Allopathic treatment steatohepatitis

Until recently, there were no allopathic medications that could treat steatohepatitis (MASH). In March 2024, a new drug was approved on experimental basis – “resmetirom (Rezdiffra)”. Allopathic researchers recommend using this medication in combination with nutritional changes and increased physical activity.

Additional guidelines include:

• Losing weight. Losing 3% to 5% of body weight has been shown to reduce fat levels in liver. Losing between 5% and 10% of body weight will help reduce inflammation as well.
• Managing your blood sugar. If patient has diabetes, it’s especially important to monitor his blood sugar and take care of his medications.
• Eating well. A balanced, heart-healthy diet is low in saturated fats and rich in monosaturated fats, such as those found in plants and seafood. It also includes plenty of fresh produce and whole grains. The Mediterranean diet is a good example. New research proves that Ghee (natural fat) is very good for controlling cholesterol, reduces fats/weight, normalizes gut and gland function etc.
• Regularly exercising. This will help patient manage weight as well as stress, which can affect liver health.

Early allopathic studies shows that coffee is good for liver and steatohepatitis and allopathic doctors suggest drinking coffee daily to prevent liver fibrosis due to metabolic dysfunction-associated steatohepatitis. But newer research proves this information absolutely wrong, coffee itself also damages liver, spleen and gallbladder, lowers immune system, damages (brittle) bones etc.

Homeopathic Treatment for steatohepatitis

Homeopathic treatment of steatohepatitis is depending on its root cause(s). A good Homeopath should focus on patient’s metabolic disfunction especially glandular system said Dr Qaisar Ahmed.

Homeopathy has many proven medicines for the treatment of steatohepatitis, and its cause, for example:

Chelidonium Majus

A prominent liver remedy, jaundice, pain under right scapula, Jaundice due to hepatic and gallbladder obstruction. Gall-colic. Distention. Fermentation and sluggish bowels. Constriction across, as by a string. Liver enlarged. Gallstones. Tongue yellow, with imprint of teeth; large and flabby. Taste bitter, pasty. Bad odor from mouth. Constipation; stools hard, round balls, like sheep’s dung, bright yellow, pasty; clay-colored, stools float in water; alternation of diarrheas and constipation. Burning and itching of anus. Urine profuse, foaming, yellow urine, like beer dark, turbid. Pain in arms, shoulders, hands, tips of fingers. Icy coldness of tips of fingers; wrists sore, tearing in metacarpal bones. Whole flesh sore to touch. Rheumatic pain in hips and thighs; intolerable pains in heels. Skin: Dry heat of skin; itches, yellow. Painful red pimples and pustules. Old, spreading, offensive ulcers. Wilted skin. Sallow, cold, clammy.

Cardus Marianus

The action of Cardus Marianus is centered in the liver, and portal system, causing soreness, pain, jaundice. Has specific relation to the vascular system. Abuse of alcoholic beverages, especially beer. Varicose veins and ulcers. Diseases of miners, associated with asthma. Dropsical conditions depending on liver disease, and when due to pelvic congestion and hepatic disease. Disturbs sugar metabolism. Influenza when liver is affected. Debility. Hemorrhages, especially connected with hepatic disease, dropsical accumulation of water in abdomen.

The next field is bleeding consequent to liver damage, liver pain and sensitiveness, feel fatigued or tired and have bouts of nausea and vomiting due to Liver Cirrhosis. Taste bitter. Aversion to salt meat. Appetite small; tongue furred; nausea; retching; vomiting of green, acid fluid. Stitches in left side of stomach, near spleen. Gallstone disease with enlarged liver.Pain in region of liver. Left lobe very sensitive. Fullness and soreness, with moist skin. Constipation; stools hard, difficult, knotty; alternates with diarrhea. Stools bright yellow. Swelling of gallbladder with painful tenderness. Hyperemia of liver, with jaundice. Cirrhosis, with dropsy.

hemorrhagic piles, prolapse or rectum, burning pain in anus and rectum, hard and knotting, clayey stools. Profuse diarrhea due to rectal cancer. Urine Cloudy; golden-colored.

Itching on lying down at night. Varicose ulcers. Eruption on lower part of sternum. Pain in hip-joint, spreading through buttocks and down thigh; worse from stooping. Difficult rising. Weakness felt in feet, especially after sitting.

Phosphorus

Feels cold. Sharp, cutting pains. A very weak, empty, gone sensation felt in whole abdominal cavity.  Liver congested. Acute hepatitis. Steatohepatitis. Fatty degeneration. Jaundice. Pancreatic disease. Large, yellow spots on abdomen. Hunger soon after eating. Sour taste and sour eructation after every meal. Belching large quantities of wind, after eating. Throws up ingests by the mouthfuls. Vomiting: water is thrown up as soon as it gets warm in the stomach. Tibia inflamed and became necroes. Arms and hands become numb. Can lie only on right side. Post-diphtheritic paralysis, with formication of hands and feet. Joints suddenly give way.

Stool very fetid stools and flatus. Long, narrow, hard. Desire for stool on lying on, left side. Painless, copious debilitating diarrhea. Green mucus with grains like sago. Involuntary; seems as if anus remained open. Great weakness after stool. Discharge of blood from rectum, during stool. White, hard stools. Bleeding hemorrhoids.

Hematuria, especially in acute Bright’s disease. Turbid, brown, with red sediment. Fever, chilly every evening. Cold knees at night. A dynamic with lack of thirst, but unnatural hunger. Hectic, with small, quick pulse; viscid night-sweats. Stupid delirium. Profuse perspiration. Wounds bleed very much, even if small; they heal and break out again. Jaundice. Little ulcer outside of large ones. Petechiae. Ecchymosis. Purpura hemorrhagic. Scurvy. Fungal infections and excrescences.

Nux vomica

Bruised soreness of abdominal walls. Steatohepatitis. Flatulent distension, with spasmodic colic. Colic from uncovering. Liver engorged, with stitches and soreness. Colic, with upward pressure, causing short breath, and desire for stool. Sour taste, and nausea in the morning, after eating. Weight and pain in stomach; worse, eating, Sour, bitter eructation. Nausea and vomiting. Constipation, with frequent ineffectual urging, incomplete and unsatisfactory; feeling as if part remained un expelled. Alternate constipation and diarrhea-after abuse of purgatives. Urging to stool felt throughout abdomen. Itching, blind hemorrhoids, with ineffectual urging to stool; very painful; after drastic drugs. Diarrhea after a debauch; worse, morning. Frequent small evacuations. Scanty stool, with much urging. Dysentery: stools relieve pains for a time. Constant uneasiness in rectum. Diarrhea, with jaundice.

Steatohepatitis. Body burning hot, especially face; yet cannot move or uncover without feeling chilly. Urticaria, with gastric derangement. Acne; skin red and blotchy. Fever cold stage predominates. Paroxysms anticipate in morning. Excessive rigor, with blueness of fingernails. Aching in limbs and back, and gastric symptoms. Chilly; must be covered in every stage of fever. Perspiration sour; only one side of body. Chilliness on being uncovered, yet he does not allow being covered. Dry heat of the body.

Calcarea Carbonicum

This great Hahnemannian anti-psoric (antiviral) is a constitutional remedy par excellence. Its chief action is centered in the vegetative sphere, impaired nutrition being the keynote of its action, the glands, skin, and bones, being instrumental in the changes wrought. Increased local and general perspiration, swelling of glands, scrofulous and rachitic conditions, craving for indigestible things-chalk, coal, pencils; also, for eggs, salt and sweets. Frequent sour eructation; sour vomiting. Loss of appetite when overworked. Heartburn and loud belching. Cramps in stomach; worse, pressure, cold water. Ravenous hunger. Swelling over pit of stomach, like a saucer turned bottom up. Repugnance to hot food. Pain in epigastric region to touch. Thirst; longing for cold drinks. Aggravation while eating. Hyperchlorhydria. Pain between shoulder-blades, impeding breathing. Steatohepatitis. Swelling of joints, especially knee. Burning of soles of feet. Fever with sweat. Pulse full and frequent.

Chilliness and heat. Partial sweats. Night sweats, especially on head, neck and chest. Hectic fever. Abdomen sensitive to slightest pressure. Liver region painful when stooping. Cutting in abdomen; swollen abdomen. Incarcerated flatulence. Inguinal and mesenteric glands swollen and painful. Cannot bear tight clothing around the waist. Distention with hardness. Gall-stone colic. Increase of fat in abdomen. Umbilical hernia. Trembling; weakness, as if sprained. Children are late in learning to walk. Stool: Crawling and constriction in rectum. Stool large and hard; whitish, watery, sour. Prolapse ani, and burning, stinging hemorrhoids. Diarrhea of undigested, food, fetid, with ravenous appetite. Steatohepatitis. Constipation; stool at first hard, then pasty, then liquid. Urine: Dark, brown, sour, fetid, abundant, with white sediment, bloody. Irritable bladder. Enuresis. Skin: Unhealthy; readily ulcerating; flaccid. Small wounds do not heal readily. Glands swollen. Nettle rash; better in cold air. Warts on face and hands. Petechial eruptions. Chilblains. Boils.

Lycopodium

Corresponds to Grau ogle’s carbo-nitrogenous constitution, the non-eliminative lithaemic. Lycopodium is adapted more especially to ailments gradually developing, functional power weakening, with failures of the digestive powers, where the function of the liver is seriously disturbed. Atony. Malnutrition. Mild temperaments of lymphatic constitution, with catarrhal tendencies; older persons, where the skin shows yellowish spots, earthy complexion, uric acid diathesis, etc; also precocious, weakly children. Dyspepsia due to farinaceous and fermentable food, cabbage, beans, etc. Excessive hunger. Aversion to bread, etc. Desire for sweet things. Food tastes sour. Sour eructation. Great weakness of digestion. Bulimia, with much bloating. After eating, pressure in stomach, with bitter taste in mouth. Eating ever so little creates fullness. Wakes at night feeling hungry. Hiccough. Incomplete burning eructation rise only to pharynx there burn for hours.

Steatohepatitis. Deep-seated, progressive, chronic diseases. Carcinoma. Emaciation. Morning sickness. Marked regulating influence upon the glandular (sebaceous) secretions. Pre-senility. Ascites lacks vital heat (immune system), poor circulation, cold extremities. Pains come and go suddenly. Steatohepatitis. Cirrhosis of Liver when the liver has atrophied due to long-standing Cirrhosis. Hepatitis may be predominantly present. Abdomen is bloated, full. Constant sense of fermentation in abdomen, like yeast working; upper left side. Hernia, right side. Liver sensitive. Brown spots on abdomen. Dropsy, due to hepatic disease. Hepatitis, atrophic from of nutmeg liver. Diarrhea. Inactive intestinal canal. Ineffectual urging. Stool hard, difficult, small, incomplete. Hemorrhoid; very painful to touch, aching. Pain in back before urinating; ceases after flow; slow in coming, must strain. Retention. Polyuria during night.

Arsenic Album

A profoundly acting remedy on every organ and tissue. Its clear-cut characteristic symptoms and correspondence to many severe types of disease make its homeopathic employment constant and certain. Steatohepatitis. Liver Cirrhosis with fatigue as the main symptom. The patient feels totally exhausted from doing a little labor. Cannot bear the sight or smell of food. Great thirst; drinks much, but little at a time. Nausea, retching, vomiting, after eating or drinking. Anxiety in pit of stomach. Burning pain.

Long-lasting eructation. Vomiting of blood, bile, green mucus, or brown-black mixed with blood. Stomach extremely irritable; seems raw, as if torn. Gastralgia from slightest food or drink. Dyspepsia from vinegar, acids, ice-cream, ice-water, tobacco. Terrible fear and dyspnea, with gastralgia; also, faintness, icy coldness, great exhaustion. Malignant symptoms. Everything swallowed seems to lodge in the esophagus, which seems as if closed and nothing would pass. Ill effects of vegetable diet, melons, and watery fruits generally. Craves milk.Gnawing, burning abdominal pains; relieved by heat. Liver and spleen enlarged and painful. Ascites and anasarca. Abdomen swollen and painful. Pain as from a wound in abdomen on coughing.

Rectum: Painful, spasmodic protrusion of rectum. Tenesmus. Burning pain and pressure in rectum and anus. Stool small, offensive, dark, with much prostration. Worse at night, and after eating and drinking; from chilling stomach, alcoholic abuse, spoiled meat. Dysentery dark, bloody, very offensive. Cholera, with intense agony, prostration, and burning thirst. Body cold as ice. Hemorrhoids burn like fire, relieved by heat. Skin excoriated about anus. Urine scanty, burning, involuntary. Bladder as if paralyzed. Albuminoids. Epithelial cells; cylindrical clots of fibrin and globules of pus and blood. After urinating, feeling of weakness in abdomen. Bright’s disease. Diabetes.

Nux Vomica

Nux Vomica is greatest of polychrest. Liver Cirrhosis who has a history of long-term alcoholic abuse, chronic acidity and constipation. Sour mouth taste, and nausea in the morning, after eating. Weight and pain in stomach; worse, eating, sometime after. Flatulence and pyrosis. Sour, bitter eructation. Nausea and vomiting, with much retching. Ravenous hunger, especially about a day before an attack of dyspepsia. Region of stomach very sensitive to pressure. Epigastrium bloated, with pressure s of a stone, loves fats and tolerates them well. Dyspepsia from strong tea and/or coffee. Difficult belching of gas. Wants to vomit but cannot. Soreness or stitching pain in liver region. Inclination to take highly spicy diet, stimulants (tea, coffee, alcoholic drinks and fat etc). Mentally anger some and irritable nature, being sensitive to external impressions like noise and odor and also, a sensitivity to cold air.

Bruised soreness of abdominal walls. Steatohepatitis. Flatulent distension, with spasmodic colic. Colic from uncovering. Liver engorged, with stitches and soreness. Colic, with upward pressure, causing short breath, and desire for stool. Weakness of abdominal ring region. Strangulated hernia. Forcing in lower abdomen towards genitals. Umbilical hernia of infants. Constipation, with frequent ineffectual urging, incomplete and unsatisfactory; feeling as if part remained un expelled. Constriction of rectum. Irregular, peristaltic action; hence frequent ineffectual desire, or passing but small quantities at each attempt. Absence of all desire for defecation is a contra-indication. Alternate constipation and diarrhea-after abuse of purgatives. Urging to stool felt throughout abdomen. Itching, blind hemorrhoids, with ineffectual urging to stool; very painful; after drastic drugs. Diarrhea after a debauch; worse, morning. Frequent small evacuations. Scanty stool, with much urging. Dysentery: stools relieve pains for a time. Constant uneasiness in rectum. Diarrhea, with jaundice.

Irritable bladder; from spasmodic sphincter. Frequent calls; little and often. Hematuria. Ineffectual urging, spasmodic and strangury. Renal colic extending to genitals, with dribbling urine. While urinating, itching in urethra and pain in neck of bladder.

Cholesternium

Cancer of the liver. Obstinate hepatic engorgements. Burning pain inside; on walking holds his hand on side, hurts him so. Opacities of the vitreous. Jaundice; gallstones. Cholesternium is the physiological opponent of Lecithin. Both seem to play role in the growth of tumors. Gallstones and insomnia. Steatohepatitis.

Apocynum Cannabinum

Increases secretions of mucous and serous membranes and acts on cellular tissue, reducing edema and dropsy. Nausea, with drowsiness. Steatohepatitis. Excessive vomiting. Food or water is immediately ejected. Dull, heavy, sick feeling. Oppression in epigastrium and chest, impeding breathing. Sensation of sinking in stomach. Abdomen bloated. Ascites. Stool: Watery, flatulent, with soreness in anus; worse after eating. Feeling as if sphincter were open and stools ran right out. Urine: Bladder much distended. Turbid, hot urine, with thick mucus and burning in urethra, after urinating. Little expulsive power. Dribbling. Strangury. Renal Dropsy.

Quassia Amara

Acts on gastric organs as a tonic. Seems to possess marked action on eyes, producing amblyopia and cataract. Pain in right intercostal muscles above the liver. Pressure and stitches in liver, and sympathetically in spleen. Atonic dyspepsia, with gas and acidity. Heartburn and gastralgia. Regurgitation of food. Abdomen feels empty and retracted. Dyspepsia after infectious diseases; especially grip, dysentery. Tongue dry or with brown sticky coating. Steatohepatitis. Cirrhosis of liver with ascites. Steatohepatitis. Inclination to yawn and stretch. Sensation of coldness over back. Prostration, with hunger. Cold extremities, with sensation of internal coldness.

Bryonia Alba

Steatohepatitis. Liver region swollen, sore, tensive. Burning pain, stitches; worse, pressure, coughing, breathing. Tenderness of abdominal walls.  Pulse full, hard, tense, and quick. Chill with external coldness, dry cough, stitches. Internal heat. Sour sweat after slight exertion. Easy, profuse perspiration. Rheumatic and typhoid marked by gastro-hepatic complications. Hot swelling of feet. Joints red, swollen, hot, with stitches and tearing; worse on least movement. Every spot is painful on pressure. Nausea and faintness when rising up. Abnormal hunger, loss of taste. Thirst for large draughts. Vomiting of bile and water immediately after eating. Worse, warm drinks, which are vomited. Stomach sensitive to touch. Pressure in stomach after eating, as of a stone. Soreness in stomach when coughing. Dyspeptic ailments during summer heat. Sensitiveness of epigastrium to touch. Skin yellow; pale, swollen, dropsical; hot and painful. Seborrhea. Hair very greasy. Steatohepatitis.

China Officianalis

Much flatulent colic; better bending double. Tympanite abdomen. Steatohepatitis. Pain in right hypochondrium. Gall-stone colic. Liver and spleen swollen and enlarged. Jaundice. Internal coldness of stomach and abdomen. Vomiting of undigested food. Slow digestion. Weight after eating. Darting pain crosswise in hypogastric region. Flatulence, belching of bitter fluid or regurgitation of food gives no relief. Stool – undigested, frothy, yellow; painless; worse at night, after meals, during hot weather.

Berberis Vulgaris

Stitches in region of gallbladder; worse, pressure, extending to stomach. Catarrh of the gallbladder with constipation and yellow complexion. Stitching pain in front of kidneys extending to liver, spleen, stomach, groins, Poupart’s ligament. Sticking deep in ilium. Stool: Constant urging to stool. Diarrhea painless, clay-colored, burning, and smarting in anus and perineum. Steatohepatitis.

Eupatorium Perfoliate

Tongue yellow. Taste bitter. Hepatic region sore. Great thirst. Vomiting and purging of bile, of green liquid several quarts at a time. Vomiting preceded by thirst. Hiccough. Avoids tight clothing. Stool frequent, green watery. Cramps. Constipated, with sore liver.

Iodium

Throbbing at pit of stomach. Ravenous hunger and much thirst. Empty eructation, as if every particle of food were turned into gas. Anxious and worried if he does not eat. Loss flesh, yet hungry and eating well. Flushes of heat all over body. Marked fever, restlessness, red cheeks, apathetic. Profuse sweat.Heart feels squeezed. Myocarditis, painful compression around heart. Palpitation from least exertion. Tachycardia.Liver and spleen sore and enlarged. Jaundice. Mesenteric glands enlarged. Pancreatic disease. Cutting pain in abdomen.Skin: Hot, dry, yellow and withered. Glands enlarged. Nodosities. Anasarca of cardiac disease.Stool: Hemorrhage at every stool. Diarrhea, whitish, frothy, fatty. Constipation, with ineffectual urging; better by drinking cold milk. Constipation alternating with diarrhea.Urine frequent and copious, dark yellow green (Bovista), thick, acrid with cuticle on surface.

Ammonium Muriaticum

Thirst for lemonade, regurgitation of food, bitter water brash. Nausea. Gnawing in stomach. Epigastric pain immediately after eating. Cancer of stomach.Abdomen: Splenic stitches, especially in the morning, with difficult breathing. Pain around navel. Abdominal symptoms appear during pregnancy. Chronic congestion of liver. Excessive fatty deposit around abdomen. Much flatus. Strained feeling in groin.