Explanation of Aphorism 84
Primary instructions for history taking.
When the patient details his history, following are to be taken into account -
1. At the onset physician advises patient to speak slowly, so as to enable him to write down the important points what he says.
2. Physician maintains silence and allows patient and attendants to say regarding his suffering without interrupting him unless he changes his track.
3. Physician writes detail history of the patient which comprises of -
a) Feelings and expression of the patient in his own words.
b) Attendant tells what they had heard him complaining of, how he behaved and what they have noticed in him.
c) Physician sees, hears, and remarks by his other senses- what is there of an altered or peculiar about him.
► In footnote Dr. Hahnemann mentions the reason of not disturbing the patient when he narrates his suffering unless he changes his track as every interruption breaks his thought process and latter he is unable to express precisely in same manner again.
When patient wanders off his suffering then he is to be interrupted but what when he keeps narrating his suffering in flowery language - nothing strange, such type of cases are seen in daily practice; when it is better to take rubric "Loquacity" and study its sub-rubric, taking it into consideration as per demand of the case.
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