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Post by kaushal on Dec 13, 2019 14:15:20 GMT 1
Hello Doctors and fellow members,
I create this thread to ask questions about certain rubric meanings, distinguish between (seemingly) similar rubrics and how to convert symptoms to rubrics.
I hope to receive support of learned Doctors and fellow members here.
Sulphur:
With that let me ask my first question. The teeth become elongated, so that she can scarcely chew, [1]. ► The tooth is elongated and painful when not touched, or when not bitten upon
How can we locate elongation (sensation of) in TPB.
Will continue to ask questions in coming days to enhance my knowledge further.
Thank You
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Guillermo
Staff
Say NO to putapathy
Posts: 117
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Post by Guillermo on Dec 13, 2019 18:56:09 GMT 1
Interesting question. Well posed from the reference (CD Sulp).
When we collect the symptoms it is important that we do it with all objectivity, even if it is a subjective symptom we must avoid the use of technicalities and adapt to the language with which the patient describes it. In the case of pain it should be well described. In the case of a sign, any interpretation of any kind should be omitted.
Warned this, it may happen to the patient:
-SEEMS his/her teeth are more elongated (from an illusory perspective)
-FEELS his/her teeth more elongated (sensation)
-SEES the most elongated teeth (objective)
The latter occurs, in my experience, in cases where there is soft tissue retraction (gums), what makes teeth look longer. As for example: Multiple sclerosis.
CODE ID: 1191; 2216; (Or 2467;)
Although the sensation of ELONGATION would be covered with the rubric 772, I can say that on the subject of teeth it is better to prioritize the location over the sensation (especially when the type of pain has not been described in detail) PLUS the modality in order to have greater certainty in the remedies deployed .
Saludos.
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Post by kaushal on Dec 14, 2019 9:43:48 GMT 1
Thank you Dr. Guillermo for covering this at length. Very well covered the objective and subjective differentiation we need to have while collecting the symptoms.
This leads me to ask another question which has troubled me many times.
Between below three rubrics, how do we decide to choose one as they seem interconnected :
Aggravation, situation and circumstances : 1. Biting (clenching Teeth together) (2216) 2. Chewing (2467) 3. Eating, During (2279)
If we consider these three symptoms in relation to teeth pain, then I always have a doubt about which one to choose, as generally the act of chewing involves clenching of teeth together even if we are not using the teeth which are painful and most of the time chewing is a part of eating.
PS. Please mention complete rubric name as I have book version of TPB and it gets cumbersome sometimes to find rubric with number ID in the book.
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Post by Admin on Dec 14, 2019 11:31:58 GMT 1
The actions of the symptom actually is a particularisation and a general.
Patients will say if they press their teeth together that it hurts. Patients will say that they dont like food because they have to chew it. Patients will say that eating in general, the time and action hurts them. (only during eating)
A person with a toothache will say clenching or biting on the teeth (localise the sore teeth) hurt, or some people say they get a headache from that action. Biting is a straight action without chewing in general, but chewing covers biting as an action.
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Post by kaushal on Dec 14, 2019 13:12:36 GMT 1
Thank you Dr. Gary.
So can we make these conclusions with respect to toothache:
1. Eating, during , this symptom can be a modality to myriad symptoms, like vertigo during eating or sour eructations during eating, etc.
2. Chewing action without anything in the mouth, if that action causes an aggravation, then we take that as a prescribing SX.
3. If the action of chewing is not painful but only the act of biting upon the tooth which is affected is hurting or aggravating the condition, we take clenching as a prescribing SX.
In essence, how we define a prescribing SX by letting patient objectively tell us (by doing some exercises like above) defining it objectively. Many times patients who are new to homeopathy does not give attention to these particularities as they are accustomed to allopathic diagnosis which has a pain killer as an answer to almost every kind of pain. We sometimes have to help patients with regards to how they can pay attention to details which can help us to choose the best homoeopathic medicine.
I had a family member who had this toothache problem and was not able to define modalities properly and I had to help her do some exercises which led to conclusion that when she lies on painless side it does not hurt her much. ARS relieved her toothache instantly.
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Post by Admin on Dec 14, 2019 13:29:55 GMT 1
Yes. Its tough at the top.
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Guillermo
Staff
Say NO to putapathy
Posts: 117
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Post by Guillermo on Dec 14, 2019 17:07:52 GMT 1
We must be cautious of the MOMENTUM in which a symptom occurs in a given circumstance. This, as Gary well mentions, is referred to us by the patient himself almost always. But sometimes, as Kaushal says, it's up to us to determine it. Then it is important to establish how a certain symptom develops in the timeline of a X situation.
For example, it is not difficult to identify, for whom have read Hahnemann's provings, that the rubric “Aggravation, Situation and Circumstance, Air, Drawing in, Cold” is for provings in a context like the following:
* CD Hepar 161 - After drinking anything cold, and after opening the mouth, toothache at once in all the teeth.
* MMP NUX-V 244 Sore throat; sore roughness in the fauces, only felt when drawing in cold air and when swallowing.
* MMP NUX-V 95. External headache; during cold wind, pain as if the head were sore externally; and yet the part is not painful when touched (aft. 6 h.).
* MMP NUX-V 928 By the contact of cold air, shooting in the calf as if the leg had been sleep (aft. 2 h.).
* MMP NUX-V 202 Drawing toothache, with at the same time stitches in one row of the teeth, especially when drawing the air in by the open mouth (aft.1/4.h).
* MMP NUX-V 206 On breathing deeply (in the open air) pain as if air entered the hollow tooth.
* MMP Staph 212 Toothache excited by drawing air into the mouth.
* CD Silicea 286 - Toothache, particularly when eating warm food, and when cold air gets into the mouth.
You can see that this modality is applicable for a specific circumstance and moment. Getting correct symptoms requires observant nature, but first we must have an adequate database in the informative sections of our brain from a reliable MM (i. e., PURE) that allows us to look for the existing and practical in each case.
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Guillermo
Staff
Say NO to putapathy
Posts: 117
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Post by Guillermo on Dec 14, 2019 19:57:45 GMT 1
Thank you Dr. Gary. So can we make these conclusions with respect to toothache: 1. Eating, during , this symptom can be a modality to myriad symptoms, like vertigo during eating or sour eructations during eating, etc. 2. Chewing action without anything in the mouth, if that action causes an aggravation, then we take that as a prescribing SX. 3. If the action of chewing is not painful but only the act of biting upon the tooth which is affected is hurting or aggravating the condition, we take clenching as a prescribing SX. In essence, how we define a prescribing SX by letting patient objectively tell us (by doing some exercises like above) defining it objectively. Many times patients who are new to homeopathy does not give attention to these particularities as they are accustomed to allopathic diagnosis which has a pain killer as an answer to almost every kind of pain. We sometimes have to help patients with regards to how they can pay attention to details which can help us to choose the best homoeopathic medicine. I had a family member who had this toothache problem and was not able to define modalities properly and I had to help her do some exercises which led to conclusion that when she lies on painless side it does not hurt her much. ARS relieved her toothache instantly. “ Bite is to cut off a piece by clamping the teeth” (or clenching teeth together) - a special function of the incisors and canines teeth. CD Mang 144: - A stitch, now in one upper tooth, now in another, on biting the teeth together.“ Chew is to crush with the teeth by repeated closing and opening of the jaws; done to food to soften it and break it down by the action of saliva before it is swallowed.”- A special function of the molars. MMP Bry 179: Pain in a molar tooth only when chewing. “ Eat is to ingest; to be ingested”-to keep on digestion after deglutition.
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Post by kaushal on Dec 16, 2019 6:48:59 GMT 1
Thank You very much Dr. Gary and Dr. Guillermo. My doubt has almost vanished as pain vanishes after homeopathic medicine intake Regards, Kaushal
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