CONCEPT OF

ANALYSIS AND
EVALUATION OF
SYMPTOMS IN
HOMOEOPATHY

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ROTP CURRICULUM
POST-GRADUATION

CASE TAKING AND

REPERTORY-MODULE -2
DEPARTMENT OF AYUSH
GOVT. OF INDIA.

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For many reasons, among which tradition
necessity,convenience and choice are perhaps
most important,the lecture.
The use of lecture as a teaching method is
controversial. It is both defended and criticized
alike, but a close scrutiny at the comments reveal
that the focus is on the lecturer and not the
method or material. Therefore, the solution lies
more in improving the lecturer and NOT IN
DISCARDING THE METHOD.

WHO- P.H.P/52.

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The objective of ROTP is not
at all to tech the subject per
se in detail but to re-orient
the teachers to teach the
subject more easily,
practically,interestingly.

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Tell Them What You Are
Going To Say, Then Say It
Clearly And Then Tell Them
What You Have Said.

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 A good lecturer is text
book
plus personality.

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IT HAS BEEN OBSEREVED THAT RETENTION TO
MEMORY IS APPROXIMATELY-

20% of what is only heard.

40% of what is only seen and
70 % of what is seen and heard.

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AIM-

TO UNDERSTAND EXACT CONCEPT OF

ANALYSIS AND EVALUATION WITH A
VIEW TO MAKE THE TOPIC CLINICALLY
RELEVANT.

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 OBJECTIVES

 At the end of the topic, the student will be able -

 1) To understand different concepts of Analysis according
to different Philosophical principles.
 2) To know practical concept of Evaluation with examples.
 3) Understanding the manner in which the symptoms has
been classified in each repertory.
 4) To distinguish the uncommon from the common
symptoms in the given case.
 5) Rank the symptoms in the order of importance according
to the selected philosophy.
 6) To understand the value of each symptoms in
Repertorization.
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 CONCEPT OF
ANALYSIS OF
SYMPTOMS IN
HOMOEOPATHY

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Analysis means resolving or
separation of things.

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Two terms –
1) Analysis of Case.
2) Analysis of Symptoms.

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Analysis of case-
Is classification of case according to
scopes and limitations of Homoeopathy.

I.E.-According to clinical classification of

diseases by Dr.S.Hahnemann.-----
A) Surgical.
B) Indisposition.
C) Dynamic- Acute & Chronic.
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 ANALYSIS OF SYMPTOMS

Analysis of symptom is a Categorization,

Verification,Classification,Or Grouping of
different kinds of symptoms with proper
explanation.

Why ? - Analysis of symptoms

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WHY DIFFERENT CONCEPTS OF
ANALYSIS ?

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Only reason is that there are different
concepts and understandings of Totality.

The Concept of ‘ Totality Of Symptoms ’ is

peculiar to Homoeopathy. It teaches us to
treat the individual with the disease and not
his diseased parts alone. Thus all the signs
and symptoms presented by the patient
from the former healthy state to the now
diseased condition are to be considered
before we select the remedy.
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“ Totality of symptoms does not Continue…
means a hapazard
conglomeration of all the
symptoms of a patient or a drug;
it really means a combination of
certain groups of symptoms in
definite settings with a definite
background and certain
individualizing characteristics set
appropriately on the symptom-
complex, so that it can point to
the drug having similar peculiar
symptom complex. ” www.similima.com 17
 DR.SAMUEL HAHNEMANN
§ 18
From this indubitable truth, that besides
the TOTALITY of the symptoms nothing can
by any means be discovered in diseases
where with they could express their need of
aid, it follows undeniably that the sum of all
the symptoms in each individual case of
disease must be the sole indication, the sole
guide to direct us in the choice of a remedy.

Also read Aph. -7,15,16,17,22,24,25,27,70

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So totality is the only basis of prescribing,
Dr.Hahnemann was very careful to tell us
to look for the striking, uncommon,
peculiar symptoms,not the one most
peculiar symptom. keynote prescribing is
art. Even Dr.H.N. Guernsey the so called
father of the keynote system,explicitly
states that keynotes should not form the
sloe basis of prescribing which means
prescribing for the single symptom.the
keynotes is the little door you open,but if
the remedy picture inside doesn’t match
the patient,you have to shut it again.
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About short cut method in Homoeopathic
prescribing Dr.Kent says,” I am an enemy
of all short cuts to science and art. In
Homoeopathy a genius is one who has a
capacity for hard work. Short cut methods
are adapted by the wrong group of
Homoeopaths.only an experienced
Homoeopath may use short cut methods
under certain circumstances.for the
sincere Homoeopath,this process should
go on till he writes his last prescription-
because one life is too short a period to
master Homoeopathy.
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 ‘Different Concepts Of Totality
Of Symptoms’

Three Philosophies of
Prescribing –

1) Dr.C.V. Boenninghausen's Individualization

Concept.
2) Dr.J.T.Kent’s Concept.
3) Dr.C.M.Boger’s Concept.
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 Steps to Proceed for Analysis
1) COLLECTION OF IMPORTANT
SYMPTOMS.-
Here prescriber should carefully
and patiently tap out as many
symptoms as Possible from the
case.
May be general, particular, location,
sensation, modality, concomitant,
pathology, clinical, cause etc.

2) CLASSIFICATION OF SYMPTOMS
ACCORDING TO METHOD SELECTED
i.e.Kent, Boenninghausen Boger’s
etc. www.similima.com 22
 Dr.Boenninghausen’s Concept
of Totality -
He proceeded on the hypothesis that the totality
is not only the sum total of the symptoms, but
was in itself one grand symptom – the symptom
of the patient; and that whether the individual
parts of the symptom were considered or the
grand symptom. So in the totality,symptoms itself

Three factors must be present.

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 Continue…..

1.Locality –
2. Sensations –
3. Conditions of aggravation and
amelioration –
The Concomitant Symptoms was added by
him emphasizing that the doctrine of the
totality of the case, which must include the
concomitants.
He says that the concomitant symptom is
to the totality what the condition of
aggravation or amelioration is to the single
symptom. So he analyzed symptoms into
L,S,M,C.
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 To understand the full picture of disease he
use to consider following seven points. —

 1) QUIS - PERSONALITY AND

INDIVIDUALITY.
2) QUID - DISEASE, ITS NATURE
AND PECULIARITY.
3) UBI - SEAT OF THE DISEASE.
4) QUIBUS AUXILIS -
ACCOMPANYING SYMPTOMS.
5) CUR - CAUSE OF DISEASE.
6) QUOMODO - MODIFICATION,
AGG/AMEL.
7) QUANDO - TIME MODALITIES.
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 Practical Analysis by Dr.Boenninghausen-

1) Epigastrium- LOCATION
2) Hypochondrium, right-
LOCATION
3) Pulling- SENSATION
4) Hammering- SENSATION
5) Sore pain, internally-
 SENSATION
6) Incarcerated flatus-
COMPLAINT
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7) < Lying on back- AGG. MODALITY
8) < Lying on right side - AGG.
MODALITY
9) < Motion of – AGG. MODALITY
10) < Strong odor- AGG. MODALITY
11) > Sitting, while-AMELI.MODALITY
12) > Belching (Eructations) -
AMELI. MODALITY

13)Sweat with associated

symptoms - CONCOMITANTS
14)Thirstless- CONCOMITANTS
15) Dryness internally-
CONCOMITANTS
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 Dr.J.T Kent’s Concept -
As disease first affects at dynamic
plane and then only functional
followed by structural, he advised to
study all symptoms from within
outwards. A man consists of Mind,
Spirit, and Body is known to us by his
total behavior.
According to Kent- mentals, physical generals and
characteristic particulars constitute the totality. He
classified mind in to three fundamental elements. 
1) Will / Emotions.
2) Intellect / Understanding.
3) Memory. www.similima.com 28
Concept of Analysis by Kent.-

SYMPTOMS

GENERAL PARTICULAR
1) MENTAL.

2)PHYSICAL
EACH OF ABOVE IN TO COMMON
AND CHARACTERISTICS.
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 Practical Analysis by Kent.-
1) Pt. is shy - (Mental general characteristics)
2) Pt. is indolent - (Mental general characteristics)
3) Pt. has aversion for sweets++ – (Physical general
characteristics)
4) Thirst for large quantity of water – (Physical
general characteristics)
5) Desire for spicy, highly seasoned Food – (Physical
general characteristics)
6) Pain in legs at night > by Rubbing – (Particular
characteristics)
7) Constipation - ?
8) Pain in Head > Pressure -?
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Dr. Elizabeth Wright has given a
practical solution to this problem.
As soon as the case is taken and
physician sits down to study it,
he will find it useful to run down
the list of symptoms and mark
with `M` opposite mentals. `P’
opposite physical generals, `Pa`
opposite particulars and for
further clarifying as common and
characteristics he may underline
any peculiar symptoms in red.
This work is very useful for
beginners but it can prove equally
beneficial to all the practitioners.
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 Dr.C.M.Boger’s Concept Of Totality-
Similar to that of Boenninghausen
he re- emphasized concept of
complete symptom and the
following seven points to elicit
totality of symptoms-
1. Changes in personality and
temperament
2. Peculiarities of disease
3. The seat of disease
4. Concomitants
5. The cause
6. Modalities
7. Time www.similima.com 32
 Dr.C.M.Boger’s Concept -

Also he use to consider

following aspect in totality –
Pathological generals-
Modalities - Causation, time,
Mind-
Different Sensations-
Objective Aspect-
Part Affected-
Accordingly he evaluated
symptom while prescribing
Homoeopathic remedy.
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EVALUATION OF SYMPTOMS ?

If Analysis of
symptoms
helps in getting
totality then
why Evaluation
of symptoms ?

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 Definition –

Evaluation of
symptoms implies the
principle of grading or
ranking of different kinds
of symptoms in order of
priority, that are to be
matched with the drug
symptoms.
The key for similimum is
the grading of symptoms.
After analysis of
symptoms physician has
to determine quality of
each symptoms.
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 Two Concepts –

1) Evaluation of remedy symptoms.

2) Evaluation of patients symptoms.

The key to the enigma, which

Practitioner lack, is the grading of
symptoms.

SIMILIMUM
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 Evaluation of remedy symptoms.

Based on principle i.e.-

Proving,Reproving and Clinical
verification.

Evaluation of patients symptoms.

The basic principle of evaluation of patient’s
symptom is, symptoms are ranked according to
their intensity, how deeply they reach into the
organism and according to their degree of
peculiarity as characteristic nature.
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 DR. KENT’S CONCEPT OF EVALUATION
OF SYMPTOMS

Symptoms of Man -Kent’s Generals.

Symptoms of organs-Kent’s Particulars

Kent’s Generals - Out of generals the symptoms

of the first grade are if well marked `the mental
Symptoms, which brings out the finest shades
of differentiation between man and man and
which refers to the patient as a whole.

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 Continue…..

Amongst Mental
Generals.-

1st Grade-
WILL/EMOTIONS.

2nd Grade –
Intellect/Understandings.

3rd Grade –
Memory symptoms.
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 WHAT IS WILL,
WHY DR.KENT
GIVES HIGH
IMPORTANT TO
WILL ?

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 Will/Emotions- ?

Will is the power of determination up on final

actions and upon the will Human activities are
largely depends.

In Organon $ 9 Master writes “ So that our

indwelling reason gifted mind can freely employ
these living organism for higher Purpose of our
existence” ( Higher Purpose of our existence is will).

a) INTERNAL WILL.
b) EXTERNAL WILL.
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Emotions.-
Emotion occure
when the will is
swayed or
hindered. These
are feelings and
passions. The
extreeme of
feelings are
termed“Pleasure”
&“Pains” which
ends into Love or
Hate.
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Will .--
1) Some of the symptoms are so fixed, so true and so
deeply rooted in the patient that these have made
concrete pillars in the field of mind ( Concrete will) - e.g.
Anger,Irritability,Quarrelsome,Indifferent etc.
2) Symptoms of “Fear & Phobias”- which though are
rooted in the patient,but not so firmly as concrete ones
and can be removed by mental exercise,meditation etc.
( Composed will)
3) Disturbances in instinct of-(Judicial Will)
a) Life preservation –I.e. Loves & Hates to his own
life (suicidal tendencies).
b) Disturbance of social instinct - Homicidal
tendencies. www.similima.com 43
 Intellect/Understanding.
Intellect is power of perceiving and
comparison, so it is the faculty of knowing.
Concrete , Composed and Judicial Types –
a) Concrete – Delusion-A false belief-false impression
or Opinion, as a symptom or a form of madness.
Other terms – a) Illusion - a mistaken perception –
Sensual perception of an external object involving a
false belief.
b) Hallucination- means sensation or feeling without
an object,
I.e. Aperant Perception of external object not actually
present.
c) Imagination is making ideas,sometimes seems to be
like theorizing. www.similima.com 44
 Intellect/Understanding continue….

Composed type – complaints in delirium.

Judicial types- mental activities.- ailments

from mental exertion, anguish,
clairvoyance.

MEMORY –
Concrete - Absent minded,forgetful,mistakes.
Composed – Errors in answer,power of
concentration.
Judicial- Capacity to work,order of speech,
difficulties in finding outwww.similima.com
appropriate word etc. 45
Amongst Physical
generals.--

- Constitutional types.
- General Modalities.
- Sides affected.
- Discharges /Menses etc.
- Sleep- Agg./Ameli.
- Pains & sensations in
general. Amongst Particulars-
- Certain objective aspect.
-P.Q.R.S.

-Particular
Characteristics.
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 Practical Concept Of Evaluation
By Dr.Kent.

Generals –
1st Grade- Mental General characteristics.
2nd Grade – Physical General characteristics.

Particulars –
1st Grade- P.Q.R.S.
2nd Grade- Particular Characteristics.

= Qualitative Totality.
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EXERCISE CASE
5 years old female child consulted for complaints
of breathlessness since 6 months. Past history of
vaccination that caused urticarial rash which were
treated allopathically. Having desire for sour
things++, Aversion for milk+,appetite decreased and
having thirst for small quantity at longer interval.
Patient is with fair complexion. Having curly hairs
and cheerful look. General modalities are
agg.Warmth, Covering, amelioration open air. After
analysis of thermal state it is conformed that
patient is Hot. Profuse perspiration all over the
body < sleep. Sleeps on back with hands stretched
out.Mentally patient is restless, sensitive, weeps
easily.

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 Analysis of symptoms

1) A/f suppressed skin eruptions. –

2) Restlessness.-
3) Weeps easily.-
4) Fair complexion-.
5) Curly hairs.-
6) Does not wants to cover the body.-
7) Desire sour things.-
8) Sleeps on back.-
9) Profuse perspiration < sleep.-
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 LESSON PLANNING DOCUMENT
 
Domain – Cognitive
Date-

Time -    
Class – M.D.-Part 1
No. of students. – App 20.
Class time. – 120 min.
 
Topic – Analysis and evaluation of
symptoms.
 

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 Aim –
TO UNDERSTAND EXACT CONCEPT OF ANALYSIS
AND EVALUATION WITH A VIEW TO MAKE THE
TOPIC CLINICALLY RELEVANT.

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OBJECTIVES

 At the end of the topic, the student will be able -

1) To understand different concepts of Analysis
according to different Philosophical principles.
2) To know practical concept of Evaluation with
examples.
3) Understanding the manner in which the symptoms
has been classified in each repertory.
4) To distinguish the uncommon from the common
symptoms in the given case.
5) Rank the symptoms in the order of importance
according to the selected philosophy.
6) To understand the value of each symptoms in
Repertorization. www.similima.com 52
Teaching /learning method –

Narration, discussion and also

teaching with Audio-visual aids like
transferences or power point.
Ask to classify and evaluate symptoms
from case by giving example case.
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CONTENT –

1) Definition of Analysis.
2) Different concepts of Analysis -
Dr.Hahnemann,Dr.Kent.Dr.Boenninghausen,Dr.
Boger,Dr.Boericke etc.
3) Definition of Evaluation.
4) Concept of Evaluation by Dr.Kent.
5) Different Concept of Totality.

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Total time. – Set induction. - 05 min.
45 min. for Analysis.
Evaluation of Symptoms – 45 min = 95 min.
Revision of Topic / Students Evaluation. - 10min.
Evaluation. - Recalling level questions /formative
type. -15 min.

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Questions for evaluation –
1)      Define Analysis of Symptoms ?
2)      Why different concepts of Analysis ?
3)     Aim of doing Analysis of symptoms?
4)      Aim of doing Evaluation of symptoms?
5) What is Will / Intellect / Memory?

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 References: -

Art of Case Taking and Repertorization – Dr.R.P Patel

Organon of Medicine – 6th edition
Commentary on Organon – Dr.B.K.Sarkar.
Principles and Practice of Homoeopathy – M.L.Dhawale.
Repertorization – Dr.J.N.Kanjilal
Essentials of Repertorization – Dr.S.K.Tiwari
Reperire – Dr.V.R.Khanaj.
The Principles and Practice of Repertorization –Dr.Harinadham,
Introduction to the Principles of Repertorization – Dr.Munir
Ahmed.

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