Homeopathic Case Management

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Homeopathic Case Management

  1. 1. Hahnemannian case management based on Luc De Schepper’s ‘Achieving and maintaining the similimum’ Interactive PowerPoint Presentation Just ‘click’ the situation your patient presents! Marc Van Wijk - 2006 START ABOUT…
  2. 2. Stop program Administration of remedy Immediate improvement on all planes Similar agg after every dose, no matter which potency Prolonged similar agg followed by slow continues decline New Sx appear Long lasting agg . with eventual but slow progress to improvement Sx following Hering’s Set of Observations Quick, short agg . Followed by improvement and increase of strength Long-term improvement ( weeks-months ) then sudden similar agg Initial improvement on all planes, then return of unaltered sx Immediate improvement on all planes but of short duration followed by long similar agg No reaction on any plane Isolated physical improvement without general relief nor increase in well-being or in M/E outlook
  3. 3. Immediate improvement on all planes Stop taking medicine
  4. 4. No reaction on any plane Increase potency All possibilities after administration of remedy No reaction
  5. 5. Still no reaction Obstructions to the cure Psychological block New acute event Hyposensitive patient Miasmatic block Wrong remedy?
  6. 6. Obstructions to the cure <ul><li>Lifestyle </li></ul><ul><li>Diet </li></ul><ul><li>Bad habits that cancel the remedy </li></ul><ul><li>How was remedy taken? </li></ul><ul><li>… </li></ul>
  7. 7. New acute event Acute intercurrent All possibilities after administration of remedy
  8. 8. Miasmatic block Nosode Striking response Brings forth a clearly indicated remedy Continue nosode while patient is improving If no response after 3 weeks, give previous remedy if still indicated
  9. 9. Psychological block <ul><li>A remedy can cure a kid, not educate it… </li></ul><ul><li>Attitude; denial of ones own behavior… </li></ul><ul><li>Patient isn’t introspective, honest… </li></ul><ul><li>Not willing to change… </li></ul><ul><li>... </li></ul>
  10. 10. Hyposensitive patient Adjust potency/dose
  11. 11. Initial improvement on all planes, then return of unaltered symptoms Potency not strong enough Judge intensity and timing of returning Sx Lifestyle ? Miasmatic block Severe pathology
  12. 12. Potency not strong enough <ul><li>Increase potency and/or </li></ul><ul><li>Increase frequency and/or </li></ul><ul><li>Increase succussions </li></ul>
  13. 13. Severe pathology Internal damage/pathology so severe that cure is impossible Work from C6 up to LM
  14. 14. Lifestyle <ul><li>Perserving harmful lifestyle </li></ul><ul><li>Did the patient take allopatic drugs or other healing modalities? </li></ul><ul><li>When the body is beginning to cure, using the positive support of the homeopathic remedy, it needs time to adjust to the renewed sense of wellness! </li></ul><ul><li>Don’t let the patients abuse their body’s again! </li></ul>
  15. 15. Intensity and timing of returning Sx <ul><li>Patient calls after initial improvement… </li></ul><ul><li>Problems in work or relationship are tugging the progress… </li></ul><ul><li>Returning Sx more severe? Incurable case…? </li></ul>
  16. 16. Quick, short agg. followed by improvement and increase of strength <ul><li>Selected potency and/or dose were a little too high… </li></ul><ul><li>Adjust by: </li></ul><ul><ul><li>decreasing number of succussions </li></ul></ul><ul><ul><li>decrease amount of given remedy </li></ul></ul><ul><ul><li>decrease frequency of dose </li></ul></ul><ul><ul><li>increase amount of water used to dilute remedy </li></ul></ul><ul><ul><li>increase volume of remedy solution bottle </li></ul></ul>
  17. 17. Long lasting agg. with eventual but slow progress to improvement Potency too high Extensive pathology Unrecognised one-sided disease
  18. 18. <ul><li>Potency and/or dose too high… </li></ul><ul><li>Hypersensitive patient… </li></ul><ul><li>Adjust by: </li></ul><ul><ul><li>decreasing number of succussions </li></ul></ul><ul><ul><li>decrease amount of given remedy </li></ul></ul><ul><ul><li>decrease frequency of dose </li></ul></ul><ul><ul><li>increase amount of water used to dilute remedy </li></ul></ul><ul><ul><li>increase volume of remedy solution bottle </li></ul></ul>
  19. 19. Extensive pathology <ul><li>Borderline of incurability…? </li></ul><ul><li>Present extensive pathology already known? If not, refer for further tests… </li></ul><ul><li>Always use very low potencies…: </li></ul><ul><ul><li>Start with 6C </li></ul></ul><ul><ul><li>Adjust dose/potency/succussions… </li></ul></ul><ul><ul><li>After 6C, ascend to 12C, to 18C, to 24C, to 30C; from then, switch to LM </li></ul></ul>
  20. 20. Unrecognized one-sided disease <ul><li>Advanced pathology becomes active layer </li></ul><ul><li>Use von Boenninghausen! </li></ul><ul><li>Don’t use deep-working, miasmatically chosen remedies! </li></ul>
  21. 21. Prolonged similar agg followed by slow continues decline Unrecognized hypersensitive patient Incurable case
  22. 22. Unrecognized hypersensitive patient <ul><li>Potency and/or dose far too high </li></ul><ul><li>Cancel remedy with camphor or corresponding antidote; if it was the similimum, give same remedy in lower potency by 5th edition method. </li></ul><ul><li>Start again with much lower potency/dose </li></ul><ul><li>Olfaction can be used (6C) or micro-solution. </li></ul>
  23. 23. Incurable case <ul><li>VF has no strength left to react </li></ul><ul><li>Advanced and terminal pathology…? </li></ul><ul><li>Only palliation is possible: </li></ul><ul><ul><li>Acute ‘zig-zag’ prescribing with 5th edition method </li></ul></ul><ul><ul><li>Use von Boenninghausen </li></ul></ul><ul><ul><li>By preference, use vegetable remedies </li></ul></ul>
  24. 24. Similar agg after every dose, no matter which potency Hypersensitive patient ‘ Hysterical ’ patient
  25. 25. ‘ Hysterical’ patients <ul><li>A case of unmet emotional needs…? </li></ul><ul><li>Need of attention…? Ask other family members. </li></ul><ul><li>Fixed delusions…? </li></ul><ul><li>Give placebo until similimum is indicated or until real emotional picture shows… </li></ul>
  26. 26. Isolated physical improvement without general relief nor increase in well-being orin M/E outlook Distant simile and/ or Suppressed symptom Lifestyle and related treatments Miasmatic block Extensive pathology
  27. 27. Distant simile and/or suppressed symptom <ul><li>Similimum not found… </li></ul><ul><li>Possibly the external manifestation of disease has been suppressed </li></ul><ul><li>Acted as placebo…? </li></ul><ul><li>Retake the case </li></ul>
  28. 28. Immediate improvement on all planes but of short duration followed by long similar agg Distant simile Miasmatic block Cancellation of remedy Limit of curability Deferred similar agg
  29. 29. <ul><li>It is possible the patient cancels the remedy …: </li></ul><ul><ul><li>keeps on doing sport while being treated for sport injury… </li></ul></ul><ul><ul><li>takes ‘antidoting’ food or drinks during treatment… </li></ul></ul>
  30. 30. <ul><li>Rarely, some remedies have a deferred aggravation… </li></ul><ul><li>Don’t change your prescription too hastily! </li></ul>
  31. 31. Long-term improvement (weeks-months) then sudden similar agg <ul><li>No more repetition of the remedy! </li></ul><ul><ul><li>VF needs no further stimulus of remedy </li></ul></ul><ul><ul><li>Repeating would create a remedy disease! </li></ul></ul>
  32. 32. Sx following Hering’s Set of observations <ul><li>Healing takes place: </li></ul><ul><ul><li>from within out </li></ul></ul><ul><ul><li>from more important organs to lesser important </li></ul></ul><ul><ul><li>from above to below </li></ul></ul><ul><ul><li>in reverse order of appearance (reversible, presenting and suppressed sx)… Make a timeline during anamnesis! </li></ul></ul><ul><li>Duration of old, recurring sx depends on nature of disease, VF, potency, nature of remedy. </li></ul>
  33. 33. New symptoms appear Wrong prescription Natural healing symptoms
  34. 34. <ul><li>Are they ‘accessory sx’? You might have a simile… </li></ul><ul><li>Sx are not ‘old, forgotten’; the patient never had them before…: </li></ul><ul><ul><li>STOP and retake the case </li></ul></ul>
  35. 35. Natural healing symptoms <ul><li>Rashes </li></ul><ul><li>Joint pains </li></ul><ul><li>A ‘cold’ </li></ul><ul><li>Discharges </li></ul><ul><li>Returning ‘signs of life’ </li></ul><ul><li>No new prescription needed! Go on judiciously </li></ul>
  36. 36. <ul><li>Remedy is right </li></ul><ul><li>Potency and/or remedy dose a little too high… </li></ul><ul><li>Adjust by: </li></ul><ul><ul><li>decreasing number of succussions </li></ul></ul><ul><ul><li>decrease amount of given remedy </li></ul></ul><ul><ul><li>decrease frequency of dose </li></ul></ul><ul><ul><li>increase amount of water used to dilute remedy </li></ul></ul><ul><ul><li>increase volume of remedy solution bottle </li></ul></ul>
  37. 37. <ul><li>Since about 20 years, I’ve been studying homeopathy. Step by step, reading all those inspiring books, homeopathy became clear to me; however, some aspects of it, did not… </li></ul><ul><li>Until I read the most wonderful books of Luc De Schepper: Hahnemann revisited and Achieving and maintaining the similimum . All of a sudden, the hidden aspects showed themselfs to me! Dr Luc seems to have the marvellous capacity to ‘translate’ the texts of Hahnemann into clear, pure, understandable language… </li></ul><ul><li>Especially ‘his’ strategic case management resulted in more succesful homeopathic prescribing; indeed, the second prescription is often the most difficult one. </li></ul><ul><li>It is for this reason I made this interactive powerpoint show. In a few mouse-clicks, you will be able to find out how to act, using your patient’s information, during his second visit. </li></ul><ul><li>The more succesful our prescribing becomes, the more motivated we – as homeopaths – become. And this is in the interest of our patients, as well as in the interest of homeopathy itself. </li></ul><ul><li>Using homeopathy in a correct way, resulting in succesful prescribing is in fact a tribute to Samuel Hahnemann; it’s the proof that his Similia Similibus Curentur is still living! </li></ul><ul><li>Marc Van Wijk </li></ul><ul><li>Belgium </li></ul><ul><li>2006 </li></ul><ul><li>vanwijkm @ skynet . be </li></ul>
  38. 38. <ul><li>Possibly, your remedy choice is wrong, so you have to retake the case. </li></ul><ul><li>However, don’t take this decision too hastily ! This mistake is made too often ! </li></ul>

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