Naiman eschar

The photograph shows the reaction to an enucleating salve made in the following manner. The basic paste consists of equal parts (by weight) of zinc chloride, water, goldenseal, and whole wheat flour. The goldenseal is added to the zinc chloride and water and blended with a wooden spoon. It is important not to use metal.

Another mixture contains white willow bark, Chinese di da wan, homeopathic arnica, goldenseal, turmeric, and calendula oil (made with apricot kernel seed oil). This is the basic salve to which a little escharotic paste was added each day so as to increase the strength of the compound very gradually. On the first day, there will be mild reactivity showing exactly where the salve needs to be applied. The consistency of the mixture is adjusted by adding turmeric for thickness or calendula oil for thinning. Each day the salve contains about 10% more escharotic paste, but the total proportion of zinc chloride remains very low.

In the beginning, there is blistering. Then, the eschar begins to form. The eschar consists of dead tissue which will eventually separate from the healthy tissue and expose a bloodless site which can then be inspected for signs of residual malignancy.

The patient in question is a woman in her thirties who had a previous history of breast implants and two lumpectomies. Two weeks after the second lumpectomy, a new lump appeared. She was treated with various alternative therapies, none of which resolved the cancer or swelling.

The digital picture, taken 4-5 days after commencing the treatment, shows the original implant incision line (on the left), the cicatrix of the lumpectomies, and the eschar as it is forming. This is a fairly typical looking eschar. Initially, the eschar is usually greenish-gray, sometimes more yellowish, and occasionally more whitish. As the area is necrotized, the eschar turns darker. The lighter colored areas will flake off and the thicker area will begin to crack around the edges. At this time, the cracks need to be filled with a gentle enucleating ointment that promotes separation of the healthy tissue from the malignant mass (which is completely dead by the time it separates). There is the option of scratching the dead eschar so as to insert more salve, but this was not done with this patient.

After 12-16 days, the eschar detaches, like a scab, and exposes the underside of the treatment site. This site is then inspected for traces of residual of malignancy. The treatment is continued if there is any suspicious looking material. Otherwise, it is poulticed so as to draw out any toxic material remaining in the area. Eventually, the area is clean and healing ointments are applied, ones that keep scarring to a minimum.

It should be emphasized that treatment for this patient will need to be continued for several weeks and the final outcome is not known at this time. The picture is being posted merely to show how the escharotic pastes and salves can be used in postsurgical situations to necrotize whatever has been missed by the surgeons.

Caution: it is not recommended that anyone employ this treatment without careful study of the book by Dr. Ingrid Naiman. In most instances, supervision by a health care professional will be necessary.

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Last updated 14/07/98 15:27:10 [GMT +2]

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