Case Quizes Clinical Cases

Revisiting: Pain Fest!

lewis sept image

The answer to Elaine’s quiz of last month demonstrates the importance of asking the right questions.

To read last month’s full case quiz. Visit –  Pain Fest!


















Nux vomica

Look at all the people who voted! Wow! Thanks, everybody! The consensus seems to be for Mag-phos, but, is that really the one? Do we have a caller on the line?

Hi Elaine,

Hi Vamsi.

Another quiz, i am excited to solve it.

You’re here first this time!

Ok here goes the symptoms as described.

1. Cause – Menstrual cycle.
2. Sufferings – Lower abdominal pain and Backache. Headache (Throbbing in abdomen and temples.)
3. Amelioration – By “pressure” and by “Very cold drinks”

Cramping pains during menstruation, Abdomen Pain ameliorated by pressure. (Magnesia Phosphorica )

There was no mention of amelioration of headache – Is it better by tying up with a bandage or by warm application? (if it goes with the two mentioned here then it would be Magnesia Phosphorica )

I guess the person said amelioration by pressure for the stomach ache, probably it applies to the headache also.

No, no, you can never assume that! She simply didn’t answer for that; I have to tell you, originally, for the answer to the Modalities question, the husband said there were no modalities! I would not accept that!!!!!! I said, “I’m sorry, but that is not possible!” And then he came back with the abdomen better pressure. I am telling you, Vamsi, case-taking is not the easiest thing in the world.

Good point.

Now we have better by Cold drinks as well. (Could be Phosphorous also, but no mental symptoms, rules out Phosphorus )

No; listen, don’t rule out a remedy because its mental symptom isn’t there. It doesn’t have to be there if the case has no mentals! There are no mental symptoms to match here!

No mental symptoms.

The remedy is ” Magnesia Phosphorica “. Please let me know.

Well, it’s true that Mag-phos. is our “go-to” remedy for menstrual cramps, and mag-phos. IS better from pressure; but, a very important symptom in this case is Throbbing Pain, and Mag-phos. just isn’t listed for that! What else goes against Mag-phos here? Do you know? The patient is better for cold drinks and Mag-phos is not better for cold at all. Quite the opposite. Everything about mag-phos is about warmth–better warm drinks, better warm applications. Here, however, we have a desire for cold drinks, so, we have to eliminate Mag-phos. Thanks for voting, Vamsi!


Hello, is the caller there? You’re on the air at!

Hi Elaine!

Hi Maria!

My vote for this month is Belladonna.


The throbbing pains, thirst and pressure amelioration seems to fit.

Actually, Belladonna tends to be worse for pressure for the most part. That’s because they’re so congested–hence the throbbing. They also tend to be thirstless. It’s a rabies remedy, remember; hydrophobia, fear of water. Also, Belladonna acutes tend to be sudden and urgent; but, the husband reports that his wife’s energy is normal and she’s acting normal and not saying anything out of the ordinary; so…….I don’t see the urgency associated with most Belladonna cases.

If I am wrong I’ll give it another shot 😛

I didn’t get this remedy by keynote prescribing, as you just did (throbbing = Belladonna), I had to use the repertory. What’s the most characteristic symptom in this case? And what’s the rubric for that?

Thirst during menses? I made the mistake and chose: “Food – THIRST, general – menses, during“, 15 remedies in it, I overlooked the “thirst for large quantities” subrubric which has only Sulphur and Nat-mur!

So in throbbing pains a 3 indeed!

So, I found the rubric “Back – PAIN, back – menses, during
84 remedies, not very helpful but only 3 remedies are in 3rd grade and Sulph. is one of them.

See how everything is falling together?

Then I found only “Abdomen – PAIN, abdomen – menses, during”
105 remedies in it, not helpful at all.

No, it is helpful. That is the rubric! Every rubric in a case isn’t going to be a small rubric, BUT, they can’t ALL be large, is what I’m saying; you should attempt to look to see if there isn’t something more specific than the super-large rubric. Scroll down and check the subrubrics, consider related chapters, like the way the “thirst during menses” wasn’t in the “Female” chapter at all, as you might expect. It was in the “Food” chapter (Murphy’s Repertory). “Food: thirst, menses, thirst for large quantities”. And what happened? We found something very unexpected: 2 remedies! Sulphur and Nat-mur! Who’d have thought? And look at this:

Revisiting: Pain Fest! 1

Sulphur covers the whole case! What are the elements of this case?

1. Headache in temples

2. Headaches, Pulsating

3. Thirst for large quantities during menses–This was the most characteristic symptom, along with the throbbing sensation and better for pressure.

4. Pressure amel.

5. Menses, dark

6. Menses, profuse

7. Back: pain, menses, during

8. Generals: throbbing

9. Abdomen, pain, menses, during

10. Food: cold water, desires

Now, this came as a complete surprise to me! If I hadn’t repertorized, I never would have guessed Sulphur! And how do you find the elements of the case in order to repertorize? The Questionnaire!!!!! Do you think your patient is just going to just GIVE you this information, that if you let her ramble on she’s going to magically say, “Better pressure”, “Thirst for cold drinks”, “throbbing pain”….no, don’t be ridiculous! And how are you going to know when you’re done taking the case if you just let your patient ramble on? It doesn’t sound like a very efficient way of doing things. You need the questionnaire! Here’s a link to it:

And now, to help us announce our winner, we have Lisa Simpson on saxaphone:

Revisiting: Pain Fest! 2

And the winner is……..

Vasiliki !

September 28, 2012

Dear Elaine, with a first look the case seems to need Phosphorus because of bleeding in combination with thirst for cold water. Using my repertory I found out that Sulfur and Pulsatilla have a predominant position. So I will vote Sulfur. We thank you once more. Regards.

So there you have it, ladies and gentlemen! Be sure to try your luck with this month’s quiz and we’ll see you back here again one month from today!

Bye-bye, and have a safe trip!

About the author

Elaine Lewis

Elaine Lewis

Elaine Lewis, D.Hom., C.Hom.
Elaine is a passionate homeopath, helping people offline as well as online. Contact her at [email protected]
Elaine is a graduate of Robin Murphy's Hahnemann Academy of North America and author of many articles on homeopathy including her monthly feature in the Hpathy ezine, "The Quiz". Visit her website at: and

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