Designing Treatment with the Three Pillars

Transcription

1 Designing Treatment with the Three Pillars IAH AC Designing Treatment with the Three Pillars 1

2 Development of Disease 2 When therapeutically approaching a pathology, it is important to remember that a disease has a distinct progression in the body. First the body will deal with any disturbance at the level of the autoregulatory system, but if this system is not working properly, or if is overloaded, the disease process will be shifted to the matrix, and lastly to the cell. Depending on the stage of the disease, we will apply the so-called three pillars of treatment differently. This will be the purpose of the present lecture. 2

3 Every disease process of a patient is a journey for the practitioner For a journey one needs A Map To know the terrain you are going to cross Select the appropriate vehicle Select the appropriate fuel 3 To get to a structured treatment plan, we need to go through the conventional steps to arrive at a diagnosis. However, in Homotoxicology other factors are taken into account, such as the toxic history, as well as the various other factors which may have impacted on this particular patient.. To get to any comprehensive treatment plan, we have to know where to start, and also have a way to monitor the progress or evolution of the patients. With conventional blood work, this is often not possible, to monitor all diseases with serum markers, or they do not correlate with the state of illness (e.g. Rheumatoid factor in RA or viral count in Hepatitis C). It is thus useful to have a different way to measure the progress of a patient and to know when to adjust treatment. In homotoxicology this is done according to the Disease Evolution Table (DET). This is explained in other lectures. 3

4 Planning treatment with antihomotoxic medicine The Map The Disease Evolution Table The Territory The Greater Defense System The Vehicle The three pillars The Fuel The medications with different combinations According to the pharmacological groups (Plants, minerals, catalysts etc.) According to the composition (basic, compositum, homaccord etc.) 4 In homotoxicology, the map is the DET. This is useful for a couple of reasons which will be explained subsequently. The terrain we are working on is the so-called Greater Defense System, which include all the organs that have to do with auto regulation, thus, the actual system where defense takes place. We apply the three pillars in order to manipulate the greater defense system The three pillars are the bread and butter treatment for regulation on the DET. Lastly, medications can be applied more specifically to achieve different goals in the different pillars, and the correct decision needs to be taken on this. 4

5 Why is the DET such a good tool? Can establish the prognosis of the patient Planning and adjusting the therapy Following the health progression during treatment 5 The DET is a practical tool: Firstly, it can give us an idea of the regulatory reserve capacity of a patient. If the patient is on the left side of the regulatory division, it means that the he/she is still able to regulate. If the patient is on the right side of the regulation/compensation division, we know that there may be only compensatory mechanisms and we need to stimulate the regulation in these patients. The tools on the different sides of the division are different. The DET is thus assisting in planning a treatment, and furthermore also give us an indication of prognosis and an indication of the need to use concomitant therapies, but also whether a patient needs to still take adjuvant allopathic therapy at the same time. The better a patient can regulate, the less the patient will need additional support from allopathic drugs. Once the therapy is selected, the DET can also be used to in fact follow treatment. The intervals where patients are reassessed should become longer if the patient is classified initially on the left of the regulation/compensation division. A good interval is 6 weeks at a time, to see whether the patient has made any shifts towards health progression or recovery. 5

6 Disease evolution 6 Disease evolution is a worsening movement towards the right side of the DET. The disease progression can be followed in many modern diseases, such as for e.g. hepatitis C, progressing to fatty liver, fibrosis and possibly even cancer. Also in diseases such as the metabolic syndrome as well as in diabetes, a similar progression is observed (from inflammation to chronic inflammation in diabetes, as well as a higher incidence of cancer). 6

7 Health evolution 7 Health evolution implies the opposite movement (or improvement). This is of major interest in the treatment of patients with homotoxicology. In the treatment thus, the aim is to see the patient moving from the right to the left of the chart. Patients on the right of the chart are often in a rigidity pattern, which means that they do not get acute banal disease during a chronic disease stage, such as RA and cancer. Acute inflammation without fibrosis is a good phenomenon, which is purposeful. It is thus something we would like to see when treating patients with a biological therapy. Not all patients will move towards health progression in this way, as many patients will just present with phenomena which fall in the deposition phase, an increase in skin tags for instance, but acute inflammation is a very powerful manifestation with which we can see that a patient is getting better. The challenge in this is often to induce acute reactions which will resolve without becoming chronic and at the same time resolve the chronic inflammation without fibrosis. 7

8 Classification of the patient on the DET See flow chart in DET Practical Exercises, e.g. Lymphoma Dedifferentiation Lymphodermal 8 The first step is thus to classify the patient on the six phase table (DET), which is done according to the following flow chart. (The next slide). 8

9 The importance of the horizontal axis Gives an idea how well the patient regulates in face of the toxin, and reflects the most up to date status of the patient In the history though one can follow the stages which the patient has gone through Treatment is always planned according to the phase which is the furthest on the right 9 The horizontal axis will give an idea of the ability of the patient to regulate, in the presents of the toxic load. The disease as it is presented is a sign of a purposeful defense of the body. The progression of the disease is thus also a sign of success or failure of the defense system to regulate. By taking the classification to the extreme right on the table, we will have a status of this in real time. We thus also start our treatment in this phase. Please refer to the lecture on the DET for details on how to use the table. 9

10 The importance of the vertical axis Gives an indication of the tissue most affected in the patient This may be genetically predisposed The locus minoris resistentae The embryological layers make it possible to treat different layers in the same organ and also follow disease in the same organ 10 The vertical axis gives information on the tissue the patient has been vulnerable to develop the disease. Thus, it may be genetically determined. The emergence of the knowledge on the genomic so-called SNP s or single nuclear polymorphisms, explains many of these effects. As a human race we have basically all of our genes (99.99 %) identical, except the 0,01 % which is variable and will account for the different responses of individuals in the same environment. These SNP s are emerging as possible predictors of susceptibility of patients to diseases. For instance, if a number of patients are exposed to external cortisone over time, not all patients will develop all the side effects and to the same degree in all systems. We will see, for instance, that in some patients this will present as a gastric ulcer, in others as osteoporosis, still in others as metabolic syndrome and diabetes, and again in others with Cushing s disease. By breaking up the tissues in their embryological origin, we can also follow up the shift of disease in the same organs. For example, asthma may move towards health progression from the endodermal organodermal respiratory phase over the endodermal mucodermal phase as in acute bronchitis. This is a positive shift in disease evolution. 10

11 The territory The autoregulatory system 11

12 The Autoregulatory System The Hypothalamic pituitary hormonal axis The Neural Reflexes The Liver The Immune System Cellular Respiration The Nervous System The Mucosal Surfaces 12 The autoregulatory system ensures homeostasis in an open system, such as is the human body. It means that when a disturbance enters the system, or there is an internal disturbance in homeostasis, such as an overproduction of hormones and neurotransmitters, the whole system which is inter-connected reacts simultaneously. However, due to the individual differences mentioned before, some patients will have a weak spot in one or the other system. We see for instance those patients who had a lot of stress as children are less able to regulate over the hypothalamic-pituitary-adrenal axis when they are older. This means that they may be more prone to develop adrenal burnout, or even immune syndromes. In cases like these it is often better to choose the products in the immune regulation or organs regulating pillar to encompass an extract of hypothalamus and also glandula suprarenalis as we see for instance in Tonsilla compositum, or we would use Berberis-Homaccord for a longer period, as it has functiotropic properties for the adrenal gland. 12

13 Regulatory Systems Three characteristics: Interaction Feedback Oscillation and Rhythm Want to restore all three and observe all three 13 In restoring the function of the autoregulatory system, the antihomotoxic medicines are well suited; as it does not interfere with normal negative feedback mechanisms of the autoregulatory system (it merely supports the organs of the autoregulatory system). Whenever we treat the organs of the autoregulatory system we need to observe and restore the following: The interaction between the various organ systems. One can actually enter the system from any point, be it through the immune system, the endocrine system, the matrix or the liver via detoxification. In most cases we enter over the liver and matrix, as this is the system which ensures proper communication between different regulatory systems. In some cases though, we would enter the system through the immune system first, for instance when we have a disease in the organs of detoxification, such as in hepatitis C. In other cases we would like to support the whole system first, as it may be the case in many frail cancer patients, where we would not like to induce health progression to aggressively. In these cases we would then first support the organs. 13

14 Regulatory Systems Three characteristics: Interaction Feedback Oscillation and Rhythm Want to restore all three and observe all three 14 It is important to observe the negative feedback. In the normal physiological state, there is always a counter-measure immediately activated with every active process in the body. Thus with inflammation will activate both pro-inflammatory cytokines, but at the same time repair mechanisms such as the activation of the TGF-beta. A very important feature of open biological systems is oscillation. We see for instance a biorhythm in most of the processes in the body. For example, cortisol has a peak at 08:00 and low ebb at 00:00. This is also important for the matrix, which then becomes slightly inflammatory when cortisol is at the ebb. This is also balanced with an acid phase in the matrix. These three events will then allow detoxification in the matrix. When we treat any condition we would like to restore the normal interaction, feedback and also restore the biorhythm. This is extremely difficult to achieve with anything that has a suppressive action. 14

15 Regulatory Systems Three characteristics: Interaction Feedback Oscillation and Rhythm Want to restore all three and observe all three 15 As already stated, a very important feature of open biological systems is oscillation. This is also reflected in the immune system, where TH1 is slightly dominant in the early hours of the morning, followed by TH2 later in the day. This small oscillation around the baseline is seen in most physiological systems When we treat any condition we would like to restore the normal interaction, feedback, and also restore the biorhythm.. This is extremely difficult to achieve with any drug which has a suppressive action. Antihomotoxic medicine, acting on the greater defense system, using the body s own systems, is ideal for this purpose. 15

16 The vehicle The three pillars of homotoxicology 16

17 Three Pillars of Homotoxicology DETOXIFICATION AND DRAINAGE IMMUNOMODULATION ORGAN REGULATION AND CELLULAR ACTIVATION 17 The three pillars of homotoxicology is the vehicle we use to influence the greater defense system, and to navigate the patient over the six phase table. The three pillars are used individually, and especially on the left side of the regulation/compensation division, it is often enough to use only a basic detoxification and drainage, a simple immune modulation, as well as functiotropic organ support. For this we mainly use basic preparations and homaccords. When we are dealing with more serious illness, as is seen on the right of the regulation/compensation division, we use organ support with tissue extracts as well as cellular activation, and a deeper support of the detoxification and drainage. The immune-modulation often has a component of tissue support as well. We do not necessarily use the three pillars in a specific order, but usually detoxification and drainage will be the first intervention, as toxicity plays such a major role in many disease processes. Sometimes, however, as mentioned earlier, detoxification and drainage will be a later event, such as in cancer patients on active chemo, and patients with disease processes of the detox and drainage tissues, such as Chronic Active Hepatitis. 17

18 Three Pillars of Homotoxicology DETOXIFICATION AND DRAINAGE 18 18

19 Detoxification and Drainage Functional support and drainage Organ support of the detoxification and elimination organs 19 In all three pillars we see a basic approach and an advanced approach. In general, the basic approach is mostly used for patients on the left of the regulatory division, and the advanced on the right. Sometimes tools like questionnaires are used, together with a flow chart to select therapy. This will be discussed in more advanced seminars. In patients who have a high toxic burden, it is wise to first support and strengthen the organs of detoxification and drainage with organ preparations, before the toxins are drained out of the tissues with a product like Lymphomyosot. The homaccords contained in the detox kit will have a functiotropic effect; in other words support the function of the organ, rather than the structure and cells. It is thus organ regulating on a more functional level. The next slide gives a synopsis of the various products used for advanced support and the basic support and drainage. 19

20 Detoxification and Drainage Basic Advanced Liver Urinary tract/ Kidney Lymph Skin Gut Gallbladder Connective tissue Respiratory tract Detox-Kit Thyreoidea comp. Coenzyme comp./ Ubichinon comp. Detox-Kit Detox-Kit Detox-Kit Detox-Kit Chelidonium- - Homaccord Solidago Hepar comp. Hepar comp. comp. Tonsilla comp. Cutis comp. Mucosa comp. Coenzyme Coenzyme Coenzyme Coenzyme Coenzyme Coenzyme comp./ comp./ comp./ comp./ comp./ comp./ Ubichinon Ubichinon Ubichinon Ubichinon Ubichinon Ubichinon comp. comp. comp. comp. comp. comp. Bronchalis- Heel Mucosa comp. Coenzyme comp./ Ubichinon comp. Glyoxal compositum 20 For each organ there is a product which will support the tissues. These are mostly the so called compositum preparations which also contain tissue extracts, and often catalysts. And there are basic preparations which are combinations of plant materials, and also minerals on the other hand are mostly (but not only) used to stimulate elimination. The general basic detoxification: This regime is often used initially in patients with mild to moderate toxicity. With this basic regime, we want to support the liver, gut and kidney and drain the matrix of toxins as well as help the excretion. These preparations come in drop-form, and 30 drops of each can be added to a 1, 5 litre bottle of water to be taken over the day. This is thus a convenient method to deliver the medications. 20

21 Detoxification and Drainage Basic Advanced Liver Urinary tract/ Kidney Lymph Skin Gut Gallbladder Connective tissue Respiratory tract Detox-Kit Thyreoidea comp. Coenzyme comp./ Ubichinon comp. Detox-Kit Detox-Kit Detox-Kit Detox-Kit Chelidonium- - Homaccord Solidago Hepar comp. Hepar comp. comp. Tonsilla comp. Cutis comp. Mucosa comp. Coenzyme Coenzyme Coenzyme Coenzyme Coenzyme Coenzyme comp./ comp./ comp./ comp./ comp./ comp./ Ubichinon Ubichinon Ubichinon Ubichinon Ubichinon Ubichinon comp. comp. comp. comp. comp. comp. Bronchalis- Heel Mucosa comp. Coenzyme comp./ Ubichinon comp. Glyoxal compositum 21 The general advanced detoxification: The purpose of this advanced detoxification is to support the organs of detoxification, especially in patients with a high toxic burden, or in patients where the organs of detoxification and drainage are not functioning optimally. This is also true for patients who are debilitated. In these patients it is very important not to increase the load of toxins too early, as these patients often already have genotoxic effects of toxins or active cancer. For instance, if a patient with breast cancer is highly contaminated with DDT, which is an estrogenic like substance, it can act as a promoter for the cancer. Experiments with ovarectomized mice have shown that the mice can develop breast cancer if they are intoxicated with DDT, then ovarectomized so that there is no internal source of estrogens. The mice then developed breast cancer from the release of DDT from the tissues. (Bigsby et al., 1997) It is thus wise to go slowly in patients with decreased detox ability, or high loads of toxins as well as in obese patients which could store a number of lipophilic toxins. Fasting should be avoided in most patients for this reason, as fasting causes a very quick release of toxins from the storage compartments into the blood stream due to the fact that there are no immediate toxins coming in from the food, and the elimination and detox organs will then turn their attention to older stored toxins and these may then be released in large amounts and at once. The advanced detoxification products aim to support the major organs of detoxification and drainage. These products are mostly composita preparations, which implies that they have a special formulation with plant and mineral material, but then also contain organ extracts of the specific target organs, or tissue which will support the target organs, as well as catalysts and sometimes vitamins in dilution. 21

22 Clinical Immunomodulation Possible with amino acids: plants, suis organs, venoms, nosodes The next pillar is immunomodulation. Mostly we want to manipulate the cellular immunity, thus the T cells, which also have the memory function in higher animals. This can be achieved usually only with amino acids, but also with for instance lipopolysaccarides from bacterial cell walls. Amino acids in antihomotoxic preparations are found in plants, animal material such as Suis organs, nosodes, as well as venoms. In this case, the dilution is also of importance, as we only achieve induction of T reg cells in a dilution of D1 D14. (see lecture on immunomodulation). 22

23 Immunomodulation Basic functional With organ support 23 Again we have a basic and an advanced immunomodulation. The basic immunomodulation is often achieved with plants and/or venoms alone, like in Gripp Heel, or Traumeel, whereas in more severe conditions, like autoimmunity, will need deeper support in the form of organ tissues in order to achieve oral tolerance to the affected organ. Basic immunomodulation is often combined with the organ extracts, as these are also tissue supporters and will be used in the regime for organ support. Examples of basic support is Traumeel and Lymphomyosot, which will reduce inflammation (down-regulate TH1), and Engystol, which will up-regulate TH1 (see next slide). Examples of advanced support will be Tonsilla comp which contains tissue extract of all the major organs and will up-regulate TH1, and Echinacea comp, which again will down-regulate TH1. 23

24 DHEA TH0 TH3 Cortisol TH1 TH2 IL-2 IFN gamma TNF TGF-beta IL-4, 13 IL-5 IL-10 To down regulate use Traumeel, Echinacea compositum To down regulate use Engystol, Tonsilla compositum 24 There is of course another aspect to immune regulation, which was discussed in the lecture on immune-modulation. This is the aspect of immune rigidity, where a patient favours a specific subclass of CD4 cells. Allergic patients will have TH2 predominance, whereas patients with inflammatory conditions will have TH1 predominance. To down-regulate the different subclasses and up-regulate the others, we use regulatory drugs, and therefore will induce TH3 (T-reg) cells in order to balance the TH1 TH2 equation. Traumeel is thus such an inflammation regulating drug. 24

25 Three Pillars of Homotoxicology: ORGAN REGULATION 25 Organ regulation has two aspects, namely the support of the organ tissue and function, and very importantly the activation of cellular energy. From the lecture on organ regulation, it should be clear how important this aspect 25

26 Organ regulation and cellular activation Functiotropic Organotropic 26 Functiotropic support is done by mainly basic combinations and homaccords, thus with plants and minerals, whereas the organotropic support is done with tissue extracts. These are to be found in the composita. Certain basic homaccords, such as Hepeel, has been shown to have anti-oxidant and an anti-proliferative effect in vitro, and as such is then organ protective in many instances, such as in detoxification and in viral disease. (Gebhardt 2004) 26

27 Organ regulation and cellular activation Cellular energy activation Basic Advanced 27 Also in cellular activation we have the basic catalysts, which will support the Krebs s cycle and more advanced catalysts, which will support the respiratory chain, and even hypothetically protect against glycolic respiration as is seen in cancer cells (Glyoxal comp). The latter two are thus of real use in Cancer Therapies and degenerative diseases, whereas Coenzyme comp, is a good basic support of cellular energy. 27

28 The Fuel The antihomotoxic medication 28

29 Classification of medications by way of ingredients By Pharmacological groups (PG s): Plants, PPG Minerals, MPG Catalysts, CPG Organ regulator pharmacological group ORPG This includes organ preparations (organ regulator and immunomodulator) Venoms (Immunomodulator) Nosodes (Deep Immunomodulator) 29 In order to see whether we have enough fire power to treat the disease according to severity (always refer to DET), we can double check our prescription once we have made the choice. In general, we use plants and minerals (so-called PPG s and MPG s) on the left of the regulation/compensation division, but as soon as we move to the right of the division, we need to add catalysts (CPG s) and organ regulators (ORPG). As the disease is classified more to the right of the table, the more we need to add all the pharmacological groups. If we choose the basic or advanced treatment in each pillar, this is almost always automatically correct, but it is good to check the prescription. 29

30 Classification of medication by way of composition By type: Special Heel preparations Homaccords Compositums Catalysts Mixed Injeels Injeels 30 Another check of the prescription is made over the preparation groups, as we use basic preparations and homaccords on the left side of the DET, and add catalysts and composita on the right. 30

31 Treatment plan on disease evolution table Detoxification Cellular activation and drainage Basic immunomodulation Organ regulation and advanced immunomodulation PLANTS MINERALS CATALYSTS NOSODES VENOMS SARCODES Basic combinations Homaccords Catalysts Composita 31 This is a summary of what we have already said in the above. 31

32 Steps in planning treatment 1. Classify the patient on the DET 2. Choose the pillar appropriate for the disease 3. Choose the appropriate medication 4. Check the appropriateness of the prescription 32 Thus, when we have taken a full history, we go through the following steps: We classify the patient on the DET, and we use the most right sided classification to plan treatment. This means, if a patient with liver cirrhosis went trough the stages of fatty infiltration (deposition) and chronic active inflammation (impregnation), but now presents in the degenerative phase with cirrhosis, we start from this point, although there may still be signs of the other precursor stages. After that, we need to see if we require one, two or all three pillars. Generally, the more to the left the patient s disease is classified, the less pillars we need, and more basic the treatment needed. If we have now chosen the pillar(s), we need to choose the appropriate treatment within the pillar(s). This is the basic and advanced approach. Lastly, we can double check our prescription: E.g. do we have composita and catalysts if the patient is on the right side of the division, and do we have all the pharmacological groups, thus PPG s, MPG s, CPG s and ORPG s? 32

33 Flow chart Classify on DET Choose pillar Choose medication Counter check prescription 33 33

34 Treatment with the three pillars Indication based Symptomatic Basic preparation Homaccord + Support regulation Three pillars Detox and Drainage Immunomodulation Organ regulation and cellular activation 34 In every indication there is a basic treatment, which will be specific for that indication. This will thus always vary, according to the condition we are treating, and it will be organ or tissue specific, but not a tissue remedy in general, The regulatory pillars though, are often the same in different diseases, as we are treating the regulatory system, and this is the same in all diseases. The only difference in the pillars is whether we will do a basic or advanced, and whether we will adjust for other differences, such s TH1 or TH2. One can thus compare it to an iceberg. The basic symptomatic treatment treats the part above the water, the three pillars the large part below. The following slides will give an example of each phase. 34

35 Example 1: Patient with increased sweating with body odor Classify on DET Epidermal Excretion Choose the appropriate pillar Drainage, thus Basic preparation: Schwef-Heel Drainage: Detox-Kit Check medication for appropriateness: PPG, MPG Special Heel combination 35 35

36 Example 2: Patient with recurrent boils Classify on DET Epidermal Inflammation Choose the appropriate pillar Basic treatment: Belladonna-Homaccord Basic immunomodulation: Traumeel Basic Detox and Drainage: Detox-Kit for 6 weeks Check medication for appropriateness: PPG, MPG Special Heel combination Homaccord 36 If a patient is in the inflammation phase, we want to stimulate excretion, and modulate the inflammatory process, so that it does not become chronic, or too robust (see BT Spring Smit A A: Is Inflammation after Injury All Bad? Journal of Biomedical Therapy (1):16-17 Again in this example, the patient is to the upper left of the DET. We are going to use a basic preparation, a basic immuno-modulator and a basic detox kit. On countercheck we need to see a PPG, MPG and drug-wise, a basic combination and/or a homaccord (Detox Kit, Basic treatment). 36

37 Example 3: Patient with kidney stones Classify on DET Mesodermal nephrodermal Deposition Choose the appropriate pillar Basic preparation: Reneel Drainage: Detox-Kit for 12 weeks, add Organ support: Berberis-Homaccord, Coenzyme compositum (functional and catalysts) Check medication for appropriateness: PPG, MPG, CPG Special Heel combination Homaccord Catalyst 37 When we treat diseases in the deposition phase, we often also add a catalyst, as this will have an activating effect on the tissues. Sometimes, if the deposition has been there for a longer period of time, we also add organ products, but usually the functional support is enough. 37

38 Example 4: Patient with Idiopathic Thrombocytopaenic purpura (ITP) Classify on DET Mesodermal Haemodermal Blood Impregnation Choose the appropriate pillar Basic preparation: Ceanothus-Homaccord Det & Drain: Advanced support 6 weeks and then Detox-Kit 12 weeks, Organ support: Tonsilla compositum (Immune regulation and organ support) Coenzyme compositum plus Ubichinon compositum Check medication for appropriateness: PPG, MPG, CPG, ORPG Basic combination, Homaccords, Compositum, Catalyst 38 When we treat patients in the impregnation phase we need to be aggressive, as we do have a chance here to tip compensation back into regulation. We would thus add two catalysts, a compositum with organ extracts and do an advanced detox. In this case, Ceanothus-Homaccord is specific for the spleen, and helps with the sequestration of platelets in the spleen, while Tonsilla is used to try and induce oral tolerance in the bone marrow (it contains medulla ossis suis). One then expects the patient to present with phenomena which we see on the left side of the regulatory division, such as skin tags, (deposition), acute inflammation (such as tendonitis or dermatitis) and with excretion( common cold, sweating, slight diarrhea etc.). Normally two of three cycles of this regulatory treatment is needed before the disease will go into remission. In this case, the petechia will be reduced and the platelet count should come up and stabilize. 38

39 Example 5: Patient with Chronic Obstructive Airway Disease Classify on DET Mesodermal Cavodermal degeneration Choose the appropriate pillar Basic preparation: Bronchalis-Heel, Tartephedreel Det & Drain: Organ support 6 weeks and then Detox Kit 12 weeks Immune regulation and organ support : Mucosa compositum Cellular activation: Coenzyme compositum plus Ubichinon comp Check medication for appropriateness: PPG, MPG, CPG, ORPG Basic Heel combination, Homaccord, Compositum, Catalyst 39 The pattern should thus be clear: The more to the right and the bottom of the chart we go, the more we have to add tissue medications and catalysts. The pillars are getting more advanced, and the treatment time longer. In cases like these where there is tissue destruction, we try to support the organs. In this case we can also use Funiculus umbilicalis suis Injeel, if available (is also in Placenta compositum) to support the connective tissue. Catalysts are mandatory in diseases classified in this phase. 39

40 Example 6: Patient with Ca Breast Classify on DET Endodermal Exocrine sexuel Dedifferentiation Choose the appropriate pillar Basic preparation: Ginseng compositum Detox & Drainage: Organ support 6 weeks and then Detox-Kit 12 weeks (start D&D 6 weeks after chemo NOT during) Immune regulation: Viscum compositum Organ support: Mamma suis-injeel Catalyst: Glyoxal compositum followed by Coenzyme compositum and Ubichinon compositum Check medication for appropriateness: PPG, MPG, CPG, ORPG Basic Heel combination, Homaccord, Compositum, Catalyst, Injeel 40 For a patient in the last right phase we need to do all we can to restore regulation. Thus, all the advanced pillars are used in such a patient. Especially the advanced catalysts are important to use here. The appropriate tissue remedy is also used if available, otherwise a medication rich in embryological tissue can be used, such as Placenta comp or Thyreoidea comp. Patients on Chemo are NEVER detoxed and drained during the active chemo phase, as one wants the drugs to work in the tissues. Six weeks after the last chemo, detox and drainage may then be started. During the chemo phase, the patient can be supported with Hepar comp for the liver, Tonsilla comp for the immune system and bone marrow, and Mucosa comp for the mucous membranes. These advanced support products do not drain, but mostly support the organ(s). 40

41 How do I apply the three pillars? The three pillars are designed to induce regulation It thus stimulates the patient s own ability to regulate They are not applied indefinitely, but in cycles, with time for assessment in between If the patient starts to regulate, the pillars may be adjusted or continued, depending on how long the patient stays on the left of the regulation/compensation division It often takes a few attempts of the body to really mount a regulation response which will last Regulation needs to continue till at least three of four episodes of self regulation are observed (see next slide) The basic, symptomatic medication is often given for longer periods 41 Lastly, it is often asked, how long do I apply the pillars? Here we use our map, the DET to guide us. We use the regulation in cycles (mostly 6-12 weeks on, and 6 weeks off), and then observe whether the patient will regulate by him or herself, which can be either during the active treatment or during the rest phase. The more to the right a patient moves on the table, the less acute diseases such a patient gets. Acute robust disease is a sign of good regulation, and mostly in the inflammation phase. We thus endeavor to get the patient to mount an acute inflammation, or go back to the deposition phase at least, and as a best scenario to go to excretion directly. Sometimes, patients will stay on the left side of the division very short initially, but we want this every time to last longer, and also increase in frequency (at least for a while, as recurrent acute infections are also a sign of dysregulation). Sometimes, a number of cycles are needed before a patient will regulate, in other patients it can happen very fast, even if they have been on the left of the regulation/compensation division for many years, so one needs to inform the patient what one would expect, and also be prepared for anything. 41

42 Regulation Phenomena These signify events that take place to the left of where the patient is on the DET: They include for example: Acute infections and inflammations classified in the inflammation phase, e.g. tendonitis, or an acute bronchitis or cold Deposition phenomena getting worse in patients who present in the impregnation phase, e.g. a patient with chronic allergies gets a temporary increase in polyposis, or a patient in the impregnation phase gets an increase in so called soft warts or skin tags 42 42

43 Treatment of conditions to the left of the regulation/compensation division Humoral Phases Matrix phases Cellular Phases Excretion phase Inflammation Deposition Impregnation Degeneration phase phase phase phase Mesodermal Dedifferention.- phase Ectoder mal Endoder mal Mesenchymal Pillar or pillars are applied for a shorter time, till a shift is seen. In phase 1 and 2 often 6 weeks enough, in phase 3 may need several cycles Tissue regulation/compensation division 43 Treatment is shorter if the patient is on the left side of the division 43

44 The importance of the regulation/compensation division Humoral Phases Matrix phases Cellular Phases Excretion phase Inflammation Deposition Impregnation Degeneration phase phase phase phase Mesodermal Dedifferention.- phase Ectoder mal Endoder mal Mesenchymal Three pillars are applied in cycles, of mostly three months with a rest period in between of 6 weeks, till a shift is seen in the DET to the left (see above) Tissue regulation/compensation division 44 Several cycles may be needed. Experience has shown that patients in the impregnation phase may take up to a year to move to full health evolution or recovery. 44