‘Prescribe For the Patient- Not for The Disease’. What Does It Actually Mean?

‎”Do not prescribe for the disease- prescribe for the patient”- this is a much quoted and much misunderstood cliche in homeopathy. What does it actually mean? I think we have to ponder over.

This statement is is understood in different ways.

Some homeopaths understand it as ‘forget the disease, treat the person’. According to them, whatever the complaints the person heve, his constitutional similimum selected on the basis of physical generals and mentals is enough to remove all his ailments and bring him back to total cure. They call it ‘constitutional’ approach or ‘holistic’ approach. Some people with extreme approach believe we can cure with only ‘mental’ or even ‘sensational’ similimum. According to this people, if the patient is calc constitution, we should prescribe it only, whatever be the ailments- headache, digestive upset, piles, eczema, allergy, acute cold or anything else.

In my opinion, “prescribe not for the disease- prescribe for the patient” should be understood in a different way.

If we try to prescribe on the basis of a disease diagnosis, it is ‘prescribing for the disease’. Same time, if we prescribe on the basis of LESMC qualifications of that ‘disease’ specifically expressed by the individual ‘patient’, it is ‘prescribing for the patient’.

Prescribing for a ‘headache’ on the basis of diagnosis of ‘migraine’ is ‘prescribing for disease’. Exactly, the homeopath should prescribe for the specific ‘patient’. If we collect the locations, sensations, modalities and concomitants of that ‘migraine’ in that particular patient and find a similimum, it is not prescribing for disease- it is a prescription for that ‘patient’. You cannot expect that prescription to cure a ‘migraine’ of another person. He will need another similimum based on his symptoms.

In my opinion, “prescribe not for the disease- prescribe for the patient” should be understood in this way. It doses not mean ignoring the ailments of the patient, and prescribing for his ‘constitution’.

A young homeopath asked me to suggest a drug for his patient with ‘violent knee pain’. When I asked him to provide symptoms, he said: “patient gives no other symptoms”. I get many such requests from young homeopaths daily.

An unqualified symptom is of no use in selecting a similimum.

I told him, we should get detailed symptoms for making a prescription: For example, he has knee pain(expression), right knee(location), swelling and redness(expression), throbbing pain(sensatin), relieved by warm application(modality) and rest(modality), worse by motion(modality), walking(modality), pain extending to heels(concomitants), it is a clear picture. We can prescribe.

‘No symptoms’ only means, we failed to collect symptoms. Collecting symptoms is an art, which needs great talent, creativity and observational and communication skills.

Once the patient reports a symptom, do not leave that symptom without collecting maximum information regarding that symptoms, such as its causations, expressions, locations, sensations, modalities and concomitants.

Same time, we should be careful not to break the flow of narrations by interfering with frequent questions. It would be ideal to allow the patient to complete his narrations uninterrupted, and then return back to each symptom and interrogate the patient to collect the qualifications.

Even a single symptom, if it is well qualified with all its LESMCs will by itself provide a strong foundation for a reliable prescription.

For example, if the patient has a headache (expressions), in forehead(location), bursting pains(sensations), amelioration by cold applications and sleep(modalities), aggravated during menses(modalities), with vomiting(concomitants) and blurred vision(concomitants), we can make a prescription for her headache without considering generals or mentals. Such a prescription will relieve the headache instantly.

If the complaints recur, we will have to find her constitutional similimum using physical generals and mentals, which will cure her permanently.

Homeopathic prescribing is an art of individualization. But ‘individualization’ should not be understood as prescribing ‘constitutional similimum’ always. Individualization exactly means finding a similimum considering the symptoms expressed by the patient in their totality. Qualified symptoms is the key to successful individualization of a case.

‎”Do not prescribe for the disease- prescribe for the patient” indicates the importance of this individualization. It does not mean ‘prescribe constitutional drugs’ only.

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About Chandran K C

I started practicing homeopathy in 1970, when I was 20 years old and studying for final year of BSc (Zoology) course. My interest in homeopathy happened very accidentally, through a constant relationship with a local practitioner who happened to be father of my classmate. I was a regular visitor in his clinic, where from I started reading BOERICKE MATERIA MEDICA and other homeopathic books, which helped me to cure myself my troublesome asthma that have been haunting me since my childhood days. I became a voracious reader of homeopathy. I was also deeply involved in studying marxism and dialectical materialism during my college days, which attracted me to political activities. MARXISM and HOMEOPATHY became two essential parts of my intellectual and practical life, which still continues so. Even though I joined DHMS course in a karnataka homeopathic college, I could not continue it due to my intense involvement in revolutionary political activities that resulted in jail life and a lot of criminal cases. Once that phase was over, I took a diploma in veterinary science an became a livestock inspector in animal husbandry department under govt of kerala. I have been continuing my study and practice of homeopathy all through these years. Since CCH act came into force only in 1976, and it contained provisions allowing existing practitioners to continue, my homeopathic practice went smoothly in parallel with my government job. In 1987, co-operating with some local homeopaths and social activists, I started Kannur District Homeopathic Hospital Sociey, which established a chain of hospitals and homeopathic clinics in different parts of Kannur district. After a few years I had to leave the society for some political reasons, and I established a 100 bedded well equipped homeopathic hospital in Taliparamba, employing a number of prominent homeopaths. That was ended up as a financial disaster for me due to many reasons, including my lack of skills as a money manager, and I was compelled to close down my dream project with in a short period. I lost huge money I invested, lost my reputation, and it pulled me into a debt trap. I learned a lot of valuabl lessons from this failure- about life, human psychology, relationships, and above all, about myself. I realized failure is the greatest teacher, if you are prepared learn from it. I learned how will power and determination to win will help us come back into life as a phoenix from our own ashes. I learned, one does not fail unless he stops fighting and accepts failure. My failure and the hardships that followed has moulded my personality in such a way that I can now withstand any disaster and fight back. I tell you, you will not know what life really is, unless you miserably fail at least once in your life. By this time, I left my government job also, and settled as a full time homeopathic practitioner. By this practice, I could repair my earlier financial losses, and establish well in life. It was during this period that I felt the need of developing a simple and user-friendly homeopathic software, that resulted in the evolution of SIMILIMUM, which was later upgraded into SIMILIMUM ULTRA. Similimum Ultra was well accepted by the profession, and it collected good revenues which continues even today. I stopped my practice a few years back , and concentrated in the study and research activities to evolve scientifically viable explanations to the so-called riddles of homeopathy. This unrelenting study resulted in MIT or Molecular Imprints Therapeutics, which provides a scientific and rational explanation for homeopathy. I started a homeopathic discussion group on facebook called HOMEOPATHY FOR TOTAL CURE, which has more than 35000 homeopaths as members. By this work on facebook, I could establish close relationship with many homeopaths around the world. It goes on. I could successfully convert facebook as my office and work place, from where I propagate my MIT ideas, co-ordinate my works for homeopathic community, and sell my Similimum Ultra Software. Similimum Ultra is currently my only source of income for daily life and research expenses, and I am satisfied with it. All my four children are grown up, employed, and well settled which makes me free from all worries, permitting me to spend my whole remaining life dedicated to homeopathy. NOW I AM IN 64TH YEAR OF MY LIFE, AND MY NEXT BIRTH DAY COMES ON JUNE10.
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One Response to ‘Prescribe For the Patient- Not for The Disease’. What Does It Actually Mean?

  1. that is the crux of the point.

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