Kali-Carbonicum
NATIONAL JOURNAL OF HOMOEOPATHY 2001 Mar / Apr VOL III NO 2.
Dr Kasim Chimthanawala
'Kali-c / Nux-v

Introduction
Dr S Radhakrishnan, the great philosopher and our National President, said, "Life is like a game of cards. We did not invent the game. We did not formulate the rules. We did not manufacture the cards. And we have no power over its distribution. Yet, when we get the cards, we can play the game wisely or we can play the game badly." This statement is especially true for a homoeopath who has to play his cards wisely, if he has deal effectively and efficiently with his patients. The cards in our armamentarium are the Homoeopathic remedies.

I pay my homage to Late Dr Sarla Sonawala in whose memory we are meeting here today which gives us a chance to polish our weapons i.e. gain something new from the wide and varied experiences of the respective speakers, so that we may apply them in our own practices at our own places.

The Kali Group comprises of the following 25 salts viz;

General Characteristics of

Kali-Carb As A Person
Fleshy torpid build
Temperament - sensitive, obstinate, fearful, full of imaginations, moody and discontented
Craving for company
Tendency to take cold easily.

Complaints AF:
After coition, miscarriage, labor, delivery (Parturation), during/from pregnancy, excessive emissions.

1. Temperament - Irritable
   Hypersensitive to pain, touch and noise
   Despondent, Afraid of loneliness
2. Weakness, lethargy and Prostrated
3. Perspiration
4. Chilly
5. < early morning: 2-3 am

Remember

1. In contradictory states like.
   1. Large discharge of blood with normal stools
   2. Nose stuffs up in warm room
   3. Stitching pain in anus 1 hour before stool
   4. Pain in piles while coughing
   5. All left sided complaints except chest (Rt)
2. Completes the action of Carbo-veg and Nux-vom
3. In Pleurisy when Bry fails
   In Abd colic when Colo fails
   In Asthma when pt Bends double and does not get relief after Ars fails.

Case 1:
Bronchial Asthma, Lumbar Spondylosis and Prolapse Rectum.
A 42 years female presented on 23-1-98 with the following complaints:

1. Severe backache - 10 years
   Pain in the lower back extending to thighs BS with stiffness < winters, during menses, working in water. > SWD, Hot application, massage, walking while.
   Started during last pregnancy and increased after delivery.
   11 yrs Back numbness both lower legs with swelling feet after walking.
   Pain - burning, stitching, shooting type.
2. Asthmatic troubles: 9 - 10 years
   Recurrent attacks of dry cough followed by difficult breathing, chest pain,
   Phlegm stringy, difficult to expectorate, offensive mouth,
   < Early morning, lying Rt Side, winter, > Forward bending, rocking, Summer.
   H/O Recurrent Pharyngitis since childhood, Bronchitis at 12 yrs of age.
   Pulmonary (Rt lower lobe) 13 years age.
3. Rectal Prolapse with bleeding PR even with normal stool, started after 3rd delivery 14 years ago.
4. Gets easily exhausted.

Temperament: Sensitive, Moody, irritable and obstinate
Intense desire for company
Discontented and fearful
Appetite erratic, LIKES sweets ++
Stools: hard + occasional bleeding PR with prolapse of rectum
Urine: 4-5/D and 3-4/N, urgency more at night
Menses: 1/40-45 days, pale and scanty flow
Sleep: feels sleepy immediately after eating

P/H: Rt SMG1 swollen - excised
Skin eruptions on both feet during childhood > ointments
F/H: Mother died of TB, father has high BP, all the 3 issues chilly.

O/E: GC Fair, Cooperative, pallor ++
P-78/min, regular, poor in V and T, BP 112/78 mm
No cyanosis/clubbing or Odema feet
Abd - soft and distended, Liver/spleen - NP
RS - scattered Ronchi ++
CVS - HS pure. CNS - NAD

Planning and Programming:
Nux-v - As an indicated remedy on presenting symptoms, so acute
Kali-c - Temperament so constitutional remedy
Tub-b - As an intercurrent remedy

23-1-98		Nux-v 200 1d Pt exercise/SWD SOS
14 days after	Backache much >> Feels weak in the morning LMP 2-2-98/2D less	SL 1 0D x 15 days
22 days after	Backache ++ Stools constipative, bleeding once Menses normal	Nux-v 1M 1d
7 days after	Backache no much change [Acute const] Stools >>, no bleeding Prolapse ++	Kali-c 200 1d
10 days after	Backache >>, Pt feels >, stools soft Prolapse +, No Bleeding, No menses	SL 1 0D x 15D
15 days after	No much complaints, feeling >> Menses after 36 days (4D)	SL 1 0D x 15D
5 days after	Backache ++, has become irritable Prolapse +	Kali-c 1M 1D
10 days after	Backache >>, Patient feeling > Stools >, No bleeding Prolapse +	SL 1 0D x 10D
15 days after	Patient feeling better in all respects Stools soft, daily, no bleeding	Tuber 1M 1D
1 month after	No major problems Itching eruption on both feet < night	SL 1 TDS x
7 days after	Eruptions as it is	SL 1 TDS X 10D

Case 2: Lumbago with FUH and Spina bifida
A 38 years female came on 3-4-99 with complaints of

1. Long lasting menstrual flow for 10-12 days - 6 yrs
2. Urinary Troubles: Urine 4-6/D 4-5/N, at times involuntary on coughing
3. Gastric Troubles since long. At times even regular food items did not agree Acidity and Flatulence < sweets.

1. Menses long-lasting flow for 10-12 days since 6years. Menstrual problems started after MTP. Since then she has never recovered completely. Prolonged menstrual flow makes her more exhausted and irritable.
   Took tonics. Digestive enzyme preparations, Iron Tabs off and on whenever she felt weak. D and C about 4 yrs back but with no respite.
   Severe pain in small of the back along with stiffness during menstrual flow. Pain-pricking, stitching, shooting type, descended down to thighs (Bilateral). Legs feel numb (Bilateral)
   < Forward bending, morning, physical exertion. > hot fomentation.
2. Urine problems started after her last delivery ie. 7 years back.
   Frequent urination at night with dribbling at the end, edema feet + < coition after, in winters > summer and while at work.

P/H - Jaundice in childhood, Ottorrhoea Lt till 12-13 years of age
F/H - Mother died of Pulmonary TB (when pt. was 12 yrs of age)
Father - Alcoholic, Cirrhosis of Liver
Sister - No child (14 years of marriage)
Brother - Alcoholic, piles

Personal History - Vegetarian with occasional eggs, studied till 8th Standard
Obstetric History: Bad. PPH after every delivery
O/E - A average build, pallor + P-78/min BP 110/70 mm. SM G1 ++ Both Sides,
O/I - Hb - 9.8 gms%, X-ray Lumbar Spine - Spina Bifida +

Nux-v - as an indicated remedy of presenting symptoms
Kali-c - on mentals, menstrual problems, started ear discharge
PT exercises for pain in Spina bifida.

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