Dr Jaimin R Chotaliya
ABSTRACT
Successful Homoeopathic Practice finds its roots in the case perceiving power of Homoeopathic Physicians. Many Physicians fail to understand the progress of case during case Management which led to add series of failure cases in practice life. Our Homoeopathic Pioneers were well aware of these problems as they had given guidelines regarding them in their writings. Dr. EPPS John was one of the Homoeopathic Physician mentioned about important Guidelines to perceive efficiency of Prescribed remedy in his book Domestic Homoeopathy. So, it is imperative to throw some light on these guidelines which could be unbelievably valuable for our neophytes as well as learned homoeopathic physicians in Homoeopathic field.
KEYWORDS – EPPS John, Homoeopathic Prescription, Efficiency of Remedies
INTRODUCTION –
Every Homoeopathic Physician possesses their own unique skill in case taking & Management. Every day’s Homoeopathic Practical experience will help them to enhance it day by day and help to get tagged of Successful Prescriber. It is important to have some basic guidelines from Mentors or Pioneers regarding Case Management that could form a rock-solid base for neophytes.
CONCEPT OF CASE MANAGEMENT
In his book “Homoeopathy and its principles,” he mentioned important necessities in order to cure the diseased. He said, “To cure a disease, two things are required, first is a perfect picture of disease : nothing ought to left out: Considerable mental power is required to take in all the facts, to classify them in their several relationships, according to their individual importance. The second is to obtain a remedy that, in its pathogenetic effects, presents a similar picture. here vast extent of Knowledge is required. Homoeopathy, however, is not the easy practice represented. It is a certain, a sure practice; but to obtain its certainty, requires great skill, most extensive & minute Knowledge.”
Dr. EPPS John in his book “Domestic Homoeopathy” remarked that some important observations must be known to each physician in order to manage case. He mentioned these observations on the basis of response/ reaction pattern of prescribed remedies for given case.
He mentioned probable reactions after giving the first prescriptions and corresponding interpretation as well as measures to manage the case.
- Aggravation of symptoms followed by amelioration – in this case, no longer repetition or in some cases smaller doses will be required and when the amelioration ceases to progress, either previously prescribed medicine repeated or administration of new medicine according to remaining symptoms / need of case. (In case of chronic diseases, one should not repeat remedy or increase the interval between administration of doses.
In order to understand Different types of Aggravations, he mentioned about.
Hahnemann’s Guidelines –
| Remedial Aggravation | Disease Aggravation (Progress of Disease) |
| Occurs immediately after administration of remedy | Proceeds on regularly and bears the same ratio of progress after as before the exhibition of the remedy. |
| Some of the symptoms of the remedial agent, distinct from those in which it is homoeopathic to the disease, become manifest in the patient. | Aggravation presents an addition often of new symptoms. (in sphere of disease condition) |
- No action after administration of remedy – In this case, first verify about homoeopathic similarity of medicine to case and if medicine was suitable then inspect circumstances (i.e., Regimen & Diet) to understand probable cause of obstacle.
- Diminished susceptibility – Sometimes it is diminished susceptibility that could be responsible for exhaustion of vitality. In that case, give drop of dilution itself instead of globules (impregnated with dilution).
ADMINISTRATION OF MEDICINE –
In order to manage case, one should be well acquainted with administration techniques along with observations on actions of prescribed remedy.
Dr. EPPS John described about administrative technique while prescribing medicine in following words, “After the second day of taking the medicine, the patient desists from medicine, then repeats, then desists for a day. I have found this decidedly effective. The power of the medicine, developing itself from the accumulating influence of the first doses, does not require so frequent repetition to keep up the effect. In fact, too frequent repetition is injurious.”
This will help us to understand every minute changes in case by action of First prescribed remedy.
EXAMPLE OF CASE MANAGEMENT BY DR. EPPS JOHN
He mentioned about one croup case and its management with the homoeopathic remedies. Here in this case , his administrative and observational skills help us to learn something about case management.
He said, “Take croup, for instance. Here is a local affection of the windpipe; that is, with the general febrile action there is a local diseased condition, towards the cure of which aconitum is serviceable, so far as it acts on the general febrile action, and also so far as its symptoms are homoeopathic to those presented in croup. But there is another remedy peculiarly adapted to the local affection of the windpipe, namely, the symptoms presented in croup; such medicine as Spongia. Spongia is therefore to be given. The plan is this: Dissolve three globules of Spongia in four spoonsful of water, and take two spoonsful four hours after the aconitum, or sooner if the local symptoms increase notwithstanding the aconite. Wait then six or eight hours, repeat the aconite solution, one spoonful, and four hours after the Spongia solution, one spoonful. If progress is being made, wait twelve hours; and, if any of the original symptoms remain undiminished, give the remaining dose of the aconite, and follow, four hours after, with the remaining dose of the Spongia.”
CONCLUSION
Every Homoeopathic Physician wants remarkable success in his practice but only a few homoeopathic physicians possess quality to work on minute details of case management. Our pioneers with their keen observation and skillful management of cases create history in this field. Learning from these legends helps us to cultivate our skills which are one of necessity for successful practice.
REFERENCES –
- EPPS J., Domestic Homoeopathy; retrieved from Encyclopedia Homoeopathic, RADAR (Ver. 2.2.1).
- EPPS J., Homoeopathy & Its Principles Explained, retrieved from forgotten books.
Dr. Jaimin R. Chotaliya, M. D. (Hom.)
Assistant Professor [CL-2], Dept. of Repertory
Govt. Homoeopathic Medical College & Hospital,
AT & PO Dethali, Ta. – Siddhpur, Dist. – Patan, Gujarat.
Email – jaiminchotaliya@gmail.com
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