Case Taking Tips

case taking tips

“TORAN” an analogy for Homeopathic Totality

A “Toran” is a string on which leaves and flowesr are attached which is commonly seen on each Indian door entrance.  This is a picture of a “Toran” . It is a string on which leaves and flower are attached and then tied to each end of a door entrance. Whatever is the reason but we will use this analogy to show an IMPORTANT SMALL SMALL thing in HOMOEOPATHY.

One should understand things simply and observe, what it is.. What you see in it?
What you observe is most simple. You see one long string connecting two ends with leaves in between, right? And this is important. Observation.

Which mean means we need to see the symptoms and not a possible diagnosis! To collect all the symptoms (without diagnosis) to find the remedy because of the symptoms (not because of a diagnosis).

In the “Toran” “String and leaves symbolize totality in whole case” .. So what and where you need to focus in each and every case to bring down whole totality. There many small and major symptoms and signs in case…which is the most important? What is the ”KEY” that opens the lock, which is the “KEY” out of all the signs and symptoms in the complete totality in a person? There lot of symptom in case which represent derange vital force.. Many are small and big as well… From this there only one ”KEY” which is ‘BEING’ in whole case

Symptomatology is a very large topic to be understood. Small or big, acute or chronic, physical or mental. All symptoms in whole totality are very IMPORTANT. Now here we must have knowledge of each part of personality, all the mental symptoms being of highest value, you must know where is to be HIT so that with minimum shot you get wide range of improvement in the case,”Toran”helps explain the CONCEPT to understand totality in each personality. This “Toran” represents whole totality in a case. Each part of this “Toran” present different symptoms in a given case,out of what you see here in this totality of symptoms, what will you HIT to BRING down whole case? If you only hit one leaf that leaf will fall out of the string and if you hit another group of leaves that group will also fall and the patient will get some relief but not permanent relief (partial simillium). Therefore you need to HIT that situation which the “continuous thread” the “BEING” in the whole case, which is continuous from start to end in the whole case. The life of the patient. This “BEING” is the condition or situation which has started and is continuous since the beginning and will be continuous in future…..

Process for Individualization

crowd Analysis for Individualization:

The process of finding the correct remedy through repertorization in homeopathy and the resulting analysis of personality is the same method we use to locate a person in a crowd. Just as we can find a person in a crowd we can use the same method to find the rubrics for a case.

Example:

We want to find a certain person with the name “Peter” when we enter a hall containing 100 people. Now the first fact we know is the “one” we are searching for is “male” named “Peter” therefore the female population out of the 100 people in hall is automatically excluded.

So now out of 100 general populations in hall there are 30 females which have been excluded and your search will be limited to the remaining 70 males in the hall. When you go and find “Peter” you see there are 25 males with name “Peter”. Now you will be requiring more information to find the right person named “Peter”. And you will get more information knowing that your “Peter” is wearing blue jeans, and when you go  searching you find  25 males names “Peter” out of which 10 are wear blue jeans….. now your search again will be limited to only 10 males named “Peter” and all those wearing blue jeans.

Now all the females and other males who are not Peter or Peter who is not wearing blue jeans will fall out of your search.

Further you need more information, and you get that Male named Peter with Blue Jeans and White T-shirt and when you go and find out all those 10 males named”Peter” who were wearing blue jeans there are only two who are wearing a white T-shirt so other 8 will fall out of search and now you have only 2 “Peters” for final analysis. Now we discover that the “Peter” we are looking for has a beard and he he is! We foend “Peter”!
Here is the information we used to find “Peter”:

1.      Peter

2.      Male

3.      Wearing Blue Jeans

4.      Wearing White T- Shirt

5.      Has a Beard

The person you were searching for has all those above characteristics.

It is the same when we find right remedy in our repertorization. The top ranking remedy should cover all the rubrics which you are using in your case.

Homeopathy for Humanity

Understanding Subconscious Mind

The Physician’s Highest Goal

Treating a patient in the most efficient manner has been the goal of the medical profession since man first fell sick. To achieve that the important aspect of treatment that is recognized by physicians is diagnosis or understanding what is wrong with the patient. Dr Samuel Hahnemann, who I believe was way ahead of his time, then understood the importance of understanding the concern of the patient in his terms rather than treating every patient just like another brick in the wall. Each person has a individualized concern and the disease is nothing but a manifestation of the same.

 

What brings a patient to our clinic?

Is it the suffering? It is usually seen that when a patient begins to feel the disease he resorts to homemade remedies or over-the-counter drugs etc. The time duration of such trials vary. Some persist on their own medication and modes of cure for months before coming to the clinic. What is it that prompts them to come to your clinic? It is the inability to cope with their daily routine that brings them to your clinic. The loss of energy, which Dr Hahnemann has so beautifully termed as the vital energy, the force or principle. In Aph.§9 Dr Hahnemann has said, “During health a spiritual power (autocracy, vital force) animates the organism and keeps it in harmonious order.” It is a deficiency in this energy that brings a person to the physician seeking help. In a depleted state the patient still manages to keep himself comfortable by fine tuning himself to suit his condition. This is adaptation, coming from the word, “adapt” or to make suitable to or fit for a specific use or situation. The effort made to maintain the harmony with the self and the environment is adaptation. When even his adaptation fails to maintain the harmony he comes or is brought to the clinic. The adaptation of a person is reflected in the way he manages himself in the state of discomfort.

 

What is to be treated in a patient?

A person seeks professional help of a physician when he is lacking in his vital energy. If this much is clearly understood then it is obvious that the treatment of the patient is restoration of the lost energy. If the appropriate energy is given to the patient, the autocratic power that animates the organism works towards restoring the body to the optimal level of normalcy. So the pathology is reversed last but the vital energy is restored first. It is this restoration of vital energy that gives the feeling of well being to a person on being given the correct dose of a homeopathic medicine.

 

What is homeopathic medicine?

Homeopathic medicine is the meta­physical energy that gives the character to the substance / form of its origin. So, a homeopathic medicine prepared out of Aur Met has the meta­physical energy of the quality of Aurum metallicum When a patient has a loss of energy akin to that of the energy of Aur met and a homeopathic dose of Aur met is given to the patient, the miracle of homeopathic cure takes place. If a wrong medicine is prescribed, no harm is done as the healthy vital force is strong and does not get affected by this minimal dose of energy.

 

CASE TAKING

If adaptation of a person is the key to selection of the remedy, then how does one go about collecting information about the adaptation of a patient?

Every patient expresses himself by three means of communication…

 

I. VERBAL

II. TONE

III.  GESTURES

  1. Body Language
  2. Facial Expressions

 

I.  VERBAL

  • Verbal communication constitutes only 7% of means of communication. It is only the words used by the patient and is the most unreliable communicative tool. The unreliability stems from the ease with which verbal communication can be manipulated. This manipulation distorts the true concern, adaptation and reactions of the patient. The method of perceiving this mode of communication is HEARING.

II. TONE

  • Tone is the manner in which the patient communicates verbally. This makes up 35% of means of communication. This is a reliable source. The means of observing the tone is LISTENING and PERCEIVING.

III. GESTURES

  • Gestures are motion of hands or body to emphasize or help to express a thought or feeling. It is something done as an indication of intention. Gestures are the use of movements (especially of the hands) to communicate familiar or prearranged signals. Gestures can be broken up into:
    • Body language
    • Facial Expressions
  • Gestures make up the remaining 58% of means of communication. Gestures are a very reliable source of information. The means of noting gestures is KEEN OBSERVATION. 

 

Case Taking

Case taking can be done effectively by asking open-ended questions not related to the physical discomfort or ailments of the patient. For example: ‘How may I help you?’ is a wonderful way of starting a case taking. If the patient is talking it is. Absolutely important that the physician should not interrupt or block the flow of speech of the patient. Such a spontaneous flow is the mirror of adaptation. All things told by the patient in a spontaneous manner reflect adaptation. The next round of questions if needed should be related to how the patient manages his daily routine in spite of his discomfort. Lastly the concern of the patient if not already got should be probed into. This is the detailing of the persons adaptation. It is best to base a question on the words or phrases used by the patient himself and probe further. It is important to note that probing and questioning should be done only and only if the necessary information you need is not available in the first say of the patient.

Dr Sanjay Solunke