CORONA CASES TREATED IN ASIAN REGION

Dr Aditya Kasariyans presents case reports of Covid-19 that occurred in Iran, and Dr. Rajan Sankaran analyses this data to arrive at a genus epidemicus remedies. Based on the symptoms described in the cases below, Camphora is considered as the key remedy for treatment and prevention. This paper is based on Dr. Aditya Kasariyans (a medical doctor and a member of Iraninan Homeopathic Association) work, who is working in Iran. She has been guided by Dr. Rajan Sankaran from India. Part 1 – By Dr Aditya Kasariyans, Iran Here in Iran, I have been involved in corona virus patients’ treatment since 22nd Feb 2020, directly or indirectly (through the accounts of other colleagues, from different parts of the country or the world). None of the patients who were already on antiviral medications were/ will be persuaded to stop their antivirals. The intention is to hasten the recovery in a smoother way with the least side effects and to help improve quality of life in the patients affected and their families, in a more natural way. Hence, to contribute to shortening the disease and decreasing the probability of person to person transmission. My first case was my physician friend who at that time had almost recovered from the disease but helped much in gathering the initial symptoms; the main symptoms she presented were: Case 1: General malaise and soreness all over Positive corona test Low grade fever; maximum rising to 38.5 degrees of Celsius Perspiration especially on the back and forehead Cold perspiration Chill especially on the first two days The intense need to lie down all the time without the energy to get up Desire for open air; except during the chill phase Dry coughs Slight dyspnoea when putting effort in doing physical activity Temporal headache I have always had the privilege of being the student of very eminent homeopaths from India, who always supported me in my journey of becoming a homeopath with their professional ideas. This study specifically continues with intense collaboration, kind support and wisdom of my teacher and mentor Dr. Rajan Sankaran from Mumbai, India. The rubrics taken and analysis you can find below in the writing of Dr Rajan Sankaran. The cases are taken meticulously with strict consideration of ethics. Most of our patients didn’t have any previous experience with homeopathy. I have made sure to spend enough time with each patient and his/ her family to explain the approach which homeopathy considers in these types of cases. We aligned our expectations and tried to answer the questions and doubts which inevitably rose along the way. We had the privilege to build our research and treatment study on our patients’ trust, for which we are utterly grateful. We faced major challenges within the course of this study. Most provinces in Iran do not have direct access to homeopathic remedies. Hence, for almost all cases I provided the remedies from my collection of remedies and all are and will be distributed for free. The intention of this study is to shed a light and introduce a new perspective into understanding epidemic cases, and Hahnemann’s instructions in dealing with such circumstances. We are putting the utmost effort to improve our observations, understanding treatment approaches in the cases we will encounter. Within a few days I had two patients from the north of Iran which is one of the major sites of the disease. (The selected cases are arranged chronologically, from the earliest to the latest) Case 2: 70 years old female Hx of CABG and Hypertension A few days prior she started complaining of intense sleepiness An evening before she collapsed for the second time at home, she had brought her phone to her daughter in law, showing telling her this is my bank card. Eyes were open but it seemed she is not understanding anything; she had to be addressed few times before she would answer, as if you suddenly waking up from a deep daydreaming. Intense prostration, walking was so difficult; desired to lie down. Appetite significantly diminished She was found sitting with her head down due to intense prostration Fainted twice before being taken to the hospital Admission in ICU with positive test and both lungs with infiltration I got in touch with this patient at this stage where after a week of hospitalization her tachypnea had resolved. She had started eating well. She was transferred out of ICU. I had prepared some further questions to be asked when she was visited by her family. But despite the report of her wellness, when the family had arrived to hospital, she was undergoing CPR. Apparently very well and communicative a minute or two before sudden death. No restlessness was observed by the family About thermal inclinations: she was saying it is hot when she was transferred between wards and asked to uncover. (not reliable) Thirst: no information Also no change was observed in mental-emotional plane by the family No reliable information about chill, perspiration, thirst and thermal inclinations Max fever: 38 degrees of Celsius Case 3: 42 year old male Risk factor: BMI>30. Grade 2 fatty liver. General malaise and prostration Appetite diminished significantly One episode of diarrhoea on the first day only Admission to hospital due to severe prostration Fever started max 38.2 degrees of Celsius Dry Coughs Not a single cough when sleeping or lying down. The moment he lies down the cough stops The mouth feels dry. Sips of water just to moisten the mouth. The prostration and weakness is great, and he doesn’t have the energy to sit and wait for the tea to cool down as he has to lie down. Can hardly tolerate sitting to eat something. Moaning due to the general soreness. Doesn’t have the energy to turn around so prefers to stay in one position in the bed Desire for cold drinks “I had shut my phone down as well because I didn’t have energy to speak” Cold perspiration Significant increase in the sense of smell; “I can even distinguish spices.” Taste of the mouth as usual Skin sensitive to touch. Felt as if burnt all over. On the day of commencement of homeopathy treatment for coronavirus covid-19, he was already on anti- viral medication for 10 days. (Tavanex, Hydroxychloroquine, Tamiflu) 1st follow up; 40 hours post prescription of Camph 1M, every 4 hourly: Prostration significantly improved Significant increase in general energy 4th follow up; 4th day post prescription: I have started driving. Prostration is completely gone Cough one or two during the day Appetite almost normal No perspiration No fever Right now, on Camph 1M BID. Case 4: 55 year old male Extreme weakness and prostration during the day and fever-chill-perspiration 7-8p.m. onwards till morning. Severe perspiration especially neck so that it would make the clothes drench. Risk factor: Diabetic patient (not controlled;HbA1C= 10 Day one had diarrhoea; Has not recurred 5 days post commencement of fever and chill, I started to have dyspnoea and dry cough In two days, the dyspnoea increased so much that had to be transferred to a hospital with O2 aid. Ground glass opacity on CT scan Severe body aches bone pain kind specifically lower back and legs with fever, chill and perspiration 7-8p.m. onwards. During the day time no bone pain. Skin sensitive to touch; But needed someone to massage the legs. Cold perspiration Tongue coated in white Very little thirst Bitter taste in the mouth No appetite at all I prefer to lie down. When I would lean somewhere my body would itself slide down so that I would lie down. Best position: supine; amelioration of breathlessness Cough mostly dry I feel both warm and cold; if my feet are out of blanket, they become ice cold and then I put them in the blanket and till they get warm and then I get over heated and I have to uncover. Evening and nights are worst This patient decided to only stay on anti-viral medications. (Tavanex, Hydroxychloroquine, Tamiflu) Case 5: A 30 year old female Fever for two days max 38.2; mostly in the evenings and nights After two days the fever totally stopped and I stayed well for two consequent days Again I started having fever and prostration Severe nausea I fainted while trying to go to bathroom I had severe dizziness, numbness all over Severe shiver started, teeth chattering Cough, dry, agg by talking, amel by lying supine Desire cool weather except the chill phase No vomiting Appetite diminished The sense of taste has decreased less, but I can feel the smells; I feel much nausea with the smell of food. Much perspiration, on tummy and back, I need to change the cloths every few hours once. I cannot sit, I need to lie down My prostration is so much that I cannot even sleep, I just lie down Bitter taste in the mouth Started Camph 1M 12 days post anti-viral medication (Tavanex, Hydroxychloroquine, Tamiflu) 1st follow up within 10 hours post Camph 1M, every 3 hourly: Prostration has decreased much I need to lie down but my general energy is much better Nausea less but still there 2nd follow up 72 hours later: Prostration is much less I can sit longer I have taken a shower after 10 days and I feel much refreshed Nausea is gone I can eat Coughs are less Less dyspnea Latest update 5 days post prescription: I don’t have prostration I can sit without support Nausea is gone Cough is much less Dyspnea is much less but still much when I put an effort to do something like climbing the stairs. Previous days I was not able to climb the stairs. CT scan was performed as she gained energy: both lungs are infiltrated; (She was put on Kaletra) She is still under treatment with Antiviral medications mentioned above. Right now on divided dose of Camph 1M; every 5 hourly. (Intention is to increase the potency to 10M) Case 6: A 19 year old lady; no risk factor Severe pain all over the body and soreness Nausea Appetite diminished Bitter taste in the mouth Intense prostration; I need to lie down all the time; best position is supine Frontal headache Coughs; dry Sense of smell normal 1st follow up after 24 hours Camph 1M every 4 hourly. (On Homeopathy only): Intense body pain has decreased and it was continuous previously, now there is a significant interval between the pains I have been able to sleep last night better; the first night I was just tossing around due to the pain. Coughs have started dry one or two Intense prostration I had is 50% less but still I need to lie down; supine position is preferred No appetite yet Headache had decreased in intensity but it is still there 2nd follow up 48 hours later: I don’t have prostration; but still I like to lie down in supine position I have one or two coughs daily Much less weakness I have been able to eat but not much I still feel sick Headache is only when I cough Nausea is gone 5th day follow up: I feel almost healthy No weakness Appetite is almost normal Cough is gone Headache is gone Right now on Camph 1M BID Case 6: A woman 70 years old Severe prostration so that she has not been able to really move around for the last 2 weeks On anti-viral medication (Tamiflu, Hydroxychloroquine) Cough Nausea Appetite is diminished 1st follow up on 14th day of anti-viral medications; after 17 hours of Camph 1M, every three hourly: She has asked for milk Prostration seems less to the eyes of the family 2nd follow up after 24 hours: Prostration is much less She has taken a shower after 2 weeks Appetite better but asks more for milk Nausea is less Cough still present Latest follow up 6 days after the remedy: Prostration is much less almost not there Nausea is gone Appetite is much better Coughs only one or two during the whole day Has taken a CT scan ; awaiting for the results Right now on Camph 1M 5 hourly Case 7: A 50 year old male Tested positive for corona No risk factor Itching in the throat for the last week Lumbar pain and knee pain Bones pain Headache in the temporal areas When I sleep on sides, I feel ache on the ribs of same side. To alleviate, I turn to the other side but again it starts paining. I have to lie supine or totally get up to feel fully well again. No dyspnoea Every few minutes one or two dry coughs; I drink a warm drink and it totally gets better and after 10 minutes it starts again Thermally chilly but now I don’t feel colder than normal I have dryness in the mouth more and I need more of warm drinks No coating on tongue No taste in the mouth My sleepiness has increased, when my leg pain started I wanted to only sleep. But the pain of the back and knees and ankles and headache also rib pains were not allowing me to sleep. I had to change position to be able to sleep Soreness and bruised feeling all over the body, as if you have climbed the mountain Fever max 38 degrees of Celsius The pain in knees and ankles are when I sleep. When I wake up these decrease or go away. Deep massage alleviates the pain temporarily Dryness of the mouth; need to drink sips of warm water 1st follow up 24 hours after the Camph 1M (On homeopathy Only): I feel much less bruised and I have been able to sleep The rest of symptoms are the same 2nd follow up 48 hours later: Body aches and pains are much less I feel like lying down still but I have more energy; if I desire I can sit for 10 minutes The pain in the back got so severe during the night for 2 hours and then subsided along with all other pains in the joints that I had I have dryness in the mouth still; very little amelioration 5th follow up; the 6th day: I am back to work I don’t have any fever No cough Energy level is normal No stuffiness in the nose No sore throat I can tolerate sitting down like normal. No joint pains or back ache any more Case 8: Female; 57 years old Symptoms started 15 days ago with fainting and dyspnea Fever, max 40 degrees of Celsius. Chill during hospitalization; teeth chattering chill Perspiration very insignificant Ground glass opacity in CT scan One or two coughs daily I feel extreme prostration despite I am much better compared to the days I was in the hospital White coated tongue Bitter taste in the mouth Less sensitive sense of smell 1st follow up on the 17th day of anti-viral medication (Hydroxychloroquine, Tamiflu); 30 hours after Camph 1M every 4 hourly: I feel much better with prostration; I feel much better with my mood as I felt very depressed Continuing the treatment with Camph 1M every 5 hourly. Case 9: A 60 year old male Risk factors: diabetes, Hx of Cerebellar vascular accident The wife dies within 24 hours of appearance of the corona disease symptoms (Dizziness and intense prostration) Retrospectively the son declared that his father is very sleepy during the last week and he sent me the video He even fell asleep while drinking coffee. CT scan was obtained; mild opacity typical for corona was marked in 4 areas of both lungs Camphor 1M every 4 hourly was started; all symptoms vanished within 48 hours. Right now on Camph 1M TDS and awaiting for a recheck CT scan. Case 10: A 24 years old female The symptoms started like a flu Severe headache in temporal areas; needed to press my forehead Coryza Sore throat Prostration and weakness A week later all symptoms decreased but I started to get dyspnea while walking and also cough. As my boss was positive for corona I went for a CT scan and that turned to be positive. Medications: Tamiflu, Hydroxychloroquine, Levofloxacin) Camphor 1M every 4 hourly. 7 days after the positive CT scan. 1st follow up 24 hours after Camph 1M 4 hourly. I have been at home all the time and I have not checked if I have dyspnea or not I don’t have any other symptoms 2nd follow up 48 hours after Camph 1M 4 hourly: I don’t have dyspnea while walking or climbing No additional symptom Treatment is still going on with Camph 1M every 5 hourly. There are about 10 more cases being treated with homeopathy and for the cases who have more of respiratory symptoms, or more severe symptoms we suggest Camp 10m. The rest of the cases and the follow ups will be published as an update to the work we are doing. We will also update with the results of the CT scans that are now awaited. Part 2 – By Dr. Rajan Sankaran, India About ten days ago my former student and now colleague from Iran, Dr Aditya Kasariyans approached me for some help in dealing with the spreading corona virus epidemic in her country. As per the Hahnemannian guidelines in treating epidemics, I suggested that she collect symptoms from actual patients either directly or through her colleagues and send me a list of the symptoms and the course of the disease which are found in a majority of cases. She did so for 40 cases, including two whose cases she took herself in a homeopathic manner. I list below the symptoms she sent and the course of disease observed. From a detailed study of these facts, I came to 4 remedies: Ars, Camph , Carb-v and Verat. A reference to the genius of the disease, its individuality: sudden collapse, cold sweat and a relative absence of restlessness, led me to the remedy Camphor. I asked her to administer the remedy Camphor in 1M to the 2 cases under her care. Within 24 hrs she reported a significant improvement in the cases. Then she found more cases and sent me more symptoms . I found these too corresponded with Camphor (see repertorisation chart 2 ) The next day she applied it to 3 more cases, one of them even without taking the symptoms. The results in her words were ‘dramatic’. I asked her to give more patients the remedy and report. The next day she reported very positive results from other cases 8 (pl see her writing above. ) . I feel that I have some data to share with the profession: Based on these findings I suggest Camphor as a possible genus epidemicus and to use it as a treatment ( 1m in water every 3 hrs ) and prophylactic ( 1M in pills twice a day for 2 days) * One needs to be open to the fact that some of the patients will continue to have their own symptoms in the epidemic and may respond better to their individual remedies if the genus epidemicus is not effective. *Note: Further investigation is needed to evaluate the effects on more cases and determine whether other remedies may also be indicated. Symptoms Gathered from Patients and Analysis Nagging headache, forehead. Fever low grade. Perspiration upper body. Forehead cold. Shivering, chills Extreme prostration. In cycles. Swinging. Collapse, Sudden, sit, lie down, legs together, not falling. Sinking, SUDDEN COLLAPSE. Sleepiness during/ before the fever I want to lie down. Can’t even sit. Desires cold drinks Thirstless Irritation in throat causing cough Cold hands Touch agg. Skin is sore. Weakness is so great that they don’t want to change their position. Respiratory distress but completely conscious. No restlessness. Camphor 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. Sensitive, slightest touch hurts. It is used, as a rule, in prostration occurring suddenly and increasing rapidly. Camphora ( Analysis From Plant Kingdom ) Camphora comes from 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. Repertory chart 1 (Using MacRepertory) Homeopathy for Coronavirus Covid-19 Infection 2 Repertory chart 2 (Using MacRepertory Homeopathy for Coronavirus Covid-19 Infection 3 My suggestion: Based on these findings I suggest Camphor as a possible genus epidemicus and to use it as a treatment and prophylactic. The medicine I suggest is not a substitute to taking all possible precautions and in case of any symptoms to get tested and take the treatment recommended by your doctor. Further investigation is needed to evaluate the effects on more cases and whether other remedies too may be indicated. I invite the experiences of my valued colleagues. Also we should try to set up controlled clinical trials through official channels. I strongly urge my fellow homeopaths to try to make this happen. One also needs to be open to the fact that some of the patients will continue to have their own symptoms in the epidemic and may respond better to their individual remedies if the genus epidemicus is not effective.