case analysis according to the

methodology of
Clemens
von
Boenninghausen

Clemens von
Boenninghausen
...by ANALOGY
(and combination) it is possible
to complete so far incomplete
symptoms, considering the
modalities of the other symptoms
of the case...

Therapeutic Pocketbook
A complete symptom
includes:
Localization
Sensations
Modalities
Concomitants

Therapeutic Pocketbook
The patient suffers in his
TOTALITY, that means ALL the
complaints a patient relates to us
in a certain moment reflect his
PRESENT state of existence.

THE PRESENT DISEASE

Causa

occasionalis of the
MAIN symptom
MAIN symptom of the patient
(localization, sensation, modalities)
Concomitants
Mind and mental symptoms
Polarites

Concomitants
Concomitants

show up at
the SAME time as the main
symptom of the patient

Therapeutic Pocketbook
We select the remedy starting
with the main symptom of the
patient, reflecting his present
state of disease, and include all
symptoms which appeared together
with the main symptom of the patient.

Therapeutic Pocketbook
Remedy grades 3 and 4
reflect the most important
characteristics of the remedy,
being verified clinically by
Boenninghausen in many occasions.
He called them >Genius< symptoms.

Genius Symptoms
Boenninghausen works with
the term >Genius< in relation with
the most characteristic symptoms
of a remedy. The characteristic
symptoms of a remedy are so
essential for the remedy, that
without them, the remedy itself
would not exist.

Genius Symptoms
>Genius< symptoms, are defined
as symptoms which are found
in the Materia Medica REPEATEDLY
in DIFFERENT areas of the organism
and which are described in a very
CLEAR and DISTINCT way.

Ledum palustre
Pure Materia Medica of S. Hahnemann
Oppression and constriction
in the chest, < walking and moving...
Pressure in the shoulders, < in motion
Tearing pain in the knee and heel,
< walking
Pain in the soles of the feet, like being injected
with blood, < walking
Vertigo, < walking and standing, ...
Trembling of the hands, < moving them...
Very disturbing weariness, while walking...

Ledum palustre
Genius Symptoms
<
<
<
<
>

Movement
Walking
Warmth of bed
During the night
Cold, cold applications
Pains extending upwards

Genius Symptoms
To be included in the 3. or
4. grade in his Therapeutic
Pocketbook,the >Genius< symptoms
found in the Materia Medica had to
be verified clinically and
repeatedly by Boenninghausen.

Clemens von
Boenninghausen
The Genius of the
REMEDY
should correspond to the
Genius of the
TOTALITY OF THE SYMPTOMS

Polarities
Boenninghausen recommends
to review those symptoms of our
case we have not considered for
the repertorization,to find out if
there exists any contradiction with the
>Genius< symptoms of the selected remedy.

Clinical Case
Women, 43 years, married,
3 children
Diagnosis: Encephalomyelitis disseminata
1991 for some weeks Diplopia.
Rest of personal and family history
not relevant for the present disease.

Encephalomyelitis disseminata
LOCALIZATION
Right side of the body (arm, leg, head)
SENSATIONS
Numbness (1)
As if paralyzed (3)
Continous tiredness (2)
Sensation of swelling (2)
Weakness (1)
Internal heat, as if a hot liquid circulates through the arteries (2-3)
MODALITIES
< Before menstruation (1)
< Any physical exertion (1)
< Any emotion (2)
CONCOMITANTS
Perspiration of upper part of the body (2)
Coldness of hands and feet (1)

Veratrum album
Encyclopedia of Pure Materia Medica,
T.F. Allen

Paralysis of the limbs

Falling asleep of the limbs
Weakness of all the limbs
Paralytic sinking of the strength
Painful lameness as from too long a walk, in the
extremeties, only on motion
Sensation as if the arm was too full and swollen
Perspiration breaks out over the whole head and
chest
Great coldness of the hands and feet
Coldness in the head, especially over vertex

Encephalomyelitis disseminata

22.Nov.2001: Veratrum album Q 3

21.Feb. 2002: Veratrum album Q 6
22.Mar.2002: Veratrum album Q 9
08.Jul. 2002: Veratrum album Q 12
Laboratory Zinsser

Administration according to 248, Organon

S. Hahnemann

Encephalomyelitis disseminata

28.April 2003: birth of a

healthy son
04.Sept. 2003: With the 1. Menses
after giving birth, the patient suffers
a new episode of her disease

Encephalomyelitis disseminata
LOCALIZATION
Right side of the body (arm,leg,head)
SENSATIONS
Heaviness (1)
Swelling (2)
Numbness (1)
Heat (2)
MODALITIES
< Before menstruation (1)
< Warmth in general (3)
CONCOMITANTS
Mood, changeable (2)
Weeping frequently (2)

Encephalomyelitis disseminata

04.Sept.2003: Pulsatilla C 200

2 weeks later: Pulsatilla C 200,
dissolved in water 1 spoon every day,
for 3 days

Encephalomyelitis disseminata
06. March, 2004
She was worrying a lot about her
son who suffered from an acute
disease and in the following weeks
she developed another episode
of her disease.

Encephalomyelitis disseminata
LOCALIZATION
Right side of the body (arm, leg, head)
SENSATION
Swelling, sensation, head (2)
Numbness, head (1)
Burning heat, head (3)
Weakness, legs (1)
MODALITIES
< Warm rooms (3)
< Slight touch (2)
> Fresh air (2)
CONCOMITANTS
Restlessness, must move constantly (2)

Encephalomyelitis disseminata

06.March 2004: Apis mellifica C 30

1 week, dissolved in water, 3 spoons
each day
14. March 2004: Apis mellifica C 200
28.March 2004: Apis mellfica 1 M
Spagyros/Switzerland

Encephalomyelitis disseminata
20. Sept. 2005
She suffers from Lyme Disease
and gets treated with Doxycyclin
for over three weeks. Finishing this
treatment she experiences neurological
symptoms similar to those from Sept. 2003

Encephalomyelitis disseminata
LOCALIZATION
Right side of the body (arm, leg, head)
SENSATION
Weakness (1)
Heaviness (1)
Swelling (2)
Heat (3)
MODALITIES
> Walking in fesh air (2)
< Before menstruation (1)
< Warmth (3)
CONCOMITANTS
Weeping constantly (2)
Mood, changeable (2)
Vertigo (2)

Encephalomyelitis disseminata

10. Nov. 2005 Pulsatilla 1M

(last prescription)

Clemens von
Boenninghausen
...many of Hahnemanns antipsoric
remedies belong more or less to
the field of Sycosis and will develop
their full effect only when meeting
sycotic dispositions...
C. v. Boenninghausen, Minor writings page 788

Clemens von
Boenninghausen
...in the chronic diseases it is
of special importance to recognize
from the very beginning the
miasm which forms the fundament
for the present health problems of the
patient. (C.v. Boenninghausen, Minor Writings, page 759)

Clemens von Boenninghausen

Remedies related with Sycosis
Anac., Ant.cr., Apis, Ars., Bar. c.,
Bell., Calc.c.,Carb. an.,Carb.v., Caust.,
Chin., Euphr., Ferr. m., Graph., Hep.s.,
Jod, Kali.c., Lach., Lyc.c., Mezer., Nitr.ac.,
Phos., Phos.ac., Plat., Plumb., Puls., Rhus t.,
Sabad., Selen., Sep., Sil., Spig., Staph.
Bry., Cham., Dulc., Nux.v., Petr., Sab., Sec.c.,
Sulf., Verat. a.

Clemens von
Boenninghausen
...standing on Hahnemanns shoulders
we are obviously able to survey a wider
area than he was able to. But only by using
his discoveries and his methodology, we
will be able to perceive really and understand
what we see far away.
C.v.Boenninghausen, Minor Writings