Pulsatilla – What are the indications, key notes, and modalities?

Indications:

• Respiratory tract infections (URTI, bronchitis)
• Cough at night
• Measles
• Non-suppurative otitis media
• Teething
• Hormonal complaints

Constitutionally for patients (usually children) that are weepy, clingy, emotional, indecisive, gentle, yielding, self-sacrificing, empathetic and constantly changing

Key notes:

• Flushes and desires cool air
• Craves fatty foods but makes them worse
• No two stools are alike
• Thirtless

Modalities:

> cold, open air, consolation

< fatty foods

For otitis media, dDx. Belladonna (high fever without thirst, < heat, motion, lying down), Chamomile (fever with intense sweating and thirst, < heat), Graphites (suppurative, cold but not > heat), Tuberculinum (< cold)

For teething, dDx. Calc-carb (< cold but thirst for cold drinks), Chamomile (fever with intense sweating and thirst, < heat), Ferrum-phos (high fever with few sx.)

For emotional lability, dDx. Sepia (< cold)

For thirstlessness, dDx. Apis (> cold), Belladonna (high fever, < heat, motion, lying down), Gelsemium (fever, > alone, continual motion), Ipecac (< warm), Lycopodium (> passing gas)

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This post was written by Omar Rifai