Cardiac Poisoning - homeopathy360

Cardiac Poisoning

1. Aconite

Natural Order: Ranunculaceae

Physical Character
2-6 feet height, all parts are poisonous.

Active Principles
Aconine and Aconitine

Signs and Symptoms

  1. Burning, tingling of lips, nausea, salivations and vomiting.
  2. Formication over body.
  3. Pupils: Contract and dilate alternately – finally dilate and that is called Hippus Sign.
  4. Impaired vision.
  5. Vertigo, restlessness dysarthria and weakness of muscle spasm.
  6. Respiration: Rapid then slow.
  7. Blood pressure : Decreased. Fatal Dose : 2 mg of pure aconitine. Fatal Period : 1-5 hours

Medico-legal Importance

  1. Homicidal
  2. Suicidal
  3. Abortificient
  4. Arrow poisoning
  5. Cattle poison

Treatment

  1. Stomach wash is to be given.
  2. Maintain body heat.

Post-mortem Findings

  1. Fragments of root seen in the stomach.
  2. Frothy mucus in the bronchial tree.

2.  Nerium odorum (Pink oleander)

Natural Order: Apopcyanaceae

Physical Character
Lanceolate leaves; pink flowers.

Active Principle
Nerin and Odosin

Signs and Symptoms

  1. Dysphagia, abdominal pain with profuse frothy salivation.
  2. Pulse first slow but later rapid weak.
  3. Respiration hurried.
  4. Dilated pupil, muscular twitching and tetanic spasms.
  5. Coma

Fatal Dose : 16.6 gms
Fatal Period : 24-36 hours

Medico-legal Importance

  1. Suicidal
  2. Homicidal
  3. Cattle poison
  4. Accidental in children

Post-mortem Findings

  1. Congested patches in stomach
  2. Subendocardial haemorrhage

Treatment

  1. Evacuation of stomach
  2. Symptomatic treatment

3.   Cerebra Thevetia (Yellow oleander)

Natural Order: Apocyanaceae

Characteristics
All parts are poisonous

Active Principle
Thevetin and Cerebenin.

Medico-legal Importance

  1. Suicidal
  2. Homicidal
  3. Abortifacient
  4. Accidental in children

Fatal Dose : 8-10 seeds (crushed)
Fatal Period : Uncertain – Death may occur in 2 hours.

Signs and Symptoms

  1. Bitter taste in mouth.
  2. Tingling and numbness in tongue.
  3. Nausea, vomiting and diarrhea.
  4. Headache, dizziness and dilated pupils.
  5. Loss of muscular power.
  6. Pulse weak, slow- rapid and irregular (later).
  7. Heart block leading to death.

Treatment
No specific treatment

Reference: A Handbook of Forensic Medicine and Toxicology by Dr Madona Joseph & Dr Harpreet Kaur

About the author

Dr Yashika Arora

B.H.M.S. (NHMC, D.U.), M.D. (Hom.) Scholar.
Organising secretary of DREAMS Innovative Homoeopaths.
Managing Editor of The Homoeopathic Heritage (Peer-reviewed journal).
Editor, DREAMS (e-journal).
Content Developer of website, www.homeopathy360.com.
Former President of Homoeopathic Medical Association, Delhi, 2017-18.
AD’s Controller in DARE Journal.
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