PRACTICAL HOMOEOPATHY--ACTUAL CASES TREATED

[Dr Krishna murthy]

Mr. J., 23 yrs, walks in and shows his scan reports etc. From them I
note down as under in my Case Taking Sheet:

Mr. J., 23 years
17-1-2014
Born and brought up in Trichy
Now for one year in Chennai after employment.
Scan rep.: pelvicalycal dilation. PUJ obstn. Spina bifida
For 8 months, pain in abdomen (points to the left side of abdomen)
Now occasionally right side also

[As he did not talk further, I ask about his past health history and
these I note down on the right hand side of the case sheet]

12th year of age- typhoid
Measles
Had vomiting for 3 months - 1 year ago

I gave a certain medicine asking him to come after a month. After a
month he called me on phone and told that the pain is still there. I
asked him to come in person. Upon entering he told 'pain same.' I
ask him whether there is any partial relief and he replies, 'No.'
Whether it is case taking or repertorisation, Dr. Hahnemann tells in
his Organon that patience in an eminent degree on the part of the
practitioner is required.

Two things in this case are to be noted:

(a) He talks less; over phone and in person tells only his complaint.
[See KENT'S REPERTORY--MIND-- Complaining.]

(b) There is no valuable symptom--uncommon, rare-strange-peculiar or
general symptom. [Whenever a patient does not talk much or, in his
detailed and long talk describing his symptoms if there is not even
one single 'uncommon' or 'mind' or 'general' symptom, you have to take
the following:

KENT'S REPERTORY--MIND--'TALK, indisposed, desire to be silent,
taciturn' Aur., carb-an., cocc., glon., ph-ac., phos., plat., puls.,
sulph., verat (top-grade remedies alone are taken) [Let us call this
as List 'A']

KENT'S REPERTORY--MIND--Complaining: [(no remedy in top-grade.
Therefore, I take remedies in italics (second grade)]: I compare
these with the remedies in List A above and the remedies common to the
above two lists are: Aur., Sulph.

I read these two remedies under 'COLIC' in Lilienthal. 'Pain in left
side of abdomen' appears in both the remedies. I could not decide
between the two remedies. Therefore, I turn to Wilkinsons. Around the
age of the above patient (23 years) in the para 'Age and constitution'
in the remedy Aur-met., there is no mention of abdominal symptoms.
Under Sulphur we find the following:

Woman, aet. 22, single, dressmaker, nervolymphatic temperament,
weakly, slight built, when a child got a severe fall; gastralgia

Scotchman, aet. 23, shipping clerk, slender frame, four years ago
after lifting a heavy load vomited blood, since then had trouble with
stomach;

Miss A. W., aet. 25, suffering several weeks; affection of stomach.

Sulphur-10M single dose, was given to be taken in the morning and
placebo. Patient got complete cure.

IMPORTANT NOTE; Two points should come to our mind in the above case:

1. Earlier he had vomiting for two months; the colic is for seven
months. When an acute disease remains for a longer period 'cachexia'
should come to our mind.

2. When no doctor is able to cure a chronic case of vomiting, see
Calvin B. Knerr's Repertory--Stages of Life and
Constitution--Cachexia--vomiting: Sulph-ac.
3. Chronic colic not curable by many doctors: See
Lilienthal--COLIC--Cupr-met: . . . lack of reaction

Certain remedies cannot be found through repertorisation and,
therefore, we learn the symptom of such remedies by rote. Let us now
learn about one such remedy Selenium/Stillingia.

When a patient complains of back pain and she has early decay of
teeth, you may ask if she cannot go in hot sun without covering her
head (intolerance of sun heat falling on the head) you may at once
think of Selenium. The following two symptoms are keynotes for
confirming the remedy Selenium.

Abject despair, uncompromising melancholy--Boericke's Mat.Med.
Total fitness for any kind of work--Wilkinsons.

The bed-ridden osteoporotic patient. Look at him; all his teeth are
gone long ago. Pre-senility is another term to describe Selenium. A
sixty-year old person looks like a 72-year old debilitated individual.
Two per cent of our patients would be Selenium types.

'Selenium is a constant constituent of bone and teeth.' This is the
first sentence of Selenium in Boericke's Mat.Med.

Why did we take Stillingia along with Selenium?

See Boericke's Mat.Med. At the end of Stillingia we find the words
'Valuable for intercurrent use.' After giving Selenium-10M one dose,
we follow it up with Stillingia-l0M after one month. Again, two
months after this we give Selenium-50M; one month after this
Stillingia-50M.

Why is Stillingia a complement to Selenium?

In Selenium we find the following mind symptom (Boericke's Mat.Med.)

Abject despair, uncompromising melancholy

In Stillingia (Wilkinsons) we find the following:

Deplorably downhearted

There is only marginal symptom between the above two mind symptoms.
Remember, whenever a patient tells that he would give away half of his
wealth to any person who cures his headache, he needs Stillingia.
(Deplorably downhearted.)

New subject. We have only three remedies in the whole of our mat.
med. where the patient walks with the help of a cane.
' They are given below:

Medorrhin - sequela of acute articular rheumatism; walks leaning on a
cane, bent over; muffled in wraps to ears, looking like a broken down
man apparently soon to fall into his grave

Physostigma(Calabar) (Parkinsonism) - on walking, feeling of
unsteadiness from knees downward, so that he has to tread carefully,
especially when eyes are shut; he must see where he is going wants a
cane to support himself; stiffness in recti femoris; languor;
flatulence.

Syphilinum - though 17, looked 12, was so reduced and dwarfed; great
attenuation of soft parts throughout, spare and hollow; confined to
couch for about three years and for one year scarcely off his back;
after disappearance of pustular eruption a gradual rigidity of all
joints ensues and all flexors seem to become contracted and shortened;
this causes inability to close fingers on a fork, knife or spoon, and
a partial inability to lift foot in order to step up stairs, except
with great difficulty, by using a cane and only a step up or down at a
time
-------------------------------------
New subject.

Stages of diseases are:

(a) irritation;
(b) inflammation; and
(c) degeneration.

There is another classification of diseases. They are:

(a) functional; and
(b) structural.

Let us illustrate the above with a remedy viz., Aconite. This remedy
is more to be kept in the house of a patient than in the clinic of a
doctor.

The best example is as follows: A person puts a stool on a chair and
standing on the stool he tries to remove the bulb from the ceiling.
While doing so, the stool tilts and he falls down. Imagine his mental
state at this time. 'Fear, anxiety, restlessness.' Give one dose of
Aconite at this time(within 20-40 seconds of his falling down) and you
can prevent all the after-effects. But a few minutes after that
swelling etc. takes place in the injured place. At this time if you
give Aconite there won't be any effect. Aconite stage is in
irritation only. In inflammation and degeneration it is of no use.
In other words, by the time the patient reaches the clinic of a doctor
or hospital Aconite symptoms go away. That is why we write that
Aconite is more to be kept in the house of a patient than in the
clinic of a doctor.

A certain homoeopath was giving a long lecture to an audience of
homoeopaths. Suddenly he fell down fainting. May be heart attack.
One of the audience, a doctor, ran to him, put a few pills into his
mouth and moments later the speaker stood up and continued his talk.
That is Aconite. The sooner you give in any medical emergency the
better. For the chronic effects of trauma Aconite won't of any help.
-------------------------
New subject. You should learn the 'pace' of the remedies. Let us now
learn about two remedies viz., Aethusa cynapium and Helleborus.

You must keep such remedies at your fingertip. (you cannot afford to
lose sight of them by failure in repertorisation.)

Case: You are called in to attend a baby of six months at 5-30 a.m.
Thumbs are clenched, eyes drawn downward and it is morning
(convulsion.) Without a dose of Aethusa that child is sure to die at 6
a.m. the same day. That is the pace of Aethusa. Death is stamped on
its face from the beginning.

Another remedy that must be kept in your finger tip is Helleborus.

A 40-50 year old bedridden patients starts talking incoherently and at
2-30 in the afternoon he goes into coma, taken to a hospital and after
a few days dies there. See Kent's Repertory--GENERALITIES--2-30 p.m.:
Hell

The stroke of the clock at 2-30 p.m. is the death bell for the
Helleborus patient and without that remedy he is sure to die in a few
days after hospitalization.