Homeopathy - post midterm Flashcards
How is a repertory organized?
By chapters (sections) each pertaining to a specific body area or area of pathology.
What is a repertory?
A compendium of symptom rubrics (symptom descriptions)
What is a rubric?
A symptom description. Each is followed by a list of remedies that show that symptom.
How many remedy grades are there in a repertory rubric?
4. Grade 4: all provers Grade 3: most provers Grade 2: minority of provers Grade 1: few provers
What is the order of Kent’s repertory?
Above down and inside out
What are the steps of acute case taking steps?
- Perceive/identify signs and symptoms, pathology, disposition
- Repertorize patient’s symptoms.
- Valorize case symptoms
- Cross rubrics to determine most likely remedy
- Remedy selection
- Choose posology
What skills are needed in case taking?
Good listening, good interviewing, accurate recording
What is involved in step 1 of case taking?
Let the patient spontaneously describe what is happening (subjective symptoms). Observe and record objective signs and symptoms
What do you need to know in order to differentiate between remedies?
Lodrficara, temperature sensations, thirst, food cravings/aversions/aggravations, sensitivities, fears, mood
What is involved in step 2 of case taking?
Translating patient symptom description into the language of the repertory.
What is involved in step 3 of case taking?
Valorization is a method of ranking the importance of symptoms or rubric using the CHI: characteristicness, hierarchy and intensity of symptoms.
What is characteristicness?
Uniqueness. 0: very common 5: extraordinarily characteristic.
What is hierarchy?
0: local-physical symptoms (my foot aches)
1: physical general symptoms (I feel hot)
2: mental emotional symptoms (I feel anxious)
What is intensity?
Underline symptom according to intensity
0: common/unclear
1: slight intensity, somewhat clear, occurs occasionally
2: moderately intense, clear, frequent
3: symptom is very intense, high degree of clarity, occurs very often
What is involved in step 4 of case taking?
Choose the two case symptoms with the highest CHI values and list their rubrics on the top line of the grid. 120 is too large to be included.
What is remedy totality?
It is part of step 4 of case taking. Remedy totality = sum of remedy grades/total number of rubrics each remedy appears in
What is involved in step 5 of case taking?
List the 3-4 remedies with the highest totality. Consult multiple materia medica sources to compare and contrast. List key points that support and detract remedies as a simillimum.
What is the definition of posology?
Potency and frequency of repetition. How often and how long.
What are the 5 considerations of posology?
- Patient sensitivity (chemicals, surroundings, emotions, weather)
- Vitality (energy, response to change)
- Rapid/aggressive pathology may require stronger)
- Severity of disease process and risk of aggravation
- Degree of simillimum between patient sx and remedy picture. (Lower potencies/frequency with increased clarity)
What is grafting?
Repeated dosing caries a theoretical risk of grafting which is the state of a remedy being imposed on an individual.
What are the themes of sepia?
Stasis, indifference to loved ones, desire to be alone, non-communicative, complaining, collapsed energy, independence vs. dependence (lack of confidence in gender identity), hormonal issues.
What are the mental symptoms of sepia?
Mental stasis: strong will when healthy (efficient, well organized, non-conformist). Confusion, absent minded, dullness when unhealthy. Feels forced to accept situations against her will because she does not feel good enough. Unable to give symptoms, uncontrollable weeping.
Fault finding: sarcastic, spiteful especially towards loved ones. <before menses.
What does the emotional stasis of sepia look like?
Expressions of love are draining and interfere with independence. Love is a responsibility. Shut in her own world. Sees things in a gloomy light.
What does the physical stasis of sepia look like?
Aversion to sex: no desire, no orgasm. Denial of sexuality, fear of rape, often history of sexual abuse.
Hormonal issues: eating and cold drinks, craves acids pickles vinegar, aversion to fat.
What are the affinities for sepia?
Venous circulation, digestive tract, portal system, FEMALE PELVIC, nerves, LEFT SIDE. Very chilly, <cold, periodicity: 28 days, flushing and blushing esp puberty and menopause
What are the modalities of sepia?
Fears: Ghosts, poverty, sespair of recovery
Craves: Wine; brandy; chocolate; cold drinks; pickles/vinegar; sour; bitter
Aversion: MEAT; bread; fat; smell of food; milk; salt
What aggravates sepia?
Aggrav: tea; milk; pork; bread and butter; old cheese; cold food; fat; smell of food; sour; vinegar
What does sepia have an aversion to?
Aversion: MEAT; bread; fat; smell of food; milk; salt
What does sepia crave?
Craves: Wine; brandy; chocolate; cold drinks; pickles/vinegar; sour; bitter