Presented with softening of bones of leg in a boy aged 18 months. Initially came in shortly after dislocating elbow and also complaining of knee pain.
Suffers from recurrent diarrhea and asthmatic breathing. Observed to be very restless. Loves music. Cheerful and happy. Hot. Mother says he wants to be carried everywhere.
Rx : Cham 200c
4 months later returned with no improvement. Increased knee pain prompted return visit. Now affecting both knees. No evidence of any trauma.
Time to re-evaluate !
Here is an xray taken before homeopathic treatment which clearly shows curvature of the bone of the leg:
Here is a blood test confirming the likelihood of 'Ricketts'. An ALP test can be used to determine weakness and softening of the bones:
Observations of the child:
Never sits still. Mischevious, cheeky little boy. Stubborn. Ignores being told off. Has been known to hit his grandmother back after she smacked him for being naughty. Pinches you if you refuse to do what he wants. Bored easily. Mum says he laughs naughtily if he sees anyone get dressed. Dominant when playing with other children (not a bully though). Knocks toys over rather than allow another child to play with it
Kept coming round the homeopath’s desk to see what he was writing. Observant. Touching everything. Pressing keys on homeopath’s computer! Mother couldn’t control him. She shouted at him and he got angry and waved his fist at her. The homeopath decided to intervene and asked the boy sternly to stop – the boy threatened to punch him also.
So what do we know already? Quickly and easily? We have reliable indicators from:observing the child, the nature of child and the generals of the child.
Using the S.E.A. approach described in the previous article we know the boy is:
Sociability :Approaching (no hesitancy, totally forward and approaching) Energy : Hyperactive (cannot keep still, always moving) Anger response : Destructive (punching, pinching, threatening)
From the case taking we also know the following :
Thermal : Hot Thirst : Thirstless
Constitutions and Character : Disobedient - Mischevious
Here is a repertorisation in Vision:
Rx : Tarentula 200c (one dose)
Xray after 6 months with before for comparison:
The ALP blood test was re-run after 6 months:
The ALP test now reveals normal levels. Success! But would you ever have considered Tarentula? Or would you have also gone for Chamomilla? This observational approach allows you to work cases out quickly through observation and at a deep level.
Our little patient is no longer Destructive and Hyperactive as the indicated remedy brings about a state of balance. However this is still an active outgoing little boy with restless tendencies – that is his real nature!
Has since twice needed Ars for acute conditions.
The observational approach and use of the S E A axis is a very practical way to observe children and not to get bogged down with simple rubric chasing. This can be seen by the first (failed) prescription of Chamomilla probably based on superficial 'symptoms' e.g. desire to be carried!
In the final article in this series I will present an additional case from Dr Jain in which the remedy was much harder to find.
Please consider integrating this approach into your practice by purchasing Dr Pravin Jain's excellent work - click for details:
Introduction For many years I have supported and used an approach to case taking with children developed by my colleague and friend Dr Pravin Jain of Mumbai, India.
I have found his approach practical and immensley rewarding. To me, it feels like a refreshingly authentic approach to homeopathic case taking, rather than the almost academic theorising that seems to typify a lot of our normal case taking and analysis.
In this series of articles I am pleased to share this information with you for the first time as I think it deserves a wider audience. Feel free to comment and make suggestions below!
The Problem Historically many homeopaths seemed to prescribe only a limited range of "commonly known child remedies". This is because information on Pediatric materia medica was limited and there was no clear approach as to how to take the case in pediatrics. So everyone seemed to be observing children in their own way and using their own interpretations of these observations. There was no methodical, scientific approach and hence, consistent results were often lacking. Senior homeopaths, because of their experience, were achieving good results, but the rest of us were perhaps not so successfull!
In Pravins own words:
"Not surprisingly, in my initial days of practice I found pediatric cases to be very difficult to treat. Shivers used to run down my spine on seeing a mother accompanied by a child at my clinic. Even before a customary “hello!”, questions like “What do I ask? How do I ask? How does one judge the constitution of a child?” would jump into my mind. Unlike adults a child doesn’t tell you about its problem. The evaluation of these cases is usually based on the history that is provided by the guardian and on the physician’s INTERPRETATION. There is no definite method to understand and prescribe for a child.
So awkward was my state that whenever a mischievous child came into my clinic, I would instruct the mother to leave the child in the waiting room and come inside alone, so that I could completely concentrate on the case taking and avoid distraction by the hyperactive child. After the information from the mother was gathered, I called in the child, and then too my focus would be more on the expensive furnishings and trinkets in the clinic than the child, for fear of those being damaged by the tiny rogue."
In summary the problem was:
1. No special pediatric repertory/rubrics to make the task easier
2. No specific pediatric case taking approach
3. Very little pediatric MM
Dr Pravin Jain decided to specialise in the area of pediatrics. He was initially inspired by reading the famous 1977 study of Thomas and Chess who identified different Temperaments in children. This approach confirmed to him that there was a way of getting to homeopathic remedies in a more structured way then simply 'rubric hunting' in the repertory based on the words of the parent.
Over the years, he has tried to streamline the 3 major aspects of prescribing as follows:
1. Formulation of a scientific method of casetaking using consistent language
2. When taking and then analysing the case - using the same language/terminology (as used during casetaking) also used in repertory rubrics
3. When arriving at a group of remedies, once again using the same language/terminology in Materia Medica to help differentiate remedies.
Again in Pravin's words:
"The birth of my own daughter raised my anxiety. There were many questions in my mind …What about vaccinations? What is her constitution? Is she chilly or hot? How is her thirst? Common questions, the answers to which a homeopath ought to know seemed to me like an abyss I feared to look down into. My anxiety led me to refer the pediatric books in great detail. Simultaneously I started honing my observation skills, observing my daughter closely. After observing her, and correlating her behavior with the pediatric psychology books, I found the key to many of my questions. The same child who used to scare me in my clinic became a joy to observe.
Now I started asking the mother to wait outside, so that the mother did not distract from my observations!"
Pravin first developed this way of working and analysis after many years in practice and since decided in 2002 to specialise in child care. He has opened 15 branches across India each with its own Child Observation Area (COA). Pravin places great importance on being able to observe and interact with our little patients to gain a true understanding of their nature and problems. Although you may not be able to have a dedicated COA in your clinic setting I hope that the techniques and system explained here can be taken and adapted to your own situation.
At time of writing this article Dr Jain estimates that his clinics have treated over 10,000 little patients and have been achieving consistently good results
The Approach Dr Jain finds it most important to observe and interact with children and not simply engage with the parent in 'rubric hunting'. He also analyses his pediatric cases in a very practical and straightforward way - using what is actually observed in the child's behaviour.
This article will explain in overview the approach Dr Jain takes. Subsequent articles will be cases to explain and support the approach.
For a detailed explanation and materia medica please consider purchasing Dr Jain's book 'The Essence Of Pediatric Materia Medica' which I am proud to support. To order please click on the image below :
Here is an overview of the method used to observe and interact with children to arrive at well indicated remedies.
Each section will be explained in more detail below:
The idea is that by observation and interaction you decide on all of the above - with the 3 most important factors at the top - these are the SEA axis (Sociability, Energy, Anger).
Step 1 : Determine Sociability of child - is the child 'Approaching' or 'Withdrawing'?
This refers to the initial response to a new situation or a new stimulus. How a child responds to a new experience, such as meeting a person (guest, doctor, stranger), tasting a new food, or being in an unusual situation (doctors clinic). Observe the ease with which the child accepts and adjusts to changes in his environment and lifestyles. Some children move easily into new settings, taking very little time to join a new group of playmates, while others may observe the scene for a long time before going into a new situation or simply stay away.
Approaching children jump right in. Withdrawing children hold back cautiously until they feel comfortable.
Observation of the interaction between the child and mother, between the child and the doctor (you), between the child and a stranger, between the child and a new stimulus will help find the sociability of a child. Record this and use remedies reliably indicated and proven in practice as per this chart:
Step 2 : Determine Energy level of child - is the child 'Energetic and Restless' or are they 'Lacking energy'?
Make sure to differentiate between Mental energy/restlessness and Physical energy/restlessness as the remedies indicated for both vary! Does the child rush around the COA flitting from activity to activity? Do they engage in the more mental activities or do they stick to physical things such as running, skipping, jumping, climbing? And also look for lower than expected levels of energy.
Again there is a chart of well indicated remedies for each:
Step 3 : Determine Anger/Frustration response
If the child does not get their own way or what they desire, how do they react? You may need to interact personally with the child to make this determination!
Destructive reaction : smashing, ripping, knocking over/down, tearing paper / clothes often directed at the nearest available target
Non-destructive reaction : temper tantrum, throws themselves to floor, rolling around, writhing around, screaming loudly. Not directed at anyone or anything (unless further provoked)
Once again there is a chart of the remedies associated with each reaction:
Brief example of 'Billy' and how he was analysed A very friendly and affectionate toddler. Trouble is he’s a running and walking disaster zone! Rushes around everywhere. Throws terrible tantrums when he doesn’t get his own way and rolls around the floor shouting. He’s definitely on the ‘tubby’ side. His mother tells you he is very ‘picky’ about everything....his food and his possessions have to be ‘just so’. Can’t get to sleep at night. Wets the bed. Ezcema on hands. Mild asthma.
So Billy is:
Once you have decided on the SEA axis you can quickly repertorise/cross these 3 'rubrics' to arrive at a small group of well indicated remedies. The following articles will show you real cases and analysis arrived at.
This approach allows you to spend far more time observing and interacting and less time on the technique of repertorisation - using just the 3 rubrics SEA will save you lots of time and guide you towards the indicated remedy!
Step 4 - Find the TT's!
What are the TT's? These are very reliable general modalities that help you narrow down the choice of remedy - Thirst and Temperature
Is the child thirsty or thirstless or neither? Are they hot or chilly or neither? Knowing this can be really helpful in case analysis.
Step 5 - Find the CC's!
What are the CC's? These are the Constitution and Character of the child. Often called the Disposition and vitally important in helping you make the final choice of remedy. The Disposition or CC's either confirm or reject the remedy prescription as the disposition of the child absolutely must correspond with the known disposition of the remedy.
Examples - is the child : Happy? Neat and tidy? Do they do as they are asked e.g. could you please tidy up all these toys? (obedient) Are they Shy or Bashful? Are they a Bully? Are they Confident? Are they Rude? Do they Complain or Moan a lot? And so on.
Conclusion to First Article
In the next article I will present a worked case with repertorisation and follow up so you can see the approach in action!
Please comment on this article below. I read every comment personally and will reply if appropriate and I am sure Dr Jain would appreciate your feedback also.
The Meditative remedies have been in use since the 1990's. These are a set of over 80 remedies drawn from a variety of sources. Each of these was proven using a new approach. The author of these proving volumes is Madeline Evans. (alternative books have also been published by Colin Griffiths). The remedies can be purchased from Helios Pharmacy in UK. Before discussing the Meditation Provings in more detail a quick review of the more traditional proving methods is warranted:
Provings are a foundation stone of homeopathy. From provings comes a basis on which to determine what symptoms and illnesses substances cause and therefore cure in potentised form and they are the source of much of our information. The original provings were a mixture of recorded poisonings (toxicology) and the effects of crude substances originally tested on animals and later taken by human volunteers.
Nowadays provings are almost exclusively conducted with homeopathic potencies not crude substances. In an attempt to improve the quality of provings many modern provings are conducted double or even triple blind in an attempt to remove 'bias' from the findings. However our original bedrock provings were not done in that way. Many homeopaths experimented on themselves in the full knowledge of what they were taking - and they faithfully recorded their findings and published them in materia medicas as provings. Many of the things they experienced have become entrenched in our homeopathic literature and form the basis of much of the information we still use today!
Sankaran has used dream provings and especially a 'collective consciousness' approach to help understand the sphere of action of a substance. As Sankaran himself said "My own personal contact with Jurgen Becker inspired me to start group-provings in Bombay, especially after I had noted seemingly indifferent results with the Hahnemannian method. " and also "the effects of the substance seem to multiply when it is given to a group, rather than to a set of individuals having no contact with each other."
Sherr is perhaps renowned as being responsible for the resurgence of a more traditional proving approach. In his book Dynamic Provings he says "During a proving, strange and wonderful phenomena occur, events which defy conventional scientific reasoning but which are in total accordance with the broader wisdom of homeopathic perception."
Of course it is important to remember that Hahenmann himself and other contemporaries did not adhere to what some call the ‘strict Hahnemannian’ style of proving. They regularly experimented on themselves and admitted their experiences into the proving materials.
Scholten employed a Group Analysis for new and existing remedies in his Minerals, Elements and Lanthanides books. This controversial method allowed homeopaths to inspect groups of remedies and predict the symptoms they might be useful in. Using this information in practice proved quite successful although many remain unconvinced to this day. It is very interesting to note this statement in his book Lanthanides : "The information in this book comes from a mixture of sources. The first source is provings. Most provings in this book are meditation provings instead of classical full provings"
Some homepaths consider the 'original' proving data to be sacrosanct. "Why do we need new provings they ask? What we have already is plenty and good enough". Whilst revering Hahnemann they refer back to the seminal works of Allen and Hering constantly. To them I offer a quotation from Hughes and Dake in the under-appreciated work 'Cyclopedia of Drug Pathogensy' published in 1885 referring to Allen's Index of Materia Medica (10 volumes of collated provings) he says "It has laid the foundation of the Materia Medica of the future, though itself cannot be so regarded; ....... let us repeat - a large part of the Encyclopedia of Pure Materia Medica is untrustworthy,and the work must be done over again".
In my opinion all new material should be examined, put to the test and evaluated in practice in order to arrive at a conclusion. Nothing should ever be ridiculed or ignored simply because of dogmatic thinking.
Having set the scene regarding provings and admitting differing approaches that have proven successful in every day use I would like to introduce the Meditation Provings that arose in the 1990's.
About the Meditation Provings
The remedies that arose as a result of these meditative provings have been in use for many years gradually growing in popularity as awareness of them grew within the homeopathic community.
Method of Meditation Provings
All of these remedies were examined by meditation circles. The leader of a circle knew what the source of the remedy was. In the beginning all participants knew what the remedy was as the purpose of the meditation was not to conduct a remedy proving as such but was done for the group’s own spiritual healing and intuitive development. As the provings progressed and as people started to hear about them and other homeopaths started to use them, the provings started to be conducted 'blind'. Without wishing to alienate those with differing belief systems but in the interests of full disclosure it is significant to note that sometimes 'channelled information' was also received and recorded as directed.
At the time none of the participants realised that these new remedies would become as widely known and used as they have become. They did not keep the records that tell us when the provings changed from a known to an unknown remedy. But what was evident was that for most provers, knowing or not knowing the remedy made no difference at all, whilst for others, and one in particular, there was a difference in the nature and quality of the information on the remedy.
“The remedies presented have been drawn solely from provings and do not include anything intuited by individuals outside the parameters of the provings. No extrapolations have been included as to states, conditions or diseases the remedy might treat based on the proving symptoms. I have also deliberately included spiritual teachings related to the remedy pictures, as reading the remedies is in itself a constant reminder of our spiritual selves.” Madeline Evans
Should any eyes have glazed over at the use of the word ‘spiritual’ could I perhaps remind you of Hahnemann’s words?
“Nevertheless the incredible variety among patients as to their irritability, their age, their spiritual and bodily development, their vital power and especially as to the nature of their disease, necessitates a great variety in their treatment, and also in the administration to them of the doses of medicines.” Chronic Diseases
“This dynamic action of medicines, like the vitality itself, by means of which it is reflected upon the organism, is almost purely spiritual in its nature..” Lesser Writings
Flowers and Trees Almond, Apple tree, Ash, Ayahusaca, Banyan Tree, Bay leaf, Bog asphodel, Brown rice, Buddleja, Chestnut Red, Chestnut White, Conium, Copper beech, Cotton, Forget-me-not, Frankincense, Goldfish, Hazel, Himalayan Blue Poppy, Holly, Holly Berry, Hornbeam, Kigelia, Lotus, Mimosa, Nettle, Oak, Okoubaka, Olive, Rose (pink), Sandalwood, Sea Holly, Sea Salt, Sequoia, Silver birch, Snowdrop, Strawberry, Sycamore seed, Viscum album, Willow, Wych-elm
Animals and Insects Butterfly (Red Admiral), Earthworm, Silverfish,
Human Lac humanum, Medorrihinum, Thymus gland
Other energies Berlin Wall, Chalice Well Water, Ether, Milky Way Galaxy
For all of these remedies the usual mental and physical symptoms are given but also "each remedy's spiritual aspects and the way in which it can be used to clear psychic or spiritual blocks and to further spiritual development. The provings bring to the forefront the spiritual potential of Homeopathy and give to practitioners and patients who are ready and willing to work at this level the possibility of using homeopathy as a tool for spiritual advancement." Madeline Evans.
Mediative Provings within the Vision software
There are 3 books connected with meditative provings contained within Vision, namely :
Meditative Provings volumes 1 and 2 (Madeline Evans)
Contemporary Repertory of Meditative Provings (Karan Main & Paula Leszczuk)
which are collectively referred to in Vision as the Meditative Pack.
The repertory is contained in entirety. You can choose to work exclusively with this repertory which is very nicely presented in a modern appealing design. Alternatively you can integrate its use alongside all the other repertories in your system. The style of the repertory is similar to that of Knerr’s Repertory of Hering’s Guiding Symptoms, i.e. rather than breaking up proving expressions into individual word parts, the full expressions have been preserved as rubrics.
In addition to the standard chapters you will find in all repertories you will find chapters and rubrics in this repertory that you will not find elsewhere. Example chapters are : Astrological, Environment, Esoteric, Miasms and there are other useful chapters such as Diseases & Conditions, Dying, Emergency, Sensations and Toxicity. Here is an example taken from the Emergency chapter:
Another good example of the use of the meditative remedies is when searching materia medica for specific words. Let’s say you were looking for more information about a child with AUTISM that you were treating. Perhaps you had repertorised in the usual way but it was ineffective. A search for AUTISM quickly reveals information contained within the meditative remedies that you would otherwise not have access to!
Here is an example in Vision clearly showing how the modern language used in these remedies can be very helpful:
The remedy displayed is the beautiful flower ‘Forget-Me-Not’ (Myosotis symphytifolia).
One of most common queries I receive when new remedies are added into the repertory is this: “This new remedy is displayed in my case analysis....how can I read up about it?” And the answer is usually ‘You cannot – please reference the original proving!”
When using the Meditative Pack you always have access to the data in the 2 volumes of materia medica. So whether simply browsing the repertory or directly from a repertorisation you have quick access to the original text.
Here is an example of Chalcancite:
The remedies within the Meditative Provings offer an alternative approach to homeopathic prescribing. For those used to a very traditional approach to case analysis these remedies may seem unusual and the description of their use may not be familiar to you. As Madeline Evans has said “The provings bring to the forefront the spiritual potential of Homeopathy. Many of the older remedies do not have this aspect as they were needed at a time when the level of humanity's development was different.”
In my experience it can be most helpful to use these remedies separately to the usual repertories. Use the Contemporary Repertory as a direct index to find the exact rubric(s) you need, cross one or two rubrics to see if a remedy runs through and then consult the proving volumes to read in detail about each. Use your own intuition and feeling to make the final selection.
When you are ready to work in this way and should you wish to consider a different approach when your usual approach does not give the hoped for outcome, why not try these remedies?
Comments Received About The Meditative Provings and Repertory
I LOVE this meditative repertory...incredible stuff! I will use this so often I can’t even begin to tell you.....thank you thank you thank you!!! Kim Kalina
Thank you so much for the repertory. What a tome! What dedication you both have had to spend three years at it. Well done! I have not had much time to get into it with anything like the attention it deserves but what immediately strikes me is the clarity of the typesetting, the ease with which one can find one's way about and unfussiness of the whole enterprise. It is refreshingly unpretentious. Colin Griffith
Many many thanks for the repertory. It is wonderful, a real timely asset to our prescribing of new remedies. A wonderfully dedicated work, well presented and beautifully illustrated. I am very impressed with this book. It certainly presents all that I could have wished for in a repertory when I first set out on the adventure of meditative provings many years ago. The work and dedication put into this should be an inspiration to us all. May all who use this work be blessed with much insight and healing. Janice Micallef
This is a refreshing piece of work – the cover and end papers are young and vibrant, and speak of the global aspects of the provings. The rubrics are written in modern English and have been neither interpreted nor translated from the provings. Having sentences [rubrics] that read as we speak, instead of the usual inverted rubric form, makes easy reading and clear comprehension. There are many cross-references to facilitate one’s search. Jenni Tree
We use this Repertory along with the Meditative Provings at Dhanvanatari College of Homeopathy. It is a wonderful book, and such an easy to use repertory! Well done " Dhanvantari Dasi
After several years of development I released the ISIS homeopathic software in 2003. ISIS has gone through several advancements and transformations in the past 13 years, with v2 being released in 2005 and ISIS Vision being released in 2007.
I originally chose the name ISIS in representation of the Egyptian and then Greco-Roman deity of 'Health and Wisdom'. I thought it was a fitting name for my new homeopathic software. The name ISIS was originally suggested to me by Paul and Yolande Grill and I willingly embraced it.
For the past few years I have often been advised that, due to the emergence of 'so-called' Islamic State, the name ISIS had acquired a bad association. This situation has recently got even worse with major institutions and some corporations even preventing Miccant emails containing the word 'ISIS' from being permitted on their servers. Homeopaths would tell me, and I would see posts on Facebook, that they were 'frightened' to even click on our links for fear of what might be associated with them.
It is with great regret that I have decided to change the name of the software. From now on it will be known simply as : Vision. I know that many of you, like myself, have become very attached to the name ISIS and will be very sad about this announcement. Unfortunately I can see no alternative having resisted for as long as I could.
Currently we are preparing our new revised website which will also remove all references to ISIS and replace it with Vision. As this new website has started to roll-out around the world I would like to share this new website with you when it is thoroughly tested and ready for use.
Please feel free to make any comments in the section below. I would like to know how you feel about this decision. Wherever appropriate I ask you to share this announcement with your friends and colleagues to make sure they do not think that ISIS is 'stopping' but simply 'transforming' into Vision.
Jeremy Sherr's latest edition to his QRep is available with Vision. Here is a video you can watch to learn more:
If you prefer to read....
QRep edition 2 adds:
5 new Qualities
Newly proven remedies added to database
Enhancements to existing qualities
The New Qualities
Big Ego Excessive selfishness, pride, vanity, self-importance, over emphasis on bodily appearance (sign of ego).
Birds and Flying Any fears, dreams, delusions related to birds and flying. Also applies to fear of flying.
Fear Disease Overanxiety about health issues or disease in themselves or others. Hypochondriacs.
Insects Phobias, fear, dreams about insects. Also love and sympathy towards insects.
Judgemental Critical, fault finders, nit-pickers in others and also themselves. Social media trolls and judemental people.
Newly proven remedies added to all of QRep
Lots of new remedies have been added into QRep. Here is a list:
Colibri Hummingbird - African Grey Parrot - Red Kite - Egg of the Blue Peafowl - White Stork (feather only) - White Stork (feather and blood) - Mallard - Indian Spotted Eagle - Tangerine - Acacia Strap flower Mistletoe - Rocky Mountain Columbine - Lepidolite - Blue Tang Fish - Black Panther - Queen Bee - Nest of the Common Wasp - Shrill Carder Bee - German wasp - Cat Flea - Stag Beetle - Crab Louse - Black Fly - Blue Emperor Butterfly.
Each has been carefuly curated by Jeremy and his team
Enhancements to existing qualities
Adjustments to the grades of remedies in existing qualities has been made. Newly proven remedies added to existing qualities.
QRep is a repertory you can purchase to use with your Vision software. Please watch the vidoe above for a full presentation and also guidance on how to use alongside other repertories within Vision.