TBR - Case example (Long)

[vtyekkirala]

Hi,

George Dimitriadis gave the following case (as an example of using his
TBR; already posted on this list by someone)
"M.B., Male, age 22 yrs, presented with a subacute, very itchy eczema,
initially affecting only the dorsa of both hands and having spread up
the forearms (to the elbows). The eruption became more inflamed and
itching when he became hot and the affected areas became sweaty (better
by washing and drying the areas). Immediately we have the location
(dorsa of hands), complaint/sensation (eczema), and modalities of the
presenting condition. There were no other symptoms (mental or physical).
Using the TPB, it took only a few minutes to decide upon the remedy for
this case. The symptoms taken were:{15}

Tetter, Itching [1835]

Hands, Dorsum [328]

Wet, by perspiration, aggr. [2683]

Sepia 30 (liquid) in daily doses (as per Hahnemann's directions) was
given. He reported noticing an improvement within the first 24 hours and
within two weeks the skin was practically normal, with almost no
evidence of previous eruptions – no relapse five months later. Prior to
homœopathic treatment, topical steroids provided only minimal relief,
whilst failing to arrest the spread of eruption".

The rep chart worked out by his TBR software version is as shown below.

No. TBR No. Rubric Details

1 328 Hand, dorsum (back of hand):
2 2683 (Aggr.) Wet becoming, perspiration, by:
3 1835 Tetters, Itching:
Remedy Name Count 1 2 3

Rhus toxicodendron (3) 4 4 4
Sepia succus (3) 4 3 4
Calcarea carbonica (3) 3 2 2
Bryonia alba aut dioica (3) 2 1 2
Arsenicum album (3) 1 1 2
Pulsatilla pratensis (3) 2 1 1
Clematis erecta (2) - 3 4
Sulfur lotum (2) 3 - 3
Lachesis muta (2) - 3 2
Dulcamara (2) - 3 2
Creosotum (2) 3 - 2
Silicea terra (2) 2 - 3
Bovista lycoperdon (2) 2 - 3
Natrum carbonicum (2) 4 - 1
Lycopodium clavatum (2) 2 - 2
Nitric acidum (2) - 1 3
Mercurius solubilis (2) 1 - 3
Causticum Hahnemanni (2) 1 - 3
Stannum metallicum (2) 2 - 1
Nux vomica (2) 2 - 1
As seen from the above chart, Rhus-t is better indicated than sep. The
purpose of repping is to arrive at a group of possible remedies for
going back to the MM and finding out the best fit. The reasons for
choosing sep over rhus-t are not clear from the details mentioned in the
case.In none of the MMs I could find itching agg sweating mentioned for
Sepia
while rhus-t covers this specific condition well.

Radar has this specific rubric which is appropriate to the above case.
Sep is not mentioned for this condition while rhus-t is in this list.

SKIN - ITCHING - perspiring parts
all-s.;1 am-c.;1 benz-ac.;1 calc.;1 cann-s.;1 cedr.;1 cham.;2 coloc.;1
fl-ac.;1 ip.;1 led.;1 lyc.;2 mang.;3 mur-ac.;1 nat-m.;1 op.;1 par.;1
parth.;1 rhod.;1 rhus-t.;1 sabad.;1 spong.;1 sulph.;1

Thus it can be seen that this case of eczema, itching agg when sweating
was reported cured with sep by splitting up the symptom as Skin, tetter,
itching + Generalities, Agg, wet,getting- with sweat
I am unable to appreciate how a local modality (itching agg sweating
)can be upgraded into a general symptom.
I am looking for any ideas /comments on this mode of working out the
cases.

with best wishes,
V.T.Yekkirala

[Hans Radax]

Venkat wrote:



Dear Venkat:

There is another rubric in Boger-Boenninghausen's which may also fit:

Sweat: Concomitants - skin - itching:
am-c (3), ant-c (2), bar-c, benz-ac, bry, calc (4), caust, cham, colo (3),
fl-ac (3), ip (2), led (3), lyc (4), mang (4), merc, op (2), par (2), puls
(2), rhod (4), rhus-t (4), sabad (3), sil, spo (4), stap, sul (3), thu (2),
viol-t

Sepia is absent, again, and Rhus-t, together with a few others, holds the
highest degree.

When I worked through Dr. Bhanu Desai's book "How to find the simillimum
with Boger-Boenninghausen's repertory" I came across a few cases which were
not so clear at all as he had presented them to be, or at least I could not
figure out st times how he had gotten to the remedy he indicated. I suspect
that "fast repertorization" in the pre-computer era with one or more
eliminative rubrics, where only high ranking remedies are taken into
account, swept away a lot of options and with them perhaps the possible
simillimum. But the example you have given is truly puzzling...

Regards,

Hans
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[APEX PRECITECH]

Dear VT, Dear All,
My Boger's has these rx
agg & amel in general: pg 1152: Wet , while sweating
agg:
4 aco,2 ant c,3
ars,4bels,4bry,3calc,4clem,5colch,2con,
4dul,2natc,2nats,5 rhus t,4sep

pg 952: skin & ext body:eruptions: moist,humid: 5 rhus
t,
4 sep (among many)
pg 951:itching: 5 rhus t, 5 sep

But Boger, in his mm gives this for Rhust in bold
face.
The symptoms are intensified .... from cold and
becoming
cold and from getting wet while sweating.

In sepia it is not given. Only George can explain.

To your other question: That is how the local modality
like itching, sweating agg. can become general.

In The TPB/ TBR no modality is local. All are general.
Boenninghaussen selected such modalities that were
seem to be partially indicated in one sensation and
leaving the other with none. On compilation from
provers
that same modality was seen with another sensation
leaving the first sensation with none. Thus Boen
concluded that the modalities (not all) that were seen
to be proved by all provers+clinically verified(5
grades),
many provers+clinically verified(4 grades), and so on
till
the first grade.

Likewise, sensations were also generalised. For us who
are drilled into Kent's rep, this analogy oriented
combination will be very hard to stomach. But what
stuart close says: 'This is the greatest work of
analysis and generalisation in homeopathic
literature'.

Boger was one, who, in addition to the general mods,
added local ones. A drastic departure from TPB.

(Sorry this was in compilation since y'day. Today I
went
thru the comparative materia medica of RH Gross. There
in comparison btw Rhus and sep (pg 438, Bjain))

predominantly better for RHus and Predom worse for
sep:

"In dry weather, on expiration, in bed,when stretching
out
diseased limb, from warm diet, after stool. after
perspiring,
from moderate pressure, when bending back the head,
from rubbing and scratching."

May be because of this sep was chosen as sep is
generally
worse perspiring and Rhus better ? Then how come this
entry
in TPB with Rhus in 5 Grades ?

Regards
venkat--- vtyekkirala
wrote: >

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