Final Analysis:

We want a remedy or a constitution which is predominantly ‘SYCOTIC’ in miasm and Chilly, Thirstless, Timid, Reserved, Cautious, Conscientious, Discouraged easily, who has sun aggravation and strong aversion to milk.

If we take small rubrics we might face the risk /chance of eliminating a remote remedy. By observation he was seen to be -

+ Introverted, (Total 28 remedies, NO 3 mark remedies)
+ Reserved, (Total 98 remedies, ONE 3 mark remedy)
+ Secretive, (Total 19 remedies, NO 3 mark remedies)
+ Company, aversion to ( 187 remedies, ELEVEN 3 mark remedies)
+ Misanthropy (45 remedies, ONE 3 Mark remedies)

All of these rubrics finally end up showing an inexpressive personality i.e. a person who does not talk or reveal anything. Hence first rubric taken as pivotal rubric was:

(a) Talk Indisposed to. (268 remedies. Which has almost all remedies from above rubrics and many 2 -3 mark remedies). Secondly he was a shy personality hardly looking up and answering to the point of looking down i.e.

(b) BASHFUL (Timidity-Bashful)
By eliminative analysis of (a) + (b) + Chilly remedies, the remedies which came up were Anac, Aur, Bar-C, Bell, Bov, Galc,-C, Cal-Sil, Carbo- Veg, Caust, China, Correa, Canth, Cupr, Graph, Ign, Nat-Carb, Mez, Nat-Phos, Nux-v, Petrol, Phos, Sil, Staph. (Outright restless, active and violent remedies were eliminated e.g. Rhus Tox, Hyos, Stram, Tub, Zinc, Tarent, Kali’s, Bell.)

Sun, from exposure to, aggravation was taken as 3rd Rubric for elimination.

Man is part and parcel of energy cycle and any effect of any cosmic energy e.g. sun, moon, magnetism, or electrical changes, changes in weather etc. on a constitution should be given great importance because the life organism was so created by the eternal being so as to live in harmony in this universal cycle. Any hypersensitivity (or lack of) can be used as an eliminating factor.

In the above case a constitution which is chilly, is quiet (Talk, indisposed to) and bashful has to have aggravation from sun:

(A) + (B) (SUN Aggr.) = Baryta-C, Bov, Calc-Carb,
Carbo -V, Graph, Ign, Nat-C, Nux V ——– (C)

STEP V

Now use the generals for elimination:

(a) Thirstless
Calc. C and Nux-Vomica being predominantly excessively thirsty remedies can safely be ruled out since the boy was thirstless. We are left with – Baryta carb, Bov, Carbo-Veg, Graph, Ign, Nat-c.

(b) Strong aversion to milk brings down the likely constitutions to (Bov, Carbo- Veg, Ign, Nat.-Carb.)

STEP VI

The boy was very diligent and conscientious as seen from his studiousness as well as his reaction to the accident where he cared for others property and returned it duty boundly as well as paid his dues.

By eliminating the non-conscientious remedies we are left with two possible genetic constitutions (Ign. and Nat.-Carb)

STEP Vll

Using materia medica knowledge we know that Ignatia is a very sensitive, sentimental, vivacious, courageous, and a more hysterical personality.

Natrum Carbonicum with its misanthropy and predominantly sycotic miasm and timidity with one-to-one reaction with twin brother was a better choice.

- Natrum-Carb. also covers inaptitude for mathematics.
- Natrum-Carb. is discouraged easily
- Natrum-Carb. has one-to-one relationships (here with brother)

Thus Natrum-Carb. was selected as Genetic Constitutional Simillimum as it covered the miasm (sycosis), natural general trait of talking indisposed to and bashfulness; was chilly yet agg. from sun; with aversion to milk and being extremely conscientious.

7th July:

Natrum-Carb 30 – one dose

14th July:

(a) The boy came in without limping.
(b) The boy came in smiling and at ease in front of all the doctors in O. P. D.
(c) Did not take any painkiller injections throughout the week as the pain was considerably less.
(d) Had desire to play and played throughout the day.
(e) Tumor-like swelling decreased but still present.
(f) Answered freely and smilingly.

21st July:

(a) Pain vanished

(b) Swelling gone

(c) Child active, smart. smiling and more communicative.