Blog - Shilpa Bhouraskar

Making homoeopathy simpler - The secret to real clinical success

My Homoeopathic Journey

Since I started my homeopathic journey in 1998, I've been on a wild roller coaster ride,
and its taken me through projects that I literally couldn't have dreamed of undertaking when I started.

I have had thousands of patients in the last 16 years spreading over four different continents. 
But more importantly I have been sharing and providing tools and resources on Homoeopathy with over ten thousand students and practitioners in 74 different countries, through my online training Academy, Mentoring and HomeoQuest Software today.
Using these tools these practitioners are impacting the health and wellbeing of hundreds of their own patients around every corner of the world. So these ripples are impacting hundreds of thousands of people around the globe.
Along the way I've gotten to work with some of the leaders in the field of homoeopathy and natural medicine and some of the most amazing practitioners you could ever meet. And pretty much all my past mentors and teachers have either become friends or clients.

A Bumpy Ride

However this was never what I actually ever planned for. Looking back there was a stage just after graduation from medical school when I literally did not think I could continue beyond the first 6 months of my practice .

You see after five and a half years of full time classical homoeopathy and having learned from some of the best teachers and clinicians in my medical school in Mumbai, I still struggled to put into practice what I learned in theory.
It was hard to prescribe a 'simple' prescription of Calc carb with conviction because what was in the 'books' was never the way it was represented out there in the patients. And when I did manage to find that 'fair fat sweaty baby' with teething problems the Calc Carb did not always do the trick.

Add to that Kent wrote something completely different about the Calc Carb baby than what Hahnemann did. And so different practitioners came up with totally different remedies for the same baby!
It just didn't make sense to my “logical” brain.

I emerged out of my internship fascinated, overwhelmed and skeptical all at the same time. I admit I gave my teachers and mentors a hard time with many questions. Questions for which there could have been no answers. As much as I got the theory concepts I could not take what was being said just because someone said so.

The Quest For Simillimum -

As every student I was fascinated with all those wonderful seminar cases where a single remedy or a so called Simillimum unfolded the entire case and completed the cure process for the patient. I enjoyed learning and implementing this process in my patients and was thrilled to see it work in many cases. But unfortunately it did not always do the trick in every case. These were those frustrating cases where I was at times at my wit's end. I often wondered why was it so difficult to replicate this result in every case?

So I decided to assist the same practitioners in their everyday hospital clinics as an assistant doctor to learn more. And I realised that not every case received a Simillimum. Infact there was just a small percentage of cases that actually received a single remedy that completed the whole resolution.

But more importantly I realised that it was possible to provide good homeopathy without ever finding a so-called simillimum!! Infact a larger percentage of success in these clinics was all those zig zag cures that helped patients through a series of different remedies along the way. So the question was - what was this system all about? What to do when your favourite approach does not work? And why does no one ever talk about that! This soon became a quest for my homoeopathic journey...

When your Favourite Approach Does Not Work?

I think a majority of time during my early career was spent only on researching successful and failed cases. I scanned through journals, archive cases, observing and assisted many successful homeopaths in hospitals and clinics trying to make sense of every prescription and every approach.

I also assisted dozens of successful homeopaths but who used a variety of non - classical and seriously weird approaches just to know and understand where each one was coming from!

And I started experimenting a wide spectrum of these approaches in my own patients at different times when my favourite approaches did not work…

What also helped my journey was that during the first 7 years of my practice I had to shift my base many times in India. I worked in many smaller rural areas as well as bigger cities. Later I changed countries and continents before we finally decided to settle in Sydney Australia in 2004.

Looking back I realise that each time I started my new clinic from scratch, I also had to stretch my so called homoeopathic comfort zone to flexibly adapt it across different cultures, languages and people. This gave me a new perspective to these approaches that I would have certainly missed had I been practicing in just one place within my comfort zone.

Real Clinical Success in Homoeopathy

I think after a decade in practice I must say I started understanding the core of what real success in clinical homoeopathy was all about!!

Eg I started realising exactly why the Source and Sensation approach just did not work for the farmer who came with an infected gangrenous toe in my rural clinic n India. And why the Boenninghausen approach just did not click with the bipolar artist who was looking for deeper connection with the world in Sydney Australia.

I started uncovering the secret behind the successful approaches of the top homeopaths in the world throughout history filtered through my multicultural practice.
I soon realised that there is nothing right or wrong about any approach. It was all about knowing what to use when and how.
I started finding a tried-and-tested process for maximising the chance of helping patients across a whole spectrum of homoeopathic approaches. And more importantly I started to find the system on what to do when your favourite approach does not really work. This is what I called the Stages Template.

Your Stages Template

Now to start with this is not another new approach in Homoeopathy. In fact it is a simplified template that classifies all the existing approaches across the spectrum of homoeopathy into four distinct stages so you can make choose the best approach for your patients.

I wrote about this for the first time in 2008 through my ebook “When your Favourite approach does not work.

This book has been downloaded thousands of times by practitioners to find that clarity and confidence in homoeopathy.You can download this ebook from the left side of this page.

But today I want to share a clinical example that will help you implement the stages template in your practice. If you are a beginner or a student this will help you launch a successful start to your homeopathic case management if you are an advanced practitioner it will take your homoeopathy to another level.

So no matter what stage you are in your practice, I guarantee you can take something of value from the video to enrich your practice from the very next day.

Please share with me your experiences and insights on using different strategies in your practice. What has been your most
successful strategy in practice?

Discussion:

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That was a great video, but it leaves more options for teaching. I'm not that great at detecting delusions, especially in other people's cases. Can you teach more on that? And of course, more on the sensation detecting.

In my short experience as a starting Homeopath I have noticed not to give a patient too much theory, often we talk "over their head".
Its best to listen, let them talk and describe the problem and try to help. Once they have seen a result, they come back. It is a rare client indeed that is open for a sensation approach in his first session (maybe another homeopath, ha ha). When a person comes to see us first they are often in distress and it is best to address and resolve that, rather than going into uncomfortable emotional territory. However, what I often do is, in order to perhaps differentiate between 2 choices, ask them some further questions later on. Patients also feel then that we really make an effort to help them. Rgds Pia.

hI PIA,
I agree to a great extent with you.Its better first to win the confidence by showing results instead of boasting cz many a times well selected remedies ditch the practitioner some times.So not speaking and more listening gives a practitioner a WIN-WIN situation.
Rgds
Vivek

Thank you Shilpa, I found that interesting and helpful. In my experience, it seems to be easier to prescribe a remedy that will at least do something when it is an acute disease. If it is chronic I find that without taking the dominant miasm of the case into consideration the remedy is less likely to do anything.

Thanks Sylvia and that is a very important point you have raised, the miasm is an inherent part of every case analysis of any chronic case. The remedy needs to cover that depth too.
However in my experience the miasmatic approach needs to change according to the stage and the strategy used.
I will try and put a video on that soon.

Shilpa

That was fantastic! Thank you very much for sharing!

That is too powerful i need to visit you for about six months or a year for more.

Thanks so much for your insights Shilpa - you are a wonderful teacher and I agree with Frederick! Carol

Thank you for sharing this treasure. This is most valuable, as I am a student in homeopathy. Many things I need to review over and over again before it becomes clear and the videos you prepared ave preciously useful. Homeopathy involves a lot of reading, it is a passion!
From my heart to yours,
Jocelyne

Good evening dear Shilpa. I like very much your proposition for the homeopathic treatment. You show us that is difficult to find the similimum but it is possible. You propose a good methodology.

Hello Shilpa,
At the outset, I wish to congratulate you on your initiative to do what you are doing for Homoeopathy and to spread your experiences with others - both more and less experienced than you. It is commendable.

For long homoeopaths all over were wanting to have some ready reckoner, but we're not satisfied with what they could lay their hands on. Experience was what they would turn to.

I, myself found the use very simple and satisfying though, I will hasten to say thatI all along have been following a little different concept that has given me tremendous results more so in cases not completely healed with only Homoeopathic medicines.

My system that I am trying to standardise involves use of Homoeopathic medicines, bio-chemical, flower, herbal, Chakra and meridian medicines. The concept looks complicated but when used has given extremely good results. After all what the ancient sage 'CHARAK' said: that which heals the patient is the best medicine and he who heals is the best physician. You have also said in your writings similar. I am therefore going to incorporate your concept in selection / suggestion of Homoeopathic medicines.

I will keep in constant touch with you to interact and exchange more experiences that give better results to our patients.

Hello Shilpa,
At the outset, I wish to congratulate you on your initiative to do what you are doing for Homoeopathy and to spread your experiences with others - both more and less experienced than you. It is commendable.

For long homoeopaths all over were wanting to have some ready reckoner, but we're not satisfied with what they could lay their hands on. Experience was what they would turn to.

I, myself found the use very simple and satisfying though, I will hasten to say thatI all along have been following a little different concept that has given me tremendous results more so in cases not completely healed with only Homoeopathic medicines.

My system that I am trying to standardise involves use of Homoeopathic medicines, bio-chemical, flower, herbal, Chakra and meridian medicines. The concept looks complicated but when used has given extremely good results. After all what the ancient sage 'CHARAK' said: that which heals the patient is the best medicine and he who heals is the best physician. You have also said in your writings similar. I am therefore going to incorporate your concept in selection / suggestion of Homoeopathic medicines.

I will keep in constant touch with you to interact and exchange more experiences that give better results to our patients.

Dr.Shipa I usually come across patients in stage 3 and 4. But after seeing you video, I came to know about the utility of Dr.Richard Hughes manual at stage 1 and allen's key notes at stage 2. Thank you.

Dr.Shipa I usually come across patients in stage 3 and 4. But after seeing you video, I came to know about the utility of Dr.Richard Hughes manual at stage 1 and allen's key notes at stage 2. Thank you.

This video was awesome!! At my stage of learning, it helped to make the process make sence. :-)
I will recommend it to my classmates.
Thank you so much for the clarity.
I look foward to more!!
Baby HOmeopathy-Jane Baron

I see cases with mental disturbance where I rely on my observation and the comments of their family. In order to differentiate between remedies I find it important to ask about the cause. This is a question I put to the family because the patient is often unable to explain. If the family can not help here I go with their delusions - hears voices, thinks they are superhuman,persecuted, etc. This is stage 3. Sometimes I will use a physical symptom to confirm. A Belladonna teenager who was running away because of messsges in his head had askin symptom. If I get a case at stage 2 where the patient says they "have a bad feeling" andI am unable to elicit the nature of that feelig, then I will ask for their dreams. Everyone pays a lot of attention to their dreams (even selecting lottery numbers!!) so I am able to get a more complete case at stage 3. Sankarans method is very helpful here.

Thank you for another informative video. I wonder if there is a danger of suppression if we were to prescribe based on Stage 1 or Stage 2 symptoms? For instance, someone has migraines whose modalities conform to Sanguinaria but her constitutional remedy (from Stage 3 intake) is Arsenicum. If I were to prescribe Sanguinaria instead of Arsenicum, will the migraines disappear only for something more serious to show up later?

Thanks Fatima,

The approaches at Stage 1 or 2 are best indicated for patients who express at that stage. So it is like a one sided disease where you would have no idea what the constitutional remedy at Stage 3 is. And giving a Stage 1 remedy may help a deeper state evolve.
However if a patient is expressing at Stage 3 and you were to give a local remedy, then what I have observed is that remedy does not work at all or works partially before it stops working while the deeper baseline disease condition continues to progress.

I have been reading homeopathy for the last 20 years. Long ago I started to think that I have nothing new to read in homeopathy. But your book "When my favourite approach does not work"and particularly your this video have shown me that I was wrong!Thank you so much for this excellent and new information to deal with cases.

Thanks Ranbir. I am glad it gave you a new insight..
Best Wishes
Shilpa

I loved to hear your explanation. Very Clear.

What I am afraid is if I give a wrong remedy and I supress the patient. When I went to India last year, the teacher talked about that subject and also I heard it from another famous homeopath who talks about the suppression of the case if we give the wrong remedy or repeat it too soon.

I would like to hear your opinion about that.

Thanks.

i truly agree with your approach . and iam new to sensation method. but i found that it is an easier approach for individualization.regarding this case , i understood here what a patient needs at which stage of the disease. thank you and hope i can get more and more info.

In working with small animals, stage 4 is difficult to determine but I can see how it would help with humans if there is still a question as to the appropriate remedy after reaching stage 3.

I also would love to know more about giving the wrong remedy or repeating the right one too soon or not soon enough. I have a feline patient whose constitutional remedy appears to be Ars and Ars has done WONDROUS things for him in the past. Yet even after increasing the potency from 30c to 200c, he seems to have hit a plateau and it no longer seems to be working. A week later I made the decision to
change to what I researched might be a complementary remedy for a chronic condition after using Ars. So I tried Phos 30x. Homeoquest shows it has the highest number of points. Yet Ars has more of the important rubrics and one less point. I guess I'll just need to wait and see how it goes.

Hello Shilpa, I thank you very much for sharing and for what you are doing for Homeopathy. I had exactely the same feeling as you , in my first years of working with Homeopathy , and sometimes when I hear some famous Homeopath I still feel sometimes to know anything about Homeopathy, also I have many patients that are quiete content. I Think that every patient has his peculiare way to present and live his disease and we have to follow him, just as you say. thank you very much

hello
thank you for homeopathic impotent point
so nice of you

Hi Shilpa,
Thankyou for sharing your template idea, I will read your book on the similimum to better experience your idea. My main area of practice is in pain and musculo-skeletal issues (I am a acupuncturist) and I am studying how to relate the homeopathic remedies to body areas as much as to the pathologies they represent. Quite often I use complimentary combinations as per Kent's schedule "Relationship Of Remedies" (in the rear of his repertory) as I find this gives them greater scope and power. For instance, Rhus Tox and Calc Carb 6/30, one in the morning, one at night; if red/swollen/inflamed/throbbing with the calc carb type, they may get a Belladonna/Calc Carb.
Regards,
Luis Miguel Trapaga

Yes, the remedy relationships behind Kent's rep are such a useful asset, so thanks for sharing your experiences on this Luis.

Hello mam,
I liked the way u explained.thanks a lot would like to know what other books to refer or authors in case of stage 1& 2 like I come to know Dr bigler for opthalmalogy
Thanks

I would highly recommend Dr Compton Burnett's books for Stage 1.

First and foremost I wish to congratulate you for your openness in sharing with all what you learned over the years. The greatest problem with homeopaths is that most of us remain tight lipped or talk about only our successes without giving details of methodology adopted in finding the simillimum. I am yet to come across a homeopath who has referred his/her case to a senior homeopath. If homeopathy has to succeed as a therapy for the masses then the first lesson that should be learned and accepted by all of us is to have broad mind, respect for patient's welbeing , openness for sharing with fellow practitioners, etc.

Since it all involves thorough case taking and thoughtful analysis -- why we do'nt work in a group. Imagine 3/4 homeopaths taking one case together, discussing their understanding of the stages, grading of symptoms, miasm, etc. and working out a simillimum based on common logical and unanimous selection. I mean to say, few brains working together have higher probability of finding the simillimum -- provided we all accept the concept of openness.Regards
Prakash G.

dear Shilpa,

thank you very much for this video.
it helped me a lot to understand how the different approaches can support each other, and how one level can give a hint about the other. wonderful. and useful!

My pleasure Csanyi!