A 57 year old male patient came with the chief complaint of hearing loss since 7 to 8 years. Past history included gurgling like sound in his ears from time to time along with history of recurrent ear infections in childhood and early adulthood.
Other complaints included chronic gastritis with H. Pylori infection. His H. Pylori was fully treated but GERD persisted.
He worked in plantations and hence he was put on a full deworming course in sequential manner (Mebendazole, levamisole and ivermectin).
He was also put on oral cytokine drops of Trichostatin A as the report showed presence of Epstien barr virus (EBV) and Cytomegalovirus (CMV) IgG levels were very high. This improved the hearing slightly.
The GERD and fatty liver issues made me give him homeopathic remedy Nux Vomica. It was initially started with OD dosing which showed mild hearing improvement, then as his gastric symptoms and hearing started improving the dose was increased to BD and then to TDS.
Note : Usually when choosing a homeopathic remedy do look for the triad match and modalities. However when a characteristic symptom of any remedy is present such as in nux vomica where patient gets otitis media or has stage 3 retinopathy with micro bleeds or night blindness we can use the drug without anything else matching.
Other examples include Ignatia for grief and in Nat Mur lack of feeling better on consolation or low sodium.