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Sahya Part 8
 

Sahya Part 8

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Homoeopathic Seminar Series

Homoeopathic Seminar Series
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Sahya Part 8 Sahya Part 8 Presentation Transcript

  • Presented By
  • SAHYA Welcomes YOU to Day – IV
  • Feed Back
    • Any Change
    • ?
  • Case taking Techniques for Individualization & Clinical Application of Miasm.
  • Case taking strategies .
  • No need of case taking to reach in to a drug. Diagnostic approach when you are selecting a Medicine. Homoeopathic case taking will lead to Remedy only. Best case record is a blank sheet. Simultaneous recording of data and observation is highly necessary. Recording in various sectors shall be a better method.
    • PC,
    • HPC,
    • PH,
    • FH,
    • PG,
    • MG
    • are the necessary sectors in a case record.
    • But try to enjoy your conversation with the patient at the same time don’t forget your objectives.
  • Welcome
    • Dr.K.N.Ashok Kumar
    • Case Taking protocol
    • Objectives,
    • Cautions
    • Miasmatic Relevance
    • & Shake hand with Rubrics
    • of Each sector
    • PC
  • Objectives of PC.
    • To reach in to a General. Side, Time, Season, < >, Many complaints.
    • To asses the sensation and energy level
    • To reach in to a Diagnosis (Give Up S&S).
    • To decide fixed symptom(s)
  • Exercise - I
  • An E Mail Case Find out A General.
    • Weakness of Memory and Low IQ
    • Relapsing Malaria
    • Ano Rectal Fistula
    • Diabetes due to pancreatic calculi.
  •  
  • Gen. Sides Left Because….
    • MIND - MEMORY - weakness of memory
    • (IQ & memory register in Left Hemisphere)
    • GENERALS - MALARIA – chronic
    • (Spleen Lt. Side)
    • RECTUM – FISTULA
    • (Rectum Lt. Side)
    • GENERALS - DIABETES MELLITUS
    • ABDOMEN - PANCREAS; complaints of
    • (Pancreases Lt. Side)
  •  
  • Exercise II
    • Cholecystitis
    • ABDOMEN - INFLAMMATION – Gallbladder
    • Appendicitis
    • ABDOMEN - INFLAMMATION – Appendix
    • Renal Calculus
    • Leading Question?
    • SIDE?
    • KIDNEYS - STONES – right
    • What is the General ?
    • GENERALS - SIDE - right
  •  
  •  
  • Rt. Sided organs
    • Gall
    • Bladder
  • Rt. Sided organs
    • Appendix
  • Rt. Sided (80%)
    • Leftists
  • Lt. Sided organs
    • Rectum
  • LEFT Sided Organs
    • Heart
  • Left Sided – Spleen
  • Bilaterally Symmetrical Organs
  • Bilaterally Symmetrical
  • Bilaterally Symmetrical Organs
  • Bilaterally Symmetrical Organs except cervical and Lumbosacral
  • Adenoids & Tonsils
  • Lungs, Nose
  • Testis & Ovary
  • Probe fore sides in such cases
  • Diagonal
    • Or draw it
  • Spot it First
  • Laterality Laterality { }
  • CASE TAKING RULES IN PC Select only fixed symptoms Try To get A GENERAL From A GROUP of PC
  • SIDE Season From P C
  • From P C Aggr. Aml (Not Necessary) If Natural
  • PERIODICITY ALTERATIONS (SPECIFIC CHAPTERS)
  • PERIODICITY YEAR - ARS, LACH
  • 6 MONTHS GERM MET
  • Sept. Ruthin. Met October Hailanthus November Mellifolium
  • DECEMBER Ambrosia
    • Don’t try to interpret.
    • Receive or collect maximum Data
    • Try to escape to a General Chapter at the earliest.
    • Observe the sensational and energy level
    • Energy level in presenting the symptoms
    • Sensational level are the feelings of the patient.
    • samad
    • Samad II
  • Cautions Cautious about time management. Don’t forget to escape to General Sector .
  • Miasmatic Importance
    • Self explanatory Miasmatic
    • Presentations
    • Miasmatic Specific (Proven)
    • Medicines.
    • On Day 5
  • Dr.K.N.Ashok Kumar
    • Shake Hand with Rubrics
  • Shhhh……..
    • STOMACH - ERUCTATIONS - pressing - painful parts; when pressing on(1)
    • Borx
  •  
    • HPC
  • HPC – Objectives
    • To Stop case taking there.
    • To define a single reason for the disease.
    • To select a ‘MEDICINE’
  • Can Stop Case taking
    • Adopted child but symptoms appear later – Lac Can
    • business failure – Aur, Cimic
    • cares, worries over a loved one - Cocc
    • From too high expectations of parents or from absence of father - Carc
    • Anything unusual - Ambra
    • Constipation From Antibiotics
    • Monilia albicans
    • Eruptions – Rhus Ven
    • Weakness – Carbo Veg.
    • Allergy to – Medo
    • Analgesics From –
    • Ammon Carb, OP
    • After injection for Schistosomiasis – ANT T
    • After Taking
    • Psychotropic Drugs
    • SEP & Arbutus
  • Cautions
    • Don’t forget to double confirm only after……..
    • Genetic tendencies overrule A/f so don’t forget to ask F/H
  • Miasmatic Importance
    • To know the out burst of Latent psora and nearest Antipsoric
    • To Know acquired Sycosis (Suppressions)
  • Shake Hand With Rubrics
    • Dr.K.N.A.KUMAR
  • Barotruma
    • EAR - INFLAMMATION - airplane; from changes of atmospheric pressure in an(1)
    • arn
  • cortisone
    • GENERALS - CONVALESCENCE; ailments during - cortisone; after use of –2
    • Caust,thuj
  • Antibiotics
    • GENERALS - CONVALESCENCE; ailments during - antibiotics; after use of –(3)
    • ars,nit-ac,thuj
  • PAST HISTORY
  • Objectives
    • To know the Layers of diseases
    • To know similar diseases
    • To know the extend and extension of an old disease
    • To know metastasis if any
    • To select General Rubrics from the Chapter generality
    • GENERALS - HISTORY; personal - tuberculosis; of – 13 remedies are there TUB is only one among them.
    • Dros is preferable for hip, bone & Resp. Disorders .
    • Phyt – for glandular affections and lymphoid tissue disorders.
  • H/o Tuberculosis
    • Calc – for functional disorders.
    • NIT ACID – for structural disorders.
    • Bac – for Dermatological problems.
    • Nat m – Mental Symptoms
    • Sil, Aur – I
    • Destructive disorders.
    • Phos – General Medicine
    • GENERALS - HISTORY; personal - eruptions; of suppressed – ZINC (1)
    • SKIN - ERUPTIONS – suppressed – (90) ZIC is 3 mark .
  • Cautions
    • Forget to Maintain hierarchy.
    • Abrupt break of case taking
    • Unnecessary list of diseases and it’s explanations.
    • Common answer ‘Nothing ’
  • Miasmatic Importance
    • To know the seesawing of Miasm
    • To know the Layer of Disease
    • To select a probable disease nosode
  • No Viral infections ?
    • Course of Past History
    • From Which Disease to Which Disease
    • From Which Organ to Which Organ
    • Is Important
  • Deficiency /Functional to
  • Proliferation to
  • SYPHILIS is.. Degeneration is
  • Suppression
  • Reverse Degeneration to
  • Proliferation to
  • Deficiency /Functional According to Herring's Law
  • A Single Rubric For Past History
    • Generals – History Personal
    • With Lot of Sub rubrics
  • Treatment history to be clubbed with Past History.
  • Past History will reveal the Layer of Disease Patient Then we can decide Treatment With DRUG,MEDICINE OR REMEDY
  • Family History FAMILY HISTORY
  • Objectives
    • To define patient in digits.
    • To select Nosode
    • To know the miasmatic flow
    • To know the script of patient.
  • Draw The Family Tree
  • Pt. Wife 1+1 :8+1 :8 = 1: 2: 2 Alz Alz Rhd DM Ego + Sy HD 105 Rhu HRT S U I ---Syc BHP Fibr Gout NP NP NP Tao Ca Smk Br. A R Ca Ca Ca cva R W 1: 3 : 13 = 1 : 1 : 3
  • Draw Your SCRIPT
  • Cautions
    • If not asking in terms of disease…………..
    • If not drawing the family tree………….
    • If not known
  • Miasmatic Importance
    • To Know Inherited Miasmatic Ratio.
    • To prove the Basic homoeopathic Philosophy
    • To select a genetic Constitutional Remedy
  • Shake Hand with Rubrics
    • Dr.K.N.Ashok Kumar & Family
  • Family History
    • asth
    • GENERALS - FAMILY HISTORY of – asthma (6) carc,lyc,med,
    • nat-s ,psor,tub
  • Family History
    • Dm
    • GENERALS - FAMILY HISTORY of - diabetes mellitus (3)
    • carc,thuj
  • Family History
    • Num
    • GENERALS - FAMILY HISTORY of - numerous serious diseases; of (1)
    • bufo
    • Physical
    • Generals
  • Objectives
    • To Know the person
    • To know the patient
    • More important than MG in certain cases
    • To select the Remedy
    • To know the modalities and to remove the same if needed.
    • Gen < are important than >
    • > are important if it is contradictory.
  • Cautions
    • Monotones questions
    • Focusing on remedy
    • Skipping general chapters and concentrating on desires only
  • Desires & Aversions Desire More Important Aversion ? Aggr.? Aggr. are Important Than Aml. NOT MANDATORY
    • Generals are scattered in the following chapters. Ask leading question from such chapters.
    • Stomach
    • Sleep
    • Perspiration
    • Dreams
    • Skin
    • Urine
    • Stool
    • Mouth
    • & MIND.
  • Miasmatic Importance of Generals.
    • To Cut short Generals
    • To reach in to a Group Totality
    • To know the acquired Miasmatic ratio
    • To select a remedy having dominant miasmatic similimum.
  • Shake hand with Generals
    • Dr.K.N.Asok Kumar
    • More generals
    • on
    • Day 5
    • MENTAL
    • GENERALS
  • Objectives
    • To trace Generals in every sense
    • To define Patient symptoms
    • To define Person Symptoms
    • To observe the HG
    • To collect maximum direct interpretations
    • To prepare maximum data for indirect interpretation
  • Cautions
    • Inexpert Indirect Interpretation
    • Observation Skip
    • Favorite Rubrics Syndrome
    • I don’t know so skip it habit
    • Language deficiency
  • Miasmatic Importance
    • Known basic General features of Miasms
    • Select a rubric from Miasmatic Compendium
    • All can be interpret in 3 ways and it’s combinations.
  • C M V Common Men’s Vocabulary
  • Dr.K.N.Ashok Kumar
    • Shake Hand With Rubrics of MIND
  • More Rubrics …….
    • On Day of Interpretation
    • DAY – 5
  • 4 Basic Qualities for effective Homoeopathic case taking.
    • Ability to Observe.
    • Creativity in Interpretation.
    • Logic in Analysis
    • Practicability in Application
  • S A H Y A PAEDIATRIC CASE TAKING
  • AIMS S A H Y A ASSESSMENT ON D/H BREAK DOWN TRADITIONAL CHAINS CURE THE PATIENT (AS PER TDSC)
  • SOURCES S A H Y A TPR OBSERVATIONS F/H
  • AREAS AILMENTS DURING PREGNENCY AILMENTS DURING DELIVERY COMMON AILMENTS
  • MIND
    • INTELLIGENCE
    • (BEARE OF EXAUGURATION)
    • INTERACTION WITH SCHOOLS
    • PLAYING
    • EMOTIONS
    • STORIES
    • EMOTIONAL STATUS OF PARENTS
    S A H Y A
  • GENERALS
    • FOOD & DRINS (desires aversions)
    • HOT / CHILLY- not applicable)
    • COVERS
    • SLEEP-POSITION
    • DELERIUM
    • PERIODICITY
    • RECURRENCE
    • VACCINATION HISTORY
    S A H Y A
  • Things to be remembered in paediatric case taking
    • Be an observer toDiagnose (For Empirical Prescribers)
      • Mood of patient ๘ Approaching/Withdrawn
      • Skin for indication of medicines
      • Orifices for Drugs
      • Tongue for Remedies
    S A H Y A
  • S A H Y A Developmental Delays
  • Developmental deficits occur by 4 categories of risk Established risk- Maternal diseases at first trimester of gestation, Teratogenic effects of certain drugs, Exposure to X ray-[2nd half of MC] ,Chromosomal anomalies.etc
  • Developmental deficits occur by 4 categories of risk Biological risk- LBW,[>2.5 kg], prematurity,birth asphyxianeonatral hyperbilirubinemia , hypoglycemia,neonatral convulsions, intra uterine infections,septicemia,etc.
  • Environmental risks
  • Developmental deficits occur by 4 categories of risk No apparent risk
  • S A H Y A T.D.S.C
      • Social Smile -5 – 45 Days
  • Eyes follow pen/pencil – 35- 50 Days Holds head steady - 40- 150 Days Rolls from back to stomach 80 days11months Turns head to sounds of bell/rattle – 3m-5.5m
  • Transfer objects hand to hand - <4m->7m Rises self to sitting position - 5.5M-11M Standing up by furniture – <6m-11m Fine prehension pellet – 6.5m-10.5m
  • Walk with help - <7m->13m Throws doll -<9m-<16m Walks alone – 9.5m-18m Says two words -11m-19m Walk backward – 11m-19.5m Walk upstairs with help - 12.5m-24m Points to parts of doll(3parts)-<15m-24m
  • Anticipate problems in conditions
  • H/O Delay in getting pregnant H/O Repeated abortions H/O Excessive vomiting in first trimester LBW Jaundice, Hypoglycemia H/O Neonatal convulsions requiring more than one drug Psychiatric problems in mother
  • Age appropriate toys –
    • 0-3 months- bright objects
    • 3-6 months
    • Sound making, to hold, suck and chew
    • 7-12 months
    • Toys noises with, squeezing toys, drums,
    • 12-15 months-
    • building blocks, picture book and cryon,
    • bus and other toys
    • 15-24 months-
    • toys to push and pull, toys to ride in,
    • toys to take part and put together
    S A H Y A
    • Evaluate the case records
  • Most difficult
    • & Most Interesting
    • Pediatric
    • Case Taking
  • Welcome this Kid !
  • Shake hand with
    • Pediatric
    • Rubrics
    • lakshmi
  • jij
    • MIND – CURIOUS(19) agar,aur,hyos,lach,puls,sep
  • nas
    • MIND - DESTRUCTIVENESS - children; in
    • Carc
  • but
    • MIND - PLAYING - desire to play - buttons of his clothes, with the (1)mosch
  • thoduka
    • MIND - TOUCHING everything; impelled to - children, in (2) Cina, carc
    • MIND - TOUCHING everything; impelled to (10) Merc, Thuj
    • MIND - TOUCHED - aversion to be - children; in (5) ant.c,ant.t,cina,cham,cupr
    • MIND - LOOKED AT; to be - cannot bear to be looked at –
    • children;in(4)ant.c,ant.t,cham,cina
  • peruppickal
    • MIND - EXAGGERATING - symptoms; her (7) agar,calc,cann-i, plat
  • tpp
    • MIND – INDISCRETION (40) PULS (CIRCUMSPECTION, lack of )
  • pepsodent
    • MIND - FEIGNING - sick; to be (16) Puls,Taret
  • rabit
    • MIND – PERTINACITY (11) stram,symph
  • Pm mathew
    • MIND - AILMENTS FROM - domination - children; in - parental control; long history of excessive (3) Aur-m-n (aurum muriaticum natronatum)carc,vanad
  • k.vazhal
    • MIND - SPOILED children – am-c,bar-c,lyc,op,sulph
  • Achachen
    • MIND - ATTACHED - father; children are attached to the (1)
    • cycl
  • swasam
    • MIND - UNCONSCIOUSNESS - cries, with howling (1) camph
  • Kochuvayil valiya
    • MIND - PRECOCITY of children – LACH,MED,VERAT
    • Video Case Analysis
    • MIND - GOURMAND
    • MIND - BULIMIA
    • MIND - ANGER - trifles; at
    • MIND - HARD for inferiors and kind for superiors
    • FACE - EXPRESSION - morose
    • RECTUM - URGING - eating - after - agg.
    • RECTUM - URGING - frequent
    • STOOL - ODOR - offensive
    • GENERALS - NIGHT
    • GENERALS - FOOD and DRINKS - shellfish - agg.
    • GENERALS - FOOD and DRINKS - meat - agg.
    • MIND - THINKING - complaints - constantly to his ailments
    • GENERALS - FOOD and DRINKS - flatulent food - agg.
  •  
  •  
  • Video
    • Biting
  • nail
    • MIND - BITING - nails - children; in (2) ant.c,carc
  • FINAL LAP FINAL LAP
  • Case taking is an art in every sense
  • No need of case taking
  • Get ready for a Practical session
  • Schedule April 27 – 2008 – Effective utilization of Materia Medica, Repertoy And Philosophy Faculty – Dr.S.G.Biju, Dr.K.N.Ashok Kumar & Dr.R.Sarat Chandran November – 11 - 2007 Individualization based on Materia Medica & trust Worthy Materia Medica Faculty – Dr.Prasad Oommen George & Dr.S.G.Biju March – 23 – 2008 Memory techniques, Mind Sets, Time Management & management of difficult cases Faculty : Jc.Jayapalan. jc.Adv.Benny Kurian, Jc.Pradeep P Pillai and Dr.S.G.Biju October 28 – 2007 Case taking techniques for Individualization & Clinical Application of Miasm. Faculty: Dr.S.G.Biju, Dr.R.Sarath Chandran February - 24 - 2008– Why Praful Why Predictive Faculty – Dr.C.J.Varghese Sept: 23 – 2007 Interpretation of Mental Symptoms & Selection of Rubrics, Most modern technique of Repertorization Faculty – Dr.K.N.Ashok Kumar, Dr.S.G.Biju January 27 th - 2008 Professional Excellence , Interpretation of Body Language. Faculty – Jc.Adv.A.V.Vaman Kumar, Dr.S.G.Biju August 19– 2007 Miasmatic Correction of pathological Prescription Faculty – Dr.S.G.Biju December 16 – 2007 Selection of Potency, repetition, Second prescription & Magic of Single Medicine Faculty – Dr.K.C.Prasobh Kumar, Dr.S.G.Biju July 15 - 2007 Rectification of Empiricism & Various Prescription Strategies Faculty – Dr.S.G.Biju & Dr.Sarath Chandran Hahnemann Crown Hahnemann Fellow
  • Thank You