quiz review: need 80% average for term
for slow maturing abscesses: hepar sulph, silica
hepar sulph is very agg by cold and touch, more pains
same two for paronychia
for periorbital cellulitis: apis and rhus tox
both presuppurative
apis prefers cool
rhus likes heat, is dusky red, mb pacing
isolated boil bursting deep red sensitive
belladonna
or sulphur, but it would form pus
contused laceration
calendula
impetigo with deep cracks and dried honey crust
antimonium crudum
antimonium tartaricum
for pertussis, coughs, bronchitis
rattling is key sx, too weak to raise it
kali sulph also has rattle but is stronger, can raise it
both antimoniums commonly indic for chicken pox
tart for varicella pneumonia
crud for crusted lesions
necrotic lesions bursting worse hanging down
vipera veris
pulse discordant with temperature
present in echinacea but not keynote
**pyrogenium (this is a board question)
painful burning blue black lesions
anthracinum and tarentula cubensis
he would also accept arsenicum album but it's the lightweight
syphyllinum
painless chancre with outsized destruction
lesions clean, not blue or black
sprained ankle lame worse cold
pt tenderness at insertion of lig to bone
nux like irritability
ruta
smashed fingertip in falling windowsash
hypericum, StJW
highly innervated
coccyx, perineum
St John's head was cut off
we see acute tubercular
Hahnemann saw acute psoric
croup top 3
aconite: sudden onset after cold wind
spongia: saw through pine board
hepar sulph: more suppurative
in that order
not puls in URI
kali sulph
similar discharge and modalities
not bell or aconite in URI
ferrum phos
like kali bi
acute suppurative, thick greenish stringy discharge
hydrastis canadensis
also in leukorrhea, trichomonas
like bell in scarlet fever
but with cracks and excoriating discharge
aurum triphyllum
mc in simple acute cystitis
sarsparilla
cantharis given as kneejerk in UTIs but not often indicated
UTI with continuous urging and tenesmus
grossly bloody, not relieved by urination
mercurius corrosivus
cantharis is relieved after urination
most generic whooping cough remedy
drosera
aching of bones as if broken
eupatorium perfoliatum
dulcamara state triggered by
cold and damp/wet
acute D in kids cutting new teeth
sour discharges
rheum
also sour D
**frog pond (board question)
mag carb
I totally flunked that quiz.
*************************************************************************
REMEDIES IN PREGNANCY, LABOR, POSTPARTUM
Dr T's last delivery was his son Caleb
didn't like staying up all night
top remedies: cimic, puls, nux v, coff, caul, kali-c, gels, sec, cham, ars, sep, ust, ip, bell, sabin, lyc, op
3 groups:
1) polychrests with hormonal aspects: puls, sep, kali-c, nux-v, nux-m, cimic
2) strong uterus specificity: cimic, cauliphyllum, ustilago
3) notable for bleeding: coff, secali, ustelago, ipecachuana
PULSATILLA
mb happy as preg
overheat if preg in summer
SEPIA
can't exercise like she wants
sensitive to hormone changes
CAULOPHYLLUM
blue cohosh
CIMICIFUGA
black cohosh
MISCARRIAGE/SPONTANEOUS ABORTION
sabin, sec, caul, sep, kali-c, puls, cimic, plb, apis, helon, ... acon, ip, cham, nux-v, op, pyrog, bell, cocc, sulph, etc
incomplete miscarriage
cramping, bleeding, spotting, has preg been lost?
give remedy-->mb complete miscarriage mb save preg
difficult to get truly informed consent
"I don't know what this remedy is going to do"
make sure all understand what could happen
Female genitalia/sex--abortion (133)
tendency to (58)
incomplete (2)
SABINA
European juniper and landscaping in N America
smells like cat pee
SECALE
the ergot or rye
ergotamine source
for bleeding
FEMALE genit/sex-metrorrhagia, preg agg, drugin (32)
pain-ut-cramping (81)
uterus and region-bearing down (103)
NAUSEA OF PREG, HYPEREMESIS
a little bit of morning sickness is harbinger of healthy pregnancy
mothers's sx mbdt who's inside
PULS
better from a walk in fresh air
wants company, butter, Ben & Jerries, avos, fat
SEPIA
better from brisk walk
mb walk alone or with friend but not talking
sensitive to smell of food or mate-->N, V
IPECACUANHA
incessant puking, bile, dry heaves, colicky
feeling that stomach is empty bag
thought of food -->N, V
pissy, miserable and wishes everyone else to be
capricious (cham & cina can't decide, rheum is sour, hep is angry)
wants teeny tiny delicacies
also seen in whooping cough, asthma with spasm
wants windows open but doesn't have energy for a walk
can eat dainties, white bread with crusts cut off, nothing with substance/flavor
TABACUM
sea sickness
incessant nausea
relieved by vomiting
flush of perspiration over whole body, can't tell if hot or cold, want belly uncovered
not a common remedy
slightly better from open air
ECLAMPSIA
top remedy: THERIDION (sp?)
the orange spider of Caracas, a black widow
(not on final nor on boards)
BREECH PRESENTATION
don't worry about a breach until after 37 weeks
some say use puls
but if doesn't match case consider:
rubric for breech is incomplete, only gives puls
FEMALE GENITALIA/SEX-deliver-during
os uteri during labor, state of
pain-labor pains
delivery-after; complaints
pain-labor pains
placenta-retained
metrorrhagia-delivery
many tiny rubrics, small remedies, very useful
MITCHELLA REPENS
partidgeberry, Madder family (rubiaceae)
dominant in understory of coniferous forests of Maine
dysfunctional pre-labor (latent phase)
Algonquins gave as weak tea to all women in late pregnancy to prepare for labor
Female genitalia/sex- these rubrics:
labor pains, weak, ineffectual, false, swollen uterus cx, discoloration uterus cx
mix a few drops in water and repeat often
some midwives will alternate black and blue cohosh for dysfunctional pre-labor
FEAR IN LABOR
these remedies sensitive to pain, have a fear of death
Mind-sensitive-pain, to, beside oneself from pain, being
Mind-fear-death, of
Female genit/sex-pain-labor pains-ceasing
ACONITE
top remedy for goats
fear of death NOW (merc fears death at specific future time)
restless but will settle down between contractions
COFFEA
jitters, agitation, restless
very sensitive to pain
ailments from good news
OPIUM
extremes of irritability and sensitivity to pain
looks like aconite during contractions
feels no pain, no reaction just gone to lala land between contractions
GELSEMIUM
Mind-fear-ordeals, of (10)
Mind-anticipation (64)
yellow 5 petal flower
polarities: spasm and collapse
MISERABLE IN LABOR
Mind-discontented-with everything, capriciousness-rejecting that for which she has been longing, pain-during, sensitive-to pain
CHAMOMILA
DISHARMONIOUS UTERINE ACTION
use the cohoshes: cimicifuga, caulophyllum
aside from fear
contractions too painful, too slow, no progression, arrested labor
combination or alternation of these two remedies
or repetorize and pick one
tincture dose OK
PERINEAL TEARS
CALENDULA (dull aching pain) and HYPERICUM (neuralgic pain) most common
midwives combine in sitz bath
calendula may apply even when no obvious tear, just stretching-->soreness
EPISIOTOMY
Generals-sharp instruments, from
persistent sharp pain
STAPHYSAGRIA
sense of invasion
CALENDULA
and one other yellow flower remedy
POSTPARTUM HEMORRHAGE
Ipecacuahnha, Caulophyllum, Sabina, Trillium, Ustilago, Secale
rubrics for two main reasons for hemorrhage:
Female genit/sex-atony of uterus
placenta-retained
helps to know which was the cause
SABINA
Juniperus
usu from retained placental fragments
blood is very characteristic:
bright red with black lentil to pea sized clots
gushing when move
profuse bleeding
TRILLIUM
metrorrhagia-oozing, profuse, bright red
might miss this hemorrhage because it's not fast
USTILAGO
corn smut, fungus that grows on corn
delicacy in S America, Hopi-land, moldy taste
1860's toxicology cows abort from eating it
again very characteristic blood
congestive, passive, slow bleeding or in clots, dark but watery
oozing dark blood, forming large black strings
stringiness
more about uterine atony
SECALE
liquid blood but it's black
not stringy
no frank clots just coagulated as mass, thick
can ooze, mb dangerous dt sneaky blood loss
more about uterine atony
RUBIACEAE
China, Coffea, Mitchella repens and Ipecacuanha
all in this family
you won't miss the bleeding with these
CHINA
from same root as quinine
bright red active bleeding
no clots
never well since delivery
Ailments from loss of vital fluids
Hahnemann's first remedy
Generals-loss-fluids, of
Generals-weakness-loss of fluids, from
PRUNUS
neonatal resuscitation
Laurocerasus
contains cyanide
use for baby with apgar of 0 or 1
CRACKED NIPPLES
graphites, croton tiglium, castor equi
NEONATAL JAUNDICE
Aconite mc remedy for uncomplicated neonatal jaundice days 1-3
skin-discoloration yellow-children, new born
***************************************
ASIDES
30% of pop can taste Cyanide
PHOSPHORIC ACID
ailments from loss of fluids esp collapse
for bleeds "they used to give ergotamines, you know that's homeopathic even in a crude dose".
A2Z homeopathy.com Jim Clemmer kits are cheap and well put together
can get custom kits
http://www.a2zhomeopathy.com/
Bill Clinton was 1st US president born in a hospital ??
Oregon C-section rate: 37%
US has one of highest maternal death rates in world
classic book
Spiritual Midwifery
Inamae Gaskin
from the farm
gave 1/2 tsp coffee to calm down mothers
BORAX
fear of downward motion