Which cases are difficult?

Case difficulty and symptom type

Case difficulty and the type of symptom presented in the case do not determine difficulty.   The quality of symptoms case determines the difficulty of the case.  Most difficult cases involve long-term use of suppressive medicine and emotional suppression.  The case types listed below are not necessarily difficult because there are many strategies to get around apparent difficulties.

Case analysis strategies vary

Think out of the box

I use many different strategies to solve different kinds of cases.  Here are some variations on the more typical case which is a mixture of many different kinds of useful symptoms.


Mostly mental/emotional symptoms
Mostly physical symptoms
Symptoms are lacking, but:
  • The possible cause of symptoms is clear and relevant to the patient’s problem.
  • Personal or family history are relevant to understanding symptoms
  • The reason for withholding symptoms from the interview is clear
  • Observations provide sufficient evidence to choose a remedy.
  • A past history is clear and remedies that worked before can provide evidence for choosing the curative remedy. For example,  A case of memory loss.


Meet the Author

Ellen Madono

Ellen Madono is a homeopath working in Tokyo. Currently, her work in homeopathy focuses on healing. She was born in Minneapolis Minnesota and went to West High school. At Oberlin College, she majored in Asian History. Her Ph.d. is from the University of Pittsburgh. She has a special interest in Asian Culture, language and Japanese apprenticeship. Skills in phenomenological cultural analysis have easily transferred to homeopathic case analysis. She keeps up her health through Meditation, Yushiki Breathing Practices, Classical Homeopathy, Accutonics, Akido and Parasara Yoga.

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