Category Archives: Cases

A Case of 25 year old Chronic Eczema cured by Homoeopathy

A Case of 25 year old Chronic Eczema cured by Homoeopathy

By Dr. Pawan S. Chandak

A Patient aged 55/M suffering Dry Eczema since 25 years has taken much Allpathic treatment from Skin Specialist, ayurvedic Treatment. He has applied much steroidal ointment. But no any treatment has given satisfactory results. Then he has consulted me on 20/02/2008 with:

  • eczematous eruption on fingers,
  • dryness of skin in winter,
  • itching < night.
  • All complaints worse < winter
  • > hot water amelioration.

Past History

  • H/o of recurrent cold & Coryza.
  • H/o Cataract in January 2008.

Family History:

NAD

Personal History:

  •  Appetite: Normal
  • Thirst: Normal 1 hourly.
  • Desires: sweets
  • Bowel: Regular
  • Urine: Normal
  • Sweat: worse in summer only.
  • Sleep: Normal

Addiction: NAD

Mentals:

–         Fastidious. Wants each & every thing in neat & proper manner.

–         Hurried in work

–         Idealistic

Thermal Relationship: Chilly

Bath: Hot water, seasonal

Fanning: only in summer

Covering: required

Examination:

BP: 120/80 mmhg

Evaluation of the Case:

First Prescription:

20/02/2008

Rx

Ars Alb 0/1

Placebo for 7 days

1 pill dissolved in 30 ml mineral water & given 10 downward strokes & advised the patient to drop it in one ounce of water & take 1 teaspoonful of it.

28/02/2008

Itching decreased. Eruption on left side of foot reappearing.

Rx

Arsenic Album 0/3

Placebo for 1 week

06/03/2008

Improving

Rx

Ars Alb 0/6

Placebo for 1 week

13/03/2008

Sticky discharge oozing from eruption.

Rx

Ars Alb 0/9

Placebo for 1 week

20/03/2008

Sticky discharge decreased.

Rx

Ars Alb 0/12

27/03/2008

Small papule on finger.

Redness of conjunctiva < exposed to Sun

Rx

Ars Alb 0/12

From Next day

Natrum Mur 0/1 bid X 1 week

03/04/2008

Improvement in skin eruption & Conjunctivitis problem.

Rx

Ars Alb 0/15

Placebo for 1 week

 

1904/2008

Improvement

Conjunctivitis < sunheat slight

Rx

Ars Alb 0/18

Placebo for 1 week

29/04/2008

Rx

Ars Alb 0/21

Placebo

10/05/2008.

Rx

Ars Alb 0/24

Placebo for 1 week

26/05/2008

Improvement

Rx

Ars Alb 0/25

03/06/2008

Improvement

Rx

Ars Alb 0/26

 

09/06/2008

Improvement

Rx

Ars Alb 0/27

18/06/2008

Improvement complete

Rx

Ars Alb 0/28

 

25/06/2008

Improvement  complete

Rx

Ars Alb 0/29

03/07/2008

Complete Improvement. Cured completely.

Rx

Ars Alb 0/30

Prostate cancer ‘may be a sexually transmitted disease’

trichomonas vaginalis

Prostate cancer may be a sexually transmitted disease caused by a common yet often silent infection passed on during intercourse, scientists say – but experts say proof is still lacking.

Although several cancers are caused by infections, Cancer Research UK says it is too early to add prostate cancer to this list.

The University of California scientists tested human prostate cells in the lab.

They found a sex infection called trichomoniasis aided cancer growth.

There are still no known lifestyle factors that seem to affect the risk of developing the disease – and no convincing evidence for a link with infection”

Nicola Smith Cancer Research UK

More research is now needed to confirm the link, they say in the journal Proceedings of the National Academy of Sciences (PNAS).

Sex infection

Trichomoniasis is believed to infect some 275 million people worldwide and is the most common non-viral sexually transmitted infection.

Often, a person will have no symptoms and be unaware that they have it.

Men may feel itching or irritation inside the penis, burning after urination or ejaculation, or a white discharge from the penis.

Women may notice itching or soreness of the genitals, discomfort with urination, or a discharge with an unpleasant fishy smell.

This latest research is not the first to suggest a link between trichomoniasis and prostate cancer. A study in 2009 found a quarter of men with prostate cancer showed signs of trichomoniasis, and these men were more likely to have advanced tumours.

The PNAS study suggests how the sexually transmitted infection might make men more vulnerable to prostate cancer, although it is not definitive proof of such a link.

Prof Patricia Johnson and colleagues found the parasite that causes trichomoniasis – Trichomonas vaginalis – secretes a protein that causes inflammation and increased growth and invasion of benign and cancerous prostate cells.

They say more studies should now follow to further explore this finding – particularly since we still do not know what causes prostate cancer.

Nicola Smith, health information officer at Cancer Research UK, said: “This study suggests a possible way the parasite Trichomonas vaginalis could encourage prostate cancer cells to grow and develop more quickly.

“But the research was only done in the lab, and previous evidence in patients failed to show a clear link between prostate cancer and this common sexually transmitted infection.

“There’s been a lot of research into prostate cancer risk and we’re working hard to piece together the puzzle.

“But there are still no known lifestyle factors that seem to affect the risk of developing the disease – and no convincing evidence for a link with infection.

“The risk of prostate cancer is known to increase with age.”

Prostate cancer is now the most common cancer in men in the UK – about one in nine men will get it at some point in their lives.

It is more common in men over 70, and there appears to be some genetic risk since the disease can run in families.

Henry N. Guernsey, M.D. A case

The following article on clinical cases was originally published in “The Hahnemannian Monthly” Volume 6,   August 1870.

Clinical Experience

By Henry N. Guernsey,M.D.

Case 1.  Mrs. A., of Delware, called on me a few weeks since, complaining of what she termed dyspepsia. Upon asking her to relate her symptoms in the order of their severity as it seemed to her, she replied, that a feeling of emptiness or goneness in her stomach discomforted her more than anything else, but she thought it of no account, as she vomited all her food soon after taking it, and she would naturally feel emptiness and goneness from want of food. I desired her to state merely facts, and I would draw my own conclusions. She replied: “It is a fact that I vomit nearly all my food; I have a painful sensation of emptiness in my stomach all the time; my sleep is broken and does not refresh me, my bowels are very costive, the stools being knotty and very difficult, and they have scarcely been moved for two years without an injection, and I do not think they would be moved now at all without an injection; my urine is cloudy and offensive, and a hard crust settles, that it is difficult to scrape from the vessel; I am very weak and miserable, have spent over two hundred dollars during the past two years for medicine, and despair of becoming any better; but I was compelled by my husband to consult you.”

I always prescribe sepia when a train of symptoms like the above in italics occur in a single case. In this case I gave the patient a few pellets of Sepia 55 m, dry on her tongue, and three packages containing twelve powders each of sac.lac.; one to be taken every night; and enjoined upon her that she should on no account resort to any more injections or other measures for the relief of her bowels, or of other symptoms, and to report to me in forty days. She thought she would not live to see me again if she were to leave off taking injections.

A few days ago she reported that she had not vomited since seeing me, her vowels had become regular very soon, and that she had no need of injections; indeed, she said, she got well so fast her husband was frightened. He was coming to the city that day on business, and he wished her to come and ask particularly what had been the matter, as she had been so sick so long, and now had gotten so well so soon. He did not understand it.

Sepia 55m, a single dose, always produces similar results in similar cases, if plenty of time is allowed the single dose to act. I do not give my experience hastily, nor base it on a single case. I only delineate my path where it has been well trodden; that others may follow it is safety.

 

CASE OF EPILEPSY BY T. F. ALLEN, M. D., BROOKLYN, N. Y.

These cases were published in article “Cases Of Epilepsy” by T. F. Allen, in American Homeopathic Review, Vol III, New York, November, 1862. No 6. – See more at: http://consulthomeopathy.blogspot.in/2011/10/case-of-epilepsy-by-t-f-allen.html#sthash.HP0g6OaC.dpuf
These cases were published in article “Cases Of Epilepsy” by T. F. Allen, in American Homeopathic Review, Vol III, New York, November, 1862. No 6. – See more at: http://consulthomeopathy.blogspot.in/2011/10/case-of-epilepsy-by-t-f-allen.html#sthash.HP0g6OaC.dpuf

These cases were published in article “Cases Of Epilepsy” by T. F. Allen, in American Homeopathic Review, Vol III, New York, November, 1862. No 6. – See more at: http://consulthomeopathy.blogspot.in/2011/10/case-of-epilepsy-by-t-f-allen.html#sthash.HP0g6OaC.dpuf

These cases were published in article “Cases Of Epilepsy” by T. F. Allen, in American Homeopathic Review, Vol III, New York, November, 1862. No 6. – See more at: http://consulthomeopathy.blogspot.in/2011/10/case-of-epilepsy-by-t-f-allen.html#sthash.HP0g6OaC.dpuf
These cases were published in article “Cases Of Epilepsy” by T. F. Allen, in American Homeopathic Review, Vol III, New York, November, 1862. No 6. – See more at: http://consulthomeopathy.blogspot.in/2011/10/case-of-epilepsy-by-t-f-allen.html#sthash.HP0g6OaC.dpuf

CASE OF EPILEPSY

BY T. F. ALLEN, M. D., BROOKLYN, N. Y.

Mary F., aged nine, fair complexion, large deep blue eyes, large head, very fond of books and music.

September 19th, 1861. For nine months has had severe epileptic fits, generally one every two weeks. The morning before the attack plainly indicates that the dreaded paroxysm will overtake her before nightfall, she rises with a severe boring pain in the crown of the head, which extends to the occiput, and in an hour or two a most severe pain in the pit of the stomach also arises. This last pain is so severe that she bends double, lays herself across anything hard and resorts to all kinds of postures to relieve herself. Generally about six, p.m., the spasm sets in attended with unconsciousness; convulsions of the head and limbs; rolling of the eyes, especially so, as to appear “cross-eyed,” both eyes being drawn inwards; foaming at the mouth; grating the teeth; biting the tongue, and invariably opisthotonos so that two men could not keep her body straight. These fits last about two hours, when she falls into a deep sleep, from which she wakes the next morning with severe pain across the forehead, severe retching and vomiting, and for a few days her evacuations consist of clear water covered on the top by white flakes. She is gradually becoming more and more dull and stupid, inclined to sleep a great deal; her sleep being full of startings up from dreams of falling into the water. I prescribed Nux vom200 every other day for two weeks.

October 19th. No fit until today, about four weeks, which was attended with the same severity of symptoms. I repeated the remedy.

November l1th. Another fit; no change. Nux vom 30

November 12th. Another fit; no change. Bell. 30

November 24th. Another fit; has been better; has ceased to dream of water and has seemed brighter. Bell.200 once.

November 30th. Another fit; seems worse again. Hyos.30

December 6th. Had a slight fit; is every way much improved; no more retching and vomiting; evacuations more natural; seems brighter. Hyos.30 twice a week.

January 15th. A slight convulsion with no previous symptoms and slight subsequent ones. Medicine discontinued.

Since that time has had no more fits; her mind is rapidly improving and she is going to school.

 

Why EVERYTHING has to be researched and checked.

March, 1833, Dr Boenninghausen:

I was attacked with ileus [an obstruction of the bowel accompanied with colic pains]. The seat of the painful trouble was in the right lower part of the abdomen (typhylitis) [i.e., appendicitis]. The disease lasted two weeks. In the middle of the fourteenth night, which was one of unspeakable torment, I had the luck to hit upon the right remedy myself, one never before given in this disease. It was Thuj. and the symptom leading to it, sweat only on uncovered parts, while covered parts were dry and hot. One globule Thuj. 30 relieved the pain in five minutes; after ten minutes, a copious stool, followed by sound sleep from which I awoke next morning feeling as if newborn. Con. and Lyc. completed the cure.

This was an English translation I picked up on the web. I generally always do a check on the prescribing SX before posting……..

SX 566: As soon as he falls asleep at night an agreeable warm sweat breaks out on all the covered parts, which goes off an waking and this occurs frequently during the night. [Gss.]

So at some stage I need to go find the original German document and check it and see if a translation error has occured or something else. Perhaps if any German speaker has the original document they might quickly check for me….?

Burn and Scald.

Boenninghausen.

Please repertorize.

Vol. 81, p. 196.

Theresa Sch. in Gl., a girl 18 years of age (whom I did not see), scalded her foot and leg with boiling water, three days ago, and had first treated the parts burned with domestic remedies, and then with Unguentum Basil, and thereby had so much aggravated the burn that she could not rest day or night for the burning and formication in it.

Feb. 3, 1852. 1, 2 , Arsenic., 2, Canthar. 200, 4 §. One powder every other evening, the foot to be kept dry.

Only on Feb. 21, I received the report, that the burn had healed up in a week, but that she now had an eruption on the face, and here and there pustules with matter, and that her skin in general was unhealthy.

1, Caustic. 200, 2-4 §, one powder every third evening.

This also improved quickly and she remained quite well, until Sept. 17th, 1853, when her suppressed menses caused an aberration of mind, with restlessness, anguish, and a tendency to suicide.

This also was cured in a few days by one dose of Pulsatilla 200, and a dose of Sulphur 200.

 

Sailors Fever.

Yes you can look for the answer in The writings of Boenninghausen, or you can repertorise it yourself and learn something that will be of benefit for a life time.

Merchant Ph. M., thirty years of age:

   had caught a cold last winter while travelling; he did not at first pay any attention to it, but the increasing ailments demanded medical assistance. Treatment by an allopath had remained without effect; in fact, during this treatment, lasting three months, nearly all the symptoms had grown considerably worse, so that now, as is so frequently done, the homoeopath was called on for aid.

The following symptoms formed the image of the disease:

  • For the last three to four weeks there has been a hollow, dry cough with hoarseness and much toughness in the larynx,
  • most violent during the night.
  • Constriction of the chest with stitches in the left side while lying on that side.
  • Internal heat, without thirst.
  • Severe exhausting perspirations.
  • Striking timidity.
  • Great drowsiness, but restless sleep,
  • waking up frequently,while an internal anxiety prevents his going to sleep again.
  • The face pale and collapsed, with a circumscribed redness of the cheeks.
  • Pressure in the stomach after eating,
  • especially after milk, often with vomiting, first of the ingesta and then of gall.
  • Augmented, watery urine.
  • Extraordinary emaciation.
  • He prefers warmth, and it agrees best with him.
  • He feels better in moderate motion than in continuous rest.
  • He had never been unwell much, and had never been actually sick. He could take a deep breath without any trouble, and frequently he felt impelled thereto

I could not find out anything about the allopathic remedies which he had used.After careful consideration and a protracted comparison of all the symptoms present with our Materia Medica, every homoeopath will agree with me that Phosphorus seemed most indicated of all the remedies, and this so decidedly that none of the other remedies could at all compete with it.

I therefore, felt no hesitation at all to give to the patient my usual dose (a high potency) of this very efficient remedy, and to direct its administration in the usual manner (dissolved in water), recommending to him the usual diet, and directing him to report to me in person in two weeks.

But I was cruelly and painfully disappointed when the patient after this period appeared before me, for he was not improved in any respect; on the contrary, his sickly appearance and the threatening redness of the cheeks had increased and the feverish symptoms had been suspiciously augmented. In the meantime the remedy had been used exactly according to my directions, and nothing had been overlooked either in diet or in his mode of life.

What then had been the reason of my total failure? Under such circumstances the only reason could be the defective or incorrect examination of the symptoms, so I went over them again carefully,one by one.

The mistake then appeared in the feverish symptoms, which were only superficially indicated, and which in the patient had a unsual and, therefore, unrecognized form, which was at the same time very characteristic.

  • For while sleeping he was suffering  continually from a dry, burning heat,
  • which on his waking up immediately passed into a very profuse perspiration, which continued without interruption while he was awake,
  • until he fell asleep again, when at once the dry heat reappeared.

Thus the conundrum was solved. This symptom is found only in XXXXX while in Phosphorus just the opposite is found. Since all the other symptoms coincided my patient received at once a dose of the high potency I usually employ, and the result was then so complete that in two weeks he was freed from all his ailments and felt as well as ever before

Boenninghausen’s Question regarding succussion

Epistolary communication of councilor Dr. von Boenninghausen to Dr. Rummel
Allg. hom. zeit., vol. xxxix, page 98

I use a moment of quiet to communicate to you two observations, quite various in their character, one even being drawn from the department of chemistry, and yet both of them seem of use to our science on which account I do not object to their publication.

The first observation is respecting the enormous and fatal effects of the high potencies when the dynamization is much increased by excessive shaking with water.

I came to this knowledge in the following manner: In the second half of last winter there were an unusual number of cases of hydrophobia among the dogs, and even at present hardly a day passes without my services being called for to aid some person bitten. Homoeopathy and high potencies have proved their worth. I have used only two or three pellets of the 200th potency dissolved in water for a dose this year, but neither this nor the preceding years have I ever heard that any man or animal treated in this manner by me was seized with hydrophobia.

Nevertheless in the last eleven days I have had two deaths of dogs. The first case was that of a large fine bull-dog of Burgess Boening near Drensteinfurth, that had been bitten by a dog which proved to be mad. As usual I gave the owner, who valued the dog highly, a number of powders, Nos. 1, 3 and 5 Belladonna, 2 Hyoscyamus, 4 Stramonium, all of the 200th potency, to be given every three days in their proper order, one powder dissolved in water by shaking, which could best be effected in a small bottle. This man was too zealous in well-doing, as I afterwards found out, and shook up the powder every time most vigorously for five minutes and over, and than he gave it to the dog with boiled sweet milk which had been allowed to cool off. After each one of these powders the dog had looked very doleful for a whole day; after the last he would not eat any more, though still willing to drink water. On the third day after taking the fifth powder he died, but without showing the least sign of madness or hydrophobia.

About two weeks later I gave the same remedies, to be taken in the same manner, to a large mastiff on Heithorn’s Kolonet in the village of Hittrup, and as if by a providential decree, to impress the lesson taught by the former example, also in this case the shaking of the medicine in water was carried, to excess. In consequence the result was just the same. After the last powder the dog was taken very sick and as he was near dying on the second day they ended his pains with a bullet. Also this dog did not show any symptom of madness before his death. It is to be noted that I have given the same remedy in the same dose and the same manner to quite a number of animals of various kinds, horses, cows, hogs and little dogs, as also to some men who had been bitten, without producing any noticeable trouble; nor did hydrophobia appear with any one of them. But so far as I know and can find out by inquiry, in none of those cases had the potentizing been increased by an excess of shaking, as in the two cases given above.
Though we have here two facts, they stand as yet too isolated to derive certain conclusions therefrom, and I fully see that there are many ways of escaping from the deduction. Still these phenomena seem to me of sufficient importance to call attention to them and cause us to give attention to this matter. If others of my honored colleagues should have heard of similar cases, or can communicate other facts which show that my apprehensions as to the effect of too violent potentizing are baseless, I may well request them for the good of our science to communicate them.

Tabes Dorsalis. A Boenninghausen case.

We present for your information and education the following case from the notes of Dr Boenninghausen. This case singularly, demonstrated a number of case management issues that will be discussed in full at a later date.   we would advise that you, the practitioner simply read the case and make notes, follow the protocol and ask questions or post your comments on Tabes Dorsalis. A Boenninghausen case.

Miss Francisca v. W., belonging to one of the most honored families in Münster, now nearly nineteen years of age, and living here with her relatives for ten years, had often suffered from various ailments (even before her coming here) which bear the most manifest indication of a chronic (psoric) dyscrasy. She had, therefore, in her former place of residence, besides the inevitable codliver oil, also received from a homoeopathic physician now deceased several homoeopathic remedies, namely, Puls., Sulph., Calcar. carb., Carbo veg., Silic. and Lycop. with only partial and insufficient success.

In my Journal (Vol. LXXI., p. 89), I find first enumerated under her name, and dated Dec. 27, 1848, the following:

  • Since four weeks she has had a moist eruption on the head, especially behind both the ears and above both the external ears, which aches most of all and most violently in the evening and in the morning.
  • The abdomen thick and hard.
  • Aversion to meat.
  • Desire for milk, bread and butter and all vegetables of the cabbage and kale kind.
  • She sleeps altogether too long and even till late in the day.
  • Pretty strong curvature of the spine and protuberance of one shoulder-blade.
  • Chilblains on the toes (not on the hands).
  • She feels worse early in the morning; better in the evening.

It would lead too far from my purpose and lead to useless diffusiveness to relate in detail the former treatment of this child, who was manifestly scrofulous, and it will be enough to observe here that these ailments were very stubborn, and that the eruption at first extended further, not only over the head and neck, but even down to the sexual parts, and only after the course of two years it was brought to a cure, together with the curvature of the spine, so that nothing abnormal could any more be found.

Still, in the years following, i. e., 1851 and 1852, there again appeared ailments from time to time, which were not very considerable and were soon removed, but which caused it to be plainly seen that the scrofulosis which was manifestly deeply inrooted was not yet completely exterminated.

In the spring of 1853 she was taken sick with a pretty violent gastric fever, while she had an unconquerable longing for ink, while every time after taking milk she would vomit. Nevertheless, her cure soon followed and she remained well until the winter 1853 to 1854, when the old eruption together with the chilblains on the feet again appeared, which were only fully removed with the beginning of March.

In the beginning of 1855 the same eruption reappeared, but lasted this time only till about the middle of February. The menses now also appeared and, indeed, with unusual violence. In the summer of this year she was seized with a violent case of grippe, which was removed in a few days, and soon afterward by a violent, convulsive colic with excessive menses (quickly cured by a dose of Zincum) followed by a lengthy period of apparently complete health.

In the meanwhile, she had been removed to an educational institution, twenty miles from here, where about the middle of September, 1857, she was taken ill again, and, indeed, first with violent headache with bleeding of the nose and much too copious a flow of blood with the menses, appearing prematurely; all these symptoms were aggravated: in the evening from motion, and from every mental or bodily exertion. Bellad., Bryonia and Phosphor., each in a high potency and in a single dose, relieved this, all excepting a few symptoms, which appeared in the evening, while sitting in the warm room, and which also yielded to a similar dose of Pulsatilla. About the middle of January, 1858, quite a new ailment appeared, concerning which a teacher of the institution gave only a very sparing and incomplete account.

According to her account the patient suffered from violent pains in the back, aggravated by every motion, disappearing at night, and which had once caused a real tonic spasm. Nothing further could be deduced from the written report.

Nux vom. 200, dissolved in water, taken three times a day for three days, produced “considerable and still progressing improvement;” but the patient now complained of “pains in the pit of the neck and inability to swallow,” without any further description. I directed the repetition of Nux vom. a dose dissolved in water taken for six days, twice a day, morning and evening, every time a spoonful.

This second dose of Nux vom. not only remained without any effect, but the (quite undefined) pains in the back had again returned, and a new symptom was announced, namely, an “aphony,” which is most decided in the morning and evening, and which “made it impossible to utter any loud word.” At the same time and only now I was informed that even while using the former remedy speech had become daily more difficult and more of a strain, as “from a paralysis of the tongue,” so that the patient was obliged “to catch a breath with every word, and that she was inordinately wearied by even a little talking.”

Caust. did not affect these ailments, but Sepia, given a week later, caused the voice to return for hours, as was stated, but always soft and subdued. But all the rest remained almost unchanged, only, according to the description of the patient herself, “somewhat better.”

A dose of Sulphur 200, sent on February 3d, had the effect that every night after midnight she had headache (without any further description) with epistaxis, only improved by sitting up in bed. All the rest was merely described with the stereotyped phrase, “somewhat better,” showing that it was still present; but not a syllable was added which could have secured a proper selection of the remedy.

Under such circumstances, sufficient to lead to despair, I sent on February 17, a dose of Belladonna 200, to be taken as the preceding medicine, but then I demanded with decision, that the patient should be brought here, so that I might see her, which might be done without danger, considering the short distance and the nature of the disease, manifestly chronic. It is noteworthy, that especially among the higher classes and, especially in veryous diseases, the stereotype euphemism is always “somewhat better,” while the improvement makes no essential progress, but on the contrary, new symptoms are continually added, which complicate the matter without offering any hold for the selection of the remedy. According to my decidedly pronounced desire, the patient was brought here on February 24 and in the evening I called on her. Great was my astonishment at recognizing at once the most decided image of a genuine tabes dorsalis, to which nothing reported so far had pointed at all. Especially the aphony which was always emphasized as the chief characteristic and which is only exceptionally observed in this disease had caused no suspicion of the real state of the case, since the paralysis of the lower extremities, which was already far advanced, had not been mentioned in any one of the letters.

When I saw the patient, the aphony was indeed, so great and the pronunciation so indistinct that I had to incline my ear close to her mouth to understand her whispers. But all the other symptoms spoke too plainly to allow the real character of the disease to be mistaken and the last-named symptom could only permit the supposition that the affection of the spinal marrow had reached an unusual extent.

What I discovered at once at my first visit and immediately noted down more carefully and circumstantially than usual was the following:

  • The patient had for a long time noticed an ever increasing weakness of the lower extremities, connected with which she had always felt a more or less pronounced pain in the back.
  • The sensation in the back was a sort of burning, as if a hot iron had been pushed up from the small of the back up through the spine. In the beginning this had often only been a disagreeable formication extending upward.
  • At the same time the soles of her feet had appeared as if soft or padded, as if the feet were resting on a soft woolen cover or on a pillow.
  • Gradually all sensation in the soles of her feet had been more and more lost, so much even that she did not feel the ground under her feet any more, nor did she know whether her feet rested on it unless her sight assured her of it.
  • So long as she still was able to walk, which she had not, however, been able to do for several weeks, she had only been able to do this by day in a bright light and with her eyes open. When her eyes were closed, or in the dark, she had tottered and staggered so much that she had immediately had to take hold of something to keep from falling.
  • Now she was quite unable to stand in the dark and had even to lean against something in bright daylight. When she was lying in bed she had no sensation at all of the position and situation of her feet and legs, which, often unknown to her, occupied the most varied positions.
  • During the beginning of the disease, if she made the attempt to walk a few steps in the dark, even in rooms well-known to her, she would always unconsciously and involuntarily turn to the left and thus miss her aim.
  • Very frequently she had a sensation of contraction in the abdomen, as if it was drawn together with a band; this sensation as well as the pains in the back were always worse when beginning to move after a long rest.
  • The aphony mentioned above still continues, but it is painless, but it is conjoined with a striking and excessive weariness if she speaks at all, so that she assured me that she was frequently compelled to rest herself.
  • As for the rest, I found the patient well-nourished, with a blooming complexion, complaining but little, and not in the least disquieted about her condition; yea, even with the clearly pronounced inclination to consider her ailment as by no means dangerous or serious. Appetite and digestion good. Stool somewhat hard and inert. The menstruals appear at the right time, but pretty copious. In the evening the condition is worse than in the morning.

These symptoms, which were at once and completely written out, and which had for me a double importance because they were the first that I had an opportunity of investigating with respect to this disease after my particular study of XXXXX, left no room for the least doubt that the case was a pronounced case of tabes dorsalis, and on the basis of my earlier experience I did not hesitate to give her at once a dose of XXXXX. 200, from the pharmacy of druggist Lehrmann, in Schoeningen. This was to be dissolved in six tablespoonfuls of water, and three times a day for two days a tablespoonful was to be taken.

On the 26th of February, when I again visited my patient, the improvement was already so manifest and decided that I did not wish as yet to disturb the after-effects. A second dose of XXXXX 200, taken in the same manner on March 1st, continued the improvement, and since in the meanwhile the menses had appeared without any concomitant trouble I followed it up with a third dose of the same remedy, given in the same way on March 5th.

According to my journal the improvement progressed steadily and regularly. The patient is already able to stay up all day, and she walks about all over the house in the bright daylight. She can even go up and down stairs without any particular trouble. Only when she closes her eyes she cannot as yet walk straight, but she still constantly turns to the left, as I found out on making the trial; nor can she walk as yet in the dark without holding on to something.

March 10. Again XXXXX. 200 as before.

The lower limbs do very well, but the voice is still often lost in the evenings, and talking is difficult and wearisome. Thus it seems that too frequent a repetition of this remedy without intervening remedies does not advance the cure quickly enough.

This is a result which not infrequently appears in chronic ailments, where the symptoms only become milder, without any essential change. Accordingly, on March 15 I gave Natrum mur. 200, to be taken in the same way. The action was good, still not as favorable as that of the prior remedy.

Perhaps the similarity between the effects of Natrum mur. and of XXXXX. is too great, a fact which is occasionally seen when two remedies too closely related immediately follow on each other (compare Ignat., Nux vom. and Puls). Nevertheless, the improvement had again progressed so much that the patient on March 21 could without any strain come to see me, and called on me. She now received Alumina 3000 (Jenichen’s), when the improvement again advanced more manifestly. Only the pains in the back and in the small of the back increased again. Thus the action was not as specific as that of XXXXX.

On March 28 she received Caust. 200, which caused all these pains to vanish, while her voice and speech improved. On the other hand, the soft feeling in the soles of the feet and the weakness of the legs increased, showing that this remedy does not sufficiently correspond to the proper essential character of tabes dorsalis.

On April 11 I returned again to XXXXX.

Now, also, the last considerable remnants of the disease vanished almost completely, and even her speech became again as sonorous and unobstructed as in her days of health. Only on account of a rarely-occurring formication, appearing especially in the evening, with a transitory insensibility in the soles of the feet, On April 20 I gave another dose of XXXXX, and On April 28 one dose of Pulsatilla 200, and, finally, On May 7 a dose of Sulphur 200. The three medicines were taken as the former ones, when the last traces of the disease completely disappeared and nothing of the kind has since been seen.

Case review of Dunhams Mezerium prescription

We at the I.H.M. examine hundreds of cases each year from our own practices and from the cases presented in the journals of yesteryear. I picked this case for examinaton and posted it a day ago. CASE HERE

At first glance, it looked like a wonderful case of Mezerium with an amazing cure, yet examination and dissection of the symptoms leave several of us perplexed as to

  • a: the choice of the remedy
  • b: how it worked.

Now we accept paper cases are notorious for working out except for an exercise for students in learning repertorial language, however, this case has us perpelexed.. from the REPERTORY standpoint.

CASE HERE

Let us look at the rationale behind the prescription according to Dr Dunham.

 ” …the history of a case is often of the utmost importance in determining the treatment. In the  case before us the coincidence between the violent removal of the tinea capitis by nitrate of silver, and the appearance of the deafness, was too marked to escape notice. It could not fail to occur to the practitioner that the scalp disease… disturbed in its localization upon the scalp, had transferred itself to the tissues of the ear. It further occurred to me that, since in this latter localization there were no sufficient indications for a prescription, I might find such indications in the phenomena of the former localization upon the scalp. I accordingly addressed myself to the task of getting a complete picture of this affliction, which had disappeared thirteen years before. By good fortune the mother of the patient was possessed of a good memory, and of very excellent powers of description, and from her I learnt that “thick, whitish scabs, hard and almost horny, covered the whole scalp. There were fissures in the scales, through which, on pressure, there exuded a thick, yellowish pus, often very offensive. There was great itching, and a disposition to tear off the scabs with the finger-nails — especially troublesome at night.
The remedy, which corresponds most closely, in its pathogenesis with the above group of symptoms is undoubtedly Mezereum…. The resemblance between these groups of symptoms was so striking that Mezereum was at once selected as the remedy for this case of deafness, just as if the scalp affliction had still been in its original form, and had been the immediate object of the prescription.”

As you can see, based on his own observations, Mezerium is not prominent. In fact if we look at the symptom yellow pus and it was absent completely.

Now we are fairly familiar with the usage of the T.P.B. and how to extract information from the works of Boenninghausen in terms of rubrics, but we could NOT get Mezerium to be indicated strongly in the repertory.

I turned to the Materia Medica for help. I noted in Chronic Diseases:

  • [495] Itching on the inner side of the calves, not ceasing from scratching, and not ceasing until he had scratched himself bloody, followed by burning ; after twelve hours, a swelling on the calf, and on the scratched place, a bloody crust with yellowish pus under it, and bruised pain.

I also noted that Allen, Arndt and Tyler had these notes in their MM entries:

I then turned to Hughes to see what he had recorded.

Nothing.

So. We are left with the evidence that Hahnemann recorded a swelling with a crust and yellowish pus under it.  We also see that others have stated ulcers with pus and yellowish scabs etc.

We also note that Boenninghausen recorded several of the characteristics of Mezerium but did not place emphasis on the yellow pus in the repertory.

What can we conclude from this case?

  • there is no way to get to a prescription for Mezerium without knowledge of the remedy.
  • Hahnemann and Boenninghausen did not see the clinical use of Mezerium based on the presented symptoms.
  • Hering noted: Head covered with a thick, leather-like crust, under which thick, white pus collects here and there and hair is glued together
  • Hering noted: Eczema of lids and head; thick, hard scabs, from which pus exudes on pressure
  • We can see if a repertorization is done, Mezerium does not feature high, if at all for the symptoms noted in Dunhams notes.
  • There are other remedies which mirror more closely the disease picture.

So in the final analysis, We can assume the prescription was made on clinical observation and with the known characteristics of that remedy based on that. We again, have to assume that the remedy worked due to the similarity.

I have issues regarding the entirety of the proving as defined above as I cannot find more than stated in Hahnemanns provings.  Its a mystery to me.