Kent's twelve

observation

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first observation:-
A prolonged aggravation
and final decline of the patient.
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amel

agg

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Inference:-
The antipsoric was too deep, it has
established destruction.
The vital reaction is impossible in this state.
The case was an incurable one.
High potency.

What to do?
Medicine should be antidoted.
Lesson:-
In incurable cases and cases with organic
changes go for low potency.
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Second observation:-
long aggravation but final &slow
improvement.
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agg

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Inference:-
• Shows the beginning of some marked tissue
change in some organ.

• The state of the tissue can be understood.

• We can make out the prognosis of the case.

What to do?
Do not disturb the action of the dose.
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Third observation:-
the aggravation is quick, short and
strong with rapid improvement of the
patient.

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amel

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Inference:-
The reaction of the economy is vigorous.
No tendency to structural changes in the vital
organs.
The improvement will be marked.
What to do?
Do not disturb the action of the dose.
Lesson:-
In the case of perfect similimum slight agg of the
symptoms occurs in the 1st hrs after the remedy in
an acute sickness or 1st few days in chronic case.
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Fourth observation:-
no aggravation with recovery of the
patient.

medicine
amel

agg

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Inference:-
No organic diseases.
No tendency for organic diseases.
Right selection of potency.
Perfect similimum.

Lesson:-
It is the highest order of cure in acute affection.

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Fifth observation:-
the amelioration comes first and the
aggravation comes afterwards.

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amel

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Inference:-
Superficial remedy acted as a palliative.
Patient was incurable and the remedy was some
what suitable.

What to do?
Retake the case.

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Sixth observation:-
too short relief of the symptoms.

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amel

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Inference:-
 Make sure that pt did not do any thing to spoil
the case.
 In acute cases high grade inflammmatory
condition.
 In chronic cases presence of structural changes.
What to do?
In acute cases medicine to be repeated often.
In chronic cases a more similar medicine to be
selected.

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Seventh observation:-
full time amelioration of the symptoms,
yet no special relief of the patient.

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• Inference:-
• Latent conditions or organic changes.

• Lesson:-
• Only palliation possible in such condition.

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Eight observation:-
some patients prove every remedy
they get.

Medicine-1 Medicine-2 Medicine-3

Medicine-1 Medicine-2 Medicine-3

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 Inference:-
• Pt may be hysterical or oversensitive to all
things.
• Idiosyncratic patients.

What to do?
• Go for low potencies.

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Ninth observation:-
action of medicines on provers.

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Tenth observation:-
appearance of new symptoms after
the remedy.

Inference:-
Greater the array of new symptoms more doubt it
throws upon the correctness of prescription.

What to do?
Retake the case and try to find the similimum.

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Eleventh observation:-
old symptoms reappear.

Inference:-
Pt is on the road to recovery
Cure from center to periphery.
What to do?
If the symptoms comes and goes then no need to
disturb if symptoms remain then repeat the dose.

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Twelfth observation:-
symptoms take wrong direction.
Inference:-
Incurable state of patient.
Wrong prescription.
Not following Herings law of cure.

What to do?
Antidote the medicine

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