DIAGNOSE KREBS WAS NUN · Metastatic cancer of mammae Mrs. S., born 1960 1994 Diagnosis: cancer of...
Transcript of DIAGNOSE KREBS WAS NUN · Metastatic cancer of mammae Mrs. S., born 1960 1994 Diagnosis: cancer of...
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 !!