Prafull Vijayakar

Predictive Homoeopathy -
Reading excerpt
Predictive Homoeopathy -
of Prafull Vijayakar
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DAY-4

Chapter 13:

Dr. Anita Salunkhe:

The topic for today will be knowledge about miasms. We have already seen
how miasm can be taken from the nature of a person, his behavior, the pathology,
the disease he is suffering, and also from his looks. Today, we will see how
miasm can help us in understanding the case, evolving the right similimum and
also in management of the case. I have learnt something different from this case.
I will share with you the peculiar defense mechanism of miasm today, from a
video case of schizophrenia.
Case 1:
A case of schizophrenia. It is a mental illness marked by extreme disturbance in
thinking and personality. There is a total disorientation in personality.
The patient is an unmarried man, aged 44years. He was brought forcefully in
October 2000 for Homoeopathic treatment. His first visit was when he was
admitted in the hospital for chronic schizophrenia. My first observation was: he
was not wearing any clothes, he was restless, rocking constantly, violent, agitated,
and angry towards his family for getting him admitted. He was constantly
murmuring, "Why waste money? Why spend so much money?"
Ailments from: He was a person with no relationship with anyone in the society.
Just before the attack, he was charged with heavy fine for not paying society
maintenance charges. This provoked him. He directly went to the secretary,

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abused and bashed him (rage syphilitic). After this, he had sleepless nights for
four days and started behaving abnormally. He was restless, abusive to the
watchman and to people on the road. When his parents (in their 70s) tried to
pacify him, he pushed his father down on the floor and twisted his mother's
hand. This compelled the parents to get him admitted.
Past history:
As a child, he always suffered from cold. Diabetes mellitus and hypertension
since past two years. He has been on psychiatric treatment off and on since ten
years.
Personal history:
Appearance : He was dirty and shabby in dressing.
Thirst : Very much + + +.
Thermals : Hot, always needs the fan, also wanted AC in the hospital.
Nature:
He was a clerk in a bank, but owned a flat of 40 lakhs. He said he had no vices,
but he always had an ambition to earn more money. So, he would lend money
on interest and earn money from that. His sister said that he was very particular
in spending. He is very money minded. He has no friends or relations; always a
loner. He said "everyone knows that I have a lot of money, so everyone can take
undue advantage of me." He would quarrel even with his near family members
when they asked him for some money. But when given some work, he would
do it without fail. At work also, he had quarrels with everyone as he felt all are
against him and want to take advantage of him. He was very particular in his
work; would not rest until he finished his work. He always said if man is born, he
has to work to live. He is religious and plays musical instrument. All his family
members are playback singers.
We will start with his video: Just see and understand his looks, his features,
reactions, and his attitude.
Dr. Anita: So, what do you think this man is?
Delegates: Mistrustful, avarice, suspicious, industrious, responsible, and ailments
from anger.
Nature (continued): He is a clerk and one of the officers is trying to harass
him in the bank. He is telling us how she is keeping a watch on him and everyone
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is giving him all the work. So he said he would take the matter to the parliament.
"I am so particular in work and you ignore me, then it affects me. I feel angry, to
people like me they do that!"
Dr. Anita: His looks are syphilitic, very thin, cheeks have gone in. He is
expressive. He is just telling how he is troubled at office. He has hasty speech.
This has slowed down much after the remedy. Patient: I am very much
interested in music.
Dr. Anita: What do people trouble you about?
Patient: They will rob me. When I was young, in sports also they used to
trouble me, not allow me to do fielding and in college and in music also, 'I was
always side-tracked.' I get angry. People are just against me. They come and
harass me. At office, I do not keep anything pending. I finish my work the same
day. They come and give me more work at 4:00 p.m. or 4:30 p.m. and I still do
it. Goal and motive in my life is to make money. Since 5 to 6 years, I do not have
much money, so I have become more stingy now, I collect money and invest it so
that I can make extra money. Everyone is selfish and mean, my parents, sister,
friends, etc.
Dr. Anita: So, this is the case. We will start with the analysis. All the cases,
which I will be showing you, are one-sided. Examples of one-sided diseases are
schizophrenia, obsessive-compulsive disorder, and maniac depression as there
are very few symptoms.
Hahnemann has said in aphorism 173, "the only diseases that seem to
have but few symptoms, and on that account to be less amenable to
cure, are those, which may be termed one-sided, because they display
only one or two Principal symptoms, which obscure almost all the
others. They belong chiefly to the class of chronic diseases (both at
mental and physical level.)"
How to go about in such cases? Aphorism 210 says, "the one-sided disease
appear to be more difficult to cure in consequence of this one-
sidedness, all their other morbid symptoms disappearing, as it were,
before the single, great, prominent symptom. Of this character are
what are termed as mental diseases. In all cases of disease, the
state of patient's disposition is to be particularly noted, along with
the totality of symptoms, if we would trace an accurate picture of the

124 Day 4 : 13.2 Case of Schizophrenia

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disease, in order to be able therefrom to treat it Homoeopathically
with success." Aphorism 211 says, "The state of disposition of the
patient often chiefly determines the selection of the Homoeopathic
remedy, as being a decidedly characteristic symptom, which can least
of all remain concealed from the accurately observing physician."
Disposition is the dominant quality, which distinguishes a person's attitude towards
life around. It is a basic reaction, a tendency to act in certain manner under
given circumstances, e.g. if a same situation comes, every person will react
differently and this reaction itself will distinguish each person from one another.
Some can be defiant, some mild this is the undiseased nature. Hahnemann
has already said that we have to take the basic genetic nature, the undiseased
nature.
Next, is his temperamental make-up mentally, physically, and emotionally and
his body built-up. Failure starts coming when you go for emotions - do not ask
how you feel, ask how you reacted in that situation - I was quiet, angry, etc.
Feeling can be happy, sad, anger, etc. Reactions are controlled by genes.
Emotions are from neurotransmitters, proteins, which are controlled by genes.
So, if we consider neurotransmitters, we are like allopathic physicians. Allopaths
know just how to control neurotransmitters by tranquilizers, anxiolytics, etc. If
we give IGNATIA for grief, STAPHYSAGRIA for anger, these will be only
neurotransmitters. We have to consider the genetic make-up. Now how to
proceed in each and every case?
^ Understand the make-up physical, mental, and general. ^
Ailments from.
^ Journey of disease, how it has progressed, which layer is it in, how we
have to revert him back now.
^ Miasm.
Analysis:
^ Physical make-up : Height and weight Lean and thin
Face and feature Dirty, sallow complexion,
ugly syphilitic.
Hair Thick and rough,
indicating strength.

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 Mental make-up : Expression : Rage, fury, anger, violent.
Will : Strong, obstinate
headstrong. If he decides, he has to
do it.
Morals : Conscientious about trifles, work is
worship (he said this twice in the video).
We are born here to work.
: All emotions are there -anger,
Emotions rage, suspicious, etc.
: (towards light/noise/music/
Sensitivity injustice?) Sensitive towards money
matters+ + .
: Nil. : Anger.
Attachments
General make-up : Fast.
Ailments from
: Fast.
Speed
: In mental diseases, it is very
Speech difficult to get these, later on I got
Craving that he loves hot drinks.
Thirst :
++
Thermals : Hot.
We need a remedy, which has to have all this. What is the miasm after ailments
from rage and anger? It is syphilitic. If it is grief, it is sycotic. If it is fright, it is psora
or syphilitic. So, even the ailment from decides the miasm.
What layer is the disease in? 6th layer. He travelled from cold and cough to
diabetes and hypertension and to schizophrenia.
Journey of disease: Bronchitis (2nd layer, psora) to hypertension (4th layer, psora)
to diabetes (5th layer, sycotic), schizophrenia (6th layer, syphilitic).

So, now we have:

+ Rage/anger/quarrelsome/fury.

126 Day 4 : 13.2 Case of Schizophrenia

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 ^ Suspicious, mistrustful.
+ Insanity, madness.
+ Fast speed, restless.
^ Abusive, insulting.
^ Avarice.
^ Conscientious about trifles.
+ Dirty, shabby.
^ Money minded.
+ Hot patient.
+ Thirsty.
The remedies that come up are: SULPHUR, ARS-IOD, LYCOPODIUM,
HYOSCYAMUS, and STRAMONIUM.
Take 7 to 8 days to understand the case, but do not prescribe a wrong remedy in
schizophrenia. In this case, it was my first remedy. Take the defense mechanism
at the cellular level in account.
Now we have to see how these remedies will act in the syphilitic state.
Ars-alb : Insanity from grief, shock, fright (but not rage), chilly (patient
hot).
Lycopodium : Insanity from jealousy, haughtiness, envy.
Sulphur : Insanity from loss of position, religious insanity, dirty, filthy,
position more important, not very money-minded.
Hyoscyamus : Ruled out, as the patient is not erotic or foolish.
Nux-vom : Insanity from excessive mental exertion or mental labor, chilly.
Stramonium : There is no fright here.
Homoeopathy is an art. There is no hard and fast rule. Now what is to be done?
So, now here we fail.
Aphorism 153 says, take the more striking, singular, uncommon and
peculiar characteristic signs and symptoms. So, where has the patient lost
his defense in the syphilitic state? What is his peculiar symptom in the present
miasm??
Tormented feeling. What is uncommon in the syphilitic state?? His
conscientiousness. In the syphilitic state, we lose our morals. So, I need a remedy,
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Dr. Anita: The patient forgets what was wrong with him. His speech is now not
that hasty. His cheeks look better now. He again is talking about money. His
basic nature will not change. Now he says, "It is okay, we will see. It happens
sometimes." Today he is praising and appreciating his family members!!
Patient: I got a very good sister. They never disturb me. I was troubled because
of my own 'karma'. My parents are gems. My delayed marriage is also due to
my 'karma'. I completely stopped that business of money. I am happy being
religious.
Dr. Anita: I started the case in October and in January, he came and said that
he had completely stopped all the allopathic drugs. His diabetes had increased
after the medicine, his diabetes is still there, it is not completely gone, but it is
under control and he is not taking any allopathic drugs for it. He is still under my
treatment. There is a total change in him now, in his behaviour. He was a chronic
schizophrenic.
Let us go to the second case. I learnt a lot from this case. Here I learnt that not to
try to fit the remedy in any case. If patient is not improving, it is failure of the
Homoeopath and not Homoeopathy. It is we who fail to get the right remedy
because we are not observant and do not apply the Materia Medica.
Homoeopathy never fails. In schizophrenia, you have to see the changes, how
the miasm changes, what are the parameters, when to stop the allopathic drugs.
No counselling is required in such cases, as it can cause suppression. Secondly,
do not stop the allopathic drugs immediately. You have to taper them down
gradually. The last follow-up was when he had completely stopped all the
allopathic drugs. The dose was repeated 2 to 3 times; we do not have to repeat
it frequently.
Case of an imbecile child:
This is again a one-sided disease. Here also we have to take the prominent
symptoms and the genetic nature. It is very easy to prescribe a remedy in such
cases, but a right understanding of the follow-up is required.
Imbecility is again a one-sided disease. It applies to those mentally handicapped
who are incapable of managing their own affairs. It, therefore, represents a lesser
severe degree of mental impairment than idiocy.
Chief complaint:
Male child, aged 4years, was brought to me in February 2001 for dullness,
slowness in understanding and eating, and he was weak in studies. He was
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 Prafull Vijayakar
Predictive Homoeopathy -
Workshop 2002 - Verbatim

252 pages, pb
publication 2005

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