A 37 year old woman complaining of the following symptoms:
- a sudden, acute, right-sided pain in the right side of larynx aggravated by swallowing
- sensation of swelling of larynx and tonsils, objectively the larynx was inflamed and swollen on the right side only
- the whole complex of symptoms appeared suddenly after experiencing an emotional distress
The striking points of the case are of course the particulars of the symptoms as described by the patient. The most unusual and characteristic key point of the case was the sudden appearance of the symptom after experiencing emotional distress.
Locality: Larynx, right side
Sensation: the pain could not be described by the patient
Condition: inflammatory swelling
Modality: aggravation on swallowing
Causation: emotional disturbance
The repertory used for the repertorization was the P&W 2011 Edition of the Therapeutic Pocketbook. The symptoms were broken down into its components (as described earlier) and repertorized.
The remedies Pulsatilla, Phosphorus and Aconite were rejected immediately, as they did not correspond with the case picture with the striking one-sidedness of the complaint. The grade of all three remedies in the right-sidedness of the complaint is only 1. The remedies with the highest consistency of grades (and therefore belonging most likely to an already observed symptom complex) were Belladonna and Rhus Toxicodendron.
After studying Belladonna, I have found the following references:
Inflammation of the throat and fauces. Sore throat, with stitches, and pain as of an internal swelling during deglutition. Henry Buck, The Outlines of Materia Medica
Inflammation of the throat, with sensation of a lump, which induces hawking, with dark redness and swelling of the velum palati and tonsils. John Henry Clarke, A Dictionary of Practical Materia Medica
Inflammation of throat and fauces.;Sore throat, stitches in the pharynx and pain as from internal swelling…;The throat is swollen internally. Samuel Hahnemann, Materia Medica Pura
Although Rhus Toxicodendron has similar symptoms (including the aggravation on swallowing), the causation of emotional distress is not a prominent symptom of this remedy.
Belladonna 200C in 2dl of water was given and the patient felt the disappearance of the pain immediately.
The next day the lain in the larynx has reappeared again (with lower intensity than before), so another does of Belladonna 200C in 2dl water was given and the symptom has disappeared completely.
Vladimir Polony 2011