Children and Homoeopathy - Using Prenatal History
My training in the paediatric OPD
Have you wondered how prescribing for kids can be one of the most simple things in homeopathy , yet at times one of the most challenging ?
I still remember the paediatric OPD in our hospital which exposed to me the joy of simple basic homeopathy. I observed how the consultants produced such satisfactory results using a mere handful of remedies. The case taking hardly lasted for more than a few minutes. The prescriptions were mostly at Stage 2 and 3 using the Keynotes approach. Allen's keynotes was the only reference text!
I still remember this incident on my first day as a year two student in the OPD. I took an elaborate case of the baby who suffered from persistent diarrhoea. I diligently repertorized the case but struggled to differentiate between three different remedies. Symptoms and rubrics from books were floating in my mind. I presented my case to the paediatrician with confusion written over my face. The paediatrician lifted the baby and checked the anal opening. Oh! its red, It's an acrid diarrhoea, the skin is dry inflamed and so hot to touch. There is your Sulphur. The next week the infant returned smiling and happy again.
Eventually I experienced the joy of prescribing these common prescriptions and it was amazing how a few such keynotes actually made the job so much simpler. It would have been a nightmare to sit with every mum getting a complete history for an hour when you have 20 restless harried mums waiting outside.
Children and Modified Kentian approach
Children's case taking using a Kentian approach posed a dilemma for me ever since I was a student. I enjoyed reading these interesting personalities in books by various authors. While I understood a Natrum Muriaticum or a Lycopodium child, I always wondered how could I ever identify say a Conium child or a Stannum Metallicum child if they walked into my clinic?
I found the answer to this while attending the OPD of one of my lecturers, Dr Sunil Anand who worked especially with kids.
I observed the terrorised Cicuta kids, friendly Lac dolphinum babies or the fiesty headstrong Ferrum metallicums.
He prescribed a variety of these so called uncommon children remedies which worked perfectly.
This was worked out using the modified Kentian or the delusional approach at Stage 3 or even 4 as I now understand. This was first elicited by observation of the child through play in the clinic and mother's narration. It was then confirmed with a detailed history of one of the parents who had experienced a similar state before the child was born eg the mother's pregnancy state or the father's state during conception.This formed a part of the child's prenatal history.
Prenatal influences and its role in case taking
It is interesting how the mother or the father's state or a strong emotional or traumatic stressful experience during this period is expressed by the child in disease.
The case taking involves eliciting this connection between the parent and the child. The deeper feelings can thus be confirmed from the parent when the child is not able to communicate.
Having said that my success rate using this approach in homeopathy is based on how clearly I first understand the exact core state of the child. This is initially done through direct observation of their expressions through play, art, hobbies and mother's narration etc.
Then I check if the state of the child connects with either the mother's state during pregnancy or the father's state during conception. A separate interview with the parents usually elaborates the delusion or the sensation from which the child's expression is being manifested.
This specific approach has worked for me to unlock many of my challenging homeopathic cases in kids.
Having said that as with any case I always make it a point to confirm the remedy by reading the materia medica if it is a well proven one. This increases the accuracy of the prescription.
I have prepared a short video to explain this process through one such challenging case from my practice.
Hopefully it helps you find your own answers in similar cases in your practice.
I also invite you to share your experiences of working with your little patients. What approaches work the best for you in your practice in kids?
That's from me.
Remember success come from trying different things. Persisting with the one that works and eliminating the rest.
Until next time,