Homoeopathic Management of Pneumonia In a Child of Two Years

Dr. Rakesh Gupta presents a case of pneumonia in a child of 2. Edema of the lower lids, craving sour things, ailments from cold drinks when heated, lacrimation during fever and aggravation at night led to the simillimum.

Abstract:  Paediatric age group patients are more prone to recurrent respiratory infections and specifically pneumonia. Managing the paediatric patient with pneumonia presents some challenges. These begin right from case taking and include monitoring and selection of the remedy. Eliciting the history in a child can be difficult. It is important to consider the symptoms reported by the child’s relatives. Clinical signs are another important basis for remedy prescription and differentiation. The time it takes to relieve the symptoms is very important when managing a child with high grade fever. That is because there is always a risk of febrile convulsions.

Key words: Consolidation, Aphorism 73, Crisis, Borland’s Pneumonia, Febrile convulsion, cure, Discharges.

Master A.S                     AGE: 2 years

Date- 10-5-14

Chief complaint:

The child was bought to the hospital with high grade fever (temp 103 – 104 F), cough and coryza for the last 8 days. All the complaints started after the child was taken out in sun for shopping and was given ice cream. Fever with heat sensation, headache and leg pains ensued. The child told his mother to press his legs. Fever generally got aggravated at night time3+.

The child’s thirst has increased and he demanded 1/2 glass of water frequently. Appetite has decreased. He developed craving for sour things especially pickles 3+.

He was very dull and cranky; crying when spoken to. Lacrimation3+ fever during. Swelling under the lower eyelids3+.

The child was on allopathic medicines (antipyretics and antibiotics) since a week ago with short lasting relief.

Examination findings

Appearance of the child: Eyes congested and lacrimation, dull and crankiness, Edema under the lower eye lid.

Temp: 103F,                        Pulse: 110/min,                                   RR 26/ min

RS clear:  CVS Tachycardia

P/A soft, Non tender

X RAY CHEST PA VIEW

 

 

 

 

 

 

 

 

 

 

 

 

 

Right Para cardiac consolidation                                Increased Broncho-vascular

Markings

High white blood cell counts indicates infection in the blood.

Diagnosis

Right sided Consolidation (Pneumonia).

Homoeopathic Classification of the disease.

Acute individual disease with fully developed symptoms.

[APHORISM 73]

Patient Management:

  • Child was admitted in the Hospital to control the infection and fever.

It is crucial to control the temperature since child is 2 years old

and can get convulsions due to high grade fever.

  • Temperature Monitoring
  • Homoeopathic medicine was started.

Totality of  Symptoms:

  1. A/F cold drinks heated when;
  2. Thirst heat during
  3. Dull fever during
  4. Lacrimation fever during
  5. Craving Sour things.
  6. Fever < night
  7. Swelling under the lower eye lids
  8. Headache fever during
  9. Extremities pain during.

REPORTORISATION (Using the radar software)

REMEDY DIFFERENTIATION:

Based on causation of food and cold drinks and agg heated when, three remedies emerge for differentiation:  Rhus tox, Bryonia, Kali carb.

Clinical observation of swelling under the lower lid, craving for sour food and the cause of the disease are covered by Kali carb.

Kali carb was selected as the remedy.

HOMOEOPATHIC MEDICINE:

Kali Carb 200 frequently.

Follow Up:

Date/TimeGeneralsParticularsTemperatureTreatment
10-5-14

5pm

103FKali Carb 200 iP
7:30pmDullness & Crankiness little better.

App improving

Cough and lacrimation

Little improvement

103FKali carb 200 iP every one hr
9.30pm102.8FKali carb 200

Ip every one hr

10:45pmDullness crankiness

Appetite improved

Lachrymation

Better.

Cough better.

swelling under the eye decreased.

Headache better.

Extremity Pain better.

101.6FKali carb 200

Ip every hour

11-5-14

12:00am

BetterBetter100.6FKali carb 200 every one hour
2:00amBetterBetter100FKali carb 200 ip now every 2 hrs
4:00amBetterBetter99.4FKali carb 200

Ip

NOTE:

Childs fever went down within 10 hours of onset of the treatment after admission. No anti-fever or antibiotic medicines were used in this particular case.

6:00amBetterBetter99.4FKali carb 200 1p
8 amBetterBetter99.4FKali carb 200 1p
10amBetterBetter99.4FKali carb 200 1p
12.00pmBetterBetter99.4FKali carb 200 1P
2.00pmPassed three semi solid greenish scanty stoolsBetter99FObserve

SL 200 4 pills 4 hourly

Temperature has gradually reached the normal base line. Passage of stool without any distress is indicative of homoeopathic cure. Further repetition of the homoeopathic medicine was stopped.
3:00pmbetterBetter99FSL 200 4 pills 4 hourly
4:00pmBetterBetter99FSL 200 4 pills 4 hourly
6.00pmbetterBetter99FSL 200 4 pills 4 hourly
9:00BetterBetter99FSL 200 4 pills 4 hourly
10pmBetterBetter99FSL 200 4 pills 4 hourly
12-5-14

2am

betterBetter99FSL 200 4 pills 4 hourly
6amBetterBetter99.8FSL 200 4 pills 4 hourly
9amBetterBetter99FSL 200 4 pills 4 hourly
11amBetter. Since 6am.

mild increase in the fever.

Mild cough

 

99.2FRepeat

Kali Carb 200 single dose

1 pmBetterBetterAfebrileSL 200 4 pills 4 hourly
Child was completely normal; No fever. Appetite improved; Cough was better but occasional paroxysm.

Investigation was sent to look for 12/5/14 – WBC – 11,100.

No Fever and reduction of white blood cells compared to earlier state indicates control of infection and resolution of pneumonia.

 STRATEGY OF TREATMENT

In this particular case Borland’s strategy of pneumonia management was adopted:

Using a high potency with frequent repetition of the homoeopathic medicine in order to bring about early resolution of the pneumonic patch. This method is known as “Crisis”

(Reference from Borland’s Pneumonia)

Child was discharged on 12-5-14 at  3pm; after patient was completely asymptomatic.

Treatment on discharge

Iron rich diet, completely stop breast feeding

Kali carb 200 to be repeated after child has complaints of coughing.

Child was asked to come for follow up after 1 week or if there is any distress.

Patient was better in the follow up after 1 week; 15/5/14 –  WBC – 9000.

Follow ups

Follow ups

Conclusion

  • This case demonstrates the efficacy of homoeopathic medicines in Paediatric diseases.
  • This case also focuses on the role of homoeopathic hospital admissions for their therapeutic role in paediatric diseases.
  • It also demonstrates homoeopathic management of pneumonia which fails to respond to allopathic treatment and application of Borland’s concept of pneumonia treatment.
  • Facilitation of any form of discharges is very important for understanding the curative action of the remedy.

About the author

Rakesh Gupta

Rakesh Gupta

Dr Rakesh Gupta MD (HOM) BHMS (SMT CMPH Medical College) practices in Mumbai . He had nine years clinical experience in OPD and IPD in a hospital and was a homoeopathic consultant at Satva Homoeopathic Clinic and Masjid Bunder Clinic. He was also junior homoeopathic consultant in the Department of Medicine, Casualty, ICU and Ophthalmology at the M.L.Dhawale Memorial Trust Hospital. From 2004 to the present he has given numerous case presentations. He is currrently Head Of Department Forensic Medicine and Toxicology, Smt C.M.P.H. Medical college, Vile Parle (West), Mumbai & Honorary Homoeopathic Consultant Shree Mumbadevi Homoeopathic Hospital, Vile Parle (West), Mumbai.

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