BOENNINGHAUSENS VIEW ON

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• BOENNINGHAUSENS VIEW ON
• CASE TAKING AND CASE RECORD
• HAHNEMANNS ORGANON -
• 153 (5Th Edition) True Kernel

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• More general and indefinite symptoms
• deserve but little attention unless they
• are more pronounced
• As something like this is present in
• many diseases and in every medicine
• More striking, particular, unusual and
• peculiar symptoms Physician to judge
• Not diffused but easily understood
• Complete enough to be applied in every
• case

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• Hexameter used by the scholars
• of school of theology through which a
• moral disease is to be judged concerning
• its seriousness and peculiarities
• The verse in Latin is as follows in 7 rubrics
• Quis ? quid ? ubi ? quibus auxiliis ?
• cur ? quomodo ? quando ?

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BOENNINGHAUSENS HEXAMETER
Nature and peculiarities of disease
Personality / individuality of the patient
QUID
QUIS
Time of Appearance ltlt / gtgt Recurrence Periodicit
y
The seat of disease
UBI
QUANDO
QUOMODO
The Concomitants
Manner / Mode ltlt / gtgt
QUIBUS AUXILIIS
CUR
The Why? Cause
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• Quis ?
• Personality and Individuality
• Sex
• Age
• Bodily constitution
• Temperament
• Departure from normal state to
• now sickness
• Differing strikingly is more
• important than no change at all
• from the usual natural state

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• State of mind and disposition
• Greatest and most important variation
• from natural state
• Scanned carefully
• Sharply distinct and of rare occurrence
• Then only will correspond to few
• remedies
• Mental disturbances-One-sided diseases
• More important physical ailments recede
• into background
• Organon of Medicine - 104
• Written scheme of the image of the
• disease

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• Greater number of medicines that do not
• correspond to this are to be thrust aside
• form our consideration
• They do not correspond to the personality
• and individuality of the patient
• Spiritual and dispositional individuality is
• the only deciding points for the selection of
• the remedy

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• Physical generals and physical
• constitution as clearly as that of Mind

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• Quid ?
• Nature and peculiarities of the disease
• Know the devil before you kill him !
• Since the time of Hippocrates
• (2000 years ago)
• OBSERVATIONS plus
• EXPERIENCE
• Not the diagnosis (Label of the disease)
• as it does not point to indicated similar
• remedy

The path
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• Ubi ?
• The seat of the disease
• It furnishes a characteristic symptom,
• since almost every medicine acts more
• and also more decidedly on certain
• particular parts of the living organism
• Useful not only in local diseases, but also
• for the general diseases affecting the
• whole body- gout, rheumatism etc.
• It is rarely or never that all the parts are
• affected in the same degree in the disease
• Right side is more affected than the left or
• vice versa

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• Exact individualisation of the ubi is
• most necessary in Local affections
• Selection of Prophylactic remedy in
• infectious diseases

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• Quibus Auxiliis ?
• If the original hexameter was written
• for the purpose of Medicine, it would
• have been named either as quibus
• socii or quibus comitibus
• It refers to the accompanying
• symptoms
• In Homoeopathy, the chief aim is to
• find out the remedy which most
• completely corresponds to the totality
• of the symptoms, it is evident that this
• point is of the greatest importance and
• deserves the most careful consideration

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• Every disease present in its recognizable
• phenomena a more or less numerous
• group of symptom, and it is only their
• totality which represents it complete
• image.
• This image may be compared to a
• portrait , which can only be claimed to
• have a strikingly likeness when all the
• features of the original are faithfully
• represented in it

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• It is not sufficient that mouth, nose,
• eyes, ears, etc., should be presented in
• such a manner as characterizes man
• and distinguishes him from the monkey
• and other animals but as every human
• physiognomy posses its peculiarities
• and is distinguished from every other,
• so also here the more or less strongly
• pronounced abnormalities must most
• carefully and with the greatest
• faithfulness and truthfulness be
• prepared and given their prominence

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• Those symptoms which are found in
• almost all diseases may be left out of our
• consideration, unless they manifest
• themselves in a striking manner
• The same thing applies to those ailments
• which are constantly accompanying the
• disease under consideration as
• constant concomitant, unless they
• should be distinguished by some rare
• peculiarity and in this respect offer
• something characteristic

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• All those attendant symptoms should be
• carefully noted which-
• Rarely appear in connection with the
• leading disease, and are, therefore,
• also found rarely among the provings
• Those which belong to another sphere
• of disease than the chief ailment, and
• lastly,
• Those which have more or less of the
• characteristic signs of one of the
• medicines, even in case they have not
• been noticed in the present juxtaposition

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• among the last mentioned concomitant
• symptoms there should be one or
• another in which the genius of one of the
• remedies should be plainly and definitely
• portrayed, so that it would be plainly
• pointed out, this one symptom thereby
• would acquire such an importance that it
• would even outweigh those of the chief
• ailment, and may then be at once
• considered as the most suitable
• Such a symptom would be included
• amog those which Hahnemann calls
• striking, strange, unusual and peculiar
• (characteristic) sign

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• and which are thenalmost alone to be
• considered because they pre-eminently
• give to the whole disease its individual
• character.
• Those symptoms which do not directly
• indicate the real peculiarities of the
• disease - the attendant symptoms
• For which allopathic physicians give
• additional remedy

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• Cur ?
• Why? - The cause(s) of disease
• Internal
• General natural disposition /
• proximate cause
• Idiosyncrasy
• External / Occasional
• Miasmatic
• After effects of acute diseases
• Medicinal disease /poisoning
• Ailments since injury, chilled,
• over heated, exposure, getting
• feet wet
• Prophylactic remedy in infectious
• diseases

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• Quomodo ?
• Modus
• All modifying factors
• aggravations
• ameliorations
• negative
• Motion and rest (also degree and kind)
• Position
• Eating and drinking
• Physiological processes and reflex
• actions
• Of great therapeutic value

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• Quando?
• ODP
• Time of appearance
• Of aggravation or amelioration
• according to the time of the day or
• night
• Episodic diseases
• The periodical return of symptoms
• Conditioned by Seasons, the
• weather
• In artificial drug diseases
• To satisfy the rule
• Similia similibus

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• A complete history of all the morbid
• symptoms
• Enumeration of all the sensations
• and phenomena with the patient
• which are not seen in a healthy
• person
• Every symptoms should be given
• clearly and completely

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• With respect to clearness
• The usual conversational language
• in which the internal sensations of
• the patient may be expressed is at
• all times the best,
• And we need only take care that all
• indefinite and therefore inexpressive
• words, such as pain and ache, be
• omitted and instead of them the
• kind of pain be described in the best
• known and most unequivocal
• expression

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• With respect to completeness
• in every case the exact location of
• the pain in the body , the side
• The time and circumstances should be
• enumerated, which have influence on
• the aggravation or amelioration of the
• pains
• As to the time the exact times of the
• day should be enumerated
• So also the periodical aggravation or
• amelioration as to hours, days, or
• seasons should be exactly reported

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• Among the circumstances it should always
• be stated what influence is exerted by rest
• or by motion, and by particular mode of the
• same (e.g. lying, sitting, standing, walking,
• Running, riding on a vehicle etc.)
• So also the influence exerted by warmth or
• cold, the open air and the room, by various
• enjoyments, by touch, by baring the body,
• by overheating, by eating and drinking in
• general, by emotions, by dry or wet
• weather, by thunderstorms, by daylight or
• candle light, etc. so as to the aggravation or
• amelioration of the symptoms

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• In order that there may be a natural
• sequence in the symptoms and that
• nothing may be omitted, the subjoined
• rubric of the condition of the patient should
• be followed, in every case it should be
• noted what there is of morbidin those
• cases, where there is nothing morbid, we
• pass it over, but that which is especially
• marked, should be underscored.
• Homoeopathic physician must view and
• weigh every group of symptoms even in
• epidemic diseases, as if it never before
• existed in the world, and now appeared for
• the first time.

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• The more complete and faithful
• the image of the disease is
• composed in this way, the more
• safely can the selection of the
• most suitable medicine for the
• present group of symptoms be
• made, and the more surely we
• can expect help for the same

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• Only in cases where diseases have
• been treated with large quantities
• of medicines, there will generally
• be added to the disease the effects
• of the medicines disturbing the image,
• and in such a case it is absolutely
• necessary, as stated above, to also
• inform the homoeopathic physician by
• the communicating to him the
• prescriptions or telling him about them

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• BOENNINGHAUSENS CONCEPT OF TOTALITY
• Principles of Generalization on a grand
• scale
• Prime importance of Modalities
• Doctrine of Concomitance higher
• evaluation of Concomitants
• Importance of the Physical generals
• Doctrine of Analogy
• Concept of Totality as a One Grand
• symptom of the Patient comprising of
• 4 elements

• Locations
• Sensations
• Modalities
• Concomitants

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• Mental symptoms to be compared
• with the help of Materia medica at
• the end of repertorization

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• Preface to the Therapeutic Pocket
• Book by Dr. Boenninghausen
• Introduction by Roberts to the
• Therapeutic Pocket Book
• Preface to the Boenninghauserns
• Bogers Characteristics and Repertory
• by Boger
• Studies in the Phiolosophy of Healing by
• Dr. Boger
• Repertorization by Dr. Jugal Kishore
• Principles and Practice by Dr M. L.
• Dhawale
• ICR Symposium Volumes