a) What is the change offered by Revolutionized Medicine?
Simply, a change of emphasis, a minor variation. Classical Homeopaths agree that if we can have dependable mental symptoms we can ignore the physicals, but that mental symptoms are not to be found in every patient. It is from here that R. H. differs with them in concept. It observes that no individual at any given time, is without any mental state. If a person requires medicine, that is, if he is sick, it is not necessary that he must be angry or weeping or anxious. He may be a normally behaving person covered by rubrics like ‘CHEERFULNESS’, ‘ECSTASY’, ‘EXHILARATION’ etc.
Here I will quote the case of a religious head settled in London where he runs a big Ashram. He was suffering from allergic asthma. My brother wrote to me that he is a devotee of the ashram and wants his priest to be treated by me, because the priest finds a lot of difficulty in his meditation and in conducting Havana (a ritual in Hindu religion performed around the fire through offerings consisting of butter, oil, grains and perfumes, to the various Gods and Goddesses). I told my brother, “Let your Swamiji write me a letter in his own hand in a simple way and contact me by phone after a few days for a few minutes. Swamiji wrote his case history, giving all symptoms of allergic asthma. He wrote, “Although I am quite indifferent towards feelings of love or hate, because I have renounced everything in this world, still I feel a little uneasy when I find obstruction in the performance of my religious duties.” On the phone I asked him only one question: “Do the obstructions cause any effect on your mental state and force you to abandon midway the functioning of your normal routine work, rituals, prayers etc.?” He said, “No, I accept it as a reality, which perhaps I have to live with, and I don’t allow anything to overpower me in the performance of the religious rites.” On the following rubrics:
- RECOGNIZES, everything, but cannot move
- INDIFFERENT, lies with eyes closed
Cocculus. Ind. 30, was prescribed in three small doses, to be taken every 15 minutes. It is now about a decade that there is no further attack of asthma. The priest was so grateful that he propagated his recovery amongst his followers all over the city of London. They put pressure on my brother to call me to the U. K. What I want to emphasize through this example is that it is the present mental state, in whatever form and style it may be, that is important and needs be given attention to. I shall go into the details of the way I interpret rubrics in the pages to follow.
(b) How to select a remedy?
Since the mind is a vast field, for the purpose of selecting a remedy we must select from the present mental state, Persistent and Predominant symptoms, which I call signals.
(c) What is the meaning of PPP? Present, Predominating, Persisting symptoms.
What persists is that which is trying to settle permanently, what predominates is that which is the uppermost and all powerful and covers the whole show. In other words it does not allow other symptoms to raise their heads. In the case of Swamiji, at times there may have been many thoughts in his mind about his sickness, yet one final thought, of identifying and accepting the reality, was predominant. Let me tell you here that this phenomenon has a scientific background. It is the powerful that prevails. In the criteria of so called infections, if a person is already suffering from a powerful infection, no infection weaker than it, like seasonal fever etc. can have any effect on him. If he is suffering from a disease which is less powerful than the invading infection, the former will get subdued and the latter will predominate and will be required to be treated first. When the system is cleared of the powerful infection, the lower will present itself and demand treatment.
(d) Case taking and implementing triple P (P P P)
For selecting a remedy, treat a patient as a computer in a human frame, that emits signals in the form of speech and actions, which when combined, form expressions. Convert these expressions into the language of rubrics as listed, in the repertory, in the Mind section. In other words it is decoding or deciphering the signals of mind in a “mechanical” way. It is as if the data has been pre-fed by whatever order or disorder that is going on in the body and the computer is throwing this data on the surface. Why I call it mechanical, is to guard you against becoming emotional at the time of case -taking. It may be that the patient is abusing you or misbehaving in the worst manner. You have to remain detached. Your relation is exactly like that between a meter and a meter -reader. The job of the meter reader is to concentrate and try his best to read the meter accurately. For example, let us take the case of the father of the boy mentioned earlier, who refused to cooperate. Ordinarily you might have heard homoeopaths complaining about their patients, “How can I help him if he does not co-operate?” Here lies the fault with the homoeopath himself, because the act of non cooperation on the part of the patient is his present mental state which requires to be taken into account for prescribing. Be true to one’s job.
(e) When not to prescribe
I am of the opinion that before the doctor examines a patient he should check whether he himself is fit to do the job well. As in judicial norms it is well known that a judge should sit for judgment only when he is in a normal mood, i. e., only when his presence of mind is intact. In the same way a doctor should be in a normal frame of mind when he prescribes medicine. We have many rubrics like, “GROPING, as if in the dark”, “CAPRICIOUSNESS , CONFUSION”, “CALCULATING inability for” etc. If the physician is himself under the influence of any of these mind rubrics, he should not expect himself to be in a position to select the right remedy. The right course for him in such a situation will depend upon the type of patient in front of him. If you feel that the patient is cooperative, you can tell him the truth that your mind is not properly working at the moment, requesting him to come on the next day or at any other suitable time. Your image will go up in his eyes. He will feel reassured that he is in proper hands. The second course is to send the patient back with placebo, i.e. blank pills, with the instructions to report on the next day so that you have the time to study his case with a clear and stable mind. The third option is in the case of the patient who is in a more serious condition. If the patient really cannot wait, you can request him to consult someone else. These three norms will never let you down in your practice. So while you have to be mechanical in your approach you also have to use your intelligence to understand the symptoms of the patient accurately. To conclude, the main criterion is to arrive at the indicated remedy with the help of the tenets of present, predominating and persisting symptoms without any bias or prejudice; that is, without considering its grade as given in the repertory; without keeping in mind whether the remedy is “short” or “deep acting” and without looking at whether it covers any miasma.
(f) Requirement of successful prescribing
What is required for successful prescribing? Before answering this question let us recall, the job involved in it. The job is to convert the expressions of the patient into the rubrics of the mind and this can be done only if we have proper knowledge of the rubrics. The question remains “How to know the rubrics?” The first thing that is needed is to know the exact dictionary meaning of each word of a rubric with its position in grammar, whether it is a noun, adjective, adverb etc. so as to grasp the precise sense of every word and the rubric as a whole.
The second thing is to know every rubric and to keep it in your memory. The third and the most important thing, is the expansion of its meaning by drawing broader interpretation and inferences needed to capture the very soul of the rubric (Refer ROH Series 1 also). Here the point to be kept in mind is that the conversion of the expression into rubrics should not be mechanical but mathematical. In mathematics we have exact equations e.g. 1+9=10, 2+8 is also equal to ten. Likewise we can have various other equations of ten. Similarly we have rubrics like “Fear” “Anxiety” and “Anguish”. We need to know precisely the difference between the very sense conveyed by them. Fear, is a sort of discomfort aroused by an impending pain, danger or evil, which is specific in nature. A person knows and can identify the object of his fear. He says that he fears a dog, or a lion, or a certain person or a specific thing. “Anxiety” is also a discomfort aroused by an impending pain, danger or evil. But it is not certain or specific as in the case of fear. Something is causing discomfort because the patient does not know what is in store for him. For example a patient says, “God knows when my disease will go. When will it leave me?” Another example, “Whenever my husband goes out I remain uncomfortable till he comes back, as many types of forebodings come to my mind.” Anguish” is about a discomfort which one is experiencing at the present moment. For example a mother says, “Nothing pains me much in this world as the feeling that my son, the product of my own womb, has betrayed me.”