Homeopathy is a symptomatic treatment and not a diagnostic treatment like the traditional Allopathic treatment. Proper Allopathic treatment is possible only after proper diagnosis of the ailment. So, it is very essential for the Allopath physicians to know the name of the disease for the proper management of the patient. On the other hand diagnosis or the name of the disease is not quite essential for teat a patient homoeopathically, or it may be said that only the name of the disease helps nothing to a Homeopath to give a proper homeopathic treatment to patient to cure radically. Proper Homeopathy Case Taking is necessary for a Homeopath physician to collect and observe as many as symptoms of the patient for proper homeopathic remedy selection for the said patient.
The symptoms may or may not be related of the recent problem of the patient for which the patient comes for treatment. It should be keep in mind that Allopathic treatment is a treatment of the disease and Homeopathic treatment is the treatment of the patient. So a Homeopath should collect the symptoms of the patient, not the symptoms of the disease only. It is very essential to maintain proper Case taking of the patient to give a proper homeopathic care for the patient’s recovery.
This is necessary to tracing the history of the development of the disease to the present form with all symptoms having bearing on the case Case taking is also necessary to ascertain the length of the disease, involvement of different organs, exact seat of the affection like pain and whether the disease is of the progressive nature.
In Homeopathy Case Taking two distinct steps are involved. These are –(i) Interrogation of the patient and his nearer relatives, and (ii) examination of the patient.
A patient should be asked to narrate his/her case comfortably. Most likely one will start the narration with the most troublesome symptoms like intense pain or otherwise. This is termed as entrance complaint. This will be followed by the history of the development of the case and various modalities like what makes the trouble worse and what affords relief. It is essential to write each symptoms of the patient legibly and not to interrupt the patient as it may break ones chain of thought. Record of all injuries, fractures, and falls should be carefully recorded as these may provide useful information of the ailment. Record should be also kept of all the previous diseases from which the patient might have suffered or is currently suffering though these may not be related with the entrance complaint.
After patient has finished with his/her narration of the symptoms, detailed information should be sought on the functioning of various system of the body such as bowel movement, appetite , thirst, stool, urine, giddiness, nausea or vomiting, menstrual history for a female patient etc. Each symptom should be qualified by the modifying conditions like those of movement, sleep, pressure and time. The mental condition of a patient should be noted and it is quite essential for the homeopathic treatment. What the patient likes to eat or drink, what the patient likes to do in tensed or in calm condition should be noted. After the interrogation of the patient, the near relatives may be asked to add the information, if necessary. They might be able to provide supplementary information for Homeopathy Case Taking, especially if they have observed any peculiarities of body and mind which the patient has failed to notice.
After careful interrogation of the patient and recording the symptoms, it is necessary to undertake the physical examination of the patient. Carefully to examine the painful parts to find out any swelling redness, tenderness, blueness, change in normal shape of the organs etc. Next to observe any swelling in the front portion of neck which may suggest thyroid trouble, or swelling of other glands on the side of the neck, in armpits, tonsils, gums etc. In case of the children, to observe the size of the head, shape of the legs, thickness of wrists etc.
Besides the above, for Homeopathy Case Taking it is also necessary to observe any swelling, tenderness in abdominal region, especially the liver and spleen. In case of females, to be observed any swelling and tenderness in the ovarian region. In case of paralysis, spondylosis, arthritis, lumbago, etc, it is to be observed the coldness of the parts and the nature and direction of movements which causes the maximum pain and stiffness. In addition , to be find out if there is any wasting of the muscles, abnormal out-growths, ganglia, loss of power, numbness, perspiration on the affected parts, etc. The normal posture of standing, or sitting position of the patient, also is observed. In case of wounds, it is necessary to observe any pus, infection etc. Also to observe the type of discharge from any part of the body is essential.
Finally it has to examine the tongue, colour of whites of eyes and inner margin of the lids, finger nails, the pulse rate ( the count per minute and whether it is soft, hard, full, irregular, imperceptible, incompressible etc.) and blood pressure of the patient to complete the Homeopathy Case Taking. After obtaining the complete picture of the case, proper homeopathic remedy selection is the task of a homeopathic practitioner.