Case begins:
A 17 year old girl came with a complaint of Allergic Rhinitis since childhood. She complained of stuffiness of nose, lacrymation, morning sneezing and severe headaches.
Passive Case Witnessing Process:
D: Tell me what’s happening? You know here I am just to understand you overall. I am not looking out for anything specific. Whatever comes up spontaneously you can talk about it, it may be related to your problem, may not be related to your problem.
P: I get frequent colds since childhood and it stays for weeks. During cold there is a weak feeling and severe headache. The pain is so severe that sometimes I feel like banging my head. I can’t concentrate on any work when the nose is totally choked. It feels very uneasy. I am allergic to dust, sprays, pollution. I feel very choked up with this sneezing. So I am very careful of eating anything cold, ice creams.
(Here as the patient starts describing her chief complaint, she gives a sensation of ‘choked’ but only in the local area, the homeopath therefore, should ask her to talk in general about herself.)
D: Go on. Talk more about yourself?
P: Last year I had a fracture in the left hand. Bone is ticking out. It still pains in that old injury.
During menses I have severe pain in lower abdomen. Twice I have collapsed because of weakness. On the first day I experience severe cramps. Because of which I keep tossing in the bed.
I am in my 12th standard. I have my own pressure of studies. Till I do not complete my studies I do not eat or do anything else. When there is more pressure this cold is bound to come. These sinus points also pain. Sometimes I feel the lungs are choked up.
(The sensation of ‘choke up’ comes up again. But it does not become the focus as it appears in the same area of chief complaint alone. Therefore, here homeopath needs to remain passive in search of the focus.)
D: You are doing well. Just go more close to yourself?
P: I am an emotional kind of a person. I get hurt when I hurt people for something, when in anger I say something. I have become short tempered. All my tension comes out in form of anger and I just remove it on my parents. I back answer them. I do not want to hurt them but something goes wrong and I hurt them.
My parents are very supportive. I share everything with them, take suggestion for everything. Even choices of my clothes I take their advice. My mom knows me better than myself.
D: Hmm
P: As a person I am very sentimental, get hurt very easily, very influential...whatever my friends say, I make immediate change in me. I get manipulated very easily. I go the way others want...it’s always the group of friends deciding for me. It’s not that I am dependent but I am ok with their views. Because of my nature sometimes people take advantage of me.
(Earlier the support and taking advice, suggestion came up in relation with parents and now it is seen in relation to friends. The picture slowly gets clearer.)
I feel I have done some mistake and get afraid that they won’t talk to me... no friendship. I don’t express my feelings ... not hurt them.
(The ‘hurt’ comes up again and again. Earlier she mentioned in relation to her parents and now she mentions in area of friends where she feels the hurt. Gradually she qualifies that behind the hurt is a feeling of done something wrong.)
I try to do good for my parents but when I am saturated, in that situation all gets heated up and then I feel bad and sorry for hurting them. I like to stay alone sometimes.
I lack confidence, not sure of things I do. My decisions are always wavering. I do not take firm decisions...need advice. When friends and family give support I feel I am right. I rarely make my own decision. Need someone to give me hint, prompt me.
(She comes back to this need for support, advice in different areas like that of parents, friends and general areas thus hinting that it is an important part of the focus.)
End of Passive case witnessing process
Out of place peculiars in passive CWP:
Focus: Need of support, advice which came up in area of parents, friends and general area.
Level of experience: Emotion (since she lives at the common human feeling level.)
In touch with: She talks in relation to herself
Expressing at the: General level (As she goes to various different areas of her life.)
Active Case Witnessing Process:
(Now we have a focus but its surety is established in the Active phase., The homeopath therefore should ask her about it. Or the other way could be to still keep it open ended by asking of ‘what is bothering her most out of all that she spoke till now’ to see what she keeps in centre.)
D: So out of all that you spoke, what bothers you the most?
P: Tension of studies is the most bothering. I always think do I have the capacity? Will I be able to do? What if something goes wrong then it will hurt my parents. They think I do not care for them or love them simply because I cannot express myself. Then I start feeling that I am not good and start cursing myself. I feel angry and to hurt myself, punish myself for something...so I stay alone that time. I feel I have done something wrong so should punish myself for doing wrong to somebody.
(At this stage in the case, patient joins the peculiarities of passive (hurt, done something wrong) in one thread and goes to a deeper level to give a delusion of ‘being punished for doing wrong’. This is the stage where now the homeopath should go Active- Active to understand this whole centre in its entirety.)
Out of place peculiars in Active CWP:
Active- Active Case Witnessing Process:
D: Talk about this, that “I feel I have done something wrong to somebody, so I should punish myself.”
P: I feel suppressed and lack of confidence...unstable...loneliness. I feel no one will have relations with me, no friends, all alone. I feel I have done something wrong to people, not being obedient, not fulfilling parents expectations. Then I start feeling that I am not capable of doing anything and not deserving. I am wrong...completely wrong. Feel like hurting myself ... punishing myself for the mistakes... you have to pay for your mistakes. If you do mistakes, you have to pay, by punishment and feel sorry for them.
(Since she is not going ahead when talking in relation to herself, using the DISSOCIATION TECHNIQUE will help. ‘Dissociation’ is a technique which helps the patient to bypass the conscious, intellectual talks and explore the deeper subconscious level towards the holistic pattern)
Active- Active Case Witnessing Process (with dissociation):
D: Ok. I understood in relation to you, now don’t connect to yourself. How would someone else feel in this situation of ‘Done something wrong, punish myself and you have to pay for your mistakes’ how . Just be with this and describe as vividly as possible.
P: One would feel lonely, no one to support, to understand, to take care of you, no one good to him, no friends, on his own. One feels not cared for, regretful. It’s like no one is concerned about you, to make you feel good, no advice from anyone.
Punishment in form of taken away from somebody, your loved one. Its like you are taken away from that person whom you are dedicated and love the most. You have to suffer alone...abandoned by relatives.
(So here we understand that on doing something wrong, the punishment is in form of no support, no advice, no love, no care, almost abandoned from loved ones. Here the whole pattern emerges beautifully connecting the need for advice, support on one side and the done wrong on other in one pattern.)
(When the centre of the case gets connected to the chief complaint, more surety is established. Hence, if the patient spontaneously does not connect, a homeopath should explore about the chief complaint. As in this case she spontaneously did not connect to the chief complaint, we explore that area.)
Active- Active Case Witnessing Process for confirmation (area of chief complaint)
P: When I get cold, the feeling is the same. I feel you have to suffer from pain because you have done wrong to somebody, hurt someone and so you have to pay for it and suffer.
(Here she beautifully connects her centre to her chief complaint thus giving confirmation.)
Active- Active Case Witnessing Process for confirmation (area of dreams):
D: What dreams do you see?
P: I get dreams of meeting friends whom I have not met for years. I often see that, in the day, something that goes wrong, in the dream I see the right thing happening.
(Again the same centre is reflected even in the dreams.)
Out of place in Active- Active CWP:
(Thus, we have a complete pattern with confirmation in two areas (that of chief complaint and a vital area of dream). This suggests that the case is scientifically complete.)
End of the case
Analysis of the case
Out of place peculiars in Passive CWP:
Out of place peculiars in Active CWP:
Out of place in Active- Active CWP:
Focus of the case:
Need support, advice, suggestions from parents, friends as there is lack of confidence, wavering decisions. Need someone to hint and prompt, what if something goes wrong.
Done something wrong...hurt people...and you are punished. Punishment in form of, taken away from somebody, your loved one. Its like you are taken away from that person whom you are dedicated and love the most.
You have to suffer alone...abandoned by relatives. Lonely, no one to support, to understand, to care of you, no one good to you, no friends, on your own. You feel not cared for, regretful. It’s like no one is concerned about you, to make you feel good, no advice from anyone.
Which Kingdom:
It clearly shows that there is something lacking and deficient in the structure. Thus points to the Mineral kingdom.
Which Row and Column:
All of these are suggestive of the Halogen: Bromium
Rubrics of Bromium:
There is also another aspect to the case, where the punishment is in form of
This is suggestive of the row 3: where the issue is of love, care and nourishment.
And what she wants is support, advice, suggestions, is completely dependent upon them for this nourishment, love and care. This is suggestive of the column 2.
Rubrics of Magnesium:
Which remedy: Magnesium Bromatum
Which potency: 200 (since Level of experience at the end of Passive CWP was Emotion)
About Magnesium Bromatum:
The theme of Magnesium Bromatum is ‘I have done something wrong, guilty of crime committed and I am being punished for the same. Punishment is in the form of being taken away from your loved one (suffering alone, abandoned by relatives and friends), from whom I seek support, advice, and on whom I am dependent for love, care and nourishment.
Remedy given: Magnesium Bromatum 200, SINGLE DOSE
Summary of the follow ups:
1st follow up after three weeks:
Physical level: I am completely fine. All complaints I feel have vanished away. The morning coryza is getting lesser day by day. No episodes of cough. Previously my cold would get aggravated if I ate anything cold like ice creams and all. But this time I ate lot of cold things but still nothing happened to me. Even getting exposed to dust and pollution I do not get sneezing bouts anymore. My headaches are better. Dysmenorrhoea is still the same.
Mental level: Her irritation with parents is now less.
State level: On asking her overall state she said, that now even when alone, she has no negative thoughts or guilty feeling.
After 4 months from start:
Physical level: I am all better. No complaints. No allergy at all. Even in dysmenorrhoea, pain is very less.
Mental level: Feel I am more focused in my work and there are no distractions.
State level: I do not get that guilty feeling of done something wrong. My decision power is improved. Now I am able to take decisions by myself. The not cared and not loved feeling doesn’t come to me anymore.
She continued treatment for more 2 months and then voluntarily I stopped her treatment as she was absolutely better in all her complaints as well as at the holistic level.
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