INTRODUCTION :-
In Kent’s twelve observation ,Kent has described about unfavorable and favorable observations
They are:
• First
• Fifth
• Sixth
• Seventh
• Eight
• Tenth
• Twelfth
These observations gives unfavorable prognosis to patient.
(1)FIRST :-
(Killer observation)
“Prolonged aggravation and then final decline of the patient “
#EXAMPLE:-
A person is suffering from last stage of liver Cirrhosis, and if physician will prescribe deep acting antipsoric remedy than it will give prolong aggravation with no relief to patient ,it will lead to death of patient.
#INFERENCE:-
•Physician’s mistake as the case is incurable and medicine selection is not proper
•Potency is too high
•Vital reaction is impossible, as vital force is weak.
# STEPS TO BE TAKEN:-
•Antidote the remedy immediately
•If not it will lead to death.
#LESSON TO LEARN:-
•Case is incurable and doubtful
•Do not use higher potency
•Never repeat dose frequently
•Start treatment with very low potency
•Do not give deep acting antipsoric remedy
(2)FIFTH OBSERVATION:-
(Palliation)
“Amelioration comes first and aggravation comes afterwards.”
#DISCUSSION:-
•Remedy has acted superficially and had palliated the condition.
#EXAMPLE:-
•A person is suffering from headache, after prescribing medicine , patient feels ameliorated but after few days patient complains of severe headache ,so the complains gets aggravated after amelioration.
•In incurable diseases physician has to prescribed palliative remedy to give short term relief to patient as cure is impossible.
INFERENCE:-
•Remedy has an error,
-Either the remedy just palliate the condition, as it covers most of symptoms but did not cover the whole case.(constitution of patient is not covered)
-Either the patient is an incurable one, and the remedy was some what suitable.
#STEPS TO BE TAKEN:-
•Retake the case in detail, bad more similar medicine should be prescribed.
-In incurable case , palliate condition .
(3)SIXTH OBSERVATION:-
(Obstruction or maintaining cause)
“Too short relief of symptoms”
#DISCUSSION:-
•In this case , initially the patient reports that he been doing well and improving, but after a long gap he way complain “I have been running down”.
•There may be some obstacles to cure.
•Patient may have done something to interrupt the action of the remedy. Eg. Drinking, smoking, fumes of ammonia ,or some food which act as maintaining cause for patient.
# EXAMPLE:-
•If a person is suffering from insomnia, after administration of remedy , patient will feel relief but after sometime when patient has taken strong coffee (which is an obstacle to cure) he will complain that “I have been running down”.
#STEPS TO BE TAKEN:-
•Find out the cause of obstacles and remove it
•In acute case:- medicine repeated with intervals .,in this prognosis may be good
•In chronic case:- pathologically advanced one or structural changes have taken place in the patient.
(4)SEVENTH OBSERVATION:-
(Lack of vital organ)
“A full time amelioration of symptoms yet no special relief to the patient”
#DISCUSSION:-
• Patient does not improve above a stage due to lack of vital organ.
•The remedy act favorably , patient is not cure and will never be cure, patient is palliated in this instance.
# EXAMPLE:-
•If a person have only one kidney ,and has any disease than after administration of remedy patient will feel ameliorated but upto certain limit.
•Patient is incurable and hence only palliation can be done ,not cure.
#STEPS TO BE TAKEN:-
•Palliate the condition.
#LESSON TO LEARN:-
•In some latent condition ,cure is not possible and palliation is suitable.
(5)EIGHT , OBSERVATION:-
(Idiosyncratic ,oversensitive patient) aphorism 116,117.
“Some patients prove every remedy they get”.
#DISCUSSIONS:-
•Idio-one’s own , syn- along with, crasy – constitution.
•Hysterical , oversensitive , idiosyncratic patient.
•They prove every symptoms of remedy ,great prover when higher potency of medicine is prescribed.
•According to J.H Allen idiosyncratic individual is not healthy , according to him psora and tubercular miasms are responsible for this peculiar corporeal constitution.
•According to H.A Robert “idiosyncratic are good prover for which they are idiosyncratic”.
#EXAMPLE:-
•If a person is idiosyncratic and after administration of remedy for asthma ,he starts to prove every symptoms of that Medicine ,and homeopathic aggravation of medicine occurs so patient condition will become severe.
•In this condition after individualization of patient ,very low potency of similar remedy should be prescribed.
#INFERENCE:-
•They are incurable .
Idiosyncrasy are of two types:-
1. Inherent
2 .Acquired.
✓According to Dr Kent :-
1.Acute idiosyncrasy (acute miasm)
2.Chronic idiosyncrasy (chronic miasm)
•They are not capable of rising above from this stage .
#LESSON TO LEARN:-
•If a person is found to be idiosyncratic to one substance, the same substance in high potency can be used to cure idiosyncrasy.
•They are useful for drug proving
•30 -200 potency should be prescribed in acute case after individualization.
(6)TENTH OBSERVATION:-
(Medicinal aggravation)
“New symptoms appearing after the remedy”.
#DISCUSSION:-
Medicinal aggravation occurs , patient starts to have symptoms of medicine given in Materia Medica.
#EXAMPLE:-
•A patient is suffering from rheumatoid arthritis and after administration of non- similar remedy , patient complains of headache and other symptoms due to medicinal aggravation, in this condition patients suffers from mixed symptoms of disease as well as medicine.
•In this condition physician has to retake case properly and should prescribed most similar remedy ,after the symptoms of medicine passes off.
#INFERENCE:-
•The prescription is not right.
•Physician’s mistake in making prescription.
#STEPS TO BE TAKEN:-
•If the symptoms are not of serious nature, wait till the new symptoms pass off,
Then select another most similar remedy after taking proper detail case.
•If the symptoms are serious and life threatening , immediately antidote the medicine.
Another most similar medicine is to be selected after fresh case taking.
# LESSON TO LEARN:-
•The first prescription has to be made carefully based on the entire totality of symptoms.
(7)TWELFTH OBSERVATION:-
(Against hering’s law of cure, suppression)
Aphorism 153
“Symptoms take wrong direction”
#EXAMPLE:-
If medicine is prescribed for a rheumatism of knee ,it produces instant relief to joint but at the cost of distress to internal organs like heart and spine etc.
In such condition it indicates the transfer of symptoms from periphery to center.
Hence cure does not takes place , instead suppression occurs.
#INFERENCE:-
•Medicine given is wrong.
•Prognosis is bad.
#STEPS TO BE TAKEN:-
•Antidote immediately ,otherwise structural changes would takes place at the new site.
#LESSON TO LEARN:-
•Remedy must always be selected based on characteristic symptoms
•Always consider patient as whole .
•Cure should always takes place according to hering’s law of cure.
