Sehgal Categorized Rubrics

Reproaches himself

• They blame themselves for their depressive problem and tell the doctor it is due to their own mistake, error, or negligence that they are suffering today.
• Top remedies are Aur, Op

No desire for business

• It has been seen that, during the sick state, a patient has no desire to work. They remain indifferent towards their income. They do not care how they are going to manage their finance and those dependent upon them. They may get agitated when asked to do something. Some patient has a feeling towards their business/ work/duty, but sometimes the body does not cooperate and sometimes mind.
• On the contrary both are in the rubric BUSINESS talks of. So how could it possible that one time same patient is showing concern for business and other time they are neglecting it. This teaches us that we should not carry drug pictures in the mind, rather use the rubric to their merit.
• Top remedies are: Op, Sul, Calc, Cocc, Sep

Lying in Bed

It is a common symptom for a patient to lie in bed for the sake of rest, fatigue or tiredness during sickness. But there are patients who keep on lying in the bed even when it is not needed. When asked why they are lying in bed, when they can work as the problem is not so serious, they may reply, "They do not feel like moving or there is a extreme desire to be in bed. which can be referred for this cause of depression:

Rubrics
ANGUISH; lie down; must (3) mez, ph-ac
BED; remain in, desires to (61) BED; remain in, desires to; morning (7) ferr-m, lac-c,, sep

Hopeless

• It is a normal feeling for a patient to get hopeless or have no desire to live. They want to die or ask for death from the God or Doctor. Why does a patient develop such a feeling? Such feeling appears, when all efforts of getting better get failed, there is no ray of hope from anyone or anywhere, in spite of best medicine no refractory result came.
• Or There are some patients who in spite of making lots of efforts and not getting succeed in getting any relief remain positive, optimistic or hopeful that one day they are going to find a solution about their problem.

	Rubrics
With suicidal disposition	ANGUISH; suicide; attempts to commit (1) Hep
	ANXIETY; suicidal disposition; with (10) Aur, caust, dros, hep, merc, nux-v, plat, puls, rhus-t, staph.
	DELUSIONS; hang himself; want to (1) Ars
	DEATH; desires (77)
	BED; jumps out of; wants to destroy himself but (1) Chin
	DEATH; desires; despair; from (1) Kreos
	SADNESS; suicidal disposition; with (24) alum, AUR, calc, caust, chin, cimic, con, graph, hep, hydrog, ign, med, naja, nat-m, nat-s, op, psor, ran-b, sep, spig, STAPH, stel, sul
	SUICIDAL; despair about his miserable existence (1) Sep
Silent despair	DELUSIONS; seized; as if (3) Canth, hyos, phos
	DESPAIR; recovery; of (49)
	DELUSIONS; disease; incurable has (18) Acon, alum, arg-n, arn, cact, calc, chel, ign, lac-c, lach, lil-t, mag-c, nit-ac, plb, sabad, stann
	DOUBTFUL; recovery; of (31) Acon, agn, alum, arn, ars, aur, bry, calc,ign, kali-c, kreos, lac-c, lach, lil-t, lyc, mere, nat-s, nit-ac, nux-v, ph-ac, phos, psor, puls, sep, stann, sulph, syph
Destructive	CUT, mutilate, slit others, desire to (2) Lyss
	SELF; torture (7) Acon, ars, bell, lil-t, plb, tarent, tub
	STRIKING; himself, knocking head against wall and things (9) apis, ars, BELL, con, hyos, mag-c, MILL, rhus-t, TUB
	TEARS; things (20) agar, BELL, camph, canth, cimx, cupr, gink, hyos, ign, iod, kali-p, mere, nux-v, oena, op, phos, STRAM, sul, tarent, verat.
	THREATENING (8) agar, choc, hep, polys, stram, TARENT, tub
Lamenthing	DISCONCERTED (2) Brom, Ign
	WEEPING; desire to weep; all the time (16) Ambr, camph, ferr, ip, kali-c, lyc, merc, op, puls, stram, thuj
	TORMENTS; everyone with his complaints (2) Psor, ZINC
	INCONSOLABLE (28) Acon, ambr, ars, asar, brom, caust, cham, chin, coff, kali-br, lyc, nat-c, nat-m, nux-v, petr, phos, plat, puls, rhus-t, sep, sil, spong, stann, stram, sul, verat

Low Self-Confidence

Due to the sickness, he loses his self-confidence, and scared of meeting people, attending parties due to the low feeling.

Rubrics which can be referred for this cause of depression:

Envy	ENVY; qualities of others; at (6) Ars, Calc, Lach, Lyc, Puls, Sul	Qualities: The condition of being of such and such a sort as distinguished from others. Peculiar power, capacity, or virtue; distinctive trait. He says, "These days when I see someone older or of my age, walking, running or working faster than me, I feel why not I can be like them or do like them." Or he says, "When I visit a party and there I see everyone enjoying freely without any thinking about getting problem after eating or drinking, it comes to my mind that one day I may be able to enjoy like them." Or he says, "My friends have achieved so much in their life, like status, position, car or money, I get the feeling how come they have achieved it in such a short time, and when/how I shall be able to get all such things."
Responsibility	FEAR; duties; she will become unable to perform (1) Lac-c
	UNDERTAKES; lacks will power to undertake anything (5): Phos, Pic-ac
	UNDERTAKES; many things; perseveres in nothing (20): Acon, alum, apis, Borx, graph, ign, lac-c, Iach, LIL-T, lyc, nux-m, petr, stann, verat
	SUCCEEDS, never (11) Am-c, asar, aur, canth, mere, mur-ac, nat-c, nat-s, nux-v,
Self -control	FEAR; self -control; of losing (3) Arg-n, Gels, Staph
	SELF; control; want of (2) Lach, sil

No personal Hygiene

Some patient may visit a doctor with proper dress up, or moderately dress up or improper dress up means without looking at mirror or sense of clothing. It could be due to certain reasons like:

1. No charm in getting dressed.
2. No one cares if they are dressed up properly or not.
3. No desire to spend money on new dress.
4. Lack of money.
5. To show other how sick they are.

Rubrics
CHAOTIC; orderly manner cannot perform anything in (6) BOS-S, hura, hydr-ac, lach
DRESS; averse to (in melancholia) (1) con
DRESS; indecently; dresses (5) Hell, Hyos, Stram
ORDERLY, manner cannot perform anything in (2) Irid, lach
TASTELESSNESS, in dressing (11) Calc, Caust, Hell, Hyos, Lyc, Nat-m, Nux-v, Sec, Staph, Stram, Sul

Averse to Advice / Support /Caring etc

Some patients are eager to take advice, support or care. They mind if there is no one to support them and most of the time they get sick as there is no one to advice, support or care for them. And some patients gets angry or do not like if someone advice, support or want to care them. Why do they react to advice, support or caring? The reason being, they feel they do not need it. They want fight their own. They like to take their decision independently. They do not trust other.

Rubrics
ADMONITION; agg (9) Bell, calc, carc, kali-c, nit-ас, nux-v, plat	What is the difference between admonition aggravation and kindly aggravation? Admonition: Gentle or friendly reproof; counseling against a fault or error; expression of authoritative advice; friendly caution or warning. Aggravation: The act of increasing in severity or add something to a wrong and enhancing its guilt. Kindly: Human; sympathetic; beneficent or to be soft towards others.	If someone like family member, friend or neighbor shows their emotions in a way of friendly advice for the sake of protection or safety then one should not mind it. Usually such situation comes in life very often. Depending upon the nature of a person one can react to it on their own way. A patient takes it in a different way. It could be due to ego, pride, or haughtiness that they do not want to have any reproof from their near or dear one or even from their close friends. They behave awkwardly towards it. So a simple admonition we can say is done in an authoritative way and a bit harsh, whereas kind admonition is done with a feeling of compassion, pity or sorrow for others misfortune or suffering.
ADMONITION; kindly agg (6) Bell, Chin, Ign, Nux-v, Plat, Stann
CARESSED; aversion to being (4) Cina, Irid, nit-ас
CONSOLATION; agg; (39): Am, ars, aur, bell, cact, calc, calc-p, Cham, chin, Graph, Hell, IGN, Kali-c, Lil-t, lyc, mere, NAT-M, nit-ас, nux-v, plat, Sabad, SEP, SIL, staph, sulph, SYPH, tarent, thuj
RAGE; medicine; from forcible administration of (1) Bell
WEEPING; consolation agg (22) Bell, cact, calc, calc-p, chin, hell, ign, kali-c, lil-t, lyc, merc, nat-c, NAT-M, nit-ас, nux-v, SEP, SIL, staph, sul, tarent, thuj
WEEPING; pitied; if he believes he is (1) Nat-m

Lose / Lack of interest in Socailization/ Party/ Entertainment / Amusement

There are patient who are very keen to participate in events like party, or to visit theater, cinema or like 1 sterling music at home just to divert their mind from sickness or it helps them to get rid of negative thoughts. And, there are patients who are completely opposite in nature. They prefer to stay alone, averse to parties, cinema, or theater. They do not like to move out or pass time with their family members and friends

Rubric
AMUSEMENT; averse to (7) Ign, lil-t, Sul
AVERSION; members; of family; to (19) Am-m, aur, calc, con, crot-h, fl-ac, hep, iod, kali-c, lyc, merc, nat-c, nat-m, phos, plat, senec, SEP
DWELLS; on past disagreeable occurrences (44)
EAT; refuses to (22) Ars, bell, borx, caul, caust, cocc, croc,HYOS, ign, Lach, Op, PH-AC, Plat, Puls, Sep, TARENT, VERAT
GOING, out, aversion to (6) Am-c, anh, clem, cycl
PLAY; aversion to (in children) (8) Bar-c, bar-m, cina, hep, lyc, merc, RHEUM, Sul
SENSITIVE; music; to (45)

Memory Weakness / Lack of concentration

He says, "Since I have become sick, I have not been able to concentrate properly. I am forgetting things due to which they have lost money, status or position." Such patients are worried about it and want to get out of such situation.

Rubrics
CONCENTRATION; cannot fix attention (6) Aesc, Bov, Hyos, Ign, Sil
CONCENTRATION; difficult; studying; reading etc. (56)
CONFUSION; loses way in well known streets (15) Germ-met, GLON, irid, merc, nux-m, nux-v, petr, plb, puls, thuj
DELUSIONS; think; she cannot (1) Chel

Non-Cooprative

• There are many depressive patients who do not cooperate during the treatment. They do not like visiting a doctor. Upon visiting a doctor they speak or talk about nothing. In such cases it becomes difficult for a doctor to bring out the information necessary for prescribing a medicine.
• Why they do so? Reason could be:
  1. Anger with the family members.
  2. Self-torture.
  3. No understanding about the problem.
  4. Do not want to get better.
  5. Do not know what to answer.
  6. Do not feel they have a problem

Rubrics
ANSWERS; questioned; does not answer when Tarent
ANSWERS; offensive (1) Lyss
ANSWERS; refuses to answer (32) Agar, ambr, am, ars, bell, camph, caust, chin, cimic, hell, hyos, lyss, nux-m, nux-v, petr, ph-ac, PHOS, sabad, stram, SUL, tarent, verat,
ANSWERS; foolish (2) Ars, Bell
ANSWERS; inappropriate (2) Ph-ac, sul-ac
SECRETIVE (17) Aur, bar-c, bov, caust, ign, lyc, nit-ас, phos, plb, sep, syph, zinc

Suspicious

• Most of the patients have a feeling that the reason for their sickness is someone has done some kind of black magic against them. They do not accept any eatable from family members, a strange or new person.
• They suspect of getting medicine in food so they prefer to monitor what has been cooked for them or they cook themselves.

Rubrics
DELUSIONS; pursued by enemies (33) Anac, ars, aur, bell, chin, cic, , con, crot-h, cupr, cycl, dros, hell, hyos, kali-br, lach, lyc, merc, nat-c, nux-v, plb, -puls, rhus-t, sil, stram, zinc.
DELUSIONS; poisoned; he is about to be (8) Carc, hyos, kali-br, lach, plb, rhus-t
DELUSIONS; someone behind him (1) Med
DELUSIONS; spied on; being (2) Lach
DELUSIONS; strangers; control of; under (2) Aster, Bry
DELUSIONS; walks; behind him; someone (5) Anac, crot-c, mag-m, med, staph
FEAR; behind him; someone is (7) Anac, brom, crot-c, lach, med
SPYING, EVERYTHING (7) Carb-v, lyc, puls, sep, verat
SUSPICIOUS; enemy; considering everybody his (1) Puls
SUSPICIOUS; medicine; will not take (1) Cimic
SUSPICIOUS; plotting against life people; are (3) Ars