Thanks again, Snoopy. I wasn't suggesting to tell a patient they had to wait 24 hours between doses, but rather I think I'd tell them to call me when their symptoms worsened again.....kind of along the lines of what Ozzie posted after you.

I get the feeling it is partly about finding a way to give instructions that are in line with the Principles of prescribing, but that are somewhat convenient to the practitioner and the patient....can't be easy since all situations are different!

Thanks for your input, Ozzie ...much appreciated!! I like that you tell your patients to ring you when they feel something is happening (or not!)...to me this sounds like a better way to individualise, though I'm not sure how easy it is to manage, but then you seem to be doing well in this respect...so that is encouraging.

I know that my own Homeopath takes calls daily - during two one-hour-periods; once in the morning and once in the evening...so I know I can ring her during those times if anything is happening. And in the case of an emergency, I can leave a message and she'll get back to me asap...

Thanks again everyone for all the input.

Lisa

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"The significance of a fact is measured by the capacity of the observer."
Carroll Dunham

In my experience,(I admit being puzzled more often than not), dosing and potency is just as individual as the patient and case is and perhaps an individualistic approach is needed when choosing potencies and dosage frequency.

However, at this point, I could use you all's help in this little case:
I have given a friend Sulph 30C for treatment of her hemorrhoids. She reported immediate improvement of part of the sx and reappearance of older sx in reverse order, however after 4 days of taking 2 - 3 doses a day it hasn't cleared up yet and the condition is kind of getting a little worse before the next dose is taken. It looks like Sulph is the right remedy, but doesn't quite clear up the condition. Is this the time to go higher in potency (200C?) The hemorrhoids have come on about 3 months ago.
(BTW, she fits the Sulph traits beautifully on the mental/emotional planes)
I appreciate your help.
Claudia

You could try putting the remedy in water and succussing before each dose before going up to a 200C.

Snoopy

Hi Claudia,
Just from a physiological point of view, I wouldn't expect haemorrhoids to disappear within a couple of days. How about a wait-and-see period?

Karin

Hi,

The whole issue of repetition of the dose is totally dependent on the practitioner's ability to read secondary reactions clearly. First of all, there has to be a recognition that there is a primary action caused by the remedy and then a secondary reaction of the patient's Vital Force to the action of the remedy. This is why the wait and watch principle needs to be applied.

I've just read up an acute case of cerebro-spinal meningitis in a 1 year old child using LM's. The case belongs to David Little and his advice on the correct and uncomplicated use of LM's can be found at his website www.simillimum.com

This case is interesting because of the clinical tips he offers. This child had been hospitalized, lumbar punctured and blood tested to confirm the diagnosis. Penicillin had been used for 7 days which reduced the fever and made the case asymptomatic. 48 hours after finishing antibiotic therapy the fever 104 degrees returned with vengeance.

Belladonna, a well-noted remedy in these types of meningitis, was given in water, 200C and repeated. This held the fever for a while but it soon relapsed to 104 degrees. The question of going to 1M was considered, but rejected on the basis that an aggravation in these types of cases could leave this child dead. At this point David realized that although the fever had returned at the same hour and had all the same signs and symptoms as the original onset the previous week, this was in fact no ordinary simple onset fitting the Belladonna picture, but was a complicated suppressed case.

Based on signs and symptoms and its relationship to Belladonna, Sulphur LM1 was given for 6 doses then there was a relapse. LM 2 was given for several doses every 3 hours which reduced the temperature by a couple of degrees but then the meningitis haemorrhagic rash became visible under the skin on the child's legs. When this rash appears it is generally a sign that death is immiment, but he was encouraged by the way that the child's face showed less pain and anxiety than previously, LM 3, 3 doses, was given after which the rash symptoms disappeared. After 2 and half days from commencement of homeopathic treatment, the child was up and running about and continuing to improve, so LM 4 was given, twice daily for the next four days as meningitis is known for its tendency to return.

This case shows that in acute prescribing it's not only repetition of the dose that is important. It's also knowledge of relationship of remedies and knowledge of the disease itself that can determine success or failure.

Thanks Karin and chris,
It all boils down to individuality doesn't it - along with knowledge of relationships of remedies and disease...

Funny you should bring up secondary reaction, chris..I was just reading on lyghtforce recently where someone said that Hn changed his mind and said there was no secondary reaction.... ...and I thought to myself...whoa...put that one on the shelf and delve into that later.

Big sigh..so darn much to learn...
While I've learned a lot here, there are times I wonder if I should stop participating and stick to my books for a while to keep it all in some sort of order.

Lisa

__________________
"The significance of a fact is measured by the capacity of the observer."
Carroll Dunham

Hi Lisa,

Yes, it's all a question of balance, isn't it? As far as the lyghtforce debates go, we've witnessed some mind-numbing examples of sophistry, in particular from one participant who isn't even a practising homoeopath! That's why I prefer the minutus list on the whole.

Chris

You know, I forgot to thank David earlier for his input! Thanks!!

And Claudia, did you get that case sorted out??

Chris, too right, mate...balance I say ..but I've been mocked for using that word before :razz: .
I think I'm gonna hafta pay a visit to Minutus again and join up on that mailing list!! Much calmer you say? Thanks for mentioning it.

Hi Karin, there are a few on here who have experience with LM's ...particularly Hans. If you have a look at his site - you can see his paper on LM's which is quite helpful. www.boger-boenninghausen.com/
Also, David Little's site has extensive info as well... www.simillimum.com
There was a long discussion on LM's here before - perhaps do a search and dig up some of those threads...interesting discussions. But if you read anything posted by me..remember I'm a student and may not always be accurate (or dispassionate, but I'm learning)!

As for my daughter..it was a few days ago - Guinea Pig thread...basically she had red, itchy, puffy/swollen eyes - also itching and red where the pig licked her arm...and after a dose of Apis 12c she improved steadily. It happily ended up clean and simple.

Lisa

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"The significance of a fact is measured by the capacity of the observer."
Carroll Dunham

Chris and Lisa,
thanks for the websites and cases. I'll go check it out.

Re: Do homeopaths turn to allopaths. Hey, I do have a GP. Simply because I am not trained in physical examinations and diagnosis as well as he is. When my kid or myself are sick, and I can't figure it out with homeopathy, I have him have a look and get his opinion. And you know what: I have Tempra (antipyretic) in the house. Never had to use it, but if that boy has a fever of 41C and I can't figure out his remedy, he's gonna get it. No problem admitting that.
My vision for the future is for homeopaths and conventional practitioners working together. I've actually seen some good signs of it happening.

Happy New Year,
Karin

Karin

Well said Karin, and practical.
BEing a graduate in homoeopathic medicine and as well as all medical subjects, examination is not a problem. BUT what is more important is understanding the clinical course of diseases and interpreting the possible outcomes as the patient is responding to the remedy.

There will always be the short comings of the practitionaer, adn ones' endeavour is to overcome that as well as increase in confidence. This comes with experience and application, continious reading and keeping abreast with all that is happenning.

I myself have ALWAYS been working with allopaths, as the symbiotic relationship has proved very beneficial to the patient. IT is from them that we learn a lot too. IT is not difficult, adn I have experienced a lot of respect from them (allopaths as well as patients) for what a homoeopathic remedy well indicated can do. So I have no fear of an occassional allopathic remedy myself.

We all need to balance our perspectives and look for the common good of the patient (in his suffering), instead of being too dogmatic in our thinking. BUT vigilance and caution in all this cannot be over stressed.

Warm regards.
doctorleela

PS; THis is a response to Karin's post, and not on anything else that was discussed above.

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