every drop of water reaches the ocean, every prayer reaches
the God. Similarly every effort in practice is aimed at reaching
the cure of the sick as aptly pronounced by our master in the
We encounter with different types of cases in our day to day
practice and in each type of case our approach would be different
and also our prescription. What are the guidelines for these
different types of prescription? – A question ponders
in every seeker’s mind.
Hahnemann had laid down the fundamental principles in order
to achieve the desired result. At the same time he also classified
the clinical presentation in to different classes, types, and
sub-types with a clear message. Each class of the cases demands
a different method of prescription and approach.
Hence it becomes imperative for the physician to take the case
properly and place the case in the appropriate class as mentioned
in the Hahnemannian clinical classification of diseases. This
in turn helps one to select the relevant method and choice of
When the basic exercise of case taking and assigning the Hahnemannian
nomenclature of a class of a case is completed the actual management
and treatment come into effect. For example in case of sheer
Indisposition one need not give any medicine and in the case
of a surgical disorder the role of Homeopathy is limited. Whereas
in the case of a chronic or Acute Dynamic disease the type of
prescription would be accordingly selected to procure the desired
Primarily the Prescription in Homeopathy is first or second.
Second prescription is rightly defined as the one after the
dose which as acted. There are various guidelines as to what
should be given in the second prescription basing on the remedy
response or in other words Kent’s 12 Observations.
But the first prescription itself is of several types basing
on the class of the case. There are several types of prescriptions
according to the different types of clinical presentation of
This type of prescription comes in to vogue when there are acute
conditions like infections, fevers etc., Example: Acute Bronchitis-
Ant. Tart. In this method, while taking the case, one has to
give importance to the observation, objective signs or symptoms
and any keynotes besides the major symptoms. Try to find the
causation which would definitely help you in the prescription.
The aetiology or the cause of a disorder is very important in
determining the most similar remedy in any emergency, acute,
or a chronic case. The causes could be mechanical, exciting,
maintaining, etc., Example Injuries- Arnica, Fever after drenching
in rain – Rhus Tox.
In this type of prescription either chronic fully developed
cases or chronic one sided disorders under the dynamic variety
are tackled. Mostly the polycrest remedies are being prescribed
excepting in one sided variety wherein a specific remedy may
This prescription is based on the patient’s constitutional
makeup which includes the patient’s physical, mental,
temperamental, and emotional aspects.
It is used when a well indicated remedy becomes sluggish or
fails to sustain itself. It is used where the indicated remedy
works well for a while and then begins to taper off. It can
be in the form of a nosode, a complementary, or constitutional
/ Polycrest remedy.
Miasms are, in brief, the tendencies and predisposition to certain
diseases either inherited or acquired. These Miasms could be
dormant or active. Depending on the expression in a particular
individual, the respective Miasm could be diagnosed and treated
with an appropriate anti-Miasmatic remedy so as to achieve cure
or have headway in the case.
This method of prescription helps the physician mostly when
there are acute infections with only common symptoms. For example
in a case of Chicken Pox we may prescribe Rhus tox or Puls basing
on the name of the disease or Ran. Bulb in a case of Herpes
Zoster. But always it is necessary to search for individualistic
symptoms so as to give a right remedy.
Some medicines have strong affinity for certain organs like
Chelidonium for Liver, Crataegus for Heart, Avena for Brain,
Lobelia for Lungs, Echinacea for Blood, Ceanothus for Spleen
etc., These are usually pressed in to service as rejuvenators.
Pathological prescription is given basing on the similarity
to the disease process or pathological changes as opposed to
constitutional prescription which is aimed at the person in
general. Generally low potencies in repeated doses are effective
for severe pathological conditions like cancer.
Many mineral remedies exist naturally as salts. Nat.Mur is a
synthetic form of Sodium and Chloride, Nat Mur is already available
as a fully proven remedy. But in some cases wherein the symptoms
of two mineral remedies appear some physicians prefer to give
a synthetic prescription. For example, when a case looks like
Cal Carb and Phos. One might give Calc.Phos, which is a synthetic
form of those, two. But one should remember that CP has definite
drug picture than mere mathematical combination of CC + Phos.
Some remedies are made from allopathic drugs or chemicals, which
are known as tautopathic remedies Example: cortisone, Penicillin,
etc., If a person has never been well since taking an allopathic
drug or he is addicted and is trying to get off the drug, that
specific drug in Homoeopathic form[ tautopathic] can be prescribed.
But as always one should try to select an indicated remedy failing
which tautopathic prescription could be resorted to.
12. Past History Based:
When the case at hand doesn’t not have clear cut characteristic
features and has got a definite past history very much relevant
and responsible for the present clinical presentation this type
of prescription comes into effect
13. Family History Based:
There may be certain cases wherein the present picture
looks to be the offshoot of a family genetic background. In
these cases the most suitable remedy could based on the family
This is one of the best fields for Homeopathy. Ranging from
Prevention of Measles to J.E. Usually in epidemics the Genus
epidemicus is selected as both preventive as well as curative.
In terminally ill patients the whole aim of the physician would
be to ensure painlessness, less discomfort and ultimately peaceful
death to the patient. In this regard Homeopathy is effective
without side effects.
There are some great stalwarts who prescribe basing on one or
two keynotes for the most of the cases with great success. We
may try to emulate them but with a lot of hard work and dedication.
Depending on the caliber, knowledge and efficiency of the physician
the prescription could be scientific, artistic, or intuitive.
For any success in the clinical practice the physician’s
hard work backed up by the knowledge are most essential factors.
If one tries to take the case meticulously and analyse according
to Hahnemannian clinical classification the type of prescription
would be automatically selected and the desired result could