Did anyone miss last month’s ground-breaking quiz? Say it isn’t so!!! OK, here it is again with the answer to follow:
Mom! It’s 2010! Time for the Quiz!
Is it 2010 already?
Yes, come on, Mom, it’s time to get up! You know how Dr. B hates it when the quiz is late!
When will it be 2011?
Who do we have this time?
Mom, it’s not looking good. We have a kid who’s afraid of rabbits.
We have a mass murderer, but he said the police were looking for him so he left.
And you let him get away? Now what are we going to do? We’re going to have to do your dysmenorrhea case again!
Mom, again?! And what’s dysmenorrhea anyway?
Geez! People are going to think I have cramps every month!
OK, so, the problem is, I don’t remember anything about it; when was it?
Can you fill me in on what happened?
OK, Shana. You woke up with cramps, the usual cramps you have, sharp pains, you asked for the hot water bottle, we tried Viburnum, it didn’t work; we tried Kali carb because it used to work a long time ago, it didn’t work; we tried Cimicifuga on the off-chance that it would work–it didn’t; the only thing I remember that was striking to me was that you kept getting up to go to the bathroom! You must have gotten up five times if you got up once! I finally got up to look and your stools were very loose!
That was it! I got no other information from you! You answered “I don’t know” to everything I asked–the way you usually do!
So, what remedy did you give?
That’s what THEY have to figure out!
Oh, right! Ha-ha! Silly me. OK, everybody, what remedy saved the day for me? Write to [email protected] and let us know. We’ll see you here next month for the answer.
And the winner is…… (drum roll, please!) Veratrum alb.! And that’s the remedy that got the most votes, so, a lot of you weren’t fooled.
Let’s see what ezine reader Isabella had to say:
Hello and thank you for the article on acute prescribing in the January edition of Hpathy.com which was great fun to read.
You are right, I never look at the quiz but promise that from now on I will turn to it first thing.
[Finally, a discerning ezine reader!!!]
My reply to this month’s quiz : Arsenicum
Abdomen, Pain, menses, during
Rectum, Diarrhoea, menses, during agg
Female, genitalia, Pain, sharp
Generals, Warm, applications, amel
Mind, Answering, refusing to answer
Hi Isabella, it’s great having you in our hpathy quiz family! Arsenicum
is a very good choice, actually; it came up 3rd in my repertorization:
As you can see, kali carb came up #1 but we had already tried it, so, the remedy that worked was Veratrum, which came in 2nd. For me, it was simply a case of dysmenorrhea with purging. Veratrum is famous for this purging thing. As soon as it hit me that she was making numerous trips to the bathroom for pooping, I went right with Veratrum, I didn’t even look anything up! The hot water bottle didn’t actually ameliorate, it was just a desire for it, so, I used “desires warmth”.
This is from Allen’s Keynotes under Veratrum alb:
“Dysmenorrhoea: with vomiting and purging”
So, thank God there was no vomiting but it may have come later if I hadn’t found a remedy right away.
Thanks for participating, Isabella!
“Anonymous” wrote the following:
Here are the answers
Following Rubrics might be considered for the above acute case of dysmenorrhea
Rectum Diarrhea – menses during
Rectum Diarrhea -accompanied by painful menses
I think the remedy is Veratrum Alb, which has this peculiar symptom of painful menses accompanied by diarrhea.
Thank you, Anonymous; you are absolutely right.
Let’s see, who else do we have? Lucio had the right answer but wanted to know if you can eliminate a remedy because of what ISN’T there? Here’s what he says:
If I can have an “eliminative sympt”, can I have also a “eliminative absence of a sympt”? For example, give Acon in a no-agitated patient. And how can I see the picture of the remedy if the picture show a Verat violent, with profuse sweats and so on ? (here I have only 2 sympt of my image. I can add only the fact that is normal for Verat desiring something hot on the abdomen, because he is normally so cold)….
Lucio, I don’t believe you can have an “eliminative absence” of a symptom. How often have you given Rhus tox to a patient with NO rash? Often, I would think. You mentioned Aconite in a patient with no agitation. What if all you’ve got is “ailments from cold dry winds”? That’s enough reason right there to give Aconite.
OK. Picture of our remedy: Veratrum alb.–violent, restless, big ego, fruitless activity, haughty, deceitful, worries about losing his position–this is the constitutional Veratrum; but, we do not have a constitutional case before us! We have an acute case. We have no mentals here! Everything is on the physical plane!
You know, when we give Belladonna for a sun headache, we don’t say, “But where’s the Belladonna delusion that bugs are crawling on the walls?” When we give Drosera for whooping cough, we don’t say, “But where’s the Drosera delusion of persecution or fear of being alone?”
The fact is, in this case, we have no mentals. So, the fact that Shana doesn’t match the mentals of Veratrum alb. doesn’t matter. If we DID have mentals in this case, then, above all else, the remedy would have to match the mentals!
If Shana had dysmenorrhea with a cross, angry disposition, we couldn’t say, “Oh! Diarrhea with menses, let’s give Veratrum!” No, whatever we chose would have to match that mental picture! So…..because we have no mentals here, all we have to do is find a remedy known for the physical symptoms. As you can see, Veratrum is the main remedy in the rubric, “diarrhea with menses”. Bovista is also there in bold but, Bovista is only a 1 for Dysmenorrhea! So…. Bye-Bye Bovista!
Lucio also asked, “Is the title itself a hint?”
No. Kids hardly ever know anything! “I don’t know”, “I don’t know” is all they ever say! But Lucio wasn’t fooled:
But you said that “I dont know” is her USUAL answer. So I didn’t considered it.
Yay!!! Good for you, Lucio, shows you are thinking!
So, Dr. B, I think it’s time to congratulate our winners:
Congratulations go to Janet, Sharon Lewis, Dr. Nishita Gupta, Lucio and Anonymous.
See you back here next month, gang, and thanks to everyone who voted!