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Old 15th May 2004, 06:44 AM
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Default Remedy elimination ?

If you have a patient whose 3 symptoms fit the drug picture of, say, Pulsatilla from the general, mental/emotional & physical but the modalities don't agree, what would you do.

What is rule/way of eliminating a remedy POSITIVELY from the possible options.
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Old 15th May 2004, 10:36 AM
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1. Make sure I'm prescribing on more than 3 symptoms.
2. Make sure my knowledge of materia medica is more inclusive than just the polycrest remedies
3. Make sure to include only complete symptoms in my repertorizations, so that the modalities are all considered in any remedy selected.
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Old 15th May 2004, 11:37 AM
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In my opinion

1. If modality is not there, then case has not been taken properly.
2. which one is the second or third remedy with puls. are you talking about cham with puls or else
3. If modalities not found think of mentalities (symptoms). You will found lot of difference.
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Old 15th May 2004, 12:08 PM
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The intent of my question was: Is modality alone a strong enough basis to eliminate a remedy i.e. even if there are more than 3 symptoms, say 10 symptoms, which after repertorization point towards a remedy but the modalities don't agree to the pointed remedy, e.g. the patient is indifferent to indoors and outdoors, would you still go with Puls.
Would you disregard the remedy solely on the reason that the modalities don't agree or disregard the modality and go with the remedy regardless.
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Old 15th May 2004, 01:11 PM
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There are hardly remedies which are without modalities as for as polychrest and frequents are concerned, most others have no results. If one closely match patients' symptoms with remedy drug picture. One can find modality. If modalities do not agree with patients symtpoms, prefer not to prescribe and find another. Modality is the third most important rule of case taking.
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Old 15th May 2004, 06:01 PM
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You have to be careful about eliminating remedies based on one modality. Also, it depends on how strongly a modality is -- in relation to the symptom it is modifying - and how important the modified (by the modality) symptom is. Phew, I'm outta breath!

Incidentally, modalities are often key to differentiating between remedies when you've narrowed it down to a handful with which to choose from!

Divina, you wouldn't ever prescribe on 3 symptoms/rubrics? Why not, if they are - or at least one of them is - a §153 symptom?
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Old 15th May 2004, 09:11 PM
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Hi Lisa,

I would want to see other things in the case fit into the remedy's pattern too...Not just 3 things. If I have a situation which is clearly an acute case, that's slightly different...but even there I want a little more to go on. Hahnemann says to prioritize those symptoms you're asking about, always in the context of the really important symptom set of the case: I take that to mean pay very high attention to that symptom, but also include the other important symptoms as well.
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Old 16th May 2004, 05:09 AM
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Dr. MAS, which are the first two most important rules of case taking.
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Old 17th May 2004, 12:09 AM
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My experience is that modalities can work both ways. E.G., Lyc can be better in late afternoon and evening and worse in morning. Sulphur can be chilly. It seems to be more a question of a remedy falling within a category, so a remedy that is thirstless can also be thirsty. The person reacts along the thirst line. Whereas, if there is no change to the thirst when ill, then the patient does not react along the thirst line and so may not be a good fit with a remedy that has a thirst reaction, regarless of whether the remedy is known for being thirsty or thirstless. I'm not sure how clear that explaination is, but I hope you understand.
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Old 17th May 2004, 04:03 AM
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Quote:
Originally Posted by fitness first
Dr. MAS, which are the first two most important rules of case taking.
There are so many rules of case taking, non-of us can claim that our steps are final and there is no further edition can be made.

In my opinion, the first step in case taking is you must believe that you are not the person who can provide cure to patients. Its the Allah who cures. This is the first rule and second is also the same.

Have you ever listen Quaid said "Work, work and work". The first instruction from him to his nation was

1. Work

and then he went up and

2. Work

and then finally he said

3. Work

One day, a person came to our prophet peace be upon him said who can claim right on me. He said you mother. The person said and after mother who can claim right on me? The prophet said your mother and in the third step on query, the prophet again said, your mother and after that your father.

In case taking too, in the first step one must believe on one allah.
and in the second step, if you wish you can add EDUCATION. Because education makes the difference in all sphere of life. Surah Ramar verse 92 said Educationist and non-educationsist are not equal.
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