Those who say that they have put Homoeopathic medicine to test and that it is a failure, evidence their own ignorance- Aphorisms and Precepts-Dr. J.T.Kent.
Non-calculous chronic cholecystitis is an inflammatory process of the gall bladder, associated with inflammatory lesions of the same type of the intra- and extra-hepatic channels.
Because of its common occurrence, this ailment deserves extremely careful attention on the part of the physician. It is the consequence of acute inflammatory processes following septicemic, streptococcic, pneumococcic, scarlatinal and influenzal infections, small pox, malta fever, etc., etc. The Eberth bacillus is often found after several years in chronic cholecystitis.
Pregnancy is a factor producing cholecystitis. Various diseases of the digestive system are associated with this condition or are liable to produce it. Such are: chronic and acute appendicitis giving the Dieulafoy syndrome, lesions of the duodenum and the pancreas, intestinal parasitosis, such as amoebiasis, lambliasis and cholebacillus, the presence of which is constant in chronic cholecystitis.
Inasmuch as this trouble is one occurring in adults, women are more affected by chronic cholecystitis, and statistics show that 70 per cent of the patients are women, multiparous mothers especially, while the other 30 per cent are men.
The diagnosis of non-calculous chronic cholecystitis must be established on the following bases:
4th-Radiological signs and
5th-Duodenal probe or the Meltzer-Lyon test.
FUNCTIONAL SYMPTOMS-Most frequently dyspeptic phenomena are found of a flatulent nature causing a sensation of a weight or gastric or intestinal distension, which symptoms become aggravated by the ingestion of foods abundant in cholesterin, fats and farinaceous elements. Exercise, violent trepidatory movements and emotional states aggravate these symptoms.
In the morning, before taking food, a frequent state of nausea and vomits of a bilious, mucous, exceptionally alimentitious type is observed. Pain localized in the epigastrium is present radiating to the gall bladder region and extending to the right or the left scapular region. There is at times a sensation of spasm in the esophagus as well as precordial pain and hyperchlorhydric phenomena.
The gastric pains bear no relation to the ingestion of food and vomiting does not produce any relief. The epigastric pain has a variable duration and it may be prolonged for two or three hours.
GENERAL SYMPTOMS-The patient has a bitter taste in the mouth, especially in the morning, anorexia and often Linossier’s post-prandial diarrhea characterized by intense pain in the transverse colon causing an abundant, fermented, liquid, bilious, fetid evacuation which produces immediate relief.
On other occasions there prevails a state of tenacious constipation of a spastic type, sometimes assuming the clinical form of “irritable colon”.
Evacuations are more or less discolored or acholic.
As a general rule, the patient is asthenic and progressively loses weight, which fact is accompanied by Dyspnoea on effort, tachycardia, extra-systoles, vertigo, violent temper. nervousness and insomnia. Dysmenorrhea and functional derangements of the ovary are frequent in women.
Right hemicrania ending in frequent vomiting and urticarial crises in their different types are associated manifestations of non-calculous chronic cholecystitis, Persistent febricula, bearing no relation to the meal hours, which may or may not be accompanied by marked chill, is another manifestation of this disease.
PHYSICAL SIGNS-Pain on pressure at the cystic site, at which exploration nausea and vomiting are usually produced. Saburral tongue, halitosis, conjunctiva and skin with frank subjaundice, acholic excrements. Enriquez’ or Murphy’s sign is positive.
RADIOLOGICAL SIGNS-Negative cholecystography, i.e. excluded for incapacity of concentration to coloring matter, but it should be noted that a normal image of the bladder does not exclude non- calculous chronic cholecystitis.
DUODENAL EXPLORATION-The Meltzer-Lyon test is meant to ascertain whether in non-calculous chronic cholecystitis there exists a process of infection of the gall bladder, and when the response is positive, the bile “B” extracted by probing presents
a greenish color due to the transformation by oxidation of the bilirubin into biliverdin under the influence of bacteria. The analysis of this bile reveals the presence of bacteria, mucus, albumin, pyocytes in greater or lesser quantities, depending on the inflammatory state of the bladder. But it should be noted that occasionally, in spite of the bladder being infected, the bile is thoroughly aseptic.
PROGNOSIS-The prognosis of non-calculous chronic cholecystitis is always serious, due in part to its chronicity and, on the other hand, to the frequent associations and stages of acuteness bearing on the liver and the pancreas, as well as on the general condition of the patient. Of the complications arising from non-calculous chronic cholecystitis, the most serious are: cholangitis, leading to suppuration of the bladder; hypertonic dyskinesia ending in vesicular stasis and predisposing to calculous cholecystitis, definite sclerosis of the bladder, atrophy of same, and vesicular hydrocholecystitis or dropsy.
The traditional medical school advises disinfectants of the biliary ducts, as well as cholagogue and choleretic medicaments and hydromineral cures, and as a heroic recourse, permanent duodenal probing for several days. When the desired results are not obtained, an operation is made performing cholecystectomy or cholecystotomy, as the case may be.
The Hahnemannian school has an extremely large number of medicaments which, being known under pure proving and now complemented by laboratory works, make manifest their elective action on the liver and the intra-and the extra-hepatic biliary ducts. The success of these remedies, duly prescribed, has been clinically demonstrated in the treatment of non-calculous chronic cholecystitis, under the law of Similia Similibus Curentur. The main remedies are:.
Chelidonium majus-Characteristic symptoms are: constant pain at the lower angle of the right scapula yellowish pasty tongue with teeth imprint, bitter taste, halitosis. Nausea in the morning or alimentitious or biliary vomit, pain in the vesicular region and epigastrium, which is temporarily relieved by eating.
Distention of the stomach and intestines with fermentations. Constipation with hard, small, round evacuations of a bright yellow color or clay color, acholic evacuations with alternate diarrhea and constipation. Pruritus ani. Turbid, foamy, dark yellow urine, beer-like in appearance.
Sclerotica and skin with sub-icteric tinge.
The patient is excited and irritable, with agitation and anxiety, and presents alternate irritability and depression. Vertigo and nausea, with the sensation of falling forwards. Right hemicrania that becomes aggravated when stooping, in the open air and at the slightest movement.
Chelidonium is adapted to people having blond hair , with ailments located on the right.
AGGRAVATION-In moving, when stooping, on weather changes, in the open air, at 4 in the morning or in the afternoon, on the right side.
RELIEF-After meals, by pressure and heat.
Podophyllum peltatum-People of an irritable temper with hepatic, vesicular, duodenal and left colon disturbances. Vertigo with a sensation of falling forward, right or left cephalalgia in the supra-orbital region, with bitter taste in the mouth, halitosis, rocking sensation in the head from one side to the other with desire to vomit and need for closing the eyes.
Epigastric pain with distention and sensation of vacuum in the epigastrium. Anorexia, longing for acid food, thirst for large amounts of water. Hyperchlorhydria with regurgitation of food. Morning vomiting, mucous or of a biliary type, yellow or greenish in color. Heat with burning sensation in the stomach. Intolerance to milk. Sensation of fullness in the right hypochondrium spreading to the transverse and descending colon, which becomes aggravated early in the morning causing matinal, painful, green, aqueous, too profuse, fetid diarrhea, expelled like a water jet.
At other times, the diarrhea is colorless or alternates with constipation, in which case defecations are acholic, hard and dry and expelled with great difficulty. These may or may not be accompanied by rectal prolapse. Rectocolitis with external or internal haemorrhoids. Rectal mucorrhea.
AGGRAVATION-Early in the morning, heat, after eating and drinking.
RELIEF-By friction and when the patient lies on the abdomen.
Carduus marianus- Elective action on the liver and the biliary ducts, mainly for patients who have used alcohol and beer in excess. Disturbances of sugar metabolism associated with diseases of the liver and pancreas. Bronchial asthma of an allergic type. Vertigo with backward falling. Heavy stupid head.
Bad or bitter taste in the mouth at all times. Aversion to meat or salty food. Nausea upon awakening, retching until green phlegm and a great amount of acid liquid are vomited. Congestive hepatitis, cholecystitis and angiocholitis, jaundice. A preventive of calculous cholecystitis.
Constipation with hard knotty evacuations expelled with great difficulty. Diarrhea with acholic, bright evacuations alternating with constipation. Sensibility throughout the hepatic region and internal lobe. Subjaundice. Rectal haemorrhage with great ardor, rectal prolapse and precancerous states of the sigmoid and rectum. Nebulous urine with biliary pigments. Pruritus throughout the body. Halitosis.
Chionanthus virginica-Remedy adapted for persons who, besides suffering from the liver, suffer also from the pancreas, with great thirst, abundant dark urine with presence of biliary pigments and glucose. Prediabetic states and diabetes. Insulin resistants.
Periodical supra-orbital cephalalgia of a nervous type, hepatic or premenstrual. Supra-orbital region sensible with a sensation of pressure at the root of the nose. Hepatitis in its congestive and atrophic forms, as well as chronic cholecystitis and cholangitis calculous cholecystitis. Obstructive jaundice.
Pains in the vesical region with abdominal paroxysms, as if a sliding knot compressed the abdomen at the level of the umbilical region. Heaviness and pain in the hepatic and vesicular region with jaundice and constipation. Acholic evacuations, either pasty or pale yellow in color. Yellowish tongue, halitosis, anorexia, loss of weight, profound asthenia, mouth always dry, which does not improve by water drinking.
Berberis vulgaris-This remedy is more indicated for patients in whom disturbances of the urogenital tract are associated. Renal lithiasis with pain in the ureters, bladder and urethra. Entero-renal syndrome, rheumatic and arthritic diathesis. Rheumatism in most varied types, gout patients. Hepatic patients with familiar cholemia. Vesicular dyskinesia with biliary stasis and cholecystonias. Hepatic colic with location at the cystic and the epigastric points.
Vertigo with fainting, frontal headache as if pressing all the scalp. Nausea before breakfast.
Pain at the cystic point that becomes aggravated under pressure. Pain radiates to right kidney. Chronic cholecystitis, biliary and renal lithiasis. Hypercholesterolemia. Enterocolitis with painless, acholic, burning evacuations, with a sensation of ardor and intense pain at the perineal region and anus. Rectal fistula. Gout, chronic rheumatism, obesity, vesicular infections after typhoid fever. All symptoms become aggravated by motion and standing.
Leptandra virginica-Liver troubles after paludism. Size of liver increased, painful to palpation, painful regional points comprising: epigastrium, cystic,and pancreas, as well as the scapular and spinous points.
Vertigo with sleepiness; hammering frontal pain invading orbital regions. Yellowish tongue, halitosis, Anorexia and frequent desire to evacuate with profuse, dark diarrhoea with dark blood. Bleeding haemorrhoids. Cholangitis after intestinal infections or typhoid fever. Rectal prolapse with external haemorrhoids. Enterorrhagia. Obstructive jaundice and cholangitis, Hepatic steatosis.
Elemuy (Yumel)-This remedy comes from Materia Medica, in the State of Yucatan, Mexico. Clinically experienced and proved under Hahnemannian rules by Drs. Manuel M. Lezama, Leonardo Jaramillo, Hilario Luna Castro and others.
Frontal cephalalgia with sick headache and vertigo, photophobia with yellowish tinge of the conjunctiva. Jaundice with facial chloasma marked on the cheek bones and forehead. Yellowish tongue at the base, with teeth imprint. Bitter taste and halitosis, intense thirst, nausea or vomiting when taking warm food. The product vomited is yellowish or greenish, exceptionally alimentitious.
Pain in the right hypochondrium and vesicular region sensible to palpation and breathing. Chauffard’s and Rivert’s cystic, epigastric and pancreatic-choledochus points present.
Cholecystitis and angiocholitis of an acute and chronic type, with jaundice and general pruritus. Biliary lithiasis and cholesterinemia. Choledocho-lithiasis. Almost all Elemuy (Yumel) patients suffer renal disturbances of a lithiasic form. Constipation because of hepato-biliary, insufficiency, lack of desire to evacuate with mucous evacuations ordinarily alternating with an intensely yellow or greenish diarrhea, with ardor and tenesmus after defecation. Postprandial diarrhea. Edema with Chloride retention. Vesicular hypertonic dyskinesia.
AGGRAVATION-Motion and on the right side.
RELIEF-By eating but a little, by moderate physical exercise and by amusing himself.
Myrica cerifera-Patients with progressive loss of weight, asthenia and marked weakness, complete anorexia and jaundice invading the mucosae. Headache located at the temporal and the frontal regions. Bitter taste, halitosis and terrible nausea due to catarrhal pharyngitis concomitant to this remedy.
Jaundice with mahogany-dark urine, discolored faeces due to the absence of stercobilin. Retention of biliary salts with intense pruritus all about the skin and bradycardia. Intestinal fermentation dyspepsia.
Longing for acid food with a sensation of weakness at the epigastrium, with nausea which increases after eating and is relieved by walking. Fermentation dyspepsias with acholic evacuations, these may also be ash-colored. Dark yellow urine. Sclero-atrophic cholecystitis or cholecystitis of a chronic hypertrophic type.
AGGRAVATION-By bed warmth and at night.
RELIEF-After taking breakfast, by walking and in the open air.
Nux vomica-A prominent remedy for adults leading a sedentary life, irritable, sensitive and emotional patients. Noise, odors and light are intolerable. Times seems too slow for these patients. They use tobacco, alcoholic beverages or laxatives in excess. This remedy is well indicated after coffee or barbiturates have been taken in excess.
Vertigo with momentary loss of consciousness, congestive frontal headache with desire for strong pressure. Headaches due to consolation. Insipid, metallic or bitter taste upon awakening in the morning with nausea and vomiting, great painful retching. Orange-yellow or green vomitus giving relief. Weight in the stomach with sensitivity to pressure invading the epigastrium, the vesicular region and all of the lower right edge of the hepatic region. Epigastric pain appears one or two hours after eating and causes the patient to loosen his clothes as the pressure increases and speaks in all directions.
There are suffocation and restlessness and the patient is unable to accomplish intellectual work after eating. “If I could vomit,” the patient says, “I would feel better.” Dyspepsia due to insufficient motion with sensation as if a stone pressed the stomach and abdominal mass, Aerophagia and cholophagia hard to obtain. Dyspepsia in patients using alcohol, tobacco and coffee in excess.
Volume of liver increased, pain at the level of the vesicular point and positive Murphy’s sigh. Violent colic with sensation of upward pressure. Vertigo, colic with sensation of upward pressure. Vertigo, palpitations, sweat, hypotension of the arteries, slow pulse, etc., in short, all of the symptoms of neuro-vegetative dystonia. Frequent jaundice or subicteric tinge.
Frequent unsuccessful desire to evacuate and when successful the patient expels only small quantities after each effort; weakness at the level of the inguinal regions. Spasms and rectal constriction. Loss of irregular action of peristalsis. Diarrhea alternating with constipation, especially after excessive use of cathartics or laxatives. Urgent defecation producing very intense pain throughout the abdominal region and small quantities of stool. Defecation frequent and extremely painful. Blind haemorrhoids with itching and ardor, constant anguished malaise and rectal restlessness. Chronic cholecystitis with flatulent dyspepsia, positive Murphy’s sign, Linossier’s postprandial diarrhea.
AGGRAVATION-In the morning, by mental exercise, after meals, dry weather and cold weather.
RELIEF – At night, rest, damp weather.
Colocynthis – Indicated in cases of acuteness of non- calculous chronic cholecystitis. The patients present very acute intolerable pain, which is relieved by pressure and when the patient bends on himself pressing against something hard. This colic is followed by vomiting diarrhea of a dysenteric type and the pains invading the transverse colon are of a crampy nature. After the intense stage has passed, it leaves the sensation of having the abdomen between stones.
Vertigo when moving to the left. Irritability, bitter taste, anorexia, frontal cephalalgia and lateral hemicrania which become aggravated on lying down, ending in nausea and yellow or green vomiting. Canine hunger with a sensation of burning and fullness in the epigastric region, acute pain at the cystic point which is sensitive to pressure, radiating in all directions and located at the umbilical region. Intense thirst. Distended sensitive abdomen, pains radiating to the ovaries and male external genitals.
Non-calculous chronic cholecystitis complicated with muco- membranous colitis, with ejection of abundant mucus and membranes expelled with the faeces. Abdominal pain in bar form. Spastic pain of the left colon and sigmoids. Constant MacBurney’s point.
AGGRAVATION – After eating or drinking, at rest and after some vexation.
RELIEF – By elimination of gastric or intestinal gases, by pressure and by bending on oneself.
Cholesterine – Non-calculous chronic cholecystitis with which an congestive hepatitis of a pre-cancerous or cancerous form is associated. Burning pain in the hepatic region spreading to the right scapula.
Great weakness and loss of strength. Febricula of a continuous a remittent type. Selective anorexia for meat and fats; mucous or alimentitious vomiting. Rebellious constipation.
The patient becomes markedly thinner with anemia. The skin and the mucous membranes assume a straw-yellow color. Intense asthenia with great weakness and loss of strength. Hepatic cirrhosis. Adenocancer. Massive cancer of the liver.
Fel tauri – This remedy wan introduced to the Hahnemannian school by Dr. Buchner. Irritable patients complaining of mental confusion. Violent matinal headaches spreading to the nape. White tongue, excessive thirst, aerophagia and choliphagia without taste and taste and odor. Violent intestinal peristaltic movements, pressive constant pain in the vesicular region spreading to the right and left scapulae. Tendency to sleep after eating. Obstructive cholecystitis. Biliary lithiasis. Jaundice with generalized prurigo. Hepatic insufficiency. Chronic passive congestion of the liver and cirrhosis. Cholangitis. Dropsy of the bladder. Constipation due to vascular insufficiency. Chauffard’s bilioseptic fever.
1 – Non-calculous chronic cholecystitis is susceptible to complete cure in 90 per cent of the cases by HOMOEOPATHIC MEDICATION, WHEN THE CHARACTERISTICS of the trouble fit in with the SIMILIMUM OF REMEDY, even in cases where are associated non- stenosal ulcer of the duodenum, duodenitis, periduodenitis, vesicular stasis, lithiasis with non-stenosal ulcer of the duodenum, duodenitis, periduodenitis, vesicular stasis, lithiasis with non-gigantic calculi, etc.
2 – Operative intervention by cholecystectomy and choledochotomy should be reserved to cases in which chronic cholecystitis leads to biliary lithiasis with voluminous calculi, in obstructive sclero-atrophic cholecystitis ending in empyema of the bladder, in calculous obstruction of the choledochus and in stenosal duodenal lesions.
3 – THE BRILLIANT AND CONCLUSIVE CLINICAL RESULTS OBTAINED WITH HOMOEOPATHIC REMEDIES IN CURING NON-CALCULOUS CHRONIC CHOLECYSTITIS ARE A FURTHER SUBSTANTIATION OF THE LAW, SIMILIA SIMILIBUS CURENTUR LAW, WHICH HAS KNOWS PROGRESS FOR OVER ONE HUNDRED YEARS.
AMSTERDAM NO. 21.
ZONA 11. MEXICO, D.F.