Young man, aged 25. August 16, 1929. Three weeks ago began with stitching pain in back of neck between shoulders. Sensitive to cold, pulls covers around neck. Sensitive to thunderstorms. Slowness of speech. Restless. Pains migrating, ameliorated by rubbing. Has habit of picking finger nails. Pupils dilated (persistent symptom during treatment). Perspiration general, aggravated at night. Sensation of faintness, aggravated becoming cold. Tumultuous heart action. Mitral blowing sound, extending towards axilla. Psorinum 50M.
August 19, Mitral blowing sound confined to apex. Not as restless. Periodicity of aggravation every two or more days.
August 21, Sclera injected. Profuse perspiration last night, aggravated during sleep. OEdema and pain in right knee is improving. Chilliness, aggravated uncovering. Pupils remain dilated.
September 18. Temperature normal, then recurred. Stiffness in left leg, aggravated flexing. Mercurius 50M, Skinners.
September 21. Right knee is much improved. OEdema disappearing. OEdema in left knee appearing n a modified form, shorter in duration. Hiccoughs (old symptom).
October 12. Pulse today shows 80, lowest since treatment was instituted Less find in left knee.
October 16. No temperature for three weeks. Night sweats ameliorated.
December 1. Pressing pain in upper gums and teeth, ameliorated by warm water. Swelling of upper lip (history of being strung by an insect in same location). Jerking sleep, starting. Thirst. Rapid pulse (persistent symptom). Belladonna 30, B. and T.
December 4. Pulse 70, lowest since I saw him first. Less tumultuous action of heart.
February 11, 1930. Rapid pulse.
May 6. Stiffness of sides of neck, aggravated when first moving a.m. ameliorated from motion.
May 24. Is out and around, gradually increasing the amount of exercise, having normal use of his limbs and other function.
April 7. I received final report that the blood culture was negative. This case will continue under my observation to be given the proper future treatment to meet whatever latencies may arise.
These have been recurrent attacks of tonsillitis since the age of three years. During the summer months intestinal trouble. History of walking on toes with heel raised. Repeated attacks of iritis have occurred approximately at 12, 17, 20 and 21 years. During one of the recent attacks he has been in the New Haven Hospital under observation and treatment. Also there have been recurrent attacks of sub-acute muscular pains, named rheumatism, and chronic tendency to stiffness after exercise.
Five years ago there was an injury to right knee with some exudation. In recent condition there was no acute inflammatory evidence, which probably puzzled the attending physician. The temperature ranged from 99 to slightly over 100, was remittent and intermittent at various times. With the facial aspect of chill expectancy one would suspect a malarial infection. The pulse was 120 when I began my analysis of the case and quickly responded to the primary remedy, thereafter ranging from 80 to 100, nearer the latter figure.
The laboratory report was as follows: Wassermann, negative; Widal, negative; no malarial plasmodia; blood culture showed staphylococcus aureus.
The clinical study presents a blood-stream infection of a definite bacteriological nature. The bacillus portrays an infection insidious and profound in nature, which corresponds to the life process of the individual under consideration. The lethargic type, the sluggish mental process, and the lack of past activity in localization during the various stages of the chronic development obscured the picture. Secondly, there is a long chain of conditions which clearly gives us a connected miasmatic diagnosis.
Here we have a tubercular process, which has the indication of an active type held in abeyance on the borderland of the destructive stage over a long period of time, by the predominating psoric mental and physical state of the patient. Thirdly, we have the use of two remedies, based upon the practical demonstration of a century homoeopathic experience which adds to the philosophic value of technique.
The miasmatic analysis, whether we apply it to the progressive unfoldment of the condition or the proving and clinical experience of the remedies used, brings us to the same conclusion, namely, that there is a clear-cut relationship. This proven fact, which I bring to your attention, is the center of gravity in advanced homoeopathics.
The natural balance of organic unity was maintained in a fair manner until we had the present acute condition showing. It refused to yield to the ordinary measures of treatment. We find the totality of symptoms, enlarged to cover the intrinsic cause, directed to remedy selection capable of turning the tide of vital depletion.
The new school of medicine offers a larger concept in the healing art, limited only by the inductive capacity of the one who individualize in the taking of the case.
NEW HAVEN, CONN.
DR. A.H. GRIMMER: This paper is very good in many ways. We cannot discuss it in the short time that we have. All we can do is to liken modern concepts to what Hahnemann meant when he spoke of acute diseases being explosions of the psoric miasm. I think the doctor has brought that out very well.
DR. H.A. ROBERTS: Staphylococcic infection pure is the most virulent of all infections. When it is mixed with streptococcus it is not so virulent.
DR. J.W. WAFFENSMITH: This was a pure Staphylococcic infection.