So Elaine, despite having read all your articles for the 1,000th time….
Not too many people can say that.
I’m still having horrible trouble with figuring out what should and should not go into a repertorization; moreover, how specific of a rubric to choose for some things. Like for example: lets say we’ve got a patient whose chief complaint is eczema that is showing only on the back and lateral side of his right hand. However, after looking over all the other info I notice he has obvious signs of warts that were cauterized off, hay fever that is primarily expressing via the right nostril that is aggravated by cats, (eczema also < cats.) has wild impulses to kill people, depression problems, impulses towards infidelity that upset him coupled with lack of desire for his wife, fear of the dark, loss of appetite, right shoulder pain like a knife is stuck in it, and I can pin down NWS domination by parents and delusion that someone is behind him.
Marlon (The Confused)
Oy vay!!!!! First of all, you need a timeline. What if the eczema is very severe, the most recent symptom, and consuming the patient’s entire time, energy and attention? You would be wondering, “How did this happen? Is this the result of some drug he was taking, some side-effect? Was he given antibiotics or did he use antifungal cream for jock itch and then, lo and behold, now he’s got eczema? Was he swimming in an overly-chlorinated pool (because chlorine can cause this)?” This is what you have to find out, because, in that case, I wouldn’t care about any of the other fascinating stuff in the case, I would start asking:
“How long have you had this? When did it start? Tell me everything you’ve been doing around that time that could possibly explain this–drugs, ointments, creams, nasal sprays, vaccinations, exposure to allergens, toxins? Anything?” If nothing, then I would say, “OK, so this has been going on for [X] months? I want to know everything that happened [X] months ago, what changed in your life, new job? New house? New pet? New hobby?” Maybe the person will say, “Well…..I do remember having a relationship with a certain female who, it turned out, had a certain infection, and I remember I had to take a certain antibiotic….”
“What antibiotic?” I would say.
I would then look up the side effects of the antibiotic and bingo! there it would be–the eczema! His remedy then? Antibiotic 12C once a day for three days, then report back. Or report back sooner if there’s an aggravation. So, that’s how I would start such a case.
Now, let’s say the eczema isn’t that bad, doesn’t seem to be his biggest, most limiting issue; in fact, the biggest issue seems to be on the mental plane, and on the mental plane I hear a KEYNOTE of a remedy! Delusion: someone is behind him–Medorrhinum! (the main remedy) and I look back at the other symptoms in the case and I ask myself, does Medorrhinum fit this case? Well, it certainly does! You can see this is the sycotic miasm. Warts? Infidelity? Impulses? Extremes of behavior? It all looks like Medorrhinum to me!
You see, the delusion is the top of the hierarchy (unless you have a compelling etiology [cause] which we don’t seem to have here). Ideally, you’d like to start at the top of the hierarchy and work down. You’d like the remedy to cover the delusion and then as many of the other symptoms as possibe, rather than the remedy covering as many symptoms as possible but not the delusion or the peculiar mental symptoms. This is actually an IDEAL case because Medorrhinum seems to cover EVERYTHING!!!!!
Still, you never really know without taking a full case. All I have is what you’ve presented. What if he’s thirstless? OMG! That would certainly make me think twice about the thirsty-for-cold-drinks Medorrhinum. What if there was no night time amelioration or no amelioration at the sea, no aggravation from damp weather, no desire for sour fruit…OMG, that would make me have to rethink the whole case!
So, I can’t tell you how important it is to take a complete case. Dr. Luc, in the back of Hahnemann Revisited has questionnaires that you can xerox and use as your own. Generally, when you suspect a remedy, the way I suspect Medorrhinum here, you open up your Morrison’s Desktop Guide, you go to Medorrhinum, you scroll down the page and you say to your patient:
1. How do you feel at the ocean?
2. What’s your best time of day? When is your energy at its best?
3. Are you thirsty? For what? Do you want your drinks with ice? Do you want ice all by itself?
4. Is there any fruit you happen to love?
5. Do you tend to bite your nails?
These are called “confirmatory” questions. You’re asking these after you already suspect a remedy or you’re trying to decide between two or three that look good. In this case, what else would we be wondering about? Mercury (impulse to kill), Fluoric acid (infidelity, no desire for the wife), Lachesis (delusion someone is behind him, deceitful, aggressive tendencies)…. Now, you used the phrase “wild impulses to kill”. “Wild” is a Medorrhinum word. Morrison says, “wild feeling in his head”. Murphy uses the phrase, “wild child”. When I see “wild”, I think of Medorrhinum. Does this help?
YES, that does help quite a bit. Thank you.
Where I get confused here is when deciding what gets the NWS focus (the etiology). IMO, I would look at the perplexing mental/emotional issues as the big deal (esp considering these things are coming from a very devout religious man) and would pin them on domineering and abusive parents.
Now wait a minute! A Medorrhinum child is not an easy child! The parents may have been desperately trying to establish rules! You know, not every case will have a compelling etiology (NWS). Think of a case like a coconut. You’re feeling around the coconut for a soft spot where it will crack open. You’re feeling around–etiology? No, won’t crack open. Local symptom presents with a complete remedy picture? No, not this time. Exposure to a toxin? No again. A specific diagnosis like “German Measles”? No. Totality of symptoms where one remedy covers every symptom in the case? Yes!!!! Finally the case cracks open! In fact, amazingly, this case has innumerable super-keynotes for just one remedy–Medorrhinum! So, this case actually cracks open in numerous locations: Delusions, remedy keynotes, totality of symptoms, single-remedy rubrics….Wow!
So the revelation of what Morrison’s is for is actually big news to me.
Yes, Morrison’s is a confirmatory Materia Medica.
Makes so much more sense. So I got it out and asked the patient the questions. The food question is tough because he’s a gourmet chef and likes EVERY food. Plus, its been drilled into him how bad cold drinks are, so, craving cold drinks doesn’t really happen. Here are the answers:
1. How do you feel at the ocean?-“Awesome”
Great, we’ve got confirmation!
2. What’s your best time of day? When is your energy at its best? “Morning and late night”
We’re OK with that answer. Medorrhinums are better at night.
3. Describe your thirst.-“No strong desire to drink”
We’re not crazy about this answer; but, we’re not going to get hysterical about it either.
4. Are you thirsty? For what? Do you want it with ice? Do you want ice all by itself? “Not particularly, but want ice cream. Esp Mint choco chip”
OK, good answer.
5. Is there any fruit you happen to love? “citrus, peaches and watermelon”
Good, we got the citrus we wanted.
6. Do you tend to bite your nails? “I dont bite my nails”
Answers from Q’s I added:
+likes unripe bananas
There’s your desire for unripe fruit Medorrhinum is so famous for!
+constant clearing of the throat (my observation)
Yep! That’s a Medorrhinum keynote!!!!!
-loves eggplant at all times (there goes the curve…)
Medorrhinum is the ONLY remedy listed under “desires eggplant”! (Murphy’s)
+has to uncover feet in bed
That’s another Medorrhinum keynote, they have very hot feet!
-not craving animal fat like usual
But apparently used to? That’s good enough.
+He goes to extremes in pursuit of things
Another Medorrhinum keynote.
+Desires to experience everything. Very adventurous
Another Medorrhinum keynote.
So it kinda looks like Medorrhinum to me (granted I havent repped this out….)
No, no, no, you don’t repertorize this case!!!!! Listen, the repertory is NOT complete! It’s not as though every symptom of every remedy has found its rightful place in the repertory! When you get this much confirmation for a remedy? Your work is done! (But, even having said that, this case would easily repertorize out to Medorrhinum anyway!)
…just engaging in the exercise. So how strong of a resemblance to the suspected remedy is strong enough?
Are you kidding? You’ll never get this kind of confirmation again if you live to be 100!
Are you willing to overlook things like he’s not particularly thirsty because a bunch of other things line up?
I am completely willing to overlook that!
And are you especially focusing on the symptoms with the little dots next to them since they are the official keynotes? (I went a little broader than that)
Marlon…… Just give him the remedy!!!!!!
Elaine, huge bullseye on the Medorrhinum for my friend. Good stuff. He and I thank you. 🙂
He’s reacted extremely favorably. Like total cessation of all mental symptoms. Interestingly, one of the other people in our office does a lot of massage with this topical stuff that’s like pure camphor (I could kill him for this, of course) and patient got a whiff of it and it instantly antidotes! Said he could feel a mental “click.” Gave him a redose (split dose of course) and right back on track!
Wow! How long did it take for the remedy to initially act?
Complete cessation within an hour or so.
Really? What about the eczema, remember? The chief complaint?
Eczema practically evaporated.
Oh my God!
That’s just what he said!
That poor man has been tormented by all those things for a loooong time. Glad to see him improving.
So get this: our Medorrhinum patient reports today a dry, scaly, eczema-like eruption on his, err…”member”.
I hate it when that happens!
He said it’s completely new for him and went away in a few hours. Think it was an exteriorization?
Thank goodness it’s gone and he didn’t run out and buy suppressive creams which would have thrown the case right back to the mental plane! Yes, it probably was an exteriorization of symptoms–a good sign, as Dr. Hering would say; modern medicine has no concept of Hering’s Law of Cure, and because of that, suppression is all they do! (It’s probably best that you not get me started….)