Burn and Scald.

Boenninghausen.

Please repertorize.

Vol. 81, p. 196.

Theresa Sch. in Gl., a girl 18 years of age (whom I did not see), scalded her foot and leg with boiling water, three days ago, and had first treated the parts burned with domestic remedies, and then with Unguentum Basil, and thereby had so much aggravated the burn that she could not rest day or night for the burning and formication in it.

Feb. 3, 1852. 1, 2 , Arsenic., 2, Canthar. 200, 4 §. One powder every other evening, the foot to be kept dry.

Only on Feb. 21, I received the report, that the burn had healed up in a week, but that she now had an eruption on the face, and here and there pustules with matter, and that her skin in general was unhealthy.

1, Caustic. 200, 2-4 §, one powder every third evening.

This also improved quickly and she remained quite well, until Sept. 17th, 1853, when her suppressed menses caused an aberration of mind, with restlessness, anguish, and a tendency to suicide.

This also was cured in a few days by one dose of Pulsatilla 200, and a dose of Sulphur 200.

 

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One response to “Burn and Scald.

  1. Ok. Somebody has to do something with this case. I tried and this send me to an interesting journey through MM.
    First part: Arsenicum and Cantharis
    Why Arsenicum? There are 16 remedies in agg. burns (2677). Further repertorization (crawling, 1763; restless body 1123; burning outer parts 809) results in Alum, Ars, Calc, Carb-v, Caust, and Rhus-t. Ars and Caust are main remedies for burns. In the same article where Bönninghausen published the case of Therese (No. 6 in “Traumatic ailments and high potencies”), he describes a total of 5 cases of burns. In all of them he uses Ars first. In case no. 15, he writes: “In every case of burning, be it of higher or lower degree, I appreciate Ars as the most useful remedy, and especially in its highest potencies and smallest doses.”
    Why Cantharis? It is not even in burns (2677) – but in the other rubrics. Bönninghausen writes that Therese applied Unguentum basil to the burned parts and that her ailments went worse from it. An unguentum is a pomade on the base of fat. Apart from generally producing horrible burning pain, Cantharis is worse from oil. See 2388 (Puls, Bry and Canth), it refers to food; but looking at the MM I found that fat makes the active principle of Canth (cantharidin) more available. Maybe this is the explanation? In another of the mentioned cases (no.11), Bönninghausen uses Ars and Hep although fat was applied to the burn, but without worsening the situation.
    Second part: Causticum
    Why? I think, because it is the second choice Bönninghausen makes in burns (2677). It is not in “pustules”, only in pimples (1366), slow healing of skin (1882), eruptions face (198) and in the general and skin-specific concordances of Ars and Canth. The combination of these symptoms leads us to Calc, Carb-v, Caust and Rhus-t. Having in mind that the actual symptoms Therese shows are directly following the burn (and its treatment) brings Caust to the foreground. A look into Hahnemann´s CK shows that Caust can produce (facial) pimples with pus (Sx 334, 338 and 353).
    Third part: Why Pulsatilla and Sulphur?
    Here, I don´t think Bönninghausen mentions all symptoms he took in consideration. He describes the third part just to make the case complete – but it has nothing to do with the theme of his article, which is concerned with traumatic events. The symptom “Mental disease through suppressed menses” for Pulsatilla can be found in Herings GS; he refers to T.J.Rückert´s “Klinischen Erfahrungen”, a compilation of clinical experiences made between 1822 to 1850 and published in 1854, 2 years after Bönninghausen treated his cases. But I am confident that Bönninghausen knew the clinical experiences of contemporary homeopathy, contributing constantly to them.

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