Re: Crohn's and perianal disease

[Guest guest]

Very interesting. Just a few thoughts and questions. The fact that

she has some symptomatic relief just after her period is making me wonder

whether there are any other hormonal patterns here. I also noticed that your

drainage of her liver was never done all in one group but seems scattered

amongst other drainage combos.

In her past history, are there any patterns of any other main

drainage routes that have been challenged? Also, I'm trying to learn the

miasm and tempermant approach so bear with me. The anal fistula component is

definitely luetic but all of the meds at this point may present a sycotic

overlay. My understanding of Dr. Gueniot's approach is that the outer layer

must be addressed, which may be sycotic due to all of the meds she's taking

to manage her symptoms. If so, then the approach is to balance her

homeostatic systems. Has she shown any thyroid involvement? I keep hearing

Dr. Abel talk about the teeter totter that exists between the adrenal and

the thyroid; the tendency for one to be to " relatively " hyper while the

other is " relatively " hypo.

The luetic miasm requires drainage drainage and more drainage. So I

believe that Unda 202 would be very appropriate here and I would love to

hear what the more experienced homeopaths out there would say about that and

how to combine it. I have a young luetic man in my practice also with an

anal fistula and he is on 1 2 20 and 202 as recommended by a colleague that

I consulted with.

Another thought is that if her body is still making new drainage

routes, then what other of her primary emunctories need help in handling

their own share so that her GI isn't still taking so much of the burden?

I'm a serious rookie in this department, but over and over again

Dr. G and Dr. Abel remind us to use temperament remedies on alternate

Sundays. Listening to Dr. Abel today on the CD about the Sycotic miasm he

said that the real key is to use neuro-vegetative remedies in the 200K or MK

dose. I would suspect that a Chron's patient would be at least partly a

nervous temperament type with perhaps another layer of temperament that is

equal or slightly less dominant.

I hope this is useful; sometimes I feel that the more I study this

stuff the more I raise questions...Sincerely, Sobyl Bunis ( a chiropractor

who slipped in through the back door via the Unda remedies and is now

attempting to learn homeopathy...)

Crohn's and perianal disease

> Dear Group,

>

> 34 yo female with Crohn's disease; Diagnosed in 1988; surgical removal in

> 1997 of distal third of ascending colon, all of transverse colon and

> proximal third of descending colon.

>

> Chief complaint is fistulas - 3 anal tracts; 1 tract entering into the

> vagina. The fistulas are constantly either filling up or draining. She

gets

> a pressure/pulling down sensation with them & dyspareunia due to the

vaginal

> fistula. Her symptoms are often better just after a period. She has a lot

of

> irritation/burning with passing stools - which remain loose to diarrhea

and

> has spurts of blood.

> She has also had numerous root canals and required surgery recently to

> repair a tract that has been forging through toward her sinus cavity.

> She is being monitored by her gastroenterologist and has an appointment

> scheduled with a surgeon to remove the vaginal tract. She is hesitant to

go

> through with this procedure, realizing that it won't stop the occurrence

of

> these fistulas. A recent MRI showed no abscess in these tracts. She is

also

> enrolled in a clinical trial for IV treatments of Infliximab. This is

> intended to replace the prednisone.

>

> Her current medications: Prednisone 5mg TID ; Flagyl; Sulofloc; Cipro

>

> She's a very compliant patient - sitz baths and castor oil packs daily;

BTG.

> She is very careful with her diet and has an exacerbation of diarrhea if

she

> slips off this diet. She is currently looking into a strict diet of raw

> foods - that focuses on high intake of raw cream, as well as raw meats.

>

> The following are the rounds of UNDAs we have used. They have helped with

> keeping her fistulas at bay in the sense of reducing the infectious

course.

> She claims that she has been much better over the last 8 months - prior to

> this work she wasn't able to leave her home on days of exacerbation. She

> will take Berberis formula as well once the drainage appears to be thicker

> in colour and consistency. She now has a better rhythm and may only need

to

> be close to her hydrotherapies in the mornings.

>

> UNDA 6, 37, 50; 6, 48, 243; 45, 50, 243; 34, 37 ,44; 2, 37, 710; 26,

> 44, 710; 36, 74, 245;

> 2, 20, 258; 6, 37, 710; 37, 49, 74; 3, 6, 50; 2, 37, 74; 2, 37, 710;

> 36, 37, 74; 49,50,710

> In between rounds of UNDA, she takes Aromaplex #5 for a week.

>

> The most significant change we saw was with Nitric acid 30 ch which she is

> taking every other day. This settled the burning sensation with stools &

> relieved some of her mental/emotional irritibility. She was recently

changed

> to Intestinum crudum 6ch daily.

> We have started to do weekly IV therapies for high dose vitamin C and

> minerals which has helped her energy. She recently started taking

> UltraInflamx from metagenics which has been helping to bulk up her stool

and

> enhance her energy. We alternate between HAD, Ribes Nigrum and dessicated

> adrenal for adrenal support & alternate between CuAuAg & MnCo. She is

taking

> HMF Forte, Afagen and Vitamin A mulsion. She has been taking Marine Care

> Forte between 2 caps TID to 4 caps QID - based on her bowel movements. She

> has noticed a large improvement with taking the Marine Care Forte.

>

> I would like to hear of any recommendations for reducing these flares of

the

> fistulas. Despite the improvement that she has seen, she recently found

> another fistula tract that has forged. I have been focusing on metabolic

> based UNDAs vs drainage based of late. As well, any thoughts regarding

this

> clinical trial of Infliximab would be appreciated.

>

> Thanks in advance,

>

> Dr. Deirdre O'Neill

> Duncan, BC

>

> _________________________________________________________________

> Interest Rates near 39yr lows! $430,000 Mortgage for $1,399/mo - Calculate

> new payment

>

http://www.lowermybills.com/lre/index.jsp?sourceid=lmb-9632-18466 & moid=7581

>

>

>

>

>

[Guest guest]

Sobyl,

A few clarifications from your response -- what do you mean by

neuro-vegetative remedies?

Also, is it important to do work on a liver based drainage only for a

round or so, over mixing them with other systems - like a nervous

system/liver combo?

I have seen hormonal fluctuations with her from an adrenal standpoint.

However, I have thought this to be more of a drug based reaction from

the Prednisone. That's where the adrenal support has played in. She

also has difficulty with her menstrual cycle on a mood aspect.

Here only complaints on an emunctary level has solely been regarding

the fistulas. She has periodic flares of her bowels -- teetering to

loose very frequent stools, occasionally blood. This has improved or

been managed greatly by the Marine Care Forte - which she increases in

dose based on a flare.

Her lungs, kidneys, and skin have never flared. She hasn't had a cold

in a long while. The only other symptom that she has presented with of

late has been a cold sore.

Thanks for your help.

Dr. Deirdre O'Neill, ND

Duncan, BC

[Guest guest]

Sobyl,

A few clarifications from your response -- what do you mean by

neuro-vegetative remedies?

Also, is it important to do work on a liver based drainage only for a

round or so, over mixing them with other systems - like a nervous

system/liver combo?

I have seen hormonal fluctuations with her from an adrenal standpoint.

However, I have thought this to be more of a drug based reaction from

the Prednisone. That's where the adrenal support has played in. She

also has difficulty with her menstrual cycle on a mood aspect.

Here only complaints on an emunctary level has solely been regarding

the fistulas. She has periodic flares of her bowels -- teetering to

loose very frequent stools, occasionally blood. This has improved or

been managed greatly by the Marine Care Forte - which she increases in

dose based on a flare.

Her lungs, kidneys, and skin have never flared. She hasn't had a cold

in a long while. The only other symptom that she has presented with of

late has been a cold sore.

Thanks for your help.

Dr. Deirdre O'Neill, ND

Duncan, BC

[Guest guest]

Sobyl,

A few clarifications from your response -- what do you mean by

neuro-vegetative remedies?

Also, is it important to do work on a liver based drainage only for a

round or so, over mixing them with other systems - like a nervous

system/liver combo?

I have seen hormonal fluctuations with her from an adrenal standpoint.

However, I have thought this to be more of a drug based reaction from

the Prednisone. That's where the adrenal support has played in. She

also has difficulty with her menstrual cycle on a mood aspect.

Here only complaints on an emunctary level has solely been regarding

the fistulas. She has periodic flares of her bowels -- teetering to

loose very frequent stools, occasionally blood. This has improved or

been managed greatly by the Marine Care Forte - which she increases in

dose based on a flare.

Her lungs, kidneys, and skin have never flared. She hasn't had a cold

in a long while. The only other symptom that she has presented with of

late has been a cold sore.

Thanks for your help.

Dr. Deirdre O'Neill, ND

Duncan, BC

[Guest guest]

Sobyl,

A few clarifications from your response -- what do you mean by

neuro-vegetative remedies?

Also, is it important to do work on a liver based drainage only for a

round or so, over mixing them with other systems - like a nervous

system/liver combo?

I have seen hormonal fluctuations with her from an adrenal standpoint.

However, I have thought this to be more of a drug based reaction from

the Prednisone. That's where the adrenal support has played in. She

also has difficulty with her menstrual cycle on a mood aspect.

Here only complaints on an emunctary level has solely been regarding

the fistulas. She has periodic flares of her bowels -- teetering to

loose very frequent stools, occasionally blood. This has improved or

been managed greatly by the Marine Care Forte - which she increases in

dose based on a flare.

Her lungs, kidneys, and skin have never flared. She hasn't had a cold

in a long while. The only other symptom that she has presented with of

late has been a cold sore.

Thanks for your help.

Dr. Deirdre O'Neill, ND

Duncan, BC

[Guest guest]

Sobyl,

A few clarifications from your response -- what do you mean by

neuro-vegetative remedies?

Also, is it important to do work on a liver based drainage only for a

round or so, over mixing them with other systems - like a nervous

system/liver combo?

I have seen hormonal fluctuations with her from an adrenal standpoint.

However, I have thought this to be more of a drug based reaction from

the Prednisone. That's where the adrenal support has played in. She

also has difficulty with her menstrual cycle on a mood aspect.

Here only complaints on an emunctary level has solely been regarding

the fistulas. She has periodic flares of her bowels -- teetering to

loose very frequent stools, occasionally blood. This has improved or

been managed greatly by the Marine Care Forte - which she increases in

dose based on a flare.

Her lungs, kidneys, and skin have never flared. She hasn't had a cold

in a long while. The only other symptom that she has presented with of

late has been a cold sore.

Thanks for your help.

Dr. Deirdre O'Neill, ND

Duncan, BC

[Guest guest]

Sobyl,

A few clarifications from your response -- what do you mean by

neuro-vegetative remedies?

Also, is it important to do work on a liver based drainage only for a

round or so, over mixing them with other systems - like a nervous

system/liver combo?

I have seen hormonal fluctuations with her from an adrenal standpoint.

However, I have thought this to be more of a drug based reaction from

the Prednisone. That's where the adrenal support has played in. She

also has difficulty with her menstrual cycle on a mood aspect.

Here only complaints on an emunctary level has solely been regarding

the fistulas. She has periodic flares of her bowels -- teetering to

loose very frequent stools, occasionally blood. This has improved or

been managed greatly by the Marine Care Forte - which she increases in

dose based on a flare.

Her lungs, kidneys, and skin have never flared. She hasn't had a cold

in a long while. The only other symptom that she has presented with of

late has been a cold sore.

Thanks for your help.

Dr. Deirdre O'Neill, ND

Duncan, BC

[Guest guest]

Sobyl,

A few clarifications from your response -- what do you mean by

neuro-vegetative remedies?

Also, is it important to do work on a liver based drainage only for a

round or so, over mixing them with other systems - like a nervous

system/liver combo?

I have seen hormonal fluctuations with her from an adrenal standpoint.

However, I have thought this to be more of a drug based reaction from

the Prednisone. That's where the adrenal support has played in. She

also has difficulty with her menstrual cycle on a mood aspect.

Here only complaints on an emunctary level has solely been regarding

the fistulas. She has periodic flares of her bowels -- teetering to

loose very frequent stools, occasionally blood. This has improved or

been managed greatly by the Marine Care Forte - which she increases in

dose based on a flare.

Her lungs, kidneys, and skin have never flared. She hasn't had a cold

in a long while. The only other symptom that she has presented with of

late has been a cold sore.

Thanks for your help.

Dr. Deirdre O'Neill, ND

Duncan, BC

[Guest guest]

Sobyl,

A few clarifications from your response -- what do you mean by

neuro-vegetative remedies?

Also, is it important to do work on a liver based drainage only for a

round or so, over mixing them with other systems - like a nervous

system/liver combo?

I have seen hormonal fluctuations with her from an adrenal standpoint.

However, I have thought this to be more of a drug based reaction from

the Prednisone. That's where the adrenal support has played in. She

also has difficulty with her menstrual cycle on a mood aspect.

Here only complaints on an emunctary level has solely been regarding

the fistulas. She has periodic flares of her bowels -- teetering to

loose very frequent stools, occasionally blood. This has improved or

been managed greatly by the Marine Care Forte - which she increases in

dose based on a flare.

Her lungs, kidneys, and skin have never flared. She hasn't had a cold

in a long while. The only other symptom that she has presented with of

late has been a cold sore.

Thanks for your help.

Dr. Deirdre O'Neill, ND

Duncan, BC

[Guest guest]

THANKS a lot!

HEALING SOLUTION

Rev. Gloria Gault

Re: Crohn's and perianal disease

Sobyl,A few clarifications from your response -- what do you mean byneuro-vegetative remedies?Also, is it important to do work on a liver based drainage only for around or so, over mixing them with other systems - like a nervoussystem/liver combo?I have seen hormonal fluctuations with her from an adrenal standpoint.However, I have thought this to be more of a drug based reaction fromthe Prednisone. That's where the adrenal support has played in. Shealso has difficulty with her menstrual cycle on a mood aspect. Here only complaints on an emunctary level has solely been regardingthe fistulas. She has periodic flares of her bowels -- teetering toloose very frequent stools, occasionally blood. This has improved orbeen managed greatly by the Marine Care Forte - which she increases indose based on a flare. Her lungs, kidneys, and skin have never flared. She hasn't had a coldin a long while. The only other

symptom that she has presented with oflate has been a cold sore. Thanks for your help.Dr. Deirdre O'Neill, NDDuncan, BC

We won't tell. Get more on shows you hate to love(and love to hate): Yahoo! TV's Guilty Pleasures list.

[Guest guest]

So sorry to take so long to get back to you! I travel between three offices and still don't have a laptop BUT I am purchasing one this week so once I learn how to use it properly I'm looking forward to being more timely with my responses.

My understanding of neuro-vegetative is the concept of our nervous system/ anxiety/stress causing physical symptoms. When we think of unda 24, we use it when a patient has stress that causes loose bowel movements, for example. My understanding of how Dr. Gueniot uses neuro vegetative remedies, is that he is looking at the temperament of the person; whether they are Nervous, Bilious, Lymphatic or Sanguinous and of course combinations of the above. Remember that I'm the homeopathy rookie here, but my understanding is that the single remedies have physical qualities and psychological qualities. Dr. Abel says that the neuro vegetative remedies are single remedies used for the psychological aspect that matches the temperament of the person.

After last years' course with Dr. G and the follow-up teleconferences with Dr. Abel, I'm starting to get a handle on how to perceive the patient's temperament. He told us that he would get a list to us of the exact remedies that he means but I don't think we ever got the list. I will call his office and request that he post it for us on this site. If you're already trained in classical homeopathy, you probably already understand how to pick a remedy for specific aspects.

Regarding the liver undas, I almost always use them in a grouping for the first or second round of drainage, unless their history leads me to start with another system ( for example, it they're in an acute situation or if I think another system is more important to address first, often the GI).

I find that just doing the 1 20 and 243 will often make noticeable shifts in hormonal, blood sugar, thyroid and GI issues within the first round of drainage. I then OFTEN drain another system and add 243 as the fourth remedy to keep the liver drainage going, but that's my style and it works very well in my practice.

Regarding her hormonal issues, you see a connection to her adrenals. Dr. Abel taught us as per Dr. G. that the adrenals and thyroid are often in a see-seesaw relationship so stimulating one and softening the other often works well.

Is there anything in her early history to indicate that other emunctories are weak ? I'm just looking for other ways to take the burden off of her gut...

I hope this is helpful, it's certainly useful for me to try and apply what I'm learning with the group since we all have something to share....good luck! Sobyl

Re: Crohn's and perianal disease

Sobyl,A few clarifications from your response -- what do you mean byneuro-vegetative remedies?Also, is it important to do work on a liver based drainage only for around or so, over mixing them with other systems - like a nervoussystem/liver combo?I have seen hormonal fluctuations with her from an adrenal standpoint.However, I have thought this to be more of a drug based reaction fromthe Prednisone. That's where the adrenal support has played in. Shealso has difficulty with her menstrual cycle on a mood aspect. Here only complaints on an emunctary level has solely been regardingthe fistulas. She has periodic flares of her bowels -- teetering toloose very frequent stools, occasionally blood. This has improved orbeen managed greatly by the Marine Care Forte - which she increases indose based on a flare. Her lungs, kidneys, and skin have never flared. She hasn't had a coldin a long while. The only other symptom that she has presented with oflate has been a cold sore. Thanks for your help.Dr. Deirdre O'Neill, NDDuncan, BC