Diagnosis

„cancer“:

what can we

do?i

Case of metastatic breast

cancer• Treated by:

Dr. Waibel Thomas, Orselina, Switzerland

• Supervided by:

Dr. Spinedi Dario, Orselina, Switzerland

Paragraph 3 of the Organon

„

Paragraph 3 means:

• We have to find:

What has to be treated, or which are the

most urgent symptoms to be treated?

a) mental: fear, depression despair, shock

caused by diagnosis ?

b) physical: pain, bleeding, inflammation,

side effects of chemo- or radiotherapy (or

of other drugs), operations?

We come now to our case !

Clinical report:

Metastatic cancer of mammae

Mrs. S., born 1960

1994 Diagnosis: cancer of mamma pT2, N0 (0/10), M0

Operation of the lump with partial axilla dissection, chemotherapy (3 cycles CFU) and radiation

2000 Local recurrence

Operation of the local metastasis,

Starting of the homoeopathic treatement by a doctor in Germany

2002 Local recurrence

Amputation of the right mamma

2007 Restaging with multiple metastasis

Many local metastasis – ulceration of the tumor

Bone metastasis – sternum and ribs

Metastasis of lungs with infiltration of the pleura

Liver metastasis

Metastasis of the surrenales

06.05.2007

Paragraph 3 of the Organon

• In our case we have two main acute

problems:

a) mental : strong anxiety

b) physic: treatment of the inflamed

wound

• Beginning of the cure in the Clinica Santa Croce Orselina

Applications of Calendula

mother tincture (10 drops in a dl water)

on the wound

Calendula

Mother tincture for treatment of the wound

• Mental and physical acute symptoms

• MIND; DEATH; presentiment of

• MIND; DESPAIR; recovery

• MIND; SHRIEKING, screaming, shouting; pain, with the

• CHEST; PAIN; General; sternum

• GENERALITIES; PAIN; General; bones

• CHEST; CARIES, necrosis; Sternum

• GENERALITIES; CARIES, necrosis of; bone

• CHEST; PAIN; stitching; sternum; extending to; back

• GENERALITIES; HAND; laying on part; amel.

• GENERALITIES; CANCEROUS affections; pain, to relieve

• GENERALITIES; PAIN; General; intolerable

• GENERALITIES; TREMBLING; pains; with

• CHILL; PAIN; with

• GENERALITIES; BATHING, washing; amel.; hot

• CHEST; CANCER; Mammae

• ABDOMEN; TUMORS; Liver, cancerous

• SKIN; ULCERS; cancerous

• SKIN; ULCERS; discharges; offensive

• SKIN; ULCERS; discharges; purulent, fetid, sloughing

• FACE; SWELLING; eyes; around

Arsenicum album

09.05.-22.07.2007 – Arsenicum album Q (LM-potency)

In the beginning we give 5 doses, on a every hour dose, until the acute pain ameliorate. Then, we give the remedy on a daily basis.

Analysis of the Arsenicum

repertorisation

As we can see, not all the rubric are

covered by Arsenicum album.

If we look at the uncovered rubrics we

find out the following remedy :

Conium maculatum

• 2 months after the beginning of

Arsenicum album Q 3 (LM3)

we are confronted with the following

situation:

14.07.2007

In Organon 6th edition of Samuel Hahnemann we find the instructions on how to prepare and somministrate the Q-Potencies

The most important are 167, 246, 248, 270 und 280-282

The acute symptoms improved

considerably,

Now it‘s time for a complete case taking

Case taking of the 16.7.2007

• During the case taking (in this case 3,5 hours) we collected the totality of the symptoms in order to establish a plane of cure, which aims are to find out

- the acute remedies

- the organotropic remedies

- the constitutional remedies

- the miasmatic remedies

Case taking of the 16.07.2007• MIND; AMBITION; much, ambitious

• MIND; STARTING, startled; sleep; falling asleep, on

• MIND; IRRITABILITY; menses; before

• MIND; WEEPING, tearful mood; tendency; menses; before

• MIND; SADNESS, despondency, depression, melancholy; menses; before

• FEMALE; SEXUAL; desire; diminished

• GENERALITIES; SEXUAL; desire, suppression of; agg.

• GENERALITIES; HEAT; flushes of; perspiration; with

• BACK; PERSPIRATION; Cervical region

• GENERALITIES; FOOD and drinks; sour, acids; desires

• GENERALITIES; FOOD and drinks; alcohol, alcoholic drinks; agg.

• STOOL; LIENTERIC

• RECTUM; CONSTIPATION; stool; has to be removed mechanically

• RECTUM; CONSTIPATION; stool; recedes

• CHEST; SWELLING; Mammae; menses; before

• CHEST; PAIN; General; mammae; menses; before

• CHEST; MAMMAE, complaints of; menses; before

• STOMACH; VOMITING; General; menses; during

• SLEEP; POSITION; abdomen, on

• GENERALITIES; INJURIES, blows, falls and bruises; Soft parts, of, contusions

• GENERALITIES; INJURIES, blows, falls and bruises; chronic effects of

• CHEST; CARIES, necrosis; Sternum (K824, G696)

• CHEST; INJURIES; mammae, to

• CHEST; PAIN; General; sternum

• CHEST; PAIN; sore, bruised; sternum

• CHEST; PAIN; pressing; sternum

• CHEST; PAIN; stitching; sternum; extending to; back

• CHEST; PAIN; General; sternum; motion, on

• CHEST; PAIN; stitching; axilla

• COUGH; TICKLING; throat, from

• SKIN; WARTS; bleeding

• EXTREMITIES; WARTS; Foot; sole of

• HEAD PAIN; GENERAL; eating; amel.; after

• HEAD PAIN; GENERAL; menses; before

• VISION; COLORS before the eyes; black; stripes

• VISION; THREAD before

• FEMALE; VEINS, varicose

• HEAD; ERUPTIONS; itching

• ABDOMEN; CLOTHING, sensitive to

• ABDOMEN; TUMORS; Liver, cancerous

• GENERALITIES; CARIES, necrosis of; bone

• CHEST; NODULES; Mammae, in

• GENERALITIES; CANCEROUS affections; pain, to relieve

• EXTREMITIES; NAILS; complaints of; exfoliation

Analysis and plane of the cure:

Lycopodium

Conium

Bryonia

Thuja

We have to take into account

The side effects of the

chemio-radiotherapy

Family history:

Mother and grandmother

had breast cancer

Repertorization and analysis

• The totality of the symptoms (Paragraphs 5,6,7of the Organon, VI. edition) has to be

1) repertorized

2) analysed (paragraphs 153, 211)

3) and the result has to be checked by the study of materia medica

The plane of the cure

In our case we have found the following remedies that may be needed to complete the cure:

1.Acute: Arsenic, (Bryonia)

2.Organotropic : Conium

3.Side effects of therapy: Phos, Arsenicum

4.Constitutional : Lycopodium

5.Miasmatic : Carcinosin (Thuja)

Meaning of the plane of cure

• The remedy found are probably needed

during the cure for healing, but always the

law of the similar indicates when the time

has come to change the remedy.

Given remedy and new

symptoms

17.07.-21.07.2007 Arsenicum album Q7

22.07.2007 Stop

Stitching pain in right axilla

The tumor is „restless“ - the patient is anxious

Flushes of heat with perspiration

Cough with tickling in pit of throat

Exfoliating nails

Repertorisation

Control of the follow up

• In order to control the follow up we take all the symptoms, and we give the start number 10.

• If the patient ameliorate (30%) we write 7 (10-3=7).

• If the patient worsens (50%) we write 15 (10+5=15).

• In this way we have a very exact monitoring of the homoeopathic cure

Given remedy:

23.07.-16.09.2007 Conium Q4-Q8

Reaction to

Conium maculatum

• All the parameters ameliorate !

Acute episodes

• During the cure we often witness acute

episodes.

• These acute cases are very important

because they show us what the body

needs at that moment. Therefore we

repertorize very precisely every acute

episode.

17.09.2007 - acute infection: symptoms:

• CHILL; AFTERNOON

• CHILL; AFTERNOON; three pm.

• CHILL; AFTERNOON; three pm.; four pm., until

• FEVER, HEAT; AFTERNOON

• FEVER, HEAT; AFTERNOON; four pm.; after

• STOMACH; THIRST; heat; during

• STOMACH; THIRST; large quantities, for

• GENERALITIES; FOOD and drinks; cold; drinks, water; desires

• GENERALITIES; FOOD and drinks; cold; drinks, water; desires;

• GENERALITIES; FOOD and drinks; cold; drinks, desires; fever, during

• FEVER, HEAT; PERSPIRATION; absent

• GENERALITIES; WEAKNESS, enervation, exhaustion; fever; during

• HEAD PAIN; GENERAL; coughing, on; agg.

• HEAD PAIN; GENERAL; hold head, must

• CHEST; PAIN; General; cough, during

• CHEST; PAIN; General; sternum; coughing, when

• HEAD PAIN; PULSATING, throbbing; Forehead

• EXPECTORATION; COLOR; yellow

• ABDOMEN; FLATULENCE; fever, during

17.09.2007 Bryonia M

19.09.2007 Bryonia M

• The 20th October 2007 we are confronted

with the following picture:

20.10.2007 Thuja Q6

• CHEST; PAIN; boring; sternum, lower

• CHEST; PAIN; General; sternum

• CHEST; PAIN; boring

• GENERALITIES; WARMTH; amel.

• GENERALITIES; WARMTH; amel.; wraps

• GENERALITIES; HAND; laying on part; amel.

• MIND; FEAR; disease, of; impending

• GENERALITIES; FOOD and drinks; onions; desires, raw

• RECTUM; FLATUS; loud

• RECTUM; INVOLUNTARY stool; flatus; passing, on

• CHEST; NODULES; Mammae, in

Follow up

• Under the prescription of:

Thuja Q6

Carb an Q3

Conium Q9

We get the symptoms of Lycopodium:

20.10.2007

Thuja Q6

01.11.2007

Carbo an. Q3

21.11.2007

Conium Q9

05.12.07

-23.01.2008

Lyc Q3-Q5

24.01.-14.04.2008

Conium Q10-Q15

Follow up:

• With Lycopodium Q3-Q4,Q5 we see that

the general state improves, but the local

symptoms of the tumor do not.

• Therefore we try again with Conium Q10

until Q15.

Follow up:

• New acute symptoms are showing up:

29.02.-15.04.2008

a new group of symptoms is appearing

• EXTREMITY PAIN; GENERAL; morning

• EXTREMITY PAIN; GENERAL; motion; agg.; beginning of

• EXTREMITY PAIN; GENERAL; motion; amel. during

• EXTREMITY PAIN; JOINTS; motion; amel.

• EXTREMITY PAIN; GENERAL; warmth; amel.

• GENERALITIES; WARMTH; amel.; wraps

• STOOL; TENACIOUS

• STOOL; LIENTERIC

• GENERALITIES; BURNS; x-ray, from

• GENERALITIES; CANCEROUS affections

Interpretation:

• We have a picture of Rhus tox, but we

remember, that the patient got radiation,

Therefore the remedy needed is:

15.04.2008 Radium brom. C30

Important remedies used to cure

the side effects of radiation• Phos

• Rad brom

• X-ray

• Silicea

• Causticum

• Nux vomica

• Fluoricum acidum

• Aloe vera

• Calendula

• Every remedy covering the totality of the given symptoms

22.04.2008 Conium Q16

06.05.2008 Postmenopausal hemorrhage

General well beeing is good

Before the beginning of the cancer the patient has been suffering from gynecological hemorrhages

Last gynecological check up: one year ago

09.05.2008 Stop with Conium Q16

Thlaspi mother tincture 2x5 drops daily

„I think that this hemorrhage is a good thing, before the cancer started I had the same problems „

19.05.2008 Urinary infection• BLADDER; INFLAMMATION; cold, from taking

• MIND; AILMENTS from; bad news

• MIND; AILMENTS from; shock

• MIND; DEATH; thoughts of

• URETHRA; ITCHING

• GENERALITIES; WARMTH; amel.

19.05.2008 Aconitum napellus C200

01.06.-24.07.2008 Conium Q18-Q21

07.2008 Restaging - NO MORE TUMORS, NO METASTASIS!!

25.07.-22.08.2008 Conium Q22

every second day

aggravation of all the symptoms

22.08.2008 Conium Stopp

Late aggravation:

280-281and 248

Organon der Heilkunst, 6. Auflage

23.09.2008

„If it would be a remedy to take away my fear I would be very happy. I don‘t know why; I can consolate other sick people and give them motivation, but myself i have a great anxiety of recurrence“.

• GENERALITIES; CANCEROUS affections; hereditary

• GENERALITIES; CANCEROUS affections; hereditary; mothers side especially

• MIND; FEAR; long lasting

• MIND; RESPONSIBILITY; strong

• MIND; FEAR; disease, of; incurable, of being

• MIND; DESPAIR; recovery

• MIND; FEAR; examination, before

• MIND; BROODING

• MIND; OCCUPATION, diversion; amel

• SLEEP; POSITION; abdomen, on

• CHEST; PAIN; General; sternum

• CHEST; CANCER; Mammae

23.09.2008 Carcinosinum C200

03.12.2008

At the moment I do not feel anything, no sternum pain, no fear at all!!

No exfoliation of the nails. But I have been having a strong headache during

the weekend.

The surgeon took away the port without problems.

19.12.2008

19.12.2008 Conium M

Strong aggravation of the

observed and known

symptoms for some days

after taking Conium M

Third observation of Kent

after taking the

homoepathic medicine„Philosophy of Homoeopathy“, James Tyler Kent,

translated into German by Jost Künzli von

Fimmelsberg

04.02.2009

Infection with fever and bronchitis

04.02.2009 Bryonia C30

5.2.2009 : „Last night I had hig fever mit purulent sputum. Today I‘m better, more

strength. Now in the evening the cough is becoming worse the fever too“

17.02.2009 Recurrence

Bryonia M

24.02.2009 Aggravation of the acute disease need a new

repertorisation:

New symptoms

• COUGH; SIT UP, must

• BLADDER; URINATION; involuntary; cough, during

• COUGH; COLD; drinks; amel.

• GENERALITIES; FOOD and drinks; cold; drinks, water; amel.

• GENERALITIES; FOOD and drinks; cold; drinks, water; desires

• GENERALITIES; FOOD and drinks; cold; drinks, water; desires; icy

• CHEST; INFLAMMATION; Bronchial tubes, bronchitis

24.02.2009 Phosphorus C200

Follow up

„ After taking the remedy I got better very rapidly. The next day a menses started and lasted 5 days.

Ten days after the remedy i had avery bad headache, I suffer from Headche since the pregnancy of the second child.“

02.04.2009 Placebo

21.04.2009 Phosphorus M

29.06.2009 Placebo

26.08.2009 Rhus tox C30 (the patient herself took this

remedy without asking)

Follow up at 29.9.2009

„Mrs. M. has died. At once my fear of recurrence appears again.

There are many people with cancer around me.

The anxiety isn‘t as strong as a year ago, but I think about it.

I think: other people succed in healing but I‘ don‘t. Like Mrs. M. and other women I know. They are destroyed by chemotherapy and I cannot help them. I have a sort of remorse that I‘m dooing so well.

If I‘m occupied I don‘t think about the disease.“

Arsenicum Album C200

14.12.2009 I‘m well, only once headache

Placebo

09.02.2010 „The last time there is no more anxiety, I think my mind

is better“

A supressed wart at the foot sole has reappeared.

Xanthelasma at the eyelids are coming out

From time to time I am having headache

Placebo

18.03.2010 I‘m well, but the sternum pain are coming from time to

time

Conium M

Discussion

The patient with mamma cancer and many metastasis is free from tumors and metastasis since 2008, only by homoepathic medicines.

There aren‘t signs of tumor growing.

The long lasting fear of a cancer recurrence has ameliorate a lot.

The general state is very well, the lady is looking for her family and work in her job.

GOD IS GREAT !

Clinica Santa Croce

Homöopathische Abteilung, Vorstand: Dr. med. Dario Spinedi

Via al Parco 27, CH-6644 Orselina

Tel: 0041-91-7354.141 Fax: 0041-91-7354.374 www.clinicasantacroce.ch

9.5-22.7.2007 Ars alb Q3

23.7-16.9.2007 Conium Q4-Q8

20.10.2007 Thuja Q6

01.11.2007 Carbo an. Q3

21.11.2007 Conium Q9

05.12.2007 -23.01.2008 Lyc Q3-Q5

24.01.-14.04.2008 Conium Q10-Q15

15.04.2008 Radium brom C30

22.04.2008 Conium Q16

09.05.2008 Stopp Conium because of climacteric hemorrhage

Thlaspi Urtinktur 2x5Tr. Tägl

19.05.2008 Aconit C200

27.05.-21.08.2008 Conium Q20-22 every second day

22.08.2008 Conium Stopp – late aggravation

23.09.2008 Carcinosinum C200

19.12.2008 Conium M

04.02.2009 Bryonia C30

10.02.2009 Stop Thyreoglobulin 50yg

17.02.2009 Bryonia M

24.02.2009 Phosphorus C200

21.04.2009 Phosphorus M

29.06.2009 IM C

26.08.2009 Rhus tox C30

29.09.2009 Arsenicum album C200

14.12.2009 IM

09.02.2010 IM

29.03.2010 Conium M

All the remedies given

Discussion: The plane of cure

• As we had discussed in the beginning, the remedies needed has been:

• - Arsenicum album

• - Conium maculatum

• - Bryonia

• - Phosphorus/Radium bromatum

• - Lycopodium

• - Carcinosinum

• - Thuja

Discussion

• Arsenicum album cured the mental shock

• Conium was the organotropic cancer remedy

• Bryonia cured the metastatic pleura infiltration

• Phosphorus and Radium bromatum the side

effects of radiation and chemotherapy

• Carcinosinum the familiar cancer background

• Lycopodium the constitutional level

• Thank you for your attention !!