Here is the original case from Oct 2012 :
Solution:
- Totality :
- Jolly jesting.
- Discontented.
- Forsaken feeling – relatives.
- Pessimist.
- Religious.
- Loss of presentation – ugly.
- Abusive.
- Extravagance.
- Irritable.
- Greedy.
- Irritable.
- Desire: Sweet.
- Perspiration: Profuse.
- Quarrelsome.
- Sadness.
- H/o suppression of skin ailments.
- Pneumonitis –inflammation of lungs.
- Thermal: Hot.
- Miasm : Syphilitic.
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Remedy Selected : SULPHUR 30
-
Response :
The patient responded remarkably just after 10 days. The most amazing & important thing is that the continuous ventilator that he needed was totally removed as he was able to breathe normally. This was the first time that the patient spoke, “Now I’m feeling good and I can breathe easily.”
Patient was able to sit up in his bed with minimal support and was also able to stand for a few seconds. In a few days, his face became normal and gave a healthy look to the patient.
Further, he progressed well and recovered fully.
He said in the follow up that he didn’t know what had happened to him and he thinks that he had just got up from a deep sleep.
-
D/D :
Antimonium Tartaricum : It is a well known remedy for such respiratory manifestations. It shows symptoms of marked respiratory insufficiency.
This case was a perfect match for pathological aspect. But as per our principles, the drug should be a match on physical, mental and particular, along with pathological level, to get a complete result which is not the case with this patient’s presentation.
Lycopodium : Lycopodium seems to be close to this case, but it does not cover the extravagance and untidy character of patient. Also the pace of disease development in this patient is very fast, in contrast to the pace of Lycopodium, which covers mostly slow developing pathology.
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Readers’ Responses
Sulfur 30ch, once – A. Oberoi v.oberoi@videotron.ca
The rubrics are:
Recurrent inflammation of wounds (suppressed with ointments)
Ailments from suppressed eruptions
Dwells on religion
Septic fever
Thirst
Quarrelsome
Making many plans
Neglects his appearance
Feelings of rage
Insomnia at night, with sleepiness during daytime
Aggravated by heat
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Sulphur – Dr. Gagan Nakra gaganpooja@yahoo.com
Untidy dress up; He desires for a lavish, hi-fi living. He plans a lot for different things, but never executes. skin eruption suppression several times.
|
1 |
1234 |
1 |
FEVER – RELAPSING |
18 |
|
2 |
1234 |
1 |
FEVER – REMITTENT |
46 |
|
3 |
1234 |
1 |
COUGH – FEVER – during |
86 |
|
4 |
1234 |
1 |
MIND – QUARRELSOME |
189 |
|
5 |
1234 |
1 |
MIND – SYMPATHY from others – desire for |
6 |
|
6 |
1234 |
1 |
MIND – ANGER – violent |
93 |
|
7 |
1234 |
1 |
MIND – SUPERSTITIOUS etc… |
26 |
|
8 |
1234 |
1 |
PERSPIRATION – PROFUSE |
224 |
|
9 |
1234 |
1 |
PERSPIRATION – STAINING the linen – yellow |
29 |
|
10 |
1234 |
0 |
MIND – INDIFFERENCE, apathy – appearance; to his personal |
11 |
|
11 |
1234 |
1 |
MIND – TASTELESSNESS in dressing etc… |
20 |
|
12 |
1234 |
1 |
MIND – PLANS – making many plans |
23 |
|
13 |
1234 |
1 |
GENERALS – FOOD and DRINKS – fruit – aversion |
24 |
|
14 |
1234 |
1 |
GENERALS – FOOD and DRINKS – milk – desire |
72 |
|
15 |
1234 |
1 |
GENERALS – FOOD and DRINKS – spices – desire |
74 |
|
16 |
1234 |
1 |
GENERALS – FOOD and DRINKS – pungent things – desire |
41 |
|
17 |
1234 |
1 |
SKIN – ERUPTIONS |
210 |
|
18 |
1234 |
1 |
HEAD – CEREBRAL HEMORRHAGE |
72 |
|
19 |
1234 |
1 |
CHEST – INFLAMMATION – Lungs etc… |
139 |
|
20 |
1234 |
1 |
MIND – MOOD – changeable etc… |
215 |
|
21 |
1234 |
1 |
MIND – GAMBLING – passion for gambling |
10 |
|
22 |
1234 |
1 |
GENERALS – SEPTICEMIA, blood poisoning |
101 |
|
23 |
1234 |
1 |
GENERALS – HYPERTENSION |
122 |
|
sulph. |
ars. |
verat. |
chin. |
phos. |
bell. |
lach. |
nux-v. |
bry. |
calc. |
||
|
20 |
18 |
17 |
16 |
16 |
15 |
15 |
15 |
14 |
14 |
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Sulphur – Elaine Lewis lewra@aol.com
I’m hoping it’s Sulphur. He has plans but doesn’t complete them, he’s got skin eruptions, he’s hot, he’s messy…what can I say?
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Antimonium Tart – Julija P. Lande -Homeopath
STOMACH – VOMITING – heat – during
CHEST – INFLAMMATION – Bronchial tubes – accompanied by – weakness
PERSPIRATION – PROFUSE – Affected parts, on
SLEEP – SLEEPLESSNESS – night – sleeps by day
MIND – CONTRARY
GENERALS – DISTENSION; sensation of
MIND – PLANS – making many plans – realize them; but don’t
CHEST – INFLAMMATION – Lungs
GENERALS – WEAKNESS – acute diseases – during
COUGH – REMITTENT fever, during
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CHINA ARSENICOSUM – Dr. Christiane Lhuillier
I have tried to consider the case in its totality and I have repertorized these symptoms:
Pneumonia / septicemia/ fever alternating shivering/ perspiration staining the linen yellow
vomiting on coughing / aversion to fruit/ vegetarian diet
MIND violence vehemence dead of rage /abusive, insulting//husband insults wife/ pessimist/ ambition but indolent
OLD TROUBLES hemorrhage tendency/ stomach ulcers/ swallowing difficult
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Pyrogen – (after recovery follow with Phos) Veronique Jack
Due to the severity of symptoms and the urgency of treatment necessary I would immediately treat the patient with Pyrogen. The most important aspect is to get the patient out of danger straight away and deal with the septic condition.
I chose 3 confirmatory rubrics:
Chills, Septic conditions, chills from (Murphy) p358: pyrogen
Fever, septic p849: PYROGEN
Clinical, Septicaemia, blood infection p466: PYROGEN
I would probably give it in the 200 potency repeated as necessary until fever abated and then twice a day until definite signs of recovery.
As the patient recovered, I would consider treating him with Phosphorus which covers most of the symptoms down to his gambling habit according to Philip Bailey.
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Phosphorus – Patel Rahul
LIST OF RUBRICS
1 1234 1 Food – SWEETS, general – desires 67
2 1234 1 Food – FRUIT, agg. – aversion to 19
3 1234 1 Mind – FEAR, general, phobias – noise, from 41
4 1234 1 Mind – CONFIDENCE, lacking, no self esteem 86
5 1234 1 Breathing – DIFFICULT, breathing 287
6 1234 1 Throat – SWALLOWING, general – difficult 151
7 1234 1 Skin – ERUPTIONS – suppressed, eruptions, ailments from 81
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OPIUM – Kaushik Banerjee
Please find the rubrics.
[Allen ] [W]Weakness:Vomiting, after:
[Kent ] [Fever]Intense heat:
[Complete ] [Generalities]Food and drinks:Fruit:Aversion:
[Complete ] [Generalities]Food and drinks:Sweets:Desires:
[Complete ] [Stomach]Thirst:
[Complete ] [Rectum]Constipation:
[Therap ] [Aggravation]Eruptions, after suppression of:
[Complete ] [Rectum]Constipation:Insufficient, incomplete, unsatisfactory stools:
I chose for OPIUM after this small repertorisation & then reading materia medica and inactivity of the organs. OPIUM is thermally HOT & so is SULPHUR too. I took very less symptoms and saw myself closing towards OPIUM, SULPHUR, BRYONIA, ARSENIC etc. In the case the patient is OLD where his vital force is lacking in this acute condition.OPIUM acts well in children and old persons in acute cases like that of Ant-tart in respiratory disorders( but is Ambithermal). I do not know that whether i am correct or wrong because i do not have any experience till now with OPIUM & i am a lay person not a qualified homeopath who’s just hobby is reading homeopathy after my profession. SULPHUR has too come very close but it may be his CHRONIC remedy. Eg., plays with antics covers opium and sulphur both.Since the patient is suffering from acute distress i go for opium first not his chronic(sulphur).
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Bryonia (considering the thirst, cough, thermals and pathology) as an acute prescription. Dimple Kirpalani (B.H.M.S)
My prescription would be –
Lycopodium is the indicated constitutional. Rubrics I went through –
Mental –
Despair – religious
Fear death of
Religious affections
Rage
Quarrelsome
Physical –
Perspiration – axillae – stains yellow
Eruptions suppressed
Desires pungent
Desires sweets
Aversion fruits
Weakness – fever with
Lycopodium is followed well by Bryonia.
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VERATRUM-ALB-1M – Dr. Suresh Jain
[Mind]Quarrelsomeness, scolding:
X I [C] [Mind]Rage, fury:
[C] [Mind]Striking:
[C) [Mind]Abusive, insulting:
[C] [Mind]Feigning:Sick:
[C] [Mind]Squanders:Money:
I [C] [Mind]Vivaciousness:
[C] [Generalities]Septicemia, blood poisoning, pyemia:
[C) [Skin]Eruptions:General:Suppressed:
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Veratrum Album….Lily Samardzic-Rafik, DiHom Pract., MSc Hom Med
Stramonium, but from the start Veratrum Album came to mind…. the gambling, high life style and the exhaustion after vomiting led me to confirm Veratrum Album….
Rubrics :
Fever -vomiting during
Respiration Difficult
Mind – feigning – sick to be
Stomach vomiting general exhausting
Mind – jesting
Mind – Haughty
Mind – fear – disease of impending
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Veratrum album – Dr. Ana Cristina Costa de Almeida
Rubrics chosen:
Feigning sick
Irritability
Squanders money
Fear from noise
Illusion has an incurable disease
Hot remedy
Vomiting with weakness
Weakness in acute illness
Anemia
Uremia
Respiration difficult, short
Intense heat
Fever with chill
Thirst extreme
Perspiration staining linen yellow
Food fruits aversion
I would choose Veratrum album to solve this case for resemblance with mentality of this medicine beyond the physical symptoms that match.
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Belladonna – Dr Shweta Nigam
I selected Belladonna. My rubrics are:
1.feigning sick – pt. pretends to be sick to seek attention and gain sympathy
2.perspiration, staining the linen yellow
3.fruits aversion
4.quarrelsomeness
5.constipation-insufficient, incomplete, unsatisfactory stools
6.sleepiness daytime, sleeplessness at night and
7.fever chill with
8.extravagance
9.fear :disease of impending
Belladonna is remedy for sudden onset, hot, thirsty
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China officinalis – (ddx with Veratrum album) Laura Stewart
Here are my rubrics:
Mind; QUARRELSOMENESS, scolding (226)
Mind; FEIGNING; Sick (17)
Mind; RELIGIOUS affections (121)
Mind; PLAY; Desire to, playful; gambling, passion for (22)
Mind; SQUANDERS; Money (7)
Mind; FEAR; Noise, from; sudden, of (3)
Generalities; FOOD and drinks; Fruits; aversion (43)
Perspiration; PROFUSE (326)
Perspiration; STAINING; Yellow (38)
Sleep; SLEEPINESS; Daytime (162)
Sleep; SLEEPLESSNESS; Night; sleepiness, with; daytime (55)
Throat; SWALLOWING; Difficult (316)
Abdomen; DISTENSION (587)
Chest; INFLAMMATION; Lungs, pneumonia (197)
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Chronic “Lycopodium” with an acute “lycopodium” state – Clément
Chronic
Mind
. Outside the home he was friendly, talkative, mixing, jovial and nice. But at home he used to trouble his parents a lot and was very irritable & quarrelsome. (It’s The big lycopodium key-note)
. irritable & nervous, quarrelsome, scream, insulting when anger
. pretends to be seriously ill to seek attention and sympathy of attendants (Mind; deceitful, sly)
. habit of playing lottery (Mind; play; desire to, playful; gambling, passion for; business, making money, for)
. His son added, “He is really worried about my future and that’s because I am not ready to get married.” (even his son seems to be a lycopodium case : Mind; irresolution, indecision; marry, to)
and many others (Mind; religious affections Mind; fear; undertaking anything Mind; anxiety; health, about)
General
. Hot
. Lying on back
. Sweet desire
. Perspiration; staining; yellow
Local
. Abdomen : Distended feeling (no comment : flatus trio Nash)
. Difficulty in deglutition (Throat; swallowing; difficult)
Acute
. frequent high grade fever, profuse vomiting followed by severe weakness
it’s a strange, non characteristic symptom of ARDS, hence interesting and useful (Fever, heat; vomiting; during Fever, heat; intermittent, chronic, ague, malarial; vomiting, with)
. Continuous cough with fever on and off (Cough; fever; during)
. with Septicemia (Fever, heat; septic fevers)
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Ant-Tartaricum – Sandy Seaman
My thinking on this case is that there was some aspiration during intense vomiting causing inflammation of the lungs. My rubrics are:
Mind; irritability
Chest; inflammation; lungs, pneumonia
Fever, heat; vomiting; during
Generalities; vomiting; after
My choice of remedy would be Ant-Tart. in a low to medium potency because of the weakness and advanced stage of the illness. Ant-Tart can be warm-blooded before the end stages so this would fit with his hot thermals. Also can be very irritable during an acute stage of illness.
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Lachesis –Valerian Mendonca
(Repertorization Chart below)
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Argentum nitricum – Pavol Tibensky
MIND – ALCOHOLISM
MIND – COMPANY – desire for
MIND – DELUSIONS – despised; is
MIND – FASTIDIOUS
MIND – FEAR – high places, of
VERTIGO – WALKING – agg.
MOUTH – BLEEDING – Gums
EXTREMITIES – PAIN – Knees – morning
EXTREMITIES – PAIN – Knees – pressure – amel.
EXTREMITIES – TOTTERING GAIT
EXTREMITIES – WALKING – impossible – eyes closed; with
SLEEP – POSITION – side; on – left side; on
SLEEP – UNREFRESHING
SKIN – MOLES
GENERALS – FOOD and DRINKS – cold drink, cold water – desire
GENERALS – FOOD and DRINKS – fried food – desire
GENERALS – FOOD and DRINKS – sweets – desire
GENERALS – HUNGER – agg.
GENERALS – NEUROLOGICAL complaints
GENERALS – SLOW manifestation
ARG NITR
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SEPIA – Rosman Bin Faridz
See Repertorization charts below:
If I were to based on mental only symptom, I still get SEPIA. Below is my repertorization based on mental only.
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Bromium – Dr.Ramya Gayatri
acute respiratory distress syndrome…-rubrics are:
1.difficulty in deglutition
2.difficulty in breathing
3.continuous cough
4.thermal-hot patient
