Passive Case Witnessing Problem

It’s a case of a 6 year old girl who consulted me on 18/12/08.

The very first peculiar thing we observe about the child is …she enters the consulting room holding mothers hand tightly.

M: She has made a drawing for you.

(Child’s sibling is also our patient. Every time when this child used to accompany her sister, she would draw and now also she has got the following drawings. This itself shows us the child’s intense connection with her subconscious through this form of art.)

M: She does not have any health problem as such but I wanted to start treatment for her overall development.

PASSIVE CASE WITNESSING PROCESS

D:        Tell me what’s happening to you..? Can I send your mother out?

P: No.

OBSERVATION: Clings tightly to her mother.

D:        Okay, tell me what’s your name?

P: OBSERVATION: Sitting in mothers lap with her hands around mother’s neck. N……P……

D:        Tell me more about you?

P: PAUSE

OBSERVATION: Smiles and clings more to the mother.

D:        Tell me what are your interest and hobbies? What you like to do?

P: I like to swim, like to draw, I like running…playing.

D:        Wow! What else?

P: I like to play on the computer, like to watch TV.

OBSERVATION: Now she removes her hand from the mother’s neck and sits leaning on the table, yet she is in her mothers lap.

D:        What else you like to do?

P: Like to go to school.

D:        Very nice, very nice you are talking?

M: You sit on the chair and talk to the doctor.

P: OBSERVATION; child sits on a chair next to the mother but still holding her arm.

As the mother starts to leave the room, the child jumps off the chair, starts crying and goes and hugs the mother, and goes out with her.)

(The mother comes in with her after some time but now the child sits on the chair and mother on the sofa behind her.)

D:        OK, so tell me what else you like to do?

P: I’ll like to play – go on a slide. Like to read books.

D:        Very nice. You are speaking so well. What else you like to do?

P: Like to dance… then I like to play, then I do homework.

OBSERVATION: Looks behind towards the  mother.

ACTIVE CASE WITNESSING PROCESS

D:        And what are you scared of?

P: Scared of lions, tigers…

D:        What else?

P: Bhoot.

The mother had some work and she had to go out of the room. Immediately the child said no.

D:        You are speaking so well. Just talk with me and your mother will come in 2 minutes.

P: No…no…(OBSERVATION: She gets up and clings to mother and starts crying)

D:        OK you don’t talk, but can you draw till your mom comes back?

(She sits on the chair and starts drawing.)

(Since she was not ready to communicate even after so much of encouragement and the fact that at the beginning she had brought drawings, we ask her to draw.)

OBSERVATION: She covers the paper with the hand and also draws at one lower section of the page.)

D:        Wow! What is this?

P: This is my sister & me, & this is my father and my brother.

D:        And what is this?

P: A heart.

ACTIVE – ACTIVE CASE WITNESSING PROCESS…

D:        What is this heart doing here?

P: I love heart so I drew it.

D:        Earlier also you drew hearts. What about this heart you love?

P: I love heart like that only.

D:        Heart with arrows what does this mean?

P: Looking into the drawing. (PAUSE)

D:        What are you all doing?

P: We all are looking at the heart and thinking what is it.

D:        What does the heart mean?

P: I don’t know.

D:        You like drawing heart huh. When do you draw it?

P: In school. In my drawing class. I draw heart and stars and one day I drew heart and star in the Christmas tree.

D:        In this drawing who is having the flower? (We spotted a flower in the drawing she had made.)

P: My sister- she is just holding it.

D:        She is going to give it to someone or what?

P: Me.

D:        And heart will go to whom.

P: To my brother and father.

D:        Why?

P: Like that only.

D:        Like that only. OK… Would you like to draw something more for me?

D:        Wow! What is this?

P: A drawing.

D:        Of what?

P: Drawing of a garden. This is me and my brother.

D:        What are you both doing here?

P: We have come here to play.

D:        What are you playing?

P: Running and catching.

D:        What is this?

P: Flowers.

D:        Which flower are they?

P: This is flower, this rose and…this …this is pink flower.

D:        Draw one more thing for me?

P: OBSERVATION:  She draws human figures and then joins all of them together.

D:        Wow! What is this? I don’t know what it is.

P: My family.

D:        What’s your family doing here?

P: Ring-a-ring-a-roses.

D:        Ring-a-ring-a-roses. What’s that?

P: I don’t know.

D:        Whom you like the most in your family?

P: My mom.

D:        What about mom you like the most.

P: (PAUSE)

D:        You like or your sister likes?

P: I like more.

D:        What else?

P: (PAUSE)

ACTIVE – ACTIVE IN DIFFERENT AREA – FEAR

D:        What are you scared the most.

P: Lion and tiger.

D:        What about them scares you the most?

P: Because lion crawls and eat us.

D:        What else do they do.

P: Smiles.

D:        You said previously that you are also scared of ghost. What about them scares you?

P: (PAUSE) … I saw the movie called Road side Romeo. (This is a bollywood movie)

(Here when we ask her about fears, she herself goes to the area of movies, so we become active- active to explore this area.)

ACTIVE – ACTIVE IN DIFFERENT AREA -MOVIES

D:        What is there in that movie?

P: There’s a dog, many dogs but 1 dog’s name is Romeo.

D:        Go on?

P: There is a girl called Leila and she loved…. and that dog he loved Leila..

D:        I don’t know what they do? Love means what?

P: I don’t know.

D:        What about the movie do you like the most?

P: I like Leila.

D:        What about Leila you like?

P: (PAUSE)

OBSERVATION: leans on the table and hides mouth behind both palms.

D:        Which other movies you like?

P: Romeo & Jaane tu… (It’s a Bollywood romantic movie.)

D:        And what is there in that movie Jaane tu…?

P: I forget.

D:        Anything else about you.

P: Nods no.

D:        So you like all movies with love/

P: Nods Yes.

D:        What about it you like?

P: I don’t know… because nice things happen.

D:        What?

P: Like they don’t shout, they don’t hit and all.

D:        Anything else.

P: No.

Child goes out and comes back with another drawing along with the mother.

MOTHER’S OBSERVATION OF THE CHILD

She is very affectionate child.  She will go and give big hugs even to strangers. She is very fond of her younger brother and she will make him understand things by saying you can win this or that and she lets him win. Actually she is friendly with anybody and everybody.

END OF THE CASE

—————————————————

UNDERSTANDING OF THE CASE

OU OF PLACE/ OUT OF ORDER

Passive case witnessing process

Verbally the child didn’t speak anything peculiar but our observations regarding the child were very peculiar…

• Her clinging.
• Sitting in the mother’s lap.
• Holding mother tightly.
• Holding her hand while talking.
• Hugging the mother.

Active case witnessing process

• Clings to mother as she tries to go out of the room.
• Covering the paper with hand while drawing.
• A heart.

Active-Active case witnessing process

• I love heart .
• I drew heart and star in the Christmas tree.
• Drawing of a garden
• Flowers.
• Draws human figures and then joins all of them together.
• Too much family attachment.
• Ring-a-ring-a-roses.
• That dog he loved Laila Leila
• Like they don’t shout, they don’t hit and all.

WHAT IS THE FOCUS/CENTRE/ESSENCE OF THE CASE

• Love, attachment and togetherness.
• Love for heart.

This is very evident from her body language and all her drawings. Also this further gets confirmed from the mother’s observation of the child.

WHICH KINGDOM?

• Pure sensitivity seen.
• Drawings of garden, flowers.

This clearly points to the PLANT KINGDOM.

WHICH FAMILY?

This tremendous attachment to the mother, togetherness of the family, hugging and clinginess, love for hearts is very suggestive of the MALVALES family.

WHICH MIASM?

We observed that whenever she draws she covers the paper with her hand. This gives a hint of the SYCOTIC MIASM.

WHICH REMEDY?

The remedy from the Malvales family with Sycotic miasm running in the centre is TILIA EUROPA. BUT in the case we observed that along with the general theme of the Malvales family, the child’s focus was “Heart”. So when a further inquisitive search was made keeping focus on the “Heart” interestingly we found out a remedy TILIA CORDATA which also belongs to the same family where the leaves of the tree are heart shaped.
Thus the remedy given was TILIA CORDATA.

WHICH POTENCY?

At the end of Passive case witnessing process, verbally the child seemed to be at the ‘Name and Fact’ level but the peculiar body language which we didn’t understand initially and which got connected later on with the whole phenomenon, represented the child’s complete altered energy pattern. Thus the child (non-verbally) vibrated at the Delusion level. Therefore the potency given was 1M, single dose.

A follow up drawing

END OF THE CASE

Homeopathic Potency Selection



Hpathy Ezine, September, 2009 | Print This Post |

Even during the life of Hahnemann there was a split among homeopaths. A section believed in the use of potentized remedies and another believed in crude doses on the basis of Simila. Among those who used the potentized remedies, most were not in favor of very high potencies. During the later years of Hahnemann, the proponents of the crude doses decreased and the higher potencies came into greater use.

Homeopaths of all times have remained divided over the question of potency selection and even 160 years after Hahnemann’s death, the question of potency selection is still open-ended. Let us take a look at the views of some leading homeopaths of different eras.

The term Posology originates from Greek words ‘posos’ meaning ‘how much’ and ‘logos’ meaning ‘study’. In homeopathy, Posology means the doctrine of dose of medicine. A homeopathic dose means the potency, quantity and form of medicine as well as repetition. As it is a very lengthy topic to explore, I will just focus on the potency selection part of Posology.

Before we try to learn more about the potency selection, let us first summarize what potencies are available to a homeopath.
1. The Centecimal Scale, evolved by Hahnemann, denoted by the numerical designation of the potency or by the number followed by the suffix C or CH, e.g., 30C or 200C.
2. The Decimal Scale, evolved by Hering and denoted by the suffix X, after the number, e.g., 200x.
3. The 50 Millesimal or LM Scale – also known as Quinquagintamillesimal or Q potencies. Hahnemann evolved this scale in the last years of his life.

Potencies can be broadly classified as low, medium, and high. Low potency designates anything from Q to 12C, medium from 12C up to 200C and high from 200C upwards to DM, MM, DMM.

It is believed that the higher potencies were first prepared by Korsakoff in 1834 but came in popular use with Jenichen’s high potencies after 1844.

Now coming back to the question of potency selection, we will start exploring the views of renowned homeopaths of various eras. It would be appropriate to begin our tour with Hahnemann himself – the person who conceived homeopathic potencies.

Hahnemann first started to employ ‘similar’ medicines around 1790 and 8 years later began to experiment with gradual reductions in dosage. As a physician, he clearly became increasingly satisfied with the results of using dynamized medicines, because he continued to use them in preference to material doses until the end of his long life.

He started to conduct the very first experiments with dose reduction in the year 1798. This includes 2x, 4x and 2c. According to Peter Morrel’s research, In 1799 Hahnemann began to reduce the dose further, using 5x, 6x, 3c and 8x. In 1800 he begins to use 10x and in 1803 12c appears for the very first time. In 1805 the 18th centesimal dilution appears, which was to prove one of the most consistently favourite potencies that he used throughout his long career. In 1816 30c makes its first appearance and this remained his most extensively used and most highly recommended potency of all time.

Further developments include the first mention of 6c in 1819 and the first mention of 60c in 1824. In 1830 he first mentions Olfaction as a means of drug administration and this remained a very popular method with him until the end of his life. Finally, in 1838 the LM potencies make their first appearance. Towards the end of his life, he was moving more and more towards the use of LM potencies but still gave Centesimal potencies to majority of his patients.
During Hahnemann’s lifetime, he is known to have generally used only potencies up to 30C. But Farrington quotes Madame Hahnemann as saying that he had used the 200th and the 1000th when necessary. The 1000th, however, he seems to have used only once.

Beyond Hahnemann

Even during the life of Hahnemann there was a split among homeopaths. A section believed in the use of potentized remedies and another believed in crude doses on the basis of Simila. Among those who used the potentized remedies, most were not in favor of very high potencies. During the later years of Hahnemann, the proponents of the crude doses decreased and the higher potencies came into greater use.

Homeopaths of all times have remained divided over the question of potency selection and even 160 years after Hahnemann’s death, the question of potency selection is still open-ended. Let us take a look at the views of some leading homeopaths of different eras.

Boenninghausen, a contemporary of Hahnemann, was clearly in favor of high potencies. He wrote many papers in support of high potencies and listed therein many advantages like –
1. The sphere of action continually enlarges with high potencies so that in chronic ailments they hasten the cure,
2. In acute diseases, the effect appears quicker, and
3. They act in spite of discretion in diet.

Homeopaths like T. F. Allen, Richard Hughes, Dr. Wilson, Dr. Henry Dearborn, J. H. Clarke, Dr. George Royal, Boericke, Pierce, Edgar were in favor of low potencies and advised the same in most cases. On the other hand homeopaths like Boenninghausen, Hering, Lippe, Guernsey, Raue, Dunham, H. C. Allen, Kent, Boger, Nash, Roberts were all in favor of medium and high potencies. We can add to this list the names of Bell, Beronville, Borland, Stuart Close, Curie, Dewey, Gross, Fincke, Swan, Skinner, Jenichen, Ghose, Grauvogl, Hubbard, Sir John Weir, Margaret Tyler, Pulford, Templeton, Yingling, Waffensmith, P.P. Wells and Pierre Schmidt etc. All these homeopaths used the higher potencies with great success.

Most modern homeopaths like George Vithoulkas, Rajan Sankran, Jan Scholten, Prafull Vijayakar, Bill Gray, Robin Murphy, Alfons Geukens, Vesalis Ghegas, Massimo Mangilavori, Banerjeea, Anne Schadde, Luc de Schepper, Andre Saine, Eileen Naumann, Jayesh Shah, Jermey Sherr, Tinus Smits, Wolfgang Springer, Alize Timmerman etc. seem to be in favor of using higher potencies. Being in favor of high potencies does not mean using the high potencies to the exclusion of lower ones. The master homeopaths of the past and the present have been able to use the full range of potencies, from lowest to the highest, depending upon the case. The potencies most commonly used now a days are 6C, 30C, 200C, 1M, 10M, CM and the LM scale.

The LM scale has not been very popular among homeopaths, primarily due to historical reasons. It now seems to be coming into greater use as modern homeopaths are experimenting with it more and more. The likes of Schmidt, Kunzli, Voegeli, Patel, Chaudhary and Sankaran etc. have reported many cures with the use of LM potencies.

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 K R B RAJAN

    November 4, 2010

    SIR IT IS A VERY GOOD ARTICLE FOR THE BEGINNERS AND REGULAR DOCTORS WHO ARE ALREADY ESTABLISHED IN FIELD

  2. Bashir ahmad

    February 9, 2012

    Very good informatiom these are…In view of homeopathy princple high potencies are useful.High potency is batter than lower potency.

  3. Maureen

    May 27, 2012

    My Homeopathic Dr. Is giving me treatments of CM’s twice a day 15 drops for a month. She is trying to treat several acute problems in my body. I am 45 yrs old . My question … Is it dangerous or have you ever read of doctors giving such high potency twice a day for a month? I just began last night and have been trying to do some research on this but do not find any info.

    Can you give me your opinion please?
    Thank you very much
    Maureen

  4. DR SANTIMOY MUKHERJEE;B Sc;DMS(CAL)

    July 28, 2012

    The article is good,informative and needs to be read by all students of Homeopathy.

  5. DR SAPNA SANODIYA

    August 5, 2012

    it’s very good information sir for all HOMOEOPATH’S

  6. Tejaswi Nisanth

    May 24, 2013

    May i ask why only 30c or 200c mentioned always…..why not 40c or 190c ?….any specific reason ?….even homeo stores say that only 30 or 200 or 1000 only available….why so ?

  7. Anirban Ghosh

    September 12, 2013

    I have seen some homeo medicine can be used in ’12th Potency or above’. What does it mean ? Is that 12X potency. Pl. answer.

  8. Giridhar Saraf

    September 30, 2013

    Very usefull in detail, thanks a lot

  9. drash

    April 8, 2014

    wonderful article ..

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