Sahya Part 8

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SAHYA Welcomes YOU to Day – IV Brought to you by Similiacare.com

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Any Change

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Case taking Techniques for Individualization & Clinical Application of Miasm. Brought to you by Similiacare.com

Case taking strategies .

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No need of case taking to reach in to a drug. Diagnostic approach when you are selecting a Medicine. Homoeopathic case taking will lead to Remedy only. Best case record is a blank sheet. Simultaneous recording of data and observation is highly necessary. Recording in various sectors shall be a better method. Brought to you by Similiacare.com

PC, HPC, PH, FH, PG, MG are the necessary sectors in a case record. Brought to you by Similiacare.com

But try to enjoy your conversation with the patient at the same time don’t Brought to you by Similiacare.com

Welcome

Dr.K.N.Ashok Kumar

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• Case Taking protocol

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Objectives, Cautions Miasmatic Relevance & Shake hand with Rubrics Brought to you by Similiacare.com

PC Brought to you by Similiacare.com

Objectives of PC. To reach in to a General. Side, Time, Season, < >, Many complaints. To asses the sensation and energy level To reach in to a Diagnosis (Give Up S&S). To decide fixed symptom(s) Brought to you by Similiacare.com

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An E Mail Case Find out A General.

•Weakness of Memory and Low IQ •Relapsing Malaria •Ano Rectal Fistula •Diabetes due to pancreatic calculi. Brought to you by Similiacare.com

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Gen. Sides Left Because…. MIND - MEMORY - weakness of memory (IQ & memory register in Left Hemisphere) GENERALS - MALARIA – chronic (Spleen Lt. Side) RECTUM – FISTULA (Rectum Lt. Side) GENERALS - DIABETES MELLITUS ABDOMEN - PANCREAS; complaints of (Pancreases Lt. Side) Brought to you by Similiacare.com

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Exercise II

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• Cholecystitis • ABDOMEN - INFLAMMATION – Gallbladder • Appendicitis • ABDOMEN - INFLAMMATION – Appendix • Renal Calculus • Leading Question? • SIDE? • KIDNEYS - STONES – right • What is the General ? Brought to you by Similiacare.com

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Rt. Sided organs Gall Bladder

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Rt. Sided organs Appendix

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Rt. Sided (80%)

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Leftists Brought to you by Similiacare.com

Lt. Sided organs

Rectum

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LEFT Sided Organs Heart

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Left Sided – Spleen

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Bilaterally Symmetrical Organs

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Bilaterally Symmetrical

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Bilaterally Symmetrical Organs

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Bilaterally Symmetrical Organs

except cervical and Lumbosa cral Brought to you by Similiacare.com

Adenoids & Tonsils

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Lungs, Nose

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Testis & Ovary

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Probe fore sides in such cases

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Diagonal

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Or draw it

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Laterality

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CASE TAKING RULES IN PC

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PERIODICITY ALTERATIONS (SPECIFIC CHAPTERS)

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Don’t try to interpret. Receive or collect Brought to you by Similiacare.com

Try to escape to a General Chapter at the earliest. Observe the sensational and energy level Energy level in presenting the symptoms Sensational level are the Brought to you by Similiacare.com

• samad

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• Samad II

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Cautions

Cautious about time management. Don’t forget to escape to General Sector. Brought to you by Similiacare.com

Miasmatic Importance

Self explanatory Miasmatic Presentations Miasmatic Specific (Proven) Medicines. Brought to you by Similiacare.com

Dr.K.N.Ashok Kumar

Shake Hand with Rubrics Brought to you by Similiacare.com

Shhhh……..

•STOMACH ERUCTATIONS pressing - painful parts; when pressing on(1) •Borx Brought to you by Similiacare.com

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HPC Brought to you by Similiacare.com

HPC – Objectives

• To Stop case taking there.

• To define a single reason for the disease. Brought to you by Similiacare.com

Can Stop Case taking Adopted child but symptoms appear later – Lac Can business failure – Aur, Cimic cares, worries over a loved one - Cocc From too high expectations of parents or from absence of father - Carc Anything unusual - Ambra Brought to you by Similiacare.com

• Constipation From Antibiotics • Monilia albicans • Eruptions – Rhus Ven • Weakness – Carbo Veg. • Allergy to – Medo

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Analgesics From – Ammon Carb, OP After injection for Schistosomiasis – ANT T Brought to you by Similiacare.com

After Taking Psychotropic Drugs SEP & Arbutus

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Cautions Don’t forget to double confirm only after…….. Genetic tendencies overrule A/f so don’t forget to ask F/H Brought to you by Similiacare.com

Miasmatic Importance

To know the out burst of Latent psora and nearest Antipsoric To Know acquired Sycosis Brought to you by Similiacare.com

Shake Hand With Rubrics

Dr.K.N.A.KUMAR

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Barotruma

•EAR INFLAMMATION airplane; from changes of atmospheric Brought to you by Similiacare.com

cortisone

•GENERALS CONVALESCENCE; ailments during cortisone; after use of –2 • Caust,thuj Brought to you by Similiacare.com

Antibiotics

•GENERALS CONVALESCENCE; ailments during antibiotics; after use of –(3) • ars,nit-ac,thuj Brought to you by Similiacare.com

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Objectives • To know the Layers of diseases • To know similar diseases • To know the extend and extension of an old disease • To know metastasis if any • To select General Rubrics from the Chapter generality Brought to you by Similiacare.com

• GENERALS - HISTORY; personal - tuberculosis; of – 13 remedies are there TUB is only one among them. • Dros is preferable for hip, bone & Resp. Disorders. Brought to you by Similiacare.com

Phyt – for glandular affections and lymphoid tissue disorders. Brought to you by Similiacare.com

H/o Tuberculosis • Calc – for functional disorders. •NIT ACID – for structural disorders. Brought to you by Similiacare.com

Bac – for Dermatological problems. Nat m – Mental Symptoms Brought to you by Similiacare.com

Sil, Aur – I Destructive disorders. Phos – General Medicine Brought to you by Similiacare.com

GENERALS HISTORY; personal - eruptions; of suppressed – ZINC (1) SKIN - ERUPTIONS – suppressed – (90) ZIC is 3 mark Brought to you by Similiacare.com

.

Cautions •Forget to Maintain hierarchy. • Abrupt break of case taking •Unnecessary list of diseases and it’s explanations. Brought to you by Similiacare.com

Miasmatic Importance

•To know the seesawing of Miasm •To know the Layer of Disease •To select a probable disease nosode Brought to you by Similiacare.com

No Viral infections

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?

Course of Past History From Which Disease to Which Disease From Which Organ to Which Organ Is Important Brought to you by Similiacare.com

Deficiency /Functional to

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Proliferati on to

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Degeneration is

SYPHILIS is.. Brought to you by Similiacare.com

Suppression

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Reverse

Degeneration to

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Proliferation to

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Deficiency /Functional According to Herring's Law

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A Single Rubric For Past History

Generals – History Personal With Lot of Sub rubrics Brought to you by Similiacare.com

Treatment history to be clubbed with Past History.

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Past History will reveal the Layer of Disease Patient

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Family History

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Objectives

•To define patient in digits. •To select Nosode •To know the miasmatic flow Brought to you by Similiacare.com

Draw The Family Tree

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cva Ca

Ca

Ca

1: 3:13 = 1:1:3 Brought to you by Similiacare.com

W R

Draw Your SCRIPT

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Cautions

• If not asking in terms of disease………….. • If not drawing the family tree…………. • If not known Brought to you by Similiacare.com

Miasmatic Importance • To Know Inherited Miasmatic Ratio. • To prove the Basic homoeopathic Philosophy • To select a genetic Constitutional Remedy Brought to you by Similiacare.com

Shake Hand with Rubrics Dr.K.N.Ashok Kumar & Family

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Family History • asth

GENERALS FAMILY HISTORY of – asthma (6) carc,lyc,med, Brought to you by Similiacare.com

Family History • Dm

•GENERALS FAMILY HISTORY of - diabetes mellitus (3) • carc,thuj Brought to you by Similiacare.com

Family History • Num

•GENERALS - FAMILY HISTORY of numerous serious diseases; of (1) •bufo Brought to you by Similiacare.com

Physical Generals

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Objectives

• To Know the person • To know the patient • More important than MG in certain cases • To select the Remedy • To know the modalities and to remove the same if needed. • Gen < are important than > • > are important if it is Brought to you by Similiacare.com

Cautions Monotones questions Focusing on remedy Skipping general chapters and concentrating on desires only Brought to you by Similiacare.com

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Generals are scattered in the following chapters. Ask leading question from such chapters. Stomach Sleep Perspiration Dreams Skin Urine Stool Mouth & MIND. Brought to you by Similiacare.com

Miasmatic Importance of Generals. • To Cut short Generals • To reach in to a Group Totality • To know the acquired Miasmatic ratio • To select a remedy having dominant miasmatic similimum. Brought to you by Similiacare.com

Shake hand with Generals

Dr.K.N.Asok Kumar

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More generals on Day 5 Brought to you by Similiacare.com

MENTA L Brought to you by Similiacare.com

Objectives • To trace Generals in every sense • To define Patient symptoms • To define Person Symptoms • To observe the HG • To collect maximum direct interpretations • To prepare maximum data for indirect interpretation Brought to you by Similiacare.com

Cautions • Inexpert Indirect Interpretation • Observation Skip • Favorite Rubrics Syndrome • I don’t know so skip it habit Brought to you by Similiacare.com

Miasmatic Importance • Known basic General features of Miasms • Select a rubric from Miasmatic Compendium • All can be interpret in 3 ways and it’s combinations. Brought to you by Similiacare.com

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Dr.K.N.Ashok Kumar

Shake Hand With Rubrics of Brought to you by Similiacare.com

More Rubrics …….

On Day of Interpretat ion Brought to you by Similiacare.com

4 Basic Qualities for effective Homoeopathic case taking. Ability to Observe. Creativity in Interpretation. Logic in Analysis Practicability in Application Brought to you by Similiacare.com

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AIMS

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SOURCES

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MIND • INTELLIGENCE • (BEARE OF EXAUGURATION)

• • • • •

INTERACTION WITH SCHOOLS PLAYING EMOTIONS STORIES EMOTIONAL STATUS OF PARENTS

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GENERALS • • • • • • • •

FOOD & DRINS (desires aversions) HOT / CHILLY- not applicable) COVERS SLEEP-POSITION DELERIUM PERIODICITY RECURRENCE VACCINATION HISTORY Brought to you by Similiacare.com

Things to be remembered in paediatric case taking • Be an observer toDiagnose (For Empirical Prescribers) – Mood of patient ๘Approaching/Withdrawn – Skin for indication of medicines – Orifices for Drugs – Tongue for Remedies Brought to you by Similiacare.com

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Developmental deficits occur by 4 categories of risk

Established riskMaternal diseases at first trimester of gestation, Teratogenic effects of certain drugs, Exposure to X ray-[2nd half of MC] ,Chromosomal anomalies.etc

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Developmental deficits occur by 4 categories of risk

Biological riskLBW,[>2.5 kg], prematurity,birth asphyxianeonatral hyperbilirubinemia , hypoglycemia,neonatral convulsions, intra uterine infections,septicemia,etc Brought to you by Similiacare.com .

Environmental risks

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Developmental deficits occur by 4 categories of risk

No apparent risk

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•Social Smile

-5 – 45 Days

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Eyes follow pen/pencil – 35- 50 Days Holds head steady

- 40- 150 Days

Rolls from back to stomach 80 days11months Turns head to sounds of bell/rattle – 3m-5.5m Brought to you by Similiacare.com

Transfer objects hand to hand - <4m->7m Rises self to sitting position - 5.5M-11M Standing up by furniture – <6m-11m Fine prehension pellet – 6.5m-10.5m

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Walk with help - <7m->13m Throws doll -<9m-<16m Walks alone – 9.5m-18m Says two words -11m-19m Walk backward – 11m-19.5m Walk upstairs with help - 12.5m-24m Points to parts of doll(3parts)-<15m24m Brought to you by Similiacare.com

Anticipate problems in conditions

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H/O Delay in getting pregnant H/O Repeated abortions H/O Excessive vomiting in first trimester LBW Jaundice, Hypoglycemia H/O Neonatal convulsions requiring more than one drug Psychiatric problems in mother

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Age appropriate toys – • • • • • • • • • • •

0-3 months- bright objects 3-6 months Sound making, to hold, suck and chew 7-12 months Toys noises with, squeezing toys, drums, 12-15 monthsbuilding blocks, picture book and cryon, bus and other toys 15-24 monthstoys to push and pull, toys to ride in, toys to take part and put together Brought to you by Similiacare.com

Evaluate the case records Brought to you by Similiacare.com

Most difficult & Most Interesting

Pediatric Case Taking

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Welcome this Kid !

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Shake hand with

Pediatric Rubrics

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• lakshmi

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jij MIND – CURIOUS(19) agar,aur,hyos,lach,puls,sep145

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nas

•MIND DESTRUCTIVENES S - children; in •Carc Brought to you by Similiacare.com

but

MIND - PLAYING - desire to play - buttons of his clothes, with the (1)mosch Brought to you by Similiacare.com

thoduka • MIND - TOUCHING everything; impelled to children, in (2) Cina, carc • MIND - TOUCHING everything; impelled to (10) Merc, Thuj • MIND - TOUCHED - aversion to be - children; in (5) ant.c,ant.t,cina,cham,cupr • MIND - LOOKED AT; to be cannot bear to be looked at – Brought to you by Similiacare.com

peruppickal

MIND EXAGGERATING symptoms; her (7) agar,calc,cann-i, Brought to you by Similiacare.com

tpp

MIND – INDISCRETION (40) PULS (CIRCUMSPECTION, lack of ) Brought to you by Similiacare.com

pepsodent

MIND - FEIGNING sick; to be (16) Puls,Taret

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rabit

MIND – PERTINACITY (11) stram,symph Brought to you by Similiacare.com

Pm mathew • MIND - AILMENTS FROM domination - children; in parental control; long history of excessive (3) Aur-m-n(aurum muriaticum natronatum)carc,vanad

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k.vazhal

•MIND - SPOILED children – am-c,barc,lyc,op,sulph

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Achachen

•MIND ATTACHED father; children are attached to the (1) Brought to you by Similiacare.com

swasam

MIND UNCONSCIOUSN ESS - cries, with howling (1) camph Brought to you by Similiacare.com

Kochuvayil valiya

MIND PRECOCITY of children – LACH,MED,VE Brought to you by Similiacare.com

Video Case Analysis

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• • • • • • • • • • • •

MIND - GOURMAND MIND - BULIMIA MIND - ANGER - trifles; at MIND - HARD for inferiors and kind for superiors FACE - EXPRESSION - morose RECTUM - URGING - eating - after agg. RECTUM - URGING - frequent STOOL - ODOR - offensive GENERALS - NIGHT GENERALS - FOOD and DRINKS shellfish - agg. GENERALS - FOOD and DRINKS - meat - agg. Brought to you by Similiacare.com

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Video • Biting

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nail

MIND - BITING - nails - children; in (2) ant.c,carc

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Case taking is an art in every sense Brought to you by Similiacare.com

No need of case taking Brought to you by Similiacare.com

Get ready for a Practical session Brought to you by Similiacare.com

Hahnemann Fellow

Schedule

Hahnemann Crown

July 15 - 2007 Rectification of Empiricism & Various Prescription Strategies Faculty – Dr.S.G.Biju & Dr.Sarath Chandran

December 16 – 2007 Selection of Potency, repetition, Second

August 19– 2007 Miasmatic Correction of pathological Prescription Faculty – Dr.S.G.Biju

January 27th - 2008 Professional Excellence, Interpretation of Body Language. Faculty – Jc.Adv.A.V.Vaman Kumar, Dr.S.G.Biju

Sept: 23 – 2007 Interpretation of Mental Symptoms & Selection of Rubrics, Most modern technique of Repertorization Faculty – Dr.K.N.Ashok Kumar, Dr.S.G.Biju

February - 24 - 2008– Why Praful Why Predictive Faculty – Dr.C.J.Varghese

October 28 – 2007 Case taking techniques for Individualization & Clinical Application of Miasm. Faculty: Dr.S.G.Biju, Dr.R.Sarath Chandran

March – 23 – 2008 Memory techniques, Mind Sets, Time Management & management of difficult cases Faculty: Jc.Jayapalan. jc.Adv.Benny Kurian, Jc.Pradeep P Pillai and Dr.S.G.Biju

November – 11 - 2007 Individualization based on Materia Medica & trust Worthy Materia Medica Faculty – Dr.Prasad Oommen George & Dr.S.G.Biju

April 27 – 2008 – Effective utilization of Materia Medica, Repertoy And Philosophy Faculty – Dr.S.G.Biju, Dr.K.N.Ashok Kumar & Dr.R.Sarat Chandran

prescription & Magic of Single Medicine Faculty – Dr.K.C.Prasobh Kumar, Dr.S.G.Biju

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