April 17, 1934. M.W., age 41. Coryza with violent pain over left eye. Developed gradually in 24 hours. Pain continuous, < by day, > lying, < by a jar, stooping, walking. Has had considerable treatment. Unable to work. Is unaffected by heat, cold, wet or dry weather. Vaccination fifteen years ago, arm sore two weeks. Bryonia 1M., one dose. Seven months later reported cure prompt and complete, but (November 30) right ear discharging for nine weeks. Feverish last night.
December 7. Very tender and much swollen over mastoid, purplish, shiny, pits on pressure. Discharge watery, foul odor. Silica 1M., one dose.
December 13. Felt dull and heavy next day after Silica. Gradual improvement since. Lost but four days work from foundry; then this interesting statement: “Feel better than for a month.”.
February 2, 1935, six weeks later. Reports discharge dried up in three weeks and he feels fine. Heavy lifting started the discharge, but the ear is not sore. Silica 10M., one dose.
February 16. No discharge. Enjoys good health.
Ten months later he came in to show me how “full of pep” he is; looks better than I have ever seen him.
After treating mastoiditis in the regular surgical way for thirty years, you can imagine with what misgivings I approached this case homoeopathically. A few sweet pellets on the tongue it just didnt make sense. Uncapping such mastoids shows broken down bone tissue, pus, granulation tissue, excavation at times with dura exposed; and such cases respond readily to surgery, very seldom other wise. And surgery is doing something: clean it out, insert drainage, pack, sew up. Frequent dressings unless the cavity be filled with bismuth paste. A small wick gauze only, from the aditus, in later years and removed next dry, usually did away with postoperative packing, and was very satisfactory in every way.
Our state of mind during the days immediately following the insane single dose on the tongue! ! An intravenous injection would have looked better. Doing nothing and it may go bad but it did not go bad; came through as well as under surgery better if you count hospitalization, operative fee and at least two weeks layoff from work. And the ear dried up; we hardly expected that, And last, but not least, improved health, the sense of well- being, an improved man.
Repetition of such cases gives confidence. After a while it will become the commonplace, the usual, the expected. Some day to regular medicine and surgery such case records will be usual.