Can anyone help?

Female, 22yrs. Presenting with keloid scars along both jaw lines of face, throat and chest. History of cystic acne which has been effectively cleared with constitutional remedies over the past 3 years.

Previous remedies - Sepia, Nat-Mur, Pulsatilla, Phosphorus and Graphites.
All have proven successful in improving emotional/physical issues at the time - however scars continue to persist.

At present, 39 wks pregnant. Healthy pregnancy, apart from continuous low BP (worse in morning,morning sickness in 1st trimester and aching of back between the scapulae.

Emotionally -
Very sensitive / Easily hurt feelings. Takes offence easily. Perfectionist - fastidious about details and plans. Fears - abandonment / betrayal.

P/H - Parents divorced at 13 years. Strict upbringing - overprotective mother, neurotic about cleanliness. Always described as "old soul" - very serious and grown up from a young age.
No childhood diseases.
Chickenpox at 17 yrs.
Glandular fever at 18yrs.
Acne from puberty.
Periods always irregular.

Appearance-
Tall, slim, long straight dark hair. Green eyes. Fair skin with freckles, moles and patches of pigmentation over legs and arms.

Check calcium phos, and sulphur.
keloid scars, silicea or thuja could be of service, but then as low as 6x over a long time, sligthly adjusted upwards( the plusmetode).
If those fears are left over after what you call constitutional, i would say that the rigth layer is not hit by the remedies, it is needed to use potences that is not used before, even if you go lower or higher, find the level, and it will be gone, but it could take years to take all of it.

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Homeopat MNNH Geir E.T. Marcussen
email: getm@eunet.no
http://www.homeopati.no

Give her natrium mur now, in a higher potence than before, pref M.After a while, may be Sepia or calc carb, or cp will emerge.

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Homeopat MNNH Geir E.T. Marcussen
email: getm@eunet.no
http://www.homeopati.no

Thanks for your advice GM !
I totally agree with you about the mentals that are left - definitely needs more work on an emotional level. However, I was interested in the possibility of finding a remedy that could clear the scarring faster than just using constitutionals for the next how ever many years.I wondered if it was possible to get pathology that was inactive (scars) to actively heal after many years??

I had been thinking of Silica, however I was unsure about long term use of low potency.
How long would you leave it, before adjusting from 6x, to 12x,to 30c ??
Would you go any higher, or only if the appropriate picture presented?

P.S - Has anyone had any experience with the remedy Thiosinaminum in a case of scarring?
Either internally or topically??

X6 plussprepared, for up to two months, and only go up if the remedy is indicated, and even on6x it has to be closely watched, if giving problems, antidoted or changed.
High potences in only one single dose and wait.
Ac fl, could also be of use, used low, the best author on those types of problems is Gallvardin, who treated a lot of people with sutch problems.

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Homeopat MNNH Geir E.T. Marcussen
email: getm@eunet.no
http://www.homeopati.no

YesI have given Thios to a patient with internal scarring after an accident and bone graft etc. When the surgeons went in again to cut out the scarring they thought was causing the limb to be so stiff there wasn't any, it had gone ( 3-4 months Thios 6). The problem was no tendon and bones going the wrong way.

Also used it on myself externally for scar from acne. They did go but might of anyway. I dissolve a pillule in water and dabbed it on. Warning, the liquid starts fermenting after a few days!!!

It is also well known for shrinking fibroids.

Thanks to both GM and Ricky for your advice.

Ricky, can I just ask -
Was Thios indicated in your patient and yourself - apart from the scarring ??
Or is it sufficient to use with just those physicals present??
If it is not the Simillimum, will it cause any problems - used for such a long time.

My client is pregnant and would be breastfeeding at the time of dosing??

Does anyone know about the impact of medicines taken by lactating mothers on their newborn infants. I am assuming that we are only talking about the correct remedy.
Is it likely that the baby will present with the same constitution anyway - or something different?

If so - would exposing it to the wrong / incorrect remedy be in anyway harmful?
OR
Is this safe, as the incorrect remedy would not work unless indicated??


P.S GM - I have decided on NatMur 10M for this case

Last time she was on this remedy it was 1M, 3 doses - there was a slight emotional aggravation - however she says the remedy did not hold i.e. the reason why fears remain.

What dosing regime would you suggest. Again remembering, client is 39 1/2 weeks pregnant and would be breastfeeding soon.

Avoid Silicea during pregnacy,( it could cause a premature birth) use NM up to CM, one dose, dont repeat the same unchanged potence, do it once only, expect that Cm will work better, esp since m did not take it all, but its hard to say, if its the rigth potence for her,you may need to use all potences, and even after a year, you will find a reocurrence, that will ned a differnt potence than what you have used before, this will continue till you have wiped all out.

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Homeopat MNNH Geir E.T. Marcussen
email: getm@eunet.no
http://www.homeopati.no

GM
Could you please provide your view on whether Nat Mur in high potency or Silica in low potency would be more appropriate ??

I feel Nat Mur fits the whole case very well - however will it, improve the scarring - if continued over several months.
Assuming that she was monitored and dosed appropriately.
OR
Is this again a case, of watch and see - and give what is presenting at any one time i.e. give NMur, wait and then give what is next indicated.

With the Nat Mur, would you give 1 - 3 doses ? Pills or liquid, diluted or even 50 millesimal - for long term use.

How long would you leave it between doses, before you reviewed the case or gave another dose.

Thanks for any help.

I would certainly look at silica, because it reabsorbs scartissue. But I would not use a low potency, because, if there is anything left, it could restart another cycle of keloids. I would use infrequent doses, alongside any constitutional remedy. say two doses -sufficiently spaced of course - of the constututional and then a single dose of Silica, repeated two doses of the const. later. Then after 3 doses I would leave it alone and see again in six months about the scars. If any left, I would repeat with the 10m.