Nineteen month infant

Initial trust building processHe is usually shyLearning new wordsLoves putting his hand in the fish bowlHe is an easy going kid 5:25Mostly a happy kidDoes not scream, just whines a bit

Expressions of happinessPlays games with meCrawls and expects me crawl and catch himHundreds of kisses, drools and we wrestleDoes not like being smooched on the lipsVery easy goingVery careful getting off from his cycle

More on personalityDay care attendants say he is not a physical

boyHe loves playing in the water during bath9:54 So water figures a lot-hand in the fish

bowl, bath time…?Yes. But he does not like his hair to be

washed or cut

Say moreHe plays with his hair a lot(HG) energy highIn what way?Its comforting for him. He plays with the top

of his hair a lotSay more about thisHe plays with my hair too. There is a woman

at the day care with curly hair. He does not know what to do with it!

I do that a lot with my hair too

Smooth, silky feelHe likes the smooth, silky feelWhenever I get him back from the day care

he holds my hand with his free handApart from hair, is there anything else of the

same kind of texture that he likes to feel?The cat, stuffed toys and finger puppets

Mother’s habitI have also found touching my hair very

comfortingWhen do you do this?When I am tired. Ever since I was a kid. What is the sensation when you do that?

15:57Smooth and soft. Like it when it is wet and

cold to touch, like now-Demo

More on sensationIts like putting your hand in a shallow stream

with moss in it, as the water passes through the fingers

Feeling the moss or the water?Feeling the moss and the water as the moss

does not pass through your fingers

Moss sensationSoft, slimy and coldSay more on soft, slimy and coldLike an ice cube but not that harsh(Here is a block. Right time for a doodle)Can you do a doodle while you experience

this sensation?

Doodle 1-Plant under waterTalk about thisIt is a plant that is underwaterSoft, like when it flows back and forth(HG)

and high energy20:36 Glimpse of doodleDo the action of back and forth

Demo of back and forthTalk of this gesture and sensationIt is a plant in a stream of water. It is rooted

but the water makes it go back and forth21:32 How strong is it rooted?Not incredibly strong. But strong enough that

the water cannot pull it.But if you pulled at it, it would come out

easily. That kind of a root system

Root systemSay more about its root systemIt is anchored in something that is soft. Like a clay bed or the bottom of a river bed.Sort of bushyI imagine something like clay where it can

have roots that are deep enough(HG)

Relationship with childWe are well connectedIts like after 2 guesses, I know why he is

upsetThere is an ebb and a flow(HG)His needs and my response to itSay more on ebb and flow and this HGIt is like a conversation without wordsLike our souls talking to each other

Ebb and flow probe and doodleVisualize ebb and flow and say more 27:13Can you do a doodle again while experiencing

this sensationDoodle 2Its like when you sit on a rocking chairA sideways rocking chair(HG)As I am doing it, I feel like I am moving

sideways

Sensation exploredIt is comforting, relaxing and reminds me of

sleepingIn what way?It’s a nice way to go to sleepLike lying on a hammockIt is warm and comfortingWarm in your core

Say moreIt radiates from the coreOut, like the sunLike when you put paint inside a glass of

water and the way it disperses(HG)30:15 Did you feel the same sensation of

being well connected even when he was in the womb?

No. Exactly the opposite

Talk on the opposite(The opposite are 2 sides of the same coin.

While probing that, the inner sensation is derived more easily)

My husband left me when I was 5 months pregnant

There was a total disconnectI did not want to be in my own skin anymoreEven when he was born, I did not look at himHe was going to complicate my life

Trapped31:54 You feel kind of trapped(HG) with

maximum energyTalk about that sensationLike you are just suffocatingTalk about trapped and suffocatedIts like you are underneath water and you

cant get to the topA sensation of everything being close and

tightThere was a total disconnect from my child.

That is how I felt then. Now I like him a lot

Strait jacketLike as if you are stuck in a

small, confined space(When the words ‘as if’ are used

to describe a sensation, one is very close to the vital sensation)

(I often use it as a form of a question if there is difficulty on part of the patient in elaborating their inner sensation)

(It is good to be familiarized with Robert’s- Sensation As If and keep it handy for reference)

Stuck, confined and suffocatedLike being in a pipeLike having a strait jacket onYour arms are like this(HG)You cant move themYour rib cage cant expandYou cant take a good breathTaking little breaths to survive

Black cloudCan you say how you felt when your husband

left you?I was desperately upset(The miasm is getting confirmed as the

remedy should be close to one that feels desperate)

But 2 wks before I had him, there was a tremendous, paralyzing fear

It was like a black cloud that follows you everywhere

Black cloud exploredIt was dark and coldIts like you have dug a really black hole in

your backyardIt is cold down thereIt was a feeling of heavinessThere was a trapped and suffocated sensationYet I just did not want to get out of it

No energyI was so lowI did not have the energy to even try to get

outEarlier I wanted to get outAt this point I had no more energy left(Here the Tubercular miasm is getting

confirmed)The desperation indicated a miasm close to

the Cancer miasm earlier

Paralyzing fearI recall not being able to function wellI was weeping but could not thinkI would lie to people as I did not want to go

out or meet anyoneI wanted to be alone by myselfI felt desperateI had imagined how my life would be with a

partner and I did not have that now

50:12 Chief complaintOne needs to be flexible with the chief

complaint especially in childrenOnce the vital sensation and link if any is

established, the chief complaint is understood better

However, if the emphasis of the case is on the chief complaint from the beginning, it is always better to probe that fully and then proceed to confirm the other levels

Ear infectionsWith each cold that he gets, it goes into his

ears and there is high fever and he is painHe does not scream with pain but gets

irritableHe has to be held then and caressedThere is a green nasal discharge and he loses

his appetiteHis cough wakes him upHe has had 6 antibiotics in the past 6 months

More on childHe does not like his upper arms to be

touched58:00 Incident of someone holding him by the

arms and picking himHe howled when that was doneHe is very sensitive to his environmentHe senses it when his father comes homeHe stops and stares if he hears a baby crying

or people fighting

Confirmation at all levelsHave you had problems with your periods?No. Except that they came when I was 15Any muscle or joint related issues?No. In fact I play a lot of sport so my physical

fitness is very goodAny other illness for you that involves pain?I have IBS since many years

IBS and childhoodIt is anxiety and anticipation relatedAnxiety of not reaching the bathroom in timeSo travelling becomes difficultBeing in a car for long was a problemI would anticipate troubleI was a happy childWell organized and perfect

Plant sensitivityI was always nice to peopleNow I am more selective as I don’t have the

energy I am sensitive 1:14:48Poem- harpoon striking the whaleI started to cry while relating this poemIt was very embarrassing

Pain and IBSThere is a lot of painIt is like an intestinal knottingLike a rope with a bunch of knots in itIt gets tighter and it releasesLike an old rope that prickles in a painful wayLike poking your hand in a porcupineIt is a sharp pain that causes me to double

over

Understanding of the case

Ranunculaceae and TubercularThe plant sensitivity has been establishedThe sharp pains take you to the

Ranunculaceae familyThe opposite of sharp is also seen in the form

of soft and silky(hair) earlierThe trapped and suffocated confirms the

Tubercular miasm

Link in mother and childThe confirmation and link between the

mother and child is seen in the child in the form of love for water, feel of soft things

Also the aversion to being held by the arms in the child and the strait jacket experience in the mother

Their acutely sensitive natures

Cimicifuga The feeling of being encaged and bound

tightly emerges in this remedyThe green nasal discharges once again

confirms the Tubercular miasm to which the remedy belongs

The love for outdoor and sport along with the suffocation in the mother

The need to wander about in the child once he feels comfortable

His own sensitivity to the suffering of others

Working of case and themes

Themes Soft hair is comforting(entry point)Moss in water sensationDescription of a plant in water- (Actea

racemosa is often found in wet, marshy and forest land)

Strong connectionEbb and flowConversation without words2 souls talking to each other

Plant SensitivityAcute sensitivity of a plantPlant that has strong rootsBut would come up if pulled Anchored into a river bedEbb and flowConnect and disconnect

Plant family?Could be MalvalesConnect and disconnectBut further probing leads to trappedSuffocation due to feeling trappedStrait jacket

Euphorbiaceae?The sensation here is tied as if hide bound

It also brings inflexibility, adherent quality

and unyielding nature- like a dried up tight

mask

Our patient is highly sensitive to his external

environment.

He senses it when his father comes home and

becomes very quiet

Sensitivity of the mother• ‘I was always nice to peopleNow I am more selective as I don’t have the

energy’She is giving examples of crying while reading a

poem of a harpoon striking the whale, where the harpoon is again a sharp metal weapon like a spear with a pointed tip piercing the whale

Sharp and its opposite softRegarding her IBS, though she is talks of

a rope, she says it prickles in a painful way, as if you are poking your hand in a porcupine, again which has pointed thorns

The opposite in the form of softness is also very prominent

So this again confirms the sharp pains of Ranunculaceae

Strait jacket expandedArms are stuckRib cage cannot expandLittle breaths to surviveTrapped and suffocatedInability to moveLike stuck in a pipe or a confined space

Black cloud depression This depression is so great that everything in

Actea looks covered with a death - like pall

She feels as if a heavy black cloud has settled over her and enveloped her head, so that all were darkness and confusion.

Some references from Materia MedicaAs may be easily imagined this patient is sad

and morose. There is a great abundance of sighing as in Ignatia. Mental depressions sometimes take the form of suicidal mania. She is constantly afraid of becoming crazy and we notice that she has to exert great control to prevent her from committing suicide.

Rubrics and referencesDelusions, imaginations: clouds: enveloped

her, heavy black.Delusions, imaginations: wires, is caught in. Sharp, lancinating pains in various parts Courage to confront rather than retreat from

abusive or threatening situationsBeing caught in relationships or lifestyle

which are abusive, addictive, violent; dark, brooding emotions

Ranunculaceae This understanding takes us to the

Ranunculaceae familyThe acute sensitivity with pains that are

sharp and lancinating are very suggestive It is as if their nerves are hypersensitiveThemes of insult and being humiliated

Tubercular miasmSuffocationOppression Desire freedomOutdoor and sportsEar infections with dischargesRunning out of timeA very useful drug for more or less superficial

conditions - though it has also a reputation in phthisis.

Ranunculaceae+Tubercular

Oppressed and suffocated in a place that is insulting and humiliating and needs to get out from there is the main essence of the case

Black snake root. Black Cohosh. (Canada, Georgia, Western

States of America.) N. O. Ranunculaceae. Tincture of the root.

The emphasis in the case was a plant with strong roots

The snake root as mentioned above, is prepared from the root of the plant

Habitat and History This plant grows in rich, open woods, and

along the edges of fields, but especially noticeable on newly cleared hill-sides.

Black cohosh was a favourite remedy among all tribes of the aborigines, being largely used by them in rheumatism, disorders of menstruation, and slow parturition.

It was also used as a remedy against the bites of venomous snakes

Vital sensationThe overpowering gloom, suspicion, suicidal

tendencies, illusions of animals are the chief guides.

Act. r. has "sees rats and mice." "Rats" may serve to connect the mental symptoms with another symptom which has been called the "rat" symptom of Act. r. - "Gnawing at the epigastrium as from rats

Co-relation of state: Mother & ChildSmooth and silky feelWaterSensitivityWandering and outdoorPainful conditionsNeed for space

Plan Cimicifuga 200 one dose a month for 4

monthsStop dose if significant improvement seenAs per energy level the potency could be

higher but my experience and the fact that it is long distance management, a 200 C can show significant results without the least chance of a aggravation especially if repeated once a month in a pathology case.

Also, a higher potency can always be given later according to the response to the 200

E-mail FUWithin 1 ½ month of treatment and 2 doses

of 200 C the child got an acute upper respiratory infection.

I had instructed them to contact me which the supervisors did.

The mother informed the supervisor that this time the attack was much milder than the previous ones.

It was decided to wait for 48 hrs.

One option was to give the 200 in water and repeat frequently.

This was not done and we decided to wait as the acute was not that bad.

This indicated that the previous dose action was continuing and a dose at this time would interfere with its action.

Our judgment was correct as the child settled in 2 days time.

Since then the child continues to be well.He has had no ear infections or high fever.After 4 doses he has been on no medication.But he continues to be under close

observation.The chances are that he will need higher

potencies at some stage.But that stage has not been indicated as yet.

This case again shows the relevance of the parents state and its co-relation with the child.

There are cases where the child may need the remedy of the father too.

There are cases where the child may need a separate remedy.

There may be state that the child may have transmitted to the mother and that in turn was reflected as a temporary state seen in the mother during pregnancy.

Vital sensation and energy levelThis case also highlights how one can reach the

vital sensation with the aid of energy level prescribing.

In this case the energy level was used right in the beginning.

But this was confirmed as a vital sensation at later stages of the case.

Each level was explored enough as a sure confirmation.

The important thing is to be flexible and relaxed, yet alert.

What we learn from the caseThe concept of a test doseThe relevance of doodles as a by-passThe need to confirm all levelsThe importance of the second prescriptionThe use of aqueous method in times of acute

when doses need to be repeated The need to be patient in an acuteThe role of lower potencies even when higher

potencies are indicated

The sourceThemes of root of a plant rather than a tree-

more easily uprooted The need to be more adaptive is once again a

plant theme as against a treeA plant that is often found in forest land and

also submerged in streams Pharmacology co-relation -A plant source

prepared from the root ( high energy while talking about the root of a plant)