1.

Aphorisms

Meaning - Refers to a concise statement. It is an ancient pattern of writing known

as aphoristic way.

§1
First aphorism of Organon of medicine states that the most basic purpose of being
a physician. It tells about the 'mission' stated by Dr. Hahnemann and through
subsequent aphorisms of organon of medicine. It is discussed about achieving his
objective.
"The physician's High and only mission is to restore the sick to health , to
cure , as it is termed."

Here it is discussed the aim and objectives of true physician of any and every
disciplines of medical science. Dr. Hahnemann discussed Homoeopathy, the most
rational and judicious method of complete cure based on fixed principle Similia
Similibus Curenter in intention to introduce a most scientific and rational
medical science to the world and perhaps he never thought to establish this
medical science as a separate medical discipline. Hence , he expected
Homoeopathy , the ideal and adequate treatment for complete cure is going to be
adopted by all talented physician's all medical disciples of that era; chiefly h
physician of orthodox school , where in the name of treatment irrational methods
implemented with baseless theorizing about unseen internal aggression of disease.

So in aphorism 1 , he made it clear to the physician in general that the

high and only mission or aim of their profession is to cure the patient from
sickness to complete health.

1.Physician

Word origin phisicien

Definition -The skilled one in 'art' of healing or 'use of physic'.

So physician is one who can help the patients to get rid of their sufferings i.e. he is
efficient to bring back to state of complete physical , mental, and social well being
of diseased individual.
2.High & only- Adjectives used to know the deeper meaning of 'mission'.

HIGH is used to specify work priority of a physician in professional life. A man

has different duties, priorities or wishes in life but he is at work he should acquire
the attitude of physician. Hence his presence duty is to restore the sick individual
to complete health.

ONLY means the physician should not deviate from his real purpose of treating his
patient's. i.e. restoring complete health by treatment.

3.MISSION - Here R.E. Dudgeon meant the term mission as a noble profession or
task assigned to a person. He did not use the word for any missionary work or any
religious purpose. So mission is such kind of word for a physician where it
requires sound commitment , spirit and devotion for treating a individual for
betterment of community. Any neglect in such attitude is not acceptable and
considered as criminal offence.
 §5

1.Knowledge is useful to achieve and will assist you to cure.

2.This knowledge is divided into two parts.

ACUTE CHRONIC

Dr. Hahnemann says for

a. ACUTE- Exciting cause ( most probable exciting cause)

Refer to preface to 1st edition.

Conviction -Firmly held belief based on experiments, one must have self
experiments.

Theory is the philosophical part , confirmed by experiments.

b.CHRONIC- Most important point in the whole history

Root cause / Fundamental miasm.

Note: Common to both (a+b) are accessory circumstances.

3. Knowledge of causes in disease, find the cause why it happened?

1st stage of case taking

 Acute Chronic

Particulars of most probable Fundamental cause

exciting cause Most significant point in the

whole history of chronic disease

Accessory Circumstances
ACCESSORY CIRCUMSTANCES

Physical Moral & Occupation Mode of living Social &

Age Sexual
Constitution intellectual and habits domestic
relations

Cause of diseases - has many reasons.

Cause in diseases - Particular disease.

11/9/2016 Case taking is a process of knowing ( perceiving) and recording of all

the sign and symptoms of patient and a complete information about his/her
Anamnesis( complete medical history), a process of history taking for the purpose
of individualization.

This is all required to individualize and therefore differentiate between symptoms

of two different people.

Blue print means a rough ( idea or a plan) or to chalk out a process .Its done before
an act. Opposite of it is summary.

Diseases are divided into two types

1. Acute: most suitable exciting cause(which leads to something to exaggerate or

create.
 Sudden onset.

More or less fixed duration.

Results to recovery or death.

Particulars of most probable exciting cause-If acute then acute disease

differentiation among type of disease must be done, if belong to exciting cause.

Cause must be probable(negligible).

Exciting cause is the ignitor and fundamental cause is the target.

Imperceptible onset( occured never before)

2.Chronic: Most significant point in the whole history.

Here cause is fundamental produce by fundamental(invisible cause responsible for

disease agent) miasms(dynamic, morbific, obnoxious to life).

Fundamental cause are the cause responsible for all True Chronic Diseases.

Fundamental miasms are as follows

1.Psora

2.Syphilis

3.Sycosis.

Aphorism 5 tells us about search of most probable exciting cause in acute disease
and fundamental cause ( in the whole history of a patient) in chronic diseases and
consideration of accessory circumstances in both the situation.

For true chronic diseases only fundamental miasm is important.

When we are responsible for disease . it is Pseudo- chronic disease( due to

life style) and due to wrong medication.

Iatrogenic diseases are caused by physician.

Iatro- Physician

Genic- genesis- to produce.

So, it means physician's produced disease or " crime of white collar" due to
wrong prescription.

Extension of aphorism 5 is in aphorism 208

Accessory is a relative term related to main subject .It is not fixed means
accordingly it could be different at other time .

Accessory means that surround us or is attached to us ( accompanied).

Josset ortega- I am nothing. But myself and my accessory circumstances( situation/

environment)

Circumstances help to maintain, accelerate or decelerate the present situation,

explain cause of disease, physical knowledge about disease. He first explain cause
of acute disease means things which excites the disease. To find out causative
modalities for prescription, he need to understand the exciting causes and the
causes of chronic disease are miasm.

Physical constitution: Heredity

Miasm

Environmental

Habits

Situations

Miasm + Constitution = New disease.

Psoric- Thin, lean, stirred up but calms down.

Sycotic - fatty body.

Syphilitic- Disorganized features(destructed shape)

Note: Certain people have certain diseases.

e.g.

1. Moral and intellectual character

 Baryta carb - mentally deficient

Lyco- Strong intellectually & weak physically.

2. Peptic ulcers

Duodenal ulcer-( to intellectual persons) because delayed food time.

Gastric ulcer- Rickshaw pullers, heavy caters at a time.

3.Occupational hazards

Harms in various ways like job dissatisfaction.

4. Mode of living

Rhus tox- Rheumatoid arthritis - people living in damp and cold areas.

5.Habit

Behavior ( way of living), gastritis by skipping breakfast

6. Social and domestic relations.

Most common factor for psychosomatic illness .It must be in equilibrium to

avoid 90% of the illnesses.

Only sepia can tolerate it " indifferent".

7.Age

According to age ,immunity least in new born .Certain disease occur in

different age groups.

8.Sexual functions

Hesitating topic to be discussed with the doctor.

It is the manifestation of greater & deeper illness, depression.

 §6
1.Hahnemann says to look into the mirror, to improve your quality or maintain it.
i.e unprejudiced observer.

2. Any type of a priory or manifestations must be avoided & should be blank in

front of a patient without being biased or subtracting or adding something.

3. UNPREJUDICED

Un - not

Pre- Before

Judiced- information/decision (judgment)

Dr. Hahnemann in his book Organon of medicine uses this word in aphorism
6,100 & preface to Ist edition.

It means having no earlier judgment.

A priory - before the act.

Post priory- after the act.

Observer- One perceiving the case.

UNPREJUDICED : "Take note of nothing except the changes in the health of the
body."

Changes get from source of symptoms-(information)

Patient himself.

Attendant

Physician

POINTS IN APHORISM 6

1.Physician must be unprejudiced.

2.Point of beginning of case taking,

3. Source of information of signs & symptoms.

4.Among the information what we actually require.

5.The actual picture formed in physician's mind after interrogation is called

portrait of disease.

Point of beginning of case taking: Take note of nothing except changes in the
state of health.

Changes in state of Health

Acute Chronic

1.Frequently accident. 1.A chronic disease is slowly

2.Onset of disease is
prominent well marked or
well noticed.
3.Along with accessory
circumstances during the
onset.
progressing.
2.Imperceptible onset.
3.Sometimes the trend of chronic
diseases(miasm) travel from generation
to generation.

4.This disease is not fixed.

5.Go through into the details of

history(past+family history)
Source of information /Sign and symptom:

Source of symptom according to the importance

1. The Patient himself.

2. Attendant (who has accompanied the patient)

3.A Physician own observation.( spent maximum time with the patient)

The sequence of sources given in our aphorisms is also important.

Why this sequence is important?

1. Patient himself: he is important because the subjective symptoms can only be

described by the patient himself.

Subjective symptoms in its true sensations can only be felt by patient himself and
it is an important source for homoeopathic selection of remedy.

Location

Symptom is complete if it has Sensation

Modality

2.Attendant: The longer you will stay with someone, the more you will identify
the person.

After patient most important person is attendant , certain symptoms which patient
is unable to distinguish in himself as a symptoms which can be well noticed by
other persons living & accompanying him.

3.Observation of physician - Observation of physician helps you to justify the

intensity of symptoms which help you in the evaluation(giving value , maintenance
of order) of symptom which is one of the most important task of case processing.
What we actually require ?

(Morbid phenomenon, accidents , symptoms)

Accidents- occurrence which is not planned, occur without fixity -what are
changeable - symptoms of less importance (oxford) {Allopathy}

Portrait of disease.

The picture formed in physician's mind after interrogation is portrait of disease.

Patient Location

Unprejudiced observation Attendant Symptom Sensation

Himself Modality
 §7

This § is devoted to purification of finding symptoms through the process of

filteration and sum all true symptoms for the perception of totality of sympyoms
.i.e totality of characteristic symptoms.

In § 7,Hahnemann has stressed the need to separate the impurities. i.e. affects (to
be removed) of causa -occasionalis

1.Raw material - portrait of disease.

2. Processing- filteration

3.Output- Totality of symptoms.

"Tolle causam-Remove the cause"

In § 7 Hahnemann stressed the need to separate impurities - affects of causa

occasionalis.

True symptoms should only be taken.

True symptoms- outwardly reflected picture of internal dynamically deranged vital

force.

Symptoms

1. Outwardly reflected picture of internally dynamically deranged vital force-

described by Patient, told by attendant and observed by physician.

2. Described by patient,told by attendant, and observed by the physician.

3."Previous knowledge" is must to observe & identify the normal.

4.Cry of disease, calling of help, individualization/identification of sickness.

 Vital Force
§ 9- In health , life force keeps all parts of the organism in harmony.
§10- The material organism functions solely by means of the immaterial
wesen , the life force.
§11- In disease , the life force is dynamically mistuned and manifest its
mistunement through symptoms.
§12 - Disease due to internal derangement of vital force.
§13- It is absurd to view disease as separate from the living whole.
§14- Everything curably diseased make itself known to the physician by
signs and symptoms.
§15- The life force and the material organism form an indivisible whole
, as do the mistunement of life force and the complex of the perceptible
symptoms.
§ 16-rearrangement of vital force to health by dynamic impingement.
§17- The only thing the physician has do to remove the entire disease is
take away the entire symptom complex.
§18- The totality of symptoms & circumstances in individual case of
disease must be the sole indicator in choosing the remedey.
 §9

Dominates &
Autocratic

Dynamic

Harmonious
Unintelligent
& instinctive
Spritual
 §8

1- Only things are required to identify its symptom, symptom and

symptom. After that it will remain health.

2- Insult to common sense -well behaved abuse.

3- Importance of exciting cause-

a- Help in the solution of a homoeopathic medicines both in acute and

chronic disease.

b- Helps to avoid future sufferings.

c- Helps to restore health from disposition by its mere removal.

4- Materia Pecans (§11)

material cause of the disease.

People who are jealous by the progress of Homo. + People having

materialistic notion regarding disease and health. Such people say such
things.
[why Dr. Hahnemann mentioned Hufeland's comment in footnote of §8
]
 §9
Cardinal principles:-

Theory of vital force.

Concept regarding the working of homoeopathy.
This concept is so vital that it is put under the cardinal principles.

Before 1790-1796, the world was having materialistic vein regarding

medicines and diseases.
1- Dark ages- period of superstition.
2- Period of Renaissance (enlightment).{Rise of philosophers}
3- Modern history- period of reasoning.

When vital force is dynamic then the medicine which is used to alter
the dynamically deranged vital force is also dynamic.
1- Vital force is completely immaterial.
2- Vital force is dynamic, it is having no mass.

Word meanings:

Morbid- having or sharing an unhealthy interest in unpleasant subjects,

especially death and disease.
Relating to or indicating disease.

§ 9- Meanings
Autocracy- A state governed by a person with total power.
Dynamic- full of life.

Sway- power, influence or control.

§11-
Spiritual- opposed to material or physical things.

Morbific- able to cause disease.

Cognizable- which can be acknowledged.

Manifestation- An appearance of something which can't be seen in

physical form.

§12-
Integrity- a state of being whole or unified.

§13-
Province- once particular area of knowledge.

Subtle- not obvious or easily understood.

Absurdity- logical contradiction.

Pernicious- causing much harm in a subtle way.

§14-
Conformity- state of things being similar or identical.
§15-
Malady- an ailment or disease of the human body, especially a lingering
or deep seated disorder.

§17-
Abrogate- to put an end to.

Prating- to talk much and to little purpose.

§18-
Indubitable- providing no possibility of doubt.

§9

Concept of vital force appeared in which edition of Organon 4th

edition?

- Theory of chronic disease - 1828 therefore concept of chronic disease

was mentioned in 4th edition of Organon.

Since the beginning of life on earth. VF is existing.

Vital- life
VF in different era had other concepts.
1- In writings of Hippocrates- 'Vis Medica Nature'{Nature's healing
power }(vital force)
2- Burgerson named it as 'Allen vitae'
3- Sigmond Freud called it 'Libido'.
 §9-20

Presence of VF (VF in health)

Absence of VF ( VF when person is dead)
Derangement of VF ( VF in disease)
Restoration of VF ( cure of VF).

Properties of Vital Force:-

1- It is immaterial.
2- It is dynamic.
3- It is spiritual.
4- It is autocratic.
5- It is automatic.
6- It is instinctive.( instinct rather than conscious thought)
7- It is unintelligent (§22).

 In §9- partial definition of health.

 Immaterial- no man.
Impossible to experience or observe that thing directly.
Can't be perceived directly through the senses/senses organs, cant be
detected.

VF shows its presence through the reflections of the living body.

Functions of an organism are only due to VF.
It regulates every kind of function of the material body.
1- Presence of VF.
2- Absence of VF.
3- Deranged functioning of VF(proof of disease).

Trinity of life- Mind, Body, spirit.

Body- corporeal organism.

Cartesian Philosophy- concept of dual existence.

Greatest propagation of dualism was that mind and body are different
entities.

After Lebanese- This concept slightly changes.

Another concept aroused, the concept of unity.

Unity said that mind and body are one thing. This concept of unity is
called wholism.
(Homoeopathy is also known as the wholistic medicine)
[Whole body and mind together]
 § 210

Instead of mind, body and spirit,

it is organism and spirit

Corporeal aspect Psychological aspect

(body) (mind)

Gastric ulcer is not depending on what we are eating, But what is eating
us.[Psychosomatic medicine]

§ 210-Concept of Wholism.

In §9
1- Directive for understanding of VF in the condition of health.

2- Role of VF i.e; duties of VF in the healthy condition.

(maintains vital operations, regulates sensation & functioning)

3- Concept of unity (wholism) in life (mind and body works together)

(compare with the concept of trinity of life)

4- Healthy VF can be utilised by the healthy organism for its higher

purpose of existence.
All diseases are having psychosomatic origin.
 § 10

1.Regarding absence of vital force -without a vital force only corporeal

material organism, it starts decaying.
2.Body is capable of not doing anything.
3.It can't even presence itself in absence of VF.

4.It is the presence of VF that maintains, presences and regulated all the
activities in the material organism.

5. In 6th edition- Vital principle instead of VF.

This does not mean that Hahnemann used 'Principle' for the first time in
6th edition. Also used before this in the chronic disease.
 § 11

1.'Only' this force.

Homoeopathically, primary criteria for the diagnosis of disease

1. Disagreeable sensations 2.Irregular processes.

When a person falls ill, it is ONLY this spiritual, self-acting (automatic)

vital force, everywhere present in his organism, that is PRIMARILY
deranged BY THE DYNAMIC INFLUENCE upon it for a morbific
agent inimical to life, it is only the VF, deranged to such an abnormal
state, that can furnish the organism with its DISAGREEABLE
SENSATIONS and incline it to the IRREGULAR PROCESSES
which we call disease.

2.Only- it emphasises the previously said statement that symptoms are

produced by VF only.
Dynamically deranged VF shows itself through altered sensation and
functions.
And only VF is the only force that is maintaining the life.
When a person is falling ill, then the thing that is getting primarily
affected.
In cardinal principles, law of simplex signifies the only VF because
when VF is one then the medicine must also be one.
Unity of life is the name of VF which is responsible for all normal
functions and it is the VF that causes abnormal processes and this
abnormality is called disease cause behind the symptoms is only VF.

3.Health is a state of complete physical and social well-being and not

merely the absence of disease . {WHO definition of health.}

Primarily- § 156
Dynamic influence
Disagreeable sensations.
Irregular processes.

e.g. One person with a knife cut and another with an overnight ulcer.
Which one is Homoeopathically diseased?

Knife cut- first symptom is produced and then the derangement of VF.

Ulceration- first the derangement of VF and then the ulcer.

In knife cut- sympathetic derangement of VF or sympathetization of VF

or secondary derangement of VF.
This requires some mechanical interference as it is caused by
mechanical influence sympathetic reaction of VF against the injury:-
pain uneasiness.

When first the VF is deranged and then the manifestation of the

symptoms then it is the primarily derangement of VF.
4.In case of bacteria/virus first the VF is attacked or the vitality of the
organism is attacked and then the appearance of symptoms.
5.Dynamic influence injurious to health:-
1.Factor influencing the VF must be a dynamic one.
2.It is inimical to life.

6. Now the production of abnormal signs and symptoms.

This dynamic derangement of VF leads to abnormal processes.

§ 150

Indisposition [ in relation to such an abnormal state]

It is not a disease but there is presence of sign and symptoms still there
is derangement of health.
Process is not continuing therefore it was a previous state of uneasiness.
Due to some exciting or maintaining cause.

Process is used because of this process is removed then the concept of

dynamicity will be in danger.
If disease is dynamic, then it must be in a continuity.

Above are the factors describing the disease homoeopathically.

1.When primarily, dynamically deranged VF produces irregular

processes.

Vital Force is primarily deranged.

Derangement is by dynamic inimical influence.
Irregular sensations and processes are produced.
(A/c to Homoeopathy the definition of disease must include all this)

Normal process(healthy process) is functioning when is disturbed,

irregular processes are observed.

Normal/ Regular functioning

Physiological

Irregular processes/ functioning.

Pathological

2. Such an abnormal state:-

Demarcating a threshold,
If less than threshold, then it will be indisposition.

For a disease to occur, the threshold must be crossed.

so the word 'such' is used.

The VF must be deranged beyond the threshold in order to cause a

disease.

VF is invisible and can only be perceived by signs and symptoms.

Deranged VF ONLY makes itself known by the manifestation of disease
in the disturbance of parts that can be perceived externally
It can show its displeasure only through the effect on material
organization which is nothing but disturbance in sensation and
functions.
This disturbance is only perceived by signs and symptoms whatever can
be perceived by the observer and the patient are the signs and
symptoms.

No other way but through signs and symptoms can deranged VF make
itself known.

Emphasising importance of sign and symptoms in 2 ways:-

1- Affirmative way- only makes itself known.
2- Negative way- no other way.
( 2 way warning)

Materia Pecans- material cause (concept of old school)

Old school held the notion that something is inside the body that is
causing the disease.
(Material notion of disease)
In order to cure, the material cause used to be removed by venesection
leeching, cauterisation, amputation.
(pulling out something that is causing harm in the organism)

Hahnemann has criticised this concept.

Cessate effecta cessate causa,

Dr. Hahnemann said until when will you find the cause and if found,
how will you remove certain causes ( generally, mental causes).
Hahnemann has criticised Tolle causam.
Instead remove the effects of the cause and the cause will be removed
automatically. Disease effects are removed by the application of
medicines having corresponding medicinal effects. If the disease effects
are removed in- toto we have a cure.

If the effects are removed completely, the cause will be automatically

removed.

Why cessate? Because the VF is not getting deranged by the Materia

Pecans.

Tolle causm because the old school was following Materia Pecans.

Concept of dynamic influence is one of the revolutionary concept given

by Hahnemann in the time against the thought of prevailing philosophy
of medicine during that time.
That though was the notion of Materia pecans.

Footnote 2 : §11

What is dynamic power?

Solar system is in its fixed functional condition due to the presence of a
dynamic energy (from time immemorial).
Alteration is not only by the virtue of man of the sun.
Being present but not visible- The energy which is keeping the earth
around sun or the revolution of the atomic elements around the nucleus.
Footnote- eg: are correlating the concept of VF as dynamic whatever
there is, it is strong and punctual and it can't be measured under physical
parameter.

It is so strong that can neither be neglected too.

If we are getting happy on seeing something or someone then there

occur changes in our body. But nothing actually enters from that thing to
our body.

Dynamic transference.

Infection- anything that produce changes in our being, no matter if its

through contact or without contact.

"Art is infection"- Leo Tolstoy

If your art is not influencing someone, then you are not an artist.

Again there is no material transference. When a person get emotional on

seeing a painting.
Infection- Any dynamic influence that have the capacity to influence
you (dynamically).

Poles of magnets and steel needle are not in contact with each but still
there is an energy b/w them.
Without the Vital force, the functioning is lost.
The presence of dynamic VF is essential for the normal functioning of
the organism.
 § 12

The presence of VF is justified, the functioning of VF is justified.

When VF is altered, it is responsible for abnormal sensation and

function, to which we call disease.

Our task is not upon these abnormal sensation & function but to correct
the deranged VF.

We are not acting against bacteria or virus but we are correcting the soil
or which these organisms are growing.

We don't have anti-virals and anti-biotics, instead we have the dynamic

medicines.

We don't recommend the therapeutics, we see the totality of the

symptoms and match the medicine.

On correcting the source, the abnormal will cease itself and the normal
phenomenon will prevail.
 § 13

* That does not come within the province of manual surgery.

-- surgical disease.
-- important for selection of scope and limitation of Homoeopathy.

Surgical Disease:-
-- caused by mechanical agents.
-- secondary derangement of VF.
These must be primarily excluded from the consideration of
homoeopathy.

§13 is related to footnote of §8, Hufeland's comment.

If anyone thinks that dynamic disease are due to some abnormal

material then such thought is absurd.
Hahnemann criticised this concept of material notion of disease.
Concept of disease is purely dynamic.

§13 is a criticism to old school regarding their materialistic concept of

disease.

It is a fake thought / fake belief that all dynamic diseases are caused by
some bad material hidden in the organism.
§13 contradicts the present day pathological concept of the disease.

For Homoeopathy-
Disease first, then micro- bacterium.

But a/c to present day

Pathological concept-
First micro-organism enters and then the disease is caused.
{Concept of dynamic pathology.}

 Bernard opposed the theory of Germ of Louis Pasteur.

Pasteur- Germ is everything.
Bernard- soil is everything

may be compared to the constitution.

First soil is responsible, then the seed follows.

If our immunity is not weak then no bacteria can harm us (until or unless
we allow them to hurt us).
 § 14

1.If nothing being observed / no trace of signs and symptoms are being
observed by the accurately observing physician, then there is nothing
morbid that is to be cured ( that means there is nothing abnormal inside
our body which needs removal and cure) (state of health).
2.The disturbance must be reflected by the signs and symptoms.

3.A skilful physician is required to find out the perfect remedy.

If the physician is accurate, and there is no presence of signs and
symptoms, then there is nothing there that is to be cured.

And what the physician is seeing is what the GOD had revealed to
us as the image of the state of perfect health.
 § 17

1.When the signs and symptoms are removed, how will we confirm it?
To what extent, the signs and symptoms are to be searched?

REMOVAL OF WHOLE OF PERCEPTIBLE

wholism in homoeopathy
(in- separation of mind & body).
As in §15, they must be in consideration of both the corporeal and
psychic sphere ( mental & physical).

Perceptible:- Depends on the person who is perceiving (must be

qualified and skilful enough to have any negligence).
His observation must be reliable.

Absence of signs and symptoms must be in respect of:-

whole
perceptible

2.Physician has to remove the whole of symptoms:-

[ in relation to]

cure totality of symptoms].

3.High and only - §1

 indicates
Highest- §17

4.Alteration of the VF gives signs and symptoms (§7).

5.When the totality of symptoms is removed, then the so called

disease or the internal derangement of VF is also removed. [This is the
high and only mission of the physician].

6.Cure- Removal of whole of perceptible signs & symptoms i.e;

annihilation of the totality of the disease or the totality of the symptoms
is called cure.

7.§1- as it is termed.
It is first a warning and not a way of defining the cure.

8.F.N. 1- Moral remedy

If the symptoms of the mental state is

abnormal/superstitious/inherited, the symptom that are not due to the
dynamic morbific noxious agent, then they can be treated by anything
except for the dynamic medicines ( tit for tat).

Nowadays- psychotherapy/counselling moral remedy is one of the

curative part of case taking.
Although case taking is a perceiving process.
Advice given during the case taking, simultaneously will act as the
moral remedy (therapeutic approach during the case taking).
 § 18

1.After §5/§7, this aphorism is the repeated calling that for selection of
remedy, only symptoms are required.
Totality of symptoms is the sole guide to the right choice of remedy.

2.In §15- Dr. Hahnemann has explained why there is totality of

symptoms.

3.Homoeopathy treats the patient, not the disease - Dr. Kent.

4.§15- Two ways to deal with nature:-

1- Hom. way of living. 2- Ant. way of living.

Suitability- criteria's for the affections to happen in healthy individual

Not everyone, everywhere is falling ill.

We must possess a suitability for the disease to happen

(susceptibility).
Every plant can't be planted anywhere.
It needs suitable environment to grow.
Another factor is environment which is needed for the propagation of
the disease.
5.If the bacterial/virus is inside our body,
--if we just kill the pathogen, we are treating the disease (antipathic
way).
-- Removal of susceptibility.
What made us suitable for the disease to occur inside us? (there we treat
the patient).
Why are we becoming susceptible? ( in this way, the patient is
corrected).
When external & internal milieu(environment) are suitable, then disease
takes place and we have to correct this susceptibility.

We consider whole because we have to consider the whole organism

[we are not correcting a part].

6.§18- we must take totality of symptoms in order to treat whole

organism.

sole indication
TOTALITY OF sole guide
SYMPTOMS sole means
only way

For the selection of the right remedy

7.Modalities are considered along with the symptoms.

Totality practical.

General mistake while taking a case:-

We consider something a symptom but actually it's a modality.
This aphorism indicated the need of complete symptom. [Dr.
Hahnemann is actually the generator of complete symptom, not
Boenninghausen].
eg.
1.

-Headache Generally we take these as symptoms.

-Intolerance of heat.

But actually it is headache aggravated by heat.

2.Anger+++ > Incomplete.

Reason of anger
Reaction after getting angry
How is he expressing the anger
Like, he throws things on others when angry
He gets angry when people don't listen to him.

Generally all these are considered as different symptoms but actually

these are completing the rubric of anger while case taking.
Eg:- Antim crud:-
child gets angry when someone looks at him.

By saying anger is there in Antim. crud, the selection of remedy will not
be complete.

We don't have to separate a symptom in different parts instead we must

take a symptom along with its accompanying modalities. [indication of
complete symptom].
Causations and modalities are taken generally as separate symptom (this
must not be done).
§18- Totality of symptoms is the sole indication/sole guide to direct us
in the choice of the remedy.

Concept of wholism and dynamism [§9-§10].

Concept of VF is given in order to establish the concept of dynamism &

wholism.

§15- Wholism-- 10 problems but one medicine.

§11- Dynamism-- Medicine does not contains any material, just

dynamic power.

Wholism & Dynamism of $9th is explained in §15 and §11 respectively.

[Here, main symptom is 9th and the modalities are 11th and 15th].

§19-§21
§19-21

1.Knowledge of medicinal power.

2.Blueprint of Drug proving (need of).

Q. Where lies the disease curing power in medicine?

Disease producing power of medicine is the disease curing power of
medicine (law of conservation of energy).
What a medicine can produce in the identity of a medicine as these are
the things which it can cure.

Doctrine of signature was given by Paracelsus.

Before the law of similia this was the doctrine that was practised in the
name of law of similia.
 §35-45

Interaction of disease in two types:-

A- Two dissimilar diseases in living organism.

Three condition occurs.

1.When the existing disease is strong and the new causing disease is
weaker, then the stronger existing disease will not allow the new weaker
disease to act upon the organism.

2.When the existing disease is weaker and new causing disease is

stronger, the new stronger disease will subside the weaker one & will
act on the organism. When new disease will disappear, the original
weaker one will reappear.

3.When both the disease are of stronger and equal character, then after
having a long struggle then finally both the disease will occupy diff.
places in the same organism and forms double (complex) disease.
3rd condition:-
1.Two stronger and opposite but natural diseases.
2.One is natural & another is artificial (stronger & chronic diseases).
B- Two similar diseases meets in the living organism (§43-44).

§44

1st condition- what happens in 2 dissimilar diseases will not occur.

2nd condition- Not like when 2 dissimilar diseases meat.

3rd condition- Not like when 2 dissimilar diseases meat.

Here only one condition will occur- Always the stronger one will
annihilate the weaker one.

Double complex is not formed when 2 similar diseases meet.

Just as title:- like this

Therefore, just like this, two similar diseases can't form a complex
disease by existing beside each other in a living organism.
 §43

When two similar diseases meet in an organism, the cure is affected by

the laws of nature i.e; therapeutic law of nature.
Always the stronger one will annihilate the weaker one.

§35
An artificial dissimilar disease can't cure a natural dissimilar disease.

Patient says- I have no illness since birth.

Prognosis is doubtfull because in such case, there must be some existing
malady ( especially in developing countries like India).
If conditions are ideal, then the patient might be ideal, but if conditions
are struggle-full, then, there must be a more dangerous disease residing
inside him.
Some chronic disease or chronic miasm js there in this patient because it
is the thing that is take preventing small acute conditions to take place in
his body.

§40
$40
In this condition, the new disease must
$40be a chronic one because it had
been acting long.
 §41

Iatrogenic diseases.

§63

There is diff b/w man and machine.

Man follows emotions and feeling in giving reactions (thus, Newton's
3rd law is not applicable here).
Machine reacts w/o emotions.

Secondary
Counter
Curative

Primary action- It is the first action of a biphasic phenomenon.

It is the action of stimulus (medicine) upon living organism.

Although primary action is a conjoint action but in primary action, vital

force plays passive role.

Why conjoint, if it is the action of the medicine?

If primary action had taken place then secondary action will have to take
place ( Biphasic phenomenon).
Stimulus in a dead person no reaction

One platform is required for action i.e; life- which has a capacity to
react.(susceptibility).

Medicine- Living organism

Reaction

Medicine needs a platform in order to show its action.

Thus it is called as conjoint action.

Unintelligent- Vital force will accept anything without reasoning thus it

is termed as unintelligent.
Vital force is passive.
But without Vital force, medicine can't show its action, thus conjoint.

Secondary action- It is an automatic reaction of VF against a primary

action. ( secondary action will have to occur in any case).
It is of two types:-

A) secondary counter action

B) secondary curative action

After getting the medicine for proving, when we should collect the
symptoms?

Always primary action is recorded because it is the action of the

medicinal substance.
Whenever a narcotic group of medicine is used, then secondary action is
noted because in its primary action, the narcotic group becomes the VF.

NOTE- Alternating Action:-

-- It is a part of primary action in which 2 opposite conditions appears
after one another.
-- Medicine is given for constipation-
Diarrhoea- primary action
Constipation- whether it is secondary action or alternate action?

For this we have to wait of the constipation continues then secondary

action.
If the diarrhoea comes again then alternating action.

[ when once the VF reacts, or when once the secondary action is

established then the primary action will not come again]

Secondary action depends on the power (strength and duration) of

primary reaction.

In general, secondary action is called the counteraction.

Medicine is producing symptom by utilising the vital force.

Secondary action is against this deviation of VF.

Vital force takes the primary action passively. Now it will react again
this primary action by the 2 methods.
 §64

VF is in -differentiating itself. It has some different reaction rather than

going a/c to the same natural phenomenon ( again the counter action).

If there is no available, the exact opp. condition.

Living organism is in 2 states:-

Health & Disease

Health: no sign & symptoms

Disease- sign & symptom present.

In health, only secondary counter action is possible.

Whereas in diseased action, both secondary counter & curative is

possible.
 §23

Antipathic
Initial relief - primary action

aggravated forms of disease - secondary action.

Relief because action against disease will be opposite.

(§64-B) Having diarrhoea, then some medicines is given that can

produce similar stronger diarrhoea, then the $26 will be implemented
here..
This part is possible only when a diseased condition is there.
Here it will produce a similar condition.

Medicinal diarrhoea is a little stronger than the diseased diarrhoea.

Thus Homoeopathic aggravation is observed.

the moment at neither natures & nor medicinal disease meet.

 §66

Secondary counter action

A sufficient amount of form has to be produced.

For secondary curative action:-

-- presence of similar condition §64, B.
-- Dose ( uncommonly minute), §68.

Obvious- Because secondary counter action is the universal reaction.

But this obvious action is somehow modified by dose.

> There is a role of susceptibility.

For Homoeopathic prescription:- Infinitesimally low doses.

Still there is reaction.

In Antipathic- Massive doses are required (max. Physical doses).

Forcefully, the symptoms are produced.

Susceptibility is the condition that defines the action of a morbific

noxious agent.
 §67

We can't deny the truth that by homo. medicine we are getting beneficial
effects and by the antipathic we are getting harmful effects.

§67,F.N.- is generally misunderstood ( known as usefulness of

antipathy).

Only when there is an accidental situation, one can use antipathic

treatment.
If the person was healthy and he met with an accident then management
anti, palliative method is required, here no dynamic disease is present.

>> Totality of symptoms does not mean that there is 100% matching of
the symptoms.
So if 3-4 symptoms are against the remedy, then it does not mean that
the remedy will not work.

Totality is thus known as qualitative totality.

Q. Cure of Natural disease take place in primary or secondary action?

Primary action.
Because medicine produces a similar and stronger disease on the VF,
therefore, §26 is applied.

During the primary action, the strong & similar disease annihilate the
weaker natural disease.
Homoeopathic aggravation also occurs in the primary action.
Antagonistic effect is not marked.

§69
Homoeopathic:-

Primary action- VF feels aggravated at first similar action.

Secondary action- Relief.

Antipathy:-

Primary action- feels well at first antagonistic action.

Secondary action- aggravation
similar action due to secondary action of disease

Ever increasing force (dose) ,produces an Iatrogenic disease.

 § 82-104

1.Case taking begins with §82.

2.Thought of case taking § 5-8.

Definition- Case taking is the process of individualization which

begins with the recording of the patient's information ( from patient's
attendant & physician observation ) with consideration of patient as a
whole ( both mental & physical symptoms) which after case processing
gives individualization.
The purpose of case taking - individualization

INDIVIDUALIZATION- Process of differentiating one individual

from all the others in the similar situation. eg. 10 persons are suffering
from a similar disease, what are their differentiating feature?
How a person is different from other persons suffering from other
persons suffering from the same disease?
Case taking is done because homoeopathy follows the holistic concept(
individualizing the patient & not the disease)
 § 82

1.Sick- We need individualization for sick.

2.Disease- We need diagnosis for disease.
3.Case taking is not fixed, it is unprejudiced.( according to nature of
disease, case taking changes)
4.Chronic diseases require , more time whereas in acute diseases case
taking require less time.
5.No one claims himself to be true Hahnemannian Homoeopath who
doesn't follow case taking in his method of treatment. This process i
indispensable.
It cannot be ruled out while making a prescription. It is the
duty of the physician to get the information of the patient. It is the duty
of the physician to get the information of the patient, without the case
taking the cure will not be legalized just a fluke result it will be.
Because without the study of the case one will not be able to make
oneself or others understand ,how the cure is actually achieved.( § 2 on
easily comprehensible principles)
 § 83

The process of individualization needs individualization.

1.The general directions for Case taking.
a. Case taking format

 The points of the case format will not be applicable to every

patient.
 Certain points for certain patients must be differentiated. (e.g.
menstruation in males is avoided, number of children is not
asked in case of unmarried people.)
This is another individualization.
b. Qualities of physician who is going for case taking-

 Freedom from prejudice.

 Sound senses.
 Attention in observing.
 Fidelity in tracing the picture of the disease.
c. Must give full concentration to the case. Any type of direction may
spoil the case.
d. Honesty while writing the symptoms.( without any adulteration of
symptoms.)
e. If the physician feels that the information is complete while case
taking , he must not try to complete on his own. He may contemplate
to complete the information while case analysis.
 § 84

Sources of the symptoms.

 Patient
 Attendant
 Physician's observation
Same expression- Exactness of the patient must be described in different
regions, same things are said differently. Therefore while taking the case
exact complain must be found out with the help of other attendant or
local people. Exact feeling what patient wants to say

 Language
 Words
 Sensation
 Exactness

General direction for case taking-

 Ask patient to relax and allow him to start giving his information.
 The physician must keep quiet distract the patient and some
minute information that may be important to the case will be lost.
 When patient has great diversion the physician will bring him back
to the case.
 A physician must:
 Write down everything in the patient's very expressions.
 Not interrupt the patient while speaking.
 Must not ask any leading questions.
 Must ask the patient to speak slowly.
 § 85

1. Note down each symptom one after other in separate lines with some
space between the two .(space is left so that modalities or other related
symptom can be added.)
2.Symptoms noted down at first are just general/vague symptoms.
3.Explicitly explained - helps in symptomatology.

 §153- Hahnemann method of evaluation of symptoms.

 § 100-102- Case taking during epidemic diseases.
4.Vague-symptoms which are too general in their expression.
(here general symp. covers the patient as a whole)
Kent's view( generals are imp.)
General symptoms

Hahnemann's view(common symptom)

( Kent's important symptom)
5.Undefined/ More general/Vague:- Too general that these symptoms
are present in almost every situation. They signifies no speciality.
When these are associated with certain marked sensation or modalities
then these symptoms becomes characteristics or defined symptoms.
e.g. Headache - vague symptom
Ask for Location , sensation(type of pain), ameliorating 7
aggravating factors, accompanying complaints-( excessive anger , feels
like crying, feels cold- in Kali carb headache with blurred vision)
Individualization is thus very important.
 § 86

1.Complete symptom
a. It's concept was actually given by Dr. Hahnemann in his magnum
opus Organon of Medicine in § 86, but Dr. Boenninghausen gets the
fame.
b. Three factors are necessary for complete symptom:-

 Location
 Sensation
 Modality- These are of higher importance.
 Concomitant is added only when totality of symptom is being
formed.
c. Modality specify & characterise the symptoms.
d. When the modalities are common , their value decreases, but when
the modalities are peculiar they increases the peculiarity of the
symptoms.
e.g.-In medorrhinum asthmatic patient gets relieved when he put his
face on the pillow & sleeps, when the patient lies flat on his back with
outstretched hand is psorinum. uncommon , peculiar
-Rapid developing pain -Aconite.
-Slow developing pain- Bryonia.
-Better when breathing while on a rocking chair-Kali carb.
Sometimes keynote prescribing is done over these peculiar modalities
& their symptoms.
e. Inquiries done by the physician:-
 At what period did the symptom occu?r- Modality.
 Was it peculiar to taking of the present medicine or while taking
that medicine or after leaving the medicine?(filtration justify the
purity of the symptoms.)- Causa occasionalis.
 What kind of pain, sensation was it?- Sensation
 Where was the precise spot?- Location
 Did the pain occur in fits & by itself, at various points, or was it
continued?-Characteristics symptoms.
 How long did the pain last?-Sensation or modality.
 At what time of the day or night ,& in what position of the body
was it worst, or ceased entirely? - Modality
 What was the exact nature of this or that event or circumstance
mentioned- described in pain words?-4 0' clock aggravation -
Nux+ kali carb
Arsenic alba- mid day.
 § 87

General expressions- leading options/ questions must not be given .

e.g.Is there any complaint of head?( but we we should not ask is there
headache?)
Are you easily angered?
Easily gets emotional?
The answer to these question may be yes or no.
 § 88

1.Sometimes if the homoeopathy is monotonous then the case taking

become tiring . He will fill up the whole performa.
The patient gets bored. If the individualization is achieved during the
case taking then further case must not be taken but if the remedyis being
indicated , then there is no need to carry forward the case taking.
Survey of the patient must be done.Any physical complaint without the
consideration of mind & disposition is always incomplete.
2. Disposition & Mind- Or an individual disposition – a.Inherent(basic)
quality of mind. State of mind may be different.
b.Basic disposition-He will react in the same manner to specify
situations whether ists affecting him negatively or positively.
c.Psyche-Whole behaviour
Mind+ Disoposition
d.Disposition is that part of mind that is inborn & in almost
unchangeable.
 § 89

1.Patient’s wordsare moreimportant.e.g. subjective symptom is more

important because the first phase of disease is the derangement of the
vital principle.
2.Disease first deals at subjective level and then it goes to objective
level. First derangement is always the subjective one and then it goes to
the objective level.
3.Objective symptoms are nothing but the reflection of subjective
symptom orsensation.
4.Vital principle is dynamic & noxious morbific agents is also
dynamic.Their meeting is the beginning of the disease & it is a
subjective phenomenon & hence sunjective symptoms are important.
5. At third stage of cancer , it becomes more objective. As disease gets
mor towards the objective side & subjective side gets decreased its
curability decreases.
6.One sided disease- When only objective symptoms remain & no
subjective symptoms remain( may be one or two)
Except in case of feigner where the patient due to certain reasons fakely
describe his disease , the patient is the most important source of
symptoms.
Hysterical Feigner
1.Does feel( that I’m feeling) 1.A cheater

2.I’m feeling psychological imbalace 2.He describes being ill

Fakely due to certain reasons.

7.Depends on the skill of physician to get more precise information.
Kent- i hr.for individualization. Farringtion- 20-25 min for same.
individualization.

e.g.
Child cries during sleep- Apis, sulphur
After waking up very happy – Sulphur.
Afterwaking up very angry- lycopodium
Marked sweat on head & he always want tocover the head- Silecia
Marked sweat on feet with acrid smell-baryta carb.
 § 90

1.How the patient behave in waiting room must also be observed

because the patient demenour change in front of doctor.
2.It helps in uderstanding of the personality.Compare the behaviour of
the patient in the sick & healthy state.
3.Mental symptoms are the symptoms to beobserved & not to be asked.
Most of the mental symptoms are the phenomenon to be observed.
e.g
4. Pupils are always dilated – stramonium
5. Dilated pupils- who lies
- who uses drugs or narcotics.
- certain disease condition.
6. Pulse- Digitalis
- Gelsemium
- Pyrogen
-Baryta carb-( due to excessive arteriosclerosis he feels as if
Something is struck in the artery)
 § 91

1.§91& 92 deals with different aspect of case taking.

2.It differ from general direction when patient already taking some
medicine before coming to you in this situation how will you consider
the symptoms in making the totality of symptoms, this is being divided
into two types
a) In case of chronic disease

If patient is already on medicine- that means the present symptoms

includes both the symptoms of previous medicine & its original
symptoms.
Not the true picture of original disease.
-How to find totality?

1. If you are able to get pure prescribe some placebo for

Symptoms of disease before sometime for discontinuation
taking medicine of previous medicine.

In this wait & watch and effect of medicine

gradually disappears & after a few day patient
represent with dis. symptoms only.

Now here we can make totality of symptoms.( §94)

 § 92

1. If disease is severe, life threatening, permits no time to wait.(Acute

disease)
2. Two types of solution for totality of symptoms.

If you are able to get pure current picture of disease as well

symptoms of disease before as medicine. i.e. called
taking medicine conjoint malady.

As there is danger of life which permits no

No time to lapse.

So we should make a totality on basis of conjoint malady as there

is no time to wait because of severity of disease.

This give some how a relief to the patient from disease severity &
we can save his life from this and then after sometimes disease becomes
suppress and gives relief to the patient.
 § 93

1. Past history.
2. Anamnesis.
3. Obvious cause.
a.Past history-
1.e.g. Puls & Caust.
“Never have been well since then.”
It’s a part of anamnesis. No matter what the complaint is all the
ailments since intra-uterine life till present are taken & the link is
looked for whether any of the past ailment has any connection to the
present ailment.
Past history must be completed first.

b.Obvious cause- without any doubt.

1.Why not real but obvious cause?

In homoeopathy, the real cause of any type of disease is one of the

miasms.

2.Relation of miasm with most probable exciting cause or obvious

cause?
Probable exciting cause /obvious cause

Something that causes stimulation.

 If someone hurts you , it’s we who is allowing him to hurt us.

3. Real cause is always present ( capacity), exciting cause /obvious

cause has a tendency ,it always causes same effect.
The constitutional susceptibility is the real cause.
Obvious cause is responsible for the development of the disease
condition.
Antidote is required for ther ecovery.e.g. psor., puls., caus.,
Some private information is needed for the progress of the case or
otherwise sometimes in present or later the case will stuck at any cost.
e.g.
Revenge- Nitric acid unmoved by apologies.
Ambra- After business embrassement (money loss- pecuniary)
Staph- Ailments after insult supertious fear –Moral remedy
But if it is of OCD type then dynamic remedy is required.
 § 94

Areas to search for causa occasionalis

1.Mode of living.
2.Occupation.
3.Diet
4. Domestic situation.
These are the usual habits of of patients which makes him sick without
notice.
Before prescribing all these things must be asked &
checked thoroughly.
e.g. In cases with night watching- Nux, nitric acid.
Advice must be given to change the job.

Scrutinize- Analysis, judge. Match the symptoms with the lifestyle.

If found any, then we don’t include this symptom in totality of
symptoms, instead counselling is done.
§7 §94 §204 very important for
Treatment of curable
e.g. of cases
Causa causa Importance of removing the
occasionalis occasionalis effects of causa occasionalis
Even placebo can work if we have
Knowledge of this aphorism.
 § 95

1.This aphorism describes the importance of accessory symptoms.

Accessory
symptoms

In case taking for remedy solution

2. Accessory means- Associated

Use of this adjective marks the change in the importance of symptoms.

3. Principal remedy- principal symptom

For which the patient is coming or just symptom.

4. With presenting complaint there are symptoms which are present
along. And patient does not complaint of these. They may be
concomitant. They are very meaningful but they are not the chief
complaints.
5. Accessory symptoms- Symptoms present along with the
principal/presenting complaints
Or
Symptom accompanying the presenting/principal symptoms.
In case taking, it is very important to find these symptoms. e.g.
Eczema in hand – main complaint
But he said on injury that the urge to pass the stool is so urgent that he
cannot hold it but he is not telling it as symptom.
This is very important concomitant symptom of sulphur.
e.g. can’t wait when hungry either will go mad or will make other go
mad.

These are lesser accessory circumstances. Importance of the

selection of the remedy. Then doesn’t matter what presenting complaint
is.

6. Concomitant- Unreasonable attendant, accompanying which are

unrelated to the main remedy. (Definition BTPB)
Generally works as concomitants. Remedy guiding symptoms, such
method is called prescribing on concomitants.
7. Accessory Phenomenon

Accessory
symptoms
Accessory

circumstances

Patient or
disease Remedy

[§95,180, § 172
181,163]
 § 96

1. § 96 & 97 deals with one of the expression/condition of disposition.ie.

two varieties of huaman nature

Hypochnodriac Indolent
§ 96 §97

Such type of patients describe their complaints in so exaggerated

manner , the physician is not able to collect the information.
Fn.- Watch & observe him & it is not important to prescribe in one
sitting. Prescribe sl

Symptoms will change , some will remain constant, some become

variable.

Constant symptom guide towardathe remedy.

Being hypochnondriac is one of the symptom. eg.A child complainning
of stomac ach before school isactually fabrication not hypochondriac.
Hysterical condition is also different.
Herwe the patient feels exaggeration whereas in hypochondriac ,the
patient knows thereality & still he exaggerate.
Hypochondriacs- other person of great sensitivness & impatient of
sufferings.
 § 97

1. Repeated observation is required to dig out the symptoms.

2. Modesty- Perception of the character of the person. How a person
shows himself in front of others. For such patients

Repeated inquiry required.

Great exertion required.

To point out the real /maximum symptom of the patient.

Vague symptoms -Not complete or undefined symptoms. It cannot guide

to the remedy.
 § 98

Especially needed for the case taking of chronic diseases.

1. Sources of symptoms (Importance of sequence)- Words of the
patient are most important.
2 .Knowledge / qualities of physician before case taking.

Especially indicated for case taking- skill, tact.

3. Importance must be given to the expression of the patient.
4. According to their own perception symptom may differ when coming
from the attendant or friends. Information is altered.
When there is difference between the word of a patient & attendant, then
give importance to the patient’s word.
5. Qualities of physician

 Special circumspection.
 Tact
 Knowledge of human nature.
 Caution in conducting the inquiry.
 Patience in an eminent degree.
 § 99

1.We need less information in acute diseases, patient shows few

manifestations only, specific to particular symptoms but we must
consider the other systems too.
2. Acute diseases are of recent origin.
3. They are always intense. It attacks the whole of the patient. Patient
remembers & describe the symptoms easily. Keynote prescribing is still
not recommended. We must always go for totality.

§5 §82 §99
4.

Particulars of the most chief complaints changes in

Probable exciting cause other system
(superficial)

For the formation of totality of symptoms in cases of acute

diseases.
1. Aphorism 100 onwards , new aspect for case taking which slightly
differs from the previous directions.

§100-102

2. Case taking for urgent & emergency situations.

Requires urgent medical intervention.

Epidemic/ sporadic diseses.

This area shows the superiority of homoeopathic science over the other
pathies because in here ,the prescribing depends on symptom totality.
But totality must be given in time.
 § 100

1. Case taking during epidemic disease.

2. Before this medicine is different for 10 patients if they are all
suffering from one diseases. But in epidemic cases

To find out one remedy we must take the case of, say 10
patient’s and that remedy will cure every person.
3.Genus epidemicus

 Not actually the remedy.ie.

 It is the identification of the causative organism.
 But as the remedy in materia medica is similar to that of the
organisms symptoms, hence the genus epidemicus is linked to the
medicine.
 Here the causative organism is one & therefore to know all the
features of this one disease causing organism, we must see the
symptoms of many diseased individuals. Exactly as in drug
proving:-
1. Proved o both cases.
2. Proved on every age group.
3. Proved on more number of provers.
 Maximum no.of patient’s are required to make the totality of the
symptoms for a particular organism (in epidemics) in order to find
out the perfect similimum.
If the same epidemic disease , occurs again after sometime then
the previous medicine is never repeated.( according to the
diagnostic name, the medicine is repeated many times)
 Each time , the remedy must be diluted on the basis of current
totality, no matter how similar both the conditions are.

 Not bias towards the previous name or condition( every prevailing

......unknown)
 Uniqueness – individuality or differentiated in some diagnostic
symptoms ( aversion / thirst/ desire etc.)
Always differs from one attack to another.
Half spiritual miasm

MIASM

Fundamental

Acute Half acute Chronic

Psora
Fixed Variable Miasm of Syphilis
hydrophobia Sycosis
Measles Cholera only 1 half acute miasm

Because the beginning of half acute miasm is like a chronic disease but
the termination is like an acute disease( slowly progression but when
manifestation comes , the patient dies within week.)
 § 101

1. Several cases – For making the disease picture of the epidemic, many
individual has to examined.
2.In case of epidemic – Whether to prescribe medicine to the First
patient or well wait for the other patient to get the disease picture?
Well give medicine according to the totality of the first patient.
(According to maximum similarity of his manifestations, be it complete
or partial)
Subsequent patient’s are also treated likewise. i.e. according to symptom
similarity.
After examining numerous patient’s a medicine will come out which
will be most suitable.
 § 102
1.With every new patient, the picture of disease will become
increasingly complete.
Way of selection of remedy.
Classification of symptoms is done according to the reference.
General( common)
According to Hahnemann-
Uncommon
General symptom of Kent- Common symptom according to Hahnemann
of any disease.
2.Once a general symptom gets a modality it becomes precise.
It will be included in the totality.
3.General symptom- Precise & peculiar symptom

By analysing several cases.

 § 103

1. Chronic miasmatic diseases are collective diseases with an extremely

large totality of symptoms.
2. The wesen of many different forms of psoric disease is the same, just
as different cases of disease is the same epidemic are , in essence, the
same disease.
 § 104

1. Regarding case recording- the most difficult part of the task is

accomplished. i.e – CASE TAKING