Clinical Cases

Revisiting: Freight Train Jumps the Tracks


Elaine gives the answer to last month’s quiz.

Who remembers last month’s quiz? I’ll repeat it here for those of you who didn’t see our last issue:


Sorry, Elaine. I had to take my daughter, the soccer player, to the ER to have her wrist X-rayed. She smashed it into the goalie last night at her game.


Well, Kelly, we here at the Hpathy Quiz are all too familiar with your extracurricular sports activities!

Yes, and, if I may speak extracurricularly for a moment….

If you can, please do!

I wanted to just thank all of our readers for the nice letters they sent requesting more quiz cases and asking why I have been noticeably absent in recent months.

What letters!?

You haven’t gotten letters?

Well, yeah, we’ve gotten letters, we got letters alright, here’s one now: “Dear Hpathy Quiz, the Quiz has never been better! The new kid is great!  Please keep her in The Quiz! Sincerely, Shana Lewis.”

Isn’t Shana your daughter? And isn’t she the “new kid” of whom she speaks?

You must be thinking of another Shana Lewis.

Can I begin now?

If you can, please do!

I call this case, “Freight Train and the Fever”.

Are you aware that “Freight Train” was a song made popular by Peter, Paul and Mary in the 1960’s?

Well, at the risk of sounding like an absolute moron, no, I did not know that. Now, if I can possibly begin…. You don’t have anymore announcements, do you?  If not…..   So…. The other day my son, let’s just call him…

Freight Train

–if there are no further objections to that?– came down with a fever. He had a soccer game that morning and had been playing at a team mate’s house all afternoon.

What?! He was playing soccer at a team mate’s house???

No, Elaine, he was playing at a team mate’s house!

Playing what?

I don’t know!!!

Well, therein lies the problem!

What problem?!  So, a few hours later I picked him up from the friend’s house and knew immediately that he wasn’t well. He had the flu–it came on like a Freight Train! His face was deep red as were his ears. I could feel the heat steaming from his head and body! His eyes were watering and he said, “Mom, I’m not feeling too good”. When we got home, I checked his temperature which was 103.5  He was chilly, a little dizzy when he stood up and not very thirsty. He did drink some icy cold water when offered it. Having no appetite earlier, he hadn’t eaten any dinner.

I gave doses of _____________30c, a total of 4 times within the hour. When the profuse sweat broke out on his face, I knew the fever had begun coming down. A few moments later he vomited. I began to worry but then he fell asleep and, minus one smaller episode of vomiting, slept through the night peacefully. His fever was all but gone the next morning and by that evening, Freight Train was back on track!!!!

So, that’s the case Elaine.

It was charming. And now, Kelly, If you miss the train I’m on, you will know that I am gone, you can hear the whistle blow 100 miles.

Is that by Peter Paul and Mary too?

Just click here and see:

500 Miles

If you know the answer to this month’s quiz, write to Elaine at [email protected]. The answer will be in next month’s ezine.


How did we do this time? Here’s the vote count:







Nux vomica–1


And the winner, with 12 votes, is…… Belladonna! There would have been even more, but some of you came up with clever reasons NOT to vote for Belladonna! For example, there was Pauline, who said,

“And the answer is gelsemium as you wouldn’t do another belladonna case so soon……….”

Yes, ladies and gentlemen, Pauline has solved the case using psychology! Sorry, Pauline, I’d do 20 Belladonna cases in a row, I’m that lazy!

And here’s another clever quiz participant–Sameer. He admits that it SEEMS like a Belladonna case, but he went for the strange, rare and peculiar instead, “…like the old masters taught us…”, namely, “desires ice cold drinks but is not thirsty” which led him to choose Phosphorus. There’s just one problem: “Freight Train” only drank the ice cold water because it was given to him, he didn’t even ask for it!  We can’t make anything out of this symptom! Sameer also chose Phosphorus because of the symptom, “gastric fever”, this apparently because of the vomiting at the end. Now, again, it seems you really CAN’T have too many Belladonna cases, because as I explained in my last Belladonna case, where the child with the Belladonna fever took the remedy and vomited, this is NOT part of the case! This is the curative response to the remedy! This is the remedy working; don’t our remedies cause discharging?  People cry after remedies, they perspire, they get skin rashes–all examples of discharging. The vomiting is just another example of that, especially if after that the patient completely recovers and falls asleep!

For our Apis voter, Apis and Belladonna can look alike, but Apis is an allergic remedy and Belladonna is more for infections. I think the Nux vomica person was, again, thinking about the vomiting, as well as the Arsenicum voter.

Gelsemium. I knew that as soon as Kelly said “the flu”, a lot of you would say, “Gelsemium!” But Gelsemium lacks something really important in this case–SUDDEN ONSET (hence the name “Freight Train”: “It came on like a freight train!”) Gelsemium doesn’t have this sudden onset. And I know the mention of ice cold water made some of you vote for Phosphorus.

Very quickly, a Belladonna fever in a child looks like this:

Heat, dry heat, so hot you can feel the heat before you even touch the child!  Redness, and Sudden Onset, and here’s an interesting point that only one of our readers picked up: Ailments from being out in the hot sun! Thanks to Nishita Gupta for that.

And now, here’s what some of our winners had to say:

Hi Elaine!!
Sudden onset…reddenning of face and ears…heat steaming from head and body..watering of eyes……i’d go for Belladonna..
-Akanksha Agnihotri.


Play whole afternoon in heat of sun

Heat stage-Hot flushes all over body with red face

Chill stage- Chilly with dizzy and a bit thirsty for icy cold water

Sweat stage-Sweat all over face with vomiting

So i think Belladona 30c will cure the fever in the night itself.

Nishita Gupta

Hi Elaine, I think Freight Train must have needed a dose of Belladonna.

Sudden onset, congestion to the head and face – face discolouration dark red, Radiating heat, thirstless, vertigo on rising, eyes lachrymation, chilly.

Cheers, Deb.

Hi Elaine,

I think the remedy this month is Belladonna. Rapid onset < 3pm, intense heat on affected parts, lack of thirst.

Best wishes,

Mary-Jane Sharratt
Sussex Homeopathy

Hi Elaine, I believe Freight Train received Belladonna Using Kent in homeoint, I obtained 21/9 for Bell and 14/6 for Arsenicum Face,
discoloration, red during fever; face, discoloration, dark red; and eye, lachrymation during fever all ruled out Arsenicum However, Fever, burning heat alternating with chilliness took the cake with 3 for Bell as the only remedy.

Jerry Field

Hi Elaine,

So, for the sudden, high fever with radiating heat, redness of the face and ears, I would recommend Belladona.

Thank you again for taking the time to write and educate us further.

Claude Marie Lainesse HD(RHom), DSHomMed


And now for our winners:

Jerry Field, Mary-Jane Sharratt, Nishita Gupta, Akanksha Agnihotri, Claude Lainesse, Rochelle Hurst, M. Noor Asi, Roger, Eva, Dr. Vishnu Gadekar, Deb-1 and Deb-2.

Conratulations, all of you! Oh Dr. Beeeeeeeeeee………. what do you have for our lovely winners?


This month’s winners will get a special 30% discount on one order of books from Hpathy Mall.

Click Here for Prize Guidelines

Elaine Lewis, DHom, CHom takes online cases. Visit her website at:

About the author

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

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