| Introduction:
Acute cases are exciting, because one can experience the magic of
homeopathy and be totally convinced of its power. Below are cases
to help you work out your own analysis and see what remedy you come
up with. Then you can compare with the analysis and remedy given.
It always helps to sharpen ones acute prescribing skills as that's
where one can easily convince people that homeopathy works!
CAUTION is the byword for all acute prescriptions, as over
the long term we have to be vigilant about suppression or superficial
palliation with the acute remedy. Its important that the patient
is followed up for long term constitutional treatment.
CASE 1. 65yr old Man, with Acute Indigestion.
Mr. DBS called me one day and complained of indigestion which included
a feeling of weakness and thirst for small quantities of cold water.
He had vomited 2-3 times immediately after eating, but without any
preceeding sensation of nausea. Occassionally he felt nauseated
after eating in the afternoon. With this he felt reluctant to eat.
Based on these symptoms, he was prescirbed Ars Alb and
said he felt better with 2-3 doses of Ars Alb 30C. No vomiting,
his appetite was back and weakness mostly gone.
4-5 days later he called bak to tell me that inspite of having
a normal stool in the morning, he had a second soft stool with offensive
flatus in the evening. He felt a complete loss of appetite with
flatulence and distention in the abdomen that made him very uncomfortable.
This sensation was better after the evening stool, which also improved
his appetite and he was able to eat a little bit at night. Another
symptom he mentioned was frequent eructations. These eructations
were very small and felt incomplete. They increased the uncomfortable
sensation in his abdomen. The only concomittant at the start of
the second set of symptoms was a drowsiness which made him sleep
almost through the whole day.
Follow Up:
With one dose of the remedy in 30C, he felt completely better.
His energy improved, the stools were normal, appetite improved and
there was no distention or eructations any more. He called me the
next day telling me he felt very fit and completely cured of this
digestive problem that was troubling him over the last 10 days.
Analysis: (Complete repertory)
ABDOMEN; FLATULENCE; stool; during (K548, G467)
ABDOMEN; DISTENSION; stool; amel. (K545, G465)
Soft stool X Evening: aloe, alum., ars., bor.,
bov., bry., calc., calc-p., calc-s., canth., carb-an., caust., chel.,
chin., choc., colch., cycl., dig., dulc., gels., ign., iod., ip.,
iris, kali-c., kali-chl., kali-n., kali-s., lach., lept., mag-m.,
mang., merc., mez., mur-ac., nat-ar., nat-m., nat-s., nat-sil.,
nuph., nux-m., ph-ac., phel., phos., pic-ac., plan., podo., psor.,
puls., sang., stann., stront-c., sulph., thuj., verat., wye., zinc.
Appetite wanting X Stool >: abrot., acon.,
agar., aloe, alum., am-m., ant-c., ant-t., ars., ars-i., asaf.,
aur., bar-c., bism., bor., bov., bry., calc-p., canth., caps., caust.,
cham., cina, coff., colch., coloc., con., croc., cycl., dig., dulc.,
ferr., fl-ac., glon., guai., hell., hep., ip., kali-bi., lach.,
lob., mag-c., mang., merc., mosch., mur-ac., nat-c., nat-m., nat-s.,
nux-v., op., ox-ac., ph-ac., plb., psor., puls., rheum, rhus-t.,
sabad., sang., seneg., sep., spig., squil., stann., sulph., tanac.,
thuj., verat., zinc.
STOMACH; ERUCTATIONS; General; ineffectual and incomplete (K491,
G419) (Flatulence, sensation of)
Discussion: This patient was already on chronic
treatment with me for other problems. He had responded very well
to a few doses of Staphysagria and most of his problems had disappeared
over the last 6 months. He continues to be helped in his chronic
problems with Staphysagria, so one could safely state that it is
his Constitutional remedy.
When Nat Mur came up on the acute analysis, it was a bit
of a surprise to me as I have not known Nat Mur to have
this type of presentation. His quick and permanent response obviously
meant that it was a very well indicated similimum for that state.
Though I have often seen Nat Mur come up in relationship
to Staphysagria as a "Remedy that Follows well",
and is often complementary to it, using it as an acute instead was
new to me. It reminded me of the need to remain open and unprejudiced
about all remedies and their action. Always, we need to take the
presenting characteristic symptoms and modalities for analysis with
NO preconcieved notions when making a decision about the indicated
similimum.
|