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Pain in RA
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May 18, 2013
4:53 pm
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Rochelle
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I have got a new patient (elderly woman) coming in on Monday who has Rheumatoid Arthritis and even used Methotrexate for it in the past. I believe she is on other allopathic medication now .  Apparently she also has a shadow on her lung. I think finding a constitutional remedy will be difficult but would for starters like to address the agonising pain she is in from the RA especially at night. Naturally I will rep the modalities etc when I see her but would like to know if anyone has treated the pain and any good remedies to look at before I see her.

 

Thanks

Rochelle

May 20, 2013
9:03 am
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Thierry Clerc
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Hello Rochelle,

 

I found that people on this drug do not respond as well to the remedies, maybe because it has an impact on metabolism... it definitely takes longer for people to have a noticeable improvement, and usually they are on this drugs after suffering a lot on many joints.

 

Beside the relevant remedies, giving the drug back in tautopathy, and asking the customer to have a strict alkaline diet has made a difference.

 

Good luck!

 

Thierry

May 20, 2013
3:44 pm
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Rochelle
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All I have actually done with her is take the case, put her on a Paleo (Caveman) strict diet and given her Berberis tincture - 6 drops tds as a kidney detox/support for the RA. I want to see how much the diet addresses the pain. I thought about Act sp but I don't have any in as have never prescribed it.

 

Rochelle

May 21, 2013
11:45 am
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Alan V. Schmukler
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May 21, 2013
11:53 am
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Rochelle
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What's sea cucumber in homeopathic language ?  She has tried medical magnets. I also found out she had homeopathy on NHS when they did it for a while and it din't help!! Fat chance I have . Lets hope the diet works!!

May 22, 2013
2:10 am
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David Kempson
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Sea cucumber is Elaterium in our materia medica. Jo Evans has some interesting information in her book on Sea Remedies, on the group of animals it belongs to (Echinoderms).

I have seen good results with a lot of smaller remedies, much more frequently than with the polycrests. I remember some specific cases of Adamas (diamond), Ignis alcoholis (fire), Ard-h (blue heron), Lac-lox (african elephant), Lyssin, Codinium (codeine) which were particularly successful. My blue heron case was pretty amazing - her fingers were bent so badly she couldn't turn a tap or open a jar, and they straightened out and became flexible again.

I have rarely had success trying to prescribe palliatively or purely on the pathology.

May 22, 2013
8:28 am
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Rochelle
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Thanks David - How do you find these smaller remedies? Have you studied them in the past or are you repping and homing in on the smaller remedies?

 

Rochelle

May 22, 2013
3:55 pm
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Firuzi Mehta
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May 22, 2013
4:07 pm
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Rochelle
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Thanks - it's not a remedy I have . I have to decide which remedy fits her best first!! Hopefully I will get a clearer picture next time I see her after (I hope) she has done the caveman diet for a month!!

 

Rochelle 

May 22, 2013
6:33 pm
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drofart
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Hello there,

    As mentioned pains < in night, I am sure you will be haunting a predominantly syphilitic remedy, See if it's the syphilinum herself, there are signs of destruction. Telling few medicines i have seen helping a case would be illogical when you can effectively communicate with ur patient. Ferrum met. have given spectacular results in < night arthritis and ledum too.

There is also "osteo-arthriticum", there are 2 types, one for knee and other for hip.

Most of the time my approach is {Primary{simple symptomatic similarity + predominating accessory symptom} + Miasmatic{inter-current remedy solely based on disease histories}}

 

@ thanks for sharing. What is the best source to know about these hidden remedies ? Lotus ?

May 22, 2013
7:28 pm
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Alan V. Schmukler
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May 22, 2013
9:57 pm
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Rochelle
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@drofart - Ledum is not indicated . Will check out Ferrum Met- not a Rx I know

@ - Helios has everything !!!! It's where I get all my remedies from.

 

Rochelle

May 22, 2013
11:11 pm
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David Kempson
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Adamas was prescribed purely using rubrics from Synthesis - I used a single general symptom and three mentals and it was the only remedy in all of them. I remember the general clearly, which was to feel so cold the bones felt like ice.

Ignis-alcholus was prescribed using rubrics again from Synthesis - I concentrated on a constant reoccurring dream the patient had of being Neo from the Matrix (superhuman movie character), the theme of which was repeated everywhere in his life (I am a machine, I am superhuman, No-one can beat me, I dare God to try and stop me)

I prescribed Lyssin using rubrics, which were focused on his guilt, rage, and self-harm. I use Lyssin a fair bit so for me it is not a small remedy.

Ard-h and Lac-lox were prescribed using the sensation method, and using the provings to confirm.

Ard-h was given on the presence of a number of water-bird characteristics present in the patient's body (clawed hands, narrow esophagus prone to choking on too large parcels of food, and webs between the toes) and a proving theme of needing freedom to go where they want and do what they want, without being burdened by others. There were many bird and animal words used throughout the case.

Lac-lox was interesting, because I could hear the strong animal language used by the patient. There were issues with sexuality, attractiveness, and a strong instinct to hunt in relation to sex. There was a long history of struggles to be dominant, where he either felt the victim or was the aggressor. I was lost until he started talking about elephants. He had such a strong love and connection for them - his house was full of elephant artwork, he had travelled the world to see different kinds of elephants, he even described to me the entire story of the modern african elephant - and it is a terrible story of savagry, murder, extermination and madness. He also described on powerful experience in his life where an elephant had wrapped its trunk around him, and he said to me in that moment he felt safe and loved.

Codinium was based on the plant sensations found in Sankarans books. There were strong themes around terrible pain and around the leprosy miasm. The papavaracae family's primary sensation is pain which they describe as like being tortured, mutilated, and is extremely intense and violent.

So I don't think any of my cases would be particularly useful for solving yours, since each one was a highly individualised prescription often based on the mental, emotional, or sensational state of the patient.

May 22, 2013
11:52 pm
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Rochelle
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Wow - thanks for that - fascinating. In a case I am working on at the moment (actually it is the RA patient's daughter) she actually says "I feel like a leper" referring to the vivid red scaly burning itching rash on the back of her neck called eczema (am not convinced - I reckon it is more like psoriasis). Interesting is that she delayed coming to see me for the first time because she caught chicken pox. Naturally the eruption disappeared (just like said in Organon!!) and returned when the disease left her!! I actually gave her Lachesis because of her loquaciousness, jumping subjects, suspiciousness, feeling she is always being sabotaged. I have just used Jeremy Sherr's new QRep + hyperthyroid and it came out top remedy!! After the Rx she had diarrhoea - it will be interesting to see how this case goes!!

 

Am really stuck on a skin case- looks like scabies but since he has had it 5 months and his wife has not caught it I presume it is not!!! If I post the case inn another thread would anyone like to give me some suggestions? It could be one of his alopathic medications as well. He has had one stopped- about a week and another changed today.

May 23, 2013
4:37 pm
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Thierry Clerc
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Hi all,

 

David, thanks for this brief details of the small remedies. I also use Lyssinum, mainly for the emotional picture. I never used it for arthritis, but it is definitely worth keeping it in mind. I must admit that struggle to get a grip on the "smaller" remedies.... I usually get a feeling from the patient's response on repertorised remedies, but this inevitably tends to focus on the biggish remedies.

 

Alan, I get most of the nosodes from Helios or Ainsworth, and if you need me to ship them to you, just let me know. I do not know if they ship to the US, but probably.

 

Good luck Rochelle, keep us posted of the picture after the diet.

 

Thierry

May 23, 2013
11:38 pm
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David Kempson
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I think because my teachers were very focused on use of repertory for prescrbing rather than memory, I got into the habit early of examining remedies that were not polycrests. We did a lot of repertory work! I learned quickly to lean on the presence of a remedy in a rubric even if I didn't know anything about the remedy - which I suppose made the transition over to the Sensation method easier as well.

May 24, 2013
2:44 pm
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drofart
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Where as my mentors are more focused toward Key notes and understanding the underlying constitution which makes grabbing the right remedy from the bunch easier using repertory :)

 

@Rochelle I know it's about preference but why all mentals ? there is a definite symptom of location ? I even have confidence on your Rx, I just wanna know why, there must be sufficient experience i hope. Far from your desktop, you are influencing someone's approach, it ll be helpful if we make it clear.

There are medicines which effects specific areas in specific manner and are kind of specific if generals match!

NOTE : I am totally aware abt the importance of mental symptoms.

May 24, 2013
4:46 pm
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Rochelle
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I have just found over the years that I have more success finding a constiututional Rx from the M&E but I do like to see the physicals in the Rx as well!!

So saying I had a patient in this week with ear problem, best fit remedy for this was Silica - gave her Silica 6 tds and it seems to b doing the trick.

So overall I think it really depends on the patient, the condtion and the situation. As a homeopath youhave to be flexible :)

 

Rochelle

 

drofart said

@Rochelle I know it's about preference but why all mentals ? there is a definite symptom of location ? I even have confidence on your Rx, I just wanna know why, there must be sufficient experience i hope. Far from your desktop, you are influencing someone's approach, it ll be helpful if we make it clear.

There are medicines which effects specific areas in specific manner and are kind of specific if generals match!

NOTE : I am totally aware abt the importance of mental symptoms.

May 24, 2013
10:56 pm
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David Kempson
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I think the mentals are usually more peculiar, which is why they tend to lead us to a specific remedy more easily. Having said that, peculiarity should be noted anywhere it appears, and mentals are of little use when they are very broad and general. I also find that patients themselves tend nowadays to read a little too much on psychology and do not use their own natural terms for their thoughts and feelings, which can actually make mentals tricky to use. One of the reasons I guess I like Sensation so much is it ties together the mentals and physicals by looking for a common theme to both, reducing the danger of that behaviour in patients.

May 24, 2013
11:10 pm
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Rochelle
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As I always say even if I could find the sensation/centra delusion I wouldn't have a clue where to find the remedy that goes with it :(

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