Dear Dr.Pannakal,

Thank you for responding. My mom is doing quite well at the moment. My concern is that her uric acid could cause her to have an attack of gout. I had taken her off the gout medicine because it was destroying her muscles. The last time she had an attack the medicine did not help at all but arnica actually did. She was symptom free after a day.

She also has a lot of phlegm and have those dry hacking cough. I tried 2 remedies. The first did not work out but the cactus remedy work out quite good.

Other mental symptoms would include refusal to talk, very irritable and angry when touched. Because she doesn't say anything we don't really know what else is troubling her. About a year and a half back she always asked to go home even though she was at home but recently she hardly talk at all.

Her cholesterol, I'm not too sure is a problem. She had a by-pass surgery about 9 or 10 years ago. I've also stopped her cholesterol medicine.

What I'm giving her now is craetagus Q 15 drops 3 times a day, Kali Phos 6x twice a day. Cactus 30 - when phlegm symptoms develop. Arnica 30, once a week for gout management - not too sure if it will work but it did relieve her of her pain when she had an attack.

I know this seems like prescribing according to western medicine but at her age we only hope to make her comfortable.

Any suggestions would be much appreciated. Again thank you for taking the trouble.