Abstract: §2 The highest ideal of cure is the rapid, gentle and permanent restoration of health, or removal and annihilation of the disease in its whole extent, in the shortest, most reliable, and most harmless way, on easily comprehensible principles.
Keywords: Dengue, Epidemic, Homoeopathic cure, Eupatorium perfolatum
Abbreviations: +=present; A=absent; <=aggravation; >= amelioration; S=Same; D=Decreased
Dengue virus has started showing its fierce face and is drawing many people into the jaws of death yet again. The global incidence of dengue has grown dramatically in the recent decade. About half of the world’s population is found to be at risk1. In India, dengue is endemic in almost all states and union territories where around 1 lakh people are affected by each year2.
Dengue fever presents with a high rise in temperature up to 104⁰F and is accompanied by two of the following symptoms: severe headache, pain behind eyes, muscle and joint pains, nausea, vomiting, swollen glands/ rash. Symptoms last for 2-7 days after an incubation period of 4-10 days after the bite from an infected mosquito. Severe dengue due to plasma leaking may have- severe abdominal pain, persistent vomiting, rapid breathing, bleeding gums, fatigue, restlessness and blood in the vomitus.
In conventional medicine, there is no particular mode of treatment to date. There is only supportive therapy which may or may not help the patient to recover. But in Homoeopathy there is scope for the cure of dengue as the treatment is based on symptom totality and individualization of each person in disease. In the year 2015 CCRH announced Eupatorium perfolatum 30 as the preventive medicine for dengue3. Ever since it has proved and cured many cases whenever the totality indicated. Following is one such case where the cure occurred very rapidly.
Since 3 days
Since 3 days
Since 2 days
Since 1 day
History of Chief Complaints:
The patient presented with complaint of fever with chills, severe back pain and body pains which was persistent for three days. She also had nausea and bilious vomiting with diffuse abdominal pain for two days. Occasional dry cough with scanty whitish expectoration was present. Also, there was generalized weakness.
Appetite: Decreased; Bitter taste in mouth.
Thirst: Increased; Dryness of mouth.
Sleep: Disturbed due to pains and vomiting.
On palpation: tenderness is present in epigastric and right hypochondriac regions.
Skin turgor test: poor.
On auscultation: Clear.
Pulse: 86 bpm
Bp: 100/60 mm of Hg
Investigations: Temperature: 103.4⁰F
Dengue spot test (fig1)
Diagnosis: Dengue Fever- A90 (ICD-10)
The totality of symptoms:
- Bilious vomiting
- Back pain during fever
- Sore pains all over the body fig 3
- Bitter taste in the mouth
- Increased thirst
- Disturbed sleep due to pains
- Dry cough during fever
Conversion to rubrics:*reportorial result in (fig 3)
- Fever- Dengue fever
- Fever- Chill- with
- Mouth- taste – bitter
- Stomach- nausea- fever during
- Stomach- thirst- Unquenchable
- Stomach- Vomiting- Type of- Bile- Fever, during the
- Cough- fever, during
- Generals- Pain- Sore
- Back- Pain- Fever, during
- Sleep- Disturbed pains, by
Justification of remedy selection and potency
On arrival of the patient after case taking Eup.perf 200-1P was prescribed based on the totality of symptoms. And the diagnosis was confirmed with Dengue spot test, which came positive for NS1Ag. The patient was admitted in the IPD, temperature and vitals are monitored every 1hr. Follow up was taken TID. After the 1st dose of Eup.perf the patient was feeling little better and the temperature was intermittent, vomiting episodes were decreased but still, the temperature was hitting high up to 102⁰F, hence the potency was increased to 1M after 24 hours. Only one dose of Eup.perf 1M was given and within the next 24 hours, there was a gradual decline in temperature. (fig 4)*temperature chart
Follow-up *numbers correspond to the totality
23/04/2019 @ 7pm
24/04/2019 @ 9am
RX– Eup.perf 1M -1P
25/04/2019 @ 9am
RX- Eup.perf (0)- 1P
*Blood investigation report (fig 5)
RX- Eup.perf (0)– 1P
Temp:98.6⁰FDRX- Arnica 3O 3pills HS/ 1 week
At the time of discharge patient was relieved from all symptoms except for sore pains of the body. Hence Arnica 30 was prescribed based on the totality and the underlying pathology i.e extravasation of blood from capillaries (passive bleeding). Blood investigation is repeated after 10days which showed a rapid increase in platelet count and blood heamoglobin level. (fig 6)DRX- Arnica 3O 3pills HS/ 1 week
According to §73 Epidemic diseases are those acute infectious diseases which affect a group with similar suffering at the same time4. As these cases have an identical origin, they have an identical rapid and morbid process which when untreated may result in recovery or death. Hence such diseases have to be attended with the utmost care and treated accordingly before it could take many precious lives.
- Dengue and severe dengue: WHO; 15 April 2019; https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue
- Dengue; WHO India 2019; http://www.searo.who.int/india/topics/dengue/en/
- Raj K Manchanda; Indian Journal of Research in Homoeopathy; 2015| Vol 9| Issue: 3| Page: 137-140
- Hahnemann S. Organon of Medicine.6th New Delhi: B Jain Publishers; 2010, page 160