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Case of a Child Sufferingfrom Ear Infections
This is a case study of a four-year-old child,arriving with his mother for a first consul-tation on 28.4.10.
Observation: a delicate looking child, withan adorable smile. Plays with the fairiesand butterflies on my desk.
The problem for which they approachedme: repetitive ear infections.
The child suffers from a common cold mostof the time. The mother tells me that sincehe was a baby he suffered from recurringear infections, a condition accompaniedwith secretion from the ears.
He constantly suffers from the commoncold, which became a chronic conditionwith a constantly stuffed nose.
The last ear infection occurred amonth ago,when he was found to have enlarged ade-noids, a third tonsil and an air blockage.
The teacher in his playschool thought hishearing was decreasing. Medical findingsshowed a slight decrease.
He grinds his teeth at night, especiallywhen it is noisy – for instance, when hisbaby brother cries.
Still wets his bed at night.
The mother narrates“He has two older brothers (8, 11) and ayounger one-year-old brother (receivedhim relatively well, pretty much ignoreshim…)
He is an amazing child, he becomes accli-matized quickly everywhere. He is very
cool and gets along with everything. Hehas no anxieties during day-to-day life. Hewas always a calm child, and this is why Idecided to have yet another baby… butperhaps, something which is suppressedduring the day surfaces at night? Duringthe day he is calm, but a medium we con-sulted suggested his anxieties are relatedwith a past life.…He is occupied with whathappens when one dies, what will happenwhen he dies? When his mother dies?
He is a sensitive child, and highly sociable.He is friends with everyone in his play-school; when he sees someone from afarhe will call him even if he is on the otherside of the street. He is also quick to be-friend new children.
He has a highly developed imagination anda high ability to concentrate; he can occupyhimself on his own.
He likes cuddling, falls asleep at night whilestroking me. He is good with girls. He is nota fighting, physical boy. (Strokes himselfwith a feather at my office.) Knows how toexpress love, to cuddle and hold, can evenhug and kiss his friends from time to time.
Communicates, like my husband, some-thing optimistic, happy and safe. However,like him, he is addicted to control: he isbossy, tries to dictate the course of eventsso that things will go the way he intendsthem to. He dislikes changes. Rigid, eventhough from the outside he appears softand sweet.
Highly competitive – he has to be in firstplace, it is very important to him, to benumber one – with his siblings in particu-lar, even though he is younger than theyare. When his siblings fight he tells them –
he is friends with both of them. On the onehand he competes with them and on theother, it is highly important that everyonelikes him. Should one brother tell him, “Iam not your friend” – he wants to die. Thisreally threatens him. It is highly importantthat they will not be angry with him. If Iam angry with him – he is worried aboutit, from a young age”.
He is short for his age.
Cravings: Sweets (3) especially lollipops,purple, pink and red ones. He likes to eatchocolate and cheese. Otherwise he is notmuch of an eater.
He is not fond of tomatoes (recently) andpotatoes.
Pregnancy was desired and healthy but thelabor was induced (Pitocin) since he wasnot yet born by his due date. “The hospitalpressured us to induce the labor, but it wasunnecessary. The birth was horrific, and Iwent through immense pain. I felt horriblecontractions – the worst pain I ever felt.”
Speech late: it took a while until he spoke.To this day he mispronounces words.
Pimples? The mom suffered from them as ateenager, the father did too.
Case Analysis
In approaching this case I used the Table ofPlants structure (see further details lateron), as the case demonstrates clear indica-tions of the fifth column in the Table: thecompetitiveness, bossiness, his need tocontrol others, to be the first, to be “taller”.All that points to the fifth column. His needto establish relationships, his needs toplease others, to be likeable in a charmingway along with excessive emotional sensi-tivity, occupation with the world beyond,
S U M M A R Y
This case demonstrates the use of my systemʼs table of plants in arriving atand deciding the remedy – and understanding the reasoning in this case.
KEYWORDS Table of Plants, Rosales, Rosa damascena, Wondrous Order
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A Case Study Basedon the WondrousOrder Plants TableMichal Yakir, Israel
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thoughts about death and ghosts – all pointto the first row, particularly with the his-tory of an early-induced labor, which is aclear indication of a “pre” process, or thefirst row.
There is an excessive need to please, thegentleness, the desire to hug, kiss and cud-dle, and the desire for sweets; the “pink”aura that surrounds the entire case. Allthese point to the Rose family (which issituated in the beginning of the fifth col-umn).
Out of the Rosales, Rosa damascena has aknown affinity to ear pathology, and issueswith height and competitiveness. Thus itwas chosen as the remedy for the case (seeFig. 1 and Table 1).
Prescription: Rosa damascena C12 oncedaily
Follow-upAfter two monthsA day after taking the remedy for the firsttime he developed a high fever which,within one day, was gone, on its own. Sincethen he has been healthy, apart from oneoccasion onwhich the parents went abroadand he was in playschool. He got sick butrecovered two days after his parents re-turned. He was healthy until a flu epidemicerupted at school a few days ago. His par-ents travelled and left him with his grand-parents: he woke up saying that his bodyhurts and he cannot go to playschool. Has acough, which is rather deep, but no sinusi-tis even though he suffers from a slightcommon cold.
He does not eat well. He only eats candiesand cakes.
The teeth grinding decreased, but it still ex-ists.
He does not wet his bed that much.
The competitiveness is still there: he mustbe first to receive the food; he fights overhis place with his elder brother, eventhough he loves him. Apparently, the issueis his young brother; it seems now that hewould have been happy to give him away.The jealousy is out.
He is more insolent and rebellious than be-fore. He used to be a conformist child. Heused to do anything to make you like him.Now he threatens to leave the house whenthings are not done his way.
Prescription: Switch to fluid Rosa damas-cena C12, 1 drop daily
Again two months laterBed-wetting ceased entirely: one day hesimply asked to sleep without a nappy andhas been dry since.
Teeth grinding has almost stopped. Hissleep is calmer.
He no longer suffers from the cold.
Mentally – he is calmer, less agitated, hasless tantrums, is still competitive with hisbrother and sister but the most clearchange is individualism, which was absentbeforehand. This can be seen with hisfriends: if they do not want to play hisgames – he goes on to play by himself, anddoes not try to please them. He began tak-ing his remedy by himself (with a shy andengaging smile he tells me that his motherhelps him. So this quality of the remedy isstill there).
Prescription: Raise potency to Rosa damas-cena C15 – 1 drop a day.
Later on, we further increased the potencyto C18.
Again two months laterPhysically he is fine. Hearing is normal. Si-nuses clean. No cold. The jealousy for hisbrother also passed and he is very nice tohim. Also, the anxiety level decreased sig-nificantly. In playschool he is highly popu-lar, a leader. Wants things to be done hisway – rather spoiled…
Fig. 1 Rosa damascena (Damask rose).
Table 1 Repertorization using RADAR program.
Repertorization ros-d. nux-v. sil. staph. lac-leo. aur.
3/3 2/3 2/3 2/2 2/2 1/3
1 MIND – ANGER – contradiction;from
75 1 2 2 1 1 3
2 MIND – COMPETITIVE – brother orsister with*
(A symptom I added to the reper-tory, based on my clinical experi-ence and Chetna Shuklaʼs proving)
2 1 – – – 1 –
3 EAR – EUSTACHIAN TUBE; com-plaints of
15 1 1 1 1 – –
Michal Yakir, A Case Study – Homœopathic Links Spring 2013, Vol. 26: 6–11 © Thieme Medical and Scientific Publishers Private Ltd. 7
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In the following winter they came for an ad-ditional session as he had a slight cold andsome teeth grinding. He has fears of ghosts.Again his mother tells me he is very popu-lar among his friends; he is bossy but in asweet manner (he intervenes and says: “Iam going to dress up as a king.”). He likes tofeel soft fabrics, strokes his motherʼs sleevebefore falling asleep. Again, he is jealous ofthe attention that the older sibling provideshis sister.
Now we refer to his eating habits: he is stilla very picky eater and will not touch manytypes of food. Eats a small variety of fruitsand vegetables and still prefers sweets.
Prescription: Increase to Rosa damascenaC30 1 drop daily
Fifteen months after intakeStill takes Rosa damascena C30.
The cold is gone and for the rest of the win-ter he did not suffer from it.
Sleeps well.
His eating habits have improved. All of asudden he has an appetite.
It turns out that there was something theynever reported: a tendency for weaknesswith heart involvement: it appears hewould get tired easily. Also, when he com-peted with a friend, if the friend was aboutto beat him, he would complain that hisheart aches. This has improved as well.
He remains bossy.
Treatment: continue for another monthwith Rosa damascena C30 and then in-crease to C200. Single dose.
Two months laterThe parents report that all is well. Shouldthe need arise, they will give a single doseof Rosa damascena C200.
The Structure andMethodology of thePlant Table
Plants are the source of natureʼs ability toevolve and develop. Observing nature, welearn thatdevelopment is inherent tothees-sence of the plants kingdom. Continuouslygrowing1 and ever evolving, plants adapt tonature and create it at the same time.
Plants were the first to fashion the idea ofseparation in nature: Unlike minerals,plants have a membrane separating themfrom the environment, an attitude that al-lows them to develop along their own evo-lutionary lines and pace, which is a quickerone than the mineralsʼ. The evolutionarychangesplantsgo throughpropel evolution-arychanges for thewholebiosphere, includ-ing the atmosphere, minerals and animals.
More so, plants are the foundation for theexistence of life, providing oxygen, carbonand nutrition. Plants propel minerals fromearth outward and from the air inward intothe earth, availing it to the biosphere, al-lowing growth and continuation of life onearth. In this sense, the plants kingdom actsas a stirring mediator between the worlds,expressing an archetype of continuousgrowth and development.
In accordance with its developing nature,the plant kingdomʼs evolution can be seento correspondwith human psyche develop-ment, seeing that both share the innate na-ture of growth and development. At timeswhere development is halted, manifestingas a disease, the corresponding plant canbe summoned. This is one more gift theplant world offers.
The Plants schema structure expresses thiscorrespondence in amanner akin to the ho-meopathic understanding of the Periodictable of elements; its axes, however, arefounded on evolutionary stages of botanicaldevelopment. The building block of the ta-ble is not a single plant or a remedy, but awhole botanical group. Thus every squareof the table contains one or few Orders2 orFamilies. The reason the Plants schemadoesnʼt present specific remedies as itsbuilding blocks is that while the MineralKingdom contains 118 elements, the PlantKingdom consists of thousands of plantswhich necessitated aggregating them bygroups – namely Families and Orders.
I found Cronquistʼs3 systematics suitable forthe tableʼs scheme as it is led by evolution-ary vision, being grounded mostly on ho-meopathic-like “signs and symptoms” offunction and sense in the Plant Kingdom.
When the table is systematized in such anorder, with vectors of botanic evolution, it
becomes quite easy to decipher the homeo-pathic sense of it by assembling theMateriaMedica information from all the remedieswithin each family – “as if one remedy”,and interpreting it according to its locationin the table. In an astonishing order, the ax-es of botanical development and their cor-respondent remedies are found to parallelstages of human development.
This way, each square in the table presentsa convergence point of two axes – Ego con-struction and levels of growth and develop-ment: the horizontal axis is formed by sep-aration and individuation stages while thevertical axis forms maturation levels. Thisprovides physiological, emotional andmental content to each family of plants.While Families of plants present the collec-tive themes that correspond to any givenlocation on the table, a single remedy de-scribes only certain variations of thosethemes.
The Table of Plants thus provides a schemathat links plantsʼ developmental stages tohuman developmental stages. The table re-fers to the challenges and obstacles metduring the developmental journey of theEgo from a primary stage of union and one-ness to an advanced stage of individuality.Learning and absorbing the lessons of thefeminine and the masculine elements.
The Plants table provides reason and expla-nations to remedies, as well as to qualitiesof families of remedies. It allows betterunderstanding of cases, as well as promot-ing understanding of small remedies andnew provings. The Plants table can providean understanding as to why the remedydisplays certain characteristics as well asto why a case calls for a remedy belongingto a certain Family. The beauty of the planttableʼs systematics is that, without contra-
1 Most of the plants continue to grow and gainmass all their life.
2 Order is a higher taxonomic rank above Family.
3 In the 1980s, the botanist Arthur Cronquist(1919–1992) postulated a systemic scheme ofclassification that defined the evolutionary pro-cesses of plants in a way that created a clear as-sociation between families, orders and highertaxonomic rank. Cronquistʼs system places flow-ering plants into two broad classes, Monocotyle-dons and Dicotyledons, divided into subclass cat-egories, where related Orders, Families and Spe-cies are placed by certain morphologic order.Arranged from primitive to advanced, the innerorder is decided by appearances, signs, andsymptoms (as in homeopathy), by the evolution-ary advancement of the flower, fruit, pollen andseed structures. In this narrative, the most primi-tive plants are positioned in the base of the tree;the most advanced plants appear in the topmostpart of the tree.
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diction, it complements and adds depth tocase analysis, regardless of whether the ap-proach is of a conservative or modern ho-meopathic method.
Extended description of the essence ofthe columnsThe First Column (Unity) depicts an initialstate of awareness to the unified femininequality element that, by its nature, givesbirth and initiates processes. The first col-umn represents a unity with the infinityfrom which everything bursts, and is sym-bolized by water, first chakra and more.Problems or lessons related to the first col-umn can be expressed as a lack of bound-aries and discrimination, a weak, depen-dent and influenced Ego, spaced out andinattentive. A state of awareness might bethere, yet the inability to act. Typical rem-edies are: Op, Staph, Arist, Lotus, Asar, Nux-m, Acon, Puls.
In the Second Column (Here or There) theinitial separation begins (a first masculine
impulse enters the process of the table), fol-lowed by a sense of smallness and weak-ness, as effort is put into “standing by one-self”. Issues presented are related to beingsmall or big, being in this world or remain-ing in the other world (or remaining in anyother previous state). Here or there, indeci-sion, “should I return to the unified state orshould I separate?” “Will I create bound-aries or will I have them blurred?” Rem-edies such as Cann-i, Urt, Ficus and Quercusare characteristic to this column. The strug-gle and lessons are still in the territory ofthe feminine quality.
In the Third Column (The Hero), there is astrong and intensive battle to separate fromthe feminine-maternal quality that thoughbefore gave life, is now perceived as stran-gling and limiting. Expressed as a struggleto separate from anything that appears“controlling”, the developing Ego fights forits individuality: with the characteristicstatement: “I want to do it my way”. Char-acteristic remedies are the various Cacti.
In the Fourth Column (Nurturing andMa-turity), the maternal element is attainingmaturation. After the previous columnʼsjourney in the feminine element, the indi-viduation process reaches a stage where itnecessitates gaining equanimity: an abilityto nourish or be nourished, provide, giveor take without being belittled for it. Thelesson obtained is maturity of the maternalquality, an ability to give or receive yet keepyour separate individual identity. Imbal-ance at this final maternal column wouldbe expressed as mother/daughter issues,family issues, complications related tomotherhood and elements of abandonmentand dependency. We shall often see over-responsibility for the family, anxiety aboutfamily matters and carrying the burden offamily, which sets the ground for exhaus-tion of personal energy, fatigue and backpains. Eating and digestive disorders willoften ensue. Typical remedies are Bamb,Sacc-a, Trit, Cypr, Thea, Choc, Bry, Brass,Sin-a.
In the Fifth Column (The Other), the Ego isalready solid and constructed. In order tocontinue its development, the Ego must at-tend fully the lessons of the masculinequality, which creates boundaries, rulesand separation, giving purpose and direc-tion. By the masculine borders, the Ego isenabled to realize what is apart from him-self, to separate from what is not himself –and thus come tomeet the other, as an indi-vidual by itself. This separation allows ama-ture relationship to be created, so that iswhy the subject of relationship is of utmostimportance, especially in its beginning (i.e.,the Rose family). Later on the emphasisturns to the expression and fulfilment ofoneʼs role outside the family, to doing andacting. The split of the masculine from thefeminine element is the strongest issuehere, causing rigidity, stiffness, and in theend (like in the Conium family) to drynessand suppression of the feminine, emotionallevel. Relationship will be an issue in thebeginning of the column, later to be shiftedto suppression of the heart and relation-ships, competition, work, duties, rules, reli-gion and rigidity. Prominent remedies areRose, Crat, Anac, Rhus-t and Con.
In the Sixth Column (The Group), onemeets the world at large, stands up to it,fights with it, conquers oneʼs place and de-fines oneʼs place in it. The sixth column fitsour time: an age of individuality that vergeson egotism. Here the feminine and mascu-line had not recovered from the split, thusfighting amongst themselves, always on
Table of Plants Attributes
ColumnsThe columns present the 10 botanicalSubclasses of the table, portraying atransformative journey of differentiation,separation, independence and individua-tion, while aspiring toward freedomfrom the Ego boundaries. The “Ego” istransported from a state of oneness, fromthe whole, indistinctive “Self”, towardsformation and realization as an individu-al Ego – preparing to shed its Ego layeragain, wiser than before. From unity toindividuation and back to unity again.The journey is initiated by contendingwith the feminine element. Once the les-sons are learned, separation and a splitfrom the feminine element occur, thestruggle shifts, and the Ego has to facethe masculine element. Gaining the mas-culine elementʼs experience and lessonsallows departure from the Ego closureand progression toward interaction anda relationship with “the other” and withthe world at large. From union and one-ness to a differentiated Ego, now able tobe part of the outer world, to cooperateand unite again, yet retain its distinctive-ness and unique presence.
In the developmental journey as present-ed by the columns, the human soul as-
pires to acquire awareness, conscious-ness, identity and uniqueness, subse-quently returning to the source, this timethough as a conscious part of thewhole, awitness of creationʼs wondrous harmony.
The Columnsʼ attributes are looselylinked to C.G. Jungʼs stages of develop-ment of the Ego. More about that inWon-drous Order, the systematic table of plantremedies.
RowsThe Rows present large botanical groupsdescribing levels of development andmaturation within each column, begin-ning with pre-birth and proceeding withinfancy, childhood, adolescence maturityand finally old age.
Rowsʼ attributes are based on Erik Erik-sonʼs human development stages [2].
IntersectionsMeeting points of rows and columns:Each column presenting as a stage of Egoseparation and individuation progressesaccordingly, expressed within itselfthrough nine levels of readiness and ma-turity, presented by the rows.
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guard, causing the intra-relationship to bedifficult and physical infertility at times.Also the need of the now fully developed
Ego to display itself, prove oneʼs worth andfind oneʼs place in society can escalate to aclash with the world. Physically this can be
expressed as allergies or a tendency to getworms: any other thing that violates oneʼsboundaries or is even perceived to do it.
Table 2 Wondrous Order: The table at a glance.
Old age No Remedies Arales Emptycolumn
ZingiberalesOrchidales
Dioscoreales
Young adult No plantshere
OrchidalesJuncales
Liliales
Adolescence Graminales
School age Aracales
Early childhood
Babyhood- basic trust
Beginning of life
Before birth
ALISMATIDAE ARECIDAE COMELIDS LILIDAE
Monocotyledons
Beforeseparation
Here or there The Hero NourishingMaturity
The OtherRelationship
The Groupin the world
Dicotyledons
Magnolids Hamamelids Caryophyllids Dillenids Rosids Asterids
Birth, before life, connection to the neither world,unwillingness to be born, difficulties in confrontingthe self or the inner world. Deep connections to thesubconsciousness, myths. The shaman.
MagnolialesIllialesNympheales
Urticales DilenialesTheales
RosalesMyrtales
Polemoniales
Beginning of life [oral stage] feeling secure aboutexistence, experiencing basic stability, first connec-tion to mother. Acknowledging the other versusautistic isolation, suspicion, disbelief, hopelessness.
Piperales Urticales Saraceniales Fabales
Infancy [Anal stage], autonomy, dependence,[mother time] separation borders (skin diseases),getting control. The Will formation, shame,criticism, being oneself versus self-doubt.
Laurales Hamameli-dales
Malvales GeranialesMalpigiales
Gentianales
Early childhood, play, curiosity, inquisitiveness,pulling apart. Initiative – or none. Paralysis, sex,penetration. Unable to take role or set a goal.
Aristolo-chialesRanunculales
Hamameli-dales
Caryophy-liiales
Malvales MalpigialesViolalesEuphorbiales
GentianalesScrophular-iales
School time, latency, capability sense, preparationto life [father time], learning norms and rules, be-ginning of social learning. Unreadiness to learn,feeling inadequate, not fitting in, inferiority. Notrecognizing roles. No purpose
Ranunculales Juglandales Caryophy-liiales
SapindalesCornalesRhamnales
Scrophular-iales
Adolescence, identity integration or confusion.Self-image reflected from outside. Body image.Adolescence themes: freedom, excitement, searchmeaning, imaginations, fancies and planning. De-pendence on group. Looking for meaningful figures.
Myricales PolygonalesPlumbagi-nales
Primulales Rhamnales Rubiales
Early adulthood, young adult, establishment ofindependence, of position. Breaking off depen-dence, developing capability to real friendship andcaring to the other, > inability to intimacy, isolation.Forming love relationships and partnership.
Santanales Lamiales
Adulthood, creativity and fertility. Ability to careand concern about the other, to give. Ability to de-vote to ideas, to higher ideal. Finding self-expres-sion. Versus selfishness, not changing, conserving.
Papaverales Fagales EricalesCucurbitalesCapprales
Celastrales
Apiales
DispacalesCampanu-lalesAsteridales
Old age, completion and wisdom. Retirement,preparing for death, towards unification of the I.Inability to collect, understand and unify life im-pressions, leads to bitterness, hostility, dissatisfac-tion, life has been a waste, despair. Dependencyand fear of death. End of any process.
Papaverales CapparalesSalicales
Apiales Asteridales
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On the one hand it has over sensitivity tothe worldʼs impressions, on the other handit shows ambition and aggression: “the de-veloped Ego fights back”. The sixth columnexpresses a battle to function within agroup, while yet maintaining oneʼs hard-earned individuality. Prominent remediesare Verat, Lil-t in the Monocots and Bell,Stram, Coff, Chin, Nux-v, Ign, Menth, Abrot,Cham and Arn – in the Dicots.
This is the end of our journey, and, perhaps,a preparation for the seventh stage, whereall will be returned to the unified state,keeping a complete awareness of theuniqueness that will have been attained.
Development across the ColumnsAll columns are divided by levels of devel-opment – The rows (which follow E. Erik-sonʼs levels of development [2]). The rowsexpress the lesson of each column, initiat-ing the journey at a juvenile and unpre-pared state, evolving to maturity and even-tually growing old and ending. Priming it-self to begin the next step in the journey.
The columns are constructed according toJungian developmental stages and Kabbal-
istic lore. The human journey toward ac-quiring awareness finds its parallel in anumber of developmental sequences: thedevelopmental stages of the minerals, theprogress of the history of humanity, thefirst six chakras and the six first days of cre-ation. Like a gigantic fractal, theworld dem-onstrates its patterned rules of creation inevery aspect of life, all in a wondrous order.
Wondrous Order book and schemaThe Table of Plants cannot entirely be ex-plained in one article, the above is only theessence, a short portrayal, but the informa-tion perceived through the plant tableschema can be easily validated by beingcompared to oneʼs knowledge of remediesand cases.
An extensive description and much moreinformation is available in my book “Won-drous Order”. Sadly, for the time being, thebook is only available in Hebrew. However,it is in the final stages of translation intoEnglish so it should be published in a fewmonthsʼ time. For those interested in mak-ing first inroads to using the Plants schema,please consult my website.
References
1 Desai R. Re-exploring our MagnificentPlants. New Delhi, India: B. Jain; 1999
2 Erikson EH. Childhood and Society. NewYork/London: W. Norton & CompanyInc.; 1950, 1963
Vita
Michal Yakir is a former chairwoman of theIsraeli association for homeopathy. She iseditor of the IACH Bulletin, teaches home-opathy in Tel-Aviv, Israel, and lectures onthe Plants Table.
Michal Yakir, PhD, RCHomNahal Yarkon 21Modiin 71700IsraelInternet:http://www.homeopathy-plants.comE-mail: [email protected]
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