Case Quizes Clinical Cases

Revisiting: Deep Cracks

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Revisiting: Deep Cracks. Elaine gives the answer to last month’s quiz!

To read last month’s full case quiz. Visit – Deep Cracks






Well, it’s like good news and bad news: The bad news is that not a lot of people voted for some reason. Was the quiz too hard? But the good news is, out of those who did vote, the majority were right, it is Petroleum! Wafee Abdul Samad said:

Petroleum. Kent says it is one of the abused remedies.

I wonder what that means?

I considered the contact ailments with chemicals ( petrol); also considering rubrics like: fingers, chapped tips, fissures, cracks (2); Cracks deep, bloody (3); Ear, noises, ringing (3); Skin agg winter (2); Skin dry (3); Nails, skin around dry cracked (1); Frightened (startle) easily (2). Petroleum also lacks heat. I searched for heavy lids or drooping eyes and found nothing but in Allen’s there is weakness in the eyes, and easily fatigued, but here again he is not sure when do some of his complaints start, so I am not sure if it is a concomitant.

Thank you Wafee, good job! Is anybody else here? Oh, look, It’s Natalie!

Well, again, it seemed a bit too obvious since he reveals what he feels brought on his condition (petrol products)..

and Petroleum appeared to fit, but when I added all symptoms, the repertory puts Sulphur on top??..(not totally shocked, because the first thing that came to mind as I started to read it WAS Sulphur, but then I felt he gave the ultimate clue by telling what he believes brought it on.

I used the following:

Respiration arrested on falling asleep (he mentioned a C-pap)

Ear noises; ringing

Locomotor; Extremities, Feet, toes; cracks in skin

Desires sweets

Desires coffee

Desires milk (cold)

Desires food warm

Extremities cracks deep bleeding

Sleep flat on back

Eyes, eyelids/margins drooping

Modalities better warm weather

Modalities worse washing

He admits to not exercising (loafs, too lazy to arouse himself) and having to get up at night to urinate (both Sulphur)

SO, despite my gut feeling about the Petroleum.. I guess I will go with SULPHUR…Loving the quizzes!– Natalie

Well, Natalie, you were right about the case being obvious, and the answer was Petroleum! And why? Because (all together now!) Etiology over-rules symptomatology! What you found was his possible constitutional remedy (hey, thanks for that!) but when you know what the cause of something is, that is most likely the remedy! (Now we can see if Sulphur gets rid of the rest of his problems!)

Is anybody else here?

Hi Elaine,
Another month has passed — already.
I believe this month’s remedy is Petroleum.

I believe you are right!

I think Joe Schmo has absorbed the chemicals and these are still in his system.
Petroleum according to the like cures like sounds to be the right remedy. It has ringing in the ears, worse in the wet and winter and cracks and bleeding in the hands.
Like Kent says this is a good remedy where there is inability to throw out eruptions of the skin or conditions in which an eruption has disappeared without improvement to health.
I think one day you should publish “Elaine’s Tid Bits”. Such a lot of good information.

Someday Dr. B will, I’m sure, put my articles in a book. Thanks for mentioning it, though!

Good Luck,
Wayne Butcher

Oh look, everybody, it’s Miroslav and Jitka!

Dear Elaine,

above all, please accept my heartfelt condolences on the loss of your friend – singer Ben E. King.

Revisiting: Deep Cracks 1

Thanks, Jitka! It did come as a horrifying, unexpected shock.

Here are our regular contributions to the quiz.

Miroslav votes- Lycopodium

At first I was thinking about Petroleum, but eruptions in this case would be likely more moist, purulent, crusts would be formed and moreover eruptions would appear also on genitals and a hair skin .

But the case points out to a homeopathic remedy from the Silicea family since this is a man who likes sweets, is intellectually oriented, his nails are brittle and fragile, so I would choose for him Lycopodium.

Miroslav, even though he could possibly be a Lycopodium? Remember that etiology over-rules symptomatology! The etiology here is quite clear! He told us what his remedy was! He said, “I went through allergy testing and it said plastic/petroleum products were the problem.” What more could you ask for? And then if you look up Petroleum in the materia medica, you get, “Skin of hands rough, cracked; Tips Of Fingers rough, cracked, fissured…” (Allen’s Keynotes) Sooooooo…….What can I say? It’s hard to ignore Petroleum! It just doesn’t get any better than this, I wish all my cases were this easy!

Jitka votes – Petroleum

This time I decided not to look for any tricks in the quiz but solve it straight-forward. Because Joe Schmo´s chronic complaints were caused by petroleum products, I think you prescribed the remedy Petroleum.

Yay!!!!!! You are absolutely right!!! When you think of Petroleum, you should think of CRACKS! If you learn nothing else here today, remember that Petroleum has CRACKS!

Petroleum – rubrics:

Extremities, chapped hands

Extremities, cracks skin, hands

Extremities, cracks skin, hands, deep and bleeding

Extremities, cracks skin, hands, winter, in

Extremities, cracks skin, fingers

Extremities, cracks skin, fingers, tips of

Skin, cracks

Skin, cracks, deep, bloody

Skin, cracks, winter, in

Skin, dry

Ear, noises, ringing

Although some rubrics are common for the Sulphur and such, I definitely chose a remedy Petroleum on the basis of this rubric:


-Chapped skin,

-cracked fingers,

– the tips of : Aur-m., bar-c., Graphites, Petr.


Here’s an update from Joe Schmo’s wife a month later:

“Elaine, he said his hands are good but he isn’t taking anything right now. He said this is the best they have looked in years.”

And I just got another update today, this is May 19, 2015:

On another note, my husband had his Dr. App’t. yesterday and they checked his hands (which he [the doctor] has been doctoring for this issue for 20 years). They could not believe how good his hands looked. We told them it was Petroleum 6C. No response from them

Ha-ha!  Doctors hate us!  So now, how about giving it up for our winners!




Wafee Samad

Wayne Butcher

Congratualtions, everybody! See you back here again in June! (Good grief! June already????)


Elaine Lewis, D.Hom., C.Hom.

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

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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

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"!


  • As usual nicely taken case and equally good explanation. You are really best teacher.
    Madam kindly suggest rubric in a case of a girl of 8 years . She is suffering from Psoriasis of scalp where there is no itching at all and complaint started within 6 months of change of her school. She has also unique habit of smelling everything like handkerchief, pillow, bedsheet etc usually when she is idle. She is thermally ambithermal.
    Main aetiologycal factor is change of school and leaving behind all her contacts. Kindly suggest rubric for the same.
    Thanking you

  • Thank you madam for your kind suggestion.
    Can Ignatia do good when the patient is ambithermal and Ignatia is chilly drug?


  • Many thanks for clearing the doubts by directing to quiz case. I will confirm Ignatia in the child when she visit me next week before giving it.
    Thank you

  • Respected Madam ,
    in the above case the girl patient did not visit me but her mother talked me on phone and I gave Ignatia 30 single dose. Yesterday i. e. after about 15 days her relative told me the girl patient improved dramatically.
    Many many thanks for intelligent guidance.

  • Thanks for replying.
    I have not yet talked to her mother. When I talk to her mother I will definitely enquire into her habit of smelling everything when idle.

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