Blog - Shilpa Bhouraskar

Are you chasing the Perfect Simillimum? or taking Action?

Struggling with the Perfect Simillimum

Today I want to talk about getting into motion and momentum in your patient's healing journey.
This is something I know a lot of practitioners struggle with and I certainly have struggled with it at times.

This is on my mind a lot in the last few weeks because I am writing some brand new chapters in the latest edition of my ebook based on my most recent experiences of using the Stages Template in the last 4 years.

Many of you would know that the stages template is about choosing the best approach for your patient to start their healing journey and then taking your patient through the stages to complete the process. The key here is to gradually take them as and when they are ready using the best of existing homeopathic approaches.

A lot of practitioners are overwhelmed due to the increasing number of approaches in homeopathy today.
And to date this book has been read by more than a thousand homoeopaths. It has been a privilege and honour to receive hundreds of emails and feedback on how much this template has helped them find clarity and a focus within their patient's homeopathic journey.

In my earlier editions I have shared cases where ONE remedy resolves the entire disease state for the patients. The patient consistently improved on that single remedy in progressively increasing potencies until the condition was resolved in the one to two year followup period.

And yes it is all very cool and I am sure you have seen lots of such cases in presentations and seminars where one single remedy has completed the cure.

But to be frank, even though I enjoy a highly successful practice, these one remedy cures have formed a very small part of my success.

The real key to success in homeopathic practice

I have worked with some of the most successful homoeopaths during my medical training who enjoyed a success rate of more than 75% in their practices.
But even in these practices I had recognised that one remedy cures have been a small part of a patient's overall successful journey.

So real success in practice is something more. And the important part here is that you are limiting yourself as a practitioner if you simply chase the Simillimum.

The critical key to long term success in homoeopathy is mastering the art of prescribing "more than one remedies" that will eventually complete the cure.

I have personally mentored and supervised over 400 + cases over the last few years.
And I found over 90% of practitioners constantly battle over the concept of prescribing that one perfect remedy - the Simillimum.

I remember one of my early student in my Mentoring program had already got a good practice. She had excellent rapport with her patients and made really good prescriptions. But her biggest block was when she could not find a good perfect remedy in her first consult.
So she spent hours on analysis trying to find that right remedy. It was overwhelming for her to make a decision whenever more than one remedy seemed indicated.

So instead of making desperate prescritions with the hope they something would work, I helped her use the Stages Template break her patient's journey in stages. So she could select remedies in the appropriate sequence through the different followups to complete the journey for her patients.
It was then all about learning to use the Stages Template as a GPS and make sure progress was happening at every followup.

She quickly realised she got the same outcome that a simillimum could have given her but the difference was she was making the right remedy changes as and when needed. So in a way the outcome for the patient finally was the same.

She could boost her success rate with less time and effort having got a new tool to expand her repertoire.

I was chatting with her the other day and it was interesting to hear her say that she was really intimidated about making her prescriptions when she graduated.
Because most of the seminars and workshops showcased one remedy dramatic cures.

But finally she got over it. Then she said something interesting. "I eventually realised its not about that one perfect remedy in that first BIG consult."

Although she still personally cherished the cases where she found that simillimum, some of her most successful patients were those where she used remedies as tools - as organ remedies, as acutes, as inter currents,core remedies or source remedies to match different stages of her patient's journey. This eventually resolved the disease state completely.

And she said not one patient mentioned they did not receive the simillimum!!

That's the kind of things that stops many practitioners or holds them back.

When she could let go of that "Perfection mode" her practice flowed.

Momentum in your practice

So it's not about trying to get it all perfect and right in that first consultation. It's not about being obsessed with the best traditional or modern approach. It is not just about the best known or unknown remedy.

It's about getting moving. It's taking those small simple steps and using the best of homeopathic potential to solve the presenting need of the patient and taking them closer through each stage.

Action begets Action, Action creates motion, Motion creates momentum. It's the cumulative effect of small steps that create massive action.

Having said that it's important to assess the direction of cure. You cannot just prescribe any remedy to start with. You certainly need to get training on how to prescribe remedies that actually dissolve the presenting layer and then know the steps to complete the cure process. I am a big fan of learning the protocols of what actually works clinically within highly successful homeopathic practices.

Even today I continue to learn from my own mentors and connect them with my own students through my online academy and Mentoring.

But at the end of the day there are a lot of practitioners who worry too much about the little things. It doesn't matter if you make one wrong choice of remedy or potency. You can always change it. I mean there is nothing that is wrong or right about this.

We sometime go into the perfectionism or idealistic mode as practitioners. We spend hours and hours during and after the first consult. I find myself in that mode at times. And you start thinking there is some ideal remedy there in the world and you think you have to find that perfect solution for your patient now.

However that can lead to analysis paralysis and procrastination. And prevent you from getting your gifts out there to help your patients, from reaching out to potential clients and helping more and more take on their healing journey.
So perfectionism can be a device that can prevent you from stepping up into a bigger life out there. Your future dream business and successful practice.

So I invite you to think about that and get into motion.
It's not about the Simillimum. It's about getting moving.

Yes you want to make the right decisions about the big things i.e. how do you step up and create a great experience, a great change or transformation in their lives through your homeopathic protocol.
Their healing journey as a whole and look at the long term case management.

So if you are obsessed then be obsessed about creating that great experience for your patients.

My surprise gift

Here is a copy of the latest edition - my ebook.

  • "When your favourite approach does not work".

When Your Favourite Approach Does Not Work

In this book I walk you through the exact blue print of Stages Template to gather momentum in your practice and boost your success rate.

It's still free and I invite you to go on and register by clicking on the book image. And don't forget to hit the like button.

And please leave a comment below this blog. I am really interested to know - Are you a perfectionist ? And how do you move into action?


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Dr Hahneman has mentioned about zig zag cure in his aphorisms in treting cases which are mixed miasmatic.
He says in such complicated cases we should first select a remedy on presenting totality and then observe each follow ups tacking into consideration the totality as it is presented by the system i.e patient. It really helps us.

Yes Sarang. Hahnemann's zig zag cure is a great way to look at such cases. Unfortunately there is not much literature on the exact process of how to do that.

I recently finished reading (for the second time) Repertory and Case Management by David Little. It is volume 2 of his 6 volume Homeopathic Compendium. Volume 2 is a 700 page masterpiece that discusses zig zag prescribing and so much more in great detail. One thing that stands out is the use of the medicinal solution developed by Hahnemann during his Paris years. It is the key to dealing with chronic miasms that Kent and the earlier homeopaths considered incurable. It makes the use of the dry dose obsolete.

Another thing that can improve remedy selection is Autonomic Reflex Testing. It involves observation of the pupil reflex, changes in the heart beat or other signs when a remedy is brought close to the patient. A paper detailing ART and also Hahnemann's Advanced Methods (the medicinal solution) is available at

Sure, I know 'analysis paralysis' and the stifling effects of prescription perfectionism! Most acutely when I first graduated, but it still 'gets me' at times! Looking forward to reading "When your favourite approach does not work" - Great title Shilpa :-)

Thanks Lee:)

Thanks Shilpa, sometimes the obvious is staring us in the face. The term simillium is about similiar. So there is no "1" remedy that is right there are similiar remedies that are best. It took me years to catch onto this and it helped my anxiety about doing the best I could for my clients no end.

Hi Shilpa

You have definitely hit the nail on the head with your term "analysis paralysis" and the procrastination that accompanies it. I have fallen into that trap many a time. Thank you for your new e-book and the encouragement that it gives all of us practitioners to get moving - every time.

Hi Shilpa thankyou for your generosity in making your ebook freely available. I too after 6 years of practise still suffer from 'analysis paralysis ' and the erosion of confidence that can accompany it.My homeopathic education left me with the idea that I should always go to the core of what needed curing and while that is still what we should aspire for I can see that while in some cases, particularly Stage 1 and 2 the patient's and my expectations will coincide, there are those , as you describe in the book where one can see Stage 3, prescribe on that and hope that any pathology will resolve as a consequence. sometimes this happens as Sankaran has described in some of his cases, where a rx he has prescribed does not apparently cover the pathology but does resolve it. Then we are left with those cases that do not follow that pattern and they are a real challenge. I am currently struggling with a case where I have been prescribing on Stage 3 hoping that the severe PMT sx will resolve. Tantalisingly they have in first cycle after use of a rx and then subsequent repetition or higher potencies have done nothing. This has happened with 2 indicated rx.

Dear Shilpa, what you say is absolutely true.Those wonderful single remedy cure cases are of two type, those belonging to patients with very good level of health and the other category is those cases where one is able to reach a level of sensation or source words.
This happens in hardly 10-15% cases and that too if the homeopath is well trained and a genius.
Otherwise majority of cases belong to more than one remedy.
So many approaches have really confused the newcomers as well as the senior practitioners.
I appreciate your approach as well as your efforts.
With regards and good wishes,
Waqar Taji