A CASE OF ORAL ULCER

[00:00:02]Is our next patient age 52?

[00:00:12]Oral ulceration.

[00:00:32]Left-sided oral ulceration.

[00:00:35]Since last 7 to 8 years.

[00:00:42]We had We had seen him for back pain earlier on, discontinued because it got better, came back with this.

[00:00:59]Was on tobacco?

[00:01:04]This is very common in the Indian subcontinent tobacco chewing that's resulted in this kind of ulcerations, which can be in many cases malignant.

[00:01:38]No, that was a different patient. We had another ulcer, I remember.

[00:01:52]Very difficult to heal these ulcers, to be very honest, because many times they are pre malignant and can get quite obstinate.

[00:02:06]Pain.

[00:02:14]Pain while eating, pain while talking.

[00:02:25]Burning while eating but mostly pain while talking. Can't describe the character of pain.

[00:02:32]7 to 8 years more on the left side.

[00:02:50]A new lesion has come up in the last 1 month and that is making him worried.

[00:03:06]Left side, I'm asking if there is any difficulty in the corner of the mouth or difficulty to open the mouth.

[00:03:14]Can open his mouth. You know, many times in these cases there can be oral fibrosis. You know, where there's difficulty to open the mouth. Not with his case.

[00:03:25]Color of the ulcer, did you see? Whitish more.

[00:03:28]Right? Looks more whitish.

[00:03:38]Tooth decay, looseness of the teeth.

[00:03:45]No pain as such.

[00:03:47]This is the major presenting complaint.

[00:03:53]Some degree of bloating, not much.

[00:03:59]After lunch with oily food intake.

[00:04:05]Sleep is okay.

[00:04:08]When he is anxious because of this issue, he is can become sleepless.

[00:04:17]Stool is regular.

[00:04:28]Hot, he's a [snorts] hot person. Don't disturb.

[00:04:32]Thirst average.

[00:04:38]Sweat plus plus.

[00:04:46]Sweat more offensive.

[00:04:51]Sweat more on the upper part, offensive.

[00:05:10]No particular food desires. Much more than she do.

[00:05:14]Likes food fish.

[00:05:21]Lukewarm food.

[00:05:23]Not too warm, not too cold.

[00:05:28]I'm asking any food triggers the ulcer?

[00:05:30]No. May I just get up and go?

[00:05:37]Temper irritable.

[00:05:44]Shouts.

[00:05:49]By the way, >> Fear of dogs.

[00:06:00]Smoking still present, doesn't chew tobacco, but smoking is still there.

[00:06:16]Forgetful.

[00:06:20]Previously we had seen him for leg pains, which are better.

[00:06:27]>> [snorts] >> Tongue, nothing extraordinary.

[00:06:39]I'm asking when he has a burning.

[00:06:41]Cold water, warm water, anything improves it.

[00:06:49]No.

[00:07:30]Not sure, but he's saying Cold water makes me better, but not completely sure. Question mark.

[00:08:01]Not much symptoms to be honest. I'm repeating again what we have till now.

[00:08:04]Age 52, left sided oral ulceration, color is mostly whitish.

[00:08:15]Mostly whitish.

[00:08:18]Pain and burning worse from eating, worse from talking.

[00:08:23]He has looseness of teeth with decay and blackening as well.

[00:08:30]Question mark better by cold application.

[00:08:33]Bloating worse from oily food.

[00:08:35]Sleepless from anxiety.

[00:08:37]Not often, but can be.

[00:08:40]Strong craving for tobacco. Previously it was chewing. It's still smoking.

[00:08:55]He says the lower ones are getting whitish and [snorts] um they are painful.

[00:09:03]He's a hot person.

[00:09:05]Sweats more offensive.

[00:09:08]Forgetful with fear of dogs, with anger and shouting.

[00:09:20]I'm asking profession, business.

[00:09:31]No bad breath as well.

[00:09:36]No bleeding gums or any blood, no hemorrhage.

[00:09:51]Sometimes loss of sleep can cause headache.

[00:09:58]When you are facing with this kind of a pre-malignant state, you don't have a clear totality for a constitutional remedy. It is very very helpful to focus on few specific medicines which can help in these kind of conditions. That's why you know, we do not have a good totality for a constitutional remedy, right? You agree? It's very what you say? It's inconsequential symptoms.

[00:10:27]First one I'm thinking about is borax.

[00:10:30]White mouth ulcers. Remember red mouth ulcers with salivation marks all.

[00:10:35]White mouth ulcers, borax.

[00:10:38]Borax, the color is white. White mouth ulcers, borax will respond very well.

[00:10:43]So, white mouth ulcers.

[00:10:46]But other than that, nothing else for borax. Very off very honest. Look in the mouth section of borax, please.

[00:10:53]Mouth section, aptha, white fungus-like growths.

[00:10:58]Mouth hot and tender.

[00:11:01]You got that? Aptha, white fungus-like growths, mouth hot and tender.

[00:11:07]>> What what about Kali chlor mouth?

[00:11:10]>> I'll come to that. Yes.

[00:11:29]You got that? White mouth ulcers, fungus-like growth, that is a good indication for Borax, right?

[00:11:40]The second one which can come up in in in such a case with ulceration is Condurango, specially the oral part.

[00:11:57]Condurango, have a look in Boericke, please, for Condurango.

[00:12:05]Condurango special action is more at the corners of the mouth.

[00:12:09]But even in oral ulceration, Condurango can do very good results.

[00:12:17]And remember, Condurango is mostly a syphilitic remedy. So, the looseness of the teeth, the decay of the teeth with the oral ulceration is more syphilitic.

[00:12:28]If you look in Condurango, please.

[00:12:31]Second line, no, not second line. Second paragraph.

[00:12:35]Painful cracks in the corner of the mouth is a guiding symptom of this drug.

[00:12:40]So, more cracks in the corner of the mouth for Condurango.

[00:12:45]Second line, second paragraph, chronic gastric catarrh, syphilis and cancer.

[00:12:51]So, syphilitic state but Condurango is more this, right?

[00:12:56]Cracks in the corner of the mouth. So, if that's why I repeated the asked him is you have that? No.

[00:13:03]So, this area is a wonderful action for Condurango, oral and mucocutaneous junction with ulceration.

[00:13:13]Specially in the corner of the mouth, but I thought of Condurango because of the syphilitic preponderance. What is the syphilitic preponderance? Teeth decay.

[00:13:22]Looseness of teeth, so there's a state of degeneration with the oral ulceration. So, here it's more syphilitic state here. And condurango being a syphilitic medicine can address that as well.

[00:13:36]Right, number one borax based on the look of the ulcer, white. Number two condurango, A based on location.

[00:13:43]Location where? Oral.

[00:13:45]B based on myasm, syphilis.

[00:13:48]But symptomatically it doesn't corroborate. Condurango's symptom is this, I can't open my mouth, cracks in the corner of the mouth. That is condurango.

[00:13:55]But because this is the sphere of action, condurango can come close.

[00:14:01]Right?

[00:14:06]Borax not nothing very specific I'll say it's more mixed myasmatic.

[00:14:12]But it has ulceration so the oral area I'll say it's more syphilitic. Right?

[00:14:24]You can say. I will say that is to a certain extent syphilitic as well, you know, it's like an addiction which takes them to the path of self-destruction.

[00:14:33]So, it is um syphilitic to a certain extent.

[00:14:40]It doesn't have as such oral ulceration to be honest. That's why I didn't think of that.

[00:14:45]Number three, um another very useful medicine for oral conditions. Have a look in Boericke, please, for semper vivum, s e m p e r semper vivum.

[00:14:59]s e m p e r v i v u m semper vivum Semper vivum is very specific for tongue cancer.

[00:15:08]But even oral cancer semper vivum you can think of.

[00:15:13]s e m p e r semper vivum v e v i v u m Look in the mouth section, malignant ulcers of the mouth. Everyone got that?

[00:15:26]Cancer of tongue. Tongue has ulcers. But the catch for semper vivum, my friends, remember is hemorrhage.

[00:15:33]Hemorrhage is a very important factor for semper vivum prescription.

[00:15:38]You see tongue has ulcers in italics, bleed easily.

[00:15:42]You got that?

[00:15:44]Bleed easily.

[00:15:45]But very good for oral ulceration as well, like here. If there was even even a tinge of hemorrhage, start with semper vivum.

[00:15:53]No hemorrhage, no semper vivum.

[00:15:56]You got that? Introduction, serious induration of the tongue, cancerous tumors. Tongue has ulcers, malignant ulcers of the mouth bleed easily. Whole mouth very tender.

[00:16:11]So, that's important for semper vivum.

[00:16:15]Right?

[00:16:17]Next in this list, remember two kalis who have special action in this oral area.

[00:16:23]Have a look in body sadika mentioned kali chlor.

[00:16:26]Very useful for oral ulcerations, kali chlor with kali two symptoms.

[00:16:32]k a l i c h l o r, kali chlor.

[00:16:50]Kali chlor.

[00:17:09]Kali chlor, are you there?

[00:17:13]Uh no, not much. If you look in kali Chlor mouth section profuse secretion of acid saliva, white mucous surface, red humid with grey based ulcers. So it can be whitish greyish. Stomatitis apthous and gangrenous fetor mercurial stomatitis as a mouthwash. So you can use Kali Chlor as a mouthwash as well 3x 6x.

[00:17:35]You can use it as a mouthwash, but you can use it in 30c 200c as well.

[00:17:40]Greyish ulceration with bad breath.

[00:17:44]With acrid saliva.

[00:17:46]And some Kali features like the weakness of Kali, the backache of Kali. If that goes hand in hand, then Kali Chlor is a good enough remedy.

[00:17:58]Yeah, in the past. True.

[00:18:01]You're with me? Greyish ulcerations with bad breath with acrid salivation.

[00:18:13]With some Kali symptoms in the background.

[00:18:15]Which can be backache, which can be weakness.

[00:18:19]That's about your Kali Chlor. The last Kali in that list to finish up.

[00:18:24]Just the next medicine after Kali Chlor, Kali Cyanatum.

[00:18:28]Kali Cyanatum is potassium cyanide.

[00:18:32]When you have an ulcer in the oral cavity especially in the tongue. And the patient is unable to speak along with that, that is where Kali Cyanatum will help you.

[00:18:47]Where is it mentioned?

[00:18:49]Tongue.

[00:18:50]Ulcer of the tongue with indurated edges. Power of speech lost, but intelligence intact.

[00:18:56]So so much is the ulceration that he's unable to speak.

[00:19:00]And with that exhaustion goes hand in hand for Kali Cyanatum.

[00:19:08]And the modalities interesting for Kali Cyan. If you see 4:00 a.m. to 4:00 p.m.

[00:19:12]So, more early morning daytime aggravation for Kali cyanatum.

[00:19:16]Early morning daytime.

[00:19:24]30 C for Kali cyanatum.

[00:19:43]I'm thinking of mercury as well. Mark ulceration teeth decay offensiveness of sweat right?

[00:19:56]Teeth decay, offensiveness of sweat.

[00:19:59]ulceration and syphilitic likes smoking, but he knows it kills him.

[00:20:25]If you look at the teeth, I not in context Lot of blackening at the roots.

[00:20:36]This you can find very often with staphysagria.

[00:20:39]In a patient who smokes quite a lot, you know, staphysagria is extreme craving for tobacco with blackening at the edges and at the sides of the teeth.

[00:20:48]So, staphysagria doesn't come in here, to be honest, but you know, if you're dealing just with dental issues with lot of blackening in a patient who has strong craving tobacco craving staphysagria is a good tooth medicine.

[00:21:01]Right? So, lot of blackening of the teeth you can find with staff.

[00:21:07]Kreosotum will have hemorrhage more. But hemorrhage bleeding is important for creosote.

[00:21:27]I had seen him back in 2024 for back pain. Bryonia was prescribed and Rhus Tox. There was a history of injury.

[00:21:36]And he came for two or three times, gone.

[00:21:42]Sorry?

[00:21:43]No, because that was troubling him at that point of time.

[00:22:11]I'll go for a Merc Sol today.

[00:22:14]200C. Reasons of Merc Sol ulceration syphilitic, decay of teeth syphilitic, burning pains are syphilitic.

[00:22:24]With offensive sweats and profuse sweats. Not a good totality, but still let's start with a syphilitic remedy, you know, to help the case.

[00:22:34]Let's start with a syphilitic remedy.

[00:22:38]Few remedies which you can use locally as a mouthwash.

[00:22:42]One is Kali Chlor. I shared that with you. Locally as a mouthwash with these kind of ulceration. Kali Chlor in 3X or 6X. Number two, Ratanhia.

[00:22:52]Ratanhia works wonderfully as a mouthwash for cases of oral ulceration.

[00:22:57]R A T A N H I A, Ratanhia. This is mentioned in Clark's dictionary.

[00:23:01]Ratanhia as a mouthwash. You won't find it in Boericke. Ratanhia is a mouth wash for oral ulceration, especially if there is splinter or burning like pain. Ratanhia, r a t a n h i a, Ratanhia is a mouth wash for oral ulceration.

[00:23:21]Number three, as a mouth wash or oral for oral ulceration, see What is the name of the remedy?

[00:23:27]Calotropis, c a l o t r o p i s, Calotropis.

[00:23:32]I'm talking about just organopathics for mouth wash.

[00:23:35]Calotropis, c a l o t r o p i s, Calotropis is a syphilitic remedy, which also has lot of oral ulceration.

[00:23:42]You can use it locally in tincture for mouth wash.

[00:23:46]You're with me? C a l o t r o p i s, Calotropis is a syphilitic remedy for oral ulceration.

[00:23:52]And obviously, our good old Calendula.

[00:23:54]Calendula can also be used in tincture as a mouth wash for oral ulceration.

[00:23:59]I repeat again, Kali chlor in 3x and 6x.

[00:24:01]If it's a grayish white ulceration, Ratanhia, if there is a lot of burning or splinter-like pains with ulceration, right? Calotropis is just a syphilitic medicine, so more oral ulceration with lot of syphilitic symptoms.

[00:24:15]Calotropis and Calendula, you know, if you don't have anything else, let's go with Calendula.

[00:24:33]I'm giving him Kali chlor to wash to mouth wash locally.

[00:24:42]Kali chlor has more grayish white, and that can help. Repeating the points of Merc sol again today, syphilitic state with burning, with ulceration, syphilitic with tooth decay and in a patient who has offensive profuse perspiration.

[00:25:06]200 C for Merc Sol.

[00:25:11]Just to finish up that list of tongue tongue cancers, there's another medicine I just came up in my mind. Have a look in Boericke, please. Galium, g a l i u m, Galium app.

[00:25:20]g a l i u m, Galium app.

[00:25:24]When you have oral ulceration or tongue cancer or oral cancer with a lot of induration, you know, there's a lot of swelling in the oral cavity.

[00:25:37]Lot of induration, swelling in the oral cavity.

[00:25:41]This one for him, still it's I will say it's not malignant right now. It's I will say it's pre-malignant.

[00:25:47]But hopefully, you know, many cases we have reversed it, but it's obstinate. It takes a lot of time, you know, perhaps one remedy won't do it. You know, we need to chop and change and perhaps, you know, based on presenting symptoms, we need different remedies later on. But this can be done. But you know, sometimes it has spread through the through the entire oral cavity, you can't do much. It's just, you know, preventing further progress.

[00:26:09]But this I will say is still early pre-malignant stages, we can revert it.

[00:26:13]And conventional treatment, you know, is very invasive, you know, they will ask to cut it off, cut off the entire area. I don't want to do that.

[00:26:20]Galium, anyone got it? Galium Galium Galium Galium Galium.

[00:26:25]>> Has clinical confirmation of the use in cancerous ulcers >> What are ulcers?

[00:26:32]Clinical confirmation using cancerous ulcers, nodulated tumors of the tongue.

[00:26:36]You see, favors healthy granulation ulcerated surfaces. This is also a useful medicine.

[00:26:42]You know, these kind of ulcerations, it can help. It helps in promoting growth, normal growth on ulcers.

[00:26:49]So, Galium can also help in such cases.

[00:26:54]Specially my understanding of gallium is more nodules, you know, I have formed, you know, like nod- nodules on the tongue have formed.

[00:27:04]But you understand it works in a way so that the ulceration is reversed, healthy granulation tissue again develops much like Calendula to a certain extent.

[00:27:12]But its only action is this.

[00:27:14]Oral.

[00:27:16]30 to 100 for gallium app.