Homeopathy is all about understanding each and every aspect of an individual. The individualistic center of the disease is understood in its totality and then this individualistic center of the patient is matched with the center of the remedy and  then prescribed to the patient. The initial step in this whole process is to understand the core of the patient through the case receiving process. 

The first and most primitive step for the homoeopath is to understand the individualistic PQRS expressions of the patient. The PQRS symptoms are expressed either at the physical particular plane or the physical general plane or the mental general plane. 

When a human being is understood homeopathically, we obtain individualistic expressions at the physical level and at the mental level. But the mind and body do not exist as separate entities. At the holistic level, both speak one language. The peculiarities at the holistic level represent the inner core of an individual. 

When the whole aim is to thoroughly understand the core of the patient, the case receiving process has to be designed to meet the following aims of understanding an individual.

• The whole method should be individualistic. It should extract the individualistic expressions of the individual at the local, general and above all the holistic level. 
• The whole process should be based on simple concepts that can be easily explained to homoeopaths as well as non-homoeopaths or laypersons. It should be extremely scientific. All the questions that the patient is asked should be thoroughly scientific and logical, not because of any whim or fancy, nor because a homoeopath “feels like” asking those questions.
• The whole process should be a reproducible phenomenon where every homeopath, belonging to any school of homeopathy, should be able to reproduce the case taking in each and every case in his practice. 

In order to fulfill all these aims, I am practicing it in a 3 step model – CASE WITNESSING PROCESS. The case witnessing process provides a systematic approach to case-taking methodology that can be followed and practiced easily by everyone for reaching the deepest core in their patients. The whole process is a scientifically designed method of case taking to understand the patient’s unique individuality at the local, general and above all at the holistic level with an ease, simplicity and assurance. The entire process is scientific (that makes it easy to reproduce) and it is Human-centric in nature. 

The whole process of case witnessing process has been developed in three steps in order to be able to practice the ideal case witnessing process. 

The three steps are Passive, Active and Active-Active.

• Passive is about collecting all the out of place information from the patient as it is. We allow natural flow of the case and passively listen to the individualistic expressions. In this step the expressions are fragmented, isolated. They are expressed either at physical level or mental level or in different areas like personality, family, business, childhood etc. In the passive process, the physician scientifically highlights the most important characteristic expressions at every level and in each and every area. That which gets repeated at every level is the focus of the case.
• Active is where the flow is directed inwards, towards the center to get the whole phenomenon. The isolated individualistic expressions get connected slowly. The surety of the focus is established in this step. The focus is confirmed when we ask about the focus and the patient connects other important expressions from the passive with the focus. The whole Active process gives us surety about the focus of the patient and determines whether or not the journey is on the right track. In a broader perspective, it clears the path for the Active-Active Case witnessing process.
• In Active-Active the whole pattern is unfolded. All the individualistic expressions of the patient get connected. The focus is taken to the complete innermost core. Here we ask the patient to talk about the focus in as much detail as possible, allowing him to just be in touch with the experience. The more he slips into the process, the clearer the picture will be of the surfacing pattern. Gradually, all the isolated, scattered, verbal, and nonverbal expressions that spilled out during the passive and active case witnessing processes get connected in a single phenomenon. 

Passive case witnessing process

(A patient came on 26-6-2015 with the diagnosis report of HEPATITIES B with 3050 Iu/Ml cell load and complaint of headache, weight loss, tiredness, general weakness and fear)

D: Tell me about you!

P: What are the things I want to say?

D: I want to know about you completely in order to cure you, so make me to understand about you as better you can .don’t miss anything so I can understand you completely, feel free and talk

P:  My name is XXXX; I am working in Ship Company.  It was an irritating work because I don’t have any close friends to speak freely. Frequently I used to get headache, tiredness during working hours.  I am afraid of that and decided to take medicine.  So I went to GH for this complaint, they took investigation and they told it would be jaundice and you want to take one more special investigation for that. They took that investigation too when I went to collect the report few days later they informed me that I have some viral infection named Hepatitis B and they told that it is a critical condition and you should take medicine minimum for 5 years.  I was disappointed that I can’t continue my job with this complaint (crying).  I can’t live with this virus in my body, feels I have no ability to live this life.  I have to cure myself fully. I depend on you sir completely sir, please sir, I believe in you.

(Pause)

D: Be in the flow and continue….. 

P: I am having some other stress also due to my family problems, anger on my father & mother.  They didn’t run the family properly, father was always quarreling with me & mother was seeing partiality.

My father is unable to pay my school fees.  So I stopped my studies I was disappointed at that time. 

I have 4 elder brothers & one younger sister. At my age of 4 my first brother got married. At my age of 6 he had his first baby.  He did not inform me & he did not take me to hospital to see him.  It was first disappointment for me from my brother.

My sister in law used to take care of me for my studies after my father and I continue my studies I felt her like a mother, I felt so comfortable with her.

And my brother started a salt company and joined with him to start working.  That time I have confidence to do anything I thought I will reach comfortable place in life but after few months he cheated me he did not done anything for me.  It was also a disappointment to me. 

Then I worked in a rice storage company but it was not comfortable for me because I have fear of going into a room alone. I used to go to store room alone I got extreme fear there, especially in dark rooms; I also have fear of dark places from my childhood. So I left from there.

Then I worked in a school as an attender and I was fully depending on the HM of the school, he gives me good salary and she took care of me as her son.  Then she transferred to another school and after that I am not comfortable to work there and I joined in the ship company.

Now I left from Ship Company too, I can’t able to face them with this disease and now I doesn’t have any job.  My parents are not ready to support me, I am staying with my friends for the past few days they are only helping for me and they are only supporting.

Now I want to cure this because they will not allow me with this disease and I can’t expect my friends for money all the time.  I want to continue my job. Now I am fully depending on them  for my needs , to  come here also one of my friend only gave me money ,I have  confidence being with my friends and I feel comfortable with them. (Crying)

(Up to this the patient talks PASSIVLY about his PHYSICAL COMPLAINTS, JOB, FAMILY, CHILDHOOD and FEARS at the delusional level .Under these areas DISAPPOINTMENT & COMFORTABLE which is coming OUT OF PLACE, AGAIN AND AGAIN in two more areas.

So we can start the ACTIVE CASE WITNESSING PROCESS with these 2 keys by exploring the area which has these keys with higher level of experience, so that the other areas also get connected to get a focus, While talking about physical complaint, he is more emotional and cries so we can start    from it….)

Active case witnessing process:

Area 1: Physical complaints

D: Tell me little bit more about your physical complaints

P:    (cries)

D: just allow your tears to speak

P: Sir I am not having a permanent job or house to stay, now this complaint also…….      (Cries) ……My body…….my health …..(Cries)……..how can I go further in my life…….    i was so much disappointed…….. Cries….

D: Disappointed in what way?                                                                         

P: how can I live! I have no ability …want to depend on others for all

D: What is your experience in that moment?

P: Uncomfortable! Fear!

D: Uncomfortable in the sense?

P: insecure!

D: little bit more

P: I am not safe, fear of future, want to be safe in life

Area 2: FEAR

D: tell me about your fears?

P: I have fear of dark places, ghost, especially alone in a dark rooms, I will pass urine involuntary in night due to this fear.

D: What is your experience of being alone in a dark room?

P: Totally uncomfortable (protrude his eyes), no help

D: what is the experience of being uncomfortable?

P: I am alone, insecure, not safe, want to search some safe place, want to call someone for help,

Area 3 :  Childhood

D: Tell me about your childhood little bit more?

P: In my childhood mostly I suffered a lot , my parents didn’t took care of me ,they didn’t guide me anything  as a parents ,even for studies or a job ,in the other side as an elderly person of the family I totally depends on my brother when am working in the salt company with him and I thought that he will take care of me , that time I was so much confident that I got a good job , I can also earn money and etc. but their also the disappointments only remains , but for some days when I worked in the school I am so happy ,the head miss of that school is a nice women ,she take care of me she gave me money when I need, other than that throughout my life still now I am not comfortable ,still I am searching for it ,in these situation this problem also blocks me , I want to be comfortable in my life.

D: What you mean by comfortable?

P: Comfortable means happy, don’t want to worry about anything, feel free, and don’t want   to fear about anything, somebody is there to help me, guided me and take care of me

D: What is the experience in it?

P: It is something like “u go am there for u”

D: What is your experience when someone says that “u go am there for u”

P: Feeling safe, comfortable, I am secured,

(In the active case witness processing every area get connected in a single focus as SAFE/SECURED , now we should conform the focus in other areas also to be double sure about our focus on the case, so we can go one of the sub-conscious area like dreams)

Area 4: Dreams

D: Tell me about your dreams?

P: Mostly I will get some horror dreams, and am so much fear on that time and I will pass urine involuntarily, I use to get these type of dreams when I see some horror movies in that day.

D: Tell me few more dreams, which is coming repeatedly?

P: Ya! I get some dreams like am alone in a place an searching for my house, and searching some people to ask them but I don’t know where I am and running in away ,thinking that my house is near only so am running but I never reach my house in any dreams, repeatedly I will get this dreams but I will not remember it clearly, I woke up with fears in the morning.

D: Which part of these dreams gives fear to you?

P: Fears in the sense, am alone, searching my house, someone want to help me, confused

D: what is the experience in that moment?

P: fear that I am alone, not in my house, anything can happen, not in a safer zone

(Now our focus ‘safe’ is confirmed in all area which is true for the part and true for the whole. So we can now start active active case witnessing process by exploring our focus in one direction to get the center of the case)

Active Active case witnessing process:

D: Safe in the sense?

P: Safe means, when I reach my house in feel safe

D: What is your experience of being in the house?

P: Feeling comfortable, protected!

D: Hmm….

P: Secure! Happy with everything!

D: Everything in the sense?

P: Everything means which protect me…….

D: Protection means?

P: Having proper job, house, in the sense…………money too, for which am totally        depending on my friends now.

D: What is your experience of not safe?

P: Not protected, not settled in life, want to be settled!

D: What is the experience in not protected?

P: Not confortable

D: Hmm... Little bit more…..

P: not steady, not stable, need help

D: Ya! Not steady, not stable, need help…..little bit more..?

P: Want to depend on someone to be steady, stable, and confident

D: What you mean by steady and stable in general?

P: Good friends to help me, no poverty, feeling safe, permanent job with good health  (shed   tears with smile)

D: What is your likes and dislikes in food?

P: Mostly I like vegetarians, but I will eat eggs, and I like potato, sweets, and etc.

Summary of the case :

• The patient is at the delusional level in passive
• The center of the case is instability  which denotes the mineral theme 
• The instability expressed in the way of lacking for security, safe, money , job, health, house which denotes the row 4 issues
• The dependence and beginning be search the lacking  with the alternative state of stability denotes the center of calcarea carb

KINGDOM: MINERAL 
ROW: FOUR
COLUMN: SECOND
REMEDY: CALCAREA CARBONICA
POTENCY: 1M
PRESCRIPTION: CAL.CARB 1M one dose was given on 25 – 6 -2015 with SAC LAC for 15 days

Follow-up on 14-7-2015
P: No any improvement, the same problems which I had in my childhood returns back .for past 10 to 15 days I have involuntary urination during sleep with some fearful dreams, dreams like someone is beating me and I am running, In another dream I am going in a place alone and passing urine at that time I passed urine involuntary in real. But I feel better in mind level, remaining everything as it is same like tiredness and weakness, recurrent headache.
PRESCRIPTION: SAC LAC given for 30days 

Follow-up on 24-8-2015
P: feeling better than before, no any dreams, had good sleep, no bed wetting at night, weight has increased from 48kg to 49.5 kg. The tiredness remains same and feeling weak to do any work. Feeling 50% better in mental level, confidence has increased and no fear, Headache reduced.
PRESCRIPTION: SAC LAC given for 30days

Follow-up on 25-9-2015
P: no any specific changes, weight raised to 50kg, appetite and thirst normal, sleep remain same, dint felt any improvement in tiredness, mind as it is .
PRESCRIPTION: CALCAREA CARB 1M one dose with 30 days SAC LAC 

Follow-up on 26-10-2015
P: Feeling better in the last month, no tiredness, no headache feeling energetic, no any weakness can do all the works. Confidence level was increased, no any fear, sleep well, weight was 50 kg now. Mind level 80 % good, feeling happy.
PRESCRIPTION: SAC LAC given for 30 days
Advised to take investigation for the hepatitis B virus load

Follow-up on 26-11-2015
P: hepatitis B cell load was decreased from 3050 Iu/ml to 1200 Iu/ml.(tested on 20-11-2015) feeling so happy, no any complaints, 100% feeling better in mind level.
PRESCRIPTION: SAC LAC given for 30 days

Follow-up on 4-1-2016
Feeling good, no any complaints physically and mentally, rejoined in the job in same company on 28-12-2015, feeling comfortable, not worrying about this complaint, having confidence because it is decreasing, went to home for Christmas and enjoyed a lot (smiled).
PRESCRIPTION: SAC LAC given for 30 days
Advised to take investigation for the hepatitis B virus load

 

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Dr. Michel Xavier
Educational qualification:  DIPLOMA IN ACUPUNCTURE ( D.Acu)  at Annamalai university, Tamilnadu, india.  DOCTOR OF MEDICINE (MD.Acu) at Medicinal alternativa - The open international university, Colombo, Sri Lanka. B.H.M.S  at vinayaka mission university, salem,Tamilnad
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