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Aphorism 90

Explanation of Aphorism 90
Noting peculiarities in patient. 

Having written all the particulars, physician himself observes peculiarities in the patient and ascertains how much was it peculiar to patient in his healthy state. 

In footnote Dr. Hahnemann mentions that physician has to observe in the patient that which is most evident and peculiar in him-

 How the patient behaved during the visit - whether he was morose, quarrelsome, hasty, lachrymose, anxious, despairing or sad, or hopeful, calm etc.

Whether he was in a drowsy state or in any way dull of comprehension; whether he spoke hoarsely, or in a low tone, or incoherently, or how otherwise did he talk? 

What was the color of his face and eyes and of his skin generally? 

What degree of liveliness and power was there in his expression and eyes? . 

What was the state of his tongue, his breathing, the smell from his mouth, and his hearing?

 Were his pupils dilated or contracted? How rapidly and to what extent did they alter in the dark and in light?

 What was the character of the pulse?

 What was the condition of the abdomen?

 How moist or hot, how cold or dry to the touch, was the skin of this or that part or generally? 


Whether he lies with head thrown back, with mouth half or wholly open, with the arms placed above the head, on his back, or in what other position? What effort did he make to raise himself?

 Anything else in him that may strike the physician as being remarkable.


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