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Acute Vertigo in a Man of 52

Posted ByRajiv PeresOn July 18, 2019 @ 10:03 am In Clinical Cases | 2 Comments

A 52 year old married man presented on 16th February 2019 with complaints of
terrible vertigo for the last week. Vertigo from bending forwards, sideways and
upwards, worse by closing the eyes. It was associated with nausea off and on, which
was relieved by inducing vomiting. Nausea was aggravated after eating sweets. His
appetite had increased. There was also a dull headache in the occipital region which
extended down into the neck. He suffered from marked tiredness so much so, that
he would not feel like doing any work. He was compelled to lie down or sit quietly.
His eyes would not tolerate the light emitted from the television nor from his mobile.
He could not bear any noise. Even while lying down he would cover his face with a
cloth, not to be disturbed by noises and brightness around him. Also, he seemed to
not be hearing so well the last few months. The look on his face was sad, depressed,
intoxicated and low spirited. He was hanging on the chair and sighed on and off. I
had known him before to be an ever smiling and happy-go-lucky person. He used to
be a hot patient but at present thermally he was chilly. This disposition was so
different from what I had known it to be, that it was unacceptable to me. I inquired
what had gone wrong with him?

He narrated that an allopathic doctor had introduced him to Metformin tablets a

month ago in order to reduce weight, although he wasn’t diabetic. There was also a
history of cold and flu that had been treated by allopathy about two weeks ago. His
weight was 116 Kgs. One week ago that same doctor increased this Metformin tablet
to twice a day. While on this tablet he would feel very uneasy and experienced
sudden hunger pangs. He discontinued the tablets however he did not improve.
Usually he preferred warm drinks all the time but of late, his taste has been altered,
Therefore, a glass of soft drink would help him in such moments. He would pass
loose motions after every meal. Stools were always unsatisfactory.

In the last week the patient lost 3 kgs and had developed a feeling that everything
tasted sweet, along with aversion to sweets. He had suddenly developed a strong
liking for oranges+3, sour things and chillies+2. He then suffered loss of the sense

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of taste. He had turned very cranky. He would get irritated if asked questions. He
hadn’t shown up at his own business for work in the last week. He feared having
some serious heart problem. He had a past history of hospital admission. He was
admitted in ICU July 2018 with severe breathlessness. While in hospital he went into
cardiac arrest and responded with the third attempt at cardiac resuscitation.

Analysis and Prescription

I used Kent’s repertory 1. Desires Oranges. 2. Sensitive to slightest noises. 3. Vertigo

on closing eyes 4. Loss of taste

If you look up Theridion in William Boericke’s M.M. you find sensitive to noise and
light and “finds pleasure in nothing.” Vertigo with nausea and vomiting on least
motion. Boger mentions cardiac anxiety and the general modality “better by rest.”
Theridion covers the sycotic miasmatic dominance of this case. Hence my choice for
prescription was Theridion 200, 1 single dose.

Follow up the next day after starting the remedy : He resumed working at his
family business. His wife was so surprised to see him in this good form.

Follow up after 1 week 26-February-2019 – Patient reported that since the 16th
after having begun the treatment his vertigo is nearly gone (about 90%). He has not
felt the need to eat chillies although he ate Bel-puri (mixture sour, spicy and sweet).
He stated that he can walk a lot now, and can stand for long periods which is
necessary while working in his restaurant. He has gained 1 kg weight. Earlier he
wouldn’t feel hungry from morning time until noon. Now he feels hungry at
breakfast. The pain in the neck has also reduced by 70%, so now he can work well.
He has consumed meat without any problem. Stools are satisfactory which was not
the case before. He can watch the mobile, but still can’t watch television for long. His
mood is happy as it used to be.

Presently still enjoys oranges, sometimes has lime soda. He noticed that he has
become more alert than before, as earlier he would doze off anytime. He feels
uncomfortable to lie on the left side on account of abdominal pain. Nausea after
consuming sweets has reduced only by 10%. Enjoys listening to music as he used to.
He expressed his joy at all this.

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Follow up after 1 month on 17-March-2019: Patient reported that bread still

tastes sweet. He mentioned having vomiting sometimes (Psoric elimination) but not
troublesome or needing any treatment. He would still prefer lemonade and sour
fruits but with less intensity. He was able to fulfill every responsibility of his family
and business. He had even travelled out of station for visa work, where he also
attended a musical concert. He was very happy that his problems had resolved. No
neck pain. Stool evacuation was very satisfying. He spent time praying and thanking
God for every good thing.

Follow up after 1and ½ month on 31-March-2019: Taste is back. He can enjoy

sweets now specially kokum juice in this summer scorching heat. He brought laddu’s
for me and ate one himself which proves his improvement. He still loves fresh lemon
soda plain. Dislikes bread. No episode of vomiting. Neck hurts only if he wears a
helmet when he rides the bike. Stool everyday occasionally scanty. He is able to
bend down to tie his shoe laces. His wife said that now he is the first to wake up in
the morning and more energetic compared to any other family members. Earlier he
would get vomiting whenever he ate bananas but now he eats two bananas a day
without nausea. No more craving for oranges. No abdominal pain even lying on left
side. He goes to the theatre to watch movies. No desires for chillies. Weight is
113kgs.

Dr Hahnemann speaks of artificial/Iatrogenic diseases which are produced as a result

of prolonged allopathic heroic medicines in large and ever increasing doses
(Aphorism 74-76). Such diseases produced by the allopathic mal-practice are the
most incurable ones, especially if the treatment was continued for a long period.

During an acute crisis the remedy of choice is the acute intercurrent! This acute
illness shows a different clinical picture from the chronic natural disease. The
disposition during the acute disease as compared to the usual disposition will be the
key factor in the selection of the indicated medicine.

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