Advanced Classical Homoeopathy

Observations illustrated

Seminar with Dr. Dhiraj Nanda at Hotel Coronet, Apte Road, Pune on 07/06/09 Report by Dr. Mahesh T and Dr. Hema One day seminar was conducted at Pune, Maharashtra on 07/06/09. More than 125 delegates attended the seminar.

Seminar was inaugurated by lighting the lamp of light and garlanding the photograph of Dr. Hahnemann
by Dr. Mrs. T. A. Khan (Dean, Faculty of Homoeopathy, Bharati Vidyapeeth University, Pune); Dr. Pradeep Sethia (Principal, DSHMC, Pune); Dr. Manisha Solanki (vice-principal and PG Director, DSHMC, Pune); Dr. Rajesh Bhogale (a leading practitioner from the city of Pune) and Dr. Dhiraj Nanda (speaker of the seminar). The dignitaries on dais officially released two new books, ‘Complete Materia Medica – Indian Drugs by Dr. (Mrs.) Meena Bhasme and Dr. K. J. Sushama’ and ‘Case-taking – Stages, Parts & Methodologies by Dr. Dhiraj Nanda’.

 

Dr. Nanda started the seminar by explaining that observation is study by careful surveillance, viewing, watching and monitoring in order to know more about the topic or subject in focus. He pointed out that the incidence that is regarded as precursor to birth of homoeopathy roots from observation. It was an observation that made Dr. Hahnemann think about law of similars. So right from its birth homoeopathy has been associated with the phenomena of observation. He stressed that observations when interpreted logically provide absolutely dependable information. Time and again experience has proved that what one observes is certainly more dependable than what the patient says. 

Observations are useful in various aspects of homoeopathic practice. These are

  • Case-taking
  • Case-analysis
  • Understanding the ‘Direction Of Cure’. 

Observations are definite pointers towards

  • Miasms
  • Rubrics
  • Constitutions
  • ESD 

He concluded the first session by stating that what the patient says should match to what one observes. For this one should have the knowledge of what is be observed and how is to be interpreted. Skills of observations can god-gifted or acquired. Hahnemann was blessed great skills of observations.  Fortunately, one can develop good skills of observations. With a little effort and regular practice one can develop fairly good skills of observations.  
Dr. Dhiraj Nanda immediately proceeded ahead with the second session ‘Observations and Physical Appearance’. One of the aspects that are of interest to homoeopaths is to know the hidden mind through physical appearance. Is it possible? Can one know what is hidden in another person’s mind by just looking at him? Do physical features have some thing to tell about the mind or personality? It is possible. He explained with a small experiment. If you to a kindergarten class and ask the children to describe a bad man, each child will try to describe a picture of bad man. Don’t be surprised if you find many aspects of bad man common among the picture described by different children who are coming from different socio-economic background. Similarly, good man will also have some aspects that will be common among these children. Why does one finds these common points associated with these images? 

This is because of subconscious association of about physical appearance to the personality. Right from the beginning of the evolution, in all the spheres of life and knowledge, human mind started correlating unknown with the known. This is the reason that one correlates certain behaviour patterns with certain appearances of the physical body. Experiences ratify this relation between certain behaviour patterns with certain appearances of the physical body. Dr. Hahnemann had recognized this fact more than 200 years ago. This is clear from aphorism 5 of ‘Organon of medicine’. In aphorism 5 Dr. Hahnemann has given the ascertainable physical constitution of the patient before

  1. Moral and intellectual character;
  2. Occupation;
  3. Mode of living and habits;
  4. Social and domestic relations;
  5. Age;
  6. Sexual function; etc. 

After this Dr. Nanda quoted from literature on physical appearance by pioneers in the field of homoeopathy. Speaking on the ascertainable physical constitution of the patient being a pointer towards the miasms he quoted extensively from ‘The Principles and Art of Cure by Homoeopathy by H. A. Roberts –– Reprint Edition 2000, published by B. Jain Publishers, New Delhi. 
Dr. Nanda explained the direct utility of physical appearance in reportorial analysis. Dr. Nanda stressed upon the importance of physical appearance in acute prescribing. He explained one can use the Thermal, Thirst, Laterality & Physical Appearance Axis which can be used when there is paucity of data / information to lead us to constitutional similimum. Applying the axis greatly reduces the number of remedies left for use to work with. He explained this with a few examples from his practice. This was followed by detailed explanation of twenty-two aphorisms from ‘Organon of medicine’ where Dr. Hahnemann talks about observations. 

After explaining aphorisms, Dr. Nanda talked on perceiving certain negative points that form the very basis for analyzing a constitution which patients would never like to express / tell. He explained the importance of observing ‘Ascertainable Physical Constitution’ of the patient with respect to

  1. Sexual behaviour covering rubrics – Amativeness; Lack of morals; Lasciviousness, Lewdness; Aversion to coition; Celibacy, etc.
  2. Secretive behaviour covering rubrics – Deceitful, selfishness, slyness, suspiciousness, Confiding, Credulous, Imprudence, Indiscretion, Naive, etc.
  3. Resistant behaviour covering rubrics – Argumentative; Intolerant behavior; Anger, violent; Timidity; Spineless; Fretful (worrisome); Yielding, etc. 

After explaining correlation of physical body with Behavioural pattern and mind rubrics, Dr. Nanda talked on correlating physical body with miasms. As already told the ascertainable physical constitution of the patient is a pointer towards the miasms. Though every part of the body gets influenced by the dominating miasm, in clinical practice one has to focus and observe certain parts that can be studied easily in every patient. These are hairs, face and fingers. Of these, face is to given maximum importance. Observe the face with respect to

  1. Physical appearance; and
  2. Reactions.

Admire beautiful looks of a face in accordance to miasm, other wise one may end up as poet, not a homoeopath. During this session Dr. Nanda explained miasmatic analysis of hairs, face and fingers.  

Hairs were analyzed with respect to

  1. Hairlines;
  2. Brittleness;
  3. Smoothness;
  4. Pointing / Direction.

Nose was analyzed with respect to

  1. Bridge of nose;
  2. Shape;
  3. Width. 

Eyes were analyzed with respect to

 1. Level of outer angle;
 2. Set;
 3. Size;
 4. Protuberance;
 5. Eyelid. 


Ears were analyzed with respect to
  1. Set;
  2. Size;
  3. Protuberance / visibility;
  4. Slope;
  5. Lobe. 


Fingers were analyzed with respect to

 1. Size;
 2. Shape;
 3. Thickness. 

Dr. Nanda explained all the above aspects of physical appearances with photographs of his patients.  
Next session was on observing miasms through video clips. Dr. Nanda presented eighteen video clips in this session. Dr. Nanda ended the day with illustration of different rubrics associated with observations and physical appearance from repertory. Most of these rubrics were explained along with photographs. This was followed by question answer session where Dr. Nanda answered the questions of the participants.
Almost all the delegates were full of praise for Dr. Alkesh. B. Agrawal and his team who had organized such a wonderful seminar almost to perfection. 
“It is said a picture is worth a thousand words. More than100 photographs and videos on observations shown by Dr. Dhiraj Nanda really made the seminar ‘observations illustrated’.” – A delegate who attended the seminar.  


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