Thanks Lisa, that's a good direction, and I'd definitely look into that.
*But* not always fruitful. E.g. to use my daughter as an example: she was born with HUGE issues, problems physical and emotional: clingy and frantic with repeated illnesses as an infant, and by age 4 had developed night terrors, severe allergy to milk, and emotional issues that were truly just about at the limit of what I could handle, physically and emotionally. (Finally resolved with a single dose--dry, no less

--of Lyssin 200. And no aggravation, BTW.) All this despite an uneventful and very happy pregnancy, and the birth did have an "off-center" feel to it due to circumstances, but not in any way "bad", and no medical intervention nor drugs nor vaccination (I had to slap their little paws away!). So where did the imbalance come from??? (Normally I'd have said "miasm", but dunno where the heck she got that particular miasm either!! Actually how does *anyone* acquire the miasm of an invariably fatal disease?!?)
Anyway, that's an instance where there *was* no "before the illness" to compare with; she was born with it and things developed from there.
Okay, I don't want to drag this out... (I *love* Dr. Roz's response! But will finish my train of thought before moving on.) It's just one main thing I've had in mind, trying to goad

Liz into mentioning as a basis for evaluating symptoms in a person who never *had* a "prior, healthy state" (I think that's the phrase used in the Organon?). And that is simply to compare the person's state of wellbeing etc. with an idealized concept of good health. I'm not proposing this as an original idea in any way! It's the same way we go about treating e.g. an unconscious or non-verbal person, or an animal--by comparing what we *see* with what we would expect from a healthy state.
So when I looked at my daughter clinging and terrified to be put down even for a moment, I didn't have to wonder what her "healthy state" might have looked like--if she'd ever had one--or view this as "as good as it gets" for her, since she had never had better. The broad outlines of her state were clearly incompatible with "good health", and those "deviations" are of course the things that were repped.
That's basically what I was after in the questions I was asking Liz. It's also my reply to the aphorism where Hahnemann *instructs* us to compare the person's diseased state with their "prior healthy state"...
The second thing that follows on that (comparing patient with a "healthy state", is the concept of miasms, as being a heritable form of disease or dis-ease.
To my mind that is where the difference comes in, between Eizayaga's meaning of the term "constitutional remedy (state)"--which could indeed be consistent with a state of good health (likes milk? enjoys open air? chatty and enthusiastic? not a problem! All can be completely consistent with a state of good health), versus the *other* use of the term "constitutional remedy", the way apparently Kent and Jahr and "all those guys" used it. Kent et al. used it to refer to the person's ongoing chronic state. That might include but is not limited to those parts *for which they are seeking help*. (And he notes that the underlying / overarching ongoing chronic state--which he refers to as the constitutional--is what gives rise to their dis-ease, and that in some cases that broader remedy will cure, even if the specific disease symptoms are not listed as part of the remedy's symptom picture. Many homeopaths have found the same to be true!)
So to look for a *chronic* remedy for someone, you don't have to rely on their memory of a prior healthy state--there might not have been one!--but can instead take note of all "deviations from health." (Admittedly this isn't foolproof. E.g. an unusual behavior might come from delusion etc.--or might have been learned, or other possibilities.) That's also where the concept of miasms comes in--imbalance that was present from birth, and is seen in context of deviations from a conceptualized "healthy state."
Liz, does that work for you? (Comments and criticisms welcome...)
Shannon