DEPARTMENT OF PRACTICAL CASE MANAGEMENT


This remedy is indicated when there is almost unbearable itching in and around the vaccination sore and stinging pains if the scab is torn off prematurely. It is one of the remedies to be considered when the lesion fails to heal and there is the formation of dry crusts and scales which itch and sting and burn almost to distraction. With these symptoms there is often vertigo and a persistent aching pain in the forehead.


REMEDY INDICATIONS AFTER VACCINATION.

Continued.

MALANDRINUM.

Malandrinum, as stated in last months Recorder, should be given a more complete proving. Its clinical record following vaccination almost equals that of Silica, Sulphur and Thuja.

This remedy is indicated when there is almost unbearable itching in and around the vaccination sore and stinging pains if the scab is torn off prematurely. It is one of the remedies to be considered when the lesion fails to heal and there is the formation of dry crusts and scales which itch and sting and burn almost to distraction. With these symptoms there is often vertigo and a persistent aching pain in the forehead. Clarke states that he has cured with Malandrinum “cases of unhealthy, dry, rough skin remaining for years after vaccination.

MEDORRHINUM.

A definite relationship apparently exists between the toxemia produced by the vaccine virus and that caused by gonorrhoeal sycosis. It is probable that Neisserian infection acts as a sensitizing agent, for many of these people are allergic to serums in general and to small-pox vaccine in particular.

More than half of the fourteen or fifteen remedies we are considering for the bad effects of vaccination are antisycotics and if another five leading drugs were to be added to the list, namely, Kali sulph., Nat. sulph., Nitric acid, Sepia, and Staphisagria, all these without a single exception come under the antisycotic classification.

Medorrhinum, the gonorrhoeal nosode, is seldom indicated for the immediate or early symptoms following vaccination, but rather for those patients who begin to wilt and who become chronically sick weeks, or even months, after vaccination has been performed. In children the Medorrhinum symptom picture is often clear cut. Sleeping in the knee chest position is characteristic. There is usually an inordinate craving for sweets, fear of darkness, and a peculiar, rather pungent but not offensive body odor.

If enuresis is present the quantity of urine is apt to be considerable and again the same odor. In adults the knee chest posture is seldom observed but the patient is very apt to lie in the prone position. There is sensitiveness to all external impressions like Phosphorus and often a very lively imagination. There is less emotional instability than in Pulsatilla. If the patient is achy, stiff, sore and rheumatic with a more or less swollen appearance, and if most or all of his complaints are definitely ameliorated at the seashore, then this nosode deserves serious consideration. When completely indicated, both the underlying sycotic dyscrasia and the bad effects following vaccination will be overcome.

PSORINUM.

This nosode is seldom required for the early results of vaccination but not infrequently for the more remote or chronic effects. “Never well since vaccination”–in this type of case means that the inoculation caused a “latent psora” or dormant disease dyscrasia to become active. Psorinum is definitely colder than Sulphur.

The patient is apt to be just as careless and dirty in appearance, even more likely to have an offensive body odor, and decidedly more gloomy and depressed in mind than is the more philosophical Sulphur individual. The skin symptoms may include roughness and dryness; often, however, a greasy forehead, acne, eczema, psoriasis, and other eruptive manifestations. There is often dread of bathing and aggravation from bathing. Generally worse after cold bathing.

One of the verified remedy sequences is that of Psorinum following Pyrogen. This has been observed many times in many forms of pathologic manifestation.

Psorinum is one of the medicines to consider when a long continuing vaccination lesion has been cauterized and the discharge thereby suppressed.

PYROGEN.

EARLY INDICATIONS.

A very violent early reaction to vaccination. A severe take which threatens to cost the patient either his limb or his life. High fever of the septic type. Extremely rapid pulse. Very offensive purulent discharge for the local lesion. Offensive breath and offensive perspiration. Rosy red streaks radiating from vaccination sore. Sometimes multiple pustules. Great swelling of limb. Restlessness of patient in general but motion aggravates the in flamed part. Axillary or inguinal glands greatly inflamed, tender and with threatening suppuration.

The Pyrogen patient is generally a desperately sick individual. There is great prostration with a bruised, sore feeling like Arnica and the aching and restlessness of Rhus tox. Relief from hot applications is often marked.

Pyrogen is suited mostly to acute conditions. Its pace is rapid and the general aspects of the case alarming. Seldom will it be called for after the violent acute phase of disease is passed.

Psorinum is the natural chronic of Pyrogen and is indicated surprisingly often for the chronic after-effects of acute septic processes.

SILICA.

This remedy is indicated sometimes for the early symptoms, but more commonly for the lasting effects of vaccination. It is one of the great pyogenic remedies and an antipsoric of the first magnitude.

The Silica patient is tired and sluggish, yet nervous and easily excited and irritated. There is extreme sensitiveness to the least draft of air, especially to the draft on the back of the neck.

Where offensive footsweats have followed vaccination, Silica may be indicated and where a long continuing offensive foot sweat has been suppressed by vaccination, as some times happens, Silica is equally well indicated if the other symptoms harmonize. When a foot sweat has been checked or suppressed and periodic head-aches are substituted for the foot sweat, Silica is often the remedy.

Lack of stamina and endurance are characteristic of Silica. Generally undecided and inefficient always tired.

When the vaccination lesion fails to heal and becomes a chronically discharging sore Silica may cause healing, not by suppressive action locally but because of its curative action internally. Homoeopathy should never suppress anything.

To prescribe for the local lesion, forgetting the patient, is dangerous. Prescribe for the patient and when the entire individual regains his health the local manifestations will clear as a natural result. Sometimes pustular acne and other forms of pustular eruptions follow vaccination. The lymphatic glands may enlarge or even suppurate. If we have a sensitive, chilly, sluggish, yet nervous, sweaty patient think of Silica as the indicated remedy. It will also prevent the development of an abscessed appendix following vaccination.

Eugene Underhill