Missing the remedy - help needed

[HomeoDidact]

07-07-04
Hello list Member,
This is a difficult case, in which homeoapthic treatment is not helping the patient, because the right remedy is not found.
The case was repertorized many times, but the remedies (always polychrests) - never helped him.
Untill 3 years ago he was very much helped by Selenium 30c (for about 6 months). From then on - no progress achieved.
I am missing the TRUE picture . Therefore, I am posting the case to ask you for your own view and opinion.

Please, I am not asking anyone to repertorize the full sympom picture of the case. Just look at it and say what is your impression, what jumps first to your mind when you read the symptoms.
The patient is a male 45 years old. He is pale, thin, anaemic, chilly, has low blood pressure, most of his day and night he spends in because standing or walking or sitting tire him and also because LYING amelliorates some of his symptoms (like weakness, sinking stomach after stool and more).
His main problems in short : (for the last 7 years) he is weak (chronic fatigue), has "brain fag", tired eyes and chronic gastritis and very much aggravated by an afternoon sleep (even a short sleep) . When he is weak in the morning - the only thing that causes the weakness to disapper is even instantly is: stool (hence: MIND - CHEERFUL - stool - after).
This is the full symptom picture:
MIND - AILMENTS FROM - sexual excitement

MIND - ANXIETY

MIND - CHEERFUL - stool - after

MIND - CONCENTRATION - difficult - studying

MIND - MEMORY - weakness of memory

MIND - MEMORY - weakness of memory - mental exertion; for

MIND - MEMORY - weakness of memory - words; for

MIND - MENTAL EXERTION - agg.

MIND - MENTAL EXERTION - agg. - fatigues

MIND - MENTAL EXERTION - agg. - impossible - crazy; owing to the impotence of his mind seems to drive him

MIND - PROSTRATION of mind

MIND - PROSTRATION of mind - eating, after

MIND - PROSTRATION of mind - mental exertion, slight

MIND - PROSTRATION of mind - reading, from

MIND - PROSTRATION of mind - study; prolonged

MIND - PROSTRATION of mind - writing, after

MIND - READING - agg. mental symptoms

MIND - THINKING - complaints - agg.; thinking of his complaints
EYE - ASTHENOPIA

EYE - WEAK

EYE - WEAK - reading - after

EYE - WEAK - reading - while
VISION - COLORS before the eyes - black - spots - floating

VISION - WEAK

VISION - WEAK - using eyes agg.
STOMACH - EMOTIONS are felt in

STOMACH - EMPTINESS - stool, after

STOMACH - FALLING out; sensation of

STOMACH - FULLNESS, sensation of - eating - after

STOMACH - FULLNESS, sensation of - eating - after - ever so little; after

STOMACH - HANGING down relaxed; sensation of

STOMACH - HANGING down relaxed; sensation of - stool, after

STOMACH - INFLAMMATION

Stomach - GASTRITIS, inflammation - chronic

STOMACH - PAIN - anger, after

STOMACH - PAIN - talking agg.

STOMACH - SENSITIVENESS

STOMACH - SENSITIVENESS - talking; to

STOMACH - SINKING - stool, after

STOMACH - SLOW digestion

STOMACH - WEAKNESS

STOMACH - WEAKNESS - eating, after

STOMACH - WEAKNESS - stool; after
ABDOMEN - WEAKNESS, sense of - stool - after
MALE GENITALIA/SEX - PAIN - Spermatic cords

MALE GENITALIA/SEX - PAIN - Spermatic cords - erection, after
CHEST - ANGINA pectoris

CHEST - CONSTRICTION - walking, while

CHEST - CONSTRICTION - walking, while - air; in open

CHEST - HEART; complaints of the - accompanied by - respiration; difficult
EXTREMITIES - CALLOSITIES - Soles; on

EXTREMITIES - CALLOSITIES - Soles; on - tender

EXTREMITIES - DISCOLORATION - Fingers - Nails - white - spots

EXTREMITIES - NAILS; complaints of - corrugated nails

EXTREMITIES - NAILS; complaints of - ingrowing toenails

EXTREMITIES - WEAKNESS - Forearm
SLEEP - FALLING ASLEEP - dinner, after

SLEEP - SLEEPINESS - dinner - after

SLEEP - SLEEPINESS - reading

SLEEP - SLEEPINESS - supper, after

SLEEP - UNREFRESHING - siesta, after
GENERALS - AIR - draft - agg.

GENERALS - HEAT - lack of vital heat

GENERALS - LIE DOWN - desire to

GENERALS - LIE DOWN - desire to - eating, after

GENERALS - LYING - amel.

GENERALS - NIGHT

GENERALS - NUMBNESS - Parts, lain on

GENERALS - SLEEP - after sleep - afternoon - agg.

GENERALS - SLEEP - long sleep agg.

GENERALS - STOOL - after stool - agg.

GENERALS - STOOL - after stool - amel.

GENERALS - SUN - exposure to the sun

GENERALS - TALKING - agg.

GENERALS - WAKING, on - siesta; from

GENERALS - WEAKNESS

GENERALS - WEAKNESS - afternoon - sleep, after

GENERALS - WEAKNESS - anger, after

GENERALS - WEAKNESS - dinner - after

GENERALS - WEAKNESS - lifting, from

GENERALS - WEAKNESS - lying - amel.

GENERALS - WEAKNESS - Muscular

GENERALS - WEAKNESS - nervous

GENERALS - WEAKNESS - stomach; as from in

GENERALS - WEAKNESS - stool - after

GENERALS - WEAKNESS - stool - before

GENERALS - WEAKNESS - talking - from

Blood - ANEMIA

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

[Rosemary C Hyde PhD]

Unfortunately, your list of rubrics makes it extremely difficult to create a mental image of what symptom(s) might be SRPs in this case, or MUST be included in consideration of the remedy. What is your sense of this? In your opinion, what is/are the most striking features and the most central ones to this patient? That's where the focus must be in finding the remedy. Often if you have a smallish (under 20 rx) rubric of which you're very sure, and you scan the remedies in that rubric with this patient in mind, one or two of those remedies will be distinct possibilities for this patient that you hadn't previously considered. FWIW...

Rosemary

[Shannon Nelson]

Hi Rafy,

I don't think one can get much impression from a list of rubrics, because
there is no way to evaluate which are more important, or severe, or common
to situations, or etc. Also it could be useful to know how certain symptoms
were given -- offered versus asked for; expressed easily or with difficulty,
expressions, etc. I know that giving a shortish write-up of a troublesome
case is no picnic, but I *think* it might offer more chance of getting
useful comments?

Maybe it would also help your thinking process to tell us more about the
person, what you feel are the more important aspects to prescribe on, things
like that? Maybe there are aspects of the case, or casetaking, or your
relationship to the case, or whatever, that talking should help to "shake
loose"? (I'm thinking about how I can get mentally gridlocked by a
frustrating case!)

Shannon
on 7/7/04 9:45 AM, HomeoDidact at hrandco@bezeqint.net wrote:

[J Lucas]

Phosphorus seems an obvious choice even though <<< short sleep (Phos has
this as well, they feel as is they haven't slept enough and this causes the
aggravation).

Have any of the kaliums or acids been tried?

Best, Joy

www.homeopathicmateriamedica.com
on 7/7/04 3:45 PM, HomeoDidact at hrandco@bezeqint.net wrote:

07-07-04
Hello list Member,
This is a difficult case, in which homeoapthic treatment is not helping the
patient, because the right remedy is not found.
The case was repertorized many times, but the remedies (always polychrests)
- never helped him.
Untill 3 years ago he was very much helped by Selenium 30c (for about 6
months). From then on - no progress achieved.
I am missing the TRUE picture . Therefore, I am posting the case to ask you
for your own view and opinion.

Please, I am not asking anyone to repertorize the full sympom picture of
the case. Just look at it and say what is your impression, what jumps first
to your mind when you read the symptoms.
The patient is a male 45 years old. He is pale, thin, anaemic, chilly, has
low blood pressure, most of his day and night he spends in because standing
or walking or sitting tire him and also because LYING amelliorates some of
his symptoms (like weakness, sinking stomach after stool and more).
His main problems in short : (for the last 7 years) he is weak (chronic
fatigue), has "brain fag", tired eyes and chronic gastritis and very much
aggravated by an afternoon sleep (even a short sleep) . When he is weak in
the morning - the only thing that causes the weakness to disapper is even
instantly is: stool (hence: MIND - CHEERFUL - stool - after).
[Non-text portions of this message have been removed]

[muthu kumar]

Selenium seems to be a good choice. Did you try increasing the
potency?
Borax has cheerfulness after stool.It has gastro intestinal
complaints as well. Perhaps Alumina, Lyco, Zinc,Caladium, Nat. Sulph
etc. could be considered.

--- In minutus@yahoogroups.com, "HomeoDidact" wrote:
helping the patient, because the right remedy is not found.
polychrests) - never helped him.
about 6 months). From then on - no progress achieved.
ask you for your own view and opinion.
picture of the case. Just look at it and say what is your impression,
what jumps first to your mind when you read the symptoms.
chilly, has low blood pressure, most of his day and night he spends
in because standing or walking or sitting tire him and also because
LYING amelliorates some of his symptoms (like weakness, sinking
stomach after stool and more).
(chronic fatigue), has "brain fag", tired eyes and chronic gastritis
and very much aggravated by an afternoon sleep (even a short sleep) .
When he is weak in the morning - the only thing that causes the
weakness to disapper is even instantly is: stool (hence: MIND -
CHEERFUL - stool - after).
impotence of his mind seems to drive him
after
difficult