ROH : Rev. Lecture 4

Q : Revolutionized Homeopathy ke Mutabik Prescription Kaise Karein

Last Lecture me mera zor is baat par tha ki agar koi medicine sach mein Similar hai to usko cure ko Hering’s Law ke mutabik direction deni chahiye. Lekin is naye edition mein, jaisa ki hum pichhle lectures mein samajh chuke hain, ab emphasis Hering’s Law se hat kar body ke Natural Law par aa gaya hai.

Ab hamari expectation yeh hai ki jo medicine asal Similar ho, woh body mein Natural Order ko restore kare aur body ko apne aap Natural Cure ki taraf le jaye.

Last lecture mein humne yeh bhi kaha tha ki kyunki hamara maqsad disease ko centre se periphery ki taraf le jana hai aur mind body ka centre hai, isliye prescription centre yani mind ke symptoms par ki jani chahiye. Taaki medicine centre ko capture kar sake aur disease ko desired direction mein le ja sake.Ab ek nayi discovery ne Centre wali theory ki jagah le li hai.

Yeh nayi discovery yeh hai ki mental symptoms ki madad se select ki gayi medicine body mein Natural Order ko restore karti hai.Aur phir yahi Natural Order body mein Natural Healing ka process shuru karta hai.Yeh Natural Healing ek strict discipline follow karti hai aur poore human organism ko uski best possible condition tak pahunchati hai.

Lekin yahan ek bahut important baat yaad rakhni hai.Natural Healing ko initiate karne ki yeh khasiyat sirf un Mental Symptoms ke group mein pai gayi hai jo Revolutionized Technique ke mutabik select kiye gaye hon.

Mukhtasar alfaaz mein kaha jaye to Revolutionized Homeopathy ko aam taur par log sirf mental symptoms par prescription karne wala system samajhte hain. Lekin asal mein yeh ek aisi prescribing technique hai jo bilkul mukhtalif type ke results paida karti hai.Aur in results ko manage karne ka tareeqa bhi doosre methods se bilkul alag hai.Ab practical hisse ki taraf aate hain.

Last lecture mein jo kuch bhi likha gaya tha, woh aaj bhi hamare maujooda nazariye ke mutabik sahi aur useful hai.Jo log Revolutionized Homeopathy seekhna chahte hain ya reference ke liye likha hua material chahte hain unke liye woh aaj bhi faidemand hai.

Isi liye main purani baaton ko dobara repeat nahi karunga.

Main sirf kuch nayi baatein add karunga taaki subject aur zyada clear ho sake.

Ab prescribing ke asal lesson ki taraf aate hain. Sabse pehla aur sabse important kaam hai patient ke present ailment se related predominating symptoms ko jaan lena.

Patient ke expressions ko Rubrics ki language mein kaise convert karein”

par zyada tafseel se baat ki gayi thi.

Ab main pehle point ko dobara aur thode alag andaaz mein samjhana chahta hoon.Jab aap patient ko examine karne baithen to kuch der ke liye bhool jaiye ki aapke saamne ek insaan baitha hai.

Aisa samajhiye ki aapke saamne ek human form mein computer baitha hai jo lagataar data generate kar raha hai.Woh ek signalling machine hai.

Woh aapko signals bhej raha hai jo batate hain ki uske andar kis tarah ka fault maujood hai.

Case taking ke waqt aapko symptoms dhoondhne nahi hain. Aapko patient ki dispositions ya tendencies ko forcefully nikalna nahi hai.Aapko yeh pata lagane ki koshish nahi karni ki woh kis cheez ki taraf disposed hai. Balke aapko sirf us cheez ko samajhna hai jo woh khud expose kar raha hai.

Woh aapko information khud de raha hai.

Bina pooche de raha hai.

Aur aksar khud usko pata bhi nahi hota ke woh kya reveal kar raha hai.

Yeh information uske expressions ke zariye bahar aa rahi hai.

Kabhi words ke zariye aur kabhi actions ke zariye.

Kabhi subjective aur kabhi objective form mein.

Aapka kaam sirf un expressions ko dekhna, padhna aur samajhna hai.

Jo kuch bhi aapki observation mein aa raha hai usko ignore nahi karna chahiye.Har cheez important hai.Jo kuch surface par aa raha hai woh significance rakhta hai.Isi liye Revolutionized Homeopathy mein hum un symptoms ko bhi importance dete hain jo aam taur par common, ordinary aur usual samajh kar ignore kar diye jaate hain.

Asal mein yahi common aur ordinary expressions un hidden causes yani Toxins se jude hote hain jo body mein unnatural conditions paida kar rahe hote hain.

Is baat ko samjhane ke liye ek misaal lete hain.

Ek aadmi Diplopia ki wajah se Medical Test mein reject ho gaya.Usko teen mahine baad dobara test dene ka mauka mila.Ab usko darr tha ki agar uski aankhon ki problem theek na hui to ek achchi naukri ka yeh mauka hamesha ke liye haath se nikal sakta hai.

Aisi situation mein darr lagna bilkul normal baat hai.

Lekin hamare paas aise cases aaye jahan mukhtalif situations mein patients ne:

• FEAR, betrayed, of being

wala expression dikhaya.

Jab isi single rubric par medicine prescribe ki gayi aur woh symptom Present, Predominating aur Persisting tha to result expectation se kahin zyada achha nikla.

Isi tarah Navy mein Commission hasil karne wale ek candidate ke case mein bhi yahi mental state mili.Usko bhi isi rubric par medicine di gayi.

Medicine dene ke baad sabse pehle uska “Fear of being betrayed” balance hua.

Uske baad throat se phlegm discharge hua.

Aur uske saath aankhon mein relief aur recovery aani shuru ho gayi.

Ab ek aur common sentence lete hain jo doctors aksar patients se sunte hain:

Doctor sahab, bahut arsa ho gaya. Abhi tak poora relief nahi mila. Aur kitna intezar karna padega?”

Aap pooch sakte hain ki is sentence mein aakhir khas baat kya hai?

Har patient jo relief nahi pa raha ho woh aisa hi kahega.

Lekin mera jawab hoga:Nahi. Har patient aisa nahi kehta.Bahut se patients saalon tak treatment lete rehte hain bina kuch kahe.

Yeh expression sirf impatience ka natija nahi hai.Yeh patient ke mind ka ek naya aur latest signal hai. Aur yahi signal agle medicine ki taraf ishara kar sakta hai.

Sochiye aap patient ko jawab dete hain: Dekhiye, jab aap mere paas aaye the tab aapko aur bhi bahut si complaints thi jo ab khatam ho chuki hain. Aur jo problem abhi hai woh bhi pehle jaisi severe nahi hai.

Is par patient jawab deta hai: Doctor sahab, phir bhi itne lambe treatment ke baad main ab tak poori tarah theek nahi hua.

Ab is baat ko gaur se dekhiye. Yeh latest remark patient ne pehle kabhi nahi kiya tha. Chahe usko pehle kitne hi relapses kyun na hue hon. Yeh uske mind mein paida hone wali ek nayi development hai. Isliye isko sirf treatment ki lambi duration ka cumulative effect samajh kar ignore mat kijiye.Aap hairan reh jayenge jab dekhenge ki isi indication par select ki gayi medicine na sirf patient ki present sickness ko cover karti hai balki usko aapka treatment chhodne se bhi rok leti hai. Kyunki uske andar yeh feeling paida ho rahi hoti hai ki ab aapke paas treatment continue karna waqt aur paise ki barbaadi hai.

Chahe usko aapke treatment se pehle kai fayde hi kyun na mile hon.

Isliye pehla lesson yeh hai: Medicine select karte waqt kisi expression ko sirf isliye ignore mat kijiye kyunki woh bahut common lag raha hai.

Aapko un expressions par nazar rakhni hai jo:

• Present ho
• Predominating ho
• Persisting ho

Aur jo patient lagataar express kar raha ho.Words se zyada us signal ko samajhiye jo un words ke peeche maujood hai.

Doosra lesson yeh hai ki patient ko apni soch ke mutabik jawab dene par majboor mat kijiye. Usko woh bolne dijiye jo naturally uske andar se nikal raha hai. Spontaneous expressions ko bina rang diye bahar aane dijiye. Aapka kaam observe karna hai, interfere karna nahi. Jo kuch aap dekh rahe hain aur sun rahe hain wahi asli material hai. Koi bhi cheez bekaar ya be-maani nahi hai. Sirf usko sahi jagah rakhne ki zaroorat hai. Aapki kamyabi is baat par depend karegi ki aap insani behaviour ke mukhtalif shades ko kitni khubsurti se sahi Rubrics ke andar place kar sakte hain.

Teesra lesson hai:Predominating Symptoms ko pehchanna. Kuch patients bahut si baatein karte hain. Woh aapko apni purani history bhi bataenge aur apni purani soch bhi.Lekin jab aap poochte hain: Aaj aur is waqt aapko sabse zyada kya pareshan kar raha hai? To jawab kuch aur hota hai. Yahi nayi kahani jo us waqt uske mind par haavi hai, uski Present State of Mind hai. Phir aap pooch sakte hain: Kya bas yahi baat aapke mind mein sabse zyada hai ya aur bhi kuch hai jo aap mujhe batana chahte hain? Uske jo final thoughts aur conclusions hote hain woh aapko uski intelligence aur emotions mein chal rahi sabse badi disturbance tak pahunchate hain. Aur jo symptoms sirf kabhi kabhi aate hain aur phir gayab ho jaate hain woh prescription ka base nahi bante.Jo symptoms lagataar rehte hain yani Persistent hote hain, wahi prescription ki bunyaad bante hain.

Lekin yeh introductory kitab ke daayre se bahar ki baat hai.

Isi liye umeed karta hoon ki mustaqbil mein is mauzu par alag se ek mukammal kitab likhunga.

Ab hum is lecture ke doosre important topic ki taraf aate hain:

Patient ke expressions ko Homoeopathic Materia Medica ki Repertory ki language mein kaise convert kiya jaye?

Is topic par main pichhle edition ke Lecture No. 4 mein kaafi mukhtasar aur saath hi kaafi comprehensive taur par baat kar chuka hoon.

Isliye students ko mashwara diya jata hai ki us hissa ko achhi tarah padhein.

Usmein kai aise important points maujood hain jo medicine selection mein bahut madad karenge.

Misal ke taur par:

• Rubric ka asal matlab aur uska exact sense kaise samjhein?
• Cross References ki kya importance hai?
• Do milte julte rubrics ke darmiyan exact boundary line kaise draw karein?
• atient ke mukhtalif words aur phrases kab ek hi rubric ko represent karte hain?
• Aur kab unmein halki si tone, stress ya expression ka farq poori rubric ko badal deta hai?

Yeh sab baatein us discussion mein cover ki gayi hain.

Isi tarah ek aur important sawaal yeh hai:

• Mental symptoms ki poori list mein se kaun se symptoms medicine selection ke liye rakhe jaayein aur kaun se chhod diye jaayein? Yeh bhi wahan explain kiya gaya hai.

Isi maqsad ke liye ek alag kitab bhi tayyar ki ja rahi hai:

1. RE-DISCOVERY OF HOMOEOPATHY SERIES
2. Repertory of Homoeopathic Materia Medica (Mind Section) – An AcquaintanceIs

kitab mein kai important topics detail mein discuss kiye jayenge.Jaise:

• Rubrics ko kaise samjha jaye?
• Unke dictionary meanings kya hain?
• Unki grammatical position kya hai?
• Unka emotional sense kya hai?
• Unki derived essence kya hai?
• Aur unka intelligence ke saath kya relation hai?

Saath hi yeh bhi samjhaya jayega ki:

• In rubrics ko apni local language mein kaise samjhein?
• Aur practical prescribing mein kaise istemal karein?

Is kitab mein ek aur important topic hoga:

• Symptoms ki Categorization : Yani symptoms ko categories mein divide karna.

Jaise:

• Subjective Symptoms
• Objective Symptoms
• Emotional Symptoms
• Intelligence se related Symptoms
• Aur doosri categories

In categories ko aur bhi refine karne ki koshish ki jayegi.

Author ka khayal hai ki aage chal kar inko science ki language mein bhi samjhaya ja sakta hai.

Jaise:

• Electrons
• Protons
• Neutrons

Is concepts ke zariye.

Umeed hai ki yeh nayi kitab is introductory work ki kami ko poora karegi aur students ko rubrics aur prescribing ke practical istemal mein aur zyada madad degi.

Is lecture ka nateeja yeh hai ki Revolutionized Homeopathy mein prescription karte waqt doctor ko:

• Patient ke spontaneous expressions ko observe karna hai.
• Common lagne wale symptoms ko ignore nahi karna.
• Present, Predominating aur Persisting symptoms ko identify karna hai.
• Patient ke words ke peeche chhupe signal ko samajhna hai.
• Aur un expressions ko sahi rubric mein convert karna hai.

Yahi kaam medicine selection ki bunyaad banega.

Q : Ek Achhi Tarah Se Shuru Hua Case Kaise Kharab Ho Sakta Hai?

Galat indications par medicine badal dene se, potency jaldi raise kar dene se, ya phir logon ki rai ke dabav mein aakar apna clinical judgement chhod dene se ek achha chal raha case bhi kharab ho sakta hai.

Is lecture ka sabse bada message hai:”Sabr rakhiye.”

Next remedy dene ya potency badhane mein jaldi mat kijiye.

Kyunki aksar cases mein jo pehli remedy aapne 30 potency mein di hoti hai, wahi aage chal kar poore case ko cure kar deti hai.

Neeche diye gaye cases isi baat ko samjhate hain.—

Case 1 : Ileocecal Koch’s

Female – 85 Years

First Consultation : Patient ki complaints:Pet ke right side mein lagbhag 2 inch chauri ubhri hui lump.Lagataar vomiting.Pani bhi kuch seconds se zyada pet mein nahi rukta tha.Constant nausea.Iliac region mein unbearable pain jo kabhi left aur kabhi right side shift hota tha.Calves mein pain.Pair stretch karne se relief milta tha.

PPP Symptoms

Observation se yeh symptoms mile:

• 1. FEIGNING SICK (attention chahiye)Bed par koi uske paas baitha rahe yeh chahti thi.
• 2. UNCONSCIOUSNESS, interrupted by screamingKabhi bilkul normal aur phir achanak zor se karahna.
• 3. QUIET, wants repose and tranquillity
• 4. LIGHT, desire for
• 5. DELUSION, feels well alternating with feeling extremely sick
• 6. CARRIED, desires to be, fast
• 7. LOOKS now well, now sick

Prescription : Belladonna 30

Yahan remedy select karte waqt yeh nahi dekha gaya ki remedy deep acting hai ya short acting, miasmatic hai ya nahi.

Sirf PPP symptoms ke basis par prescription ki gayi.

First Follow-up : Surprising changes:Kai mahino baad pehli baar achchi neend aayi.Pain band.Vomiting band.Nausea gayab.Liquid food tolerate karna shuru. Rx Placebo Given

Second Follow up : Improvement jari rahi.new symptom:Pehle painful area mein itching hui.Kuch din baad khud theek ho gayi.Aur:Lump aadhi reh gayi.Overall improvement continue. Rx Placebo Given

Third Follow-up : Nayi complaint: Constipation.3 din se stool nahi.Rx Placebo

Fourth Follow-up: Patient aur attendants dono constipation ki wajah se pareshan.7 din baad stool hua.PrescriptionKoi interference nahi.Rx Placebo.

Important Turning Point : Isi stage par temptation thi:

• Remedy badal di jaye.
• Potency badha di jaye.
• Constipation ki alag medicine di jaye.

Lekin kuch bhi nahi kiya gaya.

Subsequent Follow-ups : Constipation dobara aati rahi.Progress:Stool 6 din baad.Phir 5 din baad.Phir 4 din baad.Phir 3 din baad.Har baar:Rx Placebo Only Aakhir bowel movement normal ho gayi.

Clinical Lesson : Is case ka sabse important point tha:

• Constipation ke baad ka follow-up.
• Agar doctor:Potency raise kar deta,Remedy change kar deta,Ya constipation ke liye alag medicine de deta,to case kharab ho sakta tha.
• Constipation ka dheere dheere khud normal hona yeh bata raha tha ki:
• Original Remedy Abhi Bhi Kaam Kar Rahi Thi.
• Poore case mein Belladonna 30 hi asli prescription rahi.
• Baaki sab follow-ups Placebo se manage hue.

Case 2 : Chronic Tonsillar Hypertrophy with Adenoids

Male Child – 3½ Years

First Consultation

Complaints:3 saal se enlarged tonsils.Adenoids.Bhook kam.Recurrent fever.Recurrent nasal blockage.Weakness aur emaciation ke attacks.-

Mental Symptoms : Bachcha poora attention chahta tha.Agar attention hata di jaye to irritate hota tha.Sab uski baat sunte rahein.Sab kuch uski marzi se ho.

Obstinate.Mana karo to gussa.Threaten karta.Kabhi maar bhi deta.

Strangers ke saamne quiet.Poore family ki company pasand.Family member door ho to miss karta.

Rubrics

• 1. TALKING, pleasure in his own.

• 2. THREATENING.

• 3. LONGING, sunshine, light and society for.

• 4. CLINGING to persons and situations.

PrescriptionStramonium 30

Parents ko pehle hi samjha diya gaya:Agar aggravation aaye to ghabrana nahi.Koi doosri medicine nahi deni.

First Follow-up : Tonsils aadhe.Fever gayab.General improvement.Mental state better.Parents bahut khush.

Rx : Placebo Given

Second Follow-up : Child inactive.Carry karne ki demand.Clingy zyada.

Rx : Placebo Given

Third Follow-up : Aggravation aur badhi.Slight fever.

Rx : Placebo Given

Fourth Follow-up : Acute aggravation:Fever 103°F.Tonsils phir bade.Breathing difficult.Parents ne panic mein phone kiya.

Rx Placebo Given repeated frequently Remedy nahi badli gayi.

Fifth Follow-up : Shaam tak:Fever 103 se 101°F Bachcha so gaya.Agli subah:Breathing better.Food aur fluids lena shuru.

Rx : Placebo Given

Sixth Follow-up : Parents ko bataya gaya: Ab pathology elimination ke through niklegi.Ho sakta hai:Phlegm nikle.Vomiting ho.Nasal discharge aaye. Shaam tak:Bahut saara phlegm vomit hua. Bachcha comfortable. Fever 100°F.

Rx : Placebo Given

Final Follow-up : Raat mein:2 baar aur vomiting.Subah:Temperature normal.Breathing normal.Tonsils improve.General health normal.Sirf halka weakness.

Rx : Placebo Given

Clinical Lesson : Yeh case sikhata hai: Agar remedy sahi select hui ho to temporary aggravation dekh kar remedy nahi badalni chahiye. Yahan:High fever tha.Tonsils badhe.Breathing difficult thi.Lekin phir bhi Stramonium nahi badla gaya.Uske baad phlegm ke elimination ke saath rapid recovery hui. Agar doctor panic karke remedy badal deta to curative process toot sakti thi.

Final Prescription : Stramonium 30—Iske baad

Case 3 : V.S.D. Syndrome

Female Child – 6 Months

First Consultation : Main complaint:Baar baar Pneumonia ke attacks.

Characteristic Mental & General Symptoms

Bimari kitni bhi severe ho, bachchi cheerful aur khush rehti thi.

Kabhi kabhi achanak dard bhari cheekh nikalti thi.

High fever ke dauran bhi restlessness nahi hoti thi.

Sirf soti thi aur uthkar fresh lagti thi.

Rubrics

• 1. UNCONSCIOUSNESS, interrupted by screaming.
• 2. LAUGHING, while speaking.
• 3. FRIVOLOUS.
• 4. QUIET, wants repose and tranquillity.

Rx : Belladonna 30

First Follow-up :

Acute aggravation:Saans bahut tez aur mushkil.Wheezing.Fever 103°F.

Bachchi stupor mein.

Rx : Placebo Given

Second Follow-up :

Definite improvement.

Rx : Placebo Given

Third Follow-up :

Acute relapse:Fever 105°F.Ghar walon aur padosiyon ne bahut pressure dala ki allopathic treatment karao.Iss dauran allopathic treatment diya gaya.

Fourth Follow-up : Temperature ab bhi 105°F. Respiratory complaints jaari.

Rx : Belladonna 200(Kyunki wahi symptom picture continue thi.)

Fifth Follow-up : Stupor gayab.Fever hone ke bawajood bachchi active.Feeding normal.

Rx : Placebo Given

Sixth Follow-up : Temperature 103°F.Breathing bahut better.Bachchi lagbhag normal.

Rx : Placebo Given

Seventh Follow-up : Fever normal.Stool discharge badh gaya.Nasal discharge badh gaya.Sir par bald patches nazar aaye.

Rx : Placebo Given

Eighth Follow-up : Wahi condition.Discharges continue.

Rx: Placebo Given

Ninth Follow-upNasal discharge aur stool discharge dheere dheere kam.RxPlacebo—

Tenth Follow-up : Improvement continue.Sirf kabhi kabhi:Mild coryza , Mild cough

Rx : Placebo Given

Subsequent Follow-up : Ek aur fever aur wheezing ka attack aaya.Lekin:Intensity kam thi.Duration kam tha.

Rx : Placebo Given

Next Follow-upHar tarah se marked improvement.

Rx : Placebo Given

Echocardiography :Heart ka VSD pehle se chhota ho gaya.Stool aur nose se mucus discharge continue.Growth aur development improve.

Rx : Placebo Given

Long-Term Follow-up : Agle kai mahino tak:Kabhi kabhi mucus discharge.Health improve.Growth normal.Koi special intervention ki zarurat nahi.

Rx : Placebo Given

Clinical LessonIs case ka sabse bada lesson:Pathology ko nahi, characteristic symptoms ko treat karo.

Key Rubrics

• 1. UNCONSCIOUSNESS, interrupted by screaming.
• 2. LAUGHING, while speaking.
• 3. FRIVOLOUS.
• 4. QUIET, wants repose and tranquillity.

Final Prescription : Belladonna 30 Baad mein Belladonna 200 jab wahi symptom picture continue rahi.

Teaching Point : Sahi remedy ke baad: Acute aggravation Discharges Elimination ko observe karna chahiye.Har aggravation par remedy change nahi karni chahiye.Isi observation aur patience ki wajah se:Respiration improve hui.Vitality improve hui.Cardiac pathology mein bhi improvement aayi.

Case 4 : Pyrexia of Unknown Origin (PUO)

Master P. – Age 4 Years

First Consultation : Complaints:

Morning fever 101°F

Evening fever 103°F

Pale eyes

Emaciation

Skin yellowish

Appetite absent

Nausea

Chal nahi sakta tha

Godh mein uthakar lana padta tha

Past History

• 4 mahine pehle measles hua tha.
• Recovery ke 2 hafton baad:
  • Dono pairon mein pain
  • Dheere dheere weakness shuru hui.

Rubrics

• 1. FEAR, falling, of. Child mother ko pakad kar rakhta tha.
• 2. DISTURBED, averse to being. Ek hi position mein rehna pasand.
• 3. LIGHT, desire for. Regular meals ke bajaye alag taste wali cheezein pasand.
• 4. CLINGING, things to.
• 5. IRRITABILITY, spoken to when.
• 6. ANGER, obliged to eat, when.
• 7. CLINGING. Godh mein lete waqt maa ko zor se pakadna.

Rx

Gelsemium 30—

Follow-up Period : Medicine ke baad kai hafton tak:Fever continue.Temperature fluctuate karta raha.Sirf Placebo diya gaya.

Lekin Improvement Kahan Se Shuru Hui?

Sabse pehle:Child active hua.Nausea gayab.Appetite improve.Khade hone ki koshish.Support ke saath chalna shuru.

Phir:Chehre ki raunak wapas.Weight badha.Flesh increase hui.Pairon ki taqat wapas.—Convalescence Phase :

• Beech beech mein:
  • Black sticky stools.
  • Vomiting.3–5 din ke phases mein aate rahe.
• In eliminations ko interfere kiye bagair chalne diya gaya.
• Final Outcome : Dheere dheere:
  • Temperature normal.
  • Strength normal.
  • Appetite normal.
  • Activity normal.
  • Walking normal.

Clinical LessonSabse important lesson:Recovery fever normal hone se pehle hi shuru ho chuki thi.Sabse pehle improve hua:

• Vitality
• Appetite
• Strength
• Behaviour

Lekin relatives aur neighbours sirf fever dekh rahe the.Unko lag raha tha: Koi improvement nahi.

Agar doctor bhi unki baat maan leta to remedy badal di jaati aur case kharab ho sakta tha.

Careful observation ne dikhaya ki curative process already chal rahi thi.Isi wajah se original remedy continue rakhi gayi aur complete recovery hui.

Case 5

Mr. A – Age 31 Years

First Consultation :

Complaints

• 1. Breathlessness
• 2. Coryza
• 3. Pet ke neeche ke hisse, groins aur penis par blackish discolouration

Past History

• 1. Sinusitis
• 2. Body par rashes
• 3. Herpes Zoster
• 4. Penis par eruptions

Rubrics Taken : Patient ke face par hamesha ek halki muskurahat rehti thi.Uski baat karne ki style aur tone se lagta tha ki koi bhi baat uske mind par gehra asar nahi karti

• FRIVOLOUS

Woh baar baar muskurate hue poochta tha:”Doctor Sahib, main theek ho jaunga na?”Aur consultation ke aakhir tak yahi sawaal repeat karta rehta tha.

• LIGHT, desire for

Use shor sharabe se zyada sukoon aur tranquillity pasand thi.

• QUIET, wants repose and tranquillity

Rx : Belladonna 30 One Dose

First Follow-up : Breathlessness poori tarah gayab.Lekin:Penis ke eruptions abhi maujood.

Rx : Placebo Given

Second Follow-up : Penis ke rashes kam

Rx : Placebo Given

Third Follow-up : Throat mein swelling.Fever.Cough.

Rx : Placebo Given

Fourth Follow-up : Gap ke baad aaya.Khud ko better mehsoos kar raha tha.

Rx : Placebo Given

Fifth Follow-up : Throat se white thick discharge.Lekin:Irritation nahi.Swelling nahi.Fever nahi.Cough nahi.

Rx : Placebo Given

Sixth Follow-up : Discharge aur zyada.-

Rx : Placebo Given

Seventh Follow-up : Discharge continue.Saath hi stomach disturbances mein relief mila.Yeh baat patient lagbhag bhool gaya tha batana.

Rx : Placebo Given

Eighth Follow-upPenis eruptions se white thick discharge.

Rx : Placebo Given

Ninth Follow-upProblems ab bhi kuch had tak continue.

Rx : Placebo Given

Prescription : Belladonna 200 One Dose

Tenth Follow-up : Marked improvement.

Rx : Placebo Given

Eleventh Follow-up : Stomach upset.Frequent loose stools.Coryza.Throat se pus discharge zyada.

Rx : Placebo Given

Twelfth Follow-up : 3 din breathlessness.Sticky sputum.Foamy urine.

Rx : Placebo Given

Thirteenth Follow-up : Cough kam.Sputum kam.

Rx : Placebo Given

Fourteenth Follow-up : Har tarah se considerable improvement.

Rx : Placebo Given

Fifteenth Follow-up : Sleeplessness.Nausea.Rest ke baad joints stiff.

Rx : Placebo Given

Sixteenth Follow-up : Better.

Rx : Placebo Given

Seventeenth Follow-up : Patient lagbhag normal feel kar raha tha.Sirf skin problem baaki.Casually bataya:Stool ke baad subah nausea.Sick feeling.Masaledar khane ki desire.

Rx : Placebo Given

Eighteenth Follow-up : Noise se sensitivity.Skin area badha hua.

Rx : Placebo Given

Nineteenth Follow-up : Appetite better.Skin better.

Rx : Placebo Given

Twentieth Follow-up : Stomach upset.Appetite sirf seasoned food ke liye.Hips ke aas paas ki discolouration clear.

Rx : Placebo Given

Twenty-first Follow-up : Stool din mein 2 baar.Stomach abhi bhi upset.Appetite kam.

Rx : Placebo Given

Twenty-second Follow-up : Urine mein albumin.

Rx : Placebo Given

Twenty-third Follow-up : Ab ek nayi mental state saamne aayi.

Patient:

• Bahut depressed.
• Hypochondriacal anxiety.
• Khud ko cheated feel kar raha tha.
• Rote hue baat kar raha tha.
• Pt : Mujhe lagta tha main theek ho jaunga, lekin cure abhi bhi bahut door lag rahi hai.
• Dr : Kyun?
• Pt :Mere armpit mein dard ho raha hai. Yeh wahi dard hai jo saalon pehle Herpes ke attack se pehle hua karta tha.
• Dr :tassali dete huye ab koi khatra nahi hai to uske chehre ki wahi purani muskurahat wapas aa gayi.

Twenty-fourth Follow-up : Halki throat problem.

Rx : Placebo Given

Twenty-fifth Follow-up : Complaints aur kam.

Rx : Placebo Given

Twenty-sixth Follow-up : Do din tak bahut loose stools.Saath hi itching aur throat complaints mein relief.

Rx : Placebo Given

Twenty-seventh Follow-up : Gap ke baad aaya.Complaints:Halki breathing difficulty.Stomach disorder.

Rx : Placebo Given

Twenty-eighth Follow-up : 2 din breathing trouble.Nose running.Itching.Stomach upset.

Rx : Placebo Given

Doctor’s Interpretation : Iske baad patient kaafi arse tak report karne nahi aaya.

Doctor ne is irregular reporting ko do naye rubrics se interpret kiya:

INDIFFERENCE, recovery, about his

FEAR, suffering of

Rx : Calcarea Carb 30 One Dose

Final Follow-up : Cough with phlegm.Thodi breathing difficulty.Lekin:Stomach better.Skin better.RxPlacebo

Then No follow up

Clinical Lesson : Is poore case ka central lesson yeh tha: Doctor ne lagbhag poore case ko Belladonna 30 → Belladonna 200 → Placebo ke saath manage kiya.Case ke dauran kai baar:

• Breathlessness aayi
• Coryza aaya
• Throat discharge hua
• Loose stools hue
• Skin eruptions se discharge hua
• Albumin urine mein aaya
• Mental state badli

Lekin har nayi complaint par remedy change nahi ki gayi.

Agar original remedy abhi bhi apna action dikha rahi ho aur elimination process chal raha ho, to doctor ko sabr karna chahiye aur jaldi mein nayi remedy prescribe nahi karni chahiye.

A well-begun case is often spoiled by unnecessary interference.

Ek achha chal raha case aksar doctor khud kharab kar deta hai jab woh bahut jaldi remedy badal deta hai, potency raise kar deta hai ya patient aur rishtedaron ke pressure mein aa jata hai.