Blog - Shilpa Bhouraskar

12 Lessons for Success in Case Management Using the Stages Template

The Story of my Third book on Stages

You see the Stages Concept is the heart of my Integrative Homoeopathic Practice. It is the life of my students and mentees practices. And now through this latest book the concept is going to become that much more practical.

It has been a challenging, amazing, painful, laborious process to develop the Stages Template and successfully apply it in my clinic over the last 16+ years.

And in my ebook series - When you favourite approach does not work, I have decided to help you use this template to simplify your practice as it evolves and enriches with time.

The first two books came pretty much back to back because I was simply explaining the Stages Template and the theory behind the concept. But interestingly this third book took a much longer time to release. Because there was no theory here, it is all about the practical and clinical application of the Stages Template. So right from the first chapter this book starts with pure clinical cases at every stage. I had to actually scan through hundreds of my clinical cases and video lectures and present key case studies that actually represent the entire spectrum of homoeopathy.

So much of my every day case experiences are tied up in this book. I have shared single cases before but for the first time I have brought them together to represent the whole Stages spectrum. And in doing this there emerged a recipe book that covers key strategies at each stage. A template that can help you create highly successful integrative homeopathic practice. And it took all those years for me to put it together as clearly as I could so I could publish that understanding as a complete book.

What does it include?

The book has 10 chapters in it. Each chapter is my experience about a case that has been unlocked using a key approach from each stage. Every case has been solved using unique permutation and combinations of one or many tools along the Stages Spectrum. For me it is an honest representation of how to create success in real life homeopathy.

Interestingly before I published it in early 2015,I did not share it with any other homeopathic colleagues throughout the creation process. Infact my editor was the first person who actually saw the complete draft for the first time. She has a background in psychology but no idea of what homoeopathy is. However what amused me that while editing the book she was fascinated enough to start studying homeopathy herself!

But more important for me was what my homeopathic network thought about that book....

And all I can say is that since its release, my third ebook has sold more copies than any other book that I ever published before. It continues to inspire practitioners to explore the entire potential of homoeopathy as never before. So thank you once again for all your support feedback and constant encouragement that you provide.

And in this blog I want to share with you my 12 lessons that I have learnt over the years through the development of the Stages Template that helped boost my success in homoeopathy.

The Lessons I learned Using the Stages Template

1) Stages of Disease Evolution:

The patient’s disease evolves through stages. The Stages Template identifies four key stages. It starts from the disturbed vitality at Stage 4 to local patho-physiology at Stage 1.

2) Stages of Homoeopathic Case Taking :

Most of our patients come to us when their disease reaches Stage 1. So a conventional homoeopathic case taking generally starts from Stage 1 and proceeds to Stage 4.

3) An Ideal Case taking versus Real life Case taking:

Although ideally the casetaking could be considered complete when we get the information at all four stages, however in real clinic this is not always possible. How much information you can get is determined by a lot of factors, most significant being at what stage your patient “is” at.

4) Myth of a Complete Case :

The information you can get during your first consult is the information you choose to work on. So in a way no case can be considered incomplete. This is the core essence of the Stages Concept.

5) Evolution of Tools and Resources in Homoeopathy :

The Stages Template classifies the most popular resources and tools within the entire homeopathic spectrum into each stage. So you can choose the most suitable tools to suit your patient's needs. The Stages provide a model for any Integrative Homeopathic practice. And no matter at what stage your patient is at, at you can start the treatment process from there.

6) Evolution of Remedy Understanding :

Similar to the natural disease evolution, the remedy ( artificial disease) understanding can also be classified into four stages. Ideally a remedy understanding should be complete at all four stages. But unfortunately our Materia Medica is extremely limited in that regard. In real life very few remedies have the information to match at all four stages, most significant being due to incomplete provings.

7) The Simillimum Concept Simplified -

Every time you prescribe a single remedy that matches at least three Stages you create real transformation and sustained cure. This remedy is then considered a Simillimum. This is what some of the most the successful homoeopaths in homoeopathy show us.

Kent speaks about matching the same remedy at Stage 3(Mind and Physical generals) Stage 2 ( Physical Particulars) and Stage 1( Pathological and Clinical Symptoms. Boenninghausen writes about a remedy that matches Concomitants and Grand Generalisation at Stage 3 and the Complete Symptom at Stage 1 and 2. etc.

8) One Remedy Myth :

But in real clinic you cannot find that one single remedy every time. So the question is what to do when your favourite approach does not work? This is where majority of our challenges in homoeopathy are! The answer to this lies in understanding the Stages Concept. You can use more than one remedy at the same time or in series through time to match these three or four stages. This creates a similar outcome as to what one single remedy that covers all these stages would do.

9) Partial Simillimums Rock Homoeopathy:

So the good news is that clinical success in homoeopathy does not need a Single Simillimum. If you look at the clinical success of even some of the most successful homoeopaths, then you will find that majority of their success comes from Partial Simillimums.

The remedy/ies that best match the information your patient provides at each stage become the most indicated homeopathic remedy/ies. Then you simply need to make those remedy changes during the followup and cover at least three stages to ensure that your patients get that complete resolution they deserve.

10) Indication for Organ remedies:

When you just match a remedy with information at Stage 3 and 4, there is a huge possibility that it does not cover the local organ patholody. This is where you might stumble upon a block at Stage 1. This is for me the first indication of a sarcode as an organ remedy.

11) Indications for Nosode as Intercurrents :

When you just match a remedy at Stage 1 and 2, you stumble upon a miasmatic block. This is for me the first indication of a nosode as an intercurrent.

12)The Lifetime Simillimum Myth :

It is extremely rare for any remedy, even the Simillimum to last a lifetime. The more common experience is when patients who have been successfully treated in the past through a Simillimum come back after a few years, a new chapter opens up. And a new journey through the stages commenses….

These are the key lessons that I have learned in my short journey. Obviously it is by no means a complete understanding. It is always work in progress. But they form the foundation of my success.

And I can proudly say that no other book brings the practical application of the stages template in practice than my third book. So if you would like a copy, I will send you the details soon. You can be rest assured that you can easily start using the template to simplify your practice from day one once you have read it.

But what I am looking from you today is your view on the 12 lessons that I have shared on the Stages Concept above. What makes the most sense to you? What have you actually seen in your practice? What do you disagree with?


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Is this book in hard form or only online?

At this moment it is only online Cilla. However if there is a demand for printed version I will definitely consider it!

Shilpa, Its very interesting approach. The best thing is that it is based on what works. I have seen and heard too many practitioners having a very mechanical approach and not ready to bring into practice from experience a more practical approach. Congratulations!!!! I will come back to you after going through the above approach in detail. Thanks for adding so much of your experience to the homoeopathic fraternity.

Thanks Balbir for your thoughtful comments. I guess we all start with mechanical approaches of what has been taught to us. Our patients then become our real teachers. Look forward to your inputs.

Dr Shilpa ,Congratulations for ur new book based on a professional experience with indept knowledge of d subject,accept my best wishes !

Thank you Achleshwar.

Congratulations on release of your third e-book. I am eagerly awaiting to read the detail of your stages approach.

Congratulations shilpa ,nice job done every body willbe benefited by sharing experiences &problems coming while treating patients .gd luck .

Dear Shilpa, Congratulations for the third e-book, stages concept.Your clinical experiences are more important that are devided in to the stages which you have learned during youy successful practice.I am sure this book will be a great help for us. once again hearty congratulations and eagerly waiting for it.
with warmest regards.

Thanks Asefa.

Congratulations Shilpa!! I am a newbie in homeopathy and l am glad that l found you to hold my hand while l walk this mysterious homeopathy road. I look forward to read yr new book n broaden my knowledge in homeopathy.

Dr.Shilp,I surely would prefer a hard copy,as I do like some space for my own writeing.thank you.

congratulations on your most recent book. I find your information to be helpful and offers a different level of review when working with my patients. Thanks you.

Kindly see the following link of Dr. Chandran. It seems logical that rather than complicating the case with Hi-Fi theories, sticking to the basics as per your teachings (and of course Dr, Boger's methods) gives confidence and sure success. It is better to find simpler ways to finding the simillimum rather than arriving at the same remedy in a circuitous way.

Thanks for sharing your experiences and thoughs.

As it is not so clear to me the use of a organ remedy and the nododes, I found interesting your view and your use in practice.

Thank you!


Congrats; I am sure you have pour heart and soul into this book. I will also try to approach cases from your point of view. Will wait for the printed version, as i am more in books than so called on line "things".Best of luck.

Shilpa, your approach makes a lot of sense, particularly in the way you use the Stages Template to prescribe sarcodes, nosodes, intercurrents and partial similimums. I look forward to learning more from your new book. As long as I can download it to my kindle, I don't mind that it is in electronic form.

iam following stages approach from the beginning of my practice. this approach clears off all the doubts, controversies and conflicts , especially for a beginner who is actually build upon some incomplete strategies during study time. but when coming to practice by themselves, all the conflicts comes into mind . but stages concept enables to choose a remedy on our best knowledge, it gives freedom from old fears.teaches the physician to evolve. looks like a concept but it is really a good technique to learn and practice homeopathy.