Tag Archives: Case taking

What we teach. NEW modular online course for practitioners and advanced students.

social-distancing-and-self-care-happy-woman-teleconferencing-from-picture-id1225070980This is the course that we do online in Spain, Mexico and the U.K. The outline below will show what we deem important. It is aimed at the existing practitioner. By the quality of the practitioners results, I think  it demonstrates the very real benefits of Organon training, that makes homoeopathy a cohesive medical therapy if practiced according to principle and surety.

For those wanting to be practitioners, this method of training that was developed over 25 years is the most intensive, yet practical and EASY way to being a rounded practitioner.

The Advanced Professional Training Course will be in virtual classroom (online) in a modular arrangementFocused african businessman in headphones writing notes watching webinar of 3 hours a module, once a week, and will be focused on people who already practice homeopathy at the moment, and who want to make a change in their approach homeopathic by accepting that the teaching given to them does not allow them the clinical success that their patients need, that is, those homeopaths who wish to perfect the methodology of their practice according to Hahnemannian directives. (see also our 4 day course held in our HQ.)

There will be a total of 8 online sessions.

  • The following will be included in modules.
  • History of the repertory,
  • Development of homoeopathy.
  • Benefits of using the Homoeopathic model.
  • Homoeopathy and allopathy
  • Taking the Case.
  • Repertorization.
  • Prescription.
  • Case Follow-up.
  • Pure Materia Medica.
  • How to study a remedy to understand it.
  • Chronic Diseases; Hahnemanns conception of Miasms and what it means today.
  • Why Schusslers tissue salts and Bach or any flower essences are NOT homoeopathy.

There will be numerous case examples to demonstrate the subjects discussed. We will use a lot of powerpoint material to develop understanding of each salient point.

Completion of all the modules and homework, is a requirement of request to join the Register of the I.H.M. This will enable a licentiateship to be issued and publication of your clinic details.

  1. Each of the 8 modules at 3 hours a session,
  2. £125 a module.
  3. Prepaying the entire course will trigger a discount of 15% making the total cost £850.
  4. laptop250% discount on the SYNOPSIS computer repertory (Windows only at the moment) 50% discount on the book repertory.tpbpw

Please contact education@instituteforhomoeopathicmedicine.com

What we teach at the IHM office in Eastbourne U.K.

palma-de-mallorcaFrom January 2022 we will start our Seminars which will cover the following topics.

  • Use of the Therapeutic Pocket Book in Chronic and acute conditions.
  • Understanding the meaning of the rubrics so as to select correctly for the case.
  • How to take a case.
  • Finding the correct symptoms according to aphorisms 6 and 153.
  • Understanding Miasms in the 21st century so as to be effective in removing recurrent acute disorders.
  • Utilising Tuberculinum and Bacillinum according to symptoms and effective removal of family disease traits.
  • How to study a remedy correctly.
  • What therapies can be used in conjunction with the Homoeopathic approach to treatment and what therapies CANNOT be used.
  • Removing myths in Hahnemannian Homoeopathy.
  • There are many other subjects to be covered as required.
  • One and two day seminars depending on the depth of knowledge needed.

We will use all of Samuel Hahnemanns writings, also the therapeuctic Pocket Book.

Classes will be small. Up to 10 people so as to maximise personal tutor/practitioner interaction. Beverages and food will be provided as required.

tpbpwlaptop2We give discounts on the windows version of the SYNOPSIS computer repertory and the book version of the TPB.

We will be establishing an intensive online/attendance course for base training people interested in becoming practitioners.

The established western approach to teaching homoeopathy is a four year reverse week training, along with the costs involved. The I.H.M. has been training people since 1986 and has developed a full and complete training that covers what is required to know, with the emphasis on the directives of Samuel Hahnemann in a sequential and logical systematic progression. We will concentrate on HOMOEOPATHY solely and the student will either have a knowledge of anatomy and physiology or will find courses to enhance their knowledge externally.

If a student is willing to devote a few hours a week to guided study and research, it is possible to have a secure foundation in the therapy within 12 months or a little longer. It is our experience that it is better to teach a student HOW to confront a situation with accurate knowledge of the process from the writing of Hahnemann and colleagues so they always have a reference and a set of protocols they can refer to when needed.

cute-doctor-thinking-with-hand-chin_13339-249478The practitioners on the IHM register are a mix of medical doctors and non medically credentialed individuals who have collectively trained to a high level of knowledge and competence  in the practice of homoeopathy.

The difference between a homoeopath and an allopath is the therapeutics (medicines) usedP1060822 and the approach to health care principles and the application of the law of similars. All medical knowledge is good, and a homoeopath will utilise the knowledge of disease in assessing the patient before him, in order to know what has changed and what is the known prognosis/pathology of the disease and extract symptoms peculiar to the individual patient with the disease. The picture on the right is a group of highly credentialed medical doctors in Seville Spain who studied homoeopathy exclusively and practice the therapy today. This photo was taken at the monthly meeting for studying the Therapeutic Pocket Book.

If you are interested in the seminars or training, please contact us with your questions.

education@instituteforhomoeopathicmedicine.com

https://ihmhomoeopathicseminar.wordpress.com/

Concomitant symptoms, discussions between Zamora and Weaver of the I.H.M.

Thinking-ManOnce it is clearly stated that there are peculiar specifics for pure individual diseases according to how they are described (in a general-pure way) in the pathology books and that there are also specifics for the different expressions of the individual disease, we will start from the fact that the information in the elaboration of the anamnesis is intended, among other things, to establish a timeline between the different problems that the patient may have and the pathological relationship that they may have with the main symptom, and these as a whole in turn with the various spheres of action of the remedies (§ 22 & FN-25 Sixth Edition). It is perhaps at this point where concomitant symptoms become more relevant.

Since it is Hahnemann himself who expresses that the reactivated Psora results in pathologies with their different names, I understand that the different psoric symptomatic expressions are clearly defined by well-delimited symptomatic complexes for each of those specific pathologies connected to each other within a single great general pathology; Psora, which is the great base infection that reconfigures our immune system to predispose us to inflammatory, infectious, degenerative, neoplastic, vascular, etc. pathologies.

This implies that during the anamnesis of concomitant symptoms, they have an incidence with the main symptom in its timeline through their morbid activity (preface, § 69-70 Sixth Edition), that is, their peculiar and characteristic activity with the main symptom so that together they can, or at least try to do, match with the sphere of action of the remedy at the most optimal level. Which would avoid many selection problems. (§ 169 Sixth Edition)

Having said that, I dare to say that the concomitant symptoms are those that accompany the main symptom in its timeline, and that they may or may not be in connection with the specific pathology suggested by the chief ailment. These can be considered according to several slopes:

*Causality. Examples:

Encopresis due to fear / anxiety

Nephrolithiasis due to physical exertion

Vaccine paralysis

Epilepsy by milk crust suppression: Case of Boenninghausen narrated by Carroll Dunham, in which the Baron seems to have prescribed Viol-T based on the suppressed crusta lactea. PHILADELPHIA JOURNAL OF HOMOEOPATHY. VOL. IV. NOVEMBER, 1855. Num. VIII, Pages: 449-458 LETTER OF C. DUNHAM, M.D. WILDBAD, OCTOBER 6, 1855.

Deafness due to suppression of tinea capitis: Case of Carroll Dunham. Taken from Homeopathy the Science of Therapeutics.

* Rarity: “Rarely appear in connection with the leading disease, and are, therefore, also found rarely among the provings.” But they really are in connection with the main pathology. Examples:

As to the pathology:

Leukonychia during hypertension.

Orchitis during mumps

Virchow ganglion in stomach cancer.

As to the proving: symptoms that are rarely generated by a remedy or that when generated are only produced by a small group of remedies. What would define them not as extraordinary, rare or uncommon symptoms per se, but by the few remedies that produces them during a pathogenesis. Examples:

Squil and Rheum bubbling sensation.

Nausea and vomiting with the smell of food from Colch and Ars.

* Allen: “those which belong to another sphere of disease than the chief ailment” that at least appear constant or alternating (§ 232 fn) in the timeline of the disease under consideration. Examples:

Cough with diarrhea (Rumex)

Anal fissure with pharyngitis (See case Monsignor Varlet: P 154/155 Df 14)

* Well characterized: “those which have more or less of the characteristic signs of one of the medicines, even in case they have not before been noticed in the present juxtaposition.”

A symptom that does not belong to the pathology that the chief ailment indicates, but is so well characterized that it points better to a more appropriate remedy. It is not concomitant as such, but it becomes into a main symptom. A matter of focus.

A common daily case in the clinic.

This is a simple case to demonstrate the Hahnemann method of essentials required in case taking. Its not complicated and I have stripped out much of the other symptoms that were presented to focus on the complaint.

Members of the IHM will use the Therapeutic pocket Book for analysis, but feel free to use any repertory you have.

You can answer in the comments section.

man-coughing-on-handYou have been exposed to colleagues at work who are coughing while in various stages of a flu outbreak. Within a few days, you start coughing. It is dry, non-productive, deep and hacking, worse in cold air, and talking. Coughing produces a very raw sore feeling in the chest, which is relieved by drinking sips of cold water. Coughing can be incessant in trying to bring up mucous from the chest, but expectoration is rare with any bits that come up only making it as far as being swallowed. On one occasion the coughing was so intense that a small amount of urine involuntarily escaped. What remedy would you think of first?

IHM teaching centre and clinic seminar in January 2022.

I.H.M. INTERNATIONAL at BOYNE HOUSE, 
12 St. Aubyns Road
EASTBOURNE. East Sussex BN22 7AS

telephone 07367 527072

email:education@instituteforhomoeopathicmedicine.com

20200708-213524-largejpg

Clinics and teaching faculties in U.K., U.S.A., Japan, Spain, Estonia, Portugal, Mexico, Israel and Syria.

On January 15-16. Duration: 2 days.

9:30-5:30pm. For advanced students and practitioners.

Seminar subject:

Strange rare and peculiar, according to Hahnemann.

Seminar oversview.

There is in general a lot of confusion as to WHAT is prescribing symptom according to aphorism 153.

§ 153 Sixth Edition
In this search for a homoeopathic specific remedy, that is to say, in this comparison of the collective symptoms of the natural disease with the list of symptoms of known medicines, in order to find among these an artificial morbific agent corresponding by similarity to the disease to be cured, the more striking, singular, uncommon and peculiar (characteristic) signs and symptoms of the case of disease are chiefly and most solely to be kept in view; for it is more particularly these that very similar ones in the list of symptoms of the selected medicine must correspond to, in order to constitute it the most suitable for effecting the cure. The more general and undefined symptoms: loss of appetite, headache, debility, restless sleep, discomfort, and so forth, demand but little attention when of that vague and indefinite character, if they cannot be more accurately described, as symptoms of such a general nature are observed in almost every disease and from almost every drug.

It is our experience that prescribing only on the essential and accurate symptoms of the patient, (as instructed by Hahnemann) using only 3 or 4 rubrics of the Therapeutic pocket book,  that represent the nature of the disease AND a similar remedy, has increased practitioner success in the clinic to about 80% on the first prescription. We will use cases to demonstrate how Hahnemanns method is still valid and accurate in the 21st century, and does not require any modern methods of interpretation as is prevalent today.

 

tpbpwlaptop2The lecturer for this seminar will be Gary Weaver. An international lecturer for over 30 years, Specialising in homoeopathy after completing his medical training in 1982 and  holding membership of prestigious colleges and organisations in India, Australia and Europe, He founded 5 teaching institutes in the UK, Finland and Ireland. Together with Vladimir Polony, they reorganised and corrected the Therapeutic Pocket Book  by Boenninghausen into modern English turning it into a useful repertory and making it available as the SYNOPSIS computer program. Each member of the IHM register has been trained in the use of the repertory and utilises it as the mainstay of their reference material in the clinic.

Maximum attendees is 10.  This for comfort and  personal attention for the attendees.

working lunchThe price for two days is inclusive of tea, coffee, juice and snacks provided for the breaks and as required during the teaching. Also a light lunch can be provided on both days if required. (The area is well served with cafes and restaurants if you prefer).

Cost is £185. Payable by cash, PAYPAL or credit card. Call or email the centre.

boyne-house-guest-house2We have 6 bedrooms so for anyone needing overnight accomodation at practitioner prices, let us know and we will endeavour to facilitate. 

 

 

Post Covid symptoms that persist.

Sometimes this infection persists in some people.

Symptoms of long COVID

There are lots of symptoms you can have after a COVID-19 infection.

breathing20problemsCommon long COVID symptoms include: (taken from the NHS website)

  • extreme tiredness (fatigue)
  • shortness of breath
  • chest pain or tightness
  • problems with memory and concentration (“brain fog”)
  • difficulty sleeping (insomnia)
  • heart palpitations
  • dizziness
  • pins and needles
  • joint pain
  • depression and anxiety
  • tinnitus, earaches
  • feeling sick, diarrhoea, stomach aches, loss of appetite
  • a high temperature, cough, headaches, sore throat, changes to sense of smell or taste
  • rashes

Homoeopathy has remedies which can produce these symptoms.  A skilled practitioner can induce the immune system to combat the effects with the specific remedy that covers the presentation of the symptoms experienced. There is no single ‘blanket homoeopathic remedy’ that will cure, only the gentle restoration of health via the individualising of symptoms and the appropriate remedy at the right time.

immaculate-but-homely (1)We can treat as an out patient in our clinic. Should a person want a rest and homoeopathic advice, we offer a 3 or 7 day stay at our Bed and breakfast residence in Eastbourne.

The residential stay will be starting late August or before if the small remodeling is completed.

 

Difficult cases. Leg unknown infection.

In Seville, Spain, a long time patient of my colleague Manuel went into hospital for several weeks after developing a strange leg infection. The skin was peeling and deep cracks appeared in the heel and ankle of the right foot. These photos were taken after being released from hospital.

Manuel asked Antonio and myself to come to the clinic and observe and offer suggestions. As you can imagine, walking was difficult and the lady was in a lot of pain.

We put her in the reception room as it was easier for her to sit there, and raised her leg onto another chair to view the issue.

We took an hour looking at it. I examined thoroughly, came to no conlcusion as to the cause, noted that the hospital treatment of antibiotics had reduced the infection a little but the problem persisted.

She cried when we touched the areas of skin that has peeled and the inflamed leg. Very painful. I asked what made it better and she said that nothing did.

leg1Going into the bathroom, I moistened a paper towel and came back and placed it on her ankle and top of her foot. She said how much it felt better. I touched the area and she didnt notice or complain as previously.

 

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Aphorism 153 indicates that we solely keep the view on the characteristic, the strange and the rare in the expression of the disease.

§ 153 Fifth Edition
In this search for a homoeopathic specific remedy, that is to say, in this comparison of the collective symptoms of the natural disease with the list of symptoms of known medicines, in order to find among these an artificial morbific agent corresponding by similarity to the disease to be cured, the more striking, singular, uncommon and peculiar (characteristic) signs and symptoms1 of the case of disease are chiefly and most solely to be kept in view; for it is more particularly these that very similar ones in the list of symptoms of the selected medicine must correspond to, in order to constitute it the most suitable for effecting the cure.

We also note, Hahnemann indicated the more ‘ striking’ symptom must be taken into consideration. On this basis, I took the following rubrics:

leg

I didnt add the locations, simply because MOST remedies are in leg and foot and ankle. I took the effect of the disorder on the person, ie the cracking of the skin in the ankle and heels, and the nature of the disorder in terms of the flaking of the skin. For me, the outstanding modality was the immediate relief from moistening of the skin.

Manuel saw the patient one week later and the patient was walking. The skin was healing, still red but healing. No more peeling and the cracks had gone. I saw her about 6 weeks later and apart from slight redness, everything was better.

Why 3 rubrics only.?

The choice covered the disorder in its entirety. The modality was a clear indication of the bodys response to the disease. The essential symptom of both in the disease AND the remedy. The TPB showed that only 23 remedies had that modality. Combined with the other two rubrics, Pulsatilla was the only remedy to produce both the amelioration and the characteristics of the problem.

153: for it is more particularly these that very similar ones in the list of symptoms of the selected medicine must correspond to, in order to constitute it the most suitable for effecting the cure. The more general and undefined symptoms: loss of appetite, headache, debility, restless sleep, discomfort, and so forth, demand but little attention when of that vague and indefinite character, if they cannot be more accurately described, as symptoms of such a general nature are observed in almost every disease and from almost every drug.

What is the true understanding of aphorism 153?

“In seeking for the specific homoeopathic remedy, i. e., in this juxtaposition of the phenomena of the natural disease and the list of symptoms of the medicines, in order to discover a morbid potency corresponding in similitude to the evil to be cured, the more striking, particular, unusual and peculiar (characteristic) signs and symptoms of the case should especially and almost solely be kept in view; for there must especially be some symptoms in the list of the medicine sought for corresponding to this if the remedy should be the one most suitable to effect the cure.’

Strange rare and peculiar is a phrase often used in homoeopathic circles, and one in which it appears to give licence for any symptom to be used in the case taking.  However, from the aphorism 153 taken from the 5th edition above, we can see the explanation and understanding of the meaning clearly, or we should if we dismiss the veil of Swedenborgianism from Kent that obscures the true case-taking skills as outlined by Hahnemann.

All disease is a collection of symptoms that define the ‘type’ of disease, and from this collection of symptoms, a disease can be classified and if well known, the pathology and progression and even prognosis can be elicited from knowledge.. and within that disease, we can pick out the defining expression that is peculiar to the reaction of the sick person to its influence. (this is not dismissing those diseases that have never been seen before and affect the host in a very unique way).

Reading carefully, we can see that the symptoms that are to be used, are the ones that define the host’s reaction to whatever the infection is, in a characteristic way AND also are defined in a remedy in a similar manner.

To complicate matters, the defining symptoms, may or may not be known to be within the sphere of the presenting disorder, yet are present.

Let me give an example from a remedy, and from a presenting symptom. It is my experience, that a marked and strange and characteristic symptom can be present and have nothing to do with the complaint, yet will also contain the symptoms taken in the intake.

Take a patient with a respiratory disorder. Lack of oxygen has caused the lips to discolour. Normally will be blue, yet in this patient, the skin is mottled, blue and orange and red, and diffuse over the lips.

Another patient with severe psoriasis, on close examination, has the same mottled skin all over her legs between the eruptions.

Yet another patient with skin allergies has presented patches of the same discolouration across his back.

In taking the case of each, the characteristic symptom is the skin discolouration. using that, regardless of the problem, there are few remedies, if actually only one, that produces that patterning. In the main, you will also find that other symptoms of each individual disorder are present in the remedy.

That remedy is Psorinum.

If a symptom is present to such a marked degree, it can become characteristic of both the disease AND a remedy..

We will talk more at another time regarding characteristic symptoms.

 

 

 

Thoughts on case taking

If you ever want a high paying job other than homoeopathy, Id recommend marine electrician… everyone i contacted is booked out………..

That aside, case taking and why many cases fail.

simply put, it usually is because the wrong remedy is given.

Its not hard to fail. We all do it. In order to overcome a large percentage of failures, we have to examine ‘Why ‘ we fail, and usually, it comes down to a singular reason in the case taking. The bottom line is that we are picking the wrong symptoms, plain and simple.

So what is the key to picking the right symptoms?

During this period of lockdowns and distancing, its a wonderful time to study the Organon in a guided manner……..to REALLY understand what is required to treat a person.

Let me dispel a myth. This singular misunderstanding ruins so many cases that it needs to taught time and time again.

§ 211
This holds good to such an extent, that the state of the disposition of the patient often chiefly determines the selection of the homoeopathic remedy, as being a decidedly characteristic symptom which can least of all remain concealed from the accurately observing physician.

The huge mistake here is not reading the Organon in context. Kent et al use this as the primary state of the patient to prescribe………….and it is incorrect. If you use this as prescribing criteria, you may be prescribing on the personality and not the disease.

Aphorism 210 to 230, is discussing…….

§ 210
Of psoric origin are almost all those diseases that I have above termed one-sided, which appear to be more difficult to cure in consequence of this one-sidedness, all their other morbid symptoms disappearing, as it were, before the single, great, prominent symptom. Of this character are what are termed mental diseases. They do not, however, constitute a class of disease the condition of the disposition and mind is always altered;1 and in all cases of disease we are called on to cure the state of the patient’s disposition is to be particularly noted, along with the totality of the symptoms, if we would trace an accurate picture of the disease, in order to be able therefrom to treat it homoeopathically with success.

So contextually, looking here….

§ 6 Fifth 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.1

No where does Hahnemann state that anything other than altered symptoms be taken into account….dont base the prescription on personality or desires unless altered and opposite to the norm, and of a marked observable nature….

This one shift in taking a case will raise your prescription success rate higher immediately………..

Maintaining Causes and Anxiety.

Over the last year, I have seen an increase of patients with Mature onset anxiety. (Age 58 on). A variety of reasons and a variety of medicines. However, the commonality among the patients is the age. So what could trigger off this debilitating condition?

Minerals.

Recently, I have been looking at water, its composition, the process of filtration from the supply companies and what we actually end up with despite what the label says. Im disappointed to say the least.

We live in a damaged world. Greed and ease of process take precedence over the wellbeing and welfare of humanity. Processed food, genetically modified food and food devoid of essential minerals and vitamins is the norm. My research into anxiety led me to make an astounding discovery, and one which I suspect is a cause for an increase in patients experiencing anxiety disorder.

In 95% of the patients I have with anxiety, they have low Magnesium. Investigations show in the USA that 75% of the population have low Magnesium. It is no wonder that Antidepressants are prescribed so much in the USA. Only 25% of the population have just enough Magnesium to fulfill their needs.

Medical wisdom states that 200 to 300 mg of Magnesium a day will help or rectify a severely anxious person, and true enough it does help. However, if the supplement is stopped, the problem returns.

I am working on the hypothesis that water is the best re up take medium for minerals and have postulated a premise for evaluation and am conducting my experiments as outlined further in this article.  Bear in mind, Homoeopathy and the law of similars is the ONLY medical therapeutic approach I take for applying a cure.

What I am doing here comes under the heading of ‘removing maintaining causes’. If an absence of a required mineral causes a problem, then the answer is to replace the mineral and no medical intervention is required.

In my home, I have this cheap €59 water dispenser. I love it because it holds 7 litres of water and can give room temperature or cold water. Here in Sevilla Spain, the current outside temperature is 42C so the cold dispenser is used a lot. The water is usually either Spring water or Distilled water. I put a gallon of the Spring or distilled water in the top container, and I add a teaspoonful of Himalayan rock salt into it. I stir and leave for about 2 hours. This adds back, firstly TASTE to the water without it being salty, and secondly it adds 84 minerals in balance including Magnesium.

Now I dont suffer from anxiety attacks or generalise anxiety, but I think its likely that I perhaps have depleted Magnesium levels so this will help. It has been my experience that this gentle intake of minerals through water is something that works well and lasts longer.

Drinking Soda and coffee will remove Magnesium… Soda will really block the intake… coffee can be overcome with a glass of mineral rich water.

So why is this being mentioned on a homoeopathic site? Simply because we can be in a hurry sometimes to prescribe a medicine when simple steps can rectify a situation. I would be called to elderly patients exhibiting signs of weakness, spaced out, dizzy, incoherent etc, and the answer was either give them water with electrolytes, (Dehydration) or a multi vitamin infusion.

Im looking at anxiety in the same manner where there is no obvious cause or rationale. Many ‘cures’ have been made with Magnesium replacement and so I feel it pertinent to mention. It is a lack of basic requirements for the body.