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en:misc:prize-case-solution [2013/02/26 08:42]
legatum
en:misc:prize-case-solution [2013/02/27 09:36] (current)
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-First, I need to admit, the case was perhaps not as clear-cut as I first thought it was. When I originaly took it (by phone), given the specific character of the symptoms, I decided to skip the repertorisaton and proceeded with a direct search of materia medica for a few minutes, decided on a remedy and called it a prescription. The remedy worked just fine, cleared the symptoms in less than 24 hours((If I remember correctly, the patient took the remedy in the afternoon, and the symptoms were all gone in the morning, but there appeared a new curious symptom (which I do not remember) for which I prescribed, but the patient did not take the remedy and it disappeared by itself till the afternoon.))+====== THE SOLUTION OF THE PRIZE CASE ====== 
 + 
 +First, I need to admit, the case was perhaps not as clear-cut as I first thought it was. When I originaly took it (by phone), given the specific ​[[http://​www.legatum.sk/​cgi-bin/​dada/​mail.cgi/​archive/​lhgen/​20130130093004/​|character of the symptoms]], I decided to skip the repertorisaton and proceeded with a direct search of materia medica for a few minutes, decided on a remedy and called it a prescription. The remedy worked just fine, cleared the symptoms in less than 24 hours.((If I remember correctly, the patient took the remedy in the afternoon, and the symptoms were all gone in the morning, but there appeared a new curious symptom (which I do not remember) for which I prescribed, but the patient did not take the remedy and it disappeared by itself till the afternoon.))
  
 That being said, when the solutions started to come, I started to worry. ​ That being said, when the solutions started to come, I started to worry. ​
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 It's surely an understandable choice, but the well-known aggravation of Bryonia by motion, is a trap here, which prevents us of thinking about many other remedies and after justifying that yes, Bryonia "fits the case", we recommend it. But the level of similarity is far from satisfactory here and I very much doubt we could expect a happy result from its application in this case. Why? It's surely an understandable choice, but the well-known aggravation of Bryonia by motion, is a trap here, which prevents us of thinking about many other remedies and after justifying that yes, Bryonia "fits the case", we recommend it. But the level of similarity is far from satisfactory here and I very much doubt we could expect a happy result from its application in this case. Why?
  
-   - Amelioration by pressure is not an important symptom -- firstly, the headache is only **somewhat** amel. by pressure (i.e. not by much) and secondly, this is a very common symptom in congestive headaches ((there is a pressure from inside the veins, so you tend to press back / hold your head to balance it)), and this is obviously a congestive headache, given the connection between heart action and headache -- which was ignored by Bryonia prescribers.+   - Amelioration by pressure is not an important symptom -- firstly, the headache is only **somewhat** amel. by pressure (i.e. not by much) and secondly, this is a very common symptom((read [[en:​misc:​questions-for-andre-saine#​qas4|André Saine'​s explanation on common and characteristic symptoms]])) ​in congestive headaches((there is a pressure from inside the veins, so you tend to press back / hold your head to balance it)), and this is obviously a congestive headache, given the connection between heart action and headache -- which was ignored by Bryonia prescribers.
    - This leaves us with throbbing headache in the forehead, agg. by motion -- a symptom shared by many remedies i.e. not specific enough.    - This leaves us with throbbing headache in the forehead, agg. by motion -- a symptom shared by many remedies i.e. not specific enough.
    - But most important point is that the //peculiar symptoms of the case are not covered by Bryonia//.    - But most important point is that the //peculiar symptoms of the case are not covered by Bryonia//.
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   - Comparatively little exertion excites headache. (8)   - Comparatively little exertion excites headache. (8)
  
-The remedy I selected has, according to great Farrington, "​Tendency to sudden and violent irregularities of the circulation."​.+The remedy I selected has, according to great Farrington, "​Tendency to sudden and violent irregularities of the circulation."​
 He sums up the whole story in a such a way, that I can just quote it as it stands: He sums up the whole story in a such a way, that I can just quote it as it stands:
  
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 </​WRAP>​ </​WRAP>​
  
-To base my selection on some solid ground, here follows the death-by-materia-medica part. I did not include all the relevant symptoms, just a hearty selection of them((from sources, I consider reliable, Allen'​s Encyclopedia being the primary one)) to hopefully overcome the sense of vexation...+To base my selection on some solid ground, here follows the list of direct quotes from various ​materia ​medica, with index numbers referring to the re-hashed symptoms. I did not include all the relevant symptoms, just a hearty selection of them((from sources, I consider reliable, Allen'​s Encyclopedia being the primary one)) to hopefully overcome the sense of vexation...
  
 ==== Allen, Timothy F.: The Encyclopedia of Pure Materia Medica ==== ==== Allen, Timothy F.: The Encyclopedia of Pure Materia Medica ====
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 Aching [in the head] and pulse increase and diminish together.<​sup>​6,​7</​sup>​ Aching [in the head] and pulse increase and diminish together.<​sup>​6,​7</​sup>​
  
-==== Hering, C. Guiding Symptoms ==== +==== Hering, C.Guiding Symptoms ==== 
 Dull headache in forehead over eyes; agg. by use of eyes and mental effort; becomes a throbbing pain after rapid motion, felt both front and back of head; action of heart very easily excited<​sup>​1</​sup>​.\\ Dull headache in forehead over eyes; agg. by use of eyes and mental effort; becomes a throbbing pain after rapid motion, felt both front and back of head; action of heart very easily excited<​sup>​1</​sup>​.\\
 Congestion to head, sudden, violent; throbbing felt with every pulse, at every step, or jarring.<​sup>​3,​5,​6,​7</​sup>​\\ Congestion to head, sudden, violent; throbbing felt with every pulse, at every step, or jarring.<​sup>​3,​5,​6,​7</​sup>​\\
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 Heart'​s action easily excited; violent palpitation,​ throbbing carotids, pulsating headache.<​sup>​1,​3,​7</​sup>​\\ Heart'​s action easily excited; violent palpitation,​ throbbing carotids, pulsating headache.<​sup>​1,​3,​7</​sup>​\\
  
-==== Lippe, A.D. Keynotes and Redline Symptoms ====+==== Lippe, A.D.Keynotes and Redline Symptoms ====
 Throbbing in the head synchronous with contraction of the heart.<​sup>​3,​5</​sup>​\\ Throbbing in the head synchronous with contraction of the heart.<​sup>​3,​5</​sup>​\\
 Fullness of the head; distinct feeling of a pulse in the head; throbbing with or without pain.<​sup>​3,​5</​sup>​\\ Fullness of the head; distinct feeling of a pulse in the head; throbbing with or without pain.<​sup>​3,​5</​sup>​\\
  
-==== Kent, J.T. Lectures ====+==== Kent, J.T.Lectures ====
 The most common feature in this remedy is the surging of blood to the head and to the heart.<​sup>​7</​sup>​ Another accompaniment of the surging is great throbbing synchronous with the beat of the heart<​sup>​5</​sup>​ and when the skull has this soreness then the throbbing is like the beating of hammers and every pulsation is painful<​sup>​3,​5</​sup>​ so that there are painful pulsations and sometimes painless pulsations. The throbbing becomes more painful from motion.<​sup>​8</​sup>​ The most common feature in this remedy is the surging of blood to the head and to the heart.<​sup>​7</​sup>​ Another accompaniment of the surging is great throbbing synchronous with the beat of the heart<​sup>​5</​sup>​ and when the skull has this soreness then the throbbing is like the beating of hammers and every pulsation is painful<​sup>​3,​5</​sup>​ so that there are painful pulsations and sometimes painless pulsations. The throbbing becomes more painful from motion.<​sup>​8</​sup>​
  
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 According to the repertorisation by Complete Repertory 2013, it covers the case almost exactly the same as Glonoinum, but looking into MM confirmation gives a different outcome. According to the repertorisation by Complete Repertory 2013, it covers the case almost exactly the same as Glonoinum, but looking into MM confirmation gives a different outcome.
-For example, the rubric "Head, pain, headache, pulsating, throbbing, synchronous with pulse",​ gives both remedies in grade 3, the sources of those additions for Bell. are supposed to be in Farrington'​s MM, where I could not find anything warranting such addition and in Boennighausen repertory of antipsoric remedies, which I do not have, so I cannot check((But even if it WAS there, it's kind of dubious since repertory is not a primary source. Strangely enough, most of the additions in Kent's repertory are nowhere to be confirmed in any standard materia medica...)). ​+For example, the rubric "Head, pain, headache, pulsating, throbbing, synchronous with pulse",​ gives both remedies in grade 3, the sources of those additions for Bell. are supposed to be in Farrington'​s MM, where I could not find anything warranting such addition and in Boennighausen repertory of antipsoric remedies, which I do not have, so I cannot check((But even if it WAS there, it's kind of dubious since repertory is not a primary source. Strangely enough, most of the additions in Kent's repertory are nowhere to be confirmed in any standard materia medica...)). 
 + 
 +I hope you like the solution, if you have any comments, feel free to post them in the discussion below. 
 + 
 +//Peter Bezemek// 
 + 
 +====== DOCUMENT DESCRIPTOR ====== 
 + 
 +^ Source: | Legatum Homeopathicum | 
 +^ Description:​ | The solution of the prize case published in [[http://​www.legatum.sk/​cgi-bin/​dada/​mail.cgi/​archive/​lhgen/​20130130093004/​|LH newsletter]]. | 
 +^ Remedies: | Glonoinum | 
 +^ Author: | Bezemek, P. | 
 +^ Year: | 2013 | 
 +^ Editing: | errors only; interlinks; formatting | 
 +^ Attribution:​ | Legatum Homeopathicum |
en/misc/prize-case-solution.1361868130.txt.gz · Last modified: 2013/02/26 08:42 by legatum