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How often it happens in our clinical practice that after giving
a medicine, we are not able to judge the direction in which the
case is moving. If the patient says he is improving, we become happy.
If the presenting complaints disappear, we become certain of our
cures. We all learn how to take a case and how to select a similimum,
but very few of us work on 'what to do after giving a medicine?'.
Dr. Vijayakar's 'Theory of Suppression' dwells on all these issues
and gives much more to think. The book begins with an understanding
that homeopathy medicines can suppress and a large number of homeopaths
suppress their cases with ill selected similimums or combination
medicines.
Dr. Vijayakar has used his extensive knowledge of embryology and
human physiology to understand the direction of growth, direction
of disease, direction of suppression, and the direction of cure.
In a very logical and analytical manner, the progression of disease
from ectoderm, to mesoderm, to endoderm has been elaborated. The
author has described seven layers of suppression depending upon
the embryonic origin of tissue. The work is filled with many lucid
examples which help one to understand the theory better. This understanding
of the disease progression lets you judge the direction of a case
after giving a remedy.
The Hering's Law of Cure has been reinterpreted
and elaborated in the light of this new understanding of disease
progression. The law that very few of us follow properly has been
given a new thrust and understanding. It makes you marvel the genius
of Hering who gave this law so long ago, without any knowledge of
embryology or physiology. Dr. Vijayakar's approach has made this
arbitrary law so strong that it can be followed with mathematical
precision.
The author then deals with the analysis of the case direction after
giving a remedy. With elaborate examples, the author lays down the
guidelines to judge the patients progress. The second prescription
becomes much more easy and meaningful if you grasp these guidelines.
Dr. Vijayakar's approach is to focus on the 'Man who has the Disease'
and not on the 'Disease in the Man'. For e.g.., If a patient comes
to you with urethral stricture, do not treat the stricture with
clematis or thiosinamin. The authors approach is to find out the
basic characters of the person (who has the stricture) and give
a medicine which is similar to the person not just to the disease
- what Dr. Vijayakar calls his Genetic Constitutional Similimum.
These concepts may not seem novel to most homeopaths but the way
Dr. Vijayakar has presented them is very novel and interesting.
Dr. Vijayakar's approach can help any homeopath to reduce the uncertainties
in his/her clinical practice. The approach is very scientific, logical,
and easy to understand. Dr. Vijayakar's work can prove to be one
of the most significant contributions in the field of homeopathy
in the recent times.
Having said that I must point to some gray areas that need to be
worked upon. The theory, while very useful, leaves little scope
for any therapeutic use of medicines. What do we do with the thousands
of homeopathy medicines, which do not have well defined physical
and psychological constitutions? What do we do with Scholten's work
and all those dream provings? Where do all these fit in? Also, what
type of mental symptoms will appear at which level of suppression
needs to be elaborated properly. Dr. Vijayakar's work needs a good
basic understanding of human physiology, anatomy and embryology,
a very keen sense of observation, and a good command over repertory
and materia medica.
The concepts might be easy to understand but their proper application
will need lot of hard work from the beginners. Still, I feel that
the rewards would justify the hard work.
This is a book to recommend to everyone. It forces you to sit up
and think about the way you have been curing(!) your cases all those
years. This books gives you food for thought and has a lot of individuality
to it!
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