Acid-base regulation is a cornerstone of Sanum terrain work: buffering the internal milieu is seen as a prerequisite for other isopathic remedies to act. This triad pairs an alkalising mineral preparation with two acid preparations that support the physiological pathways of acid handling.
This article sets out the rationale, the distinct roles of Alkala T, Citrokehl and Sanuvis, how they are structured across the day and the cautions that frame their use.
The short version: Alkala T alkalises the milieu while Citrokehl and Sanuvis support physiological acid metabolism, together forming the acid-base foundation of a Sanum terrain programme.
Rationale: why buffer the milieu first
In the Sanum model a chronically over-acidified connective-tissue milieu is thought to sustain an unfavourable terrain and blunt the response to isopathic remedies. Restoring acid-base balance is therefore treated as foundational preparatory work.
The triad approaches this from two directions: direct alkalisation of the milieu, and support for the body's own acid-metabolising pathways so that acid load is processed rather than merely neutralised.
The remedies and their roles
Each preparation contributes a distinct function:
- Alkala T (tablets) — an alkalising mineral buffer used to raise the base capacity of the milieu directly.
- Citrokehl — a citric-acid preparation used to support the physiological acid cycle and metabolic acid handling.
- Sanuvis — an L-lactic acid preparation used to support the physiological lactate pathway and the acid-base equilibrium of the tissues.
Structuring the day
These are oral preparations. Alkalising tablets are commonly taken to support base capacity, while the acid drops are taken to support the metabolic pathways, distributed across the day per manufacturer guidance and individual clinical assessment. Practitioners often coordinate timing with meals and with each other so that alkalising and acid-metabolic support are balanced rather than opposed.
Progress can be monitored practically — for example through serial urinary pH tracking over the day — and the regimen adjusted accordingly. Exact quantities and timing are matters of clinical judgement and product directions rather than a fixed schedule.
Combining and cautions
Acid-base regulation is generally used as a preparatory and ongoing foundation beneath other Sanum remedies. Sodium and mineral content of alkalising preparations should be considered in patients with hypertension, cardiac or renal impairment, and the approach does not replace management of a metabolic or renal acid-base disorder, which requires medical care.
Introduce gradually, monitor response, and integrate with diet and hydration for durable terrain change.
Your natural toolkit — and which to reach for
Remedies referenced in this protocol. These are orally administered preparations; use and time per manufacturer directions and individual assessment.
Sanum ALKALA "T" - Tablets — alkalising mineral buffer to raise the base capacity of the milieu.
Sanum Citrokehl — citric-acid preparation supporting the physiological acid cycle.
Sanum SANUVIS — L-lactic acid preparation supporting the lactate pathway and tissue acid-base balance.
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Practitioner FAQs
Why combine an alkalising buffer with acid preparations?
Alkala T raises base capacity directly, while Citrokehl and Sanuvis support the body's own acid-metabolising pathways so that acid load is processed rather than merely neutralised. The two directions are balanced across the day rather than opposed.
How can I monitor response?
Serial urinary pH tracking across the day is a common practical measure, used to adjust timing and quantity. Interpret trends rather than single readings, alongside the clinical picture.
Who needs caution with alkalising tablets?
Consider the mineral and sodium load in patients with hypertension, cardiac or renal impairment, and never use the triad in place of managing a genuine metabolic or renal acid-base disorder, which requires medical care.
Note: For qualified healthcare practitioners. Educational only; not a substitute for clinical judgement, individual assessment, or the manufacturer's directions. Injectable preparations are administered by trained practitioners, using aseptic technique and within the scope of your registration.