Clinical Cases By Samuel Swann. M.D.

This article on clinical cases was published originally in "The Hahnemannian Monthly   Vol  6, September 1870." Repertorization part is prepared to understand the case by modern tools.This article is presented by Dr Ravinder S. Mann.

Clinical Cases

By Samuel Swann. M.D.

Acidum Lactis in Morning Sickness during Pregnancy

Mrs.H., a healthy brunette, two months pregnant with her first child, had nausea and vomiting in the morning on rising and after eating, with water-brash so profuse as to require the constant use of a spittoon, while at night her pillow was saturated with saliva. Gave one dose Acid Lac. 1 M and in less than an hour the water-brash had ceased, and she had no return of that or the nausea.

In this, as in several cases where the morning sickness had been cured with Acid Lac., I did not again see the patient till confinement, there being apparently entire exemption from the usual derangements attendant on pregnancy.

I use the 1 M potency, because one dose at night is sufficient, while with the 15th, 30th and 200th, I have sometimes been obliged to repeat the dose.

Repertorization:

MOUTH - SALIVATION - sleep, during

MOUTH - SALIVATION – profuse

STOMACH - VOMITING - pregnancy, during

STOMACH - NAUSEA - pregnancy - during

STOMACH - NAUSEA - morning - rising - agg.

STOMACH - NAUSEA - eating - after

STOMACH - VOMITING - morning

STOMACH - VOMITING - eating - after

STOMACH - ERUCTATIONS; TYPE OF - water brash - pregnancy, during

On repertorization  Lactic Acid come prominently with Natrum Mur, Lyco, Nux Vomica, Sepia, Phos, Sil  as indicated remedy. In small Rubrics + Small Remedies group it comes on 1^st rank.

                              

Cerebral Irritation- Apis Mel.

A male infant, seven months old, with the large head and large prominent hazel eyes. Symptoms: single, sharp, shrill scream, both while sleeping and waking; at the same time raising the hand to head back of the ears; bores the head in the pillow; breathes heavily and with difficulty, and gasping; vomits food as soon as taken, followed by retching; retention of urine twenty-four hours; small movement from the bowels, dark, and smelling brassy; high fever; full pulse; short sleep; eyelids half open, pupils turned up. Gave Apis 1 M, one dose dry on tongue. In one hour after, he urinated profusely; urine of a dark color and strong, ruinous odor. Six hours after, had a profuse evacuation, olive green, slimy, and full of bright red lumps, like chopped beet, with colic and tenesmus. The next day he was well and continued so. The mother states, that after taking the remedy he did not scream and the breathing became easier very soon.

Repertorization:

MIND - SHRIEKING - sleep, during

MIND - SHRIEKING - waking - on

HEAD - BORES head in pillow

STOMACH - VOMITING - eating - after

STOMACH - RETCHING - vomiting - after

RESPIRATION - DIFFICULT

RESPIRATION - GASPING

BLADDER - RETENTION of urine

STOOL – SCANTY

STOOL - ODOR - brassy

Combined Rubric

STOOL - DARK

STOOL - BLACK

FEVER - INTENSE heat

GENERALS - PULSE - full

SLEEP - SHORT

EYE - TURNED - upward

EYE - OPEN eyelids - half open

Out of 16 rubrics :  Apis 16/33, Ars 13/29, Arnica 13/25, Lyco 12/28, Bell 12/26, Cupr 12/24, Zincum 12/24