Girl P., 3 years.
On my return from a journey, the doctor who was working in my place informed me that he is very much anxious about a girl since four days. The girl is suffering from a grave form of bronchopneumonia. I knew the child, who, last winter was attacked by the same disease and I had great difficulty to cure her.
I found the following symptoms: high fever, small, rapid thready pulse. Paleness of the face and cyanosis of the extremities, general coldness, cold sweats. Fanning of the nostrils. Nausea, incontinence of stools and urine. By auscultation, the two lungs are full of rales of all types, the seats of the rales have the character of gurgling. The cough has become rare, expectoration impossible. Thirst for cold water. Complete anorexia. The parents have lost one girl who suffered from bronchopneumonia three years ago.
On the mothers side there is the history of serious tubercular antecedents: a brother had been discharged from military service and was given pension because of a double pleuropneumonial congestion, followed by sero-fibrinous pleurisy of the right lung. Had since then condensation of the lung and asthma in the winter. Two brothers died of tubercular meningitis when young. The mother herself suffered from repeated bronchitis, had slight attack of asthma at the age between 16 to 20 years. Had suppurated adenitis in the second infancy. If I believe in the antecedents, I thought the prognosis should be grave.
Prescriptions: Antimonium tartaricum 30, two granules every three hours.
On the following day, slight amelioration of the appearance and of the general symptoms. Stethoscopic symptoms are stationary.
Aviary 100 one dose.
Antimonium tartaricum, 30 every three hours.
Immediate amelioration. I replaced Antimonium tartaricum by Ipeca 6, alternated every two hours with Bryonia.
The fever subsided. The condition of the heart is better. Auscultation reveals a considerable diminution of the rales, the child expectorated while vomiting, grayish sputum, having a bad smell. It can sit up on the bed alone and asks for food. It is irritable, pushes its mother and the doctor. Lycopodium 30 is added to Ipeca and Bryonia, one dose in the evening.
Two days after, the girls is in full convalescence. Pulsatilla 6, Sulphur iodatum 6, are prescribed for five days. Cure without further complication.
Inspite of the gravity of the case I made a strict homoeopathic treatment without the help of a cardiac tonic, of a colloidal metal or injections of oxygen.
Case II.
A child of 13 months, male, of a camp. March 1931.
The child is suffering from asphyxia; it was in a deplorable hygienic condition: in a poor filthy condition, in an icy barrack open on all sides. The mother refuses to hospitalise it. Generalised capillary bronchitis. Cold sweats, collapse, liquid diarrhoea with incontinence. Death seemed inevitable.
Carbo vegetabilis 30, to be taken as early as possible.
Camphora 6, to be taken every hour.
Antimonium crudum 30, every two hours.
Next morning the child has better respiration. Same treatment.
In the evening the fever rises, but the respiratory condition is clearly better. Some coughs with small expectoration. Agitation alternating with prostration. Thirst for small quantity of cold water.
Aviary 100 one dose.
Ipeca 6.
Arsenicum album 30.
Bryonia 6.
Progressive amelioration. Cure within four days.
Case III
A child of 6 months, male. February, 1932.
Parents came to my chamber after 19Km of journey, in an insufficiently closed coach. The child was covered in heaps of covers, Snow was falling since two days, penetrating cold, eastern wind.
They informed that since the morning the child has 40*.5 fever, that it is coughing and suffocating. The child is agitated, burning with fixed eyes. I scolded the parents for having subjected the child to make such a long journey in snowy weather. Their answer was that they wanted their child to be treated by me and they found no other way but to come directly to me.
By auscultation: Tubular sound of the base of the right lung with some crepitant rales. I told my diagnosis to the parents and I prescribed.
Aconite 6, granules every two hours.
I saw the child next days at noon. Temperature 38.2*. The rale is more soft, tubular sound is diminished. Cough, nausea.
Ipecac,
Phosphorus 30.
The next day the temperature is 3.5*. Cure in 43 hours.
Case IV
Girl, 11 months. December 1932.
Broncho-pneumonia both sides affected. Familial tuberculinism. Pauperism. Bad hygienic condition; psychological misery. Slight fever (loss of defense reaction), small pulse, rapid. Prostration and delirium. Weak cough superficial respiration. Fanning of the nostrils. External coldness. I had not great hope to cure the child.