Joshua's Case:

And the Nominations for Best Remedy in a Clinging Child are....

-- Elaine Lewis

9. Dear Michael,

Joshua has the developmental delay, dependency, timidity, tendency to be a loner in groups and fear of strangers of Baryta carb. Also going for Baryta is paralysis--Joshua was described as hypotonic in his early years--his muscles lacked tone and he needed physical therapy, so, perhaps this matches up with baryta carb. as well.

From Murphy's Materia Medica on Baryta carb.:

A paralytic condition runs throughout the pathogenesis. There is paralysis of mind and body. Mistrust, want of self-confidence, aversion to strangers. The child does not want to play.

Joshua also has an affinity for the computer and computer games which makes me think of Sulphur, along with the fire-red diaper rash he had as a baby, the aversion to bathing, the untidiness, the desire for spicy food and a quarrelsome nature. Sulphur has a bent toward the technical and the mechanical--Joshua's only joy seems to be the computerized electronic games he seems preoccupied with; hence, I have chosen Baryta sulph. as his remedy. I prefer LM's. I've been using them more and more, even in children. Results come quickly, without aggravations, in less than a week. If you're interested, I can share details at an appropriate time.

Elaine Lewis, CHom

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10. hi, pls check attachment after deeper connection with the case,you may now use some eliminating symptoms but it seems to get closer to Sepia in totality. at times in chronic cases hahnemann himself says you may have to zig zag towards cure,due to over dosing,mixing up of symptoms,partially similar remedies,etc.

SEPIA IN THIS CASE

KENT: central core here seems closing off to others as a child refuses to play with other children. milk allergy,stomach,vomitting,milk curdled all desires and aversion match constipation history of skin,cradle cap and diaper rash(character of ailment matches when u see the rubrics) neonatal jaundice motion sickness,nausea,riding in a carriage dentition delayed cavities ,early/premature indolent(no sports,home person) sleep,waking,frequent midnight after clothes,intolerant of nervousness anxiety sensitive

BETH COLEMAN: emotionally stifled scared of being alone, dislike to be handled dull, locked up child slow developing afraid of the dark cannot bear fixed position in a closed environment(<closed door) depressed,moody disinclined for work dislikes party but once there enjoys himself

if still in doubt,let me know i can give u more rubrics

also,consider the birth history,moms uterine inertia and artificial induction with oxytocin

Dr.Samata.Vasisht
M.D (Hom.Materia Medica) R.S Hom(U.K) lICENSED AND PRACTISING IN UAE Hon.
Professor at Century training Centre,Hom affiliated to HMA,U.K and Pebble Hills University,Calif

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11. Dear Michael,

Since Joshua has already been through the Materia Medica of polycrests prescribed by good homeopaths, I thought we needed to look for something different here while still making use of the obvious characteristics of the case. My method is to choose the characteristic physical symptoms first, that are concomitant to the start of the chief complaint. I had requested some more information from you, which I always tend to do, especially in unclear parts of the history. I thought the point that you did not elaborate on was the possible effect on Joshua following quarrels between you and your wife (during pregnancy) and again an obvious regression after quarrels later on. I felt that held a key to the remedy. In the history, you said:

"I think much of his insecurities/anxieties might revolve around much quarreling between my wife and I, that we did while he was in utero, which also occurred around the time he went backwards with his sleep."

Below is my analysis:

Based on your answers, these important points were elicited: Quarrels centered around the need to be financially secure, which required that Elise work or else you had to work insane hours. Though Elsie worked through Joshua’s pregnancy she did not feel inclined to do so. After his birth she was to resume work, but did not want to and circumstances resulted in her quitting work. This increased the financial stress during that period. These are important issues to consider as they fueled the quarrelling which may have affected Joshua in-utero as well as later on – as you observed.

The other point that emerged was that while you were very expressive about this anxiety, your wife actually tends to show NO external expression of anxiety whatsoever. In your words here are some relevant points:

"Mostly between she and I however as with other things Elise blanks things out of her mind and subconsciously buries and actually does not communicate "the reality" of certain things even now….. (I often have to) get her to see what is going on around us or what I perceive as the reality of our (various) situations.

(During the pregnancy), I as husband have had to work up to 14 or 15 hours daily having both a full time allopathic vet employee commitment, while at the same time trying to build a holistic/homeopathic practice in the evening. Because of financial pressures of being the only bread winner in the house, and credit/financial issues, I was unable to start my own practice, go out on my own, or cut down on above insane hours.

As for her anxiety, Elise will usually manifest it internally through insomnia, biting her nails, but I have to say that Elise is generally not an anxious person on the outside."

I thought this difference between the two of you was interesting, one expressive of anxiety the other suppressing anxiety – and this seems to combine in the child in a peculiar way. Could Joshua be in a peculiar combination of these various expressions, suppressed or otherwise, from his parents in that state of specific anxiety? This may seem like a stretch, but it’s a very interesting one, especially when it all comes together in one remedy!

MIND; CARES, worries; full of; money, about: bamb-a., ozone

MIND; DELUSIONS, imaginations; work; works too much, all work comes to him: ozone

MIND; UNOBSERVING: alum., am-c., ang., asar., bar-c., bar-m., bell., bov., carc., caust., cham., gels., hell., ictod., kali-c., merc., nat-c., nat-m., nux-v., olnd., ozone, petr., ph-ac., plat., puls., sep., sulph., thuj.

In the initial history, these were the obvious characteristics you stated as this problem was from birth:

"He is quite sensitive to reprimand and will vehemently argue back, cry, or refuse to do what you are trying to get him to do, unless he perceives a threat, like being put in his room with the door closed.

He also had an early fire-red diaper rash around his anus, which was initially suppressed with ointments and has occasionally returned from time to time in mild form and this area is now described as a brownish black discoloration.

Also, in the first year of life he would "cheese up" or regurgitate quite frequently due to these various milk products, and he also had a BAD case of cradle cap on top of his head, at one point almost looking like snake scales. He also had eczematous-like eruptions behind his ears at various points."

I started repertorization with the obvious in the history; I looked at the following rubrics first:

MIND; SENSITIVE, oversensitive; reprimands, criticism, reproaches, to: ars., bamb-a., calc., calc-sil., cand-a., caps., carc., cina, foll., ign., lap-mar-c., med., nat-m., nat-s., nux-v., ozone, puls., sac-alb., staph.

RECTUM; DISCOLORATION; red; anus of, congested: aesc., aloe, alumn., ars., bac., cham., coll., ham., hyper., med., merc-cy., nat-m., nit-ac., ozone, paeon., petr., sabad., sep., Sulph., valer., zing.

ANXIETY, WAKING , FEAR ALONE: alum., ant-t., Arg-n., Ars., ars-h., ars-s-f., bell., bism., bry., bufo, calc., calc-ar., carb-v., caust., con., dros., hep., Hyos., kali-ar., kali-br., Kali-c., kali-p., lac-c., Lyc., lyss., med., nat-c., nat-m., nat-s., nit-ac., nux-v., Phos., psor., puls., rat., sep., sil., stram., tab., tub., verat., zinc. (NO OZONE HERE)

HEAD; ERUPTIONS; scales; large: Calc., cic., Graph., led., Lyc., merc., olnd., ozone, Sep., Sulph.

While Nat Mur. and Ars. are obvious remedies that could even fit with the rest of the history, my attention was drawn to OZONE. It was there in the most obvious physical characteristics though it did not seem to be in the sleep section of the Materia Medica. I checked Reference Works for the sleep problem of Ozone and found 2 rubrics that could explain his behavior – that Joshua probably felt forsaken at night and woke frequently with fright to check whether his mother was there. In addition I found one more interesting rubric relating to the aversion to being hugged:

SLEEP; WAKING; fright, as from: abrot., achy., acon., aesc., agn., alum., am-c., am-m., ambr., anac., ant-c., ant-t., apis, arn., ars., aur., bar-c., bell., bism., Bor., bov., bry., bufo, cact., Calc., calc-s., cann-s., canth., caps., carb-ac., carb-an., carb-v., carc., casc., cast., caust., cham., chel., chin., chin-ar., chlol., cic., cimic., cina, cocc., coff., colch., con., corn., cupr-acet., cypr., daph., dicha., dig., dros., dulc., erig., euphr., ferr-ma., gins., graph., guai., hell., hep., hydrog., Hyos., ign., indg., iodof., ip., kali-bi., kali-br., kali-c., kali-i., kali-n., kali-p., lach., lap-c-b., laur., led., Lyc., m-arct., m-aust., mag-c., mag-m., mag-s., med., meny., meph., merc., mez., mit., murx., nat-ar., nat-c., nat-m., nat-p., nat-s., nicc., nit-ac., nux-m., nux-v., op., ozone, paeon., petr., phos., plat., psor., puls., rat., ruta, sabad., sabin., samb., sang., sars., sec., sep., sil., sol-n., spong., stann., staph., stram., stront-c., sul-ac., Sulph., tell., ter., teucr., thuj., Tub., verat., xan., Zinc.

MIND; DELUSIONS, imaginations; deserted, forsaken: Arg-n., aur., bamb-a., bar-c., camph., cann-i., carb-an., carb-v., chin., cycl., hura, hyos., kali-br., lach., lap-c-b., lap-gr-m., lap-mar-c., lil-t., lyss., Mag-c., nat-c., ozone, pall., plat., puls., rhus-t., sac-alb., sanic., stram.

MIND; AVERSION; hugs, with oppressive sensation in chest: ozone (single remedy)

Two other important components of the history needed to be covered if Ozone was the indicated remedy. It was clearly coming through. These components had to be explained by Ozone for it to be a good choice.

1. "He is quite cooperative with adults and teachers and engaging with other children; however, he is not very assertive with them and tends toward being a loner in large groups. I think it is his unwillingness to let others inside emotionally or physically that might be holding him back. There appears to be some sort of insecurity/fear about the outside world, which includes extended family, pets, etc. that creates anxiety and the need to cling to his parents, especially his mom. It is this closing off that makes it hard to discern his passions, other than the computer games on his Game Cube.

2. (First history) Walking was normal but Joshua DID NOT SPEAK until he was two and a half to three years old, being very alarmingly delayed in this area, and early speech was quite difficult. He was diagnosed with motor planning issues called developmental apraxia, which also affected his muscular strength as well. He also had sensory integration issues and had very lax, weak hypotonic muscles, for which he received early intervention and special ed physical therapy, occupational therapy and speech therapy.

(Further questioning) "By hypotonic I mean low muscle tone, and flaccidity or lack of strength of external skeletal muscle tone, which often comes in children with some developmental issues/delays, or what is known as motor planning issues as the neurologists put it with regards to brain neuro function and synapse firing … As additional example, hypotonic kids sometimes have difficulty participating in long or harder exertion or athletic events due to fatigue and often therefore are not athletic. Using Joshua, while he runs fine, his muscle strength in terms of ability to throw a ball, etc is certainly weaker than many other children because of this hypotonic state."

The rubrics I found were:

EXTREMITIES; WEAKNESS; Leg; overwork, as if from (1)

EXTREMITIES; WEAKNESS; Thigh; overwork, as if from (1)

EXTREMITIES; WEAKNESS; Upper Limbs; right (17)

I went through the Materia Medica and rubrics to find confirmation for this as well:

Vermeullen’s Synoptic II says:

LASSITUDE and TIREDNESS. Esp. in the morning. Desire to lie down during the day.

From Allen’s Encyclopedia:

Pain excessive in whole sacral region, apparently in the articulations, especially of tiredness all through the pelvic viscera, even in the perineum.The thighs and legs feel as if overworked; excessively fatigued.

Some more confirmations of the mental state are from Vermeullen’s Synoptic II: (This is an interpretation through its chemical properties – as a doctrine of signature.)

Leading Symptoms: He may exhibit high energy [before decomposition] or low energy [after decomposition], to the point of a complete collapse, with a quick rebound shortly after. These features may be revealed in work or in relationship with people. He may be a loner, independent, introverted, not doing well in a group, individualistic [in a form of O3], until the moment when something drains his energy and he breaks down under the outside stress. He shows low yielding properties; he can be pushed only so much before he does something drastic. Then he forms molecular and atomic oxygen. This is a rare and peculiar symptom of Ozone. In the Oxygen condition, he will try to get attached to almost anything and anybody [process of oxidation]. At this point, he may need to be with people, comapny ameliorates, to the point of clinging to them [when O3 = O + O2]. While clinging to people, some will feel drainage of energy and tiredness [the process of oxidation – aging will be initiated], however, some may feel protected [development of a passive layer on some metals], energized, invigorated.

This state of mind seems to cover the expression of Joshua’s mental state. I also looked up the list of rubrics in Anne Schadde’s Provings and compilation of rubrics (from Clarke and Allen’s Encyclopedia). This contained very interesting dreams. So I asked some more confirmatory questions re: the expression of fatigue, about dreams, about his response to school work based on the above chemistry interpretation and the rubric compilation:

"He does not like to do school work. Elise, my wife, thinks that his attitude is like it is a chore and that he will do it later or tomorrow.

"When asked about dreams, he said he usually dreams about things inside the house. Answers to these are very difficult as my wife Elise asked them and did not expound on his simple answers or ask for examples, etc.

"Fatigue and tiredness are experienced especially when not sleeping well the night before …Last night he reached for my wife 4 or 5 times from his airbed on his floor in his room before jumping into her bed for the first time in a long while... I often notice that he will be in fog at times with literal bags under his eyes from lack of sleep I suppose. I dont find him the most energetic of kids his age in terms of physical activity outside, going out, etc. I sometimes notice a staring off into distance look on his face when fatigued and at these times it is sometimes difficult for him to focus."

With this additional info I looked at relevant rubrics and found, interestingly that Ozone was in the following rubrics:

MIND; DREAMS; house, houses: mag-c., ozone, pall.

EYE; SWELLING; lids; lower: apis, arg., ars., aur., bamb-a., bell., bry., cahin., calc., cand-a., carb-an., cham., colch., crot-c., dig., euphr., eupi., ferr., glon., guare., hip-ac., kali-ar., kali-p., lach., lyc., mag-c., merc., merc-i-f., nat-ar., op., ozone, ph-ac., phos., raph., rhus-t., rumx-a., sep., vesp., zinc.

Here is a case from Clarke’s Dictionary under Oxygenum (Ozonum)

Korndoerfer (H. R., iii. 189) relates this case illustrating how Ozone inhalations may sometimes assist homeopathy: Miss X., 18, tall, slender, intensely pale, chlorotic, had been two years ill, and neither homeopathy nor allopathy had given any relief. She suffered from great weakness, cold scarcely walk a hundred yards. Prostration and loss of breath and palpitation from least exertion. Frequent violent headache, worse after exertion, especially after going up stairs. Pains along spine, especially aching about small of back. Rheumatic pains in lower limbs. Desires motion, but owing to exhaustion dares not indulge the desire. Stooping gait. Poor appetite. Menses much delayed, and, when appearing, scanty, watery, brownish. All symptoms worse in wet weather, and on change from clear to cloudy weather. Puls. gave slight relief. Rhus caused severe aggravation. It covered the case, but something prevented its acting properly. Korndoerfer though the action of Ozone on the red corpuscles might help. Inhalations, of ten minutes each, three times a week, were given, and then Rhus acted well. The improvement was prompt and continued, and was only interrupted when the experiment was made of trying to do without either of the remedies. Neither was efficacious when given without the other.

Finally, all this analysis will only hold good if there is clinical improvement. Stretches of imagination still require clinical confirmation to support proving evidence. Ozone should clear many problems but he may need a Natrum salt later as constitutional. Thank you for sharing this case. It was fun working on it!

I suggest for Joshua, a dose of Ozone 200C.

Thank you,

Dr. Leela D’Souza
www.homeopathy2health.com

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