Sehgal Categorized Rubrics

Reproaches others

• The above feeling is common in some patients who visit for their problem and they tell the doctor that the reasons behind their sickness are family member, friends, colleagues or boss.
• The reasons could be wrong upbringing, negligence, or dominancy.

Rubrics
DELUSIONS; persecuted; he is (32) Anac, ars, bell, calc, CHIN, con, cycl, DROS, hyos, ign, kali-br, lach, merc, nat-m, nux-v, rhus-t, spong, staph, stram, sul, verat, zinc	Persecuted: Cause to suffer
DELUSIONS; wrong; suffered has (6) HYOS, lach, lyss, naja	Wrong: Any harm or injury resulting from an error or misjudgement.
DISCONTENTED; wrong; everything another does; is (1) Cham

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.

Rubrics
DELIRIUM; blames himself for his folly (1) Op	Folly: Foolish act, a stupid mistake. He says, "I waited a long time for the problem to disappear. Now I am realizing that it was foolishness on my part to do so, as the problem has grown three folds	The point of stupidity is to keep on ignoring even when the problem has grown two folds. For example, a patient knows that drinking even a glass of wine would bring suffering, and they try their best not to drink it. But one day in a party, someone offer them wine or upon seeing the wine they thought of taking a half glass of wine. Next day, they suffer and that time it comes to their mind it was stupid on their part to do so.
DELUSIONS; neglected his duty; he has (13) AUR, cycl, hell, hyos, ign, lyc, naja, puls.	Neglected: Disregard, leave undone, give little or no attention. Duty: Is done with devotion, responsibility.	He says, "I am not a good Wife/ Husband/ Mother / Father as I have not devoted my time towards my family members. I curse myself for not paying proper attention to my mother when she was sick He may neglect their duty as he himself is sick or he becomes sick due to the guilt that he has not done his duty towards his work or family members or He feels that he has not paid attention to his own health which was like a duty towards the body
DELUSIONS; succeed; cannot; he does everything wrong (8) Anac, arg-n, Aur, germ-met, nat-c	Succeed: To prosper, to obtain the object desired. What is the need of the patient to come and say, "I have a feeling that what I do everything wrong and cannot succeed in life."	It may be a normal human being feeling, but as a patient it puts a lot of pressure in the mind of a patient due to which it takes away the charm of working hard or no desire for competition or always has a fear to start anything new. From where this feeling of doing everything wrong and he cannot succeed is getting originated? It gets originated after repeated failure, thus losing a great amount of money, respect or confidence of others. It could be related to anything not only work, but also managing the relationship, family welfare, or exams. What is the impact of it? Such patient loses the confidence in them and lives with fear to start anything new in life.
DELUSIONS; unfit for the world; he is (1) Aur, Plat	Unfit: To deprive of the strength, skill, or proper qualities for anything; due to sickness unfit to perform their duty.	I have a feeling that due to my sickness, I am not anymore fit to do the things as I used to do What does it mean to feel unfit for the world? It means, to condemn oneself. It is a curse for self.
	CONTEMPTUOUS; self of; (7) Agn, aur, lac-c, thuj	We have only one common remedy for these two rubrics which is Aur.
DELUSIONS; wrong; he has done (21) Ars, Aur, cycl, dig, germ-met, hell, hyos, ign, lyc, merc, puls, sil, sul, thuj

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.

Rubrics
BUSINESS; averse to (44) acon, agar, anac, am, ars, asar, brom, cimic, con, fl-ac, graph, kali-ar, kali-bi, kali-br, kali-c, kali-i, laur, lil-t, lyc, nat-c, nux-v, ph-ac, phyt, puls, rhus-t, SEP, stann, sul, syph,
BUSINESS; neglects his (2) Op, Sul	Op An Op patient has no issue till things are under their limit. So they can neglect it. For example, a patient who is sick for the last 2 days, due to which they are not able to perform their business. It does not going to bother them. Till this state they are neglecting it. But on the 3rd day when the problem does not get better, they start feeling concern about the business. On the same day they think of visiting the doctor, as they realize that it is already two days gone without any income and if it continues to be like this then they suffer more loses. On the 3rd -4th day when the visit the doctor, they say, "Doctor, please see that, I should get better by today evening or maximum by tomorrow morning, as I have not attended my business for the last couple of days, which is the only source of my. income and survival, and if I will not attend it tomorrow then my loses are going to increase."
	Sul A Sul patient keeps on working even if the problem is severe. He says," Doctor, I have to work, as I cannot afford to lie in bed." He is not going to relax till they have strength to do so. This they could do because of perseverance. Sul patient must work due to the fear of poverty. Then what makes them to neglect the business? It is when they feel that there is no strength left in the body that they need to relax. That time they can neglect their business, as they think that at present they have some money in the bank or home, and with that they can survive for some days. DELUSION wealth imagination of: With the feeling of wealth Sul could neglect his business.
DUTY; aversion to domestic (4) cench, cit-1, falco-p, sul-i DUTY; no sense of duty (12) alum, ambr, anac, ars, CALC, coloc, hep, lach, merc, nat-m, sil, sulph.	Sense: Feel, or consciousness Under the influence of sickness, it may be that a patient likes to look after things for which they are responsible and they try their best to handle or manage it somehow.	There could be some patients who lose the interest towards their responsibility. It could be due to Fatigue Some past grievances Lack of time Lack of money or it is too much for them	He says I was always looking after my responsibilities and make sure that I must fulfill them no matter how busy or how difficult it was for me. But after the sickness I have lost the feeling to fulfill my responsibility, like earlier I would visit my parents every week and buy some fruits and vegetables for them, but now I do not have such a feeling. It is now almost 4 weeks that I did not visit them."
WORK; fatigues (20): Acon, AUR, cocc, coff, CON, graph, ign, lach, lyc, NAT-C, nux-v, pic-ac, sel, sil, staph, sul	Work: To exert one's self for a purpose; to put forth effort for the attainment of an object; to labor; to be engaged in the performance of a task. Fatigue: Exhaustion of strength.	A healthy human being can work as they like and when they like, and after exerting for a long time the body needs some rest or break. Because of sickness, the same person who was able to work continuously for hours, starts feeling fatigue due to which they get irritated like a Sul
IRRITABILITY, exertion from Indifference and lies with eyes closed like Arg-n, Cocc, Sep
AMBITION; loss of (12) am-m, Ars, calc-sil, dios, nat-p, petr, sep.	Loss: Diminution, something which was there but at present is not there. How ambition gets lost?	After becoming sick, due to lack of energy or discouragement of getting better, no support from colleague, family members, or less or no profit he does not want to continue whatever he have aimed in his life.	Even all kinds of counselling, suggestions, or kind advices get failed. He does not want to pursue whatever aim or goal he had set for himself.
DELUSIONS; sick being; work; and for this reason will not (4) alc, caust, nux-v, sep	Sick: not in health. It is common that during sickness a patient does not feel like working or not capable of working depending upon the acuteness of the problem.	He is actually sick, but he pretend or exaggerate his sickness so that he does not have to work.	He likes to be in bed or postpone the things for next day. When asked that he is not so sick that he cannot work then why are he not working? He may reply/' He is so weak or not in a position to work."
SADNESS; work aversion to; with (8) Croto-t, dros, laur, mez,, zinc

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. Rubrics which can be referred for this cause of depression:

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

No wish to talk / Company

There are many patients who do not want to speak, talk or prefer any company. They like quietness or solitude. They want to be left alone. What is the reason for that? There are various reasons for it, like: 1. No energy 2. No topic 3. Do not want to talk / speak about their problem 4. It is a burden on their mind Rubrics which can be referred for this cause of depression:

COMPANY; aversion; avoids the sight of people (17) Acon, ars, calc, CIC, cupr, cur, ferr, gels, iod, led, nat-c, sep, thuj
COMPANY; desires; treats them outrageously; yet (1) Kali-c
COMPANY; aversion; bear anybody; cannot (4) merc, nux-v, staph, sul
COMPANY; aversion; friends of intimate (7) bell, cham, coloc, Ferr, iod, nat-c, sel
ESTRANGED; from her family (21) am-c, anac, ars, con, hep, hydrog, nat-c, nat-m, nat-s, nit-ас, nux-v, phos, plat, psor, sep, staph
RESERVED (61)
SADNESS; aversion; children to whom he is devoutly attached become burdensome (1) KALI-I
SPOKEN, TO; averse to being; alone wants to be left (10) ant-t, aur, bell, iod, lil-t, sul
UNFEELING; family; with his (3) Kali-i

Anger easily

Rubrics	Combination
FIGHT, wants to (104)
ANGER; throws things away (7) Coff, coloc, STAPH, tub
ANGER; violent; things don't go after his will (1) thuj
ANSWERS; civil; cannot be (1) CHAM
ATTACKS, others, desire to (1) Lyss	DELUSIONS, wrong has suffered = Lyss
BREAK, things, desire to (14) androc, apis, bell, carbn-s, hura, hyos, irid, nux-v, sol-t-ae, staph, stram, sul, tub, verat
CRUELTY; brutality; inhumanity (34) ANAC, ars, bell, bry, canth, carc, chin, croc, HEP, hyos, kali-i, kali-p, Iach, lyss, nit-ас, nux-v, op, plat, sel, staph, stram, tarent, verat
CURSING; all; night and complains of a stupid feeling (1) verat
DESTRUCTIVENESS (39) agar, anath, apis, bell, bufo, calc, camph, canth, carc, cimx, con, cupr, hep, hyos, iod, lach, laur, lil-t, mosch, nux-v, op, phos, plat, plb, sec, staph, STRAM, stront, sul, tarent, tub, verat
COMPLAINING; threatening; and (1) tarent
EMBITTERED, EXASPERATED; offenses from slight (1) ang
FIRE; wants to set things or house on (8) Ant-t, BELL, HEP, hyos, phos, staph, stram
HATRED; revenge; and (22) agar, aloe, am-c, anac, aur, calc, cic, fl-ac, hep, hydr, lach, led, NAT-M, nit-ас, op, ph-ac, phos, stann, sul
QUARRELSOME; alternating with; silent sadness (1) Con
RAGE; consolation; from (1) Nat-m
RAGE; touch; renewed by (4) bell, lach, op, stram
REBELS, against poultices (17) Borx, bry, calc, carb-v, cham, lyc, merc, nit-ас, nux-v, phos, puls, rhus-t, sep, spig, staph, sul
SNAPPISH (4) Calc-p, CHAM, lil-t
REVERENCE; lack of (3) anac, coloc, verat
SPITTING, DESIRE TO; faces of people; in (13) Ars, BELL, calc, cann-i, cann-s, cupr, hyos, merc, phos, plb, stram, verat
VIOLENT; chases family out of house (1) verat

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, merc-aur, naja, nat-m, nat-s, op, psor, ran-b, sep, spig, STAPH, stel, sulph.
	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, valer.
Lamenthing	DISCONCERTED (2) Brom, Ign
	WEEPING; desire to weep; all the time (16) Ambr, camph, ferr, ip, kali-c, lyc, merc, murx, neon, op, puls, stram, thuj
	TORMENTS; everyone with his complaints (2) Psor, ZINC
	INCONSOLABLE (28) Acon, ambr, ars, asar, brom, caust, cham, chin, coff, dig, kali-br, lyc, nat-c, nat-m, nux-v, petr, phos, plat, puls, rhus-t, sep, sil, spong, stann, strain, 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