"In the first prescription for cases of serious chronic disease, would it not be more appropriate and beneficial to the patient to do an exhaustive repertoriasational analysis which would include as many rubrics as were evident in the case?"

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Hmm....serious chronic disease..... In such a case, you really do not want an essence remedy right off the bat. You ask the patient, "What is the worst thing for you right now?" Most likely such a patient is experiencing pain or other discomfort which is not a function of his constitution. The arthritis patient needs to have his arthritis case taken. Is it a rhus tox arthritis? A kali carb arthritis? Does the patient have heartburn because of his pain medicine? Or nausea and vomiting because of it? Then we need to take the case of that. Don't take the constitutional case of someone with serious chronic disease. Find out where the suffering is in the patient, then start with the worst thing. If you ever get down to the constitutional state, consider yourself lucky!

Snoopy