ANSWER OF LAST PUBLISHED CASE

REMEDY OF THE PREVIOUS CASE : rhus-tox

Solve the case for previous issue (January - February - 2010) was presented by Dr. joel a. solomon. He had prescribed Rhus-tox 30 to that patient by selecting following rubrics:

1. DELUSIONS - injury - being injured; is

2. ANXIETY - family; about his 3. DELUSIONS - work - hard; is working

4. DELUSIONS - rising - could not rise up; he - stooped; could not rise up again if he

5. ANXIETY - children - about his 6. FEAR – superstitious

7. HELPLESSNESS; feeling of 8. Praying

9. Anxiety- sleep during 10. Cheerful – chill during

Answer by different doctors:

A) DR M. SENTHIL, Tamilnadu

My prescription would be STRAMONIUM based on following rubrics:

DELUSIONS - injury - being injured; is

BOASTER, braggart

CLINGING - persons or furniture; to

DELIRIUM - crying, with - help, for

TALKING - business, of

ANXIETY - future, about

B) Davorin Snajdar,

ZAGREB, CROATIA

I came to following conclusion:

The patient talks about her business all the time. She is restricted by the disease and wants to get rid of it by all means. At the end she reveals that she was taking allopatic medicines.

I took following rubrics:

TALKING - business, of

DELUSIONS - possessed, being

HIDING - things

Prescription would be: Belladonna

C) Dr D N Prajapati, Ahmedabad, Gujrat

rubrics:

EGOTISM, self-esteem

DELUSIONS - wealth, of

AMBITION - money; to make

FEAR - poverty, of

DELUSIONS - thin - he is getting

CARES, full of - others, about

ANXIETY - future, about

ANXIETY - children - about his

INDEPENDENT

Remedy for this lady: Sulphur

D) Dr Sadhana Vyas, Jaipur, Rajasthan

Rubrics:

(c)Mind: Delusions, imaginations; Senses, of:

(c)Mind: Business; Talks of:

(Phatak A-Z) Financial loss agg.:

(Phatak A-Z) Fear; Financial loss of:

(Phatak A-Z) Fear; Future, misfortune, evil foreboding:

(c)Mind: Fear; Death, of:

(c)Mind: Begging, entreating:

(c)Mind: Doubtful; Recovery, of:

Remedy: Arsenic alb

E) Dr.Amjad khan,bhopal

Rubrics:

CARES, full of - domestic affairs, about

DELUSIONS - poor, he is

FEAR - poverty, of

INDUSTRIOUS, mania for work

ANXIETY - others, for

AILMENTS FROM - embarrassment

DOUBTFUL - recovery, of

ANXIETY - children - about his

BROODING

ANXIETY - health; about - own health; his

Remedy: Sepia

F) Dr Dr Ravi Chinnala, Andhra pradesh

Rubrics:

DELUSIONS - wealth, of

DELUSIONS - thin - he is getting

FEAR - poverty, of

Remedy: Sulphur

G) DR CHINTAN SHAH FROM AHMEDABAD

rubrics:

FEAR POVERTY OF

TALKING BUSINESS

DOUTFUL RECOVER OF

FEAR STARVING OF

Remedy: BRYONIA

H) DR manish goyal, bhopal

rubrics:

DELUSIONS - injury - being injured; is

ANXIETY - future, about

HORRIBLE things, sad stories affect her profoundly

SHRIEKING - help; for

EGOTISM, self-esteem

ANSWER THESE QUESTIONS

Why Sepia irritates from exertion?

Which rubric indicates the cause of Sepia patient's irritation from exertion?

Following article answers these questions:

MINDING THE MIND IN THE CLINIC

A young girl who is working in a call center came to me for treatment of pain and discomfort in the lower abdomen with excessive weakness. Her health is not at all improving in spite of taking so much of treatment. She had undergone all the tests but nothing abnormal was detected. She was advised to take vitamin pills, tonics and occasional painkillers. But her condition of health remains unchanged.

She explained me everything in detail. When asked about managing the pain she replied she just hold the abdomen tightly and sit down bending forward which gave her temporary relief. That time she becomes bit relaxed.

I asked, “What she thought about her problem?”

She replied, “I am not at all worried about my health as I am like this since so many years”.

Sometimes when her fiancée and would be in-laws tell her that she looks abnormally thin then she feels bad, otherwise she is not worried about the same.

Rather, she is much worried about the excessive weakness. She gets exhausted easily. Earlier, she used to work in the office, do all her own work at home even helped her mother in household works but now even she is unable to manage her office work.

She gets occasional vertigo attack after little exhaustion, immediately she lies down as she apprehends she may fall down. The most worrying factor is that how she would manage her home after marriage as she had to look after everything on her own.

I gave this girl Sepia 30. The mental state of this patient is understood by linking all the following rubrics:

1. DELUSIONS - poor, he is

2. IRRITABILITY - exertion; from

3. CARES, full of - domestic affairs, about

4. FEAR - poverty, of

In this case the main concern of the patient is not her thin body but the weakness. She corrects me when I gave more importance to her stomach problem by telling, “If my energy level goes up I think I can manage the discomfort in the abdomen.” Because of the exertion only she gets irritated.

In most of my cases of this remedy I have observed that Sepia will always give more emphasis on her weakness and the changed mental state there of.

Let us try to understand this remedy.

Sepia is a very caring lady for her family. She works day and night to make others happy in the family and to keep the home in a very good condition. She loves doing work and enjoys doing all the domestic chores. Though during the process she overexerts herself and gets worried but she continues doing the same and sometimes these activities gives her mental satisfaction and she continues doing so.

1. CARES, full of

2. CARES, full of - domestic affairs, about

3. ANXIETY - others, for

4. OCCUPATION - amel.

5. DANCING

6. SINGING

During the process and with the passage of time she feels that her energy level is getting depleted and she feels very weak.

DELUSIONS - poor, he is

She becomes so weak that she becomes completely exhausted. In that state even for normal routine work she cannot exert herself. This produces irritability.

IRRITABILITY - exertion; from

Earlier, in the rubric ‘IRRITABILITY - exertion; from’ we had only two medicines: Sepia and Sulphur. We should know how to differentiate these two remedies so that in this particular expression of the patient we should be able to prescribe right remedy.

In Sulphur the patient will always show a shade of wealth during the present condition, with that he will also express the condition of gradual depletion of this wealth which may lead of poverty.

The statement of Sulphur may be like this: “vfHk rks eSa manage dj ysrk gwa ysfdu tSls ;s py jgk gS eq>s ;s Mj yxrk gS fd vkxs py ds fnDdr gks ldrh gSA”

“Now I am able to manage the condition but the way it is going on I apprehend in the coming days I won’t be able to manage myself.”

But in Sepia there is no wealth, so the present state is poor.

Her expression in the clinic may be, “I feel so weak to even manage my day to day activities, further I apprehend how I will continue doing the same in the coming days”.

“bruh detksjh yx jgh gS fd ?kj dk routine dke djus esa Hkh eqf”dy gks jgk gSA ;gh Mj yx jgk gS fd vkxs ?kj dSls pysxkA ”

Sepia cares only for her domestic activities whereas Sulphur cares for everybody in the society.

In the present situation Sepia will always have a feeling that if she doesn’t work because of her weakness then the whole family will starve.

DELUSIONS - starve - family will

But in Sulphur, during the present condition he feels he can manage but he apprehends starving in the future along with Sepia.

Hence Sulphur apprehends weakness in the days to come whereas Sepia is presently in a condition of weakness and at the same time apprehends further more to come.

During my initial days of practice on mental state, I used to prescribe Sulphur for cases of hair-fall when patient used to tell, “now I can manage with this much of hair but by seeing the number of hairs falling I apprehend after some days I will be totally bald”. But Sepia will tell, “as it is I am having very thin line of hair and takes utmost care to maintain the same and if the hair-fall continues then how it will look like when all the hair will fall”. Lkpeqp xath gks tkmaxhA

When Sepia becomes energy less (poor) then she feels everybody in the family should help her in this state of exhaustion as she had reached this state because of working for the family.

But she does not get proper response. Though others try to help her but it is not up to the expectation as she desires (FASTIDIOUS).

That time her problem get aggravated and her weakness level further goes down.

AILMENTS FROM – disappointment

That’s when Sepia starts getting indifferent towards her family members and further cuts off from them.

1. INDIFFERENCE, apathy - family, to his

2. ESTRANGED - family; from his

Because of the excessive weakness even with slightest effort to work Sepia becomes very much exhausted. That time Sepia reacts with irritability to others for the slightest help they need or by doing little household work. Even for the work, which needs slightest exertion, Sepia starts taking lot of anxiety and feels helpless. She even goes to the extent of being Abusive and insulting.

1. IRRITABILITY - exertion; from

2. ABUSIVE

3. ANXIETY – sewing

Once she feel that she cannot cope up with the situation, she just does not pay heed to anything and stay alone.

1. INDIFFERENCE, apathy - lies with eyes closed

2. COMPANY - aversion to - sight of people; avoids the - lies with closed eyes, and

3. COMPANY - aversion to - alone; when - amel.

Closing eyes does not mean that Sepia does not see anything. The meaning is that she just sit down quietly does not participate in any activity going on around her as if she is not concerned about the surrounding and not affected by it.

Sepia never wanted to stay indifferent but because of exhaustion she had no option but to do so, that time she feels helpless.

1. HELPLESSNESS; feeling of

2. CONTRADICTORY - actions are contradictory to intentions

Though she becomes indifferent to family but she never forgets that they had not helped her during her bad days, so whenever she finds some occasion she tries to tell people around him about them.

COMPLAINING - others, of

Sepia always feels that her present state has happened because of others as they never took care of her but she never blames herself, why she worked so much for others, she should have taken rest that time. That’s why Sepia is not in the rubric ‘ANGER - mistakes, about his’.

Rather she feels that her luck was unfavorable.

UNFORTUNATE, feels

Though Sepia stays indifferent but at the core inside, she is still a family lady. The thought of the maintenance of the family even during her exhaustion hurts her. She always feels how the family will survive now and if the state continues how they will survive in future also.

1. DELUSIONS - starve - family will

2. FEAR - poverty, of

During this condition she becomes more depressed and feels she has reached to such a pitiable state from which now she cannot come out, as she had nothing left in her.

1. DELUSIONS – of emptiness (c)

2. DESPAIR - existence, about miserable

She starts avoiding her closed ones and her family members after that.

1. AVERSION - husband, to

2. AVERSION - family; to members of

3. ESCAPE, attempts to - family and children; attempts to escape from her

Even if people come to ask her about her needs she apprehends that this will further aggravate her exhaustion as they will be asking for some help which she is not in a state of performing now.

FEAR - approaching; of - others; of

She feels others are not there to help her rather during her need they deserted her. For her they are good for nothing.

1. FORSAKEN feeling - beloved by his parents, wife, friends; feels of not being

2. DELUSIONS - alone, being - graveyard; alone in a

If somebody even come near to her to reassure or comfort she rebels against the same as it pinches her and she feels they are making fun of her.

1. CONSOLATION - agg. - sympathy agg.

2. REBELS against poultice

3. MOCKING - others are mocking at him; thinks

She feels that the sole aim of taking care of his family and others at home is now not possible, as she has lost all interest and energy for doing so.

AMBITION - loss of

In a nutshell Sepia is a family lady who exhausts herself to the maximum for the welfare of the family, leading her to the present condition of depleted health. She does not get the support of her family as per her needs. She reacts irritably because of her exertion. She feels others have deserted her during her need. She becomes totally indifferent to others and started disliking them, does not like even their help and then stay put in a pitiable state from which she even do not want to come out.

AURUM MET : A CASE

A person in his mid-thirties came to me for treatment of palpitation, anxiety and sleeplessness. He had been suffering from this since many months. He had already consulted allopathic specialists, undergone all the tests pertaining to heart & brain and no abnormalities were found. Presently, he is on anti-anxiety prescriptions.

Though he gets sleep after taking pills, after midnight he gets up with violent palpitation accompanied by lot of perspiration and great desire to drink chilled water. The palpitation stays for 10-15 minutes and then subsides on its own. During that time he avoids everybody, even his wife and mother. He tells them not to come near him. He does not like their advice or care during the palpitation. He just tells them to leave him alone.

He is a police person and now posted to records, where there is no active involvement and generally no police personnel wants to be posted in records as there is no activity or easy money involved in this posting.

Earlier he was in Anti-Corruption department, where there were ample chances to get easy money. But he got transferred to records on his own request. This surprised everybody as it was unusual, because generally people feel it as a punishment after getting a posting here.

Pt: “During day-time though I don’t feel OK, there is no particular problem. But evening onwards my problem starts. I start breathing faster, I have to inhale more air or I feel I will get breathless. I become a bit restless and start getting pain around heart region. Sometimes it extends to my left arm. I try to get myself occupied with some or other work, but it never goes off my mind and continues throughout. Then I take an anti-anxiety pill and try to relax.”

Dr: “Since when you are suffering from this problem?”

Wife: “This episode started three months back when we got him transferred to this branch. Earlier also he had similar problems and it was controlled with lot of medication.

That time, the psychiatrist advised for a change of job. So we requested his seniors to post him here. Initially, he was quite normal, enjoying his work and even happy at home. But after a few days, again the same problem started. He started staying aloof, stopped talking to all of us, started sitting and thinking continuously. At night he becomes very anxious and restless, sometimes he even shouts loudly, as though he is in severe pain. The pills help, but the next day he becomes very drowsy and does not do any activity.”

Dr: (To patient) “You tell me what happens during that period.”

Pt: “I try to keep myself happy at home, play with my little daughter after coming back from office, but it happens suddenly. I get violent palpitation. I feel as if my heart will cease beating and I breathe very fast, as if it needs more air. I can’t sit at one place and move around. I don’t feel like talking to anybody, as I feel they are unnecessarily misguiding me. I feel lot of uneasiness around my heart.”

Dr: “Why did you change your office?”

Pt: “The whole staff takes bribe from personnel who are already indicted in one or other corruption cases. Initially, when I was posted there, I took lot of interest in tracking down the cases and finding out the guilty. But my colleagues started mocking at me and told me that I may also be a victim afterwards. But I never paid heed to their views and worked as per my inner voice.

I got myself totally involved in my work, understanding the cases in detail, taking care that no stone should be left unturned to ensure that no innocent person should suffer. I knew the persons involved in the cases were my colleagues, who were senior to me and had good backing in political circles, but at the same time innocent people were also involved.

Those things never perturbed me and I was very much happy with my work and always felt I can handle much more workload than this. Rather this type of job rejuvenated me. I always pursued my job passionately.

But when I submitted my report, no action was taken. I pursued it, but my boss who used to encourage me during investigation, didn’t even take care to discuss the matter any further. He used to say that I should have thought of some other mode of investigation, which would have been more accurate in the situation.

One day, I insisted that some action should be taken over the matter, as it involved general public and the image of the department. To this, my boss became very upset and told, “If you want to pursue the investigation, you take full charge and don’t involve me. Now it is for you to handle your indicted colleagues, public and the media and pursue the case.”

My colleagues in the office started talking about me that I am trying to show that I am extra sincere. Unknowingly, they started giving me more work justifying that I am a sincere and dedicated worker and so I can do them easily. My work load increased many folds and the pressure to handle the public and media simultaneously exerted lot of pressure on my mind. I started mixing one work with the other.

The pressure was so much that I would always carry the work home, and there was no time left for my family. All the time, I started thinking about the plans and ideas to improve my work. The pressure on the mind was so much that I stopped getting sleep. Sometimes I used to get sleep during morning hours and then get up late. Those days, I used to reach office late.

Everybody used to indirectly say that how can such a sincere person come to office late? It used to pinch me and I used to think that these people can never acknowledge my sincerity. But sometimes when one or other colleague would say that I have done a good job regarding the investigation, I would feel very good.”

Wife: “He started bringing a lot of work at home and never relaxed after coming back from office. This affected his health, but he never paid heed to our suggestions and continued working. Day by day, he stopped becoming happy to the extent that every time you would look at him, he looked sorrowful.”

Pt: “What I should have done? Nobody understood me in the office or at home; not even my wife. Even she started saying, ‘If you can’t work so much, why are you overloading yourself?” At least she could have supported me.”

Wife: “He never took our suggestions in a positive way. During those times, he just closed himself up and avoided everybody who tried to help him, including me and his own parents.

Then we took him to a psychiatrist as he stopped talking to everybody and always stayed gloomy.

He recovered in six months but didn’t want to go to office. His boss was good and on our request he transferred him to a new office.”

Dr: “When did you start getting those symptoms of palpitation and sleeplessness again?”

Pt: “Initially, it was good but after a month during budget, my new boss told me to prepare statistics regarding crime graph in the city. I took lot of interest and started preparing it in a different way than the previous years. I put my heart and soul into it. My workload again increased and I started getting confused because of the exertion. My new boss pointed out silly mistakes and never saw the good work I had done. This pained me so much that I stopped going to the office.”

Wife: “He started getting violent palpitations at night anticipating about the next day in the office. He would walk around in the bedroom, sometimes complaining of chest pain and he would become very dull during those times. This time again, we consulted the psychiatrist who repeated the same prescription. Then we thought of consulting you.”

A dose of Aurum met 200 helped this person to come out of the crisis and now he goes to the same office with ease and participates in the family activities.

............ read complete article in January-February 2010 issue of AUDE SAPERE.

UNDERSTANDING BELLADONNA

A lady aged 34 years came to me for the treatment of migraine.

Pt.: “This pain is there since last five years. It started immediately after the birth of my second child. Since then I am taking treatment but there is no permanent relief. Pain-killers give temporary relief. We have already done all the tests including MRI but there is no abnormality.”

Dr.: “What do you do during pain?”

Pt.: “It is so terrible that I can't do anything. I have to immediately take a painkiller and lie down. I just go mad during the pain. Till the time the painkiller starts affecting I stay in great distress. That time the pain is so intolerable that I feel it is better to die being in this type of pain.”

Dr.: “What is the main concern regarding the problem?”

Pt.: “I just want everybody should be happy. I myself don't like to stay like this. I like to be in a good mood but this pain never allows me to be in a good mood. I am observing that day by day my mood is becoming very bad. During the pain I don't like talking to any of my acquaintances though I used to love talking to them in normal condition. My main concern regarding this problem is that it should stop immediately or else I will be totally helpless to even perform activities which I love to do.

If we analyze the case then the main fear which brought the patient to us is not migraine but the apprehension that she will be restricted to one place if the pain doesn't stop. Here she wants to do things as per her will and wish but the pain restricts her to one place, so it doesn't allow her to move.

This feeling is: 'FEAR - paralysis, of' and the modalities which doesn't allow her to move is: 'QUIET; wants to be'. The totality of these two rubric leads us to the state: 'DELUSIONS - poor, he is'.
Belladonna comes to doctor when she feels that she is unable to do whatever she wants to do (DELUSIONS - poor, he is) and apprehends that this state will lead to temporary restriction of movement (FEAR - paralysis, of) which will further jeopardize his intensions.

Why Belladonna, who always cherish good life, short of nothing goes into the state of poor?

This is because of the frivolous nature of this remedy.

When she has lot of wealth she just boasts it and shows it to others without taking care about his future and health. Even though his condition deteriorates but he never pays heed to it and against the wishes of the doctor and nature he continues enjoying life compromising his health where in his energy level further goes down.

FRIVOLOUS
BOASTER, braggart
POMPOUS, important
DEFIANT
AUDACITY

A day comes when his condition becomes totally serious and then he goes into the state of 'ANGUISH - weeping, with'.

Now he starts feeling the depleting of energy level which brings on the fear that every activity he loves to do will now be not possible.

DELUSIONS - poor, he is
FEAR - paralysis, of

Belladonna is naïve and doesn't learn from his mistakes and stays like that till he has wealth of everything (DELUSIONS - wealth, of) but when the wealth is exhausted then he becomes serious (Serious) and starts contemplating to take measures to come back to health.

Though he is poor but he never leaves the state of 'FIGHT, wants to & POSITIVENESS' and always tries to win over the situation. But the condition where he starts taking remedial action is at very low energy level so he wants the doctor to cure him as early as possible having an intention to get back to his original life style and enjoy the life.

CARRIED - desire to be carried - fast
LIGHT - desire for
In Belladonna children, the main guiding symptoms are Playing, desire to play and Attention desires. The desire word is added to playing as it denotes the involvement of second party in Belladonna's play. In original Kent repertory Belladonna is not in the rubric PLAYFUL but he needs a partner to involve in his play. This is just to attract the attention of others. During play, the partner's attention will be there on the child and not on other activities. These children, as per the mothers, will never allow them to stay alone at home. During sickness they become very dull but activity with them especially something different stimulates them to remain normal, otherwise they cry and want to be with somebody

DULLNESS - heat - during
LIGHT - desire for
CARRIED - desire to be carried
NOISE - inclination to make noise

The problem with the Belladonna child is that they treat their parents as their private property, as if they possess them. They try to boss over them. They feel that their total attention should be only given to them and not to be anybody else. If they go for their work leaving him at home, that time they should substitute somebody who are of similar nature and can devote that much attention to them.

DELUSIONS - wealth, of
TALKING - business, of

In Neuro behavioral disorder in children we have seen children becomes very cranky at home, biting, striking their parents/attendants, severely striking their own head, throwing things at others, destructive and shrieking.

The guiding symptom to prescribe Belladonna in these cases of children is the change which can be effected when their mind is being diverted to other things when the child is violent. Like engaging them in play, activities which elate them, take them to park, puppet shows etc. They get easily diverted as they are very credulous and naïve, never learn from their previous experiences.

While prescribing on mind we should be careful not to form a picture on the mind about the remedy. We are expert in doing this. But this will lead us to prejudices that Belladonna is very frivolous and always stays light. If we think about the etiology what state brings Belladonna to the clinic, it is not light or frivolous or credulous but it is the poor feeling, the anguish and the apprehension that the disease state will lead to his temporary restriction, brings the Belladonna patient to clinic. So please stay unprejudiced and try to understand the main concern of the patient during the problem which brought him to your clinic.

BY DR ASHOK MOHANTY
MOB.: 9810026564

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Understanding Nux-vomica

Let us study the remedy Nux-vomica in detail.

In the last issue the similimum was selected not only on the basis of mathematical repertorisation but on the merit of the totality of this drug.

Kent had advised us not to use repertory as a mathematical tool to calculate the similimum by taking different rubrics pertaining to physical, mental, modality etc. He warned that the remedy selected on this basis may be similar but cannot be similimum. Totality denotes the soul of the remedy being reflected exactly as the core of the patient.

Nux-vomica patient is defiant because he has the ability to pursue his activities though the condition is not conducive. He feels he can win over any situation to achieve what he wants.

The following rubrics substantiate this feeling:
DEFIANT
ARDENT
OPTIMISTIC
FIGHT, wants to
PERSEVERANCE
AMBITION

If he wants to do something he never looks back.

Let us understand the meaning of three rubrics HOPEFUL, OPTIMISTIC & POSITIVE in this respect:

In HOPEFUL the patient will say to the doctor, “Sir, I have lot of hope that my problem may be cured.” (“हमें तो पूरी उम्मीद है की हम ठीक हो जायेंगे. आप कोशिश जरुर कीजिये.”) (Mind you, here the patient is not sure about the outcome after taking the medicine from the doctor & just hopes that he becomes fine. So it is a possibility only)

In POSITIVENESS the patient will tell to the doctor, “Sir, I know this disease has to go, once there is a disease there must be a treatment also. There is no question that I will stay sick.” (“बीमारी है तो इलाज है. ठीक तो होना ही है. आई दवाई देते रहिये, मुझे पता है मैं ठीक हो जौंगी.”)

In OPTIMISTIC the patient will tell to the doctor that, “Sir, I know my condition is not good but still I knew something better will happen and I will cured. I know there is no medicine for this disease presently in India but in America there is some special treatment is available for this disease. I know one day will come when this disease will be cured. (“मुझे पता है मेरी स्थिति काफी गंभीर है पर मुझे ये विश्वाश है की कोई दवाई जरुर काम कर जाएगी और मैं ठीक हो जाऊंगा. मुझे पता है की इस बीमारी का इलाज भारत में नहीं है पर अमेरिका में तो होगा. मुझे पता है इस बीमारी का इलाज जल्दी ही यहाँ आ जायेगा और मैं ठीक हो जाऊंगा.”)

Hopeful is a state when a patient hopes or expects the condition improves but is not totally certain about the same. Positiveness is a state where there is no negativity and the person is certain that the condition will improve. Optimistic is a state when the person being in a state of negativity always look towards positivity that there is always light after darkness.

Nux-vomica is very-very Ambitious. He never stays satisfied even if he achieves his target rather he pursues his activities with more vigor for furthering his achievent.

This is being of the fastidiousness quality of this remedy. Fastidiousness is nothing but the quality of an individual whom you can hardly please. This type of individual will initially set a target but when they achieve that their zeal will not allow them to rest and lead them to do something which is much more ambitious than the previous target. Because of this non satisfied nature they keep on working and working to the level of perfection as they love to excel in their activities. This continuous work make them tired and they feel like to take rest to pursue their activities.

FASTIDIOUS
AMBITION
REST - desire for

Rest is a pause where they recoup and again start pursuing their activities. The Ambition of Nux-vomica is so strong (ARDENT) that they keep on excelling their previous record and never stay satisfied in the present condition.

This makes them extreme tired and fatigued. Here they want a state of complete rest to attain peace of mind.

LONGING - repose and tranquility, for

This state is so intensely needed in Nux-vomica that they react with anger when somebody disturbs them while being in this state.

ANGER - interruption; from
DISTURBED, averse to being
MOOD – repulsive

That time he feels as if there is no energy left in his body and only rest can give back the energy he has lost in the process of achieving his ambition. Even smallest amount of obstruction to his process of recovery is not acceptable and he breaks down totally.

WEEPING - opposition, at least

(Weeping is shading tears or crying but it is a state of breaking down during adverse condition where you are not able to manage your own, i.e. strongness melts into weakness.)

Hence the journey of Nux-vominca starts from ardentness, defiance, optimism to pursue his ambition to a state of poor and weeping where he feels only tranquility can bring back his energy level.

In the case discussed in the last issue we have remedies like Belladonna & Sepia along with Nux-vomica after repertorisation. But we should know the poor feeling of these two remedies so that we can easily differentiate it from Nux-vomica.

Belladonna feels poor when he apprehends his activities will stop and he cannot enjoy the day to day life. Before going to that state he will come to the doctor. His only need is to enjoy life to the fullest.

DELUSIONS - poor, he is
FEAR - paralysis, of
LIGHT - desire for

(“बीमारी अगर आगे और बढ़ी तो उसे मोवेमेंट्स बंद हो जायेंगे, तो घर से कैसे निकलूँगा, पार्टी-सरती सब बंद हो जायेगा.”)

Sepia will feel poor when he doesn’t get reciprocation. She puts her all energy for the members of the family but when they don’t reciprocate when he becomes sick that time she feels that nothing is going to workout and she stays indifferent.

INDIFFERENCE, apathy - lies with eyes closed

Please don’t do mathematical repertorisation of the case. Try to understand the main concern of the patient and select the similimum accordingly.

Puri Seminar Pics

MINDING THE MIND IN THE CLINIC (Understanding Clinical application of Mind Section of the Repertory)

By Dr Ashok Mohanty 9810026564


A male aged 28years was brought to me straight from the hospital against the advice of the doctors. He was suffering from viral hepatitis, hepatomegaly with ascites and very high grade fever. His liver function test showed:
Serum billirubin – 4.2 mg/dl
SGOT _ 1960 U/L
SGPT _ 2210 U/L
Alk. Phosphate _ 224 U/L

He was in the ICU of the hospital for a week, but there was hardly any improvement neither in the pathological parameter nor in his physical condition. His fever used to be very high and controlled with icing and antipyretic drugs but after few hours it again used to shoot up. He was having severe body pain, violent headache so much so that he used to bang the head on the rails of the bed.

He was so restless because of the extreme suffering that he used to abuse the nurses present in the ICU. Though he was very weak as there was no intake of food since last ten days but he used to throw the hands so as to take out the drip from his hands and few times tried to get up from the bed to go out.

The doctors were trying to ascertain the cause of the fever which can be either hepatic or enteric. This used to annoy the patient and he insisted that he cannot bear the suffering further and compelled his attendants to take discharge against the advice of the doctors. He told them I will die at home than to suffer here.

They brought him to me as they stay close to my clinic.

Pt: I don’t have any energy left in me, not even able to sit down. I get very high fever with severe body pain and headache. That time I want to just lie down and don’t want to talk to any body nor like anybody talking to me.

Dr: Why you came out of the hospital against the advice of the doctor?

Pt: For seven days they were just taking samples and samples and administering different drugs but there was no relief at all. They were not allowing me to lie down peacefully even for a minute. Even at the mid of the night they used to wake me up and take BP and temperature. That was disgusting. I couldn’t tolerate further. It is better to die than to suffer in this way. Please give me some medicine so that I could sleep properly and get some energy to do my normal activities.

After this much talking he was so much exhausted that he was just lying on the couch without any movement.

If we analyze the statement what he said in the clinic and the situation in which he came out of the hospital then it will be easy to find right remedy for him.

The first requirement of the patient was energy that he lost in the past seven days during the sickness.

When the patient tells us in the clinic that he is short of something, or he is unable to perform or he has become weak because of the prolonged sickness it can be taken as “DELUSIONS - poor, he is” from the Mind section of the repertory.

During the problem he wanted to lie down with out talking to anybody and wants no body should talk to him. This can be taken as ”QUIET; wants to be” and “DISTURBED, averse to being”.

Then his ultimate need was getting proper rest as he couldn’t get in the hospital for the last seven days. This can be taken as ”REST - desire for”.

If we repertorize all these four rubrics, we get Nux Vomica as the remedy. A dose in 30 potency settled the case in 24 hours. His fever came down to 101 and he got very good sleep in the night and started taking fluids orally.

After few days the liver function test showed marked improvement.

Serum Billirubin _ 1.1 mg/dl
SGOT _ 26 U/L
SGPT _ 39 U/L
Alk Phosphate _ 112 U/L

If we analyse the condition in which the patient insisted to get discharge instead of his serious condition and against the advice of the doctors that state can be taken as “Defiant” in the mind section of the repertory. This means the person will openly and boldly resist the authority, defy the authority.

Let us try to understand few important points of Nux Vomica in the perspective of this case which will help us to understand this type of patient in the clinic.
Most of the Nux vomica patient’s come to us when there is very less energy left in them during sickness.(Delusion Poor he is).
Before that they would have taken utmost care and precaution to come out of the situation themselves (carefulness and cautious) as they are very positive and optimistic about the situation and they have lot of zeal to face any condition (ardent).

After continuous effort for which they have lot of patience (perseverance) when they became very tired to pursue further in their activity to recovery then they visit the doctor to get a break without which their energy level will further go down (rest desire for).

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