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Introduction: Acute cases are exciting because
one can experience the magic of homeopathy and be totally convinced
of its power. Below are cases to help you work out your own analysis
and see what remedy you come up with. Then you can compare it with
the analysis and remedy given. It always helps to sharpen one's
acute prescribing skills as that's where one can easily convince
people that homeopathy works!
CAUTION is the byword for all acute prescriptions, as over
the long term we have to be vigilant about suppression or superficial
palliation with the acute remedy. Its important that the patient
is followed up for long term constitutional treatment.
Case 1: Umbilical Hernia
Excerpt from the history: I have been having trouble with
pain from an umbilical hernia (first noticed with second pregnancy
but hadn't caused pain outside of pregnancy until now, after doing
too much exercise a couple weeks ago) and I'm not sure what to do
about it. (She has had 3 normal pregnancies and deliveries over
the last 6 years.) The Dr recommends surgery since it is symptomatic,
although small. I am concerned for the recovery after the surgery
since I need to take care of and lift the baby, and it is impossible
for me not to. I would really appreciate your honest opinion. Is
this something that homeopathy can help with at all?
When the umbilical hernia itself is acutely bothering me, the
pain can be a tearing type of pain I think. The belly button area
definitely gets red and feels very sensitive and almost raw to touch,
as if it was almost an open sore (although it is not, just red and
irritated, sensitive). I also get a pin prick type feeling on my
belly button. The pain sometimes feels close to what it feels like
to have indigestion or bad gas trapped in the intestines. My stomach
area can feel very heavy. It is always worse after eating (best
after sleep or rest/lying down). Sometimes it feels like there is
gurgling or bubbling.
The particular night that the hernia first really hurt me was when
I aggravated it...I was extremely dizzy that evening. Normally if
I have any type of dizzyness, Ferrum Phos 6x takes care of it fairly
quickly but it did not touch it at all so I suspect it was related
to the hernia issue somehow.
One strange thing is that although my belly button does feel the
burning type feeling...it does not feel hot so much as Cold sensations
inside. Seems strange but it does? It definitely feels worse tonight
than it has for a couple days though.
Follow Up one day after the remedy:
My husband and I think that the hernia itself looks better (possibly
reduced some). It has not been very red or sore the last two days
and seems to be a bit flatter. My stomach is upset again tonight
though, same as above, trapped wind, feel distended and heavy, almost
like I ate way too much...though yesterday it had felt much better.
Follow up 3 days after the remedy:
Yes certainly my belly button looks different, flatter and certainly
softer. I think that is a great sign too. My husband said he was
surprised to be able to see the difference like that.
My stomach upset is still bothering me, however, so I will update
that. The same as I detailed above. I feel full and distended almost
as soon as I start eating it seems. This afternoon I have also had
some diarrhea. I can see my intestines spasming or rolling from
the outside of my stomach very easily which is a bit strange. I
feel a bit weak and a bit nauseated.
The following day: I just wanted to let you know that the
stomach issue appears to have been viral. I seem to be feeling better
today but my husband has the stomach upset now.
Follow up 6 days after the remedy:
My stomach upset seems to be feeling much much better! The rest
is going well. I have had no more any pain associated with the hernia.
The 'hole' that I could feel in my umbilical area has reduced to
half the size. I am thrilled!
Analysis:
ABDOMEN; PAIN; General; umbilicus; region of (K571, G485)
ABDOMEN; PAIN; General; eating; agg.; after (K558, G475)
ABDOMEN; HERNIA; Umbilical (K552, G471) (Protrusion; Umbilicus)
ABDOMEN; PAIN; burning; umbilicus; region of (K573, G487)
ABDOMEN; PAIN; General; lying, while; agg. (K558, G476)
GENERALITIES; SLEEP; amel.; after (K1402, SII-599, G1156)
Discussion: I was also aware that she had not slept well
for a long time (a month at least), with 3 children and constant
visitors (family) staying with her. So she was looking after everyone
except herself. She was doing all the housework and cooking, etc.
My differential choice was Plumbum or Cocculus.
Knowing the above history, Cocculus was the obvious choice.
One dose of 30C resulted in reduction of the hernia to more than
half its size with apposition of the muscles as well. She is also
very sensitive to homeopathy and hence was given just one dry pill
of Cocculus 30C.
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