Homeopathic method of disease management is different from the conventional medicine in certain aspects. When a patient approaches a homeopathic physician he may ask a few questions about the patient with respect to his or her individual features of mind and body. Some people may think it as irrelevant and irrational. What is the significance of such questions? For acute ailments no detailed personal history is required, but for chronic diseases homeopathy has definite case taking, diagnostic and treatment protocols. Case taking is the process of collecting all the facts about the patient, using various tools like observation, perception, history-taking , clinical examination ,diagnosis, symptom evaluation,miasmatic analysis etc. in order to find a remedy for the patient based on the knowledge of Homeopathic Materia Medica, Organon of Medicine[principle & philosophy of homeopathy], and Repertory.
Aim of case taking.
- To get knowledge of disease.
- To perceive the true dynamic state of the patient i.e., whether he is seriously ill or not
- To find out the totality of symptoms for the selection of a homoeopathic remedy.
- To find out the nature of the disease whether it is acute or chronic, curable or incurable.
- To find out the causation of the disease.
- To find out the mode of development of the symptoms.
- To analyze and evaluate the symptoms.
- To collect Symptoms for repertorisation [a process of selecting the best suitable remedy for the case under study, from a group of similar remedies using computer software]
- To cure the curable and to palliate the incurable patients by selecting the medicine according to law of similars [homeopathic principle].
- To keep systematic records of the cases
- To give prognosis.
- for nosological diagnosis.
Steps in case taking and analysis
- Stage of observation
- Stage of listening to the complaints
- Stage of interrogation and cross-examination
- Stage of clinical examination
- Laboratory investigations
- Stage of diagnosis
- evaluation and analysis of symptoms
- miasmatic analyses
- comparing the remedy selected by repertorisation with totality of symptoms
- administration of the remedy
Following details are very important in individualization process of each case for selecting the most suitable remedy:
- Details about development of the patient
- Appearance of different milestones such as dentition, walking, Talking etc.important details of childhood, adolescence.
- Socioeconomic status, level of education and any reason for termination of study , occupation- any frequent change of jobs or, job satisfaction social and domestic relations, in the office family,
- Marital status, Age of marriage, No. of children, any frequent deliveries, nature of deliveries whether normal, instrumental, or Cesarean, any abortions, stillbirths, Puerperal infections, etc.
- Habits- smoking, betel chewing, alcoholism, tea, coffee, any other drugs
- Place of living- whether in damp, hilly, near the sea, etc.
- Interests and hobbies
- Details about one typical day of the patient.
- History of past illnesses and treatment history
- Family history of diseases.
- Mental and physical constitution of the patient.
- These individualistic characteristics are not necessary for diagnosis or prognosis of disease .After making a diagnosis of the disease and evaluating its pathological aspects and prognosis; homeopathic physicians do this analysis of individualization. This homeopathic methodology is widely accepted for ailments whose causation is not known for the existent science [named as idiopathic causes], iatrogenic diseases [produced by drugs] and chronic diseases which have no permanent curability in other methods of treatment.
- We do miasmatic analysis based on these details to understand the predispositions, tendencies, chronic nature of disease and select antimiasmatic remedies to alleviate such predispositions which are the fall outs of genetic inheritances or faulty lifestyles.