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Ruminating on Remedies

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Julia Coyte, CHom

My thoughts on a few of the many thousands
of homeopathic remedies available.
​Where, when and how they may be applied in everyday life.

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​Ruminating on Remedies: Digging Deeper 

​ Introducing in-depth homeopathic articles,
digging a little deeper into topics that take my fancy.
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I hope to have it available here in the near future!

Ruminating on Remedies is and always will be free.
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8/8/2026

12 Angry… Homeopathic Remedies

Read Now
 
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We are definitely in the dog days of summer here in the desert southwest. It is monsoon season but the rain is not landing on us. We do have a couple of rooms in the house that have a little air conditioner, the rest of the house is cooled with a swamp cooler. For the most part, I definitely prefer the swamp over refrigerated air — the windows need to be open for them to work properly (we still hear the birds and the the little fountain!) and we’re not hermetically sealed inside and they add some much needed moisture into our desert house. For those unfamiliar, a swamp cooler is an evaporative cooler, meaning it only works during low humidity. How high does the humidity need to be for the swamp cooler to turn the house swampy? Not very — once we go above 30% humidity, it starts to feel fruitless. See here for more information. As I write this, the swamp has cooled our porch down to 80 (from the 99 outside), but with 56% humidity I have the unusual (for us) experience of a water glass covered in condensation.

These hot and (relatively) humid days, remind me of the movie 12 Angry Men. Have you seen it? The original film with Henry Fonda (1957)? Fantastic movie. If you haven’t seen it, put it on the list — again, the original black and white movie. (You’ll get over it not being in color soon enough. You can do it.)

​
12 Angry Men is about the 12 jurors stuck in a jury room where one juror holds out against the others — and, of course they have to confront their own biases and demons while enduring a hot, sweaty environment.
There’s so much to say about this movie — swimming against the current… doing what is right even though you’re alone and it’s difficult… bias, prejudice and yes, anger.

I’m not the only homeopath who watches a movie and wonders what homeopathic remedy may benefit each character. (See also, Fictional Wounds for a previous take.) I wish I had taken notes during the movie to flesh out the characters and their anger. In hindsight, it was really only 11 angry men and 1 who was determined, rather than angry.

With these memories of this movie popping into my head with these hot and sweaty days, I thought I would take a look at different kinds of anger. Well, sort of — more of how anger is expressed or what sets it off.

Let’s now look at our 12 angry men. It has been a couple of years since I last watched it and I didn’t take notes, so I did ask Grok for a review of the characters to refresh my memory (turns out I did pretty well without any notes — the movie must have made a bigger impression on me than I realized!)
  1. A man who just had to be right
  2. A man who was angry with the idea of missing his ball game
  3. A man who was really angry about his estranged son and his anger colors his thoughts on the defendant.
  4. A man who was openly angry about immigrants.
  5. A timid man who would get annoyed at being ignored or talked over.
  6. A man who was angry about being looked down upon due to his upbringing.
  7. A man who would get angry when he felt older jurors were not being shown the respect he thought they deserved.
  8. A man, the foreman, who was frustrated by the lack of order — he was trying to keep things proper and run an efficient meeting.
  9. A man who was indignant about how he saw prejudice clouding judgement.
  10. A man who was angry that others were not showing the proper respect to the justice system.
  11. A man who was irritated at having to be inconvenienced.
  12. The not very angry man, our protagonist, who was determined, rather than angry — he was frustrated by the rush to convict without giving it the attention the situation deserved.

Let’s ruminate on some anger remedies (and, rubrics)!
Are there other rubrics? Absolutely! It’s a movie, I went very surface level, here! Note: I used Murphy (via RadarOpus) unless otherwise noted and I kept it to just two possible remedies for each man — just enough to get a broad overview of the anger aspect of each remedy.

For the man who had to be right (#1) I would consider Platinum metallicum or Lycopodium.
  • Platina is known for its haughtiness and arrogance and a fear of losing control over themselves or their environment
  • Lycopodium has a fear of failure and a strong desire to be seen as competent and knowledgeable — leading to the need to always be right.
    • Rubrics used:
      • Mind - CONFIDENT - excessive, self-esteem
      • Mind - SELF, general - self-sufficient, needs no help from others - overly confident
      • Mind - PRESUMPTUOUS
      • Mind - CONTRADICTIONS, general - intolerant, of

#2, the man who was angry about missing a ball game, Ignatia or Gelsemium.
  • Ignatia is known for anger with anxiety and silent grief; it may alternate with cheerfulness or anger from bad news.
  • Gelsemium is the anticipatory anxiety remedy. This man was anticipating his ball game and he was angry he couldn’t attend.
    • Rubrics chosen:
      • Mind - ANGER, general - refused, when things he wants are
      • Mind - ANGER, general - trifles, at
      • Mind - SELFISHNESS (Gels is not in this rubric)
      • MIND - Emotions effects - Anger, bad news, disappointment, vexation (Boericke)
      • Mind - ANGER, general - vexation, from
      • Mind - ANTICIPATION, general - ailments, from
      • Mind - DISAPPOINTMENTS, ailments from

The 3rd man was really angry with (at?) his estranged son. This one was trickier because there is most likely so much underneath this anger. For the sake of this discussion, however, I would be looking at Natrum muriaticum and Lycopodium (and in this situation, it’s even trickier because both remedies are included in some very important rubrics).
  • Nat mur dwells on past unpleasant memories — how in the past is this estrangement, I don’t recall (or, they never said). They are easily provoked to anger and has a disinclination to mental work (like jury duty, I am assuming).
  • We looked at one aspect of Lycopodium anger above, let’s look further. Lyc has complaints brought on by fear and fright, chagrin, anger, vexation, anxiety. Might this man have been fearful for/of his son or embarrassed that his son was keeping his distance from him?
    • Rubrics chosen:
      • Mind - ANGER, general - absent, persons while thinking of them, angry at
      • Mind - ANGER, general - grief, with silent
      • Mind - ESTRANGED, feels - family, from
      • Mind - ABANDONED, forsaken feelings - ailments, from being
      • Mind - DISCORDS, ailments from
Man #4 is an angry bigot. The top 2 remedies are Causticum and Lycopodium.
  • Causticum — has (most of) the word “Cause” in it. These are people who get angry over an injustice.
  • Lycopodium, Farrington (1935) tells us, is “irritable, malicious and intolerant of contradiction, and goes about seeking a quarrel. … He is restless, and full of anxiety and fears. At times he may be haughty and domineering…”
    • Rubrics chosen:
      • Mind - PREJUDICED, attitudes
      • Mind - INTOLERANCE
      • Mind - CRITICAL, censorious
      • Mind - INTOLERANCE - ailments, from
      • MIND - PREJUDICED - traditional prejudices
Our 5th man is timid and doesn’t take kindly to being talked over. Here comes Lycopodium again, as well as Staphysagria.
  • Turning to Farokh Master (2017), Lycopodium has an “extreme lack of confidence in his own abilities… This arises from being verbally criticized by dominating parents.” (Was the 5th man dominated by his parents? We don’t have that answer.) Cowperthwaite (1909) adds: “morose, peevish, vehement, angry, timid. Easily aroused to anger.”
  • Staphysagria is well known for its suppressed anger and I don’t think it’s hard to see how suppressed anger can lead to timidity. Master, this time from his book Suppressed Staphysagria (2003), says: “He gets angry when any injustice is done but does not retaliate due to timidity.”
    • Rubrics used:
      • Mind - TIMID
      • Mind - CONFIDENT - alternating, with - timidity (Staph)
      • Mind - TIMID - public, about appearing in, to talk (Lyc)
      • Mind - ANGER, general - ailments, from - suppressed, from
      • Mind - DOMINATION, by others, ailments from - history, of, a long
Juror #6 is the man who is angry about being looked down upon due to his upbringing. Once again, we are comparing between Staphysagria and Lycopodium.
  • I am going to make the assumption that shame (See, also: Shame.) plays a role in this man’s anger. Staphysagria is a big shame remedy. Murphy (2003) says: Great indignation about the things done by others or by himself, grieves about the consequences. Humiliation, deep guilt and shame.… Very sensitive as to what others say…”
  • Lycopodium shame, however, according to Jonathan Shore (1990): “Humiliation and shame, as opposed to indignation.… Indignation is a certain sort of anger, righteous anger. Mortification is anger with shame, humiliation.”
    • Rubrics chosen:
      • Mind - ANGER, general - ailments, from - suppressed, from
      • Mind - DOMINATION, by others, ailments from - history, of, a long
      • Mind - SHAME, ailments from
Angry man #7 is the one who would get angry when he felt the older jurors were not being shown the respect he thought they deserved. Colocynthis and Causticum.
  • Colocynthis cannot tolerate injustice. Arndt (1904) tells us Colocynthis is “useful in troubles caused by anger or indignation.”
  • As we learned above, Causticum believes strongly in justice. Master (2017): “Cannot tolerate injustice; very strong morals and an innate sense of what is right and wrong.”
    • Rubrics chosen:
      • MENS - SYMPATHETIC, compassionate - misfortune of others, greatly affected by (Mangialavore)
      • MENS - AILMENTS from - misfortune of others (Mangialavore)
      • R.R. - Mind; Anger, irascibility; injustice, from (Viva: Reliable Rep)
      • Mind - ANXIETY, general - others, for
      • Mind - INJUSTICE, general - injustice, cannot tolerate
#8 (should probably be #1 since he was the foreman) is frustrated by the lack of order — he worked hard to keep thing running properly. Aurum metallicum and Calcarea carbonica are two remedies which take their responsibilities seriously.
  • Aurum met can be angry with himself and his mistakes or about business matters; there may be some anxiety with the anger.
  • Calc carb may have some anxiety with the anger or, just thinking about former stresses may bring on some anger.
    • Rubrics used:
      • Mind - CARES, full of
      • Mind - RESPONSIBILITY, general - ailments, from too much
      • Mind - CARES, full of - trifles, about
      • Mind - ANXIETY, general - business, about
      • Mind - BUSINESS, general - cares, worries about business
      • Mind - WORRIES, tendency, to - business, or work
      • Mind - ANGER, general - business, about
The 9th man was indignant about how he perceived others’ prejudices clouding their judgement. The two remedies I would think about for this man are Nux vomica and Ignatia.
  • Nux vomica is an irritable sort who gets easily annoyed by lots of things. According to New England Journal of Homeopathy (1995), Nux vomica “gets very angry at injustice. She does not watch the news, because it depresses her.”
  • Looking further at Ignatia from Shore (1990): “Except… you see she has this feeling for the children being teased… but it is not really like Causticum. It is not a question of injustice; it is a question of pain. … It is just sort of a passing thought, especially when she was talking about how she didn’t like it when other kids were being teased.”
    • Rubrics chosen:
      • Mind - CONTEMPTUOUS
      • MENS - ANGER, irascibility - tendency (Mangialavore)
      • MENS - ANGER, irascibility - tendency - contradiction, from (Mangialavore)
      • MENS - IRRITABILITY - injustice, from
      • Mind - INJUSTICE, general - injustice, cannot tolerate (Mangialavore)
Juror #10 is the man who was righteously angry that others were not showing the proper respect to the justice system. This was a harder one to figure out, but I came down to Kali carb and Cuprum metallicum.
  • Kali carb, from New England Journal of Homeopathy (1996): “As a result of their perfectionism and self-containment, Kali carbonicum individuals develop a deep Resentment [sic] of any person who appears to be breaking the rules without evidence of conscience or remorse. They are driven to be ‘good’ by their internal critic, while they judge and condemn anyone who does not conform to their idea of correctness. Eventually they are filled with resentment and display a chronic Irritability [sic].”… “If, however, their partner embarrasses them by breaking a rule of behavior they can become quite angry and are unable to recapture the view of their partner as a good person.”
  • Vermeulen (2004) says Cuprum metallicum is “Very respectful of RULES; angry when others do not respect them.… He is a lover of leadership, rules and regulations.”
    • Rubrics used:
      • MENS - LAW, very respectful (Mangialavore)
      • Mind - DUTY - sense, of duty, too much
      • MENS - DUTY - great sense of
#11 is a man who was irritated at having to be inconvenienced. This one, too, has so many underlying possibilities, it’s hard to get a handle on it, but I am going to make a couple of assumptions in my rubric choices. The main remedy that comes up is Nux vomica but further down the way were two rubrics that led me to an interesting choice of remedy that I would not have thought about: Ipecac.
  • Nux vomica is a big “business” and “work” and “anger”remedy, but it also has some selfishness, too. When we put together a man who is irritated at an inconvenience for his civic duty, perhaps some of these rubrics point us to Nux.
  • Buck (1895) says Ipecac is “Angry for the smallest trifle.” Clarke (1902) reminds us: “Irritability, and disposition to be angry.”
    • Rubrics chosen:
      • Mind - SELFISHNESS
      • Mind - LAZINESS, behavior - business, when transacting
      • Mind - GLOOMY, morose - business, does not proceed fast, when
      • Mind - ANGER, general - business, about
      • Mind - MUTTERING, general - business, matters, about (Note: it has been too long to remember if this character muttered, but it felt right. Regardless, it’s an interesting rubric.)
Our final juror, our protagonist, was not actually angry but very determined and was frustrated by the rush to convict someone without giving it the attention the situation deserved. In this instance, there is nothing to be addressed, homeopathically speaking. However, here are a few rubrics that could be used in conjunction with this man:
  • Mind, general; determination, general (Viva: Murphy Meta)
  • Mind, general; determination, general; strong (Viva: Murphy Meta)
  • Mind - OBSTINATE, stubborn, headstrong
  • Mind; Dutiful (Viva: Reliable)
  • Mind - JUSTICE, obsessed with
  • Mind; Integrity, sensation of; concerned about his (Viva: Reliable)
  • Mind - VEHEMENCE

There is one more character in this movie: the weather. It was hot and muggy with all the men sweltering with just one measly fan in the room.
  • Mind - STUPEFACTION, mental - weather, during hot
  • Generals - HOT, weather - agg.
  • Generalities; Weakness, enervation; weather; hot (Viva: Reliable)
  • Generalities; Weather; hot weather; ailments from (Viva: Reliable)
  • Mind; Weather; sultry, agg (Viva: Reliable)
Since I have the information sitting in front of me, Antimonium crud and Lachesis are the predominant remedies from these hot weather rubrics.

12 Angry Men nicely illustrates the individualization of homeopathy — there is not one remedy that would address the various expressions of anger in all these men. Their past experiences and the way their anger shows up and what they do with that anger — these are all very important considerations in finding a suitable homeopathic remedy.

This article has been rolling around in my head since I last saw this movie a couple of years ago and I now know why it took so long to see the light of day — it’s actually a really big topic. (Look for the Digging Deeper into Angry Remedies soon.)

It turns out, though, that I was more than happy to while away some of these really hot days sitting in front of my fan, listening to my little fountain outside the open window and finally putting some possible homeopathic remedies to these characters.

​Julia Coyte, CHom
Classically Practical homeopath

#wellnessawaits

Reference list
Arndt, H. E., 1904. First Lessons in the Symptomatology of Leading Homoeopathic Remedies. accessed through Radar Opus software.

Buck, H., 1895. The Outlines of Materia Medica & Clinical Dictionary. accessed through Radar Opus software. B. Jain Publishers.

Clarke, J. H., 1902. A Dictionary of Practical Materia Medica. accessed through Radar Opus software.

Cowperthwaite, A. C., 1909. A Text-book of Materia Medica and Therapeutics, Characteristic, Analytical and Comparative. accessed through Radar Opus software.

Farrington, H., 1935. Homeopathy and homeopathic prescribing : A study course for graduate physician.

Master, F., 2017. Clinical observations of children’s remedies. New Delhi, India: B. Jain Publishers (P) Ltd.

Master, F. J., 2003. Suppressed staphysagria. B. Jain Publishers.

Murphy, R., 2003. Homeopathic medical repertory : a modern alphabetical repertory. Blacksburg, Va.: H.A.N.A. Press.

New England Journal of Homeopathy, 1995, 4 (2).
accessed via Radar Opus software

New England Journal of Homeopathy, 1996, 5 (2).
accessed via Radar Opus software

Shore, J., 1990. Seminar Glasgow [Scotland]. Presented at the Seminar Glasgow. Accessed through Radar Opus software
​
Vermeulen, F., 2004. Prisma : the arcana of materia medica illuminated : similars and parallels between substance and remedy. accessed through Radar Opus software. Haarlem, Netherlands: Emryss.

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3/1/2025

When you have to get up…

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I was beginning to think the flu season may have just skimmed over the world this year, but here it is … a little later than usual, but, just like always, it is no fun. And, just like always, a little prevention can go a long way.
​
(See also: Calming the Cold; Flu Remedies to Consider; Ho Ho Ho, (not Oooooh No!); Ahh-choo; On the 4th Day of Cell Salts… Ferr Phos.)

Let’s jump ahead to the unfortunate situation we see in the picture above where those early signals were missed (or, ignored) and, here we are, unable to get out of bed … feeling just awful and the kids are hungry. (Oh, man, I remember those days. So painful!) So, where would one start in this scenario?

​Below are seven MAIN COMPLAINTs, followed by 4 or 5 commonly found remedies with 4 or 5 symptoms each which may help to choose a remedy to get back on your feet quickly. Remember! We are not looking for perfection. We are looking for improvement. We are looking to move the worst symptom out of the way for a minute so you can do what you need to do and then, when that’s done, get back into bed to rest properly.

This is far from a complete flu repertory. The intent here is to put as many remedies as possible in a quick list. Note: All of these homeopathic remedies could (pretty much) be listed under all of the headings. In other words, they are (for the most part) wide-reaching flu remedies.

Choose the worst MAIN COMPLAINT (found in BOLD CAPS) you are experiencing at the moment and then choose the remedy that best fits your current symptoms.

Notes:
  1. All symptoms for each remedy are valid for all main complaints.
    For instance, Bryonia’s irritability mentioned under “Aching Body” still holds for Bryonia under “Coughs” even though it isn’t listed again.
  2. All of these remedies could be listed under all of the headings (pretty much).
    For example, back ache may be relieved after a couple of doses of Nat mur that were taken to address the runny nose and sneezing. 
  3. All of these symptoms may be accompanied by fever* or chills.​
  4. Underlined symptoms are very highly indicated for that remedy/symptom.
  5. In fact, all of these MAIN COMPLAINTS may be present at once. 😩
    (If you are in this unenviable position, choose the one thing that is causing the most distress and begin there.)

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ACHING BODY:​

Arnica
  • shivering
  • worse for exertion
  • head feels hot, body feels cold
  • the bed feels too hard
  • wants to be left alone; says feels fine but is clearly not well.
  • Bryonia
    • worse for motion (every little movement hurts, even the eyes!)
    • worse for eating (there’s a lot of internal motion involved in digestion!)
    • chills may begin in the tips of the toes
    • pain everywhere: limbs; muscles; maddening headache; painful breathing
    • irritable; doesn’t even want to speak
  • Eupatorium perfolatum
    • intense aching in the bones; pains as if broken
    • shivering, especially from drinking
    • bursting headache
    • moaning from pain/complaining
  • Gelsemium
    • tremendous weakness
    • no thirst
    • trembling/shivering
    • apathetic, just doesn’t care; wants to be left alone
    • dizzy, droopy, drowsy, drained
  • Rhus tox
    • physical restlessness/can’t get comfortable; better with change of position/stretching; tossing about
    • stiffness; pain on first movement/better with continued movement
    • severe aching in all the bones/joints, sneezing and coughing
    • anxious


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COUGH:
​
​
Antimonium tart
  • headache with cough, worse in the forehead
  • constant coughing; waking from cough
  • loose, rattling cough with lots of mucus in the chest; difficult to expel the phlegm
  • suffocative cough
  • anger and crying from the cough
  • Bryonia
    • painful cough: ribs, abdomen, chest, back, sides; must hold chest while coughing
    • worse on breathing in
    • coughing fits at night
    • headache on coughing
  • Ipecac
    • nagging and gagging and choking coughs; nausea/vomiting during cough
    • cough after eating
    • exhausting coughs
    • comes in fits /paroxysmal/spasmodic
    • crying during cough; mental restlessness
  • Pulsatilla
    • nausea during cough; retching during cough
    • rattling cough and breathing
    • constant cough; forcible, violent, hard; worse when lying down; must sit up; preventing sleep
    • better in the open air
    • bland coryza/discharge


Picture
FEVER:​
​

Aconite
  • sudden onset
  • high fever*; burning fever
  • with vertigo/dizziness
  • extremely thirsty during fever
  • anxiety; crying; fearful during fever
  • Belladonna
    • red, flushed face
    • high fever*; burning heat
    • worse for any cold: air, draughts, applications, drinks — (but thirsty for cold drinks)
    • throbbing headache with fever
    • fearful, chatty and restless during fever
  • Gelsemium
    • chills alternating with fever; shivering with fever
    • continued fever: high fever* OR low fever
    • thirstlessness
    • weakness
  • Nux vomica
    • with pain: back pain, stomach pain, limbs, eyes, chest; hands may be painful when uncovering during fever
    • movement brings on fever
    • shivering with fever, especially after drinking; with perspiration; aversion to uncovering
    • overly sensitive during fever; aversion to uncovering
    • vertigo wth chill


Picture
GASTRO:​​

Arsenicum album
  • nausea and vomiting worse from anything being put in the stomach (even thinking of food makes it worse); no relief from vomiting
  • stomach pain, nausea during fever
  • burning pains: excoriating diarrhea
  • anxious/restless
  • thirsty for small sips
  • Ipecac
    • constant nausea; diarrhea with nausea
    • vomiting, violent; no relief from vomiting; headache during vomiting; vomiting during cough
    • lots of salivation
    • thirstless
  • Nux vomica
    • nausea and vomiting; lots of retching; feels better from being able to vomit; vomiting with urge for bowel movement at the same time
    • lots of burping; sour burps
    • headache during nausea
    • cramping pains
    • mental dullness; irritability; sensitive; 
  • Phosphorus
    • craves ice cold things/drinks but vomits as soon as those drinks warm up in the stomach
    • exhausting diarrhea; painless diarrhea
    • great weakness after bowel movements
    • lots of burping; burps coming on suddenly
    • fearful


Picture
HEADACHE:​

Belladonna
  • intense, throbbing, bursting headache
  • worse for: coughing; being bumped/jarred; moving head; having head uncovered; lying down
  • comes on suddenly OR comes and goes suddenly
  • an enlarged sensation to the head
  • irritable with headache; overly sensitive
  • Eupatorium perfolatum
    • with vertigo
    • occipital pain and forehead pain
    • heat sensation in top of head
    • pulsations
    • bursting headache
  • Gelsemium
    • headache may improve with urination
    • as if a band or hoop was around head
    • heaviness sensation
    • headache from moving the head
  • Nux vomica
    • with stuffy nose/head
    • with vertigo
    • worse coughing
    • better for wrapping up the head/holding head with hands


Picture
NOSE:​

Arsenicum album
  • copious discharge — it just keeps running — it can be thick or watery; acrid/burning discharge
  • discharge stops when in open air
  • burning pain in the nose
  • sneezing — frequent and violent; sneezing on waking in morning; runny nose with sneezing
  • pain in the root of the nose (way up at the top, near the forehead)
  • Kali bich
    • discharge: ropy, tough, sticky; greenish/yellow; tenacious; post-nasal
    • nostrils sensitive
    • obstructed nose; worse blowing nose
    • pain extending to frontal sinuses
    • crusts/scabs inside the nose
  • Lycopodium
    • stuffed/blocked nose
    • acrid discharge
    • flares the nostrils in a fan-like way
    • nostrils agglutinated/stuck together
    • sensitive to odors
  • Natrum muriaticum
    • sneezing: in the morning; paroxysmal — coming in fits; frequent; from uncovering
    • discharge: clear, like egg whites OR watery; copious; post-nasal
    • dryness inside the nose
    • obstructed nose
    • sense of smell diminished
  • Nux vomica
    • stuffed nose/obstructed at night, runny during the day; stuffiness alternates between nostrils
    • loss of smell from stuffy nose
    • better in open air
    • sneezing: with a runny nose; in the morning, in bed; with vertigo; makes headache worse


Picture
SORE THROAT:​

Causticum
  • rawness and tickling with cough; rough and scratchy
  • continuous swallowing
  • lots of mucus in the throat; thick and sticky; hard to cough up, must swallow it
  • hoarse voice; sore throat from overuse of voice
  • Lachesis
    • worse swallowing saliva or liquids; swallowing solid food is easier/helpful; warm drinks aggravate
    • pain extends into the ears; pain in ears with sore throat
    • constricting feeling
    • touching the outside of the throat causes pain; clothing aggravates
    • worse on waking
  • Lycopodium
    • burning pain; rawness; dryness in throat without thirst
    • choking on swallowing
    • painful swallowing; better by swallowing warm liquids; worse swallowing cold drinks
    • tickling in the throat
    • dryness
  • Phytolacca
    • sharp pains which extend to one or both ears
    • thick, difficult mucus/tenacious
    • feels as if hot ball stuck in the throat
    • swallowing difficult/painful especially worse for drinking hot liquids
  • Rhus tox
    • better from constant swallowing; warm drinks
    • difficulty swallowing solids
    • hoarse voice; from overuse
    • better with external neck covered
    • sore throat with stiff neck; stiffness sensation in throat


It’s important to remember that there are many, many homeopathic remedies for each of these main symptoms. This is just a brief list which may help to get dinner on the table or that important email answered.



Julia Coyte, CHom
Classically Practical homeopath


#wellnessawaits


* Be sure to seek treatment if the fever is very high, continues to climb or is accompanied by seizure or fainting or severe headache or stiff neck (to name but a few concerning symptoms). For more information:
  • Johns Hopkins Medicine
  • Mayo Clinic
  • Merck Manual

If you have already been through the worst of the flu, check out “Get Well Soon” to find a few helpful tips on recuperating.

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11/15/2024

Balance

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The point of life is balance, not perfection. This sentiment keeps popping up everywhere I turn.

I’m taking it as a direct communication from the universe to me. You see, I’m not very good at balance — I’ve always been a kind of an all or nothing sort of gal.

Physically, I’m pretty decent with balance. In a former life, I was a recreational figure skater and I could do my spirals and my spins and I could land my basic jumps on one blade. I used to slalom water ski as well as snow ski and those take balance. When we had to do gymnastics in PE, I was horrible at every single part of it, except the balance beam.

Mentally, that’s another story. I used to think I was good at balance but only because I was juggling lots of things at once — which, in fact is not a demonstration of balance at all, just an act of mental acrobatics.

I start making jewelry and that’s all I think about for the next couple of years. I decide to try my hand at art and I am almost paralyzed by the need for it to feel “perfect” and then I’m unable to do anything at all. I discover homeopathy and I drop everything else and decide there simply aren’t enough hours in the day to study this fascinating system of medicine.

So, having this mentality, I have perfected the art of giving stuff up, that’s for sure. (Remember, "all or nothing" was my motto.) I'm pretty good at embracing an all-encompassing deep dive on things, often at the expense of other things.

Even writing these articles -- recently taking a step back from writing weekly weighs on my mind heavily. It's a struggle to remember that "about weekly" (as I stated in the "about" section of Ruminating on Remedies) is not the same thing as weekly. However, it's never too late to start a good habit and I have finally come to the realization that it’s time to accept the idea of Wabi Sabi. I’ve heard of this concept before, but I am new to putting it into practice, but I like it, and I’m thinking this might be a good answer for me.

Wabi Sabi is a traditional Japanese aesthetic that celebrates the beauty of imperfection and impermanence. Perhaps embracing this philosophy is the way out of my all or nothing mentality.

Perfection, or the pursuit thereof, is an admirable goal, I suppose. But, it’s really not a very healthy way to live a life.

I always tell my clients when using homeopathy that we are NOT looking for perfection, we’re looking for improvement. (See: What Now and Perfect is the Enemy of the Good.) What is it we are looking for? As a reminder, we are looking for the symptoms to pop up a little less often and when they do, to be a little less intense and hopefully we see an improvement in mood and/or energy.

If one struggles with the idea of needing to be perfect, there are some excellent homeopathic remedies to consider.

Ignatia is the first remedy that comes to mind for perfection. Ailments from disappointments. Unhappy love. Idealistic. Nervous. High goals, high ambitions, high ideals and high expectations and a burning desire to fulfill them (Master 2009). Intolerant of contradiction. Expectation of others to be perfect. Strong sense of inner duty. 

Nux vomica for overstudy; "close application to business, with its cares and anxieties" (Vermeulen 2015). These mental strains may lead to the use of stimulants, possibly in excess. Keeping late hours and displaying an irritable temper. Everything makes too strong an impression on this overloaded nervous system. 

​See also: Overwhelmed for further discussion comparing Ignatia and Nux vomica. 

Arsenicum album for the fastidious person who wants everything neat and clean and tidy and just right. Even when feeling poorly, the person who may benefit from Arsenicum alb may direct someone to tidy up the sick room a bit. This is a person who, in the words of George Vithoulkas, takes "order and cleanliness to the point of expending inordinate energy constantly cleaning and straightening" (Vithoulkas 2015).

Natrum muriaticum for one who is responsible and perfectionistic. They may "be compulsively fastidious, trying to control the environment". They may display a "type of hypochondria… expressed as an anxious desire to find the cause of every blemish or pimple" (Morrison 1993). Nat mur cell salt also plays an important role in balancing fluids in the body… if there is excessive dryness or excessive mucus production (for example), Nat mur may be of help.


As American poet Henry Van Dyke very eloquently states, “Use what talents you possess; the woods would be very silent if no birds sang there except those that sang best.”

Life is too short. Drop the idea of perfection. Sing the song, regardless of talent. Paint the picture. Write the story. Live a good life and enjoy yourself while you're at it.

Julia Coyte, CHom
Classically Practical homeopath

#wellnessawaits

Reference list: all books accessed through RadarOpus software

Master, F. J., 2009. Clinical Observations of Children Remedies B. Jain Publishing.

Morrison, R., 1993. Desktop guide to keynotes and confirmatory symptoms. Nevada City, Calif.: Hahnemann Clinic Pub.

Vermeulen, F., 2015. Concordant reference : complete classic materia medica : 1284 remedies. Glasgow: Saltire Books.
​
Vithoulkas, G., 2015. Essence of materia medica. Usa: B. Jain Publishers (P) Ltd.

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12/9/2023

Ho Ho Ho, (not ooooh, no!)

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Flu season has returned. Well, colds, flu, Covid, influenza, whatever you want to call it — it’s back.

I’ve said it before and I’ll say it again - homeopathy doesn’t give a hoot what you call it. Homeopathy only cares about the symptoms you are experiencing.

Here is a short and sweet list of remedies to keep handy - to take at the first sign of feeling unwell; whether that be cold symptoms or fatigue setting in or aches or sneezing. 



  1. The Banerji Protocol of Aconite 200c mixed with Bryonia 30c is a marvelous place to start for when any kind of symptoms kick in. This combination remedy can be purchased from certain pharmacies and distributors, but there is no need for that… just put a dose (whatever the manufacturer suggests as a dose) of each remedy in your mouth at the same time.
  2. Boiron’s Cold Calm is a marvelous little remedy. (For previous article with detailed information on this remedy, see Calming the Cold.) Boiron’s instructions say to take 2 tablets every 15 minutes for 1 hour and then back off to every 6 hours.
  3. Ferrum phos, either in potency (30c, for example) or as a cell salt (6x, for example). I have seen this one turn around those early symptoms right before my eyes, especially sore throats.
  4. Natrum muriaticum, Nat mur, is another cell salt/remedy which can nip things in the bud. If you have sneezing that comes out of the blue, this one might be for you.
  5. Eupatorium is one of my favorites. If there is a lot of fatigue and aching that shows up out of nowhere, try some Eupatorium. (This one is a good one if the virus has already taken hold, too.)
  6. Oscillocinum, also from Boiron. Their packaging says: “At the onset of symptoms, dissolve the entire contents of 1 tube in the mouth every 6 hours, up to 3 times a day.”
  • This remedy can be used preventatively — if you have been exposed to the nasties, take 2-3 doses every 4-8 hours and cross your fingers.
  • This remedy can also be used preventatively throughout the flu season… take one dose per week during the winter months, says homeopath Jacques Jouanny, MD.

Not homeopathic but pretty impressive… Last December while traveling in England, everyone around me was coming down with whatever it was everybody was coming down with. I was in Helios pharmacy picking up some remedies and I saw A. Vogel Echinaforce tablets on the shelf. I took these, as well as Ferrum phos 6x and never had so much as a sniffle. I would use that combination again in a heartbeat.

If you don’t get there in time with the above remedies and the yucks have made themselves at home, see Flu Remedies to Consider.

With all of these remedy suggestions (unless otherwise noted), take a dose at the first sign of feeling unwell. Repeat every 3-12 hours. When feeling better, stop the remedy. If the symptoms return, start the remedy again.

Now, go out there, make merry and celebrate the joyous season like you used to!


Julia Coyte, CHom
Classically Practical homeopath


#wellnessawaits

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9/3/2023

Happy Pills

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“Do you have anything to help with my love life?” “What do you have in the way of ‘happy pills?’” “Do you have something for…” Fill in the blank. Not uncommon questions to a homeopath as people are looking for a quick fix for what ails them. 

The short answer is “sort of.” If someone is looking for a quick fix there are some possible quick answers that don’t involve working with a homeopath (though I highly recommend doing just that). I’ll get to those in a minute.

The longer, more complete answer is homeopathy addresses the whole person and therefore it can help with these bigger issues which are asked about in a throw away question… like happiness.

Happiness. Joy. Joie de vivre. Such a hugely important thing.

Interestingly, some people looking for a quick fix for happiness may not have even considered that they are actually sad. To them, they are just "not happy." But, that's how homeopathy would look at it. A lack of happiness/sadness can stem from a vast variety of reasons… Illness. Anxiety. Chronic pain. Fear. Problems at home. Problems at work. Stress. Poor sleep. Broken heart. The list is practically endless.

One of my favorite aspects of homeopathic remedies is when a remedy hits home, the emotions, the mood, is one of the first things to be affected. This is particularly apparent in an acute situation.

What do I mean by that?
So many times have I heard from clients that when they have given the appropriate acute homeopathic remedy to their unwell loved one that shortly thereafter the loved one still has the symptoms of illness, but they are now cheerier. When you see this change occurring, know that the physical symptoms will most likely follow behind pretty quickly.

What does this look like?
Children are still coughing and sneezing, but they are off the couch and now playing. The adult is still complaining of a stomach ache but they are now able to read a book or watch TV and engage with the world again.

Where would I begin to help someone on a generic level who has lost their joy? With this question, I am attempting to answer generically, meaning, without hearing the details of their symptoms. A practical homeopathic solution to sadness, if you will.

I would begin with some well chosen Bach Flowers. A few Bachs to consider:

Mustard can help with gloom. (I have previously written about Mustard’s marvelous effects HERE. 

Honeysuckle can help the person see the happiness in today, rather than thinking the good old days held the secret to their happiness.

Conversely, if the person is dreaming of the happiness that might one day be, Clematis may be a better fit. 

Wild Rose can help to reignite a passion for life for those who have become apathetic and resigned.

There are other Bach Flowers which may be more suited to your situation. If you are interested in a Bach-only consultation, click HERE. 

Are there homeopathic remedies that are able to address a lack of joy?
There are indeed! 

Robin Murphy lists 457 remedies in his rubric for sadness*!

In his rubric for acute sadness, he lists only 3 remedies… One of which makes complete sense to me. 

Natrum muriaticum. (For previous articles on Nat Mur: The Big Goodbye; Springing Forward; Dehydration; Balance; Salty Lips.)

Homeopathic Nat mur is made from salt. What else is made of salt? Tears are made of salt, making this an easy remedy to remember to address sadness.

There are many different kinds of sadness — something I never really thought about until I started studying homeopathy. To me, back then, someone was either happy or sad. (That’s such an unbelievably strange way of thinking to me now!)

What kinds of sadness are addressed by Nat mur?

  • Sadness when they are alone, or, the opposite may hold true as well, they are sad and they desire solitude.
  • Unconsolable sadness.
  • Feeling sad, but are unable to cry.
  • Sadness following a grief.
  • Sadness from disappointed love.
  • Sadness before menses.
  • Music brings on sadness.
  • Thinking of past events brings sadness.
  • People who are sad but when they receive sympathy it actually doesn’t do them any good.
  • People who don’t feel like talking when they are sad.

Of course with all things homeopathy, the best way to choose a remedy is based on the compilation of a person’s symptoms. Though Nat mur may be a good place to start, a better fitting remedy may be found in one of those other 457 remedies. 

This life we have been given is short. If you are having a hard time finding joy, give homeopathy a try.


Julia Coyte, CHom
Classically Practical homeopath


#wellnessawaits

* Murphy, R., n.d. Repertory, version 3. Accessed through Radar Opus software.

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8/26/2023

Musical Resonance

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It’s a musical night around my house tonight.

Not an unusual occurrence — friendly banter about what is “good” music. Who was better, Simon or Garfunkel? (Or, were they each only any good as a pair?) What would protest music look like in today’s current climate? A sharing of playlists. It’s a good thing. (I have found a bunch of my favorite tunes from my boys.)

Some people are greatly affected by music. Sound as a healing modality is such a cool idea — Tibetan singing bowls? Amazing. Never heard of them? Here are a couple links about the singing bowls: HERE* and HERE* 

Some alternative healing practitioners use tuning forks, something I’ve never tried, but I sure would like to give it a whirl! See here.* 

Music affects me strongly — but, I have to like what I’m listening to or else there’s no point in having it playing, (or, I’m ok with leaving the room, too.) I really need to like what music is playing. I’m a B-side kind of a gal, and, happy music only for me, please!  It’s a good thing I like a large and eclectic assortment of tunes, or life would be difficult for me.

If music plays an important or unusual role in your life, one of these rubrics may help you find a remedy that really resonates with you.

Let’s look at a few of these rubrics — they’re kind of fun, and quite specific and give us a little different insight into a couple of homeopathic remedies.

Tarantula hispanica, the Spanish tarantula has some interesting associations to music.
  • If passing water is difficult without listening to music, Tarentula might be of interest to you.
  • If you suffer from chorea (spasmodic involuntary movement of the limbs) or convulsions and music helps, Tarentula may help.
  • … Music ameliorates is a big one for Tarentula.
  • Music causing restless limbs or mental restlessness.
  • Staring eyes while listening to music.
  • Fears and phobias from music.
  • Music aggravates.
  • Music causing mental excitement or hysterical behavior.
  • Desires to hear or play music.
  • Drums produce euphoria.
  • Profuse perspiration from music.
  • Involuntary singing.
  • Impulse to dance… wildly… and jump!
  • Dancing ameliorates.

It shouldn’t be a big surprise after reading that list to learn that homeopathic Tarentula hispanica is a remedy for over-stimulation of the nervous system.

Another creature connected with music is the whale, or, more specifically, Ambra grisea, the highly prized substance from the secretion from the intestine of the sperm whale. For a little more info on this interesting stuff: here and here.

What musical symptoms may send you in the direction of homeopathic Ambra grisea, a remedy often associated with introversion and shyness?
  • If music brings on trembling nerves.
  • Pain in the ears from music.
  • Hyperemia (or, excess blood in a body part, in this case the head) from music.
  • A sensation of heat in the head from music.
  • Headache from music.
  • Heart palpitations from listening to music.
  • And weeping from music.

A bigger remedy for the music causing the tears to flow is Nat mur, a homeopathic remedy which often has deep grief and sorrow at its core. Other salty (Nat mur) music symptoms:
  • Depression and sadness from music.
  • Music aggravates or ameliorates — either way, it just has an effect.
  • Irritability from music.
  • Impulse to dance.

All three of these remedies are indicated for those who are oversensitive and emotional to music, but especially Nat mur and Tarentula, but on opposite sides of the musical scale.

In the words of Aldous Huxley, “After silence, that which comes nearest to expressing the inexpressible is music.”


Julia Coyte, CHom
Classically Practical homeopath

#wellnessawaits


* I have no affiliation with any of these — just grabbed them off the internet after a quick search.


“I haven’t understood a bar of music in my life, but I have felt it.” – Igor Stravinsky

Reference list
​

Anon., 2023. Ambra Grisea – NutraWiki [online]. nutrawiki.org. 

Cherry, K., 2019. Can Tibetan Singing Bowls Help Lessen Stress? [online]. Verywell Mind. 

Sound Healing Tools, 2023. What Is A Tuning Fork For Used For In Medicine * Ohm Therapeutics Tools [online]. 

Store, T. O., n.d. How And Why To Use A Tibetan Singing Bowl [online]. The Ohm Store. 

Vithoulkas, G., 2019. Ambra Grisea – Homeopathic Remedy – Materia Medica Viva George Vithoulkas [online]. Hussain Kaisrani - Psychotherapist & Homeopathic Consultant. 

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6/3/2023

It's Never Too Late, part 2: Balance

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Next up in my series on aging, "It's Never Too Late," is #2, Balance issues. 

What causes balance issues? Inner ear disorders, head injuries, neurological conditions and even medical issues such as diabetes, heart disease and thyroid problems, or, medications could be the culprit, too. In other words — it could be hard to find out what is causing these balance issues. There are a lot of avenues to investigate. It could make your head spin! Did I mention vertigo is a common cause of balance issues?

One of the beautiful aspects of homeopathy is we don’t need to know if it’s a thyroid problem or an inner ear disturbance. We only need to know what symptoms play out with these balance issues. Can it help if we know the cause? Sure, but it’s not necessary.

Let me be clear here, though. I am not suggesting to skip the investigation. Definitely figure it out with the help of a medical professional.

Signs and symptoms of balance problems include (Mayo Clinic 2018):
  • Sense of motion or spinning (vertigo)
  • Feeling of faintness or lightheadedness
  • Feeling like you might fall
  • Feeling a floating sensation or dizziness
  • Vision changes, such as blurriness
  • Confusion
​
This could become a long article with lots of twists and turns (a little vertigo-causing itself it could be, actually!) but we’re not going there. We’re going to make it simple.

We’re going to look at the top homeopathic remedies for vertigo, dizziness, falling and the sensation of falling.

Calcarea carbonica, Calc carb for short. Clumsy, awkward, falls easily. Feet may turn inward when walking. Get tired from a short walk. There may be a tendency to fall to either side, particularly the left side, or backward. Vertigo can be caused by turning the head, looking upward or going upstairs/uphill. This is an excellent remedy for the elderly in and of itself, regardless of a tendency to fall.

Cocculus indicus has a fear of falling and a tendency to fall to either side. Cocculus has an affinity for the spine, and especially of its motor nerves. “There may be a weakness in the small of the back, as if paralyzed; the small of the back gives out when walking; the soles of the feet feel as if they were asleep; the thighs ache as if they had been pounded; first one hand then the other goes to sleep; sometimes the whole arm falls asleep … These symptoms lie at the foundation of the symptomatology of the whole drug; they all seem to depend upon spinal weakness” (Farrington 2010). In most cases which respond well to Cocculus, there is some component of vertigo at play and may be accompanied by nausea which may be worse in a sitting position or when changing from a reclining to a sitting position.

Natrum muriaticum. Nat-mur has a fear of falling, too. With vertigo, this remedy has a tendency to fall forward or to the left. The vertigo feels as if they are falling and may be worse standing near a window (or looking out of a window) or on closing the eyes and is improved when lying with the head propped high. Vertigo may be worse in the morning, especially when getting out of bed and occasionally the vertigo may be accompanied by nausea or nosebleeds.

Nux vomica fears falling, too, but particularly in the afternoon. (Homeopathy never fails to amaze me with its odd specificities!) With vertigo, a person who may benefit from Nux vomica isn’t so particular which way they fall: forward, backward or to the side. The vertigo of Nux-v feels as if the brain (and other objects) turn in a circle.

Rhus toxicodendron tends to fall backward, forward, or, to the right. It’s a major remedy for the tendency to fall when rising from bed. Or, they may have the sensation as if they would fall over. There may be a fear of death or a weakness of memory during the vertigo. Vertigo may be worse when lying down. Rhus tox is also noted in a form of vertigo common in old age which gives a sensation of confusion and dullness (Choudhuri 2016).

Stramonium popped up in the search as the only remedy listed for the following: tends to fall backward while walking; tends to fall in the dark; tends to fall to the right while sitting or rising from bed from a sitting position. There is also a tendency to hallucinations that they are falling. Vertigo is worse walking in the dark or when the eyes are closed.

A few other remedies with some particular falling tendencies (single remedy rubrics):
Phosphorus for vertigo with a tendency to fall from a chair.
Causticum tends to fall to the left while looking upward.
Spigelia tends to fall while looking down.

Strength and balance training are always a good thing, despite your age. I know nothing about Elderlygym.com, but they had some good, common sense information and some clever exercises to get started on reclaiming your balance. Or, find a well-qualified yoga or pilates teacher who has experience working with people your age.

If you (or a loved one) finds yourself no longer vertical on a regular basis, get it checked out.

“To put everything in balance is good, to put everything in harmony is better.” Victor Hugo.
Homeopathy can help with both.


Julia Coyte, CHom
Classically Practical homeopath


#wellnessawaits

Reference list:
​

Choudhuri, N. M., 2016. A study on materia medica : an ideal text-book for homoeopathic students. Accessed through Radar Opus software. Noida, U.P., India: B. Jain Publishers (P) Ltd.


Elderlygym.com, 2019. 12 Best Elderly Balance Exercises For Seniors to Reduce the Risk of Falls [online]. Eldergym® Senior Fitness. 

Farrington, A., 2010. Lectures on Clinical Materia Medica in Family Order. Accessed through Radar Opus software.

Mayo Clinic, 2018. Balance problems - Symptoms and causes [online]. Mayo Clinic. 

Morrison, R., 1998. Desktop companion to physical pathology. Nevada City, Calif.: Hahnemann Clinic Publ.

Murphy, R., n.d. Repertory, version 3. Accessed through Radar Opus software.

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8/15/2022

The Road Less Traveled

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Headaches are tough. They’re tough to live through and they can be tough to help homeopathically speaking because there are so many variables in headaches.

I woke up with a cracking headache the other day. This headache was so bad that I, the homeopath who has not had so much as a Tylenol in 10 years, considered for just a brief moment, taking some over the counter (OTC) medicine.

Why not take that route? It’s so easy! What harm can it do? Let's take a quick look at why OTC meds might not be the best option.

If you take any conventional meds, prescribed or otherwise, I highly recommend you spend a little time at drugs.com. They do a nice job of explaining the “side effects” and other important information that one should know when one is ingesting substances. (All of the below information comes from drugs.com unless otherwise noted.)

The two most common OTC meds for headaches are acetaminophen (e.g. Tylenol) and NSAIDs (a.k.a. ibuprofen, e.g. Advil).

Acetaminophen use in the US is shockingly high. 40% of adults reported using it monthly and 23% weekly and it is the most common cause of acute liver failure. Acetaminophen is also the most common cause of both intentional and unintentional poisoning in the US (Dimitropoulos 2014).

Finding statistics on who uses ibuprofen and how often was not so easy. The nearest I came was to find that “approximately 70% of people 65 years or older use NSAIDs at least once per week” (Fine 2013).

NSAIDs and acetaminophen both:
  • Can be dangerous when combined with alcohol (Anderson 2022)
  • Can cause an upset stomach
Acetaminophen: Very common (10% or more): Nausea (up to 34%), Vomiting (up to 15%)
Ibuprofen: Very common (10% or more): Nausea (up to 57%), vomiting (up to 22%), flatulence (up to 16%), diarrhea (up to 10%)
  • Can cause cardiovascular issues
Acetaminophen: Common (1% to 10%): Peripheral edema, hypertension, hypotension, tachycardia, chest pain
Ibuprofen: Very common (10% or more): Hemorrhage (up to 10%), hypertension (10%), hypotension (10%)

Using these OTC meds frequently for headaches can also result in rebound headaches (Freeland 2020).

For years, doctors have been recommending acetaminophen over NSAIDs during pregnancy, but now we’re learning that exposure to this is linked to higher rates of ADHD and autism (National Institutes of Health 2019; Alemany et al. 2021; Cleveland Clinic 2022).

An added risk of using acetaminophen is that it is commonly used in other drugs (e.g. Theraflu, Alka-Seltzer Plus Liquid Gels, Vicodin, Percocet). If you take a Tylenol in addition to taking one of these other meds, it could result in a fatal overdose (Bates 2016; Harvard Health Publishing 2018).

After just a short while looking into these “safe” OTC medicines, I realized this could become a very long article, so I will stop here. (I really didn’t even look into risks for children (Ogilvie et al. 2012), though I’m sure they are just as bad, if not worse than for adults.) I will say this, though: I am even more pleased with my decision to not take the well trodden OTC painkiller route after my little internet exploration. Risking gastrointestinal bleeding or liver disease to get rid of a headache? No, thank you. I’ll pass.

What route did I take? I took the road less traveled… Homeopathy, of course!

Before I get to the homeopathic remedies for headaches, please note that some headaches definitely warrant medical assistance:

  • Headache with a high fever
  • Headache following a head injury
  • An extremely bad headache — pain like you’ve never experienced before — that has come out of nowhere
  • A headache that affects your speech or vision
  • A headache that affects your memory or you find yourself confused

As I mentioned in my article Garbage In, Garbage Out, everybody experiences headaches differently. Your headache is not the same as your neighbor’s headache.

Why do we get headaches? Good question. The reasons are plentiful: Stress and tension can cause headaches. Emotions can cause headaches. Crying can cause headaches. Drinking alcohol can cause headaches. Certain foods for certain people can cause headaches. The weather can cause headaches. Hunger can cause headaches. Physical issues, like sitting at a desk all day, can cause headaches. Dehydration can cause headaches (see, Summer Fun #5: Dehydration). Menses can cause headaches. And, homeopathy in all its wisdom takes all of these possible causations into consideration when selecting a remedy. (Some of these conditions are chronic situations and seeking the advice from a professional homeopath may be necessary to help figure your headaches out.)

As in everything homeopathy, the symptoms, or how you experience the headache, are the key to finding the right remedy for you.

NOTE: A 30c potency is a good place to start. If no change occurs, repeat the remedy 15-20 minutes later. If there is any amelioration, stick with the remedy. We are not looking for perfection, we are looking for improvement. If you are NO better after a couple of doses, take another look at the symptoms and try another remedy. As I said earlier, headaches can be very tricky, especially when you are in the middle of one. (If you have somebody nearby who can help you figure it out, all the better.) Don’t get discouraged. The long-term benefits of kicking the OTC habit are worth it. If you have to succumb to an OTC, try and take note of what you were feeling and see if you can match up a remedy for the next time you get a headache.

Please note also that this is not an exhaustive list of headache remedies. This is just a quick look at a few common homeopathic headache remedies which should be readily available in most household homeopathic kits or in your local health food store.

Bryonia is the “grumpy bear” remedy. Grumpy because every movement you make hurts — it even hurts to move your eyes. It hurts to be touched. Every noise somebody else makes hurts. A splitting headache — as if the head would split right open or pain right across the forehead. Thirsty, thirsty, thirsty for big gulps of water. Constipation may be present. Firm pressure on the head can help as can a nice, cool cloth across the forehead. Bryonia is an excellent flu remedy and is also good for injuries and back pains, neck & shoulder pains; too much sun and coughing. 

Belladonna — sudden onset. Throbbing, pounding pain. In the temples or extending from temple to temple. Fullness in the head — a congestive headache. Your head may hurt so much that it hurts to touch your scalp. A couple of keynotes for Belladonna in any condition: sudden onset. Hotness. Redness. (See, Summer Fun #1: Sun.) They don’t want any noise or light or anyone to bump that bed they are on. A Belladonna headache feels better with pressure — pressing on your head can help the pain. Headaches from coughing or sneezing.

Gelsemium: Headache with the sensation as if there were a tight band around the head. A distressing headache. Pain beginning in the neck and extending up and all over the head. A good remedy for headaches with the flu. Can’t keep the eyes open. Headache from nervousness — anticipatory anxiety. Or, a headache that came on after hearing bad news. They feel better when keeping their head raised up when lying down. Their brain may feel sore. A fascinating symptom of Gelsemium is the headache can feel better after urinating. They want to be left alone, but unlike Bryonia, they have no thirst.

Ignatia: Headaches from emotions: shock, sadness, grief, worry or anger. From the outside, they may seem oversensitive to the pain; they may even be hysterical. Pain as if a nail is driven into the side of the head. Or, a headache felt along the sides of the head. A heavy feeling in the head. Pulsating sensation over the eyes. They may have a very focused headache, just in one spot. Strong smells, especially tobacco smoke, can bring on a headache. Wrapping the head up may feel good.

Natrum muriaticum: headaches from grief and disappointed love. Headache as if being hit by dozens of tiny hammers beating on your brain. A bursting headache. A heavy sensation in the back of the head. May feel a band or hoop sensation around head. Headache as if from a blow to the head. Feels as if they must lie down. A headache on one side of the head. Eyes are sensitive to light and there may be visual disturbances. They are worse from the sun.

Nux vomica for headaches from too much (see, Too Much!) — too much alcohol, too much sugar, too much sun, too much work, too much food. Too much can also mean not enough of something else: not enough sleep, not enough emptying of the bowels (constipation). Headaches from toxic substances, street drugs as well as prescription or over the counter medicines. Or, a headache that feels as if it’s from intoxication, without imbibing the toxic substance itself. Unable to raise the head. Head feels swollen. These people can be miffed — angry and frustrated. The pain can be in the back of the head or over the eyes. As if a nail has been driven into the top of the head. Headache all over the head. Splitting headache. Dizziness, especially on rising. The head may be sensitive to cold air or drafts of air. Headache from tooth pain. Nux vomica is also good for colds and stuffed up noses, so if your headache is coming from that, this could be a good choice.

Pulsatilla: Headache from overeating, especially fats. Hormonal headaches. Headaches experienced during puberty. Throbbing. Heavy head — hard to hold it up. A bubbling sensation in the head or noises in the head. Bending the head to one side may feel good. They must lie down while keeping their head raised. A one-sided headache. Oversensitivity, weepiness and craving company and with no thirst — all big keynotes for Pulsatilla. They feel better in open air and while rubbing their head or from wrapping their head. Coughs make it worse. Shooting pains or wandering pains.

Sanguinaria: A “sick headache” with nausea and possibly vomiting. The pain is focused in or around the right eye. It can be a quick pain — a flash of pain on the back of the head. The eyes may feel like they’re being pressed out. Forehead pain, just above the eyes. The pain improves from sleep. Nausea. Dizziness. Vomiting and feeling better from vomiting. Bursting pain.

Silicea. Lingering headaches following an illness. An occipital headache, sitting right there at the back or your head or, starting in the occiput and traveling up and over the head. May feel nauseous and vomit. Cold, clammy sweat on the forehead. Talking makes them feel worse. Constipation and straining can cause this headache. A headache from cold exposure to the head. Head pain resulting from a toothache. May feel better from binding the head. Conversely, a headache that has been brought on from having the head bound may respond well to Silicea. Like Gelsemium, the headache can improve with urination.

Children with headaches may respond well to Calc phos 3x. Older children may respond well to Nat Mur or Ignatia.

So, what did I take for my headache?
Bryonia first, which removed the debilitating pain and I could then focus more clearly on what I was feeling. Almost immediately, I noticed how nauseous I was. Was I nauseous before? Maybe, but it certainly wasn't pronounced enough for me to notice it. Then, sitting by an open window trying to get some work done, the nearby construction noise was absolutely intolerable — really irking me. Aha. Irritability and nausea = Nux vomica. Within an hour, the bulk of the headache was gone and by afternoon I felt absolutely good to go -- as if I never even had a headache.

Was it harder to take homeopathy rather than popping an OTC? Maybe, but only because it required me to think about my symptoms. But, to me, it was absolutely worth it. With homeopathy, there are no side-effects, no rebound headaches, no possibility of long-term damage (Habs and Koller 2021; American Association of Homeopathic Pharmacists 2022). And, bonus, homeopathy has been known to help uproot the underlying cause of the existing condition, thereby lessening the frequency and intensity in the future, especially in chronic conditions.

"I took the one less traveled by,
And that has made all the difference.”
Robert Frost

​Julia Coyte, CHom
Classically Practical homeopath


#wellnessawaits

Reference list 
Alemany, S., Avella-García, C., Liew, Z., García-Esteban, R., Inoue, K., Cadman, T., López-Vicente, M., González, L., Riaño Galán, I., Andiarena, A., Casas, M., Margetaki, K., Strandberg-Larsen, K., Lawlor, D. A., El Marroun, H., Tiemeier, H., Iñiguez, C., Tardón, A., Santa-Marina, L. and Júlvez, J., 2021. Prenatal and postnatal exposure to acetaminophen in relation to autism spectrum and attention-deficit and hyperactivity symptoms in childhood: Meta-analysis in six European population-based cohorts. European Journal of Epidemiology [online]. 

American Association of Homeopathic Pharmacists, 2022. FAQs [online]. The American Association of Homeopathic Pharmacists. 

Anderson, L. A., 2022. Pain / Fever Drugs and Alcohol Interactions [online]. Drugs.com. Available from: https://www.drugs.com/article/pain-medications-alcohol.html

Bates, A., 2016. Acetaminophen Intoxication: A Critical-Care Emergency [online]. Uspharmacist.com. 

Cleveland Clinic, 2022. Does Acetaminophen Heighten Risk for Autism or ADHD? [online]. Cleveland Clinic. 

Dimitropoulos, E., 2014. Acetaminophen Toxicity: What Pharmacists Need to Know [online]. Uspharmacist.com. 

Drugs.com, 2018a. Acetaminophen [online]. Drugs.com. 

Drugs.com, 2018b. Ibuprofen [online]. Drugs.com. 

Fine, M., 2013. Quantifying the Impact of NSAID-Associated Adverse Events [online]. AJMC. 

Freeland, M. N., 2020. Migraine Medication Overuse and Rebound Headaches - GoodRx [online]. GoodRx. 

Habs, M. and Koller, M., 2021. Material Risks of Homeopathic Medicinal Products: Regulatory Frameworks, Results of Preclinical Toxicology, and Clinical Meta-Analyses and Their Implications. Complementary Medicine Research [online], 28 (1), 64–84. 

Harvard Health Publishing, 2018. Acetaminophen safety: Be cautious but not afraid - Harvard Health [online]. Harvard Health. 

National Institutes of Health, 2019. NIH-funded study suggests acetaminophen exposure in pregnancy linked to higher risk of ADHD, autism [online]. National Institutes of Health (NIH). Available from: .

Ogilvie, J. D., Rieder, M. J. and Lim, R., 2012. Acetaminophen overdose in children. Canadian Medical Association Journal [online], 184 (13), 1492–1496.

Further reading:
​

Kaufman, D. W., Kelly, J. P., Wiholm, B.-E., Laszlo, A., Sheehan, J. E., Koff, R. S. and Shapiro, S., 1999. The Risk of Acute Major Upper Gastrointestinal Bleeding Among Users of Aspirin and Ibuprofen at Various Levels of Alcohol Consumption. American Journal of Gastroenterology [online], 94 (11), 3189–3196. 

Mayo Clinic Staff, 2018. Taking pills for chronic pain? [online]. Mayo Clinic. 

Ullman, D., 2017. Safety Issues and Homeopathic Medicines [online]. Homeopathic.com. ​
 ​​

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7/30/2022

Summer Fun #5: Dehydration

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When we don’t drink enough fluids to replace what we have lost… well, just imagine that shriveled up, thirsty plant on your windowsill… Similar things happen to us and 4-legged creatures, too.

Too much sun, not enough shade. A game of beach volleyball, golf or tennis. A mountain hike on a beautiful summer's day. Hot days, in general. Sitting on the beach and your cooler is now empty (on that note, drinking alcohol in the sun). All of these activities can leave you parched. 

Don't think you're protected from dehydration because you are keeping yourself cool in the pool. I guess I never really thought about it, but sweating while swimming is a thing. Maughan (et al. 2009) and (Cox et al. 2002) show we do. Sengun (et al. 2012) found dehydration in professional underwater divers. The dehydration experienced in water athletes is less than those doing their thing on land, but it’s still there. 

Heat, exertion, fever, breastfeeding, high altitude, diarrhea and vomiting can all lead to dehydration, regardless of the time of year.

There are plenty of recommendations out there for how much and how often to drink water and plenty of counter-recommendations, too. I leave that to you to figure out what is your necessary hydration requirements as there appears to be no “universal consensus” (Armstrong and Johnson 2018). Though far less common, just remember that over-hydration is also a thing (Hew-Butler et al. 2019).

How to know if you’re getting enough liquid?
Mayo Clinic (2020) says you should rarely feel thirsty and your urine should be light in color. 

For infants: sunken eyes or the soft spot on their heads is sunken; no tears when crying; dry mouth and not producing much urine (Raab 2021) can indicate they are dehydrated or on their way to being.

Older children may complain of dizziness or headache, extreme thirst or they may be lethargic (The Royal Children's Hospital Melbourne 2018). For more information on Pediatric Fluid Management, click here.

I was under the impression that the skin pinch test was a way to determine hydration status, but according to 
(Goehring et al. 2022), it's not reliable. I'm not convinced, however. It's apparently a decent indicator in dogs (Goucher et al. 2019). I say it's one more easy step to take to keep an eye on things.

For pets, rapid and heavy panting and dry gums are two signs (First Aid for Pets 2018).

Dehydration can be a life threatening condition, especially in children. Do not hesitate to seek immediate medical attention.

What to do about this?

Prevention is key. For mild to moderate dehydration, drink up!
Water, coconut water or even commercially available rehydration supplements — though, I would caution against the chemical concoctions (you know the brightly colored drinks); they come with their own set of yuckiness.

Get Well Soon: A Guide to Homeopathic First Aid (Norland 2016) suggests using a mixture of 1/4 tsp salt & 1/2 tsp honey or sugar in a pint of water and taking a tablespoon every 15 minutes if you are worried about dehydration during sickness.

Similarly, the Drs Banerji recommend: “salty water (1/2 teaspoonful of common salt in half a glass of cold water) to be given frequently — one tablespoonful at a time — and repeated whenever the patient feels very thirsty” (Banerji and Banerji 2013).

Might homeopathy help ward off dehydration?

Perhaps.
The Banerjis also recommend 
Natrum muriaticum 6x and Kali phos 6x (2 tabs each together), taken every 3 hours to combat dehydration. 

Now what? I drank some water but I still feel crummy. 

For the after-effects of mild to moderate dehydration, consider these remedies:

  • Cinchona officinales or China officinales would be my first consideration. Weakness, chilliness, feels better lying down or bending double; collapse or fainting. Confusion. Sunken eyes. Buzzing or ringing in the ears. China is a good remedy following the loss of any bodily fluids which sap your energy.
 
  • Phosphoric acid is worn out, unable to answer in complete sentences; spacey or absent-minded. Craves fruit and juicy things. A crushing headache felt on the top of the head.
 
  • Carbo vegetabilis craves air, wants to be fanned (the opposite of both China and Phosphoric acid). Headache with a sense of constriction (as if the head were in armor) and headache from being overheated. Excellent remedy for someone who is unresponsive.
 
  • Veratrum album: a state of collapse with extreme coldness and sudden weakness. Chills and shakes. Muscle cramps. Craves sour and sour fruit, salt and/or ice. Mental confusion. Intensely thirsty but may vomit as soon as the water is swallowed.
 
  • The cell salt Natrum muriaticum is a homeopathic remedy made from common table salt. In general, excessive moisture or in this case, exceptional dryness in any part of the body can be an indication that Nat Mur may be helpful. A craving for salt may also be present. Headache, as if from hammers. (Nat mur can be used as a cell salt (6x), as mentioned above, or in potency, 30c, for example.)

Whichever remedy you choose, take every 15 minutes until feeling some improvement and then extend the time between doses. If, after a few doses there is zero change, choose another remedy.

For more information on ailments from the sun, see: Summer Fun #1: Sun.

Here's to staying cool, wearing a big hat, seeking the shade and sipping some lemonade (maybe even with a couple of cell salts added to it!) Or, if you want something a little more substantial, here are links to other homemade homeopathic anti-dehydration recipes: here and here. 

Julia Coyte, CHom
Classically Practical homeopath

#wellnessawaits.com

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Reference list:
Alton, J. and Alton, A., 2021. The survival medicine handbook : the essential guide for when help is NOT on the way : a Doom and Bloom guide. United States? Doom And Bloom Llc.

Anon., 2022. Tea at the Treedome [online]. Encyclopedia SpongeBobia. 

Armstrong, L. and Johnson, E., 2018. Water Intake, Water Balance, and the Elusive Daily Water Requirement. Nutrients [online], 10 (12), 1928. 

Banerji, P. and Banerji, P., 2013. The Banerji protocols : a new method of treatment with homeopathic medicines. India: Pratip Banerji.

Calabrese, J., 2015. Ditch the Gatorade and Make My Sons’ Homeopathic Electrolyte Drink [online]. joettecalabrese.com.

Cox, G., Broad, E., Riley, M. and Burke, L., 2002. Body mass changes and voluntary fluid intakes of elite level water polo players and swimmers. Journal of Science and Medicine in Sport [online], 5 (3), 183–193. 

danastore, 2018. USING HOMEOPATHIC CELL SALTS TO HELP PROMOTE FASTER RECOVERY FROM HARMFUL HEALTH PROBLEMS IN ANIMALS by Judy Hoy [online]. Homeopathic.com. 

First Aid for Pets, 2018. How to tell if your dog is dehydrated | First Aid for Pets [online]. firstaidforpets.net. 

Goehring, M. T., Farran, J., Ingles-Laughlin, C., Benedista-Seelman, S. and Williams, B., 2022. Measures of Skin Turgor in Humans: A Systematic Review of the Literature. Wound Management & Prevention [online], 68 (4), 14–24. 

Goucher, T. K., Hartzell, A. M., Seales, T. S., Anmuth, A. S., Zanghi, B. M. and Otto, C. M., 2019. Evaluation of skin turgor and capillary refill time as predictors of dehydration in exercising dogs. American Journal of Veterinary Research [online], 80 (2), 123–128. 

Hew-Butler, T., Smith-Hale, V., Pollard-McGrandy, A. and VanSumeren, M., 2019. Of Mice and Men—The Physiology, Psychology, and Pathology of Overhydration. Nutrients [online], 11 (7), 1539. 

Kight, B. P. and Waseem, M., 2020. Pediatric Fluid Management [online]. PubMed. 

Ma, N., J, P., Ja, M., Jr, M. and M, V., 2006. 
Acute Mountain Sickness: Influence of Fluid Intake [online]. Wilderness & environmental medicine. 

Maughan, R. J., Dargavel, L. A., Hares, R. and Shirreffs, S. M., 2009. 
Water and Salt Balance of Well-Trained Swimmers in Training. International Journal of Sport Nutrition and Exercise Metabolism [online], 19 (6), 598–606. 

Mayo Clinic, 2020. 
Water: How much should you drink every day? [online]. Mayo Clinic. 

Murphy, R., n.d. 
Repertory, version 3. Accessed through Radar Opus software.

Norland, M., 2016. 
Get Well Soon -- A Guide to Homeopathic First Aid. Yondercott Press.

Raab, C. P., 2021. 
Dehydration in Children - Children’s Health Issues [online]. Merck Manuals Consumer Version. 

Schmukler, A. V., 2006. Homeopathy : an A to Z home handbook. Woodbury, Minn.: Llewellyn Publications.

Sengun, S., Uslu, A. and Aydin, S., 2012. 
Application of multifrequency bioelectrical impedance analysis method for the detection of dehydration status in professional divers. Medicina (Kaunas, Lithuania) [online], 48 (4), 203–210. 

The Royal Children's Hospital Melbourne, 2018. 
Kids Health Information : Dehydration [online]. www.rch.org.au. 


Further Reading:
Huey, R. B. and Eguskitza, X., 2001. Limits to human performance: elevated risks on high mountains. Journal of Experimental Biology [online], 204 (18), 3115–3119.

Saat, M., Singh, R., Sirisinghe, R. G. and Nawawi, M., 2002. Rehydration after Exercise with Fresh Young Coconut Water, Carbohydrate-Electrolyte Beverage and Plain Water. Journal of PHYSIOLOGICAL ANTHROPOLOGY and Applied Human Science [online], 21 (2), 93–104. 

Smith, D., 2018. Homeopathy, Tissue Salts & Bach Flowers for Pregnancy, Labour & Post-partum. bubiroo books.

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3/12/2022

Springing forward

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Here we go again. We’re springing forward. Whoo hoo! Enter your own favorite sarcastic noise or eye roll here. 

​Why do they insist on messing with our body clocks like this? Despite the books (Downing 2009; Prerau 2006) and articles I have read about Daylight Savings Time, I still can’t make heads nor tails of why we are still engaging in this ridiculousness. Alas. 

25% of the human population (in more than 70 countries), (Folyovich et al. 2020) endures this nonsense twice a year — resulting in “negative health effects, with 150,000 incidences in the US, and 880,000 globally” (Zhang et al. 2020). Even the American Academy of Sleep Medicine agrees with me, stating, “It is, therefore, the position of the American Academy of Sleep Medicine that these seasonal time changes should be abolished in favor of a fixed, national, year-round standard time (Rishi et al. 2020).

Manfredini (et al. 2019) did a meta-analysis of Acute Myocardial Infarctions (heart attacks) and Daylight Savings and found the risk “increased significantly” after the spring shift. For further sleep deprivation research, see my previous article.

If you’re like me, it doesn’t matter if you attempt to mitigate these effects by going to bed early or sleeping in… it’s when your body tells you it’s one time and you look at your clock and it tells you it’s another time. Yuck.

Well, tomorrow morning (or afternoon — whenever the painful effects of this clock tinkering kick in), I plan on taking a dose of Hyland’s Awaken*: “Natural relief of fatigue, drowsiness and irritability.”

Awaken is a little bottle of relief. Relief after a lousy night’s sleep or after having to wake early for an appointment or after a fun late night out or even as a result of travel between small distances between time zones… as well as from being compliant with this silly clock changing thing. [Is it apparent that I find this a great annoyance?]

What causes this relief?
Let’s look at what is in Hyland's formulation and why they included these homeopathic remedies (all in X potencies):

Kali Phosphoricum
Known as “one of the greatest nerve remedies” (Murphy n.d.) and is one of the original 12 Schuessler Cell Salts. Cell Salts are composed from the basic minerals that cells require (Cell Salt Tissues 2022). Kali phos is helpful for drowsiness and yawning, forgetfulness and irritability.

Mezereum link to photo
Is a pretty little flower, aka Spurge Olive — this homeopathic remedy is made from a tincture of the fresh bark just before it flowers in the spring. Mezereum can help with mental dullness, irritability, laziness, yawning and sleepiness, in general.

Natrum muriaticum
Is simply common salt and is another of the original 12 cell salts. Nat Mur (as it’s known) is notable in terms of sleepiness in the late morning, mental dullness with sleepiness and weakness from loss of sleep. Nat Mur is also an excellent headache remedy — another possible symptom following not getting enough sleep.

Phosphoricum acidum
As a homeopathic remedy is amazingly helpful in “collapsed states” (Morrison 1993). Waking up is difficult and sleepy by day, gloomy, dull and weakness with the sleepiness.

Sepia
Great sleepiness during the day as results from an unrefreshing sleep (which is bound to be the case when the powers that be have goofed with our clocks!)

Staphysagria
Sleepiness with: difficulty opening your eyes, indigestion and an inclination to lying down. Murphy (n.d.) notes “violent yawning and stretching bring tears to the eye.”

Sulphur
Headaches, even migraines, from a loss of sleep and overpowering sleepiness (specifically while working).

Thuja occidentalis
Also addresses headaches and sleepiness as well as restlessness and tossing about during sleep.

Here’s to sweet dreams. Maybe if we all concentrate really hard we can make this clock changing thing disappear! 


Julia Coyte, CHom
Classically Practical homeopath


#wellnessawaits

If you suffer regularly from poor sleep, contact me to see if homeopathy may be of help to you.

* I have no affiliation with Hylands, I just like their product.
I usually like to provide a link for remedies, but 
Hylands.com no longer shows it. I see it is still available on lots of other websites, though. Hmmm. I hope Hyland’s is not taking this remedy away! The good thing about homeopathy, though, is you can make your own mixture based on the remedies and even tailor it to your specific needs.

Reference list
Cell Salt Tissues, 2022. Buy Schuessler Salts | Cell Salts Tissue Salts World [online].

Downing, M., 2009. Spring forward : the annual madness of daylight saving. Berkeley: Counterpoint.

Folyovich, A., Biczó, D., Jarecsny, T., Al-Muhanna, N., Jánoska, D., Béres-Molnár, K. A., Dudás, E., and Toldi, G., 2020. Daylight saving time and the incidence of thrombolysis to treat acute ischemic stroke. Revue Neurologique[online], 176 (5), 361–365. 

Manfredini, R., Fabbian, F., Cappadona, R., De Giorgi, A., Bravi, F., Carradori, T., Flacco, M., and Manzoli, L., 2019. Daylight Saving Time and Acute Myocardial Infarction: A Meta-Analysis. Journal of Clinical Medicine [online], 8 (3), 404. 

Morrison, R., 1993. Desktop guide to keynotes and confirmatory symptoms. Accessed through Radar Opus. Nevada City, Calif.: Hahnemann Clinic Pub.
Murphy, R., n.d. Homeopathic Remedy Guide. accessed through Radar Opus.

Prerau, D. S., 2006. Seize the daylight : the curious and contentious story of daylight saving time. New York: Thunder’s Mouth Press.

Rishi, M. A., Ahmed, O., Barrantes Perez, J. H., Berneking, M., Dombrowsky, J., Flynn-Evans, E. E., Santiago, V., Sullivan, S. S., Upender, R., Yuen, K., Abbasi-Feinberg, F., Aurora, R. N., Carden, K. A., Kirsch, D. B., Kristo, D. A., Malhotra, R. K., Martin, J. L., Olson, E. J., Ramar, K., and Rosen, C. L., 2020. Daylight saving time: an American Academy of Sleep Medicine position statement. Journal of Clinical Sleep Medicine [online]. 

Zhang, H., Dahlén, T., Khan, A., Edgren, G., and Rzhetsky, A., 2020. Measurable health effects associated with the daylight saving time shift. PLOS Computational Biology [online], 16 (6), e1007927. 

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