The theme of Calcarea carb with cases

Dr Maherukh Siddiqui

THE OYSTER WE NEED ON DAILY BASIC – Theme of Calcarea:
Prepared from middle layers of inner part of oyster shell, the feature of Calcarea is protection and withdrawal. The main theme of Calcarea is stability and security. It is because of overprotective background the child feels safe and secure to take a risk, unable to make his/her decisions.

Ailments from: Fright, grief, disappointed love, malnutrition, imperfect ossification, suppression of eruptions, over-lifting, fracture, exposure to cold moist wind, delay labor, artificial milk and snake poison.

Constitution: hydro-genoid; bulky, fleshy, flabby without fitness. There is no edema or retention of water underneath the skin. Skin is fair, waxy and Shiny. Fatness without fitness, sweat without heat, bones without strength. In children all milestones are delayed.

TEMPERAMENT: LEUCO –PHLEGMATIC (they are observers who do not involve / spend energy).

THERMAL – Chilly.  Lack of vital heat & chilliness, yet craves cold food. (Except, Calc sulph, Calc fluor, Calc silicata).

MIASM – PSORIC, SOME SYCOTIC TRAITS.

Diathesis: SCROFULOUS.

Dr. Kent says, ‘Sulphur has heat in patches, Calcarea has cold in patches & sweat in patches.’

Calcarean grows and cures polypi.

Calcarea babies are always more or less wormy.

CALCAREA CARB

• Psoric miasm + some sycotic traits.
• Central theme of carbonate is of a vital reaction.
• He seeks the protection he needs by expressing a lot of fear.
• They don’t want much adventure in life.
• Calcarea carb is a home builder. Home represents the protective shell he needs around him. Calcarea carb children can be very obstinate and can even get aggressive but this behavior is limited to their home.
• Outside, they are quiet, timid, fearful, well behave sensitive.
• Calcareas get anxious from watching/ hearing cruelty. On watching fight scenes calcarea child either leaves the room or closes his eyes.
• When life situation of calcarea carb person changes and he loses the security of his home; Stramonium (that is, unprotected person out in Dark night, wanting to come home. Whereas calcarea Carb who is inside the house and not wanting to get out.)
•  If calcarea carb Women happens to marry a violent drunkard, she can develop into Rhus toxicodendron. She can become tense, nervous and feel the threat of being killed inside her own house. Rhus tox = complementary = calcarea carb. Then calcarea carb person comes to the doctor from and protected environment at home, she may weep and ask for protection, Reassurance. So, while narrating her symptoms aggravate equals to pulsatilla weeping plus speaking of consolation while ignoring the nervousness and edginess at home.
• Bryonia and Calcarea carb are similar remedy. Both have aversion to movement and need for security and stability and the “fear of poverty”. (Incompatible).

CALCAREA ARSENICOSA:

Security / support + Mistrustful.

CALCAREA FLUORICA:

Stability / security + the fear of being let down and deserted. “Fear of poverty” calcarea floor also has the dream of efforts. Example missing the train etc.

CALCAREA IODATA: Terribly disappointed, betrayed, hurt or even starved (Iodum) by the person on whom he is dependent.

CALCAREA PHOSPHORICA:

I am not loved at the place of security (home). So, I should seek love elsewhere and come home for security. Calcarea phos are friendly and love to travel. The friends then become their home difference is Phosphorus do not make home where ever they go it is found in Calcarea phos due to Calcarea’s need for stability and security.

Calcarea phos – physically + mentally active + sensitive.

Tend to be lean, have white spots on nails and sweaty palms. Craves meat, fish, spices, potatoes.

CALCAREA SULPHURICA:

Tendency to boils and suppuration with yellow pus. Desire for fruits and tea. Hot patient; desire for cold bathing. cracks in the field in cold weather. Tendency to fungal infection like tinea, eczema, etc. Fears dark, jealousy, obstinate. Hatred for persons; agree with him, lamenting, appreciated because he is not.

FARRINGTON’S ELECTRO-POSITIVE MINERAL ELEMENT:  CALCAREA

The electro positives act on the chest in the morning and on the bowels in the latter part of the day. That is, they act upward on the body during the morning. (H⁺ ions are excess) they are > fog weather, likes washing.

CASE DETAILS

NAME:  Master. ABC

AGE: 4 years

SEX: Male child

RELIGION: Hinduism

OCCUPATION:   student

DATE: 17/2/22

PRESENTING COMPLAINTS: Patient complaints of cold and cough for 6-7 days.

Cough is dry in nature.

Vomiting of cough – once/yesterday < running.

Stammering present.

COMPLAINTS & DURATION	LOCATION	SENSATION	MODALITIES	A/F	CONCOMITANTS
Cold and cough for 6-7 days. Vomiting of cough.	Upper respiratory tract.	Dry.	< exertion	Not specified	Gets irritable when hungry. Small round hypo-pigmented spots present on fore-arms B/L.
Stammering present.

H/O PRESENTING ILLNESS – Patient was apparently well one week before. He developed symptoms of runny nose afterwards which is better now. Dry cough persists which is aggravated by physical exertion.

H/O PAST ILLNESS: Suffers from recurrent attacks of cold and cough at any slight change of weather.

FAMILY Hx: NOT SPECIFIED.

Parents are obese.

MIND DISPOSITION – Being a single child, he is very much pampered.

Restless and hyperactive.

Not angered easily.

PHYSICAL GENERALS

• APPETITE- increased (wants food in every 3-4 hrs)
• THIRST – normal (4-5 glasses /day)
• SLEEP: Position – On abdomen.
• SWEAT: Profuse, wets the pillow.
• STOOL: normal.
• URINE: Normal
• DREAMS: not specified
• INTOLERANCE: Being covered
• THERMAL REACTIONS: HOT patient
• HABIT – Not specified
• DESIRE: proper meal
• AVERSION:  Fruits and dry fruits
• MENTAL GENERALS – Patient is restless.
• Talkative. (His stammering doesn’t hinder him to talk about random things)
• Gets irritable when hungry
• Likes bathing

EXAMINATION

 GENERAL EXAMINATION:

• OBSERVATION: patient is fair, chubby and talkative.
• INSPECTION- General condition – good,

Temp – 37℃, P/R – 98/ min, R/R -22/min

Tongue – clean and moist.

Tonsils – non -enlarged / non – tender.

Small, multiple hypo- pigmented spots present on fore-arms B/L.

SYSTEMIC EXAMINATION:

• PALPATION: Respiratory system: B/L lungs are clear.

Cardio-vascular system: S1 and S2 audible. No added murmur.

LABORATORY INVESTIGATION: Not required for now.

PROBABLE DIAGNOSIS: Allergic rhinitis.

REPERTORISATION: by SYNTHESIS REPERTORY

MIND	Irritability- hungry; when
MIND	Restlessness-children; in
MOUTH	Speech- stammering- children; in
STOMACH	Appetite- increased- sick; when
STOMACH	Vomiting; type of, mucus, cough aggravation
COUGH	Dry- children; in
EXTREMETIES	Discoloration – forearm- white spots
PERSPIRATION	Profuse- covered parts, on
GENERALS	Covers
GENERALS	ENERGY – excess of energy- children; in
GENERALS	WEATHER – change of weather- aggravation

REPERTORIAL RESULT –

• Sulphur 6/5
• Nux vomica 5/5
• Mercurius 7/4
• Calcarea 6/4
• China 6/4
• Rhus tox 9/3

PRESCRIPTION:

• Rx Sulphur 30 – 4 pills, stat dose (early morning)
• Calcarea carb 30
• 4 pills, OD x 3 days.
•  1^st Follow up – 20/2/22 – cough is absent.
• Calcarea Carb 200
• 4 pills, stat dose.
• Rubrum 30
• 4 pills, BD x 7 days.
•  2^nd Follow up on 25/2/22 – overall improvement in patient, as stated by attendants.

Irritability decreased.

Fussiness decreased.

Hunger issues decreased.

Sac lac 30 – 4 pills, OD x 15 days.

13/3/22 – Calcarea carb 200

2 pills, stat dose.

DISCUSSION AND CONCLUSION:
After prescribing anti-miasmatic medicine as per the reportorial totality and clearing the case; followed by Calcarea carb, patient was very much relieved. His complaints improved to a degree. After giving second dose of CALCAREA CARB 200, relief in cough followed with improvement in appetite and reduced fussiness. To complete the case, stat dose of CALCAREA CARB 200 was given.

CASE DETAILS

NAME:  Baby XYZ

AGE: 2 ½ years

SEX: Female child

RELIGION: Hinduism

OCCUPATION:           –

DATE: 19/3/22

PRESENTING COMPLAINTS: Patient complaints of cough for 5-6 days without expectoration, which is aggravated in day-time.

Habit of nail biting.

COMPLAINTS & DURATION	LOCATION	SENSATION	MODALITIES	A/F	CONCOMITANTS
Cough for 5-6 days	Upper respiratory tract	Unable to expectorate	< day -time		Offensive urination
Pica	GIT				Nail biting

Pica eating – paint, chalk, raw rice.

H/O PRESENTING ILLNESS: Patient was apparently well 6 days ago, after getting exposure to change of weather she developed cough, which is dry in nature with no other symptom.

H/O PAST ILLNESS: she has a habit of eating undigestible things.

FAMILY Hx: NAD

PHYSICAL GENERALS

APPETITE: normal. (½ – 1 chapatti/meal)

THIRST: normal

SLEEP: normal

SWEAT: profuse, wets the pillow.

STOOL: normal

URINE: offensive

DREAMS: not specified

INTOLERANCE: covering

THERMAL REACTIONS: HOT

HABIT: Biting nails

Eating chalk, raw rice and paint

DESIRE: milk++, eggs +

AVERSION: not specified

MENTAL GENERALS: active child.

Spontaneous answering.

EXAMINATION

PHYSICAL EXAMINATION – Child is fair, flabby and active.

• INSPECTION: Tongue – clean and moist

Tonsils – Non enlarged

Temperature – 37°C, P/R – 108/min, R/R – 24/min

SYSTEMIC EXAMINATION –

• PALPATION: Respiratory system – B/L lungs are clear.

LABORATORY INVESTIGATION:  –

DIAGNOSIS: Pica

 REPERTORISATION: BY SYNTHESIS REPERTORY

MIND	Answering – abruptly
MIND	Biting – nail- children; in
URINE	Odour- offensive
COUGH	Dry – daytime
PERSPIRATION	Profuse
GENERALS	Covers- aggravation
GENERALS	Food and drinks – chalk – desire
GENERALS	Food and drinks – eggs
GENERALS	Food and drinks – milk – desire
GENERALS	Food and drinks – raw food – desire
GENERALS	Weather – change of weather – aggravation

REMEDIES WITH MARKING –

• Sulphur 18/11
• Calcarea 16/9
• Phosphorus 14/9
• Pulsatilla 13/8
• Lycopodium 12/7
• Silicea 11/7
• Natrum mur 11/7

PRESCRIPTION:

• Calcarea carb 200
• 3 pills, OD x 2 days.
• 1^ST Follow up: after 5 days, cough was gone.
• Offensiveness in urine also reduced.
• R_x Sac lac 30
• 4 pills, OD x 15 days
• 2^nd Follow up- After 15 days,
• R_x Calcarea carb 200
• 4 pills, stat dose.

DISCUSSION AND CONCLUSION:  On the basic of reportorial totality and potential differential field. Calcarea carb has been given consecutively, with the gap of 15 days which miraculously decreased desire of undigestible things in the patient with reduction in susceptibility to change of weather.

REFERENCES

1. Patil J.D., Group study in Homeopathic Materia Medica,1^st edition, B.Jain publishers, isbn no- 9788131901700, 2006
2. Farrington E.A.,Clinical Materia medica, reprint edition. B.jain publishers,1995
3. Allen T F, Handbook of Materia Medica, reprint edition 1994, B Jain publishers, 2001
4. The Soul of Remedies – Dr. Rajan Shankaran
5. Farrington’s Materia Medica
6. Allen’s keynote Materia Medica
7. Synthesis repertory