-WRITE HUBBARD.E,
I. The patient’s story.
II. Modalities as applied to each of the above symptoms in the following order.
a. Causes
b. Prodrome, onset, pace, sequence, duration.
c. Character, location, laterality, extension and radiation of
pain or sensations.
d. Concomitants and alternations
e. Aggravation or amelioration
1. time (hour, day, night, before or after midnight);
periodicity; seasons; moon phases
2. Temperature and weather : Chilly or warm blooded usually,
chilly or warm blooded in present illness; wet, dry,
cold, or hot weather : weather changes; storm or thunder
storm (before, during or after); hot sun, wind, fog,
snow, open air, warm room, changes from one to other,
stuffy or crowded places, drafts, warmth of bed, eat of
stove, uncovering.
3. Bathing (hot, cold or sea), local applications (hot, cold,
wet or dry)
4. Rest or motion (slow or rapid, ascending or descending,
turning in bed, exertion, walking, or first motion, after
moving a while, while moving, after moving), car and
seasickness
5. Position : Standing, sitting, (knees crossed, rising from
sitting), stooping (rising from stooping), lying (on
painful side, back, right or left side, abdomen, head
high or low, rising from lying), leaning head backward,
forward, side-wise, closing or opening eyes, any unusual
position such as knee chest.
6. External stimuli : Touch, hard or light, pressure,
rubbing, constriction (clothing, etc.), jar, riding,
stepping, light, noise, music, conversation, odors.
7. Eating : In general (before, during, after, hot or cold
food or drink), swallowing (solids, liquids, empty),
acids, fats, salt, salty food, starches, sugar and
sweets, green vegetables, milk, eggs, meat, fish,
oysters, onions, beer, liquor, wine, coffee, tea,
tobacco, drugs, etc.
8. Thirst, quantity, frequency, hot, cool or iced, sours,
bitters, etc.
9. Sleep : In general (before, during, on falling, asleep,
in first sleep, after, on waking)
10. Menses (before, during, after, or suppressed)
11. Sweat : Hot or cold, foot-sweat, partial or suppressed
12. Other discharges : Bleeding, coryza, diarrhoea, vomitus,
urine, emissions, leucorrhoea, etc.; suppression of same
13. Coition, continence, masturbation, etc.
14. Emotions : Anger,; grief, mortification, fear, shock,
consolation, apprehension of crowds, anticipation,
suppression of same
f. Strange, rare and peculiar symptoms
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III. The patient as a whole : Mental Generals (to be studied last for
convenience), Physical Generals
Physical Generals
a. The constitutional type of the patient (endocrinologico-homoeopathic correspondences, lack or excess of vital heat, lack
of reaction sensitiveness, etc.)
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b. Ailments from emotions (seen also mental generals);
suppressions (emotions; discharges such as menses, sweat,
leucorrhoea, catarrh, diarrhoea, etc.; eruptions; diseases
such as malaria, rheumatic fever, exanthems, syphilis,
gonorrhoea, etc.; of pathology such as haemorrhoids, fistulae,
ulcers, tonsils, tumors other surgical conditions, etc.; from
mechanical conditions such as overeating, injury, etc.
c. Menses, date of establishment, regularity (early or late),
duration, color, consistency, odor, amount, clots, membrane,
pain (modalities of), concomitants, aggravation or amelioration
before, during or after, both physically and mentally),
menopause (symptoms of)
d. Other discharges (see II. e. 12) cause, color, consistency,
odor, acrid or bland, symptoms from suppression of, symptoms
alternating with, hot or cold, partial discharges as of sweat,
laterality, better or worse from discharges (before, during or
after)
e. Sleep, better or worse from, position in, aggravation after,
difficulty in getting to sleep, waking frequently or early, at
what hour, somnambulism, talking in sleep, dreams (see
Mentals), restless during
f. Restlessness, prostration, weakness, trembling, chill, fever,
etc.
g. Aggravations and ameliorations applying to patient as a whole
as under II. e. 1 to 14
h. Objective symptoms such as redness of orifices, superfluous
hair, applying to patient as a whole
i. Pathology which applies to patient as a whole, such as tendency
to tumors, wens, cysts, polyps, warts, moles, individual and
family tendency to certain diseases or weakness of specific
organs or tissues (also related to a. above and to physical
examination), frequency or catching cold
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Mental Generals
a. Will : Loves, hates and emotions suicidal, loathing, of life;
lasciviousness, revulsion to sex, sexual perversions; fears;
greed, eating, money, emotionality, smoking, drinking, drugs;
dreams; homicidal tendencies, desire or aversion to company,
family, friends; jealousy, suspicion, obstinacy, contrariness,
depression, loquacity, weeping; laughing, impatience,
conscientiousness
b. Understanding : Delusions, delirium, hallucinations, mental
confusion, loss time sense
c. Intellect : Memory, concentration, mistakes in writing and
speaking
IV. Quick review of condition of every system and organ, beginning with
head and following order of Kent’s Repertory
V. Past history of patient in seven year periods
VI. Family history
VII. Physical examination and laboratory tests.
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