Dr' H'T' ROBERTS

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• Dr. H.T. ROBERTS
• Views
• on
• Case taking and Case Record

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• WHOLE PICTURE
• True symptoms of the Case v/s
• Diagnostic symptoms of the case
• Clarity to make the PICTURE
• Preserved in INDELIBLE FORM
• CASE RECORD
• Therefore so much depends on the
• Case-taking

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• CASE RECORD
• Review of the Case
• Accessible form
• Sequence of symptoms
• Degree of assurance
• Remedy response
• First prescription
• Second prescription

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• Absolute at rest (poise)
• No preconceived ideas or prejudices
• About the sickness present
• About the remedy required
• Quite and listening attitude
• Interested listening
• In his or her own words
• Other sources of information
• Symptoms and not interpretation
• Till he has exhausted his story
• Types of ailments in the family
• in the past

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• Questioning by the physician
• Caution in questioning
• Avoid Leading questions
• Direct questions
• Alternating questions
• Along the line of disease
• Along the line of remedy
• Confine to one question at a time
• Complete the question in regard to
• its LSMC
• Complete the incomplete history

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• Carefully record the Acute Totality
• the Chronic Totality
• All parts of the Body
• and Mind
• Physical General Symptoms
• Modalities
• Mental Symptoms
• Causation
• Thermal reactions
• Aversions and cravings
• Sleep dreams
• Sweating
• Sex drive
• Menses

• Importance of

• Cautious questioning

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• Personality
• Individuality
• Physical characteristics
• Mental and Emotional Characteristics
• Particular characteristics
• Must standout pre-eminently
• in the picture

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• BOENNINGHAUSENS VIEW ON
• CASE TAKING AND CASE RECORD
• HAHNEMANNS ORGANON -
• 153 (5Th Edition) True Kernel

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• More general and indefinite symptoms
• deserve but little attention unless they
• are more pronounced
• As something like this is present in
• many diseases and in every medicine
• More striking, particular, unusual and
• peculiar symptoms Physician to judge
• Not diffused but easily understood
• Complete enough to be applied in every
• case

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• Hexameter used by the scholars
• of school of theology through which a
• moral disease is to be judged concerning
• its seriousness and peculiarities
• The verse in Latin is as follows in 7 rubrics
• Quis ? quid ? ubi ? quibus auxiliis ?
• cur ? quomodo ? quando ?

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BOENNINGHAUSENS HEXAMETER
Nature and peculiarities of disease
Personality / individuality of the patient
QUID
QUIS
Time of Appearance ltlt / gtgt Recurrence Periodicit
y
The seat of disease
UBI
QUANDO
QUOMODO
The Concomitants
Manner / Mode ltlt / gtgt
QUIBUS AUXILIIS
CUR
The Why? Cause
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• Quis ?
• Personality and Individuality
• Sex
• Age
• Bodily constitution
• Temperament
• Departure from normal state to
• now sickness
• Differing strikingly is more
• important than no change at all
• from the usual natural state

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• State of mind and disposition
• Greatest and most important variation
• from natural state
• Scanned carefully
• Sharply distinct and of rare occurrence
• Then only will correspond to few
• remedies
• Mental disturbances-One-sided diseases
• More important physical ailments recede
• into background
• Organon of Medicine - 104
• Written scheme of the image of the
• disease

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• Greater number of medicines that do not
• correspond to this are to be thrust aside
• form our consideration
• They do not correspond to the personality
• and individuality of the patient
• Spiritual and dispositional individuality is
• the only deciding points for the selection of
• the remedy

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• Physical generals and physical
• constitution as clearly as that of Mind

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• Quid ?
• Nature and peculiarities of the disease
• Know the devil before you kill him !
• Since the time of Hippocrates
• (2000 years ago)
• OBSERVATIONS plus
• EXPERIENCE
• Not the diagnosis (Label of the disease)
• as it does not point to indicated similar
• remedy

The path
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• Ubi ?
• The seat of the disease
• It furnishes a characteristic symptom,
• since almost every medicine acts more
• and also more decidedly on certain
• particular parts of the living organism
• Useful not only in local diseases, but also
• for the general diseases affecting the
• whole body- gout, rheumatism etc.
• It is rarely or never that all the parts are
• affected in the same degree in the disease
• Right side is more affected than the left or
• vice versa

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• Exact individualisation of the ubi is
• most necessary in Local affections
• Selection of Prophylactic remedy in
• infectious diseases

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• Quibus Auxiliis ?
• If the original hexameter was written
• for the purpose of Medicine, it would
• have been named either as quibus
• socii or quibus comitibus
• It refers to the accompanying
• symptoms
• In Homoeopathy, the chief aim is to
• find out the remedy which most
• completely corresponds to the totality
• of the symptoms, it is evident that this
• point is of the greatest importance and
• deserves the most careful consideration

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• Every disease present in its recognizable
• phenomena a more or less numerous
• group of symptom, and it is only their
• totality which represents it complete
• image.
• This image may be compared to a
• portrait , which can only be claimed to
• have a strikingly likeness when all the
• features of the original are faithfully
• represented in it

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• It is not sufficient that mouth, nose,
• eyes, ears, etc., should be presented in
• such a manner as characterizes man
• and distinguishes him from the monkey
• and other animals but as every human
• physiognomy posses its peculiarities
• and is distinguished from every other,
• so also here the more or less strongly
• pronounced abnormalities must most
• carefully and with the greatest
• faithfulness and truthfulness be
• prepared and given their prominence

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• Those symptoms which are found in
• almost all diseases may be left out of our
• consideration, unless they manifest
• themselves in a striking manner
• The same thing applies to those ailments
• which are constantly accompanying the
• disease under consideration as
• constant concomitant, unless they
• should be distinguished by some rare
• peculiarity and in this respect offer
• something characteristic

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• All those attendant symptoms should be
• carefully noted which-
• Rarely appear in connection with the
• leading disease, and are, therefore,
• also found rarely among the provings
• Those which belong to another sphere
• of disease than the chief ailment, and
• lastly,
• Those which have more or less of the
• characteristic signs of one of the
• medicines, even in case they have not
• been noticed in the present juxtaposition

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• among the last mentioned concomitant
• symptoms there should be one or
• another in which the genius of one of the
• remedies should be plainly and definitely
• portrayed, so that it would be plainly
• pointed out, this one symptom thereby
• would acquire such an importance that it
• would even outweigh those of the chief
• ailment, and may then be at once
• considered as the most suitable
• Such a symptom would be included
• amog those which Hahnemann calls
• striking, strange, unusual and peculiar
• (characteristic) sign

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• and which are thenalmost alone to be
• considered because they pre-eminently
• give to the whole disease its individual
• character.
• Those symptoms which do not directly
• indicate the real peculiarities of the
• disease - the attendant symptoms
• For which allopathic physicians give
• additional remedy

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• Cur ?
• Why? - The cause(s) of disease
• Internal
• General natural disposition /
• proximate cause
• Idiosyncrasy
• External / Occasional
• Miasmatic
• After effects of acute diseases
• Medicinal disease /poisoning
• Ailments since injury, chilled,
• over heated, exposure, getting
• feet wet
• Prophylactic remedy in infectious
• diseases

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• Quomodo ?
• Modus
• All modifying factors
• aggravations
• ameliorations
• negative
• Motion and rest (also degree and kind)
• Position
• Eating and drinking
• Physiological processes and reflex
• actions
• Of great therapeutic value

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• Quando?
• ODP
• Time of appearance
• Of aggravation or amelioration
• according to the time of the day or
• night
• Episodic diseases
• The periodical return of symptoms
• Conditioned by Seasons, the
• weather
• In artificial drug diseases
• To satisfy the rule
• Similia similibus