Problem with Sepia Case

[jdurfeeathome]

Hello,

I'm seeking ideas on managing a possible problem with a sepia case. I may
have given a too high a potency about 3 weeks ago that may have caused a skin
aggravation that looks like herpes zoster., about 1.5 inch circular rash on
neck with confluent blisters, oozing and light brown crusts, burning itch,
better by warm air, she's been using a blow dryer on it. We are waiting for
culture results. In general she feels about the same mentally, emotionally,
but hard to asses as she is dealing with the death of a close friend that she
says has taken a lot of energy when this rash broke out.

My books list several antidoting remedies but which one to use? (and I don't
know that I will) Over the course of 5 months I had worked her up to a 10m,
one single dose. I have brought down remedy reactions before by using lower
potency of the same but what potency would be right for a 10m? 30c? Does it
matter?

Right now I'm holding on to my seat and waiting to see and don't know what I
will do yet. Any opinions are welcome.

thanks in advance,
Barbara
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[CindeeG]

I'd give a dose of Rhus Tx. Personally.
I had a similar case where someone gave a 50M Sepia and had these symptoms
about six months ago. Is this the same person???
I have never had to use a dose of Sepia that high in 25 years of practice.
Perhaps, you can learn how to use the LM scale?

[Rochelle]

Dear Barbara,

Was the 10 m working until the grief or has it done nothing?

I have 2 thoughts here. Firstly treat what you see to be treated- the top
layer. Look for remedies in the Remedies that Follow Well Section of MM or
Sankaran for Sepia. Then if you look in the Antidoted By section you may
find it is there!! The Grief may have brought out an acute that needs
treating so treat it and then she will go back to the state she was in
before.

Secondly - presumably she was doing well on Sepia -so go to the last potency
that she was doing well with.

Lets see what others think.

Regards
Rochelle
www.rochellemarsden.co.uk
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[Farbod Rahnamai]

Dear Barbara
The best way treating this patient is a new case taking according to her new symptoms. The remedy you will find is the exact antidote. Somehow I agree with Cindee. Rhus-t may be simillimum at the moment. May I ask you exact location of her eruption?
And what is the color of oozing fluid?
Thanks
Farbod

[Shannon Nelson]

But isn't it important, before re-prescribing, to make sure that (a) the
condition is now a settled one, not one that is merely passing thru on the
road to cure (how long to wait might be a good topic of discussion!), and
(b) that enough time has passed to allow the *rest* (if any) of current
picture to emerge? E.g., any changes in mood, generals, food reactions, any
other developing symptoms? If you re-prescribe on a changing or transient
or not-yet-developed picture, you risk causing a real mess, and losing your
shot entirely... At least, so I was taught very emphatically, and so
Hahnemann and others have said...

Would love to hear others' thoughts re the "how long to wait"!

Shannon
on 8/16/02 4:43 AM, Farbod Rahnamai at farbodrahnama@hotmail.com wrote:

[Allen Coniglio]

Skin; ERUPTIONS; herpetic; circinate, ringworm (K1312, G1082) (47) : aegle.,
aegle-f., anac., anag., ars-s-f., Bac., bar-c., bar-s., calc., calc-acet.,
carc., chrys-ac., chrysar., clem., dulc., dys-co., equis., eup-per., graph.,
hell., hep., hydrc., iod., lac-eq., lepro., lith-c., mag-c., med., morg.,
mucor, nat-c., Nat-m., oci-s., ol-j., phos., Phyt., psor., semp., Sep.,
spong., sulph., syc-co., Tell., ter., thuj., torul., Tub.
Skin; ERUPTIONS; herpetic; circinate, ringworm; spring, every (K1312, G1082)
(1) : Sep.
Skin; ERUPTIONS; herpetic; circinate, ringworm; rings, in intersecting (1) :
tell.
Skin; ERUPTIONS; herpetic; circinate, ringworm; spots, in isolated (1) :
sep.
Skin; ERUPTIONS; herpetic; circinate, ringworm; suppressed (1) : tub.
Allen

may
skin
on
itch,
for
emotionally,
that she
don't
10m,
lower
Does it
what I

[Farbod Rahnamai]

Dear Shanon

First let us take a look at Organon:
§ 181

"Let is not be objected that the accessory phenomena and new symptoms of this disease that now appear should be laid to the account of the medicament just employed. They owe their origin to it1 certainly, but they are always only symptoms of such a nature as this disease was itself capable of producing in this organism, and which were summoned forth and induced to make their appearance by the medicine given, owing to its power to cause similar symptoms. In a word, we have to regard the whole collection of symptoms now perceptible as belonging to the disease itself, as the actual existing condition, and to direct our further treatment accordingly."
If we accept that this eruption is an accessory symptom of sep., then according to Organon, we should take a case, repertorize and prescribe simillimum of this new picture.
Regards

Farbod

[jdurfeeathome]

In a message dated 8/17/2002 4:16:44 AM Mountain Daylight Time,
farbodrahnama@hotmail.com writes:
This quoted aphorism is exactly what has me hung up. First I was surprised to
find a possible aggravation 6 weeks after the last prescription and I am
still not sure it is an aggravation due to this. The complication of the
friends death was another twist. She is really stressed out. The symptoms
that were somewhat better after sepia have fully returned. Yet this herpetic
like eruption is a totally new thing for her and has further upset her. She
went to the doctor before consulting me and had a culture done. I was
preferring not to treat when she finally showed it to me, wanting to see if
it would pass off on its own accord, which herpes does one way or another and
especially because sepia has herpetic circular eruptions within in it. She
has two spots on her neck, one about an inch and a half circular diameter, L
side, and the other on the R side, very small.

She went home, I thought agreeing to wait. Next thing I knew she went back to
the doctor and had a biopsy done!! Thinking this quite strange as the
culture results were not even complete yet and knowing this was not within
normal protocol I finally got her to confess that she had so complained and
demaned treatment to find out what it was that they did it just to appease
her. (fear of cancer? hmm)

It is a strange looking eruption and that is another reason I came to think
that is was an aggravation. Some aggravations I've seen do not look like
common diseases but like something quite mysterious. Although this eruption
does have blisters it becomes confluent quickly and covers over with a
leathery top, They do not drain or weep. There is the typical neuralgia
radiating into nerves nearby and red skin about 4 inches surrounding and
aggravated from rubbing due to itch. Not really like any herpes I've seen
and I've seen quite a bit. This was a strong impetus to wait or possibly
antidote, which I have not done, considering it is something that could even
be antidoted?

Rhus tox may be a possibility, but with her reaction with fear, restlessness,
burning, using the hot blow dryer on and a few other things, I thought of
ars. alb. I realize it is not possible to really help me select a remedy.
Case management for this is my weak spot. Till I feel quite sure I'm in
holding pattern.

Thanks for your ideas,
Barbara
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