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

Piles, Homeopathic remedies



Hpathy Ezine, March, 2012 | Print This Post |

Information about piles or hemorrhoids, piles causes, internal and external piles, homeopathy medicine or homeopathic treatment for piles.

Piles are painful, swollen veins in the lower portion of the rectum or anus. This condition is very common, especially during pregnancy and after childbirth. Piles results from increased pressure in the veins of the anus. The pressure causes the veins to bulge and expand, making them painful, especially while sitting.

The most common cause is straining during bowel movements. Hemorrhoids may results from constipation, sitting for long periods of time, and anal infections. In some cases they may be caused by other disease such as liver cirrhosis.

Classification

Piles are classified mainly in to:

Internal piles – occur just inside the anus, at the beginning of the rectum.

External piles – occur at the anal opening and may hang outside the anus.

Causes of piles

Repeated pressure on the anal or rectal veins, which causes them to stretch.

Risk factors involved

  • A diet lacks fiber
  • Prolonged sitting or standing
  • Overweight people
  • Pregnancy
  • Chronic constipation
  • Chronic diarrhoea
  • Loss of muscle tone in older adults
  • Rectal surgery or episiotomy
  • Liver disease
  • Anal intercourse
  • Colon cancer

 Sign and symptoms

Although piles may be asymptomatic, they characteristically cause painless, intermittent bleeding, which occurs on defecation. Bright red blood appears on stool. These first degree piles may itch because of poor anal hygiene. When second degree piles prolapse, they are usually painless and spontaneously return to the anal canal following defecation.

Third degree piles cause constant discomfort and propalse in response to any increase in intra-abdominal pressure. They must be manually reduced. Thrombosis of external piles produces sudden rectal pain and a subcutaneous, large, firm lump that the patient can feel. If piles cause severe or recurrent bleeding, they may lead to secondary anemia with significant pallor, fatigue, and weakness; however, such systemic complications are rare.

Diagnosis of piles

Diagnosis mainly include physical examination which confirm external piles. Proctoscopy is mainly done in case of suspected internal piles and rectal polyps.

Homeopathic treatment of piles

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 piles but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat piles 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 piles:

Aesculus Hip. – abdominal plethora; throbbing deep in abdomen, particularly in hypogastric region; piles, bleeding or not, with feeling of dryness in rectum; as though little sticks or splinters were pricking the folds of the mucus membrane; weak feeling at sacro-iliac symphysis; though the legs were about to give out, worse by stooping forward and when walking; aching between shoulders; desire to strain at stool for a long time, pain shoot up the rectum; from the tumors, with lameness and aching in back, purple piles; depressed and irritable. Dark red congestion of fauces, with dryness and soreness, from abdominal plethora.

Collinsonia – excellent remedy for piles; obstinate cases of piles; specially used  in females with inertia of the rectum and a congestive tendency to the pelvic organs; it suits a pregnant women who suffer from piles, and pruritus may be a marked  symptom. The indicating symptoms are chiefly a sensation of sticks in the rectum, with constipation from inertia of the lower bowel. It is specially applicable to heart pains resulting from a suppression of a habitual haemorrhoidal flow.

Hamamelis – one of the best remedies for piles; bleeding piles; flow of blood is quite copious, and the great characterized indication is excessive soreness.

Aloes – one of the most useful remedies for piles; indicated where the piles protrude like a bunch of grapes, bleeding often and profusely, and are greatly relieved by the application of cold water. There is a very marked burning in the anus, the bowels feel as if scraped. There is a tendency to diarrhea, with the well known uncertain feeling in the lower bowel.

Nux Vomica – if the piles be large and blind, with a burning, stinging and constricted feeling in the rectum and a bruised pain in the small of back, and especially if excited by sedentary habits or abuse of stimulants, than Nux Vomica may be prescribed.

Itching piles keeping the sufferer awake at night, relieved by cold water, or bleeding piles with constant urging to stool. And a feeling as if the bowel would not empty itself are further indications.

Capsicum – bleeding or blind piles, protruding swollen, itching, throbbing and burning as if pepper were sprinkled on them. Sore feeling in the anus. Piles with mucus discharges, bloody mucus stool. Great thirst followed by shuddering after stool.

Associated symptoms are persistent thoughts of suicide, lack of vital heat, craving for warm things, stimulants and pungent things.

Muriatic acid – piles large, swollen, dark purple or blue haemorrhoides which are extremely sensitive and pains to touch. Inflamed piles, hot and pulsating, must lie with limbs wide apart, too sore, to bear least touch even the bed sheet is uncomfortable.

Piles while urinating or with stool, bleeding piles with burning and cutting during and after stool.  Ameliorated by warm application; aggravation by cold application.

Sulphur – sulphur is a very good remedy for piles, when the constitutional symptoms are there. External and internal piles, great bunches that are sore and raw, burning and tender, and bleed and smart with loose stool, complaints aggravate when standing, when washing and from warmth of bed.

Ammonium carb – piles protrude, independent of stool; protrusion of piles after stool with long lasting pains; cannot walk, or the piles protrude during a stool, and recede when lying down; they are usually moist and pain as if excoriated; bloody discharge during and after stool.

Hpathy

This article and all other content at Hpathy.com is copyright protected by Hpathy.com. Any unauthorized copying to other websites or journals is not permitted. See the full Copyright Notice and Disclaimer at Hpathy.com

Comments

  1. Donna Fox

    March 27, 2012

    I would like to add:
    For bleeding piles BLUMEA ODORATA: Q – Children: 2-4 drops, 6-8 hourly (SOS)
    Adults: 8-10 drops, 6-8 hourly (SOS)
    Ref: Boericke, Indian Drug Section.
    Ref:Classical Homoeopathy for an Impatient World Rapid Classical Prescribing, Dr. Subrata K. Banerjea.

  2. Md. Abul hossain

    September 26, 2012

    Thanks a lot for your research. May you progress more more in future. Please write on SHETY or Dhobol and leprosy.

  3. SD

    April 8, 2013

    Hello,

    I have been on a prescription of Calcerea Flour, Ferrum Phos and Kali Mur for about two years now. I must admit I got wonderful (almost miraculous) results from this. Although the external swelling would not go away, the sensation completely disappeared making me wonder if I even suffered from this anytime. However the problem is that from time to time the pain would relapse. I am given Thuja for a day before going back to the earlier medication. I have been asked to hot-compress the external swellings to subside them.

    Is there a permanent solution to my problem?

  4. ezeogo iruoma

    August 8, 2013

    How can i get d drug used by sd, my friend has external pile that due bleed occasionally thanks for assistance

  5. Dr Rahul

    August 23, 2013

    Thanks of piles medicen

  6. dr anil patidar

    September 28, 2013

    Thanks

  7. kumar

    January 6, 2015

    Hi,I am facing a problem of pain during excretion.a small pimple like in my anus.some times it is giving burning sensation & pain in the anus.Is any good treatment for the same

  8. PARTHA RAY

    March 16, 2015

    In a similar cases i have got wonderful results by prescribing the following :

    ACID NITRIC 30 Four drops in 1/4 cup water on empty stomach at 7am

    RATANHIA 30 Four drops in 1/4 cup water on empty stomach at 11am

    PAEONIA OFF 30 Four drops in 1/4 cup water on empty stomach at 4 pm ; and

    CALCAREA FLUOR 12X four tablets at 7pm

    for 3 weeks

    CALCAREA FLUOR 12X four tablets at 7pm was continued for 6 weeks

Add a comment

Register and Login to avoid filling the form below everytime you post a comment. Registered members also see less ads, can participate in forum discussions and have better site speed. Registration is Free!