1 / 21

Casus Hahnemann

Casus Hahnemann. Pulsatilla Dec. 1815 W – e, a weak, pale Man, 42 years old, engaged mostly in sedentary work. W – e, a weak, pale man, 42 years old, engaged mostly in sedentary work, complained the 27. Dec. 1815: he is already sick for five days.

nasnan
Download Presentation

Casus Hahnemann

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Casus Hahnemann • Pulsatilla • Dec. 1815 • W – e, a weak, pale Man, 42 years old, engaged mostly in sedentary work

  2. W – e, a weak, pale man, 42 years old, engaged mostly in sedentary work, complained the 27. Dec. 1815: he is already sick for five days. 1) The first evening he was nauseated and dizzy with profuse eructations, without real cause,2) the next night (at two am.) sour vomiting,3) the following nights violent eructations,4) also today bad eructations, offensive and with sour taste,5) he feels as if all food lies in his stomach raw and undigested,6) he feels sensitive in his head, a hollow and empty feeling.7) he is very sensitive to even the slightest noise,8) he is of a mild, yielding, patient nature.

  3. Sympt. 3:"Vertigo, like that which occurs on turning round for a long time in a circle, combined with nausea" Sympt. 7:"Giddy staggering, as from intoxication, with internal heat of head and paleness of the normally warm face, especially in the evening." 1) The first evening he was nauseated and dizzy with profuse eructations, without real cause, Commentary Hahnemann (3, 7 are # for Sx in the proving, "Materia Medica Pura/MMP", vol. 2, 3th Ed., 1833, P. 273-342, total 1153 different Symptoms for Puls.): Ad 1. some remedies cause vertigo with nausea, such as Pulsatilla (3.), which remedy has vertigo mostly in the evening (7.), something observed in just a few other remedies. see Repertorization

  4. 2) the next night (at two am.) sour vomiting, see Repertorization Commentary Hahnemann Ad 2. Vomiting of sour and sour smelling mucus is produced by Stramonium (Stram.) and poison nut (Nux-v.), but, as far as we know, not at night. Valerian (Valer.) und Cocculus (Cocc.) produce nightly vomiting, but not sour. Only iron (Ferr.) has nightly vomiting (61.62.), and kann produce sour vomiting (66.), but does not cover the other relevant symptoms of the patient.Pulsatilla not only produces sour vomiting in the evening (349.354.) and nightly vomiting (355.), but also covers the symptoms not covered by iron. Sympt. 61 (Ferr.): The vomiting is before midnight, worst when she is lying, and especially when she lies on the side. Sympt. 62 (Ferr.): Vomiting of food, immediately after midnight, whereupon there follow dislike to food and repugnance to the open air(6 hours after remedy). Sympt. 349 (Puls.) After exercise in the open air, towards evening, nausea and vomiting of something salt or sour. Sympt. 355 (Puls.) Nocturnal vomiting with shooting drawing pain in the back towards the scapula

  5. 3) the following nights violent eructations Commentary Hahnemann Ad 3. Nightly eructations are a feature of Pulsatilla (296.297.). Sympt. 296:"Bitter eructations at night." Sympt. 297:"bilious eructations in the evening" see Repertorization

  6. 4) also today bad eructations, offensive and with sour taste, Commentary Hahnemann Ad 4. the offensive, fetid (259.) and sour eructations (301.302.) are also features of Pulsatilla. Sympt. 259:"After dinner eructation with the taste of putrid flesh, and this same taste remain afterwards in the mouth, with inclination to vomit" Sympt. 301:"After drinking coffee a sour fluid is eructate (belched) up into the mouth." Sympt. 302:" In the morning sour eructation." see Repertorization

  7. 5) he feels as if all food lies in his stomach raw and undigested Commentary Hahnemann Ad 5. The sensation as if food lies undigested in the stomach is only covered by a few remedies, and in none so complete and typical as in Pulsatilla (321.322.327.). Sympt. 321:"Sensation as if the stomach were deranged." Sympt. 322:"Symptoms of very much deranged stomach." Sympt. 327:"Sensation in the stomach as from eating too much; the food came up again into the mouth, as if it would be vomited." see Repertorization

  8. 6) he feels sensitive in his head, a hollow and empty feeling. Commentary Hahnemann Ad 6. Except for Ignatia (Ign.) (2.), which however does not produce the other symptoms, Pulsatilla produces also this symptom (39., compared with 42.94.98.). Sympt. 39:"Emptiness and hollowness in the head; his head felt like a lantern." Sympt. 42:"Dullness in the head; his thoughts leave him." Sympt. 94:"Dimness of vision, like a mist before the eyes, on rising from a seat and walking." Sympt. 98:"In the morning on rising from bed, it is very dark before his eyes." Sympt. 2 (Ign.):Feeling of hollowness and emptiness in the head. see Repertorization

  9. 7) he is very sensitive to even the slightest noise Commentary Hahnemann Ad 7. Pulsatilla produces the same (995.), like it also produces an oversensitivity of the other senses, f.e. vision (107.). And though the sensitivity to noise is also found in poison nut (Nux-v.), Ignatia (Ign.) and Aconite (Acon.), homeopathically they nevertheless do not readily apply to the other symptoms. Sympt. 995:"When he wakes up from sleep the sound of words seems to him to be too loud, and vibrates shrilly in his ears." Sympt. 107:"One eye or the other suffers shooting pain, almost without inflammation of the white, and he cannot look into the flame of a candle; he can only open the eyelids a little way." see Repertorization

  10. 8) he is of a mild, yielding, patient nature Commentary Hahnemann Ad 8. Referring to the mildness of mind: according to the community feedback about Pulsatilla, this is something that covers the remedy very well. In the introduction to the proving Hahnemann writes: "Hence the medicinal employment of pulsatilla will be all the more efficacious when, in affections for which this plant is suitable in respect to the corporeal symptoms, there is at the same time in the patient a timid, lachrymose disposition, with a tendency to inward grief and silent peevishness, or at all events a mild and yielding disposition, especially when the patient in his normal state of health was good tempered and mild (or even frivolous and good humoredly waggish). It is therefore especially adapted for slow, phlegmatic temperaments; on the other hand, it is but little suitable for persons who form their resolutions with rapidity, and are quick in their movements, even though they may appear to be good tempered." see Repertorization

  11. Commentary Hahnemann after giving Puls. The following day he was free of any complaints, his digestion in order, and so he remained, as I heard from after a week. Searching for the remedy for such a small case is readily done by some body with some experience who has the remedy picture mentalized, or knows how to easily find them. But to document such a case with all pro and contra arguments (Differential Diagnosis) (so easily done in practice by head), is, as one observes, quite a exhausting enterprise. Repertorization a la Hahnemann More generalized repertorization More specific repertorization

  12. Vertigo; NAUSEA; With (m, 184, 19-36) Vertigo; EVENING (t, 97, 5-18) Vertigo; ERUCTATIONS; During (m, 22) back to case text

  13. Stomach; VOMITING; General; sour Stomach; VOMITING; General; night back to case text

  14. Stomach; ERUCTATIONS; General; night back to case text

  15. Stomach; ERUCTATIONS; General; foul Stomach; ERUCTATIONS; General; sour back to case text

  16. Stomach; INDIGESTION (p, 303, 88-396) back to case text

  17. Head; EMPTINESS, hollow sensation (p, 128, 35-79) back to case text

  18. Mind; SENSITIVE, oversensitive; General; noise, to (p, 271, 40-221) back to case text

  19. Mind; MILDNESS (p, 99, 16-18) back to case text

  20. Further generalization of the rubrics

  21. Further specification of the rubrics

More Related