To understand the subject of how different medicinal influences affect the vital force, one should study the aphorisms of The Organon dealing with how remedies work (Aphorisms 25 to 30), the action of similar and dis-similar medicine (Aphorisms 31 to 60) and the nature of primary and secondary effects (Aphorisms 63 to 69). The are also several paragraphs in The Chronic Diseases that deal with similar subjects. The reader is referred to these works for a fuller explanation. These observations originally recorded by Hahnemann have been confirmed by several generations of carefully observing homeopaths over the last century and a half.

One of the greatest oversights in ST is the lack of understanding of the supremacy of the constitutional factors over both aetiology and symptoms. It is the individual’s innate constitution and temperament that gives form to experience and produces full expression. This demonstrates to the careful homeopath which remedy reflects the personal experience of fear/grief/ humiliation and other such states. The same applies to physical causations such as drugs and medicinal procedures which is another area in which the practitioners of ST like to combine remedies. Individualization is superior to routinism because it always takes into account “who” is suffering from “what” and “how” whereas in ST they only look at “what.”

In ST, the doctrine of major and minor causation seems to be overlooked. The vital force only needs enough primary action of the remedy to start the healing process within the constitution. Once the secondary healing reaction of the vital force is initiated it can remove more then one syndrome at a time. A homeopath may not need to treat every cause separately as if they are happening to different people. There is also another aspect of the doctrine of the minimal dose, and that is minimal intervention. In ST, the combination remedies are used in very high potencies such as 200, 1M and 10M. The actions of such deep acting mixtures is almost impossible to judge or control once the remedy has been given. This brings us to another area where ST and traditional Homeopathy differ, i.e. posology.

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The claim by ST that a single remedy will not work or will only cause aggravation in a trauma with multiple emotions can not be supported by the facts. Homeopaths have thousands of cases where complex emotional states induced by a single trauma were completely removed rapidly and gently by a well chosen remedy that suited the totality of the case. It seems that in ST there is very little grasp of the sophisticated nature of the totality of the symptoms which includes both the cause and its effects. This is one of the weakest points raised by those who follow a one-sided view of the superiority of aetiology over symptomatology.

A therapist who uses combinations does not understand the reasons for the classical maxim; the single remedy. The exposure of the vital force to the primary action of one substance allows the constitution to focus its total energy potential in one grand secondary reaction. Combination medicines force the constitution to react to several primary actions simultaneously, thus spreading the vital energy in several different directions at once. This diffuses the dynamic response, and in some cases, confuses the vital force as many remedies have contrary medicinal effects. This confusion is heightened, for example, when a combination contains one remedy which is hot in nature and another which is cold.

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Homeopathy pays special attention to causation when analyzing a case history. Nevertheless the routine use of remedies with a one-sided view of causation can be extremely limited in its scope. Without the careful individualization of the signs and symptoms, homeopathy is bound to fall into routinism in the name of simplicity of application. For example, the routine use of Natrum muraticum in ST as a specific remedy solely on the aetiology of “grief” is reductionist in its view compared to the traditional methods. Homeopathic psychology goes so much deeper than such elementary notions because it looks primarily at “who” is suffering from the grief and “how.”
The rubric for “ailments from grief” contains so many other equally important remedies such as Aur., Carc., Caust., Coccus., Ign., Lach., Nux-v., Ph-ac., Phos., Staph., to mention only a few. The differentiating factors are made by the nature of the expression of the grief through constitutional signs and symptoms. All of these remedies manifest different reactions to the same causation because of uniqueness of the individual mind-body complex. A person who needs Aurum does not look, feel, nor act the same as a person who needs Natrum muraticum, Phosphoric acid or Lachesis. Each of the remedies has the specific causations and can remove the related complaints. A one-sided aetiological rubric is far too limited without the use of concomitant symptoms to complete the totality.

Combination Remedies

This brings us to the next important difference between Homeopathy and Sequential Therapy, the use of polypharmacy by aetiology. In ST it is claimed that if there are multiple causations at the same time, the practitioner may use homeopathic remedies in combination. Those who use combination remedies often try to equate Hahnemann’s alternation of remedies as proof he practiced polypharmacy. This view is certainly untrue, as Hahnemann always taught the use of only one single remedy at a time even though he sometimes alternated two remedies within a 24 hour period. That this somehow paves the way for the use of two, three, or four, or more remedies at the same time chosen by multiple aetiologies is unfounded. The approach of ST is not similar in theory or practice to the methods of traditional homeopathy, and therefore, must be assessed on its own merits.

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Causation vs. Symptomatology

One of the first premises of Sequential Theraetiologyapy (ST) is that aetiology is superior to symptomatology. In a sense this is true, as if there is no causation (aetiology) there will be no effects (signs and symptoms). Nevertheless, to separate action (cause) and reaction (symptoms) in practice is not useful as they form two halves which make up a complete whole. Although the relationship between a specific aetiology and the symptoms may not always be apparent, in most cases the causation points to the symptoms and the symptoms point to the causation. Classical homeopathy reflects a perfect balance between three critical aspects, the constitution, aetiology and symptomatology.

One of the advantages of homeopathy over orthodox medicine is the fact that the aetiology does not always have to be known in order to treat a case. Of course, it is always better to understand the aetiology, as it gives much more insight, but true causation is not always that apparent. In some cases the aetiology is clear but the symptom picture is more confused. In such a circumstance, the aetiology must be given more consideration. With the variations seen in clinical practice, the homeopath needs a system of flexible response which can adapt to the nature of the information presented.

Hahnemannian homeopathy offers several methods of approaching the cure depending on what information is highlighted when taking the case history. The discerning homeopath can use constitution, psychology, causation or symptomatology as confirmatory symptoms when searching for the simillimum. A perfect totality, however, includes the exciting and fundamental causes, the characteristic signs and symptoms, and a clear analysis of constitutional factors. With these three vectors one can rest assured that one can remove both the cause and symptoms from the vital force thus restoring the true state of health.

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Sore Throat Symptoms

pain when talking or swallowing
throat that looks red all over or in streaks when you open wide and say, “Aahhh”
swollen, tender glands in the upper neck
sometimes, fever, headache and/or earache
To Relieve a Sore Throat

Drink lots of liquids, preferably warm ones, such as soup or herbal tea.
Gargle with warm salt water.
Don’t smoke, and avoid people who do smoke.
Take an over-the-counter pain reliever to ease pain and inflammation; do not exceed the prescribed dose.
Suck on throat lozenges or cough drops to keep your throat moist.

Use a vaporizer or humidifier to moisten bedroom air.

If you have fever over 101 degrees Fahrenheit, swollen glands in your neck or bright red tonsils that show white spots, or if your sore throat lasts longer than five to seven days, call your doctor for an immediate appointment.

If you cannot swallow liquids or have trouble breathing, call 911 or go to an emergency facility immediately.

The placenta or “afterbirth” is a living organ whose function is critical to the growth, development and survival of the fetus. It both provides your baby with oxygen and nutrients as well as a mechanism for discarding waste products and carbon dioxide. You can think very simply of the placenta as a sponge soaked in a pool of maternal blood within the sidewall of the uterus and attached by the umbilical cord to the fetus. In actuality it is active biochemically, hormonally and immunologically, a very complex organ. Two membranes which grow out of the placenta, the inner amniotic and the outer chorionic, surround the fetus and the amniotic fluid in which it grows.

The placenta must stay attached to the wall of the uterus until shortly after delivery or problems arise. “Placenta previa” means that the placenta extends at least partially over the inner opening of the cervix, making vaginal delivery impossible and cesarean mandatory. Patients with placenta previa after about 28 weeks are prone to vaginal bleeding and pre-term labor. However, while as many as 40% of placentas are “previa” on the second trimester ultrasound, only 1-4% are a problem at term, due to the growth of the lower uterine segment.

If the placenta separates from the wall of the uterus prematurely, it is called a “placental abruption.” If more than 50% of the placenta separates, it may be fatal to the fetus and cause large amounts of blood loss to the mother. Placental abruption is associated with many factors including cocaine use, pre-eclampsia or toxemia, and trauma.

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When can my baby sense things?
As early as ten weeks of gestation, the fetus may respond to local stimuli with squinting, mouth opening, finger flexion, and toe flexion. By only 14 weeks the fetus can swallow and make breathing movements, and by 24 weeks the fetus can respond to auditory stimuli, i.e. has the ability to hear.

Evidence from preemies suggests that by only 28 weeks, babies can respond to light changes as well as both taste and smell. That means that even 4 months before your due date your baby can probably hear you sing a lullaby or respond to whatever music you’re playing.

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The American College of Obstetrics lists 27 reasons for ultrasound examination (sonogram) in pregnancy. Many doctors will perform a vaginal ultrasound in the first trimester (12 weeks) to determine if the pregnancy is alive, when you are due, and how many fetuses there are. Little else can be determined at this point. A second trimester ultrasound may also be performed but this time abdominally, to rule out structural problems with the fetus, to find out where the placenta is located, to see the amount of amniotic fluid, and after 16 weeks, to reliably determine the gender or sex of the baby.

Not all doctors will perform both or even either of these exams. Determining factors may be your individual circumstance or your insurance carriers willingness to cover these studies.
When can we tell what sex the baby is?
You can almost always tell after it’s born! But you can get a good idea with an abdominal ultrasound performed after 16 weeks gestation. While this can sometimes be determined earlier, the accuracy of the prediction decreases with decreasing gestational age. A chorionic villus sampling (CVS) (where a tiny portion of placenta is sampled) performed at about 9 weeks or an amniocenteses performed after 12 weeks will of course determine the sex as part of the chromosomal analysis.

What is the alpha feto-protein test (AFP3)?

AFP3 is a blood test drawn from your arm after 15 weeks gestation designed to give you a risk ratio for Down’s Syndrome, Trisomy 18 and for spina bifida or open neural tube defect. The hormones tested are AFP, HCG and Estriol, all hormones produced by your pregnancy. There are known distributions of these hormones for each week of gestation, and if your gestational age, ethnic group, diabetes status and age are all fed into the computer, your results may be compared to hundreds of thousands of other women used to set the standards. Certain patterns of elevation and suppression of these hormones indicate greater or lesser risk for the conditions listed above.

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All patients with AMD may benefit from visual rehabilitation as directed by a specialist in Low Vision. Often, a combination of optical (eyeglasses, magnifiers, telescopes, etc.) and non-optical strategies (better lighting, training in use of peripheral vision, and use of items specifically designed for persons with poor vision such as large print books, books on tape, large print playing cards, computer readers and closed-circuit televisions) will allow a person with AMD to accomplish many activities of daily living with greater independence.

Since visual loss may be accompanied by depression, counseling and even anti-depressant medications may be helpful. As mentioned, visual hallucinations are not uncommon;

The patient should be reassured that these are a “natural” consequence of visual loss and not a sign of dementia or other psychiatric illness.

The most common signs and symptoms of hyperthyroidism are feelings of excessive warmth and sweating, heart racing (palpitations), and shaking of the hands (tremors). Weight loss is also common but can be caused by many diseases. An important clue that the weight loss is due to hyperthyroidism is the finding that the patient is losing weight despite having an increased appetite. On rare occasions food intake may be so great that the patient with hyperthyroidism actually gains weight.

Since thyroid hormones have effects in so many tissues, many other signs of increased metabolism may occur in hyperthyroidism. Overactivity of the intestines can result in more frequent bowel movements. The breakdown of protein in the muscles can lead to weakness such that patients have difficulty climbing stairs or lifting objects. Even mild exertion can become a problem as the diaphragm (an important breathing muscle) becomes weakened, and patients frequently notice that their endurance is limited.

Hyperthyroidism often affects a person’s moods and thinking ability. This can be especially difficult for the patient to cope with. Concentrating becomes a problem and memory can be impaired. Patients often feel as though they are losing control and are easily upset by minor stress. Although they feel driven by a nervous energy, they often feel very tired. This may be due in part to the difficulty with sleeping that many hyperthyroid patients experience. Crying spells and feelings of depression are common, and the patient’s entire personality may change. These problems often make it very difficult for patients to perform well at work or in school. Home life also becomes challenging for both the hyperthyroid patient and her or his family.

An important consideration in older individuals is that the increased metabolism that occurs with hyperthyroidism can put a significant strain on the heart. This may result in an irregular rapid heartbeat called atrial fibrillation.

In addition, heart failure, chest pains (angina), or even a heart attack (myocardial infarction, MI) may occur. Excess thyroid hormone can also pull calcium out of the bones, which can worsen osteoporosis.

The thyroid gland itself is usually enlarged in most forms of hyperthyroidism, though it is usually not tender or sore unless the patient has a viral infection of the gland (subacute thyroiditis). The enlargement is caused either by invasion of the gland by cells from the immune system or by the growth of nodules in the gland. This thyroid enlargement, which is termed a goiter, may be visible in the patient’s neck, or may only be detected by careful feeling (palpation) of the neck by the patient’s physician.