POSOLOGY  & FOLLOW-UP ANALYSIS © Dr Amit Karkare www.dramitkarkare.com [email_address] Mobile: +91 98222 52533
Eternal Dilemma: <ul><li>Wide range of potencies: Ø    CM    LM </li></ul><ul><li>Potential claims of miracles </li></ul...
The Art of Scientific Prescribing… <ul><li>Science  of guidelines </li></ul><ul><li>Art  of application </li></ul>
Guidelines to work on: <ul><li>SUSCEPTIBILITY ASSESSMENT: 3-P’s </li></ul><ul><ul><li>P ace of the disease progression </l...
Guidelines to work on: <ul><li>SENSITIVITY ASSESSMENT: </li></ul><ul><ul><li>M ind </li></ul></ul><ul><ul><ul><li>Attribut...
The Moment of Judgment: <ul><li>Surprises at every step… until we master it! </li></ul>
FOLLOW-UP  ANALYSIS A key to an ‘ideal cure’
Significance of FUA: <ul><li>Retrospective analysis of  actions  so far </li></ul><ul><ul><li>Therapeutic </li></ul></ul><...
Significance of FUA:  contd… <ul><li>Prospective value: </li></ul><ul><ul><li>Therapeutic strategy </li></ul></ul><ul><ul>...
Hypertension & fibromyalgia <ul><li>Housewife of a dominating & irritable husband complaining of: </li></ul><ul><ul><li>Ai...
Follow-ups: <ul><li>1 st  Feb: First prescription [BP = 160/100] </li></ul><ul><li>3 rd  Feb:  </li></ul><ul><ul><li>BP = ...
Primary Enuresis:  almost twice/wk <ul><li>16 July : First prescription: Calc Flur 200 3PHS  </li></ul><ul><li>29 July : F...
Follow up analysis:  contd… <ul><li>1 Sep : Once in 10 days </li></ul><ul><li>Rx : Calc Fluor 200 3PHS </li></ul><ul><li>2...
Psoriasis: <ul><li>Referred by my CA. Psoriasis since 1996. Psor arthropathy since 2004    pain +++ Fingers and toes defo...
Follow up: <ul><li>Dec 4 : Arsenic alb 200 1P </li></ul><ul><li>Dec 22 : Overall much better ++, needs analgesic every 36h...
Dermatitis: <ul><li>Suffering from 2006 </li></ul><ul><li>Treated with almost all drugs possible. </li></ul><ul><li>Became...
Follow-ups <ul><li>24 Dec : Sil 200 BD </li></ul><ul><li>31 Dec : Amel >> </li></ul><ul><ul><li>Rx: Silica 200 BD </li></u...
What next ?
Thanks ! © Dr Amit Karkare www.dramitkarkare.com [email_address] Mobile: +91 98222 52533
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Posology & Follow-up Analysis

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A presentation discussing the common issues faced while determining the potency of homeopathic medicine. Also discussing the role of follow-up analysis.

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Transcript of "Posology & Follow-up Analysis"

  1. 1. POSOLOGY & FOLLOW-UP ANALYSIS © Dr Amit Karkare www.dramitkarkare.com [email_address] Mobile: +91 98222 52533
  2. 2. Eternal Dilemma: <ul><li>Wide range of potencies: Ø  CM  LM </li></ul><ul><li>Potential claims of miracles </li></ul><ul><li>What is low – medium – high? </li></ul><ul><li>Threat of medicinal aggravation </li></ul><ul><li>When to step-up the potency </li></ul><ul><li>When to change potency & repetition </li></ul><ul><li>Traditional or Contemporary </li></ul><ul><li>The aim of ideal cure “RAPID” </li></ul>
  3. 3. The Art of Scientific Prescribing… <ul><li>Science of guidelines </li></ul><ul><li>Art of application </li></ul>
  4. 4. Guidelines to work on: <ul><li>SUSCEPTIBILITY ASSESSMENT: 3-P’s </li></ul><ul><ul><li>P ace of the disease progression </li></ul></ul><ul><ul><ul><li>Slow – Medium – Fast </li></ul></ul></ul><ul><ul><ul><li>Based on the knowledge of Clinical Medicine </li></ul></ul></ul><ul><ul><li>P resentation </li></ul></ul><ul><ul><ul><li>Totality available </li></ul></ul></ul><ul><ul><ul><li>Correspondence – quality and quantity </li></ul></ul></ul><ul><ul><ul><li>The quality of the symptoms expressed </li></ul></ul></ul><ul><ul><li>P athology </li></ul></ul><ul><ul><ul><li>Functional  Structural reversible  Stru irreversible </li></ul></ul></ul>
  5. 5. Guidelines to work on: <ul><li>SENSITIVITY ASSESSMENT: </li></ul><ul><ul><li>M ind </li></ul></ul><ul><ul><ul><li>Attributes at emotional level – expressions </li></ul></ul></ul><ul><ul><ul><li>Causative factors at the mental level </li></ul></ul></ul><ul><ul><li>N erves </li></ul></ul><ul><ul><ul><li>Tolerance of the distress </li></ul></ul></ul><ul><ul><ul><li>Receptivity – allergic reactions </li></ul></ul></ul><ul><ul><li>S leep / Dreams </li></ul></ul><ul><ul><ul><li>Expressions at subconscious level </li></ul></ul></ul>
  6. 6. The Moment of Judgment: <ul><li>Surprises at every step… until we master it! </li></ul>
  7. 7. FOLLOW-UP ANALYSIS A key to an ‘ideal cure’
  8. 8. Significance of FUA: <ul><li>Retrospective analysis of actions so far </li></ul><ul><ul><li>Therapeutic </li></ul></ul><ul><ul><ul><li>Medicine </li></ul></ul></ul><ul><ul><ul><li>Potency </li></ul></ul></ul><ul><ul><ul><li>Repetition </li></ul></ul></ul><ul><ul><li>Non-therapeutic </li></ul></ul><ul><ul><ul><li>Diet & regimen </li></ul></ul></ul><ul><ul><ul><li>Counseling & education </li></ul></ul></ul><ul><ul><ul><li>Change in the pre-existing allopathic medication </li></ul></ul></ul><ul><ul><li>EYE-OPENER </li></ul></ul>
  9. 9. Significance of FUA: contd… <ul><li>Prospective value: </li></ul><ul><ul><li>Therapeutic strategy </li></ul></ul><ul><ul><ul><li>Planning the advance of potency and repetition </li></ul></ul></ul><ul><ul><ul><li>Inter-current use </li></ul></ul></ul><ul><ul><li>Non-therapeutic strategy </li></ul></ul><ul><ul><ul><li>Diet & regimen </li></ul></ul></ul><ul><ul><ul><li>Counseling & education </li></ul></ul></ul><ul><ul><ul><li>Discontinuation of the existing allopathic medication </li></ul></ul></ul>
  10. 10. Hypertension & fibromyalgia <ul><li>Housewife of a dominating & irritable husband complaining of: </li></ul><ul><ul><li>Ailments from long-standing grief </li></ul></ul><ul><ul><li>Hypertension with BP ~ 160/100 </li></ul></ul><ul><ul><ul><li>Not controlled with Telma or Stamlo </li></ul></ul></ul><ul><ul><ul><li>GP sent the case back to Homeopathy </li></ul></ul></ul><ul><ul><li>Headache frontal ++ with severe vertigo </li></ul></ul><ul><ul><li>Severe bodyache with leg cramps </li></ul></ul><ul><li>Rx: Ignatia 1M single dose [expectations?] </li></ul>
  11. 11. Follow-ups: <ul><li>1 st Feb: First prescription [BP = 160/100] </li></ul><ul><li>3 rd Feb: </li></ul><ul><ul><li>BP = 144/88; Rest all symptoms = Status Quo </li></ul></ul><ul><ul><li>Rx: Placebo </li></ul></ul><ul><li>8 th Feb: </li></ul><ul><ul><li>BP = 142/90; Rest all symptoms = Status Quo </li></ul></ul><ul><ul><li>Rx: Ignatia 1M twice daily </li></ul></ul><ul><li>10 th Feb: </li></ul><ul><ul><li>BP = 126/88; Bodyache & headache = 50% better </li></ul></ul><ul><ul><li>Rx: Ignatia 1M twice daily </li></ul></ul>
  12. 12. Primary Enuresis: almost twice/wk <ul><li>16 July : First prescription: Calc Flur 200 3PHS </li></ul><ul><li>29 July : Frequency irregular or ~ same </li></ul><ul><li>Rx : placebo </li></ul><ul><li>10 Aug : Dry since last prescription </li></ul><ul><li>Rx : Placebo </li></ul><ul><li>21 Aug : Twice in 10 days </li></ul><ul><li>Rx : Calc Fluor 200 3PHS </li></ul>
  13. 13. Follow up analysis: contd… <ul><li>1 Sep : Once in 10 days </li></ul><ul><li>Rx : Calc Fluor 200 3PHS </li></ul><ul><li>21 Sep : Twice in 20 days </li></ul><ul><li>Rx : Calc Fluor 1M 1P </li></ul><ul><li>8 Oct : Only yesterday since last prescripn </li></ul><ul><li>Rx : Placebo </li></ul><ul><li>30 Nov : Once on 27 th Nov </li></ul><ul><li>Rx : Calc Fluor 1M 1P </li></ul>
  14. 14. Psoriasis: <ul><li>Referred by my CA. Psoriasis since 1996. Psor arthropathy since 2004  pain +++ Fingers and toes deformities ++ </li></ul><ul><li>Nails – ridges. Intense itching +++ </li></ul><ul><li>Chilly +++ with strong AF draft +++ </li></ul><ul><li>History of Bell’s palsy [draft exposure] </li></ul><ul><li>Discharges offensive ++ </li></ul><ul><li>Prescription: Arsenic Alb 200 1P </li></ul>
  15. 15. Follow up: <ul><li>Dec 4 : Arsenic alb 200 1P </li></ul><ul><li>Dec 22 : Overall much better ++, needs analgesic every 36hrs [earlier 24hrs] </li></ul><ul><ul><li>Rx: Arsenic alb on 1 st and 5 th day [10 days] </li></ul></ul><ul><li>Jan 4 : NISE / 48hrs; skin > </li></ul><ul><ul><li>Rx: Arsenic 30 BD </li></ul></ul><ul><li>Jan 18 : skin >>; NISE / 36hrs </li></ul><ul><ul><li>Rx: Arsenic 30 TDS </li></ul></ul><ul><li>Feb 1 : skin <<<; NISE / 36hrs </li></ul><ul><ul><li>Rx: Arsenic 200 alt day 3 doses </li></ul></ul><ul><li>Feb 12 : SQ; wakes up at 3 am; NISE / 24hrs </li></ul><ul><ul><li>Rx: Arsenic 30 QID </li></ul></ul>
  16. 16. Dermatitis: <ul><li>Suffering from 2006 </li></ul><ul><li>Treated with almost all drugs possible. </li></ul><ul><li>Became BILAT and +++ </li></ul><ul><li>24 Dec 2009 Repert n </li></ul><ul><ul><li>[Phatak Repertory] </li></ul></ul><ul><ul><li>Fingers, tips, dry as if made of paper </li></ul></ul><ul><ul><li>Fingers, tips, cracked </li></ul></ul><ul><ul><li>Fingers, tips, painful </li></ul></ul><ul><li>SILICA ??? X ??? </li></ul>
  17. 17. Follow-ups <ul><li>24 Dec : Sil 200 BD </li></ul><ul><li>31 Dec : Amel >> </li></ul><ul><ul><li>Rx: Silica 200 BD </li></ul></ul><ul><li>8 Jan : Status quo </li></ul><ul><ul><li>Rx: Silica 1M 3HS </li></ul></ul><ul><li>18 Jan : Amel >> </li></ul><ul><ul><li>Rx: Silica 200 7HS </li></ul></ul><ul><li>28 Jan : Amel > </li></ul><ul><ul><li>Rx: Silica 1M BD </li></ul></ul><ul><li>5 Feb : Amel >>> </li></ul><ul><ul><li>Rx: Silica 1M BD </li></ul></ul>
  18. 18. What next ?
  19. 19. Thanks ! © Dr Amit Karkare www.dramitkarkare.com [email_address] Mobile: +91 98222 52533

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