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by Dr Umang Khanna (BHMS)
Chorea, also known as Huntington’s disease (HD), is a debilitating neurodegenerative disorder characterized by involuntary movements, cognitive decline, and psychiatric symptoms. It is caused by a genetic mutation leading to the degeneration of nerve cells in the brain. Chorea, the hallmark symptom, involves jerky, uncontrollable movements that worsen over time, affecting coordination and balance. HD typically manifests in mid-adulthood, though onset can occur at any age. As the disease progresses, individuals with HD experience a decline in motor skills, leading to difficulties in speaking, swallowing, and walking. Cognitive functions, including memory and reasoning, deteriorate, often accompanied by mood swings, depression, and anxiety. HD profoundly impacts both the affected individuals and their families, posing immense emotional and caregiving challenges.
Tarentula is best suited for chorea where all the limbs are affected with involuntary movements. This can be attended with intense hyperaesthesia (increased sensitivity of skin). Constant movements of the arm, tossing of the arms from side to side, constant motion of hands that leads to difficulty in doing anything with the hand are some accompanying symptoms. Involuntary movements of the leg and feet are prominent, leading to an inability to walk. Difficulty in speech, heaviness of the tongue with involuntary movements, and choreic movements of the head are also present. In such cases, the head is turned violently from side to side and in other directions. Nervous contractions in muscles of the face are also noted. All these movements are less intense at night in cases where this remedy is required.
Mygale is best suited to treat chorea with uncontrollable movements of arms, legs, and face. Among them, the contractions and movements of facial muscle are most marked. There is a constant motion of the legs. The legs jerk excessively, making it difficult to stand or walk. The gait becomes unsteady and it becomes difficult to keep hands in the same position even for a minute. The person needing this remedy may also have involuntary head movements, throwing the head backward and then forwards is prominent. Constant jerking of the head (mostly to the right side) is also noted. Shrugging of shoulders, difficulty in putting out tongue and grating of teeth at night are other indications to use this remedy . The chorea symptoms get better during sleep and are worse in the morning where this remedy is indicated.
Viscum album is excellent remedy to treat chorea with vertigo. Chorea accompanied with vertigo and dizziness can be well treated by this homeopathic remedy.
To treat chorea where an uncertain, unsteady gait is prominent Agaricus could be drug of choice. While walking the patient tumbles over everything in the way. It is given for both involuntary motion / jerking of single muscles of a body part as well as involuntary trembling / dancing of the whole body. The limbs may feel cold and weak with above indications. It is also helpful when chorea affects limbs crosswise i.e. left arm and right leg.
This natural homeopathic remedy is best suited to treat chorea when nerve tremors can be noticed in elderly people. Patient have complains of numbness of limbs as if paralysed, can be treated with this remedy.
Cina could be used to treat chorea that affecting the face and upper limbs. The involuntary movements on the face are marked around the eyes. Another feature is throwing of arms from side to side. The limbs are distorted with jerking and trembling. A weakness of the hand is also present, making it difficult to hold things. Complaints usually appear on one side. Few general symptoms like irritability, screaming, striking and restless sleep may also be present.
Ferrum ars helps in the case of loss of blood that causes anaemia. Chorea due to anaemia can be well treated by this homeopathic remedy.
Causticum helps to treat chorea when the right side of the body is more affected. The face, tongue, arm, and leg get affected. There is a marked twisting and jerking of limbs. An unsteady gait is present with involuntary body movements. A weakness of muscles is also present with the above symptoms. Worsening of symptoms may be noted during the night. This remedy is also indicated for chorea during pregnancy.
Cuprum mett is best suited to treat chorea that affecting the left side of the body. There is jerking of arms and legs. The arms and legs also feel weak, weary and lame. There may be muscle contractions. Jerking of hands is also present. The person can hold nothing in hand and the objects fall to the ground. Speech is also affected with trembling of the tongue.
This natural homeopathic remedy is best suited to treat chorea , hysteria, epilepsy. Patient have alternate feeling of suicide, depression, laughing and weeping moods, which can be treated with this remedy.
When symptoms are better during sleep Mag phos is the drug of choice. Involuntary shaking of limbs, face, mouth, and head is present. Involuntary movements of limbs along with contortions may also appear. A sudden forward motion of the head is well-noted. There is jerking of the mouth and speech is also very defective. The symptoms appear only during waking hours.
Veratrum vir is best suited to treat chorea where symptoms are worse during sleep. The symptoms present are involuntary motions of facial muscles (face turned into horrible contortions), jerking/continual nodding of the head, jerking of arms and legs. Constant movement of the lower jaw may also be present. The speech also gets affected, with the dropping of words when speaking. All of the above movements continue to occur during sleep.
When the chief indication is symptoms beginning in the face and then spreading all over the body Secale. The symptoms may become severe and rise to dance and jumping. The arms and legs are in constant motion. Head movement from side to side is present. The trunk also appears to be in constant motion. The tongue jerks out and speech becomes difficult and indistinct.
Zincum mett is best suited to treat chorea when there is constant motion of feet which may continue during night, especially when brought on by suppression of eruptions or by fright.
Kali brom is best suited to treat chorea that arises from fright. Great trembling of hands is noted. Legs and arms are affected. The gait is unsteady, irregular, and staggering (similar to a drunk person walking). The muscles of the face are affected, the tongue protrudes with a jerk, and the person can barely speak. All the movements are violent.
Ignatia is best suited to treat chorea due to fright, threat, punishment, or bad news. After grief or after emotion. tingling in limbs, pain in joints. Obstinate and irritable.
Stramonium is drug of choice to treat chorea when movements characterized by great violence and affecting the parts of body corrosive. More the upper extremities, or isolated groups of muscles, or affecting the whole body, producing the most grotesque leaps, motions and gestures, rotates arms, clasps hands over head. Full of fear, strange and inconsistent fancies in which motion all rapid, runs as fast as possible. Attacks preceded by formication of limbs and melancholy. Diplopia in that aggravation at night, in dark place or dark room, during equinoxes, after fright or care. It may finally lead to idiocy.
Nux is best suited to treat chorea where spinal chorea with unsteady gait and dragging of feet. Constipation is another symptom that well indicate this remedy.
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This clinic is not about giving medicines. This clinic is about curing with medicines rapidly, gently and permanently to the whole extent in the shortest, most reliable and most harmless way.