Never well since and homoeopathy

Dr Akshay J Nair, B.H.M.S

In homeopathy, the phrase “Never well since” signifies a patient’s condition where their health has deteriorated and they have not fully recovered since a particular event or illness. This concept is crucial because it helps identify the root cause of the patient’s chronic symptoms and guides the selection of the most appropriate homeopathic remedy.

Understanding the significance of “Never well since” in homeopathic case taking is crucial, as it often reveals a major causative factor in the patient’s history that has led to their current state of illness. This phrase points to a pivotal event or illness after which the patient has not fully recovered, leading to ongoing health issues.

Key Aspects of “Never well since”

  1. Identifying the Event or Illness

– The event can be physical (e.g., injury, surgery), emotional (e.g., grief, shock), or environmental (e.g., exposure to cold, vaccination).

– It marks a significant turning point in the patient’s health, after which they have experienced a persistent decline.

  1. Significance in Case Taking

– Homeopaths ask detailed questions to uncover any notable incidents that preceded the onset of the patient’s chronic symptoms.

– Understanding the NWS factor helps in formulating a comprehensive treatment plan.

  1. Rubrics in Repertories

– Repertories like the Synthesis Repertory contain specific rubrics that categorize ailments based on their causative factors.

– Examples include “Never well since grief,” “Never well since vaccination,” and “Never well since injury.”

In the Synthesis Repertory, various rubrics address the concept of “Never well since.” These rubrics help homeopaths pinpoint the underlying cause of the patient’s chronic condition and choose the most appropriate remedy. Here are some specific rubrics from the Synthesis Repertory that pertain to “Never well since” scenarios:

  1. Mind, Ailments from, anticipation
  2. Mind, Ailments from, anger
  3. Mind, Ailments from, bad news
  4. Mind, Ailments from, care, anxiety
  5. Mind, Ailments from, chagrin
  6. Mind, Ailments from, disappointed love
  7. Mind, Ailments from, grief
  8. Mind, Ailments from, insults
  9. Mind, Ailments from, jealousy
  10. Mind, Ailments from, mortification
  11. Mind, Ailments from, sexual excesses
  12. Mind, Ailments from, severe shock
  13. Generalities, Ailments from, exposure to cold
  14. Generalities, Ailments from, injuries
  15. Generalities, Ailments from, loss of fluids
  16. Generalities, Ailments from, vaccination
  17. Generalities, Ailments from, wetting
  18. Generalities, CONVALESCENCE; AILMENTS DURING -menopause; after
  19. Generalities, CONVALESCENCE; AILMENTS DURING – puberty; after
  20. Generalities, CONVALESCENCE; AILMENTS DURING – abortion; after – never well since:
  21. Generalities, CONVALESCENCE; AILMENTS DURING – burns; after – never well since
  22. Generalities, CONVALESCENCE; AILMENTS DURING – chest complaints; after – never well since
  23. Generalities, CONVALESCENCE; AILMENTS DURING – diphtheria; after – never well since
  24. Generalities, CONVALESCENCE; AILMENTS DURING – gonorrhea; after – never well since
  25. Generalities, CONVALESCENCE; AILMENTS DURING – influenza; after – never well since
  26. Generalities, CONVALESCENCE; AILMENTS DURING – lungs; after inflammation of the – never well since
  27. Generalities, CONVALESCENCE; AILMENTS DURING – malaria; after – never well since or recurrent malaria
  28. Generalities, CONVALESCENCE; AILMENTS DURING – oxygen in blood; after decreased – never well since
  29. Generalities, CONVALESCENCE; AILMENTS DURING – puerperal fever; after – never well since
  30. Generalities, CONVALESCENCE; AILMENTS DURING – septic fever; after – never well since
  31. Generalities, CONVALESCENCE; AILMENTS DURING – strain; after – never well since
  32. Generalities, CONVALESCENCE; AILMENTS DURING – sunstroke; after – never well since
  33. Generalities, CONVALESCENCE; AILMENTS DURING – typhoid fever; after – never well since
  34. Generalities, MEASLES – ailments after – never well since

Here are some examples of rubrics and their associated remedies:

  1. Never well since grief: This rubric applies to patients whose ailments began after a significant emotional loss or grief. A commonly indicated remedy for this situation is Ignatia amara.
  2. Never well since head injury: This applies to patients who have had lingering health issues since sustaining a head injury. Natrum sulphuricum is a remedy often used for this condition.
  3. Never well since a vaccination: Some patients report health issues that began after receiving a vaccination. Thuja occidentalis is a remedy that may be indicated in such cases.
  4. Never well since childbirth: Women who experience ongoing health problems after childbirth might benefit from remedies like Sepia or Pulsatilla.
  5. Never well since an acute illness: This rubric is for patients who have not regained their health since recovering from an acute illness like the flu or pneumonia. Psorinum or Sulphur might be considered.

Each of these rubrics addresses a specific type of causation that might be the root of the patient’s on going complaints. By identifying the correct rubric, homeopaths can trace the patient’s symptoms back to a significant event or illness and select a remedy that targets this fundamental cause.

Understanding and utilizing these rubrics effectively can greatly enhance the accuracy of case taking and the success of homeopathic treatment. When a patient mentions a past illness or significant life event after which they “never felt well,” it’s a signal to explore these rubrics and identify the deeper underlying issues affecting their health.

In summary, “Never well since” is a fundamental concept in homeopathy that helps in pinpointing the causative factor of a patient’s ongoing health issues and guides the selection of the most suitable remedy.


  1. Schroyens F. Synthesis (Repertorium Homoeopathicum Syntheticum) 9.1 ed. New Delhi: B.Jain Publishers(p) Ltd;2008.
  2. Dr Shashi Kant Tiwari: Intergrated approach: Cross Repertorization: Essentials of Repertorization: Fifth edition: New Delhi: B.J.Publishers: 2012.

Dr Akshay J Nair, B.H.M.S
Father Muller Homoeopathic Medical College
Mangalore, Karnataka

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