Age-27 or 28 years.
Symptoms. Modalities-showing how the symptoms recorded in col. 1, are aggravated and ameliorated. Nature, temperament etc. of the patient as observed by the physician. Also note of results after the use of medicines prescribed. Medicine with potency. Date of using the medicine.
1. Mother of three children.
2. Paralysis of the right side after the birth of the youngest child.
3. Syphilitic taint from the father’s side, and no miasmatic history from the husband’s. Despondent; melancholy.
4. Dark complexion.
5. Fat and flabby.
6. Not much of a good housewife, and this might be due to her having often been confined to bed on account of her health. Indolent.
7. Awful weakness and restlessness. Aggravated at night so much so that she was awfully afraid of its approach.
8. Aching and burning in the lumbar region. This is so severe at times that the whole body shakes. Aggravated at night but most severe towards the early hours of morning.
9. Fearful. Fears that some unknown thing will happen. Aggravated by anything or nothing. Apprehensive.
10. Vertigo-at times.
11. Had a fall some days ago on account of vertigo, and broke a tooth.
12. Appetite very dull; has no craving for food, and eating is more a matter of routine than of necessity.
13. Thirst, a bit more than normal.
14. Rheumatic pains in the lumbar region. Worse towards the morning. The character of the pain is stitching and burning. Not affected in any way by the seasons.
16. Lies on both sides.
17. Had a certain bad news from her father’s place sometime ago and this upset her altogether. And it was after this that the right side was paralysed. She could not move the right hand except with the help of the left. Was partially ameliorated by Ayurvedic oils applied externally. Aggravated by bath. Ailment possibly brought on by grief or emotion. Application of Ayurvedic medicines for about 2 months.
18. Has liking for bath. Causticum 200 7.12.15.
Symptoms of insanity developed after Sulph. 1,000. Profuse leucorrhœa appeared on 31.1.16. , and the mental condition gradually improved. Causticum 200. Causticum 1000 Sulphur 1000. Causticum 50m. Causticum c.m.
Some dry itches appeared on 11.8.16. and then passed off of themselves.
Now, let us examine the case as recorded above and find out which of the three miasms is predominant and is causing the greatest trouble to the patient. We should easily see that it is symptoms Nos.-2, 8, 9, 10, 11, 13, 15, 16, and 18 that are causing the greatest suffering to the patient. And of these Nos.- 2, 8, 9, 10, 11, 13, 15, 16, and 18 are Sycotic symptoms, while Nos.-8, 10, 11, 13, and 16 are Psoric symptoms. It is, therefore, Sycosis that is causing the greatest trouble, and as such, the first blow must be dealt to Sycosis. It needs be mentioned that, though there is a positive history of inherited Syphilis from the father’s side, there is hardly any Syphilitic symptom in the case. However, as it is Sycosis that is predominant, an anti-Sycotic remedy will have to be selected. Psora and Syphilis are in the background now, and as such we must not worry about them. But, which is the anti-Sycotic remedy that is called for by the symptoms? It has already been stated before, that in selecting a remedy it is necessary to give the greatest importance to the symptoms of the mind. Then come the symptoms relating to the whole body, and last of all, the symptoms of the particular parts of the body. The mental symptoms as noted in col. 3 of the record are:-
A. 1. Despondent,
3. Indolent and
The symptoms relating to the whole body are:-
B. 1. Weakness and restlessness-(symptom No. 8.)
2. Appetite-(symptom No. 13.)
And, last of all, the symptoms relating to the particular parts of the body are:-
C. 1. Paralysis of the right side,-(symptoms Nos. 2 and 18.)
2. Lumbago-(symptom No. 9.)
3. Heaviness of head-(symptom No. 16.)
Now, let us see which of the anti-Sycotic remedies agrees with the above. It will appear that it is “Causticum”. The mental symptoms under group A, and the symptoms at serial (2), (if not those at (1) also) under group B, and symptoms at serials (1) and (2) under group C, unmistakably indicate Causticum, and the first dose of it was given in the 200th potency on 7. 12. 15.
15.12.15. No change. Causticum-200 was repeated.
22.12.15. No change yet; Causticum-1000, one dose.
7. 1. 16. No change yet. One dose of Sulphur- 1000 was given, it being assumed that Psora was perhaps not allowing Causticum to act even in the 1000th potency.
21.1. 16. The development was very unsatisfactory. The patient was showing symptoms of insanity and had become far more fearful and apprehensive. This evidently looked like an aggravation of Sulphur and must have perhaps been due to the potency being too high. No interference was advisable, and the medicine was allowed to act off. For the satisfaction of the patient’s husband, some placebo was, however, given along with an advise for not allowing the patient to be kept alone.
31. 1. 16. Profuse leucorrhœa appeared and the condition of the mind gradually improved. This was, however, frightening, as there being no mention of leucorrhœa in the record, it was bound to be interpreted as a new symptom; but on further cross-examination, it transpired that it was not a new symptom, as the patient had leucorrhœa long ago and it was only lying suppressed in the system. No medicine was given, but instead, some placebo, as it was evident from the re-appearance of an old symptom “leucorrhœa”, that the case was running a curative course.
13. 2. 16. The discharge of leucorrhœa had diminished and the condition of the mind was still better. Placebo.
24. 2. 16. All the symptoms on which the first prescription was made were aggravated. This was inviting a second dose of the same medicine in a higher potency, and therefore, one dose of Causticum-50m was given. Also some placebo for full one month, with a request for immediate information in case of any severe aggravation.
25. 3. 16. Not much improvement, neither any severe aggravation as apprehended. On the whole the patient was feeling a bit better. Placebo for another month.
13. 4. 16. The main malady “Paralysis” was much improved, but there was a severe aggravation of burning and restlessness. Wanted cold only.
15. 4. 16. Had an accidental fall from the beadstead while in sleep at night and was wounded in the nose, which was bleeding profusely. The bleeding had not stopped even up to 9 in the morning. However, no medicine was given for this, as that might offer some interference to Causticum-50 m, which was acting satisfactorily enough and as the bleeding could be stopped otherwise. Application of cold water in the nose and forehead, and some placebo were all that were given. The bleeding stopped by evening.
18. 5. 16. Much better. Lumbago very slight, and burning also slight,-aggravated in the night. No medicine. A return of all the symptoms now, on which the first prescription was made.
25. 5. 16. A fresh aggravation again of some of the symptoms on which the first dose was given. This was an indication for a third dose of the prescribed remedy in a still higher potency, and one dose of Causticum-c. m. was given on 29. 5. 16.
11. 8. 16. Improving in all respects, physically and mentally, but on this date information was received that the patient had some dry itches on her person. This however passed off in a few days and there was no further trouble of any kind.
(1) Though all the symptoms of the case indicated Causticum, yet there was no action until a more deep acting medicine, Sulphur-which is an anti-Psoric was given. If there was want of knowledge in Materia Medica, possibly Causticum would have been changed when it was found that it was not acting even in the 1000th potency, but that would have been very wrong.
(2) The leucorrhœa, which was only kept suppressed instead of being cured, re-appeared under the action of a deep acting potentised drug. This was a sure indication of the process of cure,-“Re-appearance of old symptoms (suppressed) in the reverse order of their coming”.
(3) The insanity that developed looked like a new symptom. If it was really a new symptom, it would have been very bad, and the only interpretation in that case, would have been that the first prescription of Causticum was wrong. But it appeared subsequently, i. e. after Sulphur was allowed to act off, that it was really an aggravation of Sulphur due to the dose being too high. The 200th would have been the most appropriate potency in this case, and 1000th was wrong. If 200th had been used, most probably, there would have been no development of insanity while the leucorrhœal discharge would have appeared earlier.
(4) The insanity that appeared, did not indicate any change of structure, which is always possible only when either Sycosis or Syphilis or both combine with Psora. There was only some mental restlessness. It was therefore certain that the heriditary Syphilis which the patient had from her father’s side, or the Sycotic taint had no hand in this insanity. This also corroborates the asssumption that it was due entirely to the wrong use of Sulphur in too high a potency.
(5) The dry itches that closed the process of cure were Psoric and possibly Sulphur 1000, which was given eradicated the Psoric taint, just as the Sycotic taint was eradicated by Causticum. It cannot however definitely be said that this assumption is correct, until after the lapse of a long period of time, i. e. without seeing whether the patient develops any other disease, as Sulphur in the 1000th potency only may not have been quite sufficient for eradicating Psora altogether. And in that case, Psora is bound to appear again in this patient in the future, and possibly still higher potencies of Sulphur would be necessary then for eradicating it.
(6) Though the patient had inherited Syphilis, there was no manifestation of it, either when the record was prepared, or when the treatment was closed. It was therefore not possible to prescribe any anti-Syphilitic remedy after the cure of paralysis and lumbago. It is never possible to do anything, unless there are symptoms, as symptoms are the only language of Nature that call for the required remedy.
(7) It might be that Syphilis was yet very superficial in the patient. And if the assumption that the dry itches indicated the eradication of Psora is correct, it is quite possible that the patient was freed from Syphilis too. Because, Sycosis was eradicated by Causticum, and Psora by Sulphur, and in that case, that is to say, there being no Psora, Syphilis has nothing to stand upon. And the patient may therefore be said to have been cured radically of all miasmatic taints, and she should therefore have no more diseases in her life, beyond ordinary ailments due to disorderly living, unless there is fresh miasmatic acquirement. This may therefore be said to be an ideal Homœopathic cure. But this assumption is highly doubtful, as Sulphur in the 1000th potency only can hardly be conceived to have eradicated Psora altogether.
(8) If however, the assumption that Psora was eradicated by the 1000th potency of Sulphur, as Sycosis was by the c. m. potency of Causticum, is wrong, then the only thing achieved was that the patient was cured of the miasmatic taint of Sycosis only. And in that case, Psora and Syphilis must be still continuing in her, and as such, she would be exposed to diseases in future, unless these miasmatic taints were eradicated by further Anti-Psoric and Anti-Syphilitic remedies. And this would be possible only when she would present proper symptoms for such Anti-Psoric and Anti-Syphilitic treatment. Without symptoms, no body can do anything.