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Caso 17 – Reino Plantae – Nymphaeaceae
Sumário
NUPHAR LUTEUM 2
Nymphaea odorata .......................................................................................................................................... 3
Three cases of nuphar luteum (R. Tomassini) ............................................................................................. 5
Face eruption: Nuphar luteum .................................................................................................................. 5
Case C.F. 7 years old - female. ................................................................................................................... 9
Case 3 is the most similar to Sulphur. .................................................................................................... 14
Conclusion by Riccardo Tomassini, MD .................................................................................................... 17
Vermeulen Synoptic II Nuphar luteum...................................................................................................... 18
Cases ................................................................................................................................................................ 21
Reino Plantae
2
Nuphar luteum
In the Winter of 1865-6, one of the class in Hahnemann Medical College proved it under my direction,
but no symptoms of sexual depression were induced during the experiment. If the drug had any
effect it was to slightly excite the genital organs. The only noteworthy symptoms related to the
urinary organs, lumbar region, and throat. It caused, apparently, some soreness of the throat in both
experiments. This proving, however, need to be substantiated by others before its symptoms will
possess much value.
Nymphaea odorata
painfully live this thing of death. Death is not a tragedy rationally, but if someone dies I cry without
being able to restrain myself.'
What do you think about death?
'I have lived another life. For me there must be something. I believe in aliens, in ghosts. I am not
afraid of them, but I believe in them.'
Do you feel for others?
'I share with everyone. I can't see suffering babies going hungry. These wars, people killing each
other - that's enough. I can't bear it anymore.'
What about your personality?
'I am quite calm. I was shy and perhaps I still am, but I mask it. It is necessary to do the best one can.
I like to stay in nature in quite places. I go scuba diving and it is wonderful.
Before marrying I had a house with a garden and animals. Now, I live in a flat and for me this has
been a tragedy. There is no greenery and so I have filled the house with plants and gotten a dog.
Living here has been upsetting; buildings are high here and they make me anxious. If I could I would
go to live in the countryside. The house has a northern exposure and I need the sun. I am a little
animal needing the sun, and not having it is hard for me.'
Other problems?
'I don't sleep much. I am not able to fall asleep before 1 am.'
Fears?
'Claps of thunder. I can't bear them. Moreover, my teeth have always been decayed. My milk molars
broke into lots of little pieces. I have always had nosebleeds too.'
Crying?
'I cry very often and I like being made a fuss over. I ask for it if I don't receive it. As a child I didn't
receive enough love, at least not enough for me. I felt I was neglected and my father was never
present. But I think it was my idea that I was neglected and that my mother loved my brother more
than me.' (Actually, as I know her family, I believe her feelings are not wrong.)
Analysis
This is the repertorization of the case.
MIND; LOVE; animals, for (and)
MIND; LOVE; animals, for; suffering (as) sympathetic for animals (in a combined rubric)
MIND; SYMPATHETIC
SKIN; ERUPTIONS; General
FACE; ERUPTIONS; General; mouth; around
FACE; ERUPTIONS; itching
SKIN; ERUPTIONS; itching
HEAD PAIN; LOCALIZATION; Temples
MIND; DREAMS; battles (and)
MIND; DREAMS; war (and)
MIND; DREAMS; air; attacks (in a combined rubric)
MIND; WEEPING, tearful mood; tendency
GENERALITIES; FOOD and drinks; chocolate; desires (not included)
MIND; FEAR; thunderstorm, of (not included)
I noted Natrum muriaticum and Natrum sulphuricum, but they fail in many aspects that I consider
essential in order to prescribe them. So my attention was captured by Nuphar luteum and I chose it
with expectation.
Nuphar 30 CH in drops, morning and evening for at least ten days. Later on, I spoke with her by
telephone and I told her to continue taking the remedy in cycles for just a little more than three
months. (By cycles I mean - give the remedy for a few days, then wait and then give it again for a
few days and then wait. I don't use this method because I prefer to give the remedy until the
appearance of reactions and then wait the amelioration without prescription until the reappearance
of symptoms.) When she came for the visit she had stopped the therapy after about twenty days.
Follow-up after three months
7
(Actually, she hasn't had any more problems with her skin, headache, crying or fear of death.)
I prescribe the 30 CH dose again, in cycles, advising her to take it when she is near her period. Five
months later she felt very well. In particular she didn't have any problems with her periods any more,
or headaches, which she tells me she had tried many various treatments in the past years, without
any result. I decide to wait.
Follow-up after two years
The patient comes back a year later (in December 1998) during which she has taken the 30 CH dose
from time to time, at the onset of her period, always with very good results. She also tells me that in
spite of the fact that she is still very fond of animals, she feels less sensitive to them than before. In
the end, she adds that she had forgotten to tell me that her teeth had always been very sensitive and
aching, with dental caries, before the treatment. Each tooth with small caries was very painful. She
hasn't felt any pain and she hasn't had any new caries for a long time.
I prescribe the 30 CH dose in cycles again, as needed. During the winter the remedy helped her to
get over a form of influenza.
Follow-up after three years
The patient took the remedy only before menses until January 2000. Then she had head pain and
menses pain again and repetition of 30 CH failed. I prescribed LM6 in March, to be taken for 20 days.
There was a headache and I stopped the remedy. In June 2000 she was doing well without any
repetition of doses, so I think that the remedy was curative.
Refusing to answer
Nuphar luteum
9
MIND; ANSWER, answering, answers; refuses to (34) (in combined rubric) (89)
MIND; TIMIDITY (156) (and)
MIND; EMBARRASSMENT (17) (in combined rubric) (160)
MIND; EMBARRASSMENT; strangers, in presence of (4)
The differential diagnosis between remedies was easy because I didn't recognize any aspect of other
remedies present in the repertorization.
Sulphur is the only remedy with some aspects that seem similar, but there aren't important
symptoms of this remedy.
On the other hand I think that Nuphar could be very similar to Sulphur in many symptoms. There
was another reason to prescribe Nuphar.
I prescribed Nuphar Luteum 30 CH in drops, morning and evening, for at least two weeks.
After a telephone consultation she continued to take the remedy for two months.
Follow-up after four months
I saw her again two months after stopping the remedy, four months after the first visit.
She comes in and waves to me cheerfully. She wears some pendants round her neck - the kind one
can find inside a common packet of crisps. Two of them are of animals, one a pumpkin and one a
skull. When I ask her which one she prefers she tells me the ones representing animals.
Mother: 'She says she prefers the second standard in the primary school to the first one. She has also
learned to read, even if she is lazy. Anyway, things are much better.'
In what?
'In everything. Also her teachers feel the same way. She even goes to other classrooms to ask for the
chalk.'
And her friends?
'Now she has more friends than before. She goes to dance lessons, too. She often sees her friends,
and if she doesn't she becomes nervous; she is much more sociable. There is no comparison. It began
last summer and then, little by little, things have gotten better and better.'
And what about grinding her teeth during sleep?
'I haven't heard it for a long time.'
Animals?
'Her passion for them is still the same. Last summer we lost a small tortoise and we bought another
one.' Child: 'It was in the garden. I was looking at the big one. The small one went away and we
never found it again.'
And what do you play with now?
Mother: 'Now, she plays with her dolls, not only with animals.'
Fears?
'At this time she is afraid to remain alone in a room, but we don't know what she fears.'
Has she spoken of her mother's old age or of death anymore?
'No, not anymore. Perhaps her fear of remaining alone began after a movie that frightened her. In
particular there was a scene in which a horse was drowning and she burst into tears.'
I prescribed the same remedy for her, 6 LM in drops, in cycles.
Postscript after two years
Since this time, I have been in contact with her mother periodically, but I have not visited her child
again, because she feels very well. She is sociable and perfectly integrated into her school. She hasn't
had any problem in her relations outside of her family and she is enjoying excellent health. The
remedy helped her also when she had common seasonal influenza, which passed without any
problem and in a short time.
Inflammation of urethra
Nuphar luteum
Case
V.V. , a 34-year-old male veterinarian.
First visit on January 1998
The patient appears with a lifeless facial expression and a vacant glance. He looks dirty and shabby,
12
Politics?
'I didn't commit myself, but I have registered at two animal associations.'
Any kind of drugs?
'A little hashish. I wanted to try a barbiturate, but it befuddled me and so I haven't taken it anymore.
It was an experiment.'
Death?
'I've spoken about it with a friend of mine, I would like to make a cemetery for dogs. I think death
is a time of passing. We believe in reincarnation, and so I don't fear death very much.'
Masturbation?
'Just sometimes, but less than before. If I watch a film....'
Fear of the void?
'I fear it, but the vertigo has passed away.'
I insist on the 0/6 dose in cycles. He takes it for a long time randomly. He comes back eight months
later.
He starts speaking:
'There is family news. I had a baby three months ago. My partner and I are doing very well together.
Our child has linked us with each other, and now I'm convinced of it - me who didn't want him! The
fact is that she lives far away. I'm a little nervous, anxious. If I'm very stressed I get a little dizzy, but
I have an exhausting life.
As for urethritis, if I take the remedy it goes well. If I stop taking it, it comes back later, or if I
masturbate. With my girlfriend, if it happens, it's very beautiful also from this point of view,' (he
means from the sexual point of view), 'and so I never feel pain. I fear that I could suffer again from
exhaustion because of fatigue like years ago. I should stop.'
What about your intestines?
'I suffer form diarrhea, but not always. If I take the remedy, it is better. It depends also on the stress.
I'm not constant and a little untidy, I don't know if it is evident.' (Actually one can notice it
immediately.)
High places?
'They annoy me just a little bit.'
Animals?
'My relationship with them is always good, even with mine. Sometimes I can't stand them, but I
always feel a great love for them.'
He continues taking the remedy and six months after the latest visit he still feels physically well. As
for the relationships with his son and his partner, things go very well. He has changed some things
at his work in order to spend more time with them.
Later I gave a higher potency by telephone (18 LM for few days) and after a short initial accentuation
of symptoms, every physical symptom disappeared. I don't know the following psychological
evolution of the case because he didn't come back to visit any longer.
I think that the remedy was correct but, because of the many repetitions needed of the remedy, the
potency was initially too low.
Conclusion
I use the Complete Repertory of MacRepertory and I usually use the default strategy to analyze the
cases.
Massimo Mangialavori has been a friend of mine for many years and we have taught together since
1997 (the year of the founding of our Italian homeopathic school). We talk a lot about materia medica
and homeopathy in general. Many years ago we talked about Nuphar and he told me his opinion.
Later on I studied the remedy in the repertory too, and I agreed with his opinion.
These cases are a clinical confirmation of his ideas.
In accordance with Massimo, I think that love for animals and difficulties in relationships are two of
the most important themes of this remedy.
Cases two and three show both the problems well. In Case one, the difficulty in relationships is less
evident, but I had known the patient well for many years before her visit and I had noted her
16
M Sympathetic.
"Great moral sensibility; acute pain on witnessing suffering of animals."
M Impatience at slightest contradiction.
G Weakness after coition; from diarrhoea.
G Complete absence of sexual desire.
Voluptuous thoughts do not cause erections.
G Sore, bruised pains [head; thorax; posterior part of thigh].
agg. Jar [walking].
P Pressive pain in forehead and temples.
amel. Open air.
and Dull pain and sensation of weight in orbits.
"You may find it useful in some headaches attending depressed condition of the generative organs."
[Hale]
19
Symptoms
Mind: Impatient of slightest contradiction. Excessive moral sensibility, acute pain in witnessing
sufferings of animals.
Abdomen: Entero-colitis. Colicky pains all round waist, worse 5 to 7 a.m.
Back: Dull pain left lower lumbar region. When walking painful stitch to flank. Better by pressure.
Sensitive on kidney region.
Chest: Pain behind sternum, when running, as though subjacent organs violently shaken.
Eyes: When standing in sparks filled field of vision, converging from circumference to center.
Head: Heaviness of head. Bruised shaking in brain. Dull pains in front part of base of brain on level
of orbits. Lancination in right and left anterior lobes of brain. Headaches attending depressed states
of generative organs.
Limbs: Weakness and loss of power in limbs, worse evening.
Male: Complete absence of sexual desire, parts relaxed, penis retracted. Impotency with involuntary
emissions during stool, when urinating. Spermatorrhea. Pain in testicles and penis. Weakening
nocturnal omissions while convalescing from typhoid.
Mouth: Sweetish taste. Tongue white, mouth pasty.
Rectum: Smarting and burning at anus after every stool. Stitches as from needles in rectum, above.
Much exhaustion with stools, sense of exhaustion in epigastric region.
Skin: Violent itching. On different parts of body red blotches tolerably regular in outline, ovoid or
circular, prominent and covered with little silvery white scales. As eruption disappeared, scales
ceased to be reproduced and skin at place of each blotch became pale red or yellowish.
Stomach: Painful sensation of weariness in stomach. Digestion slow, wind colic with liquid, sour-
smelling stools. Exhaustion in epigastrium.
Stool: Yellow diarrhea, worse in the morning. Diarrhea during typhoid. Soft stools preceded by some
colic for several days or painless diarrhea. Stools: liquid, yellow, fetid.
Urine: Urine deposits copious reddish sand, which is hard and adheres to the vessel.
Comments
Another marked feature of the proving was the excessive depression of the male generative system.
Nuph. has done good work in analogous conditions and headaches associated therewith.
Compare
(1) in sexual weakness, Agnus, Kali-br., Lyc., Sel., Yohimbin. Nymphea odorate.
(2) In diarrhea: Chel., Gambog., Sulph.,
(3) Early morning diarrhea: Sulph., Nat-sulph., Rumex, Podo.
(4) Sexual debility, Gels., Con., Dig., Nat-m., Chin.
MIND
1 - Excessive moral sensibility, giving one great pain on witnessing the sufferings of animals
(eleventh day).
CLARKE
Clinical. Cholerine. Diarrhoea. Dyspepsia. Headache. Impotence. Psoriasis. Rhus poisoning. Seminal
emissions. Typhoid fever.
Nuphar l., the Yellow Pond Lily, was proved by Pitet, and many of his symptoms have been clinically
confirmed. Most marked was a yellow diarrhoea coming on in the early hours of the morning. With
the diarrhoea is great exhaustion. Nuph. has cured many cases of diarrhoea so characterised, and
even cases of typhoid fever. Another marked feature of the proving was the excessive depression of
the male generative system; and Nuph. has done good work in analogous conditions, and headaches
associated therewith.
The diarrhoea was < 4 to 6 a.m.; < after the least excess of any kind. Weakness and itching were <
evening. Walking = painful shocks in hams; and pain in flank, which was >> by pressure. < Day after
coitus.
21
Compare: Early morning diarrhoea, Sul., Nat. sul., Rumex, Pod. Sexual debility, Gels., Con., Dig.,
Nat. m., Chi.
1. Mind.
Impatient of slightest contradiction.
Excessive moral sensibility, acute pain on witnessing sufferings of animals. @
Cases
Case 445:
Virginia S., had typhoid fever already, for 3 weeks, when I was called to see her. The fever, during
its whole course, partook more of the abdominal character; she had, in 24 hours, twelve to fifteen
liquid, yellow and foetid stools; the pulse was small and miserable; emaciation extreme; and her
whole state in such a depression, that only an unfavorable prognosis could he given. As the stools
were especially frequent between 4 and 7 in the morning, I prescribed, without hesitation Nuphar
luteum, of the 12th dilution, a dose every 2 hours, and some beef tea in the interval. The next night
she had only five passages towards morning, one in the afternoon, and one in the evening; the second
night, three; the third none; and in the fourth reconvalescence was fully established.-Bibl. Hom. S. L.
Case 446
An old man, 71 years old, suffered from Cholerine since a week, in spite of Laudanum, Bismuth, etc.;
and was already in the last stage of marasmus. After taking Nymphoea lutea, for 12 hours, the stools,
the chief cause of the exhaustion, were arrested, and he could take nourishment suitable to his state.-
Bibl. Hom. S. L.
Case 447
Miss B. 54 years old, suffers since several weeks from entero-colitis, with severe colicky pains in the
rectum, and the characteristic stools of the Nymphoea. At the same time, she shows, in different parts
of her body, psoriasis, with great itching. Nymphoea12 cured in three days the intestinal affection,
and eradicated, quickly, the exanthema. Bibl. Hom., April, 1870. S. L.
22