HOMOEOPATHIC CASE TAKING STRATEGIES www.facultyofhomeopathy.org Which Symptom Is Most Important? • A 64 year old lady presents 1 month after her mother died. • She has blond hair, blue eyes, is very weepy at presentation, and asks for the window to be opened to let some air in. • She has a 3 week history of back pain, which is burning, better from heat, worse for rest, and better once she gets it moving. • She has angina, with left sided chest pain on minimal exertion. • She craves pickles, is irritable with her family and describes a feeling as if her uterus might fall out. www.facultyofhomeopathy.org §83 CASE TAKING “demands nothing of the medical-art practitioner except… • freedom from bias • attention while observing • fidelity in recording the image of the disease” www.facultyofhomeopathy.org Case Taking • §84 Do not interrupt • §85 Take a new line for each symptom • §98 Use patient’s own words • §86-89 Go back for more information later Ask only open questions • §91-92 Symptom picture before intervention is important www.facultyofhomeopathy.org Case Taking • §93-95 MIND symptoms should be asked at the end - Aetiology - Maintaining Factors - Suicidality, living habits, stress, addictions, diet etc. • §95 Chronic Disease – elicit chronic patterns the patient may think insignificant (e.g. menses, a particular cough/habit –“it’s been there so long I forgot about it”). www.facultyofhomeopathy.org Case Taking - Sample Layout • Presenting Complaint – patient/relative’s account • Past Medical History/Drug History • Family History • Social/Personal History • Systemic Inquiry – include sexual history • Homoeopathic History www.facultyofhomeopathy.org Case Taking – Homoeopathic History • General Symptoms – “I” – Temp, Sweat, Time, Position • Food/Appetite • Thirst • Sleep/Dreams • Mental Symptoms www.facultyofhomeopathy.org Case Taking – Homoeopathic History • Mental Symptoms - Will - Understanding - Memory • Mental Characteristics - Patient’s thoughts - Own Observations - ?Transference/Counter-transference • Strange, Rare & Peculiar www.facultyofhomeopathy.org