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

Rheumatoid Arthritis — Symptoms, Causes and Homoeopathic treatment



Hpathy Ezine, March, 2011 | Print This Post |

Dr. Mulla describes the symptoms of rheumatoid arthritis and its causes, as well as remedies often used in treatment.

If you are experiencing symptoms such as joint pain and stiffness, it is important to find out if you have RA. Several factors cause, or increase, your risk of developing rheumatoid arthritis (RA). Early diagnosis can limit the pain, joint damage, and disability that occur in some RA patients. RA primarily affects the small joints in the hands and feet. Also, RA affects already damaged joints or those that are used frequently, such as the feet, knees and shoulders. RA involving the hands tends to be more severe in the dominant hand.
Rheumatoid Arthritis Symptoms
RA causes inflammation of the joint lining, which can lead to pain, swelling, stiffness, and loss of function. It also can cause inflammation of your tear glands, salivary glands, the lining of your heart and lungs, and the lungs themselves. There are several symptoms associated with RA:

  • Joint pain
  • Joint swelling
  • Joint warmth
  • Stiffness, especially in the morning or after sitting for long periods
  • Fatigue

As RA progresses, about 25% of people with the disease develop small lumps of tissue under the skin, called rheumatoid nodules. These rheumatoid nodules usually aren’t painful. The nodules may form under the skin of the elbow, hands, the back of the scalp, over the knee, or on the feet and heels. They can be as small as a pea to as large as a walnut.

Although RA is often a chronic disease, the severity and duration of the symptoms may unpredictably come and go. For people with a severe case of RA, the disease is generally active, lasts for many years, and leads to serious joint damage and disability. Periods of increased disease activity, or worsening of symptoms, are called flare-ups or flares. Periods of remission are when the symptoms of swelling, pain, difficulty in sleeping, and weakness fade or disappear

Aetiology:
The exact cause of RA is not yet known. It is known that RA is an autoimmune disease. This means the body’s natural immune system does not operate as it should; it attacks healthy joint tissue, initiating a process of inflammation and joint damage.

Although the cause is not known, scientists do know that many factors contribute to the development of RA. Genetic, or hereditary, factors play a role. Scientists have shown certain genes that play a role in the immune system may be involved in determining whether or not you develop RA. However, some people with RA do not have these particular genes, and other people who do have the genes never develop the disease.

Environmental factors may also contribute to the cause of the disease. Researchers have found that RA can be triggered by an infection, possibly a virus or bacterium, in people who have an inherited tendency for the disease. However, RA is not contagious; you can’t “catch it” from anyone.

Diagnosis:

Certain physical, laboratory and radiographic tests confirm the diagnosis and exclude other diseases. These tests include:

  • Clinical history
  • Physical examination
  • Laboratory investigations
  • Imaging studies such as X-rays or the Electron Spin
  • Resonance Test

Homeopathic remedies for Arthritis:

Arnica: Useful for chronic arthritis with a feeling of bruising and soreness. The painful parts feel worse from being moved or touched.

Bryonia: Helpful for stiffness and inflammation with tearing or throbbing pain, made worse by motion. The condition may have developed gradually, and is worse in cold dry weather. Discomfort is aggravated by being touched or bumped, or from any movement. Relief can be had from pressure and from rest. The person may want to stay completely still and not be interfered with.

Calcarea carbonica: Helpful for deeply aching arthritis involving node formation around the joints. Inflammation and soreness are worse from cold and dampness, and problems may be focused on the knees and hands. Common symptoms are: weakness in the muscles, easy fatigue from exertion, and a feeling of chilliness or sluggishness. The person who benefits from Calcarea is often solid and responsible, but tends to become extremely anxious and overwhelmed when ill or overworked.

Aurum metallicum: This remedy is often prescribed for wandering pains in the muscles and joints that are better from motion and warmth, and worse at night. The person may experience deep pain in the limbs when trying to sleep. Also may feel discomfort that may wake the person up. People who need this remedy have a tendency to feel depressed.

Causticum: Useful when deformities develop in the joints, in a person with a tendon problems, muscle weakness, and contractures. The hands and fingers may be most affected.. Stiffness and pain are worse from being cold, and relief may come with warmth. The person often feels best in rainy weather and worse when the days are clear and dry.

Calcarea fluorica: Helpful when arthritic pains improve with heat and motion. Joints become enlarged and hard, and nodes or deformities develop. Arthritis after chronic injury to joints also responds to Calcarea fluorica.

Dulcamara: Indicated if arthritis flares up during cold damp weather. The person gets chilled and wet. They are often stout, with a tendency toward back pain, chronic stiffness in the muscles, and allergies.

Kali bichromicum: This is useful when arthritic pains alternate with asthma or stomach symptoms. Pains may suddenly come and go, or shift around. Discomfort and inflammation are aggravated by heat, and worse when the weather is warm.

Kali carbonicum: Arthritis with great stiffness and stitching pains, worse in the early morning hours and worse from cold and dampness, may respond to Kali carbonicum. The joints may be becoming thickened or deformed.

Kalmia latiflora: Useful for intense arthritic pain that flares up suddenly. The problems start in higher joints and extend to lower ones. Pain and inflammation may begin in the elbows, spreading downward to the wrists and hands. Discomfort is worse from motion and often worse at night.

Ledum palustre: Arthritis that starts in lower joints and extends to higher ones are candidate for this remedy. Pain and inflammation often begin in the toes and spread upward to the ankles and knees. The joints may also make cracking sounds. Ledum is strongly indicated when swelling is significant and relieved by cold applications.

Nahida Mulla

DR. NAHIDA M. MULLA M.D. is currently Principal, HOD repertory & PG Guide, HOD Pediatrics at A M.Shaikh Homoeopathic Medical College, Belgaum. Dr. Mulla is also a member of Karnataka State Wakf for Women"™s Development and a resource person for Continuing Medical Education. She was also a Resource person for the Re-orientation Programme for Teachers (Physiology & Biochemistry) at Government Homoeopathic Medical College Bangalore. Dr. Mulla has presented numerous scientific papers and contributes to many websites.

Comments

  1. K.Gopalan

    March 21, 2011

    Very useful for me I am having rhumatiod arthritis in my chest bones for the past 12 years. with Bryonia symptoms; But Bryonia 1000 only worked well; along with ranunculus bulb.

    • Ranjith Dev Inbaseelan

      June 23, 2015

      Dear sir, please tell me where are you. My mother is suffering from this RA. English steroids(wysolone) making her worse. ranjithdevinbaseelan@gmail.com

  2. Hilla Kanga

    March 21, 2011

    Thank You for a very interesting article made easy for a lay person to understand. Would love to read more interesting articles like this in the future also. Keep it up…. Dr.Nahida Mulla.

  3. R.C.TAMILSELVAN

    March 21, 2011

    The article is very interesting and I find it useful for many like me in treatment of RA.Thank you sir.

  4. Dr Manasa

    March 22, 2011

    Sorry mam, but RA is having the syphilitic miasm in the background. So without any syphilitic rubric from the disposition along with the physical i.e thermal and thirst how can we select a remedy, just basing upon these particulars !!!!!
    please clarify my doubt mam.
    Regards,
    Dr Manasa

  5. dr.anand lodha

    March 22, 2011

    I agree 100% with dr.manasa….not only in syphilitic cases, but I think in most of the cases we’re not finding any of these particulers, so taking mentals,thermal,thirst,desire and aversions into consideration is must.. any patient can easily give desires, aversion,thermals as compared to these particulers..even simple pain has lots of rubrics depending on their nature or type like throbbing, bursting,stinging etc. but patients are not able to justify this type of pain. I used 3 different methods for treating this RA.1] as said by dr.mulla depending on particulers.2]d market preparations and 3]constitutional.in first two there is only a temporary relief to patient but not complete cure.n by 3 way there is definite complete cure.so now on I only uses this method.

  6. JAMEER BILAGI

    March 23, 2011

    Dear Ms. Nahida Mulla,

    Firstly I congratulate for published your article in an e journal of international repute.

    The article tips my use, for my health in future.

    Once again congratulate for your better prosperity.

    Regards,
    JAMEER BILAGI
    09686671204

  7. n.p. tiwari

    April 7, 2011

    Thanks for such a useful and informative article.

  8. Dr.S.C.Kursija

    April 13, 2011

    The article good for the beginners. But It is difficut to cure the Rheumatic arthritris in general. The patients cones to us, in India< after taking pain killers and steroids in the hands of Allopathic treatment. So miasmatic treatment and general medicine with above some symptomatic pain killed become the must. Thuja, Meorrh, Tunerculanum and Syphilinum etc. become the must in between when necessary.
    These are my experience in the treatment of

  9. mohan

    April 13, 2011

    THE ARTICLE ON RUMATOID ARTHRITIES IS REALLY USEFULL FOR PATIENT LIKE ME.CALC FLOUR IS VERY WELL WORKED FOR ME.THANK YOU.

  10. dar

    April 21, 2011

    -have been RA-free for 30 yrs thanks to Homeopathy
    & total elimination of all Dairy products
    viz.
    http://www.notmilk.com
    cheers

  11. Govind krishna

    June 6, 2011

    Dear Sir,
    All of your articles are very informative.I expect more from the team of Hpathy who wish to promote the right remedy.

  12. ab qavi falahi

    October 25, 2012

    respected nahida mam ,thanks ,regards.please type ur e mail id .

  13. ab qavi falahi

    October 25, 2012

    respected nahida mam.thanks a lot for ur article.please give me ur email id.

  14. Dr. Sunil Kumar

    January 20, 2013

    Treat the patient not the disease ….dr mam otherwise you don’nt succesfully treat any chronic disease….Thanks

  15. Zia ul haq

    February 18, 2013

    I read a post of Dr Varsha Patel Joshi she suggest Natrum sulph 30 but in your post i d,nt find

  16. zainab jatu

    May 25, 2013

    i m a student n i found this article very helpful n intresting.bt the point is also that can we can fully cure RA by only this reliefing pain medicine ??????

  17. zainab jatu

    May 25, 2013

    i like ur article n wish u a more successful future

  18. madhuri thaware

    June 8, 2013

    thanks very nice

  19. dr.smruti k. Rathod

    June 12, 2013

    thanx,ur article is helpful,bt my que. Is by giving such med.is dier permanant relief of symptoms n what bout constitutional med. ?

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