Let me start the discussion with a case presentation.
A sales representative named S, 35, unmarried, consulted me for his gastric complaints. He gets constipation along with flatulence since a few months. The complaints get worse whenever he goes for business tour. His abdomen gets distended very easily with sour belching and ocasionally with sour vomiting. I took his case in detail and he said that he gets offended very easily and has lack of confidence. Whenever his boss gives a duty, he will try maximum to avoid that. He feels very lonely whenever he goes out of station. He gets snuffles at night and throat pain, mostly right sided. Whenever he takes warm water, his throat complaints get relieved. He also gave a history of renal calculi a few months back. He had right-sided inguinal hernia, operated one year back, but now he has slight swelling in the left inguinal region only while straining. Premature graying is another problem that doubled his tension. Now his parents are forcing him to marry, but he is not interested to double his responsibilities by a marriage. He craves sweets, and warm drinks. This gentleman is lean and thin with fair complexion. Also noticed that he is well dressed and maintain good personal hygiene.
Can anybody guess the remedy needed for him?
Even a beginner in Homoeopathy can tell with 100% surety that he needs Lycopodium.
But, so sorry friends!
This case is not a real one. It’s a hypothetical case fabricated by the symptoms given in the Materia Medica of Lycopodium.
Now, the question arises, why I presented this “fake” case before you?
(For God sake, please don’t come to a conclusion that whatever experiences and results I share through this community are fabricated)
It is said that Materia medica is the language of the provers. In that sense, the drug picture of a drug given in the materia medica and the real patient who needs the same drug has to be mirror images. But when the list of symptoms of a particular drug given in the materia medica is asked, you can very easily name the drug (as the above case). On the other hand, when a list of symptoms of a real patient is given to you, naming the indicated drug may not be easy. Actually, the materia medica is a collection of symptoms from a number of provers. It also includes clinical symptoms, pathological symptoms and experience of doctors. The drug picture we have in the mareria medica is not the symptoms produced in the single individual, hence the patient neednot have all symptoms of the drug. We have wrongly understood each drug as a single individual. Hence we name our patients as nux vomica patient or calcarea patient etc. God never creates one person as nux and other as calcarea carb. We just compare the patient’s present totality with the picture of several drugs we have in the materia medica. Here we select the drug that shows maximum level of similarity to the qualitative totality of the case. A person need not have a similarity with a drug throughout his life. He may change the symptomatology on the basis of his life situation, environment, flow of the disease etc. Hence a pulsatilla case may become sepia after a few years and vice versa. Similarly, a patient neednot express 100% similarity to a drug. He may be expressing the physical level of symptoms and need not have the symptoms in the mental plane. But he may express them in the future. So it is the quality of the physician to diagnose the case before the appearance of the whole symptomatology including the irreversible pathological changes in the vital organs, the last stage of the humanbeing.
As I mentioned earlier, a selected drug need not have the whole symptoms given in the drug picture. Ofcourse, there should not be any contraindications. A drug that covers maximum similarity with the qualitative totality has to be selected. But in practice, it is not that easy. There could be several resons such as confusion created by the presence of common symptoms, past experience, wrong understanding of materia medica, wrong way of case taking, non-observation, mal-observation, wrong interpretation of symptoms, prejudiced approach, asking questions on the line of a drug, wrong rubric selection, overfilling the computer with the common symptoms, hiding of symptoms by the patient etc.
It is only by practice we acquire the knack of remedial diagnosis, which is the logical combination of the science of homoeopathy with the art of homoeopathy.
Dr Muhammed Rafeeque, BHMS.
Family Homoeopathic Clinic