Case Taking 2 - Centre of the Case

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Soroush Ebrahimi
Moderator
Posts: 4510
Joined: Thu Feb 07, 2002 11:00 pm

Case Taking 2 - Centre of the Case

Post by Soroush Ebrahimi »

Dear Andrew

So that as a group we may discuss this very important point, please expand on the issues you have raised and give a case if possible to demonstrate.

Thanks
Soroush


Phosphor
Posts: 162
Joined: Sat Sep 08, 2001 10:00 pm

Re: Case Taking 2 - Centre of the Case

Post by Phosphor »

> a problem that may raise here is if there are more than one contender for
the centre of the case, and especially if there is more than one kind of
centender. I think 3 main kinds can be discerned, namely:
indicators]
questions as to when to favour one, and when another.

to give an example, we could hypothesize a case of gastritis, from some
badly cooked food.

1. by aetiology we could suggest say Ars
2a. by immediate symptom picture Ars may also be indicated; however another
remedy may of course come up, such as Nux, Verat; or
2b. despite the presence of common gastric symptoms indicating Nux/Verat, a
non-pathological symptom characteristic of some other remedy may emerge
[infinite possibilities]
3. the general gastric symptoms also accompanied by increase in symptoms
which may be associated with a constitutional type. eg..gets formicaton,
becomes hyperactive at night, bombarded by ideas etc, as an indication of
putative medorrhinum temperament.
While individually these startegies are uncontroversial, the question arises
as to how to evaluate a case where there are competing options presenting
simultaneously. i think there is a large variety of possible 'mixed'
scenarios which can present, and the evaluation of one method over another
does not seem to be obvious to say the least.

Andrew
Aust.


Soroush Ebrahimi
Moderator
Posts: 4510
Joined: Thu Feb 07, 2002 11:00 pm

Re: Case Taking 2 - Centre of the Case

Post by Soroush Ebrahimi »

One of the things one needs to decide upon in any case, is whether the
symptoms presented are of an acute or chronic nature.

This is of paramount importance as it will decide on the choice of remedy
and course of action.

If it is a case of gastritis from badly cooked food as Andrew has suggested,
then by definition it is an acute case and the circumstances surrounding the
aetiology of the case and the symptoms that were not there before the attack
are of greater importance and will also help one to differentiate between
remedies. Any special, rare or peculiar symptom comes to the fore as they
will indicate the remedy very strongly.

However, if we have a patient who is prone to such attacks, then one must
treat the case as an acute while the symptoms are active and then arrange a
follow up to consider the chronic picture. You see, during the acute
progression of the disease a lot of common sx come up which are of no use.

It can even become an 'one-sided' case. The patient with a hx is irritable,
well which pt with a hx is not?

[While talking about headaches, it is important to remind that it is
advisable NOT to treat the acute with the constitutional remedy. For
example if your patient is a Nat-m, then probably the remedy needed is Bry.
If you give the pt Nat-m, they probably won't thank you for it.!]

Would colleagues comment as this is a very important part of case taking and
homeopathy. If we get this part incorrect, we are in deep trouble and can
confuse the case.

Rgds
Soroush


Phosphor
Posts: 162
Joined: Sat Sep 08, 2001 10:00 pm

Re: Case Taking 2 - Centre of the Case

Post by Phosphor »

> One of the things one needs to decide upon in any case, is whether the

a

i think the distinction between acute an chronic is in many cases not so
clear-cut. Taking gastritis, symptoms can linger for several days - at what
point does it become chronic? if two people have gastritis, one recovers in
2 days, and the other takes a week or more, the second case implies that
temperament may have come into it. Should then this be taken into
consideration in giving a remedy?

Andrew


Joy Lucas
Posts: 3350
Joined: Wed Apr 01, 2020 10:00 pm

Re: Case Taking 2 - Centre of the Case

Post by Joy Lucas »

on 2/10/01 9:20 pm, Phosphor at phosphor@hotkey.net.au wrote:

May I butt in to this one please? During case taking it will become obvious
whether the ailment is a one off acute or a repetitive symptom picture. You
do always ask whether the person is prone to any presenting complaint. In
the end and whichever is the situation you are still going to prescribe on
the totality of the symptoms (and this includes temperament) - whether acute
or chronic and whatever the condition.

The fact that different people respond differently to the same or similar
symptoms highlights the individuality of every case. And besides "gastritis"
is only a diagnosis and we don't prescribe on diagnosis.

Thanks for reading. Best wishes, Joy Lucas


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