Urgent case consultation (also posted on Lou Klein's grad forum)
Posted: Fri Apr 25, 2003 9:49 pm
(Have repeated case above, please see below it)
Joan Lowe wrote:
=================================================================
Dear Joan,
My thoughts lean toward Sepia, although this remedy has its deficiencies in the case, mainly because it is usually chilly (big deficiency, but this is an acute situation, although it has happened before, and thus is most certainly related to the chronic remedy. Is she chilly or warm since the onset (I assume warmer, considering the apis was given). Sepia is worthy of investigation, although may be eliminated easily. The other interesting lead is Bombyx which has DREAMS OF CAUTERIZATION (akin to her childhood dream of burned bodies) and urticaria all over body.
These and other ideas and investigations shown below. May you hit on the simillimum soon. Suggest (if not already) talking further with husband (re how sexual is she) and her best female friends when trying to confirm a remedy, or to get further clues.
Good luck,
Andy
IDEAS:
The all over itching, burning eruption could suggest
==NAT-M (1>0
====================================
ARS=related to phos,
URTICARIA
STREAKY ERUPTIONS
MIND; DESPAIR; recovery, of (K36, SRI-394, G28) (70) : acon., adam., agn., all-s., alum., am-c., anac., ant-t., Ars., aur-ar., aur-i., aur-s., bac., bapt., bar-c., bor., bry., cact., calad., Calc., calc-ar., calc-s., cann-i., carc., caust., cham., chlol., cimic., Coloc., der., dig., germ., hell., hep., hura, ign., kali-ar., kali-br., kali-c., kreos., lac-c., lach., lil-t., lyc., m-arct., mag-c., med., merc., nat-c., nat-m., nat-s., nit-ac., nux-v., ph-ac., phos., plat., pseuts-m., psor., puls., sars., sep., sil., strept., sulph., Syph., tarent., ther., thyr., verat., zinc.
MIND; DESPAIR; recovery, of; thinks it is useless to take medicine (1) : ars.
====================================
URTICARIA ALL OVER BODY
APIS (already tried)
ASTACUS (VERMUELEN CONC)
Skin symptoms most important. Urticaria. [2] It markedly affects the liver and lymphatic glands. Itching in various parts. Enlarged glands of neck in children and old people. Stinging pains; [6] in kidneys, worse night. Nervous crawls over body. [6] Diarrhoea and vomiting, with colicky pains. [11] Sensitive to air, no matter how great the feeling of heat. INTERNAL CHILLINESS, AND SENSITIVENESS TO AIR; WORSE UNCOVERING. Tumours, if not too old. Gout of drinking people.
ASTACUS (GUESS CONFIRMATORIES)
This remedy is indicated in urticaria; the rash is all over the body, and many complicate erysipelas or liver diseases. It should be remembered in crusta lactea with enlargements of the cervical glands.
Liver. Glands. Vasomotors.
WORSE air and uncovering.
Stinging pains. Shivering. Cough, amelioration walking.
URTICARIA, with hepatic symptoms, jaundice, etc., with cramps in liver region, on right side only.
Cancer fluviatilis. Crawfish or River Crab. N.O. Crustacea. Tincture from whole animal.
astacus (complete rep)
MIND; DREAMS; lewd, lascivious, voluptuous (G1024) (118)
MIND; FEAR; general; misfortune, of (K46, SRI-511, G36) (104)
SKIN; ERUPTIONS; urticaria, hives (K1321, G1089) (232)
SKIN; ERUPTIONS; urticaria, hives; fish agg. (3)
SKIN; ERUPTIONS; urticaria, hives; fish agg.; sweet water fish (1)
SKIN; ERUPTIONS; urticaria, hives; liver symptoms, with (G1089) (3)
SKIN; ERUPTIONS; urticaria, hives; shell-fish, from (G1089) (7)
SKIN; ERUPTIONS; urticaria, hives; chronic (20)
===============================================================
BOMBYX-PR
Itching of whole body; urticaria. [6] Dreams that his arms are being cauterised and arrows being thrust into the muscles. Sensation as of a forcing body under the skin.
GUESS CONFIRMATORIES
Bombyx processionera (caterpillar)
-----------------------------------------------
Itching severe, then fever, somnolence, delirium and finally death ensued.
Sensation as if a foreign body were under the skin. Itching of whole body. Itching, evenings, not relieved by anything.
Frequent waking at night and dreams that his arms were being cauterized and arrows thrust into the muscles.
Burning heat of skin.
Procession Moth. N.O. Lepidoptera. Tincture of live caterpillars.
BOMBYX(COMPLETE)
MIND; DELIRIUM (K18, SRI-201, G15) (310)
MIND; DREAMS; body, body parts; arm; cauterizing (SRIII-265) (1)
MIND; DREAMS; body, body parts; muscles pierced with arrows (SRIII-260) (1)
EYES; LACHRYMATION (K245, G206) (377)
ABDOMEN; TUBERCLES, linear (1)
RESPIRATION; ASTHMATIC (K763, G650) (371)
RESPIRATION; ASTHMATIC; hay asthma (K765, G651) (58)
SLEEP; SLEEPINESS (K1248, SRIII-82, G1030) (621)
SLEEP; WAKING; frequent (K1255, SRIII-199, G1036) (259)
SKIN; DISCOLORATION; red (K1306, G1077) (225)
SKIN; DISCOLORATION; red; spots (K1306, G1078) (160)
SKIN; ERUPTIONS; pimples (K1315, G1085) (260)
SKIN; ERUPTIONS; urticaria, hives (K1321, G1089) (232)
SKIN; FOREIGN bodies, as if small foreign bodies or grains of sand were under the skin (K1364, SRII-282, G1125) (2)
SKIN; ITCHING (K1327, G1094) (448)
SKIN; ITCHING; evening; agg. (K1327, G1094) (77)
SKIN; ITCHING; scratching; amel., does not (K1329, G1095) (75)
SKIN; PAIN; general (267)
SKIN; PAIN; burning (K1303, G1075) (235)
MIRILLI'S THEMES; ATTACKED (116)
MIRILLI'S THEMES; HEALING (14)
MIRILLI'S THEMES; HURT (163)
MIRILLI'S THEMES; INSANITY (316)
MIRILLI'S THEMES; POINTED (52)
==========================================
NAT_M
===========================================
HOMARUS
Dyspepsia, sore throat, and headache seems to be a combination that may be controlled by this remedy. Frontal and temporal pain chiefly, with soreness in eyes. Throat sore, raw, burns, with tough mucus. Pain in stomach and abdomen, better after eating. Belching. Chilliness and pain all over. Itching of skin. [6] Pains sharp, sudden and compelling to lie [[9] sit] down; better motion. Itching of lower limbs, not better scratching. [9] A curious sensation is "felt as if could not move" [on waking in morning].
RHUS-T
========================
SEARCH FOR STREAKY ERUPTIONS
ARS
ERUPTION: STREAKS. 0>1>0
Eruption: urticaria. 0>2>2
BELL
Erysipelas:
Bellad. Especially right side; eruption smooth, shining, streaked, of bright red color; brain symptoms prominent; sometimes nausea, gagging, retching; or coughing; drowsy but cannot sleep.
EUPHORB-OFF
ARMS: ERUPTION: RED, SCARLET STREAKS ON LEFT FOREARM, DISAPPEARING WHEN PASSING FINGER OVER THEM. 0>1>0
GRAPH
ERUPTION: ERYSIPELAS: INFLAMMATION, RUNNING IN STREAKS. 0>1>0
NAT-S
All the Natrums have vesicular eruptions at one place or another, in the Sulphate and Muriate they occur about the lips, a beady streak of slime along the edge of the tongue is also a reliable indication for the latter. The Hyposulphite has been used as a topical application in vesicular erysipelas for some time by the allopaths, evidently homeopathically.
There is a cough curable by this remedy. It is so violent that it hurts the head and sides and the patient is compelled to hold them for relief; here it compares with Drosera and Eupatorium perfoliatum.
Differentiation:
Natrum mur. Sadness, worse from consolation. Fever blisters. Craves salt. Dryness. Constipation. Periodicity, especially at ten AM. Pyrexia with head symptoms. Hot during menses. Borders, especially of hair. Agg. heat and light. Amel. pressure against back.
Natrum carb. Feeble, but impressionable. Indigestion; intolerance of milk. Pyrexia with mental symptoms. Agg. open air, exertion during menses. Amel. eating, boring into nose.
Natrum phos. General acidity. Cheeks alternately red. Increased mucous secretions, deep yellow; creamy coatings about base of tongue. Loose, lumpy stools. Agg. light and heat.
Natrum sulph. Head symptoms; especially from injury. Liver symptoms, lying on left side. Loose, noisy, watery stools, after rising. Cough, compels holding the sides. Chilly during menses. Agg. dampness, light, heat. Amel. open air.
PHOS
\ ERUPTION: PATCHES, HEMORRHAGIC, AND STREAKS. 0>1>0
Joan Lowe wrote:
=================================================================
Dear Joan,
My thoughts lean toward Sepia, although this remedy has its deficiencies in the case, mainly because it is usually chilly (big deficiency, but this is an acute situation, although it has happened before, and thus is most certainly related to the chronic remedy. Is she chilly or warm since the onset (I assume warmer, considering the apis was given). Sepia is worthy of investigation, although may be eliminated easily. The other interesting lead is Bombyx which has DREAMS OF CAUTERIZATION (akin to her childhood dream of burned bodies) and urticaria all over body.
These and other ideas and investigations shown below. May you hit on the simillimum soon. Suggest (if not already) talking further with husband (re how sexual is she) and her best female friends when trying to confirm a remedy, or to get further clues.
Good luck,
Andy
IDEAS:
The all over itching, burning eruption could suggest
==NAT-M (1>0
====================================
ARS=related to phos,
URTICARIA
STREAKY ERUPTIONS
MIND; DESPAIR; recovery, of (K36, SRI-394, G28) (70) : acon., adam., agn., all-s., alum., am-c., anac., ant-t., Ars., aur-ar., aur-i., aur-s., bac., bapt., bar-c., bor., bry., cact., calad., Calc., calc-ar., calc-s., cann-i., carc., caust., cham., chlol., cimic., Coloc., der., dig., germ., hell., hep., hura, ign., kali-ar., kali-br., kali-c., kreos., lac-c., lach., lil-t., lyc., m-arct., mag-c., med., merc., nat-c., nat-m., nat-s., nit-ac., nux-v., ph-ac., phos., plat., pseuts-m., psor., puls., sars., sep., sil., strept., sulph., Syph., tarent., ther., thyr., verat., zinc.
MIND; DESPAIR; recovery, of; thinks it is useless to take medicine (1) : ars.
====================================
URTICARIA ALL OVER BODY
APIS (already tried)
ASTACUS (VERMUELEN CONC)
Skin symptoms most important. Urticaria. [2] It markedly affects the liver and lymphatic glands. Itching in various parts. Enlarged glands of neck in children and old people. Stinging pains; [6] in kidneys, worse night. Nervous crawls over body. [6] Diarrhoea and vomiting, with colicky pains. [11] Sensitive to air, no matter how great the feeling of heat. INTERNAL CHILLINESS, AND SENSITIVENESS TO AIR; WORSE UNCOVERING. Tumours, if not too old. Gout of drinking people.
ASTACUS (GUESS CONFIRMATORIES)
This remedy is indicated in urticaria; the rash is all over the body, and many complicate erysipelas or liver diseases. It should be remembered in crusta lactea with enlargements of the cervical glands.
Liver. Glands. Vasomotors.
WORSE air and uncovering.
Stinging pains. Shivering. Cough, amelioration walking.
URTICARIA, with hepatic symptoms, jaundice, etc., with cramps in liver region, on right side only.
Cancer fluviatilis. Crawfish or River Crab. N.O. Crustacea. Tincture from whole animal.
astacus (complete rep)
MIND; DREAMS; lewd, lascivious, voluptuous (G1024) (118)
MIND; FEAR; general; misfortune, of (K46, SRI-511, G36) (104)
SKIN; ERUPTIONS; urticaria, hives (K1321, G1089) (232)
SKIN; ERUPTIONS; urticaria, hives; fish agg. (3)
SKIN; ERUPTIONS; urticaria, hives; fish agg.; sweet water fish (1)
SKIN; ERUPTIONS; urticaria, hives; liver symptoms, with (G1089) (3)
SKIN; ERUPTIONS; urticaria, hives; shell-fish, from (G1089) (7)
SKIN; ERUPTIONS; urticaria, hives; chronic (20)
===============================================================
BOMBYX-PR
Itching of whole body; urticaria. [6] Dreams that his arms are being cauterised and arrows being thrust into the muscles. Sensation as of a forcing body under the skin.
GUESS CONFIRMATORIES
Bombyx processionera (caterpillar)
-----------------------------------------------
Itching severe, then fever, somnolence, delirium and finally death ensued.
Sensation as if a foreign body were under the skin. Itching of whole body. Itching, evenings, not relieved by anything.
Frequent waking at night and dreams that his arms were being cauterized and arrows thrust into the muscles.
Burning heat of skin.
Procession Moth. N.O. Lepidoptera. Tincture of live caterpillars.
BOMBYX(COMPLETE)
MIND; DELIRIUM (K18, SRI-201, G15) (310)
MIND; DREAMS; body, body parts; arm; cauterizing (SRIII-265) (1)
MIND; DREAMS; body, body parts; muscles pierced with arrows (SRIII-260) (1)
EYES; LACHRYMATION (K245, G206) (377)
ABDOMEN; TUBERCLES, linear (1)
RESPIRATION; ASTHMATIC (K763, G650) (371)
RESPIRATION; ASTHMATIC; hay asthma (K765, G651) (58)
SLEEP; SLEEPINESS (K1248, SRIII-82, G1030) (621)
SLEEP; WAKING; frequent (K1255, SRIII-199, G1036) (259)
SKIN; DISCOLORATION; red (K1306, G1077) (225)
SKIN; DISCOLORATION; red; spots (K1306, G1078) (160)
SKIN; ERUPTIONS; pimples (K1315, G1085) (260)
SKIN; ERUPTIONS; urticaria, hives (K1321, G1089) (232)
SKIN; FOREIGN bodies, as if small foreign bodies or grains of sand were under the skin (K1364, SRII-282, G1125) (2)
SKIN; ITCHING (K1327, G1094) (448)
SKIN; ITCHING; evening; agg. (K1327, G1094) (77)
SKIN; ITCHING; scratching; amel., does not (K1329, G1095) (75)
SKIN; PAIN; general (267)
SKIN; PAIN; burning (K1303, G1075) (235)
MIRILLI'S THEMES; ATTACKED (116)
MIRILLI'S THEMES; HEALING (14)
MIRILLI'S THEMES; HURT (163)
MIRILLI'S THEMES; INSANITY (316)
MIRILLI'S THEMES; POINTED (52)
==========================================
NAT_M
===========================================
HOMARUS
Dyspepsia, sore throat, and headache seems to be a combination that may be controlled by this remedy. Frontal and temporal pain chiefly, with soreness in eyes. Throat sore, raw, burns, with tough mucus. Pain in stomach and abdomen, better after eating. Belching. Chilliness and pain all over. Itching of skin. [6] Pains sharp, sudden and compelling to lie [[9] sit] down; better motion. Itching of lower limbs, not better scratching. [9] A curious sensation is "felt as if could not move" [on waking in morning].
RHUS-T
========================
SEARCH FOR STREAKY ERUPTIONS
ARS
ERUPTION: STREAKS. 0>1>0
Eruption: urticaria. 0>2>2
BELL
Erysipelas:
Bellad. Especially right side; eruption smooth, shining, streaked, of bright red color; brain symptoms prominent; sometimes nausea, gagging, retching; or coughing; drowsy but cannot sleep.
EUPHORB-OFF
ARMS: ERUPTION: RED, SCARLET STREAKS ON LEFT FOREARM, DISAPPEARING WHEN PASSING FINGER OVER THEM. 0>1>0
GRAPH
ERUPTION: ERYSIPELAS: INFLAMMATION, RUNNING IN STREAKS. 0>1>0
NAT-S
All the Natrums have vesicular eruptions at one place or another, in the Sulphate and Muriate they occur about the lips, a beady streak of slime along the edge of the tongue is also a reliable indication for the latter. The Hyposulphite has been used as a topical application in vesicular erysipelas for some time by the allopaths, evidently homeopathically.
There is a cough curable by this remedy. It is so violent that it hurts the head and sides and the patient is compelled to hold them for relief; here it compares with Drosera and Eupatorium perfoliatum.
Differentiation:
Natrum mur. Sadness, worse from consolation. Fever blisters. Craves salt. Dryness. Constipation. Periodicity, especially at ten AM. Pyrexia with head symptoms. Hot during menses. Borders, especially of hair. Agg. heat and light. Amel. pressure against back.
Natrum carb. Feeble, but impressionable. Indigestion; intolerance of milk. Pyrexia with mental symptoms. Agg. open air, exertion during menses. Amel. eating, boring into nose.
Natrum phos. General acidity. Cheeks alternately red. Increased mucous secretions, deep yellow; creamy coatings about base of tongue. Loose, lumpy stools. Agg. light and heat.
Natrum sulph. Head symptoms; especially from injury. Liver symptoms, lying on left side. Loose, noisy, watery stools, after rising. Cough, compels holding the sides. Chilly during menses. Agg. dampness, light, heat. Amel. open air.
PHOS
\ ERUPTION: PATCHES, HEMORRHAGIC, AND STREAKS. 0>1>0