Endocarditis
Endocarditis is an inflammation
of the inner layer of the heart,
the endocardium.
The most common structures involved are the heart valves.
Endocarditis can be classified by etiology as either infective or
non-infective, depending on whether a microorganism
is the source of the problem
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Remedy |
Characteristics Symptoms |
Patient Worse by |
Patient Better by |
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Aconitum Napellus |
A state of fear, anxiety; anguish of mind and body Physical and mental restlessness, fright, is the
most characteristic manifestation of Aconite Acute, sudden, and violent invasion, with fever, call for it Does not want to be touched Sudden and great sinking of strength Complaints and tension caused by exposure to dry, cold weather, draught of cold air, checked perspiration, also complaints from very hot weather Serous membranes and muscular tissues affected markedly Burning in internal parts; tingling, coldness and
numbness Tension of arteries; emotional and physical mental tension explain many symptoms Its action is brief and shows no periodicity; its sphere is in the beginning of an acute disease and not to be continued after pathological change comes Forebodings and fears; fears death but believes that he will soon die; predicts the day; fears the future, a crowd, crossing the street Restlessness, tossing about Tendency to start Imagination acute, clairvoyance Pains are intolerable; they drive him crazy Music is unbearable; makes her sad Thinks his thoughts come from the stomach--that parts of his body are abnormally thick Feels as if what had just been done was a dream Thirst for cold water; intense thirst Bitter taste of everything except water Frequent erections and emissions Menses too profuse, with nosebleed, too protracted, late Constant pressure in left chest; oppressed breathing on least motion Very sensitive to inspired air Shortness of breath Affections of the heart with pain in left shoulder Stitching pain in chest Palpitation, with anxiety, fainting, and tingling in fingers Pulse full, hard; tense and bounding; sometimes intermits Temporal and carotid arteries felt when sitting. Nightmare; nightly ravings; anxious dreams Sleeplessness, with restless and tossing about Starts up in sleep Long dreams, with anxiety in chest |
In warm room In evening and night Lying on affected side From music From tobacco-smoke Dry, cold winds |
In open air |
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Adonis Vernalis |
A heart medicine, after rheumatism or influenza, or Bright's disease, where the muscles of the heart are in stage of fatty degeneration, regulating the pulse and increasing the power of contractions of heart, with increased urinary secretions Most valuable in cardiac dropsy Low vitality, with weak heart and slow, weak pulse Mitral and aortic regurgitation Rheumatic Endocarditis Preęcordial pain, palpitation, and dyspna Marked venous engorgement Fatty heart Oily pellicle on urine; scanty, albuminous Frequent desire to take a long breath Feeling of weight on chest Restlessness, with horrible dreams |
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Arsenicum Album |
All-prevailing debility, exhaustion, and restlessness, with nightly aggravation Great exhaustion after the slightest exertion Irritable weakness Burning pains Fear fright and worry Great anguish and restlessness; changes place
continually Fears, of death, of being left alone; great fear, with cold sweat Thinks it useless to take medicine Suicidal Despair drives him from place to place Miserly, malicious, selfish, lacks courage General sensibility increased; sensitive to disorder and confusion Craves acids and coffee; milk Stool small, offensive, dark, with much prostration;
worse at night, and after eating and drinking Urine scanty, burning, involuntary; albuminous Menses too profuse and too soon. Leucorrhea, acrid, burning, offensive, thin Palpitation, pain, dyspna, faintness Pulse more rapid in morning Sleep disturbed, anxious, restless; must have head raised by pillows; suffocative fits during sleep; sleeps with hands over head Dreams are full of care and fear |
Wet weather After midnight From cold, cold drinks, or food Seashore Right side |
From heat From head elevated Warm drinks |
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Belladonna |
Hot, red skin, flushed face, glaring eyes, throbbing carotids Excited mental state, hyperesthesia of all senses Dryness of mouth and throat with aversion to water Neuralgic pains that come and go suddenly Heat, redness, throbbing and burning Stands for violence of attack and suddenness of onset. Loss of appetite Averse to meat and milk Great thirst for cold water Dread of drinking Sexual desire diminished Menses increased; bright red, too early, too profuse;
very offensive and hot Violent palpitation, reverberating in head, with labored breathing; palpitation from least exertion; throbbing all through body Heart seemed too large Rapid but weakened pulse Sleep restless, crying out, gritting of teeth Kept awake by pulsation of blood-vessels Screams out in sleep Sleeplessness, with drowsiness Starting when closing the eyes or during sleep Sleeps with hands under head |
Touch Jar Noise Draught After noon Lying down. |
Semi-erect. |
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Bryonia Alba |
The general character of the pain here produced is a stitching, tearing; worse by motion, better rest. These characteristic stitching pains, greatly aggravated by any motion, are found everywhere, but especially in the chest; worse pressure Mucous membranes are all dry The Bryonia patient is irritable Has vertigo from raising the head Dry, parched lips, mouth Bitter taste Sensitive epigastrium, and feeling of a stone in the stomach Stools large, dry, hard Dropsical effusions into synovial and serous membranes Affects especially the constitution of a robust, firm fiber and dark complexion, with tendency to leanness and irritability It prefers the right side, the evening, and open air, warm weather after cold days, to manifest its action most markedly Physical weakness, all-pervading apathy Complaints apt to develop slowly Exceedingly irritable; everything puts him out of humor Abnormal hunger, loss of taste Thirst for large draughts Worse, warm drinks, which are vomited Urine red, brown, like beer; scanty, hot Menses too early, too profuse; worse from motion, with tearing pains in legs Drowsy; starting when falling asleep Stitches in cardiac region |
Warmth Any motion Morning Eating Hot weather Exertion Touch Cannot sit up; gets faint and sick |
Lying on painful side Pressure Rest Cold things |
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Cactus Grandiflorus |
Endocarditis with mitral insufficiency together with violent and rapid action; acts best in the incipiency of cardiac incompetence Violent palpitation; worse lying on left side, at
approach of menses Palpitation, with vertigo; dyspna, flatulence Constriction; very acute pains and stitches in heart; pulse feeble, irregular, quick, without strength Endocardial murmurs, excessive impulse, increased pręcordial dullness, enlarged ventricle Low blood pressure Acts on circular muscular fibers, hence constrictions; it is the heart and arteries especially that at once respond to the influence of Cactus, producing very characteristic constrictions as of an iron band Whole body feels as if caged, each wire being twisted tighter Favors formation of clots speedily Great periodicity Pulseless, panting and prostrated Melancholy, taciturn, sad, ill-humored Fear of death. Screams with pain Anxiety Menses early, dark, pitch-like; cease on lying down, with heart symptoms Oppressed breathing as from a weight on chest. Constriction in chest, as if bound, hindering
respiration Heart-constriction, as from an iron band Palpitation; pain shooting down left arm Sleepless on account of pulsation in different parts of body Frightful dreams |
About noon Lying on left side Walking Going upstairs 11 am and 11 pm |
Open air. |
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Chininum Sulphuricum |
Marked periodicity and spinal sensitiveness Worse left side Falling in street Inability to remain standing |
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Colchicum Autumnale |
The parts are red, hot, swollen Tearing pains; worse, in the evening and at night and from touch; stubbing the toes hurts exceedingly Great prostration, internal coldness, and tendency to collapse Shocks as from electricity through one half of body Dreams of mice. The smell of food causes nausea even to fainting, especially fish Profuse salivary secretion Craving for various things, but is averse to then when smelling them, seized them with nausea Thirst for effervescent, alcoholic beverages Anxiety in region of heart Impulse not felt Sound of heart become weaker, pulse of low tension |
Sundown to sunrise Motion Loss of sleep Smell of food in evening Mental exertion |
Stooping. |
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Convallaria Majalis |
Increases energy of hearts' action, renders it more regular; of use when the ventricles are over distended and dilatation begins, and when there is an absence of compensatory hypertrophy, and when venous stasis is marked Dyspna, dropsy, aneuric tendency Dull intellect Grieves easily Irritability Hysterical manifestations. Frequent urination; offensive; scanty urine Feeling as if heart beat throughout the chest Endocarditis, with extreme orthopnea Sensation as if heart ceased beating, then starting
very suddenly Palpitation from the least exertion Extremely rapid and irregular pulse |
In warm room |
In open air |
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Crotalus Horridus |
Low septic states Sleeps into his symptoms More right-sided in its action Weeping mood Clouded perception and memory Impatient Loquacious, with desire to escape Sadness Delusions of cerebral decay Intolerance of clothing around stomach Hungry, craves stimulants, sugar Averse to meat Heart action feeble, pulse tremulous Palpitation, especially at menstrual period. Trembling feeling of heart Dreams of the dead Starting in sleep |
Right side Open air Evening and morning In spring Coming on of warm weather Yearly On awaking Damp and wet Jar. |
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Digitalis |
Diseases where the heart is primarily involved, where the pulse is weak, irregular, intermittent, abnormally slow Weakness and dilatation of the myocardium; its
greatest indication is in failure of compensation and especially when auricular
fibrillation has set in Slow pulse in recumbent posture, but irregular and dicrotic on sitting up Auricular flutter and fibrillation especially when subsequent to rheumatic fever. Other symptoms of organic heart disease, such as great weakness and sinking of strength, faintness, coldness of skin, and irregular respiration; cardiac irritability and ocular troubles after tobacco; Faint, as if dying Bluish appearance of face Cardiac muscular failure when asystole is present; stimulates the heart's muscles, increases force of systole, increases length Prostration from slight exertion Collapse The least movement causes violent palpitation, and sensation as if it would cease beating, if he moves Frequent stitches in heart Irregular heart especially of mitral disease Sudden sensation as if heart stood still Pulse weak, and quickened by least movement Despondency; fearful; anxious about the future Dullness of sense Every shock strikes in epigastrium Change in acuteness of perception of shades of green; objects, appear green and yellow Sweet taste with constant ptyalism Discomfort, even after a small quantity of food, or from mere sight or smell White, chalk-like, ashy, pasty stools Starts from sleep in alarm that he is falling from a height |
When sitting erect After meals and music |
When stomach is empty In open air |
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Kalmia Latifolia |
Pains shift rapidly Nausea and slow pulse frequently accompanying. Has also a prominent action on the heart. Paralytic sensations; pains and aching in limbs accompany nearly every group of symptoms Heart weak, slow pulse Fluttering of heart, with anxiety Palpitation; worse leaning forward Sharp pains take away the breath Shooting through chest above heart into shoulder-blades Frequent pulse Heart's action tumultuous, rapid and visible Paroxysms of anguish around heart Sleepless, wakes very early in morning |
Leaning forward Looking down Motion Open air |
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Kali Carbonicum |
Soft pulse, coldness, general depression, and very characteristic stitches, which may be felt in any part of the body, or in connection with any affection All pains are sharp and cutting; nearly all better by motion Absence of fever Sensitive to every atmospheric change, and intolerance
of cold weather Fleshy aged people, with dropsical and paretic tendencies Sweat, backache, and weakness Throbbing pains Pains from within out, and of stinging character "Giving-out" sensation Stinging pains in muscles and internal parts Twitching of muscles Pain in small spot on left side Sensation as if heart were suspended Palpitation and burning in heart region Weak, rapid pulse; intermits, due to digestive disturbance Desire for sweets Disgust for food Drowsy after eating Wakes about two o'clock and cannot sleep again |
After coition In cold weather From soup and coffee In morning about three o'clock Lying on left and painful side |
In warm weather, though moist; During day While moving about |
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Lachesis Mutus |
Sensation of tension in various parts Cannot bear anything tight anywhere Craving for alcohol, oysters Any food causes distress Hungry, cannot wait for food Menses too short, too feeble; pains all relieved by the
flow Intense excitement of sexual organs Breathing almost stops on falling asleep Palpitation, with fainting spells, especially during climacteric Constricted feeling causing palpitation, with anxiety Irregular beats |
After sleep Left side In the spring Warm bath Pressure or constriction Hot drinks Closing eyes |
Appearance of discharges Warm applications |
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Magnolia Grandiflora |
Stiffness and soreness Alternating pains between spleen and heart Patient tired and stiff Soreness when quiet Erratic shifting of pains Oppression of chest with inability to expand the lungs Feeling of a large bolus of food which distressed the stomach Suffocated feeling when walking fast or lying on left side Crampy pain in heart Endocarditis and pericarditis Tendency to faint Sensation as if heart had stopped beating Pains around heart accompanied by itching of the feet |
Damp air Lying on left side In morning on first rising |
Dry weather Motion Inter menstrual flow |
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Naja Tripudians |
Its action settles around the heart; valvular troubles Marked surging of blood upwards, marked dyspna, inability to lie on left side Organs seem to be drawn together Very susceptible to cold With heart symptoms, pain in forehead and temples Control of sphincters lost Dragging and anxiety in pręcordial Feeling of weight on heart Angina pains extending to nape of neck, left shoulder and arm with anxiety and fear of death Pulse irregular in force Threatened paralysis of heart, body cold, pulse slow, weak, irregular, tremulous Acute and chronic endocarditis Palpitation Stitching pain in region of heart Marked symptoms of low tension Sleep profound, like a log, with stertorous breathing, a typical reptilian state |
From use of stimulants |
From walking or riding in open air |
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Phosphorus |
Tall, slender persons, narrow chested, with thin, transparent skin, weakened by loss of animal fluids, with great nervous debility, emaciation, amative tendencies Great susceptibility to external impressions, to light, sound, odors, touch, electrical changes, thunder-storms Suddenness of symptoms, sudden prostration, faints, sweats, shooting pains, etc Thirst for very cold water Hunger soon after eating. Sour taste and sour eructations after every meal Very fetid stools and flatus. Long, narrow, hard, like a dog's. Difficult to expel Great weakness after stool Menses too early and scanty-not profuse, but last too
long Violent palpitation with anxiety, while lying on left side Pulse rapid, small, and soft Heart dilated, especially right Feeling of warmth in heart Irresistible desire; involuntary emissions, with lascivious dreams Great drowsiness, especially after meals Sleeplessness in old people Vivid dreams of fire; of hemorrhage Lascivious dreams Goes to sleep late and awakens weak Short naps and frequent wakings |
Touch Physical or mental exertion Twilight Warm food or drink Change of weather From getting wet in hot weather Evening Lying on left or painful side During a thunder-storm Ascending stairs |
In dark Lying on right side Cold food Cold Open air Washing with cold water Sleep |
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Rhus Tox |
Tearing asunder pains Motion always "limbers up" the Rhus patient, and hence he feels better for a time from a change of position. Want of appetite for any kind of food, with unquenchable thirst Bitter taste Desire for milk. Drowsy after eating Hypertrophy of heart from overexertion Pulse quick, weak, irregular, intermittent, with numbness of left arm Trembling and palpitation when sitting still Dreams of great exertion Heavy sleep, as from stupor Sleepless before midnight |
During sleep Cold, wet rainy weather and after rain At night During rest Drenching When lying on back or right side |
Warm, dry weather Motion Walking Change of position Rubbing Warm applications From stretching out limbs |
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Spigelia |
Is especially adapted to anęmic, debilitated, rheumatic, and scrofulous subjects Stabbing pains Heart affections and neuralgia Very sensitive to touch Parts feel chilly; send shudder through frame Violent palpitation Frequent attacks of palpitation, especially with foul odor from mouth Pulse weak and irregular Neuralgia extending to arm or both arms Craving for hot water which relieves Rheumatic carditis, trembling pulse; whole left side sore Dyspna; must lie on right side with head high |
From touch Motion Noise Burning Washing Concussion |
Lying on right side with head high Inspiring |
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Spongia Tosta |
Heart affections and often indicated for the tubercular diathesis Children with fair complexion, lax fiber; swollen glands Exhaustion and heaviness of the body after slight
exertion, with orgasm of blood to chest, face. Anxiety and difficult
breathing Excessive thirst, great hunger Cannot bear tight clothing around trunk Rapid and violent palpitation, with dyspna; cannot lie down; also feels best resting in horizontal position Awakened suddenly after midnight with pain and suffocation; is flushed, hot, and frightened to death Valvular insufficiency Ebullition of blood, veins distended Surging of heart into chest, as if it would force out
upward Hypertrophy of heart, especially right, with asthmatic symptoms. Awakes in a fright, and feels as if suffocating Generally worse after sleep, or sleeps into and aggravation |
Ascending Wind Before midnight |
Descending Lying with head low |
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Tabacum |
Nausea, giddiness, death-like pallor, vomiting, icy coldness, and sweat, with the intermittent pulse Complete prostration of the entire muscular system Collapse. Pallor, breathlessness, hard-cordlike pulse Palpitation when lying on left side Pulse intermits, feeble, imperceptible Pain radiates from center of sternum Tachycardia Bradycardia Acute dilatation caused by shock or violent physical exertion |
Opening eyes Evening Extremes of heat and cold |
Uncovering Open fresh air. |
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Veratrum Viride |
Paroxysms of auricular fibrillation Induces fall of both systolic and diastolic blood pressure Twitchings and convulsions Especially adapted to full-blooded, plethoric persons Great prostration Bloated, livid face Zigzag temperature Thirsty Urine scanty with cloudy sediment Pulse slow, soft, weak, irregular, intermittent Rapid pulse, low tension Constant, dull, burning pain in region of heart Valvular diseases Beating of pulses throughout body, especially in right thigh |
Change of temperature Talking Sneezing Biting hard From 9 am to 4 pm |
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Vipera Berus |
Temporary increase in reflexes Paresis Paraplegia of the lower extremities extending upwards Patient is obliged to keep the extremities elevated; when they are allowed to hang down, it seems as if they would burst, and the pain is unbearable |
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