Multiple Sclerose/M.S. Anhang
Treatment of patients with chronic diseases have been given considerable attention by the early homeopaths (H./Kent/others).
In the allopathy we often find that chronic patients are considered to be "not-curable" and medical treatment is focused on maintaining the status quo, slowing the process of deterioration, or preventing pain.
This also accounts for rather a number of homeopaths, who most likely in their treatment will aim at the same objectives as the allopaths, and are reluctant or scared to venture into a venue leading towards true healing.
This because of a lack of trust in their own capabilities, fear for social repercussions or just lack of knowledge on this subject.
H. discovered that he was able to cure with homeopathy acute and superficial complaints, but that when treating patients with chronic diseases a temporarily amelioration often was followed by a significant aggravation. This brought him to the miasma-concept, the deeper, genetically based disposition of each person. One of the main points I will stress is this lecture is my conviction that having profound knowledge of miasma s essential when you treat patients with a chronic disease. So understanding the true nature
of a patient s miasma is one of the most important factors for your success as a therapist and the accuracy of the prognosis of the treatment.
In my practice I have encountered gradually more and more patients with a chronic disease, most of them MS-patients. While treating them, I rediscovered some of the basic truths of homeopathy. I developed some ideas about failure and success in treating chronic diseases, and why some persons can be cured more easily compared to others.
I will share with you some of my experiences with MS-patients and highlight some points I personally learned from my cases. What kind of confrontations I had, where I
was able to really help, what mistakes I made. Treating MS-patients learned me to really understand some parts of the Organon, learned me what homeopathy really is about.
It takes me some courage to start treating patients with a chronic disease. But as one acquires more knowledge and understanding of the basics of the illness, there are a lot
of situations in which is very worthwhile to start the treatment, both for the patient and the therapist.
In this short lecture I can only present one case as an example and I will confine myself to "keynotes" while covering a period of several years.
Comments on the illness Multiple Sclerose
Tendency to inflammation
What / Where is affected ?
Keynotes and Non-Keynotes for Multiple Sclerosis
Anamnesis and Case-Management
Comments on MS
"Stuck" = blocked, there are no modalities and no problems. Inflexibility.
The patient says everything is all right.
It is easier to have cases with strong modalities, those are better curable.
E.g. sensitive to weather changes, < before menses, < emotions.
A problem arises when there is a tendency towards inflammations in a patient. These persons are more difficult to treat, because after each inflammation the overall condition and the MS itself is worsened. I will comment on this later in more detail.
What is affected ? This is a very important question. For example, when the eyes are affected you can consider this a good sign. As the eyes are located near the brains, affected eyes constitutes an early stage in the illness. Ascending paralysis is a bad sign, the affection has already traveled far in the body.
Neurological examination. This is a very important part of the interview. Establishing the condition of the reflexes, looking for nystagmus, observing the gait of the patient, how long they can walk, on the toes or not, the balance of the body, how they walk with eyes closed. Also the level of tiredness is important to observe.
What are Keynotes / Non - Keynotes for Multiple Sclerosis ?
Non-keynotes (not valuable in the repertory) for Multiple Sclerosis are:
ascending and descending paralysis
tremor and jerkins
burning heat (very common)
Keynotes are for example:
a wandering burning (more peculiar)
burning which existed before the disease
when the eyes are paralyzed: which muscle is affected
one side is numb (e.g. one side of the tongue)
when someone is better from heat instead of worse
when someone mentions a symptom repeatedly that for all other MS-patients seems to be so trivial (e.g. complaining about the inability to walk)
A very important issue is the fact that MS-patients often forget what happened to them in the past. The paralysis is not constrained to the motor nerves, memory is affected also. Therefore the personal observations of the therapist are even more important than with "normal" patients. E.g. face expression in contrast to verbal statements. Also the case history is of extreme importance, you need to know every illness of the past, not in the first place to find the simillimum, but specially to know how to react upon aggravations and/or re-appearance of old ailments.
So, case management is very important, anticipation on former diseases and a thorough explanation to the patient of the concepts of homeopathy. The patient has heard so often that MS is incurable and that every complication will form a decline in their condition, that their self confidence is diminished, they lack confidence. Their environment
is mostly ignorant of all ins and outs of homeopathic treatment of MS. Education of patient and family will take some time: indicate things as the necessity to take time too rest when they feel sick, the influence of heat on myelin etc.
Degeneration of Myelin
Importance of Temperature
Rapid Atmospheric Changes
One of the most important expressions of MS is the degeneration of myelin. Myelin is the fatty-like substance covering all nerve cells. In MS-patients the myelin is very sensitive to heat; the degeneration process will increase due to increased body temperature. This is why inflammations constitutes a major risk factor in MS-patients.
I will elaborate a little more further on MS an inflammation later one.
Etiology - MS can be induced by more than one factor. It might be linked with geography (it is more widely spread between 40 and 60° N-latitude, Scotland!), with genetic constitution, and with other external stress factors (viruses). The exact reason why someone acquires the disease in a particular case is still unclear, although it is said that 27% of the cases are related to infections.
Temperature - When the body temperature increases the condition of the nerves decreases. One should be aware of the possibility in bad cases the patient will not completely recover from too high temperatures.
A fair part of the MS-patients are sensible to humidity and rapid atmospheric changes.
As stated before, one should pay special attention to the peculiars, because the modalities often are of not much help with MS-patients.
This sheet represents a summary of the case evaluation. In non MS cases recover from an inflammation nearly always has a positive influence on the course of the illness and the overall health.
In MS-cases you cannot be sure of that. The influence of body temperature on the myelin might have a negative feedback
One can consider Homeopathy as a delicate form of communication. So one of the basic rules for a homeopath is to tune in the awareness of the patient. The better you communicate, the more likely it is that you will find the right simillimum. No communication means no similimum. In order to achieve a maximum of fine tuning, it is necessary for both patient and therapist to achieve positions as equal as possible.
In an equal, non confronting situation people will become more aware of themselves, thus providing the best opportunity for the therapist to find the similimum.
This is also the reason why I prefer LM-potencies with these patients. LM = 1 : 500 x 100.
LM1 is still rather material in its impact, LM2 and higher have a significant impact on the more spiritual level.
So, using higher LM-potencies will facilitate a swift shift in the patient to more immaterial levels.
The number 5 is supposed to have had special meaning to Hahnemann (see Stoteler), it also represents the 5 extreme points of the human body in a pentacle
Working with C-potencies means working according to the action/reaction principle. LM potencies act with a soft reaction (no or little aggravation) or no reaction. Aggravations can be easily neutralized with a LM potency
(§ 253 Organon). It is very important to watch the patient and prevent an aggravation, not only because of the reasons mentioned above in relation to temperature, but also because of the mental disposition of MS-patients where aggravation might block the awareness and the overall feeling of well-being and might result in further deterioration
of the situation of the patient.
Generally speaking MS can develop according to two models.
1st model shows a continuous increase in the severity of the symptoms. These patients are very difficult to treat and due to the gradual decrease in the condition of the patient it might also be a discouraging experience.
2nd model shows those cases in which periods of increasing severity of the symptoms are altered by periods of remission. If a patient comes to visit you during such a period of remission, you may have very good results in your treatment. When a patient comes to you in a peak, in a rather bad shape, treatment will prove to be more difficult.
So, in order to make a good prognosis, it is very important to make a good judgment where on the curve the patient is located at the moment of treatment.
[Mohinder Singh Jus]
bei fortgeschrittenen MS-Fällen mit ausgeprägter Spastizität. Öfters bei Männern indiziert.
Kann Beinen liegend besser bewegen als im Sitzen; kann aber die Beine nicht beugen
Starke Ataxie, < im Dunkeln oder bei geschlossenen Augen
Geht auf den Fussspitzen, belastet die Fersen nicht, kann den Fuss nicht abrollen; hat grosse Mühe, den Fuss hochzuheben, als ob die Fussspitze am Boden kleben würde
Schwellung der Beine beim Hängen lassen der Beine
<: der Zustand ist deutlich schlimmer bei kalt-feuchtem Wetter/Berührung des Rückens;
Komplementmittel: Mang-met. Dulc. Con.
Ein wertvolles Mittel, wenn die Multiple Sklerose durch eine Verletzung ausgelöst wurde.
Verletzung von Kopf +/o. Wirbelsäule
Schwere Entbindung z.B. bei Zwillingsschwangerschaft, wenn die Mutter bereits während der Schwangerschaft Druck auf Gefässe und Nerven gespürt hat und immer
wieder Taubheitsgefühl hatte
nervösen Menschen und lässt sich in dieser