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Evaluation of
symptom implies the principles of grading or ranking of
different kinds of symptoms in order of priority, which are to
be matched with the drug symptoms in order to cover the
characteristic totality in a natural disease condition with that
of drug disease.
Proper evaluation
of symptom is the most important step next to case taking in
Homoeopathy.In evaluation of case the value of symptom must be
taken in to consideration on several points.
Basically symptoms
are ranked according to their intensity, how deeply they reach
in to the organism ( mental will & emotional symptoms are
considered most important ) and according to their degree of
peculiarity.
According to Kent " all symptoms of will and affections
including desires and aversions are the most important as they
relate to the innermost of the man. Of less value are those
relating to intellect ,while those of memory are to be ranked
lowest.
But
according to Elizebeth wright " on the other hand just because
the physician knows that mental symptoms are most important he
should not hunt in the haystack for a tiny mental, with which to
open his case. The symptom should have the same importance the
same weigh or mass ,in the patients case as is assigned to them
in the symptom hierarchy.
NEED FOR
EVALUATION
A case is full of symptoms of which all are not of same
importants and value.Therefor in order to reach the similimum
the symptoms have to arranged accordingly.
The evaluation of symptoms is based on the basis of operating
schools of philosophy.
RULES TO BE
FOLLOWED
The generals always rules the first
The general symptom must be strong and well marked
A number of strong particulars may not be ignored on account of
one or more week generals
Symptoms related to the vital organs are of more importance
than those relating to less vital parts.
Common particulars may in certain condition assumes a
comparative high rank
By virtue of their appearance at 2 or more sites
As the last appearing symptoms of the case
In mental diseases bodily symptoms have to considered as
concomitants, while mental in case of physical illness are for
the final differentiation of the medicines.
Mental symptoms < or > by physical generals are of the highest
rank
Take minimum symptoms of maximum importance.
Low grade mental symptoms < or > physical general symptoms are
of higher value or grade than common mental symptoms
Eg. Menses <or>,weather <or>
Particular symptoms having < or > by any mental general symptoms
or physical general symptoms are of higher grade than
particulars only and same goes with commons Eg. Anger after,
pain in stomach
All physical generals <or> by mental generals are of higher
value than only physical generals Eg. appetite wanting
,vexation after
Predisposing causes are of greater value in c/c precribing.but
precipitating causes are of greater value in acute prescribing.
DIFFERENT METHODS OF EVALUATION
KENTIAN MAETHOD
Kent was the first to introduce the scheme of analysis,
evaluation & gradation of symptom to reach the similimum. Kent
has given highest emphasis to mental generals reflecting the
inner most of the patient.
KENTIAN
FEATURES OF EVALUATION
#. prime importance to mental generals
#. Limited generalization
#. Physical generals including modalities
#. Characteristic particulars for final stage of differentiation
SCHEME OF
EVALUATION
1. General symptoms
a) Mental general
1st grade mental _ will, love & hates
2nd grade - Emotions
3rd grade _ Intellect / understanding
4th grade - Memory
b) Physical generals
1st grade _ Referring to sexual sphere including menstrual
general
2nd grade - Symptoms referring to appetite, desires etc.
3rd grade _ Things affecting the entire physical body, they are
off greater importance and may beused as eliminating symptoms.
Eg. weather, climate ,bathing etc.
2. Common syptoms
This symptoms are common to a particular disease or are found in
several patients as a common factor. They are usually of
secondary importance and do not play much role in the selection
of similimum, unless they have peculiar modalities.
3. Particular symptoms
The symptom which are related to a particular part or organ or
functions of the body.
IMPORTANCE
#. This symptoms tend to disturb the patient most and he seek
consultation for them only .Thus the prescription of acute
necessity will be based on this particulars.
#. The generals help in the delineation of out line where as
particulars furnish the details to differentiate the remedies.
#. Strong particulars may point to a small group of remedies,
this helps in a quick prescription.
*. Top grade particular Which are peculier,uncommon.uncompeted &
un accountable
Eg. Inflammation with out pain
*. 2nd grade particular
Particulars with marked modality
*. 3rd grade particulars
Common particulars without any appreciative modality, having
diagnostic value only
HAHNEMANNIAN
METHOD
Categorized the symptoms in to
Generals & Uncommon
G.BOERICK
METHOD
Basic or absolute
&
Determinative symptoms
BOENNINGHAUSEN'S METHOD
Quis _ Peculier constitution & temperament
Quid _ Nature of disease
Ubi _ Seat of disease
Qiubis axillus _ Concomitatnts
Cur _ Cause of the disease
Quomodo _ Modalities of circumstances
Quando _ Time modalities
SPALDING
Mental generals, physical generals, dream , special senese,
desires & aversions, modalities, strange rare peculiers,
particulars, objective or pathology.
E. HUBBARD.
Physical general & mental general
WHITMAN
Mental general
Physical general with modalities
Food, desires & aversions
Menses
Strange rare peculiars
Particulars
MARGERET TYLER
1. Mentals _ Will, understanding, memory
2. Strange, rare, peculiar
May occur among mentals, generals or particulars
3. Physical _ sexual perversions
Stomach related
4. Physical generals _ Relating to climate Position etc.
5. Character of discharges
6. Particulars
Dr. WEIR &
M.L.TYLER
Mental general
Physical general as a whole
Cravings & aversions
Menstrual state
Particulars
REFERENCES
Hahnemann Organon of medicine
Patel The art of case taking...
Mohanty Text book of repertory
Elizebeth.W A brief study course in Homoeopathy
Ritu Study of repertory
Sivaraman Analysis and evaluation of symptoms
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