Essentials Of Prescribing In Homoeopathy


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Homoeopathy is a science and this presentation explores the methodology behind understanding, analysing the disease and prescribing medicine to the patient. It defines the key milestones that if followed diligently by any physician can help him end up with a remedy which may prove out to be a panacea for all patient complaints.

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Essentials Of Prescribing In Homoeopathy

  1. 1. Essentials of Prescribing in Homoeopathy To tread carefully from symptom to remedy Dr. Hari Singh Director, HHC Healthcare
  2. 2. Prescribing Milestones Clarity of Programming Posology Homoeopathic the treatment concepts Sound General Repertorisation knowledge of Management Materia Medica Sound Clinical Detailed Case Follow-up / base history Assessment 3/25/2009 Essentials of Prescribing in Homoeopathy 2
  3. 3. Clarity of Homoeopathic concepts  First and foremost milestone  There has to be a clear understanding of the concepts of the  Law of Similia,  Single remedy, and  Minimum dose as promulgated by Dr. Samuel Hahnemann  Clear understanding of the fine nuances of these principles will only pave way for an effective homoeo- therapy 3/25/2009 Essentials of Prescribing in Homoeopathy 3
  4. 4. Sound knowledge of Materia Medica  Homoeopathic Materia Medica has adequate tools in the form of medicines that are required to cure the diseases  To employ these medicines effectively, it is necessary to understand the process of `drug evolution’ in Homoeo-therapy  Evolution of a drug from its material/crude state to the dynamic/potentised form  Detailed study of the Patho-physio-dynamic shift  Shift in the nature of signs/symptoms produced by the drug in the animal and healthy human beings, in its toxic crude state and various ultra-high dilutions  Shift from tissue-affinity of the drug to personality-affinity, is of paramount importance for rational use of these medicines 3/25/2009 Essentials of Prescribing in Homoeopathy 4
  5. 5. Sound Clinical base  A fairly good knowledge of diseases involving the  Signs,  Symptoms and  Pathological markers is essential for diagnosing a disease  It enables the physician to assess the efficacy of homoeopathic medicine(s) in various diseases 3/25/2009 Essentials of Prescribing in Homoeopathy 5
  6. 6. Detailed Case History  “A well taken case is half the cure”. It helps both the physician and the patient.  The physician is helped in gathering all the information useful in the selection of a similimum  Patient gains added confidence from the physician having listened to all his complaints  A good case taking involves  patient’s uninterrupted narration of all his sufferings,  followed by physician’s investigative-interrogation based on his observations about the patient’s mental and body make-up  A careful analysis of the symptoms given by the patient is done during the case taking itself and not at the end  To ascertain whether the symptoms pertain to the cause or the effect of the disease 3/25/2009 Essentials of Prescribing in Homoeopathy 6
  7. 7. Detailed Case History (cont’d)  After all the characteristic symptoms have been delineated in the case, further evaluation of this picture done in the light of the varying strength of various characteristic symptoms of that patient becomes necessary  To make a prescribing portrait of the patient’s illness  This portrait construes the basic nature of his chronic disease and is closest to his inherent miasm which is the root cause of all his diseases  A Homoeopathic remedy selected on this symptom complex (the portrait) will undoubtedly be the constitutional remedy (similimum) of the patient 3/25/2009 Essentials of Prescribing in Homoeopathy 7
  8. 8. Repertorisation  All chronic cases should always be repertorised  There is high possibility of finding yet other equally or better indicated remedy than the one that may look obvious to the physician at the first instance from the portrait of the patient  There is scant symptom information available in most of the homoeopathic medicines listed in current Materia Medica books  It is difficult to get a similimum for every patient  There may, in fact, be more than one medicine similar to the portrait of the disease  A good repertorisation with the right repertory, therefore, can be a big aid in selecting an appropriate homoeopathic prescription  Prescription that is the most similar to the patient  The result of repertorisation also guides the physician regarding the level of confidence in his prescription as also the probable outcome of the selected remedy  the prognosis to homoeopathic treatment in a particular patient 3/25/2009 Essentials of Prescribing in Homoeopathy 8
  9. 9. Programming the treatment  Programming/planning the medicines in a chronic disease involves  Selection of a constitutional medicine  Preparation of a kit of remedies for the acute exacerbations of the chronic disease and any associated acute diseases  These acute prescriptions are primarily regional remedies that not only suit the acute episode but also cognate the constitutional remedy well  In this way, a plan of treatment can be usefully drawn for a longer period 3/25/2009 Essentials of Prescribing in Homoeopathy 9
  10. 10. Posology  This has always remained a neglected and ill understood area in homoeopathic treatment.  It consists of the  Dosage (potency) and  Frequency (repetition schedule)  The golden rule for deciding the potency in any chronic disease is `Greater the Confidence, Higher the Potency’ or vice-versa 3/25/2009 Essentials of Prescribing in Homoeopathy 10
  11. 11. Posology: Trigger v/s Titre  The repetition of the dose is decided by the ‘reactivity of the patient’ and not the potency of the drug or nature of the disease/drug  In this sense, a single dose of homoeopathic medicine, even in 30C potency, is to be followed by a ‘wait and watch’ period of at least a week  This medicine is neither repeated nor changed so long as there is improvement seen in the patient’s ailment  It is the ‘Trigger’ & not the ‘Titre’ of homoeopathic medicine that is needed to initiate/sustain the healing process in any patient 3/25/2009 Essentials of Prescribing in Homoeopathy 11
  12. 12. General Management  The Diet & Regimen are becoming more important with the passage of time  Particularly in the affluent society  Most of the life-style diseases can be safely managed by a correction of diet, regimen and stressful conditions  The need to treat a patient arises only when there is no further improvement seen in the disease condition despite the best dietetic correction and/or exercise  Any medicine given in these pseudo-chronic diseases can even become harmful to the patient 3/25/2009 Essentials of Prescribing in Homoeopathy 12
  13. 13. Follow-up / Assessment  Though the last ‘milestone’ of ‘essentials of prescribing’, yet this is equally important in the treatment of a patient  Because the selection of second prescription solely depends on how well the follow-up has been done  The outcome of homoeo-treatment is assessed on the basis of  ‘Kent’s twelve observations’  ‘Herring’s Law of Cure’,  Frequency  Duration,  Intensity of attacks’, and  Changes in signs, symptoms and the investigations 3/25/2009 Essentials of Prescribing in Homoeopathy 13
  14. 14. Summary  This may seem a long exercise in the selection of a similium  A physician who follows these milestones diligently ends up with a remedy which may in fact prove out to be a panacea for all patient complaints  Whereas a physician, who has no patience for patients and prescribes medicine without taking care of all these milestones, falls in the category of ‘mongrelopath’  Homoeopathy, a super-specialty, incorporates treatment of man as a whole, i.e. Mind, Body and Emotions and to achieve this goal, each patient of chronic disease needs these ‘Essentials of Prescribing’ 3/25/2009 Essentials of Prescribing in Homoeopathy 14
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