Case Quizes Clinical Cases

Revisiting: Susan Goes Into A State!

Did you get the right answer to the December quiz?

To read last month’s full case quiz. Visit – Susan Goes Into A State!








OK, who wants to start? Stand up so everybody can hear you.

Hi Elaine and Happy New Year to Shana and yourself.

Same to you, Wayne!

I think this month’s remedy is Aconite.


Pulse: Slow

Fears, Phobias, general; death, of heart symptoms during

Anxiety; chest felt in the

Anxiety; fear with

The top 2 remedies are Digitalis and Aconite, then Arsenicum and Phosphorus.

This seems to be an ailment of fear – fear of death and anxiety about the heart.

The fact that she was lied to so often must have upset the heart.

Looking forward to the answer.

Well, I hate to say it, but, it’s not Aconite.  Try to remember that Aconite, by and large, is a very intense remedy.  It’s often hard to distinguish between Aconite and Belladonna!  The fevers are high, the pulse is pounding, rapid, the onset is sudden, there is great thirst, a need for air, the patient is restless, there is tremendous fear, the patient is sure he’s going to die; or, in fact, thinks he is dying!  Think about airplanes going through turbulence, an earthquake, a tornado, a boat in turbulent waters, a near-miss car accident; this is the kind of situation that brings on an Aconite state.  There are only 5 remedies listed under “Mind: fear, extreme fear”, the main one is Aconite, the other 4 are remedies most of us don’t have.

This case has a strange/rare/peculiar symptom and the rubric for it is:

“Heart: stop beating, as if heart would, when ceasing to move”

There’s only one remedy listed for that, and it’s in italics; it’s Gelsemium!  And, when you think about it, you might think of this case as “ailments from bad news”, as in, “Oh no, I’m being lied to– again!”  Or, “fear of ordeals”–another Gelsemium rubric.  “They lie to me a lot, and it wears me out,” said Susan. It sounds like she’s describing going through an ordeal, doesn’t it?  You wouldn’t think of Aconite for that.

Gelsemium is known for “slowness”, everything is slowing down, speech is slowing down (sometimes they can’t even finish a sentence), dullness of the mind, slow to comprehend, slow to convey their needs–sometimes they don’t convey their needs at all.  Slow and sluggish. So naturally, the heart slows down.

Well, there you have it. Gelsemium.  Thanks for voting, Wayne!

Is anybody else here today?  Oh look, it’s the twins from Slovokia!

Mom, they’re not twins, and you spelled Slovakia wrong!


Hello Elaine and Shana,


Wishing you a happy and prosperous New Year.

Same to you guys!

Here are our answers to the December quiz:

Miroslav says:

The only remedy that comes to mind is Digitalis

I found it in rubrics: – the heart as if stopped beating

– the heart as if stopped beating, acute anxiety

– pulse slow

– the heart agonizing anguish

I wouldn’t say there was agony or anguish…

– fear to sleep that breathing stops

There was no fear about breathing stopping, just that the heart would slow down too much if she didn’t keep moving; and, in fact, Digitalis is just the opposite; it’s the only remedy–and listed in BOLD–under “Mind: anxiety, motion, from heart disease, in”; which I think means “anxiety from motion in heart disease”; in other words, the Digitalis patient is worse from motion but our patient, however, feels she has to keep moving.

Basically, Miroslav, you’re forgetting about the etiology.  This isn’t really a heart case, it’s a case of “ailments from bad news”; perhaps not in the literal sense of someone calling with bad news; but, more like the news is, “Hello!  I’m being deceitful and lying to you again!”  In other words, you’re getting unpleasant surprises.  And what’s our main remedy for “ailments from bad news”?  And similarly, what remedy has “slowness and sluggishness” as a feature?

Jitka thinks: Arsenicum alb.

At first I thought because of slow pulse, the remedy might be Digitalis.  But then it seemed to me that Susan was too fussy because of the people who were lying to her and had exaggerated concern for her pulse.  This reminds me more of the Arsenicum album state.

No.  First of all, you’re assuming “facts not in evidence” as they say in the courtroom.  You’re saying the average person would not be so “fussy” as Susan about being lied to and having an irregular pulse, and therefore, it must be Arsenicum.  We actually don’t know, we have no way of knowing how the average person reacts to being lied to or having a slow pulse–are they “fussy”, or calm, or speechless?  We have no idea.  Maybe everyone would act as Susan did, we just don’t know.

In BOLD, in Murphy’s Materia Medica, under a certain remedy, Robin has:

“A feeling as if it were necessary to keep in motion or else heart’s action would cease.”   Wow! That exactly matches our case, doesn’t it?  So we need an “ailments from bad news” remedy that has slowness, slow heartbeat, and the fear that if they don’t keep moving their heart will stop. It’s a “keynote”, a “characteristic” of what particular remedy?

Hello again, Elaine.  I sent our corrections:

Miroslav says -Gelsemium

I looked at it again and it is: Gelsemium.

It is in the rubric “Mind, news, bad, ailments from”: GELS


and also in MM – Phatak: Heart: Feeling as that the heart stops when the patient stops moving.

Yes, very good!

Jitka- Gelsemium

I found a rubric, which is listed in Murphy’s like this:

HEART: to cease, as it should; afraid that the heart will stop, if he is not moving – GELS, trif-p

That’s right!!! You got it now!


Do we have a caller?  Hello! Is the caller there?  You’re on the air at

Hi Elaine and Shana!

Hi Maria!

I read the quiz and I thought “Maybe arsenicum”.  I read it again and again.

I opened 2 repertories to find if there is such rubric.  There was!

There was?

Not entirely the same, but I think it is very similar.  Here it is from Radar keynotes in bold.

And from Murphy’s repertory:

Mind/fears/heart arising from/heart will cease beating/unless constantly on the move.

Yes, that’s it!  Good for you for finding it!

The only remedy in it is Gelsemium.

You got it, kid!  Yes; incredibly, it’s the ONLY remedy!

She was afraid to sleep because her heart will stop beating.  So my vote is for Gelsemium.  If I am wrong I will try again.

You’re not wrong so forget about it!

Happy new year and happy new quizzes!

Thanks!  We have one more right answer, and it’s from Mahbub:


Here is my solution:

anxiety … anxiety and perception of slow heart rate may be explained

as being paralyzed by fear” as in Gelsimium.

Close contender would be Argent Nit…

I would vote for Gels


Yes, they call Gelsemium “the great paralyzer”.  You know, it’s one of our main remedies for Polio!

And now it’s time to give a shout-out to our two wonderful winners!  Congratulations go to Mahbub and Maria!  Way to go, you guys!  And thanks to everyone who voted!  See you again in February for another wonderful and fabulous Hpathy Quiz!
Elaine Lewis, D.Hom., C.Hom.

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

Visit her website:

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"!


  • Elaine,

    Happy New Year 2016. What a wonderful quiz, for a great start. You really have a microscopic eye for the symptoms. Your perception of the symptoms, is marvelous. I missed answering for this quiz, but enjoyed reading your comprehensive explanation. Great one Elaine, and thanks for educating us as always.

    Thanks, Vamsi.

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