A woman age 40 pale.emaciated with suffering written all over her. She had a major operation an abdominal section three months previous. As the woman spoke very little English. It was impossible to learn what was done following her return from the hospital. She had been in almost constant pain several doctors had been to she her with no relief the pain was sharp confined to the left side .travelling from the abdomen up the left side. Through the heart and chest to the head. It was spasmodic and interfered with the heart this description of the pain is supplied by the physician for the woman could only murmut “pain pain pain,”and sweep her arm from the pelvis to the head.and hold the hand over the heart.
What pathology had made necessary the operation was not learned. For only the verbal symptom of pain was given the fact that an operation produces trauma to nerve as well as muscle tissue and that it was a left sided,spasmodic, clinical picture suggested spigelea. Witch was given in 200 potency,the next day the woman looked happier and while she said she had pain it was less severe.three days later the family said the doctor need not come any more for the patient was well.
Because clinical pathology may old in the selection of the remedy does not make it a scheme perse for prescribing. It is to be considered as one more plan to be tried. When other modes of reasoning do not bring results. Again a knowledge of pathology cannot be substituted for a knowledge of material medica for no one can prescribe a remedy homeopathically until he has some idea of its symptomatology as well as sufficient knowledge or experience to make remedy