Articles on chikungunya

Chikungunya – Homeopathic Prevention and Management------

Dr. Vikas Rewar, Homeopath
 The name is peculiar: Chikungunya. It comes from an African tribe and means “that which bends up”. The disease was given its name because it led to the affected persons walking in a stooped posture. Chikungunya Fever is a viral disease caused by Chikungunya virus and is transmitted to humans by the infected Aedes mosquito.  The symptoms of Chikungunya viral infection are high fever with severe joint pains. The joints also show swelling and stiffness. Other symptoms include rash on skin and petechiae (red or purple discoloration on skin due to bleeding from vessels under skin). There is also a loss of appetite, nausea, vomiting, conjunctivitis, headache and backache. The fever inChikungunya infection usually subsides within threeto four days, but the joint pains continue for weeks, months and even years in a few persons. The Homeopathic mode of treatment ensures complete relief from the symptoms of Chikungunya Fever. TheHomeopathic medicines for chikungunya fever are made of natural substances and have zero side effects. The Homeopathic treatment for chikungunya fever is absolutely safe and can only benefit the patient, never harm.Is Homeopathy effective in treating Chikungunya?Yes, Homeopathy is an effective therapeutic option to tackle viral feversCommon Medicines:::Eupatorium Perfoliatum,Rhus Toxicodendron,China,Arnica,Belladonna,Bryonia,Pyroginum,CedronPrevention and controlThere is no vaccine available against this viral infection. It is imperative to take every precaution to avoid mosquito bites and to identify the sites contusive for mosquito-breeding.

Is Chikungunya Causing You Joint Pains?

Dr. G P Dureja, Spine and Pain Specialist
Chikungunya is a viral disease, which is transmitted through the bite of infected mosquitoes. There have been several outbreaks of the disease in India, including the ongoing one which started a few months back.The main symptoms of the disease are fever, rash, and joint pain. There’s no cure, vaccination, or treatment of the disease. Instead, treatment focuses on relieving symptoms.A lot of people panic when they feel they have Chikungunya. On several Whatsapp groups, numerous fake messages go viral about medicines that can ‘cure’ the disease. In this post, we’ve tried to clear some of these misconceptions as well as share some pointers towards how you can detect, and prevent this disease.SYMPTOMS OF CHIKUNGUNYAAcute Phase of Chikungunya: The acute phase of a disease is a rapid, but short-lived period of time where you experience symptoms of the disease. There may be no symptoms for 2-12 days after being bitten by an infected mosquito. Once symptoms appear, you’ll probably experience about 10 days of chikungunya symptoms before getting better. You may experience these symptoms during the acute phase:Fever: The fever is Usually 102 to 105 °F (39 to 40.5 °C) and typically lasts from three days up to one week.Arthritis (joint pain): You’ll usually notice arthritis in the small joints of the hand, wrist, ankles, and larger joints, like knees and shoulders, but not the hips. The pain is usually worse in the morning but improves with mild exercise. Your joints may also look swollen or feel tender to the touch and you may have inflammation of tendons (tenosynovitis).Rash: Approximately 40% to 50% of patients experience a rash. The most common type is a morbilliform eruption (maculopapular). These are red rashes with small bumps overlying them that appear three to five days after the start of fever and subside within three to four days.Chronic Phase of Chikungunya: This phase starts following the three months from the initial onset. It’s marked by the continuation of joint pain symptoms. Around 1 in 3 patients have reported having experienced joint pains till 4-6 months after the initial set of the disease. Some patients may also have relapses of fever in this period.DIAGNOSING CHIKUNGUNYAIf you suffer from fever for more than five days or above 103 °F, rash, overall body and joint pains, and low urine output, you should consult your doctor regarding the possibility of Chikungunya. Two tests are used most commonly for detecting Chikungunya:ELISA (enzyme-linked immunoassay) – This test looks for specific antibodies against the virus. These antibodies normally develop toward the end of the first week of illness and peak around three to weeks lasting up to two months. The price for ELISA test is approximately Rs.600.RT-PCR (reverse transcriptase polymerase chain reaction) – This test uses virus-specific gene coding proteins to replicate specific genes of chikungunya. The price for RT-PCR test is approximately Rs.1,500.TREATING CHIKUNGUNYAThere is no approved/specific treatment or cure for this virus nor a vaccine to prevent you from getting it. Treatment is purely symptom management. The World Health Organization recommends that you start home care treatment by resting. This will provide relief and time for your body to recover. Rest in an environment that is not damp or too hot, which could aggravate your joint symptoms. Other conservative treatment methods include:Applying Cold Packs: Apply a cold pack to reduce pain and inflammation.Wrap a cold ice pack in a cloth/towel and apply to the inflamed areas. This will provide some pain relief.Taking Pain Medication: If you’re experiencing fever and joint pain, take paracetamol or acetaminophen. Take up to two 500mg tablets with water up to four times a day. Be sure to drink plenty of water throughout the day.Performing Simple Exercises: Perform mild exercises (like sitting on a chair and extending your legs, or standing and raising your legs) to strengthen your muscles around the joints which can reduce pain and stiffness. It is best to perform these in the morning.Visit your pain physician: If pain continues 3-4 months after the initial onset and develops into the chronic phase, you should visit your pain physician.At DELHI PAIN MANAGEMENT CENTRE, we provide ELISA and RT-PCR tests for diagnosing Chikungunya. Our pain physicians are well-trained to help you recover from your fever and joint pains.

Chikungunya - Everything You Need to Know

Dr. Deepak Rathi, Ayurveda
What is ChikungunyaChikungunya is a viral disease transmitted to humans by the bite of an infected Aedes aegypti and aedes albopictus mosquitoes. The disease is closely similar to dengue fever. The word "Chikungunya" comes from the word “kungunyala” in Makonde language which means “that which bends up” or "Bent over in Pain". Outbreaks are most likely to occur in post-monsoon period when the vector (mosquitoes) density is very high. Symptoms of ChikungunyaSymptoms usually begin 3‒7 days after being bitten by an infected mosquito. Common Symptoms are - 1. Fever : The fever varies from low grade to high grade, lasting for 24 to 48 hours. Fever rises abruptly in some, reaching 39-40 degree Celcius, with shaking chills and rigor and usually subsides with use of antipyretics. 2. Pain in Joints : Pain and sweling in one or more joints may be there. Knee, Wrist, Small joints og Fingers are commonly affected. The joint pain tends to be worse in the morning.  The pain may remit for 2-3 days and then reappear. 3. Backache. 4. Headache. 5. Muscle Pain. 6. Nausea. 7. Rashes.Some facts about the Mosquito • Aedes species mosquitoes transmit chikungunya virus. • This mosquito breeds in clean stagnant water and takes eight to 10 days to mature from larvae. • The Aedes  mosquito  breeds  in  domestic  settings  such  as  flower vases, water-storage containers, air coolers, etc. and peri-domestic areas such as  construction  sites, coconut  shells, discarded  household  junk  items  (tyres, plastic and metal cans, etc.). • These same types of mosquitoes transmit dengue virus • The adult female mosquito rests in cool and shady areas in domestic and peri-domestic settings • These mosquitoes bite mostly during the daytime.When to seek medical help?• Fever persisting for more than five days. • Intractable pain. • Postural dizziness, cold extremities. • Decreased urine output.• Any bleeding under the skin or through any orifice. • Incessant vomiting Treatment of Chikungunya • There is no specific medicine to treat Chikungunya. It is treated symptomatically. • Medicines are given to reduce the fever and pain. If you have Chikungunya Infection, follow these instructions ♦ Take plenty of rest.♦ Drink fluids to prevent dehydration. You can take ORS Powder or Lemon Water.♦ Consult your doctor. He may give you medicine such as  paracetamol to reduce fever and pain.♦ Do not take aspirin and other non-steroidal anti-inflammatory drugs (NSAIDS until dengue can be ruled out to reduce the risk of bleeding).♦ If you are taking medicine for another medical condition, talk to your doctor before taking additional medication.♦ During the first week of infection, chikungunya virus can be found in the blood and passed from an infected person to another mosquito through mosquito bites. An infected mosquito can then transmit the virus to other people.♦ To prevent further spread of the virus, it is important for people to avoid mosquito bites during the first week of illness.     Illness Course and Outcomes • Most patients starts feeling better within a week. • Some people may develop long-term joint pain. • Chikungunya disease does not often result in death, but the symptoms can be severe and disabling. • Hospitalisation is rarely required. • People at increased risk for severe disease include newborns exposed during delivery, older adults (≥65years), and people with medical conditions such as high blood pressure, diabetes, or heart disease. Diagnosis of Chikungunya • The symptoms of chikungunya are similar to those of Dengue and Zika, diseases spread by the same mosquitoes that transmit chikungunya. • See your doctor if you develop the symptoms described above and have visited an area where chikungunya is found. • If you have recently traveled, tell your healthcare provider when and where you traveled. • Your doctor may order blood tests to look for exact cause of fever. It may include blood testing for chikungunya, Dengue, Malaria, Typhoid etc. • Symptoms can be very like those of dengue fever, so suspect cases will need to have a blood test to check for these and chikungunya antibodies. DO NOT SELF DIAGNOSE. See your doctor if you think you or a family member might have chikungunya. Where can I order Chikungunya Virus testing..? • Diagnostic blood testing is available in almost all Pathology laboratories. • The Delhi government has put a cap on the prices of chikungunya test. The Chikungunya Serology IgM test, which can confirm a case of chikungunya five to six days after the fever, has been capped at Rs 600/-. The test costs between Rs 800 and Rs 1,000 at private facilities. • The price of the test that can confirm Chikungunya Virus a bit earlier – RT PCR (Reverse transcription polymerase chain reaction) – has been capped at Rs 1,500/-. The test costs between Rs 3,500/- and Rs 4,000/- at private facilities. Prevention of Chikungunya • There is no vaccine or medication to prevent chikungunya virus infection or disease. • People at increased risk for severe disease should consider not traveling to areas with ongoing chikungunya outbreaks. • If you are sick  with chikungunya, avoiding mosquito bites will help prevent  further spread of the virus. Protect Yourself from Mosquito Bites • Use air conditioning or window/door screens to keep mosquitoes outside. If you are not able to protect yourself from mosquitoes inside your home or hotel, sleep under a mosquito bed net. • Help reduce the number of mosquitoes outside your home by emptying standing water from unattended containers such as flowerpots, cans or buckets. • When weather permits, wear long-sleeved shirts and long pants. • Use mosquito repellents on exposed skin. • Wear permethrin-treated clothing • Support local vector control programs.

Struggling with Joint Pain After Chikungunya?

Dr. D S Rathi, Ayurveda
If you have just recovered from an episode of Chikungunya Fever but have persistent pain in your joints, it could be Chikungunya Arthritis. It is also known as Post Viral Arthropathy. Even though this condition is reversible, it has been giving patients a scare. A small bite of the White Stripped aedes aegypti mosquito has debilitating outcomes and may confine the patient to bed for several weeks. Getting up in the morning, lifting your arms to pick your mobile phone or getting up to pee all seem like Herculean tasks. In this article we are going to discuss about the Joint Pains caused by Chikungunya Virus and its treatment.After-Effects of Chikungunya fever1. Pain in Joints (Most Common) - It may persist for several weeks.2. Feeling of weakness.3. Lethargy and Fatigue.Why does this pain occurThe pain in the joints is the result of the counter-attack by the body’s immune system to the viral infection. The immune system of the body is activated when exposed to certain virus or any other disease-causing organism. The immune system somehow recognises the body's own cells as infective agents and therefore it starts attacking some body cells alongwith the Chikungunya Virus. This results in inflammation of tissues and damage to the body cells. When this occurs in muscles and joints, it causes muscle and joint pain. Apart from causing immense pain, it could lead to a locking of the knee joints, elbows or wrists. Antibodies activated by a viral attack often end up striking cartilages at the joints. This leads to swelling in the joints, often restricting movement.The residual toxins left by the virus could also be the cause. These toxins tend to attack the cartilages and lead to inflammation in the joints. The result could be excruciating pain and frozen joints.Virus that causes Chikungunya reside at the major joints such as elbow, wrist, knee and ankle. They produce toxins and affect the immune mechanism, leading to muscular and joint pains accompanied by fever. The cartilages also get affected and cause joint inflammation. Typically this occurs a few days or weeks after the infection. By the time arthritis develops, the virus is no longer present in the body.Most Common joints affected by ChikungunyaThe joints of hands.Wrist and elbow.The joints of ankle, feet and to some extent hip are also affected.How long does it take for complete relief from the painPost-Chikungunya Arthritis can last up to three months, in some cases over a year. Medicines are effective in dealing with the pain and reducing the recovery period.The healthier the body, lower the debility so persons having healthy dietary habits and healthy lifestyle usually recover faster than others.How to deal with Chikungunya ArthritisChikungunya Arthritis can be very debilitating and the sufferers usually feel like handicapped as they are not able to do their daily work as normal. This condition can be managed by following :  Mild ExcercisesPain is increased if the joints are not frequently moved. This is the reason that the pain and stiffness is high in the morning as the joints are moved very less during the night.In the morning, move all your joints slowly at least twice.Sit on a chair and extend your legs.Stand and raise your legs.Stand and twist your body in both directions one by one.Avoid lifting heavy weights.Do not do heavy excercises.Cold PacksWrap a cold ice pack in a cloth/towel and apply it to the inflamed areas. This will provide some pain relief.Alternatively you can use hot packs as well.Pain killer MedicinesAlways consult your doctor before taking any medicine.Doctor may prescribe you a suitable painkiller.Avoid overuse and long term use of pain killer medicines as they may badly affect your kidneys and liver.If the pain continues for more than 3 weeks its better to start taking Ayurvedic treatment.Chikunungya Arthritis - Ayurveda has Perfect CureThe terrible joint pains one experiences in Chikungunya, which may get disabling for weeks or months even after the recovery from fever, are very effectively controlled with Ayurvedic medicines.1. Ayurvedic MedicinesSpecial treatment is planned as per the age, condition and other factors related to the patient. Medicines are focussed on three things Reducing Joint Pain, Increasing Body Immunity and Reducing weakness. Medicines may include some powder, capsules, tablets and oil (for local application). Treatment package cost varies from Rs 50/- daily to Rs 100/- daily depending on the the individual condition.2. Panchkarma TherapyPanchkarma is an Ayurvedic Detoxification Therapy and is very effective in managing Chikungunya Arthritis. It includes massage through specialised medicated oils. It gives quick improvement in joint pains. One session costs approximately 700/- for whole body treatment. At our panchkarma therapy centre, our therapists are well trained to help you recover well from the weakness and joint pains.Have a better recovery. Wish you lots of health.

How Can Homoeopathy Help in Chikungunya Outbreak

Dr. Renu Garg, Homeopath
Are you living under a constant fear of getting bitten by mosquitoes this season, that are ever so prevalent in the environment due to the degrading civic sense among us citizens and the apathetic authorities? Don’t panic! Every case doesn’t need to be hospitalized or treated with very strong medication. Homoeopathy can help!With monsoon, there has been an increase in mosquito-borne illnesses including Dengue and Chikungunya. Delhi in particular is witnessing an unprecedented rise in the number of chikungunya cases this year. Though most patients recovered and serious complications are rare. Generally one should feel better within a week but in some cases the joint pains may persist for weeks or months together. People at risk for a more severe illness include newborns infected around the time of birth, older adults  65 or above and people with medical conditions like high blood pressure,diabetes or heart disease.There is no specific vaccine or antiviral medicines to prevent/treat chikungunya virus. So the rule is to treat the symptoms like get plenty of rest, drink fluids to maintain hydration, don’t contribute to the transmission cycle: If you get infected, protect yourself from further mosquito bites in the first week of your illness. During the first week, chikungunya virus can be found in the blood and passed from an infected person to a mosquito through bite and an infected mosquito can then spread the virus to the other people. It’s safer to take analgesics and antipyretics such as paracetamol to bring down high fever and pain. The symptoms are often difficult to differentiate from dengue, hence it is important not to take any NSAIDs (Non steroidal Anti inflammatory Drugs) like aspirin, ibuprofen till dengue is ruled out as these medicines can cause platelets to fall, increasing risk of bleeding in case of dengue.HOMOEOPATHY is undoubtedly effective option to tackle all kind of viral fevers including the monsoon maladies like chikungunya and Dengue, as it offers a gentler and a faster cure. There are number of medicines ( viz. Rhustox, Bryonia, Eupatoreum Perf, Pyrogenum, Gelsemium, MercSol, Ipecac, Arnica, Belladonna etc) that not only help bring down the active fever,they cut it short too. Also, they come with an added advantage of no side effects/a drop in your platelet counts causing bleeding! The terrible joint pains one experiences in Chikungunya, which may get disabling for weeks or months even after the recovery from fever, are very effectively controlled with homoeopathic medicines. Among many, Polyporous pinicola (Polyporous officinalis) is one of the specific medicines for these lingering pain in joints. Single dose of this medicine is enough to cure chikungunya pains. One more medicine which is helpful in completely alleviating joint pains even if the fever subsides is Kali mur, 1m, single dose which should be taken at least after one week of the first medicine. In higher doses it acts as a preventive.Some medicines like Phosphoric acid, Cinchona, Arsenic can take good care of weakness and fatigue making you up and about in just a couple of days. Euphrasia can very well take care of the conjunctivitis or any other eye symptoms if you develop them. I have personally used Eupt, Bry, RhusTox as preventives for the disease, so far it has helped the families in not contracting the disease and also cut short the intensity and duration of the disease.Homoeopathy has a very good scope in the treatment of chikungunya. Initially indicated acute remedies may give relief which may be followed by constitutional remedy in order to get rid of post fever arthralgias.Usually, one attack confers life long immunity.Note: Please do not self –medicate. Consult your physician if you have high fever, joint pains or any other signs that point towards the infection.

Chikungunya and Eye

Dr. Sridevi Haldar, Ophthalmologist
For the past two months Delhi NCR has been riding the tsunami of two most distressing disease outbreaks i.e. Chikungunya and Dengue fever. It has given the city sleepless nights and created an atmosphere of panic thus opening floodgates of all small and large hospitals in town. By now everyone must be aware that Chikungunya is caused by a virus which harbors in ‘Aedes’ mosquito which essentially breeds in artificial containers with fresh water such as cooler tanks, flower vases, water tanks,etc..These mosquitoes rest in cool and shady areas and bite during the day. Our body responds in 2 ways. In the initial acute phase, we usually see high grade fever with chills, myalgia, arthralgia, vomiting, malaise ,and skin rash. Multiple small and medium joints may show painful swelling as in fingers, wrist, ankle, knee, shoulder and low back. In chronic phase i.e more than 3 weeks, joint pains are more pronounced due to immune mediated response. Eyes have also been seen to be affected in the form of conjunctivitis, uveitis or episcleritis, retinitis and optic neuritis wherein the white portion of the eye becomes red. This may or may not be associated with pain. In certain cases vision loss can be seen. In In initial acute phase pain may be felt at the back of the eye. All the symptoms are self-limiting and Paracetamol and certain NSAIDs can provide symptomatic relief from fever and pain. For chronic joint pains respective physicians must be consulted to discuss if there is any role of ‘disease modifying agents’. With regard to ocular symptoms, an ophthalmologist must be consulted to rule out any chances of deterioration of vision.Clinical profile with certain diagnostic tests can help us confirm the diagnosis.This disease is better prevented than treated. This can be achieved by vector control methods by eliminating mosquito breeding sites.Hope this article serves answers to all common queries so far.

Dengue and Chikungunya-Homoeopathy Is the Only Treatment

Dr. Shalini, Homeopath
Chikungunya virus is closely related to O’nyong’nyong virus. O’nyong’nyong virus caused a major epidemic of arthritis and rash involving at least 2 million people in Eastern and Central Africa in 1960s. After its mysterious emergence the virus virtually disappeared leaving only occasional evidence of its presence in Kenya.The chikungunya virus is spread by mosquito bites from the Aedes aegypti mosquito. Mosquitoes become infected when they feed on a person infected with the chikungunya virus. Monkeys, and possibly other wild animals, may also serve as reservoirs of the virus. Infected mosquitoes can then spread the virus to other humans when they bite.Aedes aegypti (the yellow fever mosquito), a household container breeder and aggressive daytime bitter which is attracted to humans, is the primary vector of chikungunya virus to humans. Aedes albopictus (the Asian tiger mosquito) may also play a role in human transmission is Asia, and various forest-dwelling mosquito species in Africa have been found to be infected with the virus.Aedes breeds in artificial accumulations of water. It needs only 2ml of water for breeding. It lays eggs singly. They do not fly over long distance, usually less than 100 metres. Eggs can resist desiccation for upto 1year. The eggs will hatch when flooded by deoxygenated water.Aedes can spread the infection to next generation.Aedes is the first proved vector of a virus disease- Yellow fever. Human blood is preferred over other animals with ankles as a favourite bite area.SymptomsAfter an incubation period of 3-12 days there is a sudden onset of flu-like symptoms including a severe headache, chills, fever (>40°C, 104°F), joint pain, backache, nausea, vomiting, petechial or maculopapular rash usually involving the limbs and trunks. Migratory polyarthritis mainly affects the small joints of the hands, wrists, ankles and feet with lesser involvement of the larger joints. Joints of the extremities in particular become swollen and painful to the touch. Haemorrhage is rare. There can also be headache, conjunctival infection and slight photophobia.Redness of eyes may be the first symptom. There may be difficulty in looking upwardsIn the present epidemic in the state of Andhra Pradesh in India, high fever and crippling joint pain is the prevalent complaint. Fever typically lasts for two days and abruptly comes down. The disease has a biphasic course also. Following 1-6 days of fever, the temperature returns to normal for 1-3 days and then there is a second period of fever for a few days. In the second phase of illness 80 % of people develop maculopapular rash on the trunk and extensor surfaces of the limbs. After 6 to 10 days patients recover completely. However joint pain, intense headache, insomnia and an extreme degree of prostration lasts for a variable period, usually for about 5 to 7 days. Rarely arthralgia and morning stiffness may persist for months.However joint pain, intense headache, insomnia and an extreme degree of prostration lasts for a variable period, usually for about 5 to 7 days.Dermatological manifestations observed in a recent outbreak of Chikungunya fever are as follows:Maculopapular rash like ulcers over scrotum, crural areas and axilla.Nasal blotchy erythemaFreckle-like pigmentation over centro-facial areaFlagellate pigmentation on face and extremitiesLichenoid eruption and hyperpigmentation in photodistributed areasMultiple aphthous ulcersLympoedemaMultiple ecchymotic spots (Children)Vesiculobullous lesions (infants)Subungual haemorrhage.InvestigationsA few patients develop Leucopenia.Elevated levels of aspartate aminotransferace (AST) and C-reactive proteinMildly decreased platelet counts.Diagnosis1.Isolation of the virus from blood. It is possible in the first 4-5 days of illness.  Sudden severe headache, chills, fever, joint and muscle pain are the commonest symptoms. The diagnostic tests include detection of antigens or antibodies in the blood, using ELISA (or EIA – enzyme immunoassay) or molecular techniques like polymerase chain reaction (PCR). The antibodies detected by serological assays like ELISA require an IgM capture assay to distinguish it from dengue feverDifferential Diagnosis1. Dengue FeverOf all the arthropod- borne viral diseases, Dengue fever is the most common. This infection may be asymptomatic or may lead to1. Classical Dengue Fever2 .Dengue Haemorrhagic fever without shock3. Dengue Haemorrhagic fever with shockThe main vector is Aedes aegypti mosquito. The illness is characterised by a incubation period of 3 to 10 days. The onset is sudden with chills and high fever, intense headache, muscle and joint pains which prevent all movement. Within 24 hrs retro-orbital pain and photophobia develops. Other symptoms include extreme weakness, anorexia, constipation, colicky pain and abdominal tenderness. Fever is typically but not inevitably followed by a remission of a few hrs to2 days. The rash may be diffuse flushing, mottling, or fleeting pin point eruptions on face, neck and chest during the first half of the febrile period and a conspicuous rash that may be maculopapular or scarlatiform on 3rd or 4th day. Fever lasts for about 5 days.Dengue haemorrhagic fever is confined exclusively to children less than 15 yrs of age. There may be plasma leakage and abnormal haemostasis, as manifested by a rising haematocrit value and moderate to marked thrombocytopenia.The fever may rise again producing a saddle-back fever curve. There may be generalised lymphadenopathy.In dengue shock syndrome shock is present along with all the above criteria.Homoeopathic ProphylaxisAs per the guidelines laid down by Dr. Samuel Hahnemann in the Organon a Genus epidemics has to be found out in the specific area and it could be the best to be found out in the specific area and it could be the best prophylactic remedy.Many homeopaths consider Eupatorium perfoliatum as a preventive medicine for Chikungunya. The most commonly suggested potency as prophylaxis is 200C of Eupatorium perfoliatum. As per the reports the homoeopathic remedies useful for propylaxis are – Eupatorium Perfoliatum, Gelsemium, Rhustox, Bryonia Alba, Ars alb ,Aconite and Polyporus.Treatment Chikungunya fever is usually self-limiting and will resolve with time. Symptomatic treatment is recommended after excluding other more dangerous diseases. There is no vaccine currently available for Chikungunya. Supportive care with rest is indicated during the acute joint symptoms. Movement and mild exercise tend to improve stiffness and morning arthralgia, but heavy exercise may exacerbate rheumatic symptoms.Homoeopathic TreatmentAphorism 100-102 is dealing with the treatment of epidemic diseases. According to Dr.Hahnemann, a carefully observing physician can arrive so nearly at knowledge of the true state of the epidemic from the examination of even the first and second patients and can even find a suitable homoeopathic remedy for it. Dr. Hahnemann recommends investigating each epidemic disease as a new and unknown case and selecting medicine according to its symptom similarity.Homoeopathy has a very good scope in the treatment of chikungunya. Initially indicated acute remedies may give relief which may be followed by constitutional remedy in order to get rid of post fever arthralgia

Chikungunya – Symptoms, Prevention & Natural Treatment

Dr. Sandeep Jassal, General Physician
Chikungunya has been discovered in recent times to be one of the most distressing diseases. It is a viral infection that can even prove fatal in some of the cases.COMMON SYMPTOMSHigh fever (temperature near about 102.2 °F)Severe body painJoint pain along with inflammationSevere headacheAbundant rashesConjunctivitisLoss of tasteMouth ulcers.Chikungunya can be a life-threatening disease. However, the virus itself doesn’t lead to death. The virus drastically lowers the immune system, thereby increasing the body’s susceptibility to infections and complications related to the disease. So the most important aim of a diet prescribed for Chikungunya patients should be to improve the body’s resistance and decrease the severity and duration of symptoms.RECOMMENDED DIET DURING THE DISEASEA healthy normal diet including items from all the different food groups may be given to those suffering from Chikungunya.To combat high fever, a soft but balanced diet with plenty of hot liquids should be given to the patient.Taking plenty of fluids in the form of warm water, soups, and broths can help flush out the virus faster from the body.In order to build immunity, foods rich in selenium, chromium, zinc, and the vitamins A, C, and E should be eaten, these help to fight free radicals in our body.FOODS RECOMMENDEDEating oranges, amla, sweet lime, capsicum, broccoli, pineapple, cabbage, papaya, and guavas can provide vitamin C, which destroys viruses and bacteria.Rich in vitamin A, yellow- orange colored fruits and vegetables can increase the production of natural infection-fighting cells. These can be enjoyed in your salads, soups, snacks, and veggies.Eating radish can also facilitate thinning of mucous, clearing of sinuses, and relieving mucous-related headaches.Supplementing the diet with good sources of omega 3 fatty acids like fatty fishes, almonds, walnuts, and flaxseeds can reduce inflammation.BENEFICIAL CONCOCTIONHave a concoction made from herbs like tulsi, amrutharista, sudarshanchurnam, mahasudarshanachurna, gutika, and amruthotharamkashayam may lessen the severity of Chikungunya symptoms.AVOIDAvoid eating highly spicy and deep fried foods, drinking caffeinated beverages, smoking, and consuming alcohol as these can further weaken the body’s defenses and prolong the symptoms.

Ayurvedic Management for Chikungunya

Dr. Richa Agarwal, Ayurveda
According to Vagbhatt in Uttara Tantra the fever comes under the category "Kit Dansh Janya Jwar" in AyurvedPreventionUse mosquito net while sleepingCover exposed skin by wearing long sleeve shirts and pantsUse insect repellentsClean the garbage around the house and stagnant waterKeep water containers coveredCommon SymptomsHigh grade fever (102-104 degree F), joint pains, skin rashes (most commonly appears at extremities such as palm, feet etc) usually occurs after onset of feverTreatmentIf Chikungunya is detected in blood sample test the following simple home remedies would give excellent results in fighting it - Boil water with Tulsi (3/4 leaves), Giloy Stem (small in length) , Neem leaves (3/4 leaves), Clove (3 pieces), Small Pippli (2 gm approx)  to prepare kashayam (called "Kaada" in hindi). Take this kashayam after food 3 times per day. This will help in bringing down the fever and also restore the lost immunity. The residue of the kashayam should not be discared and may be taken orally by chewing and swallowing.Garlic paste may be prepared at home and be applied on swollen joints for immediate pain reliefSimple massage oil may be prepared by mixing and heating castor oil (1 tea spoon), coconut oil (2 tea spoon), dum streak also known as Sahajan (3-4 pieces), Camphor balls (2-3 pieces), 3 cloves, garlic (3-4 pieces). During application, oil should be sufficiently warm.  If the platelets count of the patient goes low which may happen in few patients, then Dash Mool kwath (2 teaspoon with hot water ) twice a day, Maha Sudarshan Kwath (2 teaspoon with hot water) may be taken to increase the platelets count.Laxmi Vilas Ras (twice a day)DietAvoid non-veg foodEat more of green leafy vegetables, soup and semi-liquid diets,coconut water for detoxification of liverVitamin C enriched food such as Citrus food, Kiwi etcVitamin E rich food such as wheat, nuts etcTo increase platelets take count papaya leaves kashayam, goat milk