Homeopathy in Surgical Diseases

•What is Surgery •Homeopathy on surgery •Surgical Diseases •History of Surgery •Anal Disease •Homeopathic Therapeutics •Breast Cancer •Importance of surgery •Short question of surgery •Gallbladder stones •Obstructive jaundice •Appendicular lump 

Homeopathy in Surgical Diseases:

Homeopathic medicines used before and after surgery has been found to protect the patient from shock, pains, bleeding or other effects of surgical intervention. Homeopathy is able to eliminate the unpleasant effects of anesthesia.

আঘাতজনিত কারণে দেহের কোন অংশের রক্তনালী ছিড়ে গেলে ঐ অংশে পচনশীল ক্ষতের সৃষ্টি হতে পারে। আবার ডায়াবেটিসের মতো কিছু কিছু রোগের কারণে বিভিন্ন অংশে বিশেষ করে হাত পায়ে পচনশীল ক্ষতের সৃষ্টি হতে পারে। গ্যাংরিন বিভিন্ন প্রকারের হয়ে থাকে - শুকনো, ভেজা এবং গ্যাস গ্যাংরিন।

Gangrene Risk Factors-

Any condition that affects your blood flow increases your chances of getting gangrene, including:

• Diabetes 
• Narrowed   arteries  (atherosclerosis )
• Peripheral artery disease 
• Smoking 
• Trauma or serious injury
• Serious frostbite 
• Obesity  
• Weakened immune system .

Gangrene Types- There are two main types of gangrene:

Dry gangrene: This is more common in people who have vascular disease ,diabetes, and autoimmune diseases . It usually affects your hands and feet. It happens when something -- often, poor circulation -- blocks blood flow to a certain area. As your tissue dries up, it changes color. It may be brown to purplish-blue to black. The tissue often falls off. Unlike with other types of gangrene, you typically don’t have an infection. But dry gangrene can lead to wet gangrene if it becomes infected.

Wet gangrene: This type almost always involves an infection. Burns or trauma in which a body part is crushed or squeezed can quickly cut off blood supply to the area, killing tissue and raising the odds of infection. The tissue swells and blisters ; it’s called "wet" because it causes pus. Infection from wet gangrene can spread swiftly around your body.

Gangrene Symptoms-

Dry gangrene symptoms include:

• Shriveled skin that changes from blue to black and eventually comes off
• Cold, numb skin
• Pain 

Symptoms of wet gangrene include:

• Swelling and pain
• Fever  and feeling unwell
• Red, brown, purple, blue, greenish-black, or black skin
• Blisters or sores with a bad-smelling discharge (pus)
• A crackling noise when you press on the affected area
• Thin, shiny, or hairless skin
• A line between healthy and damaged skin

Top Grade Homeopathic Medicines for Gangrene-

1. Secale Cor – An Effective Homeopathic Medicine for Dry Gangrene

Secale Cor is a top ranked homeopathic medicine for gangrene which is dry. The main symptoms for selecting Secale Cor as a treatment is dry, shriveled skin with a bluish appearance. The affected area is usually numb. 

2. Arsenic Album – An Excellent Homeopathic Medicine for Dry Gangrene

Arsenic Album is another homeopathic treatment for gangrene that is dry. Arsenic Album works well when there is a burning feeling in the affected area. The skin appears to be dry, dirty, blackish blue and shriveled, as a result of occluded blood supply. A very peculiar symptom for selecting Arsenic Album is if the patient gets relief with warm application over the distressed area, even if there is burning. Patients requiring Arsenic Album may also show anxiety and restlessness.

3. Anthracinum – Highly Beneficial Homeopathic Medicine for Wet Gangrene

Anthracinum is a significant and highly beneficial homeopathic medicine for gangrene. For selecting Anthracinum, the symptoms to look out for are blackish blue blisters with foul secretions. These secretions are very offensive. Along with these symptoms, there is an extreme burning in the affected area. 

4. Calendula – Valuable Homeopathic Medicine to Prevent Gangrene After an Injury

Homeopathic medicine Calendula is an excellent homeopathic medicine for gangrene that may arise following an injury. Treatment with Calendula should be started as soon as possible after the injury to prevent gangrene. Calendula is a good healing agent and ensures healthy granulation of the wounded skin. Using Calendula at the right time prevents pus formation and further superadded skin infection over the injured area can be avoided, reducing the chances of putrification of the skin. Calendula works well in cases of old, neglected wounds that may get infected with gangrene.

5. Silicea – Homeopathic Medicine for Gangrene with Blisters and Pus Discharge

Silicea is a frequently used homeopathic medicine for gangrene with blisters and pus. Silicea works well for cases where pus discharge occurs. It should be employed early on because of its ability to control the suppurative process. It is a very effective homeopathic remedy for skin complaints with pus discharge and foul odor. In gangrene, Silicea gives promising results in cases where blisters and pus discharge dominate.

6. Carbo Veg – Helpful Homeopathic Medicine for Senile Gangrene in the Toes

Carbo Veg is an important homeopathic medicine for senile gangrene of the toes. It is helpful for gangrene in aged people appearing as a consequence of insufficient blood supply due to occlusion of arteries. The indicating feature for the use of Carbo Veg in the treatment of senile gangrene is cold, bluish skin. In some cases, a putrid odor from the gangrenous area arises. Along with this, the person feels weak and lethargic and feels better in cold air.

7. Lachesis – Useful Homeopathic Remedy for Gangrene with Bluish Purple or Black Appearance

Lachesis is a good homeopathic medicine for gangrene when it occurs in a malignant, septic and gangrenous state. It works well when the skin has a bluish, purple or blackish appearance. The affected area is extremely sensitive to touch. The skin may also have dark blisters or gangrenous ulcers. These ulcers are painful and have a burning sensation. Hot flushes in various body parts may accompany the skin complaints. Wearing tight bands, especially around the neck and waist, are intolerable for these patients.

Shock:

Shock is a life-threatening medical condition as a result of insufficient blood flow throughout the body. Shock often accompanies severe injury or illness. Medical shock is a medical emergency and can lead to other conditions such as lack of oxygen in the body's tissues (hypoxia ), heart attack  ( cardiac arrest)  or organ damage. It requires immediate treatment as symptoms can worsen rapidly.

Type of Shock:

Septic shock- results from bacteria multiplying in the blood and releasing toxins. Common causes of this are ,  pneumonia , urinary tract infections , skin infections (cellulitis ), intra-abdominal infections (such as a ruptured appendix ) and meningitis.

Anaphylactic shock- is a type of severe hypersensitivity or allergic  reaction. Causes include allergy  to insect stings , medicines, or foods (nuts, berries, seafood), etc.

Cardiogenic shock- happens when the heart is damaged and unable to supply sufficient blood to the body. This can be the end result of a heart attack or . congestive heart failure.

Hypovolemic shock- is caused by severe blood and fluid loss, such as from traumatic bodily injury, which makes the heart unable to pump enough blood to the body, or severe anemia  where there is not enough blood to carry oxygen through the body.

Neurogenic shock- is caused by spinal cord injury , usually as a result of a traumatic accident or injury.

Main causes of shock: 

There are several main causes of shock:

• Heart conditions (heart attack, heart failure )
• Heavy internal or external bleeding, such as from a serious injury or rupture of a blood vessel
• Dehydration , especially when severe or related to heat illness.
• Infection (septic shock)
• Severe allergic reaction  (anaphylactic shock)
• Spinal injuries (neurogenic shock)
• Burns 
• Persistent vomiting  or diarrhea 

Symptoms of shock:

• Low blood pressure and rapid heart rate (tachycardia) are the key signs of shock.
• Symptoms of all types of shock include:
• Rapid, shallow breathing
• Cold, clammy skin
• Rapid, weak pulse
• Dizziness  or fainting Weakness
• Depending on the type of shock the following symptoms may also be observed:
• Eyes appear to stare
• Anxiety or agitation
• Seizures 
• Confusion  or unresponsiveness
• Low or no urine output
• Bluish lips and fingernails
• Sweating
• Chest pain

Homoeopathic Medicine for Shock

ACONITUM NAPELLUS

• It is specially in Electrical shock
• It is great remedy for shock ,such as bad news or having a fall
• Symptom start Suddenly & violently
• Quick shock
• Patient is restless , fearful & anguish
• It treat sudden cold and calming shocked nerves
• Restlessness often cause insomia.

CARBO VEGETABILIS

• A lowered power from loss of fluid, after drugging, after other diseases.
• Body is cold to touch
• Pulse intermittent, Thready, impercitible
• Patient may be almost lifeless but head is hot
• Coldness & breath cool

CAMPHORA

• It is indicated mainly in surgical shock
• Bad effect of shock specially from injury
• Blue lips livid
• Profuse prostration
• Surface cold to touch, chillness yet can not bear to be cover throw off all covering.
• Entire body painfully & sensitive to touch
• Camphora given early has alone cured Large majority of case treated given in drop dose of tincture 30

VERATRUM ALBUM

• Rapid sinking of vital force complete prostration & collapsed condition
• Post operative shock with cold sweat on forehead.
• Palpation with anxiety and rapid audible respiration in this condition
• Coldness, blueness, collapse, fainting, vomiting & diarrhoea
• Tonic spasm,cramp &awake at night

SECALE CORNUTUM

• It contract muscle of blood vessels, twittching spasm , gnawing & cramp
• Collapse in cholera disease skin cold yet can not bear to covered .
• Loss of power of voluntary motion
• Skin cold dry, bluish & aggravated affected part
• Debility & Anxiety .

ARSENIC ALBUM

• Shocl for any mechanical injury , fright or anger
• Unconsciousness & sometime delirum
• Face pale or yellow
• Respiration short , rattling in chest
• Disturb, Anxious, Restless & fear of death with high temperature.

Types of hemorrhage: 

Depending on the duration of hemorrhage:

• Acute hemorrhage: occurs suddenly, e.g. esophageal variceal bleeding due to portal hypertension.
• Chronic hemorrhage: occurs over a period of time. E.g. hemorrhoids /piles or chronic duodenal ulcers. Tuberculous ulcer  of the ileum, diverticular disease) (Homeopathy Treatment for Diverticular of the colon.

Depending on the nature of bleeding:

• External hemorrhage: revealed hemorrhage e.g. epis taxis hematemesis.
• Internal hemorrhage: conceled hemorrhage e.g. splenic rupture following injury, ruptured ectopic gestation, liver laceration following injury.

Cause of Hemorrhage

• Multiple trauma
• Injury to the highly vascular area involving lungs, liver, spleen, or prostate
• Any surgical or obstetric emergency
• Aneurysms
• Hypertension
• Septicemia (Gram negative & Meningococcal)
• Widespread Carcinomas
• Bleeding disorders

Symptoms of Hemorrhage: 

• Sudden or severe headache.
• Weakness, tingling or numbness in the arms or legs (often on one side)
• Nausea or vomiting.
• Changes in vision.
• Changes in balance.
• Difficulty speaking or understanding speech.
• Difficulty using fine motor skills.
• Seizures

Homoeopathic Medicine for hemorrhage:

Carbo veg – continuous passive hemorrhage, patient wants to be fanned; skin cool and bluish, pulse rapid and weak’ hemorrhages of a low type, blood changed in its composition, dark and rather fluid; lack of animal heat; anguish of heart.

Aconite – Acute haemorrhages call for Aconite when there is anxiety and fever, and a profuse bright red flow. 

Ferrum – homeopathic medicine for haemorrhage of bright red blood, often mixed with coagula, associated with a great deal of flushing, rapid and a little labored breathing, pulse increased in frequency and strength.  After severe loss of blood; pale, bloated appearance, skin cool and pitting on pressure, particularly about joints.

Lachesis – homeopathic medicine for haemorrhage from uterus, bowels, nose, stomach, lungs, or at the bottom of the ulcer; always when blood can be discerned like black straws as a sediment; often used in typhoid when hemorrhage occurs.

Arnica Montana – generally the first choice for bleeding caused by an injury, especially when shock Is associated

China – useful for bleeding characterized by dark, clotted blood from any orifice of the body, there is ringing in the ears and the feeling that the person will faint. The person wants to be fanned. This problem is often associated with bleeding after childbirth. 

Phosphorous – blood-spitting with dry, tight, fatiguing cough, inter mixed with expectoration of mucus. Profuse hemorrhages, pouring out freely, then ceasing for some time, or the scanty discharge alternates with the profuse one, causing anemia and great debility.

Secale cor – This remedy corresponds to passive, painless, dark, offensive haemorrhages in thin scrawny women with formication and tingling in the limbs , surface of body cold and desire to be uncovered. It is characterized by slow oozing, dark, thin and persistent and worse from motion.

Hamamelis – Dr.Dyce Brown considers Hamamelis one of the best remedies for uterine haemorrhages generally, and clinical experience has abundantly verified its use, not only here, but in haemorrhages from any parts of the body, especially from the lungs, where it is of great value. 

Sabina – Bright red clotted flow, worse from motion, is characteristic of Sabina, with pains extending from the pubes to the sacrum and down the thighs. It is especially useful in protracted uterine haemorrhages and after abortion or parturition. These are painful labor-like drawing pains in the abdomen. 

Causes of fistula: 

• Injuries during childbirth. Delivery-related injuries are the most common cause of rectovaginal fistulas.
• Crohn's disease.
• Cancer or radiation treatment in your pelvic area.
• Surgery involving your vagina, perineum, rectum or anus.
• Other causes.

Types of Fistuls:

Congenital Fistula: Pulmonary arteriovenous fistula is a congenital fistula. This is an abnormal connection between the arteries and veins of the lungs. With normal circulation, the blood without oxygen goes to the lungs, and oxygenated blood then is pumped to the rest of the body by the heart. The pulmonary arteriovenous fistula allows oxygenated and deoxygenated blood to mix together, leading to some oxygenated blood being circulated to the lungs and poorly oxygenated blood being pumped to the body. The severity of the fistula determines how much oxygen is reaching the body and how much the patient is affected.

Acquired Fistula: An example of acquires fistula is Crohn’s disease, which causes inflammation of the bowel, and can slowly destroy the delicate tissues of the intestine, can lead to an anorectal fistula. This type of fistula allows stool to travel outside of the intestine, which leads to stool coming out of the body from a place other than the rectum, such as the vagina.An obstetric fistula is a complication of a difficult childbirth, where blood supply is minimal or cut off completely to an area of abdominal tissue, often the bladder, uterus or intestine. When this tissue dies, it leaves a hole through which urine or stool can move, and the woman may experience stool leaking from her vagina or urine leaking from her anus. This type of fistula can lead to chronic infections and requires surgery.

Surgically Created Fistulas: Surgically created fistulas should not be confused with a fistula that is an unexpected surgical complication. A surgically created fistula is intentionally created to benefit the patient. For example, a dialysis fistula, also known as a cimino fistula. Is created surgically to provide access for hemodialysis in patients with end stage renal disease. This type of fistula is typically placed in the lower arm and connects a vein and artery for improved venous access with low pressure blood flow. Intentional fistulas are also used for the treatment of portal hypertension in the liver.

Best Homeopathic Remedies for Anal Fistula

1. Silicea Terra – For Copious Pus Discharge

Silicea Terra is a useful medicine for anal fistula with copious pus discharges. Sometimes blood may be present in the purulent discharge. The discharge is also highly offensive and putrid smelling. The discharge is accompanied by peri-anal swelling. Silicea Terra is also a remedy for anal fistula with brownish fluid discharge and/or accompanied with constipation. Silicea is also applicable to treat hardness/indurations left around the anus after the healing of an anal fistula.

2. Hepar Sulph – For Intense Pain

Hepar Sulph in cases of fistula accompanied by extreme pain. It works in cases where the area around the peri-anal region is highly inflamed, hard and swollen, and is very sore and sensitive to touch. The pain, in most cases, is worse at night. Cold worsens the pain. Other symptoms may include throbbing or beating sensation around the anus, discharge of pus from the anal fistula that may be bloodstained and smell like decaying matter. The patient may also have a fever with chills.

3. Myristica Sebifera – Top Remedy for Fistula

Myristica Sebifera is another primary natural medicine of plant origin and is used for treating many suppurative conditions including anal fistula. This remedy works wonders in absorbing the pus and in healing anal fistula. Use of this medicine often prevents the need for surgery in anal fistula cases.

Other Significant Remedies

1. Calcarea Sulph – For Thick, Yellow Discharges

Calcarea Sulph is beneficial for the treatment of anal fistula with thick and yellow discharge. The discharge is often purulent and in some cases, blood may also appear. Pain is also prominent in the anal region.

2. Berberis Vulgaris – For Shooting Pain

Berberis Vulgaris works well in cases where there is a shooting pain around the anus. In addition to this, a stitching pain around the anus also points towards the use of Berberis Vulgaris. The skin around the anus is very sore in such patients and is accompanied by itching. The itch is mostly worse in the evening.

 

3. Calcarea Phos – For Painless Fistula

Painless anal fistula points towards the use of Calcarea Phos. In these cases there is blood and pus discharge from the anal fistula. These discharges can be accompanied by warm or burning sensation around the anus. Another striking indication for using Calcarea Phos is anal fistula alternating with chest complaints. Calcarea Phos hastens the healing process of anal fistula resulting in speedy recovery.

4. Paeonia Officinalis – For Constantly Oozing Fluid

Paeonia Officinalis is a natural medicine for anal fistula treatment. Persistent oozing of fluid from anal track recommends the use of Paeonia Officinalis. The fluid is extremely offensive in smell and there is also much pain in the anus region. Sitting makes the pain worse. Itching and biting sensation around the anus may also accompany. Apart from anal fistula, Paeonia Officinalis is also a prominent remedy for treating anal fissures and piles.

5. Hydrastis Canadensis – For Anal Fistula with Constipation

Hydrastis Canadensis is highly beneficial for treating anal fistula accompanied by constipation .Hydrastis Canadensis helps in healing the anal fistula as well as regularizing the bowel movement. Patients with chronic obstinate constipation (i.e. those who often have a number of days without passing stool), those with severe pain following the passing of stool, those for whom the pain lasts for hours following stool, and those with smarting and burning pain in the rectum and around the anus, are typical candidates for Hydrastis Canadensis.