Luc de Schepper

Luc de Schepper module

Beyond Jung…

Analysing a case

from the Chief Complaint

Table of Contents

 The Iceberg and the Hierarchy of Symptoms 3  Before you start the LDS Wizard 4

 Luc’s Multimedia6

 Luc’s Materia Media and Concepts Database in the Encyclopedia (EH) 6  Luc’s Concepts 7

 More about Luc’s Concepts 10  Finding Luc’s Core Delusions 11  Luc’s Core Delusions 12

 Luc’s Materia Medica database in EH 15  Using the Wizard 17

 Clipboard 1: Chief Complaint 22

 Clipboard 2: Sleep and Sexual 24  Clipboard 3: Food and Drinks 25

 Clipboard 4: Generals 26

 Clipboard 5: Mental, Emotional 27

 Clipboard 6: Never well since (Causality) 29  Clipboard 7: Delusions 31

 Taking Symptoms by Using Dr. Luc’s Concepts 32  From the Delusions clipboard to the next step 35  Clipboard 8: Core Delusions 36

 Summary Window 37  Analysis Window 38

 Making corrections: Moving symptoms 39  Making corrections: Changing the value 40  Hide the module window temporarily 40

 Potency Selection 41

 Paper Case Example 1: ‘My Wife sent me’ 46  Video Case Example 1: Paola, 29 yrs old 54  Video Case example 2: Wendela 81

 Video Case example 3: Jorick, a Boy 12 yrs old 105  Video Case example 4: Paivi, 55 yrs old 146

 Video Case example 5: Jenny, 27 Yrs old 147  Video Case example 6: Kevin, 7 yrs old 148

INTRODUCTION

The Luc de Schepper module (LDS-Module) consist of the following parts:  A case-taking Wizard.

 Concepts + patient expressions pointing to related rubrics in Synthesis  Core Delusions with a short explanation (in the Concepts repertory)

 Materia Medica differentiation of all the remedies in the concepts and the Core Delusions in the Encyclopedia Homeopathic program (EH).

 Several Multimedia files

The Luc de Schepper (LDS) wizard offers a standard method to evaluate and analyse cases.

Often students of homeopathy and beginner homeopaths struggle to analyse cases, become confused by all the symptoms and do not know which to select for use. The module helps the user to organize and evaluate all symptoms of a case according to its relative value, which will result in an analysis (repertorisation) where the Simillimum will be present in the top scoring remedies. The user can then differentiate between the top scoring remedies by consulting Luc’s Cure Delusion explanations of the remedies or by reading the Materia Medica of the remedies present in the Concept.

Dr. Luc’s Concepts contain over 50 very common concepts with the main remedies. Luc’s concepts are like ‘Super Rubrics’. Connected to these Concepts are:

 A definition of the concept

 The Main remedies with DD description (In Luc’s database in the EH program).  Patient Language: expressions how patients will present it during consultation.  A list of all the associated delusion rubrics in the Synthesis repertory.

THE ICEBERG AND THE HIERARCHY OF SYMPTOMS

The symbol of the iceberg represents the homeopathic case analysis process. Most often the patients come to us with a Chief Complaint on the physical level.

Note: Of course a patient could come with a Chief Complaint on a Mental Emotional level like ‘Jealousy’, but then you must add these symptoms in the appropriate clipboard. (e.g. Mental Emotional).

We must always take into account the totality of symptoms, but we will only prescribe successfully if we prescribe for the

patient with a disease, and not for the disease itself.

Therefore we need to value all symptoms accordingly, which the module helps us to do.

You are asked to organize the symptoms into the appropriate clipboards and the module then automatically gives the correct value to them. (For more details see below under each clipboard chapter.)

The most valuable guide for your prescription is often the most deeply hidden. Often the ‘simillimum’ lies in the unconscious of the patient, ‘the deepest part of the iceberg’.

Note: You can read Chapter 9 of Hahnemann Revisited “The value of Symptoms” for more general background information.

You always need to prescribe for the totality of the most characteristic, the most valuable, the A153 symptoms. You cannot take one single symptom, even an important one, out of the whole picture.

Every case tells a coherent story, and ‘everything’ in the patient’s story has to fit the story of the remedy as described in EH. Ask yourself:

 Who is this person (Constitution, Temperament) (extravert or introvert)?  Why does he do what he is doing? What is the motivation behind his actions? In every case you need to check:

 Are there Delusions or fixed ideas that the patient presents? What seems to be the most important fixed idea (Core Delusion) that rules the patient’s life?

 Is there a causation (NWS or Ailments From)? Was anything happening around the time when symptoms started (trigger or causation)?

 How did the patient react? How did he compensate?

BEFORE YOU START THE LDS WIZARD

Before you start the module you need to have the following information:  A full anamnesis with all symptoms and aspects of the case.

 It must include a full Time Line in order to find the different layers to be treated.  Ask yourself: is it an Acute case? Or an acute exacerbation of the Chronic case?  If it is a Chronic case, are you dealing with a Single or a Multiple layer case? If it is a

multiple layer case, use only symptoms from the last layer.

Definition of a Layer

At the first visit you must determine the number of layers in a case following the time line. Two or more different layers will have a different set of symptoms, with a different

causality (not necessarily from a different miasmatic background).

Do not go immediately to the rubrics: First try and see if you can fully understand the patient. Actually you should not start thinking of any remedy or any rubric, before you understand the whole case.

You should ask yourself ‘Eleven Questions’ to fully understand the patient. They are the following:

11 Q to the Simillimum

11 Q to the Simillimum

•

•

Where is the leakage of Energy (VF, Qi)?

Where is the leakage of Energy (VF, Qi)?

•

•

Acute Disease? Chronic? Or an exacerbation of Miasm?

Acute Disease? Chronic? Or an exacerbation of Miasm?

•

•

What are the common sx and therefore not important?

What are the common sx and therefore not important?

•

•

What are the A153 symptoms: uncommon, rare and

What are the A153 symptoms: uncommon, rare and

peculiar?

peculiar?

•

•

What system is affected? What is the pathology?

What system is affected? What is the pathology?

•

•

How many layers are present in the patient?

How many layers are present in the patient?

•

•

What is the NWS or Ailments from?

What is the NWS or Ailments from?

•

•

What is the core delusion?

What is the core delusion?

•

•

What are pt

What are pt

’

’

s temperament, attitude and dominant

s temperament, attitude and dominant

function of consciousness?

function of consciousness?

•

•

What is active miasmatic state?

What is active miasmatic state?

•

•

In what miasmatic state of the remedy is the patient?

In what miasmatic state of the remedy is the patient?

Psora? Sycosis? Syphilis?

Psora? Sycosis? Syphilis?

Note: For all these aspects read Dr Luc’s book: An Advanced Clinical Guide to the

Homeopathic Practice.” (Expected February 2008)

Multimedia: You can also see ‘Seminar video recordings’ via the

Multimedia button, where several ‘Questions’ are discussed.

Only after answering these questions, should you start using the wizard to fill in the first clipboards.

The delusions of the patient are the most difficult to find. By filling out the other clipboards first you will be able to see the top remedies of the patient case. At that point, you can access the Core Delusion of the leading remedies, each with its explanation, and you can decide which fits best the total story of your patient.

You can find these Core Delusions in the Materia Medica in the total context of the different remedies in EH so you will be more confident of your choice. This can be done when you are still in the Wizard window, or if you are in the normal Radar Analysis (repertorisation) window.

LUC’S MULTIMEDIA

You can access several Multimedia files via the option ‘Luc’s Multimedia’.

Some available items at present:

 A Power Point program to evaluate Remedy Reaction.

 Video with an introduction to Luc’s teachings

 Video Live Case consultation ‘Paola’ + Luc’s case analysis + a Lecture about the given remedy.

 And there will be more multimedia to come.…

LUC’S MATERIA MEDIA AND CONCEPTS DATABASE IN THE

ENCYCLOPEDIA (EH)

Luc’s Concepts and Core Delusions summary are not only available in the Concepts repertory, but also in ‘Luc’s Materia Medica’ database in EH.

 Here you will find full material medica descriptions of the Concepts and material medica differentiation between the remedies.

 And the Core Delusions

Note: Anywhere in the Repertory window or

Analysis window, you can Right mouse click on a remedy to search that remedy in Luc’s Materia Medica in the Encyclopedia (EH).

LUC’S CONCEPTS

Luc’s Concepts contain more than 50 valuable ‘Super Rubrics’ with ‘patient expressions’ and ‘referring rubrics’ in `the Synthesis repertory. For a full differentiation of the main remedies mentioned in a concept, you can switch to Luc’s database in the EH program for a full description.

A concept corresponds to the patient’s main feeling and emotion. When the homeopath asks himself the question: “What is the general feeling I get from the patient’s story?”

For instance: The story is one about “being forsaken” all her life. There is a concept or “super symptom” “Forsaken,” under which you can find the definition, the language of the patient as how she expresses this “forsaken feeling,” all the delusions in the Synthesis that express this “forsaken” concept and a differential diagnosis of the main remedies. The concept often relates to the painful, secret or shameful long past event that has become the main theme in the patient’s life (therefore intimately linked to the Ailments from).

All the delusion rubrics expressing the “same” thing about the chosen concept are shown. In this way, you have an overview of all the possible fixed ideas that express this concept and you can find (select) one or more that really connects well to the patients case.

A concept helps to translate the language of a patient into the language of the repertory. In the chapter Dr Luc’s Concepts you will find: Concepts with patient language and the main remedies for each concept with extensive material medica (and differentiation between them). (Note: available in Dr Luc’s EH database)

If you want to consult Luc’s concepts directly, click on the Concept button in the toolbar = emotional/spiritual = emotional/spiritual center: C.D. center: C.D. = = delusionsdelusions X

X= Language of the patient= Language of the patient

X X X X X X = rubrics = rubrics (compensations) (compensations) 1 1 2 2 3 3

e.g. “I am worthless” e.g. “I am worthless”

Then select the chapter Dr Luc

Then you can select the chapters  Concepts

 Core Delusions 

Note: You should also consult the Concepts in the EH database. Where you can also find an extensive Materia Media description of the main remedies for each concept.



Each ‘Concept-rubric’ has a definition and main remedies

Double click on the note icon to see the definition of the concept

Luc’s Materia Medica

The remedies in a concept can be differentiated by reading the materia medica of the remedies in Luc’s database in EH.

Right mouse click on a remedy to open the Concept MM database in EH.

Patient language and linked rubrics

 Each concept has a list of ways that a patient can express that concept. And by clicking on the ‘Synthesis icon’ you will see repertory rubrics that are linked to the concept.

Synthesis rubrics related to a Concept

By double clicking on the ‘Synthesis icon’ a list of related delusion rubrics in Synthesis will open.

Patient’s expressions: These are several ways a patient may express that concept.

The rubrics in the Synthesis repertory that are linked to this concept can be seen by double clicking on the small Synthesis icon.

Using Luc’s concepts and taking symptoms when using Luc’s Wizard

When the LDS-Wizard has been started, you can also select and take rubrics, which are connected to one of Luc’s Concepts.

Please see the chapter: Taking Symptoms by Using Dr. Luc’s Concepts (Clipboard 7: Delusions) for an explanation how to select Symptoms via Dr Luc’s Concepts.

MORE ABOUT LUC’S CONCEPTS

Note: The Concept information can be found in the Concept window in Radar or more extensively in Luc’s database in the EH program.

From anywhere in Radar with a Right mouse click you can switch to Luc’s Database in EH

Definition of Dr. Luc’s Concepts

A concept (or we might use Jung’s term Complex) can be expressed by one or several words. It is usually the main theme of long-term suffering that the patient links to painful recollections.

Don’t be surprised if the patient expresses this to you, even on the question, “What brings you to me?”

You will be surprised how patients are very clear in recognizing the crux of their suffering, and will answer you with, for example:

“I have lack of self worth,” or “I repress my feelings”, “I have problems being intimate with people I love,” even “I have lost all contact with the real world, I am always looking for refuge in a dream world!”

What the homeopath must do with this concept or theme is to define it first of all, and further define it through the patient’s expressions during the consultations.

We want to sharpen our skills in translating the patient’s language immediately into the language of the repertory, a difficulty many of us have. I want you to become so good in it, that you annoy your husbands, wives, children, cats and dogs by talking to them in rubrics, if not in real talk at least in “your mind!”

Our next step will be to link this theme to all the delusions that are possibly express this theme or concept, which was a tedious job for me as there are 2332 delusions in the repertory. This step allows us then to identify the leading 3 – 5 remedies, which we will then analyse through the provings and compare with each other.

This strengthens our skills in recognizing our remedies in their different miasmatic stages with their own expressions. It leads you to recognize polychrests you thought you knew in a much better way and identify them in the patient before they have created a full-blown disease expression on the M/E or physical plane.

FINDING LUC’S CORE DELUSIONS

The Core Delusions are located in the ‘Access to Synthesis – Concept Repertory’, so you need to switch to the ‘Concept repertory’.

Note: The Access to synthesis of Concept Repertory, always opens automatically at the

background when the Synthesis repertory is opened. Click on the Concept icon, to switch to the

‘Concepts window’.

Then select the chapter Dr Luc

Similar as opening the Luc’s Concepts, you select the chapter: Core Delusions

Each Core Delusion is followed by a short description

Tip: Anywhere in the Repertory you can Right mouse click on a remedy, and search through

LUC’S CORE DELUSIONS

Definition

The Core Delusion (CD) always contains a kernel of truth.

With men, the CD often has to do with performance, work, achievements and standing in society. In women, the CD is most often linked to affairs of the heart: loss of love,

perceived or real, unrequited love, deception and betrayal, etc.

Many of the Core Delusions stem from unrealistic expectations: CD are created by aiming for things that are either out of our reach, or are fueled by anxiety, jealousy, greed, etc. A Core Delusion is the expression of the dominant, ruling emotion. It will be the driving force behind the actions, thoughts and plans of the patient, and will create along the way,

secondary delusions. Therefore all compensations and secondary delusions have their

origin in the Core Delusion.

We all have a Core Delusion, therefore everyone executes compensations.

Compensations can be regarded as defense mechanisms that help us flee from the Core Delusion when it is negative, or reinforce the Core Delusion. Every patient executes

compensations to avoid his inevitable fate: he will have to face this Core Delusion at some point in his life.

A “positive” delusion (i.e., “I am a great person”) obviously is also bad for the person as it impedes his self-growth.

If the homeopath does not ask enough “Why’s?”,…. the patient will show him

compensations that are far away from the Core Delusion. He will try to coach you into prescribing for the mask rather than the shadow side (a mask that is formed by all these compensations). This will lead to the selection of a simile and not the simillimum:

“The Mask is the Simile; the Shadow side is the Simillimum!”

The explanation of a CD must match the secondary delusions and its compensations though the real proving of the remedy.

The Core Delusion is not taken out of context of the totality of the patient but simply expresses the most important characteristic of his totality.

“The Core Delusion is the emotional or spiritual center, surrounded by a cluster of images or ideas,

How the Core Delusions where defined

These Core Delusions were compiled by Luc from his years of clinical experience and by extensively studying the Delusions section in the repertory and the original provings. There were different criteria used to select the Core Delusion among the many different delusions of each remedy. These criteria include:

1. One delusion is a black type (intensity 3).

2. All delusions might be a 1, but several delusions express the same thing. 3. The remedy is the only one under the rubric of the delusion.

4. The Core Delusion always leads to Secondary delusions.

5. The patient in his story will always return to his CD in spite of many positive or negative compensations.

6. If no delusions can be found in the provings of a remedy: then by using the NWS and the compensations we can deduct the “invisible or secret” CD.

Jung and the definition ‘Core Delusion’

The definition of Core Delusion originally comes from Carl Gustav Jung, who also called it the Primary Core Delusion or the Mother Core Delusion.

Even the term Primitive Core Delusion would be suitable to use, since this Core Delusion is hiding in the shadow side and remains primitive as it leads to secondary delusions or fixed ideas since the Primitive Core Delusion is never resolved.

With the development of Compensations, the patient tries to stay away from the most deeply hidden feeling (his Primitive Core Delusion).

Note: for more information see the book: An Advanced Clinical Guide to the Homeopathic Practice.” (Febr 2008)

Explaining the Core Delusion information presented

The Core Delusion database can be consulted via the ‘Concept Repertory’ window in Radar or in Luc’s database in the EH program (via a Right mouse click on a remedy anywhere in the program).

The Core Delusions consist of a ‘main expression’ + ‘explanation’ part. Let’s take the example of Silica:

The left half of his body does not belong to him: independency at home yet depended and timid outside of the home

This consists of:

 The Core Delusion: The left half of his body does not belong to him:

 The Explanation:independency at home yet depended and timid outside of the home

A few examples more:

Lycopodium

 Core Delusion: He has done wrong and everything will vanish:

 Explanation:reflects the lack of confidence and fear of failure in his performance; he fails when the moment of performance is demanded

Veratrum album

 Core Delusion: He is a prince:

 Explanation: reflects the desire of Veratrum album to “be” someone in society (despair of social position)

Anacardium

 Core Delusion: a devil is speaking in one ear, an angel in the other,

prompting him to murder or acts of benevolence:

 Explanation:confusion in his actions and thinking due to ailments from domination

LUC’S MATERIA MEDICA DATABASE IN EH

Remember that with a Right mouse click on a remedy abbreviation anywhere in Radar you can open the full database of Luc de Schepper, which is located in the Encyclopedia (EH: Encyclopedia Homeopathica).

Luc’s current database already consist of more than 500 pages of text:  Concepts

 Definition + Causalities of concepts  Patient expressions of concepts

 Rubrics (Delusions) linked to each concept

 Specific Remedy description for each remedy mentioned in the concept.

 Core Delusions + short description

Right mouse click on a remedy and select:

Search remedy in Luc’s Materia Medica

You will jump to Luc’s database in EH, and automatically this remedy will be searched through the database.

Opening levels in Luc’s database

Click on the

+

Closing Luc’s database

Luc’s database will open on top of your other database.

Tip: It is best to first close Luc’s database, before you exit the Encyclopedia. All

searches from Radar to EH go in the last-opened database, so if you have opened Luc’s database last, you will always search in this database.

To prevent this, first select File, then Close database, to close the most upper database. Then you can exit EH in the normal way.

USING THE WIZARD

Luc advised to use the Essential Synthesis or the Synthesis Treasure edition with the (Quantum view). Optional the Millennium view, but be aware that you then also see a lot of new information, new remedies which he seldom uses.

Start the module

The case-taking Wizard can be started in different ways.

 From the Menu View, select the Luc De Schepper Wizard.  Via de hot key combination:

Alt + Shift + F7

 Via de ‘Wizard’ icon in the upper toolbar (Open Wizard Finder with keys: Ctrl + W)

The Wizard Window

When starting the Wizard, you enter the follow window (see below) with several clipboards at the left. These clipboards correspond with the categories of symptoms, which are given a different value during analysis.

 Chief Complaint  Sleep and Sexual  Food and Drinks  Generals

 Mental, Emotional  Never Well Since  Delusions

 Core Delusion

Tip: To move to a next clipboard just

press <enter>

The clipboards are organized from above to below, from homeopathically less important to most important. Each clipboard (each step) is described below in detail.

The clipboards are in reverse order of the pyramid on page 190 in

Hahnemann Revisited (HR), and also in reverse order of the repertorisation sheet on page 194 (HR).

Finding and Taking rubrics into the clipboards

Although the Wizard window lies on top of the repertory window, you can still search and take symptoms exactly as you would do from the normal repertory window (which you see at the background of the Wizard). However, there is a difference when you come to the last step of the rubric Find: you do not jump to the repertory (or concept) window, but the rubric is taken automatically into the clipboard of the module with a default value 1 (intensity 1). Note: the used intensity can differ according to the clipboard you are in.

Finding and taking symptoms into a clipboard:

 Just start typing characters, e.g. GEN <enter> to select the chapter

Generals, then followed by the characters for the rubric e.g. HEAT <enter> etc. etc. Exactly the same as if you where directly in the Synthesis repertory window.

 Or by pressing the function key F2 (Find), or  by clicking on the Find icon in the module.  Use the F3 to ‘Find from current symptom’.

You search on key-words:

 By clicking on the Word search icon

 By pressing the function key F4 (Word search)

You can search for Concepts

 By clicking on the Concept icon

Note: You can search for Luc’s Concepts or any other Concept.

Taking symptoms

So, when you are in the LDS window, and start to find a symptom, at the last level the symptom will automatically be taken in the current clipboard at the last level. For example when you type: MI <enter> (for mind)

JEA <enter> <enter> (for jealousy)

By pressing 2 times <enter> the rubric Jealousy will be taken into the current clipboard.

In each clipboard the symptoms are taken with a predefined value.

Important note on which symptoms to take

In general it is advisable to only use the outspoken (strong and clear, strange and rare) symptoms of the case or A153 rubrics.

Luc explains:

I know that underlining is a long tradition with some homeopaths but at the same time it is a very subjective process, depending on the observation of the homeopath. In the example cases I used on purpose ALL possible rubrics. As the homeopath becomes more experienced he will be more selective in his choices. But it is comforting to know that the beginner, who would write more rubrics down than the experienced, still will come to the same result.

Margret Tyler said, the older I get (read experienced) the less I write down in the inquiry. In other words, she only wrote down the A153 rubrics.

Summary on using symptom intensity (value)

In this first version of the module, you should only use the clear, strong and peculiar symptoms without adding a specific intensity value.

The symptoms receive automatically a value corresponding to the value of that particular clipboard.

Very strong peculiar (local) symptoms

If you find on the Chief Complaint level (Physical level) a strong Strange, Rare or Peculiar symptom, then you should add it to the Generals clipboard.

Reaching Synonym rubrics (Referring Rubrics)

Because at the last level you do not switch to the repertory but take the symptom directly into the wizard window, you might occasionally reach a so called ‘referring rubric’. These are synonym rubrics with no remedies, which point to an other rubric that will have remedies in it.

You can easily distinguish between ‘Rubrics with Remedies’ or ‘Empty Referring rubrics’ by looking at the ‘number of remedies’.

 You can easily see if a rubric has remedies: indicated with e.g. (15) which is the number of remedies in that rubric.

 You can see if a rubric has sub-levels: indicated with a

+

If by mistake you still try to select a Referring rubric, for example: Generals – Heat – Intolerance of heat

You will get a warning message asking if you want to take the rubric which this rubrics points to.

Example:

A warning message appears asking if you want to take the synonym rubric that has remedies

Word or Concepts Search

In a similar way you can use the search for Concepts or search for Words options To start a Word search in Synthesis press the

F4

key or click on the Word search icon.

Click on the Find Concepts button to open the concepts repertory.

Note: The special chapter with Dr Luc’s Concepts, are specifically

related to the Delusions clipboard.

Searching and taking rubrics from Luc’s Concepts from within the wizard window

It is possible to take symptoms connected to one of Luc’s Concepts, when Luc’s module (Wizard) has been started.

Please see the chapter: Taking Symptoms by Using Dr. Luc’s Concepts (Clipboard 7: Delusions) for an explanation how to select Symptoms via Dr Luc’s Concepts.

CLIPBOARD 1: CHIEF COMPLAINT

Definition:

The Chief Complaint (CC) is the complaint the patient brings up to your question, “What brings you to me?” In the patient’s mind it is the complaint to be resolved by your remedy.

Often the chief complaint is a physical symptom. So you take in this

clipboard the chief physical complaint and its modalities (location, sensation, better or worse with, time of onset).

Note:

If the CC is a mental/emotional symptom, you need to add this symptom to the mental/emotional clipboard. (You may take it also in the CC clipboard, but be sure to add it also in the corresponding clipboard.

Note:

Re: Very strong Strange Rare Peculiar (local) symptoms

If you find on the Chief Complaint (Physical level) a strong Strange, Rare or Peculiar symptom, then you should add it to the Generals clipboard

Tips

 The remedy you will prescribe (simillimum) does not need to be necessarily present in the rubric of the CC.

 Never prescribe solely on this CC, even if your remedy has the keynote for this symptom.

 Correctly answering the other sections (adding symptoms to the other clipboards), will resolve automatically the CC in most cases, even if the chosen remedy is not in the CC rubric.

 Modalities are the most important, permanent and usually the easiest answered by the patient.

 The Location of the complaint is the least important and will never exclude a chosen remedy. So if the complaint is left-sided and your selected remedy is a right-sided one that fits all the modalities of the chosen remedy and the patient case, than this is the simillimum

 Avoid prescribing on the name of a disease. Always remember that we need to treat a patient with a disease. However, the allopathic diagnostic name is important for the patient’s prognosis and the miasmatic selection of your remedy

 A Complete Symptom

These following three aspects form a complete symptom:

Location Sensation Modalities

We do not include the Concomitant symptoms because according to von

would do a VB method, which is not the case. Concomitant symptoms will be found under the Main CC rubric in Synthesis, followed by either, “alternating with” or “accompanied with”.

Type of rubrics you may use

Any localization, sensation and modality from the repertory Synthesis

Value of this clipboard

By default, the value of the symptoms in this clipboard is 1.

Number of rubrics

There is no recommendation on the maximum number of symptoms to be taken in this layer (clipboard).

CLIPBOARD 2: SLEEP AND SEXUAL

Definition of Sleep

Different aspects of sleep are taken into account: the position; waking up at what time; restful sleep; difficulties falling asleep, aggravation and amelioration from sleep; sleepiness during day; sleepiness with sleeplessness.

Tips

 Difficulties falling asleep can have many reasons but a Carcinosin state should always be considered in children with these complaints

 Times of waking up should always have a high value if corresponding to a

physical/emotional condition. i.e., Asthma, waking up at 3 a.m. (Kali-c; diarrhea at 5 a.m. (Sulphur)

 Dreams will be discussed later in an updated version

Definition of Sex

This contains all complaints under the sections in Synthesis: Genitalia Male and Female

Tips

 Do not always expect the mother to confide in you the aberrant sexual behavior of her child

 It is important to know the sexual milestones in children. Oedipus and Electra

complexes are normal at age 3-4. If carried further, especially till age 10 and more, this behavior becomes a great indicator for the remedy. I think of remedies such as

Hyoscyamus, Lachesis, Pulsatilla, Platina, Tarentula, Bufo, Bar-c, etc.

 For adults: take allopathic drug use into consideration (those that suppress or increase sex drive), for example: anti hypertension medication, Viagra, etc.

Type of rubrics you may use

Any symptom from Synthesis

Value of this clipboard

By default the intensity of the symptoms to this layer (clipboard) is 1.

Number of rubrics

There is no recommendation for the maximum number of symptoms to be taken in this layer (clipboard).

Note: For more info, see Dr Luc’s book, An Advanced Clinical Guide to the Homeopathic Practice.” (Febr 2008)

CLIPBOARD 3: FOOD AND DRINKS

Definition

Desires (craving) and Aversions (dislikes) to food are a result of the predominant miasmatic state of the patient.

Note: They have to be differentiated from aggravations and

ameliorations from food particles, which must be placed in the Generals clipboard.

Tips

 Be careful about paying too much attention to cravings/aversions in children unless they are truly peculiar. Cravings for pizza, macaroni, hamburgers and sweets are

unfortunately normal in our children.

 Take the diet habits in the family in account for cravings in children: vegetarian families encourage their children to avoid meat and eat vegetables.

 Cravings and aversions in pregnancy do take a more important value in the patient as they denote the miasmatic state brought from the father to the mother.

 Avoiding coffee should be a must in those patients whose remedy is found under, “Coffee aggravates (Generalities).”

 Pay special attention to all the rubrics indicating aggravation from food stuffs: from fruit, from garlic, onions, fatty foods, spicy, etc.

Type of rubrics you may use

Any symptom from Synthesis (under Generalities)

Value of this clipboard

By default the intensity of the symptom in this layer/clipboard is 1.

Number of rubrics

The recommendation for the maximum number of symptoms to be taken in this layer (clipboard) is 3.

CLIPBOARD 4: GENERALS

Definition:

General symptoms are those that affect the patient as a whole and thus rank higher than particular symptoms, which affect only one organ or function.

General symptoms are those that can be expressed as statements beginning with “I”.

For example: I am, I feel, I love, I feel better or worse from, etc.

Tips

 A general symptom, if well-marked, can overrule any number of even strong particulars.  Most Generals are found in the repertory in the section: Generalities.

 A number of strong particulars must not be neglected because of one or more weak generals

A few examples of general physical symptoms

 Internal temperature (chilly or hot)

 Weather condition (Wind, changes, cold, etc.)

 Position: Aggravated or ameliorated from lying, sitting, standing, lying on one side  Sides of the body: “What side of body is mainly affected?”

 Time of day: aggravation or amelioration of the complaint at a certain time of the day (or night).

Type of rubrics you may use

Any symptom of Synthesis

Value of this clipboard

By default the intensity of the symptom in this layer/clipboard is 2.

Number of rubrics

The recommendation for the maximum number of symptoms to be taken in this layer/clipboard is 6 (A warning is displayed if you take more symptoms).

CLIPBOARD 5: MENTAL, EMOTIONAL

Definition

The definition of peculiar, rare and strange symptoms is given by Hahnemann in the Organon:

“A153: The more striking, strange and unusual signs and

symptoms in the case are especially, almost exclusively, the ones to which close attention should be given, because it is these above all which must correspond to very similar symptoms in the symptom list of the medicine being sought if it is the most suitable for cure.”

It goes without saying that most of the patient’s A153 rubrics will relate to mental/emotional expressions but obviously general peculiar physical symptoms (worse from wind for

instance) or local peculiar symptoms (for instance, coryza with perspiration of Mercury) are following this definition and need then to be added to the corresponding clipboard.

Tips

 Avoid common symptoms used form the allopathic diagnosis.

For instance, depression. This is an opportunity to the homeopath to see all the sub rubrics belonging to the rubric “sadness” which might be more related to your patient. Of course other rubrics express the general symptom to depression: indifference, loss of ambition, brooding, aversion to company, refuses to eat, ennui, morose, etc.

 To be certain of choosing the simillimum, the peculiarity and the intensity of the

symptoms in the patient, must match the peculiarity and intensity in the chosen remedy. I.e., if jealousy from A/F grief is outspoken in the patient (3), then it must be a (3) in the proven remedy: Hyoscyamus. This will help you at the end to differentiate between close remedies.

 Rubrics with more than 100 remedies in it can hardly be considered “a Rare and Strange Rubric (i.e., Weariness)”. The size of the rubric will give you an idea about the common or uncommon symptom. Less than 30 remedies in a chosen rubric can be considered “rare” (i.e., A/F grief).

 Ask yourself the question, “Is this how most people react to this situation?” If not, it is uncommon. There are of course different reactions to different situations according to the patient’s prevalent active miasmatic state. To give an example: “Laughing at funerals” would be considered uncommon and translated with the rubric, “Laughing about serious matters.”

 In order to get to the real “uncompensated” emotion, ask “why and for what purpose” the patient has that feeling. This should give you the “real” emotional rubric.

For example: Censorious. We can use this rubric if it is present in the patient but also should add the “uncompensated” rubric belonging to censorious. Why is he censorious? To feed his Ego like Sulphur (Egotism, Haughty), because he is morbidly sensitive to

criticism himself, taking everything in bad part like Carcinosin (easily offended); or is it because he wants to give themselves an air of superiority which he doesn’t really possess like Veratrum album (Despair of social position)

 Is it because they are such perfectionists and no one else can live up to their standards like Arsenicum album (Anxiety about trifles-Conscientious about trifles-Anger at trifles)? By adding this “uncompensated” rubric we are doing a differential diagnosis bringing us closer to the real simillimum.

 Another example: the dominant emotion is jealousy but upon further questioning as to the “why,” the jealousy stems from grief, so “Ailments from Grief” is the uncompensated feeling.

Note: See the book Hahnemann Revisited Chapter Nine, pages 174-180 for

explanation of these kinds of symptoms and see the book, An Advanced Clinical Guide to the Homeopathic Practice.” (Febr 2008)

 At least 3 of the mental/emotional symptoms should be taken if at all possible.

Otherwise there is no limit to the M/E symptoms (more than three) as long as they are peculiar and at least strongly present in the patient (2 and 3)

Type of rubrics you may use

Any symptom from the Synthesis chapter MIND, and there are also several M/E symptoms throughout the repertory, which also may be taken.

Value of this clipboard

By default the value of this symptom in this layer (clipboard) is 3.

Number of rubrics

The recommendation for the maximum number of symptoms to be taken in this

layer/clipboard is 10 (a warning will be displayed if you take more symptoms: ”Before you proceed further, make sure these M/E symptoms you take are peculiar and intense in the patient.”

CLIPBOARD 6: NEVER WELL SINCE

(CAUSALITY)

Definition

This is defined by the question: “What was the event (mental, emotional or physical) that triggered the onset of the illness?”

Type of rubrics you may use

In this clipboard you should take the Never Well Since (NWS) or Ailments From (A/F) or causality symptoms. You may use the Rubric Mind – Ailments from, but also other NWS rubrics throughout the repertory may be used.

For instance the causation could have been Cold NE Wind triggering Bell’s palsy. You will find this causality under “Generals.” So causalities can besides being emotional in nature, also be mental (overwork, reading, etc.), physical (head trauma), weather related (heat stroke, wind, cold exposure, etc.), diet related (see under foods, generals) and iatrogenic (caused by allopathic meds. The latter is NOT taken into account to find your remedy and symptoms related to this meds are not taken into account to find the simillimum.

Pitfalls

Make sure to match the NWS of the patient’s illness to the layer you are

treating. Do not mix the NWS of two different layers. Each disease layer has

its own symptomatology and causality and need to be addressed by the corresponding (different) remedy.

Layer 1: NWS grief: Del, neglected duty, etc

Guilt, sadness, etc Head trauma: Headaches, Irritability, etc. Layer 2: A/F injuries, Mental sx from Rx: Nat-s Rx: Aurum

The trigger or NWS can be expressed by different emotions, in other words we must take in account the different Ailments from (A/F) rubrics that express the same

emotion.

This will avoid skewing your remedies. i.e., A/F grief, Forsaken, Disappointed love and Deception and Betrayal can all belong to one layer as long as they reflect the sentiments of the patient in that layer.

There might be more than one A/F (NWS) in the same layer. We should take each causality (even if different) take in account for the same layer.

For example a layer has A/F fright, A/F disappointed love and A/F jealousy. You must take both to find the simillimum for this layer (this could be Hyoscyamus in this case)

The NWS can often go back to the Intra-utero event. Ask about the pregnancy of the mother’s patient: any mental, emotional or physical trauma?

Note: See the book An Advanced Clinical Guide to the Homeopathic Practice.” (Febr 2008)

Value of this clipboard

By default the value of the symptoms in this layer (clipboard) is 4.

Number of rubrics

There is no recommendation on the maximum number of symptoms to be taken in the layer (clipboard) except they need to belong to the same layer.

Layer 1

Layer 1

A/F grief; disappointed love;

A/F grief; disappointed love;

Deception and betrayal.

Deception and betrayal.

Rx: Nat Rx: Nat--mm Layer 2 Layer 2 A/F fright; A/F fright;

Hearing bad news

Hearing bad news

Rx: Gels

Rx: Gels

Layer 1

Layer 1

A/F jealousy; disappointed

A/F jealousy; disappointed

love; fright love; fright RX: Hyosc. RX: Hyosc. Layer 2 Layer 2 A/F fright; A/F fright;

Hearing bad news

Hearing bad news

Rx: Gels

CLIPBOARD 7: DELUSIONS

Definition

“A delusion is a fixed idea, a feeling which becomes dominant and exaggerated, thus affecting the quality of life of the patient as well as his behavior and perception.”

It does not mean that there might not be a nucleus of truth in the feeling, but the emotion has almost become an obsession to the detriment of his health. Someone in good health (intact Vital Force) is able to put aside or work through incidents of betrayal, grief, and disappointments. A lowered Vital Force turns these feelings in “stuck” emotions, which if untreated will become delusions.

“A delusion is a fixed idea, always linked to a painful, old unresolved complex, in other words it is always derived from a truthful event.”

Note: For more information about Delusions, see the book An Advanced Clinical Guide to the Homeopathic Practice.” (Febr 2008)

Type of rubrics you may use

Delusion rubrics are located in the section Mind – Delusions.

Value of this clipboard

By default the value of the symptoms in this layer (clipboard) is 4.

Number of rubrics

There is no limit to the amount of delusions that can be taken in the patient’s case. Often though, the delusions have the same meaning. We like to take all of them since sometimes other remedies are mentioned in different rubrics.

TAKING SYMPTOMS BY USING DR. LUC’S CONCEPTS

When you are in the Delusions clipboard, you can search and take Delusion rubrics directly from the repertory Synthesis or you can use the chapter ‘Dr. Luc’s Concepts’.

Luc’s Concepts refer to related rubrics in the Repertory.

Note: For more general information about this specific Luc’s Concept chapter by Dr. Luc,

please see the chapter in the beginning of this manual.

Step 1: Click on the Find Concepts button

Step 2: Select Dr Luc Chapter,

(or you may select any other Concept chapter)

Step 4: Select one of the Concepts,

Step 5: When you have selected the Concept you want, press <enter> of Click on OK

The program will then directly show you a list of the Synthesis rubrics, which are linked to that concept.

Step 6: You can select a rubric by Double

clicking on it, and it will be added to your

clipboard in the wizard.

Note: you can select only one rubric at a time

When the selected symptoms have been taken into the clipboard you can still decide later on to de-select (de-activate) one or more of the symptoms by un-checking the box in front of that symptom.

The advantage is that you have not really deleted that symptom from the clipboard, and can select it again, to see the effect it has on the Analysis.

Only rubrics that are checked ON, will be taken into account in the analysis.

Tip:

You can use a Right mouse click to open a context sensitive menu. In this menu you can select to: - Show only the selected rubrics’ or ‘Show all rubrics’ (by unselecting this option again).

- Check rubrics ON or OFF.

- Combine several rubrics into one.

Tip: ‘Hide the module’

If you want to study once of Luc’s Concepts more closely (e.g. read the explanation symptom note, see the Language of the patient, Go to Luc’s MM in the Encyclopedia) or if you want to take many symptoms linked to such a concept, then it is also possible to temporarily exit the module by clicking on the

‘Hide’

(For more explanation see: ‘Hiding the module window temporarily’)

Then go to Concepts window as described in the chapter ‘Luc’s Concepts’

It is possible to drag and drop several ‘concept-symptoms’ to the appropriate clipboard (often this will be clipboard Nr 7 ‘Delusions’). Remember to give them the correct value (e.g. 4 for Delusions).

FROM THE DELUSIONS CLIPBOARD TO THE NEXT STEP

After you have selected possible Delusions rubrics in this clipboard, you have the following choices:

 Go to the next clipboard ‘Core Delusions’ by pressing <enter>, click on ‘Next’. When you go to the next clipboard (The ‘Core Delusion’ clipboard) the program automatically shows the Top 5 scoring remedies. It is now time to compare the Core

Delusions of the top scoring remedies.

 You can also go immediately to the Analysis window by clicking on the ‘Analyse’ button. The Core Delusions of the top scoring remedies will also be added to your analysis window for you to consult.

CLIPBOARD 8: CORE DELUSIONS

You have filled in the symptoms of the case into the previous appropriate clipboards, the module has given the appropriate value to the symptoms and now it is time to select the remedy for your case.

When you click on the ‘Core Delusion’ clipboard the program

automatically shows the Top 5 scoring remedies. It is now time to compare the Core

Delusions of the top scoring remedies.

You can then click on the Analyse button or you can continue to the Summary window by pressing <enter> or clicking on Next.

If you jump to the Analyse window In the Analysis window the Core

Delusions of the Top scoring remedies are added in the last clipboard for you to consult.

If you jump to the Core Delusion clipboard

Automatically the Core Delusions will be presented on the top of scoring remedies.

Most probably one of these remedies will be the simillimum for your case.

You may select one of the Core Delusions if you think it matches your patient, and then click on the

Analyse button, or click Next to

You do not need to select any if you do not want. If you do select one Core Delusion

already, it will only result in the corresponding remedy being highlighted in the Analysis window

(To be added in a later version of the module)

Tip: For more information about the remedies, you can consult Luc’s Materia Medica in the

Encyclopedia, via a Right mouse click on a remedy.

SUMMARY WINDOW

The summary window shows an overview of the symptoms taken in the clipboards.

You can Right mouse click on a

symptom to open a context sensitive menu with options like

Tips:

Saving a case

You can use Control + S to save a case when in the wizard window.

Recalling a case

To recall a case you need to close Luc’s wizard first. Then you can recall a case as you do normally: Right mouse click on a clipboard, or Control + R

ANALYSIS WINDOW

After clicking on the Analyse button from Luc’s Wizard, you come to the Radar analysis window. If you had already selected one of the Core Delusions in the module, the corresponding remedy will be highlighted.

Among the top scoring remedies you will most probably find the simillimum for the patient. You can use either a Right Mouse click on a remedy or us Luc’s button to study the top scoring remedies more closely in Luc’s Materica Medica (Concepts and Core Delusions).. You can now differentiate between these high-ranking remedies by:

 Comparing Luc’s Core Delusion’s

 Read the material medica in Luc’s Concepts database where you can find differential diagnosis of remedies.

 Consult Keynote files or other Materia Medica books in the Encyclopedia (EH).

Right mouse click on a remedy

You can Right mouse click on a remedy abbreviation, then select ‘Search remedy in Luc’s Materia Medica’

Note: You can also Right mouse click on a remedy anywhere in the program to open the same context menu

In the Analysis window the Core Delusions of the top scoring remedies are added in the last clipboard for you to consult.

Differential Diagnosis: Select the most important clipboards to use

It can happen after the analysis using the first 7 clipboards, that we score two or three remedies close to each other. There are different strategies to resolve this:

Reading about the three remedies in the Materia Medica is one option, but I chose an option that makes also sense: limiting the choice to the last three clipboards which takes into account the value of symptoms (the remedy that scores highest here will get the preference! This method is generally accepted by the old masters).

In practice I have found that the CD of these leading remedies is of tremendous help to differentiate between them. If you feel that the CD of your chosen remedy does not fit the essence of your patient then most likely you have chosen the wrong remedy!

Tip: To select two or more clipboards you can Click on one clipboard, and then use Control + Click on a second or third clipboard to selects them all.

Differential Diagnosis: Consider Miasmatic analysis

A second strategy is considering the ‘miasmatic analysis’. If the patient has a predominant syphilitic miasmatic state, then the remedy that is the highest syphilitic among the top three will be selected. A miasmatically chosen remedy has a deeper and long lasting action than one in which the miasma is not taken in account (Hahnemann, Kent, Hering etc all agreed about this). Then the changes in the patient will be more profound!

The above strategies can be used simultaneously for a very good differential diagnosis!

MAKING CORRECTIONS: MOVING SYMPTOMS

If you see that you have taken a symptom into a wrong clipboard, then you can Drag and Drop a symptom to the correct clipboard.

First click once on a symptom to select it (black).

Then you can use Drag and Drop to move to the correct clipboard.

You can also use:

Ctrl + X and Ctrl + V to

Cut and Paste between clipboards.

Note: Remember to give the symptom you move the correct value according to the new

MAKING CORRECTIONS: CHANGING THE VALUE

When you move symptoms to a different clipboard, be sure to check if the symptom has the correct value, according to the new clipboard.

First select a symptom with:

Click

Or select more symptoms with: Ctrl + Click

Then press on the keyboard the correct value: 1, 2, 3 or 4.

Values of Symptoms per clipboard

Clipboard Value

Chief Complaint 1 Sleep and Sexual 1 Food and Drinks 1

Generals 2

Mental, Emotional 3 Never Well Since 4

Delusions 4

HIDE THE MODULE WINDOW TEMPORARILY

window temporarily, but keep the module active by using the Button HIDE You can now move around freely in the Radar or EH program.

To go back to the LDS-Module

window, click again on the Wizard icon, then on Luc’s module.

POTENCY SELECTION

After analysing the case, and selecting the correct simillimum remedy,comes the task of determining which potency to use.

 Whenever possible try to use the Split-Dose Method, according to the 5th or 6th edition.

 Remember that Hahnemann emphasized that the POTENCY and the DOSE are two separate things.

Select the potency according to the following criteria:

Lower potency

Higher potency

1. Nature of Disease

Gradual onset, slow pace, Structural pathology, Irreversible

Sudden onset, rapid pace, Functional pathology, Reversible/dynamic

2. Etiology

3. Miasma *

*Note: nosodes do not correlate with potency selection.

Psora, Tub

*Note: nosodes do not correlate with potency selection.

4.

Symptoms

Few sx: one-sided disease

Predominance of pathognomic sx

Many characteristic sx

Predominance of individual sx

5. Degree of Similarity

Distant simile The closer to the simillimum, the smaller the DOSE and the higher the POTENCY

6. Suppression

Always a lower potency!!

-The Simillimum is:

Not only the correct Remedy,

but also the correct Potency and the correct Dose

7. Nature of the person

Old age, sluggish,

Blue- collar, addicted, one- sided

Children, vigorous, intellectual, Non-addicted person, M/E

8. Vitality

Bad vitality Good vitality

9. Chronic Skin Diseases

Always use low potencies

Some more notes on potency selection:

 Low Potencies:

These range from 6C to 30C upwards

 High potencies:

These range from 30C upwards and LM potencies”

LM-potencies are not low potencies, they react differently and are between a C30 and a C200.

 For more information about potencies see the book ‘Achieving and Maintaining the Simillimum’.

The Potency of the Remedy (How Strong), and the Repetition of

the Dose (How Often).

Article for patients by Luc de Schepper.

Part One: The Potency Selection (how strong?), the greatest confusion among homeopaths

When it comes to potency selection of the remedy, the homeopathic society never agreed much about this issue, not in the past and certainly not now! There always has been a division between two camps: the high and low potency prescribers. Both parties indeed can demonstrate success but there has to be some kind of middle path, a clear guideline for homeopath and patient alike to bring harmony in this world of madness. I intend to bring enough clarity to unite homeopaths and at the same time to give enough clarity to the patient who deserves the right information, not based on passion and dogmatism, but on logical reasoning, not cookbook prescribing (protocols) but again based on the individuality of the patient.

I want to remind the reader again, that the simillimum is the right remedy, the right potency, the right dose repeated at individually chosen intervals, not a mechanical repetition. I already discussed the question of dose in Lesson 2, and this lesson will give the reader enough info to bring clarity in the treatment of his loved ones and himself.

Treatment for Acute diseases

The potency choice for acute diseases (less than 3-4 months old) is simple: use at least potency from 30C upwards to 200C and 1000C. Always use the watery method by putting two pellets of your chosen remedy and potency in an 8 oz / 250ml bottle (This we call then the: Remedy Solution Bottle or RSB), stir well and take one teaspoon directly from the RSB. Do not repeat earlier than two hours after first dose. When you see a similar aggravation in the first hour (in other words an aggravation of your symptoms during the first hour) this first dose will cure and no further dose will be needed (A157-A158). If

symptoms are not entirely gone after two hours, you can repeat the same procedure every two hours after succussing each successive dose (hitting RSB against your palm) 8 times.

Note: We are talking here about the 1001 acute daily diseases that can occur from colds,

to lower back pains, to ear infections, etc. We are not talking here about URGENT medical care (requires ER visit) like suicidal tendencies, coma, and head trauma with bleeding, seizures, heart attack, etc.

Treatment of Chronic Disease

The treatment of chronic diseases (>than 3-4 months existing) is very different !! The potency selection (how strong?) will depend on the reactivity of the patient (the

reactivity of the Vital Force, Qi in Chinese medicine and to some extent the immune system in allopathy). If the reactivity is good, a stronger potency can be applied. Here are some general guidelines.

Always Low potencies (starting with 6C and not higher than 30C) are indicated and a must in the following conditions (these three conditions supersede any other indications following further!):

 The patient is a hypersensitive patient: such patient reacts to perfumes,

strongly to regular doses of medication and vitamins as well as those that reacted strongly to anesthesia

 The patient has strong pathology: this usually means, he already has received a medical diagnosis and there is extensive pathology involved like destruction of tissues (Multiple sclerosis, Parkinson, etc.) , formation of tumors, deficiency of factors like in diabetes, hyperthyroidy or Basedow disease, autoimmune disorders with destruction, asthma, etc. Also in chronic diseases affecting the heart, brain, eyes, pancreas, lungs

 The patient has a chronic skin disease, especially when treated in past with cortisone: chronic eczema from young age on and psoriasis, just to name two common diseases. Often the symptoms were controlled by cortisone intake/creams and in this case the dose should be minimal (drops instead of tsp) and definitely not higher than 6C potency to start

 Elderly patients: rather start with low potency

Higher Potencies (starting with 30C, then 200C, 1000C, etc.) are indicated in the following conditions:

 In young children (babies included) as long as the three previous conditions are not present; the choice of high potency includes ASD, ADHD, ADD, OCD, etc.

 Adults with functional diseases (no pathology has been shown) like vertigo, gastrointestinal problems, hypertension with no pathology yet, inflammatory

processes like Bell's palsy, etc. or adults with only mental/emotional problems such as depression, grief, lack of self confidence, lack of motivation in life, timidity, loss of meaning of life, etc.

Part Two: the repetition of the Dose (How often), in chronic diseases

The most important thing to remember is that the repetition of a dose is determined on an individual basis. This is quite different than when we take allopathic drugs where your physician tells you to take the drug at a certain time (3 times a day, every evening, etc.), usually based on weight and age of patient.

The good homeopath will always let you do a test dose with the watery solutions. This works as follows:

The homeopath (who tried to adjust potency and dose individually at the first consultation) tells you to take the first dose in the evening (most of the time) and should ask you the third day how you reacted to this first dose. There are three possibilities:

 Great reaction with better sleep, better emotional feeling, a sense of well being, more positive outlook, etc (A256), even remembering dreams and dreams with a better theme. At this point do not repeat and see how long this dose gives you these good feelings/reactions. Let's say it last for 2 days and the third day your original symptoms come back, then you need to take the dose changed only by the amount of succussions, every third day!

 Bad reaction with an aggravation of your existing symptoms: this is called a similar aggravation: no repetition of the remedy!! You must wait till this aggravation goes away (usually fast after 1-2 days without any harm), then you get the benefit from it and only when then the original symptoms come back should the remedy be

repeated, this time in a smaller dose and/or potency, to be determined by your homeopath!

 No reaction: the homeopath can now decide to either adjust dose/potency or simply with the watery dose method to take the dose every other evening and check back with him the tenth day to see if the patient is on track!

Notes:

 This method is only possible with the 5th and 6th edition watery methods, not the 4th dry edition Organon method.

 Never take your dose from the bottle in a mechanical way: do not trust the

homeopath that gives you a bottle with the remedy and tells you to take it every day and to come back to him when the bottle is finished. Much damage can be done! A test dose and further guidance is a must!

 NEVER stop your allopathic medication when starting homeopathic treatment with your chronic patient. Cooperation with your allopathic physician is a must.

---PAPER CASE EXAMPLE 1: ‘MY WIFE SENT ME’

Important note on which symptoms to take

Normally you should only use the outspoken (strong and clear, strange and rare) symptoms or A153 rubrics.

In this example case I mentioned and used on purpose many possible rubrics for learning purposes only.

Luc explains more:

I know that underlining is a long tradition with some homeopaths but at the same time it is a very subjective process, depending on the observation of the homeopath.

As the homeopath becomes more experienced he will be more selective in his choices. But it is comforting to know that the beginner, who would write more rubrics down than the experienced, still will come to the same result.

Margret Tyler said, the older I get (read experienced) the less I write down in the inquiry. In other words, she only wrote down the A153 rubrics.

Interview

He resides in a modest neighborhood but his mailing address is in the most famous and expensive part of the city (he mentions both addresses on his questionnaire).

As his chief complaint (CC) he writes: “wife” (“because he says his wife brought him here and ”he does not know why”).

His wife says he has also ADD. No tidiness. Gives very little info. He dislikes wind (1) and loves the ocean (1).

Profession: “I am a minister.” When I ask about other professions, he says he works as a secretary in an office.

On the question, “When you are upset do you tend to tell a lot of people or keep it to yourself” he writes, “BIG MOUTH-CAPITAL LETTERS.”

On the question, how do other people view you, he writes: “TROUBLE (in capitals), either Saint or Devil depending on the individual.

Also, “I get anxious if something is going to happen, especially unknown to me. This happens, he says, because he has “psychic perception”

He also has a mild fear of falling (1), and for heights (1).

On the question, what would you like to improve, he answers: “Nothing but wife keeps on saying things like “hyper,” ADD, ADHD, get the picture? His wife says, he is often absent-minded (3) and has restless activity.”

On the question, do you worry? “Not much. Trouble is trouble, why worry about it!” I am very casual to the point of clutter to be honest.

Loves Chinese sour food (3) and fried foods (1). This is about all what I get in writing from him on his questionnaire. He did not fill out his time line.