CLINICAL CASES


Adventitious sounds in the apex of the rt. lung have disappeared. The tissue salts were continued for a month more before the patient was discharged. He has been advised to report immediately to me, no sooner he gets any relapse of his complaint. On account of the family history of chronic psoric infection and made up my mind to administer same to the patient.


[ Extract of a paper read at the monthly clinical meeting of the Homoeopathic Post-Graduate Association, Bombay, on 4th December, 1939. The Presentation of the selection of the indicated remedies in cases No. 1 & No 2 is done by Dr. L.D. Dhawale, at the request of Dr. Pai who had already selected the same remedies through a more elaborate method.].

Case: No. 1. Asthma.

A tall man; age, about 40 years. Suffering from asthma for the last 3 years. Asthma not hereditary; took every possible allopathic treatment, including neo- salvarsan treatment, the latter gave him temporary relief.

The following is the case record:.

1. Tendency to take cold; followed by asthma.

2. Cold drinks, always excited.

3. Worse in rainy season; and by eating meat.

4. Sneezing, early season; and by eating meat.

5. Felt nostril blocked in coryza.

6. Scabies-persistent-on legs and hands.

7. Sleepless-in the latter part of night.

8. Pain in rt. hypochondriac region, on pressure.

9. Pain, on pressure, in lumbar (kidney) region.

10. Constipation due to hard and black fecal masses.

11. Burning heat of palms and soles more in soles.

The case was repertorized with the aid of Boenninghausen Therapeutic Pocket Book by Allen. The following rubrics were selected:.

(1) Wet weather agg., P. 309. (2) Meat agg., P. 283. (3) Tendency to take cold, P. 148. (4) Stopped, coryza, P. 47. (5) Sneezing. P. 49. (6) Accompanying symptoms of nasal discharges, P. 49. (7) Left side-nose, P.49. (8) Scabies skin, P. 210. (9) Burning in special parts external, P. 257. (10) Palms, P. 132. (11) Soles, P. 138.

The result was : Merc. 11/33; Puls. 11/36; Sil. 11/33; Sul. 11/39.

Of these drugs Merc. and Sulph are antidotes to Arsenic. Very often the remedies indicated after an injection of neo-salvarsan are among the group of the remedies which antidote Arsenic.

Evidently Sulphur is better indicated in this case, it being the chief antipsoric.

Sulphur 30, one dose, with sufficient sac. lac. was given. Improvement set in after 4 days and it continued for 2 months. At the end of this period he saw me to get himself treated for erysipelous condition of left leg, associated with aching all over the body and pain in the joints, tongue being red at tip. Rhus tox 30, at infrequent intervals, given 3ce relieved him of this trouble. He has remained up till now without any relapse of his asthmatic troubles.

Case: No. 2. Asthma.

A tall, lean man; age, about 35 years, of a mild temperament, very talkative; father of 6 children.

The following is his case record:.

1. Tendency to take cold, early in the morning, before rising.

2. Sneezing, brought on readily by fan-wind.

3. Watery secretion from nose.

4. Cough, dry, worse in the morning.

5 Asthma, usually in the night, 9 P.M. or 1 A.M.

6. Asthma, preceded by scanty urine, ameliorated after profuse urination.

7. Asthma affected by moon phases.

8. Abdomen– flatulence.

9. Likes milk, but is afraid to drink for fear of aggravation. Likes eggs and sweets. Aversion to fish.

10. Worse, by milk and meat.

11. Worse by noise.

12. Thirst for large quantity of cold water.

13. Generally worse in the latter part of night.

14. Weakness.

15. Sleep, disturbed.

16. A nodule in the left breast disappeared, then in the rt. side; painful on pressure and to touch.

Referring to Bogers Synoptic Key one gets, on combining;.

Moon Phases, Agg., P. 8-1, with urinating, amel. P. 12-1.

Lyc. 2+3; Sil. 3+1.

Page 15. Tendency to take cold, lacks in Lyc. but is prominent with Sil. Of regions affected by Sil, glands is one, not so with Lyc.

Sil. 30., improved his condition and remained so from 6-3-1939 to 28-5-1939, on Sil. 30 being again repeated twice during this period.

On 28-5-39 he became worse on eating to his hearts content, custard prepared from the “first-day” milk of a newly confined she buffalo. His liver was enlarged, abdomen was bloated, worse from 4 to 8 P.M.; his appetite was lost and he appeared asthmatic. Lyc. 30, administered 4 to 5 times, during the course of a month and half, relieved him of this digestive disturbance. I had to fall back again on Sil. 30 to complete his cure.

Case No. 3. One can zig-zag ones way but then there is a straight way in between. L.D.D.– Affection of the lung.

A man of a medium stature, aged about 22 years, working in a textile mill, came under my observation for fever, in the month of May, 1939. A year previous to that, he was treated by me, in the same month, of pyelitis of the left kidney.

On clinical examination, I found a definite mischief in the upper lobe of the lung, on right side.

The following are the points recorded on the case sheet:.

1. Fever, 101. 4. with profuse sweat below neck; pulse, 114 per minute.

2. Nasal discharge, right side, first watery then slimy, worse in the first part of the night.

3. Cough more at night, after 2 A.M., worse by lying on the left side and also by lying on back, with lumpy expectoration of a white or yellow colour.

4. Desire for spicy diet; thirst for large quantities of cold water; aggravated by milk.

5. Fleeting pains all over the body; pain in the right side of throat and in the right ear.

6. Sleeplessness in the latter part of night.

I could not make up my mind as to whether it was a case of unresolved pneumonia or a case of pulmonary tuberculosis; the patient was not in a condition to afford to get his sputum examined for T.B.

On repertorization, Phos. stood very high, the other remedies in order of valuation, being Sil., Ars., Merc., Puls., & Bry.

I was nervous to give Phosphorus lest it might be a case of pulmonary tuberculosis ! I therefore decided to give him Calc. phos. 6x and Kali phos., 6x and bid for time to a certain extent. Within a fortnight, the general condition of the patient improved in various respects except fever which was highest in the forepart of night. The same and also other remedies were given without much benefit, till 19-7-1939. I suddenly thought “The art of pharmaco-therapeutics in general, and of homoeopathy in particular, is not advanced by such work.

What we need is clean-cut, scientific work; work capable of being rationally explained and verified; results by the intelligent application of a definite principle and a perfected technic in a sharply delimited field”. THE GENIUS OF HOMOEOPATHY by Stuart Close, M. D., p. 37, para 3. of Psorinum, “Psorinum should not be given for psora or the psoric diathesis, but like every other remedy, upon a strict individualization the totality of the symptoms and then we realize its wonderful work.” KEYNOTES and CHARACTERISTICS by H. C. Allen, M. D.

On account of the family history of chronic psoric infection and made up my mind to administer same to the patient. Psor. 30, one dose, brought the temperature down same day and the fever continued to be normal for nearly a fortnight., after which, on 4-8-1939, another dose of Psor. 30 was administered. That has kept the temperature normal, even to date! Calc. Phos. 6x and Kali Phos. 6x were administered in between the two doses of Psor, with the result that his weight increased and his general health improved to a great extent. Adventitious sounds in the apex of the rt. lung have disappeared. The tissue salts were continued for a month more before the patient was discharged. He has been advised to report immediately to me, no sooner he gets any relapse of his complaint.

N C Bose