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Observe and Select Rubrics During Case Taking
Observe and Select Rubrics During Case Taking
Dr Muhammed Rafeeque
The methodology of case taking in homoeopathy is unique by many ways. Here, the sick individual is keenly observed
right from his entry in to the consultation room. A homoeopath considers the patient’s walking style, personal
appearance, sitting posture, expressions, behavior, response to questions etc. with due importance. It is a fact that
the indications of the similimum are found in different ways in different individuals requiring the same remedy. Apart
from the symptoms told by the patient, the features observed by the physician also help in distinguishing the
similimum from a group of similar drugs.
Here, examples of some features we may observe during consultation are given along with suitable rubrics and
drugs.
Anxiety with perspiration of face: Synthesis- mind- anxiety- face- perspiration of face- with: Ars, cic, mur.ac, nat.c.
Fruitlessly busy: Synthesis- mind- busy- fruitlessly: Absin, apis, arg.n, ars, borx, calc, canth, kali.br, lil.t, mag.p, stann,
sulph, tarent, ther.
Impulsive: Synthesis- mind- impulsive: Acon, alum, anac, ant.c, ARG.N, ars, aur, camph, cere-b, cham, choc, cic, coloc,
croc, cupr, gins, hep, IGN, iod, ip, lach, marb.w, med, merc, nat.m, nux.v, PULS, rheum, rhust, sep, staph, tarent, thea.
Restless activity: Synthesis- mind- activity- restless: Coff, dig, ign, lycps-v, nux.v, verat.
Stoop shouldered: Synthesis- generals- stoop shouldered: Arg.n, calc, carb.v, cocc, coff, coloc, lyc, mang, med, nat.c,
nux.v, op, PHOS, sil, SULPH, ter, tub, verat.
Walking rapidly from anxiety: Robin Murphy- mind- walking- rapidly from anxiety: Arg.n, fl.ac, sep.
Time anxiety [If appointment is given and comes late]: Synthesis- mind- anxiety- time is set, if a: Alum, arg.n, carc,
gels, med.
2. CONSTITUTION:
Dwarfish: Synthesis- general- dwarfishness: Ambr, aster, bac, BAR.C, bar.m, borx, calc, CALC.P, carbn.s, carc, con, iod,
lyc, mag.m, med, merc, merc.pr.a, nat.m, nep, nux.m, ol.j, op, ph.ac, sec, sil, sulfa, SULPH, SYPH, thyr, tub, zinc.
Mild: Robin Murphy- generals- constitutions- mild: Ambr, bell, calad, chim.m, cic, cocc, ign, ph.ac, PULS, sil, sulph.
Lax fibers: Robin Murphy- generals- constitution- fiber, lax: Agar, bor, calc, caps, cinnam, hep, KALI.C, MAG.C, op,
sabad, sil, spong.
Rigid fibers: Robin Murphy- generals- constitution- fiber, rigid: ACON, coff.t, NIT.AC, NUX.V, SEP.
Nervous: Robin Murphy- generals- constitution- nervous: Acon, ANAC, ARS, bell, CALC, carb.v, CHAM, chin.s, con, hep,
HYOS, IGN, lach, LYC, MAG.C, MAG.P, merc, nat.m, NUX.M, NUX.V, PHOS, ph.ac, plat, puls, rhust, sep, sil, stann, sulph,
valer. [Refer book for third grade drugs]
Weakly: Robin Murphy- generals- constitution- weakly: Ars, calc, calc.p, carb.v, chin.s, chin, cocc, colch, ferr, fl.ac, hep,
lach, merc, nat.m, nux.v, phos, PH.AC, sec, sep, SIL, spig, SULPH, verat.
Indecent dressing: Synthesis- mind- dress- indecently, dresses: Hell, hyos, stram.
Tasteless in dressing: Synthesis- mind- tastless in dressing: Calc, caust, hell, hyos, lyc, nat.m, nux.v, sec, staph, stram,
sulph.
Strange dressing: Synthesis- mind- strange- dressing in: Hell, sil, sulph.
Desire for black color: Synthesis- mind- colors- black- desire for: Ign.
Desire for black and white: Synthesis- mind- color- black- desire for; white and: Bung.
Desire for blue: Synthesis- mind- color- blue- desire for: Tarent.
Desire for dark blue: Synthesis- mind- color- blue- desire for- dark blue: Ign, lach, nux.v, staph.
Desire for light blue: Synthesis- mind- color- blue- desire for- light blue: Cocc, ign, kali.bi, nux.v, phos, sep, sil, staph,
tub.
Desire for dark brown: Synthesis- mind- color- brown- desire for dark brown: Sil.
Desire for light brown: Synthesis- mind- color- brown- desire for- light brown: Nux.v, sep.
Desire for changeable colors: Synthesis- mind- color- changeable- desire for: Puls.
Desire for green: Synthesis- mind- color- green- desire for: Nux.v, sil, tarent.
Desire for light green: Synthesis- mind- color- green- desire for- light green: Ign, nux.v, sep, sil, tub.
Desire for light color: Synthesis- mind- color- light color- desire for: Ign, lach, mangi, nux.v, sep, tub.
Desire for no particular color: Synthesis- mind- color- no particular color- desire for: Nux.v.
Desire for pink: Synthesis- mind- color- pink- desire for: Ign, nat.m, nit.ac, nux.v, phos, puls, sep, sil, tub, zinc.
Desire for purple: Synthesis- mind- color- purple- desire for: Nux.v, sep.
Desire for red: Synthesis- mind- color- red- desire for: Aur, ign, phos, tarent.
Desire for violet: Synthesis- mind- color- violet- desire for: Nux.v, sep.
Desire for white: Synthesis- mind- color- white- desire for: Ars, ign, kali.bi, lach, mangi, med, nux.v, phos, sep, sil,
staph, sulph, thuj, tub, zinc.
Desire for lemon yellow: Synthesis- mind- color- yellow- desire for- lemon yellow: Ars.i, ign, sep.
4. HYGIENE:
Apathy to personal appearance: Synthesis- mind- indifference, apathy- appearance- to his personal: Coca, SULPH.
Aversion to washing and bathing: Synthesis- mind- washing- aversion to wash, bathing: Am.c, ant.c, borx, calc, canth,
clem, kali.n, marb.w, mez, nit.ac, psor, rhust. Sep, spig, stron.c, sulph.
Mania for cleanliness: Synthesis- mind- washing- cleanness, mania for: Ars, sil, sulph.
Offensive: Synthesis- generals- offensiveness, fetor: Arn, ars, bapt, bry, carb.ac, CARB.V, hep, kali.p, LACH, nit.ac, podo,
PSOR, rhust, sec, sep, sil, sulph, tell, thuj.
5. FACIAL EXPRESSIONS:
Anxious: Synthesis- face- expression- anxious: ACON, AETH, AIL, ant.t, apis, ARS, aspar, bapt, bell, BORX, cact,
calc,CAMPH, carb.v, chel, CHINN.S, coloc, crot.h, cupr, cur, dig, kalm, LAC.C, lat.m, lyc, nux.v, plb, spig, spong, stram, stry,
sulph, VERAT. [Refer book for third grade drugs]
Besotted: Synthesis- face- expression- besotted: Ail, BAPT, bell, bry, bufo, cench, cocc, crot.c, crot.h, gels, lach, led,
mur.ac, nux.m, op, sol.ni, stram.
Confused: Synthesis- face- expression- confused: Aesc, ars, bufo, cupr.act, hyos, LYC, nat.m, phos, plb.
Distressed: Synthesis- face- expression- distressed: Ail, am.c, ARS, aspar, CACT, crot.t, cupr, gels, iod, lach, nux.m, nux.v,
phos, spong, stram, stry, zinc.p.
Foolish: Synthesis- face- expression- foolish: Absin, acon, arg.n, bar.c, BUFO, kali.br, lyc, nux.m, phos, stram.
Frightened: Synthesis- face- expression- frightened: ACON, apis, ars, atro, bapt, bell, cact, canth, cimic, cocc, cupr,
kali.ar, lyss, sol.ni, STRAM, stry, tab, tarent, vip, zinc.
Idiotic: Synthesis- face- expression- idiotic: AGAR, bry, calc, cann.i, kali.br, lach, laur, lyc, plb, sec, stram, tarent, thuj.
Haggard: Synthesis- face- expression- haggard: Am.c, ARS, bell, camph, canth, caps, carb.v, colch, cupr, hydr, hyos,
kali.ar, KALI.C, kali.p, lach, merc, morph, naja, nat.m, nit.ac, op, ox.ac, phos, plb, sang, sec, sil, staph, stram, sul.i, tab,
varat.v, zinc.p.
Intoxicated: Synthesis- face expression- intoxicated: Bapt, bry, bufo, cann.i, cench, chlol, cocc, dor, eug, gels, hydr,
hyos, kali.i, lach, led, merc, merl, mur.ac, nux.v, op, ruta, stram.
Pinched: Synthesis- face- expression- pinched: Acon, aeth, carb.an, carb.v, cina, cocc, cupr, ferr, iod, kali.ar, kali.n, merc,
phos, sec, staph, tab, verat, verat.v, zinc.
Sleepy: Synthesis- face- expression- sleepy: CANN.I, laur, nux.m, OP, phos, phys.
Vacant: Synthesis- face- expression- vacant: Anac, anan, arn, bell, camph, cann.i, carb.n.s, cic, cocc, ferr, hell, hyos,
kali.br, lach, mez, op, ph.ac, phos, psor, stram, sul.ac, zinc.
Awkward in gestures: Synthesis- mind- awkward- gestures in: Caps, nat.c, nat.m, nux.v, sil, sulph.
Biting nails: Synthesis- mind- biting- nails: Acon, am.br, am.m, ambr, ant.t, arn, ars, ARUM.T, BAR.C, brom, calc, calc.f,
carc, caust, cina, cisplat, gaert, hura, hyos, lyc, lyss, mag.c, MED, nat.m, nit.ac, phos, plb, sanic, senec, sil, stram, sulph,
VERAT.
Make gestures: Synthesis- mind- gestures: Ars, asc.t, bell, bufo, camph, cann.i, chinin.s, cic, cocc, hell, hyos, kreos,
mosch, nux.m, nux.v, plat, plb, puls, sep, stram, tarent, verat.
Involuntary motion of hands: Synthesis- mind- gestures- hands, involuntary motion of the: Alumn, ars, bell, cann.i,
caust, cic, coca, fl.ac, hell, hyos, kali.br, merc, mosch, nat.m, nux.m, phos, puls, sang, sil, stram, sulph, tab, verat.
Playing with hands: Synthesis- mind- gestures- hands- playing with hands: Calc.
Rubbing the face with hands: Synthesis- mind- gestures- hands- rubbing- face, the: Alum.
Rubbing the hands together: Synthesis- mind- gestures- hands- rubbing- together- rubbing hands: Bapt, cann.i.
Wringing the hands: Synthesis- mind- gestures- hands- wringing the hands: Ars, aur, bapt, bufo, kali.br, kali.p, phos,
plat, psor, puls, stram, sulph, tarent, ther.
Stamping the feet: Synthesis- mind- gestures- stamping the feet: Acon, anac, ant.c, ant.t, cann.i, cham, cina, dulc,
hyos, lyc, nitr.o, nux.v, op, plb, puls, stram, VERAT.
Grimaces: Synthesis- mind- grimaces: Agar, bell, carc, cina, cupr, gels, hell, hyos, ign, nux.m, olnd, pall, stram, verat.v.
Jesting: Synthesis- mind- jesting: Caps, cic, cocc, ign, kali.i, lach, nux.m, stann, stram, tarent. [refer book for first grade
drugs]
Play antics: Synthesis- mind- antics- playing: Apis, bell, cic, croc, cupr, HYOS, ign, kali.bi, lact, merc, op, phos, plb,
stram, verat.
Absent minded during conversation: Synthesis- mind- absentminded- conversing, when: Chin.b, psil.
Anger when obliged to answer: Synthesis- mind- anger- answer when obliged to: Arn, ars, coloc, nat.m, NUX.V, ph.ac,
puls.
Answering abruptly: Synthesis- mind- answering- abruptly: Ars, ars.h, cham, cic, coff, gels, hyos, jatr.c, mur.ac, nux.v,
ph.ac, phos, plb, rhust, sec, sin.n, stann, sulph, tarent.
Aversion to answer: Synthesis- mind- answering- aversion to: Agar, arn, aur, cocloc, GLON, HYOS, kali.p,MANC, NUX.V,
PH.AC, phos, puls, sec, stann, stry, sul.ac, sulph. [Refer book for third grade drugs]
Dictatorial answering: Synthesis- mind- answering- dictatorial: Lach, lyc, plat, sulph.
Answers disconnected: Synthesis- mind- answering- disconnected: Coff, crot.h, kali.br, phos, stram,stry.
Answering hastily: Synthesis- mind- answering- hastily: Ars, bell, bry, bufo, cimic, cocc, hep, lach, lyc, rhust, stry.
Answering incorrectly: Synthesis- mind- answering- incorrectly: Ail, bell, carb.v, cham, hyos, merc, nux.m, nux.v, op,
ph.ac, phos, stram, verat.
Answering irrelevantly: Synthesis- mind- answering- irrelevantly: Atro, bell, carb.v, cimic, hyos, nux.m, ph.ac, phos,
stram, sul.ac, sulph, valer.
Answer in monosyllables: Synthesis- mind- answering- monosyllables: Achy, agar.pa, bell, carbn.h, carb.s, carc, gels,
kali.br, merc, mur.ac, PH.AC, plb, puls, sep, VERAT.
Repeats the question while answering: Synthesis- mind- answering- repeats the question first: Ambr, caust, hell,
kali.br, med, sulph.
Answering slowly: Synthesis- mind- answering- slowly: Anac, carb.v, cocc, con, GELS, HELL, kali.br, MERC, nux.m,
PH.AC, PHOS, rhust. Sulph, thuj. [Refer book for third grade drugs]
Anxiety speaking when: Synthesis- mind- anxiety- speaking, when: Alum, ambr, aq.mar, hell, nat.c, plat, stram.
Communicative: Synthesis- mind- communicative: Acon, alum, bar.c, choc, hydr.c, lach, limest.b, marb.w.
Concentration difficult while talking: Synthesis- mind- concentration- difficult- talking while: Gink.b, limest.b,
merc.c, nat.m.
Aversion to conversation: Synthesis- mind- conversation- aversion to: Ambr, ars, ars.s.f, asim, atro, bell, calc, carb.an,
carc, chel, choc, ferr, gels, gink.b, granit.m, murx, ox.ac, plb, ptel, thea, ziz.
Desire for conversation: Synthesis- mind- conversion- desire for: Ars, chen.a, narcot.
Mistakes in speaking: Synthesis- mind- mistakes- speaking in: Agar, alum, am.c, arn, bell, calc, cham, chin, cocc, dulc,
kali.c, lac.c, lyc, merc, NAT.M, puls, thuj. [refer book for third grade drugs]
Confused speech: Synthesis- mind- speech- confused: Alco, bell, ben.n, bry, calc, cann.s, carl, caust, choc, crot.c, crot.h,
gels, hyos, lach, lyc, med, mosch, nat.m, nux.m, nux.v, op, sec, sep, stram, thuj.
Intoxicated as if when speaking: Synthesis- mind- speech- intoxicated as if: Amyg, andr.c, carb.an, gels, HYOS, lach,
lyc, meph, nat.m, nux.v, vip.
Low soft voice: Synthesis- mind- speech- low, soft voice: Bell, carb.an, hydrog, nux.v, sec, staph, tab, viol.o.
Slow speech: Synthesis- mind- speech- slow: Aesc.g, arg.n, both, bov, cann.s, caust, HELL, ign, kali.br, LACH, op, ph.ac,
phos, plb, sec, sep, thuj. [refer book for first grade drugs]
Abrupt: Synthesis- mind- abrupt: CALC, cham, hep, lyc, med, nat.m, nit.ac, nux.v, plat, PULS, rauw, sil, sulph, tarent.
Absentminded: Synthesis- mind- absentminded: AGN, APIS, CANN.I, CAUST, CHAM, HELL, LACH, MEZ, NAT.M, NUX.M,
PLAT, PULS, SEP, VERAT. [Refer book for second and third grade drugs]
Asking for nothing: Synthesis- mind- asking -nothing for: Ant.c, ars, aur.m, bry, cocc, hell, hep, hyos, linu.c, mez, mill,
nicc, op, puls, rheum, sep.
Childish behavior: Synthesis- mind- childish behavior: Agar, aloe, apis, arg.n, BAR.C, bar.m, calc, carb.s, CIC, croc, hell,
ign, nat.c, nux.m, ph.ac, stram.[ refer book for third grade drugs]
Contemptuous: Synthesis- mind – contemptuous: Aloe, alum, androc, arn, ars, bry, canth, cham, chin, CIC, cina, com,
cycl, granitm, guaj, hell, hyos, ign, ip, lac.ac, lach, lyc, merc, nat.m, nit.ac, nux.v, pall, par, PLAT, puls, sec, sil, spong,
stram, verat.
Eccentricity: Synthesis- mind- eccentricity: Anh, asar, bell, cann.i, LACH, op, tarent. [Refer book for third grade drugs]
Fastidious: Synthesis – mind – fastidious: Anac, ARS, carc, graph, nat.m, nux.v.[Refer book for third grade drugs]
Immoderate laughing: Synthesis – mind- laughing – immoderately: Am.c, CANN.I, croc, ferr, hyos, ign, mosch, NAT.M,
nux.m, nux.v, plat, stry, stryp.[ refer book for third grade drugs]
Loquacity, changing: Synthesis – mind- loquacity, changing quickly one subject to another: Agar, ambr, arg.met, arg.n,
bry, choc, cimic, hyos, LACH, lyc, onos, par, phos, podo, rhus.t, sel, stram, teucr, tub, valer.
Mildness: Synthesis – mind- mildness: Acon, ARN, ARS, ars.i, BORX, cact, calad, calc, cann.i, cina, COCC, croc, cupr, ign,
indg, lil.t, lyc, .marct, NAT.M, nit.ac, nux.v, phos, PULS, RHUS.T, sep, SIL, spong, stram, sulph, thuj, verat. [Refer book for
third grade drugs]
Mischievous: Synthesis- mind- mischievous: Agar, aloe, ANAC, arn, ars, bar.c, bufo, calc, CANN.I, CHAM, CINA, calc.ar,
cupr, hyos, lach, merc, NUX.V, puls, spong, STANN, stram, tarent, tub, verat.
Overactive: Synthesis – mind- overactive: Hyos, op, spig, spong, verat, verb.
Reserved: Synthesis – mind- reserved: Calc, hell, hyos, ign, mang, mur.ac,NAT.M, PHOS, plat, puls, stann, staph.
9. RESPONSE TO DOCTOR:
Anger when spoken to: Synthesis- mind- anger- spoken to when: Cham, elaps, hell.
Anger when touched: Synthesis- mind- anger- touched when: Ant.c, CHAM, iod, sanic, TARENT.
Anger from conversation: Synthesis- mind- anger- conversation from: Puls, tarent.
Anger from interruption: Synthesis- mind- anger- interruption from: Androc, cench, cham, cocc, granit.m, graph, hell,
marb.w, nux.v.
Anxiety of being touched: Synthesis- mind- anxiety- touched; anxiety for being: Ant.c, arn, cina, hep.
Confusion when spoken: Synthesis- mind- confusion of mind- spoken to, when: ALUM, alumn, sep.
Consolation aggravates: Synthesis- mind- consolation- aggravates: Ars, bell, calc.p, carc, hell, IGN, kali.p, lil.t,NAT.M,
nit.ac, plat, SEP, SIL, SYPH. [Refer book for first grade drugs]
Consolation ameliorates: Synthesis- mind- consolation- Amel: asaf, calc.p, camph, caust, gels, hell, kali.s, phos, PULS,
sil, staph, syph.
Impatience when spoken to: Synthesis- mind- impatience- spoken to, when: Lil.t, nux.v.
Disobedience: Synthesis- mind- disobedience: Am.c, arg.n, CAUST, chin, dig, lyc, MERC, syph, TARENT, viol.o, viol.t.
[Refer book for first grade drugs]
Starting when touched: Synthesis- mind- starting- touched when: Bell, cocc, coff, KALI.C, kali.p, kali.sil, mag.c, ruta,
sil, stry.
Refuse to take the medicine: Synthesis- mind- refusing- medicine to take the: Arn, cimic, hyos, kali.p, LACH, stram,
verat.v, visc.
Normally, patients don’t bargain or show their avariciousness in front of doctors, as they are more worried about cure
rather than consultation charges. But the following rubrics have to be considered at least for some patients.
Avarice: Synthesis- mind- avarice: ARS, lyc, MERC, ph.ac, PULS, sep, SIL. [Refer book for first grade drugs]