leading academician and practitioner, graduated from Government Homoeopathy
Medical College and had her higher studies at JSPS Govt. Homoeopathic
Medial College, Hyderabad, presents the therapeutic part for Chickungunya.
She was an outstanding student during post graduation and her thesis on
infertility, deserves much praise.
It is highly difficult to depict a specific group
of remedy for treatment and prevention. Of course any remedy can have
role in any disease depends on the indications. This is an attempt to
bring out the commonly indicated remedies. In case of prevention Eupatorium
perfoliatum is widely used rather abused. Eupatorium perfoliatum, is having
definite and significant role in the prevention of Chikungunya, yet reports
are there where it failed to prevent the disease. This is because of the
blind specific prescription of the drug invariably for all the cases.
The preventive medicine may vary according to the symptomatology in different
locality. The Genus Epidemicus should be selected after seeing sufficient
number of cases in a particular locality, Pilot study by analyzing the
common presentation. The following remedies are most frequently indicated
in treatment of Chikungunya so that for prevention also. The list is not
lame bruised pain especially during chill, mostly in the back and shoulder.
Myalgia, pain as if beaten. Pain begins in the lower extremities then
ascends up, Coldness of affected parts (Led.). Heamorhagic tendency. Great
fear of being touched or even approached, usually in the acute stage.
Everything on which he lies seems too hard. Heat and redness of the head
with coldness of the rest of the body.
stage where fever and sweat stage predominates. Exhaustion with great
restlessness. Itching, burning, dry, rough, scaly eruption during fever.
Fever blisters. Trembling and heaviness of legs especially in the morning.
Desires warm drinks, and < by cold. (Mostly general symptoms lead to
the prescription rather local)
the acute stage of fever where the patient reluctant to move and lies
only in the bed (Usually pt. can’t come to the doctor and the attender
will come for getting medicine). > by absolute rest and pressure, drinking:;
< by least movement, eating. After cold days. Affecting especially
remedy for the present epidemic, the Boericke’s “bone –
set”. Fever with chills especially in the morning (7-9AM), preceded
by thirst and great soreness and aching in the bones. Nausea, vomiting
at the close of chill stage. Stiffness on lower limb on rising. Perspiration
relieves all the symptom except headache. Periodicity. If no prescriptive
symptoms worth trying.
continuous fever, pains shift rapidly. Pains shifting above downwards,
from upper to lower limbs. First in the fingers (especially first finger)
with slow and soft pulse. < leaning forward, looking down, motion,
open air, windy stormy weather.
type of pain with coldness and swelling of the affected parts. < night
and heat of bed; > open air, cold application. Fleeting arthritic pains.
(Usually indicated in the post squeal of the Chikungunya with H/O ascending
pain in the acute stage and patient Presented with the residual ankle
or remittent fevers, headache, yellow tongue, constant nausea, faintness
in the epigastrium and constipation. (Polyporus officinalis – the
other remedy of the same family used as specific for Ckikungunya –
deep, dull severe pain in the shin bones, preventing sleep)
and stiffness. Fever after getting wet while perspiration. Pains tearing
in tendons, ligaments and fascia < cold fresh air. Motion always “
limbers up” ,but move constantly because of restlessness (physical)
though the initial movements aggravates. < sleep, cold damp rainy Weather;
> change of position, warm, stretching, motion. (Useful in pains of
joints associated with Myalgia and stiffness both in acute and post sequel)
Indications In Key Words: Acute
- Fever, bone pain, nausea, vomiting with chills – Eup. perf.
- Sore bruised pain, swollen joints with fear of being hurt, petechiae
- Fever with anxiety, restlessness, and skin rashes, warm drinks desires
– Ars. alb.
- Severe pain that pt. can not move, receives messages over phone or
other person – Bry.
- Ascending, < open air, fleeting – Kalmia
- Descending, > open air, fleeting (Puls.) – Led. pal.
- Joint pain, Myalgia, stiffness, desire to move – Rhus tox.
To Prevent Recurrence:
chance of recurrence for the first 6 months after the disease is more