Clinical Cases

Traumatic Coma

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A useful article about Traumatic Coma.Full details about Traumatic Coma

Patient: Master S…… . Age 12 years.

First consultation on 30 – 1 – 1995.

The story of the case is as follows:

‘On 2 – 1 – 1995 the boy fell down from the roof of the first floor on to the roof of the ground floor while flying kite and became unconscious (went into the state of COMA). There were no external bruises. It was supposed that he got injury on his head. He was immediately taken to a Neurologist who did CT Scan (Annexure 1) and pronounced verbally that the case is serious and the prognosis was bad. After giving necessary first aid he referred the case from Dehradun to a Neurological Hospital and Research Centre at Delhi. The patient was immediately taken to Delhi and admitted there on 3 – 1 – 1995. (CT Scan dt. 3 – 1 – 95, Annexure 2).

The condition of his brain as on 24 – 1 – 95 was as shown in CT Scan Annexure 3. The patient was kept there under treatment till 25 – 1 – 1995. But, after all possible treatment he did not regain consciousness. So, the attending Neurologist told the father of the boy that they have done whatever could be done and advised him to take the boy back home. The Neurologist explained the bad prognosis to the father of the patient. Firstly he was not hopeful that the boy will survive; secondly, if the boy some how survives he would suffer severe epileptic fits or would become insane.

With such a prognosis and still in comatose state the boy was brought back to Dehradun and was kept in a nursing home where he was kept on drip.

I was consulted on 30 – 1 – 1995. The patient had the following three main complaints:

1. He was totally unconscious i. e. in a kind of coma, for almost 30 days now.

2. His bowels had not moved naturally during whole of this period, I was told that the patient was given enema four times during the whole month.

3. Due to the breathing difficulty the patient had been fitted a plastic laryngeal tube. He was suffering from paroxysmal cough and on coughing abundant ropy and sticky mucus was flying out through the laryngeal tube. (According to the Neuro-Surgeon the Epiglotis of the boy was paralyzed hence the laryngeal tube was fixed.)
After consulting Kent’s Repertory, Allen’s Encyclopedia, Hering’s Guiding Symptoms and Clarke’s Dictionary I prescribed Alumen 30, up to that time I had meager information on Alumen available in these books. This case again flashed to my mind while I was reading the Materia Medica Viva by Dr. George Vithalkous.

Alumen 30 did the magic; in the evening of 31 – 1 – 1995 at 9:15 p.m. i. e. after second dose of the medicine, the boy passed stool in natural manner without the aid of enema. The first stool was very hard; it looked as if the patient has strained to pass the stool first time since he became unconscious on 2 – 1 – 1995. Later, on next day i.e. on 1 – 2 – 1995 he passed softer rather loose stools twice. And this turned out to be the tuning point for the boy. On 2 – 2 – 1995 i. e. on fourth day it was noted that he was putting his hand to his forehead with the faint expression as if in pain.

Next day i. e. on 3 – 2 – 1995 there appeared in the boy some signs of response to calling by his parents. Since the phlegm was persisting with temperature between 99º and 100º F, so, the sputum was sent for examination which revealed the presence of pseudomonas bacteria in it. There was infection around the laryngeal tube. ENT specialist was consulted he also confirmed infection due to the tube; as such the originally fitted plastic tube was replaced by a metal tube. At this stage the ENT Specialist suggested to see by blocking the opening of the tube whether the boy could breathe naturally through the nose. And it was found that the boy could breathe through the nose; as such this tube was removed on 18th February, 1995, and the boy continued to breathe through his nose. (It seems that Alumen has removed the paralysis of the Epiglotis.)

The wound of the laryngeal tube gradually healed up.

Gradually step by step the boy started regaining consciousness. The milestones of progress were as follows during a period of about one and half years:-

He was again taught to sit up.

He was unable to recognize his close relatives.

His voice returned after 67 days from the date of the accident but speech was not properly intelligible. In the beginning his talking was unintelligible and irrelevant.

In the beginning it appeared as if he has gone blind. After 74 days of the accident he started to respond to the light.

He was taught to stand up again.

Then he learned to walk, used to stagger.

Gradually sight improved but was unable to distinguish colors.

Before the accident he was studying in seventh class. Now was unable to identify the alphabets of Hindi as well as of English. So he was again taught the alphabets and numerical.

Gradually he started identifying the colors also.

The gait slowly became firmer. Yet sometimes staggered in the left limb.

Memory gradually restored to a great extent.

Again joined school in class VIII.

In February 2003 he started getting occasional epileptic attacks.

Ultimately Homoeopathy again came to rescue him from the epileptic attacks.

From 30th January 1995 to 8th May 1997 apart from Alumen 30 some other medicines according to the symptoms were also used.

The boy now is quite hale and hearty.

In short the boy again passed through the stages from infancy to his present age within a span of about two and a quarter years after regaining consciousness under the homoeopathic treatment.

Dr. George Vitalkous writes about Alumen in his Materia Medica Viva Vol. 1 as under:

Kent writes: “It has been useful in the treatment of old people who suffer from copious ropy, morning expectoration, catarrh of the chest, haemoptysis and great weakness of the chest, so that it is difficult to expel the mucus. In this it is similar to Antimonium Tartaricum. Cronic morning cough.

Paroxysmal cough followed by copious mucus.

Copious expectoration after each paroxysmal cough.

Malignant constipation, the patient will wait for several days before he has a stool that consists of small hard balls adhered together which come out in a big mass creating excruciating pains that extend to thighs especially if the rectum is affected with small ulcers due to hemorrhoids.

Copious mucus in larynx.

This remedy should be understood as having mainly two phases, two states of pathological action upon the human organism.

In the first it produces conditions where we see extreme dryness of the mucous membranes, and skin which becomes rough, indurations and hardening of glands and tissues of tongue, of rectum, uterus, mammae etc with a tendency to malignancy, ulcers with indurated bases, epitheliomas, scirrhus etc.

There is a tendency in this remedy to grayish black manifestations such as eruptions, stool which is black, dark pseudo membranes on throat etc.

The second phase is one of paralysis, paralytic weakness, especially in rectum (severe constipation) and bladder (no power to expel the urine, runs perpendicularly), with constricting feelings like that of a tight band especially on extremities. Also paresis, sluggish action of muscles, varicose veins that become relaxed and bleed, hemorrhages of various types especially from rectum, etc.

Sometimes we see a combination of the two phases as in the severe constipation that this remedy produces, where there is dryness of the mucous membranes and dry hard stool, with no peristalsis, a kind of paresis of the rectum where the patient will go for many days without any urging for stool. No ability to expel the stool which is as hard as a stone, dry, forming little balls like sheep dung that adhere together and come out in big masses with an unbearable, excruciating pain that extends to the thighs.

(Being in a comatose state it was not possible to know if the patient was feeling any pain or any other sensation.)

Note: Dr. S.K. Mamgain have prepared documentary videos of various acute, chronic and cancer cases the same can be had from me on CDs on request, to watch the miraculous results from minute doses of homoeopathic medicines.

Annexure 1

Traumatic Coma 1

Annexure 2Traumatic Coma 2

Annexure 3
Traumatic Coma 3

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S. K. Mamgain

S. K. Mamgain

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