Elderly lady presenting with a very bad chronic ulcer on her R.leg. Has had bad circulation for years. Edges look thick and hard, it discharges constantly, thin and again highly offensive.Her breath also is offensive. The ulcer makes her physically restless. Decided to give her Pyrogenium, the ulcer itself seemed very putrid. Pyrogenium 6, tds for 10 days.
Discharged a lot more after 3 days, very smelly. Now discharge has gone, smell had gone. Ulcer is beginning to heal. Main problem is poor circulatiuon, so now is the time to give a deeper remedy Calc 30 given 2 months ago. Ulcer looking lots better.
Apart from the relationships of remedies mentioned in the Materia Medicae, it seems to be like Merc, as noted with Jeni T. (Case 17). (Lorraine Hart, RSHom)
Started after a pilaenoidal sinus(?) — a huge abscess at the base of the spine. This had taken months to develop, it was chronic, after this was operated on she started with a history of abscesses. Constant boils and abscesses. burning. itching. Sometimes blind, sometimes they ooze sticky, clear blood-stained fluid. Painful. Very offensive. Under arms and groin most affected. She gets feverish with them and is very restless from the pain. The rest of the case fitted Pulsatilla very well. But because I remembered Pyrogenium in NBWS serious infection. and the high level of toxicity (the oozing fluid from the abscesses was highly offensive), the restlessness and the burning nature of the abscesses, I decided to give Pyrogenium first to clear the way for the deeper remedy. Pyrogenium 6, tds for 10 days.
Four weeks later, following the Pyrogenium, there was a big eruption of lumps and bumps which were very painful and sceptic, but which but resolved really quickly. Also, they smelled foul. She has had no abscesses for two weeks. But still lots of pimples. Gave Pulsatilla next. No abscesses since.
Because the case seemed so toxic I decided to start with Pyrogenium in both cases on the basis that by clearing out the system the deeper remedy would have a better chance of working. (Lorraine Hart, RSHom)
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