Who remembers last month’s spell-binding Halloween quiz? If you’ve forgotten it, here it is again with the answer to follow.
To read last month’s full case quiz. Visit – Halloween Remedy Casts Kellys Toothache Clear To The Cosmos!
OK! So, how exactly did we do? Remember when we were here a month ago discussing the Gelsemium “Mission Impossible” case? Remember I said to our friend Rajiv that the mistake he made was repertorizing? Well, this is a perfect example of a case that DOES need repertorizing, but oddly enough, no one did! The votes I got were mostly for the common mouth and teeth remedies: Mercury, Silica, Hepar….
It’s understandable that people would gravitate towards these remedies but when we’ve got a case consisting mainly of local symptoms, all with equal value, repertorizing is essential because there is no etiology, no strange/rare and peculiar, no mentals, no generals, no concomitants and no keynotes of a remedy. It is incumbent upon us, therefore, to repertorize! There is no way for us to “intuit” a remedy here, there is no remedy picture, there is no “essence” to capture our attention, and the state (tooth decay) covers so many remedies, over 100, that we’re not going to get any help from that angle either.
So, in a case like this where you have to repertorize, you will be shocked when you see the remedies that come up! I remember repertorizing a toothache for myself once, only to have the remedy turn out to be Rhus tox! I said, “What does Rhus tox have to do with a toothache?” But it worked! The remedy that worked for Kelly will astound you too!
But what is the case here, that is the question! There is really not a lot to go on! There are only four symptoms really. Putting them into Repertory language, they are:
- Teeth, pain, toothache, chewing, from.
- Teeth, pain, toothache, hot food, from (I combined this with: Hot drinks agg.)
- Teeth, pain, toothache, cold, from anything
- Teeth, decayed
That’s it! Stated simply in layman’s terms: toothache from tooth decay: worse chewing, worse heat and worse cold. Some of you felt it was much more than that! Examples of symptoms you wrote down were:
Slow onset, night time agg., morning amel., inflammation of roots of teeth, pain extends to temple, etc.
In fact, there were so many symptom-suggestions that I feel compelled to begin a section called:
Things Worth Ignoring!
First of all, if your symptom is based on an assumption or a conclusion you’re drawing, like “inflammation of roots of teeth”, don’t use it. Kelly never said that. She also never said that her toothache extended to her temple, nor that rubbing helped her toothache, nor are we really sure that her headache had anything to do with her toothache at all as it seemed to disappear before the toothache became severe; so, I ignored the headache completely.
“Slow onset” is irrelevant here as tooth decay is a slow process by definition.
Some people thought Kelly was “confused” because she said she was “confused” by the presence of pain after initially feeling better. When confusion is normal, it’s not a symptom!
Some people thought that Kelly had actually written emails threatening to kill me; hence, the remedy Mercury (desire to kill). I’m ordering you people to get counseling!
Some of you thought that because the case started with, “One sunny yet bleak afternoon…” that one of the symptoms was,”sun aggravates”! (For heavens sake, people!)
Finally, large rubrics like “night time agg.”, with 250 remedies, isn’t going to help your effort in the least. I’m not even sure that this was part of the toothache anyway.
When looking for rubrics, don’t forget to find the MODALITIES–the things that aggravate and ameliorate the patient. Notice how our rubric choices here in Kelly’s case consist almost entirely of modalities! Make sure your patient understands what sort of information you’re looking for when you say, “What makes your complaint better or worse?” You’re interested in the aggravation time, the weather, temperature, motion/lack of motion, position of body, stimuli like: noise, conversation, touch, pressure, music, light, darkness, company, sympathy, food and drink.
For instance, let’s say a person tells you he has a horribly itchy rash. Your first thought should be, What are the modalities? Better for hot bathing? Cold bathing? Heat? Cold applications? Humidity? Scratching? If the patient says, “Oh, I’m sooooo much better for hot applications, as hot as I can stand it!” there you are at Rhus tox, already! You could never give Apis to this patient, nor Sulphur! They’d be so aggravated, so much worse for heat! Don’t give a remedy that contradicts the modalities! Don’t give Sulphur knowing they’re better from heat! “He seems like a Sulphur: a bit of a slob, kind of bossy, likes sweets, sweats a lot…sure he’s better from heat and Sulphur hates heat, but, that’s just one symptom, all the rest seem to fit!” No, the “rest” could fit anybody! The only significant symptom here is “eruptions, itching, better heat”, which makes Sulphur a really bad choice!
Kelly’s bad tooth was on the right side, but don’t say, “I’m going to use the rubric, “Right-sided complaints” because of that. Sides of the body are important but not in this case. For all we know, she might have more bad teeth on the left side; and let’s face it, she probably does!
What’s “peculiar” is important; if the patient’s symptoms are common for the disease, that will not help you narrow down your remedy choice.
If your symptom is common in general, like “better from sleep”; this will not help you. Who isn’t better from sleep? However, if your patient is worse from sleep? This is peculiar and worth repertorizing.
If you spot remedy “keynotes” in a case, that’s very important! Robin Murphy used to say, “If you see a keynote of a remedy in a case, give the remedy!”
So, I repertorized the only symptoms that appeared to be in this case (again: toothache worse chewing, worse heat and worse cold and tooth decay thrown in for good measure), and here’s what came up:
Kali carb., Phosphorus and Carbo veg.
Carbo veg? Yes, Carbo veg! And that was the remedy that worked! Can you believe it? Carbo freakin’ veg!!!!!! What can I say?
Dr. B, nobody won this time, but I think we may have encouraged people to try homeopathy the next time they have a toothache.