gastrointestinal diseases presented by maureen horne-paul n.d

Gastrointestinal Diseases

Presented by

Maureen Horne-Paul N.D.

&

Heel Canada

Multifactorial Causes of GI Disease

Toxins

Infections Endocrine

Genetic Influence

Nervous

Diverse Approaches to Treatment

Diet

HomotoxicologicalStrategy

VitaminsMinerals

PsychologicalBalance

LifestyleModification

The Six Phase Table

•Subdivided into three blocks•Each block has two phases

Humoral phases:•Excretion•Inflammation

Matrix phases:•Deposition•Impregnation Cellular phases:

•Degeneration•Dedifferentiation

The Humoral Phases

• Intracellular systems are not disturbed

• Defensive system is intact

• Homotoxins can be easily drained

• Inflammation plays a key role

Excretion Phase

• Body’s attempt to rid itself of toxins

• External or exocrine secretion of a product to the “outside”

• Drainage by means of bonding, dispersion, or dissolving the contaminants in secretory products

Excretion Phase

Treatment strategy:

• Open the emunctories

• Avoid creating blockades to healing

• Support excretion with constitutional therapy (singles, nosodes)

• Dietary support

Gastroesophageal Reflux

Symptoms:

• “Heartburn” 30-60 min after eating

• Worse lying down, increased abdominal pressure, better sitting upright

• Nocturnal regurgitation, cough, dyspnea, aspiration

Gastroesophageal Reflux

Differential diagnosis:• Angina pectoris• Myocardial infarction• Gastroduodenal ulcer• Esophagitis/esophageal ulcer

Complications:• Esophagitis, stricture, esophageal ulcer

Gastroesophageal Reflux

Conventional treatment:

• Antacids

• Histamine H2-receptor antagonists

• Proton pump inhibitors

• Gastrointestinal stimulants

• Surgery

Gastroesophageal Reflux

Naturopathic Treatment:

• DGL (deglycerrhinated licorice)

• Hypoallergenic diet (alkaline)

• Appropriate digestive enzymes

• Probiotics

• Demulcent herbs-althea, plantago, etc

• Stress management

Gastroesophageal Reflux

Basic RemedyTraumeel®

Tissue remedyEndoteel®

Drainage remedyLyphosot®

Homaccord remedyNux vomica-Homaccord®

Symptomatic remedySpascupreel®

Astricumeel®

Nausea and Vomiting

Causes can include:

• Irritation, inflammation, motility disorder, mechanical disturbance at any level of GIT

• Hepatobiliary and pancreatic disorders

• CNS disorders: increased ICP, stroke, migraine, infection, toxins, radiation sickness

• Labyrinthine disorders: motion sickness, infection, Meniere’s syndrome

• Endocrine disorders: diabetic acidosis, adrenocortical crisis, pregnancy, lactic acidosis

Nausea and Vomiting

• Genito-urinary disorders: uremia, infection, obstruction

• Cardiovascular disorders: acute MI, CHF

• Drugs: morphine, meperidine, excess alcohol, anaesthetics, chemotherapy, etc.

• Psychological disorders: reaction to pain/fear/displeasure, chronic anxiety reaction, anorexia, bulemia, psychosis

Nausea and Vomiting

Complications:

• Fluid and electrolyte disturbances

• Aspiration of vomitus

• Gastroesophageal tears

• Malnutrition

• Post-emetic rupture of the esophagus

Nausea and Vomiting

Conventional Treatment:

• No intervention in mild, self-limiting cases

• Anti-emetics

• Fluids/electrolytes in severe cases (hospital)

• Sedatives

• Antihistamines

• Phenothiazines

• Metoclopramide

• Tetrahydrocannabinol (very helpful in cancer patients)

• Psychotherapy

Nausea and Vomiting

Naturopathic Treatment:

• Homeopathy-ipecac, nux, puls, tabacum

• Ginger, peppermint

• Light foods

• Increase water intake

• Treat the cause

Nausea and Vomiting

Basic RemedyVomitusheel®

Tissue remedyEndoteel®

Drainage remedyLyphosot®

Homaccord remedyNux vomica-Homaccord®

Symptomatic remedyVeratrum-Homaccord®

Astricumeel®

Diarrhea

• Increase in frequency, fluidity, and volume of BM’s (>200g/d of stool excreted)

• Normal function varies between individuals

• Several types

• Diagnosis made on basis of history and physical exam, as well as stool culture

Diarrhea

Types of Diarrhea:

• Osmotic

• Secretory

• Exudative disease

• Impaired contact between bowel surface and chyme

• Disease of left colon or rectum

Diarrhea:

Causes:• Psychogenic

• Drugs• Viral or bacterial

infection• Bacterial toxins

• Parasitic infection

• Other intestinal factors

• Cholestatic syndromes

• Malabsorption

• Pancreatic disease• Reflex from other

viscera• Neurological disease

• Metabolic disease

• Immunodeficiency

• Malnutrition

• Dietary factors

• Food allergy

• Factitious/unknown

Diarrhea

Naturopathic Treatment:

• Treat the cause-bacterial, viral, other

• Probiotics

• BRAT diet

• Rule out food allergies

• Fiber

• Stress management, mental/emotional

BRAT diet

• Bananas

• Rice

• Applesauce

• Toast

Diarrhea

Basic RemedyAreel®

Tissue remedy

Endoteel®Drainage remedy

Lyphosot®

Homaccord remedy

Veratrum-Homaccord®Symptomatic remedy

Spascupreel®

Inflammation Phase

• Illnesses are characterized by exudative inflammation, expulsion of toxins

• Accelerated draining of homotoxins from the body via capillary system and vascular connective tissue activation

• Production of annoying symptoms such as fever, pain, swelling, discharges

• Controlled by nerve impulses and hormones

Inflammation Phases

Treatment strategy:

• Facilitate elimination of toxins via the emunctories (Ki, skin, GIT, uterus)

• Modulation and support of the immune system if necessary

• Dietary measures

Acute Gastroenteritis

Symptoms:

• Anorexia, epigastric fullness, easy satiety

• Nausea, vomiting, upper GI bleeding

• If 2° to infection/bacterial toxins, may see diarrhea, chills, fever, headache, dehydration

• Epigastric tenderness

Acute Gastroenteritis

Labs:

• May be normal or reflect underlying disease

Special examinations:

• Endoscopy (if acute upper GI hemorrhage)

• Barium swallow if indicated

Acute Gastroenteritis

Differential diagnosis:

• Peptic ulcer

• Neoplasm

• Cholecystitis

• Esophageal spasm

• Angina pectoris

• Pancreatic disease

• Psychological gastrointestinal disorders

Acute Gastroenteritis

Conventional treatment:

• Remove offending agent

• Stress reduction

• Probiotics

• BRAT diet

• Antibiotics

Naturopathic Treatment

• BRAT diet

• Probiotics

• Water

• Treat causative factors

• Fiber

• L-glutamine, rice-based medicinal food (if long-standing)

• Demulcent herbs

Acute Gastroenteritis

Basic RemedyAreel®

Tissue remedyEndoteel®

Drainage remedyLyphosot®

Homaccord remedyVeratrum-Homaccord®

Symptomatic remedySpascupreel®

Types of Gastritis and Remedies

Erosive:

• Traumeel®

Corrosive:

• Endoteel®

Drug-induced:

• Astricumeel®

Chronic Gastritis Remedies

Autoimmune:

• Echinacea compositum®

Bile reflux:

• Nux vomica-Homaccord®

Geriatric:

• Endoteel®

Eosinophillic:

• Luffeel®

Cholecystitis

Signs and Symptoms:• Steady, severe pain and tenderness in the right

hypochondrium or epigastrium

• Nausea and vomiting

• Jaundice

• Fever

• Usually associated with gallstones

• Occurs when stone lodged in cystic duct causing inflammation behind the obstruction

• Can become medical emergency

Cholecystitis

Conventional Treatment:

• Antibiotics

• Analgesics

• IV feeds if severe or very mild oral diet

• Surgery

Naturopathic Treatment

• Homeopathy

• Botanicals

• Acupuncture

• Hydrotherapy

• High fiber, low fat diet

• Lipotrophic agents, silymarin

Cholecystitis

Basic RemedyChelidonium Homaccord®

Tissue remedyEndoteel®

Drainage remedyHepar Compositum®

Lyphosot®

Homaccord remedyBelladonna-Homaccord®

Chol-Heel®Symptomatic remedy

Spascupreel®

Nux vomica-Homaccord®

The Matrix Phases

• Homotoxins deposited into extracellular matrix/incorporated into cells

• Structural components/functions of the matrix changed

• Decreased ability of the matrix to detoxify

Deposition Phase

• Failure of both excretion and inflammatory mechanisms

• Toxins are inactivated but not eliminated

• Toxins accumulate in connective tissue/ matrix, cell function intact

• Mucous membrane hyperplasia, hepato/splenomegaly, hyperkeratosis

• Symptoms due to compression or expansion of tissues

Deposition Phase

Treatment strategy:

• Reduction of toxins entering the body

• Open the emunctories

• Detoxification of the matrix

• Gastrointestinal support

• Activation/support of the immune system to cause effective reaction phase

Constipation

Diagnosis:

• History is very important

• If no obvious cause (tumors, stricture, etc) and patient does not respond to simple measures may need further workup

• ? Motility disorder, obstruction, metabolic disorder

Constipation

Causes:• Dietary factors• Physical inactivity• Pregnancy• Advanced age• Drugs• Metabolic

abnormalities

• Endocrine abnormalities

• Lower bowel abnormalities

• Neurogenic abnormalities

• Psychogenic disorders• Chronic enema use

Constipation

Conventional Treatment:

• Re-establish normal bowel habits

• Diet– Adequate food volume– Adequate bulk/vegetable irritants– Adequate fluids

• Laxatives

• Enemas

Naturopathic Treatment• Treat the cause

• Diet-high fiber (soluble and insoluble), hypoallergenic if appropriate

• Probiotics

• Wean off laxatives

• Water (and lots of it)

• Magnesium

• Exercise

• Retrain bowel

Constipation

Basic RemedyNux vomica-Homaccord®

Tissue remedy

Hepar Compositum®

Endoteel®

Drainage remedy

Lyphosot®

Homaccord remedy

Nux Vomica-Homaccord®

Graphites-Homaccord®Symptomatic remedy

Spascupreel®

Impregnation Phase

• Invasion of the interior of the cell by homotoxins or retoxins (risk for AI disease)

• Homotoxins may be dormant or have a local focus of inflammation

• Disruption of the function of tissues, organs, cell membrane due to “matrix overload”

• Failure of self-regulating mechanisms

Impregnation Phase

Treatment strategy:

• Open the emunctories

• Reduction of toxin load

• Facilitate detoxification

• Activation and removal of any pharmacological toxins

• Support intracellular function

Anal Fissure

• Passage leading from the anorectal canal usually opening through the skin near the anus

• Acute pain during and after defacation

• Bright red blood in stool

• Tendency to constipation due to fear of pain

• Formation of sentinel pile, anal spasms

Anal Fissure

Conventional Treatment:

• Bulking agents

• Sitz baths

• Topical silver nitrate or gentian violet

• Anal suppositories (Anusol, etc.)

• Surgical excision

Anal Fissure

Naturopathic Treatment:

• Sitz bath

• High fiber diet-soluble >insoluble

• Homeopathy

• Botanicals

Anal Fissure

Basic RemedyEchinacea Compositum®

Traumeel®

Tissue remedyHepar Compositum®

Endoteel®

Drainage remedyLyphosot®

Homaccord remedyNux vomica-Homaccord®

Symptomatic remedySpascupreel®

Paeonia-Heel®

Viburcol® po or pr

Ulcerative Colitis

Signs and Symptoms:

• Can be mild to severe

• Diarrhea, up to 10-25 BM per day

• Blood and mucous in stool, may occur without feces

• Rectal tenesmus, anal incontinence

• Cramping, lower abdominal pain

Ulcerative Colitis

• Anorexia, malaise, fatigue, weakness

• Remissions and exacerbations

• Fever, weight loss, toxemia vary with severity of the disease

• Mild abdominal tenderness, gas, bloating

• Perianal irritation, fissure, hemorrhoids

• Uncommonly, fistula and abscesses

Ulcerative Colitis

Labs:

• Hypochromic, microcytic anemia

• Neutrophillic leukocytosis in acutes

• ESR elevated

• Hypoproteinemia

• In severe disease, electrolyte disturbances

• Sigmoidoscopy/colonoscopy usually diagnostic

Ulcerative Colitis

Conventional Treatment:

• Antimicrobials

• Cortisone enemas and po Prednisone

• Sulfasalazine (other 5'ASA derivatives)

• Imuran (immunosuppressant)

• Surgery

• Diet (usually not considered important)

Ulcerative Colitis:

Naturopathic Treatment:

• Hypoallergenic diet

• Probiotics

• Antifungals

• Anti-inflammatories

• Rice-based medicinal foods

• L-glutamine

• Fiber

• Fish oils and other EFA’s

• Homeopathy

• C, E, Zn, A

Ulcerative Colitis

Basic RemedyNux vomica-Homaccord®

Tissue remedyEndoteel®

Drainage remedyLyphosot®

Galium-Heel®

Homaccord remedyCinnamomum-Homaccord®

Veratrum-Homaccord®

Symptomatic remedySpascupreel®

Areel®

Cruroheel®

Traumeel®

The Cellular Phases

• The intracellular systems in the cell are increasingly destroyed

• The body’s defense system is no longer able to drain the toxins from the cells and the matrix

• Loss of regulatory function of cells, tissues, and matrix

Degeneration Phase

• Deep alteration of organ structure and function

• Altered intercellular enzymatic function

• Inability of cells to detoxify

• Ongoing toxin accumulation at tissue and cellular levels

• Body attempts to maintain life as long as possible

Degeneration Phase

Treatment strategy:

• Emunctory activation and drainage

• Stimulation of detoxification of most affected organ

• Activation of specific defenses against the basic illness with nosodes

• Stimulation of cellular detoxification

Hemorrhoids

Causes:

• Portal hypertension

• Pregnancy

• Sitting too long

• Straining at stool

• Anal infection

Hemorrhoids

Clinical findings:

• Rectal bleeding, protrusion, vague discomfort

• Mucoid discharge from rectum

• Anal pain

Hemorrhoids

Complications:• Pruritis• Incontinence• Recurrent protrusion requiring surgical treatment• Infection, ulceration• Fissure• Prolapse and strangulation• Secondary anemia due to blood loss

Hemorrhoids

Conventional Treatment:

• High fiber diet

• Non-irritating laxatives

• Sitz baths

• Shark oil suppositories (Preparation H)

• Manual reduction

• Surgical excision

Hemorrhoids

Naturopathic Treatment:• High fiber diet (soluble > insoluble)• Probiotics• Homeopathy• Botanicals• Sitz baths• Liver detoxification to relieve portal congestion• Unscented baby wipes

Hemorrhoids

Basic RemedyHamamelis-Homaccord®

Tissue remedy

Endoteel®

Hepar compositum®

Drainage remedy

Lyphosot®

Homaccord remedy

Apis-Homaccord®

Nux vomica-Homaccord®

Symptomatic remedy

Paeonia-Heel®

Aesculus Compositum®

Duodenal Ulcer

Signs and Symptoms:• Chronic, periodic epigastric distress within 1 hour of

eating• Gnawing, burning, aching pain which may radiate

below costal margin, to back, or rarely to right shoulder

• Increased gastric acid secretion• Ulcer crater ID’d on endoscopy or barium swallow• May be precipitated by physical or emotional stress,

trauma, infection

Duodenal Ulcer

Differential Diagnosis:

• With typical symptoms, diagnosis usually straightforward

• Functional gastrointestinal disease

• Gastritis

• Gastric carcinoma

• Irritable bowel syndrome

Duodenal Ulcer

Complications:

• Treatment failure

• Hemorrhage

• Perforation

• Penetration

• Obstruction

Duodenal Ulcer

Conventional Treatment:

• Antacids, H2 antagonists, sucralfate

• Anticholinergics

• Proton pump inhibitors

• Surgery (if perforation or obstruction)

Duodenal Ulcer

Naturopathic Treatment:

• Alkaline diet, no spices, tomatoes, citrus, other irritating foods

• Deglycerrhinated licorice, other demulcent herbs

• Homeopathy

• L-glutamine, gamma-oryzanol

• Fresh cabbage juice

Duodenal Ulcer

Basic RemedyDuodenoheel®

Astricumeel®

Anacardium-Homaccord®Tissue remedy

Endoteel®

Hepar compositum®

Hepeel®

Drainage remedy

Galium Heel®

Hepar Compositum®

Ubicoenzyme®

Homaccord remedy

Cinnamomum-Homaccord®

Nux vomica-Homaccord®

Graphites-Homaccord®

Symptomatic remedy

Spascupreel®

Chelidonium-Homaccord®

Nux vomica-Homaccord®

Diverticulosis

• More frequent with advancing age

• Most common in sigmoid colon, other high pressure areas of the gut

• Never in the rectum

• Inflammation in 10-20% of patients

Diverticulosis

Signs and Symptoms:

• Constipation usual, may be diarrhea

• LLQ pain and tenderness > BM, may be severe and steady

• Occult blood in 20% of cases

• Inflammation ranges from mild infiltration to extensive changes with abscess formation and/or perforation

Diverticulosis

Complications:

• Diverticulitis with perforation of the diverticulum

• Peritonitis

• Abscess formation

• Bladder involvement (frequency and dysuria)

• Fistula

Diverticulosis

Differential diagnosis:

• Colorectal cancer

Diverticulosis

Conventional Treatment:

• High fiber diet

• Bulking agents

• Stool softeners

• Anticholinergics

• Antibiotics

• Surgery in severe cases

Diverticulosis

Naturopathic Treatment:

• Probiotics

• Homeopathy-arg nit, met alb, coloc

• Vit A, C, zinc

• Botanicals

• Rice-based medical foods

Diverticulosis

Basic RemedyEchinacea Compositum®

Tissue remedyEndoteel®

Drainage remedyLyphosot®

Ubicoenzyme®

Homaccord remedyNux vomica-Homaccord®

Symptomatic remedySpascupreel®

Dedifferentiation Phase

• Proliferation of undifferentiated, non-specialized cell forms

• Loss of cell specificity and function

• Loss of oxidative energy, glycolysis dominates

• Malignant diseases at the end of this phase

• Progression of tumor growth may be associated with emunctory function

Dedifferentiation Phase

Treatment strategy:

• Emunctory stimulation and activation– Lyphosot, Berberis-Homaccord, Nux vomica-

Homaccord, Galium-Heel

• Stimulation of psychophysical reactivity– Constitutional compound remedy (Sil, S, Phos,

Calc carb)

• Decrease toxin load– Dietary measures

Dedifferentiation Phase

Treatment Strategy con’t:

• Inhibition of proliferation at cellular level– Viscum album, colchicum, etc.

• Specific inhibition of neoplasm– Tumor-specific single remedy

• Anti-neoplasic nosode stimulus

• Stimulation of cellular detoxification

• Re-initiation of cellular enzyme function

Basic Therapy

Acute Phase

Structure

Homaccord

Compositum

Anacardium-Homaccord

Duodenal ulcersrelated topsychologicalstress

Anacardium (D8/10/30/2000)•gastric spasm and pain, ulcer•depression due to stress

Ipecac (D6/10/30/200)•nausea, gastritis, irritability

Iodum (D30/200/1000)•chronic gastritis, pancreatic diseases, stress

•Inner conflict,anguish, worry•Stress-related gastritis, IBS•Stomach ache < empty > eating

StomachDuodenum

Nux vomica-Homaccord

•Esophagitis•Gastritis•Toxic hepatitis

LiverDuodenum

Bryonia: (D2/6/10/30/200)•gastric heaviness, dyspepsia, •chronic liver disease, constipation

Colocynthis: (D5/10/30/200)•abd colic, irritability, diarrhea

Lycopodium: (D5/10/30/200)•flatulence, liver disease

Nux Vomica: (D4/10/15/30/200/1000)•intoxication, abd spasm, irritability, •constipation

•Acute intoxication•Lifestyle change•Attitude change•Addiction

Berberis-Homaccord

Berberis: D2/10/30/200•painful, acute inflammation•kidney drainage

Colocynthis: D3/10/30•biliary colic, spasm

Veratrum: D10/30/200•colic with vomiting and diarrhea•cramping

Adrenal supportKidney drainageLiver, gallbladder,urinary tract inflammation

Biliary tract, Kidneys,Adrenals

Chelidonium-Homaccord

Biliary Ducts

Chelidonium: (D10/30/200)•cholecystitis, spasm, inflammation

Belladonna: (D10/30/200/1000)•inflammation, spasm, heat sensation

Fel tauri: (D10/30/200)•detoxification of liver, cholecystitis,• cholangitis•duodenal/gastric ulcer, pancreatitis

HepatitisJaundiceCholecystitisBiliary colic

Constitutional Outline of Diarrhea and Constipation

DIARRHEA

CONSTIPATION

Areel Endoteel

Hepeel HeparCompositum

Anacardium-Homaccord

Nux vomica-Homaccord

S

PSil

Calc

Remedies Acting on the Biliary Ducts

Chelidonium-Homaccord®

Berberis-Homaccord®

Chol-Heel®

Chol-Heel

LiverBiliary Tract

Belladonna D30/200/1000•anti-inflammatory

Calc carb D30/200•flatulence, biliary colic

Cardeuus marianus D30/200•constipation/diarrhea, liver protective, colic

Chelidonium D30/200•gallbladder colic, jaundice with itching

Lycopodium D30/200/1000•liver/ bile duct/ gallbladder diseases, cholesterol

Taraxacum D30/200•chronic liver disease, dyspepsia, portal congestion

Veratrum D30/200•fever, diarrhea, vomiting, collapse

Chronic liver/gallbladderdiseaseCholecystitisHepatic damage

Basic Compound Remedies

Metabolic disease

Fatty LiverLiver Insufficiency

HEPAR COMPOSITUM

Hepar Compositum:• Global digestive

stimulation

• Tendency to constipation

• Enhances liver metabolism

• Liver drainage

Hepar Compositum

Detoxification via liver drainageChina, lycopodium, chelidonium, carduus marianus, taraxacum, cynara, calc carb, sulphur

Digestion/Anti-inflammatoryCholesterinum, histaminum

Cellular RespirationAlpha-lipoic acid, NAD

Basic Compound Remedies

Endoteel:• Anti-degenerative

• Stimulating activity on the entire digestive mucosal surface

• Tendency to diarrhea

• Specific action on the pancreas

Degenerative disease

Mucosal Problems

ENDOTEEL

Endoteel

Detoxification/ConstitutionalBerberis, sulphur, phosphorus, silicea

Anti-inflammatoryBelladonna, argentum nitricum, carbo veg, sulphur, graphites

Mucosal Tissue SupportEuphrasia, euphorbium,

Esophageal Diseases

Functional pathology:

• Nux vomica-Homaccord®

Inflammatory pathology:

• Traumeel®

Degenerative pathology:

• Endoteel®

Intestinal Diseases

Functional pathology:

• Nux vomica-Homaccord®

Inflammatory pathology:

• Traumeel®

Degenerative pathology:

• Endoteel®, Pulsatilla compositum®

Anorectal diseases

Vascular pathology:

• Aesculus compostium®

Inflammatory pathology:

• Paeonia-Heel®

Connective tissue pathology:

• Pulsatilla compositum®

GI Symptomatic Remedies

• Usually given orally

• Alternative to pharmaceuticals

• Prescribed on the basis of particular symptoms as well as a specific diagnosis

GI Symptomatic Remedies

Hepeel® Liver

Astricumeel® Gastro-duodenal

Areel® Colon

Paeonia-Heel® Rectum

Hepeel

Functional liver disorders:Nux moschata, china, phos

Liver detoxification:Lyc, phos

Liver damage, cholecystitis, cholangitis: Cardeuus, chelidonium, colocynthis

Hepeel

• Lycopodium, Nux mochata– Flatulence, chronic liver insufficiency

• Cardeuus marianus– Liver damage, portal congestion, biliary colic, hemorrhoids

• Chelidonium– Biliary colic, pain right shoulder

• China, Phosphorus– Slow digestion, diarrhea tendency, parenchymal damage

• Colocynthis– Colic, stabbing pains

Astricumeel

Acute and chronic gastritis,mucosal damage: Arg. nit

Reflux, hyperacidity,nausea, inflammation:Ant crud, carbo veg, robina, ip, bell

Gastric ulcer, dyspepsia, alcohol abuse: Arg nit, puls

Astricumeel

In addition, can be combined with: • Spascupreel, Cardiacum-Heel: anginal disorders• Duodenoheel: duodenal ulcer• Veratrum-Homaccord: gastroenteritis• Hepeel: liver disease• Chelidonium-Homaccord: cholangitis• Nux vomica-Homaccord: spasmodic constipation• Areel: dyspepsia, diarrhea

Areel

Normalize gutecology

Diarrhea with any condition, anti-inflammatory

Liver, gallbladder,small intestine, colon,pancreas

Areel

Diarrhea

Hepatopancreaticdisorders

Bowel toxinelimination

ColitisDysenteryFood poisoning

Intestinalparasites

CholangitisCholecystits

Areel

• Elimination of homotoxins formed through fermentation and putrefaction in the small intestine

• Any condition with accompanying diarrhea• Colitis, dysentery, intestinal parasites, food

poisoning• Hepatopancreatic disorders, cholangitis,

cholecystitis

Paeonia Heel

Hemorrhoids: Paeonia, hamamelis, sulphur

Constipation:Nux vomica, graphites

Anal Fissure:Nitric acid

Gastrointestinal SystemHumoral Phases Matrix Phases Cellular Phases

Organ System ExcretionPhases

InflammationPhases

DepositionPhases

ImpregnationPhases

DegenerationPhases

Dedifferen-tiationPhases

GastrointestinalSystem

Teeth-mouth-jaws

Oesophagus

Stomach

Duodenum Small

intestine

Large intestine

Liver-bile

Pancreas(excretory)

Salivation

Heartburn

Nausea,vomiting,dyspepsia

Diarrhoea

Bloating,flatulence,diarrhoea

Bile

Glossitis,pulpitis,

osteitis of thejaw,

periodontitis

Oesophagitis

Gastroenteritis,gastritis

Gastroduodenitis

Ileitis, jejunitis

Enteritis, colitis

Cholangitis,cholecystitis,

hepatitis

Pancreatitis

Granuloma

Achalasia

Hyperplasticgastritis

Melanosis coli,constipation,candidiasis,

polyposis coli

Cholecystolithiasis,

fatty liver

Siderosis

BBII OO

LLOO

GGII CC

AALL

DDII VV

II SSII OO

NN

Allergy

Caries

Cardiacinsufficiency

Chronicgastritis

Malabsorption,sprue

Irritable colon,ulcerative

colitis, Crohn’sdisease

Liver functiondisturbance

Chronicpancreatitis

Periodontosis

Metaplasia

Atrophicgastritis,

gastric ulcer,peptic ulcer

Duodenal ulcer

Malabsorption

Diverticulosis

Liver cirrhosis

Diabetesmellitus,excretorypancreatic

failure

Leucoplakia, lingualand mucosal carcinoma

Oesophageal cancer

Stomach cancer

Colon cancer

Hepatocellular cancer,cholangioma

Pancreatic cancer

Thank your for your attention!