SOME CLINICAL CASES

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The pain was localized in the vertex, almost on the crown, and was maddening in its severity. She described it as if the brain was being pressed into a ball, as if the whole vertex would be crushed together. The pain extended to the occiput, which pained continuously but with no comparison to the severity of pain in the vertex. The only relief was from pressing with all her strength with her hands locked together. When she was too tired to do this her husband pressed with his hands. There was no let up to the pain, it was continuous and excruciating from morning to night and from night to morning with not a moment of sleep.

There was also some pain in the forehead and in the eye-balls, which she described as extending back into the brain. Motion of the eyeballs was painful, as was also motion of the head, especially on rising or lying down. She wanted the room dark as the light was annoying.

There was thirst for a full glass of water every hour. She had a history of desiring more than the average amount of salt on her food. The tongue was red, dry and fissured, and the fissures ran both the length of the tongue and crosswise, parallel to each other, giving a checker board appearance. The tongue was not cracked, properly speaking, but the fissures had the appearance of being pressed into the surface of the tongue. The temperature ran about 102 degrees.

Taking the card repertory of Houston, consisting of generals and based on Boenninghausens Therapeutic Pocket Book, the case worked out Nitric acid, which I gave in the 30th potency dissolved in water and administered every three hours.

Within three hours there was a little perspiration, a little amelioration of the excruciating pain, and a little let up in its constancy. In 24 hours the pain and fever were all gone and there was no further need for my services.

Comment: This was a case that had to be worked out. No intuition nor guess work would do. The symptoms were unusual and intensely severe and I believe if they had not been controlled would have resulted disastrously. One peculiar feature was the extension of the pain from the vertex to the occiput. Kent has no remedy for this symptom in his repertory. The pain in the eyes extending back into the brain is not a marked symptom in its proving, but the totality of the generals was Nitric acid and no other remedy, and the peculiar tongue emphasized the choice of the remedy.

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