HOMOEOPATHY
IN COVID-2019 PANDEMIC INFECTION
COVID-2019
(CORONA VIRUS)
Corona
virus is belongs to family of SARS (Severe Acute Respiratory Distress) Virus
and MERS (Middle East Respiratory Syndrome) Virus.
In 2019
this new virus found in China.
Now This
Virus is known as the severe acute respiratory syndrome coronavirus 2
(SARS-CoV-2).
In March
2020, the World Health Organization (WHO) declared the COVID-2019 outbreak a
pandemic.
HOW IT
AFFECTS?
Coronaviruses
have all their genetic material in something called RNA (ribonucleic acid). RNA
has some similarities to DNA, but they aren’t the same.
When
viruses infect you, they attach to your cells, get inside them, and make copies
of their RNA, which helps them spread. If there’s a copying mistake, the RNA
gets changed. Scientists call those changes mutations.
These
changes happen randomly and by accident. It’s a normal part of what happens to
viruses as they multiply and spread.
Coronavirus
Mutations Found in Brazil, U.K., Africa
In January
2021, experts spotted a new COVID-2019 variant in people from Brazil who’d
traveled to Japan. By the end of that month, the variant was showing up in the
U.S.
This
variant appears to be more contagious than earlier strains of the virus. And it
may be able to infect people who've already had COVID-2019. A report from
Brazil confirms that a 29-year-old woman came down with this variant after an
earlier corona virus infection a few months before.
The
mutation on the U.K. variant is on the spike protein, other variants of the
virus have been found in other countries, including South Africa and Nigeria.
The South African variant appears to spread more easily than the original virus
but doesn’t seem to cause worse illness.
INCUBATION
PERIOD:
2 to 14
days after Exposure
SYMPTOMS:
Symptoms start to appear after 2 days, some patients have no symptoms and some patients have many symptoms.
Some
patients have no symptoms and after few days they show symptoms like shortness
of breath and diagnosed as Viral Pneumonitis in CT Scan, High CRP, LDH,
D-Dimer, Low Leucocytes and Lymphocytes in Blood Examination.
Children
and Old peoples have same symptoms like adults
Common
Symptoms:
- Fever
- Cough
- Tiredness (Weakness, Uneasiness, Dullness,
Sleepiness)
- Loss of Smell
- Loss of Taste
Other
Symptoms:
- Throat Pain
- Sore Throat
- Headache
- Muscle Aches (Body Pain)
- Loss of Appetite
- Diarrhea
- Nausea
- Vomiting
- Body Rash
- Chest Pain
- Pink or Red Eye
- Itching in Eyes
Severe
Cases Symptoms:
- High Grade fever (Inflammatory Fever)
- Chest Pain
- Heaviness of Chest
- Shortness of Breath
People
having high risk of severity that has serious illness like:
- Serious Heart Diseases
- Diabetes
- Cancer
- COPD
- Obesity
- Chronic Kidney Disease
- Blood Disease
- Immuno-compromised Disease
- Liver Diseases
PREVENTION:
- Avoid close contact (within about 6 feet, or 2 meters) with anyone who is sick or has symptoms.( Keep in mind some people may have COVID-2019 and spread it to others, even if they don't have symptoms or don't know they have COVID-2019.)
- Avoid crowds and indoor places that have poor
ventilation.
- Wash your hands often with soap and water
for at least 20 seconds, or use an alcohol-based hand sanitizer that contains
at least 60% alcohol.
- Cover your face with a cloth face mask in
public spaces, such as the grocery store, where it's difficult to avoid close
contact with others. Surgical masks may be used if available. N95 respirators
should be reserved for health care providers.
- Avoid touching your eyes, nose and mouth.
- Avoid sharing dishes, glasses, towels,
bedding and other household items if you're sick.
- Clean and disinfect high-touch surfaces,
such as doorknobs, light switches, electronics and counters, daily.
- Stay home from work, school and public areas
if you're sick, unless you're going to get medical care. Avoid public
transportation, taxis and ride-sharing if you're sick.
DIAGNOSIS:
The main
part is Diagnosis:
First we
need to find days of infection.
Patient
comes with Group of symptoms:
On the very
first;
- Look at the patient and take data of
symptoms (when it starts, how it starts, how it goes, from how many days, what
treatment you took)
- Look at the Fever Level (if present)
- Rapid Antigen Test- sometimes result is
negative but repeat after 72hour
- RT-PCR test: sometimes result is negative in
early days (best time 4 to 8 days)
- Blood Examination: CBC, CRP, LDH
CBC will
guide you to Disease by showing result of Hb, WBC, RBC, LYMPHOCYTES,
NEUTROPHILS, MP
CRP will
guide you to Inflammation
LDH will
guide you to get hints of Covid-2019 infection reached to LUNGS or Not
- Look on Oxygen Level(SPO2) to get hint of
Disease severity
After
Getting Positive in Antigen/RT-PCR/ CT-scan:
RT-PCR:
It is
between 15to20: more viral load
It is
between 20to25: moderate Viral load
It is
between 25to33: less viral load
CT-Scan:
Consolidation:
Present/Absent
Days of
Infection:
Early
Changes: 0-4 days
Progressive
Stage: 5-8 days
Peak stage:
9-14Days
Resolve
stage: >14days
CT severity
score:
If it is
more than 19/25, it might get serious
CT score:
DAYS WISE DIAGNOSIS:
2-5 Days:
CBC, CRP, LDH (Elder age case), ANTIGEN TEST
6-9 Days:
CBC, CRP, LDH, RT-PCR (Mostly Get Positive), CT-Scan (5-7Days most advisable)
9-12 Days:
CBC, CRP, LDH, D-Dimer, FERRITIN, IL6 (in severe Case)
CLINICAL
EXPERIENCE:
1. People have Mild Symptoms in young age, no
need of treatment, gets cured by ownself due to body’s reaction to get void of
virus between 4-8days after infection
2. People have Relapsing High fever or Continues
High Fever (>102F) starts treatment as soon as possible – Anti-inflammatory
Medicine ( ACON, BELLA, BRYONIA, FERRUM PHOS, FERRUM MET, LACHESIS, PHOS,
IGNATIA, KALI MUR, PULSATILLA, SEPIA, LYCOPODIUM, HEPAR SULPH) in higher
potency as per symptoms totality
3. People have many symptoms, starts proper
treatment on the basis of totality
4. In early days of infection, medicines used as
per experience (ACON, BELLA, NUX VOMICA, BRYONIA, GELS, FERRUM PHOS, CAMPHORA, PHOS, MERC, IGNATIA, KALI MUR)
5. In progressive stage (after 5-6days),
medicines used (BELLA, NUX, BRYONIA, LACHESIS, KALI MUR, LYCOPODIUM, MERC,
ANTIM TART, PHOS, PULSA, SEPIA, CHELIDONIUM)
6. In peak stage (after 8-9days), medicines used
(PHOS ACID, MURIATIC ACID, KALI MUR, ANTIM ARS, LYCOPODIUM, LACHESIS, PHOS,
VERETRUM VIRIDI, TABACUM, CAMPHORA, CARBO VEG, CROT HORRIDUS, SULPH,
CHELIDONIUM)
7. Some life saving medicines – SULPH, TABACUM,
CAMPHORA, CARBO VEG, CROTALUS HORRIDUS, ANTIM ARS, IPECA, LOBALIA, ASPIDOSPERMA,
BALSAMUM PERU, BACILLINUM, PYROGEN
8. In continue fever cases- sometime one dose of
SULPH/PYROGEN helps to reduce/break the paroxysm of fever
HOMOEOPATHIC
MEDICINES FOR TREATMENT OF COVID POSITIVE PATIENT:
1. ACONITE:
- In pulmonary congestions, 1st stage of
pneumonia. Symptoms are high fever, distinct chill, pulse- small, full, hard
& tense.
- History of exposure to cold winds.
- Skin hot, dry; hard teasing and painful dry
cough. Cough, dry, short, hacking; worse at night and after midnight.
- Hot feeling in lungs.
- Expectoration is watery, serous and frothy,
may blood tinged.
- Restless tossing about, anxiety and fear of
death.
- Forebodings and fears. Fears death but
believes that he will soon die; predicts the day.
2. GELSEMIUM:
- It acts upon the nervous system, causing
various degrees of motor paralysis.
- General prostration with Muscular weakness.
Dizziness, drowsiness, dullness, and trembling is present along with Slow
pulse, tired feeling, mental apathy.
- Complete relaxation and prostration of whole
muscular system with entire motor paralysis.
- Desire to be quiet, to be let alone; does
not wish to speak or have any one near her, even if the person be silent.
- Lack of muscular co-ordination; confused;
muscles refuse to obey the will.
- The heart is feeble and the pulse is feeble,
soft and irregular.
- There is palpitation during the febrile
state. Palpitation, with weakness and irregularity of the pulse.
3. ARSENIC ALB:
- It includes exhaustion, and restlessness,
with nightly aggravation, are most important.
- Great exhaustion after the slightest
exertion. This, with the peculiar
irritability of fiber, gives the characteristic irritable weakness.
- There is Great prostration, with rapid
sinking of the vital force with mental restlessness, but physically too weak to
move; cannot rest in any place: changing places continually; fear of death;
thinks it useless to take medicine, is incurable, is surely going to die.
- The surface of the body is pale, cold,
clammy, and sweating, and the aspect is cadaveric. Anxiety, restlessness,
prostration, burning and cadaveric odors are prominent characteristics.
4. FERRUM PHOS:
- 1st stage of inflammation before exudation
takes place.
- Expectoration is thin watery and blood
streaked.
- Violent congestion of lungs- whether at
onset of disease or during its course.
- Thus it corresponds to secondary pneumonia
in the aged and debilitated.
- High fever oppressed and hurried breathing
and bloody expectoration.
- Little thirst.
5. IODUM:
- 1st & 2nd stage of pneumonia, croupous
form.
- High fever and thirst less.
- Rapid tendency for hepatization.
- Cough and dyspnoea as if chest would not
expand.
- Sputum blood streaked.
- Iod 1x-3x arrests process of hepatization if
given.
6. BRYONIA:
- Fever present; sharp, stitching pleuritic
pains.
- Cough is hard and dry.
- Sputum is scanty and rust colored.
- Tongue is dry.
- Patient wants to keep perfectly quiet.
- Right sided remedy.
- Pain in chest worse by motion, breathing and
relieved by lying on right or painful side.
- For pneumonia complicated by pleurisy.
7. PHOSPHORUS:
- Follows Bry and is complimentary.
- Lungs are hepatized.
- Cough with pain under sternum; mucus rales.
- Sputa is yellowish mucus with blood streaks
or rust colored.
- Longing for cold water to drink
8. HEPAR SULPH:
- After phos. as the exudates begins to
soften.
- Cough after exposure to dry cold wind,
rattling of mucus,<by cold air or drinks.
- Cough when any part of body is uncovered.
Patient has to sit up and bend back in asthma.
- Throat symptoms are most marked in early
infection: When swallowing, sensation as if a plug and of a splinter in throat.
Hawking up of mucus. Stitches in throat extending to the ear when swallowing.
- Longing for acids, wine, and strong-tasting
food.
- Cough excited whenever any part of the body
gets cold or uncovered, or from eating anything cold.
9. ANTIM TART:
- There is much drowsiness, debility and sweat
- Rattling of mucus with little expectoration
has been a guiding symptom.
- Cropping up late in a pneumonia, you do not
usually get them in the early stages, and by the time the patients have gone on
to an Antimony tart.
- State they are seriously ill.
- The appearance of these patients is
suggestive, they are pale, they have a pincked look, rather a bluish coloration
of the skin, and they are covered with a cold sweat.
- Owing to the extensive chest involvement you
will find the alae nasi flapping and with the obvious effort to get as much air
in as possible all the muscles down the side of the neck are standing out and
the patient is struggling for breath. The lips in typical Antimony tart.
- The lips may tend to become paler, and in
any case they are usually very dry.
- As a rule there is a very thick coating to
the tongue; it is a horrible, pasty, white coating, and the tongue looks just
as if it had been painted with white enamel. In a few cases you may find a
somewhat brown coat, which is very dry, but that is exceptional. The
outstanding point is that, in spite of the dryness of the lips and tongue,
these Antimony tart. patients are completely thirstless.
- Coughing and gaping consecutively.
- Cough excited by eating, with pain in chest
and larynx.
- Bronchial tubes overloaded with mucus.
10. ANTIM ARS:
- Pleurisy, especially of left side, with
exudation and pericarditis, with effusion.
- Aggravation from eating and lying down
- Secretion of much mucous with cough and
dyspnoea.
- Threatening asphyxia.
11. CARBO VEG:
- Whole picture of patient is like Antim Tart
but in Carbo veg. case there is less cyanosis of the extremities, which are
more likely to be pale and covered with an icy, cold sweat.
- Carbo veg. patients say that they have an
intense air hunger, and yet they feel frightfully cold, whereas there is none
of that feeling of frightful coldness in the Antimony tart. patients.
- The lips tend to be purplish and somewhat
swollen.
- A dirty, yellowish-brown, very dry tongue.
- Patient wants sips of cold water, and very
often complains of a very unpleasant, foul taste in the mouth.
- Cough with itching in larynx; spasmodic with
gagging and vomiting of mucus.
- Deep, rough voice, failing on slight
exertion.
- Occasional spells of long coughing attacks.
- Cough, with burning in chest; worse in
evening, in open air, after eating and talking.
- Spasmodic cough, bluish face, offensive
expectoration, neglected pneumonia.
- Haemorrhage from lungs.
- Breath cold; must be fanned.
- Definite extensive areas of consolidation,
and rather less generalized bubbling in the chest.
- Extreme exhaustion.
- A feeling of distension, fullness and
flatulence
12. LACHESIS:
- Throat- Sore, worse left side, swallowing
liquids.
- Dry, intensely swollen, externally and
internally.
- Feeling as if something was swollen which
must be swallowed; worse, swallowing saliva or liquids. Pain into ear. Collar
and neck-band must be very loose.
- Lachesis is very similar to Baptisia and
Pyrogen. I think in the majority of cases you will find your Lachesis
pneumonias cropping up later in the winter or in the early spring
- Often find them cropping up just at the end
of a cold spell when the weather is beginning to get warmer
- the extremely toxic, fuddled, maudlin,
drunken sort of patient.
- They are rather heavy looking, with a
mottled, cyanotic appearance, a very puffy-looking face, and puffy,
swollen-looking, cyanotic lips.
- These Lachesis patients have great
difficulty in coughing, they have a horrible feeling of suffocation, they have
great difficulty in breathing, and they are simply terrified to lie down.
- Feels he must take a deep breath.
- respiratory distress these patients always
have a horrible choking sensation, a feeling of tightness round their throat,
and they cannot bear to have the blankets up round their neck as they feel they
would strangle if they did.
13. VERATRUM VIRIDI:
- Sudden and intense congestion and
inflammation of the lungs, as will the Veratrum viride.
- Congestive stage and early manifestations of
hepatization in pneumonia.
- Zigzag temperature.
- Quarrelsome and delirious.
- Face flushed.
- Thirsty.
- Hyperthermy in the evening and hypothermy in
the morning.
- Intense congestion in lung and a large
number of the capillary vessels ruptured.
- Veratrum viride will cure pneumonia during
the first, or congestive stage, and here it resembles Aconite.
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DR MAYUR MODI
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