The patient allowed physical examination with great difficulty, was shrieking throughout.
Was constantly popping one candy after another from his father’s pocket, mother says that’s the only thing he demands when constipated.
Analysis: After Repertorisation the prominent remedy was Cina as it covered the chief complaint, temperament, and thermal modalities. CINA 30, BD, for 4 days followed by SL.
Patient-reported for follow up after 2 weeks. He was less irritable, more comfortable, yet chief complaint SQ. On observation the single keynote that was coming up was the character of the stool. The only remedy that has stool as hard as stone is PLUMBUM MET. Plumbum met 30C once a week for 4 weeks.
After a month, patient-reported for follow up; continues to be in good mood; constipation totally ameliorated, passes stool every day, the stool is soft and painless.
Inference: In pediatric cases, very often the physician relies on the parents’ reporting. The parent’s perception of the child’s problem may be prejudiced by his/her own constitution, thus prejudicing the homeopath’s prescription. Therefore in such cases it is the well-defined objective symptoms that must be given priority. Here, ”stool as hard as stone” became the well-defined differentiating rubric which clinched the remedy