Background: Colonic diverticula develop in at least 60% of elderly patients. Less than 25% of these develop diverticulitis. Recurrent episodes are experienced by about 13% of the symptomatic patients. The effect on prevention of recurrent diverticulitis of currently used therapies is controversial. Surgical colon resection is used in some patients in emergency or to prevent future episodes and complications. Carpellum Mali comp. (Juglans regia, Testa; Pirus malus, Carpellum) and Kalium aceticum comp. (Kalium carbonicum, Acetum vini destillatum, Antimonit, Crocus sativus, Spiritus e vino, Corallium rubrum) – preparations of Integrative Anthroposophic Medicine – have been used for at least 60 years to improve chronic abdominal pain and to treat obstipation, irritable bowel syndrome and colitis.

Case presentation: A 72-year-old retired physician presented in 2013 with a 7-year history of recurrent diverticulitis. During the first 6 years, three to four episodes each year required antibiotic therapy. In 2013 the episodes became more frequent, occurring approximately every 2 months. The patient was concerned about risks from repeated antibiotic treatment and the potential need for surgery. Oral Carpellum Mali comp. and subcutaneous Kalium aceticum comp. treatments were added to the therapy in March. The patient experienced improvement over 4 months without any symptoms. In the following 28 months she had 4 minor diverticulitis episodes, followed by 11-months without any flares; she reported no side effects in the 41-month follow-up period.

Conclusion: Carpellum Mali comp. and Kalium aceticum comp. seem to have been helpful in the case presented here. Experiences with theses remedies in recurrent diverticulitis should be collected to determine whether it would be meaningful to carry out further investigations.

Keywords: Acute diverticulitis, Recurrent diverticulitis, Walnut, Crab apple, Potassium carbonate, Antimony, Calcium carbonate, Carpellum Mali comp, Kalium aceticum comp, Integrative anthroposophic medicine

Citation: Meyer, R., Werthmann, P. G., & Kienle, G. S. (2018). Reduction of the frequency of recurrent diverticulitis episodes under treatment with the integrative medicine therapies Carpellum Mali comp. And Kalium aceticum comp.—A case report. Complementary Therapies in Medicine, 40, 203–206. https://doi.org/10.1016/j.ctim.2018.03.013