Role Of Anger As A Mental General In Selection Of The Homoeopathic Similimum – A Prospective Observational Study

Abstract

Background:In homoeopathy the centre stage of the prescription is given to the mental and emotional symptoms in the management of chronic diseases. Anger is one of the emotional factors, which is believed to be a major mental general and etiological factor in the progression of diseases and choice of remedies. While there are a number of remedies described in the classical homoeopathic literature which relate to anger, there are few systematic clinical trials that examine the importance of anger in the selection of the homoeopathy similimum.

Aim:To identify the importance of anger as mental general in picking of homoeopathic similimum and its effect on therapeutic effects.

Methods:This study was prospective observational study, which was conducted in the Outpatient Department of Government Homoeopathic Medical College and Hospital, Madurai. One hundred and twenty (120) participants with either acute or chronic problems were entered into the study who had prominent emotional problems of anger. A detailed homoeopathic case-taking was done, focusing on the rubrics of mental generals, emotional etiologies and anger related rubrics. The Clinical Anger Scale (CAS) was used to measure anger severity at Baseline and follow-up. Individualized homoeopathic prescription was chosen based on the classical homoeopathy and repertorial analysis.

Results:In the mental generals for remedy, angry mental generals played a very important role in the differentiation and totality formation. There were typical constitutional remedies linked to different qualitative patterns of anger including violent anger, suppressed indignation, irritability and brooding resentment. Anger dominant totality patients who were followed-up had reduced CAS scores and physical and emotional symptom improvement.

Conclusion:Homeo Anger is a mental general which should be systematically assessed during the process of selecting Similimum and may have a positive impact on the therapeutic results. Emotional etiologies and qualitative anger patterns are very useful individualizing characteristics for constitutional prescribing.