An ancient therapy for circulatory complaints celebrating a revival – Blood-letting with leeches

As part of the ancient ‘mainstream’ medical practices that have existed since antiquity, Hirudo-therapy, as a form of blood-letting to cure patients of ailments and diseases, has, throughout the millennia, been used to treat almost any infliction with illness. Only with the birth of what we today define as conventional medicine, has the medicinal use of leeches as therapeutic agents fallen into oblivion. Until then, leech-therapy was widely spread across Asia, Africa, America, the Middle-East and Europe.

Although never quite lost in the CAM realm, in more recent times, conventional medicine has instigated a revival of this ancient treatment practice, having found evidence of its efficacy for diverse diseases, such as circulatory and cardiovascular disorders, cancer, infectious and inflammatory diseases, arthritic and rheumatic processes, for surgical interventions, as in replantation and breast augmentation surgery and, yes, as anti-aging and cosmetic treatment.

Varicose veins, thrombosis, hypertension and coronary artery disease, arthrosis, osteoarthritis, rheumatism and gout have found a benefit from the treatment with leeches. Ailments such as herpes zoster, otitis media, asthma, hyperlipidemia, ophthalmic diseases, septic shock, cerebral infarction, ovarian cysts, dental diseases, and wound-healing disorders are further indications for the treatment with leeches. 

The treatment with Hirudo medicinalis officinalis, the leech, generally sees the leech placed on the skin of the affected area, where it bites and sucks blood, in doing so, releasing a number of bio-active substances secreted from its salivary glands. Within the saliva of the leech are contained blood-thinners, anti-coagulants, vaso-dilators, enzymes, and amino-acids, to name a few. There are about 20 therapeutic ingredients in the saliva of leeches. Hirudin and Eglin are the two scientifically most investigated substances. Eglin is an anti-inflammatory and analgesic, and Hirudin an anti-coagulant, and anti-spasmodic.

The individual leech will suck around 10 to 20 ml of blood and will ‘fall off’ the site of the bite, when it has finished feeding, after 30 to 90 minutes. The bite-wound will continue bleeding for up to 12 to 24 hours, which is part of the benefit of the therapeutic blood-letting. A treatment will usually consist of an application of 2 to 6 leeches.

Traditional Chinese medicine has yet another approach to leech therapy. The ‘Shui Zhi’ is used as an orally administered drug. The leech is dried and ingested for the treatment of blood stasis, uterine growths and traumatic injury. As a homeopathic remedy Hirudo medicinalis, is referred to as Sanguisuga officinalis. It is indicated for hemorrhages, in particular those of the rectum.

Today leeches are cultivated in farms. This is done for hygienic purposes, and due to the fact that the extensive use of leeches throughout the 18th and 19thcentury has made the medicinal leech become almost extinct. A leech is never applied to more than just one patient.

A look at its historic use almost commends Hirudo-therapy as a universal cure-all. Its importance in history, emphasized by the denotation of the physician as ‘leech’ and his materia medica as ‘leechdom’, shows just how leech therapy dominated the treatment of patients in the old days. The efficacy, increasingly supported by research, returns Hirudo-therapy into the conventional medical sphere, and at that brings with it great potential for a range of diseases.

 

 

 

References:

Michalsen A, Moebus S, Spahn G, Esch T, Langhorst J, Dobos GJ. (2002) ‘Leech therapy for symptomatic treatment of knee osteoarthritis: results and implications of a pilot study.’, Alternative Therapies, 8(5),[Online]. Available at:http://www.ncbi.nlm.nih.gov/pubmed/12233807 (Accessed: June 2016).

Bapat RD, Acharya BS, Juvekar S, Dahanukar SA. (1998) ‘Leech therapy for complicated varicose veins.’, Indian J Med Res., 107, pp. 281-284 [Online]. Available at: http://www.ncbi.nlm.nih.gov/pubmed/9701897 (Accessed: June 2016).

Hyson JM (2005) ‘Leech therapy: a history.’, J Hist Dent., 53(1), pp. 25-27 [Online]. Available at: http://www.ncbi.nlm.nih.gov/pubmed/15926663 (Accessed: June 2016).

Chinese Herbs Healing (2012) Chines Herbs Healing – Medicinal Leeches (Shui Zhi), Available at: http://www.chineseherbshealing.com/medicinal-leeches/ (Accessed: June 2016).

Zentrum der Gesundheit (2016) Blutegeltherapie – Eine tierisch gute Heilmethode, Available at: https://www.zentrum-der-gesundheit.de/blutegeltherapie.html (Accessed: June 2016).

Clarke, JH (2000) A DICTIONARY OF PRACTICAL MATERIA MEDICA – Sanguisuga, Available at: http://www.homeoint.org/clarke/s/sngs.htm (Accessed: June 2016).

Strophanthus: A cardio-protective remedy of old

One of the most widely researched plant remedies comes from an African climbing plant and is a most formidable remedy for heart disease and vascular disorders [1, 2, 3]. This gem has been largely removed from the annals of conventional medicine and has almost been forgotten. However, the need of the current times may call for its much needed resurgence.
Its most potent medicinal effect and the absence of side effects may make it a savior for the ever rising incidence of cardiovascular diseases and beyond.

Rose Quartz – A remedy for the emotional heart

Rose quartz, has always been associated with the theme of love, in one way or another. It has even been referred to as the stone of universal love, and has been likened to a symbol of beauty, gentility and peace, to harmony and balance, the heart and healing.

It is a stone said to balance the heart chakra, to open the heart to giving and receiving unconditional love, and to connect with and extend self-love.

Kindness, compassion and empathy are keywords, and someone ‘in-tune’ with Rose quartz is gentle, emotionally balanced, calm, strongly inclined towards positivity, and exudes a subtle loving and healing energy.

As a homeopathic remedy, Rose quartz is a healer of the emotional heart. All types of heartache from emotional trauma, unrequited love, disappointment, separation or loss, respond very well to Rose Quartz. It is a remedy for grief where, for example, the love to a married person, is not answered. There is a strong feeling of responsibility towards loved ones lying on the shoulders of people needing this remedy. It is also a remedy indicated where there is an unhealthy addiction to a love relationship, and it is helpful in releasing the trauma from sexual abuse.

It’s need can also bee seen where children, who suffer from parental conflict in the home, want to please and appease both their mother and father in, for example, a family where a divorce is looming. These children are stressed and in a constant state of anxiety.

Rose Quartz purifies and harmonizes, and promotes self-love and inner healing.

A true remedy of and for love.

Glonoinum for Angina Pectoris – an explosive drug

Angina Pectoris – what is it?

Angina Pectoris is a symptomatology that in 2009 affected an estimate of 30 000 to 40 000 people per 1 million of the European population [1], and approximately 9.8 million people in America, with tendency rising [2].

It is a syndrome that is characterized by precordial discomfort; pressure, squeezing, burning or fullness located centrally about the chest. This is frequently accompanied by pain extending through to the back, or into the shoulder and arm, and may radiate to the throat and jaw, the upper abdomen and at times the right arm [3]. The onset of symptoms is usually due to physical exertion or stress [3], heavy meals or extreme heat [4].

The etiology of Angina Pectoris is commonly an underlying condition called myocardial ischemia [3]. Myocarial ischemia refers to a reduction of the volume of blood passing through the arteries, as a consequence of which the amount of oxygen transported to the heart is also decreased [5]. This is usually due to yet another underlying more severe issue, namely coronary heart disease, where the coronary arteries are obstructed as in the case of atherosclerosis [3]. Other causes of myocardial ischemia are spasms of the coronary arteries, or an embolism caused by the plaque formation of artheriosclerosis that then ruptures and forms a clot that blocks an artery [5].

Attacks of Angina Pectoris commonly subside after a few minutes and are relieved by rest [3]. The most important element in the treatment of Angina Pectoris is the removal of the causative factors, at least the prevention of further progression of the underlying condition [4].

First aid treatment, and the most common prescriptions in Angina Pectoris, are drugs containing nitroglycerine [4]. Nitroglycerin dilates the arteries and as such permits an increased volume of blood to flow through the vessles [4].

Nitroglycerine – an explosive drug!

In 1846 the Italian chemist Asciano Sobrero sought to create a new kind of substance that had blasting power. He synthezised Nitroglycerin by combining nitric and sulphuric acid [6, 7]. In 1867 then Alfred Nobel, the scientist and initiator of the Nobel prize, patented Nitroglycerin as a explosive [6].

The first physician to suggest nitroglycerin as a treatment for Angina Pectoris was British born William Murrell (1853 – 1912) in 1879 [7, 8]. He and few of his colleagues dared to experiment with Nitroglycerin, and trialed this explosive substance in highly diluted form on themselves. Murrell had taken Nitroglycerin 30 to 40 times before using it in the treatment of patients [8].

From experiential reports and his own findings, Murrell identified Nitroglycerin to be an instantly acting substance. The ingestion of a tiny quantity sufficed to induce a sensation of fullness about the neck, slight nausea, mental confusion and drowsiness. A rushing noise in the ears was described, a heaviness in the stomach and frequently a tensive headache that was felt over the eyes and could extend to the nose and ears [8, 9].

Murrell prescribed Nitroglycerin for patients that experienced symptoms of sudden onset of intense pain about the chest that was triggered by slightest physical exertion or emotional excitement. Patients described a sensation of heat and burning in the chest that was succeeded by an acute, painful pressue. This pain could radiate to the back, between the shoulders, and along the inner side of the arm down to the elbow. Murrell points out that this pain only rarely passed below the elbow towards or into the fingers. Shortness of breath, an increased pulsation, and a sensation of coldness in an attack were also described [8].

These attacks commonly lasted no longer than 3 to 4 minutes, and the administration of Nitroglycerin cut an attack short. Murrell exclaimed that “the action of the medicine seems to commence the moment it is swallowed” [8, p.43]. Unfortunately the ingestion of Nitroglycerin almost always produced a throbbing sensation across the forehead, at the height of the hairline, a sensation of pulsation experienced throughout the body, and a noise like running water in the ears [8]. This concomitant symptomatology of Nitroglycerin is one that for most patients still accompanies an ingestion of the drug.

Murrell further noted of Nitroglycerin that the susceptibility to its action was more pronounced in weaker individuals and women. He stressed that a physiological effect could be excited by merely handling it, and pointed out that following an administration of the drug patients would experience “an immediate, irresistible need for sleep” [8, p.29].

The homeopathic origin of nitroglycerin as a healing agent

In 1848, long before the conventional medical sphere took note of the healing potential of nitroglycerin the German Homeopath Constantin Hering (1800 – 1880) had recognized its value as a homeopathically produced remedy for throbbing and congestive headaches.

Hering never considered Glonoinum, homeopathic Nitroglycerine, for Angina Pectoris [6], but it has found its way into the homeopathic Materia Medica as a remedy for many symptoms, including those of the symptomatology of Angina Pectoris. As such it is, amongst others, indicated for the following key symptoms:

– Surging of blood to the head and heart [10, 11].

– Violent palpitation, laborious action of the heart [10, 11].

– Throbbing and pulsating headache in forehead and between temples [11].

– Throbbing in front of the head [11], that becomes worse by exertion [12].

– Pressure and throbbing in the temples [11].

– Pulsation experienced throughout the body. Pulsating pains [10], felt as if the head would burst [12].

– Paleness of the face [12].

– Adverse effects from being in the sun, sunstroke [12].

– Confusion, heaviness about the head [10].

– Can bear no heat about the head [10].

Perhaps it was due to the skepticism of the homeopathic doctrine that the conventional medical sphere took 30 years to investigate the therapeutic potential of Nitroglycerin [7], but only due to these previous investigations did Nitroglycerin at all become a successful medicinal agent. As such Nitroglycerin was considered by some as the “ first breakthrough, on a large scale, of homeopathic remedies into allopathic practice” [6, p.25]. Until today it is a reliable treatment agent for managing Angina Pectoris, both as a highly diluted conventional drug, and as a highly diluted and succussed homeopathic remedy.

References:

[1] Schillinger, W., Hasenfuss, G. (2009) Angina Pectoris. Encyclopedia of Molecular Mechanisms of Disease, pp.90-91. Available from: http://link.springer.com/referenceworkentry/10.1007%2F978-3-540-29676-8_108. [4th May 2015].

[2] Angina Pectoris (1994-2015). Available from: http://emedicine.medscape.com/article/150215-overview . [4th May 2015].

[3] Warnica, J.W. (2015) Angina Pectoris. Merck Manuals. Available from: http://www.merckmanuals.com/professional/cardiovascular-disorders/coronary-artery-disease/angina-pectoris. [4th May 2015].

[4] Bhowmik, D., Das, B.C, Dutta, A.S. & Sampath Kumar, K.P. (2011) Angina Pectoris – a comprehensive review of clinical features, differential diagnosis, and remedies, Elixir Pharmacy, 40, pp.5125-5130. Available from: from elixirpublishers.com . [4th May 2015].

[5] Mayo Clinic Staff (1998-2015) Myocardial Ischemia. Mayo Clinic. Available at: http://www.mayoclinic.org/diseases-conditions/myocardial-ischemia/basics/causes/con-20035096 . [4th May 2015].

[6] Bruce Fye, W. (1986) Nitroglycerin: a homeopathic remedy Circulation, Vol. 73, 1, pp.21-29. Available from : circ.ahajournals.org/content/73/1/21.full.pdf [4th May 2015].

[7] Bruce Fye, W. (1994) William Murrell Clin. Cardiol., 18, pp. 426-427. Available from: http://onlinelibrary.wiley.com/doi/10.1002/clc.4960180714/pdf [4th May 2015].

[8] Murrell, W. (1882) Nitro-glycerine as a remedy for angina pectoris, H.K. Lewis, London.

[9] Murrell, W. (1879) Nitroglycerine as a remedy for angina pectoris. Lancet, 1:80-1, 113. Available from: http://site.hmc.org.qa/heartviews/vol8no3/PDF/HISTORYOFMEDICINE2.pdf. [4th May 2015].

[10] Boericke, W. (1999) Homeopathic Materia Medica. Available at: http://www.homeoint.org/books/boericmm/g/glon.htm . [4th May 2015].

[11] Hering, C. (2002) The guiding symptoms of our materia medica. Available at: http://www.homeoint.org/hering/g/glon-kn3.htm . [4th May 2015].

[12] Kent, J.T. (2000) Lectures on homeopathic materia medica. Available at: http://homeoint.org/books3/kentmm/glon.htm. [4th May 2015].

Iberis Amara – A homeopathic remedy for specific arrhythmia

Iberis amara is a homeopathic remedy with major characteristic symptom expressions that make it specific for particular affections of the heart. It affects the muscle of the heart, the coronary arteries, the conduction system of the heart and the peripheral circulation. As such Iberis is indicated for cardiac and coronary insufficiency, arrhythmia (tachycardia), angina pectoris, hypertrophy, myocarditis and endocarditis.

The particular heart symptomatology includes palpitation that is instigated by the slightest of physical exertion. Closing a window, coughing, laughing, or turning over in bed may suffice to produce accelerated, irregular beating of the heart. During this episode the individual may experience the sensation of dull heaviness and dragging pressure in the region of the heart, and marked shooting, darting pains that are experienced as stabbing or stitching. These symptoms promote great anxiety in the patient and may cause associated feelings of fear and nervousness. There may be marked coldness of hands and feet, while the face may be flushed with a sensation of fullness about the head and neck. Cold sweat may develop on the face. The patient desires to sigh or draw long breaths.

The heart beats faster and stronger and the actual pulsation is visible over the cardia-thoracic area. The pulse is erratic or intermittent, tremulous and not well-defined while being full and strong. The hearts action may at first be weak and is then succeeded by an increased full and strong, irregular pulse rate of +/- 100.

Concomitant to the cardiac symptoms there may be anxiety, increased salivation, dyspnea, and shortness of breath, the feeling of constriction and oppression, as well as vertigo. The patient may experience persistent eructation and bloating with an increased frequency of passing soft stool from the ingestion of food and there may be associated digestive weakness. A choking sensation may be felt in the dry throat and there may be the feeling of pressure and pain in the region of the liver. Soreness, lameness and trembling may be felt in the extremities, particular in the upper left arm and hand.

The patient feels worse for turning or lying on the left side, at night or upon rising in the morning. Altering the resting position or placing a hand on the chest above the heart does not ameliorate symptoms.

Following such an ‘attack’ there may be an increased urge to urinate only scanty quantities, and the patient may feel a general soreness and lameness throughout the body.

An interesting aspect of the therapeutic picture of Iberis amara is its association with gastro-intestinal issues. While this is not an integral part of the homeopathic remedy picture, it is so of the Materia Medica as a phyto-therapeutic agent. Iberis has been found to have antispasmodic, anti-inflammatory, anti-flatulent and calming properties, which it exerts on the mucous membranes of the digestive tract. As such it has found inclusion in herbal complex preparations aimed at treating an irritable stomach, functional dyspepsia or the colon irritable, the syndrome known as IBS, and ailments of the digestive tract associated with abdominal discomforts such as cramping and pain, motility disruption, diarrhea or obstipation. One such complex preparation is ‘Iberogast’, which in some countries is known by the name ‘STW 5’, and contains a combination of 9 different herbs. Research however has come to conclude that it is in particular the combination of the 9 herbs together that promote the efficacy of the complex. Iberis amara alone has not been found effective for the above mentioned gastro-intestinal issues.

References:

Allen, T. (1877) The Encyclopedia of pure Materia Medica . Internet Archive [Online]. Available at: https://archive.org (Accessed: April 2017).

Boericke, W. (2004) Pocket manual of homeopathic materia medica and repertory New Delhi: B.Jain publishers Ltd.

Clarke, J. (1994) A Dictionary of practical materia medica New Delhi: B.Jain publishers Ltd.

DHU (1994) Homöopathisches Repetitorium  Karlsruhe: Deutsche Homöopathie Union.

Hale, E. (1897) Materia Medica and special therapeutics of the new remedies. Internet Archive [Online]. Available at: https://archive.org (Accessed: April 2017).

Hering, C. (1879) The guiding symptoms of our Materia Medica. Internet Archive [Online]. Available at: https://archive.org (Accessed: April 2017).

Madisch, A., Holtmann, G., Plein, K. & Hotz, J. (2004) ‘Treatment of irritable bowel syndrome with herbal preparations: results of a double-blind, randomized, placebo-controlled, multi-centre trial’, Aliment. Pharmacol. Ther., 19(), pp. 271-279 [Online]. Available at: doi:10.1111/j.1365-2036.2004.01859.x (Accessed: April 2017).

No name (1997) ‘Expertengespräch anläßlich der 51. Tagung der Deutschen Gesellschaft für Verdauungs- und Stoffwechselerkrankungen mit Sektion für Gastroenterologische Endoskopie’, Aerztezeitschrift für Naturheilverfahren, 38(2), pp. 146-149.

Rahimi, R. & Abdollahi, M. (2012) ‘Herbal medicines for the management of irritable bowel syndrome: A comprehensive review’, World Journal of Gastroenterology, 18(7), pp. 589-600.

Gentle suggestions for heart and circulatory health

In order to maintain a healthy heart and blood circulation it is not wrong to occasionally take supportive measures. Sufficient movement in fresh air, moderate exercise, such as walking or swimming, or hot / cold alternating baths, are true restorers and preservers of a healthy heart and blood circulation. Proper hydration and healthy eating do the rest for good circulation.

But there are also other methods to support the system.

Red wine is good for you!

pic via pixabay.com
pic via pixabay.com

Scientific studies have repeatedly demonstrated that red wine is good for your heart! However, only in moderation! With a moderate consumption of red wine, which means no more than 150ml per day, such consumption can reduce the risk of heart disease by about 30%. The reason for this, researchers have found in the composition of the wine. The ingestion of flavonoids and resveratrol, the main constituents of the wine, results in dilation of the blood vessels and thus increase blood flow. Blood clotting is reduced and the formation of clots thereby limited. This in turn reduces the risk of heart attack and stroke. Incidentally, more recent studies have provided evidence that white wine too has these properties.

The Hildegard heart tonic

By Miniatur aus dem Rupertsberger Codex des Liber Scivias., Public Domain, httpscommons.wikimedia.orgwindex.phpcurid=1718595.jpg
By Miniatur aus dem Rupertsberger Codex des Liber Scivias., Public Domain, httpscommons.wikimedia.orgwindex.phpcurid=1718595.jpg

Hildegard von Bingen (1098 – 17.09.1179) already ascribed a healing effect to red wine. The abbess recommended the ingestion of ‘Heart-wine’ to strengthen the heart and the revitalization the circulatory system. This recipe however, not solely consists of red wine, but is a concoction of wine, parsley and honey. The relaxing and calming effect of the Heart-wine potion on the cardiovascular system may, apart from the wine, come from the vitamin- and mineral- rich composition of the parsley, and the antioxidant properties of the honey. Together these ingredients cause the coronary arteries to expand, lower the blood pressure and strengthen the heart.

Hildegard heart-wine:

* 10 parsley stems

* 2 tablespoons wine vinegar

* 1 litre of red wine

* 200 – 250ml Honey

In preparing the wine, the parsley stems, vinegar and wine are placed in a pot to boil. The concoction should simmer for 5 to 8 minutes. Then the concoction should be strained and left to cool. The honey should only be added once the mixture has cooled to merely lukewarm. Adding the honey to the hot brew is likely to ruin the effective ingredients contained in the honey.

It is recommended to consume a liqueur-glass of this ‘Heart-wine’, up to three times a day, to relieve said heart problems, and strengthen the heart

Hawthorn – Crataegus

pic via pixabay.com
pic via pixabay.com

Crataegus is the Latin name for Hawthorn.

It grows as a low tree, rather a bush, whose white flowers bloom in spring. Its fruits ripen towards late summer and autumn, and are of a fiery red color. Hawthorn belongs to the genus of the rose family, and there are between 100 and 200 different species. It grows along roadsides and in hedges.

Its potential as a medicinal plant is focal on, in particular, the weak, and elderly heart. Accordingly, preparations of hawthorn are recommended for patients with decreasing cardiac output or cardiac insufficiency, the senile heart, arrhythmia, and the sensation of a narrowing or pressure in the region of the heart. Crataegus also has a stabilizing effect on blood pressure, and helps to regulate low and high blood pressure.

There is evidence that hawthorn promotes the contraction of the heart muscle and improves the hearts’ pumping force. The circulation of the coronary arteries is increased. The heart is thus strengthened and its efficiency increased.

A treatment with Crataegus can be drawn into consideration if the following symptoms are noted:

– Low exercise capacity

– General lassitude

– General rapid fatigue

– Palpitation, fatigue and / or shortness of breath after only slight exertion

There are no known adverse effects of taking Crataegus.

Circulatory complaints in the legs

pic via pixabay.com

When legs suddenly feel heavy or painful, when ankles are swollen, the leg cramps, and the skin shows discoloration or varicose veins, a circulatory issue is often the cause. In such cases the blood circulation in the lower extremities may be limited, and often some simple measure suffice to bring about relief. For example, movement, massage, stretching exercises, or elevating the legs may reduce the symptoms.

Other measures included the use of various creams and preparations, containing for example, Aesculus (horse chestnut) or Hamamelis (witch hazel). These may be taken into consideration in the prevention and treatment of such circulatory disorders.

In homeopathic form, Aesculus and Hamamelis may be used in low potency, for example 6X.

Aesculus is indicated if:

– The legs are heavy and tired.

– The skin on the legs feels tense, and swollen.

– The veins appear jammed or inflamed.

– This ‘Aesculus’ circulatory disorder is not necessarily painful.

– The patient has is a tendency to thrombosis.

Hamamelis is indicated if:

– There is a sensitivity to touch, pressure and heat.

– Varicose veins are painful.

– There is a prevailing feeling of exhaustion in the legs.

– The veins shine through the skin, in a dark bluish color.

– Water accumulates in the ankles.

Roemheld syndrome – A false positive of heart diseases

It has become evident in our modern times, that many of our lifestyle habits, in particular keeping up with our increasingly hectic society, are taking their toll on our health. Our work-life balance is skewed heavily towards stress and our nutritional preferences are dictated by the time available to cook and the income to spare. It is therefore not surprising that our health is impacted negatively by how we conduct our life and manage our care. Such factors lead to the creation of ever new ‘life-style’ ailments that we succumb to, and are very frequently misdiagnosed for what they are not and are as a consequence not seldom inappropriately treated. One such ‘modern’ disease, that likely has some of its causative factors in our life-style and nutritional habits, is undoubtedly the ‘Roemheld syndrome’.

Ultimately the cause of the ‘syndrome’ is the development of gas in the digestive tract. This may be of varied origin and besides mal-nutrition, food-intolerance, indigestion, speaking while chewing and as such ‘swallowing’ air, may be caused by life-style factors such as stress, anger, or depression. Our sedentary work practice may play a role. We are accustomed to conduct most of our work sitting down, we engage in little physical exercise, eat rapidly and unhealthily, sooner or later such habits must make us ill. However there are also disease factors that promote Roemheld syndrome. IBS, irritable bowel syndrome, has been named as a potential adjunctive cause of ‘RS’, as has the existence of a hiatus hernia. Neural involvement of the vagus nerve has also been linked to the development of the ‘RS’ symptomatology. In this case sensory communication from the digestive tract to the brain is believed to impact the development of symptoms.

During an ‘attack’, the bloated gastro-intestinal tract displaces the organs in the thoracic cavity. To the patient there appears to be insufficient space in the chest. The bloated stomach and bowels push the lungs aside, generating pressure on the heart, causing anxiety, difficulty breathing, oppression, weakness, dizziness and faintness in the patient. The pulse rate increases, palpitation may appear and arrhythmia are triggered, in the form of tachycardia or extra systoles. It is not infrequent that these symptoms take a patient to see a cardiologist. However the causative factors of the presenting symptoms are often misinterpreted as originating from the heart itself.

In many cases the management of ‘RS’ can be achieved by altering dietary and lifestyle habits. As such, avoiding certain foods can alleviate symptoms and prevent ‘attacks’. Reducing alcohol and restricting the consumption of fizzy drinks, which promote fermentation in the bowels and thereby produce gas, can be helpful. Fast food, fatty meals, vegetables such as of the onion family, cabbage, pulses, pastry, and particularly white flour products should be avoided; such changes sooth the digestive activity of the stomach and bowels. However surgical intervention may be necessary where a hiatus hernia is identified as causative factor.

Conventional medicine suggests the administration of medication that reduces bloating, and inhibits the development of gas in the digestive tract. Yet this medical intervention is one that only palliates and does not remove the underlying cause. The issue remains and drug side-effects can produce consequential troubles in the long run. Acute alleviation can be achieved by herbal tea infusions with fennel, melissa, mint, juniper or black cumin. From a homeopathic perspective, remedies that aim at the removal of the digestive pathology and take into consideration the patient idiosyncratic cardiac symptomatology should be considered (gastro-cardia symptom complex).

References:

Brisson, J. (2016) Can Stomach Issues Cause Heart Disease? Part 2: Roemheld Syndrome, Available at: http://fixyourgut.com/can-stomach-issues-cause-heart-disease/ (Accessed: 27 February 2017).

N.A. (n.d.) Roemheld Syndrome Information and Resources, Available at: http://roemheld-syndrome.com/ (Accessed: 27 February 2017).

Stange, D. (2017) Roemheld-Syndrom – Ursachen, Symptome, Therapie, Available at: https://www.gesundheits-fakten.de/roemheld-syndrom-ursachen-symptome-therapie/ (Accessed: 27 February 2017).