The homeopathic visitDiagnosis of remedy Hunting for symptoms: the art of interrogation Comparison
- The remedy diagnosis
- Hunting for symptoms: the art of interrogation
A homeopathic visit is similar in several respects, but different in others, to a "classic" medical examination. The stages of the latter, listed in the following table, have been systematized by medical semiotics (science of symptoms and signs), and constitute an indispensable patrimony for all doctors.
During the visit, the doctor must reach a diagnosis, a prognosis and propose appropriate therapy. For this purpose, information must be collected regarding the subjective and current symptoms of the subject (reason for the visit), the important diseases that occurred in the family (family history), the previous diseases (remote pathological history) and the symptoms prior to the occurrence of the current disease (pathological history next). By means of the physical examination, then, the doctor examines each organ and apparatus of the patient meticulously, observing, auscultating, palpating, according to the precise rules dictated by semiotics. In order to achieve a precise diagnosis, particularly in chronic diseases, it analyzes laboratory or instrumental data that may already be available for the patient or requires its integration with in-depth analysis, as needed. Having reached a diagnosis and evaluated the prognosis, if necessary using the appropriate specialist opinions, the doctor will have to propose the most effective therapies, illustrating the different therapeutic opportunities with their pros and cons and gathering the patient's informed consent.
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The remedy diagnosis
The medical examination and the subsequent diagnosis of disease are essential for the doctor to establish the therapeutic path to be taken. The homeopathic medical examination, although identical to the classic medical examination in terms of systematization, can not, however, leave a more open and empathic point of view in the analysis and observation of the patient: in this case it is precisely the patient, rather than the disease, the absolute protagonist. Homeopathic epistemology adds many peculiar aspects to the medical examination, in accordance with the basic principle of homeopathic doctrine, that of similitude: the homeopath then seeks a medicine that corresponds, according to the maximum possible similitude, to most of the symptoms presented by the patient, if not at all, coming to the so-called diagnosis of remedy, that is to say to the homeopathic medicine closest (in the sense of similar or simillimum) to the patient's symptoms.
For the homeopath, the cause of the disease and the environmental factors that may have triggered it (pathogenic noxa) are of fundamental importance, but also the reactivity of the individual, because he starts from the assumption that the same disease can develop in very different ways and in different individuals: to give a trivial example, everyone knows that flu can manifest itself with very different intensity and possible complications in individual individuals, even though the cause - the flu virus - is always the same.
"The patient exists, not the disease": this phrase implies a profound and indispensable value, a humanistic and not only technical-instrumental vision of medicine, a profound respect for the patient's individuality in its complex and unique expression. A good doctor (and, even more so, a homeopath) will never deal only with the cause of the disease or the symptoms as such, but will always investigate how the individual feels and expresses, in its entirety, the disease, how it interacts with the environment and the world. The peculiar approach to the observation of signs and symptoms adopted by homeopathic doctrine (a sort of "symptom hunt") obliges to collect as much data as possible, so as to superimpose them on the homeopathic medicine which, as similar, is considered effective.
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