I recognised the prevalence of rabies miasmin this case, which was most clear in bark-ing and growling at moving cars, which
Homeopathic Manage- was also relatively recent. Tom had inten-
sity in play that, along with his other char-acteristics, led me to prescribe Belladonna. I
decided to start with 12 C twice daily sincehe was on Florinef twice daily. Once I hadevidence of improvement from the Bella-
After ten days on Belladonna 12 C twicedaily, the biggest change reported was in-
creased energy and strength. He had pale-
Kelly described Tom as loving people, en-
thusiastic, excitable, and very happy. He
Tom (Fig. 1) is a neutered male greyhound
did not like other dogs, and was generally
indifferent to them. There was one dog in
2005, he began displaying a variety of symp-
toms, starting with decreased appetite, and
being walked on leash (Mind: Hatred). If a
after one week on the Belladonna, and re-
polyuria/polydipsia. This progressed over a
month to staggering gait, generalised weak-
to normal, the potassium was down to nor-
ness, disorientation, weight loss, and muscle
Suspicious, Mind: Contrary). In the prior
atrophy. Curiously, the sclera of his right eye
much lower, to just above normal. Her local
growl at moving cars while on a walk.
When in the car, he would go berserk if he
prednisone from one 5 mg tablet once daily
values for ALT (Alanine Aminotransferase),
to three quarters of a tablet once daily.
amylase, BUN (Blood Urea Nitrogen) andcreatinine, and potassium. His blood pres-
Tom had a strong prey drive, and absolutely
At this point, I incrementally decreased the
sure was low. He was diagnosed with Addi-
loved to chase and retrieve a ball thrown for
sonʼs disease (hypoadrenocorticism).
him. In response to my last question, Kelly
once daily, and ten days later had Kelly stop
the prednisone altogether. After one day of
When I first took his case four years ago
decreased appetite, Tom did very well, had
with Florinef (fludrocortisone) and predni-
stairs, as had been his norm. He had red-
sone. When first started on these drugs, his
I started with the rubric Kidneys: Addisons
ness of his eyes, episodes of shivering (not
disease (48): abel., adren., ant-c., apom., aq-
from chilliness – he was seeking cooler
act exhausted, his legs swelled, his nose
mar., arg-n., ars., ars-i., bac., bell., Calc., calc-
spots, which was a change for him), and ex-
ar., calc-i., calc-p., carb-v., caust., chin., corti-
treme thirst at times. His bowel movements
so., cupr., ferr., ferr-i., hydr-ac., Iod., kali-ar.,
kali-c., kreos., lyc., mang., med., Nat-m.,
daily. He seemed to Kelly to have less of an
nat-s., nit-ac., ol-j., petr., Phos., pic-ac., psor.,
sarcol-ac., sec., sep., Sil., spig., sulph., sup-
ren-cort., ther., thuj., tub., vanad.
Then I made a mistake. For a variety of rea-sons I prescribed one dose of Calcarea car-
Tom had been a racing greyhound, andKelly, his caretaker, had acquired him from
a track at 3.5 years of age. At that time, hewould guard a bone or rawhide, but notfood. He also had separation anxiety, which
This is a case report on a greyhound dog with Addisonʼs disease (hypoadre-
nocorticism). A sequence of three remedies over four yearsʼ time – Bella-donna, Calcarea carbonica, and Lachesis – has not only improved his individ-
ual symptoms, but has dramatically raised his general level of health in
spite of the ongoing, presumably incurable, condition.
ally move to the shade. He was not easilychilled.
KEY WORDS Addisonʼs disease, Hypoadrenocorticism, Belladonna, Cal-carea carbonica, Lachesis
Jeffrey Levy, Homeopathic Management of – Homœopathic Links Autumn 2010, Vol. 23: 1 – 3 Thieme Medical Publishers, Inc.
and was outdoors running hard when hesuddenly screamed and fell. His left scapulahad sustained a comminuted fracture. I felt
that this was a symptom of the next reme-
dy [Generalities, Bones, complaints of, brit-
tle (22)], and that the shift to that next rem-edy had occurred. None of Tomʼs othersymptoms were especially pronounced,but he did have “horrible breath”.
Of the remedies that are complementary toBelladonna, and in the rubrics for Addisonʼs
disease and bone fractures, Calcarea car-bonica seemed a clear choice. He was given
Symphytum 6 C three times daily for a week,and then a single dose of Calcarea carbonica
After an initial aggravation (diarrhoea allnight long, one night only), all of his symp-toms gradually improved, with occasional
brief recurrences of diarrhoea. Over the fol-lowing year, Tom was given ascending po-tencies of Calcarea carbonica: 30 C, 200 C,
bonica 30 C. Three days later he was clearly
1 M, and 10 M. I repeated each potency once
having a bad response, but one that brought
During this time, Tom did very well in gen-
eral, and especially with the higher poten-
cies, Kelly described him as “doing great -
eyes open more of the time, and his front
super energy”. He had some of his charac-
bread. I quickly decided to go back to Bella-
donna, and had Kelly give a single dose of
less frequent. His muscle atrophy improved
poor appetite, vomiting, or diarrhoea with
– he filled out for the first time since the
onset of his illness. The duration of his re-
than it had been on Belladonna, and the re-
attempt to wean Tom off of the Florinef. I
prompted Kelly to restart the prednisone. I
was able to reduce the dosage up to a point,
switched to Belladonna LM 6 twice daily in
but then he took a nose dive, with all of his
again, and he had a “huge improvement”
realized that since the Florinef was clearly
in energy, strength, appetite, and playful-
not interfering with Tomʼs response to the
Belladonna 200 C, that it should not be con-
the dose, he lost his appetite and energy,
his breath was very bad, metallic and a bit
replacement therapy. He has stayed on the
like faeces, he had flatulence, and was act-
once daily LM potencies of Belladonna, go-
ing very meek, which was new for him.
There was some of the characteristic trem-
well for the most part, with his characteris-
Belladonna 1 M, ten weeks apart, and then
Based on the new picture and remedy rela-
problem, such as diarrhoea, and really go
tions, Lycopodium seemed to be an obvious
fore starting to regress. This told me that,
choice, and I prescribed one dose of 30 C.
although a very good remedy for Tom, Bel-
This is an example of a case in which the
wean him off it again. Finally, we were able
ladonna was acting in a relatively superfi-
obvious remedy was not the correct one.
to switch from LM 15 to a single dose of Bel-
ladonna 200 C, to which he responded very
ably good, but after a dose of Lycopodium
well. Kelly described him as being “like a
listless, and had a poor appetite. His breath
was doing really well, had lots of energy,
smelled like stool, and his teeth were chat-
Jeffrey Levy, Homeopathic Management of – Homœopathic Links Autumn 2010, Vol. 23: 1 – 3 Thieme Medical Publishers, Inc.
tering. His paws were cold in the morning.
Interestingly, Lachesis does not appear in
does, however, represent a classic example
of a remedy sequence. One can also see that
urine on first standing up in the morning.
Whether you call this keynote prescribing
early on, Tom was pretty fragile, and would
He was seeking cool at times, at other times
or a strange rare and peculiar symptom, I
readily “fall apart” and become quite ill.
prescribed Lachesis 12 C once daily. Over
Over the four years, and three remedies, he
the following five weeks, Tomʼs symptoms
has become much more stable and solid.
Based largely on the strength of the symp-
tom “breath smelling like stool”, I decided
getic and happy. It is now one year since
In closing, I realise that these are all well-
to go back to Belladonna, and prescribed a
starting Lachesis, and we have given 30 C (2
dose of 10 M. Within one hour he was dra-
doses), 200 C (2 doses), and 1 M. As you can
case not as an example of brilliant prescrib-
tell by the number of doses, the duration of
ing, but rather as an example of careful and
response is quite long, and when he is done
patient prescribing in the face of an incura-
got another dose of 10 M. Again, his symp-
responding the regression is pretty slight
toms improved, and that night he had some
diarrhoea, with loose stools smelling like
Tom has been mostly free of his character-
gone, the eyes were a bit pink, and there
istic symptoms. Occasionally one or anoth-
er of them will crop up briefly, but overall
1 MacRepertory 8.0.2.4. San Rafael (USA):
tains only one remedy: Lachesis. Lachesis isstrongly complementary to both Belladon-
I believe that Tomʼs Addisonʼs disease is in-
um, and yet there was not a good response
curable, and that he will need to be on Flo-
rinef for the rest of his life. Nevertheless,
secondary to the Addisonʼs have, for the
consultation by telephone. His website is
tory, Kent Homeopathic Associates), Lache-
sis is not listed among the remedies com-plementary to Calcarea carbonica, but Cal-
It is interesting to note that the first reme-
dy, Belladonna, is a plant remedy, and acted
relatively superficially. The second remedy,
tarity of remedies is not one-directional, so
and was deeper acting than the Belladonna.
remedy, and acted the most deeply of all.
This is not to suggest that, for example,
Jeffrey Levy, Homeopathic Management of – Homœopathic Links Autumn 2010, Vol. 23: 1 – 3 Thieme Medical Publishers, Inc.
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