I have a patient who can't stop working all night. His brain just keeps on going on and on, with a profusion of ideas. And once he gets on to a topic, you can barely get a word in edge-wise. Everyone thinks he is a Sulphur patient because he is so hot he barely wears any clothes even in the winter, even though he is not an exhibitionist. He is also madly egotisitic, but thinks he is detatched and easy going. But when he took Sulphur it had no reaction. Anyone have any ideas?

If he works predominantly alone or established atmosphere (few/ no new faces) and tells you he is working to pay the bills or get ahead, then the remedy is bry; With Nat-m under.But you must consider; is he asking for help or someone else thinking that his way of living is incorrect.He may need money; thus a circumstantial situation.What is HIS complaint? Talking too much?? Working too long?? I am not sure , but it appears that someone else doesn't like his life style and is complaining for him; in that case let him live.

hasty speech (do not lock into loquacity (???); listeners interpretation)/busy/abundance of ideas/fear of poverty (??)/ delirium for buisness (?)

Truthfully, with just mind symptoms , we can turn anyway we wish; but only confining ourselves to remedies that are < heat. Outside the heat there is ign/nux-v.

As ricky said, Lach. Also Iod

If all he thinks about is business and all he talks about is business... AND he is dramatically worse from movement (these patients usually shuffle into the office)..., AND, given what you say he is worse from heat... then study on Bryonia.

But, there is not yet enough info here to determine his remedy, but it is a good beginning. Dig around for further important information of him.

Important point: There is NO (repeat: no) reason to begin by considering the remedies such as Nux vomica that are not only "better by heat" but are also strongly "better by being covered". The remedy you pick as this man's simillimum MUST be well known as "worse by heat", as this obviously is a strong point with him himself. Also note: Many remedies have big egos in their mental pictures!! Try to define with more examples how his big ego exhibits itself, then look at the big ego remedies and see if there is a good match, etcetc.

Thanks all. He has a cholesterol problem. On his eyelids thick patches of darker raised skin have formed. Some allopathist say its cholesterol some say not. Anyway he is on a diet for that and that seems to help. As far as his remedy here is some more info. Very industrious - currently working on a web site involving a lot of money - always exaggerating his greatness or ability.Full of big plans and actually works VERY hard on his web site database. Never sleeps at night - works all night. Very routined guy - usually sticks to an exact schedule but looks like hell - very white skin from never coming out in the day (hardly - he sleeps most of the day awake all night) Has a strong liking for money but has quite a bit already. He is very generous but behind it is the idea of getting recognition for it. He had smoked pot everyday for 20 years up to 10 years ago & I mean a lot!! All day. Will keep a fan on himself all night long as he works even when other hot people can't take it. Very smart friendly but sees very few people although he is a doctor and sees people in his clinic once a week.Likes sugar/fats. On symptoms alone you get sulphur but it doesn't work. Thuja had some effect in the past.He works alone for many hours. Talks about how he is the best doctor of all and how he will be making himself and all his friends rich with his medical site.(understand that this is not ALL idle boasting - him and his brother-in-law have invested something like 30,000 dollars in his web site!!)
My toughest case - I have known him 20 years and am too close to it...

Thanks for the input!!

Look up Nux Vom. They are not always chilly.
Lycopodium can be similar with the work habits as well. The heat and his talking also suggest Lachesis. You have not really given us a lot to go on so either give more or study the remedies.

EGO is a medical dis-ease due to GREAT usage of cannabis (cannot trust this as a guide to correct remedy); He will work this out in time (if he chooses); correct remedy will aid ,but not resolve without his 'will'.

Yes , the eyelids points to bry (check your rep.).Nat-m follow-up. But must access symptomology before ; do not be surprised if heat has less of an effect upon him, with proper treatment (may be quite opposite).

Must find out if he has had gonorrhea at some time and how it was treated.

Find out if he has always felt this way about heat.

Another thought is that you may have to start with camph 30c to take on cannibis abuse; follow by (????) nux-v 200c (only if there is constipation); then to bry (high). Access after each remedy. 1 dose camph 30c wait 1day (camph needs no more in this case); then consider follow-up.

[This message has been edited by Johnstanton (edited 28 October 1999).]

It looks like a locked natrium mur.
But more symptomes, is needed to conclude on that, and NM, its the strongest lead.
The mentals is misleading when too close, more body symptomes, or obesrvations of bodysymptomes is needed, not interpreted mentals.

Other physicals that could be mentioned: Sedentary (3), Constipation (2) - due to inactivity of rectum. Frequent frontal headaches, but < on the left side of head, < from overstudy, < overuse of the eyes, esp. looking at computer screens; > better cold applications, > cold bathing, > closing the eyes. Strong tendency for symptoms to be left sided (3), or symptoms begin on the left and then go to the right (2). Mouth breather, due to large adenoids. Does not drink water (only tea and soda) even in the hot weather, thirstlessness. Tobacco/cigarette abuse for last 30 years. Desires strong tea (2), fats (1), salty (2), spicy food (3).

Thanks for the input!
BTW the term for the yellow cholesterol patches about the eyes is Xanthomata

Look up organon, What hanemann says about soda, its Natrium mur who is the remedy.

Nux v, then NM, then sepia, then Lyc.