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

Natrum sulfuricum



Hpathy Ezine, January, 2010 | Print This Post |

This is one of our most frequently indicated constitutional remedies. The symptoms appear in the morning, evening apd during the night, especially before midnight. Some symptoms are better after breakfast, during the daytime and after midnight, except the sweat. It is a very useful remedy for complaints following neglected gonorrhea. The symptoms and the constitutional state of the patient are worse in wet weather. It is useful in patients who live near waterways and have suffered long from malarial influences. It is useful as an antidote to the abuse of quinine. It especially belongs to patients of the naturopathic and bilious constitution. He is extremely sensitive to the night air. He suffers from universal catarrh and the discharges are generally greenish. It cures dropsically conditions. Sensitive to touch and pressure; oversensitive mentally and physically. Very sensitive to pain. The pains are very numerous; dull pains, sharp pains, all better from motion. Bruised feeling:all over. Strong desire for open air and better while walking in the open air. Sensitive to a warm room, though he is sometimes sensitive to cold and must have warm loathing. The feeling of fullness or distension is found in many places; in the head, in the ear, in the abdomen, in the veins generally. Complaints all worse in the spring and in warm weather. General, physical restlessness and anxiety. Marked weakness and trembling with internal pulsations and rapid heart. Twitching of muscles. Complaints from injuries of head and spine. The symptoms all worse during rest. Rheumatic […]

This is one of our most frequently indicated constitutional remedies. The symptoms appear in the morning, evening apd during the night, especially before midnight.

Some symptoms are better after breakfast, during the daytime and after midnight, except the sweat. It is a very useful remedy for complaints following neglected gonorrhea. The symptoms and the constitutional state of the patient are worse in wet weather.

It is useful in patients who live near waterways and have suffered long from malarial influences. It is useful as an antidote to the abuse of quinine. It especially belongs to patients of the naturopathic and bilious constitution.

He is extremely sensitive to the night air. He suffers from universal catarrh and the discharges are generally greenish. It cures dropsically conditions. Sensitive to touch and pressure; oversensitive mentally and physically. Very sensitive to pain.

The pains are very numerous; dull pains, sharp pains, all better from motion. Bruised feeling:all over. Strong desire for open air and better while walking in the open air. Sensitive to a warm room, though he is sometimes sensitive to cold and must have warm loathing. The feeling of fullness or distension is found in many places; in the head, in the ear, in the abdomen, in the veins generally.

Complaints all worse in the spring and in warm weather. General, physical restlessness and anxiety. Marked weakness and trembling with internal pulsations and rapid heart. Twitching of muscles. Complaints from injuries of head and spine. The symptoms all worse during rest. Rheumatic complaints all over the body.

He is compelled to lie on the back. Convulsions from injuries of the head. Sycotic conditions with a history of warts and condylomata. Anxiety in the morning which passes off after breakfast; in the evening in bed; at night before midnight; during fever; about the future; anxiety and loathing of life with suicidal impulse, must use all self-control to prevent taking his life, A woman during gestation attempted several times to hang herself, after this remedy she was cheerful and there was no return of the suicidal disposition. Cheerful after stool. Music makes her sad. Sadness in the morning, which passes off after breakfast.

Mind: Extremely irritable in the morning.

Violent anger which is followed by jaundice. Aversion to company. Dislikes to speak or to be spoken to. Dullness of mind and excitability. Mental exertion brings on mental symptoms. Mental troubles come, on from injuries of the head.

A young man became very sad and subject to attacks of vertigo, and neglected his business after being hit on the side of the head by a base ball. He was entirely free from all symptoms after taking this remedy.

Fear of a crowd; of evil; of people. Forgetful, easily frightened, hysterical; indifferent; indolent; insanity. She is oversensitive and suspicious. Starting from fright or noise and in sleep.

Head: Subject to vertigo, congestive headaches with fullness and heat.

Pressing outward in the head with pulsation. Periodical headaches with vomiting bile. The pains are worse when thinking of them and better by pressure, in the open air and when lying. Pulsation in the temples when walking. Splitting pain in the vertex. Heat of the vertex.

Headache in the morning on waking. Mental exertion brings on headaches. Sensation as of brain falling to side lain on. Headache with intermittent fever. Violent occipital headache with pain in the nape of the neck. Headache from injuries of the head. Itching of the scalp. Formication. Eczema of the scalp with much moisture.

Eyes: Photophobia and head complaints from looking, into the light.

Lachrymation and dim vision, jaundiced eyes; inflamed eyes with many blisters. Burning in the eyes morning and evening. Greenish discharge from the eyes. Lids stuck together in the morning.

Granular lids. Scrofulous inflammation of the conjunctiva. Redness, swelling and burning of the margins of the lids. Heaviness of lids. Pressing in eyes when using eyes. Itching of the eyes in the morning.

Ears: Chirping in the ears in the evening; during chill and fever.

Flapping sensation in the ears. Ringing in the ears. Pressing out feeling in the ears. Earache as if something was forcing its way out. Stitching pains in ears, worse entering warm room from cold air; in damp weather.

Earache. Complaint worse on right side. Heat in right ear in evening. Catarrh of right ear. Stopped sensation in right ear. Purulent discharge from the ears.

Nose: catarrhal discharge from nose, yellowish green.

Epistaxis before and during menses; in afternoon and evening. Dryness and burning in the nose. Obstructed with mucus in the night. Mucus drawn from posterior nares tasting salty. Sneezing with fluent coryza and influenza. Epidemic influenza. Chunks of dried mucus blow. from high up in nose.

Face and mouth: Itching of the face with eczema.

Sickly expression and jaundiced skin. Vesicles and pimples on the face. Vesicles on the lower lip and around the mouth. Pimples on the chin burning on touch.

The teeth become loose and fall out in sycotic constitution. The gums separate from the teeth, Pain in the teeth worse from warm things, better from cold drinks and the cold air.

Gums red, ulcerate and burn. Blisters on the gums. The mouth is always slimy. Much mucus forms in the mouth and throat. Taste is better and tongue is heavily coated a dirty greenish brown.

Blisters on the tongue and roof of the mouth. Burning in the roof of the mouth during menses. Numbness in the mouth. Salivation.

Throat and stomach: Chronic inflammation of the throat with copious viscid white MUCUS.

Dry sensation in throat. Pain in throat on swallowing food. Choking feeling in the throat when walking. It is often needed in goitre.

Great thirst in the evening; for very cold drinks; during chill and fever.

Aversion to bread and meat. Qualmishness after farinaceous foods; hiccough after bread in evening. Eructations of sour water of bitter fluid.

Nausea before breakfast. Constant nausea. Vomiting of sour or bitter fluid. Vomiting of green bile with colic. The stomach feels distended and heavy. Pulsation in the stomach after breakfast. Extreme cases of gastric weakness with acidity.

James Tyler Kent

James Tyler Kent (1849–1916) was an American physician. Prior to his involvement with homeopathy, Kent had practiced conventional medicine in St. Louis, Missouri. He discovered and "converted" to homeopathy as a result of his wife's recovery from a serious ailment using homeopathic methods. In 1881, Kent accepted a position as professor of anatomy at the Homeopathic College of Missouri, an institution with which he remained affiliated until 1888. In 1890, Kent moved to Pennsylvania to take a position as Dean of Professors at the Post-Graduate Homeopathic Medical School of Philadelphia. In 1897 Kent published his magnum opus, Repertory of the Homœopathic Materia Medica. Kent moved to Chicago in 1903, where he taught at Hahnemann Medical College.

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