DR BIJAY KUMAR SAHOO

,CHIEF MEDICAL OFFICER,GOVT OF DELHI HOMEOPATHIC DSPENSARY,bsahoo387@gmail.com

1. General principles of homeopathic practice

2. Qualification of practitioner.

3. Art of consultation.

4. Case analysis & management.

5. Homeopathy prospective.

1. Homeopathic medicines are safe& effective medicine, which has established by clinical, preclinical study & vast clinical experience.

2. We practice according to the rules of homeopathy & ethically within the code of conduct.

3. we always respect the patients' rights & dignity, maintain a professional relationship.

4. We practice within the scope & use effective communication with the patients.

5. we own well established set up like clinics, govt&pvt health care facilities, and virtual consultation (on line) & have collaboration with other professions to take care of the patients' health.

1. Homeopathy practitioner should possess a thorough understanding of the philosophy & fundamental principles outlined in the Organon of Medicine. (Law of similar, totality of symptoms, the minimum dose, individuation of the case, theory of chronic disease, principles method of cure, proving, action &relationship of medicines.)

2. We should have sound applied knowledge of homeopathic principles, Mat. Medica, & repertory to reach a patient diagnosis.

3. We should have basic knowledge of medicine in specific circumstances like First aid, acute condition, epidemic, palliative care.

4. We should have knowledge medical test, diagnostic procedure in relation to the case taking, case analysis&management.

contd.

5. We must have knowledge of the exciting& maintaining cause or potential obstacles to cure

6. We should know serious or life treating conditions which need immediate referral.

7. We should have understood the psychological& emotional causes & how it affects an individual.

8. every homoeopath should recognize his own level of competence,

1. Our aim to promote, restore& maintain the health of the patients.

2. The physician should always express himself confident, competent& caring.

3. The physician should use effective communication skill with respect to gender, age, culture& language of the patient.

4. The physician should be an unprejudiced observer& asses the totality of the signs& symptoms exhibit of the patient& life circumstances.

5. The homeopath should educate the public, r ole& benefit of homeopathic medication in primary health care.

MUST DO

Establishing &building rapport.

Practice active listening skill

Demonstrate empathy& understanding.

MUST AVOID

False assurance

Unwanted advice

Leading or biased questions

Excessive talking

TRIAGE ASSESSMENT

OBSERVATION

SUBJECTIVE ASSESSMENT

OBJECTIVE ASSESSMENT

1. Case taking &patientdiagnosis

2. Classification of symptoms- Etiological, characteristic symptoms (uncommon symptoms based on location/sensation/modalities/concomitant), Constitutional or miasmatic symptoms.

3. Identification of psychological& emotional states that affect patient’s health& well being.

4. Process of repertorisation.

5. Selection of medicine its potency, dose. Repetition

Name- Date-

Age/Sex-

Occupation-

Present illness- 1.onset (Time, Duration, and Recurrence of symptoms)

2. Provocation (factors agg., & amel of present complaints)

3. Quality (value of symptoms common to uncommon).

4. Region, radiation of pain &sensation symptoms.

5. Severity& intensity of symptoms.

6. Associate complaints.

Health status (personal details)-

1. H/O of chronic disease with medication.

2. Diet (aversion /desire for food,), life style habits (smoking, drinking, exercise)

3. Any specific allergy

4. Reactions to stress& environmental changes (heat, cold, weather, season)

5. Daily life & activities (app, thirst, BM, sweating &its effect, bladder or urinary complaints, sleep& dreams)

6. Effect on life changing events (puberty, marriage, change of job, &working environment)

Past history

Child hood disease, adult disease, accident or injury, surgery or

hospitalisation, immunisation & its adverse effects.

Family history

Clinical examination

Specification-

Emotional changes or reaction, mood, temperament, personality traits or character & its changes.

ACTION OF HOMOEOPATHIC MEDICINE-1.Susceptibility of the individual, i.e. age, constitution, temperament, habit, environment condition

2. Nature or seat of disease (Functional, structural, reversible or irreversible pathological condition)

3.Nature of drugs. We use infinitesimal dose, it neither produce too much

aggravation or large enough to produce new symptoms.

Dynamization of medicine i.e. medicine prepare by dilution&trituration from natural substances.

1. Correct remedy act in any potency& correct potencies gives the best result.

2. Perceptible continues improvement contraindicate repetition.3. Repeat when the beneficial effect ceases, change the remedy when improvements stop.

4. An abundance of clear mental symptoms goes for higher potency.

5. Very high potency seldom requires repetition in chronic disease& acute disease requires several doses in quick sequence.

6. The low exhausting chronic disease goes for low potency.

7. If vital organs affected (CAD, CVD) go for low potency.

8. Repetition of remedy, at an interval of 7, 8, 10, 12,14days in chronic disease, every 4, 8, 12,24hrs in acute diseaseis justified.

1. After repertorisation short acting & long acting drugs are equal in value.2. On repertorisation, nosodes comes as an indicated remedy, priority should be given.3. If two drugs score equal marks& covering in all rubrics, see affinity of the drug.4. Don't generalize strong particular modalities.5. Number of rubrics cover by one drug is more important the numerical totality.

1. Communicate the treatment plan to the patient.

2. Monitor patient response to medication.

3. Evaluation, interpretation of treatment.

4. Promote the healthy life style& habit.

5. Recommend referral if required

1. It is safe, cost effective, reliable, harmless natural medical approach both acute& chronic diseases since early 1800's.

2. It is one of the most popular alternatives system medicine& safely used with established mode of treatment.

3. Many research papers& studies have established its efficacy in various diseases.

4. Homeopaths should incorporate in the practice, counseling regarding the diet, nutritional advice &life style modification.

Homoeopathy is the leading form of complementary medicine in India. Many clinical research published in Medical Journals has shown the positive results &clinical trial, basic scientific study conform the biological activity of Homoeopathic medicine. We have consistently experienced &documented the positive therapeutic effects from the homoeopathic medicine without side effect.