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The Sehgal Method Dr.M.L.

Sehgal and his genuine work known as “Sehgal method” has become an icon in the homoeopathic world. Dr.Sehgal had a passion for doing things with perfection. Initially he was attracted towards homoeopathy after he had seen some good results in cases treated by a homoeopath. He became curious after seeing the amazing work of small pills. He started studying it as a hobby. Later it became his passion.. He had started treating family members and close friend to gain practical experience. He used to discuss his cases with reputed homoeopathic doctors of his time. Though he was getting miraculous results but was also failing in many cases. He had a feeling that somewhere something is lacking. Why it is so that in some cases we get wonderful results and in other we fail miserably? Why it is that we are not able to apply hearing law in each and every case. ? He thought that if it is a law it has to be applicable in each and every case, like the law of gravity. Why patient feels hesitant to approach in homoeopathy straight away after knowing his problem? He started studying further in search of some more vital clues. He looked into journals, encyclopedias and other available literature. Incidentally while treating a boy of 10 for high fever on alternate days. Dr.Sehgal observed that child liked to remain in bed, not complaining about anything, and on asking how is he? , boy replied, “He is well.” Dr. Sehgal used to read and apply some rubrics from the mind section of Kent’s repertory. He had no clue how to use these common, usual symptoms like – desire to remain in bed, not complaining, saying well he is even when sick, He had prescribed Hell., opium., and Stram. the remedies for painlessness of complaint but no medicine worked on him. Then he had a fresh look at the case and on the basis of the following rubrics: INDIFFERENCE, complain does not WELL, says he is when very sick BED, desire, to remain in Hyos became the indicated remedy, which was administered in 30th potency with astonishing results. The boy recovered with a week after getting 2-3 milder attacks. He passed loose stool at the end of the final attack. The recurrence of the fever stopped thereafter. That was the turning point in his practice. Encouraged by the above result he started observing such symptoms which seems to be common, ordinary and usual symptoms representing the mental state of the patient during the sickness. He also started understanding the meaning, interpretation and applicability of mind rubrics. According to Dr.Sehgal a patient knowingly or unknowingly can speak anything related to his / her problem. He / she could start telling what could be the uppermost in his mind. Like he / she straight away start telling a physician about pain, loss of sleep, loss of appetite, or about social problem / business / work / domestic life / married life etc. He / She will express in a plain way. We have to observe, “What he says How he says, Why he says, and When he says.”

Some of the common expressions I got from my patients are: 1) With great annoyance in his voice a patient says. I feel it should end now. extravagance of 3) Patient says.” There will be patients who just before the case taking make an inquiry “Do homeopathy medicine aggravates the disease?” I have heard this about homeopathic medicine like that it first aggravate the disease.” ENNUI 7) He adds. “I am not getting any relief. “I want to discontinue your treatment at once. difficulties. Should I go for X. First thing we tried to understand was that these common remarks are coming from a layman who has no knowledge about medicine.” ANXIETY. . of recovery 2) Patient says. Instead of getting annoyed with his question. I doubt if you would be able to do anything” DOUBTFUL. They come to us with the feeling that homoeopathy is an eradicative therapy and can cure but still worry about the time it will take for the complete cure. We often come across this common question from patients. desires. What a silly question? How on earth can a patient expect his physician and specially a homoeopath to tell him how long will his treatment last. It may be good but I am scared of it. which a physician can not give and then that makes them hesitant towards homeopathic treatment. “How long will the treatment last?” This question has annoyed us sometime or the other in the beginning of our practice. betrayed of being 6) The same question is asked by a patient after sometime has passed in the treatment. “If I know when I would get better then I could organize things in my life and plan accordingly for the future.” FEAR. Somewhere in his mind some sort of doubt / fear / anxiety etc are bothering him more than the pain. ultra sound or blood test? I may have some serious problem like cancer. aversions caused by his problem. we try to understand his concern behind this question. homoeopathic even ayurvedic treatment but from no where have I got any relief.” He has enough of it and is now averse to any more treatment. He says something likes. Secondly. “I always have a fear in my mind that things may go out of hand in case they are not treated properly and timely then it will be too late and no other option would left for me. so please do not give me medicines which can cause aggravation. I have tried allopathic. “I have already spent so much time and money on the treatment. FEAR. it become boring. desires for 5) Patient says.Let us take an example. Some patients put this question on the very first day others put it after they have received treatment for sometime. Later on as we went on practicing this system more and more we tried to really understand our patients. I am worried about how much more I will have to spend on it. There are some patients who require a guarantee.ray.” DISGUST Similarly in other situation when a patient asks the doctor. how long does the patient have to take the treatment – might not be an important question for a physician but it could be very important for the patient. “It’s been many days. when a patient is asking a physician about the duration of his treatment there must be some kind of doubt / confusion / fear / anxiety etc in his / her mind. LIGHT. future about 4) Patient says. “Already so much time has been wasted. “I am concerned about it because if it doesn’t get cured soon then it might lead to some bigger problem in the future.

” I . The lady was out of the grip of the fever within a few days. FEAR. She wept at her helplessness. oil. This time attack came with lesser intensity and for smaller duration and then it never came again. She said. exhilaration etc. ecstasy. Sehgal preferred to convert the expressions of the patients into the rubrics as they appear in Kent’s repertory For example Take the case of a house maid. if he is sick. Desire for amusement was also present in her. It is at this point that revolutionized method differs from it in the concept. She further said that she was averse to any kind of work except sweeping the floor. to various Gods and Goddesses). He was suffering from allergic asthma. A girl of 19 used to have attacks of urticaria with high fever. grains and perfumes. it is not necessary that he must be angry or weepy or anxious. desires for Lach 30 was prescribed to her. It observes that no individual at any given time is without any mental state. and PERSISITNG mental states of the patient. What is revolutionized method. she was separated from her husband and had two children totally dependent upon her. If a person requires medicine. According to them. Every word of the patient is to be weighed.L. “I was expecting the attacks anytime and I did not like to attend college because of unwarranted remarks from my classmates. and why is it named so? A ) What is the change ? Simply put. let your priest write to me in his own hand in a simple way and then contact me on the phone after a few days for a few minutes to me. My brother wrote to me that he is a devote of an ashram and wants his priest to be treated by me. He may be a normally behaving person covered by the rubrics like cheerfulness. Classical method also agrees that if we have dependable mental symptoms we can ignore the physical ones. the mental symptoms are not to be found in every patient.M. WEEPING. The doctors feared that attacks of severe intensity at short intervals could endanger her life.These are the PRESENT. He wrote. because the priest finds a lot of difficulty in his meditation and in conducting havan (a ritual in Hindu religion performed around the fire through offerings of butter. So instead of explaining the meaning of the rubrics Dr. Priest wrote his case history giving all the symptoms of allergic asthma. Here we will take up one of Dr. evaluated and interpreted in the language of rubrics and then out of them the present. She had high fever and she was worried that she couldn’t afford to fall sick so often. it is emphasizing on mind symptoms and prescribing only according to them. I still feel a little uneasy when I find obstruction in the performance of my religious duties. predominating. She reserved this job for herself for the fear of infection. sad thoughts HELPLESSNESS It led to the medicine Stram. “Although I am quite indifferent towards feelings of love or hate. After getting frequent attacks of malaria. and persisting are to be sorted out to make a basis for prescription. 30 was prescribed. I told my brother. infection of AMUSEMENT. She was hospitalized twice for the severity of the attacks with grave prognosis. PREDOMINATING.Sehgal’s case of a priest (religious head) who ran a big ashram in London. that is. as no body will pay her for the period of her absence from work. since I have renounced everything in this world. she became depressed. She could not rely upon other do it as well.

everything.e. for the purpose of selecting a remedy we must select from the present mental state. the former will get subdued and the later will predominate and will require to be treated first. E ) When not to prescribe? I am of the opinion that before a doctor examines a patient he should check whether he himself is fit to do the job well. of identifying and accepting the reality. Convert these expressions into the language of rubrics as listed in the repertory. If a person is already suffering from a powerful infection no infection weaker than that. And only when the system is cleared of the powerful infection the weaker of the two infections will present it and demand treatment. “Now I have come to accept it as a reality. can have any effect on him. The job of the meter reader is to concentrate. In other words it is decoding and deciphering the signals of mind in a mechanical way. recognize (catalepsy). In the case of priest. What I want to emphasize through this example is that it is the present mental state.P.P. prayers etc?” He said.P.? What persists is that which is trying to settle permanently. lies with eyes closed Cocc. to be taken after 15 minutes interval. persistent and predominant symptoms. rituals. was predominant. Your relation is exactly like the one between a meter and a meter reader. everything . C) What is the meaning of P. which perhaps I have to live with.asked him only one question “Does the obstruction cause any effect on your state of mind and force you to abandon your routine work. B) How to select a remedy? Since the mind is a vast field. and try his best to read the meter accurately remaining objective all the time. form expressions. it is well known that a judge should make judgments only when he is in a normal mood. like a seasonal fever etc. Ind. It is now been about a decade since the priest had not had anymore attacks of asthma. In other words it does not allow other symptoms to raise their heads.P. as if in the dark . It is as if the data has been pre. but cannot move. in the mind section. 2) INDIFFERENT. The priest was so grateful that he propagated the news of his recovery among his followers spread all over the city of London. treat a patient like a computer in human frame that emits signals in the form of speech and action. For selecting a remedy. 30 was prescribed in three small doses. what predominates is that which is the uppermost and all powerful. On the following rubrics: 1) RECOGNISE. As in judicial norms. We have many rubrics like: 1) GROPING. in the criteria of so called infection.fed by whatever order or disorder is going on in the body and the computer is throwing this data on the surface. i. only when he is in a balanced state of mind. in whatever form and style it may be present which is important and need be given attention. In other words if he is suffering from a disease which is less powerful than another infection which invades his body later. It is the powerful that prevails. which when combine. which I call signals. Let me tell you here that this phenomenon has a scientific background. but cannot move Original rubric in Repertory (RECOGNISES. D) Case taking and implementing P. The patient may abuse or misbehave with you in the worst manner but you must remain detached and then react to his behavior. and I don’t allow anything to obstruct me in the performance of my religious rites. In the same way a doctor should also be in a normal frame of mind when he prescribes medicine. at times there may have been many thoughts in his mind about his sickness yet one final thought. Why I call it ‘mechanical’ is to guard you against becoming emotional at the time of case taking.

The second action is the reversal of the original complaints. You should investigate whether there is now any change in his present state of mind. come back. You have to remind him. if the selection of the medicine is correct. It lasts for a fixed period of an odd number of days. minutes. To verify this. with the instruction to report on the next day so that you have the time to study his case with a clear and stable mind. For example earlier at the commencement of the treatment your patient had in his psyche one of the rubrics IRRITABILITY pain. usually 3. To conclude. hours or days and it is sometimes here that we are required to be very careful. Today you don’t seem to be so. According to the experience of Dr. first of find out what happened to the symptoms of mind on which the medicine was prescribed. blank pills.Sehgal. because it is the first action that gives the indication whether the remedy prescribed is right.e. The second course is to send the patient back with placebo i. As a result the case might take a wrong direction from the very beginning. If the indication of the first action is missed it might happen that the effects of second action mistaken for the signs of the first mislead you into changing the medicine or raising its potency. predominating and persisting symptoms without any bias or prejudice. or deep acting and whether it covers any miasm. that is without considering its grade as given in the repertory.2) CAPRICIOUSNESS 3) CONFUSION 4) CALCULATING . The second action is quite opposite to the first one because the ailments. Likewise on your previous visit you were not walking as easily as on you are now. . The relief under the first action may last for only a few seconds. inability for If the physician is himself under the influence of any of these mind rubrics. ignoring things like whether the remedy is short. under the second action the patient says he has no relief. on the basis of which the medicine was prescribed. He will be assured that he is in proper hands. Here you have to think whether the return of the complaint is due to the advancement of the disease or it is the curative action of the medicine – as part of the total curative process. If the patient really cannot wait you can request him to consult someone else following these three norms will never let you down in your practice. during. “Last time when you came to me you were weeping and were very annoyed. You will win his respect. Do not take him on his word. it must act in two ways: 1) First action 2) Second action The first action is instant relief in any kind of physical and mental pain or discomfort. requesting him to come on the next day or at any other suitable time. Usually. Its duration: The second action follows a fixed discipline. you can tell him the truth that you are not in the right frame of mind at that moment.The middle day is the peak day. ” The discipline followed by the second action. the main criteria is to arrive at the indicated remedy with the help of the tenets of the present. So while you have to be mechanical in your approach you also have to use your intelligence to understand the symptoms of the patient accurately. The right course for him in such a situation will depend upon the type of patient he is dealing with. who is in a relatively serious condition. If you feel that the patient is co-operative. The third option is for the patient. he should not expect himself to be capable of selecting the right medicine.

Obviously it makes the selection quick. desires for.P. In this case that source is men and not women. and sure. power. If he shares their activities then there is an ultimate fear of the law and if he does not then he fears they may harm him and therefore he has an inclination to escape.  Observing a patient as an individual independent and free from any connection with other drugs keeping in view his established and unchangeable disposition. fear of men. has many drugs placed under it and unless we know their distinguishing features it is difficult to identify the medicine indicated. if it is in the urinary tract it finds an outlet through the penis and if under the skin it comes out in the form of some sort of skin eruption. Terror: It is something that has the power to frighten the mind very badly. For example it could be the fear of sticks. the nose is its natural outlet. Of : This is the source. Another example: DELIRIUM. derangement. the patient according to this rubric go into a state of delirium. . For example: DELIRIUM. And it is the source of the fear that is more important here. So after getting a slightest jerk under the influence of fright. In revolutionized method we need to identify drugs as individuals. mouth. urethra and skin. with What is the fear here? It is a feeling of discomfort experienced at the thought of something harmful or dangerous. So this rubric has qualified the situation of fear. terror expressive Delirium is a state of mind which shows derailment. In actual practice we have three ways of selecting a remedy:  Translating three P. It may be the story of a man working in an office where his colleagues are cooperative but he does not share their view and has a constant fear of them. if the toxin is in the intestine it gets discharged through the anus. with each other as stated above. or being off track. If it is in the liver or in the respiratory system or stomach its exit is mouth. The person is in his senses but the tone and style of expression is exaggerated which stress and indicates abnormality of the mind. showing a great disturbance in the functioning of his mind. This means if the deposit of the toxins is in the head. punishment.P. For example the rubric LIGHT. especially in those cases where three Ps have many drugs. Sehgal has given us. So this patient fears from anything which has the power to hurt or harm him. or muscles. We have no hesitation or doubt in saying that no one would ever come so close to the genius interpretation that Dr. anus.  Comparing remedies placed under a common rubric. Through gestures and speech.Discharging of the toxic matter: The other thing that is expected from the process of second action is the discharge that may take place from any of the five natural outlets – nose. Expressive: Coming out of internal feelings to the surface. easy. Men: This word denotes strength. revealing the inside of one’s mind. expressions of a patient into the rubrics of mind.

it is an old concept which they have always used in their practice. her sleep become normal her appetite and routine elimination became normal and regular but the problem for which she had come to me in the first place remained for a long time. The other meaning is to plug one’s teeth hard on to something and to grind it. Sehgal has mentioned in his book No. Breaks: Divided into pieces by applying force accompanied by the desire to destroy things. For further reference please read the book ‘Rediscovery of Homeopathy’ series I – X. But there is a protest that is going on in his mind. This is because diagnostic investigations. page no. He is like a defeated solder finding him in effective in the present struggle for existence. Dr. pathology and the latest upper most mental state. Sometimes it has been observed that in spite of the best overall progress. and cannot offer resistance. which arrange union for promoting peace even among opposing forces. “the wearer knows where the shoe pinches”. of the lungs. require such data to properly assess the action of the medicine. because the person can find no other way to emit the venom from his mind. This rubric denotes a person’s helplessness where he is compelled to give up working. kidney. liver. From: Dr. It does not denote any kind of revolt against any existing literature that our Masters have given to us. Sanjay and Yogesh Sehgal . Please understand the word Revolution. especially those relating to the vital organs which are not visible i. But while assessing the progress of healing process we should also consider the anatomy. There are many practitioners who were / are using mind symptoms along with physical symptoms in their cases. that we simply read the dial ( mental state ) which indicates the medicine.Another example: SITS. It means that the medicine was acting only partially and not covering the whole. This protest finds an outlet by avenging itself on things which are inanimate. heart etc. For example there was a case of a lady who had the problem of twitching eyelids. physiology. VII . Pins : Things that bind different things together . The lady regained her overall efficiency.e. and break pins Sits: Sitting is a position which falls between the position of rest (free from any worry) and walking (being in motion). 14 . Frequently asked question There is a question frequently asked about the word REVOLUTION. lifeless. Here we can say that the person is refusing to be consoled and is trying to kill the one who is consoling him and says. What is new in applying mind symptoms? For some. the particular diseased organ shows no improvement.