Monthly Archives: July 2016

What is a a prescribing symptom?

§ 153 Sixth Edition
In this search for a homoeopathic specific remedy, that is to say, in this comparison of the collective symptoms of the natural disease with the list of symptoms of known medicines, in order to find among these an artificial morbific agent corresponding by similarity to the disease to be cured, the more striking, singular, uncommon and peculiar (characteristic) signs and symptoms of the case of disease are chiefly and most solely to be kept in view; for it is more particularly these that very similar ones in the list of symptoms of the selected medicine must correspond to, in order to constitute it the most suitable for effecting the cure. The more general and undefined symptoms: loss of appetite, headache, debility, restless sleep, discomfort, and so forth, demand but little attention when of that vague and indefinite character, if they cannot be more accurately described, as symptoms of such a general nature are observed in almost every disease and from almost every drug.

A prescribing symptom is a symptom that characterizes the disease state as exhibited by the patient in his or her own peculiar way. That is: Peculiar to the patient , individual and therefore peculiar (either singularly or in combination with other symptoms) to but a few remedies.

In collecting the information required to make a homoeopathic prescription, we take note of nothing except the exhibition of changes that the known pathological disease makes in the patient. The symptoms exhibited will be a deeply individual reaction to the infection. This does not mean that the infection or ‘disease’ will always be reflected in strange or unusual symptoms, but it does mean the infection will perhaps make a person react to the infection with an affinity toward a location or a heavily one sided expression of the disorder.

For example the way a fever manifests itself. First it may be heat, then followed by chills… then later it may be chills followed by perspiration. In the midst of a prolonged fever there may be acute thirstlessness or an aching in the bones.. these are the characteristics of HOW the body reacts and expresses the disease state.

Many times I watch students trying to elicit mental symptoms during a case of disease instead of OBSERVING the patient and recording the physical symptoms in all facets of expression.

the more striking, singular, uncommon and peculiar (characteristic) signs and symptoms of the case of disease are chiefly and most solely to be kept in view.

So a prescribing symptom, is an expression of how the disease has modified the state of health and detailed by Boenninghausen constitute the totality of characteristic symptoms:
QUIS : The make up of the patient
QUID : Peculiar sensations
UBI : Location of the disease
CUR : Cause of the disease
QUOMODO:Modalities of circumstances
QUANTO :Modality of time
QUIBUS AUXILLUS:Concomittant of symptoms

It is the qualitative totality or the characteristic symptoms to be the only one which constitute the totality of symptoms in real sense.

We discuss this in great detail in our intensive course….PERSONAL TRAINING COURSE.

A prescribing symptom is based on the above collection of data and is representative of the disease as expressed by the patient, and is an altered state of health as a reaction to the infection or trauma or circumstance.

Starting the English course throughout August from Monday 1st in our Sevilla north Clinic.

clinic1

Torticollis

As the world turns

So.

Picked up a couple of family members at the Station and went around to the house. I think when the family came in and I was there, the ‘patient’ knew something was amiss. We sat and talked and I explained the situation carefully and as thoroughly as I could. I laid out the options for treatment and I gave my recommendations and actions to take. We arranged to meet in my clinic in the morning to discuss the choice made.

Ive done this lots of times, talk to people I mean, telling them that their life expectancy is suspect or at worse, shortened within a recognised time frame. It was a little different this visit, looking at the face of a 30 year old adult that I recall as baby and then a toddler and then through the years. It always is a wrenching feeling to be the giver of bad news, and yet with this child/woman there was none of the quiet deep desperation I usually am swamped by, just an overwhelming feeling of love and care and gratitude for having her in my life no matter how long or short. This kid aint being let go so easily.

I see in the eyes, that acceptance was already setting in. The patient had not felt on top form for a while.

I was asked one question, “Are you sure?” the only question needed to move to the next step.

Never one to feel sorry for herself, always a practical person, and closest to me in temperament, the thoughts turned to the children and partner and what needed to be done for them. I left the family to discuss things.

Reflecting on life, there are many things that we do as teenagers that are downright stupid. Some have repercussions later in life, and I rather suspect that this is a contributory factor in this case.

Well- I hear no fat women singing and thus the fight is on. Im pretty good at my job~ now I have to become very amazing.

New developments in Repertorial analysis.

What is a prescribing symptom?

According to Hahnemann:

§ 153 Sixth Edition

In this search for a homoeopathic specific remedy, that is to say, in this comparison of the collective symptoms of the natural disease with the list of symptoms of known medicines, in order to find among these an artificial morbific agent corresponding by similarity to the disease to be cured, the more striking, samuel_christian_hahnemannsingular, uncommon and peculiar (characteristic) signs and symptoms of the case of disease are chiefly and most solely to be kept in view; for it is more particularly these that very similar ones in the list of symptoms of the selected medicine must correspond to, in order to constitute it the most suitable for effecting the cure. The more general and undefined symptoms: loss of appetite, headache, debility, restless sleep, discomfort, and so forth, demand but little attention when of that vague and indefinite character, if they cannot be more accurately described, as symptoms of such a general nature are observed in almost every disease and from almost every drug.

So while we follow and compile symptoms to form a true picture of the disease, the prescribing symptoms are the characteristic symptoms of the expression of the disease AND characteristic of a remedy.

A lot of practitioners do not understand that we cannot just throw all the symptoms into the computer and come up with an accurate remedy prescription, Neither can we elevate mental emotional states above essential physical symptoms. We have to separate the person from the disease, and in the disease picture, we have to isolate characteristic expressions of the individual reaction to the disease and not involve personality or preference or weaknesses or lifestyle as outlined in aphorism 5.

If we read the aphorism above, Hahnemann clearly states that general and undefined symptoms are not to be considered.

To test the understanding of students, I would give a case with 10 symptoms and ask them to grade them in terms of importance to the case. Sometimes it would take an hour and with some students it could take days. There is more to grading symptoms than I am mentioning here but all the instructions are in the Organon… and we teach it in our courses.

A few months ago, I was going through the TPB and wondering if it was possible to have a list of 3 or 4 essentials symptoms that only a few remedies had and know them as the characteristic prescribing symptoms of both a disease and a remedy. Vladimir came up with model to check this out and we soon decided that it was a non starter. Too many possibilities and too many nonsensical triads.

However, we pursued the idea and recently Vladimir put together a variant on the concept and Ive been working with it for the past week. Today I sent him an email with defined rules for the software and we will trial that when it is prepared.

However. I have gone through a lot of my old cases on the mark 1 version, and I have been surprised how characteristic remedies that cured the patient were found in two or three rubrics. It made me look at my rubric choices and re repertorize with only PRESCRIBING SYMPTOMS.

In a few cases where I had failed, I got remedy suggestions that I never considered. When I read the remedies, I was surprised how they fitted in all the key points.

I have taken 6 cases using the module this week, Based on the criteria Vlad and I implemented, at first the cases were not working out too well. In the end, I repertorized the cases with ONLY absolutes and within 3 rubrics, I had my remedy defined. Afterwards, I checked through all the ancillary symptoms, and found it was easy to get sidetracked as these were generally undefined and vague.

So what do I think of the module we are testing? Its a mathematical formula that is infallible in terms of finding connections based on what is possible to match and what is not. However, it can never choose the right rubric/s to input. Using the module has made me be brave and ONLY choose essential symptoms and disregard others. There are cautions in using it, and we are changing things to fine tune but………….. it works. We just need to be sure that we do not disregard something important. Its a work in progress, but the potential is enormous.

Question-iconOf the 6 new cases I took using the module, 3 were acute. The remedies were found in less than 1 minute and ALL have worked. In one of the chronic cases, I saw immediately where I had misled myself and rectified the medicine immediately. I have no follow up results yet.

Exciting things ahead….

A case of Traumatic Hemarthrosis

wequarMr H. met with a motor vehicle accident while returning home from his office. Somebody took him to the nearby hospital, and they after dressing the wound suggested him to consult an orthopedic surgeon in the city. While he was waiting outside the surgeon’s cabin, he called me and asked for any scope in Homeopathy. I asked him to let the surgeon examine first to rule out any fracture. After a few hours he called me again and said that the surgeon has ruled out fracture, but there is a huge collection of blood inside the joint that must be removed with a syringe, hence hospital admission needed. I said if there is huge collection of blood, and then let the surgeon do his job first, and then later I can give medicines (It is also risky to take motor vehicle accident cases). But he was not ready for joint aspiration, so took a discharge from the hospital against medical advice.

After one hour, they knocked my door. I told the bystander that what he did was not the right way. Even the bystanders told me the same, but they had no other option as he was strongly forcing to leave the hospital. When I examined the knee joined, it was swollen and stiff, and patella tap test was positive showing the presence of blood in the knee joint capsule. He had severe pain along with extravasation of blood. Still, he was not bothered about the nature of injury, and said goodbye to the surgeon. Considering the available indications, I gave him Arnica 1M in water, to be taken every 30 minutes interval, along with one bottle of Placebo pills. I was not fully confident in this case as the absorption of blood from the joint capsule is not easy. Next day morning he informed me much improvement of swelling, pain and stiffness of joint. So, I asked him to stop the drops and use only the pills.

Today he visited my clinic and found the patella tap test negative. Unfortunately, there was no MRI taken before and after the treatment. Even there is no option to get an evaluation from the orthopedic surgeon as he was discharged against medical advice (Still I asked him to get at least the hospital bill). Such cases become more valid when we have documented evidences. Anyway, I am happy to see homeopathic medicines avoiding a surgical procedure. The real credit goes to that patient who trusted Homeopathy than the Homeopath who treated him .This case also gives me confidence to accept such cases.

Dr Muhammed Rafeeque
Kerala, India.

 

A case of mind-body disorder

PK and I had a SKYPE conversation for an hour discussing his case.

He suffers from chronic lumbar pain of a cramping nature.

PK is Indian and raised in Britain. As a child his parents struggled to make a financial living with the burden of income falling to the mother. There was always anxiety in PK from childhood as he came to understand the value of money and the necessity of it. He worried about income. When he completed his A levels, the family immediately found him a job and he was forced to work and earn money. Within a few days he started having visual issues expressed as flickering in his eyes.

A few months later, PK broke his right ankle in a sporting accident and after operative procedures, it was left at a 20 degree offset.

PK calculates he has seen 50 specialists regarding his back and the consensus is that he has perhaps bulging discs. The pain spread for a while to his neck but has disappeared from that location.

2 years ago, he went to a physio who diagnosed him with mind body syndrome. He then put him on a treatment plan that included running and within a month all the back pain went! However it came back after a year and is still present.

In taking the case, I took each symptom and compiled it as a sensation, a location and a modality.

  • He said when he awoke, his mind was filled with negative thoughts, worried about money, worried about the future, this lasted about 4 hours until he started working….

  • He said his physical condition (the back pain) was aggravated by rising from a seat.

  • The back pain is cramps and spasms

  • There was a general disposition to catch colds easily.

  • He had difficulty sleeping. Mind always busy.

  • Sometimes he felt suicidal but seems to have lifted a little.

  • Felt 100% better for physical exertion.

I analysed the case to its bare essentials.

My rationale was that his anxiety also transferred to his body and was expressed in lumbar cramps. The amelioration was physical exertion both for the mind and the body.

I put in all the other symptoms just to show a comparison.. I usually just use the expression of the disease as above and carefully compare the remedies..

For me the determining factors were amelioration mentally and physically by exertion and the expression of anxiety in the body…

A careful reading led me to SEPIA as the initial remedy.

We will follow the progress.

August in Seville.

https://instituteforhomoeopathicmedicine.wordpress.com/personal-training-course/

 

Much interest and correspondence for the English 5 day personal training course. Practitioners from Austria, the UK and Hong Kong. We recently completed training with colleagues from Poland.

We know that air fares fluctuate depending on the day of travel so we accommodate practitioners by having the start date mid week or at a weekend if we can facilitate. Also, if the colleagues are staying more than 7 days, we can give a one day break in the course to allow them to rest and assemble the information in their head….and then back to the study.

This 5 day course is the foundation for all homoeopathic learning. We believe that the therapy of homeoeopathy can be learned in one year if taught correctly. 4 months of that time would be devoted to practical case taking and analysis and practice and applying all the information that has been absorbed. 5 days of solid teaching will remove a lot of misconceptions and will give a firm and sold rationale for using Hahnemanns therapy with the doubt removed as to what to do.

laptop2

Remove the Kent overlay!

The biggest obstacle to returning to the true application of the therapy of homoeopathy, is letting go of all the filters of Swedenborg doctrine as promulgated by Kent.

Kent single handedly,  managed to infuse the medical practice as developed by Hahnemann, into a quasi spiritual practice that diluted the efficacy of treatment.

The list of homœopaths who were members of the Church of the New Jerusalem and influenced by Swedenborg’s writings stretches from John Garth Wilkinson, who was both one of the first English homœopaths and the first translator of Swedenborg into English, through most of the great American homœopaths of the later 19th and early twentieth century, to a few of  today. The major figures who were responsible for the subversion of  homœopathy, were particularly Hering and Kent but also Grimmer, Farrington, Boericke, Tafel, Holcombe, Gram and Wesselhoeft were not only members of the New Church but were also deeply influenced by Swedenborg’s philosophy.

As is the case of every transcendentalism, Swedenborg´s also developed a symbolism, based upon analogy. His particular model depicted “spheres of influence”: the soul; reason and will and, finally, imagination, desire and memory. It is evident that this conception directly influenced Kent´s semiology.

oresme_spheres

Swedenborgs Doctrine of degrees: The greater the number of dilutions (in this case, on a scale from 1 to 200), the greater the potency of the homeopathic medicine; likewise, the higher the level of spiritual rarefaction (from the physical world to heaven), the closer one moves to the Lord

Some of Swedenborgs theories appeared to correspond to homeopathic notions: besides correspondences theory, the idea of the representation of the maximum through the minimum (consequently, of minimal doses), the refusal of aggressive medical intervention, the stress upon body-mind relationship, the postulate of matter-energy unity, the octaves scale (employed by Kent as a guide to the sequence of dynamizations). However, these affinities do not suffice as an explanation. It would seem that Swedenborgs ideas provided an “existential solution” that surpassed the frame of homeopathic doctrine.

Unfortunately, it resulted in a misguided answer to the deterioration of Hahnemann´s doctrine current in American and British Homeopathy. “Classic” homeopaths thought that therapeutic pragmatism was eroding the philosophical axis and many foundations of Homeopathy. That is to say, the hard-core of the technique was being discarded in an amazing speed by voices that claimed to “modernize the method”, even if it would imply in the abandonment of epistemological bases. A proper answer ought not to have attempted to transform Homeopathy into a new religious conception. This was not perceived by hard-liners, who fell prey to ideology, making Homeopathy the hostage of inflexible dogmatism.

As a fact, Kent did anchor most of his philosophy in Swedenborg´s system. Expressions such as “the inwardness of man”, his famous “organ correspondences”, the hyposthatization of will and thought to the center of human existence, all against a background of moral exhortations, manifest this influence.

Notwithstanding, there is another element that must be taken into consideration: emphasis on mental symptoms constituted for Kent more a guideline to the study of Materia Medica than a priori instructions concerning actual prescription. On the other side, it must be admitted that Kent´s new method of learning remedies led to the establishment of stereotypes. And this outcome deserves further discussion as such “medicinal personalities” threatens to substitute the plastic flow of the prover sensitiveness. No alleged typology may represent an improvement when compared to isolate symptoms, as they appear in the Pure Materia Medica. Provings do not depict complete images that are to be overlapped to the personality of the patients in order to find the suitable remedy. There are no Lycopodium-patients, no Sepia-personalities, no Sulphur exists. What we may find are persons, human beings, whose specific susceptibilities may partially or completely react to the  provings of each one of these remedies.

What emerged as a didactic tool became a distortion. Mental symptoms were exalted, under an archaic light. And it stimulated Homeopathy to construe static pictures.

In a framework that requires singularity, it is highly probable that mental symptoms may more easily convey particular traits. Human verbal process is more attuned to psychical features than physical ones. Sadly, this fact was misunderstood and many homeopathic schools neglected “organic” manifestations as they posited mental symptoms as the only guides of prescription. We can only appraise this development as completely wrong in the light of Hahnemanns research and directions and attributable to Kents religious views.

BIBLIOGRAPHY

COULTER, H. L. Divided legacy. 2.ed. Richmond, North Atlantic Books, 1982. 4vols.

HEMPEL, Ch, J. Organon of the Specific Homeopathy. W.Radde. New York. 1853

KENT, J. T Materia Medica. Ed. Luz-Menescal Rio de Janeiro, 2002

KENT, J. T. Lectures on homeopathic philosophy. Memorial Edition. Chicago, Ehrhart & Karl, 1929.

KING, W.H. History of homeopathy and its institutions in America. New York, The Lewis Publishing Company, 1905. 4v.

MURE, B. L’homeopathie pure. Revu, Augmenté et Mis en Ordre par Sophie Liet. Paris, J.-B. Bailliére, 1882.

ROSENBAUM, P. Miasms. Roca, São Paulo, 1998.

 

Personality in Decision Case

Posted by Dr. Guillermo Zamora on September 6, 2014

On the other hand, if it is true that Hahnemann states in Organon (6th) that mental symptoms can be important in a case because these are often characteristic, the truth is that the characteristic symptoms may be from a location, a sensation, one embodiment, or combination of two or three of these elements of a symptom. Anyone who has read some of the cases of Hahnemann will realize that he was more cases of disease and not the patient’s personality.One of the common teachings of all kinds of current trends, is that during the taking of the case, the most important thing is that the patient’s personality is taken into account for purposes of identifying the homeopathic remedy based on the fallacy that the remedies have personalities identifiable, which once studied in depth the Materia Medica Pura, leads us to the conclusion that this is completely false.

Moreover, Hahnemann never referred for mental symptom of personality, but the change in the mood for the disease , ie, mental patient ‘s disposition to the disease. Aphorisms 210-213 (Organon 6th edition) make it very clear mentioned, but it is clear in the footnote to the Par.:210 where the teacher says, (Bold letters I have put myself)

“How often, for example, we find patients exhibiting a state of sweet and benign mood and who for years have been afflicted by disease of the most mortifying, to the point that the doctor feels moved to estimate and pitied the suffering! But if he can overpower the disease and heal the patient-what often happens in practice medical-very possibly you will see with astonishment and horror a fearsome change in their mood. You will witness their ingratitude, cruelty, refined malice and bias most shameful and degrading to humanity, which were precisely the qualities that the patient had before becoming ill. “

“Those who were patient when they were in health, often become obstinate, violent, hasty, or intolerant, capricious, impatient or distrustful to the sick ; who they were once pure and modest, often become lewd and shameless.Who had a clear mind is not uncommon to become intellectually obtuse, while a person timid mentality can become more prudent and sensible and a man slow to decide may acquire great presence of mind and quick resolution, etc. . “

This should lead us to understand that homeopathy does not cure personalities, and reaffirm what was said in the Par .: 6 taking into consideration ” only deviations based on the previous state of health leading to the now sick individual “, ie, all that has changed in the patient, including mood.

Boenninghausen in his younger written ” A Contribution to Concerning the Characteristic Value of Symptoms Judgment ” indicates that knowing the personality of the patient is necessary, but only for it to be considered as a benchmark to detect everything that differs from her during illness and deserves special attention .

Do not confuse individual personality traits with the symptoms of the disease. Only mental symptoms that are related to the disease may be important for the professional who takes a case, but as we said, only those that have been altered mental status from the patient had in the absence of disease. Boenninghausen again put clear when he mentions the following in his younger written ” The Medical Records “:

“… [Should not] astray by personal and individual traits. Since individual personality is often very different from the individual genius of the disease, and although the first can often cause a variation in the choice of remedy, anyway this selection must always be such that rests inside the sphere of action of the genius of the disease. “

It should then mention that a remedy is always in its pathogenesis various mental symptoms that develop in different contexts and that some of these experimental symptoms may even have matches with other remedies.Not the personality that should lead us to identify them but his genius (Organon VI Par.:130). Sometimes, the professional misguided by these teachings ranking, even mental symptom but personality, neglects data in the case might be more important, for example, a location over the “consistency hard ” tumor could be a better guide;sometimes a cancer that produces an ” ulcer surrounded by blisters ” or a cancer that produces an ” ulcer surrounded by blisters, with foul – smelling discharge ” (sometimes in the same case can change the remedy for the pure modification of the sign with respect to smell, for example, Lachesis to Rhus Tox ), or cancer where the patient is prone to ” wounds, bleeding profusely , ” can reduce the number of more remedies homeopathic during analysis and therefore give us a more hopeful outcome and blunt to the case, rather than be giving prominence to the erroneous teaching of nesting mental symptom.

From this angle, I dare say that anyone “master” who malinforma from the perspective of the personalities both taking the case to homeopathic provings, nor is homeopath nor Hahnemannian, but on the contrary, is nothing more than a disorienting gullible students, producing precursors and existing fans of amateur psychological quasi spiritual currents, which also have been dangerous to become real enemies of homeopathy as medical therapy.

With great sadness I say, that only a few homeopaths have the courage to face the lies of their “masters” and noted the discrepancy between these currents and true homeopathy through their research, dedication and attendance at seminars where they actually taught the scientific method of homeopathic practice. In Latin America they can be counted. Hopefully we can persevere and make us ever more. And you what do you expect?

Training course 8-12 August. (English only)

https://instituteforhomoeopathicmedicine.wordpress.com/personal-training-course/

ptcWe are now booking for the 8th of August in Seville. This course will be in English. The Spanish courses continue in September.

We keep the classes small. From 1-5 people only. Medical and non medically qualified practitioners accepted.

The teaching is interactive but highly structured. It is based solely on the works of Samuel Hahnemann with many examples and case studies to show the methodology in practice.

You will enjoy the city of Seville for a vacation. What better way to learn and relax than this.

Fine foods, good restaurants, a beautiful city to explore. 

 

 

This is a good opportunity to learn Hahnemannian homoeopathy in a beautiful setting. The most important thing is that the teaching is from original sources and therefore not reliant on personal interpretation or deviations from Hahnemanns methodology. Given that Hahnemann was most successful in the practice, we see no reason to adopt lesser practices or opposing viewpoints in the therapy.

You will leave the course with a notebook full of information and with cited references for home study to continue your education. 

We look forward the next student intake.