Case management/wrong Rx?

[Rochelle]

I have a patient - a sixteen year old boy who has done well on Nat Mur. The only problem is that whenever I repeat it he gets mouth ulcers. Granted that this is an old symptom in him and it is in the remedy but surely they shouldn't keep reappearing. Comments would be appreciated whether you think I have the wrong remedy or wrong potency. I only repeat it when he has headaches that return and have always given him a 1M - single dose. In the last year he has had 3 single doses. His eczema clears up completely as well. Mum says his moods are a lot better and mentally and physically he has gown. His presenting complaint was hay fever last year and this year it is only just appearing now, a lot later than last year and it is a lot milder. It is being controlled very well on Grass 200 - one or 2 doses a week and Euphrasia eye drops as needed.

Regards
Rochelle
www.rochellemarsden.co.uk

[Non-text portions of this message have been removed]

[Shannon Nelson]

Hi Rochelle,

To me this sounds like the type of response Hahnemann describes (can't
remember what aphorisms!) for a remedy that is "close enough" to do the
needed work, yet not quite "close enough" to do it without causing any
"accessory symptoms". He says that if the accessory symptoms are mild and
pass away soon on their own, and healing ensues, that it's okay, the remedy
is being serviceable.

Another possibility might be "too large a dose"??? Have you tried giving
him water dose and see whether that works better?

To me, tho (uh-oh, beating that "how long should a dose last" drum again!),
the fact that he (young, and presumably not too drastically weak or ill) has
needed three doses of 1M in a year, would *strongly* suggest that the remedy
is not quite the best fit, and that you will very likely have to find a
closer fit in the future. (Unless the trouble is healed before his VF stops
responding to the remedy, in which case you're home!)

So I guess what I'd do is, keep using the nat-m so long as it is working
well, but be thinking about where you *might* look next, if it turns out to
be needed... (Or maybe look for "Plan B" now, while you still have "Plan A"
(nat-m) to buy more time with if needed?)

Shannon
on 6/8/03 1:04 PM, ROCHELLE at rochelle@ntlworld.com wrote:

[Joy Lucas]

Dear Rochelle,

There seems to be a few things going on here. If he really has done so well
on the Nat Mur then I would be asking why are you repeating it. You say for
the headaches returning (old sx again) but it is best to either get the
client to 'ride' through an old sx or prescribe on that sx if it becomes
inappropriate and too upsetting to do so. In which case I wouldn't be giving
Nat mur during a headache and certainly not the potency of 1m - perhaps
Bryonia or ??, lowish potency, say 6 or 12 or LM and let the original
prescription of the Nat Mur continue working.

Eczema clearing up but he gets mouth ulcers!! - all kind of sounds like a
bit of a proving going on.

Alternatively one could take the view that you have a situation of the
indicated remedy not working, which isn't too dissimilar to the above. So I
would retake the case of the headache and try another remedy.

Hope useful, Joy
on 6/8/03 7:04 PM, ROCHELLE at rochelle@ntlworld.com wrote:

I have a patient - a sixteen year old boy who has done well on Nat Mur. The
only problem is that whenever I repeat it he gets mouth ulcers. Granted that
this is an old symptom in him and it is in the remedy but surely they
shouldn't keep reappearing. Comments would be appreciated whether you think
I have the wrong remedy or wrong potency. I only repeat it when he has
headaches that return and have always given him a 1M - single dose. In the
last year he has had 3 single doses. His eczema clears up completely as
well. Mum says his moods are a lot better and mentally and physically he has
gown. His presenting complaint was hay fever last year and this year it is
only just appearing now, a lot later than last year and it is a lot milder.
It is being controlled very well on Grass 200 - one or 2 doses a week and
Euphrasia eye drops as needed.

Regards
Rochelle
[Non-text portions of this message have been removed]

[Rochelle]

Hi Joy and Shannon,

Thanks for both your posts. I did actually give him some Bryonia 30 to try next time he gets a headache!! I don't anticipate him returning to me for some time except for repeats of the Grass 200 if he runs out. I reckon I have a near remedy. Someone suggested privately about looking at Winchelsea which I will do.

Regards
Rochelle
www.rochellemarsden.co.uk

[Non-text portions of this message have been removed]

[George Kaplan]

Dear Rochelle,

Pardon me for coming in rather late on this. But in such a chronic case,
would it not be better to go deeper than merely prescribing on the outermost
symptomatology? I have personally never found that superficially working
with potentised allergens took a case very far: slight palliation at best,
generally nothing you would call a proper result. Perhaps retaking the case
and starting out with some drainage would be beneficial?

Regards,
George
_________________________________________________________________
Tired of 56k? Get a FREE BT Broadband connection
http://www.msn.co.uk/specials/btbroadband

[marsden43]

Dear George,
To me the Nat Mur was going deeplyas I gave it as a constitutional
remedy. The Grass in potency I used as he knew that this was the
allegen and it has worked. Since last year the hayfever this year
started much later which showed to me that I was on the right track.
What drainage would you suggest?

Regards,
Rochelle

--- In minutus@yahoogroups.com, "George Kaplan"
wrote:
case,
outermost
working
at best,
the case

[George Kaplan]

Dear Rochelle,
That depends on the case, and the individual person. I would refer you to a
very good little book by Dr E.A. Maury, titled "Drainage in Homeopathy", in
which drainage methods related to constitutional type are discussed among
many other aspects of drainage.

Regards,
George

_________________________________________________________________
Sign-up for a FREE BT Broadband connection today!
http://www.msn.co.uk/specials/btbroadband

[Rochelle]

Hi George,

I've got that book but haven't opened it for a while. I may well do so. I thought drainage was to do with an organ and I wouldn't know which organ to target really.
Regards
Rochelle
www.rochellemarsden.co.uk