The knowledge, that we get, about a particular drug, from books of materia medica is incomplete and we must always supplement our basic knowledge, by going through the different Case – reports published in different magazines and journals, and should ourselves publish our own successes and failures with different drugs, thereby interchanging our own experiences.
The following are some interesting cases, collected from the records of our clinic, the first two of which illustrate the use of Sulphur in uterine haemorrhage.
A lady aged about 42, came with the following complaints:
1. Chronic pyorrhoea-10 yrs.
2. Ring – worm like eruptions in lower abdomen: also some eczematous patches on the dorsum of it. hand – dry, cracked with much itching.
3. Long continued constipation – Bowels moving at 3/4 days interval – stool hard sometimes expelled with much difficulty (This was a symptom of which the patient did not complain, only found out by routine questioning).
4. Hard of hearing.
5. Much burning of soles and palms – This symptom very troublesome to her.
6. Much dandruff on scalp with much falling of hair.
7/ Salivation during sleep.
As regards, generalities, we got the following:
1. Aversion for bathing.
2. Cannot tolerate extremes of temperature,
3. Much cracking of soles in winter.
4. Bathing a little too much causes cold and cough.
She was of flabby built and fair complexion.
18.9.53. Graphites 200 – 1 dose.
26.9.53. Only the itching of eruptions much less. Her menses started 10 days back and was continuing still then. This day patient gave another symptom that during each mense period she gets excessive flushes of heat all over body with puffiness of the face – menses however all along normal in quantity. As there was amelioration of skin troubles and Graphites contains protracted haemorrhage another dose of Graphites 200 was given.
2.10.54. Skin troubles further yielded but haemorrhage was continuing in an aggravated form. No medicine. We waited for 213 days more and then gave several haemorrhagic remedies with no result. At last Sulphur 6-2 doses were given on 10.10.54 one dose to be taken every 3rd day.
15.10.54. Bleeding practically stopped. It began to be less immediately after taking the first dose, and it completely stopped after the 3rd dose of Sulphur with amelioration of all other symptoms. The sixth potency had to be followed by the 30th subsequently.
Now what we get from books of materia medica as that (Clarke and Farrington) about the action of Sulphur on female genital organs is that at mainly produces symptoms arising from congestion of the organs. Scanty, delayed or suppressed menses are the symptoms that we get usually find under this drug. Sulphur as a haemorrhagic remedy is not frequently come across. We get mentions of this remedy, however, in metrorrhagia in Allens sky note. According to Lippe “Metrorrhagia that has not been well since her last miscarriage” will be cured by a single dose at new moon.
Before illustrating this statement of Dr. Lippe from one of our own case records, a little discussion about the triumph of Sulphur over the well renowned haemorrhagic remedies in controlling the haemorrhage in the above mentioned case, I think, will not be out of place.
In the selection of the Similimum at the time when new additional acute symptoms have been superadded in a chronic case, the basic symptoms of the patient must also be taken into consideration, otherwise we would miss the proper remedy. In such cases the modalities and characteristics of the newly developed acute symptoms are always modified by the constitution of the patient and the so modified symptom complex should have now to considered for the Similimum and in most cases the Similimum will be found in the constitutional remedy of the patient if the latter be very prominent and peculiar.