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A SHARP APPENDICITIS CASE This case is about a patient that took sepia from 86 to 88, taking into consideration that she was away from appointments during a period of five years. We talked to each other some times by the phone, because she "got sick" very little and used to get better from everything with a dose of Sepia. On October, 1998, she returned to consult herself relating a cystic nodule on the breast, uterine myoma and cyst in the ovarium. By the ending of the speech, called my attention the tematic of the family relation manifested by the patient: about the insatisfaction with the marriage, about the necessity of being independent from the people she were affecionately linked (husband, boyfriends), not liking people running her life, about feeling invaded by this people. The fact of never having thought about getting pregnant and at the same time of the sensation of feeling "absolute"with the borning of her daughter, always taking care of her as a father and as a mother. Also presenting tumors both in the breast and in the uterine, ovarium cyst and yet na intolerance to alcoholic drinks. I associated all this to Conium, of wanting to create independently, with no partner, to refuse the collaboration to generate and of her organotropism, to organs linked to generation, uerum, ovarium, breast. With this symptomatology, i gave her a dose of Conium 1MFC. Two months after this prescription, the patient calls me abroad Rio de janeiro with a violent pain in the right shoulder articulation that impossibilitated the arm movement. As she had no dose of Conium to prescribe her, i opted for Rhus t. 30CH, to aliviate the intense pain. She got better in a question of hours, what amazed the patient. On April, 14, 1999, two weeks after, this patient calls me at 6am, relating consecutive puke nauseas, fever of 37. 5, an intense abdominal pain that impossibilitated her to locomote and kept her curved on her abdomen. I asked her to go to the consultory for a exam and confirmed my suspicious about a sharp appendicitis. In the consultory i gave her a dose of Conium 10MFC, (made at 9: 00am), i asked routine exams for sharp abdome ( a x ray of the abdomen, a complete hemogram, a ultra sonography of the abdomen). Adding to all this i asked for an opinion of a surgean coleague (Dr. Samuel Giovanini), that confirmed the diagnosis, asking for an internation to make exams. 6pm. Sharp abdomen routine: distension signals from the thin intestine with hydroaerials levels and deviation in the ropes of the thin intestine to the flank and the right iliac cavity. 8pm. US abdomen and pelvic: free liquid FID, observing tubular formation at the deep of a blind sack, aperistaltic, with 11mm of diameter, originating from the base of the caecum (appendix). Hemogram: leucocytes 16. 400mm3; segmented 90%; staffs 2%, 45 VHS»42 Diagnosis: sharp appendicitis. On April, 15, 1999, at 2 o'clock, the patient refers to not having spontaneous pain. Do not present antalgic position. Present appetite. In the exam: flacid abodomen, painless to palpation, refering only to a soft annoying when palpation is deep. Lack of signals of peritonial irritation. Present peristaltic. Conducting: observation. 9: 30am. - Patient showing no symptoms, present appetite. On the exam: flacid adomen, painless to palpation, with no annoyance to a deep palpation. Peristaltic present. Hemogram (7: 50am) - leucocytes 9060/mm3; segmented 73%; staffs 2%; lifocytos 18%. Sharp abdomen routine - feces present on the right colon. Absence of distension signals from the thin intestine, homogenic distribution of the intestine ropes. Conducting: discharge from hospital. This case shows that the prescription by the miasmic dinamic that should envolve homeopathic symptoms from the major part of the individual is perfectly reasonable in a sharp case. Dr. Lilia de A. L. Ramos
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