IT HAS been said that every surgical case has a medical aspect. In a similar way, we might say that every diabetic case has a homoeopathic aspect.
The indications upon which we prescribe homeopathic medicines for diabetes do not very from those which we employ in all other cases. It is true that with some drugs, notably phosphorus., arsenic, sulphur and uranium nitrate, we have a physiologic basis and a very pretty biologic theory upon which to justify their use. These will be referred to in their proper fact, that to get results in diabetes, homoeopathically, our criteria must be systematic, homoeopathic indications, always bearing in mind the fact that the drug used should be able to produce similar physiologic changes and, if possible, similar pathology.
Of late years, quite a bit has been written about numerous insulin substitutes which are drugs from various parts of the world having a common property of reducing blood sugar and rendering the doses of insulin less in amount. These have been very well covered by papers given on former occasions before this institute, notably by our chairman, Dr. McGavack, and by Dr. Bartlett. We shall simply review briefly their conclusions.
Bartlett is not enthusiastic regarding these substitutes for insulin and concludes that they are of limited value and give results in mild cases which could be well managed by diet alone.
Under this class he lists myrtillin, an extract of the common blueberry. Belonging to this class are syzigium and jambolanum.
Synthelin is a guanadine compound and probably owes its effect to its action on the liver. It is therefore, not well thought of by most clinicians. While it may reduce blood sugar, it has no effect on ketosis, it may reduce blood sugar, it has no effect on ketosis, weight, strength or energy and intolerance is common.
Mcgavack completes the lost of drugs which lower blood sugar physiologically when by mouth, adding ergotamine, morphine, codeine, and cocaine, also arsenic bromide.
The last-named drugs, with the exception of ergotamine, and produce their good effects through the homoeopathic law, as they do not cause a drop of blood sugar physiologically and indeed cause the opposite and would be, therefore, homoeopathic.
Ergotoxin and ergotamine produce a fall of blood sugar up to 85 per cent of the normal, which lasts about two hours. It has been used in clinical diabetes in doses of 130th of a grain. These purely experimental results have not been generally applied but are interesting.
McGavack also goes into quite a bit of detail as to why sulphur is indicated in diabetes on its physiologic action and lists a number of causes, among which is the fact that it is a constituent of he insulin molecule, that it is intimately concerned in tissue respiration, and therefore in the disposal of carbohydrates, and sulphur therefore in the disposal of carbohydrates, and sulphur compounds have been shown to exert a blood sugar lowering effect, independent of the mode of administration. Certainly, this is a striking biochemical confirmation of the clinical indications for this drug in diabetes.
The second point is the only one which may need some explanation and McGavack explains it clearly:.
“To maintain functional capacity with inner tissues, particularly muscular tissue, it is essential that four fifths of the lactic acid formed from glycogen during exercise be reconverted into glycogen but the other one-fifth burst to carbon dioxide and water. A change is accomplished normally in the presence of insulin, and in turn the activity of insulin seems to depend upon the contained sulphur”.
In a similar manner, accumulation of acid substances which stimulate muscular contraction, joint symptoms, skin symptoms, familiar in diabetes, joint symptoms, skin symptoms, familiar in diabetes, may be explained physiologically from this explanation.
As long as we are talking about sulphur, we might as we complete the clinical indications which might call for this drug in a clinical case of diabetes.
The drug is not listed among important ones for diabetes by any of our leading authors. That is, perhaps, a full-blown picture of a diabetic case is a bit too active to call sulphur to mind hat may not correspond in some large modality as desire for the open air, vasomotor disturbances, etc. Nevertheless, there are certain sulphur characteristics which are certainly very suggestive.
For instance, the old symptoms “drinks a great deal but eats little” is certainly the polydipsia of diabetes. The irritation and itching of the skin the either ravenous appetite or loss of appetite, and the urinary train of symptoms all come under the hands, stiffness of the joints, are also good sulphur symptoms. The cat-nap sleep, especially in the early morning, weakness, and mental irritability, depression are frequently found in this disease.
A person suffering from suboxidation cannot be expected to be relieved by cold or to desire cold air: hence these cases will not in that respect point toward sulphur, even though their other symptoms may be sulphur. I think this point has been overlooked in the use of this drug by our older authors, who arbitrarily ruled out a drug without its major modality, without seeking an explanation.
In my experience, I found the most useful drug in diabetes to be experience, I found the most useful drug in diabetes to be phosphorus. Again we have a biologic interpretation of why it is useful. There is a disturbance in the ability of the body to form carbohydrates from fatty acids, amino acids, and lactic acids, as is done by the normal individual . Coupled with this is a loss of the power to store excess carbohydrates as glycogen. Under normal conditions carbohydrate is being constantly carried to the liver from the bowel and fat from the subcutaneous deposits is carried to the liver and there broken down, carbohydrates being formed from it.
We know that fatty disturbances in the form of acidosis are a common and fared complication of this disease. It would seem that phosphorus is indicated in order to ingest this fat to normal metabolism.
Phosphorus, as has been said, markedly affects metabolism and all synthetic process are hindered and the catabolic are speeded up. It is, therefore, easy to understand the wasting to this disease which may be common in diabetes and also in other conditions such as tuberculosis.
From a clinical standpoint, a great indication for phosphorus in diabetes is where there is a respiratory complication,either a chronic bronchitis or cough. A concurrent nephritis also is a further indication inasmuch as phosphorus produces a very definite nephritis, and if albumin casts and blood cells are seen along with the diabetic this is a further indication.
Under this drug, there is weakness, particularly of the extremities, various paraesthesias due to the anemia, emaciation, many digestive symptoms, partially relieved by cold food and drink. Vomiting is seen, the liver apt to be tender, and there is an empty, gone sensation are well-marked the most important of which is the feeling of oppression or weight.
Phosphoric acid is some what allied to phosphorus but is generally considered clinically to apply to these cases where there has been a nervous shock, grief, etc. The condition is always aggravated by mental over work or worry, or even physical excesses. Royal says that the ranking symptom is apathy. There is large quantity of uranium typically of the diabetic type. This drug is usually given in large doses from the 15 drops of the tincture or one X.
A clinical remedy used by some of our best clinicians is acetic acid. It certainly has a great many symptoms of severe cases if diabetes, such as the marked wasting and debility, and weakness of all the muscles and limbs; the skin is pale, waxen, and emaciated. The main symptoms, however, revert to the stomach and burning is the main point.
Water brash, salivation, violent burning pain in the stomach. Often followed by vasomotor disturbances, such as cold sensation and cold sweat.
Iodine is a drug which is generally overlooked in this condition. It has many of the general symptoms which are characteristic of th diabetic, such as the excessive appetite, dry skin, nervousness, marked action on the glands, especially the pancreas. The know its relation to the thyroid, and it has been shown that the hormones from the pituitary action on the thyroid modify carbohydrate control as manufactured by the lover.
Oftentimes mechanisms of this been shown that the hormones from the pituitary acting on the thyroid modify carbohydrate control as manufactured by the liver. Oftentimes mechanisms of this sort serve to explain rational the clinical success of our homoeopathic drugs when at first-hand they seem to have no special tissue correspondence. Constricture sensations are prominent under iodine, particularly around the heart. Although the skin is dry, the least excitement induces perspiration, especially on the palms. Cardiac symptoms aggravated in the warm room may go along with the iodine case.
It is interesting to note that when our proving squad at Hahnemann proved posterior pituitary in its 12X. symptoms complained of were quite analogous to an early case of diabetes, and when we consider that the endocrine factor i sugar metabolism is coming more into the fore, this finding is quite interesting.
The above named drugs are simply a brief list of those which should be at least considered in ad diabetic case. As a general rule, the more complications there are, the more they should be considered. For instance, if gangrene is a feature of the case, our drug secale come in, which has a very interesting effect upon carbohydrate metabolism as well as causing generalized constriction and a well-known type of gangrene for which it has been prescribed for many years.
We many in certain cases have clear indications for other of our polychrests which at first sight do not seem to be able to cause diabetes mellitus in the way that we can see that it is produced now. However, if we had clear indications for drugs such as a silica, argentum nitricum, or arsenic, we should not hesitate, as this drug many just turn the balance and alter a complicated metabolism which will result in marked clinical improvement.