Dear Helmut

Strive for the remedy which covers the totality of symptoms the closest. If Lycopodium does not resemble the totality and especially not the mind symptoms refrain from using it. If Lycopodium is very close but not spot on check out the complementary remedies.Let go of any preconceptions and start afresh without limiting yourself to this or that remedy. Where is the gravity of your case? Can you find an etiological reason why your friend is in his current condition? Create structure in your case. Make sure you appreciate the high value of the given mental symptoms and generals.Consider Carc or Tub when they resemble the totality not before. Miasmatic blockages can occur, but basically any chronic condition is a miasmatic blockage and any similimum will be helpful.Carc and Tub are wonderful friends if indicated. To assess the strength of a miasm in a patient look at the totality of symptoms and analyse the overwhelming tendency in the patient manifest at the present time. The miasmatic tendency in siblings is a good indicator but no proof, then assess parents, grandparents and other relatives. I think the biggest problem in finding the similimum is the limitation of our mind which tends to prejudge the case and allocate a remedy even before the case is fully taken. You may write to me in German if you want to.