Defining the problem
Once the case is taken well, interpreted, and recorded properly
the physician should be in a position to define the problem precisely.
The record should guide him to understand the person and his disease.
The sickness of the person gets expressed at his various levels,
and to bring all such expressions together to get a whole picture,
requires a clear understanding of what Hahnemann stated “ what is
to be cured in a disease, that is to say in every individual case
of disease “.To define a problem means to define the individual
who is facing the problem. The individual is fully revealed to
a physician from the effects of different events associated with
the individual as well as from the related data collected from various
sources. Diagnosis of the disease, which is of crucial importance,
would segregate the peculiar characteristic expressions from the
common ones. Thus, only by precisely defining the problem, a physician
would be in a position to go ahead further in the right direction.
Classification and evaluation of symptoms
It is a well-known fact that all the symptoms in a case
are not equally important. After taking the case, a physician faces
quite a big number of symptoms which are required to be analyzed,
classified, and evaluated in order to arrange such symptoms hierarchically.
Dr. Elizabeth Wright has given a very practical solution to this
problem:” As soon as the case is taken and the physician sits down
to study it, he will find it useful to run down the list of symptoms
and mark with M opposite the Mentals, G opposite Generals, PATH
opposite the Pathology , P opposite the particular and O for Objectives.
For further clarifying , he may under line and peculiar symptoms
in red “. This exercise undoubtedly is very useful for beginners,
but it can prove equally beneficial to all the practitioners. However
, the experienced and seasoned practitioners do it mentally.
Analysis and classification give an idea about the case in respect
of its nature and the type of symptoms, and therefore, evaluation
can be done by different methods.
The schema of the order of importance of symptoms according
to Kent is :-
Mental : Will ( Emotion )
Understanding
Intellect
Physical generals :
Time, temperature, weather,
position, motion, external stimuli, eating, drinking, sleep, clothing,
and bathing.
Particulars :
Strange, rare and peculiar
and particular modalities.
While Boger specially stresses pathological general, Boenninghausen
gives more importance to concomitants and modalities.
All the three evaluation methods are to help the physician,
and not to confuse him. After the case is well taken, evaluation
of symptoms according to the case would not be difficult. The case
may have different dimensions, which may prove useful to find out
the similimum. The objective of all these methods is the same, i.e.
to find out a correspondence, but case should be analyzed and evaluated
by different methods and techniques to facilitate the process of
finding out the similimum
The three standard methods of classification and evaluation
propounded by Boenninghausen, Kent and Boger are of practical use
in repertorisation.
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