| Helen F. is a dramatic-looking young woman, tall
and willowy, with jet black hair, pale skin, and blue eyes. She
is wearing all black, her top cut low to reveal her cleavage, and
the lace sleeves ending just short of her wrists to show off her
bracelet-shaped tattoos. She presents for cystic acne, primarily
on her cheeks and jaw line, which is worse premenstrually; and for
amenorrhea since going off the birth control pill. (She had to go
off the pill because it was causing side effects, including the
acne and mood swings.)
She had a pregnancy scare when she first had amenorrhea; after
skipping her period for several months, she was sure she was pregnant
because she felt something moving around in her abdomen.
She also wonders if homeopathy can help her with dyslexia. She
has trouble writing term papers because she tends to leave out letters
or words.
Although she is now a graduate student at a local alternative/holistic
university, she paid her undergraduate tuition by working as what
is euphemistically called an “exotic dancer.” She knew
that sleazy old men were watching her strip, but she didn’t
care. The money was good plus she loved dancing, wild and free,
alone in the booth, just her and the music. She describes her life
at the time as “dancing close to the flame,” in other
words, pushing life to the limits.
In her teenage and college years, she enjoyed these extremes; she
used a lot of drugs, hung out with a fast crowd, and had a lot of
one-night stands. Now at the ripe old age of 28, she looks back
on her wild youth and feels she has really settled down. She has
been with the same boyfriend for five years and they are talking
about getting married.
Their relationship is basically good, both emotionally and physically,
however she has an issue with feeling unattractive. The acne really
bothers her; she is extremely self-conscious about it and feels
that “everyone is looking at it.” She wishes she could
hide it but feels frustrated that it is on a conspicuous part of
her face. She reports “low self-esteem” and feeling
“less of a woman” because of the acne. She also considers
herself too fat and feels “disgusted” with her body.
She also believes that somehow “everyone knows” that
she doesn’t get her period and as a result feels “diseased,
something is wrong with my body.”
Her past medical history includes genital warts (frozen off), recurring
vaginitis, and probable candida (diagnosed by a naturopath, for
which she takes probiotics). Her naturopath, who is into Louise
Hay, told her that amenorrhea signifies “dislike of her femininity”;
she disagrees, but admits that her mother was a poor role model.
Her father was alcoholic and physically abusive, her mother weak
and dependent and non-protective of Helen. Her father was also verbally
and emotionally abusive, telling Helen when she was a teenager that
she was “only fit to be a streetwalker.)
Her main fear is of loss of control. She weeps easily when she
feels helpless. On a day-to-day level she worries about finances,
whether people are talking about her behind her back, and whether
her hair is falling out. She likes tidiness because messiness makes
her feel chaotic and agitated. She feels jealous when she sees a
“beautiful woman who seems to have it together.” She
has been treated in the past for depression, anxiety and insomnia.
She also reports disliking damp weather; drinking lots of tea as
her favorite beverage; weepiness and irritability with PMS; constant
burning vaginal discharge and postnasal drip.
In sum, she says ,”I would like to feel attractive and womanly
and in control of my body.”
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ANSWER
This is a Thuja case (the client did extremely well on Thuja; not
only did it clear up her acne, it improved her relationship with
her boyfriend and her coworkers; it helped give her the strength
to quit her job at the health food store and go into the music promotion
business; you can see the Medorrhinum characteristics from a previous
layer, a previous time in her life, and in fact she did need Medorrhinum
at one point when the Thuja had done all it could. She mentioned
that many of the customers in the health food store remarked to
her how well she looked when she started the Thuja.
List of characteristic symptoms:
acne
cystic
worse premenstrually
on cheeks and jawline
amenorrhea NWS going off birth control pill
delusion pregnant, delusion something moving inside her
dyslexia: leaves out letters or words when writing
sensual: exotic dancer, shows cleavage
loves wild dancing
pushes life to the limits
extremes
drugs, promiscuity
feels unattractive
feels everyone looking at her acne
wants to hide
low self-esteem
disgusted with body
feels diseased, something wrong (r/t amenorrhea)
PMHx genital warts (frozen off)
recurring vaginitis
candida
fears loss of control
easy weeping when helpless
feels people talking about her behind her back
hair falling out
dislikes damp weather
likes tea
weepiness before menses
irritability before menses
constant burning vaginal discharge
postnasal drip
Evaluate and Prioritize the Characteristic Symptoms
The first thing that jumps out is all the sycotic characteristics.
Another theme that stands out is the wildness and sensuality,
although this is mostly in the past and may represent a past layer
that needs a different remedy. I need to keep this in mind.
Another theme (part of the sycotic miasm but so marked in her that
I want to be sure to cover it) is the hiding/self-conscious/self-disgust
theme in how she feels about her body.
I am not going to include the amenorrhea because it is normal
in women going off the pill, and my experience is that it comes
back with a good hormone-balancing remedy. However, I do want to
find a good hormone-balancing remedy for her, so I want to take
a couple of her symptoms of hormone imbalance like weepiness
and irritability before menses. I will also use her chief complaint
of cystic acne before menses.
I could repertorize the “likes tea” and “hair
falling out” but I think I will save them for a confirmatory
or later remedy differential. Instead, I will use several distinctive
mental symptoms: dyslexia, fear of losing control, and sensation
something moving in abdomen. These don’t really fit into another
theme so I will just list them so as not to forget them.
I did not list her past history of depression and anxiety, because
there are no specific features to narrow down these huge rubrics.
I can keep them in mind when comparing remedies at the end.
Themes
sycotic: cystic acne, wants to hide, disgust with body, genital
warts, vaginitis, candida, averse damp weather, burning vaginal
discharge, postnasal drip
wild/extremes: exotic dancing, drug use and promiscuity,
pushing life to limits
hormone imbalance: acne, weepiness, irritability
hiding/feels unattractive: disgust with body, feels people
are looking at her
dyslexia
fear of losing control
sensation something moving in abdomen.
Remedy recognition
Thuja: delusion something alive in the abdomen, disgust about
her appearance, acne etc.
Medorrhinum: sex and drugs, wild dancing, sensual/provocative, tattooed
and wearing black
Search for rubrics (from Synthesis)
Sycotic
Face, eruptions, acne
or Face, eruptions, pimples [combine]
Female, leucorrhea, burning discharge
Female, condylomata [genital warts]
Wild/extremes
Mind, passionate
Mind, vivaciousness (these two rubrics were not used; not accurate
enough)
Mind, dancing, desire for (not used; different reasons for desiring
dancing)
so no rubrics for this difficult-to-repertorize theme; keep in mind
for the remedy differential at the end
Premenstrual: Mind, weeps, menses before [combined with]
Mind, irritable, menses, before
Hiding: Mind, hide, desires to
Dyslexia: Mind, mistakes, writing [this was used because
broader and it includes the following two more specific subrubrics]
Mind, mistakes, writing, omitting letters
omitting words
Fear of losing control: Mind, fear, control, of losing
Alive/moving in abdomen: Mind, delusions, animals, of, abdomen,
in
Abdomen, movements, as of fetus
Mind, delusion, pregnant [these are small and can be combined]
Remedies from Repertorization of the above rubrics
Sulphur, Pulsatilla, Thuja, Calc carb, Ars, Lachesis, Ammonium carb,
Sepia.
Miasmatic analysis
The patient is sycotic as noted above.
Family miasm: no information given
Choose three, pick one
Lachesis matches in some ways: can be high energy, wild and vivacious,
with hormonal, acne and sex issues. Lachesis can be suspicious (which
might cover her belief that people are talking behind her back)
but we would not expect Lachesis to have such a negative body image.
If she stated that her PMS symptoms immediately got better as soon
as her period starts, we might take Lachesis more seriously. But
it doesn’t match the wide range of symptoms that Thuja does.
Thuja is not only is it the top sycotic remedy, but it best embodies
the desire to hide and the disgust for the body. As a sycotic remedy,
it will cover well all her specific sycotic conditions; as a hormone-balancing
remedy, it will cover her PMS and (eventually, although maybe not
right away) her amenorrhea. In addition, it covers her delusion
of something alive in the abdomen; her desire for tea; her hair
falling out; her fear of losing control; and her past history of
anxiety and depression. Almost every aspect of this case is covered
by Thuja. This is a real case and I chose it because this woman
was such a remarkable living example of Thuja.
Medorrhinum must also be considered for her. It does not show
up in the repertorization because it does not repertorize well (not
enough symptoms in the repertory). However, it matches her past
better than her present: her wild, drug-using, promiscuous, exotic-dancer
days. It shows up now only in her dress (black, showing cleavage,
tattoos, etc.) I expect that she will definitely need Med. at some
point.
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