Monthly Archives: December 2016

Subjective observation is the problem.

The problem with Diagnosis in homoeopathy is that it relies most heavily on subjectivity rather than objectivity.

Thinking manWhilst it is true that a symptom is pretty objective, the actual diagnosis as per aph 6, is not based on the entire collection of symptoms of the disease, but on relatively few that aph 153 describe.

In short, we look for the symptoms that describe the disease state, and possibly from which other exhibited symptoms presented spring from. Not only do we look for these symptoms that are peculiar to the disease state, but we look for a remedy that has the ability to produce the same symptoms.

For those steeped in the Kentian philosophy, the objective viewpoint will be slanted towards the personality/mental/emotional symptoms that the patient exhibits which may or may not be altered states of disposition from a pathological point of view and therefore lead to an incorrect prescription.

For others, with no understanding of pathology and disease symptoms, the inability to know what is common to the disease may lead to inclusion of many symptoms that are not prescribing symptoms at all.

It is this basic fundamental observational required skill that differentiates a true practitioner from the man floundering in darkness in a sea of symptoms.

This is why we fail in case analysis sometimes, but more importantly why conventional testing of homoeopathic medicines cannot be applied due to the prescribing protocol for symptoms.

It is not as easy as one would think.

 

 

 

I cannot repertorize mental symptoms with the T.P.B!

This is a common complaint from people who move from Kents repertory to the stressed_tired_drTherapeutic Pocket Book.

In our advanced practitioner course, we spend time showing people the correct way to analyse a case and how to use ‘states’ that reflect the altered disposition of the patient, as opposed to personality symptoms that are not signs of pathology.

The patients original condition was vertigo which came on without obvious causation. It was treated with two remedies which removed 95% of the Vertigo and relieved other symptoms experienced. However and again for no observable reason, an internal anxiety arose and has become the focus of the problem. The patient said that the type of anxiety experienced was something observed before over 40 some years ago, but not troubled overmuch by these symptoms after that.

Briefly, here is a recently received patient note and the analysis of the same.

…..Started feeling a building up of uneasiness. It feels like coldness inside the body. Inside the arms and sometimes the abdomen chest and head. Then apprehensiveness that something isn’t right, something’s going to happen. It keeps on coming, I have to work to relax.  Then slight wooziness began which in turn increases the cold sensation.
At times the tingling in the buttocks as well (explained he felt the anxiety in his body and currently is in buttocks.)
Have to lie in the chair and concentrate on relaxing, which helps, but is very difficult it it gets too bad. My wife had to leave to do some errands, I would rather she had stayed, made me more nervous to have her gone.
It seems like this comes from the body coldness sensation first, then the apprehension with no definite thoughts, then wooziness, then everything seems to excite more nervousness.

So here we have a pathological ‘state’ combined with a vertigo. The anxiety is out of proportion and has also spread into any thought that he has where something has not gone correctly as it should have. For example: “….I bought too much meat at the market and now I have bag it and freeze it…aargh!”

Rather than get into the  minutiae of his words and try to do a psychological evaluation, I just looked at the expression of his ‘state’ and went to the repertory.

Firstly the symptoms are aggravated by vertigo. He is aggravated, vexed by little things and they produce an anxious state. He becomes restless and feels anxiety in the body. There is a sensation of coldness internally. He desires to not be alone and the presence of someone else is comforting.

This is the entire picture of the pathology experienced. I repertorised in this way.

casevertigo

 

 

He had already had Lycopodium which removed the vertigo symptoms, and a quick read of Arsenicum confirmed that this indeed was the remedy to give at this point.

….thanks Gary, I just took it. Seems to be relaxing. I’ll try to go back to bed if I can.

Using the Therapeutic Pocket Book

Recently got a call from a new user of the TPB. She was frustrated that could not find a symptom.

happy-woman-fotolia_12331389_subscription_xxlThe patient had a new symptom of extreme dryness of the mouth on waking. Could not find it and needed help. The TPB . Despite much explaining that the TPB is based on components, it takes a while for practitioners to grasp the concept. Every symptom is reduced to the component of the totality and then recombined in a synthetic manner to reproduce the complete.

After reminding her of the above I nailed it down in 5 seconds. Combined with another symptom, she was able to make a good prescription of Phos.

mouth