| Introduction: Dr. Dilip Dikshit
is a respected homeopath from Mumbai with wide and deep experience.
This time we present 2 cases of homeopathic palliation. Palliation
is possible with homeopathic remedies and has tremendous scope in
the treatment of advanced pathological cases. These cases represent
the art of perceiving the palliative remedy with the help of keynote
symptoms. A palliative remedy can bring great relief and peace especially
where the disease has progressed towards incurability. This is deviated
disease, observed as 'complex disease' or 'multimiasmatic expression'
of disease that can often be traced back to early suppression by
drugs or surgery.
The method of choice for the appropriate similimum at different
points of the case management are either based on keynotes, miasmatic
totality or constitutional totality. The chief methods used for
reptorization and analysis are either Boenninghausen's, Kent's or
Boger's, depending on the characteristics in the presenting totality.
An essential attribute of the homeopathic prescriber in such situtaions
is the art of perceiving the prescriptive totality for the similimum.
Case 1: Epitheloid Carcinoma
Esophagus
Mr. M.
Age: 60 yrs
Muslim
Non Veg
Retired post master
Diagnosis:
Epitheloid Carcinoma Oesophagus on 1-2-1973
Keynote:
Malignancy and pain; burning, aching-rising from abdomen to chest-neck
and shoulders. (Described well in Kent's Materia Medica under Cadmium
Sulph.)
Background:
For the past 3 years, the patient has been experiencing difficulty
in swallowing solids and liquids. Concomitants were empty eructations,
nausea-3, tongue coating.
Since the last 6 months there was a burning pain, aching rising
from the abdomen to chest, neck and shoulders-3. Cough, dyspnoea,
and irregular breathing. Lying on the right side <, and >
by lying on left.
He wanted everyone to be near him and was restless, but at the
same time wanted everyone to keep quiet. "Please, let me die
in peace." Since the last 3 months, there was more burning
pain and tightness around the chest < early morning3, < touch
of clothes3, < draft.
Since childhood he has a suppurative tendency. H/O peptic ulcer.
Watering of eyes for the last 5-6 years. In the last three years
weight had reduced from 55 to 38 kgs.
Perspiration forehead. H/O skin cracks in winter. Insomnia due
to pain for the last 8 months. Dreams of dead-3 (funerals), Haj
Voyage. Craving sweet-3, spicy foods, Hot-3 food and drinks.
H/O hot patient, turned chilly recently.
Mental characteristics: Anger-3, irritability-3, Anxious (Disease),
Brooding, Impatience, Hopeful-3.
Likes company.
H/O Tuberculosis in sister who died at age 40.
Patient was operated on 15-6-73 : Cancer oesophagus, Splenectomy
and pyloroplasty.
Histological report:
Epetheloid Carcinoma Grade III. Tumor is infiltrating the wall.
Lymph node metastasis seen - Hilar node. Spleen shows congestion.
Progress Notes:
12-10-76 : Cadmium Sulph 30, HS one dose
13.10.76 : No change, repeat one dose.
Could swallow liquids well, felt cheerful. Sleep good. Slight appetite
for the first time in the last 2 months. Burning-3
Cadmium Sulph was repeated PRN. About 5-6 doses were given
in a period of 1-1.5 months. The patient died in peace with all
faculties intact.
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