A case report is given of an 11 year old girl with chronic asthma which started at 5 months old. She played a lot of sports but asthma attacks were induced by viral illnesses, pollen or exercise. She was treated with prednisone or antibiotics. She was given the remedy Natrum sulphuricum 6c twice a day. This worked well for 2 months. She developed increased congestion in the middle of the night, brought on by lake swimming, and was prescribed Dulcamara 6c instead of the Natrum sulphuricum. This caused a relapse and she whezed more betwen 2 am and 3 am. She was given Kali carbonicum 30c which cleared up the nightly attacks. She was given Natrum sulphuricum again which helped the asthma. Irritability increased and she was given Nux vomica as a constitutional remedy. This cured some things but caused others. Arsenicum album finally helped. Only the Natrum sulphuricum and Arsenicum album were successful. This case shows the necessity for careful follow-up and how a case with 2 wrong prescriptions can still be treated successfully if the correct remedy is found.

Nux vomica taken as a constitutional remedy, improved a man's asthma until he was given Phosphorus 200c for influenza. Asthma returned a few weeks later. There was discussion on the use of an acute remedy or a chronic (constitutional) remedy. Dr H A Roberts declared that the similimum should be prescribed at the time, ie the acute remedy in this case. The acute remedy could be a lower potency of a remedy complementary to the constitutional remedy.

The relationship between sycosis and asthma has been repeatedly stressed. Suppression of chronic skin eruptions has been followed by asthma. Conversely, under homoeopathic treatment amelioration of asthma has been followed by skin eruptions especially eczema and urticarias. The three remedies Medorrhinum, Natrum sulphuricum and Silicea are most useful in treatment of asthma in children. Homarus, Mephitis and Blatta orientalis were also suggested in the discussion.