It is short but very interesting acute case. What makes him
interesting is the fact that we don’t have much information. Your goal is to
tell me what is the first, second, third and fourth prescription according to
symptoms and development of the case.
A Woman of 38 years old, who is treated by me for Multiple
sclerosis, After 6 months of treatment all her symptoms diminished completely
and she is much better in her energy. Her psychological condition also improved
but she is psychologically quite healthy all her life. Approximately 6 months
after the chronic remedy she developed first acute after long period of time.
She has very strong coryza with totally obstructed left nostril. This state is
gradually worsening for 3 weeks and together with this she suffers from short
dry cough which is mostly in the evening. Her energy is worse as the acute is
progressing and cough is worsening day by day.
1st prescription:
First follow up after 2 days after the remedy:
She feels much better generally, nose is free and cough is
gone completely. She has more energy and generally feels better but she
developed sore throat which is worse on the right side.
2nd prescription:
Second follow up (2 days from the previous one):
Pain in the throat moved to left and next day back to right
side. she craves warm drinks which ameliorate the pain.
3rd prescription:
Third follow up (2 days from the previous one)
She is free of symptoms, energy very good as well as her
psychological condition. Chronic complaints not returned.
4th prescription:
Now it is more than 6 months since this follow-up and she
does not have any signs of relapse.
Analysis of the case for students of homeopathy!
Only remedy which combines obstruction of left nostril as a
keynote and short cough which is worse in the evening is Sinapis Nigra. Stopped
up the left nostril is its guiding symptom.
1st prescription: Sinapis Nigra 200 one dose 4 times during
the day, one day only:
Analysis of the first follows up:
The fact that main complaints (nose obstruction and cough)
diminished and the patient feels BETTER GENERALLY means, that the remedy was
correct. Although there is a pain in the throat in right side, there are no
other symptoms and pain is not strong. So at this point the case can progress
in several ways:
1) The pain in throat will disappear by itself and no remedy
will be needed. If this is going to be true it is the best and it means that
organism is strong enough to restore health after the first remedy.
2) The pain will remain there and will getting worse and
other symptoms will appear and will form a new remedy picture. In such
situation we need to give the next remedy based on keynotes appearing at the
moment.
3) The pain will get worse and other symptoms appear but the
remedy picture will not be clear enough for administration of the new remedy.
If this is going to happen and we see that state is worsening but no clear
image emerge in the case and the state does not allow us to wait we can try to
repeat Sinapis in higher potency (as the initial reaction seemed to be correct
one) but if there is no reaction, we must give a chronic remedy.
Anyway at this stage we cannot say how the case is going to
develop within the next hours so therefore we must wait.
2nd prescription: wait without remedy
Analysis of the 2nd follows up:
After 48 hours the situation becomes clearer and if we look
now for the symptoms, we can see THE ALTERNATION OF SIDES together with DESIRE
FOR WARM DRINKS which are the keynotes of LAC CANINUM. The state is much better
compared to state before administration of Sinapis which means that first
remedy was correct but was not able to clear the case completely which is the
phenomena we can see in people with lower level of health.
3rd prescription: Lac caninum 200c one dose 4 times during
the day, one day only.
After short aggravation all symptoms diminished completely
and patient´s health is fully restored. There are no symptoms and patient feels
without any problems, energy is very good as well as her psychological state.
Therefore we must WAIT.
4th prescription: wait without remedy:
Case by: Dr Petra Zach
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