Dr. Abhishek Dalmia1, Dr. Navita Sharma2, Dr. Priya Bhardwaj3
1. (Asst. Professor, Department of Repertory, HOMOPATHY UNIVERSITY, JAIPUR)
2,3 (MD scholars, Department of Repertory of Medicine, HOMOEOPATHIC UNIVERSITY, JAIPUR)
ABSTRACT: Dr. Samuel Hahnemann recognise, three kinds of symptoms, “Symptoms,
Signs and accidents”. Symptoms refers to disease; signs are the fact, which are visible and have importance in infants, persons out of their mind, comatose patients; accidents are something that comes from external source. In applying the law of Similaris we have to know the relative values of symptoms. Evaluation of symptoms implies the principle of grading or ranking of different kinds of symptoms in order of priority, which are to be matched with the drug- symptoms in order to cover the characteristic totality in a natural disease condition. KEYWORDS: Homoeopathy, Symptoms, Signs, Accidents, Evaluation. INTRODUCTION: Word symptom was derived from German word “Symptoma” which means “change that happens”. It is defined as any evidence of disease or change from a state of health. Evolution of symptoms present in these stages: First stage – individual reactions like lassitude, malaise, run-down feeling Second stage – disordered functioning of the affected organ and system Third stage – structural alterations in the organs and tissue Forth stage – gross structural changes occur in organs and tissue The patient gives a list of symptom, all of which are not equal in importance. A physician has to learn to distinguish symptoms which are most important and for this one have the knowledge every type of symptom and their importance which prescribing. SYMPTOM DEFINITION VALUE SUBJECTIVE Subjective symptoms are those, The subjective symptoms are SYMPTOMS which the patient feels, speaks of essential value in about and communicated to the Homoeopathy because these physician. symptoms which describe the These symptoms are patient’s own intrinsic nature of the case or consciousness. the drug.
OBJECTIVE Objective symptoms are morbid Objective symptoms are of
SYMPTOMS signs and phenomena perceived less value for identifying the and observed by the physician and individual patient but are of those around the patient and more value for identifying the therefore consist of physiological nature of the disease. findings, laboratory findings and Objective symptoms are physician’s observations. valuable in cases where subjective symptoms cannot be obtained or relied upon such as in the unconscious, insane or imbecile patients and in children. CONCOMITANT Symptoms that accompany the Bodman stressed that the SYMPTOMS chief complaints are known as mental concomitants are of concomitants. immense value in physical The concomitants bear no ailments while the physical physiological and pathological concomitants assume great relationship to the chief complaint importance in mental ailments. than time-association. They are therefor also known as Associated symptoms.
KEYNOTE Keynotes are characteristic Keynotes are often valuable
SYMPTOMS symptoms that point unmistakably characteristic symptoms to a small group of remedies; they rarely indicate a single remedy. A group of at least three keynotes is essential before one can pick up satisfactorily the similar remedy. This is the “THREE LEGGED STOOL” said by Allen.
BASIC These symptoms are also known as These symptoms having no
SYMPTOMS PATHOGNOMONIC value in repertorisation unless SYMPTOMS. they have modalities. Basic symptoms are those symptoms that appear in every proving and same disease and are of general nature which usually important for diagnosis.
DETERMINATIV Determinative symptoms also These symptoms are
E SYMPTOMS known as “NON- individual or personal ones if PATHOGNOMONIC” symptoms. found in a patient or These are strange, rare or peculiar Characteristics or keynote, if symptoms of the patient or of the found in a drug’s drug. Help to find out an indicating Pathogenesis. remedy.
PATHOLOGICAL Pathological symptoms are the C.M Boger considered these
SYMPTOMS symptoms of disease. symptoms as Pathological Generals, in Boenninghausen’s Characteristics and Repertory under constitution and also in General Analysis.
CLINICAL The Distinct symptoms of a case of These are of less importance it
SYMPTOMS a disease, disappears on the can be included in Mental or employment of the remedy for Physical General or other purpose, is said to be its Particulars. clinical symptom. ALTERNATING Two groups of symptoms keeping According to Kent a SYMPTOMS alternating with each other in a successful prescription is manner one appears when the other impossible unless this feature is ameliorated, known as is taken into consideration. alternating symptoms. These symptoms are classed as strange, rare, uncommon, peculiar, striking symptoms.
ELIMINATIVE Eliminative symptoms are those These symptoms are of great
SYMPTOMS symptoms which throws off all the value because the eliminate medicines that are not needed for the unnecessary remedies and the patient and bring home only give a narrow field of similar those medicines which are required remedies. for the patient.
ACCESSORY Accessory symptoms are those These symptoms are very
SYMPTOMS symptoms which are forgotten or useful because patient thinks become a part of life due to its that these are necessary part of chronic and insidious nature. their condition almost as health. NEGATIVE Absence of certain striking They have important value in SYMPTOMS features of disease which should remedy selection have to present.
DISCUSSION AND CONCLUSION: In Homoeopathy Symptom is defined as any change in
the health of body and of the mind which is felt by the patient remarked by those around him and observed by the physician. Signs and symptoms are the primary building blocks that the Homoeopathic physician employs in evolution of the conceptual image of the patient in his illness. A proper understanding and evaluation of these enables a physician to have an undistorted image which can readily match with a similar image from the Homoeopathic Materia Medica. Thus a good gasp of symptomatology helps a Homoeopathic physician “What to look for” in the case of a disease.