But never think of SILICEA without considering the possibility of SANICULA, for the indications of these two remedies are almost identical. The SANICULA child is perhaps more irritable, and definitely more unstable mentally. Attacks of laughter and tears follow each other much more readily in the SANICULA child and he has much less staying power than the SILICEA type. The SANICULA child never sticks long at anything; he is more obstinate and more difficult to control. There is likely to be a row if you interfere with the typical SANICULA child. But it is very difficult to distinguish between the SILICEA child and the SANICULA child, the physical symptoms are almost identical, and in most cases of this type, I have given SILICEA in the first instance and only on failing to get a full response have I gone on to

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