From Sensation to Synergy: The Evolution in Homeopathic Practice

From Sensation to Synergy: The Evolution in Homeopathic Practice

By: Dr. Rajan Sankaran MD (Hom), FS (Hom)(UK)

Since Dr. Samuel Hahnemann’s time, many eminent homoeopaths have contributed and expanded the basic principles of homoeopathy with outstanding results. One such contribution to the advancement of homoeopathy is the Sensation Method.

Originated by Dr. Rajan Sankaran and his colleagues, the Sensation Method is a path-breaking methodology that has revolutionized the practice of homoeopathy. Today, thousands of homoeopaths are successfully practicing this cutting-edge technique across the world.

The Sensation Method is based on the premise that deep inside each individual is a specific and distinct energy that shapes who we are – our likes and dislikes, the way we think, act and feel, and finally our illnesses and diseases. This energy pattern is called ‘the other song’.

‘the other song’ defines our state of being. It determines our perception and response to the world and forms an essential part of our individuality. ‘the other song’ manifests as a core inner sensation which is specific to each individual. It matches an element from one of the three kingdoms in nature – plant, animal or mineral. Our personalities, life patterns, underlying factors behind stress, physical problems and symptoms are all expressions of this core inner sensation.

The Sensation Method has also evolved a systematic approach of understanding homoeopathic remedies. Remedies are understood at a much deeper level, and they are not just as a random collection of symptoms. Each remedy is understood in totality from the point of view of Kingdoms, Sub-kingdoms, Miasm classification, and Levels of Experience. This enables a systematic, effective diagnosis and treatment of the core inner sensation within each patient.

With further advancements by Dr. Sankaran and his team, the Sensation Method has now reached a pinnacle where it has further simplified the art and practice of homoeopathy – this concept is coined as ‘The Synergy in Homoeopathy’.

‘Synergy ’denotes the coming together of two or more things to create an effect that is much greater than the sum of the two.

The utilization of traditional homoeopathic tools such as material medica and the repertory (left-brain concepts) in combination with more modern homeopathic approaches such as sensation and kingdom understandings (right-brain concepts) generates the most success in clinical practice.

The Synergy Approach in Homoeopathy

The diagram below can illustrate the Synergy Approach:

sensation to syngery image file

The peak of the triangle is the Genius. Genius here means the prevailing spirit or distinctive character of something – this applies to the patient and also to the remedy. As coined by Dr. C.M. Boger. In the foreword to Boger’s Synoptic Key he states –“The strain which runs through every pathogenetic symptom complex has been called the genius of the drug.” The first few lines about each remedy in Boger’s Synoptic Key usually give a very good idea of the remedy’s genius. This general quality of the patient and of the remedy has also been called, by various authors in homoeopathy, the essence, keynote, soul, red line, or the grand generals.

The sides of the triangle, Symptoms and System, complement each other, and when they are used together the best results ensue. Symptoms include the use of rubrics, structured repertorization, keynotes, provings, characteristics, and clinical symptoms. The System includes kingdom, sensation and miasm.

When utilizing the idea of “Synergy”, all three sides of the triangle (Genius, Symptom and System) must be included in prescription, and ultimately each one will reach the same conclusion and remedy that matches the patient.

This is a system that is unique – its design can be taught, practiced, and replicated successfully by students and practitioners. This method has brought together both the old and the new approaches in homoeopathy – it has established a universal platform where all approaches in homoeopathy are welcomed and used to aid in the patient’s recovery.

Let us look at a case example.


This was a case of a 26-year-old patient who consulted Dr. Rajan Sankaran at ‘the other song’ on the 2ndJuly 2013 for multiple complaints such as Cerebral Venous Thrombosis, Polycystic Ovarian Syndrome, Pulmonary Embolism, Splenic Vein Thrombosis and Thrombocytopenia.

She has had dry eyes, urticaria and irregular menses for the past5 years. Her platelet count was 1lakh 10thousand, and that was the maximum it had ever been. In her childhood, she had a tendency to recurrent cold and cough, mostly around 1 year of age. She had also suffered an attack of mumps and was suspected to have Tuberculosis. She developed urticaria and headaches in her teenage years.

Her headaches were mainly left sided and often associated with nausea and vomiting. During the headache she was oversensitive to strong odors, light and noise. The pain was stabbing and throbbing in nature especially around the temple.  She was better in the dark, by bending forward and being in a quiet place. Her headaches aggravated if someone suddenly opened the door, or with sudden loud noise, and strong perfumes. She also felt better by walking in cool air or lying on left side.

Her headaches occurred once or twice a month.

Her urticaria usually came at night and would begin around the neck and spread across to her arms. This happened two or three times every month.

In food and drinks, she loved eating sweets and drinking tea and coffee. She also has irregular menses and irritability before menses.

She dreams of snakes, horses, flying and falling. She had a recurrent dream of a man whose face she was unable to see. He puts a weight on her chest and there is difficulty in breathing. When she runs out of breath she wakes up. She also dreamt of being on horseback and suddenly the horse turns into a man. Another dream was about snakes, big and small ones. She explained that the small ones did not harm her but the big ones were chasing her. The snake was dark brown in color, with a horn on its back. It was chasing her and she had to cross a river on a horseback, to stop it from chasing. The feeling in the dream was mainly of fear and whether or not she would make it across her river. She experienced sensations of constriction and tightening in her chest. She feared being caught by the snake. Besides these recurrent dreams, she also dreamt of someone following her but when she turned around, nobody was there. She often felt someone was watching her. She also dreamt of falling among other vivid dreams.

She is very sensitive to being criticized and she cannot tolerate unjust actions. She gets angry and upset if someone points out one particular thing about her. She is greatly affected by stories of rape, which caused her to feel anger. She feels like taking charge and telling them. In anger, her body becomes warm and her hands start trembling. She would want to hit things like her pillow.

During the case-taking she quoted her college professor who in her understanding was a cruel man. He used to target her and make fun of her. Whenever she thinks of him she feels a lot of anger and would like to thrash him. She often dreamt of this man too. In her dreams, he is a mastermind in torturing her. He ordered someone to torture her so he would not get caught directly. He would ask another student to trouble her and mentally torture her. He was trying to deliberately hurt her by insulting, hitting or slapping her. In this dream, the feeling is of intense anger.

She also explained that she was the only Indian girl in her class and her classmates would call her black and make fun of her. She would feel like crying and try and avoid the person who did this to her. Further, she narrated a story of one of her schoolmates, who would confide in her. This girl once wrote a letter to her, telling her she wanted to kill herself. After receiving this letter she was extremely scared. She was afraid that this girl might hurt herself. She was breathless, anxious, and her face was very warm.

She loved painting, sketching, crafting, reading and music. She disliked horror movies, especially ones about paranormal activity. In these types of movies, vague things would happen, such as objects moving, people disappearing etc., and this frightened her. Her heartbeat would become erratic and there would be a sensation as if her chest was constricting and there was not enough air to breathe. Here again her face becomes warm. When asked to describe paranormal, she spoke about demons and ghosts not having any physical form, only shadows, and they are unknown and unseen.

She was taking morphine and hydroxyl chloriquine sulphate for the dry eyes, irregular menses and headaches.



In the above case, we see multiple pathologies such as thrombophlebitis, pulmonary embolism, cerebral venous thrombosis and thrombocytopenia with uritcaria and PCOS.

From this, we can understand that there is a strong affinity of venous congestion and veins. When we look at her local symptoms such as her headache, we see it is mainly in the temples, left-sided, with a stabbing sensation, worse by light, noise and better in a dark and quiet place (this is common for many cases with headache). But what is uncommon or peculiar in this case is her amelioration from walking in cool air or open air.

The next peculiar symptom is urticaria that mainly arises in the night.

She also had some peculiar dreams especially of horses and being pursued by snakes. In her dreams she felt she was being watched by someone, being pursued by someone whom she is unable to see/trace, and there was a feeling of someone behind her when there was no one. We can consider this as ‘Clairvoyance’.

These are a few of the sure-shot symptoms on which we can lay our foundations on in order to find the most suitable remedy.

When we go deeper and explore the feeling in her dreams, she described it as a constricting, tightening sensation with difficulty in breathing. This is a characteristic sensation and is very individual to her.

Further, she spoke about her sensitivity towards a professor who was cruel and always targeted her, made fun of her, and manipulated the other students into troubling her. In this situation, we clearly see her experience of life as being victimized, and there is a strong Victim-Aggressor theme directing us to the Animal Kingdom.

The mode of survival/attack comes from her idea of being pursued, someone hidden coming to attack from an unknown territory. This is beautifully explained in her fear while watching horror movies where there is paranormal activity and sudden attack, where people are disappearing and ghosts are there but they are unseen.

This mode of attack is seen in Reptiles. Here, the attack is hidden, sudden and unexpected, which is the same mode of attack in snakes.

In snakes there are 2 main groups: Crotallinae and Elapidae.

Sense of threat all the time Threatened when somebody trespasses into their space with intention to harm
Never confronts the opponent face-to-face; attacks in a sudden, hidden manner Confronts the opponent in a direct face-to-face encounter
Issues related to ‘Being in danger to others’ and ‘constantly anticipates a sudden, covert threat from others’ Issues related to ‘injury-multiple/repeated attacks’
Crotalinae people feel small and powerless to attack their opponent who is much more powerful as compared to them. They make up for this by not attacking the enemy directly; they never meet the latter in a face to face confrontation. Instead they launch a sudden, covert attack. In humans, it may be seen as inability to defeat the opponent by single lethal attack because of some disadvantage (in case of snakes it is the small fangs). Elapids people compensate for it by being right in front of their opponent and inflicting repeated injuries/by repeated attacks.

Example: Boxing

(Differentiation from Vital Quest Software)

From the above comparison we can see that this particular patient belongs to the Crotallinae family.

When we search in the Reference Works Software we find:

Walking within three words of open/air within three words of amel. in the same remedy as thrombophlebitis in the same remedy as dreams/delusions within three words of pursued in the same remedy as snakes in the same remedy as urticaria (3): ars alb, crot-h., lach.

We also find the following symptoms:

  • Trembling within three words of anger- crot- c
  • Dreams horses- crot-c
  • Heat within three words of face- crot-h
  • Pain in the left temple- crot-h

Interestingly, Crotallus Horridus and Crotallus Cascavella are both rattle snakes from the Crotallinae family.

When we refer to the Materia Medica Reference, we find in Knerr’ Repertory:

  • Heat in the face with nervousness and depression(the one remedy in this symptom is Crotallus Horridus)


The level of experience of the patient is Level 4, the level of Dreams and Delusions.

The pathology is at the Hormonal level and therefore the PNEI axis is involved.

Therefore, the choice of potency would be 1M.

The patient received Crotallus Horridus 1M 1 dose followed by cosmos twice daily for 1 month.


After starting the homeopathic remedy in July 2013, there was a marked improvement in the patient’s uritcaria, migraine and sleep. Her menstrual cycles were regular and there was no thromboembolic episode for almost2 years.

She got Dengue in late 2014, which was followed by a thromboembolic episode (chest) after which she discontinued the medicines.

In early 2015, she got Dengue again, which was again followed by another thromboembolic episode (deep vein of the leg). This condition was not responding to an increased dose of Warfarin and added doses of Heparin, and that is when she contacted us again.

This particular episode responded quickly to Vipera 1M (she had very intense bursting pain in the affected leg on putting it on the ground >elevation).The dosage of Heparin and Warfarin had to be reduced (which was a good sign).

She then got married and again discontinued the homoeopathic medicines.

In January 2016, she started getting nightmares (of sensing an evil presence behind her),and there was a very strong feeling of being betrayed with heat in face, and palpitations with suppressed rage.

This is when Crotalus horridus 1M(1 dose)was repeated.

The patient was fine in her complaints of migraine and uticaria in 2017, but her menses was irregular.

Her INR was fluctuating and the doctors switched her from Warfarin to an injection of Heparin. For the initial 2-3 weeks of this treatment, she had Reynaud’s phenomena, where there was painful swelling of her fingers when she was in a cold room or when she would hold chilled objects.

Her father-in-law was an ex-police man and he was very dominating, insulting, rude, and he disliked her. He stopped talking to her and this made her very angry. She wanted to yell and lash out at him. She did not want to do any physical harm or kill him but wanted to scream at him. There were strong palpitations with heat in the face and ears, and constriction in chest with anger.

Overall, her sleep was better. It would only get worse if there was urticarial, which was worse in the morning on waking up from sleep. She also had episodes of migraine that were bursting and throbbing in the right temple. Her urticaria is much less and the episodes of migraine have also decreased to a great extent.

ABOUT: Dr. Rajan Sankaran L.C.E.H, M.D.(HOM), F.S.(HOM) (UK)is internationally renowned as a clear thinker and is best known for his path breaking concepts, especially his understanding of disease as a delusion, his use of mind symptoms and dreams, his classification of remedy states into kingdoms and his additions to the existing miasms. His recent work on the plant kingdom and the seven levels is fast gaining in popularity and promises to revolutionize Homoeopathy.

This case was previously published in National Journal of Homeopathy (NJH) September 2017.



Master’s Program