Tag Archives: Case taking

Maintaining Causes and Anxiety.

Over the last year, I have seen an increase of patients with Mature onset anxiety. (Age 58 on). A variety of reasons and a variety of medicines. However, the commonality among the patients is the age. So what could trigger off this debilitating condition?


Recently, I have been looking at water, its composition, the process of filtration from the supply companies and what we actually end up with despite what the label says. Im disappointed to say the least.

We live in a damaged world. Greed and ease of process take precedence over the wellbeing and welfare of humanity. Processed food, genetically modified food and food devoid of essential minerals and vitamins is the norm. My research into anxiety led me to make an astounding discovery, and one which I suspect is a cause for an increase in patients experiencing anxiety disorder.

In 95% of the patients I have with anxiety, they have low Magnesium. Investigations show in the USA that 75% of the population have low Magnesium. It is no wonder that Antidepressants are prescribed so much in the USA. Only 25% of the population have just enough Magnesium to fulfill their needs.

Medical wisdom states that 200 to 300 mg of Magnesium a day will help or rectify a severely anxious person, and true enough it does help. However, if the supplement is stopped, the problem returns.

I am working on the hypothesis that water is the best re up take medium for minerals and have postulated a premise for evaluation and am conducting my experiments as outlined further in this article.  Bear in mind, Homoeopathy and the law of similars is the ONLY medical therapeutic approach I take for applying a cure.

What I am doing here comes under the heading of ‘removing maintaining causes’. If an absence of a required mineral causes a problem, then the answer is to replace the mineral and no medical intervention is required.

In my home, I have this cheap €59 water dispenser. I love it because it holds 7 litres of water and can give room temperature or cold water. Here in Sevilla Spain, the current outside temperature is 42C so the cold dispenser is used a lot. The water is usually either Spring water or Distilled water. I put a gallon of the Spring or distilled water in the top container, and I add a teaspoonful of Himalayan rock salt into it. I stir and leave for about 2 hours. This adds back, firstly TASTE to the water without it being salty, and secondly it adds 84 minerals in balance including Magnesium.

Now I dont suffer from anxiety attacks or generalise anxiety, but I think its likely that I perhaps have depleted Magnesium levels so this will help. It has been my experience that this gentle intake of minerals through water is something that works well and lasts longer.

Drinking Soda and coffee will remove Magnesium… Soda will really block the intake… coffee can be overcome with a glass of mineral rich water.

So why is this being mentioned on a homoeopathic site? Simply because we can be in a hurry sometimes to prescribe a medicine when simple steps can rectify a situation. I would be called to elderly patients exhibiting signs of weakness, spaced out, dizzy, incoherent etc, and the answer was either give them water with electrolytes, (Dehydration) or a multi vitamin infusion.

Im looking at anxiety in the same manner where there is no obvious cause or rationale. Many ‘cures’ have been made with Magnesium replacement and so I feel it pertinent to mention. It is a lack of basic requirements for the body.

A Strange case: answer and analysis. 2/2

The Case:

A lady patient talked to me on the phone from the USA and presented the following disease condition for prescribing.

At first, it was easy to hear her, but as the call went to the 15 minute mark, her voice became harder to hear and was becoming quieter and quieter.

She told me that for the past 6 months, she had suffered from a sore throat and extreme weariness and tiredness of the body. She said her knees felt heavy and weak, her hips also, in fact all her lower limbs were weak and tired. Her profession is a trainer for phone consultants for a technology company, and she had been off work for a couple of weeks due to voice issues. She said she would cough , some phlegm would come up and the tone of her voice would change, usually to a higher pitch, much weaker and empty sounding… sometimes she would be unable to talk at all.

Further enquiry produced the following symptoms. The coughing would induce the phlegm (green) to expectorate. She said the taste was like a spoon of sugar and not pleasant. Along with the cough , there would be a feeling of lassitude and weariness in her arms spreading across the upper chest with difficulty in breathing. She felt better not moving at all and deep breathing helped her to breathe more easily.

She stated that she needed to urinate more frequently at night, but did not really feel an urge, just the fullness of the bladder informed her of the need.


There were a number of ways to approach this case. We here at the IHM primarily use the SYNOPSIS P&W THERAPEUTIC POCKET BOOK as our guide to analysis. For those that know this particular remedy, it would not be necessary to repertorize as the SX are clear, however we present analysis from the TPB to show how it is done.

The above are the presentation of the throat sx. We then could look at the other sx associated:

These two reportorising sheets are for demonstration only to show a choice of SX to use in rubric form. If we converge them we get:

We do not advocate using more than 4-6 rubrics to cover a case, as the TPB works best on accurate sx and will lead to a choice of few remedies quickly.

Indeed, this is how I repertorised:

In looking at the patients reaction to the infection, we see that WEAKNESS is the state. A state of lassitude which amplified when coughing into the upper chest and arms. A read of STANNUM in the MM will show this particularity. It will also show the condition of urination and feeling clearly…

I have a practice over the years of reading EVERY medicine that am to prescribe until I form an accurate picture of the proven SX in mind… if I have any doubt, I always read again.




A strange case.. not really. 1/2

A teaching case.

If you know this remedy, the symptoms presented would immediately bring it to mind. The disease state as presented is CLASSIC in terms of the match for a remedy. If you do not know the remedy, this case will help you to see the symptom production of the provings.

We will present the answer and analysis tomorrow.

A lady patient talked to me on the phone from the USA and presented the following disease condition for prescribing.

At first, it was easy to hear her, but as the call went to the 15 minute mark, her voice became harder to hear and was becoming quieter and quieter.

She told me that for the past 6 months, she had suffered from a sore throat and extreme weariness and tiredness of the body. She said her knees felt heavy and weak, her hips also, in fact all her lower limbs were weak and tired. Her profession is a trainer for phone consultants for a technology company, and she had been off work for a couple of weeks due to voice issues. She said she would cough , some phlegm would come up and the tone of her voice would change, usually to a higher pitch, much weaker and empty sounding… sometimes she would be unable to talk at all.

Further enquiry produced the following symptoms. The coughing would induce the phlegm (green) to expectorate. She said the taste was like a spoon of sugar and not pleasant. Along with the cough , there would be a feeling of lassitude and weariness in her arms spreading across the upper chest with difficulty in breathing. She felt better not moving at all and deep breathing helped her to breathe more easily.

She stated that she needed to urinate more frequently at night, but did not really feel an urge, just the fullness of the bladder informed her of the need.

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.


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.

Following the instructions.

Its a hard lesson to learn. Not only for the patient but also for the practitioner.

I am not proud to admit that some of my failures in treatment have been because of not understanding WHY Hahnemann wrote to not repeat the medicine whilst improvement was happening in a patient. In my mind, repeating the dose would speed along the process and so in the early days I would re prescribe when improvement was slowing down rather than having stopped.

Here is what we sometime forget, or in many cases, do not know. NO MEDICINE CURES. Once we grasp this simple fact and fully take this on board, we can begin to understand the process of what happens when we prescribe for a patient. It is the immune system of the patient that cures.

A patient will present a set of symptoms that have arisen from an infection or disease process. We collect the information and place the expression of the existing state in a collation of symptoms. We then analyse the problem in terms of the pathology and change from the normal expression of health, and examine each symptom in relation to its:

  • Origins
  • Location
  • Sensations
  • Modifying factors
  • Relationship with other symptoms.

In doing this for each expression of the disease, NOT the preferences or personality of the patient, we begin to see HOW the disease is reflected individually in the patient. With this knowledge, we look for a well proven homoeopathic medicine that has the ability to create a similar set of symptoms, in effect produce an (increased) state of DIS-ease in a healthy person. In administering a medicine of similarity, what we are doing is amplifying what we consider the key symptoms or centre of the disease, and thus making the immune response ´focus´more intensely on dealing with this stronger disease state.

At this point we have modified the immune response to a singular assault on the strongest presenting problem, be it artificially induced, we observe changes in the economy as the process of removing the disease begins. Given that we do NOT know HOW the immune system will work or what it needs to clear first, we need to ALLOW the process to work to completion, or as Hahnemann states, we will ruin the case.

What does this mean in real terms?

In chronic cases, it took a long time for the patient to develop symptoms to the point where they are in the grip of a disease. Each part of the disease process followed another part and laid an extra layer of pathology until the presenting state is before you. We can only remove from the presenting symptoms with the newest symptoms taking precedence. In this way we hope to remove the disease state slowly back to the core issue layer by layer… the reality is that we do not know which symptoms are tied in to the underneath problem, and therefore might require time and various potencies of the same medicine to work We also do not know HOW it will work or when. What we do know is that as long as the patient is responding to the remedy, no matter how slowly is that the immune response is working. I find that I am reluctant to interfere with that process simply because my experience of working with LM or Q potencies shows me that over medicating can cause problems for an already weakened immune system.

Case example:

Male, late 50s presented with skin eruption on lower limbs of both legs. Hot red p1060321and flaking. Started interior side of right lower leg and round spots developed on anterior side of lower limbs growing to same size as original area. Itching, red flaking. The eruptions then started on the left leg mirroring the right left from starting on the inside and then going to the outside of the leg.p1060332

Based on the prescribing symptoms.. Sulphur 200c was given in water, 2 doses 5 hours apart. (due to initial dose manufacturer doubts over the medicines viabilty. )The patient reported tiredness and increase in itching a week later. By the end of 4 weeks, the redness had disappeared, the flaking stopped and the eruptions shrinking. Although the tiredness continued, the medicine was allowed to work for 2 months. After two months mild itching returned and the eruptions were not progressing further. This time the patient was given a single dose of LM 01. The eruptions then continued to clear up. a month later, the patient had a prostate issue with a mild infection. In the repertorisation Sulphur was again indicated so the medicine was allowed to work uninterrupted. Despite increase in desire to urinate and mild aching in the prostate, no medicine was given. 2 weeks later, these symptoms cleared up by 80%. The patient is due for re evaluation soon t see if the same medicine is indicated or a change required.

We must be careful not to interfere with the immune response from implementing a medicinal action. Too much medicine is far worse than too little especially in a weakened state. Better to wait than to initiate a problem. In this case it is obvious that there are things going on in the patients health that needed treating carefully and sparingly. Due attention to detail and not being in a hurry to over medicate is a must. Once the medicine is given, the immune response goes into action and it will do what imust and take as long as it needs. We help it along when no further progress is happening and not before.


Brief Directions for Forming a Complete Image of a Disease for the Sake of Homoeopathic Treatment.

By Clemens Franz Maria von Boenninghausen

dental_doctor-thinkingsmall    “The invisible, morbid mutation in man’s internal and the change in condition perceptible to our senses in the external (the complex of symptoms), form before the eyes of creative Omnipotence what we call disease; but only the totality of the symptoms is the side of the disease, which is turned to the disciple of healingonly this is perceptible and is the main thing which he can know about the disease, and what he needs to know for the purpose of cure:” –Sam. Hahnemann, Organon of Healing. §6, Fourth Ed.

“The invisible morbid change within and the complex of the symptoms perceptible from without and belonging to the disease are as necessarily conditioned the one by the other and constitute the disease in such a unity, that the latter stand and fall with the former, that they must exist together and disappear together, etc...-Ibid. §11.

“The physician who would investigate the hidden relations in the internal of the organs, may daily make his mistakes; but the homeopath, if he with proper care seizes upon the true image of the complete group of symptoms, has a sure director, and if he succeeds in removing the entire group of symptoms, then he will have surely removed the hidden cause of the disease.-Royal Councilor Rau, “The homeopathic Method of Healing,” Heidelberg. 1824, p.103.

From the words quoted, which contain an important part of the principles of Homoeopathic Practice, we not only see what the physician must know about the patient, in order that he may be able to make a sure selection among the known remedies, but also why he must know it. One single symptom may it be ever so complete and plainly pronounced can never be the complex of all the signs of a disease, which are externally perceptible (i.e., the whole complex of symptoms), nor enable us to guess the rest. Still less is possible if our aid is asked against quite a general name of a disease, which is not otherwise defined (e.g., headache, eyeache, toothache or bellyache), or against an ailment which includes quite a variety of diseases (as, e.g., convulsions, fever, gout, eruptions or against some troubles like lack of appetite weakness, aptness to take cold, insomnia, etc.), which belong to the common symptoms of disease, which are therefore seldom characteristic.

Homoeopathy can only promise a gentle, sure and permanent cure where it is enabled to oppose to disease that remedy which corresponds with the greatest similitude to all its perceptible symptoms, thus where the physician is completely informed of everything with the patient, which is other than should occur with a patient who is in complete health and is of his age and sex. Of course there are cases where the physician is able after a few questions and answers to determine with certainty the selection of the remedy. But in such a case these must refer to the characteristic points of the remedy, which to the experienced Homoeopath not infrequently are so plainly pronounced that he cannot be in doubt. But only the physician who is familiar with the pure virtues of the remedies and the peculiar sphere of action of each one can judge of this, as in one case a symptom else hardly considered may be characteristic, while in another case it may not have any particular value, and will deserve less consideration.

If, therefore, a patient wishes to report his illness to a physician living at a distance, and enable him to select the suitable remedy, he has to act in the following manner:

  1. He should give a general image of the patient by stating the age, the sex, the constitution, modeof living, occupation and especially the dispositiowhen the person was well. In many cases it is also of importance to know other peculiarities, such as, e.g., the complexion, the colour of the hair, leanness or corpulence, whether slender or thickset, enc…., and this should be added.
  2. Then a brief mention should be made of former sicknesses passed through, together with their course and cure, with a remark as to any sequelai they may have left. Then it is very desirable to know the kind of treatment used and the medicines that were prescribed, and if this can be shown by enclosing the prescriptions used thisshould be given briefly but plainly and clearly.
  3. Then the present disease should be described, first in its general outlines, emphasizingthe most prominent or the most troublesome symptoms; then should be given exactly and circumstantially according to the whole extent all the symptoms, describing in every case just how the patient himself feels, or how those around him observe the matter, abstaining from the use of technical terms and learned names as far as possible, as these are general in their nature, while homeopathy must individualize most strenuously.
  4. Then let him give a complete register of all the morbid symptoms, i.e., an enumeration of all the sensations and phenomena with the patient which are not seen in a healthy person. To avoid all unnecessary prolixity and countless repetitions, every symptoms should be given clearly and completely. Withrespect to clearness the usual conversational language in which the internal sensations of the patient may be expressed is at all times the best, and we need only take care that all indefinite and therefore inexpressive words, such as pain and ache, be omitted, and instead of them the kind of pain be described in the best known and most unequivocal expression.

With respect to completeness in every case the exact location of the pain in the body (e.g., on the head: the forehead, the temples, the sides of the head, the vertex, the occupied; then also whether on the right or the left side, in the half of the whole of the head); so also the time and circumstances should be enumerated, which have an influence on the aggravation of amelioration of the pains. As to the time the exact times of the day (whether morning, forenoon, afternoon, evening, night, before midnight, after midnight) should be enumerated. So also the periodical aggravation or amelioration as to hours, days, or seasons should be exactly reported. Among the circumstances it should always be stated what influence is exerted by rest or by motion, and by particular, modes of the same (e.g., lying, sitting, standing, walking, running, riding on horseback or in a vehicle, etc.), so also the influence exerted by warmth or cold, the open air and the room, by various enjoyments, by touch, by baring the body, by overheating, by eating and drinking in general, by emotions, by dry or wet weather, by thunderstorms, by daylight or candlelight, etc., as to the aggravation or amelioration of the symptoms.

In order that there may be a natural sequence in the symptoms and that nothing may be omitted, the subjoined rubric of the condition of the patient should be followed, and in every case it should be noted what there is of morbid; in those cases, where there is nothing morbid, we pass it over, but that which is especially marked, should be underscored. Every new symptom begins a new line. The reporter must consider that every special symptom belongs always to one and the same disease, and that the homeopathic physician must view and weigh every group of symptoms even in epidemic diseases, as if it never before existed in the world, and now appeared for the first time.

The subjects to be considered and the order in which they are to be given are the following:


  • According to its nature(whirling around, falling forward, to the side, backward, in a circle, etc.).
  • According to the time of the day(morning, forenoon, afternoon, evening, night, before midnight after midnight).
  • According to position and circumstances.
  • Aggravated.
  • Improved (e.g., on rising from bed or from a seat, on raising oneself up, while moving, while at rest, when stooping, on awaking, before, during or after eating, while riding, during the chill, during the heat, in the open air, in the room,. while walking, riding, ascending, while lying on the back, on the side, while looking upward, during warmth, during cold, during or after stool, after drinking alcoholic beverages, etc.).
  • Attendant troubles (e.g., it becomes black before the eyes, nausea and vomiting, yawning, flushes of heat, various pains in the head or the body, bleeding in the nose, weariness and swooning, trembling, etc.).


  • According to the sensations(e.g., numbness, unconsciousness, stupidity and dizziness, dullness of the head, staggering, drunkenness, chaos in the head, etc.).
  • According to the time of day.
  • According to the position and circumstances.
  • Aggravated.
  • Relieved.


  • According to its nature(e.g., exhausted by mental work, nervousness, difficulty in comprehending, inability to think, stupidity, delirium, fixed ideas, lack of thoughts, weakness of thoughts, excited fantasy, fanciful illusions, delusions of the senses, inability to remember distraction, insanity, etc.).
  • As to the time of the day.
  • According to the position and circumstances, aggravated or relieved.


  • As to its nature: diminutionin the memory, weakness, loss, forgetfulness.


  • According to the sensations(rush of blood, boring, burning, pressure inwards or outwards, pulsation, heat, cold, sensation of looseness, crawling, pressing together, pressing apart, tearing, lancinating, with tension, numbness, digging, as if bruised, drawing, twitching, etc.-every time stating with exactness whether the pain occupies the whole head, or is in the forehead, the temples, the sides, the vertex, the occiput, predominantly on the right side or on the left).
  • With respect to the time of the day.
  • With respect to position and circumstances.
  • Aggravated.
  • Relieved.
  • Accompanying ailments.


  • As to sensations(e.g., dandruff on the scalp, eruptions of various kinds, burning, painful sensitiveness of the skin, swelling, falling out of the hair, painfulness of the hair, sensation of pulling on the hairs, and on the scalp, heat, coldness, twitching, knots and bumps, pain of various kinds in the bones, shuddering, perspiration, tension, lancination, drawing, twitching, contraction, etc.).
  • With respect to the time of the day.
  • As to position and circumstances, worse or better.


  • As to the sensations.
  • On the pupil and on the eye in general.
  • In the eyebrows.
  • In the cavity of the eyes.
  • On the eyelids.
  • In the corners of the eyes (everywhere not only with exactness the kind of sensation, as in the preceding, but also exactly the locality, e.g., on the upper and lower eyelids, in the inner or outer corner of the eye, etc.).
  • As to the time of the day.
  • As to the position and circumstances.
  • Improved.
  • Aggravated.


  • Asto the sensations (dazzling of the eyes, blindness, flickering before the eyes, delusion of the sight as to colors, or as to objects which are not at all present, spots, sparks, mist,. fog, etc., shortsightedness, farsightedness, photophobia, weakness of the eyes, amaurosis, or cataract, dimness of vision, blackness before the eyes, etc.).
  • Asto the time of the day.
  • Asto the position and circumstances.
  • Aggravated.
  • Improved.


  • As to sensations.
  • in the ears, various issues from the ear, boring, burning, pressure in and on the ears, changes and sensations inthe glands of the ears, heat, cold, itching, pinching, crawling, tearing, lancinating, tension, drawing, clawing, consistence of the ear-wax, etc.
  • In the hearing (e.g., sensitiveness to noise, delusions of the hearing, buzzing, ringing, tingling, hissing, singing, detonations, etc.-diminution in the hearing, hardness of hearing, deafness, etc.).
  • Asto the time of the day.
  • Asto position and circumstances.


  • As to sensations.
  • On the nose (e.g., bleeding of the nose, bleeding when blowing the nose, eruption in or on the nose, various issues from the nose, ulceration, burning, swelling, redness, itching, of the nose, crawling sensation, tension, warts or other excrescences, etc.).
  • With respect to smelling (e.g., dulness or total lack of the sense of smelling, sensitiveness of the smell, various delusions as to smelling, etc.).
  • As to the time of the day.
  • As to position and circumstances.


  • As to color andexternal appearance (e.g., paleness, redness, various spots, freckles, blue rings around the eyes, yellowness of the face, etc.).
  • As to the sensations.
  • In the face in general (e.g., eruptions of various kinds, swelling, burning, heat, coldness, perspiration, itching, tearing, lancination, drawing, etc.).
  • On the lips (e.g., peeling off, cracking open, bleeding, eruptions, ulcers, burning, itching, spots, swelling, knots, tension, lancination, tearing, etc.).
  • On the lower jaw (e.g., convulsive pain, lockjaw, crackling or getting out of joint, various sensations in the glands of the lower jaw, swelling of the bones, tearing, lancination, etc.).
  • On the chin (e.g., tearing, lancinations, eruptions of various kinds, itching, burning, etc.).
  • Asto the time of the day.
  • Asto position and circumstances, worse or better.


  • As to sensations.
  • On the teeth (e.g., boring, burning, pressure, painful sensitiveness, breaking off and becoming rotten, becoming hollow, yellow or black; itching, cold, heat, pulsation, becoming too long, looseness, gnawing and fretting, crawling, tearing, lancinations, twitches and blows, dullness of the teeth, soreness, drawing, jerking etc.-stating in every case what teeth are implicated).
  • On the gums (e.g., bleeding, swelling, ulceration, redness, paleness, itching, drawing, tearing, etc.).
  • As to the time of the day.
  • As to position and circumstances.
  • Aggravated.
  • Improved.
  • As to the ailments connected therewith, and into what parts, if any, the pain extends.


  • As to the sensations.(After what has been given so far, further specifications will be unnecessary.)
  • In the buccal cavity.
  • On the hard or the soft palate.
  • In the fauces
  • With regard to the saliva. .
  • On the tongue.
  • With regard to language.
  • According to the time of the day.
  • According to position and circumstances, worse or better


  • As to sensations(e.g., aversion to certain kinds of food or drinks, or special fondness therefore, voracity, quick satiety, some kinds of food or of beverages disagree, troubles appearing, after eating, etc.).
  • As to the times of the day.
  • As to sensations and circumstances (e.g., during chill, heat or perspiration, thirstlessness, etc.).
  • b. As to the times of the day.


  • As to the sensations (various tastes in the mouth, as well during eating as also at other times, and strange taste of some things).
  • As to the time of the day.
  • According to circumstances, aggravated or relieved.


  • As to sensations (among these things, belching up of food, of water, etc.-with, or without, any special taste, gathering of water in the mouth, heart burn, rising up in the throat, etc).
  • As to the time of the day.
  • As to position and circumstances.


  • As to sensations.
  • As to the times of the day.
  • c. As to the position and circumstances, worse or better.


  • As to sensations (vomituria, retching, vomiting of various taste, flabbiness, nausea with a statement as to the part where this is particularly situated, etc.).
  • As to the time of the day.
  • As to position and circumstances.
  • Aggravated.
  • Relieved.
  • As to the sensations.
  • In the stomach.
  • In the pit of the stomach (also here in every case should be accurately stated the sensations, with an avoidance of all indefinite expressions).
  • As to the time of the day.
  • As to position and circumstances, worse or better.


  • As to the sensations.
  • In the epigastrium.
  • In the umbilical region.
  • In the side of the abdomen and the hypochondria.
  • In the region of the hips and loins.
  • In the hypogastrium.
  • In the whole of the abdomen.
  • As to the time of the day.
  • As to position and circumstances, worse or better.

XXII. THE OUTER ABDOMEN (the abdominal walls).

  • As to the sensations.


  • a. As to the sensations (among these are also ruptures).


  • As to the sensations, flatulence, its accumulation, incarceration and discharge, with various smells, noise in the stomach, colic.
  • Asto the times of the day.
  • As to position and circumstances, worse or better.


  • As to quality(diarrhea, constipation, hard, soft, bloody, knotty, sharp, of especial color or smell, mucous, watery, etc.).
  • Asto the accompanying troubles.
  • Before the stool.
  • During the stool.
  • After the stool.


  • As to the sensations(nature of the piles and the sensations in them, as in general on the inner and outer parts of the anus).


  • As to the sensations.


  • As to its quality.
  • As to the sediment.
  • As to the discharge (differencein the tenesmus and the micturition).
  • As to the accompanying ailments.
  • Before the micturition.
  • In the beginning of micturition.
  • During micturition.
  • When concluding micturition.
  • After micturition.


  • In the bladder.
  • In the urethra.


  • As to the sensations.
  • On the sexual organs in general.
  • On the glans.
  • On the prepuce.
  • On the penis.
  • On the testicles.
  • On the scrotum.
  • On the spermatic cords.
  • On the female sexual organs.


  • As to the sensations(excitation of the sexual instinct, lack of it, impotence and weakness of the potency, seminal emissions, emission of the prostatic fluid, abuse, etc.).
  • As to the concomitant troubles.
  • During and after coition.
  • After pollutions.


  • As to its quality(returning too early, too late, too weak, too copious, too brief, too long lasting, blood is discharged outside of the period, suppressed menses, quality of the blood discharged, leucorrhea of various kinds, etc.).
  • As to the accompanying troubles.
  • Before the menses.
  • When the menses appear.
  • During the menses.
  • When the menses are concluded.
  • Troubles connected with the leucorrhea.


  • As to the sensations (running coryza, stuffed coryza, quality of the mucus, sneezing, dryness of the nose, nose stuffed up without a cold, etc.).
  • As to the times of the day, worse or better.
  • As to the accompanying troubles.


  • As to the sensations(nature of the respiration as to the smell or sound during respiration, retention of the breath, shortness of breath, with deep respiration, dyspnea, angina, etc.).
  • As to the prevention of the respiration.
  • As to the time of the day.
  • As to position and circumstances, better or worse.


  • As to quality(with or without expectoration, husky, deep, hollow, convulsive, a small dry cough, whooping cough, tickling cough, etc.).
  • As to the expectoration (withrespect to consistence, color, taste, smell and abundance).
  • As to the time of the day.
  • As to the excitation(as well with respect to the part where the irritation is located as the external circumstances which call forth the cough)
  • As to the accompanying troubles.


  • As to the sensations.
  • As to the time of the day.


  • As to the sensation in it, with an accurate description of the parts affected (the skin, glands, muscles, bones, etc.).


  • As to the sensations.
  • On the inner chest.
  • In the outer chest.
  • In the axillary glands.
  • In the glands and nipples of the breast.
  • In the heart and the cardiac region.
  • As to the time of the day.
  • As to position and circumstances, worse or better.


  • As to the sensations.
  • On the shoulder-blades.
  • In the back proper.
  • In the small of the back and the coccyx.
  • As to the time of the day.
  • As to position and circumstances, worse or better.


  • As to the sensations(in this case we must not only distinguish the exact spot, the shoulder, upper arm, lower arm, hand, finger, the joints of the shoulder, the elbow, the wrist, and the joints of the fingers, but also distinguish whether the sensation is more in the skin, the muscles or in the bones.)
  • As to the time of the day.
  • As to position and circumstances, worse or better.


  • As to the sensations(here should be observed what was said above as to the upper arm).
  • As to the time of the day.
  • As to position and circumstances, worse or better.


  • As to the sensations, here may be enumerated what would not find a suitable place elsewhere, so, also, a general description of the kind of pains or other morbid phenomena (e.g., emaciation, bodily exhaustion, varices, trembling and quivering, attacks of epilepsy, or other illness, lack of sensibility, or supersensitiveness, convulsions, paralysis, swoons, restlessness in- the body, tendency to colds, twitches, ere.), state this with the necessary clearness definiteness and completeness.
  • As to the time of the day,keeping in view more the general state of health.
  • As to position and circumstances, worse or better; under which heading would fittingly be given a recapitulation of all that belongs here, having an influence on the wholeas well as on the parts.


  • As to the sensations, in so far as they have not before been enumerated, in which case it is sufficient to refer to that.


  • As to sensations, withremarks as given in the preceding rubric.


  • As to the sensations, especially in those cases where the ailment ‘extends over several parts, with an exact description of the kind of cutaneous disease, the eruptions, itching, burning, ulcers, tumors, blisters, spots, herpes, erysipelas, excrescences ., and their progression according to the time and external circumstances. It is of especial importance to know in ulcers, herpes and itching what change occurs after touching, scratching or rubbing of the same and also the nature of the pus in the ulcers.


  • As to sensations, time, position and circumstances(stretching and yawning, late in falling asleep, waking up at night, insomnia with its well known causes, sleepiness at various times during the day, morbid sleep, troubles during sleep, somnolence, etc.).
  • As to the quality of the dreams with respect to their number, time and subject.


  • Circulation of the blood, as to its nature, time, and the circumstances influencing the same,
  • Chill, as to its quality, time of day, circumstances and accompanying troubles.
  • Heat in the same way.
  • Shuddering, in the same way.
  • Sweat, in the same way, but especially with respect to the quality of the sweat, as to its color, consistence and smell.
  • Composite fevers, as to their whole characteristic, not only as to the sequence of chill, heat and sweat, but also as to the time of the day, duration, accompanying troubles, and such as precede and follow the attack.


  • As to its peculiarity (cheerfulness, changeableness, imaginary state of disease, impatience and hastiness, indifference and insensibility, suspicion and misanthropy, lack of determination, irresolution, anxiety and desperation, timidity and fearfulness, dejection and melancholy, sadness and weeping mood, vexation and obstinacy, excitement and irritability, quarrelsomeness, and passionateness, insanity, fury, etc.); for a sure selection of the right remedy, the most plain and definite information is necessary and it should always be particularly mentioned what was the patient’s disposition when well, and how changed through his disease.
  • As to the time of day.
  • As to position and circumstances, worse or better.

The more complete and faithful the image of the disease is composed in this way, the more safely can the selection of the most suitable medicine for the present group of symptoms be made, and the more surely we may expect help for the same. Only in cases where diseases have been treated with large quantities of allopathic or domestic remedies, there will generally be added to the disease the effects of the medicines, disturbing the image, and in such a case it is absolutely necessary, as stated above, to also inform the homeopathic physician by communicating to him the prescriptions or telling him about them.

In conclusion, I would remark that every time after the completion of the full action of a medicine a new image, of the disease should be taken. It happens at times, though not often, that the symptoms throughout remain unchanged. In such a case at the first presentation one thing or another has been overlooked, and the image had not been presented quite correctly, and the remedy which accordingly was incorrectly selected remained without effect. In such a case it will therefore be necessary to go over the whole image of the disease, one point after the other, and to supplement the presentation by the necessary corrections or explanations.

Most frequently it will be found that in chronic cases which are inveterate, the chief ailing has only been diminished, but still continues, nevertheless when the medicine has completed its action, the concomitant symptoms have suffered such a change that the former remedy will not appear at all applicable any more. In such a case the homeopathic physician can only make a sure selection after having been informed of these changes by a new complete image of the disease. For it is not only taught by experience, but it lies in the nature of all chronic diseases which have in consequence been interwoven with the whole organism, that rarely or never one remedy will cover the whole complex of symptoms; so that it will be necessary in order to destroy the whole malady fundamentally to let several medicines, selected after each report, operate, until nothing morbid may be left.



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 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.