Blog - Shilpa Bhouraskar

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,

Warmest Regards,

Shilpa

Discussion:

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Dear Shilpaji,
Thank You. Wish you a happy and successful New year.
The approach you have tried & succeeded in this case is very new to me.
I will try to think in these lines in my difficult cases.

Warm regards
Narendra Nath

Thanks Dr Narendra for being open to newer ways.
I am sure you have lots of pearls of wisdom to offer too.
Would love to know how you go with this new approach.

Warm Regards
Shilpa

Hi Shilpa,
That was such an interesting video.Thanks. I must try this with one of my recent teenage boy cases. The mother keeps telling me "He is just like his father"
Regards,
Fiona

Thanks and let us know how you go Fiona.

Shilpa

Lovely case and beautifully presented. I don't have my books with me at home, but wondering what the plant family is. I sat in on a case with you (Alex) a year or two ago, and the core was boredom. The second prescription was Origanum (I have gone blank on the first). You also prescribed Teucrium in a case where the need for excitement and stimulation was high from the same family. I am just wondering whether Piper met would have been indicated for Alex? and how the boredom aspect is different between the two prescriptions. Also, I have a question on the management aspect. How did you charge for the father's consult? Also, did you suggest to him that he might do well on the medicine? The other remedies that came up for me in this case were Tarentula hispanica and Coffea. Many thanks, Michelle

Thanks Michelle
Piper Met belongs to the pepper family whereas Origanum and Teucrium are from the mint family.

They are quite similar and boredom can be expressed in both these. The difference is in pepper the need is for variety and change. Boredom in Pepper family is monotony, routinism, everyday same boring things. There is no newness.

In the mint family there is a need for excitement and passion. Can be expressed as a sort of irritation itching etc. Here Boredom is dullness and no reaction.

What a beautifully explained and analysed case. Its good to see what can happen when people persist!
Christine Pope

Thanks Christine.
Its lovely to get in touch with you here.

Shilpa

very well explained Shilpa, this is a lovely case.

Dear Shilpa
This is so interesting when you find the true sensation in a person. Its like standing back and think: what is this really about and not get sucked into the details. Brilliant analyses. Thank you very much.
Pia Lehmann

Thanks Pia,
That is so true. Standing back and being curious is the best thing we could offer our patients. It really mirrors what our little clients do so well every day of their lives.

Shilpa

Thanks Dr.shilpa to share such a good things which r i experience difficulties in taking case of kids.this is helpful for me.
thank you and wish u very happy new year.

Hello Dr Shivraj
Thanks for sharing. Yes I struggled with kids cases for a long time and more so when a majority of my patients in India were kids. This approach was my default strategy in all cases that were stuck and it almost doubled my success rate then.
Let us know how you go.

Shilpa

very good and useful shilpa,thank you a lot

Dear Shilpa,
Interesting case of Piper meth, but it seems you prescribed on the family sensation without differentiating between different remedies in the same family (Piper nigrum,Cubeba,Matico). Sankaran reckons Piper meth is cancer miasm, so it would have been interesting to explore the father's case a little more to confirm that the need for control, perfectionism, sympathy etc are also there.
Thanks for sharing, I am enjoying your blog very much.
xxPete

Thanks Peter,
Yes you are right. Today I could have explored a bit further and confirmed some more connections in the father.
However this case was taken in 1999 when the I did not know anything about the sensation approach or detailed understanding of the families.
I worked on this case using Kentian approach and used the materia medica for confirmation. It was only in hindsight that I can see how the family understanding matches with the case.

But thanks for your comments and I am glad you are enjoying my blogs.

HalloShilpa.its Elena.What i do .im using the Mental Guide of Constitutions of Phiilip Baily first.I took me six months to establish mu own questions reluing on this huge informations Then I minimize the remedies to three or four and distinguish then among them through their generals and physicals.Then find the simmillinum.This is my thinking and i find it better than loosing my self in a repertory.But you said to give the simmillinum but i what if there are pathological and mental problems,if i give 200c or above ,will it appear aggravation and where the aggravation will appear,inmentals in phicicals or both?

Thanks Elena,
Just curious to know what you mean by an aggravation here ( ie medicinal or homoeopathic).
I have tried to explain types of Aggravations and also Potency selection in these videos. They might answer some of your questions.

http://apps.homeoquest.com/blog/potency-and-stages/
http://apps.homeoquest.com/blog/remedy-response-aggravations-and-secondary-prescri/

Shilpa,I mean aggravation from the homeopathy remedy.i.e:i suffer from depression and also i have fibrocyst in the uterus,and also i have intense premenstrual emotions and a very heavy menorragia.If i want to give one remedy ,nat.mur ,shall i give 200c or start with 12c twice a day for two months?Because in my mind is, if i give 200c ,this may help in mentals but may make bigger the firocyst.Is it so?

This was a great case to listen to. Thank you Shilpa.
Piper Met sounds a lot like me too.

When you interviewed the father, were you asking about his state NOW, or his state during conception?
You probably also had an interview with the mother, and found no connection, right?

How can we explain to the parents that we need to interview them, in such a way that they will be accepting? Remembering this is their time & money, when they have already brought their child in for a consult with us.

Thanks Josephine. In this case I did not interview the mother because it was clear from the start that the expressions between the boy and his father were very similar from the previous casetaking

Hence I called the father for a separate interview. When interviewing we started with his state during but as very often happens there was a similar pattern even before and after this period.
As for your last question, in my experience parents are more than happy to be interviewed and generally go out of their way to help you understand these connections. It is all about educating them how the state of the child is connected to prenatal influences is so important for certain cases.
Also it is not in every child's case that we trace the prenatal history. It is only in cases where a case is stuck or regular remedies are not working.

Thank you Shilpa

A beautiful presentation of things to try with children's cases. And I'm delighted to see yet another expression of Pip-m, which (as you know) is of particular interest to me.

Hi Shilpa.
Children (or pets) are no different than adults when it comes to selecting a remedy. It always is based on presenting symptoms rather than relying on common kid (A,B,C, and P) remedies.
Thanks.
Dianna

Hi Dr.Shipla! The knowledge shared through this video is very enlightening and I will definitely use delusional and situational material medica in my clinical practice here after.

Thanks
Dr.R.Naga Surekha

Hi Dr.Shilpa! The knowledge shared through this video is very enlightening and I will definitely use delusional and situational materia medica in my clinical practice here after.

Thanks
Dr.R.Naga Surekha

Hi Dr. Shilpa - it`s very interesting to know that the mental state of the patient´s father influences the remedy chosen in the child. I never heard of that before -
Is it a miasmatic approach of the case or how do you categorize it ? i would be glad if you answer me . Thank you once more

Dear Shilpa,
Thank you for the wonderful insight in this new way of case taking, and showing us the use of the different stage case taking. Yes with conventional case taking this remedy would not have come up. The thing is not to be too ridged in prescribing but see what works.

Hi Shilpa

How often did you repeat the remedy?

Many thanks
Kerri Sacks

At that time in 1999, I would give one dry dose and wait and watch. But because it registered and started working I did not repeat. But I did repeat it again during other acutes as and when they came on during that year.

thank you dr.shilpa for giving valuable guide line about family history . i agree with your approach that the mental state of the parents reflects in the offspring but many of us ignore that. this will help me to get the clear mental picture of the child by inquiring the parents mental state along with the available objective symptoms.

I am glad this is helpful Nathamuni.

Thank you very much for such beautiful sharing....

Dear Dr
Is it safe to use 30 in chronic disease and 200 in acute disease.thanks

For me it the potency is dependant on the susceptibility. I have used both these potencies in either diseases for people with moderate susceptibility.

Hi Shilpa,
I liked the process you have used here, it is certainly something I had not thought about. I generally have found Paul Herscu's book "The Homeopathic Treatment Of Children" to be a good reference in this area, but I have also wanted to know how to factor in the less commonly used remedies,
thanks again,
Luis Miguel Trapaga

Nice Dr. Shilpa ,
Well expansion, and handling D case , with using rare medicine, nvery beautifully expand through videos,
Great .
Thanks for sharing

Nice Dr. Shilpa ,
Well expansion, and handling D case , with using rare medicine, nvery beautifully expand through videos,
Great .
Thanks for sharing

Hello mam,
It was pleasure to watch the video.I like the way u analysed by taking fathers state and good learning to take as a tool thanks a lot for sharing the video.I also liked the method of taking the core and searching in references.This is some thing to look beyond to hetero similimum.
Thanks

Dear Shilpaji,
Thank You. Wish you a happy and successful New year.
The approach you have tried & succeeded in this case is very new to me.
I will try to think in these lines in my difficult cases.

Warm regards
Narendra Nath

Thank You !!!