CHRONIC CASE TAKING SHEET

  • Way of entering (Timid/Bold & Fast/Slow).
  • Expressions (Smiling/Serious/Anxious).
  • The way patient greets you and leaves the clinic.

PRELIMINARY DATA

  • Name 
  • Age
  • Sex
  • Occupation Status
  • Religion
  • Mother tongue
  • Address
  • Contact no.

CHIEF COMPLAINTS

  • Since-when the complaints started (Date and Time)
  • Onset-Sudden/Gradual
  • Duration-of the pain with character, mode, extension
  • Side-Right /Left
  • Modalities – (regarding the C/C)
  • Any investigation regarding C/C
  • Probable diagnosis: H/O to rule out other disease

ACCOMPANYING COMPLAINTS

PAST HISTORY

  • Major illnesses which patient has suffered in the past
    (In this try to elicit any major illness after which patient “NEVER WELL SINCE”)
  • Any Laser therapy done for stone/eye correction
  • Physical trauma
  • JOURNEY OF THE DISEASE IN CHRONOLOGICAL ORDER
  • Ascending nature of the disease layer wise and miasmatic PsoraSycosisSyphilis

FAMILY HISTORY

  • Maternal side
  • Paternal Side

GYNAECOLOGIC/OBSTETRIC HISTORY

  • Menstrual history
  • Any characteristic symptom before, during and after menses
  • Menarche- N/Early/Delayed
  • Menopause- N/Early/Delayed
    Obstetric H/O-
  • Habitual abortion or miscarriages

DRUG HISTORY

  • Presently taking any medication
  • Allergy to a particular drug/medicine
  • Any chronic side effects of the medications taken for a long time

INVESTIGATIONS

GENERALS

PHYSICAL GENERALS

APPEARANCE

  • Built
  • Structure
  • Face
  • Hair
  • Warts
  • Complexion
  • Moles
  • Frown
  • Discoloration
  • Pigmentation

APPETITE

  • Veg / Non-veg
  • Tolerance to hunger (Hunger Agg.)
  • Kind of food :      Warm           Cold            Anything is ok

DRINKS

  • Cold drinks
  • Fruit juices
  • Lemonades
  • Tea
  • Coffee
  • Alcohol
  • Milk
  • Soup

CRAVINGS & AVERSIONS

FOOD/DRINK

  • Aggravation
  • Amelioration

THIRST

  • Quantity
  • Why does u drink water?
  • Feel thirsty?
  • As a habit?
  • Drink only during meals not in between.
  • Throat/Mouth gets dry
  • Type of water?  Cold/Warm/ Room temp 

PERSPIRATION (Any PQRS)

  • Profuse
  • Scanty
  • Staining
  • Odor
  • Hot
  • Cold
  • Clammy

STOOLS

  • Frequency
  • Odor
  • Character

URINE

  • Frequency
  • Odor
  • Characte

THERMALS

  • Tolerance to heat or cold
  • Need fan/A.C all the time or be comfortable without it.
  • First one to take sweaters/covering in cold in family.

SLEEP

  • Sound
  • Alert
  • Restless
  • Tossing in Bed
  • Catnap
  • Snoring
  • Walking
  • Talking
  • Salivation
  • Startling
  • Suffocation Position

DREAMS

  • Good/Bad
  • Repeated dreams (related to his family or work)
  • Subject of dreams and its effect

SPEED

  • Working
  • Walking
  • Talking
  • Eating

SENSITIVITY

Mental: 

  • Rudeness
  • Criticism
  • Humiliation
  • Indignation
  • Sad Stories
  • Accidents

Physical: 

  • Sun     
  • Noise (Slight/Loud)
  • Light (Bright/Yellow)
  • Touch            
  • Tight Clothing (around waist /Neck)
  • Perfumes/Strong Odors
  • Atmosph.  Conditions (Rain/Cloudy weather/Moon/Wind/Draught)
  • Travelling/Riding in carriage
     
    If anything is found then how the patient gets affected?
    Any allergic reaction to metals or any synthetic product.

SENSES

  • Vision
  • Smell
  • Taste
  • Hearing
  • Extra-Sensory Perceptions

HABITS

  • Smoking
  • Drinking
  • Tobacco Chewing

SIDE

  • Right
  • Left

MENTAL GENERALS

Whom they are staying with? Joint family or Nuclear family?

EMOTIONAL

  • Sentimental (भावुक)
  • Affectionate (प्यारा)
  • Rage (अत्यन्त क्रोध)
  • Grief (दुख)
  • Sympathy (दया)
  • Jealousy (जलन)

Emotional sensitivity

  • Do you help person who comes for help or you go to the needy?
  • Involved in any Charity and why?
  • Do u get affected when u see someone in pain?
  • What is your reaction?
  • Reaction to consolation (सान्त्वना)?
  • When they are ill or not feeling well and People around them ask about their health then how do they feel?

ANTICIPATION/APPREHENSIVE i.e. ANXIETY

  • If asked to do a new work how confident are you in doing that and what thoughts come in mind?
  • If you have to reach a place at a given time do you reach early, on time or late? And why?
  • If u r told some guests are coming at your place how do you manage?
  • Patient’s worries about health, children, family, others, future, about trifles, anticipating engagement, salvation (मुक्ति या निवारण) or anxiety conscience (हमेशा सही गलत की चिन्ता करना).

ATTACHMENT

Most important thing in life

  • Career
  • Family
  • Friends
  • Money
  • Business
  • Name
  • Fame

MIND AND LIFE SITUATION

EXPRESSIVE & NON-EXPRESSIVE

  • Do you mix up with people easily?
  • Do you share your feelings with anyone?
  • Do you prefer to be alone or in company? Why?

SENSITIVITY TO

Behaviour Of Others:

  • Rudeness
  • Criticism (आलोचना)
  • Reproach (कोसना)
  • Contradiction
  • Reaction when someone talks to you rudely or arrogantly?
  • Reaction if someone criticizes your work? Angry or Hurt.

Self:

  • Health
  • Money
  • Ego
  • Honor
  • Discipline
  • Position
  • Success
  • Failure
  • Work

Surrounding:

  • Music
  • Nature
  • Cleanliness
  • Religion
  • Animals

Relationship:

  • Attachment with Family and Friends ie. Bonds

NATURE/DISPOSITION

How is your nature with people around you in family and work?

INTELLECT & MORALS :

  • How were u in studies – used to study of your own or
    Always someone had to be there behind them
  • To a businessman or an employee ask how they handle their work intellectually sharp or slow
  • In making Decisions Can they take decision themselves on Spot
    1. Do they think a lot and then decide
    2. Have to take someone’s Advice for their decision
    3. Till end they are confused state being indecisive

MEMORY

  • How good is their memory power?
  • Can they easily recollect things of past very well.
  • How good are they in remembering numbers & names?

WILL

  • Can u handle any responsibility given to u alone at any time?
  • How confident are u in handling things alone?
  • If something critical happens at home how do they deal with that situation?
  • Are u capable of handling situation alone or output is much secured with some
    support?
  • If any injustice or something wrong is happening in front of them then what do you do?

CONSCIENTIOUSNESS AND DILIGENCE :

  • Whether you do your work/duty when unwell? Why?
  • Regular at school/college/office? Why?
  • Do work in spite of their complaints? Why?

FEARS

HOBBIES

ANGER

  • Expressed/ Suppressed?
  • What is the thing you can’t tolerate in surrounding?
  • How do you react to contradiction?
  • Do you express anger in front of everyone even elders?
  • Do you forgive those people who have hurt them or keep grudges?
  • Do you keep thinking for the issue for which they got angry?

CHILDHOOD HISTORY

AILMENTS FROM

  • If miasm has bloomed up then no importance of Ailments

To take it as a prescriptive/entry point it should be RECENT AND RELATED

PSORIC DISEASE---> PSORIC CAUSES

  • Irritability
  • Anxiety
  • Anger
  • Hurt
  • Worry
  • Anticipation
  • Grief
  • AWOTA (Angry when obliged to answer)
  • Mild
  • Rudeness
  • Criticism,
  • Neglection,
  • External impressions
  • Disharmony & quarrels
  • Joy
  • Light
  • Noise
  • Odor
  • Music
  • Touch
  • Pain

SYCOTIC DISEASES---> SYCOTIC CAUSES

  • Slow, stressful, prolonged grief, vexation, stress, brooding, disappointment in love.
  • Anger suppressed, Mortification after long domination, Nursing the sick
  • Grief from loss of money, position, loved ones, business cares, house cares

SYPHILITIC DISEASE---> SYPHILITIC CAUSES

  • Violent, Strong, Destructive, Sudden Shock
  • Insult, Humiliation, Abuse, Panic, Rage, Honor wounded, Fright
  • Sudden anger Physical trauma
  • Strong anger suppressed Drugs & Suppression in general
  • Sudden loss of loved ones/ joy/ loss in business/ money/ prestige

IF PATIENT GIVES ANY H/O ANY CAUSE FOR HIS ILLNESS IN THE PAST CORELATE IT WITH THE DISEASE MIASMATICALLY.

OBSERVATIONS

  • Way of talking, answering, speed?
  • Way of sitting, laughing?
  • Quality of his speech?
  • Expressions of the patient about his suffering during whole conservation?
    • Jesting
    • Affectation
    • Bashfulness
    • Naiveness
    • Cautious
    • Graceful
    • Obsequious
    • Gestures
    • Lamenting
    • Begging
    • Clinging
    • Frivolous
    • Inciting
    • Crank
    • Shameless
    • Foppish
    • Vanity
    • Loquacity
    • Speed
  • Honest/Liar/Boaster/ Manipulative/Coquettish/ Buoyancy/ Flirting
  • Censorious/ Critical/ Sarcastic/Restlessness/Hyperactive/ Hurried nature
  • Effeminate/ Mannish/Attention seeking/ Playing antics
  • Self-esteem / Ego

ANALYSIS OF THE CASE

  • Uncommon Physical Gen or Physical Particular
  • Sphere of Action & Speed of Disease
  • MIASM —from
  • Journey of disease
  • Psora—>Sycosis—>Syphilis
    1. Generals
      Thermal+Thirst+Side+Speed+Perspiration+Sleep
    2. Physical S/T (Sun, Noise, Light, Touch, Odor, Tight clothing)
    3. MIND/ DISPOSITION
      Angry/ Mild/Yielding/ Weeping/Timid/ Sarcastic/ Contemptuous/ Loquacious/ Quiet/ Contended or not/ Quarrelsome/ Fighter/ Revolter/ Apprehensive/ Indifference/ Fearful
    4. TOTALITY
      The entering point should always be in correspondent to the miasm
      STRONG RUBRIC (suitable to the miasm)
      +
      OTHER COMBINED MENTAL BASIC RUBRICS (Kentian method)
      +
      ANY CHARACTERISTIC Physical General OR Physical Particular.
      +
      GENERALS

REPERTORISE

  • (Differentiate the remedies according to disposition)

PSORIC CASES
Chart of Acutes + more importance to the senses

SYCOTIC CASES
Innate character + Disposition + T+T

SLOW SYPHILITIC
Syphilitic rubrics + Disposition + T+T

FAST SYPHILITIC
Syphilitic rubrics + Senses

Basis of prescription should not be general symptoms or traits of the miasms. Select the symptoms of the constitution

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