Category Archives: Case of the Week
There is a small looping audio issue at 9 minutes. I will fix it but if I swap out the videos it will mess with youtube.
This is to show that disease progression occurs and thus remedy prescriptions change with new SX.
It is important to note that the remedies I chose are not’ classic’ muscle or twist remedies, but are base solely on the sx expressed and noted. The patient lives 6000 miles away from me…. Usually keeps pain and injury sensations for a couple of weeks…
I was talking with the student who told me of this case, and I decided to write it up for her as a reminder of her first CASE taking and prescription. This student has studied the repertory very hard, to understand the meaning of the rubrics. English is her second language as with members of the Hong Kong Academy so I am doubly impressed with the efforts.
A family member caught a cold. She had a bland watery discharge from the nose. Body felt OK but eyes were tired, wanting to close which felt better. Appetite normal, Not much thirst but found herself wanting to drink water. Also had a chilliness internally, and feeling cold. There was a small cough present but not definable. As there were 121 remedies in cough rubric, it was left out because the other SX would cover.
Based on this, a careful evaluation of the sx led to this prescription.
So what happened? Within a day all sx cleared up. However, The patient had a Chicken Pie the next day and a cough developed.
Her SX were:
1. feeling itchy in throat
2. cough but no expectoration
3. feeling better after water
4. feel like something in throat
5. saliva more than normal
6. feeling cold.
She phoned me at this point, a little disheartened thinking that perhaps she had failed, so I spent time showing her how disease progresses and changes with SX and how we have to follow them as they develop. She was more than happy and competent to go back and re evaluate. I asked her to look at original rubric list and remove SX that were no longer there and add new Sx.
The patient has not been given any medicine due to not being around, but on reading the MM the student feels Phos fits the picture better than Nux now.
When a student has learned to trust the Materia Medica as the final arbiter in a case, I know that they have understood. Makes me very happy.
Female age 35. Computer software writer. Pleasant personality, outgoing, no physical problems found on examination.
Feb 2017, presented with a feeling daily malaise and sickness. She had just started a new job 3 months ago and the problem began one week after commencing. She did not feel stressed or anxious with the job and actually looked forward to going in every day.
The sick feeling started after breakfast 7am, during the ride to work. It was a general feeling of discomfort and feeling just ‘off’. Occasionally when walking she would have to stop with a sensation of nausea.
When sat at her desk, she had a sensation of mild dizziness which ameliorated when she got up and did another task.
She complained of a recurring toothache for which the dentist could find no causation.
Upon enquiry as to the foods she ate, it seemed that she had begun experimenting with changing her diet to see if foods were the problem. She took orange juice, yoghurt, cereals or toast.
She drank about 3 cups of coffee a day. Upon enquiry as to the type of coffee, she said it was Instant as the coffee machine had broken and the management were a little slow in replacing the machine.
In my experience, in some people, coffee especially instant coffee (primarily consisting of the stronger and more bitter Robusta berries) can aggravate the digestive system very strongly. It can cause nausea, retching, a sense of unwellness, vertigo during sitting upright and many other symptoms. One remedy that can produce these symptoms exactly is Chamomilla. I did not need to repertories this case but have done so based on the EXACT symptoms she presented.
Click on rep chart to enlarge.
I gave her Chamomilla LM 0/1. One single dose. I asked her to NOT drink instant coffee again. She said the result was immediate. Within 10 minutes the sensation of malaise had left. The next day she did not get sick traveling to work and was not dizzy during the day. The coffee machine was replaced a little later and she enquired if she could have coffee again. I told her to try it. There was no untoward reaction from it.
I heard from her in Late April of 2017, no further occurrence of the problem.
I was awakened by a neighbour at 2:30 am who knew that medical practitioners lived in the back of the clinic. She was very concerned about her elderly father who was experiencing difficulties with a fever and a cough.
I also had another problem in as much as the woman who called me was Chinese and did not speak much Spanish or English.
In going into the sick room , I was confronted with an old Chinese male bent over coughing. Fortunately at this time, the womans young 10 year old son came into the room and he spoke both English and Spanish.
When faced with sickness, I always use my senses to collect information. The first thing I observed was that the room had a very musty smell to it. As I approached the patient, it became clear that the patient was perspiring a little and that the odour was coming from him.
In talking to the woman through the son, she told me that her father had a fever for one day and it broke in the early evening. Then a short while later he began coughing and was bringing up a lot of gray mucus. The old man had requested her to make him green tea as he complained of a strong metallic taste with the cough.
We could not find out a reason for the fever so I looked at the symptoms before me.
- The cough started AFTER the fever broke.
- the expectoration was a grey mucous
- a taste of metal
- the offensive mold smell from his perspiration.
His daughter helped him to the bathroom and told me that his urine was extremely dark.
I gave Nux Vomica LM 0/1 in 3 doses every 20 minutes. By the third dose his cough had stopped and he fell peacefully asleep. In the morning he felt a little weak but was well on the mend.
It is true that the TPB only contains 125 remedies for evaluation. However, in practice, it is also true that most practitioners do not know the value or scope of most remedial actions. It is amazing to find out the curative power of remedies that we have a pre- conceived opinion of as to its field of action, and see it restore sickness to health outside of our comfort zone.
Let me give an example of a recent case with few symptoms. I tried a few remedies in the first 2 days of the presented fever, and nothing really worked. In the end I sat down and looked for what could be observed visually.
The patient had a sticky greasy perspiration. Mainly on the left side of his body.
I repertorised these 3 Sx . I saw Bryonia clearly was top in the numerical values and as such I was preparing a dose of LM potency to give…
However, given that numerical values are only an indication of the frequent presence of a symptom in a remedy and not an INTENSITY value, I went back and looked at the patient again and noticed yet another symptom. The perspiration was not clear, it had a brown dirty colour to it on the skin. Discoloured perspiration is not in BRYONIA.
I gave CHINA LM 0/1. Within 4 hours the patient was recovering.
What do we learn from this case? I believe that accuracy in symptom gathering is the requirement of the day. Once gathered, it must be assessed SOLELY on the basis of the symptoms and repertorised ACCURATELY and without prejudice to what we THINK the remedy is. Where a physical SX exists it cannot be ignored if it is a result of the infection.
We must then READ THE PROVINGS TO BE SURE.
In our advanced practitioner course, we spend time showing people the correct way to analyse a case and how to use ‘states’ that reflect the altered disposition of the patient, as opposed to personality symptoms that are not signs of pathology.
The patients original condition was vertigo which came on without obvious causation. It was treated with two remedies which removed 95% of the Vertigo and relieved other symptoms experienced. However and again for no observable reason, an internal anxiety arose and has become the focus of the problem. The patient said that the type of anxiety experienced was something observed before over 40 some years ago, but not troubled overmuch by these symptoms after that.
Briefly, here is a recently received patient note and the analysis of the same.
…..Started feeling a building up of uneasiness. It feels like coldness inside the body. Inside the arms and sometimes the abdomen chest and head. Then apprehensiveness that something isn’t right, something’s going to happen. It keeps on coming, I have to work to relax. Then slight wooziness began which in turn increases the cold sensation.
At times the tingling in the buttocks as well (explained he felt the anxiety in his body and currently is in buttocks.)
Have to lie in the chair and concentrate on relaxing, which helps, but is very difficult it it gets too bad. My wife had to leave to do some errands, I would rather she had stayed, made me more nervous to have her gone.
It seems like this comes from the body coldness sensation first, then the apprehension with no definite thoughts, then wooziness, then everything seems to excite more nervousness.
So here we have a pathological ‘state’ combined with a vertigo. The anxiety is out of proportion and has also spread into any thought that he has where something has not gone correctly as it should have. For example: “….I bought too much meat at the market and now I have bag it and freeze it…aargh!”
Rather than get into the minutiae of his words and try to do a psychological evaluation, I just looked at the expression of his ‘state’ and went to the repertory.
Firstly the symptoms are aggravated by vertigo. He is aggravated, vexed by little things and they produce an anxious state. He becomes restless and feels anxiety in the body. There is a sensation of coldness internally. He desires to not be alone and the presence of someone else is comforting.
This is the entire picture of the pathology experienced. I repertorised in this way.
He had already had Lycopodium which removed the vertigo symptoms, and a quick read of Arsenicum confirmed that this indeed was the remedy to give at this point.
….thanks Gary, I just took it. Seems to be relaxing. I’ll try to go back to bed if I can.
Mr H. met with a motor vehicle accident while returning home from his office. Somebody took him to the nearby hospital, and they after dressing the wound suggested him to consult an orthopedic surgeon in the city. While he was waiting outside the surgeon’s cabin, he called me and asked for any scope in Homeopathy. I asked him to let the surgeon examine first to rule out any fracture. After a few hours he called me again and said that the surgeon has ruled out fracture, but there is a huge collection of blood inside the joint that must be removed with a syringe, hence hospital admission needed. I said if there is huge collection of blood, and then let the surgeon do his job first, and then later I can give medicines (It is also risky to take motor vehicle accident cases). But he was not ready for joint aspiration, so took a discharge from the hospital against medical advice.
After one hour, they knocked my door. I told the bystander that what he did was not the right way. Even the bystanders told me the same, but they had no other option as he was strongly forcing to leave the hospital. When I examined the knee joined, it was swollen and stiff, and patella tap test was positive showing the presence of blood in the knee joint capsule. He had severe pain along with extravasation of blood. Still, he was not bothered about the nature of injury, and said goodbye to the surgeon. Considering the available indications, I gave him Arnica 1M in water, to be taken every 30 minutes interval, along with one bottle of Placebo pills. I was not fully confident in this case as the absorption of blood from the joint capsule is not easy. Next day morning he informed me much improvement of swelling, pain and stiffness of joint. So, I asked him to stop the drops and use only the pills.
Today he visited my clinic and found the patella tap test negative. Unfortunately, there was no MRI taken before and after the treatment. Even there is no option to get an evaluation from the orthopedic surgeon as he was discharged against medical advice (Still I asked him to get at least the hospital bill). Such cases become more valid when we have documented evidences. Anyway, I am happy to see homeopathic medicines avoiding a surgical procedure. The real credit goes to that patient who trusted Homeopathy than the Homeopath who treated him .This case also gives me confidence to accept such cases.
Dr Muhammed Rafeeque