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Interpreting Patient's Language for Remedy Selection


Homeopathic Journal :: Volume: 4, Issue: 9, Jul 2011 (New Papers)   -   from Homeorizon.com
Author : Dr. V. Krishnamurthy, Teaching Experience in Homeopathy
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Article Updated: Sep 08, 2011


Editor: In the following article Author has explained through different cases how to interpret patient's language for Remedy Selection. Interpreting patient's language into language of material medica is an art which comes from practice and experience; so we hope author's experience will help our dear readers in their clinical practice.

Single-dose-cure for chikungunya and swine flu.

During the years 2006-2008, almost all homoeopathic practitioners had been giving different remedies for chikungunya disease (mainly Rhus. tox and Eup. perf.) to be taken for days and weeks with little relief. The undersigned was the first to declare that the homoeopathic remedy Polyporus Pinicola-10,000x is almost a specific for chikungunya and with this remedy GIVEN IN ONE SINGLE DOSE, my students had cured lakhs and lakhs of chikungunya victims during the years 2006 to 2008. (Rate of success: more than 97%).

I am not proud of the above, because it is my duty, as Professor of homoeopathy, to find out the remedy for any epidemic. [A teacher is he who makes difficult things easy. - Ralph Waldo Emerson.] Be that as it may.

Though, all practitioners had cured several cases of chikungunya with one single dose of Polyporus, what was disappointing is that not even a single homoeopath came forward to ask me as to how I selected Polyporus Pinicola for chikungunya.

These homoeopaths (who had cured chikungunya with one single dose of Polyporus) are now asking me what homoeo medicine is to be given for swine flu. I am not satisfied with this query. But I would be much pleased if they had asked me how I arrived at Polyporus Pinicola for chikungunya and further how to find out the remedy for the present pandemic swine flu.

I don't mind declaring the name of the correct homoeopathic remedy which would be almost a specific for swine flu. Before this I would, first of all, like to teach the practitioners as to how I found out the remedy for chikungunya. This is more important. Such a teaching alone would help the reader to find out by himself a remedy for future epidemics.

Chikungunya disease begins with fever, shivering and joint pains. Many patients had to crawl for going to the toilet etc., because of crippling joint pains. Their faces were "gloomy."

(See Calvin B. Knerr's Repertory-MIND AND DISPOSITION-Gloomy, in ague: Poly.)

(ague: malaria or another illness involving fever and shivering)

Now, coming to the much dreaded swine flu.

  1. those who had died in hospitals with swine flu had lung failure
  2. swine flu starts with fever, sore throat and body pain.

Step 1: Fever with body pain, sore throat. The rubric that you must take for this in Kent 's Repertory is under GENERALITIES. "Inflammation, internal:"

Step 2: Disease of lung that speedily kills any patient; the equivalent rubric in Kent 's Repertory is Pneumonia (CHEST: Hepatization of lungs)

The remedies scoring more points (being common to the above two lists) are Cactus=4, Iodum=5, Kalic-c.=4, Kali-iod.=4, Lach.=5, Lyc.=4, Merc-sol.=4, Nux-v.=5, Phos.=6, Sulph.=5, Tereb.=5

These remedies were studied in Samuel Lilienthal's HOMOEOPATHIC THERAPEUTICS under the chapter PNEUMONIA; Under Merc-sol we find the following words

"epidemic broncho-pneumonia".

On the same page under the remedy ferrum met. also, we find the words "epidemic pneumonia". But we do not get this remedy in repertorisation.

Patients who had come to me after being tested positive for swine flu were given the homoeo medicine Merc-sol-200 (daily one dose for three days only) and after a week when they tested, the result was negative. All their symptoms disappeared. (Rate of success: 97%).

For prevention, the same remedy Merc.sol. 2-- may be given one dose once a month for three months. This prevents swine flu for six months from the date of taking the first dose.

In homoeopathy, cure is easier and quicker than prevention.

ADDITIONAL NOTE: In Section 213 of the Organon Dr. Hahnemann tells us that without prescribing a remedy on mind symptoms a cure is not possible. Let us now see how the remedy Merc-sol satisfies this requirement.

In big organizations when a person is affected with fever, sore throat and body pain he is advised NOT TO COME TO OFFICE. In other words, the awe-stricken non-affected persons run away from the victims as if they are their enemies, for fear of contracting swine flu.

A lady took her 5-year old son to a doctor. There a patient came to consult the doctor because he was declared positive for swine flu. Immediately on hearing this that lady started running away with her son, lest he may be infected.

The otherwise healthy person considers the victim of swine flu as his enemy. The victims are asked to keep off till cured.

Under the Chapter "MELANCHOLIA" in the reference book HOMOEOPATHIC THERAPEUTICS by Dr. Samuel Lilienthal, (page no.700 under the remedy Merc-sol.) we find the following words:

…anxious restlessness as if some evil impended… constant suspicion, considering everybody his enemy.

The following extracts from the WILKINSONS' MATERIA MEDICA (under the chapter 'Mind' in the remedy Merc-sol.) also confirms my selection of this remedy for swine flu.

...Desire to flee, with... anxiety and apprehension.... did not know what to do... Inexpressible pain of soul and body, anxious restlessness, as if some evil impended...

As this mind symptom is found in those who had not got the disease, the remedy Merc-sol. is indicated as a preventive. In one of the big multinational companies office at Chennai, about 300 persons were working on the first floor. Immediately on hearing that two of their colleagues tested positive for swine flu, all of them started fleeing. This attitude is found in almost all persons who are running here and there for prevention of swine flu. Therefore, Merc-sol is almost a specific both as a preventive and curative.

What is most disappointing is that no one talks about
Dr. Lilienthal's work HOMOEOPATHIC THERAPEUTICS, be it in seminar papers, monthly meetings or articles in journals.

Said Charles Gatchell in a review of HOMOEOPATHIC THERAPEUTICS, "… it is an extraordinarily useful book and those who add it to their library will never feel regret…"

In a review, Samuel A. Jones said about Lilienthal's HOMOEOPATHIC THERAPEUTICS as under:

"For the fresh graduate this book will be invaluable… to the older one who says he has no use of this book, we have nothing to say. He is a good one to avoid when well, and to dread when ill."

CASE 1: A patient with peptic ulcer, weeping eczema etc., came to me and said, "Doctor, I am not taking the treatment to live long. But I have an aged daughter to be married and a son who is looking out for a job. Who would come forward to marry my daughter, if I have a weeping eczema? Only because of that, I want to get cured. Before I die, I want to settle things in my family; my daughter getting married and son getting a job. Then I can die peacefully."

Under the homoeopathic remedy Petroleum (Boericke's Materia Medica) we find the following:

"Feels that death is near, and must hurry to settle affairs."

Now, this sentence fits in approximately with the remarks made by the above eczema patient. This remedy was given in single dose and it cured him completely.

CASE 2: A peptic ulcer patient's condition worsened day by day and allopathic antacids were giving temporary relief. At the height of his suffering (hunger pain with burning sensation in the food pipe, temporarily relieved by eating) he was heard saying, "I think that my end is approaching; I must call the lawyer to write the will; that this hotel of mine should go to my wife; money deposited in the bank is for my son. My widowed sister who has been living with me for several years and helping me should take the house which I bought recently."

This mind picture agrees with the remarks made by the patient in case No.1 above. One single dose of Petroleum-10M cured this patient also. We do not prescribe on names of disease or pathology but on 'uncommon' symptoms having no connection with pathology.

The above case 1 and 2 would show the reader that

(a) one and the same remedy may be called for in different persons with different diseases; also,

(b) different persons suffering from one and the same disease may need different remedies.

Let us now see further three actual cases treated where three patients, all of them having the same complaint, viz., 'headache', were cured by different remedies:

CASE 3: A patient with chronic headache, after spending millions with various doctors and specialists came to me. After finishing the history of his seven years' sufferings, he ended up saying: "Doctor, if you or any one can cure me of this terrible headache, I won't mind even giving away half of my property (worth three millions) to him."

Doctors of all other systems would simply ignore these words told by the patient at the end of his talk.

If a patient says that he is ready to pay 1.5 millions for getting his headache cured, we can say that he is "deplorably downhearted." [deplorable = shockingly bad]

Under the homoeo remedy Stillingia (Wilkinson's Materia Medica), we find the words "deplorably downhearted; suffering extreme torture from bone pains;" Stillingia, one dose cured him.

CASE 4: Here is another case of headache. This 55-year old male patient remarked: "Doctor, all these years I have been having these torturing bone pains in head; my sufferings are such that no amount of compensation would satisfy me. Even if you make me President of all the countries in the world that would not be a sufficient compensation."

The equivalent words or phrase for this statement of the patient would be:

Extreme sadness, abject despair, uncompromising melancholy

The above is found under the remedy Selenium (See Boericke's Mat. Med.)

Selenium-10M, one dose, cured him.

CASE 5: A middle aged man of forty walked in complaining of headache for a few months. After telling me that he tried allopathy, ayurveda, homoeopathy etc. he told me that the pain in head started the previous year when he was having malarial fever; though malaria was cured, pain in head continued. (Certain cases are the easiest to work out; certain cases are difficult)

Calvin B. Knerr's Repertory: Chapter No. 40.

Fever, intermittent (ague):…. with headache; Cina, Cist., Kali-c., Polyp.

Fever, intermittent apyrexia:… headache, Arn., Natr.m., Polyp., Puls.

Polyporus Pinicola, being common to the above two lists was given in single dose. Total relief felt for a month after which he reported relapse. The same remedy was given this time in single dose in a higher potency and it is now more than seven years and he is free from headache. Also, his chronic constipation was cured.

Thus, in cases No. 3, 4 and 5 above though the complaint, viz., 'headache' is same in all of them, each patient got different remedies.

To be precise, those symptoms which doctors of other medical systems would ignore, we take that and that alone for prescribing or selecting the remedy in homoeopathy.

There are no specifics in homoeopathy.

Why should we do like this? Why not have a specific remedy for jaundice; and another for headache and so on and so forth?

Our answer: Dear reader, the above method of prescribing on 'uncommon' symptom alone can cure patients with one single dose or a few doses.

CASE 6: A patient consulted me for allergic rash on skin on both upper limbs and chest.

He said, "Doctor, for the last three years I have gone to allopaths, ayurveda, homoeopaths etc. They have treated me for weeks and months with just five per cent relief. If I eat unstrained cooked rice or wheat flour preparation I would get distension of my belly; that evening the rash on skin will start; in the night if I pass flatus freely per ano or have a free bowel movement the rash would disappear."

CASE 7: A school boy of twelve was brought by the parents. The mother started talking: "Doctor, he has to leave the house for school at 9.30 in the morning. He gets up at 6.00 a.m. By 7.30 a.m. he becomes so restless-jumps, cries etc. This would last for half-an-hour. Then this disappears; it is followed by 3-4 times loose bowel movement. After that he becomes completely all right and goes to school."

In both the above cases the symptoms that should come to our mind is given below:

"Symptoms disposed to appear perio-dically and in groups... intermitting . . ."

The above lines are found in the remedy Cuprum met. (Boericke's Materia Medica.) This remedy cured both the above patients (case No. 6 & 7) in one single dose in the 200th potency.

CASE 8: A patient consulted me for constipation. Even laxatives and purgatives were said to be of no use . He further said that for several years he had been taking daily anticonvulsant drug for epilepsy and if he stops it, he would get convulsions.

The following under the remedy Opium (in Wilkinson's Materia Medica) agrees with this case:

"…Increased irritability and action in voluntary muscles, with diminution of it in involuntary muscles…"

When the intestine is full with faeces, urging is felt (involuntary muscles.) In the instant case these muscles are not functioning. Movement of limbs is controlled by voluntary muscles and he gets convulsions in them (increased irritability and action).

Opium-10M one single dose cured his constipation and he was asked to stop anticonvulsant drugs; he did so and to his surprise convulsions did not appear.

CASE 9: A patient showed his right leg with ulcer. He got injury a few months earlier but so far it did not heal in spite of best medical treatment. After a pause, the patient continued, "Doctor, ever since the accident I feel numbness in my right upper arm and I am unable to use it freely. Has this non-healing of wound in my leg anything to do with numbness in my arm? But my arm was not hurt in the accident."

We say that homoeopathy is a system of medicine where the patient tells or indicates the remedy to us. In Wilkinson's Materia Medica the following sentence under the remedy Pulsatilla agrees with this case:

… "depression of vital power on one side and increased irritability on the other…"

Pulsatilla-10M, one single dose cured both the ulcer on the leg and numbness in the arm.

CASE 10: The one symptom in the remedy Belladonna (found in Wilkinson's Materia Medica) will highlight what is meant by 'uncommon symptom'; also it would illustrate the uniqueness and superiority of Wilkinson's Materia Medica.

A patient came in with pain in the femoral part of urethra and backache. It was worse while riding the two-wheeler. He showed his medical file (given by allopathic hospital) and therefrom we noted the following points:

  • hydroureteronephrosis-Left kidney
  • pain in femoral part of urethra
  • pain in sacral region.

His complaint (pathology) is in kidney/ureter but he has pain in femoral part of urethra and sacrum. This is something rare-strange-peculiar. Both these painful places are at the same distance from the seat of affection-kidney.

Under the remedy Belladonna (Wilkinson's Materia Medica) we find the following:
"Inflammation of internal organs… The inflammation… runs in radii as it extends to adjacent parts."
(Femoral part of urethra and pain in sacrum are more or less at equal distance from his left ureter)

Belladonna-10M, single dose, cured him.

CASE 11: Two years after case No. 5 above, a lady came to me for cervical spondylitis. These patients get pain normally in the neck extending to head or one upper limb. Strangely this patient complained of unbearable pain in both shoulder tips. (Both shoulder tips are at the same distance away from the cervical vertebra.) Belladonna-10M, single dose cured her.

CASE 12: A lady, the mother-in-law of a fourth stage cancer patient, came to me asking medicine for cancer. When I asked her to bring the patient she said that he wouldn't come. I asked her to tell me verbatim what he had said. She replied, "He does not say anything.''

At this stage I asked her whether she did not care to go and see her son-in-law who is said to be in fourth stage cancer. She replied:

"My daughter wrote me a letter stating that doctors have said that he would live for another six months only, and he is not afraid of death, but he wants to live with his family in the same quarters in which he had been living all along and said that he does not want anyone (be it friends or relatives) to visit him.''

(Sometimes, we do get valuable symptom from the report of messenger or attendant).

Let us now see how to work out this case.

"Does not want anyone to visit him"
- Aversion to company

"Till death wants to live with family in the same quarters where he had been living all these years"
- Homesick

ask=================////////////////////////////????????????????

KENT'S REPERTORY was consulted:
Company, aversion to: (several remedies)
Homesickness: (several remedies)

Remedies common to these two rubrics and scoring more points are: Aur.-4, Carb-an.-6, Ign.-5, Nat-m.-5

To confirm one out of the above four remedies, they were studied in HOMOEOPATHIC THERAPEUTICS (By Dr. Samuel Lilienthal) under the chapter "Carcinoma.'' Under Carb-an. we find the words "cachexia full developed".

Again, in the chapter 'Melancholia' under the remedy Carb-an. we find the following words: "desire for solitude."

Carb-an.-10M, single dose was prescribed. Patient is improving.

-----

CASE 13: Homoeopaths are not properly trained in the subject of case taking in five years of college study. The other day, I was sitting in the clinic of a homoeopath.

A patient walked in asking the doctor whether he has medicine for diabetes. The doctor started giving a lecture to the patient that he makes his prescription (?) on 'symptoms' and so the patient should first tell his symptoms.

The patient abruptly told, "Feel my pulse (stretching his hand towards the doctor)', give medicine." The poor doctor turned to me and said, "this is the problem… patients do not tell symptoms…"

I told him to ask the patient to wait outside, then explained him how to classify or convert the very attitude/tone of this patient into a mind symptom.

Let us recall and recollect the way the patient talked and his tone. In olden days, the king would talk as under:

"Let so-and-so- be brought before me alive or dead within twenty-four hours!" It is in 'imperious' manner (or royal language) with an air of command. The manner of the king would be stiff and pretentious. So also, the abovesaid diabetic patient talked in a similar manner. "Feel my pulse (stretching his hand) and give medicine."

In Calvin B. Knerr's Repertory, Mind (page 19) we find the following:

Answers, imperiously: Lyc

Lycopodium 10M, one dose cured the patient of his diabetes. Even if he had any disease other than diabetes, Lycopodium would have cured him.

CASE 14: A lady in Chennai asked me if I can give medicine for her brother who complains of partial loss of hearing with ringing in ears; this started at the time of train bomb blast in Bombay (in July 2006) in which he was travelling.

I told her that the patient (if he cannot come to me personally) may write down his complaints and send it to me. The lady told me that she would tell all about her brother. It is ringing in ears and partial hearing loss after the train bomb blast. I insisted on the point that the patient should himself write down his complaints on a paper and send it to me along with the report of E.N.T. doctor. (E-mail will not serve our purpose, nor telephonic talk). Anyway, the lady brought a printout of e-mail from her brother that read as under:

"I am giving the details of how I am feeling after the incident. On that day I was practically deaf and could not hear anything. There was a constant ringing in my ears and I was feeling very confused. At that time I did not feel anything, but after reaching home and what I saw on TV, only then I felt very scared. I had some bruises on my arm and my hair was completely filled with black powder. The ringing sound has not stopped yet. It becomes louder in the evening. Now also as I am writing this, the sound is there.

I got my audiometry test done and it was diagnosed as low to moderate hearing loss in my left ear and moderate hearing loss in my right ear. There is no rupture in ear drums. Now-a-days I feel very scared if I have to enter local train. The thoughts about the blast keeps recurring and I am never normal while travelling. I must have received some body blows during the blast on my back and neck. My right wrist hurts if I have to clamp something with it. Both my arms ache. All sorts of negative feelings come in my mind and I have become a nervous wreck."

We now turn to HOMOEOPATHIC THERAPEUTICS by Dr. Samuel Lilienthal (hereinafter called "Lilienthal") and the above three remedies (Bell., Calc., Lyc) alone are read under the chapter "EMOTIONS, Ill Effects of.-Fear, Dread, Fright (page 377-378)".

The following words are found in the remedy Calc. Carb.

….< evening…grief and complaining about old offences… great tendency to be frightened…. (portions relevant to our case alone are quoted here).

Calcarea-Carb. 10M, was prescribed in one single dose. Taking bath would stop the action of Calc. Carb. (see Kent's Lectures on Homoeopathic Materia Medica). Patient was advised not to take bath for a few days. Patient is improving.

(We expect our readers to turn to and see the respective pages of the reference books as and when mentioned).

CASE 15: Baby Lakshmi, four years (Referred to me by an allopath for 'muscular dystrophy')

The allopath was present and he pointed out that lower limbs alone are mostly affected and the child is freely using both the upper limbs.

When the child was shown to me she started crying and the father said that the child was afraid of strangers.

Since the father did not say any further symptoms I asked him a general question as to what all diseases the child had since birth (for which they had gone to a doctor and got treatment). The father replied that the child had

(i) frequent fever with running nose;
(ii) discharge from ears;
(iii) frequent diarrhoea.

[Sometimes it is the past health history of the patient that may help us find the remedy.]

Now, the computer/homeo software is highly useless, as the following analysis of the case history would show.

The beginner (Dr. Hahenemann has said, "Many of my followers, I am sorry to say, are but half-converts.") would simply select the remedies for (1) coryza, (2) ear, discharge and (3) diarrhoea. That is a mechanical way and would be a signal failure. Let us now learn what is an artistic method of working out a case.

A correct interpretation of the above three symptoms for homeo prescribing is as under. Ponder on the above three (past history) symptoms and you get the following:

(i) rhinitis (frequent fever with running nose is rhinitis)
(ii) otitis media (discharge from ear)
(iii) gastro-enteritis (frequent diarrhoea)

The suffix '-itis' appears in the above three symptoms. 'Inflammation of any part is denoted by the suffix '-itis.'

Therefore we look into KENT'S REPERTORY under GENERALITIES:

INFLAMMATION… internally; Acon., Ars., Bell., Bry., Canth., Echi., Gels., Iod., Lach., Merc., Nux-v., Phos., Plb., Puls., Sec., Ter. (Top-grade remedies alone are taken)

The child is afraid of strangers. For this we should not take "Fear of strangers" but it is 'timidity'

KENT'S REPERTORY: (Page 88-89) MIND: TIMIDITY: plus above list = Phos., Plb.

We have to do the analysis which the computer-software cannot and would not do. The other claim that computer is a time-saving device is farce.
Now, at this stage, that is, after having selected the remedies (on available symptoms) through the Repertory we have to apply our knowledge of materia medica. By looking at the above two remedies we find that the remedy Plumbum met. has more spinal symptoms (the reader must note that only lower limbs are affected while upper limbs are in tact, which means affection of spinal cord). If we read Plumbum met. in Boericke's Materia Medica the following words in the preamble agrees with the case:

…paralysis is chiefly of extensors… partial anaesthesia …Progressive muscular atrophy. Infantile paralysis.

Excessive and rapid emaciation. …Important in peripheral affections…

(The parent told me that they noted that its lower limbs were weak only when she was one year old).

(As far as homeopathy is concerned, there is not much difference between atrophy/dystrophy/emaciation etc. etc.)

Plumbum met. 10M, single dose, was prescribed and the child is making rapid recovery.

CASE 16: Mrs. S.V. 33 years, 17.06.2006 (date of first visit)

She wants to reduce her weight. Is obese and weighs 85 kilos. Complains of heaviness in chest with difficult breathing (praecordial anguish?) which comes two weeks before menses and it continues till the next periods (menses).

I note down as under in the case sheet:

Obesity - 85 kgs

Oppression (heaviness) in chest < before menses

I asked her just one question. (You can ask questions only if the patient stops talking and does not tell further valuable symptoms. Valuable means 'mind' or 'rare-strange-peculiar-uncommon' or 'general' symptoms.)

My question: 'How long since you have this overweight?'

She replied, "Doctor, three years ago, I did MTP at 45th day. (Medical Termination of pregnancy - since she did not want a second child at that time). A few months later, I developed pain in abdomen and after scanning etc., the doctor diagnosed it as appendicitis. While doing surgery they noticed lot of blood around ovary caused by the surgeon's fault during MTP done earlier. So they removed my left ovary also. After that surgery only I started putting on weight. I have sensation of weight in chest (oppression) and limbs."

CASE REPERTORISATION: For complaints developing after surgery we must take the following: -

Kent's REPERTORY - GENERALITIES - WOUNDS: constitutional effects of: Arn., carb-v., con., hep., iod., lach., Led., nat-m., nit-ac., phos., puls., rhus-t., staph., sul-ac., zinc. [Let us call this list No. 1]

As she did not tell any further symptoms, I decided to wait on placebo and so gave her 10ml pills, 5 pills (blank pills containing no medicine) for a dose, twice daily, to report after one week. After collecting the medicine and paying the fees, she got up to leave my clinic and at this time she asked, "Doctor, this obesity is nothing to fear, isn't it?"

For these words of the patient, we should not take the rubric 'Fear.' We have to note here that the patient is 'serious' about the disease. The correct rubric for the symptom in Kent's Repertory is 'Despair.' (In a few cases we get symptoms AFTER WE HAVE MADE THE PRESCRIPTION! The practitioner should not get angry or irritated as to why the patient did not tell all these at the beginning itself.) I assured her that she need not be afraid of obesity and that she would be cured soon.

Kent's Repertory - MIND - DESPAIR... long list of remedies [Let us call this as list No. 2]

The remedies arn., carb-v., con., hep., iod., lach., nat-m., nit-ac., puls., and rhus-t. are found common to the two lists.

Our next step is to confirm one of the above remedies for the patient.

Under what chapter in Lilienthal, do we have to read? (in Lilienthal there is no contents page at the first pages but only "index" at the end of the book).

We have used the symptom "Despair" for selecting the remedy. There are four chapters for 'mind' symptoms in Lilienthal. They are 'Meloncholia', 'Insanity', 'Emotion', 'Hysteria'. The chapters are arranged in alphabetical order. (In case of difficulty, go to the index at the end of Lilienthal).

For the present case, I read the above ten remedies under MELANCHOLIA (page 693)

The remedy Pulsatilla agreed with the patient because of the following words (on p. 701 - Lilienthal)

... grief and sorrowful timidity on account of his worldly and eternal affairs; anxious and weary of life, sad and gloomy,... ...dissatisfied; very easily frightened... ...anxious... ...with praecordial anguish...

Some readers may ask as to why we had not taken the symptom 'obesity' for repertorising this case.

Our answer: The more you repertorise on pathological symptoms, the greater would be the failure. Symptoms far removed from pathology are our best guide for selecting the remedy.

Pulsatilla-10M single dose was given with lot of placebo. After two weeks, she found lot of relief. Patient is still under treatment.

CASE 17: Aswin, aged four, is brought by her mother for constant and chronic running nose (fluent coryza). I do not ask any question. (Any interruption would only break the chain of thought of the narrator, and all they would have said at first does not occur to them again in precisely the same manner after that. Foot-note to S. 84 of the Organon.)

While I was going through Dr. Calvin B. Knerr's Repertory, the boy's mother breaks in, "Doctor, he is very angry at times.'' (At this stage I simply note in the case-sheet the word anger.)

I copy on the case-sheet the following portions from Knerr's Repertory.

NOSE, Coryza, chronic: Calc., Canth., Colch, Cycl., Sil., Spig. (page 248)

MIND, Anger (plus above list); Calc.

At this stage, the lady tells: "Doctor, whenever he is at home on holidays, running nose is not there. But whenever he goes to school, on those days, it is worse.'' To classify this last symptom is a somewhat difficult job.

I now turned to Lilienthal.

At this stage, after a pause, the lady continues, "Doctor, two years ago he was diagnosed to be suffering from primary complex and we gave a course of allopathic treatment.''

To classify the symptom (aggravation on the days of going to school) is a difficult task. For "primary complex' the equivalent rubric in homoeopathy is phthisis (prodromal stage).

I just glanced through Lilienthal and under the chapter PHTHISIS PULMONUM (page 858) the following lines under Calcarea Carb. caught my attention:

...very susceptible to external influences, currents of air, cold, heat, noise, excitement."

[When he goes to school he is exposed to air, noise, excitement and therefore the above quoted line confirmed my selection of Calc. Carb.]

I gave this in 10M potency in single dose and the patient is improving.

-----

COMPUTER IN HOMOEOPATHIC PRACTICE: We have no objection to the use of computers in selecting the remedy. But it is maya (a Hindusthani term meaning 'illusion') to think that selecting the remedy from the computer is 'time-saving' and 'unfailing.' The reference book HOMOEOPATHIC THERAPEUTICS by Dr. Samuel Lilienthal (for use as and when a case comes to us and not a textbook for study from cover to cover) is, in a fair percentage of cases, quicker and unfailing than any latest computer software.

Somewhere Dr. Samuel Lilienthal aptly observes about his work, "Drop the symptom in Lilienthal and you get the remedy."

Yes, it is that much quicker. Ten times surer and quicker than the so-called latest software, Radar, Cara etc. The problem with software is (be it astrology, homeopathic selection of the remedy or any subject) that those who had developed them are poor either in their knowledge of computer or the subject in which they have developed the software. One has to be an expert both as a computer software professional and a wizard in the subject. That is rare to find!

Before you start using Lilienthal's, you must remember the following words of Dr. Oscar E. Boericke (in the PREFACE to the ninth edition of his REPERTORY):

"…It is only by the persistent use of one repertory, that its peculiar and intricate arrangements gradually crystallizes itself in definite outline, in the mind of the student of the same, and thus he attains the ready ease and practical insight of the collator, thereby rendering such a clinical bee-line well-nigh indispensable in our day of labor-saving devices."

We have such wonderful authors around 1930s that the arrangement and presentation of their works enable us to select the remedy in no time.


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Case studies are excellent.Yes the language is important for proper diagnoais and treatment.
  Comment by: Dr.paul murugan, India.    on Jun 29, 2014 0 Agree  |  0 Disagree       Report Abuse

very interesting cases and remedies...specially for epidemic diseases.
  Comment by: Dr.paul murugan, India.    on Jun 03, 2014 0 Agree  |  0 Disagree       Report Abuse

what is femoral part of urethra?
  Comment by: dr.jibankush barman, India.    on Sep 10, 2012 0 Agree  |  2 Disagree       Report Abuse

Good
  Comment by: Sunita, India.    on Nov 05, 2011 1 Agree  |  0 Disagree       Report Abuse

good
  Comment by: Sunita, India.    on Nov 05, 2011 2 Agree  |  0 Disagree       Report Abuse

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