Clinical Cases

Homeopathic Management of Swine Flu Complicated by Pleural Effusion:  

Dr. Devang Shah shares a case of swine flu complicated by pleural effusion. The case was repertorized using polarity analysis.


Introduction: Swine flu, caused by the H1N1 virus, can lead to severe respiratory complications and pose a significant threat to public health. In this case, the patient’s condition deteriorated, and she developed pleural effusion, necessitating a shift to a larger hospital.

Homeopathy, a complementary and alternative medical system, is sought after by some patients and their families for its holistic approach and potential benefits. This case study investigates the use of homeopathic treatment as a supplemental option in managing swine flu symptoms and related complications.

The patient, a 43-year-old female residing in a remote area of northern India, was diagnosed with swine flu and admitted to the local hospital. Due to her deteriorating condition and the emergence of pleural effusion, she was transferred to a larger hospital in a bigger city.

At this point, her family inquired about the feasibility of homeopathic treatment. The patient exhibited symptoms of cough, breathlessness, and back pain. The cough worsened while lying down or talking and improved when lying on her left side.

Salty expectoration accompanied the cough, while breathlessness worsened during physical activity such as walking. Additionally, she experienced back pain that intensified when bending forwards. Her appetite had reduced, thirst had increased, and she had become irritable since the onset of the illness.

The case was repertorized using polarity analysis developed by Dr Heiner Frei. It showed the following possibilities.


Merc sol and Borax were the remedies under consideration. Merc sol covered all her symptoms and additionally in Boericke’s M.M. under respiration it is mentioned in capitals: Cannot lie on right side.

Our patient’s modality was better lying on left side. Merc Sol was selected for its close resemblance to the majority of the patient’s symptoms. A single dose of Merc Sol 200 was administered. The next day, the patient reported a complete improvement in cough and a better appetite. However, back pain persisted.

By the same evening, there was a slight aggravation of the cough, but overall, the appetite was good, back pain reduced, and energy levels improved. After 36 hours of the remedy, the patient experienced no cough, breathlessness, or back pain.

Due to this notable progress, the patient was advised to be discharged from the hospital. The family expressed gratitude for the successful management of the swine flu complication with homeopathy.


Conclusion: This case study demonstrates the successful use of Merc Sol in managing swine flu with pleural effusion. Homeopathy’s individualized approach and symptom similarity played a crucial role in selecting the appropriate remedy.


About the author

Devang Shah

Dr. Devang Shah graduated from D.S. Homoeopathic Medical College and has been practicing homoeopathy for the last three years in Pune. He feels blessed to have studied under Dr. Sunil Anand, Dr. Dinesh Chauhan and other teachers of the Bombay School of Homoeopathy. His goal in each case is to reach deeply and find the root from where the branches of disease originate. "May we reach the depth so that the spirit arises. Silence is the opening of an infinite world within each of us."

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