A CASE OF PYREXIA OF UNKNOWN ORIGIN

Organon – Access to Success

A female child 4½ yrs old came to me with her parents on 10-07-16. There was no problem till she was two years old.

She is suffering from cough on & off but no medicines have been given so far till now. This is mostly seen at the time of change of weather.

She has some problem regarding speech. This started mostly at the same time with this fever problem. She is repeating some words like if she wants to speak “mummy” then she will do mmmm…mmmm…mummy. (+3). There is no specific word or time with which she has a problem. Some words she repeats up to 10 – 12 times…

She has a fever since last 10 months. It is coming every month between 11th – 15th date of every month (+3). Fever intensity is very severe. The body becomes so hot that we even cannot touch the body. We have observed that she might be playing well till the evening and as soon as night starts – her body starts getting heated up.

Fever till now, we have observed that it is coming in the nights (+3). We must do cold water massage on the body for the whole night & we use to give double dose of paracetamol syrup but still that fever does not go at all. Fever is crossing almost 104  F. Fever becomes absolutely normal in the day whether we give the medicine in the night or not! We are really having troublesome time with our child between 11th – 15th of every month.

We have gone to three pediatric physicians and we have undergone almost all the relevant investigations including bone marrow biopsy, which is the highest level investigation and the diagnosis is still obscured!! All pediatric physicians are saying that your child is suffering from “Pyrexia of Unknown Origin (P.U.O.)” we have spent minimum 2,00,000 Rs. for our child but still we have not been able to get her out of this problem.

Whitish discoloration on face (+2). These discolorations are more on cheeks. It was there in the It was almost cleared with Anti-wormic treatment but Now it is coming back again.

She is also suffering from constipation. She has a hard stool (+3). She has to strain a lot.

She had some diarrhea at the time of dentition. At that time – we had given her Homeopathic treatment along with Calcium & Vitamin as a supplementation.

She is by nature a very stubborn child (+2). She always does as per her wish.

She has strong Temper Tantrums (+3).

Whatever, we do to convince her – she won’t be doing. If you don’t do as per her wish then she will go in the corner and cries constantly as long as she won’t do as per her wish.

She desires to travel very much. If you take her for traveling – then she will forget everything.. even she won’t demand to eat, drink, parents etc.

When she goes to the bathroom – she will take min. 30 minutes for her bath as she washes herself with soap so long that we sometime get offended upon her. She is regularly taking this much time.

She knows everything where which things have been kept. Sometimes she tells us that Daddy…. you have put this thing here. She does her work on her own. Sometimes – she helps me in my work like sweeping the room, cleaning the utensils etc… Sometimes we even don’t know a thing where we have kept it but she knows and tell that mummy it is been put there. She finds the cloths on her own what she wants to wear. She can match her cloths well. Even the ring for her hair she matches as per her cloths, own her own. She has a very high grasping power.

She wants to speak constantly.

She is very cute child as she very mischievous at home and she is quiet outside. She doesn’t love toys much. She can speak from 1 to 40, A to Z & Jan to Dec. even though she is just 4½ years old.

She is very curious for her studies; she says to her parents that I need to study. She does all her home work perfectly well.

She is very Sympathetic (+3) Child, Wants to heap everyone.

She has no problem regarding food. She eats everything. She has no like/ no dislike for any food. She likes milk (+2) but it is depending upon her mood…. If she has taken it at 8 o’ clock then she may demand for it at 10 o’ clock. She does not take much but she takes it regularly.

APPETITE: – Good.

She cannot tolerate hunger, if she is hungry then she won’t be able to wait for half an hour! When she was two years old – she was regularly waking up in the night and wanted to eat In night – she can go to the kitchen and eat on her own alone!! She has no fear what so ever.

THIRST:Very much. (+3)

STOOL: – Constipated. has to strain a lot.

DESIRE/AVERSION: – D: Milk (+2)

                              D: Ice cream (+2)

                              A: Not Specific.

HOT/CHILLY: – Hot (+3).

PERSPIRATION: – Very much.

                    Perspiration on neck and sholders during sleep (+2).

                    Talking during sleep (+2).

SLEEP: – Good.

                Teeth Grinding During Sleep (+3)

    Position: Abdomen.

VACCINATION: – Done. No after effects.

GENERAL EXAMINATION:

Nutrition: – Good.

Nails: – NAD.

Tongue: – White coated.

Mouth: – NAD.

SYSTEMIC EXAMINATION: –

RS: – NAD

CVS: – NAD

P/A: – NAD

CNS: – Clinically Normal.

BIRTH HISTORY: – Not Specific

NOTE: – I had observed that child was very silent during the whole process of case taking, her mother has given maximum information about her.

REPERTORIZATION:

INTERPRETATION:

Dr. Hahnemann, in his Organon of Medicine:

  • Respecting Nosological Classification to Dr. Hahnemann’s Classification of Diseases – This case goes in the Intermittent Fever category
  • Intermittent Fever Aphorism No. 242 says that,

We have now to do with a Psoric intermittent fever only, and this will generally be subdued by a minute and rarely repeated doses of Sulphur or Hepar Sulphuris in a high potency.”

PRESCRIPTION:

As there was no clear remedy found & with reference to Dr. Hahnemann’s Organon of Medicine:

  • Sulphur 200 One Dose
  • SL ODS for one week

FOLLOW UP – 1 –

  • Date: 16 – 7 – 16
  • Fever Low grade.
  • Feel better.

Comment: Remedy has acted as the child did not develop fever which use to come between 10th – 15th of every month.

  • Treatment: – S.L. BDS for a week.

FOLLOW UP – 2 –

  • Date: 21 – 7 – 16
  • No major complaint.
  • Cough +. Not that much.

Comment: Good Sign!

  • Treatment: – S.L. BDS for a week

FOLLOW UP – 3 –

  • Date: 29 – 7 – 16
  • No major complaint.
  • No cough. It got subsided on its own.

Comment: ? Sign of elimination of Toxins.

Four methods of elimination of toxins from the body: –

PERSPIRATION, URINATION, DEFECATION & RESPIRATION.

  • Treatment: – S.L. BDS for a week.

FOLLOW UP – 4: –

  • Date: 6 – 8 – 16
  • No major Complaints.
  • No Cough.
  • Treatment: – S. L. BDS for a week.

FOLLOW UP – 5: –

  • Date: 11 – 8 – 16
  • No fever.
  • N Major Complaints.
  • Treatment: – S.L. BDS for a week.

FOLLOW UP – 6: –

  • Date: 19 – 8 – 16
  • No fever.
  • No Major Complaints.
  • Treatment: – S.L. BDS for a 2 weeks.

FOLLOW UP – 7: –

  • Date: 1 – 9 – 16
  • No fever.
  • No Major Complaints.
  • Treatment: – S.L. BDS for a 2 weeks.

FOLLOW UP – 8: –

  • Date: 19 – 9 – 16
  • No fever.
  • No Major Complaints.
  • Treatment: – S.L. BDS for a 2 weeks.

Now, as there was no fever since the start of the medication – it is a clear sign that the medicine has acted and it has almost cleared the problem. Now the child is been advised to be observed for a 2 month.

FOLLOW UP – 9: –

  • Date: 4 – 11 – 16
  • No fever.
  • No Major Complaints.
  • Treatment: – No medicine given.

FOLLOW UP – 10: –

  • Date:  21- 11 -16.
  • No fever.
  • No Major Complaints.
  • Treatment: – No medicine given.

ADVISE:

  • The child is been advised to leave the treatment as she is been declared cured from the Pyrexia of Unknown Origin (P.U.O.). She is been advised to consult the same pediatrician who has diagnosed her. Now, the same pediatrician has said that the child is been cured!!

COMMENT & MISTAKE:

  • This is a classical case of Intermittent Fever. This case is been treated with a single medicine.. But according to Organon of Medicine ….
  • The indicated remedy should be given in the decline phase or during a febrile sate, but due to mistake – I gave it at the beginning of an intermittent fever. However, luckily – it didn’t acted on the opposite way (Aggravation) but it has cut short the time, intensity as well as suffering of the patient.
  • We don’t treat disease; we treat patient of the disease.
  • Modern Medicine diagnose them with the name of the disease while Homeopathy diagnose them with the name of the remedy.
  • Symptoms are the outward reflection of the internal derangements; thus we are not supposed to treat outward reflection but we are supposed to treat internal derangement. Symptoms are the epileptic feet of an organism seeking attention for the help.
  • Symptoms appear on the different parts of the body are scientifically interconnected.
  • Taking a case from top to bottom, as a whole will be helpful for the final selection of the medicine.
  • With this WHOLISTIC & HOLISTIC Approach – Patient may suffer from 1 Disease or 10 Diseases but Everything will go with one remedy. This was been said by Dr. Hahnemann 250 years ago and today it is still hold true!!

• 242nd Aphorism from Dr. Hahnemann’s Organon of Medicine ultimately helped me and cleared my case.

ABOUT AUTHOR

Dr. Krutik Shah,
M.D. (Hom.), PG. IACH (Greece)

Chief Consultant Homeopath & Medical Director

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