cases from our rich heritage-pregnancy

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Cases from our Rich Heritage

NATIONAL JOURNAL OF HOMOEOPATHY 1999 May / Jun VOL VIII NO 3.

T K Kasiviswanathan

'Sym-r / Thuja / Vib

Case 1 Vomiting during Pregnancy:

A young lady three months pregnant was suffering from a deathly

nausea with vomiting and retching so prolonged and violent as to

produce hematemesis. The smell or thought of food was repugnant to the

extreme. An examination of the patient showed no malposition or any

other cause for the trouble. Taking note of the fact that one Dr Burdickinvestigated the medicinal properties of Symphoricarpus-racemosus ,

which produced intense nausea and subsequent satisfactory results

obtained for curing morning sickness of pregnant women with potencies

of this medicine, Dr Anshutz gave one dose of the above medicine in the

midst of a violent paroxysm of nausea and vomiting of the patient. In a

few minutes she stopped vomiting and said that she felt soothed and

quieted all over. In half an hour the nausea began again but a few pills ofthis remedy checked it promptly and the lady fell asleep. Once during

the night she awoke distressed and took another dose of the medicine

and could sleep comfortably. For a month she was all right but due to

over-exertion one day she became nauseated once more; it was checked

promptly by another dose of this remedy. And such episodes did not

recur during the remaining period of pregnancy.

The indications are a feeling of qualmishness with indifference to food. In

more severe cases there is a deathly nausea; the vomiting is continuous,

with violent retching, but it covers every graduation between these

extremes; it does not seem to be confined to any particular morning

aggravation; a prominent symptom is the disgust at the sight, smell or

thought of food. One case, I remember where the patient was

comparatively comfortable while lying on the back but would be

nauseated by the slightest motion of the arms, particularly raising them."



[DD: Dr Kent writes in his Lectures as under:- Kali-carb is often a

remedy for vomiting in pregnancy, but to find when it is the remedy for

vomiting in pregnancy , we have to go to the whole constitutional state.

Vomiting of pregnancy is not cured, although it may be temporarilyrelieved by Ipecac , as this is a medicine that corresponds merely to the

nausea itself. The condition really depends on the constitutional state and

the remedy that is to cure must be a constitutional remedy. Sulphur,

Sepia and Kali-carb are among the remedies commonly indicated.

Sometimes Arsenic is needed. When a pregnant woman has no

constitutional symptoms at all, and upon examining the case you find

nothing but overwhelming deathly nausea with continuous vomiting dayand night, a single dose of Symphoricarpus-rac will help. That is

prescribing on very limited information and should only be done in

circumscribed or one-sided cases. It is not a long acting remedy; it is not

a constitutional remedy and acts very much like Ipecac . (page 633)

Dr S P Koppikar writes that “I have been badly let down by

Symphoricarpus 30, 200 or 1M and do not use it anymore. Dr TN

Gupta (who wrote about it in Homoeopathic Heritage Journal) uses Q 5

drops tds with success. Cocculus with its weakness legs give way and

sepia, which has “nausea on smell of and thought of food ", I have found

extremely useful and frequently needed remedy".

Dr Kent gives two marks to this remedy in his rubric Nausea - during

pregnancy (p 509). It does not figure in the other three rubrics-Nausea-

food, Looking at; Nausea- food, smell of and Nausea-food, thought of.

However Dr Boericke and Dr S R Pathak highly recommend it for

persistent vomiting of pregnancy. Dr Boericke says that 200 potency has

proved curative.

Dr A H Grimmer says, "There is one troublesome thing, though that

sometimes is very hard to master even with a Homoeopathic remedy-

the persistent nausea that some of them will have in spite of good

prescribing. If you get a case where everything seems to center in the



nausea alone of a more or less nervous type, you would be surprised

what Symphoricorpus will do for these cases." Thus the opinion on the use

of this remedy is divided and only further clinical experience will confirm

the usefulness of this remedy in this condition. See also the case in thisissue where Medh has been successfully used for pernicious vomiting of

pregnancy.)

Case 2: Abortion

A lady, aged 23, was brought to Dr B Sahni on 6-12-68 for treatment

of habitual abortions in the third month of pregnancy. At the time of

consultation she was 2 months pregnant and was apprehensive that she

might abort this time also. The earlier abortions could not be checked

despite best treatment. Her husband's blood test, both Wesserman and

VDRL showed positive. There were not many symptoms and still the case

was repertorised as under:-

Abortion in third month- Apis, Cimicifuga ,croc, Eup-p, Merc, Sabina,

Sec, Thuja, Ust Worse carriage: Croc, Thu

Aversion to open air- Thuja

Dr Sahni transmitted Thuja 1M on the same day through the hair of the

patient and her palms became sweaty (which is considered by Dr Sahni

as a favourable sign of the medicine acting). Such a transmission was

kept on till 25-4-69 and detached on 26-4-89 due to cough and cold.She gave birth to a healthy female child on 4-7-69.

(Dr B Sahni-Transmission of Homoeo drug energy from a distance p108)

Case 3

Mrs C, aged 36, in the 26th week of her pregnancy suffered from

crampy pains starting from her lumbosacral region and extending



through her nates to her womb and ending in her legs. The spasmodic

pains were tormenting her so much that she was confined to bed for

days. The womb neck turned out to be flat and 2cm dilated on

examination. She was advised strongly not to leave home because of therisk of premature delivery. Ten years earlier, her first pregnancy was also

premature.

At the time of first consultation the patient said that she had been

suffering from sharp pains before menses since her first menstruation;

the pains used to come and disappear suddenly. A strong sensation of

pulling and tearing of the womb was always present before and during

menses and the pulling pains extended to the legs, particularly to the

anterior part of the thighs. The menstrual flow has been characterized by

big clots, which relieved the pain each time they were ejected. During her

menses she would be restless which persisted even after menses period

was over. Fresh air gave her a sense of relief.

The doctor gave her Viburnum-opulus 30, two drops twice a day and in

24 hours the pains gradually disappeared. Her gynecologist monitored

her womb neck and the patient delivered 3.1kg girl in her 39th week

normally.

Sometime later the patient complained that she was once more having

crampy pains during the period of lactation and the pains were identical

to those earlier she experienced. On the basis of past history, she was

prescribed Viburnum-op 200. Thereafter, her pains ceased and her first

menses after the childbirth was painless. ( Dr R Pomposelli- European Journal of Classsical Homoeopathy July-Sept 1996)

(See Dr Boericke's Pocket Manual- It is a general remedy for cramps;

often prevents miscarriages; spasmodic and congestive affections,

dependent upon ovarian or uterine origin. Menses too late, scanty, lasting

a few hours, offensive odour, with crampy pains; cramps extend through

thighs. Frequent and early miscarriage; pains from back to loins and

womb worse early morning.)



A Case of Morning Sickness NATIONAL JOURNAL OF HOMOEOPATHY 1999 May / Jun VOL VIII NO 3.

Dr V Sundaram

'Medo

In March 1997, I visited the house of a relative for condolence. There I

met Dr C, an allopathic doctor, who looked pale and exhausted. On

inquiry, she said that she was pregnant again after losing her earlier

male child and now in her second month. She had severe morning

sickness. She had taken all the allopathic medicines known for this

condition without effect. I asked whether she tried Homoeopathic

medicines from her father, who was serving in a college and also

practicing Homoeopathy. Whatever medicines her father gave, after

consulting the repertories, also gave no relief.

Then I asked her father, who was also present, as to what Homoeopathic

medicines he had already given to his daughter. After ascertaining the

same, I asked him to try Medo 1M- one dose.

A week later I had an occasion to meet the doctor again, in the sameplace. There was a sea change in her. She came over to me to thank me

with joy and relief. She never imagined that one single dose would give

such a wonderful result and cure her of her complaint, when all

allopathic and Homoeopathic medicines had failed. She was all praise for

Homoeopathy and thanked me again for curing her sickness.

Dr William Boericke's Pocket Manual of Homoeopathic Materia Medica

guided me in the selection of this nosode, Medo , for morning sickness. Pg

425, under Stomach "Pernicious vomiting of pregnancy".

J H Clarke's Dictionary of Practical MM, states that Medo should be used

in single doses but is rarely, if ever, to be given in the acute stages of a

disease.



How will I survive this month?


Dr Vishpala Parthasarthy

'Phos Mrs MM was 36 and a second para. She already had a 12 yr old son from an earlier marriage.

Her husband was 33, with no previous marriage or child.

She had been vomiting for 15 days, approx 14-15per day. LMP was 30-6-95 and she was 8

wks pregnant. She had been on Inj Stemetil, was hospitalized from 25th-29th, given drips, yet

her vomiting continued unabated. She looked completely drained out; had to be held and brought

to clinic; on coming in, she immediately lay down on the examination couch, turned on her side

and drew her legs up.

Now the details of her Complaints

Location Sensation Modality Concomitants

GIT

Since 15dys

F: 14-15/d

4/9: 7-8 + 3 in

clinic=11

Vomiting < Pregnancy3

< Travel

< Sleep

< 3pm

> Ice

Weak3

Throat Dry

Dizzy3

Drowsy3

Skin <Rt leg, Ankle

Since 19901/y for 1mth

Rash

SensitiveRedness

< Summer

< Winter< Evening, night

> Cold

< Waxing

< Footwear

Rx Incidal

Tongue dryThirst +

Breast under R&L

Since Dec 96 <2d

Rash Red

Burning 3

Itching

< Cloth

< Sweat

> Cold water

Rectum Piles Occasional

bleeding

< Early morning

Ear Oozing

Pt As A Person

Stocky. Wt loss 6kg in 4weeks Wt52.5

Skin: NAD

Nail: NAD

Eyes: Sunken

Teeth: N



Perspiration: Less.

Appetite: Less. Acidity with nausea. Flatulence

Craving: Spices

Aversion: SweetsThirst: Increased

Stools: piles, non-bleeding

Micturition: Decreased frequency 2pm/ 10 pm

Thermal: Chilly2 C4H

Menstrual History: Menarche - 14yrs LMP 30-6-95

Cycles- Regular 4/30

MD-3d - Dysmenorrhoea. Dull Backache, legs, cramps> Hard pressure, Bandaging

Preg I: Vomiting 10-12/d. Saline 3/d for 3days. Then better.

Physical Factors: Likes medium weather, clear skies, open air, covers at

night, bath warm.

Life Story:

Pt born in 1959. She was the 3rd daughter and the 4th child. Mother

lost her male child in 1951 of Nephritis. All the sisters were bright. One

has a gas agency. Si 2 works at hotel reservations. Si 4 at a Travel

Agency.

1980: Arranged marriage. He used to torture her.

1983: Son born, but things did not improve. Finally separated in 1986.

1986: Came back to her mother's house. Started to learn computer. At

those classes only she met and fell in love with her teacher, now her

Husband.

1990: Divorce came through.

1991: Completed her management course and started working with her

sister who had a FERA company, but Husband-to-be felt that company

will fold up. So he made her start her own company. Also studying equity

Research Programme.

92: Married.

95: Now pregnant and sick. So her work is in doldrums. Right now her



only thought is: how can I survive this month? When she came to me,

looked sick and petulant. Husband also looked haggard with pouches

under the eyes. Was it stress related?

They all live with patient's mother, who runs the house. Pt not a good

housekeeper.

Mentals: Irritable. Very outgoing. Loves dressing, reading, meeting people,

going out with close friends. Likes music 3 and has done her visharadh in

music. Has always been a good student.

She is a nervous sort with lot of anticipatory anxiety. Poor memory -

forgets where she put her keys and her diamonds!

Rubrics

Ro Pg Rubrics

1068 Irritability

1017 Consolation >

993 Ambitious1018 Courageous

1078 Forgetful

997 Anticipation

1097 Sensitive

563 Nervous; Travel desire to

537 Cold drinks amel

546 Desires sour

547 Desires tea

Remedies

ACUTE: Ars-Alb 200

CHRONIC: Phos 200

INTERCURRENT: Medo 1M

Discussion: The only keynotes to the remedy were:



1. The way this patient came in and lay down: knee-chest position, folding

the knees up.

2. The craving for ice. So the case was begun with Medo 1M one dose, and

then followed with Phos as required.Follow Up: Date Symptoms Interpretation Remedy

4-9-95 Vomit 10-15/d Medo 200-1

Phos 200- 4 hrly

6-9-95 >

Date/Vomits

3rd - 11-13

4th - 11

5th - 6

6th - 4

> Ct all

11-9-95 Weak. Can't retain

food.Throat dry. Sleep less

App ++

Medo 1M-2nd dose

18-9-95 12th - 4; 13th - 4

14th - 2; 15th - 21

6th - 2 App poor but eats.

Sleep> 12-8am.

Piles < stool after

Wt 54.2( Inc 2 kg/2wks) Placebo

20-9-9518th -1 - 19th - 1

20th -6 Tense. Weak

21st - 2 since no food

22nd - 4

> 60-70% only

withMedh .The beneficial

effect of the Intercurrent

medicine has to be

consolidated. So rptn.

Medo IM- 3nd dose.

25-9-95 23rd - 4; 24th -3;

25th -2

Not holding Medo 10 M-1

2-10-95 26th to 28th- 1 Piles pain1/2d

29th -5 Energy >

30th to 2 - 2

> 2 Wt 53 Placebo

9-10-95 Vomit OD early morning ? acute force reqd Phos 200-1

16-10-95 No vomits for 3 days. Slight

nausea. Craves spicy. Hair

falls.

Av water

Wt 54 Hb 10.8 SOS

20-10-95 Was > 3 but ate paneer Acute Ars-alb 200 QDS



palak

30-10-95 27th - 1 Tongue clean.

Piles

28th - 2 26,27 now >

29th --6 30th - 6

W 51.3 kg lost /2wks

BP130/72

Medo 10M- 2nd dose

6-11-95 31st - 1; 1st -0; 2nd - 1 > Placebo

13-11-95 >3 Vomit 2/w App > had

an egg. No < when the

month changed and when

baby turns

> but repeat since tendency

to relapse

Medo 10M- 3rd dose

20-11-95 >3 Looks lovely. App. Hair> Placebo

18-1-96 Loose motions Phos 200-1 dose

2-3-96 > Slight oedema feet Hb 11.8 Phos 200- 1 dose

8-3-96 >3 Delivery almost due. Medo 10M -4th dose

Caulophyllum 200

QDS / SOS labour

June 96 Delivered a nice bouncy

baby, but she had a naevus

on the Lt cheek. I often told

them to take Homoeopathy

for it. Somehow they never

did.

The pt herself looks fine.



Two Cases Of Habitual Abortion


Dr B G Daptardar

'Vib / Kali-c / Vib

In early days of my practice, a lady of primary infertility came to me.

She head been married 4 yrs and had not conceived. I persuaded her to

first go to a Gynecologist to get the cause defined. She was totally against

internal check ups, but finally she agreed to go to a female Gynecologist,

who diagnosed an "under-developed uterus" which will not be able to

carry a child to full term. Was this the reason for the problem, and every

time her periods were delayed, was she actually aborting?? I took on the

case on a trial basis.

The Case History

Mrs SK, 22 yrs, came to me on 9-3-84 for irregular cycles. Menarche

at 14; initially regular cycles; irregularity started after she had influenza,

for which she was hospitalized and lost 2 kg during the attack.

She talks less and is averse to men. She gets palpitation if scolded even

slightly. She is very timid and easily startled. She has a feeling that she is

at fault (feels guilty) and that she is not fit for her duties. She cries easily

while reading and seeing movies. She cannot bear her husband staying

out overnight for his job, even for one night. She cannot tolerate the least

contradiction. She talks about suicide. She is very suspicious especially

with her husband talking to girls. She has carsickness. Giddiness while

cooking.

Physical Generals

Thermals: Chilly patient.

Perspiration: Does not perspire.



Desires: Condiments, spicy food, non-veg, fish, cold drinks, hot food

Hair: Dandruff

Skin: Wart on Rt ring finger AF thorn prick. Cracks in soles

Sleep: Sleeps late; unrefreshing sleep; wakes frequently.Dreams: Dreams of grandeur; happy dreams.

Menses: Pain in abdomen BM. Pain in breasts BM for 1 year after

marriage

Sex: desire increased

Family History

Fa and PGM - Schizophrenia.

Her husband who was accompanying her, gave most of the symptoms. It

was a love marriage. She was a Muslim, he was a Hindu Brahmin.

This is one of my earliest cases. I was too much tilted by the talks of

suicide and naturally I gave Aurum . Then subsequently followed many

drugs such as Natrum, Thuja, Pulsatilla, Conium, Magnesium, Sulphur,

Lachesis and Aurum-mur-natronatum . She always responded to the

remedy but only partially. All her displeasures, disappointments, grievances were revolving around some thing else but she was not

conceiving. The remedies were not having effect to such an extent that

she would conceive. She was taking treatment for more than 4 years.

Her entire mental state was revolving around not having a child. Though

I had her case reasonably well as compared to my short experience and

had prescribed scientifically, her symptoms would return in some another

form. This sort of frustrated me. This was the time that we learnt abouther under developed uterus.

I was reading M L Tyler's Homoeopathic Drug Pictures when I came

across a beautiful article on Viburnum . I bought Viburnum-opulus 30 &

200. When she got her menses I asked her to inform me. I started Vib-

op 30 every 3rd day on 30-11-1988, after her menses were over. She

had menses on 30-12-88, scanty, no clots, lasted 3 days. She did not

get menses thereafter so pregnancy test was done on 10-2-89 that was



negative. She still did not get her menses and it was again repeated on

27-2-89 when it showed positive. She had morning sickness and

vomiting and mild vertigo. Vib-op 30 was continued in same way and

her morning sickness went away.

In May 89 she had urinary infection and raised BP (130/90), which was

controlled with Canth 200 3 doses. BP came down quickly, but pain in

urethra after urination remained, accompanied by chest pain on Lt. side

< lying on the same side. Natrum-mur 30 3 doses relieved. I

stopped Vib-op as I thought, I have repeated it more than what I

normally do; let me see the effect. Also were these symptoms due to

frequent repetition? On 29-8-89 she started having pains in thighs and

abdomen as Labor pains. Again Vib-op 30 was started but now every

day till 14-9-89. On 14-9-89 she had pain in urethra before urination.

Pus Cells 100-120/hpf. For this Pulsatilla 1M was given and repeated on

25-9-89. She delivered a normal healthy boy in Oct.

Case 2

As this case was progressing beautifully I had another case of Mrs. K, 33

yrs. She came to me on 18-8-89 with following complaints.

Tendency for abortions; aborted 3 times. 1st in June 84 after a fall

when 7½ months pregnant. 2nd in March 87 after a false step when 5½

months pregnant and 3rd in January 88 inspite of bed rest, Shirodkar'sstitch and medicines.

She felt that all these had happened because of her obesity. She had come

to me with a pre-condition that she would not undergo hospitalization,

any surgical procedure or take any allopathic medicines. She had also

complained of low backache after abortions < exertion. Pain in Lt lower

limb for last 1 yr. from hip downward < lying on Lt side.



Menses irregular for last 1 yr. Previously menses every 26-27 days,

lasted for 2-3 days; dark clotted flow.

Grey hair from 2-3 yr. Her mother too had early graying of hair.

She gets frequent cough from childhood, which was severe during 1stpregnancy.

Likes Sweets. Thirst moderate.

Sleeps well; wakes 3 a.m. every day and sleeps or tries to sleep again.

She likes rainy weather and rain; does not like summer at all. Warm to

hot bath always H/O - Jaundice. Whooping cough.

Father has DM. Mother died 1 yr back. Grief .Still cannot believe that

mother is dead - as if it is a dream. She wept while telling about all this.

Mother had DM.

Patient is eldest in family, has 2 sisters & 1 brother. She is B.A.

Observations- Her answers are incomplete and she deviates from the

topic while talking. Appears dull.

She was given Kali-carb 30, 200, 1M on consecutive days.

26-9-89 Feels more energetic. Pain in low back and lower limbs reduced

greatly. 20-12-89 Menses regular, flow is much better, no clots. No

backache, no pain in lower limb. She was asked to try for conception.

Pregnancy test was positive on 26-2-90 She had no trouble at all.

28-4-90 Feels better. She had visited Gynecologist and he told that

cervix is short and external Os is open admitting one finger. Viburnum-

opulus 30 alternate days.

9-5-90 Lumbar backache occ Coryza. Kali-carb 10M 1 dose.

19-5-90 USG Pelvis on 30-4-90 shows: Os 9 mm, coning.

TORCH TEST POSITIVE. Syphilinum 1M 1 dose as antimiasmatic.

20-7-90 Lumbar backache. Kali-carb 50M 1 dose and Vib-op 30

alternate days.

Viburnum-opulus was continued till the end of 9th month. She delivered

a beautiful male child normally.



The story does not stop here. In the first case you might have noticed

that during pregnancy I had not given Syphilinum , which was given

during 2nd pregnancy. The first child had depressed nasal bridge

whereas the 2nd child did not have.

In first case we can conclude that the pregnancy was carried till the full

term because of Vib-op and Palliation was achieved. The characteristic

symptoms of the lady disappeared to a large extent after the delivery

except suspicious nature, menstrual irregularity, vomiting from riding in

a car etc. So the basic sickness was not altered but most of the

troublesome manifestations were definitely ameliorated. I had an

opportunity to follow that lady during her 2nd pregnancy also and she

did not require any Vib-op during that period. In both the cases no

allopathic medicines were given.

Bach Flower Remedies During Pregnancy NATIONAL JOURNAL OF HOMOEOPATHY 1999 May / Jun VOL VIII NO 3.

Dr Padmaja Shenoy

'Syph / Orch

In the first trimester of pregnancy, especially if it is the first pregnancy,

there is a lot of apprehension and anxiety in the patient and the family.

Therefore precise information regarding diet and exercise should be given.

Bach flower remedies are very useful and completely safe during

pregnancies. The first remedy that I would like to deal with is:

Walnut

Walnut is recommended especially when the pregnancy is unplanned,

unexpected and upsetting to the patient. It helps her to adjust to the



idea and not only reconcile but also rejoice at the prospect of

motherhood.

For Nausea Of Pregnancy

If walnut is started as soon as pregnancy is confirmed, it almost always

averts nausea of pregnancy. If walnut fails, I give Colch 30, almost a

specific. It has never failed me.

Terror Of Childbirth

For fear and terror of childbirth, RESCUE remedy (a composite remedy

of some Bach remedies) given in the last three months, plus whenever

required, puts the patient in a relaxed frame of mind.

For Extremely Anxious patients Mimulus can also be prescribed.

Case 1

A female, aged twenty-eight, came to me during the seventh month of

her first pregnancy. She was absolutely terrified, quite sure that she

would die during childbirth. She was in a total state of panic. Rock-

rose TDS helped her substantially. To completely eliminate the anxiety, I

gaveRescue remedy in her final month of pregnancy. It calmed her down

and she had an easy labour lasting only four hours.

Case 2

A female patient aged twenty-four and married only four months, was

planning a child only after three years of marriage. Unexpectedly she

found that she was pregnant and came to me, fretting and fuming. She

was really upset as she held a good job and this uncalled for pregnancy,would make all her plans go awry. Walnut helped her to come to terms

with her pregnancy, reduce her morning sickness and manage her

pregnancy better.

Additionally to combat any syphilitic taint, avert congenital anomalies

and to minimise the risk of chromosomal disorder, Syphilinum IM, 3

doses on say 1st of every mth for 3 mnths prior to conception is

advocated.



Case 3

28-year old female, having one child was eager to have another child but

was unable to conceive. Tests revealed that the husband's sperm count

was low with reduced motility. Though the husband was a non-smokerand a teetotaler, he was very obese.

He was advised to lose weight and given Orchitinum IM one dose a week,

for three months. Count and motility increased substantially.

29 March 98: Sperm count 18 million/ml. Grade III & IV 10%, grade I

& II -40%. LMP 16Sept 98.

25 Oct 98: Positive pregnancy Test.

In the second month of pregnancy, the patient suffered from severe

cough. At that time, she was visiting Bangalore. A local Homoeopath

prescribed Hyoscyamus, Coccus - cacti and Belladonna with no relief.

The constant hacking cough exhausted her. She expressed great anxiety

that the cough would cause her to abort.

Robin Murphy pg 1235: A single remedy for constant hacking cough

during pregnancy - Kali-brom .

Kali-brom 200 Tds completely cured her in three days. ( Clinical

confirmation)

A Negligible But Highly 'Valuable' Guiding Symptom To Cure

NATIONAL JOURNAL OF HOMOEOPATHY 1999 May / Jun VOL VIII NO

3.

Dr V Narasimhan

Kent Says: Any symptom which is far removed from the pathology of the

symptom, however seemingly negligible, helps in finding the similimum.

In my practice, I have verified this a number of times: an objective

symptom helped solve the case.

I present some such cases:

Case 1:

Mr M 59, known diabetic NIDDM for 35yrs, was on allopathic treatment



with rigid diet control, in spite of which he was emaciated with extreme

prostration. He had all the symptoms of a diabetic patient.

Clinical Features

1. Dim Vision: Some months back he watched a match on TV round

the clock. Then the match was lost, and he was very upset and

had great anxiety. When the patient said 'dim vision' I thought

retinopathy- ie the 'syphilitic' stage of progression of Diabetes in

spite of so called intensive treatment; though even at this stage

Homoeopathy can reverse the condition of the patient to normal.

2.

Night watching. Now the etiology was available. Night watchingwith Anxiety is the predominant symptom of 'Cocculus'. To further

substantiate Cocculus, there was the non-cordination of Neuro

muscular system. He could not perform voluntary movements at

will. This applied also to the lack of power of accommodation of

the lens of the eye, regulated by the ciliary muscles.

3. Sluggish 'rhodopsin synthesis' in retina etc confirmed. Cocculus 1M

was given, giving priority to the eliminating rubric 'dim vision' andits aetiology.

4. An observation: all through history taking, whenever the patient

talked, he had frothy saliva at the corners of the mouth.

Taking this last sign and repertorizing, two remedies emerged -Plumb-

met and Lac-def .

Plumbum-met has frothy saliva during sleep

Lac-def - frothy saliva during conversation.

Carsickness is in both, Lac-def and Cocculus . When Allen's Keynotes were

consulted, the very first line of Lac-def is, for the successful treatment of

diabetes. Though illness is chronic by number of years - there are several

acute symptoms, which warrant "Similars" esp in the syphilitic stage.

Accordingly Lac-def 6X was prescribed. Reasons for low potency

a.

to facilitate repetition and



b. for short action. Lac-def was administered after several doses of

placebo following Cocculus.

In 3 months the patient was much relieved.

Further details of the case

The patient was a railway employee. He got married at the age of 16 to

his niece of 29 years. From the history it is understood that his wife was

Dulcamara in mental plane. He was very affectionate to her, and through

her he got 2 daughters and 2 sons. After some years, he was officially

deputed to Malaysia where he stayed for nearly 10 years. From there, he

regularly sent money to his wife, amounting to Rs 2.25 lakhs.

But the pity was that when he returned to India, he found that his wife

had changed. She went to the extent of manhandling her husband with

the help of her sons-in-law, demanding huge money and denying receipt

of the Rs 2.25 lakhs which he remitted from abroad. He lost the

affection of his wife (disappointed love. He was cheated by his own

people. He used to be homesick, when abroad.

On Analysis Loss of his property (money)

Homesick and camp life

Disappointed love from his wife

Do these indicate Acid-phos ?

These are all pathetic, thickly painted symptoms. But to establish

whether a seemingly negligible symptom is valuable in selecting theremedy, 'frothy saliva' on the corners of the mouth was taken into

consideration as an 'eliminating rubric' and Lac-def was preferred

over Plumbum-metalicum on the basis of the frothy saliva - esp during

conversation. Patient improved in several aspects. He can live with

diabetes without any fear.

The tendency with diabetic patients is to habitually monitor the blood

sugar level and worry about the numbers, whereas the administration of



an appropriate Homoeopathic remedy makes a diabetic patient live

comfortably with any sugar level in the blood.

Tips: Some Specific Keynotes

Though lowering of blood sugar level was not instantaneous, the following

ill effects of diabetes are removed.

1. Loose teeth became strong (Merc-cor )

2. Burning of sole > open air (Sulph )

3. Dorsum of foot numb (Secale )

4. Restricted Lt side shoulder movement - (Spig )

5.

Prostration evening by 4 p.m.6. Weakness of calf muscle with inability to walk

7. No inclination to do any work (Abies-can )

8. Dim vision, night watching (Cocc-I )

Case 2: Hypertensive Driver qualifies for job abroad

A chronic hypertensive from 15 years found his BP normal with the help

of Arundo ! Earlier he had taken allopathic tranquilizers and also

Homoeopathic conventional remedies like Rowalfia, Bar-mur,

Cholestrinum, Aurum etc for about 3 years with no relief.

Now an analysis was made after detailed case taking and for 5 hrs he

was closely observed. Patient's co-operation was excellent as he had

confidence in Homoeopathy. As he was here for hardly 3 weeks, he

wanted to bring down BP to normal level.

Seemingly Negligible Symptom

He frequently stopped talking (not stammering) and flexed his tongue

upward. After watching several times I asked him why he was doing

like that? He said to overcome the sensation of fornication in the

palate with itching.

This was the valuable symptom but in no way related to hypertension

or hypercholestrimia, and this led to Arundo as the remedy. It was

given in 6x TDS for 3 days at a stretch. 7 days gap, placebo and again



for 3 days, with close monitoring of the patient's BP. It was normal

persistently from the 5th dose. He became medically fit for his job.

cases from our rich heritage-pregnancy

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