Question:

“Asthma worse in open air and sitting up and better by lying down and keeping arms stretched far apart” is a feature of :

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\textbf{Homeopathic Materia Medica: Peculiar Modalities.} Psorinum is known for its striking and often opposite modalities. Remembering these peculiar symptom aggravations and ameliorations is key to its homeopathic application.
Updated On: Apr 23, 2025
  • \( \text{Arsenicum album} \)
  • \( \text{Psorinum} \)
  • \( \text{Carbo Veg} \)
  • \( \text{Medorrhinum} \)
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The Correct Option is B

Solution and Explanation

The peculiar symptom picture described – asthma worse in open air and sitting up, but better by lying down and keeping the arms stretched far apart – is a characteristic feature strongly associated with Psorinum in homeopathic materia medica. This remedy, derived from the psoric miasm, often presents with paradoxical and intense modalities. The aggravation from open air and sitting up, coupled with relief from lying down and stretching the arms, is a notable indication for Psorinum in asthmatic conditions. Let's briefly consider why the other options are less likely: Arsenicum album: Typically associated with asthma that is worse around midnight or in the early morning, often with anxiety, restlessness, and a desire for fresh air (though they may feel chilly). Relief is often found by sitting up and bending forward. Carbo Veg: Indicated for asthma with marked flatulence, coldness, and a desire for fanning. They are generally worse in warm, stuffy rooms and may find some relief from sitting up and being fanned. Medorrhinum: Often related to asthma that is better in damp weather and lying on the abdomen. They can have a history of suppressed gonorrhea and exhibit intense desires and fears. Therefore, the unique combination of modalities described strongly points towards Psorinum.
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