Sahya Part 8

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SAHYA
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Day – IV
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Case taking
Techniques for
Individualization
&
Clinical
Application of
Miasm.
Case taking
strategies .
No need of case taking to reach in
to a drug.
Diagnostic approach when you are
selecting a Medicine.
Homoeopathic case taking will lead
to Remedy only.
Best case record is a blank sheet.
Simultaneous recording of data
and observation is highly
necessary.
Recording in various sectors shall
be a better method.
PC,
HPC,
PH,
FH,
PG,
MG
are the necessary sectors in a case
record.
But try to enjoy
your
conversation
with the patient
at the same
time don’t
Welcome
Dr.K.N.Ashok
Kumar

• Case Taking protocol

Objectives,
Cautions
Miasmatic
Relevance
& Shake hand
with Rubrics
PC
Objectives of PC.
To reach in to a General.
Side, Time, Season, < >,
Many complaints.
To asses the sensation and
energy level
To reach in to a Diagnosis
(Give Up S&S).
To decide fixed symptom(s)
An E Mail Case
Find out A General.
•Weakness of Memory
and Low IQ
•Relapsing Malaria
•Ano Rectal Fistula
•Diabetes due to
pancreatic calculi.
Gen. Sides Left Because….
MIND - MEMORY - weakness of memory
(IQ & memory register in Left
Hemisphere)
GENERALS - MALARIA – chronic
(Spleen Lt. Side)
RECTUM – FISTULA
(Rectum Lt. Side)
GENERALS - DIABETES MELLITUS
ABDOMEN - PANCREAS; complaints of
(Pancreases Lt. Side)
Exercise II

• Cholecystitis
• ABDOMEN - INFLAMMATION –
Gallbladder
• Appendicitis
• ABDOMEN - INFLAMMATION –
Appendix
• Renal Calculus
• Leading Question?
• SIDE?
• KIDNEYS - STONES – right
• What is the General ?
Rt. Sided organs
Gall
Bladder

Rt. Sided organs
Appendix

Rt. Sided (80%)

Leftists
Lt. Sided organs
Rectum

LEFT Sided Organs
Heart

Left Sided – Spleen

Bilaterally Symmetrical
Organs


Organs

Organs
except
cervical
and
Lumbosa
cral
Adenoids & Tonsils

Lungs, Nose

Testis & Ovary

Probe fore sides in such
cases

Diagonal

Or draw it

Laterality

CASE TAKING RULES IN
PC

PERIODICITY
ALTERATIONS
(SPECIFIC CHAPTERS)

Don’t try to
interpret.
Receive or
collect
Try to escape to a General
Chapter at the earliest.
Observe the sensational and

energy level
Energy level in presenting the

symptoms
Sensational level are the

• samad

• Samad II

Cautions
Cautious about time
management.
Don’t forget to escape

to General Sector.

Miasmatic Importance
Self explanatory
Miasmatic
Presentations
Miasmatic Specific
(Proven)
Medicines.
Dr.K.N.Ashok Kumar
Shake Hand
with Rubrics

Shhhh……..
•STOMACH -
ERUCTATIONS -
pressing - painful
parts; when pressing
on(1)
•Borx
HPC
HPC – Objectives
• To Stop case
taking there.
• To define a single
reason for the
disease.
Can Stop Case taking
Adopted child but symptoms

appear later – Lac Can
business failure – Aur, Cimic
cares, worries over a loved
one - Cocc
From too high expectations of
parents or from absence of
father - Carc
Anything unusual - Ambra
• Constipation From
Antibiotics
• Monilia albicans
• Eruptions – Rhus Ven
• Weakness – Carbo Veg.
• Allergy to – Medo

Analgesics From –
Ammon Carb, OP
After injection for

Schistosomiasis – ANT
T
After Taking
Psychotropic Drugs
SEP & Arbutus

Cautions
Don’t forget to double

confirm only after……..
Genetic tendencies
overrule A/f so don’t
forget to ask F/H
To know the out burst

of Latent psora and
nearest Antipsoric
To Know acquired
Sycosis
Shake Hand With Rubrics
Dr.K.N.A.KUMAR

Barotruma
•EAR -
INFLAMMATION -
airplane; from
changes of
atmospheric
cortisone
•GENERALS -
CONVALESCENCE;
ailments during -
cortisone; after use of
–2
• Caust,thuj
Antibiotics
•GENERALS -
CONVALESCENCE;
ailments during -
antibiotics; after use
of –(3)
• ars,nit-ac,thuj
Objectives
• To know the Layers of
diseases
• To know similar diseases
• To know the extend and
extension of an old disease
• To know metastasis if any
• To select General Rubrics
from the Chapter generality
• GENERALS - HISTORY;
personal - tuberculosis; of –
13 remedies are there TUB is
only one among them.
• Dros is preferable for hip,

bone & Resp. Disorders.

Phyt – for glandular
affections and
lymphoid tissue
disorders.

H/o Tuberculosis
• Calc – for functional
disorders.
•NIT ACID – for structural

disorders.

Bac – for Dermatological
problems.
Nat m – Mental
Symptoms

Sil, Aur – I
Destructive
disorders.
Phos – General
Medicine
GENERALS -
HISTORY; personal
- eruptions; of
suppressed – ZINC
(1)
SKIN - ERUPTIONS – suppressed – (90) ZIC is 3 mark .
Cautions
•Forget to Maintain
hierarchy.
• Abrupt break of case
taking
•Unnecessary list of
diseases and it’s
explanations.
•To know the

seesawing of Miasm
•To know the Layer of
Disease
•To select a probable
disease nosode
No Viral infections ?

Course of Past History
From Which Disease to
Which Disease
From Which Organ to Which
Organ
Is Important
Deficiency
/Functional to

Proliferati
on to

Degeneration is
SYPHILIS is..

Suppression

Reverse
Degeneration to

Proliferation to

Deficiency
/Functional According to
Herring's Law

A Single Rubric For Past
History
Generals –
History
Personal
With Lot of Sub rubrics
Treatment history
to be
clubbed with Past
History.

Past History will reveal
the Layer of Disease
Patient

Family History

Objectives
•To define patient in

digits.
•To select Nosode
•To know the
miasmatic flow
Draw The Family Tree

cva
Ca Ca
Ca
1: 3:13 = 1:1:3 R
W

Draw Your SCRIPT

Cautions
• If not asking in terms

of disease…………..
• If not drawing the
family tree………….
• If not known
• To Know Inherited
Miasmatic Ratio.
• To prove the Basic
homoeopathic
Philosophy
• To select a genetic
Constitutional Remedy
Shake Hand with Rubrics
Dr.K.N.Ashok Kumar & Family

Family History
• asth
GENERALS -
FAMILY
HISTORY of –
asthma (6)
carc,lyc,med,
Family History
• Dm
•GENERALS -
FAMILY HISTORY of
- diabetes mellitus
(3)
• carc,thuj
Family History
• Num
•GENERALS - FAMILY
HISTORY of -
numerous serious
diseases; of (1)
•bufo
Physical
Generals

Objectives
• To Know the person
• To know the patient
• More important than MG
in certain cases
• To select the Remedy
• To know the modalities
and to remove the same
if needed.
• Gen < are important than
>
• > are important if it is
Cautions
Monotones questions
Focusing on remedy
Skipping general
chapters and
concentrating on
desires only
Generals are scattered in the
following chapters. Ask leading
question from such chapters.
Stomach
Sleep
Perspiration
Dreams
Skin
Urine
Stool
Mouth
& MIND.

Miasmatic Importance of
Generals.
• To Cut short Generals
• To reach in to a Group
Totality
• To know the acquired
Miasmatic ratio
• To select a remedy
having dominant
miasmatic similimum.
Shake hand with
Generals
Dr.K.N.Asok Kumar

More generals
on
Day 5

MENTA
L
Objectives
• To trace Generals in every
sense
• To define Patient symptoms
• To define Person Symptoms
• To observe the HG
• To collect maximum direct
interpretations
• To prepare maximum data
for indirect interpretation
Cautions
• Inexpert Indirect
Interpretation
• Observation Skip
• Favorite Rubrics
Syndrome
• I don’t know so skip it
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• Known basic General

features of Miasms
• Select a rubric from
Miasmatic Compendium
• All can be interpret in 3
ways and it’s
combinations.
Dr.K.N.Ashok Kumar
Shake Hand
With
Rubrics of
More Rubrics …….
On Day of
Interpretat
ion
4 Basic Qualities for effective
Homoeopathic case taking.
Ability to Observe.
Creativity in Interpretation.
Logic in Analysis
Practicability in Application

AIMS

SOURCES

MIND
• INTELLIGENCE
• (BEARE OF EXAUGURATION)
• INTERACTION WITH SCHOOLS
• PLAYING
• EMOTIONS
• STORIES
• EMOTIONAL STATUS OF PARENTS

GENERALS
• FOOD & DRINS (desires aversions)
• HOT / CHILLY- not applicable)
• COVERS
• SLEEP-POSITION
• DELERIUM
• PERIODICITY
• RECURRENCE
• VACCINATION HISTORY

Things to be remembered in
paediatric case taking
• Be an observer toDiagnose (For Empirical

Prescribers)
– Mood of patient ๘Approaching/Withdrawn
– Skin for indication of medicines
– Orifices for Drugs
– Tongue for Remedies

Developmental deficits occur by 4 categories of risk
Established risk-
Maternal diseases at first
trimester of gestation,
Teratogenic effects of certain

drugs,
Exposure to X ray-[2nd half of

MC]
,Chromosomal anomalies.etc

Biological risk-
LBW,[>2.5 kg],
prematurity,birth
asphyxianeonatral
hyperbilirubinemia ,
hypoglycemia,neonatral
convulsions,
intra uterine
infections,septicemia,etc
.
Environmental risks

No apparent risk

•Social Smile -5 – 45 Days

Eyes follow pen/pencil – 35- 50 Days
Holds head steady - 40- 150 Days
Rolls from back to stomach

80 days11months
Turns head to sounds of bell/rattle –

3m-5.5m
Transfer objects hand
to hand - <4m->7m
Rises self to sitting

position - 5.5M-11M
Standing up by furniture
–
<6m-11m
Fine prehension pellet –

6.5m-10.5m

Walk with help - <7m->13m
Throws doll -<9m-<16m
Walks alone – 9.5m-18m
Says two words -11m-19m
Walk backward – 11m-19.5m
Walk upstairs with help - 12.5m-24m
Points to parts of doll(3parts)-<15m-

24m
Anticipate
problems
in conditions

H/O Delay in getting pregnant
H/O Repeated abortions
H/O Excessive vomiting in
first trimester
LBW
Jaundice, Hypoglycemia
H/O Neonatal convulsions
requiring more than one drug
Psychiatric problems in
mother

Age appropriate toys –
• 0-3 months- bright objects
• 3-6 months
• Sound making, to hold, suck and chew
• 7-12 months
• Toys noises with, squeezing toys, drums,
• 12-15 months-
• building blocks, picture book and cryon,
• bus and other toys
• 15-24 months-
• toys to push and pull, toys to ride in,
• toys to take part and put together

Evaluate the
case records

Most difficult
& Most Interesting
Pediatric
Case Taking

Welcome this Kid !

Shake hand with
Pediatric
Rubrics

• lakshmi

jij
MIND – CURIOUS(19)
agar,aur,hyos,lach,puls,sep145

nas
•MIND -
DESTRUCTIVENES
S - children; in
•Carc
but
MIND - PLAYING
- desire to play
- buttons of his
clothes, with
the (1)mosch
thoduka
• MIND - TOUCHING
everything; impelled to -
children, in (2) Cina, carc
• MIND - TOUCHING
everything; impelled to (10)
Merc, Thuj
• MIND - TOUCHED - aversion
to be - children; in (5)
ant.c,ant.t,cina,cham,cupr
• MIND - LOOKED AT; to be -
cannot bear to be looked at –
peruppickal
MIND -
EXAGGERATING -
symptoms; her
(7)
agar,calc,cann-i,
tpp
MIND –
INDISCRETION (40)
PULS
(CIRCUMSPECTION,
lack of )
pepsodent
MIND - FEIGNING -
sick; to be (16)
Puls,Taret

rabit
MIND –
PERTINACITY
(11)
stram,symph
Pm mathew
• MIND - AILMENTS FROM -
domination - children; in -
parental control; long history of
excessive (3) Aur-m-n(aurum
muriaticum
natronatum)carc,vanad

k.vazhal
•MIND - SPOILED
children – am-c,bar-
c,lyc,op,sulph

Achachen
•MIND -
ATTACHED -
father; children
are attached to
the (1)
swasam
MIND -
UNCONSCIOUSN
ESS - cries, with
howling (1)
camph
Kochuvayil valiya
MIND -
PRECOCITY of
children –
LACH,MED,VE
Video Case Analysis

• MIND - GOURMAND
• MIND - BULIMIA
• MIND - ANGER - trifles; at
• MIND - HARD for inferiors and kind for
superiors
• FACE - EXPRESSION - morose
• RECTUM - URGING - eating - after -
agg.
• RECTUM - URGING - frequent
• STOOL - ODOR - offensive
• GENERALS - NIGHT
• GENERALS - FOOD and DRINKS -
shellfish - agg.
• GENERALS - FOOD and DRINKS - meat
- agg.
•
Video
• Biting

nail
MIND - BITING - nails

- children; in (2)
ant.c,carc

Case taking is an
art in
every sense
No need of case taking
Get ready
for a
Practical
session

Hahnemann Fellow
Schedule Hahnemann Crown
July 15 - 2007 Rectification of Empiricism December 16 – 2007 Selection of Potency, repetition, Second
& Various Prescription Strategies prescription & Magic of Single Medicine
Faculty – Dr.S.G.Biju & Dr.Sarath Chandran Faculty – Dr.K.C.Prasobh Kumar, Dr.S.G.Biju
August 19– 2007 Miasmatic Correction of pathological January 27th - 2008 Professional Excellence, Interpretation of
Prescription Body Language.
Faculty – Dr.S.G.Biju Faculty – Jc.Adv.A.V.Vaman Kumar, Dr.S.G.Biju
Sept: 23 – 2007 Interpretation of Mental Symptoms & Selection February - 24 - 2008– Why Praful Why Predictive
of Rubrics, Most modern technique of Repertorization Faculty – Dr.C.J.Varghese
Faculty – Dr.K.N.Ashok Kumar, Dr.S.G.Biju
October 28 – 2007 Case taking techniques for Individualization March – 23 – 2008

& Clinical Application of Miasm. Memory techniques, Mind Sets, Time Management &
Faculty: Dr.S.G.Biju, Dr.R.Sarath Chandran management of difficult cases
Faculty: Jc.Jayapalan. jc.Adv.Benny Kurian, Jc.Pradeep P Pillai
and Dr.S.G.Biju
November – 11 - 2007 Individualization based on Materia April 27 – 2008 – Effective utilization of Materia Medica,
Medica & trust Worthy Materia Medica Repertoy And Philosophy
Faculty – Dr.Prasad Oommen George & Dr.S.G.Biju Faculty – Dr.S.G.Biju, Dr.K.N.Ashok Kumar & Dr.R.Sarat
Chandran


Sahya Part 8

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Observe the sensational and

Energy level in presenting the

Sensational level are the

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Don’t forget to escape

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Adopted child but symptoms

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After injection for

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Don’t forget to double

To know the out burst

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• Dros is preferable for hip,

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•NIT ACID – for structural

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•To know the

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•To define patient in

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• If not asking in terms

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