Miss J, 20 years of age, a 2nd year MBBS student, presented in March ‘97 with bloody diarrhea with mucus for last 2 years.She had been investigated and her reports were as follows:
Sigmoidoscopy – mucosa shows severe hyperemia, granularity and friability. Suggested of grade III ulcerative colitis. Biopsy – compatible with ulcerative colitis.
She was treated with Mesacol and steroids, which gave dramatic results to begin with, but relief never lasted. Even after 2 years of medication, she was still suffering and in feb’97 repeat colonoscopy (done till caecum ) showed grade III colitis; biopsy was consistent with acute on chronic Ulcerative colitis.
This became a source of great worry to the parents and herself and they decided to seek homoeopathic help.
She used to pass loose stools with bright blood and mucus up to 10 times a day. The most intense suffering was the tenesmus and burning in rectum and anus.This was a great hindrance to her studies. She was repeatedly probed for some stress factor, as this is often a precipitating factor for this condition, but time and again it drew a blank. Guided by nothing but pathology, I started her on Terebinth 3x (A remedy that I have used with lasting benefits).
With no promising results being shown by the other systems, they decided to stick to the treatment and there was considerable relief by the end of 3 months.
Terebinth was continued intermittently for 2 yrs and she became asymptomatic by the end of ’99. Investigations were repeated in august 2000.
colonoscopy –till 25 cm from anal verge, slightly edematous mucosa. Rest of mucosa till caecum is normal.
Biopsy –histological changes are non specific. There is no evidence of ulcerative colitis.
She completed her M.D and is now a pediatrician, practicing in Delhi (2013) free of the disease.[Long follow-up to claim a full homoeopathic cure]
Ulcerative colitis often presents with common symptoms. Individualizing or precipitating symptoms often lack. I was using Terebinth successfully in cases of urinary tract inflammation, and while going through the literature I found Terebinth has a selective affinity for bleeding mucus surfaces. Diarrhoea, watery, bloody stool. Enterocolitis with haemorrhage and ulceration of bowels, burning and sensation of heat, epithelial degeneration.
The successful treatment of this case was a guiding light for me and several other cases with paucity of symptoms were cured completely with this remedy, proving the efficacy of Terebinth as a pathological similimum.
In homoeopathy, a remedy cannot be called nosological specific, however, as stated above, It can be a drug of choice. I chose this case for the reason that selecting constitutional and miasmatic remedy is often taught, but in cases where the symptoms are too less the homeopath is at a loss regarding what to do. I hope this case will shed some light.