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A typical case from our Practice

From one extreme to the other

A Typical case from our Homeopathic Practice in Bingley

A Mother brought her 11 month old baby girl in to see me because of the ‘barking’ cough she had on and off from the age of 3months. She was ‘off colour’ whining and clingy, only sleeping about two hours at a time then waking up coughing and angry. She had had a few courses of antibiotics with little or no effect.

In Homeopathy we want to know more about the symptoms in order to find the exact homeopathic medicine that will restore the baby to a balanced state of health, e.g. how the baby has changed from her normal state and what makes the symptoms better or worse. So I asked the Mother to explain a little more…

She told me that her baby had a history of high fevers and especially now during this bout of illness she can become very hot, she becomes very angry particularly when she cannot get her own way which also brings on a bout of coughing. After the coughing fit the baby usually becomes very sleepy and her face which is usually bright red (especially her cheeks) goes very pale. When she has temper tantrums she can bite, either herself, other babies and also the Mother. She can push the Mother away, pull her hair and generally will not tolerate any interference. During the consultation I noticed that the baby would want to be on the Mother’s lap one minute then want to be on the floor playing with toys. One minute wanting cuddles then the next minute pushing away. Mother said she was like an Angel when she was well but a Devil when she was poorly. She had become very fearful of late especially for loud noises like the vacuum cleaner or raised voices, she had also developed a fear of dogs.

Taking everything into consideration I prescribed the appropriate homeopathic medicine and asked the Mother to contact me in a few days time.

The Mother rang to tell me that on the same day the remedy had been given her baby developed a slight fever but slept well throughout the night, the following day she had perked up, smiling a lot but still a little clingy. After two days she noticed that her whole mood seemed to have changed for the better with less and less episodes of violence, anger and temper tantrums. Her cough became looser and less ‘barking’.

I saw Mother and baby for a proper follow up appointment after one month where the Mother reported that baby was very well in every way and said to me “Thank you so much for giving me my baby back”

This case is just one of many Children’s and babies cases I see every day. All are individuals presenting with different problems from, bed wetting and night terrors to eczema and respiratory conditions as well as behavioural problems and Autism.

Monica Robinson MBRCP Hom is a homeopath with over 25 years experience. She practices in Bingley, West Yorkshire at Prospect House Clinic 177 Bradford Road. She is also principal of the Yorkshire College of Classical Homeopathy. Monica can be contacted on or by telephone on 01274 519800

Turning the vital state into order

Kent writes

A number of times a patient has said, ” Doctor, did you intend to take away that fatty tumour I had on my back ?” The chances are that I did not know he had one. That is generally the way such things appear in the practice of the Homeopathic physician, for he does not prescribe for the tumour,  and the chances are he thinks little about the tumour in his prescription,  he gives the constitutional medicine and they often disappear after a while,  and then the patient thinks the doctor has done a wonderful thing. He gets more glory and credit for curing a wart than he does for curing the patient. The Doctor who prescribes correctly turns the vital state into order.

Report of Seminar on Homeopathic Treatment of Neurological Disorders using the Cycles and Segments approach.

Seminar in Keighley, West Yorkshire, 13/14 October 2012

Dr Paul Herscu and Dr Amy Rothenberg

The first time I saw Dr Paul Herscu present Cycles and Segments nearly 20 years ago, I must confess to being somewhat perplexed. Why do we need to look at a case in this way, why do we need to group symtoms together? When faced with something new our first thought is to question it (rightly so), then to either dismiss it or embrace it.Sometimes we dismiss a new idea without understanding it, Homeopath’s know all too well this approach.  I liken this to a sports person learning a new skill. The coach will encourage the player to work at a new technique that will enhance his game. The player will resist at first “Why do I need to do this ?  I’m doing alright as I am”.  Where the coach sees a weakness in the player’s game he will encourage the player to improve his skills by doing a certain manouevre or changing a certain aspect of his game. Looking at doing things in a different way to improve his game. The player will then work on his weakness until he has mastered the skill and improved his game.
I was the player who dismissed the new technique. In fact, I didn’t see Paul again for another 5 years. I plodded on in my Practice,  getting fairly good results but also getting frustrated at times when I couldn’t seem to help my patients. Even taking into account obstacles to cure, there were some cases that I felt should have been helped better.
When I saw Paul again at a seminar in London. There he was once again explaining how the Cycles and Segments approach had helped him tremendously in his practice. This time I listened to the Coach!
He talked about Stress and Strain. How the person receives a stress and how the person  strains against that stress. The straining process being the symptoms that are produced.  How certain individuals are predisposed to certain stresses and that we all strain in a different way depending on our susceptability and predisposition.
When we give a remedy , the remedy is a highly specific stress on the individual which creates healing.
He explained how a case could be divided up into segments. Each segment containing rubrics that mean the same thing. This way you will not lose the remedy,  especially if you use too small a rubric.  It’s probably best to give you an example at this point from our recent seminar.

Segment 1.

Chronic inflammation of the throat
Inflammation of the skin
Irritable easily
Bladder infection inflammation > all mean the same thing INFLAMMATION

Segment 2.

Excessive perspiration
Chronic diarrhoea
Easy temper
Yelling, throwing things > all mean the same Discharges

Find the crux of the case, what needs fixing. What’s the worst thing.
So find examples of the patients story. Do not take anything at face value. If the patient is anxious, you need to explore that.
No symptom happens in a vaccum, they are related.
All symptoms are context dependent. ie what makes the pain worse/better. (Modalities)
Each segment relates to one another.
Seeing the same type of symptoms related again and again throughout the case.
( how many times have you had a Calc case before you and you know you can predict that they are constipated)
You must not focus on just one part of the case.
Don’t get distracted on irrelevances of the case ie does he like sun,types of food,etc
If you give Sulphur because your patient sticks his feet out of the covers, is warm blooded,  has a skin rash, desires cold water, you will go wrong.  Many remedies/patients share these symptoms but do not need Sulphur.
This is a true understanding of the case before you – The totality.

At this point I would encourage you to go to Paul Herscu’s web site where you can read an article on the cycles and segments approach. He also has an explanation in his book on Stramonium.

So this understanding of Cycles and Segments was demonstrated by Paul and Amy throughout the seminar. Amy took a case of a woman in her 50’s suffering with MS. She demonstrated the model of cycle and segments beautifully, simplifying the case. She then had the delegates go through the segments of the case, understanding how each symptom related to the next.
The following day she presented a paper case of Nux moschata, divided us into groups and got us to recognise symptoms that meant the same. She explained how it wasn’t necessary at first to link up the segments into an actual cycle. Getting the segments was enough at this stage. As you become more familiar with the system you will be able to see a cycle of one segment following another. The remedy needed will still come out in your list of remedies even if you don’t do this. Remember you are still learning the technique in the early stages and there will be some head scratching. If you persevere, you will become more accurate in your prescribing.
Paul took a case of a young 11 year old boy on the Autistic spectrum. Once again demonstrating his powers of perception. The boy had a history of outbursts of anger but after the outburst wasn’t aware that he had had an outburst.The anger lead him to become confused and dull. Along with the rest of the case, shrieking, overly sensitive to perceived threat, dogmatic, fears dark/strangers. The case came out to Mercurious. If we had just centred on the fear of the dark we would have given Stramonium as indeed the previous Homeopath had done. I have made this mistake in the past as I’m sure all of us have.  Stramonium after the anger would have resulted in a desire to close off and shut down unlke mercurius which would have felt depleted and weak (not remembering). Stramonium would remember what they did.
Paul also showed us his map of Hierachy of remedies. If you go to his web site or the Stramonium book, you will be able to see this

Basically, he says that remedies can be categorized into a hierachy, not dissimilar to Herings law of cure but in terms of remedies, each phase represents a deeper state of pathology progressing from left to right. Polycrest remedies in phase one, Nosodes in phase two, more intense remedies in phase three. As you can see phase three remedies split off into dullness of the psychi as in Baryta Carb or excitability as in Stramonium. The fourth phase becoming more intense.
Babies ought to be born needing a phase one remedy however you can have a baby needing a remedy from phase four where something odd happened i.e. Mother was exposed to toxins, violence, cord around the neck etc. As you get sicker you may move across to the right of the diagram but depending on the stress you may stay on the left. Anxiety in phase one will be less severe than anxiety in phase four. Would you prefer to have the anxiety of Calc or the anxiety of Stram?

Instead of having many different remedies coming through the system, you will find mostly remedies suited more to the case coming through. If your patient needs a remedy from lets say phase three, the list of remedies will also show the next remedy likely to be needed after the appropriate has run it’s course. Of course the case must be taken again to make sure the patient has moved into a new remedy picture.

Here at the YCCH we hope to have Paul and Amy back next year. On our 3 year course we follow the cycles and segment approach. We have found over the years our students very quickly embrace this method , as it is a truly holistic way of understanding the patient.

Observations from James Tyler Kent American physician 1849-1916

A number of times a patient has said, ” Dr, did you intend to take away that fatty tumour I had on my back ?”. The chances are that I did not know he had one. That is generally the way such things appear in the practice of the Homeopathic physician, for he does not prescribe for the tumour, he gives the constitutional medicine and tumours, warts, lipomas often disappear after a while, and the patient thinks the Dr has done a wonderful thing. He gets more glory and credit for curing a wart than he does for curing the patient. The Dr. who prescribes correctly turns the vital state in to order.

New Season

Many patients come in during the change over from one season to another. The person has to adapt to the new season. We strain against the new season’s changeability.In doing so, our bodies use up too much energy and we become susceptible. The healthy person will go through this change with only slight ailments. The sick person will find it hard to adjust. Coughs, colds will linger on. If they are really chronically ill.,they may only feel unwell, the body not being able to express the symptoms of distress now. So when you start coughing or come down with a cold during the change of season, look upon this as a time of adjustment. You may get through it by just using natural remedies, like honey and lemon, ginger, vitamin C , for sore throats, etc. If symptoms persist you may just need a top up of your constitutional remedy (seeing a Homeopath will confirm this) or maybe a different remedy for the acute state you are in. Remember , look upon symptoms as the expression of the healing process, an indication that the body is trying to rectify things and bring about equilibrium.

Pulsatilla – A Potted version

People who need this remedy are very emotional, will cry very easily. They often feel rejected and feel that no one cares about them.

They will therefore do anything to gain attention even to the point of being manipulative.

 They love cuddles as this takes away the feeling of being forsaken. Pulsatilla types love fresh air, they will soon over heat in a warm room and like to have the windows open.They don’t drink enough liquids, just don’t feel thirsty. Can be irritable if their needs are not met, demand attention. Affectionate, mild, yielding, cheerful disposition. Arthritic remedy, the pain can be in many places. Fears the dark, being alone. Can be very jealous and suspicious.Love sympathy and attention


integrating conventional and complementory medicine to treat children

watch this video from ‘savvy mums’ on you tube

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