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Hpathy Ezine - September, 2008


Surgery and Homeopathy

Pre and Post-Operative Care Remedies

- Katja Schütt, MBA, HP, DiHom

Translated by: Katja Schütt, Laura Harr, Alan V. Schmukler

 

Introduction

Surgery represents the tremendous technical achievements of orthodox medicine on one side. On the other side it demonstrates the inability to cure, especially chronic diseases.

Homeopathy is a holistic healing method that treats the patient as a whole, recognizing that there is no local disease and that “no external ailment, not due to some particular outer injury can arise and maintain its place, or even grow worse, without inner cause and inner involvement of the entire organism (which is consequently ill). They could not appear at all without the consent of all the rest of the economy and without the participation of the rest of the living whole (i.e., of the vital principle pervading all the other sensing and responsive parts of the organism)... the person is inwardly ill before it and while it lasts.”[2]  Therefore, the source of complaints on the external parts, which have not been caused by any outer injury, lies in some internal malady and to pass them off as merely local ailments and to treat them exclusively or almost exclusively with local applications or other such means, as if they were wounds, is as absurd as its results are pernicious.[3]

Operating means to remove the result of disease, whose formation should be impossible in a successful method of treatment. Homeopathic treatment serves to make surgery unnecessary by means of preventative treatment. It raises the threshold of disease susceptibility, prevents illness, clears up the cause of pathology and obviates operation – especially in chronic patients. Patients given proper homeopathic treatment need operations less frequently, because homeopathy can treat diseases in their functional stage, before irreversible organic changes have developed. Homeopathic treatment also serves to arrest supposed surgical cases and finally, if surgery is necessary, it can help in managing surgical cases with pre and post-operative homeopathic medicines.

One of the most important duties of the homeopath is to recognize what is curable and what is not curable by our medicines.

In cases where a pathology has been formed, our duty is to pause with surgery, if there is a totality of symptoms, or even if there are no current symptoms present but the patient can remember them. This will allow the homeopath to recognize the original totality of symptoms of the case, and in these cases the job of the true homeopath is always to find the chronic remedy first. The case is not hopeless as the symptom totality is the only condition for the choice of the indicated remedy according to the Law of Similars. The elimination of all perceptible signs and symptoms means the removal of the inner modifications of the vital force which underlie them and thereby destruction of the whole disease, and when disease is destroyed health is restored.[4]

Surgery itself is never curative, only palliative, as it does not cure the underlying pathological process that caused the problem to occur. The morbid functioning which produced the ailment, remains unchanged by such removal. Surgery tends to be suppressive and closes a vent before the cause is cured, and a recurrence in that or another region of the body may follow, even in more vital organs. With the removal of the end product (pathology), Hering’s law of direction of cure is blocked, as symptoms cannot disappear in the reverse order of their appearance.  The vital force may be able to find a vent or channel through some other point of least resistance, but otherwise the cure may be delayed or impossible. But true cure always must proceed in the correct order: “from centre to circumference... from above downward, from within outwards, from more important to less important organs, from the head to the feet... symptoms which disappear in the reverse order of their coming are removed permanently.”[5]

Only when the patient is truly cured, but there remains a residual mechanical “mass”, can this mass be removed by an operation without damage to the patient.

Surgery, however, can be essential in some situations as a means for preservation of life and a patient who refuses an operation, even when the pathology requires it, is a danger to himself and his physician.

For instance, the most urgent cases, where danger to life and imminent death do not allow time for a homeopathic remedy to act. This would include life threatening situations such as, severe injuries and accidents, congenital deformities, suffocation, asphyxiation, injury from lightning, freezing, and drowning etc. “Only in such cases is it permissible and expedient, at least for the time being, to rouse the irritability and sensibility (the physical life) again by means of a palliative.”[6]

Other things that are the proper domain of surgery are cases where it becomes necessary to bring help to bear on the suffering parts by mechanically removing external impediments to cure. However, when the entire living organism demands effective dynamic help to be enabled to accomplish the cure, as it always does, this is where the service of the physician and his dynamic homeopathic remedies come in to accomplish the work of healing.[7]

The following recommendations are mainly indicated remedies for commonly occurring ailments after surgery. For more details I refer to the Materia Medica and point out that prescribing must always be done according to the laws and principles of homeopathy and the totality of characteristic symptoms, but never for the “name” of disease. Nothing in homeopathy is standardized. The choice of the remedy as well as potency and dosage need to be individualized to bring about a gentle, rapid and permanent cure. Any disease state has to be studied and treated based on the individual symptom picture of the patient and dosage has to be individualized, taking into consideration the nature of the patient, the nature of the disease and the nature of the remedy.

However, there are homeopathic remedies that are almost “specifics” for certain ailments, helping with a variety of frequently occurring symptoms and which are highly effective with most people in the treatment of clear, strongly indicated acute conditions. They have an affinity for a particular organ or tissue and usually the symptom picture is predominant whereas constitutional aspects of the remedy are minimal. These group specifics are reserved for diseases of a common (exciting) cause and fixed character with similar symptoms. Their indications are based on group anamnesis that can be used for fixed acute miasms (genus remedies) as well as for environmental disorders, mental trauma, physical injury and first aid treatment. Therefore, their use is in accordance with the laws and principles of homeopathy and very different from allopathic indications of specific drugs for specific diseases.

Thus, emergency and post surgical treatment can be started with first-aid specifics, but we need to watch the individual symptom picture carefully to adjust the remedy (and dosage) according to the individual reaction of the patient. Surgery causes different healing reactions in each individual and, in case of complications, various factors determine the individual symptom picture that follows. Behind each reaction is the constitution of the individual patient, the individual sensitivity and miasmatic background.

Like any acute ailment, surgery may wake up latent psora and require the subsequent administration of antipsoric remedies to facilitate cure and prevent chronic followings.

Some guidelines for dosage which have proved to be effective in practice:

30c and 200c work best in acute conditions. Use at least a 30c, put one pellet (#10 globule) in 4 oz. of water and stir it to dissolve. Putting it in water makes it reach more nerve endings and it starts to work as soon as it touches the mucous membranes. Take one teaspoon or tablespoon as needed (for children or babies one might only give a half teaspoon), as often as every 15 to 30 minutes in acute cases, such as high fevers and accidents, or only every 2 to 6 hours in less acute diseases. Only use a remedy dry if it is impractical or impossible to take it in water (the only exception is homeoprophylaxis). Repeat the remedy if the symptoms start reappearing, and then give another dose of the same remedy. Each time you take it, it must be succussed beforehand to increase the potency of the remedy, as the vital principle does not accept identical doses without opposition, i.e. without bringing out other symptoms of the remedy.

Decrease the frequency as you begin to feel better and stop taking the remedy as soon as you feel completely better. Otherwise, the remedy frequency can build up in your system and aggravate the symptoms which you are trying to cure. Make another cup if you need the remedy again. If you feel only slightly better, it probably means the remedy is correct but needs to be given more frequently or in a higher potency. If you don’t feel any better at the end of the first cup, the remedy is most likely not the right one. If no amelioration is seen within a reasonable amount of time you may need to consult a professional homeopath.

The remedy can be swabbed on the skin if the patient cannot swallow, ideally on the lips or another area with many nerve endings close to the surface.

If you are taking two remedies for the same injury, dissolve each one in a separate cup and take them apart, i.e. give one after another, intercurrently, leaving a suitable gap to allow the first remedy to work. This may be an hour after the first remedy in normal healing conditions and up to very short intervals like 10-15 minutes in extremely acute situations.

As a preventive, take the remedy dry, three pellets, all at once (hypersensitive patients only need one pellet), dissolved in the mouth in a 200c potency (only one dose). Alternatively, 30c in split doses, three doses can be given for pre-operative cases. Homeoprophylaxis is in accordance with homeopathic principles and every surgical case is a lesser risk if it is well prescribed for beforehand. Prophylaxis remedies are capable of maintaining a healthy, “uninfectable” state, (this refers to any dynamic morbid agent) because the vital force is occupied by the reaction to a subtle but stronger similar homeopathic remedy that will extinguish the intruding weaker one in the living organism.[8]

Arnica and Calendula creams can be used safely when indicated, however, taking the remedy in 30c or 200c orally, dissolved in water, will result in faster healing. Never use Arnica ointment on open wounds as this may cause inflammation.

Recommended first-aid packet for the patient undergoing surgery:

  • Aconitum napellus
  • Arnica montana
  • Calendula officinalis
  • Nux vomica
  • Phosphorus
  • Staphysagria
  • Hypericum perforatum

If these remedies are taken according to the instructions of a professional homeopath, then a 30c or 200c can be taken. For self-medication, lower potencies (like 6c or 12c) are recommended. Higher potencies should not be prescribed by a non-professional.

Disorder

Mainly indicated remedies

Preparing for surgery

In uncomplicated cases: Acon, Arn, Calen, Hyper, Nux-v, Phos, Staph

In complicated cases, individual homeopathic treatment is necessary.

Fear, anxiety, nervousness,

acute distress, sleeplessness

Acon, Arg-n, Arn, Ars, Coff, Gels, Ign, Phos, Puls, Op, Sil, Spig

Pain after operation

Acon, All-c, Arn, Bell-p, Cham, Coff, Hyper, Led, Mag-p, Staph, Rhus-t

Nausea, vomiting, gastritis

Ars, Ip, Nux-v, Phos

Constipation, diarrhea,

distension, flatulence

Alum, Bry, Nux-v, Op / Aloe, Ars, China, Podo / Carb-v, China, Lyc, Op, Raph

Shock, collapse, coma

Acet ac, Camph, Carb-v, Stront-c, Sul-ac, Verat alb,

Hemorrhage

Arn, Calen, China, Ferr-m, Ferr-p, Ham, Ip, Lach, Mill, Phos,

Anesthesia and side effects of drugs

Acetic acid, Carb-v, Cham, Nux-v, Phos

Wounds, scars, sepsis

Arn, Calen, Hep, Hyper, Lach, Led, Pyrog, Staph, Thiosin

Thrombosis

Apis, Ars, Both, Lach, Nat-s, Vip

Bedsore, decubitus

Arn, Calen, China, Fl ac, Graph, Hyper, Hydr, Lach, Led, Sul ac, Zinc

Surgical fevers

Acon, Arn, Ars, Bapt, Bell, Bry, Echi, Ferr p, Gels, Hep, Lach, Merc, Nux-v, Puls, Pyrog, Rhus-t, Sulph, Verat v

Bronchitis, pneumonia

Aether, Ant-t, Bell, Bry, Ip, Kali-bi, Phos

Urinary troubles

Acon, Arn, Ars, Bell, Berb, Canth, Caust, Hep, Hyper, Mag-p, Merc c, Nat-m, Puls, Tritic

Paralytic or post-operative ileus

Arn, Carb-v, Op, Nux-v, Plb, Raph

Lack of reaction

Carb-v, Psor, Sulph (Carc, Tub)

Weakness and prostration

Ars, Carb-v, China, Muriaticum acidum (constitutional prescribing)

 

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