Gastrointestinal Diseases

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Gastrointestinal Diseases

• Presented by
• Maureen Horne-Paul N.D.
• Heel Canada

2
Multifactorial Causes of GI Disease
Toxins
Nervous
Infections
Endocrine
Genetic Influence
3
Diverse Approaches to Treatment
Homotoxicological Strategy
Psychological Balance
Diet
Vitamins Minerals
Lifestyle Modification
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(No Transcript)
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The Six Phase Table

• Subdivided into three blocks
• Each block has two phases

• Humoral phases
• Excretion
• Inflammation

• Matrix phases
• Deposition
• Impregnation

• Cellular phases
• Degeneration
• Dedifferentiation

6
The Humoral Phases

• Intracellular systems are not disturbed
• Defensive system is intact
• Homotoxins can be easily drained
• Inflammation plays a key role

7
Excretion Phase

• Bodys attempt to rid itself of toxins
• External or exocrine secretion of a product to
  the outside
• Drainage by means of bonding, dispersion, or
  dissolving the contaminants in secretory products

8
Excretion Phase

• Treatment strategy
• Open the emunctories
• Avoid creating blockades to healing
• Support excretion with constitutional therapy
  (singles, nosodes)
• Dietary support

9
Gastroesophageal Reflux

• Symptoms
• Heartburn 30-60 min after eating
• Worse lying down, increased abdominal pressure,
  better sitting upright
• Nocturnal regurgitation, cough, dyspnea,
  aspiration

10
Gastroesophageal Reflux

• Differential diagnosis
• Angina pectoris
• Myocardial infarction
• Gastroduodenal ulcer
• Esophagitis/esophageal ulcer
• Complications
• Esophagitis, stricture, esophageal ulcer

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Gastroesophageal Reflux

• Conventional treatment
• Antacids
• Histamine H2-receptor antagonists
• Proton pump inhibitors
• Gastrointestinal stimulants
• Surgery

12
Gastroesophageal Reflux

• Naturopathic Treatment
• DGL (deglycerrhinated licorice)
• Hypoallergenic diet (alkaline)
• Appropriate digestive enzymes
• Probiotics
• Demulcent herbs-althea, plantago, etc
• Stress management

13
Gastroesophageal Reflux
Basic Remedy Traumeel
Drainage remedy Lyphosot
Tissue remedy Endoteel
Homaccord remedy Nux vomica-Homaccord
Symptomatic remedy Spascupreel Astricumeel
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Nausea and Vomiting

• Causes can include
• Irritation, inflammation, motility disorder,
  mechanical disturbance at any level of GIT
• Hepatobiliary and pancreatic disorders
• CNS disorders increased ICP, stroke, migraine,
  infection, toxins, radiation sickness
• Labyrinthine disorders motion sickness,
  infection, Menieres syndrome
• Endocrine disorders diabetic acidosis,
  adrenocortical crisis, pregnancy, lactic acidosis

15
Nausea and Vomiting

• Genito-urinary disorders uremia, infection,
  obstruction
• Cardiovascular disorders acute MI, CHF
• Drugs morphine, meperidine, excess alcohol,
  anaesthetics, chemotherapy, etc.
• Psychological disorders reaction to
  pain/fear/displeasure, chronic anxiety reaction,
  anorexia, bulemia, psychosis

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Nausea and Vomiting

• Complications
• Fluid and electrolyte disturbances
• Aspiration of vomitus
• Gastroesophageal tears
• Malnutrition
• Post-emetic rupture of the esophagus

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Nausea and Vomiting

• Conventional Treatment
• No intervention in mild, self-limiting cases
• Anti-emetics
• Fluids/electrolytes in severe cases (hospital)
• Sedatives
• Antihistamines
• Phenothiazines
• Metoclopramide
• Tetrahydrocannabinol (very helpful in cancer
  patients)
• Psychotherapy

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Nausea and Vomiting

• Naturopathic Treatment
• Homeopathy-ipecac, nux, puls, tabacum
• Ginger, peppermint
• Light foods
• Increase water intake
• Treat the cause

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Nausea and Vomiting
Basic Remedy Vomitusheel
Drainage remedy Lyphosot
Tissue remedy Endoteel
Homaccord remedy Nux vomica-Homaccord
Symptomatic remedy Veratrum-Homaccord Astricumeel

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Diarrhea

• Increase in frequency, fluidity, and volume of
  BMs (gt200g/d of stool excreted)
• Normal function varies between individuals
• Several types
• Diagnosis made on basis of history and physical
  exam, as well as stool culture

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Diarrhea

• Types of Diarrhea
• Osmotic
• Secretory
• Exudative disease
• Impaired contact between bowel surface and chyme
• Disease of left colon or rectum

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Diarrhea

• Causes
• Psychogenic
• Drugs
• Viral or bacterial infection
• Bacterial toxins
• Parasitic infection
• Other intestinal factors
• Cholestatic syndromes
• Malabsorption

• Pancreatic disease
• Reflex from other viscera
• Neurological disease
• Metabolic disease
• Immunodeficiency
• Malnutrition
• Dietary factors
• Food allergy
• Factitious/unknown

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Diarrhea

• Naturopathic Treatment
• Treat the cause-bacterial, viral, other
• Probiotics
• BRAT diet
• Rule out food allergies
• Fiber
• Stress management, mental/emotional

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BRAT diet

• Bananas
• Rice
• Applesauce
• Toast

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Diarrhea
Basic Remedy Areel
Drainage remedy Lyphosot
Tissue remedy Endoteel
Homaccord remedy Veratrum-Homaccord
Symptomatic remedy Spascupreel
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Inflammation Phase

• Illnesses are characterized by exudative
  inflammation, expulsion of toxins
• Accelerated draining of homotoxins from the body
  via capillary system and vascular connective
  tissue activation
• Production of annoying symptoms such as fever,
  pain, swelling, discharges
• Controlled by nerve impulses and hormones

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Inflammation Phases

• Treatment strategy
• Facilitate elimination of toxins via the
  emunctories (Ki, skin, GIT, uterus)
• Modulation and support of the immune system if
  necessary
• Dietary measures

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Acute Gastroenteritis

• Symptoms
• Anorexia, epigastric fullness, easy satiety
• Nausea, vomiting, upper GI bleeding
• If 2 to infection/bacterial toxins, may see
  diarrhea, chills, fever, headache, dehydration
• Epigastric tenderness

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Acute Gastroenteritis

• Labs
• May be normal or reflect underlying disease
• Special examinations
• Endoscopy (if acute upper GI hemorrhage)
• Barium swallow if indicated

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Acute Gastroenteritis

• Differential diagnosis
• Peptic ulcer
• Neoplasm
• Cholecystitis
• Esophageal spasm
• Angina pectoris
• Pancreatic disease
• Psychological gastrointestinal disorders

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Acute Gastroenteritis

• Conventional treatment
• Remove offending agent
• Stress reduction
• Probiotics
• BRAT diet
• Antibiotics

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Naturopathic Treatment

• BRAT diet
• Probiotics
• Water
• Treat causative factors
• Fiber
• L-glutamine, rice-based medicinal food (if
  long-standing)
• Demulcent herbs

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Acute Gastroenteritis
Basic Remedy Areel
Drainage remedy Lyphosot
Tissue remedy Endoteel
Homaccord remedy Veratrum-Homaccord
Symptomatic remedy Spascupreel
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Types of Gastritis and Remedies

• Erosive
• Traumeel
• Corrosive
• Endoteel
• Drug-induced
• Astricumeel

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Chronic Gastritis Remedies

• Autoimmune
• Echinacea compositum
• Bile reflux
• Nux vomica-Homaccord
• Geriatric
• Endoteel
• Eosinophillic
• Luffeel

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Cholecystitis

• Signs and Symptoms
• Steady, severe pain and tenderness in the right
  hypochondrium or epigastrium
• Nausea and vomiting
• Jaundice
• Fever
• Usually associated with gallstones
• Occurs when stone lodged in cystic duct causing
  inflammation behind the obstruction
• Can become medical emergency

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Cholecystitis

• Conventional Treatment
• Antibiotics
• Analgesics
• IV feeds if severe or very mild oral diet
• Surgery

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Naturopathic Treatment

• Homeopathy
• Botanicals
• Acupuncture
• Hydrotherapy
• High fiber, low fat diet
• Lipotrophic agents, silymarin

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Cholecystitis
Basic Remedy Chelidonium Homaccord
Drainage remedy Hepar Compositum Lyphosot
Tissue remedy Endoteel
Homaccord remedy Belladonna-Homaccord Chol-Heel
Symptomatic remedy Spascupreel Nux
vomica-Homaccord
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The Matrix Phases

• Homotoxins deposited into extracellular
  matrix/incorporated into cells
• Structural components/functions of the matrix
  changed
• Decreased ability of the matrix to detoxify

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Deposition Phase

• Failure of both excretion and inflammatory
  mechanisms
• Toxins are inactivated but not eliminated
• Toxins accumulate in connective tissue/ matrix,
  cell function intact
• Mucous membrane hyperplasia, hepato/splenomegaly,
  hyperkeratosis
• Symptoms due to compression or expansion of
  tissues

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Deposition Phase

• Treatment strategy
• Reduction of toxins entering the body
• Open the emunctories
• Detoxification of the matrix
• Gastrointestinal support
• Activation/support of the immune system to cause
  effective reaction phase

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Constipation

• Diagnosis
• History is very important
• If no obvious cause (tumors, stricture, etc) and
  patient does not respond to simple measures may
  need further workup
• ? Motility disorder, obstruction, metabolic
  disorder

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Constipation

• Causes
• Dietary factors
• Physical inactivity
• Pregnancy
• Advanced age
• Drugs
• Metabolic abnormalities

• Endocrine abnormalities
• Lower bowel abnormalities
• Neurogenic abnormalities
• Psychogenic disorders
• Chronic enema use

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Constipation

• Conventional Treatment
• Re-establish normal bowel habits
• Diet
• Adequate food volume
• Adequate bulk/vegetable irritants
• Adequate fluids
• Laxatives
• Enemas

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Naturopathic Treatment

• Treat the cause
• Diet-high fiber (soluble and insoluble),
  hypoallergenic if appropriate
• Probiotics
• Wean off laxatives
• Water (and lots of it)
• Magnesium
• Exercise
• Retrain bowel

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Constipation
Basic Remedy Nux vomica-Homaccord
Drainage remedy Lyphosot
Tissue remedy Hepar Compositum Endoteel
Homaccord remedy Nux Vomica-Homaccord Graphites-H
omaccord
Symptomatic remedy Spascupreel
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Impregnation Phase

• Invasion of the interior of the cell by
  homotoxins or retoxins (risk for AI disease)
• Homotoxins may be dormant or have a local focus
  of inflammation
• Disruption of the function of tissues, organs,
  cell membrane due to matrix overload
• Failure of self-regulating mechanisms

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Impregnation Phase

• Treatment strategy
• Open the emunctories
• Reduction of toxin load
• Facilitate detoxification
• Activation and removal of any pharmacological
  toxins
• Support intracellular function

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Anal Fissure

• Passage leading from the anorectal canal usually
  opening through the skin near the anus
• Acute pain during and after defacation
• Bright red blood in stool
• Tendency to constipation due to fear of pain
• Formation of sentinel pile, anal spasms

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Anal Fissure

• Conventional Treatment
• Bulking agents
• Sitz baths
• Topical silver nitrate or gentian violet
• Anal suppositories (Anusol, etc.)
• Surgical excision

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Anal Fissure

• Naturopathic Treatment
• Sitz bath
• High fiber diet-soluble gtinsoluble
• Homeopathy
• Botanicals

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Anal Fissure
Basic Remedy Echinacea Compositum Traumeel
Drainage remedy Lyphosot
Tissue remedy Hepar Compositum Endoteel
Symptomatic remedy Spascupreel Paeonia-Heel Vibu
rcol po or pr
Homaccord remedy Nux vomica-Homaccord
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Ulcerative Colitis

• Signs and Symptoms
• Can be mild to severe
• Diarrhea, up to 10-25 BM per day
• Blood and mucous in stool, may occur without
  feces
• Rectal tenesmus, anal incontinence
• Cramping, lower abdominal pain

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Ulcerative Colitis

• Anorexia, malaise, fatigue, weakness
• Remissions and exacerbations
• Fever, weight loss, toxemia vary with severity of
  the disease
• Mild abdominal tenderness, gas, bloating
• Perianal irritation, fissure, hemorrhoids
• Uncommonly, fistula and abscesses

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Ulcerative Colitis

• Labs
• Hypochromic, microcytic anemia
• Neutrophillic leukocytosis in acutes
• ESR elevated
• Hypoproteinemia
• In severe disease, electrolyte disturbances
• Sigmoidoscopy/colonoscopy usually diagnostic

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Ulcerative Colitis

• Conventional Treatment
• Antimicrobials
• Cortisone enemas and po Prednisone
• Sulfasalazine (other 5'ASA derivatives)
• Imuran (immunosuppressant)
• Surgery
• Diet (usually not considered important)

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Ulcerative Colitis

• Naturopathic Treatment
• Hypoallergenic diet
• Probiotics
• Antifungals
• Anti-inflammatories
• Rice-based medicinal foods

• L-glutamine
• Fiber
• Fish oils and other EFAs
• Homeopathy
• C, E, Zn, A

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Ulcerative Colitis
Basic Remedy Nux vomica-Homaccord
Drainage remedy Lyphosot Galium-Heel
Tissue remedy Endoteel
Symptomatic remedy Spascupreel Areel Cruroheel
Traumeel
Homaccord remedy Cinnamomum-Homaccord Veratrum-Ho
maccord
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The Cellular Phases

• The intracellular systems in the cell are
  increasingly destroyed
• The bodys defense system is no longer able to
  drain the toxins from the cells and the matrix
• Loss of regulatory function of cells, tissues,
  and matrix

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Degeneration Phase

• Deep alteration of organ structure and function
• Altered intercellular enzymatic function
• Inability of cells to detoxify
• Ongoing toxin accumulation at tissue and cellular
  levels
• Body attempts to maintain life as long as
  possible

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Degeneration Phase

• Treatment strategy
• Emunctory activation and drainage
• Stimulation of detoxification of most affected
  organ
• Activation of specific defenses against the basic
  illness with nosodes
• Stimulation of cellular detoxification

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Hemorrhoids

• Causes
• Portal hypertension
• Pregnancy
• Sitting too long
• Straining at stool
• Anal infection

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Hemorrhoids

• Clinical findings
• Rectal bleeding, protrusion, vague discomfort
• Mucoid discharge from rectum
• Anal pain

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Hemorrhoids

• Complications
• Pruritis
• Incontinence
• Recurrent protrusion requiring surgical treatment
• Infection, ulceration
• Fissure
• Prolapse and strangulation
• Secondary anemia due to blood loss

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Hemorrhoids

• Conventional Treatment
• High fiber diet
• Non-irritating laxatives
• Sitz baths
• Shark oil suppositories (Preparation H)
• Manual reduction
• Surgical excision

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Hemorrhoids

• Naturopathic Treatment
• High fiber diet (soluble gt insoluble)
• Probiotics
• Homeopathy
• Botanicals
• Sitz baths
• Liver detoxification to relieve portal congestion
• Unscented baby wipes

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Hemorrhoids
Basic Remedy Hamamelis-Homaccord
Drainage remedy Lyphosot
Tissue remedy Endoteel Hepar compositum
Symptomatic remedy Paeonia-Heel Aesculus
Compositum
Homaccord remedy Apis-Homaccord Nux
vomica-Homaccord
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Duodenal Ulcer

• Signs and Symptoms
• Chronic, periodic epigastric distress within 1
  hour of eating
• Gnawing, burning, aching pain which may radiate
  below costal margin, to back, or rarely to right
  shoulder
• Increased gastric acid secretion
• Ulcer crater IDd on endoscopy or barium swallow
• May be precipitated by physical or emotional
  stress, trauma, infection

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Duodenal Ulcer

• Differential Diagnosis
• With typical symptoms, diagnosis usually
  straightforward
• Functional gastrointestinal disease
• Gastritis
• Gastric carcinoma
• Irritable bowel syndrome

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Duodenal Ulcer

• Complications
• Treatment failure
• Hemorrhage
• Perforation
• Penetration
• Obstruction

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Duodenal Ulcer

• Conventional Treatment
• Antacids, H2 antagonists, sucralfate
• Anticholinergics
• Proton pump inhibitors
• Surgery (if perforation or obstruction)

73
Duodenal Ulcer

• Naturopathic Treatment
• Alkaline diet, no spices, tomatoes, citrus, other
  irritating foods
• Deglycerrhinated licorice, other demulcent herbs
• Homeopathy
• L-glutamine, gamma-oryzanol
• Fresh cabbage juice

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Duodenal Ulcer
Basic Remedy Duodenoheel Astricumeel Anacardium-
Homaccord
Drainage remedy Galium Heel Hepar
Compositum Ubicoenzyme
Tissue remedy Endoteel Hepar compositum Hepeel
Symptomatic remedy Spascupreel Chelidonium-Homacc
ord Nux vomica-Homaccord
Homaccord remedy Cinnamomum-Homaccord Nux
vomica-Homaccord Graphites-Homaccord
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Diverticulosis

• More frequent with advancing age
• Most common in sigmoid colon, other high pressure
  areas of the gut
• Never in the rectum
• Inflammation in 10-20 of patients

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Diverticulosis

• Signs and Symptoms
• Constipation usual, may be diarrhea
• LLQ pain and tenderness gt BM, may be severe and
  steady
• Occult blood in 20 of cases
• Inflammation ranges from mild infiltration to
  extensive changes with abscess formation and/or
  perforation

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Diverticulosis

• Complications
• Diverticulitis with perforation of the
  diverticulum
• Peritonitis
• Abscess formation
• Bladder involvement (frequency and dysuria)
• Fistula

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Diverticulosis

• Differential diagnosis
• Colorectal cancer

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Diverticulosis

• Conventional Treatment
• High fiber diet
• Bulking agents
• Stool softeners
• Anticholinergics
• Antibiotics
• Surgery in severe cases

80
Diverticulosis

• Naturopathic Treatment
• Probiotics
• Homeopathy-arg nit, met alb, coloc
• Vit A, C, zinc
• Botanicals
• Rice-based medical foods

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Diverticulosis
Basic Remedy Echinacea Compositum
Drainage remedy Lyphosot Ubicoenzyme
Tissue remedy Endoteel
Symptomatic remedy Spascupreel
Homaccord remedy Nux vomica-Homaccord
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Dedifferentiation Phase

• Proliferation of undifferentiated,
  non-specialized cell forms
• Loss of cell specificity and function
• Loss of oxidative energy, glycolysis dominates
• Malignant diseases at the end of this phase
• Progression of tumor growth may be associated
  with emunctory function

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Dedifferentiation Phase

• Treatment strategy
• Emunctory stimulation and activation
• Lyphosot, Berberis-Homaccord, Nux
  vomica-Homaccord, Galium-Heel
• Stimulation of psychophysical reactivity
• Constitutional compound remedy (Sil, S, Phos,
  Calc carb)
• Decrease toxin load
• Dietary measures

84
Dedifferentiation Phase

• Treatment Strategy cont
• Inhibition of proliferation at cellular level
• Viscum album, colchicum, etc.
• Specific inhibition of neoplasm
• Tumor-specific single remedy
• Anti-neoplasic nosode stimulus
• Stimulation of cellular detoxification
• Re-initiation of cellular enzyme function

85
Basic Therapy
Homaccord
Acute Phase
Compositum
Structure
86
Anacardium-Homaccord
Duodenal ulcers related to psychological stress

• Anacardium (D8/10/30/2000)
• gastric spasm and pain, ulcer
• depression due to stress
• Ipecac (D6/10/30/200)
• nausea, gastritis, irritability
• Iodum (D30/200/1000)
• chronic gastritis, pancreatic diseases, stress

Stomach Duodenum

• Inner conflict,anguish, worry
• Stress-related gastritis, IBS
• Stomach ache lt empty gt eating

87
Nux vomica-Homaccord

• Bryonia (D2/6/10/30/200)
• gastric heaviness, dyspepsia,
• chronic liver disease, constipation
• Colocynthis (D5/10/30/200)
• abd colic, irritability, diarrhea
• Lycopodium (D5/10/30/200)
• flatulence, liver disease
• Nux Vomica (D4/10/15/30/200/1000)
• intoxication, abd spasm, irritability,
• constipation

• Esophagitis
• Gastritis
• Toxic hepatitis

• Acute intoxication
• Lifestyle change
• Attitude change
• Addiction

Liver Duodenum
88
Berberis-Homaccord
Adrenal support Kidney drainage Liver,
gallbladder, urinary tract inflammation

• Berberis D2/10/30/200
• painful, acute inflammation
• kidney drainage
• Colocynthis D3/10/30
• biliary colic, spasm
• Veratrum D10/30/200
• colic with vomiting and diarrhea
• cramping

Biliary tract, Kidneys, Adrenals
89
Chelidonium-Homaccord
Hepatitis Jaundice Cholecystitis Biliary colic

• Chelidonium (D10/30/200)
• cholecystitis, spasm, inflammation
• Belladonna (D10/30/200/1000)
• inflammation, spasm, heat sensation
• Fel tauri (D10/30/200)
• detoxification of liver, cholecystitis,
• cholangitis
• duodenal/gastric ulcer, pancreatitis

Biliary Ducts
90
Constitutional Outline of Diarrhea and
Constipation
Endoteel
Areel
Anacardium-Homaccord
DIARRHEA
P
Sil
Calc
CONSTIPATION
S
Nux vomica-Homaccord
Hepeel
Hepar Compositum
91
Remedies Acting on the Biliary Ducts
Chelidonium- Homaccord
Berberis- Homaccord
Chol-Heel
92
Chol-Heel
Chronic liver/gallbladder disease Cholecystitis He
patic damage

• Lycopodium D30/200/1000
• liver/ bile duct/ gallbladder diseases,
  cholesterol
• Taraxacum D30/200
• chronic liver disease, dyspepsia, portal
  congestion
• Veratrum D30/200
• fever, diarrhea, vomiting, collapse

• Belladonna D30/200/1000
• anti-inflammatory
• Calc carb D30/200
• flatulence, biliary colic
• Cardeuus marianus D30/200
• constipation/diarrhea, liver protective, colic
• Chelidonium D30/200
• gallbladder colic, jaundice with itching

Liver Biliary Tract
93
Basic Compound Remedies
Metabolic disease

• Hepar Compositum
• Global digestive stimulation
• Tendency to constipation
• Enhances liver metabolism
• Liver drainage

Fatty Liver Liver Insufficiency
HEPAR COMPOSITUM
94
Hepar Compositum
Detoxification via liver drainage China,
lycopodium, chelidonium, carduus marianus,
taraxacum, cynara, calc carb, sulphur
Cellular Respiration Alpha-lipoic acid, NAD
Digestion/Anti-inflammatory Cholesterinum,
histaminum
95
Basic Compound Remedies
Degenerative disease

• Endoteel
• Anti-degenerative
• Stimulating activity on the entire digestive
  mucosal surface
• Tendency to diarrhea
• Specific action on the pancreas

Mucosal Problems
ENDOTEEL
96
Endoteel
Detoxification/Constitutional Berberis, sulphur,
phosphorus, silicea
Mucosal Tissue Support Euphrasia, euphorbium,
Anti-inflammatory Belladonna, argentum nitricum,
carbo veg, sulphur, graphites
97
Esophageal Diseases

• Functional pathology
• Nux vomica-Homaccord
• Inflammatory pathology
• Traumeel
• Degenerative pathology
• Endoteel

98
Intestinal Diseases

• Functional pathology
• Nux vomica-Homaccord
• Inflammatory pathology
• Traumeel
• Degenerative pathology
• Endoteel, Pulsatilla compositum

99
Anorectal diseases

• Vascular pathology
• Aesculus compostium
• Inflammatory pathology
• Paeonia-Heel
• Connective tissue pathology
• Pulsatilla compositum

100
GI Symptomatic Remedies

• Usually given orally
• Alternative to pharmaceuticals
• Prescribed on the basis of particular symptoms as
  well as a specific diagnosis

101
GI Symptomatic Remedies

• Hepeel Liver
• Astricumeel Gastro-duodenal
• Areel Colon
• Paeonia-Heel Rectum

102
Hepeel
Functional liver disorders Nux moschata, china,
phos
Liver detoxification Lyc, phos
Liver damage, cholecystitis, cholangitis
Cardeuus, chelidonium, colocynthis
103
Hepeel

• Lycopodium, Nux mochata
• Flatulence, chronic liver insufficiency
• Cardeuus marianus
• Liver damage, portal congestion, biliary colic,
  hemorrhoids
• Chelidonium
• Biliary colic, pain right shoulder
• China, Phosphorus
• Slow digestion, diarrhea tendency, parenchymal
  damage
• Colocynthis
• Colic, stabbing pains

104
Astricumeel
Acute and chronic gastritis, mucosal damage Arg.
nit
Reflux, hyperacidity, nausea, inflammation Ant
crud, carbo veg, robina, ip, bell
Gastric ulcer, dyspepsia, alcohol abuse Arg nit,
puls
105
Astricumeel

• In addition, can be combined with
• Spascupreel, Cardiacum-Heel anginal disorders
• Duodenoheel duodenal ulcer
• Veratrum-Homaccord gastroenteritis
• Hepeel liver disease
• Chelidonium-Homaccord cholangitis
• Nux vomica-Homaccord spasmodic constipation
• Areel dyspepsia, diarrhea

106
Areel
Diarrhea with any condition, anti-inflammatory
Normalize gut ecology
Liver, gallbladder, small intestine,
colon, pancreas
107
Cholangitis Cholecystits
Diarrhea
Hepatopancreatic disorders
Intestinal parasites
Areel
Bowel toxin elimination
Colitis Dysentery Food poisoning
108
Areel

• Elimination of homotoxins formed through
  fermentation and putrefaction in the small
  intestine
• Any condition with accompanying diarrhea
• Colitis, dysentery, intestinal parasites, food
  poisoning
• Hepatopancreatic disorders, cholangitis,
  cholecystitis

109
Paeonia Heel
Hemorrhoids Paeonia, hamamelis, sulphur
Constipation Nux vomica, graphites
Anal Fissure Nitric acid
110
Gastrointestinal System
111
Thank your for your attention!