Osteoporosis

[Jean Doherty]

I am very careful to ascertain that there is no malignancy in breast tissue
before using Calc Phos in osteoporosis. I have had experience of numerous
bony metastasis developing in 2 cases in whom Calc phos was used. Maybe a
coincidence but very very worrying. Calc Phos obviously very important
in bone metabolism. Bannerjee uses Cimicifugea. A good calcium
supplement with magnesium and Calcium made up of ground bones from animals.
This can bring the worrying thought to mind of CJC but is very effective of
reducing pain and only recently this worry has occurred to me . Exercise
,weight bearing, and nutrition are the mainstays. I would have no
hesitation in using orthodox Fosamax, which can now be given once weekly .
It is terrible to have the broken hips and fractures of vertebrae .Jean

[Shannon Nelson]

Hi Jean and all,

I'm interesting if anyone has thoughts on this: Pt is a 78-ish woman,
osteoporosis seems fairly advanced (tho no breaks so far) -- gradually
increasing curvature in spine (S-curve to the side, also a bit of a slumped
or humped posture), recently began having pain in her back. I've been
trying to find "the remedy", with nothing definitive so far -- maybe
sometime I'll try to pull together her case...

Main question: She seems to be *extremely* intolerant to calcium. Altho
she can get it from foods such as greens and etc., she does not tolerate
dairy *at all*, and if she takes a supplement with even miniscule amounts of
calcium -- even e.g. 20 mg -- she will have excruciating cramps in her
calves that night. (I think it mostly [only?] happens at night, and she
works it out by walking.) She was on Fosamax, but had bad reaction. She is
exercising as she is able, and eats an extremely "good diet", but I sure
would like to address -- or understand! -- the calcium issue. Her doctors
want her to have parathyroid operation, and say that will improve her
calcium balance. So far she is refusing the op, but I'm not sure what to
tell her. This is, of course, along with continuing to get her on a remedy
that works... Complicated by several factors, so never mind that part for
now!

I would so appreciate any thoughts or insights on this!

Thanks,
Shannon
on 8/23/02 12:29 AM, Jean Watson Doherty at clelly@tpg.com.au wrote:

[andyh]

Hi Shannon, an idea for the hopper:
--------------------
some applicable rubrics (complete)

GENERALITIES; BONES, complaints of; general; brittle (K1346, SRII-52, G1111): asaf., bani-c., bar-c., bufo, calc., calc-f., calc-p., carc., cor-r., cupr., fl-ac., lac-ac., lyc., merc., par., ph-ac., pip-n., ruta, Sil., sulph., symph., thuj.

GENERALITIES; BONES, complaints of; general; crumbling of: ars., asaf., aur., bell., calc., calc-p., con., dulc., ferr., guai., hep., kali-c., lach., lyc., merc., mez., nit-ac., petr., ph-ac., phos., puls., rhod., rhus-t., ruta, sabin., sep., sil., staph., sulph.

GENERALITIES; BONES, complaints of; general; porous: phos.

GENERALITIES; BONES, complaints of; general; spongy: guai.
--------------------

combined rubric of osteoporosis rubrics above
Bones-brittle,crumbling,spongy,porouscombined: ars., asaf., aur., bani-c., bar-c., bell., bufo, calc., calc-f., calc-p., carc., con., cor-r., cupr., dulc., ferr., fl-ac., guai., hep., kali-c., lac-ac., lach., lyc., merc., mez., nit-ac., par., petr., ph-ac., phos., pip-n., puls., rhod., rhus-t., ruta, sabin., sep., Sil., staph., sulph., symph., thuj.

-------------------
If sensitive to Calcium and develops symptom like calc-carb (bold for cramps in calves night)
maybe the remedy is calc-carb, calcium metallicum (see scholten), limestone, or some other calcium rem. Or another remedy in the below rubric:

EXTREMITIES; CRAMPS; lower limbs; legs; calves; night (K975, G817): adam., ambr., anac., androc., arg-n., ars., berb., bry., Calc., calc-f., calc-p., carb-an., carb-v., caust., cham., chin., cimic., coca, cocc., coff., coloc., cupr., cupr-ar., dig., eupi., ferr., ferr-m., graph., kali-c., led., Lyc., lyss., mag-c., mag-m., med., meny., mez., nit-ac., nux-m., nux-v., petr., plb., rhus-t., rhus-v., sars., sep., stann., staph., Sulph., verat., zinc.

--------------------
if do elimination on the following :

add
+GENERALITIES; BONES, complaints of; general; brittle (K1346, SRII-52, G1111): asaf., bani-c., bar-c., bufo, calc., calc-f., calc-p., carc., cor-r., cupr., fl-ac., lac-ac., lyc., merc., par., ph-ac., pip-n., ruta, Sil., sulph., symph., thuj.

+GENERALITIES; BONES, complaints of; general; crumbling of: ars., asaf., aur., bell., calc., calc-p., con., dulc., ferr., guai., hep., kali-c., lach., lyc., merc., mez., nit-ac., petr., ph-ac., phos., puls., rhod., rhus-t., ruta, sabin., sep., sil., staph., sulph.

+GENERALITIES; BONES, complaints of; general; porous: phos.

+GENERALITIES; BONES, complaints of; general; spongy: guai.

subtract
-BACK; CURVATURE of spine; general; kyphosis, dorsal region: acon., ant-c., asaf., aur., bar-c., bell., bry., Calc., caust., cic., clem., coloc., dulc., hep., ip., lach., lyc., merc., mez., ph-ac., phos., plb., puls., rhus-t., ruta, sabin., sep., sil., staph., Sulph., thuj.

-BACK; CURVATURE of spine; general; lateral: calc., lyc., plb., puls., rhus-t., sil., sulph.

-EXTREMITIES; CRAMPS; lower limbs; legs; calves; night (K975, G817): adam., ambr., anac., androc., arg-n., ars., berb., bry., Calc., calc-f., calc-p., carb-an., carb-v., caust., cham., chin., cimic., coca, cocc., coff., coloc., cupr., cupr-ar., dig., eupi., ferr., ferr-m., graph., kali-c., led., Lyc., lyss., mag-c., mag-m., med., meny., mez., nit-ac., nux-m., nux-v., petr., plb., rhus-t., rhus-v., sars., sep., stann., staph., Sulph., verat., zinc.
-BACK; CURVATURE of spine; general; kyphosis, dorsal region: acon., ant-c., asaf., aur., bar-c., bell., bry., Calc., caust., cic., clem., coloc., dulc., hep., ip., lach., lyc., merc., mez., ph-ac., phos., plb., puls., rhus-t., ruta, sabin., sep., sil., staph., Sulph., thuj.
obtain:
Elimination: Calc., Lyc., rhus-t., Sulph.
Of course this is a gross perspective, but Calc still comes through, as does rhus-t the calc chief acute complement.
Andy
Robert&Shannon Nelson wrote:
[Non-text portions of this message have been removed]

[hoppitt415]

I think when treating an Osteoporosis case the cause must be looked
into. For example if the Osteoporosis is primarily caused by lack of
oestrogen then OOphorinum could help.
If the sufferer is a man and has low testosterone levels then ? treat
with potentised testosterone ?
If there is a strong family history then maybe the case should be
looked at miasmatically ?

If the biggest causation is the patient's lifestyle eg heavy
smoking , drinking or lack of exercise then this should be addressed.
The majority of sufferers lose bone density because they have taken
cortico steroids ( over 7.5 mg daily for more than a month can have
an effect on bone density ) then this should be taken into account.

The problem with Osteoporosis or 'the silent epidemic ' as it is
referred to in UK is that in the early stages it doesn't cause alot
of pain except when there is a fracture and even vertebral fracture
pain dies down quite quickly.

Osteoporosis is a failure of the cells within the bone matrix to
break down and build up bone efficiently and there is no doubt that
this can be measured by bone densitometry, I would therefore assess
the efiicacy of a homeopathic remedy by this method if possible.
Are we saying that if we treat someone for high blood pressure with
Homeopathy then we would disregard a further high BP reading ??

Many osteoporotic cases are complicated by the fact that patients may
also have osteoarthritis and indeed many patients think they are the
same disease!!

[Shannon Nelson]

Hi,

In the case I'm trying to treat, a big part of the cause seems to be
parathyroid overactivity (presumed tumor?). Apparently parathyroid
overactivity can also be caused by kidney troubles???

I can find almost *nothing* about parathyroids, as far as why they might
become overactive and how to treat -- other than cutting them out, which is
what her doctors want (desperately!) to do. She's resisting, but the
calcium intolerance seems to be getting worse -- leg cramps more often, more
severe, and not explained by prior sensitivities.

Do you have any information on any of this? (Probably not, sigh, but
thought I'd ask...)

Thanks,
Shannon
on 8/26/02 1:14 AM, hoppitt415 at olandcol@btinternet.com wrote:

[Robyn]

Hi Shannon
Hyperparathyroidism can be either primary, secondary or tertiary.

Primary - involves faulty PTH (parathyroid hormone) regulation by one or
more parathyroid glands ------ the normal serum calcium feedback mechanism
malfunctions, permitting autonomous PTH production & release. ......can
stem from the following:

genetic factors
cancer
benign adanoma of one parathyroid gland (80% of cases)
neck radiation
parathyroid hyperplasia
multipe endocrine neoplasia

Secondary - reflects compensatory PTH hypersecretion in response to
defective calcium homeosatsis, such as in chronic renal disease, rickets,
ostomalacia, and intestinal malabsorption syndromes

Tertiary - describes the evolution of secondary hyperparathyroidism into
primary hyperparathyroidism. This can occur from prolonged compensatory
stimulation to an enlarged gland, which then develops autonomous function.

All 3 types lead to hypercalcemia and hypophosphatemia

Signs & Symptoms

Nervous system - lethargy, drowsiness, personality changes, such as loss of
initiative and memory disturbances; with severe calcium loss,
disorientation psychosis, stupor
Cardiovascular - hypertension; shortened QT interval
Gastrointestinal - nausea/vomiting; abdominal discomfort; anorexia;
constipation; weightloss
Genitourinary - polyuria; renal calculi
Musculoskeletal - vague arm or leg pains; hyporeflexia; muscular weakness;
joint hyperextensibility; pathologic fractures

Hope this helps

Robyn
----------

[andyh]

Robert&Shannon Nelson wrote:
shannon: excerpted mm from rfwrks search on parathyroid. May be too long to make it to the list but will try. turns out the parathyroid gland is one of master regulators of calcium metabolism.

May want to check out these to see if anything clicks.

andy

-----------------
Calc-f (Julian)
Pain in the muscles and joints.
Aggravated by cold, wind, and changes in the weather.
Ameliorated by heat and especially the heat of the bed.
Neuralgia of the trigeminal nerve.
Sciatic neuralgia.
Areas of hyperaesthesia along the cubital nerve.
Numbness of the third and little fingers of the left hand.
Shuddering and muscular fibrillation.
Trembling.
Cramps in the calves at night, ameliorated by uncovering and stretching.
Osteomalacia.
Paget's disease (Fibrocystic osteitis, diffuse, with patches of yellow skin pigmentation).
Juvenile growth disorders of the bones: a) Epiphysitis of the tip of the 2nd metatarsal bone. b) Tarsal scaphoiditis. c) Epiphysitis of the tibial tuberosity. d) Arthritis deformans of the hip. e) Vertebral growth deformity.
Dissecting deformity of the bones.
Semi-lunar disease.
Fragility of the bones.
Arthroses.
Simple or recurring dislocation.
Traumatic spondylosis.
Volkmann's syndrome (ischemic contraction of the flexor muscles of the fingers).
--------------------
ailments from tetanus vaccine? (never well since?)

tetanus vaccine (tetanotox) Reckeweg
The attenuations of this nosode are prepared from Tetanus toxoid, used in anti-tetanus injections. The main indications are: Anaphylactic states, especially after injections of serum (equine serum), Spastic illnesses of all kinds. Muscle cramps. Tetany.
May be used experimentally in arthrosis and neuralgias also in spastic paresis and possible in multiple sclerosis. Parkinson's disease.

------------------
benzoquinone (excerpt-but no bone stuff

In serious disorders of the parathyroids it can be of astonishing assistance when combined with the Parathyroid gland sarcode. para-Benzoquinone should also be thought of in adrenal failure and Addison's disease, also in multiple sclerosis when pain and spasms are pronounced, as well as in damage to the spleen with changes in the blood-composition, and in states arising from removal of the spleen, in pancreatic insufficiency with enzyme-disturbance and consequent respiratory problems. In combination with Malicum Acidum, Fumaricum Acidum and Natrum Oxalaceticum it is helpful in
all serious toxic states, and in reaction phases. A particular indication for para-Benzoquinone is, if, after using Hydroquinone, an aggravation occurs in the patient's whole condition. para-Benzoquinone may well have a good effect in all illnesses which could be connected with albumin poisoning and in which therefore auto-antigens (wild peptizes) are involved; auto-immune diseases; e.g. in primary chronic polyarthritis, endocarditis and other auto-immune diseases, also after blood- transfusions and in intractable children.

---------------------

calc-c (leeser)

Prevailing in the drug picture of calcarea carbonica is the constitution. The general conception of lymphatism gives the outline. Plumpness in the external appearance, torpid method of reaction, characterizes the type.
If we perceive the physiologic role of calcium ions in an insertion of the necessary resistance in the cells and tissues through which the tension for the rhythmic course of function is established or always established, then the basis trend of disturbances in calcium economy is a general excess of this cell and tissue resistance, a general slowing of the course of reaction, particularly the limb stream. Seen from the endocrine side this type goes in the direction of a hypofunction of the parathyroids, the thyroid, the terminal glands and an increased demand upon the
lymphocytic apparatus (thymus, lymph glands). A one - sided conception of vagotonia or sympatheticotonia is not justified, but the liability of the vegetative system in general phases of life and in many morbid stats, offers a suitable soils for the effectiveness of calcarea carbonica.

calc-P Sankaran

Although the mineral elements constitute a relatively small amount of the total body tissues, they are essential to many vital processes.
The balance of ions in the tissues is often of importance. For example normal ossification demands a proper ratio of calcium to phosphorus, the normal ratio between potassium and calcium in the extracellular fluid must be maintained to ensure normal action of the muscle and so on.
Certain mineral elements, principally sodium and potassium are the major factors in osmotic control of water metabolism. Other minerals are an integral part of important physiologic compounds such as iodine in thyroxin, iron in haemoglobin, biotin, coenzyme A and lipoic acid.
The animal body requires seven principal mineral elements viz. calcium, magnesium, sodium, potassium, phosphorus, sulphur and chlorine. These mineral constitute 60 to 80% of all the inorganic material in the body. At least seven other minerals are utilised in trace quantities viz. iron, copper, iodine, manganese, cobalt, zinc and molybdenum. Several other elements are present in the tissues but their functions if any, are not clearly defined. These include fluorine, aluminium, boron, selenium, cadmium and chromium.
Clarke says "Calcarea is one of the greatest monuments to Dr. Hahnemann's genius. The triad of remedies viz. Sulphur, Calcarea and Lycopodium can be called Hahnemann's magnificent gifts to humanity. Indeed, we shall be extremely poor without these excellent remedies - Sulphur the predominant antipsoric, Calc. carb., the excellent antisycotic and Lyco. the marvellous antisyphilitic. "
Hippocrates lauds the use of lime water in several diseases but it was used in its crude form and it was Hahnemann's genius that created valuable remedies from apparently inert and innocuous substances like Calcarea, Silica and Lycopodium.
Chalk which is a main source of calcium consists of the deposits of the remains of millions and millions of the shells of sea animals - of sea life that has come to a standstill. Thus calcification represents standstill, immobilization and death. In the human body dead tissues become calcified. Even the calcium in the blood goes out of circulation and is deposited (in the bones).
The bones as the most solid tissue in the body represent stability and give firmness and stability to the body and as in the case of brain and spinal cord the surrounding bony tissue viz. the hard cranium and the vertebral column provides protection also to the soft pulpy brain tissue, which rests inside the skull like the oyster in its shell.
Calc. carb. is prepared from the snow white middle layer of the oyster shell. The oyster shell is formed by the calcareous secretion of the oyster which is the result of its attempt to protect itself from the external environment. It is well known that all living creatures originated from the sea and the sea represents perpetual agitation and movement whereas the earth represents solid stability and inertia. So the oyster in its attempt to protect itself creates a covering for itself (shell) and thus also provides itself with a house and thereby unconsciously stabilises
itself on terra firma. The stabilisation and lack of mobility is exhibited in the symptoms of Calcarea by inertia and agg. on movement and exertion.
Just as the solid oyster shell came out of the liquid sea, so also throughout the symptomatology of Calc. is the tendency to solidify, to precipitate, to coagulate. So this tendency is seen in the formation of calculi and clots, the clots of course serving to protect the organism from excessive bleeding.
Calcium is present in the body in larger amounts than any other cat - ion. It is the most abundant mineral in the body and 90% of the Calcium is found in the bones and teeth (in the form of calcium phosphate). The very small quantity left out of the skeletal structure is in the muscles and body fluids and is in part ionized. Ionized calcium is of great importance in blood coagulation, in the function of the heart muscles and nerve, and in the permeability of membranes.
Calcium is never found in its natural state. It is generally found combined with carbonic acid (H2 CO3 or H2 O + CO2 i. e. water and carbon dioxide) to form calcium carbonate.
The acid element is reflected in its sour discharges, sweat, urine, stool, etc.
Calcium promotes a tendency to harden of the liquid and a tendency to soften of the solid. The bones become soft and even flexible as in rickets while the tissue fluids lose their watery element and may even coagulate e. g. blood, milk, etc.
In the blood the calcium and phosphorus are always found in inverse proportions. If the calcium level is raised, the phosphorus level falls. The Calcarea and Phos. pictures are often opposed to each other - the Calcarea which is dull, slow, fat, while the other is sensitive, quick and growing thin and tall.
The body is constantly trying to protect itself from disturbances whether from outside or inside. The former is achieved by walling off and the latter by stabilisation. The walling off can be physical, mechanical, chemical, biological etc. The skin, the lymphatic glands, the bones (e. g. the cranium) all take part in this and Calcarea affects all these tissues.
Once the body puts up a protective layer and walls itself this walling itself symbolises a completion of development and an obstruction to further growth and development as is noted in Calc. carb.
Once the solids precipitate, the liquids naturally have to be eliminated and so we have a profuse elimination of fluids as sweat, urine etc. In fact the Calc. patient is always trying to eliminate fluids. The Calc. carb. patient has a hydrogenoid constitution and is worse by dampness, getting wet, washing etc.
Gutman has described the Calcarea patient as the boneless man. As calcium phosphate is the main ingredient of bones, the patient suffers from bone deficiency conditions like rickets. Even in late childhood the fontanelles may remain open. Calc. carb. is a chalky substance and it has whitish, milky discharges. It is also aggravated by milk. The patient may have a craving for inedible substances like chalk, rice, etc. This craving for peculiar substances termed Pica, is often associated with anaemia (causing pallor). The patient may crave for eggs and salt.
The Calc. patient is notoriously aggravated by physical exertion. The physical stamina is extremely limited and he is worse by any exertion such as ascending, eyestrain etc. Even mental exertion may aggravate and produce a sense of heat in the head. The following remarkable case will illustrate certain characteristics of Calc. carb. particularly the aggravation from ascending.
"I was once called upon to treat a very fat gentleman from Goa, Mr. M. aged around fifty. He had a peculiar symptom. If he went up the stairs or went up an incline he would develop hematuria. He was seen by an urologist who did a cystoscopy and diagnosed it as due to a polypus in the bladder. An operation was advised but the patient did not like to undergo the same. So he consulted me. I selected for him and gave him Calc. c. Within 2 or 3 days the haematuria disappeared and never recurred.
We read that Calc. c. children are usually fat and flabby. But my experience is that at least 50% of them are not fat and flabby, at least not in India. When you refer to Kent's Repertory under the rubric 'Appetite increased with emaciation' you find Calc. c. given in bold type which means Calc. c. also covers emaciation. Secondly, I have treated many fat Calc. patients with Calc. c. on the totality of the symptoms. On this remedy they feel considerable improvement but I find that they do not reduce in weight as I expect them to. (Dr. S. R. Koppikar says they reduce on Calc.
iod.) In fact I have found reducing a patient's weight a great problem. From the description in the materia medica, you feel that they are very chilly but sometimes they are not so. I have seen Calc. c. patients who are as hot as Sulph. But unlike Sulph. even when they complain of burning in a part, that part is cold.
Tyler aptly describes that the Calc. c. patient has fatness without fitness, tissues of plus quantity and minus quality.
While the Calc. patient is having less physical stamina, the Silica, patient seems to have a lack of mental stamina, or grit. There are many resemblances between the two such as that both are aggravated during and have late dentition, have aversion to and agg. from milk, are agg. by exertion, have desire for indigestible things., etc. but the mental features are much different. The Silicea patient is more intelligent and active than the Calc. patient. This difference has been brought out very well by Borland in his wonderful book 'Children's Types. ' The Sil. child is said
to be sharper than Calc., more shy, timid and obstinate. Calc. craves for salty food Sil. prefers cold food. Both Calc. c. and Sil. have offensive foot sweat. Calc. has painless glands while Sil. has painful ones. If I get an additional history that the child has had a very bad vaccination, I choose Silica.
Calc. has a craving for eggs (The egg resembles the oyster with an outer shell and an inner pulpy mass.) and salt, (The salt which has crystallized from the sea.
When a patient has a craving for a substance which aggravates him I consider this a very good symptom. E. G. Antim. Crud. has craving for and agg. from sour foods, Nit. acid from fatty food, Nat. mur. from salt, Arg. nit. from sweets and so on.) and an aggravation from both. A very large number of children seem to require Calc. carb. in my practice. They have gradually a large sweaty head and a large abdomen, spindly legs, with a h/o difficult and late dentition. Many of them do not put on weight (I have noted that Calc. is one of the remedies for emaciation in spite of
excessive appetite). If the head is hot and extremities cold, they require Calc. c. If the abdomen is sunken I prefer Calc. phos. instead of Calc. c.
Calc. c. has a big head and a big abdomen. The big head may be due to rickets or hydrocephalus or any other disease. I have treated successfully several cases of hydrocephalus with Calc. c. The big abdomen may be due to distention, fat, tumour or ascites or any other condition. We are not to worry about these, but only see whether the totality of symptoms is matching. Calc. c. is also a remedy for growths including warts, polypi, etc.
Some drugs have some peculiar symptoms which often guide us to the remedy. One such extraordinary symptom of Calc. c. is that the patient is ameliorated when constipated. This symptom it shares with Psor. and Merc. I once treated a lady with so many complaints who mentioned that if only she would remain constipated all her problems would be solved. This put the remedy in my mind.
Whereas Sulphur has heat in spots, Calc. has coldness and perspiration in spots. I have seen many Calc. patients perspiring on the head or elsewhere during sleep or while they are eating or drinking. One patient used to have perspiration on the forearm while chewing (betel leaf)
Calc. c. is a hydrogenoid remedy and is worse by dampness like Rhus tox. It has got the same aggravation from lifting and pain as if sprained and is a remedy for old sprains. Calc. c. is often the chronic of Rhus tox.
Belladonna is the acute of Calc. c. and children who require Bell. for their acute attacks (such as tonsillitis, fever etc.) will require Calc. c. for a cure. Calc. has a hot head and face and dilated pupils like Bell. The patient has not only photophobia but he also sees objects beside the visual field or on closing eyes or is sleepless.
"Mrs. S. Y. D. aged 25 yrs. had urticaria of 5 years duration. This had started last summer after her last delivery. Attacks of urticaria come on with chilliness. So she covers her body but then she gets burning. There is also burning in soles. The attacks are by mental is also burning in soles. The attacks are worse by mental upset, becoming angry, if she is chilled and by eggs. Last two years she has frequent urging for urine with burning during micturition which is worse in summer. She has aversion to milk. Thirst 1 to 2 glasses per day. She is very obese. Menses are
scanty. Her condition has been diagnosed as due to B. coli infection.
Almost all her symptoms were covered by Calc. carb.
So she was given on 13 - 3 - 1962, Calc. c. 200 (3) 6 hourly. She started improving. Later she was given Calc. c. 1M and then 10M. By 21 - 10 - 62 she was quite normal. "
Whitmont summarises as follows:
"Calcarea is standstill, passivity, immobility, clinging, restraining, peripherally enclosing restricting, ingoing, negative, a holding in, receptive principles. "
I have noted the following symptoms in my book under Calc. carb.: Coldness and sweat in patches, Hemorrhages, Cramps and convulsions; Tetany, Milky, Secretions, itching; Sneezing >; Vertigo worse open air; Coryza alternating with Colic or diarrhoea; Averse to warm cooked foods; hunger with coryza; Frequent urination; Hot semen; Ammoniacal; Cough worse piano playing; Cramps in calf, worse night, stretching leg or foot; Urticaria better open air.
Other peculiar symptoms of Calc. compounds noted are: Calc. ars. Royal calls this the kidney member - very sensitive to pressure in the kidney region. Calc. iod. has high fever. Calc. fluor covers leucoderma.
Calc. hypophos, has suppurative conditions, marasmus and night sweat. Also it has ravenous hunger worse 2 hours after meal better when stomach is full. Calc. phos. is agg. thinking of his disease, has pain in all bony prominences and, hunger at four PM.
Refrences:
Calcarea carb
Bahmann, R.: Hom. Her. 7, 3, 1946.
Bradford, T. L. Hom. Rec. 12, 108, 1877.
Brett, F. H.: Hom. W. 22, 187, 1887.
Bahaman, O.: U. S. Med. & S. J. 2, 291, 1867.
Clarke, J. B.: Hom. Rec. 30, 55, 1915.
Cheshire, J. M. S.: Hom. Rec. 30, 456, 1915.
Choudhary, A. W. K.: Hom. W. 30, 179, 1898.
Cooper, R. T.: Hom. W. 28, 415, 1893.
Cooper, R. T.: Hom. Rec. 43, 799, 1928.
Cooper, R. T.: Hom. Rec. 11, 166, 1896.
Criquelion: Hom. W. 13, 438, 1878.
Dienst, G. E.: Proc. Int. Hahn. Assn., 313, 1914.
Dunham, C.: Phil. Hom. J. 1, 354, 1852 - 53.
Gibson, D. M.: Brit. Hom. J. 55, 105, 1966.
Gutman, W.: Hom. Her. 8, 245, 1947.
Haward Crutcher, Hom. Rec. 18, 419, 1894.
Haward, Crutcher: Hom. Rec. 43, 348, 1928.
Lambert, J. R.: Hom. W. 30, 154, 1895.
Mayntzer: Hom. Rec. 12, 512, 1897.
Phatak, D. S.: Ind. J. Hom. Med. 4, 27, 1970.
Rabe, R. F.: Hom. W. 63, 175, 1928.
Richard: Hom. W. 12, 218, 1877.
Rodgers, Ruth: Hahn. Glean. 10, 6, 1969.
Rompe, A. A.: Hom. Rec. 44, 350, 1929.
Sankaran, P.: Ind. J. Hom. Med. 4, 144, 1970.
Whitmont, E. C.: J. Am. Inst. Hom. 48, 170, 1965.
---------------
parathyroidinum

A CASE OF TETANY TREATED WITH "HOMOEOPATHIC" DOSES OF PARATHYROID GLAND. by Samuel P. Sobel, M. D., New York.
(The Homoeopathic Recorder, 1924, vol. 39, no. 3, page 120)
Albert S. was brought to me when he was nine months old. When he was one month old his mother noticed a crowing inspiration, occurring every two or three days. At six months the child had a severe convulsive seizure lasting five hours, accompanied by a high temperature. At seven months another convulsive seizure of three hours' duration. The mother could not say whether there was a loss of consciousness during the attacks. There were some gastro - intestinal disturbances, vomiting and diarrhea at various times, but not of a serious nature, the stool containing large, cheesy
particles. No foul odor.
The boy was the second child; the first child was normal. The pregnancy and confinement had been normal. The father has a pronounced exophthalmus, he complains of cold extremities, headaches and constipation. A few months after my first examination he developed an incipient pulmonary tuberculosis. At present he is in good health.
The mother nursed the child until he was eight months old. The present diet consists of milk, eggs, barley, vegetables and zwieback. There is a slight intestinal disturbance present now.
On physical examination the following are noted: Male child, well - nourished, resting quietly, large abdomen, protruding eyes, tapering fingers. The hair appears coarse and the skin dry. The skin over the shoulder and axilla is thrown into thick folds. The skin is dry and thick and the hair thick and coarse for a child of that age. Tongue normal in size and appearance. No evidence of dentition, genitals normal. Weight, seventeen pounds; length, twenty - six inches, which is normal for this period of development.
On attempting to elicit the patella reflex, a typical carpo - pedal spasm occurred, lasting about two minutes. The mother then volunteered the information that any external stimulus might bring on a spasm of varying intensity and duration, without loss of consciousness. Crowing inspirations were frequent accompaniments of these spasms, or occurred as isolated phenomena. Because of the spontaneous spasms and the laryngismus stridulus, a diagnosis of tetany was made.
Tetany is a disease characterized by increased muscular and nervous irritability to electrical and mechanical stimulation and spontaneous intermittent and paroxysmal muscular contractions. Sensory disturbances may also be present, such as tingling, formication, headaches, nausea, vertigo and mental depression, and trophic changes in the hair, nails and skin may occasionally be seen.
The cause of the seizures is recognized to be due to faulty calcium metabolism. In many cases a lowered lime content is found in the blood in cases of tetany, also an increased excretion of lime is found in the faeces. The reason for the faulty calcium metabolism is believed to be in a dysfunction or hypofunction of the parathyroids, which are known to have a controlling influence over lime metabolism. A lack of, or improper distribution of, lime in the tissues increases the neuro - muscular irritability. The parathyroids also neutralize the exogenous and endogenous toxins
circulating in the blood.
It is true that in many cases of tetany no changes are to be found in the parathyroids at post mortem. It is probable that in such cases it is due to a hypofunction of these glands. The anatomical changes may be due to hemorrhages, cysts or parenchymatous alterations. That the parathyroids are involved in tetany is proven by the post - operative tetany which occurs when the parathyroids are removed accidentally or experimentally and the amelioration of the spasms by the transplantation of parathyroids into the affected individual or animal. Changes in the nervous system,
especially in the medulla, cord and ganglion cells, are sometimes found, but these findings are not constant.
Tetany may also occur in alcohol, lead and ergot poisoning, as well as in pregnancy and in the puerperium and during lactation. In gastric dilatation, tetanic seizures are sometimes seen. Tetany is sometimes associated with rickets and gastro - intestinal disturbances in children. The usual therapy is the use of calcium salt, thyroid extract or preparations of thyroid, parathyroid extract and lime - containing food, such as milk and vegetables.
In the case of Albert S. I. first gave him thyroid extract, grain 1/10, twice daily. I reasoned that since the child had a marked exophthalmus, dry thick skin, coarse hair and tapering fingers, that there was a thyroidal disturbance, and thyroid extract is frequently found beneficial in tetany. It is recognized that there is a functional as well as an anatomical correlation between the thyroid and parathyroids. Removal of the thyroid in whole or in part causes an hypertrophy of the parathyroids, as well as the formation of vesicles in which a colloid - like substance is
sometimes seen. Removal of the parathyroids may be followed by an hypertrophy of the thyroid.
After one week of the thyroid extract no improvement in the frequency or severity of the seizures was noted. I waited three days and then gave parathyroid extract, grain 1/100, once a day. Seizure followed seizure after the third dose, a distinct aggravation, apparently due to the parathyroid administration. Medication was stopped for one week. When the seizures were not stronger than before the aggravation, one dose of parathyroid 3x was given. No aggravation following after three days, the 3x dose was continued for six weeks, two doses given each day. No other medication
was used and no change in diet recommended.
Four weeks after the child was first seen he still had a crowing inspiration, though less severe and less frequent. Of the cardinal symptoms of tetany, all three were present, namely: the "Chvostek's Symptom," a contraction of the facial muscles on the mechanical stimulation of the facial nerve or muscle; the "Trousseau's Symptom," spasm produced by compressing the large arteries and nerve trunks, and the "Erb's Sign," the increased electrical irritability.
At the end of another month all spasms ceased. There was some increase to electrical irritability from the normal. About that time multiple abscesses appeared. This complication lasted three weeks. In 1923, three years after treatment was discontinued, the parents reported that the child had continued in perfect health.
What makes this case particularly instructive is the evidence of dysthyroidism as seen in the exophthalmus, hair and skin changes and tapering fingers, and the fact that the father also showed evidence of thyroidal disturbance. It may seem farfetched, but if the parathyroids influence calcium metabolism, can we not find a connection between the father's pulmonary tuberculosis and his parathyroids? We know what a great factor lime plays in tuberculosis. The other interesting features of this case are the aggravation by the 1/100 of a grain dose, considered a small dose, and
the effects of the 3x dose. This would tend to show that the disturbance was of a functional nature, for the effect of the endocrines or their products on the living organism is to act in the sense of substitution for a diseased and insufficiently acting endocrine or for an endocrine that is missing in the body, either congenitally or as a result of operative interference. Thyroid as used in cretinism is an example of such action. The other effect of endocrine therapy is by stimulation. The endocrines of the body are directly or indirectly stimulated by the administration of
endocrine extracts or hormones. I believe that in the case here reported the effect was produced by stimulation. The 2x dose over - stimulated the parathyroid function, but the 3x produced a milder stimulation and steadying influence on the parathyroids.

Paraathyroidinum (Julian)

Parathyroid secretion plays an important part in phosphocalcic metabolism, and in particular, in the regulation of calcium in the blood. The hypercalcemic parathyroid hormone, or parathormone, was first isolated in 1925 by Hanson. Collip and collaborators prepared parathyroid extract in 1925 whose activity was established by its action on the blood calcium level of a parathyroid gland excised from a dog. The initial procedure was heat extraction, using dilute hydrochloric acid. Rasmussen used two other methods: extraction by acetic acid, in an aqueous solution of phenol, to
obtain extracts which were subsequently purified by filtration on Sephadex gel and by chromatography. Several polypeptide with hormonal action were also obtained in the same way, from the parathyroid gland of an ox. Their molecular weight varies from 3,700 to 9,000. The polypeptide PM 8500 is the active form of the hormone contained in the gland. This polypeptide is made up of a unique chain of 83 amino acids. The hypercalcemic parathyroid hormone increases the level of calcium in the blood, reduces the level of calcium in the urine, and increases the amount of phosphorus in the
urine. More recently, experimentally results have indicated the existence of a parathyroidian secretion whose action diminishes the level of calcium in the blood. It was the clinical syndrome of the primitive hyper parathyroid hormone which drew Fouche's' attention to establishing a homeopathic clinical symptomatology.
Primitive hyperparathyroidism is explained by: 1) an osseous syndrome whose clinical manifestation is expressed by pain in the bones, aggravated by standing or walking, and also expressed by spontaneous fractures, swelling in the bones, and bone deformities. In radiology, one can observe: abnormal transparency of the skeleton; the cortex of the long bones is decalcified; the medullary canal is enlarged, and these signs are especially present in the hands and jaws. Cavities can also be seen, again, primarily in the hands and jaws, as well as tumours, which enlarge the bones
by pushing back the periosteum. 2) The extra-osseous syndrome occurs in 40% of the cases. It is characterized by: Its effects on the urinary organs, polyuria, renal lithiasis, and nephrocalcinosis. Its effects on the digestive system, with anorexia, post-prandial epigastric pains, and constipation. Also gastric atony and ulcers in the low duodenum. Its effects on the cardiac muscles, with palpitations, tachycardia, and shortening of the Q. T. interval on the electrocardiogram. Its effects on the muscles, with asthenia and muscular hypotonia. Its psychological effects, with
depressive tendency and mental confusion. 3) The biological syndrome is characterized by an increase of calcium and reduction of phosphorus in the blood, as well as an increase of phosphates in the urine, and an increase of the alkaline phosphate-liberating enzymes.
Fouche' noticed that the work of Oppel and Leriche showed how the removal of the parathyroid gland improves the condition of patients with chronic Ankylosing rheumatism, but only temporarily.
Secondary Hyperparathyroidism can occur as a defence reaction by the organism, which aims to maintain the normal level of calcium in the blood. The level can become reduced as a result of: 1) a diminution in the calcium deposits in the bone, or disorders of alimentary deposits, or because of absorption complaints. 2) destruction of the skeleton following osseous carcinoma or myeloma. 3) renal malfunctioning (glomerulonephritis, tubular nephritis, idiopathic increase in the level of calcium in the urine).
pituitary
The pituitary body of hypothesis cerebri is located in the sella turcica at the base of the brain. It consists of two distinct lobes with but a single name. The anterior is oblong in shape, and is the larger, while the posterior one is round. Its average weight in the adult is about half a gram, but this varies. Proportionately it is larger in the child than in the adult. The anterior portion or lobe is glandular in structure and in some particulars resembles the thyroid. The posterior lobe consists of nerve tissue and glandular cells; and is connected with the third
ventricle by a communication which is more or less patulous and is termed the infundibulum. A colloidal material is frequently found in the cleft between the lobes.
The active principal or hormone of the anterior portion has been termed tethelin and represents the growth producing element of this lobe; while from the posterior and the infundibular part of the gland comes pituitrin, an active blood - pressure raising element, which stimulates the contraction of smooth muscle fibres, as of the uterus, in which it produces active contractions when it is dilated. It also acts as an active stimulant to the muscular coats of the intestines and promotes peristalsis.
The function of the anterior lobe is distinct from that of the posterior ad infundibular portion. The function of the latter two appear to be similar.
The whole of the anterior lobe cannot be removed without causing death. A removal of a portion is followed by abnormal deposits of fat, loss of hair, of sexual power, and atrophy of the ovaries and testicles. There is frequently a disturbance of the urinary secretion; at times a polyuria, at times with glycosuria. It has been observed that pathological conditions of, or operations on, the pituitary are attended with hypertrophy of the thyroid. Following thyroidectomy, the anterior portion of the pituitary is usually found enlarged. Removal of the posterior lobe and the
infundibular portion does not cause death not produce definite changes.
Cushing and his co - workers have shown that the removal of the whole gland is attended with a lowered temperature and blood pressure, feeble pulse, slowed respirations, trembling, twitching and finally death.
The posterior lobe is concerned in the metabolism of sugar; if there is a hypersecretion, glycosuria may result; if there is a hyposecretion an under tolerance to sugar results. If upon the administration of 200 grams of sugar no glycosuria results, the inference is that there is a subsecretion of the posterior lobe.
An extract from this lobe is an active diuretic as a result of its action on the heart and its power of raising the blood pressure. The rise in pressure is not as rapid as that caused by the suprarenal extract, but is of greater duration. A hyposecretion from this lobe may be a cause of diabetes insipidus and the administration of this gland temporarily relieves the polyuria and the thirst.
During pregnancy and before menstruation the gland is enlarged; this may be to such an extent as to cause it to press on the optic commissure and produce a bi - temporal hemianopsia. In certain cases the enlarged gland before and during the menstrual period is attended with the so - called "menstrual headache", this is usually relieved by the administration of a preparation of the whole gland.
The anterior lobe is enlarged during pregnancy; should it not enlarge, and its activities be increased, there are marked disturbances of metabolism as deposits of fat, puffing of the hands and feet or a derangement of the calcium metabolism, as is observed in the loss of the teeth and hair, brittle nails in the mother and a defective bone formation in the foetus. Such disturbances of this gland are often associated with those of the thyroid and parathyroid; a hypersecretion of the anterior lobe during childhood results in a condition of giantism. If this condition persists
till the person is twenty or over, the epiphyses of the bone become united and the acromegalic type takes places; when there are irregular bone formations especially in the spine, kyphosis is the most frequent. As a result of bone deposit in the glenoid fossae of maxilla is elongated and prognathism occurs. In connection with the disturbance of boy formation there is increased growth of the hair, warty growth especially on the neck, the skin is thickened, the thyroid in disturbed, often a myxedematous condition develops, the heart's action is weak, the blood pressure is lowered,
impotency develops in the male, and amenorrhoea in the female. Many of these cases have more or less headache, which may result from pressure from the enlarging body or from its disturbed secretions. There may be a disturbance of the vision fields due to pressure upon the optic commissure. Many nervous symptoms from epilepsy to insanity have developed in these cases.
From postmortem findings it may be said that while every case of tumor growth in the sella turcica is not attended with acromegalic symptoms, yet in every case of acromegaly there is disease of the pituitary gland. In these cases, should the posterior lobes become disturbed and hypersecretion result, glycosuria will probably develop, if it should hyposecretion, polyuria and digestive disturbances of the thyroid, gonads, parathyroids, suprarenals and the thymus enlarges and renews its activity. In all these cases of disturbance of calcium metabolism, the administration of an
abundance of milk, and foods rich in calcium are beneficial and assist in diminishing the nervous irritability at least.
If there is a hyposecretion of the anterior lobe in young children, the bones do not grow, and the child remains dwarfed, infantilism; if at the adolescent period this condition is present, there is a lack of hair upon the pubes, in the axillae and on the genitals and the child remains undeveloped. Should the hyposecretion develop later in life there is testicular atrophy and the male assumes the feminine type.
Hydrocephalus accompanies this condition and is often attended with juvenile obesity; the child is large, fat, has a protruding abdomen, scanty hair, dry skin, small genitals, and is often not mentally bright.
In older patients a hyposecretion of the posterior lobe may lead to adiposis dolorosa, Dercum's disease. In this there is probably a disturbance of the thyroid as well as a lowered basal metabolism.
There may be disturbances of the secretions of this gland that have of been successfully managed.
Pituitary headaches have bee cured by the whole gland. In stout women with amenorrhoea and this type of headache, it is usually relieved with a combination of thyroid and pituitary, if the pain is not due to a tumor. An extract from the anterior lobe, when combined with the thyroid and ovarian extract in the female; and testicular extract in the male, has been found of service in dystrophy adiposogenitalis.
An extract from the posterior lobe has been found of great service in obstetrics when 1/2 to 1 mil. should be given hypodermatically. Under its influence the uterine contractions are brisk and frequent. If it is used too often the child may be asphyxiated from interference with the placental circulation. It should never be used until the cervix s completely dilated and it is known that there is no obstruction to the passage of the child.
In menorrhagia and metrorrhagia when administered by the mouth, the extract is of service, especially if it is of pituitary disturbance. In many cases with too frequent menstruation in young girls, the mammary extract does better.
It is most serviceable in heart failure, and in shock, when the blood - pressure is very low. In these cases 1 mil. of an extract from the posterior lobe given hypodermatically, is of service. While its action may be slower than that of adrenaline, it is of greater duration and increases the activity of the kidneys. When following abdominal operations, intestinal peristalsis is not normal and there is tympanitis, one mild given hypodermatically, is of great service. This may require to be repeated every twenty - four hours for two or three days or until the intestines have
regained their normal tone.
In these cases when there is pressure upon the diaphragm and interference with the heart's action due to paralysis of the intestines, a second dose may be given a few hours following the first.
It should be thought of following parturition and laparotomy when the urinary bladder is semi - paralyzed. In many of these cases it acts best if administered hypodermatically. In incontinence of the urine both in adults and children, it has been of service, also in nocturnal enuresis, both when administered by the mouth and injected.
It should be remembered in diabetes insipidus, when a preparation of the posterior lobe given hypodermatically, controls the thirst, reduces the amount of urine, its specific gravity becomes higher, and the headache, that is usually present, cases. If this portion of the gland does not become normal, the dose must be repeated.
In the "fatigue syndrome" asthenia, with weakness and neuro - muscular pains, also after parturition when the mother remains weak, does not gain her strength and the uterus does not contract normally, an extract of the whole gland is often beneficial.
It should be thought of in epilepsy, especially in young children ad in youths, when it should be studied in connection with the thyroid or parathyroid. The whole gland should be used.
The anterior lobe has a part in the formation of bone and should be remembered in rickets.
It should be remembered that while administering a preparation of the whole gland, joint pains may develop, due to the increased amount of uric acid found. This may occur when the pituitary is indicated.
These preparation are derived from the pituitary of cattle. That from the posterior lobe is a yellowish or gray powder which is of completely soluble in water, its dose is 0. 03 gm. (1/2 grain). The liquid preparation of this gland is transparent ad is obtained in 1/2 and 1 mil. ampules. Tablets of 1/10 grain may be obtained.
It should be remembered that depression may follow the administration of these preparations and the patient should be watched and in some cases the dose reduced.
Preparations made from the whole gland and that from the anterior lobe alone, may be obtained either in tablet or in powder form.
The frequency of the dose depends upon the case, as most of them are chronic. A dose once or twice a day is all that is required.
Proteus bowel nosode-julian
BIBLIOGRAPHY
Sevaux: Experimental research of homoeopathic ailergy. Cahier de Biotherapique, No. 8, December, 19965.
Hui - Bon - Hoa: Intestinal nosodes. Proteus. annales homoeopathiques francaises, 6e annee, No. 9, p. 691 - 695, 1964.
Julian, O. A.: Biotherapiques et Nosodes: Bacille Proteus. (Nosodes intestinaux de Bach et Paterson), p.245 - 247, ed. Maloine, 1962.
Hui - Bon - Hoa: Les Nosodes intestinaux. Ed. coquemard, Angouleme, 1966, Bulletin du C. H.F., 1967, p. 69.
Poison Georges: A propos de plusieurs observations d'infection urinaire a Proteus. Annales homopathiques fracaises, p. 21 - 672, No. 8, October, 1958.
Schmidt Roger: Protues - A Bach - Nosode. Journ. of the Americ. Inst. of Homoeop., In: Rev. de Presse, Anglaise par le Dr. J. Hui Bon - Hoa. annales Homoeop. Fr. 1966, No.2, p. 162.
STOCK
Proteus belongs to the great family of Enterobacteriacae. Described in 1885 by Hauser, its bacteriological study has been done very revently by Prevost, Moller and others.
This is a gram negative bacilli, polymorphous, very mobile, without capsule, without spore.
The biochemic characteristics are:
(a) Possession (except for Providencia) of a urease which hydrolyses the urea in Fergusonmedium with alkalinisation by the liberation of carbonate of ammonia.
(b) Presence of a tytrophandesaminase.
(c) Great proteolytic activity.
There are four varieties, viz:
Proteus are Gram negative rods, flourishing on ordinary mediums attacking the glucides, with formation of acids and sometimes some gas. Very mobile, provided with peritricic flagella; they never attack lactose.
They fermant the gglucose and transform the phenyalamine in acid phehyl — puruvic.
The pathogenous power takes the directions to intestines in the form of gastro - enteritis, diarrhoeas. Even their origin is due to genito - urinary infection and bay be responsible for mastoiditis, otitis, meningitis, peritonitis, overinfection of wounds and ulcers.
In nosodotherapy, it is John Paterson of Glasgow, after the work of Bach, Wheeler and Dishington, who described the clinical indications and the prescription of homoeopathic dynamisations.
In France, we owe to F. Sevaux, a study of clinical pathogenesis (see above) in Cahiers de Biotherapie, No.8, December, 1965.
In 1968 appeareda study of G. Poison on bacteriological study as well as on their clinical indications.
CLINICAL CORTICO — VISCERAL PROTOCOL OR CLINICAL PATHOGENESIS
1. Genaralities
Proteus, the bacteria frequently found in the intestines is a biotherapic of which the sphere of action concerns essentially to the phenomena of the allergy of the digestive system such as it was described by Monod.
Constitution:
It suits to three constitutions: Carbonic, Fluoric, Phosphoric.
Temperament:
A digestive, with brown hair, lean, pale.
.....>>>>>>>A spasmodic parathyroidian.

Intoxication:
An allergosic (psoric)
It is necessary to note that this remey is rarely indicated when there is no nervous symptoms as says Hui - Bon - Hon.
It is a subject at first irritable then despressed, tense, aggressive specially after nervous overwork.
2. Neuro - endocrino - psychic system
(a) Psychic: Sensation of great nervous tension, of great overwork.
"Tempest under the skull".
"Explosion of anger when contradicted".
Throws away the objects near at hand, kicks.
The child rolls on the ground.
Slight agony while ill.
Thinks of suicide though he has not the wish for it.
Tense, irritable, depressed, and is capable of murder when he is angry..
Dislikes company.
Rigid attitude, often with fixed idea.
(b) Nervous system:
Vertigo.
Vertigo increasing with the rising of the sun.
Insomnia worse in village.
Frontal headache with the sensation of heaviness.
Headache aggravated before the msnes, for a week.
Headache begins in the morning.
Headache with diarrhoea and pasty tongue.
Convulsions, epilepsy, meningism during fever.
Convulsions, epilepsy, meningism during fever.
Pain of the neck when rising up in the morning.
3. Digestive Apparatus
(a) Mouth, tongue, pharynx:
Fissures of the joints of the lips, not easily avails to the treatment.
Salty taste in the mouth.
Sensitiveness of the gums.
Ulcer in the mouth.
(b) Stomach:
Acidity, pyrosis.
Painful hunger, not ameliorated by food.
Nausea and migraine after meals.
Frequent hiccough for a few seconds, coming at least once in a day after meals.
Aerophagia, the patient puts his fingers in his throat to vomit up air.
vomiting by the least excess.
Gastric pains, so fixed time, sometimes at night.
According to the english authors, Proteus is to be prescribed specially in the cases of deudenal ulcers, which manifests itself brutally by hematemesis or perforation.
(c) Intestines:
Emotive diarrhoea.
diarrhoea with headache and pasty tongue.
Alternating diarrhoea and constipation.
Constipation with false urgency.
Yellow, soft stools after breakfast.
Hematemesis, melena.
Presence of oxyuris in the stools.
Anal pruritus.
Aversion to butter, pork, viande, eggs, specially hard eggs, green haricots, salades, onion, cucumber, chocolate which he cannot digest.
Desire for fat, sugar, salt, butter and eggs.
4. Cardio - hemo - vascular system.
Sensation of heaviness in the precordial region.
Pain aggravated by effort.
Palpitation in elongated position.
Palpitation by the least emotion.
Frequent right sided focal block.
Spasms of vessels, sensation as if the fingers are dead
Intermittent claudication.
Bleeding hemorrhoids, with intense itching.
Venous congestion of legs.
5. Respiratory Apparatus
(a) Throat: Sensation of thick mucus flowing from the cavum. Nasal obstruction, aggravated in closed rooms.
Subacute pharyngitis with difficulty to speak.
Cough and expectoration.
(b) Lungs, pleura:
Bad tenacious cough, weakening with expectoration.
Thoracic constriction, with the sensation of oppression and suffocation.
6. Sense Organs
(a) Nose; Nasal obstruction wrse in a closed room.
Impression that thick mucus is dropping from the back of the nose.
(b) Eyes: Burning pains in the eyes.
Pains ameliorated by pressure.
Coloured phosphenes with vertigo.
Eyes, red, fatigued in light.
Intermittent weakness of the sight.
Meibomian cysts.
(c) Ears: Sharp or burning pains of the type of otitis but without fever.
7. Uro - genital Apparatus
(a) Urinary:
In men and in women:
Turbide and fetid urine.
Whitish filaments in the urine.
Cystitis after having taken food.
Violent burning in the urethra.
Pain in the renal region.
(b) Genital:
In women: Menses with clotts.
Abundant white discharge, worse during ovulation.
Brownish bloody discharge before the menses.
Thready clots at the end of menses.
Regular menses with clots for seven days.
Pruritus of the vulva.
Vaginitis.
Furuncles of the ano - vulvar region.
8. Loco - motor System
(a) Upper limbs:
Hands as if dead at night.
Hands burning at night.
Hands numb in the morning.
Retraction of palms and of the little finger.
Cannot close the hand.
Deforming rheumatism of the hands.
(b) Lower limbs:
Intermittent claudications.
Pains in the calves: Pains obliging the patient to walk with a stick. Cramps in the feet.
Feet numb, as if frozen, aggravated by cold weather.
Sciatic pain.
Contused condition of the feet.
Hammering of the toes.
(c) Pains of the neck better by pressure.
9. Skin, Phancera
Sweats under the arms, hands moist.
Very abuundant sweats under the arms falling in big drops with moist hands.
Oozing dermatitis on the back of the hands.
Pruriginous vesicles of the external face of the wrists, fingers.
Herpetic eruptions.
Eruptions, papulo - pustulous, erythematous, dry, desquamous of the chin and of the upper lip.
Severe pruritus.
Doubbed nails.
Fall of hairs.
Thoracic pannicultis.
10. Modalities
Aggravation:
In the morning, when waking up, by effort, while getting up a staircase.
By drinking wine.
In stormy weather, by heat, by exposition to sun.
In the winter, by cold.
While lying down.
At night.
Aemelioration:
In moderate temperature, while lying stretched, in mountains by pure whisky (a mixture aggravates).
One hour after rising up after eating.
POSOLOGY
Dynamisations: From 5 CH to 30 CH.
By mouth: Glucse. Rectal suppositories.
The 5 CH is used daily.
The high dilutions from 7 CH to the 30 CH in aspaced doses for desenibilising but according to clinical necessity may be prescribed daily. To be had of Nelson, London: Proteus (Bach) 12c, 30c, 200 c, 50m, cm.
POSITIVE DIAGNOSIS
The predominance of the troubles of the digestive system or troubles coinciding with the ingestion of foods that may cause allergic troubles.
The brutality of the nervous symptoms with the important sensation of intra - cranial tension.
The urinary troubles of the type of acute or subacute cystalgia. Morphopsychic rigidity with fixed ideas.
DIFFERENTIAL DIAGNOSIS
Psorinum: Cortiso - somatic inhibition, chilliness, sadness, periodical migraines, need for eating at night, morning diarrhoea, weakness of the back and of the articulations, bad smelling, eruptions, appearing in winter and disappearing in the summer.
Sulphur: Allergic condition (Psoric), Skin, burning with eruptions, itching. Important, quarrelling, asthenic.
Tuberculinum: Unstable, emotive, aggravated by physical effort, or by intellectual effort; emaciation, sweats, morning diarrhoea. Aggravation by humid cold and during change of weather.
colibacillinum: (See article).
Paratyphoidinum B: (See article).
CLINICAL DIAGNOSIS
1. Generalities
Cortico - somatic inhibition.
Morbid - metastasis.
Long and dragging convalescence.
Early senescence.
Neuro - arthritic diathesis of charcot.
2. Neuro - endocrino - pyschic system
Beard's disease (neurasthenia).
Myelasthenia.
Melancholy state.
Migraines.
Neuralgias.
Hysteria.
Convulsions.
Epileptoid syndromes.
During fever, reaction of meninges.
Meniere's disease.
Characterial troubles with aggressiveness. (See pathogensis of D. N.A., R. N.A. by O. A. Julian in Recherches theoriques pratiques en Homoeopathie, t. 2, p. 83, 1973. Le Franqopis, 75006 Paris).
3. digestive Apparatus
Digestive migraines.
Cortico - tuberosity.
Aerophagia with troubles of pseudo - angina.
Aphthe and ulcers of the mouth.
Cortico - gastric dysrythmia.
Cholecystitis.
Spasmodic colopathies.
Hemorrhoids and anal pruritis.
Oxyurosis.
4. Cardio - hemo - vascular system
Angor pectoris.
Coronarian heart.
Obliterating arteritis.
Nocturnal acroparesthesia.
Raynaud's syndrome.
Phlebitis and sequalae of phlebites.
5. Respiratory Apparatus
Pharyngitis.
Purulent bronchitis.
6. Sense Organs
(a) Eyes: Cyste, meibomian of the eyelids.
(b) Nose: chronic hypertrophic rhinitis.
(c) Ears: Otalgia, otitis, mastoiditis.
7. Uro - genital apparatus
(a) Urinary: cystitis. Pyelitis. Pyelonephritis.
(b) Genital:
Female: Ano - vulvular furuncle.
Vaginitis. Vulvitis.
Leucorrhoea. Salpingitis.
Metritis of col uteri.
Male: Balanitis.
8. Loco - motor system
Carpo - pedal spasm (hand of accoucheur).
Functional or professional spasms (writers's cramp, cramp of pianists, of dancers...).
Torsion neurosis of Ziehn - Oppenheim.
Ischemic retraction of the muscles (volkamann's disease.)
9. Skin, Phanera
Herpes. Hyperhydrosis. Ephydrosis. Pelade.
CLINICAL CASES
Here are two case reports of Dr. G. Poisson (Analles homoeop. Fr. No. 8, October, 1969, p.21, 677).
Report 1
The first case concerns Mme P...Suzanne, came to consult for the first time on 12th April, 1962, having 51 years of age.
Interrogation revealed to us that she had passed twenty years of her life in India, in Malaysia and in Indochina. she has suffered from itch and prickly heat. She was copiously vaccinated.
She had malaria for which she had taken large quantity of quinine; she became progressively very heavy, her weight increased from 61 to 74 Kg; three months ago she had her last menstruation. she is now before us, on the threshold of menopause, psoric, bit above all decidedly sycotic. the built is like that of a carbonic ad she administers with much practical mind her business of tobacco and a restaurant.
She is big and fat; she is chilly; she is constipated. Her traits are rough, with prominent nasogenian furrows; the skin in shining, the nails are soft; she sweats easily, and she exhales a complex smell of tobacco, fried foods and soup beats. Her weariness appears on her face and on her gait; she is soon out of breath and complains of heavy legs.
She came to consult us specially for an intense fatigue, of pain in her lunmbar region, which caused sleeplessness since some months, and painful micturitions which are frequent. Some uriographis were done and some V. U.I. have been done which revealed a chronic right sided pyelitis.
Classical antiseptics, sulfanimides and antibiotics gave no relief, but on the contrary made her more weak. Numerous washing of the bladder with silver nitrate and cyto - bacteriological examinations of urines revealed always and hopelessly Proteus.
By examinations were found:
- White tongue.
- Cramp rings in the iris.
- Arterial tension 17 - 10.
- Intense costo - lumbar pain by pressure (right side).
- A pain along the trajectory of the urethra of the right side and specially to the point of juxta umbilical and prevesical. (POints - acupunctural).
- A pain by pressure on the 12th point of themeridian of conception (point of Thuya).
- A pain on the point of Ignatia (above the Mc. Burney).
A pain of the 30th point of the stomach (point of Kali-c.)
- There are warts and interdigital mycosis.
You see that each of the above indicates sycotic remedies.
And you have recognised the important remedies of sycosis: Graphitis, Kali-c., Thuya., Nat-s. without omiting Solidago and Ignatia.
They should be given one after the other in the course of different consultations. But specially, on 12th April, 1962 the patient received an Isopathic (urinary) in 30th CH, 5 drops once a day.
On 8th May, 1962, there was no amelioration on the urinary sphere and there were always some Proteus in the urines. the idea came to me then to give her 5 doses Proteus 12 CH (which the patient had from Nelson, London), one dose every 10 days. The three first doses gave her an important jerking, but she had confidence and sustained it well.
30th June, 1962: The patient was feeling much better but the Proteus is still there. I prescribed her four doses of Proteus 18 CH, one dose a week.
2nd August, 1962: The patient does not suffer any more. She sleeps well, she has lost weight progressively: the A.T. is 16 - 8. But she is still feeling fatigued.
I gave her Proteus 30 CH, three granules a day, helped by well indicated Mercurius solubilis.
And on 8th October, 1962, we had the satisfaction to see that all the urinary symptoms have disappeared and with them the lumbar pains, the fatigue...and the Proteus.
Later on, 27th October, 1964, Mme P...had a short relapse (the result of a long overwork in her profession) which was rapidly stopped by the daily dose of Proteus 30 CH. Finally in the month of December, 1966m Mme P...underwent a surgical operation for galucoma and bilateral cataract and had a second realapse. It was the result of the long immobile condition in clinic; no antibiotic gave her relief and in February, 1967 she was cured again within 48 hours with the treatment by Proteus, 2 granules 4 times during 24 hours.
Proteus 30 CH is neverthless continued during some days in order to consolidate the results, two doses in 24 hours, then once a day. Parallelly I applied on her a double cervical and lumbar manipulation, which freed her instantaneously from her headache which appeared during her confinement in the clinic. There was also lumbo - vertebral pains.
Thus Proteus in 12 CH then 18 CH, cured three times our patient, like a real antibiotic. There was no doubt a cause at the basis of her diseases which required operation which she refused before she came to consult me.
Case Report 2
The second case is that of a young woman living at Caux, Marie - Claire M...
Typically carbonic and Pulsatilla.
I have treated her in the year 1960 and 1961, at the age of 20 years, when she was a young girl.
The girl was working (still work) in a factory of electric piles and manipulated the whole day graphites. She was constipated as you may easily think of it, and the girl came to consult me because of her abundant menstruations with a phase of amenorrhoea for 2 to 3 months, painful, stopping at night, heaviness and cyanosis of lower limbs and hands.
Pulsatilla in 5 CH, then 30 CH, twice daily helped by Calcarea carb, and Graphitis in 5 CH, 99 CH, and in 30 CH have shortened the delay to 18 days.
The duration of the abundance augmentated; she had to use linen several times a day.
But the menses remained very painful and alone an Isotherapic of menstrual blood in 30 CH, prepared from the first menstrual flow, was given 5 drops in 24 hours, for weeks and months almost cured her. She was so much so cured that she married in 1962.
Two years afterwards, in July 1964, at the age of 24 Marie Claire had a nephritic colic of the right side. She was hospitalised and a right nephrotomy for the ablation of a big stone was necessary.
The consequences of the operations were not simple; a pyelo - nephiritis development with B. coli, then Proteus, resstant to all antibiotics. And after 4 months in November 1964, I saw her coming in my chamber with great lumbar pains, pollakuria, burning during micturition and Proteus in the urine.
Proteus was given in the 30 CH, which relieved the patient in 24 hours.
But on 23rd March, although there was no pullakuria, neither any dysuria, Proteus were regular in the urines. It was then that I decided to give Proteus 50 m, three globules every two days.
On 17th April, the patient wrote to me that she was no more suffering at all and that this time Proteus disappeared from the urines.
Thus, again Proteus (of Nelson), highly diluted became vitorious.
In these two observations, let us note in passing, that it were the cases of two carbonics (therefore subject to spasms), of two Graphities, the one physiopathological, the other experimental, both constipated; and one need not underline the part played by constipation in the production of these urinary manifestations because of Proteus.

thyroidinum
Hyperthyroidism is spoken of as Graves' disease, Basedow's disease. Plummer has termed it thyrotoxicosis. The symptoms are tachycardia, tremor, nervous irritability, insomnia, hot flashes, with perspiration, exophthalmos and digestive disturbances. In some cases there is a hyperchlorhydria and hypertension. The thymus is enlarged in about 50 percent of all these cases.
Hypersecretion without toxic symptoms is indicated by cerebral activity, sleepiness, vivaciousness and neurotic symptoms. In a case of diminished secretions a reverse group of symptoms is present.
Thyrotoxicosis is always more severe in men than in women, but is much less frequent in men.
In cases of hypersecretion the temperature may be increased one or two degrees and the patient is apt to be too hot or too cold. Many of the other glands show disturbance as the thymus,

parathyroids,

pancreas, ovaries, pituitary and suprarenals. In some the secretion is increased, while in others it is diminished. In some of these cases there is glycosuria and an increased nitrogen output. The increased heart rate and rapid circulation results in an increased metabolism and loss of weight. Whatever the cause that disturbs the thyroid, for they are many, the symptoms are the result of an increased output of thyroxin produced by the gland.

[Shannon Nelson]

Thanks, Robyn!

My pt does seem to have both chronic renal troubles (tho I don't know
details) and malabsorption problems.

Do you have any info on how to determine which type is present? Apparently
her doctors are simply tumor based on her symptoms, but it seems there's a
reasonable chance that in her case the surgery would not be helpful.
(Certainly it wouldn't help her kidneys or malabsorption!) And even when
there is a tumor, I assume this could be helped with remedies (or etc.),
just as any other tumor can.

Maybe I should try specific rxs for kidneys, and bowel nosode. Esp. since I
keep striking out in my search for "her consititutional". (As have better
minds than mine, I should say...)

Do you have any info on relationship between thyroid and parathyroid? (Her
thyroid was ***very*** low, treated [Synthroid, and now Armour] with some
very good result to her overall energy and wellbeing, but the calcium
problem, cramps and back trouble keep getting worse.

Thanks again!!!
Shannon

on 8/27/02 1:26 AM, Robyn at folco@tpg.com.au wrote:

[Shannon Nelson]

Hi Andy,

Thanks so much!!! This is a wonderful smorgasbord !
Some questions (for you or anyone):

on 8/27/02 3:11 AM, andyh at andyh@mcn.org wrote:
Yes, and they want to yank hers, on assumption that its overactivity is
caused by tumor, and that excising it will normalize her calcium metabolism.
But if her problem falls in the other 20%, and is caused not by tumor but by
kidney trouble (which she definitely has) or malabsorption (which she also
definitely has), then yanking the parathyroid will not be useful. And in
any case (not suggesting you were arguing for this, Andy, just doing a sort
of "conglomerate muse" here), I would think that a parathyroid tumor could
be corrected by remedy, lifestyle/immune improvement etc., just as other
sorts of tumors can. Yanking it seems like a pretty primitive approach at
best... (Thoughts, anyone?)

...

Anyone know what this means? Does it mean a bone lesion caused by
parathyroid disorder, or ??

Re benzoquinone: Apparently you have a newer version of RefWks than I --
what book was this reference from? Is benzoquinone the same as
para-benzoquinone, and can anyone tell me anything more about it?
Interesting that it is useful for this long list of serious disorders, "and
intractible children"! Can you tell whether this refers to use in
potency or in drug form?

Andy, I see a great deal there that I'll need and want to "chew over" --
thanks so much for some great ideas!

More questions later, no doubt!


Shannon

[andyh]

Robert&Shannon Nelson wrote:
)))))))Dear Shannon and List friends,

((((((Yeah, life without a p-thyroid and on pharmaceuticals sounds like a far worse plight if there is another means to correcting the problem, which I suspect you will find
Shannon!
____________________________________________________

))))))))))Recklinghausens disease in this context definition found below (there is another version of this syndrome of same name which is a neurofibromatosis) but this one seems to be the one referred to by OA julian in the given article on calc-fluorica from rfworks 2.6.6 in earlier message.

Also (might) be in the range of describing the disease syndrome of your case. Also, Calc f could easily have a tumour involved.
http://www.xrefer.com/entry/131552

von Recklinghausen's disease
German pathologist
1. a syndrome due to excessive secretion of parathyroid hormone (hyperparathyroidism),
characterized by loss of mineral from bones, which become weakened and fracture easily,
and formation of kidney stones. Medical name: osteitis fibrosa.
2. see neurofibromatosis.[Recklinghausen, F. D. von (1833 - 1910)]
Concise Medical Dictionary, Oxford University Press, © Market House Books Ltd 1998
--------------------------------------------------------------

)))))))Shannon of the North 40: Here is the entry in Rfwrks 2.6.6 on para-Benzoquinone, -appears to be in remedy form ("attenuations")--Andy

(by Reckeweg, believe a German physician; think he founded HEEL a homeopathic pharmaceutical company).

The attenuations are prepared from p-Benzoquinone, C6H402. Has a comprehensively regenerative action on cell respiration in many cases (Citric Acid cycle) on account of the free radicals, and also in cases of mutative damage (genes etc.). It is indicated in all cellular phases, also leukemia, asthma, organic diseases of the nerves, pre-cancerous states, neoplasm phases, hepatitis and other conditions.
From practical experience it has been seen that whilst para-Benzoquinone is admittedly similar to Hydroquinone in its structure and action, it is however substantially more specific and deeper-acting. The remedy-picture corresponds to that of a cancer patient with almost hopeless cachexia and totally wrecked metabolism. failing utterly to react to well-selected remedies. Before para-Benzoquinone is used on cancer patients, they should first undergo stimulation by the catalysts of the Citric Acid cycle. According to the symptoms, the individual acids are selected and injected
at short intervals in succession Then Hydroquinone should first be injected, about three times, and then followed by para-Benzoquinone. One of the most prominent symptoms of para-Benzoquinone is its great of dyspnea and heavy loading of the heart, along with Edema in the cavities of the body and in the extremities. There can also be unbearable headache with a flushed face and a very strained appearance. para-Benzoquinone should be tried even in hopeless cases, possibly also i.v. as many as 3-5 times daily. It must never be given in conjunction with tuberculostatic substances
(Voll's testing blockade in 80%) As well as in all diseases involving neoplasm it is also indicated in all psychoses, which must possibly be interpreted as preliminary stages or vicariations. Likewise certain protective functions against viral infections may be achieved with para-Benzoquinone.
In psychoses, para-Benzoquinone should be given in combination with sarcodes: either Cerebrum or Cerebellum. One should always think of para-Benzoquinone in almost incurable dyspneas, remitting neither by day nor night, and with the possibility of transition into respiratory paralysis (e.g. in side-effects of opiates). Among other remedies, para-Benzoquinone is also for use in degenerative diseases of the eyes (retina) and ears, and-also in diabetes mellitus.
It is also indicated in drinkers' tremor, with destruction of the personality and agressive mood; the patient becomes unapproachable and there is a danger of
Korsakov's psychosis. para-Benzoquinone can also help with a state of paresis occurring after poliomyelitis, encephalitis or vaccinations. There is complete failure of the memory, and disturbances in neuromuscular coordination; this and conditions such as multiple sclerosis and turnouts in the spinal area with pains and paresis, as well as brain tumors, may respond favorably to this remedy. In many cases of the highest degree of meningeal irritation, para-Benzoquinone deals with the terrible pains better than an opiate. para-Benzoquinone can have a similar action to Sulphur
when a well-selected remedy does not act sufficiently, if this depends on a change in the nervous system. para-Benzoquinone is also capable of compensating action in the critical stage of states of shock or albumin poisoning which occur after blood transfusions or infusions of live cells or plasma. It is likewise indicated in patients with whom meat does not agree. para-Benzoquinone also has a wide-ranging action on the endocrine glands, e.g. in beard-growth in girls or growth of breasts in boys. In such conditions there is often a 'stupid' facial expression. Unusual adiposity or
extreme emaciation may also be present. In serious disorders of the parathyroids it can be of astonishing assistance when combined with the Parathyroid gland sarcode. para-Benzoquinone should also be thought of in adrenal failure and Addison's disease, also in multiple sclerosis when pain and spasms are pronounced, as well as in damage to the spleen with changes in the blood-composition, and in states arising from removal of the spleen, in pancreatic insufficiency with enzyme-disturbance and consequent respiratory problems. In combination with Malicum Acidum, Fumaricum Acidum and
Natrum Oxalaceticum it is helpful in all serious toxic states, and in reaction phases. A particular indication for para-Benzoquinone is, if, after using Hydroquinone, an aggravation occurs in the patient's whole condition. para-Benzoquinone may well have a good effect in all illnesses which could be connected with albumin poisoning and in which therefore auto-antigens (wild peptizes) are involved; auto-immune diseases; e.g. in primary chronic polyarthritis, endocarditis and other auto-immune diseases, also after blood- transfusions and in intractable children. In such conditions,
the longer the irregularity has existed, the higher the potency which should be used, whereas in acute and dramatic illness the lower potencies are preferable. The most important indication for para-Benzoquinone are cancers, especially those of the lower sections of the intestines, in which there is a distinct aggravation from eating meat and eggs.
It may be expedient to use para-Benzoquinone in combination with
Anthraquinone or Hydroquinone. Such patients are mostly out of sorts, irritated and can never laugh. The impression they make is one of unutterable suffering. Their stools almost always dry, can suddenly alternate with watery diarrhea, with agonizing pains in the whole abdomen, rectal paralysis and inability to hold the stool. para-Benzoquinone can also be effective in summer diarrhea, especially when traveling or from change of diet (eating meat).
It is also indicated in chronic pyelitis, incontinence of urine, papilloma of the penis, which are often hard and strongly pigmented. Through the whole picture of para-Benzoquinone there runs degeneration of a wide variety of tissues, underdevelopment of retarded children, tumor formation and faulty hormone-function (pituitary or adrenals), putrid secretions (e.g. from the mammary gland or from weeping eczema's on the genitalia), which are scarcely prevented by washing. Consequences of hereditary syphilis may be present. as may stubborn eczema with lichenification of the
whole skin, with a preference for the arms, legs, neck area and face, as is often found in the terminal sage after the usual external therapy or after withdrawal of treatment with cortico-steroids. With all this it is essential first to cleanse the body of its whole homotoxic state, using nosodes and especially remedies which stimulate elimination, otherwise the homotoxic material which is set in motion by the para-Benzoquinone may give rise to considerable extension of reaction phases, e.g. to abscess-formation which, in the circumstances must be seen as a biologically favorable
channel of elimination. para-Benzoquinone is also called for in certain degenerative changes in the skeletal system, such as joint problems after taking cortisone, osteomyelitis, rachitic changes, Scheuermann's disease and scoliosis in early youth, the children being able neither to sit straight nor to stand. The deposits typical of this remedy are also seen on the teeth. They crumble in large fragments, painlessly, with brown patches and exposed necks. para-Benzoquinone combines numerous groups of symptoms of a Degenerative kind which are found in the symptom-pictures of
Arsenicum, Sulphur, Phosphorus and Mercury compounds, and particularly in the nosodes Psorinum, Syphilinum, Medorrhinum, Tuberculinum etc.) Therefore it is obedient to give it in combination with whichever of the other remedies is also indicated, especially with the corresponding nosodes and sarcodes of the tissues or organs in question, but for expediency in parenteral treatment it should always be given singly, with the other remedies being given alongside it. The characteristic situation requiring para-Benzoquinone could be described so the patient, his resistance and ability
to oxidize at a low level, is threatening to choke In his own intermediate homotoxins. Only a superficial, small part of the serious inner toxic state is being dealt with by the existing discharges and inflammations - just sufficient for life to limp along, but not enough for a full clear-out of the whole toxic condition to take place with a positive, complete regressive vicariation into a reaction phase. In such a situation, para-Benzoquinone can tip the balance. The author experienced such a "miraculous healing" in 1979, in a dying 84-year old patient.