PRESENTATION OF PULSATILLA



1. Abdomen distended and child passing flatus frequently.

2 Child, cross, early in the morning.

3 Cough.

4 Liked open air.

5. Agg. of fever in the evening.

I thought that some other deep acting remedy, complimentary [Complimentary medicine would act only when indicated by the presence of its characteristic symptoms. -L.D.D.] to Puls. should be chosen and then alone the temperature would drop. Taking into consideration the flatulence and the early morning crossness of the child, Lycopodium, 30 was prescribed in one dose and the temperature dropped at once. Child is now completely free from any kind of trouble. Here I have to thank Dr. Dhawale for the ungrudging help he gave to me in treating this case.

DISCUSSION.

DR. R. R. PAI. : I would like to know whether Dr. Patwardhan has used Pulsatilla as a prophylactic against measles.

DR. R.P. PATWARDHAN : Yes, I have used it when there was a case of measles in my family, to prevent the disease in other children who had not their turn till then ; and they did not catch the infection from the patient.

DR. J.N. KARANDE : Pulsatilla is a very useful remedy in gynaecology as well in pediatrics. I have found its mental symptoms to be the leading ones- change of symptoms being another characteristic which leads one to the selection this remedy. Earache, ameliorated by cold, when found in children, is very often successfully met with Pulsatilla. It has also helped me in pyelitis, when indicated.

Dr. L. D. DHAWALE : Pulsatilla is usually ameliorated by motion ; but when indicated on other symptoms, it has been reported to have helped pleurisy with stitching pains in the side of the chest during motion, cough or breathing. I have used it in pulmonary tuberculosis in a male patient, with a good sway, covering a long range, in potencies from the 30th to DMM. The symptoms would then alternate with Bryonia, in the same way.

I have used it in this epidemic of whooping cough in various cases even when complicated by broncho-pneumonia. The trouble was accompanied with yellow nasal discharge. In some cases it was followed with success by Bryonia when the typical thirst for large quantity of water ushered in.

I have also found it to be a good remedy in cases of high-blood pressure as it has a marked action on circulation.

In a case of a menstrual disturbance associated with a severe upset in the digestion-before, during and after menstruation, it helped the patient when an allopathic line of treatment from various quarters proved of no avail. The remedy is not only indicated when the menses are scanty but also in cases of metrorrhagia. It has got such a strong action on the mucous membranes that even the menses, which are generally scanty, are slimy.

In the male generative organs it is indicated in gonorrhoea with a thick, yellow discharge from the urethra ; and it is also indicated in troubles resulting from suppressed gonorrhoea.

But do not forget Clematis erecta which I have used with marked success in cases of suppressed gonorrhoea associated with ilio- scrotal neuralgia with severities of a varying nature, when allopathic aid from the best hands proved useless !.

I have also used Pulsatilla successfully in a case of hydrocele which was markedly better with application of ice. The disease used to be aggravated in noticed by the swelling on feet, also disappeared though the patient was attending all the while to his office work. Temperamentally he was of a timid nature,-a statement made by his wife and accepted by the husband without contradiction.

R. P. Patwardhan