Vannier Prescribing and The Liz Lalor Fertility Program-July2011
Vannier Prescribing and The Liz Lalor Fertility Program-July2011
In a counselling consultation the counsellor seeks to her situation; she is fearful of not falling pregnant. Her
understand the despair behind an individual woman’s physical symptoms are consistent with the suppression
desire to conceive. The whole basis of homoeopathic of ovulation. My consultation with an infertility patient
constitutional prescribing is based on the individuality of is specifically focused upon her existing symptoms which
each patient’s peculiar perception and how they interpret confirm for me that she is not ovulating. My program is
their particular trauma or grief. I know from practice designed to reverse the suppressive effect of the OCP and
that it is not until I probe deeply into a patient’s case achieve a successful pregnancy. My infertility patients
that I will understand how the patient’s experience of present with a typical set of symptoms associated with
trauma or grief is reflective of an individual constitutional suppression of ovulation: no healthy mucus, no sexual
remedy profile. This is known as the simillimum. The surge, irregular menses, menses too heavy or too light, and
simillimum is unique to homoeopathic treatment. In the failure to ovulate.
case analysis the homoeopath seeks to understand why
the patient needs to maintain their emotional outlook. Vannier stated that all suppressive drug damage should
In both modalities – psychology and homoeopathy – the be considered as a ‘Toxic Ratio’, and that if one treats a
psychological delusion is viewed as an exaggeration patient in this condition constitutionally, they will be
of personality status, or as an inappropriate symptom overwhelmed by an ‘eliminatory crisis’. Furthermore,
indicating abnormality, or as an illness. In the Mind Vannier stated that any sudden elimination of toxic
section of the repertory there is a sub-section called substances will always overwhelm the organism. Before
the Delusion rubrics. The use of a Delusion rubric applies I formulated this program I treated five infertile women
to the case analysis when a patient misrepresents and constitutionally. Their Follicle Stimulating Hormone
misinterprets reality in a disproportionate way consistent (FSH) levels increased as a result of the constitutional
with the psychiatric definition of a psychological delusion. prescription. When FSH is elevated the woman becomes
This is not the case with women who are experiencing over stimulated and she cannot ovulate. I do not doubt the
grief as a result of not being able to conceive a child – the validity of constitutional prescriptions, or my prescription,
woman who is unable to conceive is appropriately grieving but after this experience, I did question the validity
in proportion to what would be expected for her situation. of prescribing a constitutional remedy to a woman
In my homoeopathic consultations with patients it is not with a suppressed organism. Infertility caused by the
until I probe into the feeling and most importantly the suppressive effects of a drug needs to be considered as a
peculiarity, of a patient’s grief that I am able to accurately ‘Toxic Ratio’ affecting the function of the entire organism.
prescribe the simillimum and not just give a standard A patient in this condition can easily be overwhelmed by
prescription of Natrum muriaticum or Ignatia. This is how an ‘eliminatory crisis’ – “a sudden elimination of toxic
I practice as a constitutional homoeopath. It is essential substances which overwhelm the organism.” The risk of
to understand what is unique to Vannier prescribing, and the FSH becoming elevated is that it can take six months
my fertility program, and why it is my preferred form of to one year to lower the FSH once the woman has been
treatment for infertility. over stimulated. For a woman aged in her twenties it
might not be problematic, but a woman aged in her late
The first time that I consult with a patient, I do not thirties, or early forties, might lose her last fertile years
take a ‘full case’ as I would for a constitutional case. It is because of it. The effect of suppression by the OCP is
important to remember that this woman is sitting in my profoundly damaging to a woman’s delicate fertile years.
consultation room because she wants to fall pregnant. When the patient has suppressed their ovulation for years,
In the first consultation she is grieving in proportion to a the case, as I see it, needs Lesional and Drainage treatment
situation that is not characteristically unique, striking, – the homoeopathic method devised by Vannier. In this
singular, uncommon or peculiarly inconsistent to the instance I am not treating an individual that needs to
expected grief of a woman who is frightened that she be analyzed constitutionally. I view my program as an
will not conceive. The most important issue in most of acute standardized case treatment precisely because it is
these cases is that the woman is not ovulating. The main not exceptional, or unique, or unusual, or characteristic
emotional issue is of course the grief and sense of failure of a constitutional remedy profile – it is characteristic of a
at not being able to conceive. It is important to note that Miasmic ‘Toxic Ratio’. The functional or Drainage remedy
her emotional and mental symptoms are appropriate to reflects and addresses the disturbance of the function
of the organ. In the case of suppressed ovulation the The frequent use of Natrum muriaticum is included in
woman needs stimulation of the functional nature of the the system of Drainage and Lesional remedies which was
organism. The Lesional remedy reflects and addresses the designed by Vannier to protect an already suppressed
structural damage to the function of the organism. In the and exhausted organism. Ruyter states: “I have used this
case of suppressed ovulation the woman needs repair to method for more than forty-five years and have never seen
the structural (Lesional) damage within the organism. I what could be called a ‘remedy aggravation.’” According to
have considered and tried many approaches in my clinical Vannier, acute aggravations can always be prevented by
treatment of infertility. The most successful approach is using a Drainage remedy. Vannier defined drainage as: “the
the program I have formulated. If the lack of ovulation1 is, combination of measures to be used to ensure the regular
as I suspect, associated with years of being on the OCP then elimination of toxins that burden the body of a person. I
a Vannier system that includes several detox Drainage say of a person, not of persons, because the fact of great
and Lesional remedies will be successful. My statistical importance to remember is that drainage must always be
success stands in its own right, and has been validated by individualized.” Ruyter states, “Some homoeopaths object
hundreds of homoeopaths all around the world who are to using drainage method since it involves combining
using this method. various homoeopathic remedies which they say was
condemned by Hahnemann. However, the fact is that
Consistently my experience has been that a woman Hahnemann did use remedy combinations in his later
with fibroids, endometriosis, or a history of Polycystic years – the fact remains that not infrequently single doses
Ovarian Disorder (PCOD) will consult me and I will get of high potencies of homoeopathic remedies do cause a
her pregnant within two cycles, even if she has not been temporary aggravation of a patient’s symptoms if they
having a menstrual cycle, or has not ovulated for several are not preceded by a few days of treatment with drainage
years. Until I formulated this program it took me up to one remedies in medium to low potency.” If the woman is
year to achieve ovulation in women who had been on the in her late thirties or early forties and constitutional
OCP. This was regardless of whether the woman had been homoeopathic treatment causes an aggravation resulting
on the OCP for seventeen years, or for as little as three years. in over stimulation (elevated FSH), she could lose her last
What is most worrying is that a lot of younger women opportunity to conceive.
choose the contraceptive implant Implanon™ to avoid
menstruation altogether. It is now accepted that it can
take up to one year for the woman to ovulate again after The Vannier Prescribing Method
Implanon™. My clinical experience is that it can easily be – four remedies working as a whole
two years before women ovulate after Implanon™ or the
OCP. Young women choose to stay on the OCP (avoiding the The Vannier program is important to know in its original
sugar pill component) because of the inconvenience that form. Over several years, I have adapted and changed the
menstrual bleeding can cause to their work commitments. original Vannier program according to my perceived need
Avoiding menstruation can result in the onset of early to increase the frequency of the remedies. The increased
menopause. For a woman in her late twenties, or early frequency, along with the addition of an extra Miasmic
thirties it can take two years (the worst case scenario) to remedy, Folliculinum, has proved to be successful. The
ovulate again. If the woman is already in her late thirties original Vannier system consists of four remedies that
or early forties, it is usually too late to save her fertility. must all be compatible, i.e. not able to antidote each other
and are perceived to work together as a whole. The system
I have been repeatedly asked, by homoeopaths using of four remedies working as a whole aims to prevent
this method, about the high number and the high frequency an aggravation powerful enough to overwhelm the
of remedies used in my program. The original Vannier organism. Drainage and Lesional cover the disturbance
system consists of four compatible remedies. The idea of of the physical. Ruyter says, “Dr Vannier stressed that
compatible remedies working as a whole aims to prevent regulating treatment and drainage are two methods
an aggravation powerful enough to overwhelm the which must not be separated: they form two parts of the
organism. I have had no aggravations using this method. complete homoeopathic treatment of the individual.”
Furthermore, I have had no aggravations using this method
even if the woman is Natrum muriaticum constitutionally,
and I have prescribed Natrum muriaticum 200 C. weekly.
The homoeopath must decide which remedy to use based of the bladder), urethritis (inflammation of the urethra),
on the individual Miasmic History. vaginitis, and ovarian cysts and tumours.
• Dark, clotted heavy menses.
8
Syphilinum 200 C. or Carcinosin 200 C. – this is a ‘one The homoeopath must decide which remedy to use based
dose only remedy’ at the start of the program. If there is a on the individual Functional, Drainage and Lesional Hx.
history (Hx.) of PCOD or miscarriage, use one dose only of
Syphilinum 200 C. or Carcinosin 200 C. first.
Natrum Muriaticum 200 C. 1 dose / weekly.
Aside from the physical symptoms the distinguishing
PQRS symptoms (Sx.) are: Natrum Muriaticum re-establishes periodicity of the
Mx. This remedy is selected from the totality of symptoms
Syphilinum are convinced they will always miscarry – emotionally, mentally, and physically – it must indicate
[Female genitalia/sex rubric: repeated abortion] because disturbance of the whole function of the patient. Vannier
they have irreparable damage [Mind rubric: fear of being referred to the simillimum as the Fundamental remedy.
incurable.] Choose this remedy based on the dysfunction of the
Carcinosin are convinced that they will not fall functionality of the whole organism.
pregnant [Female genitalia/sex rubric: sterility] and The following Mind and Delusion rubrics highlight
that they are personally responsible because they have the relevance of using Natrum Muriaticum. Not all the
delayed conception [Mind rubric: ailments from lack of women who have consulted me are constitutionally
opportunities to realize his abilities. [1] 1.] Natrum Muriaticum. I can confirm this on the basis of
post-pregnancy consultations. It is my experience that
Folliculinum 200 C. 1 dose is given 2 days before these women are ‘in a layer’ of Natrum Muriaticum. This
ovulation. If the patient is not ovulating give Folliculinum statement is perhaps contentious. Given the intensity of
weekly. the trauma of not being in control of one’s body and of
not being able to achieve pregnancy, it is psychologically
Folliculinum9 is given as a Drainage remedy and Nosode conceivable that one might move into the remedy profile
remedy to stimulate ovulation. Folliculinum is a potentised of Natrum Muriaticum.
form of natural oestrogen. The signs and symptoms of
diminished oestrogen equate to what one would expect to • Mind rubric: ailments from: abused; after being: sexually:
see in a menopausal woman [Female genitalia/sex rubric: NAT-M.
diminished sexual desire, and dry vagina, and the Mind • Mind rubric: anorexia nervosa: Nat-m. [Weight loss interferes
rubric: irritability before menses.] with ovulation.]
• Repeated abortion • Mind rubric: impatience: menses: after: Nat-m. [2] 1. [Natrum
• Vaginal dryness muriaticum are notably angry with the homoeopathic
practitioner before, and after, their menses because they
• Acrid, excoriating leucorrhoea
have not fallen pregnant.]
• Suppressed menses
• Mind rubric: irritability: menses: before: Nat-m.
Medorrhinum is particularly applicable for Sx. of
inflammation. • Delusion rubric: criticized, she is: nat-m. [Natrum muriaticum
suffer terribly from psychological delusions that others
• Acrid and offensive discharges.
(especially partners and family) are criticizing them for not
• All inflammatory conditions such as cystitis (inflammation falling pregnant.]
• Delusion rubric: pitied on account of his misfortune and Calcarea carbonica 30 C. 1 dose / day in morning. To be
he wept; he is: Nat-m. [2] 1. [This rubric is peculiar and used in a Hx. of miscarriage15.
specific to Natrum muriaticum. Natrum muriaticum suffer
Calcarea carbonica is relevant if confirm the menses are
from psychological delusions that others (especially work
continually brought on from anxiety.
colleagues) pity them for not falling pregnant. This is a
notable PQRS Sx.] Early menses as a result of emotional trauma or physical
exertion.
4 5
Increase Folliculinum 200 C. to 1 dose a week. Thuja
or Female genitalia/sex rubric:
Folliculinum 200 C. 1 dose daily. Day 5 to Day 14. • abortion: month: second month: second or third month: thuj.
Folliculinum in a high potency/high frequency will • abortion: month: third month: thuj.
reduce high levels of FSH. • abortion: repeated: thuj.
Folliculinum in a high potency will correct Luteal Phase • coition: aversion to: thuj.
defect and move ovulation into the middle of the cycle. • excrescences: uterus: cervix: cauliflower: THUJ.
• dryness: vagina: thuj.
Based on the rubrics below Folliculinum 200 C. daily
from Day 5 to Day 14 of the cycle will stimulate ovulation, • endometriosis: thuj.
and/or regulate the onset of Mx. This is an ideal choice for • excrescences: uterus: cervix: bleeding: thuj. [1] 2.
a PCOD patient who has not responded to Folliculinum 200 • leucorrhea: arid, excoriating: thuj.
C. weekly.
• leucorrhea: milky: Thuj.
The aim of increasing the potency of Folliculinum is to • menses: absent: Thuj.
use Folliculinum as a Fundamental (constitutional) remedy. • menses: copious: short duration; and of: Thuj.
Folliculinum must indicate disturbance of the whole
• menses: frequent; too: week: one week: Thuj.
function* of the patient – the emotional, mental, and
physical aggravations and ameliorations. • menses: protracted: eighteen days: thuj. [1] 2. [This rubric can
apply to all protracted Mx.]
*Folliculinum as a Fundamental (constitutional) remedy • pain: ovaries: coition: after burning: thuj. [1] 2.
targets emotional and mental despair. The distinguishing
• pain: ovaries: coition: after: thuj.
PQRS symptom (Sx.) is apathy – Mind rubric: feeling of
helplessness during menses. [1] 1. If she is notably drained • vaginismus: sensitiveness of vagina; from: Thuj.
(depressed) and lacking all ability to proceed in her
Mind rubric:
attempts to fall pregnant (has given up having sex)
• ailments from: sexual excesses: thuj.
increase the frequency of Folliculinum.
• anorexia nervosa: thuj. [The following five rubrics are
Use Folliculinum as a Lesional remedy – this remedy applicable to the patient who has a Hx. of anorexia which
must reflect the anatomical structural change within has suppressed their Mx.]
the organ – it must match the functional or structural
• disgust: body; of the: own body; of one’s: Thuj.
disturbance or damage of the physical structures of the
organ. Delusion rubric:
• emaciation; of: thuj.
Is she still suffering from symptoms which indicate that
the fibroids are causing her heavy bleeding? • body: lighter than air; body is: thuj.
• body: ugly; body looks: Thuj.
Is she still suffering from symptoms which indicate that
she has an ovarian cyst? • pregnant, she is: thuj.
• menses: wash off, difficult to: Med. • menses: return: ceased; after the regular menstrual cycle has:
• menses: painful: pressing feet against something amel: med. nat-m.
[1] 1. • menses: suppressed: Nat-m.
• pain: menses: before: agg.: labor-like: med. • pain: menses: during: agg.: Nat-m.
• pain: ovaries: left: bursting: med. [1] 1. • pain: extending to: thighs: labor-like: nat-m.
• swollen: ovaries: Med. • pain: uterus: menses: before: agg.: burning: Nat-m.
• enlarged: ovaries: sensation as if: med. • sterility: NAT-M.
• sterility: med. Mind rubric: impatience: menses: after: Nat-m. [2] 1. [This
rubric is the strongest indication for needing to increase the
Mind rubric:
frequency. Natrum muriaticum are extremely impatient. They
• ailments from: abused; after being: sexually: Med. need to succeed. Natrum muriaticum have the Delusion rubric:
• anorexia nervosa: med. everything wrong he cannot succeed.]
• despair: criticism; from the smallest: Med. [2] 1. [This rubric Mind rubric: sadness: menses: before: NAT-M.
pertains to self-blame for sterility.]
• drugs: desire: psychotropic: med. [I have noted that cocaine 7
Add Borax 200 C. weekly or daily.
use, in particular, affects fertility.]
Keep or drop the Borax 30 C. daily.
Delusion rubric:
Add Borax 200 C. 1/day from day 5 to day 14.
• torture: rid her mind of the torture; she must do something This Drainage remedy must reflect the disturbance of
to: med. [This rubric is applicable to the woman who cannot the function of the organ. It is the remedy to facilitate
cope anymore with the torture of trying to fall pregnant and tissue drainage. Borax improves mucus quality because
takes drugs to relieve the stress.] it increases low levels of Estradiol. By increasing the
dose to a 200 C. potency daily the aim is to use Borax
6
Increase the frequency of Natrum Muriaticum 200 C. as a Fundamental (constitutional) remedy. Borax must
indicate disturbance of the whole function of the patient
Consider 2 doses a week if the cycle has not returned to
– the emotional, mental, and physical aggravations and
28 day cycle.
ameliorations. Borax as a Fundamental (constitutional)
• If the pain still indicates endometriosis. remedy 200 C. weekly, directly targets the woman’s
• If the lubrication during sex is still suppressed. lack of physical response to the action of the Drainage
• If the fear and potential grief over not falling pregnant is
potency of Borax. Borax as a Fundamental (constitutional)
assessed as severe.
remedy physically addresses her suppression of oestrogen.
Furthermore, Borax as a Fundamental (constitutional)
This Fundamental (constitutional) remedy is selected remedy targets emotional and mental anxiety. Borax have
from the totality of symptoms. It must cover the Generals several Mind rubrics about fear of falling and fear of loss.
– it must indicate disturbance of the whole function of the
patient – the emotional, mental, and physical aggravations Borax have the Mind rubric: starting from unexpected
and ameliorations. news. [1] 1. Borax live in a highly frightened state.
Delusion rubric: protection, defense; has no: carc. [This • menses: painful: motion: downward motion agg.: borx.
rubric can pertain to emotional sensitivity or physical • menses: motion: downward motion agg.: Borx. [2] 1.
sensitivity. Carcinosin have a tendency to overwork, and
• menses: membranous: BORX.
not be able to put any protective boundaries in place.]
• menses: frequent; too: Borx.
• Carcinosin will not need to control your prescribing.
• complaints of: accompanied by: skin; complaints of: borx.
• Carcinosin will miscarry from exhaustion and over work.
• menses: absent: Borx.
• Carcinosin will always believe they are pregnant.
• leucorrhea: thick: white paste; as: Borx.
• Carcinosin will believe they do not have enough strength
• leucorrhea: milky: Borx.
to have regular periods, (PCOD).
• leucorrhea: membranous: Borx.
9
Folliculinum Mind rubric:
• starting: during menses: Borx*.
Female genitalia/sex rubric:
• starting: anxious: downward motion, from: Borx. [2] 1.
• sexual desire: diminished: Foll.
• menses: irregular: Foll. *Borax as a constitutional remedy profile are fearful of
their own ‘ego’ abandoning them. They have psychological
• dryness: vagina: foll.
delusions around being robbed of themselves – Delusion
• menses: clotted: foll. rubric: is going to be robbed. Borax have the Mind rubric:
• menses: copious: foll. ailments from being magnetized. Borax are fearful of being
• menses: painful: beginning, at: foll. possessed and consumed in case they lose themselves.
Borax have the Delusion rubric: possessed of a devil. Borax
• menses: protracted: foll.
have several Mind rubrics about fear of falling and fear of
• metrorrhagia: fibroids, from: foll. loss. Borax have the Mind rubric: starting from unexpected
• tumors: ovaries: cysts: foll. news. [1] 1. Borax also have the Mind rubrics: clinging
to persons or furniture, and child clings to mother as if
Mind rubric: frightened. Borax as a homoeopathic remedy is recognized
• helplessness; feeling of: menses; during: foll. [1] 1. as being wonderfully effective for the highly anxious
• anxiety: menses: before: foll. child who wakes up startled and who is terrified of being
• irritability: menses: before: FOLL.
put back down to sleep. Borax as a constitutional remedy
profile are unable to form psychological boundaries in
• sadness: menses: before: foll.
order to feel secure within their own being. The Mind
• weeping: menses: before: foll. rubric: ailments from being magnetized means that Borax
are under constant psychic threat. Their lack of psychic
10
Borax boundaries also means they are fragile in their own
somatic form, which is why they are convinced they will
Female genitalia/sex rubric:
fall. Borax lives in a highly frightened state. The Mind
• leucorrhea: acrid, excoriating: BORX. rubric: starting during menses is reflective of the fear of
• conception: easy: Borx. failing which is predominant in the psyche of women
• sterility: menses: copious menstrual flow; from: BORX. faced with infertility.
• sterility: leucorrhea; with: borx.
• sterility: BORX.
• sexual desire: wanting: irritation of genitalia; with: borx. [1] 1.
• menses: return: ceased; after the regular menstrual cycle has:
Borx.
• menses: scanty: Borx.
• menses: short, too: one day: borx.
• abortion: month: early months: sep. • company: aversion to: menses, during: sep.
• abortion: month: early months: fifth month: fifth to seventh: • confusion of mind: menses: before: Sep.
Sep. • fear: menses: before: sep.
• enlarged: uterus: SEP. • insanity: menses: copious, with: sep. [1] 2. IGN.
• endometriosis: sep. • weeping: menses: before: sep.
• dryness: vagina: SEP. [This rubric can pertain to Lesional and
Delusion rubric: doctors come; three*: sep. [1] 1.
Drainage. In the program I have increased the potency of
Sepia to 30 C. nightly so it would work as a Drainage remedy *Sepia is a homoeopathic remedy derived from a
to cover decreased sexual energy. This Sx. confirms low sea creature. The Delusion rubric: seeing people, can be
sexual energy.] interpreted as an indication of persecution and potential
threat, or it can also be seen as an indication that they
• displacement of uterus: SEP.
will be saved. Sepia fear being exposed, they feel like they
• congestion: uterus: accompanied by: neuralgia: sep. [1] 1. need to protect themselves from potential threat. Sepia
• clutching and relaxing sensation of uterus: sep. fear being looked at and mocked. Sepia alternate between
• menses: short; too: one day: SEP. [This rubric pertains to illusions of being saved, and psychological delusions of
Luteal Phase Defect.] being attacked or persecuted. The differing interpretation
of the Delusion rubric: seeing people, for Sepia highlights
• menses: late, too: five days: SEP. [This rubric pertains to Luteal
an inherent polarity within their psyche. The theme is
Phase Defect.]
dependence versus independence. When they are sick
• menses: early; too: profuse; and: sep. [This rubric pertains to it is easy for Sepia to feel anxious and ungrounded and
Luteal Phase Defect.] unable to understand anything. Sepia appear extremely
• leucorrhea: mucus: water; almost the color of: sep. [1] 1. [This foggy and confused when they are sick. This is indicative
rubric can pertain to Lesional and Drainage. In the program, of their psyche somatically mirroring the murky ink of
I have increased the potency of Sepia to 30c nightly so it the cuttlefish. The homoeopathic practitioner will be
would work as a Drainage remedy to cover thin watery viewed as their ‘God’ who is able to save them. This is the
mucus i.e. indicating poor quality mucus.] psychodynamic application and relevance of the Delusion
• heaviness: menses; during: Sep. rubric: three doctors come. Sepia disproportionately over-
react to their illness, this is why they need not one, but
• menses: return: ceased; after the regular menstrual cycle has:
three doctors to attend to them. Sepia are also listed in
old women, in: sep.
the Mind rubrics: fear doctors and aversion homoeopathy.
• menses: return: ceased; after the regular menstrual cycle has:
It is normal to struggle with the acceptance of sterility,
sep.
but Sepia struggle with their dependence on their health
• suppressed menses: anaemic conditions; from: sep. practitioner. Sepia disproportionately depend on their
• relaxation: vagina; sphincter of: Sep. [This rubric should be health practitioner, and conversely negatively react to
used in the rubric-repertorization for a history of repeated becoming dependant on their practitioner; the essence is
miscarriage from a weakened cervix.] the internal struggle for independence. Sepia are also listed
in the Mind rubric: antagonism with self. Sepia struggle to
be able to survive unsupported with their life in general, of original sin’. Their internal battle is over whether to
and conversely they struggle to allow themselves to be accept and trust the support offered from the world, not
supported. A Delusion rubric is only used if you can see a whether they have personally caused the unsupported
misinterpretation of reality which perverts the person dilemma they find themselves in. Sepia have the Delusion
from a correct assessment of reality. The Delusion rubrics of rubric: suspended in the air. This rubric should not be taken
the psychological ‘delusions of grandeur’ become relevant literally, rather it is indicative of the psychodynamic
in case-taking when the patient is presenting with an trauma within Sepia which indicates lack of support.
unrealistic belief that they can depend on someone else to Sepia have the Delusion rubric: delusions of emptiness.
save them. The psychodynamic relevance of the Delusion Sepia, aside from feeling empty and unsupported, also
rubric: three doctors come, and the Delusion rubric: illusions literally feel crushed if they are over-controlled. Sepia
of fancy, is that it indicates an exaggerated belief in cure, have the Delusion rubric: something else from above which
as well as an over-exaggerated assessment of the gravity is pressing the chest. [1] 1. Dependency in relationships is
of their sterility. If there is an exaggerated belief in cure associated with literally being smothered. Dependency
or need, then underneath the exaggeration are numerous on the homoeopathic practitioner brings to the surface
Delusion rubrics of being forsaken. If there is an over- the same dilemma; this is why Sepia have the conflicting
exaggerated assessment of the gravity of their illness then Mind rubrics: fear doctors and aversion homoeopathy,
the fear of losing support will also be over-exaggerated. versus the Delusion rubrics: three doctors come and believes
This is why the psychological ‘delusions of abandonment’ in witches. Dependency on the homoeopathic practitioner
will be disproportionate. Sepia have numerous rubrics brings to the surface their ‘delusions of hypochondria’. The
pertaining to persecution and abandonment but the most underlying psychodynamic, somatic feedback loop that
potent is the Delusion rubric: he or she is neglected. Sepia Sepia are embroiled in is a negative reinforcement that
feel ungrounded and unsupported in life, in particular in is self-deprecating. Sepia undermine their own power to
their ability to be able to financially survive in the world. be able to support themselves financially in this world.
Sepia have the Delusion rubrics: he is poor, and family will Sepia as an infant were undermined. Sepia in turn then
starve. The Delusion rubrics: family will starve and going undermine themselves by not taking their own energy
to be robbed and he or she is neglected, are Delusion rubrics seriously. Sepia have been unsupported and in turn
which indicate psychological ‘delusions of deprivation’. Sepia struggle to believe their own body will support
In my experience of Sepia the psychodynamic struggle to them. This is why Sepia have numerous hypochondriac
survive in the world and become a self-actualized person Delusion rubrics alluding to not being strong enough to
has its causation in neglect and starvation as a baby. Sepia work. Sepia have the Delusion rubric: he would faint, and
struggle their whole life to have their needs met. The the Delusion rubric: she could easily strain herself, and the
psychodynamic trauma inside of Sepia which undermines Delusion rubric: being sick and for this reason will not work.
them or leaves them floundering in starving emptiness is The homoeopathic practitioner must be mindful of this
that they do not believe they can have their needs met in dilemma. I suspect many of the women I have treated for
a relationship, or in life, because they literally do not know infertility have been constitutionally Sepia.
how to verbalize or understand those needs. Sepia have
the Delusion rubrics: she would have to learn everything 12
she wished to do from anew, and she could not understand In the program I have increased the potency of Sepia to 30
anything. Both of those Delusion rubrics indicate that the C. nightly so it would work as a Drainage remedy to cover
‘never-well-since-event’ in a Sepia case has to have its decreased sexual energy. I have increased the potency so
foundation in the early, pre-verbal years of their life. If it would work as a Drainage remedy to cover thin watery
the first needs of the infant are not met then the infant mucus.
presumes and assumes that their needs will never be Increase the potency of Sepia to a Drainage remedy Sepia
satisfied for the rest of their lives. Sepia are confused about 30 C. 1 dose a day EVERY night.
their emotional independence and in particular in their
financial independence. The Mind rubric: antagonism with • Female genitalia/sex rubric: dryness: vagina: SEP. [This rubric
self, indicates the degree to which Sepia feel unsupported, can pertain to Lesional and Drainage and reflects low sexual
even within themselves and towards themselves. energy or low progesterone. ]
Interestingly, Sepia do not have any psychological ‘delusions
• Female genitalia/sex rubric: menses: short; too: one day: SEP. Mind rubric:
[This rubric pertains to Luteal Phase Defect.] • anorexia nervosa: puls.
• Female genitalia/sex rubric: menses: late, too: five days: SEP. • anxiety: beside oneself from anxiety; being: PULS.
[This rubric pertains to Luteal Phase Defect.] • hysteria: changing symptoms: PULS.
• Female genitalia/sex rubric: menses: early; too: profuse; and: • hysteria: menses: before: puls.
sep. [This rubric pertains to Luteal Phase Defect.] • hysteria: menses: during: puls.
• Female genitalia/sex rubric: leucorrhea: mucus: water; almost • insanity: menses: suppressed, with: Puls.
the color of: sep. [1] 1. [This rubric can pertain to Lesional and • insanity: menses: during: puls.
Drainage.]
Delusion rubric: pregnant*, she is: Puls.
13 * Pulsatilla are noted for their jealousy, their tearfulness
Pulsatilla
and their need for reassurance. Pulsatilla have
I only use Pulsatilla if there has been any Hx. of inconsistencies between their hubristic denial [they are
miscarriage. Pulsatilla is also a Lesional remedy well] and hypochondriac, psychological delusions that they
[displacement of uterus]. I also use Pulsatilla to address are sick. Pulsatilla over-exaggerate feelings of aloneness to
Drainage suppression [leucorrhea in hysterical women]. justify how needy they feel so they can continue to receive
Pulsatilla is my preferred Drainage remedy when I do more attention and reassurance. The abandonment theme
not use herbal support. Pulsatilla is a good inflammatory in Pulsatilla is that something will be taken away from
remedy – [ovaries inflamed, menstrual flow suppressed them, or that they will be taken away from home. Pulsatilla
suddenly]. Its application for repeated miscarriage [must feel justifiably distraught and obsessively jealous because
bend forward labor-like pains] and its affinity for repair they are convinced that there are conspiracies against
necessitates the use of Pulsatilla in this program [abortions them. Their heightened fear of conspiracies are perceived
after injuries]. Although I consider Pulsatilla a Drainage as coming from outside, and from within their own body.
remedy, I have also used it as an emotional support remedy Pulsatilla are fearful of their own body (baby) abandoning
if the woman is very emotional and teary after the second them. Pulsatilla have the Mind rubrics below, all of which
cycle and she is still not pregnant [insanity during menses]. indicate the intensity of their hypochondria. Pulsatilla are
distraught when they are sick. Their perversity and need
Female genitalia/sex rubric:
to be capricious is reflected in the Mind rubrics: feigning
• abortion: PULS. sickness and conversely, when sick says he is well. Pulsatilla
• abortion: tendency to abortion: puls. have the Delusion rubric: she is pregnant because they
• abortion: injuries; after: Puls. have a neurotic need to believe they are pregnant. This
Delusion rubric is important to use in the case analysis
• metrorrhagia: abortion: threatening abortion, in: Puls.
if each month the woman is exaggerated [hysterical]
• pain: bending double: must bend double: labor-like: puls. [1] 1. in her need to believe that she is pregnant. This is a
• fetus: dead: expelled: Puls. symptom experienced by a lot of women. The underlying
• displacement of uterus: Puls. psychodynamic crisis is that she is extremely fearful that
her body will abandon her and she will not fall pregnant;
• endometriosis: puls.
this is why Pulsatilla need to feign pregnancy.
• leucorrhea: hysterical women; in: PULS.
• inflammation: ovaries: menstrual flow; from a suddenly Mind rubric:
suppressed: Puls. • anxiety: hypochondriacal: read books; mania to: medical
• leucorrhea: fright, before the menarche; from: PULS. books: Puls.
• menses: appear: as if menses would appear: Puls. • feigning: sick; to be: Puls.
• menses: disordered: accompanied by: stomach; complaints of: • well: says he is well: sick; when very: PULS.
PULS. • weeping: telling: sickness; when telling of her: PULS.
14 Delusion rubric:
Emotional distress
• annihilation*; about to sink into: calc.
Add Pulsatilla daily. To be used if, after starting the
program, she has experienced a miscarriage. • wealth, of: calc.
• friend: fantasy world of imaginary friends; lives in a: calc. [1] 1.
Or weekly to address emotional distress.
• people: beside him; people are: calc. [This rubric can indicate
Pulsatilla 30 C. 1 dose a day in morning or Pulsatilla 30 C.
psychological illusions of God standing next to you or it can
1 dose a week.
indicate delusions of paranoia.]
• home: away from home; he is: calc.
15
Add Calcarea carbonica 30 daily. To be used if, after • bed: someone: over the bed; someone is: calc. [1] 1.
starting the program, she has experienced a miscarriage.
• watched, she is being: Calc.
• people; behind him; someone is: calc.
Calcarea carbonica
• people: beside him; people are: calc. [These rubrics can
I am always changing and adapting this program. A indicate exaggerated guilt.]
fellow homoeopath in the audience at one of my lectures • annihilation; about to sink into: calc. [This rubric pertains to
informed me of his success using Calcarea carbonica 30 C. miscarriage.]
one dose daily throughout the pregnancy for a history of
• anxious: calc.
repeated miscarriages. I have used his advice fifteen times
now with patients who have had repeated miscarriages. • ruined: is ruined; he: calc.
All fifteen women were successful in keeping the • body: dashed to pieces, being: calc. [1] 1. [This rubric reflects
pregnancy. I prescribe Calcarea carbonica 30 C. one dose the emotional, mental, and physical despair experienced by
daily until the end of the 1st Trimester. With four women women who have suffered repeated miscarriages.]
I have prescribed it daily for the entire duration of the
*Calcarea carbonica suffer from paranoid fears of being
pregnancy.
watched by someone behind them because they are fearful
Female genitalia/sex rubric: of having not been ‘good’. Calcarea carbonica misinterpret
their own perceived illusions of having sinned. Calcarea
• abortion: Calc.
carbonica have intense religious affections, Mind rubric:
• abortion: tendency to abortion: Calc. religious affections: wants to read the bible all day. Calcarea
• menses: copious: excitement; after: CALC. carbonica is a very important remedy profile to consider
• menses: exertion brings on the flow: Calc. [This rubric if the patient has an over-exaggerated conscientiousness
pertains to miscarriage.] about having been the cause of their illness because they
have not been ‘good’. Calcarea carbonica feel that they have
• menses: pregnancy agg.; during: first month, during: Calc. [2]
been ‘bad’ and that someone has seen them being ‘bad’
1. [This rubric confirms that repeated miscarriages threaten
and this is why they are being punished. On the one hand,
in the first month of a pregnancy.]
Calcarea carbonica have friends around them to make them
• relaxation: vagina; sphincter of: Calc. [This rubric should be feel secure, and on the other hand the friends observing
used in the rubric-repertorization for a history of repeated them are part of an unfounded guilty conscience. Calcarea
miscarriage from a weakened cervix.] carbonica have the Delusion rubric: others will observe her
confusion, and are the only remedy listed in the Delusion
Mind rubric:
rubric: someone is over the bed. Calcarea carbonica over-
• despair: recover, of: convalescence, during: CALC. [When
react to their fears of being abandoned and left alone
Calcarea carbonica are pregnant they are extremely
and away from their home. Calcarea carbonica equate
anxious. If indicated Calcarea carbonica is a good remedy to
abandonment with having been ‘bad’. Calcarea carbonica
consider for miscarriage bought on by anxiety.]
fear sinking into annihilation and this is why they
• fear: happen, something will: terrible is going to happen; need their religious affections and connection to God to
something: Calc. save them. Calcarea carbonica live in a fantasy world of
imaginary friends because they need to be assured that