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.
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.
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.
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.
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.
Analysis of the 3rd follows up:
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