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A case of facial tics in a Sycotic boy

12 year old boy. Brought in for involuntary facial tics and grimaces.
Has been prescribed for previously by myself – Medorrhinum and Carcinosin given with no real effect.

Eye tics are very noticeable – blinks in an exaggerated fashion, rolls his eyes to the left and upwards. His grimaces are also quite pronounced.
Patient says his eyes feel warm, almost a sort of burning, which is > moving eyes to left.
His sleep is disturbed – he feels the bed is too hard. He must read for 1 ½ hours before he can go to sleep easily. He feels bored and may get up to play.
He is a hot child, hot all the time – even in winter he wears shorts and singlets. He unbuttons his pyjamas in winter. He gets too hot under the covers – puts one leg out to stay cool.

He has been quite angry with his father – fights with him a lot.

He has lots of mucous in his bronchi, and brings up thick greenish-yellow lumps of mucous, almost hard, esp. in the morning.
He is thirsty (for tepid water).

Bouts of mysterious vomiting – every 6 weeks or so. Feels pain in the stomach, queasy, dizzy, and then retches violently. Feels a constant need to vomit. Something is stopping him from vomiting although he wants to. (Has had an operation to stop reflux).

History of extreme car-sickness < curves in the road.

Tell me what is going on at home.

I am angry – everything is broken at home and I can’t cook anything. (father slow to fix broken appliances). Dad treats me like I am little – like I am small – feel annoyed, want to argue with him.
He yells at me and I try to argue – he won’t let me have my say. Get really angry. If I get my say out I feel better, otherwise I swear in my head.

Where do you feel your anger?

Anger goes to my head, goes to my arms, punch a pillow, get tense arms.
Dad lets my (younger) brother have his say – really annoys me. Dad favours him over me. Don’t want to have a brother. Always wanted to be an only child.

Tell me about your father

My bond with my father – want a good bond. It feels uneven with my brother – bends to my brother’s way – pays more attention to him. The bond gets weaker when his brother is around.
Want it to be just me and mum without brother – the bond between mum and me is really strong.

It feels uneven with brother in the family.

What do you mean by Uneven?

Family should be mother and father and brother and sister.
There is something missing – I am not happy – feel left out. It doesn’t feel right.

So what do you do?

Resort to being funny to help me rejoin the family.

What do you mean by rejoin?

Not joined – I feel adopted. It is like they are not my mum and dad.

How do you cope with this feeling?

I have adjusted to it. It is just this way. I am coping with it.

Analysis of the Case

The sensation of the case can be seen quite clearly in the mental state.

The issue is about the bond between the boy and his family – particularly his father. He wants a good strong bond with his father, but his brother interferes. The bonds become weaker when his brother takes the attention away. He feels joined with his father when they are alone, then he feels like his father deliberately turns away from him. He feels apart from the family and wants to rejoin them. It is as if his parents are not his parents – because the normal parent-child bond feels weak, almost non-existant to him.

The passive reaction he has is to feel estranged from his family.
The active reaction is to be funny – to joke around to try and come back together with his family.

This is clearly the sensation of the Malvales family.

His reaction to the sensation is to Accept it, to cope with it, to feel it cannot be changed. This is the Sycotic miasm.

The Sycotic member of the Malvales family is Tilea europa (commone lime)

Prescription = Til 30 10 drops once only


Tics settled down to almost nothing.
Warm feeling in eye gone.
Feels happier in himself.
Sleeping heaps better. Hardness of the bed gone.
Not feeling as hot – not putting the leg out of the bed anymore.
Still coughing up mucous.
Not vomiting/retching, despite such an attack being overdue.
Car sickness is worse.
Less arguments with father, however an argument last night set off the tics again. Mother can very clearly see now that the tics and his relationship with his father are directly connected.

After several years the child remained free of facial tics or major complaints (this was reported by the mother who returned to see me about other issues).
  brisbanehomoeopath on 2009-08-29
This is just a forum. Assume posts are not from medical professionals.
As an interesting sidenote to this case - I actually saw another patient several years later that needed Tilea europa - she also presented with facial tics. These were also cured under the action of this remedy.
brisbanehomoeopath last decade

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