CEDH Test Flashcards
What are the 3 sources of the Material Medica?
Toxicology,
Pathogenic experimentation,
Clinical observation
What are the characteristics of the Materia Medica stemming from toxicologt data? Give 1 example
Lesional or functional
Always reproducible, reliable
Specific of the substance
Independent from sensitivity of thr patient
Eg Balladonna: dryness of the mucous membranes
On what type of clinical symptoms can we believe a patient is sensitive to a medicine or that he presents with the sensitive type of medicine?
Pathological tendencies
Behavioral tendencies
Morphology
Name, with no details, the 5 homeopathic prescription paths in a chronic disease
Etiological Pathogenetic Histo- pathological Chronic reactional mode Sensitive type
Name the 4 quadrants of Hering’s Cross
Localization or lesional stage
Sensations
Modalities
Concomitant symptoms
Name the symptoms of the first quadrant (Hering’s Cross)
Lesional stage Tissue localization Path and radiation Aspect of the lesion Localization on the body
Give 3 examples of the characteristic sensations with the corresponding medicine:
Dry mucous membeane: Belladonna Stinging sensation: Apis Strangling sensation: Lachesis Burning sensation: Arsenicum album Sensation of a "ball": Ignatia
Give 5 modality examples with corresponding medicines
Improved by heat: Arsenicum album Improved by pressure: Bryonia Aggravated by humidity: Dulcamara Improved by cold: Apis Improved by movement: Rhus tox Improved by bending double: Colocynthis
What is a concomitant symptom? Give 2 examples
It is a symptom without any evident physio- pathological relationship with the nosological diagnosis that appears at the same time as the disease
Natrum muriaticum ( thirst ), Sepia ( desire for acid food), Nux vonica ( desire for alcohol) , Thuya ( obsessive ideas), Lycopodium ( post- prandial redness)
What is the etiological symptom? Give 3 examples
After a fright: Gelsemium
After a cold: Aconite
After trauma: Arnica
Emotional shock: Ignatia
In the Materia Medica of a medicine, what do we call the characteristic symptoms?
The sensations, modalities and concomitant symptoms
What is the position of modality? Give 3 examples
A modality is not a symptom but it qualifies the symptoms
Improvement by bending double: Colocynthis
Improved by sitting: Gnaphalium
Improved by lying on back: Dioscora
What is time modality? Give 3 examples
A modality is not a symptom but it qualifies the symptom
- Btw 1 and 3 am, Arsenicum album
- Around 10 am: Natrum muriaticum
- Around noon: Sulfur
- Betw 4 and 8 pm: Lycopodium
What is an atmospheric modality? Give 3 examples
A modality is not a symptom but it qualifies the symptom
- Improves by heat: Arsenicum album
- Improves by cold: Apis
- Aggravated by drafts: Nux vomica
- Aggravated by humidity: Dulcamara
What is the modality related to physiological activity? Give 3 examples
A modality is not a symptom but it qualifies the symptom
Aggravated by meals: Nux vomica Aggravated during periods: Cimicifiga Aggravated by loss of physiological fluids: China Aggravated before the periods: Lachesis Improved by a flow: Lacheais
Name the classically described 3 homeopathic constitutions ( Nebel and Vannier)
Carbonic, phosphoric, fluoric
How do you choose the dilution level?
There are 3 levels of dilution height: The higher the similitude and the more patient seems sensitive, that is the more precise symptoms of the medicine he has, the higher the dilution.
Low dilution 4-5 C: Physical and Local symptoms
Medium dilution 7-9 C: Function and General symptoms
High dilution 15-30 C: high similitude, high sensitivity, behavioral symptoms
How do you choose how often to repeat the homeopathic medicines in acute? Give 2 examples
The repetition of the doses depends both on the acuteness of the affection and the period of action of the medicine
Burn: Apis 15 C 5 pellets each 10 minutes
Fever: Belladonna each hour
Sinusitis: Kalium bichromicum 3 times daily
How do you define the duration of a homeopathic treatment in an acute disease?
In an acute disease, you must give it less often when improvement appears and stop when the symptom has ended
Describe the clinical symptoms of the Psoric reactional Mode
- Periodicity of the skin, mucous membranes and serous memebranes manifestations
- Alternation, succession or concomitance of these manifestations either beetween themselves, or with internal or behavioral manifestations
- Tendency towards parasites, difficult convalescence
- Lack of good reaction to well chosen homeopathic medicines
Describe the clincial symptoms of the Sycotic reactional mode
- Tendency towards benign tumors or growths
- chronic catarrh of the mucous membranes
- General imbibition of the tissues (infiltration, sensitivity to cold and humidity)
- Slow, progressive and insidious development of disease that do not have a tendency to cure by themselves.
- General depressive and/or obsessive tendencies
What are the etiological circumstances responsible for the Sycotic Reactional Mode
Pollution Repeated infections and their treatments Injections of foreign proteins Repeated allopathic treatments Repeated stress All causes capable of inducing an alteration of the defense mechanisms, an immune dysfunction
Give the main signs describing the Tuberculinic Reactional mode
Loss of weight despite an often good appetite hypersensitivity nervous instability easily tired variability of the symptoms hypersensitivity to cold demineralization
What are the limits of homeopathy in dermatology?
Irreversible pathologies: Cysts, naevus, baso or spino-cellular cancers, melanomas, or disease of unknown origin
What symptoms, in chronic dermatology pathology, make you think of a Psoric reactional mode?
Dermatosis that are cyclical, periodical or that alternate with internal allergic pathologies (hay fever, asthma..) We find this evolution in allergic affections, atopic dermatitis, recurring viral diseases (herpes). The pruritis of this reactional mode is mostly burning, aggravated by heat and water, improved by cold
What symptoms, in chronic dermatology pathology, make you think of a Sycotic reactional mode?
Constructive dermatosis slow and continuous in nature, without any remission phase and appearing often after a vaccination or any injection of foreign protein. Atomospheric or food pollution is also part of the indications of the Sycotic reactional mode.
In a classic clinical observation of a patient presenting with chronic disease, what are the elements letting you determine the Psoric reactional mode?
-Family history: Allergies
- Personal hx: Allergies, recurring pathologies (migraine, herpes, fungus)
- The description of the evolution of the disorders: Periodical, recurring
- The description of the acute episodes: the acute characteristic, the lack of reaction to treatment, the long and difficult convalescence
- The general interview: Notions of diverse pathologies alternating between themselves or with episodes of fatigue and anxiety
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In a classic clinical observation of a patient presenting with a chronic disease, what are the elements letting you determine the Sycotic reactional mode?
- The family history: Nothing specific
- The personal hx: episodes of recurring infections, long treatments, disturbances of the immune system, important stress
- The description of the evolution of the disorders:P continues with a slow and progressive installation
- The description of the acute episode: A chronic catarrh, a benign tumor, tissue infiltration
- The general interview: other elements of sycosis, infiltrations, nodule, cysts, a phobic or depressive tendency
- Clinical examinations: infiltration, weight gain, warts, cysts, etc
In a classic clinical observation of a patient presenting with a chronic disease, what are the elements letting you determine the medicines of the sensitive type?
- The personal history: often characteristic of the morbid tendencies
- The description of the evolution of the disorders: can evoke the symptoms of the medicine
- The general interview: this is the most important part of the observation that will find the morbid tendencies, the general reactions and the behavioral traits
Explain, in a few words, what “grading of the symptoms of a clinical observation” means:
We must, in each clinical case, make a complete observation without formulating an early judgement on the relative importance of each symptoms. Then, when we are to write the prescription, we must take in account of the symptoms that are the most specific, the most striking, due to the disease or to the reactions of the patient. We must be careful because what is the most precise can be different from observation to another: sometimes it can be the description of a lesion, of a sensation, of a modality, morbid tendencies, behavior or even history. Mental and behavioral symptoms are important but do not necessarily have priority.
Explain, in a few words the place of behavioral symptoms in the therapeutic decision
The behavioral symptoms can be the cause of the consultation, they can direct or confirm the choice of the sensitive type medicines. Mental and behavioral symptoms are important but do not necessarily have priority.
Explain, in a few words the difference between a neuro-sensorial symptoms and a behavioral one. Give examples
A neuro-sensorial symptom is a neurological one: trembling, palpitations, headaches, lump in throat, for example. It is close to a pathogenetic symptom of toxic origin and can be independent from the patient’s sensitivity. Gelsemium or Ignatia can be prescribed to any patient presenting with their symptoms. A mental or behavioral symptoms, a modification or increase of an affect is due to the sensitivity of the patient. The prescription of the medicine depends on the totality of the clinical picture that must confirm the sensitivity ot the medicine.
What are the essential questions to ask to determine the Chronic Reactional Mode?
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- All sectors of the clinical observation are important
- The family history
- The personal history and the study of recent events (ongoing treatments)
- The description of the evolution of the disorders
- The general interview
- Clinical examination, biological tests, X-rays, etc
What are the risks and limits of the notion of sensitive type?
To overshadow the precise description of lesions or sensations, which is regrettable in an acute pathology, to privilege morphological or psychological aspects with little objective elements
Give the hereditary or personal history elements we consider for the prescription of Lycopodium
Hereditary: Atopic terrain, Gastro-duodenal ulcers, Hyperuricemia , Migraines, Hypercholesterolemia
persona: As above +, Acetone vomiting during childhood, tics of the face, hepatic colic
Give the characteristic behavior or general symptoms often found in patients sensitive to Sepia
Usually a woman: depressed, exhausted, irritable, indifferent to those around her, introvert, melancholic, hepatic and gall bladder disorders, skin problems, bearing down sensation, circulatory disorders
Give the characteristic behavior or general symptoms often found in patients sensitive to Nux vomica
Active person (man or woman), who is Nervous, Aggressive, Overworked, Sedentary, Impatient, Authoritarian, with Digestive disorders, spasmodic coryza.
Give the charactistic behavior or general symptoms often found in patients sensitive to Lycopodium
Lively and precise intelligence Intolerant to contradiction Seeks affection lack of self-confidence self control Hepatic, renal, skin and allergic disorders
Give the characteristic behavior or general symptoms often found in patients sensitive to Lycopodium
Lively and precise intelligence Intolerant to contradiction Seeks affection lack of self-confidence self control Hepatic, renal, skin and allergic disorders
Give the characteristic behavior or general symptoms often found in patients sensitive to Pulsatilla
Gentle and variable nature changeable mood circulatory disorders tendency toward sadness timid and fearful Mucous membranes catarrh
Give the characteristic behavior or general symptoms often found in patient sensitive to Argentum nitricum
Nervous Anxious Hyperactive, disorganized, inefficeint digestive disorders, acidity, diarrhea, eructation always in a hurry Fearful phobic
Give the characteristic behavior or general symptoms often found in patient sensitive to Calcarea carbonica
Slowness Fear of the future Hypersensitivity Late milestones tendency toward spasms Intellectual slowness
Give the characteristic behavior or general symptoms often found in patient sensitive to Phosphorus
Hypersensitive to the environment Easily tired ENT or pulmonary inflammations alternation excitement/weakness tendency towards hemorrhage
Give the characteristic behavior or general symptoms often found in patient sensitive to Arsenicum album
Fatigue anxiety respiratory and skin allergies weakness meticulous, even obsessive gastroenteritis
Give the characteristic behavior or general symptoms often found in patient sensitive to Aurum metallicum
Short tempered, authoritarian tendency towards depression cardiovascular disorders Violent, tyrannical obsessive suicidal thoughts short bone infections
Give the characteristic behavior or general symptoms often found in patient sensitive to Lachesis
Alternation between excitement /depression
Distrust, jealousy
talkativeness
Circulatory disorders
Give the characteristic behavior or general symptoms often found in patient sensitive to Natrum muriaticum
Respiratory and skin allergies Chronic ENT disorders Appetite disorders Acrocyanosis Desire to be alone Phobia about self image
What symptoms of Sulfur make this medicine one of the Psoric reactional mode?
Respiratory and skin allergies
Recurring peridical manifestations (migraine, herpes)
The tendency toward parasits
Lack of good reaction to well indicated acute medicines
Difficult convalescence
What symptoms of Sulfur make this medicine one of the Psoric reactional mode?
Respiratory and skin allergies
Recurring peridical manifestations (migraine, herpes)
The tendency toward parasites
Lack of good reaction to well indicated acute medicines
Difficult convalescence
What symptoms of Sulfur make this medicine one of the Psoric reactional mode?
- Same for Psorinum, Lycopodium, Arsenicum Album
- Respiratory and skin allergies
- Recurring periodical manifestations (migraine, herpes)
- The tendency toward parasites
- Lack of good reaction to well indicated acute medicines
- Difficult convalescence
What symptoms of Thuya make this medicine one of the Sycotic reactional mode?
- Same for Medorrhinum
- After -effects of vaccination or chronic infections
- Mucous membranes catarrh
- Phobic tendencies
- Aggravation by humidity
- Benign tumors
- Slow and progressive installation
What symptoms of Sepia make this medicine one of the mixed Psoro-Sycotic reactional mode?
- Psoric: herpes, migraines, respiratory allergies
- Sycotic: Chronic eczema or suppurations, depressive tendency
What symptoms of Silicea make this medicine one of the mixed Psoro- Sycotic reactional mode?
- Psoro-tuberculinic: closely recurring t infections, sensitivity to cold, emotional sensitivity
- Sycotic: Chronic suppurations
Among the different “Kalium”, give 3 specifying on which symptoms they are indicated:
- Kalium carbonicum: digestive slowness with stomach flatulence, lumbar pains in tired individuals
- Kalium phosphoricum: intellectual fatigue, headache due to intellectual overwork
- Kalium muriaticum: inflammation of the cavuum with white or grayish discharge and Eustachian tube catarrh
- Kalium bromatum: papulo-pustular acne
- Kalium sulfuricum: coryza with mucous or mucopurulent discharge, anosmoa and ageusia
- Kalium iodatum: iritating aquaous coryza becoming rapidly purulent with pains in the sinus, mainly frontal
Among the different “Kalium”, give 3 specifying on which symptoms they are indicated:
- Kalium carbonicum: digestive slowness with stomach flatulence, lumbar pains in tired individuals
- Kalium phosphoricum: intellectual fatigue, headache due to intellectual overwork
- Kalium muriaticum: inflammation of the cavuum with white or grayish discharge and Eustachian tube catarrh
- Kalium bromatum: papulo-pustular acne
- Kalium sulfuricum: coryza with mucous or mucopurulent discharge, anosmia and ageusia
- Kalium iodatum: iritating aquaous coryza becoming rapidly purulent with pains in the sinus, mainly frontal
Among the different “Natrum”, give 3 specifying on which sensations and modalities they are indicated
- Natrum muriaticum: aggravation at the seaside, in the sun, sensation of pins and needles
- Natrum carbonicum: aggravation by sun, by mental efforts, noise, sensorial hyperesthesia
- Natrum sulfuricum: aggravated by humidity, sensation of bruising and abdominal bloating
What are the characteristic symptoms indication Drosera in case of cough?
A dry, spasmodic and fitful cough
What are the characteristic symptoms indication Bryonia in case of cough?
Dry, painful and improved by holding the painful area
What are the general symptoms indicating the prescription of Kalium bromatum in children?
Night frights in a nervous child who sleep walks, moves his hands and sees his symptoms aggravated at new moon
What are the nervous symptoms indication Stramonium?
Nightmares, night frights and fear of dark
What are the nervous symptoms indicating Hyosciamus?
Night frights in an emotional and jealous child who talks and laughs during his sleep and presents with tic
What are the nervous symptoms indicating Lachesis?
Nightmares with suffocating sensations, in a child who has difficulties in falling asleep before midnight and wakes up depressed. Can be jealous.
What symptoms indicate Ipecac in an asthma attack?
Spasmodic coughing with nausea (vomiting), disseminated fine rales, hypersalivation and clean tongue
What are the symptoms indicating the prescription of Kalium carbonicum in an asthma attack?
Aggravation between 2 and 4 am
Improved by sitting, thorax bent forward with elbows on the knees
What are the symptoms indicating the prescription of Antimonium tartaricum in an asthma attack?
Breathing is difficult and noisy with heavy humid rales inducing a very difficult expectoration and severe dyspnea
What are the symptoms indicating the prescription of Drosera in an asthma attack?
Nighttime attacks of dry cough accompanied by hypnosis and hypochondrium pains
What are the symptoms indicating the prescription of Arsenicum album in an asthma attack?
- Dyspnea with difficult expectoration of white mucous
- Occurs between 1-3 am
- Asthenia with anxious agitation
- Sitting up because aggravated lying
Give the symptoms indicating Ferrum phosphoricum in a fever
Asthenia, fever under 102 appearing progressively, tendency toward localized congestive phenomenon (epistaxis), the skin is clammy without abundant perspiration, the face alternates between paleness and redness
Give the symptoms indication Belladonna in a fever
Tumor, rubor, calor, dolor.
Thirst, sweating of the face, dryness of the mucous membranes, alternation between agitation and prostration
Give the general symptoms indicating Silicea
Tired, easily tired, cold sensitive, abundant and foul smelling perspiration of head and feet, chronic infections
Give the aggravation modalities indicating Silicea
Cold, badly indicated vaccinations that are not well tolerated, new moon, humidity and suppression of the perspriation
Give the improvement modalities of Silicea
Heat, dry and warm weather, warm wraps (head)
Give the modalities indicating Natrum muriaticum in pediatrics
Aggravation: in the morning around 10 am
Improvement: Outisde
Rhythm: Frequent and short periodicity
Improvement: by perspiration
Aggravation: at the seaside (after a stay)
Give the privileged targets of Cimicifuga
- Female genital tract: PMS, dysmenorrhea
- Muscles and tendons: neck and back pains
- Neurological and emotional tract: HA, excitement logorrhea
Give the main clinical symptoms indicating the prescription of Cimicifuga
- Sensitivity (spontaneous or with pressure of the spinous process of T4, T5 and T8)
- Dysmenorrhea proportional to the menstural flow
- Pain under the left breast
- Cervix spasms
- Regulation of obstetrical work
Give the privileged targets of Phytolacca and give some clinical examples
- Mucous membranes of the pharynx
- Locomotor system and sciatica
- Mammary glands
- Infectious syndromes
What the the symptoms indicating Sepia in PMS?
- Bearing down sensation in the pelvis
- Sadness, depression
- Herpes
- Migraines
- Leucorrhea before the periods
What are the symptoms indicating Lachesis in PMS?
- Symptoms improved by the appearance of the periods
- Irritability, jealousy, nervousness
- Painful congestion of the lower abdomen and breasts
- Headache
- Insomnia, nightmares
What are the symptoms indicating Natrum muriaticum in PMS?
- Dryness of the vaginal mucous membranes
- Aggravation of the acne on the face
- Lumbar pains
- Sadness
What are the symptoms indicating Pulsatilla in PMS?
- Venous congestion
- Breast pains
- Bearing down sensation
- Very variable mood
What are the general symptoms indicating Graphites during menopause?
- Hot flashes of the face
- Constipation
- Overweight and cold sensitive woman
- Skin disorders
What are the symptoms indicating Kalium carbonicum during menopause?
- Tired, anemic and cold sensitive woman
- Sensitive of weakness of the back and knees
- Digestive and cardiovascular disorders
What are the symptoms indicating Aurum muriaticum during the menopause
- Congestive flashes with palpitations
- Irritable woman prone to depression
- Tendency towards fibroids
What are the general symptoms indicating Lachesis during the menopause?
- Hypersensitivity of the skin
- Intolerance to tight clothes
- Congestive hot flashes
- Frequent migraines
- Bruises easily
What are the general symptoms indicating Thuya during menopause?
- History of sycotic reactional mode
- Fibroids, polyps, mastitis
- Tendency towards obesity, cellulitis
- Obsessive tendencies: Nosophobia, cancer phobia
- Frequent genital infections
- Constructive dermatosis
What are the characteristic symptoms indicating Graphites in dermatology?
Lesion oozing a honey like, translucent, yellow, sticky liquid, drying up and becoming yellow or brown crusts. Localization on the face, the hands, the genitals, and the folds. Can also be seen in fissure lesions with the same.