Homoeopathy is both a Science as well as an Art, the success
of our first Prescription depends upon effective case-taking
and analysis. A Homoeopath has to remember that there is a vast
difference in the method of case-taking and final diagnosis/and/or
deciding the required remedy between allopathy and homeopathy.
The principle of INDIVIDUALISATION should form the basis of
art of prescription .
When the patient comes with Pathological Diagnosis
A male child, aged 4 years referred after laser surgery for
Recurrent Juvenile Laryngeal Papillomatosis, to treat with homoeo
medicines to prevent further recurrence.
Apart from noting down the classical symptoms pertaining to
the pathological condition and its development in a period of
2 years, I came to know that.
This child belongs to the middle class family, the father works
in a cashew factory. He is the third child of the parents, previous
two girls and both are healthy. The child is of lean and thin
built, weighing 12 kg., physically restless- keeps moving constantly
in the clinic touching things. He is also short tempered and
during the spell of anger beats his sisters and sometime to
mother too. No particular desires in food- eats anything offered.
Full term normal birth. During pregnancy as the father is an
alcoholic, used to come late at night in drunken state and beat
his wife everyday. The mother was always afraid as the night
approaches recalling beating and torture. She used to feel palpitation,
fear and was unable to sleep properly.
Considering the insecurity feeling, fear, desire to protect
her unborn child— the theme of carbonate (Homoeopathy
And Minerals- Jan Scholten) but lean,thin and restless carbonate,
my First Prescription was CALC-PHOS. And followed by TUBERCULINUM
after few weeks.
The physical manifestations and mental make- up
A male child aged 2 years, brought with the complaints of frequent
desire for stools for last 2 weeks, daily 10-15 times and on
one day the mother said, he passed stools as many as 35 times.
Stools are scanty with normal consistency; no pain with no change
in appetite. The child insists that after every defecation he
has to be washed with warm water only and make the area dry
immediately; does not like use of tissues or does not want to
While examining the child I gave a small stuffed penguin toy
in his hand which he immediately turned it upside down and started
checking the other end of the toy. When the mother asked what
he is doing, he said,” mama, I am seeing whether this
white crow has done the kakka and whether his bum is dirty,
so that I can clean him.”
I considered the symptoms of Fastidious; Hypochondriac; Chilly
patient and frequent desire for stools and prescribed two doses
of Nux-vomica in 1M potency for two consecutive night . In a
weeks time the frequency reduced to 2-3 times a day.
Abundant subjective symptoms
When the patient comes with abundant subjective symptoms- with
no head or tail of the case; when there are no life threatening
symptoms- give Placebo for few days until you get the clear
picture. Very often it has been found in patients of nervous
constitution; with lot of anxieties give such case histories
and in such cases few doses of Mimulus- Bach Flower Remedy often
takes care most of anxieties and the patient comes back with
residual one or two complete symptoms.
When the patient comes with only one or two distressing signs/symptoms
with no guiding modalities or when the patient is not in a state
to explain due to intense suffering/pain –along with physician’s
keen observation, the laboratory investigations can help to
decide the first prescription. Exam.- Severe bouts of cough
due to dust allergy with increased eosinophils- Drosera. Diminished
appetite with increased Serum Bilirubin- Chelidonium.
A thorough physical examination after detail case-taking is
essential guide to first prescription.
A female patient complaining of pain in nipple while feeding
the baby; pain-stitching,burning,severe etc. A very deep crack
on the nipple guided the prescription of Castor-equi.
n certain situations, the physician has to do “SPOT PRESCRIPTION”
due to patient’s demand and at certain times due to paucity
of time on the part of the physician for which a sound knowledge
of Materia Medica and Repertory is of immense help.
This experience is in the initial days of my practice when I
was very much firm with my principles in practice that I will
not prescribe to any patient without proper detail case history.
A female patient came when I was about to close the clinic and
requested , “ Doctor I have only problem of acidity, give
me something, I will again come next week on time, you can give
for temporary relief”.
I refused and sent her back saying I cannot prescribe without
case history. When I went outside to a nearby chemist to purchase
few cosmetics, the same lady is describing to the chemist her
complaint and he gave rantac and gelusil charging her almost
about more than 110 rupees.
I felt so ashamed and started thinking- when a chemist without
much medical knowledge can prescribe for acidity and earns a
good some of money; what for my knowledge of material medica
is ? I had the golden opportunity to prove the efficacy of homoeo
medicines for a person who is interested in taking homeo medicines
and I lost that. I would have as well prescribed few doses of
carbo-veg and robinia and would have called for further follow
up and of course this patient never returned to me, possibly
never thought of going to homeo medicines for any of her complaints.
From that day I made a rule not to send back any patient willing
to take homeo medicines for the first time.Utilise your knowledge
of Materia Medica, Repertory, Organon and Therapeutics and do
what is known as bedside prescription. Let the first comers
understand the efficacy of this medical science which they have
never tried before and will stick to it later on.
In conditions when the patient is unable to visit your clinic
due to old age or immobility, the case-history described by
persons staying with him/her will help for first prescription.
Certain complaints like cough/dyspnoea, the patient can be asked
to cough/talk on telephone to judge and then conclude the nature
and intensity of suffering.