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A very good Questionnaire (Set of Questions)

Rishimba has designed a very good Questionnaire (Set of Questions) for case taking. He designed this long back. i have been using these questions whenever i think that full case taking is needed.

These questions are designed to get the following information from the patient
1. Mental State of the patient
2. Physical Ailments
3. The likely cause for above problems
4. The modalities like whether the patient feels well or worse in hot weather, cold weather etc., he is relieved by / worsenened by hot applications, cold applications etc.

i also thank Rishimba for designing such wonderful tool for case taking. i can also understand the hard work that he has done for desiging these questions.

Patients can use this questionnaire for submitting their cases. The effectiveness of remedy selection is directly proportional to the details provided by the patient while replying these questions.

Patient ID: Sex: Age:

Please answer the following questions in a descriptive manner after careful analysis and recollection of previous experiences and happenings.

1. Describe your main suffering?



2. What other physical sufferings do you have in your body?



3. What mental sufferings / feelings do you have associated with your physical sufferings?


4. What exactly do you feel when you are at your worst?


5. When did it all start? Can you connect it to any past event or disease?



6. Which time of the day you are worst?

7. What are the things which aggravate your suffering and which are those which ameliorate the same?



8. Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?



9. When do you feel better, during hot weather or cold weather, humid or dry weather?


10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.

- How do you feel before or during a thunderstorm?

- Do you like being consoled during your tough times?
- Are you sensitive to external stimuli like smell, noise, light etc?

- Do you have any typical habit or gesture like nail biting, causeless
weeping, talking to one self etc?

- How do you feel about your friends, family, your children and especially your husband / wife?

11. What are your fears and do you dream of any situation repeatedly?


12. What do you crave for in food items and what are your aversions?


13. How is your thirst: Less, Normal or Excessive?

14. How if your hunger: Less, Normal or Excessive?

15. Is there any kind of food which your body canít stand?

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?

17. How is your bowel movement and stool type?

18. How well do you sleep? Do you have a particular posture of sleeping?


19. Do you think you are able to satisfy your sexual desires in general?

20. How do you think you are different from others, if at all?


21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?


22. What major diseases are running in your family?


23. Describe, how do you look like? Describe your overall appearance

24. (ONLY FOR FEMALES)

Please answer the following questions:
(Please give details of your past menstruation if you have attained menopause.)
- Are the periods early, regular or late in general? How long do they last?
- Do you suffer from any kind of physical or mental discomfort before, during or after the periods?
- Is the flow scanty, normal or excessive?
- Is the blood thick bright red or pale watery?
- Do you notice any clots in the flow?
[message edited by kadwa on Thu, 13 Oct 2011 06:15:23 BST]
 
  kadwa on 2009-07-16

This is an internet forum. Posts are not from medical professionals.
thanks kadwa... but not many physicians in this forum are of the same opinion as you and me !!

 
rishimba on 2009-07-16

i found Urtica Q for the treatment of increasing Urea.

and Plumbum Metallicum for controling Kidney disease

If you can guide me for this.

Regards,
Sameer

 
Sameerq on 2009-07-21

This definitely one of the good q'nnaires I have seen.

Rishi: Is it possible to reduce the number of questions without loosing the essence?

 
srisri on 2009-07-26

thanks srisri... i find it very convenient to converge to a remedy if i get all the answers.

the only shortcoming of this questionnaire is that it cannot pick up the mentals and personality of the patient properly. the constitution of a person is predominantly based on his personality, preferences in life, intellect, behaviour and the thought process.

in short, its the mentals that determine the constitution. psycological aspect of the constitution cannot be picked up by this questionnaire.

 
rishimba on 2009-07-26

This thread continues beneath the following ad.
thank you for your response

Patient ID:hana456
Sex:male
Age: 18

Please answer the following questions in a descriptive manner after careful analysis and recollection of previous experiences and happenings.

1. Describe your main suffering?
sneezing not contrld even aftertaking so many treatments.cold like symptomsi.e.running nose red watery eyes.itching in upper part of mouth ,persist all day long.relieved after taking allopathic tablet(montair lc)which i take daily after sneezing starts.

2. What other physical sufferings do you have in your body?
rashes on face,i feel as if my teeth are also shaking,


3. What mental sufferings / feelings do you have associated with your physical sufferings?

may be the stress

4. What exactly do you feel when you are at your worst?

weakness,headache,urge to sleep

5. When did it all start? Can you connect it to any past event or disease?

four years back during winter i felt uneasiness in breathing,tightness in chest.no known disease in past.


6. Which time of the day you are worst?
morning and evening

7. What are the things which aggravate your suffering and which are those which ameliorate the same?

cold,dust.


8. Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?

no


9. When do you feel better, during hot weather or cold weather, humid or dry weather?

i stopped feeling better since icaught this disease
i dont know when will i get rid of this suffering.

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.

moody,arrogant,easily offended quiet,arguing,labourius,

- How do you feel before or during a thunderstorm?

before good ,after sneezing.

- Do you like being consoled during your tough times?
yes.
- Are you sensitive to external stimuli like smell, noise, light etc?
yes

- Do you have any typical habit or gesture like nail biting, causeless
weeping, talking to one self etc?
no

- How do you feel about your friends, family, your children and especially your husband / wife?

good about friends,love my family,my brother, iam close to my mother,my father some time irritates me.

11. What are your fears and do you dream of any situation repeatedly? i fear lonliness,dark,strange places,.idream about missing my exams.


12. What do you crave for in food items and what are your aversions? sweets,fast food (once in a week) i do not like too oily food,


13. How is your thirst: Less, Normal or Excessive?

normal

14. How if your hunger: Less, Normal or Excessive?
normal

15. Is there any kind of food which your body canít stand?
brinjal ,ridge gourd,bittergourd,peas,raw tomatoes.garlic


16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?
more:head,trunck

17. How is your bowel movement and stool type?
tight (once in aday)

18. How well do you sleep? Do you have a particular posture of sleeping?

deep sleep.straight on my back facing the bed.

19. Do you think you are able to satisfy your sexual desires in general?

20. How do you think you are different from others, if at all?
my smile as my friends tell me makes me different.


21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?

allopathy first 2 1/2
year ,homeopathy later

22. What major diseases are running in your family?
bp,allergy to dust ,coweb

23. Describe, how do you look like? Describe your overall appearance

my height is 5'9 inches.wheatish complexon,medium built,broad at hips,alittle bit of curly ,black hair

 
hana456 on 2009-08-25

Dear hana456

Your case has been copied at the following thread
http://www.abchomeopathy.com/forum2.php/193754/
and the treatment plan is also suggested there.
Please post your feedback at the above thread. Please don't post it here.

 
kadwa on 2009-08-25

But you Homeopaths go in such a detail that makes patiens irritate.Some times not answerable questions.Cant you suggest remedy for a perticular ailment??

 
mrbaig on 2009-08-25

main problem is knee joint pains,stiffness


2. What other physical sufferings do you have in your body?
prostate gland enlargement


3. What mental sufferings / feelings do you have associated with your physical sufferings?

frustratoin
4. What exactly do you feel when you are at your worst?
may not get cured

5. When did it all start? Can you connect it to any past event or disease?

6yrs back,no connection

6. Which time of the day you are worst?
morning till 9am
7. What are the things which aggravate your suffering and which are those which ameliorate the same?

getting up & walking aggravates,relief after some walking

8. Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?
no


9. When do you feel better, during hot weather or cold weather, humid or dry weather?
hot weather

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.
moody easily offended
- How do you feel before or during a thunderstorm?
no change
- Do you like being consoled during your tough times? no
- Are you sensitive to external stimuli like smell, noise, light etc?
loud noise irritates

- Do you have any typical habit or gesture like nail biting, causeless
weeping, talking to one self etc?
no
- How do you feel about your friends, family, your children and especially your husband / wife?
cordial
11. What are your fears and do you dream of any situation repeatedly?
nil

12. What do you crave for in food items and what are your aversions?
nothing special

13. How is your thirst: Less, Normal or Excessive?
normal
14. How if your hunger: Less, Normal or Excessive?

15. Is there any kind of food which your body canít stand?
no
16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?
normal,trunk
17. How is your bowel movement and stool type?
irregular
18. How well do you sleep? Do you have a particular posture of sleeping?
good nothing specific

19. Do you think you are able to satisfy your sexual desires in general?
n.a
20. How do you think you are different from others, if at all?
no such feeling

21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?
ayurvedic,names not known

22. What major diseases are running in your family?
mother died of cancer

23. Describe, how do you look like? Describe your overall appearance
5.10 white,medium build
kindly advice

 
Divinegrace on 2009-08-31

This thread continues beneath the following ad.
please take RHUS TOX 30C every 4 hours for some 2 to 3 days till you feel there is a relief in stiffness and pain in the knee joint.

if it doesnt bring any relief even in 3 days of taking the remedy, you should stop.

you should taper down the frequency of the dose to twice a day when you observe some relief in pain.

take the remedy in empty stomach and clean mouth. dont take any food one hour before or after the doses.

one dose is 3 drops in some 10 ml of water or 4 pillules under the tongue.

 
rishimba on 2009-08-31

1. Describe your main suffering?

Ans: I am facing cold & flu from 6 years which is my real cause of disease. Slowly and

stedly it was changed in allergy and now i feel pain and swelling in my throat and also pain

in my chest left and right side.

2. What other physical sufferings do you have in your body?

Ans: I have use many allopathy anti allergy medicines which have make many problems in my

stomach and its become so week when i use any anti allergy medicine now so I feel stress in

my muscles my stomach do not work properly.

3. What mental sufferings / feelings do you have associated with your physical sufferings?

Ans: I feel disappoint by my disease I think that i will never defeat it.

4. What exactly do you feel when you are at your worst?

Ans: may not get cured and I think that i will be die now.

5. When did it all start? Can you connect it to any past event or disease?

Ans: Firsly I drunk cold milk daily 6 year before so i think my asthma or allergys main

reason is that. Secondly when lay down in the fan air so i feel pain and something wrong in

my throat/chest.

6. Which time of the day you are worst?

Ans: In the morning and sometime in the night after meal. In the morning the I disturbed by

throat falling flue.

7. What are the things which aggravate your suffering and which are those which ameliorate

the same?

Ans: Cold Drink, Fan air (when I sleep under fan) some smells, perfums, cold milk, etc,

I feel better when I eat fish, gigls have clean my throat and i feel better, R. 43 Dr.

Rockewge 2 or three drops three times a day,

8. Do your think your sufferings have relation to any external stimuli (like, change of

place) or any internal biological changes in the body, like, menses (in females)?

Ans: Ya I think my suffering is connected with my stomach because I have see worms in my

potty and its also connected with my flue becuase I feel bone swelling in my mouth pellate,

I feel itching in there and i also feel droping flue in my thoat like water.

9. When do you feel better, during hot weather or cold weather, humid or dry weather?


Ans: My disease symptoms increase in winter and i feel better in summer season.

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable

Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.

- How do you feel before or during a thunderstorm?
- Do you like being consoled during your tough times?
- Are you sensitive to external stimuli like smell, noise, light etc?
- Do you have any typical habit or gesture like nail biting, causeless
weeping, talking to one self etc?
- How do you feel about your friends, family, your children and especially your husband /

wife?

Ans: I am proved moody, mild by my self i can't see anyone in difficulty or problem.

(I) I feel my body cold and my hands becomes cold.

(II) No

(III) Yes I am so senstive I do not feel better in perfum smell or some other smells but

sometime some smells do not effect on my disease.

(IV) No

(V) cordial


11. What are your fears and do you dream of any situation repeatedly?

Ans: I scare about my suffering I feel that i will be never defeat my disease Because i

waste my money for defeating it.

12. What do you crave for in food items and what are your aversions?


Ans: I like fried fish, rice milk etc.


13. How is your thirst: Less, Normal or Excessive?


Ans: I don't feel thirst as normal persons.


14. How is your hunger: Less, Normal or Excessive?

Ans: I feel hunger everytime. When I eat something after half hour i feel hungry again.

when i don't eat that time so i feel acidity.

15. Is there any kind of food which your body canít stand?


Ans: Pure boiled milk.



16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?

Ans: My sweat is normal but in cold place or in difficult situation I feel my hands cold

with sweat.

17. How is your bowel movement and stool type?


Ans: Normal

18. How well do you sleep? Do you have a particular posture of sleeping?

Ans: I sleep 7 to 9 hour , no

19. Do you think you are able to satisfy your sexual desires in general?

Ans: Ya

20. What peculiar or strange sensation do you have in any part of your body at times? Do you

sometimes feel Ď as ifÖ..í in some part of the body?

Ans: I feel thin fiber in my mouth and falling thin flue in my thoat, after dinner sometime

I feel pain in my stoch because of non digesting the meal.

21. What medications have been taken earlier by you to treat the diseases and do you have

any particular symptom surfacing after the medication?

Ans: I have taken many Allopathy anti allergic medicine which have make my stomch digesting

system poor. After that I start to take Homeopathy Medicine R. 43 Dr. Rockewge I feel better

when I take 2 or three drops daily three times of a day but when i take a dose of ten drop

so i feel stress in my muscles and disturbance in my stomachs digesting system like

allopathy medicine. I daily gigls with small hot water with salt for throat pain.

22. What major diseases are running in your family?

Ans: No Disease in my family is running.


23. Describe, how do you look like? Describe your overall appearance.

Ans: I am 30 years old but I looks like 22 , I am pysically so week my height is 5.7' and my

wait is 59 kg.

I have write all syptoms of my disease please suggest me some medicine which can get rid of

my problem, I will be always thankful to you and remember you in my prayers.

 
amir123 on 2009-09-04

please take PHOSPHORUS 200C three doses on a single day. take the doses every 6 hours.

take the doses in empty stomach.

no food or water one hour before or after the doses.

one dose would be 4 drops of remedy in some 10 ml of water slowly sipped up in clean mouth.

 
rishimba on 2009-09-04

Is it reduce my throat and chest pain ?

 
amir123 on 2009-09-05

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Important
Information given in this forum is given by way of exchange of views only, and those views are not necessarily those of ABC Homeopathy. It is not to be treated as a medical diagnosis or prescription, and should not be used as a substitute for a consultation with a qualified homeopath or physician. It is possible that advice given here may be dangerous, and you should make your own checks that it is safe. If symptoms persist, seek professional medical attention. Bear in mind that even minor symptoms can be a sign of a more serious underlying condition, and a timely diagnosis by your doctor could save your life.