S' K' R' P'

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S. K. R. P.
Dr. Hahnemann
GUJARATI HOMOEOPATHI MEDICAL COLLEGE, HOSPITAL
RESERCH CENTER, INDORE
DEPARTMENT OF ORGANON
Case Taking (Sec. 83-104)
GUIDED BY SUBMITTED BY Respected Shivp
ratap Singh Yadav Dr. S.P. SINGH SIR
(H.O.D.) B.H.M.S. II Proff. SESSION-2008-09

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Case taking (Sec. 83-104) Definition -
Recording of symptoms of the patient in such a
way that it becomes very easy to select the
similimum is called as case taking. OR Case
taking denotes the recording of the complaints of
the patient in such a way that the picture of the
diseased person is so completed that the
physician can prescribe suitable homoeopathic
remedy after determining the totality of
symptoms.
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Explanation - Case taking is the art side of
homoeopathy. Here half cure is completed that
means A case well taken is half cured. For
good case taking in homoeopathy great deal of
information, totality of symptoms are essential,
which is not needed in other medical treatment.
For which homoeopathic physician must know his
patient spiritually, emotionally mentally,
physically sociologically. The ideal case
taking should contain individualized
characteristics. So the homoeopathic physicians
well taken case should always contain the
individualizing characteristics on the basis of
which the homoeopathic medicine can be selected.
Case taking is the must difficult part of the
task. Here the half work of the physician is
finished.
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• Objects of Cast Taking
• In taking the case the homoeopathic physician has
  two objects -
• (1) Individualisation
• Diagnosis of the disease
• (1) Individualisation -
• To obtain individual picture of the disease the
  first greater object in taking a case is to
  select the characteristic symptoms of the patient
  and to clarify them so that we can make a
  definite picture of the ills of the patient.
• (2) Diagnosis of the disease -
• The second object of case taking is to diagnose
  the disease from nosological point. Although the
  selection of homoeopathic medicine does not
  depend chiefly on the diagnosis of the disease,
  but still it has many importance like prognosis
  of the case advising proper diet and many others.
  In this it differs from the ordinary school of
  medicine, which uses the diagnosis as a chief
  guide from the selection of the medicine.

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• Sources of Case Taking
• The patient
• The physician
• The relatives or Attendants
• Laboratory findings -
• (1) The Patient - Patient himself is the chief
  source of case taking because only patient can
  say about his bed feelings or symptoms. He can
  only recognize the sensations, alternations in
  body.
• (2) The Physician - While recording of the
  symptoms of the patient physician should record
  sign symptoms of each and every case as a
  individual, personal, separate case.
• (3) The relatives - Physician can find the
  information from the relatives or attendants who
  are very close to the patient from which
  physician can know about patients domestic
  relations, his behaviour, social status etc.
• (4) Laboratory Findings - To find the
  pathological changes in the body.

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• Importance or Purpose -
• Case taking playes an important role in the
  homoeopathic mode of treatment.
• Case taking is the only one way to diagnose the
  patient.
• Case taking is very useful to select the
  similimum medicine.
• Case taking includes all the complete disease
  picture.
• Case taking contains peculiar, characteristics
  uncommon symptoms which help to choose the
  homoeopathic medicine.

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• Different Types of Case taking
• Acute Case Taking
• Chronic Case Taking
• Epidemic Case Taking
• Acute Case Taking -
• The case taking of acute diseases are easy in
  comparison to that of chronic diseases due to the
  following reasons
• (i) In case of acute disease as existed short
  time previously, the disease process is fresh in
  the memory of the patient as well as friends,
  which they can tell like a novel.
• (ii) Much less time is required for tracing the
  picture of the disease.
• (iii) Then it is very easy for homoeopathic
  physician to select the medicine

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Chronic Case Taking - It is a very difficult
part of case taking. It is the real art side of
homoeopathic case taking. (i) It depends upon the
physicians intelligence, how he collect the past
history. How he handles the case how he gets
the confidence of his patient. (ii) The physician
must make the most careful investigation as to
whether the patient has had a venereal
infection. (iii) The physician must enquired into
present, past family history of the patient in
detail to obtain any history of suffering
suppressed. (iv) the physician must also
ascertain what kind of allopathic treatment the
patient has taken previously. (v) the physician
must know about the patients occupation, mode of
living, domestic relation, social position etc.
(vi) After this, physician must sketch the
disease picture and find out the tracing of
characteristics symptoms.
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Epidemic Case Taking - (i) In the epidemic case
taking, the more people are affected from the
same cause. (ii) In this case taking the symptoms
are same in many cases but the physician must
collect taking the individualizing symptoms of
each case. (iii) The physician must consider the
each epidemic disease as a new unknown one.
(iv) This composite picture of the epidemic
sickness will reveal the remedy for that epidemic
that is genus epidemicus.
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General Directions - (1) Patient coming directly
- (Sec. 83-90) (a) The physician should listen
attentively the history of the suffering of the
patient as narrated by him. (b) The physician
should also collect information from those around
regarding the patients complaints, his behavior
and any other abnormalities noticed by them. (c)
The physician should observe himself anything
altered or unusual about the patient by means of
sight hearing, touch and by his other senses.
(Sec. 84). (d) He should write down every thing
in precisely the same expression used by the
patient his attendants. (Sec. 84).
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(e) Keeping silence himself he allows them to say
all they have to say, and refrain from
interrupting them unless they wander off to other
matters. Every interruption breaks the train of
thought of the narrators who will subsequently be
unable to recall his ideas in precisely the same
manner which they would have said at first. (Sec.
84). (f) The physician should advice them at the
beginning a examination to speak slowly so that
he may take down in writing the important parts
of what the speakers say. (g) He should begin a
fresh line with every new symptom mentioned by
the patient or his friends so that he can
subsequently complete the symptoms. (Sec. 85).
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(h) When the patient and attendants have finished
their statements of their own accord the
physician should revert to each particular
symptom and should elicit more precise
information regarding each particular symptom
with may be as follows - (1) Location (2)
Sensation (3) Modalities (4) Concomitants (5)
Duration (6) Causation (7) Extensions (8) Time
of occurrence (Sec. 86). (i) The physician
should not frame his questions so as to suggest
the answer to the patient, so that he shall have
to answer yes or no. (Sec. 87).
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(j) If in these voluntary statement, nothing has
been mentioned respecting several parts or
functions of the body or his mental state, the
physician should ask what more can be told in
regards to the parts and their functions are the
state of his disposition or mind. But in doing so
the physician should only make the use general
expression so that the patient or attendant may
be obliged to make special statements concerning
them. Ex - What is character of stool ? How
about the thirst ? (Sec. 88)   (k) At the close
of the statement of the patient more precise and
special question are to be asked only when the
physician feels that the peculiar, uncommon, and
characteristic symptoms of the case has net yet
come out in the case taking. Ex - What did the
patient vomit ? What is the taste in the mouth
putrid, or bitter or sour or what ? (Sec. 89)
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(l) finally the physician takes a note of what he
himself observes in the patient and ascertains
how much of that was peculiar of the patient in
his healthy state. (Sec. 90). Ex - What was the
character of pulse ? What the condition of the
abdomen ?   (p) Patient coming from there other
physician - (i) when the disease is of chronic
character - (Sec. 91). When the disease to of a
chronic character and the patient has been taking
medicine up to time he is seen - (1) The
physician may with advantage leave some days
quite without medicine, or in the meantime
administer something of an unmedical nature and
(2) The physician should take up the case after
subsequent period for the more precise scruting
of the morbid symptoms, in order to be able to
grasp in their purity the permanent
uncontaminated symptoms of the old affection and
to form a faithful picture of the disease.
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(ii) If it be a disease of rapid course - (Sec.
92) If the disease is of rapid course and its
serious character admits no delay, and if the
physician cannot ascertain what symptoms were
present before the employment of the medicine, he
must do the following - (a) The physician must
content himself with observing the present morbid
condition, though it may be altered by
medicines. (b) Thus he may at least form a just
apprehension of the complete picture of the
disease in its actual condition, that is to say,
of the conjoint malady formed by the medicinal
and original disease, which from the use of
inappropriate drugs is generally more serious and
dangerous than was the original disease and hence
demands prompt and efficient aid. (c) By thus
tracing out the complete picture of the disease
he will able to combat it with a suitable
homoeopathic remedy, so that the patient shall
not fall a sacrifice to the injurious drugs he
has swallowed.
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(iii) If it be a disease of some obvious cause -
(Sec 93). If the disease has been brought on a
short time or in the case of a chronic affection,
a considerable time previously, by some obvious
cause, them the patient or his friends when
questioned privately will mention it either
spontaneously or when carefully interrogated.
Explanation - Any cause of a disgraceful
character, which the patient or his friends do
not like to confess, at lease not voluntarily the
physician must endeavor to elicit by skillfully
framing his questions or by private
information. To these belong poisoning or
attempted suicide, onanism, indulgence in
ordinary or unnatural debauchery, excess in wine.
Cordials, punch and other arolent beverages or
coffee.
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The duty of the physician after case taking -
The next duty of the physician will be the
following - (a) He will consider the case taking
reports to frame the picture of the disease,
especially it be a chronic one. (b) He will
consider it as a guide in his treatment. (c) He
will investigate it in all its parts. (d) He will
pick out the characteristic symptoms. (e) He will
try to find out a very similar homoeopathic
medicine from the lists of symptoms of all the
medicines whose pure effects have been
ascertained.
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The duty of the physician when the patient come
second time - (a) When the patient come to the
physician in the second time, the physician has
to ascertain what has been the effect of the
medicine, and what change has taken place in
patients state. (b) A fresh examination of the
patient should be done. (c) The symptoms that
have become ameliorated should be strike out of
the symptoms noted down at the first visit. (d)
He will mark what still remain. (e) He will add
any new symptoms that may have supervened.
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Precautions - (1) Physicians role is only
passive when the patient narrates his
complaints. (2) Allow the patient to speak, dont
interrupt him unless the patient wanders to
another subject. (3) Being the physician advice
them to speak slowly for much each every
symptoms can write with their modalities.
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GUIDED BY-
Respected Dr. S.P. SINGH SIR Dr. PREETI
KAWTHEKAR MAM Dr. MUNIRA NAQUI MAM
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PRESENTED BY
SHIVPRATAP SINGH YADAV
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THANK YOU