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Using Keynote Symptoms. 

As to the use of keynotes I would impress on you that it is well to gather together all the symptoms with their associations. It will not do to place much dependence on one little symptom, or even on two or three little symptoms. The symptoms of the whole case must be considered and then, if the keynotes and characteristics and everything else cause the remedy to be well rounded out and full, and to look like the whole patient, only then is it suitable.

An abstract from Dr. Kents' Warnings & Advises in Homoeopathic Prescribing by Dr. Satish Kumar Rana

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Comment by Dr. Satish Kumar Rana on April 7, 2011 at 1:04am
Thanks WFV,
This is what I really wanted to convey.
Comment by William Fredric Vennard on April 6, 2011 at 10:24pm

            Your question of the value of the three legged stool seems very legitimate, especially when dealing with a mixed case whose vital force has been perversely deranged by allopathy, use of combination remedies, in which many bizarre, uncoordinated symptoms have appeared. 

            The point that I was trying to stress, is first, why did the patient come to you, and from his words only, what is begging to be cured?

             Prioritizing of the strength of these symptoms is of the utmost importance.  If the physician, out of all the details of a thorough case-taking is able to do this with at least, 3, 4, 5 symptoms (never just one as Kent warned), and most carefully look in the weaker symptoms to confirm no direct contra-indication to the remedy (especially thermal generals), you may then have in mind, begin to treat with that similar-case will most likely have to be cured in layers, but final simillimum may be found, unless major, intractable, organ damage has occurred.  WFV

Comment by Dr. Satish Kumar Rana on April 4, 2011 at 1:46am
Dear WFV,
Thanks for the reply.
Kent's advise is very clear. Keynotes often mislead and we miss the exact remedy. What is the value of three legged stool in front of a detailed case history? I think three legged stool can be used in acute cases and when you are in a hurry.
Comment by William Fredric Vennard on April 3, 2011 at 2:06pm
Hering's 3 legged stool- if a combination of at least 3 ,preferably SRP symptoms comprising a patient's symptom group, not so much common, such as depression, insomnia, anxiety symptoms which in most cases appear in most maladies are found as Strong in patient as found in Materia Medicas, that rem. may turn out to be, if not similimum,lead to a judicious series of rems. leading to cure. Only a similar ,until it cures, then becomes simillimum. WFV
Comment by Dr. Satish Kumar Rana on April 1, 2011 at 3:58am

Yes! Dr. Sushil,

Our problem is how many are those who can understand!

Others just imitate and curse homoeopathy for their own folly. So, it is far better not be copier but to be brain-teaser. It requires labor while later certainly requires a good brain.

It is the individuality, some physicians start with the mentals first while the others take these in the last. But both reach the same goal.


Comment by DR. Sushil Bahl on April 1, 2011 at 3:40am
Some of us who understand Indian classical music, may understand the value of keynotes.When a musician start reciting the raga, any good listner can immediately identify the the raga, with its key notes.In Homeopathy also key notes can also help in similiar manner in the  the selection of similimum, though key notes in itself with out elaboration can be deceptive.
Comment by Dr. Satish Kumar Rana on April 1, 2011 at 2:18am
Comment by Dr Ravindra Saraswat on March 31, 2011 at 2:38pm
Keynotes are ways of remembering remedies, and of treating patients in emergencies. When you have several of them together, it can often point the way to a successful prescription.

However, it also tends to make practitioners only ever think of one remedy for a particular symptom, and so can ruin your chances of finding the correct remedy. Rote prescribing is generally only useful for first aid, not for anything else.

If you use keynotes, make sure you have some other confirming symptoms - some peculiars, general themes. I often find that if you have at least 3 strong keynotes, and some general emotional characteristics to back you up, then the prescription has a good chance of succeeding.

Remeber too, that a keynote is a symptom for which that remedy comes up very frequently. It also means that it is possible to suppress the symptom with the keynote remedy, because it is too suitable for just that one aspect. This is why you need several keynotes to cover more of the case.
Comment by Dr. Satish Kumar Rana on March 31, 2011 at 2:00am

Thanks Dr.

Yes! It sometimes happens and not always. For this reason only Dr. Kent warns not ONLY to depend on one. Otherwise also it is always advise that after selection of a remedy we must confirm all aspects available. If every aspect points towards the one selected then we may have to say "Well-selected remedy failed". It failed because it was not well selected.

Comment by Dr. Sarfaraz Ahmed on March 30, 2011 at 11:40pm
Absolutely correct. But the the beauty of the keynotes is that in an overwhelming majority of the cases, when you you study the remedy in materia Medica, the other symptoms also match. Most often than not it proves to be a short cut to finding the similimum. Of course this dos not in anyway lessens the importance of conidering the full set of symptoms. Please also note that in some cases one symptom is so overwhelmingingly effecting the patient that it becomes necessary to address it first and if you find the rubric of that symptom appearing in only one remedy then that becomes the similmum of the patient in that state.

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