Two Comments on Prescribing.

Comment 1. A Case:

During a teaching weekend at one of the I.H.M. schools, a female student age about 30. complained about pains in her legs. On questioning she said the pain was deep in her legs, to the bones even and the pain was described as if the bone was being gnawed on or cut in two. I also observed when she walked to the kitchen that she hobbled a little.

After the lesson ended, we talked a while regarding her symptoms, and I established that:

  • Pain in hips which was better for walking.
  • Bone pain in lower limbs which was actively painful like being cut.
  • sore feet. < on soles.
  • Everything was < at night time.

After considering the symptoms for a short while, I prescribed Syphilinum 200c to be taken in water when she got home.

The next day, the student appeared at the college. She was in the student lounge with a few other students and showing them her legs. It would appear that within a short few minutes of taking the medicine the previous evening, a series of round red eruptions broke out all over her legs extending up to her groin, and as they appeared, the pains disappeared entirely. She was really grateful for the pain relief but was concerned about the eruption on her legs. I examined the eruptions and told her just to keep the area clean and dry and we would keep an eye on it.

In the event, it took 6 weeks for the eruptions to completely clear up with no trace.

Why Syphilinum? I know this remedy very well from having used it a lot with bone cancers and deep bone pain. It has the ability to cause a sensation in the bone like the bone is being sawn across. It also causes pain in the feet especially underneath, and the symptoms are worse at night. The hips and thigh pain which it can cause are eased by walking.

I have absolutely no idea what the eruptions were. Not a clue. I had never seen anything like them before. I do know that whatever it was, it relieved the bone pain immediately. I also know that this lady was extremely sexually active with many partners, however in the absence of blood tests, I hesitate to make a diagnosis.

Comment 2

Syphilinum is not in the Therapeutic Pocket book. It surprises people when they find we give medications that are not contained within. The T.P.B. is based around 125 medicines which for the main part are what I use in everyday practice. It will not prevent me from using a medicine that I know VERY well and have validation from clinical experience in using it.

I was asked recently about adding more medicines to the T.P.B. and my answer to the enquirer was “Yes, it would be very useful but………… there is a particular mathematical system that Boenninghausen used to apply to the grades, plus there is a technique for splitting rubrics a certain way. I am not confident enough to add  any medicine for the moment.”

Also in following the thought, I wondered how many more medicines I would add. I think perhaps I would have a combined total of existing medicines (125) and new medicine of not exceeding 200 in total.

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