THE ABCS OF PEPTIC ULCER MANAGEMENT



“Well,” I said, “come over to the office”.

He was there very shortly after I arrived myself.

Now what was the symptom? What would be the analysis of that symptom? You will find it in the Repertory under “Pain in the Extremities Relieved by Eating. “He got a dose of Natrum carb. cm and came back in three days and said he was very much relieved. If he ate a good dinner in the evening, he had no pain until the next morning, and all of that had disappeared.

I asked him a few more question. On the first visit there were patients waiting and I hadnt time. Fifteen years before he had gastric or duodenal ulcer, which, of course, also was another indication for the remedy that I gave him. The symptoms entirely disappeared and he seemed perfectly well until about a year after when he had to get another dose, and then I saw him for several years, and he never had any return of these symptoms.

Now, under “Pain in the Extremities,” or “General Pain Relieved by Eating” you will find one new remedy at the bottom of the page. Natrum carb. It is in small type;l in other words, it is the lowest degree, and this is an indication that some times those remedies that are in small type are the ones that you need instead of the ones in black heavy type.

DR.WILLIAM P. MOWRY Detroit, Mich.]: I regret that I missed this paper. I just heard the tail end of it, I cant be in two places at one, and I was interested to heat about the fallacy of cortisone and ACTH, so I wanted to go into the other meeting and get it straight, and I came back here as this paper was being closed.

I couldnt understand how Dr.Bond went in to the etiology. I have found in many instances an ulcer is brought on by stress, and I should like to relate one case. this man is not a patient of mine,but he is a personal friend, a young man of a straight, upright young man , with exceptionally good habits, good physique and he got into financial difficulties with another man, that caused him a great deal of worry until the situation was straightened out. He ended up last winter by being sent to Duke University, and Duke diagnosed his case as peptic ulcer, and, of course, they put him on the routine treatment.

He has been somewhat improved, I think, however, it has been due to the diet he has been following rather than to his treatment,but I wonder what Dr.Bond would suggest in that case or a case of that kind. I am sure that this was brought on by mental stress alone.

Dr.T.K.MOORE [Sharon Center, Ohio]: I have one case I can relate in this group because it was definitely brought on by worry, although the patient did not recognize that fact. It was a personal case, myself, and a year and a half ago a third of the stomach was removed because nothing would pass through. Of course, I had very poor homoeopathic treatment-it was my own and Dr.DIXONS and it didnt amount of anything.

We didnt know anything about Cadmium. That wasnt in the picture at all , so we went to the hospital and we had a third of the stomach removed, and we took the Koch treatment and we have bee on a diet for a year and a half,no meat, no fish, no eggs, no milk, no chicken. We are here, and we are able to spade the garden and do all sorts of things. If you fellows ever fail with the Homoeopathic treatment, come over into regular medicine, because we can take care of them! (Laughter).

DR.CHARLES A. DIXON [Akron, Ohio]: I sort of resent those remarks, Laughter) I never prescribed for that man with any such trouble.

I didnt hear Dr.Bonds paper but I want to tell you a little bit how I treat them all, and none to to the surgeon, I havent had a case go to the surgeon in thirty years. I guess. The first thing I do is make them stop eating. They live on water for five days. That is the approximate time. Some of hem have gone on for seven days on water and nothing else. Usually three days is enough.

I always tell the patient that the origin of peptic or duodenal ulcer, or of gallbladder involvement,starts in the head,and those Rubrics on Mentals will often give you the guide for the correct remedy. Maybe Dr.Bond told you all that before: I dont know.

DR.GRIMMER: He mentioned it.

DR.WILBUR K.BOND [Greensfork, Ind.]:Well, now you see my purpose in writing the paper. I have gotten a good postgraduate instruction course here this morning. I know a lot more about peptic ulcer now, after I have heard the other members talk. I certainly appreciate these suggestions. some new remedies that have been mentioned I am very happy to know about.

I fully appreciate the value of Cadmium metallicum, as Dr.Grimmer has suggested, and it is a great remedy both in ulcer and in cancer of the stomach. I was not so familiar with Mercuries corrosives but I shall certainly keep it in mind in the future.

The cause of ulcer I didnt stress to heavily, but that does bring a point to mind about worry and grief being factors. In Kent I believed we have some rubrics on pain in the stomach from grief or worry, and many times Ignatia is a great remedy there, or Nux vomica. the mentals are highly important.

I especially hit this subject pretty hard because recently, a year ago last January as a matter of fact, I had had about a years siege with my own mother. who had a peptic ulcer in the duodenum causing almost complete obstruction, and one of the mental symptoms that she had in the hospital was that she wanted to die, and to jump out the window.

Aurum, speaking of mentals,was the first remedy that turned the tide in her favor, Aurum metallicum. I never will forget it.

For complete obstruction, Dr.Moore, I have had wonderful success with Podophyllum.

DR.MOORE;What potency,Dr.Bond?.

DR.BOND;CM.It works wonderfully in many cases of cancer where there is complete obstruction.

I was interested in the diet that Dr.Dixon suggests. I have found that is a wonderful thing. As you noticed, my write-up has stressed that point-take them off all food and drink, except I should not have omitted the drink so much, but in some severe cases of a very touchy stomach, I have noticed that even water will cause them to vomit. And by holding cracked ice in the mouth, they can tolerate fluids.

DR.GRIMMER; Sometimes an ice cap on the stomach is good.

DR.BOND: There is another point here I really neglected to mention in my paper and that is the fruit juices and the vegetable juices. I have long recognized that meat was a bad factor in the ulcer or the cancer diet,and in the very severe cases about the next step I use after the water treatment is the diet of raw carrot juice and fresh raw gape juice, and I give it to you for what it is worth. It is a little contradictory.

In my write-up. where I suggest nothing with the letter S should be given, of course juices are somewhat sour,but it is surprising the number of cases that seem as though they could not tolerate sour things who can be put on a fruit juice diet.

I have a special diet that I got many years ago from some old physician in the northern part of Indiana, who was very successful in the treatment of cancer of the stomach and his diet largely consisted of a mixture of juices of grapes and lemons and oranges, and one or two others.

DR.GRIMMER;Apple juice malic acid.

DR.BOND;Yes.

DR.GRIMMER;Many of juices, of course, while they are acid, become alkaline ash when they get into he body. They change chemically.

DR.MOWRY: Is that true with grape juice, Dr.Grimmer?.

DR.GRIMMER:No, that is malic acid and tartaric acid mostly, but the sugar content in grape juice is helpful. It neutralizes some of the other acid.

DR.SCHMIDT:Has the new cure, cabbage juice, been mentioned? I did not have the privilege of hearing the paper.

DR.BOND.I had that followed under my vegetable juices, which consist of cabbage and carrot, fresh-always fresh and raw- spinach,watercress. Some cannot take watercress because of the vitamins in it. Celery juice is another. Those are some of the juices of raw vegetables that are quite helpful in the treatment of ulcer and with ulcers of a malignant nature. I believe that is all I have to offer on the subject,and I thank you.

DR.GLADISH:Even though the subject is closed, I should like to take advantage of being Chairman to ask what about Graphites.. In certain cases wouldnt the action to relieve scar tissue help?.

DR.GRIMMER:Yes, it would. It is a good remedy and a high type remedy when a little food in the stomach relieves the terrible burning, at least for a short time. Graphites is a good remedy.

Wilbur K. Bond