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Direction of Case Taking

This document outlines Hahnemann's view of case taking according to his Organon of Medicine. It discusses his aphorisms on general directions for case taking, taking chronic and acute cases, appraising taken cases, and the focus on the totality of symptoms. Key points include obtaining all the details of a patient's complete experience of their disease, being cautious not to disrupt their narration or make assumptions, and using the most striking and peculiar symptoms to determine the simillimum remedy.

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Mohammad Osama
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52 views

Direction of Case Taking

This document outlines Hahnemann's view of case taking according to his Organon of Medicine. It discusses his aphorisms on general directions for case taking, taking chronic and acute cases, appraising taken cases, and the focus on the totality of symptoms. Key points include obtaining all the details of a patient's complete experience of their disease, being cautious not to disrupt their narration or make assumptions, and using the most striking and peculiar symptoms to determine the simillimum remedy.

Uploaded by

Mohammad Osama
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CASE TAKING – HAHNEMANNIAN VIEW

An over view.
A concise idea about case taking (Aphorism 5)
General directions (Aphorism 83 – 93)
Patient coming directly (Aphorism 83 _ 90)
Patient coming from other physicians (Aphorism 91 _ 93)
Chronic case taking (Aphorism 94 _ 98)
Acute case taking (Aphorism 99 _ 102)
Appraising the case taken (Aphorism 103 _ 104)

General Direction of Hahnemann about Case taking in Organon of Medicine

Aphorism 7th. Hahnemann delineated the focus for case taking, the totality of symptoms alone
form the basis of prescription.
Aphorism 83. The qualities of the physician for case taking.
Aphorism 84. Details the manner in which the consultation has to be taken place. This aphorism
has to read with the foot note which cautious against the disruption of the patients train of
narration.
Aphorism 85. Say that every new expression made by the patient or attended has to be entered
in a fresh line. This may help to complete the data’s later and prevent confusion about the
discrimination of symptoms.
Aphorism 86. Narrate the manner in which the incomplete information can be made complete.
Aphorism 87. Cautious about the don’ts in the case taking. This aphorism has to be read with
the foot note
Aphorism 88. When the case taking come to a dead end, the doctor can engage the patient in a
conversation, makes general suggestions and try to get more information. Details are given in
foot note
Aphorism 89. Narrate the information that the doctor required to seek, once the patient has
completed the narration. This narration has to be read with the foot note .
Aphorism 90. Narrate the necessity to discriminate the symptoms from the attributes of the
patient. This aphorism has to be read with the foot note which details the observation the doctor
can make of the patient during consultation.
Aphorism 91. Suggest that to understand the patients state of health before the illness, the doctor
has to discount those expression which were noticed after the medication. This course of action
is advised for c/c disease.
Aphorism 92. Warns that if the disease is of an a/c and fulminate nature no chance should be
taken to keep the patient under observation without medication, for eliciting the true nature of the
disease. The doctor must try to access the expression previous to medication.
Aphorism 93. Deals with the doctor to elicit the probable cause for the suffering. The
information can be obtained either from the patient or attendant. This aphorism has to be read
with the foot note,which elaborate the probable cause for a/c and c/c affections.
94 _ 98 PROTOCOL FOR CASE TAKING IN C/C CASES.

Aphorism 94. Asserts that in C/C sufferings, inquiry should be directed towards eliciting the
patient’s mode of living, daily habits etc. This aphorism has to be read with the aphorism 5 and
foot note, which details about the information one may seek from the female patients.
Aphorism 95. Asserts that the details of the expression of c/c cases have to be investigated
thoroughly.
Aphorism 96. Cautious the doctor to be on the guard against such patients who exaggerate their
symptoms. This aphorism has to be read with the foot note.
Aphorism 97. Due to modesty or shame the patient reluctant to speak out. A difficult situation in
case taking.
Aphorism 98. Narrate the attributes of the doctor in conducting the case taking section,
especially of a c/c disease. It say that the doctor should have the qualities of circumspection, tact,
knowledge of human nature, cautions on conducting inquiry and patience in an eminent degree.
99 _ 102 TAKING A/C CASES

Aphorism 99. Details the projections available in the acute conditions and the mode of case
taking in a/c cases.
Aphorism 100. Case taking in epidemic and sporadic cases.
Aphorism 101_102. An appraisal of several cases in an epidemic reveals a pattern in the disease
expression leads to the genus epidemicus. This aphorism has to read with the foot note.
Aphorism 103. Details the theme of case taking, also speaks of the data collection.
Aphorism 104. Responsibility of the doctor after the case taking, include case analysis, selection
of similimum etc.This aphorism has to read with foot note.
Aphorism 153. States that the selection of the similimum must always depend on the data
elicited from the patient, which is more striking, singular, uncommon and peculiar.
In foot note 109 Hahnemann makes a reference to Repertory of Boenninghausen and Jahr.

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