COVID19 & Homeopathy update

COVID-19 & Homeopathy update. The novel coronavirus, WHO declares as a world pandemic. Now 225 countries. Advice and Homeopathic symptomatic case management suggestions.

24/01/2020 – present.

What is a coronavirus?

This virus belongs to a family of viruses known as coronaviruses. Named for the crown-like spikes on their surfaces, they infect mostly bats, pigs, and small mammals. But they mutate easily and can jump from animals to humans, and from one human to another.

Seven strains are known to infect humans, including this new virus, causing illnesses in the respiratory tract. Four of those strains cause common colds. Two others, by contrast, rank among the deadliest of human infections: severe acute respiratory syndrome, or SARS, and Middle East respiratory syndrome, or MERS. This new virus is called severe acute respiratory syndrome coronavirus 2, or Sars-CoV-2. The disease it causes is called Covid-19. (The number stands for 2019, the year it emerged.) (2)

Multiple variants of the virus that causes COVID-19 are circulating globally: (32)

• The United Kingdom (UK) identified a variant called B.1.1.7 with a large number of mutations in the fall of 2020.Global Variant ReportsView a global map showing reports of variants in each country.This variant spreads more easily and quickly than other variants. In January 2021, experts in the UK reported that this variant may be associated with an increased risk of death compared to other variant viruses, but more studies are needed to confirm this finding. It has since been detected in many countries around the world. This variant was first detected in the US at the end of December 2020.
• In South Africa, another variant called B.1.351 emerged independently of B.1.1.7. Originally detected in early October 2020, B.1.351 shares some mutations with B.1.1.7. Cases caused by this variant have been reported in the US at the end of January 2021.
• In Brazil, a variant called P.1 emerged that was first identified in travelers from Brazil, who were tested during routine screening at an airport in Japan, in early January. This variant contains a set of additional mutations that may affect its ability to be recognized by antibodies. This variant was first detected in the US at the end of January 2021.

These variants seem to spread more easily and quickly than other variants, which may lead to more cases of COVID-19. An increase in the number of cases will put more strain on health care resources, lead to more hospitalizations, and potentially more deaths.

covid19 Symptoms:

Common signs of infection include respiratory symptoms, fever, cough, shortness of breath, and breathing difficulties. In more severe cases, an infection can cause pneumonia, severe acute respiratory syndrome, kidney failure, and even death. (1) Cardiac injury. (14)

Recent data from the Netherlands and France suggest that of the patients with coronavirus who are admitted to intensive care units (ICU), 30-70% develop blood clots in the deep veins of the legs, or in the lungs. Around one in four coronavirus patients admitted to ICU will develop a pulmonary embolism. (27)

DAY-BY-DAY PROGRESSION OF COVID-19 (from symptomatic point of view)

Day 1-3

• Cold and flu like symptoms
• Fever
• Mild or no throat pain

Day 4

• Increased throat pain
• Sore voice
• Fever 36.5 degree centigrade
• Mild headache and diarrhoea or cramps

Day 5

• Throat pain very severe, worse eating or drinking
• Soreness of voice increases
• Dry cough
• Joint pains worse motion
• Weakness

Day 6

• Increase in fever, 37 degree centigrade
• All above symptoms increase in intensity
• Nausea, vomiting and diarrhoea increase
• Starts feeling shortness of breath in a mild way
• Body ache or pain from joints extends to fingers
• Increase in weakness

Day 7

• Intensity of fever increases 38 degree centigrade
• Excessive coughing with sputum
• All above symptoms worsen

Day 8

• Cough worsens, usually dry
• Severe difficulty in breathing
• Heaviness and pain in chest
• All above symptoms further worsen
• Toxic appearance of the patient
• Fever, intense, above 38 degree centigrade

Day 9

• All the symptoms become much worse
• Cyanosis
• Kidney failure
• Respiratory failure
• Multi-organ failure (15)

Covid19 symptoms of new variants: (31)

1. Cough 35 percent.
2. Fatigue/weakness (32 percent),
3. Headache (32 percent),
4. Muscle aches (25 percent),
5. Sore throat (22 percent) and
6. Fever (22 percent).

Age fatality variations of covid19 :

Age	Death rate Confirm case	Death rate All case
80+ upp	21.9	14.8
79-89		8.0
60-69		3.6
50-59		1.3
40-49		0.4
30-39		0.2
20-29		0.2
10-19		0.2
0-9		no fatality

Here are a few countries that have not reported any cases of the coronavirus so far:

Kiribati

Marshall Islands

Nauru

North Korea

Palau

Tonga

Turkmenistan

Tuvalu

SOURCE: AL JAZEERA NEWS & WORLDOMETERS

Pathophysiology of covid19 : (18)

The lungs are the organs most affected by COVID-19 because the virus accesses host cells via the enzyme angiotensin-converting enzyme 2 (ACE2), which is most abundant in type II alveolar cells of the lungs. The virus uses a special surface glycoprotein called a “spike” (peplomer) to connect to ACE2 and enter the host cell. The density of ACE2 in each tissue correlates with the severity of the disease in that tissue and some have suggested that decreasing ACE2 activity might be protective, though another view is that increasing ACE2 using angiotensin II receptor blocker medications could be protective and that these hypotheses need to be tested. As the alveolar disease progresses, respiratory failure might develop and death may follow. (18)

The virus also affects gastrointestinal organs as ACE2 is abundantly expressed in the glandular cells of gastric, duodenal, and rectal epithelium as well as endothelial cells and enterocytes of the small intestine. (18)

The expanding part of the lungs, pulmonary alveoli, contains two main types of functioning cells. One cell, type I, absorbs from the air, i.e. gas exchange. The other, type II, produce surfactants, which serve to keep the lungs fluid, clean, infection-free, etc. COVID-19 finds a way into a surfactant-producing type II cell and smothers it by reproducing the COVID-19 virus within it. Each type II cell that perishes to the virus causes an extreme reaction in the lungs. Fluids, pus, and dead cell material flood the lung, causing the coronavirus pulmonary disease. (18)

Angiotensin-converting enzyme (ACE):

ACE is a central component of the renin–angiotensin system (RAS), which controls blood pressure by regulating the volume of fluids in the body. It converts the hormone angiotensin I to the active vasoconstrictor angiotensin II. Therefore, ACE indirectly increases blood pressure by causing blood vessels to constrict. ACE inhibitors are widely used as pharmaceutical drugs for the treatment of cardiovascular diseases. The enzyme was discovered by Leonard T. Skeggs Jr. in 1956. It is located mainly in the capillaries of the lungs but can also be found in endothelial and kidney epithelial cells. (23)

ACE2 Location within the body: (22)

ACE2 is known to be present in most organs. ACE2 is attached to the cell membrane of mainly lung alveolar epithelial cells, enterocytes of the small intestine, arterial and venous endothelial cells, and arterial smooth muscle cells in most organs. ACE2 mRNA expression is also found in the cerebral cortex, striatum, hypothalamus, and brainstem. (22)

Angiotensin Receptor Blocker (ARBs): (21)

Angiotensin II is a very potent chemical formed in the blood that causes muscles surrounding blood vessels to contract, thereby narrowing the vessels. This narrowing increases the pressure within the vessels and can cause high blood pressure (hypertension). Angiotensin II receptor blockers (ARBs) are medications that block the action of angiotensin II by preventing angiotensin II from binding to angiotensin II receptors on the muscles surrounding blood vessels. As a result, blood vessels enlarge (dilate), and blood pressure is reduced. Reduced blood pressure makes it easier for the heart to pump blood and can improve heart failure. In addition, the progression of kidney disease caused by high blood pressure or diabetes is slowed. ARBs have effects that are similar to angiotensin-converting enzyme (ACE) inhibitors, but ACE inhibitors act by preventing the formation of angiotensin II rather than by blocking the binding of angiotensin II to muscles on blood vessels. (21)

What are the uses for ARBs? (21)

ARBs are used for controlling high blood pressure, treating heart failure, and preventing kidney failure in people with diabetes or high blood pressure.

ARBs also may prevent diabetes and reduce the risk of stroke in patients with high blood pressure and an enlarged heart.

ARBs also may prevent the recurrence of atrial fibrillation.

Since ARB medications have effects that are similar to those of ACE inhibitors, they often are used when ACE inhibitors are not tolerated by patients (for example, due to excessive coughing). (21)

What are the side effects of ARBs? (21)

ARBs are well tolerated by most people. The most common side effects are

cough,

myalgia

Elevated potassium levels in the blood (hyperkalemia),

Low blood pressure,

Dizziness,

Headache,

Drowsiness,

Diarrhea,

Abnormal taste sensation (metallic or salty taste),

Rash,

Orthostatic hypotension (low blood pressure upon standing),

Fatigue,

Indigestion,

Increased blood glucose levels,

Flu-like symptoms,

Sinusitis (sinus infection),

Bronchitis, and

Upper respiratory tract infections.

Compared to ACE inhibitors, cough occurs less often with ARBs.

Serious side effects of ARBs

The most serious, but rare, side effects are

kidney failure,

Liver failure (hepatitis),

Serious allergic reactions,

A decrease in white blood cells,

A decrease in blood platelets, and

Swelling of tissues (angioedema).

There have been reports of rhabdomyolysis (destruction of skeletal muscle) in patients receiving ARBs.

Individuals who have narrowing of both arteries that supply the kidneys or have had a severe reaction to ARBs should avoid them.

Like other antihypertensives, ARBs have been associated with sexual dysfunction. (21)

Cardiovascular diseases and/or their therapy, by affecting ACE2 levels, may play a pivotal role with regard to infectivity and outcome of COVID‐19. Whether treatment or disease-induced upregulation of ACE2 influences the course of COVID‐19 urgently needs to be determined. (24)

Link Between Vitamin D Deficiency and COVID19 Deaths

A team of Indonesian researchers led by Prabowo Raharusuna released a working paper showing a significant association between COVID19 deaths and vitamin D insufficiency or deficiency in a sample of 780 laboratory-confirmed cases of SARS-CoV-2.

“This study focused on identifying patterns of mortality among patients infected with COVID19 and the possible association between serum 25(OH)D [vitamin D] levels and mortality outcomes,” state the researchers.

The key findings are as follows:

A majority of COVID19 cases with vitamin D deficiencies died.

The odds of death were higher in older and male cases with preexisting conditions and lower than normal Vitamin D levels.

When accounting for the effects of age, sex, and comorbidity, vitamin D status is strongly related to COVID19 mortality. (28)

Another Causes of Vitamin D Deficiency

• You don’t consume the recommended levels of the vitamin over time. This is likely if you follow a strict vegan diet, because most of the natural sources are animal-based, including fish and fish oils, egg yolks, fortified milk, and beef liver.

• Your exposure to sunlight is limited. Because the body makes vitamin D when your skin is exposed to sunlight, you may be at risk of deficiency if you are homebound, live in northern latitudes, wear long robes or head coverings for religious reasons, or have an occupation that prevents sun exposure.

• You have dark skin. The pigment melanin reduces the skin’s ability to make vitamin D in response to sunlight exposure. Some studies show that older adults with darker skin are at high risk of vitamin D deficiency.

• Your kidneys cannot convert vitamin D to its active form. As people age, their kidneys are less able to convert vitamin D to its active form, thus increasing their risk of vitamin D deficiency.

• Your digestive tract cannot adequately absorb vitamin D. Certain medical problems, including Crohn’s disease, cystic fibrosis, and celiac disease can affect your intestine’s ability to absorb vitamin D from the food you eat.

• You are obese. Vitamin D is extracted from the blood by fat cells, altering its release into the circulation. People with a body mass index of 30 or greater often have low blood levels of vitamin D. (29)

CLINICAL CLASSIFICATION (from Pathological point of view)

Mild to moderate cases

• Fever, nasal congestion, dry cough, fatigue, sputum formation, shortness of breath, sore throat, headache, body ache, chills, nausea, vomiting, diarrhoea, loss of smell and taste etc.
• This constitute 80% of patients.
• The difference in mild and moderate cases is that the above symptoms are mild in the former and there is no pneumonia while in the latter the symptoms are more intense and manifestations of pneumonia are seen in imaging.

Severe cases

• Adults who meet any of the following criteria: respiratory rate; > 30 breaths/min; oxygen saturations; 93% at a resting state; arterial partial pressure of oxygen (PaO₂)/oxygen concentration (FiO₂); < 300 mmHg. Patients with > 50% lesions progression within 24 to 48 hours in lung imaging should be treated as severe cases.
• Pneumonia with fluid accumulation
• This constitutes 14% of patients.

Critical cases

• Extensive pneumonia
• Meeting any of the following criteria: occurrence of respiratory failure requiring mechanical ventilation; presence of shock; other organ failure that requires monitoring and treatment in the ICU.
• This constitutes 6% patients. (15)

Liver damage:

Some patients hospitalized for COVID19 have had increased levels of liver enzymes — like alanine aminotransferase (ALT) and aspartate aminotransferase (AST) — that indicate their livers are at least temporarily damaged. Also, liver damage is more common in patients who have severe COVID19 disease. (30)

Virul sepsis (17)

1. Pneumonia, respiratory failure.
2. Metabolic acidosis.
3. Abnormal coagulation (Microthrombosis).
4. Cardiac & Renal failure. (17)

Antibody and the latent state of COVID-19

These antibody tests will be able to measure that level of serology presence, that level of antibodies, but that does not mean that somebody with antibodies” is immune, said Dr. Maria Van Kerkhove, head of WHO’s emerging diseases and zoonosis unit. So-called serological, or antibody, tests can indicate whether a person has had Covid-19 in the past and was either asymptomatic or recovered. (26)

Miasmatic assessment of COVID-19 cases

If we study the coronavirus disease in evolutionary totality, it is possible to see the cleavage. We can split the day wise data, analyse the pathology which is supervening and assess the miasmatic state. This will help us figure out the remedies.

Psoric manifestations

Mild symptoms such as fever, cold, throat pain, sore voice, headache, diarrhoea etc. Return to baseline of health is early and easy. Immunity good. Good response to the treatment. No complications. COVID-19 is limited to upper respiratory tract. Psora applies to Day 1-4.

Sycotic manifestations

The mild symptoms in psora become intense and constant. Lingering response. Weakness and dullness. Fever becomes constant and heaviness of head. Dry cough in bouts, often with expectoration; thick, yellow-greenish. Soreness of voice increases. Joint pains. Yet COVID-19 is limited to URT. Sycotic miasm is mostly for Day-5 status of the patients. 80% mild to moderate cases will be under the dominance of psoric and sycotic miasms.

Tubercular manifestations

Sycosis + Psora= tubercular (F. BERNOVILLE)

Syphilis + Psora= Tubercular ( J.H. ALLEN)

There are two types of patterns of response:  1. Acute, sudden onset and rapid pace of the disease. 2. Slow, then rapid pattern. COVID-19 usually follows the second pattern. It is from the Day 6 that we are able to see the tubercular miasmatic dominance and up to day 8.

This phase is characterized by high grade and persistent fever, intense throat pain and development of pneumonia and pleural effusion. Intense heaviness in chest, breathlessness, increased respiration, low oxygen saturation, enteritis, profound debility and toxic appearance are on the screen.

The type of severe disease of 14% of patients is due to the dominance by the tubercular miasm.  Day 6-8 needs careful monitoring and a remedy selected on the basis of totality and that covers the miasmatic state, if given in the right posology is able to help the system from the clutches of death. There are three signals that indicate the increasing influence of tubercular miasm. Very severe throat pain (probably a last-ditch effort on the part of the organism (through throat) to prevent the virus to go down in the lungs), pneumonia which is rapidly increasing and lymphopenia (a critical factor associated with disease severity and mortality).

The three stages of pneumonia represent the tubercular miasm. Don’t misunderstand that the first stage is psoric. It is not only replication but rapid changes of destruction (tubercular miasm is a blend of hyperreactivity of psora and destruction of syphilis).

Syphilitic manifestations

No response to treatment. Disease progresses with high pace. Complications à, hemodynamic state poor. Cyanosis. Kidney failure. Collapse. Comatose condition. Respiratory collapse. Multi-organ failure.

The above miasmatic criteria should be applied to all cases of pandemic COVID-19 for preventive and treatment modality. If we take into account the clinical features of COVID-19 in totality, the tubercular miasm is preponderant over the system right from the Day-4, and if the clinical condition becomes worse, it progresses to the syphilitic miasm.

The most common cause of death is respiratory failure. Other causes of death are pneumonia (leading to sepsis), high fever (leading to neurological problems), dehydration and electrolyte imbalance (from excessive vomiting and diarrhea).

 miasmatic categorization

Mild to moderate cases: Psoric³. Sycotic¹. Tubercular¹.

Severe cases: Tubercular3. Syphilitic2.

Critical cases: Syphilitic3. (15)

Conditions	Psora	Sycisis	Syphilis	Tubercular
Location	Upper RT	Bronchioles (Lungs)	Nose to alveoli	Nose to alveoli
Nature	Functional disorder	Incoordination	Pyogenic inflammation	easily catch cold
Cough	Dry spasmodic	Bronchial Prolonged	Short barking cough, like dog.	So dry & tight that they induce headach or whole body is shaken.
Expectoration	Fiend haemoptysis Due to functional origin.	Large accumulation of mucus but little expectoration.or profuse expectoration.	Tasteless, yellowish/ greenish, clear, sticky thread like discharge.	Pus like mucus, offensive & test sweetish or salty, mixed with blood.
Respiration	Slow & sallow	Accelerated/ rapid respiration	Dyspnoea before going to bed or while lying.	Weakness & debility and the breathlessness is often painful. They unable to expand the chest fully, as the expensive power of the lungs is greatly limited.
Family history	Allergy, eczema or urticaria	Bronchial asthma	Syphilis	Tuberculosis
Prognosis	Good favorable	Favorable	Unfavorable	Unfavorable.
Pathology development	Deficiency disorder	Deposition & proliferation	Deformities & fragility	Deplation
Constitutions	Carbonitrogenoid	Hydrogenoid	Oxygenoid	Changeable.
Pneumonia	Absent	present	Absent	Absent

So control sycotic miasm for prevent pneumonia.

Obesity:

Some coronavirus patients with obesity may already have compromised respiratory function that preceded the infection. Abdominal obesity, more prominent in men, can cause compression of the diaphragm, lungs, and chest capacity. Obesity is known to cause chronic, low-grade inflammation and an increase in circulating, pro-inflammatory cytokines, which may play a role in the worst Covid19 outcomes. (25)

Stay at home if you have coronavirus symptoms

Stay at home for 7 days if you have either:

• A high temperature
• A new, continuous cough (3)

Take medical support if:

• You feel you cannot cope with your symptoms at home
• Your condition gets worse
• Your symptoms do not get better after 7 days. (3)

How to avoid catching or spreading coronavirus

Do in covid19

• Wash your hands with soap and water often – do this for at least 20 seconds
• Always wash your hands when you get home or into work
• Use hand sanitiser gel if soap and water are not available
• Cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze
• Put used tissues in the bin immediately and wash your hands afterwards
• Try to avoid close contact with people who are unwell. (3)

Don’t do in covid19

• Do not touch your eyes, nose or mouth if your hands are not clean. (3)

People at Higher Risk and Special Populations:

Older people and people of all ages with severe underlying health conditions — like heart disease, lung disease, and diabetes, other infectious diseases. These include pregnant women and children. (4)
significant immunocompromise, lung damage due to smoking. (8)

You’ll need to stay in isolation, away from other people, until you have recovered. (3)

How long do coronaviruses live on surfaces?

Cold vs Flu vs coronavirus

The risk of death is lower still, at roughly 0.8%. This means the overall likelihood of recovery is 99.2%, but that is misleading. The death rate is highly concentrated- almost 98% concentrated- among those over age 70, and further concentrated among those over age 80. There have been no deaths at all in anyone under age 30, and almost none in those 60 and younger. (8)

Homeopathic Remedies for covid19: Symptomatic Homeopathic remedies may reduce your suffering. If symptoms give an indication. Please take medicine with a registered Homeopath.

1) Arsenic alb: in covid19

Insecurity, Anxiety in the early phases, Need strong support network, Fear of poverty & Fastidious.

NOSE-  Violent sneezing, great dryness of the nostrils, fluent coryza with stopped nose, burning in the nostrils and secretion of serous and corrosive mucus. Thin, watery, excoriating discharge.

  FEVER-  Oppression of the chest and difficulty of respiration, drawing in the limbs, and often with anxiety, restlessness in fever.  Externally cold, with internal burning heat. Sensitive in cold, yet amel in open air. High fever. During the chill, while there is sometimes great thirst, he has aversion to cold things, hence can take only hot drinks, hot teas.

GENERALITIES-Deficiency of blood.

RESPIRATION-  Sneezing without relief. Great dyspnea, in nose; face cyanotic, covered with cold sweat, great anxiety. Cough alternating dry & loose.   Emphysemea & pulmonary oedema. CHEST- SHORTNESS OF BREATHING, DIFFICULTY OF RESPIRATION, CHOKING, DYSPNOEA & ATTACK OF SUFFOCATION.

vomiting- restlessness with fear of deat
great thirst for sips (12) CLINICAL-PNEUMONIA.

OTHERS REMEDIES IF SYMPTOMS MAY INDICATED

2) Gelsemium sempervirens: in covid19

Sneezing with fluent coryza; profuse watery discharge excoriates the nostrils. Dry cough with soreness of the chest & fluent coryza. Weakness can be seen on all levels, mental, emotional and physical. Headache amel by urination.

Breathing frequent. Sensation of constriction in the lower thorax. Extreme & alarming difficulty of breathing. Extreme restlessness from threatened suffocation. EYE PAIN extend to occiput. Spasms of glottis. Eyelids heavy and drooping; can hardly keep the eyes open.

Thirst absent; with trembling. Chill preceded by visual disturbances.Acute coryza.

3) Bryonia alb: in covid19

Fluent coryza, with shooting & aching in the forehead.  Catarrh with dryness. Irritable and wants to left alone. He may refuse to answer to questions. Desire to go home. Fear of poverty or financial ruin. Headache worse by motion & cough even of the eyes.

Contracting pain in the chest, excited by the cold air. At the termination of the fever dry cough with vomiting shootings and oppression in the chest. Wants to take deep breath, but can not or it excites cough.

Descending cold. Pneumonia.  Coming into warm room excites cough. Dry hard painful cough must hold the chest.

4) Eupatorium perfoliatum: in covid19

Coryza with sneezing; aching in every bone. Sharp pain through right chest on deep inspiration. Tremendous aching as if the bone are broken.

Cough with soreness of chest, from laryngeal tickling; it hurts head and must hold the chest amel. Influenza with high fever, great soreness & aching of bones. Great thirst for cold drinks during the chill or even during the rigor.

5) JUSTICIA ADHATODA: in covid19

Highly efficacious medicine for acute catarrhal conditions of the respiratory tract (used in the beginning)

Head.–Irritable, sensitive to external impressions; hot, full and heavy head; lachrymation, with coryza, profuse, fluent, with constant sneezing; loss of smell and taste; coryza with cough.

Throat.–Dry, pain during empty swallowing, tenacious mucus. Mouth dry.

Respiratory.–Dry cough from sternal region all over chest. Hoarseness, larynx painful. Paroxysmal cough, with suffocative obstruction of respiration. Cough with sneezing. Severe dyspnśa with cough. Tightness across chest. Asthmatic attacks, cannot endure a close, warm room. Whooping-cough. (6)

6) Camphor: (9) in covid19

Skin of the whole body painful

Camphora is always indicated when death threatens through rapid depression of neural activity or of pulmonary or cardiac activity, e.g. in drowning. In such situations of collapse it is on a par with Carbo Vegetabilis.lly sensitive, slightest touch hurts.

it is used, as a rule, in prostration occurring suddenly and increasing rapidly. (9)

When the battle seems lost,e.g. paralysis like symptoms, failure of organs,extremities or the entire body. Person in a state of toxic shock, collapse,loss of peristalsis

sudden lose of mascular power with weak pulse. Comatose state

low or high grade fever,chilly in acute situation, with desire to be covereddiarrhoea,vomiting (12)

Camphora( Analysis  From Plant Kingdom )

Camphora comes form the subclass Magnolidae which has the theme of shutting yourself in and walling off the outside world. You can see this from the following rubric :

mind; DELUSIONS, imaginations; world; she has her own little, in which things are clear, outside is uncertain. This seems to be the main idea in this epidemic with everyone retreating in to their own world and the outside world seen as dangerous and uncertain. (9)

7) Oscillococcinum : (11) in covid19

Oscillococcinum is used for those with influenza symptoms or flu-like symptoms. This is the most commonly used homeopathic flu nosode that is made from duck liver. This remedy is used effectively by millions of people worldwide for actual cases of flu or flu-like symptoms. (11)

Oscillococcinum was successfully used by homeopaths during the SARS (Severe Acute Respiratory Syndrome) epidemic.  SARS is an infectious viral illness that affected 26 countries and resulted in more than 8,000 cases in 2003. (11)

Oscillococcinum was also used by homeopaths during the MERS (Middle East Respiratory Syndrome) epidemic. MERS is a viral respiratory illness that  was first reported  in Jordan in April 2012. All cases of MERS have been linked through travel to, or residence in, countries in and near the Arabian Peninsula. The largest known outbreak of MERS outside the Arabian Peninsula occurred in the Republic of Korea in 2015. That outbreak was associated with a traveler returning from the Arabian Peninsula. (11)

8) ECHINACEA: in covid19

Coronaviruses (CoVs) were long thought to only cause mild respiratory and gastrointestinal symptoms in humans but recent outbreaks of Middle Eastern Respiratory Syndrome (MERS)-CoV, Severe Acute Respiratory Syndrome (SARS)-CoV, and the newly identified SARS-CoV-2 have cemented their zoonotic potential and their capacity to cause serious morbidity and mortality, with case fatality rates ranging from 2 to 35%. Currently, no specific prophylaxis or treatment is available for CoV infections and therefore we investigated the antiviral potential of Echinacea purpurea (Echinaforce^®) against human coronavirus (HCoV) 229E and the highly pathogenic MERS- and SARS-CoVs in vitro. We found that HCoV-229E was irreversibly inactivated when exposed to Echinaforce at 3.2µg/ml IC₅₀. Pre-treatment of cell lines, however, did not inhibit infection with HCoV-229E and post-infection treatment had only a marginal effect on virus propagation at 50 µg/ml. However, we did observe a protective effect in an organotypic respiratory cell culture system by exposing pre-treated respiratory epithelium to droplets of HCoV-229E, imitating a natural infection. Finally, antiviral activity was not restricted to common cold coronaviruses, as the highly pathogenic SARS- and MERS-CoVs were inactivated at comparable concentrations. These results suggest that Echinacea purpurea preparations, such as Echinaforce, could be effective as prophylactic treatment for all CoVs, including newly occurring strains, such as SARS-CoV-2. (13)

9) Thuja occidentalis: in covid19

-Great prostration. Headache amel bending head backward. Low self esteem and feeling of worthlessness.

Throat feels raw, dry, as from a plug. Much mucous in throat hawked up with difficulty..Hoarseness, as from contraction of larynx. Coryza during stool.

respiration short and quick. convulsive asthma. Obstructed respiration, with violent thirst for water and a great anxiety.Spasm of lung from drinking cold water. Dyspnoea with need to take full inspiration. Hemorrhage from lungs quantity very great and terribly offensive. Short difficult breathing agg. from deep breathing and talking. Expectoration easy when lying down.

Diarrhea pale yellow water is forcibly expelled. If arsenic fail thuja cure. Thuja and natrum sulp will take up the work and complete the cure.During fever shaking chill with yawning agg urinating amel by heat. the warm air seems cold, and the sun has no power to warm him.

10) Natrum Sulpuricum: in covid19

Dyspnoea. Loose but violent cough, amel sitting; must hold the chest. Breathing short while walking. Constant desire to take long breath. Asthma with early morning diarhoea.

in fever chill cannot get warm even in bed. heat with aversion to uncover. Coldness and shuddering with thirst. Internal coldness with stretching and yawning.

Constriction and dryness in throat extend to oesophagus. Pressure on chest as of a heavy load.

11) Phosphorus: in covid19

Dry throat, as of a cotton or something hanging in.Tight suffocating breathing agg cough. laryngx raw, sore, furry, painful on speaking.Cough hard, wheezing, dry violent painful. Burning in air passages and trembling.

Pneumonia of left lower lungs, secondary with sopor. Chest full heavy; pain into throat or right arm. or alternating side. Stich in left upper chest. Dry hot feeling in chest. Asthma after cough. Open bright excitable suggestible anxious patients.

Chill in warm room down back , crave ice during the chill . Burning heat up back.

12) Antimonium Tartaricum: in covid19

Great accumulation of mucous in bronchi. Rattling respiration. laboured heart action. Defective oxygenation in the circulation of blood. Cyanosis and depression of vital power. patient become increagingly weak, sweats, drowsy and relaxed. Irritable and peevish.

Suitable to old & children. Trembling of whole body. Convulsion twitching.Much mucous in throat with short breathing. Swallowing painful or impossible.Unequal breathing, abdominal breathing. Suffocating shortness of breath. Must sit up to breath or cough. paralysis of lungs with edema. Overwhelming sleepiness during a cough or bronchitis, even sleeping into coma.

In fever Heat coming from heart. Coldness trembling and chilliness.

13) Sponges Tosta: in covid19

Dry of mucous membranes of tongue, larynx, trachea, throat. Faint when losing her breath on raising hand above head. Clear throat constantly. Throat symptoms amel laying on back.Difficultly swallows water in small quantity.Hoarseness with cough, coryza. Larynx painfull, dry, constricted worse touch, talking or swallowing. Suffocation as from a plug. violent painful palpitation and blue lips with heavy sweat.

Noisy, whistling inspiration on falling to sleep. Anxious gasping breathing.Cough hollow barking, crowing, sawing to tight. Burning in chest worse cold drink.

Profuse mucouse expectoration, difficult to raise, swallows it again, smelling like milk.Violent palpitation with dyspnoea awakes suddenly at night. In fever heat in flushes with anxiety, cardiac pain. He must lie down.

14) Blatta Orientalis: in covid19

Suitable for malaria like fever in rainy weather.Threatened suffocation by great accumulation of mucous. When Arsenic Alb insufficient.

15) Corallium Rubram: in covid19

It affect the mucus membranes of respiratory organs. Feeling as if cold air were steaming through skull and air passages. Patient is too cold when uncovered and too hot when covered, amel by artificial heat. Violent spasmodic cough, which begins with gasping for breathing. purple face. Cough as soon as he eat.Air passages feel cold on deep inspiration. Craving for sour.

Febrile shivering with burning thirst and pain in the forehead. Dry heat internal and external. Dry heat with thirst and not followed by perspiration. The hot part feel cold when uncovered.

16) Carbo Vegitabilis: in covid19

Imperfect oxidation and disintegration. The vital power become low from serious diseases. Complaints of old peoples. Persons who have never full recovered from the effects of some previous illness. Fainting fits. Cold but want to be fanned or thirst for cold water. Septic conditions.

Throat sensation as if closed. painful on swallowing food. Hawking of bloody black mucous. Cough with itching in larynx. Tormenting hollow choking cough with headache and vomiting. Breathing laborious, quick and short. Asthma in aged with blue skin, amel summer. Burning in chest with haemoptysis. Destructive lungs diseases. Pneumonia, advanced stage.

In fever alternate chill and heat. Warm head and cold limbs. Internal burning heat at heart, chest with cold icy skin and sweat.

17) Lobelia Purpurascens: in covid19

Heart paralysis of influenza. Blood poisoning. Impossible to keep eyes open. Dryness in throat of burning character. Headache specially between eyebrow. Nausea accompanying vertigo. Tightness of chest with great oppression and labouring breathing. sensation as if lungs paralysed. Superficial breathing. Respiration slow. Heart beat almost imperceptible. In fever deadly chill without shivering. General felling of feverishness and profuse perspiration. Profuse prostration of all vital force and of the nervous system. Nervous prostration of influenza. Coma.

18) Nux Vomica: in covid19

Nose stopped but run water on one side. Sneezing violent abortive from intense crawling in nostrils. Coryza fluent by day and in open air, dry at night.Rough raw throat as if scraped. Stitches into ear. Cough violent, throwing the patient down, splitting headach. Shallow oppressed breathing. Asthma from disordered stomach with fullness of stomach. Hoarsness with painful roughness in larynx and chest. Cough with sensation as if something torn loos in the chest. Asthma with feeling as if clothing were too tight. Desire to eat during cough. in Fever chill with thirst and heat without thirst.

19) Rhus Toxicodendron: in covid19

Influenza.Infections, septicemia in early stage. Symptoms go left to right. Sneezing fluent coryza. Difficulty swallowing of solid as from contraction of saliva. Chest pain agg using arms. Dry hoarse tearing tormanting cough with bloody taste. Sudden hypostasis or edema of lungs. Chest pain shoot into shoulder. Larynx cold when breathing. Hot air from trachea. in fever easily chilled with pain in limbs. Urticaria during fever.

20) Bapticia Tinctoria: in covid19

Influenza. Septic condition of blood. Soreness, heaviness and aching in muscles. Prostration rapid, bed feel to hard on account of soreness of muscles. Too weak to move. In throat can swallow liquids only, least solid food gags. Constriction of esophagus at cardiac orifice. Spams of gullet. Breathing difficult from weakness of chest, agg on walking. Crave air. Lungs feel tight and compressed. Afraid to go sleep on account of sense of suffocation and nightmares. Pulse first accelerated, then slow and faint. Gastric influenza. Sweat relieves fever.

21. Amonium Carbonicum: in covid19

Heart & circulation; thrombosis; pneumonia, in: am-c (16)

Poor oxigenation. Mucouse membranes of the respiratory organs are specially affected. Old age problems. Finally gangrenous degeneration. Very sensitive to cold air. Lies down from debility or soreness of whole body. Heaviness in all organs. Hemorrhagic diathesis from fluidity of blood and dissolution of red blood corpuscles. Increase difficulty in breathing. Asthenic pneumonia. Slow labored, stertorous breathing. Pulmonary edema. Cough after influenza. Congestion of lungs. Expectoration of pure blood after cough. Great dryness of mouth and throat. In fever coldness and burning heat with thirst. Feverish heat in the head with cold in the feet.

22) Allium Sativum: in covid19

There has been reported that garlic has anti-hypertensive effect through mechanism of intracellular nitric oxide and hydrogen sulfide production besides reducing the production of angiotensin-II. In his study, lee Moffitt considers the existence of adenosine de-amines and cAMP phosphodiesterase in garlic as one of the important reasons of anti-coagulation and vascular dilator properties of this plant. Also, the compound of Ajoene existing in garlic is a strong anti-platelet. garlic. Also the garlic’s oil and the compounds existing in garlic such as diallyl trisulfide improve the blood sugar levels of diabetic rats. The studies done on the garlic’s oil have indicated that the garlic improves the textural changes caused by nephropathy during diabetes disease. Advancing renal damages and high blood pressure are depended upon oxidative and nitro-oxidative stress and consuming the garlic oil and S Allil Cysteine (SAC) reduces the blood pressure and renal damages and it does this work through improving antioxidant system and delaying the renal damages caused by diabetes disease. (19)

Although the precise mechanism has not been defined yet, it was found that garlic extract with a good selectivity index (SI) has inhibitory effect on the virus penetration and proliferation in cell culture. (20)

Pulmonary tuberculosis. Hemoptysis. Darting pain left chest with dark urine. Difficulty breathing as if sternum compressed. Periodic asthma, constant rattling of mucous in bronchials. Sensitive to cold air. Painful irritation of windpipe when coughing. Cough seeming to come from stomach. Great difficulty in expectorating a glutinous mucus. Chilliness on one side only. During coldness, redness of face. Vomiting during the fever. Sticky feeling in throat with dryness, tickling, heat, and raw feeling in larynx.

23) Digitalis Purpurea: in covid19

It should be considered in all diseases, where the heart of chiefly involved. GREAT WEAKNESS. Cyanosis. Desire to take deep breath with dyspnoea. Cough cause pain in shoulders and arms, or sore raw feeling in the chest. Senile pneumonia. Can not expectorate without vomiting. Great weakness in the chest. Suffocates when he drops to sleep. Chilliness and shivering of the whole body. Chilliness with heat and redness of face. Heat of one hand and cold of others.Spasmodic constriction of throat. Hoarsness and coryza in the morning. Dry cough with pains in the shoulders and arms. Asthmatic sufferings as from hydrothorax.

24) Tuberculinum: in covid19

Take cold easily without knowing how or where. Rapid and complete physical breakdown without any apparent cause, but generally after acute infections as pneumonia, influenza, no signs of vital reaction. A persons with history of pneumonia, allergic dermatitis, pleurisy, whooping cough, diphtheria, tonsillitis, otitis, measles, influenza or typhoid or those having ache and pains in damp change or rainy weather. Spotted white nails. Viral infections in patients with tubercular taint. Multiple immunizations and vaccinations apart from a tubercular taint. Pneumonia with symptoms of Bry alb, Ant t and zinc but patient extremely nervous, sensitive and symptoms constantly changing. Influenzal, post vaccinal or repeated pneumonial hepatization of lungs. Heart trouble of influenza. Sporadic influenza is an outburst of tubercular diathesis.

25) Sulphur: in covid19

Irregular distribution of circulation causing local burning, throbbing or congestion, rush of blood to head, chest and heart. Readness of orifices. Feeling of emptiness. Defective assimilation. It is often of great use in beginning the treatment of chronic diseases and in finishing acute one or when the reaction is deficient or when the carefully selected remedy fail to act. Acrid mucous discharges. Slowly absorbed serous effusion. In nose, obstructed alternate sides and fluent burning coryza agg outdoor, stopped indoors. Tip of nose or alae nasi red. Dry exciting cough and external redness in throat. Scraping rawness and dryness in throat. Difficult respiration, wants windows open, nightly suffocative air hunger. Irregular breathing. Much rattling of mucus and heat in chest agg 11 am. Pain backward from left nipple. Pleuritic exudation. Neglected pneumonia. Left sided pleuro- pneumonia. Asthma preceded by cold every time. Palpitation agg laying at night in bed. Pericarditis with effusion. Sharp pains go through chest in between shoulders. Oppressed respiration from congestion to the lungs, if with a sense of heat all through the chest. Dyspnea in middle of night, relieved by sitting up.It act strongly the left side of the chest.

26) Pyrogenium: in covid19

A syco- syphilitic remedy of wide but acute/ subchronic range. A homeopathic antibiotic like Echinesea. All discharges horribly offensive. Dry throat, difficulty speech. Nephritis in septic reabsorbtion of pus and toxic kidneys in infectious diseases. Whizzing in when expiration snoring and rattling. expectoration offensive with taste like pus, rusty mucous, bloody yellow.Pleurisy sudden suspected sepsis. Pneumonia high fever epidemic, hepatization later abscess. Neglected cold or pneumonia. Threatened cardiac failure in septic conditions with endocarditis. Toxic heart of typhoid or acute diseases symptoms like Ars alb. in fever Bed feels too hard sensitive to touch. Influenza sepsis simulating.

27) Arsenicum Iodatum: in covid19

Suitable in all stage of syphilis and when the mucus membranes are thin in acute and thick in chronic conditions. Discharge cause burning of the part of which they flow. Afternoon rise of temperature. Tobacco smoke. Always taking cold. infectious blood diseases and sepsis. Dray throat. Follicular pharyngitis with raw burning ulceration. Catarrhal laryngitis hoarseness and aphonia. Acute or chronic catarrhal pneumonia, delayed or slow resolution, abscess, caseous degeneration, fibrosis with valvular disease (Mitral). Broncho-pneumonia. Hydrothorax secondary to heart diseases. Short of breath air hunger. Hacking cough. Yellow green foul expectoration. Pneumonia that fail to clear up. Burning heat in chest. True influenza. septic fevers continued high temperature. Recurrent fever with sweat.

28) Magnesiun Muriaticum: in covid19

Smell; loss of, wanting; influenza, after & Taste; tastelessness of food; influenza, in: mag-m. The action of this remedy centers around the liver and nerves or cardiac symptoms. Those who suffered for a long time from indigestion. Spasmodic- hysterical. Worse after dinner. Weakness from sea bath. Aversion to conversation. Discharge of corrosive serum from nose. Stoppage of nose with want of breath. Dryness of nose. Coryza with loss of taste and smell. Dryness of mouth at night and throat without thirst. Dryness and roughness of the throat with hoarse voice at morning. Frequent & violent thirst 3 a.m. Dry cough in evening and at night with burning pain and sensation of excoriation in chest. Cramp like cough at night. Oppression of chest in region of heart. Sudden feeling of weight in chest with obstructed respiration during dinner. Tension and contraction in chest. in fever chill even near a stove and amel in open air. Hard difficult slow and insufficient evacuation. Obstruction of bowels from induration of stool. stools crumbling as if burnt. like sheep dung. Chronic tendency to diarrhea. Violent diarrhea of mucus and blood. Frequent want to urinate, day and night. an emission can be accomplishes only by contraction of the abdominal muscles.

29) Pulsatilla: in covid19

Attacks of constriction in larynx, principally at night, when lying in a horizontal posture. Dyspnśa, esp. when lying on back at night, with giddiness and weakness in head. Difficulty of breathing when walking. Short, dry cough as soon as he gets warm. Dry cough whenever he wakens from sleep, disappearing while sitting up in bed, and returning as soon as lying down again. Dry, severe cough, mostly in morning, with retching and desire to vomit, and sensation as if stomach were turned inside out.

Respiration accelerated, short, and superficial (during the fever), or rattling and anxious. Dyspnśa, as from spasmodic tension in lower part of chest, below false ribs. Tickling on sternum. Attacks of burning in chest. Respiration impeded, shortness of breath, choking as from vapour of sulphur, and fits of dyspnśa and of suffocation, with anxiety, spasmodic constriction of chest or larynx, violent hiccough, cough, headache, and vertigo; principally in evening, after a meal, or at night when reclining horizontally. Movement, quick walking, the open air, and cold < the asthmatic symptoms. Cramp-like and constrictive tension in chest, principally on breathing (on drawing a long breath), and sometimes with internal heat and ebullition of blood. Acute suppuration of the lungs. Shootings in chest and in sides, principally at night and when lying down, and sometimes with difficulty in drawing a full inspiration, inability to remain lying on the side affected, short cough, and paroxysm of suffocation.

Congestion of blood to chest and heart, esp. at night, with anxious dreams  with starting up and anxious cries. Catching pain in cardiac region; > for a time by pressure of hand. Stitches in prćcordial region, > while walking, with pressure and anxiety, impeding respiration. Burning in region of heart. Frequent and violent fits of palpitation, principally after dinner and after moral emotions, or provoked by conversation, and often with anguish, clouded sight (vanishing of sight), and impeded respiration, esp. when lying on the l. side.  Anxiety, heaviness, pressure, and burning sensation in heart.

Pain in eyes as if scratched with a knife. Burning sensation, pressive pain as if caused by sand; or sharp or shooting pain in eyes, or else boring and incisive pain. Burning itching in eyes, chiefly in evening (inducing rubbing and scratching). Inflammation in eyes and margins of lids (and meibomian glands), with redness of the sclerotica and conjunctiva, and copious secretion of (thick) mucus (and nightly agglutination). Swelling and redness of eyelids. Stye with inflammation of sclerotica, and tensive drawing pains on moving the muscles of the face. Dryness of eyes and lids, esp. during sleep. Profuse lachrymation, principally in the wind, as well as in open air, in the cold, and in clear, bright daylight. Acrid and corrosive tears. Pupils contracted or dilated.  Look fixed and stupid. Dimness of sight, esp. or, getting warm from exercise. Incipient cataract. Great sensibility of eyes to light, which causes lancinating pains (and in sunshine).

Obstruction of nose and dry coryza, principally in evening and in the heat of a room. Coryza with loss of taste and smell, or with discharge of thick (yellowish green) and fetid mucus. Tickling in nose and frequent sneezing, principally in morning and evening. Constant shivering during coryza. Imaginary smells.

Insipid mucus, putrid taste in mouth, empyreumatic, earthy, or pus-like taste. Taste: fatty; lost; in colds where there is an entire loss of taste.

Pain as from excoriation in the throat, as if it were all raw, with scraping, burning sensation, and smarting. Redness of throat, tonsils, and uvula, with sensation as if those parts were swollen, < swallowing. Difficult deglutition, as from paralysis, or from contraction of throat. Shootings in the throat, with pressure and tension during empty deglutition. Inflammation of throat, with varicose swelling of veins. Dryness in the throat (in the morning) or accumulation of tenacious mucus, which covers the part affected (esp. night and morning). The sore throat is generally < in the evening or afternoon. A sensation of a worm creeping up into the throat.

Eruptions similar to varicella coniformis, with violent itching in bed. Chilblains, particularly when they turn blue. Exanthema, chapped. Blue-black swellings. Chilblains with bluish-red swelling, heat, and burning, or pulsative pains. Phlegmonous erysipelas, with hardness, burning heat and shooting pain on touching or moving parts affected. Furunculi. Shining redness, hardness, and itching around ulcers, with ready bleeding, and shooting, burning, and gnawing pains. Shifting pains which pass rapidly from one part to the other.

‘ During the influenza epidemic in this country Ars iod was specific for pink eye the form it took among horses, but it was not found of such general utility among human patients.’- J. H. CLARKE M.D; A Dictionary of Practical Materia Medica.

suggestions:

influenza; epidemic: EUP-PER, nat-s, PHOS, SABAD (16)

influenza; prophylactic: ars. ars-i, influ, nux-v (16)

Prophylaxis: camphor 1m 4 pills twice daily 2 days..keep under tongue until melt..nothing but water 30mins before after. (9) Contraindication: Camphore is considered a universal antidote, so you can’t use it as a prophylaxis if some one take some medical management for there any complaints or use regular medication. or

Arsenicum album 30 could be taken empty stomach daily for three days as a preventive medicine against the infection. (10)

The dose should be repeated after one month in case the nCoV infection prevails in the community, the advisory said, adding that the same has also been advised for prevention of influenza-like illness. (10)

Mild infection : camphor 1m 8 pills in 100ml water..1 tablespoon 6 hourly for days until symptoms largely abate..nothing but water 30mins before after. (9)

Severe infection : camphor 10m 8 pills in 100ml water..1 tablespoon 6 hourly for days until symptoms largely abate..nothing but water 30mins before after. (9)

When antibody present in asymptomatic stage or after recovery: Tuberculinum or when with symptoms of Bry alb, Ant t, Zinc, but symptoms constantly change.

Recurrent attacks of influenza. DR. DOROTHY SHEPHERD; HOMEOPATHY IN EPIDEMIC DISEASES; PAGE NO 57.

Sulphur in neglected pleuro-pneumonia For finishing acute ones, when carefully selected remedy fail to act.

Common symptoms of sulphur and tuberculinum

Carefully selected remedy fails to act. Left lung affected. Pneumonia in left lung. Pleurisy.

Comparison between Tuberculinum and Sulphur

Hints	Tuberculinum	Sulphur
Constitution	Light, attractive, tall, slim, narrow pigeon chest. Inherited phthisis.	Unable to walk erect, stoop shoulder, unwashed, tall and lean, body offensive in spite of wash.
Modalities	Worse: lying on right side.	Better: lying on right side.
Head	Periodic headach.	Vertex hot, throbs, heavy sore and burning.
Chest	Much rattle in chest without expectoration.	Much rattling of mucus and heat in chest agg 11 A M

Renal failure cross reference rubrics are:

Kidneys; suppression of urine, anuria; fever, during: apis ARN(3) ARS(3) ARUM-T(3) BELL(3) CACT(3) CANTH(3) colch crot-h dig HYOS(3) OP(3) ph-ac PLB(3) SEC(3) STRAM(3)

Urine; scanty; fever, during: APIS(3) arn ARS(3) ARUM-T(3) BAPT(3) bell cact calc cann-s canth cocc colch crot-h eup-pur hell hyos lyc nat-m nit-ac nux-v nyct op plb PULS(3) ruta sec skat staph stram thlaspi tub-m verat-v

So, our listed remedy for covid 19 with renal disorder are:

Kidneys; suppression of urine, anuria; fever, during	Urine; scanty; fever, during
Aesenicum Album	Arsenicum Album
Belladonna	Belladonna
Digitalis purpurea	Eupatorium perfoliatum
Pyrogenium	Natrium Muriaticum
	Nux vomica
	Pyrogenium

Comparative study of all remedies

Medicine	Generalities	Fever
Arsenic Alb	Weakness & Prostration. Very restless. Fear of Death. Intense unquenchable burning thirst. Drink little water.	Externally cold with internal burning heat.
Bryonia Alb	Aversion to least motion. Physical weakness on slight exertion. Dryness every where. Thirst for large quantity of cold water.	Chill with hot head & red face.
Gelsemium Sempervirens	Weakness, aching & soreness in muscles. Wants to lie down quietly. Usually thirst less.	Chill with aching & heat or alternating with heat.
Eupatorium perfoliatum	Violent aching bone breaking pain. Restless. Thirst for cold water, but after drinking shuddering & vomiting of bile.	Thirst or nausea, the violent shaking chill begins in the small of the back.
Camphora	Cold but unable to tolerate covering.	Collapse is associated whit chill
Justicia Adhatoda	Cough with tightness of chest, as if it would burst.	Stiffness out, trembling & convulsions with cough or fever.
Oscillococcinum	Influenza of all types especially in the earlier stage. Painful congestion of the ear drum. Gastro-intestinal trouble with the influenza. Abdominal cramping pains followed by fetid diarrhea.	Bruised sensation, chill & hyperthermia.
Echinasia	Blood poisoning, septic conditions. patient feels weak & tired & aching in muscle. Diminution of red corpuscles	cold flash all over the back.
Thuja occi	When Arsenic alb fail to cure in respiratory complaints.	Shaking chill with yawning.
Natrum sulp	When Arsenic alb fail to cure respiratory complaints.	Chill can not get warm even in bed. Heat with aversion to uncover.
Phosphorus	Tall, Slender hemorrhagic person. Recurrent effect cold. Great susceptibility to external impression.	Crave ice during the chill. Chilly in warm room.
Antimonium Tartaricum	When Thuja occ fail.	Heat coming from heart. Coldness, trembling & chilliness.
Sponges Tosta	Cardiac complaints. Faint when losing her breath on raising hands above head.	Heat with anxiety & cardiac pain.
Blatta Orientalis	When arsenic Alb fail	Maleria like fever in rainy weather.
Coralium Rubram	Mucous membrane of respiratory organs. Patient is too cold when uncovered and to hot when covered.	Dry heat without thirst. the hot part feel cold ehen uncovered.
Carbo Vegetabilis	Imperfect oxidation. Disintegration. Lose vital power in critical diseases. Old peoples. Septic condition.	Alternating chill and heat. Warm head and cold limbs.
Lobelia Purpurascens	Nervous prostration of inluenza. Heart,Lung & tongue paralyzed sensation.	Chill without shivering. Profuse perspiration.
Nux Vomica	Nose stopped but run water on one side. Coryza fluent by day and in open air, dry at night.	Chill with thirst and heat without thirst.
Rhus Toxocodendron	Larynx cold when breathing. Hot air from trachea.	Urticaria or skin symptoms during fever.
Bapticia Tinctoria	Septic condition of blood. Bed feels to hard.	Gastric inluenza. Sweat relieves fever.
Ammonium Carbonicum	Thrombosis in pneumonia. Cough after influenza. Poor oxygenation. Old age problems.	Coldness. Burning heat with thirst.
Digitalis purpurea	Senile pneumonia.	Heat of one hand and coldness of the others.
Tuberculinum	When well selected remedies failed. Rapid and complete physical break down after infections as pneumonia and influenza. Inherited phthisis. White spotted nails.	Repeated attack of night fever.
Pyrogenium	When Echi, Ars alb, Bapt t, Carb veg fail to overcome the septic conditions. Trauma due to any medical procedure.	Influenza, sepsis simulating.
Arsenicum Iodatum	Thin Discharges of mucus membranes in acute conditions. Burning of the part of which they flow. Tobacco smoke.Pneumonia that fail to clear up.	Recurrent fever with sweat. Chill can not endure cold.

Comparative study of remedies on critical phase

Medicine	Cardiac injury in lung Complaints	Pneumonia Collapse with	Influenza in or after
Arsenic Alb			Present
Bryonia Alb	Present		Present
Gelsemium Sempervirens			Present
Camphora	Present	Present
Phosphorus	Present		Present
Antimonium Tartaricum	Present		Present
Carbo Vegetabilis	Present		Present
Lobelia Perpurascens	Present	Present due to nervous prostration of inluenza.	Present
Ammonium Carbonicum	Present	Present	Present
Digitalis purpurea	Present	Present	Present
Pyrogenium	Present	Present	Present
Arsenicum Iodatum	Present		Present

Blood clots and Thrombo-Embolism in legs

Blood; clots, clotted: acal acon AGAR(3) aids alet aloe ALUM(3) ALUMN(3) am-c am-m androc ant-c anthr apis apoc(2) arg ARG-N(3) arn ars ars-h atra-r aven bapt BELL(4) both-l bov bros-g bry bufo CACT(3) cadm calc camph cann-i canth carb-an carb-v CARBN-S(3) caust cench CHAM(4) CHIM(3) CHIN(4) coc-c coff(2) colch coll COLOC(3) con corv-c CROC(3) CROT-H(3) culx-p cupr dig dios dulc dys-co echis-c ELAPS(3) ephe-v erig FERR(4) FERR-M(3) FERR-P(3) fl-ac gels ger GRAPH(3) haliae-lc ham hep HYOS(3) IGN(3) IP(4) irid jug-r kali-bi KALI-CHL(3) kali-cy kali-fcy KALI-M(3) kali-n KALI-P(3) kola KREOS(3) lac-c LACH(3) lampr-s laur lsd LYC(3) lyss mag-c mag-m mand mangi mela MERC(3) merc-cy MILL(3) mur-ac murx naja nat-hchls nat-hp NAT-M(3) nat-s NIT-AC(3) NUX-V(3) oci onc-t ovi-g-p PH-AC(3) PHOS(3) pitu-a PLAT(4) plb plut-n PULS(3) pyrog quas rat rhus-g RHUS-T(4) rhus-v ros-d sabal SABIN(4) sang sanic SEC(4) sel sep sica-t sile-c spira stann STRAM(3) stront-c sul-ac(2) SULPH(3) TARENT(3) ter THLASPI(3) til TRIL(3) TUB(3) UST(3) UVA(3) vani-p(2) verat vesi vib xan zinc(2)

Heart & circulation; embolism: acon aml-n ARN(3) ars aur BELL(3) both-l CALC-AR(3) carb-v CHEL(3) croc CROT-H(3) euph-pu GLON(3) HAM(3) kali-m lach lat-m LED(3) MERC-C(3) naja nat-sal OP(3) PHOS(3) sal-ac symph

Blood; disorganization: ail am-c ANTHR(3) arn ARS(3) ars-h BAPT(3) cadm carb-ac CROT-H(3) dor ECHI-A(3) kreos LACH(3) lat-m MUR-AC(3) phos psor PYROG(3) RHUS-T(3) sec tarent-c

Comparative study for embolism with our listed medicine of COVID19

Blood clots	Embolism	Disorganization of blood
Aesenicum Album	Aesenicum Album	Aesenicum Album
Bryonia Alb	Carbo Vegitabilis	Bapticia Tinctoria
Camphor	Phosphorus	ECHINACEA
Gelsemium sempervirens		Phosphorus
Natrum Sulpuricum		Rhus Toxicodendron
Phosphorus		Pyrogenium
Carbo Vegitabilis
Nux Vomica
Rhus Toxicodendron
Bapticia Tinctoria
Amonium Carbonicum
Digitalis Purpurea
Tuberculinum
Sulphur
Pyrogenium

In primary stage:

Arsenic Alb; Arsenicum iodatum; Allium Sativum; Coralium Rubram; Eupatorium perfoliatum; Gelsemium Sempervirens; Justicia Adhatoda; Oscillococcinum; Echinasia.

In second stage:

Arsenicum iodatum; Ammonium Carb;Allium Sativum; Bryonia Alb; Digitalis purpurea; Thuja occi; Natrum sulp; Sponges Tosta; Blatta Orientalis.

In critical stage:

Arsenicum iodatum;Ammonium Carb; Allium Sativum; Camphora; Carbo Vegetabilis; Digitalis purpurea; Phosphorus ; Antimonium Tartaricum, Lobelia Purpurascens.

For sepsis management:

Echinasia Q in all stag for gurgle;Arsenicum iodatum; Carbo Vegetabilis or Ammonium Carb. Pyrogenium When Echi, Ars alb, Bapt t, Carb veg fail to overcome the septic conditions. Trauma due to any medical procedure.

For airway ventilation:

Blatta Orientalis Q inhalation with hot water vaporize in all stage.

In last stage of life:

Ammonium Carb; Camphora,Digitalis purpurea; Lobelia Purpurascens, Pyrogenium.

Biochemic Tissues salts:

A. Ferrum Phosphoricum:

initial stage of Acute congestion, inflammations, fevers. All febrile disturbances, inflammation and congestion specially before exudation has commenced. worse by motion & better by cold.

B. Kalium Muriaticum:

For second stage of inflammation. Exudation and infiltration. Later stages of all catarrhal states. After Ferrum phos.

C. Natrium Muriaticum:

Catarrhs affections with thin, clear, transparent, watery secretions, influenza. Excessive dryness of mucous membranes in some parts. Pneumonia with loose rattling phlegm.

Post-COVID Conditions (33)

Types of Post-COVID Conditions:

A) Long COVID: People with long COVID report experiencing different combinations of the following symptoms:

• Tiredness or fatigue
• Difficulty thinking or concentrating (sometimes referred to as “brain fog”)
• Headache
• Loss of smell or taste
• Dizziness on standing
• Fast-beating or pounding heart (also known as heart palpitations)
• Chest pain
• Difficulty breathing or shortness of breath
• Cough
• Joint or muscle pain
• Depression or anxiety
• Fever
• Erectile Dysfunction Risk 6 Times Higher in Men With COVID (34)
• Symptoms that get worse after physical or mental activities

• Multisystem inflammatory syndrome (MIS) MIS is a condition where different body parts can become swollen and
• Autoimmune conditions. Autoimmune conditions happen when your immune system attacks healthy cells in your body by mistake, causing painful swelling in the affected parts of the body.

B) Multiorgan Effects of COVID-19

• Effects of COVID-19 Treatment or Hospitalization

1. Post-intensive care syndrome (PICS), which refers to health effects that remain after a critical illness.
2. Post-traumatic stress disorder (PTSD). (33)

A higher chance of dying — up to 6 months after they catch the virus. (35)

Bkack fungus: (36)

The symptoms of mucormycosis depend on where in the body the fungus is growing. Contact your healthcare provider if you have symptoms that you think are related to mucormycosis.

Symptoms of rhinocerebral (sinus and brain) mucormycosis include:

• One-sided facial swelling
• Headache
• Nasal or sinus congestion
• Black lesions on nasal bridge or upper inside of mouth that quickly become more severe
• Fever

Symptoms of pulmonary (lung) mucormycosis include:

• Fever
• Cough
• Chest pain
• Shortness of breath

Cutaneous (skin) mucormycosis can look like blisters or ulcers, and the infected area may turn black. Other symptoms include pain, warmth, excessive redness, or swelling around a wound.

Symptoms of gastrointestinal mucormycosis include:

• Abdominal pain
• Nausea and vomiting
• Gastrointestinal bleeding

Disseminated mucormycosis typically occurs in people who are already sick from other medical conditions, so it can be difficult to know which symptoms are related to mucormycosis. Patients with disseminated infection in the brain can develop mental status changes or coma. (36)

Treatment: (37)

Arsenic-Alb 200 (daily two times, six pills each time for 5 days) and
Five. Phos 6x tablets (twice daily, three tablets each time for 30 days).
Since Homoeopathy is a system of medicine based on individualisation and Mucormycosis is not an exception, one must go through individualistic presentation of each case strictly.

Homoeopathic Treatment Protocol for Black Fungus (Mucormycosis)
Director of Ayush, Alagu Varsini
The following medicines as per the indications can be used individually one medicine at a time on the advice and under supervision of qualified Homoeopathic physician in the treatment of Mucormycosis, she cautioned.

For Rhinocerebral Mucormycosis, drug prescribed is Arsenic-Alb, Kali Bich, Merc.Iod. Rubrum, Merc. Iod. Flavum, Merc. Sol, Cinnabaris, Thuja, Carbo Animalis; 200 potency, daily two times 6 pills each time for 5 days.

For Pulmonary Mucormycosis, drug is Arsenic-Alb, Phosphorous, Bryonia, Carbo Animalis, Ant.Tart; 200 potency, daily two times 6 pills each time for 5 days.

In case of Cutaneous Mucormycosis, it is Arsenic-Alb, Sulphur, Merc. sol, Anthracinum; 200 potency, daily two times 6 pills each time for 5 days

Homoeopathic Treatment Protocol for Black Fungus

while for Gastrointestinal Mucormycosis, it is Arsenic-Alb, Phosphorous, Nitric Acid; 200 potency, daily two times 6 pills each time for 5 days.

These apart, any other medicine or potency can be prescribed based on symptom similarity in a given case, other speakers said. (37)

Hospitalized coronavirus patients with prior underlying gum disease may be at higher risk for respiratory failure. The study indicates that symptoms of chronic periodontitis, such as bone loss, may lead to more severe COVID-19 complications. “They have higher levels of inflammatory products circulating, and, therefore, have more potential to cause damage in the lungs,” Okano says. Damage in the lungs can lead to respiratory failure and require hospitalized COVID-19 patients to be put on a ventilator. (38)

The medicine I suggest is not a substitute to treatment by a qualified medical doctor. You MUST consult your doctor immediately when you develop any symptoms and to get yourself investigated and take the treatment recommended by your doctor.

Reference:

1. WHO
2. WSJ ;Betsy McKay; Coronavirus Symptoms and How to Protect Yourself: What We Know; 13/03/2020;
3. NHS
4. CDC; source: The National Center for Immunization and Respiratory Diseases (NCIRD) ; 7/3/2020
5. Dr md shahriar kabir, B H M S (DU); MPH (ASA University of Bangladesh); 26/01/2020; SARS & Homeopathic remedy; Linkedin.
6. William BOERICKE, M.D.
7. WbMD
8. David L. Katz, MD, MPH, FACPM, FACP, FACLM ; Responding to COVID-19: The Case for DCISEV Action; 13/03/2020; Linkedin.
9. Dr Rajan Sankaran &Dr Aditya Kasariyans ; Homoeopathy for Coronavirus Covid-19 Infection; The other song.
10. CCRH; AYUSH ministry INDIA; The Economic Time; Homeopathy and Unani effective in prevention of novel coronavirus infections
11. Homeoprophylaxis Exparts; Homeoprophylaxis For Coronavirus Prevention and Homeopathic Remedies.
12. Dr. Md. Aslam Howlader,BHMS(DU)

13. In vitro antiviral activity of Echinaforce^®, an Echinacea purpurea preparation, against common cold coronavirus 229E and highly pathogenic MERS-CoV and SARS-CoV; Johanna Signer, Hulda R. Jonsdottir, Werner C. Albrich, Marc Strasser, Roland Züst, Sarah Ryter, Rahel Ackermann-Gäumann, Nicole Lenz, Denise Siegrist, Andreas Suter, Roland Schoop, Olivier B. Engler

14. Cardiac Injury and Mortality in Hospitalized COVID-19 Patients; Shi S, Qin M, Shen B, et al; American College of Cardiology

15. The COVID-19 Pandemic and Its Homeopathic Approach – Interview with Dr. Ajit Kulkarni; Hpathy; 30/3/2020

16. Complete Dynamics 20.3; Eduard Van Grinsven, Roger Van Zandvoort

17. Chinese Guideline of Diagnosis and treatment of COVID-19,Bin Cao, MD, (7th Version); 18, March 2020; China-Japan Friendship Hospital; Ins4tute of Respiratory Medicine, Chinese Academy of Medical Science; Na4onal Clinical Research Center for Respiratory Diseases

18. Coronavirus disease 2019; Wikipedia

19. Pharmacological effect of Allium sativum on coagulation, blood pressure, diabetic nephropathy, neurological disorders, spermatogenesis, antibacterial effects; Seyyed Abbas Hashemi, , Sayeh Ghorbanoghli, , Ali Asghar Manouchehri and Mahdi Babaei, Hatkehlouei; AIMS Press; 29 april 2019.

20) Antiviral Activity of Garlic Extract on Influenza Virus; Mehrbod P1, Amini E1, Tavassoti-Kheiri M1*; ResearchGate; June 2009

21) Angiotensin II Receptor Blockers (ARBs); Pharmacy Author: Omudhome Ogbru, PharmD Medical and Pharmacy Editor: Jay W. Marks, MD; MedicineNet

22) Angiotensin-converting enzyme 2; WikipediA

23) Angiotensin-converting enzyme; WikipediA

24) Coronavirus Disease 2019 (COVID‐19): Do Angiotensin‐Converting Enzyme Inhibitors/Angiotensin Receptor Blockers Have a Biphasic Effect?; Rami Sommerstein , Michael M. Kochen, Franz H. Messerli, and Christoph Gräni; JAHA; 1 APRIL 2020.

25) Obesity Linked to Severe Coronavirus Disease, Especially for Younger Patients; The New York Times

26) WHO warning: No evidence that antibody tests can show coronavirus immunity; CNBD; 17 APRIL 2020

27) The Conversation; 30 April, 2020

28) Research Suggests a Link Between Vitamin D Deficiency and COVID-19 Deaths; Psychology Today; 05, MAY 2020

29) Vitamin D Deficiency; WebMD

30) CDC; What to know about liver disease & COVID19

31) AARP; Most Common Symptoms of the U.K. Coronavirus Variant

32) CDC; About the Variants

33) CDC; Post-COVID Conditions; Apr. 8, 2021

34) WebMD; Erectile Dysfunction Risk 6 Times Higher in Men With COVID; Becky McCall; April 7, 2021

35) WebMD; COVID-19 Can Kill Months After Infection;Ralph Ellis, Brenda Goodman, MA; April 23, 2021

36. CDC, Symptoms of mucormycosis.

37. AYUSH, Homoeopathic Treatment Protocol for Black Fungus (Mucormycosis), the homeopathy.IN may, 22, 2021

38. HEALTH UNIVERSITY OF UTAH;GUM DISEASE ASSOCIATED TO COVID-19 AND OTHER MEDICAL CONDITIONS; October 2020;

For advance community discussion go our group on COVID19

About the Author

B H M S (DU); MPH (ASA U)
Lecturer Chronic Disease, Case taking & Repertory.
Govt. Homeopathic Medical College & Hospital (DHAKA)
SECRETARY
BANGLADESH HOMOEOPATHY GOBESHONA PARISHAD

Web: www.mdpathy.com

E-mail: [email protected]