| Male aged 28 suffers with migraines and eye problems.
These migraines are only of short duration and come on suddenly
and only last around 30 seconds. He gets them 3 to 4 times a week
and they come in short intervals. His eyes are always red and dry
and they feel better from cold. His nose is always running slightly
and he usually has a small cold sore in the corner of his mouth.
Once a week he suffers with a sharp chest pain which is worse for
deep breathing. After eating he feels bloated. He has a bowel motion
every second day but if he overeats he will get diarrhea within
half an hour. He urinates very seldom – often only twice a day.
During exercise he gets bad cramps in his legs and his hands are
always cold. The skin on his face is very dry and flakey and he
has a number of moles on his back. He has a habit of constantly
picking at his nails to smooth them – he can’t stand any roughness.
He has difficulty sleeping and takes one to two hours to fall asleep
– he likes to sleep on his back. Can get very hot in bed and gets
extreme heat in his stomach which is better for cold. At times
he has trouble turning off his thoughts. He can’t always remember
his dreams and there are no real themes to his dreams. In regard
to weather, he hates rain and thunderstorms, dislikes cold and likes
warm weather with the sun out but cloudless. His perspiration is
only slight with no smell. He fears public speaking, failure and
unfamiliar social situations. When he is stressed he becomes agitated
and feels frustrated. His passion is sailing and investing.
My friend gives her impression of him too. She says he is fastidious
with his work and the way he keeps his belongings. Very shy in public
but quite chatty in private (my observation is that he hardly ever
talks in public). His father died suddenly in his teens and he
is still finding it hard to overcome his loss – the death of his
father overshadows their own life and he is obsessive about caring
for his mother and not leaving her on her own.
FACIAL ANALYSIS (observing the shape, size and position
of facial structure)
| YELLOW (psora) |
RED (sycosis) |
BLUE (syphilis) |
| Lines forehead
Ears position
Hairline shape |
Nose
Brow
Forehead shape
Mouth
Lips
Smile
Teeth
Lines beside mouth |
Asymmetry
Bridge
Cheekbones
Chin
Eyelids |
| 3 |
8 |
5 |
Practising homoeopathy using facial analysis is
much easier than trying to define essence or determining a deep
interpretation of the patient’s state. This patient needs a red
(sycotic) remedy as classified by the HFA (Homoeopathic Facial
Analysis) system.
CASE ANALYSIS
Common human condition (not included in the case analysis)
Fear public speaking, failure, unfamiliar social situations
Stress = agitated, frustrated
Dislikes cold and likes warm weather and sunny days
| Mind |
Generals |
Particulars |
| Persistent thoughts
Fastidious
Shy
Dislikes speaking (social situations)
Grief - death |
Sleep – difficult
falling
Heat < bed > cold
Hates rain/storms
< eating/overeating |
Migraines – sudden
Eyes – red/dry > cold
Nose runs
Mouth – cold sore
Chest pain < inspiration
Diarrhoea < over-eating
Bloated < after eating
Urination seldom
Limbs – cramps, cold
Skin – dry, moles
Picks at nails
Stomach flushes of heat |
Like many cases there are a number of rubrics that can be selected.
To ensure that the right remedy isn’t rejected too early in the
analysis, choose 1-2 mind symptoms, 2-5 general symptoms and 1-2
particulars.
The correct miasmatic remedy will appear in a number of combinations
of rubrics. Often another miasmatic remedy will appear too. Sometimes
(based on the presenting totality) both will look equally as good
and it becomes a matter of trial to see which remedy suits the patient
most. In this case two red (sycotic remedies as per the Homœopathic
Facial Analysis (HFA) system) were apparent. A third sycotic remedy
was selected by some people and based on totality this remedy was
quite close too.
The following rubrics were chosen. Of the five mind symptoms the
correct remedy is found in all of them. However all rubrics have
remedies that possibly should belong to them but don’t (didn’t appear
in the proving or weren’t categorized to the rubric) and it is always
safer to take a couple of rubrics from each section rather than
one area of the case. As per Hahnemann’s direction – always consider
the totality of a case. Repertorisation is a way of culling and
sorting but we don’t want to throw out the right remedy by culling
too much or not be able to see it through overloading and picking
too many rubrics. Repertorising is about balance.
MacRep Complete 4.5
MIND; DEATH; thoughts of (58)
-
This rubric is a circumstance rubric. That is it represents
the energy of an impacting event that still dominates the patients
life – the death of his father.
MIND; TALK, talking, talks; indisposed to, desire to be silent,
taciturn (266)
-
This man’s inability to speak in public is beyond just a
natural fear of public speaking – he literally doesn’t speak unless
asked a question
GENERALITIES; EATING; after; agg. (192)
-
Two particulars are affected by eating – a good solid general
to use
STOMACH; HEAT; flushes (177)
-
There are a number of presenting symptoms that could have
been chosen – the migraines, eyes, chest pain, diarrhea however
this was chosen because its presentation was extreme.
BLADDER; URINATION; seldom (65)
-
Again this symptom was chosen because it is unusual to urinate
so infrequently
This repertorisation brings up the following remedies
Nux, Puls, Ars, Acon, Arg, Lyc, Apis, Merc, Thuja, Aloe, Camph,
K Carb, Verat, Chel, Dig, Op
The facial analysis is very important. It is concrete observable
information that tells us that the internal vital force (miasm,
survival instinct) is sycotic (red) and the BEST remedy for this
patient must have the same dominant energy.
Of the remedies above only two belong to the sycotic (red) miasm
(Homœopathic Facial Analysis (HFA) system)
Thuja and Apis
To differentiate between the two, further aspects of the case are
taken into consideration.
Two symptoms stand out as belonging to Thuja
The moles and the rubric which covers picking at the fingers.
This rubric was found through doing a search on “fingers” under
Mind.
MIND; GESTURES, makes; grasping or reaching at something; picks
at; fingers (17)
(only two sycotic – Homœopathic Facial Analysis (HFA) red – remedies
are in this rubric – Thuja and Tarentula. Tarentula is not under
consideration because it hasn’t repertorised in our overview of
the case)
Thuja is chosen.
. I chose this remedy and gave the patient Thuja 30C to take
daily. Within a week he was more relaxed, sleeping better, all
head pain gone, eyes better, skin less dry, no stomach heat, no
diarrhoea and no cramps. His wife was very pleased because their
relationship became less stressful. He was pleased because his
migraines and eyes plus other symptoms were so much better. He
took his remedy every day because he recognized the difference it
was making. After the bottle was finished (about 6 weeks) he took
no more remedy and was well for another couple of months. Some
eye symptoms returned so he took it again for another few weeks
and they immediately improved again.
Thanks to everyone who sent their feedback about this case.
The first person to get the right answer was Ellen Kire (US) –
Ellen practices using Homœopathic Facial Analysis (HFA). Ellen
wins a copy of Grant Bentley’s new book Soul & Survival.
There were some answers where the totality was taken into account
and another remedy chosen (Ars, Lyc and Arg Nit were all in the
repertorisation). The process of totality was covered but not the
miasm. These remedies are not regarded as sycotic in the Homœopathic
Facial Analysis (HFA) system and although they fit the totality
of the case, don’t fit the patient’s miasm. A totality remedy on
its own can still affect an outcome but usually will not act on
the total patient (energy, outlook, symptoms) or its action will
be short-lived and/or won’t repeat when the symptoms return.
A number of Homœopathic Facial Analysis (HFA) practitioners answered
the case. Most chose Thuja – with one choosing Apis and a couple
Rhus T (both HFA sycotic – red – remedies). It is wonderful to
see so many practitioners choosing the same remedy for a chronic
case. This is much harder to achieve than with an acute case.
Remedies
Thuja – 6
First to get the remedy right (winner of book/s) – Ellen Kire (US)
And others who chose Thuja
-
Marjoleine B
-
Leanne S
-
Bev B
-
Judy M
-
Anne S
Rhus Tox – 2
Sepia – 1
Ars – 1
Arg Nit – 1
Lyc – 2
Nat M – 1
Graph – 1
Apis - 1
It is our ongoing aim to promote this system to the homœopathic
profession; to bring homœopathy back to its roots of using observable
information – objective rather than subjective analysis when considering
the totality of both patients and remedies.
-
HFA accepts and observes universal principles of energy and
structure (the miasm)
-
HFA gives practitioners consistent and reproducible results
no matter how many years experience they have
-
HFA means the right remedy is chosen within one to four remedies
(once the miasm is correctly identified) in 80% or more cases
-
HFA is homœopathy in action – observation and utilization
of natural law
----------------------------------------------
Louise Barton
Victorian College of Classical Homoeopathy
Melbourne, Australia
For more information see
www.vcch.org
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