Difficult case clinic.

Spanish and English Speakers. Appointments in person and also by telephone and SKYPE.

El I.H.M. ha establecido una consulta medica en Sevilla.Cada uno de los médicos que trabajan en ella han sido formados en el método Hanemaniano homeopático y en el uso del Repertorio de Boenninghausen para el análisis de los casos clínicos.


The I.H.M. Has established a consulting clinic in Sevilla. Each of the attending physicians is trained in the Hahnemannian method of Homoeopathy and uses the Boenninghausen Repertory for analysis.

Actualmente Gary Weaver reside en Sevilla y es el encargado de la toma del caso junto con Antonio Gil Ortega y Manuel Gutierrez Ontiveros. institutodemedicinahomeopatica.wordpress.com/institute-staff/

Currently, Gary Weaver is resident in Seville for the case taking along with Antonio Gil Ortega and Manuel Gutiérrez Ontiveros.

Igualmente ofrecemos formación clínica para terapeutas que quieran resolver sus casos difíciles, veríamos el paciente en la consulta con la presencia de su terapeuta y le demostraríamos la metodología Hanemaniana en la toma del caso y su posterior análisis.

We also offer clinical training for practitioners for their own difficult cases. We will see the patient in the clinic with the practitioner present and demonstrate the Hahnemannian methodology in the casetaking and afterwards in the analysis.

Nuestra consulta se encuentra en la Barriada los Príncipes Parcela 7 Bloque 8 Sevilla.

Por favor llamen por teléfono 606 207 345 a Manuel Gutierrez para concertar cita.

We have the clinic at Barriada los Principes Parcela 7 Bloque 8 Sevilla. Please phone Manuel on 606 20 73 45 to book your appointment or alternatively you can e-mail us below:

Email: education@instituteforhomoeopathicmedicine.com

Using the T.P.B. successfully.

Polony and Weaver have many thousands of copies of the SYNOPSIS software in general use in the homoeopathic community. People write us asking why they cannot find certain locations or symptoms in the Therapeutic Pocket Book and find it limiting because of this. Its not actually true, however there is a small learning curve with the T.P.B.

5 weeks ago, one such comment was made by a local practitioner regarding a patient of his with cancer. He presented me with a 5 page dossier of the case notes and another 3 pages of notes related to working out the case.

I laughed and told him to just tell me the symptoms of the physical disease expression. Within 5 minutes, I gave him a remedy to consider. He was stunned how on, in his words, a prescription could be made on “an incomplete case analysis”.  Big mistake, huge. For the next 20 minutes I went through his case symptom by symptom and demonstrated how each of the expressed sx were covered by the remedy. I showed him HOW the disease could only be considered on altered sx and that all of his mental emotional notes were either unchanged or personality and thus of no use.

He decided to prove me wrong and gave the remedy to the patient. To his amazement, the patient has begun to respond well to the prescription and is doing much better.

How long does I take to work a case out in the T.P.B.? Usually only a few minutes and either a single remedy is found or there may be 2 or three for consideration. A read of them in the MM will decide which should be used.

To use the T.P.B. is relatively easy. To understand the methodology requires a practitioner to change the method of casetaking a little. No bad thing when you realise is really moving closer to the method utilised by Hahnemann. More accurate and more successful.

The IHM will be running 2 day intensives shortly on how to take the case and how to use the P&W Therapeutic Book to maximise results. It seems such a shame to have the repertory that Hahnemann approved and not know how to use it properly.

We will conduct in Spanish and English here is Seville Spain. Contact us if you have a group that would benefit from learning Hahnemanns method.

education@instituteforhomoeopathicmedicine.com

When things you love hurt you.

Female age 35. Computer software writer. Pleasant personality, outgoing, no physical problems found on examination.

Feb 2017, presented with a feeling daily malaise and sickness. She had just started a new job 3 months ago and the problem began one week after commencing. She did not feel stressed or anxious with the job and actually looked forward to going in every day.

The sick feeling started after breakfast 7am, during the ride to work. It was a general feeling of discomfort and feeling just ‘off’. Occasionally when walking she would have to stop with a sensation of nausea.

When sat at her desk, she had a sensation of mild dizziness which ameliorated when she got up and did another task.

She complained of a recurring toothache for which the dentist could find no causation.

Upon enquiry as to the foods she ate, it seemed that she had begun experimenting with changing her diet to see if foods were the problem. She took orange juice, yoghurt, cereals or toast.

She drank about 3 cups of coffee a day. Upon enquiry as to the type of coffee, she said it was Instant as the coffee machine had broken and the management were a little slow in replacing the machine.

In my experience, in some people, coffee especially instant coffee (primarily consisting of the stronger and more bitter Robusta berries) can aggravate the digestive system very strongly. It can cause nausea, retching, a sense of unwellness, vertigo during sitting upright and many other symptoms. One remedy that can produce these symptoms exactly is Chamomilla. I did not need to repertories this case but have done so based on the EXACT symptoms she presented.

Click on rep chart to enlarge.

 

 

I gave her Chamomilla LM 0/1. One single dose. I asked her to NOT drink instant coffee again. She said the result was immediate. Within 10 minutes the sensation of malaise had left. The next day she did not get sick traveling to work and was not dizzy during the day. The coffee machine was replaced a little later and she enquired if she could have coffee again. I told her to try it. There was no untoward reaction from it.

I heard from her in Late April of 2017, no further occurrence of the problem.

The most common reason a prescription fails.

After studying the writings of Hahnemann for over 30 years, I am more than convinced that he was very clear as to the procedure for taking a case, and what symptoms are required to be used for prescribing symptoms.

It is no coincidence that practitioners who attend the IHM course, and are shown from the Organon and Chronic Diseases the instructions, and are presented with MANY case examples and discussions regarding each case, manage to go back to their homes and revisit difficult cases and have success. Not because the IHM have a modern conception and methodology but  simply because we work in the Hahnemannian manner.

The IHM decided many years ago to bypass all the practitioners of the era who offered explanations as to what Hahnemann was saying, and just take Hahnemanns own writings as good enough. By doing this, or members and students and practitioners have avoided the most common mistake made.

Nowhere does Hahnemann state that one symptom has priority or seniority over another.

In aph 6, he instructs to take ONLY symptoms that have changed since or just prior to the disease/infection, of the body and the mind. Here there is NO differentiation of mental or physical changes in terms of rank.

In aph 153, he states: 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.

Again NO differentiation between mental and physical symptoms.

If we be logical about this, Hahnemann is stressing to find altered expressions of disease in the now sick person, WHEREVER they are and WHATEVER they are.

In aph 133 he states: On experiencing any particular sensation from the medicine, it is useful, indeed necessary, in order to determine the exact character of the symptom, to assume various positions while it lasts, and to observe whether, by moving the part affected, by walking in the room or the open air, by standing, sitting or lying the symptom is increased, diminished or removed, and whether it returns on again assuming the position in which it was first observed, – whether it is altered by eating or drinking, or by any other condition, or by speaking, coughing, sneezing or any other action of the body, and at the same time to note at what time of the day or night it usually occurs in the most marked manner, whereby what is peculiar to and characteristic of each symptom will become apparent.

This applies to ANY symptom mental or physical.

Logic also dictates that if a sick person does not have an altered mental change… WE CANNOT USE IT! We do not use personality in our prescription ever,  UNLESS ALTERED.

Many practitioners during the time of Kent and since have been taught that the mental disposition is the key to solving each case.

They Quote aph 211 to support this postulation. This holds good to such an extent, that the state of the disposition of the patient often chiefly determines the selection of the homoeopathic remedy, as being a decidedly characteristic symptom which can least of all remain concealed from the accurately observing physician.

However: a read of the aphorism in conjunction with the topic under discussion from 210 to 230, will show that 211 is the cornerstone of dealing with one sided mental diseases only!

If a practitioner spend his or her time searching for mental or emotional states for the patient, they will miss out on the correct prescribing symptoms.

That is why we defer to original writings only and leave out interpretations so as to not make a mistake.

 

 

An acute fever and cough

I was awakened by a neighbour at 2:30 am who knew that medical practitioners lived in the back of the clinic. She was very concerned about her elderly father who was experiencing difficulties with a fever and a cough.

I also had another problem in as much as the woman who called me was Chinese and did not speak much Spanish or English.

In going into the sick room , I was confronted with an old Chinese male bent over coughing. Fortunately at this time, the womans young 10 year old son came into the room and he spoke both English and Spanish.

When faced with sickness, I always use my senses to collect information. The first thing I observed was that the room had a very musty smell to it.  As I approached the patient, it became clear that the patient was perspiring a little and that the odour was coming from him.

In talking to the woman through the son, she told me that her father had a fever for one day and it broke in the early evening. Then a short while later he began coughing and was bringing up a lot of gray mucus. The old man had requested her to make him green tea as he complained of a strong metallic taste with the cough.

We could not find out a reason for the fever so I looked at the symptoms before me.

  • The cough started AFTER the fever broke.
  • the expectoration was a grey mucous
  • a taste of metal
  • the offensive mold smell from his perspiration.

His daughter helped him to the bathroom and told me that his urine was extremely dark.

Based on these symptoms:

I gave Nux Vomica LM 0/1 in 3 doses every 20 minutes. By the third dose his cough had stopped and he fell peacefully asleep. In the morning he felt a little weak but was well on the mend.

 

Learning the Therapeutic Pocket Book.

Since 1986, the IHM has researched and promoted Hahnemannian homoeopathy. Led by Gary Weaver, the IHM staff have studied the writings of Hahnemann and Boenninghausen, and then collated the information so as to be useful in the practice of Homoeopathy.

Homoeopathy is not a spiritual healing therapy. It is a medical speciality for treating disease utilising a specific treatment protocol as outlined by Hahnemann. Writing millions of words during his lifetime, Hahnemann carefully enunciated HOW to practice and gave instructions to follow based on experimentation results and observable phenomena.

The practitioners of the IHM have all undergone intensive training in casework utilising the Therapeutic Pocket Book to ascertain remedies to study for the prescription. Gary Weaver and Vladimir Polony updated the Therapeutic Pocket Book starting in 2008 by re writing the rubrics  using the original German text, and then placed the context in modern English but retaining the original German meaning. This correction alone took 2 years. We then added corrections to the rubric lists, some of which were obtained from other researchers and verified by us. We removed the additional remedies added by Allen in his English edition but retained his layout. In doing so we left familiarity for the practitioner in using the TPB.

We have been fortunate to have been aided in language translation to Spanish (South American) by Guillermo Zamora, to Spanish (mainland Castellan) by Antonio Ortega and Manuel Gutiérrez. Italian by Marco Colla, and Hebrew by Vera Resnick.

It is necessary to comprehend HOW the TPB is to be used to complete a symptom.

  § 133
On experiencing any particular sensation from the medicine, it is useful, indeed necessary, in order to determine the exact character of the symptom, to assume various positions while it lasts, and to observe whether, by moving the part affected, by walking in the room or the open air, by standing, sitting or lying the symptom is increased, diminished or removed, and whether it returns on again assuming the position in which it was first observed, – whether it is altered by eating or drinking, or by any other condition, or by speaking, coughing, sneezing or any other action of the body, and at the same time to note at what time of the day or night it usually occurs in the most marked manner, whereby what is peculiar to and characteristic of each symptom will become apparent.

The TPB, despite claims to the contrary, can be used to ascertain general symptoms  or specifics. By fully understanding the meaning of the rubrics and how to combine locally and generally, the genius of the synthesis will ACCURATELY guide to one or a few remedies that produce the individual state under consideration.

It takes fully about a year of practice to become comfortable with the genuine Hahnemannian protocol and analysis method. Boenninghausen captured the rationale completely in the Therapeutic Pocket Book.

Your clinic success rate will increase quickly, and the non confusing methodology of repertorising will only take minutes and give a surety in prescribing.

The IHM teaches how to use the repertory and what the rubrics mean. We teach how to combine and incorporate valid PRESCRIBING symptoms for analysis. Using Hahnemanns protocol, often cases are worked out using 3-6 rubrics only. We do this via intensive 2-4 day training seminars either as a large group or individual training. (Spanish and English in Mallorca Sevilla Spain)

Contact us at:  education @ instituteforhomoeopathicmedicine.com

 

Case analysis using Boenninghausens Therapeutic Pocket Book.

It is true that the TPB only contains 125 remedies for evaluation. However, in practice, it is also true that most practitioners do not know the value or scope of most remedial actions. It is amazing to find out the curative power of remedies that we have a pre- conceived opinion of as to its field of action, and see it restore sickness to health outside of our comfort zone.

Let me give an example of a recent case with few symptoms. I tried a few remedies in the first 2 days of the presented fever, and nothing really worked. In the end I sat down and looked for what could be observed visually.

The patient had a sticky greasy perspiration. Mainly on the left side of his body.

I repertorised these 3 Sx .  I saw Bryonia clearly was top in the numerical values and as such I was preparing a dose of LM potency to give…

However, given that numerical values are only an indication of the frequent presence of a symptom in a remedy and not an INTENSITY value,  I went back and looked at the patient again and noticed yet another symptom. The perspiration was not clear, it had a brown dirty colour to it on the skin. Discoloured perspiration is not in BRYONIA.

I gave CHINA LM 0/1. Within 4 hours the patient was recovering.

What do we learn from this case? I believe that accuracy in symptom gathering is the requirement of the day. Once gathered, it must be assessed SOLELY on the basis of the symptoms and repertorised ACCURATELY and without prejudice to what we THINK the remedy is. Where a physical SX exists it cannot be ignored if it is a result of the infection.

We must then READ THE PROVINGS TO BE SURE.

Harvard Study Has Good News for Homeopathic Medicine

The American Journal of Public Health has recently published a survey article out of Harvard that shows that homeopathic medicine, while still only used by a small fraction of the U.S. population, has jumped 15% in use. In addition, most users put homeopathy among the top 3 complementary and integrative strategies they use in their health care.
The interest of this journal in this publication is linked to possible public health benefits american-journal-of-public-health-225x300from the use of homeopathic medicine. The principal investigator was Michelle Dossett, MD, PhD and the team also included placebo expert Ted Kaptchuk, OMD. They hail from Harvard’s School of Public Health and from a Harvard Medical School affiliated hospital, Beth Israel Deaconess. The teams notes that prior studies of homeopathy “suggest potential public health benefits such as reductions in unnecessary antibiotic usage, reductions in costs to treat certain respiratory diseases, improvements in peri-menopausal depression, improved health outcomes in chronically ill individuals, and control of a Leptospirosis epidemic in Cuba.”

The data was gleaned from the 2012 National Health Interview Survey. The researchers explored the prevalence and use patterns of homeopathic medicines among U.S. adults in relation to other complementary and integrative medicine (CIM) use. Versions of this survey in 2002 and 2007 found use of homeopathic medicines at 1.7% and 1.8% of the adult population, respectively. The 15% growth in the recent half-decade corresponds to an overall use rate of 2.1% in 2012. The most common conditions for which people sought homeopathic treatment were respiratory and ear-nose-and-throat complaints as well as musculoskeletal pain syndromes. Users tended to be more educated than non-users.

Use of homeopathy in the US is lower than in many European countries. The authors note, for instance, that surveys have found rates at 8.2% in Italy and nearly 15% in Germany. A recent Italian wire-service story reported findings of a 2012 survey by a homeopathic manufacturer that found much higher use, at close to one-in-six adult Italians.

The Harvard team reported that positive views of homeopathy were much higher among those who saw a professional homeopath compared to those who simply purchased the pills from the store and self-prescribed. Those who consulted professionals were more likely to feel that homeopathy was “very important in maintaining health and well-being.” The sense of the importance of the remedies was also stronger. More of those who’d consulted a homeopathic practitioner thought that homeopathy helped their health condition “a great deal” than did the self-prescribers.

Naysayers, who believe these medicine are nothing more than placebos, will likely question the additional perceived value post practitioner visit. Is it anything more than the greater level of investment in a placebo one has if the placebo is practitioner-recommended rather than self-prescribed?

dana-ullman-mph-cchThe article came to The Integrator from homeopath and author Dana Ullman, MPH, CCH (pictured). He sent notice of the Harvard publication and of the recent report on Italian use with this note: “Here’s some GOOD news about homeopathy!”

Ullman adds: “This survey confirms that a certain well-educated and well-satisfied group of Americans benefit from self-prescribing homeopathic medicines as well as from going to professional homeopaths. Although these numbers are much higher in select countries in Europe, it is more than reasonable to support individual choice in health care. Just as our country is a melting pot of different cultures and races, our health and medical care likewise needs this healthy diversity.”

Homeopathy has taken it on the chin the last two years. The Harvard study was published amidst a renewed flare up of bad publicity following a controversial 2015 report from the Australian National Health and Medical Research Council. The chair of the report, general practitioner Paul Glasziou, MD blogged on the controversial findings at the British Medical Journal. A wave of postings from anti-homeopathy writers, such as this, immediately followed.

Weighing the public health potential of homeopathic medicine requires a wading into a river of twin ambiguities. These can each be true simultaneously: 1) homeopathic treatment only has value as a placebo, and 2) expanded use of these medicines can be useful tools in the public health campaign against antibiotic overuse. This 2008 study, for instance, found that 13% of doctors use antibiotics as placebos. Mightn’t we have been better off, from a population health perspective, had they prescribed homeopathic remedies and not delivered this extra load of antibiotics onto the terrain?

French researchers spoke to this potential last year when they concluded that “management of patients by homeopathic GPs may be less expensive from a global perspective and may represent an important interest to public health.” The Harvard researchers included a similar note: “Because of potential public health benefits associated with the use of homeopathy, further research on this modality and targeted studies of users are warranted.”

https://www.integrativepractitioner.com/whats-new/news-and-commentary/harvard-study-has-good-news-for-homeopathic-medicine/

Reflections on the seminars of Dr. Gary Weaver in Seville

Reflections on the seminars of Dr. Gary Weaver in Seville on the methodology of Hahnemann and Boenninghausen

January 26th 2016

At the beginning of December of last year we had the opportunity here in Seville to receive a course of clinic with Dr. Gary Weaver, whom we already knew for having given months before a course in Seville on the methodology of work of Boenninghausen based on the Work of Hahnemann.

If the first course was very interesting to me, the latter has been for my clarifier how to apply the method in practice with real cases taken from the daily clinic itself.

I, like almost all my fellow homeopaths around here, have been trained in kentiana homeopathy, with all that this entails in terms of taking clinical history, symptom assessment, hierarchizing, and repertorization of the case, and In the ultimate application of “what must be cured” in each particular patient.

The reason for approaching the method of Boenninghausen has been due to a couple of motivations, the first of them, the dissatisfaction in the clinical result of the application of the kentiana vision, without doubt that personally I think I have helped many patients to However, I was not completely satisfied with the results I was getting and I do not think it was because of lack of study and dedication, I felt that there was something that did not fit completely with what Until now he had been practicing; The second motivation, and not least, is the complication of the Kentian method of working at the time of the patient’s clinical approach and the insecure terrain in which we see ourselves when we give the highest hierarchical value to mental symptoms,

The method of Boenninghausen, as Dr. Gary has explained to me, has represented a return to “sanity” within classical homeopathy, a return to the purest Hahnemanian sources, especially nowadays where the New currents called homeopathic remedies are moving away from the true spirit of classical homeopathy by entering into the realms of metaphysics and elucidation rather than the rational medicine itself brought to us by Hahnemann.

The method of Boenninghausen catches my attention for its simplicity, its effectiveness and its coherence with Hahnemannian homeopathy, and the two seminars, one practical and another theoretical one of Dr. Gary, have served me to learn the “a, b, c” Of this new, but old way of doing homeopathy, I recognize that we have a long and arduous way ahead to familiarize ourselves with it, with its way of taking the clinical history, its symptomatological hierarchy, its repertoire, etc., but what is important, And I think it is a feeling, that we share several doctors here, is that we are on the right path, in the way that Hahnemann and his best disciple Boenninghausen developed.

If these personal reflections serve for other homeopathic doctors to enter into this method, I would therefore be satisfied and I encourage from now on that other colleagues “recover” the true rigor in the application of homeopathy following the methodology of work proposed by Boenninghausen. And I also agree that it is fair to recognize Dr. Gary’s work to recover this Hahnemannian homeopathy in a homeopathic world that goes in a diametrically opposed sense, his work I hope will bear fruit in the future of our homeopathy.

Author: Dr. Manuel Gutiérrez Ontiveros. Homeopath Physician.

Course costs. Sliding fee.

One thing that the I.H.M. does for attendees of the courses, is to have a sliding fee depending on numbers. We have fixed costs that have to be met, yet are able to spread the costs over the numbers present for each course. For each course, we have usually 4 members of staff. Gary, Antonio, Manuel and Vera by SKYPE.

For example:

  • 1 participant is €1000 Euros
  • 2 participants is €850 per person.
  • 3 participants is €750 per person.
  • 4 participants is €700 per person.
  • 5 participants is €650 per person
  • 6 participants is €600 per person.

We just count the number of attendees and the cost is divided as per above.

For any GROUP attendances, contact us at education@instituteforhomoeopathicmedicine.com

We try and help the best we can.

https://instituteforhomoeopathicmedicine.wordpress.com/2017/04/21/post-graduate-course-in-english-in-seville/