Female age 50.
Presented with Neck and back problems. turning head sideways was very painful, back was tense down to lower back , shoulder pain down to both Scapulae. Manipulation gave relief for a few weeks but is a recurrent theme. Gets headache traveling up neck to temples when severe
History: Patient had hysterectomy age 28. (Fibroids and intense pain.) Urinates a lot and takes medication to control the urging. Has been taking hormones since hysterectomy. Pretty even disposition, get irritable only when in pain or if hormones run out.
Other symptoms, Patient cannot help but to fall asleep within minutes if traveling in a vehicle. One other thing I noted is that patient does not perspire much even in intense heat.
That is the case. It was a difficult one. The first medicine I gave did not work.
See which are prescribing symptoms, and which are confirmatory, and which are not symptoms of the case at all.
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Vera Resnick
The Institute for Homoeopathic Medicine 
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rep
back, back in general
internal head, temples
sensations, tension, in muscles
skin, inactivity
sleep, sleepiness, caused by various things
micturition, too frequent
agg, turning head
agg, climacteric, during
allen’s TPB
hering’s Guiding Symptoms
rx Lach
This case is tricky, and we have only very few usable symptoms. Just a few thoughts – I am still far from deciding on the remedy.
Frequent urination is often originated by hysterectomy, so I would not use it. Then, this woman has suppressed menses – when she runs out of hormones, she gets irritable, so that is her true feeling.
Fibroids are solid tumors, and I found Conium in Hahnemanns Chronic diseases having backpain extending downwards after suppressed menses.
The sleepiness in vehicles doesn´t appear in classical literature, but in daily life: What do parents do with tired children, when they won´t sleep? They drive them around…So maybe it is not as special as I thought first.