Clinical Cases

A Case of Infertility

A woman 22 years of age comes with infertility. After her first child, she had two miscarriages with a lot of bleeding. Her infertility was diagnosed as PCOS, Poly Cystic Ovarian Syndrome.

A woman 22 years of age comes with infertility. After her first child she had two miscarriages with a lot of bleeding. Research in the hospital came to the conclusion that she has a congenital problem with one of the coagulation factors. Her infertility was diagnosed as PCOS, Poly Cystic Ovarian Syndrome. She has infrequent menses, every 6 to 8 weeks.

A second problem is that her resistance is low and she feels vulnerable. The last year she has been ill often, especially in the winter from the cold. She has had sinusitis, maxillary and frontal, with pain better with rest and worse from pressure and stress. It is ameliorated from washing with salt water. She had frequent throat infections, with pain in her throat worse from swallowing. With those complaints she was very ill. She stayed in bed for 4 days, slept the whole day, and had a fever of 29 degrees Celsius. With the infections she has a backache and she cannot lie on her back.

A third complaint is a backache which often starts suddenly with motion. She cannot do anything anymore and has to stay in bed for a day. It is a neurological pain, starting at lumbar vertebra 5 and extending to both legs. The pain is worse from cold; better from warmth, but worse when it is too hot and better lying on her side. The backaches are better on holidays. They started in her puberty around 15 when she was growing fast.

The symptoms seem to be connected with problems with her mother. She fights with her mother to get more understanding from her. Her mother is on top her, forcing her to do all kinds of small things for her, shopping, cleaning etc. It gives her a lot of stress. When she complains about it her mother says that she is being difficult, that she has given her so much all these years and that she been there for her always. She feels that there is little space for her own life. Most of the time she does what her mother asks her, hesitating to confront her mother. A few times they had a confrontation with yelling.

Her father had died some 6 years before. She had a very good bond with him; they understood each other just by looking. It felt like an amputation when he died. Her only sister looks more like her mother and has a good bond with her mother.

She has started several studies, history and law, but did not finish them. She would like to study psychology, but for that she needed mathematics knowledge. She thinks about the history of art as a study, but has a fear that she will fail. She has the tendency not to begin with studies or work out of a fear that she will not succeed. She has a fear that she will not advance, that her world will become too small by not studying and just taking care of her child. She feels that she has to be pushed or kicked to do something. She should do something instead of being the “eternal doubter”.


Weather: chilly, averse rain.
Time: worse winter, worse 9 to 10 am.
Desire: sweets, sugar, Italian food.
Averse: liver, organs, bitter, ginger.
Food: diarrhea form heavy fat food.
Dreams: disease of herself, her father, husband or son, her son drowning, stress, war.


The feeling of vulnerability is typical for the Asteraceae (formerly called Compositae). A typical expression is that her “resistance is lowered”.
Confirmations for the Asteraceae are:
– Infections with high fever.
– Backache during the fever.
– Miscarriages with a lot of bleeding.
– Coagulation problems with bleeding.

Her attitude is that of stage 5. The tendency not to begin with studies or work out of a fear that she will not succeed is typical for Stage 5, they have doubts that they can reach their goal. The irresolution is a strong feature of Stage 5 (also of 2, 3, and 4). We see the attitude of stage 5 also in her fights with her mother: seldom real fights, very careful in handling the situation, only once in a while going for her cause.

Stage 5 in the Asteraceae is Eupatorium perfoliatum and purpureum. It is the malaria miasm. Eupatorium is known for treating malaria. The Malaria has the typical tendency of problems coming and going, coming in attacks, which is typical for Stage 5, doing and giving up, going for it alternating with the feeling of being incapable.

Confirmation for Stage 5:

– “Eternal doubter”.

Confirmations for Eupatorium perfoliatum:

– Need for a good father.
– Eupatorium means good (= eu in Greek) father (= pater).
– Backaches < lying on it.
– Worse 9 am.

Follow up:

After a month she feel’s much better. Her energy has gone up, she feels more vital and she did not have any infection. She feels less vulnerable, as if she has a protection layer around her. She wants to do things instead of just sitting. Her dreams are nice now, no longer about diseases.

She feels better about her father; she can look at his photo without starting to weep as she did in the past. With her mother she feels better too. She has withdrawn a bit from her and she feels more at peace.

She is not hurt anymore by remarks from other woman like “you have only one child?”
Half a year later she is pregnant. She has a healthy child.
The infections have stayed away.


The beauty of this case is that it can be analyzed in many different ways that will all lead to the same remedy: Eupatorium perfoliatum. The case can be analyzed by classic repertorizations. This is because the remedy is quite well known and the patient had good symptoms and keynotes of the remedy.

The case can also be analyzed by group analysis. This has been discussed above and it is my main and first method of analysis in any case.

The case can also be analyzed by the method of Sankaran, with the sensation of vulnerability and the malaria miasm. That method is not so much different from the group analysis; in essence it is the same.

So this case shows nicely that methods of analysis are not contradictory, but complementary. In cases where many methods are applicable they will lead to the same conclusion, but there are cases where one method will not work and another can. For instance in a case of Holmium muriaticum, repertorizations will not work because the remedy is not yet represented in the repertory.

For me the new way of analyzing is more appealing as one better understands the patient, the problem and what one is doing with homeopathy.

About the author

Jan Scholten

Jan Scholten is a pioneer who has worked extensively on the periodic table and has authored many books like Homeopathy and Minerals, Homeopathy and the Elements, Repertory of Elements, Secret Lanthanides etc. He has also founded Stichting Alonnissos, a foundation that promotes homeopathy by the publication of books, organizing seminars, promoting research and supporting clinics.

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