Title: SAMUEL HAHNEMANN 17551843
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2SAMUEL HAHNEMANN1755-1843
To him we owe our Art and our Science
3A Born Teacher
4CASE TAKING
ACUTE (aph73)
CHRONIC
Introduction to Chronic disease (aph74 - 78)
INDIVIDUAL
Investigation of chronic case (aph204 - 209)
SPORADIC
Treating mental illness (aph210 - 230)
EPIDEMIC
Treating chronic diseases (aph231 - 244)
ACUTE MIASM
5SCIENTIFIC ASPECT OF CASE TAKING COMPRISES OF
EVIDENCE
OBSERVATION AND ELICITING
RECORDING
PROCESSING AND EVALUATING
6CASE RECEIVING ARTISTIC ASPECT OF CASE TAKING
SENSITIVITY RECEIVING THE PATIENT WITH
HIS SUFFERING AND PATHOS GOING BEYOND SYMPTOMS
SENSIBILITY UNDERSTANDING HIS SUFFERING
AND GUIDING HIM TO EMERGE OUT OF THE PATHOS
WHILE TAKING CARE OF HIS RECEPTIVITY
7Teaching Dos Don'ts of Case Taking by
Creating Dynamic Learning Circumstances
- Ideal learner is best teacher
- Patent is best teacher
- Unprejudiced Observer of the scene
- Self Experiences of life
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10Vulnerability
- Are we aware of it ?
- Is it important to be aware ?
- Did some one tell us so
- Did we feel so
11How to take care of our vulnerability
12The ways of overcoming the sensitivity
They advised us to divide the paper into 2
parts- Left side write all pathological and
pathognomic symptoms Right side write all
symptoms which are non pathognomic or
pathological
Dr Kent Dr Austin Dr Gladwin
Dr Schmidt -
He advised to write name the of the remedy as it
strikes you during the interviews, so that you
become free, neutral
13Hahnemann
He developed a questionnaire, in which the
patient had to give a Detailed answer and not
reply in yes no.
This he did in his 3rd edition of Organon this
has been translated by Herring and the most
authentic translation.
Hahnemann
He also prepared a list of 22 questions About
diseases which patient hide.
Kent
what the doctor should needs to know in order to
make a successful Prescription he gives a
questioner comprising more then 32 pages.
Hering
The theme for homeopaths to listen, to write,
to question, to co - ordinate
14PREJUDICE MAY BE OVER COME BY
15H O M O E O P A T H Y
16Demands placed on
- STUDENT
- The desire to know the
- vulnerable areas.
- To follow a discipline suggested
- by the master
- Ability to withstand the power of truth
to cure oneself -
- TEACHER
- To understand his sensitivity
- vulnerable areas.
- To know how to see others
- vulnerable areas.
- To understand how convey the
- vulnerable areas sensed.
- To help to overcome the
- vulnerability
17THE TRAINING BEGINS
Correction is sought of what?
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19LEARNING CIRCUMSTANCE
OBSERVER
PATIENT
PHYSICIAN
20THE CLINICAL SETTING
PATIENT
T
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OBSERVER
T
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F
PHYSICIAN
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21CARE
- Pre operative
-
- Operative
- Post-operative
22 PRIMARY SCREENINIG What is the
problem of the patient?
Why does he choose you as his physician?
How you will go about dealing with his problem ?
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25Analysis of history
-
- Defining the problem
- Planning the resolution
- Interview plan
- Anticipated problems of interview
- How will you open the case ?
26IMPORTANCE OF TRANSACTIONAL RECORDING AND ANALYSIS
27Clinical session evaluation form
28Group learning A way to realize once own
prejudices
- Record the case with observations
- Evaluate the DR??PATIENT relationship
- Prepare material with objectives /directives.
circulate to the known group - Make presentation as guide with open mind
- Participate without holding back
- Evaluate others as well as once own self
29INTEGRATION
PORTRAIT OF MEN
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31INTEGRATION
PORTRAIT OF MEN
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33SIMILIMUM
The similimum is a symbolic representation of
essentially Unknown inner constitutional form
pattern
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The totality of the symptoms, of this outwardly
Reflected picture of the internal essence of the
disease, that is, of the affection of the vital
force must be the principal, or the sole means,
Where by the disease can make known what remedy
it requires
34SYMBOL
The best possible FORM OF EXPRESSION of an
essentially unknown content which yet, is
recognized as existing The symbol transmits an
unknown but HIGHLY AFFECTIVELY CHARGED content an
emotional impact through an image of ANALOGY
AND SIMILARITY Example wolf Greedy
rapacious
35ABSTRACTION FROM EXPERIENCES
- Dazzling and attractive till offended
- Individualistic
- Rebellion against feminity
- Denial of feminity i.e. emotion, sex, role
- Repression
- Somatization
36ANGER
Expressions
Modalities
Causation / Attributes
Easily offended Vehement Fretful Quarrel
some Abusive Violence Mortification
Anger Indifference Trembling of hands Apoplexy-
black vision- vertigo
lt coffee ltopium ltoffences lt past events
Contradictory Quarrel some Complaining
37SADNESS
Causation / Attributes
Modalities
Expressions
Sadness Causeless Attacks of Weeping ? Laughter
ltRising
HYSTERICAL Melancholic
Indifference to Everything Fly Loved ones Avers
to work and pleasure Gloomy Unfortunate
Feeling Dark Forebodings About Future/Health Avers
e to occupation Propensity to Suicide
lt open air walking lt evening
38LOVE
Expressions
Modalities
Causation / Attributes
Greedy Miser Passionate
Greedy Miser passionate
39ANXIETY
Causation / Attributes
Expressions
Modalities
Nervous Fidgety want to go from one bed to
another Restless (agitation) Fear of being
alone, of starving Yet wants to be alone Fear
of carriage Worry about future Worry about
health Thinks she will die
lt noise
Anxious Nervous
Flushes of heat over face Palpitation Twitching
Trembling / perspiration
40INTELLECT
Expressions
Modalities
Causation / Attributes
MEMORY Weak forgetful
ltthinking
IDEAS Heavy flow inability
SPEECH Slow Wrong words
41BEHAVIOUR
Curt Speaks hardly Sits knitting occupied Quiet
introspected
42PHYSICAL CONSTITUTION
Masculine females Narrow pelvis Over growth of
body hair
Fair fat flabby Slow indolent Lazy Incapable
of exertion
Feminine males
Rigid fibre Sallow complexion Yellow freckles
Loss of hair Early graying
43PATHOGENESIS
Chronic weakness Exhaustion Lassitude Tone
poor Prolapse, bearing down Congestion
Inflammation Lithaemic
Veins-Circulation Abdomen digestion Pelvis Sex
organs Nerves skin
44- cuttlefish's body must remain within the
enclosing shell, in spite of all attempts to
break loose, so also the temperamental, sexual
and emotional tendencies which one would disown
cannot .simply be cast off - they can only be slowly and gradually transformed
by developing a conscious understanding with
which to complement the world of instinctive
feeling which is woman's primary expression and
experience..
45- Wherever the gradual expansion gives way to a
violent, protesting attitude, repression takes
the place of gradual transformation and pathology
arises. Challenge to and repression of the quiet,
contemplative and receptive feminine qualities,
symbolized by the "creative vessel, thus become
the keynotes of the Sepia pathology
46- In the case of Sepia, our attention is drawn to
its extraordinary configuration and the
contradictory phenomena of light and darkness
which the animal produces
47- The cuttlefish (Sepia off.I belongs to the family
of mollusks which is comprised also of clams,
oysters, mussels and snails. All mollusks
represent variations of a definite basic form
pattern, namely a soft, gelatinous, un segmented
body encased in a calcareous, horny shell. The
metamorphosis of this form pattern culminates in
an extreme polar opposition of oyster and
cuttlefish, with the snail holding an
intermediary position.
48Symbolic understanding
- Particularly when irritated and During copulation
a doling display of colours takes place....
During the fecundation period the female swims at
the surface at night, emitting quite a bright
luminescence. - Males rush on her like luminous arrows.... When
alarmed, a cloud of lilack ink is injected into
the water.... Originally it was thought that the
ink formed a smoke screen behind which the animal
retreated.
49- Recent observations, however, suggest that the
jet of ink when shot out does not diffuse rapidly
but persists as a definite object in the water
and serves as a dummy lo engage the attention of
the enemy while the cuttlefish changes its color
and darts off in a different direction."