Leg Ulcer

[Soroush Ebrahimi]

Apart from taking a good case, you also need to concentrate on the symptoms around the ulcer.

The pain of it, the colour of it, smell etc.

You will probably need to be there when the dressing is being changed.

One of the remedies you may wish to consider is Carbo Veg. It is very useful in poor assimilation of resources especially of oxygen (with out which the rest of the processes grind to a halt). The blueness is a good indication and desire for more air!

They can be difficult to treat and need a patient patient and a homoeopath!

Do not rush it - I would suggest that you use LM potencies.

Rgds + Good healing
Soroush
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[jdurfeeathome]

Hi Shannon,

It may be of help to know the etiology. Perhaps the x-ray will tell
something. I like etiology because although it may or may not help determine
the remedy It will help you understand what your remedy is capable of when
you find the one that works.

You need to look for diabetes, vascular disease and cardiac disease in
general for such symptoms to occur as a predisposing factor that may need to
be addressed. A tendency to edema in the feet, even mild, is a sure sign.
Once you figure this out it may definitely affect the selection of your
remedies. Often signs and symptoms are very difficult for an allopath to
find in early cardiac disease. I have seen many misdiagnosis come out of the
cardiac clinic. Also, in the elderly, a general weakening of the immune
system can lead to ulcers without any significant signs of the above. In this
case just treat the wound then search for the constitutional.

If cham and ars. has not helped by now they will not likely ever.
You may want to look at aesc. hip. or vipera, lach., eventually,but not now,
to strengthen the veins.

I recently treated a severe ulcer caused by an aneurysm in the femoral artery
in the leg along the tibia. The swelling was immense. The ulcer occurred
when he bumped the swelling and caused a laceration on top of it.

It started to pit into the wound and grew large almost over night, 2.5 inches
long and1.5 inches wide with in two days and maybe .5cm deep. Underneath it
we knew a large blood clot resided. After about two weeks of conventional
treatment with antibiotics (they ruled out surgery to remove the clot due to
his level of dementia) homeopathy was tried. We knew the pain was severe
because he told someone that it hurt and he refused to get up. This is
significant because he is an obsessive pacer who never talks!

Of course there were no overt signs of infection due to antibiotics at this
time. The wound was surrounded by a dark bluish purple ring. I had to decide
whether to go with a remedy that matched the appearance of the wound, dealt
with the etiology, aneurysm, or calendula which had healed so may different
ulcers from reading and stories I had heard.

Calendula 200c was given 2 x a day for two days then about 3 x week for the
next two weeks. After the first day it was clear to see it was the right
remedy. Pain had decreased and granulation tissue appeared on the edges of
the ulcer. Over the next three weeks we watched it shrink to nothing.
Somewhere in the 3rd to 4th week the tiny hole seemed to stall and not close.
One more dose of 200c and it was done.

Through out the treatment we attended it with excellent wound care with
dressing changes 2xday and cleaning the wound with normal saline and
debreding dead skin or eschar as needed.

Whatever you decide to do, best of luck. And by the way I have had excellent
results alternating remedies in severe ulcers. Like pyrogen, hep. sulf., and
silica. I've used 30c giving each remedy 3 x a day. I have also had success
with calc. sulf. when hep.sulf didn't work. Calc. sulf. is for very severe
wounds. Guess the only way to know is to try one, if it fails try the other.
Silicea was used to keep the wound open and draining. A prematurely closed
wound can be a problem. I expect to start seeing results within 24 hours.
If not, I change the remedy.

Best,
Barbara
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[Rochelle]

I remember Anne Saunders recommending Carbo An for obstinate slow healing
ulcers.

Regards, Rochelle
www.rochellemarsden.co.uk
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[shannongerrard]

Thanx for that - she also said that Ox-ac was supposed to be the most
painful rx in MM - altho she never had any success with it!
Has anyone else had an exp with it??
Shanny
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[shannongerrard]

Thank you very much & everyone else who has takent he time & trouble of
responding to my post.

Question - Do you really change the rx after just 3 doses? I thought with
it being a slow
process, that you would have to give it for a few days?

I'm surprised that no-one has mentioned anthr as it is in BT under lower
leg, ulcer & ulcer, painful - nor is it mentioned in any of my therapeutic
books.

Re your case, what made you decide to go for calend - again this rx is not
mentioned in the relevant rubrics & not in any of my therapeutic books.

thanx in advance
shanny

[Dr. Joe Rozencwajg, NMD]

One important thing for healing the ulcer and removing the pain is an
Etiology, despite the reactions that this affirmation will cause.

If the pain and ulcer are caused by an arterial occlusion preventing
oxygenation and feeding of the leg, I do not see how any dynamic remedy,
as indicated as it can be, would act.
It sounds to me like giving Antimonium Tartaricum to someone who just
drowned, instead of resuscitation, mouth to mouth, ventilation, anything
to revive him.

If OTOH the cause is in a venous occlusion, its extent and depth should
be evaluated as it may also cause necrosis of the leg (through another
mechanism) if extensive enough and would need to be attended very
aggressively.

Unfortunately, the fact he has been attended to by MDs does not mean
this has been taken into consideration, as I have seen those diagnoses
blatantly forgotten and ignored by my dear colleagues when I was still
practicing as a vascular surgeon.

Dr. J. Rozencwajg, MD, PhD.
"The greatest enemy of any science is a closed mind".

[jdurfeeathome]

In a message dated 10/12/2002 4:29:45 PM Mountain Daylight Time,
shannongerrard@talkgas.net writes:
Calendula has a reputation for wounds that won't heal and wounds in general.
I've read a number of cases with varying etiology where calendula did well.
Why it is not in the reps. I cannot say, perhaps because they say it has not
had an extensive proving done, which is hard to believe.

I will send you privately something of interest in the use of calen. The
following is from clark. You can look at all the specific symptomology and
think well I don't see any of that in my client but I tell you, it is not
necessary.

Barbara
the following is from Clark.
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[jdurfeeathome]

In a message dated 10/12/2002 5:31:19 PM Mountain Daylight Time,
jroz@ihug.co.nz writes:
Why would not a remedy dissolve the clot if occlusion was caused by a clot?
Clots can eventually be dissolved by the body on its own accord anyway so
would not a remedy potentially expedite the process?

I have seen a remedy accomplish this in such a matter when all was looking
bleak it turned it around.

Barbara
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[Dr. Joe Rozencwajg, NMD]

The trick word is "eventually"........... if I had an arterial occlusion
threatening one of my limbs, I would like it relieved RIGHT NOW, not
only because it will relieve the pain immediately but because it will
save the function of the limb, and the sooner circulation is restored to
the limb the more function will be conserved.

Dr. J. Rozencwajg, MD, PhD.
"The greatest enemy of any science is a closed mind".

[shannongerrard]

THANKS FOR YOUR REPLY, I HAVE 3 QUESTIONS, AS BELOW:
If the pain and ulcer are caused by an arterial occlusion preventing
oxygenation and feeding of the leg,
BY THIS WOULD YOU MEAN A BLOOD CLOT? IF SO WOULD I CONSIDER RXS SUCH AS
CRAT, ARN

WILL THE CAUSE SHOW UP ON AN X-RAY?

WHAT IS OTOH?

If OTOH the cause is in a venous occlusion, its extent and depth should
be evaluated as it may also cause necrosis of the leg (through another
mechanism) if extensive enough and would need to be attended very
aggressively.