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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Homoeopathic Queries & Solutions
NATIONAL JOURNAL OF HOMOEOPATHY 1997 Sep / Oct VOL 5 NO 5.
Prof Dr Kasim Chimthanawala

1 What is the importance of keynotes( which we study from Allen's book) when we are treating the patient as a whole. Please opine.

Dr Samudravijay Patil, Jaysingpur

Keynotes are like beacon lights. They only guide us to reach either a single or a group of similar remedies, which may be required for a particular case at hand. But as far as possible a neophyte must hesitate to select the remedy only on one or two keynotes. Always make it a habit to go through the entire case and verify, whether the drug obtained, has also the other uncommon symptoms of that case. If not, then, at least be sure that NO contrary symptom is present in the drug pointed out by the keynotes. I am of the opinion, to select a similimum on the basis of keynotes only is always risky and unreliable.

2 Seasons given in repertories [Spring, Summer, Winter etc] may have periods [months] differing in different parts of the globe. What are the standard periods as per repertory and what are the months that hold good in our country?

Dr Megharajan PGNAHI, Devanagere

Season and Time are the two most common attributes, which change according to place. Hence, we must not rely upon them for drug selection. In these days of modernization, when the environment is getting polluted form practically everything we use, the nature's itinerary of seasons has become a rarity. Fortunately, atleast in our country these fluctuations are not much, most probably due to less industrialization. Hence to a great extent, seasonal itinerary in our country sticks to schedule. Summer begin from 2nd week of February, rains start from 7th June and winter from 8th October.
But from my personal experience, I can tell you that in practice NEVER rely entirely of one symptom, no matter how much peculiar it may be. Always take the case data as a whole for portraying the picture of the sickness and selecting the drug. Very often we observe a drug like Glonoine which is believed to be a summer remedy works miraculously in winters if the pain is of its type. You will also notice those good many of the drugs listed under summer and winter is common. Prominent drugs like Kali-bi, Flur-acid and Nux are in both, carrying 3 marks. Cal, Rhus-t, Dulc and others are also in Wet weather [Rainy season is not a separate rubric in KR]. Likewise there are many such examples which can be listed.
Hence, clinically, these rubrics have only a restricted significance. They must be relied ONLY when they are not only outstanding but also has no contradiction for eg Zincum can be given for fidgety feet and complaints better by Menses, during winters even though it is NOT listed under the rubric Winter in KR 1422. Again, never discard Pulsatilla in winters, if other symptoms agree even though it has 3 marks in Summer and Wet weather only 1 mark under Winter. Yes, it is true that Causticum, Medorrhinum, Calc-phos and Baryta-carb will act better during clear fine weather of spring, even thought they also appear in the seasonal rubrics.
So, my advise will be to rely more on Thermal and Day/Night modalities rather then on Seasonal and time because they are inconsistent and changeable hence debatable rubrics. Moreover, there is hardly a drug, which can be emphatically claimed to be true for a single season only. Majorities of our remedies have modalities for every season.

3 What should be the aim of treatment in all curable cases whether to treat the case on presenting symptoms or to reduce the miasmatic load by initiating elimination. Kindly guide.

Dr Ravi Chougule Jaysinghpur

The approach of treatment must be first to reduce the presenting symptoms if really distressing and unbearable. After the acute symptoms subside to bearable limits and the patient has recouped to a fair extent, then retake the case and select the similimum onthe presenting manifestations of active Miasm or the constitutional on the basis of miasmatic history [Basic Miasm] and manage accordingly.

4 What do Cracks and Fissures on heels, soles and palms suggests? Do they signify any miasm? Have they to do with elimination? Please opine.

Dr R B Chougule

Cracks and fissures on heels, soles and palms are produced due to Dermatophytes. When benign and simple i.e. they erupt only in a particular season or related to walking bare footed and subside on wearing shoes or after that particular season gets over and with no much troubles, they signify a state of Diathesis [a latent miasmatic state usually Tubercular]. But when the miasmatic complex gets stirred up, the lesions gets activated leading to itching, pain, bleeding and than suppuration.

5 Sir, some days back I attended a seminar in which 2 documented cases of Benign Hypertrophy of Prostate were presented. Calc-carb and Lycopodium were claimed to have reduced the size of the gland [supported by USGs] and relief of symptoms to some extent. My question is, do we have some standard proforma for case presentation? Or have we to infer from such scanty statistics, that there are only two remedies which can be taken as specifics for curing benign enlargement of Prostate? And also do cure mean reduction of the size and relief of some symptoms only. Please opine.

Dr Adil Chimthanawala Nagpur

Yes, I feel sorry to accept that now a days, majority of clinical cases published in our journals or presented at seminars do not fulfil the accepted norms. Majority of them are poorly documented and lack enough material to substantiate the drug/potency selection, repetition of doses and other attributes. Hardly we get a case which has been thoroughly diagnosed [nosologically] with help of appropriate investigations nor there is given detailed follow up both in terms of changes in symptoms as well as the drugs administered. Even the reason for selecting a particular remedy, potency and duration of repetition are either absent or do not substantiate the rules laid down in the Organon and by other Masters.

Frankly speaking majority of the clinical cases which are either presented or published, project mystified pictures of miracles, as if the author has achieved an unbelievable thing out of his sheer intuitions. They hardly teach us the ways and means of clinical application of the remedies substantiating the hypothetically looking fundamentals of Hom in the light of scientific language.

I sincerely wish that the time has come that an EDITOR'S GUILD of senior and reputed workers is formed by CCH or such an authority which will frame definite rules in the light of the teachings of ORGANON, both for article writing as well as clinical case presentations so that the young neophytes and the scientific fraternity at large will be able to rely and learn something which is authentic. It will not only help to erase the blame that Hom is a hypothetical system but also will enhance its credibility, particularly amongst the colleagues of other system.

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