pulsatilla used for children : clinical cases - cedh.org€¦ · pulsatilla used for children :...

Pulsatilla used for children :

clinical cases

Dr. Emmanuelle Carlier

Dr. Erna Hadjolian

Dr. Ingrid Theunissen

BELGIQUE

Copyright® CEDH France - All rights reserved, including reproduction and translation rights

- Pulsatilla in the “field”

- Pulsatilla in the literature

- Clinical cases : childhood of a Pulsatillaphenotype

- Clinical cases : chronic disease

- A little about Materia Medica

Plan


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


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


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


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


- Rate of response : 13/69 or 19%

11/69 valid replies (16%)

- (7/13 or 54%)



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



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)



- Disappointed by the low rate of response

- Pulsatilla often prescribed

- Generally in high dilutions

- Prescribed for complex situations

Pulsatilla survey : conclusion


- Field = sales in Belgium

- Boiron figures

Pulsatilla « on the field » : patients


- Tenth best-selling strain

- The most frequent dilution is 200K, followed

closely by 30K

Pulsatilla « on the field » : patients


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


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


Elio Rossi & al

Socio-demographic study on

213 children

Beneficial effect of

homeopathic treatment

Less worsening of asthma

Pulsatilla in the « official » literature


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


Clinical cases: childhood

of a Pulsatilla phenotype

Julie, born Oct. 9, 2002


First year of life :

- Some cases of rhinitis

- A major ear infection

- Infant with little appetite


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


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


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


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


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


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


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.


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


Many Silicea characteristics.

Acute diseases are typically Pulsatilla.

Decompensation when away from her mother, and during

adolescence.

Conclusion


Clinical cases : chronic disease


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


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


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


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


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


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


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


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


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


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


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



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


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:


Thuya occidentalis 30 CH: 5 pellets on Mondays, Wednesdays and

Fridays

Silicea 15 CH: 5 pellets on Tuesdays, Thursdays and Saturdays.

Evolution


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


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


• 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


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


Materia Medica


Caution, possible confusion:

Common pasque flower or

Pulsatilla vulgaris

&

Meadow windflower or Pulsatilla

nigerians

Materia Medica : strain


- Genital tract

- The mucosa : respiratory, digestive, ocular

- General behavior

Materia Medica : Target Action


- 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


Conclusion


- Pulsatilla is a reliable strain, frequently used.

- Understanding the strains and their evaluation in current medical

practice represents the future of homeopathic medicines.

Conclusion


Let’s build the future together


Thank you kindly

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