Main homoeopathic conceptions
 Symptoms
 Sighns
 Compleat symptoms
 Peculiar, characteristic, strange
symptoms
 Key note symptoms
 Key note symptoms
 Individual symptoms
 Pathognomonic symptoms
 Totality of the symptoms
 Concomitant symptoms

Main homoeopathic conceptions
Symptoms — These are phenomena, that the patient
feels and conveys. That is - they are subjective.
Symptoms carry information both on the ethiology and
localization of disorders, and on the nature of changes in
the mental and physical condition. It is important to
know the factors that influence the disease (modality).
Expl: patient complaints with : dry cough, weakness,
thirstlessness, desire open air, feeling difficult breathing
in hot room.

Main homoeopathic conceptions
 Signs are objectively detected symptoms, by
observation, palpation, percussion, and other
examinations. Example: during examination it
was detected- small, red eruption on the face,
wheezing breathing- by auscultation,
enlargment of the neck lymphatic nodules-by
palpation- the picture of the disease called
measles.

Totality of symptoms: the symptoms of the patient should be similar to the symptoms of the medicine
(pathogenesis of the drug), which can cure him. The selection of such a drug is carried out by comparing a number
of symptoms of medicinal action with the symptoms of the diseased patient. Testing drugs on healthy peoples
causes changes in their state, as judged by the subject's verbal information, functional deviations (excretions,
changes in blood circulation, etc.). From toxicology, we derive information about objective violations and damage
to tissues and organs. All these data together form a picture of the action (pathogenesis) of the drug. We compare
it with the totality of symptoms observed in a patient.
It must first be emphasized that two totalities are compared. A simple juxtaposition of symptoms is not
homeopathy.
What is a totality of symptoms? The sum of symptoms is an indiscriminate combination of particulars. On the
contrary, the concept of “a set of symptoms” reflects the true homeopathic concept of the disease, which
predetermines the place and meaning of each individual symptom in this set. "The totality cannot be explained by
the coexistence of its constituent parts, but only by their mutual influence."
Expl:--The sum of symptoms: patient complaints with: oedema, face puffed, dropsy, dyspnea, anxios, fear of death.
---the totality of symptoms: oedema, dropsy, swelling of the eyelids as sack, anxiety, difficult breathing-
seemed that every breath will be the last. The condition is improving under the open air.

Pathognomonic symptoms: Symptoms that are
detected on the basis of the patient's
complaints, observation and research are a
motley mixture. In it, we must distinguish and
evaluate two groups of symptoms: the first
group leads to the definition of a clinical
diagnosis, to a disease (pathognomonic
symptoms).
Example:
Mother tells the doctor: “Our daughter has
a fever for 4 days. Initially, her eyes became
red, there was photophobia, a runny nose,
then a dry cough appeared. Today I noticed
behind her ears a red rash that spread
throughout the day to the face and
chest.These are Pathognomonic symptoms,
based on which you can diagnose measles.

Individual symptoms
These are a reflection of the individual response of
the patient in the fight against disease factors.
In the same example:
Since the time when my daughter fell ill, I note that
she became weepy. When I ask her what is bothering
her, she doesn’t complain about anything and weeps
again. Before that, she was a cheerful, lively child, and
now constantly lies in bed. Today she asked to remove
the heater, so that the room was cool. I think she
should not be allowed to cool during her illness. ”
Crying and lethargy of the child, the desire to be in
a cool room, can not be tied directly to measles. These
are individual reactions. These symptoms prompted
the homeopath to prescribe the right medicine:
Pulsatilla.

Pathognomonic symptoms:
the example:
The patient reported that she had a:
paroxysmal headache for 20 years.
 before the appearance of a headache,
flickering in the eyes begins, then the
 condition worsens, vomiting appears.
 at rest and in a dark room the condition
improves.
 at the height of the pain, it often
urinates a lot, the urine is very light.
After that, she feels better.
Based on these symptoms, migraine is
diagnosed.

In
 A careful study of the patient symptoms showed
that she had previously been angry, irritable,
but she re-educated herself and possessed
emotions. Her headache occurs in the
forehead, behind the nose and spreads deep,
causing nausea and sometimes vomiting. These
individual symptoms:
 anger and
 pain, radiating to the nose, allowed to choose a
homeopathic medicine, namely Agaricus, which
who healed a sick person from a migraine that
lasted 20 years.
Individual symptoms

Key note symptoms
Key note symptoms are bits of gold. These are
the most typical symptoms in the picture of the
action of drugs. As all valuable, they are scanty
and hidden. The one, who well remembers the
leading symptoms of the action of drugs, will be
able to identify in the patient's story, along with
many common typical symptoms. The key note
symptom of the disease corresponds to the
leading symptom of the medicine. This is the key
to the lock. He reveals a case of illness.
Key symptoms should be intense, clear and
complete

In general, one key symptom is not enough to choose a right
medicine, as one leading symptom is not enough to
characterize a particular drug. Using the figurative expression
about the key and the lock, one can say: a simple and coarse
key fits many simple locks, the key for the safe opens one
single safe. The more carefully is selected and more complete
is the key symptom the more it corresponds to the verbal
characteristics of the medicine given by provers, the more
confident you can rely on it. Only an experienced specialist is
able to determine the quality of the “key” and find a suitable
lock.

Example. Concerned mother calls the doctor at midnight. “My child
suddenly fell ill. He woke with a cry, the temperature was raised. In
the afternoon he was still skating. But what worries me most is his
fear. I barely managed to calm him down. Before he was not fearful.
"
In a home study, no signs of illness were found. However, I was
alarmed by the child’s question: “Should I go to the hospital now,
will I die?”In this case history, the key note symptom of Aconitum
is clarified:
 the expousure to cold,
 a sudden infection with rising of fever that began at midnight,
 hot, dry skin,
 the fear of death.

Exampel:
28-year-old student (consultation of 29.9.1976): “I had a headache in the back
of my head, which occurs at the base of the neck and spreads to the back of
the head, and then to the whole head. In this case, there is a feeling that the
head is bursting, and therefore there is a desire to tighten it with a
handkerchief or to squeeze it. Recently, I was also worried about the stomach
and I began to tolerate sweets poorly ”(quoted by von Keller, Tubingen).
Here is the key note symptom of Argentum nitricum:
 a headache from the neck to the back of the head with a feeling of
 head bursting,
 which is improving by squeezing the head with the hands or a bandage.
A concomitant symptom is the need for sweet, which the patient does not

Characteristic symptom.
Strenge symptoms.
 Characteristic symptoms are those, which during proving appeared in main
provers and are very characteristic for that drug. Example: pain increases
from motion. This is a characteristic symptom for Bryonia alba.
 Strange calls that symptoms which are illogical, unexplainable. Edxample:
 the pain in anus increased after diarrhea, while after hard stool there is no
pain ( usually and logically is the opposide), or
 Throat pain increases after swollowing liquids or empthy swollowing while
from hard food there is no pain
 Thease are the symptoms of Ignatia.

Compleat symptoms
 The chair stands firmly only when at least it has three legs. ” A well-
evaluated symptom should also have at least three supports. However, even
better is a chair with four legs.
 A full symptom consists of four bases. It should contain data on the etiology
and localization, the nature of sensations and the conditions of their
changes (modalities).
 The patient tells and shows: “I have a stabbing pain in the right side of the
chest when breathing. It occurs after cold exposure. ” This is full symptom,
which clearly reflects the etiology, location, nature and conditions of
sensation, the patient described the characteristic pain in which Bryonia
was offered as a medicine.
 In the homeopathic history, we must constantly strive to identify the full
symptoms. We can achieve this goal by performing a carefull and particular
case taking.

Concomitant symptoms
 Individual concomitant symptoms are those phenomena that cannot be
explained from a pathoanatomical or pathophysiological point of view.
 Easily explained symptoms associated with major suffering for the choice
of drugs are not of great value, for example, headache during a flue .
However, the complain of a woman that her menstruation is
accompanied by diarrhea or toothache for no apparent reason, should
pay attention to the doctor.
 - More often, patients report that, along with the main complaints, they
develop pain or functional impairment in another area of the body. The
main complaint is accompanied by other disorders.

Example:
Patient K. M. for many years complains of recurrent pain to the left in
the area of the last ribs. He has a history of kidney stones twice (the
last time 3 years ago) and an increase in uric acid levels, so for a long
time he was treated with uricostatics. The homeopathic history is poor
and not informative about individual remedies. In this regard, we first
treated him organotropically, appointing Berberis (a good remeady for
kidney). but unfortunately without effect. Only at the fourth
consultation, he said, by the way, that simultaneously with the pain in
his left side, he had a short-lasting pain in his right ear. On this basis,
was appointed Natrium sulfuricum. The drug eliminated the pain in the
left side and ear. Uric acid levels also remained normal.

Thank you.
Shushan Shahbazyan.
GPh, MD allopathy, MD
Homoeopathy, PG-London