3. Diseases of the Cerebral blood vessels are the
third most common cause of death next to
Ischaemic Heart Disease and Cancer.
Cerebrovascular disease can cause death and
disability by;
Ischemia from occlusion of blood vessels
(producing Cerebral Ischaemia and Infarction.)
Or Hemorrhage through their
rupture.
4. GENERAL CLASSIFICATION
Ischaemic variety;
Cerebral Thrombosis
Cerebral Embolism
Hemorrhagic variety;
Ruptured Aneurysm in the young
Hypertensive Cerebral hemorrhage in the elderly
Lacunar infarcts are deep, small multiple wedge-shaped
cerebral infarcts.
5. RISK FACTORS
MAJOR RISKS
Arterial Hypertension
Diabetes mellitus
Smoking
Hyperlipidaemia
Polycythaemia, sickle
cell anemia
Thrombocythaemia
Heart failure, Atrial
fibrillation,
Infective endocarditis
MINOR RISKS
High alcohol intake
Positive family history
Oral Contraceptives
Trauma
6. CLINICAL CLASSIFICATION
Complete, if the focal neurological deficit is
persistent and not worsening.
Transient (TIA) if the focal neurological
deficit recovers within 24 hours.
Evolving if the focal neurological deficit
continues to worsen after about 6 hours from
onset.
20. FEATURES IN DIFFERENT ARTERIAL TERRITORIES
AND RELEVANT DRUGS:
MAIN
BRANCH
INTERNA
L
CAROTID
BRANCH
MIDDLE
CEREBR
AL
(MCA)
AREAS OF
SUPPLY
CLINICAL
FEATURES
Most of the
motor &
sensory areas,
Internalcapsule
, speech &
auditory areas.
Hemi paresis (face& HYOS(deaf
arm
leg)
ness),
Hemianesthesia,
CHEN-A
Dysphasia,dysarthri (aphasia),
aHemianopia rarely. BARYTA-M
(lt.Hemiple&aphasia)
ANTERIO Motor areas
R
esp. for legs.
CEREBR
AL
(ACA)
Hemiparesis (leg
arm & face)
Incontinence urine &
stool.
DRUGS
ARNICA
CAUST
HYOS
21. POSTERIO Mid brain
R
Visual area
CEREBRAL Thalamus
(PCA)
VERTEBR- Cerebellum
BASILAR
Labyrinthine
Pons
Medulla
Amnesia(memory loss)
Homonymus Hemianopia
Cortical blindness
Sensory loss to all
modalities,Thalamic pain
(spontaneous burning pain)
Vertigo, Dizziness, Ataxia,
Dysarthria, Diplopia,
Nystagmus, Facial weakness /
numbness, Bilateral sensory
symptoms, Loss of
conciousness, Dysphagia,
Occipital headache.
AURUM
STRAM
MUR-ACID
(numbness+
aphasia)
GELS
SEPIA
PONTINE
Hemorrhage
Contra lateral Hemiplegia,
Deep coma, Hyper pyrexia,
PIN-POINT pupils
OPIUM
23. ARNICA
-H/o- Head injury
-Left-sided paralysis
-- Involuntary evacuations from
bladder and bowels
--pulse full,strong, stertorus breathing
--Arnica 30,for dissolving blood clots
24. OPIUM
•-Ruputure of vessels & consequent symptoms of
extravasation of blood into the cerebral subatance
leading to;
•-One- sided paralysis, with stertorus breathing ,
•-Jaw dropped
•-Pin-Point pupils
•-Tetanic rigidity of the body
•-Face mottled, purple or hot, hot sweat.
•-In Drunkards, followed well by Nux-vom
•-Opium follows Bell in apoplexy.
25. GLONOINE
Indicated in the high arterial tension and co-existing
kidney disease(Asterias)
Monoplegia ( affecting one arm or leg)
Stertorus breathing
Coma
Intense heat
Shiny skin & Cold extremities
26. PLUMBUM MET
•-Apoplexy ,stupor, when Opium is sufficiently similar
to remove the cerebral congestion which always
surrounds the apoplectic clot, Plumbum may follow.
(kent)
-Cerebral Tumours and Cerebral Sclerosis
-Paralytic weakness of Oneside of the body
-Paralysis of muscles (lt.sided)—atrophy
-Violent pain in the Paralysed parts &
Hyperesthesia of normal side.
27. GELSEMIUM
In Sub-arachnoid haemorrhage
•-Nervous affections of Cigar makers
•-Threatened & actual apoplectic seizure
•-The symptoms are
Stupor
General paralysis
Headache,nausea
Dilated pupils
Twitching of the single muscles
•-Dizziness, drowsiness, dullness & trembling
28. CAUSTICUM
• Indicated not for congestion, exudation but for the
Remote symptoms, when, after absorption of the
effused blood has taken place, there still remains
paralysis of the opposite side of the body.
• Right-sided paralysis
• Paralysis of Single parts
• Incontinence (Hyos)
• Contracture of the affected parts.
29. COCCULUS
It affects the voluntary muscles rather than the
intellectual power.
Face red & hot
Eyes closed, with the balls constantly rolling
Pupils dilated
Breathing with out noise
Left or Right extremities paralysed;
after night watching & exhaustion.
CROTOLUS- HOR
Cerebral Haemorrhage
-- Bleeding disorders
Right –sided paralysis
30. LAUROCERASUS
Apoplexy when it occurs suddenly without
prodromal;
Patient falls suddenly into a comatose state
out of which he cannot be aroused;
Cold moist skin
Convulsion of the muscles of the face.
31. LACHESIS
• After Liquor, Emotion
• Left-sided paralysis
• Cannot bear anything around neck
• When Conscious talks abruptly
HYOSCYAMUS
• Falls with a scream
• Involuntary defecation & urination
• Inability to swallow
• Twitching, jerking of all muscles of
body
32. ANACARDIUM
• Loss of Memory
• In After-effects of Cerebro Vascular Accidents
BARYTA-CARB
• In old people
• Drunkards
• Behaves Childish .
AURUM-MET
• Paralysis of tongue, speech imperfect
• Stammering
• Mental function unimpaired
33. NUX-VOMICA
• Paralysis of lower jaw,lower limb
• Retention of urine
• Constipation
• In drunkards, followed by Opium.
ZINCUM-MET
• Senses are affected after attack
• Fidgety feeling in feet,
must move them constantly
36. Hemiplegia with Aphasia
-- Bothrops, Cench
Rt.Hemiplegia with Aphasia -- Bothrops, Cantharis,
Chen-a
Lt.Hemiplegia with Aphasia -- Baryta-mur
Lt. Hemiplegia after hemorrhage – Curare
Lt.upper limb(monoplegia) – Ars.alb
For Lacunar Strokes – Caust, Curare, Plum-met
37. Aphasia due to Embolism of Middle cerebral artery :
Kali-brom
Apoplexy followed by idiocy – Helleborus
Apoplexy in drunkards
-- Opium, Nux-vom, Sepia.
when coma fails to yield to Opium – Apis.mel
Apoplexy after excitement --Stannum
APOPLEXY: due to
Sudden fright – Acon, Opium
Excessive joy
- Coff, Opium
Suppression of menses – Nux-v, Puls
Disappointed love
- Phos
38.
ALLEN.H.C, Key Notes and Characteristics with Comparisons of some of the Leading Remedies of the Materia
Medica with Bowel Nosodes, New Delhi, B.Jain Publishers Pvt. Ltd., 8 th Reprint Edition 1996
BOERICKE, WILLIAM , A Manual of Homoeopathic Materia Medica and Repertory, New Delhi, B.Jain
Publishers Pvt. Ltd., Reprint Edition 1996.
CLARKE.J.H. A Dictionary of Practical Materia medica, (Vol.I, II, III), New Delhi, B.Jain Publishers Pvt. Ltd.,
New Issue with additions, Reprint 2000.
CLARKE.J.H, A Clinical Repertory to the Dictionary of Materia Medica, New Delhi, B.Jain Publishers Pvt. Ltd.,
Reprint Edition 2001
COWPERTHWAITE.A.C. A Text Book of Materia Medica and Therapeutics (Characteristic, Analytical and
Comparative), New Delhi, B.Jain Publishers, 13th Reprint Edition 2001.
FARRINGTON.E.A. Clinical Materia Medica, New Delhi, B.Jain Publishers Pvt. Ltd., Reprint 4 th Edition 2002.
KENT.J.T, Lectures on Homoeopathic Philosophy , New Delhi, B.Jain Publishers Pvt. Ltd., Reprint Edition 1997.
KENT.J.T, Repertory of Homoeopathic Materia Medica , New Delhi, B.Jain Publishers Pvt. Ltd., 6 th Edition.
KENT.J.T, Lectures on Homoeopathic Materia Medica , B.Jain Publishers Pvt. Ltd., Reprint Edition
LILIENTHAL, SAMUEL, Homoeopathic Therapeutics, Calcutta, Sett Dey & Co., Reprinted Edition 1969.
OXFORD, Text Book of Medicine,davidsons and harrisons etc
MURPHY ROBIN’s, Homoeopathic Medical Repertory, New Delhi, Published by Indian Books and Periodical
Syndicate, 1st Indian Edition, 1994.
Other relevant Websites and homoeoathic softwares.etc…
39.
The effort made in this work is not merely to arrive at any conclusion
regarding the scope of homoeopathic doctrine over cerebro vascular
diseases alone. It is also to infuse interest into the future researches in
homoeopathy confined to various remedies belonging to the materia medica
to show a delicate focus in the study of individual clinical conditions. in
doing such works in future a better understanding of the armamentarium of
homoeopathic materia medica will be obtained.these efforts correspondingly
will ensure
A better understanding of the hidden symptoms in our vast materia
medica could be explored.
. A better approach in several clinical conditions by which, the
therapeutic value of Homoeopathic materia medica gets enriched.
