NMT200 Lesson 2 -Shoulder Pain, Adhesive Capsulitis PDF 2023

HOMEOPATHY R E V I E W O F C L A S S I F I C AT I O N O F D I S E A S E A N D C A S E T A K IN G MAT E R IA ME D IC A O F A R N IC A A N D N AT R U M S U L P H U R I C U M NMT200- Y2T1 Lesson #2 LEARNING OBJECTIVES 1. Review the concepts of...

HOMEOPATHY R E V I E W O F C L A S S I F I C AT I O N O F D I S E A S E A N D C A S E T A K IN G MAT E R IA ME D IC A O F A R N IC A A N D N AT R U M S U L P H U R I C U M NMT200- Y2T1 Lesson #2 LEARNING OBJECTIVES 1. Review the concepts of acute and chronic diseases from NMT100 (Week 9). 2. Briefly review Case Taking from NMT100 (Week 9); and determine the foundational questions (basic information needed) for first aid and acute cases. 3. Create a list of questions appropriate for a first aid case (shoulder injury) and for an acute illness (sore throat). 4. Identify the main keynotes and characteristic mental and physical symptoms of Arnica montana and Natrum sulphuricum. REVIEW- CLASSIFICATION OF DISEASE ACUTE VS CHRONIC CLASSIFICATION OF DISEASE BASED ON THE ORGANON DISEASE Physical/external Dynamic trauma DYNAMIC DISEASE Dynamic disease Acute Chronic Non- Epidemic Sporadic Individual Miasmatic miasmatic CASE TAKING THE ART OF RECEIVING A CASE APHORISMS 82 TO 104 In this section of the Organon, Hahnemann gives the basic steps for the homeopathic interview He talks about acute and chronic diseases, and adds that his outline is only partly applicable to acute diseases WH EN C ASE In homeopathy, it is important to understand that case- taking starts right from the time the patient enters the TA KING clinic and continues until they exit the clinic. This is S TARTS? even more important in acute cases. IMPORTANT FACTORS IN CASE TAKING Observation skills Detailed history taking of the symptoms making sure to take "complete symptoms" Physical examination: it is very important to touch and check local symptoms such as warmth, coldness, tenderness, perspiration, etc Identifying any emergency, making sure that patient's safety is the priority and referring them to an emergency setting whenever necessary. OBSERVATION The most essential skill for a homeopath is being an unprejudiced observer! Be in observer mode to discover what is going on with the patient before taking the role of a homeopath in order to eliminate any bias APHORISM 83 This individualizing examination of a case The interview must be of disease… demands of the physician conducted with professionalism, only: discretion (provide a safe environment), and using active Impartiality listening Sound senses The attitude of the physician Attentive observation matters a lot, and Hahnemann pointed out that… Faithfulness in recording the disease picture OB JECTIVE Partial heat/ partial coldness/ partial sweat S YMPTOMS , C O N T. Position of amelioration (lying/ sitting/ carrying/ rocking in particular position) Gait – Different gaits are characterized by differences in limb movement patterns SUBJECTIVE INFORMATION Case taking starts with open ended questions such as : what brings you to homeopathy? SILENCE IS THE KEY! Let patient speak uninterrupted and start asking questions when the flow stops. Unless patient is going out of topic. When patient stops, still encourage them with open ended questions such as: What else? Tell me more….. NOTETAKING RECORDING DETAILS APHORISM 85 NOTETAKING: Ask them to speak slowly, so that you can write down all the essential information Write verbatim what they say and what you see Separate the symptoms one per line, leave room to add details if they move on too early to the next thing  You can ask more direct questions only at the end, once the patient is not able to give you more information, or if some information is THE missing, or the patient needs some probing or INTERVIEW examples or other motivations to give you more information. You may have some ideas of remedies that will pop up in your head while you listen. Write them down in the margin and return your attention to the patient. At the end, you can ask direct questions about these remedies (about their keynotes), to try to rule them out… COMPLETE SYMPTOM Make sure to get THE ‘COMPLETE’ SYMPTOM Obtain at least the S-M-I-L-E or C-L-E-M-S of the symptom: the Sensations, Modalities, Intensity, Location (precise location or tissues involved), and Etiology (if applicable) Let's Complete the chart together A 16-year-old male suffers from chronic Etiology headaches, feeling the pain in forehead, the pain is throbbing/pulsating, any slight Location movement makes the pain worse, he is so sensitive to light and noise. He becomes Sensation irritable during the headache and wants to be left alone in a dark quite room. His thirst usually increases significantly during the Modalities headache. He had a head injury 2 years ago and having the headaches since. His mother feels that Concomitants dehydration also triggers the headaches. when he exercises in hot days, he usually gets the headache. 19 ACUTE & FIRST AID CASES For first aid cases, you often need only 2 questions: What has happened? What has changed since this happened? STATE OF THE PATIENT After observing and ascertaining the diagnosis and cause of disease, the state of the patient (the changes seen in the patient physically and mentally since being unwell) is examined. It is important to note that there can be both subjective as well as objective changes displayed by the patient in an acute state.  Keep in mind that acute diseases tend to have ACUTE severe, more intense and clear symptoms than chronic diseases do. CASES In an acute case, limit the inquiry to the acute state only, do not dip into what has been the chronic state. Record the "recent" changes that happened due to the acute state (whether related to the cause or not...) Get complete symptoms: ask S-M-I-L-E questions  LIST OF QUESTIONS THAT WE CAN ASK FROM AN ACUTE CASE  This Photo by Unknown author is licensed under CC BY-NC-ND. C ASE Shoulder pain, adhesive capsulitis Arnica Montana mountain daisy This Photo by Unknown author is licensed under CC BY-SA.  A R NICA M O NTANA- TOXICITY Produces conditions upon the system quite like those resulting from injuries, falls, blows, contusions or bruising. This Photo by Unknown author is licensed under CC BY-NC-ND.  A R NICA M O NTANA Common conditions for use: Shock or trauma of injury; surgical shock; muscle injuries. ARNICA is the most common medicine used in first aid. It helps reduce shock, relieve pain, diminish swelling, and begin healing. ARNICA is also an excellent medicine before or after surgery since the body experiences a state of shock from these medical procedures. It is used as well before and after dental surgery, and before, during, and after labor to help the mother and infant deal with the shock and stress of birth. This Photo by Unknown author is licensed under CC BY-SA.  ARNICA- MENTAL PICTURE Fears touch, or the Wants to be let alone Feels bed is so hard After mental strain approach of anyone or shock ARNICA- PHYSICAL SYMPTOMS Pain in back and limbs, as if bruised or beaten Sprained and dislocated feeling Soreness after overexertion Everything on which he lies seems too hard. symmetrical distribution of eruptions  Worse: least touch, motion; rest; wine; damp cold. ARNICA- MODALITIES Better: lying down, or with head low. ARNICA- M ISHA NORLAND'S VIDEO NATRUM SULPHURICUM SODIUM SULFATE This Photo by Unknown author is licensed under CC BY-SA. N ATRUM S U LPHURICUM- A FFINITIES A liver remedy Hydrogenous constitution (feels every change from dry to wet) head symptoms from injuries to head, mental troubles therefrom. N AT. S U LPH.- M ENTAL P I CTURE Lively music saddens Melancholy, with periodical attacks of mania Suicidal tendency; must exercise restraint This Photo by Unknown author is licensed under CC BY-SA. NAT. SULPH.- PHYSICAL SYMPTOMS Hepatitis; icterus and vomiting of bile Liver sore to touch, with sharp, stitching pains Bruised pain and urging to stool Loose morning stools, worse, after spell of wet weather Rheumatism, worse in damp cold weather NAT. SULPH- MODALITIES Worse: music (makes her sad), lying on left side, dampness of basement, damp weather. Better: dry weather, pressure, changing position. ANY QUESTIONS? THANK YOU!