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Case Management

Homeopathy

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Satyendra Rawat
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100% found this document useful (1 vote)
104 views38 pages

Case Management

Homeopathy

Uploaded by

Satyendra Rawat
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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Hahnemannian case management

based on Luc De Schepper’s


‘Achieving and maintaining the similimum’

Interactive PowerPoint Presentation

Just ‘click’ the situation your patient presents!

START Marc Van Wijk - 2006

ABOUT…
Administration of remedy

Isolated physical improvement without


Immediate improvement on all planes general relief nor increase in well-being or
in M/E outlook

Immediate improvement on all planes


No reaction on any plane but of short duration followed by long similar
agg

Initial improvement on all planes, Long-term improvement (weeks-months)


then return of unaltered sx then sudden similar agg

Quick, short agg. Followed by improvement


Sx following Hering’s Set of Observations
and increase of strength

Long lasting agg. with eventual but slow


New Sx appear
progress to improvement

Prolonged similar agg followed by slow Similar agg after every dose, no matter
continues decline which potency

Case management
Stop program
Immediate improvement
on all planes

Stop taking medicine

Case management
No reaction
on any plane

Increase potency

All possibilities after


No reaction
administration of remedy

Case management
Still no reaction

Obstructions to the cure Psychological block

New acute event Hyposensitive patient

Miasmatic block Wrong remedy?

Case management
Obstructions to the cure
• Lifestyle
• Diet
• Bad habits that cancel the remedy
• How was remedy taken?
• …

Case management
New acute event

Acute intercurrent

All possibilities after administration of remedy

Case management
Miasmatic block

Nosode

If no response after
Brings forth a Continue nosode
3 weeks, give
Striking response clearly indicated while patient is
previous remedy if
remedy improving
still indicated

Case management
Psychological block
• A remedy can cure a kid, not educate it…
• Attitude; denial of ones own behavior…
• Patient isn’t introspective, honest…
• Not willing to change…
• ...

Case management
Hyposensitive patient

Adjust potency/dose

Case management
Initial improvement on all planes,
then return of unaltered
symptoms

Judge intensity and timing


Potency not strong enough
of returning Sx

Lifestyle ? Miasmatic block

Severe pathology

Case management
Potency not strong enough

• Increase potency and/or


• Increase frequency and/or
• Increase succussions

Case management
Severe pathology

Internal damage/pathology so severe


that cure is impossible

Work from C6 up to LM

Case management
Lifestyle
• Perserving harmful lifestyle
• Did the patient take allopatic drugs or other healing
modalities?
• When the body is beginning to cure, using the
positive support of the homeopathic remedy, it
needs time to adjust to the renewed sense of
wellness!
Don’t let the patients abuse their body’s again!

Case management
Intensity and timing of returning Sx
• Patient calls after initial improvement…
• Problems in work or relationship are
tugging the progress…
• Returning Sx more severe? Incurable
case…?

Case management
Quick, short agg. followed by improvement
and increase of strength
• Selected potency and/or dose were a little too
high…
• Adjust by:
– decreasing number of succussions
– decrease amount of given remedy
– decrease frequency of dose
– increase amount of water used to dilute
remedy
– increase volume of remedy solution bottle
Case management
Long lasting agg.
with eventual but
slow
progress to
improvement

Unrecognised
Extensive
Potency too high one-sided
pathology
disease

Case management
• Potency and/or dose too high…
• Hypersensitive patient…
• Adjust by:
– decreasing number of succussions
– decrease amount of given remedy
– decrease frequency of dose
– increase amount of water used to dilute
remedy
– increase volume of remedy solution bottle

Case management
Extensive pathology
• Borderline of incurability…?
• Present extensive pathology already
known? If not, refer for further tests…
• Always use very low potencies…:
– Start with 6C
– Adjust dose/potency/succussions…
– After 6C, ascend to 12C, to 18C, to 24C, to
30C; from then, switch to LM

Case management
Unrecognized one-sided disease

• Advanced pathology becomes active layer


• Use von Boenninghausen!
• Don’t use deep-working, miasmatically
chosen remedies!

Case management
Prolonged similar agg
followed by slow
continues decline

Unrecognized
hypersensitive Incurable case
patient

Case management
Unrecognized hypersensitive patient

• Potency and/or dose far too high


• Cancel remedy with camphor or
corresponding antidote; if it was the
similimum, give same remedy in lower
potency by 5th edition method.
• Start again with much lower potency/dose
• Olfaction can be used (6C) or micro-
solution.
Case management
Incurable case
• VF has no strength left to react
• Advanced and terminal pathology…?
• Only palliation is possible:
– Acute ‘zig-zag’ prescribing with 5th edition
method
– Use von Boenninghausen
– By preference, use vegetable remedies

Case management
Similar agg
after every dose,
no matter
which potency

Hypersensitive ‘Hysterical’
patient patient

Case management
‘Hysterical’ patients
• A case of unmet emotional needs…?
• Need of attention…? Ask other family
members.
• Fixed delusions…?
• Give placebo until similimum is indicated
or until real emotional picture shows…

Case management
Isolated physical improvement
without general relief nor increase
in well-being orin M/E outlook

Distant simile and/or Lifestyle and


Suppressed related
symptom treatments

Miasmatic block Extensive pathology

Case management
Distant simile and/or suppressed symptom

• Similimum not found…


• Possibly the external manifestation of
disease has been suppressed
• Acted as placebo…?
• Retake the case

Case management
Immediate improvement on all planes
but of short duration followed by
long similar agg

Distant simile Miasmatic block

Cancellation of remedy Limit of curability

Deferred similar agg

Case management
• It is possible the patient cancels the
remedy …:
– keeps on doing sport while being treated
for sport injury…
– takes ‘antidoting’ food or drinks during
treatment…

Case management
Rarely, some remedies have a deferred
aggravation…
Don’t change your prescription too hastily!

Case management
Long-term improvement (weeks-months)
then sudden similar agg

• No more repetition of the remedy!


– VF needs no further stimulus of remedy
– Repeating would create a remedy disease!

Case management
Sx following Hering’s Set of observations

• Healing takes place:


– from within out
– from more important organs to lesser important
– from above to below
– in reverse order of appearance (reversible, presenting
and suppressed sx)… Make a timeline during
anamnesis!
• Duration of old, recurring sx depends on nature of
disease, VF, potency, nature of remedy.

Case management
New symptoms
appear

Natural healing
Wrong prescription
symptoms

Case management
• Are they ‘accessory sx’? You might have a
simile…
• Sx are not ‘old, forgotten’; the patient
never had them before…:

STOP and retake the case

Case management
Natural healing symptoms
• Rashes
• Joint pains
• A ‘cold’
• Discharges
• Returning ‘signs of life’

• No new prescription needed! Go on


judiciously
Case management
• Remedy is right
• Potency and/or remedy dose a little too high…
• Adjust by:
– decreasing number of succussions
– decrease amount of given remedy
– decrease frequency of dose
– increase amount of water used to dilute
remedy
– increase volume of remedy solution bottle

Case management
Since about 20 years, I’ve been studying homeopathy. Step by step, reading all those
inspiring books, homeopathy became clear to me; however, some aspects of it, did
not…
Until I read the most wonderful books of Luc De Schepper: Hahnemann revisited and
Achieving and maintaining the similimum. All of a sudden, the hidden aspects showed
themselfs to me! Dr Luc seems to have the marvellous capacity to ‘translate’ the
texts of Hahnemann into clear, pure, understandable language…
Especially ‘his’ strategic case management resulted in more succesful homeopathic
prescribing; indeed, the second prescription is often the most difficult one.
It is for this reason I made this interactive powerpoint show. In a few mouse-clicks, you
will be able to find out how to act, using your patient’s information, during his second
visit.
The more succesful our prescribing becomes, the more motivated we – as homeopaths –
become. And this is in the interest of our patients, as well as in the interest of
homeopathy itself.
Using homeopathy in a correct way, resulting in succesful prescribing is in fact a tribute to
Samuel Hahnemann; it’s the proof that his Similia Similibus Curentur is still living!

Marc Van Wijk


Belgium
2006
vanwijkm@skynet.be

Case management
• Possibly, your remedy choice is wrong, so
you have to retake the case.

• However, don’t take this decision too


hastily ! This mistake is made too often !

Case management

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