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From the initial years of my practice I began to search for a
method that would yield consistent and successful results in every
case. No one person can know everything, and my endeavor for better
and more consistent results is a continuing process. In the twenty-one
years of my practice this process has resulted in a shift from mechanically
repertorizing cases after selecting a few characteristic symptoms,
to using mental and general symptoms; from there to understanding
the central disturbance, perceiving the mental state and unearthing
the concept of disease as a delusion and later to a deeper understanding
of miasms and the kingdom classification, and finally developing
a system of prescribing where all these concepts fit into place,
to discovering the common sensation in each of the plant families
and more recently to an understanding of various levels of experience.
Studying the plant families has led me to a milestone in my understanding
of disease; and my earlier concept of disease as a delusion and
the subsequent emphasis on the mental state gave way to an understanding
of disease as a Vital Sensation that was common to the
mind and the body. This common disturbance seemed more representative
of the disturbance of the Vital Force, than the Delusion had been.
More recently this latter concept too has undergone some metamorphosis
with the discovery of something deeper to the Vital Sensation, viz.
energy.
With the emphasis on sensations it came to my notice that patients
often used hand gestures to describe sensations. And as I started
paying attention to these gestures I realized that these only sometimes
were indicative of sensation; at other times they could indicate
the delusion, and at still other times they were only patterns that
could not be reduced to either a nervous or emotional experience.
Like sensations, these patterns too could not be localized in either
the mind or the body; they were too general. Further, what the patient
was conveying through these was mostly movement, sometimes together
with form, shape, color and speed. These patterns seemed to me to
be representative of energy. And the domain of energy was once again
general and still deeper than sensation.
I realized then that the delusion had merely been one level along
a spectrum of various levels. I was able to identify seven levels
in all, and beginning from the most superficial to the deepest they
are as follows:
1.Name
2. Fact
3. Emotion
4. Delusion
5. Sensation
6. Energy or Universal level
7. The Seventh Level
The concept of these levels is universally applicable, as is true
with all of Homoeopathy. It indicates not only the level at which
the patient experiences symptoms, but also the various levels of
all human experience. Further human consciousness is in a state
of continuous growth, and the levels are indicative of the evolution
from the most superficial to the spiritual, which is the ultimate
aim of mankind. Explained very briefly below are the concepts of
Vital Sensation and The Levels, and an illustration of their application
in Homoeopathy.
The concept of the Levels:
Let us understand the concept of the levels through the following
example:
As children when we are taught to draw the first thing that we
learn to draw is a line; then some shapes like triangles, squares
and circles. Then we are taught to copy things we see around us:
objects, houses, trees, people etc. As we progress we are taught
to qualify the subject of our drawings: for example, a sad person
or a happy person, a flowing river etc. Next we are asked to create
drawings out of our imaginations: scenes from nature, a marketplace,
a picnic etc. Later some of us learn to abstract, and we are able
to express our moods and experiences through different shapes, form
and color. Our experiences may be mental or physical or spiritual,
and these can be conveyed through the medium of abstract art.
One can see that our initial drawings of lines and shapes cannot
convey anything; they have nothing more than a name attached to
them. For example: this is a line, this is a circle etc. The next
step where we are taught to copy has to do with fact; there are
things that exist around us and we replicate them. In the third
step we put in the adjectives or feelings or emotions. In the fourth
step we create situations out of our imagination; situations that
may or may not exist, or situations we may have or have not experienced.
This has to do with delusion. When we reach the stage where we can
abstract we are able to convey our delusions, sensations (mental
and physical) as well as describe some kind of energy in the form
of patterns and shapes. In this way, in learning art we have progressed
from what can be only named to something that has no name but only
an energy pattern.
Similarly with Homoeopathy. The most superficial level at which
Homoeopathy is practiced is pathological prescribing, or giving
a remedy based on the diagnosis of the disease condition. (Level
I: Name) At the next level of prescribing one takes into account
symptoms of the disease. (Level II: Fact) Then comes prescribing
on the emotional state of the patient. (Level III) Level IV or the
level of Delusions is where my prescriptions were aimed at for many
years. Then I discovered the level of Sensation (Level V) and finally
that of Energy (Level VI).
The levels also apply to the experience of any event or phenomenon
(For example: the sunrise or the Northern lights in the sky), or
an art form (For example: music, painting, literature), any kind
of human activity (For example: science, politics, medicine, sex,
relationships) or a belief like religion the experience of all these
can be at various levels. Let us look at the example of religion
more closely.
For different people religion may be experienced and practiced
to various depths. Or then a person may evolve over time in his
religious practice and beliefs from the level of name to that of
energy.
The most superficial experience of religion (at the level of name)
is limited to simply identifying oneself as a Hindu or Catholic
or Muslim etc.
At the factual level this experience is also superficial, being
confined to daily prayers, rituals, attending mass or reading the
holy book.
Taken one level deeper religion can be an emotional experience
with feelings of joy, calm, security and dependence.
It could be the delusional need in a person who feels he is lost
in the wilderness; religion could make him feel “found”.
Some persons may perceive sensations such as binding, or togetherness
etc.
At the deepest level or in the abstract form it can be experienced
as nothing but spiritual energy.
The Levels and Homoeopathy:
As with any phenomena the experience of the disease can also be
at various levels. A patient with a very extensive cancer may have
accepted his fate so that he experiences no emotions such as anxiety
or fear or grief, but only symptoms related to his problem. For
him the experience of his disease is no more than a fact; he has
cancer, it is his fate and he has to accept it as a fact. On the
other hand a young woman with rheumatoid arthritis may experience
a great deal of anxiety about her future. If you observe her or
go through her case this anxiety will be the most prominent feature.
One could say even that her disease is anxiety of the future rather
than the arthritis, because she experiences the arthritis as anxiety.
The pains will be experienced as anxiety, the limitation of movement
will be experienced as anxiety. The level at which she experiences
her disease is Level III (Emotions). Another young woman with a
patch of eczema may have the fear that she will be shunned by society
as a result of her problem. For her symptoms like itching and scaling,
even though present, will not be as bothersome as this imaginary
fear of being shunned. For her the eczema is experienced as a delusion,
the level of experience being level IV. A man with bronchial asthma
may experience the sensation of being bound tightly, and this sensation
will also emerge on the mental plane. Here what is prominent is
a sensation that is common to the mind and the body. The asthma
is experienced by him as a sensation of being bound tightly, and
in other areas of his life he experiences the same sensation. His
experience of his disease is at level V, the level of sensation.
In a child with recurrent colds and coughs one may observe the child
only running about the place continuously, moving about constantly
and rapidly. This child may not even experience the cold and cough
rather only the energy that compels him to keep running. His level
of experience is that of energy, or level VI.
Having understood that each patient’s experience of the
disease will be at any one of these levels the question that comes
to one’s mind is, “Of what use is this concept in practice?”
What will be most obvious to those who used the Delusion theory,
and realized that it yielded better results than prescription based
on mere collections of symptoms, is that the levels of sensation
and energy are deeper and closer to the Vital Force. Prescriptions
based on sensations, and those that take into account the energy
pattern experienced by the patient can yield far better results
than did those based on Delusions. So how does one get to these
deeper levels, how does one recognize sensation and energy, what
sense do we make of these when attempting to understand the patient,
and finally how does one use these to find the remedy?
Before we go to the process of getting to the deeper levels let
us understand them some more. Firstly each of the levels is based
on the one deeper to it. The seventh or the deepest level can be
compared to an empty canvas on which some pattern or picture can
take form. It forms the backdrop on which the Universe was created,
on which the energy of the Universe is manifest. It is obvious just
at the moment of conception, where something, a life or energy form,
occurs from nothing, where creation has happened out of nothingness.
It is therefore the basis for energy. The level of energy in turn
forms the basis for sensation, but itself lacks the sensation. Energy
is represented by the way it moves. And for any individual the domain
of experience of this energy is beyond mind and body; it is the
domain of vitality or the Vital Force itself. And this experience
is in the form of speed, movement, patterns, color etc. When this
experience materializes from the domain of the material/spiritual
Vital Force to that of the nerves which are distributed everywhere
in the body, then it is perceived as a sensation. The nervous system
connects the mind and the body and at this level the sensations
experienced are general. Let us take as an example the experience
of listening to music. Music itself is pure energy. When a musical
chord is struck some vibrations or patterns are created, and these
are not only picked up by the nerves in the ear and experienced
as pleasant sounds, but can also be transmitted everywhere else
in the body and experienced as pleasant sensations. (Here, let us
differentiate between general and local sensations. The sensations
we are talking about at level V are general. While these are experienced
on the somatic plane they are felt in more than one locality. Further,
they are also experienced on the mental plane. These are different
from purely local sensations, which have no correspondences on the
general and physical planes.) Similarly, sensation is the basis
for delusion. If there is a sensation of heaviness all over it could
give rise to the mental image or false perception of being under
a heavy load. In turn, delusion becomes the basis for emotions,
emotions for fact and fact for name. In this way each level is based
on the next. In taking a case and understanding the patient, having
gone past one level one can expect to find the next one emerging,
till the deepest level is reached.
It is important and interesting to note that in each case, the
deepest level the patient takes us to spontaneously, is the level
at which he experiences all phenomena. This is his level of consciousness.
In any case therefore, all relevant experiences, viz. the chief
complaint, exciting cause, stress situations, dreams, interests
and hobbies etc will be experienced by the patient at one and the
same level. This is significant as far as the process of case taking
is concerned, as well as in selecting the potency. Also from deep
to superficial the extent of pathology increases, so that at the
energy level there is the least pathology, whereas at the level
of name one usually sees gross pathology.
The levels and potency selection:
Potency Physical symptoms experienced
• Level 1 (Gross pathology) 6C, 12C Diagnosis , Pathology
• Level 2 30C Local symptoms (Location, sensations,
modalities)
• Level 3 200C Concomitants, General effects of
Level 2
• Level 4 1M *N E I symptoms, cravings, sleep,
general modalities
• Level 5 10M General sensations, affections.
• Level 6 (Least pathology) 50M General movements and patterns
*NEI = Neuro-endocrine-immune axis.
Sensation is non-human specific:
Energy is universal and immaterial. All things, living and non-living,
possess energy. Energy can be manifest in the form of different
patterns, all part of a common, universal pool, yet each one with
it’s own peculiar shape, direction, speed, form etc. Energy
patterns are common to kingdoms, so that certain plants, animals
and minerals can have the same energy patterns specific to them,
yet all belonging to the common pool. The energy of any substance
is that which is common to that substance and to the entire universe.
At the energy level therefore it is difficult to differentiate the
kingdoms. A specific energy pattern could manifest itself in a member
of any of the three kingdoms. Sensation is more specific for kingdoms.
Each kingdom has its unique basic sensation. With the mineral kingdom
the basic sensation is structure, and in the consciousness of each
mineral substance this basic sensation of structure is expressed
in a way quite unique to that substance. With the animal kingdom
the basic sensation is survival, and again in the consciousness
of each animal this is experienced differently and in a way unique
to itself. With the plant kingdom the basic sensation is sensitivity,
and each plant family has it’s own peculiar kind of sensitivity.
In case of diseased human beings the Vital Force is deranged so
that man’s consciousness is altered. This altered consciousness
is similar to a specific mineral/animal/plant consciousness from
the Universe. Homoeopathic remedies are prepared from plant/animal/mineral
sources among others, and when these substances are potentized to
a degree far beyond the material there remains in them nothing but
the spirit or energy of the substance. These remedies, when administered
in accordance with the Law of Similars, are capable of bringing
back the altered state of man’s consciousness to a level where
he is able to achieve the ‘higher purposes of his existence’;
in this way health is restored.
In a diseased individual the altered state of consciousness is
similar to the consciousness of a specific plant/animal/mineral
substance (remedy source) from the universe. The diseased individual
and the remedy source have in common the energy pattern and basic
sensation. These, the energy pattern and basic sensation, are therefore
non-human specific. This means that they are shared by human beings
and some other substance(s) in the Universe. On the other hand,
emotions and delusions could be human specific; they may be experienced
only by human beings and may not be present in the consciousness
of any other substance in the Universe.
Case Taking in a New Light:
The aim of case taking now is to reach to what is non-human specific
in each patient. The patient will obviously begin with the name
of his main physical complaint. From here one has to cut through
the various levels and reach to the levels of sensation and energy.
While traversing the various levels one picks up (i) peculiar symptoms
(sensations, modalities, concomitants, mental symptoms, delusions,
dreams, cravings, aversions etc.) and (ii)sensations/words/expressions
that have the potential to lead to the next level. At each level
there are various sub-levels and to get from one level to the next
one has to ask an appropriate question(s). Briefly the map of case
taking is as follows:
Level 1
Question: So what exactly is happening?
Level 2: Fact
• What it is
• Fact qualified
• Peculiar
Question : How do you feel ? How does this affect you?
Level 3 Feeling
• What it is? (Common feelings, anger, fear, sadness.)
• Feeling qualified. (Feelings further described.)
• Feeling peculiar.(Peculiarity in the feeling.)
Question: How does it feel like? What comes to your mind? One situation
that had a big effect on you ? How did that feel like?
Level 4 Delusion
• The situation
• How it is experienced?
• Dream
Question: What sensation do you experience in that situation ?
What are you showing by that gesture of your hand?
Level 5: Sensation
• Kingdom. (Sensitivity / structure / victim-aggressor.)
• Subkingdom / family.( Precise nature of the issue.)
• Source. (Precise degree, depth and quality.)
Level 6: Energy
Observation of energy patterns.
Quite obviously patients do not always give the case one level
after the other. They may use other routes or they may get blocked
or stuck at a particular level, and in such a case one would have
to use a ‘by-pass.’ When a patient is unable to go beyond
a particular level his level of experience is usually the previous
level; this also determines the potency he needs. For example: if
he cannot express feelings then he is stuck at the previous level
of fact, and to get beyond the level of fact one would ask: what
are the feelings he does not feel, what are the feelings he felt
in the past etc.
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