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Comment on Case exercise – Asthma by My Homepage

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Comment on Case 2. Jacqui Dimitriadis by Jacqui Dimitriadis

Jacqui Dimitriadis — Tue, 23 Aug 2011 09:45:51 +0000

Hi Robert,

Thanks for your thoughts. There is the occasional case where one strong, striking symptom leads us to consider a remedy but you would only consider prescribing it if on reading the materia medica the remedy fitted the case as a whole. In this particular case I chose not to use the rubric “turning the eyes <," as it was not a modality which directly related to the symptoms I was treating at the time. ie. restless legs + modalities, weakness + modalities, and the reduced sensibility and the unusual "drawing" sensation accompanying it. My patient's, "< turning the head," caused her to go off balance when walking and was not a modality which related directly to the symptoms I was prescribing on. I could of course follow up by considering those symptoms in a subsequent treatment if they remained. Actually, I might call her up to check whether this symptom has altered.

It is crucial that the precise meaning of the rubric (see endnotes) is understood and that it matches your patient's symptom e.g. you selected "spasms, contortions twisting of the limbs" which means a spasm with a contortion of the part, not the same as my patient's "rhythmic drawing up" (flexion) symptom.

Selecting the combination of rubrics which best typifies the patient is essential to finding the closest group of medicines for consideration. If you enter a large number of disparate rubrics you will always come up with a number of polycrests with no consistency in grades. It is not easy to choose the most characteristic/important symptoms unless you have seen the patient yourself and often I experiment with the repertorisation until I am happy with the rubric combination and the consistency of the results. The ultimate decision comes with the materia medica and in this case at least I had no doubts when I read the materia medica and the description fitted so well! – not just in a general way either, but the description of the proving symptoms actually matched the flavour of my case – always an exciting moment especially when the patient also improves!

Anyway, I hope this helps a little.

Comment on Case 2. Jacqui Dimitriadis by Robert Shriver

Robert Shriver — Sun, 07 Aug 2011 17:08:53 +0000

Thanks so much for posting this interesting case that you describe so well.
It’s hard to dispute clinical success, but I wonder whether spigelia would also have been successful. Her exacerbation from eye movement to the side seems both striking and distiguishing, and it is present in Spigelia.
MMP 6 Vertigo when he turns his head when walking; if he looks straight in front of him he feels nothing- in the open air.
and
126 Intolerable aching in the eyeball, aggravated by turning the eyes; if he attempts to look with the eyes askance he becomes giddy; he must, consequently, when he wishes to look to the side turn the whole head.

I couldn’t figure out how to copy the repertorization window into this space (please let me know), but the following rubrics repertorize out to Spigelia, Pulsatilla, and Bryonia (thought not with the eveness of rubric grades that you have).
Spigelia also has memory issures MMP11-13, palpitations, pressure in the right temple (MMP 85), fatigue (563) and heaviness (565) in the limbs.

Generals, Restlessness (agitation, fidgetiness), physical {1065} [#1#]
Modalities, From Situation & Circumstance, Eyes, moving, turning (or rotating, without moving the head) {1935} [#1#]
Generals, Musculoskeletal, Muscles in general, Twitchings (convulsive motions, subsultus tendinum) {1314} [#1#]
Modalities, From Situation & Circumstance, Sitting, whilst sitting {2146} [#1#]
Modalities, Time, Night, in the {1691} [#1#]
Generals, Spasms (cramps, convulsions), contortions (torsio; twisting) of the limbs {1100} [#1#]
Modalities, From Situation & Circumstance, Walking, during (whilst) walking, amel. {2221} [#1#]
Generals, Sensibility altered, (paraesthesiae, pseudoaesthesiae) {1071} [#1#]

I’d like to hear your opinion on the value (or not) of giving a lot of weight to one symptom that seems strong and distinguishing.
Thank you

Comment on Case exercise – Asthma by G. Dimitriadis

G. Dimitriadis — Fri, 05 Aug 2011 07:19:47 +0000

Thank you Robert for your posting on this case. It is good to see an analysis of the symptoms as presented, albeit with the serious disadvantage of not having the patient in front of you.

I would like to give the following repertorial analysis using our own TBR2 repertory:

568 Respiration, Oppressed
1914 aggr. Exertion, physical
2148 aggr. Sitting, bent (crooked)
1726 aggr. Warm air (ambient, atmosphere, weather), in

This repertorisation pointed primarily to Sulfur, whch remedy was confirmed through the following syptoms in Hahnemann’s pharmacography (CD):

Sulf.CD:
1162 Asthma, after taking a walk; he has frequently to take a deep breath, till evening (aft. 28h).
1163 Short breath while walking in the open air. [also Ng]
1164 Short breath from talking much.
1168 Arrest of breathing, also while speaking.
1173 After walking twenty steps, her chest feels constricted, she would stand still, every now and then, to recover her breath.
1179 Oppression of the chest, on bending forward.
1184 Weakness of the chest while talking.
1197 Spasms of asthma, in the evening, in the warm room; she breathed with difficulty, and could not get air enough, with violent palpitation; worse from moving; it passed off from lying in bed.
1063 During the menses, cramp like pains in the hypogastrium, as if the intestines were, being drawn together with threads into a small lump; she could neither lie nor walk, but had to sit up as upright as possible.

Sulfur also produces, in its provings, lots of swelling at the face – eyelids and around the eyes, lips, cheeks, gums, even regional lymph nodes and parotids.

Homœopathic diagnosis was made given sufficient similarity between provings/disease. Rx: Sulf.0/1 o.m.

Patient reported two weeks later (from USA) of great improvement. Medication was continued unchanged for 18 months with no relapse.

Comment on Case exercise – Asthma by Robert Shriver

Robert Shriver — Thu, 04 Aug 2011 18:49:04 +0000

TBR2 rubrics that seem applicable include 2148 (amel sitting upright), 193 (face swelling), 1726 (amel cold air), 568 (respirations oppressed), 1063 (generals, reactivity), and 1877 (modalities, children). Other possible rubrics include 1914 (worse physical exertion), 578 (dry coryza), 583 (dry cough), though these seem less distinguishing. Using all the rubrics, and checking in provings, I came up with:
Bryonia- most of the respiratory symptoms also involved pain
Sulphur- lacks facial swelling of note, and didn’t have clear matching respiratory modalities for sitting up
Nux v- also lacked this modality
Pulsatilla- had clear improvement sitting for dry cough (MMP, 616) and tight chest (MMP, 645). I did not find much for facial swelling
Sepia- had puffed face, coryza, resp worsened by exertion, but not the amelioration sitting up
Sabina- I didn’t find the amel sitting. Does have turgid face, asthma
So, my vote is for Pulsatilla

Comment on To the teaching Institutions by jacqui dimitriadis

jacqui dimitriadis — Fri, 03 Jun 2011 02:26:43 +0000

Hi Shashi,

Glad you are looking at the website.
We must not blame Homoeopathy if we fail in clinic. It is only the homoeopaths/teachers who are failing. I have tried both approaches and I am very sure which one cures patients.
I do not agree that it is “the lack of clinical success”that has turned people away on the other hand it is actually lack of basic understanding, laziness at applying oneself to careful study and an attraction to something more exciting and alluring. And well the teaching institutions well they are just about making money and most no little about proper Homoeopathy anyway!
Go back to the basics, make prescriptions based only on real provings and you will be successful in clinic!

Comment on To the teaching Institutions by Shashi

Shashi — Thu, 02 Jun 2011 01:00:35 +0000

Ken, I agree that “anthropomophising” and doctrine of signatures and things like”this person looks like a …… so I’m going to give them …….. remedy” is not the way to practice homeopathy and homeopathy is an inductive science as against being a deductive one.
But the lack of clinical success, as you mentioned, is a major factor which has turned homeopaths to linking psychology, taxonomical classifications etc – in all probability these were their individual backgrounds.
This is more a chicken and egg situation – teaching institutions, the profession and the growth of practice of homeopathy as NOT laid down in the Organon against success in a clinical environment.

Comment on Case 2. Jacqui Dimitriadis by Jacqui Dimitriadis

Jacqui Dimitriadis — Fri, 13 May 2011 07:52:04 +0000

Hi Gal,
Sorry about my late reply to your questions. Thank you for taking the time to give us some positive feedback about our work.
I am happy to hear that you have purchased our books and I hope you are enjoying becoming familiar with them. It is not a bad thing to first become familiar with TBR through the book itself, by studying the frontispieces and endnotes. Maybe in the future you will be in the position to purchase the software as well.
The TBR2 software is actually, (at $880) considerably cheaper than the first TBR and also a vast improvement on the original, having been designed and produced by very experienced software developers. The program is a stand alone method of repertory which can not be used in conjunction with any other method and therefore we prefer to offer it as an independent product. Due to the fact we are small company and need to cover the costs associated with the development of the software, we are unable to offer a discount at this point in time.
Sincerely,
Jacqui

Comment on Case 2. Jacqui Dimitriadis by Jacqui Dimitriadis

Jacqui Dimitriadis — Fri, 13 May 2011 04:06:02 +0000

Hj Richard, sorry about my delayed response.
The sensation of drawing upwards in the legs was the overiding factor in the patient when she described this to me, more so than the actual movement. However even if I had used ‘movements involuntary’ I still would have a better consistency in rubric values in Verat (2) than in Rhus-t, which overall has a much more uneven range of values. Besides the proof was in the materia medica..

Comment on To the teaching Institutions by Jacqui Dimitriadis

Jacqui Dimitriadis — Thu, 14 Apr 2011 23:58:42 +0000

Yes Ken! Finally someone has put into writing the frustrations of so many (or perhaps few) of us! I have commenced a similar article myself but you have summed it up so well.
I encourage you to send it to some prominent journals and see who has the courage to publish it. You never know until you try!