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Pulsatilla used for children :
clinical cases
Dr. Emmanuelle Carlier
Dr. Erna Hadjolian
Dr. Ingrid Theunissen
BELGIQUE
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- Pulsatilla in the “field”
- Pulsatilla in the literature
- Clinical cases : childhood of a Pulsatillaphenotype
- Clinical cases : chronic disease
- A little about Materia Medica
Plan
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Field = CEDH-trained doctors, Belgium, French-
speaking
(Field = Belgian French-speaking ‘unicist*’
homeopathic pediatricians)
(*single remedy prescriber)
Surveyed by e-mail
Pulsatilla « on the field »: homeopaths
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1- Year medical degree obtained
2- Duration of homeopathic practice :
• less than 5 years
• from 5 to 10 years
• over 10 years
3- Use of Pulsatilla in prescribing :
• One time out of 10 or more
• One time out of 20 (between 10 and 5%)
• Less than one time out of 20 (less than 5%)
Pulsatilla survey : questions
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4- The dilution the most often prescribed :
5- In your opinion :
• Pulsatilla is suited to complex situations
• Pulsatilla is reliable for specific
symptomatology
Pulsatilla survey : questions
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First e-mail campaign :
82 e-mails, 9 incorrect addresses
9 replies of which 2 void
Second e-mail campaign :
64 e-mails, 3 incorrect addresses, 1 retired
4 replies
Pulsatilla survey : results
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- Rate of response : 13/69 or 19%
11/69 valid replies (16%)
- (7/13 or 54%)
Pulsatilla survey : results
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Gender :
10 women/1 man (4/3)
Year medical degree obtained
1980s: 8/11 (1960s: 4/7)
(1995, 2001, 2004) (1974,1980,1986)
Duration of homeopathic practice
Less than 5 years: 5 (Over 10 years: 7/7)
5 to 10 years: 4; over 10 years: 2
Pulsatilla survey : results
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Frequency of prescribing :
Over 10%: 4/11 (0/7)
10% to 5%: 4/11 (1/7)
Less than 5%: 3/11 (6/7)
Dilutions :
9 CH: 4
15 CH: 9
(5 CH: 3; 30 K: 4; 200 K: 4; sliding scale unit-doses: 2)
Complex situations 10/11 (7/7)
Symptomatic 7/11 (6/7)
Pulsatilla survey : results
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- Disappointed by the low rate of response
- Pulsatilla often prescribed
- Generally in high dilutions
- Prescribed for complex situations
Pulsatilla survey : conclusion
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- Field = sales in Belgium
- Boiron figures
Pulsatilla « on the field » : patients
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- Tenth best-selling strain
- The most frequent dilution is 200K, followed
closely by 30K
Pulsatilla « on the field » : patients
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Between 1995 and 2015 :
5 in Cahiers de Biothérapie
3 in L’homéopathie Européenne
1 in Cahiers du groupement Hahnemannien
4 concern psychology
Pulsatilla in « confidential » literature
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Homeopathic ear drops as an adjunct to standard therapy in
children with acute otitis media
James A Taylor and Jennifer Jacobs
Homeopathy (2011)
Randomized study, 119 cases
Adjunction to the treatment of homeopathic drops containing
Pulsatilla (30 CH: dilution)
Attenuates symptomatology (pain)
Quicker recovery
Pulsatilla in the « official » literature
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Elio Rossi & al
Socio-demographic study on
213 children
Beneficial effect of
homeopathic treatment
Less worsening of asthma
Pulsatilla in the « official » literature
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Difficult to evaluate !
Specific studies of strains published in literature remain a
bit “confidential”
Pulsatilla is not among the keywords/abstracts of the
“official” literature
Pulsatilla in the literature : conclusions
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Clinical cases: childhood
of a Pulsatilla phenotype
Julie, born Oct. 9, 2002
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First year of life :
- Some cases of rhinitis
- A major ear infection
- Infant with little appetite
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September 2003
Having a hard time getting over the antibiotic treatment,
the ear infection is lingering, with rhinitis growing chronic.
Interruption of the growth curve.
Difficulties falling asleep, frequent awakening during the night.
Strawberry angioma and budding breasts.
Hyperactive and perky, determined.
Affectionate and easily worried.
R/ SILICEA 15 CH: once a week
AVIAIRE 15 CH: once a week
PULSATILLA 5 CH: 3 times a day
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January 2004
Clinical improvement, still some rhinitis and otorrhea at
times.
Sleeping somewhat better.
Very anxious, is afraid of strangers, dogs and noises;
is nonetheless very independent.
Still food/eating problems and scanty weight gain.
R/ SILICEA 15 CH
SEPIA 15 CH
PULSATILLA 5 CH and ARSENICUM ALBUM 9 CH
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October 2005
Is not eating right. Feels full immediately. Regular morning
vomiting. Often stomach ache.
She has started school; very shy.
At home she screams when things are not going her way, often
has nightmares, is very sweet to her brothers but tyrannical at
times.
Julie awakens screaming.
She is easily anguished.
R / LYCOPODIUM 15 CH
SILICEA 30 CH
PULSATILLA 9 CH
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December 2005
No longer sleeps. Always awakens screaming.
Always easily anguished; needs to be with someone at night.
Cannot fall asleep alone. Needs her mommy.
Still does not eat well and drinks very little, even when she has a
fever.
Catches cold often.
Several ear infections. With yellowish otorrhea, soft and liquid
flow.
R / PULSATILLA 15 CH
SILICEA 15 CH
KALIUM SULFURICUM 9 CH
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Afterwards, a few cases of rhinitis, still problems with
nightmares from time to time.
Also afraid of Santa Klaus, and of the tooth fairy…
October 2008
Vaccination
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November 2010
After going to summer scout camp, extensive problems with
sleeping.
Once again sleeps very poorly and cries a lot.
Then screams at night since afraid of ghosts.
R/ PULSATILLA 30 CH
STRAMONIUM 5 CH
December 2012
Mononucleosis
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January 2014
Heavy fatigue. Hard time falling asleep.
Does not like to eat. Anguished about school and tests, although
she’s a good student.
Perfectionist, she wants to understand everything.
Does not care for eating; does not digest well.
Once again several ear infections and vulvitis.
R/ SILICEA 15 CH
PULSATILLA 30 CH
September 2015 : Vaccination
Julie is doing well but sleeping is still complicated, especially
before exams.
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A typical Pulsatilla sensitive type, but hard to detect since her
mother is not very objective, tending to describe her daughter
as strong-willed and independent.
Mommy is probably also Pulsatilla. She does not notice how
dependant her child is on her.
Conclusion
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Many Silicea characteristics.
Acute diseases are typically Pulsatilla.
Decompensation when away from her mother, and during
adolescence.
Conclusion
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Clinical cases : chronic disease
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Since 2001 : suppurating sore throat, concomitant with or followed
by vulvo-vaginitis.
Falls ill easily :
When there’s the slightest chill or increased damp
almost every month.
LI – 9 years old girl1st consultation on Feb 8th 2003
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Leucorrhea since 12/2002 :
Permanent
More plentiful when she falls ill
Yellowish, becoming greenish when worse
Uniform, odorless, does not burn and is not irritant.
LI – 9 years old girl1st consultation on Feb 8th 2003
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Rhinitis with persistent flow for 45 days at age 6 months.
2 to 3 times a year: sore throat, rhinopharyngitis until age 2.
Bronchopneumonia at age 3.2nd bout of bronchopneumonia at age 4.
Personal History
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The specialists' opinions:ENT: posterior rhinitis, adenoid vegetations, large tonsils with pitting.Numerous gynecological consultations.
Additional testing:
throat swab: hemolytic streptococcus
cervical smear test: enterococcus
E.coli when last swab was done.
Personal History
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Very emotional girl, shy, very close to her mother.
She needs her mommy’s empathy.She does everything her mother tells her to do, to get sympathy from her.
Erythematous-pultaceous sore throat, tonsils with pseudomembranes, plentiful pitting.
Yellow and uniform leucorrhea, non irritant.
Clinical exam
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Symptomatic:
Pyrogenium 9 CH and Mercurius solubilis 9 CH :
Treatment of the terrain, for 3 months:
Pulsatilla 15 CH: 5 pellets in the morning – Mondays, Wednesdays
and Fridays
Silicea 15 CH: 5 pellets in the morning –Tuesdays, Thursdays and
Saturdays
Thuya occidentalis 15 CH: 5 pellets Mondays and Fridays
Collibacillinum 15 CH: 10 pellets every Sunday
Treatment
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Relapse of an erythematous-pultaceous sore throat:Pyrogenium 9 CH and Mercurius solubilis 9 CH.
When the child takes Mercurius solubilis 9 CH: the leucorrhea disappears, when it is not taken, the leucorrhea resumes.
In-depth treatment : Mercurius solubilis 9 CH: 5 pellets once a day for a month.
Relapse of the leucorrhea if Mercurius solubilis9 CH is replaced by 15 CH.
Evolution On March 17th 2003
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The next 2 months: no illness the leucorrhea alternated with dry periods the discharge was no longer greenish-yellow.
In-depth regimen:
Pulsatilla 15 CH: 5 pellets in the morning – Mondays, Wednesdays and FridaysSilicea 15 CH: 5 pellets in the morning –Tuesdays, Thursdays and SaturdaysThuya occidentalis 15 CH: 5 pellets Mondays and FridaysCollibacillinum 15 CH: 10 pellets every Sunday
Evolution
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May 25, 2003: the child was hospitalized for bronchopneumonia
During hospitalization, concomitantly with the allopathic treatment,
a homeopathic treatment was prescribed with:
Phosphorus 15 CH and Bryonia 15 CH: for the pneumonia
Helonias 9 CH and Monilia albicans for vulvo-vaginitis with
Candida albicans pursuant to a course of antibiotics
In August 2003, the mother followed the advice of an ENT
specialist and a tonsillectomy was performed with the aim of
stopping this vicious cycle.
Evolution
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Reason for consultinga greenish-yellow burning and irritant leucorrhea, itching intensely
Treatment prescribed:
Kalium bichromicum 9 CH andKreosotum 5 CH: 5 pellets twice a day, for 10 days.
Consultation on Nov 4th 2003
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In-depth treatment:
Pulsatilla 30 CH: 5 pellets every day
Thuya occidentalis 9 CH, 15 CH and 30 CH : 10 pellets of each,
on 3 successive days. Then continued in like manner, with 30 CH:
5 pellets on Mondays, Wednesdays and Fridays
Silicea 15 CH: 5 pellets on Tuesdays, Thursdays and Saturdays
Collibacillinum 15 CH: 10 pellets every Sunday
Consultation on Nov 4th 2003
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Pulsatilla 30 CH: 5 pellets every day
Thuya occidentalis 30 CH 5 pellets on Mondays,
Wednesdays and Fridays
Sillicea 15CH 5 pellets on Tuesdays, Thursdays and
Saturdays
Collibacillinum 15 CH 10 pellets every Sunday
Treatment from Nov 12th 2003 to March 15th 2004
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March 2, 2004: no leucorrhea for 2 weeks
The vaginal swab is negative
March 15, 2004: rhinitis without leucorrhea
In-depth treatment:
Collibacillinum 15 CH: 10 pellets on April 1, 10 and 20.
The rest of the in-depth treatment remains unchanged:
Pulsatilla 30 CH: 5 pellets every day
Thuya occidentalis 30 CH: 5 pellets on Mondays, Wednesdays and
Fridays
Silicea 15 CH: 5 pellets on Tuesdays, Thursdays and Saturdays.
Evolution
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June 1, 2004: course of treatment for the months of June and July:
Pulsatilla 30 CH: 10 pellets once a week
Thuya occidentalis 30 CH: 10 pellets once a week
Silicea 15 CH: 10 pellets once a week
In the months of August and September no treatment for the child!
Evolution
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From October 2004 to April 2005 the child continued the in-depth
treatment:
Pulsatilla 30 CH: 10 pellets once a week
Silicea 15 CH: 10 pellets once a week
Dulcamara 9 CH: 10 pellets once a week.
Same in-depth treatment from October 2005 to April 2006.
Since 2006 no treatment at all – no relapses or ENT infections; no
leucorrhea.
Evolution
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• ENT infections alternating, then concomitant with leucorrhea.
• The allopathic treatment did not yield the desired results – now
searching for an alternative solution.
• The homeopathic treatment is lengthy (Feb. 8, 2003 to Aug 1,
2004).
• After the results obtained, the in-depth treatment was
continued from 2004 to 2006, over the course of the winter
months.
Main Points
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A very stable result has been obtained thanks to the the homeopathic treatment.No relapse of the leucorrhea!
The top-ranked factors of success are: Choice of the right medicine Choice of the right dilution A combining of medicines matching the sensitive type and
the chronic reactive mode. Length of the treatment.
Pulsatilla is a real entry-port medicine for chronic cases.
Main Points
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Materia Medica
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Caution, possible confusion:
Common pasque flower or
Pulsatilla vulgaris
&
Meadow windflower or Pulsatilla
nigerians
Materia Medica : strain
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- Genital tract
- The mucosa : respiratory, digestive, ocular
- General behavior
Materia Medica : Target Action
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- ENT diseases or recurring and lingering
bronchial-pulmonary afflictions
- Morbilliform rash, like roseolar rash
- Conjunctivitis, styes, blepharitis
- Insomnia and emotional hypersensitivity
The most common clinical indications In our pediatric practice
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Conclusion
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- Pulsatilla is a reliable strain, frequently used.
- Understanding the strains and their evaluation in current medical
practice represents the future of homeopathic medicines.
Conclusion
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Let’s build the future together
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Thank you kindly
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