asthma with gastric distress, hemoptysis, constricted throat (Compare Phytolacca and Lachesis)
• Arjuna Q – Asthma with Ischemic heart disease and angina
• Aralia racemosa – dry cough, asthma, aggravation of symptoms by evening / night

Cardiac cough 

• Causticum – dry cough, phyrangitis, hawking tendency, difficult mucus
• Veratrum album – cough paroxysmal followed by fainting
• Spongia – dry, saw like cough, mucus rattle
• Coccus cacti – dry, difficult cough

Dropsy and swellings

• Apocynum – swelling of lower limbs especially. Works good in alteration with Apis
• Apis – swelling of face, joints especially in morning on waking, with thirstlessness
• Bryonia – general sensation of swelling with increased thirst
• Aegle folia – swelling with itching of lower limbs
• Adonis – Pedal odema followed by weak heart function
• Stronphanthus – Enlarged heart, dropsy, odema when other remedies have failed
• Acetic acid – general remedy for increased thirst, odema, greasy skin and extreme weakness

For UTI

• Cantharis Q, 6 (it is opined that 6c works as good as Q)

Retention of urine 

• Solidago – Pain in kidney region with dysuria
• Cantharis – Pain in lower abdomen, urethra, with much itching and burning
• Causticum – Pain in abodmen, bladder, constriction of bladder, weak nervous bladder with symptoms of UTI.
• Staph – recurrent tendecy for UTI, cystitis, overactive bladder
• Thuja – when best selected remedies fail to act or resolve the UTIs and cystitis
• Medorrhinum – stubborn cases where infection is recurrent and prolonged
• Pareria brava – bloody urine with mucus, constant urging and straining

The mother tinctures should be used as supportive, adjuvant and add-on therapy and in moderate doses. They must not be mis-used and should not be used for longer intervals.

A special thanks to MAX Super Speciality Hospital, New Delhi, HMAI Delhi State Branch, SHMC ALUMNI Association, LMHI INDIAN Chapter, AHML for their valuable continued support and participation. 

Together, we can continue to advance the field of homeopathy and medical cardiology for the betterment of patient care.

Sessions moderated and compiled by Dr Saurav Arora

DISCLAIMER: These clinical tips are not medical endorsement or replacement to a doctor’s discretion of treatment. These tips are purely for information and discussion purposes. Please seek appropriate medical advice from your nearest medical / health professional.

Dr Saurav Arora, MD

Dr. Saurav Arora is an internationally acclaimed medical homeopath, consultant, and independent researcher having 17+ years of experience as a clinician, researcher, and a teacher.