Sahya Part 9

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CASE TAKING
• Aphorism
• 83 - 104

Aphorism 83
• This individualizing examination of a
case of disease, for which I shall only
give in this place general directions, of
which the practitioner will bear in mind
only what is applicable for each individual
case, demands of the physician nothing
but freedom from prejudice and sound
senses, attention in observing and fidelity
in tracing the picture of the disease.
Aphorism 84/ FN
• Every interruption breaks the train of
thought of the narrators, and all they
would have said at first does not again
occur to them in precisely the same
manner after that .

Aphorism 85
• He begins a fresh line with every new
circumstance mentioned by the patient or
his friends, so that the symptoms shall be
all ranged separately one below the other.
He can thus add to any one, that may at
first have been related in too vague a
manner, but subsequently more explicitly
explained.

Dr.Biju

Aphorism 86
• When the narrators have finished what they would say of their own
accord, the physician then reverts to each particular symptom and
elicits more precise information respecting it in the following manner;
he reads over the symptoms as they were related to him one by
one, and about each of them he inquires for further particulars, e.g. ,
at what period did this symptom occur? Was it previous to taking the
medicine he had hitherto been using? Whilst taking the medicine?
Or only some days after leaving off the medicine? What kind of pain,
what sensation exactly, was it that occurred on this spot? Where
was the precise spot? Did the pain occur in fits and by itself, at
various times? Or was it continued, without intermission? How long
did it last? At what time of the day or night, and in what position of
the body was it worst, or ceased entirely? What was the exact
nature of this or that event or circumstance mentioned - described in
plain words?

Presenting compliant
• Jebin 10m/c
• RECTUM - URGING - fright, from (1)
• Caust

Achachen
• MIND - ATTACHED - father; children are
attached to the (1)
• cycl

concrete
• RECTUM - CONSTIPATION - ineffectual
urging and straining - plugged up; as if (1)
• anac

Barotruma
• EAR - INFLAMMATION - airplane; from
changes of atmospheric pressure in an(1)
• arn

mastitis
• MIND - AILMENTS FROM – celibacy (13)
• PHOS, Cann.i,con

payal
• STOOL - MOSS; like (1)
• asc-t.(asclepias tuberosa)
• STOOL - GREEN - grass; like cut (1)
CHAM

Sambar
• GENERALS - FOOD and DRINKS - flatulent

food - agg. (17)
• LYC,PETR
• GENERALS - FOOD and DRINKS - peas -
agg.(19)
• BRY, LYC
• GENERALS - FOOD POISONING 15
• Ars
Shhhh……..
• STOMACH - ERUCTATIONS - pressing -
painful parts; when pressing on(1)
• Borx

Dileep
• BACK - ABSCESS - Cervical region -
cicatrices; old (1)
• SIL

• FACE - SWELLING - Eyes – under (27)
• APIS,ARS,KALI-C

SSSS
• FACE - ERUPTIONS - red
• FACE - ERUPTIONS - scurfy
• FACE - ERUPTIONS - moist
• FACE - ERUPTIONS - itching

• FACE - EXPRESSION – suffering (56)
• ARS,CACT,KALIC,LYSS,MANG,SIL,SUL
PH

• FACE - EXPRESSION – happy (6)
• Apis,Ars,OP

• FACE – SWELLING 180
• FACE – BLOATED 82

• MOUTH - CRACKED - Tongue fissured -
directions, in all 3
• FL-AC,NIT-AC.mag-m

VARSHA
• HEAD - ERUPTIONS – pustules (19)
• Sil,SULPH
• HEAD - ERUPTIONS - pustules –
occiput3
• Ammc,Puls,SIL

Kasinath

Kasinath 3
• MIND - BITING - nails
• MIND - MOANING - heat, during
• MIND - IRRITABILITY - children, in
• STOMACH - THIRSTLESS - heat, during
• MOUTH - DISCOLORATION - Tongue - white
• COUGH - FEVER - during
• FEVER - CHILL, with
• FEVER - CONTINUED fever
• GENERALS - FOOD and DRINKS - chocolate - desire
• FEVER - PERSPIRATION - absent
• GENERALS - UNCOVERING - aversion to

Kasinath

Lekshmi

Lekshmi
• MOUTH - FINGERS in the mouth, children
put (9)
• Calc,cham,IP

Vinod
• FACE - GREASY
• FACE - SHINY - oily; as if
• FACE - ERUPTIONS – itching
• FACE - ERUPTIONS - pimples
• FACE - ERUPTIONS - pimples - itching

Past History
• Pneumonia
• GENERALS - CONVALESCENCE;
ailments during - lungs; after inflammation
of the - never well since – (1)
• Kali.c

Hair falling
• HEAD - HAIR - falling - disease - acute
exhausting disease; following – (3)
• Carb-v,manc,thal
ailments during - fever; after – (1)
• lyc

cortisone
ailments during - cortisone; after use of –2
• Caust,thuj

Antibiotics
ailments during - antibiotics; after use of –
(3)
• ars,nit-ac,thuj

Christy 10F

Christy 10F
• MIND - SIGHING – involuntary 4
• calc.p,ferr.m,hell,IGN

Family History
• Alc
• GENERALS - FAMILY HISTORY of –
alcoholism (13) Syph

Family History
• H/d
• GENERALS - FAMILY HISTORY of -
heart disease; early (1)
• Med

Family History
• asth
asthma (6)
• carc,lyc,med,nat-s,psor,tub

Family History
• Dm
diabetes mellitus (3)
• carc,thuj

Family History
• Goi
goiter (2)
• dros,tub

Family History
• Ins
insanity (2) carc,syph

Family History
• Suic
suicidal deaths (2)
• carc,syph

Family History
• Num
numerous serious diseases; of (1)
• bufo

ANOOP 5M
• MIND - ANTICS; playing
• EYE – DISCOLORATION-yellow
• STOMACH - APPETITE - wanting
• ABDOMEN - INFLAMMATION – Liver
• ABDOMEN - PAIN - Hypochondria - right

• MIND - SLANDER, disposition to (21)
• VERAT

Dr.Sarath

Dr.Sarath
• MOUTH – SPEECH convincing
• MOUTH – SPEECH enthusiastic
• MOUTH – SPEECH interesting
• MOUTH – SPEECH loud

chanthupottu
• MIND – EFFEMINATE (5) PULS,Plat

Chemistry
• MIND - MANNISH - girls; mannish looking
(7) Nat.m

fdfjdj

Sugathakumari
• MIND - INJUSTICE, cannot support (8)
• Caust,Staph
• MIND – PROTESTING (6)
• Caust,Symph
• MIND – ANARCHIST- (5)
Arg.n.,Caust,Merc

Jaen Tomlinson 43F
• MIND - OPTIMISTIC - weakness; in spite
of the (2)
• kali-c,Galin (galinsga parviflora)
• MIND - HOPEFUL - recovery, of (1)
• sang

A Case Of Renal Calculi
• MIND - IMPATIENCE
• MIND - SQUANDERING - money
• MIND - SQUANDERING - boasting, from
• KIDNEYS – STONES

• SKIN - DRY
• SKIN - ERUPTIONS - dry
• SKIN - ERUPTIONS - scaly
• SKIN - ERUPTIONS - red
• SKIN - ITCHING – night
• MIND - RELIGIOUS - affections

viswanathan
• MIND - FEAR - falling, of
• MIND - AILMENTS FROM - anticipation
• MIND - FEAR - high places, of
• MIND - CONFIDENCE - want of self-confidence
• MIND - DWELLS - past disagreeable
occurrences, on
• MIND - HURRY, haste
• GENERALS - FOOD and DRINKS - sweets -
desire
• EXTREMITIES - UNCOVER, inclination to - Feet

tnp
• MIND - ACCIDENT prone (11) ARN,
MED,STAPH (Heedless )
• MIND – HEEDLESS (82)

jdfjdjlfj

Kam.vila tas ind
• MIND - COQUETTISH - too much (8)
lach,lyc,nux-v,puls
• MIND - TASTELESSNESS in dressing
(11)Calc,Nat.m,Sulph
• MIND - DRESS - indecently,
dresses(6)hell,hyos,plat

• SKIN - CICATRICES - break open 20
• PHOS,SIL

GEORGE KUTTY 52M
HBsAg
• MIND - ADULTEROUS
• STOMACH - APPETITE – increased - eating –
after
• ABDOMEN - INFLAMMATION - Liver – chronic
• ABDOMEN - PAIN - Hypochondria - right
• GENERALS - TOBACCO - desire for tobacco

Sreejith

Sreejith 9
• MIND - ANGER - contradiction; from
• MIND - BUSY - fruitlessly
• MIND - FEAR - crowd, in a
• MIND - IMPERTINENCE
• MIND - MENTAL EXERTION - aversion to
• MIND - SMILING - involuntarily
• MIND - TALKING - himself, to
• MIND - WEEPING - involuntary
• TEETH - GRINDING

TSUNAMI
• MIND - REVERENCE for those around
him (12) Hyos
• sir
• MIND – VENERATION (15) Podo
• MIND - REVERENCE
• MIND – RESPECTING REVERENCE

HASSAN
• MIND - HARD for inferiors and kind for
superiors (4) lach,lyc,plat,verat
• MIND - AFFECTATION - words; in (3)
lyc,plat,verat
• MIND - AFFECTATION - gestures and
acts; in (3) hyos,mez,verat

Priyans colic
• GENERALS - PERIODICITY - hour -
same hour; complaints return at the
• (23)CEDR

ARATHI GOPI 17F
• MIND - ABRUPT, rough
• MIND - AVERSION - persons - certain, to
• MIND – TALKING-loud indisposed to talk
• HEAD – LARGE SIZE
• FEMALE GENITALIA/SEX - MENSES - irregular
• GENERALS - FOOD and DRINKS - sweets -
desire

Mithabhashi
• MIND – LACONIC (3) chin,merc,mur.ac

Age
• New borns 0 – 4weeks
• Nurslings 0 – 1yrs
• Infants 1 - 6yrs
• Children 6yrs and above

Jerins pocket
• MIND - FILLS pockets with anything (1)
stram

Nannayi varumpol
• GENERALS - WELL - unusually well, then
agg. (8)PSOR

A case of vitiligo
• MIND – GOURMAND (8)VERAT
• MIND – GLUTTONY
• MIND – BULIMIA (66)
CALC,CHIN,CINA,LYC,MERC,SEP,VERA
T

BARRETTS OESOPHAGUS
• Caused by GER.The discomfort is due to
acdic juice from the stomach flowing back
up in to oesophagus which cause
inflammation & burning pain.
• Chronic GER leads to Barrettsoesophagus
in which part of oesophagus lyning
replaced by stomach lyinig.People with
Barretts oesophagus are at increased risk
of developing Ca Oesophagus

Dr.AJITHA
BARRETT’S OESOPHAGUS 11
• MIND - ANXIETY - others, for

• MIND - FASTIDIOUS
• MIND - FEAR - dark, of
• MIND - SYMPATHETIC
• HEAD - PAIN - menses - after
• STOMACH - PAIN - violent
• DREAMS - PROPHETIC
• GENERALS - FOOD and DRINKS - sweets - desire
• GENERALS - HEAT - lack of vital heat
• GENERALS - PERIODICITY - week - four weeks; every
• GENERALS - WEAKNESS - pain; from

jij
• MIND – CURIOUS(19)
agar,aur,hyos,lach,puls,sep120

nas
• MIND - DESTRUCTIVENESS - children;
in
• Carc

but
• MIND - PLAYING - desire to play - buttons
of his clothes, with the (1)mosch

thoduka
• MIND - TOUCHING everything; impelled
to - children, in (2) Cina, carc
• MIND - TOUCHING everything; impelled
to (10) Merc, Thuj
• MIND - TOUCHED - aversion to be -
children; in (5) ant.c,ant.t,cina,cham,cupr
• MIND - LOOKED AT; to be - cannot bear
to be looked at –
• children;in(4)ant.c,ant.t,cham,cina
peruppickal
• MIND - EXAGGERATING - symptoms; her
(7) agar,calc,cann-i, plat

Mariamma 70F
• MIND - AFFECTATION
• MIND - BOASTER, braggart
• MIND - CURSING
• MIND - EXAGGERATING
• MIND - EXAGGERATING - symptoms; her

MARIAMMA 70F

K k,
• MIND - AILMENTS FROM - position; loss
of (10) Ign,Nux-v,Plat
• MIND - AILMENTS FROM - job; having
lost his (3) ign, plat,staph

tpp
• MIND – INDISCRETION (40) PULS
(CIRCUMSPECTION, lack of )

urachu
• MIND - UNDERTAKING - many things,
persevering in nothing (34)LIL-T

lock
• MIND - CHECKING - twice or more; must
check (11)arg-n,ars,brom,nat-m,syph
• ( Verifying everything )

bush
• MIND - FROWN, disposed to (14) NUX-
V,CHAM

patham
• MIND – COMPLAINING (88) CALC-P,
CHAM

pepsodent
• MIND - FEIGNING - sick; to be (16)
Puls,Taret

rabit
• MIND – PERTINACITY (11) stram,symph

• MIND - AFFABILITY - enemy; to an (1)
aloc (alcoholus)

• MIND – AUDACITY (21)Arn,Puls,Tub,IGN

• MIND – MALICIOUS (98) ANAC
• MIND – BRUTALITY,
• MIND – CRUELTY,
• MIND - HARDHEARTED, inexorable

Pm mathew
• MIND - AILMENTS FROM - domination -
children; in - parental control; long history
of excessive (3) Aur-m-n(aurum
muriaticum natronatum)carc,vanad

kon.vazhal
• MIND - SPOILED children – am-c,bar-
c,lyc,op,sulph

swasam
• MIND - UNCONSCIOUSNESS - cries,
with howling (1) camph

Pres.urticaria
• SKIN - INDENTED easily from pressure
(5) BOV, BRY

Toilet smoking
• RECTUM - URGING - smoking, while (2)
calad,thuj

Chalk allergy
• NOSE - SNEEZING - chalk, from (1)
• Nat.p

Entaeveedu appu
• MIND - JEALOUSY - children - newborn
gets all the attention; when the - Hys,
ign

Kochuvayil valiya
• MIND - PRECOCITY of children –
LACH,MED,VERAT

Psoriasis children
• SKIN - ERUPTIONS - psoriasis - children;
in – STAPH

UMA
• MIND - CONFIDENCE - want of self-confidence
• MIND - GRIEF - silent
• MIND - OFFENDED, easily
• MIND - REPROACHES - himself
• FEMALE GENITALIA/SEX - MENSES - irregular
• FEMALE GENITALIA/SEX - STERILITY
• DREAMS - DEATH - relatives, of
• GENERALS - FOOD and DRINKS - meat - desire
• GENERALS - FOOD and DRINKS - salt - desire
• GENERALS - FOOD and DRINKS - spices - desire
• GENERALS - HEAT - sensation of
• GENERALS - OBESITY

RETHNAMMA 35F
• EYE -DISCOLOURATION YELLOW
• ABDOMEN - INFLAMMATION LIVER
• ABDOMEN - PAIN - Hypochondria - sitting
• URINE - COLOR - yellow
• CHEST – HEAT
• CHEST - PALPITATION of heart - anxiety,
with
• GENERALS - HEAT - lack of vital heat

RETHNAMMA 35F

JALAJA SOMAN 38F
MVP,MR
• MIND - AILMENTS FROM - money; from losing
• MIND - ANXIETY - anticipation; from - engagement; an
• MIND - CONSOLATION - amel.
• MIND - OFFENDED, easily
• CHEST - HEART complaints of the-mitral regurgitation
• CHEST - HEART complaints of the-valves mitral valve
• CHEST - PALPITATION of heart - anxiety, with
• CHEST - PALPITATION of heart - exertion
• CHEST - PALPITATION of heart - fright, after
• CHEST - PALPITATION of heart - lying
• CHEST - PALPITATION of heart - lying - back; on - amel.
• CHEST - PALPITATION of heart - noise, from every strange
• GENERALS – EMACIATION
• GENERALS - FOOD and DRINKS - salt - desire
• GENERALS - HEAT - sensation of

Newborns
• SKIN - ERUPTIONS - children -
newborns; in – dulc
• ABDOMEN - HERNIA; ABDOMINAL -
Umbilical - children; in – newborns- nux-m

• RECTUM - PROLAPSUS - children –
infants – podo

• MIND - AILMENTS FROM - abused; after
being - sexually - children; in –
Carc,Med,Plat

• BLADDER - URINATION - involuntary -
night - first sleep – CAUST, SEP

• URINE - SUGAR – children –1
• crat

• RESPIRATION - RATTLING - children; in
– ant-t,kali-s
• .RESPIRATION - RATTLING - sleep,
during - children; in
• –Kali-s
• .RESPIRATION - WHEEZING - sleep,
during - children; in –
• Kali-s
• FEMALE GENITALIA/SEX -
LEUKORRHEA – children –SEP

• SKIN - ERUPTIONS - psoriasis - children;
in –
• STAPH

• CHEST - HEART; complaints of the -
Valves - children; in – naja

• EXTERNAL THROAT - GOITRE – puberty (1)
calc-I
• FEMALE GENITALIA/SEX - LEUKORRHEA -
puberty, at (1)
• SEP
• CHEST - MILK - puberty; at (1)
• Puls
• GENERALS - PUBERTY; ailments in (40) GELS,
PHOS,PULS

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jfldjkjfj

KENTS12 OBSERVATIONS
• 1.A prolonged aggravation and final decline of the patient.
• In incurable and doubtful cases give no higher than the 30th or 200th
potency, and observe whether the aggravation is going to be deep or too
prolonged
• 2.Long aggravation, but final and slow improvement.
• 3. Aggravation is quick, short and strong with rapid improvement of the
patient.
• 4. No aggravation, with recovery of the patient.
• 5. The amelioration comes first and the aggravation comes afterwards.
• 6.Too short relief of symptoms.
• 7.Full time amelioration of the symptoms, yet no special relief of the patient
• 8. Some patients prove every remedy they get.
• 9 Action of the medicines upon provers.
• 10.New symptoms appearing after the remedy.
• 11.Old symptoms are observed to reappear.
• 12.Symptoms take the wrong direction.

Abdul Samad
• STOMACH - HICCOUGH – continued
• (1) vert.v


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• GENERALS - FOOD and DRINKS - flatulent

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• GENERALS - TOBACCO - desire for tobacco

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