Gastrointestinal Diseases Presented by Maureen Horne-Paul N.D.
Transcript of Gastrointestinal Diseases Presented by Maureen Horne-Paul N.D.
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Gastrointestinal Diseases
Presented by
Maureen Horne-Paul N.D.
&
Heel Canada
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Multifactorial Causes of GI Disease
Toxins
Infections Endocrine
Genetic Influence
Nervous
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Diverse Approaches to Treatment
Diet
HomotoxicologicalStrategy
VitaminsMinerals
PsychologicalBalance
LifestyleModification
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The Six Phase Table
•Subdivided into three blocks•Each block has two phases
Humoral phases:•Excretion•Inflammation
Matrix phases:•Deposition•Impregnation Cellular phases:
•Degeneration•Dedifferentiation
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The Humoral Phases
• Intracellular systems are not disturbed
• Defensive system is intact
• Homotoxins can be easily drained
• Inflammation plays a key role
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Excretion Phase
• Body’s attempt to rid itself of toxins
• External or exocrine secretion of a product to the “outside”
• Drainage by means of bonding, dispersion, or dissolving the contaminants in secretory products
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Excretion Phase
Treatment strategy:
• Open the emunctories
• Avoid creating blockades to healing
• Support excretion with constitutional therapy (singles, nosodes)
• Dietary support
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Gastroesophageal Reflux
Symptoms:
• “Heartburn” 30-60 min after eating
• Worse lying down, increased abdominal pressure, better sitting upright
• Nocturnal regurgitation, cough, dyspnea, aspiration
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Gastroesophageal Reflux
Differential diagnosis:• Angina pectoris• Myocardial infarction• Gastroduodenal ulcer• Esophagitis/esophageal ulcer
Complications:• Esophagitis, stricture, esophageal ulcer
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Gastroesophageal Reflux
Conventional treatment:
• Antacids
• Histamine H2-receptor antagonists
• Proton pump inhibitors
• Gastrointestinal stimulants
• Surgery
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Gastroesophageal Reflux
Naturopathic Treatment:
• DGL (deglycerrhinated licorice)
• Hypoallergenic diet (alkaline)
• Appropriate digestive enzymes
• Probiotics
• Demulcent herbs-althea, plantago, etc
• Stress management
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Gastroesophageal Reflux
Basic RemedyTraumeel®
Tissue remedyEndoteel®
Drainage remedyLyphosot®
Homaccord remedyNux vomica-Homaccord®
Symptomatic remedySpascupreel®
Astricumeel®
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Nausea and Vomiting
Causes can include:
• Irritation, inflammation, motility disorder, mechanical disturbance at any level of GIT
• Hepatobiliary and pancreatic disorders
• CNS disorders: increased ICP, stroke, migraine, infection, toxins, radiation sickness
• Labyrinthine disorders: motion sickness, infection, Meniere’s syndrome
• Endocrine disorders: diabetic acidosis, adrenocortical crisis, pregnancy, lactic acidosis
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Nausea and Vomiting
• Genito-urinary disorders: uremia, infection, obstruction
• Cardiovascular disorders: acute MI, CHF
• Drugs: morphine, meperidine, excess alcohol, anaesthetics, chemotherapy, etc.
• Psychological disorders: reaction to pain/fear/displeasure, chronic anxiety reaction, anorexia, bulemia, psychosis
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Nausea and Vomiting
Complications:
• Fluid and electrolyte disturbances
• Aspiration of vomitus
• Gastroesophageal tears
• Malnutrition
• Post-emetic rupture of the esophagus
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Nausea and Vomiting
Conventional Treatment:
• No intervention in mild, self-limiting cases
• Anti-emetics
• Fluids/electrolytes in severe cases (hospital)
• Sedatives
• Antihistamines
• Phenothiazines
• Metoclopramide
• Tetrahydrocannabinol (very helpful in cancer patients)
• Psychotherapy
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Nausea and Vomiting
Naturopathic Treatment:
• Homeopathy-ipecac, nux, puls, tabacum
• Ginger, peppermint
• Light foods
• Increase water intake
• Treat the cause
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Nausea and Vomiting
Basic RemedyVomitusheel®
Tissue remedyEndoteel®
Drainage remedyLyphosot®
Homaccord remedyNux vomica-Homaccord®
Symptomatic remedyVeratrum-Homaccord®
Astricumeel®
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Diarrhea
• Increase in frequency, fluidity, and volume of BM’s (>200g/d of stool excreted)
• Normal function varies between individuals
• Several types
• Diagnosis made on basis of history and physical exam, as well as stool culture
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Diarrhea
Types of Diarrhea:
• Osmotic
• Secretory
• Exudative disease
• Impaired contact between bowel surface and chyme
• Disease of left colon or rectum
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Diarrhea:
Causes:• Psychogenic
• Drugs• Viral or bacterial
infection• Bacterial toxins
• Parasitic infection
• Other intestinal factors
• Cholestatic syndromes
• Malabsorption
• Pancreatic disease• Reflex from other
viscera• Neurological disease
• Metabolic disease
• Immunodeficiency
• Malnutrition
• Dietary factors
• Food allergy
• Factitious/unknown
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Diarrhea
Naturopathic Treatment:
• Treat the cause-bacterial, viral, other
• Probiotics
• BRAT diet
• Rule out food allergies
• Fiber
• Stress management, mental/emotional
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BRAT diet
• Bananas
• Rice
• Applesauce
• Toast
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Diarrhea
Basic RemedyAreel®
Tissue remedy
Endoteel®Drainage remedy
Lyphosot®
Homaccord remedy
Veratrum-Homaccord®Symptomatic remedy
Spascupreel®
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Inflammation Phase
• Illnesses are characterized by exudative inflammation, expulsion of toxins
• Accelerated draining of homotoxins from the body via capillary system and vascular connective tissue activation
• Production of annoying symptoms such as fever, pain, swelling, discharges
• Controlled by nerve impulses and hormones
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Inflammation Phases
Treatment strategy:
• Facilitate elimination of toxins via the emunctories (Ki, skin, GIT, uterus)
• Modulation and support of the immune system if necessary
• Dietary measures
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Acute Gastroenteritis
Symptoms:
• Anorexia, epigastric fullness, easy satiety
• Nausea, vomiting, upper GI bleeding
• If 2° to infection/bacterial toxins, may see diarrhea, chills, fever, headache, dehydration
• Epigastric tenderness
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Acute Gastroenteritis
Labs:
• May be normal or reflect underlying disease
Special examinations:
• Endoscopy (if acute upper GI hemorrhage)
• Barium swallow if indicated
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Acute Gastroenteritis
Differential diagnosis:
• Peptic ulcer
• Neoplasm
• Cholecystitis
• Esophageal spasm
• Angina pectoris
• Pancreatic disease
• Psychological gastrointestinal disorders
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Acute Gastroenteritis
Conventional treatment:
• Remove offending agent
• Stress reduction
• Probiotics
• BRAT diet
• Antibiotics
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Naturopathic Treatment
• BRAT diet
• Probiotics
• Water
• Treat causative factors
• Fiber
• L-glutamine, rice-based medicinal food (if long-standing)
• Demulcent herbs
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Acute Gastroenteritis
Basic RemedyAreel®
Tissue remedyEndoteel®
Drainage remedyLyphosot®
Homaccord remedyVeratrum-Homaccord®
Symptomatic remedySpascupreel®
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Types of Gastritis and Remedies
Erosive:
• Traumeel®
Corrosive:
• Endoteel®
Drug-induced:
• Astricumeel®
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Chronic Gastritis Remedies
Autoimmune:
• Echinacea compositum®
Bile reflux:
• Nux vomica-Homaccord®
Geriatric:
• Endoteel®
Eosinophillic:
• Luffeel®
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Cholecystitis
Signs and Symptoms:• Steady, severe pain and tenderness in the right
hypochondrium or epigastrium
• Nausea and vomiting
• Jaundice
• Fever
• Usually associated with gallstones
• Occurs when stone lodged in cystic duct causing inflammation behind the obstruction
• Can become medical emergency
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Cholecystitis
Conventional Treatment:
• Antibiotics
• Analgesics
• IV feeds if severe or very mild oral diet
• Surgery
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Naturopathic Treatment
• Homeopathy
• Botanicals
• Acupuncture
• Hydrotherapy
• High fiber, low fat diet
• Lipotrophic agents, silymarin
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Cholecystitis
Basic RemedyChelidonium Homaccord®
Tissue remedyEndoteel®
Drainage remedyHepar Compositum®
Lyphosot®
Homaccord remedyBelladonna-Homaccord®
Chol-Heel®Symptomatic remedy
Spascupreel®
Nux vomica-Homaccord®
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The Matrix Phases
• Homotoxins deposited into extracellular matrix/incorporated into cells
• Structural components/functions of the matrix changed
• Decreased ability of the matrix to detoxify
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Deposition Phase
• Failure of both excretion and inflammatory mechanisms
• Toxins are inactivated but not eliminated
• Toxins accumulate in connective tissue/ matrix, cell function intact
• Mucous membrane hyperplasia, hepato/splenomegaly, hyperkeratosis
• Symptoms due to compression or expansion of tissues
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Deposition Phase
Treatment strategy:
• Reduction of toxins entering the body
• Open the emunctories
• Detoxification of the matrix
• Gastrointestinal support
• Activation/support of the immune system to cause effective reaction phase
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Constipation
Diagnosis:
• History is very important
• If no obvious cause (tumors, stricture, etc) and patient does not respond to simple measures may need further workup
• ? Motility disorder, obstruction, metabolic disorder
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Constipation
Causes:• Dietary factors• Physical inactivity• Pregnancy• Advanced age• Drugs• Metabolic
abnormalities
• Endocrine abnormalities
• Lower bowel abnormalities
• Neurogenic abnormalities
• Psychogenic disorders• Chronic enema use
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Constipation
Conventional Treatment:
• Re-establish normal bowel habits
• Diet– Adequate food volume– Adequate bulk/vegetable irritants– Adequate fluids
• Laxatives
• Enemas
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Naturopathic Treatment• Treat the cause
• Diet-high fiber (soluble and insoluble), hypoallergenic if appropriate
• Probiotics
• Wean off laxatives
• Water (and lots of it)
• Magnesium
• Exercise
• Retrain bowel
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Constipation
Basic RemedyNux vomica-Homaccord®
Tissue remedy
Hepar Compositum®
Endoteel®
Drainage remedy
Lyphosot®
Homaccord remedy
Nux Vomica-Homaccord®
Graphites-Homaccord®Symptomatic remedy
Spascupreel®
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Impregnation Phase
• Invasion of the interior of the cell by homotoxins or retoxins (risk for AI disease)
• Homotoxins may be dormant or have a local focus of inflammation
• Disruption of the function of tissues, organs, cell membrane due to “matrix overload”
• Failure of self-regulating mechanisms
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Impregnation Phase
Treatment strategy:
• Open the emunctories
• Reduction of toxin load
• Facilitate detoxification
• Activation and removal of any pharmacological toxins
• Support intracellular function
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Anal Fissure
• Passage leading from the anorectal canal usually opening through the skin near the anus
• Acute pain during and after defacation
• Bright red blood in stool
• Tendency to constipation due to fear of pain
• Formation of sentinel pile, anal spasms
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Anal Fissure
Conventional Treatment:
• Bulking agents
• Sitz baths
• Topical silver nitrate or gentian violet
• Anal suppositories (Anusol, etc.)
• Surgical excision
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Anal Fissure
Naturopathic Treatment:
• Sitz bath
• High fiber diet-soluble >insoluble
• Homeopathy
• Botanicals
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Anal Fissure
Basic RemedyEchinacea Compositum®
Traumeel®
Tissue remedyHepar Compositum®
Endoteel®
Drainage remedyLyphosot®
Homaccord remedyNux vomica-Homaccord®
Symptomatic remedySpascupreel®
Paeonia-Heel®
Viburcol® po or pr
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Ulcerative Colitis
Signs and Symptoms:
• Can be mild to severe
• Diarrhea, up to 10-25 BM per day
• Blood and mucous in stool, may occur without feces
• Rectal tenesmus, anal incontinence
• Cramping, lower abdominal pain
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Ulcerative Colitis
• Anorexia, malaise, fatigue, weakness
• Remissions and exacerbations
• Fever, weight loss, toxemia vary with severity of the disease
• Mild abdominal tenderness, gas, bloating
• Perianal irritation, fissure, hemorrhoids
• Uncommonly, fistula and abscesses
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Ulcerative Colitis
Labs:
• Hypochromic, microcytic anemia
• Neutrophillic leukocytosis in acutes
• ESR elevated
• Hypoproteinemia
• In severe disease, electrolyte disturbances
• Sigmoidoscopy/colonoscopy usually diagnostic
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Ulcerative Colitis
Conventional Treatment:
• Antimicrobials
• Cortisone enemas and po Prednisone
• Sulfasalazine (other 5'ASA derivatives)
• Imuran (immunosuppressant)
• Surgery
• Diet (usually not considered important)
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Ulcerative Colitis:
Naturopathic Treatment:
• Hypoallergenic diet
• Probiotics
• Antifungals
• Anti-inflammatories
• Rice-based medicinal foods
• L-glutamine
• Fiber
• Fish oils and other EFA’s
• Homeopathy
• C, E, Zn, A
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Ulcerative Colitis
Basic RemedyNux vomica-Homaccord®
Tissue remedyEndoteel®
Drainage remedyLyphosot®
Galium-Heel®
Homaccord remedyCinnamomum-Homaccord®
Veratrum-Homaccord®
Symptomatic remedySpascupreel®
Areel®
Cruroheel®
Traumeel®
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The Cellular Phases
• The intracellular systems in the cell are increasingly destroyed
• The body’s defense system is no longer able to drain the toxins from the cells and the matrix
• Loss of regulatory function of cells, tissues, and matrix
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Degeneration Phase
• Deep alteration of organ structure and function
• Altered intercellular enzymatic function
• Inability of cells to detoxify
• Ongoing toxin accumulation at tissue and cellular levels
• Body attempts to maintain life as long as possible
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Degeneration Phase
Treatment strategy:
• Emunctory activation and drainage
• Stimulation of detoxification of most affected organ
• Activation of specific defenses against the basic illness with nosodes
• Stimulation of cellular detoxification
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Hemorrhoids
Causes:
• Portal hypertension
• Pregnancy
• Sitting too long
• Straining at stool
• Anal infection
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Hemorrhoids
Clinical findings:
• Rectal bleeding, protrusion, vague discomfort
• Mucoid discharge from rectum
• Anal pain
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Hemorrhoids
Complications:• Pruritis• Incontinence• Recurrent protrusion requiring surgical treatment• Infection, ulceration• Fissure• Prolapse and strangulation• Secondary anemia due to blood loss
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Hemorrhoids
Conventional Treatment:
• High fiber diet
• Non-irritating laxatives
• Sitz baths
• Shark oil suppositories (Preparation H)
• Manual reduction
• Surgical excision
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Hemorrhoids
Naturopathic Treatment:• High fiber diet (soluble > insoluble)• Probiotics• Homeopathy• Botanicals• Sitz baths• Liver detoxification to relieve portal congestion• Unscented baby wipes
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Hemorrhoids
Basic RemedyHamamelis-Homaccord®
Tissue remedy
Endoteel®
Hepar compositum®
Drainage remedy
Lyphosot®
Homaccord remedy
Apis-Homaccord®
Nux vomica-Homaccord®
Symptomatic remedy
Paeonia-Heel®
Aesculus Compositum®
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Duodenal Ulcer
Signs and Symptoms:• Chronic, periodic epigastric distress within 1 hour of
eating• Gnawing, burning, aching pain which may radiate
below costal margin, to back, or rarely to right shoulder
• Increased gastric acid secretion• Ulcer crater ID’d on endoscopy or barium swallow• May be precipitated by physical or emotional stress,
trauma, infection
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Duodenal Ulcer
Differential Diagnosis:
• With typical symptoms, diagnosis usually straightforward
• Functional gastrointestinal disease
• Gastritis
• Gastric carcinoma
• Irritable bowel syndrome
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Duodenal Ulcer
Complications:
• Treatment failure
• Hemorrhage
• Perforation
• Penetration
• Obstruction
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Duodenal Ulcer
Conventional Treatment:
• Antacids, H2 antagonists, sucralfate
• Anticholinergics
• Proton pump inhibitors
• Surgery (if perforation or obstruction)
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Duodenal Ulcer
Naturopathic Treatment:
• Alkaline diet, no spices, tomatoes, citrus, other irritating foods
• Deglycerrhinated licorice, other demulcent herbs
• Homeopathy
• L-glutamine, gamma-oryzanol
• Fresh cabbage juice
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Duodenal Ulcer
Basic RemedyDuodenoheel®
Astricumeel®
Anacardium-Homaccord®Tissue remedy
Endoteel®
Hepar compositum®
Hepeel®
Drainage remedy
Galium Heel®
Hepar Compositum®
Ubicoenzyme®
Homaccord remedy
Cinnamomum-Homaccord®
Nux vomica-Homaccord®
Graphites-Homaccord®
Symptomatic remedy
Spascupreel®
Chelidonium-Homaccord®
Nux vomica-Homaccord®
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Diverticulosis
• More frequent with advancing age
• Most common in sigmoid colon, other high pressure areas of the gut
• Never in the rectum
• Inflammation in 10-20% of patients
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Diverticulosis
Signs and Symptoms:
• Constipation usual, may be diarrhea
• LLQ pain and tenderness > BM, may be severe and steady
• Occult blood in 20% of cases
• Inflammation ranges from mild infiltration to extensive changes with abscess formation and/or perforation
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Diverticulosis
Complications:
• Diverticulitis with perforation of the diverticulum
• Peritonitis
• Abscess formation
• Bladder involvement (frequency and dysuria)
• Fistula
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Diverticulosis
Differential diagnosis:
• Colorectal cancer
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Diverticulosis
Conventional Treatment:
• High fiber diet
• Bulking agents
• Stool softeners
• Anticholinergics
• Antibiotics
• Surgery in severe cases
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Diverticulosis
Naturopathic Treatment:
• Probiotics
• Homeopathy-arg nit, met alb, coloc
• Vit A, C, zinc
• Botanicals
• Rice-based medical foods
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Diverticulosis
Basic RemedyEchinacea Compositum®
Tissue remedyEndoteel®
Drainage remedyLyphosot®
Ubicoenzyme®
Homaccord remedyNux vomica-Homaccord®
Symptomatic remedySpascupreel®
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Dedifferentiation Phase
• Proliferation of undifferentiated, non-specialized cell forms
• Loss of cell specificity and function
• Loss of oxidative energy, glycolysis dominates
• Malignant diseases at the end of this phase
• Progression of tumor growth may be associated with emunctory function
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Dedifferentiation Phase
Treatment strategy:
• Emunctory stimulation and activation– Lyphosot, Berberis-Homaccord, Nux vomica-
Homaccord, Galium-Heel
• Stimulation of psychophysical reactivity– Constitutional compound remedy (Sil, S, Phos,
Calc carb)
• Decrease toxin load– Dietary measures
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Dedifferentiation Phase
Treatment Strategy con’t:
• Inhibition of proliferation at cellular level– Viscum album, colchicum, etc.
• Specific inhibition of neoplasm– Tumor-specific single remedy
• Anti-neoplasic nosode stimulus
• Stimulation of cellular detoxification
• Re-initiation of cellular enzyme function
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Basic Therapy
Acute Phase
Structure
Homaccord
Compositum
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Anacardium-Homaccord
Duodenal ulcersrelated topsychologicalstress
Anacardium (D8/10/30/2000)•gastric spasm and pain, ulcer•depression due to stress
Ipecac (D6/10/30/200)•nausea, gastritis, irritability
Iodum (D30/200/1000)•chronic gastritis, pancreatic diseases, stress
•Inner conflict,anguish, worry•Stress-related gastritis, IBS•Stomach ache < empty > eating
StomachDuodenum
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Nux vomica-Homaccord
•Esophagitis•Gastritis•Toxic hepatitis
LiverDuodenum
Bryonia: (D2/6/10/30/200)•gastric heaviness, dyspepsia, •chronic liver disease, constipation
Colocynthis: (D5/10/30/200)•abd colic, irritability, diarrhea
Lycopodium: (D5/10/30/200)•flatulence, liver disease
Nux Vomica: (D4/10/15/30/200/1000)•intoxication, abd spasm, irritability, •constipation
•Acute intoxication•Lifestyle change•Attitude change•Addiction
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Berberis-Homaccord
Berberis: D2/10/30/200•painful, acute inflammation•kidney drainage
Colocynthis: D3/10/30•biliary colic, spasm
Veratrum: D10/30/200•colic with vomiting and diarrhea•cramping
Adrenal supportKidney drainageLiver, gallbladder,urinary tract inflammation
Biliary tract, Kidneys,Adrenals
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Chelidonium-Homaccord
Biliary Ducts
Chelidonium: (D10/30/200)•cholecystitis, spasm, inflammation
Belladonna: (D10/30/200/1000)•inflammation, spasm, heat sensation
Fel tauri: (D10/30/200)•detoxification of liver, cholecystitis,• cholangitis•duodenal/gastric ulcer, pancreatitis
HepatitisJaundiceCholecystitisBiliary colic
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Constitutional Outline of Diarrhea and Constipation
DIARRHEA
CONSTIPATION
Areel Endoteel
Hepeel HeparCompositum
Anacardium-Homaccord
Nux vomica-Homaccord
S
PSil
Calc
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Remedies Acting on the Biliary Ducts
Chelidonium-Homaccord®
Berberis-Homaccord®
Chol-Heel®
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Chol-Heel
LiverBiliary Tract
Belladonna D30/200/1000•anti-inflammatory
Calc carb D30/200•flatulence, biliary colic
Cardeuus marianus D30/200•constipation/diarrhea, liver protective, colic
Chelidonium D30/200•gallbladder colic, jaundice with itching
Lycopodium D30/200/1000•liver/ bile duct/ gallbladder diseases, cholesterol
Taraxacum D30/200•chronic liver disease, dyspepsia, portal congestion
Veratrum D30/200•fever, diarrhea, vomiting, collapse
Chronic liver/gallbladderdiseaseCholecystitisHepatic damage
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Basic Compound Remedies
Metabolic disease
Fatty LiverLiver Insufficiency
HEPAR COMPOSITUM
Hepar Compositum:• Global digestive
stimulation
• Tendency to constipation
• Enhances liver metabolism
• Liver drainage
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Hepar Compositum
Detoxification via liver drainageChina, lycopodium, chelidonium, carduus marianus, taraxacum, cynara, calc carb, sulphur
Digestion/Anti-inflammatoryCholesterinum, histaminum
Cellular RespirationAlpha-lipoic acid, NAD
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Basic Compound Remedies
Endoteel:• Anti-degenerative
• Stimulating activity on the entire digestive mucosal surface
• Tendency to diarrhea
• Specific action on the pancreas
Degenerative disease
Mucosal Problems
ENDOTEEL
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Endoteel
Detoxification/ConstitutionalBerberis, sulphur, phosphorus, silicea
Anti-inflammatoryBelladonna, argentum nitricum, carbo veg, sulphur, graphites
Mucosal Tissue SupportEuphrasia, euphorbium,
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Esophageal Diseases
Functional pathology:
• Nux vomica-Homaccord®
Inflammatory pathology:
• Traumeel®
Degenerative pathology:
• Endoteel®
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Intestinal Diseases
Functional pathology:
• Nux vomica-Homaccord®
Inflammatory pathology:
• Traumeel®
Degenerative pathology:
• Endoteel®, Pulsatilla compositum®
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Anorectal diseases
Vascular pathology:
• Aesculus compostium®
Inflammatory pathology:
• Paeonia-Heel®
Connective tissue pathology:
• Pulsatilla compositum®
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GI Symptomatic Remedies
• Usually given orally
• Alternative to pharmaceuticals
• Prescribed on the basis of particular symptoms as well as a specific diagnosis
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GI Symptomatic Remedies
Hepeel® Liver
Astricumeel® Gastro-duodenal
Areel® Colon
Paeonia-Heel® Rectum
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Hepeel
Functional liver disorders:Nux moschata, china, phos
Liver detoxification:Lyc, phos
Liver damage, cholecystitis, cholangitis: Cardeuus, chelidonium, colocynthis
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Hepeel
• Lycopodium, Nux mochata– Flatulence, chronic liver insufficiency
• Cardeuus marianus– Liver damage, portal congestion, biliary colic, hemorrhoids
• Chelidonium– Biliary colic, pain right shoulder
• China, Phosphorus– Slow digestion, diarrhea tendency, parenchymal damage
• Colocynthis– Colic, stabbing pains
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Astricumeel
Acute and chronic gastritis,mucosal damage: Arg. nit
Reflux, hyperacidity,nausea, inflammation:Ant crud, carbo veg, robina, ip, bell
Gastric ulcer, dyspepsia, alcohol abuse: Arg nit, puls
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Astricumeel
In addition, can be combined with: • Spascupreel, Cardiacum-Heel: anginal disorders• Duodenoheel: duodenal ulcer• Veratrum-Homaccord: gastroenteritis• Hepeel: liver disease• Chelidonium-Homaccord: cholangitis• Nux vomica-Homaccord: spasmodic constipation• Areel: dyspepsia, diarrhea
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Areel
Normalize gutecology
Diarrhea with any condition, anti-inflammatory
Liver, gallbladder,small intestine, colon,pancreas
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Areel
Diarrhea
Hepatopancreaticdisorders
Bowel toxinelimination
ColitisDysenteryFood poisoning
Intestinalparasites
CholangitisCholecystits
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Areel
• Elimination of homotoxins formed through fermentation and putrefaction in the small intestine
• Any condition with accompanying diarrhea• Colitis, dysentery, intestinal parasites, food
poisoning• Hepatopancreatic disorders, cholangitis,
cholecystitis
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Paeonia Heel
Hemorrhoids: Paeonia, hamamelis, sulphur
Constipation:Nux vomica, graphites
Anal Fissure:Nitric acid
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Gastrointestinal SystemHumoral Phases Matrix Phases Cellular Phases
Organ System ExcretionPhases
InflammationPhases
DepositionPhases
ImpregnationPhases
DegenerationPhases
Dedifferen-tiationPhases
GastrointestinalSystem
Teeth-mouth-jaws
Oesophagus
Stomach
Duodenum Small
intestine
Large intestine
Liver-bile
Pancreas(excretory)
Salivation
Heartburn
Nausea,vomiting,dyspepsia
Diarrhoea
Bloating,flatulence,diarrhoea
Bile
Glossitis,pulpitis,
osteitis of thejaw,
periodontitis
Oesophagitis
Gastroenteritis,gastritis
Gastroduodenitis
Ileitis, jejunitis
Enteritis, colitis
Cholangitis,cholecystitis,
hepatitis
Pancreatitis
Granuloma
Achalasia
Hyperplasticgastritis
Melanosis coli,constipation,candidiasis,
polyposis coli
Cholecystolithiasis,
fatty liver
Siderosis
BBII OO
LLOO
GGII CC
AALL
DDII VV
II SSII OO
NN
Allergy
Caries
Cardiacinsufficiency
Chronicgastritis
Malabsorption,sprue
Irritable colon,ulcerative
colitis, Crohn’sdisease
Liver functiondisturbance
Chronicpancreatitis
Periodontosis
Metaplasia
Atrophicgastritis,
gastric ulcer,peptic ulcer
Duodenal ulcer
Malabsorption
Diverticulosis
Liver cirrhosis
Diabetesmellitus,excretorypancreatic
failure
Leucoplakia, lingualand mucosal carcinoma
Oesophageal cancer
Stomach cancer
Colon cancer
Hepatocellular cancer,cholangioma
Pancreatic cancer
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Thank your for your attention!