Case Study

A young lady, daughter of a deceased homœopathic physician, discovered pediculi capitis three weeks ago, with itching of the head, which became sore, probably from scratching. Now there are scabs on lower occiput, gradually extending up the head ; they discharge a yellow glutinous, very offensive fluid, causing hairs to adhere. Cervical glands swollen and tender to touch, on and off, for three weeks. Pale and weak. Has taken Sulph. 6 and Acon. 6, which only improved for a time.

Scabs on head moist Anath., Graph., (Lyc.), (Psor.), Rhus., Ruta (Sars.), Staph. (Sul.).
Scabs on head fetid. Graph. (Lyc.), (Merc.), Nat. mur. Rhus. (Silic.), (Sulph.).
Hair entangled. Borax, Fluor. ac., Graph., Mez., Nat. m., Psor. (Sars.), Vinca.
Pediculi capitis. (Lach.). Magnet., Maz., Oleand., Sabad., Staph., Vinca.
Glutinous fluid forming scabs, Graph. Thus Graph. proved to be the Similimum, and a dose was given three times a day.

May 6th. Scabs increased, and have reached the vertex, but feels much stronger. Glands not now tender. Boil on nates discharges much. Continue Graphites.

May 10th. Much better since 7th ; no discharge for two days, no offensive smell, and hair does not adhere. Continue Graph. twice a day.

May 19th. Scabs dry. Hairs adhere very little. Itching in head. Pediculi have continued all along. Boils much better. Continue Graph.

May 23rd. Felt better generally for three days. Less itching. No discharge except from scratching. Only one pediculi found today. Only one large boil on thigh. Continue Graph.

July 8th. Continued medicine until about three weeks ago, and has been steadily improving. Only occasionally a pediculi discovered. No scales for three weeks ; only a little scurfy. Hair does not fall off, and has not had to have it cut off. Feels better than she did before the eruption. No more medicine.

Aug. 28th. Reports perfectly well.

Nov. 18th. Remained well till about six weeks ago, when she had a slight return, for which she took a trituration of Graph. on her own account, with success.

Feb next year. No return of symptoms. She considers that her general health has been better than before the eruption.

(1) This case bears upon the repetition of the dose. The patient was suffering from depressing external conditions ; these often thwart the curative action of the remedy, which then requires to be continued a longer time.
(2) After the eruption was healed the patient felt better than before. The psoric miasm is often focussed, as it were into an acute attack, and if this is treated by the appropriate antipsoric the health is permanently improved.
(3) After the Graph. was commenced, the patient felt much stronger, though the scabs were increasing. This was a sign of true improvement (see Organon, section 253) ; the increase of the eruption resulting from the endeavor of the vis medicatrix naturæ, aided by the remedy, to drive the miasm to the surface.
(4) As far as I am aware, the development of pediculi capitis has not been recorded under Graph. I am now successfully treating by correspondence, with a still higher potency of Graph., an awful case of the same disease, the characteristic indications being, as in the above case, scabs moist ; discharging offensive fluid, causing hairs to adhere, with pediculi. (Berridge.)





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