A Case of Fever
NATIONAL JOURNAL OF HOMOEOPATHY 1999 Nov / Dec VOL VIII NO 6.
Dr Sarang Rahalkar
'Sil

5 yr old Master ACS was brought for fever since last 3-4 days with a long-standing respiratory problem since about 20-22 days.
His history was as follows:

Cough 22 days back 26th Aug	Started coryza ++ Fever  100-101oF	< AF getting wet ++ > Tab Nise	Weakness - 0 Activities Good
After 3 days	Again Fever 100 o F Coughing bouts		Paediatrician gave allopathy Rx
			T Kid 0x250 BO
Allo Rx continued for about 12 days			Sy Norvetn 1 tsp TRS
			Sy Nise 1 tsp TRS
			T Betnesol	1-1-1 Day1 1-0-1 Day 2 ½-0-½ Day3
After 12 days	Fever fluctuating	< morning ++
	Cough in bouts ++
	Mucoid expectoration ++;
	Yellowish +		Earache started

On 11th September, Allo Rx was stopped and child was without treatment for about 4-5 days. On 16th September child was brought to me, when I got the above history. Presently child was suffering from bouts of cough with coryza watering of nose and was feverish. He was not very active and had a slight moaning cry. Present history demonstrated the acuteness of all previous symptoms. The totality was as follows:

Throat	Pain2	< swallowing ++	Weakness ++
4 days	Complaining of continuous irritation in throat		Activity reduced Thirst à does not feel to drink
	Coughing bouts2	< morning	Tongue dry ++ Appetite less
	Expectoration yellowish2		Thermal : hot
	Pain in the ears2		Covering O (throws off) Fan wants speed 1 Moaning cry ++ (weeping)
		O/E RS mild rhonchi+	O/E throat inflammed2
		On deep inspiration	Tonsils 2+both sides
		Advised x-ray chest	Cervical nodes not palpable
		pharyngitis ++	Tongue dry ++
			Ant. Fontanelles open slight.

Further Inquiries: Child has recurrent attacks of URTI about age of 2 years. When the family visited Karnataka he was given all Allop Rx and the infection settled in 2-4 days, but the present attack stayed the longest.
Mother was very anxious as normally even in attacks he was active and had normal appetite.

Mentals: Irritable +++, Obstinate3. Academically he is very good, always stands in first three. Parents say he is very systematic in his studies.
Child would never like to mix with others (friends), will prefer to play alone. Whenever he plays with his friend he does what he likes & never listens to anybody else. Maybe that is why he play alone.
His demand for anything has to be given immediately. There was one peculiarity mother revealed: as a small child too he refused her milk!

Thermals: Covering summer rainy sometimes Rainy Winter-blanket
Bath luke warm always
Fan S- wants speed - 3
W- O, r- on - or do not want
Sun < 0
Winter < Respiratory complaints.
Cr spicy 2, Av milk3

Acute Totality

1. Moaning Cry (weeping)
2. Activity reduced 2
3. Thirst 2 do not want to drink water
4. Tongue - dry2
5. Hot pt.
6. Throat pain < swallowing2
7. Expectoration yellowish

Susceptibility: of the child seems to be also very good. If you would see the form thrown by the system after so many days and also after antibiotic coverage, you would appreciate the form to be good, with good characteristic symptoms of tongue, thirst, mentals with peculiar cry. But pace is slow.

Thus we would naturally select the potency from moderate to high with less repetition. Pulsatilla 200 8 hrly for 3 days was given. On 20th Sept. the child was brought. The totality was as follows:

Fever - O, Moaning cry - O
Coryza - watering of nose >++ 60%
Earache O
Cough in bouts >2. Occasionally in morning
Thirst N now has started drinking water
Tongue Dry ++
O/E Throat Inflammation + >

Puls 200 had definitely registered as there was uniform amelioration of complaints. Therefore Puls 200 BD was given one day and then constitutional medicine he was told to take. Constitutional was Silicea 200 3 p HS ( 3 powders at night daily 1 p)

The Silicea Totality:
Irritable2, Obstinate ++, Headstrong++, Systematic way of studying. Peculiar H/o Aversion to or refusal of mother's milk during infancy. Also Ant. Fontanelles are slightly open.
He was given Sil 200 3 HS for about 2 weeks & asked to report SOS.
The child is presently better.

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