22 years young female
presented with severe right chest pain, fever, cough, dyspnoea and loss of
appetite for last 3 days. She was taking heavy
antibiotics and anti-inflammatory analgesics without
any relief. Then first x-ray on 12 Feb 1994 was
taken as shown in Fig.1.
 She was suffering from hydro-pneumothorax with complete
collapse of right
lung. At the first moment, she was advised for
‘tube thoracostomy’ because,
according to Harison’s Principles of
Internal Medicine “When pneumothorax
occupies >50% of
the hemi thorax, tube
thoracostomy is the treatment of
choice.” And “Tube
thoracostomy should be performed promptly in all cases,
failure of complete
lung re-expansion is common.” But she refused for any such
procedure. Then she was kept on homeopathic
treatment with very good results.
Three months ago this lady was suffering
from fever, mild to moderate cough with blood streaked
expectoration and loss of appetite for one
month. She was thoroughly investigated and diagnosed
as pulmonary tuberculosis. Patient was treated
with rifampicin, isoniazid and ethambutol and few
symptomatics. She took this treatment for 15
days only, in spite of feeling not quite well.
After two months of this episode she
noticed relapse of intermittent fever with chill, and this time
it did not respond to previous treatment. Then
after 15 days of this fever violent dry cough started,
and this was followed by severe chest
pain on right side.
Quick
repertorisation was done by using the symptoms: anxiety of her future, desire to go
home, holding her painful chest on any type of
motion, dry and irritating cough and causing severe
pain in right chest, drinking large quantity of
water with dryness of mouth, and Bryonia was found
to be the most similar remedy of the case at
that time.
Bryonia 30c prescribed with
very good effect in pain, just within half an hour she was looking
quite satisfied with the result.
But it was surprising that re-expansion
had started without any invasive procedure. 2nd x-ray was
taken nearly after one month of her illness. 
“When the collapse has
lasted for some time, there is a progressive pulmonary
fibrosis which permanently
prevents re-expansion of the lung.” But it was not so
in this case, the lung is
regularly expending even after 3 months of the collapse.
And  after 6 months 
This last x-ray is showing complete
re-expansion of the collapsed lung without any Permanent
disability.
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