GALL-STONE AND ITS COMPLICATIONS : VALUE OF HOMOEOPATHIC TREATMENT.
1. Dyspepsia at the Beginning.
We are going to review the field of Homoeopathic treatment of the different manifestations of gall-stone. It is only a few years ago this question was broached, not only because new remedies were proposed, but mainly because the French school could codify with precision and adapt in a sure manner in each well determined clinical case, some medicines used so long without any method. This should be for us a lesson of humility, because very often there was want of precision which hindered the homoeopath to obtain good results even using the more old remedies of the Materia Medica. It is a variable dyspepsia, with pain, sometimes early at the end of meals (Robinia type), sometimes late like that of an ulcer (Nux vomica or Anacardium), calmed after eating. But the characteristic of this pain is that the pain is due to indigestion of special foods : Fatty food, eggs, iced foods, chocolate etc.
Sometimes even the Aerophagia reveals latent gall stone. When a radiographic plate is taken there is seen a vertical dislocation of the stomach (Faroy) and twisted pylora may be later on the seat of an ulcer. Sometimes the ulcer may be on the duodenum. For all these manifestations it is necessary to treat the patient in a strictly homoeopathic manner. In these cases one must remember the value of Gratiola, Nux vomica, Ignatia, Kali carbonicum also of Argentum nitricum and also of the value of the ground remedies : Thuja, Lycopodium, Graphites with Nux vomica, Ignatia, Kali carbonicum which are also remedies of temperament. Some times Prandial Diarrhoea is seen, which is a symptom of colitis as well as of the affection of gall bladder.
This diarrhoea immediately after meals is seen in Argentum Nitricum, China, Natrum Sulphuricum (diarrhoea immediately after breakfast)
Alternate constipation and diarrhoea will indicate according to the case Chelidonium or Chionanthus or Nux Vomica, Iris Versicolor, Jugluns Cinerea.
2. Affections and Troubles of Duodenum.
The progress in radiography obtained since some years have shown the relation between the Duodenum and the Gall Bladder. This is very important. There are two cases : 1. There may be Duodenal Spasm or even Ulcer formed after chronic dyspeptic troubles or more or less repeated dyspeptic troubles. In this case it is frequently seen that there is coexistence of functional troubles of the liver and of the bladder or there may already be vesicular lesions : Cholecystitis, with gall stone revealed or not in gall bladder.
In this cases, the ground remedy may be according to the temperament of the subject either Thuja, or Natrum sulphuricum, or Lycopodium (to be used prudently) and often Phosphorus, the most important remedy of temperament of Cholecystitis.
2. There may be some radiographic symptoms denoting the existence of a vesicular inflammation, Cholecystitis and Pericholecystitis, causing secondarily periduodenitis. There is then the Adhesions. If they are old, and organised they play the most important part in some painful phenomena. They should be treated by Silicea (ground-remedy, high dilution 200 or M), followed by Thiosinamine (in high dilution according to Cahis of Barcelona) by Calcarea Fluorica, Fluoric Acid.
What is interesting to note according to our personal opinion is that numerous patients from 40 to 60 years of age who have a long and long series of dyspeptic and duodenal troubles with cholecystitis in the beginning or pericholecystitis and periduodenitis, have at the sametime a precancer state; their general condition becomes bad, they become emaciated, they have numerous new skin symptoms : naevi, multiple warts etc. Often without X-ray the diagnosis is uncertain. And even when there certainly is not cancer one dose of Micrococcin 200, does good to them; they put on weight. One Kg. within 10 days.
It seems that these patients have arrived at a cross road. Before them there are two divergent roads leading to the same point, the road sclerosis which leads to cirrhosis, and more or less advanced senility; the other road leads to cancer. The organism choses one or the other and according to our experience we may say that even in this stage we may help the patients not to fall in the one or the other danger. But if our remedies come late, one of the two roads are chosen and utilised and there remains no hope for complete cure.
3. Hepatic Colic.
It is not possible to deal with it here. Let us only mention here some very simple remedies specially from the vegetable kingdom, which will help us to get a rapid and favourable result.