Herzgruppe Anhängsel

[Farokh J.Master]

Homoeopathic Treatment of Cardiac Arrest

Cardiac arrest is defined as sudden failure of the heart resulting in inadequate cerebral circulation. Cardiac standstill is responsible for majority of the cases, the other mechanism being ventricular fibrillation and electro mechanical dissociation. In my experience, the most common cause of cardiac arrest is myocardial infarction, or severe pulmonary embolism, or any case of severe arrhythmia in presence of chronic obstruction to the

circulation. These are some of the very common causes that I have seen in my practice. I also came across, though rarely, a few cases of Hyperkalemia and Hyperkalemia producing what is known as ‘cardiac arrest’.

Patients should be diagnosed at a very early stage. Such patients should not be diagnosed at a very late stage. The earliest symptom is absence of pulsation in the carotid, or absence of pulsation in the temporal artery,

or absence of pulsation in the femoral artery, or when the consciousness is affected. The late stage is when you cannot record the blood pressure, the pupils are dilated and the patient goes in severe convulsions. I am not

talking about extreme cases where hospitalization or treatment in the I.C.U is required. The milder forms can easily be treated with homoeopathy. Of course, certain precautions must be taken and nursing care should be done.

The most important thing is to put the patient in supine position on a firm surface, such as wooden board on the floor. You should try and give the patient cardiac massage, where you strike the left upper chest forcibly with

your fist and this can restart the heart, if the arrest is due to asystole. The basic C.P.R. should always be maintained, i.e. where airway is cleared, the breathing is made effective and the circulation restored. Now let us see

which homoeopathic medicines have been extremely useful to me for the above condition and I will tell you some important hints.

Ars.: Nervousness, anxiousness and restlessness with agonizing fear of death, this observation of the patient’s state of mind is extremely important. Restlessness is characterized by changing the places continually and

extreme fear of being left alone. Sometimes only moaning is seen in the patient. If you examine the patient systematically from head to foot, you will observe that any cold air or draft of air coming on the head is

extremely intolerable to the patient. This is very important to observe. The head may feel slightly heavy. The scalp may be sometimes sensitive to touch. The eyes are either sunken or protruding, eyelids may look a

ittle edematous and the nose looks extremely pointed. There is a very nice symptom and that is sometimes the person feels dyspnea (nose). So he may complain of difficulty in breathing and this is basically focused

around the nose.

The face may look pale, anxious, sunken, haggard or even hippocratic. The lips appear little blackish and the tongue is bluish-white, or it looks very red, but in general it is a dry tongue. The person may grind the teeth

in the unconscious state or he may bite the glass while drinking. There is also lisping. The saliva can be bloody, the throat is slightly swollen. This is important if the patient is a little conscious and he cannot bear the

smell or sight or thought of food and there is unquenchable thirst for ice cold water but it distresses the stomach and the patient cannot digest it. This is very common. There is a sign of gastritis. This is very

important to know in short. The stools will be on the loose side and there can be ascites if there is right ventricular failure. The urine will be scanty, and a lot of albumin seen in the urine. The patient will have shortness

of breath and will be unable to lie down and he feels very comfortable sitting up. His discomfort in respiration is worse even by turning in the bed. Most of the symptoms of Arsenic are worst at night, after 12 h.

There is severe palpitation with anguish. Any slightest cause will increase the palpitation. The palpitations lying on the back. If at all there is chest pain it goes to the neck and occipital area, but with severe anxiety and

lots of fainting spells.

Pulse is usually more rapid in the morning. Used in all affections which lasts for a long time which explains the hopelessness that takes possession of the patient. The patient always feels that he never will be cured and

that it is useless to take the medicine. There is an anxiety and fear of death < 24 – 2 h. The patient becomes restless and despite his worn-out condition he must move. He must change places in the bed. Sometimes if he

can, he gets up and sits on the chair, which he soon leaves for the bed. Oppressed by the least movement and the dyspnea is exasperating between 24 – 3 h. The patient has swollen eye-lids, looks edematous (lower eye-

lids)/the skin appears pale and waxy and there is localized or generalized edema.

Carb-v.: Flat, usually on the fatter side, sluggish, little lazy and usually old people, one may not see Carb-v. in young people. A very unique symptom that one may see in such a patient who is in the hospital is that they

need excessive fanning, but despite the fanning, the head remains hot. If at all there is any haemorrhage from any organ of the body, it will be dark red oozing. There will be severe weakness, air-hunger and excessive flatulence. These are the few important concomitants. The level of the mind of the patient is extremely slow, there is a lot of indifference similar to Ph-ac. Indolent, lazy and appears slightly stupid. The face is pinched

and hippocratic, the face is cold due to cold sweat and there is twitching of the upper lip. There is slight epistaxis from the nose, the pupils do not react to light, i.e. when one throws light on the pupil with a torch the

pupils will not show any reaction, there is cold sweat on the forehead, but the head is hot and the extremities cold. The breath also cold and the tongue black, swollen and covered with white-yellow-brown mucous.

There is an extremely offensive or horrible smell from the mouth. Possible I excessive saliva. The abdomen is heavy and full with excessive flatulence, there is a lot of albumin in the urine, but here, instead of scanty

urine, sometimes one may find little more urine and this is important. Then, one sees a typical cough which is extremely tormenting, hollow and choking type of cough and with this cough there is easy vomiting.

The voice is rough, one may also find a chyenne stoke respiration, the extremities are heavy, stiff and almost feels paralyzed. The cough can be very exhausting to the patient, it is a very hard, paroxysmal cough.

Either the paroxysms consist of a few coughs or it could be a long paroxysm. The expectoration is usually bloody (important symptom). There could be pulmonary edema on X-ray chest or there could be severe

septicemia with heart failure almost always + a stage of shock, this is very important in a Carbo-veg patient. Skin has a tendency to develop bedsores much more easily than anybody else.

Another very important hint that I observed is when Carbo-veg patients are in a comatose or unconscious condition due to cardiac asystole one can hear a typical rattling in the throat (Ant-t. has this rattling sound in

the chest).

Dig.: Slow, weak pulse and the pulse should be a little irregular. On examination, the liver has to be enlarged/excessive precordial anxiety with frequent urging to urinate, these are the concomitants that one

should look at. Dig. resembles Ars.: extremely anxious and extremely fearful. This anxiety basically roots from their troubled conscientious. May complain of frontal headache but the head usually falls down

whenever they are sitting or whenever they are walking. The eye and the conjunctiva appears slightly yellowish, the pupils can be little irregular, the eyes can be bluish but the veins are distended in the eyes.

The tongue could be blue, clean with nausea and vomiting, or could be thick, or could be flabby. Usually drinks much and eats little. The liver is enlarged, painful and hard to touch. There is distension of the abdomen

and one can find early traces of jaundice in the form of high bilirubin. The breathing is a little slow, and in Digitalis, just like in Ant-tart, the patient cannot expectorate. In case the patient has to expectorate because

of the severe congestion, he will only vomit. So this is also important that the patient cannot expectorate and if the patient has to expectorate he will only vomit due to severe congestion. This causes great weakness in

the chest, he cannot even bear to talk, he suffocates and he drops to sleep. He talks little bit and he drops to sleep, he talks little bit and he drops to sleep. Such is the type of cardiac weakness one can see in the patients

of Digitalis. Any least movement causes severe palpitation in various sorts of arrhythmias in case of Digitalis. The heart will be hypertrophied or dilated, there can be cardiac dropsy and the root cause behind this

cardiac problem will be either severe grief or some depression. Pulse will be slow, weak and irregular, the skin COLD to touch and the patient will constantly be in a state of drowsiness.

[Rosina Rosenschmidt]

Lach.:

Körperebene Schatten/Licht der Psyche Schatten/Licht der Mentalebene

ZNS, Blut, Herz, Kreislauf,

Hals, Schilddrüse,

Ovarien

Haut

Tonsillitis, Ulzeration, Nekrosen, Diphtherie,

Migräne,

Angina pectoris, Apoplex

- geschwätzig, zwanghaft,

psychotisch, eifersüchtig, zweifelnd,

intrigant

+ wortgewandt, künstlerisch begabt

für die Bühne, hellfühlend begabt

- Fixierung auf eine Sache, denkunfähig,

Wortfindungsstörungen

+ Interesse an medialen Fähigkeiten

Naja.:

Körperebene Schatten/Licht der Psyche Schatten/Licht der Mentalebene

Nerven, Herz, Atmung,

Hals, Ovar links

Gefühl von Zusammenschnürung in Hals und Brust,

Herzasthma, Endokarditis

Sprachverlust, Ödeme

- vergesslich, wahnhaft, verwirrt,

verstummt, melancholisch,

Angst allein gelassen zu werden

+ hellhörig, sensitiv, kreativ, Ausdruck

einer natürlichen Autorität

- geistig gelähmt, brütende Gedanken über eingebildete Probleme, lang andauernde Gedanken über einen realen Kummer + Weitblick, Visionen, geistige Klarheit,

Reflexion über den Sinn von Leben und Tod, scharfer Verstand

Beide Schlangenwesen verkörpern in Bezug auf Herz und Kreislauf die gleichmäßige Schwingung und das Alles-oder-Nichts-Prinzip des Herzens, denn der Urstoff der Giftschlangen

ist tödlich und greift unmittelbar ins Lebenszentrum.

Für Lach. o. Naja. ist die Wahrung der respektvollen Distanz wichtig, damit sie den gebührenden Raum (ein)nehmen können.

So kommunikativ bis hin zur Redseligkeit Lach. auch sein kann, sie strahlt Respekt und Kühle aus. Sie ist sehr wählerisch, wem sie wirklich ihr Herz öffnet, wen sie an sich heranläßt.

Schlangen-Persönlichkeiten finden wir häufig unter Sängern oder Schauspielern, denn Wort, Ton und Stimme sind ihr zentrales Ausdrucksmittel. Das zeigt sich auch im Bezug zu den Atemorganen. Für sie ist der lange

Atem und ein gut funktionierendes Herz besonders notwendig, denn beide Künstler leisten Schwerstarbeit auf der Bühne, die Zuhörer und Zuschauer niemals merken sollten. Ein körperliches Problem zeigt sich besonders

Bei Sängern, die ein so genanntes „Sportlerherz“, also ein vergrößertes Herz entwickeln, ohne sportlich zu sein. Sie bewegen sich körperlich nur wenig, stehen viel, doch die Atem- und Herzleistung ist gewaltig.

Die positive und gesundheitsfördernde Seite des Singens ist indes die Stärkung des venösen Blutflusses und damit des rechten Herzens und Lungenkreislaufs durch das tiefe Atmen und den ausgeprägten Zwerchfellrhythmus. Deshalb finden wir bei Sängern selten Krampfadern oder Varizenbildung.

Naja comp. w [= Lach. + Naja + Crot-h. + Vip. Covers all 3 venom types (hemotoxic + neurotoxic + cytotoxic)/represents a kind of “archetypal” snake venom/associated with all 3 planes (circumscribed cytolysis in the area of infarction/coagulation disorder that is nearly always present/neurological losses)];

Lat-m.:

Körpersymptome Schatten/Licht der Psyche Schatten/Licht der Mentalebene

Nerven, Brust, Atemwege,

Gefäße der Extremitäten,

Angina pectoris, Alkoholismus.

Extreme Apnoe,

klonische Muskelkrämpfe,

Taubheitsgefühl, Zittern und Lähmung der oberen und unteren Extremitäten, eiskalte Haut mit kaltem Schweiß,

schreit vor Schmerzen

- unruhig, verstört, panisch, depressiv, gewalttätig.

Auffällig: Weinen und Weinerlichkeit bei Männern + gelassen, in sich ruhend, geduldig, kann warten, weibliche Stärke leben (Wahl des richtigen Zeitpunkts)

- Leben verachtend, Zerstörung von Normen, Gesetzen, Konventionen, Regeln, eigene Gesetze bestimmend,

Egozentrik

+ Eremitenbewusstsein, Solist, Grenzüberschreitung im Denken und Handeln, starker Pioniergeist, lässt sich durch nichts aufhalten, kümmert sich nicht um das, was andere sagen

Diese Spinne könnte man in ihrem Wesen und Bezug zu Herz und Blutkreislauf als hohe Potenzierung von Puls. bezeichnen, auch wenn die Blume harmlos ist im Vergleich zum aggressiven Gift der Spinne.

Aber sie ähneln sich in der Unkonventionalität ihres Verhaltens und ihrer harmonikalen Ordnung des freien Rhythmus, der Improvisation, die, wie für Lat. typisch, gerne ihre eigenen Regeln und Gesetze einbaut.

Lat-m.-Persönlichkeiten verfügen über eine schier unerschöpfliche Ressource kreativen Potenzials.

Wir finden sie unter Forschern und Künstlern gleichermaßen, die von der Verwirklichung einer Idee wie besessen sind und sich durch nichts und niemanden aufhalten lassen. Ihr Energiefluss gleicht einer starken

Schnellen Strömung, was sich körperlich in dem ungestörten, rhythmisch variierenden Blutfluss in den Arterien ausdrückt. Für diese vitalen Persönlichkeiten ist es von zentraler Bedeutung, dass die Versorgung mit

Blut und Nährstoffen bis in die Zehen und Finger der Extremitäten gelangt. Das geht nur, wenn die Kapillaren durchlässig sind. Deshalb ist die Ernährung das Heilmittel schlechthin. Unterstützt mit Lat-m. hilft es

as sauerstoffreiche Blut ungehindert zu transportieren. Das wichtigste Thema ist Klärung von Grenzen.

‡ Folgendes hat anthroposofische Einschlüße ‡

Frei nach: Nicholas Lee, M.D.

Today the idea that the heart may not be a pump after all would, appear to be about as logical as a suggestion that the sun actually rises in the West or that waterfalls flow upwards. So strongly is the pump concept ingrained

in the collective medical psyche that even trying to think otherwise is more than most people can manage.

R.S., a man not given to unscientific or slipshod thinking, was quite clear on the matter and reiterated time and again that the heart is not a pump. "Today, external theory makes the heart a pump, pumping the blood through

the body. So one would have to see in the heart the organ that regulates the circulation. Actually, the reverse is true. The circulation is more original, and in its movements the heart gives a resounding of what goes on in the circulation. The blood drives the heart, not the heart the blood“.

Ralph Marinelli and his co-workers whose recently-published paper refutes the generally-accepted pressure propulsion premise of heart function and confirms the observations of R.S.

Having gotten over the initial difficulty of thinking what has previously been thought to be unthinkable, any unbiased reader must surely admit that Marinelli et al make a convincing and well-referenced case for their

conclusions. For a start, they draw attention to the sheer volume of work which the heart would have to do if it were solely responsible for pumping inert blood through the vessels of the circulatory system. Blood is 5x more viscious as water, and if the propulsion premise is accepted, the heart would have to pump 8000 liters of blood a day in a body at rest and considerably more during activity, through millions of capillaries the diameters of

which are sometimes smaller than the red blood cells themselves - a huge task for a relatively small, muscular organ weighing only 300 grams. This is an unlikely concept which is compounded by the inherent undesirability

of a system which would need excessive pressure generated at its source for sufficient pressure to remain at the periphery.

Once the questions are asked, the anomalies in currently-accepted dogma manifest themselves. For instance, if the blood is pumped under pressure out of the left ventricle into the aorta during systole, it would be expected

that the pressure pulse would cause the aortic arch to try and straighten out, as happens in any Bourdon tube pressure gauge. In practice, the exact opposite happens, and the curve increases, indicating that the aorta is

undergoing a negative, rather than a positive, pressure.

Another paradoxical finding concerns the mechanics of fluid flow under pulsatile pressure. When a pressure pulse is applied to a viscous fluid in a closed vessel, the liquid initially resists movement through its own inertia.

The pressure, therefore, peaks before the fluid velocity peaks. In the aorta, exactly the opposite happens where peak flow markedly precedes peak pressure, a fact which was observed in 1860 by Chauvau Cortet. So just

what is going on inside the circulation?

As Marinelli et al point out, the pressure propulsion model of blood circulation rests on four major premises:

1) blood is naturally inert and must, therefore, be forced to circulate;

2) there is a random mix of the formed particles in the blood;

3) the cells in the blood are under pressure at all times;

4) blood is amorphous and is forced to fill its vessels and take on their form.

All of these premises can be shown to be faulty. For example, far from having a random mix of the blood components in vessels, the cellular elements arrange themselves in a highly organized flow pattern in which the

heavier red blood cells flow nearest to the axis of the vessels while the lighter platelets are nearer to the periphery. All of the formed elements are surrounded by a sleeve of plasma which is in contact with the vessel wall.

However, a major misconception about how the blood circulates is the assumption that it flows in a laminar fashion, whereas the main pattern appears to be the vortex (observation also made by others) which leads to a

whole new concept of circulatory dynamics, one which goes a long way towards explaining the close interaction between the heart and the blood, both of which are derived from the same embryonic material. Much of the experimental work carried out by Marinelli and his colleagues is based on elucidating the mechanics of vortex-based fluid flow, and their work describing a perpetual vortex in the left ventricle makes fascinating reading.

R.S. pointed out, the clues to circulatory physiology are to be found in embryology, and two of the main embryological observations have been that the blood starts circulating before the heart has been fully formed and

that it circulates in a spiraling fashion. Not only may these streams spiral around their own longitudinal axes, but even around each other as in the single-stage tube heart of the chicken before the valves have developed.

The spiraling of the blood flow is mirrored in the musculature of the heart and arteries, both of which move in a twisting motion which augments the momentum of the blood as it circulates.

So why are we concerned about the way in which the blood circulates and the ‘heart as a pump’ paradox? Do we not already know enough about the circulation in conventional terms for all practical purposes? No. Is all this

really relevant? Yes. Not only should truth be sought for its own sake, but therapy based upon faulty premises can only be bad therapy. As Marinelli et al point out in their paper, "Since we have observed that the blood has

a highly dynamic form and an ordered blood corpuscle motion and orientation, we should be able to develop devices and techniques to detect small deviations from group and individual norms and, thus, form a basis for

very early diagnosis of cardiovascular disease, which remains the number one cause of death in the U.S.

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