Dynamocure Homeopathic Healing Institute & Research Centre.
By Dr Ajaz A Khan.
Aapka hamare clinic me swagat hai .
Doctor ko consult karne se Pahle si form ko acche se padhkar .usme pooche huye questions ke
answers ko ek plain paper par likhe .
Note : Aapki details secret rakhi jayegi .
Doctor ko apke liye perfect Homeopathic medicine choose karne ke liye apko ho rahe sabhi
problems ke bare mein aur aapke nature ke bare me complete jankari chahiye
PERSONAL DETAILS.
i)Naam ?
ii) Age /Sex ?
iii) single or married or widow or devorce:
iii) Contact:
iv) occupation: kya kaam krte hai ?
iv) address: kaha par rahte hai ?
v) refrence: aapko hamare bare me kis se pata chala hai ?
PART 1.
Aapke bimari ke bare me janne ke liye kuch sawal.
i) Aap us takleef ke bare me bataiye jis ki wajah se aapko hamare clinic me aana pada.
- takleef kya hai ? Kyu Hui ? Kabse hai ?koi ilaj karaya ?
- takleef sharir me ek side hai ya dono side
- jabse shuru hui tab se waise hi hai ya Kam zyda ho rahi hai .
- kya karne se takleef me aram hota hai ?
- kya karne se takleef badh jati hai ?
- koi aur takleef jo iske saath me ya aage peeche hoti rahti hai .
PART 2
Pahle hui bimari ke bare me janne ke liye sawal.
i) abhi jo problem hai yeh pahle bhi hui ? Kya ilaj karwaya tha ? Usse aram hua ?
ii) pahle se koi bimari hai ? Uski dawa le rahe ho? Konsi?
- diabetes, thyroid,, thyroid, cancer, aids,
iii) koi skin/chamdi ki bimari hui thi ? Koi cream wagerah lagaye the?
- daad , khujli, Allergy, pitti, safed daag etc
iv) koi chota mota operation hua tha ?
- warts, corn,piles, appendix,hernia remove Kiya Gaya ?
PART 3
Khandan me konsi bimari chali arahi hai usko janne ke liye sawal.
i)Kya aapke khandan me konsi bimari chali aa rahi hai JaiseTB, Cancer ,Sugar , BP,
thyroid,gatiya ,safed daag,heart attack etc ?
PART 4.
Kya koi aisi baat hai jo man ko pareshan kar rahi hai ?
Kya koi dar hai ? Animal, dushman, mar Jane ka ??
Koi chinta? ghar , bacche , paisa, job etc
Koi ghbrahat? bura hone ka ?
Kisi baat ka gussa ? Baccho par, boss par, ladai hone par?
koi bhi problem jiski wajah se aap hairan preshan ho jate ho aur uska bura asar aapke zindagi
par pad raha hai .
Part 5.
Aapke Nature ke bare me jaankari.
ADDICTION : NASHA KI ADAT
Kisi cheez ka Nasha karne ki adat hai ? kiska?
chai,coffee,guthka,paan,bidi,cigrette,daru,ganja,heroine etc
NEIND.
Neind acchi hai ya disturb rahti hai ? Sote time kis tarah sote ho?
ulta ,seedha ,side me (right ya left) ya aur koi position
THERMAL.
i) Aap ko konsa Mausam pasand hai? Kyu ?
ii)Kis mausam me accha nahi lagta ? Kyu ??
-Jaise thandi hawa se takleef ?
-Jaise suraj ki garmi se takleef ?
-Jaise barish me bheegne se takleef ho jati ?
iii) ghar me AC hai ya Fan kya use karte ho ?
- AC ki cooling kitna rakhte ho full chilled 16C par ya normal 24C par
- FAN full speed me rakhte ho ya slow ( har mausam me ya sirf summer me )
🚿
- Blanket: cover karke sote ho ? Hamesha? Koi specific season me?
- Bath : nahane ke liye konsa pani me nahate hai. ? Regular same ya Mausam ke hisab se
??
BHOOK.
- kya acche se Bhook lagti hai ?
- kab zor se bhook lagti hai ?
- khane ka man karta hai ?
- kitna khana khane par pet bhar jata hai?
KHANE/PEENE ME KONSA TASTE/DISH PASAND HAI? KYU ?
Cold drink, milk, curd, skimmed milk, egg , curd, chocolate, soicy, fried, chicken, mutton macchi
fruit
khatta , meetha , theekha , kadwa, masaledar
KHANE/PEENE ME KONSA TASTE/DISH PASAND NAHI ? KYU ?
Cold drink, milk, curd, skimmed milk, egg , curd, chocolate, soicy, fried, chicken, mutton,
macchi, fruit
khatta , meetha , theekha , kadwa, masaledar
PYAAS.
Kya aapko baar baar pyas lagti hai ?
Agar nahi lagti hai , garmi me bhi ? mehnat ke baad bhi ?
Agar haa to Pani peete ho ?
Agar haa to konsa pani prefer karte ho ? Thanda, garam, normal
Kitni der me peene ka man karta hai ? Thodi thodi der me , lambe time ke baad.?
Ek time me kitna Pani peene ka man karta hai ? Sip sip karke , ya ek saath pura etc
Agar aap ne sab kuch sahih se bata de to aapki sabse perfect dawa aapko mil sakti hai aur aap
Puri tarah se mentally physically socially theek ho sakte ho .
Thanks and regards
Dr Ajaz Ahmad Khan
BHMS ;MCH Regd 65854
PG-D-EMS {TISS}
Managing director
dynamocure Homeopathic
Healing institute and research centre.
