The individualising examination of a disease case, for which I am giving only general
applicable to each single case) demands nothing of the medical-art practitioner except
freedom from bias and healthy senses, attention while observing and fidelity in recording
the image of the disease.
Aphorism 83 from the Organon of medicine
Dr Samuel Hahnemann very rightly puts forth the importance of individualization in
examining a diseased case in this aphorism on the case examination process. In order to
conduct the whole examination individualistically, he prescribes the physician a dose of
healthy senses and attention while observing the diseased case. He also prohibits the use of
any bias and prejudice while doing the same.
Freedom from bias … indeed very important but we physicians often make this simple task,
of being prejudice-free, very complicated.
The moment the patient enters the door of the consulting chamber, within no time, we
label the patient with a particular diathesis, a physiognomic constitution, a certain
temperament, a certain miasm … The moment he verbalises his complaints, we are ready to
label him with a particular remedy. The moment the patient describes the sensation at a
localised level of his complaint, we arm ourselves with all the techniques we know, to fit a
particular kingdom, sub-kingdom and remedy for the patient … Instead of examining the
patient without a bias, we examine the patient with a pre-biased knowledge. We often miss
the real centre, the deepest core of the individual since we judge the patient on the basis of
what we already know. : ”
In order to reach the deepest core of the patient the most important factor is how we
understand him through the case witnessing process.
Now, why do I use the term “case witnessing” rather than “case receiving” or “case taking”
or “case examination”?
The answer lies in the meaning of the verb “to witness”.
A witness is a close observer, one who gives firsthand account of something seen. (In
relation to the legal system) A witness is the one who does not add to or subtract any details
from what he has seen. A witness just observes and provides information, as it is.
Every case that comes to us requires one hundred percent witnessing in order to
understand the patient as he is. If we can witness our cases, only then will we refrain from
superimposing the colors of our fixed knowledge and ideas on the real holistic
understanding of our patients. And that is the reason I feel it is important to use the case
witnessing process with our patients and not just the case taking process!
The case witnessing process is my scientifically designed method of case taking to
understand the patient’s unique individuality at the local (physical or mental), general
(physical and mental) and above all at the holistic (where mind and body are connected
into a single unit) level with an ease, simplicity, and assurance. The case witnessing process
provides a systematic approach to case-taking methodology that can be followed and
practiced easily by everyone for reaching the deepest core in their patients. The entire
process is scientific (that makes it easy to reproduce) and it is Human-centric in nature.
The case witnessing process starts with a scientific effort and then becomes intuitively
effortless. Initially, when the CWP starts with Passive step; amongst the outpouring of
verbal and non verbal expressions of the patient, a few peculiar, out of place, (PQRS), stand
out. The PQRS expressions are local, general or holistic expressions. Later on, during Active
phase, connection between a few of the expressions takes place. Ultimately, during the final
Active-Active phase, all the PQRS expressions from passive and active phase get joined into
a single remedy pattern revealing the source. In detail, the three steps of the case
witnessing process are explained as follows:
1] Passive case witnessing process (PCWP)
2] Active Case Witnessing Process (ACWP)
3] Active-Active Case Witnessing Process (AACWP)
1. Passive CWP: The, first, Passive step forms the basis of the entire case
witnessing process. In this phase, the patient is allowed to be in the moment,
to say whatever he / she want to say; the homeopath allows the natural flow
from the patient and stays passively alert to the fragmented individualistic
expressions. This step helps to highlight the most important characteristic
expressions at local level, general level and holistic level. That which gets
repeated at every level is the PQRS at holistic level, known as’ focus of the
2. Active CWP: The second, or “Active” phase of the interview, begins when the
homeopath begins to ask questions. Here, the flow is directed inwards,
towards the centre of the patient to get the whole phenomenon. The isolated
individualistic expressions that came during Passive step, now slowly start to
get connected. The surety of the focus is established in this step. In cases when
focus is not obtained in the passive process, the focus is first found and then
confirmed in the active process.
3. Active-Active CWP: This is the grand Finale. In this phase, the whole pattern of
disturbed vital force gets unfolded and the simillimum is confirmed and the
further journey is followed. Here, all the individualistic expressions of the
Patient that we got during PCWP and ACWP get connected into one single pattern.
patient that that we got during PCWP
1. AIMS of the PASSIVE case witnessing process:
The first aim is to pay attention to all the fragmented, isolated, verbal and nonverbal
expressions that are
· PQRS at local level
· PQRS at general level (physical and mental)
· PQRS at holistic level (where physical and mental speak the same language)
These expressions arise sporadically and are often not connected. It is interesting to witness
how, later on, all these sporadic expressions join together by themselves to give us a clear
picture of the altered pattern of the patient.
The second aim is to find the PQRS at holistic level that is the focus of the patient:
The focus is the PQRS obtained at the holistic level, that is at physical level, mental level,
sub-conscious level and in each and every area of the patient s life. It is an entry point to the
whole centre of the patient. It is that expression which consciously or unconsciously comes
into the centre in every area that the patient talks about. The expressions can be verbal or
nonverbal and will be repeated in more than two different, unrelated areas of the patient.
The third Aim is to find out the patient’s Level of Experience (LOE), which is his experience of
the inside and outside world at that given moment of time:
Is the patient just naming his I her physical or mental problems or describing plain
facts about him I her? Local level of experience
Is the patient just talking about common physical generals or mental generals like
common emotions or common situations? General level of experience
Is the patient in touch with the qualified, peculiar individualistic expressions
Is he actually experiencing everything at the local, general, sub conscious level that is
the Holistic level and giving holistic expressions
Promptings used during PASSIVE case witnessing process:
_ Tell me about you, my whole aim is to understand you. Be spontaneous and tell me everything that will help me understand you.
_ Tell me what else is bothering you? Don’t try to analyze it, just be in the moment and tell me
_ I am not looking for anything specific. Everything that you are speaking is making sense. Just be
with the flow and tell me more about you
_ Trust the process. Trust yourself. Everything is making sense. Be spontaneous and keep talking.
2. AIMS of the ACTIVE case witnessing process:
The first aim is to confirm the focus obtained.
The oThe focus is confirmed by asking about it actively. When the focus is correct the patient
starts joining the focus with other out of place expressions of the case and also with other
general and vital areas of his life.
The second aim is to find the focus, if not obtained in the passive process:
Many times the patient is unable to give the focus of the case by himself. Here the physician remains open ended and takes the patient into different sub conscious areas like dreams, Interest and hobbies, childhood etc … That expression which the patient talks about in every area is the focus.
The whole Active process gives us surety about the focus -of the patient and determines
whether or not the journey is on the right track. In a broader perspective, it clears the path
for the Active-Active Case witnessing process.
Promptings used during ACTIVE case witnessing process:
The questions are framed in various ways, depending on the patient’s level of experience and how he expresses his level of experience.
· Describe the focus a little bit morel can you summarise the whole thing again for me (if focus is
obtained at local level)
· Deep within how does the whole focus feel! what is the feeling in this focus (if focus is
obtained at general level)
· Be with the focus and allow your imagination to run and see what else is coming up when you
· Describe the focus as completely as possible/ what is your experience with this focus (if focus is
obtained at holistic level)
3. AIMS of the ACTIVE-ACTIVE case witnessing process:
The first aim is to take the focus towards the complete altered pattern of the patient.
We ask the patient to talk about the focus in as much detail as possible, allowing him to just
be in touch with the experience. The more he slips into the process, the clearer the picture is
of the surfacing pattern. Gradually, all the isolated, scattered, verbal, and nonverbal
expressions that spilled out during the passive and active case witnessing processes get
connected in a single phenomenon.
The second aim of AACWP is to understand the kingdom and subkingdom: The Active-
Active phase of case witnessing is the right place to think about the kingdom and
subkingdom, since the entire nonhuman specific phenomenon will be understood in its
entirety here. If we prematurely start analyzing the kingdom and subkingdom in the passive
or active process, the journey is sure to take a wrong turn.
The third aim is to know about the miasm: The miasm signifies the intensity, depth, and
pace at which one perceives their altered pattern and reality. The miasm has to do with the
way one copes with the experience of the away one copes with the experience of the altered pattern. Different individuals may share
the same sensation, but perceive it with different intensities. At the subconscious level, a
person’s miasm is constant, in the same way that the kingdom and subkingdom remain
The fourth aim is to understand the reaction: Every local, general or holistic expression
excites a reaction. Remedies having similar sensations differ on account of their elicited
Promptings used during ACTIVE-ACTIVE case witnessing process:
– Describe the focus. Just concentrate on the “what” of the focus and cut out; everything that has to
do with the “why”, “where”, “how”, “who”, “maybe”, “could be”, or “should be” .:
– Ask about the focus till the patient joins and connects all the PQRS obtained in passive and active
process into one single pattern. If there are any PQRS which do not get connected, ask about
them. Most often these are part of the whole and get connected when asked about it...
Benefits offered by the case witnessing process:
· The process of case witnessing is simple, scientific and systematic that can be
followed and practiced easily by everyone.
· All the questions that the patient is asked during the case witnessing process is
homoeopath “feels like” asking those questions.
· Easy to reproduce: Anyone homeopath from any era or school can make use of it.
· The three steps of case witnessing process when followed step by step, helps to
reach the vital core of patient, even until the source of the patient with an ease and
· Diagnostic as well as therapeutic for the patients: The entire approach of CWP not
only proves diagnostic for the patient but it offers therapeutic healing to the patient
(much before the actual administration of simillimum).
(For case illustrations, readers can refer the book “The scientifically intuitive case witnessing
process: The Journey of Three Steps” or log on to www.casewitnessing.com)
When we understand the patient’s individualistic centre at the physical, mental and holistic level,
the level where mind and body are connected, that is at the HOLISTIC level. Any homeopath,
belonging to any school of homeopathy, must strive hard in an unprejudiced manner to help
the patient express his individualistic centre at the holistic level. We cannot neglect any aspect
of the patient, be it physical, mental, general, sub conscious, reactions, miasm while drawing
the portrait of the patient. That which runs common in all these areas is the holistic centre of
the case. As true classical homeopaths we must strive in an unprejudiced manner to reach this
integrated level of the patient’s unique centre rather than taking only the disintegrated
physical and mental aspect of the patient in consideration.
The three steps of case witnessing process brought about an obvious transformation and
evolution not only in the holistic understanding of my patients, but in.their holistic healing,