A stroke, also known as a cerebrovascular accident or CVA is when part of the brain loses its blood supply and the part of the body that the blood-deprived brain cells control stops working. This loss of blood supply can be ischemic because of lack of blood flow, or hemorrhagic because of bleeding into brain tissue.

A stroke is a medical emergency because strokes can lead to death or permanent disability. There are opportunities to treat ischemic strokes, but that treatment needs to be started in the first few hours after the signs of a stroke begin.

A transient ischemic attack (TIA or mini-stroke) describes an ischemic stroke that is short-lived where the symptoms resolve spontaneously. This situation also requires emergency assessment to try to minimize the risk of a future stroke.

A stroke would be classified as a TIA if all symptoms resolved within 24 hours.

The blockage of an artery in the brain by a clot (thrombosis) is the most common cause of a stroke. The part of the brain that is supplied by the clotted blood vessel is then deprived of blood and oxygen. As a result of the deprived blood and oxygen, the cells of that part of the brain die, and the part of the body that it controls stops working.

Typically, a cholesterol plaque in one of the brain’s small blood vessels ruptures and starts the clotting process.

Risk factors for narrowed blood vessels in the brain are the same as those that cause narrowing blood vessels in the heart and heart attack (myocardial infarction). These risk factors include:

• High blood pressure (hypertension).
• High cholesterol.
• Diabetes, and
• Smoking.

Another type of stroke may occur when a blood clot or a piece of atherosclerotic plaque (cholesterol and calcium deposits on the wall of the inside of the heart or artery) breaks loose, travels through the bloodstream, and lodges in an artery in the brain.

When blood flow stops, brain cells do not receive the oxygen and glucose they require to function and a stroke occurs. This type of stroke is referred to as an embolic stroke. For example, a blood clot might originally form in the heart chamber as a result of an irregular heart rhythm, like atrial fibrillation.

Usually, these clots remain attached to the inner lining of the heart, but occasionally they can break off, embolize (travel through the bloodstream), block a brain artery, and cause a stroke.

An embolism, either plaque or clot, may also originate in a large artery (for example, the carotid artery, a major artery in the neck that supplies blood to the brain) and then travel downstream to clog a small artery within the brain.

A cerebral hemorrhage occurs when a blood vessel in the brain ruptures and bleeds into the surrounding brain tissue. A cerebral hemorrhage causes stroke symptoms by depriving blood and oxygen to parts of the brain in a variety of ways. Blood flow is lost to some cells. Additionally, blood is very irritating and can cause swelling of brain tissue (cerebral edema).

Edema and the accumulation of blood from a cerebral hemorrhage increases pressure within the skull and causes further damage by squeezing the brain against the bony skull. These further decreases blood flow to brain tissue and its cells.

In a subarachnoid hemorrhage, blood accumulates in the space beneath the arachnoid membrane that lines the brain. The blood originates from an abnormal blood vessel that leaks or ruptures. Often this is from an aneurysm (an abnormal ballooning out of the blood vessel).

Subarachnoid hemorrhages usually cause a sudden severe headache, nausea, vomiting, light intolerance, and stiff neck. If not recognized and treated, major neurological consequences, such as coma, and brain death may occur.

Another rare cause of stroke is vasculitis, a condition in which the blood vessels become inflamed causing decreased blood flow to parts of the brain.

There appears to be a very slight increased occurrence of stroke in people with migraine headaches. The mechanism for migraine or vascular headaches includes narrowing of the brain blood vessels. Some migraine headache episodes can even mimic stroke with loss of function of one side of the body or vision or speech problems. Usually, the symptoms resolve as the headache resolves.

Strokes are usually classified by what mechanism caused the loss of the blood supply, either ischemic or hemorrhagic. A stroke may also be described by what part of the brain was affected (for example, a right temporal stroke) and what part of the body stopped working (a right temporal stroke affecting the left arm).

Ischemic stroke

An ischemic stroke is caused by an artery in the brain being obstructed or blocked, preventing oxygen-rich blood from being delivered to brain cells.

The artery can be blocked in a couple of ways. In a thrombotic stroke, an artery can narrow over time because of plaque (cholesterol buildup). If that plaque ruptures, a clot is formed at the site and prevents blood from passing to brain cells downstream, which are then deprived of oxygen.

In an embolic stroke, the artery is blocked because of debris or a clot that travels from the heart or another blood vessel. An embolus or embolism is a clot, a piece of fatty material, or another object that travels within the bloodstream that lodges in a blood vessel to cause an obstruction.

Blood clots that embolize usually arise from the heart. The most common cause of these blood clots is a heart arrhythmia called atrial fibrillation, where the upper chambers of the heart, the atria, do not beat in an organized rhythm. Instead, the chaotic electrical rhythm causes the atria to jiggle like a bowl of Jell-O. While blood still flows to the ventricles (the heart’s lower chambers) to be pumped to the body, some blood along the inner walls of the atrium can form small blood clots. If a clot breaks off, it can embolize (travels) to the brain, where it can block blood flow to a part of the brain and cause a stroke.

The carotid arteries are two large blood vessels that provide the brain with blood supply. These arteries can narrow, or develop stenosis, with cholesterol plaque that may build up over time. The surface of the plaque is irregular, and bits of debris can break off and embolize to the brain to block blood vessels downstream and deprive brain cells of oxygen-rich blood.

Hemorrhagic stroke

When a blood vessel leaks and spills blood into brain tissue, those brain cells stop working. The bleeding or hemorrhage is often due to poorly controlled high blood pressure that weakens the wall of an artery over time. Blood may also leak from an aneurysm, a congenital weakness or ballooning of an artery wall, or from an AVM (arteriovenous malformation), a congenital abnormality where an artery and vein connect incorrectly. The bleeding can form a hematoma that directly damages brain cells and may also cause swelling that puts further pressure on surrounding brain tissue.

Not all strokes affect the brain equally, and stroke symptoms and signs depend upon the part of the brain affected.

For example, most people’s speech center is located in the left half of the brain so a stroke affecting the left side of the brain would affect speech and comprehension. It also would be associated with weakness of the right side of the body.

A right-brain stroke would make the left side of the body weak. And depending on where in the brain the injury occurred, the weakness could be the face, arm, leg, or a combination of the three.

The Stroke Scale tries to score how severe a stroke might be. It also monitors whether the person’s stroke is improving or worsening as time passes as the patient is re-examined.

Eleven categories are scored and include whether the patient is awake; can follow commands; can see; can move the face, arms, and legs; has normal body sensations or feelings; has speech difficulties; and has coordination problems.

Overall, the most common risk factors for stroke are:

• High blood pressure.
• High cholesterol,
• Smoking,
• Diabetes, and
• Increasing age.

Heart conditions like atrial fibrillation, patent foramen ovale (hole in the heart), and heart valve disease can also be the potential cause of stroke.

When a stroke occurs in younger individuals (less than 50 years old), less common risk factors to be considered include illicit drugs, such as cocaine or amphetamines, ruptured aneurysms, and inherited (genetic) predispositions to abnormal blood clotting.

An example of a genetic predisposition to stroke occurs in a rare condition called homocystinuria, in which there are excessive levels of the chemical homocysteine in the body. Scientists are trying to determine whether the non-hereditary occurrence of high levels of homocysteine at any age can predispose to stroke.

There may be no warning signs of a stroke until it occurs. It is why high blood pressure (hypertension), one of the risk factors for stroke, is called the silent killer.

Some patients may experience transient ischemic attack (TIA) that can be thought of as a stroke that has resolved itself. The symptoms may be mild or dramatic and can mimic a stroke with weakness, numbness, facial droop, and speech difficulties, but these symptoms may only last a few minutes. TIAs should not be ignored since they may offer an opportunity to look for potentially reversible or controllable causes of stroke.

Amaurosis fugax describes the temporary loss of vision in one eye that occurs because of an embolus of blood clot or debris to the artery that supplies the eye. While it only involves vision, this situation should be considered a type of TIA.

Symptoms of stroke depend upon what area of the brain has stopped working due to the loss of its blood supply. Often, the patient may present with multiple symptoms including the following:

• Acute change in the level of consciousness or confusion.
• Acute onset of weakness or paralysis of half or part of the body.
• Numbness of one half or part of the body.
• Partial vision loss.
• Double vision.
• Difficulty speaking or understanding speech.
• Difficulty with balance and vertigo.

The symptoms of ischemic and hemorrhagic stroke may be the same, but patients with hemorrhagic stroke may also complain more of headache and vomiting.

The clinical diagnosis of stroke is usually made after the healthcare professional performs a history and physical examination. While speed is important in making the diagnosis, it is also important to learn about the circumstances that brought the patient to be seen. For example, the patient just started slurring words about an hour ago versus the patient who has been slurring his words since last evening.

There is an urgency to make the diagnosis and determine whether treatment with thrombolytic medications (clot-busting drugs) to “reverse” the stroke is a possibility. The time frame to intervene is narrow and may be as short as 3 to 4 ½ hours after the onset of symptoms. For that reason, family members or bystanders may be needed to confirm information, especially if the patient is not fully awake or has a speech deficit.

History may include asking about what symptoms are present when they began, and if they are improving, progressing, or remaining the same. The past medical history will look for stroke risk factors, medications, allergies, and any recent illnesses or surgeries.

Medication history is very important, especially when the patient is taking allopathic anticoagulants (examples include warfarin, dabigatran, rivaroxaban, apixaban, enoxaparin etc.).

Physical examination includes assessing vital signs and patient wakefulness. A neurologic examination is performed, usually using the standardized stroke scale. Heart, lungs, and abdomen are also assessed.

If an acute stroke is still a consideration, blood tests and CT scan of the head is indicated.

• The CT is used to look for bleeding or masses in the brain and potentially how much brain tissue is experiencing decreased blood supply. A CT shows us that how much brain is at risk by using an injected dye to check brain blood supply (perfusion).
• An MRI of the brain may be possibly indicated, but not all hospitals have this technology readily available.
• Blood tests may include a complete blood count (CBC), to measure red blood cell count and platelets, electrolytes, blood glucose, and kidney function and blood tests to measure blood clotting function, normalized ratio (NR), prothrombin time (PT), and partial thromboplastin time (PTT). Other blood tests may be indicated based upon the patient’s specific situation.
• An EKG may be performed to check the heart’s rate and rhythm. The patient is usually placed on a cardiac monitor.

Time is of the essence since the longer a stroke remains unrecognized and untreated, the longer brain cells are deprived of oxygen-rich blood and the greater number of brain cells that die and cannot be replaced. 

• I (Dr. Qaisar Ahmed MD, DHMS) recommend that everybody be aware of FAST in recognizing stroke: Face Drooping, Arm Weakness, Speech Difficulty etc.
• First responders, emergency medical teams (EMTs), and paramedics may use the Cincinnati Prehospital Stroke Scale to recognize a stroke and alert the emergency department to prepare for their arrival. This scale addresses the same three components as the FAST: speech, arm strength, and speech.
• In the emergency department, nurses and doctors may use the National Institute of Health Stroke Scale to perform a more in-depth and standardized neurologic examination.

In allopathic treatment, nonetheless, a CT is often used to differentiate an ischemic from a hemorrhagic stroke because the treatment plans are quite different.

As in many emergencies, the first consideration is the CABs (Circulation, Airway, and Breathing, according to the new CPR guidelines) to make certain that the patient has blood pumping, no airway blockage, and can breathe, and then has adequate blood pressure control. In severe strokes, especially those that involve the brainstem, the brain’s ability to control breathing, blood pressure, and heart rate may be lost.

Patients will have intravenous lines established, oxygen administered, appropriate blood tests, and noncontrast CT scans performed. At the same time, the health care professional assesses to make the clinical diagnosis of stroke and decides whether thrombolytic therapy (tPA, a clot-busting medication) or clot retrieval (mechanically removing the clot through catheters that are threaded into the blocked artery) is an option to treat the stroke.

Step two

If the diagnosis of ischemic stroke has been made, there is a window of time when thrombolytic therapy using tPA (tissue plasminogen activator) may be an option. tPA dissolves the clot that is blocking an artery in the brain and restores blood supply. For many patients, that time window is 3 hours after the onset of symptoms. In a select group of patients, that period may be extended to 4.5 hours. During that 3-to-4½ hours, the patient or family needs to recognize the stroke symptoms, get the patient to a hospital, have the patient assessed by the health care professional, who performs a CT scan to look for other causes of stroke (including hemorrhage or tumor), consults with a neurologist, and stabilizes the patient’s blood pressure and breathing. Only then can it be time to administer the tPA or call an interventional radiologist or neurosurgeon to try to remove the clot (mechanical thrombectomy).

It’s imperative to consult a neurosurgeon immediately to help determine whether any treatment options are available to the patient (possibly aneurysm clipping, hematoma evacuation, or other techniques). Treatment for hemorrhagic strokes, in contrast to ischemic strokes, does not use tPA or other thrombolytic agents, as these could worsen bleeding, make the symptoms of hemorrhagic stroke worse, and cause death.

Consequently, it is important to distinguish between a hemorrhagic stroke and an ischemic stroke before treatment begins.

Hospital ER doctors and nurses are trained to act quickly in caring for stroke patients. Health care professionals perform an urgent CT scan of the head to help distinguish an ischemic from a hemorrhagic stroke. This may also cause a delay in a few instances.

How many stroke patients receive tPA?

The decision to administer tPA in the appropriate patient (there are many reasons that the drug is not indicated even if the patient arrives in time) is one that health care professionals discuss with the patient and family since there is the risk of bleeding in the brain with the use of tPA. While there is a potentially great benefit, because the blood vessels are fragile, there is a 6% risk that an ischemic stroke can turn into a hemorrhagic stroke with bleeding into the brain. This risk is minimized the earlier the drug is given and if the appropriate patient is selected.

In certain stroke situations, the treatment period may be extended to 4.5 hours. If tPA is given, the patient will need to be admitted to an intensive care bed for monitoring. As well, depending upon circumstances, the patient may be transferred to a stroke center.

Some stroke patients are candidates for mechanical thrombectomy, where a thin catheter is threaded into the blocked artery in the neck or brain, and the clot is sucked out. Depending upon the patient, the size of the stroke, the location of the blockage in the brain, and brain function, mechanical thrombectomy may be considered up to 24 hours after the onset of symptoms. Mechanical thrombectomy is not available at all hospitals and may not be appropriate for all patients. These procedures require the skill of a specially trained interventional neuroradiologist, neurologist, or neurosurgeon.

In those patients where tPA and other interventions are not possible or are not indicated, the patient is usually admitted to the hospital for observation, supportive care, and referral for rehabilitation.

Homeopathic treatment for stroke

Diagnostic procedure and emergency treatment in Homeopathic practice is the same as defined above with some changes for an emergency medical team (EMTS), EMTs should carry in their medical kit few emergency medicines like:

Arnica Montana, Belladona, Aconite Napalus, Aesculus Hippocostanum, Digitalis and Acid Salicylic, Secale Cornutum etc all in heigh doses.

As we now know, in allopathic treatment nonetheless, a CT is often used to differentiate an ischemic from a hemorrhagic stroke because the treatment plans are quite different; but in Homeopathy the treatment of hemorrhagic stroke and ischemic strokes are almost the same with little differences.

Here are few Homeopathic medicines for stroke:

Aconit Nepalus

Aconite is considered in the initial stage, when the hemorrhage has just happened. It may be due to emotional shock or fright. The person feels restlessness and tossing about. There is great anxiety of mind and body. Face becomes red. Congestive headaches. Hot heavy and bursting sensation in the head. The pulse is fast, full, hard, tense and bounding. Palpitation with anxiety. Hot hands and cold feet. Numbness and tingling in hands and feet, especially left arm. Dry, burning mouth with numbness and tingling. Vertigo, worse on rising.

Phosphorus

Vertigo of the aged. Heat comes from spine. Neuralgia: parts must be kept warm. Burning pains. Chronic congestion of head. Brain-fag, with coldness of occiput. Vertigo, with faintness. Patient sees better by shading eyes with hand. Fatigue of eyes and head. Edema of lids and about e eyes. Hearing difficult, especially to human voice. Re-echoing of sounds. Hippocratic countenance. Tearing pain in facial bones. Violent cardiac palpitation with anxiety. Ascending sensory and motor paralysis from ends of fingers and toes. Post-diphtheritic paralysis, with formication of hands and feet. Joints suddenly give way.

Stannum Metallicum

Paralytic weakness; drops things. Ankles swollen. Limbs suddenly give out when attempting to sit down. Dizziness and weakness, stunning pressure in head with nausea. Vertigo. Spasmodic twitching of muscles of forearm and hand. Difficult, weak speech, occasioned by weakness. Neuritis. Paralytic heaviness in the arms. paralysis. Jerking and quivering of eyes. Convulsed or prominent eyes.

Strontium Carbonicum

Chronic sequelae of hemorrhages, after surgeries with much oozing of blood and coldness and prostration. Arteriosclerosis. High blood pressure with flushed face pulsating arteries, threatened apoplexy. Painful paralytic sensation. Numbness.

Vertigo with headache and nausea. Distensive pressure. Aches from nape of neck. Flushes in face; violent pulsating. Angina pectoris. Luminous vibrations before the eyes. Photopsia. Humming in the ears. Food tasteless. Violent hiccough causes chest pains; cardialgia. Violent beating of arteries and of heart.

Opium

Dizziness as during intoxication. Vertigo, jaws dropped, pupils dilated, quivering of eyes and lids, eyes half open and are turned upwards. Hot sweat and one-sided paralysis. There is coma with dusky red face and oppressed breathing. Slow and labored pulse. Buzzing in ears. Swelling of veins in face and head. Relaxation of all the muscles of the face. Trembling, shocks, and convulsive movements of facial muscles. Paralysis of tongue. Swelling and movements in throat, with fits of obstructed deglutition and strangulation.

Inability to swallow. Retention of urine, inactivity of the bladder. Tension, aching and constriction in chest. Pulsating arteries and swollen veins on neck. Swelling of veins and beating in arteries of neck. Spasmodic jerking and numbness of limbs. Coldness of the extremities. Limb(s) paralysis.

Acid Picricum

Vertigo and noises in ear. Heavy throbbing and burning pains in nap and/or occiput. Shooting in center of eye, photophobia, Pupils dilated. Tingling in lips and other facial muscles, difficulty in swallowing. A heavy throbbing in chest under tenth and eleventh ribs, numbness. Intermittent fluttering of heart. Lame sensation in extremities. Trembling of all muscles.

Nux vomica

Cloudiness of eyes, danger of falling, staggering, fainting, buzzing in ears, and loss of consciousness with humming in ears. Pupils dilated or contracted. Burning itching, or sharp drawing pains or sensation of excoriation in lids and in margins. Twitching of lids. Presbyopia. Threatened brain hemorrhage with giddiness, headache, and fullness of head. Humming in ears, sighing, whistling, buzzing, and tinkling in ears or cracking when masticating. Stroke. 

Muscular palpitations or tingling itching in face. Drawing in masseter muscles, with stiffness. Tearing and drawing pains in face. Tongue covered with a (heavy) white, thick, or yellowish coating, heaviness of tongue, with difficulty of speech, and sensation when speaking, as if tongue had become thicker. Stuttering. Sensation of sudden loss of power in extremities, paralysis

Laurocerasus

Stupefaction, with falling down, and loss of consciousness., with palpitation, cold moist skin and convulsions of the facial muscles. Sudden cough, suffocation and loss of speech. Very violent pressive headache. Stroke. The headache disappears, with a sensation of coldness in vertex, forehead, in nape of neck, extending to loins. Eyes widely open, or half-closed, convulsed, prominent, and fixed. Pupils dilated, and immovable, darkness before the eyes, obscuration of sight.

Twitching of facial muscles. Sensation of coldness on tongue. Loss of speech. Dry and rough tongue. Tongue feels cold, or burnt and numb. Swelling and stiffness of tongue. Pains in region of heart, slow and irregular beating. Painful stiffness in small of back. Trembling of hands.

Lachesis

Apoplectic fits, with blue face, convulsive, movements of limbs, and extravasation of blood in brain. Softening of brain and its membranes. Stroke – violent pain in head, with yellow face and flushed cheeks. Headache, with congestion of blood, sparkling before the eyes, drowsiness, shivering and inclination to lie down, or with nausea and vomiting. Obscuration and loss of sight. Dimness of vision; black flickering before the eyes; often makes reading difficult. Tensive and crawling pains in face, pains in bones of face, prosoplasia, with vomiting of food, feeling of stiffness weakness and paralysis.

Stiffness, immovableness, and paralysis of the tongue. Aphonia, or confused, indistinct speech, nasal tone of voice, difficulty in pronouncing words. Palpitation of heart with fainting and anxiety and irregularity of beats. Paralysis of extremities.

Arnica Montana

Arnica Montana affects the venous system inducing stasis. Stroke. Debilitated with impoverished blood, cardiac dropsy with dyspnea. Tendency to hemorrhage and low fever. There is deathly coldness of forearm. Complaints due to injury. Head hot, with cold body; confused; sensitiveness of brain, with sharp, pinching pains. Diplopia from traumatism, muscular paralysis. Angina pectoris. Stitches in heart. Pulse feeble and irregular. Cardiac dropsy with distressing dyspnea. Extremities distended, feel bruised and sore. Fatty heart and hypertrophy. Skin black and blue.

Lathyrus Sativus

Reflexes always increased. Paralytic affections of lower extremities; spastic paralysis; lateral sclerosis; Beri-Beri. Athetosis. Infantile paralysis, weakness and heaviness, slow recovery of nerve power. Sleepy, constant yawning. Tips of fingers numb. Tremulous, tottering gait. Stroke. Excessive rigidity of legs; spastic gait. Knees knock against each other when walking. Rheumatic paralysis. Gluteal muscles and lower limbs emaciated. Legs blue; swollen, if hanging down.

Pituitrinum

Pituitrinum is affective for arresting the hemorrhage. Stimulates muscular activity and overcomes inertia. Its influence over unstriped muscular fiber is marked. Cerebral hemorrhage. Will check hemorrhage and add absorption of clot. Vertigo, difficult mental concentration, confusion and fullness deep in frontal region.

Plumbum Metallicum

The great drug for general sclerotic conditions. Lead paralysis is chiefly of extensors, forearm or upper limb, from center to periphery with partial anesthesia or excessive hyperesthesia, preceded by pain. Stroke. Localized neuralgic pains, neuritis. The blood, alimentary and nervous systems are the special seats of action of Plumbum. Hemostasis is interfered with, rapid reduction in number of red corpuscles, hence pallor, icterus, anemia. Constrictive sensation in internal organs. Stinging and tearing in limbs, also twitching and tingling, numbness, pain or tremor. Paralysis.

Belladona

Belladonna acts upon every part of the nervous system, active congestion, furious excitement, perverted special senses, twitching, convulsions and pain. It has a marked action on the vascular system, skin and glands. Belladonna always is associated with hot, red skin, flushed face, glaring eyes, throbbing carotids, excited mental state, hyperesthesia of all senses, delirium, restless sleep, convulsive movements, dryness of mouth and throat with aversion to water, neuralgic pains that come and go suddenly. Heat, redness, throbbing and burning. Eyes are wide and staring. Throbbing and hammering headache. Eyes are dilated and staring. Throbbing pain deep in eyes. Pulse full and rapid.

Oxytropis Lamberti

Marked action on nervous system. Trembling, sensation of emptiness. Walks backwards. Congestion of spine and paralysis. Pains come and go quickly. Sphincters relaxed. Staggering gait. Reflexes lost. Desires to be alone. Disinclined to work or talk. Worse, thinking of symptoms. Stroke. Depression. Vertigo. Head full, warm feeling. Loss of vision. Pain in maxillary bones and masseter muscles. Mouth and nose dry Eyesight obscured; pupils contracted; do not respond to light. Paralysis of nerves and muscles of eyes.

Stomach: Eructation with colicky pains. Epigastrium tender. Rectum: Sphincter seems relaxed. Stools slip from anus, like lumps of jelly, mushy. Urging to urinate when thinking of it. Profuse flow. No desire of sex or ability. Pain in testicles and along spermatic cord and down thighs. Pain along ulnar nerve. Numb feeling about spine. Staggering gait. Loss of co-ordination. Patellar tendon reflex lost. Pains come and go quickly, but muscles remain sore and stiff.

Cadmium Sulphuricum

Unconscious. Vertigo. Hammering in head. Heat in head. Cornial opacity. Blue circle around eyes. One pupil dilated. Night blindness. Distortion of mouth. Trembling of jaw. Facial paralysis. Difficult swallowing. esophagus constricted. Intense nausea, with pain and cold. Stringy, offensive exudation on mucous membrane. Constant tickling; gagging and nausea, worse deep breathing; chilliness and aching.

Crotalus Horridus

General disorganization of the blood. Paralysis from stroke. Blood coagulation. Lower limbs go to sleep easily. Hands tremble, swollen. Cannot keep legs still. The patient is loquacious with desire to escape. Muttering, mumbles, jumbles, and stumbles over his words, tremens. Vertigo, with weakness and trembling. Dull heavy occipital pain. Headache with pain in heart on lying on left side. Headache: must walk on tiptoe to avoid jarring. Stroke.

Eyes very sensitive to light. Illusions; blue colors. Ciliary neuralgia: tearing, boring pain. For absorption of intra-ocular hemorrhages, into the vitreous, but particularly for non-inflammatory retinal hemorrhages. Diplopia. Auditory vertigo. Blood oozes from ears. Feeling of stoppage in right ear.

Causticum

Causticum is effective for paralysis after stroke. Paralysis of single parts. Gradually appearing paralysis. Local paralysis of vocal cords, muscles of deglutition, tongue, rectum, eyelids, face, bladder and extremities. Pain in right frontal eminence.

Face: Paralysis of right side. Pain in facial bones. Dental fistula. Pain in jaws, with difficulty in opening mouth. Cataract with motor disturbances. Inflammation of eyelids; ulceration. Sparks and dark spots before eyes Ptosis. Vision impaired. Paralysis of ocular muscles after exposure to cold. Paralysis of tongue, with indistinct speech.

Ears ringing, roaring, pulsating, with deafness; words and steps re-echo; chronic middle-ear catarrh; accumulation of earwax. Urine: Involuntary when coughing, sneezing.

Barita Carbonicum

Stroke, especially in elderly. Physical and mental weakness and fatigue following a stroke. Sensation as if the brain is loose. Senile dementia with increasing weakness and difficulty in concentrating. Shy towards strangers, childish in behavior. Burning pain. Aneurysms, blood vessels are softened and degenerate, so rupture easily.

Cocculus Indicus

Within the sphere of action of Cocculus are many spasmodic and paretic affections, notably those affecting one-half of the body. Stroke. Affects the cerebrum. Painful contracture of limbs and trunk, tetanus. Sensation of hollowness, or emptiness, as if parts had gone to sleep. Feels too weak to talk loudly. Vertigo, nausea, especially when riding or sitting up. Headache in occiput and nape; worse, lying on back of head. Pupils contracted. Opening and shutting sensation, especially in occiput. Trembling of head. Pain in eyes as if torn out of head.

Paralysis of facial nerve. Cramp-like pain in masseter muscle; worse, opening mouth. Prosoplasia with wide radiations of pain. Lameness; worse by bending. Trembling and pain in limbs. Arms go to sleep. One-sided paralysis; worse after sleep. Hands are alternately hot and cold; numbness and cold sweat now of one, now of the other hand. Numb and unsteady. Knees crack on motion. Lower limbs very weak. Inflammatory swelling of knee. Intensely painful, paralytic drawing. Limbs straightened out, painful when flexed.

Gelsemium Sempervirens

Centers its action upon the nervous system, acts on various degrees of motor paralysis. General prostration. Dizziness, drowsiness, dullness, and trembling. Slow pulse, tired feeling, mental apathy. Paralysis of various groups of muscles about the eyes, throat, chest, larynx, sphincter, extremities, etc. Post-diphtheritic paralysis. Muscular weakness. Complete relaxation and prostration. Lack of muscular co-ordination. General depression from heat of sun. Fear falling. Sluggish circulation. Nervous affections of cigarette/cigarmakers. Influenza. Measles. Pellagra.

Hypericum Perforatum

Brain/head injuries. Lockjaw. Coccydynia. Spasmodic asthmatic attacks. Tetanus. Neuritis, tingling, burning and numbness. Constant drowsiness. Stroke. Throbbing in vertex. Right side of face aches. Brain-fag and neurasthenia. Facial neuralgia and toothache of a pulling, tearing character, with sadness. Head feels longer elongated to a point. In fractured skull, bone splinters. Brain feels alive. Pains in eyes and ears. Falling out of hair.

Darting pain in shoulders. Pressure along ulnar side of arm. Cramp in calves. Pain in toes and fingers, especially in tips. Crawling in hand and feet. Lancinating pain in upper and lower limbs. Neuritis, with tingling, burning pain, numbness and flossy skin. Joints feel bruised. Hysterical joints. Tetanus. Traumatic neuralgia and neuritis.

Alumina

Stitching, burning pain in head, with vertigo. Spinal degenerations and paralysis of lower limbs. Legs feels so heavy that patient drags them. Pain along spinal cord, with paralytic weakness. Arms feel paralyzed. Throbbing headache, with constipation. Vertigo, with nausea; better after breakfast. Falling out of hair; scalp itches and is numb. Ptosis. Strabismus.

Twitching of lower jaw. Stroke. Pain in arm and fingers, as if hot iron penetrated. Arms feel paralyzed. Legs feel asleep. Staggers on walking. Heels feel numb. Soles tender: on stepping, feel soft and swollen. Pain in shoulder and upper arm. Gnawing beneath fingernails. Brittle nails. Inability to walk, except when eyes are open or in daytime. Spinal degenerations and paralysis of lower limbs.

Sulfonalum

Vertigo of cerebral origin, cerebellar disease, ataxic symptoms and chorea. Profound weakness, gone, faint feeling, and despondency. Loss of control of sphincter. Muscular inco-ordination. Mental confusion, incoherency, illusions; apathetic. Alternation of happy, hopeful states with depression and weakness. Extreme irritability.

Stroke. Dropsy, stupid; pain on attempting to raise head. Double vision, ptosis; heavy look about eyes; tinnitus, aphasia; tongue paralyzed. Eyes bloodshot and restless. Vertigo, unable to rise. Tinnitus; dysphagia, difficult speech.

Ataxic movements, staggering gait; cold, weak, trembling; legs seem too heavy. Extreme restlessness; muscular twitching. Knee-jerks disappear. Stiffness and paralysis of both legs. Anesthesia of legs.

Allium Sativum

Allium sativa is an effective cardiac tonic, it makes the blood thin, improve circulation and cardiac disease. Short-lasting vertigo. Weakness in lower limbs; painful weariness in the thighs.

Ginko Biloba

Ginkgo biloba is a best choice for the prevention of stroke. Ginko Biloba improve the brain blood circulation, improves memory. It is among best blood thinner.

With the ability to intervene with thrombolytic therapy to reverse the stroke and with more aggressive rehabilitation, the goal is to increase patient survival and function after recovery.

Specialized allopathic stroke centers — hospitals that have the doctors, equipment, and resources to intervene quickly and treat strokes aggressively — have shown to increase stroke survival as well as patient function and recovery. But unfortunately, the allopathic way of treatment for stroke has no proper and full treatment., many complications can develop in stroke patients, some of whom may not be able to return to full-time employment because of disability, patients are affected physically with decreased body function, mentally with decreased cognition, and emotionally with depression and anxiety.

Even with Homeopathic treatment the return to function depends upon the severity of the stroke, what parts of the brain and body have stopped working, and what complications develop.

With allopathic treatment patients could lose their ability to swallow and may develop aspiration pneumonia when they inhale food or saliva into the lungs, causing infections, and patients who have difficulty moving can develop pressure sores and infections due to skin breakdown. Seizures may be another complication, the more severe the stroke, the more likely that seizures may develop.

Thats why its recommended for stroke patients to contact Homeopathic doctor for full recovery and avoid other infections/complications.

For consultation, feel free to WhatsApp us or visit our clinic.

P. S: This article is only for doctors having good knowledge about Homeopathy and allopathy, for learning purpose(s).

For proper consultation and treatment, please visit our clinic.

Location, address and contact numbers are given below.

None of above-mentioned medicine(s) is/are the full/complete treatment, but just hints for treatment; every patient has his/her own constitutional medicine.

To order medicine by courier, please send your details at WhatsApp– +923119884588

Dr. Sayyad Qaisar Ahmed (MD {Ukraine}, DHMS), Abdominal Surgeries, Oncological surgeries, Gastroenterologist, Specialist Homeopathic Medicines.

  Senior research officer at Dnepropetrovsk state medical academy Ukraine.

Location:  Al-Haytham clinic, Umer Farooq Chowk Risalpur Sadder (0923631023, 03119884588), K.P.K, Pakistan.

Find more about Dr Sayed Qaisar Ahmed at:

https://www.youtube.com/Dr Qaisar Ahmed

https://www.facebook.com/dr.qaisar.dixecosmetics

https://www.dixecosmetics.com