Selecting Similimum Becomes Very Simple If You Look For Peculiar ‘Concomitant Symptoms’

CONCOMITANT symptoms are very important in deciding a similimum, since they will be always very peculiar to the PATIENT. Never ignore concomitants if they are peculiar. In most cases, concomitants will lead us to a right remedy or group of probable remedies. During case taking, we should be very careful for not to miss these valuable indicators of SIMILIMUM.

CONCOMITANTS mean potentially independant symptoms that appear as ADDITIONAL symptoms, along with or accompanying with a BASIC symptom. ALTERNATING SYMPTOMS as well as EXTENSIONS also may be considered as concomitants, as they also are ADDITIONAL symptoms appearing DURING, ALONG WITH or RELATED WITH the main BASIC symptoms. Concomitants are most helpful indicators for individualizing the patient by identifying the exact molecular errors working behind a particular symptom group, and for identifying the exact molecular imprints required to remove those molecular errors.

Concomitants are always explained by the patients as well as in repertories using terms such as ‘accompanied with’ ‘along with’, ‘during’, ‘alternating’, ‘extending to’, or ‘concomitant with’ itself.

For example, VOMITING during HEADACHE- here vomiting is a concomitant of headache. If it is HEADACHE during VOMITING, headache is the concomitant of vomiting. NAUSEA during headache, YAWNING during headache, BACKACHE along with piles, DIARRHOEA with COLIC, ABDOMINAL pain extending to back, ASTHMA with URTICARIA, ASTHMA alternating with URTICARIA, CORYZA during EATING, CHEST PAIN extending to FINGERS, HEADACHE with SLEEPINESS- we can cite thousands of examples for CONCOMITANTS from our repertories. Study them with special care, to be a successful prescriber.

MODALITIES are different from CONCOMITANTS. Modalities are not additional symptoms like concomitants. They are only factors such as CONDITIONS or TIME that ameliorate or aggravate certain symptoms. In some cases, CONCOMITANT symptoms may also MODIFY the basic symptoms by aggravating or ameliorating it. Such MODIFYING CONCOMITANTS are far more helpful in selecting a similimum even more than pure concomitants or modalities.

Some homeopaths claim that they can prescribe “without all these things”, on the basis of “behavior, temperament & personality” only. Can anybody decide the “behavior, temperament & personality” of a patient without observing and studying his SUBJECTIVE and OBJECTIVE symptoms? ‘Concomitants’ need not be always ‘physical’ or particular’. It may be ‘behavioral’, ‘temperamental’ or abnormalities in ‘personality’. If patient shows some ‘change of mood such as violent outbursts, weeping or anger during headache’, the mood changes are CONCOMITANTS of headache. If a patient ‘desires to sit in solitude’ during headache, ‘desire solitude’ is a CONCOMITANT of headache. If it is ‘weeping’ during ‘dysmenorrhoea’, ‘weeping’ is a CONCOMITANT of ‘dysmenorrhoea’. There is no scope for any confusion in this regard.

Any ABNORMAL objective and subjective symptom, that reflects any ABNORMAL molecular processes happening in the body that have to be corrected by using a medicinal agent, are to be considered by the homeopath in deciding an appropriate remedy for that patient. If anything ABNORMAL is there in his ‘behavior, temperament or personality’, it will of course provide a strong indication to an appropriate remedy. But remember, it should be an ABNORMAL one, or DEVIATION from normal, to be of worth consideration. NORMAL ‘behavior, temperament or personality’ indicates NORMAL physiological processes, where as we are looking for what is going ABNORMAL in him.

When I use the terms SUBJECTIVE and OBJECTIVE symptoms, that no way disregards ‘behavior, temperament or personality’. Every general, particular, mental, or physical symptom, including those of ‘behavior, temperament or personality’ come under the purview of ‘subjective and objective’ symptoms.

Some people accuse BOENNINGHAUSSEN has ignored mentals, generals as well as ‘behavior, temperament or personality’ aspects while defining TOTALITY in terms of ‘causations, locations, sensations, modalities and concomitants’. This accusation arises from incorrect understanding of boenninghaussen’s approach. CAUSATION may be physical or mental. LOCATION includes generals and particulars. SENSATIONS comprises of all SUBJECTIVE symptoms, including general or particular sensations as well as mentals. MODALITIES also include mental and general aspects of aggravations and ameliorations. CONCOMITANTS may be general, mental, physical, or particular. Boenninghaussen’s method no way disregards or ignores ‘behavior, temperament or personality’, but explains and classifies them with a different approach, more systematic, specific and scientific.

I have felt that boenninghaussen ignored or did not give due consideration to the PRESENTATION or APPEARANCE aspects of symptoms, such as general and particular physical appearance, type of discharges, type of eruptions, lesions, skin changes, hair, gestures, gaits, facial expressions etc etc. That is why I include a new category PRESENTATIONS along with CAUSATION, SENSATION, LOCATION, MODALITIES and CONCOMITANTS schema of boenninghaussen. I also want to stress the importance of ALTERNATING SYMPTOMS and EXTENSIONS under the category of CONCOMITANTS. By this way, I think I have updated boenninghaussen’s schema into more perfection.

Author: Chandran Nambiar K C

I started practicing homeopathy in 1970, when I was 20 years old and studying for final year of BSc (Zoology) course. My interest in homeopathy happened very accidentally, through a constant relationship with a local practitioner who happened to be father of my classmate. I was a regular visitor in his clinic, where from I started reading BOERICKE MATERIA MEDICA and other homeopathic books, which helped me to cure myself my troublesome asthma that have been haunting me since my childhood days. I became a voracious reader of homeopathy. I was also deeply involved in studying marxism and dialectical materialism during my college days, which attracted me to political activities. MARXISM and HOMEOPATHY became two essential parts of my intellectual and practical life, which still continues so. Even though I joined DHMS course in a karnataka homeopathic college, I could not continue it due to my intense involvement in revolutionary political activities that resulted in jail life and a lot of criminal cases. Once that phase was over, I took a diploma in veterinary science and became a livestock inspector in animal husbandry department under govt of kerala. I have been continuing my study and practice of homeopathy all through these years. Since CCH act came into force only in 1976, and it contained provisions allowing existing practitioners to continue, my homeopathic practice went smoothly in parallel with my government job. In 1987, co-operating with some local homeopaths and social activists, I started Kannur District Homeopathic Hospital Sociey, which established a chain of hospitals and homeopathic clinics in different parts of Kannur district. After a few years I had to leave the society for some political reasons, and I established a 100 bedded well equipped homeopathic hospital in Taliparamba, employing a number of prominent homeopaths. That was ended up as a financial disaster for me due to many reasons, including my lack of skills as a money manager, and I was compelled to close down my dream project with in a short period. I lost huge money I invested, lost my reputation, and it pulled me into a debt trap. I learned a lot of valuabl lessons from this failure- about life, human psychology, relationships, and above all, about myself. I realized failure is the greatest teacher, if you are prepared learn from it. I learned how will power and determination to win will help us come back into life as a phoenix from our own ashes. I learned, one does not fail unless he stops fighting and accepts failure. My failure and the hardships that followed has moulded my personality in such a way that I can now withstand any disaster and fight back. I tell you, you will not know what life really is, unless you miserably fail at least once in your life. By this time, I left my government job also, and settled as a full time homeopathic practitioner. By this practice, I could repair my earlier financial losses, and establish well in life. It was during this period that I felt the need of developing a simple and user-friendly homeopathic software, that resulted in the evolution of SIMILIMUM, which was later upgraded into SIMILIMUM ULTRA. Similimum Ultra was well accepted by the profession, and it collected good revenues which continues even today. I stopped my practice a few years back , and concentrated in the study and research activities to evolve scientifically viable explanations to the so-called riddles of homeopathy. This unrelenting study resulted in MIT or Molecular Imprints Therapeutics, which provides a scientific and rational explanation for homeopathy. I started a homeopathic discussion group on facebook called HOMEOPATHY FOR TOTAL CURE, which has more than 35000 homeopaths as members. By this work on facebook, I could establish close relationship with many homeopaths around the world. It goes on. I could successfully convert facebook as my office and work place, from where I propagate my MIT ideas, co-ordinate my works for homeopathic community, and sell my Similimum Ultra Software. My years of hardwork in search of HOW HOMEOPATHY WORKS ultimately resulted in the publication of a book titled REDEFINING HOMEOPATHY (3000 pages, 3 volumes, hard bound, Rs 6000), in which I have compiled my articles regarding my scientific explanations of basic principles of homeopathy. These ideas are called MIT or MOLECULAR IMPRINTS THERAPEUTICS. MIT is now included in the syllabus of MD (HOM) course of prestigious DY PATIL DEEMED UNIVERSITY, PUNE, INDIA. Research department of SARADA KRISHNA HOMEOPATHIC COLLEGE, Kulashekharam, Tamilnadu, India, the only NAC accredited homeopathy college in India, has recently taken up certain reserch projects for proving the scientific explanations proposed by MIT. Based on MIT perspective of homeopathy, I had developed an MIT PROTOCOL for scientific homeopathy, and initiated a project for establishing a chain of MIT NETWORK CLINICS all over India, where MIT PROTOCOL will be practiced. More over, I have developed a whole range of 351 MIT FORMULATIONS, which are disease-specific combinations of post-avogadro diluted homeopathy drugs. NOW I AM IN 71st YEAR OF MY LIFE, AND STILL LOOKING FOR NEW HORRIZONS!

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