Acute gastritis
Bismuthum-sn. (+ -o.) (old
abbr.)
WOMAN, 50 YEARS OLD
A: You have been treated here for a depression, that has become all right. We will talk about
that later. But now, on Saturday you went riding on a bicycle. You have exerted
yourself too much and then suddenly you got diarrhoea,
especially while lying, aggravated by motion, with constant pressure. You have
also troubles with hemorrhoids. It was a pain deep in the abdomen. The previous
remedy which cured you was Natrum muriaticum in 50 M
potency. Now, your nervous complaints are completely all right.
And then, since
yesterday you have a pressing pain in your abdomen, as if you would get your
menstruation. And a bearing down pain. You were very
tired.
She says that the pain was so bad that she could not
tolerate it anymore. Therefore, first we have to think about this remedy.
Every time,
when I proposed this remedy, the patients had said, "Doctor, do something,
because I can't tolerate this stomach pain."
A: The last time you had cracks on your hands
and the eczema has disappeared in the meantime. Yesterday, I gave you Sepia, because of the bearing down pain and
because of pain in the hypogastrium, also because it
is complementary. The pain in the abdomen is a little bit better. But now
there appears a very typical pain, namely, stomach pain.
P: The whole region,
with one spot here.
A: You said, "I couldn't tolerate it
anymore."
P: No, sometimes I can't tolerate it anymore.
A: Describe the pain.
P: It is here.
Something is pulling and pushing here. It aggravates when I lie down. Then I
push on it, then I lie on it.
A: How does the pain feel exactly
?
P: In fact, they are not cramps in the
stomach.
A: But nevertheless, it is a kind of cramp, a contraction ?
P: A kind of contraction, a kind of pressure.
I always want to pull here. I have the impression when I sit erect, it will go
away, but that is not right. There is something.
A: Can you tolerate clothes there
?
P: I have problems with it, with my skirt.
A: Can you tolerate that your hand lies on it ?
P: No, I can't
tolerate pressure, not the slightest touch on it. When my hand lies on it or
something presses - but I have always had this, not only now - then the
pressure moves upwards, until here. But that is not only now, I always had it.
I can't tolerate my own hands on my body, I never could.
A: It is not only now ?
P: No.
A: Can you tolerate your clothes less well the
last days ? Or has this always been so
?
P: I can't tolerate
any tight clothes.
A: But now, you can tolerate it less ?
P: Yes, now less.
A: I will touch it. Does this hurt more ?
P: No, because it is too high.
A: The pain is a little bit deeper. Yes, it is
the stomach. Does it hurt ?
P: No, not so much.
A: So, not so
sensitive to touch. But you can not tolerate your
clothes.
Which remedy ? China. I try a slight touch, because she says, that
she can not tolerate her clothes. Therefore, first I
try with slight touch and then with strong pressure, to see whether this is a
China symptom. But it was negative.
A: How was it last night ?
P: I couldn't lie on my back. When I had lain
on my side, I had very much pain in my stomach. It was better for the stomach,
but not long, otherwise my stomach would have hurt very much. I turned around
and at last I got up. When I got up, it disappeared
for a while.
She was restless and
had to get out of bed. Which remedies have this ? Rhus toxicodendron - yes,
but there is another remedy, not only Rhus toxicodendron "restlessness, driving out of bed"
- which capital remedies ? Arsenicum, Bismuthum,
Ferrum and Rhus toxicodendron. And now I will examine to make sure
whether Bismuthum has to be prescribed.
A: Last night you haven't stayed in bed ?
P: No, I couldn't lie in bed, because of the
pain.
A: Strange. You had to go out of bed.
P: Yes, I had to get up, because I thought, it
might be better when I get up, and because I couldn't tolerate the pain
anymore.
A: Do you feel something at your throat ?
P: No, not at my throat. But it starts again
with the mucus ...
A: We can say that you were very restless last
night.
P: Yes.
A: We can describe the pain as a contraction.
As if there was a cramp in it ?
P: In fact, yes.
A: Can we describe it
as a kind of cramp ?
P: But in fact, constantly.
A: Constantly. And you couldn't stay in bed
last night. Do you have pain at the moment ?
P: Yes.
A: Please sit erect. What does the pain do ?
P: It becomes a little less.
A: A little or clearly ?
P: A little. I
can't say that it has really disappeared. It goes away, but ...
A: It goes away, but it returns.
She has strong pain. When the symptom is very clear, the pain has
to disappear very quickly. The more acute the
case, the faster the curing. We will see. I take the tablet and give it
in her mouth.
A: I have just given you the remedy. We will
wait a moment and we will see how the pain behaves.
For these cases we will need our observation
rooms. We bring our patients there and they remain there a few hours.
FEEDBACK
(15 MINUTES LATER)
A: You came with terrible pain.
P: Yes.
A: Half an hour ago you got the remedy. What
happened in the meantime.
P: It is better. There was an improvement and
now, apparently it is gone, only muscular pain. The internal pain has
disappeared. But there remains muscular pain.
So, that is the history. Bismuthum
has cured her within 15 minutes. That is Homoeopathy.
A: Would you have
come because of the muscular pain ?
P: No.
A: What percent has the pain improved ?
P: I think for 90 %.
Strange, isn't it ? I am a good example, I think.
A: Why an example ?
P: Yes, it works. The remedies work. Although,
many people state that such a little pill can't do it. That's why I think I am
a good example. Example is the right word, isn't it, Doctor ?
I don't consider Homoeopathy as hocus-pocus. On the contrary.
It is just another curing method.
A: You also know that I gave you a remedy at
the beginning, which didn't help anything.
P: Yes, indeed. I came here 3 or 4 times.
A: It didn't do anything, nothing, until we
discovered that the cause of the problem was the school.
P: Yes. I can still hear you asking, "Do
you have other problems ?" Because the first time
you assured me that it would be all right. And I left lively, because at that
moment I was really depressed, because it didn't disappear. I was lively and
went away and they said, "Girl, you look very well, so shiny." And I
said, "It will be all right, it will be all right." And it was a
great disappointment, when it didn't improve.
A: Only talking and giving a wrong remedy, it
doesn't help.
P: But talking helps a little bit, doctor. Because last Monday I came with grief and pain here, and was a
little relieved when I went away. I think it is terrible, when you have
to wait for 2 months. I understand it is to give the remedy time to work. But
contact always gives me a lift. Even when you often don't say much, anything,
but it gives you a lift ...
A: A lift, that it
will be over quickly.
P: Goes over quickly ... No.
A: But you see, with the wrong remedy nothing
happens.
P: Of course not.
A: The days after the first consultation you
felt that it didn't help anything. And now, you can't say that talking has
helped you ?
P: No, not at all. But it is a different
conversation, an addressed conversation. In fact, I don't have the feeling I'm
complaining. I dare say I have pain. When I go to another doctor, it was one
word and he already knew what was wrong. And further you may not say anything
else. You are the patient, but you may not say anything. You just may not open
your heart. And when you complain too much there, it isn't right anymore. Then
you feel something like, "I know it better, I know what is wrong with
you." What you do or feel, it doesn't matter there.
A: But here it is the contrary. We have to
listen, because otherwise we don't know what we have to give.
P: On the other hand you have to make the
right diagnosis from the things you hear.
A: You should say, the right homoeopathic
diagnosis, which means: which remedy corresponds to the picture they offer. One
picture consists of different elements, otherwise you
can't get a picture. And you put those pieces together, until you see a picture
appearing. As a homoeopath you see a certain homoeopathic picture. That's what
I just did. You spoke about terrible stomach pain. There must be a remedy which
has enormous pain, and indeed cramping pain, which is
so strong that you can't stay in bed at night, so that you have to get out of
bed. And apparently the pain improves when I rub on your back. That is
the picture of an acute inflammation of the stomach mucous membrane. If the
picture corresponds, the remedy has to be right and when I give it the
complaints have to disappear.
P: And in fact, immediately.
A: Yes. The
more acute the complaints are, the faster the pain disappears, if the complaints aren't an expression of a deep
suffering, emotionally or things like that. Then
it might cure very slowly, with ups and downs. In this case I think it is all right.