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Angina pectoris derives from Latin and translated as tight chest. Actually the name “Angina pectoris” is the name for a clinical syndrome rather than a disease. The pain and discomfort may be due to myocardial ismia sclerosis of the coronary asterisis. Myocardial ischemia is caused by an imbalance between myocardial blood supply and oxygen demand. Angina is a common presenting symptom(typically, chest, pain.) among patients with coronary artery disease. Angina is made worse by factor which increases the oxygen demand in the myocardium. A low aortic diastolic pressure may contribute to an insufficient diastolic filling of coronary arteries.
Typical angina is uncomfortable pressure, fullness, squeezing or pain in the centre of the chest . The discomfort also may be felt in the neck, jaw, shoulder, back or arm. Many types of chest discomfort aren’t related to angina. Acid reflux (heartburn) and lung infection or inflammation are examples, There is a sensation of oppression or tightness in the middle of chest-‘like a band around the chest. ’when describing it patient usually put their hands with clenched fist on the sternum. The pain is aggravated after extortions and ameliorated after rest, lasting only for a few minutes. The pain is also experienced by walking against the wind. The pain may often extend to the neck and jaws. The pulse is of high amplitude characterized by typical water hammer pulse resulting from regurgitation of blood back into the left ventricle.
ECG it may remain normal for many years but ultimately evidence of left ventricular hypertrophy with tall T waves is seen. It Characterized arrhythmia and dysrhythmia. A test that is given while a monitored. A stress test may be used to detect coronary artery disease, and/or to determine safe levels of exercise following a heart attack or heart surgery. Phonocardiograms: This reveals the presence of aortic diastolic murmurs which starts immediately after the aortic component of second sound. It is diminendo in shape. A progressive decreases in this myocardial functional impairment.
Diagnosing, Management & Treatment of Angina pectctoris: In addition to a complete medical history and medical examination, a physician can often diagnose angina pectoris by noting the patient symptoms and how/when they occur. This is also important from our Homoeopathic point of view where the case are trated on the basis if totally of symptoms. The past history d be taken into account as these can be valuable in ascertaining the true picture of the diseases, and the most important of all observations include the mental generals of the patient-his mental setup and attitudes, his behavier aspect as well a s the expressions of his sub conscious of and unconscious mind. While consulting the repertory after proper case taking and perceiving the true picture of disease and consultation with the repertory, individualisation can be done.
It has been proved vegetable kingdom medicine. Its botanical name is Artemisia absinthian and common name is wormwood, uses ix potency made from leaves and flowers. It was introduced in homoeopathy by “ Gatchell.” it is found in Algeria, Europe. Afghanistan, United States, Africa and also in India (Mostly in Kashmir). The Characteristic Symptoms is a peculiar “Vertigo on rising with a tendency to fall backward “tremor is a hall mark feature to the remedy. The giddiness and epileptic from attacks are the most important symptoms. Constant desire to urinate and very strong odor like hhorse’s urine. During the attack of epilepsy feet very cold and unconscious with bloody foam at mouth and biting of the tongue. The peculiar symptom is the patient forgets what has recently happened and wants nothing to do with anybody.
Acalypha indica in made from whole plant especially leaves. It is found in India and mostly grown in disserted places and in water. Its common name in hindi is “Khokali”. Dr J H Clarke, Dr. A C Copperthwaite and many physician have mentioned the listed remedy in material medica. The chief employment of the drug has been in violet dry cough followed by bloody expectoration, wheezing cough, dyspnoea, cough most violent at night. It is used in alimentary tract by several Indian physicians. Burning in pharynx, oesophagus, stomack and intestine are the guiding features in alimentary complains. The keynotes symptoms of the drug is diarrhea with spitting sounds, forcible explusion of noisy flatus, griping pain in abdomen and rectal hemorrhahe worse in morning. It is used as a laxative, in eczema and eruption. Indica is used basically as mother tincture and also in lower potency of 6 and 30.