PRACTICAL HOMOEOPATHY: BASIC CONCEPTS
CASE
RECEIVING rather than CASE TAKING
Receiving
means Go through (mental or physical states or experiences).
U r actively
participated in it.
Case taking
starts when patient talks on phone—inquiring or taking appointments
TELEPHONIC
CASE RECEIVING
Q. On phone
how to detect that patient is lying?
Ans. Pt will
not be fluent and takes pause in between conversation to think what to lie and
makes false story.
Honest pt is
fluent.
“Lier always
falter.”
He will
theorise rather than being precise.
Lier gropes
in dark for words to fool you on phone.
Old saying,
“An honest person has nothing to remember or recall while lier has to.”
In clinic,
lier scratches nose in front of you.
He avoids
eye contact rather looks sideways while telling his complaints.
WHAT HAPPENS
WHEN PATIENT ENTERS CABIN?
A) Few patients ask permission even to
sit in a chair (Rubric ?) esp. sulph does this, will ask for permission to
enter the cabin and even before sitting.
B) Some patients don’t ask for
permission rather they come in siddenly and starts telling complaints (Rubric ?
this rubric has sense of rudeness.)
Preliminary data of case Receiving:
Name----Name gives u identity and when u tell ur name it shows what u think
of urself where u stand.
Professional designation as prefix---Adv. XYZ
Why?
Because he has created his own identity and he is proud of
it.
(May be this patient is Dignified……Nat-m)
Ign- she will feel awkward while taking her husbands name
Calc carb- will use family surname
Plat- only his name…no name of father or surname
Bus khudka naam kafi hain…he feels like his name is BRAND.
Lach- has amusement desire and playfulness. So he will b in
it even while telling his name.
Hyos- he is in Antics playing. Child will tell the name by
spelling it first with making faces and then pronounce it.
Hyos is best actor.
He will laugh even when u ask his name eventhough there is
nothing to laugh in that (Laughing -ludricrous).
Age:
By age we can enter into core of patient.
How?
If pt is unmarried even his age is beyond age of marriage,
Why he is unmarried?
This will be our entry point…..Rubric?
Sex:
If we doubt of his/her sex…..like Effeminate…entry point.
Occupation:
How he describes occupation is important.
By occupation and profession we can know patients economic
status.
The we can correlate if he is Bargaining or Boasting or really
telling truth.
Contact No-
Some pts don’t give their contact no even though we mob in
their pocket…analysis?....rubric?
Address:
Some deny, some gives in short and some lies…hesitation while
teeling address….
WHAT TO DO WITH
PERSON IN FRONT OF YOU
At first make pt comfortable by making proper RAPPORT.
Make them feel as a friend, brother, a close relative then
during interrogation put a pt in discomfort situation and then see the
reaction.
These reactions will lead us to simillimum.
e.g. ase jar zhale tar tu kay karshil?
Ashya paristhitit tu kay karto?
These are purely unprejudiced questions.
Case receiving revolves around these questions:
What he says?
What he does?
What is very easy pt spontaneously talks about it.
How he says?
How he does?
IPR and ur experience will help to know how of case.
Why he says?
Why he does?
Here why is too much valuable…it is when u will understand pt
spiritually.
Same questions to be asked to pt and to his IPR.
We have to treat patient and not his disease.
Patient has changed state of mind and body than previous
state which was healthy……so we consider here CHANGE IN DISPOSITION OF MIND
& BODY(Refer Apho. 210 & 211)……this is being exhibited to us through
expressions. These expressions have two forms mainly i.e. speech and actions.
Every pt who comes to us for his treatment does two things.
He speaks to you about something and does something in the form of gestures.
You have to note down how and what he talks about, and to
observe as to what he does? (with his limbs and facial expressions) and most
important is try to find that why he does so?
After that u have to underline present,predominant and persisting symptoms.
Present (webster)
“not past or future: existing or happening now”
“now existing or in progress”
Predominating (webster)
“to appear more noticeable or imposing than something else”
Persistent (webster)
“to be insistent in a statement, request, question etc.”
Then u have to open mind section of Repertory.
U will find that repertories contain symptoms in the form of
RUBRICS.
Rubric (webster)
“a name or heading under which something is classified”
Now our job is to give a rubrics shape to the expressions of the
pt.
For this reason u must know rubrics, their disctionary
meanings with proper evaluation and fine expressions they convey & the
inferences that can be deduced.
HOW TO STUDY A RUBRIC --AN EXAMPLE
MIND - DELUSIONS - injury - being injured; is
bry. cact. canth. elaps kali-br. lach. lyss. naja phos.
rhus-g. rhus-t. STRAM. sulph.
Delusion injury-being injured;is -- An important mental
general commonly encountered in routine practice.
DELUSION-- A persistent false belief regarding the self or person or objects
outside the self that is maintained despite indisputable evidence to the
contrary
INJURY--Medically is defined as breach in continuity of skin or tissue. Dictionary meanings are as follows.
--Bodily harm / damage / or loss.
--Violation of one's rights,
--Subjected to injustice.
Hindi-- DARD, JAKHM.
IS BEING--in process, as in present progressive
tense expressing continuous action.
Injury has 2 important attributes--(1)
BREACH (2) PAIN.
Breach-- Temporary gap in continuity,
--Infraction or violation of law / obligation / tie / or standard,
--A broken or ruptured or torn condition or area,
--A breach in accustomed friendly relation.
Pain-- Bodily or emotional distress characterized
by aching and discomfort.
This complete rubric as a whole means that patient
BELIEVES he has sustained an injury or injuries sometime while ago and the
injury (pain) is still GOING ON (chal raha he). Here the cause of injury
may have been one thing while the injury is kept continual or accentuated by
various other thing or things. Here the predominant aspect is PAIN irrespective
of the cause.
pt's version—dr saab pichle saal T.B ki bimari hui
aur bahut davainya khani padi, tab se jo takleef shuru hui he vo aaj bhi chal
rahi he. Thoda bhi mausam badal gaya
ya khane mein gadbad hui to takleef aur badh jati he.
pt--dr last year I had pulmonary tuberculosis and I
had to consume lots of tablets and SINCE THEN the pain never subsided. Any
change in weather or food causes more problems.
Pt- allopathy ki davai muze suit nahi
karti…kal maine allopathy davai li tabse headche aur pet dard shuru ho gaya
hain…
Pt's often describes the injury time in
words--SINCE THEN and the predominance is on PAIN and not much on the cause.
WARNING:
We should never accept the statement of the patient or
attendants on their face value.
The stree should be given on the intrinsic(=belonging to
a thing by its very nature) value.
What she or he is speaking? What is the innermost signal? We,
observer, must make all efforts to realize the precise meaning of those
statements and scan them in the proper perspective.
Case video
(Posted on You Tube named“Tarentula Hispanica Child”)
MIND -
LOOKING - directions; in all - hysteria; to observe the effect of her actions
on others, in
tarent.
MIND -
PLAYING - desire to play - hide and seek, at
bell. stram.
tarent.
MIND -
PLAYFUL
aids. aloe
bell. bufo cimic. cocc. croc. cygn-be. dream-p. elaps falco-pe. ign. lac-del.
lac-leo. lach. melal-alt. meny. naja oncor-t. ox-ac. Podo. positr. psor.
sal-fr. seneg. tarent. vero-o.
Anand
movie
Remedy of
Rajesh Khanna
MIND -
MIRTH - wretched; simulating hilarity while he feels
Apis,
dendr-pol.
Mirth &
wretched are opposite words.
In Mirth we
can feel joy and happiness of the person and
In Wretched
we can see the pain or sorrow without expressed by person.
The meaning
of above rubric is:
Even though
he is in wretched pain he is expressing the joy or mirth to the environment.
See pt is
having Cancer. But pt thought practically death is the only truth of life. What
we he meant & knew that Cancer is going to take his life. So instead of
taking tension I will enjoy whatever life I have.
See he is
talking as if he has gone beyond pain and fear & even with this he can
enjoy his life with joy n happiness at its high.
“Haste haste marne ko bhi ANAND se
upbhogna”
MIND -
AFFABILITY
alco. apis
dulc. hypoth. kali-s. phos. podo. tub.
Affability
(n):
A
disposition to be friendly and approachable (easy to talk to)
Pt behaves
like he knows a person he is meeting from many years.
“kaise ho
Tenaliram, bhabhiji kaisi hain”
It really
does not matter whether he actually knows or not.
MIND -
PRACTICAL
Apis, polys.
See he is
talking as if he has gone beyond pain and fear & even with this he can
enjoy his life with joy n happiness at its high.
“Haste haste marne ko bhi ANAND se
upbhogna”
.
.
.
Dr Sanjay
Jadhav MD (Rep.)
Dr. Jadhav’s
Homoeopathic Clinic,
13,2nd
floor, B. A. Marathe Complex,
Station
Road,
Pachora -
424201
Dist.
Jalgaon
Mob –
9970831063
(1st
& 3rd Sunday @ Nasik, 2nd
& 4th Sunday @ Pahur)
Website:
drsanjayjadhav5.blogspot.in
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