Non-Cardiac Chest Pains

(An error in personality or a psychosomatic syndrome)

CHEST PAIN AND ITS VARIOUS CAUSES AND DIAGNOSIS

Definition    

Chest pain is discomfort or pain that you feel anywhere along the front of your body between your neck and upper abdomen.

Considerations : Many people with chest pain fear a heart attack . However, there are many possible causes of chest pain. Some causes are mildly inconvenient, while other causes are serious, even life-threatening. Any organ or tissue in your chest can be the source of pain, including your heart, lungs, esophagus, muscles, ribs, tendons, or nerves.

Angina is a type of heart-related chest pain. This pain occurs because your heart is not getting enough blood and oxygen. Angina pain can be similar to the pain of a heart attack.

Angina is called stable angina when your chest pain begins at a predictable level of activity. (For example, when you walk up a steep hill.) However, if your chest pain happens unexpectedly after light activity or occurs at rest, this is called unstable angina. This is a more dangerous form of angina and you need to be seen in an emergency room right away.

Causes : Other causes of chest pain include:

• Asthma, which is generally accompanied by shortness of breath, wheezing, or cough.
• Pneumonia, a blood clot to the lung (pulmonary embolism), the collapse of a small area of a lung (pneumothorax), or inflammation of the lining around the lung ( pleurisy). In these cases, the chest pain often worsens when you take a deep breath or cough and usually feels sharp.
• Strain or inflammation of the muscles and tendons between the ribs.
• Anxiety and rapid breathing.

Chest pain can also be related to problems with your digestive system. These include stomach ulcer, gallbladder disease, gallstones, indigestion, heartburn, or gastro esophageal reflux (when acid from your stomach backs up into your esophagus).

Ulcer pain burns if your stomach is empty and feels better with food. Gallbladder pain often gets worse after a meal, especially a fatty meal.

In children, most chest pain is not caused by the heart.

If you know you have asthma or angina, follow the instructions of your doctor and take your medications regularly to avoid flare-ups.

When to Contact a Medical Professional    

• You have sudden crushing, squeezing, tightening, or pressure in your chest.
• Pain radiates to your jaw, left arm, or between your shoulder blades.
• You have nausea, dizziness, sweating, a racing heart, or shortness of breath.
• You know you have angina and your chest discomfort is suddenly more intense, brought on by lighter activity or lasts longer than usual.
• Your angina symptoms occur at rest.
• You have sudden sharp chest pain with shortness of breath, especially after a long trip, a stretch of bed rest (for example, following an operation), or other lack of movement that can lead to a blood clot in your leg.

Know that your risk of heart attack is greater if you have a family history of heart disease, you smoke, use cocaine, are overweight, or you have high cholesterol, high blood pressure, or diabetes.

Call your doctor if:

• You have a fever or a cough that produces yellow-green phlegm.
• Chest pain persists for longer than 3 to 5 days.

What to Expect at Your Office Visit    

Emergency measures will be taken, if necessary. Hospitalization will be required in difficult or serious cases or when the cause of the pain is unclear.

The doctor will perform a physical examination and monitor your vital signs (temperature, pulse, rate of breathing, blood pressure). The physical examination will focus on the chest wall, lungs, and heart. Your doctor may ask questions like the following:

• Is the pain between the shoulder blades? Under the breastbone? Does the pain change location? Is it on one side only?
• How would you describe the pain? (Severe, tearing or ripping, sharp, stabbing, burning, squeezing, constricting, tight, pressure-like, crushing, aching, dull, heavy)
• Does it come on suddenly? Does the pain occur at the same time each day?
• Is the pain getting worse? How long does the pain last?
• Does the pain go from your chest into your shoulder, arm, neck, jaw, or back?
• Is the pain worse when you are breathing deeply, coughing, eating, bending?
• When you are exercising? Is the pain better after you rest? Is it completely relieved or just less pain?
• Is the pain better after you take nitroglycerin medication? After you drink milk or take antacids? After belching?
• What other symptoms are also present?

Diagnostic tests that may be performed include:

• Blood tests (such as LDH, LDH isoenzymes, CPK, CPK isoenzymes, Troponin, CBC, and blood differential)
• Cardiac catheterization
• ECG
• Exercise ECG
• Lung scan
  • X-rays of the chest

More complex tests may be required depending on the difficulty of diagnosis or the suspected cause of the chest pain.

NON CARDIAC CHEST (AN ERROR IN PERSONALITY)

"The psyche, formative for the organism, spreads any discord, to the physical body, upsetting its physical balance and function. Long persisted-in psychological imbalances particularly leave a deep mark on the body."

Personality: The term personality refers to enduring qualities of an individual that are shown in his ways of behaving in a wide variety of circumstances.

Features of personality can make some people more vulnerable to emotional disorders when experiencing stressful events. In people with more abnormal personalities, unusual behavior occurs even in the absence of stressful events.

The error in personality lies in excessive anxiety and worry about one's own self, and is fed by internal uncertainty and concerns about being apprised or rejected by others. In their inner self they feel uncertain and weakened; self-assurance and self-approval do not come readily but always depend on the advice of others. As a result, inner wisdom cannot unfold, and creative and vigorous expressions of the personality are hampered.

In disease, there often is excessive observation of symptoms and worry.

This disorder involves any disturbances in cardiac activities that do not arise from any physical illness but are psychosomatic in origin. The most common symptoms are palpitations, tachycardia, and angina pectoris. Additional symptoms can be hyperventilation and grasping for breath.

Patients are characterized by self-observation and hypochondriacal preoccupation with intense fear. The patient has over concern of the symptoms of his heart with fear of heart disease.

The Symposium on Psychosomatic Syndromes held in the Royal College of Physicians of Edinburgh on 5 April 1995, brought together doctors from many different fields of medicine to hear presentations that dealt with the etiology and management of psychosomatic disease.

It was evident that 50% of new referrals to a cardiac clinic do not have heart disease, and there are a large number of new cases per year of people with recurrent chest pain yet no cardiac abnormalities. Many years' follow-up study of patients with recurrent chest pain and normal coronary arteries found no difference in mortality between this group and the general population. It has been observed that it is the result of Chronic Anxiety Disorder or Intermittent Depressive Reaction.

Homeopathy in Non-Cardiac Chest Pain:

Homeopathy has better promise for all types of mental or emotional upsets and their physical effects. Because, in homeopathy, personality traits frequently serve as a keynote for identifying the therapeutic medicine inphysical illness. For example a conditioned of dammed-up grief and anxiety in over disciplined, responsible or repressed person, a condition ensues characterized by varying degrees of depression, irritability, brooding, listlessness, hopelessness and possibly an addiction to alcohol or even suicidal tendencies. Physical symptoms are organic disorders of this psychosomatic complex may take the form of lack of appetite, chronic indigestion, biliary disorders, etc. may be headaches, a rise in blood pressure and disturbance of the heart function.

As a matter of fact in homeopathy all manner of physical disease are psychosomatic and all mental diseases are somatopsychic and are treated as such. Thus every homeopath is essentially a psychiatrist.

Miasm in the back ground: Psoro- Sycosis.

Prognosis: Good.

Homeopathic Therapeutic;

Gelsemium sempervirens is marked by nervous sensitivity and irritability, by an almost constant undercurrent of fear. With the heightened sensitivity, however, there is no increase in acuity, as found in Coffea cruda, but loss of functional power in mind and body. There is difficulty in clarifying ideas and in concentrating; thoughts come impulsively; the muscles are weak, tremulous, and do not obey. In addition, a strong inclination exists to worry and develop apprehension toward imminent dangers such as in regard to sudden heart failure and in stage fright. Typically, the patient feels the necessity to keep in motion, in order to prevent a sudden stoppage ofthe heart; the pulse slows down during rest or repose, but it greatly accelerates on motion; it is chronically slow in old age. There are also stitches felt in the region of the heart, especially on rising from a seat. Worse: EMOTIONS, DREAD, SHOCKS, ORDEALS. Humidity. Spring, Foggy. Better: Profuse urination., sweating,shaking, alcoholic drinks.

Argentum nitricum is nervously hurried, impulsive, and intensely worried about health matters. Mentally, there are peculiar impulses that prompt to dangerous, especially self-destructive action; these impulses stem from a curious fascination rather than from true suicidal ideation. Any emotional excitement, especially with an anxious connotation, or sudden muscular exertion can trigger violent heart palpitations that are accompanied by nausea. There is also an irregular heart action that increases on being observed fearfully, and it improves on walking in the fresh air. Angina pectoris creates intense pains in the chest and heart, with difficulty in breathing. An important keynote for this remedy is the strong craving for sweets with the concomitant aggravation therefrom in the form of diarrhea and flatulency. Cheese and salt are also craved.

Ambra grisea, nervously shy and hypersensitive, is prone to despair and sadness; and music causes weeping. These patients also feel a strong timidity in the presence of others; for example, they are unable to go to thebathroom in front of other people, and they feel hasty and nervously excited when talking. Once talking is initiated, it can also stimulate them in an enjoyable way; yet, nervous hastiness and mental precipitation do not permit a peaceful dialogue; before others have had a chance to answer, new questions are being raised constantly by the patient, leaving talker and listener confused and exhausted. In the heart region, there is anxious awareness of heart palpitations; it feels as if a lump lodged in the chest; throughout the body, there is consciousness of the pulse. Further symptoms are numbness and coldness, weakness and cramping proclivity of muscles, sleeplessness from worry, and a generally worn-out state.

Lilium tigrinum shows nervous, hypochondriacal worries; patients often anticipate some incurable disease. There is a restless, aimless urge to be busy, to accomplish things, although a "wild" feeling in the head and lack of a calm overview prevent a purposeful work approach. Unsatisfied sexual needs, coupled with strong religious overtones, create hysterical sensitivity and partially suppressed aggressive impulses. The heart and chest feeltight as if constricted; the heart feels full, compressed as if in a vise and ready to burst; it aches and feels cold, alternately flutters and pounds. In angina pectoris, there is a pain in the arm and wrist of the right arm. Symptoms improve from rubbing and applying pressure and on getting up in the morning, while lying down and exercise or stooping aggravate. The pulse is felt all over the body; a crowded warm room triggers anxious,suffocative sensations. Worse warmth, miscarriage. Better Cool, open air, fresh air. When busy. Better lying on left side.

Aconitum napellus Acute suffers from mental and physical anguish, restlessness, and tension. Acute anxiety, PHOBIAS, FEAR OF DEATH, AND INTENSE WORRY ACCOMPANY EACH AILMENT. The head feels pressured and anxiously tight; all senses become acutely oversensitive; the teeth ache on being exposed to cold. The mouth is dry; the tongue coated white. The heart is prone to tachycardia and anxious palpitations, with fainting and tingling in fingers. There is a strong throbbing sensation in the temporal and carotid arteries; the head feels hot and congested; the pulse is hard and bounding, may intermit. The heart feels compressed, so does the left chest, and the left shoulder aches. Movement and exertion, such as climbing stairs, may elicit shooting pains or stitches in the heart. Worse: FRIGHT; SHOCK. Violent emotions. Chilled by COLD , dry winds. Noise. Better: Warm sweat.

Arsenicum album is anxiously interested in guarding the body's health and attempts to find a perfect state, purified from disease. Each little imbalance, ailment, or sudden illness can elicit exaggerated fears and concerns. The heart is prone to violent palpitations that occur chiefly on lying down, during the night, on rising in the morning, on going upstairs, and after stool. They are accompanied by fearful anguish and, at times, breathing difficulties and faintness. Angina pectoris causes a pain in the occiput and neck. Further symptoms are a worsening of the heart condition after continued smoking, dilatation and fatty degeneration of the heart, and cyanosis.

Lobelia inflata, often presenting with languor and relaxed muscles and a tendency to obesity, suffers from air hunger and heart complaints after eating and from rapid exertion. The patient is prone to depression and shows hypochondriacal concern about these physical conditions, and many attacks are accompanied by fear of death. In the epigastrium, there is a sensation of weakness and pressure that rises to the heart and extends upward and downward; the heart appears to stand still; anxiety and deep pains are felt in the region of the heart. Upon rapid movement, the pulse decreases; faintness, vertigo, and suffocative feelings set in. However, the chest complaints, particularly the breathing obstruction in the chest, are relieved by taking a rapid walk in the fresh air

Aurum metallicum is conscientious, serious, and much disheartened and regretful in face of personal failure.The perceived loss of affection by friends or relatives deeply depresses them. There are hypochondriacal concerns, fear of death, yet also a suicidal wish and a longing to be released from the pressures of life. Pressure, compression, and depression are felt throughout psyche and organism. The heart undergoes irregular palpitations; there is the distinct sensation that the heart would stop beating for two or three seconds, to be followed by a violently beating rebound and a sinking feeling at the epigastrium. The chest appears congested and oppressed; a painful sensation extends down the left arm to the fingers. On walking, the heart feels less compressed, but then it begins to feel "loose" as if shaking.

Spigelia anthelmia is a remedy for sensitive nerves; especially the eyes, the heart, and fifth nerve (trigeminal nerve, more on the left side) are affected. Patients are anxiously agitated and concerned about what the future will bring. They experience timidity and discouragement and a marked fear of pointed things such as needles, those symbolizing the vulnerable nerves. Indeed, many pains feel as if caused by needles. The heart is prone to attacks of violent palpitation that are accompanied by a bad odor from the mouth; palpitations and also heart stitches are worse on bending the chest forward or on sitting down. Oftentimes, the movement of the heart is visible and a grinding noise coming from the heart may be discerned. There are stitching and lancinating pains; the heart feels as if squeezed; there occur sensations of trembling and recurring neuralgic pains that extend down one or both arms. Radiating pains may also involve the eyes, the chest, and the top of the head. Suffocation can accompany the attack. The patient seeks hot water which ameliorates the discomfort and pain..

Kalmia latifolia has a sensitive nervous system, tending to neuralgic pains, rheumatism, and heart troubles. Escalating palpitations and heart fluttering occur that give rise to acute anxiety and often are accompanied by suppressed breathing, faintness, and, at times, by right-sided prosopalgia (neuralgic pain in trigeminal nerve and its branches). The heart seems to beat forcefully along the sternum up to the throat; complaints are worse from lying on the left side. The palpitations are worse on bending forward; the heart's action can be visibly discerned. Sudden, sharp pains take away the breath; shooting pains radiate into the shoulder-blades. Prolonged smoking creates disturbances in heart function (tobacco heart). This remedy also addresses rheumatic endocarditis that has led to hypertrophy and valvular disease. Dilatation and aortic obstruction are further symptomatic occurrences. In the stomach region, there is a painful, pressure-like sensation that is worse from bending over. Kalmia latifolia appears less anxious in general and more easily vexed than Spigelia anthelmia.

Amyl nitrite is anxiously worried and agitated and anticipates unfavorable events.The heart flutters at the slightest excitement. There is a general state of dilatation of arteries; this causes a surging of blood to the face and head, throbbing in arteries and head, and flushes of heat and outbreaks of sweat, the latter two especially during menopause. A sense of constriction is felt in the throat, chest, and around the heart; there are asthmatic complaints and a tumultuous heart beat, both giving rise to anxiety. The patient hungers for fresh air, feeling acutely threatened in a warm and stifling room. The pulse is felt in the tips of the fingers, and the veins of the hands portray the dilated and engorged state of the circulatory system. There is an aversion to sitting with bent or crossed limbs such as would impede the circulation; the patient attempts to stretch the limbs frequently.

Gratiola officinalis is not a typical remedy for fearfulness and shyness, rather it is known to address exaggerated pride. Yet, it also tends to produce hypochondriacal and hysterical fears, apprehension toward the future, and irresolution. The tendency to seek frequent contacts of intimacy speak of dependency-needs; females particularly share in this remedy. Heart palpitations occur mostly right after straining at stool and are accompanied by an oppressive feeling in the chest. Patients experience frequent constipation, ineffectual urging, and difficulty in expelling stool. Further symptoms are an aggravation from drinking too much water; occasional diarrhea that resembles green, frothy water and is expelled with great force; insomnia; and overly profuse and early menses.

Natrum muriaticum is internally vulnerable and prone to grief and yet tends to not openly communicate the grief or accept consolation; these patients may harbor resentment against certain people. They also are concerned about their bodies' health; they worry about the future and are easily startled and hurried. The hurriedness is often accompanied by anxiety and fluttering of the heart. Movement in general can elicit anxious, strong heart palpitations; those are also felt during lying on the left side and after eating, with impeded respiration. The pulse may also intermit on lying down. The heart feels cold and constricted; there are jerking and shooting pains. Generally, Natrum muriaticum is thirsty and craves salt.

Kali arsenicosum is marked by a dissatisfied, fearful, and nervous disposition; a bent to quarrel with others and criticize them is present. There is intense anxiety about health, especially a fear of heart disease. These patients feel that a heart attack is imminent. They experience anxiety arising from the heart and stomach region and a sense of constriction and oppression in the chest. A weak feeling is also felt in the chest, together with a bruised and hollow sensation in the epigastrium. The patient sleeps on the left side and holds one hand protectively over the heart. Cold drinks create a disordered stomach; asthmatic attacks occur nightly from 1 a.m. To 3 a.m.; psoriasis is a common symptom and is marked by aggravation from undressing and from cold.

Latrodectus mactans develops anxious, highly intense emotions; likewise, patients respond to the heart pains with exaggerated fearfulness. This remedy is a specific for the typical pains associated with angina pectoris and myocardial infarction. Acutely agonizing pains extend from the precordial region to the left axilla and down the left arm to the fingers. The hand especially and arm feel numb and cold, even paralyzed. There are cramps in the abdominal muscles; respiration is impeded; in extreme cases, patients fear to suffocate.

Baryta carbonica is dependent on the approval of others and shows a twofold reaction to this need. On one hand, these patients exhibit shyness and a tendency to retreat from people; on the other hand, there is boisterous, attention-seeking behavior. These patients also watch anxiously over their bodies, they are motivated to take care of their appearance to look their best in the eyes of others, and they are easily perturbed by minor ailments. Forceful, long-lasting heart palpitations cause anguish and worry; these palpitations appear on every exertion, leading to sleepiness and fatigue. Yet, on lying down, especially on the left side and when thinking of the heart beat, the palpitations are triggered as well, or they resume. The pulse is full and hard and each beat is felt in the head; the blood pressure is increased and arteries constrict, the latter especially in the initial stages of the sickness. In an advanced case of Baryta carbonica, oftentimes encountered in elderly people, the tissues weakness and arterial dilatation occurs, leading to aneurism of the heart (dilated arteries form a sac of blood, with danger of blood-clotting) and atheroma (fatty degeneration or thickening of the wall of the larger arteries). Other symptoms are a chronic tendency to tonsillitis and glandular swellings; increased saliva; aversion to fruit, especially to oranges or orange juice.

Digitalis purpurea is one of the most important heart medicines on earth, addressing primarily a weakened and dilated heart. The heart muscle works ineffectually and laboriously; the healthy flow of blood is hampered. Symptomatic manifestations in the patient's experience are as follows: On movement or exertion, the heart accelerates and beats irregularly; the region around the heart feels weak, uneasy, anguished, and there is an aching weakness in the wrist and forearms. Emotions may trigger these symptoms as well; grief especially can cause heart palpitations and heaviness of the heart. The patient is also prone to fear of death in response to the heart's weak action and is generally given to fear of the future, and there is a tendency to tearful moroseness and remorse. Absolute panic and a fear of moving or breathing, lest the heart would cease beating altogether, occur during the momentary standstills of the heart that can come on unexpectedly while resting or during activity. Sudden heat in the occiput and faintness of consciousness can momentarily accompany these transient standstills. As if torn loose, the heart then resumes its activity tumultuously. Attacks of heart failure are marked by a sinking faintness, oppressed breathing, ringing in the ears, and a bluish appearance of the face. The heart diseases addressed by this remedy are several, particularly angina pectoris that is characterized by pain and weakness and numbness in the left arm; arrhythmia; congestive heart failure; rheumatic heart disease; pericarditis (inflammation of pericardium, outer layer of heart); and hypertrophy.

Cactus grandiflorus, another important heart medicine next to Digitalis purpurea, deals primarily with severe constrictive pains that cause great agony and distress. Mentally/emotionally, these patients are prone to sadness and irritability; they are taciturn and seek solitude; disappointment in love may trigger the illness. Patients succumb to anxious, hypochondriacal preoccupation and fear of death, in face of the heart symptoms particularly. Women become hysterically overwrought during menses. The heart feels as if grasped firmly, as if it did not have enough room to beat, as if whirling around. There are lancinating heart pains that seem to worsen on suppression or failure of perspiration. Palpitations occur from exertion and during the night when resting on the left side; they also come on from slightest excitement and from engagement in deep thought or meditation. Deathlike feelings around the heart can extend to the left side of the back. Angina pectoris presents with suffocation, particularly with a deep need for inspiration, and is marked by cold sweat, a constant iron-band feeling around the heart, and a pain down the left arm to the ends of the fingers; the left hand may be edematous. Further acute symptoms during cardiac distress are cold extremities, slow pulse and low blood pressure, and vertigo. Complaints worsen at 11 a.m. and 11 p.m. Further diseases are cardiomyopathy (disease or abnormal condition of the heart muscle), myocardial infarction, arrhythmia, valvular disease, tobacco heart, and pericarditis.

Ignatia amara suffers silently from grief and disappointment and develops psychosomatic complaints such as heart palpitations and constrictive heart sensations that prompt anxiety and the inclination to cry. There are shooting pains in the heart that occur during repose and during meditation and frequently in the morning on waking. An anxious, sinking sensation is felt around the cardiac and stomach region. Expiration can create stitching pains in the heart; the patient experiences sighing respiration and a feeling of a heavy weight on the chest. Further mental/emotional symptoms are alternating moods, a nervous and hysterical disposition, easily incited rudeness. Spasmodic constrictions in the alimentary canal, reaching from the throat to the rectum, are typical symptomatic manifestations.

Lithium carbonicum is prone to despair, hopelessness, and to a feeling of being forsaken, yet there is the opposing potential for great excitability that also characterizes the sensations around the heart. The heart appears to be "hooked up" with other organs and reacts sensitively, as well as being easily aggravated by vexation and excitement. These emotions create a trembling and fluttering of the heart that extends to the back. There are strong pains in the heart on bending over and sudden shocks in the heart, also a rheumatic soreness. Any pain in the bladder translates to the heart, causing pain; on rising to urinate, there are heart pains; these also assert during micturition and are relieved right after voiding. Women are disturbed by heart pains right before and during the menses, suggesting a connection between the uterine organ and the heart. The heart pain also extends to the head which is tense and externally sensitive; the headache ceases while eating.

Calcarea arsenica shows heart palpitations from slightest excitement of emotions, from anger particularly. There is also a profound bent to anxiety and apprehension in regard to the future and health matters and one's salvation. As in Lithium carbonicum, the heart is reacting in unison with other organ systems. Epileptic convulsions can occur; the aura centers in the region of the heart; oftentimes, this tendency to epilepsy is accompanied by valvular disease. Pain and sinking in the heart are followed by spasms, vertigo, momentary blindness, and weakness. Before an epileptic convulsion, the patient observes a burning heat in the chest and a throbbing of the blood vessels, especially in the head and back. Headaches are related to the heart pains and palpitations. In headaches, the pain may go to the side not lain upon; there are also pains around the ears. Mental exertion ameliorates the head pain initially but worsens it subsequently. Heart palpitations occur not only from least excitement but also from exertion, particularly during the evening and at night when suffocation is a concomitant symptom. Nephritis often develops concurrently with the heart symptoms. There also is a throbbing pain in the back that extends down the arms. In angina pectoris, there are grasping pains in the heart.

Rhus toxicodendron has a restless, easily anxious, and superstitious nature, developing fixed ideas and exaggerated and distressing imaginations.

The heart may become one of the points of attention; it is prone to palpitations, hypertrophy, angina, and valvular disorders. Hypertrophy develops from overexertion. During sitting quietly, the heart undergoes violent palpitations and trembling. Shooting pains are felt in the region of the heart, and the left arm feels painfully paralyzed and numb. The pulse is small and compressible, quick and irregular. Generally, Rhus toxicodendron is sensitive to cold and damp, gets stiff and achy, but limbers up from movement; however, prolonged exertion, asking for additional stamina in mind and body, aggravates and may lead to hypertrophy of the heart. Typically, there are dreams of exertion during the night.

BRIEF REPERTORY

MIND - FEAR - heart - disease of the heart
acon arg-n. arn. ars. Aur. . cact. Calc. caust. cupr.. Kali-ar. lac-c. lach. Lil-t. lob. nat-m. Phos. psor. rhus-t. Spong. tarent.

MIND - DELUSIONS - heart - disease - having an
arn. calc. Kali-ar. Lac-c. lach. Nat-c.

MIND - FEAR - heart - disease of the heart - night
arn.

MIND - FEAR - heart - disease of the heart - organic disease; of
Apis Aur. calc. Spong.

MIND - FEAR - heart - disease of the heart - stop; heart will
GELS. lac-c. lach.

MIND - ANXIETY - heart; about his
maias-l. ol-an. phos. samb. stroph-xyz.

MIND - ANXIETY - health; about - own health; one's
Acon. . AGAR. Arg-met. ARG-N. arn. ARS. Ars-h. Aur-m. bar-c. Calad. Calc. calc-ar. calc-f. Calc-p. calc-sil.. carc. Chinin-ar . Cocc. . grat.. ign. KALI-AR. Kali-br. Kali-c. kali-n. kali-p. Kali-sil. Lil-t. lob. Lyc. . Med nat-m. nat-p. NIT-AC. nux-m. nux-v. Ph-ac. PHEL. PHOS. Psor. Puls. sel. Sep. Syph.

CHEST - ANXIETY in
ACON. . Agath-a. . Apis . arg-n. arn. ARS. Ars-i. AUR. aur-ar. Aur-m. . brom. Bry. Cact. CALC. calc-i.. Camph. . Carb-v. carbn-s. caust. Cench. Chel. . Colch. con. cop. crot-t. cupr. Cupr-act. . Dig. . Graph. . Guare. Ip. . Kali-ar. kali-bi. kali-c. kali-cy. kali-n. kali-p. Kali-s. Kreos. . lipp. Lob. Lyc. . M-aust. . med. MERC. mosch. Nat-ar. Nat-c. nat-m. Nit-ac. Nux-v. ph-ac. PHOS. plat. Plb. positr. Psor. Puls. Ran-b. rhus-t.. Spig. spong.. Sulph. . Ther. Zinc.

CHEST - ANXIETY in - Heart, region of
ACON. adon. Aeth. Ambr. Aml-ns. anac. ANT-T . Arg-n. arn. ARS. Ars-i. AUR. aur-ar. aur-i. Aur-m. BELL . Brom. Cact. Calc. calc-i. CAMPH. Canth. CARB-V. Carbn-o. Carbn-sCaust. CENCH. Cham. . Cocc. Coff. colch. Con. croc. Crot-c. Cupr. Dig. Euon. Ferr. Ferr-i. ferr-p. Gels. Glon. . Helo-s. . IGN. indg. Iod. IP. kali-c. kali-m. KALM. Kreos. Lach. lachn. Lact . Lyc . MENY. Merc. Merc-c. . mosch. Naja nat-m. nat-s. nit-ac. Nux-v. . PHOS. Plat. Plb. pneu. Prun. . Psor. Puls. Rhus-t. . Spig. Spong. . Tab. Tarent. THER. thuj. Verat.

MIND - ANXIETY - fear; with
ACON. aeth. Alum. alum-p. am-c. Am-m. ANAC. Androc. ARS. ars-s-f. Aur. aur-ar.. Bar-c. bar-s.. Calc. calc-ar.. Canth. . Carb-v. Carc. CAUST. . Chin. chinin-ar. Chinin-s. Cocc. Coff. . Cupr. Dig. . Graph. Hep. . IGN. . Kali-ar. Kali-c. kali-i. kali-n. Kali-p. kali-s. kali-sil. Kreos. lachLyc. m-arct. Mag-c. Merc. . Nat-m . Nit-ac. nux-v. Phos. Plat. . PSOR. Puls. Rhus-t. SEC. Sep. sil. Spig. spong.. Stront-c. . Verat. .

MIND - AILMENTS FROM - anxiety
aur. calc. calc-p. carc. cimic. cocc. hyos. ign. kali-p. lyc. nit-ac. op. ph-ac. RUTA samb. SIL. Spong. staph.

MIND - AILMENTS FROM - anxiety - prolonged; from
aur. carc. pic-ac.

MIND - HYPOCHONDRIASIS
Ambr. Anac. . Ant-t. arg-met. Arg-n. arn. ARS. Asaf. AUR. aur-m. aur-s. aven. bell. BENZ-AC. . bry. CACT. Calc. Cann-s. canth. Caps. caust. Cham. chin. Cimic. Cocc. coff. CON. croc. cupr. Cycl. gels. gran. Graph. Grat. . Hep. . Hyos. IGN. Iod. Ip. kali-br. kali-c. kali-chl. Kali-p. Lach. Lyc. lycps-v. MAG-M d. MEZ. Mill. mosch. naja NAT-C. NAT-M. NIT-AC. NUX-V. Ol-an. op. Petr. Ph-ac. Phos. . PULS. rhus-t. Sel. seneg. Sep. Spong. Stann. Staph. Sulph. sumb. SYPH. tab. tarent. Ter. thuj. tub. v-a-b. Valer. . Viol-o. Zinc. Zing.

NOTE: The abbreviation of the above mentioned remedies are the standard abbreviations as mentioned in standard repertories.

References:

1. Walter J Coville and others: Abnormal Psychology, Published by Barnes and Noble, New York.
2. Edward C Whitmond, Psyche and Substance, Published by B Jains, New Delhi.
3. J P S Bakshi, Manual of Psychiatry, Published by Cosmic Healers, Pvt Ltd, India.
4. Cornelia Richardson-Boedler, Psychosomatic Illness, Published by B jains (P) Ltd, N.D.
5. Proceedings of the Royal College of Physicians of Edinburgh on Psychosomatic Illness, on April, , 5, 1995.
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