CASE RECEIVING AS PER MIND METHOD
The Aim of Physician : to restore sick to health and preserve his health on the basis of true healing Law of similia.
Being a Homeopathic physician
We need to observe 👁️ patients expression, gestures , behaviour,physical looks and listen 👂 his way of talking, his tone and way of speaking.
3 STEPS
+ Observation 👁️
+ Listening 👂
+ Analysis and prescription and f/u management.
OBSERVATION:
{ If possible arrange CCTV/Audio/video recording during case receiving}
Patient ka chalne firne , clinic me enter karne, reception se ya dusre patients ke baat cheet karne,uthne baithne ,first consultation me doctor se baat karne ,uske kapde pahnne ke dhang se aur dusre behaviour sabhi kuch observe karte rahna hai aur jaisa woh behave kar raha hai waisa hi likhna hai.
+ Bolne ke andaz (tone, style, speed)
+ facial expressions
– muskurate huye baat karna ,
– hashte huye baat karna,
– baat karte rone lagna .
– ankho me pani bhara hai lekin girne na dena
– ankhein band karke baat karna
– baat karne ke waqt uske face par udaasi hona
– face ghabraya hua dikhna .
– doctor se nazrein churan ,ya nazre na Milana,
– doctor ke sawal ka jawab na dena ya apne baju wale ko dena .
– jawab sirf sir hila kar haa ya naa me dena
(answering nodes by : puls)
– jawab na dekar woh clinic me charo taraf dekh raha hai
(Looking in all directions : calc c ,kali br puls,tarent)
– koi use dekhe to woh bardast nahi kar pata
(Looked cannot bear to be : ant crud,ars,cham)
– apni baat bahut zyda badha chada kar expression karke batata hai
(Mind Gesture make: extravagant: bell,dulc,stram,verat,canth)
+ hands , finger or foot movement during talking (Gesture )
– dono haath band lena
– hath jod kar baat karna
– baar baar gale ki batan kholna band karna
– baar baar apne face ko clean karna
– baat karte karte baal ko zhtka de kar side karta hai
(Gesture make her hair , stroke, desire to : choc)
– sabka dhiyan rakhta hai ke uski bimari kisi aur ko na ho jaye
(Gesture makes Cautious: piper ment)
Etc
Yeh apko Mind Gesture Makes Involuntary Motions Is chapter me mil jayega.
+ changes in behaviour since he sick
– home (family members)
– job (Boss, colleague )
– business (employee)
Patient jab kuch bol raha hai to uske baat karne ka kya andaz hai uska tone kaise hai , kuch galat bol Raha hai , kuch zhut bol raha hai , kuch chupa Raha hai
Patient aapse apni problem ke baare me baat karte karte jane anjane me alag alag Gesture karta hai
Note:
Jo bhi hum dekhte hai woh aadha sach hota hai , lekin jab hum dekhte huye use sunte hai to pura sach hota hai.
Listening 👂
Jab bhi hum patient ki batien sun rahe hai us waqt kya kare ?
– kuch sochna nahi hai bus dhiyan se sunna hai
( agar aapke khud ke man me kuch Rubric ya remedy picture chal raha hai to aap uski baaton par dhiyan nahi de paaoge)
– Phale se koi remedy ki picture ya rubric nahi banana hai bus jo bhi patient bol Raha hai , Unprejudiced hokar sunte rahna hai.
Patient ne
– kya bola ,
– kaise bola ,
– kyu bola aur
– kab bola
See the version below:
Version 1
Pt :doctor saheb aur kitne din lagenge tumhe mujhe theek karne me. (Woh hashte huye bola)
– kyu ke kafi din se dawa le raha hu ,aur kitne din lagenge
– mai apni takleef ki wajah ze ab enjoy nahi kar pa raha aur dusre log enjoy kar rahe hai.
Version2
Pt : mujhe dar hai ke meri takleef badhti chali jayegi
{ patient ghabrate huye bola }
Version 3
Pt : bahut hua doctor 3 mahine me theek hoga tumne bola abhi tak aram nahi hua 3 mahine se chup chaap dawa kha raha hu.
(Bahut zyda gusse se bola)
Version 4
Pt : mujhe lagta hai mere problem ka koi solution nahi
(Udaas hokar bola)
Dr : kyu ?
Pt :mai hamesha apna khayal rakhne ki koshish karta hu fir bhi bimar pad jata hu.pata nahi mere saath kya hote rahta hai,
Pt :mere pass dawa lene ke ilawah koi dusra option nahi hai.
Version 5
Pt : Mujhe nahi lagta ke mai theek hounga
(ekdum bindas ho kar bola)
Dr : kyu ?
Pt : maine bahut si dawa istemal kiya lekin mujhe koi aram nai mila to kyu mujhe fir se dawa lena chahiye.
Dr : fir aap dawa lene kyu aaye ho?
Pt : Ab mere bus ki baat nahi aur takleef mai nahi zhel sakta
Rubric explanation based on tone of patient
How he says ?
Patient ka dialogue kis tone/manner/Gesture hai uske base par Rubrics lena hai
Patient ke bolne ke waqt uska tone,uska bolne ka andaz ,bolte waqt uske action aur expression par dhiyan dena hai.
3 tarah ke tone clinical practice me milte hai.
1: FINE TONE
Gentle man talk
mild pleasent (sunne me accha lagegaa)
Style : respected
patient aapse respect ke saath aram se problem bata raha hoga.aise logo ki baat sun kar accha mehsoos hota hai.
Example
– frivolous : laparvahi wale andaz me
– reverence : ijjat /respect dete huye
– laughing : hashte huye
– smiling: muskurate huye
– cheerful :kush mijaz
– affectionate : pyar bhare andaz me
– timidity : sharmate huye
+ Reverence those around him
+ Mildness
+ Recognise the reality and accepted
+ Timidity
+ Laughing speaking when smiling
Example 1
Doctor saheb aapne bahut samay laga diya please jaldi aram kar do.
+ Praying
+ Delusion help calling for
Rx
Platina
Example 2
Pt : Sir aisa koi dawa nahi hai jo bimari ko jad se theek kar de
(Agar woh fine tone me bolega)
+ Light desire for
(Light: janna :-yaha Patient janna chata hai)
2 :LOW TONE
bahut low tone me baat karega,kam baat karega ,aur uske baat karne ke andaz se chid hoga.
esp in peadiatric case
Shrieking, crying 😭
*Example*
– abrupt: achanak bol padna
– shrieking : cheekhne wala andaz
– mood repulsive : khrab mood
– quarrelling : jhgada karne wale andaz
– sadness: udaasi ke saath baat karna .
– irritable : chidh kar baat karna .
– lamenting : dukh se rona seena peetna .
– moaning : aahe bhar kar rona
– crying : rona
3 HEAVY TONE :
If tone rough, unpleasant, demanding.
zor se chilla kar baat karna ,jis awaz ko sunkar accha nahi lagta
Example:
+ Impolite : bina respect se baat karna.
+ Rudeness : badtameezi se baat karna
+ Wildness: jungli andaz me
+ Anger : gusse se
+ Rage :gusse se
+ Threatening: dhamki bhare andaz me baat karna
+ Violent : maar peet karne pa utar aana
+ Brutality : beraham
+ Abusive : gaali dekar baat karna
Version 1:
Pt : mujh se yeh sala dard bardast nahi hota?*
(gusse aur nafrat ke saath zor se bolega )
+Anger pain about
+ Rage pain from
+ Abusing pain during
Rx Cham,Ars
Pt : saali yeh khansi ki takleef jaati hi nahi hai , iski wajah se kahi jaane me sharm aane lagi hai
(Patient zor se chidkar bola)
+ Irritability pain during
+ Embrassment ailment from
Example
Pt : dr mujhe Jaldi theek karo bahut latka liya aapne
( zor se dhamki wale andaz me baat)
+ Shrieking aid for
+ Delirium crying for help
Rx
Stramonium
(Usually follow up me aisa version milega)
Example 2
Dr, koi aisi dawa nahi hai, jo is ko jad se khatam kar de
(Agar woh gusse, rude , heavy tone me bolega)
+ Kill desire for
Note:
Is baat par khass dhiyan dena hai jis baat par patient apni bimari koi baat zor dekar baar baar bole.
Pt : Doctor saheb maine bahut saare doctor ko dikhaya,test karaya .
Dr : Fir ?
Pt : Yeh theek nahi ho raha hai,theek hoga ya nahi hoga
+ Doubtful recovery about
Note :
Yaad rahe aapne agar patient ki takleef acche se sun li to adha aise hi theek hogaya.
Hamesha usse cross questions karna hai jo woh kah raha hai woh kyu kah raha hai .
Example
Pt :mai angrezi dawa nahi leta
Dr : kyu???
Pt : alag alag version ho skata hai
– mujhe angrezi dawa par bahrosa nahi
– mere khandan me sab Homeopathy hi lete hai
– angrezi dawa lene se mujhe takleef ho jati hai is dar se
– angerzi dawa se side effects ho jata hai
– angrezi dawa se kidney kharab ho jati hai aisa suna hai
Yaha usne ek baat boli to uska kyu janne ke baad hum asal Rubric tak pahuch payenge
*Patient ko samjhna*
Patient ne jo bhi bataya ya dikhaya usko waise hi bina kuch add ya deduct kiye Rubric me convert karna hai.
After listening from the patient the next part is
Agar hum partial case lenge to partial similimum milega
Agar hum complete case lenge to complete similimum milega
1)Interpretation
2)Selection of right rubric
3)Remedy selection
4)Potential selection
Continue……
Kuch aur important baat!
1) hamesha case history patient ke mother tongue me likhna hai. ( as per my opinion patient ke consent usko Audio ya video record karlo lekin keep confidential).
Patient ke version par direct rubric mat banao , case complete likhne ke baad uske problem ko PPP me categorised karke fir rubric me convert karna hai.
Uske problem ko
1,2 ,3 is order me likhna hai , jo follow up me ab kitna better lag raha hai yeh compare karne ke liye pooch sakte hai .
2) hamare correct selected medicine ke first dose milne ke baad patient ko kuch na kuch mental level par relieve milna chahiye.
Jaise pahle uska kaam karne ka man nahi kar raha tha ab karne laga .
Pahle kamzori lag rahi thi ap energy lag rahi hai
Pahle neind kam thi ab acchi ho gayi hai
Pahle bhook kam lag rahi thi ab acchi lagne lagi hai.
+ ander se ek accha hone ki feeling aa rahi hai
+ bimari ke baad tabiyat jo girti ja rahi thi ab upar aarahi hai.
Ab yeh mental level par Relief ek ghante ho ya ek din aap ki remedy confirm ho gayi..
2. Patient physical level par bhi accha feel kar sakta hai ek baar mental level par accha mehsoos hone laga.
Yeh 3 din, 5 din, 7din ya 9 din tak improvement dikhta rahega
Aur uske baad recovery phase (curative action) chalu hoga means expulsion of toxin body se hone lagega jo body ke natural outlets se bahar ayega
e.g. cold, loose motions, fever, vomiting, leucorrhoea or his anger may aggravate.
Zaruri nahi har case me expulsion hi ho. .
Bhut baar patient recover ho jata hai placebo se .
Pahle jab aisa kuch hota tha to hum usko dusri Bimari samjh kar dusri medicine dekar suppress kar dete the.
Lekin humein is expulsion ko band nahi karna hai kyunki yeh toxin khatam hone ke baad apne aap hi band ho jayega .
Patient ke expulsion ki severity, quantity and duration pahle se har baar Kam hoti Jayegi aur patient placebo se theek hota jayega.
3.agar 100% symptoms wapas aagaye to fir humein potency change karni hogi.
– start with 30c
– if need go back to 6c
Ref : Dr ML Sehgal: if medicine 3X is dissolved in water, it gives better results
Ref : Dr Hahnemann (Theory of chronic disease Part 1 /FN127)
Start with 30 c then go down to 24, 18, 12, 6 i.e. *descending potency*.
References:
– Rediscovery of Homeopathy – Dr. M.L. Sehgal
– Practical Verified Understanding of the Mind Method in Homeopathy – Dr. Parsuram Rajbanshi & Dr. Dharmayug Kumar
