50 IMPORTANT RUBRICS IN PAEDRIATIC

PRACTICE : BY Dr Ruchi

1) WHEN CHILD IS OUTSIDE CABIN :

a) U hear child crying loudly to go outside cabin:
MIND-ESCAPE – ATTEMPTS TO – SHRIEKING WITH
= stramonium, zn

b) Parents are trying to stop him – it seems difficult

( as child is in stress of injection / dr)
MIND- ESCAPE – ATTEMPTS TO – RESTRAINED
WITH DIFFICULTY – strm, zinc

Stram – fear of doctor

Fear of injury being injured
Fear – stranger of
Fear- room on entering
Fear- new persons of

INSIDE CABIN :

c) In waiting room – u hear child talking and when he

comes to ur room – u ask Q to child – he does not
anwer, child talks to mother but does not answer
MIND- ANSWERING – AVERSION TO ANSWER
SINGS, TALKS, BUT WILL NOT ANSWER
When u look at child – what does the child do :

1) Turns his face – away -

Mind- looked at- to be – evading the look of other
person

2) Looks down – ( when u look at child , otherwise

looking all over )
Mind- LOOKING DOWN WHEN LOOKED AT – agaricus

3) CHILD sitting quiet and when u look at child –

child laughs
LAUGHING – LOOKED AT WHEN - lyco

4) LOOKING WHEN – SHRIEKS- IODUM

5) LOOKING WHEN – HOWLING – ANTIM TART
6) LOOKING WHEN – FACES AWAY TALKED
WHEN
7) LOOKING EVERYWHERE EXEPT HIS
QUESTIONARE
8) LOOKING WALL AT- IF SOMEONE TALKS TO
HIM
ANSWERING AT CLINIC :
Answering – aversion to answer
Answering – monosyllables in
Answering – yes or no
Anserign – no to all questions
Answering – repeat the question first
Answering – hastily
Answering – slowly
Answering – reflecting long ( as if they are thinking )

PLAYING OF A CHILD :
PLAYFUL – plays by himself – with hankerchief,any
thing he can get hands on – keychain…: bell

DESIRE TO PLAY ( will insist on playing with mom/

anyone )
Gun
Grass
Lego
Rather watch than play

Playful of Bell / Lachesis : bell – is liberatinism – so

play with anything he gets hands on stetho, hankey, key
chain ; lachesis- amusement desire - mobile, tv, he will
ask for mom;s mobile , needs 2 way communication l
will play role play – soldiers -will pick 2 soldiers and
make them fight

WHEN EVER THERE IS A SIBLING- ASK ABOUT HIS

RELATION WITH SIBLING :
1) Mind – JEALOUSY – CHILDREN – NEW BORN
WILL GET ALL ATTENTION WHEN – hyos,
ignatia ; hyos- manupilative , will hurt child secrely ;
ignatia is high in moral will never hurt and take care
of child
2) MEDDLESOME – CHILDREN – DISTURBING
PARENTS THEY ARE CONVERSING – hyos ;
when u are talking to parent – child will grasp
attention or call parent to talk to him – will interrupt-
will not let you talk at all ;same is at home- will not
let parents talk to each other – will meddle for
attention
3) Some infants – child is only taking breast feed-
even till 2-3 yrs- will not leave mother ;
MIND – DESIRE – NURSE ALL THE TIME – c
phos, sanicula

VIDEO - RUBRICS :

1) SHRIEKING – OBSTINATE – chamo

2) OBSTINATE – CHILDREN IN CHILLY –
REFRACTORY & CLUMSY : capsicum ; chilly –
cold to any reaction – no reaction to physician;s
 query or presence, refracroty – not interested at
all ; clumsy – sitting teda meda- not erect – as if
very sleepy and clumsy ; no reaction to any
question
3) MILDNESS ALT WITH OBSTINATE- cup met
4) HIDING CHILDREN – HIDE BEHIND
FURNITURE ( BARYTA – as visitor will laugh at
them )
5) GESTURES – MAKES – HAND –
INVOLUNTARY MOTION OF – COVERING
THEIR FACE WITH HANDS ( baryta carb)

Some parents say – their kids are very

intelligent. Ask them – what do they mean by
that – is it hardworking, easy grasp or learn new
things easily ;

Mind – learning desire for

Mind – intelligent- children
Mind – inelligent – lazy but ( child is very
intelligent but does not study – is lazy , if he does
– he gets very good marks)
Mind – intelligent – Narrow field in ( only 1 subject
or area – eg guitar / physology – rest fields he
does not do well ) – bufo
Mind- comprehension easily
Mind- study difficult
Mind – studying easily
Child talking to mother about life- deep thinker , spiritual
matters :
Mind- curious- supernatural or spiritual matters – calc
carb

IN SICKNESS – WHAT DOES CHILD DO :

1) Child wants mother when she is sick :
Mind- clinging children in – mother- child clings to
Mind – clinging children in – mother child – hand of
mother ( child holding mother’s hand )

DESIRES OF CHILD : Ask parent – what does a

child do when a wish is not fulfilled :

Eg if he wants chocolate and u do not give – what

reaction :
a) Child gets angry & shows anger : ask his
nature- how is he at home , with friends, how
he expresses his obstinancy
1)Mind- anger – iracibility – tendency when things he
want are refused : bry, chamo , cina , kreosote- child is
> hug

2)Mind- blackmail – emotional ( say – u do not love me-

when refused – puls, tub )
3)Mother says- he wants lot of things – and when u give
he refuses :
Desires numerous – refused when offered
6) Weeping- refused when anything
7) Weeping – tearful mood- tendency
8) Mind- desire numerous various things – refused
when offered – food : rheum – will ask mom to
make khichdi – when she offers- he does not eat;
mother keeps making new things as he askedbut
he refusesl; in restaurant orders many things but
refuses to eat them

ACTIVITY / ENERGY LEVELS OF A CHILD:

CHILD SAYS- I have big car/ big toys –

Mind – boaster- braggart- belonging toy about his –
sulphur

WHEN CHILD IS HYPERACTIVE : parents say – he

does not play with toy :
Mind- energy excess- children in
Child – plays with a toy for hardly 1min and then wants
to do something else :
Mind – restless, nervous, tendency children in – moves
from one toy to another – tub
Parents- child does not sit at one place- tikta nahi hai -
keeps roaming here and there :
MIND- Restlessness – nervousness
Mind- energy excess – children in

Child is hyperactive – touches everything :

Mind- touching – impelled to touch – children in

REACTION OF CHILD IN FEVER : ask mental and

physical state of child from parents : ask what does child
do in fever state :
1)During fever – child does not complain on the
contorary if he has fever- he keeps playing & then goes
and sleeps in bed
MIND- FEVER- DO NOT COMPLAIN / TROUBLE –
cocculus
2) Child is dull, but if we put music- he starts dancing :
Mind- dancing – desire for – dull child will become
alive again – sepia

3) During fever- happy and cheerful :

Mind – delirium – gay , cheerful fever during

4) Child becomes obstinate in fever :

Mind – obstinate fever during ( aconite )
 5) Child will smile at u but parents say – at home- he
keeps them on their toes with his demands and
restlessness ;

Biting tumbler – ars alb

6) Child worried of HW even when they are sick – they
are worried- school main aaj kya hua hoga – cannot
miss the classes :
Mind- anxiety = children in – school children about their
lessons – lyco , sil

CONSTIPATION IN KIDS :

1) Mother – since 4-5 days- no stool – not eating

any food- lazy – once he passes motion he is
happy – hold the commode tightly
MIND- CHEERFUL – STOOL AFTER

2) Mind- laziness stool before

3) Mind – morose stool before \
4) Mind- eating refuse to eat stool before
5) Mind- irritability , stool before
6) Mind- clinging person/ furniture to
7) Mind- mirth stool after
8) Mind- cheerful stool after
All above rubrics - borax
2) Child is happy when no stool :
 Mind – cheerful – gay, happiness, tendency
constipated when – calc carb, psorinum
3) Severe constipation – but does not do on potty seat
– will hide behind curtain / sofa and do potty – will
not tell anyone ;
Mind- company aversion to agg- presence of people
intolerable
Mind - Fear – stool – complains of stool with

4) Child will not to potty until mom sits with child in

toilet and reassures him that he will pass tool easily
– and then child passes stool :
mind- carried – desire to be carried and caressed-
aconite
5) Child not passing stool due to fear of pain :

Mind- fear stool passing on account of pain -

Sulphur

SOME MORE RUBRICS :

1) Gesture makes whimsical – opium – eg – lullin

speech in kids
2) Monomania – 1 sentence all the time
3) Throwing things
4) Desire to strike himself
5) Impressionable
6) Anxiety hypochondriacal
7) Effeminate – boy behaving like a girl /play with
dolls only
8) Love for animals