Clinical Cases

Palliative treatment in Advanced Malignancy

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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.

About the author

Dilip B. Dikshit

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