Meeting Medical Emergencies
NATIONAL JOURNAL OF HOMOEOPATHY 1993 Sep / Oct Vol II NO 5.
Balakrishnan E.
` Hell / Calc / Stram / Agar / Cocc / Cact
Case 1: Hyperpyrexia with Urinary Retention.
A 22 years old male patient had continuous moderate to high fever. Was on
allopathic treatment since 5 days. On the 6th day the fever shot up to 104.5°
F and the patient was in a state of delirium. Homoeopathic treatment was asked.
The patient when seen was drowsy; staring with eyes open wide, delirium;
jerking of extremities, frequently. Shouting with convulsions of both the legs, again goes
into stupor.
No neck stiffness or rigidity.
There was however retention of urine. The bladder was full but the patient
had not passed urine since past 9 hours.
Treatment:
Helleborus 200, 4 doses. One dose to be taken
every 3 hours. Wet pack for the head and sponge bath as auxillary treatment.
Repertorial Rubrics:
- Stupefaction (KR page 84; Hell-3)
- Dullness (KR Page 37; Hell 3)
- Continuous fever stupid form (KR 1285; Hell 3)
- Extremities involuntary motion of (KR Page 1033; Hell 2)
- Extremities motion, leg automatic (KR page 1035; Hell 2)
- Retention of urine (KR 650; Hell 2)
- Heat (fever) (KR page 1278; Hell 2)
A female patient, aged 38, had a history of severe vertigo since 1981. She was married with a single child. She had undergone a hysterectomy for excessive bleeding which did not respond to therapeutic treatment. Her complaints started thereafter.
An EEG, CAT Scan-skull and other investigations did not reveal any pathology. Her ENT checkup was also normal. She was taking Vertin tablet daily, as prescribed by an allopathic doctor.
The patient came in 1992. A detailed case revealed the constitutional drug - Calcarea-carb. A main symptom that the patient presented was - Fear of getting mad.
Calc-carb 200 BD for a few days brought in a remarkable improvement. Calc-carb in graduated potencies cured the case completely. She has no more vertigo.
Repertorial Rubrics:
Vertigo - KR 96 (Calc-c 3)
Fear of insanity - KR 45 (Calc-c 3)
*Menses Copious - KR 725 (Calc-carb 3) *In retrospect - perhaps the menstrual flooding could have been arrested and the uterus too saved if only Calc-carb or any other suitable homoeopathic drug had been given then.
Case 3: Relapsed Typhoid
A boy of 12 years had another attack of fever after a gap of 12 days. There was a high fever on the 4th day with delirium. Antibiotics and other orthodox treatment were not useful.
Homoeopathic treatment tried at this stage. The boy was in a stage of delirium. He was muttering something in stupor. The relatives said that he was saying his evening prayers.
Stramonium 200 a few doses brought down the temperature and the boy recovered fully in 3 days.
Repertorial Rubrics:
Delirium - Synoptic Key - Pg. 50 (Stram 3)
Praying - Synoptic Key - Pg. 53 (Stram 1)
Case 4: Severe neuralgic pain in the spine
A 17 years old college student came with severe agonising pain at the spot just above the sacrum. It was since 15 days that he had this pain. Treatment at the hospital with analgesics were not of much help. The X-ray of spine taken from all positions (Frontal, Lateral and Oblique) did not reveal any abnormality.
Sitting was the most uncomfortable position.
Agaricus 200 three doses for 2 days was given which relieved the pain and the student went about with his daily normal activities thereafter.
Agaricus 1M was given again to complete the cure.
Repertorial Rubrics:
Pain at sacrum - KR 918 (Agar 3)
Worse sitting - KR 918 (Agar 3 only one drug).
Case 5: Bells Palsy
A 64 years old male patient had a severe hacking cough and sleeplessness since a few days. On 7-3-93 at night he had a difficulty in speaking, as if the tongue was paralyzed. On examination the left side of the face seemed paralyzed. There was a lot of lachrymation from the left eye. Opening the mouth fully was difficult. (He was a businessman having a lot of stress at the factory, office and home).
Treatment:
7-3-93 Cocculus 200 4 doses (one dose every 4 hours)
9-3-93 Cocculus 1000 2 doses (12 hours apart)
The next day i.e. on 10-3-93 a remarkable improvement was seen. There was no paralysis and the patient could speak well. However, the hacking cough persisted.
12-3-93 Senega 6, 8 doses were given. (one dose every 4 hours daily for two days).
14-3-93 Senega 1000 2 doses, 12 hours apart.
Repertorial Rubrics:
- Face paralysis - KR 390 (Cocc 2, Seneg 1)
- Face paralysis one side - Kr 390 (Cocc 2)
- Tongue paralysis - KR 414 (Cocc 2)
- Paralysis face, left side - Boericke 584 (Senega)
- Loss of sleep - KR 1402 (Cocc 3)
- Cough of old people - KR 798 (Senega 2)
- Mortifications ailments from KR 68 (Senega 2)
A 61 years old patient had chest pain and was under treatment of a cardiologist since a week. He was prescribed -
- Tab Dilcardia 30 mg tds
- Tab Sorbitrate 10 mg 1-2 qds
- Tab Eprin 150 mg od
- Tab Rantac 150 mg 1 od
On 28-3-93 the patient consulted for homoeopathic treatment.
Chief Complaint:
Chest (Left side) above the nipple, severe spasmodic pain, squeezing in nature; pain shooting to left hand; numbness of upper arms of left hand. The pain was worse motion and lying down. A mild massage gave him some relief.
Vertigo was worse by motion and worse rising from a lying down posture.
There was a feeling that the chest is tightened and squeezed when the pain occurred.
Treatment: Cactus 200 six doses. One dose every 3-4 hours.
Follow-up: A remarkable improvement was seen from the very first dose itself, subsequently Cactus 200 was given twice daily till 31-3-93 by which time the patient was completely relieved of the chest pain and vertigo.
The patient came again on the 6-9-93 with severe bleeding piles and constipation. The complaint went with a few doses of Cactus 200.
(He had a past history of piles which was operated years ago).
Repertorial Rubrics:
- Pain heart - KR 849 (Cact 3)
- Pain worse lying on left side - KR 850 (Cact 2)
- Numbness, upper limbs left side - KR 1036 (Cact 3)
- Vertigo - KR 96 (Cact 2)
- Vertigo, worse rising from lying posture - Kr 103 (Cact 2)
- Constipation - KR 606 (Cact 2)
- Haemorrhage from anus - Kr 619 (Cact 3)
- Haemorrhoids - KR 619 (Cact 2)
From Emergency Shots - Dr. R.E.S. Hayes.