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
What makes sepia better?
Violent motion; dancing; warmth; cold drinks; tobacco; being busy; sitting with legs crossed; loosening clothes; open air
What makes sepia worse?
Cold; sexual excess; before during and after menses; pregnancy; menopause; morning and evening; 5 pm; during and right after eating; mental exertion; sitting or standing quietly; before thunderstorms
What are the overall personality traits of belladonna?
Impressionable, intense reactions, violent mental symptoms, Dogs/wolves (fears, visions, dreams), May believe they are psychic, often an interest in metaphysical matters
What are the belladonna physicals?
Affinities: mucous membranes, nerve centres, blood vessels, right side
All complaints are congestive, intesne and often with throbbing or pulsating pain. Ailments from excitement, fright and anger, grief etc, markedly affected by changes in temp, acuteness and violence of symptoms (appear and disappear), Heat, redness, burning pains, rushes of blood to head, dilated shining pupils, clutching sensations, thirstless except for lemonade, pains worse with touch, better with hard pressure, constipation, dryness of rectum
What does belladonna crave?
Lemonade, lemons, beer, cold drinks, bread and butter, alcohol, tobacco, indigestible things
What does belladonna have an aversion to?
Coffee, drinks, fruit, sour, warm food, water
What aggravates belladonna?
Alcohol, cold drinks, hot food, sour
What makes belladonna better?
bending backward, pressure on painful part, light covering, rest in bed, dark, warm room, cold food, lemonade, coffee (headache, vision)
What makes belladonna worse?
DRAFTS (on head), CHECKED SWEAT, LIGHT, NOISE, JARRING; heat; afternoon (3pm), touch, motion, hanging down, company
What do belladonna acutes look like?
Suddenly, often with high fever, great intensity of symptoms, face red and hot with glassy eyes, feet and hands cold, inflamed part deep red and hot to touch, delirium or vivid hallucinations, sinus pain (right sided worse with touch and stooping over, better with hard pressure), Otitis (severe, right sided worse at night in bed), Arthritis (acute pain, red, swollen, throbbing), Also: migraines, hypertensive crisis, severe dysmenorrhea, appendicitis, cholecycstitis.
What does a belladonna headache look like?
RIGHT SIDED
most intense HA in materia medica, throbbing, exploding, maddening, pressing outward, eyes will pop out, comes and goes suddenly, begins in R occiput and extends to R forehead or eye
Worse at 3pm, night, JARRING, LIGHT, WASHING HAIR,STOOPING, MENSES, MOTION, noise, straining
Better lying in the dark, QUIET ROOM, cold apps, hard pressure, binding the head
BOUNDING pulse in head and throat, sharp pain with each throb, hands and feet icy cold with HA
Concomitant: hypertension, hormone changes, vomiting
What does a sepia acute look like?
Dyspareunia, prostatitis, vaginitis with white, offensive discharge, during pregnancy: nausea and vomiting worse with smell of food and husband, vaginitis and itch, lump sensation in rectum with ineffectual urge for stool
What does a sepia headache look like?
LEFT SIDED, associated with nausea, left forehead or eye, periodic, waves, empty sensation in stomach during headache
Worse with menses, before/during pregnancy, menopause, light, mental exertion, stuffy room, hypoglycemia, motion sickness, coition
Better with vomiting, eating, vigorous exertion, open air, sleeping, lying in the dark, pressure.
What male sepias look like?
Weak in spirit, confidence and masculinity. Pitifully inadequate, worn out, no motivation to work, collapse from abuse of alcohol drugs and sex. Impotence, premature ejaculation, prostatitis, rectal tumours, malignancies, genital warts and herpes
What are the themes of Lachesis?
Witty sharp tongued, strong minded, opinionated, suspicious, jealousy, haughty, intense, passionate
What is lach personality?
Witty, loquacious, entertaining but exhausting, great command of language, ruthless, remorseless, directionless, opinionated, quarrelsome, SUSPICIOUS, jealousy, haughty, egocentric, self-pity, intense, passionate, sexual or moralistic
What are lach physicals?
Nerve, blood, circulation, female organs, LEFT side, throat
High mental energy in evening/night, fatigued during the day, low energy after sleep, warm blooded, congestive heat, left extending to right, great sensitivity to touch. Will never wear constricting clothes around neck.
What does lach crave?
Alcohol, oysters, beer, pickles, sour
What does lach have aversions to?
Bread, tobacco, warm food, cooked food, mothers milk
What aggravates lach?
Cold food but better with cold drinks, warm food, spoiled meat, pungent, acrid, alcohol
What does lach fear?
SNAKES, poison, heart disease, insanity, vomiting, someone behind him
What makes lach better?
Open air, free secretions, as soon as flow of menses starts, cold drinks, hard pressure
What makes lach worse?
After sleep, morning, heat, damp, swallowing, sensitive to slight touch or pressure of clothes esp at throat, extremes of temp, suppressed discharges, before menses, menopause
What do lach children look like?
Can’t effectively control overstrong emotions. Often brought for behavior problems after birth of new baby, verbally strikes others weakness. Tremendous jealousy, possessive, doesn’t tolerate restriction or authority.
What do lach acutes look like?
Frontal HA, extending to nose or feeling that nasal catarrh will develop. Pains hammering, throbbing, bursting, esp circulatory. Purplish discoloration - haemorrhoids, skin lesion, face, boils
What does a Lachesis headache look like?
LEFT SIDED, congestive HA with pulsation, fullness pressing outward, begins L moves R, frontal HA extending to root of nose, bursting. HA with hypertension.
Worse with morning, tight collars, heat, sleep, anger, excitement, alcohol, before menses, menopause
Better with pressure, cold air/apps, during menses or discharges of any kind, vomiting
What would a longtime improvement followed by a sudden aggravation indicate?
A simillimum. The aggravation could be a major stress or a healing crisis.
What are obstacles to cure?
Elements of diet/regimen that could or aggravate disease such as: coffee, tea, alcohol, chocolate, perfumes, mouthwashes, highly seasoned foods, herbs, vegetables containing medical powers, old cheeses, putrid meats, excess sugar and salt.
What are obstacles to cure relating to environment?
Heated rooms, woolen clothing, sedentary lifestyle excessive breast feeding, long afternoon naps, reading horizontally, keeping late hours, uncleanliness, objects of anger, grief, vexation, mental or bodily overexertion, dwelling in marshy regions or stuffy rooms
What are elements of diet/regiment that should be added to engender health?
- Innocent mental and emotional diversion
- Active movement in the fresh air
- Appropriate, nutritious, non-medicinal food and drinks
What is Hering’s Law of cure and the return of old symptoms?
The cure must proceed from within out, from above downward, from more important to less important organs in reverse order of their appearance. These will remain away permanently. The return of old symptoms is similar to a healing crisis
What does a nat-mur headache look like?
RIGHT SIDED, 10-15% HA, bursting pain, small hammer in one spot, like a vise grip, R temple/occiput, periodic/cyclic, associated with anemia; vomiting; visual distrubances
Worse on waking 10am or 10-3pm, GRIEF/suppressed emotions, SUN, READING, EYESTRAIN, menses
Better with cold apps, perspiring, pressure, lying down in dark room.
What does a belladonna headache look like?
RIGHT SIDED, most intense in materia medica, throbbing/exploding, pressing outward, comes and goes suddenly, begins in R occiput and extends to R eye or forehead, bounding pulse at head and throat, sharp pain with each throb, icy hands and feet, concomitant hypertension, hormone changes, vomit
Worse at 3pm/night, JARRING, LIGHT, WASHING HAIR, STOOPING, MENSES, MOTION, noise, straining
Better with LYING IN THE DARK, QUIET ROOM, cool apps, hard pressure, binding the head,
What does a sanguinaria headache look like?
RIGHT SIDED, begins in R shoulder or neck and radiates to R forehead or eye, throbbing, periodic, indigestion, burning, sour stomach, flushed face and pulsing carotids.
Worse with coming and going of sun, noise, odors, jarring, fasting, menses
Better with SLEEP, VOMITING, passing gas or eructation, pressing head against something hard
What does a lycopodium headache look like?
RIGHT SIDED, over R forehead or side of head, extending from vertex down to shoulder,
Worse from 4 to 8 pm, morning on waking, OVER-HEATING, esp in bed, straining eyes, if HUNGER NOT APPEASED, menses, straining, cough
Better with cold or open air, eating, walking, lying
What does a spigelia headache look like?
LEFT SIDED, L forehead, above L eye, directly in L eye, extends back into the head or occiput, may begin in temple or occiput and radiate to L eye or brow. Stitching, violent pain, Can point to spot with 1 finger, with palpitations or other heart problems
Worse in morning, comes and goes with the sun, motion, JARRING, cough, straining, cough, stooping, cold or open air, wind, noise, SMOKE
Better with heat or hot bath; lying with head elevated, keeping eyes closed
What do sanguinaria and spigelia headaches have in common? What is different?
They both come and go with the sun, worse with jarring,
Spigelia is Left sided while sanguinaria is right.
Sanguinaria is better with sleep, vomiting, passing gas, and is associated with indigestion and sour stomach. It radiates up from shoulder and neck.
Spigelia is better with heat, keeping eyes closed, is worse with smoke and cold, extends from the front of the head to the back of the head and can be pin pointed to a single spot.
What does a bryonia headache look like?
LEFT SIDED, chronic migraines, acute fever, begins over L eye extends back and down, stitching, dull heavy pain, nausea or vertigo when attempting to sit up
Worse morning until noon, 9pm, SLIGHTEST MOTION (even eye lids), COUGH, CONSTIPATION, ascending steps, heat, eating, combing hair, walking, noise, cool bath when head is perspiring.
Better with pressure, LYING ON PAINFUL SIDE, lying in dark, perspiring, washing with cool water, cool air
What does a Lachesis headache look like?
LEFT SIDED, congestive with HA pulsation, fullness and pressing outward, L side or forehead, move R, frontal extending to root of nose, bursting, with hypertension
Wose in MORNING, TIGHT COLLARS, heat, sleep, anger, excitement, alcohol, before menses, menopause
Better with pressure, cold air/apps, during menses or discharges, vomiting
What does a sepia headache look like?
LEFT SIDED, associated with nausea, “sick”, L forehead/above eye, periodic, waves, empty sensation in stomach during headache
Worse with MENSES, before or during; pregnancy, menopause, light, mental exertion, stuffy room, hypoglycemia, motion sickness, coition
Better with VOMITING, EATING, VIGORIOUS EXERTION, open air, sleeping, lying in the dark, pressure
What does a calc-carb headache look like?
Chronic HA or migraine from stress or worry
Worse with COLD DAMP getting head wet, mental exertion, light, menses, ascending, shaking head, stooping
Better with binding the head
What does a nux-vomica headache look like?
Migraines, tension HA, toxic (hangover), forehead, occiput, extending from occiput to neck, marked irritability with HA, constipation with HA
Worse with COLD, NOISE, ODOR, LIGHT, ALCOHOL, stress and overwork, anger, motion of head or eyes, lying on painful side
Better with warmpth, WARM APPS, eve in bed, pressure, lying on painless side
What does a phosphorus headache look like?
Migraines with burning or pulsing pains, HA every other day, either side (more often L) forehead, occiput, marked hunger during HA,
Worse with FASTING, lying esp L side, LIGHT, hot food, or drinks, menses, before storms, sneezing, motion,
Better after sleeping, COLD AIR APPS, eating, rubbing
What does a silica headache look like?
Chronic HA or migrains, DAILY HA, dull frontal occiput to eye, above root of nose with chronic sinusitis, marked hunger during HA, clammy sweat on forehead during HA
Worse with COLD/DRAFTS, light, jarring, noise, fasting, physical or mental exertion, after coition
Better with WRAPPING or covering head, warm apps, pressure, after urination
What does a sulphur headache look like?
Main remedy for HA at VERTEX, like a band pressing, burning heat, sinus HA with great fullness, weight on vertex, marked hunger, clammy sweat on forehead, blurring or dimness of vision, face flushed red and eyes red during HA
Worse with HEATED, WINTER, WEEKEND, 11am, eve in bed, hungry, overeating, strong odors, stooping
Better with COLD apps, uncovering head
