CASES

 Syphilinum

 Girl, 1 day old

 A doctor who attends the seminar reports:

 I want to show you some pictures of my newborn child. She is about three weeks old now and you see that she has Ophthalmia neonatorum.

(Neonatal conjunctivitis, also known as ophthalmia neonatorum, is a form of conjunctivitis contracted by newborns during delivery. The baby's eyes are contaminated during passage through the birth canal from a mother infected with either Neisseria gonorrhoeae or Chlamydia trachomatis.)  I attended her birth and the first thing I observed was that her upper lid was too long.

 The second day there was a swelling of her right upper lid. There was no discharge yet, only a swelling, a red swelling. Her mother put some drops of mother's milk in her eye and everything disappeared.

 The next day her right upper lid started to swell again, it was a very big, red swelling. You can see this in the picture. We gave her some remedies, but without any result.

 Because of the mild, yellow pus I gave her Pulsatilla in Q potencies, three times, and after Pulsatilla the swelling went to the left side. We waited for three days and then I gave her Ignatia. This remedy didn't work either. The next remedy I gave was Hepar. Immediately after I gave her the remedy she opened the eyes for about 10 minutes, then she closed them again and she hasn't opened them the whole day and night. It was terrible. I couldn't sleep and my wife couldn't sleep either.

 The next day we decided to give her Argentum nitricum, because Argentum nitricum is one of the capital remedies in the rubric "Ophthalmia neonatum".

 Question: Where is the rubric?

 You have to look on page 242:

 EYE, inflammation, infants

 infants : Acon., alumn., Apis., arg-m., Arg-n., arn., Ars., arund., bell., bor., bry., Calc., cham., dulc., euphr., hep., ign., lyc., merc-c., merc., Nit-ac., nux-v., Puls., rhus-t., sulph., Thuj., zinc.

 In the Repertory of Knerr there are many more rubrics under "eyes", and here you find the small rubric "Ophthalmia neonatum".

 After one dose of Argentum nitricum 30 the discharge changed. It was not so thick anymore, not so yellow, and the swelling diminished a little bit, but it was not a real result, because if you give the right remedy in fact you may expect that there is a clear amelioration the next day.

 She had a very, very strong photophobia and couldn't tolerate the slightest beam of light. When it was completely dark she tried to open her eyes., but she couldn't. One night I tried it myself, because I was afraid something would happen to her eyes. You don't know, because you can't see the eyes. I tried to open her left eye a little bit and I saw a very strong conjunctival injection, and edema of the retina. It was terrible.

 After Argentum nitricum she started perspiring on her head, especially on the parts where her skin touched her mother or me. She perspired on her head and her neck and in the beginning of the sickness we noticed that she couldn't tolerate the cold, that she liked it somewhat warm. This was also the reason why we gave Hepar. In addition, two days after birth she had a little inflammation of her right toe.

 You can find this in the rubric on page 1005:

 EXTREMITIES, felon

FELON (Onychia, Paronychia, Panaritium, etc.), beginning in nail : Par., petr., phyt., plb., puls., rhus-t., sep., Sil., sulph.

 

 This small inflammation, the perspiration and the pus were reasons enough to give Silicea. Indeed, we were not really satisfied with this decision, but we didn't have any other idea for a remedy.

 After Silicea the blepharitis was a little bit better and it seemed as if she wanted to open her eyes, but she didn't do it. This has lasted already for 12 days. She couldn't see anything all the time, the eyes were swollen and purulent. There was not so much pus as in the beginning, but they were still purulent.

 By coincidence a friend called me, he was also a homeopathic doctor. I told him the story of my child and he said, "I've seen this very often when I worked homeopathically in a normal practice. On which side did it start?" "On the right side. And it was red, swollen and distended." "Oh, then it is Syphilinum."

 When I looked into the Repertory at the very beginning of her sickness I was thinking of Syphilinum, because it is also mentioned in the rubric "Ophthalmia neonatum".  The same evening as the telephone call I gave my daughter Syphilinum 200 and within 5 minutes she opened her eyes. After Argentum nitricum she had thrush in her mouth and after Syphilinum the eyes became better and better and the thrush worse and worse. In addition she had some problems with the abdomen. Colic.

 The next few days her eyes became better and better, they were not so purulent anymore and the swelling went back down. Two days after Syphilinum the thrush on two small spots of the tongue diminished. They were both far removed from the midline of the tongue. The next day these spots had become bigger.

 My colleague reminded me that in cases in which you need Syphilinum you can see two small cracks on the tongue, which are the same distance from the midline of the tongue, on the right side and on the left side. And both these spots on the tongue of my daughter, which were free from thrush have reminded me of these cracks.

 This morning she is doing fine and she doesn't have any problems with her abdomen anymore and there is very good development. I think this is a very nice Syphilinum case.

 A. Geukens: Don't forget to add two remedies in the rubric on page 242:

 EYE, inflammation, infants: Med, Syph

 In Clarke the Ophthalmia neonatum for Syphilinum is very strongly indicated, exactly as strong as the doctor told us in the story before, with the appearance as if the upper lid is too long.

 

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