Case Taking

Acute Disease

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 with the help of the Checklist for reliable Symptoms (Download).
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. 

Figure 2: H1N1 Influenza Epidemic 2011: Healing Time with Homeopathic Treatment (n=52 patients) Figure 2 shows the effect of homeopathic treatment of H1N1 influenza during the epidemic of 2011 as an example of the results that can be achieved in acu…

Figure 2: H1N1 Influenza Epidemic 2011: Healing Time with Homeopathic Treatment (n=52 patients)
Figure 2 shows the effect of homeopathic treatment of H1N1 influenza during the epidemic of 2011 as an example of the results that can be achieved in acute disease. Determination of individual remedies with polarity analysis: the first remedy (200 C) cures 62% of the patients. The remaining 38% receive a second remedy. 25% are cured by this second remedy. 13% do not react to homeopathic treatment.


Chronic Disease

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 patient receive the checklist for Diagnoses and Mainsymptoms (Download), and the Checklist of reliable Symptoms (Download), The two checklists 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 Checklists 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. Figure 3 shows the results obtained with Polarity Analysis in chronic disease.

Figure 3: Evaluation of Polarity Analysis in Chronic Disease Treatment results in different chronic disease of children two months after administration of an individual homeopathic remedy (200 C). Polarity analysis improves the results as compared t…

Figure 3: Evaluation of Polarity Analysis in Chronic Disease
Treatment results in different chronic disease of children two months after administration of an individual homeopathic remedy (200 C). Polarity analysis improves the results as compared to conventional homeopathic procedure.


Multimorbid Patients

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 Checklist of reliable Symptoms (Download) for each of their problems . 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)

Case Study 3: Rheumatoid arthritis, migraine and gastritis in a vicious circle of pharmaceutical side effects.


Further literature

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Heiner Frei, Die Polaritätsanalyse in der Homöopathie, ein präziser Weg zum homöopathischen Arzneimittel. Narayana Verlag, Kandern 2014.
Dieses Buch enthält eine Einführung in die Methode, dann Kapitel über akute und chronische Krankheiten, Kinder- und Jugendpsychiatrie und mulitmorbide Patienten. Im letzten Abschnitt werden die Evaluationsstudien zur Polaritätsanalyse besprochen.
Es handelt sich um ein Lehrbuch, das zum Selbststudium konzipiert ist. Die vielen instruktiven Übungsfälle können vom Leser durchgearbeitet werden. Er erwirbt sich damit ein Grundwissen in der Anwendung der Polaritätsanalyse, das es ihm ermöglicht, die Methode in seiner Praxis erfolgreich anzuwenden.

 

Heiner Frei, Homeopathy and ADHD, a new Treatment Concept with Polarity Analysis, Narayana Verlag, Kandern 2015
Das ADHS Buch des Autors ist aktuell nur auf Englisch erhältlich. Eine überarbeitete deutsche Neuauflage ist in Planung. Es enthält eine Einführung in die Grundlagen des Aufmerksamkeit-Defizit-Syndroms, und erläutert anhand von zehn Übungsfällen die Mittelbestimmung mit Hilfe der Wahrnehmungs-symptome, die sich dafür als besonders zuverlässig erwiesen haben. In einem Materia medica Teil werden die häufigsten ADHS-Arzneimittel vorgestellt, und im letzten Kapitel die wissenschaftliche Studien zum Thema Homöopathie und ADHS besprochen. Auch mit diesem Buch kann durch das Nachvollziehen der Übungs- und Demonstrationsfälle eine gewisse Fertigkeit in der ADHS-Behandlung erworben werden.