Mr. A.H.Q., aged 70 years, came with the
great toe amputation at South Africa of his right foot with the H/o Cardiac
By-pass Surgery. The Cardiac by-pass Surgery was done as preparation for
the amputation of the great toes and finally go for B/K amputation. In
fact the blood circulation was poor all over. True, the picture does depict
the book picture of a Diabetic Foot but with some sign. The head of the
first metatarsal bone is covered up with green pussy slough.
In spite of various good indicated remedies
like Ars Alb, Hepar Sulp, Kali Sulp, Pulsatilla, the slough would not
yield to the treatment. On the contrary it started spreading and the situation
worsened. The Surgeon and Physician friends started pressurizing me for
Anti-biotic therapy. I understand in normal conditions of chronic ailment
it would have been not difficult for me to wait and watch as a Homoeopath.
Whereas here the patient might have gone into other complication like
Renal failure and worst was amputation.
I remembered J.HENRY ALLEN M.D. Writings on Chronic Miasma.
"There comes a time when we can not
do this or, at least, it would not be wise to do so, as is seen in cases
of incurable disease or when the miasmatic action has progressed so far
that no permanent reaction can be solicited and any attempt to make a
positive cure result in injury to the patient and often shortens life.
This is frequently seen in such disease as diabetes mellitus, in the last
stages of cancer, tuberculosis in its third stage. Here it is well not
to base our prescription upon the basic miasmatic symptoms; as the attempt
made by nature under the basic remedy causes over action and death follows
sooner than if we left the patient alone. Here it is better to palliate
the disease by remedies not based fully upon miasmatic symptoms."
..Page no 68.
I immediately ordered for blood investigation
and to my expectation the Haemoglobin was 7.5 g/dl. I preferred for blood
transfusion. I gave 3 bottles of whole blood against the wish of my Physician
The patient was meticulous, fastidious
and afraid of the disease was incurable, Cadaveric smell of the ulcer
with burning sensation > by covering. I returned back once again to
Ars Alb1m with great confidence. The wound improved. The spreading cellulitis
of the center of foot disappeared. The sloughs vanished and small incision
was done on the healthy granulated part of the wound anteriorly to unload
the wound. The whole wound with the gangrenous margin closed as shown
in the after treatment picture. The foot was salvaged without further
Refer the before and after treatment
photographs published at the back wrapper under case No 1.
Mr. J.M. from East Africa came to me with
post-surgical large wound of the right foot. The First metatarsal and
second metatarsal bones head being exposed and infected. The third toe
being gangrenous and the surrounding skin with thick gangrenous margin.
I started with Ars Alb1000 3 hourly but
the surgery was to be designed to my choice. The decreased vascularisation
improved within 48 hours as per Non- Visualising Doppler study.The whole
wound was sutured and an attempt was to cover up the maximum part of the
wound. At this juncture Sul.Acid 200 was introduced. Sulph.Acid is a king
remedy to hold sutures intact and also keeps the sutures from getting
infected in all cases. Here the patient being diabetic the fear of infection
is much higher but Sulph.Acid will never disappoint. Sulph.Acid prevents
the complication of surgical trauma.
Later step wise the sutures were removed.
This picture also shows that rest of the toes has completely recovered
from Dry gangrene and the shapes were also maintained. After the complete
removal of the sutures the patient was once again put on to Ars.Alb1m
three hourly for another 15 days. The X-Ray was advised to rule out any
postoperative complication of osteomyelitis. Though in the initial stages
of diabetic foot the X-Ray is always deceptive, still the precaution was
Complete recovery and the patient went
back walking on his foot. Ars.Alb was chosen as the patient had mental
disgust, Fear of recovery without suicidal tendency and without thirst.
Refer the before and after treatment
photographs published at the back wrapper under case No 2.
The other Remedies as per indication are:
Sec.Cor, LachesIs, Crotalus Horridus, Carbo Veg, Tarent.Cub, Kreosotum,
For spreading cellulitis : Rhus Tox., Apis M., etc..
For Bleb : Hep.Sulph, Apis etc...
For Callosities : Antimony Crud, Thiosinaminum etc
Local (Topical) application : Echinacea Mother tincture in 1: 5 dilutions
with distilled or auto-claved water.