Clinical Cases Case Quizes

Revisiting: Pneumonia Cured in 1 Hour With Homeopathy!


Elaine discusses the right remedy!

To read last month’s full case quiz. Visit – Pneumonia Cured in 1 Hour With Homeopathy!









Wayne got here first this month!

Hi Elaine,

Pity I missed last month’s Quiz.

And the month before that, and the month before that….

I think Roger’s remedy is Belladonna,

I agree!

although we are not told his pupils are dilated or whether his body is hot and his limbs are cold.

I repertorized the following–

Intermittent; fever ague malaria

This is the wrong rubric. Use “Lungs: pneumonia, right lung”. You picked the malaria rubric!  Now, I know why you did it, because the mother said the fever comes and goes, so, you wanted “fever, intermittent” but, “intermittent fever” is the other name for “Malaria”.  Luckily, Belladonna is in both rubrics.  The rubric you wanted was “Fever: remittant”

Bursting; pain; coughing, on

Good! I missed that one. “Headaches: bursting pain, coughing, on”.

Glassy , appearance during

Red; discolouration; headache, during

Use “Eyes: red” instead. It’s not necessarily because he has a headache. We don’t know why his eyes are red.  It could be the fever that’s making them red, or the coughing.

Aching; pain; fever during (legs)

Aching; pain; upper arms

Fever, general; agg. during

Chilliness; with fever

Pneumonia, infection, inflammation lungs; right, lung

Pneumonia, infection, inflammation lungs; right, lung; lower lobe

Forehead, headaches, pain, general; coughing

Thirstless general; fever, during

Belladonna scored in all rubrics except 3; other close remedies were phosphorus, bryonia and nat-mur.

Belladonna has pain that possibly causes fear, they enjoy the quiet, resting and lying down.

I am swayed towards Belladonna, because of the glassy eyes and redness.

You have a lot of unnecessary rubrics here, what I call “clutter”.  That’s why Belladonna didn’t cover the whole case.  For example, taking a rubric like “pneumonia, right lung, lower lobe”–that’s awfully picky; and indeed, Belladonna wasn’t there.  But it WAS under “Pneumonia, right lung”.  Rubrics that are too small are going to make us lose the remedy.  We especially don’t need to be so picky when there are keynotes in the case!

Let me explain it this way:  If I say to you, “Wayne, could you do me a favor?  I need you to pick up Shana from school, I’m not going to make it in time.  I’m all the way out in Jipip and the traffic is terrible!” And you would say, “How am I supposed to know what Shana looks like?”  And I’d say, “She’s short, about 5 feet tall, cafe au lait complexion, brown hair, and she’s got an Afro.”  Now, does anything else matter?  Is anyone else going to match that description?  So do I have to tell you that she’ll be wearing blue jeans, sneakers and a t-shirt and that she’ll be carrying a backpack?  So will everyone else!  That’s not going to help you; it’s just “clutter”!

So, with that in mind, if I say to you:  Dry fever, comes on suddenly, thristless, right-sided, glassy eyes; what’s the remedy?

You know it right away, it’s Belladonna!  You don’t need to know anything else.  Anything else just clutters up your perception!  Aching arms and legs during a fever?  It’s common!  Coughing with pneumonia?  Very common!  Who doesn’t cough with pneumonia?  Red eyes?  The red eye rubric is huge, 262 remedies!  Look what happens when I repertorize just the characteristic symptoms in the case; only Belladonna covers it!

Revisiting: Pneumonia Cured in 1 Hour With Homeopathy! 1

Thanks for the advice.

I don’t normally do so many rubrics.

Right, because, you see, as I’ve said so many times about The Repertory, it’s not like all the remedies are in their rightful place.  If they were, we could easily take every symptom in the case, and they would all add up to Belladonna!  But look at how Belladonna wasn’t in “Pneumonia, right lung, lower right lobe”.  So the more rubrics we select, the more likely we are to have a very spotty repertory sheet!  You’d look at it and say, “There’s no decisive winner here!”  We’ve got to stick to the characteristic symptoms.  What’s a characteristic symptom?  When you’re looking for a child at “parent pick-up”, you’ll never find her if you’re looking for a kid with a backpack, sneakers and jeans!  No, they’ve all got backpacks, they’ve all got sneakers!  This is how you have to look at symptoms in a case.  Muscle aches during a fever, is that characteristic?  No!  What about a cough with pneumonia?  No, that’s not characteristic at all!  What about a headache with fever?  Again, not characteristic.  You have to clear away everything that’s not characteristic and see what you’re left with.  What you’re truly hoping for is that you’ll see a keynote of a remedy, like “sudden onset” and “glassy eyes”.  Then, once you suspect Belladonna, you can go back and look to see if anything in the case contradicts Belladonna.  What would contradict Belladonna?  Thirst!  If the patient was thirsty, you would really have to think twice about Belladonna.

I usually do 6-8 rubrics, but the quizzes can be tricky & I try to find out overdoing it perhaps.

I am glad I did because I learned quite a lot, particularly about the Malaria rubric & much more. (picking up Shana)

…which you may have to do if the Rolling Stones ever come to Australia again!

Thanks once again.


Look, Eva’s back! Hooray!!!!!

One hour pneumonia cure: Bryonia.


Dry cough, wants to lie still, red eyes, <warmth, lower lobes, right-sided, desires pressure, mind: quiet – wants to be quiet.

Lovely case!

Thanks!  But, what do you think of when you hear “glassy eyes”?  Plus, there’s a big problem for Bryonia in this case: Bryonia is very thirsty but the patient here is thirstless.  So, if I say to you, glassy eyes and thirstless, right-sided complaint, what do you think now?

What I think is ‘Eeek, I should know this!’

Puls is right-sided

Well, I believe it can be either side. It’s a 2 under Generals: sides, one-sided symptoms.

and has everything else too, and it’s our famous non-thirsty rx.

It’s one of our famous non-thirsty Rx. What are the other 2?  Belladonna and Gelsemium.  Less famous ones–Antimonium tart., Apis, Ipecac, even Arsenicum and China, among others.

Bell has the famous glassy eyes, is right sided, but no mention of red face

You can’t make an issue out of that because even though Belladonna is a 3 under “red face”, it’s also a 2 under “pale face”; so, if you disqualified Belladonna on that basis, you should put it back in the running.

Lyc looks just as likely.

It’s right-sided for sure.

Bell has the eyes, is also thirstless and supposedly right-sided ( I never knew!)

Oh yeah, it’s right-sided alright!

I s’pose I go for Puls or Lyc

Here’s why you’re wrong. You missed the “sudden onset” symptom, which is here:

Question #17. What is most striking, peculiar or identifying about your condition?

It seems to come on gradual, but then gets worse fast-fast.  Little cough, then boom! the fever comes and it’s on!  Him wanting to put pressure on his head for his headache is interesting too.

“But then it gets worse fast-fast”. “Boom!” What’s that? What remedy is famous for that? Belladonna.

Aconite has sudden onset too but Aconite is thirsty.

Thanks for voting, come back soon!!!!!


Hi Elaine,

Hi Esther!

Giving this a try again this month

Thanks, I really appreciate it!

it sounds like there was a great remedy response so your choice must have been spot on.

Ok here is my analysis;

We have a young client who is unusually quiet and inactive, even non-talkative, due to a viral Pneumonia which affects his Right lower lung.  It makes him cough something terrible but there is no expectoration, it is dry, the cough is just about causing him to vomit.  He is thirstless except for when his intermittent fever breaks.  He likes to be warm and quiet, lying down in bed.  He also has a headache affecting his forehead, which is better for applying pressure.  His eyes are glassy and he has a clean tongue.

No, no, don’t say that.  The mother says the tongue is “normal”, so we shouldn’t be commenting on the tongue at all.  “Clean tongue” can have a bad connotation. Look at the remedies under “clean tongue”:  Arsenicum, Hyoscyamus, Ipecac, Cina, Pyrogen … some very “sick” remedies, suggesting that “clean tongue” is very pathological; so, we don’t want to say “clean tongue” when we mean “normal tongue”.

I think this little fellow may need Bryonia.

This is what just about everyone is saying; but, why can’t it be Bryonia?  There’s one big reason.  Bryonia is thirsty whereas this boy is thirstless.  And here’s another reason: “sudden onset”.  Look at this statement from the case:

“It seems to come on gradual, but then gets worse fast-fast. Little cough, then boom! the fever comes and it’s on!”

A well indicated remedy in Pneumonia/ respiratory

Known for dryness

Known for wanting to be still, not moving, not talking

Right, but do we really know for sure that he’s not moving?  He’s quiet and lying down but he’s in his bedroom, his mother has other children who are sick and can’t sit with him and watch what he’s doing; he may be moving his arms and legs, turning over in bed, etc. for all we know.  It’s somewhat common when people are sick to go to their beds and lie down; what’s characteristic about Bryonia is that they are made worse by the least motion; in other words, it’s more than just lying quietly.  You can be lying quietly when you’re sick but still able to move without getting worse.  In Bryonia, even breathing makes them worse–whether it’s pain or nausea…whatever it is.  Bryonia is locked into place!  They say that Bryonia can’t even lift his head off the pillow!  He can’t even answer questions!  This is why they are so irritable, because you make them answer questions and it makes them worse!  So when you see a patient who’s not moving, try to discern why.  Maybe he’s just tired and wiped out.  Maybe he’s depressed, like Phosphoric acid; or bored, like Sulphur.  Don’t look at someone who’s not moving and say, “Bryonia!” unless you’ve found out why.  It appears that a lot of people this month looked at Roger, saw he was “laying down and being quiet” and went right for Bryonia!

Has pains > pressure

Right sided symptoms

Clean tongue, glassy eyes

So, Esther, if I say to you: Right sided complaints, glassy eyes, sudden onset, thirstless…what do you say?  You can only say Belladonna!


Hello Elaine and Shana,

Hello Miroslav and Jitka!

above all we want to thank you for a very interesting recitation of the case of Marge Simpson.

Thank you!

It was very instructive to compare constitutions of Sepia, Carcinosin and Staphysagria.  Because of our lack of understanding of spoken English we did not have a great chance to understand these differences in the character of Marge, but your explanation was very intelligible to us.

I thought it was a very educational quiz myself!

Here are our solutions to the case of pneumonia :

Miroslav´s opinion is as follows:.

“I examined the new quiz and for me came out this:

severe pain, which improves by the pressure,

Yeah, but, wait a minute, wait a minute. By severe pain, you are probably referring to the headache.  Headaches are very common concomitants with fever.  Am I not right?  Fever, headache, body aches…it’s all very common.  I can’t make too much out of that. It’s not the place to start.  Don’t start with that.  He’s got pneumonia, let’s start there.  Right-sided pneumonia.  In Murphy’s Repertory, go to Lungs: pneumonia, right lung.

he does not want to move or speak.

OK, don’t get ahead of yourself.  As I explained to someone else a minute ago –because pretty much everyone voted for Bryonia–just because someone is lying down and not saying much, does not mean that they are “worse least motion” (Bryonia’s grand keynote).  In fact, it is very common for someone who has pneumonia to want to lie down, we can’t make anything out of that, it’s not a clue to the remedy.  What would be a clue?  Something peculiar, characteristic, individualistic, or a remedy keynote; not something common done by almost everyone.

Temperature without sweating,

So we call that dry fever. “Fever: dry”.


No, no, there is NO thirst!  This is a very big mistake you’ve made!  Right in question #1, we are told that Roger is “thirstless”:  “Eyes are glassy. Thirstless.”  As soon as I saw that, I knew what the remedy was.  Here is all the information you need:  Right-sided pneumonia, dry fever, thirstless, glassy eyes.” That’s it!  Nothing else matters!  Later on she mentions “sudden onset” which only confirms our suspicion:

Question #17. What is most striking, peculiar or identifying about your condition?

It seems to come on gradual, but then gets worse fast-fast. Little cough, then boom!

Did you see that? “Boom!”  What is the only remedy we could possibly be talking about?

viral illness,

Useless symptom. Not even in the repertory; closest match is the flu rubric; but, we know this is pneumonia, right-sided; so, that is our primary rubric.

headache, frontal,

Common viral symptom, doesn’t really help us.

pressure improves, right-sided pneumonia, dry irritating

cough very strong,

You could take the rubric, “Coughing: paroxysmal”.

cough irritating stomach to vomit–Bryonia

You don’t know that. The cough may nearly cause vomiting because the cough is making him gag.  That is more likely the case.  What goes against Bryonia here?  It’s thirsty–very thirsty!  And our patient is thirstless.


I chose following rubrics because I think are relevant in this case and based on them I vote for Bryonia.

Head; bores head in pillow Bry 2

That simply means he’s “better pressure”.

Head, pain; in forehead; Bry 3

A common symptom in fevers.

Head, pain, forehead, pressure, amel. Bry 3

Head, pain; better pressure Bry 3

Chest; inflammation; lungs; right; Bry 3

fever; wants to be quiet in any stage Bry 3

Cough; intermittent; with vomiting; Bry

No. The only way to describe the cough is “paroxysmal”, which means attacks of coughing.  And there is no vomiting here.  As I said above, I believe he coughs so much and so hard that it makes him gag.  Anyone would be gagging under the circumstances, it’s not characteristic.  Remember what I always say: If the illness explains the symptom, it’s not a symptom.  For instance, do we care about the body aches?  No, because it’s common in fevers.  Do we care that he lies quietly?  No, because it’s common to want to go lie down and be quiet when you have a fever.  That really gives us no information.  So as far as the cough is concerned, “coughing: paroxysmal” is all we can add to our list of symptoms.  The coughing attacks make him gag, it would make anyone gag; and remember, he never really vomits; so, we should just leave it at that.

mind; quiet, peace; wants to be quiet Bry 3

Cough, dry – Bry 3

Stomach, vomiting, coughing, on Bry 3

You’ve actually left out the characteristic symptoms!  As I told Miroslav above, right in the answer to the first question we learn what the remedy is:

Right-sided pneumonia, dry fever, thirstless, glassy eyes.  That’s all we need to know!  That’s all there is to this case–that and “sudden onset” as I described to Miroslav.  What goes against Bryonia here?  Why can’t it be Bryonia?  Bryonia is thirsty.


So there you have it, everybody!  I hope this was educational.  Time to congratulate our winner, Wayne Butcher from Australia!  Way ta go, Wayne!

See you back here again next time on the Hpathy Quiz!


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


  • elaine, thanks a lot. i was thinking bell first, but was misguided by the word GRADUAL and i too opted bry. i didnt give head to the word BOOM. thanks a lot for this new learning…..

  • dear Elain,
    I like to reed your articles very much, they are very helpfull, thank you. I would like to ask for your opinion about one my case: he is little boy, everything fit to Sulphur, except: mom and the son in one voice said that he like very much bathing ( sorry for my english). Can I ignore this and give Sulphur, or you would search further…thank you, much regards

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