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

The Use of Homeopathic Prophylaxis and Treatment For Malaria in Endemic Areas Of Kenya



Hpathy Ezine, April, 2010 | Print This Post |

The author discusses homeopathic prophylaxis and treatment of malaria in Kenya.

This is the presentation I gave at the Nosodes 2008 Conference in Cuba, December 2008.

Malaria is the world’s dominant parasitic infection. Each year 350-500 million cases of malaria occur worldwide, and over one million people die, most of them young children in sub- Saharan Africa. Malaria is the new target of the Big Pharma. They regularly advertise through the news media that within two years there will be a malaria vaccine.

Homeopaths know the meaning of this. From my field experience with suppressed malaria and quinine-type drug side-effects, I predict a rise in epileptic cases and childhood mental retardation as a result of malarial suppression through vaccination.

It is important that we are prepared for this new onslaught on the health of our populations and also that we have a homeopathic reply in prophylaxis.

Is the Allopathic Approach to Malaria Effective?

The allopathic approach over the years has been to use quinine-based and synthetic quinine drugs to control and cure the infected victim. This has led to the emergence and spread of drug resistant malaria. Now quinine has lost its place as the drug of choice in malaria treatment. As new drugs are researched, ever-stronger drug resistant malaria presents even greater challenges to world health.

The World Health Organization (WHO) has recommended replacement of mono-therapy anti- malarials by synthetic chemical derivates of Artemesia annua in combination with a quinine-based additive (ACT). We can expect that it won’t take long for drug resistance to bedevil ACT. Future treatment regimes and effective anti-malarial vaccines are, at best, still in the early stages of development.

The scientific allopathic community entirely misses the boat on the treatment of infectious diseases. The approach itself is defective. One of the major defects in the conventional approach is the futile search for the so-called “active ingredient” in any natural substance in order to isolate it, analyze it, and then chemically synthesize it in order to mass produce it.  Of course this approach maximizes profit for the lucky pharmaceutical company that can produce such a product. But unfortunately, Mother Nature doesn’t work that way, and hence man-made drug- resistant bugs that are more dangerous and virulent are polluting our home ( Earth), and endangering the lives of millions of people. We humans are building our own tombs with this misguided, greed-inspired approach to medicine.

An herb or natural substance has not one, but thousands of active ingredients. It is all these natural active ingredients working together, that make whole herbs still the most effective means of treating infectious diseases, including so-called drug resistant malaria.

Some Statistics and Background of Malaria

(The following information is adapted from www.cdc.org )

Infection with malaria parasites may result in a wide variety of symptoms, ranging from absent or very mild symptoms, to severe disease and even death. Malaria disease can be categorized as uncomplicated or severe (complicated).

Following the infective bite by the Anopheles mosquito, the incubation period goes by before the first symptoms appear. The incubation period in most cases varies from 7 to 30 days. The shorter periods are observed most frequently with P. falciparum and the longer ones with P. malariae.

Anti-malarial drugs taken for prophylaxis by travelers can delay the appearance of malaria symptoms by weeks or months, long after the traveler has left the malaria-endemic area. (This can happen particularly with P. vivax and P. ovale, both of which can produce dormant liver stage parasites; the liver stages may reactivate and cause disease months after the infective mosquito bite.)

Such long delays between exposure and development of symptoms can result in misdiagnosis or delayed diagnosis, because of reduced clinical suspicion by the health-care provider. Returned travelers should always remind their health-care providers of any travel in malaria-risk areas during the past 12 months.

Uncomplicated malaria

The classical (but rarely observed) malaria attack lasts 6-10 hours. It consists of:

• a cold stage (sensation of cold, shivering)

• a hot stage (fever, headaches, vomiting; seizures in young children)

• and finally a sweating stage (sweats, return to normal temperature, tiredness)

Classically (but infrequently observed) the attacks occur every second day with the “tertian” parasites (P. falciparum, P. vivax, and P. ovale) and every third day with the “quartan” parasite (P. malariae).

More commonly, the patient presents with a combination of the following symptoms:

• Fever

• Chills

• Sweats

• Headaches

• Nausea and vomiting

• Body aches

• General malaise

In countries where cases of malaria are infrequent, these symptoms may be attributed to influenza, a cold, or other common infections, especially if malaria is not suspected. Conversely, in countries where malaria is frequent, residents often recognize the symptoms as malaria and treat themselves without seeking diagnostic confirmation (“presumptive treatment”).

Physical findings may include:

• Elevated temperature

• Perspiration

• Weakness

• Enlarged spleen.

In P. falciparum malaria, additional findings may include:

• Mild jaundice

• Enlargement of the liver

• Increased respiratory rate.

Diagnosis of malaria depends on the demonstration of parasites on a blood smear examined under a microscope. In P. falciparum malaria, additional laboratory findings may include mild anemia, mild decrease in blood platelets (thrombocytopenia), elevation of bilirubin, elevation of aminotransferases, albuminuria, and the presence of abnormal bodies in the urine (urinary “casts”).

Severe malaria

Severe malaria occurs when P. falciparum infections are complicated by serious organ failures or abnormalities in the patient’s blood or metabolism. The manifestations of severe malaria include:

• Cerebral malaria, with abnormal behavior, impairment of consciousness, seizures, coma, or other neurologic abnormalities

• Severe anemia due to hemolysis (destruction of the red blood cells)

• Hemoglobinuria (hemoglobin in the urine) due to hemolysis

• Pulmonary edema (fluid buildup in the lungs) or acute respiratory distress syndrome (ARDS), which may occur even after the parasite counts have decreased in response to treatment

• Abnormalities in blood coagulation and thrombocytopenia (decrease in blood platelets)

• Cardiovascular collapse and shock

Other manifestations that should raise concern are:

• Acute kidney failure

• Hyperparasitemia, where more than 5% of the red blood cells are infected by malaria parasites

• Metabolic acidosis (excessive acidity in the blood and tissue fluids), often in association with hypoglycemia

• Hypoglycemia (low blood glucose). Hypoglycaemia may also occur in pregnant women with uncomplicated malaria, or after treatment with quinine.

Severe malaria occurs most often in persons who have no immunity to malaria or whose immunity has decreased. These include all residents of areas with low or no malaria transmission, and young children and pregnant women in areas with high transmission.

Malaria relapses or recurring malaria

In P. vivax and P. ovale infections, patients having recovered from the first episode of illness may suffer several additional attacks (“relapses”) after months or even years without symptoms. Relapses occur because P. vivax and P. ovale have dormant liver stage parasites (“hypnozoites”) that may reactivate. Treatment to reduce the chance of such relapses is available and should follow treatment of the first attack.

Other manifestations of malaria

• Neurologic defects may occasionally persist following cerebral malaria, especially in children. Such defects include troubles with movements (ataxia), palsies, speech difficulties, deafness, and blindness. (Additionally, what is not mentioned in this CDC list is epilepsy and mental retardation)

• Recurrent infections with P. falciparum may result in severe anemia. This occurs especially in young children in tropical Africa with frequent infections that are inadequately treated.

• Malaria during pregnancy (especially P. falciparum) may cause severe disease in the mother, and may lead to premature delivery or delivery of a low-birth-weight baby.

• On rare occasions, P. vivax malaria can cause rupture of the spleen or acute respiratory distress syndrome (ARDS).

• Nephrotic syndrome (a chronic, severe kidney disease) can result from chronic or repeated infections with P. malariae.

• Hyperreactive malarial splenomegaly (also called “tropical splenomegaly syndrome”) occurs infrequently and is attributed to an abnormal immune response to repeated malarial infections. The disease is marked by a very enlarged spleen and liver, abnormal immunologic findings, anemia, and a susceptibility to other infections (such as skin or respiratory infections).

Leading Causes of Death in Children Under Five Years of Age, Estimates for 2000-2003

(Source: World Health Organization, The World Health Report 2005)

Rank Cause  Numbers % of all deaths

1 Neonatal causes  3,910,000 37.0%

2 Acute respiratory infections  2,027,000 19.0%

3 Diarrheal diseases  1,762,000 17.0%

4 Malaria 853,000 8.0%

5 Measles  395,000 3.0%

6 HIV/AIDS  321,000 3.0%

7 Injuries  305,000 3.0%

8 Other causes 1,022,000 10.0%

Total  10,596,000 100.0%

According to the World Health Organization’s World Malaria Report 2005:

• At the end of 2004, some 3.2 billion people lived in areas at risk of malaria transmission in 107 countries and territories.

• Between 350 and 500 million clinical episodes of malaria occur every year.

• At least one million deaths occur every year due to malaria.

• About 60% of the cases of malaria worldwide and more than 80% of the malaria deaths worldwide occur in Africa south of the Sahara.

Malaria can affect a person’s health in various ways.

• People who have developed protective immunity (through past infections, as is the case with most adults in high transmission areas) may be infected but not made ill by the parasites they carry

• In most cases, malaria causes fever, chills, headache, muscle ache, vomiting, malaise and other flu-like symptoms, which can be very incapacitating

• Some persons infected with Plasmodium falciparum can develop complications such as brain disease (cerebral malaria), severe anemia, and kidney failure. These severe forms occur more frequently in people with little protective immunity, and can result in death or life-long neurologic impairment

• People subjected to frequent malaria infections (such as young children and pregnant women in high transmission areas) can develop anemia due to frequent destruction of the red blood cells by the malaria parasites. Severely anemic patients might receive blood transfusions which, in developing countries, can expose them to HIV and other blood-borne diseases

• Babies born to women who had malaria during their pregnancy are more often born with a low birth weight or prematurely, which decreases their chances of survival during early life

• In developing countries, the harmful effects of malaria may combine with those of other highly prevalent diseases and conditions, such as malnutrition, HIV/AIDS, and anemia of all causes. Such combinations can have severe results, especially if they occur repeatedly.

Didi Ananda Ruchira

Didi Ananda Ruchira, DIHom, ND, FKIAM, KSoH - an American, has been a homeopath since 1998. She"™s been living in Kenya for twelve years. She is the director of Abha Light Foundation. She also holds position on the executive board of the Kenyan National Traditional Health Practitioners Association. Director Cells: 0733-895466 / 0723-869133 www.abhalight.org Skype: anandarucira

Comments

  1. Dr (Mrs) A Rama Reddy

    May 30, 2010

    Dear Dr,
    1. I appreciate your article. It should serve as an eye-opener to the so called classical/conventional/bookish Homeopaths. They are spoiling the reputation of Homeopathy by their bookish knowledge. They don’t believe in prophylaxis, since is not found in their Homeopathic books. They believe in a constitutional remedy and a single dose, which is unrealistic.

    2 I have been prescribing Nosodes & Sarcodes, not only as prophylaxis but also for treatment of various diseases, with excellent results.

    3. The first remedy I think of in case of Malaria, is the first remedy discovered by Dr. Hahnemann for Homeopathy ie., China Off in 30c/200c/1M.

    4. For Malaria, the other remedies in 30c/200c/1M are: Ars Alb, Chininum Ars, Chininum Sulph, China Off, Eupatorium Perf, Gelsemium, Sulphur, Terebinth, Malaria Off, Natrum Mur. In case Malaria Off fails Nat Mur is to be used.

    5. For African fever you may also try Terebinth 30c to verify.

    Thanks & Regards.

    • Mahesh

      September 20, 2010

      Dr,
      Rama Redyy Thanks for your precious inputs I am lover of homeopathy & regards the therapy but would like to know in the acute disease like malaria with symptoms are varying very short of time to the seriousness of paitent is it this above therapy will work in terms of what success rate for the P VIVAX or falciprum is it above therapy can be possible along with other therapy for unavoidable circumstances.

      Mahesh Khamitkar(hydrogeologist)

    • Nicole

      November 5, 2012

      thank you for your remedy suggestions for malaria. But what do you use for prevention of malaria and what dosage? And do they prevent malaria for sure?

      thanks again

      Nicole

  2. Lydia

    November 26, 2010

    Respected Dr.

    Came across this very nice article on homeopahty in malarial cases. My mother is 55 years of age and suffers from gross splenomegaly. spleen size now is 25 one month back spleen size was 26, she is anaemic with low wbc count. She also has mild hepatomegaly. Kindly guide is there any homeopathic treatment available in this case. What should be done to avoid splenectomy and whom to meet in this case. An urgent response for the kind of treatment is required.

    Kindly guide with your valuable experience ASAP

    Lydia,
    (Pune, INDIA)

  3. dr maqbool shahzad

    September 16, 2011

    i am practing as homeopathic physcian in sheikhupura pakistan since fast five year. After reading your wonderful articles on malarial fever wish to appreciate your research. your article is very inarticulated and close to the nature. on the whole you did good.
    by dr maqbool.

  4. prem

    April 25, 2013

    homoeopathic medicinr realy work better for malaria fever.

  5. Rupak

    May 8, 2013

    Small small childrens with pf positive.after medication with ACT reinfection occurs in 4-5 days or within a week.Throughout the season the HRP-2 tests shows positive results…
    Sudden convulsions occurs without fever or any other clinical signs of malaria…only shows results of pf positive.
    it has been found that natrum mur not only cures them but retards the tendency of reinfection …immunity boosts up…

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