Question

A patient was sitting up in bed, unable to lie down, as she was worse from lying down; face purplish and puffed, her eyes engorged, eyelids bloated, sat perfectly still with pain in the head as a surging sensation which came up the back of neck and head and then over the head. What is the probable remedy?

• A. \( \text{Opium} \)
• B. \( \text{Ars. album} \)
• C. \( \text{Spigelia} \)
• D. \( \text{Lachesis} \)

Hint:

\textbf{Homeopathy: Remedy Differentiation.} In homeopathy, the specific modalities (what makes the symptoms better or worse) are crucial for remedy selection. The aggravation from lying down is a key modality for *Lachesis*.

Answer 1

The Correct Option is D

The symptoms described in the question are characteristic of a specific remedy in homeopathy. Let's analyze the key features: Worse from lying down, unable to lie down:** This is a strong indication for *Lachesis*. Face purplish and puffed, eyes engorged, eyelids bloated:** This suggests a plethoric state with circulatory congestion, often associated with *Lachesis*. Sat perfectly still with pain in the head as a surging sensation which came up the back of neck and head and then over the head:** This type of headache, with an upward surging sensation, can also point towards *Lachesis*. Considering these symptoms together, especially the marked aggravation from lying down and the congested appearance, *Lachesis mutus* is the most probable homeopathic remedy. *Lachesis* is a polycrest remedy known for its symptoms related to circulatory disturbances, a sensation of constriction, and aggravation upon lying down or after sleep. Let's briefly consider why the other options are less likely: Opium: While *Opium* can be indicated for states of altered consciousness and congestion, the specific aversion to lying down and the surging headache are less characteristic. Ars. album (Arsenicum album): *Arsenicum album* is often indicated for restlessness, anxiety, and burning pains, with a general aggravation around midnight or in the early morning. The aversion to lying down is not a primary characteristic. Spigelia: *Spigelia* is primarily known for its action on neuralgic pains, particularly left-sided heart conditions and trigeminal neuralgia. The described symptoms do not strongly align with the typical *Spigelia* picture. Therefore, based on the totality of symptoms, *Lachesis* is the most probable homeopathic remedy.