Homeopathic treatment for peptic ulcer disease

DEFINITION: Treatment of peptic ulcer disease with homeopathic remedies.

Overview

Peptic ulcer disease (PUD) manifests as open sores in the lining of the esophagus, stomach, or duodenum (upper intestine). The most common symptom is abdominal pain. Persons with PUD may also vomit blood or experience bloody (dark, tarry) stools. Appetite changes are common, as is weight loss.

Homeopathic practitioners use a variety of remedies (homeopathic medications) to treat PUD. Randomized-controlled trials have shown the effectiveness of homeopathic treatment for a number of gastrointestinal conditions, but no such studies have examined the efficacy of homeopathic treatment for peptic ulcers.

Causal Factors

A number of immediate causes of PUD have been determined. First, the bacterium Helicobacter pylori is found in the stomach and intestines of most people with peptic ulcers. H. pylori reduces the resistance of the protective lining of the esophagus, stomach, and upper intestine to digestive acid, and sores result. Almost half of the world’s population is colonized by H. pylori. In many people, however, the bacterium does not cause problems. H. pylori appears to be a necessary but not sufficient variable in understanding the origins of many cases of PUD. Medications, including overuse of nonsteroidal anti-inflammatory drugs (NSAIDS) such as aspirin, ibuprofen, and other pain relief drugs, are a second cause of PUD. In addition, persons with the disease often have a family history of PUD.

Homeopaths recognize these causes of peptic ulcers. Homeopathic theory also seeks to elucidate the underlying reasons why some people have a susceptibility to ulcer development, while others do not. As noted, many people infected by H. pylori do not develop peptic ulcers. Samuel Hahnemann, who founded homeopathy in the eighteenth century, theorized that people have inherited disease tendencies, which he called miasms. Ancestors experienced diseases that affect the genetic inheritance of their descendants. The descendants do not necessarily inherit the actual disease; instead, they have tendencies toward certain types of symptoms when the body is weakened by stress or poor environmental conditions, or both. Persons who develop peptic ulcers, for example, might have inherited what Hahnemann called the syphilitic miasm. Persons with this miasm tend to develop ulcerations of various types and tissue abnormalities that can lead to hemorrhages, among other symptoms. Peptic ulcers are only one of a number of specific conditions they might develop.

Current understanding of genetic mutations supports Hahnemann’s general theory. Diseases can cause genetic mutations that are passed to descendants. Not all homeopaths believe miasmatic theory, but they do agree that peptic ulcers will develop when the body’s defenses are weakened by stress and environmental influences and when such a person is unable to reestablish homeostasis.

Treatments and Remedies

Homeopathy is a holistic healing modality. It is concerned with treating the whole person. Most persons with PUD will be experiencing symptoms or have other diseases; the classical homeopath will seek to find a remedy that covers all of the person’s symptoms. For example, a person might have severe headaches and PUD. The homeopath will choose (from the many existing remedies) the remedy that covers as many symptoms as possible. Treatment is thus individuated.

Miasmic theory might help a homeopath determine the best remedy, which is thought to stimulate the body to heal itself and to return it to homeostasis. Homeopathic remedies come from many sources, including plants, minerals, and animal substances. Four remedies are commonly used for peptic ulcers. Also listed here are the specific symptoms and modalities that might indicate these remedies.

Argentum nitricum is used to treat ulceration of the intestines or stomach that is accompanied by the vomiting of blood. Kali bichromatum is used to treat intestinal ulceration accompanied by chronic diarrhea. Lachesis is used to treat gastric ulceration in persons who feel worse when they wake up in the morning. Pulsatilla is used to treat gastric ulceration in persons who cannot tolerate eating much fat and who feel better in the open air.

Research Studies

Though homeopaths regularly treat peptic ulcers and claim clinical success, the effectiveness of homeopathy in treating PUD has not been established by randomized-controlled trials (RCTs). RCTs have demonstrated the efficacy of homeopathy for a number of conditions. Though many of the studies have methodological flaws, the quality scores of the studies are similar to those found for biomedical treatments of disease. RCTs have indicated that homeopathy can successfully address a variety of gastrointestinal problems, including diarrhea, gallbladder disease, and irritable bowel syndrome.

A small pilot study of sixty persons with dyspepsia (only four of whom had been diagnosed with PUD) found that the control group (which received standard gastrointestinal treatment) and the homeopathy and acupuncture groups all showed improvement after six months, then reached a plateau. Statistical analysis showed no significant differences in outcomes between groups. RCTs specifically examining the effectiveness of homeopathic remedies in treating peptic ulcers are needed. Homeopathic studies are easily double-blinded, but the individuated nature of treatment requires that the remedies used vary according to the symptoms of the person with PUD.

Bibliography

Awaad, Amani S., et al. "Natural Products in Treatment of Ulcerative Colitis and Peptic Ulcer." Journal of Saudi Chemical Society, vol. 17, no. 1, 2013, pp. 101-124. ScienceDirect, doi.org/10.1016/j.jscs.2012.03.002. Accessed 27 Sept. 2024.

Holcombe, C. “Helicobacter pylori: The African Enigma.” Gut 33 (1992): 429-431.

Koretz, Ronald, and Michael Rotblatt. “Complementary and Alternative Medicine in Gastroenterology: The Good, the Bad, and the Ugly. “ Clinical Gastroenterology and Hepatology 2 (2004): 957-967.

Kuna, Lucija, et al. "Peptic Ulcer Disease: A Brief Review of Conventional Therapy and Herbal Treatment Options." Journal of Clinical Medicine, vol. 8, no. 2, 2019. MDPI, doi.org/10.3390/jcm8020179. Accessed 27 Sept. 2024.

Paterson, Charlotte, et al. “Treating Dyspepsia with Acupuncture and Homeopathy: Reflections on a Pilot Study by Researchers, Practitioners, and Participants.” Complementary Therapies in Medicine 11 (2003): 78-84.

“Peptic Ulcer.” St. Luke's Hospital 19 Oct. 2015, www.stlukes-stl.com/health-content/medicine/33/000125.htm. Accessed 27 Sept. 2024.

Ullman, Dana. Discovering Homeopathy. Berkeley, Calif.: North Atlantic Books, 1991.