Homeopathic paper cases quizzes PDF Print E-mail

Homeopathy Paper Case Quiz

Do you want to test your homeopathic knowledge? Do you think you're a competent homeopathic prescriber? Why not try to find the remedy for the following paper case.

The numbers in brackets indicate the intensity of the symptom.

Paper Case #11

A 44 years old woman came in the surgery suffering by desquamating eczema of soles and palms for the last 3 years. The eruption was painful particularly in the soles, with pustules and serum-blood discharge, presented mainly when the patient used to scratch the pustules. She had been under conventional dermatological treatment, locally and per os, without success, since the beginning. The eruption remained undiminished, was reduced suddenly for certain weeks, with severe relapse after that.
As for her past medical history, children's diseases and eczema of palms from the detergents in the age of 26 years, was reported. This happened immediately afterwards her marriage, lasted 4 years and had been treated by local corticosteroids.
As for the family history, cardiac arrhythmia of her mother was reported.
Recently, she has been bothered by the cold weather, while in the past was the opposite. In the past, many years ago, she used to walk permanently barefoot in her house even in winter. She is not perspiring much, but characteristically around the genitalia. She is always thirsty enough for cold water (2). In the past she used to bite ice cubes, but not recently. She used to love the fruits and particularly hard (2), while recently she says she feels bored to clean them. She always loves sitting and musing in the beach and recently a lot (3).
She has acquired a kind of obsession with her eruption. She scratches it when feels sad, then itching begins and she continues scratching. Her husband says that, finally this has become her hobby. She is watching television and she is dealing with her feet.
As a character, she has always been extroverted and social (2), laughing and optimistic (2). She had always felt difficulty in the engagement from the relationships, she feels independent and she reported that one of her main characteristic is that she cannot accept restrictions (3).
She had been in great sadness for the 3 last years. She feels reserved and does not want to speak a lot (2). She sobs suddenly, cries silently, sighs and feels like leaving the house going to the beach, musing by herself. When she cannot leave, she begins to scratch her legs. After insistent questions, in the second appointment, she revealed that the eruption and the changes in her psychology happened after suspicion of extra-marital relation of her husband.


Correct remedy for Paper Case 11 :
She has been prescribed Ignatia 200CH one dose in the first consultation. After one month the eruption was without essential change. However, the patient felt more comfortably reporting the main subject that had annoyed her. She was prescribed one dose of Ignatia 10M. The patient reported a great aggravation of the eruption, that lasted roughly 20 days. She experienced a direct improvement to all symptoms of her emotional level. She recovered the joy and the optimism that she had had in the old days. After 2 months, and while the eruption was in recession, another simple eczema of the left shin was appeared, while simultaneously she presented intense tendency to eat lemons and sour fruits and a feeling of persistent burning soles. She was prescribed one dose of Medorrhinum 1M. After certain weeks, both eruptions were completely cured. She remains healthy, two years now after the first consultation.

Paper Case #10

Woman, 60 years old, 63kg, 1,60m.

She comes for arthritic pains (3). She has pain in the hips, elbows, knees and fingers.
She has difficulty in doing the everyday house work but she manages.
For a period of time it was difficult for her to stand up straight.
She takes aspirin quite often.
Her arthritic pains are not influenced by weather changes. She’s worse by motion (2), doesn’t have pains when she’s still. It’s difficult and painful to go up the stairs. The knees are very painful when she attempts to rise from sitting.
She feels as if ‘electricity’ is running through her hands when she strains the mop.
She has carpal tunnel syndrome in both hands. When she gets tired her fingers swell and feel numb.
Feeling of ‘electricity on the back’ with exertion. She has synostosis of 2 vertebrae.

She has gone through rheumatoid fever when she was 23years old and was taking penicillin for the next 10 years. After the rheumatoid fever she developed swelling of the joints, arrhythmias and palpitations accompanied by the feeling of pulsation. She is still conscious of the pulsations which get worse with exertion. In the past this symptom was worse by the slightest exertion.

When she was 26 years old she had abdomen pains <after eating. She was often vomiting few hours after eating. She was diagnosed with cholelithiasis (gallstones) and had her gall bladder removed. However, this didn’t offer any significant amelioration of her symptoms which continue until today. Occasionally she vomits the food she had 4 hours ago. Sometimes she experiences pain in the region of liver which reflects to the lower angle of the right scapulae.

At 40 years old she had bleeding haemorrhoids and anal fistulae for which she has been operated. She has kidney stones which cause mild colicky pains at about twice a year. Slight hematuria.

Menopause at 52 years old. Her menses used to be profuse with bright red blood lasting for 6 days accompanied by pains on the abdomen and back. She was better lying with her hand pressing her back.

Hypothyroidism. She started taking thyrormone (T4) 4 years ago (she was taking on weight).

She has stricture of the biscupid (mitral) valve.

History of recurrent abscesses in the wisdom teeth which led to the frequent intake of antibiotics and finally to the surgical removal of the teeth. A relatively long lasting syncope episode took place during an extraction15 years ago.

Her appetite is good. She has been very thin when little, her appetite was low.
Desires salads (1), pasta, cheese (2), tomatoes (1), garbage (1), sausages (1), soft boiled eggs, sweets (1), chocolate (1).

Meat aggravates (1) and milk causes vomiting (1). When she was younger she was eating meat very often. She used to vomit when she was drinking milk; she was forced to drink it.
Aggravated also by ice cream (1).

5 years ago she went through salmonellosis with high fever, abdominal pains and diarrhoea. She’s thirstier since (2).
She wakes up at night with the feeling of dryness in her mouth and wants to drink water (2).
Wakes up once or twice for urination.

Prolapsus uterus (3) 4 years ago. She had a heavy feeling in the hypogastrium (3) and on the rectum, as if she had to pass a stool. The gynaecologist suggested her to have a surgery.
5 months ago she had cystitis with the feeling of heaviness in the hypogastrium.
Indifferent to sex (3) the last years.

She’s generally worse when moving fast (2), after eating (2).

Weeps easily (1). Sensitive, sympathetic (3) towards other people’s suffering. Gives money to the poor.
Afraid of the dark (3). Used to be very scared of death in the past but she got over it after having an out of body experience. Fear of being alone at night (2), of ghosts (2) [says that she has seen one], of storms (3).
She has had out of body experiences.


Correct remedy for Paper Case 10 :

The differential diagnosis is mainly between Bryonia, Pulsatilla and Phosphorus. Bryonia has joint pains which are worse by motion and better by being still. It also has the thirst accompanied by dryness in the mouth.
Pulsatilla also has joint pains. It covers the peculiar symptom of vomiting few hours after eating, the aggravation by ice cream, the easy weeping and the fear of dark, of being alone, and of ghosts. The thirst however does not agree with Pulsatilla which is usually thirstless.
The keynote of the pain in the right hypochondria reflecting to the angle of the right scapula, the knee pains and the desire for cheese, make us think also of Chelidonium which also covers the peculiar symptom of vomiting long after eating.
However, the best choice here is Phosphorus. It covers not only the totality of symptoms but also the mental picture of the patient consisting of the sympathy towards others, the fear of dark, ghosts, being alone and storms. Besides, the out of body experiences is a characteristic of Phosphorus and confirms our choice.
Prescription: Phos 200CH one dose and then Phos 6x daily.

Follow up, after 2 months:

Few days ago she developed some vesicles on her back. The eruption looks similar to herpes zoster. It’s limited to few centimetres. She has a pain which is not very strong.
The last 3 days she can’t sleep. She wakes up at about 2am and cannot go back to sleep. She has ‘sadness’ and feels ‘unwell’. The whole body perspires (3) during sleep and she has to get up and change clothes. Feels that she’ll faint (2). Feels the pulsations (2). Intense thirst (3), feeling of burning. She had herpes zoster 7 years ago. Then the eruption was bigger and the pains so intense that were leading to convulsions. She had taken pain killers and acyclovir as she experienced intense post-herpetic pains. She can recall having the night sweats also then.
Her mood and energy has been a bit better since she started the remedy except the last days.
Blood examination: WBC: 6,1 x 10^3/?l, NEUTR: 50%, LYMPH: 44%, WCT 32,7%, HGB: 12,4 g/dl.
Prescription: After explaining to the patient the value of the return of the old symptom, she was given Phos 6x daily.

Follow up 1 month later (3 months since first consultation):

20 days ago she hit her right knee which is still sensitive to touch. The herpes zoster went away within few days. Generally she feels much better. Her energy is better. Seems very happy. The joint pains are much better, reports 80% amelioration. She doesn’t take painkillers any more. The arrhythmias are very much reduced. She’s very thirsty (3). She doesn’t vomit after eating. This symptom was worse for some time after starting the remedy. She’s in a communicative mood. She starts describing the out of body experience she had 15 years ago during the wisdom teeth extraction. She had intense bleeding and then syncope. She came out of her body and was transferred to another level which was brighter. There were people without a body as we know it here. They were all happy, communicating with each other, not with words but with a different way. Everything was very real and luminous. There was also a sound similar to nightingale’s but even nicer. Relatives who were dead welcomed her and she communicated with them. Then she went further, to an even more luminous gate. On the entrance she was welcomed by some even brighter entities. Then a message arrived saying that she can’t go further because she had to go back. The luminous entities were sad and said goodbye. At the beginning she was on a dilemma whether she should share this experience with other people or not. Now she selects the people she shares it with. After this experience she’s not afraid of death at all.
Prescription: Phos 6x daily.

Follow up 3 months later (6 months after the first consultation)

Generally feels very well. Goes up the stairs of her country house easily whereas before it was very difficult. The feeling of pulsation is rare now. She doesn’t have the heavy feeling in the hypogastria. She visited her gynaecologist 3 months ago and told her that her uterus is back to normal and she doesn’t need to be operated.
2 weeks ago she had a strong pain in the rectum lasting for one night. She woke up and started walking around the house. The pain reminded her of the fistula she had 20 years ago.
Prescription: Phos 6x daily.

Paper Case #9

This is a case of Carroll Dunham from the book “The Science of Therapeutics”. p. 462-465


G. W. W., aged seventeen years, small, but well proportioned and of good constitution, healthy since his ninth year, has been deaf since he was four years old. When three years of age, he had an eruptive disease of the whole scalp, which, after resisting for a year all the milder methods of allopathic treatment, was finally caused to disappear, in the following manner: A tar-cap was placed upon the head, and when firmly adherent to the scabs, was violently torn off. The scabs came with it, leaving the whole scalp raw. This raw surface was moistened with a saturated solution of nitrate of silver. The eruption did not reappear; but from that time the child was deaf.
"The condition of the youth now excites the earnest solicitude of his friends. His inability to move in society, or to get a situation in business, on account of his deafness, has produced a morbid state of mind. He broods over his infirmity, and secludes himself even from his own family."
Under these circumstances, he applied to me to be cured of his deafness. His present condition is as follows: He is quite unable to hear ordinary conversation, and has never heard a sermon in his life. A loud-ticking lever watch can be heard at a distance of three and a half inches from either ear. On application of the watch to his forehead, or to the teeth, he hears it distinctly. Occasional buzzing noises in front of the ears. A physical examination of his ears reveals the following condition: The external meatus is abundantly supplied with soft, normal wax. The membrana tympani is white, opaque, and evidently thickened. When the patient attempts to inflate the middle ear (which he accomplishes, with great difficulty, by closing both mouth and nose and making a forcible expiration), the membrana tympani becomes but very slightly convex, and it is impossible to distinguish its distended blood-vessels. There has evidently been a deposit in the substance of the membrane. On examination of the throat, it appears that the orifice of the eustachian tube is free.

Correct remedy for Paper Case 9 :

Feb. 3, 1857. Patient received a powder containing three globules of Mezereum30, to be taken on retiring.
Feb. 24. Thinks he hears better-"every sound seems much louder than before." Hears my watch at a distance of four and a half inches from the right ear, and four and a quarter from the left ear. Saccharum lactis.
March 1. Has not improved during the last week. Mezereum30, three globules.
March 27. Hears my watch, with the right ear, six and a half inches, and with the left ear, seven inches. Saccharum lactis.
April 20. Hears my watch, with the right ear, at a distance of ten inches, and with the left, at a distance of fourteen inches. Hears ordinary conversation easily, with attention. Saccharum lactis.
Sept. 28. Has been steadily improving until three weeks ago, when he became more deaf again, without apparent cause. Mezereum30, three globules, on retiring.
Jan. 26, 1858. Hears my watch at a distance of fourteen inches from the right ear, and twenty-four inches from the left ear. Deafness returns when he takes cold, but disappears with the cold. Mezereum30, three globules, on retiring.
March 19. To his surprise, on going to church, although seated at the extreme end of a very large building, he distinctly heard the whole sermon-for the first time in his life. On physical examination, the opacity of the membrana tympani is found to have disappeared, and its elasticity to have sensibly increased.
May 24. Patient writes me that he has obtained, without difficulty, a situation in a store, and that he is no longer conscious of being deaf. His sole difficulty is that, as he has the reputation of being deaf, everybody shouts at him. His father writes, that the son's hearing is "perfectly restored."


The success of the treatment resorted to in this case warrants a few remarks upon its rationale. Here was a case which presented to the practitioner apparently nothing on which to base a prescription. There was a thickened membrana tympani-nothing more. The work of thickening had probably been accomplished years ago. Here was a pathologico-anatomical condition, but no pathological process and, consequently, there were no abnormally performed functions-or, in other words, no symptoms of disease-from which to draw indications for the treatment. The pathologico-anatomical condition threw no certain light on the pathological process which had produced it-just as a knowledge of the town, at which a traveler has arrived, gives no certain clue to the road by which he reached it.
But, as Hahnemann advised his disciples, the history of a case is often of the utmost importance in determining the treatment. In the case before us the coincidence between the violent removal of the tinea capitis by nitrate of silver, and the appearance of the deafness, was too marked to escape notice. It could not fail to occur to the practitioner that the scalp disease was one phase of a psoric affection, as Hahnemann would have called it, or of a dyscrasia, as the modern school of German pathologists would say (for the doctrine of the dyscrasias is but a rehash of Hahnemann's psora theory), and that this affection, disturbed in its localization upon the scalp, had transferred itself to the tissues of the ear. It further occurred to me that, since in this latter localization there were no sufficient indications for a prescription. I might find such indications in the phenomena of the former localization upon the scalp. I accordingly addressed myself to the task of getting a complete picture of this affection, which had disappeared thirteen years before. By good fortune, the mother of the patient was possessed of a good memory, and of very excellent powers of description, and from her I learned that "thick, whitish scabs, hard and almost horny, covered the whole scalp. There were fissures in the scales, through which, on pressure, there exuded a thick, yellowish pus, often very offensive. There was great itching, and a disposition to tear off the scabs with the finger-nails-especially troublesome at night."
The remedy which corresponds most closely, in its pathogenesis, with the above group of symptoms, is undoubtedly Mezereum. In the introduction to the proving of that drug, in the Chronic Diseases, vol. iv., Hahnemann recommends it for moist eruptions of the scalp. In the proving, in the Archiv, vol. iv., many symptoms point to a similar eruption-itching, especially, at night; but the conclusive group of pathogenetic symptoms is the following, from a new proving of Mezereum, by the late Dr. Wahle, of Rome, of which the manuscript was shown me by his son, the present Dr. Wahle:
"Head covered over with a thick leather-like crust, under which thick white pus collects here and there, and the hair is glued together; on the head, great, elevated, irregular, white scabs, under which pus collects in quantity, and becomes offensive and breeds vermin. The child keeps scratching its face and head at night, and continually tears off the scabs."

Paper Case #8

6th follow-up, 25 year-old woman (height 1.72, weight 61 kg).
First visit to a homeopathic doctor 11 months ago.
Is a highly stressed, very introverted person. Psychological problems caused her to visit the homeopathic doctor (anxiety, low self-esteem, fear of exams, has dropped out of her studies, phobias). Had occasionally taken psychotropic drugs before coming to the homeopathic doctor.
Given Cocculus 1m 11 months ago, Gelsemium 10m 7 months ago, Staphysagria 1m 4 months ago, Antimonium crudum 1m three months ago and 1 month before the following follow-up.

The anxiety and tightness in the stomach are better, the self-confidence is a little better too but remains low (2). The energy level remains low.

She does not open up and speaks little.

Disgusted (2), fears being infected by germs (2), washes her hands many times a day.

Jealous (2) of her sister and her friends for their achievements, which she has not got.

Suspicious (3), in particular of the quality of her food. Does not eat out in restaurants, is afraid of indigestion and vomiting.
Is afraid of vomit (4) (is uncomfortable even when hearing the word), of being alone (2), of madness, of cockroaches (3) (even in a photograph), of exams at the school (3), particularly the spoken exams, of dogs (2), of illnesses.
Wants to be comforted (2).
Sleeps on the right side (hears her heartbeat when lying on left side).
Feels the cold (2) but also feels discomfort in a very warm room.
Improves with a fast walk in the open air (2).
Cannot bear anything tight around her neck (3).
Desires sweets (2), cheese (2), pepper, soups.
Is disgusted by fat (2) and oysters.
Seasonal allergy in the spring with redness on the body.
Has never had sexual relations. Three weeks ago met a man she likes. Is afraid (3) of a relationship. Her parents cause her to fear falling in love, they consider her to be immature, a child.

Correct remedy for Paper Case 8 :
Lach 1m was given. We thought of Lach because 2 remedies are given in the Synthesis repertory under fear of vomit – Lach and Acon. Jealousy and suspicion lead us to Lach. The fact that she cannot sleep on the left, but especially the fact that she cannot bear anything tight around the neck reinforce Lach.

Follow-up one month later:
Feeling of well-being. Improved self-confidence and less jealousy.
Is full of energy. Stays up late every evening with her friend and sleeps only 4 hours, though she doesn’t feel tired. Is afraid of sex.
The fear of vomit is improved, although it has not quite disappeared. She can have light meals in restaurants but does not eat in the evening.
No other remedy was given, only instructions not to stay up late!

Follow-up 31/2 months after Lach 1m.
Continues to stay up late.
Feels guilt (3) at having had sex ‘I wish the earth would open up and swallow me’.
Fear of vomit has returned. She has planned to go on holiday with her boy-friend but is afraid she will be sick and vomit on the airplane.
Repeat Lach 1m
Four months have passed and she has not returned.

Paper Case #7

Male 29 years old.
Main complaint is herpetic eruption with blisters and burning on the genitals. It appeared after coming back from a trip abroad.
He is homosexual and feels guilty about it(2). Has increased sexual desire(3), and four to five lovers every month.
Perfectionist with his work, studies a lot.
He is afraid that his partner won’t be faithful, while he himself was so in his two longest relationships (twelve and six months long). After having sex with someone he leaves first and this makes him feel strong.

He has fear of death of his loved ones (mother, father)(2), cancer(2), AIDS. He has fear of his employers finding out that he is homosexual. He weeps from fear of death (2), he is atheist (he feels that soul does not exist)
He looks upon his lovers contemptuously (2), because he feels that he has psychoanalysed himself and as a result has self–knowledge and they don’t.
Critical towards his parents (2)
Haemorrhoids(2). They used to bleed in the past.
He likes the sea. He did not use to go in the past as he used to be self-conscious due to him being overweight.
He likes travelling(2), theatre(2), company(2). He is sociable.
He likes the night(2). He sleeps from 4 am to 10am. He sleeps on his abdomen.
Desires pasta with sauce(3), ice-cream(2), salt(2), ice-cubes(2).

Correct remedy for Paper Case 7 :
Platina 200c, 1M, 10M on the first, second and third day respectively. It was based on the homosexuality with intense sexual desire and many sexual partners. The haughtiness, the fear of death and the fear of cancer also support the prescription.


The herpetic eruption had gone in two months time. He had pain in the haemorrhoids in the beginning of the treatment.

Sexual desire still high but he can control it. He is able to be more eclectic in the choice of his partners.

He looks upon the others in a less haughty way.

Paper Case #6

Woman 50 years old. Weight 58 kgr (128 lb.), height 1.64 m (5 ft. 5 in).

Patient had breast cancer (left side), diagnosed a year ago. Tumour and local lymph glands removed surgically. Five months of chemotherapy and 7 months of radiation therapy. Now receiving anti-estrogen treatment (Tamoxifen).

Has had no menses since starting the medication. No leucorrhoea. Occasional hot flushes.

Family history: Mother died of breast cancer at age of 50.
Personal medical history: Tonsillectomy at age of 6. Headaches until age of 32. Does not remember the last time she had a high fever.

Patient is cold (3). Has cold feet (3) at night in bed. In winter has to wear socks in bed but removes them later in the night. Sleeps on her abdomen. Wakes up after midnight (1:30–2:00 a.m.) and goes back to sleep.

Desires: sweets (2), salted fish (3), lemons (2), salmon (2), eggs (1), cheese (2), tea (2), seafood (2).
Aversions: fat (3), water (3), fruits (2), chicken.

Introverted (2), used to be much more so.
Does not trust people easily (1).
Cries easily (1) when alone (2) and for no reason. Does not cry in front of others, because she feels embarrassed.
Thinks of her cancer as a dream, and that her illness is not true.
Never talks about her problems (2).
Cries from consolation (1), feels sorry for herself: that is why she does not like to be consoled.
Likes company but she never says much. Other people trust her. She thinks of other people’s troubles to the point that she can’t sleep.
Easily offended (2).
Always observes herself. After talking to someone she analyses what she said. Tries not to hurt anybody.
Sleepless from thoughts (2) about her children and her life.

Divorced her husband 7 years ago because he was an alcoholic. Very sad because of this, feels sorry for him. Remembers the good things from the past and she cries (2).

Patient is a foreigner. Does not want to return to her country although her 2 daughters are still there.

Cannot tolerate the sun (3).

Likes dancing (3), “dancing is my life”. Feels better [OK? or “symptoms ameliorated”?] from dancing (3), and fast movement (3), “I never get tired.”

Fear of closed spaces (2).
Feels suffocated when she takes off her pullover, must do it quickly.
Fear of water (she cannot swim), road accidents (2), thunderstorms (2).

Correct remedy for Paper Case 6:
The differential diagnosis was between Natrum Muriaticum and Sepia. Natrum Muriaticum was finally chosen because patient was an introvert, wept when alone, did not like consolation and dwelt on past events; she also had a strong aversion to the sun and to fat and desired salty fish. The separation from her husband also seemed to be a major cause of the Nat-m pathology. After a detailed repertorisation [How was the diagnosis made in the first place?] it was also obvious that the totality of the symptoms supported the choice of remedy.

The patient was given Natrum Muriaticum 200C (one dose, the first day) and 1M (one dose, the second day), and Nat-m 6x for the next 30 days.

After a month she said she felt better in herself. She was more open, less shy and she expressed her opinion freely when she did not like something. Her desire for work was increased. Patient given Nat-m 6x again.


Paper Case #5

Woman 60 years old, 200 lb., height 5 ft. 7 in.
Thyroid gland removed in 1996 (Thyroidectomy; she takes T4)
Gall bladder removed in 1999 (Cholecystectomy)
Takes Centrac (Benzodiazepenine) and Seropram (SSRI).

Patient is a housewife, married with two children.

Consults doctor because of obsessive ideas.
Has “bad thoughts” that her 25-year-old son will die, that he will drown or will be killed. Feels guilty about having these thoughts, feels that it is a sin to think such thoughts, cries and prays. She herself wishes to die.
Prays (3) that her daughter, who has bipolar disorder, will be cured.

Loquacity, talks a great deal (2).
Afraid of illness, of cancer (2), of death (3), of lightning (2) (she was struck by lightening at the age of 13), earthquakes, madness (3), the dark (2), ghosts (2), snakes (3), dogs (2).
Superstitious (2), easily influenced. The choirmaster told her that the full moon influences sleep, and at every full moon and for two days before, she is sleepless.
Not jealous or envious.
In the past, felt of lot of anger. Used to shout at her children and curse them.
Weak memory.
Wants company.

Tires easily (2), lazes about (2), has no appetite for work.

First sexual experience was at the age of 28 with the man who is now her husband. She married him because she was pregnant.

Sexual desire decreased.
Anger (2) towards her husband.

Sleeps on her right side. Sleeplessness. Nightmares. In the past, had dreams where she was falling. Dreams that priests are chasing her. In a recent dream, saw her father, who warned her that something bad was going to happen to her, and she is afraÔhed. (3).
Feels the heat.
Does not wear clothes with closed necks (2).

Desires sweet foods (2), milk (2), eggs, fish, bananas.

When under stress, back itches. .
Had eczema on right elbow in 2004. It disappeared by taking supplements of Omega 3 fatty acids.
Sweats under her arms.

Has history of nosebleeds in childhood.

Despair of becoming well (2). She places all her hope in homeopathy. “I am scared by my own madness. My life is a living hell.”

Correct remedy for Paper Case 5:
The patient was given Mancinella 1M (June 2005).
One month later she developed large, itching eruptions on the abdomen and legs. She thinks much less about the harm that might befall her son. No longer sleepless.
She was told to wait and see what further effect the remedy would have. Has not needed to communicate with her doctor since then.

Read a short description of Mancinella by Prof Vithoulkas.


Paper Case #4

Woman, 46 years of age, married, with a 10-year-old daughter.
Patient was seeking help for muscular-skeletal pains.
Pain in the lumbsar region, sometimes on the right and sometimes on the left. She has lumbar disc hernias. Pain extends to thighs and buttocks.
Pains in the back of the neck, in cervical region of the spine. Pain extends towards the right arm.
Pain in the knees (2) (cartilage disease). Worse in the right knee and worse after dancing; better from stretching.

Ovarian cysts.
Uterine fibroids
Prolapsed mitral valve.

Anxiety (2) feeling of incompetence (2). Feels tired, both physically and mentally.

Sleeps only five hours a night. In the morning wakes up tired, and wants to sleep more. Sleeplessness when she is anxious, and sleeplessness the day before menstruating.

Copious menstrual flow (3). Indifference to sex. White leucorrhea (2).

Worse in the morning, doesn’t want to do work, doesn’t want to do her chores, better in the evening.

Anger (3). Towards herself and towards her family. She shouts (2), hits her daughter
Cries from anger and exasperation.
Guilty feelings (3) about not being a good mother.

Reserved (2). Does not talk about her private life, although she is sociable. Doesn’t want people to feel sorry for her, doesn’t (3) want comforting. Doesn’t want her weaknesses to be exposed.
Does not easily forgive herself or others. Does not easily express her love for others because she is afraid they may exploit her.
Strong and independent, she will be the first to leave a personal relationship. Does not fear the separation.
Quiet (2) and sulky when she disagrees with her husband, .
Puts off (2) doing chores. Doesn’t want responsibilities.
Afraid of impairment (2) (physical disability).
Feeling of pressure in her chest like a stone(2) since her mother died (when patient was 8 years old).
Bites her nails.
Jealousy. Does not express it.
Stubborn (2)
Likes dancing (3) and swimming (2).

Likes to eat fish (3), lemons (2), spicy and starchy foods, soup, eggs (3).
Strong dislike for fruit (since her daughter was born), sausages, salt and sweet foods.

Feels the cold (2), has cold feet (3), wears socks in bed.
Cannot bear the sun.
Finds cigarette smoke disturbing.

Wrinkles on forehead.

Family history of cancer (mother died of cancer of the ovaries at the age of 35, grandmother had pancreatic cancer, and her aunt had leukaemia).

Correct remedy for Paper Case 4:
The patient was given a single dose of Natrium muriaticum 10M.

Three months later she felt more “calm” and more “stable”. The muscular-skeletal pains were also better. Sleep was improved . Still indifferent to sex. No remedy was prescribed.

Nine months after the first prescription the complementary remedy Sepia was given. Since then she has not needed her homeopathic doctor.


Paper Case #3

Woman 49 years old. 55 kg (121 lb). Height 1.60 m (5 ft. 3 in.). Architect.

Seeks help for fatigue and depression.

Thyroid nodules for 7 years. Euthyroidism (normal thyroid gland function), no medication.
Menopause at 37.
Feels tired (3).
Not happy with her marriage. Got married at 34. Has two children.
Bad relationship with her mother-in-law – not on speaking terms.
Mentions difficulty expressing her feelings. “I freeze”, she says.
Describes herself as an “apathetic” child. Felt depressed at home.
Used to sneak out of the house without her parents’ knowledge.
She feels anger at her husband but doesn’t express it. Describes him as “bossy”.
Used to cry a lot as a child. Now she doesn’t cry. She sighs. “I don’t feel joy”, she says.
Feels inner turmoil, like being rushed.
Indecisive, procrastinates.

She doesn’t forgive (2). During arguments with her husband she “keeps it inside” and talks about it later to her husband. Rarely does she “lose control and tell him about his bad points”.

Now she is thinking about having an extramarital affair. It is hard for her to decide on a divorce now. Five years ago, she took her children and left home in an attempt to separate from her husband. He was very religious at the time, was a member of a cult. Finally he backed off (he left the cult) and they did not separate.

Low self-esteem (2). At home, she sometimes disconnects the phone to avoid getting a phone call from work and hearing about something she didn’t finish. Feels guilty about the mistakes she makes at work.
Was very sad after her father’s death in 2002. She felt guilty for not having taken very good care of him.

She is afraid of dogs (3), airplanes (fears a possible crash), sickness, cancer.

She likes to be praised (3), doesn’t want consolation (2), doesn’t want people to feel sorry for her.
Changeable mood (2).
Likes poetry, dancing, swimming and music.
Throws off the bed covers during her sleep. Wakes up feeling refreshed.

Feels better during the morning and worse after lunchtime, 2 – 4 pm.
Indigestion (2). Has feeling like a rock in the stomach when she cannot express (verbally) what she feels.
Cigarette smoke bothers her indoors.

Wart on the sole of her left foot. Removed by laser in 2002, but it came back.
Small brown spots on the face from her first pregnancy.
Small lipoma on the top of the head.
Worn heels (ie cracked skin).
Intense erotic desire (2), with difficult orgasm. Used to cry after orgasm.
Wants to sleep with arms around her husband, but he doesn’t want her to.

Unimportant relationships and one-night stands before her marriage.

Desire for sweets (3), lemon (2), fruits, fish, wine (2).
Doesn’t like cheese (2), fatty foods, milk.
Dislikes onion and garlic even more – they give her gas (2).

Correct remedy for Paper Case 3:
Patient was given one dose of Lycopodium 10M (case first taken in May 2005).

After 5 months, higher self-esteem, not afraid to answer the phone. Fights with her husband. During the next months, when she used to visit her homeopath every 1-2 months, was given sac-lac.

7 months after the first appointment, developed intense talkativeness and irrational jealousy of her husband.

Patient was given one dose of Lachesis 1M. 1 month later she developed a urinary infection that resolved itself without medication.

5 months after the Lachesis prescription (about 1 year after the first consultation), she notes that her relationship with her husband is much better. She is not jealous any more, she is “balanced”. At her last appointment (March 2006), the thyroid nodules were smaller. The patient did not feel the need to consult her homeopath again.


Paper Case #2

Girl, 5 years old.

Mental deficiency, masturbation

Normal birth; was vaccinated (all vaccines).

Attention deficit disorder. Delayed walking and talking.

Until 4 years of age could not control sphincters of micturition and stool. Now enuresis at night (2).

Talks but says only words, and can not form sentences.

Has masturbated (4) since the age of one year, day and night, with her finger or a toy dog. Sometimes used to masturbate on the corners of table; now she covers herself with a bed sheet when she masturbates.

Leucorrhoea (2), which stains her underpants yellow.

Nervous (2). When she gets angry, pushes the tablethrows things.

Afraid of heights (2), dogs (2), pigeons. When she sees a dog or a pigeon, runs to to the shelter of her mother. Afraid of the dark (2), wants a light on when she sleeps (2). Until last year, slept in her parents’ bed.

Likes music. Dances.

Hyperactive, runs, jumps up and down.

She cries out suddenly (whining tone) without cause, or laughs nervously.

Jealous of her sister.

Weepy (2), whining . Needs consolation. Likes company. When someone kisses her, she wipes her cheek.

Awkward, stumbles.

Desires ice-cream (2), salt (3), lemons (3) (eats lemons).


She likes bathing (2) and thesea (2).

Sleeps on her back or side.

Redness at the external edges of her vulva.

During case taking, she lay on her stomach and tried to masturbate.

Correct remedy for Paper Case 2:
Medorrhinum 10M (one dose) was given. She has improved mentally, can form sentences, is more co-operative during speech therapy, masturbates much less.


Paper Case #1

Boy 3 1/2 years old. Parents consulted homeopathic doctor because of his constipation and behavioral disorders.

Constipation (3), has a bowel movement only every 5 days. Constipation appeared before 4 months.

Hard stool (2).

Jealous of his 6-month-old brother. Hits him (2).

Kicks cats.

Cries when someone doesn’t do what he wants (3). Stubborn (2), grumbles (2).

Hyperactive (3), cannot sit still on a chair.

Gets upset (3) and throws out-busts [meaning unclear. There is no such word] (2) things.

Impatient (2), gets very upset if he isn’t given something that he wants.

Screams (2).

Gets upset and goes to his room by himself.

Sometimes he is risky, doing dangerous things, e.g., gets on to the table and jumps off in order to attract attention

Fear of the dark (3), desire for light and company when he sleeps (2); sleeps in his parents’ bed. Dislikes taking a shower (2). Fear of lightning and thunder.

Puts his hands on his mother’s breast.

Talks to himself (2); a few days before, he said in his sleep: “I won’t have a stool today either.”

Late going to sleep. Sleeps from 11.00 p.m. to 8.30 a.m. While asleep, takes the covers off his bed. Perspires at the nape of his neck (3), perspiration wets the pillow.

Desire for milk (2), eggs (2), fish (2), mandarins (2), lemon on his food (when he was younger, he would pick one and eat it).

Normal birth; was vaccinated.

Recently had a high fever (39 C). Had bronchitis 1 1/2 months before the homeopathic consultation. Had to use inhalers for 3 weeks.

Correct remedy for Paper Case 1:
Hyoscyamus 10M (one dose) was given, with excellent results in a few days. He is now calm and the constipation is gone.


More paper cases and homeopathic quizzes will be presented here every week.