Clinical Cases

Revisiting: The Godfather, Part-II

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Revisiting: The Godfather, Part-II. Elaine gives the answer to last month’s quiz.

Does anybody remember last month’s quiz? Who could forget the case of “Mamie Eisenhower”? Here it is again:

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To read last month’s full case quiz. Visit – The Godfather, Part II

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Well, this case seemed to confuse everyone!  We basically got the expected food poisoning remedies like Arsenicum and Carbo veg. with two votes for Bryonia thrown in as well (probably because of the thirst and irritability), but let me explain why Bryonia is irritable.  It’s more that they want you to leave!  Your being there and asking so many questions (“How are you?  How do you feel now?  Is your stomach still hurting?”) only makes them worse because of the grand keynote of Bryonia which is: the slightest motion aggravates, and talking to you requires motion!  All they can do is lie perfectly still.  A Bryonia case of nausea would mean the slightest motion makes the nausea worse.  Even breathing sometimes makes them worse!   Every intrusion is a major aggravation for them.

Another big keynote of Bryonia is the sharp stabbing and stitching pains. “Mamie Eisenhower” doesn’t seem to have this problem.  I once knew I had a Bryonia stomach upset because I had so many sharp pains!  And the thing about it was, there was nothing I could do; rubbing didn’t help, bending forward didn’t seem to be an option; it was then that I realized, “All I can do is hold perfectly still!”  Bryonia!

Then there’s the extreme dryness of all the mucus membranes in Bryonia, hence the need to drink.  All things considered, this case does not have the feel of Bryonia.

Carbo veg.  In all honesty, we would want to see some burping, flatulence and bloating to make this elligible for Carbo veg.  In fact, even in heart and lung cases you might see burping and bloating.   I guess people picked it because of the shivering.  The peculiar thing about the Carbo veg. patient is that despite their chilliness, they want to be fanned.

What about Arsenicum?  Well, you can’t go wrong considering Arsenicum in food poisoning, but, here’s the problem.  This case has a mental concomitant: irritability.  Our remedy HAS to match that!  Did anybody read my article, “Acute vs. Chronic Remedies, the Hierarchy of Symptoms and the Kitchen Sink“?  (There’s a catchy title for you!)  There’s a hierarchy of symptoms we have to follow. The local symptom isn’t as important as the physical general symptom which isn’t as important as the mental/emotional symptom!  Why is that?  Because when you’re sick in a local area, you’re not as sick as you are when you’re sick IN GENERAL!  And we’re always aiming out remedy for the WORST thing in the case.  Now, what’s WORSE than a mental/emotional disturbance?  You know how bad it is when you have the flu, right?  Well, just imagine having the flu AND being scared that you’re gonna die!  That makes it, oh, so much worse!  If an illness has a mental concomitant, your remedy has to cover that–UNLESS, the mental concomitant is normal or common!  (“So-and-so has cancer, AND she’s depressed; so, we need a depression remedy!”  No, sorry, it’s quite normal to be depressed if you think you have a fatal disease!  What you need is a cancer remedy!)  But there is nothing about the flu, per se, that leads to being scared.  I’ve had the flu plenty of times with absolutely no fear whatsoever, making “fear of death” during the flu a super-characteristic symptom that the remedy would absolutely have to cover!

Here in this case, the irritability on the mental/emotional plane is not normal nor common. Not everyone with an upset stomach is irritable, it’s peculiar to this case; and the STRANGE, RARE and PECULIAR symptom in homeopathy, especially if it’s also the mental/emotional concomitant, trumps just about everything else!  

Now, since we know that this case has a mental/emotional concomitant and we know that the remedy has to match it, what is the mental state of Arsenicum?  Did everyone read Mati Fuller’s “You Try Living with Arsenicum!” from last month’s ezine?  Well, drop everything and read it now!  Arsenicum’s mental state is unmistakable!  You should familiarize yourself with it because you will definitely see these people, it’s a common picture in illness: They are anxiety-ridden, they’re afraid they’re going to die, they need you to stay with them and hold their hand, they’re restless, weak and, in a word, clingy!  There’s no sense of this in “Mamie Eisenhower’s” case at all.  They can also be very negative, judgemental and fault-finding.  You just want to get away from Arsenicum!

So, what did I do?  I looked at this case and I was bewildered!  I couldn’t see a whole picture, just bits and pieces of this and that…. So, I went with the hierarchy of symptoms.  I said simply, “I need an indigestion remedy that’s irritable.” Note: I said I needed an INDIGESTION remedy that is irritable.  You see, the “state”, or diagnosis, is higher in the hierarchy than the mental/emotionals.  We need a remedy, first and foremost, known to cause digestive problems in a healthy person.  If I had a heart patient who was irritable?  I’d be looking at the heart remedies and wondering, “Which one of these is irritable?”  The first thing that came to my mind, in terms of an irritable indigestion remedy, was Nux vomica!  I looked at the rest of the case.  Is Nux vomica chilly?  Yes, very chilly!  Is Nux vomica worse after eating?  Yes.  Is their digestion slow and sluggish?  Definitely.  Then, I remebered a peculiar symptom of Nux vomica: Sensation as if a stone in the pit of the stomach after eating!  That sounded very close to Mamie’s “rock” description!  OK in all fairness, Bryonia has that too!

So, I went with Nux vomica 30C and the whole thing went away, and she had been suffering with this for days!

Then, she said, “You know, if I could have thrown up, I’d have felt better, but I couldn’t; I’ve always been that way.”  Well, of course, if I had known that from the beginning, it would have made this case a lot easier.  “Wants to but can’t” is a keynote of Nux vomica; even in bladder infections where the person wants to urinate but can’t, where ever you see this, think of Nux vomica.

Katie came close enough in my opinion; here’s what she said:

Although repertorizing was overall steering me towards Nux Vomica, the following rubric caught my attention: “stomach, digestion, as if stopped” in Murphy – only Alumina and Kali Bi. were listed. The MM descriptions of Kali Bi generally seemed to fit: Digestion seems to have ceased; food lies in stomach like a load; great weight in pit of stomach. Highly irritating acid causing gastritis. Worse for eating; cannot digest meat. Irritable, ill-humored. Chilly, worse from cold. Nausea, headache. From Murphy – Nux V has pressure 2-3 hours after eating, but the effect is immediate with Kali-Bi (and Nux M).

Katie, see, here’s the problem. I’m not as smart as you are, so I picked Nux vomica!

Thanks, LOL. I was teeing off of Murphy’s rep at home. Now that I’m back at work I did a reverse rep in Kent on Kali-bi (didn’t have that link at home) and then took a look at those rubrics again in the regular Kent rep. I saw Nux V come up in rubrics I hadn’t see it in before. Still it was a chance to learn about a side of Kali-bi I didn’t know. I had only associated it with respiratory, spotty changeable pains, ropy discharges, etc. That is my main goal of working on the quizzes. Your write-ups are much more valuable if I have gone through the pain of trying to reason it out for myself. I was late getting into the meat of this quiz because I was inexplicably hung up for a while on the symptoms of teflon poisoning. [insert rolleyes emoticon here] Once I got past that silliness I was able to slowly lurch forward. K.

Other than Katie, Dr. B, our only winner was Gabi who simply said, “Nux”.

What are their prizes?

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This month’s winners will get a special 30% discount on one order of books from Hpathy Mall.Click Here for Prize Guidelines


Elaine Lewis, DHom, CHom.  Elaine takes online cases. Visit her website at: elaineLewis.hpathy.com

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:
https://elainelewis.hpathy.com/ and TheSilhouettes.org

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