The De Spotting.
NATIONAL JOURNAL OF HOMOEOPATHY 1995 Nov / Dec VOL VI NO 6.
Manjusa Vad & Vishpala Parthasarathy.
Cases.
` Sil.

A young boy of 17 came on 28-11-95 with face and back filled with pustular and painful acne. Worse from fats, cashews (3+), chicken and in the afternoon. It also associated with severe dandruff and hair fall.

Other Complaints: Sneezing on washing the face, from ice cream and cold drinks. Colds with headaches and occasional blackout. Insomnia since a year due to studies.

Patient as a person: He is lean, 58 kg, 5 feet and 11 inches, cold palms and soles, perspiration less but in past stained.

Appetite - Good
Craving - Fish (3+), extra salt, chicken (3+), spicy (2+)
Nails - white spots
Thermal - likes fan and winter, but not AC, covers always and takes a warm bath. Chilly.
Mentals: He was born in 1978, an only child. Both the parents (Father 45 and mother 35 years of age) work in a bank. Since his grand parents are old and sickly he lives with them. Consequently he is always worried, anxious and brooding.

In the past, when with parents he was more irritable and revengeful, now he has cooled down. Fond of music and reading. He is now studying in FYBSc.

Past History: Malaria, four times with shaking chills, worse from 11-3 a.m.

Family History: Maternal aunt has arthritis, brother has Asthma, maternal grandfather has Asthma. Mother has sinusitis.

Rubrics:

1. Anxiety, anticipatory
2. Brooding
3. Obstinate
4. Perspiration of palms and soles
5. Past history - perspiration stained the linen
6. Suppression (once)
7. Lean
8. Dandruff
9. worse from ice creams
10. Nails white spots.

Calcarea, Silicia and Sulphur came up for differentiation. Silicia was selected.

Treatment and Follow Up:

25-11-95; Acne, Silicia 200, I dose
12-12-95; Better (3+), Face clear, Placebo
19-12-95; Acne 1-w Dandruff, better 30 percent, No hair fall for 2 weeks, Even coldness palms better seems less., Placebo
26-12-95; Acne large on Right cheek, App poor. Hair fall (++), Silicia 1 M, I dose.
2-1-96; Cold and Acne 2 weeks, (Aggravation from Silicia),
Placebo.
9-1-95; Acne 5-6 - weeks, (Definite aggravation from silicia 1M so give 200) Silicia 200
16-1-96; Acne better (3+), cold, sneezing, with headache, 2-w x 20 mins., Acute, Puls 30 7p, daily 2 doses.
23-1-96; Cold better. Acne better., Silicia 200, one dose.
30-1-96 - No white spots nails, Weight up to 62 kgs, no acne, face clear, scars clear, dandruff and hairfall better by 60 percent. Palms and soles not cold, sneezing attack 1-2 - month. Headache once in 2 months. Overall much improvement and patient happy. Still under treatment.

This case has specially selected for following reasons:-

1. I have never seen spots on nails improve so rapidly.
   Even in patients who show general improvement, the nails spots remain for years, and so too do acne scars, which in this case have already lightened by half in just two months.
2. This is the classical remedy response which we always dream about and achieve only occasionally.
3. To learn that when one potency is working, do not be in hurry and change.
4. It is not always wise to let an aggravation go thro its full course. Here it would have taken anything between 4-6 weeks to run out, if not more. So using the 200 potency helped to antidote the 1M.

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