2. Conflict of Interest Disclosure
• Neither I nor my immediate family members have any Financial Interests
or Significant Relationships that might affect – or reasonably appear to
affect – this presentation on “Role of Homeopathy in Prostate Cancer
prevention”
3. Objectives
• Discuss various diseases related to prostate Cancer
• Discuss BPH (Benign Prostatic Hyperplasia) and prostatic cancer
relation
• Explain its clinical manifestations and symptomatology
• Explain Aetiological factors and preventive measures by
Homeopathic treatment
• Recommend a unique 10 step program to prevent prostate problems
and cancer *
*reversing prostate problems in natural way-first edition 2015-page no62-Dr Naval Kumar Verma
5. Contents
1. The Prostate
2. Prostate Conditions
a.non cancerous conditions
b. cancerous condition
3. Alarming signs , tests, stages.
4. Cancer free world a overview-role of environment and
nutrition.
5. A 10 step unique guidelines to prevent and cure prostate
diseases.
6.Homeopathy role and cases.
7..Follow up care-post cancer care and Homeopathy.
7. Prostate
• a walnut-sized gland located below the bladder and anterior
to rectum
• Forms imp part of the male reproductive system
• produces fluid which protects and enriches sperm
• The urethra runs through the center of the prostate, from the
bladder to the penis, letting urine flow out of the body
8. Functions Of Prostate Gland
• Control and prevents urine entry during ejaculation
• Prostatic secretion aids sperm motility and survival
• Helps expel semen during ejaculation
10. Risk Factors
• AGE
• FAMILY HISTORY OF CA PROSTATE
• BOWEL CANCER
• ETHNICITY-African American
• DIET FACTORS
• OCCUPATIONAL HEZARDS
Campbell-Walsh UROLOGY, 9th edition
Comprehensive Textbook of Genitourinary Oncology, 3rd edition
11. Prostate Cancer
• Most common non-skin cancer in men
• Second leading cause of cancer death in U.S. men
• About 25% of prostate cancers are thought to be
clinically significant
Campbell-Walsh UROLOGY, 9th edition
Comprehensive Textbook of Genitourinary Oncology, 3rd edition
12. Prostate Cancer Incidence
• Leading Sites of Cancer by World age-adjusted
incidence rates (AAR) per 100,000 persons for males &
females, 2006*
**
• C33-34 Lung 14.2
• C61 Prostate 11.5
Source* Cancer incidence and mortality in Delhi and urban 2006-Vinod Rathi,B.B.Tyagi,N.Manoharan,G.K.Rathi
**coursey-photograph-www.sternurology.com/conditions_prostate_cancer.cfm
• .
13. Leading Sites of Cancer by World age-adjusted incidence rates (AAR) per
100,000 persons for males & females, 2006
Rank Male Female
ICD 10 Site AAR ICD 10 Site AAR
1 C33-34 Lung 14.2 C50 Breast 32.1
2 C61 Prostate 11.5 C53 Cervix Uteri 18.1
3 C01-02 Tongue 8.6 C56 Ovary etc. 8.6
4 C32 Larynx 8.0 C23-24 Gall Bladder 8.5
5 C67 Bladder 6.3 C54 Corpus UT 4.2
6 C82-85,C96 NHL 5.9 C33-34 Lung 3.6
7 C03-06 Mouth 5.7 C15 Oesophagus 3.0
8 C15 Oesophagus 4.7 C82-85,96 NHL 3.0
9 C23-24 Gall Bladder 4.1 C73 Thyroid 2.9
10 C70-72 Brain, Ner SYS 3.5 C01-02 Tongue 2.5
All Sites (C00-C96) 125.1 All Sites (C00-C96) 119.7
Source* Cancer incidence and mortality in Delhi and
urban 2006-Vinod Rathi,B.B.Tyagi,N.Manoharan,G.K.Rathi
14. The Highest incidence rate by age and sex per 100,000 population, 2006
Males Females
Age Group Leading Sites Rate Leading Sites Rate
00-04 Lymphoid Leuk. 5.0 Lymphoid Leuk. 1.5
05-09 Lymphoid Leuk. 4.5 Lymphoid Leuk. 1.7
10-14 Lymphoid Leuk. 2.6 Lymphoid Leuk. 1.2
15-19 Bone 2.5 Bone 1.5
20-24 Myeloid Leuk 1.9 Ovary etc. 2.4
25-29 NHL 2.3 Breast 5.6
30-34 Brain NS 3.5 Breast 10.2
35-39 Tongue 3.6 Breast 23.5
40-44 Tongue 6.0 Breast 50.8
45-49 Tongue 12.9 Breast 72.9
50-54 Lung 36.5 Breast 104.1
55-59 Lung 56.4 Breast 110.2
60-64 Lung 68.4 Breast 138.1
65-69 Lung 84.7 Breast 109.3
70-74 Prostate 145.1 Breast 98.1
75+ Prostate 175.7 Breast 85.6
Source *Vinod Raina l B B Tyagi l N. Manoharan l G.K. Rath, Cancer Incidence & Mortality in Delhi UT Urban, 2006,
Delhi Cancer Registry, Dr. B.R. Ambedkar Institute Rotary Cancer Hospital
15. Life time risk of developing Cancer of
prostate
• Prostate Male - Age
• 0.01 (1 in 9,422)- Birth to 39 (%)
• 2.44 (1 in 41)- 40 to 59 (%)
• 6.45 (1 in 16)- 60-69(%)
• 12.48 (1 in 8)- 70 and Older(%)
• 15.90 (1 in 6)- Birth to death(%)
• Probability of Developing Invasive Cancers Within Selected
Age Intervals by Sex, United States, 2004–2006*
• Jemal et al. Cancer statistics, 2010. CA cancer J clin, 2011 Mar-
Apr;61(2):133-4.
19. Other-Prostate cancer risk factors
• Obesity
• Sexually transmitted diseases (STDs)
• Smoking
• Alcohol
• Tea
• Night working
• Family history
www.pcf.org
20. Prostate –Screening and investigations
• Regular screening and examination – early detection can
prevent cancer
• Investigations and diagnosis are done for 2 main reasons:
• To evaluate prostate health and to differentiate between
Cancerous and Non Cancerous conditions of prostate
• To assess severity of the condition
21. Prostate Investigations
• For the diagnosis of prostate problems investigations and examinations
include:
1. DRE (Digital rectal examination)
2. Urine test
3. Blood test-Prostate Surface Antigen (PSA)
4. Prostate biopsy
5. Uroflowmetry
6. Radiological imaging tests include Firstly Ultrasound prostate with pre
and post void residual urine
7. Other tests include CT scan, MRI, and Bone scan
A new investigation is introduced in prostate problems
NON INVASIVE: “PSMA” PET SCANNING
• Reversing prostate problems in natural way-first edition-2015
22. Screening
*CaP-Cancer prostate
**American Urological Association 2009, National Comprehensive Cancer
Network 2010, European Association of Urology 2009, American Cancer
Society 2010
Guideline Age to start CaP* screening Suggested Screening Tests
AUA 2009 40 PSA and DRE
NCCN 2010 40 PSA and DRE
EAU 45 PSA and DRE
ACS 2010 40-50 (depends on risk) PSA with or without DRE
23. Diagnosis
• PSA can be elevated secondary to BPH, prostatitis, recent
ejaculation, prostate trauma (massage, biopsy, urethral
instrumentation, cycling, etc…)
• Use of age and ethnicity adjusted PSA values
Campbell-Walsh UROLOGY, 9th edition
Age Caucasian African-American Asian-American
40-49 0-2.5 0-2.0 0-2.0
50-59 0-3.5 0-4.0 0-3.0
60-69 0-4.5 0-4.5 0-4.0
70-79 0-6.5 0-5.5 0-5.0
24. Diagnosis
• PSA not perfect and can only be used to define risk of prostate
cancer NOT diagnosis
• No universally accepted threshold value
• Decision to biopsy based on many different criteria** (age,
DRE*,overall health, PSA velocity, PSADT, FH, race, etc…)
*DRE-Digital rectal examination)
**Campbell-Walsh UROLOGY, 9th edition
25. Prostate Conditions
• Prostate Problems divided into two main categories
• Non Cancerous Conditions Cancerous Condition
• PROSTATITIS PROSTATE CA
• PROSTATODYNIA
• BENIGN PROSTATIC
• HYPERPLASIA ( BPH )
*
* *Cancer Research UK
26. Alarming Signs
IF YOU HAVE THE FOLLOWING COMPLAINTS ITS TIME TO CONSULT
• Increased frequency of urination?
• Bladder does not feel like it is completely empty?
• Straining to urinate?
• Increased frequency of urination at night?
• Recurrent urinary tract infection?
• Inability to control one’s urination/bowel?
• Blood in urine?
• Pain/burning with urination?
• Hesitancy?
• Feeble stream of urination?
• Disturbed sexual life?
29. Objectives by Clinical state
OBJECTIVES BY CLINICAL STATE
INITIAL
EVALUATION:
NO CANCER
DIAGNOSIS
LOCALIZED
DISEASE
CLINICAL
METASTASES:
NON-CASTRATE
PREVENTION MINIMIZE
MORBIDITY/
MAXIMIZE
CURE
PREVENT
METASTASES
ELIMINATE /
PREVENT
SYMPTOMS
DEATH OF
DISEASE
RISING
PSA
CLINICAL
METASTASES:
CASTRATE
Derek Raghavan MD PhD
Cleveland Clinic Taussig Cancer Center
Cleveland, OH.
30. Cancer Free World
Environment and Nutrition
1. Awareness - the key to detect cancer
2. Early diagnosis- by regular screening
3. lead healthy lifestyle
4. maintains healthy weight
5. Be vegetarian, Eat Fresh vegetarian food
6. Avoid Tobacco
7. Avoid and limit alcohol
8. Do Yoga and meditation-
9. stress management
10. regular exercises
American Cancer Society;
Reversing prostate problems in natural way-first edition2015
31. Cancer Free World
Though there is no exact explanation to why one person develops
cancer and another does not, research shows that a few
factors that can increase the chances of cancer are
• Global warming and environmental –Avoid direct sunlight, pollution, etc.
• Tobacco and alcohol-are proven risk factors of cancer.
• Radiations exposure from cell phone might have the potential to cause cancer or
other health problems as they emit radiation/radiofrequency energy which is
carcinogenic-specially when phone battery is discharged.
• Processed food- A diet, low in fiber and high in energy can increase a person’s risk
of developing cancer foods such in refined sugars, preservatives, food additives,
food colors and also non vegetarian food; have also been singled out as
carcinogenic.
• Personal hygiene
• Sexual habits – multiple sex partners and recurrent infections may cause cancer.
• Being overweight – you can help prevent many forms of cancer by maintaining a
healthy weight
Reversing prostate problem in natural-first edition-2015-Dr Naval Kumar Verma
32. 10 STEP PROSTATE DISEASES REVERSAL AND
PREVENTION GUIDELINES
For success of any program or guidelines most important is..
• Health care awareness
• Early detection-with regular screening
• Life style management
• Stress Management
• Avoiding tobacco and alcohol use
• Treating chronic Prostate Infections ,Benign Prostate Hypertrophy
and Sexually transmitted diseases with Homeopathy
• Diet and Immunonutrition*
*www.nutritionjrnl.com
33. “10 STEPS TO PREVENT CANCER”
10 TIPS TO REVERSE PROSTATE PROBLEM
1. Role of Exercises
2. Kegel Exercise
3. Breathing Exercises
4. Role of Yoga
5. Meditation
6. Prostate Massage
7. Obesity Control
8. Walking
9. Homoeopathic Treatment
10. Diet Programs
– Diet Management (Promoting Vegetarian diet, organic food products and
Alcohol, Smoking and drug abuse de-addiction).
– Detoxification of chemical and mutants, that causes cancer.
Source-Reversing prostate problems in natural way-first edition 2015
•
34. Role of Homeopathy
• The homeopathic understanding of health is intimately
connected to its understanding of the mind in general
• Homeopaths don't separate the mind and body in the usual
way; they generally assume that body and mind are dynamically
interconnected and that both directly influence each other
• This acknowledgement of the inter bond of body and mind is not
simply a vague, impractical concept. Homeopaths base virtually
every homeopathic prescription on the physical and
psychological symptoms of the sick person
• Psychological symptoms often play a primary role in the
selection of the correct medicine
Authors' view
35. Homeopathic case taking overview
• General Case taking-Homeopathic Performa
• Special points to consider for screening and treating Prostate
patients
• Concomitant symptoms and lifestyle changes to be taken in
causative factors
• Follow up care and advice
36. Homeopathic Preventive Care
1.Medicines for bad effect of tobacco and alcohol
2.Medicines for lifestyle problems and Holistic health
3.Medicines and cure for BPH-Benign prostatic hypertrophy
4.Homeopathic management of prostatitis
5.Homeopathic remedies for Cancer prostate
6.Homeopathic management for Post Cancer care (Urinary
incontinence and impotency)
37. Homeopathic Quit tobacco Program
SMOKING:
• Leads to aggressive prostate cancer*
• Smoking might directly affect the aggressiveness of cancer.
Carcinogens in tobacco smoke may speed tumor growth, for
instance, as might the higher levels of testosterone
associated with smoking
• Men who'd smoked a pack a day for 40 years -- or,
equivalently, two packs a day for 20 years -- were 82% more
likely to succumb to prostate cancer than men who had
never smoked.
*Cigarette Smoking and Risk of Prostate Cancer in Middle-Aged Men1Lora A. Plaskon,David F.
Penson, Thomas L. Vaughan, and Janet L. Stanford2
39. Homeopathic Help in Craving and tobacco abuse
Tips to
quit-
smoking
Stress
relief/yoga/me
ditation/prana
yam
Stop coffee,
Avoid alcohol
Drink
more
fluids/eat
healthy
Be with freinds
or call a
support group
http://www.heart.org
40. Quit –Tobacco Help
• Remedies to quit smoking
• 1.Daphne Indica-Drug introduced by Bute
• Cinchona
• Tabacum
• Staphysgaria
• Kreosotum
• Platina Kent Repertory: stomach:desire tobacco
41. Ailments from Tobacco
• Nux Vomica
• Thuja
• Staphysgaria
• Abies Can
• Argentum Nitricum
• Chinium ars
• Lobelia
• Lycopodium
• Sepia
• Phosphorus
• Veratrum album
special repertory
Complete Male genitalia:Erection troubles:wanting impotancy:tobacco from abuse of
42. Alcohol abuse and Homeopathy
ALCOHOL
• Alcohol influenced tumor volume doubling time (TVDT)
• Alcohol consumption of 50 g and 100 g per day is also
associated with cancers of the ovary and prostate
• Few studies conclude, that moderate alcohol consumption
increases the risk of prostate cancer
43. Homeopathic Remedies for ailment
from alcohol
Prostate cancer and alcohol abuse has been established in some studies.
Homeopathy plays a major role
• Constitutions and miasmatic background- Miasm Psora is the root cause that,has to
be removed to prevent cancer ,remedies which help and clinically proven are
• Sulphur
• Nux Vomica
• Quercus robur-introduced by Dr Burnett
• Pulsatilla
• Hepar Sulph
• Lachesis
• Arsenic
• Belladonna
• Calcarea Carb
• Mercurious
• (Source:Boenning:Urine:Micturition:strangury alcohol from)
45. Prostate Care in Homeopathy
• Homeopathy has an important role in reducing size of
enlarged (BPH) prostate and treating Prostatitis (established
in research of CCRH, India)
• Benign Prostate hypertrophy can lead to ca prostate in
vulnerable age group associated with other risk factors like
tobacco, lifestyle, diet and infection
• common remedies for BHP-Prostate*
Conium, Sabal Serrulata, Solidago,Pariera Brava, Pulsatilla,
Thuja, Selenium, Staphysgaria, Apis, Chimaphilla,
Crotalus horridus, Digtalis, Lycopodium, Medorrhinum,
Sepia ,Sulphur
*Phatak:Prostate
46. Remedies for BPH
• common remedies for BHP-Prostate*
1.Conium,
2.Sabal Serrulata,
3.Solidago,
4.Pariera Brava,
5.Pulsatilla,
6.Thuja,
7.Selenium,
8.Staphysgaria,
9.Apis,
10.Chimaphilla,
11.Digtalis,
12.Chmaphilla
13.Lycopodium,
14.Medorrhinum,
15. Sepia ,
16.Sulphur *Phatak:Prostate
47. Conversion Risk Of BPH to
Prostate Cancer
• Historical autopsy data* has shown that
83.3% of PCa arises with the concomitant
presence of BPH
• Orsted et al ** have reported (2011)- a two-
three-fold increased risk of the development
of Pca in BPH patients than normal population
* Bostwick DG, Cooner WH, Denis L, Jones GW, Scardino PT, Murphy GP. The association of benign
prostatic hyperplasia and cancer of the prostate.Cancer. 1992;70
** Orsted DD, Bojesen SE, Nielsen SF, Nordestgaard BG. Association of clinical benign prostate
hyperplasia with prostate cancer incidence and mortality revisited: A nationwide cohort
study of 3,009,258 men. EurUrol. 2011;60:691–8.
48. Case Presentation
• Patient- A age-50
• Presenting symptoms
• case history
Diagnosis :case of BPH
Before treatment Ultrasound- prostate size: Volume 57
CC-dated-22-4-2014
After treatment –Ultrasound- prostate volume 39cc-
dated 23-61024
Rx-Arsenic Album 30 C, Sabal serr Q
*Case presented by Dr Naval Kumar Verma ,in Schwabe single remedy times-Vol:1 Issue: 1
50. Post Prostate Cancer Care
• Impotency ,Urinary incontinence and bowel
dysfunction are the major side effects of most of
the modern treatments like, Surgery, Radiation,
Hormone therapy and Chemotherapy
51. Post Cancer Care
• Remedies for Emotional wellbeing
Ignitia, Staphysgaria, Aconite ,Arsenic Album
• Remedies for controlling Urinary incontinence
• (Adopt Kegel training also see in 10 step program
• Kent: Bladder: Urination Dribbling: day and night after urination
Cannabis Indica, Clematis, Hepar Sulph,Causticum,Chinium
sulph,Conium,Graphites,Petroselenium,Staphysgaria,Thuja)
• Remedies for Erectile Disorders**
Damiana, Selenium,Acid Phosphoricum,Agnus
Castus,Conium,Staphysgaria,Claladium,Lycopodium,Nux Vomica-
• *Kent: Bladder: Urination Dribbling: day and night after urination
• **Kent Repertory- Genitalia Male: sexual passion erection without
52. Goals of Preventive measures and
Treatment
Clinical State Aim Outcome
No Cancer Prevent Cancer No cancer
Localized Disease Delay recurrence
Maximize cure
Minimize toxicity
PSA level
- after surgery
- after radiotherapy
Rising PSA Prevent clinical
metastases
Absolute PSA level?
Altered kinetics?
53. Summarize
Prostate cancer –a very common problem
Need to know whom to offer screening, when to begin, and how
often to follow up
Need to start preventive measures at initial symptoms of
prostate conditions like Prostatitis, Benign Prostatic
hyperplasia, and Carcinoma prostate
Need to educate masses about role and efficacy of homeopathy
as a holistic care, preventive medicine
Currently over diagnose, which leads to overtreatment of
prostate cancer, the side effects like urinary incontinence,
erectile disorder and “stress-urinary incontinence* can be
managed with homeopathy
www.ncbi.nlm.gov /pmc/articles/PMC 1913182
54. References
1.Naval Kumar Verma, Reversing prostate problems in natural way-first edition 2015-page no 62
2.Campbell-Walsh UROLOGY, 9th edition, Comprehensive Textbook of Genitourinary Oncology, 3rd edition
3.Campbell-Walsh UROLOGY, 9th edition, Comprehensive Textbook of Genitourinary Oncology, 3rd edition
4.Vinod Rathi, B.B.Tyagi, N.Manoharan, G.K.Rathi- Cancer incidence and mortality in Delhi and urban 2006-Vinod
5. Vinod Raina l B B Tyagi l N. Manoharan l G.K. Rath, Cancer Incidence & Mortality in Delhi UT Urban, 2006, Delhi Cancer
Registry, Dr. B.R. Ambedkar Institute Rotary Cancer Hospital
6. Jemal et al. Cancer statistics, 2010. CA cancer J clin, 2011 Mar-Apr;61(2):133-4
7. Farley J, Shin HR, Bray F, Forman D, Mathers C et al. (2010) GLOBOCAN 2008: cancer incidence and mortality worldwide.
8. www.pcf.org
9. www.medscape.org/viewarticle 444792
10. Derek Raghavan MD PhD,Cleveland Clinic Taussig Cancer Cen
11. American Cancer Society
55. References
12. *www.nutritionjrnl.com
13. 1Lora A. Plaskon,David F. Penson, Thomas L. Vaughan, and Janet L. Stanford2 Cigarette Smoking and Risk
of Prostate Cancer in Middle-Aged Men
14. http://www.heart.org
15. J.T. Kent- Repertory: stomach:desire tobacco
16. special repertory
17. Roger Von Zandvoort- Complete Male genitalia: Erection troubles: wanting impotency: tobacco from abuse of
18. Phatak: Phatak repertory-sector-Prostate
19. Boenning:Urine:Micturition:strangury alcohol from
18. Naval Kumar Verma ,in Schwabe single remedy times-Vol:1 Issue: 1
19. Knerr: Urinary Organs: Urine Bloody: cancer prostate
20. Kent: Bladder: Urination Dribbling: day and night after urination
21.Kent Repertory- Genitalia Male: sexual passion erection without
57. Thanks
• Dr Naval Kumar Verma MD(Hom)
• Rejoice Health Foundation India
• J 13/34,Rajouri Garden, New Delhi, India
• drnaval.kumar@gmail.com
• 9868210017,25410265,25172076