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7/30/2019 Homeopathic Case Management723
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Hahnemannian case management
based on Luc De Scheppers
Achieving and maintaining the similimum
Interactive PowerPoint Presentation
Just click the situation your patient presents!
Marc Van Wijk - 2006
STARTABOUT
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Case management
Immediate improvement
on all planes
Stop taking medicine
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Case management
Still no reaction
Obstructions to the cure Psychological block
New acute event Hyposensitive patient
Miasmatic block Wrong remedy?
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Case management
Obstructions to the cure
Lifestyle
Diet
Bad habits that cancel the remedy How was remedy taken?
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Case management
New acute event
Acute intercurrent
All possibilities after administration of remedy
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Case management
Miasmatic block
Nosode
Striking response
Brings forth a
clearly indicated
remedy
Continue nosode
while patient is
improving
If no response after
3 weeks, give
previous remedy if
still indicated
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Case management
Psychological block
A remedy can cure a kid, not educate it
Attitude; denial of ones own behavior
Patient isnt introspective, honest Not willing to change
...
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Case management
Hyposensitive patient
Adjust potency/dose
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Case management
Initial improvement on all planes,
then return of unaltered
symptoms
Potency not strong enoughJudge intensity and timing
of returning Sx
Lifestyle ? Miasmatic block
Severe pathology
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Case management
Potency not strong enough
Increase potency and/or
Increase frequency and/or Increase succussions
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Case management
Severe pathology
Internal damage/pathology so severe
that cure is impossible
Work from C6 up to LM
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Case management
Lifestyle
Perserving harmful lifestyle
Did the patient take allopatic drugs or other healing
modalities?
When the body is beginning to cure, using thepositive support of the homeopathic remedy, it
needs time to adjust to the renewed sense of
wellness!
Dont let the patients abuse their bodys again!
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Case management
Intensity and timing of returning Sx
Patient calls after initial improvement
Problems in work or relationship are
tugging the progress
Returning Sx more severe? Incurable
case?
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Case management
Quick, short agg. followed by improvement
and increase of strength
Selected potency and/or dose were a little too
high
Adjust by:
decreasing number of succussions
decrease amount of given remedy
decrease frequency of dose
increase amount of water used to diluteremedy
increase volume of remedy solution bottle
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Case management
Long lasting agg.
with eventual but
slow
progress to
improvement
Potency too high Extensivepathology
Unrecognised
one-sideddisease
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Case management
Potency and/or dose too high
Hypersensitive patient
Adjust by: decreasing number of succussions
decrease amount of given remedy
decrease frequency of dose increase amount of water used to dilute
remedy
increase volume of remedy solution bottle
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Case management
Extensive pathology
Borderline of incurability?
Present extensive pathology already
known? If not, refer for further tests
Always use very low potencies:
Start with 6C
Adjust dose/potency/succussions
After 6C, ascend to 12C, to 18C, to 24C, to
30C; from then, switch to LM
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Case management
Unrecognized one-sided disease
Advanced pathology becomes active layer
Use von Boenninghausen! Dont use deep-working, miasmatically
chosen remedies!
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Case management
Prolonged similar agg
followed by slow
continues decline
Unrecognized
hypersensitivepatient
Incurable case
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Case management
Unrecognized hypersensitive patient
Potency and/or dose far too high
Cancel remedy with camphor or
corresponding antidote; if it was the
similimum, give same remedy in lower
potency by 5th edition method.
Start again with much lower potency/dose
Olfaction can be used (6C) or micro-
solution.
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Case management
Incurable case
VF has no strength left to react
Advanced and terminal pathology?
Only palliation is possible: Acute zig-zag prescribing with 5th edition
method
Use von Boenninghausen
By preference, use vegetable remedies
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Case management
Similar agg
after every dose,
no matterwhich potency
Hypersensitivepatient Hystericalpatient
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Case management
Hysterical patients
A case of unmet emotional needs?
Need of attention? Ask other family
members.
Fixed delusions?
Give placebo until similimum is indicated
or until real emotional picture shows
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Case management
Isolated physical improvement
without general relief nor increase
in well-being orin M/E outlook
Distant simile and/or
Suppressedsymptom
Lifestyle and
relatedtreatments
Miasmatic block Extensive pathology
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Case management
Distant simile and/or suppressed symptom
Similimum not found
Possibly the external manifestation ofdisease has been suppressed
Acted as placebo?
Retake the case
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Case management
Immediate improvement on all planes
but of short duration followed by
long similar agg
Distant simile Miasmatic block
Cancellation of remedy Limit of curability
Deferred similar agg
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Case management
It is possible the patient cancels the
remedy : keeps on doing sport while being treated
for sport injury
takes antidoting food or drinks duringtreatment
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Case management
Rarely, some remedies have a deferred
aggravation
Dont change your prescription too hastily!
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Case management
Long-term improvement (weeks-months)
then sudden similar agg
No more repetition of the remedy!
VF needs no further stimulus of remedy
Repeating would create a remedy disease!
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Case management
Sx following Herings Set of observations
Healing takes place:
from within out
from more important organs to lesser important
from above to below in reverse order of appearance (reversible, presenting
and suppressed sx) Make a timeline during
anamnesis!
Duration of old, recurring sx depends on nature ofdisease, VF, potency, nature of remedy.
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Case management
New symptoms
appear
Wrong prescription Natural healingsymptoms
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Case management
Are they accessory sx? You might have a
simile Sx are not old, forgotten; the patient
never had them before:
STOP and retake the case
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Case management
Since about 20 years, Ive been studying homeopathy. Step by step, reading all thoseinspiring books, homeopathy became clear to me; however, some aspects of it, didnot
Until I read the most wonderful books of Luc De Schepper: Hahnemann revisited andAchieving and maintaining the similimum. All of a sudden, the hidden aspects showedthemselfs to me! Dr Luc seems to have the marvellous capacity to translate thetexts of Hahnemann into clear, pure, understandable language
Especially his strategic case management resulted in more succesful homeopathicprescribing; indeed, the second prescription is often the most difficult one.
It is for this reason I made this interactive powerpoint show. In a few mouse-clicks, youwill be able to find out how to act, using yourpatients information, during his secondvisit.
The more succesful our prescribing becomes, the more motivated we as homeopathsbecome. And this is in the interest of our patients, as well as in the interest ofhomeopathy itself.
Using homeopathy in a correct way, resulting in succesful prescribing is in fact a tribute toSamuel Hahnemann; its the proof that his Similia Similibus Curenturis still living!
Marc Van Wijk
Belgium2006
mailto:[email protected]?subject=Case%20managementmailto:[email protected]?subject=Case%20management7/30/2019 Homeopathic Case Management723
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Case management
Possibly, your remedy choice is wrong, soyou have to retake the case.
However, dont take this decision toohastily ! This mistake is made too often !