Homeopathy Tips for 6/29/10 Eliminating Noise in the Case

One of the biggest hurdles I see most of my students have to overcome is hearing the case for simply what it is. It is very easy to get hooked in to the persons story and want to extract many rubrics from the details. Often this is the very act that keeps the homeopath from “seeing” the case clearly.

I speak often about getting to the understanding of what is asking to be healed. Without this understanding of the case, the very best selected rubrics and remedies may surely lead to failure.Only when we fully understand where the vital force is disturbed can we find the remedy that is best for the case.

The vital force is responsible for ALL expressions in a persons life; not just the symptoms of their suffering. Sometimes the details of their physical suffering become such a focus that we may miss a bigger picture of disease that is staring us in the face. When a person gives their case often they will talk about many things seemingly unrelated to the dis-ease. It is the homeopaths job to be the unprejudiced observer and see all of the subtle expressions that are off. Sometimes this is such a global expression of the person we miss it entirely.

Recently we had a class case of a person that her first words were, “I have two addictions. Tobacco and food.” Then she went on to talk at length about her aches and pains. This took the next 10 minutes of her case. There was plenty of specific descriptions to find rubrics from. Eventually she casually mentioned diabetes. Now here was a symptom of disease and not just a lot of talk about her aches and pains. The whole time she spoke the class became more tired. She droned on and on and there was a quality of her speech as well as how she described her life that was a little disconnected.

Before choosing rubrics it is necessary to step back and look at the case globally. This is a step I find most homeopaths have trouble doing. It is a necessary step to see the bigger picture as well as the details. It is somewhat like looking at a painting and seeing all of the colors and brushstrokes without see the bigger painting and what it is.

When I looked at the students repertizations all of them had included many rubrics to accurately describe her physical symptoms. But the key to her case was diabetes and the rubric,  Mind;stupor. This described her total state of being. It was from these two rubrics only that I was able to find her remedy.

The first five minutes of any case are usually they very most important. I always write down verbatim what the person says and does during this time. This will be when they most often reveal the remedy. In her case her she said she had two addictions. So the case would have to have something to do with addiction as well. Her stupor reminded me of a drug state.

After combining these two rubrics there were about 25 remedies covered by both rubrics. There were three remedies made from drugs; Opium, Morphinum and Codeinum. All of these are in the opiate family of drugs. Her state was not one of sleep but much more active. Both opium and morphine create a stupor that leads to sleep. This was a case of Codeinum. It carries a more active state but the mind can not process clearly.

This remedy did not appear when the case was being analyzed with many of her physical symptoms. Too many common polycrest remedies and other more specific remedies came forward. But with just two rubrics most of the noise of the case was eliminated.

This method requires choosing very accurate rubrics. Selecting a mind rubric and a physical rubric will often be sufficient to see the palette of remedy choices. Then it is imperative that the homeopath have good knowledge of Materia Medica. Every remedy must be understood so the best remedy is not overlooked. If every ache and pain is used to repertize, too much noise will be present in the case. Having three or less undeniable rubrics to describe what is asking to be healed will be a better way to approach any case.

20 comments so far

  1. c.ferns on

    Dear Mr. Robert,

    Its a lovely article that I have read which opens the expressions of individuals by analysing without any prejudices to the case by finding out the appropriate remedies for the cure of the patient. It requires a lot of patience and practice in selecting the mind and phyiscal rubric with the remedies.

    Thanks a lot.

    We would appreciate if you could write some article on sciatica, spondlyitis etc.

    REgards

    Celes

  2. Deb on

    Hi Robert
    This very topic is perhaps the most troublesome aspect of repertorisation for me. I also, just as your students, get caugth up in too many of the physicals at times. I definitely don’t over look the mentals or emotional characteritics but often find these are the most difficult to recognise or verbalise and hence translate into succinct rubrics that lead to the correct remedy.

    Thanks for an interesting forum.

    Deb

    • Robert Field on

      Hi Deb,

      You are not alone in your frustrations. I think this is the single most challenging aspect in being a homeopath. If we can not see the case and know what is asking to be healed, then we could never find the right rubrics or remedy. Sometimes it feels as if there is just too much information to make it simple…and then it can get confusing.

      Thanks for your comment,
      Robert

  3. pragya on

    hi sir,
    this is wonderful article on case taking. we often forget to look what is the case all about saying, from this article i will always remember to concentrate in individual. but i would like to ask that is it necessary to always repertorise the case or else we can prescribe on the basis of key note symptom.

    • Robert Field on

      Hi Pragya,

      Keynote prescribing will not ever be very effective in and of itself only. It is not to be under-appreciated though. I use keynotes to verify a remedy and let it support my choice rather than it being the sole or only reason to give the remedy. The case must fit like a hand in a glove. If the keynotes support it, then all the better.

      Robert

  4. Monina on

    Hi Robert, I still struggle with choosing the symptoms that will take me to the right remedy. That phrase you use “what is asking to be healed”, I think it is the best way to see the case.
    Thank you for your information, it is really appreciated.

    Monina

  5. mah-jabeen on

    Robert,thanks agian for useful knowaldge. I want a remidy for 1 year baby she have 2 hole in heart . Can possible whitout operation recover her. she is my patient but i can not stisfiy her condation plz all members tell me about this case .

  6. Sharon on

    This article is encouraging, as you make it so clear that all homeopaths are challenged with getting to the core of the matter, and I don’t feel quite so dumb any more. It was clear to me in the teleconference as we were discussing the China case that I am actually more confused about it than iI thought. I had been busy with a myriad of physical symptoms and hadn’t repertised the injury to the back. Your advice to listen carefully to the first 5 minutes of the case because the keys almost always lie there I find very helpful. Also the three-legged stool can help to not get lost in the thicket.

    Thankyou! Sharon

  7. Pegah on

    Hello Dr.Field
    Thanks For useful article.Would you please described more about How we can find the right answer for “what is asking to be healed”.

  8. Pegah on

    Hello Dr.Field
    Thanks For useful article.Would you please describe more about How we can find the right answer for “what is asking to be healed”.

  9. ginni ghaziri on

    Loved this xxxxxxxxxxx

  10. Farhan Nadaf on

    Thnx a lot sir!

    Learned a lot from this article.

  11. Christine on

    Hey Robert,

    Can you clarify which two rubrics you used?

    • Robert Field on

      Hi Christine,

      The trubrics were from the Complete 2009 Repertory.
      Urine; Sugar and Mind; Stupor

      Thanks, Robert

  12. Monica on

    Hi, Robert!

    Thanks for reminding us again that it is not about what the patient wants to get rid of but about what really asks to be healed.
    It is much more difficult, in my oppinion, when you also know the patient as a friend or relative and as a homeopath you have to put everything you knew, thought or labeled before and just find out what “screams” to be healed.
    Coroborated with the next tip on rapport, this helps a lot.

    thanks again, Monica

  13. Dr. Priyanka on

    good. this was a helpful disscussion which will aware us during each case taking

  14. Tariqul Alam on

    What a wonderful, useful and pragmatic article it is! I do thank and appreciate for the empirical knowledge shared with us. Tariqul Alam

  15. nagaraju on

    Dear dr. this is very good method or treating followed by medicines thank you for this information

  16. Lee Rivers on

    “What’s asking to be healed?”

    This seems esoteric to me. I’m looking for science, and frankly, I’m not finding much in homeopathy, although I know it is very effective when the right remedy is used.

    I don’t see “stupor” in your description of this patient. According to you, she talked in a disorganized manner until it was your students who were entering a state of stupor. Stupor is a state of semi-consciousness.

    Aside from that, many if not most patients relate in significant ways to one or more rubrics of a variety of remedies. Note I said SIGNIFICANT ways. This is my biggest complaint regarding homeopathy. The Materia Medica is a mess when you try to apply it to real patients.

    You speak of “noise,” but the practitioner is still left with nothing more than a subjective opinion regarding what is and is not noise. Furthermore, in my experience, many patients require some time to become comfortable with the homeopath before revealing much of anything. A Calc carb, for example, may never get comfortable enough to admit they fear insanity.

    In other words, you’re just guessing based on first impressions. And in this case, if I did the same, I would not have guessed “stupor.”

    Where is the science when it comes to choosing a remedy? Are only Psychics or Empaths fit to practice homeopathy? Somehow, I don’t think that’s what Hahnemann had in mind.


Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: