Blog - Shilpa Bhouraskar

Organ remedies

My experiments with approaches at Stage 1.

As a student while being drilled into Hahnemannian, Boenninghausen and Kentian homoeopathy in my homoeopathic medical school it was always hard to digest other approaches.

It wasn't until internship while assisting experienced homoeopaths that I could see the difference between theory and practical everyday homoeopathy.
I found it was a very common practice in many successful practices to use Mother tinctures or a tissue salt or a therapeutic remedy at Stage 1 and 2 on a daily basis in dilutions or low potencies in conjunction with a constitutional remedy at Stage 3 in infrequent doses.

I remember being utterly frustrated in my second and third year trying to memorize those innumerable specifics and therapeutics for every possible condition in surgery, gynecology, obstetrics and medicine. It wasn't until I started practicing that I could see how they were such a great help to make those quick acute and keynote prescriptions.

Later as I ventured into the depths of delusion, sensation and source method at Stage 4 homoeopathy for many more years and somehow Stage 1 homoeopathy seemed to take a backseat.

So it would be fair to say that Stage 1 has always been an untapped territory for me for a long long time.

(To understand more about Stages with their approaches and its significance in simplifying homoeopathy you may consider reading my complimentary ebook the Quest for Simillimum - an overview. You can find it on the left side of this blog as you scroll down)

Compton Burnett and Stage 1

A part of my reluctance to go into Stage 1 approaches was due to the lack of a really good system for them. Although there were plenty of cases found on the net and in books on these approaches, very few specifically explained the process and framework behind these prescriptions.

Unless I was very clear about what I was doing, I remained hesitant to use them.

And then one day I started researching and reading Compton Burnett cases. It was fascinating to see that the spectrum of conditions he resolved using his approach stretched way beyond my understanding of the scope of homoeopathy. But more amusing was the fact that every case had been give at least a dozen remedies in rapid succession through the whole process.

Unfortunately no prescription was accompanied with any specific reasoning. It was then I decided to trace the origin of each prescription diligently to original sources. It was during this process that something started falling in place.

Next I wanted to find a good book for Stage 1 materia medica. Finally I decided to read the very book Burnett cut his teeth on. I spend a few months going through the entire manual of Richard Hughes's Pharmacodynamics. It was then that the whole concept and framework behind Stage 1 homoeopathy really sunk in for me.

Gradually I was ready to go through my own journey of using this protocol in my clinical practice.
Many of these experiments in my practice have been used in cases especially where Stage 3 and 4 approaches did not provide me the results I was looking for.

So let me share a case that has been a huge learning curve for me into the world of Stage 1 homoeopathy.

I will put together resources to train you on the exact protocol in much more detail at another time in greater detail but the intension of this blog is all about stepping out of our comfort zone and providing the patients the outcome they are looking for.
I would love to know your experiences with Stage 1 homoeopathy as well.


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This was great Shilpa! Really interesting and just the right length. Thank you! Cilla

Lovely case, Shilpa. I look forward to the day when my clients want to follow me for 15 years! I was amused that I just mentioned Folliculinum in the last case, and then it was in your tutorial. I've never thought of Oophorinum, but will keep it in mind.

Thanks Michelle.
I just read your feedback in the Argentum forum. How do you use Folliculinum ?

Nice one Shilpa :-)

Good one. Thanks, Shilpa.

Iam seeing a lot more PCOS in my midwifery practice. I am getting good at supporting balance in the endocrine system with nutrition but this was the perfect missing piece. Thankyou so much.

I really enjoyed this. However, I have been practicing since 1983, mostly Hahnemannian, Kentian, and have not run across the phrases Stage 1, stage 2, etc. What are the stages and where can I find out more about them? I did an Internet search but did not find anything. Thanks.

Thanks everyone for your feedback.
Just to answer your question Shirley, I developed the stages concept around 5 years ago to classify the existing approaches in homoeopathy and also create a simplified template for understanding and selecting an approach to match the individual. It has been a great help for my own practice and hundreds of my students over the years.

You can find more information in my ebook - The Quest for Simillimum. You can download it for free from this blog page ( its on the left side if you scroll up)
Also I have explained it in this video

nice one dr.shilpa .

Very nice dealing with a chronic case. Really fascinating.

Great case ! Enlightening!

Hello shilpa,
Thank you for discussing this nice informative case - as usual with clarity and conviction.Ranbi Sidhu

Thanks Dr. Shilpa for sharing your experience. I had similar case of pcos, where I am using Lachesis 200, initial 6 month were periods were regular but since ladt 3 month she didn't get period, but she get hot flushes and profuse sweat as concomitant symptoms, can l use folliculinun in this case, if yes what will be protocol? Please give your valuable advice.

Dear Priti,

You will need to differentiate Folliculinum and Oophorinum here at Stage 1. I would encourage you to post your case details on QuestConnect a closed member's only forum where other practitioners in the network can share their insight with you to help with the case.

Thanks Dr Shilpa, how to become member of QuestcQuest connect, please guide me.

Thank you Shilpa ~ fascinating!
Kerry Anne :)