Case Quizes Clinical Cases

Revisiting: The Pain Has Stopped Me Completely!

Shana on her way to Chatham

Revisiting: The Pain Has Stopped Me Completely!. Elaine gives the answer to last month’s quiz.

Hello everybody! It’s time to revisit last month’s quiz, does anybody remember it?  Here it is again with the answer to follow:


To read last month’s full case quiz. Visit – The Pain Has Stopped Me Completely!






Kali carb.


Maryam from Pakistan writes:

Hi Elaine!

Hope you are fine!

So far, so good.

How is Shana?

She’s still an expensive baby!

Your “Hot Seat” interview from February was very interesting!

I liked it a lot. And after reading it, I wished that I could take your interview and ask soooooooo many questions…

Feel free to ask!


I must come to the point.

Well…if you must…..


I think the very first remedy in this case would be Arnica. Because of injury by a fall and very painful site and very sensitive to touch.

But the case did not get treated at that time with arnica so now other symptoms are developed which do not signal towards arnica. Am I right or wrong?



Now some very striking symptoms are:

1. Very painful shoulder,increasingly hard to move.(Means aggravation by motion, right?)



2. Pain only subsides after a quiet rest. (ameliorated by rest)

3. Slightest movement in wrong direction makes me cry.(Aggravation from slightest motion)

4. Aggravated by heat.

5. Aggravated in the morning.

6. Don’t want to do any thing.

7. Does not put on clothes without help because of motion aggravation.

8. Despondency and cry with pain.


And this strong aggravation from motion points to Bryonia.

Yes, it certainly does! That was the first remedy I gave, and it did some good but not enough.


Also Bryonia has inflammatory condition anywhere about the body particularly fibrous tissues and ligaments of joints. All the symptoms are aggravated by motion, every movement is painful. Wants to lie still on bed. Pt is also irritable and very thirsty.

And according to Kent: Bryonia is often indicated in INJURIES OF JOINTS WHERE ARNICA WOULD BE A FAILURE.

So I think the right remedy now is Bryonia.

But one thing bothers me, that she is better in company and Bryonia is not so much.

Aha! You have stumbled onto something that would make us think twice about Bryonia! What else goes against Bryonia? She’s worse pressure!!!! Is Bryonia worse pressure? Oh no, quite the opposite! Another thing I wondered about–so much crying!!!! Does Bryonia cry? I would think they would be worse crying, because they’re worse for the slightest movement, even talking; that’s why they’re so grumpy and won’t answer questions. I checked the Bryonia materia medica and couldn’t find a single word about crying. So, we have mentals here in this case–crying–and when a case has mentals, the remedy has to match that. Bryonia, apparently, doesn’t cry; so, this makes us really wonder about Bryonia!

Now, a caution. When I say a remedy has to match the mentals in a case, we have to be careful. The mentals have to be characteristic! Now what does that mean? What is a characteristic symptom? Do you know? Let’s see….A characteristic symptom is:

1. Peculiar — unexpected, given what’s wrong; like, a fever without thirst. You wouldn’t expect that. Is thirst with a fever worth repertorizing? No, because it’s common; UNLESS, it’s extreme; OR, a keynote of a remedy–like Arsenicum’s thirst for only sips at a time.

2. Striking! — “A little bit irritable”, “somewhat depressed”, isn’t worth repertorizing.

3. A keynote of a remedy. We’ve already given the example of Arsenicum’s thirst for sips at a time; but, what else? Well, since we’re talking about Arsenicum, what other keynotes does Arsenicum have? Pleading with people not to leave would certainly be one of them, and something we’d jump on right away! Arsenicum’s pleas for reassurance, and yet he or she is never reassured; that’s another one! Or Arsenicum’s fastidiousness–asking that pictures be straightened or lint be picked up off the floor, or rugs straightened, etc., or Arsenicum’s accusations that people are stealing from him–the nurse is stealing, so-and-so is stealing–should make us consider Arsenicum right away! These are all Arsenicum keynotes.

So, here, in Gabi’s case, the crying is quite striking, isn’t it? In fact, it’s quite excessive! Our remedy would have to have crying with the pain!

So, here’s the thing, this case makes me look very smart; but, I’m not really that smart, because Miranda Castro had this exact same thing happen to her and she presented it at a case conference and I happened to buy the conference tape! Now, if you want to call me smart for buying a zillion case conference tapes…then I plead guilty! So Miranda had right shoulder pain that was extreme, couldn’t find relief in any position no matter what!!! So, she repertorized the only symptoms in the case she could be sure of, namely: Shoulder pain and Pain, worse motion. She looked up all the top remedies in the materia medica and chose —ta-da–Ranunculus Bulbosus!

Now, here’s the thing with small remedies–they’re under-represented in the repertory! You’ll never find them by repertorizing; even though, in this case, you will find Ranunculus in a lot of the rubrics in Gabi’s case, namely:

1. motion agg.

2. touch agg.

3. morning agg.

4. thirst

5. shoulder pain

6. shooting pain

7. desire for company

8. pressure agg.

9. depression

Not bad for a small remedy, right? But, what did I find in the Materia Medica (Murphy’s) under Ranunculus that I didn’t find in the repertory? “Pain extorts tears”! OMG! The most characteristic symptom in the case, and I found it!

The first words I read under this remedy were, “Ran-b. is a painful remedy.” Now that’s an understatement, but there it is; and pain was what this case was all about! It’s a big remedy in shingles; but, as you can guess, the shingles rash is VERY painful!!!!!!

So, when you think of Ranunculus, think of pain that’s like Bryonia, only worse!

I found this in Murphy’s:

“The Ran-b. pains are stitching, stabbing, shooting, extort tears with shuddering, cannot rest in any position. Burning, biting, bruised soreness or as of deep ulceration. Sore spots. Neuralgia. Sudden weakness and fainting. … Sensitive to air and touch.” So, there you have it, ladies and gentlemen, Rancunculus Bulbosus!!!!!!

Thank you Elaine!

You are really a good teacher.

I is?


Actually, if you repertorize this case, even using only the rubrics that Ranunculus is in, it still comes out to Bryonia!

Revisiting: The Pain Has Stopped Me Completely! 1

So, I think we should give our Bryonia voters a round of applause: Maryam, Faiz, Abeer, Elisabeth, Mahbub and Maria! Good for you!!!!!

See you back here in April for another exciting Hpathy Quiz!

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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