Dear Dr. Leela,

It's true she's not chilly, and that would tend to go against Silica as her constitutional remedy; but think how often you may have taken an acute remedy that bore no relation to your constitution: Arnica for an injury, Ferrum Phos. for a cold, Nit-ac. for a gum abscess, Pulsatilla for indigestion, Gels. for a flu, Aconite for fear, and so on. It's in that context that she may have a Silica headache. It's just something to keep in mind if the other good suggestions don't work.

Snoopy

Good Idea Snoopy, I'm sure keynote prescribing has its place, especially when many symptoms match. And thanks for the other suggetions too, I'll keep them in mind.
Warm regards,
doctorleela

[ 27 October 2001: Message edited by: doctorleela ]

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Thanks, I'll try asking them when I manage to get downtown without kids (it's a very difficult store for my kids)

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---Jennifer<br />(just trying 2 B SuperMommy)

Without offending you Dr Leela, why did you prescribe NatMur 200c once & wait & then when Jennifer said she only had access to 30c , a dose of 30c once daily for 3 days?
Why wouldn't you wait to see if the first 30c dose had an effect?

Not offended Ozzie. I did not realise earlier that she had only 30c. I generally use 3 doses of 30C or single doses of 200, and wait. This depends on the intensity as well as how long the problem has been present.

I thought the intensity of Jennifer's problem was quite high, indicated by her responses (emotionally) and the amount of pain. I tend to go higher then. Just an old habit which has served me well. No hard and fast rule. Potencies are always difficult to decide.


Does that answer your question?

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Sort of. It's just that a Nat Mur aggravation can be difficult to cope with, especially on top of a continuous headache. Also as Nat Mur is such a deep acting remedy. So if you can get the amelioration with one 30c, it lessens the risk of further aggravation. How do you know if the first dose hasn't worked if you repeat too soon?

I find that if it is the correct remedy, patients are able to tell me if they have felt a shift (I sound them on what to expect), and I tell them not to take the remaining doses then and wait.

I'm very vigilant with my private patients and make them contact me almost daily when I start, as it is so difficult to predict the initial response to a remedy. Once I have a gist of their response, I generally am very comfortable with my prescriptions and repetition later on.

I have found a repetition in 30's not really having bad aggravations, and working faster and resolving the condition quicker instead.

Warm regards,
dcotorleela

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Thanks Dr Leela. The vexed question of repetition of dose.... and what potency to give in the first place.
I still don't know whether to err on the side of caution by prescribing low to start with or higher and risking aggravation(especially as I had a couple of fellow students who seemed to be super sensitive.)

Quite understand that predicament!

I also tend not to think of remedies as deep acting or shallow. IT depends completely on the amount of the picture that the remedy covers, and very often we prescribe partial similimum's especially in a situation like this (BB - online) unless a really complete history has been taken.

Most often than not, it is the way to go, as cases can be so complcated, a patient does not require only a single remedy in his/her lifetime, So one has to deal with what presents itself first and take it from there.

Finally, continiuos long term managemant in all aspects is the main part of Homoeopathic treatment.

Warm regards,
doctorleela

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Ozzie,

Some here have said that 1M aggravates less than 30C or 200C, so I am trying that out to see how it looks for me. I have had a person spend a week in bed from an aggravation to a 6C! Never had heard before of the "hairline sensitivity." Anyone know what to do to prevent that, or are these people just not treatable with homeopathy?

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Kescah