Mittelfindung Anhang 3

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[Grant Bentley]

NINE STEPS TO PRACTISING HOMEOPATHY USING FACIAL ANALYSIS

Homeopathic Facial Analysis (HFA) is the most straightforward and accurate way of determining a patient’s miasm. It allows for the selection of a remedy that will act in a

constitutional way to enhance a patient’s health. It reduces and removes symptoms for long periods of time, using only one or in some cases a few miasmatic remedies

given one at a time.

The following nine step plan demonstrates how to in corporate miasmatic prescribing using facial analysis into clinical application.

ACTION

ANALYSIS

TOOLS

CASE

MANAGEMENT

1 – Case taking

2 – Taking photos

3 – Choosing rubrics

4 – Choosing themiasm

5 – Homeopathic software

6 – Digital camera 8 - Outcome

7 – Potency and frequency of dose

8 - Outcome

9 – Maintaining health

A step by step example of the process of HFA

FIRST VISIT

Case is taken

Photos taken

Symptoms charted

Rubrics chosen from chart

Miasm selected from photos

Rubrics repertorised

Remedy selected from miasmatic group

Potency and frequency of dose chosen

SECOND VISIT AND SUBSEQUENT VISIT

Symptoms analysed

1. Good outcome – continue treatment as required

2. Poor outcome – repeat the following steps

Check photos to validate miasm

Take new photos if first set are unclear

Check rubrics

Rerepertorise

Change remedy

This method has been used on all patients presenting with chronic disease over an 11 year period by a number of practitioners in Melbourne Australia.

Using a small number of remedies (about 50 - 70 polychrests) results have improved dramatically across all pathology types. This has been even more so in the last few years as the method has become more streamlined. The following steps are how we practice.

1 – CASE TAKING

The aim of case taking is to get the totality of the patient’s symptoms. It is not about psychoanalysis or putting the patient through a deeply reflective process. It is about

finding a simillimum that will bring about better health.

General classical Homoeopathic concepts apply –

Listening

Removing judgement

Observing patterns

Understanding the main complaint – what, when, how

Checking from top to toe for all physical complaints – current and history

Ensuring all generals are covered – sleep, appetite, thirst, food (cravings, aversions, aggravations), bowels/urination, menses, perspiration, environmental sensitivity, positions and time factors

Special care must be taken when using mental rubrics. There are two ways ‘mentals’ can be used and they must be chosen very carefully

as this is the area where judgment by the practitioner will lead to errors of rubric choice.

Emotional responses – use sparingly and only when they are very clear – for example weeping, anger, jealousy are usually very easy to see and can be used as

a firm rubric choice

Circumstances

– asking the patient to give a biography of their life with an emphasis on important moments is a solid way of determining the energy pattern of their life. It is not about what they think of them selves or how they would like to be but about what actually happened. Being factual means the practitioner is working on solid ground.

Examples would be a history of violence (Mind – Violence), a strong concentration on business (Mind – Business or Mind – Dreams of business) or people who spend

much of their time alone (Mind – Company aversion to).

Another way circumstances provide mental rubrics is by using the emotional state of the people around the patient. For example a patient who has had three jealous

partners – even though they are not jealous themselves, are attracting jealousy therefore jealousy becomes an important theme in their life (Mind – Jealousy).

Another example is a patient who has a family who is always fighting even though they are gentle themselves, (Mind – Quarrelsome).

2 – TAKING PHOTOS

Photos are taken after the case taking is completed but prior to the analysis. This is a good time for the patient too as the practitioner has gained their confidence

through the case taking process. Detailed instructions for taking photos can be found in Homoeopathic Facial Analysis by Grant Bentley.

Tell the patient about why you are taking photos before the consultation begins have a set way of explaining the purpose of taking the photos

Use simple terms like group or genetics rather than miasms

Do not use pathologies when describing miasms

Nine photos are required –

1. Straight on – relaxed mouth

2. Straight on – broad smile (flash on)

3. Straight on – broad smile (flash off)

4. Straight on – top and bottom row of teeth visible

5. Straight on – hair pulled back tightly

6. Profile left

7. Profile right

8. Frown photo (between the eyes) (flash off)

9. Eyebrows raised to the point of natural animation (to show depth of foreheadlines) (flash off)

Each image must show the patient holding their head as straight as possible

All images must be in focus and must fill the screen – ie so the patient isn’t too far away

The nine photos must clearly show the following aspects of the face - hairline, forehead, eyes, bridge of nose, mouth, teeth, smile, chin and ears

3 – CHOOSING RUBRICS

After taking the case and photos complete a case analysis. Symptoms are categorized into a chart as follows

MENTALS

GENERALS

PHYSICALS

Fearful ++

Jealousy themes ++

Dreams – vivid +

Likes friends +

< night ++

> rest

Desires coffee +++

Aversion milk +

Burning pains +++

Right sided ++

< summer

Constipation - occasional

Sinus – pain, discharge – yellow - occasional

Headaches – frontal ++

Knee pain +

Skin – eruption itchy – on chin

It is easier to determine which rubrics to choose when the whole case is clearly laid out in front of the practitioner. It is important to observe patterns, intensity of symptoms and what is unusual in the case. The aim for the repertorisation is to choose between five and eight rubrics that meet the following criteria

The symptom is frequent

The symptom is intense or distinctive

The symptom is unusual

MENTALS

GENERALS

PHYSICALS

1 – 3 rubrics 3 – 5 rubrics 1 – 2 rubrics

By ensuring that each of these three areas has some representation (with the majority being generals) the remedies coming through will be certain to cover the

case. Note that general rubrics are always the most important and if your case is mostly mental or physical, it will be more difficult to find the correct remedy.

So in our example above we might choose

MIND; JEALOUSY (65)

MIND; FRIGHTENED easily (162)

GENERALITIES; NIGHT, < 21 – 5 h.

GENERALITIES; FOOD and drinks; coffee; desires (51)

GENERALITIES; PAIN; burning; internally (195)

GENERALITIES; SIDE; right (225)

HEAD PAIN; LOCALIZATION; Forehead (430)

Note that we try to use rubrics with 40-500 remedies in them. Even though this will collect more remedies to choose from we can feel certain that the one remedy we

need will be amongst the group. In the example above fourteen remedies will come forward.

Once we know the patients miasm our choice will become much smaller. The repertorisation will be reduced by another 1/7 with only the remedies belonging to

the patient’s miasm being considered for the case.

4 – CHOOSING THE MIASM

Facial analysis will always determine the miasm accurately

Pathology is a poor indicator of miasms

Psora, sycosis and syphilis are the base of all miasmatic prescribing

Essence pictures of psora, sycosis and syphilis are incomplete and in some cases inaccurate – use facial analysis as the sole indicator

All miasms are equal in their potential for destruction

Each facial feature is influenced by psora, sycosis or syphilis or a combination of two

or more miasms. Some facial features are within normal range and will not rate.

Categorised features (about seventy five in total) are detailed in both books on HFA

Appearance and Circumstance – photos and theory

Homoeopathic Facial Analysis – sketches and facial parameters

It is important to take your time and judge carefully. Use the HFA book as a desktop guide – soon you will remember the features well and know when to allocate them

and when to leave them out. Make a simple chart like the following and place the patient’s features in them. Not every feature is rated as some fall within “normal”

parameters.

PSORA (Yellow)

SYCOSIS (Red)

SYPHILIS (Blue)

Down-turned nose

Close set eyes

Two lines

Thin lips

Two front teeth

Chin – receding

Ears – sloped

7 features

Wide nose

Teeth – straight

2 features

Hairline – high

Asymmetry – nose, eyes

Dimples

3 features

Everyone in Homoeopathy has different ideas about posology. VCCH commenced our clinics using Kentian prescribing but have developed the following guidelines

from ongoing clinical experience. We find daily doses of 6C or 30C satisfactory for most patients and can give daily doses for one, two or many months without any

aggravations provided there is continuous or sustained improvement.

What about aggravations?

When choosing a remedy from within the patient’s miasm few aggravations are encountered as long as the remedy matches the totality of symptoms and the

patient’s miasm (as determined by facial analysis).

A potency of 6C or 30C daily is suitable for even the most sensitive patient.

VCCH POSOLOGY GUIDELINES

Daily doses are suitable for almost all patients in either 6C or 30C. Once the right remedy is found it delivers a daily dose of energy to the patient which strengthens all

aspects of their being. Sustained healing and balanced emotions as well as increased energy levels will result. Daily doses can also be given in LM potency as

Hahnemann advised. VCCH have used centesimal potencies for almost all clinical cases.

Patients must be checked at regular intervals to ensure the remedy still suits their case. Where a remedy does not suit a patient it must be changed. Always check

the facial analysis (new photos where required) to ensure the miasm is correct. Rerepertorise on the current symptom patterns including previous important symptoms

as required.

Occasionally patients with entrenched pathology will also do well on repeated doses of 200C (twice a week or every 2^nd day). This type of posology must not be given

until the 30C has been tested first - and then only given where the 30C was very successful but didn’t sustain for the long term. The only time to increase the potency

is where the case has been very good - raising the potency where a remedy has only acted partially generally does not bring about a positive result. It is better to choose

another indicated remedy that matches the patient’s miasm.

FREQUENCY OF REPETITION

6C or 30C daily – commence with a daily dose from two weeks to one month or until their next visit.

When the problem is 90% or greater improved and all auxiliary symptoms have settled withdraw the remedy. Commence again if and when symptoms decline.

If returning symptoms are different search for a different remedy.

If a patient slips back for one or two days continue the same remedy as people are always changing and re-establishing a state of balance and they may get better without changing the remedy. If the slip back continues for longer than a few days it is time for another remedy or where the case has been very good but slips a higher potency*.

*Most patients do very well on no higher than 30C.

We rarely use 1M or higher anymore and advise giving this potency in single dose, wait and watch.

8 – OUTCOME

A well-chosen Homeopathic remedy should provide the following for our patients 70 - 100% improvement of the presenting complaint AND improvement in auxiliary

symptoms such as Sleep

Other pathologies

Well being

Energy

Continuous repetition of the remedy will depend on

the state of the patient

The type of pathology

External stresses

External stresses deserve a special mention. They are almost always the cause and the continuance of chronic disease. External stress can be

Removed (= best outcome for patient)

Adjusted

Put up with

Where external stress continues it is reasonable to expect that the remedy will hold for lesser periods than when it has been removed.

Areas that result in energy being drained from the patient include

1. Worry

2. Tension and stress

3. Overwork

4. Poor nutrition

5. Too much or too little exercise

6. Negative self-belief

7. Emotional trauma

8. Physical trauma including childbirth and accidents

It is important to remember that our remedies are energy medicines – they are not people themselves and although we have painted caricatures to help us learn materia medica these pictures are not always true of every patient that needs that remedy. The remedy is a set of potentials waiting to replace an existing state of energy imbalance using the law of similars as an agent for removal of those symptoms. It is nothing more and cannot change the soul or the personality of the patient. When a patient has returned to balance after the correct remedy the increase in energy will often allow for more positive behaviours and insights. While the remedy was the catalyst for this increase in energy it is not operating directly on the soul but on the survival instinct.

This chart is a guideline for what can be expected from the application of a well-chosen miasmatic remedy

BEFORE THE REMEDY

AFTER THE REMEDY

Functional symptoms

Gone

Reduced in frequency – 70% or more

Reduced in intensity – 70% or more

Structural symptoms

Completely gone (rare)

Partially gone

Reduction of pain – 70% or more

No further advancement of symptoms

Negative emotions

Gone

Reduced – 70% or more

Only triggered by far greater stress than previously

Patient takes control more quickly

Positive emotions

Will remain the same – they are not to be “fixed” and are not part of the problem

Personality Belongs to the patient for life. Will only be changed (if at all) to the positive where the patient has been negative.

Positive traits will always remain and cannot be changed.

We regard the removal of symptoms as a “quelling” of symptoms or bringing the patient back into balance. A remedy that is Homeopathic to the patient and their

symptoms, gives them the extra energy required to quell those symptoms.

Increased energy = health

Energy down = signs and symptoms

Humans are homeostatic beings and designed to react to stress. Pathology is the result of continued stress either imposed externally or from within.

There are no guarantees in life that this will not occur again in the future. It is up to the practitioner to explain to the patient that it is possible that these symptoms or

other symptoms may occur again in time despite the best treatment given previously.

MAINTAINING HEALTH

Use miasmatic Homoeopathic remedies as required

Eat natural, whole foods

Exercise regularly in fresh air

Keep company with people you love and like

Choose an activity that you find joyful – indulge in it regularly

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