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Ruminating on Remedies

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Julia Coyte, CHom

My thoughts on a few of the many thousands
of homeopathic remedies available.
​Where, when and how they may be applied in everyday life.

#wellnessawaits

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2/24/2023

Nobody needs a nasty nauseating norovirus

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With working from home and on-line school, we have been off the hook on the norovirus for a couple of years and now that we are resuming normality, this icky bug is rearing its ugly head again.

According to headlines this week, cases have risen by 34% in two weeks in the UK and cases are up 30% over last year in parts of the US, too.

I had a call the other day from a mom whose young daughter was sent home from school after going to the nurse’s office a few times in one day feeling nausea. When she went to pick her up, the nurse informed her that the Norwalk virus was going around the school. The girl was nauseous, but she still had an appetite, and sometimes she had a headache. Homeopathic Phosphorus 30c is what I suggested and she soon felt a little better. The report that evening was that she had a thorough bowel evacuation and she was feeling much better by the next morning. (At the time of writing this, the rest of her family didn’t catch it.) At the same time I learned of this little girl, another pre-schooler I know spent the weekend in and out of the hospital getting IV fluids. It’s not a fun bug, that’s for sure.

What is this norovirus? This is the disease you sometimes hear about in the news -- the nasty sickness which grips entire cruise ships. Highly contagious stuff that is commonly spread through contaminated food, water and surfaces as well as close contact — that’s a perfect recipe for sickness on a cruise ship. (Which reminds me of the one cruise we took when our kids were little where our youngest at the time actually licked the railing in the elevator! By some miracle, he did not get sick. Phew!)

According to the Mayo Clinic, a norovirus infection can cause severe vomiting and diarrhea that starts suddenly and is highly contagious. Symptoms kick in within 12-48 hours after exposure and usually last for 1-3 days. Most people recover completely without treatment, but some people (the young, the old and those with other medical conditions) may require medical attention.

So, what are the common symptoms?

Nausea. Vomiting. Stomach pain or cramps. Watery or loose diarrhea. Feeling ill. Low-grade fever. Muscle pain. Norwalk is a (relatively) new name for what we all remember as “the stomach flu,” even though it has nothing to do with influenza.

Seek medical attention if the diarrhea doesn’t stop or there is severe vomiting, bloody stools, stomach pain or dehydration.

Conventional medicine really has nothing to offer for this disease. So, then, what does homeopathy have to offer?

Arsenicum album is one of the first remedies to consider when there has been any sort of food “poisoning.” Weakness. Thirsty for small sips. Chilly. Coming out both ends at the same time. Stool may be burning and very offensive. Even tiny sips of water may cause vomiting.

Ipecac non-stop nausea — nothing gives any relief, not even vomiting. Lots of saliva with the nausea.

Mag phos is a good one to remember if there is a lot of cramping pain. Sour vomiting. Hiccups, even with vomiting. Diarrhea with abdominal pain.

Nux vomica is another go-to for nausea and vomiting, as well as food “poisoning.” There may be irritability and there may be the need or urge but nothing is coming out — retching.

Phosphorus, as mentioned above, is a good one. Symptoms which may point to Phosphorus: Similar to Arsenicum album in that drinking small amounts of water may lead to vomiting and it, too, also has burning pains. Diarrhea may be very watery or full of mucous. The unusual symptom here is that the appetite remains.

Podophyllum for explosive, painless diarrhea. Very weak after the diarrhea. Excellent choice for infants with diarrhea.

Sulphur has some nasty smelling diarrhea. Very thirsty for cold drinks. Insecure rectum — be careful with those toots! Nausea.

Veratrum album has a cold sweat with the diarrhea and vomiting. Very thirsty for cold water and may crave sour things. Burping and heartburn. Another insecure rectum remedy. Vomiting is violent and forceful, as is the copious diarrhea which is acidic.

What to do after emptying your system? In addition to replenishing your fluids (and having some nice cups of my favorite… bone broth), try some China officinalis to help your body regain its equilibrium.

These remedies, if chosen wisely and taken quickly enough, might just nip the whole thing in the bud and you might just escape the whole nasty business.


Julia Coyte, CHom
Classically Practical homeopath


#wellnessawaits

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2/4/2023

Rooty Toot Toots

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​Let’s take a look at toots — you know, gas… bottom burps… farts… stink bombs… fluffer-doodles. While there certainly can be some instances which may indicate a serious medical problem for which medical treatment should be sought*, for the sake of this article, we’re going to just stick to common, everyday gas.

If you go to a conventional medical practitioner for your gas problem, they will most likely offer you one of the following:

  • Enzymes to help break down the carbohydrates, (e.g. Beano)
  • Lactase supplements to help digest the sugar in dairy products, (e.g. Lactaid)
  • Years ago, our pediatrician suggested simethicone for our gas-prone little fellows which help break up the gas bubbles, (e.g. Gas-x.) (Looking back, I so wish I had known about homeopathy, I could have helped them much more!)
  • Activated charcoal (a supplement of which I am exceedingly fond, I have to say)
  • A change in diet

*According to Mayo Clinic, if you have chronic or unusual abdominal pain, severe heartburn, persistent vomiting or nausea, chronic diarrhea, bloody or black stool, weight loss and loss of appetite, severe bloating, constipation or difficulty emptying your bowels, seek medical attention.

All of these conventional treatments may help now and again and in the moment, but, to my knowledge, they don’t help get rid of the underlying problem.

Homeopathy, on the other hand, has many remedies for many kinds of toots. When I enter “flatulence” into my homeopathic software, Dr. Robin Murphy’s repertory comes back with 849 “different” rubrics. (I put different in quotes because there are overlaps, to be sure, but it’s a clear indication of how homeopathy differs from conventional medicine.) Remedies for specific complaints stemming from gas. How cool is that? Tailored toot remedies, you might say!

What kinds of flatus are there? Here are just a few descriptions from Dr. Murphy:
  • Painful abdomen with flatulence. Abdominal pain with flatulence after eating. Painful distended abdomen.
  • Distended abdomen in the evening. Flatulence in the morning on waking.
  • “Incarcerated flatus” is one of my favorite homeopathic terms — trapped gas.
  • Back pain which is better from passing gas.
  • Flatulence during menses.
  • Offensive flatulence. Offensive, sulphur-like odor. (And from Boger, we have a rather eloquent description: “copious, silent discharge of hot, bilious-smelling flatus.")
  • Odorless flatulence.
  • Flatulence from sour foods.
  • Rumbling in the intestines which improves after passing gas.
  • Flatus from anxiety.
  • Burning pain in the rectum after passing gas.
  • Then there’s the worst gas of all — the kind where the rectal gate keepers fail in their job.😳
I could go on — it’s a long and fascinating list -- but, you get the idea.

One of the most beautiful aspects of homeopathy is that it can not only help in the moment by relieving symptoms, it can help to lessen the problem altogether.

When you are using homeopathy, you should be looking for overall improvement: the problem should be less intense and less frequent. In short, you should be looking for the problem to be getting better in general, not just in the moment. For instance, if you suffer severe gas and bloating every evening, once you are taking the “right” remedy (there are many remedies which can help with many given symptoms), the amount of gas should be less and the abdominal pressure should be less and the rumbling should quieten. Soon, it won’t be happening every night, it will be every other night and then every few nights and then only once in a while. That’s what we’re looking for -- overall improvement in the complaint.

So, what are some go-to remedies for common gas?

My first thought when somebody is suffering from gas and bloating is Lycopodium.

Homeopathic Lycopodium is a very highly indicated remedy for gas and bloating, especially when said toots are a result of eating offending foods. Where else might Lycopodium be helpful in gaseous complaints? Abdominal pain; back pain stemming from gas; flatulence in the elderly; wind accompanying stool; evening flatus, and, rumbling guts which improve when you are able to release some air.

How about that “incarcerated flatus”? Trapped wind causing cramping pain might be Lycopodium, but it might also be Carbo vegetablis (which is actually made from charcoal). If all that trapped gas makes your belly so full it can be difficult to breathe, Carbo veg is probably gonna' be your new favorite remedy. Gas during diarrhea; offensive gas; so much trapped gas that the abdomen feels hard and maybe even tender.

Those poor little babies, scrunching up their legs trying to get some relief? Mag phos would be my first thought.

Toots which smell like spoiled eggs? Sulphur, or, even Arnica.

Another good gas remedy is Nux vomica for flatulence from anxiety; flatulence after eating or even while eating and toots which accompany coughing.

If you have a potent, musical bottom, give some homeopathic remedies a try. Your loved ones will thank you!

Julia Coyte, CHom
Classically Practical homeopath

#wellnessawaits

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9/27/2022

Hayfever

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It doesn’t look like a scary place, does it? But it is! This beautiful blue sky, well, what was under that beautiful blue sky, filled my head with some dastardly little things that gave me a stonking headache and made it difficult to breathe and sleep. I was up many times in the night blowing my nose. The light frost in the morning didn’t do anything to make those bad things go away the next night, either!

I guess it’s that time of year… Hayfever season.

All my life, everybody around me has suffered miserably from hayfever. It’s a new thing for me and I don’t find the number of tissues I have been blasting my way through very amusing. I have a new-found sympathy for all allergy sufferers, I can tell you that!

I felt better on the drive home with the windows up and the A/C on, but it all returned again once I unpacked the truck.

I had a shower to get those nasty little allergens off of me and I also had a chewable tablet that I am now going to keep a little closer to me until a good, hard frost comes in.

“Combination H”: Schuessler Tissue Salts Hayfever combination.* (This page also has a nice FAQ list about tissue/cell salts.) ​

Uh-huh, that’s what I’m talking about! Headache gone. I slept all night without having to blow my nose. Good stuff!

Made in Australia by Martin & Pleasance*, they have a whole range of combination tissue salts, (or cell salts, if you prefer) for a couple of dozen common conditions.

The tablets are handy, that’s for sure. But, if you don’t have this combo remedy easily at hand, you can have a dose each of Mag phos, Nat Mur and Silicea (all 6x potency) and achieve the same blessedly wonderful effect.


Julia Coyte, CHom
Classically Practical homeopath


#wellnessawaits



* I have no affiliation with this company, I just like their products.

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7/23/2022

Summer Fun #4: Sprains, Strains & Bicycle Falls

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I didn't get to all of these injuries, but I address quite a few of them in this article.
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Summer athletes, take heed! ER visits shoot up in the warmer months as the weekend warriors take on the bats, balls and trails.

SPRAINS
This one hits home right now as my husband is in week 3 of his nasty sprain. Click here for an 18-second visual of what’s involved in an ankle sprain. (For the record, he wasn’t being a weekend warrior, it was just unfortunate happenstance.)

We were hours from medical care, his ankle was huge and looked very wrong. I gave him Arnica 1m immediately, to great effect. Ice. Rest. Elevation. More Arnica as needed. The ER took X-rays and sent him on his way with 2 Ace bandages and told him to take ibuprofen* for the pain. That was helpful. Not. The next day we were able to see a proper orthopedist who took more X-rays and this time sent him on his way with a walking/air boot and the same instructions for pain. He never resorted to the over-the-counter painkillers, I am happy to say.

What to do after that? Well, some people say the X-rays can be a problem. If you’re worried about that, Nat Mur 6x, (twice daily the day of the X-ray and a few days following) is said to help.

Back to sprained ankles…

The number one remedy to turn to for any accident or injury is Arnica. Give it early and repeat as needed. As a general rule of thumb, the worse the injury, the higher the potency and then back off the repetition and lower the potency as the pain dictates.

The next remedy to consider is Aconite to help reduce the shock which often follows a bad injury. Remember! Aconite rhymes with fright. Any situation that has been a shock to your system can benefit from Aconite. And, in this case, it can benefit not only the person who had the accident, but the person who witnessed the accident.

The traditional, much accepted treatment for injuries is RICE: Rest, Ice, Compression and Elevation. Some injuries respond to cold, some respond to heat. Ice restricts blood flow and blood flow is what you need to heal your parts. But, that blood flow is also what can cause all the swelling. I am not a physician but I have certainly had more than my fair share of injuries in my lifetime. Some of my injuries felt better with rest and elevation and ice and some felt better getting moving right away. To my mind, your pain (in addition to the input from your physician) needs to be your guide as to what is right for you.

What else can help? Here are a few homeopathic suggestions and their symptoms which may help you choose the best homeopathic remedy for your injury.

Arnica: Start here. “It is safe to say that 98% of patients who have suffered traumatic injury, however caused, need a dose of Arnica to begin their recovery” (Thomas 2000). See below for some research on Arnica.

A typical Arnica patient does not want anyone to touch their injured area. Sore, they may feel “beaten up” with swelling, bruising and inflammation. Topical Arnica is an option if the skin is intact. Do NOT apply Arnica to open wounds.

Rhus tox: for an injury that feels better for heat and continued motion. Worse on first moving. Better suited to simple sprains.

Ruta: for an injury that is worse for motion and worse for cold application. Bruised, crushed, weak feeling. A remedy for tendons and ligaments, similar to Rhus in its pain. May feel hot to touch. Follows Arnica well to help aid in recovery.

Bellis perennis: Think of this remedy if Arnica is not helping as much as you think it should be helping. Bruised pain. Like Rhus tox, a Bellis pain hurts when starting to move but gets better as you keep moving the injured area and is better from heat. A Bellis pain, though, may have the sensation of a band squeezing the injured joint. “Complicated sprains involving tendons, ligaments and soft tissue with swelling, edema and pain” (Ratera 2016).

Bryonia: worse for the slightest movement of any kind. Better for rest and immobility. This person might be a little grumpy as a result of their injury.

Ledum: when the injured area feels better from cold applications. Ankle feels dislocated and is worse by walking, to the point of being intolerable. The skin may be cold to the touch.

Symphytum for tears at the point of tendon insertion into the bone (Ratera 2016). This remedy has been known to speed along recovery. CAUTION: do NOT use Symphytum until you are certain there is no break or fracture.

Cell Salts which may be of help for sprains (Weintraub 1999):
  • Ferr phos: first aid remedy
  • Mag phos: pain which accompanies sprains
  • Nat sulph: after effects of shock
  • Ferr phos, Kali mur: swelling
for tendons and ligaments: Make a compress from these cell salts dissolved in tepid water and applied to the area: Calc fluor, Ferr phos, Mag phos, Kali mur.

Again, let your pain be your guide as to how long and how often you taking the remedies


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STRAINS
According to American Academy of Orthopedic Surgeons, a sprain is a stretch and/or tear of a ligament and a strain is an injury to a muscle or tendon. Sprains generally occur in ankles, knees and wrists and strains generally occur in the back or leg, particularly the hamstring. Both injuries can range in severity and neither is necessarily worse than the other — it depends on the person and the injury.
​
Conventional medicine again recommends RICE for strains (see above).

Homeopathically, Arnica is the best place to start and may be all that you need. “Forcing, twisting, wrenching strains and tears are most likely to respond to Arnica if it is prescribed within 24 hours of the trauma” (Thomas 2000).

The above list of sprain remedies can also be applied to muscle strains with these notations:

Rhus tox may be especially helpful in injuries due to lifting or over-exertion.

Bryonia is especially well suited to intercostal and rib injuries.
​
Ruta is also useful for injuries due to over-exertion. Follows Arnica well to help aid in recovery.

Traumeel or T-Relief as it is now known is a nice combination remedy to help with strains. (See below for some Traumeel research.)

Cell Salts which may be of help for strains (Weintraub 1999): 
In addition to the above listed cell salts:
  • Calc sulph, Mag phos: for muscles strained from overwork and a sensation of heat
  • Mag phos: for muscle spasms


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BICYCLE FALLS
Number one: wear a helmet. Høye (2018) found helmet use reduced serious head injury by 60%.

We just watched an interesting documentary called Bikes of Wrath where 5 young guys re-created the journey from Steinbeck’s novel of a similar name, but this time on bikes. None of them had any head injuries, but they did indeed have some strains and perhaps a sprain — in his case, it was his elbow. They certainly could have benefitted from carrying a little remedy kit with them, that's for sure!

Sprains and strains are covered above, let's move on to cuts, scrapes and contusions.

Once again, Arnica is the first stop for any injury. If the fall was big enough, take a dose of Aconite for any shock.


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ROAD RASH, see this link for more information 

Ooof! It’s been a long time since I’ve had to pick gravel out of my knee, but I can still remember how unpleasant that is!

In this case, an oral dose of Arnica may be helpful because there is probably some element of bruising that will accompany the road rash, but remember DO NOT to apply Arnica to broken skin.

I have no idea who this group is, but they have some clear images indicating whether hospital treatment should be sought following a skinned knee.

Assuming the wound is not too bad and does not need professional medical care, clean the area and remove any debris. The Wound Care Society has some nice instructions.

Calendula is where you want to start homeopathically for this injury — after the wound has been sufficiently cleaned out, that is. Calendula can be taken orally, or a Calendula tincture or cream can be applied. If you have the homeopathic pellet, but not a tincture, dissolve the Calendula pellet in some clean water and apply that to the wound. Hypericum can be used in this way, as well.

Ledum is useful if the wound is deeper. It may be cool to the touch and very painful.

Hypericum: like Calendula, Hypericum is very good and soothing to use topically. In fact, they can work very well together. Helios offers a lovely combination cream**. A Hypericum wound is very sensitive and is definitely indicated if any nerves are involved, like fingertips or toes.

Hamamelis is very good if the wound continues to bleed. Arnica, too, can help with bleeding, but Hamamelis would be the next stop. Also very good for hematomas which may form as a result of the injury.

Cell Salts which may be of help for cuts and abrasions (Weintraub 1999): 
  • Ferr phos for abrasions and wounds; topical application of powdered tables applied directly to the injured parts
  • Calc sulph: for cuts that are slow to heal
  • Kali mur, Ferr phos: for swelling


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Bruising
​

Guess what the first remedy is for bruising? You’re so clever! Yes, it’s Arnica! The bruise is painful and they don’t want anybody to touch it!

Bellis perennis if the bruising is deeper, and especially if the bruising is in the abdominal area.

Ledum shows up again here, too -- if the area feels better with cold application.

Ruta or Symphytum if the bone is bruised or the periosteum is affected (the tissues between the bones and the skin — think of the shins or cheekbones).

Cell Salts which may be of help for bruising (Weintraub 1999): 
  • Ferr phos for any bleeding into tissues -- may also apply powder directly to the area
  • Calc fluor for bruises affecting the bones
  • Kali phos for all-over feelign of being bruised
  • Kali mur for hard, blue-black bruises
​
To make a compress: dissolve 5 of each cell salt tablet and apply locally; take internally also: Ferr phos, Kali mur.


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HEAD INJURIES
First off — consult a physician if you have hit your head, whether you were wearing a helmet, or not.

Once again, Arnica is the place to start. Not only because it’s the go-to first remedy for any accident or injury, but in this case because Arnica is the first choice homeopathic remedy for head injury, period.

Bonus! One of my favorite homeopathic books for injuries, First Aid with Homeopathy by Dr. Manuel Mateu Ratera, has a PDF of his Head Injury pages available online.

The next-in-line remedy for head injuries is Nat sulph (see cell salts below). Like Arnica, Nat sulph can be used for residual effects from old head injuries.

Why choose one over the other? Arnica has the general trauma/injury element to it.

When to choose Nat sulph? Nat sulph has a slight edge in terms of residual effects from head injuries: concussions afterward, migraines afterward. However, Nat sulph is more clearly indicated when there is vertigo following a head injury or depression or mental dullness sets in after a head injury.

For some research on mild traumatic brain injuries and homeopathy, see Chapman et al. (1999). 

Cell Salts which may be of help for head injuries (Weintraub 1999): 
Calc fluor for bruises on the cranial bones, with hard, rough, uneven lumps
Ferr phos for bruising to the head, with pain
≈ Nat sulph as a cell salt may be used, as well.


These homeopathic remedies, Arnica in particular, should accompany you when you set out for any physical activities this summer. Or, better yet, purchase a little kit to throw in your bag. Taproots has nice one*.

Julia Coyte, CHom
Classically Practical homeopath

#wellnessawaits
* Just because NSAIDs are available over the counter does not mean they are without risks. There are plenty of studies out there talking about the downside of taking NSAIDs. Below are just a few of these studies.

** I have no affiliation with these companies, I just like their products.

Reference list

American Academy of Orthopedic Surgeons, n.d. Sprains, Strains and Other Soft-Tissue Injuries - OrthoInfo - AAOS [online]. www.orthoinfo.org. 

Helios Homoeopathy, n.d. Hypericum/Calendula cream: 
helios-frontend [online]. www.helios.co.uk. 

Høye, A., 2018. 
Bicycle helmets – To wear or not to wear? A meta-analyses of the effects of bicycle helmets on injuries. Accident Analysis & Prevention [online], 117, 85–97. 

Mayo Clinic, 2018. 
Sprained ankle - Symptoms and causes [online]. Mayo Clinic. 

Ratera, Dr. M. M., 2016. 
First Aid with Homeopathy. Kander, Germany: Narayana Verlag.

Sonnenschmidt, R., Sankaran, R., Vithoulkas, G., Borland, D., Scholten, J., Kusse, F., Mangialavori, M., Birch, K., Das Kaviraj, V., Perko, S., Welte, U., Le Roux, P., Hahnemann, S., Jus, S. and Chauhan, D., n.d. 
Manuel Mateu i Ratera First Aid with Homeopathy Reading excerpt First Aid with Homeopathy of Manuel Mateu i Ratera Publisher: Hahnemann Institut [online]. 

Summers, S., 2022. 
How can I take care of a scraped knee? [online]. www.truthaboutnursing.org. 

TapRoots, 2022. 
SUMMER On-the-Go Portable Homeopathic Kit Including Hard-covered Case, Holds 8 Kit-sized Remedies [online]. TapRoots. 

Temple ReadyCare, 2021. 
6 Reasons for Summer ER Visits and How to Avoid Common Injuries and Illness [online]. Temple Health.

Thomas, E., 2000. 
Homoeopathy for sports, exercise, and dance. Beaconsfield, Bucks, Uk: Beaconsfield Publishers.

Weintraub, S., 1999. Natural healing with cell salts. Pleasant Grove, Ut: Woodland Pub.

woundcaresociety, 2016. How to heal skinned knee quickly? [online]. Wound Care Society. 

woundcaresociety, 2019. 
How Long Does Road Rash Take To Heal [online]. Wound Care Society. 


Research links - Arnica:
Marzotto, M., Arruda-Silva, F. and Bellavite, P., 2020. Fibronectin Gene Up-regulation by Arnica montana in Human Macrophages: Validation by Real-Time Polymerase Chain Reaction Assay. Homeopathy [online], 109 (03), 140–145.

Research links Homeopathy & Head Injury:
Chapman, E. H., Weintraub, R. J., Milburn, M. A., Pirozzi, T. O. and Woo, E., 1999. Homeopathic Treatment of Mild Traumatic Brain Injury: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial. Journal of Head Trauma Rehabilitation [online], 14 (6), 521–542. 

Research links: Traumeel:
Birnesser, H., Oberbaum, M., Klein, P. and Weiser, M., 2004. THE HOMEOPATHIC PREPARATION TRAUMEEL® S COMPARED WITH NSAIDS FOR SYMPTOMATIC TREATMENT OF EPICONDYLITIS. Journal of Musculoskeletal Research [online], 08 (02n03), 119–128. 

Conforti, A., Bertani, S., Metelmann, H., Chirumbolo, S., Lussignoli, S. and Bellavite, P., 1997. 
Experimental studies of the anti-inflammatory activity of a homeopathic preparation. [online]. 

Lussignoli, S., Bertani, S., Metelmann, H., Bellavite, P. and Conforti, A., 1999. 
Effect of Traumeel S, a homeopathic formulation, on blood-induced inflammation in rats. Complementary Therapies in Medicine [online], 7 (4), 225–230.

Porozov, S., Cahalon, L., Weiser, M., Branski, D., Lider, O. and Oberbaum, M., 2004. 
Inhibition of IL-1β and TNF-α Secretion from Resting and Activated Human Immunocytes by the Homeopathic Medication Traumeel® S. Clinical and Developmental Immunology [online], 11 (2), 143–149. 

Schneider, C., Klein, P., Stolt, P. and Oberbaum, M., 2005. 
A Homeopathic Ointment Preparation Compared With 1% Diclofenac Gel for Acute Symptomatic Treatment of Tendinopathy. EXPLORE [online], 1 (6), 446–452. 

Research links: NSAIDs:
Allison, M. C., Howatson, A. G., Torrance, C. J., Lee, F. D. and Russell, R. I., 1992. Gastrointestinal Damage Associated with the Use of Nonsteroidal Antiinflammatory Drugs. New England Journal of Medicine [online], 327 (11), 749–754. 

Bindu, S., Mazumder, S. and Bandyopadhyay, U., 2020. Non-steroidal anti-inflammatory drugs (NSAIDs) and organ damage: A current perspective. Biochemical Pharmacology [online], 180, 114147. 

Graham, D. Y., Opekun, A. R., Willingham, F. F. and Qureshi, W. A., 2005. Visible small-intestinal mucosal injury in chronic NSAID users. Clinical Gastroenterology and Hepatology [online], 3 (1), 55–59. 

Risser, A., Donovan, D., Heintzman, J. and Page, T., 2009. NSAID Prescribing Precautions. American Family Physician [online], 80 (12), 1371–1378. 

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