| October 2008
Female patient, 45 years old, came to see me in October 2008, on
recommendation of another patient. The presenting complaint was
depression; she had been on antidepressants for the past eight years.
The depression was currently fuelled by the breakup of a relationship
and the sudden death of her dad three months back.
The mental symptoms the patient presented were:
• Low self esteem
• Feeling to be a victim
• Feeling alone, lonely
• Grief, due to the sudden death of her dad
• Resentful
• Lack of help from others, but doesn’t ask for it
anymore
• Lack of trust; has been let down often; has been cheated
on
• Desire to cry and send people away
• Desires comforting
• Anxiety, panic attacks, dread - as if she had done something
wrong; cannot relax
• Doesn’t see anything nice about herself
• Anxiety of not having control
• Fear of failure
• Dreams of punching people
• Short term memory weak < alcohol
• Dreams and reality are not distinguishable at times -
scary
General symptoms
• Severe lack of sleep; cannot sleep without sleeping
pills during day or night; wakes 3.30 am. Has taken sleeping pills
for last five months. Wakes exhausted.
• Warm person
• Poor appetite and thirstless
• Tidy
• Observation: exaggerates (never/ always/ …)
• > wet cold weather
• > open air
• > movement
• < 2 to 4 am
• Desires spring
• Desires cooking and eating
• Desires salami and cheese
• Desires red wine – high alcohol consumption
• Bread upsets (gets bloated)
• Aversion being late
• Aversion hot weather
• Aversion wind
• Aversion noise
• Aversion crowds
• Clenches/ grinds teeth
• Saw psychologist twice, but is not convinced about him
Physicals - Top to toe
• Tension headaches, occipital; sensation of constant
stabbing from blade of knife from inside out. Intensity is sometimes
ten on scale of ten and causes vomiting
• Hearing of voices difficult
• Vomiting < strong anxiety < strong pain
• History of chronic tonsillitis; tonsils were removed when
she was 19y of age.
• Under active thyroid - takes thyroxine
• History of bronchitis
• History of kidney problems; too much protein in urine
• Thrush often through her life, excoriating < hard intercourse,
> contraceptive implant for four years now
• 17y old: constant leucorrhoea, was stopped through surgery
• High blood pressure – is on beta-blockers
• Bruises easily
• Hay fever < last four years
RUBRICS CHOSEN (RADAR)
MIND - CONFIDENCE - want of self-confidence (194)
MIND - DELUSIONS - wrong - done wrong; he has (45)
GENERALS - COLD - amel. (116)
STOMACH - APPETITE - wanting (348)
STOMACH - THIRSTLESS (189)
GENERALS - PAIN - Internally - cutting pain (160)
FEMALE GENITALIA/SEX - LEUKORRHEA - copious (150)
FACIAL ANALYSIS
| YELLOW (psora) |
RED (sycosis) |
BLUE (syphilis) |
| Lips
Eye lids
|
Forehead shape
Nose
Bridge
Teeth gaps
|
Asymmetry
Forehead shape
Hairline shape
Dimples
Teeth
Chin
|
| 2 |
4 |
6 |
This patient needs a blue (syphilitic) remedy
The repertorisation brings up the following remedies
Puls, Sil, Lyc, Sul, Ars, Merc, Aur, Cocc, Alum, Lach
Merc, Aur and Cocc are blue remedies – Cocc was chosen because
it read best in the materia medicas.
REMEDY AND DOSE
5-NOV-08 Cocculus 30, single dose; observe for
three days. If OK, take daily thereafter. Recommended no consumption
of coffee.
FOLLOW UP 27-NOV-08
Follow up three weeks after remedy was prescribed:
Took Cocculus 30C as instructed; takes dose right when she wakes
up.
- Haven’t been angry at all – noticed difference
after the initial dose
- A lot calmer; things don’t bother her as much anymore
- Doesn’t get upset or anxious
- Has been able to get two hours sleep a day - in the afternoon
- without sleeping pill
- Still takes sleeping pill at night; wakes at 4am now.
- For the first time in 30 years she read a book for leisure
- Went to see new psychologist; very happy with her
- Appetite normal; probably eat more then I should. Dieted for
7 days: fruit, veg, no alcohol
- Don’t feel I need the red wine anymore; cut down to two
glasses a night (from a bottle most nights)
- Hasn’t had tension headache since initial consultation
- Bruise a bit less easily
- No longer resentful
- Have been a lot more assertive
- Aloneness has not been a problem
- I do what can be done to have as much control as possible
- I am handling things so much better
- More positive and initiative
- Haven’t had any problems to distinguish dreams from reality
- Vomiting hasn’t occurred; both known triggers are no longer
existent.
Complaints still present:
Acute hearing except for voices
Prescription: Cocculus 30 once daily. Keep fluid levels up and
alcohol level down.
FOLLOW UP 23-DEC-08
- Has seen her GP since last consultation, who advised to halve
the dosage of Beta blockers and antidepressant.
(Blood pressure (medicated) now 109/79; was 153/111 in September
08.)
- Feels so much calmer; things don’t upset anymore
- Takes everything in her stride
- Things she doesn’t have control over, she lets go and
doesn’t get anxious anymore.
- Has cleaned up relationships “so they are done and dusted
and the old stuff can be put away”.
– People apologised to her about their behaviour.
- “Self esteem is increasing slowly”. – comment
from patient
- Doesn’t feel as needy for help anymore.
- Hasn’t felt lonely at all
- She now sees nice things about herself
- Feels pretty in control in the moment
- 1 to 2 glasses of wine per day; there are two alcohol free days
a week.
- Every now and then she wakes at 4.30am, but now can go back
to sleep. Still takes sleeping pill at night.
- No headaches other than from dehydration.
- No hearing difficulty
Complaints still present:
• Appetite not very good; hasn’t been eating fruit or
veg
Prescription: Cocculus 30 every second day.
6-JAN-09 Patient contacts me asking if dose could
be taken daily again as some symptoms start to return.
Prescription: Cocculus 30 once daily.
------------------------------------------------------------
Rogér Walti, Homeopath
Ad Dip Hom Med, Prof Memb AHA, AROH regd
Health Unlimited, Geelong, Australia.
www.healthunlimited.com.au
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