1. Hahnemannian Case Management Based on Luc De Scheppers Achieving and Maintaining the Similimum Interactive PowerPoint Presentation Just click the situation your patient presents! Version © Homeopathy 4 Everyone, January 2007 Original © Marc Van Wijk - 2006 START ABOUT…

2. Case management Administration of remedy Immediate improvement on all planes Isolated physical improvement without general relief nor increase in well-being or in M/E outlook No reaction on any plane Immediate improvement on all planes but of short duration followed by long similar agg Initial improvement on all planes, then return of unaltered sx Long-term improvement (weeks-months) then sudden similar agg Quick, short agg. Followed by improvement and increase of strength Sx following Herings Set of Observations Long lasting agg. with eventual but slow progress to improvement New Sx appear Prolonged similar agg followed by slow continues decline Similar agg after every dose, no matter which potency Stop program Stop program Select what happens after you administer the remedy Key: Sx=symptoms

3. Case management Immediate improvement on all planes Stop taking medicine

4. Case management

5. Still no reaction Obstructions to the cure Psychological block New acute event Hyposensitive patient Miasmatic block

6. Case management Obstructions to the cure LifestyleLifestyle DietDiet Bad habits that cancel the remedyBad habits that cancel the remedy How was remedy taken?How was remedy taken? …

7. Case management New acute event Acute intercurrent All possibilities after administration of remedy

8. 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

9. Case management Psychological block A remedy can cure a kid, not educate it…A remedy can cure a kid, not educate it… Attitude; denial of ones own behavior…Attitude; denial of ones own behavior… Patient isnt introspective, honest…Patient isnt introspective, honest… Not willing to change…Not willing to change…......

10. Case management Hyposensitive patient Adjust potency/dose

11. Case management Initial improvement on all planes, then return of unaltered symptoms Potency not strong enough Judge intensity and timing of returning Sx Lifestyle?Miasmatic block Severe pathology

12. Case management Potency not strong enough Increase potency and/orIncrease potency and/or Increase frequency and/orIncrease frequency and/or Increase succussionsIncrease succussions

13. Case management Severe pathology Internal damage/pathology so severe that cure is impossible Work from C6 up to LM

14. Case management Lifestyle Preserving harmful lifestylePreserving harmful lifestyle Did the patient take allopatic drugs or other healing modalities?Did the patient take allopatic drugs or other healing modalities? When the body is beginning to cure, using the positive support of the homeopathic remedy, it needs time to adjust to the renewed sense of wellness!When the body is beginning to cure, using the positive support of the homeopathic remedy, it needs time to adjust to the renewed sense of wellness! Dont let the patients abuse their bodys again!

15. Case management Intensity and timing of returning Sx Patient calls after initial improvement…Patient calls after initial improvement… Problems in work or relationship are tugging the progress…Problems in work or relationship are tugging the progress… Returning Sx more severe? Incurable case…?Returning Sx more severe? Incurable case…?

16. Case management Quick, short agg. followed by improvement and increase of strength Selected potency and/or dose were a little too high…Selected potency and/or dose were a little too high… Adjust by: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

17. Case management Long lasting agg. with eventual but slow progress to improvement Potency too high Extensive pathology Unrecognised one-sided disease

18. Case management Potency and/or dose too high…Potency and/or dose too high… Hypersensitive patient…Hypersensitive patient… Adjust by: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

19. Case management Extensive pathology Borderline of incurability…?Borderline of incurability…? Present extensive pathology already known? If not, refer for further tests…Present extensive pathology already known? If not, refer for further tests… Always use very low potencies…: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

20. Case management Unrecognized one-sided disease Advanced pathology becomes active layerAdvanced pathology becomes active layer Use von Boenninghausen!Use von Boenninghausen! Dont use deep-working, miasmatically chosen remedies!Dont use deep-working, miasmatically chosen remedies!

21. Case management Prolonged similar agg followed by slow continues decline Unrecognized hypersensitive patient Incurable case

22. Case management Unrecognized hypersensitive patient Potency and/or dose far too highPotency 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.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/doseStart again with much lower potency/dose Olfaction can be used (6C) or micro- solution.Olfaction can be used (6C) or micro- solution.

23. Case management Incurable case VF has no strength left to reactVF has no strength left to react Advanced and terminal pathology…?Advanced and terminal pathology…? Only palliation is possible:Only palliation is possible: –Acute zig-zag prescribing with 5th edition method –Use von Boenninghausen –By preference, use vegetable remedies

24. Case management Similar agg after every dose, no matter which potency Hypersensitive patient Hysterical patient

25. Case management Hysterical patients A case of unmet emotional needs…?A case of unmet emotional needs…? Need of attention…? Ask other family members.Need of attention…? Ask other family members. Fixed delusions…?Fixed delusions…? Give placebo until similimum is indicated or until real emotional picture shows…Give placebo until similimum is indicated or until real emotional picture shows…

26. Case management Isolated physical improvement without general relief nor increase in well-being or in M/E outlook Distant simile and/or Suppressed symptom Lifestyle and related treatments Miasmatic blockExtensive pathology

27. Case management Distant simile and/or suppressed symptom Similimum not found…Similimum not found… Possibly the external manifestation of disease has been suppressedPossibly the external manifestation of disease has been suppressed Acted as placebo…?Acted as placebo…? Retake the caseRetake the case

28. Case management Immediate improvement on all planes but of short duration followed by long similar agg Distant simileMiasmatic block Cancellation of remedyLimit of curability Deferred similar agg

29. Case management It is possible the patient cancels the remedy …:It is possible the patient cancels the remedy …: –keeps on doing sport while being treated for sport injury… –takes antidoting food or drinks during treatment…

30. Case management Rarely, some remedies have a deferred aggravation… Dont change your prescription too hastily!

31. Case management Long-term improvement (weeks-months) then sudden similar agg No more repetition of the remedy!No more repetition of the remedy! –VF needs no further stimulus of remedy –Repeating would create a remedy disease!

32. Case management Sx following Herings Set of observations Healing takes place: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 of disease, VF, potency, nature of remedy.Duration of old, recurring sx depends on nature of disease, VF, potency, nature of remedy.

33. Case management New symptoms appear Wrong prescription Natural healing symptoms

34. 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

35. Case management Natural healing symptoms RashesRashes Joint painsJoint pains A coldA cold DischargesDischarges Returning signs of lifeReturning signs of life No new prescription needed! Go on judiciouslyNo new prescription needed! Go on judiciously

36. Case management Remedy is rightRemedy is right Potency and/or remedy dose a little too high…Potency and/or remedy dose a little too high… Adjust by: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

37. Case management Since about 20 years, Ive been studying homeopathy. Step by step, reading all those inspiring books, homeopathy became clear to me; however, some aspects of it, did not… Until I read the most wonderful books of Luc De Schepper: Hahnemann revisited and Achieving and maintaining the similimum. All of a sudden, the hidden aspects showed themselves to me! Dr Luc seems to have the marvelous capacity to translate the texts of Hahnemann into clear, pure, understandable language… Especially his strategic case management resulted in more successful homeopathic prescribing; 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, you will be able to find out how to act, using your patients information, during his second visit. The more successful our prescribing becomes, the more motivated we – as homeopaths – become. And this is in the interest of our patients, as well as in the interest of homeopathy itself. Using homeopathy in a correct way, resulting in successful prescribing is in fact a tribute to Samuel Hahnemann; its the proof that his Similia Similibus Curantur is still living! Marc Van Wijk Belgium2006 vanwijkm@skynet.be