Australian conference 2010 melbourne View Conference
 
 
 
November 13,2010
Download
 
  

A uterine fibroid is a benign (non-cancerous) tumor that originates from the smooth muscle layer (myometrium) and the accompanying connective tissue of the uterus. Fibroids are the most common benign tumors in females during the middle and later reproductive years. While most fibroids are asymptomatic, they can grow and cause heavy and painful menstruation. Uterine fibroid is the major cause for hysterectomy. Fibroids are often multiple and if the uterus contains too many leiomyomatas to count, it is referred to as uterine leiomyomatosis. The malignant fibroid is uncommon and termed a leiomyosarcoma.

Size and location are the main factors that determine if a fibroid leads to symptoms and problems.[2] A small lesion can be symptomatic if located within the uterine cavity while a large lesion on the outside of the uterus maybe asymptomatic and hence fore go undetected. Different locations of fibroids are as follows:

  • Intramural Fibroids are located within the wall of the uterus and are the most common type; unless large, they may be asymptomatic. Intramural fibroids begin as small nodules in the muscular wall of the uterus. With time, intramural fibroids may expand inwards, causing distortion and elongation of the uterine cavity.
  • Subserosal fibroids are located underneath the mucosal (peritoneal) surface of the uterus and can become very large. They can also grow out in a papillary manner to become pedunculated fibroids. These pedunculated growths can actually detach from the uterus to become a parasitic leiomyoma.
  • Submucosal fibroids are located in the muscle beneath the endometrium of the uterus and distort the uterine cavity; even small lesion in this location may lead to bleeding and infertility. A pedunculated lesion within the cavity is termed an intracavitary fibroid and can be passed through the cervix.
  • Cervical fibroids are located in the wall of the cervix (neck of the uterus). Rarely fibroids are found in the supporting structures (round ligament, broad ligament, or uterosacral ligament) of the uterus that also contain smooth muscle tissue.

 

Symptoms

l. Heavy or painful menstrual bleeding.

2. Abdominal discomfort or bloating, painful defecation.

3. Back ache.

4.Urination frequent or retention of urine.

5. Intercourse painful.

6. In rare cases infertility. Typically in such cases a fibroid is located in a submucosal position and it is thought that this location may interfere with the function of the lining and the ability of the embryo to implant. Also larger fibroids may distort or block the fallopian tubes.

7. Miscarriage, bleeding and premature labor in a few pregnant women.

 Ovarian cyst

An ovarian cyst is any collection of fluid, surrounded by a very thin wall, within an ovary. Any ovarian follicle that is larger than about two centimeters is termed an ovarian cyst. An ovarian cyst can be as small as a pea, or larger than an orange.

Cysts that persist beyond two or three menstrual cycles, or occur in post-menopausal women, may indicate more serious disease and should be investigated through ultrasonography and laparoscopy, especially in cases where family members have had ovarian cancer.

Diagnosis -

•1.       Ultrasonography.

•2.       MRI (magnetic resonance imaging)

How to Treat Cases of uterine fibroid and ovarian cyst

 

                           Treating uterine fibroid and ovarian cyst is just like treating any other chronic disease that is just like building a castle i.e. placing one brick over another. This is a process and in this process every step has its own significance, but the most important step for a strong castle is its foundation; similar is the case in homoeopathy, case history is the foundation on which " Cure" stands. To achieve our aim i.e. cure a correct case history is of utmost importance.

 

                      Once we have the correct case history of the patient, the second problem that comes in front of us is what to do with the case, which symptoms to look for to find the totality of the patient. As we all know that totality is not the numerical sum of all the symptoms, it is the sum total of all the symptoms that brings out the individuality of the patient. In a particular case we have to find the following things -

•1.       Epicenter of all the disturbances i.e. cause of the disease.

•2.       Uncommon and peculiar symptoms or strong and striking symptoms.

•3.       Menstrual symptoms.

•4.       Leucorrhoea.

•5.       Concomitant Symptoms.

•6.       Family history.

•7.       Past history.

•8.       Side effect of drugs used.

•9.       Ill effect of vaccination.

We can achieve the totality of the case by keeping in mind all these important points. Medicine is then prescribed on this totality.

                                            Once we have selected the correct medicine, then the next problem, which appears before us is "the selection of potency". Every individual is susceptible to a certain range of potency, too low potency will be ineffective and too high potency will aggravate the symptoms.  So for proper and quick action of the medicine correct medicine in right potency is must. There is great deal of confusion regarding the selection of potency. Some doctors advocate use of high potencies and some low of potencies. We are not commenting any-thing on any-body, but we will tell you what we are doing regarding selection of potencies for the past three generation. In chronic cases generally (90% of the cases) we start with 200 potency once a week and continue the medicine in the same potency unless and until it stops acting. It is advisable not to repeat the medicine unless and until the first dose stops acting, which is indicated by slight increases in intensity of the already existing symptoms.  After sometime when the medicine stops working and even repetition of the same potency does not give desired result and the patient is presenting the same symptoms, then its time to raise the potency. Generally we repeat 1M after fifteen days and 10M after one month. Some doctors would like to contradict me; well they have every right to do so. I have told you what we are doing for the past three generation with minimum aggravation. 

                           Once we have selected the medicine and its potency, then it's time to select the quantity of medicine to be administered to the patient. Generally we can give one globule of zero number to twenty globules of sixty number 2-4 drops, it will act as one dose, but it is advisable to give one to two globule of twenty number 0r 1-2 drops in one dose as it will prevent unnecessary aggravation of the medicine, especially in hyper sensitive patient. I will explain it to you by giving you a true instance that happened a very long time back. A hyper sensitive patient came to my grand-father late Dr. P. N. Shangloo in early seventies. My grand-father asked my father Dr. G.K.Shangloo (who was a first year student at that time) to give two globules of zero number as one dose but by mistake the assistant gave ten globules. The very next day patient came running to my grand-father stating the all his complaints are aggravated. On enquiring he found out that there was only increased in intensity of his previous symptoms. He consoled the patient "don't worry you will get relief very soon". Once the patient has gone, my grand-father said "Start your experience from here, this patient was a hyper sensitive patient and the aggravation you are seeing is because of excess quantity of medicine. So be careful with the quantity of medicine when you are treating a hyper sensitive patient.

 

Generally treating a chronic disease is not like a hundred meter dash. Treating a chronic disease is just like catching a hen in an open felid that does not run in a straight course. So, is the case with chronic disease; once you give a medicine selected on the totality of the symptoms, it may give you desired result for a certain period of time. After some times the medicine stops giving you the desired result. Now at this point we have three choice one is to increase the potency of the medicine, if the patient is presenting the same symptoms or a new medicine has to be given if there is any change in symptoms or we can give an inter-current medicine if required ( i.e well selected medicine is not working) according to the family history or the past history of the patient. At this point of time it is the skill of the physician to select the path, which is best suited for the patient for his/her speedy and gentle cure. The process is continued till our final aim i.e. cure is achieved.

 

Homoeopathic concept of uterine fibroid-

Fibroids are mostly sycotic in nature but multiple or large fibroids do have a carcinogenic miasm. To explain my point further -

What is sycosis ?

Sycotic Miasm is represented  by  over production or growth like warts, condylomata, tumours.

Whereas Cancer  (medical term: malignant neoplasm) is a class of diseases in which a group of cells display uncontrolled growth (division beyond the normal limits), invasion (intrusion on and destruction of adjacent tissues), and sometimes metastasis (spread to other locations in the body via lymph or blood).

We all know that in our body older cells die and are replaced by a new cell. So in this process if at a particular place if ten new cells are required and body is producing hundred cells then this is sycosis. But when the body is producing one thousand cells then it is cancer.

So when you are dealing with cases of multiple fibroids or ovarian cyst or a large fibroid (more than five centimeter) never leave the case without giving carcinosin.

Case presentation-

Case - 1

Name of the patient - Mrs. Bineeta 1861-36

Age -  39

Present Complaints

Ultrasound report dated-22-10-09-Uterus-Mildly bulky. Hyper-echoic lesion of size 35*30mm .Fibroid.
Present problem-Since one year. Pain in lower abdomen 3 days during menses. Pulsating pain. Pain suddenly increases and decreases gradually.
Excess bleeding. First day blood black after that bright red or dark blood, changeable in color and consistency.

Hypertension since 3 years.

   

   
    
        
        
 

Generalities

   

1

Appetite

Normal App.

     

2

Thirst

Normal Thirst

     

3

Stool

Normal Stool

     

4

Urine

Normal

     

5

Sleep

Normal Sleep

     

6

Mind

Increased anger expressive

thinks too much, weeps easily

    

7

Constitution

Extreme Hot and Cold patient

     

 


 

Past Complaint

1

 

Vaccination

 

yes

  
 

 

     

   
    

Family

1

 

Father

Dead

Heart Attack

Hypertension

 

2

 

Mother

Dead

Cancer of liver

  

3

 

G. Father

Dead

Diabetic

  

 

 

Analysis of the case -

 

When she came to us, her menses was due in three to four days so medicine was selected to give relief in her pain.

 

Symptoms used for prescription -

 

•·         ABDOMEN - PAIN - menses - during - agg.

•·         GENERALS - PULSATION - Internally

•·         GENERALS - PAIN - appear suddenly - disappear; and - gradually

•·         FEMALE GENITALIA/SEX - MENSES- BLACK

•·         FEMALE GENITALIA/SEX - MENSES - copious

•·          FEMALE GENITALIA/SEX - MENSES - changeable in appearance

•·         MIND - WEEPING - easily

•·         MIND - ANGER - easily

 

First prescription - Date -7/11/2009

 

Pulsatilla 30 2 drops in ½ cup of water was given ever four hours for four days.

 

First follow- up -

 

Patient came on 10/11/2009 with reduction in menstrual pain so pulsatilla 30 was continued.

 

Second Follow -up - Dated - 20/11/2009

 

Carcinosin adeno pap uterus 30 2 drops 3 times a day was given in ½ cup of water. The medicine was continued in similar manner for a month.

 

The reason for giving carcinosin are as follows -

•1.       Her mother died of cancer. (Materia medica by William Boericke - page 179- Carcinosin- It is claimed the carcinosin acts favorably and modifies all cases in which either a history of carcinoma can be elicited, or symptoms of the disease itself exist. (J.H.CLARKE, M.D.)

•2.       Pain in abdomen menses during.

•3.       Pulsating pain.

•4.       Weeping.

 

 

Second ultrasound - dated - 23/12/2009

 

Shows normal scan.

Case -2 Rekha Jaiswal 1729-36 uterine fibroid

Date:

24-Oct-2009 

Sl. No: 

1729

File No.:

36 

Patient Name:

Mrs  Rekha Jaiswal 

Gender:

 Female 

Age: 

47

Address:

Meerapur Alld 

Mobile No:

2241235

Disease

Uterine Fibroid


Present Complaints

U/S dated 8/9/08 Uterus & Adnexa -  Aypoechoic 25.2x20.6 mm lesion was seen bulging towards Right  from posterior part of fundus of uterus.
Another 25.6 x19.1 mm  is seen anteriolrly

An oval 17x10mm hypoechoic lesion is seen in anterior myometrium

Left ovary 31.7x26 mm hypoechoic structer is seen.
IMP- Fibroid uterus.

Menses- All the month round seen - thick, sticky, stingy.
Occasionally itching and burning seen, clots big dark maroon in colour. Stains undergarment which is difficult to remove.
Pain in  lower abdomen,
Relief- by hard rubbing, warmth.

Hypertension

   

   

Generalities

   

1

Appetite

Normal App.

     

2

Craving

Sweets

     

3

Thirst

Normal Thirst

     

4

Stool

Constipation first part hard Knotted then soft

2 times, urge remains

    

5

Urine

Normal

     

6

Sleep

Normal Sleep

     

7

Mind

Increased anger expressive

Mental tension of the disease

    

8

Constitution

Likes Winters

     

   
    

Past Complaint

1

 

Vaccination

 

given

  

2

 

Susceptible to cough and cold

 

since childhood

Allopathic

 


   
    

Family

1

 

Father

Alive

Diabetic

  

2

 

Mother

Alive

Arthritis, hypertension

Uterine Fibroid

operated.

     3       Grand-father           Dead   - Cancer.

     4       Maternal uncle        Alive  - Cancer.

Symptoms used for first prescription -

 

•·         Menses dark maroon in colour and clotted.

•·         Pain in uterus better by hard rubbing and warmth.

•·         Stains undergarment which is difficult to be removed.

First prescription - dated - 24.10.2009 -

 

Medorrhinum 200 two doses at 15 minutes interval was given.

 

First follow-up - dated 28.10.2009 -

 

Patient came and stated that there is no improvement in pain or bleeding. So we decided to give him Medorrhinum 1m as we felt that the medicine was correct so we decided to increases the potency.

 

Second Follow -up - dated - 31.10.2009 -

 

To our surprise patient again said that there is hardly any improvement (1or 2%). Now we decided to go through the case once again.

Carcinosin adeno pap uterus 30 c was given. The reason for given carcinosin are as follows-

•·         Family history of cancer. (Materia medica by William Boericke - page 179- Carcinosin- It is claimed the carcinosin acts favorably and modifies all cases in which either a history of carcinoma can be elicited, or symptoms of the disease itself exist. (J.H.CLARKE, M.D.)

•·         Multiple fibroids ( reason explained earlier).

Second ultrasound - dated - 30.11.2009 -

 

Bulky uterus with thickened endometrial echoes with small left ovarian cyst (functional).

Third Follow-up - dated 30.11.2009-

 

Second ultrasound report shows no fibroid. No medicine was give as we all know that carcinosin is a deep acting medicine. The patient has already taken the medicine for a month so she was asked to report after one month.

 

Fourth Follow -up - dated - 1.1.2010

 

Patient is normal.

 

 

   

 

Case -3 Naushad 1053-36 ovarian cyst

 


Date:

09-Aug-2009 

Sl. No: 

1053

File No.:

36 

Patient Name:

Miss  Naushaba 

Gender:

 Female 

Age: 

24

Address:

Tulsipur Alld 

Mobile No:

9336605132

Disease

Ovarian Cyst


Present Complaints

Ultrasound- dated 6/8/09- Right ovary enlarged and shows cyst of 68x41x63mm (87 cc).
Haemoglobin - 6.7gm%
Menses- Late by 3-days to 7 day, first day normal bleeding - dark, thick, sticky and stringy blood, second day scanty or spots and third day bleeding stops completely.
Pain in lumbo-sacral region during menses better by movement, cold bathing.
Itching in vagina and urethra during or after menses better by cold bathing.                

Sensation as if foetus is moving in her abdomen.

Pain lower abdomen, changing places right to left.

3 day Lt side may be referred pain, Pain radiates to Lt leg -very severe pain,
increases and decreases gradually after  sleeps
Darkness in front of eyes, vertigo, severe vomiting during pain.
Mild pain ankle region.

Increased salivation during sleep.

Bleeding gums.

Frequent attack of cough and cold.

   

   

Generalities

   

1

Appetite

Normal App.

     

2

Craving

salty

     

3

Thirst

Decreased but increases during menses.

lips dry but no desire to drink

    

4

Stool

Normal Stool

after taking medicines since 2 days once little quantity ,not clear

    

5

Urine

Normal

     

6

Sleep

Restless in night

     

7

Dreams

Snake

     

8

Mind

Increased anger expressive

weeps easily

    

9

Constitution

likes Summers

     

   
    

Past Complaint

1

 

Vaccination

 

Given in childhood

  

2

 

Ring Worm

 

childhood

  

3

 

Scabies

 

childhood

Allopathic

 

4

 

Malaria

 

3 years back

Homeopathic

 

5

 

Measles

 

4 years back

Homeopathic

 

   
    

Family

1

 

Father

Alive

Heart Attack

  

2

 

Mother

Alive

Tuberculosis

 

Hypertension.

3

 

Sister

Alive

Appendix

  

 

   

 

   

Analysis of the case -

 

In this case the most important thing was the sensation of foetus moving in the abdomen. During case taking the patient has told this symptom more than 4-5 times.

 

Symptoms used for repertorisation -

FEMALE GENITALIA/SEX - MENSES - dark

FEMALE GENITALIA/SEX - MENSES - thick

FEMALE GENITALIA/SEX - MENSES - ropy, tenacious, stringy

FEMALE GENITALIA/SEX - MENSES - black

GENERALS - PAIN - appear gradually - disappear; and - gradually

MOUTH - SALIVATION - sleep - during - agg.

MOUTH - BLEEDING - Gums

STOMACH - THIRST - menses - during - agg.

 

 

 

   

 

First prescription - dated -9.8.2009

   
    

 

Crocus sativus 200 two doses at 15 minutes interval were given and it was repeated in similar manner after a week.

 

First follow-up -

 

Patient came on 26.8.2009 with improvement so the same medicine was continued.

 

Second follow -up -

 

Patient came on 10/10/2009 stating that the improvement has stopped. So Tuberculinum 1m two doses at 15 minutes interval was given followed by crocus sativus 200 the next week. The medicine was repeated in similar manner. The reason for giving Tuberculinum was that her mother had tuberculosis and she has tendency to catch cold.

Second ultrasound -

 

Dated 2.2.2010- shows normal scan.

 

Third follow-up  - dated - 9.2.2009 -

 

Patient came on 9.2.2010 with normal ultrasound scan. The medicine was continued for another 2 month to route out the chances of reformation.

 

 

 

 

 

Bottom of Form