Minutus

Dear Ardavan,

One of my patient suffered from Manic -Depression in the month of NOV-96 to
April-97.He was brought to normal initially by Shock therapy . Afterwards
he was given :-
1.Lithium Carbonate 300 mg twice a day for one year
2.Carbomezapine 200 mg twice a day for one year

Afterward , patient is normal but has to take above medicines on SOS for few
weeks, as occasionally he feels Mental & Physical Fatigue & moods
variations.

He is now came to me in the month of Aug-01.The main symptoms analyzed are
as under :-

1.Mind
Aversion to mental work, Lethargy & Laziness. Over sensitiveness of all
sense especially cannot tolerate noise/Direct sun light. Perceives the
things in the dark. Moods Variation.

2.Head
Confused unable to think.

3.Stomach
Feeling fullness always. Frequent desire to pass Stool But passes very less
or no stools. As if Hernia will appear.

4.Sleep
Distrubed full of dreams of previous day work .See himself as center of
action in each dream. Un refreshing sleep.Difficulty to get up in the
morning.

5.Nose
Violent sneezing

6.Heart
Violent Palpitation

This is the person of sedentary habit involved in desk work. Short in built
up .

I have given him Valerian Off. 200 in the morning & Nux Vomica 200 in the
evening . He is started feeling better now with out use of allopathic durgs
as stated above.

Please advice whether the diagnosis is correct & if yes, How long this
medicines can be continued?
Regards,
Manoj

Dear Manjoo

I am only answering this because you broadcast it to minutus rather than direct to Dr Shahrdar (ashahrdar@yahoo.com)!

You are the person who has interviewed your patient so you should know him better than us.
The only way we can pass judgement is to see your full case notes and evaluate whether you have paid proper attention to the totality of the case for the selection of your remedy.

I am going to treat the situation as if you were before a board of enquiry and ask you to justify your actions.

I am SURPRISED that you have chosen to prescribe two rx and at 200C everyday.
The homeopath's aim should be to find The Similimum. That, by DEFINITION, is only ONE remedy. So why have you chosen two? Please show your repertorisation of the symptoms you have chosen.

What is the basis of your selection of two remedies and more importantly what is your justification for using two remedies in such a way?
Did Hn, Kent, Roberts or other masters ever use homeopathic remedies in such a way? If so please give references.

The other most important question is that of the follow up. You must be able to analyse what has worked in your patient and was your choice homeopathic (A remedy is only to be regarded as homeopathic if it is selected on the basis of symptom similarity and if it work. i.e. the patient's body is the judge of that and not the fact that it was supplied by a homeopathic pharmacy!!). You must then follow it with another or the same remedy. So how do you ascertain whether it was Val or Nux-v that had worked on the patient?

How do you guard yourself if the pt starts to prove one of the prescribed (but unnecessary) remedies?

We must learn the fact that the body suffers from one illness however his dis-ease will show and manifest itself in various parts of the body. Prescribe the correct remedy and the whole illness will be treated and as the illness is treated the dis-ease symptoms will subside (if the case is curable.) If you treat each symptom or groups of symptoms, then you are using homeopathic remedies in a similar manner to an allopath using his drugs, one for the heart, one for the nose, one for the mind etc. The case will be suppressed.

At the end of the day the pt will be sicker!

It reminds me of a pt who had stomach pains. His doctor gave him a medicine for his stomach. After some time his kidneys started to trouble him so in addition to the first stomach meds he was given drugs for his kidneys. Under the load of all this his liver started to suffer so he was give medicines for the liver too.

Then after a while his heart started to mal-function (side effects building up) and he was give a series of drugs for his heart too.

Then his stomach pains returned!!!

So is our patient any better? NO!
We have damaged his kidney, liver and heart and he is a much sicker person and his stomach is still troubling him!!

That is not the way cure.

The only time you are allowed to concentrate on a particular symptoms is during an acute attack.

One last but important point is that allopathic drugs shown be reduced ever so slowly. A too rapid a reduction or removal can (and often will) cause a reaction in the body which may affect the health of the patient. The best way is as slowly as possible. If necessary, you can scrape bits of a tablet using a specially kept nail file - Day 1 - one scrape, day 2 - two scrapes ad-infinitum.

Also if you think you need to prescribe your remedy often, why not use LM potencies. After all it is Hn's perfected method.

Regards
Soroush

Dear Manjoo,

I totally agree with Soroush regarding your case. The
most important question, here, is why you chose two
remedies. Hahnemann, himself, sometimes used two
remedies in alternations for example Thuja and Nit-ac
in treatment of Sycosis. The reason in these
alternations was that there were no exact simillimum
in Materia Medica for the state to be treated. Now
what is your reason in choosing two remedies?

Another point is question of posology. Unchanged doses
should not be repeated esp when used dry. What is the
mode of your prescription?

Another point to be discussed is the chronic nature of
the case. Do you think that Nux-v or Valer can
erradicate the succeptibility in this case?

Thanks for sharing your case with us. Let us discuss
all the above points one by one. I hope that from the
about 170 members of this list, more people
participate in these discussions.

Best,

Ardavan

--- Soroush Ebrahimi wrote: >
Dear Manjoo

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Dear Ardavan,
Reason for choosing two remedies is History of the patient & its present
state :-

1.Nux Vomica exactly match to its present living style (desk job) &
suffering like lethargy & laziness ,un refreshing sleep ,difficulty toget
up in the morning & drowsiness during theday, Dreams of previous day
occupation, exaggerated sensitiveness Flaccidity of penis during coition
Anxious palpitation of the heart .As if Hernia will appear (Infact pateint
suffered from Hernia in year 1991 got it operated but still feels that
Hernia may reappear)
& the GOLD symptom I found in the patient "frequent & ineffective desire to
pass stool".

Further, Patient is also dosed for long time with Allopathic medicine.

2.Valerian on the other hand matches to the history of the patient i.e.
MANIC DEPRESSION (BI-PLAOR) The most opposite moral symptoms appear
alternately.?Extreme instability of ideas.?General illusions and errors of
the mind Great flow of ideas, chasing one another.?Felt like one who is
dreaming.?Hysteria, with nervous over-excitability of the nerves.

In this case also I found one GOLD symptom .? "Brightness and light before
eyes when in the dark, so that objects become almost distinguishable; with
this a sensation as if he felt that things were near him even when not
looking at them; on looking, he perceives they really were there "
further he is a Nervous, irritable, hysterical subjects in whom the
intellectual faculties predominate .

Kindly revert with your opinion as regards to diagnosis & potencies to be
used & duration of treatment.

Regards,
Manoj
http://docs.yahoo.com/info/terms/

Dear Manoj,

In my opinion, Nux-v is a good remedy to begin the
treatment with, in this case. I prefer 30c to begin
with (a safe potency, esp in a sensitive case like
this). I also choose solution prescription (Nux-v 30c
1 pillule solved in a bottle filled with distilled
water + alcohol) in this way you can repeat it with
safety.

But, I think, we should wait for seeing the effect of
Nux-v and not to change it until the next clear state
shows itself. It MAY be Valer or another remedy.

By prescribing two remedies it is so hard to evaluate
the result of each remedy. At first the patient's
condition may improve but in follow-ups we may
encounter several problems.

It is not easy to determine the duration of the
treatment beacuse it does not solely depend on the
remedy selected. It depends on the patient's vitality,
obstacles to treatment, depth of the problem,
underlying miasms,.......

Best,

Ardavan
--- manojagrawal@bluestarindia.com wrote: > Dear
Ardavan,
=== message truncated ===

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Dear Manoj,

In my opinion, Nux-v is a good remedy to begin the
treatment with, in this case. I prefer 30c to begin
with (a safe potency, esp in a sensitive case like
this). I also choose solution prescription (Nux-v 30c
1 pillule solved in a bottle filled with distilled
water + alcohol) in this way you can repeat it with
safety.

But, I think, we should wait for seeing the effect of
Nux-v and not to change it until the next clear state
shows itself. It MAY be Valer or another remedy.

By prescribing two remedies it is so hard to evaluate
the result of each remedy. At first the patient's
condition may improve but in follow-ups we may
encounter several problems.

It is not easy to determine the duration of the
treatment beacuse it does not solely depend on the
remedy selected. It depends on the patient's vitality,
obstacles to treatment, depth of the problem,
underlying miasms,.......

Best,

Ardavan
--- manojagrawal@bluestarindia.com wrote: > Dear
Ardavan,
=== message truncated ===

=====
Life is beautiful, if you look at it in a beautiful way.

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