THERAPEUTIC PLAN OF HOMOEOPATHIC TREATMENT OF CIRRHOSIS AND DIFFERENT HEPATOMEGALYS.
We must know that even in grave cases of degeneration whether it is the question of cirrhosis of Laenac, different diffused or fatty forms, cirrhosis of Hanot, hypertrophic, syphilitic, pigmentary etc… that in spite of the gravity of such diseases as cirrhosis, in spite of the clinical picture which is so accentuated, clinical evolution which seems irremediable, and the great difference that exists in the anatomy between a healthy and a cirrhotic liver, Homoeopathy may obtain here some really extraordinary results.
The patient may live for a longtime even if he is an old alcoholic one; the puncture for ascites becomes rarely necessary. I have often seen the ascites to disappear not to appear again (on condition that it is still less developed and puncture is not done). It is absolutely necessary to avoid puncture that precipitates the patient toward the formation of new hydropsy and hasten his death, and it is remarkable to be able to obtain such results in patients gravely and irremediably attacked.
I remember the case of a patient whose condition was very grave, who had the picture of arrhythmia, anasarca, ascites, and hypertrophic cirrhosis. The quantity of urine passed during 34 hours was only 200 to 300 CM3. Every time I gave him Phosphorus 200 at first and M afterwards the quantity of urine increased to 1.800 or 2,000 cm3 the next day of the dose. Then it gradually came down at the end of a week. The action of the remedy stopped. The quantity of urine reached to 200 to 300 cm3. I prescribed Phosphorus again. I continued to treat the patient for two years and the ascites disappeared as well as the oedema of the legs.
No puncture was necessary. This case proves the extraordinary effect of Phosphorus.
We will give simply a classification of the remedies of cirrhosis.
Classification of the Remedies of Cirrhosis.
We will distinguish here
a. Ground remedies : Phosphorus, Lycopodium, Lachesis, Arsenicum album.
b. Remedies indicated by anatomy, pathology as reproducing experimentally some cirrhotic liver, or indicated by anatomic disorders : Sclerosis. Aurum Muriaticum Natronatrum, Aurum Metallicum, Plumbum Metallicum, Silica, Iodum, Arsenicum Album.
Kali Iodatum, Mercurium and its Salts (Mercurius iod. rubr. and Mercurius dulcis) in case of syphilis (besides Aurum, Aurum mur. natronatrum, and Plumbum).
Graphites Taraxacum Fluoric Acidum indicated by INDURATION OF THE LIVER.
Fatty Degeneration. Kali bichromicum, Phlorizin Vanadium, Picric acid (besides Phosphorus).
Pigmentary degeneration. Argentum nitricum.
Pre-cancer and Cancerous Evolution. Cholesterinum (besides Carduus marianus, Taraxacum, Conium, Hydrastis)
c. Remedies Indicated by Etiology.
Ethyl-Alcohol the remedy of Cahis may be tried in the cirrhosis of Laenac.
T. R. and other Tuberculins for the tuberculosis.
Luesinum for syphilis.
Let us note here that the remedies indicated by pathological anatomy are almost all minerals, while clinical remedies indicated by symptoms of the liver are all vegetables. Now we are going to enumerate them.
Let us arrange them into groups : Remedies of the First Importance. Carduus Marianus, China, Senecio, Chelidonium Hydrastis, Mercurius, Dulcies, Nasturium Ag, Nux Vomica, Ricinus Communis.
Remedies of the 2nd Importance. Abies canadensis, Calcarea arsenica, Cascara, Cocculus indicus, Natrum chloride, Nitric acid, Natrum muriaticum and Podophyllum, Quassio.
Remedies of Ascites. (besides Carduus marianus, China, Senecio) Apocynum cannabinum, Digitalis, Acetic acid, Prunus spinosa.
Organotherapic and Drainage Remedies ).
Fel tauri, Fel porci.
Magnesia sulphurica (avoid overworking the liver).
Oil of Haarlem etc…
This is also a very complex question which requires long study. Let us give only some useful indications.
A. How to Adapt Homoeopathic Therapeutic to Passive Congestion of Liver.
1. In my opinion there are three important remedies which are to be used in high dilutions, 30, 200, M, DM.
Sulphur. Arterial hypertension (big liver). Benignant cases. Good myocardia. Tendency to cutaneous eruptions.
Natrum Sulphuricum. Hydrogenoid constitution, oliguria, diminution of blood viscosity.
Phosphorus. Grave cases. Weakness of the right heart. Bile retention. Evolution towards cardiac cirrhosis. Oliguria, sub- icterus, ascites. Weakness of the myocardia.
Tendency to fatty degeneration of the heart and liver. Cardiac tuberculosis of children (Phosphorus and Silicea) Silicea in the case of symphysis of the myocardia.
Rarely, Sepia, Lachesis, Pulsatilla or other remedies of the ground in high dilution.
Homoeopathic remedies of the first importance indicated by the symptoms.
Digitalis. Before all other remedies. It should be used in all possible dilutions. It has the Superiority to act not only Homoeopathically but also Physiologically.
Grave, urgent cases. Digitalis 5 drops, or maceration of Digitalis leaves.
In other cases Digitalis 1x, 3x, or 1 then 6, 30, 200. In some cases give only the 200 which will depend on the patient. Good remedy of accordeon liver. Asystole or Hyposystole. Sub- icterus. Slow, irregular pulse, trigeminal pulse. Oliguria and tendency to oedema or to ascites.
China. Tendency to oedema and ascites. Tendency to cholesterinemia; the cholesterin is avid of water, whence the dehydration of the organism which is however swollen and more or less oedematous. Peri-visceral oedema. Debility, because there retained organic liquids are physiologically useless and lost at least momentarily for the organism. Bitter taste in the mouth.
Tendency to icterus and urobilinuria.
Podophyllum. Painful liver, pain amel. by friction on the right hypochondria. Constipation of hard stools and discoloured stools, or often foetid yellow, diarrhoea, in the morning. The liver at first big, becomes later on small. Elective action on the duodenum.
Apocynum Canabinum. Tendency to oedema and to ascites. Weakness of the Right Heart, specially of the tricuspid valves. Turbid urine. Acute alcoholism.
Kali Carbonicum. Tendency to oedema and ascites. Chill, weakness, pain in the back. Sudden fleeting, stinging pain. Lancinating Pain.
These remedies are studied in detail on the chapters of icterus and cirrhosis.
Use also external homoeopathic treatment : A few drops of the two indicated remedies, to be imbibed in a humid flanel, placed on the liver for several hours during the day or the whole night.
B. Active Congestion of the Liver.
It is translated in a reaction of the hepatic parenchyma, against intoxications and infections.
It is seen in the first stage, before cirrhosis in Alcoholism Malaria is also a frequent cause. China type.
It may be due to over eating. Sulphur and Nux vomica types.
It may be due to intestinal stasis, chronic constipation : Magnesia muriatica type.
It may be due to a real infection of the liver (typhoid, pneumonia)
The liver is painful by Palpation.
The Principal Remedies of Active Congestion of the Liver.
We are enumerating them only as they are already studied.
Beginning. Aconite, Bryonia, Chamomilla.
Developed. Mercurius solubilis, Mercurius dulcis, Cholidonium, Podophyllum, Chionanthus, China, Nux vomica, Berberis, Myrica, Iris versicolor.
Grave Cases. Vipera, Arsenicum album, Phosphorus, Lachesis.
Tendency to Abscess or Suppuration. Hepar sulphur.
It is necessary to use with care, the ground remedies : Phosphorus, Sulphur, Lachesis, Sepia, Natrum Sulphuricum. These remedies are already studied.
Chronic Cases or Tendency to Chronicity. Ammonium muriaticum, Cholesterinum, Kali iodatum, Kali muriaticum, Kali bichromicum, Iodium, Hydrastis and the remedies already indicated for the beginning and for the developed stages of acute congestion.
In Alcoholics. Ammonium muriaticum, Arsenicum album, Absinthium, Fluoric acid, Leptandra and as remedy of temperament Sulphur, Lachesis and Phosphorus.
The Portal Hypertension and Hemorrhoids. Aloe, Aesculus hippocastanum, Leptandra and as remedies of temperament Sulphur, Sepia, Nux vomica.
When Pain is Aggravated Lying on the Left Side. Ptelia, Bryonia, Natrum sulphuricum.
pain Aggravated Lying on the Right side, Magnesia muriatica, Mercurius, Chelidonium, Dioscoria, Kali carbonicum.
Pain Ameliorated by Friction. Podophyllum.
Pain and Congestion of the Left Lobe. Carduus marianus.
Concomitant Splenomegaly. Ceanothus.
Pain with the sensation of imminent diarrhoea, mapped tongue, large vesicular eruptions. Rananculus sceleratus.
For active congestion use external application as indicated at the end of passive congestion of the liver.
C. Tuberculosis of the Liver. Tuberculosis may be associated with alcoholism to create cirrhosis.
There is also fatty hypertrophic cirrhosis of Autinel and Galarin.
There is moreover cardiac-tubercular cirrhosis already mentioned in relation to the passive congestion of the liver.
Moreover fatty degeneration is frequent in advanced pulmonary tuberculosis.
Finally there is amyloidosis after tuberculosis with cavity or bone tuberculosis suppurating for a long time, big liver, big spleen, diarrhoea, renal amyloidosis.
Treatment. The best remedy is Phosphorus. But it is dangerous in cases of evolution of pulmonary tuberculosis.
Other remedies of fatty degeneration : Kali bichromicum, Phlorizin, Vanadium, Picric acid, Aurum muriaticum.
Naturally you will use the diluted Tuberculins according to the case : Spengler, Marmoreck, Bacillinum, Denys, Aviary, K. T., R. T. The most indicated are Bacillinum and R.T.
D. Hepatic Syphilis.
Secondary Syphilis. Sometimes catarrhal icterus.
Tertiary Syphilis. Sclero-gumman lesions : big hard liver, lignous, tied up, sometimes atropho-hypertrophic, according to the lobes. Sclerous bands. Sometimes of pseudo tumoral form. Spontaneous pains caused by perihepatitis. Splenomegalis. Frequent albuminuria. Sometimes ascites. Frequent bile retention. Evolution towards sclerosis. Irregular fever. Sometimes hypertrophic cirrhosis with chronic icterus.
Treatment: Syphilinum, Aurum metallicum, Aurum muriaticum, Plumbum metallicum, Kali iod., Mercurius solubilis, Mercurius dulcis. These are the classical remedies.
Don’t forget if indicated : Phosphorus, Sulphur, Lycopodium (with care).
The treatment of kystes (hydratic) and abscess of the liver, clearly surgical, goes beyond the limit of our study.
Specific classical treatment which is still sure, cyanide of Hg, preferably intra-venous (avoid mineral salts, because dangerous).