DR.ANITA SINGHGDMO,ABGH(HOMOEO.UNIT)

Also known as Sunstroke

Core temperature greater than 40.6 degrees centigrade (105 degrees F)

Predominant CNS symptoms

Classic (nonexertional) heat stroke: Affects individuals with underlying chronic medical conditions (ex – cardiovascular disease, neurologic or psychiatric disorders, obesity, anhidrosis, extremes of age, and drugs such as anticholinergics or diuretics).

Exertional heat stroke: Generally occurs in young, otherwise healthy individuals who have engaged in strenuous exercise in high temperature and humidity

Treat as a medical emergency! Can be life threatening.

ENVIRONMENTAL• High temperature• High relative humidity

AGE• Infants • Elderly

OCCUPATION• Athletes • Labourers• Military personals

Temperature greater than40.6 degrees centigrade (105 degrees F)

Sweating stops and skin is hot, red, and dry

Headache, dizziness, weakness, rapid pulse, chills, difficulty breathing

If untreated, delirium and unconsciousness

COMMON IN

ELDERLY PERSONS

FLUID AND

ELECTROLYTE

LOSSES WITH

INADEQUATE

REPLACEMENT

ABSENCE OF S/S OF CNS DAMAGE AND CORE TEMPERATURE BELOW 39 DEGREE CELSIUS IN HEAT EXHAUSTION

HEPATIC TRANSMINASE ARE NORMAL IN HEAT EXHAUSTION

LACTIC ACIDOSIS

DISSEMINATED

INTRAVASCULAR

COAGULATION

RHABDOMYOLYSIS

RENAL FAILURE

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GOAL

TO REDUCE THE CORE TEMP TO (37.8-

38.9 DEGREE CELSIUS)

Cold water shower should

be given.

Application of ice bags on

lateral aspects of trunk ,

axillae , groins.

Fanning

Trunk and neck massage

should be given to reduce

vasoconstriction.

According to Homoeopathy, illness results from derangement in an energy pattern or vital force, when affected by any “morbific dynamic agents”. The aim of Homoeopathic treatment is to stimulate a person’s energy level. The symptoms represent the organism’s reaction to imbalances on the dynamic plain. Homoeopathic diagnosis aims to establish a total pattern of symptoms that reflect the personality of the patient as well as the individuality.

Individualisation is process by which one patient is differentiated from other patients while suffering from the same nosological condition.

The “cure” depends upon matching the pattern of symptoms that is characteristic of the patient (totality of the symptoms) with similar pattern characteristics of the remedy by an integrated collection of the relevant alterations in the mind and body.

RUBRICS RELATED TO HEAT STROKE

KENT`S REPERTORY

Generalities; sun, from exposure to

Generalities; sun, exertion in.

Head; pain, general, sun, exposure

Head; sunstroke

Head; sunstroke, from having

slept in sun

Head; pain, summer

Natrum Carbonicum :Chronic effects of sunstroke, with return of hot weather, suffers headache.

Glonoinum: Sun headache walking in the sun(Lach, Nat C).

Antimonium Crudum: Can not bear heat of sun; Worse from over exertion in sun.(Lach, Nat M);exhausted in warm weather.

Carbo vegetabilis: Ailments from getting overheated, clammy cold and very pale, yet wants to be fanned .

Belladonna: Headache with red face ,throbbing of carotids< least exertion.

Gelsemium : General depression from heat of sun. headache <heat of sun.

Bryonia: Complaints when warm weather

sets in ,getting hot in summer. Headache as

if brain would burst through forehead.

Opium: Head hot,with hot sweat; sleep after

convulsions. Generally low temp with

inclination to stupor.

Nat Mur: headaches as if bursting; from

sunrise to sunset,as through thousands of

hammers were knocking in the brain during

fever.

https://en.wikipedia.org/wiki/Heat_stroke www.dir.ca.gov/dosh/heatillnessinfo.html Scholarly articles for heat stroke m. bja.oxfordjournals.org/content/88/5/700.full Harrison’s Principles of Internal Medicine,17 edition. Bouchama A, Knochel JP: Heat stroke. N Engl J Med 346:1978,

2002 [PMID: 12075060] www.cdc.gov Basic Military Requirement(BMR) Revised edition pg no393 HAHNEMANN S. Organon of Medicine, 2003, Trans: Dudgeon R.

E. Reprint 5th and 6th edition, IBPP, New Delhi, 62-185 pp. Repertory of Homoeopathic Materia medica by KENT, J.T Allen’s keynotes.