COUGH AND ITS THERAPEUTICS

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Hahneman Ki Aawaz posted on 16.08.2019

INTRODUCTION:- Cough is the most frequent symptom of respiratory disease.It is caused by stimulation of sensory nerves in the mucosa of the pharynx, larynx, trachea and bronchi.Acute sensitisation of the normal cough reflex occurs in a number of conditions, and it is typically induced by changes in air temperature or exposure to irritants suchas cigarette smoke or perfumes.1

The characteristics of cough originating at various levels1

Origin                       Common causes      Clinical features

Pharynx                    Post-nasal drip          History of chronic rhinitis

Larynx                      Laryngitis, tumour,     Voice or swallowing altered

                                whooping cough,       ,harsh or painful cough

                                croup                        Paroxysms of cough, often

                                                                 associated with stridor

Trachea                    Tracheitis                  Raw retrosternal pain with Cough

Bronchi                    Bronchitis                  Dry or productive,

                                (acute)                      worse inmorningsUsually dry

                                and COPD                worse at nightFeatures similar

                                Asthma                     to asthmabut no airway

                                Eosinophilic              , hyper-reactivity(AHR) Persistent

                                bronchitis                  (often with haemoptysis)

                                Bronchial

                                carcinoma

Lungparenchyma     Tuberculosis              Productive, often with

                                                                 haemoptysis

                                Pneumonia                Dry initially, productive later

                                Bronchiectasis           Productive,

                                Pulmonary                 changes inposture induce

                                oedema                    sputumproduction

                                Interstitial                  Often at night (may beproductive

                                fibrosis                     of pink, frothysputum)

                                                                 Dry, irritant and distressing

Drugside-effect ACE inhibitors   Dry cough

Therapeutics of cough:-2
Acalypha indica – Cough with bloody expectoration, preceded by violent dry cough; cough most violent at night; expectoration of bright blood in the morning, dark clotted in the evening.
Alumen- Chronic morning cough of old people.
Alumina- dry, hacking cough, with frequent sneezing, every morning a long attack of dry cough, ending in difficult raising of a little white mucus.
Ambra grisea- violent spasmodic cough, with frequent eructations.
Antimonium tartaricum- Profuse mucus in chest with feeble expulsive power, short coughwith a shrill sound, compelling the patient to sit up, is moist and rattling, but without expectoration.
Badiaga – Sneezing with coryza; cough causes sneezing; severe spasmodic cough, ejecting a viscid mucus from the bronchial tubes, which at times comes flying out of the mouth.
Baryta carbonica- cough in presence of strangers; thinking of his cough brings it on.
Borax veneta- Cough after cold bathing.
Carbo vegetabilis- cough, with greenish-yellow foetid expectoration.
Causticum- cough relieved by a swallow of cold water.
Conium maculatum- Tormenting night cough of old people. worse on lying down and at night; there is hardly any cough in daytime.
Corallium rubrum- firing minute guns of short barking cough, cold expectoration.
Cubeba officinalis- harsh cough, which seems to tear and rupture the bronchi.
Digitalis purpurea- cough after eating, with vomiting of food.
Drosera rotundifolia- deep-sounding hoarse and barking; cough in fits, at long intervals, after midnight.
Elaps corallines- Cough, with expectoration of black blood.
Euphrasia officinalis- Cough on rising in the morning, continuing until lying down again, no cough at night.
Hepar sulphur- Hoarse, croupy night cough, the phlegm is loose and choking, worse after exposure to chilly night air, and from drinking cold water, No expectoration at night, but only in daytime during cough.
Hyoscyamus niger -Nervous cough, aggravated as soon as patient is lying down, better on rising or sitting up; elongation of the uvula.
Ignatia amara- the longer he coughs the more the irritation to cough increases.
Indigo tinctoria- Dry cough, always attended with nosebleed and expectoration.
Iodium- itching at the tip of the nose is the signal for the cough to begin.
Kalium bichromicum- expectoration of tough mucus which can be drawn in strings to his feet, cough worse undressing, morning on awaking, after eating; better after geting warm in bed.
Kalium iodatum- dry cough, or with expectoration of green mucus.
Ledum palustre- before cough he loses his breath; after cough dizziness and staggering; double sobbing inspiration; expectoration of bright-red, foaming blood.
Mephitis putorius- cough after drinking, talking or loud reading, hollow or deep, with rawness, hoarseness and pain in chest; cannot exhale.
Millefolium- Cough, with frequent spitting of bright blood.
Moschus- Violent spasmodic cough, with rattling of mucus when breathing; great dyspnoea, aggr. by being in open cold air, amel. after vomiting large quantities of thick mucus
Natrium muriaticum- cough induced by the slightest current of air, as by opening door gently or by persons moving about in room.
Niccolum-met.- Dry, hacking cough, like the tick of a clock in its regularity.
Nux vomica- Cough dry, fatiguing, worse after midnight and mornings, causing headache, pain in the stomach and soreness in the abdominal walls; worse after eating, desire to eat during cough; cough excited by beer and relieved by warm drinks.
Pulsatilla pratensis- Cough, which makes one shake all over, with sensation as if one would vomit, and pain in right hip, dry at night, loose cough during the day.
Rhus toxicodendron- cough with taste of blood, although no blood is to be seen. worse before midnight or in the morning, soon after awaking.
Rumex crispus- iolent, incessant, fatiguing cough, aggravated by pressure, talking, and by every inspiration of cool air and at night,
hoarse, barking cough, in attacks every night at 11 P. M. and at 2 and 5 A. M. (children).
Squilla maritime- Drinking of cold water always brings on severe cough. loose cough in the morning is more fatiguing than the dry cough in the evening; worse by changing from warm to cold air.
Spongia tosta- Dry, barking, wheezing cough, aggr. by lying with the head low, the room getting too warm, relieved by eating ever so little and drinking. aggr. from sweets, from excitement, cold drinks, smoking tobacco, lying with head low.
Sticta pulmonaria- Excessive dryness of the nasal mucous membrane, secretions are so quickly,dried that they become as hard as scabs, cough excited by every attempt at inspiration.
Thuja occidentalis- Cough only in daytime or in the evening after lying down, ough immediately after eating.
Zincum metallicum- spasmodic cough, child puts hands upon genitals. cough during menses, cough aggr. after eating, during rest, from drinking milk, sweets.

Dr.Amit Kumar
M.D.(Hom.)- Repertory- Part-II
Dr. M.P.K. Homoeopathic Medical College (Homoeopathy University), Saipura, Sanganer, Jaipur, Rajasthan- 302029

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