CURABILITY OF VALVULAR DISEASE OF THE HEART IN THE ACUTE STAGE.


Curability of valvular diseases of heart with Homeopathy and case presentation of inflammation of Mitral valve, rheumatic Endocarditis by J.H.Clarke….


CURABILITY OF VALVULAR DISEASE OF THE HEART IN THE ACUTE STAGE.

As I have stated before, it is not to be expected that old- established valvular disease should be altered, or destroyed valves restored, though even in these cases much may be done by remedies to restore the power of the heart when it is defective, and to bring about proper compensation, which is practically a cure. In recent cases of valve affection, on the other hand, it has frequently been my lot to observe the disappearance of all signs of disease under treatment. In my book on “Rheumatism” I have mentioned, among others, a case of this kind which particularly struck me when I was resident medical officer at the London Homoeopathic Hospital. It was that of a young girl who had a severe attack of acute rheumatism, with both pericarditis and endocarditis. Under treatment, the friction sounds of the pericardial inflammation quite disappeared, and when these had gone the bruits indicating endocardial mischief also subsided.

One of the chief difficulties in the treatment of endocarditis occurring in connection with rheumatic fever lies in the fact that there are so few symptoms indicating the mischief.

Pericarditis has generally abundance of symptoms, hence it is a much easier matter to cure cases of this. On the other hand, there may be very extensive endocarditis and no sign be given except on physical examination. In such cases the only thing to be done is to take the totality of the symptoms and to prescribe accordingly. If there are no symptoms elsewhere to guide, such medicines as have been found in practice or in provings to have an affinity for the lining membrane of the heart and arteries should be thought of, when the constitution of the patient and his previous medical history, with any former symptoms he may have had, will serve to distinguish the most similar.

The two valves of the heart which are most liable to inflammation are the mitral, which transmits the blood from the left auricle to the left ventricle of the heart; and the aortic, through which the contraction (or “beat” of the heart) propels the blood from the left ventricle into the arteries of the body. Any narrowing of these valves obstructs the flow of the blood, and any defect in their closure allows the blood to pass backwards through them. These defects give rise to certain abnormal sounds called bruits, or murmurs, which take the place of the proper sounds produced by the valves. The normal sound of the heart is a double sound which has been fairly represented by the syllables “lupp-dupp,” the first part of it occurring when the ventricles of the heart contract (systole), and the second when they open again (diastole).

The auricles which receive the blood-the right from the body, the left from the lungs-contract just before the ventricles, but as they have much less arduous work to do they are much less powerful than the ventricles, and normally their action is unaccompanied by any sound. When, however, these valves are narrowed (that of the right ventricle is called the tricuspid, that of the left the mitral), a murmur is heard over the area of the valve just before the heart beats, and is hence called pre- systolic. When the mitral valve is defective it does not close perfectly; when the heart beats the blood is driven back into the left auricle and causes a systolic murmur instead of a click. This explains the breathlessness that accompanies many forms of heart disease, for the pressure is thrown back on the blood- vessels of the lungs and the blood is not properly aerated. Thus a pre-systolic murmur heard over the area of the mitral valve (that is, roughly, over the point where the heart is felt beating) denotes obstruction to the flow, and a systolic murmur heard in the same area denotes regurgitation. The area at which aortic sounds are best heard is at the spot where the second left rib joins on to the breast bone. The opening of the aortic valve occurs at the time of the heart’s beat (systole or first sound) and then any narrowing of its orifice causes a systolic murmur.

John Henry Clarke
John Henry Clarke MD (1853 – November 24, 1931 was a prominent English classical homeopath. Dr. Clarke was a busy practitioner. As a physician he not only had his own clinic in Piccadilly, London, but he also was a consultant at the London Homeopathic Hospital and researched into new remedies — nosodes. For many years, he was the editor of The Homeopathic World. He wrote many books, his best known were Dictionary of Practical Materia Medica and Repertory of Materia Medica