Tag Archives: Boenninghausen
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One of the reasons you have not heard from us for a while is that we have been busy with sorting out our teaching courses.
Seville Spain Seminars with the IHM.
Conducted in English, with Spanish translation if required, we have set aside Thursday to Sunday inclusive every week for a 4 day training Seminar. We offer to medical and non medical practitioners, a stimulating intensive background to Hahnemanns requirements for homoeopathy using the Therapeutic Pocket book to analyse cases quickly adhering to all the protocols to ensure an accurate prescription. The course is arranged so that the learning is incremental from the historical nature of the therapy viewed through many cases, to understanding the correct viewpoint regarding Miasms, potencies, Using the Therapeutic Pocket book and working with LM or Q medicines.
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4 years ago, P & W implemented a polarities feature into the Therapeutic Pocket book for trialing and testing. The results of our findings led us to conclude that the inclusion of the polarities model was detrimental to a homoeopathic prescription.
In the entire writings and case examples of Boenninghausen, NO WHERE do we see the numerical value of a rubric used as an arbiter for prescription.
The grading of the symptom rubric defines the occurrence or reliability or clinical observation of its usefulness for consideration, NOT its intensity or absoluteness in a symptoms presence.
A value of 1 or a value of 4, does not negate a choice of a lesser “value” symptom if the Materia Medica indicates that the remedy with the smaller numerical value is the most similar.
In short, a medical proving of a substance either shows the production of a symptom or it does not. An absence of a symptom is NOT included in a repertorization analysis, and should have no bearing on the choice of medication. Neither should a “lesser value” be taken into consideration as the combination of rubric choices should lead to a study of indicated remedies in the Materia Medica for sole selection of a similar.
The inclusion of the Polarities table, in our researched conclusion, is detrimental to the homoeopathic prescription. It is flawed from the beginning by making the Therapeutic Pocket the instrument of remedy choice rather than using the book as defined by Boenninghausen as a guide to the Materia Medica.
We would encourage every physician to concentrate on accurate case taking and learn to use the T.P.B. as intended for accurate, precise and repeatable good prescribing.
Below is a research trial documented, which concludes that the use of the polarities is efficaceous. We would point you to a single telling insertion in the study, which we believe is the weakness of the whole premise:
The study, being a rigorous clinical test of homeopathy, also unmasked weaknesses of the method. Due to a low percentage of initially correct prescriptions the suspicion arose, that parents do not report symptoms precisely. Analysis of 100 unsuccessful prescriptions in children who finally improved with another homeopathic remedy, enabled identification of misleading symptoms. Frequently these were sensations and mind symptoms, while modalities (especially aggravations) and polar symptoms usually proved to be reliable information for repertorisation. The exclusion of unreliable symptoms led to an improvement of results,but also often resulted in oligosymptomatic cases, i.e., cases with only few usable symptoms. This problem was resolved by an experimental reintroduction of (pathognomonic) perception symptoms into repertorisation, which again improved our positive treatment results significantly.
The prescribers in this single paragraph, indicate a telling lack of knowledge of how to use the T.P.B. There is a singular and collective mixing of unrelated symptoms based on a lack of correct application to the case. The whole reason for initial case failure is contained therein. This is not a criticism of individuals, just a scientific observation of their own findings.
[gview file=”http://www.heinerfrei.ch/downloads/Downloads%20Publikationen/DL_13_YHOMP474.pdf” cache=”0″]
By Vera Resnick
I must own up to being old fashioned. However much computers may have helped us in referencing many books, in finding correct rubrics, in the process of repertorization – it has reduced us to a bunch of small-screen addicts with heavy-duty tunnel vision.
One of the central flaws of science, replicated in the use of a computerized repertory, is that we determine what we’re looking for, and we look for it. Peripheral vision becomes irrelevant. Apart from synonyms, which can sometimes be useful, either what we’re looking for is there – or it isn’t. Anything interesting that may be lurking in the background becomes effectively invisible. Our gaze is honed in to what we’re looking for, what we find, and then to a search for alternative expressions of what we’re looking for.
I invite you now, if you will, to put down the mouse (or take your finger off the touch pad) and pick up the nearest book (no, no, a Kindle absolutely does not count). Flip through the pages without even looking for anything. Do you notice some ideas as you do so, some words that just jump out at you? If you’re doing this with a homoeopathic text, or something that interests you, you may even find yourselves noticing things you want to go back to, look at in more depth. It’s true – this can happen on the computer, but it’s a much easier process when you know what you’re looking for is sitting in your hand within the pages of the book you’re holding, and is not something you’re going to have to hunt through your browsing history to get at.
Tunnel vision is considered a problem because we are hard-wired to give importance to peripheral vision, although as a race we seem hell-bent on destroying any abilities we have in that area. We are programmed to notice something that is moving which should be still, something that has a different colour, a different shape, and our brains process a tremendous amount of information beyond that which lies in our direct focus.
The new P&W book allows us to do both. On the one hand, the book is quite large in terms of page size and lettering, and all sections are very clearly presented. When I’m looking for something specific, it’s very easy to find it. On the other hand – as I leaf through the Cough section looking for sweetish expectoration, I cannot help but notice all the other forms of expectoration appearing on the page. As I take a broader look at the page, I cannot help but notice how frequently Phos and Puls seem to stand out in their four point bold capitals, and notice the incidence of other remedies in these rubrics too. Looking at the page on Leucorrhea, I find myself wondering why I’m seeing much less of the Sepia I expect, and more of Mercury and other remedies to think about.
The point I’m trying to make is that while you can turn every computerized repertory search into a learning experience if you choose to do so, a hard copy book search will bring things to your attention just by looking through the book’s pages.
Another plus of the book is that it brings the Concordances section into focus and allows for clearer study and use of that section in repertorisation and case management.
The editors have kept their intervention to a minimum, and thus I know what I hold in my hands is faithful to Boenninghausen’s 1846 Therapeutic Pocketbook. To quote from the editor’s introduction:
“…We translated from the original German of the published first edition and had use of the handwritten printer’s edition in Boenninghausen’s own hand. We translated each rubric to bring it into modern English but retained the original meaning of each word and sentence…” P&W’s Synopsis program also has the original German edition, so it is possible to check back to the original rubrics as desired…”
Since I wrote most of the above, my software was knocked out by my antivirus gone rogue. Until I worked out the problem, which ultimately was easy to resolve, I was dependent on the book – and extremely relieved that I had it at hand. I think that for those of us who work constantly with computer software, having a hard copy which offers a faithful non-electricity non-computer dependent version is crucial for those days when nothing is working properly.
The book is available from firstname.lastname@example.org
Drop an email and he will invoice you via PAYPAL for $85 plus delivery, usuallyabout $10.
By Vera Resnick
Now you tell me, which of the following is more interesting:
“Sepia is suited to tall, slim women with narrow pelvis and lax fibers and muscles; such a woman is not well built as a woman… the remedy seems to abolish the ability to feel natural love, to be affectionate… she may even be estranged and turned aside from those she loves. This is on the border land of insanity… (Kent’s lectures)”
Sepia is suited to all men and women who exhibit symptoms pertaining to that remedy, to be determined first with reference to the proving and subsequently to other materia medicas. (VR et al, 2015)
The P&W TPB is primarily an English language facsimili of the original 1846 edition of the aid to Materia medica as designed by Boenninghausen.
Vladimir Polony and Gary Weaver translated the German text into English utilising Medical Dictionaries of the time period. Vladimir, although fluent in German, also was ably helped by NATIVE German speaking colleagues to define language nuances and changes in meaning of words over a 200 year gap. Once the old German was translated into new German, but retaining the meaning of the original intention, we were then able to translate into English. Continue reading
“If it’s so easy, why isn’t everyone working this way?”
I was asked this question at a seminar I gave several years ago. This is a question that frequently puzzles us at the IHM. Because it is easy.
True, a lot of hard work is needed to get expertise, and then to improve expertise. To read, re-read, and analyze materia medica. To read and discuss cases. To comb the Organon and Hahnemann’s other writings for better understanding of the underpinning of homoeopathy – essential for prescription and case-management; for case-taking clues; for accurate work with remedies.
It’s not always easy to get rid of our preconceptions regarding remedies, to learn to be able to prescribe Pulsatilla on prescribing symptoms whether the patient is a sumo wrestler or a petite, sweet blonde. It’s not always easy to focus on absolute, presenting symptoms when our learned “knowledge” is giving us all kinds of useless hints regarding constitutionals, core delusions, sensations and similar.
Jewish tradition records a story of someone who came to a venerable Rabbi and asked him to explain the entire teachings of the law while standing on one leg.
Well here’s homoeopathy on one leg. Take your case. Take only what has changed and is presenting for prescribing, against the backdrop of the patient’s life and habits. Only use symptoms you could swear to in a court of law. Use symptoms which show the individual expression of illness in your patient. Look for a remedy that can produce similar symptoms in the healthy, and thus create a similar, slightly stronger, artificial state in your patient. Find the core of that information in the proving. Prescribe.
Still standing here…
The thing is, once you drop the theories, the speculations, once you move away from trying to be clever and insightful, you start looking at what is in front of you. You work with the information the patient gives you about his state of illness (morbid state) – not with your speculations about his personality, or information about whether he’s always loved chicken, or whether he played with Barbie dolls as a child. You work with what you can know about remedies – information contained in the provings. You work with some information gleaned from poisoning and clinical work. Some of this information was chosen by Hahnemann for inclusion in his provings. This information should only be taken from the most reliable practitioners (in case you didn’t get it, at the IHM we focus mainly on Hahnemann and Boenninghausen’s work). You put it together and prescribe.
Aphorism 3, my friends. And as the learned Rabbi is reputed to have said, now go and learn the rest…
What remedy does this describe? Sepia, of course. We all know that Sepia is better for lots of exercise. Don’t we?
This is where it gets interesting. In the proving, for the most part when any physical exertion is mentioned, it’s actually a cause for aggravation. Not amelioration. Walking is mentioned over 90 times in this proving. Around 7 instances are in the introduction, and amelioration from walking appears around 8 times in a proving containing 1655 symptoms. All the rest – approximately 75 mentions of aggravation from walking by my count. Around 21 on these mentions relate to walking in the open air, and Sepia provers did note sensitivity to cold, but that still leaves us with over 50 instances where walking aggravated.
The opening sentences are quoted from Kent’s lectures – most of those reading this probably first met Sepia through Kent. We met this unfeminine female, who is cold, angular, depressed, worn out, and needs violent exercise to keep her human. Add to that the image of the ink-spitting cuttlefish, attacking with sudden sarcasm and retreating – it all gets very picturesque, so to speak. The problem with all these images is that they stick so firmly in memory that even once you know they are fallacious they are very difficult to dislodge. I remember a live case where the homoeopath pointed at the patient, who shrank back in dismay, and declared in tones that brooked no argument – “behold Sepia, fix the image of this patient in your memories!” Needless to say (after such an intro) Sepia didn’t work…
It gets even more interesting however when we look at the therapeutic pocket book, where Boenninghausen included Sepia in amelioration from physical exertion – in 4 points. This brings us to the issue of the grading in the TPB, which is often erroneously considered to reflect the intensity of the symptom. The significance of the grading relates to the extent to which that symptom was verified in clinical use. A symptom appearing in 1 point is a completely valid remedy symptom – just one which has been used less and therefore verified less in the clinic. Sepia in 4 points in amelioration from physical exertion means that Boenninghausen saw this amelioration over and over again, sufficiently so to include it in his carefully and meticulously crafted TPB. Sepia also appears in the TPB under different expressions of aggravation from physical exertion, but only appears in one, two or three points.
So we have the proving – pointing to aggravation from physical exertion, repeated over and over again by provers and by Hahnemann himself in his introduction to the proving. And we have Boenninghausen’s TPB weighting the balance in the direction of amelioration from physical exertion. What’s the “take home” from all this?
I’d suggest the following:
1. Blank out the Kentian “image” (and those presented by other homoeopaths before and since). This image is not helpful for accurate, focused prescribing.
2. Amelioration from physical exertion was presented by Boenninghausen – a master clinician. This strengthens a modality which only found moderate expression in the proving. There is nothing to negate the symptom, and many clinical cases, together with Boenninghausen’s grading in the TPB, to support it.
And possibly most importantly:
3. If Sepia looks like a good fit but the patient is not ameliorated from physical exertion, or is even aggravated by it – don’t rule out Sepia. If it looks like the best remedy for the case, give it. Even if the patient is fair, round, has blue eyes, and is a 15 year old boy…
Many failures to select the right remedy for the sick are due to a failure to select the line of properly taking the case. We might as well under take to recognise a person by looking at his hand, or hand and foot, as to cover the case with the appropriate remedy from a few symptoms when there are many to come into the complete picture.
Oftentimes in a case half reported the very symptoms that are most important, so far as the selection of the remedy is concerned, are left out. This is especially true with the homeopathic system of prescribing. It is so natural for a patient to think that if he tells us that he has a cold, or indigestion, or rheumatism, that we ought to be able to prescribe for him forthwith, and strange to say, I have met more than one physician who seemed to have no better conception of homeopathy than this; and evidenced it by asking such questions as , “Doctor, what is your best remedy for diphtheria”, or rheumatism, etc.
There is of course, only one proper answer to such a question, from a homeopathic standpoint, viz, the indicated one.
The name of a disease may be helpful so far as calling to mind a class of remedies that have been found curative, but the symptomatology of the case in its entirety, and especially in those symptoms which are peculiar and characteristic, in correspondence with the remedy which in its pathogenesis has the same, must decide which ONE of the class is the true similimum.
But some one will object, I cannot wait to hunt down a case like that. Life is too short. I answer “Then you will wait for your cure, and life may be too short for that”. Of course recovery may come (no thanks to us), but never cure.
Then if Similia Similibus Curanter is true, the taking of case in the entire range of its symptoms is of first importance.
Where shall be begin?
In the majority of cases, the patient will locate the trouble without your asking questions, as “Doctor, my head is troubling me.” It may be headache, vertigo or an eruption. It may be in the chest, as pneumonia,pleurisy, pericarditis or organic heart trouble; or it may be in the abdomen in the region of the stomach, liver, kidneys, or pelvic organs. In all such cases the patient will locate the pain, or other suffering, and we must if possible interpret in the light of our knowledge as physicians, and at the same time bear in mind the remedies known to produce similar pain and suffering, in the same localities. Or, if not borne in mind, all that remains for us to do is to hunt them up in our repertories, or Materia Medica. For instance: Is there a pain in the upper right chest, Arsenicum acts characteristically there.
Right middle chest? Belladonna, Sanguinaria, Calcarea ostearum, etc.
Lower right? Chelidonium, Kali carbonicum, Mercurius
Left upper? Myrtus, Pix liquida, Theridion, Sulphur, Tuberculinum, etc
Left lower? Natrum sulphuricum, Phosphorous
Here I have named a few remedies that have a particular affinity for these locations in the chest, and in all these cases, this is generally in connection with lung troubles, and further examination will disclose the remedy most appropriate.
If such pains in the chest region should occur outside the lung itself, it might indicate Bryonia, Squilla or Sulphur in pleuritic troubles, or Arnica, Cimicifuga, Ranunculus or Rhus tox in rheumatic pleurodynia, or intercostal rheumatism.
It is not the province of this writing to draw the distinction between remedies, which the case in all its local manifestations, concomitants and modalities would suggest, but to impress upon our minds the importance that must attach to locality.
But one will truly object that sometimes the sickness or suffering does not localise. The patient in answer to the question as to where the pain or suffering is located, answers : “All over, I feel badly all over; weak, aching, sore and trembling.”
This might be a case of incipient typhoid and Gelsemium or Baptisia would be in place, or the prostration might be a result of some drain on the system, as haemorrhage, leucorrhoea or loss of semen, and call for such remedies as China, Phos ac, Nat mur, Kali carb or Stannum.
Still although the trouble does not manifest itself in any particular part or organ (and some would relegate it to the realm of Sensation), I think it might come under the head of location, like absence of pain would come under the head of sensation. It is located all over and in no particular part. It is under the head of location in a negative sense and significant. Now, in either case we have made a good beginning in taking the case, and the next step is as to
Trouble in what location? What about it? Is it pain, coldness; heat or burning; sweating; cramping; emptiness; fulness; or any other abnormal sensation? Describe it as nearly as possible.
Is it a burning pain or sensation? Apis mellifica, Belladonna, Arsenicum, Cantharis, Capsicum, Phosphorous and Sulphur all have that very markedly
Is it sticking pain? Then Bryonia, Kali carbonicum and Squilla come to mind.
Sense of fullness? Aesculus, China, Lycopodium and Carbo veg; especially if in the abdomen, pelvis or anus.
Is it a sense of emptiness or goneness? Cocculus, Ignatia, Phosphorous, Sepia or Sulphur.
Constriction? Cactus grandiflora, Natrum muriaticum, etc.
Cramping? Cuprum, Colocynth, Magnesia Phosphorica.
Faintness? Ignatia, Hepar sulphuris, Nux moschata, Nux vomica, Sulphur.
Numbness? Aconite, Lycopodium, Platina, Rhus tox, Secale, are prominent.
And we might go on to mention many more sensations that have been observed in so-called disease and pathogenesis of drugs. These sensations are for purpose of prescribing, invaluable to the homeopathic physician, and occur in almost every abnormal state to which flesh is heir.
Not of less importance in the taking of the case than Location and Sensation is that which is termed
What aggravates or ameliorates?
First, as to time. Are the symptoms worse in the morning? Remember Nux vomica, Nat mur, Podophyllum, etc
Forenoon? The same.
Afternoon? Belladonna, Lycopodium, Apis mellifica.
Evening? Aconite, Pulsatilla, etc
Night? Arsenicum , Mercury, Rhus tox.
After Midnight? Arsenicum (1 to 3 A.M.), Kali carbonicum (3 A.M.), Rhus tox.
As to circumstances:
Aggravation on movement calls for such remedies as Bryonia, Nux vomica and Arsenicum
Amelioration of movement : Rhus tox, Pulsatilla, Ferrum, Lycopodium
Aggravation on descending : Arsenicum and Calc ost
Aggravation in wet weather : Dulcamara, Rhus tox, Natrum sulphuricum, Nux moschata, Rhododendron
Aggravation in dry weather : Hepar Sulphuris, Causticum, Nux vomica
Ameliorated by hot applications : Arsenicum, Magnesium phosphoricum
Ameliorated by cold applications : Apis mel, Pulsatilla
Aggravation in cold air : Hepar sulphuris, Arsenicum, Nux vomica, Silicea
Aggravation in warm air or weather : Antimonium crudum, Bryonia, Pulsatilla
Aggravation after eating : Nux vomica, Bryonia, Pulsatilla, Arsenicum
Amelioration after eating : Iodine, Chelidonium, Anacardium, Petroleum
Aggravated after fat food : Pulsatilla, Carbo vegetabilis
Fat food agrees and is desired : Nux vomica and Nitric acid
All these and many more may be classified under the head of what are by some called Generals. Another class is termed Particulars, because referring to regions or particular organs such as:
Diarrhoea aggravation in the morning : Sulphur, Bryonia, Podophyllum, Natrum sulphuricum and Rumex
At night : Arsenicum, China, Mercury, Psorinum.
Chest affections aggravation worse when lying : Psorinum, Laurocerasus.
Amelioration sitting : Arsenicum, Kali carb
Anal trouble, worse after stool : Aesculus, Aloe, Muriatic acid, Nitric acid, Sulphur.
Many more are there which are both general and particular just as important to show the equal importance of Modalities with Location and Sensation. To try and produce them here would be to incorporate a large part of Boenninghausen’s Pocket Book, and all the repertories extant.
We cannot use space to mention any of the many possible concomitants (another of Boenninghausen’s divisions), which are no less important than the preceding in the necessary “make-up” of a case, but will come to the apparent.
of diseased conditions. Boenninghausen includes these under the head of modalities, but they ought in my opinion to be seperated, as they often equal in importance the other three.
For instance was it fright? Aconite, Gelsemium, Ignatia, Opium, Lycopodium and Veratrum album occur to us.
Exposure to dampness or cold air : Dulcamara, Rhus tox, Natrum sulphuricum, Nux moschata
or exposure to dry cold air : Aconite, Bryonia, Hepar Sulph, Causticum.
Cold bathing? Antinomium crudum, Rhus tox, Sulphur
Suppression of an eruption? Sulphur, Psorinum or other anti-psorics.
A badly treated or suppressed gonorrhoea? Thuja, Medorrhinum
We might under the head of causes mention many more than we have, but the skillful homeopathist will not under-rate any of them in his examination of the sick. And now, though coming late, we must not fail to call attention to another important thing for consideration, namely
CONSTITUTION AND TEMPERAMENT
Some would have noticed this first, and it is certain that the “personal” of the patient cannot be ignored and their diseases often present symptoms that find their similar in a certain class of drugs. Dr. TL Brown, one of the best prescribers I ever knew, used to say, that is he met a pure Pulsatilla temperament he would always find the symptoms and conditions to correspond. That is putting it strong, and it might be found that Nux vomica would be indicated in a Pulsatilla subject. These are the exceptions that prove the rule.
Sulphur will rarely be called for in a Calcarea ostearum temperament, an vice versa.
Iodine, Lycopodium and Nitric acid are three of the remedies that often find their indications in brunettes of spare habit, and so we find them in the remedies oftenest adopted to the sanguine, nervous and bilious subjects. Not only is this true in regard to the choice of remedies, but the rule holds good in the proving of drugs. The subject most responsive to the curative action of certain remedies will also be the most susceptible to their pathogenetic effects. Some undoubtedly place too much stress upon this feature in taking the case, and thus run into routinism, while others underestimate it. There is a point where extremes meet and form the completed circle.
Constitution and temperament must certainly come into the totality of the case.
This method of taking the case is the one adopted by Boenninghausen, and the outcome was his celebrated Therapeutic Pocket Book. There is another method in use, and employed by some of our best prescribers, which is also a good one, which I will illustrate by a case so taken. The symptoms are grouped under two heads Generals and Particulars:
(symptoms as given by the patient)
(Same as found in the repertory)
|1||Worse from physical exertion||Aggravation by physical exertion|
|2||Tendency to take cold||Tendency to take cold|
|3||Efforts to think made the mind seem blank||Aggravation by mental exertion|
|4||Easily hurt by what people say or do||Sensitive|
|5||Mind dwells on breaking up of home||Dwells on past disagreeable events|
|6||Which is a lasting grief||Ailments from grief|
|7||She could not think or remember well||Weakness of memory|
|8||Attacks of low spirits lasting days||Sadness and mental depression|
|9||Has lost all ambitions||Loss of ambition|
|10||Would hardly speak, even when addressed||Aversion to talking|
|11||Fear of death, if left alone||Fear of solitude|
|12||Trembling when tired or excited.||Trembling externally|
|13||Felt as if going insane||Fear of insanity|
|14||Worse after eating sweets||Aggravated by sweets|
|15||Always weak since scarlet fever||After scarlet fever|
|16||Felt very tired||Weariness|
|17||Nervous prostration||Nervous weakness|
|18||Lying down relieves||Amelioration by lying down|
|19||Feels tired and bad in the morning||Aggravation in the morning|
|20||Great menstrual difficulty||Painful menstruation|
|21||Menses profuse||Menses profuse|
|22||Menses long lasting||Menses protracted|
|23||Menses too early||Menses too early|
(symptoms as given by the patient)
(Same as found in the repertory)
|1||A bursting pain the front part of the head||Bursting pain in the forehead|
|2||Redness of the nose||Redness of the nose|
|3||Discharge from nose, bloody mucus||Discharge from the nose, bloody|
|4||Nose is full of scabs||Nose scabs|
|5||There are brown spots on the face||Brown spots on the face|
|6||An unclean taste in the mouth in the morning||Bad taste in the mouth|
|7||Intolerance of anything in her throat||Throat sensitive to slightest touch|
|8||Stomach gets sour||Sour eructations|
|9||Has heart burn||Heartburn|
|10||Sensation of stone in the stomach||Sensation of stone in stomach|
|11||Wind in stomach||Flatulence in stomach|
|12||Stool is partly expelled and then recedes||Stool slips back|
|13||Smarting pain in rectum||Smarting pain in rectum|
|14||When not constipated stool is expelled like shot||Stool shooting out|
|15||When desire for micturition is felt it has to be satisfied immediately, or urine cannot be retained||Must hasten to urinate or urine cannot be retained|
|16||Colds of a croupy form||Croupy|
|17||Hairs turned gray||Hair becomes gray|
|18||Sensation of weight on her chest||Heaviness in chest|
|19||Seems as if would strangle when coughing||Choking when cough|
|20||When hurt very excited and heart palpitates||Emotional excitement and palpitation|
|21||Curvature of the spine||Curvature of the spine|
|22||Spine externally sensitive to touch||Backs, pains, spine|
|23||Sudden desire for food which must be gratified||Ravenous appetite|
|24||Palpitation caused by lying on left side||Palpitation when lying on left side|
|25||Upper part of spine is stiff||Stiffness of cervical region|
|26||Rubbing ameliorates||Numbness ameliorated by rubbing|
|27||Burning in the back||Heat up the back|
This was the case, and was of one years standing. Before “chasing it down” in the repertories I predicted that Phosphorous would be the remedy. It was worked out by another physician, and when she got through the Generals she came to me with a smile and showed the result: Natrum muriaticum, 44; Pulsatilla, 39; Phosphorus, 38; Nux vomica, 38; Calcarea ostearum, 38; Sulphur, 37; Lachesis 32; Mercurius, 32.
“How about Phosphorus?” said she. I answered, work out the rest of it. The particulars stood : Phosphorus, 41; Nux vomica, 39; Sulphur, 37; Lachesis, 33; Pulsatilla, 31; Lycopodium, 27; Arsenicum, 27; Mercurius, 28; Calcarea ostearum, 25; Natrum muriaticum, 24.
Summary : Phosphorus, 79; Nux vomica, 77; Sulphur, 74; Pulsatilla, 70; Natrum muriaticum, 68; Lachesis, 65; Calcarea ost, 63; Mercurius, 60.
(After this work is done, I find that about the first seven remedies may be taken for further comparision. Not only the totality of symptoms, but those that are characteristic and peculiar. (See Organon paragraph 151), must be recognised. For instance if with the two remedies, Nux and Phos in the case, Phos had five characteristics, while Nux had ten, the later remedy would deserve preference and further examination of the pathogenesis, verified and unverified, would place it there. This is where the judgement and skill of the man with long experience and practice in the art of prescribing becomes invaluable)
Now I do not claim that I can with certainty always predict the remedy that will come out ahead. I remember another Phos case in which I predicted that Calc ost would be the remedy, and the result of the “hunt” placed it second.
To the skillful and experienced physician, the case so taken may sometimes stand out prominently in its characteristic and peculiar symptoms as to carry on its very face the sure indications for the remedy. But other cases will come to us so complicated that the best of us must make long and arduous study of it. Especially this is true in chronic diseases.
None, but the true homeopathic physician realises the importance of throroughly taking and working out such cases.
Rarely will a case come out so clearly that the cure can be performed with one remedy, but a succession of remedies will be necessary, and here is where the so-called complementary relations of remedies come in for recognition and skillful application.
- S.: On reviewing the foregoing, I feel constrained to add, lest we be charged with not being up-to date, especially in pathology, that for purposes of diagnosis, the tests for evidence of disease, bacteriological, chemical, etc should not be neglected. The urine, sputum, blood, excretions, etc, furnish important signs.
But for the purpose of prescribing, we do well to remember the teachings of Raue, who stood high both as a pathologist and prescriber. He said : “The symptoms which go to make up the choice of the remedy often stand outside those that go to make up the pathology of the case.” Every prescriber accorsing to Similia Similibus Curanter understands this.