Dear Sirs, I had DVR (double valve replacement) back 2004, (now I am 35 years old )since then I'm on medications warfarin, aspirin and benzathin penicillin, everything was going well.Since Nov 2010 every winter i have been suffering from pleural effusion. When I was diagnose with pleural effusion it was cured by steroids and ATT drugs, afterwards 2012 and 2013 and 2014 it was mild effusion but painful, some of doctors saying its kind of CHF even some of saying it is due to TB. This time i mean 2014-2015 i wanted to try with homoeopathic medicines and visited a nearby physician he gave me Bryonia and aconite, later he keeps bryonia continue and aconite replace with sulphur, since it is about two months but no significant improvement. Could anybody out there help me and advise some homoeopathic medicine or Ayurvedic treatment?