| Name of the patient – Verma M. L. Age 77 years
Date of first consultation – 12 – 2 -2004.
Diabetic nephropathy is one of the causes of Chronic Renal Failure,
when the glomerular filteration rate (G. F. R.) falls below a certain
limit. The excretion of urea depends on the G. F. R., when this
drops to about 30% of normal, retention of urea occurs. The raised
concentration of urea in the plasma increases the concentration
of urea in the filtered fraction and by this an adequate excretion
is maintained. In addition to urea, sulphate and phosphate are retained
together with potential toxic substances.
The case I am presenting here is a known chronic diabetic. During
November 2003 he became quite sick; he was diagnosed as a case of
PUC of DM c FBS. He was under the conventional treatment and his
condition deteriorated in place of improving. Apart from his physical
symptoms his pathology also worsened.
His blood tests on 14 – 1 – 2004 revealed:
Blood urea 104 mg/dl (Normal Values 10 – 50mg/dl)
Serum creatinine 4.9 mg/dl (Normal values 0.5 – 1.4mg/dl)
Now he sought the help of a reputed hospital of the city where
his disease was diagnosed as a case of Chronic Renal Failure caused
by Diabetic Nephropathy.
Haematology report on 22 – 1 – 2004:
Haemoglobin 8.4 gm% (Normal values, M 14 – 17 gm%)
E. S. R. 40 mm/!st hr. (Normal values, M 0 - 10 mm/!st hr.)
On 22 – 1 – 2004 his Biochemistry Report
shows:
S. Alk. Phosphotase 188 U/L (Normal values 38/126 U/L) 100ml
S. Calcium 9.5 mg% (Normal values 8.4 – 11 mg%)
S. Phosphorus 3.2 (Normal values 2.5 – 4.5 mg%)
Sodium 148 (Normal values136 – 145 mmol/L)
Potassium 5.0 mmo l/L (Normal values 3.5 – 5.0 mmol/L).
Ultra-sonography on 22 – 1 – 2004:
Impression – (1) B/L grade I echogenic, borderline size kidneys
c maintained CMD.
(2) Enlarge prostate with slightly inhomogenous echotexture.
Empirical treatment by the specialist along with proper diet control
suggested by the dietician was given but with no avail.
When his health deteriorated further he called for my help on 12
– 2 – 2004. His symptoms were:
• Extreme weakness.
• Dropsy (+++).
• Very anemic complexion.
• Vertigo on any motion (due to weakness).
• No appetite. Thirst diminished.
• Stools loose. He has tendency of loose and watery stools
off and on.
• Despair of recovery.
Apis 200 one dose on alternate days
Serum anguillae 30 tds inter-currently
On 12 – 2 – 2004 when the homoeopathic treatment was
commenced no pathological tests were conducted, therefore it can
not be said what was the real state of Blood urea and Serum Creatinine.
But, when the test were done on 20 – 2 – 2004 i. e.
a week later the values of the test were as follows:
Fasting blood sugar 77 mg/dl (Normal values 70 – 110mg/dl)
Blood Urea 191 mg/dl
Serum Creatinine 5.1 mg/dl
I suppose, when the homoeopathic treatment was commenced the Blood
Urea and the Serum Creatinine might have been higher than the values
found out in test on 20 – 2 - 2004.
By 3 – 3 – 2004 his general condition
improved by continuing the above mentioned prescription so much
that he came walking to my clinic (a distance of more than half
kilometer), but with the help of a stick, whereas on 12th Feb. he
was so weak that he used to find it difficult to walk out of his
room. He lives on the first floor of his house and at that time
he was unable to come down the staircase. And on 8 –
3 – 2004 he visited my clinic without the help of
the stick.
The Bio-chemistry Report on 11 – 3 – 2004:
Blood Urea 117 mg/dl
Serum creatinine 4.9 mg/dl
The important aspect of this case is that the patient did not take
any allopathic medicine since 12th February 2004.
Same prescription was continued and the Bio – chemistry Report
on 31 – 3 – 2004 was:
Fasting Blood Sugar 75 mg/dl
Blood Urea 91 mg/dl
Serum Creatinine 2.8 mg/dl
Occasionally he did get attacks of loose stools with urging to
stool after eating or drinking anything. He had such tendency for
a long time. So, occasional dose of Sulphur 200 and later Sulphur
1M was given which did not help much in the tendency of the attacks
of loose stools.
Serum anguillae 30 was continued as stated above.
The patient is a man who looses courage easily. Therefore whenever
he get an attack of diarrhea/loose stools he becomes prostrated.
Sometimes he feels so much weakness that when he is moving or after
walking a short distance feels tired and his breathing becomes laborious.
Same prescription was continued. The last report of Bio –
chemistry conducted on 13 – 5 – 2004 was
as given hereunder:
Serum creatinie 1.4 mg/dl (Normal values O.5 to 1.4 mg/dl)
Serum potassium 3.90 mEq/L
As far as the Blood Urea Serum creatinine and Serum potassium are
concerned the values have come down within normal limits. Now treatment
for the tendency of urging to stool with loose watery stools is
after eating and drinking is continued intermittently.
I have selected the remedies on the basis of the pathogenesis as
given hereunder: -
Apis Mellifica
Encyclopedia of Pure Materia Medica – Allen T. F.
Stool and anus
- Urging to stool.
- Urging to stool, with rumbling in the abdomen.
- Passage of flatus before stool.
- Copious, watery diarrhea.
- Several loose stools daily.
- Increasing prostration during diarrhea.
Generalities
- Actual swelling, or "puffing up", of the whole body,
without any noticeable change of color, except in the face.
Pocket Manual of Homoeopathic Materia Medica – W. Boericke
- Acts on cellular tissues causing edema
of skin and mucous membranes.
- Swelling or puffing up of various parts, edema, red rosy hue,
stinging pains, soreness, intolerance of heat, and slightest touch,
and afternoon aggravation are some of the general guiding symptoms.
Guiding Symptoms of Our Materia Medica – C. Hering
Stool and rectum
- ¤¤ Watery diarrhoea. ð Catarrh of stomach.
- ¤ Stools : watery; yellow, watery, with griping; watery
and foul smelling; watery, copious, black; thin yellow with extreme
weakness; greenish-yellowish mucus; agg mornings, slimy, mucus and
blood; frequent, bloody, painless, olive green, slimy, profuse;
full of bright red lumps.
- ¤ Edema of limbs. ð Albuminuria.
- ¤ Dropsy of limbs. ð Organic disease of heart.
Serum aguillae
Pocket Manual of Homoeopathic Materia Medica – W. Boericke
- We should bear in mind that the elective
action of the eel's serum is on the kidney, and I believe we can
well assert that if digitalis is a cardiac, the eel's serum is a
renal remedy.
- In the presence of acute nephritis with threatening uraemia we
should always think of this serum.
Some Ramdom Notes on Homoeo – Remdies – Chatterjee
T. P.
- Very effective in lowering blood urea.
Use potencies 6 and 30, twice daily, till it is near normal (Dr.
Harish Chand). The normal range is 15-40 mg/100 ml.
Murphy R. Homoeopathic Medical Repertory
Kidneys
- INACTIVE
- NEPHRITIS, infection, - parenchymous, acute
- UREMIA
Homoeopathic Remedy Guide – Murphy R.
- The Eel's serum eminently efficacious to
re-establish diuresis and in rapidly arresting albuminuria. Kidney
failure.
- Eel has put an end to the kidney obstruction and produced an abundant
diuresis.
- But its really specific indication seems to be for acute nephritis,
(Jousset). Sub-acute nephritis.
- In the presence of acute nephritis with threatening uremia we
should always think of this serum. Very efficacious in functional
heart diseases.
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