21.7.48:-The temp. is brought down still further and it is varying between 97*C and 98*4c. The other symptoms are reported to be the same another new symptom is reported to have developed The child is trying to bite his own hand.
23.7.48:-Stramonium-1m was given-No change.
24.7.48:-Another dose of Stramonium 1m.
25.7.48-Reports to-day that, the patient, for the last 3 days, is having good sleep at night and the stiffness of the neck is softer, and no stiffness during sleep, but during waking hours and during the rise of temp, which is now varying from 98*c to 100*c, the symptoms of meningeal irritation are persisting though in a milder form; among which the constant motion of the upper limbs is very prominent. The condition of the patient is now somewhat peculiar-meaningless staring look, opening and closing the mouth in a peculiar way-all these are stimulating an insane mind-a hysterical manifestation.
26.7.48:-The automatic and constant motion of the upper extremities are also very peculiar with the patient and it is present from the very beginning, so its importance can not be neglected. It is as found in the Repertory, covered by Bell. and Ars. Alb. But attaching more importance to the above hysterical attitude of the patient Ignatia 200 2 doses 1 every 4 hrs. is given. This is given in the morning and in the evening (26.7.48) it is reported that the patient is in a little better condition. Another dose Ignatia 200 is instructed to be given in the next morning.
27.7.48-(11-30 A.M.) The child is reported to be much better. Eyes, have normal look, movements of the upper limbs much less. Another dose of Ignatia 200 is given in the evening.
28.7.48:-Condition is further improved. Signs of returning sense are observed, responds to calls by opening the eyes and stretching the arms as if asking for being carried up. Temperature about 99*c. No medicine till 1.8.48.
1.8.48:-No further improvement, one stool deep green in colour and a bit offensive. Temperature is normal for the most part of the time. Movements of the mouth is still persisting to some extent. Ignatia 200, 1 dose.
4.8.48:-Patient is practically alright. Stool has become yellow, responds people intelligently; but the patient can not yet speak excepting that he can only utter the word “Ma” mother).
14.8.48:-Patient has been improving all the time, but no speech as yet. Cicuta 200-2 doses one to be taken every alternate day. Cicuta is indicated in “speech lost in meningitis”. Speech gradually returned.
In conclusion I want to say a few words about the use of Ignatia in Meningitis. I was wonderfully benefited in one more case of meningitis by Ignatia I have often found in cases of meningitis, that patients develop certain peculiar nervous symptoms particularly towards the period of recovery- symptoms which are very difficult to account for by the meningeal condition alone. Patients temperature is quite under control, the general condition pulse and respiration, quite satisfactory, yet the patient is showing some symptoms indicative of derangement in the functions of higher centres of the brain-the psychic centres. In these cases I have often found Ignatia to be highly useful.
