Author: Jan Scholten
1.12 Case taking
The application of these ideas and remedies needs careful case taking. The best way to prescribe the Lanthanides is on the essence of the case. To get the essence one has to go to the core of the case and that’s not always easy. It means that the doctor has to create order in the case. Disease is a disorder, thus it means that the patient cannot create the order. The case taking has to bring the order.
The essence is the highest order of a case and a remedy. The essence brings structure. It makes all the symptoms logical, as they are the consequence of the essence.
The essence can be found everywhere, but one has to go to the depth of the case. Sankaran has shown this clearly in his latest books where he searches for the deepest sensation. The essence can be found in the cause of the disease. The situation that triggered the complaints will have the essence in it. But the essence can also be found in seemingly trivial events where the patient gets out of balance. An emotional imbalance is triggered by the inner state of imbalance.
This means that the doctor has to delve deep into the case until he understands it, until it has become logical. This can be an easy thing in some cases, in others it can be impossible.
The words that fit with the essence are the ones that can be used as described in this book. Many times the words used by the patient will be superficial. In those cases they will lead one away from the right analysis. In this sense words are very tricky. That’s also true in writing this book. It wasn't always easy to find the best words. Sometimes the words were used by the patient, sometimes the words were found by deep analysis.
Some cases in this book have been difficult for me to solve. I think that can be very illustrative, so I’ve written some of these processes in the comments.
An important method in case taking is giving the patient back what he is saying. Sankaran has stressed this very much in his books "Insight into Plants" and "The Vital Sensation". I think it cannot be stressed enough. It's like following the thread. It will bring you to the essence, the core of the problem. It can be compared with fishing. The complaint is the fish biting, then you only have to turn the wheel till the fish is captured.
This method is very good to bring to light the connections in the patient. For instance, in the Lanthanides we have the topic of autonomy. By bringing up this topic repeatedly and in different forms, the patients will start telling you about what is connected with that autonomy. He can start telling about his mother, which will bring you to the muriaticum. He will start telling about how he's handling his autonomy, that he has to fight for it, for instance. This will bring you to Stage 8 or Stage 12.
Example case taking (P= patient, Q = question)
I've added this short version of a case taking to make the above clearer
Q: How are you doing?
P: My backaches are much better after the Samarium
muriaticum. The night after the remedy it felt as if
leprechauns were adjusting everything in my back. Good remedy!
Then they subsided mostly.
But they keep coming back now, not as severely as
before and not constant. Lately I repeated Samarium
muriaticum which gave an aggravation of the
backache for a day and then it subsided.
But it's not completely gone. There's another
Q: Do you have any problems?
P: I've been married for 40 years and it's problematic. Sulphur?
We haven't had sex for 30 years now. Fluor?
I didn't want it anymore because it was unsatisfying.
always hasty, without foreplay.
After my husband had his orgasm he turned his back
to me and fell asleep.
He was always working and had no time for me. Sulphur? Carbon series?
I thought that I was frigid but in some love affairs
I discovered I wasn't. When my husband found out
about the affairs he was very angry.
Q: What does it do to you?
P: `It feels as if he has no respect for me.
He doesn't hear me. Carbon series
It is as if it's always a battle and that's tough going. Anything. Stage 8, 12
Q: Do you know fighting in earlier times? What is the fight?
P: I always had fights with my father and he beat me Carbon? Carbon series?
a lot. Now I understand that he was worried about
me and my virginity.
Yet he could be very loving too.
Q: How did your fights go? Stage?
P: I always had a riposte. Confident, Stages > 9
I was matching my strength with my father's. Stages 10 to 13
Q: Can you give an example? Examples clarify
P: Once we were at the dining table, we had a quarrel
and my father threw a shoe at my face.
I just calmly moved my head and the shoe crushed
a glass cupboard. Confident, Stage 12
Q: When do you fight, what makes you angry? Stage 12 of what?
P: It's not that I want to be the first.
I just want to be heard.
Q: What do you mean heard?
P: I get angry when others don't see who I am. Carbon series!. Carbon!
Q: Can you explain more?
P: I cannot stand it when others make decisions for me. Lanthanides!
- The starting point is that she's fighting. This means that she's in a process, meaning somewhere in the 18 stages. All the Stages have fighting in their own way. For instance in Stage 2 fights too, but it's not really a fight because he gives in, gives up immediately. Stage 2 will thus seldom use the word fight. That word is mostly for Stage 8 and 12.
- To find the Stage, one has to find out how her fighting is. So the question arises "how did your fights go?".
- From the description it becomes clear that she's quite confident. This is confirmed by her determination, she's a woman who will not be walked over easily. A former homeopath had even prescribed Platina for her, seeing her as arrogant. Her confidence points to the Stages on the right of the periodic table, Stage 10 to 17.
- It's very important to confirm words by your own observations. They have to match. This is expressed very well in the Dutch word for observing "waarnemen", which means "take the truth". It will hardly be necessary to explain that the homeopath has to try to be the "unprejudiced observer".
- Examples make things even more obvious. The example of the father throwing a shoe to her face is very expressive. She doesn't give way. This is typical of Stage 12: fighting and holding their place. Stage 11 doesn't need a real fight yet and stage 13 will give way partly.
- To find the series and the salt can be found in why, when, where and with whom she's fighting.
- With whom? She's fighting now with her husband, in the past with her father. So we can get confused, is this Sulphur or Carbon?
- About what? It seems to be about sex at a first glance. We can think of Fluorine, or more general Carbon series.
- It is essential to know why people react the way they do. The motivation is at least on the thought level, but mostly coming from the life story level. So it's one of the deepest levels.
- Why? The first not being seen or heard, not being respected for who she was. That's Carbon series. The most obvious now is Carbon itself because we have the father theme and the respect theme. But Nitrogen, Oxygen and Fluorine have those too. But Nitrogen feels pushed by his father, Oxygen neglected and Fluorine rejected. In Carbon the father is just there. That's more the case here. This is confirmed by her calmly sitting on her chair, nothing has be proved or disproved. So, Carbon.
- "Not heard" is also an expression for Silver series. But they feel that their ideas are not heard. Here it's more an expression that she herself is not respected.
- The second situation that provokes her anger is when others decide for her. That means Lanthanides: the autonomy of the Lanthanides is disrupted in her case. This is confirmed by the fact that she's quite aristocratic and has an independent aura around her. Again confirmation by own observation.
- Besides all that she is a homeopath. Thus the Lanthanides are confirmed by her life story. The life story is one of the deepest parts in a case, as explained in the Chapter "Levels".
- Stage 12 of the Lanthanides is Dysprosium, so Dysprosium carbonicum.