Minutus

Hi all,
I wanted to share this ICU case.
About one month ago an acquaintance - 51 years old - suddenly got convulsion, headache, agitation, altered consciousness and left sided paralysis. On MRI there were two huge opacities in both hemisphere with edema. Here is the MRI report:
"Two hypersignal areas are noted at left temporal and right frontoparietal lobes with extension to right temporal lobe. The lesions are extended to subcortical, peri and paraventricular white matter and shows vasogenic type edema. Cortex is not involved and white matter involvement id dominant. There is no significant mass effect.

Very mild restriction on diffusion is noted at some areas of lesions particularly at medial side of right parietal lobe lesion.

Apparent effusion is measured 0.86 mm/s. Encephalitis is the most probable diagnosis. Aquaired metabolic disease and side effects of drugs should also be considered in differential list."
Neurologists believed that it is due to ADEM ( Acute diffuse encephalomyelopathy) or SOL (space occupying lesion). As the Glasgow Coma Scale (conscious level) was about 5 therefore doctors said that there is no hope for recovery and they did not even hospitalized him in ICU.
I decided to treat him by Homeopathy. As there was edema in the brain and the progression was suddenly and as he was shrieking and agitated before decreasing conscious level I decided to give him Apis 1m. After Apis he calmed down.
On CT scan brain edema had been stopped but GCS was 5. After 3 days I gave Apis 10 m, GCS became 7 and doctors transferred him to the ICU. I repertorized the case by Repertrium Virosom, TBE and INF were the top miasms and Sulph, Hell, Bell top remedies.
In the ICU I noticed the patient has automatic and rhythmic motion of right side extremities, the left side is paralyzed and has no motion.
I gave him Hell 200c. After Hell automatic motions disappeared and respiration became normal. Before Hell respiration was deep and rapid.
On 4th days after Hell I noticed anger on his face and spasm in right side so much so that I could not open his lids and his body was hot and that night he got fever and a seizure and become agitated.
Bell 10 m was prescribed, there was a brief aggravation and then everything became better. On CT edema had been decreased, there was no agitation, fever and respiration was normal. Everything was getting better but GCS was the same on 7th days after Bell, I decided to give him Sulph 200c, 2 days after Sulph he opened his eyes while calling him on, GCS became 9-10.
He improved daily and they removed his endotracheal tube. On 9th days after Sulph there was mild anger and anxiety on the face and he had a gesture like pulling hair or picking something and also pupils were dilated. I decided to give Bell 50 m. After that he became better, paralyzied limb began to recover and he can move his paralazied limb and muscle forces in paralyzed side is 3/5. I am following the case to see whether he will need another remedy or not?
Hope this case will of useful.
Best regards,

Nader

Very dramatic and excellent work.
t
Virus-free. www.avast.com

Beautiful!

Thanks.
Dr. J. Rozencwajg, NMD
"The greatest enemy of any science is a closed mind"

www.naturamedica.co.nz

Hi Dr. Moradi,

So happy to hear from you.

Yes, a wonderful case. Only an MD could work in a hospital the way
you did. But just for the record, I have solved cases that are not
hospital cases using the RV. The depth of the pathology has little
relationship to the value of the RV.

You said: On CT scan brain edema had been stopped but GCS was 5. After
3 days I gave Apis 10 m, GCS became 7 and doctors transferred him to
the ICU. I repertorized the case by Repertrium Virosom, TBE and INF
were the top miasms and Sulph, Hell, Bell top remedies.

I am going to ask some questions and do a bit of translating detail
for my fellow less medically educated Minutus readers.

After successfully using Apis, you repertorized using the Repertrium
Virosum (RV).

I don't want to second guess you, so allow me to ask, why did you
decide this was a situation that demanded the RV? Did you get other
remedies or a different analysis using your normal software repertory?
Is this the common situation when you decide to use the RV?
Can you identify the acronyms for us? TBE is Tick Born encephalitis??
Do you infer that his problem was caused by a tick bit? INF is
what? (probably irrelevant for understanding the case, but the reader
who does not understand what the RV is, it may be helpful to
understand the acronyms.) A miasm is a viral infectious disease. So,
these acronyms refer to the virus that is identified as a miasm. Does
knowing the miasm does not necessarily tell you what the actual cause
of the problem was? Or does the miasm only tell you which virus
causes similar symptoms?

Best,

Ellen Madono

In such cases where the patient involuntarily seems to grasp at something I have found Hyoscymous quite useful
Best regards
Elham

A terrific case Dr Nader. Thank you, Jean

Dear Ellen,
As the case had mild fever, malaise, myalgia and mild coryza before going
into comatose state this means that the case is miasmatic one. In chronic
diseases, too, if there is inflammation and signs of activation of immune
system, one must think the case is misamatic one. Of course Dr Shahrdar has
an article on Miasmatic analaysis which I put it at the end of my answers.
TBE stands for Tick Born Encephalitis and INF for Influenza. Name of
infectious disease is not important but the Patterns are of useful. When we
say the miasm of the case is TBE or INF we men that the pattern of patient
state is similar to TBE or INFL and as similar is the main law of Homeopathy
therefore understanding patterns are more important than the names.

Best,
Nader
Miasmatic Analysis & Individualization , An integrated approach
Dr Ardavan Shahrdar
March 2007

1. Miasmatic analysis is the process of referring to Genus Epidemicus of
infectious states to complete the image which is needed for the selection of
simillimum.

2. This type of analysis is actually based on the Hahnemannian definition of
miasmatic prescription. In some schools of homeopathy, you may see different
miasmatic categories instead of what is here called Genus Epidemicus. Here,
the term miasm means infectious disease, as termed by Hahnemann.

3. By ?infectious diseases? I am not referring to ?infectious agents?.
?Infectious disease? is the dynamic state following the stress caused by
?infectious agent?. The infectious ?state? can persist without the presence
of infectious ?agent?.

4. Conventional medicine researches are usually focused on tracing the
presence of infectious ?agents?. In phenomenological study of the miasms,
the dynamic picture of primary, latent and secondary phases of infectious
state is studied.

5. The reason of emphasis on ?infectious? state is the empirical knowledge
that most of the chronic diseases arise either following a primary
infectious state or following reactivation of an underlying dormant
infectious state. This dormant state may be inherited from either of the
parents.

6. To understand the concepts related to formation of chronic diseases and
their link to primary infectious states, please read my previous articles
?Basic Principles in Treatment of Chronic Diseases? parts 1-3 and "40 Points
in Analysis of Chronic Patients" which are in the Minutus website library.

7. ?Viral states? seem to be the most important subtypes of the infectious
states responsible for chronic diseases. This is confirmed by both
conventional and also by phenomenological studies.

8. This does not mean that other types of infectious cannot be responsible
for chronic diseases. Prion diseases, Mycobacterial and even Bacterial
infections may lead to chronic diseases, too. But as the majority of chronic
diseases seem to be related to viral infectious states, the project of study
of Genus Epidemicus is initially focused on viral states.

9. The project of Genus Epidemicus will be continued with the study of other
categories and updating the existing categories.

10. The role of susceptibility is not underestimated in miasmatic system of
analysis. ?Susceptibility? is the outcome of presence of ?reactive?,
?static? and ?dynamic? chronic patterns. Treatment of the ?susceptibility?
requires a holistic knowledge of ?effective causal complex? in the formation
of chronic diseases. For a better understanding of this subject, please read
my article ?The Effective Causal Complex? in Minutus library.

11. The sign and symptoms related to about 60 viral states are gathered in
my new book Materia Virosa version 1.0. The related antimiasmatic remedies
are mentioned in each type of viral states. Repertorium Virosum (included in
the book) and its software help you analyzing the symptoms and show the most
probable viral states capable of inducing those symptoms.

12. Always the individualized analysis based on dynamic valuable symptoms
ranks higher than mere miasmatic analysis. Miasmatic analysis shows its
great value in cases with paucity of valuable symptoms and in many cases
completes the image needed for finding the simillimum.

13. Not all the symptoms that a patient presents are valuable symptoms.
Considering the totality of symptoms does not mean the mechanical adding of
all the symptoms of the patient to a clipboard and repertorizing the
symptoms. Before choosing the symptoms related to the active dynamism, a
careful study should be done to find the valuable components. (Read the
article, 40 points in analysis of chronic patients)

14. If there are enough valuable symptoms which reflect the primary state
beyond the picture of the chronic ailment of the patient, mere
individualization leads to selection of the simillimum and there is no need
to do the miasmatic analysis. Miasmatic analysis in such cases can add to
our knowledge of Genus Epidemicus remedies and show possible remedies which
may be added to the antimiasmatic lists later. Absence of a remedy in
related antimiasmatic remedies, prescribed according to ?valuable? symptoms
of the patients does not show that the prescription is not a sound one.

15. But this is not the case in many cases suffering from chronic diseases.
The chronic patients may show many symptoms but those symptoms may not be
related to the related dynamic chronic patterns and may be also the result
of ?static? and ?reactive? underlying patterns (Read the article, The
Effective Causal Complex).

16. In the cases with paucity of valuable symptoms two type of analysis
should be done. First, individualized repertorizing of patient?s symptoms
without considering the miasmatic group and then again repertorizing the
patient?s symptoms by Repertorium Virosum to find the related miasm (EBV,
HPV, HSV-1, DHF, PLV,?).

17. After the above two analyses, the top ranked remedies in the result of
individualized repertorization should be compared with the antimiasmatic
list of the high rank related miasm. The remedy which covers both in a high
rank should be selected as the simillimum.

18. The remedy selected following above procedure is actually the simillimum
for the patient and not a remedy used as a miasmatic remedy in the sense of
an intercurrent remedy. The only basic principle in homeopathy is Simila
Similibus Curentur and all procedures should help us to prescribe the
simillimum. Here in miasmatic analysis we are actually completing the image
of the patient?s dynamic alteration referring to Genus Epidemicus.

19. If a remedy ranks high both in the result of individualization and in
the miasmatic remedies of the related miasm, you can confidently prescribe
it.

20. If a remedy in the result of individualization repertorization ranks
high but low in the antimiasmatic group of the related miasm, the selection
should be again based on the result of individualization.

21. In the opposite condition, where a remedy ranks low in the
individualization and high in antimiasmatic group, a careful study in
material medica will help you to show if it is rational to ignore the
individualization result and prescribe according to the ranking of miasmatic
analysis. It is better to have an inclination toward prescribing according
to the antimiasmatic remedy in this condition.

22. If there are no shared remedies in the individualization result and the
antimiasmatic list and the result of the individualization ranks high, the
prescription should be based on the result of individualization and the
remedy should be considered as a possible undefined miasmatic remedy.

23. If there are no shared remedies in the individualization result and the
antimiasmatic list and there are no high rank remedies in the
individualization result to be confidently prescribed, the first high rank
remedies of the antimiasmatic group should be considered and prescription
should be based on one of these remedies which seems much more suitable
according to clinical experience, constitutional features, etc. The remedy
prescribed according to this condition is either the simillimum or a close
partial simillimum. If it is a partial simillimum, it will induce accessory
symptoms as the guide for later evaluation of the case. In this case, the
above procedure should be repeated.

24. If there are no indicators to choose between the higher antimiasmatic
remedies, the first antimiasmatic remedy should be prescribed (For example,
Thuj for HPV, Merc for HSV-2, Gels for PLV, Nit-ac for EBV, Phos for DHF,?)
This remedy is again either the simillimum or the partial simillimum.

24. If there are two or more shared remedies, the above comparisons should
be done for each remedy and the best ranking should be considered.

25. This is not a complicated process! If you exercise it in about 10-20
cases, you will do it in few minutes.

26. The project of ?Genus Epidemicus? is an everlasting research which keeps
the epidemic data and their related remedies being updated continuously. It
is great to see that with updating these data and using them in case
analysis we are helping the patients suffering the chronic conditions, more
than the day before.

27. This is actually the Hahnemannian way of miasmatic prescribing. The
difference is in the updated epidemiological data and detailed specified
antimiasmatic groups.

28. You can use the current available techniques introduced since the birth
of homeopathy by the pioneers and also by the contemporary great homeopaths
to do the individualization analysis. But, referring to Genus epidemicus
with the above procedure, helps you to choose the best simillimum.

29. When you use this type of analysis, the process of individualization and
miasmatic analysis will become integrated and gradually you will feel that
they are not actually two different processes.

30. All is about finding the simillimum finding the hidden or partially
hidden dynamic state beyond all the symptoms related to secondary defense
mechanisms, static constitutional features, reactive patterns, medicinal
derangements,?. and prescribing according to this underlying primary altered
state to choose the best simillimum.
--------------------------------------------------
From: "Ellen Madono ellen.madono@gmail.com [minutus]"

Sent: Wednesday, October 03, 2018 10:15 AM
To:
Subject: Re: [Minutus] RV and ICU case

Dear Elham,
Having anger on the face and dilated pupils remind me of Bell than Hyos.
Thanks for suggestion.
Best,
Nader
From: Elham Mohajer elhamohajer@gmail.com [minutus]
Sent: Wednesday, October 03, 2018 1:38 PM
To: minutus
Subject: Re: [Minutus] RV and ICU case
In such cases where the patient involuntarily seems to grasp at something I have found Hyoscymous quite useful
Best regards
Elham

Dear Nader,
Reading Dr. Shahrdar's paper that you attached brought back fond memories. By the summer of next year, I am determined to find an XP computer so I can use the RV.
Is the Minutus library open anywhere?
Thank you,
Ellen Madono

Dear Ellen,
RV runs on all 32 bits versions of Windows even windows 10. For running on 64 bits Ardavan said they have created a file which make compatible RV to run on 64 bits, too.
If I find it I will share.

Best,
Nader

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