Case Quizes Clinical Cases

Revisiting: Fifi Again, 3 Years Earlier

Fifi’s got another virus–did you try and guess the remedy?

To read last month’s full case quiz. Visit –  Fifi Again, 3 Years Earlier







And now, the moment you’ve all been waiting for, time to reveal the answer to last month’s quiz!  Who wants to be first this time?

Hi Elaine and Shana!

Hi Maria!!!!  Step right up to the microphone…

For this month’s quiz I had to choose between Arsenicum, Belladonna and Rhus-tox.  But Rhus tox is not under “Strawberry Tongue”.

I wasn’t really that interested in the strawberry tongue rubric.  It had a lot of strange remedies in it that didn’t really relate to flu-like symptoms–remedies like Sapo., Ter., Tuberculinum, Frag., Ptelea trifoliata, Mez. … I mean, sometimes, before you get all excited about a rubric, look at the remedies in it and see if it makes any sense.  Argent-nit was listed as a 2, Bacillinum was a 3, and all the rest were in plain type, not exactly a ringing endorsement; so, I thought it best to let this one slide.

That leaves us with Arsenicum and Belladonna.  Belladonna is not under thirst with fever but Arsenicum is.

Yes, but we have no confirmation for Arsenicum. There’s no anxiety, no fear, no prostration, no restlessness other than during sleep.  You know, generally speaking, Arsenicum patients are very sick.  They’re so sick, they’re afraid they’re going to die, and they beg for company and reassurance. This child is well enough to play on the couch during the day.  The mother says her mentals are “neutral”.  So, I can’t think for Arsenicum with this one. As for Rhus tox, the child isn’t restless–other than during sleep.

The bright red face fits with Belladonna.

I don’t think she said “bright” red, just red, which has over 200 remedies in it, so, it’s not going to help us that much.

I would go with Belladonna first, although it doesn’t cover the thirst.  But, as you said in another quiz, when a symptom fits a state it’s not a symptom.

Are you saying that because it’s normal to be thirsty during a fever, we can’t count it as a symptom?  Yes, BUT, but, but, but, but, but; if it’s “extreme”, you have to count it!  And the mother uses the word “extreme”.  “Extreme thirst at night,” she says.  Oh, and coincidently, “fever at night”.  What does Hahnemann say?  “Striking, strange, rare and peculiar.”  So in this case, the thirst is “striking”.  The rubrics I took were “fever with thirst”, “thirst at night”, “fever at night” and “evening aggravates” which she made a point of saying.  So, that was basically what I used as being characteristic about this virus.

Belladonna is my vote.

But, why can’t it be Belladonna?  There’s no fever with thirst under Belladonna; so, we can’t use it.

If I am wrong I will try again.


Ok, now I am between Phos and Pulsatilla – mostly because of the clinging to mother more than usual.  They are both under the rubric you said in different degrees:
Fever, night: PHOS,PULS

Fever, thirst with:PHOS,puls

Thirst, night: Phos, puls

Evening agg: PHOS,PULS

Also there are these rubrics.

Thirst, fever during: phos, puls

Thirst, extreme, with fever: phos (only two remedies, the other one is arsenicum)

No, the other one is Alumina!

I will go for phosphorus.  If I am wrong, I will try again 🙂

Yes, it is Phosphorus!  I completely missed “thirst extreme with fever”!  Good one, Maria!  If I had seen that right away, I wouldn’t have had to look any further!

(Oh yes you are right, it was Alumina in that rubric with Phosphorus, not Arsenicum. )

I am thinking that the strawberry tongue should interest us as a rubric, because it is not common at all.

You know, we now have a documented case of strawberry tongue with Phosphorus.  Now if only people would write to us and let us know if they see this showing up in their Phosphorus cases, we could make a new addition to the Repertory!

Great work Elaine!  Thank you!

You are soooooooooo welcome!!!!!!!!  Oh, don’t look now, but, Miroslav and Jitka just flew in from Slovakia!


Hello Elaine and Shana,

Hello Miroslav and Jitka!!!!

As you can see, our motto is “Never Give Up” and despite our systematic failures, we are going to try our luck at your quiz again.

Hey, you don’t ALWAYS fail!!!!!

Miroslav votes: Arsenicum

Again a nice “bunch” of symptoms, so how to begin …?

Aggravation, evening.

Well there’s a problem right there; Arsenicum’s aggravation time is between 12-2 a.m.!

Wants to be held.

What 6 year old child doesn’t want to be held?  It doesn’t help us; it’s COMMON!  Common symptoms will get us nowhere.

Restless sleep, viral fever with thirst, wants to be covered …

The rubric is “Fever: chilliness with”

…that could be typical for Arsenicum.

It is, but the rubric itself has almost 60 remedies in it.

I was thinking about Phosphorus too, but it is not in the rubric “restless sleep”.

Actually it is in “Restless Sleep” as a 1 in Murphy’s Repertory.  The remedy was Phosphorus.  How do we know?  Thirst at Night, Thirst with Fever and Evening Aggravates.


Jitka votes : Belladona

It seemed to me that you prescribed a remedy for Fifi on the basis of: diagnosis of scarlatina and fever with thirst.

But Belladonna is thirstless with fever.  Plus the child’s mentals are “neutral” as the mother said.  Belladonna’s mentals are quite, agitated, intense, distressed.

I looked in the chapter Diseases (Clinical) in Murphy’s, there were many remedies, but in the rubric “high fever with delirium and thirst”, there is only Belladonna and Dulcamara.

But there’s no high fever or delirium here.  You looked in the wrong chapter. The chapter is “Fevers”. The rubric is “Fevers: thirst with fever”. Belladonna isn’t there; although, I’m sure Belladonna CAN be thirsty some of the time; but, by and large, what Belladonna is famous for is NOT being thirsty.  If we see a thirsty person with a fever, our first thought is not going to be Belladonna unless everything else in the case leads us to suspect it–as in the example you just gave: high fever and delirium.  It would be hard to ignore Belladonna in such a case.

Although Fifi didn’t have delirium, Belladonna is everywhere emphasized as the first remedy to be considered in scarlet fever.

I just ignored the mother’s “diagnosis”.  Look for what is striking in the case.  It’s hard to ignore the thirst at night.  The mother called it “extreme” and “big”.  When patients use words like that, you have to make it your priority.  So what do we have here?  Fever coming on at night, evening aggravation, thirst with fever, thirst at night.  There’s actually a rubric Maria told me about, it’s in Murphy’s “food” chapter: “Thirst extreme with fever”. Only 2 remedies: Phosphorus and Alumina.  We can eliminate Alumina since it’s not a flu remedy; so, it’s easily Phosphorus and Phosphorus fits all aspects of the case.

Is anybody else here?


Hello dear Dr. Elaine, I think this time you gave Aconite 30C.


Salma Afroz

Salma, here is my repertorization:

Revisiting: Fifi Again, 3 Years Earlier 1


Thanks Dr. I am so sorry Phosphorus was in 1st position and Belladonna was in 2nd position.  Except 1 rubric I couldn’t find:  Cold, temperature, weather, ailments from.

It’s in “Generals”.

So I thought Belladonna could score more.

It can’t be Belladonna.  Belladonna is known for being thirstless.  The most characteristic symptom in this case was the thirst at night.  The mother said it was extreme, big.  Coincidentally, the fever came on at night too.  So I used “fever at night”, “thirst with fever” and “thirst at night”.  Also, the patient was too calm to be Belladonna.  The mother said Fifi’s mentals were “neutral”.  Belladonna’s mentals are often intense and as a result the parent is in a hurry to do something fast!  Remember, Belladonna is a rabies remedy.  Here’s what Murphy’s Materia Medica says about Belladonna:

“Belladonna stands for violence of attack and suddenness of onset.  Belladonna is often associated with hot, red skin, flushed face, dilated pupils, throbbing carotids, excited mental state, hyperesthesia of all senses, delirium, restless sleep, convulsive movements, dryness of mouth and throat with aversion to water…”

My bad.  You are so right.  I couldn’t even recognise Belladonna.

I did mention that the remedy was Phosphorus, didn’t I?  Phosphorus is famous for thirst, especially for cold drinks, and they often wake up at night to drink water.

You are so vigilant while analysing a case.

I is?  Wow, thank you!  I had no idea!

It’s amazing.  Thanks a lot.  It’s great to learn from you.

Thanks, Salma!  I think we’ve all learned today that Phosphorus is famous for thirst, especially for cold drinks, thirst at night, and extreme thirst with fevers.

And now for a very special treat brought to us by Shana:  Paul McCartney makes mashed potatoes:

See ya next time!

Elaine Lewis, D.Hom., C.Hom.

Elaine takes online cases! Write to her at [email protected]

Visit her website:


About the author

Elaine Lewis

Elaine Lewis

Elaine Lewis, D.Hom., C.Hom.
Elaine is a passionate homeopath, helping people offline as well as online. Contact her at [email protected]
Elaine is a graduate of Robin Murphy's Hahnemann Academy of North America and author of many articles on homeopathy including her monthly feature in the Hpathy ezine, "The Quiz". Visit her website at: and


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