Sure shot treatment of Jaundice
NATIONAL JOURNAL OF HOMOEOPATHY 2001 May / Jun VOL III NO 3.
Dr Smita Trivedi
Late Dr R D Jain
'Merc-sulph / Osmium / Mag-fl / Phos / Chel / Card-mar

Case 1: Obstructive Jaundice
Mr DM, 42 yr, from Varanasi.

Chief Complaints: Fever with chills. Physicals: Urine: dark yellow, eyes: yellow. Diarrhoea: 4-5 time/day with mucus < summer
F/H: No major illness.
P/H: Mandibular Abscess-1974, Jaundice-1992, Malaria-1994. Jaundice again in 1994- investigated at Govt Hospital, Varanasi S. bilirubin: raised. Abdominal sonography showed abdominal mass. Biopsy of 9th March'94 at RN Cooper hospital, Mumbai. Histopath report sent to Tata Memorial Hospital: Adenometous hyperplasia, well differentiated adeno-carcinoma of pancreas.
17th March '94- operated for Cholecystojejunostomy and tube inserted. March 1996: had Jaundice again.

Investigations
C T Abdomen 13/3/96: Total obstruction of distal CBD due to a periampullary mass measuring 4.3 x 4.2 cm. The CBD, intrahepatic biliary radicles and gallbladder are consequently dilated. An endo-prosthesis is also seen within CBD.

SGOT: 155 IU. S Bilirubin: 2.9 mgm%. S.Alk phos: 1408
Laparotomy performed at R N Cooper hospital: large mass in the abdomen-obstructing duodenum. Patient was discharged as nothing can be done. At this last stage, he opted for homoeopathic treatment.

Patient as a Person
Appearance: Average build. Lips thin, teeth regular, gap between the teeth.
Nails: clubbing.
Habit: Pan with tobacco chewing 2-3/day. Tea 4-5 cups. Cooking food in Aluminum utensils.
Thirst: Normal. Appetite: increased.
Desire: Pungent spicy food.
Thermals: Sweat in summer.
MIND: No mental tension/worries. A Govt employee, Happy go lucky life. No financial problems. Six children (2 sons & 4 daughters).
Physical examination: Pulse & BP normal.
DIAGNOSIS: Obstructive Jaundice due to Adeno-carcinoma of Pancreas.

After nine months of Homoeopathic treatment: CT Scan Abdomen
26/12/96: Compared with previous scan dt.13/3/96 showed significant regression of the periampullary mass; the CBD diameter is decreased and now normal in size.

Treatment

Prescriptive Totality: Syphilitic miasm. Endoderm and mesoderm involvement. Involvement of connective tissues- Group IIA abnormal function Group IIB (Mag-fl for tumor and Merc-sulph for Liver and dysentry). Involvement of Liver, pancreas heavy abdominal organs Group VIII. {Deeper to Ferrum - (RBC - haemoglobin breakdown) Osmium}

Case 2: Infective Hepatitis B
Mrs SP, 52 yr, from Mumbai History given by patient’s relative, as the patient was semiconscious in the Hospital.

Chief Complaints: Abdomen: Dull pain in Right hypochondrium since 2-3 months. < lying on left side; > lying on right side and rest.
GIT: Appetite decreased: no desire for food, empty sensation in stomach.
Constipation: Stool dry, hard difficult to pass
> after eating and passing stool.
Urine: Dark yellow+3, burning in urine
Joints: Bone pain since 5-6 years.- all joints painful, shifting dull pain > warmth < change of weather,
Weight loss- about 10-12 kg in last 3 months.

Patient as a Person: Appearance: Thin. Skin: Pale yellow. Teeth - artificial denture.
Thermal Modality: Chilly patient.
P/H: GUT: Profuse bleeding during menses.
F/H: Husband: Hypertension, IHD. Three sons and two daughters - all healthy

Physicals:
Appetite: decreased, cannot remain hungry. Thirst: Ice cold water frequently.
Bowels: C/C; Flatulence, heaviness whole abdomen. Urine: Burning, dark yellow.
Sweat: Palms; Burning of palms and soles.
Sleep: Normal. Short sleep ameliorates. Dreams: Fearful.
O/E: Temperature: 1010F, intermittent. Pulse: 108/min.
B.P: 90 / 60 mm/Hg. Liver: Palpable. Spleen- not palpable. RS/CVS: NAD.
Tongue: Pale. Eyes: Sclera yellow.

Patient was admitted twice in the hospital, under treatment of different physicians. All had lost hope that patient would survive and discharged her from the hospital on 5-4-92. She came for homoeopathic treatment as a last resort on 6/4/82.

Treatment

Treatment continued for another 15 days and then stopped. No further medicine. Patho-physiology of the above case was similar to the patho-physiology of Phos

Phosphorus
Chief component required for

Bones	RBC cell membrane strength Energy storage	Liver cell - repair & strength
Loose motion (Lack of energy)
Chilly patient - ATP decrease Tissue burning (> warm)		Burning of palms & soles and GIT Desire for icy cold water

Phosphorus strengthens the bony cells, Liver cells and RBC's and prevents haemolysis and breakdown of the cells.

Case 3: Infective Hepatitis
Mr OM. Infective hepatitis > in 1month. Rx Phos 30 (20 y) viral A Cardus-mar + Chelid Q

Prescriptive totality: Prescription based on pathophysiology of medicine. Disease of infective origin therefore disease development from periphery to centre. Destruction of RBC’s, chilly patient, lack of energy, liver involvement.

Conclusion:
The above cases were successfully treated by late Dr R D Jain
We have similarly treated many cases of Infective Jaundice (Total bilirubin less than 2.5) with Nat-sulph and Nat-phos 6X 4 tablets six times daily and Chelidonium & Cardus-mar Q (or any Homoeopathic Liver tonic) 10 drops in half cup of water four times daily till urine becomes clear and then three times till blood reports show normal bilirubin.

With this treatment diet and regimen is prescribed as an important adjunct: Complete rest in airy quiet room. Oral Glucose with pinch of salt or lemon juice with 6-8 glasses/day. Light diet. No oily/fried, spicy food. Eat more Sugar cane pieces and grams.

Comments: Co-ordinating editor Dr C H Asrani: I reteirate: 50% of Elisa Positive cases of Australia Antigen spontaneously revert to normal in 6 months. Of course the clinical improvement in this case cannot be denied.

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