Chapter 8 THE SELECTION OF THE SIMILAR REMEDY (concluded)

1. Dr. Ananthakrishnan V A
Dept of Organon, FMHMC,
Mangaluru
Chapter viii
THE SELECTION
OF THE SIMILAR
REMEDY(concluded)

2. CONTENTS
Individual similarity01
Methods to follow
individualisation
02
Keynote symptoms03
Clinical experience04

3. Similarity between disease & drug
action
GENERIC SIMILARITY
SPECIFIC SIMILARITY
INDIVIDUAL SIMILARITY

4. INDIVIDUAL
SIMILARITY

5. ELEMENTS OF INDIVIDUAL SIMILARITY
01
02
03
04
05
Time
modality
Side of
the body
affected
Mental &
emotional
state
Constitution &
temperament
of the patient
Conditions of
aggravation &
amelioration

6. 1.TYPE OF THE
PATIENT
1. CONSTITUTION
2. TEMPERAMENT

7. Worn & exhausted - ARSENIC

9. NUX VOMICA
Vigorous persons of dry
habits & tense fibre,
“high thinking”

10. Social butterfly
PHOSPHOROUS

11. Nervous
temperament
in woman &
children
IGNATIA

12. 2.MENTAL & EMOTIONAL STATE

13. Emotional
tension
Fear of
death
ACONITE

14. Crossness
CHAMOMILLA

15. Melancholia
(often suicidal)
AURUM

16. MODALITIES

17. Motion agg -
BRYONIA

18. Headache
Agg – lying down
BELLADONNA

19. Headache on stooping
SPIGELIA

20. 4.
SIDE OF BODY

21. Side of the body
affected when
unilateral organs
are concerned
Right supra orbital
pain associated
with herpetic
disorder
When to left side
& is traceable to
stomach.

22. Left should be regarded as the
weaker side
So impressible by lowering
causes & depressing drugs
Disorders & medicines
of right side are of
sthenic kind

23. 5. TIME
MODALITY

24. 2 to 3 am – NUX VOMICA

25. Evening - PULSATILLA

26. 4pm -
LYCOPODIUM

27. M. Spring in observation on diurnal
variation of temperature, pulse &
respiration
9am to 1 pm
6pm to 3 am
Diminished functional
activity
3 to 9aam
1 to 5 pm
Periods of functional
increase

28. HOW TO
FIND
SIMILIMUM??

29. A case of uterine hemorrhage -
DUNHAM
1
5
10
40
Based on the colour of the blood again it is
grouped (here dark colored haemorrhage)
From 340 drugs which produce haemorrhage,
40 drugs are isolated
Out of 10 drugs, 5 produce congestive
headache. (pathological significance)
Out of that 1 drug which has sensation as
though a living body were moving
through abdomen - CROCUS

30. Dr. Dunham conducts his individualization by
means of a single peculiar symptom
‘‘CHARACTERISTICS”
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Time
Circumstance
Concomitance
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DETERMINING
FEATURES

31. Individualisation gives a sharp
cut where generalization may
be a blunter many times. But
generalization will always be
better than a imperfect
similimum.

32. 2 METHODS TO FOLLOW
INDIVIDUALIZATION

33. 1. To write down the
symptoms of a case in the
order of schema & then to
find what medicine has
caused the whole or the
greatest number or the most
characteristic of them

34. REPERTORIES
At first memory could hold the
symptoms, or a little hunting may
find them. But as the remedies
which had been submitted to
proving increased in number,
indices to their effects were
required.

35. Caution while using Repertory
You must not
prescribe from them,
but can be guided to
them to MM, where
you can find the data
on which to base a
right selection
While seeking totality
of symptoms of
patient, you should
not expect to find all
symptoms of
medicine in your
patient

36. Hahnemann taught us
the importance of
securing resemblance in
those symptoms which
are peculiar to each drug
as an individual.
2. CHARACTERISTICS

37. Aphorism
153
In search for a homoeopathic
specific remedy, the more
striking, singular, uncommon,
peculiar (characteristic)
symptoms are to be ascertained
Homoeopathic
specific
remedy

38. CAROL DUNHAM
Those peculiarities of each drug which
are not met with any other & which
serve to individualise & give character
to the drug that produce them are
called its characteristic symptoms

39. BENNET
The leading & most
obvious & the most
frequently recurring
symptoms are called
characteristics
Fever in
exanthemata

40. Pathognomonic symptoms of a class
of disease are characteristic
Koplik’s spot -
Measles

41. But how can Homoeopathists
use the term ‘characteristics’
in its application to
INDIVIDUALS?

42. A characteristic symptom must mean one which is possessed
by none other than the individual drug of which it is
predicated & to which it gives character as an individual. So
it corresponds precisely to those features of a man by which
his friends are enabled to distinguish him from other persons
& to recognize him at a glance.

43. KEYNOTE SYMPTOMS
It is something peculiar in the case, some
prominent feature or marked symptom, that directs
to a certain drug.
“AND THE TOTALITY AFTERWARDS
CONFIRMS OR DISAPPROVES THE CHOICE”
Picking of nose as an indication for CINA in
metrorrhagia
“Devout, beseeching, earnest & ceaseless talking”
of patient with Dysmenorrhea - Stramonium
Dr. Henry
Guernsey

44. Keynotes of drug &
disease

45. CLINICAL EXPERIENCE

46. “THERAPEUTIC HINTS”
OUTCOME
in 2 ways
Specific
Individual

47. 1.To discover the remedial power of drugs
- chance, theory or any other mental process
Eg: The power of Colchicum over
Gout
It “produces its therapeutic effects by
an irritant action” & in gout “it
produces a substitutive irritation of
the articular surfaces”

48. 2. Clinical experience re-enforces our
attempts at specific similarity
- It fills up the groups of remedies for definite
types of diseases which our treatises on
practice present
- It is employed to supply the gaps in individual
similarity which pathogenesy too often displays

49. We are not
prescribing
Homeopathically,
but we may be
employing a
homoeopathic
remedy

50. Thank You