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August in Seville. Teaching, Planting and a new health issue for Homoeopaths.

Seville empties in August. This typical Spanish city becomes superheated (up to 50C) and everyone heads for the seaside. The IHM staff headed out to visit family and friends and I stayed here to hold down the fort and do some mentoring/teaching.

I get to have all the clinics to myself and utilise the Air conditioning well.

This August was particularly rewarding for me. Two self taught students came for their second 5 day intensive, and due to their self motivated work ethic, had pushed their levels of knowledge and comprehension to a professional level. I have been impressed and found no reason to deny them access to the Register of IHM professional homoeopaths.  They lack a little experience, which will come to them in large measure over the coming year in practice, but can avail themselves of the other IHM practitioners on the FACEBOOK group page.

We would have conducted 2 other intensives in August, however flights and holidays prevented this from happening.

I have been remiss in posting this last week or so. I took a few days rest. I bought a vertical planting unit from England and have been setting it up and getting the Herbs and vegetable seeds watered and settle in their new home.

I have noticed over the last three years, an increase in a singular disease problem. So much so that I can almost guarantee a patient suffering with it at least every 2 months.

The problem is adult onset anxiety of extremely high levels.

The typical patient is male, 60+, successful, no financial problems, some have long term health issues, some not, some have a history of occasional anxiety earlier in life, but not to the level exhibited when they present themselves for treatment. The anxiety is overwhelming to them, generalised, non remitting and all consuming. Some find partial relief in physical exertion, some find relief in sitting and sleeping, but all present the same irritation by the anxiety and are unable to function with it.

I have had success with some of the cases, all different in presentation of modalities, and the length of time to resolution is, minimum 7 weeks and some as much as a year. Research has been conducted by the IHM and no common basis exists for the problem. Some patients express a dismay at age, facing up to death, losing control by virtue of diminished capacity, but not in every case. Some I see an adrenalin involvement, (these are the easiest to resolve) and others, not so much.  I have repertorised through the TPB and directly through provings in the Materia Medica, and give the appropriate remedy in LM potency frequently until or if resolution sets in. I have give in Centesimal and it seems to aggravate at times. This is my experience.

So if anyone has seen the same increase in disease with these symptoms, I would be interested in discussing the issue.

Incidently, Ed Nunnery and myself have given patients suffering this issue, B6, B12 and Magnesium supplements as these are severely lacking in the diet of modern man. This does seem to help calm the patient fairly well. I would hazard a guess that the lack of these nutrients can aggravate the situation.

 

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Training open

The IHM has a 5 day training opportunity open between 20th till the 31st of August for those contemplating a spur of the moment Seville Spain Homoeopathic venue. Single or multiple persons.

What we teach:

  • The rationale of homoeopathic medicine and the use of the Therapeutic Pocket Book in every day case work.
  • The examination of the patient according to defined parameters of eliciting prescribing symptoms without the filter of all the variants of non Hahnemann practices as taught by teachers today.
  • An in depth look at the Miasm theory in the light of infection and infectious disease models that are the accepted protocols in modern medicine.
  • Patient management utilising Hahnemannian directives for medicine administration and potency choice, frequency of dose, withdrawal of repetition of medicine on well indicated grounds, observation of medicinal action and when to change the medicine.
  • Use of LM or Q potencies.
  • Chronic and acute prescribing and when to finish prescribing.
  • In depth explanation and use of the Therapeutic Pocket Book. The T.P.B. was devised by Boenninghausen as a synthetic approach approximating Hahnemanns thoughts on case analysis so as to find a close similimum by extracting the correct proving symptoms that match the disease state.
  • How to understand the meaning of rubrics via the patients symptoms.
  • Lots of case examples and analysis by Gary Weaver.
  • Help in re examining some of the students intractable cases.

The teaching is in English only.

Contact education@instituteforhomoeopathicmedicine.com for information.

Be careful about conclusions.

A very interesting two part interview with David Little has arrived on the net.  part one can be found at https://www.youtube.com/watch?v=t9NN0fqdvrQ

Fascinating to hear of the journey one man took to discover Hahnemanns methodology in practice. David uncovered a lot of the falseness of the homoeopathy that is taught today and observed how Kent did not practise in the manner Hahnemann insisted on. David laid out a lot of the differences and showed how in some cases the differences were actually dangerous to the patient, especially in volume of dose given.

Here at the IHM, we encourage and enjoy talking with homoeopaths that know their subject. FACTS supersede opinion and FACTS are the bedrock of practice.

Over the years we have come to realise that FACTS are subject to defined conclusions and herein is where issues start to arise in practice.

David carefully presented the differences between the Organon instructions regarding practice and showed how practitioners who give medicines according to the 4th edition, the 5th edition and the 6th edition all have success in curing the patient. For us at the IHM, we noted this many years ago and after examination of the FACTS, concluded that it is the similarity of the MEDICINE to the disease that is the curative element, and that potency is a fine tuning to the organism.

We also noted that Hahnemann was continually searching for a method to eliminate some of the strong medicinal aggravations that occurred with the application of a medicine in potency and the manner and vehicle of how the dose was given.

So several FACTS emerged.

  • Size of Dose is important.
  • Potency is important.
  • HOW the medicine is given is important.
  • Medicinal reaction depends on the above criteria.

David discovered that Hahnemann in his last years, used both the Q potencies and the Centesimal potencies in treating patients. The FACTS show that Hahnemann gave the different scales utilising the same methodology, in water and not repeating whilst a medicinal action was observed. David concluded that Hahnemann thus intended to use the centesimal scale for acutes and the Q potency for chronics. He rationalised that the scales harmonised with the nature of the two types of diseases.

We at the IHM have a slightly different take on the conclusion drawn by David.

Firstly, Hahnemann was still experimenting with the Q potencies. He was observing the action of the two scales on patients and had already applied a protocol of giving both scales in water. Remember this whole scenario was to find a medicinal application to obviate some of the excesses of aggravation, and also to shorten the time between giving doses to speed up the process of healing.

By coincidence, I too received my first LM (Q) kit from the same pharmacy as David did, in 1986. Because Hahnemann repeated his warning regarding the repetition of any medicine during AMELIORATION, I also noted that he called the new potency scale “new altered but perfected method”.

On this basis after reading § 246 and § 271, I completely moved over to the Q or LM scale. My pharmacy consisted from that day- LM potencies.

§ 246 Sixth Edition
(Hahnemann admonition for not repeating) Every perceptibly progressive and strikingly increasing amelioration during treatment is a condition which, as long as it lasts, completely precludes every repetition of the administration of any medicine whatsoever, because all the good the medicine taken continues to effect is now hastening towards its completion.

(Indicating use in ACUTE diseases} This is not infrequently the cause in acute diseases, but in more chronic diseases, on the other hand, a single dose of an appropriately selected homoeopathic remedy will at times complete even with but slowly progressive improvement and give the help which such a remedy in such a case can accomplish naturally within 40, 50, 60, 100 days. This is, however, but rarely the case; and besides, it must be a matter of great importance to the physician as well as to the patient that were it possible, this period should be diminished to one-half, one-quarter, and even still less, so that a much more rapid cure might be obtained. And this may be very happily affected, as recent and oft-repeated observations have taught me under the following conditions: firstly, if the medicine selected with the utmost care was perfectly homoeopathic; secondly, if it is highly potentized, dissolved in water and given in proper small dose that experience has taught as the most suitable in definite intervals for the quickest accomplishment of the cure but with the precaution, that the degree of every dose deviate somewhat from the preceding and following in order that the vital principle which is to be altered to a similar medicinal disease be not aroused to untoward reactions and revolt as is always the case1 with unmodified and especially rapidly repeated doses.

1 What I said in the fifth edition of the Organon, in a long note to this paragraph in order to prevent these undesirable reactions of the vital energy, was all the experience I then had justified. But during the last four or five years, however, all these difficulties are wholly solved by my new altered but perfected method. The same carefully selected medicine may now be given daily and for months, if necessary in this way, namely, after the lower degree of potency has been used for one or two weeks in the treatment of chronic disease, advance is made in the same way to higher degrees, (beginning according to the new dynamization method, taught herewith with the use of the lowest degrees).

The IHM do not legislate what potency scale a practitioner should use. We do however point out that Hahnemann himself recommended the use of LM or Q potencies to obviate the reactions to the artificial disease state caused by strong medicines in the living organism.

Gary Weaver has exclusively used the LM scale in his clinic for 25 years in both acute and chronic cases. He sees rapid resolution of acute diseases if the prescription is correct. He sees amazing curative responses in Chronic disease.

Something to consider.

 

Curative reaction in 2 weeks using LM potency. Patient had been treated in hospital for a long time using Steroids and other strong medicines.

New Register members and a first.

It is 2:06 am here in Seville Spain. A long day, some patients (even on a Sunday) and sorting thing matters IHM.

The IHM officers here in Seville are currently taking the traditional August holidays out of the city due to the heat, and some even out of the country. I am left to hold down the clinic.

abduldiplomaThis past week, 2 non medical students attended the 2nd 5 day intensive training course here in Sevilla, They have been building on their first intensive with online and home study for a year. Finally they felt confident enough to come for the completion of their training.

The I.H.M. is please to announce that Abdul and Imran are the first non medically qualified students to have completed the full training. Both have been around homoeopathy for a number of years, and this course solidified their knowledge and expanded it to where it needed to be. As senior lecturer, I have been especially hard on both of them to ensure they kept on track and stayed the proper route. Where I saw weakness in attitude or a trait that would diminish their ability to do justice to the patient, I jumped on it. These two men need every Hahnemannian quality of observation and application to do good service, and I believe they are achieving it. I have nothing but respect for them.

Both students have worked through over 49 cases in the classroom with me in both teaching workshops, and in the teaching this week, they worked on 6 acute cases, with me,  3 as they came into me via email. The 3 cases, for which they worked on all reported a imran diplomasuccessful outcome. This case work on top of all their other studies.

They committed themselves to a hard life for two years, balancing family, secular work and study. They have a goal of working with communities in the London England area, and now are well on their way to achieving their project.

In the coming week, I will take pleasure in adding them to the list of IHM Practitioners.

Vera Resnick, who participated in teaching them in the first course, will take pleasure in co-signing their Diploma.

All the Officers of the IHM sincerely wish the best for their future and appreciate the hard work and effort that has been put into study.

Maintaining Causes and Anxiety.

Over the last year, I have seen an increase of patients with Mature onset anxiety. (Age 58 on). A variety of reasons and a variety of medicines. However, the commonality among the patients is the age. So what could trigger off this debilitating condition?

Minerals.

Recently, I have been looking at water, its composition, the process of filtration from the supply companies and what we actually end up with despite what the label says. Im disappointed to say the least.

We live in a damaged world. Greed and ease of process take precedence over the wellbeing and welfare of humanity. Processed food, genetically modified food and food devoid of essential minerals and vitamins is the norm. My research into anxiety led me to make an astounding discovery, and one which I suspect is a cause for an increase in patients experiencing anxiety disorder.

In 95% of the patients I have with anxiety, they have low Magnesium. Investigations show in the USA that 75% of the population have low Magnesium. It is no wonder that Antidepressants are prescribed so much in the USA. Only 25% of the population have just enough Magnesium to fulfill their needs.

Medical wisdom states that 200 to 300 mg of Magnesium a day will help or rectify a severely anxious person, and true enough it does help. However, if the supplement is stopped, the problem returns.

I am working on the hypothesis that water is the best re up take medium for minerals and have postulated a premise for evaluation and am conducting my experiments as outlined further in this article.  Bear in mind, Homoeopathy and the law of similars is the ONLY medical therapeutic approach I take for applying a cure.

What I am doing here comes under the heading of ‘removing maintaining causes’. If an absence of a required mineral causes a problem, then the answer is to replace the mineral and no medical intervention is required.

In my home, I have this cheap €59 water dispenser. I love it because it holds 7 litres of water and can give room temperature or cold water. Here in Sevilla Spain, the current outside temperature is 42C so the cold dispenser is used a lot. The water is usually either Spring water or Distilled water. I put a gallon of the Spring or distilled water in the top container, and I add a teaspoonful of Himalayan rock salt into it. I stir and leave for about 2 hours. This adds back, firstly TASTE to the water without it being salty, and secondly it adds 84 minerals in balance including Magnesium.

Now I dont suffer from anxiety attacks or generalise anxiety, but I think its likely that I perhaps have depleted Magnesium levels so this will help. It has been my experience that this gentle intake of minerals through water is something that works well and lasts longer.

Drinking Soda and coffee will remove Magnesium… Soda will really block the intake… coffee can be overcome with a glass of mineral rich water.

So why is this being mentioned on a homoeopathic site? Simply because we can be in a hurry sometimes to prescribe a medicine when simple steps can rectify a situation. I would be called to elderly patients exhibiting signs of weakness, spaced out, dizzy, incoherent etc, and the answer was either give them water with electrolytes, (Dehydration) or a multi vitamin infusion.

Im looking at anxiety in the same manner where there is no obvious cause or rationale. Many ‘cures’ have been made with Magnesium replacement and so I feel it pertinent to mention. It is a lack of basic requirements for the body.

Indian Government Helping Develop Homeopathy in Ghana

ACCRA: The Indian government is partnering with a Ghanaian company to build capacity of the country’s professionals in providing homeopathic education and treatment and recently sent two experts from the Ministry of Ayush to train doctors and staff at the company’s chain of C4C Hospitals.

“We would be ready to assist through capacity-building — be it in the form of visiting experts or through extra-curricular or sub-technical advice,” Indian High Commissioner Birender Singh Yadav said of the initiative, which could also see the hospital chain expand into other West African nations.

During their stay in Ghana, the two Indian homeopathic experts visited the Presidency where they met Minister of Health Kwaku Agyeman-Manu, who promised that the ministry was ready to collaborate with the Indian government and the C4C Hospitals to promote homeopathic healthcare and education in Ghana.

The team also met the heads of the various departments of the National Professional Board For Techinical Examinations (NABPTEX) to discuss how to incorporate homeopathic education into the curriculum of the Technical Universities in Ghana.

“Officials of NABPTEX expressed their readiness to collaborate so that homeopathy can be taught in all their institutions, starting with a pilot scheme at the Accra Technical University for the award the Higher National Diploma in Homeopathic Medicine for graduates of the C4C Homeopathic Medical College,” C4C Hospitals Director Michael Kojo Kyeremateng told IANS.

The C4C chain has 10 branches in all the 10 regional capitals of the nation and some districts to make homeopathy accessible to all Ghanaians.

Kyeremateng, an Indian-trained Ghanaian alternative medical practitioner, has been recognised by the Indian government and the Ministry of Ayush for his passion and zeal in promoting education and homeopathic treatment in Ghana.

He recently represented Africa at the International Convention On World Homeopathy Day in New Delhi organised by the Ministry of Ayush.

Under the terms of assistance to the C4C Hospitals, “Indian experts would provide training for a continuous professional development programme for C4C staffers to enhance their practice and to lecture to the students of the homeopathic medicine college,” Kyeremateng explained.

He said the C4C Hospitals has signed an signed academic MOUs with two Indian entities –Vadodara’s Parul University and Kolkata’s IBAM Academy — to promoting homeopathic education and alternative system of me alternative system of medicine for Ghanaians through the C4C Homeopathic Medical College.

In line with this, the C4C Homeopathic Medical College will send its students to india for one year after three years of studies in Ghana for academic and practical training, for a joint degree awarded by the Parul University. There is also a programme to provide distance education for those who want to study any alternative system of medicine with the IBAM Academy.

In addition, Kyeremateng said the company is also venturing into the West Africa region by establishing homeopathic hospitals and had taken the lead to introduce a Homeopathic Health Insurance Policy to make homeopathy affordable to all Ghanaians in the region.

Cold aggravations in TPB

Author: Dr. José Guillermo Zamora de la Paz, UAG Surgeon Doctor, Dhom. Med. (Lic.) By the Institute for Homoeopathic Medicine.

As the second part of the Therapeutic Pocket Book title tells us “A Guide to the Materia Medica”, the repertoire is a medical guide. It is a work, a synthesis, to memorize the symptoms of the medical matter, represented for each of the rubrics in the context of a pathogenesis that must have been previously studied and restructured so that the practitioner can know what is And what symptom you should look for. Even in the absence of deep knowledge, this tool can be used for the learning of this MM, and even to make an analysis, although from my point of view with less effectiveness.

Please click on the image to amplify

 

Thus, if for example we have the context of pathogenesis in perspective, we can find the correspondence associated with the rubric. From the translation of the rubric in German ” Nach Erkältung “, which in English translates as ” Catching Cold ” and in Spanish as “after a cold” (Nach = After, Erkältung = Cold or Cold) , no it is difficult to differentiate between it and the heading ” Aggravation when cooled ” ( Becoming Cold ).

In the writing of the provings and from my own practice I have found that the first rubric ” Aggravation, Cooling ” is used more specifically for factors of causality and aggravation in relation to the fact of becoming sick after beingexposed to a cold climate Could be by “uncoating,” “taking off the hat” or “taking off”) with an effective reaction of assisted or spontaneous thermoregulation, sometimes by the release of heat manifested in immediate or immediate tremor of variable duration; While the second rubric ” Aggravation on Cooling “, being clearer, gives me more for remedies that in their pathogenesis they modify by making contact for a more or less prolonged time with something cold (climate,

Of course, although there is a modification, when we consider the literal translation of German as ” after cold ” ( Catching Cold ), which has a completely different meaning in English, when the letter ” a ” is first placed before the word ” cold ” “, Or” Catching a Cold “, which means” to get sick from the flu “or as we commonly say in Mexico” to have a cold, flu, or to gulp down “, then I have not left out the heading” Cold Aggravation ” Those symptoms that have worsened or appeared since the patient became ill with the flu.

There are some repertoires, which have simply merged (seemingly) similar rubrics like these, although I confess that I would not be brave enough to do something like that. *

OpenRep SYNOPSIS offers this alternative to merge or combine headings momentarily during the analysis.

Examples of Cold Symptoms :

EC = Chronic Diseases

MMP = Pure Materia Medica

  • EC Carb-V 465. Belly pain, as after catching a cold; Is aggravated before eliminating flatus, and continues even afterwards.
  • EF Nat-C 661 Dry cough with coryza obstructed, after cooling.
  • MMP NUX-V , Introduction. Serious disturbances due to the cold are frequently removed by him.
  • MMP NUX-V 460.- Belly pain in the open air, as for cooling.
  • EC Silicea 256 Heat and burning of the face, after washing with cold water; for two hours.
  • EF Petrol 358 Pain in the abdomen, as if from a cold. *

* In English, this symptom of Petroleum appears “as for catching a cold”, that is to say “as for cooling, to have flu, or to be agripado”, and is included both in the rubric “Aggravation by cooled” 1, as in “Aggravation on cooling” with grade 2. The reason why Boenninghausen includes remedies in both rubrics is explained at the end of the article, but in short has to do with his own findings and verification during his clinical practice. However, this should not lead us to choose the appropriate rubric for each case, since we can see that the 1st rubric lacks 25 remedies contained in the 2nd, and the 2nd lacks 18 remedies contained in the 1st; While most remedies that coincide in both rubrics are graduated with different value. “

Examples of symptoms on cooling . (“Beim Kaltwerden” in German, “Becoming cold” in English)

  • EC Aurum S. 422 Very sensitive to cold throughout the body.
  • MMP Moschus S.134 When it is airborne or cold, the air feels cold, and looks for heat from the stove (after 1 ½ hours). [Gss.]
  • EC Zincum 1256 All day, general exhaustion, sleepy, aversion to all noise, and yet deaf, without sleep, as after a night of waking, with shivering and cold chills run over the body, as after cooling after sweating
  • MMP Spig 573 He is very sensitive to cold air
  • MMP Camp 209 It is very sensitive to cold air.
  • EC Graph , introduction. … mucus of the nose; Daily coryza, when it cools …
  • MMP Magnes 220.- While standing in a cold place, there is a tearing pull in the muscles of the arm.
  • MMP NUX-V 928 By the contact of cold air, sudden in the calf, as if the leg were dormant (aft. 2 h.).

We must understand that the contexts of pathogenesis are described in climates that are very different from the climates we manage here in Mexico and some other Latin American latitudes. Perhaps for who is living in Toluca, State of Mexico or in La Rosilla Durango, Mexico, the cold will be something very similar to what is lived and lived in Germany; However, most Mexicans will feel extremely cold there. For this reason, it is that the usefulness and pathogenetic correspondence that I find for the rubric ” Aggravation by Cold Air ” is simply for causalities and aggravation modalities in cold weather (including, by common sense, those cold artificial climates that are created with airs Conditioned).

Mittel_dsc01514

It is not difficult to establish parameters for the other symptoms in the repertoire, since they offer the specific location for their aggravation when exposed to the cold; In the same way that it is known that Silicea is sick during and after her feet cool, and that in Belladonna the same is done by washing her head with cold water; In cases where the location that is cooled is specific, and whose cooling generates or complicates the symptoms; The heading ” Aggravation when cooling part of the body ” should be taken. For example:

  • MMP Puls 203 Toothache, which begins at 2 am, does not let him lay his head in a cold place in the bed; A sudden escarbante, first in the teeth of the lower jaw, then in the upper jaw, from the root of one tooth to another, that recur at noon when he eats.
  • MMP Hepar 151 When the smallest member cools, coughing occurs immediately, as by a cooling and hypersensitivity of the nervous system.
  • EC Silicea 302 Sudden dizziness, which does not allow you to take anything hot or cold in your mouth.
  • EC Silicea 781 Severe oppressive pain in the right shoulder, extending to the elbow, as soon as the shoulder is bare and becomes cold , mainly at night.

In patients in which both drinking cold water, walking barefoot on the cold floor, exposing themselves to the cold, etc., etc., aggravate or produce their symptoms, ie, they become ill with various factors associated with cold, I would not hesitate To take into account the rubric ” aggravates cold in general “; However, other combinable symptoms can almost always be found which are shared by fewer remedies with respect to this type of thermal modality.

Nor is it difficult to identify, for anyone who has read Hahnemann’s provings, that the rubric ” Aggravation Taking Cold Air ” (I would add ” aspiring “) is for provings in a context like the following:

  • EC Hepar 161 After drinking anything cold, and after opening the mouth, toothache at the moment in all the teeth.
  • MMP NUX-V 244 Inflamed throat; Sore harshness in the jaws, only felt when pulling cold air and when it swallows.
  • MMP NUX-V 95.- External headache; During cold wind, pain as if the head were sore externally; And still the place is not painful when it is touched (aft. 6 h.).
  • MMP NUX-V 928 By the contact of cold air, sudden in the calf, as if the leg were dormant (aft. 2 h.).
  • MMP NUX-V 202 Drawing tooth pain, which at the same time, stitches in a row of teeth, especially when pulling air through the open mouth (after 1/4 h.).
  • MMP NUX-V 206 Breathing deeply (in the open air) pain as if air entered the hollow tooth.
  • MMP Staph 212 Toothache caused by air pulled in the mouth.
  • EC Silicea 286 Odontalgia, particularly when eating hot food and when cold air enters the mouth.

I insist, it is important to take into consideration, to which pathogenetic context each heading refers. If we consider the pathogenetic correspondence that the provings have with the symptom “Aggravation, Temperature Change” ; We will realize that this refers to the change in temperature from the cold to the hot . I exemplify with the following summary case from my clinic:

Facial Neuralgia

A 38-year-old female patient, a cook , appears in January 2012 with a 6-hour evolution that begins about 20 minutes after arriving at work. It has sharp pain on the right side of the face, which includes upper gums, upper jaw, cheekbones, around the eye on the same side. The pain has become increasingly intense and even dizzy. Feel the same side of the face and it becomes numb. The pain increases with the noise, when spoken to, when touching the sore area; Wants to be locked in a single room. He tried to sleep but could not. Patient is restless, desperate, walks, does not want to sit. Pain upon palpation of the described area. There is no paralysis.

The case has a thermal causal factor (infectious / stimulant) that is key in the process and from which the analysis begins, and is accompanied by a symptom component of modality and sensation.

 

Rx Verbascum Thapsus. 30c (L)

These combined headings cover the patient’s current condition. The MMP of Hahnemann provides us with the necessary information for the confirmation of the homeopathic diagnosis.

  • MMP Verb. Symptom 11 Unusually deep, deep pressure on the right frontal protrusion, moving from the cold to the hot .  [Gss.]
  • MMP Symptom 84 Numbness
  • MPP Symptoms 15, 29, 63, 140,  Tapping
  • MMP 1.2 Vertigo
  • MPP 165 Earrings, tremors, shudders on one side.

In the repertorial analysis of the case you can realize that Arsenicum Album appears with grade 4 for the rubric “Agr. Temperature Change “ , which is true, considering that our knowledge of Materia Medica must lead us to understand that while Arsenicum is a remedy that is generally improved by the heat, it is not so in the case of the headache it produces; Which is “… improved by applying cold water, but removing it is much worse than before” (that is, the headache is improved by the application of cold water , but is aggravated by the change in temperature from cold to warm (temperate) . See symptom 118 for Arsenicum in Chronic Diseases). Note also the exception of Ranunculus Bulbosus that has the highest degree for this modality, but also has it in vice versa; That is, in moving from the hot to the cold; Therefore, this remedy will also be found under the heading of ” Aggravation when entering a Cold Place ” with grade 4. This means that the heading “Aggravation; When it enters a Cold Place , has a specific connotation for the situation and circumstance it describes, unlike the heading for the case presented above. Therefore, this remedy will also be found under the heading of ” Aggravation when entering a Cold Place ” with grade 4. This means that the heading “Aggravation; When it enters a Cold Place ,  has a specific connotation for the situation and circumstance it describes, unlike the heading for the case presented above. Therefore, this remedy will also be found under the heading of ” Aggravation when entering a Cold Place ” with grade 4. This means that the heading “Aggravation; When it enters a Cold Place ,  has a specific connotation for the situation and circumstance it describes, unlike the heading for the case presented above.

To conclude on this topic, we must take into account the following:

The forecast of Bönninghausen and his desire for transparency made him cite the origin of the provings for each of the medicines contained in the First Repertory (EPR) (I refer to SRH, Systematic Alphabetic Repertory of Homeopathic Medicines, in two parts: Repertory of Antipsychotic drugs or SARS of 1832-33 and the Repertory of non-antipsoric drugs or SRN of 1835 ), allowing in this way to compare each entry with the proving of origin. Thus, when it built the TPB from its immediate precursor EPR, Bönninghausen did not consult again the provings (already presented within EPR). It only needed to convert the information contained in EPR to replace it within the new structure of the TPB. This is undoubtedly the reason why he does not give references in his TPB, but the other reason, more importantly, Is that the entries it contains can not be found as they are in the provings – They are rather representations of provings, a distillation. The work constitutes the understanding of the characteristic in each medicine by Boenninghausen, completed by analogy, and validated and weighted by his vast experience. In fact, at that time, Bönninghausen had one of the busiest practices in all of Europe. Therefore, we must invest our time in studying Pure Materia Medica and Chronic Diseases, and see the repertoire as what it is; a guide. The work constitutes the understanding of the characteristic in each medicine by Boenninghausen, completed by analogy, and validated and weighted by his vast experience. In fact, at that time, Bönninghausen had one of the busiest practices in all of Europe. Therefore, we must invest our time in studying Pure Materia Medica and Chronic Diseases, and see the repertoire as what it is; a guide. The work constitutes the understanding of the characteristic in each medicine by Boenninghausen, completed by analogy, and validated and weighted by his vast experience. In fact, at that time, Bönninghausen had one of the busiest practices in all of Europe. Therefore, we must invest our time in studying Pure Materia Medica and Chronic Diseases, and see the repertoire as what it is; a guide.

The grading system of Boenninghausen.

The more I read the writings of modern day homoeopathic ‘experts’, the more I realise that we cannot trust in their utterances. A simple thing like translating Boenninghausens Therapeutic Pocket Book from German to English by Allen was mangled. First by the grading system, then incorrect English translation of the German rubrics, and finally by the addition of extra remedies in a manner in which did not reflect the accuracy of the carefulness of grading the symptoms.

It is always best to go to source in order to establish the accuracy of the situation. Here is Boenninghausens own words in the preface to the 1846 edition.

“On account of the large number of remedies, under nearly every rubric, it has been thought indispensable, on account of both the above-mentioned objects, to distinguish their relative values by means of various types, as I have done in my former repertories, and which Hahnemann has repeatedly shown to be necessary. So, throughout the whole work, there will be found five classes distinguished by the type, of which the four most essential ones are in the first division,

Mind and Disposition, under the rubric ” Covetousness,” which may serve as an example. The word Puls, in spaced Italics, occupies the highest, most prominent place. After this follow, in descending order, in simple Italics, Ars. and Lyc, as less important, but still especially distinguished by the characteristics of the remedies as well as by practice. Of a still lower order are the spaced Roman letters in N a t r. and S e p., and in the last rank will be found Calc, printed in Roman letters not spaced. The fifth place, the last of all, contains the doubtful remedies, which require critical study, and which occur most seldom; these are enclosed in parentheses”.

Logic: Why would Boenninghausen include a grade for doubtful remedies? Doubtful remedies can not be graded for usefulness. Why did he state that The four most essential remedies are in the first division?

Further investigation from the handwritten copy of the 1846 printers edition, shows clearly what is meant. The underlining system was like this. Grade 1, no underline. Grade 2, one underline, Grade 3, 2 underlines. Grade 4, 3 underlines.

There was no grade attribution for remedies in parenthesis. There is only this system used throughout.

Further, 20 year later in the reprint, Boenninghausen removed the remedies in paranthesis and left the main work intact. One can only assume that the original parenthesis remedies were included for further study and research. NONE were added to the repertory.

Other homoeopaths of the time acknowledged the grading system. Hering for one.

Herings foreword to  His Guiding Symptoms.

Is the same as that in the “Analytical Therapeutics” and in the “Condensed Materia Medica.” A more complete and concise review of the arrangement will precede the Repertory, which is to follow close upon the last volume of this work.

     To facilitate the study of the relative value of symptoms, four marks of distinction have been adopted, “TextTextTextText”, which correspond to the four degrees in Bœnninghausen’s Repertory….”

There is no more to say.

 

The Boenninghausen Group in Seville

The local group here meet once a month and spend 3 hours studying rubrics of the Therapeutic Pocket Book.  They do this to gain a clearer understanding of what the rubrics mean. It gets to be interesting especially as the group are Spanish and examine the rubrics in English Spanish and reference from the original German TPB which is contained in the SYNOPSIS repertory.

Within 30 seconds walk of our clinic is a choice of restaurants for coffee and beverages, so we try to get at least 2 coffees in during the time..

For people in other countries, the IHM offers a 5 day intensive training course in the teachings of Hahnemann through the use of the Therapeutic Pocket book. We offer this training in 2 modes, one for practitioners and one for people learning homoeopathy for the first time.

I am particularly looking forward to August as two London based persons are coming for their second and final training session and hopeful registration with the IHM. It has been a pleasure watching them develop from individuals with some knowledge into competent case takers. They have worked extremely hard since last August and have my respect for that. Kudos.

 

Case taking errors.

A few words written here to offer direction from Hahnemanns instructions to us. In the previous article written by Boenninghausen,  https://instituteforhomoeopathicmedicine.wordpress.com/2017/06/25/the-choice-of-remedy/

it was pointed out one of the commonest mistakes made in case analysis, is the incompleteness of taking the symptoms.

In our clinic recently, a similar set of circumstances arose in a particular case, and we agreed on a remedy that presented in every way to a similimum. However….. Even though the remedy chosen fitted well, Manuel said to me, ” you have that unconvinced look again” and so we reviewed the case over, asking more questions. We found a modality that we had missed and one which WAS the key to the case.

There is an issue that faces all homoeopaths. That is one of taking an accurate and complete notation of all the ALTERED symptoms of the disease state present. A brief look at what is required:

§ 85
He begins a fresh line with every new circumstance mentioned by the patient or his friends, so that the symptoms shall be all ranged separately one below the other. He can thus add to any one, that may at first have been related in too vague a manner, but subsequently more explicitly explained.
§ 86
When the narrators have finished what they would say of their own accord, the physician then reverts to each particular symptom and elicits more precise information respecting it in the following manner; he reads over the symptoms as they were related to him one by one, and about each of them he inquires for further particulars, e.g., at what period did this symptom occur? Was it previous to taking the medicine he had hitherto been using? While taking the medicine? Or only some days after leaving off the medicine? What kind of pain, what sensation exactly, was it that occurred on this spot? Where was the precise spot? Did the pain occur in fits and by itself, at various times? Or was it continued, without intermission? How long did it last? At what time of the day or night, and in what position of the body was it worst, or ceased entirely? What was the exact nature of this or that event or circumstance mentioned – described in plain words?

In our case, which is still ongoing, had we not followed the instructions Hahnemann gave for taking precise symptoms and modalities, we would have GIVEN THE WRONG REMEDY and failed to elicit a cure.

Why?

We did not examine each symptom and COMPLETE the location, the sensations and the modalities. In my clinical experience, it is the modifying factors of a symptom that give the leading clues to the correct remedy. I make it a practice to NOT IGNORE ANY SYMPTOM IN ITS ENTIRETY as it may prove the key to remedy selection.

You may find that a single modality present in each symptom MIGHT  becomes a general symptom of the case. Without having each symptom itemised into its components, There is no accurate case to prescribe for. You may find that a modality is singular to a particular symptom, and on that basis alone is key to the case. I often hear inexperienced prescribers say that they dont like to use rubrics that narrow down the list of remedies too early in case “they miss something”. I personally look for symptoms that CANNOT be ignored and have but few remedies in them.

We will look at this logically.

A known infecting agent will produce a known set of pathological symptoms. By virtue of this knowledge, a name can be given to the disease state, and expressions of that disease will be exhibited in the patient so that, for example, measles can be diagnosed as the “Disease”.

A patient before us has a known disease. This disease has symptoms of

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z.

Not all symptoms will be exhibited in the patient. Our patient for example, will present E J K P V W X Y and Z. However, the collection of these symptoms is the descriptor for the named disease.

So we look at the exhibited symptoms that the patient presents, and note (for example) the Fever, the skin eruptions and the feeling of Nausea.

We start with examination of HOW the fever affects the patient. Is it hot? cold? is it followed or accompanied by perspiration? Is there a time modality? Is it worse for covering or uncovering? What affects it? Is it better or worse from heat? etc etc.

We look at the skin symptoms and examine each and every eruption, location, modality etc.

We look at the Nausea and do the same.

From this we can conclude that Hahnemann fully accepted that the illness was due to infection, but that the reaction to it IS INDIVIDUAL TO THE ORGANISM INFECTED. On this basis, we must keep in mind what is common to the infection and NAMED disease symptoms, and YET peculiar to the individual…….in their individual expression, from which we can elicit the prescribing symptoms for a remedy match.

The choice of the remedy in any concrete case of disease can not be made too carefully or too cautiously. No less in the healing art than in morals, the motto holds good: “Bonum ex omni parte, malum ex quorumque defectu.” Many failures occur, especially with unpracticed beginners, because in examining the symptoms the one or the other was overlooked. Even with the older and more experienced homeopathic physicians, especially such as are very busy, such an occurrence occasionally takes place. (Boenninghausen)

Never be afraid to re look at a case that is not resolving. Of such a case Boenninghausen wrote:

“………But I was cruelly and painfully disappointed when the patient after this period appeared before me, for he was not improved in any respect; on the contrary, his sickly appearance and the threatening redness of the cheeks had increased and the feverish symptoms had been suspiciously augmented. In the meantime the remedy had been used exactly according to my directions, and nothing had been overlooked either in diet or in his mode of life. What then had been the reason for my total failure? Under such circumstances the only reason could be the defective or incorrect examination of the symptoms, so I went over them again carefully, one by one.”