Male aged 28 suffers with migraines and eye problems. These migraines are only of short duration and come on suddenly and only last around 30 seconds. He gets them 3 to 4 times a week and they come in short intervals. His eyes are always red and dry and they feel better from cold. His nose is always running slightly and he usually has a small cold sore in the corner of his mouth. Once a week he suffers with a sharp chest pain which is worse for deep breathing. After eating he feels bloated. He has a bowel motion every second day but if he overeats he will get diarrhea within half an hour. He urinates very seldom – often only twice a day. During exercise he gets bad cramps in his legs and his hands are always cold. The skin on his face is very dry and flakey and he has a number of moles on his back. He has a habit of constantly picking at his nails to smooth them – he can’t stand any roughness. He has difficulty sleeping and takes one to two hours to fall asleep – he likes to sleep on his back. Can get very hot in bed and gets extreme heat in his stomach which is better for cold. At times he has trouble turning off his thoughts. He can’t always remember his dreams and there are no real themes to his dreams. In regard to weather, he hates rain and thunderstorms, dislikes cold and likes warm weather with the sun out but cloudless. His perspiration is only slight with no smell. He fears public speaking, failure and unfamiliar social situations. When he is stressed he becomes agitated and feels frustrated. His passion is sailing and investing.
My friend gives her impression of him too. She says he is fastidious with his work and the way he keeps his belongings. Very shy in public but quite chatty in private (my observation is that he hardly ever talks in public). His father died suddenly in his teens and he is still finding it hard to overcome his loss – the death of his father overshadows their own life and he is obsessive about caring for his mother and not leaving her on her own.
FACIAL ANALYSIS (observing the shape, size and position of facial structure)
|YELLOW (psora)||RED (sycosis)||BLUE (syphilis)|
Lines beside mouth
Practising homoeopathy using facial analysis is much easier than trying to define essence or determining a deep interpretation of the patient’s state. This patient needs a red (sycotic) remedy as classified by the HFA (Homoeopathic Facial Analysis) system.
Common human condition (not included in the case analysis)
Fear public speaking, failure, unfamiliar social situations
Stress = agitated, frustrated
Dislikes cold and likes warm weather and sunny days
Dislikes speaking (social situations)
Grief – death
|Sleep – difficult falling|
Heat < bed > cold
|Migraines – sudden|
Eyes – red/dry > cold
Mouth – cold sore
Chest pain < inspiration
Diarrhoea < over-eating
Bloated < after eating
Limbs – cramps, cold
Skin – dry, moles
Picks at nails
Stomach flushes of heat
Like many cases there are a number of rubrics that can be selected. To ensure that the right remedy isn’t rejected too early in the analysis, choose 1-2 mind symptoms, 2-5 general symptoms and 1-2 particulars.
The correct miasmatic remedy will appear in a number of combinations of rubrics. Often another miasmatic remedy will appear too. Sometimes (based on the presenting totality) both will look equally as good and it becomes a matter of trial to see which remedy suits the patient most. In this case two red (sycotic remedies as per the Homeopathic Facial Analysis (HFA) system) were apparent. A third sycotic remedy was selected by some people and based on totality this remedy was quite close too.
The following rubrics were chosen. Of the five mind symptoms the correct remedy is found in all of them. However all rubrics have remedies that possibly should belong to them but don’t (didn’t appear in the proving or weren’t categorized to the rubric) and it is always safer to take a couple of rubrics from each section rather than one area of the case. As per Hahnemann’s direction – always consider the totality of a case. Repertorisation is a way of culling and sorting but we don’t want to throw out the right remedy by culling too much or not be able to see it through overloading and picking too many rubrics. Repertorising is about balance.
MacRep Complete 4.5
MIND; DEATH; thoughts of (58)
– This rubric is a circumstance rubric. That is it represents the energy of an impacting event that still dominates the patients life – the death of his father.
MIND; TALK, talking, talks; indisposed to, desire to be silent, taciturn (266)
– This man’s inability to speak in public is beyond just a natural fear of public speaking – he literally doesn’t speak unless asked a question
GENERALITIES; EATING; after; agg. (192)
– Two particulars are affected by eating – a good solid general to use
STOMACH; HEAT; flushes (177)
– There are a number of presenting symptoms that could have been chosen – the migraines, eyes, chest pain, diarrhea however this was chosen because its presentation was extreme.
BLADDER; URINATION; seldom (65)
– Again this symptom was chosen because it is unusual to urinate so infrequently
This repertorisation brings up the following remedies
Nux vomica, Puls, Ars, Acon, Arg, Lyc, Apis, Merc, Thuja, Aloe, Camph, K Carb, Verat, Chel, Dig, Op
The facial analysis is very important. It is concrete observable information that tells us that the internal vital force (miasm, survival instinct) is sycotic (red) and the BEST remedy for this patient must have the same dominant energy.
Of the remedies above only two belong to the sycotic (red) miasm (Homeopathic Facial Analysis (HFA) system)
Thuja and Apis
To differentiate between the two, further aspects of the case are taken into consideration.
Two symptoms stand out as belonging to Thuja
The moles and the rubric which covers picking at the fingers. This rubric was found through doing a search on “fingers” under Mind.
MIND; GESTURES, makes; grasping or reaching at something; picks at; fingers (17)
(only two sycotic – Homeopathic Facial Analysis (HFA) red – remedies are in this rubric – Thuja and Tarentula. Tarentula is not under consideration because it hasn’t repertorised in our overview of the case)
Thuja is chosen.
. I chose this remedy and gave the patient Thuja 30C to take daily. Within a week he was more relaxed, sleeping better, all head pain gone, eyes better, skin less dry, no stomach heat, no diarrhoea and no cramps. His wife was very pleased because their relationship became less stressful. He was pleased because his migraines and eyes plus other symptoms were so much better. He took his remedy every day because he recognized the difference it was making. After the bottle was finished (about 6 weeks) he took no more remedy and was well for another couple of months. Some eye symptoms returned so he took it again for another few weeks and they immediately improved again.
Thanks to everyone who sent their feedback about this case.
The first person to get the right answer was Ellen Kire (US) – Ellen practices using Homeopathic Facial Analysis (HFA). Ellen wins a copy of Grant Bentley’s new book Soul & Survival.
There were some answers where the totality was taken into account and another remedy chosen (Ars, Lycopodium and Arg Nit were all in the repertorisation). The process of totality was covered but not the miasm. These remedies are not regarded as sycotic in the Homeopathic Facial Analysis (HFA) system and although they fit the totality of the case, don’t fit the patient’s miasm. A totality remedy on its own can still affect an outcome but usually will not act on the total patient (energy, outlook, symptoms) or its action will be short-lived and/or won’t repeat when the symptoms return.
A number of Homeopathic Facial Analysis (HFA) practitioners answered the case. Most chose Thuja – with one choosing Apis and a couple Rhus T (both HFA sycotic – red – remedies). It is wonderful to see so many practitioners choosing the same remedy for a chronic case. This is much harder to achieve than with an acute case.
Thuja – 6
First to get the remedy right (winner of book/s) – Ellen Kire (US)
And others who chose Thuja
– Marjoleine B
– Leanne S
– Bev B
– Judy M
– Anne S
Rhus Tox – 2
Sepia – 1
Ars – 1
Arg Nit – 1
Lycopodium – 2
Nat M – 1
Graph – 1
Apis – 1
It is our ongoing aim to promote this system to the homeopathic profession; to bring homeopathy back to its roots of using observable information – objective rather than subjective analysis when considering the totality of both patients and remedies.
– HFA accepts and observes universal principles of energy and structure (the miasm)
– HFA gives practitioners consistent and reproducible results no matter how many years experience they have
– HFA means the right remedy is chosen within one to four remedies (once the miasm is correctly identified) in 80% or more cases
– HFA is homeopathy in action – observation and utilization of natural law
Victorian College of Classical Homoeopathy
For more information see