Clinical Cases Case Quizes

Revisiting: Baby Demonstrates Hering’s Law

Shana builds a house

Sick baby needs a homeopathic remedy, did you guess the right one?

To read last month’s full case quiz. Visit – Baby Demonstrates Hering’s Law



Antimonium tart-4



So let me begin by explaining why this case is an example of Hering’s Law.  Once the baby took a turn for the worse, his vomiting no longer ameliorated as it once appeared to in the beginning.  But 20 minutes after the correct remedy was given, he immediately threw up “a bunch of mucus” (Hering’s Law) and was instantly better and reaching for toys and “talking” once again!  What was the discharging of mucus after the remedy an example of?  “Center to the Periphery”:  “Healing takes place from the center to the periphery”–Constantine Hering, MD.  In homeopathy, our symbol for healing is the ripple-effect of a stone tossed in a pond:

Revisiting: Baby Demonstrates Hering's Law 1

This is an illustration of Hering’s Law of Cure.  The remedy first hits the center of the case which is your mental/emotional state and pushes the disturbance out–to the periphery, to the outside; in other words, forces you to get rid of it!  So, translated into English, you take a remedy, you feel great, and then–wham!–there’s a sudden discharge!  It could be vomiting, diarrhea or both, coughing something up, or perhaps a skin eruption or crying….and then it’s all over and you’re fine, just like with this baby.

Can we equate the “vomiting” at the end with the vomiting during the illness?  No.  The vomiting during the illness was not a curative event.  It was just a symptom we would want to match to a remedy; and notice the mother said, “He had a major coughing spell, threw up a bunch of mucus, but it didn’t seem to bother him!”  Those are key words right there: Didn’t seem to bother him.  That’s because it was not a part of the illness, it was part of the cure!  The discharge caused by a remedy, it’s true, “doesn’t bother…”, it’s not distressing, it’s not part of the illness!

Now, sometimes, the “disturbance” will make “stops” on its way to the periphery; so, for example, you might take a remedy, feel better at the “core” but have an unexplained back pain or joint pain or leg pain, etc. out of nowhere; but again, the patient, if asked, will say, “I doesn’t bother me.”  Always ask, “But how do you feel mentally/emotionally?”  “Oh fine,” they’ll say, “and my leg pain doesn’t really bother me.”  That’s how you know it’s “Hering’s Law” and not a symptom you need to prescribe on, not part of the case per se but part of the case being over!


So what was the remedy?  Oh look, it’s Maria to solve the case for us!

Hi Maria!

Hi Elaine and Shana!
For this month’s quiz I vote for Antimonium tartaricum.

Yes, it was Antimonium tart!

I know its a long shot, but here are the rubrics that made me think of it.

Form Vithoulkas’ keynotes:





LOUD RATTLING deep in chest.



Sleepiness. Comatose state.


In Murphy’s repertory is grade-1 under Carried, desires to be.

Well, Maria, he’s a baby!

Anyway if I am wrong I will try again!

No, you were not wrong, so please don’t try again!  But be careful picking rubrics that are common, like babies wanting to be carried.  If the baby was averse to being picked up, now THAT would be a symptom!  That would be so peculiar, we would surely have to pick a rubric for that, like, “Children: carried, aversion to be”.  Though, there are remedies like Chamomilla that will wear you out because they scream if you don’t carry them!  And you not only have to carry them, you have to carry them “briskly”!  But, I do think it’s instructive that the baby in this case just lay lifelessly on the mother’s shoulder.  “Weak, drowsy, lack of reaction”, to quote Robin Murphy for Antimonium tart.  So, if we have a baby who just wants to be carried, with no further information, I don’t think we have much to go on, but if you observe that when carried, the baby is lying lifelessly and stuporously, that helps lead us to Antimonium tart.

Wow I didnt expect it to be right. Thank you, and I will be more careful with those common symptoms.

Did you see my Tidbits article?  I wrote it just for you!

Yes I read Tidbits and I loved it!!!!  “Repertory Round-up, part 3”.

Thanks, Maria!  Who else is here?


Hi Elaine,

I think the answer is Antim. tart. It covers the desire to be carried, the wheezing and amel. from vomiting.



Dr. Choudhary, you are right, it is Antimonium tart!  But be careful about the “amel. from vomiting”; actually, this is why I called the case “Baby Demonstrates Hering’s Law”, because the vomiting that came at the end, after which he was better, was what Hering called “Healing Takes Place From the Center to the Periphery”; in other words, “The disturbance moves OUTWARD after the correct remedy is given, it moves to the periphery; some sort of Discharge occurs–it could be vomiting, or diarrhea, or crying, or a skin eruption; but the important thing to remember is, that this is NOT part of the case, this is how the case ENDS!  Because as soon as it happens, the patient is better!

Now, BEFORE the remedy was given, the baby had been vomiting off and on and though it seemed to ameliorate early on in the illness, later it did not!

Here, in a nutshell, is the sentence in the case that reveals the remedy is Antimonium tart: The mother says the baby’s cough “is difficult, though loose and productive.” In other words, we have a loose cough that is difficult to raise. There you have it, the essence of Antimonium tart–lots of mucus, can’t cough it out!  Or, the mucus just keeps coming!  You’re never done!

A key word for Antimonium tart in this case was the word “rattling”. When you hear people say “rattling respiration” or “rattling cough” or “rattling breathing”, think of Antimonium tart right away.

Of course, Antimonium tart might confuse you with Gelsemium with its dullness and irresistible desire to sleep.  But Gelsemium is thirstless and Antimonium tart is actually thirsty for sips like Arsenicum.  Also, I doubt that Gelsemium would want to be carried, it’s a remedy noted for its “indifference”, apathy.  It may want something, but is too apathetic and indifferent to ask for it.

Elaine thank you for your reply and your detailed information about the remedy.  I learned something new today.


Thanks Dr. Choudhary!  Who else is here today?  I think I see Wayne all the way in Australia!  (These glasses are terrific!)

Hi Elaine, I think the remedy is Pulsatilla.

According to Murphy, there can be, Cough with retching and desire to vomit; loose cough with vomiting of mucous.

There is a yellow mucous discharge from the nose – yellow is a Pulsatilla clue.

Yes but yellow mucus is a bit too common to hang your hat on.

The child is now sad and desires comforting. There is groaning and rattling in the breath.

Yes, and “rattling” right away should make you think of….what remedy?  Antimonium tart!  And then you look back at the case and say, does anything else here go for Antimonium tart?  Well, we have the mucus that’s difficult to raise, we have the stupor, the lifelessness, the sparkle gone from the eyes, the dullness; so, yes, it was Antimonium tart.  Pulsatilla generally has no trouble expectorating.  They have a loose cough that’s easy to raise.  They are sad and weepy.  Pitiful.  You feel sorry for them.  They melt in your arms.  This baby is just kind of lifeless, just laying there on the mother’s shoulder like a sack of flour.

Better for sitting up – does not like lying down.

Yes, but you know what?  That goes for Antimonium tart too!

Best Regards,




Hi Elaine,

Oh look!  It’s Maryam from Pakistan!  You all remember Maryam, right?  She named her cat after me?  For as long as Maryam’s cat, Little Elaine Lewis, is in this world, I will not be forgotten!

Hope you are fine.  My guess for this month’s quiz is antimonium tart.

You are correct!

He was rattling, and was sleepy too.

You got it!

He wanted to be carried on mother’s shoulder so I first thought it could be Chamomilla but he was not so problematic like Chamomilla.

Yes, Chamomilla is screaming and angry…they are no fun to be around, even as babies!

So I think it’s ant. tart.

Good job!


Maryam from Pakistan.


Oh, look-a yonder, what is this I see?  (Funny how I just broke into a song by Hank Ballard and the Midnighters):

It’s the gang from Slovakia: Miroslav and Jitka!!!!!  Standin’ on the corner and they sure look fine!

Hello Elaine and Shana!

Hello Miroslav and Jitka!

Here are our answers to the February quiz.

OK, I’m ready!

Miroslav votes Pulsatilla.


A key symptom in this case is:

Mind: he wants to be carried, slowly: PULS ( a single remedy).

But wait a minute, how do we know the baby wants to be carried slowly?  We have no information for that.  We only know that he was worse lying down and better for being carried.

Murphy’s MM: “Child continuously wishes to be carried erect”. Guess what remedy? Antimonium tart!

Decompensated Pulsatilla child is always “clinging” to the mother, he wants to snuggle.

That’s very common for a baby, wanting to snuggle.  But …

“Child clings to those around” (Allen’s Keynotes) Guess what remedy? Antimonium tart!

Aggravation at night,

Night time aggravation is a huge rubric, roughly 250 remedies, meaning you can probably find almost any remedy there, including, guess what, Antimonium tart!

Thick yellow mucus, mucus refuted after administration of remedy (what is common in a Pulsatila case).

What is the key word in this case?  Rattling.  What remedy is the only “4” under “rattling breathing”?  Antimonium tart!

Next, the cough is described by the mother as “definitely difficult though loose and productive”.  What does that mean?  Cough is loose but hard to raise (“difficult”)!  What does that remind you of?  Does Pulsatilla have a cough that’s hard to raise?  No.  What remedy famously has a loose cough that’s hard to raise?  Antimonium tart!

Jitka votes Pulsatila:

Pulsatila: wants to be carried slowly.

But we have no information for that.  We only know the child is very dull and is worse lying down, better carried.

Piteous cry.

There’s no information for piteous crying.  In fact the mother describes his crying as “complaining”.

“Peevish whining and moaning” (Murphy)–Antimonium tart!


I’m not seeing any “changeability” here.  If the mucus changed colors, if every stool was different in color and consistency, that would be changeability.  But if you mean the case was “changing” because it was getting worse?  That’s not “changeability”.


He’s not so much “soft” as he is non-responsive, dull and lifeless.

Murphy’s MM: “Patient becomes increasingly weak, sweats, becomes drowsy and relaxed with lack of reaction”. — Antimonium tart.

Weeps easily.

No, he’s really only crying when you lay him down (“Aggravations: lying down at night” [Allen]–Antimonium tart.)

Yellow discharges.

The case seemed quite clear to us, that will be an awful shame if we answered incorrectly…:)

Well, I hate to be the bearer of bad news………but, maybe you learned something important about Antimonium tart today: They’re clingy, they want to be carried, they have a loose cough, they’re worse lying down–all the things one might associate with Pulsatilla alone.

Kind regards. Jitka


I think we may have time for one more answer.

Hi Elaine,

thank you for your teaching.

My answer is antimonium tartaricum.

You are correct sir!

MM — Murphy

“Its therapeutic application has been confined largely to the treatment of respiratory diseases, rattling of mucus with little expectoration has been a guiding symptom.  Great accumulation of mucus with coarse rattling,…… Child continuously wishes to be carried erect,…….. Patient becomes increasingly weak, sweats, becomes drowsy and relaxed with lack of reaction.

Modalities: Better from sitting erect from belching and expectoration.  Better from motion, vomiting, eructation, lying on right side. Worse from warmth, warm room, wraps, warm weather.  Worse from anger, lying, morning. Worse from overheating, cold dampness, on sitting down, when seated from rising from a seat or motion.  Worse from sour things and milk.

Best Regards

Sebastiano Di Salvo, M.D., Italy


OK, it’s time for us to congratulate our winners now.  On the honor roll today we have:

Maryam from Pakistan

Maria from Greece

Dr. Sebastiano Di Salvo from Italy


Dr. Abhishek Choudhary from India

Let’s give them all a big hand!

Revisiting: Baby Demonstrates Hering's Law 2

See ya next time!
Elaine Lewis, D.Hom., C.Hom.

Elaine takes online cases! Write to her at [email protected]

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About the author

Shana Lewis

Shana Lewis

Shana spices up the Hpathy Quiz with her timely announcements and reviews on the latest in pop culture. Her vast knowledge of music before her time has inspired the nickname: "Shanapedia"!

About the author

Elaine Lewis

Elaine Lewis

Elaine Lewis, D.Hom., C.Hom.
Elaine is a passionate homeopath, helping people offline as well as online. Contact her at [email protected]
Elaine is a graduate of Robin Murphy's Hahnemann Academy of North America and author of many articles on homeopathy including her monthly feature in the Hpathy ezine, "The Quiz". Visit her website at: and


  • Elaine, great quiz as usual. Dealing with babies is the toughest part in homeopathy as the baby does not describe its ailments. It entirely depends on the doc to evaluate the symptoms clearly. Great job done Elaine. Thanks for explaining Hering’s Law. You are a perfect Doc !!!

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