Minutus

Q. What do you prescribe to below patients? Do you prescribe the same remedy to each of them? What would Hahneman prescribe? - Article
1. The patient has migraine and experiences headache once a week without any special trigger factor. The headache is one sided, Pulsating, with nausea and gets better with sour drinks and a nap.
2. The patient has this headaches for a long time. Anytime he gets angry the headache starts. But if he remains cool there is no headache. The headache is one sided, Pulsating, with nausea and gets better with sour drinks and a nap.
3. The patient has experienced a sever anger because of job problems. Now he is complaining from a headache. The headache is one sided, Pulsating, with nausea and gets better with sour drinks and a nap.
Answer:
As it appears in the first look, the totality of symptoms are the same in each cases so naturally in classical (General) Homeopathy we shall prescribe the same similimum. But in Hahnemannian view the course of development of disorder, the exciting cause and background of ailment are also very important (Aphorism 5). What would be the point if considering the exciting causes and whole history of chronic disease does not affect our similimum selection? So with a good confidence, we can claim that Hahnemann would prescribe different remedies to above patients. But the question is how?
As you know in Homeopathy we do not have anything except symptoms for finding the similimum. The symptoms of headache in above cases are the same. Of course we can not add some symptoms from ourselves to picture of patient to find different similimums. So the only possible way for receiving to different remedies in above cases is considering a part of the symptoms in each case for finding the similimum. Then the result could be different. But it looks very wrong. Firstly, do we have permission to ignore some symptoms of a patient in choosing the similimum? Secondly if the answer is yes, what is the guideline for this picking up?
In the answer of first question, I have to say the answer is yes. In treatment of epidemics upon recommendation of Hahnemann (Aphorism 100-104), we ignore some symptoms and pick up particular symptoms of epidemic (Totality of disease instead of Totality of symptoms). Also in Psoric treatment, Hahnemann has introduced about 3000 symptoms that should be taken for finding the antipsoric remedy and recommend us to ignore other symptoms of patient.
So what is the answer to second question? it has been mainly answered in first question. The correct way is to find out which one is epidemic, which one is a chronic miasmatic and which one is a normal acute case. Finding the chronic cases is simple by looking at whole history of case. In above cases the first one is definitely a chronic case and most probably a Psoric one (Lets make it as a quiz. Do you know why the first case is Psoric? to find the answer read aphorism 234).
The second one has a chronic background but the headache is an acute exacerbation because of an exciting cause (anger). In such cases we can use the totality of symptoms of current ailment (PS of Aphorism 82).
and finally the third case is the most tricky one. There is no strong chronic background or affinity for headache in this case and ailment has started because of a strong external stressor (It is not an exciting cause any more). Such cases bring the epidemics picture to our mind. (Cholera has also a strong external pathogen without chronic background for diarrhea). In such cases we should choose particular symptoms related to external stressor (here severe anger) and prescribe a remedy which is specific for ailment because of anger like Nux-V, STAPH or Cham. We can differentiate among them by seeking for keypoints of each remedy in patient.
So in summary,
- In the first case I would use below symptoms for choosing the remedy between 48 Antipsoric remedies:
1. Head, Pain, periodical, week, every
2. Head, Pain, Pulsating
3. Head, Pain, one sided
4. Head, Pain, Sleep, amel
∆: Phos
DDx: Sep, Sil
- In second one I would use these:
1. General, Sour, amel
2. Head, Pain, Sleep, Amel
3. Head, pain, pulsating
4. Head, Pain, One sided
5. Head pain, accompanied, nausea
∆: Sang
- Third case:
1. Ailments from Anger
2. General, Sleep, Short, Amel
∆: Nux-v
DDx: Cham, Staph
Finish
F. Shaddel MD, DHom, FRCH
1/11/2007
The comments on this manuscript are welcome.

Dear Dr. Shaddel,
Why you have not considered HEAD - PAIN - anger; from in the second case?
Kind Regards,
Nader

Dear Nader
Very good question. I was hoping somebody notice this most tricky and Controversial part of article about choosing symptom. Thank you.
As you know those symptoms are valuable and should be considered that help us in individualisation of patient or disease. In other way, they all should be a charachteristic symptom of patient in the ailment that you are going to treat by Homeopathy. So we should ask first from ourselves which ailment we are going to treat with first prescription. The current acute condition of patient (Headache) or Chronic background? The answer in the second case (as the first step) is Headache. So we need to consider the symptoms which are helpful in individualisation of Headache not chronic background.
Now we should ask ourselves the symptom of "Head Pain, Anger" is more characteristic for current headache or the chronic background. As I said it is very Controversial and we should refer on clinical experiences to find out the answer.
In my experience, I prefer to consider it as characteristic of Chronic Background and not the headache. I have found out that prescriptions on this basis is more accurate. Perhaps comparing second case with a common cold is more clarifying. As you know the pathogenesis of a common cold in a patient with affinity to catch cold is similar to case 2. (An exacrebation of chronic background because of an exciting cause). You can compare "Head pain anger" with symptom of "General, Cold, Tendency to". The trigger in Common cold is Virus and here is Emotional stress (Anger). As you know we usually do not consider the symptom of "General, Cold, Tendency to" for finding the similimum of current cold diseases. But it is a very good symptom for finding chronic or constitutional remedy
I would like to hear your experience in finding the remedy of acute conditions and the symptoms that you use.
Kind Regards
Shaddel

Dr Nader Moradi wrote:

Dear Dr.Shaddel,

The first case is psoric because, all the non_febrile intermittent
diseases belong to psoric miasm.
Please keep on come these useful articles.

Kind Regards,
Afag
-- In minutus@yahoogroups.com, "F. Shaddel" wrote:
tricky and Controversial part of article about choosing symptom.
Thank you.
that help us in individualisation of patient or disease. In other
way, they all should be a charachteristic symptom of patient in the
ailment that you are going to treat by Homeopathy. So we should ask
first from ourselves which ailment we are going to treat with first
prescription. The current acute condition of patient (Headache) or
Chronic background? The answer in the second case (as the first
step) is Headache. So we need to consider the symptoms which are
helpful in individualisation of Headache not chronic background.
more characteristic for current headache or the chronic background.
As I said it is very Controversial and we should refer on clinical
experiences to find out the answer.
Chronic Background and not the headache. I have found out that
prescriptions on this basis is more accurate. Perhaps comparing
second case with a common cold is more clarifying. As you know the
pathogenesis of a common cold in a patient with affinity to catch
cold is similar to case 2. (An exacrebation of chronic background
because of an exciting cause). You can compare "Head pain anger"
with symptom of "General, Cold, Tendency to". The trigger in Common
cold is Virus and here is Emotional stress (Anger). As you know we
usually do not consider the symptom of "General, Cold, Tendency to"
for finding the similimum of current cold diseases. But it is a very
good symptom for finding chronic or constitutional remedy
acute conditions and the symptoms that you use.
second case?
each of below patients? - Article
same remedy to each of them? What would Hahneman prescribe? - Article
without any special trigger factor. The headache is one sided,
Pulsating, with nausea and gets better with sour drinks and a nap.
gets angry the headache starts. But if he remains cool there is no
headache. The headache is one sided, Pulsating, with nausea and gets
better with sour drinks and a nap.
problems. Now he is complaining from a headache. The headache is one
sided, Pulsating, with nausea and gets better with sour drinks and a
nap.
the same in each cases so naturally in classical (General)
Homeopathy we shall prescribe the same similimum. But in
Hahnemannian view the course of development of disorder, the
exciting cause and background of ailment are also very important
(Aphorism 5). What would be the point if considering the exciting
causes and whole history of chronic disease does not affect our
similimum selection? So with a good confidence, we can claim that
Hahnemann would prescribe different remedies to above patients. But
the question is how?
symptoms for finding the similimum. The symptoms of headache in
above cases are the same. Of course we can not add some symptoms
from ourselves to picture of patient to find different similimums.
So the only possible way for receiving to different remedies in
above cases is considering a part of the symptoms in each case for
finding the similimum. Then the result could be different. But it
looks very wrong. Firstly, do we have permission to ignore some
symptoms of a patient in choosing the similimum? Secondly if the
answer is yes, what is the guideline for this picking up?
yes. In treatment of epidemics upon recommendation of Hahnemann
(Aphorism 100-104), we ignore some symptoms and pick up particular
symptoms of epidemic (Totality of disease instead of Totality of
symptoms). Also in Psoric treatment, Hahnemann has introduced about
3000 symptoms that should be taken for finding the antipsoric remedy
and recommend us to ignore other symptoms of patient.
answered in first question. The correct way is to find out which one
is epidemic, which one is a chronic miasmatic and which one is a
normal acute case. Finding the chronic cases is simple by looking at
whole history of case. In above cases the first one is definitely a
chronic case and most probably a Psoric one (Lets make it as a quiz.
Do you know why the first case is Psoric? to find the answer read
aphorism 234).
acute exacerbation because of an exciting cause (anger). In such
cases we can use the totality of symptoms of current ailment (PS of
Aphorism 82).
strong chronic background or affinity for headache in this case and
ailment has started because of a strong external stressor (It is not
an exciting cause any more). Such cases bring the epidemics picture
to our mind. (Cholera has also a strong external pathogen without
chronic background for diarrhea). In such cases we should choose
particular symptoms related to external stressor (here severe anger)
and prescribe a remedy which is specific for ailment because of
anger like Nux-V, STAPH or Cham. We can differentiate among them by
seeking for keypoints of each remedy in patient.
remedy between 48 Antipsoric remedies:

Dear Afag
Well done. It is correct and most of alternative and periodical disorders (Not all of them) belong to Psora. Some of them are combination of Psora & Syphilis miasms.
Kind Regards
Shaddel

afag_hom wrote:

Dear Dr. Shaddel,
Thanks for answer but in the second case you have not mentioned the patient has come with head pain attack therefore the correct remedy for your second case will be Phos, too!. In fact Sang is suitable for palliation of acute exacerbation of chronic dynamism of the patient. I agree with you about belonging the "Head pain-anger from" to the chronic dynamism of the patient. IMO, this is one important point in selecting "Proper" simillimum one can find it by understanding Hahnemann's Miasm theory.
Regarding 3000 symptoms of Psora and using them in finding antipsoric remedies there are many questions which I leave them for next email and looking forward to see other colleagues opinions.
Kind Regards,
Nader

Dear Nader
I quiet agree. The more complete answer for second case is Sang for palliation of exacrebation and Phos for treatment of Chronic background. I am glad to see that you have noticed to importance of symptom selecting knowledge in your practice. Good job.
Kind Regards
Shaddel

Dr Nader Moradi wrote:

Dear Dr. Shaddel,
Would you please tell us how you use 3000 symptoms of Psora in selecting remedy?
Kind Regards,
Nader

I wonder whether the objections, the reminders, and the question that
Hahnemannian2002 raised have been forgotten in all the excitement.
Are they unanswerable?

Cheers --

John
--
------------------------------------------------------------------

"We have also arranged things so that almost no one understands
science and technology. This is a prescription for disaster. We
might get away with it for a while, but sooner or later this
combustible mixture of ignorance and power is going to blow up in our
faces."

-- Carl Sagan

Of courses. But as these are a part of copyrighted material between me and Publisher of my books, I am afraid currently you need to refer to my books and video lecturers to find your answers or wait for my articles in future.
Regards
Shaddel
Dr Nader Moradi wrote: