Tissue Salts Case Studies

By Dr J. Cahill

Case of Calc Fluor – Wrist fracture

A 56-year-old female presented with a broken wrist fracture.
She had been gardening 3 days ago and tripped, falling on
her hands and fractured her right wrist. She is right handed
so this is a significant disruption for her. Her wrist is now in a
cast.
The patient went through early menopause at 44 years old
and she declined HRT due to a family history of breast
cancer. She also has crohns disease which has caused a
problem with her absorbing much of her food. She also states
that she has been on steroid drugs since she was 32yrs old in
order to manage her crohns disease.
Prescription 1
Calc fluor & Ferrum phos, 5 tabs of each in 500ml water to
sip on throughout the day. Aim for 1 ½-2l of this mix/day.
Follow-up (3 weeks later)

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Wrist cast has been taken off and she is reporting having no
residual pain, doctor was very pleased with her healing and
rapid recovery.
Prescription 2
Calc fluor & Calc phos, 4 tabs 3 x daily for long term bone
support.
Due to her early menopause, use of corticosteroid and
chronic condition of Crohns, she would likely require long
term bone support (due to increased osteoporosis risk) to
reduce her risk of further fractures.
Diet – Suggesting bone broths (organic chicken and organic
beef), and increasing raw/lightly steamed green, leafy veg
intake can help provide additional minerals to support bone
mineralisation.
Note: Due to her history of Crohns she may require Ferrum
phos during acute flare-ups to relieve the inflammatory
periods.

Case of Calc Phos – Coeliacs

A 17-year-old male presents with having been recently
diagnosed with coeliacs disease. Coeliacs is a condition
whereby the immune system causes significant destruction
to the lining of the small intestine associated with gluten
intake. This condition has a remarkable impact on nutrient
absorption. He states too that he has a significant intolerance
to dairy, and he has had to avoid dairy since he was 8 years
old.

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He remarks that he has been having difficulty with studying
lately. He feels generally fatigued, finding it difficult to
concentrate and has been suffering from dull headaches for
the last 3 weeks, esp when at school.
You observe he is rather pale and has a waxy appearance to
the skin.
You ask him about his diet and he states he enjoys toasts,
doesn’t like green veg, esp broccoli, and prefers to eat meat,
potatoes and sometimes he will have some carrots and
tomatoes.
Prescription 1
Calc phos 4 tabs 3 x daily for 3 months
Reasoning:
- Underlying malabsorption condition, went undiagnosed
for many years
- Avoids dairy and does not like green veg
- Meat and tomatoes are rather acidic and could thus
reduce his availability of calc phos
- His appearance matches Calc phos: pale and waxy skin
- He is fatigued and has difficulty concentrating
- Also, this period in one’s life calls for an increased
demand of the body for Calc phos. He is studying
(cognitive demand) and he also still undergoing sexual
maturity. Recall, Calc phos is the cell restorer, so will
help his hormonal system, nervous system and digestive
system reach a state of recovery and better adaptability.

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I suggested he try having a smoothie/shake before school
and a juice after school – this was to try and increase his
intake of vitamins.
Examples:
Smoothie: A combination of banana, parsley, avocado and a
hint of lemon/lime for taste. This should help increase his
absorption of natural occurring calc phos within the
suggested foods and can help get him increasing some easily
digestible food sources that are nutrient dense.
Juice – apple, kale, carrot and spinach juice.
Also, stressing the importance of why it is necessary for him
to increase his greens is an important part of education.
Patient education may help facilitate motivation with sticking
to the plan and taking responsibility for his health.
Follow-up (6 weeks)
This was a follow-up to see how he was managing with the
dietary suggestions. He has had a significant improvement in
his concentration and energy levels. He states that he felt it
challenging to get started with the smoothies and juices, but
after a week he started noticing a change in his skin, it
developed more colour, and he had more energy at school.
He is really pleased with the changes so will carry on with the
protocol until the next follow-up at 3 months.

Case of Calc Sulph – Impetigo

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An 8 year old little girl presents with some sores around the
mouth and nose. It started 2 days ago, the sores initially had
a sticky yet thin golden yellow discharge but recently the
discharge has become yellow-green and thicker.
When speaking with the little girl’s mum, her mum said that
she rather dislikes bathing and it’s always a challenge to get
the little girl to wash thoroughly.
Historically this little girl has a history of wounds that
suppurate (for pus discharge) easily and chronic suppurating
ear infections between 1-3 years old. She is the middle child
and when asking her about her siblings, she responds by
stating her older sister doesn’t play with her and keeps
calling her a baby, and her younger brother gets all the
attention.
On observation, the child has some yellowing of the skin
around the mouth region (congestion/toxicity). She also has a
significant offensive odour and seems to have oily hair, esp.
around the back of the head.
Prescription 1
As this is an acute condition (impetigo – contagious skin
infection), Calc sulpha was suggested orally as well as
topically.
1 – Dissolve 9 tablets of Calc sulpha in 100ml calendula
(marigold flower) infusion. Sprits onto the lesion and allow to
air dry every 4 hrs.

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2 – Calc sulph 4 tabs every 4 hrs until lesions clear. (acute
prescription)
Additional recommendations:
- Avoid sharing bath towels/face clothes, eating/drinking
items etc. Also was clothing separately to rest of the
households clothing – this is merely to reduce risk of
contamination.
Immune support: Vitamin A 2500iu, Vit D 3000iu and zinc
7mg was additionally prescribed to be taken for 2 weeks to
help support her immune system.
Additionally, fresh carrot and barley juice was recommended
to support immune function and also aid in speedy tissue
repair.
Follow-up (4 days later)
Lesions are significantly better. No new lesions have
developed, and the diameter of the crusts are markedly
reduced. There is no signs of infection, no more pus and is
likely to completely resolve within the next 3 days.
Prescription 2
They can now stop with the topical application and just
continue with immune support (until end of two weeks) and
the oral calc sulph for another 2 days just to ensure there is
no risk of re-occurrence.

Case of Ferrum phos - Cellulitis

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A retired 63 year old male presents to you with recurrent
bouts of cellulitis on his left lower limb. His skin becomes
remarkably red and inflamed, it’s incredibly painful to the
point where he struggles to move as well as sleep.
He is a long-standing diabetic having been diagnosed with
Type 2 diabetes when he was 32 years old.
For the last 3 years he has been suffering with recurrent
bouts of mouth ulcers which he remarks are incredibly
painful for their size, but he indicates they tend to resolve on
their own.
He was a very successful lawyer in corporate law. His past
medical history indicates that he suffered from repeated
bouts of tonsillitis but never had time to get it seen to. He
noticed he often got sore throats when he was working on a
particularly challenging case, when working long hours.
Physically, he presents as rather robust, large stature with a
sense of authority. He has red cheeks and pale ears, when
asking him about his rosy cheeks he states that he has always
had rosy cheeks although it gets worse if he drinks alcohol.
Prescription 1
Due to the acuteness of the case, Ferrum phos 4 tabs every 3
hrs for 24-48hrs was prescribed.
He was also suggested to spray colloidal silver onto the skin
(leave to air-dry) and into the mouth (3 sprays). This is a great
anti-bacterial.

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Immune support: 1000mg vit C every 3 hrs, Vit A 5000iu’s
daily and zinc 25mg daily with food.
Herbal support: Golden seal, Echinacea, Gotu kola & Borage
in tincture taken twice daily to aid lymphatic function and
increase immune function.
Follow-up (48hrs later)
The cellulitis has significantly reduced, and he started
noticing a reduction in pain and redness within 12-18hrs of
the protocol.
There were still mild symptoms of the cellulitis, so he was
advised to carry on for another 2 days just to ensure
adequate clearance.
As he was a long-standing diabetic and taking his past history
into consideration, he was then further advised to take Nat
phos, Nat sulph & Calc sulph as this helps support pancreatic
and liver function which long-term helps manage glucose
balance within the body.

Case of Kali mur – Postnatal depression and infant oral

thrush
A new mum brings her 9 weeks old baby who presents with
oral thrush. Mum doesn’t want to use the allopathic anti-
fungals and would like to try something more natural.
Baby’s mouth presents with a creamy past on the tongue.
Baby has become fretful on the breast of late and is not
feeding as well as she should be.

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As a first-time mum, mum appears to be rather anxious and
on further questioning she is showing signs of post-natal
depression. She feels overwhelmed with the new
responsibility of motherhood. She does not have a mum
around and as a result of this, she worries she will not be a
good mother (just like her mother) and feels rather alone in
motherhood. Her partner tries his best, but she exclaims that
he doesn’t understand her.
Prescription 1
Mum - Kali mur & Kali phos - 4 tabs 3 x daily of each
This was given to support mums emotional state, she
postnatal depression and her exhaustion as a new mother.
Baby - 10 tabs of Kali mur crushed and add to 50ml coconut
oil. Place a ¼ teaspoon of this mixture into baby’s mouth or
onto mum’s nipple before each feed.
Follow-up 3 days later
Mum – she states she is feeling a bit better due to better
sleep since baby is feeding better. Breasts have become
engorged, but this is likely due to baby increasing feeding.
(positive response!)
Baby – no longer evidence of oral thrush, baby is feeding
better and thus is sleeping better and seems more content.
Prescription 2
Baby – nothing necessary

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Mum – continue Kali mur and Kali phos as originally
prescribed for another 3 weeks. Ferrum phos (for engorged
breasts) 9 tabs in 500ml water and sip throughout the day.
Try to drink min 2l of this mix each day for 3 days (acute
prescription whilst new feed volume is established).
Follow-up 2 weeks later
Mum is significantly better. No longer feels depressed, hasn’t
had any more anxious thoughts. Breasts felt improvement
within 24hr of ferrum phos.
She states she is sleeping better and feeling more rested
after sleep, despite having to wake baby’s night feed.
She was asked to come back for another follow-up in 2
months time to reassess how she is feeling and ensure she
does not sick back into a depression again.

Case of Kali phos – Chronic fatigue

A 36-year-old female presents with extreme exhaustion. She
has 2 children and she found that her level of exhaustion
became extreme after her second child. She remarks that she
has long suffered from fatigue and reduced endurance since
she was 16 years old.
She further revealed that she contracted glandular fever
when she was 16 years old. She was off from school for two
weeks at the time, but ever since then she feels she ‘never
quite recovered’.

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She remarks that the extreme fatigue has made her feel
depressed and frustrated. She is also finding it hard to
maintain her job which she only does part-time. By
profession she is a journalist, but since pregnancy of her first
child, she could not maintain a full-time job. She is now
considering the extremeness of her exhaustion and whether
or not she can even maintain this part-time setup.
Prescription 1
Kali phos – 9 tabs in 500ml water, drink 2l of this mix daily.
Olive leaf, magnesium, B6 and B5 were also prescribed. Olive
leaf is a well know herbal anti-viral to help with the
remaining activity of glandular fever (Epstein-Barr virus), and
the magnesium, B5 & B6 was to support the adrenal glands.
Follow-up 3 weeks later
She has been feeling a bit better, but still struggles to feel
rested after waking. She claims her energy levels were
initially perhaps 2/10, now she would say she is perhaps
5/10.
Prescription 2
Kali phos & Calc phos – 5 tabs of each in 500ml water, drink
2l of this mix daily (As a nervous system support complex)
Continued with Olive leaf, magnesium, B6 and B5.
Follow-up 6 weeks later (9 weeks after 1st consultation)
Energy 8/10

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Case of Kali sulph – shingles in 68-year-old
A 68 year old male presents with a second bout of shingles.
His eruptions occur on the left-hand side of his chest from his
back to the front of his chest just underneath his left nipple.
He remarks that it is incredibly tender to touch, even wearing
a shirt is painful. He is struggling to sleep due to the pain.
He is a robust man, tall and well-built so it is rather significant
to observe a skin lesion like this render him virtually non-
functional. Being retired, he loves being in the garden and
rather enjoys working with wood in his shed in the garden.
But since this his first bout of shingles 6 months ago, he has
not been able to do the things he most loves.
On examination, the lesions are red but have developed
scabs. Most of the scabs have joined, the lesions look ‘dirty’,
there is a green, thick discharge trapped underneath the
scabs.
Prescription 1
Kali sulph 4 tabs every 4 hrs for 5 days (acute prescription)
Fresh organic carrot juice (200ml) 3 x daily
Follow-up (1 week later)
The scabs have all cleared, there are no signs of infection or
suppuration.
Prescription 2
Kali phos 4 tabs 3 x daily

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As this is not his first episode of shingles, it is important to
acknowledge his need of support to his nervous system. So,
good sources of essential fats (e.g. avocado, wild salmon,
organic eggs, seed oils) as well as lysine (1000mg twice daily)
and St Johns wort are necessary for 3-4 weeks.

Case of Mag phos – stammer

A 4-year-old little girl presents with a significant stammer.
She developed a stammer when she was 3 years old. Her
parents observed that when this speech difficulty developed,
the child became introverted (she was once very social and
extroverted) and very sensitive to reprimand and assumed
criticism.
She has developed aggressive outbursts, she has on occasion
hit her mum out of frustration when trying to speak and
words were not coming out. Her mum has also observed that
since the stammer developed the child gets unusually angry
very quickly with her toys.
Since the stammer developed, her sleeping has become
progressively worse, where she battles to fall asleep and then
wakes in the very early hrs of the morning (3am) screaming
due to night terrors. This happens about 4-5 times a week.
Her nursery has also remarked that her toilet habits have
altered, and she is soiling herself frequently. Her mum says
this is not the case when she is at home, so she is
approaching possible triggers and causation associated with
the nursery.

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Prescription 1
(Homeopathic similimum Staphysagria 200C was also given
to take once on alternate days for 5 doses.)
Mag phos 3 tabs 3 x daily.
This suited her stammer, her night terrors, her increased
aggression and also
Bathtime trying 6 drops of either
lavender/chamomile/mandarin to help settle her for bed.
Zinc picolinate – 7mg daily with food
DHA 200mg once daily with food
The above two supplements were given to support the
nervous system as between the age of 3 & 4 there is
significant cognitive and thus speech development. There is
almost certainly a deeper emotional trigger, but it is
important to support the physical state too whilst the
homeopathy works on the emotional state.
Follow-up (4 weeks later)
The little girl seems more settled during the consult.
Mum remarks that her sleep has significantly improved, and
she is mostly sleeping through. Mum noticed the mandarin
oil had the greatest effect on the little girl’s sleep. She may
wake once a week from a night terror, but since her mum
notices her sleep has been better, she also notices that the
little girls stammer has improved. At the first consultation the

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little girls severity of stammer was about 9/10, however it is
now about a 4/10.
The mum is very pleased.
Prescription 2
Continue with the mag phos 3 tabs 3 x daily.
Continue with oil at bath time, zinc & DHA supplementation.
Review in 8 weeks.
Note: Stammers can coincide with developmental growth
spurts, however for this little girl there was a significant
emotional trigger. She required a year of tissue salts (Mag
phos, Calc phos & Kali phos) and homeopathy (Staphysagria
& Lycopodium), which she responded to beautifully. She is
now 5 years old with an insignificant stammer that one can
hardly detect. Her vocab has extended tremendously, but
most importantly this intelligent little girl’s confidence has
blossomed and she speaks and interacts with confidence and
complexity in dialogue for her age.

Case of Nat mur – Recurrent migraine

A 42 year old male presents with recurrent bouts of
migraines. The come one when he becomes dehydrated,
exercises, exposed to too much sunshine or goes to the
seaside. He reveals suffering from migraines for 23 years old.
At 21yr old he married his ‘high-school sweetheart’ and had a

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child with her. She decided to end the marriage when he was
23 years old.
He suffered with significant depression and a deep longing
for this relationship. Despite years later remarrying and
starting a new family, he never quite got over this first
relationship. He never really spoke to anyone about it, but
always felt as though she were his ‘soul mate’.
His diet consists mainly of meat, potatoes and the occasional
tinned peas. He loves salt and coffee, smokes 25-30
cigarettes a day.
He also mentions that he gets stubborn cold sores whenever
he gets stressed or ‘run-down’.
Prescription
(Homeopathic similimum Nat mur 200C once weekly for 3
weeks)
Nat mur 4 tabs 3 x daily for 4 weeks
Lysine 1000mg & Vit C 1000mg 3 x daily as and when he feels
a cold sore coming
Herbs: Ashwagandha, St johns wort & ginkgo biloba– this
combo is to support his adrenal glands, provide anti-
inflammatory action for the brain as well as increase
adequate blood supply to the brain. Although St john’s wort
is useful for anxiety and depression, it is also useful as an
anti-viral. This may help reduce frequency of his cold sore
eruptions.

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As a trigger seems to have been a ‘broken heart’, a deeper
homeopathic remedy was needed however the tissue salt
would support him through this and also help his body
become more resilient.

Case of Nat Phos – acute gastritis

A 57-year-old female presents with recent recurrent bouts of
heartburn. This started about 4 months ago when she started
a new job. She is a teacher, and the new job has come with
quite a lot of new responsibility and she has been finding she
has been eating in a rushed manner and not eating the foods
she would typically choose. She has been having a lot of
bread, with ham and cheese. She stated that she has this for
lunch every day as she does not have time to plan for other
lunches. She reveals that she had her gall bladder removed
when she was 52 years old (5 years ago) and she has noticed
she can no longer tolerate rich/fatty foods. She also noticed
since its removal she could not tolerate alcohol, although
despite this she has been having a glass of either wine or gin
every night as it’s the only things she notices that helps her
settle for sleep.
However, 3 months ago she started developing heartburn 3-4
x weekly, but this has now become more frequently and can
happen as much as 2-3 x daily. She has tried taking gaviscon,
but she feels this is not a long-term solution and her GP is
now wanting to prescribe ranitidine.

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She drinks 4-5 coffees a day and she has done as long as she
can remember. She gets incredibly irritable when she tries to
stop.
Prescription
(Homeopathic Nux vomica 30CH was prescribed too)
Nat phos 4 tabs 4 hrly for the first week and then reduce to 3
x daily.
Diet – suggestions for meal batch prepping. Reducing bread
and removing processed meat. Apples & blue berries.
Liquorice tea in between meals
Papaya in between meals
Follow-up (2 weeks later)
She has noticed a marked improvement. The pain/intensity
of the heartburn had reduced form 9/10 to a 6/10 and the
frequency has reduced from 2-3 x daily to perhaps once daily.
Prescription
Nat phos & Kali phos 5 tabs of each in a 500ml bottle of
water. Sips on 1 ½ - 2l of this mix a day.
Nux Vomica 30C single dose taken as and when she gets
heartburn.
Follow-up (4 weeks later)
Patient looks less anxious in the waiting room and when in
the consult she exclaims that she feels less agitated. She is
sleeping better and feels more rested in the day. She has

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settled more into her new job better. She gets the occasional
heartburn perhaps once weekly, but she notices this is when
she has alcohol or spicey food. But she reveals she has
reduced her coffee intake to one coffee first thing in the
morning and also has little desire for alcohol in the evening
(“it’s so strange” – she exclaims).
Prescription
Nat phos 6 tabs morning and evening.
Nux vomica 30C single dose to be taken as and when she gets
heartburn.
Follow-up (6 weeks later)
Patient has only needed the nux vomica on one occasion
when she went to a social event and had 3 glasses of wine
and woke the next morning with heartburn. But the Nux
vomica relieved the heartburn within 15 minutes.
Note: the patient may require occasional repeats of nat phos,
but she can now identify her triggers and can sense in her
body when she may need to restart the nat phos. The reason
for this is the likely gallbladder removal, which has
compromised her body’s ability to get rid of excess acid.

Case of Nat sulph – psoriasis

47-year-old man presents with frequent nausea and large
psoriasis patches on his lower legs, back of both elbows and
on his knuckles of is right hand. He reveals he has battled on
and off with alcoholism, although at the moment hi is

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currently attending a support group and has been clear from
alcohol for the last 7 weeks. He remarks that he notices his
skin becomes much worse when he drinks alcohol.
On observation he is also showing signs of water retention
with a dirty brown discolouration to his skin on his lower
legs.
Prescription 1
Nat sulph 4 tabs 3 x daily
Dandelion root tea – 4 cups daily 30 mins before eating
Discussed possibly trying 3 days of a juice fast in the next 2
weeks once he has been on the Nat sulph for 3-4 days.
Follow-up (2 weeks)
He exclaims that his nausea has much improved, and
normally if it subsides he usually wants to turn to alcohol, but
he has managed to maintain his celibacy.
His skin has improved slightly on elbows, but his knuckles and
lower legs seem a bit worse. (Herrings Law of cure)
Prescription 2
Repeat prescription and continue until plaques on the
knuckles and legs clear.

Silicea – quincy
A 27-year-old male presents with a recurrent history of
tonsillitis since about the age of 19 yrs old which he has
refused their removal despite the insistence of the doctors.

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However, he now has a tonsillar abscess which they once
again are strongly urging him to remove his tonsils.
As a child he suffered with recurrent ear infections which the
diagnosed as ’glue-ear’ and had frequent courses of
antibiotics. He eventually ‘grew out of this’ but in his teenage
years suffered from cystic acne which he again was
prescribed frequent courses of antibiotics over a period of 3
years.
Prescription 1
Crush 5 tablets of Silicea & Ferrum phos into colloidal silver
spray and sprits into the mouth and onto tonsils every 4 hrs.
Zinc 25mg once daily for 6 weeks
Vit C 1000mg twice daily for 1 week
Calendula, Myrrh & Cleavers made into a throat gargle. Has
anti-microbial properties and improves lymphatic drainage of
the tonsillar tissue.
Follow-up (1 week)
Started seeing an improvement by day 5. The swelling of the
tonsils has significantly improved. Energy levels are also
slowly improving.
Long-term management:
Due to his history of antibiotics use, it because clear that his
chronic tendency to for infections would not subside until we
clear the toxicity caused by recurrent antibiotics use in his
childhood. Calc sulph, Kali sulph, silicea – this complex was

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required for a minimum of 6 months. The complex was
advised to be added to a 500ml bottle of water, and 1 ½ - 2
litres of this mix should be ingested daily.

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