Transcript Koelher p. 68 - 85 - Faculty of Homeopathy

Case taking and analysis
www.facultyofhomeopathy.org
What is a homeopathic
consultation?
When does the consultation become
homeopathic ?
www.facultyofhomeopathy.org
Why choose to open up the
possibility of a homeopathic
treatment ?
•
•
•
•
•
You were recently on a course
Colleague referral
Patient request
Well established indication
Strange, rare or peculiar symptom
www.facultyofhomeopathy.org
Two Goals of The Homeopathic
Consultation
• Understanding the patient’s illness
• Finding the remedy
www.facultyofhomeopathy.org
Koelher p. 68 - 85
“ The aims of case-taking are initially the
same as in modern medicine generally.
A diagnosis is to be made where possible.
The prognosis is determined and assessed.
A treatment plan is drawn up.”
www.facultyofhomeopathy.org
Koelher p. 68 - 85
“A patient’s signs and symptoms provide
the material for finding the appropriate
homoeopathic drug ......................
the next stage is the encounter with the
patient.”
www.facultyofhomeopathy.org
The “Encounter”
•
•
•
•
Understanding the patient
Ask the patient for examples
Try to put yourself in the patient’s shoes
The practitioner’s attitude
www.facultyofhomeopathy.org
Koelher p. 68 - 85
• Preconditions for good history-taking
– calmness, time, patience, unbiased
attitude, careful attention
www.facultyofhomeopathy.org
Vithoulkas p. 169 -189
“the environment should be quiet, with
harmonious, simple, esthetic decor.”
www.facultyofhomeopathy.org
The Homeopathic History
• Presenting complaint
• Past Medical History, Family History, Drug
History, Social History, Allergies
• “Complete Symptoms”
www.facultyofhomeopathy.org
What is a “Complete Symptom” ?
•
•
•
•
Aetiology
Localisation
Sensation
Modality
www.facultyofhomeopathy.org
The Homeopathic History
Generals
• Appetite
• Food
– Aversions
– Desire
– Aggravations
• Thirst
• Sleep and Dreams
www.facultyofhomeopathy.org
The Homeopathic History
Generals
•
•
•
•
•
Temperature
Perspiration
Weather
Time
Menses
www.facultyofhomeopathy.org
The Homeopathic History
• Other systemic enquiry
• Mental symptoms
www.facultyofhomeopathy.org
The Homeopathic History
Mentals
• How would you describe yourself ?
• How would others describe you ?
www.facultyofhomeopathy.org
The Homeopathic History
Mentals
•
•
•
•
•
•
Anxieties
Fears
Depression, apathy
Lack of self-confidence
Irritability, anger
Sensitivity, tears
www.facultyofhomeopathy.org
The Homeopathic History
Mentals
Quality of relationships
•
•
•
•
•
•
company
consolation
confrontation
contradiction
jealousy
sexual function
www.facultyofhomeopathy.org
The Homeopathic History
Mentals
Cognitive function
•
•
•
•
Memory
Concentration
Mistakes
Delusions
www.facultyofhomeopathy.org
Recording the History
Where to record the history
www.facultyofhomeopathy.org
Recording the History
How to record the history
• one symptom per line
• underlining
– clarity
– intensity
– spontaneity
www.facultyofhomeopathy.org
Recording the History
How to record the history
• margins for remedies
• marking selected symptoms with an asterix
• recording sheets
www.facultyofhomeopathy.org
Making Sense of it all
• Diagnosis
• Prognosis
www.facultyofhomeopathy.org
Quality or “Precision” of
symptoms
• Characteristic, striking and unusual
symptoms
• Spontaneous symptoms - with emphasis
• “Complete symptoms”
• Long-standing or new symptoms which are
deteriorating
www.facultyofhomeopathy.org
Making sense of it all
• What symptoms are important to the
patient?
• What symptoms are you trying to “treat” ?
• “Complete symptoms”
• “Strange, rare and peculiar symptoms”
• Where is the level of disturbance ?
www.facultyofhomeopathy.org
“Complete symptoms”
•
•
•
•
Aetiology
Localisation
Sensation
Modality
www.facultyofhomeopathy.org
The level of the disturbance
• Peripheral - “local”
• Physiological - “central” or “general”
• Mental
– cognitive
– emotions
www.facultyofhomeopathy.org
Ranking order of symptoms
•
•
•
•
SRPs - Strange, rare and peculiar
Aetiology
Mental and intellectual symptoms
General symptoms relating to the whole
person
• Local symptoms with modalities &/or
concomitants
www.facultyofhomeopathy.org