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| Hpathy Ezine - April, 2004 | |||||
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Dr. Sunil Anand<-- Interviewed by Elaine Lewis |
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Sunil, I am despairing that I don't think I would have come up with Coffea in this case unless the mom said that the child was too full of ideas and excitement to get to sleep at night or that the child wakes from the slightest noise, etc. I'm afraid I would have asked the usual, "When did it start, what was happening at that time, what are the sensations, what makes it better or worse, what are the concomitants, what are the general symptoms" and so forth, and I really doubt this line of questioning would have led me to Coffea. My question to you is, did you pursue this line of questioning and did it produce a remedy such as, say, Mercurius or Hepar, and if it did produce such a remedy, what do you expect would have happened if it were given? On the other hand, what led you to disregard the picture the chief complaint was putting out--assuming it was putting out a clear picture--and go instead for clues from the mother's pregnancy and behavior of the child in the office, which, I have to say, might have led to choosing the wrong rubrics, such as "Industrious" or "Hurried"? Elaine, thats a good question. The answer is that repeated patterned behavior in the clinic is like an acute physical presentation, which makes the picture more evident as it gets things to the surface. once one understands it in its pure essence it combines the sensation, the general as well as the mental. What I am trying to convey is that a child acts more than what it speaks. The observations that are in a form of a pattern, speak volumes about the inherent characteristics of that child. It offers us an insight or an entry point into the case which one can then easily confirm at a later point in the case once other aspects are further understood. What happens is that we do not think of a remedy because we have a mind set about every remedy and its presentation due to the standard format in our materia medica. For instance, in this case of Coffea, once one understands that the primary need for the child is to act in great speed as she is almost trying to time herself every time, it can only be translated as a need to act quickly rather than be industrious. Calc fluor. is very industrious but not necessarily with a need to act quickly. Then we see the need to create beautiful patterns one after the other. So she is now not only being quick but having an active artistic bent of mind to be able to create one design after another. Let us try to project what sort of work involves creating one design after another in a short time, quickly. For me it reminds me of a team of people at an advertising agency. Is it not interesting that there is invariably a coffee vending machine there and they indulge in it a lot as it keeps the stimulation of ideas up! That is the state of Coffea as I understand it. Further, Rajan now mentions easy stimulation of the mind as the main sensation of the rubiaceae family to which Coffea and China belong. At an initial stage, till one is not very familiar with the method of subjective homeopathy, one can confirm at a later stage of the case what one saw as an initial observation. Like in this case, once one zeroes down to Coffea with the help of the first two rubrics, the fact that both the child and the mother are easily excitable leading to sleeplesness and that the mother was mortally scared of death due to pain during labor further confirms the idea of Coffea. To be precise, the observation can lead us to the generals and sensations in a particular case. 3. Case of Cicuta Verosa- Delayed milestones with asthma and eczema This six year old girl walked into my clinic and was transfixed by a picture of a boy weeping put up inside my chamber. She kept asking in a very childish speech as to why this boy was crying. On further enquiry,the mother related that she was very sensitive to stories that have anything sad in them like the three little pigs. She was also very interested in the paper weight or the stethoscope rather than the regular toys that were available in the clinic. Moreover the child had skin eruptions which were quite extensive but hardly any itching. Based on this information she was given Cicuta Virosa 1M. Besides an improvement in her asthma and eczema, her teachers confirmed that she was learning and concentrating very well as compared to before. Rubrics and Indications- Sensitive to sad stories Sunil, did you feel you needed to find an etiology of head injury, etc. in this case to feel good about giving Cicuta? When there is an obvious history of injury, one definitely thinks of the remedy. But don't we know of so many cases that have invariably been subjected to cerebral anoxia and in a way resulting in subtle forms of brain injury without being very obvious? There are many cases like that. The causative factor though it cannot be ignored need not be present all the time to think of a remedy that way we understand it. Let us take the example of Arnica. It is only when we understand that injury can be at an emotional level as well, which in turn creates an aversion in arnica patients to be approached and sympathized by others that we understand the core issue of the remedy. All remedies need to be understood in this way. Maybe a new materia medica is the need of the hour? 4. Case of Merc I.F.- Boy five years old with acute tonsilitis This boy had been on Merc-sol. with partial relief. What was very evident was the aggression as he invariably came to the clinic with a toy machine gun. His father who was an aquaintance collected piranha fish at home in their aquarium and loved watching the smaller fish being eaten by the predator fishes. So it was obvious to me where the state of violence was passed on to the boy from. But at one point the remedy stopped helping. The parents were very anxious as the boy had come to me with pus points, high fever and a toxic look but the gun was still an accompaniment! I was a bit perplexed by the remedy not helping him though indicated. So I decided to speak to him directly and requested the parents not to interrupt him. When asked about the type of pain, he said in a sure but aggressive manner that it was as if someone was inside his throat and stabbing him with a sharp knife. He now was given Merc.I.F 1M, single dose and by the next day he had settled and subsequently the repeated attacks also came down. The main rubric chosen was- Delusion, man in the room intending to perforate his throat with a gimlet (a sharp spear like weapon. Till that point the only gimlet I was aware of was the alcoholic drink!) |
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