Abscess/ulcer?

[Rochelle]

BTW can someone tell me the difference between an ulcer and an abscess
please.

I have a 14 yr old female patient who has chronic abscesses in the groin.
She has been told that these are common in black skinned people. Can anyone
confirm this or suggest a rubric please. These discharge eventually but can
be painful. Sometimes the discharge is like "foundation makeup" - brown,
other times like a gelatinous string. I have prescribed a constitutional
remedy and hope that maybe it will sort these although I can't rep them.

Regards
Rochelle
www.rochellemarsden.co.uk
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[andyh]

rochelle wrote:
Rochelle,

Just a few ideas for the hopper:

Is it possible that she has chronic inguinal buboes (these would be lymphatic tissue inflammations, and typically suppurate), could be secondary to infection or immune assault of some kind, or could be “constitutional”. Wasn’t sure if the “abcesses” were inguinal or on the thighs…I assumed inguinal in rep below. The differentiation between an abcess and a suppurating bubo may help some, although some of the remedies the same. An ulcer would be completely open, no sac of pus or cavity.
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Stedmans 1923 Med Dictionary:

ULCER-A lesion of cutaneaous or mucous surface, caused by a molecular disintegration of the superficial parts, attended usually by more or less suppuration. A wound, or superficial loss of tissue due to traumatism, is not primarily an ulcer, but may become such if the healing process is arrested or the wound becomes infected with pyogenic microorganisms.

ABSCESS-A circumscribed collection of pus

BUBO-An enlargement, usually going on to suppurative inflammation, of a lymphatic gland, especially one in the groin or axilla.

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A rep from the complete of the limited info so far:

plusMIND; SUICIDAL disposition (K85, SRI-974, G68): acon., adam., aeth., agki-p., agn., alco., alum., alum-p., alum-sil., am-c., ambr., anac., anan., anh., ant-c., ant-t., aq-mar., arg-n., ars., asaf., Aur., aur-ar., Aur-m., aur-m-n., aur-s., bani-c., bell., berb., bov., bry., buni-o., but-ac., calc., calc-sil., camph., caps., carb-v., carbn-s., carc., caust., chel., chin., chin-ar., cic., cimic., clem., corv-c., crot-c., crot-h., cur., der., dros., falco-p., fuli., gels., glon., graph., grat., haliae-lc., hell., hep., hipp., hydr-ac., hydrog., hyos., ign., iod., iodof., iris,
kali-ar., kali-br., kali-chl., kola., kreos., lac-d., lac-eq., lach., lap-mar-c., laur., led., lil-t., lyc., lyss., mand., med., medus., meli., merc., merc-aur., mez., morg., morph., naja, nat-c., nat-m., Nat-s., nit-ac., nux-m., nux-v., op., orig., orni., ozone, parth., ped., phos., pic-ac., pitu-a., plat., plb., prot., pseuts-m., Psor., puls., rauw., reser., rhus-t., rumx., ruta, sarr., scirr., scut., sec., sel., sep., sil., spig., spong., stann., staph., stram., sul-ac., sulph., tab., tarent., ter., thal-s., thea., thlaspi, thuj., thuj-l., tub., ust., valer., verat., x-ray,
xan., zinc., zinc-p., ziz.

minusABDOMEN; BUBO (K541, G461): acal., acon., all-c., alum., alumn., anan., ang., ant-t., anthr., apis, ars., ars-i., ars-met., aur., aur-ar., aur-m., aur-m-n., aur-s., bad., bapt., bar-m., bell., blum-o., Bufo, calc-s., calen., canth., carb-an., carb-v., caust., chel., Cinnb., clem., crot-h., dulc., ferr-p., graph., Hep., hydr., ign., iod., iodof., iris, jac-c., kali-chl., kali-i., kali-m., lac-c., lach., lith-c., lyc., lyss., mang., med., merc., merc-c., merc-i-f., merc-i-r., merc-pr-r., merc-s., myric., naja, nit-ac., oci., oper., pest., ph-ac., phyt., puls., pyrog., rhus-t.,
rob., sep., sil., sol-x., staph., stram., sul-i., sulph., syph., tarent., tarent-c., thuj., tus-p., yersin, zinc.

(note the below may be an insufficiently developed rubric, so may want to use the big rubrics with other sx in case, or if they are buboes, be more specific about their characteristics):
minusGENERALITIES; DISCHARGES, secretions; brownish: ambr., ars., bell., bor., carb-v., nit-ac., sulph.

Elimination: ars., bell., carb-v., nit-ac., sulph.

===============================
Another rep using abscess:
+ MIND; SUICIDAL disposition (K85, SRI-974, G68
-SKIN; ABSCESS:
-GENERALITIES; DISCHARGES, secretions; brownish: ambr.Bng, ars.Bng, bell.Bng, bor.Bng, carb-v.Bng, nit-ac.Bng, sulph.Bng
Elimination: ars., bell., sulph.

=========================================
poorly developed rubric (offhand I know should be added kali-bi (mucus), crocus (blood), am sure there are others):
GENERALITIES; DISCHARGES, secretions; stringy: arg., arg-n., calc., tama.
=========================================7
Collection of Bubo rubrics from complete:

ABDOMEN; BUBO (K541, G461): acal.Brk, acon.Brk, all-c.Jahr, alum., alumn.Jahr, anan.Her, ang.Brk, ant-t.Hoy, anthr.Knt, apisHoy, ars., ars-i., ars-met.Her, aur., aur-ar.Knt, aur-m., aur-m-n., aur-s.Knt, bad., bapt.Hoy, bar-m., bell., blum-o.Ghose, Bufo, calc-s.Her, calen.Crk, canth.Knr, carb-an., carb-v.Bng, caust.Brk, chel., Cinnb., clem., crot-h., dulc.Hah, ferr-p.Brk, graph.Hoy, Hep., hydr.Crk, ign.Brk, iod.Knr, iodof.Burt, irisHer, jac-c.Brk, kali-chl., kali-i., kali-m.Crk, lac-c., lach., lith-c.Her, lyc., lyss.Crk, mang.Her, med.1058, merc., merc-c.Tst, merc-i-f.Her,
merc-i-r.Her, merc-pr-r.Crk, merc-s.Knr, myric.Crk, najaBrk, nit-ac., oci.Crk, oper.Brk, pest.Crk, ph-ac.Brk, phyt., puls.Hah, pyrog.Brk, rhus-t.Brk, rob.AlnE, sep.Tst, sil., sol-x.Ghose, staph.Knr, stram.Hah, sul-i.Knt, sulph., syph.AlnN, tarent.Her, tarent-c., thuj.Bng, tus-p.Brk, yersinJul, zinc.
ABDOMEN; BUBO; gonorrhea, after suppressed (K541, G461): aur., aur-m., bar-m., bufo, hep., hydr.Crk, med., merc., myric.Crk, zinc.
ABDOMEN; BUBO; syphilitic: ars-i.Brk, merc.Brk, merc-c.Brk, merc-i-r.Brk, sil.Brk
ABDOMEN; BUBO; burning (K541, G461): ars., ars-i., bell., carb-an., dulc.AlnE, tarent-c.
ABDOMEN; BUBO; indurated: alum.Brk, bad.Brk, carb-an.Brk, iod.Knr, merc.Brk
ABDOMEN; BUBO; phagedenic: ars.Brk, graph.Brk, hydr.Brk, kali-i.Brk, lach.Brk, merc.Brk, merc-i-r.Brk, nit-ac.Brk, sil.Brk, sulph.Brk
ABDOMEN; BUBO; sticking: dulc.AlnE
ABDOMEN; BUBO; suppurating (K541, G461): ars.Knt, aur., aur-ar.Knt, bufo, carb-an., chel., Hep., iod., kali-chl., kali-i., Lach., merc., merc-i-r., nit-ac., sil., sul-i.Knt, sulph., tarent-c.

ABDOMEN; BUBO; gonorrhea, after suppressed (K541, G461): aur., aur-m., bar-m., bufo, hep., hydr.Crk, med., merc., myric.Crk, zinc.
ABDOMEN; BUBO; syphilitic: ars-i.Brk, merc.Brk, merc-c.Brk, merc-i-r.Brk, sil.Brk
ABDOMEN; BUBO; burning (K541, G461): ars., ars-i., bell., carb-an., dulc.AlnE, tarent-c.
ABDOMEN; BUBO; indurated: alum.Brk, bad.Brk, carb-an.Brk, iod.Knr, merc.Brk
ABDOMEN; BUBO; phagedenic: ars.Brk, graph.Brk, hydr.Brk, kali-i.Brk, lach.Brk, merc.Brk, merc-i-r.Brk, nit-ac.Brk, sil.Brk, sulph.Brk
ABDOMEN; BUBO; sticking: dulc.AlnE
ABDOMEN; BUBO; suppurating (K541, G461): ars.Knt, aur., aur-ar.Knt, bufo, carb-an., chel., Hep., iod., kali-chl., kali-i., Lach., merc., merc-i-r., nit-ac., sil., sul-i.Knt, sulph., tarent-c.

==========================================

Hope this is useful

Best regards,
Andy

[Tanya Marquette]

who told her these were common in black folk?

tanya

[isali]

I have had very good results with the remedies of hepar-s 6X, 12X, and
calendula 6X take orally and with the same rx topically. With sores which
are not healing and appear more systemically my thinking would be more
miasmatic as in syph. Always with the appropriate picture

[Rochelle]

Allopathic doctors!!!!
Rochelle

[Rosemary Hyde]

Wouldn't these be repertorized as something like Abdomen-eruptions- boils-inguinal region?? (ars,merc, nit-ac, phos, rhus-t, stram) At least I've used this rubric in repertorizing this same manifestation. An abscess is a pocket of infected material, with swelling. After it bursts and drains, if an open sore remains, it might be called an "ulcer." But what you're describing sounds to me like a "boil," or cyst, which has both stages. For what it's worth...

Rosemary Hyde

[Rochelle]

Hi Rosemary,
Thanks for your contribution
The problem I have with this is that I don't call the groin a part of the
abdomen. But maybe I am wrong.

Regards
Rochelle
--------------------------

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[Jean Doherty]

An abscess is an indurated, tender, discoloured with definable boundaries.
An ulcer I think affects surface areas. At times for abscess I have used
Nit Ac, Crotalus Horridus, Baryta Carb {in a case of recurring abscesses
in axilla] used before real infection set in, Hepar Sulph for more acute
stage. I believe Bellis Perennis can be indicated also in recurring abscess.
Perhaps Belladonna if in hot throbbing mode. One has to look for
constitutional factors. Jean

[Robyn]

Hi Rochelle
For the sake of repertory, it seems that the inguinal area is covered by
ABDOMEN.
See Abdomen, abcess, inguinal region
Abdomen, eruptions, pustular, inguinal region
abdomen, eruptions vesicles, inguinal region
abdomen, eruptions inguinal region

Amongst these you should find a small group of remedies
Note, in one rep (Knerrs) it mentions that if there are more than on, then
Syph needs to be considered.

Robyn

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[Rosemary Hyde]

Hi, Rochelle.

That's one of the classic challenges of repertorizing, unfortunately. Where
Kent decided something is located appears to have endured, whether it makes
sense or not. For instance, I don't consider the buttocks part of the
legs -- I'm more inclined to think that when they hurt, I have a
"backache." But in the Repertory, the "nates" are with the "extremities."
Go figure. Same kind of thing happens with the neck -- ever tried to find
neck tension or pain?? Then there's the face and the mouth. I would look
(and have done so, unfortunately) under "mouth" for lips. But, guess
again -- there they are with "face." Part of the lore of homeopathy. Oh,
well. )

Rosemary