Auto-Sanguis Dilution Therapy

© Copyright 2001 by Bruce H. Shelton, MD, MD (h), DiHOM, USA
(Explore Issue: Volume 10, Number 3)

According to the 1993 edition of the Heel Biotherapeutic Index (the old Orange Book) literature about this form of therapy appeared in the Homotoxin Journal in German from 1964-1971.

This great work published by Heel's Scientific Department wrote that: "During dilution of the patient's own blood, homotoxic blood components or homotoxins in the circulating blood (blood being the body's major transport system) are changed by the Arndt-Schultz principle or reversal effect. With increasing dilution these become detoxified and highly therapeutically active. If the dilution is carried out as directed using Injeels, suis organ preparations, nosodes, etc., for serial dilutions, the blood proteins involved express a specific antihomotoxic therapeutic reaction, as seen in the cortisone study of Prof. Hauss and colleagues."

In other words, what is wrong with you is circulating in your blood. By diluting the blood and then reintroducing it back to you stimulates your own immune system to antidote the problem and to promote healing. The original article in the Therapeutic Index goes on to describe the method for doing this leaving it up to the clinician to select which of the hundreds of Heel injectables to use for the various steps.

The method described herein was derived after 12 years of clinical experience and with modifications suggested by the noted homeopathic expert Dr. Ivo Bianchi who recommended the addition of Ubichinon compositum to the formula during one of his many lectures in the United States.

With proper technique and training, a good technician can do this procedure with a patient in about 5 minutes. The supplies you will need are: 27 gauge disposable 1/2 cc allergy shot syringes, sterile 6cc empty disposable rubber stoppered non-vacuum glass bottles, tourniquets and miscellaneous supplies used during venipuncture blood draws plus the five preparations used for diluting the blood. The five preparations I use are:

• Coenzyme compositum
• Lymphomyosot
• Solidago compositum
• Viscum album Forte
• Ubichinon compositum

Restrictions by the U.S. FDA on injecting certain Heel preparations has necessitated forgoing the injection technique and replacing it with oral administration, which will be described at the end of the article as the Imhauser technique for allergies and the Shelton modified reverse Imhauser technique.

We have renamed Auto-Sanguis therapy "5 Shots" in our practice because of the 5 remedy dilution steps.

To begin, we regularly transfer 3-5 ampules of the five remedies into 5 separate sterile bottles to act as "stock" bottles so that opened ampules do not sit around since only 1/2 cc is used at a time. A 2.2 cc ampule contains enough fluid for 4 doses and 5.0 cc ampules contain enough for 11 patients (that extra 0.2 cc adds up). Be sure to never open more ampules than you expect to use in a week.

The first step is to take 5 separate 1/2 cc syringes and fill each with 1/2 cc of a different ampule, taken from the five preparations listed above. Keep all syringes lined up in the order listed above. The second step is to draw a very small amount, 0.1 cc, of the patient's blood. Add that small amount of blood to a new 6 cc sterile glass bottle and discard that syringe.

Then immediately (before the blood can clot) add the 1/2 cc of Coenzyme compositum to the bottle with the blood and succuss (vigorously shake) it ten times against the palm of your hand as per homeopathic methodology. Then withdraw the blood mixed with Coenzyme back into the syringe, making sure to save the bottle. This is dilution one and you usually will not be able to get a full 1/2 cc back out of the bottle as some of the mixture is left behind coating the walls of the bottle. Put down this syringe in a distinct place, as this will be the first injection.

Then pick up the second syringe that is filled with 1/2 cc of Lymphomyosot and inject it back into the same glass bottle that is still coated with blood and the Coenzyme mixture. Succuss this new mixture ten times in the same manner and withdraw the new mixture (this time you will get a full 1/2 cc) putting this syringe second in line as the second injection. Next add 1/2 cc of Solidago compositum to the same bottle and succuss it ten times, withdrawing the solution (which is becoming less bloody and clearer in color) back into the third syringe and lining it up for the third injection. Then add 1/2 cc of Viscum album Forte to the same bottle, succuss it ten times, withdraw the fluid back into the syringe and line it up for the fourth injection. Finally add 1/2 cc of the Ubichinon compositum to the same bottle, succuss it ten times, withdraw the fluid back into the syringe and line it up for the fifth and final injection. Once more, save the bottle.

We are now ready to inject. All the injection sites are on the patient's arms. Two of them are relatively painless and the other three sting a little (actually one of the these stings considerably but with a 27 gauge allergy shot needle the pain passes quickly.)

The first injection site is at the acupuncture point LI-11 (large Intestine 11) on the left arm. This is found by asking the patient to totally bend their elbow. The exact end of the crease that the skin makes at the elbow fold is the point. (Some people who have extra skin make two folds of which the longer line is the main one. Most people have one clear elbow skin fold. Try finding your own right now).

The advantage of using LI-11, in addition to its being an anatomical dead spot on the arm is that it is said to be the one spot where new remedies can be given without side effects. Of course always remember to withdraw before injecting. If you get a blood return don't inject and find another site. (This is unlikely as it is a subcutaneous injection with a tiny needle but those are the rules, as you know.)

The first injection (with Coenzyme dilution) should be given at LI-11 on the left arm. Then very quickly thereafter the second injection (with Lymphomyosot) should be given at LI-11 on the right arm.

We are now up to the ones that sting. The third injection (with Solidago compositum) should be given anywhere in the right arm deltoid (upper arm) area. It helps to avoid stinging by squeezing the skin tightly between two fingers while injecting.

The fourth injection (with Viscum) is the one that stings the most, but can be minimized by squeezing the skin hard as you are injecting. This injection goes anywhere into the left upper arm deltoid area. The fifth injection (with Ubichinon) is injected anywhere on the left arm in between the deltoid injection site and the LI-11 site. The bottle you have saved can be used to make a sixth dilution to be sent home with the patient for oral use.

It is your job as a clinician to determine the patient's main problem and then to select the appropriate remedy. For example, if we were treating a viral URI the remedy of choice would be Galium-Heel to help clear the virus.

Take a new 27-gauge allergy syringe and remove the plastic cap from a 50-ml Galium-Heel bottle. Withdraw 1/2 cc of the Galium-Heel and inject it into the same 6cc bottle. Succuss it ten times, withdraw the liquid and inject it back into the Galium-Heel bottle. Put the plastic cap back on the bottle and you now have a customized potentized isode made specifically for that patient. Make absolutely sure that the only the patient uses this medication since it contains traces of their own blood.

The patient can take ten drops of this hourly or every eight hours, as you normally would prescribe. This sixth dilution can contain any of the preparations. For example, for a gastroenteritis we might use Nux vomica Homaccord, for an injury we could use liquid Traumeel, for a fatigue problem we could use Ginseng compositum, etc. You can now safely dispose of the 6-cc bottle that you have been using for diluting and succussing.

Patients will usually report that "something" cleared within an hour. For instance patients with stuffy noses and colds report an amazing nasal clearing, fevers break, pain goes away etc. The patients usually wake the next day with a burst of energy and over several weeks generally feel a better sense of well being.

ORAL vs. INJECTABLE THERAPY

The United States government has given Homotoxicologists in the United States a dilemma in therapeutics. The Heel production plant in Baden-Baden, Germany is a state of the art pharmaceutical facility. It is clean beyond belief and you can literally eat off the floor. Constant monitoring for contamination is performed at all stages of the manufacturing process and the ampules themselves are manufactured in a "white room" with all forms of laminar airflow devices. Culturing of the finished ampules never discovers detectable organisms. Nevertheless, the U.S. FDA has not approved the German-produced ampules for injection in the United States but has approved them for oral administration.

There are three Heel preparations which are shipped in bulk from the Baden-Baden plant to an ampule facility in New York and which are approved for injection in the United States. These are Traumeel, Gripp-Heel and Engystol.

Therefore two questions arise:

• How to comply with the law, and
• Do the preparations work as well when given orally? If they do then how should they be used?

All Heel preparations are homeopathic in nature and are registered with the U.S. Pharmacopoeia under the 1938 law that established the FDA. They contain remedies that may be legally used in the United States.

It is well known that the sublingual route is the method of choice for administering homeopathic remedies to humans. The remedies simply need absorbing by the plexus of blood vessels in the floor of the mouth. Therefore oral administration does work and some might argue that there were reasons that Dr. Hahnemann preferred sublingual administration. Such is the acceptable route of choice as there are not only blood vessels but also acupuncture meridians and autonomic nerve fibers in the mouth that are better than injection sites anywhere else in the body. Therefore, oral administration does not result in a decrease of efficacy of the remedies. In fact the FDA may without realizing it be pushing us toward a more desirable therapeutic goal.

How then do we manage our therapy? At a Heel seminar in May 2000 in Los Angeles, California, the head of Heel's Scientific Department from Germany, Dr. Kustermann gave a lecture on a technique for allergies known as the Imhauser technique that has relevance to this subject mainly because it is effective for allergy but secondarily because Reverse Imhauser (which I developed) is the oral form of Auto-Sanguis therapy known as "5 shots."

The general theory behind the injectable 5 shots and the Reverse Shelton-Imhauser technique (which will be described momentarily) is that our immune systems are depressed and need to be stimulated. This therapy of progressive dilutions of blood progressively accelerates the immune response.

Dr. Kustermann postulated that allergy represents a hyper-reactive immune state which needs to be slowed or downregulated. The Imhauser technique (named after Dr. Kustermann's allergist, Dr. Imhauser) is performed as the chart illustrates.

To summarize:

1. Injectable Auto Sanguis therapy upregulates.
2. Reverse Shelton-Imhauser (starting with oral bottle #7) and working up, also upregulates.
3. Regular Imhauser (working from 12 down) used basically for allergies, downregulates.

The one instance where I have not tested efficacy is Shelton-Imhauser in acute conditions.

The 5 shot injectable technique is done very quickly, probably all five dilutions in 5 minutes. Its results can be seen for acute problems very quickly. But both of the Imhausers take 6 weeks. Regular Imhauser takes 6 weeks to complete for allergies and is a very deep, long lasting therapy with great proven effect.

The reverse Shelton-Imhauser is also great for building someone up over a six-week period in chronic conditions.

However, in order to use the reverse upregulating Shelton-Imhauser for acute conditions take bottle #7 every 15 minutes for an hour, bottle #8 every 15 minutes for an hour, bottle #9 every 15 minutes for an hour, bottle #10 every 15 minutes for an hour, bottle #11 every 15 minutes for an hour and finally bottle #12 every 15 minutes for an hour.

Please Note: The FDA only approves Heel remedies Traumeel, Engystol and Gripp Heel for Injection in the USA. All others are oral only although they are used injectably in all other countries and are sterilized to 212 degrees F before they leave the plant in Baden Baden, Germany.

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E-Mail shelton@drbruceshelton.com

 

The Imhauser technique is performed as followed: To start we need the following supplies: Six 6 cc rubber-stoppered sterile glass bottles as used in Auto-Sanguis therapy plus six 6 cc dropper bottle A supply of 20% ethanol homeopathic diluent (our office buys Everclear at liquor stores and dilutes it 1:4 with bottled water, which gives a 20% solution.) Allergy syringes to transfer 1/2 cc amounts of fluids Stock bottles or ampules of the following preparations: Galium-Heel Viscum album Forte Ubichinon compositum Mucosa compositum Coenzyme compositum Lymphomyosot Start by filling the 6 rubber stoppered bottles with 5 cc of the 20% diluent and label them one through six. Then fill the dropper bottles as follows: Each ampule type has a different amount of solution in it. Add each ampule to a separate bottle and then add enough of the 20% diluent so that each bottle contains a total of 5 cc of solution. Label the bottle with Galium Heel #7, 6th week Label the bottle with Viscum Forte #8, 5th week Label the bottle with Ubichinon #9, 4th week Label the bottle with Mucosa comp #10, 3rd week Label the bottle with Coenzyme comp #11, 2nd week Label the bottle with Lymphomyosot #12, 1st week Draw 0.1 cc of the patient's blood and add it to bottle #1--succuss it 10 times, then withdraw 1/2 cc from the succussed bottle #1 and add it to: bottle #2--succuss it ten times, withdraw 1/2 cc and add it to: bottle #3--succuss it ten times, withdraw 1/2 cc and add it to: bottle #4--succuss it ten times, withdraw 1/2 cc and add it to: bottle #5--succuss it ten times, withdraw 1/2 cc and add it to: bottle #6--succuss it ten times, withdraw 1/2 cc and add it to the first dropper bottle, bottle #7 (the one with Galium)--succuss it ten times, withdraw 1/2 cc, add to: bottle #8 (Viscum)--succuss it ten times, withdraw 1/2 cc and add it to: bottle #9 (Ubichinon)--succuss it ten times, withdraw 1/2 cc and add it to: bottle#10 (Mucosa)--succuss it ten times, withdraw 1/2 cc and add it to: bottle #11 (Coenzyme)--succuss ten times, withdraw 1/2 cc, add to: bottle #12 (Lymphomyosot)--succuss ten times-- END OF PROCESS. In the regular Imhauser where you are treating allergies you actually start with the most diluted as the first remedy and take 5 drops twice daily for a week of bottle #12. Then take 5 drops twice daily of bottle #11 for a week then: Five drops twice daily for a week of Bottle #10 then: Bottle #9--5 drops twice daily for a week, then: Bottle #8--5 drops twice daily for a week, then Bottle #7--5 drops twice daily for a week (Bottles 1-6 are work product and should be discarded.) In this regular Imhauser we have downregulated the immune system by starting from the twelfth bottle and working down 6 levels through lesser diluted remedies. (Don't forget it is the patient's blood that is the substance that was diluted through all the bottles.) Therefore the patient must be sure to not share these medications with others. In the injectable 5 shots, we are upregulating a depressed system and therefore by reversing the procedure, that is, by mixing everything exactly the same but taking bottle #7 for the first week, bottle #8 the second week, bottle #9 the third week, #10 the fourth week, #11 the fifth week, and #12 the sixth week, we have created a reverse Shelton-Imhauser technique.

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