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Whooping cough

 

Dr. Boyd writes in his Textbook of Pathology, 1961, p. 306:

Whooping cough or pertussis is an acute infectious disease of the respiratory tract, as a result of which there are spasmodic attacks of coughing with a prolonged inspiration known as a "whoop". The disease consists of a catarrhal stage of one or two weeks' duration marked by a hard dry cough (this is the infectious period), and a paroxysmal stage of four to eight weeks duration marked by severe paroxysms of coughing and whooping and by attacks of vomiting. Common complications are broncho-pneumonia (inflammation of the terminal bronchioles and alveoli. The smaller divisions of the bronchi are called bronchioles. They lack cartilage. Alveolus = air cell of lungs), atelectasis (lack of air in the lungs as in a fetus, or in a portion of the adult lung due to pleural effusion exerting pressure and blocking the small bronchial tubes), emphysema (distension of tissues by gas or air in the interstices. A condition in which the alveoli of lungs become distended or ruptured) and convulsions. One attack of the disease confers immunity for life. In Great Britain whooping cough causes more deaths in childhood than any other specific fever, because of the secondary broncho-pneumonia which may follow.

The etiological agent is Haemophilus pertussis of Bordet and Gengou, a minute gram-negative bacillus, which is found in great masses entangled in the cilia of the bronchial mucosa (Cilia = hair-like process projecting from epithelial cells, as in the bronchi, which wave mucus, pus and dust particles upward).

Dr. Taber, in his Cyclopedic Medical Dictionary (9th ed., 1962) writes:

'Incubation from seven to ten days. First stage is catarrhal. At this time the symptoms chiefly are suggestive of common cold-slight elevation of fever, sneezing, rhinitis and dry cough. Irritability and loss of appetite.

'After seven to ten days, the second or paroxysmal stage sets in. The cough is more violent, and consists of a series of several short coughs, followed by long drawn inspiration, during which the typical whoop is heard, this being occasioned by the spasmodic contraction of the glottis.

'With the beginning of each paroxysm, patient often assumes a worried expression, sometimes even one of terror. The face becomes cyanosed, eyes injected, veins distended. With conclusion of the paroxysm, vomiting is common. At this time also there may be epistaxis, sub-conjunctival haemorrhages, or haemorrhages in other portions of body.

'Number of paroxysms in 24 hours may vary from 3 to 4 up to 40 to 50. Following an indefinite period of several weeks, the stage of decline begins, the paroxysms grow less frequent and less violent. Nutrition of child improves and after a period which may be prolonged for several months, the cough finally ceases.'

Abundance of fresh air and sunlight, sleeping room should be well ventilated. Feeding should be in small amounts at frequent intervals. Constipation should be avoided.


Treatment

The remedy has to be selected on the symptom of the case.


Belladonna

In the first stage, when it can hardly be distinguished from a common cold, Belladonna is often indicated.

Dr. Dewey:

'In sudden violent paroxysms of whooping cough, without any expectoration and symptoms of cerebral congestion, Belladonna will be found useful. Epistaxis may accompany and the patient is worse at night. The attacks terminate by sneezing is another indication for Belladonna. When Belladonna is the remedy, the congestive symptoms will be present and active, the onset sudden; and the child grasps the throat and clings to its mother as if frightened.'


Ipecacuanha

Dr. Nash:

'After the whooping stage begins, if there is considerable wheezing (noisy and difficult breathing) and spasmodic cough with blueness of the face during the paroxysm, also gagging and vomiting, Ipecac. comes in.'

Great nausea. Violent shattering coughs following each other in quick succession, not permitting recovery of breath indicate Ipecac. There is free perspiration. Sulphur is an excellent remedy for vomiting after the paroxysmal cough.


Magnesium phosphoricum

The attacks are convulsive and nervous, ending in a whoop. Cough in severe whoops. Dr. Schuessler writes: 'To genuine whooping cough corresponds Magnesia phos.' Dr. Dewey used Magnesia phos. in the 30th potency and found it to act marvellously in certain epidemics. Dr. Boericke says that it was not an uncommon thing for a patient to come to us for `some whooping cough remedy' which was nothing else than Magnesia phos. 30. It should be given in hot water.


Drosera rotundifolia

Dr. Hahnemann writes:

'A single such dose of Drosera is quite sufficient for the homoeopathic cure of epidemic whooping cough. The cure takes place with certainty in from seven to nine days, under a non-medicinal diet. Care should be taken not to give a second dose or any other medicine immediately after the first dose, for that would inevitably not only prevent the good result, but do serious injury, as I know from experience.'

 

     What are the indications?

  • 145. Cough, the impulses of which follow one another so violently that he can hardly get his breath.
  • 143. He feels an oppression of the chest, as if something there kept back the air when he coughed and spoke, so that the breath could not be expelled (lasting several days).
  • 135. When coughing, pain in the hypochondria as if the region were forcibly constricted.
  • 137. Across the chest a violent pain when sitting, also independently of the cough, which is composed more of pressure than shooting and goes off on moving, the parts also aches when touched.
  • (Symptoms Nos. 145 and 143 are very important) !
  • 144. Cough coming from quite deep down the chest.
  • 149. In the evening, while lying in bed, when he breathes out, a sudden contraction of the hypogastrium which makes him heave as though he would vomit, and excites coughing.

Dr. Hahnemann writes:

'.... this formidable disease, which does not pass off by itself like other acute diseases, without terminating fatally or tormenting its victim for 20 or 22 weeks.'

Dr. Dewey writes:

'The attacks are especially worse after midnight. The child holds its epigastrium while coughing. The Drosera child cries a good deal. Arnica has crying before coughing, because re-collection of previous soreness and pain is present.'


Cina maritima

It is not only a worm remedy, but also one of our best remedies for whooping cough, also jerking, trembling, twitching and even convulsions; but in all these affections, Nash found it efficacious when the worm symptoms were present. Grinding of the teeth during sleep indicates Cina.


Antimonium tartaricum

Dr. Nash:

'If there is much rattling (coarse rattling) of mucus which is difficult to expectorate, especially if the child gets cyanosed from the abundant accumulation. When the child coughs, it seems as if a cupful of mucus would come, but it does not. Sleepiness or coma results. Expectoration relieves.'

Dr. Dewey:

'If diarrhoea be present with great debility and depression of vital forces, or if the child vomits its supper shortly after midnight, Antim. tart. will be the remedy. It has marked aggravation from warm drinks.'


Carbo vegetabilis

Dr. Nash:

'May follow Antim. tart. if there is weakness and general blueness from unoxygenized blood, with great hunger for oxygen, wants to be fanned hard to breathe, coldness and prostration.'


Cuprum metallicum

Dr. Nash:

'It is adopted in one of the worst forms of the disease. The paroxysms are very violent and long continued, completely prostrating the patient. The child becomes rigid, turns blue-black in the face, lies as if dead. There is sometimes vomiting after the attack, and rattling of mucus between. It will do best in as high a potency as the 200th.'


Kalium bichromicum

Dr. Farrington:

Has a dry, barking cough, worse in the morning. The expectoration is stringy, but it is yellow in colour - not clear as under Coccus cacti.


Bryonia alba

It is useful in whooping cough, provided it has the symptoms of the drug. The child coughs immediately after a meal, vomits what it has eaten and then returns to the table.


Coccus cacti

Dr. Farrington writes:

'The principle use of the durg is in whooping cough, with morning aggravation. The child awakens in the morning and is immediately seized with a paroxysm of whooping cough, ending in a vomiting of clear ropy mucus hanging in great long strings from the mouth.'

Dr. Dewey:

'The chocking is more characteristic, even more than the strangling.'


Tissue remedies

Magnesium phosphoricum

Already written above as item 3. Whooping cough beginning as a common cold, convulsive fits of nervous cough ending in a whoop.

Dr. Mitra in his book Tissue Remedies (pp. 586-9) writes:

In the earlier stages of the disease, Ferrum phos. is given for the febrile symptoms, alternated with Kali mur. for the fibrinous expectoration. If the disease has reached that stage when cough has become spasmodic in character, ending in the characteristic whoop of nervous origin, then Magnesia phos. is the remedy par excellence. Magnesia phos. should be given in hot water and repeated whenever a paroxysm of coughing comes on.


Ferrum phosphoricum

Whooping cough with vomiting of blood.

Inflammatory catarrhal stage.


Kalium muriaticum

Is the principle remedy, if there is white coated tongue, or thick, white expectoration, with short, spasmodic cough. Alternate it with Magnesia phos. 12x.

In cases of whooping cough with a high temperature and symptoms showing that pneumonia was developing, please select a suitable drug which has symptoms of the patient whether it is homoeopathic or biochemic. Follow the rules of homoeopathy and then begin to treat. Very careful attention and treatment are required in such cases.

For long standing or chronic cases of whooping cough, Magnesia phos. and Kali mur. alternately.


Kalium phosphoricum

Whooping cough in very nervous, timid, sensitive children. Also when exhaustion sets in. It may be given intercurrently.


Calcarea phosphorica

Whooping cough in weak children, or teething children. There is emaciation. In anaemic condition, give Calcarea phos. and Ferrum phos. alternately.


Kalium sulphuricum

Decidedly yellow expectoration. 'Last stage of whooping cough; blistered lips and mouth; black, thick, offensive stools, with great wasting.' Dr, Boericke and Dr. Dewey in their book Twelve Tissue Remedies (p. 309) have given two cases treated with Kali sulph. by eminent doctors.





 

 

 

Measles, Mumps, Chicken Pox & Whooping Cough

Homeopathic & Other Natural Remedies


Joan Goddard 

Every effort has been made in the writing and
preparation of this booklet to give information that is
accurate and as up to date as is possible.
The objectives of this booklet make it's intention very clear.
The author takes no responsibility for how this information is used.

If, there is any doubt about your child's health, we suggest that you always consult a health care professional before using complimentary treatments.

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Comment by Dr. Zulqarnain Sikandar Mughal on February 9, 2012 at 4:56am

I am very happy to see this wonderful article. Thank you Dr. Ravindra. This is very useful post for the homeopath in their practice. I am grateful to you for sharing. HWC is a really good place where we share our experience as lovers of homeopathy. Thanks again

Comment by Dr Muhammed Rafeeque on February 9, 2012 at 1:36am

@ Dear Dr Hans: No! we are talking about the practical aspects of Homeopathy, developed as a result of experience. This approach may be wrong theoretically or religiously, but when nothing works for a child with whooping cough, such "mistakes" often work. It is horrible to see a child with whooping cough. When we drs feel pain, i need not tell the pain of his or her parents. So these are the situations to use our practical sense, not theoretical science. Have a good day :)

Comment by Dr.Vikas Verma on February 8, 2012 at 10:20am

Mephitis is a wonderful medicine for cough, It has hacking, hard, hoarse and paroxysmal cough with loose expectoration. The cough is triggered by irritation in throat. It has pain in ribs with cough. Whooping cough is aggravated in night, The whooping cough is worse during convulsions, there may be convulsion of glottis even, the body gets stiff and cyanosed during Whooping cough, The whooping cough may be associated with difficulty in respiration. Excellent note Dr. Ravindra  once again, Thanks for sharing.

Comment by Hans Weitbrecht on February 7, 2012 at 6:13am

Mephitis is not selected because other remedies don't work! Are we talking homeopathy here?

Comment by Dr Muhammed Rafeeque on February 7, 2012 at 5:29am

Mephitis is also useful when other remedies do not work.

Comment by Dr.Bhupinder Singh Sahni on February 7, 2012 at 12:36am

If indicated Drosera fail to provided relief in whooping cough..........................always remember CINA.

Dr. Sahni BS

Retd. Dy.CMO

Comment by Dr Ravindra Saraswat on February 5, 2012 at 11:18pm

Thanks Dr Kuldeep Singh Ji....

Comment by Kuldip Singh on February 5, 2012 at 1:48pm

As usual Dr. Ravindra Saraswat has yet again come out with another interesting & very informative article.

Comment by Hans Weitbrecht on February 5, 2012 at 10:31am

see: Boenninghausen: The whooping cough. You will find much more detailed information there, even a speciffic repertory and Materia medica.

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