Clinical Cases

Revisiting: Help, I’m Exhausted!

Gabi and dog

It’s time to revisit last month’s quiz. Did you get the right answer?

Our friend Gabi from Canada writes in with the following:

Revisiting: Help, I'm Exhausted! 1

To read last month’s full case quiz. Visit – “Help, Im Exhausted!”


Eighteen enthusiastic responses came in! Here were the remedies you chose:

Aloe, Lycopodium, Mag-c., Phos-ac., Sulphur, China (2), Bryonia (2), Borax, Phosphorus (3), Psorinum, Chamomilla(2), Kali sulph., and Aethusa.

And the winner is, Aethusa! Sent in by clearly our smartest reader, but, unfortunately, not smart enough to sign his name! So, yes, the award goes to Anonymous!

Since Anonymous couldn’t be with us today, I suggest the award go to Alyona from Russia, who gave the most logical answer, and here it is:

“When I read this case I thought – it sounds like Sulphur (and my 4 y/o son too, who still craves milk at night, before taking Sulphur he had problems with stool, he is hot etc.) And as it is told, Sulphur worked in this case presented by you. The potency was not mentioned, so if a boy got ,say, 6C and it stopped working I would try 30C. It’s my first conclusion.”

Right, so, if a remedy works and it stops working, the first thing is to repeat it or go to a higher potency before giving up on it; and Gabi may have tried that. And of course, there is a lot of Sulphur in this case–sweating and turning red, worse heat of the bed, yellow mucus and so on. So, Sulphur in a higher potency was a good suggestion!
So, Alyona, send Dr. B a note at [email protected] and tell him you’d like something special, like, maybe, a lake-front apartment.

So, here was how I came up with Aethusa. When we look at a case, we ask, as Hahnemann says in paragraph 153 of the Organon, what is the most striking, strange, rare or peculiar aspect of this case? What stands out? Clearly in this case, the milk obsession could be described as the most “striking” and the most “peculiar” part of the case. When I read “screams his head off” if you don’t give him milk; I thought, “This is quite striking!!”

Another way of looking at this is that the milk obsession is the “Concomitant” in the case. In case-taking, the concomitant–the symptom that comes with the complaint despite having nothing or little to do with the actual complaint, can be a deciding factor in determining the remedy. Here’s an example of this:

headache with vomiting–Ipecac

headache with despair–Aurum

headache with anguish–Arsenicum

headache with burping–Carbo veg.

So, you can see how the concomitant influences the choice of the remedy. So, in this case, I felt the concomitant was a milk craving–a craving that, at the same time, made him worse. So, I said to myself, “We need a milk allergy remedy here!” I had remembered that Aethusa was famous for this, and indeed, it is in bold in Murphy’s MM for “Milk allergy”, and as a confirmatory symptom I also found “burning thirst” under Aethusa, and clearly, Gabi mentioned that Santiago was drinking “constantly”. So, I went with Aethusa, a little trepidatious because I had never prescribed this remedy before, but, once again, it proves the value of a strong concomitant or striking, peculiar symptom in a case!

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

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