For the determination of a homeopathic remedy, the physician or therapist first needs to know the case history. It is then important to examine the patient and make a conventional medical diagnosis. Next the patients have to report their polar symptoms with the help of the checklist corresponding to their actual disease.
Polar symptoms are those with an opposite pole, such as thirst / thirstlessness, cold worse / cold better, desire for fresh air / dislike of fresh air. Most polar symptoms are modalities which, according to Organon § 133, are what is peculiar and characteristic to the disease. For repertorisation we primarily use only polar symptoms. If this does not yield a best-fitting remedy, we might decide to include other characteristic symptoms in the repertorisation.
Checklists for Acute Disease
» Case study 1: Homeopathic cure of antibiotic-resistant acute otitis media
In chronic disease the individual homeopathic remedy is preferably determined in two consultations:
1. During the first consultation, the physician or therapist takes the case in a way roughly equivalent to conventional medical practice, examining the patient and making a diagnosis. Then the parents or the patient receive the questionnaire corresponding to the main problem and another one for additional complaints. The two questionnaires must be prepared at home so that the patient can accurately provide us with well-observed symptoms.
2. At the second consultation at least one week later, the patient's remedy is determined by analysing the questionnaires in the presence of the patient. As in acute disease, repertorisation is primarily done with polar symptoms or modalities (Organon § 133). Other characteristic symptoms are only included if the polar symptoms are insufficient for the identification of a specific remedy.
Questionnaires for Chronic Disease
»Case study 2: X-ray documented treatment of tendonitis calcarea
The case taking in multimorbid patients (patients with three or more medical problems) is identical to other chronic disease, with the exception that the patients receive a questionnaire for each of their problems and an additional one concerning their background. For the determination of the patient's homeopathic remedy, the symptoms are entered in the spreadsheet file Case Log, which provides a good overview of complex symptomatology. The patients must also rate the intensity of each medical problem on a scale from one to ten at the beginning of their treatment and at each follow-up. The case log automatically makes a graph of healing progress, facilitating decisions about possible changes of remedy.
Case Log (Excel)