NEOPLASM HOMOEOPATHIC APPROACH

1
NEOPLASM HOMOEOPATHIC APPROACH

• Presentation by
• Dr. Shivaprasad K
• Prof H.O.D
• Organon of Medicine Hom.Philosophy
• Fr.Muller Homoeopathic Medical College,
  Deralakatte, Mangalore

2
Homoeopathic concept

• Cancer falls under the category of chronic
  diseases. By definition of chronic disease, it is
  a derangement of the vital force, with an
  insidious onset and a gradual progress, during
  which the vital force disease if not treated
  adequately, eventually ends with the death of the
  patient.
•  
• The derangement occurs first at the general
  level. The individual susceptibility will
  predispose the individual to the disease proper
  in general, while the weakness or sensitivity of
  a particular part / viscous / system will lead to
  localization of the disease in particular.  
• The derangement proceeds from the functional to
  the structural level.  

3
Diseases with few symptoms( One sided diseases)

• Having External Complaints
• ( Local Maladies)
• Surgical ???
• Non Surgical ???

4
Carcinogenesis

• This process can be best studied under the
  following headings.  
• Predisposition  
• Disposition  
• Diathesis  
• Disease  

5
Pre
Family History Past History
Family
Syphilitic
D i s p o s i t i o n
Events
Work
CONSTITUTION Psychological, Functional and
structural plan of organization revealed through
a Pattern made by various characteristics and
responsiveness to environmental factors Physical
Society
Tubercular
Diathesis
Sycosis
Exaggerated constitution in precarious balance
Events
Psora
Disease
Definite Nosological state.
6
The role of homoeopathy for cancer

• It can improve the vitality and general sense
  being of the patient
• It can help a great deal as pain-killing measure
• It can help stop spreading the disease process
  (metastasis) and its likely complications to
  certain extent
• Can help other symptom and secondary effects,
  such as ascites, infections, vomiting, etc.

7
The role of homoeopathy for cancer

• 5. It can help alleviate certain side effects of
  modern medicines, radiation, etc. if any.
• 6. However, you can not expect a cure of cancer
  completely.
• 7. Homoeopathy helps cancer patients at various
  stages and its complementary role is indicated.

8
Management

• Homoeopathy by itself is effective in a selected
  number of cases, while other cases indicate both
  allopathic and homoeopathic treatment. In these
  latter cases homoeopathy can also do a great deal
  to help the patient.
• An experienced homoeopathic doctor together with
  a oncologist should discuss the possibilities of
  treatment and find an optimal way to benefit the
  patient. This is what we wish for the future.

9
Management

• There is a lot of anxiety and fear once the
  diagnosis of cancer is made, which leads to a
  kind of hopelessness.
• It is significant that this kind of fear and
  pessimism lies not only with the patient, but
  also with the doctors!
• There is a realistic fear in accordance to the
  situation, but beyond that (according to the
  theory of chronic diseases by Hahnemann) a fear
  and anxiety that is not realistic.
• It is a symptom of Psora (only to be understood
  by homoeopaths) and it shows the weakness of the
  patient (as well as the weakness of the doctor)

10
Management

• In Burnett's theory many events and trauma must
  have occurred before cancer develops. These
  include physical traumas, infection, vaccination,
  the life-situation of the patient, all events
  that affect the constitution of the patient. He
  carefully selects one remedy after the other,
  describing treatment as a ladder which requires
  several remedies. In selecting the remedies he
  also insists on the theory of Hahnemann (Organon
  and Chronic Diseases).
• Burnett gives insights on how he learned to treat
  the more difficult cases and it is interesting to
  see that he uses mainly low potencies and seldom
  high ones. Organic manifestations often need low
  potencies.

11
Management

• Allopathic medicine and homoeopathy should work
  together to find an optimal way in each cancer
  case. The possibility to work with homoeopathy in
  cancer depends upon a certain level of
  homoeopathic skills and requires not only correct
  use of the remedies, but also correct potencies
  and a proper evaluation of the remedy action.
• The art of medicine professes to restore the
  sick to health, to ward off the disease from the
  healthy and those who have a tendency to disease
  and in case of disease where cure is no longer
  possible, to palliate suffering and prolong the
  term of life.

12
Fundamental Principles of Long term Management

• When it come to interpreting long-term changes
  during homoeopathic prescribing, the individual
  variations from patient to patient become
  complex.
• The general principles apply to all cases at all
  times, although to varying degrees depending upon
  the security of the case.
• In a patient with strong defense mechanism, the
  basic principles of evaluating the direction of
  cure are highlighted very clearly.
• When the defense mechanism is very weak and
  tenuous however the principles are not to clearly
  manifest.

13
Chronic patients can be established under three
basic categories

•    Patients with only one or two layers of
  disease predisposition
• In this category the defense mechanism was
  strong until the onset of the disease.
• These diseases are all curable. Such cases will
  have parents in relatively good health.
• These patients will usually be found to have
  lived relatively healthy and emotionally balanced
  lives. 

14
Chronic patients can be established under three
basic categories

•         Patients with more than two layers of
  miasmatic predisposition
• These patients represent considerably greater
  difficulty. The patients hereditary history
  shows many chronic diseases, long history of
  allopathic treatment with powerful drugs,
  patients life has always been full of anxieties
  fear and nervousness

15
Chronic patients can be established under three
basic categories

•         An incurable patient, in which cure is
  practically impossibility and palliation is the
  only goal.
• Their defense mechanisms are so weak that typical
  curative reactions are impossible.
• In such cases relapses occur very quietly and
  frequently. When they occur the remedy image is
  almost certainly changes.
• If skin eruptions or discharges occur, they are
  unlikely to be accompanied by real amelioration
  on deeper level of the patients. The sufferings
  can be very severe.

16
An incurable patient, in which cure is
practically impossibility and palliation is the
only goal.

• Some prescriptions become necessary in such
  cases.
• In incurable cases, the return of old symptoms is
  usually not observed.
• Incurable cases have a chance to survive in
  relative comfort for many years depending upon
  the prescription and original severity of the
  condition.
• Their manifestations rarely follow the
  traditional directions o curative response.

17
The law of palliation

• The law of similars is the fundamental law which
  is also in the palliation of incurable states.
• When we are facing incurable conditions the
  administration of the similar remedy almost
  always ameliorates the situation, for at least
  three to four days and usually for a longer
  period. Then we may have a return of the
  symptoms, when the indicated remedy will be
  called into use again.

18
The law of palliation

• Sometime one symptom or set of symptoms
  predominates and become the annoying,
  troublesome, disagreeable symptom-complex.
•         In this condition we must retake the
  case and reexamine the remedy that we have been
  using, to see if it corresponds with the disease
  condition.
• If the similarity exists in these
  especially troublesome manifestations, these
  patients can be made much more comfortable

19
The law of palliation

• Insomnia
• Pain
• Alteration of Symptoms depending on seasons /
  Sides / Organs
• Alternating phases or series of symptom groups

20

• Circumstances arise occasionally which make it
  necessary, temporarily for the homoeopathic
  physician to use drugs in physiological doses
  for their palliative effect.
• Although the ruling principle of his medical life
  is cure by symptom-similarity, and that end is
  always held in view as an ideal, he is not
  thereby forbidden the use palliative measures in
  cases where they are appropriate and necessary.
• Hahnemann admits the utility and necessity of
  resorting to palliation in certain emergencies.
• ( In a note to paragraph 67)

21
Miasmatic Approach to cancer

• Cancer is but a manifestation of mixed
  miasmatic state in most cases. Cancer is
  developed due to hereditary or acquired (from
  uncured and maltreated chronic diseases resulting
  in suppression of disease manifestations and
  transformation of the same into miasmatic states)
  miasmatic dyscrasia.
• In cancer rapid proliferation of cells takes
  place in a abnormal way without following the
  normal sequence of events that indicates the
  destructive nature of disease. So miasmatically
  cancer is the product of sycosis and syphilis.
  Naturally antisycotic, antisyphilitic and
  anti-mixed drugs are necessary as and when
  necessary.

22
Miasmatic Approach to cancer

• Preventive Treatment
• Cancerous dyscrasia Children born of cancerous
  patients or family should be treated by
  antimiasmatic medicines to prevent future
  possibility of cancer.
• Eg Carcinosin, Tuberculinium, X-ray, Lyssin,
  Kali group, Aurum group, Thuja, Sulphur
• Pre-cancerous states Leucoplakia of tongue or
  cheek and other precancerous states require early
  diagnosis and treatment to avoid future
  malignancy.
• Eg Carcinosin, Thuja, Tuberculinium,
  Syphilinum, Nitric.acid, Kali.iod, Mercurius,
  Aurum.met, X-ray, Sulphur, Medorrhinum

23
Miasmatic Approach to cancer

• Post-operative follow-up cases After the
  removal of cancerous growth or ulcer, the patient
  should be treated with antimiasmatic medicines to
  prevent further recurrence or distant metastasis,
  by eradicating miasmatic dyscrasia

24

• Name Mr. W. D
  SCR No 39088
• Age 63yrs
  Date 21 11 - 2008
• Sex Male
• Religion Christianity
• Marital Status Married
• Children 1son, 1daughter
• Occupation Rtd. Defence officer
• Address Maryhill

25

• Presenting Complaints
• General
• For the past 10 months
•  Weakness3 ,Weight loss,  Gradual - 20kgs
•  No Pain Abdomen
• No Nausea
• No Vomiting
• No Fever
• lt exertion2
• lt walking2
• lt climbing stairs2
• gt rest3
• Perspiration increased.
• Appetite decreased.

26
H/O Presenting Complaint

• The patient was apparently healthy 10 months
  back, when he developed progressive weight loss
  and weakness since February 2006.
• Over a period of 10 months he lost around 20kgs
  of weight. Weakness was more on exertion, walking
  or climbing stairs, and was better by complete
  rest.
• There was also history of skin eruptions with
  intense itching all over the body, 4 months ago
  for a period of 3 months i.e., from May2006
  July2006, which subsided with medications from
  KMC Manipal.

27

• Later again he developed pruritis all over the
  body without eruptions, which started in the
  month of September upto October, which subsided
  with ERCP.
• There is history of fever on and off which lasts
  for 1 2 hrs with only heat stage.
• There is no history of Nausea, vomiting, pain
  abdomen, or altered bowel habits.
• He is a known diabetic for the past 2yrs.

28
Treatment History

• On medications for DM insulin,
• Undergone ERCP three times, stent introduced,
  to clear distal bile duct stricture

29

• Emotional State
• Sympathetic3, cannot bear injustice
• Unexpressed emotions
• Always prefers company
• Intellectual State
• Perception clear
• Memory sharp
• Thinking active
• Decision obstinate
• Confidence - adequate
• Reactions
•      gt company

30
General Physical Examination

• No pallor, cyanosis, icterus, clubbing, oedema,
  or generalized lymphadenopathy
• Skin wrinkling present due to age.
• Vital Signs
• Temperature 99o F
• Pulse 60/min, right radial, good volume,
  regular rhythm, vessel wall not palpable
• Respiratory Rate 20/min
• B.P 130/90 mmHg, right arm supine position

31
Systemic examination

• Respiratory System Normal vesicular breath
  sounds heard
• No other added sounds.
• Cardiovascular System S1 S2 heard
• No murmurs
• Central Nervous System NAD
• Examination of Abdomen
• Scaphoid Abdomen,
• Movements- all quadrants move equally with
  respiration
• No tenderness/guarding/lump
• Bowel sounds heard normal

32
Investigations

• 6 11 2006
• ERCP distal bile duct stricture
• CT scan Abdomen Ca head of Pancreas

33
Investigations

• 1 12 2006
• Hb 13.4 gm
• WBC 10,300/cumm
• Differential count N - 74, L 23, E 3
• ESR 60mm/hr
• Liver Function Tests
• Total Proteins 6.9g/dl
• Globulin 3.7g/dl
• A G ratio 0.9g/dl
• SGOT 41u/l
• SGPT 31u/l
• AlkPO4 302u/l
• Amylase 116u/l
• FBS 147mg/dl

34
(No Transcript)
35
 
36
(No Transcript)
37
       
38
 
39
Mr.William D Souza
Unusual Birth day