|
Welcome
to Students' Corner. This section is for each and every one of you who thinks
learning is a continued process. You can test yourself in Homoeopathy as well as
the general medical principles in any one of the following sections.
MCQ Questions
which will test you thoroughly.
Medi+Cross
For those with a crisscross brain.
Q & A Answers
to all your doubts.
MCQ
The following
multiple choice questions are all taken from various issues of
"Panorama" and are all having only one correct answer. Choose
whichever you think is correct and check with the answers given at the end of
each set of ten questions.
MCQ-1
1.
Exfoliative cytology
A.
Involves the study of wax-embedded pieces of tissues.
B.
Is performed on cells aspirated through a fine needle.
C.
Is used to screen for Carcinoma of the uterine cervix.
D.
May be used to diagnose carcinoma of the ovary.
E.
Is often used in the diagnosis of breast lesions.
2.
Amniotic fluid
A.
Volume is related to gestational age.
B.
Has no contributions from the foetal kidneys.
C.
Alpha-fetoprotein level increases with gestation in the 2nd trimester of
pregnancy.
D.
Contains no creatinine.
E.
Osmolatity increases to term.
3.
Arginine Vasopressin
A.
Is produced by cells of the anterior pituitary glands.
B.
Increases the permeability of the collecting ducts of the kidney to
water.
C.
Is released in response to alcohol consumption.
D.
Is produced in excess in diabetes insipidus.
E.
Is a decapeptide.
4.
The following factors positively influence high birth weight
A.
Maternal growth hormones.
B.
Prolonged pregnancy (294) days.
C.
Fetal hyperinsulinaemia.
D.
Primiparity
E.
Social class
5.
A woman whose blood group is O (-)ve.
A.
Has the commonest blood type
B.
Has no antibodies to the ABO system in her blood.
C.
Carries A + B Antigens on the red cells.
D.
Should receive only O(-)ve blood if transfusion is required.
E.
Should always receive anti- D imunoglobulin following childbirth.
6.
Rubella infection
a.
Is spread by direct contact.
b.
Has an incubation period of 4 weeks.
c.
If acquired after the 16th week of pregnancy produces a congenital
malformation in 30% of cases
d.
Specific Ig M persists throughout the pregnancy.
e.
Is caused by a rotavirus.
7.
Lymphokines
A.
Are all antibodies arising from mast cells.
B.
Arise, from plasma cells.
C.
Are, Ig E immunoglobulins.
D.
Are responsible for immune complex formation.
E.
Are produced by Type 4 cell mediated immune responses.
8.
Which of the following statements relating to syphilis are correct.
A.
Treponema pallidum is a gram -ve organism.
B.
The primary chancre usually appears within one week of exposure to
infection.
C.
Spirochetes are distributed throughout the body at the time of appearance
of the primary chancre.
D.
Serology is +ve in all cases of tertiary syphilis.
E.
The Wassermann reaction (WR) is specific for syphilis.
9.
Which of the following statements about haemophilia are true:
A.
All sons of affected males will inherit the condition.
B.
Half sons of a carrier female will inherit the condition.
C.
Normally daughters cannot be born to a carrier female.
D.
The incidence of haemophilia in the daughters of an affected male
(married to a normal female) will be one in four.
E.
If a carrier female marries an affected male, all of the offsprings will
inherit the haemophilia gene.
10.
During pregnancy
A
Glycosuria is an effective test of carbohydrate intolerance.
B.
Fasting plasma glucose concentration is decreased.
C.
Fasting plasma insulin concentration is decreased.
D.
The oral gut remains unaltered.
E.
2 hours after an oral glucose load, plasma insulin concentration should
have reduced to normal.
Answers
TOP
MCQ-2
1.
Every alternate period very profuse;
sore pain in womb on rising
A.
Ustilago
B.
Cimicifuga.
C.
Secale cor.
D.
Thlaspi bursa partosis.
E.
Vinca minor
2.
Sensitive to noise, it penetrates the body especially the teeth
A. Acid nit.
B. Agaricus
C. Sabina
D. Tarentula
E. Theridion.
3.
Own nice sounds unnatural, humming as of a see shell, talking loudly is
painful.
A.
Mygale.
B.
Carbo animalis.
C.
Terebinthina.
D.
Tarentula.
E.
Lac can.
4.
Pain from last cervical vertebra to 5th dorsal vertebra; very sensitive.
A.
Lobelia
B.
Theredion
C.
Trillium
D.
Tellurium
E.
Zinc. met.
5.
Extreme restlessness, must keep in constant motion even though walking
aggravates.
A.
Rhus tox.
B.
Arsenic alb.
C.
Tarentula.
D.
Kali brom
E.
Opium.
6.
Vertigo on opening eyes, sick headache, with deathly nausea.
A. Conium
B. Alumina
C. Tabacum
D. Silicia
E. Thuja.
7.
Chronic asthma in summer
A. Lachesis
B. Syphilinum.
C. Selenium.
D. Nat. sulph.
E. Sulphur
8.
A tissue remedy for sclerosed arteries
A. Sumbul
B. Calc flour
C. Adonis
D. Aur mur.
E. Baryta mur
9.
Acts on the heart, increases the systole, and diminishes the rapidity
A. Crataegus.
B. Baryta mur.
C. Strophanthus.
D. Cactus.
E. Adrenalin.
10.Chronic
sequelae of heamorrhages, after operations with much oozing of blood, coldness
and prostration.
A. Abrotanum
B. Strontia.
C. Secale cor.
D. Phosphorus.
E.
Hamamellis.
Answers
TOP
MCQ-3
1)
Ligament of Bigelaw is present in
a) Hip joint
b) Knee joint
c) Ankle joint
d) Shoulder joint
e) Wrist joint
2)
Of the following colonic polyps, which has least malignant potential
a) Juvenile polypus
b) Gardeners’ syndrome
c) Familial polyposis
d) Turiot’s syndrome
e) Adenomatous polyps.
3)
Chlorination does not affect
a) Salmonella
b) Shigella
c) H.I.V.
d) Polio virus
e) Cholera
4)
Most common cause of infant mortality is
a) Prematurity
b) Congenital anomalies
c) Acute respiratory infections
d) Diarrhoeal diseases
e) Injuries.
5)
Highest concentration of potassium is seen in
a) Stomach
b) Duodenum
c) Jejunum
d) Ileum
e) Colon
6)
Herbert’s pits are seen in
a) Trachoma
b) Herpetic conjunctivitis
c) Ophthalmia neonatorum
d) Spring catarrh
e) Traumatic conjunctivitis.
7)
Elevation of C.K.B. enzyme indicates lesion in
a) Muscles
b) Heart
c) Liver
d) Brain
e) Spleen
8)
Following are the symptoms of Wilson’s disease except
a) Rigidity
b) Jaundice
c) Spasticity
d) Dementia
e) Sensory changes
9)
The most common anterior mediastinal tumour is
a) Thymoma
b) Lymphoma
c) Dermoid
d) Neurofibroma
e) Mesothelioma
10)
In a patient with syphilis semen is infective for
a) 4 weeks
b) 4 months
c)
1year
d) Life long
e) Never
Answers
TOP
MCQ-4
1)
Pain in transverse colon
a) Nux Vom
b) Colchicum
c) Colocynth
d) Plumbum met
e) Pulsatilla
2)
Prolapse uteri from over lifting or straining, from constipation, after
parturition with subinvolution
a) Ruta G.
b) Ustilago
c) Podophyllum
d) Helonius
e) Cinchona
3)
Warts at the os-externum
a) Thuja
b) Sabina
c) Calendula
d) Podophyllum
e) Antim Crud
4)
Headache during 2 or 3 days of accustomed menstrual flow.
a) Sepia
b) Cocculus
c) Crocus Sat.
d) Actea race
e) Lachesis
5)
Extreme indifference to life. Sure she will die
a) Aconite
b) Kali carb
c) Gelsemium
d) Phytolacca
e) Selenium
6)
Leucorrhoea with strong odour of fish brine
a) Kreosotum
c) Tellurium
d) Borax
e) Sanicula
7)
Sensation as if a thread is
hanging down from the throat
or tongue
a) Nat-mur
b) Valariana
c) Allium cepa
d) Hep.sulph
e) Phytolacca
8)
Profuse leucorrhoea soaking through the napkins and running down the
thighs
a) Syphilinum
b) Sepia
c) Graphites
d) Kreosotum
e) Murex.
9)
Urine: brick dust red or yellow sediment with odour of musk
a) Terebinth
b) Oscimum cannum
c) Hydrangea
d) Solidago
e) Pareira brava.
10)
Confusion, better by smoking in open air
a)
Heloderma
b) Staphysagria
c) Ignatia
d) Platina
e) Aranea
Answers
TOP
MCQ-5
1. Can only void
urine when sitting bent backwards
a)Zincum met, b) Causticum, c)Srasaparila, d) Lachesis, e) Fluric acid
2. Rheumatism associated with urticaria like eruptions.
a)Ledum pal, b)Urtica urens, c)Lactic acid, d)Apis mel, e)Thuja
3. Shock after surgical operations,
a)Strontium carb, b)Lithium carb, c)Calcaria carb, d)Arnica, e)Opium
4. Hands constantly kept on genitals,
a)Petroleum, b)Stramonium, c)Selenium, c)Cuprum, d)Oregano, e)Plum bum
5. Convulsions with pale face and no heat,
a)Belladonna, b)Magi. Phos, c)Zincum met, d) Causticum, e) Cuprum met
6. Amenorrhoea with asthma
a)Senega, b)Lachesis, c)Spongia, d) Natrum mur, e)Sambucus
7. Constant discharge of flatus when walking.
a)China, b)Myrica, c) Lycopodium, d)Pulsatilla, e) Natrum sulph.
8. Black Cuban
spider is
a)Theridion, b)Tarantula hispanica, c) Tarantula cubensis, d)Latrodectus
mactans, e)Mygale
9. Cough with few paroxysms at day time, but many during night
a)Corallia, b)Mephitis, c) Psorinum, d) Euphrasia, e)Arsenicum alb
10. sleeps in the knee chest position
a)Ignatia,
b)Psorinum, c)Medorrhinum, d)Syphilinum, e)Tubrculinum
Answers
TOP
MCQ-6
All
the questions in this set are from Medicine. They were asked by Ministry Of
Health (MOH) UAE, for the examination for registration of Complementary and
Alternative Medicine (CAM) practitioners.
1.
Which of the following foods contain minimum amount of cholesterol
(a)Fish (b) Liver (c)Vegetable oils (d) Skimmed milk
2.
Disk prolapse and Spinal stenosis will lead to
(a) Cervical spondylosis (b) Nerve root pain (C) Mechanical backache (d)
Incontinence
3.
BMR is decreased in
(a) Fever (b) Hypoparathyroidism
(c) Hyperparathyroidism (d) Polycythaemia
4.
Which of the following is true about recording blood pressure
(a) The arm should be supported during the measurement.
(b) Is best heard over the radial artery
(c) A single treading of 140 over 90 mm of Hg is indicative of hypertension.
(d) Auscultation method is the best over other methods.
5.
Severe kyphoscoliosis will lead to
(a) Left rather than right ventricular failure
(b) Right rather than left ventricular failure
(c) Frequent respiratory infections
(d) No cardiac abnormalities
6.
Select the correct answer from the clues after matching the disease given
below with their effective prophylactic measures.
I. Malaria
A. Chemotherapy
II. Typhoid
B. Vaccinaiton
III. Yaw
C. Hygiene
IV. Hepatitis
D. Insecticides
(a)
I-B, II-D, III-A, IV-C
(b) I-D, II-C, III-A, IV-B
(c) I-C, II-D, III-A, IV-B
(d) I-D II-B, II-A, IV-C
7.
Which of the following is an antioxidant
(a) Vit A (b) Vit D (c) Vit E (d) Vit K
8.
A man exposed to high temperature for prolonged period and who drinks a
lot of water will have
(a) Heat exhaustion, (b) Heat Stroke, (c)
Heat Cramps, (d) Heat syncope
9.
What is not true about Psoriasis
(a) Scalp is involved
(b) May cause arthritis
(c) Occurs mainly in flexural aspects
(d) Is an autoimmune disorder
10.
The most common complication of Chickenpox in children is
(a) Pneumonia, (b) Cystitis
, (c) Secondary bacterial
skin infection, d)
Encephalitis
11.
What is the best strategy in simple mild backache
(a) Rigorous physiotherapy
(b) Floor exercises, (c) Chemotherapy, (d)
Mechanical aids
12.
The most common cause for acute abdomen in children and infants is
(a) Volvulus (b)
Intussusception (c) Pancreatitis
(d) Appendicitis
13.
Obesity is a risk factor for
(a) Osteoporosis, (b) Osteoarthritis, (c)
Both, (d) Neither
14.
The most common extracutaneous site of involvement of Chickenpox in
children is
(a) Genitourinary system
(b) Cardiovascular system
(c) Central Nervous system
(d) Gastrointestinal system
15.
Which of the following is a respiratory catalyst?
(a)
Vit C (b) B12
(c)Folic acid (d) Pyridoxin
Answers
TOP
=====================================================================
Q & A
Send in your
questions regarding anything under medical field. They will be answered by
experts in the field. Click here
to send in your queries. Browse through some of the Q & A from the previous
issues below.
From Vol:
10, No: 4(October-December 2002)
Dear Sir,
Please
consider the following situations.
1.
A homoeopathic physician prescribed a specific medicine to the symptom totality
of his patient. Due to the
non-availability of the specific medicine, the pharmacist dispensed another one
and given to the patient as the prescribed drug. My questions are (i) What are
the methods to find out substitution or adulteration of homoeopathic medicines?
(ii) Is there any provision to take legal action against the pharmacist under a
particular ‘Act or Rule’?
2. Under the ‘Medical Insurance Scheme’ the patient
can avail reimbursement for the side effects of medication, in India &
Abroad. The question is this. If the adverse effects are due to any homoeopathic
medication how can a patient claim the imbursement through insurance schemes?
Rejikumar .R,
Final year student. Govt.
Homoeopathic Medical College, Thiruvananthapuram.
Our panel of experts answers the question
Dear
Mr. Rejikumar,
Both the questions, having similar implications, have the same answer. And
unfortunately that is a negative one too. First of all there are no methods to
find out adulteration or substitution of Homoeopathic medicines above certain
potencies with the existing technical facilities. So there is no question about
the action against the same. Neither is any ground seeking reimbursement. In
fact if a pharmacist says he didn’t give any medicine at all to the patient
but only a drop or two of pure alcohol one can do nothing about except booking
him for misleading the patient. It is easier for the pharmacist to maintain the
state that he has given the right medicine it self.
About mother tinctures and the first few potencies, the existing analytical
techniques can distinguish the identity of the medicines and with appropriate
proof can initiate procedures with the help of the existing law itself if any
mishap occurred.
The issue has far greater implications than those raised in the above question.
Presently we are having no method to ascertain the quality or even the
originality of medicines (the potencies) we purchase in a sealed bottle of
reputed manufacturers except our good faith. This is particularly important in
the wake of the fact that original/genuine back potencies and raw materials of
many of the rare medicines are a rarity now. Some opine that a few of the
original back potencies are not available at all!
What we can do at the most is to maintain stringent quality control and strict
licensing procedures with the back up of regular periodic check ups of the
manufacturers. This can greatly diminish any misappropriation at that level. For
the retails selling pharmacies it is a must that each should have a qualified
homoeopathic pharmacist/physician with it. This will normally prevent any
mishaps as otherwise it will become unethical practice. Unfortunately many
retail-selling pharmacies have only the names of them in their rolls and the
actual dispensing is done by recruits not specially qualified. So to prevent any
anomalies at this level the best thing is to make it mandatory for pharmacies to
employ full time pharmacists in the stores. It should be noted that fully
qualified Homoeopathic Nurse cum pharmacists -NCP- are available now.
Another important step is to educate the pharmacies about the dangers of
adulteration and substitution. They should be enlightened about the giving the
exact medicine prescribed in the exact potency itself.
This is a good question and the most difficult one we got so far as we
researched extensively to get a positive and definitive answer to it. EB.
TOP
From Vol: 9,
No: 4(October-December 2001)
Respected
sir,
I
had attended the NJH seminar in Trivandrum. Presentation about non-verbal
communication was useful and refreshing. More in such line has to be done. But
today there is an increasing need for true homeopathy, as now a days
fundamentals are violated, with poly
pharmacy, patents etc. Today homeopathy is more an art than a science. But
shouldn’t the success and failure depend on proper understanding of its
science and skillful application in clinics?
But how should one incorporate the clinical knowledge properly with
medicinal knowledge and Organon? Actually there is a lack of teachers and
practitioners who can give bedside guidance. I have came to know about
advocating of ‘Synthetic Prescribing’ by ICR, ‘Similiar Way’ of Ian
Scholten & Rajan Shankaran and ‘Kingdom
Classification’ by another group. On the other hand Vithoulkas attacks these
homoeopaths, especially Ian
Scholten & Shankaran. As a student I am confused in these disputes between
the most renowned teachers. Who and what is right and wrong? Are the so called
new frontiers helpful or misguiding. I do not have books by Rajan & Ian
Scholten but I see synthetic prescription being advocated by ICR & being
used by homoeopaths in Mumbai. Vithoulkas points out that the synthetic method,
initially put forward by master Kent himself was a wrong step.
Sir,
kindly guide me in this regard.
Wishing you good health and success, thanking you,
Hail homoeopathy,
Rajiv Abraham,
Final year student,
Dr.Padiar Memorial Homoeopathic Medical College,
Ernakulam, Kerala.
The
question raised by Mr. Rajiv here is a serious one. It is regarding the
different schools of philosophies prevailing in the Homoeopathic system of
medicine. For an enthusiastic student who has a deep knowledge and concern in
the science, the philosophical part of this system, that has developed and grown
in to branches with the stalwarts within our system will be rather confusing. So
a beginner has to follow the classical ways of prescribing that he was taught
in the class rooms, which forms the clear strong basement of the system.
The basic principles remain unchangeable in any case where as the form of
application become different-as the steel on the hands of a blacksmith.
The so called new frontiers are developed through experienced minds, that
can be valued only for those having similar experiences. Homoeopathy is the
medicine of experience, mere theory do not help a homoeopath at bedside. The
teaching of Homoeopathy today and the practices prevailing are not only leading
to confusion but will also spoil the already frail confidence of the fresh
Homoeopaths. In turn this will injure the reliability of the system among the
public. At this juncture we put this issue of various modes of prescriptions for
the consideration of those experienced learned persons and teachers of our
system. Let us make a healthy discussion about it. Please forward your views to
“Panorama”. The collective response will be published. EB.
TOP
------------------------------------------------------------------------------------------------------------------------------
From
Vol: 10, No:1(January-March 2002)
Dear
Editor,
Read
the article titled "Boiron Acts Against Anthracinum Misinformation" in
the column of 'Homoeopathic World'
in the Homoeopathic Medical Panorama, Oct-Dec. 2001 issue.
It was these Boiron-like companies who strongly advocated the sale of
homoeopathic medicines on an O.T.C. (Over the counter) basis. Now when they are
getting kickbacks due to the O.T.C., it is natural for them to take bail by
issuing such alarm signals.
The O.T.C. was one of the policies, which has brought Homoeopathy to the present
state of disrepute in the United States. There
is no one-to-one correspondence in Homoeopathy as far as disease drug
relationship is concerned. Hence such claims as Anthracinum for "acne and
boils" as printed on the Boiron label doesn’t stand.
This can only draw the system into disrepute.
If these pharmaceutical giants really want to spread Homoeopathy and stand for
its cause, they must come forward to educate the masses on what is Homoeopathy
and should guide and encourage them to take homoeopathic medicines strictly
under the guidance of qualified homoeopaths.
We do not find many medicines in the so-called modern medicine (allopathy) being
sold O.T.C. Only the Alterative system, Homoeopathy and Ayurveda are being
attacked that too when these systems seem to gather popularity.
We need to fight such injustices and mismanagement of our system of Medicine and
let us all join together for a genuine cause setting aside all disparities.
Thanking you
Yours in Homoeopathy,
Dr.George
Philip K
Irimpanam.
Dear
Dr. George,
We
are pleased to receive this letter from you. It is a serious issue that you
pointed out here. We brought out the piece you mentioned in ‘Homoeopathic
World’ as it was having contemporary relevance. In the issue, you should know
that there is already a ban on ‘SBL’ an associate of ‘Boiron’ by KHMGA.
Again it is an example of our policy that our action purely depends on the
intention and the effect of the particular matter on Homoeopathy at large rather
than individually biased.
Besides
this let us use this opportunity to enlighten you on some related facts too. As
you said in the last part of your letter it is only the unified strength of the
Homoeopathic field that can save us from near extinction.
But unfortunately KHMGA was, and still is, the only professional body who
took any action in this regard. The other organizations, claims to be the
stalwarts, are only interested in enhancing their membership and increasing
their bank balance. They should be really ashamed that even the association of
Homoeopathic Pharmacists and Chemists represented the mater at the authorities,
while they stand there watching the system being raped.
Also
the letter assures us that there are Homoeopaths who are aware of these facts
and who will respond if there is any move otherwise. In fact such individual
response and responsibility add a great extend to the immunity of the system. We
with all the like-minded Homoeopaths hope that the system will not meet a
premature death in this ‘Holy Land Of Homoeopathy’.
E.B
TOP
____________
Dear
Sir,
There
are so many Homoeopaths in Kerala. But why should there be two organizations for
them, namely KHMGA nad IHK? Isn’t it necessary only one body for all the true
Homoeopaths here? I will be much thankful if you please give me an answer to
this worrying question.
Dr.
Syjal BHMS
Ramanattukara.
Dear
Dr. Syjal
You
are very much right and we agree with you in that there should not be two
organizations for the Homoeopaths here. KHMGA
is more than sufficient for all the ‘real’ needs of the system. Because the
other organization ‘IHK’ is neither having any decent agenda they can uphold
nor are they doing anything to strengthen the system. Instead
Regarding
your first question, there are some basic differences between KHMGA and IHK.
One:
Any tom dick and harry can be a member of IHK provided he have some
qualification in Homoeopathy, where as only Homoeopathic graduates with at least
a little self esteem only are accepted as KHMGA members. You may understand that
IHK is sending out invitations even to quack practitioners about their
scientific seminars, where KHMGA is fighting with tooth and nails to ward of
that evil.
Two:
You will get lucrative offers to join IHK, especially if you are a graduate, as
they are so ashamed of not having enough graduates with them. We do not
generally give important and responsible positions to our members in the
beginning itself. In IHK when you start as at lease a district level office
bearer and in the next year itself a prominent state official, in KHMGA at least
a couple of years hard work as an ordinary member is required at chapter level
before you can dream about anything of an official post. This is elementary
because KHMGA is doing a lot of important things than merely blabbering about
activities, and each post here is attached with so much responsibility. So for
any position here experience and exposure is a must.
Three:
KHMGA has a definite aim as stated in the by-laws i.e. to uplift the system of
Homoeopathy in general and the graduate community in particular. You can always
examine it. But IHK has no such clear-cut aims. Ask them, who claims to be there
for graduates also, about it and they cannot show you anything solid as a proof.
Let it be. But at least they should stand for the benefit of the system. But all
of us know the stand of IHK in OTC rules, pay scale parity issue, eternal PG
issue, staff pattern fixing issue and so on. IN all of these issues IHK took an
adamant stand destroying the system. Ironically they took such a stand only to
oppose the degree community.
Four:
IHK is a
dying organization with only a limited number of years left as now there are no
other degrees awarded in Homoeopathy besides BHMS. The recent envigourness seen
in the activities of IHK is too much an indication of it. KHMGA will be the only
organization in future. Besides KHMGA is the mother organization of IHK as most
of the graduates in IHK are those eloped from KHMGA from time to time. Even more
interesting, they are rather abducted from KHMGA by showing lucrative posts and
positions. We whole-heartedly welcome all of them back provided they come back
unconditionally.
Let
us sum it all. WE at KHMGA do not lie, do not cheat and do not character
assassinate and back stab any body even if he is an IHK member!
Because we are not cowards.
Gen.
Secretary KHMGA.
TOP
------------------------------------------------------------------------------------
From Vol: 9, No: 3(July-Semtember 2001)
Dear
sir,
As
you may know, for us fresh homoeopaths clinical tips from experienced
practitioners are very important. It is unfortunate that your association does
not give due importance to that matter. Can you please explain why?
The interns XIV batch GHMC Calicut.
Our
panel of experts replied to this
Dear doctors,
There are two types of so-called ‘tips’. One is the theoretical tip and the
other is the practical tip. Any body who can memorise a few lines from the
Materia medica can start giving clinical tips. They are included in the first
category. It’s actually of no value to a fresh Homoeopath, as they can get
better explanations from the texts themselves. Unfortunately many tip-giving
people are dispensing them in like manner! The ‘practical tips’ always come
from an experienced, observant Homoeopath. These may be of use to a Homoeopath,
fresh or experienced.
But remember these are also of only limited value to a real Homoeopath.
Because in Homoeopathy what matters most is the patient and his illness.
Both of them have to be individualised 3 before attempting any treatment. For
this you have to study each and every case in detail, work it out, sweating over
it, and find out the correct remedy for each case. This is true in the case of
both acute and chronic illnesses. Instead if any body tells you to give such a
medicines for a case, it is not Homoeopathic. This ability to find out the
similmum from among our vast materia medica will get easier with every case.
Until ultimately it becomes an automatic process in your subconscious level.
Please
remember that you can achieve this level – the level many excellent tip giving
practitioners achieved- only if you work out your cases on your own! Instead ask
all these tip givers who provided them tips in turn when they were fresh and
beginners!
Another common fear of youngsters is how to cope with the sudden stress of an
acute influx of cases. Many say they will not be able to find out the remedy in
five minutes like the experienced one so we have to rely on tips. This notion
that you have to find out the remedy in five minutes is wrong. First of all as a
fresh Homoeopath (or for that matter a beginner in any system of medicine) you
will get enough time to ponder over a case if you divide the number of cases
coming to you in one day with the total hours of your practice. Second, many
experienced and well-versed Homoeopaths even prescribe medicines after working
it out with suitable apparatus. And if they have done their homework well in
their beginning years (remember ‘years’) they can do it a little faster, by
using the fastest working software ever discovered for rapertorisation ‘the
human brain’.
One more thing, if you ever relied solely on a tip to prescribe your remedy in a
case you will never be able to think of another remedy in a similar case. You
will be virtually having a stunted growth in terms of your ability to practice
Homoeopathy.
All these are said not to underplay the importance of learning from the mouth of
the master. But it is only the basics of philosophy, pharmacy and medicine we
learn there.
And then we set out to “practise medicine” not to use what we learned
by-heart. Remember the words of
Dr.J.T.Kent, “Understand the remedy first, the key note last”. The socalled
tips that you get from a master very often help you in clinical practice-but if
you perceive the philosophy behind each successful prescription that would be
useful for your life long practice helping you in each and every case every
time.
Also remember that our association regularly conducts ‘continuing medical
education programs’ with an aim to give a
helping hand to the doctors, especially young and fresh ones, where the
discussions are not at all strictly confined to laws and prejudices. Anyone can
participate in these open forums for clarifications of their doubts and
apprehensions. One peculiarity of such sessions is that there the queries are
discussed by all those present including experts and the experienced among them,
instead of giving a one word answer to them. We request all the practicing
doctors to utilise such events for developing a better professional approach.
TOP
-----------------------------------------------------------------------------------------------------------------------------
From
Vol: 9, No: 1(January-March 2001)
Dear
Sir,
How
can one handle situations like the death of a patient or even the fainting fit
of one of the patients in our OP? (Dr.Rajith Prakash C.B, Kozhikode asks)
Mr.V.K.S.
Menon (Former UN Management Expert, and author of many books
on management replies).
You can simplify this task by remembering the following four don’ts. 1.stay
calm, 2. Never loose your confidence, 3. Never jump to conclusions and 4. Never
try to explain.
Losing
your composure and panicking was, is and will never be the strategy in a crisis
situation. Stay calm and you can
properly think and employ your resources to stay calm. You can do what is
required fast and prompt. Stay calm
and you exude an authority, which tells others that you are in control of
yourself and the situation, which will do a lot than many words or action can.
Whatever
happens around you, you never waver. Losing your confidence can affect a person
two ways. It will mar your
abilities of judgement and efficiency. Also those around you will always sense
that you are in doubt, so that you may be blamable and that will make things
worse.
Jumping
to conclusions will always put you in a trap sooner or later. On many instances
the damage may be not up to the extent you have imagined. And very often
something done fast instead of speculating in vain may save the situation too.
Also making out a statement too soon will downgrade your image in front
of others.
Explaining
things will do only one good in most of the cases.
That is putting you in a spot. Explaining
especially about unexpected and unfavourable events will always raise doubts in
the minds of those listening. The more you try to explain the more they become
convinced that you know not much about the situation or, more troublesome, you
may be guilty in some way. Here the motto is less talk more work.
The
question indeed is a very good one. But there are still untouched
areas in the field of
management. So we are bringing out
a detailed article on personal management in the next issue. EB
TOP
-----------------------------------------------------------------------------------------------------------------------------
From Vol: 8, No:
4(October-December 2000)
“What is
‘potential defferential field’, please explain with suitable examples?”
Dr.M.P.Jayaraj from
Madappalli asks..,
Dr.
K.B.Ramesh (Professor, Case taking and
repertorisation, GHMC Kozhikode) replies.
PDF
is a tool wea can use in the search for the similimum. To explain, when we
repertorise a case we get a set of similare remedies in the end. In order to
find out ‘the similimum’ from among them we generally go back to the case in
question with the help of Materia Medica. Here in many instances after
repertorial work there remain some symptoms which canot be covered by the
repertory. For eg. the patient has a family history of Diabetes Mellitus or a
tendency for urinary calculi formation. These points will make the selection of
similimum easier by helping to make finer discreation among the similer drugs.
These we do by consulting various Materia medicas, pathological knowledge or
even byselecting certain related rubrics from repertories and by applying these
to the set of similar remedies. These purticular group of symptoms which remain
uncovered after the repertorial work is called the potential defferncial
field.
For
eg. If we get a haemerrhagic case like heamophilia and the selection after
repertorisation has to be narrowed down from among drugs like Crotalus,
Lachesis, Phosphorus etc.., we can easily chose the similimum if there is a
history of consanguinous marriage in the family. From the Materia Medica
knowledge we know that Phosphorus is the remedy. Here PDF works.
Dr.S.K.
Thiwari in his ‘Essentials of Repertorisation’ explains PDF =Conceptual
image -Repertorial totality (page 235, B.Jain, First Edition). Here conceptual
image is the picture we make by the process of case taking and repertorial
totality is this image modified by the repertory we use for the purpose of
repertorisation.
Now
a days modern sophisticated repertories are available which cover a wide
variety of symptoms. In turn PDF is also getting narrowed. But still it comes to
the help in many instances.
TOP
--------------------------------------------------------------------------------------------
From Vol: 8, No:
3(July-September 2000)
“What
is your opinion regarding ‘animal provings’.
Will it be easy to convince others about the action of Homoeopathic drugs
if we give stress on objective symptoms?
Franco
Joseph III BHMS, GHMC Kozhikode asks.
Our
panal of experts after discussing the question gave the following reply.
“The shortest answer to the above question is like this.
‘Human provings are almost always superior to animal provings’.
There are many reasons. Beginning
from miasms, Homoeopathic medical system is intimately connected with the
‘Psyche’. The best possible
help one can get in finding out the similimum is a Homoeopathicaly diagnosed
case. We cannot diagnose
(homoeopathically) a case without considering the mental symptoms, not only in
chronic diseases but in many acute ones also.
For Eg. Pain (one major symptom present in almost all acute conditions)
and its qualifications (character, intensity, duration, exact location etc.) are
entirely subject
It is a fact that the subjective symptoms can never be fully
studied except in human provings. Please
note that even provings on sick individuals is discouraged by Hahnemann on the
grounds that the disease symptoms may mingle with drug symptoms and a full
positive picture of the drug cannot be obtained.
Animals
and humans are having vastly different structural arrangements.
Not only in the psychic aspect but in the anatomico-physiological aspect
too. So the action of drugs will
also be different in both groups. There
are many substances which are poisonous or irritating to human system but
perfectly tolerated by many animals. This
is in the physiological form of the substances.
Then in the subtle spiritual form we can’t even imagine what will be
their differences in action in both systems.
The only
advantage of animal proving is that the pathological symptoms can be studied in
detail, antimortum and post mortum. Especially,
the antimortum pathologial changes will tell us the more violent, deep and
irritating actions of the drug, which we cannot induce in human beings.
However to a certain extent these effects can be studied from poisoning
cases (accidental, homicidal and suicidal), drug over dosage, and clinical
trials. But large scale post mortum
studies of human beings are extremely difficult if not impossible.
There is
another important, though less thought about aspect to animal proving.
In the present day Veterinary Homoeopathy is advancing rapidly.
Even established Veterinary surgeons are using Homoeopathic drugs on many
instants. So thinking along the
line of ‘Similia similibus curentur’, it is a must to prove drugs on
animals, inorder to perfectly match the disease and drug pictures.
As
for the second part of your question, it will be easier to convince others about
the action of Homoeopathic drugs by simply treating the patients using similimum
and making the effect ie-cure. It
is documented by the increasing popularity of the system. And if you present
the cases with data or as a well controlled study even the most skeptical will
have to be convinced.
TOP
-------------------------------------------------------------------------------------------------------------------
| 
