Sorrento, Italy SESSION IV€¦ · FORUM 2000 1 Sorrento Palace Hotel – February 24-27 2000 Sorrento, Italy SESSION IV C:\Users\vrocco\Desktop\aversa-mascoli trabucco forum 2000.doc

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FORUM 2000 Sorrento Palace Hotel – February 24-27 2000 Sorrento, Italy SESSION IV

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DR. ANDREA AVERSA – DR. SILVIA MASCOLI – DR. ERMATEA TRABUCCO L.U.I.M.O. Naples – Italy Andrea Aversa is medical doctor and homeopath. He studied Homeopathic Medicine at L.U.I.M.O. He is practicing at “Tommaso Cigliano” Homeopathic Medical Center in Naples. He is assistant teacher of Homeopathic Medicine at L.U.I.M.O. Silvia Mascoli is medical doctor and homeopath. She studied Homeopathic Medicine at L.U.I.M.O. She is practicing at “Tommaso Cigliano” Homeopathic Medical Center in Naples. She is assistant teacher of Homeopathic Medicine at L.U.I.M.O. Ermatea Trabucco is biologist, medical doctor and homeopath. She was teacher of Biology for twenty years. In 1989 she started studying Homeopathic Medicine at L.U.I.M.O. Her scientific interests include holistic therapies like Iridology and Shiatsu, as well as nutritional sciences (Bio-nutrition). She is practicing at “Tommaso Cigliano” Homeopathic Medical Center in Naples. She is assistant teacher of Homeopathic Medicine at L.U.I.M.O. and teaches at University for elderly people in Salerno, Italy.

METHODOLOGICAL DIFFERENCES BETWEEN HOMEOPATHIC AND CONVENTIONAL CLINICS

On the bas is of our c l inica l exper ience, in th is paper we a im at out l in ing the essent ia l methodological d if ferences between a l lopath ic and homeopath ic c l in ics . The former is evermore based on the formulat ion of nosographic and instrumental d iagnos is and on the appl icat ion of therapeut ic protocols . The lat ter , the medic ine car ing about the man, operates by recognizing in the s ick person the pathogenet ic pic tures of var ious remedies, as they result f rom the provings. Al lopath ic Medic ine deals wi th the man only as i t concerns h is systems, organs , t issues, ce l ls , genes enzymes and operates in an evermore spec ia l ized and analyt ic dimension. I t looks upon d isease as an organic les ion, a struc tura l change in a t issue or a modif icat ion in a b iochemical parameter: that is , i ts perspect ive is a mechanis t ic one. According to what usual ly sa id by Prof . Tomas Pablo Paschero, the s ick person is cons idered as: ”a machine, a phys ical -chemical tool which is in a s tate of dynamic equi l ibr ium wi th the environment and moves in a c losed c ircu it fol lowing mechanical laws and r ig id determin ism of cause and ef fect” . Homeopath ic Medic ine, on the other hand, as a v i ta l is t ic medic ine “regards the human being not as an organism which is only regulated by mechanical laws” s ince “ the psyche, the soul determines the phys io logical work ing, which keeps and permeates the balance among each par t” . Moreover “a l though each atom, each molecule, each cel l and each organ can -as analyt ic unites- preserve their own autonomy both in their form and their funct ion, i t is the g lobal organizat ion, the mutual dependence of the whole in the synthet ic uni ty, tha t g ives meaning to l i fe” . So, who is the s ick person? “He is a man, not h is organs. The organs are not the man and the man is over and before the organs. From the beginning up to the end, d isease and treatment have to go in the same direct ion: f rom the man to the organs, not the oppos ite. Therefore, l i fe is not represented by a s ingle cel l or an iso lated organ, but rather –and at an u ltramolecular level- by the spir i tual force that makes the man to be a human person. W il l and mind govern l i fe and, only i f they can cooperate in a balanced and harmonic way, the man could be heal thy. The homeopath does not ground his therapeut ic act ion on the nosological d iagnos is and on the appl icat ion of a therapeut ic protocol ; he is focused on the s ick person, on the morbid ind ividual i t y that expresses the psycho-bio logical react iv i ty. The homeopath wi l l heal what in every ind ividual , unique and non repeatable human being is wor th of cure“ . (Paschero) In Organon, paragraph 1, Hahnemann states: “The phys ic ian’s h igh and only m ission is to res tore the s ick to health, to cure, as i t is termed” .



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As a consequence of these pre l im inary remarks, we had to face the fo l lowing two quest ions: How to show, in a concrete way, the methodological d if ference between homeopath ic and al lopathic medic ine? How to ver i f y therapeut ical ef fect iveness of the remedies? W e intended to ver i f y the pathogenes is and to conf irm the Simi l ia pr inc ip le: “A weaker dynamic af fect ion is permanent ly ex t inguished in the l iv ing organism by a stronger one, i f the lat ter (whi ls t d i f fer ing in k ind) is very s imilar to the former on i ts manifestat ion” (Organon, par .26t h) . From this point of v iew, we analyzed 2748 c l inica l cases, examined at L.U. I .M.O. in the las t f ive years . The cases were recorded by fo l lowing the b iopathographic protocol and the medical f i les were arranged (grouped) according to the v is i t ground and the pathology (see f ig . “Distr ibut ion of Pathologies”)

12

137

287

204182 171

361

4327 28

381

499

21

141

81

129

44

0

50

100

150

200

250

300

350

400

450

500

NUMBER OF VISITS

Oth

er p

atho

logi

es

Blo

od/v

ascu

lar

syst

em

Dig

estiv

e sy

stem

End

ocrin

e sy

stem

Gen

itale

sys

tem

Ske

leta

sys

tem

Res

pira

tory

sys

tem

Urin

ary

syst

em

Ast

heni

a

Iatro

path

olog

ies

Ski

n di

seas

es

Men

tal

Eye

s

Ear

, nos

e, th

roat

orga

ns

Pre

vent

ion

Ner

vous

sys

tem

Tum

ors

DISTRIBUTION of PATHOLOGIES



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In this f igure, you can see that a great var iety of persons, suf fer ing f rom dif ferent pathologies –and not only f rom psychosomat ic ones, as i t is of ten held- comes to homeopathic v is i t . From each c l in ica l f i le we took out the prescr ibed remedy (1s t v is i t ) ( f ig . “F irst Prescr ipt ion”) .

I t is to be said, now, that homeopath ic d iagnos is and treatment are grounded on the Simi l ia law. What is impor tant to under l ine is that the Homeopaths do not prescr ibe a remedy on the bas is of the pathology, but of the s imi l i tude between the pat ient ’s symptoms and the pathogenet ic pic ture, as i t resul ts f rom the proving of that specif ic remedy. The fo l lowing cons iderat ions wi l l correspond to the d iagnos is of a remedy and not to the nosographic d iagnos is of a disease. Among var ious homeopath ic remedies, we choose Lycopodium , one of the main polycrests of the homeopathic Mater ia Medica. “Powder of Lycopodium” has been used, in the of f ic ia l pharmacopoeia, for a long t ime “as iner t powder in order to treat the inter tr igo in k ids and in the coat ing of p i l ls , so that they do not st ick together in the pack ing. Actual ly, s ince Lycopodium causes a lo t of erupt ions, his employment for the cure of inter tr igo is a homeopath ic act ion. The analyt ic mind of the of f ic ia l medic ine could not f ind in terest ing such a remedy that cannot be used in accordance to the “oppos ites” law. On the contrary, the synthet ic sp ir i t of Homeopathy f inds Lycopodium to be one of the greatest remedies of our Mater ia Medica” (Hodiamont) .

FIRST PRESCRIPTION

6 3 9 3 740

5925

6

217

8 10 2 3 6 2

346 342

151

7 8

104

44

367

420

326

20

104 99

13

529

120

20

100

200

300

400

500

600

1

remedy

NU

MB

ER O

F PR

ESC

RIP

TIO

NS

Ac.Nitr. Ac.Phos. Aconitum Ant.Tart. Apis Arg.Nitr. Arnica Arsenicum Belladonna Calc.Carb.Calc.Phos Carb.Veg. Carcinos. Chamom. Graphit. Hyosc. Ignatia Lachesis Lycop. Medorrh.Mercurius Natr.Mur. Natr.Sulph. Nux Vom. Platina Psorinum Pulsatilla Rhus Tox. Sepia SiliceaStaph. Sulphur Thuya Tuberc.



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In f igure “Reasons of Fi rst Prescr ipt ion of Lycopodium” (151 c l in ical cases of Lycopodium and the ground of the f irs t v is i t ) you can see that Lycopodium has been prescr ibed to pat ients suf fer ing f rom a great var iety of pathologies . By showing three c l inica l cases (case A: psor ias is , case B: a l lerg ic asthma and case C: hepat i t is) , we wi l l pract ica l ly exempl i f y how a homeopath ic c l in ica l f i le is organized, how the d iagnos is of the remedy and i ts fo l low-up are formulated. Unfor tunate ly, we could present only a synthes is of our more ar t icu lated act ion.

REASONS OF FIRST PRESCRIPTION OF LYCOPODIUM

1

17

10

5

32

1

5

2

6 6

10

1

8

67

4

21

7

1

3

12 2

5

21 1

4 4

21

10

4

2 2

0

2

4

6

8

10

12

14

16

18

ACNE

ANXIETY

ARTHROSIS

ASTHMA

CHRONICAL B

RONCHITIS

GALL S

TONE

NEPHROLITIASIS

HEADACHE

ACUTE CISTITES

IRRITABLE

AND COSTIP

ATED COLO

N

DEPRESSION

DERMATITIS

JUVENILE

DIABETES

DYSPEPSIA

MENSTRUAL TROUBLE

S

SEXUAL TROUBLE

S

THYROID TROUBLE

S

HAEMORROIDIS

ENURESIS

HEPATITIS B an

d C

INGUIN

AL HERNIA

CHRONICAL P

HARINGITIS

URATIC ARTHRITIS

SLEEPLE

SSNESS

HYPERCOLESTERIN

EMIA

HYPERTENSION

FIBROCYSTIC M

ASTOPATHY

LUNG N

EOPLASIA

OTODYNIA

PREVENTION

PSORIASIS

POLYCYSTIC

KIDNEY

ULCEROUS R

ECTOCOLITIS

ALLERGIC

RHIN

ITIS

SINUSITIS

VARICES

VARICOCELE

NU

MB

ER O

F C

ASE

S



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CASE A: PSORIASIS Anamnesis

A 30 years old male. 1s t v isit in march 1998. Visit ground : PSORIASIS

- Administrator in a f inanc ia l company

- FATHER: aged 60; I .M.A., HEPATOPATHY

- MOTHER: aged 61; operated f rom a colon cancer ; chole l i th ias is

- The pat ient was born regular ly, eutoc ic del ivery; kg.3.200

- In the f irst 3 months: inguinal hern ia, on the r ight s ide, which

recovered spontaneously

- 14 years : s inusi t is headache

- 18 years : var icocelectomy, on the r ight s ide

- 19 years: appl icat ion at univers i ty, Law faculty. Anx iety before

exams.

- 21 years : love d isappointment dermat i t is on the face

- 24 years : graduated; he s tar ted car ing about family concern

- 25 years: f inanc ia l crash < dermat i t is , then diagnos is of

PSORIASIS ; gastr ic d isorders and insomnia

Objective examination and clinical analysis - normal s truc ture, o l ive complex ion

- AP: 115/75; CF: 75’; W eight: 73 kg; H: 174 cm

- May 1998: GOT=38; GTP=43; Tot. Bi l .=1.19 Hepat i t is markers: neg.

- June 1999: hepat ic echo: Hepatomegal ia and cholecyst d i la tat ion

- Apr i l 1999: GOT=27; GTP=34; Tot . Bi l . =0.87

- SKIN: red, squamous, fur furous patches on the head, the e lbows,

the back of the hand, the r ight t ib ia l surface

- Abdomen: d if fused meteor ism, pain when touching r ight

hypochondr ium and cholecyst ic point .

- W eihe point: pos it ive that of Lycopodium

- Treatment: cort isone-based salve and FANS



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CASE B: ALLERGIC ASTHMA Anamnesis

A 44 years old male. 1s t v isit: March 1999. Visit ground: ALLERGIC ASTHMA

- Direc tor of a shipping of f ice - FATHER: dead when 60, because of a car acc ident. He suf fered

f rom arter ia l hypertension and prostat ic hypertrophy - MOTHER: aged 69, anemic; hysterectomized - The pat ient was born regular ly, eutoc ic del ivery - Second of three brothers: one of them, aged 38, is a l lergic too; the

other, aged 45, suf fers f rom hyper tens ion - In the f irst 3 months: inguinal hern ia, on the r ight s ide, which

recovered spontaneously - In the chi ldhood: into lerance of cow milk , common exanthemata,

except meas les; f requency of purulent tons i l l i t is treated wi th ant ib iot ics ; acute ot i t is , on the r ight s ide, when 7

- I r r i tab le and s tubborn chi ld ; d i f f icu lt ies at school, wi th anx iety and fear before any tes t

- 13-14 years: a l lergic rh in i t is , t reated wi th ant ih istamines - 15 years : at tended wi th prof i t the naut ica l school - 16 years: s igned on, but got of f because of v io lent and repeated

asthma f i ts - 18 years : meas les - 19 years : got the d ip loma and s tarted sai l ing - 23 years: << asthma: he had to stop sai l ing and s tar ted work ing on

dry land. Per iod of great suf ferance - 30 years : got marr ied, Tr ichomonas infec t ion dur ing the honeymoon

t reatment - 36 and 38 years: ch i ldren bi r th < anx iety and col i t is - 40 years : occas ional too quick seminal d ischarge and l ib ido

reduct ion uro logical examinat ion and d iagnosis of prostat ic hyper trophy of the r ight lobe

- 42 years : << asthma bronchodila tors and cort icostero ids Objective Examination and clinical analysis - Long- l imbed, c lear complex ion - Anxious fac ies ; var ious t ics and mot ion of nose wings - AP: 125/85; CF: 74’; Weight: 81kg; H: 177 cm - Pelv is echo: l ight prostat ic hyper trophy at the r ight lobe - Resp. Syst. : d i f fused bronchostenos is in the whole r ight lung,

l ighter in the lef t lung - Abdomen: dif fused meteor ism, wi th pain when touched, < r ight

hypochondr ium - Treatment: bronchodi lators and cor t icostero ids; ant ispasmodics and

ant ianx iety drugs



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CASE C: VIRAL HEPATITIS Anamnesis

A 49 years old male. 1s t v isit: February 1999. Visi t ground: VIRAL HEPATITIS AND NEPHROTIC SYNDROME - Clerk - FATHER: aged 76; suf fer ing f rom prostat ic hyper trophy and arter ia l

hyper tens ion - MOTHER: aged 71; d iabetes and rheumat ic pains - The pat ient was born regular ly, eutoc ic del ivery - Elder of two brothers: the s is ter has an uter ine f ibroma - In the chi ldhood: f requency of tonsi l l i t is , a lways treated with

ant ib iot ics - 9 years: tons i l lectomy - shy, insecure, anx ious chi ld - anx iety on the school ground, fear and stomachache before any test,

throbbing and tremors - 17 years : before the f ina l examinat ion: < a l l symptoms - 18 years: appl icat ion at univers i ty, but < anx iety gave up h is

studies - 21 years : in the army: acute urethr i t is ant ib iot ics - 23 years : by open compet i t ion, he won a job as a c lerk - 24 years: got engaged and at 26 years got marr ied. Very

author i ta t ive wi th fami l iars . Over indulgence in food - 27 years : b leeding hemorrhoids, pain and burn ing whi le defecate

sa lves - 29 years : f i rs t ch i ld ’s b ir th - 31 years : hemorrhoidectomy - 32 years : second chi ld ’s b ir th - 33 years : stress because of the work dyspeps ia, meteor ism and

hemorrhoids again - 37 years : r ight var ico le var icocelectomy - 43 years: became head c lerk great sense of respons ib i l i ty,

author i ta t ive wi th dependents - 44 years: second hemorrhoidectomy, control analys is show

transaminase and B-vi ra l hepat i t is markers increas ing - 47 years: n ictur ia and d iagnos is of prostat ic hyper trophy usual

treatment - 48 years : acute bronchit is ant ib iot ics; nephros ic syndrome

(proteur ia 7 g/d ie) cor t icostero ids and immunodepressors; SCABIES usual treatment

Objective examination and clinical analysis - Normal s truc ture, o l ive complex ion; ear ly o ld fac ies - AP: 140/90; CF: 70’; weight : 55 kg; H:167 cm - December 1998: - February 1999: GOT=41; GTP=54; proteur ia: 1,49 g/d ie - Ju ly 1999: GOT=34; GTP=43; proteur ia: 0.50 g/d ie; GR: 3.9 mil l ions;

Hb=12.4; Ht=35.9%

- December 1999: GOT=31; GTP=39; proteur ia: 0.41 g/die; GR: 4.3 mil l ions; Hb=13.3g; Ht=36.6%; cholestero l=255mg; echo: l ight hepatomegaly

- Abdomen: swol len l iver; d i f fused meteor ism, pain when touching the r ight hypochondr ium

- Treatment: medic ines and to cure the prostate



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CASE A: PSORIASIS Mind - fear of being alone, of people, of failure

- anticipation anxiety, weight oppression on the stomach - sad, melancholy, taciturn - shy, anxious , fear of making mistakes - irritability - << by contradiction - proud, haughty, dictatorial - amnesia for proper names

Generals - sensitive to cold - >> by warm SLEEP: difficulty in falling asleep,

frequent awakening during the night; night hunger so that he wakes

- Morning irritability - Right side - Desires: sweets, fried food - << by fried food

Physical symptoms and signs with their modalities

- pain at superciliary arch << by warm and laying in bed - white-yellowish nasal catarrh - STOMACH: eats quickly, easy satiety - Eructation and regurgitation - Postprandial sleepiness << after 5 pm - Abdominal meteorism with bed smell flatus which >> - Stabbing pain at right hypo-chondrium after fried food,

alcohol, coffee, feeling a bitter taste in the mouth - SKIN: red, pruriginous, scaly patches behind auricle, on

elbows, on the back of the hand (< the right one) , << by a warm bed, >> with open air

- Stabbing pain at right testicle, << when straining himself - Diuresis increases at evening



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CASE B: ALLERGIC ASTHMA Mind - insecurity, fear of failure

- anxiety: for diseases, for talking in public, for changes, with weight oppression on the stomach, throbbing and fear

- authoritative, overbearing, proud, haughty - stubborn, obstinate - irritability, rage - << by contradiction - sensitive: easily moved up to cry - great desire of company - memory difficulties, mistakes when talking or writing

Generals - sensitive to cold - << by too much warm - << late in the afternoon - SLEEP: often agitated, starts and frequent awakening

with urgent need of urinating - night throbbing - desires: sweets, warm food and drink - right side

Physical symptoms and signs with their modalities

- MOUTH: often with a bitter taste and patinated tongue

- Halitosis - Throbbing and frequent stabbing pain on chest - Dyspnea when getting, even lightly, tired; oppression

on the chest - Dry cough with scarce expectoration - Diffuse gasping with great anxiety, perspiration on

face and - Oppression on the stomach, often nausea and

distention with postprandial acrid eructation and regurgitation

- Easy satiety: he has to undo his belt - Abdominal crampoid pain - Meteorism, borborygmus, flatulence - Alvus: frequent constipation with non-effective desire - Nicturia (3-4 times a night) - Incomplete or absent erection - Too quick seminal discharge



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CASE C: VIRAL HEPATITIS Mind - shy, insecure, want of self-confidence

- anxiety before doing something, for talking in public - fear of being alone, of diseases, of sufferance - nervous, irritable - << by contradiction - sensitive: easily moved by the slightest thing - amnesia of proper names, numbers, of what he is saying

Generals - sensitive to cold, >> by warm - desire of open air which >> him - SLEEP: sleeps warmly clad and wakes up during the

night to urinate - Irritability when wakes up - Scarce thirst - Desires: sweets and warm food

Physical symptoms and signs

- Headache, right hemicrania long time after eating, >> by eating, cold and open air

- STOMACH: vomit and regurgitation, distention and postprandial pain, >> by warm food

- Easy satiety - Abdominal postprandial meteorism, flatulence late in the

afternoon, crampoid pain when under pressure - Alvus: constipation, at the beginning hard stool, then

softer - Painful evacuation with burning and, sometimes,

bleeding - Frequent desire of urinate: great effort, but scarce jet - Nicturia(4-5-time a night), reddish urine - Incomplete and short erection, libido reduction - Right leg: dry skin, itch, capillary weakness

In these c l in ica l cases, you can observe in pr im is that, as i t concerns famil iar anamnesis (both near and remote), objec t ive examinat ions and col lect ion of laboratory and ins trumental analysis , the homeopath records a lmost the same data as an a l lopath ic doctor does. Nevertheless, the homeopath holds as fundamental step - to get a complete b iopathographic h istory of the pat ient- other impor tant aspects concerning the pat ient ’s pr ivate, soc ia l and emotional l i fe , as wel l as part icu lar e lements on some cruc ia l events , which could have caused (according to our dynamic and vi tal is t ic idea of the human being) a change in that person. The change is responsible for unbalances in the patient’s vital force; it is the cause of the various symptomatic manifestations. In fact, we think that the different symptoms express just one “disease” –always the same- that owing to lasting allopathic treatment goes deeper and deeper.

The complete set of biopathographic data, together with the actualities, allows us to evaluate the patient’s constitutional (miasmatic) predisposition and anticipate the likely evolution of the disease.

After considering the biopathographic history of these 3 clinical cases so that we could understand the dynamic evolution of the morbid state, let us pay attention to the symptomatological actualities. We are going to take into account those symptoms which are -relating to the pathogenesis- consistent, exceptional, unusual, peculiar and which can lead us to the diagnosis of the remedy, by representing the M.V.M.S.. In the fo l lowing tables , the symptoms of the M.V.M.S. are compared wi th those of Lycopodium pathogenes is , as they were recorded in the Pure Mater ia Medica by Hahnemann (and a lso by others, Clarke for example) and in Kent’s reper tory.



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CASE A: PSORIASIS M.V.M.S.

MATERIA MEDICA AND REPERTORY

Fear of being alone M.M.: Fear of being alone; avers ion to sol i tude R.: Fear a lone of being, 3°, p.43

Fear of people M.M.: dread of men R.: Fear people of , 3° , p .46

Anxiety at the s tomach M.M.: Anguish, esp. In the region of epigastr ium R.: (stomach) anx iety, 2°, p .476

Forgets proper names M.M.: R.: memory, weakness of , names for proper, 2° , p.65

Proud, haughty, d ictator ia l M.M.: arrogance, very haughty when s ick R.: haughty, 3°, p .51

< by contradict ion M.M.: R.: contradic t ion is into lerant of , 3° , p.16

ir r i tab le when wak ing up M.M.: < when wak ing up R.: i r r i tab i l i t y wak ing on, 3°, p.60

Cold > wi th warm

M.M.: < f rom cold R.: Cold, in general agg. , 3°, p.1348

r ight s ide M.M.: r ight s ide R.: s ide, r ight, 3°, p.1400

des ires sweets, f r ied and warm food

M.M.: craving for sweet th ings R.: desires sweets, 3° , p.486 Des ires warm food, 3° , p.486

Easy sat iety M.M.: sudden sat iety R.: easy sat ie ty, 3°, p.476

Eructat ions M.M.: f requent and painful eructat ions R.: eructat ions, 3° , p.489

< af ter h 17 M.M.:< f rom 4 to 8 p.m. R.: < af ternoon 4 to 8 p.m., 3°, p.1342

SKIN: red and fur furous patches on the head, the r ight leg and arm

M.M.: painfu l erupt ion, large red spots on sk in R.: erupt ions, psor iasis , 3° , p.1316 (head) erupt ions, 2° , p.115

Ur inary system: dark ur ine, more f requent ur inat ion in the evening

M.M.: urgent want to ur inate, wi th too f requent emission R.: ur inat ion f requent , evening, 1° , p.658



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CASE B: ALLERGIC ASTHMA M.V.M.S.


W ant of se lf -conf idence M.M.: R.: Conf idence, want of self , 2° , p.13

Anxiety and fear coming f rom the s tomach

M.M.: anguish, esp. In the region of epigastr ium R.: anx iety fear wi th, 2° , p.6 (stomach) anx iety, 2°, p.476

Proud, haughty M.M.: arrogance, very haughty when s ick R.: haughty, 3° p.51

Ir r i tab i l i t y < by contradict ion

M.M.: R.: I r r i tab i l i t y, 3°, p.57; Anger f rom contradict ion, 3°, p .2 Contradict ion is in to lerant of , 3° , p.16

Des ires company M.M.: fear of being alone; avers ion to sol i tude R.: fear a lone of being, 3° , p.43

Mistakes when ta lk ing or wr i t ing M.M.: m isappl icat ion of words and syl lables R.: m istakes wrong words, us ing, 3° , p.67

< la te in the af ternoon M.M.: < f rom 4 to 8 p.m. R.: < af ternoon 4 to 8 p.m., 3°, p.1342

Des ires sweets M.M.: craving for sweet th ings R.: des ires sweets , 3° , p.486

Right s ide M.M.: r ight s ide R.: side r ight , 3° , p .1400

Stomach dis tens ion, post-prandia l acr id regurgi tat ion and eructat ion

M.M.: stomach d istent ion, sour eructat ion af ter eat ing R.: eructat ion acr id af ter eat ing, 3° , p.492 Dis tent ion eat ing af ter , 3° , p.487

Meteor ism and f la tu lence M.M.: f la tu lence R.: f latu lence, 3°, p.548 Dis tens ion, 3°, p .544

Impotency and too quick seminal d ischarge

M.M.: weakness of erect ion; emission too speed dur ing coit ion R.: erect ion wanting ( impotence) 3° , p.696; erect ion incomplete, 3° , p.695, seminal d ischarge, quick too, 3°, p.710

Nic tur ia M.M.: urgent want to ur inate R.: ur inat ion f requent n ight, 3°, p.658



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13

CASE C: VIRAL HEPATITIS M.V.M.S.


W ant of se lf -conf idence M.M.: R.: Conf idence, want of self , 2° , p.13

Anxiety for ta lk ing in publ ic M.M.: R.:

anx iety before doing something M.M.: R.:

fear of being a lone M.M.: fear of being alone, avers ion to sol i tude R.: fear a lone of being, 3° , p.43

< by contradict ion M.M.: R.: Anger f rom contradict ion, 3°, p.2 Contradict ion is in to lerant of , 3° , p.16

Easi ly moved M.M.: hiccups and tears R.:

forgets proper names seeks words whi le speak ing

M.M.: forgets names and a lphabet ica l let ters; improper use words R.: memory, weakness of , names for proper, 2° , p.65

Sens i t ive to cold > by warm

M.M.: < f rom cold R.: co ld, in general agg, 3° , p.1348

ir r i tab i l i t y when wak ing up M.M.: < when wak ing up R.: i r r i tab i l i t y wak ing on, 3°, p.60

des ires sweets and warm food M.M.: craving for sweet th ings R.: desires sweets, 3° , p.486 Des ires warm food, 3° , p.486

Right headache, > by eat ing and open a ir

M.M.: headache > f rom cold and open a ir R.: (head) pain evening, 2° , p.134; Pain a ir open amel. , 3° , p.136; Pain eat ing af ter amel. , 1° , p.139

Acr id regurgitat ion Easy sat iety

M.M.: sour eructat ion R.: eructat ion acr id, 3°, p .548 Easy sat iety, 3°, p .476

Meteor ism and f la tu lence M.M.: f la tu lence, d istent ion R.: f latu lence, 3°, p.548 Dis tens ion, 3°, p .548

< af ter 4 p.m. M.M.: < f rom 4 to 8 p.m. R.: < af ternoon 4 to 8 p.m., 3°, p.1342

Frequent desire of ur inat ion, scarce je t Reddish ur ine

M.M.: urgent want to ur inate, red sediment in ur ine R.: ur ine, co lor dark , 2° , p.683 Ur inat ion f requent , 3°, p .657

Incomplete erect ion and l ib ido reduct ion

M.M.: weakness of erect ion, absence of sexual des ire R.: erect ion incomplete, 3° , p.695; sexual pass ion d imin ished, 3° , p.711



26/11/12

14

Then, in the three fur ther contro ls , we not iced amel iorat ion, aggravat ion, d isappearance, stat ionar iness of these symptoms, as wel l as the fact that o ld symptoms appear again.

CASE A: PSORIASIS

SYMPTOMS 1st 2nd 3rd - Fear of being alone, of people, of failure - Anticipation anxiety, weight on the stomach - Sad, melancholy, taciturn - Shy, anxious, fear of making mistakes - Irritability - < by contradiction - Proud, haughty, dictatorial - Amnesia for proper names

>

>

> >

= = > >

>>

>>

>> >

> >> >> >>

>>

(>)

>> >>

>> >> (>) >>

- SLEEP: difficulty in falling asleep, frequent awakening during the night; night hunger so that he wakes

- Morning irritability - Desires: sweets, fried food - < by fried food - Right side

>

> = = =

>>

> = = =

>>

>> = > =

- Pain at the superciliary arch < by warm - White-yellowish nasal catarrh - STOMACH: eats quickly, easy satiety - Eructations and regurgitation - Postprandial sleepiness << after 5 p.m. - Abdominal meteorism with bed smell flatus which > - Stabbing pain at the right hypo-chondrium after fried

food, alcohol, coffee, feeling a bitter taste in mouth - SKIN: red, pruriginous, scaly patches behind auricle,

on elbows, on the back of the hand, on the right leg, << by a warm bed, >> with open air

- Stabbing pain at the right testicle - Diuresis increases in the evening

>

>> >>

> =

>

>

>

> >>

>>

(>) (>)

>> >

>>

>>

>>

>> (>)

(>)

(>) (>)

(>) >>

(>)

(>)

(>)

(>) (>)

SYMPTOMS RETURN 1S T CONTROL: - Herpes Labialis, 2 t imes (see anamnesis) - Diarrhea ameliorating abdominal disturbs (see anamnesis)



26/11/12

15

CASE B: ALLERGIC ASTHMA

SYMPTOMS 1st 2nd 3rd - Insecurity, fear of failure - Anxiety: for diseases, for talking in public, for

changes, with stomachache, throbbing and fear - Authoritative, overbearing, proud, haughty, stubborn,

obstinate - Irritability, rage, < by contradiction - Sensitive: easily moved up to cry - Great desire of company - Memory difficulties

> >

=

<

> = >

>> >

>

>

> = >

>> (>)

>

>>

>> =

>> - Sensitive to cold, << by too much warm - << late in the afternoon - SLEEP: often agitated, starts and frequent

awakening with urgent need of urinating, night throbbing

- Desires: sweets, warm food and drink - Right side

=

> =

=

=

=

> >>

=

=

>

> >>

=

= - MOUTH: often with a bitter taste and patinated

tongue, halitosis - Throbbing and frequent stabbing pain on the chest - Loss of hearing at the right ear - Diffuse gasping with great anxiety, perspiration on

the face and nose wings motion - Oppression on the stomach, often nausea and

distention with postprandial acrid eructation and regurgitation, easy satiety

- Abdominal crampoid pain, meteorism, borborygmus, flatulence

- Alvus: frequent constipation with non-effective desire - Nicturia (3-4 times a night) - Incomplete or absent erection - Too quick seminal discharge

>>

>

= >

>

>

>

> > >

(>)

>>

(>) >

>>

>>

>>

>> (>) >

(>)

>>

(>) >>

(>)

(>)

(>)

(>) (>) >>

SYMPTOMS RETURN 1S T CONTROL: - Strong pain at the r ight hear, with purulent and foul mucus ,

af ter some days of treatment (see anamnesis) - Diarrhea (see anamnesis) - Reddening, burning and i tch of penis (see anamnesis)



26/11/12

16

CASE C: VIRAL HEPATITIS

SYMPTOMS 1st 2nd 3rd - Shy, insecure, want of self-confidence - Anxiety before doing something, for talking in public - Fear of being alone, of diseases, of sufferance - Nervous, irritable, < by contradiction - Sensitive: easily moved by the slightest thing - Amnesia of proper names, numbers, of what he is

saying

>

>>

>>

>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

(>)

(>)

>>

- Sensitive to cold, > by warm - Desire of open air which > him - SLEEP: wakes up during the night to urinate - Irritability when wakes up - Scarce thirst - Desires: sweets and warm food

= = = > > =

= = >

(>) >> =

= =

>> (>) >> =

- Headache, right hemicrania after eating, > by eating, cold and open air

- STOMACH: vomit and acrid regurgitation, distention and postprandial pain, < by warm food

- Easy satiety - Abdominal postprandial meteorism, flatulence late in

the afternoon - Alvus: constipation, at the beginning hard stool - Frequent desire to urinate: great effort, but scarce jet - Nicturia, reddish urine - Incomplete and short erection, libido reduction - Right leg: dry skin, itch, capillary weakness

>

> > >

>> >> > >

>>

(>)

(>) > >

(>) >> >> >

(>)

(>)

(>) >> (>)

(>) (>) (>) >

(>)

SYMPTOMS RETURN 1S T CONTROL: - Pain when urinat ing (see anamnesis) - Strong hemorrhoids (see anamnesis) - I tch al l over the body with furfourus eruptions (see anamnesis)

Obvious ly, both actual i t ies and their evolut ions have been told by the pat ient and objec t ive ly observed by the homeopath dur ing the vis i t . By “amel iorat ion” of a symptom, we intend that i ts f requency and/or i ts in tens it y decrease. By “aggravat ion” of a symptom, we intend that i ts f requency and/or i ts intensi ty increase. The return of one or more symptoms represents the emergency of a past suf ferance which has been cured in an unnatura l way (we say i t was “suppressed”) . By analyzing the evolut ion of a c l in ica l case we can ver i f y the symptoms direc t ion and Her ing law of recovery. Moreover, we can evaluate the evolut ion i tse lf and formulate a prognosis . Now, we are going to show a l ike ly model to ver i f y c l in ica l ef fect iveness of a remedy: Lycopodium , accord ing to the epistemological f ramework of homeopath ic medic ine.



26/11/12

17

Obvious ly, i t is just one of the l ike ly approaches: there are certa in ly other check systems, which are based on not ions l ike “wel l-being” or on general measurements of the homeopath ic treatment ef fect iveness. Among 151 cases of Lycopodium , we took in to account 54, in which Lycopodium was prescr ibed again in two fur ther check v is i ts . In th is way we can have a bet ter fol low up, make a meaningfu l analys is of remedy ef fect iveness and of Lycopodium pathogenet ic p icture, conf irming the symptoms recorded in the proving ( f ig . ”Repeated Adminis trat ion of Lycopodium”).

Then, we evaluated the c l inica l evolut ion dur ing the f irs t s ix months of treatment (see f ig . “Cl in ical Ef f icacy of Lycopodium: Evaluat ion of Pure Exper imentat ion” and “Results of Lycopodium Act ion on Pathology”) .

REPEATED ADMINISTRATION OF LYCOPODIUM

3

2 2

1

2

1

2 2

4

2

3

1 1

5

1

5

1 1

3

1 1

4 4

1 1

0

1

2

3

4

5

6

ANXIETY

ARTHROSIS

ASTHMA

CHRONIC B

RONCHITIS

GALL S

TONE

HEADACHE

CYSTITIS

OVARIAN C

YSTS

IRRITABLE

AND C

ONSTIPATED C

OLON

DEPRESSION

DERMATITIS

JUVENILE

DIABETES

SLIMMIN

G

DYSPEPSIA

SEXUAL TROUBLE

S

HEPATITIS B

and C

CHRONIC P

HARINGITIS

URATIC A

RTHRITIS

HYPERTENSION

PROSTATE HYPERTROPHY

FIBROCYSTIC M

ASTOPATHY

PSORIASIS

ALLERGIC

RHIN

ITIS

SINUSITIS

VARICOSE U

LCER O

F RIG

HT LEG

NU

MB

ER O

F C

ASE

S



26/11/12

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CLINICAL EFFICACY OF LYCOPODIUM: EVALUATION OF PURE EXPERIMENTATION

54,81

2,01

23,94

19,24

AMELIORATEDAGGRAVATEDCUREDUNMODIFIED



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19

RESULTS OF LYCOPODIUM ACTION ON PATHOLOGY

0,0 20,0 40,0 60,0 80,0 100,0 120,0

Anxiety

Arthrosis

Asthma

Chronic bronchitis

Gall stone

Headache

Cystites

Ovarian cystis

Irritable and costipated colon

Depression

Dermatitis

Juvenile diabetes

Slimming

Dyspepsia

Sexual troubles

Hepatitis

Chronic pharingitis

Uratic arthritis

Hypertension

Prostate hypertrophy

Fibrouscystic masthopathy

Psoriasis

Allergic rhinitis

Sinusitis

Varicose ulcer

%

A+C/TOTC/TOTA/TOT



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20

The char ts show a posit ive evolut ion in a lmost every case: anyway these data are not sat is fac tory, s ince i t is not poss ib le to see the symptoms direct ion. So, tak ing into account a l l the symptoms analyzed to prescr ibe Lycopodium , we grouped them into pathogenet ic symptoms (ver i f ied by the proving) and cl inical symptoms (d isappeared, thus healed, af ter adminis ter ing Lycopodium but not ver i f ied by the proving).

According to homeopath ic method (see the protocol) , we grouped the symptoms in: menta l, general, phys ical with modal i t ies .

The charts in f igures “Cl in ica l Ef f icacy of Lycopodium – Menta l Symptoms”, “Lycopodium Ef f icacy – General Symptoms” and “Lycopodium Ef f icacy – Physical Symptoms” show a qual i tat ive check and a quant i ta t ive evaluat ion of Lycopodium pathogenet ic symptoms.

CLINICAL EFFICACY OF LYCOPODIUM - MIND SYMPTOMS

0

0,2

0,4

0,6

0,8

1

1,2

< from

CONTRADIC

TION , P

RIDE

RESTLESSNESS

ANTICIPATIO

N ANXIETY

DICTATORIAL

CONCENTRATION D

IFFICULT

IRRITABILI

TY, RAGE

WEAKNESS OF M

EMORY

MINUSVALIA

(con

fiden

ce w

ant o

f self

)

FEAR HAPPEN SOMETHIN

G WILL

OCCUR

FEAR OF D

ARK

FEAR OF O

THER'S JUDGEMENT

FEAR OF D

EATH

FEAR OF BEIN

G ALONE

FEAR OF D

ISEASES

CONSCIENTIOUS A

BOUT TRIFLES

MALICIO

US - RESENTMENT

EASILY M

OVED

TIMID

ITY

SADNESS

CHANGEABLE M

OOD AND WEEPIN

G

MIND SYMPTOMS

A+C

/T R

ATIO

S



26/11/12

21

CLINICAL EFFICACY OF LYCOPODIUM - PHYSICAL SYMPTOMS

0

0,2

0,4

0,6

0,8

1

1,2

NOISE in EAR

APHTHAE

ODOR OFFENSIVE

EXTERNAL GENITALS

BLUSHIN

G

DIARRHOEA

DRY MOUTH an

d BITTER TASTE

BURNING on

URIN

ATION

HEADACHE WAKENIN

G on

DYSPEPSIA, NAUSEA

CYST and P

AIN of

RIG

HT OVARY

PAIN on

RIG

HT HYPOCONDRIA

LUMBARSACRAL P

AIN

PAIN on

RIG

HT TESTICLE

EJACULA

TIO PRECOX

HAEMATURIA, BLO

ODY

HAEMORROIDIS an

d ANAL R

HAGADES

ERUCTATION an

d REGURGITATIO

N

YELLOW FACIES (D

ISCOLORATIO

N)

FORMICATIO

N in th

e RIG

HT ARM

CHILBLA

IN on

FEET

ABDOMINAL D

ISTENT. afte

r EATIN

G

SWELLIN

G LEGS

ERECTION IN

COMPLETE

LUMBARSCIATIC

ALGIA

ENURESIS, NIG

HT URIN

ATION

OPPRESS., PAIN

UNDER BREAST BONE

ITCHING SKIN

BURNING an

d VAGIN

AL ITCHIN

G

ALLERGIC

RHIN

ITIS

DRY RHIN

ITS

MORNING D

ISCHARGE from R

IGHT EAR

COSTIPATION ( R

ECTUM)

PALPITATIO

N

DRY COUGH w

ith D

ARK CATARRH

VERTIGIN

ES RISIN

G ON <

from W

ARM

APPETITE, RAVENOUS

PHYSICAL SYMPTOMS

A+C/

T RA

TIO

S

CLINICAL EFFICACY OF LYCOPODIUM - GENERAL SYMPTOMS

0

0,2

0,4

0,6

0,8

1

1,2

< from

WARM

< from

4 p.m

. to 8

p.m.

> from

WARM

< from

COLD

THING

DESIRE of

OPEN AIR

DESIRE of

SPICY FOOD

DESIRE of

SWEETS

DIFF. IN SLE

EPING A

ND SLEEPLE

SNESS

< from

COLD

NIGTHMARES

RIGTH SID

E SYMPTOMS

THIRST EXTREME

THIRST N

IGHT

THIRST POOR

EASY SATIETY

SLEEPIN

ESS after

EATING

STARTING SLE

EP on FALL

ING

HEAT FLUSHES

WEAKNESS WAKIN

G ON

ACRID PERSPIR

ATION ALL

OVER THE BODY

PERSPIRATIO

N, sing

le pa

rts

GENERAL SYMPTOMS

A+C

/T R

ATIO

S



26/11/12

22

Tota l observat ions are 23 and the sum (ameliorated + healed) is 19: thus, the rat io of that symptom ( the ef fect iveness of Lycopodium on that symptom) is 0.83.

A stat is t ic measure of symptoms signif icance in each group or ser ies should be necessary. On this ground and not to make use of ca lculat ion devices, we need to increase our data base wi th other cases in which Lycopodium has been prescr ibed in two fur ther check v is i ts .

107

36

102

1 26

24 23

60

3134

21

0

20

40

60

80

100

120

NUMBER of SYMPTOMS

AMELIORATED AGGRAVATED CURED UNMODIFIED

CLINICAL EVALUATION OF LYCOPODIUM ACTION: SYMPTOMS DISTRIBUTION

TOTAL MENTAL total generaltotal phisical



26/11/12

23

The char ts in f igures “Cl in ical Evaluat ion of Lycopodium Act ion: Symptoms Dis tr ibut ion” and “Cl in ica l Evaluat ion of Lycopodium Act ion: Per Cent Dis tr ibut ion of Pathologies” show in a evermore c lear way how the symptoms improved or d isappear almost on the whole sample, as i t regards menta l , general and phys ical symptoms. Substant ia l ly, the same data are deduct ib le f rom f igure “Cl in ica l Ef f icacy of Lycopodium: Evaluat ion of Pure Exper imentat ion”.

0

10

20

30

40

50

60

70

%

AMELIORATED AGGRAVATED CURED UNMODIFIED

CLINICAL EVALUATION OF LYCOPODIUM ACTION: PER CENT DISTRIBUTION OF PATHOLOGIES

POOL MENTALPOOL GENERALPOOL PHISICALTOTAL POOLS



26/11/12

24

The last three char ts conf irm, on a concrete level, the Simil ia law, and thus the therapeut ic ef fect iveness of Lycopodium . On th is subject , we would l ike to remind what Hahnemann said in Organon, par. 27 t h : “The curat ive power of medic ines therefore, depends on their symptoms, s imilar to the d isease but super ior to i t in s trength, so that each individual case of d isease is most sure ly, radical ly, rapid ly and permanent ly annih i lated and removed only by a medic ine capable of produc ing ( in the human system) in the most s imilar and complete manner the tota l i t y of i ts symptoms, which at the same t ime are stronger than the disease”.

CLINICAL EFFICACY OF LYCOPODIUM: EVALUATION OF PURE EXPERIMENTATION

54,81

2,01

23,94

19,24

AMELIORATEDAGGRAVATEDCUREDUNMODIFIED



26/11/12

25

Conclusions 1. the grounds for the homeopath ic v is i t are d if ferent 2. in homeopathy: - the homeopath does not ac t on the bas is of a nosographic d iagnos is in

order to apply a correspondent therapeut ic protocol but is rather concerned wi th the s ick person, with that morbid ind ividual i t y which expresses the psycho-bio logical react iv i t y of each indiv idual , unique and non repeatable human being

- i t is poss ib le to make a prognos is on the bas is of g lobal evaluat ion of symptoms

- the 3 c l inica l cases, we presented above, we show that not only the symptoms of the diseases the pat ient suf fered f rom at the 1s t v is i t , but many others d isorders were improved or healed according to the Her ing Law

- the b iopathographic protocol is an usefu l too l s ince i t a l lows to record in a regular way data on ef fect iveness and c l in ica l act ion of homeopath ic remedies, according to the epistemology s tatus of homeopath ic medic ine

3. we could not stat is t ica l ly measure Lycopodium ef fect iveness, but in the 54 cases we analyzed we could not ice an improvement of about 75%, fol lowing i ts adminis trat ion.

References

CLARKE J . K . , Diziona r io d i fa rmaco log ia omeopat ic a , ed . IPSA, Pa lermo,1997 , tomo I I . DUPRAT H. , Mat er i a Medic a Omeopat ica , ed . F . l l i Pa lombi , Roma, 1984, vo l . I I . GALLAVARDI N J . P . , Psych isme et Homeopath ie , te rnet -Mar t in ed. , I sère , 1960 . HANHEMANN C. F . S . , Organon de l l ’a r te de l guar i re , t raduz ione i t a l iana da l la V I tedesca, I I ed . L .U. I .M.O. , Napol , 1987 i . HANHEMANN C. F . S . , Tra i té de Mat iè re Mèdica le homeopat h ique , ed . L ib ra i r ie J .B . Ba i l l i è re e t F i l s , Par is , 1876, vo l . I I . HODIAMONT G. , Trat ta t o d i f a rmac o log ia omeopat ica – Rimedi vegeta l i i n omeopat i a , ed . IPSA, Pa lermo,1996, vo l . I I . JAHR, Manuale d i Mate r ia Medica Omeopat ica , ed . L . U. I .M.O. , Napol i , 19884 , vo l . I I . KENT J . T . , Reper tor io de l la Mater i a Medica Omeopa t ica , ed . IPSA, Pa lermo,1991-1992-1994, vo l l . I - I I -I I I . PASCHERO T. P . , Le le zi on i d i Paschero a l l a L .U. I . M.O . , ed . CE.M.O.N. , Napo l i , 1996. SCHROYENS, Synthes is , Reper t or i um Homeopath icum Synthet icum , ed . Homeopath ic Book Pub l i shers , London, 19986 . SCHROYENS, 1001 Smal l remedies , ex t rac ted f rom Synthes is 5 , ed . Homeopat h icum Book Pub l i she rs , London, 1995. ROCCHI A . , ROCCHI V . , Mater i a medic a repe r to r i zza t a , ed . Nuova Era, Roma, 1978. VANNIER L. , Compendio de Mater ia Med ica Homeopa t ica , ed . Por rùa, Mexico, 1959.

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