Category Archives: Cases

Birth control pills and IUDs – cause and maintaining cause

Sometimes it’s a question of finding reasons, not giving remedies.

 

A patient came to me recently suffering from anal fissure, hemorrhoids and constipation.  In that order – the fissure began several years previously, then the hemorrhoids appeared, and in recent months she began suffering from constipation.  In itself this progression looks odd, as usually we’d expect the constipation to come first.  But then the patient reported that she was completely clear from symptoms during pregnancy and immediately after giving birth. And then the nightmare began again.  Curiouser and curiouser, to borrow an expression. Continue reading

Case quiz: eruptions on the tongue – ANSWERS

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Case quiz: eruptions on the tongue

tongue case

just for illustration, not a pic of the patient!

The patient presented with an eruption on the left side of the tongue.   There was a small spot just under the tip of the tongue, and what looked like small flat red circles on the tongue itself. The area under the tongue on the right side was very dark red. The tongue itself was slightly white coated, but the patient said she had not yet eaten and that may be why.

The patient said the tongue felt like it was burning, and was especially aggravated by hot drinks, and eating in general. She said when anything touched the spot on the tongue the pain was excruciating.  She said her tongue felt very rough against her teeth, giving a sensation that the teeth were not clean, when they had just been cleaned.

Several remedies were prescribed, which all helped slightly but did not hold. The patient then reported a change in symptoms. There were now two spots on the tongue, one under the tip and one on the edge of the right side of the tongue, both extremely painful and white-ish in colour, and the tongue had become mapped.

Remedy 1 was prescribed and the condition improved significantly. The pain diminished by around 50% after the first dose, even though the spots were still present on the tongue. By the following morning, after three doses of Remedy 1, the tongue was clear, the discolouration had disappeared, and the patient was pain free.

At this point a further symptom appeared, which was not helped by Remedy 1. The patient reported a sensation of mouth ulcers inside the lower lip and then the upper lip on the left hand side. A further ulcer was reported the following day on the inside of the upper lip on the right hand side. The ulcers were hardly visible, and the lips were slightly swollen on the inside. The swelling in the lips felt firm but not hard. The patient reported that the ulcerated areas felt dry and reported discomfort when the areas touched the teeth and on pursing the lips. There may have been a slight discolouration on the ulcerated areas but the patient was not sure. The area was completely flat, not raised at all.

In addition, the patient reported a deep crack on her tongue, along the centre towards the tip.

Remedy 2 was given and the ulcers cleared significantly within a day, and completely within two days, after two doses.

What were the two remedies?

AND NOW FOR THE REST OF THE STORY…

Thanks to all those who actively contributed to this discussion, and to those who worked on the case even if you didn’t chose to comment online.

Arsenicum seemed so certain for this case, that it briefly shook my confidence in homoeopathy, Hahnemann, Boeninghausen, the prescribing pharmacy and myself when  it didn’t hold… Carbo-v also looked good, but did not help. Phosphorous came up, but on checking the materia medica did not look right.

The white spots (P&W’s TPB no. 1579) narrowed the choice down to 8 remedies: Alum, Am-c, ARS, Carb-an, Phos, Sep, SIL, Sulph

I checked the other remedies in the materia medica, and since Arsenicum clearly was not working, Sepia looked like the next best candidate. I have also seen Sepia working very well in previous cases where a central presenting symptom was white apthae in the mouth.

The patient wrote after receiving the Sepia: “I had felt as if my tongue was held in pincers, almost as if there was a crab latched on to my tongue! With the first dose of the Sepia it was if it had loosened its grip, the pain eased a lot, and gradually disappeared.”

I must admit I was glad she didn’t say anything about crabs and pincers during the intake or following phone calls – it was so much easier just to look for white spots…

Remedy 2 was indeed Mercury. I used:

Face, sensations lips (247)
Ulcers, flat (26)
Aggravation, motion of affected part (2227)

Belladonna did show up in grades 4, 2, and 3. Mercury however presented here in even grades of 3 and checking in Materia Medica confirmed the prescription.

Case of pain in the hip joint

The following is a case of pain in the hip joint presented by Gary Weaver on the main Institute for Homoeopathic Medicine site blog.  I have presented both Gary’s initial case presentation and the follow-up published by Gary the next day. Continue reading

Desires Refreshing Foods – What do you mean by that?

A refreshing cuppa char!

A refreshing cuppa char!

Yesterday I was working on a case of a 17-year-old girl who has an eating problem . She does not seem to be anorexic, but has difficulty with eating.

–   She does not get hungry – she gets stomach cramps which is how she knows she must eat. She also gets a “mouth” sensation that she wants something “with a lot of taste”, but when questioned it turned out that some of the foods she likes that fall into this category include pasta with olive oil and mild flavouring, cheese Danish, and similar. Her concept of “a lot of taste” did not mean highly spiced or strongly flavoured. Continue reading

Boenninghausen and Treatment of Composite Fevers

Composite fevers are situations where there are all kinds of combinations of heat, cold, shivering, shuddering, perspiration – with each remedy ringing its own characteristic changes on what pattern it will produce.  Each pattern is so individual in each case of sickness, or where epidemic looms, that these composite fever patterns can often unlock cases, point directly to the best prescription and achieve cure.  It is essential in such cases to get very specific information about what comes first and what comes after – is it heat first then chill? Chill, then heat, then perspiration?

Here are some of the composite fever rubrics that appear in the Therapeutic Pocketbook.  Click on the image to see the rubrics more clearly.  The first number appearing after each rubric is the symptom number in the P&W, and the second number is the number of remedies in that rubric. Continue reading

Changed and unchanged mental symptoms in prescribing

8. Are you sure the symptoms you took are symptoms of the disease?  If the patient is generally angry, this is a point you can use in differential diagnosis, but if that is not something that has changed, it is not part of the disease totality – don’t use it in your initial set of prescribing symptoms.  (vide Aphorism 6).

Dr. Marco Colla asked me to explain this point from my previous post in greater depth.

Before I begin, please make sure you’re sitting comfortably with a copy of the Organon on your lap, laptop, tablet (wax or digital) – and READ APHORISM 6!  Continue reading

Viewed through proving: Bryonia – expect the unexpected

Viewed through proving: Bryonia – expect the unexpected

In a recent facebook post I asked readers where they would least expect to see the following symptom:

“It is intolerable to him to keep the affected part still, he moves it up and down.”

Understandably, most opted for Bryonia.  Of course.  We know of Bryonia as the remedy for those who have to keep completely still.  For those who are so sensitive that even if you jar their beds slightly they go into paroxysms of whatever they are suffering from at the time.

It is true that when symptoms agree, Bryonia will be relevant in this need to keep still.  Rhus Tox will be relevant in the need to move.  However, to quote from Porgy and Bess – it ain’t necessarily so.  The above symptom appears as symptom 593 in the proving of Bryonia. Continue reading