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Coma is a state of prolonged unconsciousness in which a person cannot be awakened and fails to respond to external stimuli or internal needs. It represents a severe depression of cerebral function, resulting from structural brain damage or metabolic dysfunction.
Coma can result from trauma, stroke, hypoxia, hypoglycemia, infections (like meningitis, encephalitis), intoxication, or systemic metabolic disturbances such as hepatic or renal failure.
Physiologically, coma occurs due to suppression of the reticular activating system in the brainstem or widespread bilateral cortical dysfunction. It is classified into:
Clinical features include unconsciousness, absence of purposeful response, abnormal pupil reaction, altered breathing pattern, and variable reflex activity. The prognosis depends on the cause, depth, and duration of coma.
Homoeopathy approaches coma as a deep vital depression where the life force is suppressed due to structural or functional brain derangement. The goal is to stimulate the vital reaction, restore consciousness, and support organ functions while addressing the underlying cause.
Remedies are selected according to causation (trauma, apoplexy, fever, poisoning, shock, etc.), along with physical signs such as respiration, pulse, and temperature.
Acute management requires immediate constitutional or acute remedies to arouse reaction, followed by deep-acting medicines to promote recovery. In chronic or post-comatose states, homoeopathy helps restore brain function, memory, and motor control, and prevent further degeneration.
Unconscious after injury, muttering, or delirium when aroused. Thinks nothing is wrong and wants to be left alone. Head hot, body cold. Excellent for traumatic brain injury with stupor.
Profound coma with stertorous breathing, warm face, dilated pupils, and slow pulse. Retention of stool and urine. Useful in post-apoplectic states or coma after shock, fright, or intoxication.
Nearly lifeless state; cold, bluish skin; imperceptible pulse; shallow breathing; patient gasps for air. Known as the “corpse reviver.” Suitable when collapse or asphyxia leads to unconsciousness.
Sudden loss of consciousness with flushed face, throbbing carotids, hot head, and cold extremities. Pupils dilated and sensitive to light. Violent brain congestion.
Unconsciousness with dark, purplish face and feeble, irregular pulse. Loquacious when aroused. Suitable in septic, toxic, or post-febrile comatose states, especially in low vitality.
Drowsiness leading to unconsciousness, twitching, and puffiness of face. Restlessness, scanty urine, and oedema. Acts on renal and serous membranes, relieving cerebral irritation.
Sudden collapse with icy coldness of body despite warmth of surroundings. Face pale or bluish. Useful in shock, choleraic, or toxic coma with extreme circulatory failure.
Unconsciousness alternating with irritability. Slow or irregular breathing, spasmodic twitching, and nausea. Suited to poisoning by alcohol, sedatives, or stimulants.
Deep stupor with twitching of muscles and subsultus tendinum. Unconsciousness after high fevers; muttering or picking at bedclothes. Suited for typhoid, meningitic, or febrile comas.
Collapse with cold sweat on forehead, pale face, and feeble pulse. Vomiting and diarrhea may accompany. Indicates complete vital exhaustion.
Drowsiness passing into coma with rattling in chest, cyanosis, and impending respiratory failure. Especially in bronchopneumonia, collapse, or pulmonary oedema.
Loss of consciousness with throbbing headache, flushed face, and bounding pulse. Head feels full and hot. Suitable for sunstroke and cerebral congestion.
Deep coma following convulsions; body rigid, eyes turned upward, jaws clenched. Useful in post-epileptic or meningitic coma with spasmodic phenomena.
Collapse or fainting after grief or sudden emotional shock. Intermittent sighing or moaning. Suitable for functional nervous collapse or mild comatose states after emotional trauma.
Drowsiness and unconsciousness with fruity odor of breath, weak pulse, and restlessness. Acts on metabolic derangements involving hepatic and pancreatic dysfunction.
Slow, deep coma with automatic motion of lips or jaws; eyes half-open, rolling. Suited to meningitis or hydrocephalus with slow brain activity.
Unconsciousness following convulsions; spasms or rigidity of limbs. Suitable in epileptic or post-convulsive coma.
Restlessness, extreme prostration, and coldness with sunken face. Unconsciousness from sepsis, food poisoning, or exhaustion. Improves vitality and resistance.
Drowsy stupor deepening into coma; muscular relaxation and slow respiration. Useful in low-grade fevers, influenza, or nervous depression leading to collapse.
Progressive mental dullness leading to unconsciousness. Suited to aged or prematurely senile patients with loss of brain function and reflexes.
Coma signifies a deep suppression of vital and cerebral activity, demanding immediate evaluation of cause, depth, and reversibility.
Homoeopathy plays a supportive and restorative role — especially in functional, post-infective, traumatic, or metabolic coma — by stimulating the vital response, improving circulation, and enhancing nerve function.
Remedies such as Opium, Carbo veg, Belladonna, and Arnica act as emergency interventions, while Helleborus, Phosphorus, and Baryta carb help in long-term cerebral recovery.
Alongside urgent conventional care, ventilation, and monitoring, homoeopathy can aid in vital restoration, prevention of brain damage, and post-coma rehabilitation.
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