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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Homoeopathic Queries & Solutions
NATIONAL JOURNAL OF HOMOEOPATHY 1999 May / Jun VOL VIII NO 3.
Prof Dr Kasim Chimthanawala

1. Nowadays it is being observed that a section of physicians claiming to be classical Homoeopaths, select the similimum on the basis of 'themes'. Please opine?

Dr Mrs Najma Reshamwala Vashi New Bombay

As far as I have been able to understand, the 'theme' deduced reflects the state of disposition of the sick at hand. To this extent if a drug is selected then it is a similimum and the cure will take place on the basis of Hering's laws. But, on going through some of the cases published in international journals, the themes by the authors look to be individualistic - a product of their own perceptions. The parameters considered were not uniform. The drugs selected were very often either unknown or rarely used. But the results claimed were astonishing. Hence on the whole, I am of the opinion that this new concept requires to undergo clinical verifications by a number of Homoeopaths before it is accepted as an evolved method compared to the Kentian approach ie selection of a similimum on the basis of essential totalities.

2. Recently, I had gone through a famous international journal and was surprised to know that a new method of classifying cases on the basis of kingdoms is being applied by a section of Homoepaths. What is the rationale behind it?

Dr Vinod Suri, Solan.

Since the time of the master, a variety of simpler methods are being applied for selecting a similimum. This may be one of them. Ultimately the Kentian approach of selecting the indicated remedy on the basis of essential totality could stand the test of the time. Now about selecting a remedy on the basis of kingdom or periodic tables, seems to me as a materialistic approach. Because from whatever literature I could lay hands on, I understand that certain preconceived ideas of mental states, behaviour, living habits etc, vis-a- vis certain groups of minerals have been prepared. For example, for an aggressive and a positive mind with increased sexual passion, the indicated remedy will be from the animal kingdom like Lachesis, Naja, Bufo, Crotalus, etc. but Staphys or Nux-vom are drugs known for these conditions and are from vegetable kingdom.

3. Sir! What is the significance of dreams in drug selection? Kindly guide?

Dr Ganesh Bodale, Dhamangaon

Dreams are basically expressions of repressed emotional states, suppressed desires, expressions of unresolved conflicts. When they are persistent and uncommon then they carry great significance and are rated as mental generals. Hence considered during the construction of essential totality. In some cases they are symbolic in nature eg excessive sexual desires are expressed as snakes, ropes, tunnels well etc in dreams. There are instances in which dreams have been reported during provings. Hence they should be taken as such, but nowadays it is being observed that physicians are interpreting dreams according to their own convictions. Hence it is debatable. My opinion is that the dreams if recurrent must be taken as such, whereas, those expressed as a result of wish fulfillment must be utilized for understanding the state of mind.

4. Sir, are we justified in giving constitutional remedies in cases of malignancies? Can we advise the patient to undergo toilet surgeries to reduce the malignant load?

Dr Mukesh Patel, Nadiad

The management of cases of malignancy depends upon the stage in which the patient has arrived. In cases where he has come early and presents with a good number of individual characteristics, which can help us to construct the essential totality for the selection of the similimum, then one is justified in starting constitutional treatment. But if the malignancy has advanced and there are gross irreversible pathological changes ie with very scanty symptoms then it becomes a one-sided case, and is better to palliate. As far as toilet surgeries are concerned, they are opted only in stage III or IV of the malignant process. Depending upon each individual case, such surgeries can be advised.

5. What is the importance of Body language in case taking and analysis?

Dr Mahesh Patil, Jalgaon

I hope you mean by the term body language, those expressions which are not reported by the patient or the attendants either because they are insignificant or not distressing. It is the mental eye of the physician who is able to obtain vital data by his astute observations when taking the case with the patient in front of him or at the bedside. Very often an indicated remedy expresses itself in the form of such unconscious attributes. I remember a case of Dr Kanjilal who successfully treated a case of epilepsy on Cuprum met with no good uncommon peculiars but simply on the basis of the fidgety feet and having a past h/o mal-expressed measles in childhood.

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