PAH2011

Allen: Workbook for Homeopathic Repertory Ch 3: Using the Repertory for Cases

Allen Ch 3.3 Combining and Crossing Rubrics

- Two sets of remedies can be combined in the case of small similar rubrics, counts as one rubric : combining rubrics
- The union of two sets

- Comparing two rubrics and using only the remedies present in both, repertorizing them as if one rubric had been used: crossing rubrics

3.3.1 Combining

- Cough, Burning, chest, in // Chest, Pain, burning, cough during
- one very small rubric with one larger one, combining remedies to improve your chances of listing the best remedies for this symptom

- On repertorization sheet write both rubrics with a plus sign between them
- if there is a difference in grade for a remedy in both rubrics, you make the choice to emphasize or de-emphasize
  - being cautious suggests using the lowest grade

- Combining rubrics expands your possible field of choice
- You can combine two- four or more rubrics
- Useful when multiple rubrics could apply
- Useful when you have a few small rubrics that, when grouped together, describe symptom

- Evens out the rubric set if you have several large rubrics and one small one- the small one might be combined with a larger one so that when you repertorize the small one does not get more weight than it deserves
- This technique widens the playing field of options

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3.3.2 Crossing

- Crossing two rubrics involves taking only those remedies listed in both rubrics
- This technique narrows the playing field of options

- This can save you time and cut down on repertorization work, allows you to focus more narrowly
- This may not work well with small or medium sized rubrics, but is a help for rubrics that have hundreds of remedies in them

- On repertorization sheet write both rubrics along with an 'X' to indicate they were crossed
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3.3.3 Sample Case with Crossing and Combining
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3.3.4 Veterinary Notes
- Crossing rubrics for different parts of the body (stomach rubrics with either eye or nose)
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3.4 Selection of Rubrics

3.4.1 Goal: Rubrics Set Describes the State of the Patient

3.4.2 Prioritizing the Information in a Case
What needs to be healed in order for this person to reach a homeostatic state of balance and feedom?
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4.3.2.1 What is not useful?
Eliminate the common and ordinary symptoms, anything that is not a key feature.
Remove names of diseases.
Pay attention to how the patient exhibits the symptoms of the disease, rather than the diagnostic label

3.4.2.2 What is the most useful?
SRPs

3.4.2.3 What is left?
Remaining are neither most unusual nor most common.
Some may be saved for confirmation symptoms.

3.4.2.4 Why Not Repertorize Everything: Totality Approach to Repertory
Time consuming, does not prioritize if you utilize everything equally.
You must pick the Boulders.

3.4.3 Identifying Key Features of the Case

Repetition

SRP

Conflict (ex: desiring things which are bad for them, like spicy food w/IBS)

Etiology

Recent Change from 'Normal'

Oddly Explained Symptoms

Life Threatening Symptoms

3.4.3 Repertory Contra-indications
Symptoms are not good candidates if they are common symptoms characteristic of physical pathology that have no individualizing etiologies, sensations or modalities.

Avoid:
- Symptoms Modified by Meds
- Ambiguous Symptoms
- Conjecture Symptoms
- Historical Symptoms
- Irrelevant-but-easy-to-repertorize Symptoms

3.4.5 Translation to a Rubric
Once key features are determined, look for one or two rubrics that describe each of those features.

Look at small vs. large remedy rubrics.

Keep true to what the patient said, ideally verbatim.

Rubrics with large remedy sets are intimidating, even when they may be the best choice.

Stick with the individualizing features of the case, select reasonable rubrics, and staying within a limited set of 4-8 rubrics.

3.4.6 Veterinary notes
Animals like small children cannot report their experience. Observation is key. Give priority to symptoms which are the most limiting to the animal.

It is important to match bone to bone and organ to organ, making sure that you have the correct anatomy for specific symptoms when you find rubrics.s

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3.5 Covering the Case

Make sure rubric set covers evenly the set of symptoms and does not weight too heavily in any specific area.

3.5.1 Proportion
Each of the features should be fairly represented in proportion to their importance to the case.

3.5.2 Variety of Body Systems
Ensure that rubrics cover a variety of body systems. Too much emphasis on mental or physical symptoms will also slant the rubrics and resulting set of remedies.

3.5.3 Rubric Set Case Example
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3.6 Focusing on the Center of the Case
The core or center of gravity is the most limiting factor in the person's health.
Is it on the physical or mental level?
On the mental level is the greatest limitation in thinking (mental) or feeling (emotional)?
Is there an evident etiology?
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3.7 Case-taking Impacts Repertorization
Individualization of a case often arises in modalities, sensations, and locations of symptoms.

The burden for obtaining data rests with the practitioner.

Useful to start with the location of the symptom.

Get specific nature of the pain, or particular sensation.

Determine any modalities for the symptom.

Concomitants add another dimension- ask what has changed since onset of symptom.
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3.8 Repertorizing Acute Cases
Verify that it is an acute case, rather than a recurrent or seasonal appearance (something with a history, a repetition).

Repeatedly ask whether or not a symptom has begun or changed since the onset of the acute condition.

Address only symptoms of the acute illness.
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3.9 Repertorizing Chronic Cases
Focus will be longer term for chronic cases.
Could use majority of general symptoms in repertorization.
Another technique is to put extra weight on mental symptoms.
Some focus on modalities.
Some focus on more recent events.
Large general rubrics are often helpful.

The bottom line is that all of these techniques help, and none is infallible. You may need to combine approaches, and different cases will call for different types of analysis.
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3.10 Common Mistakes
Short cuts!

3.10.1 Seeing only Bold Type Remedies

3.10.2 Seeing only Remedies you Know

3.10.3 Deliberately Choosing small rubrics

3.10.4 Can't Give it if it's Not in this Key Rubric

3.10.5 Heavy Reliance on Easy Rubrics

3.10.6 Remedy I Want to give is in This Rubric!

3.10.7 Rubrics for People, not Pathology
Look at your value judgements of 'healthy' or 'normal' prior to selecting a rubric

3.10.8 Rubrics in the Practitioner's Case

3.10.9 Reading Your Bias into a Rubric

3.10.10 Rubrics based on Assumptions

3.10.11 Reaching for the Repertory too Soon

3.10.12 Giving a Remedy because it Repertorized Well

3.10.13 Rubrics Covering Part of the Case

3.10.14 Choosing LOTS of Rubrics

3.10.15 Repertorizing an Inadequately Taken Case

3.10.16 Giving up in Frustration

Vithoulkas: The Science of Homeopathy Ch 14: Case Analysis and First Prescription

Vithoulkas Ch 14 Case Taking and First Prescription

It may seem as if there is a set of rules and algorithms that may correctly calculate the correct remedy for a case, but this is not something based on concrete rules.

The laws and principles upon which decisions are made are definite and verifiable.

The application of laws and principles is open to interpretation. The results are a fusion between art and science.  The laws and principles are solid and the application of them to the individual is artistic.

This process requires a great deal of mental effort and insight into the patient.

There is always the temptation to find "keynotes" in an attempt to shortcut the system. The results are poor in the long run. It is important to commit yourself to intense study in order to gain true understanding and good results in practice.

Homeopathic treatment costs are higher. However more time is spent on each case and results are better than in allopathy. In the long run costs are less for homeopathy because the level of health is higher and medication is less costly.

Once a homeopath has mastered prescribing and is demonstrating reliable results he or she can make an excellent living and be assured of a busy practice.

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Initial Prognostic Evaluation

During the initial interview, a crucial decision must be made in regards to the seriousness of the case.

Some people may have same complaint but with a totally different impact on their life. It may not hinder them in any real way or it may have great mental and physical repercussions related to the complaint.

The patient looks to the homeopath not only for treatment, but for education. There are questions regarding expectations on how long it will take to treat their symptoms, what they can expect, etc.

Incomplete or unrealistic expectations may discourage the patient, and may cause them to abandon homeopathic treatment.

The homeopath should be able to assess the situation, and determine what level of impact the complaint has on the patient. They must give the patient practical advice and expectations, while not depriving them of hope. Patient should be taught to expect some difficulties and to be patient, as well as the importance of adhering to the treatment process.

How to make this determination?
1) A limited degree of freedom of expression in life : Determine how limited the patient is by their complaint. Able to do so by how they present themselves.

2) The center of gravity for symptoms : If the center of gravity is emotional or mental problems, a poor prognosis can be expected. Patients move towards cure very slowly over time. Other patients who do not have this center of gravity will improve much more quickly.

3) The degree of hypersensitivity to stimuli : People who are oversensitive to their environment, react strongly to interactions with others, are sick frequently- if this is the case it is signifying that their defense mechanisms are constantly being brought in to maintain equilibrium, signifying that their systems are unable to remain stable.

4) Past history and family history :  People with a past history of deep and serious diseases, who have had a lot of suppressive therapy are more likely to encounter problems on the way to cure.

If any of the above factors are observed, the index of suspicion should be raised immediately. Typically if one of the factors appears, more than one is present.
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Case Analysis for the Beginner

After the initial prognostic evaluation, the next task is to find the simillimum.

The initial remedy given is the most crucial decision made in homeopathy.

The first remedy is the one which opens up the case, which brings out the true healing potential of the defense mechanism.

    Occasionally the initial case is very obvious, but this is not the norm.

    If the remedy is clearly indicated, the first remedy will often give dramatic results. It is then very important to wait for a long time before either repeating the remedy or giving another one.

A more common pattern is a mixture of of symptom pictures.

   More thought and study is required to make a decision for a remedy that truly covers the totality of symptoms.

If the beginner is unsure on how to go forward, the best procedure is to "repertorize" the case.

  Begin with the SRPs, continue to listing and grading the rubrics.

  Never give a remedy just because it scores highest on the rubrics.

  Repertory sheets, or any similar tools are not recommended for the beginner- it is best to write it out longhand as a learning tool.

Attention should be paid to "small" remedies which run through a few rubrics. "Small" remedies are those whose provings are as yet incomplete, and therefor the number of symptoms listed for them is small.

Often a particular remedy runs through all rubrics except 3 and 5, when they are listed in order of importance.

It is frequently found that the simillimum does not cover all the important symptoms in a case.

After years of practice the repertorization process may be streamlined a bit, using "elimination" techniques. This must be done with extreme care. Symptoms are listed in order of importance and severity, arranged with great care. The remedies listed with the first symptom are written down. Only remedies which appear in the rubric for the second symptom are written down, etc. until all but a few remedies are eliminated.
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Case Analysis for Advanced Prescribers

With more experience, less reliance is placed on formal repertorization. Often techniques are used which appear simple but are highly sophisticated and which are formed from years of experience.
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Selection of a Potency

Once a remedy is selected, the next choice is the potency. There are no set rules, experience and observation will play a large role in making this decision.

Potency selection is less important than the remedy chosen.

  If the correct remedy is selected then it will act curatively in any potency, although a correct potency will act more gently.

  Incorrect remedies can be either inactive or disruptive to a case, regardless of potency.

Low potencies (12X to 200) are generally indicated:
- patient has a weak constitution
- elderly people
- hypersensitive people

Risks include overstimulation of weakened defense mechanisms, resulting in aggravations.

Frequency can be higher with lower potencies, with instructions to stop if any dramatic aggravation or amelioration takes place.

Oversensitive people should begin with a 30 or 200 - such people are very reactive to low potencies on a physical level and high potencies on an electrodynamic level.

Cases with known malignancy should not go over 200. Suspected malignancy should not go over 1M.
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Single Remedy

One of the fundamental principles in homeopathy is to prescribe only one remedy at a time.

Multiple remedies or correlating treatments obscures results- both positive and negative.

Aphorisms 204 - 209: The Chronic Miasms

Aphorisms 204 - 209 The Chronic Miasms

Syphilis, Sycosis and Psora

204: If we discount all illnesses generated from an unhealthy lifestyle, and those caused by allopathic treatment, then what is left are the three chronic miasms: internal syphilis, internal sycosis, but especially (in greater proportion) internal psora. Each of these miasms was already in possession of the entire organism prior to the appearance of any of the local symptoms. These primary symptoms serve to prevent the outbreak of the internal disease.

If these local symptoms are repressed or removed externally, the miasms are robbed of their outlet of expression in local symptoms (which allay the general suffering.) When this happens, the miasms must express themselves fully, as an wide variety of chronic diseases. If these three miasms had been treated with internal homeopathic medicines much human suffering would have been avoided, instead of treating the external topical symptoms.

205: The homeopathic physician never uses local means (neither external, dynamically acting one nor mechanical ones) to treat these primary symptoms of chronic miasms. Nor is local means used to treat any of the secondary maladies which have germinated from the miasm's further development. When symptoms of either primary or secondary nature appear, the homeopath cures the underlying miasm. In this way the primary and secondary symptoms in addition to the miasm are cured and vanish of themselves (except in some inveterate cases of sycosis).

Unfortunately most homeopaths treat patients who have already had allopathic for their primary external symptoms. Thus it is much more common to treat secondary symptoms or miasms expressed as chronic diseases.

205a: Therefore I cannot recommend the removal of facial or lip cancer, which is perhaps the fruit of highly developed psora, sometimes combined with syphilis [using Cosmo's arsenical preparation]. It is extremely painful and often fails. More importantly the fundamental malady has not been alleviated, and something worse ensues.

205b: Primary symptoms of psora, syphilis and sycosis are: itch diathesis eruption, the chancre (or inguinal bubo) [syphillis], or figwarts [gonorrhea].

How to Treat Chronic Miasmatic Diseases

206: Beginning the treatment of a chronic malady, careful inquiry is required to determine whether or not the patient has had a venereal infection - either syphilis or gonorrhea.

1) If the only symptoms are those of syphilis or gonorrhea the treatment must be focused on those alone. However such pure cases are rare.
2) Any case of psora combined with a history of venereal infection must include these when considering treatment. Almost every case that initially appears as an old venereal disease is more likely a case complicated with psora. This is because the internal itch diathesis (psora) is by far the most frequent fundamental cause of chronic diseases.
3) Occasionally it will be necessary to combat psora and syphilis which are further complicated with sycosis, in chronically diseased bodies in which sycotic infections had once occurred independently.
4) More frequently the homeopath will find cases in which psora is the only fundamental cause of all remaining chronic sufferings,  but which has been complicated and worsened by allopathic treatment.

207: Once that information has been obtained, careful record must be made of what allopathic treatment the patient has received. Primarily what invasive medicines were used and how often, what mineral baths, and with what results. This will provide information on the patient's original state and to understand to some extent the degeneration since then.

208: Consideration must be made of what elements in a patient's life might increase their malady, or to what extent they could improve or hinder the treatment. The physician must consider the patient's:
1) age
2) lifestyle and diet
3) occupations
4) domestic situation
5) civic relations, etc.

In the same way the patient's mental and emotional state should be considered to determine whether it hinders treatment, and to determine if additional psychological treatment is necessary.

209:  After this information has been obtained, and these considerations made, should the physician seek over the course of several interviews to sketch the disease image of the sufferer. The aim being to trace out the most striking and singular (characteristic) symptoms.

Based on these symptoms, the physician starts treatment by selecting the medicine that has the utmost possible similarity of signs to those of the disease.

Aphorisms 72 - 81: Definitions of Acute and Chronic disease

Aphorisms 72-81

Definitions of Acute and Chronic disease

72: Diseases of humanity are in part acute and in part chronic. Acute diseases progress rapidly from the abnormally mistuned life principle. Chronic diseases are from dynamically mistuned living organisms with small, subtle beginnings which gradually progress until health is removed. The life force cannot oppose chronic diseases on it's own and must allow them to proliferate, which causes the mistunement of the life force to be exacerbated. Chronic diseases arise from dynamic infection by a chronic miasm.

Acute Diseases
73:  Acute febrile disease may be caused by exposure to the disease. They may be brought on by lifestyle excess or deprivation, exposure to extreme temperatures, physical trauma or strain. Fundamentally these acute fevers are flare-ups of latent psora which then return to a dormant state.

Sporadic acute diseases attack several people all at the same time. These may occur in different places, but at the same time. Only a few people possess the receptivity to become prone to the disease at the same time.

Epidemic acute disease seize many people with similar complaints from a similar cause. These diseases tend to be contagious, especially in largely populated areas. Each epidemic has an unique fever, and an unique cause such as war, floods or famine.

Some acute epidemic diseases are particular acute miasms that recur in the same manner. They either happen once in a lifetime (such as mumps, measles, smallpox) or they recur often in a similar way (levantine plague, coastal yellow fever, Asiatic cholera, etc.)

73a: The homeopathic physician does not get caught up in labeling diseases. Treating diseases which have been given a traditional name by traditional treatment is a mistake which ignores the individual nature of each set of symptoms.

73b: Since 1801 physicians have mistaken purpura miliaris (roodvonk) fever with scarlet fever. They have different symptoms and different treatment, and now have combined at times to become a new type of fever not treated by aconite or belladonna.

Chronic and Other Protracted Diseases

74: Among chronic diseases, iatrogenic illness (caused by allopathic treatment) is one of the most difficult to cure. Over a prolonged period the life force must alter the organism to uphold life while being weakened by the allopathic treatment. This causes:
1) parts of the body to no longer respond correctly, the ability to arouse or be sensitive is being forcibly dulled or unduly heightened
2) dilating or contracting parts
3) slackening or hardening parts
4) annihilating parts
5) causing organic defects which cripple the body in both the interior and exterior

The life force slowly alters the organism in an effort to protect it from complete destruction, in the face of continued attacks by treatment delivered allopathically.

74a: Broussais; treatment of bloodletting and starvation is one of the most debilitating. Bloodletting especially does nothing other than weaken the patient and remove their ability to recover.

74b: Abnormalities found during autopsy are often caused by the treatment, not the disease.

75: Of all chronic diseases, these cases of the body being altered by continuous allopathic treatment are the saddest and most incurable.

76: Homeopathy was designed to cure natural diseases only. No human medical art can reverse the alterations of the life force caused by long term allopathic treatments.

77: Diseases should not be called chronic when suffered by people who:
1) continually expose themselves to avoidable malignities
2) regularly consume harmful food or drink
3) have immoderate habits of inebriation which undermine health
4) undergo prolonged deprivation of things that are necessary for life
5) live in unhealthy places (especially marshy areas)
6) reside in cellars, damp workplaces or other confined quarters
7) suffer lack of exercise or open air
8) undermine health by excessive mental or physical exertions
9) live in a state of constant vexation or upset

These types of illnesses resolve themselves when the underlying causes are removed, provided no chronic miasm lies in the body. These cannot be called chronic diseases.

78: True, natural, chronic diseases arise from a chronic miasm. Left to themselves these diseases go on increasing. Even with a healthy lifestyle they worsen throughout the span of a lifetime.

78 note: Chronic miasmatic disease often become dormant in one's youth, only to reappear with a vengeance with age and adverse circumstances.

79: Until now only syphilis has been known as a chronic miasmatic disease, which left untreated would persist throughout the patient's life span.

Uncured sycosis (figwart disease) is another chronic miasmatic disease that cannot be cured by the life force alone. Treating the outgrowths neglects the residual wasting aspect of this disease.

80: The chronic miasm of psora is much more serious than syphilis or sycosis. Syphilis comes as an internal wasting disease and sycosis develops cauliflower-like growths and psora documents itself by peculiar skin eruptions. Psora is the true fundamental cause of almost all the other remaining forms of disease. These include mental as well as physical diseases in a truly vast range of symptoms.

80 note: Discover of psora as the source of countless forms of disease

81: Psora is expressed in countless disease forms, as it has evolved through millions of human organisms over the course of generations.

81a: Some causes of psora manifesting as chronic maladies:
1) climate and quality of the location where you live
2) irregular childhood, including neglected, distorted or over-refine development of body or spirit
3) misuse of the body or spirit in your job or primary life relationship
4) diet
5) human passions
6) customs, practices and habits of many kinds

81b: Pathology books have lumped a variety of different disease states under one name.  Often diseases are the same in only one symptom between patients, so why would you treat them all in the same manner? Some epidemics propagate differently each time they appear, and yet they are all marked as the same.

Genius of Homeopathy - Close ch.9 : Cure and Recovery

H truly defined the term 'cure' for the medical practice, and based his work from that vantage point.

"The highest ideal of a cure is rapid, gentle and permanent restoration of health, or removal and annihilation of the disease in its whole extent, in the shortest, most reliable and most harmless way, on easily comprehensible principles."

Cure is dependent not on precedent, but on principles.

Throughout time medicine has been called "The Art of Healing". Art is practice guided by correct principles in the use of means for the attainment of a desired end.

" Imitation of nature is a paltry substitute for art. Whatever may be the outcome in the long run and final accounting, nature, temporarily at least, works irrationally, blindly, painfully and waste fully; as when she creates a million spawn to secure a dozen fish; or suppurates an eye away in the effort to remove a, splinter from the cornea."

Definition of Expectant treatment - treatment directed toward relief of untoward symptoms, leaving cure of the disease to natural forces.
Definition of Recovery. - Recovery is the spontaneous return of the patient to health after the removal, disappearance or cessation of the exciting causes and occasion of disease, or as a result of treatment which is not directly and specifically curative in its nature. Recovery takes place without homeopathic remedies, but from changing the environment or by nature.

Definition of disease as "any departure from, failure in, or perversion of normal physiological action in the material constitution of functional integrity of the living organism"

 Disease is manifested perceptibly by signs and symptoms. Cure, is manifested by the removal of the symptoms.

Cure is not affected by the removal surgically nor by any local means, of the external, secondary, pathological "end-products" of disease, such as tumors, effusions, collections of pus, useless organs or dead tissues; for the morbid functioning which produced those effects often remains unchanged, after such removal.

Requirements of Cure
1) must be result of direct application of principle of therapeutic medication
2) cure by medication is individual

Every individual develops according to a certain morphological tendency or predisposition, inherent in his constitution.  It is necessary, therefore, to study each case of disease from the morphological as well as the semeiological standpoint in order to be able to determine its individual form and characteristics. The new morphology includes all the facts and phenomena, anatomical, physiological and psychological, functional and organic, normal or abnormal, which represent the individuality of the subject.

3) complete and impartial collection and record of the facts which constitute the natural and medical history of the individual

Non-Union of fracture - video

Jo: non-union of fracture

broken leg not healing
broke last Sept
not strong person, weak person
strong spiritual & psychic sense, not in body
psychic impressions of close family
   - know what's going on with them

woke up sore throat, found out mom had strep throat
pain shoulder, sister hurt shoulder

leg hurt at first, itchy after cast, drove crazy
nightmare, had to learn how to set up everything perfectly

driving
had to think through how to balance and hold on getting in to car

exhausted getting through a day
get up, get dress, dry hair, brkfst, tidy up, get in car, drive off to work, answer phones, type comp, can't find time to eat lunch, eat while working at computer, finish work, errands, go to bank before closes, dry cleaning, grocery store, after home make dinner, do the dishes

by 7:30/8 wiped
always sick, always have a cold - from any exposure
water eyes, sneezing, sinus blocked, in ears, can't hear
get a cold every other wk

hard time with decisions, any
- even what to make for dinner
I get tied up in knots
mom bday gift, went to store for 2.5 hrs figuring out what to buy her
not perfect because didnt' have music box, cost $35 , didn't want to spend that much
watch less expensive, couldn't decide

afraid of being ctr of attention in a negative way
ex: spill bag on bus and everyone is looking
afraid of anything sharp, pins needles
   - felt dizzy almost fainted from idea of being poked

nightmare being poked with pins/needles

short
grow slowly
finger nails grow slow, ridges, white spots
hair grows slowly - agonizing, cuts before grows to what she really wants

psychic ability
full moon: feel emotions that are not mine
thought I was going crazy, wave of anger for no reason, or feel sad
able to find out I was feeling emotions belonging to family members
no "floods of emotions" after full moon passes

angry feelings, weren't mine, days she felt anger were same as days cousin got fired

strong opinions, don't like to tell ppl what they are
found out sis was getting married, announced engagement, almost choked on food, had to keep face even because I didn't want anyone to know I had such a  strong reaction
don't want to get into arguments
it was creepy
I sure didn't want to let people know how I felt

general
weak person
gets colds every other week
floods of emotions every full moon
slow growth: body, nails, hair
indecisive
exhausted from day's activities
needs to hide strong opinions from others
fears negative public attention

particular
broken leg has not healed (broke last Sept)
nightmares of pins,needles, being poked
nails have ridges, white spots

limitations
often sick
broken leg hasn't healed
easily exhausted

pathology

rubrics
mind, delusions/thoughts, family, emotions feels
mind, fear, pins of
mind, indecisive
mind, weary, evening
** mind, clairvoyance

Aphorisms 105 - 111: Provings

Aphorisms 105-111

105: The second item of business for the genuine medical-art practitioner concerns the investigation of the implements appointed for the cure of natural diseases. The investigation of the disease-making power of medicines is necessary in order (where there is something to be cured) to be able to single out one medicine which has a set of symptoms which may create an artificial disease made up of components similar to the totality of symptoms of the natural disease which needs to be cured.

106: The efficacy of individual medicines to arouse disease must be known. The symptoms of the disease and condition-alterations that each medicine is able to engender in healthy people must have been observed prior to being able to find and select the correct homeopathic remedy.

107: It is difficult to perform this investigation in a culture where medicines are only give to sick persons. Even in cases where only one medicine is given, it is impossible to know what the pure actions of that medicine are since the particular condition-alterations expected from the medicine are mingled with the symptoms of the current disease.

108: Therefore there is no other possible way to unerringly experience the peculiar actions of medicines upon the human condition- there is no more simple or natural arrangement better than to administer each single medicine experimentally in moderate amounts to healthy persons in order to learn what effects, symptoms and signs of its impinging action each medicine may bring forth in the condition of the body and soul.  It highlights the disease elements each medicine is able to and tends to arouse. As has been shown, all of a medicine's curative power lies in its power to alter the human condition; this is illuminated from observation of the human condition.

109: I was the first to blaze this trail with a perseverance that could only arise and be maintained by the great truth speeding humanity that the certain cure of human diseases is only possible through the homeopathic use of medicines.

110: In medical literature, there are reports of poisonings where healthy individuals (accidentally, for the purposes of suicide or murder, or other circumstances) ingested large amounts of medicinal substance. I have seen that the actions of the morbid malignities described in these reports agreed with my observations upon testing the same substances on myself and other healthy individuals. The writers of these toxicological reports recorded these previous cases as proof of the disadvantage of these substances, to warn against them. It was also to extol their art, when while using their means against these dangerous situations recovery gradually set in, and partly to exonerate themselves if these people died by proclaiming the dangerous nature of these substances which they call poisons.

None of these observers suspected:
1. that these symptoms, described only as proof of harmful toxicity of these substances, contained sure reference to the power of these drugs to be able to be used curatively with similar ailments in natural diseases.
2. that these disease arousals were indications of their homeopathic curative action, and
3. that the only possible investigation of their medicinal powers rests upon the observation of the altered conditions brought about by these medicines in healthy organisms.

The pure, peculiar powers of medicines for curative purposes are not to be discerned through a) specious a priori sophistry b) the smell, taste or appearance of medicines c) chemical processing of the medicines or d) the use in diseases of one or several medicines in a mixture (prescription). One did not suspect that these histories of medicinal diseases would some day supply the first rudiments of the true, pure materia medica which, from the outset up until now, consisted only in false conjectures and fabrications, and which was as good as non-existent.

111: The agreement of my observations of the pure actions of medicines (in provings) with these older reports (of poisonings) written irrespective of curative purposes, and even the accord of these reports (of poisonings) with others of this kind from different writers, easily persuades us that medicinal substances act in their morbid alteration of the healthy human body according to definite, eternal natural laws and, by virtue of these, are able to engender certain, reliable disease symptoms, each substance engendering particular ones, according to its peculiarity.

Aphorisms 62 - 69: Primary and Secondary action

Aphorisms 62- 66

62: The following experiences, derived from manifold observations, clearly show the ruinous result of palliative antipathic procedures using reverse homeopathic care. No one prior has taken notice, in spite of the evidence being close at hand and crucial to the curative process.

63: Each life-impinging potence, each medicine, alters the tuning of the life force more or less and generates an alteration of a person's condition for a longer or shorter time. This is termed the initial action. The initial action is a result of both the life force and the medicinal energy, the change being attributable more to the impinging potence of the medicine. The life force strives to counteract this impinging action with it's own energy. This reaction belongs to our life-sustaining power as an automatic function, called the after-action or counter-action.

64: As seen from the following examples, during the initial action of the impinging potence upon our healthy body, our own life force reacts receptively.  It appears as if the body were forced to allow the impressions from the medicines internally, as they would occur outside the body, thereby modifying it's condition.

The life force then appears to rally in one of two ways:
1. Where it exists, the life force brings forth the exact opposite condition state (counter-action, after-action) to the impinging action (initial action) which it has absorbed internally. The level of counter-action matches the degree of the initial reaction, proportionate to the life force's own energy.
2. If no state exists in nature exactly opposite to the initial reaction, the life force appears to strive to assert it's superiority by extinguishing the reaction produced within itself by the medicine, thereby reinstating it's normal state (after-action, counter-action).

65: Examples of initial-actions upon the life force which are followed by opposing counter-actions are familiar to all:
1. A hand bathed in hot water is initially much warmer than the unbathed hand (initial action), but once it is removed and dried it becomes cold after some time, and then much colder than the other hand (after-action).
2. A person heated by vigorous exercise (initial action) then becomes chilly and shivers (after-action).
3. Drinking a lot of wine heats the body (initial action) and later every breeze is too cold (after-action).
4. An arm immersed in very cold water for a long time is at first paler and colder than the other one (initial action), but after being removed and dried it becomes not only warmer but hot, red and inflamed (after-action).
5. Excessive liveliness from drinking coffee (initial reaction) is replaced by sluggishness and sleepiness (counter-action, after-action) unless more coffee is had (palliative for a short time).
6. Opium induced stupor (initial action) is followed the next day by insomnia (counter-action).
7. Opium induced constipation (initial action) is followed by diarrhea (after-action).
8. After the purging produced by bowel-stimulating medicines (initial action) constipation of several days' duration results (after-action).

After each initial action of a potence that in large dosage strongly modifies the condition of a healthy body, our life force always and everywhere brings to pass, in the after-action, the exact opposite (if there is such a state).

66: In the healthy body, with the action of very small homeopathic dose of life force altering potencies, a conspicuous opposite after-action will not be perceived. This is understandable. Potences in small doses bring forth an initial action that is perceptible with due attention, but the living organism produces a matching small counter-action as is required to return to the normal state.

Aphorisms 264 - 271 : Preparations of medicines

Aphorisms 264- 271

264: The true medical-art practitioner must have the most genuine, full-strength medicines on had in order to guarantee their effectiveness; their authenticity must be known first-hand to the physician.

265: It is the ethical duty of the physician to ensure that each patient takes the right medicine every time. The physician should physically hand over the correctly selected medicine,  and the medicine should be made by the physician.

266: Substances of the animal and vegetable kingdoms are the most medicinal in their raw state.

267: The most complete and certain way to guarantee the powers of indigenous plants, and plants that can be obtained fresh, is as follows:
1) Press out the juice and mix it immediately with an equal amount of wine spirit [alcohol] strong enough for a sponge to burn in it. 2) Let this mixture stand for 24 hours in a sealed glass bottle 3) Decant the clear liquid from the fibrous and albuminous matter that has settled and store the liquid for medicinal use. 4) Keep the liquid in a well sealed bottle to prevent evaporation. 5) Store it away from sunlight.
 The alcohol stops the fermentation of the plant juice and prevents subsequent fermentation. The whole medicinal power of the plant juice is preserved forever (whole and unspoiled) in well stoppered and sealed bottles, stored away from sunlight.

268: Medicines may be made from properly prepared powders from dry plants.  The physician should not ever accept on faith alone that the powdered form of the exotic plants, barks, seeds and roots cannot be obtained in their fresh state. First hand knowledge of the material in it's fresh state prior to being made a powder is required prior to using them for medicinal purposes.

269: The homeopathic medical art develops the internal, spirit-like medicinal powers of crude substances in a revolutionary way. It does so via a unique process whereby these substances become immeasurably more effective and helpful. This applies even to substances which have no medicinal power in their crude state.
This process alters the properties of the original substance through a mechanical action on the smallest particles therein by trituration and succussion while these particles are separated from one another by means of an intervening, indifferent substance that is either dry or liquid. This procedure develops the latent dynamic powers of the substance which were previously unknown. The dynamic powers of these substances primarily have an influence on the life principle, on the condition of animal life. This process is called 'dynamization' or 'potentization' (development of medicinal power). It's products are called dynamizations or potencies of different degrees.

270: The best method to produce this development of power requires a small quantity of the substance to be dynamized (about one grain). It is raised to the one-millionth powder-attenuation by means of a three-hour trituration process. Three one-hour triturations are done, each using 100 grains of milk sugar as explained in the footnote below.
The medicine is then further potentized by means of dilution and succussion.
Preparation of medicine to the first degree of potency [LM1] : 1) Dissolve 1 grain of triturated powder (to the one-millionth attenuation) in 500 drops of a mixture containing 1 part brandywine (90% grain alcohol) and 4 parts distilled water. 2) Place a single drop of mixture in a vial. 3) Add 100 drops of good wine spirit (95% grain alcohol) to the vial 4) Give the sealed vial 100 strong succussions with the hand against a hard but elastic body (such as a leather bound book).  This is the first degree of dynamization. 5) Thoroughly moisten fine sugar globules with this liquid 6) Rapidly spread the sugar globules on blotting paper to dry 7) Store the globules in a tightly sealed vial labeled with the sign of the first degree of potency. 8) Protect the bottle from heat and daylight.
Preparation of medicine to the second degree of potency [LM2]: 1) Take 1 globule of first degree medicine, put it in a new vial with a drop of water to dissolve it. 2) Repeat steps 3-8 above, label bottle with the sign for the second degree of potency.
Preparation of medicine to the thirtieth degree of potency [LM30]: Continue the listed procedure until the dissolved globule of the 29th degree of potency has formed a spiritized medicinal fluild with 100 drops of wine spirit, by means of 100 succussions, whereby globules that are moistened with this and dried are labeled XXX, the 30th degree of dynamization.
Only when crude medicinal substances are processed in this way does on obtain preparations that have attained their full capability to touch the suffering parts in the sick organism. In this way the natural disease that is present in the suffering parts is removed from the life principle. By way of proper processing, a substance which in unmedicinal in it's crude state, becomes transformed by these higher and higher dynamizations to become a spirit-like medicinal power. This medicinal power in itself no longer lies within our senses. The medicated globule becomes the carrier of this invisible power, and carries this power dry but is even more potent dissolved in water.

271: Ideally a physician prepares all homeopathic medicines, and may use a fresh plant as source material. A preparation may be made in this way: 1) Mix a couple of grains of the plant in a mortar with one third of 100 grains of milk sugar. 2) Bring the mixture to the one millionth trituration in three distinct steps.
The substance can then be further potentized by means of succussion. This procedure is also to be observed with the remaining medicinal substances of either a dry or oily nature.

Science of Homeopathy - Vithoulkas Ch.7

- chemical vs. electromagnetic effect
- every substance animate or inanimate has an electromagnetic field
- biologically inert (gold) vs. active (vitamin)
- biologically inert substances are "closed" to interaction with the human body
- if a person resonates with something, they may receive good results from a non-homeopathic does (ie: mineral baths). The results are usually temporary, and further applications reduce the amount of time it produces good results. Same with herbal remedies.
- h.remedies liberate the energy within a substance in a way that makes it more accessible to the patient, more available to interact on the dynamic plane.
- Diluting a substance reduces it's toxicity, but also reduces it's beneficial impact
- Adding kinetic energy to the substance via succussion allowed the substance to retain it's vibrational energy and beneficial results without any toxicity = potentization
- Must succuss AND dilute, succussing alone only raises the potency by one level, so it needs both to be potentized
- the more the substance is successed, the greater the energy and the greater the therapeutic effect without any toxicity
- Avogadro's number = 24x or 12c, the limit to which any substance retains any properties of the original. Beyond that there is no measurable relationship between the substances, as there is less than one molecule's worth of similarity.
- Can go up to 100,000c - can be enhanced infinitely
- Remedies lose their beneficial power if exposed to the sun, inactivated in temperatures 110-120F
- Some reports of remedies being inactivated by strong aromas like camphor

Trauma to Breast - video

Taylor: trauma to breast

1wk-10 days ago
holds pillow to chest
hit by softball
top R breast
bruise, swollen, acute, carrying pain all the time
<lying down, night, hard to get comfortable in bed, turning to side from back hurts, from small movements
able to move normally during day
sore
fear of cancer from breast trauma
eyes tear up outside in sun

Generals:
Particulars: Trauma to top of R breast: bruised, swollen, painful, <lying down, night, small movements cause intense pain, fear of trauma induced cancer, eyes tear up outside in sun

Context: 7-10 days ago (recent?), bruising caused from being hit by a softball at top of R breast, sore swelling pain

Remedy
Conium - < idle, ill-effect of  contusion, < turning in bed, night, eyes tear up outside (<outside, excessive lacrimation)
Arnica - trauma to soft tissue, bruising, parts lain on feel bruised/pain, fear of sickness
[ fear of being touched- pillow in front][bed feels hard]
{not numb, not <lying down, not in shock or denial}
Staphysagria - < touch, < night, tears from sunlight

Traumatic Iritis - video

Sean: Traumatic iritis
*def: inflamed iris, develops quickly often only in one eye, can be result of trauma to head/eye area. Eye pain from bright light, blurriness, eye redness, odd shaped pupil. Movement of affected iris causes pain (shining light in non-affected eye will cause affected iris to shrink, causing pain.)

walked into door few days ago ->clumsy
hurt, bruising
didn't think much of it - did it before
couple days later woke up morning
incredible pain L eye
saw spots
turned toward window
light too intense, couldn't take it
went to eye dr
- was iritis
- protect eyes from bright light, go away on it's own

light=painful

irksome vision L eye very blurry, can't fxn
tearing up, regular type but lot of them
eye pain =soreness aching
first time for pain like this

Symptoms
General:
Particular: head bruise, left eye: pain, << light, blurriness, tearing up, soreness/aching, saw spots

Limitation, pathology: Trauma induced iritis, inflamed iris resulted from trauma to the head/eye area, pain from iris movement (caused by light), blurriness

Remedy
Ruta graveolens- injury to bony area surrounding the eye, bruised bones, eye strain, lachrymation
Symphytum - caused by a blow, eye spasms(tearing up)
Aconitum- pain, recent injury

Aphorisms 82-99: Case taking

Aphorisms 82-99

82:  The discovery of psora, the root of chronic diseases, in addition to finding more specific homeopathic remedies have brought the medical art closer to the nature of the majority of diseases to be cured. However,  it remains the duty of the physician to carefully apprehend the investigable symptoms and peculiarities of disease, in order to contribute to the findings for each chronic disease to be cured. No genuine cure of the psoric, or any other disease can take place without the strict individualized treatment of each case of disease.

During investigation, distinctions should be made between rapidly occurring acute diseases and those that are chronic. Acute cases present symptoms which are more immediately discernible, so that less times is needed to get an impression of the disease image. As most acute disease presents itself spontaneously, there is much less that needs to be asked. Gradually advanced chronic diseases which have existed several years or more require much more attention in order to obtain a full impression of the disease.

83: Individualizing examination of a disease case requires the physician to approach each case as unique. It demands nothing more of the physician than freedom from bias, healthy senses, attention while observing and fidelity in recording the image of the disease.

84: The patient complains of their symptoms, as the patient's relatives contribute what they have observed. The physician uses sight, hearing, and observation to determine what is altered or unusual about the patient. The physician writes everything down verbatim, without changing style or content. The physician keeps silent, allowing all of them to speak freely unless they stray off to side topics. It is important to request at the onset of the interview that they speak slowly, in order to capture everything in writing.

85: Each new symptom or circumstance should generate a new line item, so that they will all appear separately. The physician may add to their notes, filling in clarifications after the interview.

86:  Allow the speaker to finish expressing themselves, after which the physician may begin a closer determination of the case. The physician may read the reported symptoms and inquire about particulars or request more data. Questions may include: pertaining to time of occurrence, types of pain, specification of where the pain occurred on the body, duration or cessation of pain, continuous or periodical symptoms, when was it worse: time, position, describing the circumstances of the initial onset.

87: It is crucial to gather more data about the case without ever asking a leading question, putting words in the patient's mouth, or asking a yes/no question. This would only lead to misinformation, or mis-remembering of the actual circumstances out of convenience or to please the interviewer thereby generating a false impression of the disease and misguiding the treatment process.

88: If the patient does not volunteer information regarding several parts or functions of the body or about emotional states, the physician should then ask what is still to be recalled. The physician should ask with general expressions only, so that the patient is obliged to divulge specific information.

89: It is important to wait until the patient has finished freely giving their account, after being invited to do so. Only afterwards is it allowable, and indeed necessary, for the physician to ask more precise and specific questions. Of all accounts taken, most weight should be attributed to the patient's version (except in the case of feigned illness.)

90: After writing down the patient's statements, the physician then notes personal observations of the patient. The physician may then ask the patient to compare how they (the statements of illness) were expressed when the patient was healthy.

91: The circumstances and condition of a patient when they were taking medication do not give a pure image of the disease. However symptoms and ailments which presented themselves prior to the use of medicine, or which reappear after ceasing to take medicine give the fundamental concept or original gestalt of the disease. The physician must record these in particular.

92: If the disease is progressing rapidly, and does not allow for delay, and if the physician cannot ascertain what symptoms were present prior to medication, then the disease state altered by medicines must suffice.  This will provide a current image of the disease which represents the original disease united with the medicinal disease. The original disease plus the medicinal disease generally makes the disease more extensive and dangerous, and often requires urgent and expedient aid. The physician will them be able to conquer this disease with a fitting homeopathic remedy so that the patient will not die of the damaging medicine he has taken.

93: If the disease has been caused by a singular event, either recently or in the past, the patient ( or their relations, questioned privately) will readily declare it, either upon their own accord or as a result of questioning.

94: During the inquiry of the state of chronic disease, it is important to scrutinize the particular lifestyle and habits of the patient in order to determine that which may irritate or maintain disease, and whose removal may further recovery.

95: In the cases of chronic disease, the investigation of the above in addition to all remaining signs of disease must be conducted carefully. The smallest details may prove to be important. This is because:
1) In chronic diseases, the details are the most peculiar and least resemble the signs of acute diseases. These cannot be taken too exactly if the cure is to be achieved. 2) Chronically ill patients become so accustomed to their long sufferings that they pay little or no attention to the smaller, often very characteristic symptoms which are so helpful in singling out a remedy. They view them almost as part of their natural state, nearly mistaking them for health - a state so long in the past they have difficulty remembering it. It does not occur to them to believe could have a connection with their primary malady.

96: Patients vary widely in the state of their emotional mind. Some patients greatly exaggerate their complaints in order to garner help and attention from the physician. These patients are, above all, the so-called hypochondriacs and those other very feeling and insufferable persons.

97: Patients of the opposite extreme hold back complaints, characterize them in generic or vague terms, or declare them to be insignificant. (The do so partly from langour, partly from false modesty, and partly from a kind of genteel mentality or bashfulness.)

98: Upon hearing a patient's testimony, one has to ascribe belief in the statements principally to the patient himself. (These are often altered and falsified in the statements of relations and attendants.) However, it is just as certain that obtaining a true complete image of the disease requires particular circumspection, scrupulousness, knowledge of human nature, cautious inquiry and patience- all to a high degree.

99: On the whole, inquiry into acute or recently arisen diseases is easier for the physician. Recall of the relevant events and symptoms remain fresh, making it easier to relate and lessening the necessity to investigate as symptoms are all volunteered spontaneously.

Genius of Homeopathy - Close ch.7: Susceptibility

* susceptibility: general quality or capability of the living organism of receiving impressions, the power to react to stimuli
* all bodily functions rely on this ability
* cure and alleviation of diseases rely on it as well
* applying remedy to ill person generates principle of 'action and reaction'
* reactions to medicine depend on the degree of susceptibility in patient
* ability to modify susceptibility is the art of the physician
* body has many natural susceptibilities, which express themselves as needs
* "So it is in satisfying the morbid susceptibility which constitutes disease. As hunger demands food, so disease demands medicine." -- I don't agree with this as hunger represents a need to be fulfilled and disease requires most substance to continue/grow the illness- there is no demand for medicine.
* A sick organism responds better to the similar medicine than the well organism.
* "Susceptibility in organism, mental or bodily, is equivalent to *state*" - J. J. Garth Wilkinson (Epidemic Man and His Visitations)
* Substances used medically which suppress symptoms without cure leave the patient worse off than before.
* Use of antiseptics often makes the body react worse as it forces the body to react even more strongly, as the antiseptics kills the helpful bacteria in the body
* Alcohol is a stimulant, and rarely provides true and lasting help for symptoms. In cases of shock, alcohol may help, but even a tablespoon may be enough to kill if the patient's system is sufficiently degraded.
* The "Law of the Least Plus"- the quantity of action necessary to effect any change in nature is the least possible.

Aphorisms 5-18: Causes of Disease

Causes of Disease
5. A physician will best be able to cure if the fundamental cause of disease is discovered. Discovering the details of the onset of the acute condition, in addition to significant environmental factors will help determine the fundamental cause. There are specific areas which provide such information:
1) the body constitution- how it appears, is especially relevant in protracted cases
2) mental and emotional character- the intelligence and emotional aspects
3) occupation
4) lifestyle and habits
5) domestic and civic relationships- relationships within the home and outside in the community
6) age
7) sexual function, etc.

6. The disease is represented by all of the symptoms displayed. Each observer has their own bias. The disease may be represented by combining the perceptions of the patient in regards to how he feels, the observations of those around the patient and those of the physician.

7. It is necessary to observe the entire environment of the patient, and to not focus only on the internal symptoms as there is often an environmental catalyst. Determining the cause of the symptoms may require removing potential environmental causes. In cases where no outside cause can be determined, the patient's internal symptoms are the primary source of data. The totality of the patient's symptoms represent the disease and give cues to providing the most suitable cure.

8.  When all of the symptoms of the disease are no longer present, it may be assumed that health has been restored and the disease is no longer present.

9. A healthy person has a healthy life force, which vitalizes and harmonizes both mental and physical functions.

10. A person requires the vitality of the life force to exist. Without it there a person would be unable to sustain life.

11. A life force which is out of balance, or under a negative influence results in corresponding ill health indicated by negative mental or physical symptoms.

12. A diseased life force brings for disease symptoms. Removal of the disease symptoms indicates a life force which has been returned to an healthy state.

13. Disease is therefore not what modern medicine has described it as. Disease cannot be limited to only the direct symptoms, without considering the entire state of the patient. To not consider all of the symptoms of the patient in coordination with their environment is to surely miss the root cause of the disease.

14. Every disease presents itself with symptoms. These symptoms may be discerned by the physician with enough attention.

15. The life force and the state of health of the person correspond. A life force out of balance presents symptoms of disease, and removes them when balance is returned. There is a symbiotic relationship between the state of the life force and the patient's health.

16. An impaired life force presents symptoms of disease. By treating the life force you will reinvigorate and repair the life force, which in turn removes the symptoms of disease as health is restored.

17. The highest goal of the physician is to restore health. By curing the patient, all symptoms of the disease are removed. A true cure restores health and vitality as disease symptoms are removed.

18. The totality of the disease symptoms presented should provide the indicator of where to find the correct cure. This is the only and best source of choosing a remedy.

First aid musculoskeletal injury - video

video case notes: first aid musculoskeletal injury

First aid musculoskeletal injury: Reid

• 1 wk ago: R hand twist, grabbing brother from fall
• +1 day stiff, sore, flex no help
• +2 days bruised, dr: tendonitis
• now weak, unable to use, hurts to move, moving it cont's to hurt, not getting better

First aid musculoskeletal injury: Chad

• car door, R hand 4 tips of fingers slam in door
• swollen, sharp pain, needles poking, pain shoots down fingers all the time

Abscessed tooth, dizziness and nausea - video

video case notes: abscessed tooth & dizziness w/nausea

abscessed tooth: Jason

• L side
• dentist said long time to fix
• coming on for sev wks
• hurts: pain like knife going through, splinter driving in, sharp pain
• hurts in whole body
• hypersensitive
• < bright lights, sharp sounds
• < brush teeth: cold water
• < cold temp, cold air: bundles in heavy coat/hood/scarf over mouth

dizziness and nausea: Louise

• dizzy last few wks, not all the time
• < lack sleep, up late: next day wiped out, dizzy packing (moving)
• > good sleep
• > lying down
• < sitting up: nausea
• better walking than driving in car

Acute fictional case

Recently her right leg started twitching throughout the day. It started the night after going to an outdoor concert. Allergies were aggravated during show, face was sunburned. Leg feels warm and uncomfortable. Work has become more difficult as she has no patience for meetings. Going for evening after dinner walks help soothe.  She is staying up late and not sleeping well.

Aphorisms 1-4

1) The physician's highest and only calling is to make the sick healthy, to cure, as it is called.

The primary purpose and focus of the physician shall be to make the sick healthy. The focus shall not be in studying the disease, or the symptoms, or to catalog knowledge so much as it is to apply what is known to aid the ill person. Personal gain nor reputation of the physician is of primary importance.

2)The highest ideal of the cure is the rapid, gentle and permanent restoration of health; that is, the lifting and annihilation of the disease in its entire extent in the shortest, most reliable, and least disadvantageous way, according to clearly realizable [in-seeable] principles.

The ideal cure is one which restores health permanently, by means which have the least negative impact on the client.  The goal is to provide rapid and gentle relief using sound data and principles to find the quickest and most reliable cure.

3) To be a genuine practitioner of the medical art, a physician must:
    1. clearly realize what is to be cured in diseases, that is, in each single case of disease (discernment of the disease, indicator),
    2. clearly realize what is curative in medicines, that is, in each particular medicine (knowledge of medicinal powers),
   3. be aware of how to adapt what is curative in medicines to what he has discerned to be undoubtedly diseased in the patient, according to clear principles.
   In this way, recovery must result.

To be a genuine practitioner of the art of medicine, a true physician must clearly see that which needs to be cured in each case of disease. They must understand the qualities and curative properties of each particular medicine. They must also be able to combine their understanding of the disease of the patient with their knowledge of medicines according to clear principles. In this way, recovery must result.

   Adapting what is curative in medicines to what is diseased in patients requires that the physician be able to:
1. adapt the most appropriate medicine, according to its mode of action, to the case before him (selection of the remedy, that which is indicated),
2. prepare the medicine exactly as required,
3. give the medicine in the exact amount required (the right dose),
4. properly time the repetition of doses.
   Finally, the physician must know the obstacles to recovery in each case, and be aware of how to clear them away so that the restoration of health may be permanent.
  [If the physician has this insight, discernment, knowledge and awareness] then he understands how to act expediently and thoroughly and he is a genuine practitioner of the medical art.

Correlating that which is curative in medicines to what is diseased in patients requires that the physician must be able to select the most appropriate remedy  for the case at hand. The physician must be able to prepare the medicine exactly as required and give the correct dose. They must also time the repetition of doses correctly.

It is crucial that the physician understands which obstacles may prevent recovery in each case, and to be aware of how to overcome them in order to permanently restore health to the patient. This insight, discernment, knowledge and awareness brings understanding of how to act expediently and thoroughly and is an indicator of a genuine practitioner of the art.

4) He is likewise a sustainer of health if he knows the things that disturb health, that engender and maintain disease, and is aware of how to remove them from healthy people.

A physician is also an advocate of sustaining health. The knowledge of that which threatens good health, or which perpetuate or exacerbate disease should be combined with the knowledge of how to remove them from healthy people.

Genius of Homeopathy - Close ch.11: Symptomatology

The Genius of Homeopathy
Lectures and Essays on Homeopathic Philosophy
By Dr Stuart M. CLOSE

Chapter XI: SYMPTOMATOLOGY
* MM (Materia Medica) has a foundation of natural law.  H(ahnemann) apprehended new general principles, and had to create new means by which the principle might be applied.
* New MM contained facts and phenomena of the action of drugs upon the healthy
* Previous MM only contained observations, theories and opinions of drug action. Facts were more confused by drugs being given in combinations.
* H did single drug provings with rigid scrutiny and controls, kept careful fact records over many years.
* Drug symptoms were derived according to the anatomical parts and regions of the body in which they occurred
*MM is a master reference once you understand the logical classification and interpretation of symptoms and use of manuals, indexes and repertories
* DEF: symptomatology- the first requisite to a correct understanding of the subject of symptomatology is to know the full meaning of the word "symptom" and all that it involves.
* Incorrect beliefs of the nature and constitutions of symptoms have lead to bad provings
* DEF: symptom- in general, a symptom is any evidence of disease, or change from a state of health.  H def- "any manifestation of a deviation from a former state of health, perceptible by the patient, the individuals around him, or the physician." more H def " evidences of the operation fo the influences which disturb the harmonious play of the functions, the vital principle as a spiritual-dynamis."
* Subjective and Objective symptoms
* Subjective: symptoms which are discoverable by the patient alone such as pain and other morbid sensations of body or mind presenting no external indications
* H made these of primary impt, unlike general medicines, provides insight into patient
* Objective: H def - "the expression of disease in the sensations and functions of that side of the organism exposed ot hte senses of the physician and bystanders" H def "a pure science of experience, which can and must rest on clear facts and sensible phenomena clearly cognizable by the senses"
* Totality of the symptoms is expression peculiar to homeopathy. H def "The ensemble or totality of these available signs or symptoms, represents in its full extent the disease iteslf; that is, they constitute the true and only form of which the mind is capable of conceiving."  Also " all the symptoms of the case which are capable of being logically combined into a harmonious and consistent whole, having form, coherency and individuality."- meaning may be not based on just number of symptoms, but choosing those that fit together.
** Includes: totality of each indiv symptom
**the location sensation and modality of each symptom
** modality= circumstances and conditions that affect or modify a symptom, esp those that aggravate or ameliorate
** totality must express an idea
** classification of symptoms alone represents the diagnostic idea
** the totality of the symptoms for homeopathy represents the therapeutic idea

* Genius of the Remedy - genius being the dominant influence or essential principle of the remedy which gives it its individuality

* Risks:
1. Error may arise in placing too much emphasis upon a single symptom or perhaps actually prescribing on a single symptom as many thoughtlessly do.

2. Error may arise in attempting to fit a remedy to a mass of indefinite, unrelated or fragmentary symptoms by a mechanical comparison of symptom with symptom, by which the prescriber becomes a mere superficial ''symptom coverer."

3. Failing in both these ways the prescriber may fall to the level of the so-called "pathological prescribers," who empirically base their treatment upon a theoretical pathological diagnosis and end in prescribing unnecessary and injurious sedatives, stimulants, combination tablets, and other crude mixtures of common practice.

* Characteristics- H "the more striking, singular, uncommon and peculiar signs and symptoms of the case"
** most impt attributes, most likely to indicate remedy as they are less generic

* Keynotes - Dr. Henry Guernsey's method. Musical reference to 'keynote'. Found when patient speaks of being 'Out of tune', disease is the loss of harmony in function and sensation. He re-invented H's ideas, gave new name for it.

* A characteristic or keynote symptom is a generalization drawn from the particular symptoms by logical deduction
* symptoms peculiar to the individual patient rather than the symptoms common to the disease - Dr. Adolphe Lippe
* Characteristic symptoms are those which individualize both the disease and the drug - Dr. P.P. Wells
* Characteristic symptoms DO NOT belong exclusively to a single remedy - Dr. Charles G. Raue
* Every stool must have at least three legs - Dr. Hering

* Boenninghausen: worked on cases with incomplete symptoms. Discovered that many if not all of the modalities of the case were general in their relation.
 ** Wrote the Therapeutic Pocketbook, symptoms were put into seven sections:
(1) Moral and Intellectual Faculties;
(2) Locality or Seat of the Symptoms;
(3) Morbid Conditions and Sensations;
(4) Sleep and Dreams;
(5) Circulation and Fever;
(6) Modalities, Etiology, etc.;
(7) Concordances.

* Dr. Wm. Boericke: remedies may be applied where symptomatology is 1) in a certain location 2) correspond with sensation 3) posess the modality WITHOUT necessarily having in the proving the very symptom resulting from the combination

Rhianna: Disturbia case

Rhianna case: Disturbia video and lyrics
Rhianna case

Symptoms:

• Questions what is wrong/going crazy/insane/disease of the mind/disturbia/going under
• Observation: sees herself and others as beautiful/weird/monstrous
  • Observation: sees weird/monstrous as beautiful, no fear
  • I'm a monster
• Observation: Questions normalcy
  • She is the light in her head
  • Darkness is the light
  • struggles to remain tame
  • Disturbia= city of wonder
  • Your train of thought will be altered (by being there/with her)
• "I gotta get out" vs. "better think twice"(about coming in/near)
  • feel like a monster/disconnected (phone calls)/  vs. Am I scaring you
    • Observation feels disconnected/disjointed
    • Connection with power/fear/sex
• Feeling bound vs. threatening others with her mind/world
  • Unable to control her own world/thoughts
• Observation: presents cold/calm exterior with excited/energetic interior
• Vehicle imagery
  • no more gas in the rig
  • with other people images of going/breaking
  • observation: tired on her own, energy to go comes from/being with others

 

.............................................
* can't even speak about it
*light on my head

* thief-night/curse
* I'm monster
* being consumed/controlled/struggling to remain tame

wonderland
alone vs with someone- warning them away, but she gets energy from it/sex/energy/power from scaring
better think twicea bout being with her- your mind is in disturbia - is that just being with her?

* darkness is the light
* faded/disonnected

* too close for comfort

trapped, circus, prison, mental institution

she's w/o gas

she's surrounded by images,
disjoineted
non fluid movemnet
bound
zombies
all on the inside
imagination
flames burning
not with other people, monsters
she is one
chains
..........................
complains but invites you in
scares you as a taunt

doesn't really want to get out?
is she the monster
think twice
power from scaring you
wonderland
dresses fear with sex

plea for help or does she want company?
cold on the outside,hot on the inside

FIRE
spiderwebs
bars