This paper is not well adapted for reading in convention, but should be of use to those who are interested in treating tumors as an armchair study of certain trails leading to cures.
Mrs. S., aet. 66, had an exostosis above the forehead several years. During the last two years she has been treated for many psychoneurasthenic symptoms, morbid fears, physical exhaustion, faint spells; confined to bed weeks at a time. Her first remedy was Ammonium carb. 1M. which helped and led directly to her more constitutional remedy which was phosphorus.
During eight months treatment the 200th was given twice, the 500th four times, the 1000th twice, then the 30th once and the 60x. once, with restoration to a pretty fair state of health. The bony protuberance began to leave with the first 10,000th, a little over a year after beginning treatment. At the present time the exostosis is scarcely perceptible to palpation and of course the patient herself is now an active and useful member of her family.
The reason for mentioning this instance is to recall the counsel of the stalwarts of the early years who used to say, “Forget the patients pathology and first the remedy to his symptoms.” There is an important policy suggested in that advice, but it does not always accord either with the most reactible syndrome of the patient nor in some instances with a pathology which may have become an obstacle to constitutional reaction. In the present instance the exostosis had been forgotten until the patient remarked that her lump had begun to grow smaller. But ……
in other instances high potencies have failed to affect the pathological tissues, whereas a comparatively low one such as the 6th or 12th would act well on them. In choosing between high and low one must be guided by the significance of the symptoms. If functional symptoms are few and of little reactible import the choice may be decided first, by that fact itself; second, by pathological types or clinical local peculiarities; third, by temperamental types; fourth, by reputation of remedies; and of course by any of them together.
A young man discovered a growth on his coccyx two months previously as it began to hurt when stepping on the right foot, also while sitting. He had had a fall on the buttocks some years previously. Silica 1000, d.u., was given. In two weeks the pain was gone and the lump was larger – a good sign. One month later and the lump has disappeared.
Man, age 27, brought an exostosis on the center of the occiput which he said had been growing faster the last two years. Symptoms: Run down by business worries. Anxious trembling; hurry; shuns arguments; sensitive to noise; wants to be alone; “worrying” pain in abdomen, < by flexing the thighs and by lying. Sensitive to cold; averse to salt; desires sweets. Tired cut in the morning. Occasional bleeding from the navel. Sepia 1M., d.u., cured both the man and his bony nodule.
Here were three little bony tumors in which no outward differences could be observed, cured by three different remedies based on symptomatic complex is as different as could be. A hoary illustration of a principle that knows neither youth nor age.
Man of 67 years presented a half inch lump of cartilaginous density on his upper left gum, fixed, slightly tender, no dental complications apparent (no x-ray). Sour breath; papules on back of neck; itching back; numbness of left fingers while lying. Scanty symptoms. Because of reputation and former experiences with Phosphorus that remedy was selected. The 1000th was allowed to run six months with lump reducing, then three months, the 5000th six weeks (without reaction), the tumor meanwhile becoming quite hard. Calcarea fluorica 6 was then given steadily two and a half months, then the 200th, d.u. Five months thereafter nothing remained and a wart had dropped off the back of the neck besides.
This illustrates the use of the low potency repeated and continued several weeks, until, the tumor having become sore, it was evident that susceptibility had been aroused. Then after a proper interval the higher potency of the same remedy did its work well.
A man of 80 having interpreted correctly some comparative results of surgical and medical treatment concluded that it would be worth while to travel several hundred miles to start treatment of a horn on the back of his neck. The base of it had become irritated by friction and was arousing the neighborhood in consequence. he had had numerous warts on the hands which had disappeared spontaneously. Black moles and fleshy warts on his back completed the skin picture while the history of surgical removal of a cyst on the left cheek furnished food for speculation in physiological dynamics.
The man had a mixture of courage and timidity. There was no fear of any person however tough and around his region he was dreaded as a scrapper, but was timorous about bees, horses, going into dark places, etc., showing in the mental sphere the two phases of hardness and liquidation peculiar to Causticum. Two prescriptions of Causticum 1000 two and one half months apart cured. The horn started up after the first prescription and grew larger up to the time of the second prescription and dropped off three weeks later.
When a wart or tumor grows more rapidly after medication it is often t he sign of a good reaction. The miasm is being expelled from the organism and that alone is no bid for change or repetition of remedy or potency. I once remarked to an expert prescriber that I believed practically all cancers could be cured by homoeopathic treatment if the patient could but live long enough to produce a full external expression of the disease, to which he agreed. Externalization is a great physiological and therapeutic principle which modern science sees but dimly and which modern medicine in practice ignores almost entirely.
A pigmented mole which had been on the back of the neck of a maiden lady of 57, suddenly developed into a papilloma (naevo-carcinoma or melanotic carcinoma: Mackenna-skin). Five weeks previously she had been given Bacillinum 30 for recurrent colds and this warty resurgence was silently attributed to that, especially as the general condition had improved and an old constipation had been overcome.
The only symptoms to prescribe on were: pressure in the left occiput, ringing and pulsating in the ears while lying. Thuja was given with removal of these symptoms and added vital energy. Wart the same. Six weeks later the article had increased in size so much and alarming the patient and her relatives so much that I was influenced to prescribe Sepia because that remedy had done well for me with a papilloma of the same appearance. Nevertheless there was no result this time.
So, under Skin in the Guiding Symptoms we found: “Unhealthy, ulcerative skin, sensitive to rubbing when washing, she must do it herself and very gently.” This fitted my otherwise symptomless patient perfectly. Also: “Warts; round, soft at base, upper surface hard, rough, horny shell, itching.” Calcarea ostrearum 1000 d.u., was given. In two weeks the wart had begun to loose on one side and in two months had dropped off, leaving only normal skin behind.
Here the catch for the prescriber is, how was the needle of Calcarea pulled out of the materia medica haystack? Answer: although there had been no apparent effect from Sepia the general energy had held up so well that with this consideration and the fact of a previous spectacular result from Sepia and having a great respect for sequence, Boenninghausens Relationships was referred to and Calcarea selected for consideration. The Relationships or Concordance of Boenninghausen have caused many a remedy to pop up that might otherwise remain hidden.
This is the other papillo-carcinoma referred to above. There was no perceptible difference in the appearance of the two during the early stage but degeneration was more rapid with this one with its simile from animal sources.
The patient was a maiden lady of 60. She came Feb.18, 1932, much worried about the stirrings of what had always appeared to be a wen on the front of the right cheek. It was discharging pus, prickling, itching, and bleeding copiously. There was a drawing pain the back of the neck which the patient attributed to the growth. History of hypertension, constipation, and she was having some stiffening of the joints.
Because of that and a slight horny crust which had formed, Causticum was given. Seven days later the little mass had become inflamed, was increasing rapidly in size and had assumed a warty appearance. S.L. Reported seven weeks later with a severe throbbing headache for which Glycerine 1000 was given. The cyst had remained stationary. April 21, the cyst was enlarging, had become deeply pigmented and subjective symptoms were now plentiful.
Weeping without reason, depressed; felt as if she were without thoughts; no incentive; tired, sleepy; ;heavy, waking often at night, beating in ears. Occasional spasmodic “catching of breath from a nervous action in stomach”. Violent aversion to noise or hearing people talk. Needing an unusual amount of clothing lately. Sepia 10M.F., d.u.
July 30, about three months later, found the patients health much improved but the tumor had become distinctly warty, about the size of a large mulberry, with a black, hard top; and a pellicle could now be distinctly seen. Occasional stitching pains. August 21, the wart had dropped but leaving a foul, suppurating base on which could be seen a new growth of spongy tissue pushing upward. A dreadful odor filled the room. S.L.
Sept. 14. The growth had decreased. S.L.
October 3. Frontal headache in the morning on waking, shifting to the back of the head, throbbing, unable to …. hold head up, > by cold application. Sepia 50M. Skinner.
Nov.7. Reported having had one headache. Papilloma growing. Here occurred one of those aberrations to which some prescribers are liable. kali mur. was given because of the hard black shell which had reformed over the top of the growth.
Nov.25. The shell had been shed but the situation had not improved. The patient was much upset by financial affairs as well as by her condition. Arterial tension 210/110 with constant pulsation in the head. Sepia CM. Sk., d.u.
Jan.14, 1933. The growth had been checked until it had been accidentally hit when it took on a faster pace. Sepia CM. Sk., d.u.
Jan.27. Patient feeling fine, growth developing rapidly. S.L.
Feb.9. Another crust cast off leaving an easily bleeding stem which felt full (subjectively) as if it would bleed at any time. S.L.
March 7. Growth decreasing.
March 31. Skin normal. Patient much better.
This report speaks so eloquently for homoeopathic procedure that I will leave it without further comment except to note the courage of a lady carrying a repulsive, foul smelling growth on the front of her face, able to persist and resist amid the dire predictions and importunities of friends and relative to “do something.”.
Mrs. M., 50, gave a history of severe malarial attacks in this country and England at the age of 10. Three months before consulting me she had discovered a small, hard kernel in the lower segment of the left breast. The breast had become much fuller and felt hot but the contour was normal. Both nipples were retracted. The breasts were sore before menstruation, the latter being always normal. She was subject to herpes labialis; rather sensitive to heat; easy perspiration; rheumatic pains in arms.
Weeping telling symptoms. Very anxious about the lump. Suffering from an attack (her second) of haemorrhoids which she attributed to eating plums. Stinging, burning, ……scalded pain from heat of bed, cushions, etc., tearing during stool, most severe a half hour afterward. She thinks eating cranberries relieves the haemorrhoids. Had a haemorrhage from the rectum (without stool) of bright blood; the faeces soft. Kali carb. 1000, d.u.
In two weeks the lump was gone. A few months later a prescription of Kali carb. 30, then of Psorinum 10M. Sk. finished her troubles.
COMMENT: Probably it was just a “lump” that “Would have gone away anyhow.” But if lumps go away like that why so much determination toward prompt extirpation? Tumors and even cancers have been known to disappear “spontaneously”. Subtracting from these the number that were accidental cures, that is, resulting from unwitting good medication, what is the percentage of true spontaneous recoveries? The answer would be interesting.
This condition is not reported as being a tumor, rather a mastitis, for the mother was nursing and the tumefactions were scattered throughout the breast. But it was already of three months duration and provided a foundation for more serious changes in the future. The left breast of a nursing mother; soreness comes and goes; sharp pains, burning while nursing. Had a similar experience ten years previously. Her milk is too rich; a yellow crust on the nipple precedes the spells of soreness; sensitive to cold and takes cold easily, Tremulous anxiety about the condition; touchy, irritable. Phytolacca was given without benefit but Magnesium phos. 900 (Fincke) cleared the condition. Magnesium phos. has cleared up fibroids for me.
Miss. F., 37. Ovate tumor, probably a fibroadenoma in the upper segment of the left breast having a firm, granular feel to the touch; about two by one inches.
Symptoms: Breasts sore before menstruation, the left worse, which is full and lower than the other. Menstruation early one month, late the next. Sensitive to cold, but feels generally worse during hot weather. Evidently suffering from the dread of her discovery. Kali mur. 12, q.i.d…. for two weeks, started in June. By the middle of November no tumefaction was perceptible.
Kali mur. has served me well in other cases. It has a decided affinity for the breasts. And its “soreness of breasts before menstruation” belongs, in my opinion, to the highest rank.
Miss W., 21, lump in outer segment of the left breast about two by two inches, movable, hard. Familiar constitutional symptoms of Sulphur which were improved three and a half months; no change in the mass. Kali phos. 1000 was then given for cumulative effects of trying office work. A month later reported scanty menstruation, feeling exhausted at evening, dizzy headaches. Sepia 10M. Fincke, d.u. Slow diminution continued nine months during the first three of which she was annoyed by an aggravated nasal catarrh with bloody discharges and cough.
But I was after the tumor so let the patient struggle along on S.L. At the end of the nine months the tumor had become quite hard and was not decreasing. Because of the reputation for hardness and no other symptoms to be found Phytolacca 900 was tried, then the 10M., but without effect. Sepia 50M. Sk., no change. After a strain from lifting the tumor now enlarged rapidly, accompanied with a constant drawing sensation. Calcarea fluorica 6 for a month did nothing. Psorinum 50M. the same. By that time the lump had become quite nodular like a butternut. Breasts had developed soreness before menstruation. Kali mur. 12 q.i.d. four weeks and the growth was wiped out entirely in a few more weeks.
Boy of 16, round, hard, tender lump the size of a pea in the left breast near the nipple. Granulated lids, the only other symptom. Kali mur. 6 improved the lids; no effect on the lump. Psorinum 50M. seemed to arouse daily afternoon headaches. Lycopodium 1M. Sk. improved. Then the lid condition became acute. Afternoon frontal dizziness and exhausted feeling beginning at 11 a.m. Rapidly falling hair. lycopodium 50M. improved two months, then a general slump, sluggish even at play, absolutely lazy. Syphilinum 1000 was given, prescribed on..
the fact that various members of the family had needed Mercury and the Iodides several times in the past. Three months later the general vitality had improved and the lump had almost gone when a new one appeared in the other breast, both sore and growing rapidly. kali mur. 100, then the 6th, now improved the lumps and produced a good general reaction. Then both breasts became so tender that the boy shrank from any approach to touch them.
There was no history of traumatism. Arnica 200 improved steadily two months, at the end of which time no lumps remained. Constitutional treatment was still needed, however, and continued four years before the young man attained to a healthy condition. Notable during this latter treatment was the effect of Syphilinum 45M. and Carcinosin 200. The family had a complication of inherited miasms with many outbreaks of acute illness. Appendicitis of rapid pace seemed to be a family trait. Carcinosin has been used to the decided benefit of several members of the family.
Miss H., 73, had a sore called lupus by her local doctor, but which at the time I saw it made me certain it was an epithelioma. It was on the left temple and had been healed by radiation a year before. Complained of being tired. The skin had always been sensitive, to adhesive plaster, for instance; easily affected. Constant nausea. Fond of sweets. Coldness and cold feet. Much worried. Sulphur 1M. Sk. started a reaction ceased, perhaps because of the intense anxiety, perhaps because Sulphur may not have been the best remedy. Coldness had also increased. Sleepless after midnight. Sudden attacks of weariness. Thirstless. Arsenicum 200, d.u. In six weeks the skin was normal and the patient fine.
A number of epithelioma have been cured with these two remedies in complementary sequence, with Arsenicum, I think, taking the lead.
XIV. Man of 49. rodent ulcer (basal cell carcinoma) on center of forehead ten years. The patient being of melancholic temperament, always pessimistic as to the future, …… had declined to have treatment except once in a while for some passing condition. Finally, the ulcer began to suppurate faster and to enlarge so that he was driven to it. The sore was about the size of a dime with raised fibrous edges on which were small black crusts; bleeding easily; punched out appearance. He was subject to catarrh, expectorating a thick, sticky mucus at night.
The first prescription of Kali bi. acted about five months, a second six weeks, then all progress ceased. The margin was now becoming elevated again; itching at times. It was recalled that the ulcer began in an old chickenpox scar. Psorinum 50M. Sk., d.u. Seven weeks followed with little change but at the end of that time Kali bi. 10M. SK. acted three months. Then the rim became more active, red, full, felt numb; blackish crusts, base suppurating and enlarging. Graphites 10M. Sk. reacted seven weeks.
The patient then went through his yearly winter catarrhal troubles, gastric and bronchial, and spring had arrived before we could again definitely get to the ulcer. But the results had been good. The patients vitality had become more enlivened and his mental outlook as well. This was shown also by increased activity in the ulcer. It suddenly enlarged, spread much faster, the crusts were thicker, now reddish. It was sensitive to the least touch, sore, throbbing, stinging, especially when crusts were forming. Throat dry, parts felt stuck together.
Nitric acid 10M. Sk. was allowed to act eight months. By that time an old eczema had returned about the eyelids with fine yellow scales and a crack in the external canthus of the right eye. Graphites 10M. went good two months and the base was healed, white, dry, but spreading on one side, the irregular, elevated rim moving to the right.
February having come again the patient slumped with tiredness and gripy symptoms. Nux Vomica and Bryonia in turn acted well, the ulcer improving famously after Bryonia. This last winter his annual illness were slight and cleared up easily with Kali carb. 1000. Only S.L. since last February, all healed and smooth with a ….slight rim of flat fibrous tissue remaining on a part of one side.
The interest here is that because a trace of a rim remains it cannot be called a cure. I would like to raise the question whether any cure is complete, vaccinosis for instance, as long as any scar tissue whatever remains.
A man of 21 had a soft tumor of the vocal cord removed by a specialist after my treatment had failed to effect much benefit locally although Phosphorus had brought out positive improvement in the general condition. The operation was successful but the tumor promptly returned.
Because the tumor was reported to be a soft one Thuja, Carbo veg. and Rumex were given over a period of three months with some improvement in resonance at least from the latter remedy, then Sulphur, based on a few of its classic symptoms which had come up, brought positive improvement. The 5M. was given and followed later by the 50M. Five months from the first prescription of Sulphur an oblong piece of cartilaginous tissue about 3×1 m. was expelled. Slight huskiness remains but no trouble since, that is, the last twelve years.
A man of 52 had an epulis removed from the left gum, then the adjacent tooth extracted and the alveola curetted. But the growth returned on the gum and filled the resulting cavity besides. It had been bleeding every one to three days for a year when he came to me.
Symptoms: Dizziness rising from stooping. Tired in the morning. Aversion to salt. Craving sweets.
Graphites 1M. stopped the aching and bleeding and the little bunch reduced until one day a piece of bone was jammed into it while eating. Graphites repeated did nothing. Neither did Thuja. Seven months passed and the growth had then become tender, denuded on its upper surface and casting off foul smelling pus. Classic constitutional symptoms had developed for Sulphur.