Haut Anhang 2
Im Französischen, Spanischen und anderen romanischen Sprachen wird ein Karbunkel häufig „Anthrax“ genannt, während das französische Wort „charbon“, o. andere, verwandte Begriffe, eine Infektion mit dem Bacillus anthracis bezeichnen.
Als Karbunkel bezeichnet man eine tiefgehende Infektion eines oder mehrerer Furunkel mit S. aureus, + intensiven, entzündlichen Veränderungen im um- und darunterliegendem Gewebe (subkutanem Fettgewebe). Männer sind in der Regel häufiger betroffen, vor allem im mittleren und hohen Alter. Obwohl Karbunkel auch in gesunden Menschen auftreten können (häufiger + Diabetes, Unterernährung, Herzversagen,
Drogenabhängigkeit und bei schwerwiegenden, generalisierten Dermatosen wie exfoliativer Dermatitis oder Pemphigus).
Ein weiterer prädisponierender Faktor ist eine langfristige Behandlung mit Kortikosteroiden.
Keratin
Insoluble protein found in the hair, nails, and other keratinised tissues of the
epidermis (Tortora and Grabowski, 1996:G32).
Keratinum equi w = Pferdehuf contains 27% cholesterol. and 20% cholesterol sulfate Tierisches Gewebe.
Ein Keratolytikum ist hornlösend. Der Begriff leitet sich von der Hautsubstanz Keratin ab.
Keratolytika werden kosmetisch und zur Therapie krankhafter Verhornungsstörungen (Hyperkeratosen) eingesetzt, um auf diesem Wege die Keratolyse zu erzwingen.
Salicylsäure/
Harnstoff (Urea)
[Constantine Hering]
Abscess: Opening the abscess with a lancet is always injurious, even if temporary relief follows at first. A natural opening keeps the air out, an artificial one induces the air to rush in. Under skillful homoeopathic treatment, it is hardly ever necessary or advisable to open the abscess with the lancet. Hep. or Merc. hastens the suppuration.
Silicea Gel äußerlich auftragen (In Kühlschrank aufbewahren und mit saubere Löffel entnehmen ).
Hep. 3rd trit., in water, will hasten
the breaking open quite sufficiently.
[Dr. Benthack]
Tarent-c.: In any abscess where there is
very severe pain, driving the patient mad.
[Dr. Hahnemann]
Arn. as preventive and curative of
boils.
[R.E. Dudgeon]
Tarent-c.: syphilitic buboes, painful
boils, and all kinds of abscesses where pain or inflammation predominates (an
anodyne = a drug that was believed to relieve or soothe pain
by lessening the sensitivity of the brain or nervous system).
[Dr. P. Rajagopalarao]
For the constitution which sets up the boil habit, Dr. Ramey considers Echinacea
a specific. Even serious cases can be definitely cured with 1½ ounce Ø 10 drops
4x daily.
Phos.: Ulcers bleed easily at the
slightest touch and large ulcers are surrounded by smaller ones.
Coccal Co.
(Paterson) = Darmnosode
Repertorium:
Haut: Hautausschläge - Furunkel
In septic state
Not well proved
Oberflächliche bakterielle Infektionen der Haut
Der Begriff „Karbunkel“ abgeleitet vom lateinischen Wort für ein Stück kleiner, glühender Kohle, beschreibt die schmerzhafte, harte, rote Eiterbeule im Anfangsstadium der Infektion. Zu diesem Zeitpunkt ist das Karbunkel geschmeidig, kuppelförmig gewölbt und extrem schmerzempfindlich.
Einige Tage lang wird die Eiterbeule größer, bis sie ca 5–10 cm im Durchmesser beträgt. Die Eiterung beginnt nach 5 – 7 Tagen, wobei der Eiter von multiplen follikulären Öffnungen abgesondert wird. Die Nekrose der dazwischen liegenden Haut hinterlässt einen gelben Pfropfen auf einem kraterförmigen Knoten. Manchmal findet die Entwicklung akut und ohne vorhergehende follikuläre Absonderungen statt, so dass der zentrale Pfropfen der Läsion komplett abgestoßen wird und ein tiefes Geschwür auf eitrigem Untergrund hinterlässt. Befinden sich in der Regel auf dem Nacken, den Schultern o. den Hüften und Oberschenkeln.
Sie treten meist vereinzelt auf, können aber auch mit mehreren Furunkeln assoziiert sein.
Konstitutionelle Symptome können begleitend oder prodromal wenige Stunden vor Ausbildung des Karbunkels auftreten. Fieber, Schwäche und Erschöpfung können bei großen Karbunkeln und stark geschwächten Patienten ausgeprägt sein. Im günstigen Fall heilt die Läsion unter Narbenbildung langsam ab. Bei schwachen und älteren Patienten kann die Infektion zur Toxikämie oder metastasierenden Infektionen führen und tödlich verlaufen.
A. Therapie
Die Karbunkulose betrifft in der Regel erschöpfte und schwache Patienten, meist ab der Lebensmitte. Die Läsionen sind selten auf den Extremitäten zu finden o. auf der Vorderseite des Körpers. Sind meist im Nacken zu finden. Befinden sich die Läsionen am oder in der Nähe des Kopfes, oder ungewöhnlich groß, können sie über septische Komplikationen zum Tode führen.
Die ersten Anzeichen eines Karbunkels sind in der Regel Entzündung, Schwellung und Schmerzen. Die Schwellung ist flach, kreisförmig und dunkelrot gefärbt.
Für gewöhnlich hebt sie sich nur leicht von der umliegenden Haut ab. Kurz vor dem Abstoßen des Pfropfens färbt sich die darüberliegende Haut dunkler, wird ausgehöhlt
und bricht schließlich an den Rändern auf, durch die entstandenen Risse wird dünner, schlecht aussehender und ungesunder Eiter abgesondert.
Die Unterscheidungsmerkmale zwischen Eiterbeulen und Karbunkel sind ausgeprägt, so dass eine Verwechslung in der Regel nicht möglich ist. Eiterbeulen haben wenig Verschorfung mit reichlichen Eiterabsonderungen; Der Pfropfen eines Karbunkels ist im Vergleich enorm ausgebildet, die Eiterbildung jedoch relativ gering oder defizient. Eiterbeulen heben sich beträchtlich von der umliegenden Haut ab und sind konisch geformt. Karbunkel sind flach und heben sich nur leicht, wenn überhaupt, von den umliegenden Strukturen ab. Die Größe der Läsionen variiert beträchtlich, von 5 - 7 cm im Durchmesser bis zu 13 cm oder mehr. Junge Personen oder solche mit robustem Naturell werden nur selten befallen.
Beim Karbunkel treffen mehrere Furunkel und gangränöse Veränderungen aufeinander. Prädilektionsstellen sind die Haut entlang der Wirbelsäule, das Genick, inguinal und sternal. Meist verbunden mit SCHMERZ.
Für die Wahl des richtigen Mittels sollte man folgende Punkte beachten:
• Beachten Sie die Lokalisation.
• Dokumentieren Sie das allgemeine Erscheinungsbild: rot, hellgelb, dunkelrot, schwarz oder purpurn etc.
• Beachten Sie dabei auch den Zustand des Karbunkels in Verbindung mit dem Zustand der umliegenden Gewebe.
• Die Schmerzqualität mit den entsprechenden Modalitäten.
• Assoziierende Faktoren oder pathologische Veränderungen
Die Gabe einer niedrigeren Potenz fördert die Eiterbildung. Um die Eiterbildung zu kupieren, sollten hohe Potenzen gegeben werden.
Karbunkel:
[W.A. Dewey]
Ulcers when these symptoms are present:
1. Ragged zigzag, often raised edges.
2. Profuse granulations, proud flesh.
3. Vascular, bleeding easily where touched.
4. Splinter-like pains in them. Sycotic excrescences.
Arnica in Boils: produces crops of boils all over the body, beginning
with great soreness and going on to suppuration. Boils which have partially
matured become sluggish.
Arnica: abscesses and boils do not mature; they shrivel up, then another
crop comes. Arnica will often develop the abscess, carrying it on to a
discharge of the pus and a cure
of the trouble. Boils coming in crops call for
They are very sore, purplish in color. Also
blood boils which are very sore.
Mercurius versus Kali-bi.: The
ulcers of Mercurius are rapidly spreading and
superficial, while those of Kali bichromicum are
circumscribed and deep tend to perforate.
[Matthew Wood]
Roasted root of Lil-a. with hog’s grease to ripen and opening
up.
Tarent-c.: causes a perfect picture of
carbuncle even to the sloughing. Effectually used by great prostration and diarrhoea
with intermitting fever of evening exacerbation.
Erysipelas:
[T. C. Buskirk]
Canth.: Best remedy. I used to give Bell. Rhus-t., Apis and others, until
four years ago. I have never used any other remedy since and have never been
disappointed by it.
Eigene Erfahrung: Sec.
Led.:
Urethra: Thuj.:
[Dr. Subrata K. Banerjee]
Eczema:
Anti.: Erythema, eczema, pemphigus.
Intense pruritus, urticaria
appearing and disappearing suddenly with internal coldness.
Arund-m.: Eczema behind the ears; itching and
crawling (chest/arms).
Cic.: Capitis - long
standing in a young woman covered the whole scalp like a cap. Lemon coloured
crust. Elevated eruptions as large as peas.
Cist-c.: Itching all over, small painful pimples Mercurio-syphilitic
ulcers. Skin of hands hard, thick dry fissured; deep cracks. Hands and arms
swollen/itching of swollen, general itching preventing sleep.
Corn-a.: Eczema, cracked skin everywhere (creases and folds), exuding a
sticky watery fluid.
Crot-t.: Intense itching of skin (scrotum), but so sensitive
and sore is unable to scratch; > gentle rubbing; < cold washing.
Fago.: Itching; > bathing in cold water; <
scratching= soreness/touch. Itching of knee and elbows and hairy portions.
Vesicular pustular, phlegmonous
dermatitis skin hot swollen.
Fuli.: obstinate ulcers, epidermis, > eczema,
chronic irritations of mucous membranes of mouth.
Erythem (Erythema, von altgriechisch ἐρύθημα erýthema ‚Röte‘, ‚Entzündung‘ = eine Hautrötung bedingt durch eine Mehrdurchblutung auf dem Boden einer Gefäßerweiterung.
Erythema: Antipyrine.
------------ nodosum: Apis.
‡ Folgendes hat anthroposofische Einschlüße ‡
[Lueder Jachens,
M.D.]
Acne
Skin delimits the organism from its environment (a complete barrier for form-giving,
structuring forces that arise from the nerves inside the organism and reach the
skin as sunlight from outside, for instance). on The other side it is permeable
to both (im)ponderable
principles (in the sphere of the senses).Sense organs that are partly created
out
of those qualities exist in areas of the body surface where sensory
qualities are able to overcome this barrier.
These are the only sites where imponderables such as light, sound, odors enter into the organism.
The blood is the main vehicle for the flow of substance reaching the
periphery from the microcosm of the internal organs. In the skin, the flow
generally changes direction. Having come from the inside it is turned back to
move inward again. This happens mainly in the capillary loops of the papillae,
the rhythmic up and down of which, in the gearing of dermis and epidermis („As
wave forms left in the sand when the sea has receded from a beach“).
Part of the flow of matter continues in the original (centrifugal)
direction, however, passing through the barrier as sebum, sweat or material
desquamating from the highly-differentiated comified
layer. R.S. suggested that the basis for human self-experience lies in the flow
of matter coming up against resistance and changing direction in secretory organs. Astral body activity lives in excretions
in quite general terms. Secretion to the inside (hormones) must be
distinguished from eliminations to the outside.
The astral body is the energy system that maintains a healthy balance
between the two. These basic features of the skin help us to understand the
pathogenesis of acne. Increased sebum production (sebum composition changed)
reflects an increase and change in the flow of matter to the periphery. It is
not fully "cooked“ with sebaceous follicles densely populated with
microorganisms as a result. The I organization which is active in warmth
processes has not entirely taken hold of the substance so that foreign
bacterial life is able to thrive on it. The centrifugal process pushing outwards
from inside combines with a comification disorder at
the sebaceous ducts, which are blocked with plugs of keratinous material.
Hardening tendencies of the form principles originating in the nerves are
clearly coming into play. Blackheads and follicles filled to bursting develop,
with bacterial lipases breaking down the sebum into fatty acids that cause
irritation and inflammation - a digestive process in the wrong site. R.S.
refers to this pathological continuation of digestive principles "in the direction
of the head" - evident to us in the inflammatory process involving papule
and pustule - as one-sided activity of the lower ethers (chemical/life). This
causes "softening of
the brain/' in this case dissolution of the sebaceous follicle in the
skin, an organ that is part of the upper human being.
A characteristic feature of acne vulgaris is
that it is located mainly in the face. A shift of digestive activity "in
the direction of the head" is apparent in two ways:
1. because the skin, an organ belonging essentially to the human being
of nerves and senses, is involved.
2. because the skin of the head is affected. This part of the body
surface is most important for social contact, hence the often considerable
suffering of young persons. We can understand this if we consider acne vulgaris in the light of the study of man: looking into the
mirror, the young person, whose inner life is still maturing, is shown that the
metabolic aspect of the process is temporarily not functioning properly.
Looking at the process in relation to the whole human being, it is
important to realize that acne generally occurs during puberty. (A third of all
young people suffers from some form of acne.) Organic brain development reaches
its conclusion towards the end of the first 7-year period. The milk teeth are
lost, and powers that previously served the organism become free for thinking
as a conscious activity. The child is ready to go to school.
A second level of maturity is reached by the end of the second 7-year
period. Organically the young person becomes sexually mature, and in the inner
life he or she is now mature for the earth, with a new self-perception.
On one hand, the astral body is given new tasks in the organic sphere,
e.g. to organize the subtle interplay between developing and breaking down of
the uterine mucosa. On the other hand, the whole environment is seen with new
eyes; new interest in the world awakens. The process is in stages and will
obviously get into "ferment" at times.
Signs of inadequate intervention of astral body and I organization in
the metabolism may be menstrual irregularities in young women, constipation, acrocyanosis, and offensive sweats. If one decides to meet
the situation with metal therapy, Ferrum offers
general assistance with incarnation and helps the organism to be "breathed
through“. Mercury may help to stimulate metabolism (glandular function).
External applications of Cupr-met. may serve to
increase mobility, e.g. letting the blood, the vehicle for warmth, flow right
down into the feet.
R.S. and Ita Wegman
referred to the way skin inflammations may engage the upper aspects of the
human being too much so that they are no longer sufficiently able to perform
their functions in the organs of the microcosm. They gave the example of
effects on the liver and digestion. Silica makes internal organs sensitive to
one another. Medicinal use of it releases the higher aspects of the human being
from their involvement in the skin so that they may be more active in the inner
organism. The organ involved in the disorder also needs to be treated, in the
present case the liver. Gallbladder, pancreas, spleen and kidneys are other
organs where sluggishness may develop so that activity has to be encouraged.
If skin inflammations go hand in hand with daytime tiredness and
increased dreams at night, this may be because the higher aspects are not
properly "settled" in the physical body. Phosphorus treatment may
help in this case. Phosphorus also encourages I organization activity to
counteract "excessive etheric and astral
activity“.
Sulfur is helpful for disorders of protein
metabolism; it makes protein, a physical substance, more inclined to accept
intervention from the ether body. Great care is, however, indicated in giving Sulfur to fair-haired people.
Fair hair indicates a powerful sulfur process,
black hair a powerful iron process. Aggravation from Sulfur
is more likely in fair-haired women; blond men tolerate it better (Sulfur selenosum w).
Dietary advice in acne cases bases on the role sugar plays as vehicle for
the I organization in the blood. If I-activity in the metabolism is weakened,
refined sugars and fine flour make this weakness evident by causing an
aggravation of the skin condition. Proteins are most open to ether forces.
Their degradation and synthesis are ultimately determined by the I
organization, and we relieve the latter by reducing the intake of meat, cold
meats and cheese. Whole milk is best avoided, with soured milk products taken
instead. Lactic acid-forming bacteria predigest cow's milk, as it were, and
this relieves the strain on weakened digestive powers. Fat is mainly the
vehicle for heat; excessive fat intake causes "parasitic heat foci"
in the organism and a tendency to inflammation. A low-fat diet is therefore
recommended for acne.
Raw food may also prove therapeutic (beginning medical treatment of
severe acne). It supports the structuring activity of silica at the periphery,
healing the deformation caused by inflammation.
An interesting observation that has been frequently made is that young
people of asthenic habit tend to develop acne on the
chest and back. This may be due to the enhanced nerve impulse of asthenic subjects not being exhausted in pathologic skin
changes in the facial region but extending to the upper trunk. < stress also
points to a one-sided nerve process. The forehead is often affected in grammar
school pupils who have to do much intellectual work, whereas perioral efflorescences may
suggest that the causes are predominantly metabolic.
If acne persists beyond the early twenties, this may be a sign of
constitutional weaknesses persisting from puberty. This shows the potential
offered by acne treatment taking account of the whole constitution and
providing genuine prevention of more serious conditions. Oral contraceptives,
often taken even in puberty, impose foreign functional principles on the pelvic
processes in young women. The astral body cannot come fully into its own in
establishing an individual menstrual cycle. Acne will, of course, often improve
because the peripheral hormonal situation in the sebaceous gland changes, with
sebum production reduced. The acne willreturn when
the hormones are discontinued.
Several years of oral contraception may cause a type of acne to develop
which is partly due to hormonal effects on liver metabolism.
Acne patients have different constitutions, with a marked polarity that
points to different requirements: hysteria / neurasthenia.
[Vithoulkas]
DISEASES OF skin
Ferr-p.: Inflammation of the skin when there
exists either fever, heat, pain, throbbing or redness; pimples, heat and
congestion of the skin.
Kali-m.: ACNE. Pimples on the face
with thick white contents, caused by a disturbed action of the follicular
glands. They remain indolent, and they are apparently connected with
gastric or genital derangement. Often will prevent suppuration.
ECZEMA. Crusta lactea,
scrufy eruptions on the head and face of little
children. Dandruff. This is the principal remedy in alternation with Ferr-p., from vaccination with impure lymph. Eczema
resulting from deranged uterine functions, characteristic tongue, dry,
flourlike scales on the skin. Albuminoid discharge
from the skin with white tongue. Vesicular eczema, albuminoid
secretions
or contents. It will often act magically in very obstinate forms of
chronic eczema.
ERUPTIONS. Acne, pustules, pimples, etc., connected with stomach
derangements, white tongue accompanied with deranged menstrual periods, sero-fibrinous secretions.
ERYTHEMA. After Ferr-p. if swelling be present
and vesicles or bullae form.
HERPES ZONA. Shingles, vesicles encircling half of the body like a belt,
white tongue.
LUPUS. Useful in stubborn cases with gastro-intestinal symptoms.
WARTS. On the hands, also externally.
SYCOSIS. Primary remedy. Early stage pustules, later dry flour-like
scales persistent with glandular involvement.
BUNIONS. Chilblains and lupus,
principal remedy.
Kali-p.: ECZEMA. If nervous irritation and oversensitiveness
accompany it. Greasy scabs with offensive smell; secretions of the skin,
irritating, causing soreness of the parts, itching, with a crawling sensation,
gentle friction agreeable, excess causes sore, chafed skin, bloody, watery
secretions, excessive, offensive perspirations. Itching of scalp; back of head
sore as if hair was pulled. Alopecia areata.
Carbuncles.
CHILBLAINS. On toes, hands and ears, tingling and itching pain. Recent,
not suppurating. Neurotic subjects (Agar.)
MALIGNANT PUSTULE. Blisters and blebs all over the body, watery
contents, skin withered and wrinkled. Neurotic symptoms and pain exaggerated.
Kali-s.: Dryness of the skin
from suppressed skin diseases. Dread of hot drinks.
ECZEMA. Discharge of yellow, effete matter, eczema suddenly suppressed
with other symptoms of this drug.
ERUPTIONS. Suddenly receding through a chill or from other causes.
Diseased condition of the nails, interrupted growth, skin scales freely on a
sticky base. Sores on the skin, with yellow, watery secretion on limited
portion, with peeling off of skin.
PSORIASIS. Several cases of this affection are reported as having been
cured with this remedy. Great desquamation of the epidermis is a keynote
indication.
DANDRUFF. Yellowish or white scales on the scalp (also as a wash),
falling off of hair, lower lip dry and scaly.
"The internal use of Kali-s., a dose every four hours, has
invariably cured every case of tinea capitis. I rely upon this remedy exclusively, using no wash
or greasy ointments whatever."
(A.P. Davis.) Effects of ivy poisoning, fuming, itching papular eruptions. Nettlerash.
Mag-p.: Barber's itch; herpetic eruptions with
white scales.
Dandruff, pustules and pimples on scalp. Rash like insect bites, <:
about knees, ankle and elbows;
Nat-m.: ERUPTIONS. With clear, watery contents, small vesicles or
blisters with colorless, watery contents, forming
into thin scabs or crusts which fall off and readily form again. Pustular
eruptions on forehead.
Skin of hands, (about nails, dry and cracked).
ECZEMA. White scales, eruptions with watery contents from eating too
much salt.
INTERTRIGO. Soreness of the skin in children with watery symptoms, white
scales on the scalp. Intertrigo between thighs and
scrotum with acrid discharge and excoriation.
PEMPHIGUS. Fluid from blisters and blebs like water.
RUPIA. Blisters, not pustular eruptions.
SYCOSIS. If watery symptoms correspond.
DANDRUFF. White scales on scalp. Falling of hair from lack of nutrition.
WARTS. In palms of hands or scales, large and sensitive.
URTICARIA. About the joints especially.
HERPES ZOSTER. Second remedy, herpetic eruptions occurring through the
course of any disease.
Effects of bites of insects (externally), warts in the palms of the
hands. Urticaria and miliary
eruptions.
Nat-p.: Soreness, chafing of the skin in children. Swelling of
the sebaceous glands;
eruptions from vaccination. Goitre.
ECZEMA. With symptoms of acidity, secretions creamy, honey-colored, golden-yellow scabs. Crusta
lactea about ears of little children.
LUPUS both internally and externally.
ERYTHEMA. Roserash (with Ferrum
phos.), sore patches on the skin, yellow, creamy
discharge, hives, itching all over the body, like insect bites.
Nat-s.: Chafing of the skin in children with bilious symptoms.
Chilblains.
ECZEMA. Vesicles, eruptions containing yellowish, watery secretions.
Yellow scales.
PEMPHIGUS. Watery vesicles or blebs all over the body. Debilitated
subjects.
WHEALS. Containing a yellow watery secretion. Oedema of the skin.
WARTS. It abstracts water from the base of the warts and causes a
shrinking of the same. Warts caused by long exposure to dampness.
Sil.: Itching exanthema, small pustules filled
with lymph,
dying quickly (around
joints). Small wounds suppurate
profusely. Phagedaenic ulcers, carbuncles. Suppurative process in the skin. Acne, burns by day. Pemphigus, zona, rhagades, rose-colored blotches. Erysipelas with
suppuration. Boils come in crops. Malignant pustules. Diseases of the finger
nails, brittleness, etc.
Calc-p.: Chafed skin, excoriation, itching of the skin.
ECZEMA. Eruption of the skin, with yellow-white scabs and vesicles (albuminous, white of egg contents), anaemia, bloodlessness
of the skin. A cachectic eczema < from changes of
weather.
FRECKLES. Lessened by this remedy.
HERPES. Itchings acute or chronic, intercurrently.
LUPUS. If partial manifestations of scrofulosis.
PRURIGO. Pruritus, troublesome itching of the
skin, often in old people (4x tr.), alternately with Kali-p.
ACNE. In young people during puberty who suffer from headaches after
mental activites.
PERSPIRATION. TOO frequent or excessive, especially if about the head,
vesicular blisters with albuminous contents,
tubercles on the skin.
Calc-s.: Scald-head of children, if there be purulent discharges
or yellow purulent
crusts, festers, etc. Pimples, if matter
forms on their heads, pustules, nodules, suppurating purulent scabs,
suppuration of the skin, sores discharging pus or sanious
matter. Herpetic eruptions, all over itching of soles.
CHILBLAINS. Discharging pus.
Calc-f.: Chaps, cracks of the skin, also use externally with vaseline, fissures in the palms of the hands, fissures of
the anus, horny skin, suppurations with callous, hard edges. Carbuncles.
Brittleness
of finger nails. Teeth likely to be brittle.
ECZEMA. Due to venous hyperaemia, < damp weather; > at night. Squamous eczema with thickening and cracking of the skin.
Eczema of anus consequent to haemorrhoids.
PSORIASIS of extremities, which is uncommonly hyperaemic, deep reddish
in tint.
< wool: Psor. Sulph. Hep. Phos. Puls. Bacillus morgan.
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