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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Medorrhinum: Overview and Cases
NATIONAL JOURNAL OF HOMOEOPATHY 2004 Jan / Feb VOL VI NO 1.
Dr Tabussam Ansari
'Medo

Editor Introduction: This article marks Dr Tabassum’s writing debut. This young author, under guidance of Mr Kasivishvanathan, has delved into various Materia Medica’s and Journals of past 20 years and come up with some salient features of Medo which will serve as a revision for all of us. She has also picked up some interesting cases. We hope, in future she will share her own experiences of practice through the NJH pages

Medorrhinum is a nosode obtained by lysing cell from purulent urethral secretions from many patients suffering from gonorrhoea, who do not have another disease and have not been treated with antibiotics and antibacterials. Serology test for trepenoma palladium infection must be negative. Neisseria gonorrhoea must be identified in all the specimens. The material should only contain epithelial cell from urethra and degenerated polymorphs and leucocytes.

SIGNS AND SYMPTOMS
Ailments From
: Bad effect of suppressed or inherited gonorrhoea
Modalities:
< Damp cold < Day time3
< Sunrise to Sunset3 < 3-4 am,
< touch-even slight < Before storm,
< close room < Urinating
< thinking of complaints  
< Heat, < Motion, < sweets  
< leaning head forward, < covering  
> Fresh air, > being fanned3  
> Sun set , > hard rubbing,  
> Sea side3 , >Damp3 , >eating  
> Lying on abdomen3  

Mind
  1. Forgetfulness- for names, words and what he is reading. (syph-for occurrence)
  2. Deranged sense of time-"time passes too slowly" as though things done today occurred a week ago.
  3. Hurried-talks hastily, eruptively in a compulsive and compelling rush of words, at times in garbled phrases, beginning in mid-thought, repeating himself frequently as if fearful of being misunderstood.
  4. Difficult concentration- difficulty in concentrating his mind on abstract subjects.
  5. Confusion-sensation of life being unreal, like a dream.
  6. Delusions, hallucinations and illusions:
    Thinks someone is behind her, hears whispering, sees faces that peer at her from behind.
    Feels delicate hand smoothing her head to back.
    Wild feeling in head, desperate feeling of incipient insanity.
  7. Apprehensive-anticipates events. Anxiety when time set.
  8. Weeping > cannot relate her symptoms without weeping.
  9. Procrastinator-‘why do today, what can be postponed until tomorrow?’ He puts everything off until the last moment, must then operate in haste and under pressure.
  10. Excitement, exhilaration and enthusiasm, provide a recurrent theme.
  11. Impulsive abrupt, rude, mean, cruel.
  12. Sensitive to beauty, flowers, nature, etc.
  13. Increased sensibility, Clairvoyance.
  14. Nail-biting.
  15. Shuns responsibility.
  16. Med is one of the most effective remedies for the unruly or undisciplined youngsters who are constantly touching things, breaking them, tripping over himself and rashly lurching to do ever thing hastily and enthusiastically as like to hurt himself or other.

Physicals:

  1. Sleeps in knee-chest position.
  2. Intense tenderness of soles and ball of feet.
  3. Constant desire to wash hand.
  4. Burning of palms and soles want to uncover soles and fanning.
  5. Discharges- profuse, acrid, causing itching, fishy odour.
  6. Offensive odour of body especially children and women.
  7. Trembling all over, intense nervousness and profound exhaustion.
    Prostrated in morning, always brighter in evening.
  8. Poor reaction due to sycotic taints.
  9. Desires: liquors3, sweets3, sour, (unripe fruits) ice3, meat, meat fat, fish, tobacco, beers, coffee ground.
  10. Aversion: cold drinks, cold food, peas, beans slimy food,salt.
  11. Constant thirst- even dreams she is drinking.
  12. Ravenous hunger immediately after eating.
  13. Constipation > bending backward.
  14. Nocturnal enuresis-passes large quantities of ammoniacal high colored urine. < over work or over play, extreme of heat or cold.
  15. Mongolism-mental retardation with H/o gonorrhoea in parents. child who are dyslexic, learning disabled and poor learner.
  16. Warts: Small, pedunculated warts with pin heads like small button mushrooms on various parts of the body & thighs.
  17. Ankles turn easily when walking.
  18. Easy perspiration-sweating feet. Cold feet sweat during winter. Copious hectic night sweats, staining yellow, cannot be washed.
  19. Breast are cold to touch especially nipples < during menses.
  20. Sycotic infantile asthma > knee chest position.
    > lying on abdomen and protruding tongue. Dyspnoea - can inhale but no power to exhale.
  21. Intense restless and fidgety legs & feet.
  22. Coldness of tip of nose.

Differentiation Of Med, Thuja & Nat-Sul
MED THUJA NAT-SUL
Hot Chilly Hot
< Morning, Sunrise to Sunset. Hot weather, stretching out, in the mountains. < night, cold and humid weather < Seaside humidity
> Seaside, hot-humid weather, knee-chest position > stretching out, lying on back > dry and hot weather

Relationship
Compare-Anac, Bar-c, Carc, Lach, Nat m, Nat s, Num v,Plat, Psor, Sulph, Thuja, Tub
Antidote- Ipecac ( dry cough)
Compatible- Sulph
Some clinical uses:

  1. To effect a cure or as an intercurrent medicine in active gonorrhoea.
  2. As a constitutional medicine to cure the effect of suppressed gonorrhoea.
  3. To remove a congenital or acquired sycotic taint that inhibiting the action of other medicine.
  4. To treat tendency to asthma.
  5. To treat condycloma accuminata.
  6. For mental and psychological disorders, where its action is sometime astonishing.
  7. To treat tendency to migrane.
  8. To treat oligomenorrhoea.
  9. To treat tendency to mammary dysplasia.
  10. To rectify the obscure metabolic disorder/defect in mother when her children come in infantile death one after another.

CASE 1: Effects of Suppressed Gonorrhoea
VN, male chemist, aged 36. For about a year, he had been troubled day and night by a sour kind of kitchen smell that had slowly grown more intense. Sleep, digestion, urination, etc. were normal. No nasal catarrh. 18 years earlier, he had gonorrhoea ‘cured’ with antibiotics. Later, a pale brown wart had appeared on his right knee. A warm person, with many Med symptoms.
Family history: Father and mother in good health. Grand parents-no special diseases and died in their eighties.
Treatment: 20/12/80 Med. 1M Five drops. -1 dose.
06/01/81 Ten days after the Med 1M, the smell had gone.
10/10/94 No recurrence, no sign of rheumatic problems.
Discussion
The bad effect of gonorrhoea suppressed 18 years earlier disappeared after a single dose of Med 1M. It had not recurred 12 years later. The patient was a Med without mental Med symptoms. He had a good memory, did not forget words or lose track of a conversation; he had no delusions, visual or auditory hallucinations. Physical symptoms were burning feet and hands in bed, and that he was a warm-blooded person. Because of the paucity of symptoms, the prescription of Med was largely based on the history of suppressed gonorrhoea.
Source: British Homoeo Journal 1996 vol 85

CASE 2: Mental or psychological disorders
Mr A C, male businessman, age 34. Very anxious, and because of his anxiety, he was eating biscuits all the time, mostly sweet biscuits. He weighed more than 95kg. A warm-blooded man. His two gonorrheal infections had been treated with antibiotics. Two warts on forearms. Visual and auditory hallucination; uncovering feet in bed.
Family history: Father had lost both parents in childhood, but was healthy at 73, prostatic adenoma surgically treated at 68. Mother and her sister had cardiovascular problems. A brother had asthma, migraine and rheumatism, a sister had gallstones and kidney stones.
Treatment:
18/09/92 Med 1M, six pilules, single dose.
30/09/92 Very well, calm, no anxiety until 28/09/92, when, he had three bottles of beer. Nervous, anxious the day after, digestion sluggish, sleeping badly.
01/01/92 Sulphur 1M, six pilules, single dose.
26/10/92 Sleeping a little better, digestion much better. Still anxious. Desire for sweet things stopped.
24/02/93 Feeling very well, no anxiety.
26/08/94 Still free from anxiety.
Discussion: A psoro-sycotic case, with gonorrhoea suppressed twice in the past. Med 1M gave good results for ten days, when he took alcohol, which stopped the action of the medicine in less than 24 hours. This case is interesting because it shows the negative effect of alcohol, especially when the patient has mental problems. Sulphur 1M after Med improved the psoric problems. Repetition of Med 1M (same potency) about five months later completed the treatment.
Source: British Homoeo Journal 1996 vol 85

CASE 3: Migraine
BFTB, male obstetrician, age 35. First migraine attack at the age of six. Attacks usually started in the morning. Lasting all day and improving as it got dark. Better at the seaside. Blindness followed the headache, which was throbbing, usually starting at the right eye. Nausea and vomiting were frequent, onset of the headache sudden and hemicranial. He would often lose the thread in conversations. Heard voices calling him. Always hungry and hasty. One naevus and numerous small and large brown spots all over his body. Alcoholic beverages precipitated attacks.
Family History: Mother and her sister had cancer. Migraine on both sides of family. Hypertension also common on both sides.
Treatment:
16/06/89 Med 1M, six pilules, single dose.
05/07/89 No headache since.
16/10/90 No further migraine attacks.
Discussion: A single dose of Med 1M dealt with the problem. No recurrence was reported 18 months later.
Source: British Homoeo Journal 1996 vol 85

CASE 4: Mammary dysplasia
KLNS, female English teacher, aged 36. Came to see me for the first time on 19/08/82. About eight years earlier, she had noted some small, slightly harder, rounded and elongated granules, not sensitive, in the tissues of the right breast, later also in the left breast. These changes increased in size and number, finally occupying the whole of both breasts. She was very nervous, agitated and anxious. And also had Wolff-Parkinson-White syndrome. She had hysterectomy for fibromyoma about five years previously, no oopherectomy. Several warts, including on breasts and many brown spots. Always felt better at the seaside. Childhood asthma had disappeared as she got older. A chilly person, with head sweats in bed, wetting the pillow. The breast dysplasia was diagnosed as fibroadenomatous, i.e. benign.
Family history: Mother, maternal grand parents and a paternal uncle had cancer. Father had pulmonary tuberculosis.
Treatment
19/08/82 Med 1M, six pilules, single dose.
21/08/82 Grew calm the day after taking Med, with burning micturition for that day only.
22/08/82 Caught a cold which was treated with Allium-sativum 3c, three pilules every two hours for three doses.
26/08/82 Conium-maculatum 30C for pilules once a day on an empty stomach, and Calcarea-carbonica 30c, four pilules at night. Both daily.
03/09/82 Feeling very well. 2 kg weight gain.
24/09/82 Both breasts much less sensitive, and ache in largest tumour on right had disappeared. Sleeping very well and much more tranquil. Medication continued.
15/10/82 Dysplasic changes almost disappearing, with major remaining parts less hard, shaped as thinner streaks in horizontal position
05/11/82 No further improvement in breasts. Rx stopped. Severe influenza treated homoeopathically.
13/12/82 Recovered from influenza. No improvement in mammary dysplasia. Med 1M six pilules, single dose.
16/02/83 Minor improvement in breasts. Again severe influenza, treated homoeopathically.
23/02/83 Recovered from influenza. Pulsatilla 5c four pilules bd for five days.
28/02/83 Tuberculinum-koch 1M, six pilules, -1 dose.
28/08/83 Fibrous mammary dysplasia almost disappeared.
04/12/83 No further improvement in breasts. Med 10M, six pilules, single dose.
28/08/84 Both breasts with no palpable dysplasia.
01/09/94 Both breasts still clear. Has had one or two colds or attacks of influenza.

Discussion: This was a tuberculinic-sycotic patient. Treatment started with Med to deal with the sycotic disorder, giving a single dose of 1M. Conium-maculatum and Calcarea-carbonica appeared to get a good response given daily in the 30c for some months until no further improvement. Med 1M was repeated, but to little effect. The frequent colds and influenza necessitated stopping the sycotic treatment and give Tuberculinum. Colds and influenza now only once or twice a year. Sycotic treatment recommenced by giving Med in 10M, which concluded the treatment. The patient is in perfect healthy today, ten years later.
Source: British Homoeo Journal 1996 vol 85

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