Used to Treat Skin Cancer in the 21 st Century with Naturopath Adrian Jones
Copyright 2010 Adrian Jones. All Right reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, mechanical or electronic, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the author or publisher.
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DISCLAIMER
While all attempts have been made to verify the information provided in this publication, and all information is believed to be true and correct, neither the author nor publisher assumes any responsibility for errors, omissions, or contrary interpretation of the subject matter herein. No warranties or guarantees are provided by the author, editor, or publisher.
Nor are any attempts made to provide any diagnosis, or provide a cure, neither to prevent any disease, nor or to provide any medical advice whatsoever.
The information contained in this e-book is by way of medical journalism. The author is reporting on information obtained over the past 10 years, and is presented here as news only, as to what is being practiced in certain clinics around the world, and not just in clinics, but also in thousands of homes, as individuals take back some control of their own health; as such, it is not intended as specific advice.
For legal as well as commonsense reasons, the author advises that you seek professional advice in all matters pertaining to your health, and the health of your family dependants. You have the right, and maybe the obligation, to inform yourself as best you can, and at least have regard to advice you may receive from a chemist, a medical doctor, a non-medical doctor such as a naturopath or chiropractor or acupuncturist or herbalist, whomsoever is deemed most appropriate.
Individuals should rely solely on their own information and enquiries with respect to their individual circumstances and ensure that their policies, strategies, systems and activities comply with all governing legislation, regulations, awards and codes of conduct / ethical behavior.
Nor are claims being made for any particular product the author may mention in this literature. Nor does the author claim something is scientifically proven when it is not, or that you might benefit in any way at all from either reading this literature or doing anything commented on herein. The conversation herein is for educational and news purposes only.
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A Two-Fold Dedication
I wish to dedicate this book firstly to the spirit of all you brave souls out there who are prepared to stand up and take responsibility for, and control of, your own health and that of your loved ones, and indeed your pets.
Since the days of Hippocrates great health explorers would try out new things, guess where, on themselves first. Then on their loved ones and friends. Not first on others. Not on animals. Not on the insane. Not on babies. Not on citizens of the third world. Not on the military. But on themselves first. Physician, heal thyself (first) used to be a basic principle of Hippocratic oath and practice.
I wish also to dedicate this book to my mum. She was the first person on whom I used the black salve. She had developed secondary breast cancer, and had only 5 weeks to live. The primary tumor in her right breast was huge, and fungating. I had had no experience whatsoever with this salve, but my brother had some in his first aid kit. I applied the salve to the tumor, there was an observed change after 24 hours, and the core (called the eschar, the dead tumor) came away 2 weeks later leaving a huge hole where it had been. By the time she died from the metastases, just a few weeks later, the breast had almost completely healed. She was 88.
I have learned a lot about the black salve since then. If Id known as much then as I do now, it is possible she may still be alive today.
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Acknowledgements
I wish to acknowledge the encouragement I have had over the years, from family, friends and colleagues, my teachers and my students who have followed my academic and practical pursuits in the field of Health, and from my patients whose feedback has always been so valuable.
Thank you for your kindness and grace.
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About the Author
I had the best start in life. My mother nearly died from poor health before I was born, and through her own reading, she had come to discover the benefits of natural health, at a time I might add when modern medicine was very much in the ascendancy, and she chose her path amidst great opposition from family, friends and peers. She took control of her own health, and maintained it till the end.
I was born in 1949 by natural delivery into her enlightened understanding of health, and became a beneficiary of her enthusiasm; breast fed till 2 years; never vaccinated (not even a tetanus shot); no antibiotics; vegetarian; encouraged to go barefoot, in the sunshine; to enjoy the benefits of organic food from our a back- yard organic garden and eggs from chooks we always had; to rest one day in 7; I never got sick. Thank you mum!
But how often does one squander ones birthright due to complacency? My 30s were like belated teenage years, discovering tobacco, alcohol, drugs, and it was not until my 40s when I came to study naturopathy, again with my mums encouragement, that I came to appreciate just what a great start in life I had!
Im a qualified, naturopathic physician; some of the most amazing studies I have undertaken have been in anatomy, physiology and biochemistry, which along with nutrition I also have taught at a local Academy of Natural Therapies. Ive studied, practiced and taught massage therapies also.
I co-wrote a 500 page best selling reference guide on health, Better Health Through Natural Heali ng (Hinkler Books, Melbourne, 2001, ISBN1865152595), with my friend Dr Ross Trattler, that is still available today as a handy home guide and is used in some naturopathic colleges as reference material.
I also have a degree in theology, and now whilst not religious, I am christian in philosophy; I also respect the spirituality revealed in the natural realm (the heavens declare the glory of God 1 ), as well as that invested in the great sages such as lord Buddha, Zoroaster, Mohammed, the Dalai Lama, and many others. I am a keen gardener; I have studied and practiced horticulture and landscaping. Im a bush walker, and a lover of life and of all living things. Life is meant to be lived in perfect health, and to be forever.
1 Psalms 19:1
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Table of Contents
2 Disclaimer 3 A Two-Fold Dedication 4 Acknowledgements 5 About the Author 8 My own Story 9 Observations 11 What Youre Up Against 12 Be Not Afraid 13 WHAT ARE SKIN CANCERS? 17 Causes of Skin Cancers 19 DIAGNOSIS OF SKIN CANCERS 20 Biopsy But is the Biopsy Procedure Safe? 22 MEDICAL TREATMENTS Surgery Other Medical Treatments 25 Hallowed Turf? 26 WHY SEEK AN ALTERNATIVE TREATMET? 27 THE BLACK SALVE: What is It? A Myth Dispelled So How Does the Black Salve Actually Work? Cancer Cell Specificity Natures Scalpel 31 The Healing Process How Long Does it Take to Heal? Does the Salve Cause Scarring? A New Diagnostic?
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33 APPLYING THE BLACK SALVE The Salve When should I apply it? Preparation of the Lesion How much do I use? How do I apply it? How do I look after the dressing? How long do I keep it on? What if the salve comes off before 24 hours? WARNING: When once is never enough!! 36 REACTIONS IN GENERAL 39 SPECIAL APPLICATIONS Around the Eye Around the Mouth On the Nose and Ears On the Head Ulcerating Tissue Glandular Involvement Will I Become Incapacitated? How Long Do I Leave It On? Can I Treat More than One at a Time? Everyone is Different Removing the Salve What Can I Expect to See When the Salve Comes Off? A Big Surprise? Pre-Planning the Surprise 48 What If I am Left With a Big Hole? 50 Contraindications 51 What if the Lesion Appears Unchanged after Treatment? 53 Post-Salve Care of the Resultant Wound 55 What if it Comes Back?
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My Own Story
I am one of those with fair skin, and growing up in the 50s and 60s in sun-drenched Sydney, I was very much the outdoors type, a regular at the best beaches in the world, and recall getting myself sun-burned on many occasions. This could certainly have predisposed my skin to damage, which along with numerous other potential causative factors, would certainly have contributed at least to some degree of damage to cellular DNA, and to the emergence of sun spots and skin cancers.
After that experience with my mother on her deathbed, I started applying the salve to several lesions on my body that I had noticed. Several flaky patches yielded positive results, but the most profound was such a patch on my calf muscle. For several years I had occasionally been scratching away at this lesion, only for it to recur. I applied the salve, there was an inflammatory reaction, and when the dead tissue came out 2 weeks or so later, it left a hole into which I could have popped a green pea! You could look in and see capillaries, it was like looking into the body in the way we see under water through a glass-bottomed boat. The margins appeared healthy. I kept the wound hygienically clean, as the healing process continued for several more weeks until this cavity eventually filled in.
I was so impressed, I came to refer to the salve as natures scalpel. I have applied the salve to about 20 skin lesions, on all parts of my body, and needless to say, I keep the salve close in my first aid kit, and apply it to anything that concerns me.
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Observations
Be aware, the following guidelines in this book are based on observations only, intelligent and informed ones none-the-less, made by this author and many other people, by ways of both personal usage of the black salve, as well as the use of the salve in an entirely legal way by health care professionals to treat patients who have presented with a suspect lesion or several lesions, either with or without a diagnosis.
Conscientious professionals ought to consider it important at least to recommend to their patients to do two things in regards to any treatment they might wish to pursue, whether they choose the medical, or an alternative treatment:-
1. Get a medical diagnosis in writing 2. After treatment, get a follow up check-up, and get it in writing.
Outcomes for patients presenting for treatment with a written medical diagnosis (biopsy, imaging etc), serve only to test hypotheses that have been made, and are continued to be made, as to the apparent cancer-cell specificity of the salve-induced inflammatory response, and its effectiveness as demonstrated with post-salve treatment, observation and/or testing by the diagnosing doctor or some other medical doctor or oncologist.
However, many people dont bother with either, considering diagnosis and follow-up as unnecessary; they consider they know enough about how the salve works now; previous experience using the black salve might give one this confidence.
When Jesus the Master Physician healed people from what was considered incurable leprosy, because He was not certified by the Establishment of His day (the religio-political Judaic Council), He told His patients when He had cured them Go, and show yourself first unto the priests 2 . In other words, dont take My word for it, get it certified (so you cop less flak!). For similar reasons today, His advice may be pertinent.
I have also observed, (please note that no scientific study has been conducted on this either), that many patients become such avid converts to the process and personal users after being professionally guided through one or two treatments using the salve, particularly so when it comes to treating skin cancers. I suspect this is because:
2 Mark 1:43,44
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It is handy to have in the fridge or cupboard as you never know when you might need it (for your pets, your friends pets etc..!) It seems to last indefinitely It is easy and time efficient to apply The treatment provides for clear outcomes (there is either a clearly discernible reaction, or nothing, maybe a slight redness for a day or so, nothing else) It seems that users think the treatment is effective, and so provides peace of mind.
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What Youre Up Against
Membership of the medical fraternity seeks to bestow great prestige and wealth; theres no debate here. But members had better tow the line, and if youre not a conscientious member, if you express views contrary to the establishment, if you prescribe outside the standard, accepted norms, then you can become ridiculed as a quack, and even charged with malpractice, sued and fined, and even deregistered and have your whole livelihood taken away from you.
A common complaint however that seems perennial, is that doctors (doctor: lit. means teacher) do very little in patient consultations by way of educating about health; the attitude all too often seems to be Dont you know? Doctor knows best. This is how it is, just do as I say. This is sometimes reinforced by threats designed to engender fear. Often spoken, but always implicit, If you dont (take my advice), then... All of this is calculated to engender fear, and compliance.
Yes, fear is a proven motivator, but there are major philosophical problems with fear, fear of any type really. Fear is not the basis for any healthy relationship, whether between God and his creatures 3 , a man and a woman, a priest and his flock, a teacher and her pupils, or a doctor and his patients.
Nor indeed is fear a good basis for ones relationship with ones own body, or mind, or spirit. Yes, it is very effective, but it has to do with the nature of tyranny, and has nothing to do with love, which is the only valid and healthy motivation within any relationship; the Master of masters said perfect love casts out all fear. Being motivated because you love life, love your body, and treasure your health is one thing; but acting reactively, and doing things (even good things) because of fear is something else.
So where are we going with this? We live in a world increasingly being motivated by fear at every level.
3 Fear is in fact the opposite of love; the God of the Bible is a God who motivates by loving kindness chesed (Hebrew) or grace (Grk). See C.S.Lewis Mere Christianity (1952)
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Be Not Afraid
So, to stand up for ourselves, for our children, against the system of allopathic medicine, for our loved ones, as wisdom suggests is imperative from time to time, even just for once, can seem like it takes a whole lot of courage.
When we receive a diagnosis Youve got Cancer, unless we take a step backwards, a pause, we are immediately being corralled into the medical system of treatment. By well-meaning doctors, to be sure. God bless them. We need to know however, that we still do actually have the right to choose our own path, for better or worse, but for how much longer, is a matter of guess.
We are still free to say, No, thank you, Im going to get some other opinions first. At least, you want to think about things first, before making any decisions, yes? Even just do nothing in haste, think about getting a second opinion, maybe a second diagnosis, or a second point of view about treatment options.
Sadly today, in the 21 st Century, choosing something as simple as a black salve to treat your skin cancer, will evoke a wide range of responses from your partner, your family and friends, your doctor, responses ranging from mild friction to downright hostility and anger, and even threats of legal action.
Hence the dedication of this book, and it comes with the encouragement, Be not afraid! Be strong! And stay strong!.
But enough of the chit-chat.
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WHAT ARE SKIN CANCERS?
The Skin
Firstly a short anatomy lesson. Skin is a term used to describe the outermost covering of both the organism, as well as some organs themselves.
Skin is a covering that separates and protects the internal from the external environments. Whilst we generally refer to skin as the outside covering of the body, it is continuous (i.e. it does not stop at the lips, or the anus for instance), and skin is the tissue covering the inside 4 as well, such as inside the mouth, the airways, the esophagus, inside the stomach and intestines, urethral and vaginal tracts, sinuses and so forth. It is true that this internal skin has similar as well as different characteristics to the external skin, but it is skin none-the-less.
For the purposes of this document, however, we limit the term skin to the external, non-mucosal skin.
Skin Structure
The skin is a complex organ (called the integumentary system), and when closely observed, is found to be made up of several layers or strata. The skin serves several functions including but not limited to, protection (both as a bio-physical barrier and sensory warning system), stability of underlying structures, and detoxification.
The system involves superficial or epithelial tissue (outer, top layers: epi-dermis, lit. on top of the dermis), as well as deeper layers (dermis), overlying even deeper tissue again including yellow fat and fascia.
The epidermis is an avascular layer (has no blood supply), composed of several sub- layers, from the topmost stratum (s.) corneum, then s. lucidum, s. granulosum, s. spinosum, and s. basale which contains melanocytes (cells that secrete tanning pigmentation called melanin, from the Latin black or dark).
Under that top layer is the dermis, which is vascularised with arteries, veins and lymphatic capillaries, and has nerves and sensory receptors. Dermis strata include papillary then reticular layers that contains the hair follicles, fine pili muscles (that can make your hairs stand on end), sebaceous (fat) glands for waterproofing, and sweat glands for waste elimination/detoxification.
4 Please note that something being in the stomach, in the bowel, in the throat, in the sinuses, in the vaginal or urethral tracts, is not actually INside the body yet. For something to get Inside, it has first to cross the skin (mucosa) into the circulatory system before it is INside. Skin is the broad term denoting the separation of the OUTside from the INside. Except the skin of the interior passageways has different names and has similar as well as some different characteristics to the external skin.
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Underneath the dermis is a layer of yellow fat naturally occurring between the dermis and the fascia. This fat both insulates and lubricates as fascia moves under the skin. The fascia is fairly continuous over the whole body, it is like the superstructure, the outer scaffolding if you will, forming our outer shape, and helps to hold things in place.
Skin Cancers
From time to time lesions can arise on, or more correctly from within the skin, in a variety of shapes, sizes and colours. Some are harmless, called benign (such as warts, some moles, skin tags and a variety of macules and papules and other things).
But some are "cancerous", (also called malignant, neoplastic), in the sense they behave, or have the potential to behave, as cancer cells do.
One of the fundamental characteristic features of a cancer cell is that it does not switch off when it should, and so they keep on multiplying, until they become a visible lesion, a tumor, a growth that exhibits uncontrolled division and multiplication of cells. If this occurs in the skin layers, we have a space-occupying lesion/growth that is generally referred to as a skin cancer.
Now we know that the immune system contains a whole arsenal of highly effective cancer-killing chemistry that can kill cancer cells, including leucocytes (white blood cells) such as NK (natural killer) cells, certain cytokines and macrophages that can produce TNF (tumour necrosis factor), to name a only a few 5 . Many cancer cells are dealt with and destroyed on a daily basis by this arsenal of the immune system.
So why do some cancers (not just skin cancers, but some internal cancers as well), seem to get attacked and destroyed by the immune system, and some do not?
Is it that some cancer cells seem to evade detection by the immune system? Does it have to do in some way with a lack of cellular recognition (antigenic recognition)? In order for the immune system to respond appropriately to a cancer cell, it has first to identify that cell as cancerous. The thing about cancer cells is, on the outside they in some significant way look to all intents and purposes just like normal cells, but they behave in an abnormal way. Much like the angel-faced child that behaves like a devil!
5 For a more complete understanding of the various chemical mediators of inflammation, see a good Physiology text for instance eg Robbins and Cotran Pathologic Basis of Disease, 7 th ed. 2004, Elsevier Saunder pub.
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It is now known that tumor antigens 6 are self proteins, meaning they may be weakly immunogenic. Our immune systems tolerate self-proteins (so they dont attack our own healthy tissue), and this feature is thought to explain why some cancer cells including tumors evade immune system recognition. Also, it is possible cancer mediates immune suppression in some ways, maybe even involving viral proteins, or by the tumor itself secreting factors that suppress the immune system.
There are three main groups of skin cancers, apart from sun spots (solar keratoses) that are considered pre-cancerous:-
There are also sub-types of each of these. The differences between the various types and sub-types have to do with the origins of the lesion, how deep the lesion is, how quickly it can grow, and other factors.
Diagnosis, or determination as to exactly what type of skin cancer a particular lesion may be, ultimately depends on a microscopic analysis of a tissue sample (histo- pathology) from the lesion (the sample taken is called a biopsy, and can include the whole lesion, or just a part). Sure, mistakes can be made even in the laboratory with diagnosis, but its the best weve got just yet, anything else is only a guess.
A skin cancer is called a "primary lesion". As the cancer gets more mature, the knowledge states that single or multiple cells can break away from the primary lesion, and travel in the blood or lymphatic circulation. This can occur naturally 7 , or perhaps induced by some trauma to the site such as a bruise, or even through a biopsy or surgery.
When this happens, the danger is these travelling cells become "stuck" in flow- through places such as the lymph nodes, breast tissue, liver, pancreas, lungs, brain or other organs through which the blood or lymph might flow 8 .
This can lead to these cancer cells starting other lesions, this time called "secondary tumors. This process is called "metastasis", and as these secondaries grow, they can cause obstruction of organs, and can lead to organ failure and death. Malignant melanomas are one type of skin cancer that are known for their capacity to undergo such a process quite rapidly, sometimes developing secondary cancers maybe in the
6 More than 500 of these tumor antigens identified to date. See Mary L Disis MD art Tumor Immunology at www.meds.com/immunotherapy/tumor_immunology.html
7 Who knows even why this happens? Maybe it is an attempt by the body to excrete these cells inorder to sustain life?
8 One might suspect without trialling that this is more likely to occur in dehydrated or under- hydrated environments (eg, blood, lymph).
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brain, or bones, or liver, within just a few months of the first appearance of the primary lesion on the skin.
This is why it can be important to deal with a suspected skin cancer sooner rather than later. We advise that you think about a professional checkup regularly, in order to detect any early malignancy (especially melanomas).
Once a year might be adequate, and for over 50s, maybe 2 times annually. Ideally, your professional should develop a computerised comparative profile of your skin which would note any changes at all. Best of all, get to know your skin, and that of your family. Watch for any changes, changes suggest attention.
Any diagnosis, even if it is just an opinion, you must get in writing. Otherwise, what is it worth? It will be very useful to have it in writing, especially for later, for after any treatment you may have, because you may wish to check later on that it has all cleared up, yes? The written diagnosis can be very useful for verification of any treatment option you may elect.
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CAUSES OF SKIN CANCERS (Etiology)
What causes skin cancers? Mostly people want to blame the sun and certain types of ultra violet (UV) rays. Certainly, as epidemiological studies suggest there is mounting evidence that ozone-layer deficiency is not good for the human skin, allowing through more of the more dangerous types of ultra violet rays. Also, repetitive sunburning can predispose some individuals to certain types of skin cancers, maybe even melanoma. So one must take care especially in tropical and sub-tropical climes to protect one's skin from sun damage. In other words, sun bathe, do not sun bake!
However, we do not really know. Sunshine is an integral part of healthy living for humans, and so many aspects of our health depend on regular exposure to it, including the health of the skin! One might think that black skins might better protect against sun damage than white skin. But not so. Comparative studies show African Americans have significantly higher rates of malignant melanomas than Caucasian Americans, with no greater sun exposure.
And please note, any theory modelling that relies on tests on laboratory mice, tests that expose these nocturnal (night-time) creatures, creatures not designed to be in the sun to start with, to unnaturally high doses of UV radiation, for abnormally long periods of time (equivalents of 18 hours of equatorial midday sun a day!), such modelling and theories based on that, have got to be discounted merely on the basis of just common sense (like, hello? Surprise!, they get skin cancers?). Human beings are creatures of the sun, we actually need exposure to natural sunlight. The mice do not!
The warning pain from sunburn ought to be a sufficiently safe, and natural guide; listen to your body folk! Thats what pain is for anyway, isnt it, to warn?
The skin is a strange, unpredictable organ. It is the largest organ of human detoxification 9 , through which nature designed for sweat glands to eliminate autotoxins. Vigorous, prolonged movement (exercise) is essential to good health, in many ways, not the least of which is to induce this elimination of waste products from our systems. Exercise specifically promotes the health of every detoxification system of the body. However, if wastes are not properly released from the skin, is it possible these wastes themselves can damage skin tissue genes, thus leading to cancer?.
Since the industrial revolution, poisonous chemicals increasingly pollute both the external and internal environments, and since the scientific revolution of the 20th century, with the development of modern food management systems, from growing, to storage, to processing, to preserving and cooking, everything involves chemicals. Human tissue DNA is becoming increasingly exposed to damaging molecules
9 It is noteworthy that cancer is increasingly common in the detoxification systems of our body, such as lungs, liver, kidney, bladder, bowel and skin. Are these detox systems becoming overwhelmed with exposure to toxins/poisons? Is chronic under-hydration or dehydration a cause?
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(sometimes called free radicals) in our food and drink, which have the known potential to cause normal cells to behave abnormally (in other words, cause cancer). We ingest all sorts of trans-fats and other damaged fatty acids as in fried foods and margarines (to name just 2 really common sources), which just by themselves will potentially affect the fatty acid components of skin structure causing skin cancers.
It is not just our foods, but increasingly the air we breathe, the water we drink, the electro-magnetic environment we are living in, even our highly chemicalised bathroom and beauty products, all contribute to a toxicity, a poisoning that could cause a contamination of our DNA. God alone knows just how all this affects our genes, and hence our skin (and not just our skin, it seems most tissue these days is being affected by cancer!).
It is even possible that some sunscreens themselves may actually cause some skin cancers, not to put too fine a point on it! Many sunscreens contain benzophenone (or derivatives) as an active ingredient, and this is a potent free radical, and is activated by sunlight, and is itself a known cancer-causing agent. Other common constituents such as Padimate-O actually contain carcinogenic nitrosamines and cinnamates which are absorbed through the skin, and contaminate skin tissue and internal organs and tissues. Such activity could certainly cause skin cancers, and there is growing awareness within the scientific community with this prospect.
Melanomas are related to oxidative damage to melanocytes 10 in the skin. Is this damage solely due to the suns UV rays? As we have just noted, there are many other potential sources oxidative skin damage that might well affect genetic expression of new skin cells, potentially causing cancer.
The bottom line is, who does know what causes skin cancers? It will most likely be found that there are many biochemical mechanisms, involving many of the above factors, and maybe others as yet unidentified, that will prove to be the cause of skin cancers, and every other type of cancer as well, we suspect.
However we may have come by a skin cancer, if we get one, we want to get rid of it, before it threatens our life, right?
10 Melanocytes are specialised skin cells which produce melanin, the substance responsible for giving skin a dark pigmentation (the tan) when exposed to sunlight. Black skins have many more melanocytes than white skins.
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DIAGNOSIS OF SKIN CANCERS
Lets say you notice a skin lesion which might have just turned up (like, hello), or one that is changing in some way, say in size, or colour 11 , or there is some change in the surface characteristics, consistency, or shape, maybe some itchiness, or flakiness, or signs of inflammation in the surrounding healthy tissue. You know, like a new mole, or a mole thats become itchy. Any lesions that weep must be suspect.
You go to a doctor, he might make a considered opinion (in other words, a guess) at what it is, or even if it is a skin cancer at all? Is it a BCC? or an SCC, or even a melanoma?
Or is it just a harmless old mole or something? Something I dont have to worry about.
Your doctor may refer you to a dermatologist, especially if he thinks it might be really serious, like he might be suspicious of a melanoma etc.
Experience with the local skin specialist centres, suggests that even professionals who observe the skins of dozens of people daily, often overlook BCCs, SCCs, and yes, even melanoma. God bless them, they do their best. And they do a good job, but they miss lots of action.
Clinical experience also shows that the even the dermatologists are not 100% accurate in a diagnosis merely by observation. Sure, they have lasers and imaging machines that help them see into the skin, but it will still be a guess, certainly an educated guess, but a guess none-the-less.
11 especially the spread of red/white/blue pigmentation to surrounding normal tissue, or the appearance of coffee-stain coloured pigmentation that might indicate a melanoma
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BIOPSY
Scientifically, the best way for anyone, including your doctor, to know for sure what type of cancer it is, would be to take a biopsy (a sample of tissue from the middle of the lesion, taken with a special needle), and send the tissue sample to the laboratory for microscopic analysis.
A biopsy is a tissue sample. It involves taking a core sample of a lesion or tumor, or sometimes just the whole thing is cut out, although there may be strong theoretical reasons to suggest that the biopsy procedure is not so good for you. Then that tissue sample is sent to be analysed in a laboratory under a high-powered microscope, a study called histo-(tissue) pathology. Only then can a specific type of tissue be identified, in this case cancer cells can be identified, and with particular measurements they make, even the type of cancer cell can be identified.
Biopsy can be more extensive than just a sample, however, and can involve the removal of the whole lesion, called an excision biopsy.
Theoretically, problems can occur because some skin cancers seem to have rather long, filamentous roots, that are left there after the main lesion has been cut out.
But is the Biopsy Procedure Safe?
There is a lot of concern that in the process of cutting through a skin cancer either with a knife or a needle, even just to obtain the sample, can release cancerous cells into the bloodstream and lymphatic system.
Indeed, it is possible many single cells, or even large numbers of cells (a clump) can be released into circulation all at once, and such clumps are much more likely to become "stuck" in tiny blood vessels or capillaries somewhere, usually within an organ, and thus more readily actually cause secondary (metastatic) tumors, which is the main concern about skin cancers in the first place!!
Medical scientists say they need the biopsy for statistical analyses! Surgeons say they need the data a biopsy provides in order to know how large an area to cut out "to get it all".
However, a biopsy does not safeguard surgical accuracy, because clinically we see many patients who have had both biopsy and surgery, sometimes repeatedly, only to have the cancer come back again.
You may know of someone who is diagnosed with melanoma. They have it cut out. Six months later the patient dies from secondary cancer, identified as melanoma cells that have ended up maybe in the liver, or brain, or lungs.
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Question. Think carefully. Did the secondary, fatal tumor arise before, or after, diagnosis and treatment?
It may have already spread (albeit asymptomatically) before the treatment. But, indeed, the spread may have been initiated during the treatment also. How do you know what happened? Who does know? The doctor will want to tell you, that biopsy and excision (surgical removal of the lesion) is perfectly safe; but is it?
I am not personally aware of any proper scientific trial that has adequately demonstrated the safety of the biopsy procedure, or indeed the excision itself. Think about that for a minute!
There has been concern raised over the years. For instance in 1940 Dr James Ewing, Dean of the American Cancer Pathologists, It (the biopsy) is especially to be avoided with tumors of the breast, and all growths in which incisions of the skin involve also incisions through the tumor capsule 12 . Which is what a core biopsy is.
As recently as June 2004 a paper released by the John Wayne Cancer Institute 13 , an institution that pioneered Sentinel Lymph Node Biopsy in breast cancer patients, specifically studied some 663 women with a view to answering the question Does biopsy cause dissemination of cancer cells?
The conclusion was that it does. Not in every case, but in an alarmingly significant number of cases.
Yet biopsy is done in thousands of medical and hospital surgeries daily. That has got to be a very major community public health concern, given that the incidence of metastatic cancers (secondaries) is very much on the increase! The implications of these concerns have been too hot to handle, and so doctors and politicians alike remain in ignorance of these concerns.
12 Pack 1940: 43 (See also CancerDecisions.com with Ralph W Moss)
13 Hansen, N et al.
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MEDICAL TREATMENTS
Thankfully, when prevention fails (dont beat yourself up about it, apparently it can happen to even the best intentioned health nuts!), there is treatment available.
There is treatment provided by the medical system, which is mostly surgery, cryotherapy (freezing), laser or radiation treatments.
And there is treatment of an alternative nature.
So, you have been diagnosed with skin cancer!! I remember how upset I felt with my first diagnosis. I was scared; skin cancers can kill you, cant they!
Generally, unless you have knowledge, you will feel quite stunned, if not shocked, and you just want it OUT!
Generally, the doctor does not discuss any options with you. What would you know anyway, right? He will most likely be reaching for the scalpel before you know it!
Surgery
Surgery is the standard approach for the "more dangerous" types of skin cancers. Surgery attempts to excise (cut out) every cancer cell associated with that lesion.
It should be said here, that skin cancers are not just discrete lumps, as mentioned above, they can also have several filamentous roots (lines of cancer cells) that can travel from the main mass into surrounding tissue. These roots can travel laterally (sideways) and deep into underlying tissues (down into fascia), and some can even reach into the tissue beneath the skin, for example into the brain through an eye socket or sinus tissue.
Despite knowledge gained from the histo-pathology report on the tissue sample (the biopsy), and in spite of his best skill, the surgeon will still be guessing at where he should cut, and as to how much tissue he ought to take. He does not usually operate under a microscope, and even if he does, it wouldn't help much at all. He does his best, and so he tends to err on the side of caution, and prefers to take too much tissue rather than too little.
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Despite this, not even the finest surgical approach, even the acclaimed and promoted combination chemosurgery using progressive microscopy, as per Mohs micrographic surgery 14 , can guarantee total removal of cancer cells. Indeed, surgery can cause permanent damage to nerves, even important ones. Many people present in a clinic who have had previous surgical attempts to remove a lesion, with several potential results. One result is that the cancer recurs (after a couple of years). Another result is that the surgical excision has succeeded in actually disseminating cancer cells along the margins of the cut. These cells form little colonies around where the original lesion was, and often get caught up in scar tissue as well.
The risk is that such dissemination may actually occur in deep, that is down in the dermal, vascularised layers, in the blood and lymph, thus spreading the cancer (metastasis).
Another risk of surgery of course, is the potential for damage to nerves, a risk that is significant when it comes to important facial nerves for example.
A further "side effect" of surgery can be scarring. Some surgery (for instance, on the nose or face, or on melanomas anywhere) can be quite extensive and deep, even invasive of underlying structural tissue such as fascia. What happens if the tumor occupies extensive nasal tissue? Scarring can be subtle, or it can be radical requiring skin grafting and/or cosmetic surgery.
Other Medical Treatments
Radiation therapy is sometimes used to try to "mop up" cancer cells the surgeon missed. It has been shown to be largely ineffective, we have seen evidence of recurrence following surgery and radiation. Besides being unreliable, and promoting a false sense of security, radiation has the potential to cause massive free radical damage which itself is potentially carcinogenic (cancer - causing).
Chemotherapy is a highly controversial adjunctive skin cancer treatment. Flourouracil has been and is used topically (by itself, and more recently in Mohs chemo-surgery), but it has been found in some trials to actually cause local metastasis. It has also been shown to inhibit normal cell division, not just of cancer cells, but of healthy cells as well. It doesnt have cancer-cell specificity.
14 Mohs is a combination therapy used to treat BCCs and SCCs mostly, and is touted by the Mayo Clinic as a precise surgical techniqueoften cited as having the highest cure rate for these cancers (see MayoClinic website). It involves progressive excision of the tumor, immediate pathology (microscopic) analysis, until no cancer cells are found on the tissue. This is the closest
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Also, there is a very nasty topical cream called Aldara that is routinely and increasingly prescribed for some skin cancers. It appears, however, there are incredible dangers hidden in this drug. You may want to see the DVD One Answer to Cancer by Elaine Hollingsworth 15 before you consider using Aldara.
Cryotherapy, the rather common procedure of freezing lesions off is usually reserved for more superficial, relatively harmless (non-cancerous, pre-cancerous, or superficial) lesions. Whilst the procedure itself is relatively safe, it can leave scarring, and commonly, especially if there was more depth in it than was supposed, the lesion recurs.
Immunotherapeutics (biological therapies) is a more recent field of general cancer research, in which scientists are attempting to understand more clearly just how the bodys own immune system defences are activated. Areas of interest 16 include monoclonal antibodies, the actions of cytotoxic and helper T cells, various cytokines, and vaccines.
15 See website www.doctorsaredangerous
16 See website http://www.meds.com/immunology/intro for some
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Hallowed Turf?
It is noteworthy that as far back as 30 years or so, tumors (especially skin cancers) demonstrated clear immunogenicity in response to black salve treatments, and this observation has been noted in the literature. If only medical science had listened. But then, what do quacks know anyway? The ironic thing is that modern scientific research has only recently proven tumor immunogenicity (over the past 10 years or so).
When it comes to skin cancers, the medical fraternity seems to want to keep people in the dark about options that might exist outside of the usual treatments. In countries where medical orthodoxy is entrenched, as in Western countries, where there is so much money to be made from both diagnosis and medical treatment, as limited and clumsy as the treatment options are, and where laws protect such vested interests, such alternative knowledge and practice tends to be "underground".
It is a shame that much of modern medicine is money-driven rather than patient- focused, and many good people within the medical field are themselves having the wool pulled over their eyes, by vested interest, because this area of skin cancer treatment is one in which the alternative may prove to be so much more desirable than surgery etc.
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WHY SEEK AN ALTERNATIVE TREATMENT?
The plain fact is, there are acknowledged to be two major problems with the orthodox medical approach to cancer treatment. In every treatment so far devised by medical science to treat cancers (including skin cancers),
No treatment option is 100% reliable, so no cure can be offered And every treatment option causes damage to healthy tissue, termed collateral damage (ranging from extremely mild to the more disabling as in facial nerve damage, right up to the point of the death of the patient). Oh, the treatment was successful in getting the cancer; but unfortunately it killed the patient.
Certainly the Holy Grail of the modern medical science and pharmaceutical industry is to design and patent a drug that (via a carrier of some type 17 ) searches out and selectively targets and destroys all cancer cells in the body, and leaves all healthy tissue intact. I said patent because such a patent will bring to the creators the riches of Croesus.
What may need to be more closely considered is that, a drug is a substance by definition that is bio-toxic, that is, it pollutes and threatens the life of any cell exposed to it, and so far any delivery system seeking cancer-cell specificity is unreliable. And what about once the job has been done, what happens to the toxic drug then?
But now the research focus is on designing a delivery system. Theyre now trying to genetically engineer viruses to which they can attach a patented cancer killing drug, and inject these viruses into the bloodstream on a search and destroy mission throughout the body, to hunt cancer cells, attach to them, and destroy them. Great idea? And yet, so far away
But what about right now? Its not going to help you right now.
Let's look at what alternative treatments might have to offer you right now.
17 See http://www.med.com/immunotherapy/intro for an outline of where medical science is up to with all this.
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THE BLACK SALVE
What is it?
Black salves of one type or another have been around for a very long time, and may go back a thousand years or more. More recently, common ingredients of these black salves generally but not always have included Blood Root (Sanguinaria canadensis), and a zinc base (e.g. ZnCl2).
The use of black salves has had a chequered history with claims and counter claims by those who are believers, and by those who criticize its usage. In fact, this whole topic deserves another book sometime. The battle has cost many a good person their reputation, their health, their personal relationships, their livelihood, their freedom, even their life. More importantly, it may be costing lives of patients.
But, where theres smoke, theres fire, right? More recently, towards the latter part of last century, more refined versions of black salves have been used extensively with different names, including HerbVeil8 and Cansema. My first introduction to black salve was with Cansema.
Any testing or observation that might have been done using earlier versions is largely obsolete today, especially that which might have concluded that the mode of action of the black salve is by corrosion, and much of the current medical information is based on such outdated versions. However, some of these older versions are still being used today, so be aware of that.
The current version of which we speak here, and with which I have been familiar for over 10 years now, is substantially the same as the product called Cansema, and which was produced first in the USA by Alpha Omega Laboratories 18 , except with a couple of refinements.
It is a herbal based product, featuring two principal herbs that are said historically to have pharmacologically demonstrated anti-cancer properties, Blood Root (Sanguinaria canadensis) and Chaparral (Larrea mexicata) 19 .
These herbs when dried are compounded in simmering water with a zinc chloride (ZnCl2) base, a small amount of DMSO (a carrier, a delivery system molecule), and some glycerine (a humectant, to help to maintain the moisture of the salve). The resultant black salve compound is aqueous (water-based), so moisture can be restored simply by adding water, if necessary.
18 whose founder Greg Caton still rots, unjustly and unlawfully, in a US gaol
19 Recent versions add Galangal root (Alpinia officinarium) or Ginger root (Zingiber officinale), and sometimes Graviola leaf (Annona muricata).
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The black salve has been classified chemically as an escharotic in the literature, which literally means, it creates an eschar (a piece of dead tissue). In cases of skin cancer treatment using the black salve, the belief is that the eschar is the dead tumor. After treatment, the eschar will be expelled (sloughed off) by natural body processes over a short time (usually within 5 14 days even if the tumor is quite deep). It rarely if ever requires debridement, or surgical removal; the closest some patients come to this is to eventually pick it out with a fingernail! Usually it just comes away in the shower when it is ready.
A Myth Dispelled
It is important to dispel a myth right here. In opposing literature 20 , detractors of some black salves have suggested they are corrosive, that is, they work by corrosion, like it burns into the skin, burns the cancer out. Maybe some black salves made in the past were corrosive.
But the more recent black salves used, including Cansema, are definitely not corrosive. The black salves I have seen used, and which we use now, do not, repeat NOT, act by causing corrosion of the tissue. This black salve is non-corrosive. This is not a claim, merely a statement of scientific fact. Black Salve may be purchased from www.BlackSalve.biz
It is true that this black salve can be applied safely to healthy skin tissue, even sensitive skin, and even after prolonged application (24 hrs, or even up to 48 hours) to healthy tissue, the most it will do will be to create a bit of redness (rubor), and maybe mild itchiness, because it does attract blood and lymph to the area. That is simply an inflammatory response 21 , and that is the desired function of the salve after all. But it will not burn or corrode at all, and once the salve is removed these extremely mild symptoms will rapidly disappear.
So you critics out there had better get up-to-date testing done, and alter the commentary in the scientific and popular magazines, and advise doctors so as to be able to at least be of some help to patients if they want truthful advice and knowledgeable assistance.
20 see the Quack Watch website as one example. Maybe they havent tested the same black salve used currently. Otherwise they would be lying (hoping at least to discourage some people from this alternative treatment).
21 Most likely induced by the release of histamine.
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So how does the Black Salve actually work?
Until thorough scientific trials are undertaken, we remain uncertain as to the precise mechanism(s) that might characterise the action of the salve. So these few paragraphs are hypothetical and postulative, based on observational data only.
It does appear that principles (actives) contained within the salve are trans- dermally absorbed, that is, have the capacity to be absorbed across dermal strata, maybe into the deepest skin.
The black salve also appears to act as a catalyst (a reagent) in mediating an immune response, a response that demonstrates all the hallmarks of a classic acute inflammatory response 22 . In short, blood (causing rubor) and serous fluid (causing edema) that is rich in leucocytes (white blood cells, including T cells, macrophages), cytokines and other mediators of inflammation, all are attracted to the area, presumably increasing levels of various substances including tumour necrosis factor (TNF).
At the risk of being simplistic, suffice to say that these mediators somehow break down and destroy cancer cells in the body.
Precise mechanisms known to induce an immune response include:-
stimulating the anti-tumor response (by increasing the numbers of effector cells, or by producing one or more soluble mediators such as lymphokines) somehow decreasing specific suppressor mechanisms promoting antibody recognition of tumor cell antigens (may involve the complement system and enzymes, or by generating a T-cell response) stimulating active immunity (the immune system now recognises the tumor as foreign) stimulating a cytokine cascade which regulates NK cells, macrophages, and neutrophils, as well as T and B-cell responses
Again, from personal observation, and studying testimony from practitioners and persons who use it on themselves, their loved ones (including pets), and on patients, it seems certain that the salve does not affect healthy tissue, only neo-plastic (cancerous) cells.
So, how do the alternative herbal-based salves compare to the medical treatments described above?
The comparisons are breath-taking.
22 (eg Robbins and Cotran Pathologic Basis of Disease, 7 th ed. 2004, Elsevier Saunder pub. Pp 47 86).
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Cancer Cell Specificity
The combination of herbs used in the formulation does seem to exhibit highly active anti-cancer properties. From clinical experimentation and observation, believers definitely suspect the salve has the quality of being cancer cell specific. That is, it only acts on cells which are cancerous (neo-plastic). They also know it does not appear to adversely affect non-cancerous, or healthy tissue.
Please note and understand, at the risk of boring repetition, we are not making any claims for anything here, (see the Disclaimer above). This is simply journalistic commentary.
But it is really quite straight-forward. Follow this:-
Many patients present with a medical diagnosis (e.g. from a biopsy, for example). The salve is applied The cancer appears to die and get expelled. The tissue heals up. Follow up medical examinations (including biopsy) confirm that the cancer indeed has gone.
Is that so hard to understand? Do you have to be a dermatologist to work that out? We are simply making observations of patient outcomes.
Natures Scalpel
So, users of black salve, both professional and lay people alike, believe that when the salve is applied sufficiently to the cancerous skin lesion, any and every cancer cell associated with that lesion, those laterally and those deep, will be destroyed (lysis). They believe this result can be confirmed by a subsequent pathology test (e.g. a biopsy, or scan), and further confirmed with observations over time in which there is no recurrence of the lesion. So were not talking guess work or wishful thinking.
Observation of the tissue that is left, demonstrates clear marginal healthy tissue, from which further healing ensues. In this respect, cancer cell specificity is being demonstrated, only cancer cells will be destroyed, not the healthy ones. Voila, natures scalpel is the effect.
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THE HEALING PROCESS
How long does it take to heal?
The body will expel the dead cells (as an 'eschar' - a core, and pus), and depending on the size of the lesion, and a patient's individual healing capacity, it may be a few weeks to several months until the "wound" has fully healed. In evidence may be a blemish or scar which, depending on the site, the client may elect to have some plastic surgery.
Does the salve cause scarring?
After treatment and the healing is complete, one can certainly be left with a mark. Is that a scar?
What is a scar? Usually a scar occurs when normally healthy tissue has been damaged somehow, usually due to an insult like a cut or burn, then the scar is what is left once the healing process has finished.
But, in this case, the salve however appears not to affect healthy tissue.
The theory is, that as a skin lesion grows in (not on) the skin, it causes a disruption, a displacement to the normal structure or flow of skin tissue (in much the same way as a large rock might disrupt the smooth flow of a stream). It forces the skin tissue to separate to allow some space for itself within the normal healthy tissue. As it grows in size, it wants more and more space, of course. Soon you start to notice it on the surface.
So when you take the lesion away, you are left with that space. Depending on the size of the lesion in the first place (mainly, its depth), a "mark", initially a decavitation (a cave, a hollow), then after the healing process is finished, some skin discoloration (a whiteness), and/or a mild dimple can be left. Is that a scar? There is definitely a mark left, it may just be a matter of semantics, or it may be a new description of scarring. But its not your usual scarring. Maybe a Ph.D right here for someone, to properly describe it.
What is usually stated emphatically is, that the salve does not damage any external skin 23 , even delicate healthy skin, nor does it seem to damage any nerves, or blood vessels other than ones that may be servicing the tumor itself.
23 Caution must be taken when applied to mucosa however, ie the inside skin (eg in the mouth, bowel etc).
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A New Diagnostic?
Some might suggest that, for all practical purposes anyway, we have here a new diagnostic, and not just a new treatment.
Follow the logic. In this theory, as has been held now for many years, it is postulated that one of the qualities of the salve is that it acts only on cancerous cells, that is it is cancer-cell specific, and it does not act on non-cancer cells. Thats the theory.
So, still within this theory then, if the lesion is cancerous, the salve will destroy it; but if it is a harmless non-cancerous skin lesion 24 , nothing will happen. A new diagnostic.
In that model, sure, the salve cant tell you just what type of skin cancer you have. It just tells if youve got one or not. And gets rid of it, all in one application. Pretty cool, huh?
This is why some patients are choosing not to bother having a medical examination or diagnosis at all, let alone a biopsy, given the perceived inherent risk they see of biopsy actually spreading the cancer. They are saying, if the risk of simply knowing what type of skin cancer I have is, that in the process I put my life at risk where the biopsy might spread some cells into the blood and lymph, then hey, I do not want to know what type Ive got anyway, full stop. Go play statistics with someone elses life. I just want to get rid of it in the safest way.
We need to be clear here. We are not advocating any one approach. I myself have recommended a medical diagnosis to some patients on a before and after basis, if for no other reason than to gather some objective evidence as to the effectiveness of the treatment itself. Get one before the treatment. Then get one when its all healed up. But not if the risk is too great, I understand that.
However, the parable still holds good, a man convinced against his will, is of the same opinion still. Is your doctor like that? Is your family?
24 There are other salves that are effective against skin tags and a host of other non-cancerous lesions
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APPLYING THE BLACK SALVE (Hereinafter simply called the salve)
As stated above, what follows here is based on observations I have made, and on conversations had with practitioners and patients, over the past ten years, and more widely on observations made by highly skilled practitioners who have come before, and who are brave enough to speak publically.
The general rule is, that the salve must be applied directly onto the suspect lesion, ideally for a period of 24 hours, then removed.
The Salve
The salve may have been stored for a while (it lasts years in the fridge). It must be moist (but not runny) before it is applied. Whilst there is a moisturizer in the salve, it can become a bit dry. One (or maybe 2) drops of water may be enough to restore sufficient moisture for an application.
When Should I Apply the Salve?
The ideal time may be after your morning shower.
If you have decided to have a biopsy first, then a needle biopsy is recommended, and not surgical removal of the lesion per se. This will leave a needle hole, and salve practitioners believe such a hole might provide a second useful channel for the salve to access the lesion directly, and so you may want to apply the salve as soon as possible after the biopsy, within an hour, before it heals over.
Preparation of the Lesion
Ensure the whole area has been thoroughly cleaned (from any make-up, body oil or dirt), maybe using rubbing alcohol, or just warm water.
Dry thoroughly, only so the band-aid covering will stick properly to the skin.
If the area is hairy (e.g. head, arms or legs, chest, etc), ideally you will need to shave the area so as to allow a band-aid to stick securely to the skin.
Some practitioners believe it is useful to prepare the area by needle points; this involves taking a sterilized needle and carefully pricking the skin (to b/w 2 3 mm deep) to assist in getting the salve in. This would be followed by application of dilute H2O2 or rubbing alcohol for sterile purposes. And others scrub the area with a loofah or dry brush, to exfoliate as much as possible, to provide greater accessibility to the salve.
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This may all be unnecessary, however, as the salve demonstrates adequate trans- dermal absorption.
How Much Do I Use?
You need to use no more salve than to apply a thin layer, (somewhere between a smear and a thin caking!), so as will completely cover the lesion. More will not hurt, it is just unnecessary. And it does not matter if the salve spreads out around the lesion upon application, it does not affect healthy tissue.
The rule here is, however, it is better to use too much, rather than too little salve.
How Do I Apply It?
An easy way to apply the salve is, using a spatula or even just your finger, put the desired amount of salve first onto your chosen band-aid (preferably a hypoallergenic), and place onto the lesion. Or it can simply be put on the lesion, and covered with a band-aid or two (but its messier!)...
The purpose of the band-aid is twofold, to keep the salve in place, and also to help keep it from getting excessively wet from rain etc.
A circular band-aid is the most efficient; or you can use two band-aids in a cross formation if you like. If the area is extensive, for example several centimeters across, then you need to think about how you can ensure the salve remains on for the required time; you may need several band-aids, or some other kind of dressing.
How Do I Look After the Dressing?
It is important to keep the application as dry as possible (so avoid showering, undue perspiration, swimming, bathing, or rain etc). Only that if it gets wet, it can cause unnecessary irritation, or you could wash the salve away prematurely.
How Long Do I Keep It On?
As a rule you need keep it on only for 24 hours, and generally only one application is necessary, although there are exceptions to both these rules. On occasion a professional may recommend you leave it on for longer, but not for any more than 48 hours; it is unnecessary.
What if the Salve Comes Off Before 24 Hours?
Ideally, it should be on for 24 hours. However, generally a reaction will occur within that time if there is to be one at all, so it may not be anything to be worried about. Do not be pedantic with this, sometimes application for just 12 hours is quite adequate.
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Or if you cant see anything has changed, for peace of mind you may want to apply it again.
WARNING: When once is never enough!!
There are many situations in which one application is not enough. For example, with Squamous Cell carcinoma (SCCs), melanoma (MM), are cases in which clinicians find that more than one successive application is required, between 3 and 5 such applications over a week. You wash it off after 24 hours, (photograph as a record for yourself), then reapply for a further 24 hours.
How does one tell if more than one application is required. The answer is not simple, and comes from years of clinical experience. The best advice is to look carefully at the lesion after the first application. Does it appear that there has been a whole lesion reaction? Or has only a partial response been achieved? SCCs and MMs seem to exhibit characteristics of multi-nodularity, almost as if they are like a nest of lesions in one presentation. And closely examine when the eschar comes out leaving decavitation. Is there any white tissue around the perimeter, or at the base of the hole? This may be an indication that there is more to do.
Malignant moles can appear after one application to have either no apparent, or just a partial response. This may be because the roots are cancerous but maybe not all the visible surface tissue is. With moles the best advice is that more is better, and at least a second application is recommended. The size of the presenting lesion is important also to take into account. Some lesions can present being 20 cms (8 inches) or more in diameter, and sometimes up to 10 or more centimetres (4 inches) thick. Several applications over the entire surface may be required for the desired outcome. This raises another problem of possibility of blood loss as the tumor dies, and may need to be medically managed.
In these, and many other instances, the lay person, and indeed the practitioner, may feel the need to rely on the expertise of one who has had experience for guidance through some of these events, and that is why practitioners like myself who have been there, and done that are available for such guidance, by phone or in clinic. It is better to get good advice, and to be safe rather than sorry. People often send me pics of a lesion somewhere on their body and ask for advice, which I am happy to arrange, as you can see from my website. Other folk dive right on in without any guidance, and good going, Black Salve is after all a folk remedy which has been around in one form or another for centuries!! But like anything, learning from those who have gone before is a smart move.
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REACTIONS IN GENERAL
What reactions might one expect whilst the salve is on the skin?
Firstly, you may experience no symptoms at all, not even a slight tingling or itching which seems to be the most common sensation associated with an application of the salve, and most likely due simply to its mildly caustic zinc chloride base (ZnCl2).
Having no symptoms does not necessarily denote that nothing is happening. And having a tingling may not mean that something is happening. Evidence that the lesion is being destroyed is based more reliably on observations made of the lesion itself after the band-aid is removed, and the residual salve has been rinsed off after 24 hours.
Generally however, if the lesion proves to be reactive, whilst the salve is on the skin, and starting anywhere from almost immediately up to several hours, symptoms can range from a slight itchiness, tingling or even stinging sensation, to a mild burning sensation, none of which is debilitating, maybe just a little uncomfortable.
However, depending on the site of application, the size of the lesion, and the condition of the lesion to start with (is it bleeding, weepy etc?), then sometimes symptoms of pain and severe discomfort can be experienced. In extreme cases there can be a strong throbbing pain, and treatment can, but not always does, cause a headache when treating lesions on certain parts of the head such as over the temple area, or on the crown of the head.
There can also be localized swelling, redness, and this can be noted even under the band-aid before the 24 hours is up.
If the salve is applied to a lesion which is already open, or weeping, pustular, punctured (e.g. by biopsy or needle pricks), then there may be some discomfort (stinging, or burning sensation).
Applications of the salve near to lymph nodes can cause swelling in these nodal regions as well (not necessarily a bad thing, when you really think about that!! Hmm..), and swelling is commonly seen with applications around the orbital (eye) socket.
After the salve has been removed these symptoms would be expected to diminish over the next few days.
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Treatment of BCC with Black Salve
1. BCC Before Treatment 2. Black Salve Applied to Lesion 3. Eschar (Tumor) Starting to Come Out After Seven Days (Close-up) 4. Side View of Eschar
5. Wound After Eschar Came Out on 10th Day 6. Top View Of Eschar
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7. BottomView Of Eschar 8. Side View Of Eschar
9. Wound Healing 15th Day 10. Wound Healing 20th Day Notice the granulosis wound filling.
11. Wound Healing 30th Day
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SPECIAL APPLICATIONS
Applications around the eye
It should go without saying this, but because the salve is slightly caustic in pH (given its ZnCl2 base), and that it contains DMSO, the salve must not be applied either directly or indirectly to the eye itself. This means utmost care must be taken with any close-by applications, for example to an eye-lid. If the salve is inadvertently brought into contact with the eye ball, stinging/burning of the surface tissues of the eyeball can and will occur, and must be immediately rinsed out with constant water lavage (rinsing) until the stinging has gone. If symptoms of stinging/burning persist, see a health care provider immediately.
If a suspect lesion occurs within the region of the orbital socket, and the salve is applied, then swelling of the orbital region may, and usually does occur to some degree anyway, if the lesion is reactive. This can range from no discernible swelling at all, to being very swollen to the point of eye closure. These variations of response may simply reflect the differences between peoples biochemical profiles (these can vary as much as physiologic and anatomical differences do between individuals).
Again, this swelling is consistent with the inflammatory response being initiated in this region, and does not mean anything is amiss. The swelling represents normal body defense mechanisms, and occurs whenever and wherever the salve evokes a positive response, eg on the back, or chest. It is just that there is greater capacity for swelling around the eye socket. It might last for several days, and might present some discomfort and/or annoyance due simply to the physical swelling itself. Ever had a black eye? It can seem just like that.
Day 1 Application of the salve
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Day 7 The eschar has come out leaving a decavitation. Notice the defined, healthy margins.
Day 21 Granulosis (filling in of the cavity is well under way.)
Day 30 - Almost complete healing. (Comment from Adrian: No damage to facial nerves. No intrusion into orbital socket. No damage to delicate eye muscles)
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Applications around the mouth
Salve can safely be applied to suspect lesions around the mouth, even on the lips themselves. Differential diagnosis might be needed to distinguish lesion whether due to herpes virus, neoplasia, or something else altogether.
One difficulty with applications around and/or on the lips however is just being able to keep the salve on the spot with a band aid, it can be difficult to secure, thats all.
The salve does not contain ingredients which in the small amounts can cause problems internally, other than zinc chloride. We have had patients eat the stuff, however ingestion is not recommended, the zinc chloride will cause unnecessary discomfort in the stomach. Products designed for internal use can be obtained, and they do not contain the zinc chloride.
So then, applications to the inside of the mouth can be made, but ought to be professionally guided. Theoretically, the salve can be applied to any suspect lesion, whether externally or internally. The difficulty with internal applications is exposing a diagnosed (or suspect) lesion/tumor etc to the cream 25 .
The other thing is, because the salve is caustic, application to mucosa such as inside the mouth, or on the gums, inside cheek, tongue, throat etc will cause a degree of stinging/ burning sensation, which may be quite uncomfortable, as to be an individual decision whether to continue or not.
Applications to the nose, ears (cartilaginous areas), and other sensitive areas
I have had some patients left with large holes in their nose, or ear, or indeed in general, on the face or somewhere else less sensitive perhaps. If there is no pre- determination as to potential size, it can be upsetting at first realization.
However, the body knows how to most effectively heal itself, and will do so as best it can over time. Small lesion treatments take a shorter time to heal than larger ones, so healing can vary from just a few days to several weeks if larger.
I say as best it can, because sometimes it cant heal properly, the lesion was so large. And so you may be left with a hole in the ear perhaps, or a small depression in the skin, or a scar.
25 How do you get this salve onto a tumor, for example of the tongue, or esophagus, or indeed of the stomach, bowel, bladder etc etc? It remains for this salve to be prepared as an injectible form, and be delivered by a competent professional. Hopefully the day will come soon. However, as mentioned, there is specific product that is able to be ingested for internal treatment.
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However, in most cases, the body will heal itself in quite the satisfactory way, leaving little if any evidence at all of any previous problem.
I have had patients who have taken one look at a resultant hole, and decided not to wait for nature to heal, but go off for cosmetic surgery. In other cases, the treatment was undertaken knowing beforehand that minor cosmetic surgery would be desirable, even if not necessary. BCC (biopsied) on nose prior to treatment Coverage with Black Slave 24 hours later after Black Salve is removed Note inflammation of the nose 4 days later, eschar is forming Eschar about to drop out.
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Applications to the Head
Certain areas of the head may be more sensitive than other parts of the body. We have already mentioned around the eyes, for example.
However, where the salve is applied to lesions on the crown of the head (over the crown chakra), and depending on the size of the lesion to start with, patient advice suggests you may experience a little more discomfort than you might expect were it say, on a limb. Same consideration when applied to the temple area.
Eschar is out. Note distinct margins. 8 days later
After 27 days, almost healed up.
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Glandular Involvement
Any application of the salve, depending on site, may involve lymph nodes or glands. This can be the case with applications anywhere, but especially on the head, on the chest or breast, or around the groin. This deeper involvement may also cause more discomfort than normal, as the salve does its work. Generally, you may develop a head-ache with throbbing. On occasion, one may have recommended to them an OTC anodyne (pain killer).
Will I Become Incapacitated?
It is possible that the level of discomfort (if there is associated head-ache, for instance), might suggest some time off. This may be only for a day, but for some people it can be up to three days. This may reflect lymphatic involvement, or be a function of the individuals own unique response to a specific treatment; there are many differences between individuals, biochemically and in many other ways we are not all exactly the same!
How Long Do I Leave It On?
Generally 24 hours is adequate.
Can I Treat More Than One At A Time?
There is no technical reason why you cannot. I treated 12 lesions on myself at one time first, without any ill-effect personally, then in clinic. On a forearm, or a chest, or back are common areas where many skin lesions (cancerous and non-cancerous) can occur; or indeed in disparate body areas, one here, 3 there, 1 here and so on.
If you are a novice user, it is recommended to just do one or 2 to start with, until you become familiar with the entire process from beginning to end.
Everyone is Different!
As just mentioned, one fascinating feature of homo sapien is that there are lots and lots of biological variations, indeed differences between members of our species. Some are quite obvious, for example, height, skin color, face shape, iris and finger print patterns; others less so, such as biochemical differences, reflective of genetic variation of the species, as was first observed and catalogued by Charles Darwin.
The observations in this document are based on a limited number of subjects, maybe in the tens of thousands or more, but not in the billions. So whilst it is difficult to predict any type or degree of outcome for any one individual person, these are general observations indicative only of what one might in fact expect or achieve in terms of clinical outcomes.
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So therefore, in some sense each patient is a brave pioneer, and so that a more complete story might one day be told, we welcome your individual experience, please tell us about it! We know it saves lives. Is yours one of them?
So in this situation, also, variables also exist as to the size of the presenting tumor, how invasive (deep) it has become, and ones susceptibility to skin cancers (history, family history etc).
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Removing the Salve
After 24 hours, remove the band aid and the salve by rinsing gently with rubbing alcohol, diluted H2O2 (hydrogen peroxide), or just warm water, and clean until no salve is evident. If the area is tender, you may need to sponge gently, or wipe with a wet cotton wool bud.
What Can I Expect To See When The Salve Comes Off?
Clinical observation matched with prior medical diagnosis suggests that if the lesion/tumor was in fact cancerous (neoplastic), then within 24 hours of application, the salve might be expected to already have evoked an immune response, called (acute) inflammation (see the notes above, How Does the Salve Work? for a fuller explanation).
When the band aid and salve are removed, the tumor appears already doomed (if not dead already). The lesion appears necrosed (killed, dead), changed in color (to a grayish color) and over the next few days, the consistency appears more and more scabby and pustular. The pus is simply spent or dead white blood cells that have done their work (immune cells, dead soldiers if you like). There may also be exudate, (fluid) and dead tumor tissue. Sooner or later, you might expect it.
Once the salve is cleaned away, everything from here on is all about healing, as the bodys reparative processes come into play.
A Big Surprise?
Who likes surprises? Depends on what sort, yes?.
Skin cancers occupy space; if the lesion is small, then they occupy a commensurately small space. If the lesion is large, then this space will be as large.
Where a large lesion is destroyed, that space the lesion once occupied becomes empty, initially leaving a cavity (decavitation) or hole in that tissue. No surprise there.
The surprise can occur when, sometimes you get a bigger reaction than you might have expected. This happens because mere clinical observation and palpation (feeling) of the lesion may not have given you the true indication of its real size.
Skin cancers can be like an iceberg; a little on the top, much more hidden underneath.
I personally have observed treatment of what appears to be only a superficial lesion that, when the eschar comes away after a week or so, reveals quite a depth to it. This
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hole might penetrate to the deepest layer of the skin, even into the underlying fascia (the supportive tissue).
Not only the depth may be a surprise, but also the lateral (sideways) spread of the tumor can sometimes be a surprise.
Pre-Planning the Surprise
If you suspect that the lesion you have say, on your nose, or cheek, or ear, or neck, is very deep, maybe even penetrative of the whole skin, and when removed will leave a large hole, you may want to consult a dermatologist, or plastic surgeon before you in fact have any treatment at all. She will outline post treatment options.
That way, even if you do get an unpleasant surprise when the eschar comes out, you will have organized for possible surgical intervention. All good now?
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What if I am left with a big hole?
I have seen skin cancers that have gone from one side of the cheek right through, and when the eschar comes away, one is left with a hole; similarly with cancers on the nose, and ears. Scary stuff indeed!
Critics and detractors of this treatment will want to frighten you with graphic pictures where this has happened, and say See, the salve burned a hole in the cheek etc. No, theres no burning going on here, the hole simply reveals where the cancer was; it occupied space, now it leaves space. Space is what is left. But you can have it, so what do you do?
A small hole will normally heal through granulosis, and need not be stitched up at all. If you are unsure however, you might ask a professional.
If you had gone to a dermatologist, and he completely removes the lesion, all of it, then you will have a hole left after that treatment as well, wont you. Fair comment?
Then what would you do? The doctor would immediately offer you reconstructive and/or plastic surgery, or a skin graft, whatever it takes, right? He would not want you to wait for healing by second intention, and rightly so.
Well, you have that option after treatment with the salve as well, dont you?
So, heres the thing. What do you want to have, a skin cancer so big that if left untreated it may metastasize to vital organs?
Or do you want the thing out?
Remember the knowledge is that only neoplastic tissue (cancer cells) are being destroyed, healthy tissue remains intact. Always. I have never seen otherwise healthy tissue damaged in any way, neither has anyone else who has observed the process. There may be microscopic damage, but not visible to the naked eye. If all that got damaged was simply microscopic, that would be very ok, wouldnt it?
In some respects, the precise overall size of a lesion may only be pre-determined by a soft tissue scan (or with less usefulness, a core biopsy), and in cases involving the nose, for instance, we recommend you have a scan or biopsy to determine the extent, if you are at all concerned about this.
However, even with that foreknowledge, you may still be surprised at the result.
Otherwise, you will only know just how large or small the cancer is, and thus the size of the resultant cavity, once the treatment is well underway.
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Well, guess what, that is how it is with the surgeon too, isnt it? Even the Mohs surgeon, as skilled as she may be. Shell put a big hole in you too, but her hole may not be big enough, or it might have missed something, or she has taken healthy tissue unnecessarily. God bless her!
Even the notion of a surprise like this can be scary! I know, but then, you do want to get it all out, dont you?
Yes, but!!!
I know. And despite proper briefing, I have had one patient react to this surprise fearfully, and rush off to her doctor to get stitched up. It was only a superficial reaction, it did not penetrate deeper than the skin. I do understand, no judgment from me. But it was unnecessary, and had she been patient as she was supposed to be, the surgery may not have been necessary at all! God bless her too! She should know I have come a long way since then, too.
Trust the healing process.
However, I am available to hold your hand, and walk you through any phase of your treatment (see contact details at the end of this document).
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Contraindications
Are there circumstances in which you ought not use the salve? I do not currently know of any allergic responses. I did have a patient take himself to hospital because he did not quite understand what was happening to him; the doctors there declared he had had an allergic reaction to the paste. But they formed that opinion, based merely on casual observation, without any prior experience themselves with the salve, without resort to any literature, and without any scientific testing of that opinion, which would have differential diagnosis along these lines if the hospital doctor had known about the way the salve works. True, there are some similarities between histamine release in allergy and in inflammation.
So that was simply an incorrect diagnosis.
As stated earlier, what one observes is, in fact, a classic acute inflammatory response, as described in any good text on physiology 26 .
I do not know of any absolute contraindications, but would welcome comment. As I said above, we are all pioneers together.
26 (eg Robbins and Cotran Pathologic Basis of Disease, 7 th ed. 2004, Elsevier Saunder pub. Pp 47 86).
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What if the lesion appears unchanged after treatment?
Again, from clinical observations (and without the benefit of a scientific trial), it does appear that the salve is cancer-cell specific, and evokes an anti-cancer immunological response leading to cellular necrosis, that is, the destruction of the lesion.
If you have a proper diagnosis (not just an opinion) of cancer to start with, and you get no reaction (other than a mild reddishness, in some instances), then:-
It is possible the salve was not formulated correctly, or The salve was not moist enough, or It is possible the salve did not bind with the surface of the lesion adequately, or It is also possible that you have a (rare) genetic defect in leukocyte (white blood cells, the specific immune system cells) function, although by now you would probably have been so diagnosed; or Possibly you have an acquired immune defect such as can (but not always does) occur with diabetes or leukemia. It doesnt mean that all diabetics or all leukemia sufferers have leukocyte dysfunction, but it may be in a sub-group, or There may be something else altogether as yet unknown.
There is one other possibility. I have applied the salve to moles on many occasions, and upon removal of the salve, saw no visible response. Only to the surprise of myself and the patient, to have the mole drop off within the ensuing weeks. So it may have been working away under the surface and more at the roots of the mole, without any symptoms or signs.
So you may wish to apply for a second time, or even a third time. You cant hurt anything. For peace of mind.
If there is no visible reaction, then one might deduce that the lesion was not cancer in the first place, and that the original diagnosis (if there was one) was wrong to start with. Many pathology as well as clinical diagnoses are shown to be unreliable and give false positives and false negatives 27 every day of the week, so it can happen to you too, although you dont expect it to.
The only way to confirm that conclusion might be with a biopsy (duh??), but ultimately, the only way you will know for really and truly, is if it comes back or not.
27 A false positive is where the test says youve got it when in real fact you havent; and a false negative is when you are told you dont have it, but in fact you do. Lots of common pathology tests are unreliable, and of course there is the capacity for involved human error, whether malicious or ignorant, innocent mistake.
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Thats all anyone, even the most skilled dermatologist, can offer you anyway.
After any biopsy to diagnose a suspect cancer, dont wait for the pathology report, I would apply salve as soon as is possible, straight afterwards, just in case. If it is cancer, you dont want it spreading unchecked would you?
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Post-Salve Care of the Resultant Wound
Once the salve has been applied to a suspect lesion, and left intact for 24 hours (or for whatever time period recommended), the salve is removed, and if there is a resultant inflammatory response, now the healing processes are underway, so it now becomes important to manage the wound properly.
Obviously, you need to decide if you need any intervention, for example if there is going to be the need for plastic surgery. You may want to consult a professional for such an opinion. Some people want to wait for a while, to observe natures healing processes, before deciding on surgery. Especially if the hole is not deep. And even when it is, it is interesting to observe natural healing processes.
Unless the hole goes through to another cavity, e.g. through the nose, or cheek etc, in which case you might want an opinion. Sooner rather than later. Its your call, after all. As we have already discussed above.
One has to attend to simple wound hygiene. The wound will want to form scab-like tissue over the damaged lesion, protecting the wound against external bacteria. You might also notice pus forming under the skin.
There is no need to disrupt this natural scabbing unnecessarily. Simply wash around and let shower water rinse the wound, and dry the area by dabbing rather than rubbing with a towel.
Any dressing or covering ought to be changed daily, also for hygiene reasons. Over the course of healing, pus and other runny debris will be released, and this can be rinsed off under the shower or with a clean moist cloth.
You might choose to assist, even promote healthy wound healing, by topically using a healing cream 28 . You apply healing cream to the affected area, and around about as well.
It is not necessary to cover the wound with a band aid, and it is best to leave it exposed as much as possible. However, at certain times, you may want to cover it (such as when appearing in public, at work etc.). You can apply a hypo-allergenic band aid, or a natural skin cosmetic over the site as you may see fit to so do. Otherwise, do not keep covered, unless for medical reasons you elect to have it bandaged.
28 My own formulation involves several botanicals (herbs) in an organic Vitamin E cream, tincture of zinc, aloe vera, with several essential oils and homoeopathic tinctures. I have used this healing cream for the past 15 years now without change of formulation, both personally, and clinically, with glowing reports all along.
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Depending on its size (mainly its depth), it may take from a couple of days up to a couple of weeks for the dead tissue to be expelled and for the bodys healing capacities to reveal healthy tissue forming from the inside out. As to just how long healing might take, will vary according to the original size of the lesion itself, how deep it was, whereabouts on the body it occurred, what type of lesion/tumor it was, etc.
Over days, depending on original size of lesion, the scab will get tougher and more leathery, and by this stage most likely the tissue is healing quite well underneath the scab, with any decavitation (hole, cavity) already being infilled 29 , all as the body is pushing the scab away now, and will eventually come away leaving healthy, red tissue, which will eventually heal to the point where in most cases there is no obvious, and certainly no ugly evidence that there was ever anything there.
Some people encourage this final process of scab removal after a while, when it seems right, by gentle rubbing with a face-washer in the shower, or teasing it off with a fingernail or some such etc, which probably doesnt hurt, and somehow feels like the natural thing to do. Underneath you expect to find intact, healthy skin tissue.
29 See any classic Physiology book on Wound Healing where the complex processes of healing are discussed, eg Robbins and Cotran op. cit. Ch 3 .
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What if it Comes Back?
Well, firstly, lets just wait and see!
Sometimes it does appear to come back, however. At least, it seems to come exactly where the first one was.
There are many factors that could suggest an answer to this, however, in the absence of scientific trials, we do not yet know. It may be an appearance of a second lesion that arises in the same place or nearby, and might have occurred for the same reason the first one came. It may be that scar tissue was present at the site of the initial cancer, protecting some cells from the salve, which subsequently give rise to a visible lesion. In other words, you didnt get it all the first time.
Well, until the scientific trials, right?
Simply repeat the treatment again.
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Healing with DMSO: The Complete Guide to Safe and Natural Treatments for Managing Pain, Inflammation, and Other Chronic Ailments with Dimethyl Sulfoxide