Passive Case Witnessing Problem

It’s a case of a 6 year old girl who consulted me on 18/12/08.

The very first peculiar thing we observe about the child is …she enters the consulting room holding mothers hand tightly.

M: She has made a drawing for you.

(Child’s sibling is also our patient. Every time when this child used to accompany her sister, she would draw and now also she has got the following drawings. This itself shows us the child’s intense connection with her subconscious through this form of art.)

M: She does not have any health problem as such but I wanted to start treatment for her overall development.

PASSIVE CASE WITNESSING PROCESS

D:        Tell me what’s happening to you..? Can I send your mother out?

P: No.

OBSERVATION: Clings tightly to her mother.

D:        Okay, tell me what’s your name?

P: OBSERVATION: Sitting in mothers lap with her hands around mother’s neck. N……P……

D:        Tell me more about you?

P: PAUSE

OBSERVATION: Smiles and clings more to the mother.

D:        Tell me what are your interest and hobbies? What you like to do?

P: I like to swim, like to draw, I like running…playing.

D:        Wow! What else?

P: I like to play on the computer, like to watch TV.

OBSERVATION: Now she removes her hand from the mother’s neck and sits leaning on the table, yet she is in her mothers lap.

D:        What else you like to do?

P: Like to go to school.

D:        Very nice, very nice you are talking?

M: You sit on the chair and talk to the doctor.

P: OBSERVATION; child sits on a chair next to the mother but still holding her arm.

As the mother starts to leave the room, the child jumps off the chair, starts crying and goes and hugs the mother, and goes out with her.)

(The mother comes in with her after some time but now the child sits on the chair and mother on the sofa behind her.)

D:        OK, so tell me what else you like to do?

P: I’ll like to play – go on a slide. Like to read books.

D:        Very nice. You are speaking so well. What else you like to do?

P: Like to dance… then I like to play, then I do homework.

OBSERVATION: Looks behind towards the  mother.

ACTIVE CASE WITNESSING PROCESS

D:        And what are you scared of?

P: Scared of lions, tigers…

D:        What else?

P: Bhoot.

The mother had some work and she had to go out of the room. Immediately the child said no.

D:        You are speaking so well. Just talk with me and your mother will come in 2 minutes.

P: No…no…(OBSERVATION: She gets up and clings to mother and starts crying)

D:        OK you don’t talk, but can you draw till your mom comes back?

(She sits on the chair and starts drawing.)

(Since she was not ready to communicate even after so much of encouragement and the fact that at the beginning she had brought drawings, we ask her to draw.)

OBSERVATION: She covers the paper with the hand and also draws at one lower section of the page.)

D:        Wow! What is this?

P: This is my sister & me, & this is my father and my brother.

D:        And what is this?

P: A heart.

ACTIVE – ACTIVE CASE WITNESSING PROCESS…

D:        What is this heart doing here?

P: I love heart so I drew it.

D:        Earlier also you drew hearts. What about this heart you love?

P: I love heart like that only.

D:        Heart with arrows what does this mean?

P: Looking into the drawing. (PAUSE)

D:        What are you all doing?

P: We all are looking at the heart and thinking what is it.

D:        What does the heart mean?

P: I don’t know.

D:        You like drawing heart huh. When do you draw it?

P: In school. In my drawing class. I draw heart and stars and one day I drew heart and star in the Christmas tree.

D:        In this drawing who is having the flower? (We spotted a flower in the drawing she had made.)

P: My sister- she is just holding it.

D:        She is going to give it to someone or what?

P: Me.

D:        And heart will go to whom.

P: To my brother and father.

D:        Why?

P: Like that only.

D:        Like that only. OK… Would you like to draw something more for me?

D:        Wow! What is this?

P: A drawing.

D:        Of what?

P: Drawing of a garden. This is me and my brother.

D:        What are you both doing here?

P: We have come here to play.

D:        What are you playing?

P: Running and catching.

D:        What is this?

P: Flowers.

D:        Which flower are they?

P: This is flower, this rose and…this …this is pink flower.

D:        Draw one more thing for me?

P: OBSERVATION:  She draws human figures and then joins all of them together.

D:        Wow! What is this? I don’t know what it is.

P: My family.

D:        What’s your family doing here?

P: Ring-a-ring-a-roses.

D:        Ring-a-ring-a-roses. What’s that?

P: I don’t know.

D:        Whom you like the most in your family?

P: My mom.

D:        What about mom you like the most.

P: (PAUSE)

D:        You like or your sister likes?

P: I like more.

D:        What else?

P: (PAUSE)

ACTIVE – ACTIVE IN DIFFERENT AREA – FEAR

D:        What are you scared the most.

P: Lion and tiger.

D:        What about them scares you the most?

P: Because lion crawls and eat us.

D:        What else do they do.

P: Smiles.

D:        You said previously that you are also scared of ghost. What about them scares you?

P: (PAUSE) … I saw the movie called Road side Romeo. (This is a bollywood movie)

(Here when we ask her about fears, she herself goes to the area of movies, so we become active- active to explore this area.)

ACTIVE – ACTIVE IN DIFFERENT AREA -MOVIES

D:        What is there in that movie?

P: There’s a dog, many dogs but 1 dog’s name is Romeo.

D:        Go on?

P: There is a girl called Leila and she loved…. and that dog he loved Leila..

D:        I don’t know what they do? Love means what?

P: I don’t know.

D:        What about the movie do you like the most?

P: I like Leila.

D:        What about Leila you like?

P: (PAUSE)

OBSERVATION: leans on the table and hides mouth behind both palms.

D:        Which other movies you like?

P: Romeo & Jaane tu… (It’s a Bollywood romantic movie.)

D:        And what is there in that movie Jaane tu…?

P: I forget.

D:        Anything else about you.

P: Nods no.

D:        So you like all movies with love/

P: Nods Yes.

D:        What about it you like?

P: I don’t know… because nice things happen.

D:        What?

P: Like they don’t shout, they don’t hit and all.

D:        Anything else.

P: No.

Child goes out and comes back with another drawing along with the mother.

MOTHER’S OBSERVATION OF THE CHILD

She is very affectionate child.  She will go and give big hugs even to strangers. She is very fond of her younger brother and she will make him understand things by saying you can win this or that and she lets him win. Actually she is friendly with anybody and everybody.

END OF THE CASE

—————————————————

UNDERSTANDING OF THE CASE

OU OF PLACE/ OUT OF ORDER

Passive case witnessing process

Verbally the child didn’t speak anything peculiar but our observations regarding the child were very peculiar…

• Her clinging.
• Sitting in the mother’s lap.
• Holding mother tightly.
• Holding her hand while talking.
• Hugging the mother.

Active case witnessing process

• Clings to mother as she tries to go out of the room.
• Covering the paper with hand while drawing.
• A heart.

Active-Active case witnessing process

• I love heart .
• I drew heart and star in the Christmas tree.
• Drawing of a garden
• Flowers.
• Draws human figures and then joins all of them together.
• Too much family attachment.
• Ring-a-ring-a-roses.
• That dog he loved Laila Leila
• Like they don’t shout, they don’t hit and all.

WHAT IS THE FOCUS/CENTRE/ESSENCE OF THE CASE

• Love, attachment and togetherness.
• Love for heart.

This is very evident from her body language and all her drawings. Also this further gets confirmed from the mother’s observation of the child.

WHICH KINGDOM?

• Pure sensitivity seen.
• Drawings of garden, flowers.

This clearly points to the PLANT KINGDOM.

WHICH FAMILY?

This tremendous attachment to the mother, togetherness of the family, hugging and clinginess, love for hearts is very suggestive of the MALVALES family.

WHICH MIASM?

We observed that whenever she draws she covers the paper with her hand. This gives a hint of the SYCOTIC MIASM.

WHICH REMEDY?

The remedy from the Malvales family with Sycotic miasm running in the centre is TILIA EUROPA. BUT in the case we observed that along with the general theme of the Malvales family, the child’s focus was “Heart”. So when a further inquisitive search was made keeping focus on the “Heart” interestingly we found out a remedy TILIA CORDATA which also belongs to the same family where the leaves of the tree are heart shaped.
Thus the remedy given was TILIA CORDATA.

WHICH POTENCY?

At the end of Passive case witnessing process, verbally the child seemed to be at the ‘Name and Fact’ level but the peculiar body language which we didn’t understand initially and which got connected later on with the whole phenomenon, represented the child’s complete altered energy pattern. Thus the child (non-verbally) vibrated at the Delusion level. Therefore the potency given was 1M, single dose.

A follow up drawing

END OF THE CASE

Ingrown Toenail



Hpathy Ezine, July, 2011 | Print This Post |

An ingrown toenail occurs when the nail on a toe grows into the skin. Ingrown toenail is due to poor foot care and unsuitable footwear. It may also result from tearing of the nail so that the edge is unprotected, and nails that are cut incorrectly.

An ingrown toenail occurs when the nail on a toe grows into the skin. The condition can be painful and look unpleasant, but it seldom does much damage. It occurs when one of the sides of the toenail grows into and under the skin, rather than lying over the top, as is normal. The edge of the toenail disappears under the skin, making it impossible to trim. As it grows longer, the ingrown toenail cuts through the skin, when the person pushes down on the toe when walking, the toenail is forced farther into the skin, a condition that can be extremely painful.

Ingrown toenails seldom happen on their own, they form because toenails have been cut badly or a person’s shoes do not fit properly. If a toenail is cut very short, it will need to grow over a lot of skin before reaching the end of the toe. That makes it more likely that the toenail will become ingrown. The problem is made worse when the corners of the toenail are cut away. The skin along the side of the nail grows to fill the gap. When the corner of the toenail grows into that area, it will start to cut into the new skin.

Tight shoes press the toenail down into the skin and stop it from growing over the top. If the shoes are not replaced, the nail will become ingrown. Most ingrown toenails occur on the big or little toes, because they are on the edges of the foot. The big toe is the most flexible and is used most during walking, so an ingrown nail on the big toe is most painful of all.

Avoiding tight shoes and cutting toenails so they keep a straight, square shaped front edge will help prevent ingrown toenails. People who get ingrown toenails often make things worse by trying to cut the nail free. That makes it more painful and leads to infections.

Causes and Symptoms of ingrown toenail

Ingrown toenail is due to poor foot care and unsuitable footwear. It may also result from tearing of the nail so that the edge is unprotected, and nail that are cut incorrectly. Tight shoes pressing on the growing nail and hot sweaty feet are two other factors that can cause an ingrown toenail.

An ingrown toenail is painful and looks deformed. The pain disappears when the foot is rested, but it resumes when the person walks and the shoe presses down on the toe. Initially the area around the nail becomes slightly red and swollen, and in time it may become infected. Infection leads to increased swelling and a possible discharge of pus, so that the area becomes painful and sticky.

Staging of ingrown toenail

For the ease of understanding, labeling and treatment planning, Heifitz classified the ingrown toenail into 3 stages:

Stage I: Pain with mild erythema and swelling of the nail fold.

Stage II: increased swelling, sero purulent discharge, and laceration of the nail-fold.

Stage III: Chronic inflammation with granulation and marked fold hypertrophy.

Treatment for ingrown toenail

The initial treatment involves resting the foot; relieving any pressure from footwear; bathing regularly in hot salty water; and, if there is an infection present, using an antibiotic (where conventional medicine is concerned). These measures relieve a large proportion of cases, but in some people the condition is both chronic and recurrent; the tendency to develop the condition never completely disappears, and the site continues to become infected from time to time. Various surgical operations have been used to treat ingrown toenails, but they tend to immobilize the patient for two to three weeks. The first option is a nail wedge resection, in which the affected part of the nail is cut off under a local anesthetic; this simple procedure provides a full cure for many patients.

Another possibility is pulling of the whole nail under a local anesthetic. This allows a new nail to grown again over a period of several months. In most cases, patients find that the condition does not recur after this treatment.

In the case of an irregularly shaped nail, a plastic gutter is place along the side of the nail. This treatment allows growth to continue without the nail’s growing into and damaging the soft tissue. A local anesthetic is used for this procedure.

If all else fails, in the small minority of chronic cases, the nail and the nail forming tissue (nail bed) can be removed. This surgical procedure is usually performed under a general anesthetic. When the site heals, the nail never re-grows, and the area where the nail used to be eventually becomes covered in a tough protective skin.

Outlook

The outlook for this common condition depends on the individual patient. In some cases rest and bathing produce relief within two or three days. When there is an infection, it may take several days to clear up.

It can take several months for the nail to grow back after surgery. Dressing and loose fitting, open shoes must be worn for some time. Occasionally the newly growing nail is the site of a recurrence, and then there is no solution other than to have the nail and the nail bed removed. Although this procedure provides a complete and permanent cure, the nail will never re-grow.

Homeopathic treatment of ingrown toenail – Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat ingrown toe nail but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to cure ingrown toe nail that can be selected on the basis of cause, sensations and modalities of the complaints.  For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. There are following remedies which are helpful in the treatment of ingrown toe nail:

Ashish Sharma

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