A lady patient talked to me on the phone from the USA and presented the following disease condition for prescribing.
At first, it was easy to hear her, but as the call went to the 15 minute mark, her voice became harder to hear and was becoming quieter and quieter.
She told me that for the past 6 months, she had suffered from a sore throat and extreme weariness and tiredness of the body. She said her knees felt heavy and weak, her hips also, in fact all her lower limbs were weak and tired. Her profession is a trainer for phone consultants for a technology company, and she had been off work for a couple of weeks due to voice issues. She said she would cough , some phlegm would come up and the tone of her voice would change, usually to a higher pitch, much weaker and empty sounding… sometimes she would be unable to talk at all.
Further enquiry produced the following symptoms. The coughing would induce the phlegm (green) to expectorate. She said the taste was like a spoon of sugar and not pleasant. Along with the cough , there would be a feeling of lassitude and weariness in her arms spreading across the upper chest with difficulty in breathing. She felt better not moving at all and deep breathing helped her to breathe more easily.
She stated that she needed to urinate more frequently at night, but did not really feel an urge, just the fullness of the bladder informed her of the need.
There were a number of ways to approach this case. We here at the IHM primarily use the SYNOPSIS P&W THERAPEUTIC POCKET BOOK as our guide to analysis. For those that know this particular remedy, it would not be necessary to repertorize as the SX are clear, however we present analysis from the TPB to show how it is done.
The above are the presentation of the throat sx. We then could look at the other sx associated:
These two reportorising sheets are for demonstration only to show a choice of SX to use in rubric form. If we converge them we get:
We do not advocate using more than 4-6 rubrics to cover a case, as the TPB works best on accurate sx and will lead to a choice of few remedies quickly.
Indeed, this is how I repertorised:
In looking at the patients reaction to the infection, we see that WEAKNESS is the state. A state of lassitude which amplified when coughing into the upper chest and arms. A read of STANNUM in the MM will show this particularity. It will also show the condition of urination and feeling clearly…
I have a practice over the years of reading EVERY medicine that am to prescribe until I form an accurate picture of the proven SX in mind… if I have any doubt, I always read again.