Tag Archives: case-taking

How we can help your clinic to grow with our online seminars.

The rationale for success in Homoeopathy.

After 10 years in homoeopathic practice, I realised (and accepted) that my ability to help the majority of patients using homoeopathy was impaired. In facing this truth, accompanied by clinic statistics, I looked for where the problem lay. My choices were:

  • I was not a good homoeopath.
  • Homoeopathy did not work.
  • My approach and understanding of the application of the therapy were wrong.

I stopped practice for a while and conducted intense research through the pages of Hahnemann, Kent, Boenninghausen, and a lot of other contemporary writers of the time.

What became obvious was that The Swedenborg school (Kent et al) did not practice according to Hahnemann’s directions. Given that the Swedenborg approach has taken over the teaching curriculums of Homoeopathic Institutions, (and was the approach I used,) it became imperative to ascertain the differences from Hahnemann and see if this was the problem.

Kent places emphasis on the spiritual and mental symptoms a patient expresses. My research has shown there is a general but accurate approach to case taking, which is not limited to any single aspect of a patient. I will briefly explain this here. We will teach the full methodology in our online seminars.

Now after 36 years in practice, I have 26 years of practice in the Hahnemannian tradition with an average of 72% first prescription accuracy, and 81% cure rate.

Firstly, the following is a breakdown of what a practitioner needs to know.

Visual signs

  • Find the limits of the importance of the signs,
  • the ability to deconstruct signs, to break them into important aspects.
  • the ability to reconstruct signs in a totality
  • The use of Repertory and the symptom codes as found in remedies.

Seeing a visual expression of the disease symptom in question, the evidence of the expression is right in front of us. We must remember that one symptom must be in harmony with and be related by the existence of other signs and symptoms to produce a coherent whole to individualise a remedy choice.

There are at least 10 examples of ‘relationships’  Here are three.

How do we find a ‘totality’? Its an evaluation of each symptom involving visual signs.

  • One is several signs appearing in a localised area, which when examined complete an indication for a complete sign as in location sensation and modality. It is the peculiarity of this complex sign that makes it worthy of homoeopathic attention.
  • Another is a relationship between symptoms appearing in different locations.
  • Relationship of visual signs and pathology.

Another 7 carefully researched pointers will be taught in our online practitioner course.

I asked myself how does one remedy express itself in different diseases?

Clinical observation presents us only indicators, signs that point to some remedies. Rubrics help to narrow the field of possible medicines, however, the truly effective and definitive method is the collective appearance of signs that are connected by grouping, time and in the disease state under scrutiny.

Case example: (Gheorghe Jurj)

snake arm

The elements associated with this configuration are:

  • 1) large boils;
  • 2) swelling;
  • 3) ecchymosis;
  • 4) cyanosis;
  • 5) lymphatic affection. The cause of this picture is a toxic substance which produces:  1) micro thrombosis with 2) laceration of the superficial layer of the skin, which thus is detached forming boils;  3)  Lack of coagulation;  4)  disturbance in the microcirculation,  predominantly venous  (cyanosis); and 5) oedema. It can be a disease, as e.g. bullous pemphigo, it, it can be an intoxication. It is a snake bite. From the homoeopathic clinical viewpoint, this is extremely relevant:  a  similar grouping in a patient points to a snake-derived remedy,  e.g. Lachesis, as in the following cases.

Case To show grouping of Symptoms to use with repertory.

snake2

Patient consults with severe congestive heart failure; is in very poor general state, with dyspnea and very irritable. He had spent the last three weeks hospitalized, but there was no improvement; on auscultation he presented signs of chronic pulmonary edema and he also had ulcers in the legs.

snake3

Clinical picture was composed of characteristic signs of the disease (cyanosis, peripheral edema) as well as of signs of this individual-in-disease: deep blue discoloration of the distal extreme of the lower limbs with congestion in the proximal one and ulcers. His face presented similar signs : overall congestion and infiltration, deep-blue cyanosis (lips, nose, ears) and venectasis on the cheeks.

snake4

However, a closer look on the lips showed, in fact, an alternation between congestive and cyanotic areas, the same pattern as in the lower limbs.

Venectasis also on the back, which is an extremely rare localization for this phenomenon, therefore, a peculiar sign.

snake5

snake6The tongue was bifid, deviated to the left side, exhibited dramatic cyanosis and a toxic white coating. A closer look on the ulcers showed once again an alternation of red congestive and blue cyanotic small areas as well as a humid secretion. A coherent configuration leads to individualization: in each localization and lesion the same phenomena are present: alternation of congestion and cyanosis in small areas; toxic appearance; infiltration and swelling; ecchymosis (disturb of coagulation); microthrombosis and venous stasis. Prescription of Lachesis in low dilution (9cH) led to improvement of circulation, visible and also through auscultation, with reduction of pulmonary edema; improvement of dyspnea and weakness as well of the mental symptoms.

It is important to be the best practitioner you can be. The IHM does not claim to be anything else than followers of Hahnemann and adherents of his methodology. We do have a good track record of successful prescribing. We also can direct you on the right path to find success following Hahnemanns protocols.

We will welcome you to study with us either in the residential clinic or on line.

The most common mistakes outlined in casetaking.

1/. I see this all the time. Sadly it is the Kentian spiritual teaching regarding mental emotional and Constitutional symptoms being the correct and essential prescribing criteria which has created this situation. It is false.

Hahnemann stated clearly:

1200px-Portrait_of_Samuel_Hahnemann._Wellcome_L0015074§ 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.

When analysis is applied to this directive, it becomes clear that there is no emphasis on the mind or desires or indeed, to personality, (another misleading emphasis in understanding remedies).

2/. In case taking, both the symptoms of the disease, and the individual reaction to the disease are to be noted. If we know the nature of a named disease, its progression and pathology, we can note clearly which aspects of its reach is affecting the patient, and how the patient processes the infection in an individual way.

§ 153 Sixth Edition
In this search for a homoeopathic specific remedy, that is to say, in this comparison of the collective symptoms of thesamuel-hahnemann-1 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. 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.

Many years ago, in my studies to find out how to take a case, I went out on a limb and noted only the chief characteristics of a patients presentation, one two or three symptoms which ‘peculiarised’ and personalised the case before me. As I refined this technique, I learned to see the disease through the patients expressions of symptoms, not all the symptoms were of the pathology of the named disease, yet were intrinsically part of that infection though not noted as part of that disease. the patient presented symptoms which were expressed reactively and individually and as such needed individual treatment.

dental_doctor-thinkingsmallEach living organism comes from a line of genetic encoding and also the line of disease and weakness in the family. One family will be tubercular inclined and another from the results of say, a syphilitic background which has been well diluted but expressed through acute diseases not immediately associated with syphilis.

Because of the unknown backgrounds, we can ONLY prescribe on the symptoms presented. So for example, a patient presenting ringworm, we have a few remedies that deal with that infection readily. Occasionally, the patient does not resolve despite careful noting of the symptoms and a few doses of the requisite remedy. Compton-Burnett noted that ringworm ONLY appeared on susceptible people of a tubercular diathesis, and studied Bacillinum carefully, and then gave to the non resolving patients. Without exception, they all were relieved of Ringworm.

The practice of homoeopathy is solely effective based on the similarity of the remedy to the disease. However, it is ESSENTIAL to have the correct symptoms of the ‘disease’ to be effective.

The ‘disease’, is the individual presentation of the change in the patient and how that is expressed, not the symptoms of the named pathology. It is not merely the collection of symptoms collectively, it is the drilling down to the strangeness (to be discussed in seminars) the rarity of some symptoms (to be discussed in Seminars) and the characteristics (to be discussed in seminars) of both the disease and a considered remedy.

 

Homoeopathic case of respiratory issues from the clinic.

Heart Disease casetaking

There is a small looping audio issue at 9 minutes. I will fix it but if I swap out the videos it will mess with youtube.

Sorry.

 

Online training

We are investing in Audio and video equipment to facilitate a high quality online teaching environment.  For the last two months, I have written outlines for podcasts to explain the rationale behind the instructions contained within the Organon, and how best to carry out then in practice.

We intend to have a 2018-07-21_091637comprehensive collection of files available in due course that will benefit practitioners who wish to practice according to the way of Hahnemann. We will cover aphorisms in-depth as well as explaining the 8 or 9 protocols involved in finding a similimum that comply with Hahnemanns instructions.

These videos/podcasts will be invaluable to newly graduated students from colleges, and for working practitioners who wish to work more closely with Hahnemannian principles in their clinics. We will include case examples and examine each step in choosing symptoms and why, along with the rationale for case management and development towards health.

 

Dates still open for IHM personal training course with Gary Weaver.

https://instituteforhomoeopathicmedicine.wordpress.com/2018/06/26/i-h-m-training-courses-2018/

garyw

Dates available:

July 26-29

August: We can accommodate your choice of days in August as is the major holiday month in Seville. Normally we are time framed in Thursday to Sunday, however in
August we can have any selection of 4 days. Let us know what days suit you and we will check our calendar.

September 6-9

September 20-23

gary@garyweaver.org

Difficult case clinic.

Spanish and English Speakers. Appointments in person and also by telephone and SKYPE.

El I.H.M. ha establecido una consulta medica en Sevilla.Cada uno de los médicos que trabajan en ella han sido formados en el método Hanemaniano homeopático y en el uso del Repertorio de Boenninghausen para el análisis de los casos clínicos.


The I.H.M. Has established a consulting clinic in Sevilla. Each of the attending physicians is trained in the Hahnemannian method of Homoeopathy and uses the Boenninghausen Repertory for analysis.

Actualmente Gary Weaver reside en Sevilla y es el encargado de la toma del caso junto con Antonio Gil Ortega y Manuel Gutierrez Ontiveros. institutodemedicinahomeopatica.wordpress.com/institute-staff/

Currently, Gary Weaver is resident in Seville for the case taking along with Antonio Gil Ortega and Manuel Gutiérrez Ontiveros.

Igualmente ofrecemos formación clínica para terapeutas que quieran resolver sus casos difíciles, veríamos el paciente en la consulta con la presencia de su terapeuta y le demostraríamos la metodología Hanemaniana en la toma del caso y su posterior análisis.

We also offer clinical training for practitioners for their own difficult cases. We will see the patient in the clinic with the practitioner present and demonstrate the Hahnemannian methodology in the casetaking and afterwards in the analysis.

Nuestra consulta se encuentra en la Barriada los Príncipes Parcela 7 Bloque 8 Sevilla.

Por favor llamen por teléfono 606 207 345 a Manuel Gutierrez para concertar cita.

We have the clinic at Barriada los Principes Parcela 7 Bloque 8 Sevilla. Please phone Manuel on 606 20 73 45 to book your appointment or alternatively you can e-mail us below:

Email: education@instituteforhomoeopathicmedicine.com

The most common reason a prescription fails.

After studying the writings of Hahnemann for over 30 years, I am more than convinced that he was very clear as to the procedure for taking a case, and what symptoms are required to be used for prescribing symptoms.

It is no coincidence that practitioners who attend the IHM course, and are shown from the Organon and Chronic Diseases the instructions, and are presented with MANY case examples and discussions regarding each case, manage to go back to their homes and revisit difficult cases and have success. Not because the IHM have a modern conception and methodology but  simply because we work in the Hahnemannian manner.

The IHM decided many years ago to bypass all the practitioners of the era who offered explanations as to what Hahnemann was saying, and just take Hahnemanns own writings as good enough. By doing this, or members and students and practitioners have avoided the most common mistake made.

Nowhere does Hahnemann state that one symptom has priority or seniority over another.

In aph 6, he instructs to take ONLY symptoms that have changed since or just prior to the disease/infection, of the body and the mind. Here there is NO differentiation of mental or physical changes in terms of rank.

In aph 153, he states: 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.

Again NO differentiation between mental and physical symptoms.

If we be logical about this, Hahnemann is stressing to find altered expressions of disease in the now sick person, WHEREVER they are and WHATEVER they are.

In aph 133 he states: On experiencing any particular sensation from the medicine, it is useful, indeed necessary, in order to determine the exact character of the symptom, to assume various positions while it lasts, and to observe whether, by moving the part affected, by walking in the room or the open air, by standing, sitting or lying the symptom is increased, diminished or removed, and whether it returns on again assuming the position in which it was first observed, – whether it is altered by eating or drinking, or by any other condition, or by speaking, coughing, sneezing or any other action of the body, and at the same time to note at what time of the day or night it usually occurs in the most marked manner, whereby what is peculiar to and characteristic of each symptom will become apparent.

This applies to ANY symptom mental or physical.

Logic also dictates that if a sick person does not have an altered mental change… WE CANNOT USE IT! We do not use personality in our prescription ever,  UNLESS ALTERED.

Many practitioners during the time of Kent and since have been taught that the mental disposition is the key to solving each case.

They Quote aph 211 to support this postulation. 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.

However: a read of the aphorism in conjunction with the topic under discussion from 210 to 230, will show that 211 is the cornerstone of dealing with one sided mental diseases only!

If a practitioner spend his or her time searching for mental or emotional states for the patient, they will miss out on the correct prescribing symptoms.

That is why we defer to original writings only and leave out interpretations so as to not make a mistake.

 

 

Case analysis using Boenninghausens Therapeutic Pocket Book.

It is true that the TPB only contains 125 remedies for evaluation. However, in practice, it is also true that most practitioners do not know the value or scope of most remedial actions. It is amazing to find out the curative power of remedies that we have a pre- conceived opinion of as to its field of action, and see it restore sickness to health outside of our comfort zone.

Let me give an example of a recent case with few symptoms. I tried a few remedies in the first 2 days of the presented fever, and nothing really worked. In the end I sat down and looked for what could be observed visually.

The patient had a sticky greasy perspiration. Mainly on the left side of his body.

I repertorised these 3 Sx .  I saw Bryonia clearly was top in the numerical values and as such I was preparing a dose of LM potency to give…

However, given that numerical values are only an indication of the frequent presence of a symptom in a remedy and not an INTENSITY value,  I went back and looked at the patient again and noticed yet another symptom. The perspiration was not clear, it had a brown dirty colour to it on the skin. Discoloured perspiration is not in BRYONIA.

I gave CHINA LM 0/1. Within 4 hours the patient was recovering.

What do we learn from this case? I believe that accuracy in symptom gathering is the requirement of the day. Once gathered, it must be assessed SOLELY on the basis of the symptoms and repertorised ACCURATELY and without prejudice to what we THINK the remedy is. Where a physical SX exists it cannot be ignored if it is a result of the infection.

We must then READ THE PROVINGS TO BE SURE.

March 2017. Mentor training course.

So you have spent a lot of money, invested a couple of years of your life in training, observed several different methods of approach to casetaking and prescribing,  now hold your piece of paper and are on your own in the world of homoeopathy.

Feel alone? A sense of being lost? Not confident in your approach and results?

clinic1The Institute for Homoeopathic Medicine, established in 1986 is very familiar with your situation. The IHM conducts an average of 7 international seminars a year and many thousands of training hours teaching individuals the Hahnemannian methodology of casetaking and case evaluation through the Therapeutic Pocket Book approach by Boenninghausen.

Due to the multitude of prescribing methods taught, we see the confusion in a graduate many times.

Hahnemann developed a very precise and penetrating case analysis mode for ascertaining the precise sx of the disease state.  Modern ‘homoeopathic’ approaches do not utilise ANY of the founders instructions and therefore success in clinical terms is not high on the list.  I often hear, “but the patient feels better”… yes, but they still have the problem they came to you with….

Boenninghausen was Hahnemanns most competent student. To the professions benefit, Boenninghausen managed to encapsulate the manner in which Hahnemann examined a case via symptoms, and was able to formulate the process in an invaluable repertorial process known as the Therapeutic Pocket Book.

tpbpwVladimir Polony and Gary Weaver undertook to do a re translation work (starting in 2007, completed in 2010/11) into English from the original 1846 edition, thus repairing many of the errors found in Allens version. It is now available in English, Spanish, Italian and Hebrew.

laptop2

the IHM is offering a special 3 day personal mentoring and teaching weekend with Gary Weaver.

gary-w

During the month of March 2017 dates:

17th-19th inclusive.

24th-26th inclusive.

31st-2nd April inclusive.

The 3 day course is available to both Medically qualified and non medically qualified practitioners.

Based in Sevilla Spain.

ENGLISH language only. 

(We can supply a Spanish homoeopathic translator for an extra €150 if required)

There will be a section of the course regarding understanding Materia Medica that will be conducted via Internet with Vera Resnick D.Hom med I.H.M.

What will be included in this 3 day Training.

  • All refreshments and snacks.
  • Tapas lunch.

The training is dedicated to the study of Hahnemanns methodology for case taking. We do not overlay with Kentian/Swedenborg influences and rely solely on the instructions given by Hahnemann,

This will involve:

  • A deep study of the related Organon sections to casetaking.
  • A comprehensive analysis of his rationale for understanding what disease is,
  • What to look for
  • How to complete a symptom
  • How to find the expression of the disease in an individual
  • How to link symptoms for a complete picture of the disease.

We will demonstrate each step of the process with video and powerpoint and multiple case examples.

We will also:

  • Demonstrate Hahnemanns thinking through the analysis process formulated by Boenninghausen in the Therapeutic Pocket Book.
  • This work when used correctly, can quickly point to the generals of a case or indeed the specific single symptoms that point to a remedy for use.
  • We will examine:
  • Miasms
  • Causal events
  • Organ failure
  • Acute diseases
  • Chronic diseases.
  • Totality treatment in one sided diseases
  • How to treat concurrent different diseases.
  • Repetition of medicines.
  • Alternating remedies.
  • LM or Q potencies. How to dose, Repetition, case management and how to deal with aggravations.
  • How to read Materia Medica to get the right medicine.

We award a Diploma for attendees and the chance to qualify for I.H.M. membership. http://ihmstaff.boards.net/board/5/licentiate-practitioners

Fees: The course is offered as stated for €750 per person or less if multiple attendees come in a small group.

education@instituteforhomoeopathicmedicine.com