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. Essentials of Prescribing
in Homoeopathy
To tread carefully from symptom to remedy
Dr. Hari Singh
Director, HHC Healthcare
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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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’
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