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Creating Waves of Awareness

Some Cases of Cancer Cured with
Homoeopathy

















By


Rajneesh Kumar Sharma
BHMS {Kanpur}
Homoeo Cure and Research Centre P. Ltd.
NH 74- Moradabad Road, Kashipur
Uttaranchal – Pin 244713
Ph. 09897618594



CASE STUDY -1
Name: Mr. Abrar Ali Sex/Age: M 50 yrs
Religion: Muslim Marital status: Married
Occupation: Agriculture Residence: Bareilly

History of Presenting Illness
The patient presented the history of hoarseness of voice for about three months which was progressive. It was worse in morning and better with sip of hot water. He can not be alone because he develops more complaints due to cares and tensions. He feels anxiety while alone. He does not want to take a bathe and lies down in bed with innumerous ideas in night. He can not eat apples which make him flatulence. He desires cold food but warm water.

Past History
On further enquiry, it was found that he had recently got a business loss. He has been in great worry for that.

Family History
Not marked.

Patient as a Person
Appearance Lean
Skin Clean, normal complexion
Appetite Good
Cravings Cold Food
Aversion Apples
Thirst Good for warm water.
Thermally Ambithermic
Emotional State Sad, anxious
Temperature Subnormal
Pulse 68 /Min.
Respiratory rate 15 /Min.
Blood pressure 122/78 mm Hg
Weight 53 kg

Systemic examination
Respiratory system Voice Hoarse, Progressive,
< AM, > sip of warm water.
Cardiovascular system S 1- S2 Normally Heard, no
murmurs
Local examination Small Swelling in right side
of neck

Investigations
FNAC Cervical Lymphnode Metastatic Adenocarcinoma
Dtd. 09-10-2005
CECT Neck, Thorax, Partial Obliteration of the
Abdomen and Pelvis Pyriform Sinus on left side
Dtd. 19-10-2005 and a few bilateral enlarged
cervical lymph nodes.

Provisional Diagnosis
Carcinoma Pyriform Sinus Left

Constitutional Totality
Mentals Ailments from business failure and cares, worries
Desire for company when alone.
Anxiety when alone.
Aversion to bathe.
Abundant ideas at night.
Desires Cold Food
Warm water
Aversion Apples
Food Aggravation Apples
Physical Generals Lean body
Ambithermal
Cancerous affection of advanced stage.

Acute Totality
Deglutition difficult. Pain of burning nature at epigastrium off and on.

Miasmatic Totality
Fundamental miasm Syphilis
Dominant miasm Psora++
(Metastasis, Aversion to bath, Food aggravation etc.)
Syphilis+++
(Tissue Destruction)
Sycosis++
(Lymphadenopathy, Inflammatory Changes etc.)

General Management
Good personal hygiene, highly nourishing diet and bed rest.

Specific Management
Strict control on any other medication.

Case Analysis
Abrar Ali M 52 14571 / Cancer Pyriform Sinus Left
Prominence - Prominence - Intensity is considered
S. No. Intensity Rubrics Remedies
1 3 MIND - AILMENTS FROM - business failure 17
2 3 MIND - AILMENTS FROM - cares, worries 25
3 2 MIND - COMPANY - desire for - alone agg.; when 87
4 1 MIND - IDEAS - abundant - night 29
5 1 MIND - ANXIETY - alone; when 32
6 1 MIND - BATHING - aversion to bathe 9
7 1 GENERALS - FOOD and DRINKS - cold food - desire 82
8 2 GENERALS - FOOD and DRINKS - warm drinks - amel. - hot 15
9 3 GENERALS - CANCEROUS affections 177
10 2 GENERALS - CANCEROUS affections - advanced stage 32
11 3 GENERALS - SYPHILIS 182
12 2 GENERALS - SYCOSIS 185
13 1 GENERALS - PSORA 222
14 1 GENERALS - LEAN people 122
15 1 GENERALS - FOOD and DRINKS - apples - agg. 30
16 1 GENERALS - FOOD and DRINKS - apples - aversion 5
17 1 LARYNX AND TRACHEA - VOICE - hoarseness - morning 61
18 1 LARYNX AND TRACHEA - VOICE - hoarseness - warm - drinks - amel. 1

Repertorization
phos. ars. lyc. nux-v. sulph. ph-ac. caust. arg-n. nit-ac. calc.
2614 2479 2405 2135 2079 2035 2014 2005 1960 1950
1 - - - 1 1 1 - - - 1
2 2 1 1 3 - 2 2 1 1 2
3 3 3 2 - - 1 1 2 1 1
4 - - 2 2 1 - - - - 2
5 3 3 - - - - 1 2 1 -
6 - - - - 1 - - - - -
7 3 2 2 2 1 1 1 1 - 1
8 - 1 1 1 - - - - - -
9 3 3 3 - 2 1 1 1 3 2
10 1 - - - - - - - - -
11 2 2 2 1 2 2 2 2 3 -
12 1 2 2 1 2 1 2 3 3 2
13 1 1 2 1 3 1 1 1 2 2
14 2 1 2 2 3 1 1 2 2 -
15 1 1 1 - 1 - - 1 - -
16 - - - - - - - - - -
17 3 1 1 1 3 - 3 - 2 3
18 - - - - - - - - - -

First Prescription
Date Phosphorus 200 stat
05-11-2005 Sac Lac TDS
Criteria General symptoms matched.
Mental and Physicals similar.

Second Prescription
Comment Marked improvement
Date Sac Lac TDS
05-11-2005
Criteria Pain with burning sensation in stomach > Hot Tea ignored.

Third Prescription
Comment Marked improvement
Date Arsenicum album 0/30 TDS
23-11-2005 Sac Lac TDS
Criteria Burning pain of stomach more severe. Otherwise better in general.

Fourth Prescription
Comment Almost Asymptomatic. No
More symptoms to discuss.
Date Sac Lac TDS
02-12-2005
Criteria Burning pain of stomach more severe. Otherwise better in general.

Fifth Prescription
Comment Pain during deglutition either solids or liquids. No pain while not swallowing. Otherwise better in general.
Date Arsenicum album 200 Stat.
11-04-2006 Sac Lac TDS
Criteria Reappearance of burning pains in stomach.

Sixth Prescription
Comment Glandular swelling in left side of throat.
Date Arsenicum album 200 Stat.
02-05-2006 Sac Lac TDS
Criteria No pain or more symptoms.
Adv. CECT Neck.

Seventh Prescription
Comment CECT of Neck region done at AIIMS on 04-05-2006 Report- wall thickening seen in Posterior aspect of Left Pyriform Sinus. No Cervical Adenopathy seen.
Date Phosphorus 1 M Stat
07-05-2006 Sac Lac TDS
Criteria Abundance of thoughts at night Reappeared. Aversion to be alone marked.

Eighth Prescription
Comment Much better.
Date Arsenicum album 200 Stat.
12-06-2006 Sac Lac TDS
Criteria Pain at epigastrium > tea reappeared.

Ninth Prescription
Comment Anxiety about personal heath.
Lest some traces of cancer might be there.
Date Sac Lac TDS
23-07-2006
Criteria No pain or more symptoms.
Adv. CECT Neck.

Tenth Prescription
Comment Much Better. CECT of Neck region done at AIIMS on 11-08-2006 Report- Normal Scan. Comparison with previous scan on 04-05-2006- The soft tissue thickness in Left Pyriform Sinus has resolved.
Date No Medicine
18-08-2006
Criteria Cured

Result
Cured

























Anatomical and Pathological Discussion

A small piriform fossa on each side of the inlet of laryngeal part of oesophagus, is bounded medially by the aryepiglottic fold and laterally by the thyroid cartilage and thyrohyoid membrane. Beneath its mucous membrane are the branches of the internal laryngeal nerve which have pierced the thyrohyoid membrane. Foreign bodies may lodge in the fossa and, if the mucous membrane is pierced during their removal, the nerve may be damaged, with consequent anaesthesia of the region. Posteriorly the laryngopharynx extends from the lower part of the third cervical vertebral body to the upper part of the sixth.

Diagrammatic representation of the respiratory tract.


11.1

Adenocarcinoma
A malignant neoplasm of epithelial cells in glandular or glandlike pattern. Syn: glandular cancer, glandular carcinoma.


















CASE STUDY -2
Name: Mrs. Parvinder Sex/Age: F 26 yrs
Religion: Sikh Marital status: Married
Occupation: House wife Residence: Rudrapur

History of Presenting Illness
The lady had heart burn and flatulence for last one year. She was not investigated for her illness and treated vaguely. With a few months’ course of time, she developed severe pain in right hypochondrium which tend to increase while fasting and better with bending double or pressing it with her hands. The pain often extends into right shoulder. She had nausea during pains.

Past History
Not marked.

Family History
Mother died of Heart Attack 07 years back.

Patient as a Person
Appearance Lean- thin
Skin Clean, fair complexion
Appetite Good but loathing of food
Cravings Cold Food
Aversion Sweets
Thirst Good, for cold water.
Thermally Chilly
Emotional State Sad, anxious, weeping disposition, consolation agg.
Temperature Normal
Pulse 72 /Min.
Respiratory rate 16 /Min.
Blood pressure 120/74 mm Hg
Weight 46 kg

Systemic examination
Respiratory system NAD
Cardiovascular system S 1- S2 Normally Heard, no
murmurs
Local examination NAD

Investigations
Ultrasonography upper Sessile growth in Gall Bladder
abdomen on 31-01-2000 (Polyp?)
At Dr. Chauhan’s
Ultrasound, Jaspur
Provisional Diagnosis
Gall Bladder Polyp with sludge.

Constitutional Totality
Mentals Sadness due to her illness.
Fear if she would have a cancer.
Weeping disposition. Consolation
Desire indoor < day time.
Desire to be alone.
Angry if disturbed.
Desires Cold Food
Aversion Sweets
Food Aggravation None
Physical Generals Lean thin body
Chilly
Menses Scanty, early by a week, bright red, followed by white thin bland leucorrhoea.
Acute Totality
Stitching Pain right hypochondrium, < fasting, better bending double, extending to right shoulder.

Miasmatic Totality
Fundamental miasm Sycosis
Dominant miasm Psora+++
(Oligomenorrhoea, loathing of food, sadness, aversion company, irritability on disturbance, cold Food desire, stitching pain etc.)
Syphilis+
(Tissue Destruction, bland leucorrhoea, scanty menses)
Sycosis++
(Polypoid growth, Inflammatory Changes, severe pains etc.)

General Management
Good personal hygiene, light nourishing diet and bed rest.

Specific Management
None

Case Analysis

Parvinder Kaur F 26 Gall Bladder Polyp

Prominence - Prominence - Intensity is considered
S. No. Intensity Rubrics Remedies
1 1 MIND - SADNESS - disease, about 8
2 1 MIND - FEAR - cancer; of 63
3 1 MIND - COMPANY - aversion to 293
4 2 MIND - WEEPING - consolation - agg. 23
5 1 MIND - IRRITABILITY - disturbed, when 21
6 1 FEMALE GENITALIA/SEX - MENSES - scanty - early; and too 3
7 1 FEMALE GENITALIA/SEX - LEUKORRHEA - menses - after - agg. 93
8 2 FEMALE GENITALIA/SEX - LEUKORRHEA - bland 44
9 1 FEMALE GENITALIA/SEX - MENSES - bright red 110
10 1 STOMACH - HEARTBURN 250
11 1 STOMACH - LOATHING of food 132
12 2 GENERALS - FOOD and DRINKS - sweets - aversion 84
13 1 GENERALS - FOOD and DRINKS - cold food - desire 82
14 1 GENERALS - LEAN people 122
15 1 GENERALS - HEAT - lack of vital heat 282
16 2 GENERALS - SYCOSIS 185
17 1 GENERALS - SYPHILIS 182
18 2 GENERALS - PSORA 222
19 1 ABDOMEN - PAIN - Hypochondria - extending to - Shoulder 7
20 2 ABDOMEN - PAIN - Hypochondria - right 187
21 1 ABDOMEN - PAIN - Hypochondria - bending - forward - amel. 1
22 1 ABDOMEN - PAIN - Hypochondria - eating - amel. 3
23 1 ABDOMEN - PAIN - Hypochondria - doubling up amel. 1
24 1 GENERALS - POLYPUS 50

Repertorization
sulph. nat-m. merc. sil. lyc. nux-v. phos. calc. thuj. sep.
2870 2630 2500 2440 2370 2350 2300 2250 2220 2120
1 2 - - - - - 1 - - -
2 1 1 - - 1 - 1 1 - 1
3 2 4 1 - 2 3 1 1 2 3
4 1 3 1 3 1 1 - 1 1 3
5 - - - - - - - - - -
6 - 1 - - - - - - - -
7 2 1 1 2 2 1 2 3 1 3
8 2 1 2 1 - 1 - 1 2 1
9 1 - 1 1 1 - 3 1 1 1
10 2 2 2 2 3 3 2 3 1 2
11 2 1 2 2 1 2 2 1 1 3
12 2 1 2 1 2 1 2 1 - -
13 1 1 1 2 2 2 3 1 2 -
14 3 1 1 2 2 2 2 - - 1
15 2 2 2 3 2 3 3 3 2 2
16 2 2 1 2 2 1 1 2 4 3
17 2 - 4 3 2 1 2 - 2 2
18 3 2 2 2 2 1 1 2 1 -
19 - - - - - 2 - - - -
20 2 2 2 1 3 3 2 1 1 1
21 - - - - - - - - - -
22 - 1 - - - - - - - -
23 - - - - - - - - - -
24 1 1 2 2 1 - 3 3 2 1

First Prescription
Date Sulphur 200 stat
02-01-2000 Sac Lac TDS
Criteria General symptoms matched.
Mental and Physicals similar.
Psora Miasm most prominent.

Second Prescription
Comment Marked improvement
Date Sac Lac TDS
15-01-2000
Criteria Pain in hypochondrium disappeared.

Third Prescription
Comment Marked improvement
Date Sulphur 1M Stat
31-01-2000 Sac Lac TDS
Criteria Sadnes and weeping mood. Consolation <. Otherwise better in general.

Fourth Prescription
Comment Much better. Mood same as on previous visit.
Date Sac Lac TDS
03-02-2000
Criteria Waiting for result of high potency.

Fifth Prescription
Comment Much depressed. Weeping mood. Company aversion to.
Date Nat mur 1 M Stat.
11-02-2000 Sac Lac TDS
Criteria Mentals strongly indicating the change of remedy.

Sixth Prescription
Comment Almost symptomless. Cheerful.
Date Sac Lac TDS
27-02-2000
Criteria No pain or more symptoms.
Adv. USG Upper abdomen.

Seventh Prescription
Comment Ultrasound scan done at Surya Diagnostic Centre on 02-03-2000. Report- No sonographic abnormality is detected in any of the organs examined. Acid Peptic Disease may be considered.
Date Sac Lac TDS
04-03-2000
Criteria The polyp as well as sludge of Gall Bladder disappeared completely. Cured

Result
Cured







Anatomical and Pathological Discussion

Polyp
A general descriptive term used with reference to any mass of tissue that bulges or projects outward or upward from the normal

surface level, thereby being macroscopically visible as a hemispheroidal, spheroidal, or irregular moundlike structure growing from a relatively broad base or a slender stalk; polyps may be neoplasms, foci of inflammation, degenerative lesions, or malformations. Syn: polypus.

Polyp of gallbladder

Synonyms
Adenomatous polyp.

Incidence
Rare

Gross appearance
Usually pedunculated. May be sessile. Usually 0.5-2.0 cm. Often multiple.
Histology
May be papillary, tubular, or mixed. Nuclei are larger and more hyperchromatic than non-neoplastic mucosa. Not necessarily pseudostratified.














CASE STUDY -3
Name: Mr. Lakhvinder SIngh Sex/Age: M 43 yrs
Religion: Hindu Marital status: Married
Occupation: Farming Residence: Rampur

History of Presenting Illness
The gentleman got the keloid on his right arm after a burn ten years ago. The scar tissue suddenly started pains, burning, stinging and ulcerations and contractures. Ulcer has everted margins and surface is too hard. The pains are worse at night and better with heat.
Past History
Burn with boiling mustard oil ten years ago.

Family History
Not marked.

Patient as a Person
Appearance Obese
Skin Dry, rough, dark complexion
Appetite Good.
Cravings Salt, sweets, fats
Aversion Sour
Thirst Increased, for cold water
Thermally Hot
Emotional State Anxious, Irritable, anger violent, impulsive, impatient.
Temperature Normal
Pulse 70 /Min.
Respiratory rate 15 /Min.
Blood pressure 130/90 mm Hg
Weight 69 kg

Systemic examination
Respiratory system NAD
Cardiovascular system S 1- S2 Normally Heard, no
murmurs
Local examination Ulcer has everted margins and surface is too hard

Investigations
Biopsy at Sufdarjang Well differentiated Squamous
Hospital, New Delhi cell carcinoma, Marjolin’s Ulcer
on 16-12-2003
Provisional Diagnosis
Marjolin’s Ulcer
Constitutional Totality
Mentals Anxiety about his illness.
Anger, violent
Irritability
Impulsive
Impatient
Desires Salt, Sweets, Fats
Aversion Sour
Food Aggravation None
Physical Generals Obesity
Hot Patient
Skin dry, rough

Acute Totality
Burning, stinging pains < night > Heat, everted margins of ulcer with hard surface.

Miasmatic Totality
Fundamental miasm Syphilis
Dominant miasm Psora++
(Dry rough skin, Irritability, impulsive, hurried anxiety, Violence, anger, stitching pain etc.)
Syphilis+++
(Tissue Destruction, Ulcerations, everted margins, hard surface of ulcers, irritability)
Sycosis++ (Obesity, Irritability, violent anger, hurriedness, severe pains etc.)
General Management
Good personal hygiene and high protein diet.

Specific Management
None

Case Analysis
Lakhvinder Singh M 43 Marjolin’s Ulcer
Prominence - Prominence - Intensity is considered
S. No. Intensity Rubrics Remedies
1 1 MIND - IRRITABILITY 642
2 2 MIND - IMPULSIVE 58
3 2 MIND - IMPATIENCE 246
4 2 MIND - ANGER - violent 109
5 1 MIND - ANXIETY - health; about - own health; one's 85
6 3 GENERALS - OBESITY 189
7 2 SKIN - ULCERS - chronic 12
8 2 SKIN - ULCERS - elevated margins; with 5
9 4 SKIN - ULCERS - malignant 25
10 1 SKIN - ULCERS - painful 56
11 2 SKIN - ULCERS - painful - night 6
12 1 SKIN - ULCERS - painful - burnt; as if 20
13 2 GENERALS - FOOD and DRINKS - salt - desire 158
14 2 GENERALS - FOOD and DRINKS - sweets - desire 280
15 2 GENERALS - FOOD and DRINKS - fat - desire 76
16 3 GENERALS - FOOD and DRINKS - sour food, acids - aversion 60
17 1 STOMACH - THIRST 412
18 1 GENERALS - PSORA 222
19 3 GENERALS - SYPHILIS 182
20 1 GENERALS - SYCOSIS 185
21 3 SKIN - DRY 214
22 2 SKIN - ROUGH 55

Repertorization
nit-ac. ars. merc. sil. arg-n. sulph. nux-v. calc. lyc. nat-m.
3959 3850 3779 3740 3500 3490 3204 3190 3130 3130
1 3 3 2 3 2 3 3 3 3 3
2 - 2 1 - 3 - 1 - - -
3 2 2 1 3 2 3 3 2 2 2
4 3 1 - 1 - 1 4 2 2 2
5 4 3 1 1 3 1 1 2 2 1
6 - 2 1 1 2 2 1 3 2 3
7 - - - - - - - - - -
8 1 1 - 2 - - - - - -
9 3 1 1 1 1 - - 1 1 -
10 2 3 2 2 - 1 2 - 2 1
11 - - 2 - - - - - - -
12 - 3 - - - - 2 1 - -
13 2 - 1 1 3 1 - 2 - 4
14 2 1 2 1 3 3 1 2 3 1
15 3 1 1 2 1 2 2 1 - 1
16 - - - - 1 2 1 - 1 1
17 2 3 3 3 3 3 2 3 1 3
18 2 1 2 2 1 3 1 2 2 2
19 3 2 4 3 2 2 1 - 2 -
20 3 2 1 2 3 2 1 2 2 2
21 2 3 2 3 1 3 1 3 3 2
22 1 1 1 1 - 3 - 3 - 2

First Prescription
Date Nit acid 200 stat
18-12-2003 Sac Lac TDS
Criteria General symptoms matched.
Mental and Physicals similar.
Syphilis Miasm most prominent.

Second Prescription
Comment Mentally cheerful.
Date Sac Lac TDS
25-12-2003
Criteria Nightly burning pains >with heat increased. ? Homoeopathic agg.

Third Prescription
Comment No improvement
Date Ars alb 30 TDS
03-01-2004
Criteria Nightly burning pains >with heat.

Fourth Prescription
Comment Much better. No pains.
Date Sac Lac TDS
11-01-2004
Criteria Better in all respects.

Fifth Prescription
Comment Ulcers dried. No pains.
Date Sac Lac TDS
19-01-2004
Criteria Asymptomatic.

Sixth Prescription
Comment Almost symptom less. Cheerful.
Date Sac Lac TDS
25-01-2004
Criteria No pain or more symptoms.
Adv. Bippsy.

Seventh Prescription
Comment Biopsy done at Safdarjang Hospital New Delhi on 28-01-2004. Report- Histopathological picture reveals squamous cell reaching just upto the deeper resected margin. Lateral resected
Date margins are free of tumor.
04-03-2000 Sac Lac TDS
Criteria The healing started and margins of the ulcers became free of tumor. The cure speedily taking place. Hence no more remedy.

Result
Curing case.










Anatomical and Pathological Discussion

Marjolin's ulcer
A well-differentiated but aggressive squamous cell carcinoma occurring in cicatricial tissue, often after a burn, at the epidermal edge of a sinus draining underlying osteomyelitis.




















CASE STUDY -4
Name: Mrs. Babbo Sex/Age: F 30 yrs
Religion: Hindu Marital status: Married
Occupation: House wife Residence: Moradabad

History of Presenting Illness
The patient presented with Glandular induration, hard, in right side of neck for four months with weakness and lassitude. She has flushes of heat from body and feverishness which is more on afternoon. Thirst is increased. She feels pain due to rigidity of neck and painful stiffness in cervical area. Appetite is decreased.

Past History
Bronchial Asthma in childhood.

Family History
Not marked.

Patient as a Person
Appearance Moderate built
Skin Clean, normal complexion
Appetite Diminished
Cravings Salt +++, cold food
Aversion fat, because they agg.
Thirst Good for cold water.
Thermally Chilly
Emotional State Mild, gentle, sad, caring about family members
Menses Absent for two months
Temperature Subnormal
Pulse 74 /Min.
Respiratory rate 13 /Min.
Blood pressure 120/80 mm Hg
Weight 45 kg

Systemic examination
Respiratory system NAD
Cardiovascular system S 1- S2 Normally heard, no
Murmurs
Local examination Large Swelling in right side of neck, at submandibular region. With tenderness and stiffness of neck.

Investigations
Biopsy Submandibular growth Pleomophic Adenoma Salivary
Dated 10-09-2005 at gland (Mixed Salivary Galnd
Dr. RML Mehrotra Pathology Tumor)
Centre, Lucknow

Provisional Diagnosis
Pleomophic Adenoma Salivary Gland Right.

Constitutional Totality
Mentals Desire for company.
Mild and gentle.
Careful about family members+
Weeping disposition < morning++ consolation agg.
Desires Cold Food
Cold water
Salt+++
Desires open air
Aversion Fat
Food Aggravation Fat
Physical Generals Moderate body
Chilly
Cancerous affection of advanced stage.
Menses Absent for two months

Acute Totality
Pain due to rigidity of neck and painful stiffness in cervical area. Appetite is decreased.

Miasmatic Totality
Fundamental miasm Syphilis
Dominant miasm Psora+
(Company desires, Careful, chilliness, Food aggravation, amenorrhea etc.)
Syphilis+++
(Tissue Destruction, mild, gentle disposition)
Sycosis++
(Lymphadenopathy, salt desires, Inflammatory Changes, chilliness, moderate built etc.)

General Management
Good personal hygiene, highly nourishing diet rich in proteins and bed rest.

Specific Management
Strict control on any other medication.

Case Analysis
Babbo F 30 Salivary gland Tumor, Right
Prominence - Prominence - Intensity is considered

S. No. Intensity Rubrics Remedies
1 1 MIND - MILDNESS 120
2 1 MIND - CARES, full of - relatives, about 18
3 2 MIND - WEEPING - morning 25
4 2 MIND - WEEPING - consolation - agg. 23
5 2 MIND - COMPANY - desire for 186
6 1 GENERALS - CANCEROUS affections 177
7 2 GENERALS - CANCEROUS affections - advanced stage 32
8 3 GENERALS - FOOD and DRINKS - salt - desire 158
9 2 GENERALS - FOOD and DRINKS - cold food - desire 82
10 2 GENERALS - FOOD and DRINKS - cold drink, cold water - desire 270
11 3 GENERALS - FOOD and DRINKS - fat - aversion 115
12 2 GENERALS - FOOD and DRINKS - fat - agg. 134
13 1 GENERALS - PSORA 222
14 2 GENERALS - SYCOSIS 185
15 3 GENERALS - SYPHILIS 182
16 2 GENERALS - HEAT - lack of vital heat 282
17 3 FEMALE GENITALIA/SEX - MENSES - absent 205
18 1 GENERALS - AIR; OPEN - desire for open air 170

Repertorization
phos. sulph. sil. nat-m. merc. sep. lyc. ars. arg-n. thuj.
4040 3675 3559 3289 3260 3189 3090 3050 3030 3010
1 2 2 3 3 - 2 2 3 - 2
2 1 2 - - - - - 1 - -
3 1 1 1 - - - - - - -
4 - 1 3 3 1 3 1 - - 1
5 4 1 1 1 1 2 3 3 3 -
6 3 2 3 1 2 1 3 3 1 2
7 1 - - - - - - - - -
8 4 1 1 4 1 1 - - 3 2
9 3 1 2 1 1 - 2 2 1 2
10 3 1 1 1 3 2 2 3 2 2
11 1 2 2 2 2 2 1 2 1 -
12 1 2 1 1 1 2 2 2 1 2
13 1 3 2 2 2 - 2 1 1 1
14 1 2 2 2 1 3 2 2 3 4
15 2 2 3 - 4 2 2 2 2 2
16 3 2 3 2 2 2 2 2 2 2
17 2 3 3 2 2 3 3 2 1 2
18 1 3 - 2 - 1 3 2 3 1

First Prescription
Date Phosphorus 200 stat
20-09-2005 Sac Lac TDS
Criteria General symptoms matched.
Mental and Physicals similar.

Second Prescription
Comment Little improvement.
Date Sac Lac TDS
07-10-2005
Criteria Pain with stiffness of neck little better.

Third Prescription
Comment Same condition, no further improvement
Date Sulphur 1 M TDS
02-11-2005 Sac Lac TDS
Criteria Psora might be an obstacle.

Fourth Prescription
Comment Marked improvement.
Date Sac Lac TDS
04-12-2005
Criteria Gland almost disappeared.

Result
Cured








Photographs on 20-09-2005








Photographs on 07-10-2005








Photographs on 04-12-2005

Anatomical and Pathological Discussion
A salivary gland is any cell or organ discharging a secretion into the oral cavity. Distinction is customarily made between the major salivary glands, located at some distance from the oral mucosa, with which they connect by extraglandular ducts, and the minor salivary glands which lie in the mucosa or submucosa, opening directly through the mucosa or indirectly via many short ducts. In humans the major salivary glands comprise the paired parotid, submandibular and sublingual glands; the minor salivary group includes those in the tongue, the anterior lingual glands and numerous small lingual glands of the lingual mucosa Elsewhere in the oral cavity are the small labial, buccal and palatal glands. Their functions include: lubrication of food to assist deglutition, moistening the buccal mucosa (important for speech), provision of an aqueous solvent necessary for taste and as a fluid seal for sucking and suckling, secretion of digestive enzymes such as salivary amylase and of hormones and other compounds, such as a glucagon-like protein and possibly serotonin, and secretion of antimicrobial agents.

12.4
Malignant mixed tumor of salivary gland

Related Lesions
Carcinoma ex pleomorphic adenoma.
Carcinosarcoma.
Metastasizing mixed tumor.

Incidence
Rare in general population. Occurs in about 10% of mixed tumors.
Age
Usually older patients, peaks in the 50's - 70's.

Anatomic Location
Usually major salivary glands, particularly parotid.

Clinical information
"Malignant mixed tumor" encompassing (1) carcinoma ex pleomorphic adenoma. (2) true carcinosarcoma (very rare). (3) metastasizing mixed tumor. Either asymptomatic or pain and facial palsy.

GROSS APPEARANCE
May be rapidly growing.

HISTOLOGY
Usually some areas of benign mixed tumor. Areas of malignant degeneration have increased mitoses, cytologic pleomorphism, possibly perineural invasion and vascular permeation. Usually resembles poorly differentiated adenocarcinoma (little gland formation), but can resemble mucoepidermoid carcinoma, adenoid cystic carcinoma, and polymorphous low grade adenocarcinoma. If in addition the malignant component is mesenchymal, is designated as carcinosarcoma. Rarely, a benign appearing mixed tumor can metastasize where in the metastatic site it also appears benign (metastasizing mixed tumor). See related lesion entry for Benign mixed tumor of salivary gland.

BEHAVIOR
Prognosis very dependent on stage. Carcinoma confined to the capsule has same prognosis as for benign mixed tumor. If extending beyond, is about 50% fatal.





CASE STUDY -5
Name: Mr. Virender Singh Yadav Sex/Age: M 47 yrs
Religion: Hindu Marital status: Married
Occupation: SI in UP Police Residence: Bareilly

History of Presenting Illness
The gentleman presented with six months’ standing severe episodes of colicky pain in epigastrium, which extends to the back and accompanied by vomiting of sour taste. Vomiting does not ameliorate. Severe heart burn and sour eructations. No thirst. Sleep normal. Condition worse only in day time. Anorexia. Weak, emaciated.
Past History
Alcohol and tobacco.

Family History
Mother died of carcinoma breast two years ago.

Patient as a Person
Appearance Emaciated
Skin Normal
Appetite Anorexia
Cravings Alcohol, Tobacco, Salt
Aversion Sweets
Thirst Thirst less
Thermally Hot
Emotional State Irritable, depressed, sad.
Temperature Normal
Pulse 72 /Min.
Respiratory rate 16 /Min.
Blood pressure 140/92 mm Hg
Weight 56 kg

Systemic examination
Respiratory system NAD
Cardiovascular system S 1- S2 Normally Heard, no
murmurs
Local examination Tenderness at epigastrium.

Investigations
Biopsy at Malhotra Lab Biopsy stomach- the biopsy is
Services, Chandigarh highly suspicious of malignancy
On 14-11-2003 Adenocarcinoma.
Biopsy at AIIMS Biopsy from growth in the
New Delhi stomach shows features of an
on 09-12-2003 Adenocarcinoma.
Spiral NCCT & CECT Diffuse infiltrating thickening of
Whole abdomen at ADS gastric wall in fundus body- the
Diagnostic Centre possibility of gastric adeno -
New Delhi on 06-12-2003 carcinoma needs to be ruled out.

Provisional Diagnosis
Gastric Adenocarcinoma

Constitutional Totality
Mentals Irritability
Sad
Depressed
Desires Salt, Alcohol, tobacco
Aversion Sweets
Food Aggravation None
Physical Generals Emaciation, cachexia
Hot Patient
Day time aggravation.

Acute Totality
Burning, colicky pain at epigastrium, < day time, Better night, Accompanied with vomiting which does not ameliorate, Pain extending to back.

Miasmatic Totality
Fundamental miasm Syphilis
Dominant miasm Psora++
(Irritability, colicky pain, desire alcohol, tobacco etc.)
Syphilis+++
(Emaciation, Tissue Destruction, Ulcerations, irritability)
Sycosis+++ (Day time aggravation, Aversion sweets, Irritability, severe pains, adenoid growth etc.)

General Management
High protein diet.

Specific Management
Strict control on diet. No alcohol or tobacco.

Case Analysis
Virender Singh Yadav M 47 Adenocarcinoma Stomach
Prominence - Prominence - Intensity is considered

S. No. Intensity Rubrics Remedies
1 2 MIND - IRRITABILITY 642
2 2 MIND - SADNESS 761
3 3 GENERALS - CACHEXIA 46
4 2 GENERALS - CACHEXIA - cancer; from 23
5 2 GENERALS - FOOD and DRINKS - alcoholic drinks - desire 243
6 2 GENERALS - TOBACCO - desire for tobacco 79
7 2 GENERALS - FOOD and DRINKS - sweets - aversion 84
8 2 GENERALS - EMACIATION 298
9 1 STOMACH - CANCER 82
10 2 STOMACH - THIRSTLESS 186
11 3 STOMACH - HEARTBURN 250
12 3 STOMACH - PAIN - Epigastrium - extending to - Back 8
13 1 STOMACH - PAIN - Epigastrium - cramping 33
14 1 STOMACH - VOMITING; TYPE OF - sour 113
15 2 GENERALS - DAYTIME 30
16 2 GENERALS - NIGHT - amel. 12
17 1 GENERALS - PSORA 222
18 3 GENERALS - SYCOSIS 185
19 3 GENERALS - SYPHILIS 182




Repertorization
nux-v. caust. lyc. phos. nit-ac. calc. ars. nat-m. plb. sulph.
2191 2097 2086 1968 1841 1834 1799 1729 1717 1703
1 3 3 3 3 3 3 3 3 1 3
2 2 3 3 2 3 3 3 3 2 3
3 - - - 1 3 1 3 1 1 -
4 - 1 1 - 1 1 1 - - 1
5 3 1 2 2 - 1 3 1 1 3
6 1 - - 2 - - 2 - 1 -
7 1 2 2 2 1 1 2 1 - 2
8 3 2 3 3 3 3 3 3 3 3
9 1 - 3 3 - - 3 2 1 2
10 1 1 2 1 1 1 2 1 1 1
11 3 2 3 2 1 3 2 2 1 2
12 2 - 2 - - - - - 2 -
13 2 1 1 1 1 1 - 2 - -
14 3 3 3 3 1 3 2 2 1 3
15 1 1 - 1 2 1 - 2 - 3
16 - 1 - - - - - - - -
17 1 1 2 1 2 2 1 2 1 3
18 1 2 2 1 3 2 2 2 1 2
19 1 2 2 2 3 - 2 - - 2

First Prescription
Date Nux vom 200 HS
11-12-2003 Sac Lac TDS
Criteria General symptoms matched.
Mental and Physicals similar.
Desires and aversions matched.

Second Prescription
Comment Mentally cheerful. Little improvement.
Date Causticum 30 TDS
20-12-2003
Criteria Most of the symptoms gone except Heart burn.

Third Prescription
Comment Much improvement
Date Causticum 30 TDS
03-01-2004
Criteria Case improving rapidly. Weight gain of three Kgs.

Fourth Prescription
Comment Much better. No pains.
Date Causticum 30 TDS
11-01-2004
Criteria Better in all respects.
Adv. Biopsy

Fifth Prescription
Comment Biopsy done at AIIMS on 17-01-2004. Report- Specimen sent as omental deposit and mesenteric deposite both show fibroadepose with focal dermic inflammation. No tumor eposit is identified in either of the specimens.
Date Sac Lac TDS
20-01-2004
Criteria Asymptomatic. Cured.

Sixth Prescription
Comment Symptom less. Cheerful.
Date Sac Lac TDS
19-02-2004
Criteria No pain or more symptoms.

Seventh Prescription
Comment Much better. No pains. But had tension if he may have some more disease remaining in stomach.
Date Causticum 30 TDS
20-03-2004
Criteria Suspicious. Anxious about healh.
Adv. Biopsy

Eighth Prescription

Comment Biopsy done at SRL Ranbaxy Lab, Mumbai on 24-03-2004. Report- Gastric biopsy from antrum. No specific diagnostic pathology, inflammatory or neoplastic.
Date margins are free of tumor.
30-03-2004 Sac Lac TDS
Criteria Cued completely.
Result
Cured








Anatomical and Pathological Discussion

Adenocarcinoma of stomach

Synonyms
Gastric adenocarcinoma.

Age
Peaks in the 60's.

Sex
Slight male predominance.

Anatomic Location
Anywhere in stomach.

Clinical Information
If symptomatic, usually pain and weight loss.

Gross Appearance
Variable. May present as ulcer, exophytic mass or as diffuse infiltration of stomach wall (linitis plastica).
Histology
Cytologically malignant glands or papillary structures extending into submucosa with desmoplastic response. May have abundant mucin (colloid type) or signet ring cells (see related lesion entry for Adenocarcinoma of stomach signet-ring cell type). Grading based on degree of gland formation. May grow in nodules with pushing border (expanding type) or infiltrate in small glands and single cells (diffuse type). Adenocarcinomas arising in Barrett's esophagus are similar.

Behaviour
Prognosis is related to clinical stage. Majority of cancers present in late stage, hence there is an overall poor prognosis.






























CASE STUDY -6
Name: Mrs. Sati Bairagi Sex/Age: F 42 yrs
Religion: Hindu Marital status: Married
Occupation: House wife Residence: Dineshpur

History of Presenting Illness
The lady presented with a growth in upper palate causing difficulty in eating, chewing and mastication. The pain tumar tend to extend to forehead. She developed ulcer in hard palate which indurated into a bony hard tumor and was diagnosed as Squamous cell carcinoma hard palate. The lady was having habit of chewing tobacco and beetle for past 30 years.

Past History
Recurrent tonsillitis in childhood. Led a very poor and tough life full of cares and worries.

Family History
Not marked.

Patient as a Person
Appearance Moderate built
Skin Clean, dark complexion
Appetite Normal
Cravings Salt +++, Tobacco+++
Aversion Sweets
Thirst Normal
Thermally Chilly
Emotional State Irritable, sad, wants not to be disturbed, indifferent about house hold affairs and family members.
Menses Menopause last year
Temperature Normal
Pulse 70 /Min.
Respiratory rate 16 /Min.
Blood pressure 128/84 mm Hg
Weight 49 kg
Systemic examination
Respiratory system NAD
Cardiovascular system S 1- S2 Normally heard, no
Murmurs
Local examination Large Swelling in hard palate with excision- mark of biopsy taken.

Investigations
Biopsy- Growth-Hard Palate Specimen sent as hard palate
Dated 03-12-2003 at tumor shows features of
AIIMS, New Delhi moderately differentiated Suqamous cell carcinoma grade 2.

Provisional Diagnosis
Moderately differentiated Squamous cell carcinoma hard palate grade 2

Constitutional Totality
Mentals Aversion to company
Irritable
Indifferent about family members and domestic works
Desires Tobacco, Salt, sweets
Aversion sour
Food Aggravation None
Physical Generals Moderate body
Chilly
Cancerous affections
Menses Menopause one year ago

Acute Totality
Pain of lancination type in bony hard growth of hard palate. < drinking anything hot, cold, solid or liquid. Pain extending to root of nose and forehead. < nights

Miasmatic Totality
Fundamental miasm Syphilis
Dominant miasm Psora+
(Careful, chilliness etc.)
Syphilis+++
(Company aversion to, sour aversion to, tissue destruction, irritability)
Sycosis ++
(Salt desires, Inflammatory Changes, chilliness, moderate built etc.)

General Management
Good oral hygiene, highly nourishing diet rich in.

Specific Management
Strict control on any other medication, beetles, tobacco etc.

Case Analysis
Sati Bairagi F 42 Squamous cell carcinoma Hard Palate
Prominence - Prominence - Intensity is considered

S. no. Intensity Rubrics Remedies
1 2 MIND - INDIFFERENCE - household affairs 8
2 2 MIND - INDIFFERENCE - family, to his 25
3 1 MIND - IRRITABILITY 642
4 1 MIND - DISTURBED; averse to being 23
5 1 MIND - AILMENTS FROM - cares, worries 25
6 1 GENERALS - CANCEROUS affections 177
7 1 GENERALS - CANCEROUS affections - advanced stage 32
8 2 GENERALS - FOOD and DRINKS - salt - desire 158
9 2 GENERALS - FOOD and DRINKS - sweets - desire 280
10 1 GENERALS - TOBACCO - desire for tobacco 79
11 1 GENERALS - FOOD and DRINKS - sour food, acids - aversion 60
12 1 MIND - COMPANY - aversion to 293
13 1 GENERALS - PSORA 222
14 1 GENERALS - SYCOSIS 185
15 1 GENERALS - SYPHILIS 182
16 2 GENERALS - FAMILY HISTORY of - cancer (&Elimination) 8
Repertorization
carc. con. brom. carb-an. scir. trif-p. cund. calc-ar.
514 392 300 286 199 199 197 144
1 - - 1 - - - - -
2 - - - - - - - -
3 1 2 1 1 - - - 1
4 - - - - - - - -
5 1 1 - - - - - -
6 1 3 3 3 2 1 2 -
7 - 1 - - 1 - - -
8 2 2 - - - - - -
9 1 - - - - - - -
10 - 1 - - - - - -
11 - 2 - - - - - -
12 1 2 1 3 - - - -
13 1 1 - 2 - 1 - -
14 1 1 - 1 - - - -
15 - 2 - 2 - - 1 -
16 2 1 1 1 2 2 1 1

First Prescription
Date Carcinosin 1 M stat
20- 01- 2004 Sac Lac TDS
Criteria General symptoms, family history matched.
Mental and Physicals similar.
First Photograph

Second Prescription
Comment Little better. Mild bleeding.
Date
01-02-2004 Hekla lava 30 TDS
Criteria Bony hardness of the tumor.

Third Prescription
Comment Much more improvement.
Date
18-02-2004 Hekla lava 30 TDS
Criteria Second photograph. Much better in all respects.

Fourth Prescription
Comment Marked improvement. Growth regressed.
Date 30-03-2004 Hekla lava 30 TDS
Criteria Marked improvement. Gland almost disappeared. Third photograph
Result
Cured









Photograph on 20-01-2004 Photograph on 18-02-2004








Photograph on 30-03-2005


Anatomical and Pathological Discussion
Hard Palate
The palate, or oral roof, is divisible into two regions: the hard palate in front and soft palate behind.
The hard palate is formed by the palatine processes of the maxillae and the horizontal plates of the palatine bones. It is bounded in front and at the sides by the superior and inferior arches of the alveolar processes and gums, and is continuous posteriorly with the soft palate. The hard palate is covered by a thick mucosa bound tightly to the underlying periosteum, its more lateral regions also possessing a submucosa containing mucous glands and (anteriorly) adipose tissue. Its covering of stratified squamous epithelium is orthokeratinized. The periphery of the hard palate consists of gingiva and a zone similarly lacking submucosa runs anteroposteriorly in the midline as a narrow, low ridge, the palatine raphe.

Squamous cell carcinoma

Synonyms
Squamous carcinoma.

Anatomic Location
Oral cavity - Risk factors include tobacco and alcohol for oropharynx and sunlight and smoking for lip. Multifocality common. Prognosis related to stage, grade, and location. Better prognosis for tumors arising in lip, floor of mouth, cheek, hard palate and gingiva. Worst prognosis for oropharynx,

Histology
Irregularly shaped nests and clusters of squamous cells invading stroma, often with eosinophilic cytoplasm, atypical nuclei with coarse chromatin, prominent nucleoli, abnormal mitotic figures. Keratinizing tumors with more abundant keratin production.

Behaviour
Therapy and prognosis related to clinical stage. Frequent recurrence of tumor. Overall 5-year survival rate is approximately 60%.

Views: 538

Comment by Veeraraghavan A.R. on April 21, 2011 at 2:23am
Nicely presented  wonderful and highly educative cases. Thank you

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