Tag Archives: Case taking

When it goes wrong.

sad-man

I’m pretty good at acutes even if I say so myself. The occasional misprescription is fixed on the following medicine. I can manage the case through to completion.

So. My better half has had a sore throat and cough these past 4 days. She still has it, only now it is worse.  Symptoms have progressed to include a right-sided earache.

I could write all the symptoms here however I genuinely feel that I’ve noted all of them and balanced them out in both aetiology, severity and expression. I did ask 2 colleagues for their opinion and they both suggested remedies I had given and or considered.

There is a sense of  frustration and disappointment in myself today. This morning I gave a Paracetamol and a remedy in liquid, and she finally fell asleep on the couch.

My view of Homoeopathy. It is the prime curative medicinal system in the world. It stimulates the immune response and aids the body to restore health. We are talking cure here. Unfortunately sometimes in the process, pain relief is NOT always the intent of the immune response. Sometimes the immune system pushes the disease process toward cure quickly, and sometimes the process means some pain. If the remedy is wrong, the pain will happen anyway.

As a homoeopathic physician, I have no philosophic objection to pain relief. With most illnesses, the remedy will help, with some others, pain is present. When severe pain is present, I sometimes will use allopathic Medicine to relieve that pain. It is specific and localised and necessary for PAIN. Not for curative reasons. Sometimes for example, if a patient has a bacterial eye infection, an antibiotic is used to kill the bacteria and a remedy will be used to treat the presenting symptoms in the individual. If the bacteria is not treated, loss of eyesight can occur. This is my practice and I mention merely to point out that allopathic medicine for pain relief, not a curative treatment, is available and if can be given without impeding homoeopathic treatment, it should not be disregarded for the patient’s welfare.

When looking at the reasons for failing to find the right remedy for her, I have to mention one observation I have in dealing with patients.

2 vaccines or more seem to inhibit a quick response from remedy treatment. I don’t have peer-reviewed clinical evidence to validate this statement, but I do have a number of patients who do not react as quickly to treatment as previously. There is no judgement made on people who have been vaccinated. External pressure and restrictions placed on an individual will sometimes mean there is no choice given to that person in order to care for their family.

So. I carry on observing and will give a remedy when I feel I have enough prescribing symptoms… A tough one.

Looking at the presenting disease/diagnosis in homoeopathic medical treatment

1200px-Portrait_of_Samuel_Hahnemann._Wellcome_L0015074 Much as modern medicine tries, it can only treat disease as separate from a living organism. Homoeopathy treats disease as a deviation from the normal healthy condition that an organism enjoys. This is not at odds with recognising bacteria and viruses etc as a causative agent, but once contracted, it is the organism that is sick and the organism that produces the symptoms and the organism that needs healing. It has been my experience with some patients, a disease infection despite having been removed with antibiotics or antivirals, the patient can continue to be weakened or susceptible to further infections, or even have a continuation of the disease WITHOUT the primary infection being detectable in blood tests.

“Diagnosis of disease”  (allopathically) implies that detecting the location and nature of a lesion in the anatomy, be it an organ, a limb, or tissue (et al) is the understanding of the disease. This presupposes that the physical material part is the total reality of disease, and structural changes within the body are nothing but effects of the alterations of the physical parts.

Using this primary thought pattern, it becomes obvious that the body is viewed mechanically with each organ being independent and replaceable. This viewpoint means the approach is to treat each damaged or diseased organ individually and this will fix the problem.shutterstock_791110975

Homoeopathy treats the organism as a whole. This is more than the sum of its individual parts. The organism as a whole is not limited either in function or disease and therefore the parts are not exhausted individually or treated individually. The trend of orthodox medicine is to generalise, diagnose and treat illnesses and their causes as far as these are accessible for diagnosis and treatment. The homoeopath’s direction is to individualise the patient and the drug and treat accordingly as a patient suffering under a set of circumstances or particular conditions. Thus the diagnosis of the disease is not indispensable from the homoeopathic point of view for treating patients; or rather the emphasis on nosological diagnosis may, in many cases mislead the homoeopathic physician in the art of selecting the similimum.

Putting the assessment in the place of nosological diagnosis takes a different value if we attach a wider significance to it. The diagnostic problems that confront us today involve more than the naming of the maladies and recognition of their anatomical substrate; they include the making of pathological physiologic diagnosis,  the discovery of aetiologic factors, the determination of the series of events that have intervened between the action of causes and their later results (that is to say the detection of several links in the pathogenetic chain), the separation of constitutional from environmental factors In the origin of inadequacies of biological adjustments, the reactions of human persons, as a whole, to the stimulations in which they find themselves and the discovery of the physical, chemical, psychological and situational means that can be employed to gain and to maintain the highest possible level of vital efficiency of each person examined.  This represents a vast widening of our ideas of the functions of medical diagnosis. After all, is  said and done, we cannot in the selection of the”similimum,” ignore pathology or as a matter of fact, nosological diagnosis, for without it we deprive ourselves of some advantages that might be derived from pathological symptoms, which may be summed up as follows:

(1) Only by means of it we can know the symptoms that are common to the disease, and hence those that are peculiar to the patient.

(2) We also thereby know at certain stages of some diseases that no matter how similar the symptoms produced by certain remedies may appear to those of the patient, yet, owing to the superficial character of their action,  it is not possible for them to prove curative.

(3) Pathology enables us to decide when new symptoms arise and whether they are due to the natural progress of the disease or to the action of the remedy.

(4)  Pathology also warns us that it is dangerous to attempt to cure certain disease conditions, e.g.,  advanced phthisis or deeply seated abscesses or where foreign bodies are encysted near vital organs.

The intention of this monograph is:

1/. To know what is curable in our patients.

2/. To assess his symptoms for prescribing.

3/.To separate the symptoms ultimating from his disease from those that characterise his fight against it. (immune system, vital principle)

4/. To decide on ancillary therapy.

5/. In the interest of public health.

6/. To maintain the reputation of homoeopathy by showing the non-homoeopathic physician that we do not disregard his Values, but add a deeper insight to healing the patient.

Homoeopathy is about understanding the case.

So what does understanding the case mean in real terms?

shutterstock_791110975Firstly, if a person is to take a case, they will have to follow the directions for doing so PRECISELY from Hahnemann’s writings. For those that have skipped learning from the ORGANON and Chronic DISEASES, I’m afraid you will have to take the time to investigate and understand the applied methodology. No modern teaching replaces the methodology required to ascertain what is required to cure the patient.

There are 3 areas of investigation. Aphorism 5, Aphorism 6 and aph 153.

  1. A word about health. First, there is the constitutional makeup of a person. The genetic predisposition of family traits, disease inheritance and weaknesses. These things are the bedrock of an individual’s life soil upon which sickness can take hold. It is the background for the term susceptibility, in the main not forgetting life events which can weaken and predispose a person to illness. This is covered in aphorism 5.
  2.  Aphorism 6 contains the instructions on how to note the symptoms of a presenting case of illness, be it acute or chronic. How to examine all the presenting symptoms of the patient including symptoms that arose that are NOT symptoms of the named disease, but arose during this bout of illness.
  3. Once all these bits and pieces of information have been collated and itemised by location, sensation and modalities, the case can then be synthesised through the filter of aphorism 153, to find the closest remedy to the chosen symptoms.

It is at this point in the case analysis, that the medical evaluation of the patient’s illness is diagnosed. Please note, I said the patient’s illness, NOT the named pathological disease. The symptoms of the named disease are examined carefully to see what is common to the illness, and what symptoms are prominent in the patient.

Aph 153 is the key to making a prescription.

§ 153 Sixth Edition

“In this search for a homoeopathic specific remedy, that is to say, in this comparison of the collective symptoms of the natural disease with the list of symptoms of known medicines, in order to find among these an artificial morbific agent corresponding by similarity to the disease to be cured, the more striking, singular, uncommon and peculiar (characteristic) signs and symptoms of the case of disease are chiefly and most solely to be kept in view; for it is more particularly these that very similar ones in the list of symptoms of the selected medicine must correspond to, in order to constitute it the most suitable for effecting the cure. The more general and undefined symptoms: loss of appetite, headache, debility, restless sleep, discomfort, and so forth, demand but little attention when of that vague and indefinite character, if they cannot be more accurately described, as symptoms of such a general nature are observed in almost every disease and from almost every drug.”

This observation by Dr Samuel Hahnemann is one of the most misunderstood, misquoted and mistaught aphorisms in the whole Organon. I have seen false teachers of homoeopathy, spend hours if not days, lecturing on finding the hidden personal psychiatric symptoms of a mind that “represents” the inner disease which bears no relationship to the suffering experienced by the patient.

A competent student of homoeopathy, having diligently applied him or herself, to the writings of Samuel Hahnemann, will have no trouble in comprehending the true meaning of this aphorism in relationship to, studying the disease state of the patient, and in finding the similarity to a  Medicinal agent that has the power to cause similar symptoms.

The word “Peculiar”  is one of those words, which has been taken out of context and lost its true meaning within the range of the aphorism and the subjects being discussed.

“….Belonging distinctively or primarily to one person, group, or kind; special or unique:  Example: “a species peculiar to this area.”

We, therefore, see, simply by reading the aphorism, that Hahnemann is directing our attention to signs and symptoms of both the disease state AND  and a proven substance that can reproduce accurately the same distinctive, or peculiar, collection of symptoms that is expressed through the patient’s observable symptoms.

All symptoms of disease, singularly, may be common, vague,  non-distinct,  and representative of 1000 different ailments, until, they are linked together and form a pattern and a discernible representation of a pathological expression of one known disease. In the same way, a collection of symptoms noted by a homoeopathic physician,  that represents the entirety of the internal disorder or disease, will find its correlation in few medicines,  simply because of the “peculiarity” of the combined symptoms, that is to say, the “strangeness and the rareness” of these symptoms being found together and expressed by the patient in its expression. Strange and rare do not imply the symptoms are strange or rare, it implies the characteristics of their combination are rarely found except in a few medicines.

This combination then becomes the CHARACTERISTIC or peculiarity of both the medicine and the disease.

We are not looking for anything else, other than accurately observed symptoms of the disorder in the patient, that by its individual expression, for example, the modalities, the aggravations and ameliorations of times and circumstances, or by the combination of particular symptoms,  that individualise this particular case of disease, which is matched in its singularity (by the combination of symptoms or type of onset, or periodicity) by a proven medicine to individualise it.

Example:

Patient: 10 symptoms. Each symptom individually is covered by 125 medicines. (Common)

Three modalities of the patient’s disease are represented in only 5 medicines in COMBINATION.

Three Modalities and one location is covered by only ONE Medicine in the expression of the disease.

Please please go through the several cases posted on this website, https://instituteforhomoeopathicmedicine.org/ and using this information see how we look for the more defined symptoms in the case of disease that may or may not be representative of a known pathological named disease, but are present in the patient and therefore cannot be ignored.

By using this knowledge, and also following the recommendation in § 6 Sixth Edition:

The unprejudiced observer – well aware of the futility of transcendental speculations which can receive no confirmation from experience – be his powers of penetration ever so great, takes note of nothing in every individual disease, except the changes in the health of the body and of the mind (morbid phenomena, accidents, symptoms) which can be perceived externally by means of the senses; that is to say, he notices only the deviations from the former healthy state of the now diseased individual, which are felt by the patient himself, remarked by those around him and observed by the physician. All these perceptible signs represent the disease in its whole extent, that is, together they form the true and only conceivable portrait of the disease.

it should be possible now, without speculation, or metaphysical thinking, to apply Hannemann’s directions in every case of disease and try to elicit the true guiding symptoms that are characteristic of the disease and are matched as near as possible to a medicine that is capable of producing the same symptom picture, and therefore elicit a curative action.

What we teach. NEW modular online course for practitioners and advanced students.

social-distancing-and-self-care-happy-woman-teleconferencing-from-picture-id1225070980This is the course that we do online in Spain, Mexico and the U.K. The outline below will show what we deem important. It is aimed at the existing practitioner. By the quality of the practitioners results, I think  it demonstrates the very real benefits of Organon training, that makes homoeopathy a cohesive medical therapy if practiced according to principle and surety.

For those wanting to be practitioners, this method of training that was developed over 25 years is the most intensive, yet practical and EASY way to being a rounded practitioner.

The Advanced Professional Training Course will be in virtual classroom (online) in a modular arrangementFocused african businessman in headphones writing notes watching webinar of 3 hours a module, once a week, and will be focused on people who already practice homeopathy at the moment, and who want to make a change in their approach homeopathic by accepting that the teaching given to them does not allow them the clinical success that their patients need, that is, those homeopaths who wish to perfect the methodology of their practice according to Hahnemannian directives. (see also our 4 day course held in our HQ.)

There will be a total of 8 online sessions.

  • The following will be included in modules.
  • History of the repertory,
  • Development of homoeopathy.
  • Benefits of using the Homoeopathic model.
  • Homoeopathy and allopathy
  • Taking the Case.
  • Repertorization.
  • Prescription.
  • Case Follow-up.
  • Pure Materia Medica.
  • How to study a remedy to understand it.
  • Chronic Diseases; Hahnemanns conception of Miasms and what it means today.
  • Why Schusslers tissue salts and Bach or any flower essences are NOT homoeopathy.

There will be numerous case examples to demonstrate the subjects discussed. We will use a lot of powerpoint material to develop understanding of each salient point.

Completion of all the modules and homework, is a requirement of request to join the Register of the I.H.M. This will enable a licentiateship to be issued and publication of your clinic details.

  1. Each of the 8 modules at 3 hours a session,
  2. £125 a module.
  3. Prepaying the entire course will trigger a discount of 15% making the total cost £850.
  4. laptop250% discount on the SYNOPSIS computer repertory (Windows only at the moment) 50% discount on the book repertory.tpbpw

Please contact education@instituteforhomoeopathicmedicine.com

What we teach at the IHM office in Eastbourne U.K.

palma-de-mallorcaFrom January 2022 we will start our Seminars which will cover the following topics.

  • Use of the Therapeutic Pocket Book in Chronic and acute conditions.
  • Understanding the meaning of the rubrics so as to select correctly for the case.
  • How to take a case.
  • Finding the correct symptoms according to aphorisms 6 and 153.
  • Understanding Miasms in the 21st century so as to be effective in removing recurrent acute disorders.
  • Utilising Tuberculinum and Bacillinum according to symptoms and effective removal of family disease traits.
  • How to study a remedy correctly.
  • What therapies can be used in conjunction with the Homoeopathic approach to treatment and what therapies CANNOT be used.
  • Removing myths in Hahnemannian Homoeopathy.
  • There are many other subjects to be covered as required.
  • One and two day seminars depending on the depth of knowledge needed.

We will use all of Samuel Hahnemanns writings, also the therapeuctic Pocket Book.

Classes will be small. Up to 10 people so as to maximise personal tutor/practitioner interaction. Beverages and food will be provided as required.

tpbpwlaptop2We give discounts on the windows version of the SYNOPSIS computer repertory and the book version of the TPB.

We will be establishing an intensive online/attendance course for base training people interested in becoming practitioners.

The established western approach to teaching homoeopathy is a four year reverse week training, along with the costs involved. The I.H.M. has been training people since 1986 and has developed a full and complete training that covers what is required to know, with the emphasis on the directives of Samuel Hahnemann in a sequential and logical systematic progression. We will concentrate on HOMOEOPATHY solely and the student will either have a knowledge of anatomy and physiology or will find courses to enhance their knowledge externally.

If a student is willing to devote a few hours a week to guided study and research, it is possible to have a secure foundation in the therapy within 12 months or a little longer. It is our experience that it is better to teach a student HOW to confront a situation with accurate knowledge of the process from the writing of Hahnemann and colleagues so they always have a reference and a set of protocols they can refer to when needed.

cute-doctor-thinking-with-hand-chin_13339-249478The practitioners on the IHM register are a mix of medical doctors and non medically credentialed individuals who have collectively trained to a high level of knowledge and competence  in the practice of homoeopathy.

The difference between a homoeopath and an allopath is the therapeutics (medicines) usedP1060822 and the approach to health care principles and the application of the law of similars. All medical knowledge is good, and a homoeopath will utilise the knowledge of disease in assessing the patient before him, in order to know what has changed and what is the known prognosis/pathology of the disease and extract symptoms peculiar to the individual patient with the disease. The picture on the right is a group of highly credentialed medical doctors in Seville Spain who studied homoeopathy exclusively and practice the therapy today. This photo was taken at the monthly meeting for studying the Therapeutic Pocket Book.

If you are interested in the seminars or training, please contact us with your questions.

education@instituteforhomoeopathicmedicine.com

https://ihmhomoeopathicseminar.wordpress.com/

Concomitant symptoms, discussions between Zamora and Weaver of the I.H.M.

Thinking-ManOnce it is clearly stated that there are peculiar specifics for pure individual diseases according to how they are described (in a general-pure way) in the pathology books and that there are also specifics for the different expressions of the individual disease, we will start from the fact that the information in the elaboration of the anamnesis is intended, among other things, to establish a timeline between the different problems that the patient may have and the pathological relationship that they may have with the main symptom, and these as a whole in turn with the various spheres of action of the remedies (§ 22 & FN-25 Sixth Edition). It is perhaps at this point where concomitant symptoms become more relevant.

Since it is Hahnemann himself who expresses that the reactivated Psora results in pathologies with their different names, I understand that the different psoric symptomatic expressions are clearly defined by well-delimited symptomatic complexes for each of those specific pathologies connected to each other within a single great general pathology; Psora, which is the great base infection that reconfigures our immune system to predispose us to inflammatory, infectious, degenerative, neoplastic, vascular, etc. pathologies.

This implies that during the anamnesis of concomitant symptoms, they have an incidence with the main symptom in its timeline through their morbid activity (preface, § 69-70 Sixth Edition), that is, their peculiar and characteristic activity with the main symptom so that together they can, or at least try to do, match with the sphere of action of the remedy at the most optimal level. Which would avoid many selection problems. (§ 169 Sixth Edition)

Having said that, I dare to say that the concomitant symptoms are those that accompany the main symptom in its timeline, and that they may or may not be in connection with the specific pathology suggested by the chief ailment. These can be considered according to several slopes:

*Causality. Examples:

Encopresis due to fear / anxiety

Nephrolithiasis due to physical exertion

Vaccine paralysis

Epilepsy by milk crust suppression: Case of Boenninghausen narrated by Carroll Dunham, in which the Baron seems to have prescribed Viol-T based on the suppressed crusta lactea. PHILADELPHIA JOURNAL OF HOMOEOPATHY. VOL. IV. NOVEMBER, 1855. Num. VIII, Pages: 449-458 LETTER OF C. DUNHAM, M.D. WILDBAD, OCTOBER 6, 1855.

Deafness due to suppression of tinea capitis: Case of Carroll Dunham. Taken from Homeopathy the Science of Therapeutics.

* Rarity: “Rarely appear in connection with the leading disease, and are, therefore, also found rarely among the provings.” But they really are in connection with the main pathology. Examples:

As to the pathology:

Leukonychia during hypertension.

Orchitis during mumps

Virchow ganglion in stomach cancer.

As to the proving: symptoms that are rarely generated by a remedy or that when generated are only produced by a small group of remedies. What would define them not as extraordinary, rare or uncommon symptoms per se, but by the few remedies that produces them during a pathogenesis. Examples:

Squil and Rheum bubbling sensation.

Nausea and vomiting with the smell of food from Colch and Ars.

* Allen: “those which belong to another sphere of disease than the chief ailment” that at least appear constant or alternating (§ 232 fn) in the timeline of the disease under consideration. Examples:

Cough with diarrhea (Rumex)

Anal fissure with pharyngitis (See case Monsignor Varlet: P 154/155 Df 14)

* Well characterized: “those which have more or less of the characteristic signs of one of the medicines, even in case they have not before been noticed in the present juxtaposition.”

A symptom that does not belong to the pathology that the chief ailment indicates, but is so well characterized that it points better to a more appropriate remedy. It is not concomitant as such, but it becomes into a main symptom. A matter of focus.

A common daily case in the clinic.

This is a simple case to demonstrate the Hahnemann method of essentials required in case taking. Its not complicated and I have stripped out much of the other symptoms that were presented to focus on the complaint.

Members of the IHM will use the Therapeutic pocket Book for analysis, but feel free to use any repertory you have.

You can answer in the comments section.

man-coughing-on-handYou have been exposed to colleagues at work who are coughing while in various stages of a flu outbreak. Within a few days, you start coughing. It is dry, non-productive, deep and hacking, worse in cold air, and talking. Coughing produces a very raw sore feeling in the chest, which is relieved by drinking sips of cold water. Coughing can be incessant in trying to bring up mucous from the chest, but expectoration is rare with any bits that come up only making it as far as being swallowed. On one occasion the coughing was so intense that a small amount of urine involuntarily escaped. What remedy would you think of first?

IHM teaching centre and clinic seminar in January 2022.

I.H.M. INTERNATIONAL at BOYNE HOUSE, 
12 St. Aubyns Road
EASTBOURNE. East Sussex BN22 7AS

telephone 07367 527072

email:education@instituteforhomoeopathicmedicine.com

20200708-213524-largejpg

Clinics and teaching faculties in U.K., U.S.A., Japan, Spain, Estonia, Portugal, Mexico, Israel and Syria.

On January 15-16. Duration: 2 days.

9:30-5:30pm. For advanced students and practitioners.

Seminar subject:

Strange rare and peculiar, according to Hahnemann.

Seminar oversview.

There is in general a lot of confusion as to WHAT is prescribing symptom according to aphorism 153.

§ 153 Sixth Edition
In this search for a homoeopathic specific remedy, that is to say, in this comparison of the collective symptoms of the natural disease with the list of symptoms of known medicines, in order to find among these an artificial morbific agent corresponding by similarity to the disease to be cured, the more striking, singular, uncommon and peculiar (characteristic) signs and symptoms of the case of disease are chiefly and most solely to be kept in view; for it is more particularly these that very similar ones in the list of symptoms of the selected medicine must correspond to, in order to constitute it the most suitable for effecting the cure. The more general and undefined symptoms: loss of appetite, headache, debility, restless sleep, discomfort, and so forth, demand but little attention when of that vague and indefinite character, if they cannot be more accurately described, as symptoms of such a general nature are observed in almost every disease and from almost every drug.

It is our experience that prescribing only on the essential and accurate symptoms of the patient, (as instructed by Hahnemann) using only 3 or 4 rubrics of the Therapeutic pocket book,  that represent the nature of the disease AND a similar remedy, has increased practitioner success in the clinic to about 80% on the first prescription. We will use cases to demonstrate how Hahnemanns method is still valid and accurate in the 21st century, and does not require any modern methods of interpretation as is prevalent today.

 

tpbpwlaptop2The lecturer for this seminar will be Gary Weaver. An international lecturer for over 30 years, Specialising in homoeopathy after completing his medical training in 1982 and  holding membership of prestigious colleges and organisations in India, Australia and Europe, He founded 5 teaching institutes in the UK, Finland and Ireland. Together with Vladimir Polony, they reorganised and corrected the Therapeutic Pocket Book  by Boenninghausen into modern English turning it into a useful repertory and making it available as the SYNOPSIS computer program. Each member of the IHM register has been trained in the use of the repertory and utilises it as the mainstay of their reference material in the clinic.

Maximum attendees is 10.  This for comfort and  personal attention for the attendees.

working lunchThe price for two days is inclusive of tea, coffee, juice and snacks provided for the breaks and as required during the teaching. Also a light lunch can be provided on both days if required. (The area is well served with cafes and restaurants if you prefer).

Cost is £185. Payable by cash, PAYPAL or credit card. Call or email the centre.

boyne-house-guest-house2We have 6 bedrooms so for anyone needing overnight accomodation at practitioner prices, let us know and we will endeavour to facilitate. 

 

 

Post Covid symptoms that persist.

Sometimes this infection persists in some people.

Symptoms of long COVID

There are lots of symptoms you can have after a COVID-19 infection.

breathing20problemsCommon long COVID symptoms include: (taken from the NHS website)

  • extreme tiredness (fatigue)
  • shortness of breath
  • chest pain or tightness
  • problems with memory and concentration (“brain fog”)
  • difficulty sleeping (insomnia)
  • heart palpitations
  • dizziness
  • pins and needles
  • joint pain
  • depression and anxiety
  • tinnitus, earaches
  • feeling sick, diarrhoea, stomach aches, loss of appetite
  • a high temperature, cough, headaches, sore throat, changes to sense of smell or taste
  • rashes

Homoeopathy has remedies which can produce these symptoms.  A skilled practitioner can induce the immune system to combat the effects with the specific remedy that covers the presentation of the symptoms experienced. There is no single ‘blanket homoeopathic remedy’ that will cure, only the gentle restoration of health via the individualising of symptoms and the appropriate remedy at the right time.

immaculate-but-homely (1)We can treat as an out patient in our clinic. Should a person want a rest and homoeopathic advice, we offer a 3 or 7 day stay at our Bed and breakfast residence in Eastbourne.

The residential stay will be starting late August or before if the small remodeling is completed.

 

Difficult cases. Leg unknown infection.

In Seville, Spain, a long time patient of my colleague Manuel went into hospital for several weeks after developing a strange leg infection. The skin was peeling and deep cracks appeared in the heel and ankle of the right foot. These photos were taken after being released from hospital.

Manuel asked Antonio and myself to come to the clinic and observe and offer suggestions. As you can imagine, walking was difficult and the lady was in a lot of pain.

We put her in the reception room as it was easier for her to sit there, and raised her leg onto another chair to view the issue.

We took an hour looking at it. I examined thoroughly, came to no conlcusion as to the cause, noted that the hospital treatment of antibiotics had reduced the infection a little but the problem persisted.

She cried when we touched the areas of skin that has peeled and the inflamed leg. Very painful. I asked what made it better and she said that nothing did.

leg1Going into the bathroom, I moistened a paper towel and came back and placed it on her ankle and top of her foot. She said how much it felt better. I touched the area and she didnt notice or complain as previously.

 

20170612_17385020170618_112850

Aphorism 153 indicates that we solely keep the view on the characteristic, the strange and the rare in the expression of the disease.

§ 153 Fifth Edition
In this search for a homoeopathic specific remedy, that is to say, in this comparison of the collective symptoms of the natural disease with the list of symptoms of known medicines, in order to find among these an artificial morbific agent corresponding by similarity to the disease to be cured, the more striking, singular, uncommon and peculiar (characteristic) signs and symptoms1 of the case of disease are chiefly and most solely to be kept in view; for it is more particularly these that very similar ones in the list of symptoms of the selected medicine must correspond to, in order to constitute it the most suitable for effecting the cure.

We also note, Hahnemann indicated the more ‘ striking’ symptom must be taken into consideration. On this basis, I took the following rubrics:

leg

I didnt add the locations, simply because MOST remedies are in leg and foot and ankle. I took the effect of the disorder on the person, ie the cracking of the skin in the ankle and heels, and the nature of the disorder in terms of the flaking of the skin. For me, the outstanding modality was the immediate relief from moistening of the skin.

Manuel saw the patient one week later and the patient was walking. The skin was healing, still red but healing. No more peeling and the cracks had gone. I saw her about 6 weeks later and apart from slight redness, everything was better.

Why 3 rubrics only.?

The choice covered the disorder in its entirety. The modality was a clear indication of the bodys response to the disease. The essential symptom of both in the disease AND the remedy. The TPB showed that only 23 remedies had that modality. Combined with the other two rubrics, Pulsatilla was the only remedy to produce both the amelioration and the characteristics of the problem.

153: for it is more particularly these that very similar ones in the list of symptoms of the selected medicine must correspond to, in order to constitute it the most suitable for effecting the cure. The more general and undefined symptoms: loss of appetite, headache, debility, restless sleep, discomfort, and so forth, demand but little attention when of that vague and indefinite character, if they cannot be more accurately described, as symptoms of such a general nature are observed in almost every disease and from almost every drug.