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Case Study

A Case of Fever
Dr Sarang Rahalkar

5 yr old Master ACS was brought for fever since last 3-4 days with a long-standing respiratory problem since about 20-22 days.
His history was as follows:

Cough 22 days
back 26th Aug

Started coryza ++
Fever  100-101oF

< AF getting wet ++
> Tab Nise

Weakness - 0
Activities Good

After 3 days

Again Fever 100 o F
Coughing bouts


Paediatrician gave
allopathy Rx




T Kid 0x250 BO

Allo Rx continued for
about 12 days 



Sy Norvetn 1 tsp TRS




Sy Nise 1 tsp TRS




T Betnesol

1-1-1 Day1
1-0-1 Day 2
½-0-½ Day3

After 12 days

Fever fluctuating

< morning ++



Cough http://www.njhonline.com/images/rtarrow.gif in bouts ++




Mucoid expectoration ++;




Yellowish +


Earache started

On 11th September, Allo Rx was stopped and child was without treatment for about 4-5 days. On 16th September child was brought to me, when I got the above history. Presently child was suffering from bouts of cough with coryza http://www.njhonline.com/images/rtarrow.gif watering of nose and was feverish. He was not very active and had a slight moaning cry. Present history demonstrated the acuteness of all previous symptoms. The totality was as follows:



< swallowing ++

Weakness ++

4 days

Complaining of continuous irritation in throat


Activity http://www.njhonline.com/images/rtarrow.gif reduced
Thirst à does not feel to drink


Coughing bouts2

< morning

Tongue dry ++
Appetite less 


Expectoration http://www.njhonline.com/images/rtarrow.gif yellowish2


Thermal : hot


Pain in the ears2


Covering O (throws off)
Fan wants speed 1
Moaning cry ++ (weeping)



O/E http://www.njhonline.com/images/rtarrow.gif RS http://www.njhonline.com/images/rtarrow.gif mild rhonchi+

O/E http://www.njhonline.com/images/rtarrow.gif throat http://www.njhonline.com/images/rtarrow.gifinflammed2



On deep inspiration

Tonsils http://www.njhonline.com/images/rtarrow.gif 2+both sides



Advised x-ray http://www.njhonline.com/images/rtarrow.gif chest

Cervical nodes http://www.njhonline.com/images/rtarrow.gif not palpable



http://www.njhonline.com/images/triangle.gif http://www.njhonline.com/images/rtarrow.gif pharyngitis ++

Tongue http://www.njhonline.com/images/rtarrow.gif dry ++




Ant. Fontanelles http://www.njhonline.com/images/rtarrow.gif open slight.

Further Inquiries: Child has recurrent attacks of URTI about age of 2 years. When the family visited Karnataka he was given all Allop Rx and the infection settled in 2-4 days, but the present attack stayed the longest.
Mother was very anxious as normally even in attacks he was active and had normal appetite.

Mentals: Irritable +++, Obstinate3. Academically he is very good, always stands in first three. Parents say he is very systematic in his studies.
Child would never like to mix with others (friends), will prefer to play alone. Whenever he plays with his friend he does what he likes & never listens to anybody else. Maybe that is why he play alone.
His demand for anything has to be given immediately. There was one peculiarity mother revealed: as a small child too he refused her milk!

Thermals: Covering http://www.njhonline.com/images/rtarrow.gif summer http://www.njhonline.com/images/rtarrow.gif rainy http://www.njhonline.com/images/rtarrow.gif sometimes Rainy Winter-blanket
Bath http://www.njhonline.com/images/rtarrow.gif luke warm always
Fan http://www.njhonline.com/images/rtarrow.gif S- wants speed - 3
W- O, r- on - or do not want
Sun < http://www.njhonline.com/images/rtarrow.gif 0
Winter < http://www.njhonline.com/images/rtarrow.gif Respiratory complaints.
Cr http://www.njhonline.com/images/rtarrow.gif spicy 2, Av http://www.njhonline.com/images/rtarrow.gif milk3

Acute Totality

  1. Moaning Cry (weeping)
  2. Activity reduced 2
  3. Thirst http://www.njhonline.com/images/rtarrow.gif 2 do not want to drink water
  4. Tongue - dry2
  5. Hot pt.
  6. Throat pain < swallowing2
  7. Expectoration yellowish

Pace of the disease is slow: almost about 22 days. After considering all the above criteria, two remedies were coming close.Lycopodium, Pulsatilla. The characteristics like moaning cry, thirstlessness with dryness of tongue would take us closer toPulsatilla.

Susceptibility: of the child seems to be also very good. If you would see the form thrown by the system after so many days and also after antibiotic coverage, you would appreciate the form to be good, with good characteristic symptoms of tongue, thirst, mentals with peculiar cry. But pace is slow.

Thus we would naturally select the potency from moderate to high with less repetition. Pulsatilla 200 8 hrly for 3 days was given. On 20th Sept. the child was brought. The totality was as follows:

Fever - O, Moaning cry - O
Coryza - watering of nose >++ http://www.njhonline.com/images/rtarrow.gif 60%
Earache http://www.njhonline.com/images/rtarrow.gif O
Cough in bouts >2. Occasionally in morning
Thirst http://www.njhonline.com/images/rtarrow.gif N now has started drinking water
Tongue http://www.njhonline.com/images/rtarrow.gif Dry ++
O/E http://www.njhonline.com/images/rtarrow.gif Throat http://www.njhonline.com/images/rtarrow.gif Inflammation + >

Puls 200 had definitely registered as there was uniform amelioration of complaints. Therefore Puls 200 BD was given one day and then constitutional medicine he was told to take. Constitutional was http://www.njhonline.com/images/rtarrow.gif Silicea 200 3 p HS ( 3 powders at night daily 1 p)

The Silicea Totality: 
Irritable2, Obstinate ++, Headstrong++, Systematic way of studying. Peculiar H/o Aversion to or refusal of mother's milk during infancy. Also Ant. Fontanelles are slightly open.
He was given Sil 200 3 HS for about 2 weeks & asked to report SOS.
The child is presently better.