Clinical Cases

A Case of Venus Mercanaria

A case of Clam by using the MICH method.

Also involved in this case were homeopaths: Kate Hudson, Julia Bronfman, Julia Thompson, Melissa Dair

Montreal Institute of Classical Homeopathy (MICH) Intern Center.

Date: September 6, 2008 Session: 1

Birth date: January 29, 1979 Age: 29 B#: 2 Male

General sense of the client

Our client comes across as a very sensitive and thoughtful individual. He is soft spoken, and extremely reflective. He tries hard to answer the questions to the best of his ability, and is able to easily enter into sensation.

Chief complaint: “Plugged ears, with wax build-up, which stops me from performing my music; which stops me from feeling home. As if I am helpless with it; there is nothing that I can do”.

Physical issues: Earwax- He feels it building up, switches, one ear then the other, twice got it flushed out, then 2-3 months later it starts again. Began in 2005 (2 months in a row), then every six months – intense itch, scratch inside

Dry skin on left elbow and behind ear (came back 6 months ago), dryness on back of scalp (warm, itchy, flaky, feels dry), 2 small warts on left hand.

Crohn’s disease-since 1997 at age 16 (after father’s death and girlfriend’s rape)

Blocked – also feeling of constriction of backside and perineum.

When younger, wore a mask, an image, hidden by pride. Sycosis?

Themes and Source Words

Not feeling at home

I want to escape without being seen. Feeling forced to live in the city (in a place that isn’t home): means being robbed of my being. Close down: heavy chest, shut myself off, but don’t want others to know, sad, unsettled, blocked, hazy, heavy, trapped, alone, hopeless, then I try to distract myself, and separate from the situation.

Closed / stuck



closes me up

get me out of here

little movement

walking in mud


boxed in

need to open

need to get it out

not able to get at something






arms dangling (not tense)

line settles down

snuggled against each other

went to bottom

little movement

ridges gone around exterior

black solution instead of clear


feet more present to the floor



lightened load





moving with life

light dusty soil

circular motion/spinning

not really floating

Other source words



barefoot on dusty road

cut marks


steam moves upwards

emptiness and hollow

move through soil in that shape (turning like wheel)

moving through black

on top of earth

sinking into earth

hazy cloudiness




Kingdom Differentiation and Family


We did not hear clear words of the mineral, animal or plant kingdoms. However, we did hear language that is commonly used with sea creatures.

From Divya Chhabra on Sea Creatures:

The need to protect one-self (shell) restricts and suffocates conflicting with the movement and freedom, the very essence of flowing water and its components.

Heavy, weighed down and tied up by responsibility and guilt, the sea animal patients yearn for fun and lightness, freedom and open spaces.

Their hiding as a defence is expressed as detachment from the surroundings and their camouflage as a detachment from self, expressed as if “I am not myself.” (this is a big theme with our client, who does not feel at home here in Montreal, and longs for the feeling he has in the country, and town, where he is from)

Sea animals – Words

Heavy Û light

Tied up Û freedom

Suffocation Û open space



Detached / disconnect

I am not myself

Different world


Fun loving

Elation / excitement

Sea animals – Conflicts

Hide / protection Û Freedom

Rubrics and possible remedies:

  • MacRep provided the following graph:

Lachesis, calc carb, carc, sepia, apis, ambra, cantharis, spongia, asteria, lac caninum, naja

Combined Rubrics CROHN’S DISEASE AND INFLAMMATORY BOWEL DISORDERS (47) G; Generalities; SIDES, of body, general; left, side (152)

S; Skin; WARTS, skin (see Condylomata or Excrescences) (130)

R; Rectum; FISTULA, rectal (51)

M; Mind; GRIEF, sorrow, general; death, of, loved ones or friends (13)

Possible remedies:

As the client was speaking the language of sea creatures, I decided to create a graph of animals only, to see what Macrep would come up with.

Lachesis: No, our client is not syphilitic, nor does he speak the language of a snake. There is no competition, conspiracy, manipulation, jealousy, or suspiciousness of the snake.

Calc carb: Interesting, as it is the chief element in many sea creatures, particularly the mollusks.

The Calc type: introverted, sensitive, defensive, insecure, want security in shells and deposits, seek the security of the womb, the egg. Seek protected, stone-like shell of armor that greatly reduces their mobility, a crab-like carapace or shell. They seem to ‘clam-up’ and ‘go into their shell’,

Carcinosinum: No, I didn’t hear nosode language, nor the fixing and need for superhuman strength

Sepia: Again, a sea remedy, and interesting. But sepias tend to be worn out and distance themselves from their family. Nor is our client weepy, sarcastic and irritable. He doesn’t have despair over recovery, nor aversion, and indifference.

Apis: Our client does not have the busyness of apis, nor the burning, stinging, stitching sensations.

Sankaran’s Schema (2005):

We decide to explore the mollusk family further, given the strong sea animal language and the number and repetition of mollusk source words.

Words of the mollusk are: withdrawal, close, shut-in, confine, split, lose contact and lose touch. Words of the bivalvia: open and shut (clams). These remedies are in the Sycosis miasm which is what we felt for our client, another confirmation of the remedy group.

Looking into the life cycle of each of the homeopathic bivalvia remedies, brought us to the clam. Especially its defense mechanism: “When fully buried at low tide the hole in the sand is key-hole shaped. If it is disturbed, it ejects a small jet of water from the hole.” (Sankaran and Baldota. (2008) Survival: The Mollusc pg. 127). This mechanism was explored and mentioned often as the client would describe how bothersome his plugged ears were and the intense need to flush them out.


Venus mercanaria (Ven-m), Clam 1MK

Areas affected: Head (the client’s ears, and the skin behind his ears), gastrointestinal tract (Crohn’s disease)

Isolation, loneliness with the sensation of being disconnected from the world

Gentleness, Passion and sexuality, Delusion of being separated from the world

Itching of scalp / urticaria on the left hand / itching eczema.



November 21, 2008

client received his remedy on October 11, 2008; It has been six weeks.

Up and down but for
the most part good, no flushing needed of the ear; clear for the past
week/ dryness behind the ear still there

Other skin things gone
away: warts on hand, dryness on elbow gone.

Two days after the remedy
there was a shift and I couldn’t move the left side, it was intense,
I couldn’t sleep, pain, an emotional reaction of worried (that I would
be held back, and that it will slow me down, and be compromised for
the oncoming week, moody, irritable), and then the next morning, it
was gone.

No longer feeling heavy/stuck,
now realizing that it’s not me, more lighter and playful




From grey/dark into

Door half open

White and cloud like

Flush out

Come so close then push
away – don’t want to fuse into me

Push away


Open door half way

Half open

Meld back into earth/Separate
from earth again




Carved out

Folding in, and again



2 forms melding together

Blocked up

Tube-like structure



Breaking through (clouds)

Arrow hits spot/go into

Like a blood vessel
sticking up and down

Source words


Ground beneath me

Never ending landscape

Others can come up from

Made from same stuff
that we are walking on


Use soil to cover myself

Swim in it

Don’t want to be hurt

Sustaining a solid form
is protection

Our client is doing
so well, and continues to use the language of the remedy; only the words
are even more colourful and descriptive than before.  It has only been
six weeks since taking the remedy. Prescription: Wait. No dose


Montreal Institute of Classical Homeopathy

About the author

Julia Bronfman

Julia Bronfman is the mother of a recovered child. She graduated from Montreal Institute of Classical Homeopathy in May 2009 and now specializes in working with individuals with neurological disorders and behavioral challenges. Julia also completed her Defeat Autism Now training in 2005 and CEASE certification in 2010.

1 Comment

  • I may be wrong, but isn’t there a link between the sea creatures and ear problems? In general with sensory organs (due to the evolutionary development of the senses from the sea creatures)? This is really fascinating stuff 😉

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