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.

2. 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.

3. 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.

References:

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.
3. RADAR SOFTWARE.

Dr Akshay J Nair, B.H.M.S
MD PART- 1 PG SCHOLAR
Father Muller Homoeopathic Medical College
Mangalore, Karnataka