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Case Study

The Rapid cure
NATIONAL JOURNAL OF HOMOEOPATHY 1999 Sep / Oct VOL VIII NO 5.
Dr Vishpala Parthasarathy 
'Calc-iod

On 21/6/99 one of my long-term patients brought his 2-year-old cousin for allergic rhinitis.

Location

Sensation

Modalities

Concomitants

RS
1/ 2mth x 5-6 day

 

 

 

 

 

 

Sneezing

< COW

App - http://www.njhonline.com/images/downarrow.gif

Running nose

< dust

cranky ++

Nose block

< pollution

 

Occasional whitish

< winter

 

Profuse + expectoration

< before sleep

 

Congestion chest

< after sleep

 

Breathlessness

> sleep

 

Fever

Usually along with

< pm

 

Cough

 

 

High grade fever +

 

 

Perspiration - ++

 

 

Chill - 0

 

 

Patient As A Person: Fat, Fair, Flabby
Ht-32 ½ ' Wt- 12.6 Kg (birth wt - 3.2 Kg) 
Appetite: Normal
Craving: Butter2, Biscuits2 and Sweet1
Aversion: cold drink1
Thirst: good- for large quantity
Stool: 2-3 / day
Urine: 7-8 day/ 2 nights
Perspiration: Profuse ++, all over body especially head
Skin: H/o Urticarial rash
Sleep: N 
Saliva: drooling ++
Dreams: wakes up frightful & cranky > eating

Obstetric History: healthy pregnancy, happy pregnancy
FTND; Breast feeding- 1 Year
Wt - 4 Kg Ht - 54 cm Fully immunized for age
Milestones: Talking late. Walking late
Thermal - Hot pt3. Likes AC, Winter; Summer: agg++; Sun: agg
Bath - Tepid bath though loves to take normal water bath CH4

Past History - Febrile convulsion - 1998
Recurrent stomach upset - 1998
Urticarial Rash - Jan 1999

Family History: M - Cervical spondylosis
MGM: - Osteo- arthritis
PGF: DM

Life Situation: Mother, works in a bank, is cool and friendly. Father, a chief manager, is jovial and loves sports. But the child, our patient, is totally opposite-- shy and clinging. As soon as they entered consulting room, he clung tightly to his mother, giving fearful looks to all. Mother said he is scared of new faces; he never talks to strangers, never even plays with new children. Does not want attention. Happy playing on his own, with mother around. He is quite content, if left alone with his own family. He also has a marked fear of dogs. He is cranky if very ill, in the presence of strangers, or if anybody tries to touch him. There is also aversion to light.

Rubrics Selected From Robin Murphy

1009

Caressed aversion to

1076

Light aversion to

1070

Looked at cannot bear

1106

Stranger presence AGG

1110

Talk Slow learning to

1135

Mouth salivation < Sleep

536

Craves - butter

743

Perspiration back fearful & clinging

Drugs Came Up After Repertorization:

Chilly

Hot

Cina - 9/4

Puls - 8/3

Nux-v - 9/4

Merc - 8/3

Calc - 7/4

Sulph - 6/3

Bar-carb - 7/3

Nit-acid - 5/3

Phos - 7/3

Lyc - 4/2

Sil - 6/4

 

Stram - 4/3

 

Discussion:
Here the remedy was very clear - physical appearance-fat, sweaty plus clinging & fear pointed to Calc.. Hot Calc = Calc-iod 
Drug selected - Calc-iod 200 Chronic (C) Merc-sol 200 Acute (A) Tub-b 1M Intercurrent (IC)

Follow Up:

21/6/99

Cold tendency

Almost quiescent phase- begin with IC.

Tub-b1M(1) 

 

1/7/99

>3 cough - 0

Follow the IC with C= constitutional.

Calc-iod 200 (1)

 

3/7/99

Slight cold 

Action Options :

 

 

 

 

1. Wait and watch

 

 

 

 

2. Give acute.

 

 

 

 

I chose to give acute since the child has tendency to rapidly progress to next stage. Only min, 2 doses reqd

Merc-sol 200 2 p HS

 

21/7/99

>3

Strong Tuber base.

Tub-b 1 M 2nd dose

 

28/7/99

>3

 

Placebo

 

30/7/99

>3

 

Placebo

 

5/8/99

>3

 

Placebo

 

13/8/99

>3

Just observe

Placebo

 

28/8/99

Continues to be well

 

 

18/9/99

Well

 

 

 

30/9/99

Well

 

 

 

This is a classical case with a near classical response-almost the ideal, RAPID gentle cure, the dream of every one of us!

Yet this case landed me in a problem! 
The child was referred by his cousin, who has been under my care for at least 5 yrs, with not so good a response! The question was why was I being partial to the new patient?

That is luck on the part of the patient, is it not? And improved knowledge and experience, on the part of the physician? But we did take action: we retook the old patient's case, took a fresh look and Lo and behold! He started responding better! The moral of the story is: SUCH CASES UNDERSCORES THE NEED TO CONTINUOUSLY UPDATE AND BETTER OURSELVES, AND REGUALRLY AND RAPIDLY, REEVALUATE PATIENTS WHO ARE NOT IMPROVING ADEQUATELY. Today our thinking veers more to rapid - rapid change, rapid rethinking, ----all this leads to rapid cures.