Minutus

I'd like advice on how / whether to use this symptom:
This 40-ish man recently detoxed and got sober after decades of alcohol
abuse.
Since detox he is doing well for the most part,
tho still some definite symptoms, most of which have been with him for
many years (severe
sleep trouble, low energy, asthma, sensitive to various things). But
there is a new symptom
which arose in the six months or so prior to detox, which has not left:
his palms have a
deep, cherry-red mottled coloration. The hospital told him this was a
symptom of liver
damage, and that it should pass once the alcohol was out of his symptom.
He's now been
"dry" for some six months, but the redness is only a little less, and
does not seem to be
leaving on its own. (Absin. was initially helpful, but didn't follow
thru; Lactuca reduced it a bit more, but no further progress; sulphur
[possible constitutional] made no difference, ditto another rx or two
that I can't recall right now. Haven't gotten to chelid. yet. I used
potencies of 6 - 30c, due to pathology.)

My questions:
1) How heavily should I weight "red palms" in repping? I have:
EXTREMITIES; DISCOLORATION; redness; upper limbs; hands; palms: absin.,
acon., apis, eos., fl-ac., germ., iod., pitu-a., sep., syc-co.

There are other possibilities in this list, but none that really jumps
out at me. There's also the rubric for "red hands" which is much
larger, but which is also not what he has.

2) Is it possible that high potency might be appropriate, or does the
liver damage definitely contraindicate that?

On the one hand I'd like to pursue the symptom, since it is recent,
objective, and indisputable (and covered by a nice, manageably small
rubric!); on the other hand I wonder whether, since it is perhaps a
common symptom of that sort of liver damage, whether I could reasonably
ignore it in repping (but expect it to improve quickly if the right rx
is found)?

Thanks for all thoughts!
Shannon

Dear Robert,
Kindly have a look at Bell.
Regards,
Dr.Sahni BS
www.homoeopathyclinic.com
Robert & Shannon Nelson wrote: I'd like advice on how / whether to use this symptom:
This 40-ish man recently detoxed and got sober after decades of alcohol
abuse.
Since detox he is doing well for the most part,
tho still some definite symptoms, most of which have been with him for
many years (severe
sleep trouble, low energy, asthma, sensitive to various things). But
there is a new symptom
which arose in the six months or so prior to detox, which has not left:
his palms have a
deep, cherry-red mottled coloration. The hospital told him this was a
symptom of liver
damage, and that it should pass once the alcohol was out of his symptom.
He's now been
"dry" for some six months, but the redness is only a little less, and
does not seem to be
leaving on its own. (Absin. was initially helpful, but didn't follow
thru; Lactuca reduced it a bit more, but no further progress; sulphur
[possible constitutional] made no difference, ditto another rx or two
that I can't recall right now. Haven't gotten to chelid. yet. I used
potencies of 6 - 30c, due to pathology.)

My questions:
1) How heavily should I weight "red palms" in repping? I have:
EXTREMITIES; DISCOLORATION; redness; upper limbs; hands; palms: absin.,
acon., apis, eos., fl-ac., germ., iod., pitu-a., sep., syc-co.

There are other possibilities in this list, but none that really jumps
out at me. There's also the rubric for "red hands" which is much
larger, but which is also not what he has.

2) Is it possible that high potency might be appropriate, or does the
liver damage definitely contraindicate that?

On the one hand I'd like to pursue the symptom, since it is recent,
objective, and indisputable (and covered by a nice, manageably small
rubric!); on the other hand I wonder whether, since it is perhaps a
common symptom of that sort of liver damage, whether I could reasonably
ignore it in repping (but expect it to improve quickly if the right rx
is found)?

Thanks for all thoughts!
Shannon
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[Non-text portions of this message have been removed]

Dear Shannon,
in my reprtory, Radar 8 in German, red foot sole: bry., kali-c.,phos.,puls.,
but if there are slith bluish you shoud take a look at the snakes and
medorrhinum. My husban had red foot soles after his konstitutional remedie
silicea the foots are now normal. Look for the best remedie for the person
and not for the foot, you have a lot af remedies that have a good action on
the liver.
kindly
Trudy

Dr. Sahni,
Thanks for the thought--can you help me evaluate it a bit?
I am familiar with bell only for (1) violent acute, or (2)
constitutional for a person who would be (according to my *scant*
information) robust and plethoric, outgoing and energetic, usually no
emotional complaints unless ill. What should be added to my picture (or
source to read)?

He is more delicate, pale, a recluse type, with no "redness" or
congestion except for the palms, and congested lungs from decades of
smoking.

Can you say more about what suggests bell, or whether it might be
appropriate despite this?
Thank you!
Shannon

Dr.Sahni BS wrote:

Hi Tracy,

In this person's case it's the *palms* (of the hands) that are red, not
the soles (of the feet), and it's said to be a specific sx of (severe?)
liver damage. Given that, are you saying that it would be best not to
focus on that sx, but on the rest of the case? Can you give reasons?
This is part of my uncertainty...
Thanks,
Shannon
Trudy Kuesteiner wrote:

Dear Shannon,
The reason for recommending bell was based on the probable mental symptoms which bell have. Allmost 681 mental symptoms. No other homoeopathic remedy have such huge mental symptoms.
My choice based on the history of the patient "alcohlic" afterwards "Detoxification" treatment. Which means to me "he is not serious about his health" or "Frivolus", "sensitive", Patient will give attention to smaller complaints "like red spot in palm" but ignores main problem that is "post alcholic Liver damage" and so on.
To understand mental symptomatoloy in homoeopathy one must study Barthel. Classically the Belladonna patient is never Belladonna if you have another look as per the interpertation of Mental symptoms provided by Kent in his drug pictures.
In such cases pl observe how patient talks, behaves, his attitude towards disease and other aspects, patients query to the attending physician and so on.....
Repertorizing only on the basis of One physical Symptom will lead the physicain no where.
Regards,
Dr.Sahni BS
www.homoeopathyclinic.com
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[Non-text portions of this message have been removed]

Dr. Sahni,

Sounds like an example of "paper case confusion", or maybe just
confusion on my part.
Below:

Dr.Sahni BS wrote:

I'm not understanding your thought here.
In the context of current thinking here, the detox program was a sign
that he *is* serious about his health. What am I missing... This was
a hospital program specifically for alcoholics, to give them medical
care and practical support while they go thru detox, which in his case
included hallucinations and physical sxs I don't have details on, but
for which he was grateful to have help. To us this appeared a mark of
both his desperation (because normally he likes to handle his own issues
on his own) and his determination to get dried out (having tried and
failed over a period of years already on his own).

Does this change your impression of "not serious", or is there more that
I'm missing?
I do believe that the detox program was really the best option available
to him.

Well, if this emphasis is a mistaken one, the mistake is *mine*. And
the possibility of mistake is precisely why I asked my question.

So I gather you feel I can simply ignore the "red palms" rubric, that
it's not a good indicator to the needed remedy? No one has yet answered
that question...

We are aiming precisely at "post alcoholic liver damage". I thought the
red palms rubric might be a doorway to this, but evidently not. What
rubric(s) do you suggest? (No other specific symptoms are prominent so
far as I've found, except those that were prominent already for many
years -- sleep trouble, and some M/E things. Which is another reason I
thought the "red palms" rubric might be helpful in identifying what's
needed *now*, rather than continuing to chase what was needed in years
previously.)

What's the name of the book?

Do you mean that a closer look at mentals will often show up a better
remedy, or ??

Of course. My question concerned whether or not to *include* this
particular physical symptom. I gather you're saying I can forget about it?

I do appreciate the perspective on how to choose which sxs to rep, and
which to leave out -- I am often unsure!

Thankyou,
Shannon

To me this indicates liver disease and I would think of using low potency
liver drainage remedies Chel, Cardus Mariannus, Taraxicum,or whatever
totality suggests Jean