CASE TAKING :

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• CASE TAKING
• in Homoeopathy
• Principles and Practice

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• Do you encourage active participation
• by the students and avoid having them
• stand around in an observational capacity?
• Do you closely supervise the students and
• provide effective feed back on their
• performance or do you rely on their verbal
• case presentation in the hospital IPD/OPD?
• Do you provide adequate opportunities for
• students to practice their skills?

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• Do you provide a good role model
• particularly in the interpersonal
• relationships with the patients attending
• the hospital OPD/ IPD?
• Is your teaching generally patient oriented
• or does it tend to be disease oriented?
• Are you friendly, helpful and available to
• your students?

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• If your answers to these points are NO
• Then you are
• Just becoming aware of these attributes
• and this should encourage you to be
• more critical of your approach to teaching
• clinical homoeopathy
• Because these are some of the attributes
• of an effective clinical teaching in
• homoeopathy

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• Improving the ward-base teaching
• Planning the clinical training in the hospital
• OPD/IPD
• Setting a good example yourself
• Involving the students in this process
• Observing the students personally
• Providing a good clinical teaching
• environment
• Concentrating on clinical problem solving
• i.e, problem based learning

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• Video recording
• Simulation
• Use of instruments and
• basic equipments
• Guided reading

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• It is a fact that clinical homoeopathy
• is the most neglected of all areas of
• homoeopathic teaching and training
• It is equally a fact that it is in this area
• in which more deficiencies have been
• found in students in all most all the
• universities evaluation process
• Teaching and training in this area is
• haphazard, mediocre and lacking in
• intellectual excitement every where

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• Very few students have been monitored
• in case taking, case analysis and case
• synthesis
• Surprisingly number of students have
• been awarded degree without having
• been properly supervised in the
• complete data collecting and data
• processing activities of even one patient

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• In the 5th and 6th Aphorisms of
• the Organon of Medicine
• Hahnemann gives us the
• foundation of case taking
• Portrait of the Disease
• or
• Conceptual image of the Disease

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• The physicians highest mission
• his only mission, is
• to make sick person again healthy,
• that is
• to cure the patient, as it is called.
• 1.

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• The highest ideal of cure is
• to restore health rapidly, gently,
• permanently, and
• to remove and destroy the whole
• disease
• in the shortest, reliable or a sure
• method,

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• in the least harmful way and
• according to clearly comprehensible principles
• (That is to say, treatment
• has to be logical and uniformly applicable).
• 2.

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• If the physician clearly perceives -
• what has to be cured in diseases,
• (that is, in each individual case of
• the disease - Knowledge of the
• disease, indications),
• what it is in medicines which cure,
• (that is, in each individual medicine
• - Knowledge of medicinal powers),
• And

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• Prepare it exactly as required,
• and give it
• in the right amount,
• the correct dose, and
• if in each case
• he knows the obstacles that
• come in the way of cure
• and

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• knows how to remove them,
• so that recovery is permanent,
• then he knows
• how to treat thoroughly and
• efficaciously, and is
• a true physician.
• 3.

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• The physician is likewise
• a preserver of health,
• if he knows the things
• that disturb health, and
• that cause and
• sustain illness, and
• if he knows how to remove
• them from healthy people,
• so that they remain free from
• any sickness.
• 4.

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• It will help the physician
• to bring about a cure,
• if he can determine
• the most probable exciting
• cause in an acute disease and
• the most significant phases
• in the evolution of a chronic
• long lasting disease, enabling
• him to discover- its
• underlying cause, usually
• a chronic miasm.

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• if he applies in accordance with
• the well-defined principles,
• what is curative in medicines to
• what he has clearly recognized
• to be abnormal in the patient,
• so that cure follows.
• That is ,
• if he knows in an individual case
• how to apply the medicine most
• appropriately by its characters,
• (Selection of the correct medicine).

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• In this he should consider
• the evident physical constitution
• of the patient especially in
• chronic affections,
• his affective and intellectual
• character,

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• his activities,
• his way of life,
• habits,
• social position,
• family relationships,
• age,
• sexual life etc.
• 5.

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• The unprejudiced observer
• (the treating physician) realizes
• the futility of speculations
• that cannot be verified by
• experiment,
• and no matter how clever and
• intelligent the physician is,
• he sees in any given case of
• disease only the disturbances of
• body and mind which are
• perceptible to the senses viz. -
•  

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• subjective (symptoms)
• patient personally feels, and
• objective symptoms (signs),
• people around him notice, and
• which the physician sees in him
• that is,
• deviations from the former
• healthy condition of the
• individual to sick ,
• which the patient is now.

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• The totality of these perceptible
• signs and symptoms represents
• the entire extent of the sickness.
• Together they constitute its true
• and only conceivable form or
• image or
• a portrait of the disease.
• 6.

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• Scientific practice of homoeopathy
• implies a uniform approach to the case
• so that the Similimum remains the same
• for all those who are treating a particular
• case

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• Case taking
• Case recording
• Case analysis
• Case synthesis
• Laborious, time consuming
• And really back breaking
• exercise

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• Finding the Similimum
• Administration of the Similimum
• To evolve Hahnemannian Totality

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• Translating the first 6 aphorisms of
• Organon of Medicine into the
• Homoeopathic practice
• Accuracy of homoeopathic
• prescribing

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• Frame of reference evolved by
• Boenninghausen
• Kent
• Boger
• Scientific and Artistic prescribing

All master prescribers
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• Reliable guide
• A basic frame work to solve
• your Acute and Chronic cases
• Provides a methodical and
• systematic frame for
• Case taking
• Case analysis
• Case synthesis
• It should facilitate and accelerates all these

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• Avoids slipshod working
• Prevents physician going astray
• Inculcates in the physician a rigid
• discipline to evolve the Disease picture
• accurately in minimum time
• Useful for varying expressions of
• diseases in differing types of individual
  constitutions

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• Over a time it is possible to
• prescribe Similimum through
• scientific presribing leading to
• what is called
• The Intutive prescribing
• Good for the physician, homoeopathic science and
• the Patients

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• It helps in quality
• homoeopathic education
• Homoeopathic research

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• Standaridised homoeopathic
• practice converts the
• homoeopathic physician into
• an able educationist
• Standarised case recording
• therefore is must for homoeopathic
• education and research

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• Case record derives its
• strength from
• Logic
• Philosophy
• Science

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• It develops and grows the Art
• in the artistic mind and makes
• him truly
• A Healing artist

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• History
• Present, past, family, and personal
• Physical Examination
• General, systemic and local
• Investigations
• Diagnosis
• Provisional, differential and final

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• Analysis of data
• Clinico-pathological
• Homoeopathic- Analysis and evaluation
• Miasmatic
• Synthesis of data
• Building conceptual image or disease picture
• Repertorial Processing
• Miscellaneous data
• Treatment Programme
• Ancillary measures, diet and regimen etc.

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• Follow up and Progress
• What was expected
• of the remedy administered
• What actually happened
• What should be done next

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• Understand the action of each
• individual remedy employed in the
• management of the case
• Alerts the physician all through
• the treatment of the case