CLASSIFICATION AND VALUE OF RESEARCHES AND TESTS OF HEPATIC DYSFUNCTION.



Belly, Swollen, Distended, Painful, Relaxed, Hanging.

Requires a belt. Multiple ptosis.

Sensation of uterine “bearing down”, or falling of the uterus.

Sometimes real prolapsus of the uterus.

Relaxed sphincter ani. Troubles of menstruation, irregular delayed or rare, early or profuse. Vagina, painful during coitus.

Weakness of the back. Pain in the back during menses.

In men Congestion of Prostrate.

General weakness. Troubles of Suprarenal Gland, Hypoactivity.

Skin. Yellow patches on the face (rings around eyes, horse shoe rings around cheeks and around the mouth. Patches on the abdomen, big dark patches (if small Lycopodium). Herpes. Eczema.

Mentality full of darkness sad, melancholic, sees none. Indifferent. Recoils within herself. Wishes to remain alone. Indolence, indifferent to others, anxious for her own self. Apathetic, but not wicked; everything irritates her; everything annoys her. No anger.

Vertigo. Headache. Tongue white. Sensation of Emptyness in the Stomach not better by eating.

Aggr. 11 o’clock in the morning and at 6 in the evening or (4 to 6).

Amel. after sleep (contrary Lachesis)

Perversion of Taste. Foods taste salty, salty taste in the mouth. Desires for vinaigre and condiments.

Aggr. by milk, boiled milk.

Nausea and vomiting. Dirty tongue, posterior half.

Relation of Sepia.

Nux vomica. Intensifies action of Sepia. Portal congestion like Sulphur and Sepia (place between the two)

Nux moschata.

Gelsemium.

Helonias.

Aloe.

Pulsatilla, the antidote.

Berberis.

Lilium tigrinum.

Murex purpurea.

Is related to :

Sulphur. Portal hypertension.

Natrum sulphuricum. When she is hydrogenoid. Also to Thuja.

Lachesis for genital troubles.

Lycopodium. Antidote, antagonism with Sepia. But they proceed from one to the other.

Phosphorus. Phosphorus is a remedy of prolapsus. Sepia for the relaxed condition. Phosphorus for degeneration.

Such are the 6 remedies of the ground of hepatic dysfunction and of the organic defects of the liver.

Let us now see what are the remedies that seem to correspond to each of the principal troubled functions of the liver.

Whatever may be the remedies indicated for the liver let us recall here the rule : In lower dilutions, the action is centrifugal; in high dilutions the action is centrifugal and centripetal at the sametime.

In lower dilutions, action on the liver as an organ of excretion.

In high dilutions, action on the liver as an organ of secretion, an endocrine. This rule is particularly true for substances used as cholagog and choleretic.

1. Troubles of Biliary Function. LYCOPODIUM, China, Sulphur, Natrum sulphuricum and Phosphorus.

And China, Digitalis, Myrica, Berberis, Chelidonium, Mercurius dulcis, Podophyllum, Chionanthus, Magnesia sulphurica.

All these remedies may have jaundice as a symptom (except Phosphorus)

In cholesterinemia, the group of remedies is : China, Phosphorus, Cholesterinum, Calcarea carbonica, Natrum sulphuricum, Graphites.

Elimination of cholesterol by the menstrual blood. (Lutein, Lachesis should correspond to Cholesterinum).

In retention of biliary salts : Lycopodium, China, Chelidonium.

China. Everything tastes bitter even water. Liver is very often big. Big spleen. Loss of organic fluids. Anemia. Dehydration. Possible jaundice. Old malaria. China is antidote and complementary of Lycopodium after aggravation by the latter, in the form of meteorism. Generalised distension of the abdomen.

Digitalis. Cardiac liver. Weakness of the heart, specially of the right heart. Big congested liver. Often icterus & cardiac arrhythmia.

Berberis. Left kidney painful to pressure. Troubled urine, red-brick sediment.

Chelidonium. Jaundice. Bitter taste in the mouth. Wants to eat and drink hot. Pain in the lower angle of the right shoulder blade.

Mercurius dulcis or solubilis. Painful big liver. Humid mouth. Tongue with imprint of teeth on the borders.

Chionanthus, Myrica. Jaundice, colourless stools, related to Chelidonium.

Magnesia Sulphurica. In ponderable dose or in very small dose or in lower triturations an excellent cholagog or choleraeic.

For biliary retention : Chamomilla, Colocynthis, remedies of acute liver pain, angry and irritable temperament like Lycopodium.

2. Glycogenic Troubles. It is difficult to fight these troubles with homoeopathic remedies having certain indication in this sense. Lycopodium and Phosphorus will act here. Also Iris versicolor, Lactic acid, Insulin, Glycerin, Syzygium. But the pancreatic troubles dominate if there is diabetes. The pathogenesis is less known.

Lycopodium will act here in medium or high dilutions while for the biliary troubles, it will act in lower dilutions.

In biliary function of elimination the cycle is as follows :

— @muscles -(>) hepatic artery -(>) hepatic cells cells-(>)

Here opposition @biliary ducts, bile.

of “bitter” @bile salts

function @Intestine

@Give Lycopodium, 6, 12 (Korsakov)

In centripetal glycogenic function the cycle will end thus.

@Intestine-(>) portal vein-(>)hepatic cells-(>)

And of the “sugar” @lobular veins-(>) veins-(>)muscles (glycogenic

function @function)-(>)upper liver-(>)kidney (uropoietic

@function)

@Give Lycopodium, 30, 200, M.

To the troubles of the elaboration of nitrogen seems to correspond : Phosphorus as well as Lycopodium, China, Ammon carb. and possibly also Urea, Uric acid (to try)

Moreover Berberis, Baryta muriatica, Solidago etc.–for drainage.

We will find these remedies again in the repertory on the elimination of excess of urates of precipitates.

If there is acetonemia : Senna, Belladonna, Lycopodium, Calcarea muriatica, Causticum.

4. For the function of antitoxic troubles : Arsenicum album, should often be indicated; alimentary intoxications when there are its indications. Restlessness, prostration; aggr. at 1 ‘o’ clock at night and from midnight to 3 a.m., periodicity, diarrhoeic stools, blackish and small, cadaveric smell, intoxication by spoiled foods.

In other cases : Phosphorus, Lycopodium, China, Antimonium crudum, Zinziber, Veratrum album, Colocynthis.

Nux vomica. Sedentarism. Desire for stimulation, which does not only ameliorate momentarily but also as a consequence the patient feels worse.

For anti-anaphylactic function, it is very difficult to find sure remedies. To be studied in the Materia Medica. All sorts of remedies may be indicated. Specially Arsenicum album and Thuja.

Finally troubles of blood-function. We may use Phosphorus and Lachesis.

Both have hemorrhages (Lycopodium has not; Sulphur and Sepia have because of portal hypertension; Sulphur, bleeding ulcers, a safety valve for psoric diathesis).

Phosphorus. Possible grave jaundice. Slow coagulation of blood.

Purpura.

Thirst for very cold water. Sensation of goneness in the stomach.

Acute and deep hepatic insufficiency–grave or chronic icterus–chronic cholecystitis.

China, the complementary with Ricinus communis Bryonia, Berberis etc.

Lachesis. Aggr. after sleep, amel. during menses and by all kinds of blood discharge.

Logorrhoea, loquacity, jealousy, mistrust.

Dream of death.

Cannot bear anything tight on the body, around the neck, and around chest.

Such are the remedies which can think of for the different troubles of hepatic functions.

But it is very difficult in the present development of biological and chemical sciences to fight these different functions and troubles, by remedies because we want in homoeopathy complete experimental works on the question.

Therefore let us stick to our Materia Medica which we should study deeply. The indications that I have just mentioned are my personal opinions, having only explicatory value. The future will prove them.

Mauritius Fortier-Bernoville
Mauritius (Maurice) Fortier Bernoville 1896 – 1939 MD was a French orthodox physician who converted to homeopathy to become the Chief editor of L’Homeopathie Moderne (founded in 1932; ceased publication in 1940), one of the founders of the Laboratoire Homeopathiques Modernes, and the founder of the Institut National Homeopathique Francais.

Bernoville was a major lecturer in homeopathy, and he was active in Liga Medicorum Homeopathica Internationalis, and a founder of the le Syndicat national des médecins homœopathes français in 1932, and a member of the French Society of Homeopathy, and the Society of Homeopathy in the Rhone.

Fortier-Bernoville wrote several books, including Une etude sur Phosphorus (1930), L'Homoeopathie en Medecine Infantile (1931), his best known Comment guerir par l'Homoeopathie (1929, 1937), and an interesting work on iridology, Introduction a l'etude de l'Iridologie (1932).

With Louis-Alcime Rousseau, he wrote several booklets, including Diseases of Respiratory and Digestive Systems of Children, Diabetes Mellitus, Chronic Rheumatism, treatment of hay fever (1929), The importance of chemistry and toxicology in the indications of Phosphorus (1931), and Homeopathic Medicine for Children (1931). He also wrote several short pamphlets, including What We Must Not Do in Homoeopathy, which discusses the logistics of drainage and how to avoid aggravations.

He was an opponent of Kentian homeopathy and a proponent of drainage and artificial phylectenular autotherapy as well.