Musings on Case-Taking

Dr gBy Gary Weaver

One of the things that is always in the forefront of my mind when taking a case, is that I need a picture of the diseased state in a complete form. It is often said in anecdote that homoeopaths treat the person and not the disease. Sadly, this is not quite the case, and for many physicians, has led to confused patient treatment and failure to halt or remove the disorder the patient is suffering from.

I do not need a picture of the patients preferences or desires, I need a picture of the disease as EXPRESSED by the patient.

For the observing physician, the above statement should encourage the re reading of case taking directives by Samuel Hahnemann, especially Aphorism 6. Without a full comprehension of what is involved in case taking, the physician will flounder and drown in too much irrelevant detail and become overwhelmed with the pages of notes that has been collected.

For those of you who have been through the various college systems, I can almost guarantee that you have not been taught Hahnemann case taking, as refined through the years of observation and experimentation by the originator himself. Im pretty sure that you have been sidelined by the new and wonderful methods of modern gurus of homoeopathy, which have deviated from the real medical practice of homoeopathy so much that our profession is in danger of imploding through lack of proper medical application.

I would expect from myself and staff in a busy clinic setting, and Im talking about a case load of 30-70 patients a day, a first prescription accurate matching of remedy to disease state of 75%-80%. In order to achieve these results, there has to be scrupulous adherence to protocol in the case taking, an accurate repertory, and a willingness to quickly review the Materia Medica as final arbiter for prescription.

Please read the following and see what useful information you can glean for your own practice.

§ 6 Sixth Edition
The unprejudiced observer – well aware of the futility of transcendental speculations which can receive no confirmation from experience – be his powers of penetration ever so great, takes note of nothing in every individual disease, except the changes in the health of the body and of the mind (morbid phenomena, accidents, symptoms) which can be perceived externally by means of the senses; that is to say, he notices only the deviations from the former healthy state of the now diseased individual, which are felt by the patient himself, remarked by those around him and observed by the physician. All these perceptible signs represent the disease in its whole extent, that is, together they form the true and only conceivable portrait of the disease

Gary Weaver

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