www.facultyofhomeopathy.org aconite clinical applications differential diagnosis 1.croup bell 2.urt:...
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Aconite
Clinical applications Differential diagnosis1. Croup Bell2. URT: Coryza Allium, Ars alb, Nux vom 3. Shock Arnica 4. Panic, fear Arg nit, Ars alb, Gels5. Fever Bell, Ferrum phos, Nux
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Aconite
Clinical features
• Sudden or violent onset. Intense fear (death). Restlessness, excitement, agitation. Fever. Thirst.
Key characteristics
• Acute conditions; Suddenness; Ailments from shock, fright, fear;
• Ailments from exposure to cold, dry wind.
• Modalities: < violent emotions, cold dry wind, night, especially around midnight; > open air.
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ApisClinical applications Differential diagnosis
1. Arthritis, acute Bryonia, Kali bic, Ledum, Puls, Rhus,
Ruta
2. Conjunctivitis Arg nit, Euphrasia, Puls
3. Cystitis Cantharis, Puls, Staphys
4. Acute allergic reaction
5. Skin eruptions/reactions Cantharis, Petrol, Rhus, Sulph
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ApisClinical features• Hot, red, swollen, shiny, acutely painful joint(s). Red,
swollen painful conjunctiva and/or lids; photophobia. Acute dysuria, frequency, painful urging. Oedema of face and/or eyes; swelling eruptions and reactions to bites and stings.
Key characteristics• Swelling/oedema. Stinging and burning pains. Heat.
Thirstless (in acute state). • Modalities: < heat, touch, pressure, afternoon; > cool air, cold applications.
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Argentum nitricum
Clinical applications Differential diagnosis
1. Anxiety, fear Acon, Ars alb, Gels, Lyc, Sil
2. Conjunctivitis Apis, Euphr, Puls
3. GIT: Dyspepsia, diarrhoea Ars alb, Coloc, Gels,
Lyc, Nux
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Argentum nitricumClinical features• Outgoing personality. Impulsive and hurried. Anxiety,
anticipatory; phobia – with restless agitation, GIT symptoms - diarrhoea, sweat, palpitation, flatulence. Flatulence. Purulent, acrid conjunctivitis.
Key characteristics• Personality. Pain like splinter. • Modalities: < heat, stuffy, stress, sweets;
> cool, open air, motion. • Food: Desires sweets AND salt, < sweets.• Temp and weather: Hot, craves fresh air, > cool air.
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Arnica
Clinical applications Differential diagnosis
1. Traumatic shock; Acon;
2. Trauma: pre-, post-op; dental; Hyp, Led, Rhus, Ruta, Symph post-partum; over-exertion (cramp);
3. Bleeding Ferrum phos, Phos;
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ArnicaClinical features• Bruising, soft tissue damage; capillary bleeding;
soreness, stiffness. Key characteristics• Mental state: denies problem, resents interference
- cf Bryonia; Aetiology. Modalities: < touch, avoids touch.; jarring, motion; > lying, rest.
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Arsenicum album
Clinical applications Differential diagnosis
1. Anxiety; Acon, Arg nit, Gels, Lyc, Phos, Sil;
2. Hay fever; Allium, Ambrosia, Arundo, Euphrasia,
Sabadilla;
3. Coryza Arg nit, Coloc, Gels
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Arsenicum albumClinical features• Anxiety: insecurity, health, trifles, worrier; agitated restless;
fastidious. Burning pains > warmth. Acrid, scanty, watery (nasal) discharges; nasal discharge alt. obstruction; sneezing. Very chilly.
Key characteristics• Constitutional type; Typical pain/temperature modality; Time
modality. • Modalities: > warmth, hot applications, hot food, motion; < rest,
midnight to 2 am; all cold, incl. cold food and drink, exertion.
• Food: Thirst warm drinks, small amounts. Desires: sour things
Adverse: fat < fruit
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BelladonnaClinical applications Differential diagnosis1. Fever; Aconite, Ferrum phos,
Nux;
2. Otitis, Pharyngitis; Cham, Ferr phos, Puls;
3. Croup; Bell;
4. Headache; Bry, Gels, Nat mur, Nux;
5. Abscess; Hepar;
6. Sunstroke
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BelladonnaClinical features• Irritability. Sudden. Red, hot and dry. Thirst +/-. High fever. Intense,
throbbing, burning pain. Bright red face (flushed), ear drum or throat. Dilated pupils. Throbbing head. Febrile convulsion. Jerks and spasms. Oversensitiveness - all senses.
Key characteristics• Acute condition. Character of fever. Suddenness, intensity; Redness,
heat; • Mental state: Night terrors, hallucinations, delirium, confusion.
• Modalities: < draught, light, noise, touch, jarring.
• Food: Desires lemons.
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Bryonia
Clinical applications Differential diagnosis
1. Arthritis, chronic or acute Apis, Kali bic, Ledum, Puls, Rhus,
Ruta;
2. Headache Bell, Nat mur, Nux;
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BryoniaClinical features• Irritable, wants to be left alone. Joints red, swollen, hot.
Stitching or bursting pains. Splitting headache. Dry, thirsty.
Key characteristics• Characteristic pain; Mental state - cf Arnica; Laterality. • Modalities: < least motion; touch; heat; eating > pressure;
lying on painful side; cool, open air.
• Food: Thirst for large amounts, cold drinks. < Fruit.
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Calc carb
Clinical applications Differential diagnosis
1. URT: Recurrent, catarrhal; Kali bic, Puls;
2. ENT: Otitis Bell, Cham, Ferr phos, Puls;
3. Constipation; Nux, Sil;
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Calc carbClinical features• Slow, sluggish – mind and body. Anxious. Overweight, chilly, sweaty.
Constipation (feels better). Lymphadenopathy. Delayed development.
Key characteristics• Constitutional type; Anxiety/depression: fearful, state of mind, being
observed, duty. Family cares. Key generals, including foods.
• Modalities: < cold, physical and mental exertion, pressure of clothes, milk, dentition; > rubbing, lying on back, dark.
• Food: Desires eggs, ice cream, sweets, indigestible things;
averse coffee, meat. < milk.
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Chamomilla
Clinical applications Differential diagnosis
1. Teething; Merc sol;
2. ENT: Otitis Bell, Ferr phos, Puls;
3. Colic; Coloc;
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ChamomillaClinical features• Frantic, angry, with intolerance of pain ; ugly, cross,
uncivil and quarrelsome. Twitchings and convulsions during teething.
Key characteristics• Modalities: < evening/night, anger; > warm wet weather,
being carried.
• Food: < Coffee.
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Colocynth
Clinical applications Differential diagnosis
1. Colic: abdo, dysmen; Cham;
2. Diarrhoea Arg nit, Ars alb, Gels,
Sulph;
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Colocynth
Clinical features• Cramping pain - > pressure, doubling up, warmth.
Diarrhoea: watery, < after eating/drinking.
Key characteristics• Mental state: (ailments from) anger;
Characteristic pain. Fruit: < Fruit.
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Euphrasia
Clinical applications Differential diagnosis
1. Conjunctivitis; Apis, Arg nit, Puls;
2. Hay fever; Coryza; Allium, Ambrosia, Ars alb,
Arundo, Nat mur, Puls, Sabad;
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EuphrasiaClinical features• Acrid tears, bland nasal discharge itching eyes,
photophobia.
Key characteristics• Modalities: < evening, indoors, warmth, light; >
open air, dark.
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Ferrum phos
Clinical applications Differential diagnosis
1. Fever; Bell, Nux;
2. ENT: Otitis; Bell, Cham, Puls;
3. Bleeding, epistaxis Phos;
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Ferrum phosClinical features• Early stages of febrile illness and inflammation. Slow onset.
Mild fever. Full, soft, flowing pulse. Flush/pallor. Dull red ear drum. Venous congestion with oozing haemorrhages. Thirsty, sweaty, shivery.
Key characteristics• Character of fever. Appearance of ear drum cf Bell.
• Modalities: < exertion, open air, jarring; > gentle motion,
cold applications.
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Gelsemium
Clinical applications Differential diagnosis
1. Anxiety; Arg nit, Lyc, Phos, Puls, Sil;
2. URT: Flu; Merc, Nux;
3. Diarrhoea, nervous; Arg nit, Ars alb, Coloc, Sulph;
4. Headache; Bell, Bry, Nat mur, Nux
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Gelsemium
Clinical features• Weakness. Anxiety, anticipatory, stage fright; phobia;
‘paralysis’ of mind, voice or body; heaviness, tremor, inco-ordination. Flu: gradual, thirstless, shaky, listless, heavy, drowsy, dull, headache.
Key characteristics• Paralysis,weakness, tremor; Thirstless. Character of fever.
• Modalities: < damp weather, heat, thinking of symptoms;
> sweating, urinating, open air, stimulants, motion.
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Ignatia
Clinical applications Differential diagnosis
1. Emotional ailments; grief. Nat mur, Phos, Puls, Staphys;
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IgnatiaClinical features• Grief - silent, sighing. Volatile emotions.
Disappointed love. Contradictory/paradoxical symptoms. Sensation of a lump. Spasm.
Key characteristics• Food: Desires sour/acid things. < Coffee, sweets.
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Ipecac
Clinical applications Differential diagnosis
1. URT: Cough; Phos;
2. GIT: Nausea, vomiting; Cocculus, Nux, Petrol (travel sickness), Phos, Tabacum
3. Bleeding, Epistaxis; Fer phos, Phos;
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Ipecac
Clinical features
• Nausea, constant; vomiting (doesn’t relieve) – nothing ameliorates; < smell of food, movement; salivation. Cough: wheezy, spasmodic, causing vomiting, < movement.
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Lachesis
Clinical applications Differential diagnosis
1. PMT; Nat mur, Puls, Sep;
2. Menopause; Sep;
3. ENT: Pharyngitis; Bell, Lyc, Merc;
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LachesisClinical features• PMT: anger, jealousy, tirades, loquacity; bloating, < tight clothes.
Flushes of heat (menopausal). Pharyngitis: L sided, < warm food/drinks, < liquids cf solids.
Key characteristics• Mental state - jealousy, loquacity; laterality, temperature
modalities, time modality. Intolerance of tight clothes.
• Modalities: > free discharges, e.g. onset menstrual flow, cool air; < after sleep/waking, morning, heat (sun), alcohol.
• Food: Desires alcohol.
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Lycopodium
Clinical applications Differential diagnosis
1. Anxiety; Arg nit, Gels, Phos, Puls, Sil;
2. Stress reaction; Nux;
3. GIT: Flatulence, Dyspepsia; Arg nit, Nux;
4. ENT: Pharyngitis; Bell, Lach, Merc;
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LycopodiumClinical features• Anxiety, anticipatory, lacks confidence, but performs well –
conscientious, desire to be in control, irritable, hypochondriacal; GIT symptoms: heartburn, fullness, distension, flatulence (belching, farting; both >), onion. Pharyngitis: Rsided, >warm drinks.
Key characteristics• Constitutional type. Laterality. Temperature modality, time
modality. • Modalities: < 4pm - 8pm, heat (exc throat), eating;
> after midnight, cool air, motion, urinating, belching.• Food: Desire sweets, alcohol. Aversion to coffee
slimy food. <Onions.
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Merc sol
Clinical applications Differential diagnosis
1. URT: Flu; Gels, Nux;
2. Teething; Cham;
3. ENT: Otitis media, Bell, Calc, Cham, Ferr Pharyngitis/tonsillitis. phos, Lach, Puls, Sil;
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Merc sol
Clinical features
• Fever: sweat ++, offensive, < heat and cold, tongue indented, metallic taste. Teething: sweaty, salivation ++. Offensive sweat, breath, discharges.
Key characteristics
• Temperature reaction.
• Modalities: < night, sweating, lying on right side, when heated, drafts, damp cold; > moderate temperature, rest.
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Natrum mur
Clinical applications Differential diagnosis
1. Emotional ailments; Ign, Staphys;
2. PMT; Lach, Puls, Sep;
3. Headache; Bell, Bryonia, Nux;
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Natrum murClinical features• Grief, ailments from grief – can’t cry or weeps alone, <
consolation; hides feelings. • PMT: irritable, resentful, critical, dwells on upsets;
self-doubt/self-criticism. Headache, hammering, < sun.
Key characteristics• Constitutional type. Aetiology. Greasy skin and hair.
• Modalities: < sympathy, sea air, exertion, before menses,
morning and forenoon; > fresh air, gentle exercise. • Food: Desires salt. Aversion to bread, fat slimy food.
Thirsty. • Temp and weather: Desires fresh air; chilly but intolerant
of heat
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Nux vom
Clinical applications Differential diagnosis
1. Stress reaction, irritability; Lyc;
2. GIT: Dyspepsia, constipation; Arg nit, Lyc;
3. Headache; Bell, Bry, Gels, Natmur;
4. Fever; Aconite, Bell, Ferr phos, Nux
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Nux vomClinical features• Anger, irritability, impatience, hard working (workaholic), hard
living, fastidious, desire stimulants. GIT symptoms: indigestion, nausea (> vomit), constipation. Headache in the morning (hangover).
Key characteristics• Constitutional type: driving type A personality. Oversensitive:
noise, smells, light. • Modalities: < early morning, dry cold, open air, uncovering, high
living, slight causes; > warmth, damp (exc before rain), lying.• Food: Desires alcohol, coffee, fat, spices, coffee,
tobacco. • Temp and weather: Chilly; intolerant of wind, < wind.
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Phosphorus
Clinical applications Differential diagnosis
1. URT: Cough; Ipecac;
2. Anxiety; Arg nit, Gels, Lyc, Puls, Sil;
3. Bleeding, epistaxis; Ferr phos;
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PhosphorusClinical features• Sympathetic, affectionate and very sensitive to others’ feelings.
Fears - something will happen, imaginary things, dark, thunderstorms. Haemorrhages. Cough: tickling, < cold air, talking; painful laryngitis. Burning pains > cold.
Key characteristics• Constitutional type; • Modalities: < lying on left side, emotions, cold, evening; >
eating; sleep. • Food: Desires cold food, cheese, ice-(cream), salt,
spices. Thirst for cold drinks.
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PulsatillaClinical applications Differential diagnosis1. URT/ENT: Catarrh; Kali bic, Merc, Sil;
recurrent infection, otitis med;
2. Conjunctivitis; Arg nit, Euph; 3. Styes; Staphys;
4. Cystitis; Apis,Cantharis, Staphys5. Arthritis; Apis, Bryonia, Rhus; 6. PMT; Lach, Nat mur, Sep;7. Anxiety Arg nit, Ars Alb, Gels,
Lyc, Phos, Puls, Sil
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PulsatillaClinical features
• Timid, weepy, desires company and consolation/affection; changeable, obstinate, flirtatious. Catarrh, snuffles – profuse, bland, yellow/green (and all discharges); Conjunctivitis. Styes - upper lid. UT symptoms: urethra syndrome; pain before, during and after urination. Wandering joint pains <warmth, > continued gentle motion. PMT - weepy, can't cope, wants company and consolation.
Key characteristics
• Constitutional type; Symptoms changeable;
• Modalities: < warmth, rest, beginning of motion, twilight, rich foods, fat; > cold, continued gentle motion, open air; after crying, lying on back.
• Food: Thirstless. Desires cold food. Averse fat, hot food. < bread, fat, fruit, pastry, rich food.
• Temp and weather: >open air, < heat, and stuffy/warm rooms.
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Rhus tox
Clinical applications Differential diagnosis
1. Arthritis; Apis, Puls, Kali bic, Ruta;
2. Skin eruption; Sulph; Petrol;
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Rhus toxClinical features• Joint pain and stiffness: Any joints; Key
modalities; Restlessness. • Eruptions: Urticaria, vesicles - itching > heat. Key characteristics• Essential modality cluster: temperature, weather,
movement. • Food: Desires milk.
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Sepia
Clinical applications Differential diagnosis
1. PMT; Lach, Nat mur, Puls;
2. Menopause; Lach;
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SepiaClinical features• Depression/PMT: apathetic, irritable, put-upon, weary/worn out,
averse loved-ones; < consolation. Pelvic bearing down pain Sweaty.
Key characteristics• Constitutional type; Sallow complexion; • Modalities: < cold air, before menses, afternoon and/or evening,
before storm; > dancing, strenuous exercise, warmth, thunderstorm.
• Food: Desires vinegar, pickles and acids. Aversion to meat, fats and rich food which <. And < Milk
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Silica
Clinical applications Differential diagnosis
1. ENT/URT: recurrent infection - Calc, Hepar, Merc, otitis, pharyngitis, sinusitis; Puls; adenopathy;
2. Abscess, suppuration; Belladonna, Hepar;
3. Splinters and foreign bodies;
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SilicaClinical features• Anxious, timid; but can be resolute; refined, sensitive to all
impressions; conscientious. Child small for age. Recurrent ENT/URT conditions; lymphadenopathy. Suppuration: aids resolution. Constipation. Anal fissure. Sweats: Foot sweat foul. Chilly but sweaty.
Key characteristics• Constitutional type; • Modalities: < cold air, damp, change damp to dry,
pressure; > warmth, warm wraps. • Food: Averse meat
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Staphysagria
Clinical applications Differential diagnosis
1. Trauma - surgical, invasive, Arnica, Hypericum;
'oscopies, 'otomies;
2. Cystitis - 'honeymoon' cystitis. Apis, Cantharis, Puls;
3. Styes; Puls, Sulph;
4. Emotional ailments; Ignatia, Nat mur;
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StaphysagriaClinical features
• Incised wounds, surgical trauma, invasive procedures; cystoscopy, shincterotomy, etc.; pre-/postop care. Cystitis after intercourse; Recurrent styes; Ailments from anger, grief and disappointed love, 'mortification' and humiliation, anger, suppressed anger/indignation.
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Sulphur
Clinical applications Differential diagnosis
1. Skin eruption; Ars alb, Graphites, Petroleum, Rhus
tox;
2. Conjunctivitis; Arg nit, Euph, Puls;
3. Blepharitis and styes; Puls, Staphys;
4. Diarrhoea; Arg nit, Ars alb, Coloc, Gels;
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SulphurClinical features
• Eruptions: itchy (< scratching, washing, at night), hot, red, excoriated. Conjunctivitis, blepharitis and styes: burning, itching, hot, red. Diarrhoea - driving out of bed in the morning.
Key characteristics
• Constitutional type; Lazy, selfish, philosophical, opinionated, untidy. Redness of orifices. Hot feet - has to stick them out of bed. Faint sinking feeling (in abdomen) about 11am.
• Modalities: < 11 am, bathing, becoming overheated, overexertion, standing, milk, >dry, warm weather, open air, motion.