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Logic of Hepa and Silicea for boils

Hello,
I am looking at people with practical experience with curing boils to respond to this (please do not quote textual material, rather, pls comment on your experience)

In general, HeparSulph and Sil. are considered good remedies with Sil. following Hep. to hasten maturing of boils and then separate the boil out.

Quoting references:


From Allen's keynotes:
hepa:
In diseases where suppuration seems inevitable, Hepar may open the abscess and hasten the cure.
silicea:
Has a wonderful control over the suppurative process - soft tissue, periosteum or bone - maturing abscesses when desired or reducing excessive suppuration (affecting chiefly the soft tissues, Calend. , Hep. ).

From Boericke's MM:
hepa:
The tendency to suppuration is most marked, and has been a strong guiding symptom in practice
Silecia:
Skin.--Felons, abscesses, boils, old fistulous ulcers. Delicate, pale, waxy. Cracks at end of fingers. Painless swelling of glands. Rose-colored blotches. Scars suddenly become painful. Pus offensive. Promotes expulsion of foreign bodies from tissues


Now some questions:

1. The situation this question applies to is acute prescribing. The patient with a boil needs immediate relief (max 2 days). It is impossible to ask him/her to wait and watch for 3 days per dose and then figure out what to do next. By this time, because the boil hurts, the patient would have already downed anti-biotics.

2. In the past one month, two of my friends have had pretty bad boils, for which I asked them to first take 3 doses of Hepar-Sulph 30c on day 1, followed by one dose of Sil. 30c the next day. In both cases, this has worked wonders and have cured. By day 2 the boil ruptured, heavy pus secretion. By day 3, boil is 80% gone and fast drying. Since the reaction is so prompt by the second day, the patient happily waits for day 3. However, I have the following questions:

a) MM says if the boil inflammation is in early stages (initial redness) - lots of redness, maybe a small head, sensitive to touch, Belladonna should be considered. In my experience, if I administer Bell. then it reduces the inflammation, but is just a delaying tactic. It pops right back in a few days. So I haven't seen Bell work completely for boils

b) Based on the references, Hep. is useful to bring the boil to full 'maturity'. But I'd like to ask you what does 'maturity' mean? Does it mean fully evolved, but has not yet burst ? Or does it mean 'burst' ? In addition, I have read on this very forum that Hep. actually 'sucks in' the boil. This seems to be completely contradictory to the reference text. Can you please confirm. I believe Hep. pushes out not sucks in


c) Due to the timeframe by which such cases need to be addressed (they are painful, , patient cannot wait for days, and it is a well known fact that allopathic anti-biotics do a good job)I am curious why I cannot just use Sil. and not bother with Hep. ? Sil is also supposed to mature abcesses (which Hep also does). In addition, Sil. also helps separate out, which is the final process. So my question is, if I see a boil, which is close to maturing -i.e. painful, big, has head, redness, looks like it is about to burst, can I not just skip Hep. and go directly to Sil?
 
  aske123 on 2008-07-17
This is just a forum. Assume posts are not from medical professionals.
Hi aske very nice post you have posted.

I am used to start with Hepar Sulph 30C (to subside the process) but if i notice that child is cheerful despite pain then it causes me to loss confidence. Many patient do not return and we are unable to know the effect of Hepar.

Just two days ago a 8-y-old girl with painful boil on buttock has come in my clinic.

On the basis of local symptoms, i had given Hepar Sulph 30 3 hourly and today patient returned and result is not favourable except she got relief for one day from pain and one boil has brusted.

I considered to give Silica, but patient is not chilly and other symptoms also contraindicated to Sil so I gave her merc sol 30 three dose and also gave Sulphur 30c to be taken if the merc sol has no effect. let us see what happens next.

I advised mom to wash her cloths in warm water, change her clothes at thrice, wash the area four times with Calendula mother tincture and or mild soap.

Avoid clothes that cause friction of area i.e. tight clothing.

ADvised to give her at least 4 lemons and advised to avoid sweets, mango, and outside foods.
 
Dr. Rakesh Km Lko last decade

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