Case Study, Processing And Repertorisation

Author: Prof. (Dr.) Goutam Das _{M. D. (Homoeopathy)}

[Abstract: This article deals with the understanding of the concept of Case Study and its Processing, on the light of the teaching of our Organon of Medicine & Homoeopathic Philosophy that, the Case study, synthesis, analysis, evaluation of symptoms, repertorisation, prescription, the mathematical calculation with the values of Materia Medica and Organon of Medicine; the Science and Art of Homoeopathy in the selection of the remedy and follow-up of the case are also expressed in this article.]

Keywords: Case study-synthesis-analysis-evaluation of symptoms-repertorisation-prescription-materia medica- Organon of Medicine- Homoeopathic Philosophy-remedy selection-science & art of homoeopathy.

Abbreviation: < = aggravation; > = amelioration; Sac. Lac. = sugar of milk.

Introduction:

During case study, case processing is done under following headings:

Synthesis of the case: Synthesis is the collection of symptoms in new form.

Analysis of the case: Analysis is the comparison between two or more objects; here we compare & differentiate the symptoms of the patients from the symptoms of the disease.

Evaluation of the symptoms in the case: Evaluation is the special technique for gradation of symptoms, according to their values.

CASE-1:

A woman, aged 40 years has been suffering from following complaints:

• She has been suffering from bloody per vaginal white discharges, since her childhood.
• She is unable to travels by bus, it causes vomiting.
• She almost lost her sexual desire.
• She does not like company of her husband.
• She feels better by first motion.
• Feels worse while uncovering her body.

Synthesis of the case:

Presenting Complaints:

• She has been suffering from bloody leucorrhoea, since her childhood.
• She is unable to travels by bus, it causes vomiting.

Past History:

• Bloody leucorrhoea, since her childhood.

Generalities:

• Cannot travels by bus, it causes vomiting.
• Modalities:
• Feels better by first motion.
• Feels worse while uncovering her body.
• Mental:
• Does not like company of her husband.
• Almost lost her sexual desire.

Analysis of the case:

Anomalies:

1. Has been suffering from bloody leucorrhoea, since her childhood.
2. Cannot travels by bus, it causes vomiting.
3. > By 1^ST motion.
4. < By uncovering body.
5. Does not like company of her husband.
6. Almost lost sexual desire.

History of bloody leucorrhoea is the main anomalies in this case. Hence, our selected medicine should have an important symptom of bad effects of persistent leucorrhoea.   

Evaluation of the symptoms in the case:

Evaluation is the special technique for gradation of symptoms, according to their values. By DR. J.T. KENT’S methods of evaluation this case evaluated under following heading:

Mental General Symptoms:

• Dose not like company of her husband.
• Loss of sexual desire.

Physical General Symptoms:

• Intolerance: to travels by bus, causes vomiting.
• > By 1^st motion.
• < By uncovering body.
• Has been suffering from bloody leucorrhoea, since childhood.

Common Symptoms:

• No marked symptoms.

Rubrics hunting (Kent’s Repertory):

SL. NO.	SYMPTOMS	RUBRIC	CHAPTER	HEADING	PAGE
1.	Dose not like company of her husband.	Coition, aversion to	Genitalia, female	Coition	715
2.	Loss of sexual desire.	Sexual, desire diminished	Genitalia, female	Sexual	716
3.	Intolerance: to travels by bus, causes vomiting.	Riding in car <	Generalities	Riding	1397
4.	> By 1st motion.	Motion >	Generalities	Motion	1374
5.	< By uncovering body.	Uncovering <	Generalities	Uncovering	1410
6.	Bloody leucorrhoea.	Leucorrhoea, bloody	Genitalia, female	Leucorrhoea	721

Continues Eliminating Process of Repertorisation (Subtraction with Deduction Process):

1.	Arg.n.2, Caust.2 , Graph.2, Kali.bi.2, Med.2, Nat.m.3, Lach.2, Lyc.2, Petro.2, Phos.2, Psor2, Sep.3
2.	Caust.3, Graph.2, Lyc.2, Nat.m.2, Phos.1, Sep.2
3.	Arg.n.2, , Lach.2, Lyc.1, Nat.m.1, Petro.3, Phos.1, Psor.2, Sep.3
4.	Caust.2, Lyc.3, Sep.2
5.	Arg.n.2 , Graph.2 , Kali.bi.2 , Lach.2, Lyco.3 , Nat.m.2, Phos.2
6.	Arg.n.2, Lyc.2, Phos.2, Sep.3

Calculation:

1.	Lyco.12	2+2+1+3+2+2=12	612
2.	Phos.8	2+1+1+2+2=8	58
3.	Sep.13	3+2+3+2+3=13	513

Prescriable Totality: Dose not like company of her husband.  Loss of sexual desire.  Intolerance: to travels by bus, causes vomiting. > By 1^st motion.  < By uncovering body.  Bloody leucorrhoea.

Prescription:

R_X. Sepia 200/two doses with Sac. Lac.to be taken twice morning, in empty stomach.

Follow-up: 15 days after (As per the rules of our “Second Prescription”, Repetition of the First Prescription and Change in the Second Prescription or Placebo is the best). 

CASE-2:

A boy, aged 6 months has been suffering from high fever with following complaints:

• High fever, since vaccination.
• Catches cold easily.
• He cannot tolerate milk.
• Profuse perspiration.
• Staring from slightest noise.
• Abdomen enlarges.

Synthesis of the case:

Presenting Complaints:

• High fever, since vaccination.
• Catches cold easily.

Past History:

• Bad effects of vaccination.

Generalities:

• Intolerance: milk.
• Sweat: profuse.
• Heat-cold relation: chilly.
• Mental:  Staring from slightest noise.

Particulars:

• Abdomen enlarges.

Analysis of the case:

Anomalies:

1. High fever, since vaccination.
2. Catch cold easily.
3. Bad effects of vaccination.
4. Intolerance: milk.
5. Sweat: profuse.
6. Heat-cold relation: chilly.
7. Staring from slightest noise.
8. Abdomen enlarges.

History of bad effects of vaccination is the main anomalies in this case. Hence, our selected medicine should have an important symptom of bad effects of vaccination.   

Evaluation of the symptoms in the case:

Evaluation is the special technique for gradation of symptoms, according to their values. By DR. J.T. KENT’S methods this case evaluated under following heading:

Mental General Symptoms:

• Staring from slightest noise.

Physical General Symptoms:

• Intolerance: milk.
• Sweat: profuse.
• Heat-cold relation: Very chilly.

Particulars Symptoms:

• High fever, since vaccination.
• Abdomen enlarges.

Rubrics hunting (Kent’s Repertory):

SL. NO.	SYMPTOMS	RUBRIC	CHAPTER	HEADING	PAGE
1.	Staring from slightest noise.	Staring, noise, from	Mind	Staring	83
2.	Intolerance: milk.	Food, milk, agg.	Generalities	Food	1363
3.	Sweat: profuse.	Perspiration, profuse	Perspiration	Perspiration
4.	Heat-cold relation: Very chilly.	Cold, agg.	Generalities	Cold
5.	High fever, since vaccination.	Vaccination, after	Generalities	Vaccination	1410
6.	Abdomen enlarges.	Abdomen enlarge, children	Abdomen	Enlarged	546

Continues Eliminating Process of Repertorisation (Subtraction with Deduction Process):

1.	Aloe.3, Bar.c.2, Bor.3, Cal.2, Caust.2, Cic.2, Cocc.2, Con.2, Kali.c.3, Kali.i.2, Kali.p.2, Lach.2, Lyc.2, Merc.2, Medo.2, Nat.a.2, Nat.c.3, Nat.m.3, Nat.p.2, Nat.s.3, N.V.3, Op.2, Sil.3
2.	Cal.3, Cic.2, Con.3, Kali.c.2, Kali.i.2, Lyc.2, Nat.a.2, Nat.m.2, Nat.p.2, Nat.s.2, Sil.1
3.	Cal.3, Caust.2, Kali.c.3, Kali.p.3, Lach.2, Lyc.3, Merc.3, Nit.a.2, Nat.m.3, Nat.p.2, Sil.3
4.	Cal.3 , Caust.3,  Kali.c.3, Kali.p.3 , Lach.1, Lyc.3, Merc.2, Nat.a.3, Nat.c.1, Nat,m,2, N.V.3, Sil.3
5.	Sil.3
6.	Cal.3, Sil.3

Calculation:

1.	Calc.	2+3+3+3+3=14	514
2.	Sil.	3+1+3+3+3+3=16	616

Prescriable Totality: Staring from slightest noise. Intolerance: milk. Sweat: profuse. Heat-cold relation: Very chilly. High fever, since vaccination. Abdomen enlarges.

Prescription:

R_X. Silicea 200/two doses with Sac. Lac.to be taken twice morning, in empty stomach.

Follow-up: 15 days after (As per the rules of our “Second Prescription”, Repetition of the First Prescription and Change in the Second Prescription or Placebo is the best). 

Case-1: Repertorisation; ‘Zomeo Academic’ software image.

Case-2: Repertorisation; ‘Zomeo Academic’ software image.

Remarks:

After case study, case processing, repertorisation, we should consult with Materia Medica and Organon of Medicine with Homoeopathic Philosophy and as per our interpretation of the case and we will select the remedy and follow-up our case, according to our Applied Science and Art of Homoeopathy, with Individual Constitutional Homoeopathic method of treatment.

• In Case No.: 1, software and manual repertorisation both leads Sepia₅¹²or Sepia ₅¹³.
• In Case No.:2, software repertorisation show Sulphur₆¹⁴, Calc.carb.₅¹⁴, Silicea₅¹³ and manually Silicea₆¹⁶. As history of the bad effects of vaccination is the main anomaly in this case. Hence, our selected medicine should have an important symptom of bad effects of vaccination, which lead to Silicea.   

Bibliography:

1) Boericke W, Organon of Medicine; S. Hahnemann, translated by R. E. Dudgeon; Indian edition, Calcutta, Roy Publishing House, 1961

2) KENT J.T., THE REPTORY OF HOMOEOPATHIC MATERIA MEDICA; B. Jain Publishers Pvt. Ltd., New Delhi; LOWPRICE EDITION: 2002, 14^TH IMPRESSION 2019; ENRICH INDIAN EDITION, REPRINT FROM SIXTH AMERICAN EDITION; ISBN: 978-81-319-0123-6

About Author:

Prof. (Dr.) Goutam Das _{M.D, (Homoeopathy)}

Dept. of Organon of Medicine, AJSHMC&RI, Mehsana, Govt. of Gujarat – G.I.A Institution 

Faculty & Examiner, H.N.G. University, Patan, (Gujarat)

Ex. Academic Director & Principal In-Charge, NHMCH&RC, Agra (U.P.)

Ex. Examiner, Homoeopathy University, Jaipur, (Rajasthan)

Ex. Faculty & Examiner (U.G. & P.G.) Dr.B.R.A.Uneversity, Agra, (U.P.)

Ex. Faculty & Examiner JRN RVHMC, Deemed to be University, Udaipur, (Rajasthan)

Ex. Senior House Physician, PCHC&H, Kolkata (W.B.)