Patient : NM
MALE
First Appointment
Observations of Patient
The Patient (NM) arrived at the appointment with his wife, who accompanied him into the consultation room. It was explained that a pharmacist had recommended a visit as NM over the past year had been hospitalised four times with asthma attacks and wanted to try Homeopathy as he was desperate to get better.
NM is a tall slim man and at the time was 44 years old. He is a creative professional and works in London and lives in the suburbs with his wife who he has been married to since his early twenties.
Presenting Complaint
NM was questioned and it was found out that on each occasion that he had a severe asthma attack and ended up in hospital he had been at a weekend social event, where often pet dogs or cats were present. During these social events NM could feel the tension building into anxiety and then rising into panic. His complexion would go grey, his asthma would come on severely and he would have to go to hospital. NM thinks he has an allergy to animal hair.
< Anxiety
< Animal Hair
< Night
> Fresh air
Family History
MOTHER | FATHER – died lung cancer |
GRANMOTHER | GRANMOTHER – dementia |
GRANDFATHER | GRANDFATHER – possibly died of asthma |
AUNTS | AUNTS |
UNCLES – emphysema then cancer | UNCLES – heart attack |
COUSINS | COUSINS |
SIBLINGS Brother – asthmaBrother – asthma and eczema, Brother – eczema and hay fever | |
CHILDREN – N/A |
Mental and Emotional Symptoms
Relationships
NM has been with his wife since college and they married in their twenties. They do not have children and are thinking of trying, however, NM’s wife travels a lot with work. When she travels with work NM feels anxious. NM comes from a big family of several brothers and sisters and they are close. They all live near each other and their mother, in the area where they grew up. NM works long hours in a creative, professional capacity and does not feel his work is too stressful, and he enjoys it.
General Symptoms
+ Bread (up to 8 slices a day)
+ Mince Meat
Non vegetarian, non smoker, small – moderate drinker
Sleep
NM wakes at 2am with asthma symptoms
Stools
NM ’s bowels are regular
Physical Symptoms
Current Medication
He is currently taking Ventolin and Becotide up to 3 x day of each.
Allergies
Possibly animal hair and feathers, especially dogs.
Time Line
AGE |
CONDITION |
TREATMENT |
babyhood | asthma | |
10 years | appendicitis | Surgery |
16 | bronchitis | Anti-biotics |
16 | Started steroids for asthma | |
24 | Asthma got worse | |
Until age of 34 | Nose bleeds | |
Prescription
Lobelia 3x – 2 x day (+SOS)
Arsenic album 30c in evening
Aconite 200c at bed time (+SOS)
Justification and Prognosis
Lobelia is known to be supportive of the lungs and breathing, therefore it will benefit the patient to use it regularly. Arsenic album is again known to help asthmatics, especially when there is fear and anxiety in the remedy picture. This is further supported in the fact that the patient was better for fresh air (sleeping with the window open even in winter) and worse about 2am. I gave the patient Aconite to help move the patient out of a state of shock; both NM and his wife were very distressed at the severity of his asthma and that he had had to be hospitalised as a consequence.
Second appointment
NM returned for his second appointment and noted that he no longer felt tight in his chest, despite the fact that it was Christmas time and there was cold weather which usually made this symptom worse. NM also noted that he was no longer waking up at night breathless and therefore was sleeping more easily. As a whole he was feeling more relaxed, as was his wife and they are looking forward to the festive season instead of dreading social events. NM was instructed to use the Lobelia and Aconite as needed for any acute asthmatic complaints. The patient had had a cough and was expectorating clear mucus, with an occasional white lump.
Analysis of Prescription
The Lobelia was acting as a clear support for the lungs and NM was not feeling the tightness as a result. The Aconite was helping to relax NM and work him out of a state of fear, whilst the Arsenic album was treating the asthma directly. The prescription was repeated.
Third Appointment
NM retuned in the New Year and stated he did not have any symptoms, and did not have to visit the hospital even when socialising, or in the proximity of pets. There was no longer any tightness in the chest and he was able to breathe easily, even in the evening and night and was not coughing, and his symptoms had eased for the first time in years. He even visited his brother, who has a pet dog and did not experience any asthma symptoms. Since then he has also visited the GP who would like to cut down on NM’s medication. NM stated “I feel the best I have in years”.
The Lobelia was prescribed again as was the Ars Alb, and the Aconite was prescribed only for emergencies. NM continued on this prescription for 6 months in total and was able to come off his prescribed medication, with guidance from the GP. NM occasionally visits the clinic for a check up and is no longer bothered by asthma, despite first feeling its symptoms as a child.
Hi Kiran,
Thank you very much for this case report.
Please could you clarify the first prescription? What do you mean by +SOS? Was the Aconite and Ars to be taken once only?
Dear Alix
Thank you for the interest in my case.
To clarify by SOS I mean take as needed.
The Aconite and Ars Alb were repeated.
Regards Kiran.
although patient shows improvement .you should look for any supresion .in future.as you give him symtomatic treatment. should analyse on scientific besis.
nice its simple and fine plan of treatment is very useful