Op in Sehgal

• Op is one of the best Sehgal remedies which is used commonly in Sehgal Method
• Dr Sehgal prescribed it for 10 -15% of cases in practice.
• Op is not known to be so frequently used in practice. It was only after months of hard labor from Dr. Sehgal who not only identified

King pin Rubric

	He applied this rubric in cases where a patient says: It is for many days now that there is no relief. How long shall I have to wait? There should be some relief at least to encourage me On what basis to wait any further?
Fear, extravagance	This fear is not only limited to his sickness but also be related to other aspects like finance. E.g before starting the treatment Op patient can ask about the total cost of the treatment. If the cost is within his limit then he won’t mind but if he thinks that it is much than his limit he would say it to be too much. P:I did not expect the fee to be that much in Homeopathy I chose Homoeopathic treatment thinking that it will be much cheaper than allopathy. He probably had an idea that homoeopathy takes long time to cure but still will be cheaper than allopathy He may further enquire about the time span the treatment will take. He will calculate that though the fee is high yet period of treatment is short. He will satisfy himself thinking that it is the matter of 2-3 months, but if told that treatment will last between 6-8 months he may get frightened. Thinking that there is no other option than to agree upon the terms he may put a question “Sir, are you sure that after 6 months of treatment my problem could be solved.”
	A patient says: “I fear taking homoeopathic medicine because it first increases the problem. I won’t be able to bear it as I already have so many problems.” Any further addition would be an excess for me."
	A patient asks, how long shall it take and how much shall he has to pay for the treatment.

Entering channels

1	Indifference, complain does not Hyos, Stram (Hyos ₳ Op), (Op ₳ Stram)	First stage: He does not want to visit doctor since Danger, No sense of: Hep, Merc,Op, Plat, Stram, Tub Well, says, sick very: (Arn, Hyos) (Hyos ₳ Op) Wait and watch until his Red-limit. He has limit for everything. It was not a big issue. I could tolerate it. My parents/ Family send me to you. It is small matter, I can handle it by myself. Asking, nothing for: Ars, Bry, Cocc, Hyos, Op, Puls Contentment, Quiet (1): Not to show anybody, Not to complain. He is satisfied Complaining, Never (1)
2	Fear Extravagance King Pin rubric	Second stage: Fancies, frightful: Delusions, Image, phantoms, sees (Gels, Hyos, Stram, Bell, Calc, Sul) When disease crosses my limits. It causes me more trouble He fears, if he does not do anything, it could become dangerous.
3	Groping as if in dark Croc, Hyos, Plb	Third stage: Irresolution, Directionless He does not know which problem is more important and he should discuss it with the doctor, so he does not go to the doctor. (Hyos ₳ Op) I had many problems, therefore I became confused and did not do anything Now I am here, but I do not know, how could I explain my problems. Please ask me every thing you need. He cannot decide what to do? Which of his complains are more important? What can I do? He come to doctor, with some one recommendation Op needs help in decision for every step. He tells you Doctor, how can I use your remedies today. If I can use food supplements? Any Diet? Physical activity? etc
4	Discouraged alternating with hope Kali-c, Merc, Op, Staph	I had a very bad experience with homeopathy but I see one of friend that have not agg So now I want to visit you.
5	Alert Cautious	He is alert and check you if there would be Increased Doctor: I do not tolerate any aggravation. Please do not prescribe any medicine that increase my disease. I am telling you clearly (He emphasizes) Although he has the rubric Gesture make, Groping as if in the dark
6	Noise, inclination to make Delusion, disorder, objects appear in	He is never satisfied with your medicine He tells you, I had 4 disease but you cure one of them. You do not cure the most important problem . He emphasize on his request. He is a bad patient Delusion, disorder, objects appear in (Only op): I do not like to know any thing about Homeopathy and you have promised and you do not do your job properly. All you do is in disorder
7	Business, talks of	Because of my disease, I could not go to work in these 3 days. But tomorrow is the forth day, and my disease is still continuing, that I will not able to go to work for the forth day, which is cannot tolerated. He talks with you, as if he is in a business with you. Alert Noise, inclination to make
8	Superstitious
9	Self Reproach	Delirium, blames himself for his folly (1)

Rubric versions

Noise, inclined to make a Business, talks of	He keeps on reminding the Doctor about the period fixed by him for his treatment. In a curt tone he says: “ It is nearly 5 months now and my condition has not improved much. What is the matter? You have told me that in 6 months time there would be complete cure. Leave apart the cure there is not even 50% improvement.” When tried to console him saying that at least there is 50 % improvement he won’t agree to it and may say, “But we settled for full cure. It is your responsibility to give me complete recovery. I have already paid you too much and spent 6 months with you. It is enough now. You have to treat me free of cost. I am not going to pay you a single penny more. In the above example we can see how an excess of time or payment produced a fear in the mind of the patient.
	Timidity, business, transacting in (1)P: (Irritated): I am fed up with my problem. There is no relief from any medicine. I don’t know how long I shall have to bear it.
Embarrassed ailments after Fear, extravagance, of	Embarrassment comes after the patient experiences some problem and when he thinks about that problem, e.g. how painful it was, and if that pain would recur it would be difficult for him to bear. What is representing fear in the above version is: “How long?” This patient is fearful at the thought how long this condition will prevail.
Groping as if in the dark	D: What is your problem? P: I fail to understand what is my problem? Before visiting you I was in a dilemma to decide what would I tell you.? D: As a patient you must know what is your problem? P: I could tell you if I had a single problem. I have so many problems. I don’t know from where to start.? D: You have to tell me at least what kind of problem do you have? If you are not so clear you can tell me about its nature, location or modality. P: Sits quietly, looking towards the doctor as if searching for the words.. D: Please tell me something about your problems? P: I don’t know from where to start. It would be better for me if you ask me whatever information you need from me. I may be perhaps able to answer your questions. D: Is it related to pain, digestion or sleep etc. P: I can’t tell you exactly but I think it is related to all of them. D: Which do you think is the main trouble? P: I think at present it is mainly related to my stomach at present. D: What is the problem with your stomach? P: Loss of appetite, hyper acidity, sour eructation, and pain after eating. D: Any other problem associated therewith?
Indifference, complain does not Embarrassed, ailments, after Indifference suffering, to Well, says he is, when very sick	P: I think these are enough to trouble me. I am fed up with them. I think you first start treatment for my loss of appetite. D: Why.? P: Other problems don’t give me trouble that much. I have no complaint about them. Though sometimes I get a little bit of trouble from them in my, day to day life. But it is Ok. Op patient does not bother for the suffering he gets due to his sickness but his main concern is to stop further increase of the sickness. It is his psyche that he keeps on ignoring his ailment till it is under the limit. The moment he notices that it is going beyond limit he gets frightened. Then he rushes to the Doctor.
Superstitious	P: My stomach problems are the ones troubling me a lot. For a few days I have noticed that it has been increasing day by day and now I have a fear that if it not controlled at this stage, it will increase further. P: Secondly I have a belief that once my appetite is restored then my other problems would be solved automatically. D: How can you say that once your appetite is restored all your other problems will be cured? P: I believe that it is the root cause of my problems. From my childhood I am told that if our digestive system functions properly then our other systems in the body also function properly. Sir I have seen many people who are enjoying good health because their stomach works perfectly. D: So you think that you are sick because of your stomach upset? P: Yes, I think so. I don’t know if you believe in it but I have experienced that when I eat properly the whole day I keep very fresh. According to the Medical science it is also relevant that stomach upset can cause many problems. But we have to understand that he is a patient not a medical professional. Means his judgment is purely a hypothetical one. He believes upon those facts which he has heard or seen but has no firm reasons to prove it.
Discouraged, alternating with hope Clinging, grasp	P: I am not going to continue the treatment further if there won’t be any relief. D: This you have already said to me during last visit. P: Sir, every time I visit you hoping that you may be able to select a right remedy. After taking medicine for 3-4 days when I see no improvement I get discouraged. Then I decide to not visit you again. But on not seeing any other alternative, I decided to visit you again with the same old hope of getting a right remedy.
	It is due to Groping in the dark that he won’t be able to leave the Doctor in spite of discouragement. He keeps on clinging to the Dr. because of the hope given to him by someone. Op is the only common remedy of these three rubrics.
Clinging, grasp Business, talks of	Op clings after he gets some relief but with a time frame. He will wait for some time for further relief. When he realizes that there is no further progress he starts complaining about it irritatingly . He will say:" Sir, initially your medicine worked very well now it is not working. I have a doubt that you are not giving me the same medicine for want of money." “Otherwise how could it be possible that with one day’s medicine I got 15% relief and after that the relief is just 10% in 1 month?” D: You have so much faith in me? P: My friend told me a lot about you. I don’t know but the way he praised about you gave me faith that you can help me. D: How long did you continue the last treatment? P: Last treatment I continued for 2 weeks. I left it as I did not find any change in 2 weeks. I asked the Doctor what to do? That Doctor advised me to consult a good gastroenterologist I asked him to refer me to a good gastroenterologist as I had no knowledge about that. He told me about one. Meanwhile I met this friend who referred me to you. D: How long you think you can continue with a Doctor? P: Approx 10-15 days. D: Do you think that 10-15 days are sufficient to cure your problem? P: I don’t mean that in 10 -15 days all my problems will be cured. But I expect some relief at least this period. Sir if there is not a 1 % relief after investing money and spending my valuable time I don’t think it is worth to continue the treatment. I understand my problem is chronic and is liable to take some time. Sir, but a small amount of relief is what convinces one for further positive progress.
Irritability, Pain during Embarrassed ailments after Rest, Desire for Del, disorder, objects appear in	D: How do you take your problem? P: I am getting very irritated by it. I am fed up with it. I can’t take it any more. D: What irritates you? P: The long period I am living with it. I need a break from it. I wish this process stops for a few days. I don’t mind if it comes again after a few days. D: Anything else? P: I don’t know what kind of a problem I am suffering from. D: What do you mean? P: I have seen cases like this. After some period of treatment they get cured. I don’t know what is the matter with me? I had taken regular treatment and was very particular about taking the medicine in time. I did exactly as I was instructed by the Doctor. I have been after taking such precautions if a person keeps on suffering from his problem it is indeed a major disorder. I have a feeling that either I am failing to explain my problem to the Doctor or Doctors have failed to understand my problem. There is something missing due to which my problem
	This patient feels very strongly that there is some disorder, means things are not coming to an order in spite of all the efforts he has been making.
Cautious Fear, extravagance	D: Are you taking so many precautions on your own Or you have been asked by the Doctors to take precautions? P: It is both ways. I myself am now very much concerned about my sickness. Though I am very fond of eating good food even then I take utmost precaution not to eat anything wrong in parties. taking lots of precaution. I left eating spicy and oily things. I completely switched over to vegetarian food. I don’t use alcohol. D: It means you are very strict with your diet? P: Someday I do eat but in a very small quantity. D: Is it o.k. for you to eat in small quantity? P: This is the one thing which irritates me the most. Even a small quantity of oily and spicy food is intolerant to my stomach. Mostly I get problem from that. D: Why you take risk when you know it precipitates your problem. P: After all I am also a human being. Sometimes I do get tempted when I see sumptuous foods served at some party. Another reason is that I feel very low when any body questions me the reason for not eating.? I can’t tell them that I have such a problem. To avoid such a situation I take a little bit. Side by side the recovery of my stomach is also tested. I think that when I have not eaten any oily and spicy thing for such a long period let me see that I don’t get any problem. With fear in my mind I try a little bit only. But mostly it ends up with the problem. Sir, I am waiting for the day when I get completely cured.
Gluttony / Bulimia	Sometimes by chance nothing happens, I re-try then. But after repeating for 2-3 times I stop eating more. Internally there is a strong feeling that still there are a plenty of foods left to taste. Yesterday I ate small food at a party. Today I have the problem. I do not tell about it to any body in my family.
Delirium, blames himself for his folly Reproaches, himself	D: Why you ate when you knew it could trouble you? P: I am also cursing myself for it. You can say it my foolishness. I thought I have to visit you tomorrow. Just to check if still I am having the problem whenever I eat things. The whole night I had a terrible pain in my stomach. I was accusing myself for my condition. All night I had one thing in my mind that what a foolish thing I have done.
Liar Unreliable, promises, in his Del, Wrong has done Delirium, blames himself for his folly	A lady said: "Yesterday I ate rich food since then I have a terrible stomach upset. Since morning I have been repeatedly proclaiming my foolishness before my children and husband. I knew that rich food did not suit me still I ate. D: Why you did not tell about your problem to members of your family? P: Everybody knows that I can not digest oily and spicy food. It will downcast my dignity if they come to know about it. What will they thin k about me? They will probably laugh at me that I don’t have the power to control even myself. I am not a kid. I am a mature person. Out of shame I shall not be able to face them. D: Do they know that you come here for medicine? P: I tried to not tell them. But in the morning when it became unbearable then I had to tell them. But I did not tell them the truth. I told them that my friend forced me to eat. D: Why you lie them? P. I had promised them to never eat such foods in future. I already made it several times but after every few days I make the same mistake. Doctor I know it is all my fault. I must have control over myself. But I have a very bad habit when I get the problem I tell to myself and promise to everybody that in future I won’t even touch such a food. But whenever I see good food I tempt to try a little bit for checking the extent of my recovery. D: Do you share ideas about your problem with your friends? P: Why they should know about it? I don’t like that anybody should know about my personal problem.? D: How you take it? P: I don’t want to degrade my self in the eyes of others. I don’t want that my friends should know that I am a sick person. D: ln case somebody asks you at a party reasons for not eating how shell you conceal them? P: I always make some or the other excuse. I am very smart in it. I have ready made stories to tell them.
Indignation, discomfort from general (1) Weeping, pain with Anger, Contradiction Del, disorder, objects appear in	P: These days I remain irritated. (While telling this he starts weeping). I can’t explain you that how much painful it is for me to bear it. Either take me out of it or give me some poison so that everything comes to finish once for all. I can’t tell you how much I am fed up with this D: What irritates you? P: My condition. Sometime I get irritated on myself on the sort of constitution God has given me. D: Do you curse God? P: Not directly. But I get angry upon him when he doesn’t listen to my prayer. I want to be alright but he has a different wish. Sometimes I get angry upon myself. That is why I am not able to digest even small amount of oily and fired things. I also feel very bad about myself when I see people enjoying in any party. I have seen people eating happily lots of foods and never suffer from any illness. D: How do you feel about it.? P: I feel why those people don’t get any problem. How could they digest everything?
Jealousy, People around (1) Irritability, aroused when	P: Why only I suffer from such a problem? Some time in the parties when somebody teases me and remind me about my condition that makes me very irritated. I feel that what the hell he has to do with my sickness. I curse him from deeper inside awaiting a day he also suffers and realize what a person faces during a sickness.
Content, forgets all his pain (1) Cares, full of	D: How do you feel if you come across somebody who has similar or more problems than you? P: I feel good. Then I relax thinking that there are others who are having similar problem. Then I forget about my problem. If I hear that some one else is having more severe problem than me, I feel concerned about him. I feel that I must help him to come out of the problem
Noise, inclination to make Business, Talks of	P: Sir, before you ask me any further question I want to remind you one thing that I am not that kind of a patient who continues taking medicine for years together without any relief. I tell you frankly that if I don’t get the relief equal to the amount I pay you then you have to treat me for free of cost. How it is ‘noise, inclination to make’? His idea is to alert the Doctor. He fears the possibly of Doctor getting greedy and on lengthening his treatment unnecessarily. But he can’t tell this directly to the Doctor. To make his point clear he says it in the other way. He takes care not to offend the doctor. For example he says: Please see to this that my case won’t take long time to cure. I am not going to pay you more if I won’t get relief in certain time. I am not that kind of patient who keeps on taking the medicine for years together without relief.” He says so as he has fear of excess in mind. He fears two things- one is time (how long and how much). His dealing with the Doctor is as if he is doing some business. In business one always takes care of profit. Business is done for thevsake of profit. No body takes the risk of investing money for a long time. After a time when a person feels that his business is not giving him any benefit vis-ei-vis expenditure he shuts that business and starts a new one. D: I can’t assure you a definite time - span when the relief will come. It is an important point to note that never commit any time limit to Op patient. P: Can’t you assure me that in 1 -2 weeks time I will get a minimum relief. It will give me hope for more progress to follow later on. Sir, I request you to first pay attention to my loss of appetite.?
Del, Enlarged, Objects Del, Enlarged, distances	P. Sir, I am suffering from it for a long time. To me it seems this old problem will take long time to heal and I have to go a long way with it. Both rubrics dose not contain Op, but Sehgal has added Op to them.
Indifference, suffering	D: In Homoeopathic treatment we treat the man as a whole not his one disease. Homoeopathic medicine automatically helps to clear all the problems in the body. P: You are right Doctor but still I request you to put extra medicine for my stomach. I am not so much worried about my other problems. D: Why are you not worried about other problems? P: They are minor. I am not bothered for them. They can probably cure themselves. I am able to live easily with them. Even if they give minor trouble I can ignore it.
Indifference, complain does not	P: I have no complaints from them. This loss of appetite is my main problem. It is increasing day by day. Note: This patient does not give importance to those troubles which though existing but has no complaint from them. He is more bothered about the problem which has increased and he expects them to increase further. He has not come to the Dr. because he is in trouble at present with the problem but he has come as he feels it is too much for him to bear loss of appetite and if it won’t control at this stage it can increase further. He sees that the ultimate danger for his life is his loss of appetite so he wants to escape from it. ( this is escape ).
Alert	P: I was avoiding homoeopathic treatment as I heard that you give medicine first to increase the problem for cure. Dr. please don’t give me such a medicine as I am already suffering from too many problems. D: Why on one side you are not bothering for rest of problems and on the other side you are so much worried about your loss of appetite.? P: Earlier I was not worried about my loss of appetite too. It is only when I noticed it continuing for so many days and also increasing that I thought of consulting a Doctor
Del, Injury, about to receive Well says sick very	D: What if it increases further? P: Then I will be in more trouble Today I have reduced appetite, one stage will come when I will lose it completely. D: How do you take your problems? Suppose you get headache, fever like problems? P: I never feel them. For minor problem I never take any medicine. I don’t remember that in my life I have ever taken medicine or gone to any Doctor on my own. I never feel I am sick.
Stupefaction, rouses with difficulty	P: It is my family members who put pressure on me. It is also after much persuasion from them that I v is it a Doctor. Till there is no heat up between us I don’t move. Note: It shows that the senses which help in the reflex action of the body are benumbed. They are neither taking the signal nor passing the signals. They are blocked. Though there is a sensation- current - in them but not enough to stimulate the body. It is only after much stroke that they come into action but for a short time till strokes are there.
Indifference, chill, during	The other mental state of this patient is that they don’t react till they feel there is something to worry about. Things are milder.
Del, Enlarged, distances	The following are the possible reactions. He won’t visit second time. This state comes when a patient gets much relief from the first prescription. He thinks that there is no need to report further. Why? Because he feels that the rest of his problem can heal itself. His thinking is to save the money, why to pay more. He likes to wait and watch for some time. May be the medicine is still working on him. Why to pay money to the Doctor for consultation only. He will visit the Dr. again if he feels that the problem has stayed and no further improvement is coming. He will come and says, “There is no improvement. I had taken the medicine for one week. I was sure that there would be some relief but there is totally no relief.” If you know opium, you must keep in the mind that he can give you this statement. The psyche is that to him a little improvement is nothing and little left is too much. If you remind him that he is better than the first time he visited you. He reminds you that Dr. I have taken medicine for 1 week. According to him the improvement is nothing. If you remind him that earlier he had 6 problems out of which 2 are gone means there is a lot of improvement. He reminds you that he had 6 out of which only 2 are gone still he is left with a lot means 4.
Unreliable, promises in his Business, Talks of	P: How much time will it take to cure rest of my problems? You had promised me to cure all my problem with one medicine. But still I have got relief in only one problem. D: You also promised me that you will take the medicine regularly but you never come at the appointed day. Rather you always come after 10-15 days. P: What can I do? Your charges are so high. You must reduce your fees. Still I promise you next time I will be come on the appointed time.

Key words

• Tolerate: First he told me something, I tolerate, but now he tell something that I can not tolerate it any more
• Wait and watch
• Aggravation: Do not give any medicine which increases my disease

Fear / Fright / Dread

Fear vs Fright	Fear of fright	Rubrics
Fear is About a future happening Fright is due to past. He has bad experience / Aggravation and does not want to do something which ends in that experience Most of Op disease triggered with a fright They are afraid of agg so they do not come to Homeopathy. I had a bad experience when I was a child. I do not want it is repeated.	Here the patient had a fright "Experience in the past"" and now he fears if he would have it again in the future "Anxiety fright after": I become scared when I encounter with any of my old symptoms It is very similar to Anticipation anxiety	Fear, fright, previous fright, because of: Acon, Bell, Nat-m, Op, Verat Anxiety, fright remains, if the fear of the fright Torpor, menses, suppressed from fright; in menses Unconsciousness , menses, suppression of, from fright Frightened , eyes, on closing

Other Rubrics

Alternating states	Deliriums / Visual dellusions	Threatened	One Remedy
Anger, alternating with antics playing Anger, alternating with cheerfulness Anger, alternating with exhilaration Anger, seizes the hands of those about him Cares, alternating with exhilaration Exhilaration, alternating with grief blissful perspiration, during Sadness, alternating with playing antics Insanity, alternating with stupor	Delirium, cold, after catching Delirium, devils, sees Delirium, epilepsy, during Delirium, rolls on floor specters, sees Del, dragons, of Del, whirling everything round him; he is whirling with Activity, dream, like a - perspiration, during Del, drunk, is, smoke in brain; from Gesture, grasping, picks at bedclothes, dreams, during - sleep, during	Del, execute him, people want to Del, execute sliding impelled by an invisible agent; he is sliding along the ground Del, criminal, executed, to be Del, stabbed, somebody threatened to stab him; as if Jealousy, people around, of Bites, arms, bites own Cursing, afternoon	Del, double being, conquer the other; there were another self and he is not sure which will Del, talking, she herself; she is talking with Forgetful, connection of consecutive thoughts, of, apoplexy after Content, night, forgets all his ailments and pains and quiet

Witty

Del, Criminal he is a, Executed to be