Creating Waves of Awareness
If a chronic case comes to us during its natural remission/ amelioration period, should we start the remedy in this period? e.g. If chronic case of asthma or recurrent bronchitis which has natural remission in summer and acutes coming up only during monsoon or winter season which are quite severe and recurrent. Since many years same thing is getting repeated , so should we introduce the constitutional remedy during amelioration period to build up immunity so that further acutes in following seasons can be avoided? Please share your views.
Dear Beena - This week's BlogTalkRadio show when I discussed alternating symptoms may apply in the type of case you are describing. Dr Herbert Roberts explains how to take the case, observe the totality, realize that what you see in one season is just a part of the totality. Thus, the disease is not truly in 'remission' but only expressing the roots, trunk, branch, leaf, flower of fruit of the whole. If the 'chronic' case, which means it is constant over a long period of time, then I imagine finding the true similimum could be given at any time, even when the system is quiet.
I agree wholeheartedly. Dr Roberts makes many good points here and they are in accordance with my own experiences in clinic. Until I understood that totality also included the dimension of time (history) I found it difficult to create long term improvement for patients. This is also exactly the observation of Hahnemann and his advice was the same - you must observe the patient over several interview to get a proper view of the whole disease, rather than just using the narrow window offered by the acute flare-up.
The 'quiet' periods are acutally an excellent time for exploring this totality, as the patient's need for a remedy is less urgent and they are more able to sit for a long interview discussing all the various peaks and troughs of their disease. My experience is that despite not being in that urgent state, they are quite able to tap into the feelings, sensations and thoughts that accompany it.
As I had pointed out in my long debate with Hans a few weeks ago, the advantage to examining the case in this way, looking at the 'big picture', is that you can eliminate all the little symptoms that may appear for one short period only and focus on those symptoms that reoccur each time, which are part of that deeper more consistent disease state (which should include the miasm).
It's such a pleasure to have these conversations. Thank you Beena and David.
Thank you Debby and David for your valuable suggestions.Here is a case with me of 1o yr old boy having Adenoid enlargement.So having recurrent pharingitis, adenoiditis, bronchitis etc.The constitutional remedy is Calc. phos and has definitely++ helped the patient in reduction of frequency and intensity of acutes.The acutes which were of help were Merc. sol., Drosera, Spongia etc. as per symptom similarity at that point of time.There are no symptoms at all at present as the Summer has started.So my question is that what should be the posology to repeat the chronic constitutional remedy in this Summer season as there are no follow up criteria a there are no symptoms just now?
No symptoms at all? That would be a strange situation for a chronic reoccurring disease - unless of course the chronic remedy is in fact working quite well. However I would say never treat in a symptom-free patient. There must be some kind of indication in the present for the remedy. Was the Calc-phos previously indicated during the less acute phases of their illness?
The characteristic theme of the Acute Miasm is acute episodes interspaced by apparent good health. Perhaps a remedy from this miasm might help resolve this pattern?