PRESENTATION BY: DR. BIPIN JETHANI Reader, Department of Organon
of Medicine, Nehru Homoeopathic Medical College & Hospital, New
Delhi
PRESENTATION BY: DR. BIPIN JETHANI
Reader, Department of Organon of Medicine,Nehru Homoeopathic
Medical College & Hospital, New Delhi
C.M.E. PROGRAM ORGANISED BY
DEPT. OF AYUSHON 12TH FEB. 2014
IMPORTANCE OF OBSERVATION IN HOMOEOPATHIC PRESCRIBING
CLINICAL EXPERIENCE OF BOENNINGHAUSEN..at present there is in
this region a pernicious whooping-cough among children the sick
children were characterized by a remarkable puffiness and swelling,
not so much of the whole face as especially above the eyes, between
the lids and the brows, which was frequently like a thick little
sac,.
BOENNINGHAUSENS ORIGINAL PREFACE THERAPEUTIC POCKET BOOK
CLINICAL EXPERIENCE OF BOENNINGHAUSEN.a symptom which, hitherto,
has been observed only in kali carb., and in fact from the
beginning of the epidemic, this has been the only quick and
permanently curative medicine. Only in the latter period of the
disease, there appeared another form characterized by cold sweat on
the forehead during vomiting, which called forveratrum alb.
CLINICAL CASE OF J.T. KENT:Lesser Writings Of J.T. KentA case of
Epithelioma of several years standing on the left upper lid
reported in spring season with fissures and bleeds. He observed the
lesion had a dark red hue.
No constitutional symptom obtained.
Lachesis 4m cured in six months.
CLINICAL CASE from koppikars clinical experiencesOne day we were
walking around road at about 9 am and my uncle was surprised to
hear lot of loud talking going on behind partition, which seperated
living quarters. We peeped in and saw Krishna lying on mat,
shivering and talking in delirium. My uncle sent him Podophyllum
200 to be given every 2 hourly and he never got another chill
paroxysm.
Case of K.C. Bhanja
K.C. Bhanja was called upon to treat a case of hyperpyrexia in a
child. He found the child to be playful even in such a state of
high fever. He simply touched the tip of nose and found it very
cold to touch. He prescribed ARNICA MONTANA 200/ dissolved doses
and the fever came down in just 3 hours.
CLINICAL CASE of dr. l.m. khanA anamnesis of comatose patient
(?bacterial meningitis) revealed that he developed fever after
taking very cold water coming from lot of physical exertion in sun.
He had convulsive movements and twitchings around lips with
hyperextension of foot. This observation was found in BBCR in
Dulcamara which was prescribed in 6 potency with marvellous
results
ASTUTE OBSERVATION: KEY TO PRESCRIBINGThe stalwarts of
homoeopathy relied upon their power of astute observation and their
wisdom of Materia Medica, which often led them to the similimum in
shortest period of time.
HAHNEMANNIAN VIEW .. In order accurately to perceive what is to
be observed in patients, we should direct all our thoughts upon the
matter we have in hand, come out of ourselves, as it were, and
fasten ourselves, so to speak, with all our powers of concentration
upon it, in order that nothing that is actually present, that has
to do with the subject, and that can be ascertained by all the
senses, may escape us.SAMUEL HAHNEMANN: THE MEDICAL OBSERVERLesser
writings of Hahnemann
10
IMPORTANCE OF OBSERVATION IN CASE PERCEIVING ... The duty of the
observer is only to take notice of the phenomena and their course;
, not only that nothing actually present escape his observation,
but that also what he observes be understood exactly as it is.
THE MEDICAL OBSERVERLesser writings of Samuel Hahnemann
11
A WORD OF CAUTION:Concept of GESTURE CLUSTERNonverbal cues occur
in what is called a gesture cluster a group of movements, postures
and actions that reinforce a common point.
Similarly, single observation (that too if not unequivocal) in
clinical practise should not be the basis of prescribing but rather
should serve as a clue in the search of similimum which should be
selected on basis of cluster of observations and subjective
concomitants.
CLINICAL CASE STUDIES WHERE OBSERVATION HELPED TO REACH TO THE
INDICATED MEDICINE
A KNOWN CASE OF VITILIGOA 48 yrs old male patient, known case of
diabetes (controlled on OHA) had reported with c/o hypo-pigmented
spots on face, neck and upper extremities. ON OBSERVATION: The
patient had marked pouting lips, broad nose with slightly depressed
nasal septum.
Case analysisDesire for salty food.
Thirst increased for cold water.
Sleep disturbed in early part of night.
Patient suffered from recurrent headache which he showed was in
a line over the vertex region LINEAR HEADACHE.
SIGNIFICANT FEATURES OF THE CASEFacial characteristicsTendency
to LINEAR HEADACHE.
Patient further revealed strong Family history of alcoholism and
liver disease
BEFORE AND AFTER PRESCRIPTION OF SYPHILINUM 200/ UNIT DOSE,
followed later in 1m potencyPRE-TREATMENT
POST-TREATMENT
A 32 yr. old male patient, mesomorphic build, wheatish
complexion with dark blackish mole of left cheek reported with
complain of localized alopecia of scalp region.
His other complaint was pain in knee joints especially in cold
weather >: hot fomentation
CASE ANALYSISThe complaint of hairloss had started 2 years back
with no ascertainable precipitating etiology. The hair loss had
gradually increased and was more marked in rainy weather.
Past history revealed h/o severely erupted chicken pox at age of
21 yrs.
CHILLY PATIENT
ERUPTIONS ON THE SMALL JOINTS OF HANDS
Hitherto we have had only one remedy, so far as I know, namely,
Sepia, which corresponds with the sores on the upper side of the
joints of the fingers and toes..
Concerning the Relative Value of Symptoms and Something about
Borax (LESSER WRTINGS OF BOENNINGHAUSEN)
BEFORE AND AFTER PRESCRIPTION OF SEPIA 200/ repeated at
infrequent intervals
A Contribution to the Judgement Concerning the Characteristic
Value of Symptoms(LESSER WRTINGS OF BOENNINGHAUSEN)Every Homoeopath
knows the efficacy of Sepia in these ulcers of joints, which have
no otherwise distinguishable features when this remedy is taken
internally without any external medication it will have a sure
effect. Medicines which correspond to similar ulcers on other parts
of the body in such cases are utterly useless.
A endomorphic corpulent female reported with c/o erythematous
scaly eruptions on both feet (medial aspect of both feet ------
SYMMETRICAL LESIONS)
The other noteworthy observation in this case was COLD SWEAT OF
THE PATIENT.
PRESCRIPTION OF THYROIDINUMOn interrogation, patient revealed
marked desire to sleep on abdomen.
The position during sleep coupled with observation of
SYMMETRICAL ERUPTIONS & COLD SWEAT LED TO PRESCRIPTION OF
THYROIDINUM .
The patient is still under treatment and showing improvement in
her skin complaints
A CASE OF ADHD WITH STUNTED GROWTH
A CASE OF ADHD WITH STUNTED GROWTHThe mother of this 6 year old
child complained of his utter inability to concentrate with extreme
hyperactivity. He was very destructive ---- would throw things and
scratch others. He was unmindful of putting himself in dangerous
situations..s/o ADHD (mixed type)
STUNTED GROWTH
ASYMMETRY OF BODY PARTS
DIAGNOSED AS A CASE OF SILVER - RUSSEL SYNDROME BY WELL KNOWN
PEDIATRICIAN
SILVER-RUSSEL SYNDROMEAfter many failures; this observation of
pediatrician (ASYMMETRY AS A PATHOLOGICAL GENERAL) along with his
destructive behaviour and family history of craving for alcohol
(found later on enquiry) led me to prescribe SYPHILINUM 200 in
weekly doses. {ASYMMETRY is a marked syphilitic taint}
The result has been very encouraging with hyperactivity reduced
and childs attention span increasing.
A CASE OF ADENOIDSThis patient was prescribed FLOURIC ACID in LM
potencies on basis of his SYPHILITIC FACIAL FEATURES (BIG EARS AND
EYES WITH DISPROPOTINATELY LARGE FACE) coupled with the concomitant
of his desire to bathe in cold water even in winters.
He showed marked symptomatic improvement (recurrent URTI, nasal
blockage and growth) within a span 5-6 months and is still under
treatment.
PRESCRIBING CLUE :CHARACTER OF TONGUEONE SIDED COATING OF
TONGUEPARALLEL FISSURES IN TONGUE
RHUS TOX, DAPHNE
OBSERVATIONS DURING COUGHS
IMPORTANCE OF LOCATION
DULCAMARAHEPAR SULPHANACARDIUM, MURIATIC ACIDCHENOPODIUM
GLAUCIPIX LIQUIDASEPIA, BORAXILLICIUM
CASE OF RECURRENT HEADACHEA 36 year old male patient complained
of recurrent headache in right temporal region accompanied with
thick yellow nasal discharge since 8-9 months. The pain was worse
in a warm room and better in open air.
He was not better even after taking lots of homoeopathic
medicines
CASE OF RECURRENT HEADACHEThe strange peculiarity in his case
was THIN NECK .. A very important clue in prescribing of NATRUM
MUR.
I prescribed him Natrum mur. in LM potencies and he showed
remarkable improvement in his c/o headache.
CASE OF VITILIGO IN A 3 YEAR OLD CHILDA 3 yr. old girl presented
with hypopigmented macules on her right hand. She had taken lots of
treatment but the hypo-pigmentation kept on increasing in size.She
was very active child.H/o Delayed walking (started at age of 16
months)
TEETH DECAY AT EDGE OF GUMS AND BREAK OFF
THERE HAS BEEN MARKED REDUCTION IN HYPOPIGMENTATION AFTER
PRESCRIPTION OF SYPHILINUM 200/ 1 DOSE REPEATED AT VARIED
INTERVALSPRE-TREATMENT
POST TREATMENT
Case of URTI (?VIRAL EXANTHEMA) A 28 year old patient reported
with the complaint of low grade fever with erythematous rashes
(bright red blotches) on neck, upper extremities especially hands
since 3 days. Fever was accompanied with slight pain in throat with
slight difficulty in swallowing. On observation, the tonsils and
surrounding fauces showed extremely bright red hue. Fever had no
particular pattern. There was significant prescribing
clue???????????
STREPTOCOCCINUM IN A CASE OF VIRAL EXANTHEMA
ARNICA MONTANA IN BOILSTendency to SMALL, PAINFUL BOILS, one
after another, extremely sore.
.H.C. Allens Key notes
PERCEIVING ARNICA FROM MATERIA MEDICA PURA396. On the side of
the nape a pimple that causes shooting and ulcerative pain when
touched.(This kind of pimple, so painful when touched, with an
inflamed red areola, which arnica produces specifically, bears the
greatest resemblance to the well-known boils (furunculi), and
consequently these are homoeopathically cured by arnica, and in
persons who are frequently troubled with them are prevented by the
use of arnica, and their future occurrence warded off, as
experience has taught me.) (aft. 48 h.).
BOENNINGHAUSEN ON IMPORTANCE OF OBSERVATION AND VALUE OF
CHARACTERISTICSOught, we not to be able to introduce something
similar in homoeopathy, so as to considerably lighten the work of
incipient (perhaps also of older) homoeopaths, and to simplify the
selection of remedies without, in the least endangering their
sureness, but rather securing it? I believe so. Yes!LESSER WRITINGS
OF BOENNINGHAUSEN
Good judgement comes from experience, and experience comes from
bad judgment.
..Barry LePatner
