chest pain and homoeopathic management

Chest pain –Differential Diagnosis

COMPILED BY: Dr.ENDRESH KATIYAR B.H.M.S. M.D.(PGR)

Email- [email protected]

04/15/23 drendresh 1

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Homoeopathic Treatment


Heart Diseases• Aconitum napellus • Palpitations of heart in young, growing persons and plethoric individuals; congestion , Attacks of

intense pain (hypertrophy of heart) extend from heart down left arm, with numbness and tingling of fingers and fear and anxiety that he will drop dead in the street; valvular insufficiency of the aorta, with strong and abrupt pulse, pulsation of the peripheric arteries and dilatation of the capillary system. Hyperaemia preceding endocarditis, of rheumatic origin, with considerable thirst, dry, hot skin and full and rapid pulse.

• Aesculus hippocastanum • Palpitations, heart's action full and heavy; darting pains, can feel the pulsations all over the body; dull

aching burning in cardiac region, pulse quick, soft and weak.• Agaricus muscarius • Sticking pain in apex of heart; stitches in cardiac region, through to the shoulder-blade, aggr. from

cough; sense of oppression in cardiac region as if the cavity of the thorax were narrowed; at night transient painful shocks at the heart, with anxiety; patient hears the heart throb, and it lifts the hand lying on the chest, aggr. evenings,

• Ailanthus glandulosa • Organic diseases of heart with livid complexion; dull pain and a sense of contraction at the base of the

heart . 04/15/23 drendresh 50

Ambra grisea Palpitation of heart while walking in the fresh air, with paleness of face; violent palpitations, with pressing in chest as if a lump lay there; aching pain in cardiac region; Ammonium carbonicum Dilatation of heart; dyspnoea when ascending, aggr. in warm room; cough accompanied by bloody sputa; crushing weight upon the sternum; palpitation with dyspnoea Anacardium orientale Palpitation of heart, especially in aged persons, when it complicates such slight ailments as a coryza, often associated with defective memory.Angustura vera Violent palpitation in evening when lying on left side in bed, amel. when sitting up; aggr. when bent over, with painful sensation as if heart were constricted; sudden attack as if heart were swollen,Apis mellifica Cardiac inflammation and dropsy; sudden lancinating, darting or stinging pains just below the heart, soon extending diagonally towards the right chest; great feeling of suffocation, oedema or sudden mucous swelling, dyspnoea, fidgety restlessness and anxiety; Pericarditis and hydropericardium. Insufficiency of mitral valves; eccentric hypertrophy of heart; pulse not steady, irregular, intermitting every third or fourth beat;


Argentum metallicum Neuralgia cordis; sensation as if the heart were suddenly standing still, followed by trembling of heart, gradually passing into an irregular violent throbbing, passing away in a few minutes; frequent spasmodic though painless twitchings of the whole cardiac muscle, especially on lying on the back; pulse intermitting and very irregular. Arnica montana Strain of the heart, producing uncomplicated cardiac hypertrophy, with swelling of hands from any exertion,pulse full and strong; heart feels as if tightly grasped by the hand, whole chest feels sore and bruised and cannot bear the clothing to touch,Arsenicum iodatum Chronic weakness of the heart-muscle, whether the result of valvular disease or not; irregular fluttering of heart with tendency to faint; difficulty of breathing when ascending; praecordial anguish, great pain in cardiac region going through to back.Aurum metallicum Pure cardiac hypertrophy without dilatation, with increased force of heart-stroke and hyperaemia of lungs, aggr. from any exertion,; great anguish, with suicidal tendency and spasmodic contraction of abdomen. Endocarditis with loud endocardial bruits of fluttering action of heart, or sudden jerks through the heart, pulse rapid, compressible and intermittent. In old people attacks of oppression of heart at night with palpitation and great debility. Fatty heart (Arn.), the fat being imbedded around the heart and between the muscular fibres,Aurum muriaticum Endocarditis with violent, irregular palpitations and great oppression; peculiar sensation of heaviness and rigidity of heart


Cactus grandiflorus Sanguinous congestion to chest. Endocarditis and pericarditis; sensation of constriction of heart, constant pain in cardiac region, with sensation as if heart were bound down or had not room enough to beatColchicum autumnale Heart disease following acute rheumatism; hydropericardium Violent cutting and stinging pains in chest, with great oppression and dyspnoea and sensation as if chest were squeezed by a tight bandage;Crotalus horridus Palpitation of debility, obesity or fatty heart; nervous palpitations in hysterical people; heartbeat feeble or imperceptible; pernicious anaemia; haemorrhagic diathesis. Cuprum metallicum Cardiac asthenia, slow pulse, often the sign of feeble muscular action of the heart; fainting fits, probably from stoppage of the action of heart; dyspnoea greatly increased by any exertion; Digitalis purpurea Subacute inflammation of the heart, with spasmodic, but incomplete contractions and feeble, irregular pulse;. Organic diseases of the heart, sensation as if the heart would stop beating if she moved; heart's action accelerated by the least motion,04/15/23 drendresh 53

Gelsemium sempervirens Cardiac neurosis with deficient power and action, on going to sleep is suddenly aroused with the feeling that the heart would stop beating if he did not move about.Glonoinum Excessive throbbing of heart, pulse beats rapidly with increasing force and frequency;Kalium bichromicum Cold sensation around heart (Graph.); tightness of chest, dyspnoea; pricking pain in cardiac region; pulse irregular,Kalmia latifolia Especially useful when gout or rheumatism, after external applications, shifts from joints to heart Sharp, severe pains about heart,Lachnanthes tinctoria Neurosis cordis Sensation as of a lump of ice in cardiac region and back, somewhat relieved by compressing the chest with both hands Lobelia inflata Sensation as if heart would stand still, a pain deep in, above heart; dyspnoea and suffocation from every rapid movement,


Naja tripudians Endocarditis,acute stitching pain and sense of oppression in chest, as if a hot iron had been run into it and a big weight put upon it; cannot lie a moment upon left side , but great relief of pain and breathing when lying on right side; aggr. at night, compelling her to sit at the open window;. Nux vomica Hypertrophy of heart from portal obstruction; Petroleum Feeling as if there were a cold stone in the heart (Kali bi., Lil.)Phosphorus Cardiac diseases of the right heart with venous stagnation. Endocarditis or myocarditis during acute inflammatory rheumatism or during pneumonia. Secondary dilatation of heart in an advanced state; fatty degeneration and destruction of the muscular fibres of the heart;Plumbum metallicum Chronic endocarditis and endarteritis; hypertrophy with atheroma{2}of aorta, followed by dilatation of left ventricle, with anxiety about heart, frequent violent palpitation, dyspnoea threatening suffocation, feeling the pulsations in head,


Gastric Derangement

Argentum nitricum acid vomiting; pain in left side of stomach, below short ribs, more intense during inspiration and on touching the parts; ulcerative pain in stomach after eating; perforating ulcer in stomach; flatulency in stomach. Arnica montana Pressive cutting pains in epigastrium, with nausea and retching, after blows on stomach; vomiting of dark-red;Arsenicum album Subacute gastritis Burning periodical pains, with sour, acrid vomit, violent thirst, but vomits the water; extreme tenderness in pit of stomach and restless moving in spite of the pain; mouth dry; tongue white as if white-washed or red with raised papillae; least food or drink is vomited as soon as taken; distressing heartburn. After abuse of ices, spoiled sausages, sour beer, alcoholic excesses, chewing tobacco.


Bryonia alba Stitching pain in gastric region, extending to the chest, tongue coated, dry, without thirst, or great thirst day and night and drinking large quantities. In summer, especially when caused by taking a cold drink after being heated, or after eating flatulent food.Capsicum annuum Burning in stomach as if fire were there, aggr. immediately after taking hot or cold food; soreness of stomach;burning and cutting pains in abdomen, amel. by bending double. Carbo vegetabilis Great deal of sour and rancid belching; burning in the stomach; sensation as if the oesophagus were constricted; the most innocent food causes pain; excessive accumulation of gas in the stomach and abdomen, with sensation as if it would burst, desire for acids;aggr. from ices. China officinalis Pains worse on left side, under the ribs, extending downward; vomiting of blood, fulness in the stomach and bowels, sour risings, cold feeling in the stomach. Colocynthis Acute gastritis after taking cold; colicky pains in abdomen; constant inclination to vomit; vomiting of bile without relief; sleeplessness;


Cuprum metallicum Nausea, eructations, painful and long-continued hiccough; rumbling in abdomen, sensation of a round ball going to and fro under the ribs, aggr. by fluid food; vomiting of bile;.

Hydrastis canadensis Dull aching pain in stomach, causing a very weak, faintish feeling, a goneness in the epigastric region, acidity, constipation.

Ipecacuanha Pain most severe in front of abdomen, extending to the left hypochondrium, to the sides, to the back, and the base of the chest,Iris versicolor Great burning distress in the epigastrium, can hardly endure it; colicky pains every few minutes in the epigastrium; shocks of pain in the umbilical region up to epigastrium; nausea, straining, and belching of wind; vomiting, with diarrhoea,Nux vomica Bitter or sour taste, sour belching, fulness and pressure in the stomach, constipation, dizziness, headache, irritable, cross; after coffee, wine, condiments, after mental overexertion; in persons leading a sedentary life.


Phosphorus Cutting burning pains in the stomach; severe pressure in the stomach after eating, with vomiting of food; unquenchable thirst; cramps in stomach, radiating to the liver; goneness in gastric region; haematemesis, better from drinking cold water; Pulsatilla pratensis Pain in pit of stomach during inspiration and on pressure; stitching pain, worse when walking or making a misstep; perceptible pulsation in pit of stomach; tension from stomach to chest; gastric catarrh from ice-cream, fruit and pastry. Titanium metallicum Excessively severe pain and distress, only relieved by vomiting; great weakness and emaciation; during pains constant eructations of foetid gas from the stomach; bowels much distended, constipation.


Respiratory AffectionAlumen Coughs a long time every morning, with scratching in the middle of the sternum, on and after getting up, aggr. during, amel. after breakfast; chronic morning cough of old people; sputa ropy and scanty; dry cough in the evening after lying down. Alumina Dry, hacking cough soon after waking in the morning, ending in difficult raising of a little white mucus; cough with tearing pains and involuntary urination in old or withered looking people; aggr. in the cold season and lasting till the warm season sets in again, cough amel. by lying flat on the face; sputum difficult and of a putrid taste. Ambra grisea Paroxysms of cough coming from deep in chest, excited by violent tickling in throat, evening without, morning with expectoration, generally of grayish-white, seldom of yellow mucus, of salty or sour taste, excited by exertion and music;


Ammonium carbonicum Bronchitis of the aged Copious bronchial secretion, with great difficulty of expectoration and bronchial dilatation. Ammonium muriaticum Pulmonary catarrhs, with constant hacking and scraping as if a foreign body were in the throat, but he only brings up small pieces of white mucus. Dry cough; aggr. evenings and at night, when lying on his back or on right side.Antimonium tartaricum Bronchitis of infants and old people; profuse mucus with feeble expulsive power; rattling of phlegm in chest, with increased irritability to cough;Arsenicum album Chronic bronchitis of the aged Dry catarrh, not of recent origin; dyspnoea,. Difficulty of breathing continues during the intervals upon coughing, and returns periodically, especially at night; bronchial secretion scanty, provoking a dry, wheezing, often very violent cough, followed after a while by expectoration of a white, frothy, sometimes sticky mucus, followed by an increase of difficulty in breathing; aggravation after eating and in the afternoon; emaciation; aggr. about and after midnight, from lying down, from drinking cold water, from mental excitemen04/15/23 drendresh 61

Cactus grandiflorus Chronic bronchitis with rattling of mucus; continuous, day and night; oppression of breathing on going up stairs and inability to lieCalcarea carbonica Chronic bronchitis, complicated with emphysema; bronchial dilatation with the characteristic foetid sputa, or yellow, lumpy and sweetish,Calcarea sulphurica In children, severe cough, with malaise in the chest; green stools; small warts on fingers and thumbs; herpetic eruptions on the face, ears, chest and hands. Cannabis indica Humid asthma, it requires a great effort to take a deep breath, feels as if suffocated and has to be fanned; rough cough with scraping immediately under sternum. Carbo vegetabilis Chronic bronchitis of poor, exhausted constitutions and of aged people, with profuse foetid expectoration or with profuse mucous accumulation,Causticum Violent, racking cough, especially at night, with pain in the throat and head, greasy taste of the sputa; cough after getting warm in bed, or after recovering the natural heat from a colder state; cough, with pain in hip; cough immediately relieved by a cold drink; morning hoarseness.


Conium maculatum Chronic cough, from enlargement of the bronchial glands, with irritation of the tracheal and laryngeal lining; spasmodically tearing cough, amel. in the evening and at night from horizontal position; aggravated by talking and laughing.Drosera rotundifolia Bronchitis of old age, in connection with emphysema or bronchiectasis; nocturnal paroxysms; aggr. from lying down; the cough seems to come from the abdomen; shaking all the muscles of the chest and body,Hepar sulphur Mostly indicated when the cough enters the stage of resolution; a rattling, choking, moist cough, aggr. towards morning and after eating; fatiguing, hollow cough as soon as he uncovers any part of his body. Bronchiectasis, with dirty-yellow, foul sputa. Hydrastis canadensis Bronchitis of old people, with great debility, loss of appetite, cachectic state, great weakness; chronic cough, accompanied by febrile paroxysms evenings and night, and excessive prostration; sputa thick, yellowish,


Hyoscyamus niger Night cough dry, aggr. in recumbent position, less when sitting up, or from eating and drinking, loose in daytime, with greenish or pale, bloody expectoration. Iodium Scrofulosis; dyspnoea at night, compelling him to sit up, dry morning cough, later transparent, grayish sputa; aggr. after every cold. Kalium bichromicum Bronchitis oscillating between acute and torpid inveterate bronchitis, vascular congestion and moderate muco-purulent secretion, frequently accompanied by periosteal or rheumatic pains. Cough resonant, whistling, with nausea and expectoration of thick mucus; whistling; loud rattling in chest; difficult expectoration of yellow, bluish or slate-coloredKalium bromatum Chronic catarrh, with purulent sputa of a slate color; acne of the face; pruritus of the genital organs; dry, fatiguing cough at intervals of two or three hours, with difficult respiration,Lobelia inflata Impossibility of deep inspiration; extreme dyspnoea, aggr. by slightest exertion or short exposure to cold; feeling of strong constriction in middle of chest, impeding respiratory movements. 04/15/23 drendresh 64

Natrium carbonicum Cough excited by coming into a warm room; short, with rattling in chest, with rumbling, incarcerated flatus and salty, purulent, greenish sputa. Natrium muriaticum Dry cough from tickling in the throat or pit of stomach, day and night; lungs feel raw and sore from continued coughing;Nux vomica Chronic bronchitis of old people; rough, dry and deep cough from dryness of larynx, with tension and pain in the larynx and bronchi;Phosphorus Subacute attacks of bronchitis in emaciated, cachectic, or young overgrown invalids; broncho-pulmonary catarrhs from dilatation or fatty degeneration of the heart. Cough abrupt, rough, sharp, dry; between each coughing spell a short interval; dry, tickling cough in the evening, with tightness across the chest and expectoration in the morning; pain in chest when coughing, relieved by external pressure;Sanguinaria canadensis Dry cough, with considerable tickling in the pit of the throat, a crawling sensation extending downward beneath the sternum. 04/15/23 drendresh 65

Senega Accumulation of masses of thick mucus in the bronchi, which can only be expectorated with difficulty, cough of old people, who expectorate large quantities of watery mucusSepia officinalis Dry, hard, short, spasmodic cough, preventing sleep; in the morning expectoration of foul-smelling, yellowish-green sputa. During the night in bed, especially before midnight, spasmodic cough, Stannum metallicum Bronchial dilatation and profuse purulent expectoration; weak feeling in chest after expectorating or talking; excessive muco-purulent expectoration, greenish, with a sweetish taste, more rarely salty.


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chest pain and homoeopathic management

Health & Medicine

heart throb

apex of heart stitches

aching pain

livid complexion dull

sternum palpitation

abrupt pulse

rapid pulse

body dull aching