CLINICAL CASES


CLINICAL CASES. A six or seven years fell down a hay chute, the cover coming down on top of him. Later a chair was pulled from under him; this followed by headache and nausea; had headache every Monday for a long while. Over twenty years ago, could not stand artificial light, this gone later and now for years been working with figures.


To Bring Out Point in Philosophy.

1. Causticum: two cases.

2. Hypericum: three cases; Arnica and Hypericum: one case.

3. Zinc followed by Thuja: one case.

Causticum.

1. Feb. 26, 1951, a married lady called me for a bad attack of Flu. It began four days before with severe pain over the eyes and in them. Photophobia was marked. Later this pain extended to occiput and nape. > cold water on it. Left this pain extended to occiput and nape.> cold water on it. Left face much congested. There was high fever, flushed face, on chilliness, much prostration, could hardly get out of bed. Pain lower back at first, gone by the 26th. Nose stopped tight; also coryza free, watery; hoarseness. Cough very persistent, hacking, mostly dry, < on rising, lying down, talking much. > a little cold water. Expectoration scanty, hard to get; bloody once.

Caust. 1M in 4 glass water; one tsp. every 15 minutes for four doses cured like magic and the patient was almost well by next morning.

Now the epidemic “Flu” remedy here in Washington as been Kali bi. in the last several epidemics. There were strong symptoms pointing to Kali bi. Her chronic remedy had been Phosphorus. I hesitated but finally chose Caust. on account of the hacking cough, > a little cold water, the scanty expectoration hard to reach and amounting to almost nothing when it was reached, and the great prostration. The very prompt result surprised me almost as much as the patient.

2. A short but very large woman of eighty years came for treatment in April, 1950, an optimistic, sensible person. Her weight climbed to 290 lbs. at one time, now 183. She has had arthritis for twenty years, began in knees, worse left. She has had diabetes for the last ten years.

Warm blooded, easily heated. Perspiration profuse, general, except hands and feet. Skin cold with internal heat. Appetite large but curbs it. Craves bread. Cannot diet to reduce weight for this produces weakness even to faintness. Sleep very poor, awake from 2 to 5 and soon again. < A.M.,> later in the day.

The patient had had much strong medication and had been taking cathartics regularly.

After two remedies given to try to clear the picture, she came into my office Nov.2, 1950, hobbling along with assistance from her daughter. She had just arrived here from other treatment in Ohio.

She complained of sleepiness most of the time, wanting to lie down frequently. She looked rather stupid; presently she was all but asleep in her chair with head hanging forward, then she began to slip as if about to fall to the floor, caught herself and lifted her head revealing right corner mouth drawn down, no speech on trying to talk, left arm hanging limp, falling to left so had to he held. She was so very heavy, I did not want her to fall to the floor and have to be picked up.

It isnt often one sees a paralytic stroke come on in ones office. I left her with the daughter supporting her, went to my medicine cabinet for Caust. 1M which I placed on her tongue. In a very few minutes, she braced up, gave me a silly kind of smile, began moving her left arm. Soon she could sit alone leaning back in her chair. IN ten more minutes she was walking out of the office, supported on both sides and dragging left foot slightly.

She needed Caust. 1M twice more when slipping back into the same state but recovery was general, not only in the threatening paralysis. She has had Caust. 10M twice and 50M once since that day and now she can get out for rides, and live in comfort expect for the bad knee.

I doubt if I should have found Caust. for this patient except for her exhibition of symptoms right before my eyes!. Hypericum

With a tribute to Dr. Dixon for his paper revealing large uses for this remedy. – J.M.G.

2. 1951 – Feb. 23 : a three-year-old boy was taken by his grandmother to an aunts house in Philadelphia at Christmas time while mother was in hospital after childbirth; was kept there nearly two months until father could go after him. The aunt had a new baby of her own; surroundings were strange; he had lived in deep country sparsely populated and was not used to a big city.

By nature happy, friendly, talkative, calm, this chubby boy conformed so well that the aunt did not suspect what was going on inside his small brain and heart.

Home again with his parents, older brother and new baby he looked solemn, could not smile, did not talk at all or if he tried to talk a little, words were all jumbled and the effort seemed to scare him. food did not attract as it did before he left. He did not play or take any interest, just stood where he was put.

I reasoned that this child had had a tremendous nervous shock at a tender age when he could not know whether he ever would be transported home again. The time away was long enough to increase his fear of desertion.

So I gave him s dose of Hypericum 1M and left another with the mother. He had his medicine in mid-afternoon. Next morning he got out of bed his normal self, went to play as usual, ate a good breakfast, seemed glad to be with his family, prattled happily at day, apparently had no memory of his abnormal behavior.

There has been no hint of a return of the peculiar symptoms.

2. 1951 – Feb. 5: a thirty-four-year-old married man had a bad automobile accident Jan. 27, 1949, and did not work for eighteen months; injury to back from nape of neck to coccyx. In hospital, with weights pulling head up and end of spine down, for seven months. Injury to right knee; cannot flex it to right- angle. Some bladder pain soon after accident, then gone. Now back all right, can work again.

For a week pain in hypogastrium and at root of penis causing urging to urinate so cannot control urine part of time, says seems as if something prevents urine from passing into urethra, like a stone; can feel it go back, releasing the stream.

Healthy before the accident; nervous since the accident; concentration poor, memory poor; shaking all over if must meet an appointment or go through some ordeal; tendency to numbness arms and legs since the accident.

I reasoned that this man had had a serious shock to his nerves, plenty of time to develop effects of it and not time to recover fully from it. I gave him a dose of Hypericum 1M on the above data. He reported that soon after two stones passed from the bladder with relief of all the local symptoms connected with them; none since.

On April 16th reported continuation of nervousness, trembling all over internally, especially the abdomen, trembling of hands somewhat; hard to write naturally. I gave him a dose of Hypericum 10M. A few days ago he came in again because same symptoms returning. he received a second dose of the 10M.

3. 1949 – Feb. 28 : a fifty-nine-year-old man came into my office, medium, height, rather light complexion, a very calm face, an apparent victim of paralysis agitans.

A six or seven years fell down a hay chute, the cover coming down on top of him. Later a chair was pulled from under him; this followed by headache and nausea; had headache every Monday for a long while. Over twenty years ago, could not stand artificial light, this gone later and now for years been working with figures.

Twenty years ago trouble with his wife and they separated. In 1940 his mother, who was living with him and to whom he was devoted, died. In 1943 a truck ran into his car form the rear shaking him up very badly. Soon after his mothers death began to shake, hands, arms, feet, legs.

At the time he came to me in 1949, he had had several doctors who told him he was incurable. There was the spastic state all down right side and some on the left; speech hesitating and jerky. < and excitement especially emotional. < when tired. Sleeps well and wakens shaking. One spot to left of spine very tender to touch.

Looking over these symptoms plus others which had less to do with the results of treatment, it seemed to me the central idea was shock, emotional and physical; repeated shocks in both realms.

I gave him Hypericum 1M on Feb. 28. March 7, his (second) wife reported that he looked better the evening of the day of the first dose. By March 7 she could see that he was quieter. By March 14 speech was much > and he had quiet spells oftener. April 19 he walked into my office quite quietly.

By Sep. he was going to church twice on Sunday, going to movies occasionally and sitting quietly. All this time he went to his office regularly, could do his work with figures without enough shaking to interfere. Relaxation came gradually. For a long period of months feet shuffled along in walking, sometimes

causing a fall.

I have kept this patient on Hypericum, going up the scale of potencies, increasing the interval between doses, going back to a low potency again when the top had been reached.

He still shakes but is free longer intervals; he is enough better so he reports only half as often. He may never recover fully, he may need another remedy to cure him.

The case is reported principally to show another use for Hypericum.

Arnica Plus Hypericum.

April 20, 1951, a middle-aged lady from Buenos Aries, Argentina, had accompanied her husband to California on a business trip. They were in a taxi in the evening driving to the airport to take a plane back to Washington when there was something of a collision. The patient was thrown from the taxi when its door flew open, striking right side of face, head, shoulder, hip on rough ground and bouncing along hitting same places several times before she came to a stop. She was picked up and taken to the hospital room in the airport where she was given “dope.” She was offered a “shot” she refused, being a good homoeopathic patient.

Next morning she was put aboard a plane and flown to Chicago where she was transferred to another plane for Washington, arriving at her back in bed not able to move much; right neck hurting badly on trying to move head even a fraction it hurt to turn her eyes; temple and face dark colored with deep bruises; shoulder hurting badly on any motion; also hip which showed bad bruises as did spots on her leg. There were no fractures.

I gave her Arnica 2x in 1/4 glass of water, 1 tsp. every 10 minutes for four doses; wait two hours and repeat; wait six hours and repeat; wait twelve hours and repeat.

Seemed decidedly better next day but the next could not move head to right side; could move by turning head painfully to left side and downward; could walk painfully to bathroom by holding right neck with her hand. This day, April 23rd, I gave her one dose of Arnica 10M dry on tongue.

April 25th, I found her sitting in a chair, getting up to reach out both hands to me saying, “I am well! Oh, I am well!” and she was; nothing left; bruised colors about gone; no pain or stiffness anywhere. She walked lightly to bathroom to show me that day before she could not bend down to the bowl to wash her face with her hands but now she could bend way down over the bowl and use her hands freely.

May 24th she came to my office to report great weariness since the accident, a hard push to do her work; hard to think clearly; stiffness in neck muscles to some extent; stiffness in other parts too. I gave her a dose of Arnica CM but I think I should have changed to Hypericum. If she comes in again probably I shall give her that remedy for shock.

Zinc. followed by Thuja.

A rather tall, very stout, married woman, wit dark complexion and full lips, came into my office the last day of Aug. 1950, with the following history and characteristic symptoms:.

Scarlet fever at 7 years, severe: delirious for two weeks; deaf for three months. Castor-oil frequently in childhood; constipation ever since. At 23 years: operation for cancer for cervix followed by treatments with radium and x-ray. Pregnant once, child lost at 7 months on account of fight with huge dog.

Mental symptoms: depressed, melancholy, discouraged, thoughts of suicide by drowning frequent for 15 years but too timid to carry it out; then disgusted with herself for being timid. Sudden overpowering desire to torment someone, especially those loved best; feels that if she does not use taunts and sarcasm, something will burst inside her head or she will go insane. Extreme irritability in spells. Desire to weep frequent. Tension, hurry, driving to get things done. In a fret continually. Too tense to get to sleep. Insomnia marked. All this very different from real self; really kind, affectionate, generous, leisurely; a very capable person holding important jobs and sought after in office work. Likes people but gets bored, wants to be at home, quiet.

A few physical symptoms: headache, general bruised sensation followed by migraine. < emotions, menses. Hair falling for many years, coming in 1/3 white. Smothered sensation frequent; dyspnoea on walking. Neuralgic pains here and there, < backs of legs.

This patient was the victim of so many suppressions and they had done such vicious things to her, she seemed to me an excellent candidate for Zinc. 1M, Oct. 4, 1950.

She was much better within two weeks and went on halfway through January with a most satisfactory increase in energy and courage. The physical symptoms piled up again though mental and emotional stayed on the higher level. Another dose of Zinc. 1M did not hold and exhaustion increased.

Questioning anew brought out these symptoms :

Always very irritable, unreasonable, weary for three days before the full of the moon. A feeling as if brittle and about to break to pieces. Vaccination at 6 years almost caused amputation of the arm from infection all through it. A dose of Thuja 1M acted like magic, promptly and well.

Good strength and energy. No hint of suicidal thoughts since first dose of Zinc. No more wildness when the moon gets large. Excess weight gone. Sleep very good. Comes in with a smile and a buoyancy which is most revealing.

Her symptoms may return in milder form but the helpful remedies will do their work again. She is fully conscious of he seriousness of her mental symptoms and her helplessness with them, therefore extremely grateful now.

WASHINGTON, D.C.

DISCUSSION.

DR. ELIZABETH WRIGHT HUBBARD [New York, N.Y.]: I should like to say that it is pure joy to me to have remedies that we know brought out in such a beautiful and new way. I shall never forget those Hypericum cases, and I thank Dr. Green.

DR. LUCY S. CLARK [Cleveland, Ohio]: I enjoyed this very much. Our family project this winter was two foster babies with the Jewish Childrens Bureau, and I highly recommend the agency to work with at any time. Both babies were illegitimate, both were skin and bones, both had a very rejected approach to life. The first one had a funny little symptom, which I remember Dr.Hubbard once spoke of, of running the tongue in and out.

The child had a sad face, like a little old man, not much interested i eating or anything else. I gave him Natrum mur., which she had recommended, and I was allowed to give a little first aid. I wasnt allowed to give any medical treatment, and I told the social workers about it, but I never saw such a change come over a baby. He became healthy and friendly, yelled for his food, and the family say not they have never seen such a happy, friendly baby.

It shows there that the prescription was somewhat on the mental state.

There is another group of children I think would probably benefit by Hypericum, and that is the refugee group. Have you seen some of the pictures that the Mental Hygiene people have put out on emotions of children? One is on grief, and these one-and two-year-old children have reverted to the pattern of three-and four-month-old children. They lie in bed completely passive and do not respond, due to the shock of separation.

There was a picture of half a dozen children separated from the mother for about three months, and there was that complete change of facial expression and behavior and approach to other people from outgoing friendliness to reversion within the self and passivity. They go through a stage of excitement. It is almost like an anesthetic, the psychic shock they go through, the stage of excitement, and then the stage of passiveness.

I have wondered if Hypericum in some of these cases would not be greatly beneficial. Have any of you had experience with it?.

Have you seen the pictures of the children who have been flown out of Europe to the orphanages in Israel and other parts of the world? It is a great challenge to homoeopathic families to try to help with this group of children, who desperately need not only the security of a family life but also rebuilding with some of these homoeopathic remedies. (Applause).

DR. T.K.MOORE [Sharon Centre, Ohio]: Dr. Clark made a mistake. She spoke of illegitimate children. There is no such thing. There are only illegitimate parents.

DR. EDWARD C. WHITMONT [New York, N.Y.]: I noted that Dr.Green gave Causticum to a Phosphorus constitution, and I think we should be grateful for this little point, because we might as well forget about the story of antagonistic remedies. I am wondering more and more how this tale ever entered into out Materia Medica. Maybe you can answer that.

DR. HUBBARD : I wish Dr.Hayes and Dr. Underhill would speak to that question. How about antagonistic remedies in your experience?.

DR. HAYES : I didnt hear it well enough to comment.

DR. UNDERHILL : Personally I pay no attention to it any more.

DR. F.K. BELLOKOSSY [Denver, Colo.]: Dr.Green, Kali carbonicum was a constitutional remedy for the flu last winter, and I found in Denver it was the most often indicated remedy, but I had a family where I found Kali bichromicum useful for the husband, who had a bad case of flu, and I gave it, and it didnt work, and them I gave him Lachesis and it worked like magic, and then the wife came down with the same flu, and I gave her Lachesis and it didnt work, and I gave her Kali bichromicum and it worked like magic in her case. (Laughter).

DR. WHITMONT : It required psychological study !.

DR. EUGENE UNDERHILL, JR. [Philadelphia,.]: I would say that the symptoms of the patients overrule every other consideration. If the symptoms correspond, that should be the remedy that should be prescribed, no matter what preceded it.

DR. GREEN [closing]: I think I have nothing to say except a few remarks about Kali bichromicum in epidemics. As I said in the paper, the seems to be the remedy in several of the salt flu epidemics. Of course, another remedy is required occasionally, but it has done such good work for me and given me such an insight into Kali bichromicum as a chronic remedy that I have been very grateful, almost, for the epidemics, on that account.

I told the thing in a paper once before and the result was was that people wrote to me from different parts of the United States an said they had read my paper and I had said I had been using Kali bichromicum and they would like to know why, because they used it and it didnt do any good. Now, I have written in answer that that is because in the climate that Washington has, it is a good remedy, but where the person lived, on a mountain, or elsewhere, it wouldnt be the remedy at all, and they must not take it for granted that that goes all over the world just because it goes in Washington.

Thank you for your discussion. (Applause).

Julia M. Green