Answer to Case # 1 of case solving contest: ‘A Ton of Mucus Comes Out’

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Ms. SN, a 34-year old teacher, tall and thin with strawberry blonde hair and a little dimple in her chin, came to see me for chronic sinus infections and polyps in her sinuses so severe, that she had been forced to stop teaching. She had had two recent sinus surgeries to remove the polyps but said the polyps would grow back within six months. Her ENT doctor says her sinuses are “packed with polyps.”

Her doctor has put her on various antibiotics, but then she always gets yeast infections. She also has severe environmental allergies, especially to molds, and has constant postnasal drip. “I remember sniffling constantly as a child.”

She also had a urinary tract infection at the time she came to see me, with a history of recurring UTIs in her 20s. She reported occasional vulvar discomfort and hoped to be healthy enough to start a family. In her past medical history, she reported:

• warts on her hands, feet and nose frozen off at age 8
• her adenoids removed at age 10
• an intestinal blockage due to an abdominal adhesion, age 14. “I still feel as though something is kicking around in me” – gesturing to abdomen.
• ongoing acne since puberty, with a very greasy, oily complexion

She also reported many vaccinations in recent years, because of those required for teaching and those required for international travel.

“I started feeling more ill when I began teaching high school a year and a half ago. I believe my sinus infections started getting worse last year. I was catching every cold then. I became pregnant around Christmastime, then in January my sinuses were insanely swollen. I felt bad because I had to take Sudafed. I tried going off my medications but I got very sick and my doctor said I had to take them. I miscarried in February and felt guilty about the medications.

“In addition to beginning a teaching career, my personal life was very stressful. I had just gotten married the previous September, and we had to rush the wedding due to my husband’s overseas travel schedule. My job was exhausting, and in August I found out my uncle had molested his two sisters. I told his ex-wife because I was afraid for the safety of their young daughter. This was very traumatic for my family. Then my father refused to come to our wedding. He didn’t tell us, he had my grandmother tell us. I became much more distant from my family after all these conflicts”.

“My sinuses tend to get worse as the day goes on and are at their worst around 8 pm. I have mild face pain; headaches; swollen sinuses that make it uncomfortable to speak. When I learn forward to pick something up, it feels like my sinuses are falling forward in my face. Lots of mucus – very dense, not runny – pools near the bridge of my nose, so I have to blow my nose regularly to remove it. A ton of mucus comes out, it’s a deep golden yellow. There are pieces of stuff that look like rubber cement. I can often see the swelling in my face. The bridge of my nose and sides of my nose look swollen”.

“I have a huge amount of stress right now around not being able to work as a teacher. It took me so long to figure out what I wanted to do with my life. Now I’m being told I can’t teach, for health reasons. I have lost my whole identity, my sense of self-worth. Plus it’s creating financial stress”.

“When I was 19 I went to the emergency room with a UTI. The doctors made me feel filthy, told me I had pelvic inflammatory disease. I did not respond to the antibiotics and developed a kidney infection. From then on I experienced painful sexual encounters and later experienced vulvar pain and burning, along with frequent UTIs, until I was 29.”

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ANSWER

This is a Thuja case. This woman did extremely well on Thuja. In fact, she had several polyps come out when she blew her nose soon after starting the remedy! Her sinus problem cleared up quickly on Thuja. She was able to go back to work as teacher and she also had a successful pregnancy, giving birth to a lovely little girl. It may sound like an invented case, given how many sycotic symptoms and particularly Thuja symptoms it has, but every detail including the quote is true to the original case.

Characteristic Symptoms organized into themes

Chronic sinus infections

with severe polyps
worse as day goes on, worst 8 pm
worse leaning forward
with dense, golden yellow mucus
with visible swelling

Additional sycotic symptoms

Yeast infections from antibiotics
Mold allergy
Constant postnasal drip
Urinary tract infection (there is not enough information given in the case to repertorize this separately)
Warts
Adenoids (enlarged enough to require surgical removal)
Intestinal blockage from abdominal adhesion “as though something kicking around in me”
Acne with greasy, oily complexion
Feeling filthy about UTI
Possibly worse from repeated vaccinations (can’t be sure from the intake)

This case was such a clear sycotic miasm case that it was solved without repertorization, based on a differential among the top sycotic remedies. Thuja was a clear match, given that it covers the sensation “as though something is kicking around in me” in her abdomen and her feeling filthy in the emergency room. Among the sycotic remedies, Thuja would also most typically have the greasy, oily complexion, the warts and the mold allergy.

Medorrhinum is another sycotic remedy I have used successfully for sinusitis; I remember one client who had sinus pain in one small spot (reminiscent of Kali bich) but the spot was where she had been told (based on an ultrasound) that she had a polyp. I gave this other client Medorrhinum based on the totality of her symptoms, and the pain disappeared immediately. However, she did not see the polyp come out as the client in ths case did. There is nothing about this teacher’s personality that would lead us to think of Medorrhinum for her.

Kali bich would have been a good acute remedy for her if she had needed one, i.e. if the Thuja took a long time to work and did not provide immediate relief. In particular the “pieces of stuff that look like rubber cement” and the visible swelling in her face would be typical of a Kali bich sinusitis.


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About the author

Begabati Lennihan

Begabati Lennihan is director of Teleosis School of Homeopathy in Cambridge, MA. A Harvard alumna, she practices homeopathy at the Lydian Center for Innovative Medicine and teaches meditation at Harvard Health Services"™ center for mind-body medicine. She is an Adjunct Instructor in homeopathy at Massachusetts College of Pharmacy and has edited several textbooks of homeopathy.

2 Comments

  • Yes ofcourse Thuja is the master of anti sycotic remedy so it works. medorrhinum also works as you told generally any case where any person suffering polyp, sinus problem, any neurological problems which can be traced to a sycotic origin. others important remedies helps a lot in polyps like Calcarea carb, Carcinocin, cirrhinum, Conium etc. But the potency used should be above 10M except nosodes(my practical experience)

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