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Homeopathic Case Taking



Hpathy Ezine, March, 2009 | Print This Post Print This Post |

Summary: Case taking is the process of collecting all the facts about the patient, using various tools like observation, perception, history-taking – given by the patient/attendant, clinical examination etc. in order to find a remedy for the patient – using our knowledge of Homeopathic Materia Medica, Organon of Medicine, and Repertory. Index ————- * An Overview of Case-Taking * Definition * Objectives * Dr. S. Hahnemann’s Guidelines (aph. 83 to 104) * A Broad Scheme of Case-Taking * Gist of Case-Taking * Homeopathic Case-Taking and Pathological Diagnosis –Views of Dr. Stuart Close * A Note on Totality of Symptoms –Views of Dr. Stuart Close –Guidelines of Dr. Samuel Hahnemnn An Overview of Case Taking Definition: Case taking is the process of collecting all the facts about the patient, using various tools like observation, perception, history-taking – given by the patient/attendant, clinical examination etc. in order to find a remedy for the patient – using our knowledge of Homeopathic Materia Medica, Organon of Medicine, and Reparatory. According to Dr. Stuart Close: “The purpose of homeopathic examination is to bring out the symptoms of the patient in such a way as to permit their comparison with the symptoms of the materia medica for the purpose of selecting the similar or Homeopathic remedy. Objective of Case-Taking: Collection of all the facts pertaining to the patient, which may help in reaching to the totality of the patient and thereby help in finding the correct similimum. It is also said that a case well taken […]

Summary:
Case taking is the process of collecting all the facts about the patient, using various tools like observation, perception, history-taking – given by the patient/attendant, clinical examination etc. in order to find a remedy for the patient – using our knowledge of Homeopathic Materia Medica, Organon of Medicine, and Repertory.
Index
————-
*
An Overview of Case-Taking
*
Definition
*
Objectives
*
Dr. S. Hahnemann’s Guidelines (aph. 83 to 104)
*
A Broad Scheme of Case-Taking
*
Gist of Case-Taking
*
Homeopathic Case-Taking and Pathological Diagnosis
–Views of Dr. Stuart Close
*
A Note on Totality of Symptoms
–Views of Dr. Stuart Close
–Guidelines of Dr. Samuel Hahnemnn

An Overview of Case Taking

Definition: Case taking is the process of collecting all the facts about the patient, using various tools like observation, perception, history-taking – given by the patient/attendant, clinical examination etc. in order to find a remedy for the patient – using our knowledge of Homeopathic Materia Medica, Organon of Medicine, and Reparatory.

According to Dr. Stuart Close: “The purpose of homeopathic examination is to bring out the symptoms of the patient in such a way as to permit their comparison with the symptoms of the materia medica for the purpose of selecting the similar or Homeopathic remedy.

Objective of Case-Taking: Collection of all the facts pertaining to the patient, which may help in reaching to the totality of the patient and thereby help in finding the correct similimum. It is also said that a case well taken is a case half cured.

Dr. Samuel Hahnemenn’s guidelines regarding the art of case-taking

Dr. Hahnemann in his ‘Organon of Medicine’, aphorisms 83-104, has given the following instructions regarding the method of case-taking:

$83: This individualizing examination of a case of disease, for which I shall only give in this place general directions, of which the practitioner will bear in mind only what is applicable for each individualizing case, demands of the physician nothing but freedom from prejudice and sound senses, attention to observing and fidelity in tracing the picture of the disease.

$84: The patient details the history of his sufferings; those about him tell what heard him complain, of how he has behaved and what they have noticed in him, the physician sees, hears, and remarks by his other senses what there is of an altered or unusual character about him. He writes down accurately all that the patients and his friends have told him in the very expressions used by them. Keeping silence himself he allows them to say all they have to say, and refrains from interrupting them unless they wander off to other matters. The physician advises them at the beginning of the examination to speak slowly, in order that he may take down in writing the important parts of what the speakers say.

$85: He begins a fresh line with every new circumstance mentioned by the patient or his friends, so that the symptoms shall be all arranged separately one below the other. He can thus add to any one, that may at first have been related in too vague a manner, but subsequently more explicitly explained.

$86: When the narrators have finished what they would say of their own accord, the physician then reverts to each particular symptom and elicits more precise information respecting it in the following manner; he reads over the symptoms as they were related to him one by one, and about each of them he inquires for further particulars; e.g., at what period did his symptom occur? What is previous to taking the medicine he had hitherto been using? Whilst taking the medicine? Or only some days after leaving off the medicine? What kind of pain, what sensation exactly, was it that occurred on the spot? What was the precise spot? Did the pain occur in fits and by itself, at various times? How long did it last? At what time of the day or night, and in what position of the body was it worst, or ceased entirely? What was the exact nature of this or that event or circumstances mentioned-describing in plain words.

$87: And thus the physician obtains more precise information respecting each particular detail, but without ever framing his questions so as to suggest the answer to the patient, so that he will be misled to answer yes or no; else he will be misled to answer in the affirmative or negative something untrue, half true, or not strictly correct, either from indolence or in order to please his interrogator, from which a false picture of the disease and an unsuitable mode of treatment may result.

$88: If in these voluntary details nothing has been mentioned respecting several parts or functions of the body or his mental state, the physician asks what more can he be hold in regard to these parts and these functions, or the state of his disposition or mind; but in doing this he only makes use of general expression, in order that this informants may be obliged to enter into special details concerning them.

$89: When a patient has by these details given of his own accord and in answer to inquiries, furnished the requisite information and traced a tolerably perfect picture of the disease, the physician is at liberty and obliged to ask more precise, more special questions.

What sort of taste has he in his mouth? What kind of food and drink are most relished? What are most repugnant to him? Has each it’s full natural taste, or some other unusual taste? How does he feel after drinking or eating? Has he anything to tell about the head, the limbs, or the abdomen?

$90: When the physician has finished writing down these particulars, he then makes a note of what he himself observes in the patient, and ascertains how much of that was peculiar to the patient in his healthy state.

Dr. Samuel Hahnemenn’s guidelines regarding the art of case-taking

$91: The symptoms and feelings of the patient during a previous course of medicine do not furnish the pure picture of the disease; but, on the other hand, those symptoms and ailments which he suffered from before the use of medicines or after they have been discontinued for several days, give the true fundamental idea of the original form of the disease, and these especially the physician must take note of. When the disease is of a chronic character, and the patient has been taking medicine up to the time he is seen, the physician may with advantage leave him some days quite without medicine, or in the meantime administer something of an unmedicinal nature and defer to a subsequent period the more precise scrutiny of the morbid symptoms, in order to be able to grasp in their purity the permanent uncontaminated symptoms of the old affection and to form a faithful picture of the disease.

Manish Bhatia

- CEO, Hpathy Medical Pvt. Ltd.
- Homeopathy physician.
- Lecturer of Organon & Homeopathic Philosophy.
- Founder Director of Hpathy.com
- Editor, Homeopathy 4 Everyone
- Member, Advisory Board, Homeopathic Links - Member, Center for Advanced Studies in Homeopathy
- Co-author - Homeopathy and Mental Health Care: Integrative Practice, Principles and Research
- Author - Lectures on Organon of Medicine

Comments

  1. dr,anil ratnakar

    March 3, 2011

    The best article! Helpful while taking the case.
    Thank you.

  2. amruta

    June 20, 2012

    Nice article . it will surely helpful for me while taking case and getting exact totality of symptoms.

    thus i will able to achieve correct medicine.

    Thank you.

  3. FALGUNI PANCHOLI

    July 26, 2012

    hi i m a student of 4th b.h.m.s.(bachlor in homoeopathy medicine & surgery) in india. i want mha(master in health administration) degree in uk. Is that possible that i can mha in uk? After mha can i do job in uk related to health or medicine? is there any scope?

  4. dr.pramod bhalekar

    August 10, 2012

    great information about case taking

  5. Rody

    September 22, 2012

    Concise and very systematic.thank you for sharing your knowlege

  6. R.C.TAMILSELVAN

    July 26, 2013

    Very informative sir,Thank you sir.

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