Connection between Shoulder Pain and Myocardial Infarction

The answer is a definite maybe.

We know about the connection between left arm pain and heart attacks, but according to my (Dr. Qaisar Ahmed) experience, there is a solid chance that left shoulder pain is connected too, because I noticed that the more of the risk factors a patient have for a heart attack, the more likely he/she, are to have severe shoulder problems.

Causes of Myocardial Infarction

Atherosclerosis

Atherosclerosis is a gradual process by which plaques (collections) of cholesterol are deposited in the walls of arteries. Cholesterol plaques cause the hardening of the arterial walls and narrowing of the inner channel (lumen) of the artery.

Atherosclerosis and angina pectoris

Angina pectoris (also referred to as angina) is chest pain or pressure that occurs when the blood and oxygen supply to the heart muscle cannot keep up with the needs of the muscle. When coronary arteries are narrowed by more than 50 to 70 percent, the arteries may not be able to increase the supply of blood to the heart muscle during exercise or other periods of high demand for oxygen. An insufficient supply of oxygen to the heart muscle causes angina. Angina that occurs with exercise or exertion is called exertional angina. In some patients, especially in patients with diabetes, the progressive decrease in blood flow to the heart may occur without any pain or with just shortness of breath or unusually early fatigue.

Atherosclerosis and heart attack

Occasionally the surface of a cholesterol plaque in a coronary artery may rupture, and a blood clot forms on the surface of the plaque. The clot blocks the flow of blood through the artery and results in a heart attack (see picture below). The cause of rupture that leads to the formation of a clot is largely unknown, but contributing factors may include tobaccos smoking or other nicotine exposure, elevated low-density lipoprotein (LDL) cholesterol, elevated levels of blood catecholamines (adrenaline), high blood pressure, and other mechanical and biochemical stimuli.

Unlike exertional or rest angina, heart muscle dies during a heart attack and loss of the muscle is permanent, unless blood flow can be promptly restored, usually within one to six hours.

Symptoms of Myocardial Infarction in Women

Symptoms Accompanying Shoulder Pain and, now that we know that there is a possibility of heart attacks being connected with shoulder injuries, let know about some types of pains:

1. Squeezing pain

One of the most common symptoms of a heart attack is a tightness or squeezing pain. This is usually felt in chest but can also be felt in left arm and radiate into shoulders and back.

2. Concentrated chest pain

Stabbing pains towards the center of the chest are also a good indicator of a heart attack. This may be by themselves or during a coughing episode.

3. Panic attack

The sudden onslaught of a panic attack, especially if they are not regular to a person, may be a sign he/she is having a heart attack.

4. Pain in the left shoulder

Patient may feel pain in his/her left shoulder due to the proximity of the heart to it.

5. Shortness of breath

Usually a precursor to chest pains, person can suddenly feel a tightening in his/her chest and a lack of breath.

6. Nausea

An oncoming heart attack can cause one to feel nausea and light-headed. It’s also not unusual for it to cause stomach pain and upset stomach and even lower abdominal pain and in men sometimes pain in testicles.

P.S: All myocardial pains have Burning sensation in it. (Dr. Qaisar Ahmed MD, DHMS), and Heart palpitations at night can be a pretty scary experience.

Do Not Fool around with Potential Heart Attacks

In early 80s doctors didn’t know how to treat cardiac patients, by the time it had been figured out that abnormal triglyceride levels have long been linked to heart disease and atherosclerosis (plaque buildup inside arteries). In 80s we didn’t know if they were independently related to stroke risk in people.

This is especially vital for postmenopausal women. Elevated triglyceride levels can be triggered by genetic factors or behavioral habits, but can be successfully treated with medication especially Homoeopathic, and dietary and lifestyle changes avoid smoking, drinking alcohol, drink/take liquids/juices as much as you can, and exercising daily.

Thankfully, heart palpitations aren’t always a direct result of a major cardiac condition, just because your heart may momentarily speed up, skip a beat, or flutter, doesn’t mean that you’ve just suffered a heart attack or that one is imminent.

Only sometimes will a heart palpitation indicate a regular problem with arrhythmia (irregular heartbeat) that needs treatment. In fact, most people with regular arrhythmias caused by conditions like tachycardia, atrial fibrillation and more, report palpitations at a relatively low rate.

Here are some Causes of Heart Palpitations at Night 

Heart palpitations don’t always indicate a major issue, but they shouldn’t be taken lightly. Sometimes causes of a rapid heartbeat during sleep could be the result of a specific type of diagnosable arrhythmia for example:

1. Supraventricular Arrhythmia

This condition causes heart to beat very quickly and erratically. It originates above the ventricles (the lower chambers of the heart) and can induce symptoms like a racing pulse and dizziness.

2. Atrial Fibrillation

Atrial fibrillation is the most common type of arrhythmia, it can cause a rapid and erratic heartbeat that has the potential to interfere with blood flow to the ventricles. It can lead to a stroke and may show no symptoms.

In some cases, symptoms like chest pain, palpitations, and shortness of breath can appear.

3. Ventricular Tachycardia

This type is a rapid heartbeat that originates in the ventricles. In cases associated with structural heart disease, it may cause a loss of consciousness, cardiac arrest, or sudden death.

Other heart conditions that are tied to palpitations include:

• Previous heart attack(s).
• Coronary artery disease.
• Heart failure.
• Heart valve problems.
• Heart muscle problems.

Causes of Heart Palpitations at Night Not Related to Heart Problems

These potential causes of a rapid heartbeat during sleep may include:

• Overexertion (big workout during the day, sex before falling asleep, etc).
• General stress.
• Caffeine.
• Tobacco.
• Diet pills.
• Alcohol.
• Overactive thyroid.
• Hormonal changes associated with menstruation, pregnancy, or menopause.
• Low blood pressure.
• Low blood sugar.
• Body’s response to various allopathic medications like cold medicines, asthma drugs, or thyroid pills.
• Anemia.
• Fever.
• Dehydration (electrolyte imbalances can influence heart rhythm).

It’s also possible to experience heart palpitations after eating a big meal heavy in carbohydrates, sugar, or fat. To limit the risk, eat slowly, reduce portion size, and limit intake of processed and fried foods.

When to See a doctor?

If you’re experiencing these symptoms alongside the palpitations, immediately contact your doctor:

• Lost alertness/consciousness.
• Chest pain.
• Shortness of breath.
• Unexplained sweating.
• Dizziness/lightheadedness.
• feeling more than six extra heartbeats per minute and coming in groups of three or more.
• If you have risk factors for heart disease like high cholesterol, high blood pressure, or diabetes.
• Pulse is higher than 100 BPM without stimulus like exertion, fever, or anxiety.
• The palpitations feel different than usual.

Myocardial Infarction in Women or Heart Attack in Women

Women experience heart attacks quite differently from men this is why a heart attack is known as the silent killer.  Symptoms in women could be:

1. Back, Neck, Jaw, or Arm Pain

A more common symptom in women than men is a sudden or gradual pain in the back, neck, jaw, or arm. It can radiate between these regions or be concentrated in one or more sections. It intensifies such that if asleep.

2. Cold Sweat

Breaking out in a cold sweat is often overlooked as a symptom of being overheated or the beginning of the flu. The distinguishing factor is the awareness of it being stress-related as opposed to perspiration.

3. Shortness of Breath, Lightheadedness, or Nausea

This particular symptom is common in men and women with women not experiencing chest pain in association with the shortness of breath.

More than 42% had shortness of breath as a symptom one month before the event. This sudden disruption in breathing can happen without any physical efforts of any kind.

4. Chest Pressure or Discomfort

It can feel like a vise crushing a section of your chest. Although it can happen in both men and women, women tend to have this sense of pressure anywhere in the chest, neck, abdomen etc not only on the left side. The pain can last for a few minutes and can reoccur.

5. Stomach Pain

The pain we experience when ill with the flu, ulcer, or even heartburn is similar to the pain associated with a heart attack. Located in the stomach region, the sensation may be a deep pain or an uncomfortable pressure in the pit of the stomach.

6. Fatigue

Experiencing an overwhelming feeling of being exhausted or tired was found to be one common symptom in the aforementioned survivor study. Nearly 71% reported fatigue was present for more than one month leading up to the incident.

One half of the study group also expressed sleep troubles during this time.

Myocardial Infarction in Women in Women Over 50

Women experiencing menopause are at a higher risk for heart attacks. Menopause causes various changes in their bodies including a reduction in estrogen hormone levels, which protect their heart.

The heart attack signs in women I explained are for women of all ages; however, menopausal and postmenopausal women need to be aware of additional and enhanced symptoms for example:

• Pain or discomfort in arms, stomach, back, neck or jaw.
• Severe chest pain.
• Rapid or irregular heartbeat.
• Profuse sweating.

Myocardial infarction or Heart attack Risk Factors for Women

Women have a tendency to be at a higher risk than men with the following disorders and lifestyle choices:

• Smoking.
• Diabetes.
• Depression.
• Inflammatory disease.
• Metabolic syndrome.
• Inactivity.
• Menopause.
• Complications during pregnancy.
• Stress.

Women also can suffer from the temporary condition, broken heart syndrome. Caused by stress, this temporary disorder can result in a failure of the heart muscle and is more common in postmenopausal women.

Complications of Myocardial Infarction or heart attack

Heart failure

When a large amount of heart muscle dies, the ability of the heart to pump blood to the rest of the body is diminished, and this can result in heart failure. The body retains fluid, and organs, for example, the kidneys, begin to fail.

Ventricular fibrillation

Injury to the heart muscle also can lead to ventricular fibrillation. Ventricular fibrillation occurs when the normal, regular, electrical activation of heart muscle contraction is replaced by chaotic electrical activity that causes the heart to stop beating and pumping blood to the brain and other parts of the body. Permanent brain damage and death can occur unless the flow of blood to the brain is restored within five minutes.

When there is severe chest pain, a suspicion that a heart attack is occurring usually is high, and tests can be performed quickly that will confirm the heart attack. A problem arises, however, when the symptoms of a heart attack do not include chest pain. A heart attack may not be suspected, and the appropriate tests may not be performed. Therefore, the initial step in diagnosing a heart attack is to be suspicious that one has occurred so that the appropriate tests can be done.

• Electrocardiogram. An electrocardiogram (ECG) is a recording of the electrical activity of the heart. Abnormalities in electrical activity usually occur with heart attacks and can identify the areas of the heart muscle that are deprived of oxygen and/or areas of muscle that have died. In a patient with typical symptoms of heart attack (such as crushing chest pain) and characteristic changes of a heart attack on the ECG, a secure diagnosis of heart attack can be made quickly in the emergency room and treatment can be started immediately. If a patient’s symptoms are vague or atypical and if there are pre-existing ECG abnormalities, for example, from old heart attacks or abnormal electrical patterns that make interpretation of the ECG difficult, the diagnosis of a heart attack may be less secure. In these patients, the diagnosis can be made only hours later through blood tests.
• Blood tests. Cardiac enzymes are proteins that are released into the blood by dying heart muscles. These cardiac enzymes are creatine phosphokinase (CPK), special sub-fractions of CPK (specifically, the MB fraction of CPK), and troponin, and their levels can be measured in blood. These cardiac enzymes typically are elevated in the blood several hours after the onset of a heart attack. Currently, troponin levels are considered the preferred lab tests to use to help diagnose a heart attack, as they are indicators of cardiac muscle injury or death. A series of blood tests for the enzymes performed over a 24-hour period are useful not only in confirming the diagnosis of heart attack, but the changes in their levels over time also correlate with the amount of heart muscle that has died.

The most important factor in diagnosing and treating a heart attack is prompt medical attention. Rapid evaluation allows early treatment of potentially life-threatening abnormal rhythms such as ventricular fibrillation and allows early reperfusion (return of blood flow to the heart muscle) by procedures that unclog the blocked coronary arteries. The more rapidly blood flow is reestablished, the more heart muscle that is saved.

At this time, mechanical reperfusion with angioplasty and/or stenting to increase the flow of blood to the heart is the preferred way to preserve heart muscle if it can be performed within 90 minutes of arrival at the hospital; if there will be a delay, thrombolytic agents (clot busters) are preferred.

Large and active medical centers often have a “chest pain unit” where patients suspected of having heart attacks are rapidly evaluated. If a heart attack is diagnosed, prompt therapy is initiated. If the diagnosis of heart attack is initially unclear, the patient is placed under continuous monitoring until the results of further testing are available.

The treatment of a heart attack is summarized as follows:

After menopause, the production of estrogen by the ovaries gradually diminishes over several years. Along with this reduction, there is an increase in LDL (“bad” cholesterol) and a small decrease in HDL (“good” cholesterol). These changes in lipid levels are believed to be one of the reasons for the increased risks of developing CAD after menopause. Women who have had their ovaries surgically removed (oophorectomy) or experience early menopause, also have an accelerated risk of CAD.

Since treatment with estrogen hormone results in higher HDL and lower LDL cholesterol levels, doctors thought for many years that estrogen would protect women against CAD (as well protect against dementia and stroke). Many studies have found that postmenopausal women who take estrogen have lower CAD rates than women who do not.

Ideally, transport patient to a PCI capable hospital; if not PCI capable, transfer patient as soon as possible and less than 120 min; if the anticipated transfer is more than 120 min, give fibrinolytic agent within 30 min of arrival.

Send to the Cath lab.

Diagnostic angiogram.

PCI (Percutaneous Coronary Intervention) also termed stenting or stent placement.

If an occlusion occurs or perfusion fails in a patient given a fibrinolytic, arrange transfer to a PCI capable facility; for other patients treated with a fibrinolytic, transfer to a PCI facility within about 3-24hrs.

Homeopathic treatment for Myocardial Infarction or heart attack

Homeopathy is a veery vast field and has many good medicines for myocardial infarction, very few of them are:

Cactus Grandiflorus

Clinical: Aneurism. Angina pectoris. Aortic valve stenosis. Apoplexy. Blood clots. Asthma. Bladder paralysis. Brain congestion. Bronchitis. Diaphragm rheumatism. Dropsies. Ear inflammation. Fistula. Goiter, exophthalmic. Hematuria. Hemorrhages. Headache. Heart affections; cardiac hypertrophy. Indigestion. Intermittent fevers. Lungs, hemorrhage from. Melancholy. Menstruation, painful. Miliaria. Neuralgia. Otitis. Ovaritis. Pneumonia. Prostate. Rheumatism. Heat stroke, Sunstroke. Traumatic fever. Vaginismus.

Feeling of warmth about throat and chest. Constriction of esophagus, Constriction of throat exciting a constant desire to swallow. Suffocative constriction at throat with full, throbbing carotids. Scraping sensation at soft palate.

Difficulty of breathing; attacks of suffocation with fainting. Chronic bronchitis, with rattling of mucus.  Chest pricking pain with oppressed respiration (pneumonia). Oppression of breathing in going upstairs. Periodical suffocation, with fainting, and sweat on face and loss of pulse. Hemoptysis, with convulsive cough. Sharp pains shooting from body to back and up into chest, with sensation of rush of blood to chest (rheumatism of diaphragm).

Cardiac pain with jerking body, frequently repeated. Pricking and stitches in the heart. Tachycardia, palpitation in small irregular beats (at times frequent, at others slow). Pains in apex of heart, shooting down left arm to ends of fingers; feeble pulse; dyspnea. Endocardial murmurs; excessive impulse; increased precordial dullness; enlarged ventricle. Oedema of left hand only. Aneurism. Atheromatous arteries.

Oedema of the feet. General weakness and prostration of strength. Hemorrhages: from nose; lungs; rectum; bladder; stomach.

Constriction of neck of bladder. Irritation in urethra, as if pyuria. Urine passes by drops, micturition, urine of a straw color. urine with sediments of red sand. Hematuria: urination prevented by clots.

Constipation; stool hard and black. Diarrhea, watery, mucous, bilious (in forenoon). Sensation of great weight (in anus), and urging to evacuate a great quantity, but nothing passes. Copious hemorrhage with bowels. Rectal itching. Fluent hemorrhoids. Fissure and/or Fistula with violent tachycardia.

Crataegus oxyacantha

Clinical. Chronic heart disease, with extreme weakness. Aortic valve stenosis.  Endocarditis. Very feeble and irregular heart action. General anasarca. Very nervous, with pain in back of head and neck. Collapse of typhoid. Hemorrhage from bowels. Cold extremities, pallor; irregular pulse and breathing. Painful sensation of pressure in left side of chest below the clavicle. Dyspepsia and nervous prostration, with heart failure. In the beginning of heart mischief after rheumatism. Arteriosclerosis. Said to have a solvent power upon crustaceous and calcareous deposits in arteries. Angina pectoris.  Cardiac hypertrophy. Faintness and collapse, valvular disease. Hypertrophy from overexertion; from alcoholic, venereal and other excesses. Heart collapse in typhoid.

Cardiac dropsy. Fatty degeneration. Aortic disease. Extreme dyspnea on least exertion, without much increase of pulse. Pain in region of heart and under left clavicle. Heart muscles seem flabby, worn out. Cough (cardia cough). First cardiac sound weak. Pulse accelerated, irregular, feeble, intermittent. Valvular murmurs. Cutaneous chilliness, cyanosis; all these symptoms aggravated by exertion or excitement. Sustains heart in infectious diseases.

Excessive perspiration. Skin eruptions. Insomnia of aortic patients.

Glonoinum (Nitroglycerin)

Angina pectoris. Endocarditis. Aphasia. Apoplexy. Aortic valve stenosis. Brain congestion. Bright’s disease. Convulsions. Epilepsy. Epistaxis. Fright effects. Goiter. Headache. Heart, affections of; Tachycardia; jarring effects. Mania. Meningitis. Menses suppressed. Neuralgia. Paralysis. Rheumatism. Sciatica. Seasickness. Snow headache. Sun headache. Sunstroke. Toothache. Trauma. Inclination to deep respiration. Sighing. Constriction and oppression of the chest with headache.

Tachycardia with heat in the face, accelerated pulse and pulsation of the carotid arteries, distinct pulsation over the whole body. In the heart sensation of fulness, heaviness, and heat, with labored beating of the heart. Pulse accelerated; rises and falls alternately; low and feeble in sunstroke. Severe stitches from the heart, extending into the back. Purring cardiac sounds when lying.

Increased secretion of pale (albuminous) urine; nocturnal polyuria and must pass large quantities of albuminous urine. Tubal nephritis, with headache, brought on by walking in the sun; numbness in arms and hands alternating with intense tingling.

Diarrheic stools with rumbling, sharp burning and discharges of flatus, beginning in the morning and lasting all day. Diarrhea; copious, loose, blackish, lumpy stools.

Constipation and hemorrhoids which itched and pained. At an unaccustomed time, a hard and unusual stool; pinching in abdomen before and after stools.

Fainting with consciousness. Great weakness and prostration. Unconscious falling down (low brain blood circulation). Painless throbbing in the whole body. Pulsations, tingling, thrills, and a peculiar sensation of warmth through the body, extending from above downward. Fingers are spread apart and stretched out. Seeming plethora, rapid deviations in distributions of blood.

Yawning with headache, congestion of blood to the head. Insomnia but is difficult to waken.

Pulse accelerated, irregular, intermitting, full and hard, small and rapid. Chill: after getting heated; alternates with sweat; with vomiting; head as if screwed up; intermittent fever. Heat especially in face, ascending from pit of stomach to head. Perspiration principally in the face, forehead, chest and after sleeping. Perspiration relieves the nausea.

Naja Tripudians

Angina pectoris. Endocarditis. Asthma. Dysmenia. Aortic valve stenosis. Hay-fever. Headache. Cardiac diseases.  spasmodic esophagus, Ovaries affections. Plague. Spinal irritation (of nucha). Throat infections (especially staphylococcus).

Uneasiness and dull, heavy pain in chest, pains are like hot iron rod. Lancinating pains feels better on deep inspiration. Asthmatic constriction of chest; cannot expand lungs; followed by mucous expectoration. Cannot cough for the stabbing. Tenderness over sternum and in throat. Feeling of depression and uneasiness about heart.

Fluttering and palpitation of heart. Loud audible beating. Pulse slow and irregular in rhythm and force; weak and thready, scarcely perceptible. Action only recognized by pushing hand up behind sternum, then felt only a faint thrill resembling the cardiac thrill felt in the same way on a newborn infant.

Pulse rapid; and full; 120, some beats tolerably full and strong, afterwards 32, irregular in rhythm and force, some of the beats full and bounding. Cutting and aching in nape. Rheumatic pains in neck and back. Pain between the shoulders.

Creeping, itching, and tingling sensation on the skin. Skin swelled, mottled, and of dark purple/cyanotic, livid color. Large pimples on inflamed base. Small white blisters on inflamed base, with much itching. Gangrene. Boil-like swelling. Painful chilblains on feet.

Pimple: on upper lip; on left ala nasi; on inflamed base, on tip of nose, nose sore in consequence; painful on brow. White itching blisters on inflamed base, on neck and body.

Body cold and collapsed. Extremities very cold; icy coldness. Burning heat in face. Free perspiration. Heat but refuses water; heat with prostration; with discomfort, dry lips, and tender, hot mouth. Head hot; and full of blood. Burning of ear. Flushes of heat in face at different times of day; flushes in face, hands, palms sweating, general sweating.

Sudden urging to stool. Bilious diarrhea. Constipation. Feeling of a large stool which when voided was small bilious (slimy, white or green). Heat in anal region with itching smarting.

Uneasiness and pressure in bladder. Urine deposits red sediment, mixed with mucus. Urine of deep straw color.

Digitalis

Clinical: Amaurosis. Angina pectoris. Aortic valve stenosis. Asthma. Bright’s disease. Cyanosis. Delirium tremens. Dropsy. Fever. Gonorrhea. Headache. Heart, affections of. Hydrocele. Hydrocephalus. Impotence. Jaundice. Lungs, congestion of. Memory lost. Meningitis. Noises in head. Paraphimosis. Prostate, enlarged. Ptyalism. Spermatorrhea. Toothache. Urinary disorders. Vision, disorders of.

Hoarseness (in the morning after a night sweat). Hollow, spasmodic cough, from roughness and scraping in the throat. Smarting in the chest on coughing. Cough worse at midnight and during the morning hours. The cough is caused by talking, walking, drinking anything cold, when bending the body forward. Troublesome choking sensation with cough.

Sensation of soreness in the chest. Respiration painfully restricted, especially at night, when lying down, or in the day, when walking, or seated. In the morning, suffocating constriction of the chest, forcing the patient to rise up in the bed. Asthmatic sufferings as from hydrothorax. Pressure on the chest from keeping the body bent. Tension in the chest, with necessity to breathe deeply. Contractive pain in the chest, when sitting with the body bent. Smarting in the chest. Sensation of weakness in the chest, proceeding from the stomach. Congestion in the chest. Shuddering at the mammae.

Tachycardia with palpitations that can be heard (with slow pulse), anguish, and contraction in the sternum. On rising up in bed pulse becomes much more frequent and irregular and intermittent, confusion of heart, sudden sensation as though heart stood still, with great anxiety and necessity for holding breath, after dinner; must keep perfectly still. Aortic valve stenosis.

Peculiar sensation as though heart standing still; single, violent, slow heartbeats, with sudden violent heat in occiput, and transient unconsciousness (the whole lasting only a moment). Shifting pains in heart. Oppression must breathe deeper. Heart’s action has lost its force; beats more frequent, intermittent, irregular. Palpitation easily excited on going up slight ascent. Heart seems to dilate slowly; palpitation at each movement of body; slight uneasiness at heart, cold sweats. Constant pain or anguish at heart, with palpitation accompanied by sinking sensation, face purple; fainting, believes he/she is dying; dizziness ringing in ears; sharp pain in left shoulder and left arm, tingling in arm and fingers; paroxysms come sometimes at night, with suffocation, wakes up in anguish; terrifying dreams.

Heart so weak that even sitting up in bed has caused fatal syncope. Attacks of angina brought on by any slight careless movement, especially of arms in an upward direction; inexpressible anxiety with fainting; for a moment heart seems to stand still, and then several rapid and violent pulsations occur, with sensation as if heart had torn itself loose and were swaying to and fro by a thin thread.

Rauwolfia

Rauwolfia or ‘” Choti Chandan (in Sindh – Pakistan) or Sarpa Gandha”, alkaloids work by controlling nerve impulses along certain nerve pathways. As a result, they act on the heart and blood vessels to lower blood pressure.

Rauwolfia q due to its sedative action helps reduce high blood pressure including insanity-produced irritation of the central nervous system and alleviates its associated symptoms such as irregular beats, increased emotional excitability, and mild depression. Rauwolfia serpentina q is also used as a laxative, diuretic, and antidote to snake venom and helps during delivery to stimulate the uterine contractions and promote the expulsion of the fetus. It also helps to be used in the treatment of a person with some combination of hallucinations, delusions, and extremely disordered thinking and behavior that impairs daily functioning.

Kalmia latifolia

Clinical. Angina pectoris. Blindness. Bright’s disease. Dropsy. Dysmenorrhea. Gastralgia. Globus hystericus. Gout. Headache. Endocarditis, Cardiac diseases. Herpes zoster; neuralgia after. Keratitis.  Leucorrhea. Locomotor ataxia. Lumbago. Neuralgia. Paraplegia. Ptosis. Pregnancy, albuminuria of. Retinitis albuminuria. Rheumatism. Rumination. Scleroderma. Scleritis. Somnambulism. Sun-headaches/Heat stroke. Syphilitic sore throat. Tinnitus. Tobacco eaters/smokers. Vertigo. Vomiting.

Difficult and oppressed breathing; throat feels swollen, nausea. Oppressed breathing with palpitation, anxiety; with pain (angina pectoris).

Feverish heat with great pain in chest; Pain in chest as from a sprain. Shooting through chest above heart into shoulder-blade to left hand. Rheumatism of muscles of thorax and back.

Fluttering of heart. Tachycardia with anxiety, suppressed breathing; with faint feeling; with dyspnea, pain in limbs. Severe pain in cardiac region, slow, small pulse (hypertrophy, dilatation, aortic obstruction). Paroxysms of anguish about heart, dyspnea, febrile excitement; rheumatic endocarditis, with consequent hypertrophy and valvular disease. Wandering rheumatic pains in region of heart, Quickened but weak pulse. Pulse: slow, weak; arms feel weak; scarcely perceptible, limbs cold.

Muscles of neck sore to touch and on moving them. Constant pain in spine. Feeling of paralysis in sacrum. Aching in all joints.

Rheumatism often attacks heart, and generally goes from upper to lower parts; pains shift suddenly. Weariness in all muscles; shuns all exertion, can hardly go upstairs. Weary and giddy, with diarrhea. Weakness the only general symptom with neuralgia. Trembling, thrilling, strumming, with palpitation.

Sensation of rigidity of skin. Pricking sensation in skin, with moderate sweat. Dry skin. Erysipelatous inflamed eruption with oppressed breathing.

Febrile excitement. General heat; with burning and pain in back and loins. Cold sweat.

Stool like mush, easily discharged, as if glazed, followed by pressure on rectum. Diarrhea, with dullness, dizziness, weariness, nausea, and colic.

Frequent micturition of large quantities of yellow urine. Albuminuria: with pains in lower limbs; with dropsy, casts, triple phosphates, sallow complexion, skin very dry.

Arsenicum Album

Shortness of breath, difficulty of respiration, choking, dyspnea, and attack of suffocation, endocarditis, sometimes with cold sweat, spasmodic constriction of the chest or of the larynx, anguish, great weakness, body cold, pain in the pit of the stomach, and paroxysm of cough.

The sufferings occur chiefly in the evening in bed, or at night, when lying down; also in windy weather, in the fresh and cold air, or in the heat of a room, or when warmly clothed, on being fatigued, on being angry, on walking, on moving, and even on laughing.

Respiration anxious, stertorous, and wheezing. Oppression of the chest on coughing, on walking, and ongoing upstairs. Constriction and compression of the chest, sometimes with great anxiety, inability to speak, and fainting fits. Tension and pressure in the chest. Stitches and pressing in the sternum. Shooting pains in the chest and in the sternum. Chilliness or coldness in the chest. Shivering, or great heat and burning in the chest. Heat, burning, itching in the chest. Yellowish spots on the chest.

Violent and insupportable throbbing of the heart, chiefly when lying on the back. Irregular beatings (bradycardia) sometimes with anguish and cramps. Palpitation and trembling weakness after stool; must lie down. Palpitation after suppressed herpes or foot-sweat. Angina pectoris. Hydropericardium. Fatty degeneration.

Edematous, painless swellings of the neck and of the lower jaw. Tetters between the shoulder blades. Violent and burning pain in the back, powerfully aggravated by the touch.

Fever with great weakness, dropsical affections, pains in the regions of the liver and of the spleen. Frequent colliquative, or cold and viscid sweats; sweat at night, or in the evening on going to sleep, or in the morning on waking; partial sweat, chiefly on the face and legs. Perspiration cold, clammy, smelling sour or offensive.

Constipation, with frequent, but ineffectual inclination to evacuate. Tenesmus, with burning in the anus. Involuntary and unperceived evacuations. Violent diarrhea with frequent evacuations, nausea, vomiting, thirst, great weakness, colic, and tenesmus. Nocturnal diarrhea. Burning and corrosive evacuations; faeces with mucus, or bilious, sanguineous, serous, painless, involuntary – of greenish, yellowish, whitish color (bilious), or brownish and blackish (liver and/or spleen); fetid and putrid evacuations; evacuations of undigested substances (liver). Prolapsus of the rectum: with much pain. Itching, pain as from excoriation, and burning in the rectum and in the anus, as well as in the hemorrhoidal tumors, chiefly at night. Shootings in the hemorrhoidal tumors.

Retention of urine. Frequent inclination, nocturnal polyuria with abundant emission. Incontinence of urine which escapes almost involuntarily, even at night, in bed. Difficult and painful emission of urine. Scanty urine, of a deep yellow color. Urine aqueous, greenish, brownish, or turbid, with mucus-like sediment. Sanguineous urine.

Aconitum Napellus

Clinical: Blindness. Chill. Convulsions. Deafness. Dyspnea. Ears noises (tinnitus). Hemicrania. Hydrophobia. Landry’s paralysis. Liver enlargement. Neuralgia. Esophagus spasms. General Spasms. Spleen enlargement. Tetanus. Tongue affections. Trismus. Vomiting.

Short breathing, chiefly during sleep, and on getting up. Breathing painful, anxious, and attended with groans, rapid and superficial, or full, noisy, and with the mouth open. Breathing slow during sleep. Breath hot. Breath fetid. Constriction and anxious oppression of the chest, with difficulty of breathing.

Asthma of Millar. Attack of suffocation, with anxiety. Sensation of heaviness and of compression at the chest. Painful pricking in the chest, chiefly when breathing, coughing, and moving (even the arms). Stitches through the chest and side, esp. when breathing and coughing. Pickings in the side, with a lachrymose and plaintive humor, soothed, in some degree, by lying on the back. Pleurisy and pneumonia, especially with great heat, much thirst, dry cough and great nervous excitability, only somewhat relieved when lying on the back. Itching in the chest. Pains as of a bruise in the sternum and in the sides. Sensation of anguish in the chest, which interrupts respiration.

Palpitation of the heart, with great anxiety, heat of body, chiefly in the face, and great weariness in the limbs. Shootings in the region of the heart when moving or going upstairs. Sensation of compression and blows in the region of the heart. Inflammation of the heart. Chronic diseases of the heart, with continuous pressure in the left side of the chest, oppressed breathing when moving fast and ascending steps, stitches in the region of the heart, congestions to the head; attacks of fainting and tingling in the fingers. Fainting with tingling. Pulse full, strong, hard; slow, feeble; threadlike with anxiety; quick, hard, small.

Neck and back. Weakness and pain, as from a bruise in the nape of the neck. Pain, as if from a bruise, in the back and loins. Painful stiffness in the nape of the neck, the loins, and the hip joints, tingling, and of pricking in the back.

Suppression of urine, with pressure in the bladder and pains in the loins. A frequent desire to discharge urine. Flow of urine, with sweat, diarrhea, and colic. Involuntary urination (relaxed neck of the bladder). Enuresis, with thirst. Urine scanty, burning, deep red, and with a sediment of a brick color (arising from taking cold, especially in children); suppression from cold. Bloody sediment in the urine. Scanty, red, hot. Heat and tenesmus in the neck of the bladder.

Adonis Vernalis

A heart medicine, after rheumatism or influenza, or Bright’s disease, where the muscles of the heart are in stage of fatty degeneration, regulating the pulse and increasing the power of contractions of heart, with increased urinary secretions. Aortic valve stenosis. Most valuable in cardiac dropsy. Low vitality, with weak heart and slow, weak pulse. Hydrothorax, ascites. Anasarca.

Head: Feels light; aches across front, from occiput around temples to eyes. Vertigo on rising, turning head quickly or lying down. Tinnitus. Scalp feels tight. Eyes dilated.

Mouth: Slimy. Tongue dirty yellow, sore, feels scalded.

Heart: Mitral and aortic regurgitation. Chronic aortitis, Fatty heart pericarditis. Rheumatic Endocarditis. Precordial pain, palpitation, and dyspnea. Marked venous engorgement. Cardiac asthma. Fatty heart. Myocarditis, irregular cardiac action, constriction and vertigo. Pulse rapid, irregular.

Aspidosperma Quebracho

Clinical: Asthma, Cardiac asthma. Fever.

Characteristics. Quebracho is a Brazilian fever remedy from which the alkaloid Astido spermine has been isolated. Hale says Queb. produces in animals respiratory paralysis, slowed heart, and paralysis of extremities. It relieves dyspnea in phthisis and pleurisy, but without influencing the fever.

The 1x relieved asthma with livid face; and dyspnea with cyanosis is frequently relieved by it.

Hale gives these cases as relieved by it:

1) Mitral incompetence and stenosis with severe nocturnal dyspnea. Aortic valve stenosis.

2) Fatty heart (Queb. had no influence on the oedema, which was removed by Dig.). Jos. P. Cobb (quoted A. H., xxvii. 74) records a case of heart affection of some duration in a man, 24. There was some enlargement, especially of right side, much dyspnea, and a slight mitral murmur.

Following this were signs of emphysema and severe attacks of asthma. Râles were heard, and “pearls” of rounded gelatinous masses were expectorated. Aspidospermine 3x gave more relief than any other remedy.

Terminalia Arjuna

Cardiac asthma and bronchodilator. Aortic valve stenosis. An astringent, demulcent, expectorant, cardiotonic, styptic, antidysentery, urinary astringent, and has shown to be useful in fracture, ulcers, leukorrhea, diabetes, anemia, cardiomyopathy, endocarditis and cirrhosis. This homeopathic mother tincture can be used for improving cardiovascular health and it strengthens cardiac muscles and prevents any serious illness affecting it, anginal pain, hypertension, congestive heart failure, and dyslipidemia,

Helps in improving energy levels and reduces fatigue, reduces risk factors and has fewer side effects. Terminalia Arjuna is useful in both organic and functional diseases of the heart.

In fractures, pain all over the body owing to a fall and all sorts of ecchymosis.
Arjuna is also efficacious in spermatorrhea and gonorrhea.

Spigelia

Clinical: Adenoids. Amaurosis. Angina pectoris. Mitral valve stenosis. Ciliary neuralgia. Cold. Constipation. Depression of spirits. Diaphragm, stitches in. Exophthalmic goiter. Eyes pains. Gastric catarrh. Glaucoma. Headache. Cardiac diseases, Endocarditis. Hernia, inguinal. Iritis. Jaw-joint, pain in. Neuralgia. Otalgia. Post-nasal catarrh. Prostatorrhea. Pterygium. Rectum cancer. Rheumatism. Scarlatina. Sigmoid flexure cancer. Stammering. Strabismus. Tinnitus. Tobacco habit. Toothache. Worms.

Catarrh, with hoarseness, continual discharge of mucus from nose, dry heat without thirst, prominent eyes, distressing headache, and disposition to weep. Nocturnal catarrh, with cough. Cough in open air, with pain in chest as from excoriation. Dry cough, violent and hollow, caused by irritation low down in trachea, with respiration obstructed, even to suffocation. Short, dry cough causing soreness of chest. Shortness of breath with anxiety and redness of cheeks and lips. Dyspnea when moving in bed; can only lie on right side or with the head very high. Danger of suffocation on least movement.

Contraction of chest, with anguish and obstructed respiration. Stitches in diaphragm with dyspnea. Cardiac regurgitation. Pressure, burning or incisive sensation pain. Sensation of trembling in thorax. Spasmodic sensation in chest, proceeding from pit of stomach and causing choking.

Sensation in heart as if squeezed with hand or as if crushed. Lancinations in region of heart. Stitches in heart sometimes synchronous with the pulse. Sensation of cardiac trembling.

Heart beat do not correspond with those of the pulse. Pulse weak, irregular, trembling. Visible pulsation of heart. Violent, oppressive action of heart extending to top of head. Tumultuous action of heart in acute rheumatism and other acute disorders.

Needle-like stitches in upper dorsal vertebrae and in right scapula. Sensation in l. scapula as though blood were dripping through a valve, a kind of bubbling, pain in parotid gland.

Skin pale, wrinkled. Painful sensibility. Painful glandular swellings. Red pimples, with pain, as from excoriation, when touched.

Heat in face and on hands, with chill in back. At night putrid perspiration with heat at same time. Clammy perspiration. Cold perspiration.

Frequent, urgent, and ineffectual want to tool which is soft and liquid, White stools daily. Nodular stool with violent pressure. Faints during stool. Hard, difficult evacuations, with much mucus. Discharge (of large lumps) of mucus from anus, without evacuation. Discharge of faeces with worms (Ejection of lumbrici and ascarides). Itching and sensation as if something were creeping in rectum and anus. Boring stitches in perineum.

Urine, with whitish sediment. Polyuria with profuse emission, even at night. Sudden and involuntary dribbling of urine, with burning sensation in anterior part of urethra. Discharge of prostatic fluid from the urethra.

Veratrum viride

Clinical: Amaurosis. Amenorrhea. Aortic valve stenosis. Mitral valve stenosis. Apoplexy. Asthma. Bunions. Inflammation of caecum. Chilblains. Chorea. Congestion. Convulsions. Endocarditis. Diplopia. Diaphragmitis. Dysmenorrhea. Erysipelas. Headache, nervous; sick. Heart, affections of. Hiccough. Hyperpyrexia. Influenza. Malarial fever. Measles. Meningitis. Menses, suppressed. Myalgia. Esophagus spasm. Orchitis. Pneumonia. Proctalgia. Puerperal convulsions. Puerperal mania. Sleep dreamful. Spine, congestion. Spleen congested. Sunstroke. Typhoid fever. Uterus congestion.

Congestion of chest with rapid respiration, nausea, vomiting; dull burning in region of heart. Pneumonia and pleurisy: pulse hard, strong, quick, or slow and intermittent; lungs engorged; faint feeling in stomach; high fever, face flushed.

Palpitation and dyspnea. Violent palpitation of heart and faint feeling. Faintness and biliousness; when rising from lying; from sudden motion; lying quietly. Pulse: slow, soft and weak; irregular, intermittent; suddenly increases and gradually decreases below normal.

Aching in neck and shoulder, almost impossible to hold head up.

Pallor with syncope. Tremor. Spasm with violent shrieks; opisthotonos; face dark blue; breath suspended; lasting two minutes and recurring after few minutes’ interval. Convulsions. Chorea, movements continuing in sleep. Hemorrhage from various organs.

Body cold but moist skin. Profuse diaphoresis and sense of utter prostration. Bathed in cold sweat. Cold, clammy sweat on forehead. Irritative fever with cerebral congestion. Streptococcus fever; rapid and violent alternations of temperature. Ephemeral fevers with nausea and retching. Cerebro-spinal fever. Typhoid. Yellow fever.

Crawling in anus. Tenesmus and diarrhea, copious and offensive stool, with burning of anus and pale face; tenesmus and burning before and up to stool, not during and after. Sudden excessive tenesmus. Stools: copious, light, mornings; mushy, with tenesmus and burning; bloody (black in typhoid); doughy, stringy, hard to expel; alternately soft and hard every two hours.

Smarting in urethra on urinating. Urine: scanty; very clear; turbid, with reddish sediment, and scum. Hemorrhage in fungus haematoidin vesicae.

Amylenum Nitrosum

On inhaling this drug, it rapidly dilates all arterioles and capillaries, producing flushing of face, heat, and throbbing in the head: Superficial arterial hyperemia. Palpitation of the heart and similar conditions are readily cured by it, especially the flushing and other discomforts at climacteric. Hiccough and yawning. Often relieves temporarily epileptic convulsions. Seasickness.

Head: Anxiety, as if something might happen; must have fresh air. Surging of blood to head and face; sensation as if blood would start through skin, with heat and redness. Flushing, followed by sweat at climacteric. Ears hyperemic. Throbbing.

Chest: Dyspnea and asthmatic feelings. Aortic valve stenosis. Great oppression and fullness of chest; spasmodic, suffocative cough. Precordial anxiety. Tumultuous action of heart. Pain and constriction around heart. Fluttering at slightest excitement.

Sometimes followed by cold and clammy skin and profuse sweat. Throbbing throughout whole body. Abnormal sweat after influenza.

Extremities: Constant stretching for hours. Veins of hands dilated; pulsations felt in tips of fingers.

Calcarea Carbonica

Raised blood coagulability (Strontium). Is a definite stimulant to the periosteum. Palpitation at night and after eating. Aortic valve stenosis. Palpitation with feeling of coldness, with restless oppression of chest; after suppressed eruption. Pain as if sprained; can scarcely rise; from over lifting. Pain between shoulder-blades, impeding breathing. Rheumatism in lumbar region; weakness in small of back. Curvature of dorsal vertebrae. Nape of neck stiff and rigid. Renal colic. Swelling of joints, especially knee. Burning of soles of feet. Sweat of hands. Arthritic nodosities. Soles of feet raw. Feet feel cold and dead at night.

Aurum Metallicum

Clinical: Alcohol’s effects. Amenorrhea. Angina pectoris. Mitral valve stenosis. Asthma. Aortic valve stenosis. Bone affections. Breath offensive. Corpulency. Depression. Ears affections. Erethism. Erysipelas. Eye affections. Fevers. Gonorrhea. Hemorrhages. Hemorrhoids. Hemiopia. Hydrocele. Jaundice. Leucorrhea. Locomotor ataxy. Melancholy. Melanosis. Mercurial poisoning. Nasopharyngeal catarrh. Night terrors. Ozena. Paralysis. Phthisis. Pining boys. Scrofula. Smell disordered. Syphilis. Testicles affections, undeveloped testes. Nodular tongue. Tumors. Uterus induration. Vertigo. Vision disordered.

Burning heat and cutting pain in right hypochondrium. Accumulation of mucus in the trachea and in the chest, which is expectorated with difficulty in the morning. Voice nasal. Cough from want of breath at night. Morning cough with tough yellow sputum.

Great difficulty of respiration at night, and on walking in the open air, requiring deep inspirations. Paroxysms of suffocation with constrictive oppression of the chest, falling, loss of sense, and facial cyanosis. Pain as if there were a plug placed under the ribs. Continuous aching in left side of the chest. Incisive pain, and obtuse shootings, near the sternum. Great weight on chest; especially on sternum. Much congestion in the chest.

Anxious palpitation of the heart, from congestion to the chest. Bradycardia sometimes by fits, sometimes with anguish and oppression of the chest. Cardiac pain extending down left arm to fingers. Floundering heart. When walking, the heart seems to shake as if it were loose. Sensation as if the heart stood still. Palpitation compels him to stop.

Neck and Back. Swollen cervical glands. Tension in neck as if muscles too short, even at rest better when stooping. Stinging pains in small of back. Gressus gallinaceous (in spine disease). Pain at lower part of spine. Pains, generally passive, or drawing and acute, in the back, chiefly in the morning, and sometimes so violent as to prevent any motion of the limbs.

Stool Copious. Nocturnal diarrhea. Nightly diarrhea, with burning in the rectum. Constipation; stool very large in size, very hard and knotty.

Painful retention of urine, with urgent inclination, pressure on the bladder. Polyuria. Urine turbid like buttermilk, urine with thick mucus-like sediment.

Pulse small but accelerated. Febrile shivering over the whole body, while in bed in the evening, followed neither by heat nor thirst. Body coldness with bluish color of the nails (capillary blood circulation), nauseous taste with inclination to vomit. Heat of the face, with cold in upper and lower extremities. Copious general morning perspiration; mostly about genitals.

Painful urine retention, with urgent inclination and pressure on the bladder. watery (transparent) polyuria.

Baryta Carb

Dry, suffocative cough, especially in old people, full of mucus but lacking strength to expectorate, worse every change of weather. Larynx feels as if smoke were inhaled. Chronic aphonia. Stitches in chest; worse inspiration. Lungs feel full smoke.

Heart: Palpitation and distress in region of heart. Aneurysm. Aortic valve stenosis. Mitral valve stenosis Accelerates the heart’s action at first, blood pressure much increased, contraction of blood vessels. Palpitation when lying on left side, when thinking of it especially; pulse full and hard. Cardiac symptoms after suppressed foot-sweat.

Back: Swollen glands in nape of occiput. Fatty tumors about neck. Bruised pain between scapulae. Stiffness in sacrum. Weakness of spine.

Extremities: Pain in axillary glands. Cold, clammy feet. Fetid foot-sweats. Numbness of limbs. Numb feeling from knees to scrotum; disappears when sitting down. Toes and soles sore; soles painful when walking. Pain in joints; burning pains in lower limbs.

Rhus Toxicodendron

Tickling behind upper sternum. Dry, teasing cough from midnight until morning, during a chill, or when putting hands out of bed. Hemoptysis from overexertion; blood bright red. Influenza, with aching in all bones (Eup perf). Hoarseness from overtraining voice. Oppression of the chest cannot get breath with sticking pains. Bronchial coughs in old people, worse on awaking and with expectoration of small plugs of mucus.

Heart: Hypertrophy from overexertion. Pulse quick, weak, irregular, intermittent, with numbness of left arm. Trembling and palpitation when sitting still. Aortic valve stenosis.

Back: Pain between shoulders on swallowing. Pain and stiffness in small of back; better, motion, or lying on something hard; worse, while sitting. Stiffness of the nape of the neck.

Kalium Carbonicum

Cutting pain in chest; worse lying on right side. Hoarseness and loss of voice. Dry, hard cough about 3 am, with stitching pains and dryness of pharynx. Bronchitis, whole chest is very sensitive. Expectoration scanty and tenacious but increasing in morning and after eating; aggravated right lower chest and lying on painful side. Hydrothorax. Leaning forward relieves chest symptoms. Expectoration must be swallowed; cheesy taste; copious, offensive, lump. Coldness of chest. Wheezing. Cough with relaxed uvula. Tendency to tuberculosis; constant cold taking; better in warm climate.

Heart: Sensation as if heart were suspended. Aortic valve stenosis. Palpitation and burning in heart region. Weak, rapid pulse; intermits, due to digestive disturbance. Threatened heart failure.

Back: Great exhaustion. Stitches in region of kidneys and right scapula. Small of back feels weak. Stiffness and paralytic feeling in back. Burning in spine. Severe backache during pregnancy, and after miscarriage. Hip-disease. Pain in nates and thighs and hip joint. Lumbago with sudden sharp pains extending up and down back and to thighs.

Lachesis

Upper part of windpipe very susceptible to touch. Sensation of suffocation and strangulation on lying down, particularly when anything is around throat; compels patient to spring from bed and rush for open window. Spasm of glottis; feels as if something ran from neck to larynx. Feels he must take a deep breath. Cramp-like distress in precordial region. Cough; dry, suffocative fits, tickling. Little secretion and much sensitiveness; worse, pressure on larynx, after sleep, open air. Breathing almost stops on falling asleep. Larynx painful to touch. Sensation as of a plug which moves up and down, with a short cough.

Heart: Palpitation, with fainting spells, especially during climacteric. Constricted feeling causing palpitation, with anxiety. Cyanosis. Irregular beats. Aortic valve stenosis.

Strophanthus Hispidus

Strophanthus is a muscle poison; it increases the contractile power of all striped muscles. Acts on the heart; increasing the systole and diminishes the rapidity. Aortic valve stenosis.

Dyspnea, especially on ascending. Lungs congested. edema of lungs. Bronchial and cardiac asthma.

Heart: Pulse quickened. Heart’s action weak, rapid irregular, due to muscular debility; and insufficiency. Cardiac pain.

Apocynum Cannabinum

Short, dry cough. Respiratory short and unsatisfactory. Sighing. Oppression about epigastrium and chest.

Heart: Aortic valve stenosis. Tricuspid regurgitation; rapid and feeble, irregular cardiac action, low arterial tension, pulsating jugulars, general cyanosis and general dropsy.

Increases secretions of mucous and serous membranes and acts on cellular tissue, producing oedema and dropsy and on skin causing diaphoresis. Acute hydrocephalus. A diminished frequency of the pulse is a prime indication. This is one of our most efficient remedies, in dropsies, ascites, anasarca and hydrothorax, and urinary troubles, especially suppression and strangury. In the digestive complaints of Bright’s disease, with the nausea, vomiting, drowsiness, difficult breathing, it will be found of frequent service. The dropsy is characterized by great thirst and gastric irritability. Arrhythmia. Mitral and tricuspid regurgitation. Acute alcoholism. Relaxation of sphincters.

Apis Melifistida

Hydrothorax. Sensation of soreness in the chest. Oppression of the chest, shortness of breath, dull aching pain in the left side of the chest near the middle of the sternum. Expectoration of copious transparent, frothy, bloody mucus.

Sudden pain just below the heart, soon extending toward right chest, with suffocation. Very feeble action of the heart; violent beats, shaking the whole body; intermittent beats. Region of heart sensitive to least pressure; rasping sounds of systole and diastole unmistakably audible. Palpitation of heart from scanty secretion of urine, perfectly cured by establishing the natural quantity.

Pulse: almost imperceptible at wrist; accelerated and full; very frequent and hard; wiry; irregular and slow pulse; intermittent.

Laurocerasus

Clinical: Apoplexy, threatened. Asphyxia, neonatorum. Asthma. Cholera. Cholera infantum. Chorea. Climacteric sufferings. Convulsions. Cough. Cramps. Cyanosis. Diarrhea. Dysmenorrhea. Epilepsy. Heart affections. Liver affections. Metrorrhagia. Palpitation. Pneumonia, typhoid. Tetanus. Tumors. Whooping cough. Anemic.

Hoarseness, roughness, and scraping in throat and pharynx. Deep bass voice. Spasmodic constriction of the trachea. Little short cough, excited by a tickling and scraping in throat. Abundant gelatinous expectoration, with small specks of blood.

Slow, weak, anxious respiration. Rattling, stertorous respiration. Obstruction to respiration in region of stomach. Pressure on chest. Constriction of chest, with oppression. Burning and stitches in chest. In pulmonic affections, where the patient coughs and spits a great amount of phlegm, which is sprinkled over and through with distinct dots of blood; the dots may be close together, or considerably scattered (frequently seen following typhoid pneumonia).

Pains in region of heart. Slow and irregular beating of heart. The patient puts his hand to his heart, as if there was some trouble there; this may result from running a short distance, which puts him/her completely out of breath; going upstairs, walking, any exercise may bring this on.

Lithium Carbonicum.

Clinical: Albuminuria. Aneurysm. Angina Pectoris. Barber’s itch. Bubo. Dyspepsia. Eyes affections. Gallstones. Gastralgia. Glands swelling. Gout. Headaches. Heart, affections of Hemiopia. Hernia. Menstruation disorders. Nose affections. Obesity. Ossification of arteries. Prostatitis. Retina’s anemia. Rheumatism. Spleen affections. Syphilis. Urethritis. Urinary disorders.

On inspiration air feels cold even into lungs. Violent cough in evening, while lying down, compelling to rise, without expectoration; the irritation to cough is in a little spot, posteriorly and inferiorly in throat.

Pressure in middle of chest. Constriction of chest when walking (after breakfast), followed by expectoration of much mucus, seemingly from middle of sternum.

Rheumatic soreness in region of heart. Violent pain in region of heart as he/she bent over bed, morning on rising. Sudden shock in heart. Throbbing; like a dull stitch in region of heart. Pains in heart after pains in bladder. Pains in heart before and at time of commencement of menses. Trembling and fluttering of heart (after mental agitation of a vexatious character). Pains in heart before and at time of urinating. Pressure in region of heart on rising to urinate.

Spongia Tosta.

Clinical: Aneurysm. Angina pectoris. Asthma. Catalepsy. Chin affections. Clumsiness. Constipation. Cough. Croup. Diplopia. Exophthalmos. Fainting. Goiter; exophthalmic. Heart hypertrophy. Hernia. Jaw-joint, pain in. Laryngismus. Laryngitis. Myopia. Rheumatic fever. Rheumatism. Testicles inflammation. Tuberculosis. Varicose. Whooping cough. Worms.

Respiration, quick, anxious, and difficult, sometimes with fits of suffocation, and mucous rattling in chest. Short, panting respiration. Awakens from sleep with suffocative sensation. Fixed, lancinating, and pressive pain in region of branchia. Spasmodic, constrictive pains in whole chest (and larynx). Dyspnoea. Burning sensation, which ascends into chest. Ebullition of blood (congestions) in chest after slightest effort and least movement, with obstructed respiration, anguish, nausea, and weakness, which induces syncope.

Pains and anxiety in region of heart. Constricting, stinging, pressing pain in cardiac region. Tachycardia (before menstruation), with suffocation, violent gasping respiration, pain in heart. Rheumatic affections of valves of heart (fibrous deposit on valves). Violent palpitation of heart, beats rapid (each beat was accompanied by a loud blowing as of a bellows), awakens him after midnight, with a sense of suffocation, loud cough, great alarm, agitation, anxiety, and difficult respiration. Pulse full, hard, and frequent.

Zincum Metallicum

Clinical: Alcoholism. Amblyopia. Asthma. Brain fag. Brain paralysis. Breasts affections. Cataract. Chilblains. Chin, eruption on. Chlorosis. Cholera. Chorea. Constipation. Cracks. Dentition. Diarrhea, nervous; with stupor. Diphtheria. Dysentery. Dysuria. Earache. Eczema. Enuresis. Eruptions; suppressed. Eyes affections; granular lids. Fag. Foot-sweat; suppressed. Gastralgia. Headache; nervous; chlorotic. Heels, pains in. Hernia, inguinal. Hiccough. Hydrocephalus. Hyperpyrexia, nervous. Hypochondriasis. Hysteria. Inframammary pain. Joints, creaking in. Ups affections. Lochia; suppressed. Malar bones, neuralgia in. Masturbation. Memory, weak. Meningitis. Mental weakness. Milk, defective; suppressed. Neuralgia; intercostal; subcostal. Neurasthenia. Nipples, sore. Nose, redness of. Nymphomania. Esophagus spasm. Otorrhea. Photopsia. Prostatorrhea. Ptosis. Reaction, defective. Rheumatism. Screaming. Sleepiness. Somnambulism. Spermatorrhea. Spinal irritation. Spine affections. Spleen neuralgia. Strabismus. Suppressions. Tarsal tumors. Throat, sore. Tibial burning. Typhoid fever. Ulcers. Urine, hysterical retention of. Varicose; during pregnancy; of external genitals. Whooping cough. Worms.

Difficult respiration and oppression, with pressive pain in the chest. Constrictive sensation around the chest, with pain in the chest. Spasmodic dyspnea. Shortness of breath, caused by flatulence after a meal. Mucus. Cardiac palpitation. Burning sensation in chest. Pain beneath costal arches.

Tachycardia with or without anguish. Irregular movements of heart. Shocks in heart and intermittent palpitation, with suffocation. Tension and stitches in the precordial region. Sudden, spasmodic, bursting sensation about heart. Violent pulsations in blood vessels during heat. Rapid pulse.

P. S: This article is only for doctors having good knowledge about Homeopathy and allopathy, for learning purpose(s).

For proper consultation and treatment, please visit our clinic.

None of above-mentioned medicine(s) is/are the full/complete treatment, but just hints for treatment; every patient has his/her own constitutional medicine.

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Dr. Sayyad Qaisar Ahmed (MD {Ukraine}, DHMS), Abdominal Surgeries, Oncological surgeries, Gastroenterologist, Specialist Homeopathic Medicines.

  Senior research officer at Dnepropetrovsk state medical academy Ukraine.

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