Hahnemannian case management

based on Luc De Scheppers Achieving and maintaining the similimum

Interactive PowerPoint Presentation

Just click the situation your patient presents!

START

Marc Van Wijk - 2006

ABOUT

Administration of remedy
Isolated physical improvement without general relief nor increase in well-being or in M/E outlook Immediate improvement on all planes but of short duration followed by long similar agg

Immediate improvement on all planes

No reaction on any plane

Initial improvement on all planes, then return of unaltered sx

Long-term improvement (weeks-months) then sudden similar agg

Quick, short agg. Followed by improvement and increase of strength

Sx following Herings Set of Observations

Long lasting agg. with eventual but slow progress to improvement

New Sx appear

Prolonged similar agg followed by slow continues decline Case management

Similar agg after every dose, no matter which potency

Stop program

Immediate improvement on all planes

Stop taking medicine

Case management

No reaction on any plane

Increase potency

All possibilities after administration of remedy

Case management

No reaction

Still no reaction

Obstructions to the cure

Psychological block

New acute event

Hyposensitive patient

Miasmatic block
Case management

Wrong remedy?

Obstructions to the cure

Lifestyle Diet Bad habits that cancel the remedy How was remedy taken?

Case management

New acute event

Acute intercurrent

All possibilities after administration of remedy

Case management

Miasmatic block

Nosode

Striking response

Brings forth a clearly indicated remedy

Continue nosode while patient is improving

If no response after 3 weeks, give previous remedy if still indicated

Case management

Psychological block
A remedy can cure a kid, not educate it Attitude; denial of ones own behavior Patient isnt introspective, honest Not willing to change ...

Case management

Hyposensitive patient

Adjust potency/dose
Case management

Initial improvement on all planes, then return of unaltered symptoms

Potency not strong enough

Judge intensity and timing of returning Sx

Lifestyle ?

Miasmatic block

Severe pathology

Case management

Potency not strong enough

Increase potency and/or Increase frequency and/or Increase succussions

Case management

Severe pathology

Internal damage/pathology so severe that cure is impossible

Work from C6 up to LM
Case management

Lifestyle
Perserving harmful lifestyle Did the patient take allopatic drugs or other healing modalities? When the body is beginning to cure, using the positive support of the homeopathic remedy, it needs time to adjust to the renewed sense of wellness! Dont let the patients abuse their bodys again!

Case management

Intensity and timing of returning Sx

Patient calls after initial improvement Problems in work or relationship are tugging the progress Returning Sx more severe? Incurable case?

Case management

Quick, short agg. followed by improvement and increase of strength

Selected potency and/or dose were a little too high Adjust by: decreasing number of succussions decrease amount of given remedy decrease frequency of dose increase amount of water used to dilute remedy increase volume of remedy solution bottle
Case management

Long lasting agg. with eventual but slow progress to improvement

Potency too high

Extensive pathology

Unrecognised one-sided disease

Case management

 Potency and/or dose too high Hypersensitive patient Adjust by: decreasing number of succussions decrease amount of given remedy decrease frequency of dose increase amount of water used to dilute remedy increase volume of remedy solution bottle

Case management

Extensive pathology
Borderline of incurability? Present extensive pathology already known? If not, refer for further tests Always use very low potencies:
Start with 6C Adjust dose/potency/succussions After 6C, ascend to 12C, to 18C, to 24C, to 30C; from then, switch to LM
Case management

Unrecognized one-sided disease

Advanced pathology becomes active layer Use von Boenninghausen! Dont use deep-working, miasmatically chosen remedies!

Case management

Prolonged similar agg followed by slow continues decline

Unrecognized hypersensitive patient

Case management

Incurable case

Unrecognized hypersensitive patient

Potency and/or dose far too high Cancel remedy with camphor or corresponding antidote; if it was the similimum, give same remedy in lower potency by 5th edition method. Start again with much lower potency/dose Olfaction can be used (6C) or microsolution.
Case management

Incurable case
VF has no strength left to react Advanced and terminal pathology? Only palliation is possible:
Acute zig-zag prescribing with 5th edition method Use von Boenninghausen By preference, use vegetable remedies

Case management

Similar agg after every dose, no matter which potency

Hypersensitive patient
Case management

Hysterical patient

Hysterical patients
A case of unmet emotional needs? Need of attention? Ask other family members. Fixed delusions? Give placebo until similimum is indicated or until real emotional picture shows

Case management

Isolated physical improvement without general relief nor increase in well-being orin M/E outlook

Distant simile and/or Suppressed symptom

Lifestyle and related treatments

Miasmatic block

Extensive pathology

Case management

Distant simile and/or suppressed symptom

Similimum not found Possibly the external manifestation of disease has been suppressed Acted as placebo? Retake the case

Case management

Immediate improvement on all planes but of short duration followed by long similar agg

Distant simile

Miasmatic block

Cancellation of remedy

Limit of curability

Deferred similar agg

Case management

 It is possible the patient cancels the remedy : keeps on doing sport while being treated for sport injury takes antidoting food or drinks during treatment

Case management

Rarely, some remedies have a deferred aggravation Dont change your prescription too hastily!

Case management

Long-term improvement (weeks-months) then sudden similar agg No more repetition of the remedy!
VF needs no further stimulus of remedy Repeating would create a remedy disease!

Case management

Sx following Herings Set of observations

Healing takes place: from within out from more important organs to lesser important from above to below in reverse order of appearance (reversible, presenting and suppressed sx) Make a timeline during anamnesis! Duration of old, recurring sx depends on nature of disease, VF, potency, nature of remedy.

Case management

New symptoms appear

Wrong prescription

Natural healing symptoms

Case management

 Are they accessory sx? You might have a simile Sx are not old, forgotten; the patient never had them before:
STOP and retake the case

Case management

Natural healing symptoms

Rashes Joint pains A cold Discharges Returning signs of life

No new prescription needed! Go on judiciously

Case management

 Remedy is right Potency and/or remedy dose a little too high Adjust by: decreasing number of succussions decrease amount of given remedy decrease frequency of dose increase amount of water used to dilute remedy increase volume of remedy solution bottle

Case management

Since about 20 years, Ive been studying homeopathy. Step by step, reading all those inspiring books, homeopathy became clear to me; however, some aspects of it, did not Until I read the most wonderful books of Luc De Schepper: Hahnemann revisited and Achieving and maintaining the similimum. All of a sudden, the hidden aspects showed themselfs to me! Dr Luc seems to have the marvellous capacity to translate the texts of Hahnemann into clear, pure, understandable language Especially his strategic case management resulted in more succesful homeopathic prescribing; indeed, the second prescription is often the most difficult one. It is for this reason I made this interactive powerpoint show. In a few mouse-clicks, you will be able to find out how to act, using your patients information, during his second visit. The more succesful our prescribing becomes, the more motivated we as homeopaths become. And this is in the interest of our patients, as well as in the interest of homeopathy itself. Using homeopathy in a correct way, resulting in succesful prescribing is in fact a tribute to Samuel Hahnemann; its the proof that his Similia Similibus Curentur is still living!
Marc Van Wijk Belgium 2006 vanwijkm@skynet.be

Case management

 Possibly, your remedy choice is wrong, so you have to retake the case.

However, dont take this decision too hastily ! This mistake is made too often !

Case management