Since there are so many similarities in these two, what are the most important things to consider?

What if patient has more than 3 keynotes of each remedy. I'm wondering if the degree of coldness could be determining or un/determining factor? Nux feeling pathologically cold and sometimes unable to be warmed under blankets?
What if it sound as if either remedy would suit the patient? I know they are not compatible to take next to one another . Truly, patient has parts of both and it is hard to decide. It would be for main comlaint of agitated mood swings and emotional instability. I've been turning in circles about this one.

Thanks ,from the ~wet behind the ears~ babykali

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Blessings, Kali

Dear Kali,

To help you, we would need to know what you know about the case, besides just mood swings.

Snoopy

Consider this:

All of the Pt's Sx should be listed under the Rx you choose.

Do not discount a Rx just because the Pt does not display the key notes of that Rx. If their Sx are covered by the Rx, then that's the Rx you choose.

Go through a reliable MM for each Rx and see which Rx has all of the Pt's Sx listed under it.

e.g. just b/c Pt is not chilly, does not mean not Nux Vom if all the Pt's Sx are covered by Nux Vom.

Dear Kali,

while their physicals may be similar, I have found the mental states to be quite different. Would you like to provide some of the case for us, and maybe we can help you to decide.

I agree that you should never use "negative prescribing" to decide a remedy - the remedy must have what the patient has, the patient can never have everything the remedy has.

__________________
David Kempson.<br />Dip.Homoeopathic Medicine.<br />Lecturer Australian College of Natural Therapies (Brisbane Campus)<br />Member AHA, AROH, HMA<br />Member Australian Homoeopathic Association. Member#0442.

I've been over the two remedies again and i believe that Nux is more appropriate for this time even without the coldness (it is a hot season)

While she sighs and yawns alot and is prone to erratic moods and she has a nervous habit of chewing the inside of her cheek, she has experienced saddness that has a grief feel to it that can last for days. She has (in the past year) had night sweats where sweating occured only on chest. Some of these symptoms aren't happening right now...the mood swings come on usually in winter and early spring.

She also has facial tics (eyes) when she is stressed or angry. She is very impatient and feels like people and things are in her way and she has a hard time walking with someone who is slower than her. She also tends towards constipation which has been happening lately. It improves when she is excersising, though not lately.

She also hates wind to blow on her face and it makes her angry. Loud noises also make her angry. In fact in many things anger and peevishness is her immediate response. She is capable of coming out of the state quickly sometimes, but inside, it is the first response.

She also has a tendency to get colds that just simmer and never become very acute, or slow to come on..that is something that bothers her bc she says she never has the chance to just get sick and able to get in bed (with an excuse)
When she does get sick enough to take to bed, it is usually nausea (though she doesn't vomit easily...kind of has a fear of it since she was a child and suppresses it by lying still and breathing)

She feels worse in damp weather and rainy days (gets depressed and easily angered)
She feels better when she excersises and eats lightly...worse for corn and grains and better on a diet of vegetables and protein, small amounts of meat, though she has a weakness for sweets esp ice cream.

She usually feels better in the evening when the sun is setting.

Lately she has been sleeping well, but early AM awaker it it sounds like Nuxenings have been an issue for her regularly.

As i go over it, it does sound alot more like Nux. She told me that she took a 200c Ign when she was going through erratic but cyclical mood swings, hysteria and crying in pregnancy and it immediately brought on this wonderfully severe cold with tons of clear mucus and she had to be in bed for 2 days and then she felt completely relieved of the m swings..like a new woman.

Once her cycles started after her baby was born, the symptoms returned but were not helped by the Ign.

What are some confirmation questions you would ask? to be certian of the Nux?

[ 07. August 2002, 22:42: Message edited by: Kalimom ]

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Blessings, Kali

shameless bump

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Blessings, Kali

Dear Kali,

Thanks so much for this case. When Ignatia didn't work again, and I saw contradictions for Nux Vomica, such as, I think you said the patient is worse for damp weather? Nux likes the damp rainy weather. So, as I read on, the remedy Tarentula came to mind. They are angry, irritated and they hate it when people aren't moving fast enough. They sigh and yawn repeatedly. They have twitching and jerking. They also bite themselves, and I thought of that when you said she bites the inside of her cheek. Anyway, take a look at Tarentula.

Snoopy

[ 12. August 2002, 18:01: Message edited by: Snoopy ]

Thanks Snoopy, I will look into Tarentula

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Blessings, Kali

Snoopy, Tarentula sure seems like a match.

I have spoken with her again and gathered more info. some of it i already knew...had her elaborate.
She is the type who cannot wait easily. She has arranged her life to avoid things like waiting in lines in resteuraunts (she will leave rather than wait) she avoids crowded places and dreads getting caught in a traffic jam, driving way out of the way rather than possible being held back. She is better for moving, hates being slowed or held back.

She does have alot of trouble being still, she shifts position alot when she is in a movie or church ...anywhere she needs to be seated. Her legs are mostly restless and at night she sometimes has trouble getting her legs in a comfortable position.

She has recently been Dx with manic depression, though not a severe case of it. She is very worried about the reoccurance of the depression, she sometimes has a feeling in her body that she is stimulated, like from too much caffiene. She is very high strung and holds tension in her face...esp her jaw and mouth. It is easy to tell by the way she holds her face and she rubs her jaw.

Lately she has had the uncomfortabe feeling of having to yawn constantly and sometimes being unable to actually yawn, it feels as if she can't catch her breath..she looks very distressed when it is happening.

She is not outwardly mean but tends to want to control every situation. She told me that she can get very nasty and cutting in fights with her husband , who knows how objective she can be about that part of herself .

When she has been in "mixed states" she tends to hit herself , hes even caused bruising on herself, she also will break her own things...things dear to her, when she is very upset and loses control. This has been true since childhood.
She has a streak of defiance and cannot stand to have anyone in authority and in control of any aspect of her life.
She is worse for dark rainy days and in the winter when there is less light. Worse for caffien and other stimulants, though she loves coffee (switched to decaf)
Better for regular schedule and excersize. She dances, loves middle eastern dance.
She does have chronic vaginal itching and irritation, though lately her sex drive has been nonexistant, she has had periods when she masturbated every day, even more than once.

She has been suffering with joint pain in her knees. This is a new symptom, she has always had leg pain and foot pain, though she describes it as muscle pain..she loves to have deep hard massage on feet and legs.

I wonder about the joint pain. She has been taking Neurontin, an antiseizure medicine and lately Lamictal, another anti-s med. She fears cycling again this winter (she usually hits low in Jan and starts to improve in March) Since it is a new symptom could it be bc of the meds driving disease deeper into her body?
I will have to find out if the jp started bf the meds. Is joint pain part of the picture with tarentula?

If this shows to be the correct remedy would it be safer to begin with a low potency? or 200c or go for LM?

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Blessings, Kali

Kali,

Which joints are causing her a problem? Clark does mention pain in certain joints . He mentions the restless legs and desire for dancing.

Are you familiar with how to order LM's, how to prepare them, etc.? Otherwise, a low potency in water, succussed before each use, is just as effective. 6C three times a day or 9C twice a day or 12C once a day....Keep in mind that these can be adjusted to suit the patient; the whole idea of daily potencies in water is that you're free to adjust them until you get the right potency and the right frequency and the right dilution so the patient is comfortable, improving at just the right speed. Let me know.

Snoopy