Repertory to 1000 redline symptoms of materia medica AV Lippe

Dr Mansoor Ali.
Aim : To construct a repertory to the world renowned masterpiece ‘Keynotes and redline symptoms of the Materia medica of Dr. Adolph Von Lippe’ and proving its effectiveness by clinical verification for Homoeopathic therapeutics.

Contents

  1.  Acknowledgment
  2. Aim
  3. Introduction
  4. Preface
  5. Brief life sketch of Lippe
  6. Silent features of this repertory
  7. Abbreviations
  8. Author index
  9. Repertory proper
  10. Materials and methods
  11. Inferences
  12. Bibliography
  13. Appendix 

Preface
This is an  authentic work
in the history of  homoeopathy on Lippe’s Keynotes and redline symptoms of the materia medica.

The language of the repertory is different from language of the material medica and different from the language of the patient because repertory uses a more limited vocabulary. It is important to remember this quality especially as more and more rubrics are created. The core of the expressed symptom or idea will only be found in repertory. The main problem is the conflict to maintain maximum readability with a limited conciseness.

This repertory is an accurate and reliable conversion and the fullest collection of the symptoms of all the remedies from Lippe’s material medica as it is possible to obtain within its compass. I have done everything possible to make this book accurate, up to date , and in accord with accepted international standards.

Each sterling symptom in the context other than that of Dr.Lippe has the name of its author given against in abbreviatory form.

This repertory is intended to serve as a handy and useful reference book. It is an attempt to lessen the difficulties of the practitioner – especially busy practitioner and new comers.

Prescribing in homoeopathy is an Art. One can achieve a sort of proficiency in this Art by constant and diligent study of the remedies in material medica with reference to their place value given in the repertory.

Repertory which is an index of symptoms can be utilized in a better manner only when the user is aware of how to convert the conditions into symptoms, and the symptoms in to rubrics.

Majority of physicians who have never used or have rarely used repertory complain about its elaborate method and time consuming nature .However, one who have used it meaningfully, find it quite useful and time saving too.

Many of the practitioners and students find it very difficult to interpret these symptoms and conditions to refer in the repertory and to arrive at the similimum. And this is an effort to help the practitioners especially the new comers in using the repertory.

One of the main problems we encounter in practice is the conversion of the patients’ symptoms in the proper language of the repertory. In order to overcome this problem we shall be able to understand exactly the meaning of each rubrics, sub rubrics.

The work has been made with the purpose of helping the students and practioners who my wish to make themselves familiar with the rubrics – a simple and easy way of instant repertorisation.

The work is small but comprehensive and will prove very useful and beneficial for every body. The presentation itself is unique I think.I have tried with best of my efforts, knowledge and hard work to make this a valuable work. I make no pretence that this work is either complete or final. I had made an honest attempt and all my sincere effort to compile this repertory . My aim is to stimulate the students and practioners to make their own ideas and observations.
I think that this repertory will minimize the disadvantages of traditional repertories even though a concise repertory cannot take the place of exhaustive repertories like Kent.It is aimed at reducing the burden of the prescriber in every sense.
I hope and wish that this work will be accepted and appreciated. I welcome any suggestions from any quarter it may be, so that this work can be improved upon.
– Dr.K.R.Mansoor ali

Sailent Features of this Repertory

  1. This is an authentic work in the history of homoeopathy on Lippe’s Keynotes and redline symptoms of the materia medica.
  2. Large number of medicines : Even though it is aid to be a keynote . It covers about 234 medicines which include all the polychrests and useful rare remedies both for the acute and chronic complaints.
  3. Instant prescription : This repertory is intended to serve as a handy and useful reference book. It is an attempt to lessen the difficulties of the practitioner – especially busy practitioner and new comers. This repertory will minimize the disadvantages of traditional repertories even though a concise repertory cannot take the place of exhaustive repertories like Kent.
  4. Authenticity : This repertory is an accurate and reliable conversion and the fullest collection of the symptoms of all the remedies from Lippe’s material medica as it is possible to obtain within its compass. Each sterling symptom in the context other than that of Dr.Lippe has the name of its author given against in abbreviatory form.
  5. Abbreviations : Standardised to Synthesis – which adds reliability. Since no abbreviations are given by Lippe in his materia medica.
  6. Terminologies : Latest modern terminologies and diagnostic terms are used avoiding outdated terminologies (but preserved wherever required). This make the comprehension easier and to the simplest.
  7. Groups of symptoms : Symptoms are divided in groups and these groups are always following each other in the same order – as in Kent’s repertory.

SIDE
TIME
MODALITIES
EXTENSIONS
8. Grading of symptoms
BOLD : High grade – 3 mark
Italics : Second grade – 2 mark
Roman : Third grade – 1 mark
9. Arrangement of rubrics and sub rubrics – general to particular
CAPITAL BOLD : main rubric
– denote Sub rubrics
. rubrics under sub rubric as in Synthesis

10. Some special rubrics – which are not found in Kent’s repertory
Mind : Ailments from
Alternating complaints
Depression
Melancholic
Precocious mentally
Vertigo : Hysterical
Head : Clavus hystericus
Ear : Baldness over ear
Mouth : Articulation imperfect with confused sound
Teeth : Cupped
Throat : Stricture esophagus
Stomach : Dyspepsia
Abdomen : Rheumatism belly of muscles
Rectum : Entero colitis
Fissure
Female : Hyper emesis gravidarum
Pregnancy after effect of
Undeveloped uterus
Extremities : Gout
Milk leg
Rheumatism
Wrist drop
Fever : Influenza
Milk fever
Typhoid
Generalities : Acute disease
Arteriosclerosis
Atrophy muscular progressive
Cachexia
Cretinism
Diathesis
Hyper tension
Leukemia
Small pox prophylactic
Tetanus
Typhoid after

11. Rare but important medicines – many are poorly represented in Kent’s repertory .More over,nosodes and sarcodes are more represented.
Angustra, Apocynum, Asafoetida,Asteria rubens,Calc-sulph,Cascarilla,Coeanthus,Chininum ars,Corallium rubrum,Cuprum ars,Diptherinum,Euphorbium,Latrodectus,Laurocerasus,Merc-cyn,Merc-dulcis,Merc-sulph,Oleander,Parrisquadrifolia,Sarracenia purpura,Strychinum,Tarentula hispana,Taraxacum,Tuberculinum,Uva ursi,Vaccinum,Variolinum,X-ray,Yohimbinum.

12. Character of pain are limited to a particular level, because these will not have much use in repertorisation and also differences in interpretation.
13. Relationship and concordance are avoided as they are available in updated and collective form more than from this repertory
14. Generalities : Some more rubrics may be added to the generalities chapter in subsequent editions – by converting repeated particulars and high-grade commons to the level of generals. Great difficulties I encountered here because symptoms given in this materia medica under general modalities have no grading.
15. Cross references and Synonyms : For the time being cross references and synonyms are not included, which may be incorporated after an in-depth study in subsequent editions.

Introduction:
Dr.Adolph Von Lippe was a world renowned homoeopath .He augmented and improved the Homoeopathic materia medica and his clinical reports has shown how this may be rendered practically in the application of Homoeopathic knowledge and principles.
This book is an accurate and reliable compilation and the fullest collection of the characteristic symptoms of the most common remedies as it is possible to obtain within its compass.
This books gleaned from the author’s writings, appearing in several old foreign journals, together with the other important ones. collected from the writings of the great homoeopaths of the by-gone days.

These redline symptoms show the peculiarities and differences of medicines, and have been ascertained by repeated verification of symptoms obtained by proving on healthy and cures on sick.
This book supplements every other work on this subject and if used as a ready reminder of the common important facts of our vast Materia medica, it will fulfill its purpose and prove the greatest aid to profession and students alike.

When this materia medica is converted in to a repertory ,it will be highly useful in the selection of the similimum without wasting much time.
This work has been under taken under the belief that it would serve most useful purpose to students and practitioners for ready reference.The work is small but comprehensive and will prove very useful and beneficial for every body – but the task has been a Herculean one.

Materials
The material for this study were collected from the out patient and in patient department of Government Homoeopathic Medical College.Calicut from December 2001 to April 2002

Methods
The method used for this study is clinical method and for the confirmation and scientificity the result obtained has been statistically analysed and evaluated. The method of approach was clinical study without the use of controls.

30 cases were selected for the study, out of which 15 cases were treated with Kent’s repertory and 15 cases were treated with Lippe’s repertory and compared. Detailed history was taken in each case with special reference to mental generals, physical generals, habit, family history and past history .Age sex and socio economic status were considered as attributes. Each case was reviewed on one week, two week and monthly time intervals. In between the period of medication all patients were kept under blank tablet continuously .
In each case a routine hematological examination and urine examination was done. Potencies ranging from 30C to 10 M have been used in this study.

Diet and regimen
All patients were directed to continue with the same diet as earlier. All of them were directed to stop the use of all the medicine prior to the start of this treatment.

Effectiveness
Effectiveness of the treatment was assessed on the basis of relief from symptoms, clinical improvement and changes in the score taken after working out in Kent and Lippe’s repertories.

ANALYSIS
Various facts obtained during this comparative study were treated according to statistical principles .

Observations and discussions
This study to evaluate the efficacy of Lippe’s repertory in homoeopathy provides evidence to say that there is enhanced success on using this repertory in homoeopathic treatment. Thee for Lippe’s repertory is very effective.- especially in acute cases, and also in instant prescriptions.

30 cases were selected for the study, out of which 15 cases were treated with Kent’s repertory and 15 cases were treated with Lippe’s repertory and compared. Detailed history was taken in each case with special reference to mental generals, physical generals, habit, family history and past history .Age sex , socio economic status were considered as attributes.

Each case was reviewed on one week,two week and monthly times intervals. In between the period of medication all patients were kept under blank tablet continuously .

In each case a routine hematological examination and urine examination was done. Potencies ranging from 30C to 10 M have been used in this study.Effectiveness of the treatment was assessed on the basis of relief from symptoms, clinical improvement and changes in the score taken after working out in Kent and Lippe’s repertories.Various facts obtained during this comparative study were treated according to statistical principles.

30 patients belonging to the age group of 1-80 years were selected for the study. Among this maximum number was from 60-69 years of age- 8 patients 26.66%. The second important group was 50-59 years of age – 6 patients 20%.

Twenty one (70%) among the 30 cases were male and Nine ( 30%) were females.
Out of 30 patients 14 were( 46.66%) were addicted to Smoking
Eight (26.66%) were addicted to Alcohol
Five (16.66%) were addicted top betel chewing
Four ( 13.33%) were addicted to both smoking and alcohol

Ten acute cases (33.33% ), and Twenty chronic cases(66.66%0 were selected for the study Only half the time is required while using Lipp’e repertory both in acute and chronic disease repertorisation compared to Kent’s Repertory.

In this study out of 7 patents who had relapsing fever 3 patients (42.8%) showed marked improvement with in three month on using Kent’s Repertory while 4 patients received (57.1%) more benefit by using Lippe’s Repertory. Out of 5 head ache cases 2 patients (40%) got relief speedily with Kent’s repertory while 3 patients (60%) got speedily benefit from Lippe’s repertory.
Out of 8 cough cases 3 patients (37.5%) showed marked improvement with in three months with Kent’s Repertory but y 5 patients ( 40%)got improved on Lippe’s repertory.Out of 3 dyspnoea cases 2 patients (60%) got improved with Kent but only 2 patients (40%) got benefit with Lippe
In 6 patients with Rheumatic pains 2 patients(33.3%) got benefit from Kent’s repertory while only 4 patients ( 66.7%) received relief with in three months by using Lippe’s repertory.
In skin complaints out of 5 patients 2 patients (40%) received benefit from Lippe but ly 3 patients ( 60%) received benefit from Kent. Out of 3 psychic case 2 patient ( 66.6%) got improvement on using Kent’s repertory but only 1 patients received benefit with in three month from Lippe.

In general out of 10 acute cases 4 patients (40%) received benefit with in three month from Kent but about 60% ( 6 patients) got speedy benefit from Lippes repertory. In the case of chronic cases out of 20 patients 12 patients (60%) improved with Kent but only 8 patients ( 40%) improved with Lippe’s repertory.

After the treatment presenting complaints are reduced at a higher rate than on using Kent’s repertory. Time consumption is less. Acute diseases were effectively managed than Kent’s repertory.

Summary and conclusion
This study to evaluate the efficacy of Lippe’s Repertory in Homoeopathic therapeutics provides evidence to say that there is a convincingly high success rate if this repertory is followed. There fore the repertory is effective.

A Sample page
MIND

ABASHED : Phos-ac
ABSENTMINDED: Agn.Kali-br. Lac-c.Nux-m
ACTIVE : cann-s.Coff.Tub
– too : cann-s

ACTIVITY nervous ,then sudden exhaustion : viol-o

AILMENTS FROM :
– anger : Acon. Bry.cocc.Nat-m.sep.Staph
– anxiety: samb
– chagrin : Bry.Staph
– emotions sudden : Coff
– emotions violent : samb
– fear : bell
-right : Acon. Gels.Ign.lach.Op
– grief : lch.lach.Phos-ac
– grief chronic effect of : Phos-ac.samb
– grief suppressed : cycl.lach
– indignation : Coloc,Staphy
– indolence : helon
– jealousy : hyos.lach
– joy from excessive : coff
– love disappointed: ant-c.calc-p.lach
– love unfortunate : hyos.Ign
– mental excitement : glon
– mortification : Bry
– offences : Ign
– pleasurable surprises : Coff
– sexual desire suppressed : Con
– sexual indulgence excessive : Con.samb.Staph
– sorrow : Ign
– talking more : Nat-m
– terror of consciences of duty not done : cycl

ALTERNATING : coff
– cheerful and depressed : Croc
– laughing and weeping : coff.Sanic
– mental and physical symptoms : Plat

AMATIVNESS : lach.phos

AMOROUS : Canth.gels.Iod

ANGER : Anac,Arn. Bry.caps.Hep.Mur-ac.Nux-v
– child at every attention : Ant-c
– excessive : Anac
– inclination to : Coloc
– indignation with : Coloc
– offense from slight : Anac
– trifles at : caps.Hep
– violent : Anac

ANGUISH : Acet-ac. Bism.Camph.coff.Iod.nit-ac.plat
– loss of dearest friend from : nit-ac
– loss her sense and die soon : plat
– restlessness with : Bism
– suffocate as though he would : Camph
– tossing with : cocc

ANIMALS
– see after taking alcohol : Ars

ANSWER :
– abruptly : stann
– correctly but stupor returns at once : Arn
– does not but sings and talks : Agar
– efforts with : Arn
– falls asleep in the middle : Bapt
– slowly : Arn.Echi.Phos
– surly : nux-v
– unable due to weakness: Stann
– unwillingly : stann
– unwilling not from obstinacy but from inaptness : sulph

ANTICIPATION : Gels
– church for preparing : Gels
– diarrhea with : Gels
– to meet an engagement : Gels

ANXIETY : Acet-ac,Acon.aml-ns.Ars.con.Chin.dros.ferr.graph.Hep.kali-c.Lil-t .Mosch.Nat-c.Nit-ac.Plat.plb.pyrog.Ther.Verat
– disease about his : kali-c.Nit-ac
– evil was impeding on as if : Meny.sep
– fear of approaching death with : Plat
– future about : graph
– genital system originating from : Mosch
– happen something will : aml-ns
– heart about : Meny.Ther
– hypochondriacal : Mosch
– inconsolable : Acon
– incurable disease about : Lil -t
– pain with : Nat-c
– palpitation of he heart with : Mosch
– restless : Rhus-t
– thunderstorm before : Phos
– thunderstorm during : Phos
– unreasonable : Hep
– trifles about : con.ferr

APATHY : syph

APATHETIC : Arn. Chin.Phos-ac.Phos

APPREHENSION : Anac,Arg-n.Calc.cann-i.castm.cic.crat.dig.rad-br.rhus-t
– approaching death of : cann-i
– church in : Arg-n
– evening in : Calc
– future about : cic
– menses during : castm
– misfortune of : Calc
– night in : rhus-t
– peace giving him no : Anac
– someone pursuing on walking : Anac

If anybody interested in publishing this repertory please Contact  :  similimateam@gmail.com

A study of common skin diseases based on Kent's repertory

Dr Anoob K K

Skin, the mirror of internal man is the largest organ of our body, consisting about 1.7m2 in surface area and 4 kg of body weight. it is the major interface between the man and his environment. Dermatology the science of skin disease is a visual clinical specialty.

As far as homoeopathic physicians are concerned the study of skin diseases are very important, because skin is one of the most important site of action of our medicines.

In repertory of homoeopathic materia medica by Dr. J.T.Kent we perceives numerous dermatological problems of which some are expressed in old terminologies, if we understood the exact meaning of these terms, it will be great help in the selection of exact similimum .In this work my intention is to investigate through the deeper aspect of skin in kent’s repertory.

Functions of skin:-
1) Protection against water loss (sc)
2) Protection against water gain.(sc)
3) Protection against penetration of toxic substances.
4) Protection against microbial attack.
5) Thermal regulation through heat loss, via
(a) Sweat evaporation and
(b) Vasomotor regulation.
6) Communication through sensory massage.
7) Immune function with a role in protection against foreign antigen.
8) Metabolic function with an important role in synthesis of Vit D after solar UV radiation.

Classification of skin disorders .
Skin disorders may either be generalised, affecting all part of the integument, localized to one or several sites. The site of abnormality is known as a lesion. Or they may be eruptive (exanthematic) in which large number of lesions appear spottily over the skin.

Classification based on the elementery lesions: –
{1} MACULE.
Conditions: –
(a) Erythema.
(b) Rosacea.
(c) Lupus.
(d) Chloasma
(e) Xanthelasma.
(f) Syphilis.
(g) Purpura.
(h) Naevus.
(i) Lenigo Maligna.
(j) Leucoderma.
(k) Roseola.

{2} VESICLE.
Conditions,
(a) Eczema.
(b) Erysipelas
(c) Herpes.
(d) Impetigo contagiosa.
(e) Erythema multiforme.
(f) Scabies.
(g) Sudamina.
(h) Varicella.
(i) Zoster.

{3} BULLA.
Conditions,
(a) Erysepelas.
(b) Leprosy.
(c) Pemphigus.
(d) Rupia.

{4} PUSTULE.
Conditions,
(a) Acne.
(b) Ecthyma.
(c) Eczema.
(d) Furuncles.(Boils)
(e) Scabies.
(f) Sphilis.
(g) Variola.
(i) Dermatitis multiforme.

{5} PAPULE.
Conditions,
Acne
Erythema multiforme
Eczema
Lichen plannus
Lichen simplex
Lupus
Milium
Molluscum
Prurigo
Rubiola
Scabies
Syphilis
Urticaria
Variola

{6} TUBERCLE
(a) Acne
(b) Fibroma
(c) Lentigo maligna
(d) Leprosy
(e) Lupus
(f) Syphilis
(g) Morphoea

{7} SCALES.
(a) Icthyiosis
(b) Pityriasis simplex
(c) Pityriasis Verscicolor
(d) Psoriasis
(e) Syphilis
(f) Tricophytosis capitis
(g) Eczema
(h) Lupus erythematosis

[1] MACULE

Localized lesion no more than discoloration of skin, with out any secretion, effusion, and change in thickness. It may be black from increase of pigment Or white from loss of pigment or red from congestion.
Rubric; In kents repertory we can’t get the rubric macule so we can take
Skin, Discoloration, also in location chapters

Conditions:-
a) Erythema.
Rubric:-
Skin
Eruption, nodular,rosy(erythema)
Almost all conditions comes under immunologically mediated skin disorders.
E.g.:- Erythema multiforme
Erythema nodosum.

1) Erythema multiforme.
An acute and relatively short lived inflammatory reaction of skin and mucosae occurring in response to a variety of antigenic stimuli resulting in scattered lesions in dermoepidermal junction
C/F :Red to purple macular papules some of which become annular: Face and upper limb commonly affected. Front of mouth is eroded and sloughy. Disorder starts acutely and usually over in less than two weeks. Etiology unknown. Disorder may be precipitated by infections like: Herpes simplex , coccidio mycosis, Histoplasmosis etc.

Erythema nodosum
A painful inflammatory disorder in which crops of tender nodules occurs in response to antigenic stimuli.
C/F: Individual lesions are red, raised and tender, varying in size from 1 to 3cm in diameter. Occurs in crops on shin, less common in forearm. Lesion takes two to six weeks to resolve. Disorder may be precipated by infections like : Tuberculosis, Sarcoidosis, Brucellosis, Leprosy.

B] Chloasma.
Macule is somewhat diffuse occurring in forehead and cheeks and is of brown colour. These changes in degree of pigmentation common in pregnancy. Dark areas appear symmetrically, across the cheeks ,around the eyes , over forehead giving a mask like appearance.
Rubric; no direct rubric.
We can take Face, Discoloration, brown spots
Forehead spots etc.

[C] Xanthelasma.
Lesion appears as a papule around eyes, not associated with hyperlipidemia in 60-70 % of cases.
Rubric; Face eruption, lids on.

[D] Rosacea (Rosy macule)
Is a chronic inflammatory lesions of face.Characterised by persistent erythema and talangectasia punctuated by acute episodes of swelling and papule. Papules are red, dome shaped and nontender in contrast to Acne. Common in cheek, forehead, nose and chin.
Rubric; Face,Eruption,Acne,rosacea.

[E] Lupus vulgaris.
Is a rare slowly progressive granulomatous plaque on skin caused by tubercle bacilli. Often has a thickened psoriasiform appearance but blanching with a glass slide will reveal gray green foci due to underlying granulomatous inflammation.(apple jelly nodules)
Rubric; Skin ,Lupus.

[F] Syphilis.
This disease caused by Trepanema pallidum. Reddish macule appearing in early syphilis chiefly on chest abdomen and back. Macule resembling those of leucoderma and met with about neck in young in early period.
In secondary syphilis there are wide spread macular rash in palm and later papular eruption.
Rubric; Skin ,Syphilitic
and also in concerned location chapters.

[G] Purpura.
Large macule or papule of blood under skin, which does not blanch on pressure. It is an immune complex disease caused by type III hypersensitivity reaction.
Histology shows vascularity involving small blood vessels
C/F :Purpuric rash on extensor surface of forearm,elbows,bottocks ,leg etc. Abdominal colic, vomiting,poly arthritis,polyarthralgia.
Representations of pupura are two types in Kent’s repertory
1] Purura miliaris and
2] Purpura sanilis.
1] PURPURA MILIARIS
Purpura associated with blockage of sweat glands. It is an inflammatory disease of disease of skin characterized by redness ,eruption, burning ,itching and release of sweat in abnormal ways(by eruption of vesicle) due to blockage of sweat gland.
2] PURPURA SANILIS
Chronic disorder of elderly old people above 70 yrs. Pruritic and ecchymotic spots occurs on extensor aspect of forearm which arise spontaneously after an unnoticed trauma.
Purpura is due to traction injury to small capillaries of dermis due to loss of dermal collagen and subcutaneous fat.
Rubric; Skin ,Purpura,sanilis.

H] NAEVUS.
Developmental anomalies consisting of immature melanocytes in abnormal number.
Two types congenital and acquired
Rubric; Skin, Naevus.

I] LENTIGO MALIGNA. (Hutchinson’s freckle)
It is a slowly progressive premalignant disorder of melanocytes in which malignant melanoma often devolop.Occures in exposed part of face. Lesion is a pigmented macule with well-defined, rounded polycystic edges, which may up to 5cms diameter.
Rubric; Skin, Discoloration, liver spots,
Brown.

[J] LEUCODERMA.
White or light pink macules due to destruction of melanocytes.
Rubric; Skin, Discoloration ,pale.

[K] ROSEOLA (Skin eruption without catarrh)
This condition occurs in epidemic form. Eruption preceded febrile symptoms. The rashes are rose in color. When not in epidemic form cause is derangement of digestive system.
Other causes;
Sudden changes in temperature
Violent exercise,
Taking cold when over heated.
Two types Idiopathic and Symptomatic
Idiopathic form seen in infants
In Symptomatic erythema develop in the course of acute disease.
Rubric; Skin, Eruption, roseola.

2] VESICLE
Circumscribed elevation of skin < o.5 cm diameter containg fluid. It is a small elevation of hoary layer of epidermis.
Rubric; Skin, eruption, vesicle.

CONDITIONS: –
[A] ECZEMA (DERMATITIS)
A group of disorder characterized by the process of inflammation of the skin in which the main focus of damage is in the epidermis.
Causes: –
Direct injury from toxic substances,
Mechanical trauma,
Immunological reactions.
Common verities of eczema
a) Atopic dermatitis,
b) Seborrhic dermatitis,
c) Descoid eczema,etc.

INTERTRIGO

In some cases the exudation may not be abundant enough to raise the epidermis in to vesicle, but only loosens it, and the epidermis actually thrown off leaving a raw, moist surface called Intertrigo.
Rubric; skin,Intertrigo.

[B] ERYSEPELAS.
Acute febrile disease characterized by peculiar infection of the skin with enlargement of lymph nodes Caused by Beta heamolytic streptococci.
C/F :Sudden onset of a well marginated painful and swollen erythematous area usually of face and lower limbs. Phlegmonous erysipelas affects the skin in its Whole thickness and subcutaneous cellular tissue.
Rubric: – skin, erysipelas

[C] HERPES
Vesicular eruption mainly caused by viral infection like Herpes zoster,herpes simplex, chicken pox etc.
Rubric; Skin, eruption,Herpatic.
1) HERPES ZOSTER.
Caused by DNA virus. Mostly affects immunocompramised patients. This condition is due to reactivation of virus that has been sitting latent in a posterior root ganglion of spinal nerves.
If some one with out immunity to chicken pox contact with patient having shingles that may will develop chicken pox.
C/F :Paresthesia and pain in the distribution of one or more dermatomes.
Common sites;
Branches of trigeminal nerve.
Rubric;
Skin, eruption, Herpetic, Zoster.
2) VARICELLA (chicken pox)
Rubric; Skin, eruption, chicken pox.
3) HERPES SIMPLEX
Caused by DNA virus, two antigenic varieties, Type I & II.
Type I mainly affects face and oropharynx.
Type II affects genitalia.
Rubric; Type I . Face, eruption, herpetic, lips about.
Type II Genitalia eruption, penis, vesicle.

[D] RING WORM (TINEA INFECTION)
It is a dermatophytic infection. Three groups are there,
a) Trichophyton,
b) Epidermophyton,
c) Microsporon.
C/F Based on the site affected tinea is classified under several headings
a) Tinea corporis. Tinea of the body and limbs. Pruritic red round well-marginated patches are seen at the site affected
b) Tinea cruris or groin ringworm.
Common in young men, well defined itchy, red, scaling patches occurring asymmetrically on the medial aspect of both groin.
c) Tinea pedis ,Affects feet.
d) Tinea mannum,This variety is less common affects one palm.Palm red and dry with silvery scales.
e) Tinea capitis,Affects scalp, pink scaly patches on the scalp.
f) Tinea ungium,Affects nail plate and nail bed, frequent in finger nail than toe nail.
Rubric; Skin,eruption,herpetic,circinate.

E] IMPETIGO CONTAGIOSA
It is a contagious superficial skin infection caused by staphylo coccus aurius. Mostly a disorder of pre pubertal children. Characterised by mild pyrexial symptoms followed by one or more vesicle ,this slowly enlarge , but soon dry in to thin light yellow scabs.
Rubric; Skin, eruption, impetigo.

F] SCABIES.
Due to infection with human scabies mite [acarus-hominis or sarcoptus scabie] an obligate parasite. Female parasite lives in the stratum corneum. Severe itching and characteristic eczematous rash caused by the invasion of mite. As a result of the affected individual become sensitive to the waste product of mite.
C/F :Intense itching, vesicles are seen but excoriation are much more frequently observed. Prurigo like papule Scaling etc.
Common sites; Palm,interdigital area of fingers,fluxeral creases, elbows etc.
Rubric; Skin, eruption, scabies.
Extremities, Eruption, elbow, bends of scabies
Extremities, eruption, knee, hollow of scabies.

G] SUDAMINA

Little round vesicle, produced by distension of the cutis by sweat ,and therefore seated at the orifices of sweat follicle When the vesicle may be attended with inflammation termed as miliaria. Prickly heat is likewise a miliaria.
Rubric; Skin, eruption, vesicle, sudamina.

3] BULLA
Circumscribed elevation of skin > 0.5 cm diameter containg fluid.
Erysipelas
Rubric; Erysipelas.

b) LEPROSY

Caused by mycobacterium lepre large bullae are seen usually solitary
Disease manifest in three forms Macular, tubercular and anesthetic.
In Macular there is brownish discoloration of various size and number.
In tubercular form development of tubercle in various parts of body. In anesthetic form bullae develop usually solitary persists for short time leaves behind discoloration and becomes anesthetic.

c) PEMPHIGUS (Pompolyx)

In this type of diseases blistering is due to Loosening of desmosal links between epidermal cells caused by immunological attack.
There are several types important one is Pemphigus vulgaris, lesions are thin walled delicate blisters usually rapidly ruptures and erode.
Rubric; Skin, eruption, pemphigus.

d) RUPIA: –
Late malignant manifestation of syphilis. Bullai containing purulant,reddish mater which gradually dries up and form thick dark crusts underneath the crust, matter continues to form which again dries up and consequently raise the center.
Rubric; Skin ,eruption,rupia.

PUSTULE
An elevation of epidermis by purulent exudation.

a) ACNE

One of the commonest skin disorders. It is a disorder of hair bearing skin in which hair follicle develop obstructing horny plugs( comidones) as a result of which inflammation later develop around the obstructed air follicle, causing  tissue destruction and scar formation. Earliest feature of the disorder is increased rate of sebum secretion making the skin greasy.
Rubric; Face, eruption, Acne.

b) ECTHYMA

Isolated large pustule up on a red swollen surface. Pustule develops in to the size of a pea. Seen in extremities, on the seat, chest, neck etc.
In tropical and subtropical areas impetigo like disorder is spread by flies and bite of arthropods. This is more destructive and produce deeper, oozing and crusted sores and is caused by Beta haemolytic streptococci
Rubric; Skin, eruption, ecthyma.

c) FURUNCLES (Boil)

Infection of the hair follicle caused by staphylococcal aurious.

CARBUNCLE;
It is large 3-4 cms diameter and represent infection of hair follicles.
Rubric: – Skin, eruption, boil.
d) ECZEMA;
Rubric; Skin, eruption, eczema.
PAPULE
Small solid elevation of the skin <0.5 cm diameter.
a) Acne
b) Erythema multiforme.
c) Eczema.
d) Lichen plannus.

Lichen plannus.
Inflammatory disorder of skin of unknown origin but with an immunopathogenic component. It is characterized by eruption of variable extent by typical mauve or pink flat topped itchy papule.
Common sites,
Front of the wrist,
Skin of lower limb, trunk, and mucosae are affected in 30 % (mouth)
Rubric; Chest,eruption,like ,lichen plannus.

Lichen simplex.

This is a disorder localized to one or more sites. It is characterized by intense pruritus and exaggerated skin markings.
Sites; Medial aspect of the ankle, back of scalp, extensor ascept of wrist and forearm.
Seen in tense anxious middle-aged subjects.
Rubric; Chest, eruption, like lichen plannus.

Lupus.
Skin, eruption,lupus.

Milium
Affection characterized by the appearance of minute white or pearly papule.
It is usually clustered about the eyes, upper and lower eye lid. Common in women.
Rubric; no direct rubric.
Eye, eruption, lids on.

Molluscum contagiosm
Common infection of skin caused by virus of the poxvirus group. Pink or skin colored umbulicated papule.
Rubric; no direct rubric.

Prurigo
Flat papule, which have same color of surrounding skin. When broken they discharge a small drop of clear fluid with intense itching.
Aetiology; want of personal hygiene.

Rubiola (measles)
Red papule covering the entire surface of skin and accompanied with febrile symptoms.
Rubric;Skin;eruption,measles.
SYPHILIS
Generalized reddish or copper coloured, may degenerate in to pustule.

Urticaria (nettle rash, wheal)
Common disorder occurs as a result of histamine release from mast cells in the skin and are often, though not invariably, caused by allergic hypersensitivity. Type 1 hypersensitivity Reaction.
C/F
Itchy red papule and plaque of variable size
Rubric; Skin,eruption ,urticaria

VERIETIES;

1) Cold urticaria
After exposure to cold.
Rubric; Urticaria, cold air in,
Cold bath after.
2) Pressure urticaria
After pressure on skin.
Rubric; Urticaria, scratching after.
3) Dermographism
Urticaria mark when skin is rubbed firmly.
Rubric; Urticaria, scratching after.
4) Solar urticaria
When exposure to sun.
Rubric; Urticaria, sun exposure to.
5) Cholinergic urticaria
Irritation small urticarial spots develop after exercise or hot bath.
Stimuli that evoke sweating from the postganglionic cholinegically enervated sweat glands
Rubric; Urticaria, warmth and exercise
Excessive violent after.

Tubercle
Solid elevation of skin larger than papule.
a) Acne
b) Fibroma
Tumors of varied size and form which takes their origin from dermal or sub dermal tissues which are single or multiple.
Rubric; Skin, indutarion, nodules etc.
c) Lentigo maligna
d) Leprosy
Reddish brown tubercle on the forehead, ear etc.
Rubric; Skin, eruption, tubercle, lepros.
e) Lupus; Solitary or few reddish brown tubercles terminate by ulceration.
f) Syphilis
Copper coloured tubercle terminating with suppuration, in early syphilis lesions are numerous, in late syphilis number of lesions are limited.
Rubric; Skin, eruption, tubercle, syphilitic.
g) Morphoea;
It is localized scleroderma,a chronic cutaneous affection, characterized by appearance of one or more discrete spots or patches, usually isolated and round in form. It is pink in colour and slightly elevated when hyperaemic and hypertrophied later become whitish ,anaemic,atrophic and depressed.
Pathology; Generalized replacement of the subcutaneous fat with new collagen, which has pale homogeneous appearance. Belong to immunologically mediated skin diseases.

Scales
Collection of cell of stratum corneum, due to disturbances in the formation of stratum corneum.(keratinisation)
When scales are small in size and loosely attached ,like a fine powder or meal scattered over surface called Farinaceous.
When scales are large ,thick ,heaped up and firmly attached called   Farinaceous.

Conditions;
a) Icthyosis
The word derived from Greek word Icthyos that means fish.
It is a generalized non inflammatory disorder of keratinisation and implies a congenital origin
Skin is rough and dry covered with thickened and exfoliating cuticle like scales.
Rubric; Skin, eruption, scaly.
b) Pityriasis verscicolar
Caused by yiest like micro organism Pityrio sporum ovale (malazezia fur fur). It is common in young adults. It causes brownish slightly scaly macules over front and back of upper trunk. In dark skined individuals lesions are hypo pigmented.
Rubric; Skin ,eruption, scaly.
c) Psoriasis
Common genetically determined inflammatory skin disorder of unknown origin.Charecterised by well demarcated raised scaly patches,localised to extensor surface.affction commences in small red somewhat red elevated roundish spots like drops covered by dry oblong white scales called – Psoriasis guttata.
When the spots are increasing in number, they coalesces to form large irregular surface, which covered with scales of various thickness and adhesiveness called – Psoriasis diffusa.
They some times accumulate in round patches, while on the periphery new spots still appear, and those in the center dries up give rise to circular eruption called  – Psoriasis annulata.
Several such circles join together, their peripheral line broken off by already healed of center and now they forms various figures, parts of circle ,straight line etc. called – Psoriasis gyrata.
In some cases the morbid process continue for a long time and
Causes skin to become thickened, rigid and cracked,this takes places in diffuse irregular forms called – Psoriasis inveterta.
These names do not indicate different verities but form and stages of same cutaneous manifestation.
Rubric; Skin, eruption, psoriasis.

Old terminologies used in skin chapter;

  • Pocks; Skin, eruption, pocks.
  • It is a pustule in the eruptive disease. (Smallpox)
  • Scarletina; Acute infectious and contagious disease characterized by diffuse scarlet eruption.
  • Gritty; Skin, eruption, gritty.
  • Eruptions like hard sharp granules as if sand.
  • Coppery; Reddish
  • Blotches; Term to denote pigmented or erythematous lesions
  • Phagedenic; An ulcer that rapidly spreads peripherally destroying the tissues as it increase in size.

References:
Raues pathology
Skin diseases by douglas
Roxbergh’s common skin diseases by ronald marks

Dr Anoop K K
Medical Officer, Department of Homoeopathy
Govt. of Keralav

Evolution and study of Boger repertories

Dr S K Tiwari
““Probably there has never been a more thorough student of Boenninghausen than the late Dr. Cyrus M. Boger -Herbert A Roberts

Boger’s views on finding the similimum
Being a practical man Boger emphasized on the detail study of a case in order to find out similimum. He stressed over the complete study of the picture and advised against giving more importance to a single symptom even if the symptom might be a key-note one.

He says “Running after key-notes while paying scant attention to the general harmony of the picture has spoiled many a case and leads to polypharmacy.”

He has always given importance to the general picture compare to the key notes “It is f better to be able to see the general picture and use the key-note as a differentiating point just as we would use a modality.” He further adds “Unless we can think of the human economy as a unit of force whose amplitude of action moves back and forth incessant between health and sickness, we can have no true conception of what the curing of disease actually implies.” “The symptoms which belong to the patient are .all important ones and far outrank those of the disease. It should be the business of the prescriber to trace out if connection that exists between the two kinds, always keeping in mind their relative age and sequence; in no other way can we unravel what seems all a tangle at first sight.”

Criticizing the key-notes prescriberes he states “The common way of eliciting well-known key-notes and prescribing accordingly is a most pernicious practice, which has earned deserved odium and is no improvement upon the theoretical methods of. the old school.”

Boger felt that subjective symptom though they have importance in selection of the remedy are liable to be altered by the provers, patient as well as by the physicians while interpreting. Whereas the objective symptoms are the fact hence more reliable and concrete. He says “Objective phenomena, being exempt from self — interpretation and allowing the largest scope to the acumen of the examiner are withal the least deceptive and should receive our first and best attention.” He further reminds the physician not to neglect these while taking the case. In his words he puts it as “As patients present themselves it the first duty of the physician to observe them closely, noting the facial expression, manner, mode of action, habits, and all external without asking a single question.”

About the dependence on clinical symptoms he says “To be ruled by clinic observations and pathological guesses is a most disastrous error which limits our action and only obscures the wonderful power of which the true similimum is capable.”

He favors the study of full picture for the purpose of prescribing “To do the best work, nothing must prevent a full, free and frank presentation of the symptoms as they are, without bias, and although their comprehension necessarily involves judgment, the more clearly they follow the text.”

About the new and old symptoms in a case he advocates that the last symptom in the disease is the most important clue for the similimum — “The most expressive new symptom is usually the key to the whole case and directly related to all of the others, and is often expressed by a change of temper or mental condition. Such apparent trifles reveal the inner man to the acute observer and have proven the undoing and insufficiency of liberal Homoeopathy.”
“Here it may not be amiss to point out that nature tries to attract our attention to the most important things, by developing them last of all; putting them right under our noses, as it were.”

Even in a confusing presentation he states that one should be guided by the recent man symptom. In his own word “Occasionally no one remedy corresponds to the whole picture; then we must prescribe for the most recent phase first and for the earlier one when it is ease again uncovered.”
Regarding the mental symptom he accepts its hierarchy but at the same he expresses and difficulty in eliciting them without any alteration. “No effort should be spared to learn the nature of the mental change which has overtaken the victim, for it epitomizes the whole patient”.

“Conditions which modify or excite mental symptoms are not exceeded in importance by any others. To these belong the influence of the emotions, of fright, grief, solitude or company, thinking of the disease, consolation, vexation, etc., on the mind”.

“Mind mirrors itself with great accuracy in the different modes and manners of physical e expression. The interdependence of mental and physical states is so great that we can while never afford to overlook it entirely. They, moreover, always clarify every other symptom; and often in a decisive way.”

“If the physician can get at the patient’s mode of thinking, his involuntary ideas, he can t build up a picture of his mental process. This is often difficult. The psychoanalyst takes hours and weeks to do it, the physician rarely has so much time at his disposal.”

He has also emphasized on the understanding of the constitution type and general tendencies which play a great role in selection of the right remedy. “Histories which do not reveal the constitutional bias or leaning are badly deficient”.

 “The ruling feature of every case puts the stamp some particular type, such as bilious, hemorrhagic, etc., upon it, and when we select remedies, which in their action and order of development conform to the presenting type, we say that the genius of the drug corresponds to that of the disease.”

Regarding type and hierarchy of symptoms he clearly states “All symptoms are reactions, be general or particular. The mental ones are the most illuminating as well as interacting fully with all the others, hence they deserve the highest rank. General sensereactions to heat, cold, light, noise, touch, posture, motion, etc., are all distinctly related to the comfort of the patient, hence also of great value. Subjective sensations are ideographic expressions, useful for interpretation by the examiner and may have any value whatsoever.:

Their true worth is best ascertained by their purity and definiteness as fully expressed by the patient who invariably gives them a mental slant not otherwise obtainable. This has value in so far as it leads away from the machine methods of the schools. Every symptom picture shows three phases, constitutional, general conformation and the peculiarities. The basic factors with the rules of procedure are the constants, while the symptoms are the variables. All three must be well met before the simillimum can be seen.”

He was against the mechanical use of repertories. He sounds precaution by stating, “T mechanically assemble the remedies which run through all or most of the rubrics having the closest resemblance to the symptoms of the patient is a method much in use, but one that tends to obliterate the finer shades of expression on both sides, and after all, even with the aid of the mental symptoms, only approximates the choice. Much of Hahnemann’s greatness lay in his faculty of expressing every symptom and process in its natural language.”

 “To depend wholly upon a numerical concurrence is indeed fallacious, arid yet every use of the repertory implies the presence of this fact, to some extent; but it is greatly overshadowed by the relative standing of the individual symptoms.”The above views of Boger undoubtedly indicates towards his holistic approach of treatment where in he considers sick man as a unit who expresses the turmoil at the level of generals and particulars.

To summaries his views one must note the instructions given by him clearly about the best indicated remedy “The best indicated remedy is the one holding the closest similitude thereto in location, origin, modality, mental condition, concomitants, peculiarities and time.”

Evolution of Boger’s concept
Dr. C.M. Boger was a leading practitioner of United States in the early decades of twentieth century. As a practical man he well understood the difficulties faced by the practitioners of his days in finding out a correct correspondence in Materia Medica in the shortest possible time. The perceptive mind of this German physician soon discovered that, in spite of the availability of a plethora of literature and clinical experiences, the burning question was how best those could be put to use. In his time, both the Boenninghausen and Kentian schools were popular. Boger made a study of both but accepted Boenninghausen’s way of working out of a case. Finding that the practitioners had to depend on the existing faulty translations of Repertory of Antipsoric Remedies, he embarked upon the task of translating it in 1900.

In the course of his translation work, he was further convinced that there was a need for a repertory and Boenninghausen’s basic principles, plan and construction were sound, and that the book was comprehensible, and hence practicable. Boger was also aware of the difficulties faced by the practitioners while using the Therapeutic Pocket Book as well as criticism leveled against its principles and methodology.

Boger also undertook another major work of rewriting Boenninghausen’s repertory. This he did by adding aggravation, amelioration and concomitant in a detailed manner at the end of every chapter. The outcome was a more useful work enriched with many new chapters,new rubrics and medicines. It was published by Borick & Tafel in 1905. Even thereafterBoger continued to work on the repertory; however, death snatched him away before he could give the final version.

He was a busy practitioner hence in spite of his great desire to compile a better repertory he could not afford and to spend the required time. However, he frequently lectured before scientific audiences at the Pulte Medical College in Cincinnati and was a teacher of philosophy, materia medica and repertory in the American Foundation for Homoeopathy Post Graduate school from 1924 until his death.

In 1915 he authored ‘ Synoptic Key of Materia Medica’ wherein he has arranged symptoms as per his concept of understanding the sickness as well as the medicines i.e.the location, modalities, physical and pathological, generals, mental generals and particulars with modalities and concomitants. His views and concept becomes more and more clear as his other works were published.

 In Times of remedies and Moon phases’ as well as in ‘Synoptic Key’. The importance is given to causation, concomitant and modalities. The sensations and complaints are generalized after analyzing each symptom of the patient to arrive at a ‘central idea’ so that the physical generals as well- as pathological generals of the patient along with the particulars are understood clearly.. His concepts clearly denotes that all the symptom (general and particular) can be splitted into its component and with the of help of these splitted components of various symptoms a comprehensive picture can emerge if arranged properly and perceived carefully. Thus the whole picture would present the image of the sick person.

He has worked with 186 medicines in Moon phases. 420 medicines in Times of Remedies 489 medicines in Synoptic key and 250 in Index Card Repertory. His ‘Boenninghausens characteristics and Repertory’ has 464 medicines.

His interest grew more and more in the field and because of his devotion he could work on additions to Kent Repertory. He found that many rubric and subrubrics did not have even prominent remedies, which he found very effective in his practice. He did 3202 additions in various sections of Kent’s Repertory. This was his last work, which he could give to the profession.

Dr C M Boger favored the idea of understanding each symptoms completely by analysis in relation to its location , sensation, modalities and concomitants and also in relation with the origin, duration and progress. Certainly, he was not satisfied only with the mechanical division of each symptoms but went one step ahead to explore and understand the Cause and Effect phenomenon in totality so that not only the details but also the central thread would be available. He worked hard from 1905 till he lived to prepare a repertory on this line which was published as BBCR in 1937 posthumously.

Boger’s concept of totality
Boge
r indeed helped the profession by pulling all his experiences in the evolution of ‘Portrait of Disease’ (natural as well as artificial). He re-emphasized the following seven points to appreciate the whole picture of the disease.
1. Changes of personality and temperament 2. Peculiarities of disease 3. The cause
4. Modalities 5. The seat of disease 6. Time. 7. Concomitants

It is obvious that Boger has favoured the understanding of the whole phenomenon at the levels of Constitution, Diagnosis and on ongoing Pathology. Boger’s appreciation of time dimension, causative modalities, tissue affinities and pathological generals gave a new vista in understanding the case. In his article “Some Thoughts on Prescribing he instructs physician to first try to elicit the evident cause and course of the sickness down to the late symptom and effect of such influences, time temperature, open air, posture, being alone motion, sleep eating; drinking, touch, pressure, discharges, etc. Second comes the modalities and consideration of mental state in order of importance. Third entire objective aspect or expression of the sickness including the state of secretions (sensations).

Lastly, the part affected must be determined which also brings the investigation in touch with diagnosis. He further states that by going over the above rubrics in the order name the contour of the disease picture would be pretty clearly outlined and would point fairly, well towards the similimum and the prescriber has only to keep in mind that the actual differentiating factor may belong to any rubric.
From the above, it is obvious that Boger has given importance to Causation, Modalities General sensations and pathology. Location is given the last place in the order of hierarchy.

About the importance of the Causation he says, the causation come from without or arise from within, the homoeopathic simillimum cannot be chosen with safety without taking them into account” and about Modalities he states, “They individualize and define every sickness as well as every drug, hence the most suitable medicine cannot be chosen while they remain unknown.”

Mind is given adequate importance, and for selecting a drug it becomes imperative that the remedy selected is always in agreement with the mind. He wrote in the article “How shall I find the remedy?” “The Inter-dependence of mental and physical states is so great that we never afford to overlook it entirely. They, moreover, always clarify every other Symptom often in a decisive way.” He has emphasized that, “In a general way drugs effect the similar tissues bear a certain relation to each other and are differentiated through the mental sphere and the modalities.”

Boger had expressed the importance and hierarchy of the various types and parts of the symptoms, which can be applicable in different conditions in formation of the totality. He advocates that every symptom should be valued as per the condition. He has stressed on the fact, “If every symptom is a little picture reflected from the central disturbance, a composite picture will most nearly depict the whole. This is what we mean when we speak on the symptom complex or the totality of symptoms.

Some of the works done by this great repertorian in the field of the repertory has been discussed below

Card Index Repertory
It was published in 1928 (Some put is as 1931)
The Rubrics are arranged alphabetically. The first card is ACHING and last one YELLOW
The total number of cards is 305, Dr L.D. Dhawale puts it as 339
Four types of letter are used to indicate the grades e.g. NUX.V., Nux.V., Nux. V  Nux.V. Cards are punched.
Total number of medicines used is 250.
Most of the cards have rubrics which shows a general character or some particular complaints.
Most of the rubrics are similar as mentioned in synoptic key. Even the number of medicine and grades are same at times.
The rubrics are taken f ‘Condition of Aggravations and Amelioration’ and ‘Generalities’ from Synoptic key.
The card repertory became out of use because his other repertories ‘Synoptic Key’ and
B.BCR have more number of medicines for the same rubrics and also more sub rubrics.
However even now the better cards can be prepared based on his card repertory.
A comparative study of a few rubrics —
Alternating effects — card repertory — (24 remedies)
Synoptic Key – (13 remedies)
B B C R – (6 remedies)
Emaciation Card repertory – 17
Synoptic key – 21
BBCR -71
Separate chapters are given for the different parts in BBCR and synoptic key.
Time modalities
I) In Card index repertory the time is given in combination of 4 hrs e.g. 4.00 a.m. to 8.00 a.m., 8.00 a.m. to 12.00 noon etc.with out any sub rubrics
II) In Times of remedies — It is given in detail on hourly basis. Even the hour rubric has many sub rubrics. Every main rubric has sizable number of medicines. It is given on the basis of weather as well as on broad division of time and complaints
III) In Synoptic key it is given as hourly basis. But the number of medicines is less under each rubric compare to the Times of remedies.
IV) IBBCR it is given as, morning, noon, and evening, night and at some places time of hour is also mentioned.
There are some difficulties noticed in following the abbreviations of remedies used in card repertory e.g phosphoric acid — Phos-a/pho-a Thuja occ — Thuya/thu etc

Working out a case
Cards should be arranged as per the hierarchy of the symptoms, worked out by Boger’s method. They are arranged one after another. Look for hole against light. The indicated medicine or the group of medicines would emerge automatically.

The times of the remedies
It is based on Boger’s long experience in observing various symptoms in relation to in his clinical practice. He was of opinion that the particular time when a medicine manifests its full therapeutic action is often of decisive importance.
This work appeared first time as an article in The Zeistschrift des Berliner Vereines Homoeopatischer Aerzte (Vol XXV). Subsequently it was improved and published independently.
Boger has emphasized the importance of time factor and this work is truly a great help for the prescribers who give importance to the ‘time factor’ as well as various modalities.
The total no. of medicines used in this book is 420
Construction and arrangement
The different chapters are as follows
Time — various hours:
General rubrics starts with I AM followed by various sub rubrics. It is followed by 2 AM, 3AM 12 midnight
Weather — spring, summer, autumn, winter
Fever — chill, Heat
Periodicity — In general
Mind Larynx Neck
Sensorium Stomach Extremities
Head Abdomen Skin
Eyes Stool Sleep
Nose Genitals Fever
Ears Respiratory
Face organs
Teeth Heart
During day — in general
(Followed by sections as above)
Morning (4 am — 9 am) followed by all the sections
Forenoon (9 am to 12 noon) ”
Afternoon (12 noon to 6 p.m.) ”
Evening (6 p.m. to 9 p.m.) ‘
Night (9 p.m. to 4 am) ,,

Moon Phase
This work was published along with the ‘Times of the remedies’ in 1931. The total number of remedies used in this work is —186. Dr Boger has emphasized the importance of ‘Moon phases’ in the action of a drug. It is rather a new method of application of remedies developed from an extensive research work carried on by this indefatigable worker in the cause of advancement of the homoeopathic science and it is due to his tireless energy and hard work that a new angle of vision in prescribing remedies has been brought out. It is presented in the form of table of moon phases — first quarter, full moon, last quarter, and new moon. The table consists of an enumeration of the time, at which a particularly successful prescription has been made; thereby accentuating the importance of the time period in which the remedy has been found more useful. Whenever a patient reported with striking relief in the symptoms, the time was marked in the phase of moon.

 This research was undertaken to find out whether there was anything in this question of ‘times of remedies as related to phases of moon. The number mentioned in the table denotes the number of cases where the remedy (against which the number is written) was successful in bringing out results. The results are entirely clinical. This table is a strong confirmatory symptom evaluator in the final decision, as to the remedy to be chosen. One can almost use it to start the search of simillimum.

Use
In Boger’s word:
“When a new patient comes to you, you ask him, “When are you worst ?“ “Well, I was worst in the middle of last week”. “Is that about when you are usually worst?” “Yes, about that time”.
Open up your almanac and see what quarter the moon was in, then took down your list of remedies and see which remedies are most prominent in that quarter. He further says, “I am glad to say is showing good and exclusive results in quite a large number of remedies”.

A Synoptic Key Of The Materia Medica
Introduction
Though this repertory and materia medica was published long back and it can not be classified under the modern repertories, its contents and utility is such that no practitioner of the rational healing art should neglect this book
The fifth and final edition of A Synoptic Key of the Materia Medica was published in 1931 by C. M. Boger.
The aim of this book is to simplify the use of the Homoeopathic Materia Medica so that the truly curative remedy may be worked out with greater ease and certainty in a given case. For this purpose the synoptic key has been presented as a combination of the analytic and synoptic methods.

The analysis of any case to clearly outline the disease picture would follow the following schema:
Modalities Sensations Parts affected
Mind Objective aspect
The above arrangement would fairly well point towards the simillimum, and the prescriber has only to keep in mind the fact that the actual differentiating factor may belong to any rubric whatsoever.
Plan and Construction
This book is presented in the following three parts:

The first part ‘Analysis’ is a short repertory containing:

  • The periods of aggravation
  • Conditions of aggravation and amelioration
  • Generalities i.e. Consideration of drug affinities for the entire organism
  • Regional repertory

The number of medicines mentioned under the repertory section is 489.
The second part ‘Synopsis’ contains the general expression or genius of each re arranged alphabetically. C. M. Boger emphasizes that we must learn to know our remedies just as we do our friends by their air or personality; an ever-changing composite effect, but always reflecting the same motive. The ‘Genius’ of the drug means the strain; which runs through every pathogenic symptom complex.
This part contains an exposition of the important and characteristic features of the important remedies of the Homoeopathic Materia Medica, with their physiological spheres activities, modalities and relationships. Three hundred and twenty three (323) remedies discussed in this part.
The third part comprises of the following
1. Table of the Approximate Duration of Action of remedies: The duration remedies is given by weeks. The number of week/weeks is written on the top of the remedy towards the end e.g.: Zinc It means the minimum duration of action of Zincum is 4 weeks.
2. Complimentary remedies: Here the remedies are written alphabetically complimentary remedies are mentioned against them.
3. Antagonistic remedies: Here the inimical medicines i.e., those who do not follow well are mentioned against the remedies.
4. Supplementary reference table: The rubrics are arranged alphabetically, contain the page number against them. The additional sub rubrics and medicines mentioned in this section should be combined referred to with analysis part.
5. How to refer the repertory:
One should be familiar with the construction and arrangement of sections rubrics. The rubric, which one needs to refer, should be looked into the related section of analysis and also in supplementary reference table. The combined rubric should be made use for all the practical purpose.

Boenninghausen’s characteristics and repertory
introduction
Perhaps one of the greatest pieces of homoeopathic literature left by Dr. Boger is the Boenninghausen’s Characteristics and Repertory. Boger”s Repertory is “the combined observations and logic of’ Boenninghausen and the wide and wise observations garnered by  Boger from long years of study and practice.” This is the high tribute that Dr. H.A. Roberts paid to Boger
This repertory was published in 1905
The manuscripts for the second edition were published posthumously with the assistance of wife, by Roy & Co., India in 1937.
This, the second edition, proved very useful in successfully working out cases. It contains characteristics of medicines in the first part and repertory proper in the second. Hence the title Boenninghausen’s Characteristics and Repertory. The work is an attempt to bridge Boenninghausen and Kent.
Dr. Dario Spinedi who wrote a foreword to ‘Complete Repertory’ writes, “I discovered that Oger’s Boenninghausen’s repertory is a real gold mine for all kinds of symptoms

Philosophic background
Boger’s work Boenninghausen’s characteristics and Repertory based on the following fundamental concepts:
1) Doctrine of complete symptom and concomitants 4) Clinical rubrics
5) Evaluation of remedies
2) Doctrine of pathological generals 6) Fever totality
3) Doctrine of causation and time 7) Concordance

Arrangement
Most of the sections in the book start with the rubric In general. This rubric groups those prominent medicines, which are capable of producing different types of symptoms in relation that Organ/Location. Clinically, these medicines have affinity towards the organs. This grouping may not help us in the process of systematic repertorization, but it can be of much help to know the affinity towards the parts. It suggests organ remedies, which may be useful finding out a drug for palliation when only a few prescribing symptoms are available in case.
Location rubrics are followed by further sub-divisions of parts, with each part having rubrics ‘side’ and ‘extending to.’ After the Location, different sensations are arranged in an alphabetic order. The end of Location and beginning of Sensation is marked by a horizontal line “———-“.“ Each sensation is a general rubric, which is followed by a group of medicines. It is divided into sub-rubrics under which parts are mentioned (mostly abbreviations). Rubrics for the pain is mentioned as various types of pain i.e aching, ping etc Usually, these sub-rubrics arc too specific and have less number of medicines. Thus these sub-rubrics are too specific and less useful in repertorization
The rubrics for Location and Sensation are mixed and there are no separate heading given for them, but it is easy to understand because there is an order, i e, after Location,
Sensations are arranged in an alphabetical order. Time, Aggravation, Amelioration Concomitant and Cross-reference follow this.

Methods of repertorization
1. Using causative modalities in the first place 5. Using diagnostic rubrics
2. Using Modalities in the first place 3. Using concomitant in the first
4. Using pathological generals 6. Following Roberts’s( B.T.P.B.) method
7.Fever totality

Use of Concordance chapter
This chapter deals with the relationship of remedies. The chapter can be used following the same method, which is used in working out of “Relationship of Medicines” Boenninghausen’s Therapeutic Pocket Book.
1. It can be used for studying the relationship of remedies at various levels — mind, parts sensations, modalities.
2. It helps to find out a close running medicine, which can be thought of in future follow-ups if picture changes.
3. To find out a second medicine, if the first one (though — indicated), does not meet the expectation in given time.
4. Sometimes a deep acting medicine, though indicated, should not be given so as to avoid unwanted precipitation of adverse symptoms; in those cases an analogue can be four out with the help of this section.
5. This section helps us to study various relationships of remedies. Kent has suggested close study of sub headings and medicines listed against them. A remedy, which runs throughout in higher marks, bears a definite relationship with remedy, like Aconite and Sulph, Puls with Sil. and Kali sulph.Boger, for his dedicated work to the cause of the homoeopathy, will be remembered as long as this rational system of medicine continue to cure effectively suffering humanity. His work should not be studied only for academic interest but it has to be experienced in treating the patient to know the utility of the authentic and genuine work done by Boger

The Art of Case taking in Homeopathy

case takingDr  C Abdul Gafoor

Case taking is a unique art of getting into conversation observation and collecting information from patient as well as from bystanders to define the patient as a person and the disease.

The history obtained thus makes the basis for a physician to go further into the physical examination and laboratory studies in order to define the problem accurately.

Each case is unique in all respects only true individualized approach can explore the true picture and help a physician to arrive at a totality in its true sense. Every individual is different in health as well as in disease and hence every case has to be examined individually giving importance to its unique expressions during health and disease.

Purpose of case taking.
1. To get the knowledge of the disease
2. To perceive the true dynamic state of the patient ie, whether he is seriously ill or not
3. To find out the totality of symptoms for the selection of a homoeopathic remedy.
4. To find out the nature of the disease whether it is acute or chronic, curable or incurable.
5. To find out the causation of the disease.
6. To find out the mode of development of the symptoms.
7. To analyze and evaluate the symptoms.
8. To collect imp. Symptoms for repertorisation.
9. To cure the curable and to palliate the incurable patients by selecting the medicine according to law of similars.
10. To keep systematic records of the case for guidance, treatment, future reference and defense.
11. To give prognosis.
12. For nosological diagnosis.

Sources information in case taking. – aphorism 84.
1. The patient.
2. Bystanders.
3. Physician’s observation.

Steps in case taking
Case taking can be summarized into following stages
1.Stage of observation
2.Stage of listening to the complaints
3.Stage of interrogation and cross-examination
4.Stage of clinical examination
5.Laboratory investigations
6.Stage of diagnosis

I. Stage of observation
When the patient enters into the consulting room the following features Should be carefully noted.

  1. Note the facial appearances and expressions of the patient- plethoric , Waxy, pale, puffy, edematous, myxoedematous,& so on
  2. Note whether the patient is anxious, angry, cruel, cunning, stupid, etc.
  3. Depressed patient has vertical furrows on the brow, turning down of the corners of the mouth, sits leaning forward, with shoulders hunched, the head inclined downwards and gaze directed to the floor. Anxious patient generally have horizontal creases on the forehead, raised eyebrows widened palpebral fissure, and dilated pupils. They usually sit upright with head erect often at the edge of the chair with hands gripping the sides and are restless.
  4. The peculiarity of gait. E.g.; ataxic, reeling, spastic, etc.
  5. Attitude-any form of rigidity, kyphosis, lordosis, parkinsonian attitude, etc
  6. Temperature and atmosphere of the room- when the patient enters the room observe whether he comes over clad or under clad, demands fanning (in winter) or off (even in hot weather) & so on
  7. Any bad odor its nature and source.
  8. Mood of the patient- depressed, worried, anxious, timid, irritable, indifferent, fastidious, comatose, delirium, and so on.

II. Listening to the complaints.
First from the patient and then from the attendants.
It is very delicate yet dynamic situation, where a physician should remain attentive so that disclosures are received properly. Do not interfere while narration unless they wander off to some irrelevant matters. He should involve in active listening

III. Stage of interrogation cross examination
Now fill the gaps left in the just previous stage in order to complete the symptoms with respect to their location, sensation, and modalities. Cross-examine the patient and attendants to classify the data. This is the most difficult stages case taking. It necessitates sufficient sympathy, patience, introspection and tactfulness on the part of the physician. Any hurry or bluntness will completely spoil the whole picture of the case.

IV. Stage of clinical examination
General examination and examination of various organs and systems.

V. Stage of laboratory investigations.
To confirm the provisional diagnosis and for the management and prognosis.

VI. Stage of diagnosis of the case
Different forms of diagnosis are
1.Pathological diagnosis- disease diagnosis
2.Etiological diagnosis- exciting and maintaining cause of the disease
3. Chronic miasmatic diagnosis- The fundamental cause of the disease
4. Personality diagnosis- Peculiar constitutional, temperamental and Mental
behavior, cravings and aversions, peculiar reactions to Environmental
Condition, rest, movements, etc.
5. Therapeutic diagnosis.-Depending on outstanding individualizing
Peculiarities elicited under the above noted investigations.

Qualities of a physician conducting inquiry.
Aphorism-83.
1.Freedom from prejudice- Prejudice means judging the present on the basis of past experience, which lead to a fixity rigidity of thinking. Physician should not use his own yardsticks and parameters to understand the case. For the time being he should detach himself from his own past experiences, his emotions, desires and aversions and physical reactions. The only way to become unprejudiced is to become aware of our prejudices. Prejudice and doubt may be overcome by reflection, study, self discipline and auto suggestion by cultivating the scientific spirit
2. Sound senses. – Inorder to obtain a complete picture of the disease one has to know what to notice and where to look for in a given case. A physician’s sense can be called sound only if he is capable of utilizing them in an undisturbed uninterrupted and unbiased way. It depends on the sensitivity and commitment of the physician to his profession.

3. Attention in observing- A careful observer alone can become a true healer of disease. Inorder accurately to perceive what is to be observed in patients, we have to come out of ourselves and attach ourselves with all powers of concentration upon the subject. Poetic fancy, fantastic wit, and speculations must, for a while, be suspended and all overstrained reasoning, forced interpretation and tendency to explain away things must be suppressed. His attention should be on the watch that nothing actually present escape his observation and also what he observes be understood exactly as it is. The capability should be acquired by practice and the best opportunity for exercising and perfecting our observing faculty is afforded by instituting experiments with medicines upon ourselves.

4.Fidelity in tracing the picture of the disease- A physician should be faithful and loyal in noticing and recording the deviation from the health with firm adherence to the principles of a medical profession especially homoeopathy. He should be able to translate his observations into words by using the most appropriate expressions.

Some hints on case taking
When the patient is telling the history always watch his gestural language to see if it matches his words. You should make it feel that the patient has your whole attention and that you will not be shocked or angered by anything he says. Gazing out of the window or continually writing notes will put off the patient. Never underestimate the power of communication inherent in touching your patient. It will give more comfort than your words of reassurance. Gentle and thorough physical examination is important in gaining patient’s confidence

1.The best totality of symptoms would include mainly those symptoms From which one can get no clue about or which do not depend upon the patients age, nationality, occupation, or pathology.
2. Symptoms existed prior to the situation or priors to the pathology are Important. We have to remove those that are explainable by the Patients situations and pathology.
3. Symptoms provided by the patient should be accepted with interest but without judgement. If the patient feels judged he will likely withdraw within himself

Difficulties in taking a chronic case
1.Patients coming from other physicians
In case of patients with previous course of medicines, the true symptom image of the patient may have altered or have been mixed up with the symptoms of drugs . In such cases those symptoms and ailments which he suffered from before the use of the medicines or after they had been discontinued for several days give true fundamental idea of the original form of the disease
2.Accustomed long sufferings
The patient due to several years of sufferings get accustomed to certain symptoms and fail to mention thinking that these symptoms might be minor and insignificant and feels that these accessory symptoms do not have any connection with their main complaints. These symptoms are sometimes important in arriving a totality
3.Hypochondriacs and hypersensitive patients
These persons impatient of their sufferings exaggerate their sufferings to induce the physician to give them relief. Hypochondriacs
Imagines complaints where the hypersensitive overstates the complaints
4.Modesty conceals the facts
Some individuals do not take much interest in describing their ailments. They can be called stoics. They refrain from mentioning
The symptoms or describe in vogue terms due to indolence, false modesty, or from a kind of mildness of disposition or weakness of mind. They thinks that there is no need of telling everything about the health and disease as the physician’s attention may be diverted from the chief complaint.
5.Long suffering considered incurable
Here owing to the long period of suffering the patient thinks the disease is incurable and refrain from mentioning
6.Intellectuals
Intellectuals tend to relate to reality according to what is explainable to their
minds . They evaluate or interpret their symptoms in terms of their knowledge and philosophy of life and explain away the very symptoms of most value to the homoeopath
They adopt some theories on diet and regimen without any consideration for the uniqueness of their organisms, keeping aside their desires and aversions and causing missing of valuable data to a homoeopath
7.In chronic cases physician should give more importance to the patient’s own description of the suffering. Patient can alone describe his suffering and sensations accurately and exactly and by the friends and attendants they are usually altered and erroneously stated.

AN OUT LINE OF CASE TAKING:
Actual questions in a given case will be guided by the nature of illness itself. Great flexibility must be allowed in inquiring these things so that the patient can be as expressive as possible.Any symptoms of great meaning to the patient which is given with great descriptive clarity, great intensity causing interference in the life of the patient and spontaneity ie, volunteered by the patient rather than elicited after questioning carries the highest value in a case.

I. DETAILS OF THE PATIENT
Name
Age
Sex
Occupation
Address
Religion
Marital status
Address and phone of the nearest relative
Date
Reg. No.

Relevance
Name: Patients generally like to be asked by name that creates a friendly atmosphere in the consulting room
Age: There are medicines in our materia medica having affinity to diseases occurring in certain ages as well as there are diseases occurring more frequently at certain ages . The rubrics related are,

New born- Resp. Asphyxia children new born
Rectum constipation children new born
Bladder retention children new born
Skin discoloration yellow children new born
Children; Respiration Asthmatic children
Rectum diarrhea children
Adolescence- Bladder urination Invol. Night adolescence
Puberty: Generalities puberty ailments in
Young people: Head hair baldness young people
Menopause: Female menopause
Old people: Resp. asthmatic old people
Eye cataract senile
Certain diseases are, predominant in certain ages
For e.g. Measles , febrile fits in children
Parkinson’s disease in old age

Sex.
Boys : Bladder urination invol. Night boys in
Girls. Head pain school girls
Females. Eyes cataract women in
Certain diseases are predominant in females [ e.g. ; Chole lithiasis in females ] and some in males[ e.g.; renal stones in males]

Religion
Diseases invariably seen in relation with religious and cultural customs are to be noted e.g.; Ca Penis Rare in Jews and Muslims

Marital status
Late marriages and null parity pre dispose to Ca breast
Early marriage and frequent deliveries pre dispose to Ca cervix
In materia medica there are medicines for complaints related to late marriages
and related problems e.g.; conium Mac.

Occupation:
There are occupational diseases such as pneumoconiosis and other respiratory problems are more in various industries

E.g. For rubrics – Respn. Asthmatic miner’s asthma

II.Presenting complaints.
The presenting complaint is the complaint which may the patient come to the doctor. Note down the complaints in fresh lines with adequate space in between the symptoms. Go back over what has been presented to clarify meaning of each symptoms. Inquiry is made into the following line to complete the symptoms
a. Duration of the complaint- Suspect the patient who can remember every minute details of his illness as hypochondriacal.
b. Onset of the complaint- Note whether the complaint is of sudden or gradual onset.
Rubric — Gen. Pain appears suddenly
c. Prodrome- Ask for any definite prodrome before the onset of complaints especially in cases where there is a definite exciting cause. Certain medicines in our materia medica such as belladonna, aconite,etc are having a sudden and violent onset of their complaint where as certain medicines such as arsenic. Alb, gelsimium, etc are having a slow development of their illness.
d. Sequence- Ask for any paroxysmal appearance or alternation of symptoms .Note down the exact sequence of appearance of symptoms
Rubric- Vision dim headache before
e. Location- Ask the patient to locate with his hand the exact area involved. Observe whether the patient is showing the area of affection by the whole hand or with the tip of a finger( Rubric- Gen. Pain small spots). If there is any radiation or extension of pain that also should be noted down.
Rubric – Back pain extending to thigh
f. Sensation- Note the exact sensation associated with the complaint
Rubrics- Throat lump sensation
Abdomen pain burning
g. Modalities- Includes causation ( exciting or maintainig factors ) , Aggravation and factors which ameliorate the condition. In general modalities regarding things such as heat and cold, weather changes, activity or rest, position, rubbing or pressure. Etc. are to be noted.
h. Concomitants- These are the unreasonable attendants of the chief complaint and are having great prescribing value. It can be
1. Mental plane- eg- restlessness with pain
2. Physical plane – eg; Perspiration with pain
i. Discharges- In cases with discharges look for
1. Nature of discharge – Serous, bloody, et
2. Color of the discharge- Yellow, white, etc
3. Odor- offensive, cadaverous, etc
4. Consistency- Thin, watery, etc

III.History of presenting complaints.
Evolution of present pathological state of the patient, from the etiology behind, with exact sequence of appearance of current symptoms. Was there any major event in the patient’s life at about the appearance of symptoms?
Any mental or emotional shock such as grief, major financial losses, separation from loved ones, identity crisis, etc.
Any major illness, which might have affected the overall health of the patient, e.g.; prolonged infectious diseases, venereal diseases, etc.
Rubrics related:
Aetiology:
Generalities measles after
Male swelling testes mumps from
Diagnosis:
Gen. Paralysis apoplectic
Nature of the disease:
Rectum constipation chronic
Throat inflammation tonsils recurrent
Eyes inflammation acute
Extension and alternation
Gen. Paralysis ext. upwards
Resp. asthmatic alt. With eruption
Complaints after whooping cough- Pertusin , Drosera
Complaints after typhoid- Typhoidinum
After effects of fright- Opium

IV. History of previous illness
Ask for the previous illness from childhood down to the present, chronologically, which ages at which attack appeared , with its nature, symptom., duration, severity and sequence. It is very important In finding the miasmatic background of the patient.
H/o any surgical intervention, exposure to radiation, etc.
Details of accidents, animal bites, mechanical injuries, mental shock, etc.
H/o any infections, tumors, skin eruptions, etc

Past history may give clue about

a. Etiology. Resp. Asthmatic eruption after suppressed
b. Diagnosis.
Cardiac complaints and joint affections in a patient with a history
of recurrent tonsillitis.
c. Development of the disease
Surgically or mechanically corrected disease in the past history could be considered as presenting complaint in the concept that they would have been present there if surgical intervention has been made. E.g. Are surgically treated hernia, fibroids, hemorrhoids, etc.
d. Miasm
Gen. Sycosis
Gen. Syphilis
H/o Rheumatic fever- Streptococcin
H/o Recurrent boils – Staphylococcin
H/o injury, spinal- Hypericum
After effects of strong sense of injustice- staphysagria
Excessive intake of Iron- Pulsatilla
Prolonged drugging with quinine- Nat.mur
In excessive drugging- Potency of same drug
E.g., Turpentine- terebinthinum
Sulphur fumes- Sulphur potency
After effects of anesthesia- Chloroform (with liver complaints)

V.FAMILY HISTORY
Helps in deciding the miasmatic background.
Helps in tracing consanguinity
Any similar diseases in the family members
Ask about any miasmatic disease in the family including parents, grand parents, and siblings with paternal and maternal relations.
E.g. T.b, Diabetes, Hypertension, eczema, mental diseases, congenital abnormalities, convulsions, etc.
Pre-disposition and tendency to disease
Individual peculiarities of all the relatives, their habits such as alcoholism.
Ask about any deaths- Its cause, age of the deceased, age of the patient at that time, and its impact on the patient.
Diseases of the mother during pregnancy and delivery. Infectious diseases such as rubella, diabetes, hypertension, etc
Nature of deliveries ,any H/o birth asphyxia- relevant in case of mental retardation, epilepsy, etc
Tracing out these details will create a feeling in the patient that doctor wants to know all about them and is deeply interested in the case

VI. PERSONAL HISTORY

  1. Details about where he is born and brought up- Is there any separation from the mentally attached places or persons?
  2. Appearance of different milestones such as dentition, walking, Talking etc
  3. Details of breast-feeding. ask for any early weaning
  4. Socioeconomic status, level of education and any reason for termination of study , occupation- any frequent change of jobs or, job satisfaction social and domestic relations, in the office family,
  5. Marital status, Age of marriage, No. of children, Any frequent deliveries, nature of deliveries whether normal, instrumental, or Cesarean, any abortions, stillbirths, Puerperal infections, etc .
  6. Habits- smoking, betel chewing, alcoholism, tea, coffee, any other drugs
  7. Any extra marital relations.
  8. Place of living- whether in damp, hilly, near the sea, etc.
  9. Interests and hobbies
  10. Ask about one typical day of the patient.

Rubrics related
Resp. Difficult mountains in
Gen, stone cutters
Resp. asthmatic miner’s asthma
Rectum. Constipation sedentary habits from
Resp. asthmatic drunkards
Head pain tobacco smoking from
Mind talking slow learning to
Extre. Walk late learning to
Gen. Development arrested
Marriage-
Mind. Marriage idea of marriage seems unendurable
Genit. Female desire increased in widows

VII. TREATMENT HISTORY
Details of treatment through out the life of the patient, what medicine have been taken with the effects produced . Look for any suppressions or masking of the symptoms. Details of vaccination and its effects on the patient.
Related rubrics.
Chest inflammations lungs abuse of aconite after
Gen. irritability when too much medicines have produced……
Fever changing paroxysm after homoeopathic potencies
Rectum diarrhea vaccination after
Gen. vaccination
Vaccination for rabid dog bite- Hydrophobinum
.
VIII.REGIONALS
Includes the complaints as well as characteristic symptoms related to different organs and systems arranged in a schematic manner from head to foot including skin.

IX. Sleep.
a. Position of the body, head, and extremities during sleep,
b. What the patient is doing during sleep- laughs, starts, shrieks, weeps, is afraid, grind his teeth, keeps eyes/ mouth open, snoring, somnambulism , dribbling of saliva,
c. Quality of sleep- hours and causes of waking, sleepiness, sleeplessness- at what time, difficulty in falling asleep, sleepless waking after,
d. Covering during sleep- of whole body, or parts
e. All about dreams- common dreams of the patient
f. General </ > before, during, after sleep

XIII. Pathology which applies to the patient as a whole
Tendency to tumors, cyst, warts.
Individual and family tendencies to certain diseases
XIV. Ailments from.
Mental plane- Emotions, suppressions
Physical plane- from exposure to cold, wet, sun
From mechanical conditions – injuries, over eating, etc
XV. Overall quality of energy available to function daily
XVI. Sensorium.
Vertigo with its modifications if any
Giddiness

XVII. General modalities
1. Time
Ask for at what time of the day in 24 hours the patient is getting aggravated or ameliorated such as morning, evening, 3AM,3PM, etc. Whether there is any periodicity in appearance such as moon phases, weekly, etc
Rubrics- Gen. Periodicity
Gen. Moon phases- new moon<
2. Meteorological.
a. Heat/ cold
b. Season – summer, winter, and rainy
c. Weather- change of weather, cloudy weather, thunder Storm, open air, clear weather, etc
Rubrics
Gen. Cloudy weather
Gen. Storms
3.Touch- hard or light, pressure, rubbing
Rubrics
Gen. Rubbing amel.
4. Position
Usual positions of aggravations and ameliorations, standing , sitting, lying head high/ low
Rubrics
Gen. Lying sides right agg.
5. Rest or motion
Exertion, walking, car and seasickness. Jar, stepping
Gen. Motion continued amel.
Gen. Riding
Odor, light, etc
6. Discharges
Gen. Agg. Or amel. From discharges if any
XVIII. Mind
a. will – Love , hates, emotions, obstinacy contradiction, Loquacity
b. Understanding- delusion, delirium, hallucinations , time Sense
c. Intellect- Memory, concentration, mistakes – talking , Writing, reading, etc
The symptoms can be elicited in following headings
1.Symptoms relating to the instinct of self preservation- Death, suicide, etc 2.Ailments from grief, vexation, mortification, indignation, anger, bad news, disappointed love
3.Fear, anxiety, anguish.
4.Irritability, anger, violence, impatience, hastiness
5.Sadness, weeping, despair, effect of consolation
6.Other features like jealousy, absent-mindedness, concentration, mania

Instructions in tracing out mental symptoms

  1. Mode of narration of complaint-
  2. His attitude towards illness
  3. How the patient talk?- The rate and quantity of speech. In maniac patient the speech is usually fast and in depressive patients it is slow , patient may pause a long time before replying t questions or may give short answers as also in the case of shyness and low intelligence
  4. Look for any neologisms- private words invented by the patient
  5. Any rapid shift from one topic to another- Flight of ideas or general diffuseness and lack of logical thread may indicate the thought disorder characteristic of schizophrenia
  6. Accompaniments to the suffering- the state of mind that is produced during pain or suffering is often the state of mind of the patient in an uncompensated form
  7. Interests and hobbies- what would you enjoy doing the most? Why?
  8. Patients nature as a child- how he was as a child?
  9. Reactions in life situations- How he reacted in times of stress and Strain in his life
  10. What are the qualities in others and in yourself that you cannot Understand or tolerate.When are you angry with yourself?
  11. Person’s occupation and area of work.
  12. Whether he has chosen himself or circumstances made him to Choose it. How does he behave in his area of work?, Any change of job and reason for that
  13. The situations that the patient has created in his life E.g.; dominating
  14. How do you stand waiting?
  15. How rapidly do you walk, eat, talk, write?
  16. In time of depression how do you look at death? Have you considered any way which you may end your life?
  17. Tell all about over conscientiousness and over scrupulousness about trifles
  18. What are the greatest grieves or joys you have had in life.?
  19. What effect has consolation on you?
  20. On what occasions do you feel frightened or anxious?[ putting examples]. Have you noticed any change in your body and mind when you are feeling anxious? Like palpitation, pains, Thoughts of fainting , losing control or going mad
  21. Interview with friends and relatives
  22. The best technique is to watch what happens spontaneously. Then the other techniques are used only when you reach a dead end and do not know how to proceed further
  23. Any obsessional phenomena-any thoughts keep coming in your mind even though you try hard not to have them. Do you have to keep checking activities that you know you have really completed?
  24. Delusions, illusions, and hallucination- do not ask direct questions but observe from the talks and gestures
  25. Orintation of place, person and time

Dr. Pierre Schmidt is of opinion that mental symptoms should not be asked at the end of case taking because by that time the patient is exhausted and is not able to give out his innermost feelings clearly. Dr. Borland used to say that the best time to ask such questions is when you are examining the patient physically. Physical touch seems to bring the patient closer to the doctor mentally and emotionally.

IX. PHYSICAL EXAMINATIONS
IX.LAB. INVESTIGATIONS
X. DIAGNOSIS WITH D/D
XI. ANALYSIS OF SYMPTOMS
XII. EVALUATION OF SYMPTOMS
Evaluation of symptom implies the principles of grading or ranking of different kinds of symptoms in order of priority, which are to be matched with the drug symptoms in order to cover the characteristic totality in a natural disease condition with that of drug disease. Proper evaluation of symptom is the most important step next to case taking in Homoeopathy.In evaluation of case the value of symptom must be taken in to consideration on several points. Basically symptoms are ranked according to their intensity, how deeply they reach in to the organism ( mental will & emotional symptoms are considered most important ) and according to their degree of peculiarity.

XIII. MIASMATIC EXPRESSION
XIV. REPERTORIAL TOTALITY
XV. IMAGE OF THE PATIENT
Acute, chronic, constitutional, intercurrent
XVI. MANAGEMENT OF THE CASE
General
Medicinal
XVII. OBSERVATION AND FOLLOW UP
Date, basis of selection, prescription, observation
XVIII. ADVICE ON DISCHARGE

References:
1. Organon of medicine by Samuel Hahnemann – B.K.Sarkar
2. Essentials of repetorisation- S.K.Tiwari
3. Kents lectures on Homoeopathic philosophy
4. Genius of Homoeopathy- Stuartclose
5. Principles and art of cure in Homoeopathy- H.A.Robert
6. A brief study course on Homoeopathy- Elizabeth Wright.
7. Logic of Repertories- Castro
8. Writings on Homoeopathy- Kanjilal
9. Hutchison’s Clinical Methods
10.The art of case taking- Pierrie Schmidt
11.The art of interrogation – Pierrie Schmidt
12.An introduction to Principles of repertory and repertorization- Muneer Ahmed
13.Spirit of Homoeopathy-Rajan Sankaran
14.Science of Homoeopathy- George Widhulkas
15.Principles and practice of Homoeopathy- Dhawale
16.Significance of past history in Homoeopathic prescribing-Foubister
17.Manual of Psychiatry- J.P.S. Bakshi
18.Dr.K.B.Rameshan -Principal in charge and professor in Department of Case taking and repertorisation, GHMC Calicut.
19. 20.Text Book of Repertory- Niranjan Mohanthy
21.Case Taking, Case receiving and recording – Niranjan Mohanthy.
22.Art of case taking and practical repertorisation- R.P.Patel
23.’Case taking a developmental approach’ – Seminar paper presented by Mansoor Ali

Boenninghausen’s repertory by C M Boger

Dr Sumesh P 

A brief book review on Boenninghausen’s characteristics materia medica and repertory – C M Boger

Name of the book: Boenninghausen’s Characteristics Materia Medica and Repertory with word index
Author : C.M.Boger.
Publisher : Boerick & Tafel (1st Edition-1905)
Roy&co , India (2nd Edition –1937)
B.Jain Publishers (P) Ltd. New Delhi ( Reprint Edition- 1993)

Contents:
1.Foreword
2.Life History of Dr.C.Von Boenninghausen
3.Preface
4.Materia Medica part
5.Repertory part
6.Concordances
7.Word index

Foreword
This is written by H.A.Roberts. He says that it was Boenninghausen who first evaluated the remedies in relation to the individual symptoms and it was he who introduced various relationship of any given remedy to the individual case. The repertory is based on the original repertory of the Antipsoric remedies of Boenninghausen.
Life History of Dr.C.Von Boenninghausen
This is given by T.L.Bradford. M.D

Preface
C.M.Boger mentions that Masterpieces of Boenninghauasen-
1. Therapeutic Pocket Book
2. Apsoric repertory
3. Antipsoric repertory
4. Sides of the body
5. Intermittent fever
6. Whooping cough &
7. Aphorisms of Hippocrates
Were included in the repertory part.

The Materia Medica part consist of
1. “Characteristics”
2. Whooping cough
3. Domestic physician
4. Aphorisms of Hippocrates
5. Intermittent fever

On the use of Repertories
Repertory is used for discovering particular symptoms as well as for grouping remedies containing similar combinations in their pathogenesis.

Choosing the remedy
Selection of remedy is made after considering the following seven points
1. Changes of personality and temperament
2. Nature and peculiarities of the disease
3. The seat of the disease
4. The concomitants
5. The cause
6. The modalities
7. The time

The repetition of the dose
The primary and secondary action of many drugs repeats itself alternately, as long as the first dose has not exhausted its action- hence repetition should not be done during this period.
In diseases, which attack, man only once, every repetition retard the cure.
In chronic diseases the action of the remedy must be left undisturbed if we wish to attain success. After the administration of the carefully selected remedy, within 8 days (in acute diseases within few hours) one of the two events certainly follows either:

a. The state of the illness is changed
b. It remains the same

The change in the sick condition include one of three following events:
1. Amelioration
2. Aggravation
3. Disease alters its symptom complex

In the first case, repetition should be done only when the improvement comes to a visible standstill.
In the second case, which is called as Homoeopahtic aggravation , nothing further is to be done ; if it is too strong an antidote must be applied, which in most cases will be the smaller doses of the same medicine itself.
In the third case the remedy was incorrect, and that must be exchanged for a suitable one.

If the state of illness remains the same, which is due to want of receptivity, we must seek to remove it either by repeated small doses or by medicines recommended for deficient reactions.

Homoeopathic Prognosis:
A well correct medicine applied to a sick individual operates within sphere corresponding to its action will overthrow the disease; on the other hand if the reaction remains absent or new symptoms appear during the operation of the drug, the prognosis is grave.

Materia medica part (Characteristics)
Medicines are described in the anatomical order- for example;
1. Mind
2. Vertigo
3. Head
4. Eyes
5. Nose
6. Face
7. Teeth
8. Mouth
9. Appetite
10. Thirst
11. Vomiting
12. Stomach
13. Hypochondria
14. Abdomen
15. Stool
16. Urine
17. Menses
18. Perspiration
19. Cough
20. Larynx
21. Chest
22. Back
23. Upper extremities
24. Lower extremities
25. Generalities
26. Skin
27. Sleep
28. Fever
29. Allied remedies
30. Complimentary

Materia Medica include the following 140 medicines;
1. Aconite
2. Agaricus Muscarius
3. Agnus castus
4. Aloes
5. Alumina
6. Ambra
7. Ammonium carbonicum
8. Ammonium muriaticum
9. Anacardium
10. Angustra
11. Antimonium crudum
12. Antimonium tartaricum
13. Apis
14. Argentum metallicum
15. Argentum nitricum
16. Arnica
17. Arsenicum
18. Asafoetida
19. Asarum
20. Aurum
21. Baryta carbonica
22. Belladonna
23. Bismuthum
24. Borax
25. Bovista
26. Bromium
27. Bryonia
28. Caladium
29. Calcarea carbonica
30. Calcarea phosphorica
31. Camphora
32. Cannabis
33. Cantharis
34. Capsicum
35. Carbo animalis
36. Carbo vegetabilis
37. Causticum
38. Chamomilla
39. Chelidonium
40. China
41. Cicuta virosa
42. Cina
43. Clematis
44. Cocculus
45. Coffea
46. Colchicum
47. Colocynthis
48. Conium maculatum
49. Crocus
50. Cuprum
51. Cyclamen
52. Digitalis
53. Drosera
54. Dulcamara
55. Euphorbium
56. Euprasia
57. Ferrum
58. Fluoricum acidum
59. Gelsemium
60. Glonoin
61. Graphites
62. Guaiacum
63. Helleborus
64. Heparsulphuris calcareum
65. Hyoscyamus
66. Ignatia
67. Iodum
68. Ipecacuanha
69. Kali bichromicum
70. Kali carbonicum
71. Kali nitricum
72. Kreosotum
73. Lachesis
74. Laurocerasus
75. Ledum
76. Lycopodium
77. Magnes artificialis
78. Magnetis polus Articus
79. Magnetis polus Australis
80. Magnesia carbonica
81. Magnesia muriatica
82. Manganum
83. Marum
84. Menyanthus
85. Mercurius
86. Mercurius corrosivus
87. Mezereum
88. Moschus
89. Muriaticum acidum
90. Natrum carbonicum
91. Natrum muriaticum
92. Natrum sulphuricum
93. Nitricum acidum
94. Nux moschata
95. Nuxvomica
96. Oleander
97. Opium
98. Paris quadrifolia
99. Petroleum
100. Phosphoricum acidum
101. Phosphorus
102. Phytolacca
103. Platina
104. Plumbum
105. Podophyllum
106. Psorinum
107. Pulsatilla
108. Ranunculus bulbosus
109. Ranunculus scleratus
110. Rheum
111. Rhododendron
112. Rhustoxicodendron
113. Ruta graveolens
114. Sabadilla
115. Sabina
116. Sambucus
117. Sarsaparilla
118. Scilla
119. Secale cornatum
120. Selenium
121. Senega
122. Sepia
123. Silicea
124. Spigelia
125. Spongia
126. Stannum
127. Staphysagria
128. Stramonium
129. Strontium
130. Sulphur
131. Sulphuricum acidum
132. Tabacum
133. Taraxacum
134. Thuja
135. Valeriana
136. Veratrum album
137. Verbascum
138. Viola odorata
139. Viola tricolor
140. Zincum

Duration of action of remedies
Remedies are divided into following types depending on their duration of action;
1. short acting
2. brief acting
3. medium acting
4. long acting
5. very long and deep acting

Important hints
He gives the twelve observations of Kent as the important hints for the selection of second prescription.

Repertory part
During Dr.C.M.Boger’ s time both the Benninghausen and Kentian schools were popular. Boger made a study of both but accepted Boenninghausen’s way of working out of a case. He tried to translate Repertory of Antipsoric Remedies. In the course of his translation work, he was further convinced that Boenninghausen’s basic principles, plan and construction were sound and that the book was comprehensible and hence practicable. He was also aware of the difficulties faced by the practitioners while using the Therapeutic Pocket Book and the criticisms leveled against its principles and the methodology. He undertook the major work of rewriting the Therapeutic Pocket Book, by adding aggravations, ameliorations and concomitants at the end of each chapter. This lead to the development of a new repertory- “Boenninghausen’s Characteristics and Repertory”.

Philosophical background
This repertory is based on the following principles
1. Doctrine of complete symptom and concomitant
2. Doctrine of pathological generals
3. Doctrine of causation and time
4. Clinical rubrics
5. Evaluation of remedies
6. Fever totality
7. Concordances.

1. Doctrine of complete symptom and concomitants:
A symptom is said to be complete when the following elements are present-
a) location
b) sensation
c) modality and
d) concomitant

Concomitants are the symptoms accompanying the main complaint without any pathological relation to the main complaint. They are known as the “unreasonable attendants”.
He tried to make every symptom as far as complete and he included concomitants at the end of each chapter.

2.Doctrine of pathological Generals:
These are the general changes in the tissues and parts of the body. They reveal the state of the whole body and its changes in the changes in relation to the constitution. The chapter “ sensations and complaint in general” is full of examples of pathological generals, which include discharges, structural alterations, constitutions, diathesis, etc.

3.Doctrine of causation and time:
Boger has given adequate importance to causative modality and time modality. Each chapter in this book is followed by a separate sub chapter of time aggravation.

4. Clinical rubrics:
In the absence of characteristic symptoms, clinical conditions are very useful in grouping medicines, which can be further narrowed down with the help of modalities and concomitants and finally selecting one among them. They help the physician in case of advanced pathology.

5.Evaluation of Remedies:
Boger used the same five grading of medicines as Boenninghausen followed in his Therapeutic Pocket Book. The grading is based on the frequency of appearance of symptoms in the provers. He used five different typography to represent these grades:

CAPITAL (5)
Bold (4)
Italic (3)
Roman (2)
(Roman) in parenthesis (1)

6.Fever totality:
This is the unique contribution of Boger. The three stages of fever are followed by time, aggravation, amelioration and concomitants. They helps to repertorise any simple as well as complicated cases of fevers.

7.Concordances:
Concordances or relationship of remedies helps in the second prescription.

Plan and construction
Boger followed basic plan and construction of Boenninghausen’s Repertory of Antipsoric Medicines. He made several sections for different parts of the body and he added many rubrics and sub-rubrics. The chapter on fever has been completely changed in its arrangement and its contents. The different chapters and sub-chapters of the repertory.

Dr P Sumesh
Mdical Officer, Govt. of Kerala

Kent’s Repertory – a Comprehensive Study

Kent3Dr Sanchoo Balachandran

Origin of the Repertory in General 
Need for repertory arises from the very beginning of the introduction of the system. As the years passed, the literatures on materiamedica accumulate beyond the scope human brain, so need for an indexing is highlighted.

The idea of repertory was first brought by Dr Hahnemaan himself, and the first repertory was born in 1805 itself as “Fragmenta de viribus medicamentorum positivis”, the first part contain the symptoms observed and the second part contain the index or the repertory. Hahnemann was the first to make repertory and he was using a repertory for his daily practice. He had four volumes for this reference book consisting of 4239 pages. In 1817 he published a short repertory in Latin, more over in Materia Medica Pura he demonstrated two cases which gives one about his concept. In the preamble of material medica also he wrote about the concept of repertorisation. By around 1829 he arranged Dr Ernest Ferdinand Ruckert to arrange a repertory of the remedies, but was not successful and has remained to its manuscript form, housed now in Haele’s museum in Robert Bosch Hospital, stuttgart, West Germany.

In 1830 –32 Hahnemann compiled a repertory which he could not published because he himself found the work imperfect and his publisher Mr Arnold was not in a position to publish it. 1834-Dr Hahnemann employed Dr.Jahr to complete the second edition of chronic disease and also to lay foundations for a repertory and encyclopedia of symptoms. The repertory was published in 1835, was in German, and consists of two volumes of 1052 and 1254 pages respectively. This was followed by a third repertory on gland bones mucus membrane, ducts and skin diseases in 200 pages. Hahnemann further continued with his ideas on repertory but his later repertories remained and still in manuscript form.

One of the first repertories was by Dr.Harthlaub published in 1828 in Leipzig. Hahnemanns pupil Dr Gross compiled a repertory consisting of two volumes which never appeared in print. In 1830 Weber compiled in German a repertory consisting of 536 pages,”Systematische Darstellung de Antipsoriche Arzneimittal” with a repertory of deterotion and amelioration in health rainging from top to toe of the subject and ending up with sleep and mental symptoms.

The important Repertories with the year of publication
1. 18
32 Boenninghausen’s Repertory of the Anti-Psorics with a preface by Hahnemann. He was consider as the “Father of Repertory”
2. 1833 Glazor, First Alphabetical Pocket Repertory, 165 pages. published at Leipzig
3. 1833 Weber Peschier Repertory of purely pathagnomic effects, 376 pages prefaced by Hahnemann.
4. 1835 Boenninghausen Repertory of medicines which are not antipsoric.
5.1836 Bonninghause An attempt at showing the relative kinship of Homoeopathic remedies.(Verwandschaften Repertorium)
6. 1837 Rouff, A repertory published at Stuttgart. 236 pages.
7. 1843 Laffitte One of the first Persian Homoeopath, A Homoeopathic Repertory of Symptamatology. 975 pages. ( First original Repertory in French)
8. 1845 Boenninghausens Therapeutic Pocket Book.
9. 1845 Rouff A repertory of Nosology, 250 pages.
10. 1847 Hempel’s Bonninghausen, 500 pages.
11. 1848 Cloffer Muller Systemic Alphabetical Repertory, 940 pages.
12. 1849 Mure Rio de Janeiro, 367 pages.
13. 1851 Bryanth an Alphabetical Repertory 352 pages.
14. 1853 Possart Repertory of charetersied Homoeopathic remedies, 700 pages published in Cothen.
15. 1854 A. Lippe. Repertory of comparative materiamedica. 144 pages.
16. 1859 Cipher Repertory by English Homoeopaths, 600 pages. Enlarged edition in
17. 1878, containing 1030 pages by Drydale, Atkins Dudgeon and Strokes.
18. 1873 Berridge Repertory of eyes published in England.
19. 1874 Grainer of Nimes Homeolexicon in two volumes.
20. 1879 C.Lippe Repertory of more charetersticed symptoms of the materiamedica 322 pages.
21. 1880 T.F.Allens Symptom register.
22. 1881 Hering’s alphabetical repertory.
23. 1890 Gentry The repertory of concordance in six volumes, 5500 pages.
24. 1896 Knerr’s Repertory to Herings guiding symptoms.
25. 1897 Kents 1st edition 1349 pages.
26. 1904 Clarke A clinical Repertory
27. 1905 Boger Boenninghausen’s Characteristic And Repertory.
28. 1931 Boger Repertory with synoptic key.
29. 1927 Boericke Clinical Repertory.
30. 1937 Robert Sensation as if.
31. 1959 Dr. Jugal kishore Card repertory.
32. 1982 Barthel And Will Klunker Synthetic Repertory.
33. 1987 Dr.Ferderic Schroynes Synthesis Repertory
34. 1993 Robin Murphy N.D. Homoeopathic Medical Repertory.
35. The Complete Repertory.

Apart from this, lot of regional repertories where also published during this period. For example Repertory of tongue by Dougles, 1896; Repertory of eyes by Berridge, 1873; Repertory of fevers by H.C.Allen, 1880; etc.

Sources Of Kent’s Repertory
By the end of 19th century, even though a lot of repertories where published all of them lack flexibility in one or other aspect. The work of the purist were too rigid and lacked the elasticity of Bonninghausens pocket book, but the latter was found at times leading to ridicules conclusions. Hence the work of Lippe, Lee and Kent were born.

Dr. Kent worked on Dr. Lee’s work; that is, he was preparing a repertory on the basis of Dr Lippe’s manuscript for the second edition of his repertory. Dr Lippe’s repertory in turn developed from the Repertory to the Manuel of Allen-Town Academy and this Repertory was developed out of Boenninghausen’s Repertory of the Anti Psoric Remedies. Kent began where others had left. Kent’s work is only a desirable extension of Boenninghausens’ and is complimentary to it. He has absorbed almost all of Boenninghausen except generalization of locations, concomitants and modalities of particulars. He has particular rized them as Boenninghausen had done in his earlier works. Kent lifted boldly Boenninghausen’s sensations and incorporated in his generalities. Most of the Boenninghausen’s modalities were also included.

Dr.Kent held that repertory was only a compilation at best and all reliable symptoms were the property of homoeopaths . He gathered together all that was in the earlier repertories,symptoms recorded in the fundamental works of the materia medica and added his own notes and notes of other practitioers. He verified the symptoms as far as possible and unverified symptoms were omited and on other hand clinical verifications have given importance, if they are found to be in consistant with the nature of the remedy. Drs. Gladwin , Milton, Powel, Mary Ives and Arthur Allen helped him.
Dr Lee completed the chapters Mind and Head directly, where as chapter’s Eyes and Vision; and Urinary organs,chill, fever, and sweat. by Dr Kent.

Land Marks of Kents Repertory 
1st edition – 1897, it was published in sections and was compiled in 1899
2nd edition – 1908
3rd edition –1916  Dr, Kent passed of in the year 1916
4th edition –1935 was published by Dr. Ethrhart with the help of  Dr Gladvin and Dr. J.S.Pugh.
5th edition –1945
6th edition – 1957 the American edition, 1961 Indian edition.
7th edition – Dr P. Schmith combined the Indian edition and American edition ( generally called as revised first edition.)

Modification on Kent’s repertory.
1.Synthetic repertory is published in the year 1982, by Br Barthel and Dr Klunker, in three volumes but only the general chapters, that is the Mind, Generalities, Sleep, Dreams, Male genitalia, Female genitalia are made and suggest Kents repertory for the reference of particulars.

2.Synthesis, Repertorium Homoeopathicum Syntheticum in 1987, edited by Dr.Frederik Schroynes. Synthesis is the enlarged edition of Kents repertory liked to the homoeopathic soft ware program Radar.The quality of the repertory is mainted by the following guide lines.
i) Repeatedly checked additions
ii) Corrections to Kents Repertory
iii) Clearly readable symptom format
iv) The structure of the symptom is made more transpernt.
v) Consistant combined modalites
vi) Spcefic order for the group of symptoms were followed.
vii) Leading Words have being positioned in the front.
viii) Insuffecitently symptoms were completed on the basis materiamedica.
ix) Ambiguous words have been clarified.
x) Global super rubrics been created
xi) Similar rubrics were mearged into one.
xii) Symptoms were split into meaning ful bits.
xiii) Language of the repertory has been completely revised.

3.Homeopathic Medical Repertory by Robin Murphy; All the Kents repertory and sections of Kneers repertory were used as the foundation for building the repertory and all together 55 authors were taken in. All together 67 chapters, mordern terminologies were incorporated, 39000 new rubrics, 200000 additions.

4. Kents Repertory of Homoeopathic Materia Medica Expanded by Dr. P.Shivaraman published in the year 1994, running edition is the reprint of the third edition.The important changes made are
i) Page numbers for the cross referanse
ii) “—“or the sub rubrics were added as followed by Dr. Lippe in his repertory. This is to avoid mis allintment.
iii) The sub rubrics are in bold roman, to get a better clarity.
iv) Separate chapter heading for Female Genetali is given.
v) Corrections for the alphabetical order for the rubrics and medicines were made., few changes were made to the abbreviations of the remedies.
vi) Time modalities are made to follow AM. And PM.

5. Kunzli Repertory.
6. Additions to Kents Repertory of Homoeopathic material medica by George Vithoulkas reprinted in 1993. The additions were originally derived from a varity of sourses, including Boger, several Materia Medica and personal editions derived from cured cases.
7. Additions to Kents repertory C.M. Boger,
8. Kents comparative repertory of Homoeopathic Materia Medica by Dr. Dockx and Dr.G.Kokelenberg. 
9. Bowel nosodes in the pages of Kents Repertory by Dr. Namitha Mohanthy. Published in the year 1998.

Philosophical Back Ground 
Kent’s repertory was based on philosophy of deductive logic that is from generals to particular. Dr, Kent divide the symptoms in there higherarche as General Symptoms, which is dived into Mind and Physical; particular symptoms; Common symptoms. The repertory is constructed in such a way that every case can be worked out from general to particular. The advantage of such a process is that the remedies, which have a particular symptom, may not have a specific modality, which is needed for the case. In that case if, you work out only with a particular sub rubric, you are at the risk of missing out a remedy which may in fact till that point of time may be an unobserved modality of that drug. So it is advisable to work the case with a general rubric and differentiate the remedies on the basis of sub rubric if it is applicable, but one should not bothered much about the presence of the drug selected in the sub rubrics needed. Thus one of the objective of this repertory is to select general group of remedies for the particular case.

Plan and Construction

The plan of the repertory is uniform through out and it is following Generals to particular, and it is arranged so that one can expand its literature as the years and experience accumulates.
Chapters consists of location or Function are arranged on the basis of Hahnemann order that is to start with Mind, followed by Vertigo, head etc and to the last Generalities. All together there are 37 chapters.
Each chapter consists of related Rubrics which represents the symptoms, not the locations or organs generally, When pathological rubrics are given, it contain only leading drugs for the condition refereed. They are arranged from generals to particulars, in the alphabetical order.

Rubrics are of two types
1. Main or general Rubrics
2. Sub Rubrics.
Main rubrics consist of all the respective drugs (that are the drugs, which covers that particular symptom in general), irrespective of the modifying factors. And they are arranged in the alphabetical order. Cross referanse are also given along appropriate rubrics so that one can look into the related rubrics.
Sub Rubrics are related to the modifying factors of the respective Main rubric and arranged in a particular manner introduced by Dr.Jahr. As
1. Side. ( right then left)
2. Time.
1. Circumstances. Arranged in the order ailments from, alternating with and factors aggravating and amelurating.
2. Extension.(given under the point from which a certain symptoms extends, never under the the point to which extents.)
3. Sub locations.
The above said is again repeated.
Cross-reference is given whenever it was thought to be needed, and one can add further.
Drugs are represented by abbrevesions, as introduced by Dr. Hahnemaan. In total there are 648 drugs.
The drugs are of three Gradings.  
Well proved, clinically verified drugs – Represented in Bold, those symptoms produced by majority of provers and frequently verified.
1. Occasionally proved drugs – Represented in italics produced by few provers and occasionally verifed
2. Only in small group of provers – Represented in roman
The grading of the drugs will help in easy and fast repertorisation with out compromising results.

How to Work out A Case with Kent’s Repertory 
In his preface to the repertory Dr.Kent emphasis that after taking the case following the guide lines laid down by Dr. Hahnemann in his Organon of Medicine aphorisms 83 to 140, one should write all the mental symptoms and all the conditions predicted of the patient himself and search the repertory for the symptoms corresponding to those. Then search for such physical symptoms as are predicted of the blood, color of discharge, and bodily aggravations, and amelioration that include the whole being, then desires like open air etc, then individualize still further using the symptoms predicted for the organs, functions and sensations, always give an prime importance to the time of occurrence, Then examine the symptom pricture collectively and individually. And lastly go to the materia medica for further clarification of the remedies. So essentially it consists of the following steps.
1. Case taking
2. Evaluation or grading of symptoms
We should treat the patient as a whole. The symptoms are breaked into
a) Mental Generals. Among them the higher arche followed is
1. Love hates
2. Intellect
3. Memory.
b) Physical generals, here the importance is given in the following order
1. Related to blood, color of discharge, Aversions and Cravings
2. Menstrual functions (general aggravations related to menses, the character of menses)
3. Environmental factors

c) Particular symptoms, here the higher arche followed is
1. Peculiar or unusual symptoms
2. Discharges
3. Modalities

d) Common symptoms—they become important when they are absent or when intensified_
3. Conversion of symptoms to rubrics.
4. Erecting the reportorial totality.
5. Repertorisation proper. One can adopt repertorisation in two ways
1. Addition method
3. Elimination method
6. Analysis and prescription.

MIND
Introduction:

This particular chapter contains rubrics related to constitution, psychopathological conditions, memory and modalities (e.g., closing eyes, conversation etc.)
Rubrics related to the speech is dived into the chapters Mind – Mouth _ Larynx. This division can be easily understood as when the quality of the speech is altered ( symptoms of the higher center involvement ) you should look into chapter mind, when the motor functions are involved you should look into the chapter Mouth, when the quality of the voice is altered one should look into the chapter Larynx.

Important word [r1] meaning  
Frivolous = Not serious
Consciences = Your own feeling whether you are doing right or wrong
Trifles = Some thing that is of little value or importance
Ardent = Showing strong feeling
Audacity = Boldness
Benevolence = Kind , friendly.
Bewildred = Confuse.
Confining = secretive
Confounding = To mix up
Conscientious = Care full
Contrary =Obstinate
Cowardice = Lack of courage.
Grotesque = strange or unnatural in a way that is funny or frightening.
Deed full = Some thing that you do in action.
Defiant = Refusal to obey
Disconcerted = Dissatisfied.
Eccentricity = Strange or unusual behavior.
Ennui = Strong hatred or dislike.
Fastidious = want every thing to be clean and tidy.
Frivolous = Not serious
Frown = Draw in the bow inorder to show dissatisfaction.
Grimaces = Fascial expression to show that some thing is hurting you.
Imbecility = Stupid
Imperious = Commanding
Impetuous = Impulsive
Imprudence = Rude
Inciting = Provoking
Insolent = Rudeness, Mocking = To make fun of.
Mocking=
Pertinacity =Determunation.
Petulaent = Easily put ina bad humor
Plegmatic = Slow to feel emotions.
Piety =Devotion to God.
Positiveness = Affirmation
Precocity = Mature than his age.
Presumptuous = Too high an opinion of his own ability or worthness.
Remoses = A feeling of sadness because you have done some thing bad. Or Bitter regrets arising from past misdeeds.
Reproches = Blaming.
Reverence = Deep respect.
Ridiculus = To make fun of
Roving To wander with out definite direction.
Scorn = Bitter contempts.
Scropulous = Carefull.
Slander = False statement against some body with a purpose to defame the subject.
Sneers = To smile ar some body in contempt.
Sulky = Be in a bad temperment and express it by not talking
Vacillation = To hesitate.
Veneration = To regard with deep respect.
Vendictive = Unforgiving.
Wicked = Immoral
Witty =Alert.

Classification of Rubrics
For an easy grasping of the different rubrics in the chapter we have classified symptoms into
1. Constitutional symptoms
2. Psychopathological symptoms
3. Emotional symptoms
4. Intellectual symptoms
5. Modalities.
 
Emotional                    Intellectual
Abandoned                   Absorbed,buried in thoughts
Abusive .                       Abstraction of mind
Admonition                   Acuteness
Amusement                  Answers
Anger                           Antagonism
Anguish                       Business aversion to
Anticipation                 Busy, fruitless
Aversion                      Culminate desire
Blood cannot looked a  Capriciousness
Brooding                          Carefulness
Carried desire for             Censorious
Cautious                          Clairvoyance
Children aversion to        Concentration
Color aversion to             Confidence want of
Conscientious                  Confounding
Consolation agg              Contemptuous
Despair                  Contrary
Discontented          Deedful
Discouraged           Dictatorial
Disgust                   Disobedience
Dwells                     Disturbed aversion
Embraced               Dullness.
Ennui                      Egotism
Envy                       Fanatics
Forsaken                Fastidious
Frightened              Flattery
Gossiping               Foolish
Grimace                  Forgetfulness
Hatred                     Godless
Haughty                   Honor wounded
Heedless                 Hurry
Helplessness           Hypocrisy
Hide                         Ideas
High spirited            Impatience
Home desire           Impetuous
Home sickness       Impulsive
Horrible things effect   Inciting others
Imbecility                          Inconstancy
Inconsolable           Indifference
Indignation              Indiscretion.
Lamenting              Indolence
Lewdness              Inquisitive
Loathing                 Insolent.
Looked                   Introspection
Magnetized            Irresolution
Malicious               Irritability.
Mesmerized          Libertinism
Mildness               Loquacity.
Mirth                    Meditation
Moaning              Mistakes
Mocking              Mood
Morose               Moral feeling want of.
Offended easily   Prostration of mind.
Quarrelsome       Quick to act
Quiet disposition to     Reading aversion to.
Sensitive                 Senses acute.
Scorn                      Riding in a carriage aversion to
Sadness                 Sneers
Remorse.                Succeeds never
Reproaches            Talk
Repulsive mood.     Thinking
Revels secret in sleep. Torments every one with his complaints.
Sadness                                Torpor
Sulky                   Travel desire for
Timidity               Trifles
Unfortunate         Unattractive things seems
Weeping             Undertakes
Unobserving
Veneration
Wearisome
Weary of life
Will
Wildness
Women aversion to
Work aversion
Writing

Modalities
Closing eyes ame
Conversation agg
Darkness agg
Drinking after agg
Exercises –mental symptom ame by physical exercise.
Exertion agg
High places agg
Joy
Manual work
Moonlight
Narrating the complaints aggravation.
Occupation amel
Rocking amel
Rudeness ailments from.
Scorn ailments from.
Sexual excess mental symptoms from
Shining
Stories exciting agg
Surprise
Talking complaints from
Talk of other agg. Thinking complaints of.
Thunder storm

Important Rubrics.

  1. Scolds until the lips are turned blue and eyes starring and she falls down fainting = Abusive
  2. Anxiety on waking from fright full dreams = Mind– anxiety.
  3. Anxiety during convulsions = Anxiety- fits
  4. Must lie down with anguish =Anxiety — lying down
  5. Anxiety on hearing rushing water= Anxiety- noise rushing water.
  6. Anxiety made him to walk rapidly=Anxiety –walking rapidly – rushes him
  7. Disposed to find fault= Censorious critical
  8. Avoids the sight of people = Company aversion to
  9. Crazy feeling on top the head, wild feeling in head, with confusion of ideas. = Concentration
  10. Losses his way in well-known street = Confusion.
  11. Wraps up in fur during summer= Delirium , Roving , Fur.
  12. Imagines others will observe her =Delusions – confusion.
  13. Inaccurate judgment of the distance =Distance.
  14. Under stands questions only after repetitions = Dullness.
  15. Stammers when talking to strangers.- Excitement.
  16. Swallows continues while talking = Excitement.
  17. Child cannot bear to have anyone come to them = Fear approach
  18. Behind him that some one is = Fear.
  19. Confusion that people is observing her= Fear.
  20. Likes cow dung, mud , saliva = Feaceses.
  21. Feeling of isolation = Forsaken.
  22. Grasp genital during spasms = Gestures.
  23. Picks at bed clothes = Gestures.
  24. Unmoved by apologies = Hatred.
  25. Desire to do several thing at a time = Hurry.
  26.  Stab his flesh with a knife which he holds = Impulsive.
  27. Do not complain = Indifference.
  28. Complain nothing unless questioned = Indifference.
  29. Must exert self control to prevent shooting himself = Injure.
  30. She will sit and break pins = Insanity.
  31. Dresses in her best clothes = Insanity.
  32. Insist upon saying his prayers at the tail of his horse = Insanity.
  33. Makes useless purchases = Insanity.
  34. Passes his feaces on floor = Insanity.
  35. Crackling of news paper drives him to despair.= Irritability- noise
  36. Takes every thing in bad part = Irritability.
  37. Must restrain herself from self injuring= Loathing of life.
  38. Changing quickly from one subject to another = Loquacity.
  39. Objection to what ever was proposed = Obstinate
  40. Never focus on one matter = Persist in nothing.
  41. Does not recognize the relatives = Rage.
  42. Tries to kill people = Rage.
  43. Pulls hair of bystanders = Rage
  44. Pulls his own hair = Pulls.
  45. Horror of opposite sex = Religious.
  46. Scratches the lime of the wall = Scratches.
  47. Exposes the person = Shameless.
  48. Brain cry = Shirking.
  49. Knocking his head against the wall= Striking.
  50. Rouse with difficulty = Stupefaction.
  51. Thins that the people are talking about her.= Suspicious
  52. Answers correctly when spoken to but delirium and unconsciousness return at once = Unconsciousness

Related rubrics which are other wise not mentioned ( Just to highlight that you can have many more cross reference)

  • Anticipation=Anxiety –anticipatory an engagement
  • Anxiety –hypochondria = Sadness
  • Anxiety—storm during = Fear –storm = Generalities—storm
  • Company –aversion to strangers =Stranger <
  • Courageous = Audacity
  • Delirium well= Irritability= Refuses things asked for.
  • Abandoned = Forsaken = Delusions – deserted.
  • Thinks that he is deaf, dump, = Delusions –disease.
  • Anxiety –salvation = Despair –religion = Doubtful soles welfare of
  • Desire to be alone = Spoken wants to be let alone
  • Torpor = Dullness.
  • Wicked = Moral feeling want of.

Misplaced rubrics

  • Aphasia related to the motor derangement of speech so this must be moved to the chapter Mouth 
  • Sighing ( to take a deep breath indicating tiredness.) a physical general should moved to the chapter Generalities.
  • Sit inclination to is a symptom with predominating physical component, so this must moved to the chapter generalities.
  • Wild feeling in the head is a rubric related to the location head so this must be placed under the chapter Head.

Corrections  
All the aversions and cravings should brought under a general rubric Aversion and desire respectively.
All the misplaced rubrics should be placed under the respective chapters

VERTIGO  
Introduction
This particular chapter contain rubrics related to modalities and charter of vertigo, (balancing, intoxicated as if etc.)

Important rubrics

  1. Sensation as if high wall would fall on him= fall
  2. Vertigo as if sinking down to and fro in the bed = lying
  3. Vertigo > by thinking some thing else = meditating.
  4. Sensation as if there was a barrier between his organs of sense and external objects =stupefaction or suspension of sense.
  5. Vertigo with fainting = syncope with.
  6. Vertigo as if walls of her house fall on her = fall
  7. Vertigo from loss of sleep = watching and loss of sleep.

Corrections
Left, swaying towards and right swaying towards, two rubrics of same type but with opposite charter is given separately but it will of better if they are given under a common rubric — SWAYING

HEAD
Introduction 

Rubrics related to clinical conditions (abscess, hydrocephalus, anemia, lice, sunstroke), sensations, gestures (boring the head into the pillow, hands rub with etc.), modalities (cold air sensitive to, uncovering aggravation, warm covering of the head aggravation, washing head aggravation). Conditions related to hair, mental symptoms like (aversion to hat, intoxication’s if, knocks the head against the things, Desire to lean the head on something, striking the head etc.)

Important word meaning 
1. Commotion =
2. Pithy = full of or forceful
3. Softening of the brain =paresis with progressive dementia.

Important rubrics

  1. Brain where an ant hill as.if = Alive 
  2. Difficulty in keeping the head erect = Balancing
  3. Sensation as if blood where streamed from below upwards, or with in out wards. = Congestion
  4. Sensation as if head would burst = Fullness
  5. Weakness of head = Hold up the head.
  6. Frontal sinus from chronic coryza = Pain, forehead
  7. Brain feels too far from the skull= Smaller
  8. When to weak to move the body, will roll head from side to side = Restlessness
  9. Sensation as if head is raising from stomach = Stomach.

Related rubrics 
Drawing the head= falling = holding =Raise the head
Motions= jerking = restlessness
Head pain maddening = violent pain

Corrections 
Hammering pain is a charter of headache and is given as a sub rubrics to the general rubrics Pain, this must be moved to the type of pain
Pulsation and shock is a type of pain which given as a separate rubric should placed under the the main rubric Pain
Knocks the head against things and Strikes the head against the wall or bed, twitching of eye lids and frontal muscles—this rubric should be moved to the chapter Mind, under the rubric Striking.

EYES AND VISION 
Introduction
This particular chapter contains rubrics related to eye proper, eye brows, around the eyes and eyelids, and the different types of rubrics are modalities in general (<sun.<heat etc)Different conditions of the eyes (filmy, dullness)Clinical conditions (myopia, glaucoma)Sensations, mental symptoms (to wipe inclination to, aversion to bring the objects near the eyes.)
Note – rubrics related to discoloration are separated, and are spread out.
And chapter vision contains rubrics related to pathophyisiology of vision, and general modalities.

Important word meaning

  1. Amaurosis = blindness with out apparent lesion in eyes, due to cortical lesions
  2. Arcs senile = an opaque grayish ring at the periphery of the cornea just with in the sclerochorneal junction, of frequent occurrence in old age. It results from deposits of fatty granules, or hyaline degeneration of lamella and cells of cornea.
  3. Esophoria = tendency for the eyes to turn inwards.
  4. Exophoria = tendency to turn out wards.
  5. Hyperphoria = tendency to turn upwards.
  6. Hordeola = supurative inflammation of glands of eyelids.
  7. Hypophion =Presents of leukocytes in the anterior chamber of the eye
  8. Melanosis = pigmentation of the conductive and the skin around the eyes usually unilateral especially seen in Orientals race.
  9. Pannus = a fibro vascular connective tissue that proliferate in the anterior layers of peripheral cornea, in inflammatory corneal disease, particularly in trachoma which pannus involves superior cornea.
  10. Photomania = morbid or exaggerated desire for light.
  11. Ptergium = a triangular patch of hypertrophied bulbar conjunctiva tissue extending from medial cantus to the border of cornea or beyond and the apex pointing towards the pupil.
  12. Styphaloma = bulging of the cornea or sclera containing uveal tissue
  13. Accommodation = adaptation to focus an external object on retina by increasing and decreasing the thickness of the lens.
  14. Colors = marked with irregular patches of different colors.
  15. Muscles volitantes = appearance of spots before eyes, raising from remnants of the embriologic, hyloid vascular system in virtuous humerous
  16. Scotoma = an isolated area of varying size and shape with in the visual field in which the vision is absent of depressed.

Clinical importance of different conditions of the eye
Unnatural luster’s is seen in fever
Brilliancy in consumption
Glassy eyes in gastritis, inflammation of the mesenteric glands, in fever it indicates a bad prognosis, normally in children
Dullness in febrile conditions during catamania, catarrhal fevers.
Sunken eyes in loss of vital fluids. Emaciation.

Important rubrics. 

  • Sensation as if some thing is hanging over eyes and must wipe away =Eyes— discharge
  • Sensation as if sand in the eyes = Eyes -–pain;– pain –burning
  • Exophthalmoses = Eyes –protrusion
  • Sensation as if cold air blew= Eyes –coldness
  • Jaundice = Eyes – yellowness
  • Color blindness = Vision –color-blindness
  • Raises the foot unseemly over small objects while walking =Vision –large
  • Sidewise can only see objects when looking at them =Vision –dim
  • General < on exerting vision = Vision—exertion
  • Vanishing of sight = Vision –loss off.
  • Day light < but desires lamp light = Eyes – photophobia
  • Pain asif eyes forehead and face concentrate in the tip of the nose = Eye –pain contractive.
  • Foreign bodies in the eye =Eye –inflammation.

Misplaced rubrics.
Eye –pain- increasing until noon should moved to pain –morning -noon, until
Eyes– swollen – carbuncle, must be changed into inflammation –carbuncle
Paralysis of iris is given separately from the main rubric paralysis.

Related rubrics
Agglutination- discharge of mucus- inflammation
Lachrymal duct=discharge, fistula, inflammation, stricture, swollen lachrymal gland, ulceration, pain.
Eye close, closed, open,opening, open, openness,
Quavering, twitching, spasms.
Eyes weak, tired.
Tears(charter), lacrymation(<,>)

Suggested corrections
Correct the all the misplaced rubrics.
In vision chapter the scattered illusions should brought under a general rubric illusion.
Under the main rubrics Photophobia the sub rubrics related to different types of light should brought under a separate rubric Light.
Rubrics related to Pupils are given under the main rubric pupil which is infact a location, so it is against the method of construction of the repertory, so this must be split and put.

EAR AND HEARING 
Introduction
This particular chapter contains rubrics related to different conditions, sensations and modalities.

Word meaning
Scurfy
Cannonading
Ozaena

Important Rubric

  • Rupture ear drum = Ear– ulceration tympanum 
  • Sounds seems confused = Hearing –impaired
  • Direction sound cannot tell = Hearing –impaired.
  • All sounds sees far of = Hearing -–impaired – distance
  • Deafness to human voice = Hearing — impaired-voice the human.

Related rubrics
Ear wax –-discharges
– Ear wax
-Wax (contains sub rubrics related to character)

FACE 
Introduction
It contain rubrics related to locations like sinus, parotid gland, submaxillary gland, sub mental gland, lips; clinical conditions like abscesses, expression, modalities like shaving aggravation, constitutional features like shiny face, waxy fase etc and mental rubrics like desire to wash in cold water.

Important word meaning
Hippocratic = appearance of face at the time of impending death, chareterstied by dark brown red colored skin, hollow eyes collapse of temples, sharpness of nose, lobes of ears turning out ward.
Smutty = dirty.
Sordes = foul brown crust on lips, caused by bad oral hygiene or in low forms of fever.

Important rubrics

  • Rodent ulcer = Cancer- noli me tangier on nose 
  • Cyanosis during asthma or with heart troubles= discoloration bluish
  • Redness of right side of the face with out heat and paleness of left side with heat = Discoloration– red
  • Upper lips drawn up exposing teeth = Drawn upper lips
  • Comedones = Eruption comedones
  • Butterfly rash = Saddle across the nose
  • Face varnished as if = Tension
  • White of an egg dried as if = Tension

Related rubrics
Blotted =swelling
Cracked lips = excoriated lips
Risus sardonicus – stiffness muscles = Cramp maxillary articulation
Drooping of jaw = tired feeling of the jaw = Weakness of the jaw.

Suggested corrections
Hippocratic face is an expression, so it should be placed under the rubric Expression, not as a separate rubric.

NOSE 
Introduction
Important word meaning
Cannonading =
Ozaena =

Important rubrics

  • Fan like motion of ale nasi= motion 
  • Mucus membrane destroyed = membrane
  • Sensation as if she had two nose = double
  • Compelled to blow nose but no discharge = dryness –blowing nose.
  • Sudden copious discharges from eyes, nose, and mouth. = Nose discharge –watery.
  • Honey like discharge from nose = discharge yellow
  • Yellow saddle = discoloration yellow saddle.
  • Food goes to posterior nose on swallowing = food
  • Liquids comes out through nose on swallowing = liquids, as well as in chapter throat – liquids.
  • Electric spark sensation in the nose = pain electric sparks
  • Rawness coryza during = pain rawness
  • Every thing smells too strong = smell acute
  • Sensitive to odor of cooking food, flowers etc = smell acute– sensitive to
  • Smell of gas causes vertigo = smell acute — gas causing vertigo
  • Smell contains rubrics related to the conditions that is, acute, diminished or lost. Where as the rubric odor Contain rubrics related to illusions and different types of odor.

MOUTH
Introduction
Contain rubrics related to clinical conditions, (aphthae, atrophy, boils, burns, purpure etc), sensations, constitutional features like fingers in the mouth children puts, Grasping at mouth etc. Locations like hard palate, mucus membrane, Papillae.

Important Word Meaning
Clammy =
Epuluis = Fibro sacromatous tumor of lower jaw.
Velum = soft palate
Ranula = Retention cyst of submandibular or sublingual duct
Empyrematic = Odor of animal or vegetable matter being burnt in a closed container.
Stale = dry

Important Rubrics

  • Hot tea seems cold = Coldness sensation of, 
  • Tongue look like burnt tongue = Discoloration, leather; Leather
  • Cylindrical tongue = Contracture spasmodic
  • Sand as if from = Dryness sand in it, as if.
  • Food escapes from the mouth during chewing = Food
  • Protrudes the tongue in order to cool it = Pain, burning tongue, protrudes.
  • Fish bone, tongue in root sensation of = Pain fish bone.

Related Rubrics
Aphthae = cracked = Gangrenous = Inflammation = Mapped = Mucus membrane= Stomachache = Ulcer = Pustules = Sensitive = Smooth = Softening = Spongy = Suppuration = Swelling
Heaviness of tongue = Motion =Paralysis = Protruded tongue
Mucus = saliva =Salivation = Sticky

TEETH
Introduction
This particular chapter contain rubrics related to clinical conditions like caries, periostitis, constitutional features like adhere together, mental symptoms like desire to bite together different sensations, symptoms related to dentition,

Important Word Meanings
Incrustations = formation of scabs or crust.

THROAT
Introduction
This particular chapter contain rubrics related to certain clinical conditions, sensations, symptoms related to deglutition (food lodges, Choking, Gurgling, liquids, obstruction, spasms, swallowing,) locations like esophagus, uvula, tonsils.

Important Word Meanings
Astringent = constriction
Skin hanging loose in = Foreign body + Skin

Important Rubrics

  • Sensation as if worms where squmering in = Crawling 
  • Sensation of stone = Lump.

Related Rubrics
Aphthae tonsil = Blood oozing tonsil = Enlargement tonsil = Inflammation = Induration = Membrane tonsils, = Pustules tonsils = Suppuration = swelling tonsils = Ulcers tonsils = Varicose tonsils
Erosion = Inflammation =Excoriation = Gangrene = Glazed appearance
Mucus discharge drawn from posterior nares = NOSE Discharge posterior nares
Dryness = Roughness = Scraping = Scratching

EXTERNAL THROAT
Introduction
This chapter is related to thyroid gland, cervical lymph glands, throat pit, sternocledomastoid muscles, carotid artery etc. It contains rubrics related to mind like clothing aggravation, sensations, clinical conditions like goiter, fistula, torticolis etc.

Related rubrics
Clothing=Sensitive=Uncovering

STOMACH
Introduction
This particular chapter contain rubrics related to sensations, mental rubrics like anxiety, clothing disturbs, sensitiveness to bad news, related to appetite, thirst, desires and aversions, clinical conditions like cancer, ulcers, related to hiccough, modalities like wine aggravation.

Important Word meaning
Retching = strong involuntary effort to vomit.

Important Rubrics

  • Water brash = Eructation, water brash 
  • Nausea, severe = Deadly nausea
  • Vomiting of postnasal discharge = Vomiting ,drawing catarrhal plugs from posterior nares
  • Itching with nausea, must scratch until he vomits = Vomiting itching

Related Rubrics
Disordered = Indigestion = Distention = Fullness =Eructation = fermentation Hardness.= Heartburn = Heaviness =Inactivity = Inflammation = irritation =   Loathing = Burning pain
Emptiness, hunger with out = Aversion food, hunger with. = Fullness everso little after.
Gagging = Retching
Thirst burning = extreme = unquenchable

ABDOMEN

Introduction
Contain rubrics related to clinical conditions anuresim, bubo, gangrene, hernia, intussusception, locations like liver and gall bladder, spleen, ingunial region and lymph glands, hip region of, iliac bone, umbilicus, sensations, mental rubrics like anxiety, clothing sensitive to, constitutional features like enlarged abdomen in children, pendulous abdomen.

Important Word Meaning
Tabes mesentrica = Tuberculosis of the intestines.

Important Rubrics
Sensation as if diarrhea would come = Diarrhea
Accumulation of fat = Fat

Related Rubrics
Distention = Fullness = Fermentation = Rumbling = Flatulence = Gurgling = Hard = Heaviness = Restlessness = Rumbling
The rubric and the sub rubrics related to pain are liked directly with those of hemorrhoids and female genitalia. E.g.; Pain pressing genitalia towards, pain hemorrhoids from etc

Suggested Corrections
Rubrics related to liver spleen etc are scattered throughout the chapter. It will of an easy reference if they are brought under a separate sub location rubric of the respective organ.
Pain as if squeeze between two stones; stones like, sharp as if rolling together and clutching with nail as if are given under the main rubric “pain”, which must be placed under separate sub rubric.

RECTUM AND STOOL
Introduction
This particular chapter contain rubrics related to clinical conditions like hemorrhoids, abscesses, fistula, fissures, cholera, apthus; locations like perineum, above the coccyx, nates between; constitutional symptoms like redness of anus; different sensations; and rubrics for worms. And stool chapter contain rubric related to different charters of stool
Rubric Moisture is given instead of Discharges

Related rubrics
Inactivity = Constipation
Diarrhea = Involuntary stool = Unnoticed stool

URINARY ORGANS 
Introduction
This chapter contain rubrics related to locations urinary bladder, kidneys, ureters (along kidney) prostrate gland, urethra and urine (which contain different charters and constituents of the urine), different sensations, clinical conditions like calculi, Addison’s disease,

In the chapter rectum the pain tenesmus is given under the rubric Pain, where as in this particular chapter it is given as a particular rubric.

Important Word Meanings.
Chordee = Painful downward curvature of penis on erection occurs in congenital anomalies or in urethral infection

Important Rubrics
Renal calculus = Urine sediment.

GENITALIA

Introduction
This particular chapter contain rubrics related to clinical conditions (abortion, balinitis, condylomata, crab lice, empyocyle, cancer,) sensations, sexual function erection troublesome, erection wanting, sexual desires coition aversion to, sexual passion, enjoyment absent, locations includes thighs between, pubic region constitutional features like handling the genitals, masturbation disposition to, age related rubrics like menopause, disorders of the primary sexual organs, menstruation, reproduction(sterility) and pregnancy and delivery( placenta retained, rigidity of Os during labor) and ailments from like suppression of sexual passion complaints of etc.

Important Word Meanings
Sarcocyle = Fleshy tumor of testis
Smegma = secretion of sebaceous glands, specially the thick cheesy orderiferous secretions.

LARYNX AND TRACHEA
Introduction
Contain rubrics related to clinical conditions like cancer, croup, and sensations, and location includes throat pit.

Related Rubrics
Food drops into larynx = Foreign substance drops into larynx = Throat chapter

RESPIRATION
Introduction

This chapter contain rubrics related to different types of respiration, its modalities, clinical conditions asphyxia new-born, asthma, pulmonary edema, mental symptoms like desire to breath deep.

Important Rubrics

  • Dyspnoea due to diseased condition of distant parts = Difficult –diseased condition 
  • Pulmonary edema = Difficult edema pulmonary
  • Cannot breath due to pain = Impeded
  • Chenye stroke breathing = Irregular.
  • Sawing respiration = Rough, sawing

Related rubrics
Arrested ,sleep during = Difficult, sleep during = Asthma sleep, coming on,
Arrested coughing during = Cough chapter suffocative = Difficult, cough with,
Stridulus = Larynx And Trachea chapter,Laryngismus stridulus

COUGH AND EXPECTORATION
Introduction
This particular chapter contains rubrics related to different modalities (even related to mind like chagrin, nervous cough, and child cough at the presence of the strangers, thinking of aggravation, Vexation.) And types of cough, clinical conditions like asthma, croup, and cardiac disease from, whooping cough. Expectoration chapter contains rubrics related to the modalities, different charters of expectoration.

Important Word Meaning
Sibilant = Hissing
Oleaginous = Greasy oily

Related rubrics
Heart affections in = Sympathetic
Tickling = Irritation = Tingling = Titillating
Tormenting = Persistent = Constant = Violent
Metallic = Trumpet Tones.
Air = Wind

Suggested Correction
Sour food is given as a separate rubric, which must be placed along with the rubric eating aggravation, which contain the related rubric like highly, seasoned food etc

CHEST
Introduction
This chapter contain rubrics related to clinical conditions, angina pectoris, Atelectasis, cancer, emphysema pulmonary edema; sensations; modalities like wine aggravation, locations axilla, lungs, bronchi, pleura, mammae, heart, pectoral muscle, and sternum.); functions of the heart like fluttering, palpitation; related to mind like anxiety, apprehension, restlessness and lactation.
A general rubric Alternating chest complaints with other specified complaints is given.

Important Word Meanings
Phthisis pulmonalis –pituitious = Productive.
Pulmonalis—incipient = Beginning of the disease.
Stenocardia = Angina pectoris.

Important Rubrics

  • Sensation as if hot water poured into the lungs =Heat-water. 
  • Sensation as if hot water poured into the abdomen from the chest = Heat – water.
  • Sensation as if boiling water was poured into the chest = Water.

Related Rubrics
Angina pectoris = Stenocardia = Strain of the Heart on violent exertion

Suggested Corrections
It will be of easy reference if we put the all the symptoms related to  the Heart and other important organs under a main rubric Heart, or related organ’s.

BACK
Introduction
This particular chapter contain rubrics related to sensations; clinical conditions like bifida spina, abscess, concussion of spine, softening of cord. Straining easy; mental rubrics like restlessness etc
The rubric discoloration is not given instead various changes are mentioned separately, as well as a separate rubric spots.

Important Word Meanings
Emprosthotonos =
Opisthotonos =

EXTREMITIES
Introduction
This is the largest chapter in Kents repertory, and consists of rubrics related to sensations; clinical conditions, anchylosis, chorea, corns, felons, milk leg, thrombosis; position of the limbs; gait; mental rubrics like bend desire for, cover the hands desire for, extended the arm desire for, uncover inclination to, vexation felt in lower limbs, washes frequently; locations include nails, bursae, bones, muscles, tendons, hip joint, lymphatic certain dermatological conditions like cracks skin bend of, excoriation, hardness of skin; modalities hanging down letting the limb aggravation, uncovering aggravation, wetting foot aggravation.; Constitutional features like like late learn to walk, wrinkled, etc.

Rubric Blood is given instead of Congestion
Pain is the largest main rubric in the Book and consists of — types of pain

Important Word Meaning
Lameness =
Tottering =
Gressus gallinaceus =

Important Rubrics

  • Drops things from hand = Awkwardness –hand 
  • Knocks against things = Awkwardness—lower limbs
  • Stumbling while walking = Awkwardness—lower limbs
  • Clubbing = Knobby finger ends
  • Offensive smell of the feet with out perspiration = Odor
  • Right sided paralysis = Paralysis –Hemiplegia
  • Rat feels running up the legs = Rat.
  • Nephrotic syndrome related to this particular chapter = Swelling albuminuria, in.

Related Rubrics
Abducted = clawing = Clenching = Closed = Constrictions = Contraction = Drawn = Extended = Extension = Flexed = Motion = Pronated arm = shacking stretched =
Anchylosis = Arthritic = cracking = Curving and bowing = Pain rheumatic = Raised difficult to
Ataxia =Awkwardness = crossed = crossing the legs impossible = Dragging = Dropping = Fall liability = Incordination = Knocked together = Missing steps =Swaying = Thrown back= Unconscious = Unsteadiness = walking = Walk on a wide base
Restlessness = Purring = Tension
Sensitive fingers = Touch cannot bear to have fingers touch

Suggested Corrections
Rubrics related to Nail is scattered in the chapter and it is of easy reference if they are brought under one main rubric Nail
Three separate rubrics for Sensitive is given sensitive with location, sensitive to cold sensitive to warmth, which may be placed under a single rubrics.
Wetting feet is given as a generalized rubric so it should be placed under the chapter Generalities.

SLEEP
Introduction
Consider as the third most important chapter in this particular repertory, contains rubrics related to disorders of sleep like narcolepsy; different chareters deep sleep, disturbed, heavy position of the body during sleep; dreams; consciousness semi-consciousness, stupefaction, unconsciousness); and yawning.

Important Word Meaning
Ebullition =
Countrified =
Important Rubrics
Dreams of that he was accused wrongfully of crime = Dreams –crime.
Dreams of Sick people = Dreams –Disease
Dreams of, being smeared with human excrement/about dirty linen =
Dreams –disgusting
Dreams stabbed his antagonist with a knife.= Dreams Knives
Dreams that he is unable to find his way home = Dreams unsuccessful
Dreams that the child is bathing in boiling water = Dreams water.

Related Rubrics
Sleepless = Waking
Sleep bad = Disturbed = Dozing = Interrupted = short
Sleep deep = Heavy = Prolonged = Un refreshing
Dreams events long past = Recalling thing long past.
Sleep falling answers while = Mind answers , Unconscious

CHILL FEVER AND PERSPIRATION
Introduction
This chapter contains rubrics related to fever in general and constitutional features especially in the chapter perspiration

Important Word Meanings
Chill = A feeling of cold with shivering and pallor, accompanied by internal elevation of temperature, usually a prominent symptom of infection.
Anticipating chill = Early paroxysms
Scrobicularis cordis = Epigastric fossa
Pernicious chill = Severe or dangerous
Continued fever = Malarial origin, based on the predominate internal organ involved sub rubrics are arranged.
Hectic fever = Daily afternoon rise of temperature associate with flushing of cheek, occurring in infectious disease, especially in active tuberculosis.
Masked intermittent fever = Malarial fever but fever is absent but other features of malaria like neuralgia etc is present.
Relapsing fever = Highly contagious occurring epidemically predisposed by filth, overcrowding, charetersied by two paroxysms separated by four to seven days with apparent good health, organism involved is “Spirillium of Obermies” ( new terminology Borrelia)
Remittent fever = Malarial in origin severe falciparum type , not touching the base line.
Thymus = Group of symptoms charetersied by dry tongue, stupefication, delirium, and prostration.
Paroxysmal = Sudden onset with recurrence.
Zymotic fever = fever due to infectious agents in general.
Colliquative perspiration = Excessive perspiration.

Important Rubrics.

  1. Chill due to indigestion or gastric in origin = Disordered, eating indiscremation in. 
  2. Coldness in bones blood vessels during chill = Internal
  3. Chill never at night = Night.
  4. Warm air feels cold during chill = Air warm.
  5. Fever delirium = Burning –furious; Dry; Intense.
  6. Absence of any stage is given the chapter Heat as there respective rubrics.
  7. Chill then sweat with out intervening heat – Fever– Succession of stages.
  8. Perspiration alternating with chilliness = Fever Succession of stages.
  9. Driving him out of bed during fever = Bed
  10. Perspiration all over the body except face = perspiration—Face
  11. Perspiration increases the coldness of the body = Cold
  12. In this particular chapter’s the Breakfast aggravation is given under Eating in general
  13. In the chapter’s fever and perspiration the aggravation in walking in open air is given under the rubric Walking, where as in the Chill chapter it is given under the Air.
  14. Wants to be quiet in any stage of the fever = Fever –motion – wants.

Suggested Corrections
Chill exposure to cold damp whether is given separately, this must be brought under Exposure.
Chill day must be moved to Periodicity.
Parts affected in this chapter’s does not follow a particular pattern, in chill chapter—upper part of the body and sides; in fever chapter –Body; in perspiration –single parts This can be rearranged as one particular rubrics Partial.
In fever chapter the rubric day is separated out from the basic constructive pattern that is not in the beginning of the chapter. This must be resorted.

SKIN
Introduction
This chapter consists of basic dermatological lesions; clinical rubrics; and constitutional features like filty , offensive, inactivity of skin etc.
Rubrics related to pain are scattered all over the chapter.

Important Word Meaning

  1. Callus = Hypertrophied thinking of circumscribed area of horny layer of the skin. 
  2. Chapping = Dry scaly and fissured due to exposure to cold excessive evaporation of moisture from the skin.
  3. Condylomata = Warts like growth especially of genitalia.
  4. Discoloration –Liver spots, dark spots in old people = A brown macule resembling a freckle, except that the borders are usually regular, occurring in exposed skin of older Caucasians.
  5. Boils = Pyogenic infection of the hair follicles.
  6. Carbuncle = Deep seated infection of skin and subcutaneous tissueusally arising from several contagious hair follicle, with formation of connecting sinuses, fever, malaise and prostration.
  7. Eruption confluent = Together.
  8. Serpiginous = Creeping eruption.
  9. Ecthyma = Pyogenic infection of the skin due to streptococcus or staphylococcus organism charetersticed by adherent crust beneath which ulceration occurs, single or multiple and heal with scar formation.
  10. Impetigo = Contagious superficial pyoderma, caused by streptococcus or staphylococcus, presented as vesicle formation which ruptures forming thick yellow crust.
  11. Phagaendic = Peripheral spread.
  12. Pocks = related to smallpox.
  13. Psoriasis diffusa = extensive collancense of the lesion.
  14. Inveterate = Confluent lesion, skin thickened indurated and scaly.
  15. Roseola = Macular erythema, symmertical,redrose small closely appearing.
  16. Rupia = Ulcers of late secondary syphilis.
  17. Erysephales = Acute cutaneous inflammatory disease caused by hemolytic streptococcus and chaetersticed by hot, red, edematous, browny and sharply defined eruption, usually accompanied by severe constitutional symptoms.
  18. Fungus heamatodes = Capillary heamangeoma.
  19. Fornication = A form of parasite or tactile hallucination, in which one feel a sensation of small insects creeping under skin, usually seen in substance induced organic mental syndromes.
  20. Freckles = Yellowish or brownish macular developing on the exposed parts, of the skin, especially in persons of light complexion.
  21. Ganglia = Myxiod or synovial cyst, a cyst containing mucopolysaccrides rich fluid with in fibrous tissue.
  22. Interterigo = Dermatitis occurring between folds and surface of the skin cause by sweat retention moisture, warmth and concomitant growth of resident microorganisms.
  23. Lupus = Errotion of the skin.
  24. Pityriasis = Dermatitis marked by branny desquamation
  25. Pupura Heamorrhagica = Degeneration of dermal collangens, leading to loss of lattice work of connective tissue and further development of friable vascular bed.

Important Rubrics.

  • Prickly heat = Eruption –vesicular – sudamina 
  • Warmth of the skin with out fever = Heat with out fever.
  • Decubitious Ulcer = Sore.
  • Ulcers with Maggots = Ulcers discharging.
  • Fistula = Ulcers fistula.

Misplaced Rubrics.
A) Should move out of the chapter.
1. Anesthesia to the chapter Generalitiess.
2. Coldness to the injured parts, suffering parts, and painful nerves along to the chapter Generalities.
3. Pupura Hemorrhagica to chapter Generalities.
4. Stings of insect’s t the chapter Generalities –Wounds.
5. Swelling to the chapter Generalities.
B) Misplaced with in the chapter.
1. Eruption – petechiae, Petechiae is a clinical condition, which should placed as a separate rubric.

Generalities
Introduction
In order to help the beginners, so that they get birds eye view over this particular chapter we have classified the symptoms into: –
1) Intrinsic symptoms– those symptoms that are related to the man himself, e.g.- pathophysiology related to different structures in general like brittle bones, inflammation of the muscle, different sensations, age, etc.
2) Extrinsic symptoms– those symptoms related to the environment. E.g.- time, weather, food, etc.

Intrinsic symptoms are further classified into, symptoms related to
1.Age- nursing children, old people, puberty, menopause, etc.
2.Constitution- dwarfish, emaciated, obese, slender, stoop shouldered, psychosis, syphilis etc.
3.Tissues- bones cares, nonunion, slow union, softening; cartilage’s inflammation, sensitive swelling; muscles shortening, indurations, lifting; tendons injuries; serous membrane inflammation; lymph glands fistula, swelling, ulcers, pain; nerves inflammation, injuries; blood congestion, orgasm; blood Vessels inflammation, pulse, distention etc.
4.Sensations – flabby feeling, hard bed sensation, heaviness, pain, plug sensation, etc.
5. (Intrinsic) Ailments from: and Modalities- gonorrhea suppressed measles after, unionism after, vaccination after, etc. < – Coition, menses before, perspiration, etc. > – Change position, constipation, hand laying on part, chill feels better before, magnetism, perspiration gives no relief, etc.
6.Clinical conditions. -Anemia, cancer affections, cyanosis, fistula, inflamation.etc.
7.Character of the symptom- contradictory and alternating states, pain appears gradually and disappears gradually, side symptoms on one side, alternating symptoms, metastasis, etc.
8.Reaction of the body — is further divided into
a) Exaggerated- anxiety physical, irritability, mucus secretion increased sensitiveness.
b) Inhibited- Irritability lack of, reaction lack of, sluggishness of body,
c) Altered-lassitude, lie down inclination, plethora, weakness, weariness, etc.

Extrinsic symptoms are further classified into, symptoms related to
1.Time- daytime, morning, evening, twilight, sunrise to sunset, etc.
2.Environment. Weather (wet, summer, winter, etc.), sun, moon light, air draft of, foggy, high places, storm, etc.
3.Food -break fast, eating, fasting, hunger, starving, etc.
4.Toxins. -Arsenical, china, coals, led, etc.
5.Extrinsic- ailments from, and modalities- A.F-reveling, shocks from injury, < – assenting, crowed room, exertion, jar, lying, noise, playing piano, riding, uncleanness, uncovering, etc. > -Magnetism, rubbing, warm bed, warm stove, exertion, bathing face, etc.

An attempt to give logical direction in selecting the corresponding chapters for those symptoms has both the components of mind and physic.
For this we have gone though all the symptoms in the mind chapter having a physical component and all the symptoms in the chapter Generalities having a psychological component and analyzed, and we came to a conclusion that – we should look into the chapter mind if that particular symptoms has a ‘predominate psychological component’, and if it has a ‘predominate physical component’ you should look into chapter generalities.

How to determine which component is the predominate one- If the physical component is an extrinsic factor (e.g.- environmental factors, food, clothing, etc.) one should consider it as a predominate component, and should search in chapter Generalities.
E.g.- air desire for, food desire for, bathing dread of, clothing intolerance of, etc.

If it is a physical activity due to psychological cause one should give importance for the cause rather than the expression, so you should look into the chapter Mind e.g. – rapid walking due to anxiety, gestures, antics play’s. etc.

Word meanings.
Cancerous affections
— Encephaloma =herniation of brain substances.
— Epitheloma= epithelial neoplasm especially that of from skin.
— Fungus heamatodes= capillary heamangioma.
— Lups=erotion of skin.
— Melanotic= abnormal black pigmentation, seen in sunburn, infections disease, neoplasms, and pregnancy etc.
— Noma=corrosive ulcer.
— Scirrhus= fibrous induration of neoplasm.
Catalepsy = morbid condition charetersticed by waxy rigidity of limbs which may be placed in various position for some time, associated with lack of response to stimuli, slow pulse and respiration.
Chlorosis = a form of iron deficiency anemia, female – predominate, puberty to third decade of life, charetersticed by reduction of hb% out of proportion to the reduction of R.B.C.
Chorea = involuntary irregular spasmodic movements.
Convulsions
— Eplipteform = resembling epilepsy, convulsions of a functional nature,
Lassitude = a sense of weariness.
Paralysis agitants = Parkinsonism.
Tumors.
— Cheloid= keloid.
— Steatoma= fatty growth.
Twitching
— Subsultus tendinium = tremor caused by twitching of tendons especially that of wrist, seen in low-grade fevers.

Important rubrics

  • Every other evening =Evening 
  • Sunset till sunrise = Evening
  • Twilight = Evening
  • Seashore = Air
  • Gangrene = Blackness, inflammation internal
  • Heat and cold = Cold
  • Eating fast, satiety to.
  • Foods dry food, raw, vegetables, etc.
  • Sensation as if warm water poured over one, as if= Heat
  • Blows, falls, bruise injures
  • When too much medicine has produced an over sensitive state and remedies fail to act = irritability.
  • Lie down before the dinner must = lassitude.
  • Will not lie down sit up in bed = Lie.
  • Gently stroking = Rubbing.
  • Smoking when breaking off = Tobacco.
  • Pain vanishes on touch and appears elsewhere = Touch.
  • One is cold and stiff on approaching a stove = Warm.
  • Cold becoming after putting hand out of bed = Cold– cold becoming
  • Painful sensation of crawling though whole body if he knocks against any part = Formication.
  • Sensation of small foreign bodies in glands = Indurations
  • Sexual excitement < = Generalities — sexual excitement,
  • Sliding down in bed due to paralysis — Weakness – paralysis

Misplaced rubrics
A) Misplaced with in the chapter
Sensation as if foreign bodies in the glands=indurations. This must be changed as =Foreign bodies =sensation as if
Air. Sea shore
Bathing=sea.
Weakness = sea bathing after weakness, after.
This three rubric related to sea is scattered in the chapter. It will be of great convince to user if this are brought tighter under a main rubric Sea

B) Misplaced with other chapters
i) Should brought to generalities.
Mind = noise <, light <, sit inclination to, rocking, etc. should be placed under chapter Generalities= noise< light<,etc.
Genitalia female = menopause to the chapter Generalities = menopause.
Stomach = aversion and desires. To the chapter Generalities = food

ii) Should move out of generalities.
Sexual excitement aggravation as Mind = sexual excitement.
Touch illusions of as Mind = Touch illusions.
foreign bodies = sensation as if small Foreign bodies or sand under the skin the chapter Skin = foreign body sensation as if,
worms under the skin sensation of to the chapter Skin = worms sensation of
Cancerous affection
— Encephaloma to the chapter Head = encephaloma
— Fungus heameatods to the chapter Skin = fungus heamatodes.
— Lupus to the chapter Skin = lupus.
— Noma. To the chapters Mouth = noma. Genitalia female = noma.

Repeated rubrics
Repeated with in the chapter
Inflammation glands knotted like = swelling glands knotted cord like.
Repeated in the other chapters
Varicose vein = extremities – varicose vein
Sexual desire suppression off= male genitalia–sexual passion suppression
Ulcers cancerous affection = skin– ulcers cancerous affection.

Suggested changes for further improvement
1. Rearrangement of rubrics
a) All the sensations should brought under a common rubric — SENSATIONS.
b) Symptoms related to children should bring under the rubric — CHILDREN.
c) Rubrics related to suppressions should bring under the rubric — SUPPRESSIONS.
d) Conditions related to different tissues should brought under the rubric — TISSUES, and different tissues separately as sub rubrics.
E.g., TISSUES
— Bones
–  Brittle
–  Non union
–  Softening
–  Cartilage etc.
e) Symptoms related to injuries should bring under the rubric — TRAUMA.
f) Those related to abnormal growth should brought under — NEOPLASM.
g) Those related to the food should be brought together, like alcoholic stimulants, wine, etc. and craving and aversion should brought to the chapter Generalities. < Or > related to different varieties of meat (e.g., mutton, pork etc.) should placed under meat
2. Correction of misplaced rubrics.

Criticism of the Repertory.
1. In some parts the rubrics are generalized (chapter mind) where as in some o there parts the rubrics over particularized (chapter Extremities).
2. Similar rubrics, with different remedies and with different evaluation are given in many chapters. This pose difficulties in working out a case, because the chances of missing out remedy is great. Example – “Liquids taken are forced into nose” (page 454) also under the chapter Nose “Liquids comes out through the nose on attempting to swallow”.
3. Certain organs are given separate rubrics with out any modifying rubrics; this is in general against the philosophy and construction of the repertory.eg liver and region of, spleen etc.
4. In certain rubric drugs are not well represented, for example in the chapter generalities rubric Paralysis –one side, Drug opium is not mentioned, and a better rubric for the same condition is given in the chapter Extremities–paralysis.
5. Lot of printing errors is present through out the Repertory.
6. Some remedies, which are not given in the index, represent certain rubrics. example Nux-J in Talk indisposed to; Kali-ox in Insanity;
7. Omission of drugs in certain rubrics.
As the years passed many have contributed to the repertory for its completeness, but most of them based on there on distinct philosophy and experience and thus resulted in a swing away from the original philosophy and construction. This will explain many of the criticism.

A Critical Study on Boenninghausen’s therapeutic pocket book

Dr P Sumesh P

Name of the book: Boenninghausen’s therapeutic pocket  book
Author : Dr.Timothy Field Allen
Introduction : Dr.H.A.Roberts & Dr. Annie C Wilson
Publisher : B.Jain Publishers Pvt.Ltd , New Delhi
Printer : J.J. Offset Printers. New Delhi
Year of Publishing: 1935
Reprint Edition : 1994
First Edition : 1846
Price : Rs 75 /-
Total pages : 503

Contents:
Part I
Preface
Life History of Boenninghausen

Introduction
Repertory Uses
The art of physician in taking the case
The philosophic Background
Construction of the Repertory
Introduction to different Chapters
– Mind and intellect
– Parts of the Body and Organs
– Sensations and complaints
– Sleep and Dreams
– Fever
– Alterations of State of Health
– Relationships of Remedies

Limitations of Repertory
Use of the Analysis
Preface to the New American Edition
Boenninghausen’s Original Preface

Part II
Repertory Proper
Index

Part. I
Preface by Dr. T.F. Allen
In the preface Dr. T.F. Allen says that his aim is to demonstrate the sound philosophy and practical application of this work to such state as the physician meets in everyday practice. He admits that the book is not perfect but the principles upon which it is based are sound and will allow further expansion without distorting the basic principles.

Life History of Boenninghausen
He was born in Netherlands. There is a controversy about the birth year of Boenninghausen, according to Lippe it is 1777. But in the beginning of the chapter the year given is 1785.
H.A. Roberts and Annie .C. Wilson gives a brief sketch of Boenninghausen’s life and they show how a lawyer turned to an expert Homoeopath. It was Dr. Weihe who influenced Boenninghausen by rescuing him from the purulent tuberculosis with the help of Pulsatilla.

Authors give works of Boenninghausen in their order of appearance. They are:

  1. The cure of cholera and its preventives 1831
  2. Repertory of Antipsoric Medicines 1832
  3. Summary View of the Chief Sphere of Operation of the Antipsoric Remedies and of their characteristic Peculiarities, as an appendix to their Repertory 1833
  4. An attempt at a Homoeopahtic Therapy of Intermittent fever 1833
  5. Contributions to a Knowledge of the Peculiarities of Homoeopahtic Remedies1833
  6. Homoeopahtic Diet and a Complete Image of a Disease 1833
  7. Homoeopathy a Manual for the Non- Medical Public1834
  8. Repertory of Medicines which are not Antipsoric 1835
  9. Attempt at showing the Relative Kinship of Homoeopahtic Medicines 1836
  10. Therapeutic manual for Homoeopahtic Physicians, for use at the sick bed and in the study of the Materia Medica Pura 1846
  11. Brief Instructions for Non- Physicians as to the Prevention and Cure of Cholera 1849
  12. The two sides of Human body and Relationships. Homoeopahtic studies 1853
  13. The Homoeopahtic domestic Physician in Brief Therapeutic Diagnosis. An attempt 1853
  14. The Homoeopahtic treatment of Whooping Cough in its Various Forms 1860
  15. The Aphorisms of Hippocrates with Notes by a Homoeopath 1863
  16. Attempt at a Homoeopathic Therapy of Intermittent and Other Fevers, especially for would- be Homoeopaths 1864

Uses of repertory
Definition: Repertory is an index of symptoms arranged systematically. The system of arrangement may be founded upon certain definite guiding principles, or it may be alphabetical or schematic.
Uses:
1. To serve as a reference or a guide in looking up a particular symptom that may indicate the similimum or that may make necessary distinction between two or more similar remedies in a given case.
2. For careful study of all the symptoms that may appear in a c/c case.
A repertory is not meant for those cases in which there is clear indication for the similimum.

The Value of Repertory
Depends upon several elements: –
1. The art of physician in taking the case.
2. Knowledge of the Repertory one attempt to use; as regards -a) Its philosophic background
b) Its construction
c) Its limitations
d) Its adaptability
3. Intelligent use of the resulting analysis.

The art of physician in taking the case
Boenninghausen observed that, even with best possible case taking the case record is often left incomplete, one of the elements of symptom -ie., Location, sensation, modality or concomitant may be missing. He collected all such symptoms as they appeared in the cases; which came to him for treatment. Every case was examined symptomatically with the purpose to make every symptom as complete in itself as possible. Later he learned that, symptoms which existed in an incomplete state in some part could be completed by observing the conditions of other parts of the case.

This is called the doctrine of Analogy. He also discovered that, condition of aggravation or amelioration are not confined to a particular symptom, but they are like the red thread in the cordage of the British Navy, are applicable to all symptoms of the case. So he raised them (i.e. Particulars) to the level of Generals – It is called the doctrine of grand generalisation. It is the patient who is sick, not his head, nor his eyes nor his heart. Every symptom that refers to a part may be predicated of the whole man.The symptoms of disease are offen broken up and scattered through different parts of a patient. These scattered parts must be found and brought together in harmonious relation according to a typical form. This complete picture of the disease will give the totality.

Boenninghausen has designed his pocket book in such a way that, it would enable the physician to bring the symptoms together and complete one part by another.

  • Primary symptoms: Symptoms which seemed to have a direct bearing on the complaint.
  • Secondary symptoms : They belong to the class of concomitants.
  • Typical symptom : Common symptom or disease symptoms
  • Atypical symptoms :Symptoms, which belong to the individual. They are theconcomitants of disease symptoms.

Philosophic background
It was with the encouragement of Hahnemann, that Boenninghausen developed his first repertory:- Repertory of Antipsorics (1832). In 1835 he
published Repertory of medicines which are not Antipsoric, in 1836 Attempt at showing the relative kinship of Homeopathic medicines and in
1846 he published, Therapeutic manual for Homoeopahtic physicians.

BTP is a combination of all these four books. The original book was written in German, it was first translated by one most eminent
Homoeopathic physician. This translation was not practical. Later Alien made an edition; which suffered from faulty translation. Lastly in 1935 this Book was edited by Dr. H.A. Robert and Annie C. Wilson. Boenninghausen emphasized more on completing the symptom with all their components; i.e.

Location
Which includes parts, organs, tissues, systems as well as directions and extensions.

Sensation
Kind of pain, suffering and complaints, and also functional or organic changes characterising the morbid process.

Modality
This includes conditions of aggravation or ameliorations. Factors which cause, excite, increase or decrease or modify a symptom are
included in the modality.

Concomitant
Symptoms appear and disappear with the main complaints; but they does not have any pathological relationship with the main complaints.

BTP is based upon the following fundamental concepts:-
1. Doctrine of analogy and doctrine of grand generalisation
2. Doctrine of concomitant
3. Evaluation of Remedies
4. Concordances

Doctrine of analogy/doctrine of grand generalization
To make a symptom complete, the local modalities and sensations pertaining to one part should be applicable to other parts; in case modalities and sensations are not experienced by the patient or unnoticed by the Physician. Thus he raised local symptoms to a general level which could be used for the whole person. This principle is called doctrine ofAnalogy/doctrine of Grand Generalisation, He considered sickness as expression of the whole man, and not of the part. Sickness is expressed through different parts of the person. Thus all those modalities which are noticed in one part, but missing in any other part should be taken as an expression of the whole person.

Doctrine of concomitant
Boenninghausen, identified in each case a group of symptoms along with the main complaint; such symptoms were generally overlooked by the patient, and un noticed by the physician. He emphasized that, in all cases such a group of symptoms does exist, and they are missed, because of inadequate observation. They appear to be unrelated to the main complaint; but are quite crucial in individualizing the case as well as the remedy.

Evaluation of remedies
Boenninghausen was the first to grade the remedies. He noticed that there is difference in the frequency and intensity in the appearance of symptoms in provers. He graded the remedies into 5 grades – or marks.
He used different typography to represent these different grades of remedies.

CAPITAL to represent
1st Grade (5 marks)
Proved (Recorded)
Reproved (confirmed)
Clinically verified.

Bold to represent
2nd Grade (4 marks) Proved (less than the1st grade)
Reproved
(Confirmed) occasionally
Verified.

Italics to reprent
IIIrd Grade (3 marks)
Now and then a prover brings out symptom,
Not confirmed.
But verified
Clinically verified.

Roman to represent
IVth Grade ( 2 marks)
Only clinically verified

(Roman) in paren- thesis represents
Vth Grade
One mark
Not confirmed
Not verified
doubtful remedies.
But proved.

Concordances
He discusses the relationship of remedies; under headings – mind,locality, sensation, glands, bones skin, sleep and dreams, blood, circulation, fever, aggravation, other remedies, antidotes and inimical. Other remedies covers all the symptoms, which do not full into such regulars groups

Plan and construction
The whole book can be divided into 3 components of a symptom – Location, sensation, and modalities. However concomitants are found scattered. Plan of Alien’s modified edition:-

I Mind and Intellect
II PARTS OF THE BODY
III. Sensations and Complaints

1. Sensations — In general
2. Sensations — Glands
3. Sensations — Bones
4. Sensations — Skin

IV Sleep and Dreams
V Fever
VI. Modalities
VII Relationship of remedies.

Introduction to different Chapters
Part II
Mind and Intellect:
Mind Chapter contains 18 rubrics and Intellect Chapter contains 17 rubrics. In order to clarify the use of the book he simplified the number of rubrics as far as possible. Boenninghausen based his work on the concept of the whole man, placing the balance of the emphasis on the value of concomitants and the modalities. It was not his intention to reflect the whole man through his mental reactions, as they may be difficult to get. Eventhough this chapter contains only 35 rubrics the aggravation chapters include 17 rubrics related to emotional excitement or state.
The first rubric “ Disposition generally affected” include medicines which affect the mind in general.
The rubric “ Amativeness” which means inclined towards love and
“ Mistrust” are not seen in kent’s repertory.

Word meaning of some rubrics
Avarice = greedy, miserly
Boldness = daring, “Courageous” in Kent’s repertory. But there is no medicine.
Fretfulness = peevishness, to irritated. Though this rubric is seen in Kent’s repertory it contains no medicine.
Gentleness = Mildness , no medicine is given under “ Gentleness” in Kent’s repertory
Haughtiness = Pride
Activity = excitement
Befogged = confusion. The rubric “ Befogged ”is not found in Kent’s repertory.
Comprehension difficult = Dullness
Ecstasy = exhilaration
Imaginations = fantastic illusions

Misplaced rubrics
Unconsciousness – this should have been given under sensations chapter.
Vertigo – there is no separate chapter. Since it is a sensation it should have bee given under “ sensation” chapter.
Though he has given emphasis to the Concomitants in case taking, the concomitants of mental symptoms are given under a single rubric “ Drugs which have concomitants of Mental Symptoms.”

Part 2
Parts of the body and organs
This section of the book follows in general the anatomical schema used by Hahnemann. T.F. Allen added many of the rubrics in the eye section. He also used an idea of combining Boenninghausen’s Repertory of the Sides of the Body with the original Pocket Book. This section on the parts of the body runs from page 24 to page 142, beginning with Chapter Internal Head and ending with Lower Extremities.

1. Internal Head:
The chapter begins with rubric- “ In general”.
Next different portions of head are given as rubrics- as

  • Forehead
  • Temples
  • Sides of head
  • Vertex
  • Occiput

The chapter ends with the rubric – One sided in general
There is no definite order of arrangement of the rubrics.

2. External Head:
Rubrics

  • Hair
  • Scalp
  • Skull
  • Beard
  • Margins of hair

Are given in the chapter “ External Head”
Misplaced rubrics
a) Motion of Head
b) General sensations in External Head
c) Behind the Ears

The first two rubrics should have been given in the chapter “sensations” and the third one in the “ear” chapter.
The chapter “External Head” ends in the page number 29, in which the Chapter “ Internal Head” again begins. This contains only two rubrics – “Left side and Right side.” The Chapter “External Head” is seen again with same rubrics in the page 30 where the second Chapter on “Internal Head” ends.

3. Eyes:
It contains rubrics like

  • Aqueous humor
  • Eye balls
  • Choroid
  • Conjunctiva
  • Cornea
  • Lachrymal apparatus
  • Lens (Cataract)
  • Optic nerve
  • Retina
  • White of eye (sclerotic)
  • Brows
  • Canthi
  • Lids
  • Orbits
  • Sides- left and right

Misplaced rubrics:

  • Adhesions in pupils
  • Pupils Dilated
  • Pupils Immovable
  • Lachrymation
  • Squinting
  • Staring

They should have been given under the Chapter “ Sensations”

4. Vision:
Here Boenninghausen is deviated from his original Philosophy. “ Vision” which is a Sensation is given as a separate chapter among the parts of the body.
All the rubrics in this chapter and the Chapter as such can be considered as Misplaced.
Main rubrics in this Chapter include:

  • Blindness
  • Flickering
  • Double
  • Half vision
  • Muscae Volitantes
  • Dim
  • Far-sighted
  • Paralysis of Optic Nerve
  • Photophobia
  • Short –sighted

5. Ears:
This includes rubrics like;

  • External
  • Internal
  • Middle ear ( confounded with Internal)
  • Eustachian Tube
  • Lobules

Misplaced rubrics:
a) Parotid Glands- this might have been given under the Chapter Face
b) Discharges from Ears –
c) Ear-wax-
The last two rubrics might have been given under the Chapter Sensations according to the Philosophy of Boenninghausen.

6. Hearing :
It include rubrics like:

  • Acute
  • Hardness
  • Loss of Hearing ( from Paralysis of Auditory Nerve)
  • Stopped Feeling ; etc

The Chapter along with its rubrics are out of place in the “Parts of the Body”. They should have been given under the “Sensations”.

7. Nose:

  • External 
  • Internal
  • Bones
  • Root
  • Septum
  • Wings , etc are the main rubrics concerning the nose. But this Chapter contains many rubrics concerned with the sensations and complaints. They are
  • Nose bleed
  • Nasal catarrh
  • Stopped Coryza
  • Nasal Discharges
  • Sneezing
  • Ineffectual efforts to sneeze

The Chapter ends with Concomitants that are condensed into a single rubric – “Accompanying Symptoms of Nasal Discharges” and sides of nose “ Left side and Right side”

8.Smell:
This include rubrics

  • Sensitive
  • Weak or Lost
  • Illusions of Smell in General

The Chapter along with its rubrics should have been in Sensation Chapter.

9. Face:
The objective symptom that may be observed in the face is given first. Followed by locations of sensations.
The important rubrics include:

  • Color – Bluish – Around Eyes
  • Color- pale
  • Circumscribed Redness of Cheeks
  • Comedones
  • Drawn
  • Emaciation
  • Expression Altered
  • Eyes protruding
  • Eyes- Sunken
  • Freckles
  • Open mouth
  • Wrinkles – On forehead

The typography of Locations of sensations are given as a separate Chapter this may create confusion among the users.
This include

  • Forehead
  • Temples
  • Malar bones
  • Cheek
  • Upper Jaw
  • Lower jaw
  • Articulation of Jaws
  • Lips
  • Corners of lips
  • Chin

And finally the Sides- Left and Right

10. Teeth:
It begins with “Toothache in General”
Followed by different types of tooth namely,

  • Incisors
  • Eye teeth = Canine teeth
  • Molars
  • Gums ( in Kent gums are given under Mouth Chapter )

Misplaced rubrics:
Hollow teeth = Caries of teeth
Teeth- Grinding

11. Mouth:
Misplaced rubrics include ( it should have been included under Sensations)

  • Odor from Mouth
  • Breath cold
  • Breath hot
  • Saliva diminished
  • Saliva increased
  • Tongue coated

The other rubrics include
Mouth in General
Tongue
Hard palate
Soft palate

12. Throat:
It include only the internal throat
Tonsils are given under throat

13. Mouth and fauces:
The Chapter on Mouth which ends on the page 64 again start on the page 65 as – Mouth and fauces in which the Sides ; Left and Right are given.

14. Hunger and Thirst:
This chapter should not have been given under the Heading of Parts of the Body. This might have been given as a separate Chapter or along with the Sensations.

The important rubrics include
Loss of appetite
Hunger
Thirst
Aversion and
Desires

15. Taste:
This include rubrics like
Altered in General
Acid
Bitter
Metallic
Nauseous
Salty
Sweetish
Lost
Taste being a special sensation; it along with its rubrics should be given in the Sensation Chapter.

16. Eructation’s:
Belching
Hiccough
Uprisings
Waterbrash
Etc are given in this Chapter. The chapter as well as its rubrics is misplaced.

17. Nausea and Vomiting:
This include
Nausea in General
Qualmishness
Retching
Loathing
Vomiting and nature of vomiting

18. Internal Abdomen:
Stomach
Diaphragm
Hypochondria
Liver
Spleen
Epigastrium
Umbilical region
Loins
Groins ( including Coecum, coecal region, ilio- coecal region, iliac region and Pourpart’s Ligament )
Inguinal Rings
Sides

Are given in Internal Abdomen.
In this the Loins are again given in the Extremities on Page 135
Hernia is the only one Misplaced rubric.

19. External Abdomen:
Pit of stomach
Mons Veneris
Inguinal glands
Are given under External Abdomen

20. Abdomen :
The sides of Abdomen are mentioned in this separate Chapter which appears on the page number 81.

21 and 22 . Hypochondria and Abdominal rings
These two chapters are mentioned as different chapters in the pages 82 and 83 respectively only to mention Left and Right sides.

23. Flatulence:
Flatulence in General
Borborygmi
Incarceration of Flatus
Are given in this Misplaced Chapter

24. Stool:
This chapter contains the following misplaced rubrics

  • Diarrhoea
  • Constipation
  • Worms
  • Round worms
  • Tape worms
  • Thread worms
  • Tenesmus
  • Anus
  • Haemorrhoids
  • Rectum
  • Perineum

This chapter also includes certain concomitant symptoms like

Troubles before stool
During stool
After stool

25. Urinary Organs:
Kidney
Bladder
Urethra
Are given in this chapter
Prostate is given in this chapter which is a misplaced rubric

26. Urine:
Glycosuria can be taken for Diabetes Mellitus
Sediment in general can be used for urinary calculi

27. Micturition:
Tenesmus of bladder
Dysuria
Involuntary
Retention of urine etc are some important misplaced rubrics

Some concomitant rubrics are also given
Troubles before Micturition
-During Micturition
-After Micturition

28. Sexual Organs:
The chapter starts with the rubric Sexual Organs in General , followed by Male Organs in General. It is followed by different parts of the Male genitalia –, Testicles Penis, Glans, Forskin, Scrotum and spermatic cord. The chapter also include rubrics for female Organs in General. Vagina, Uterus, Ovaries are given as separate rubrics.
Misplaced rubrics in this Chapter include:
Labor- like Pains
Labor Pains Cease
After Pains
Desire Too Weak
-Too strong
Discharge of prostatic Fluid
Emissions
Erections
Impotency
Weak Sexual Power
The chapter ends with rubrics referring to the sides
Left and Right sides.

29. Menstruation
The chapter as well as the rubrics are out of place in this Main Chapter Parts of the body. The main rubrics include
Abortion
Menstruation Beginning , Delayed in Girls
-profuse
-scanty
-short
-suppressed
Menses clotted
-Membranous

The concomitants of Menstruation are given at the end of the chapter
Before Menstruation
At Beginning of Menstruation
During Menstruation
After Menstruation

30. Leucorrhoea:
Various types of leucorrhoea and Accompanying Troubles of Leucorrhoea are given in this chapter.

31. Respiration:
It include important rubrics like
Arrested
Catching
Irregular
Oppressed
Rattling
Sighing
Suffocative Attacks
Concomitants of respiration are given in a single rubric
Accompanying Troubles of Respiration

32. Cough:
There is no separate chapter for Expectoration hence rubrics concerned with the Expectoration are given in this chapter. Chapter also include concomitant of cough which is given as last rubric – Troubles Associated with Cough.

33. Air-Passages:
It includes
Larynx &
Trachea
Some misplaced rubrics are found in this chapter
Secretion of Mucus
Voice not Clear
-Hoarse
-Lost
-Toneless

34. External Throat and Neck:
Throat External
Nape
Cervical and Submaxillary Glands &
Thyroid Gland etc are given in this chapter.

35. Nape and Nape of Neck:
This chapter includes only the sides Left and Right.

36. Chest:
Misplaced rubrics include
Palpitation
Heart’s action intermittent
– Tremulous
Milk Bad
– Increased
– Diminished

37. Back:
Scapulae
Dorsal region
Lumbar and sacral region
Coccyx
And finally sides
– Left and Right are given

38. Upper Extremities:
It include
Shoulder
Axilla ( in kent’s Repertory it is included under the chapter Chest)
Upper Arm
Forearm
Hand
Palm
Fingers
Nails
Shoulder Joint
Elbow
Wrist
Bones of upper extremities in general
Sides- Left and right.

39. Lower Extremities:
Loins ( Region of Hips) – Another rubric Loin is given under the External Abdomen Chapter , but here it is specified.
Other rubrics include
Nates
Thigh
Leg below knee
Tibia
Calf
Tendo Achillis
Heel
Back of Foot
Sole
Toes
Nails
Joints of Lower Extremities in General
Hip-Joint
Knee
Knee- Hollow of
Patella
Ankle
Toe – Joint
Bones of Lower Extremities in General
Left &
Right sides

Part 3  Sensations:
It include rubrics related to various Complaints also, hence Boger has renamed this chapter as Sensations and Complaints in General.

Certain important rubrics in this chapter include
Apoplexy
Burns
Carphology
Carried desires to be ( might have been given under Mind)
Chlorosis
Clothing Intolerance of
Cold tendancy to take
Consumption in General
Convulsions
Cracking of Joints’
Cyanosis
Dislocations
Dropsy Externally & Internally
Emaciation
External Parts, Drugs affecting
Faintness
Frozen limbs
Haemorrhage from Internal Parts
Hysteria
Immobility of Affected Parts
Indurations
Inflammations Externally, internally
Internal Parts, Drugs affecting
Labor – like Pains (same rubric can be seen under the Chapter
Sexual organs)
Looked at, Aversion To Being (Misplaced – Might be given
Under the Chapter Mind)
Motion Aversion, To ( ” )
Mucus secretions Increased
Obesity
Pain Jumping from Place to Place
Paralysis – One sided
Polypus
Reeling
Restlessness
Retraction of Soft Parts
Scurvy
Sit Inclination to
Sprain from lifting
Ulcerative pain Externally
– Internally
Washing, Dread of { These two rubrics may be more suitable if
Water , Dread of Whirling { given in the Mind Chapter}

Glands:
The main rubrics include ;
Atrophy
Indurations
Inflammation
Injuries
Swelling
– like knotted cords
Suppuration
Ulcers
-cancerous

Bones:
It includes the following important rubrics
Healing of Broken Bones
Inflammation
Caries
-of periosteum
Necrosis
Softening

Skin:
Blood Sweating
Chilblains
Color, Yellow
Corns
– Horny
– Sensitive
Desquamation
Eruptions
– Carbuncles
– Chicken Pox
– Furuncle
– Itch ( Scabies)
– Suppressed
– With Maggots
– Measles
– Pimples
– Small-Pox
– Zoster
– Condylomata
– Cysts,Sebaceous
Extravasations
Gangrene
Hair of Head Falls Out
– Beard
– Moustache
Nails , Brittle
Sore , Becomes ( Decubitus)
Stings of Insects
Tetter in General (herpetic)
– Ring Worm
Ulcers, Varicose
Wounds in General
– Old Wounds Break Out

Part 4 Sleep:
This chapter include sleep in general , positions during sleep, and dreams. The last two are given as separate chapters.
Important rubrics to note are;
Yawning
Sleep Comatose
Sleep Somnambulistic
Sleep Unrefreshing
Symptoms Causing Sleeplessness
Dreams Pleasant, of Gold ( this should be interpreted as dreams of
money)
Dreams of Love ( = dreams Amorous)

Part 5 Fever
From the page 250 to 252 the top heading is circulation, from page 253 it is changed to Fever.
This chapter includes
Circulation
Chilliness in general
Heat
Coldness in general
Shivering in general
Sweat in general
Compound Fevers in General

Though Circulation is given as a separate chapter it is included under the Fever Chapter. The old Edition contain these seven sub- sections.

Circulation Chapter include the following rubrics
Blood, Anaemia
Blood vessels inflammation
-varicose
Pulse, intermittent
– irregular
– More rapid than the beat of heart
– Slower than the beat of heart

Chill chapter contains
Chilliness One sided
Chilliness with Thirst
Chilliness Symptoms during Chill ( concomitants of Chill stage)

Heat Chapter include

Heat without thirst
– with inclination to uncover
– with dread of uncovering
– Associated symptoms ( concomitants)
Sweat includes
Sweat on one side
– Bloody
– Exhausting
– Odorous
Sweat with associated Symptoms
In compound fevers occurrence of different stages of fever is given. For example;
Chill then heat
Heat then chill
Chill internally and heat externally
Heat alternating with sweat

Concomitants of Fever are given as
Before fever
During fever
After fever

The chapter ends with
Febrile Symptoms – Left side
– Right side

Part 6 Alterations of the state of Health
Aggravation:
First the time modalities are given, specific time modalities are not given. It include the following rubrics
During Day
Morning
Forenoon
At noon
Afternoon
Evening
Night

Other important rubrics include
Arsenic fumes
Bathing
Biting Teeth together
Blowing nose
Breakfast after
Breathing
Burns
Brushing Teeth
Change of Weather
Children Especially, Remedies
Clear Weather
Climateric during
Closing Eyes
Cloudy weather
Clutching anything
Coition during & after
Cold in General
Combing hair
Drinkers, for Hard ( old Topers)
Driving in a Wagon
Eructation
Eruptions after Suppression of
Excitement, Emotional
– contradiction
– fright
– grief and sorrow
– Mortification
– Vexation
Exertion, Mental
– physical
Exertion of Vision
Fasting
Food and Drink
– alcoholic stimulants in general
– beans and peas
– farinaceous
– milk
– tobacco

Grasping anything tightly
Hang down, letting limbs
Hiccough
House in the
Hunger
Inspiration
Labor, manual
Lifting
Loss of Fluids
Lying – in – women
Measles after
Moon, New
– full
– waning
Moonlight
Music
Narcotics
Narrating Her Symptoms
Nursing Children
Odors, Strong
Pregnancy
Pressure of clothes
Rest
Rising Up
Room Full of People
Sexual Excesses
Shaving
Sitting, when
Sleep, before
– At the Beginning of
– During
– After
Smoke
Society
Squatting down
Stone Cutters, for
Stooping
Stranger, when among
Sun, in The
Swallowing
Sweat, During
– After
– Suppression of
Talking
Touch
Uncovering
Vertigo During
Vomiting
Warmth in General
Water (and Washing)
Wet applications
Wet, getting
Wet Weather
Wind
Women, For
Writing
Yawning

Amelioration:
Important rubrics to be referred are
Attention paying
Carrying the child in the arms
Crossing Limbs
Exerting Mind
Fasting (Before Breakfast)
Flatulent Emissions
Haemorrhage
Inspiration
Loosening Clothes
Mesmerism
Motion of Affected Parts
Scratching
Sleep During & After
Swallowing
Walking in Open air

Some rubrics does not contain medicines, their reference is given in brackets. They are asked to refer in the Aggravation chapter- among the rubrics with opposite meaning.
For example;
Cloudy Weather (see Agg. Clear Weather)
Cold, in the (see Agg. Warmth in General)
Damp Weather (See Agg. Dry Weather)
Food and drinks, Hot (see Agg. Food and Drinks, Cold)
Hang Down, Letting Limbs (See Agg. Raising Affected Limbs)
Silence (see Agg. Noise)
Society (See Agg. Alone, When)
Warm (see Agg. Cold, Becoming)

Part 7 Relationship of remedies

Uses of relationship chapter
In
the earlier editions the name of this chapter was Concordance of Remedies.
This chapter contains relation ship of 141 Medicines.
1. It can be used for studying the relationship of remedies at various levels- mind, parts, sensation, modalities .
2. It is helpful for finding out the second prescription
3. In certain cases a deep acting medicine cannot be given eventhough indicated, so as to avoid unwanted precipitation of adverse symptoms.

Method of working
When the indicated medicine has helped a little and when there is no further improvement this section can be referred to find out a close medicine which would help the patient.
Under that medicine( first prescription) refer the sub-heading which could be the main complaint of the patient and use it as first rubric. Next take the Mind and all other sub headings one after another. The first rubric can taken as an eliminating rubric. Those medicines with higher marks (3,4,5 marks) are taken for further repertorisation.
If it is a case of tonsillitis –‘ Glands’ are taken as the first rubric. Subsequent rubrics are referred. After examination process the medicine with maximum number of marks are selected as second prescription.

Advantage of TPB

  1. It is based upon the concept of complete symptom- location, sensation, modality, and concomitant.
  2. It follows more or less an anatomical schema which is helpful for finding the rubrics.
  3. By applying the ‘Doctrine of analogy’ rubric can be completed, even though there is lack of any of the four parts of the symptom.
  4. Five gradations of medicines are one of the unique contribution of Boenninghausen.
  5. This repertory has given more importance to concomitant symptoms  than Kent’s repertory.
  6. Modalities are given under separate section. Ameliorations are also given more importance than Kent’s repertory.
  7. This repertory is useful in working out cases which are full of particulars and which contain few mental generals and physical generals. Cases manifested by pathological changes and objective symptoms can better dealt by BTPB.
  8. Rubrics are given in simple language.
  9. Chapter ‘relationship of remedies’ is helpful for finding the second prescription.
  10. The sides of the body are given importance, they are mentioned in location chapter.
  11. The extremities are divided into upper and lower which is helpful for finding the rubrics very easily.

Disadvantage of BTPB

  1. It deals with only 342 remedies. Boenninghausen’s original edition contained 126 remedies. Allen dropped 4 remedies ( Angustra, Magnetis Polus Articus, Magnetis Polus Australius, Magnetis Poli Umbo) and added 220 remedies.
  2. The rubrics given in the book are not many in number.
  3. Many of the rubrics lack important medicines-desire for salt – Natrum mur is not mentioned.
  4. Mind section contains only 18 rubrics under ‘mind’ and 17 rubrics under intellect. These rubrics are too general and can only be used as reference.
  5. The concept that a symptom that refers to a part may be predicated of the whole man (Doctrine of analogy) is not correct under many circumstances.
  6. Though prime importance is given to the concomitants there is no separate chapter for them.
  7. Even though this book has undergone many modifications and editions there are many defects in the construction and compilation.
  8.     – Internal head ends on page 26 , again starts on page 29.
  9.     – External head ends on page 29 , again starts on page 30.
  10. Rubrics that might have been placed under ‘ sensations’ are given under ‘parts of the body’- Toothache under teeth, stopped feeling in ears.
  11. There is no fixed arrangements of rubrics.
  12. The relationship section deals with only 141 remedies.
  13. There are many misplaced rubrics- Vertigo-is given in intellect,Perineum is given in chapter stool
  14. Different sensations are given specifically , but in practice many patients do not specify their sensations.
  15. This book lacks information about Sarcodes and Nosodes.

Dr P Sumesh
Medical Officer, Departemnt of Homoeopathy
Govt. of Kerala

Kishore Cards – A Homoeopahtic Card Repertory

Card repertoryDr P Sumesh

Jugal Kishore’s Card Repertory
Repertories became voluminous and more complex with the introduction of new Philosophies and different types of constructions. The practitioners found it difficult to put them into day to day practice. Few of them found that if the rubrics in the books were written on separate pieces of paper, one could quickly glance through them and find similimum. They started to prepare their own chits, diaries and different paper cuttings. These efforts finally given birth to Card Repertories.

Name of the Repertory: The Kishore Cards – A Homoeopahtic Card Repertory
Authors: Dr. Jugal Kishore BSc, DMS, MD (Hom)
And Dr. Arvind Kishore MBBS, MF (Hom) London
Publishers: Kishore Card Publications, New Delhi
Year of Publishing: First Edition 1959
Second Revised and Enlarged Edition 1967
Third and Enlarged Edition 1985
Printers: M/S Powers – Samas (First Edition)
M/S Kapur Printing Press (Second Edition)
Agricole Printing Agency (Third Edition)
Dedicated to: Sharda
Price: Rupees Two Thousand only

Contents
Part I
Introduction
1. Forward to the second edition
2. Preface to the first edition
3. Preface to the second edition
4. Preface to the third edition
5. Practical Analysis
6. List of remedies and their code numbers

Part II
Rubrics and their code numbers
Forward to the second edition: It is written by J.N. Mujumdar MSc, MB (Cal), LRCP (London), FRCS ( Edin), DMS (Homoeo). He appreciates Dr. Jugal Kishore for making this laborious work, in spite of his busy Professional practice.

Preface to the first edition:
The Author says that it took about seven years to complete the first edition of the Card Repertory. About 579 medicines and 3497 rubrics were included in the repertory. The rubrics are arranged in the alphabetical order and they are numbered from 50.
He admits that there are certain remedies, which do not appear under any of the rubrics; are included and assigned code number, so as to enable practitioner to add such remedies in suitable rubrics; when his experience and study dictate their inclusion.
Most of the rubrics from Kent’s and Boenninghausen’s Repertories were included in this repertory. The repertory is so constructed that a Practitioner can use it either according to the Boenninghausen method or Kent method. Information from about 91 books was included in this card repertory.

These cards are primarily meant for quick elimination of remedies without the risk of excluding similimum. The elimination is a mechanical process. The rubric number is stamped on the top of each card. For quick reference a table of contents of some important rubrics are given at the beginning of index. He admits that it is not a complete one. Cross-references are also given. Meanings of some rubrics are also given. For example; code number 1570 – Fever: Zymotic. The meaning of Zymotic has been given within brackets – Fever due to specific virus.

He gives some directions for reading certain rubrics; for example, Rubric number 1714 “ Bore head in pillow” should be read as Head, affections and sensations, motions of head, bores in pillow. The rubric number 0832 “ Waking on” the correct way to read this rubric is “ Cough, in morning, on waking ”. Rubric number 0577 read of  “ Periosteum” – should be read as “ Bones, sensitiveness of Periosteum”
Rubric number 1618 read simply “ right” should be read as “ Head, parts and regions of, internal forehead, eyes, above right”
The letter “Cf” or “C” which is used as a short form for “see” indicates the Cross-references or related rubric. For example; rubric 1617 “ Flatulence in general” – we see that rubric number 2666(rubric in Abdomen) is referred to with the letter C. With the help of this Practitioner can select the most similar rubric.

For evaluating remedies he has used two types of holes; round/ square holes and oval/ figure of eight holes. The latter indicate the high grade and the former indicate the lower grade remedies.

Working method:
After case taking, the rubrics are arranged in the descending order of their importance. “Red line” rubrics are considered at the upper most. The respective code numbers are written against each other rubrics. Then pick out the cards for the corresponding numbers, put them in the order of the list; one behind the other, leaving aside (for the time being) the cards of less importance or those rubrics with very few remedies. After arrangement; look for the synchronizing of the holes. Not more than three holes could be seen through the upper most (first) card. He notes down the holes of the cards. Decode those remedy numbers; by using the code numbers and list of remedies. We can also note down the second group of remedies which are not all through but are most tarns –illuminant. In certain cases, there may not be any hole going through the all the cards. In such cases, the most illuminant holes should be noted down and decoded. There is an isolated punched hole at the top of left corner of the card. It is only meant for checking and does not have any significance.

Preface to the second edition:

  • Some mistakes of the previous editions were corrected in this second edition. Especially those medicines with their symptoms taken from Kent’s New Remedies (for example, Aur.sulph) were found to have not reliable and were excluded.
  • Concomitants of Boger’s Repertory especially, concomitants of menses are given as rubrics in the second edition.
  • Additions of medicines were made from reliable sources like British Homeopathic Journal.
  • Author has made some combination or synthesis of rubrics.
  • Example,“ Fear of darkness and fear of robbers in children” are combined together to form a single rubric. “ Desire for highly seasoned food and desire for pungent food” are included under a single rubric.
  • The number of rubrics increased to 9063 and the number of medicine increased to 590.
  • Almost all symptoms of Mind chapter from Kent’s repertory is included.
  • The modalities of particulars which were absent in the first edition have been included.
  • Here there is an option to select three types of evaluation of remedies, by paying an additional cost.
  • The numbers of old rubrics (in the first edition) are indicated in Italics. The number of new rubrics and the number of cross-references are given in straight type.

Preface to the third edition:
129 new rubrics and 102 new remedies were added. So that the total number of rubrics in the third edition is 9192 and the total number of remedies is 692. Jugal Kishore’s son Arvind Kishore has given his contributions in this edition.

Practical Analysis:
A description of the ‘ Rubric card’ (Kishore Cards)
A card has 80 vertical columns; numbering from 1 to 80 from left to right. They are numbered at the bottom and top in small type. Each vertical column from above downwards contains number from 0 to 9. The first four vertical columns are kept apart (without being divided by vertical lines). They are meant for punching the number of rubric. The rest of the vertical columns are meant for the coded remedies, which have these particular symptoms. The remedies are indicated by the punched holes. The punched number (any number from 0 to 9) is placed against the small digit number placed at the bottom or top of the column; containing that particular hole and that gives us the number of the remedy. The remedy can be made out from the list of ‘ Remedies and their code numbers’. The code number of remedies starts from 50. The total number of remedies that can be punched on this card is 800; but since we are utilizing first four columns for the number of rubric, the available space on the card is only for 750 remedies.
On the top of the card is printed the name of the rubric along with its code number.

Some special rubrics:
1. Appendicitis 0025
2. Ascites 0959
3. Addison’s disease 3269
4. Aggravation pregnancy 0250
5. Arteriosclerosis 9084
6. Bubo 0032
7. Cancerous affections 0586
8. Confinement aggravation 0226
9. Cracks of nipples 0627
10. Chest, excoriation, nipples 0633
11. Children, especially remedies for 0093
12. Cold remedies of Dr.Gibson Miller 3731
13. Collapse 0779
14. Cataract 1347
15. Climacteric ( Menopause) 1837
16. Death , apparent ( appearance, as if dying) 0900
17. Encephaloma 0587
18. Enteritis 0031
19. Gonorrhea 3293
20. Hemorrhage and tendency to hemorrhage 1650
21. Hodgkin syndrome 9115
22. Immobility of affected parts 1749
23. Intussusception 0033
24. Iron after abuse of 6539
25. Jaundice 2854
26. Labour,effects of ( maternity) 6541
27. Lean people 1794
28. Leprosy 1084
29. Mastoiditis 4758
30. Leukaemia 1822
31. Metastasis 1879
32. Mesenteries 1878
33. Mesenteritis 1878
34. Mothers (nursing) 0214
35. Nursing children ( infants in arms) 2427
36. Opacity of cornea 1387
37. Otitis media 1009
38. Pemphigus 1094
39. Peritonitis 0031
40. Petechiae1095
41. Purpura haemorrhagica 2885
42. Spina Bifida 3879
43. Septicaemia 2671

Information from the following books were included in the card repertory:
1. The Encyclopedia of Pure Materia Medica – Allen .T.F
2. The Materia Medica of the Nosodes – Allen.H.C
3. Therapeutics of Fever – Allen.H.C
4. A General Symptom Register – Allen .T.F
5. Repertory of Intermittent Fever – Allen.W.A
6. Diarrhea – Bell
7. New, old and Forgotten remedies – Anshutz.E.P
8. Repertory of Eye – Berridge
9. Therapeutic Pocket Book – Boenninghausen
10. Repertory of Antipsoric Medicines- Boenninghausen
11. Lesser writing – Boenninghausen
12. Boenninghausen’s Characteristics and repertory – Boger
13. Synoptic Key – Boger
14. Principles of Homoeopathy – Garth Boerick
15. The Materia Medica and Repertory- William Boerick
16. Repertory of Homoeopahtic Medicines- Bryant
17. Physiological Materia Medica – Burt
18. Genius of Homoeopathy – Stuart Close
19. Hahnemann’s Therapeutic Hints – Dudgeon
20. The Symptom Register – R.M. Field
21. An Illustrated Repertory – R.R.Gregg
22. Concordance Repertory – W.D. Gentry
23. Haemorrhoids – Guernesy
24. Chronic Diseases – Hahnemann
25. Lesser writings – Hahnemann
26. Organon of Medicine – Hahnemann
27. Materia Medica Pura – Hahnemann
28. Repertory of New Remedies – C.P.Hart
29. Boenninghausen’s Therapeutic Pocket Book –Hempel
30. Jahr’s New Manual – Hempel
31. Jahr’s New Manual with Possart’s additions- Hempel
32. Guiding Symptoms – Hering.C
33. Symptoms of Mind- Hering.C
34. A Cyclopedia of Drugs Pathogenesy and its Repertory- Hughes& Dake
35. A brief study course in Homoeopathy – Hubbard.E. Wright
36. Jahr’s New Manual Repertory – Hull
37. New Manual Repertory- Jahr
38. Materia Medica – Jessen
39. Repertory of Homoeopahtic Materia Medica – Kent
40. New Remedies – Kent
41. Philosophy – Kent
42. Evolution of Homoeopahtic Repertory – Juagal Kishore
43. Repertory of Hering’s Guiding Symptoms – Knerr
44. Cough and expectoration – Lee and Clarke
45. Repertory- Lippe
46. Text book of Materia Medica – Lippe
47. A Compendium of Materia Medica – Mc Michael
48. Therapeutics and Repertory of Digestive System –Mc Michael
49. Uterine Therapeutics – Minton
50. A Regional & Comparative Materia Medica- Malcom& Moss
51. Repertory of symptoms of Head- Neidhard
52. Boenninghausen’s Therapeutic Pocket Book- Okie, Howard
53. Rheumatism – Perkin
54. Special Pathology – Rau
55. Boenninghausen’s Therapeutic Pocket Book – H.A. Roberts
56. Principles and Art of Cure by Homoeopathy – H.A. Roberts
57. Rheumatic Medicines – H.A. Roberts
58. Sensation as if – H.A. Roberts
59. The Art of Interrogation – schmidt.P
60. Cross- References in Kent’s Repertory – Sankaran. P
61. Essentials of Homoeopahtic Philosophy and Repertory- Sarkar.B.K
62. The Clinic Repertory – shedd. P.W.
63. Grand Characteristics of Materia Medica –Skinner
64. Hull’s Jahr Repertory- Snelling
65. Hahnemannian Proving- Stephensen
66. A Materia Medica- Swan
67. Repertorising – Margaret Tyler & Sir John Weir
68. Sensations as if – J.W. Ward
69. Repertory of Modalities- Worcester
70. Journals of Homoeopathics
71. Medical Advance
72. North American Journal of Homoeopathy
73. The British Homoeopahtic Review
74. The British Homoeopahtic Journal
75. The Homoeopahtic Recorder
76. The Homoeopahtic World
77. The Homoeopathician
78. The Journal of American Institute of Homoeopathy
79. The Journal of British Homoeopahtic Society
80. The Transaction of American Institute of Homoeopathy
81. The Transactions of International Hahnemannian Associates
82. The Hahnemannian Monthly
83. The Hahnemannian Gleanings
84. The Hahnemannian Advocate
85. The Progress
86. The Homoeopathy
87. The Homoeopahtic Herald
88. The Organon
89. The Pacific Cost Journal of Homoeopathy.

Merits of Kishore Cards:

  1. Third edition contains 692 medicines and 9192 rubrics
  2. Almost all rubrics in the Kent’s repertory are incorporated in the Card repertory
  3. This repertory can be used in two methods, Kent’s and Boenninghausen.
  4. Many of the rubrics in the Boenninghausen’s repertory are made available, up to date and complete.
  5. Elimination is a mechanical process. We can save the time taken for writing down all the rubrics, medicines and adding their marks. Hence useful for very busy Practitioners
  6. The rubrics and the cards are arranged in alphabetical order; so easy to find the required rubric. Table of contents of rubrics with their code numbers is given in the index.
  7. Contents of the medicines with their code numbers are given in the index
  8. Cross-references are helpful in finding the related and similar rubrics
  9. Evaluation of medicines can be done with changing the shape of the holes
  10. New remedies are added from the reliable source like British Homoeopahtic Journal
  11. It requires no paper work
  12. It is useful in rural areas were Electricity and computers are not available.

Demerits:

  1. Quite voluminous ( Repertory include three boxes of cards)
  2. Not all rubrics needed in day to day practice will not be available in the card repertory
  3. A thorough knowledge of rubrics are necessary before starting the process of repertorisation
  4. Evaluation of remedies require an additional amount
  5. There are certain medicines in the list , which are not found under any of the rubrics
  6. With the invention of computer software repertories, card repertories become out dated.

Dr P Sumesh
Medical Officer, Departemnt of Homoeopathy
Govt. of Kerala

Boger's Repertory – A Comprehensive Study

Dr Rajitha K Nair

Life sketch of Dr CM Boger(1861-1935)
Dr: Cyrus Maxvell Boger was born as the son of Prof:Cyrus and Isabelle Maxwell Boger on 1861. He received his early education in the public school of Lebanon Pa and graduated from the Philadeiphia college of medicine. He later studied at Hahnemanns Homoeopathic college in Philadeipia and qualified himself as a homoeopath. He was as American homoeopath of German origin and was a contemporary of Dr:Kent.

Dr.Boger became widely known through a large number of learned contributions to the Homoeopathic literature. His authorship of several medical books, his repertory construction, translation of several medical books from notable German authors and his indefatigable labor in research made him universally recognised as an authour of considerable
eminence.

Some important literary works of Dr.Boger are

  • Transactions of the original Repertory of Antispsorics(systematic alphabetic repertory of homoeopathic materia medica)- 1899-1900.
  • Boenninghauseis characteristics & Repertory – 1905.
  • Synoptic key to Materia Medica – 1928.
  • Times of remedies and Moonphases – 1906.
  • General Analysis
  • Studies in Philosophy and healing
  • Additions to Kents Repertory
  • Translation of TPB
  • Card Repertory – Boger Boenninghausen slipe.

These works made him universally recognised as an authour of considerable eminence. Probably there has never been a more through student of Boenninghausen than later Dr: CM Boger. Perhaps the greatest piece of literature left by Dr: Boger is Boenning Hausen’s characterstic and Repertory based on the original Repertory of antipsoric remedies but brought up to date and more valuable by the addition of more rubrics remedies and also by the addition of synoptic Materia Medica as one section of the book.
Dr: Boger aged 74 passed away on 2nd sept 1935 after as illness lasting 2 weeks.

H/o and Evolution of Boger’s Repertory.
During the later part of 19th century , with the emergence of Kents repertory the applications of Boenninghausen Therapeutic pocket book was relegated to the back stage. Boger was an ardent follower of Boenning Hausen’s school of philosophy which in his view was much closer to Hahnemannian concept of disease understanding. Dr: Boger was a prolific writer on the use of repertories who was at ease with both Kents and Boenninghausen’s school of philosophy. The construction and informations based in Kent’s repertory also impressed him. So he embarked on the mission of achieving and integration of the information present in these two repertories.

While Dr: Boger was practicing in US he understood the difficulties faced by the practitioners of his days in finding out a similimum from the Materia Medica in the shortest possible time. Finding that the practitioners had to depend on the existing faulty translations of the Repertory of Antipsorics he took up the task of translating it in 1899. While doing this translation he was further convinced that BH’s basic principles plan and construction were sound and the book was comprehensible and practicable. He was also aware of the difficulties faced by practitioners while using Therapeutic pocket book as well as the criticisms leveled against its principles and methodology.

So he took up the work of rewriting Boenning Hausen’s Repertory by adding new chapters, new rubrics and new medicines. Thus he modified chapter of Therapeutic pocket book by adding modalities and concomitant at the end of each chapter. The outcome was a more useful work and was published by Boericke and Tafel in 1905. Even after the publication of the Ist edition Boger continued to work on the Repertory. But he could not survive to see the publication of the 2nd edition of his Repertory. Later the manuscripts were published posthumously with the assistance of his wife by Roy & company in 1937. This can be considered as the 1st Indian edition of Bogers Repertory.

2nd Indian edition was also brought forth by Roy & Company in 1952. 3rd Indian edition was published by B.Jain after 20 years in 1972. All the present edition are reprints of the 2nd edition published in 1937.

Full name of the book is Boenninghausen’s characteristics and Repertory. Characteristics includes the ‘characteristic symptom of Boenning Hausen translated by Boger for the first time. They are the same characteristic symptom as seen in other Materia Medicas. This materiamedica part deals with symptomatology of each remedy and permits ready reference to Materia Medica. Boger’s translations of original rubric from German to English has been stated to be more accurate than that of Allen.

Philosophical background of boger boenninghausen characteristics and repertory
Boenninghausens pioneering work was in great use during the second half of the 19th century because it was the only work of its kind available to the practitioners. With the publication of kents repertory it receded to the back stage. Consequently BH’s work as well as his principles were over looked. Boger creditably resuscitated Boenninghausen by refining and enriching the fundamentals and recasting the sturcture and methodology. Boger subscribed to the principle of totality of symptom which was originally given by Hahnemann.

His work Boenninghausen characteristic and repertory is based on the following fundamental concepts.

  • Doctrine of complete symptom
  • Doctrine of pathological generals
  • Doctrine of causation and time
  • Clinical rubrics
  • Evaluation of remedies
  • Fever totality
  • Concordances

While taking the case history of all symptoms of the patient, it may not be complete in terms of sensations, locations, modalities and concomitants. BH noted these deficiencies in proving also where the provers falls to narrate all the symptom completely.A complete symptom to one which consists of sensation location & modalities. During case taking some symptoms may also be noticed in relation to time  before during or after the main complaint. These may not be always having any direct pathological relation to the main complaint Boger got the idea of complete symptom from BH’s method of erecting totality but Boger improved the idea by relating sensations and modalities to specific parts. In Bogers Repertory complete symptoms are well arranged and it is seldom necessary to do grand generalisation regarding sensations and modalities.

Concomitants are also given greater importance. They typify the individual reactions and they corresponds to the strange rare and peculiar symptoms of Hahnemann. Common concomitants are unimportant unless they are present in an extraordinary degree.

The most important concomitants are

  • Those which are rarely found combined with the main affection, hence also Infrequent under the same condition in proving.
  • Those concomitants which belong to another sphere of action of main complaint.
  • Those concomitants which belong the distinctive marks of some drugs even if they have never been noted in the proceeding relation before.

Doctrine of pathological generals.
In addition to complete symptom Boger also gave importance to general changes in tissues and parts of body. Pathological changes tells us the state of whole body and its changes in relation to the constitution. Pathological generals are expressions of the person which can be known by the study of changes at the tissue level. Some constitutions are prone to some pathological changes in some parts of the body. This common changes in different tissues show the behaviour of the whole constitutions which is important to understand the individual.

Pathological generals can be
Structural alterations in tissues organs and systems pertaining to man as a whole. A particular sensation or a local pathology becomes a physical general sensation or a pathological general when interpreted in the light of underlying constitutional state predictive of a generalised disturbance in human economy as. Psycho-physio-pathologic basis.
Eg: pain in heels /Tendo Achilles, uric add diathesis painful sensitive soles, gouty/rheumatic state or sensitive/hysterical/neurotic subject.

Miasmatic background interpretation.

  •   A solitary want or mole -sycotic
  •   Localised patch of eczema-psoric
  •   Fistula in Ano-syphillitic miasm
  •   Bone pains at night- syphillitic miasm.

Constitution /Diathesis.
Re-current Epistaxis-Heamorrhagic diathesis
Recurrent bolls,delayed healing of wounds and ulcers, easy suppuration-diabetic state.

Structural alterations common to 2 or more than two location.
Dicharge,Acidity,Excoriation, redness, cracks, Fissuses, Acridity can be  can be taken in a still wider context as to include the mind -Acrid mind.
General Locations eg:Glands, skin-folds, flexures, Glands,bends, angles-mouth,corners,canthi, sphincters mucus membranes.
Discharges when common to 2 or more Locations-colour,odour&consistency.
Degenerative changes in many location Atrophy&emaciation.

Doctrine of Causations & Time
In Boger’s hierarchy of evaluating symptoms He gaves more importance to causation & general modalities. In his synoptic key he emphasises that while taking the case we should first try to elicit the evident cause and course of sickness and all which now to interfere with the patients comfort. So according to Boger causation and Time are more defenite and reliable in cases as well as in medicines.

Every chapter in his Repertory is followed by sub chapters on Time, Aggravation, Ameliorations and concomitants. Section on Aggravations contains many causative factors. According to him these causative factors are very useful for finding out the similimum in the shortest possible time. In the chapter choosing the remedy he is giving importance to miasmatic as well as exciting causes. The natural tendency to disease may be due to psora syphillis & sycosis. External cause excite disease principally by means of external impressions when there is a natural predisposition. In some cases it is easy to prescribe upon cause. Eg: sprains fever etc. Causations are very important because if the cause is removed the effect will go by itself.

Clinical rubrics
Boger was the first person who appreciated the use of clinical conditions in grouping medicines. Several clinical conditions are mentioned in his Repertory which will help the physician in case of advanced tissue changes where we will not get a clear picture because of poor susceptibility. There rubric will help to arrive at a small group of medicine which can be further narrowed down with the help of modalities. These clinical rubrics can be used when the case is not having any other choice or if the case is lacking in characteristic expressions. This helps mainly in finding out a palliative drug which is suitable in helping to overcome the present crisis.

Evaluation of Remedies
Boger followed the same method used by BH. Medicines are graded into 5 rank by the use of different typography such as

  • Ist Grade CAPITALS 5Marks
  • 2nd Grade bold 4Marks
  • 3rd Grade italics 3Marks
  • 4th Grade Roman 2Marks
  • 5th Grade (Roman) I Marks

Ist Grade remedies are proved reproved and clinically verified. In the 2nd Grade intensity is slightly lower than the first Grade. Italics / 3 marks remedies are proved & reproved but not clinically verified. Roman – clinically verified but not seen during proving. (Roman ) doubtful remedies which needs further study.
Apart form these we can find one more gradation Boger’s Repertory about which nothing is mentioned. It is indicated as (CAPITALS).
Eg: upper extremities – caries – (ASAF).

Fever totality
Is a unique contribution of Boger. This section can be considered as a self contained repertory within the large Repertory. Each stage of fever is completed by Time , Aggravation, Amelioration & concomitant. Fever chapter is almost complete.

Concordances
Deals with relationship of 125 remedies. It can be used for studying the relationship of remedies at various levels as mind, parts, sensation and modalities.

Boger’s concept ot totality
In the chapter choosing the remedy he emphasised the importance of 7 points given by Boenninghausen. Repertory gives us a group of drugs with similar symptomatologies and from this group final differentiation can be made after considering the individualizing or peculiar symptoms. There individualizing features can be

Changes in personality and temperament (quis) -This should be noted especially when striking alterations occur. These may sometimes obscure the physical manifestations and these may be corresponding to only a few remedies. The expressions of the moral and mental activities affords the best for the choice of medicines in mental affections.

Nature and peculiarities of the disease (quid) -The nature of the disease and virtues of drugs should be thouroghly known before we can give aid in sickness. Knowledge of disease or diagnosis helps to exclude all medicines which donot correspond to the nature of the disease. Diagnosis will not help us much for the sure selection of the similar remedy.

Seat of disease(ubi) :Almost every drug acts definitely upon certain parts of the organism. Whole body io not equally affected even in local or general disease some drugs affect (RT) side some (Lt) side and some diagonally. So in order to cure it is essential to ascertain the seat of action. eg: The specific curative powers of sepia in fatal joint abscesses of fingers and toes to extraordinarily conclusive evidence upon thio point , for they differ from similar gatherings only in locations and remedies so suitable for abcess elsewhere remains ineffectual here. Here he says that if the diagnosis of our time were known to Hahnemann he would have localised remedies moreaccurately than simply saying right,left etc.

Concomitants (quibus auxillus) –  While selecting the simillimum concomitants should be given much importance. Common or well known accompaniments are unimportant unless they are present in an extraordinary degree or appear in a singular manner. The most important concomitant symptoms are

  • Those which are rarely found combined with the main affection hence also infrequent under the same condition in proving.
  • Those concomitant which belong to another sphere of disease than that of the main one.Eg: cough > paasing flatus.
  •  Those symptoms which bear the distinctive marks of some drug even if they have never been noted in the proceeding
  • relation before.

Important concomitants may sometimes out rank the symptoms of the main disease and may help in the selection of the simillimum. These symptoms may give individuality to the totality and are the same characteristic symptoms which Hahnemann called striking extraordinary and peculiar. When the concomitant and main complaint presents with the same modality it will become more important.

CA– USE(cur) – Disease causes can be either Internal or external. Internal diseases arise from internal disposition which is highly susceptible. These are due to uneradicated miasms of psora, syphillis and sycosis. When not due to these they are due to remenants and sequate of acute affections, due to drug disease poisoning etc or due to combination of drug disease with the other which is very difficult to treat and in which cases antipsoric remedies will be very effective. In many of the acute diseases rapid and durable cures can be effected by the administration of antipsortc remedies.In the treatment of many diseases the best selected remedy is often ineffectual unless preceded by a suitable antipsoric, antisyphillitic or antisycotic. While dealing with drug diseases drugs given should be properly ascertained and treated.

Drugs diseases are generally compound & will not show a clear picture hence the knowledge of contents of former prescription to necessary. In some cases it is very easy to find the cause and helps to find a similar remedy eg: burns, sprains etc-:
But if different cauaes can produce the same condition the choice may become difficult-Eg: Common cold – After sweating
– By exposuse of a part
– By drenching in rain

Dr. Boger to giving much important to the causative modalities.
So without knowing the cause, the correct homoeopathic remedy cannot be selected.

Modalities ACCORDING TO SITUATION & CIRCUMSTANCES.(quomodo) –  Modalities are the modifiers of characteristics. All well proved drugs manifests common symptom of many drugs but their modalities may be differing. Modalities must be specialised eg: If motion generally aggravates we should note the different kinds of motion as whether they arise during commecement or are continued etc. General modalities and particular modalities are important. Cravings and aversions to various food materials furnishes important points in deciding the remedy. According to Dr: Boger when symptom are pointing to one particular remedy and if modalities don’t agree it will not be indicated and we will have to search for another remedy having same or similar modalities

TIME MODALITIES(quanto) –
 Time factors are equally important as aggravations and ameliorations. Here two important things to be noted are the periodical return of symptoms after a shorter or longer period of quiescence. In these types there may be some special or accidental causes such as menstural disturbances, seasonal or temperature influences etc.
Eg : Fever every 14 days
Convulsions during menses.
The hour of days when the disease is better or worse.
These are of much greater importance because we can find these features in many disease and we can find this in many proving so these are peculiar and are qualified.
Eg: time modalities of cough, diarrhoea etc. unless they are clear and decided (iike hell & lyco at 4-8pm ) or return at
exactly the same hour (Antc , Ign , Sab) they are unimportant.
It is easy to select the right remedy after a picture of disease complete in respect and fully meeting all requirements has been drawn up then to obtain the materials for such a picture and costruct it for one’s self.

Evaluation of symptoms:
Apart from the above mentioned 7 points Dr: Boger appreciated the use of time factors , causative modalities,

Pathological generals and tissue changes to understand the case.
Causative modality
Mental & physical – fear, Excitement  Physician should try to elicit the evident cause and course of sickness down to the latest symptom. To this add all things which now seems to interfere with the patients comfort.

Modalities or natural modifiers of the sickness should be then ellicited. The most vitally important of such influences are Time temperature, openair , posture, Being alone, Motion,sleep ,Eating and Drinking ,Touch,Pressure, Discharges etc.

Mental state
Important point to be noted here are the presence of irritability, sadness fear placidity etc. Mind is given adequate importance and for selecting a drug it becomes imperative that the remedy selected is always in agreement with the mind. The interdependence of mental and physical states is so great that we can never afford to overtook it entirely. They classifies every other symptom often in a decisive way. [from: how shall I find the Remedy – Boger]

Sensations
Estimate the patients own description of his sensation. Always ascertain whether any of the following primary sensations are present like Burning, Cramping , Cutting. Bursting , soreness , Throbbing and Thirst. Others may also be present but presence of any one of these may often overshadows them.

Entire objective Aspect or expression of the sickness This Includes facial expresion Demeanor, Nervous Excitability, Restlessness Facial expression, Torpor , colour & odour of secretions, sensibility and any abnormal colouring.

Parts affected or locations must be determined. This will be more helpful in reaching the diagnosis.

By going over the above rubrics in this manner the contour of the disease picture will be clearly outlined and will point clearly towards the similar remedy. The actual differntiating factor may belong to any these rubrics. From these it is very clear that Boger has given importance to causation modalities, concomitants , General sensations & Pathology and location to given last importance in the order of hierarchy.

Diagrammatical representation of evaluation
MODALITIES –  Causative Modalities, Time, Temperature weather, open air, posture , motion, eating anddrinking, sleep. if alone, pressure, touch,discharges.
MIND –  Irritability, sadness, fever, placidity
SENSATION –   Burning, Cutting, Cramping, Bursting,Soreness, throbbing, Thirst
OBJECTIVE ASPECT Demeanor, Restlessness, Nervous Excitability,  Facial Expression, Torpor, Secretions , Colour,Odour.
PART  AFFECTED –  Organ, Right, Left.

Plan and construction of BBCR
Having found certain difficulties in the day to day use of TPB Boger tried to modify the structure and content of the book by adding many medicine and rubrics drawn from his own experience and other sources. Thus the book has undergone a vast change but its basic principles have remained unchanged.

The book consists of.
Mataria Medica Part
Repertory Part

Before these two sections book contains
A Foreword written by Dr:HA Roberts in 1938 He emphasises that the works of BH are the most comprehensive in logic , philosophy and applicability of the early writers perhaps with the single exception of works of Hahnemann. He stresses this point by noting that even though Hahnemann compiled a brief index to remedies and Jahr preceded BH’s publication of Rep of Antipsoric remedies it was BH who first evaluated remedies in relation to individual symptom and it was he who first introduced the Relationship of remedies to the individual case. BH evolved the doctrine of concomitants which he believed to be of peculiar and characteristic value.

Many criticism have been raised against BH’s TPB on the ground that there has been no differentiation between general & particular modalities. But in this like its predecessor The Repertory of Antipsorics modalities for each part is assembled at the end of the section of Repertory devoted to that part and a section for general modalities in arranged towards the end of the book.

This book to a valuable addition to the Homoeopathic literature in making available the combined observation and logic of Boenninghausen and the wide and wise observation gathered by Dr.Boger from long year of study & practice.

  • Historical sketch of the  of Boenninghausen
  • Preface- 2 parts
  • Introductory essay about source books
  • Notes by Dr: Boger
  • On the use of Repertories
  • Choosing the Remedy
  • Repetition of Dose
  • Homoeopathic prognosis
  • Index of contents
  • Index of medicines in Materia medica part
  • Index of chapters in Repertory part

The sections in repertory are given as 53 units but there is a total of 58 chapter because one chapter given as subchapter in index appear as main chapters in the body of the book.
After the Materia Medica and Repertory part towards the end of book there are three more indexes dealing with Word index to Boger BH Rep compiled by S.P Roy. Word index constitutes 101 pages.
Index to main sections/ chapters
Index to main chapters & subchapters

Word index arranged chapter wise. The index of the book is excellent and exhaustive which enables even a novice to locate the symptom more readily. In spite of all these the Repertory is lacking in an index of remedies represented in the repertory part.
Later an index was prepared by Dr. Tiwari where he gives the total no: of remedies represented in Repertory to 442. But originally this book contains 489 remedies.
Total No: of Pages – 1231 pages . which are arranged double coloums.

Arrangement of materia medica part
A total no: of 140 medicines are given in the materia medica part in alphabetical order. Each medicine the contents are arranged in Hahnemannian schema i.e from head to foot in each remedy Allied Remedies are given as the last section which list a group of remedies which are related in some way or other with the remedy. In some cases complimentary remedies are included separately.

After all remedies a brief note is given regarding the duration of Action of Remedies where he classifies all remedies into 5 groups as

  • Shortest action
  • Brief action
  • Medium duration of action
  • Long acting Remedies
  • Very long & deep acting remedies

There are taken from the notes of Hering confirmed by Boenninghausen and it is said that the symptoms which appeared last in the proving are of great value.
In a section on important hints 12 observation given by Dr J.T Kent to arranged in a condensed form.
In the MM part remedies are graded into 2 i.e italics & ordinary Roman

Classification
It comes under the classification of LOGICAL UTILITARIAN TYPE. This Repertory is based on the logic of particulars to generals especially on pathological generals & complete symptom based on the doctrine of INDUCTIVE LOGIC.

Source books
Source book Materia Medica part

  • BH’s characteristics translated by Boger for the first time.
  • Whooping – cough – homoeopathic Treatment of whooping Cough in its Various forms published by Boenning hausen in 1860.
  • Homoeopathic Domestic Physician in Brief Therapeutic Diagnosis-1853.
  • Therapeutic Hints from the Aphorisms of Hippocrates.
  • Symptom Text of Intemittent fever.
  • Aided remedies are added at the end of remedy which are the results of long years of observation by BoenningHausen.

Dr: Boger was also impressed by the data presentation in Kents Repertory. He therefore attempted to arrange and improvise the information present in BH’s repertory as an organised and easily accessible manner. So he presented the data in such a way that a symptom could be repertorised as a unit in the relevant chapter Itself. This was a phenomenal shift from the facility of BH’s repertory where each element of the symptom had to be repertorised from different sections.

This improvement was accomplished by arranging the relevant sensation, there modifying factors (Agg&Amel) and accompanying symptoms (concomitants) under each locations. Thus the book has undergone a vast change but its basic principles have remain unchanged.

To make this arrangement more comprehensible he differentiated the heading in the 2nd chapter of TPB (parts of body and organs) into distinct headings or separate chapters. While doing this he arranged each location according to Hahnemann’s anatomical schema and are given as separate chapters. In this arrangement he followed the pattern adopted by BH for the construction of Rep of Antipsoric (ie each location followed by sub chapter on <,> and concomitants.) Boenninghausen divided his repertory into seven sections and that plan has been faithfully followed by Boger, In compiling his repertory. Hence the general section in BBCR is same as that of TPB.[But headings like mind & intellect, parts of body and organs etc are lacking in BBCR , instead they  appear as separate units.Boger also improved the Repertory by expanding on the mental rubrics. This strategy facilitated its use even in cases where the mental symptoms predominate.

The overall outlook of the chapters in BBCR as compared to TPB are
Mind & Intellect in TPB-Mind, Sensorium, Vertigo Vertigo to given as a rubric in section intellect in TPB- Here separate chapter.
Parts of Body&Organs.
Boger differentiated the headings in this section of TPB in to separate chapter/distinct entitles and made each location a separate chapter as per Hahnemannian scheme. Thus he increased the no: of chapters in BBCR and made the work somewhat similar to Kent. This type of arrangement can be seen in Boenninghausens Repertory of Antipsorics. Here he completed each of these location sections with subchapters on sub locations, Time, Aggravation/Amelioration comomitants and cross reference. In this chapter he added many Rubrics and sub rubrics.

Sensations & complaints in general
Although sensations and complaints are given in all locations sections General sensation are given under a large section with 3 other sections like Glands ,Bones Skin & Exterior body. Arragement of this chapter is a little bit similar to that of TPB but for the last section skin of TPB title here is skin & exterior body.

Sleep & dreams
Boger divided this section in to many subchapters. In the Text, sleep and Dreams are given as separate chapters.

Fever
The most significant contribution that Dr:Boger made for the cause of Repertories was the organisation of data pertaining to the fever symptoms .This chapter was indeed a masterr stroke as no other Repertory is as elaborately designed as BBCR in the area of fever Totality- In the section related to fever each phase of fever is presented in a complete form with reference to the location affected ,by their sensation and complaints and their modifying and accompanying factors.

Conditions in general.
Many criticism had been raised against Boenning Hausen,s Therapeutic pocket book on the ground that there has been no differentiation between general & particular modalities. But Dr:Boger fairly met the criticism by arranging modalities for each part assembled at the end of the section to that part and general modalities in a large section towards the end of the book.

Here this section consists of 2 parts

  • Conditions in general -Time
  • Conditions of Aggravations & Ameliorations in General.

In both these sections Aggravations and Ameliorations are given within the same section. But in Boenning Hausen’s

Therapeutic pocket book the main heading was Alteration in the state of health with three sections

  • Aggravations according to time
  • Aggravation according to position & circumstance
  • Amelioration according to situation & circumstances
  • Allen removed there heeding and arranged it under 2 section Aggravation & Amoliorations

Concordances
Similar arrangement as that in Therapeutic pocket book. Relationship of only 125 remedies are given [in TPB – 148] Relationship chapter contains rubrics like Mind, Location, Sensation, Glands Bones skin Blood , circulation and fever

Related Remedies & Antidotes. [in Therapeutic pocket book – other Remedies.] So the whole repertory can be classed as 58 units [53 units as given in index] Each of these units can be considered as separate chapter. Most of these chapters contains many subchapters except prostate gland & stomach. The no: of units are increased from 7 to 58 by mainly splitting the subsections in Parts of Body and Organs into different entities.

Titles
NAMES of all main sections are written in DARK CAPITALS. Thus we can see a total of 58 main section in this Repertory [In index 53 only]
Names of subchapters are written in ORDINARY CAPITAL.
Name of chapter is printed in the Top of each page.
If it is subsection name of main chapter will be written at  Top left hand side of page & subchaptor’s name in Rt hand side. Thus we can identify whether that section is a main chapter or a subchapter.

Total No: of pages 1231 arranged in double coloumns.
Rubrics are printed in bold ordinary letters.
Sub rubrics are printed in italics [same in Rep of antipsorics]
Medicines are evaluated into 5 grades.

1. CAPITALS 5.Marks 1st Grade
2. Bold 4. Marks 2nd Grade
3. Italics 3. Marks 3rd Grade
4. Roman 2. Marks 4th Grade
5. (Roman) 1. Mark 5th Grade

This gradation is based on the frequency of appearance of symptom in provers.Thus 5 mark medicines are most important and one mark least important.
Rarely (CAPITAL) in brackets is given. Grading of this is not mentioned any where.

Page 846-UE-Caries-Bones[ASAF]
Ist grade remedies are proved , reproved and clinically verified.In 2nd grade intensity is slightly lower than Ist grade.
Italics/ 3 mark remedies are proved and reproved but not clinically verified. Roman – clinically verified but not seen during proving. (Roman ) doubtful remedies which require further study.

Micro construction
Boger’s Repertory is based on the concept of complete symptoms. The general arrangement of each chapter to the presentation of information under distinct headings, conditions, Time, Aggravation Amelioration and concomitants. Under each of these chapters rubrics are arranged in alphabetical order with certain exceptions.

The chapters or sections in Bogers Repertory can be classified in to two groups as

  • General section – eg: Mind – Completed with sensation, modalities,Concomitants and cross referece.
  • Regional Section

In each regional section we get 4 subsections

  • Locations & sensation- Given together
  • Modalities (Time, Aggravation & Ameloration)
  • Concomitants
  • Cross references.

These subchapter are at certain times divided into further  subchapters. The flow of sequence of the chapters in regional
section is in Hahnemann’s anatomical schema.

Sub location are arranged in a schematic order as

  • Inner to outer – Head Internal , Head external, chest Inner – chest ext
  • More important to less important.

In each of these chapters

  • Condition refers to sensations & complaints
  • Time refers to the time of aggravations
  • Aggravations refers to circumstantial aggravating factors
  • Amelioration refers to circumstantial relieving factors
  • Concomitant refers to accompanying features
  • Cross reference refers to the availability of similar meaning rubrics under that heading.

Arrangement of subchapters & rubrics
A distinct pattern is adopted for the arrangement of rubrics through out the repertory. There is a near similarity in the arrangement of rubrics pertaining to the localities chapter. All chapters dealing with complaints have similar arrangement. Modalities [Time,Aggravation, Amelioration] are arranged alphabetically.

Arrangement of Mind Chapter
In mind chapter the medicines in general which have a predominant action on the mental sphere are listed initially. it is followed by chapters on Time Agg, Amel, concomitant & cross reference. This chapter is a distinct development over Therapeutic pocket book . It has about 365 rubrics referable to conditions apart from modifying and concomitant factors.

Section on location & sensations
Locations and sensations are mixed in Bogers Repertory. So separate headings are not given for them. They are given within one section or are given together in Bogers Repertory. A definite order is maintained for their arrangement.

Usually location is further split into different subdivisions, sides and extension. In some chapters there subdivision are included as rubrics within the main section [eg: Upper Extremities – Shoulder, Elbow, LE- Thighs , Khees], But in some chapters these sub locations are given as subchapters to the main Location [eg: Eye – orbit, eyelids, eyelashes, canthi]

There rubrics on sub location are useful because it guoups medicines for the parts. These rubrics groups those prominent medicines which are capable of producing different types of symptom in relation to that organ or location. Clinically these medicines have affinity towards these organs. This grouping may not help us in the process of systematic repertorisation but it can be of much help to know the affinity towards parts, it suggest organ remedies which may be useful for finding out a drug for palliation when only a few prescribing symptom are available in the case.

  • With in each chapter especially in case of central locations the medicines in general are listed initially [eg:Head,Chest].  In case of B/L location medicines predominantly indicated for each side of the given locations are given [ear – right. Left, Nose- Right Left]. This arrangement is lacking in some B/L locations. Eg: In eye chapter Ist rubric is eyeball.
  • This is followed by different anatomical parts in that particular location eg: Head – Forehead, Temples occiput etc.
  • In each of these location rubrics their sub locations extensions alternation and sides are given. Eg: p 251 – Head Int –   Forehead – eyes of.
  • While giving location as rubrics a letter will be given as abbreviation which given in the brackets. Eg:Head int-forehead (F).

There are important because each specific sensation is again attached to the subdivision of the main locations. This is useful from the point of repertorisation or it specifies the sensation to the part and contains only a group of medicine . Can be used only for reference purposes. That is why it is said that location and sensations are mixed in Boger Rep.

Sensations

Begins after the and of location. In some chapters we can see a horizontal line demarcating locations and sensations or indicating end of location & beginning of sensation. In the section on sensation different sensation and pathological conditions are mentioned in relation to the part. Therefore it meets the usual objections raised against Boenninghausen’s Therapeutic pocket book.

Sensations are arranged in alphabetical order. Each sensation to a general rubric which to followed by a group of medicines. It is divided into subrubic under which parts are mentioned usually as abbreviation of locations. There is no general rubric for pain but it is mentioned as various types of pain leaching, burning, etc. Usually these sub rubrics are too specific and have less no: of medicines. These are less useful for repertorisation.

The rubrics for location and sensations are mixed and there are no separate heading for them but it is easy to understand because there is an order ie. after location sensation are arranged alphabetically. This is followed by chapters on time, Aggravation, Amelioration & concomitants and cross reference. When sub location are given as subchapters for a main location chapter these sub location chapter will be given before the chapter on time, Agg, Amel & concomitant.
Eg: Back

  • Scapular region
  • Back proper
  • Lumbar region
  • Sacrum & coccyx
  • Spinal column & vertebra
  • After these chapters on Time, Aggravations, Ameliorations &
  • Concomitants

Rubrics in sensation can be

  • Sensation
  • Complaint
  • Pathological Symptom
  • Diagnostic/Clinical Rubrics

In some chapter Abbreviation for sub location are given in the beginning of the chapter.e.g Hypochondria-liver(L), Spleen(S)

Subchapter- time
Time refers to Time of Aggravations of complaints. Here medicines are grouped under the broad divisions of time like morning/ forenoon/ noon etc. This is useful because most of the patients mention the broad divisions of time rather than the specific hour of suffering. So clock timing are given only very rarely only in some chapters. These rubric contains only small groups of medicines. Fixed type of rubrics can be seen in all section of time. In some sections we get rubrics like alternation, periodicity etc. Rubrics are arranged form morning to next morning ie in clock wise direction.

Time section are appended to almost all chapters at the end of each chapter and a general time is given toward the end of all sections. Thus he made a differentiation between general & particular time modalities.

Time section is absent in Regional chapter like

  • Sensorium
  • External Abdomen
  • Inguinal & Public region
  • Anus & rectum
  • Perineum
  • Prostate gland
  • Urine
  • Urinary organs
  • Sexual Impulse
  • Menstruation
  • Larynx & Trachea

Subchapter – aggravations.
Modalities for each part are assembled at the end of each section devoted to that part and General modalities constitutes a large section arranged towards the last part of the book.
Aggravations refers to circumstantial aggravating factors. Thissection deals with

  • Factors which increase the specific complaints of parts.
  • Causative Modalities – A/F or factors which excite or bring on some complaints. Eg: Head Internal – sewing
  • Concomitants – In some chapter concomitant are given in Aggravation chapter especially in those section which are not followed by a separate section on concomitants eg P. 291 – Head Int – Agg – urinary crisis – poly uria with –
  • Aggravations are arranged in alphabetical order.
  • In some chapters Agg & Amel are together under one head Aggravation and Amelioation.Eg: Sensorium, Stool
  • In some chapters Agg & Amel are given together under the heading conditions. Eg: Anus & Rectun , Perineum, Urine
  • (condn of urination), Urinary organs, Genitalia, Voice & Speech.
  • Aggravation chapter is larger than Amelioration and is most useful for repertorisation particularly of A/c or short cases.
  • This chapter is bigger than Amelioration section because patients and provers usually note down only the factors which increase their suffering. This chapter is most useful for Repertorisation particularly for acute cases or so called short cases.

Subchapter- ameliorations
Patients will not usually narrate the ameliorating factors which decreases the suffering. This section deals with circumstantial relieving or ameliorating factors. Amelioration factors are less commonly noticed by patient & provers so this subsection contain less no: of rubrics. This section is given less importance while doing Repertorisation. Ameliration factors are used for the purpose of individualising the patient.

Subchapter-concomitants
Co
ncomitants are the minor complaints seen associated with the major complaints but having no direct pathological relation to the main complaint. Boger collected concomitants from different sources namely proving, clinical experiments and verifications. Most of the concomitant section are well explained and are arranged an alphabetical order with many rubrics and subrubrics. In some main section comcomitant chapters contain only a small group of medicines without any rubric / symptom. Eg: Mind. These types of Rubrics are less useful for Repertorisation.

Chapter on fever to full of concomitant in relation to chill heat & sweat under different headings. Each stage of fever has
separate chapters on concomitant. Each concomitant section is further divided into subchapters beginning with mind & ending with deep & Dreams. All of these sub chapter contain many rubrics. Headings of these sub chapter on concomitants are written in small capitals. If a main chapter has no concomitant section some of the concomitants will be given under Aggravation chapters. Usually concomitant section are arranged after section on modalities.

Detailed concomitant section are given in chapters Iike

  • Stool – concomitants before , during & after stool given separately
  • Mictuartion – Before , At beginning of, during , At the close of, After micturition
  • Sexual Impulse
  • Mensturation
  • Fever

Concomitants are important because these are the keynotes and characteristic symptoms of the patient. Although Boger gave much importance to concomitant, this section is induded only in 22 chapters.

Chapters where concomitants are absent
l. Sensorium
2. Head Internal
3. Eye
4 .Ears
5. Nose
6. Face
7. Mouth
8. Appetite
9. Thirst
10. Taste
11. Eructation
12. Water brash & Heartburn
13. Hiccough
14. Hypochondria
15. Abdomen
16. External Abdomen
17. Inguinal & Pubic region
18. Flatulence
19. Anus & Rectum
20. Perineum
21. Prostate
22. Urinary organs
23. Genitalia
24. Larynx and Trachea
25. Voice & speech
26. Neck ft External throat
27. Chest
28. Back
29. Upper Extremities
30. Lower Extremities

Subsection- cross reference
Cross reference refers to availability of similar meaning rubrics under that heading. This Is also an Important subsection which makes the repertory more useful. In cases with full of symptom or with scarcity of expressions we have to properly evaluate the symptom & have to find out the characterstic symptoms- To locate these characteristic symptoms in Repertory we have to adequately interpret and convert them into rubrics. This subsection helps us to do this and also helps to clear out confusion about similar rubrics.

However cross reference is not given at end of all chapters. In certain sections we can find cross reference sections appended even to subchapter like Aggravation, Amelioration or concomitants.
In these cross Reference section we will not get any medicine for Rubrics. For medicines we have to refer to the rubric refered to in the main section.

  • Apart from these separate section on Cross Reference – comparisons are given under most of the rubrics in the main rubrics. Eg: P392. Face Burning – compare fever partial heat.
  • In some cases the primary rubric in the main section will not contain any medicine but have an indication to refer another rubric. Eg: P 405 – Face – Cramp see spam. Here Face.
  • Cramp contains no medicine. For getting medicine we have to refer face spasm.

Arrangement of rubrics & medicines

  • lst Rubric in most of the sections is rubric in General. This rubric groups those prominent medicines which are capable of producing different types of symptom in relation to that organ.
  • Main rubrics are printed in bold letter and sub rubrics in Italics,
  • In Regional section, Abbreviation of Locations will be given.

For further specification of sensations in these locations These abbreviated letters will be given in brackets. For further modification of these location such as side right or left the letter capital L or R in italics will be given. Eg:P 261 – Head Internal – Drawing – T should be read as drawing pain in R,L (Rt) temple, Left Temple. Sometime side affinity will be specified for some medicines within a rubric and for this the letter small (I) or (r) will be given in brackets after the name of the remedy. Eg P- 260 – Head internal – Cutting T- Agn …Puls(r) senecio(l) Very rarely some causative factors or terms will be given after a medicine in bracket. This term will be applicable to the proceeding medicine only. Eg: P 317 eye strabisim A,… (<worm)….Z . Interpreted as cina has strabismus form worms,

The main chapters denoted by DARK CAPITALS In Boger’s Repertory are
1.Mind
2. Sensorium
3.Vertigo
4. Head
5. Eye
6. Ear
7. Nose
8. Coryza (given under nose in index)
9. Face
10. Teeth
11. Mouth
12. Appetite
13. Thirst
14. Taste
15. Eructation
16. Water brash & Heartburn
17. Hiccough
18. Nausea & vomiting
19. Stomach
20. Epigastrium (given under stomach in index)
21. Hypochondria
22. Abdomen
23. External Abdomen (given under abdomen in index)
24. Inguinal & Pubic region
25. Flatulence
26. Stool
27. Anus & Rectum
28. Perineum
29. Prostate Gland
30. Urine
31. Urinary Organs
32. Genitalia
33. Sexual Impulse
34. Menstruation
35. Respiration
36. Cough
37. Larynx & Trachea
38. Voice & Speech
39. Neck & External Throat
40. Chest
41. Back
42. Upper Extremities
43. Lower Extremities
44. Sensation and complaints in General
45. Gland
46. Bones
47- Skin & Exterior body
48. Sleep
49. Dreams
50. Fever-chill
51. Blood
52. Circulation given under blood in index)
53. Heat and fever in general
54. Sweat
55. Compound fever
56. Conditions in general-Time
57. Conditions of aggravations and ameliorations in general
58. Concordances

If main chapter is a location for eg-eye- the subsections on sub locations are given immediately after the main location.
Only after these sub chapters on sub locations that these time aggravations and ameliorations for the general locations are arranged. Eg: P 309-EYES

  • Eyebrows
  • Orbits
  • Eyelids
  • Canthi
  • TIME
  • AGGRAVATIONS
  • AMELIORATIONS
  • Vision
  •  Time
  •  Aggravation
  •  Amelioration

Sections for special senses are given as sub chapters

  • Eye-vision
  • Ear-hearing
  • Nose-smell

Almost all the sections have many subchapters. These subchapters can be

  • Cross reference to the main sections
  • Sub locations
  • Cross reference to each of these sublocations
  • Time
  • Aggravations
  • Ameliorations
  • Concomitants

Chapters without any sub chapters are stomach and prostate gland.
A distinct pattern is adopted for the arrangement of rubrics through out the repertory . there Is a near similarity in arrangement of rubrics pertaining to localities chapters. All chapters dealing with complaint have same arrangement. The modification factors are arranged alphabetically.

Arrangement of chapter on mind
In the mind section medicines which have a predominant action on the mental sphere are listed initially. The different conditions like time, aggravations, ameliorations, concomitant factors and finally cross reference follows this. This chapter is also a distinct development over Therapeutic pocket book. It has about 365 rubrics referable to conditions apart from modifying and concomitant factors. All the rubrics in relation to emotion and intellect are given under the chapter mind. However mental symptoms are also give under condition of Aggravations & Ameliorations in general. These rubrics don’t generally have sub rubrics or have smaller sub rubrics with less number of medicines.

Arrangement of chapters which are location In case of central locations, medicines in general are listed initially. In case of bilateral locations, the medicines predominantly indicated for each side of the given location are indicated initially. This is followed by the different anatomical parts of that location, listed along with medicines. This follows relevant sensation which are arranged in the alphabetical order. Time related aggravations, circumstantial aggravations, circumstantial amelioration, concomitant factors and finally cross reference follows this.

Arrangement when chapter is a sensation.
When the chapter is a sensation, complaint or condition eg: Errucation, the remedies in general are listed initially followed by time related aggravations, circumstantial aggravations, circumstantial amelioration, concomitant factors and finally cross references, follow them. The chapters of sensation in general, glands bones and skin and cumulatively followed by a short list of circumstantial aggravations and an insignificant data on Time related aggravations.

Arrangement of fever rubrics
There are by for the most elaborate of the chapters in the repertory. There are five chapters referable to this area as

  • Pathological Types
  • Chill
  • Heat
  • Sweat
  • Compound fevers

Fever –pathological types. This chapter on fever has details regarding the pathological Types of fevers.

Chill
Chapter on chill has details regarding the different locations of chill sensation, sensation of coldness and the particular areas of feeling coldness. This chapter contains details regarding sensation of shivering. Time related aggravation, circumstantial aggravation & circumstantial amelioration follow this. The details of concomitants are arranged with reference to Hahnemanns anatomical schema.

Heat & fever in general
Chapter on Heat and Fever in general has details regarding localities of heat sensation. Time related aggravations, circumstantial aggravation and circumstantial amelioration follow this. Concomitants are arranged according to Hahnemann anatomical schema.

Sweat
This chapter has details about areas of sweat. This is followed by Time Aggravations, Circumstantial aggravations, circumstantial ameliorations and concomitants. Here also concomitants are arranged in anatomical schema.

Compound fever
Chapter on compound fever has made distinction about paroxysm of fever starting with chill, with shivering, with heat and with sweat.

Arrangement of concordance chapter
The concordance chapter has 124 medicines in it. The arrangement of rubrics in there chapter is according to the pattern adapted in concordance chapter of Boenninghausens Therapeutic pocket book. Utility of this section is for finding out the possible second prescription.

Scope / adaptability of Boenning Hausen’s characteristics and repertory.
BBCR
 is an updated edition of Boenninghausens systemtic Alphabetic Repertory of Homoeopathic Medicines (Transation of original Repertory of Antipsorics published by Boenning Hausen in 1832). This work had corrected various anomalies that have been recognised in the original version. Bogers Repertory is the latest among the three well known repertories in use, the others being Kents Repertory and Therapeutic pocket book.

Thus the characteristics and Repertory has the following additional features.
Th
e accessing of complete symptom as regards location, sensation, modality and concomitants is made to a large extend within each of the chapters. This is made by the inclusion of these elements from the other sections of the Repertory for reference as well as repertorisation of a case where particulars are dominating the picture, here the repertory can be utilized with advantage. Thus it is more useful in acute and short cases.

The no: of mental symptoms has increased due to the additions of rubrics from other sources which Boger evaluated for inclusion in to this Repertory by adjusting to the scale of gradation. This repertory starts with a large mind section which is quiet elaborate, of course it doesn’t compete with kents section on mind, there are many rubrics in this Repertory which are not mentioned in Kent. Eg: crankiness, duality sense of etc

There are a number of diagnostic and pathologically relevant rubrics which can serve to indicate the remedy in the absence of characteristic individualizing symptoms. we find many diagnostic clinical rubrics mentioned in each chapter with a group of medicines. These medicines have been used in the conditions mentioned and found to be useful in majority of cases. Thus they have been proved and verified. There are many controversies regarding the use of diagnostic rubrics but these cannot be neglected as they have a group of common symptoms which medicines also have produced in proving. But since there is similarity only at the level of common symptoms results can be of a lesser quality.

By using there clinical Rubric or diagnostic Rubrics it doesn’t mean that the dynamic level of the disease is forgotten. The clinical search light is used as an eliminator in the first to be followed by the dynamic level spot light to Illuminate with precision.

Fever chapter
Fever chapter is very purposefully arranged, making this repertory indicated prominently in cases of fever. In fact this chapter is a hall mark of this Repertory. From practical point of view this chapter is of immense use. It has got many subdivisions also. Concomitants in relation to chill, heat and sweat under different headings are really valuable for bedside practice.

There is a prominent mention of constitutional types under the chapter sensation and complaints. This reduces the practitioners work and helps him to find the similimum by using it in the first place in the totality.

The original sections like parts of body and organs sensations and complaints etc are retained in their original format for a wider selection of rubrics.
The facility of cross reference is given at the end of each chapter which is of help in selecting similar rubrics or precise rubrics.
There are many pathological generals which are valuable for Repertorisation and selecting the similimum. Eg uric acid diathesis, Haemorrhagee tendency to , Inflammation suppruation etc.

All compliant of infants are compiled under a single large Rubric Infant affections of this is unique and very useful in pediatric practice.
Concomitant chapter follows modalities in most of the locations. In Therapeutic pocket book concomitants are not given seperately except in a few chapters. Boger made it more useful for practice by attaching concomitants to the
parts.

The chapters in Bogers Repertory can be classed as
Mentals
– Mind, Sendorium – 2
Particulars – In Hahnemannian Anatomical Scheme -22.
l. Head
2. Eyes
3. Ears
4. Nose
5. Face
6. Teeth
7. Mouth
8. Stomach
9. Hypochondria
10. Abdomen
11. Inguinal & pubic region
12. Anus & Rectum
13. Perineum
14. Prostate gland
15. Urinary organs
16. Genitals
17. Larynx & Trachea
18. Neck & External Throat
19. Chest
20. Back
21. Upper Extremities
22. Lower Extremities

Physical Generals-8 chapters
1. Vertigo
2. Appetite
3. Thirst
4. Taste
5. Sexual Impulse
6. Menstruation
7. Sleep
8. Dreams

Local Pathologies – 6
1. Eructation
2. Water brash & Heartburn
3. Hiccough
4. Nausea & Vomiting
5. Flatulence
6. Cough

Section Dealing with Discharges- 2
1. Stool
2. Urine

Sections dealing with physiological function – 2
1. Respiration
2. Voice & Speech

General sections-6
1. Sensation & complaints in general
2. Glands
3. Bones
4. Skin
5. Conditions in general
6. Conditions of Aggravations & Ameliorations in general

Sections related to fever- 5
1. Fever – Pathological Types
2. Blood
3. Heat & fever in general

Homeopathy Repertory of diabetes mellitus

Dr Siju P V

Homeopathy Repertory of diabetes mellitus

Back:
Heat – lumbar region – renal region in – addisions disease , morbus brightii, diabetes in: Nat m.Kr
Pain – diabetes in: Ph ac.Kr
Pain – lame, feeling with – diabetes in: Helon.Kr
Pain – lumbar region – motion better by, severe – diabetes in: Rat.Kr
Pain – lumbar region – polyuria, with violent – diabetes in: Tarent.Kr
Spinal cord – inflammation – diabetes with: Ph ac.Kr  

Chest:

  • Eruption – erythema covered with – chest – diabetes in: Nat s.Kr
  • Flat – chest – diabetes in: Nat s.Kr
  • Pulse – accelerated – diabetes in: Uran nit.Kr
  • Pulse – slow – diabetes in: Op.Kr
  • Pulse – small – diabetes in: Uran nit.Kr
  • Pulse – weak – diabetes in: Kali br.Kr  

Chill:

  • Chill – diabetes, after chill: Nat s.Kr
  • Chilliness – limbs – diabetes in: Lac ac.Kr 

Cough

  • Cough – aggravation – diabetes in: sec.B  

Ear:

  • Illusion – roaring – fainting spells with – diabetes in: Uran n.Kr  

Extremities:

  • Aching – joints – diabetes in: Rat.Kr
  • Crawling – limbs – diabetes in: Uran nit.Kr
  • Formication – limbs – diabetes in: Uran nit.Kr
  • Gouty symptoms – diabetes with: Lac ac.M, nat s.M
  • Heaviness – legs – diabetes in: Sec.Kr
  • Heaviness – feet – diabetes in: Nat s.Kr
  • Numbness – legs – diabetes in: Nux v.Kr
  • Pain – ankle – diabetes in: Nat s.Kr
  • Pain – legs – aching – preventing sleep – diabetes in: Lac ac.Kr
  • Paralysis– legs – diabetes in: Nux v.Kr
  • Paralysis – partial – legs – diabetes in: Atro.Kr, nux v.Kr
  • Peculiar sensation – in diabetes: Nux v.Kr
  • Rheumatic pain – diabetes in: Lac ac.C
  • Restlessness – limbs – diabetes in: Nux v.Kr
  • Soreness – limbs – diabetes in: Rat.Kr
  • Swelling – ankle – diabetes in: Arg m.C,L,S
  • Swelling – feet – diabetes in: Arg m.G,Kr
  • Swelling – legs – diabetes in: Uran nit.Kr
  • Tired feeling – diabetes in: lac ac.Kr
  • Tired feeling – legs – diabetes in: Uran nit.Kr
  • Walking – difficult, weak – diabetes in: Nat s.Kr
  • Walking – inability – diabetes in: Uran nit.Kr  

Eyes:

  • Circumorbital – circles – dark – diabetes in: Uran n.Kr
  • Retinitis – diabetes in: Crot h.M, phos.M, sec.M
  • Sunken – eyes – diabetes in: Uran n.Kr
  • Sight – dim – diabetes in: Tarent.Kr
  • Sight – dim – dull – diabetes in: Sul ac.Kr  

Face:

  • Earthy – diabetes in: Arg n.Kr
  • Emaciation – cheek bones prominent – diabetes in: Uran n.Kr
  • Pale – face – diabetes in: Arg m.Kr, Uran n.Kr
  • Red – deep – diabetes inL Uran n.Kr
  • Sunken – Collapsed, Hippocratic,hollow – diabetes in: Nat s.Kr
  • Swelling – bloated, icteric – diabetes in: Chel.Kr
  • Dry – lips – diabetes in: Ars.Kr
  • Suppuration – of left – parotid gland – diabetes with: Con.Kr
  • Suppuration – of left – parotid gland – with profuse sweat, disturbing sleep – diabetes with: Con.Kr  

Fever:

  • Rheumatic – wet getting from – diabetes in: Nat s.Kr
  • Typhoid – including typhus – diabetes in: Sulph ac.Kr
  • Sweat – night at – diabetes in: Uran nit.Kr
  • Sweat – fetid – sweetish – diabetes in (relieved): Uran n.Kr
  • Thirst – unquenchable – in diabetes: Sec.Kr  

Generals:

  • Anaemia – diabetes in: Podo.Kr 

Diabetes Mellitus: ACET AC.Kr, all s.Kr,Cl, alumn.Cl, am acet.Cl, am c.Kr, anthro.Cl, antim tart.L, arg met.Bs,Cl, arg nit.Cl, arist m.Cl, arn.Cl, ars.Bs, ars br.Cl, aspar.Kr,Cl, bar m.L, bov.L,Cl, calc.Kr, calc p.Cl, carb ac.Kr, carb v.Bs,L, carl.Cl, chim.Kr,Cl, chin.Kr,L, chin s.Kr,, cod.Cl, colch.Cl,  coloc.Kr,Bs,Cl, con.Kr, cop.Kr, cupr.Kr, cur.Kr,Cl, dulc.C, equis.C, eup pur.Cl, ferr.Kr,C, ferr i.Kr,Cl, ferr m.Cl, ferr p.Kr,Cl, helon.Kr, hydr.Kr, ign.C, iod.Cl, indol.C, kali ars.Cl, kali br.Kr,Cl, kali m.Kr, kali n.Kr, kali p.Kr, kiss.Cl, kreos.Bs,L, LAC AC.Kr, lac v.Cl, led.L, lycps.Kr, mag c.L, mag s.Kr, med.Kr, mosch.Cl, murx.Cl, nat m.Kr, nat p.Cl, nat s.Cl, oxyg.Cl, ph ac.Kr,L, phos.L, Pic ac.Cl, plb.Kr, ran b.Bs, rat.Kr, rhus a.Cl, sacchin.L, sanic.Cl, sec.Cl, sep.Bs, sil.­Cl, squill.Bs,L, stict.Cl, sulph ac.Kr,Bs,Cl, sulph.Kr, syzyg.Cl, tarax.Kr,Cl, tarent.Kr, TER.Kr, thuj.Bs,L, tril.Kr,Cl, urea.Cl, uran nit.Kr, Vichy g.Cl

  • Diabetes – this remedy has made some cures of diabetes: Mosch.G
  • Gastro – hepatic origin – diabetes: Ars.M, ars i.M, bry.M, calc.M, cham.M, chel.M, kreos.M, lac ac.M, lept.M, lyc.M, nux v.M, phos.M, uran n.M
  • Nervous origin – diabetes: Ars.M, aur m.M, calc.M, ign.M, ph ac.M, phos.M
  • Rapid course, with – diabetes: Cur.M, morph.M
  • Emaciation – diabetes – large quantity of sugar in urine, with emaciation, thirst, restlessness and melancholia: Helon.G
  • Restlessness – night at – Diabetes in: Lac ac.Kr
  • Emaciation – diabetes in: ARG M.Kr, ars alb.Kr, phos ac.M, rat.Kr,M, tarent.Kr,M, Uran n.Kr
  • Emaciation – body of – with good appetite – diabetes in: Coloc.M
  • Emaciation – progressive – slowly – diabetes in: Cupr met.Kr
  • Family history – diabetes of: Carc.S, sacch.S, thuj.S
  • Paralysis, motor – diabetes with: cur.M, phos.M
  • Torpid – chlorosis with inactive (Diabetes): Nat m.Kr, sulph ac.Kr
  • Swelling, edema – diabetes with: Lac ac.M
  • Weakness – diabetes in: ACET AC.Kr, arg m.Kr, ars.Kr, carb ac.Kr, carc.S,M, coca.M, lac ac.Kr, nat s.Kr, op.M, ph ac.M, phos.M, sec.Kr, sulph ac.Kr
  • Weakness – morning in – diabetes in: Nat s.Kr  

Genitalia: Male:

  • Erection – troublesome– incomplete – diabetes in: Coca.C,M, mosch.C,M, Ph ac.C,M
  • Erection – wanting – impotency – diabetes in: Coca.L,S.M, cupr.S, Helon.Kr, mosch.C,L,S.M, Ph ac.L,M
  • Pain – shooting – diabetes in: Op.Kr
  • Sexual desire – diminished – diabetes in: Coca.M, cupr.Kr
  • Sexual power – loss of – cold after a – preceding diabetes: Mosch.Kr
  • Oedema of scrotum and feet – diabetes in: Arg met.G
  • Swelling of scrotum – diabetes in: Arg m.Kr  

Genitalia: Female

  • Amenorrhoea – diabetes in: Uran n.Kr
  • Eruption – severe itching of vulva, labia swollen, with humid eruption with diabetes: Sep.G
  • Menses – Disturbances of – diabetes in: Uran nit.P  

GIT:

  • Acidity – diabetes in: Uran nit.Kr
  • Appetite – ravenous, canine, excessive – with emaciation – diabetes during: Am c.C, coloc.C
  • Ascites – vehement thirst in ascites – diabetes: Acet ac.G,L
  • Atrophy of pancreas which causes diabetes: Merc.G
  • Aversion – meat – diabetes in: Tarent.Kr
  • Burning – epigstrium – diabetes in: Uran nit.Kr
  • Cold – tongue – diabetes in: Uran nit.Kr
  • Clammy – mouth – diabetes in: Uran nit.Kr
  • Constipation – diabetes in: Uran nit.Kr
  • Constipation – diabetes in – which relieves: Cupr.Kr, kali br.Kr, kali m.Kr, lac ac.Kr, lac d.Kr, mosch.Kr, op.Kr, tarent.Kr
  • Cramp like pain – epigastrium – diabetes in: Uran nit.Kr
  • Derangement of stomach – diabetes in: Nux v.Kr
  • Desire – effervescing for, liquids – diabetes in: Ph ac.Kr
  • Desire – tea – diabetes in: Uran nit.Kr
  • Diabetes – Dr.Hughes considers it best suited to cases of diabetes originating in dyspepsia or assimilative derangements: Uran n.G
  • Distension – epigastrium – diabetes in: Nat s.Kr
  • Drinking – uneasiness – stomach in – diabetes: Lac ac.Kr
  • Dry – parched and sticky – tongue – diabetes in: Lac ac.Kr
  • Dryness – mouth of – in diabetes: Cur.Kr, rat.Kr
  • Dryness – mouth of – thirst with – in diabetes: Uran nit.Kr
  • Dryness – mouth of – in diabetes – weak memory with: Kali br.G
  • Dryness – mouth – bread, could not moisten least bit of – diabetes in: Ars.Kr
  • Dryness – tongue – diabetes in: Helon.Kr, lac ac.Kr
  • Dyspepsia – acid – diabetes in: Uran nit.Kr
  • Emptiness – feeling of in stomach, sinking – diabetes in: Lac ac.Kr
  • Faintness – epigastrium – diabetes in: Uran nit.Kr
  • Gastralgia – diabetes in: Sec.Kr
  • Hemorrhoids – diabetes in: Uran nit.Kr
  • Hunger – diabetes in: Cupr.Kr
  • Hunger – diabetes, with canine hunger: Iod.G, Kali br.Kr, lac ac.Kr, rat.Kr
  • Kidney – pain – diabetes in: Phos ac.M, phos.M
  • Kidney – pain – sore – diabetes in: rat.M
  • Kidney – weak – diabetes with: Phos.M
  • Liver – enlarged – diabetes in: Nat s.Kr
  • Liver – sensitiveness – tender – diabetes in: Kali br.Kr
  • Liver – sharp pain – diabetes in: Sulph ac.M
  • Liver – stitches – diabetes in: Sulph ac.Kr
  • Oppression – epigastrium – diabetes in: Arg m.Kr
  • Nausea – diabetes in: Lac ac.Kr
  • Pale – livid – diabetes in: Rat.Kr
  • Pancreas – kidney disease of, preceding or accompanying diabetes: Phos.Kr
  • Red – bright too – tongue – diabetes in: Nat s.Kr
  • Red – too – tongue – diabetes in: Kali br.Kr, uran n.Kr
  • Retching – eating after – diabetes in : Lac ac.Kr
  • Sensitive – tender tongue – diabetes in: Kali br.Kr
  • Sensitive touch to – epigastrium – diabetes in: nat s.Kr
  • Shooting – in stomach – diabetes in: Cur.Kr
  • Stool – chalky – diabetes in: Podo.Kr
  • Stool – dry – diabetes in: Cupr.Kr, uran nit.Kr
  • Stool – gray – diabetes in: Nat s.Kr
  • Stool – light in colour – diabetes in: Uran nit.Kr
  • Stool – odourless – in relieved diabetes: Uran nit.Kr
  • Thirst – constant – diabetes in: Uran nit.Kr
  • Thirst – excessive – diabetes in: ACET AC.Kr, Ars alb.Kr, Coloc.Kr, cupr m.Kr, cur.Kr, lac ac.Kr, lyc.Kr, ph ac.Kr, phos.Kr, pic ac.Kr, rat.Kr, ter.Kr, uran nit.Kr
  • Thirst – excessive – evening and night – diabetes in: cur.Kr
  • Thirst – excessive – fever with – diabetes in: Sec.Kr
  • Thirst – excessive – coldest water, nothing but, would satisfy – diabetes in: Lycop.Kr
  • Vomiting – bile of – diabetes in: Op.Kr
  • Vomiting – mucous of – diabetes in: Op.Kr
  • White – tongue – diabetes in: Helon.Kr, uran n.Kr
  • Water brash – eating after – diabetes in: Lac ac.Kr  

Head:

  • Brain – depression, cerebral (chlorosis) – diabetes in: Cupr m.Kr  

Mind:

  • Anxiety – Diabetes in: Nat s.Kr, phos.M
  • Anxiety – Diabetes in – makes diabetes worse: Cod.Kr,M
  • Delusion – someone else; doing, by his side does all he is – diabetes in: Ars.Kr
  • Dullness, sluggishness, difficulty in thinking and comprehending – in diabetes: Acet ac.C,Helon.Kr, nat s.C, op.Kr,C,S,M­, phos ac.M, phos.M, sulph ac.Kr,C,S
  • Fear – Diabetes in: Cod.C,S, Nat s.Kr,C
  • Gloomy – diabetes in: Helon.Kr
  • Laziness – diabetes in: Lac ac.Kr
  • Irritability – diabetes in: Helon.Kr, lycop.M, nux v.C
  • Melancholy – diabetes in: Helon.K
  • Memory – weakness – diabetes in: Op.Kr,C
  • Memory – impaired with – dryness of mouth – diabetes in: Kali br.G
  • Prostration of mind, mental exhaustion, brain fag – diabetes in: Nat s.Kr
  • Sadness – diabetes in: Helon.C,S, Nat s.Kr, op.Kr,C,S
  • Shock – causes – diabetes: Op.Kr
  • Temper – irritable – diabetes in: Nux v.Kr
  • Thoughts – difficult – diabetes in: Nat s.Kr  

Perspiration:

  • Diabetes – Peculiar sweet smell about the patient as if in diabetes: Pyrog.W  

Respiration:

  • Chest complaint – lungs of – accompanied by diabetes: Calc p.S
  • Dyspnoea – diabetes in: Arg m.Kr, nat s.S  

Skin:

  • Blackness of external parts – diabetes in: Ars.S,M, con.S,M, kreos.M, lach.S,M, sec.S,M, solid.S,M
  • Clammy – diabetes in: Uran nit.M
  • Coldness – diabetes in: Sulph ac.Kr
  • Dry skin – diabetes in: kali br.Kr, lac ac.Kr, sulph ac.Kr, uran nit.Kr
  • Eruption – Petechiae – diabetes in: Sec.Kr
  • Eruption – miliary – diabetes in: Tarent.Kr
  • Flabby – relaxed – Skin – diabetes in: Nat s.Kr
  • Gangrene – diabetes in: Carb ac.S,M, con.S,M, lach.S,M, sec.Kr,M, solid.S,M
  • Gangrenous inflammation – diabetes in: nat pyru.S, sec.S
  • Itching – diabetes in: Mang.C,Bs,P,M, sulph ac.Kr
  • Induration – diabetes in: Uran nit.Kr
  • Rough – Harsh and dry, no sweat – Diabetes: Lac ac.Kr
  • Suppression – furuncles – diabetes in: Ph ac.Kr, sec.Kr, tarent.Kr
  • Ulcers – diabetes in: Asaf.S, syzyg.S  

Sleep:

  • Awaking – sweat – falling asleep, five minutes after, most profuse on head and upper portion of body – diabetes with parotitis: Con.Kr
  • Sleeplessness – diabetes in: Carc.M, coca.M, uran nit.Kr,S
  • Sleepiness, obstinate – diabetes in: Uran n­.G  

Teeth & Gums:

  • Bleeding –gums – diabetes in: Kali br.Kr
  • Caries, decayed, hollow – diabetes in: Sulph ac.C,P
  • Retracted – gums – diabetes in: Nat s.Kr
  • Spongy – gums – diabetes in: Kali br.Kr
  • Swelling – gums – diabetes in: Rat.Kr  

Urinary system

  • Desire – frequent to urinate – turbid, sweetish, profuse urine at night: Arg met.G
  • Dull, pressing – sensation – bladder in – diabetes in: Phos ac.Kr
  • Kidney – aching – urinating – worse before and better after: LYC.Kr
  • Kidney – dull pain – pressure on – diabetes in: Nat s.Kr
  • Kidney – pain – diabetes in: Ph ac.Kr
  • Kidney – soreness – diabetes in: Rat.Kr
  • Shooting – bladder – diabetes in: Op.Kr
  • Urine – acid – diabetes in: Nat s.Kr
  • Urine – clear – diabetes in: Ph ac.Kr
  • Urine – decreases, scanty – diabetes in: RAT.Kr
  • Urine – foaming, on being passed – diabetes in: Nat s.Kr
  • Urine – increased – copious, polyuria – diabetes in: Acet ac.M, cop.Kr, LAC AC.Kr, nat m.Kr, nat s.Kr, phos.M, podo.Kr, sec.Kr, tarax.Kr
  • Urine – increased – drunk, greater than quantity of water – diabetes in: Coloc.Kr
  • Urine – increased – frequent – diabetes in: tarax.Kr
  • Urine – increased – night – diabetes in: Arg m.Kr
  • Urine – increased – pain violent over lumbar region – diabetes in: Tarent.Kr
  • Urine – increased – paralysis of legs – diabetes with: Tarent.Kr
  • Urine – milk like (chyluria) – diabetes in: Coloc.Kr, ph ac.Kr
  • Urine – odorless – diabetes in: Camph.Kr
  • Urine – odor: sweetish  diabetes in: Arg m.Kr
  • Urine – pale – diabetes in: Camph.Kr, nat s.Kr, rat.Kr, tarax.Kr
  • Urine – Specific gravity – increased: Arn.P, cahin.P, colch.P
  • Urine – sugar loaded with: Kali br.G
  • Urine – thick – coagulates on standing: Coloc.Kr
  • Urine – turbid – diabetes in: Arg m.Kr
  • Urine – visid – diabetes in: Nat s.Kr
  • Urine – watery – diabetes in: Sec.Kr
  • Urine – whey like – Diabetes in: Arg m.Kr
  • Urination – constant desire – diabetes in: Uran nit.Kr
  • Urination – difficult – diabetes in: Op.Kr
  • Urination – frequent – diabetes in: Cop.Kr, podo.Kr
  • Urination – frequent – foamy, strong smelling dark – diabetes in: Lac ac.Kr
  • Urination – frequent – sleep during – diabetes in: Arg m.Kr
  • Urination – night – diabetes in: Cupr.Kr, nat s.Kr
  • Urination – Urge to – sleep during: Nat s.Kr

Vertigo:

  • Fainting – ears – roaring – diabetes in : Uran n.Kr   

BIBLIOGRAPHY

  1. Knerr Calvin B. – Repertory to Herring guiding symptoms – (Kn)
  2. Genry William D. – The Concordance Repertory of the characteristic symptom of material medica.(G)
  3. Lippe Constantine – Repertory to the more Characteristic symptoms of the -Materia Medica.(L)
  4. Murphy Robin – Homoeopathic Medical Repertory(M)
  5. Boger C.M. – Boenninghausen’s characteristics and Repertory (B)
  6. Boger C.M. – Synoptic Key (Bs)
  7. Schroyens Frederick – Synthesis Repertory (S)
  8. Rogar Van Zanvoort – Complete Repertory (C)
  9. Clarke J.H. – Clinical Repertory (Cl)
  10. Phatak – A concise Repertory on Homoeopathic Materia medica (P)

Rubrics of complicated diabetes:

Eye:

  • Bleeding from eyes – retinal haemorrhage:
  • Cataract:
  • Detachment of retina:
  • Paralysis –muscles of eye ball – external recti
  • Paralysis – muscles of eye ball – internal recti
  • Paralysis – muscles of eye ball – superior oblique
  • Vision – loss of vision:

Genitourinary system:

  • Kidney – Renal failure:
  • Male Genitalia – Erection – wanting:
  • Urine – albuminous:
  • Generalities:
  • Generalities – hypotension:
  • Generalities – Uremia:
  • Extremities:
  • Callosities:
  • Gangrene:
  • Numbness:
  • Pain:
  • Paralysis – wrist
  • Paralysis – foot
  • Sensitive:
  • Ulcers – lower limb:
  • Throat:
  • Paralysis – larynx:
  • Throat – Swallowing – difficult:
  • GIT:
  • Stomach – nausea:
  • Stomach – vomiting:
  • Rectum – Diarrhea:
  • Rectum – involuntary stool:
  • Rectum – Constipation

Dr Siju P V  MD (Hom) (c)Copyright
Karthika Homoeopathic Clinic,
T.B.Junction,Angamaly. P.O., Kerala
E. Mail: drsiju@hotmail.com

Single medicine rubrics – justification & uses

angerDr Jawahar Shah

Time and again every Homoeopath have been taught to consider each and every aspect of the patient before arriving at a remedy and selecting The Similimum.

We have been told to
Study Mentals, … Emotions …Gestures
Study Generals, …Concomittants
Study Past History, … Family History
And so on…..

And I also believe that this is the proper way to practice Homeopathy.
One must study all of the above and then carefully consider the remedy for prescribing.
Plus I also advocate keeping a close watch after the administration of prescribed dosage for the ensuing resultant effects on the patient and constantly compare them with the proving of the prescribed drug as per the source books. This will help us to achieve the cure as per the Herring’s law of Cure.
But as one advances in to the practice and treats a large number of the patients, one comes across the cases where there is a marked paucity of the symptoms and if ever the drug is visible the same would be very hazy and the clear cut choice seems distant.

During such times one of the most wonderful aspects of Homoeopathy is the single remedy rubrics. Many times such uniqueness found in the patient proves a real boon to the practitioners.

A patient can be successfully treated by prescribing a particular drug on the bases of a single peculiarity reveled by them.In homoeopathy all drugs have some unique and singularly peculiar symptoms that exclude all other closely comparable or related remedies.

Belladona -3 Biting Children in
Sepia -3 Rectum Lump sensation of stool not amel by
Lachesis -3 Rectum Moisture menses during
Platina -2 Religious affections, Penance desires to do, wishes to live in order to mitigate her eternal punishment in sadness
Col -3 Nausea soup Agg, odour & thoughts of
Ferrum -3 Desire tomato for raw
Ox – Ac -3 Desire strawberries

To impart further credence to this aspect I present some cases wherein  the presence of uch particular Symptom we have been prescribed to successfully cured the patient.

Case: 1  
A young girl, aged 7 years, had fever since 3 days and was unable to get any relief with the medicine. The fever would rise in the evenings and she was thirstless.
I noticed   the girl constantly asking her mother to rub   her   stomach.  I asked why and the mother told me that the rubbing seem to ameliorate the abdominal pain
Here we find that two remedies came very close
Pulsatilla and the Lycopodium considering the following symptoms
1.Fever increasing in the evening i.e. Aggravation in the evening 2.   Thirstlessness
But here I found the PQRS symptom for Lycopodium that easily ruled out the Pulsatilla i.e.:  [Kent] Stomach; pain rubbing amel. 2 Lyco
So the patient was given Lycopodium 200, 1 dose.
Next day morning, the pain had subsided, the child was  afebrile and  playing around.

Learning :
This single remedy rubric “ Stomach; pain rubbing amel – Kent ” was s very important to differentiate two close seeming remedies and this would have otherwise posed a difficult choice of the Similimum.
Also it projects that even a deep acting; chronic medicine like Lycopodium can be indicated during the acute phase. And appreciation of a single remedy rubric by giving  Lyco 200 one dose made the patient  alright in very short time within 12 hours of giving 1 dose of Lyco.

Case 2: 
A male 77 Years .A case of Bronchial asthma with corneal opacity and retinal detachment.
Asthma –
< Monsoon
< Change of weather
< Eating after
< 11.30 am
< Air conditioner
He also had dry cough +3
< Evening to night
< Cold +3 this led to wheezing.
He has to cover himself up. He feels better after taking warm drinks.
He has trouble in his vision since 1992 during this period he was operated for Cataract in both the eyes. There was a scar left in the left eye which was untreated.
There is haziness of the vision till afternoon he is better in bright sunlight and again the complaints are aggravated after 4-5 p.m.
He has undergone a laser treatment in the US but there was no marked improvement.
The nature of the patient as jovial and easy going. He mixes very easily with people.
He is not satisfied with the present situation and sometimes there are confrontations with his wife. He tries to control his anger. He said he very seldom losses his temper & till this date he has lost his temper on 2 occasions.
He is sensitive and emotional he cannot see emotional movies he gets moved and he cries. He loves classical music. He was student of literature and a production manager by profession.
On further inquiry into his past he said he had a love affair when he was 23 years of age and due to some reason their affair broke but till date he is unable to forget this and while narrating the whole event he started crying. He also requested to keep the whole thing confidential.

Personal History :
Appetite ; good Craving : bitter ++, sweets   Aversion : sour things   Thirst : +3
Perspiration : Nil  Urine : n  Stools : n   Sleep : Disturbed   Covering : Must half of the body must cover his legs.
O/E
Wt : 74 kgs.,  Mild vertical ridges on the nails. Eruptions on the face, moles, Warts
Tongue mild coated, Throat +2, B.P: 140/100 mm of Hg , R.S : Bilateral Rhonchi ++
Here we can consider Lycopodium, Ignatia, and Nat-M but there is a strong mental causative factor- suppressed for so many years and yet unforgotten, this particularity  rules out all other remedies except Nat-M.
Rubric considered is: Complete (Mind) ailments from disappointment deceptions old: 4 Nat-m
This gives us entry to our prescription ……

Case: 3             

Mrs. D.R., a 22 year old patient, weight: 52 Kg., reported with allergic colds since the last three to four months.
She has a continuous running nose with greenish watery discharge.
As soon as she gets up her nose runs continuously.
All the symptoms start immediately after she has washed her face.
She has a feverish feeling, burning in the eyes with headache.
She feels tired, lethargic and run down
When she is suffering she has to go to bed for at least six to eight hours
She also complains of irritation in the upper part of her mouth, nose and throat.
She is better by rubbing the nose and ear vigorously. Face tends to become hot.
Aggravations :
Cold climate;  Air conditioning; Fast fan        Cold drinks, Ice creams, Juice
Touching nose ; Cooking;,                                      Summer, Morning early bath
Change of temperature: nose block (2),   Mental tension (3)
Ameliorations  :
Evening,  By brushing teeth at night,                 Avoid washing of face till afternoon,
Warmth,  Love, affection and consolation,
Concomitants :         Headache
Further information :     She feels the floor is uneven and is bumpy.
Graying of hair at age 21
She has giddiness worse on standing, better lying down.
Irritation with blocked nose.   Nails breaking & cracking
Few eruptions in the face; dark ring around eyes
Acidity
Appetite: normal, avoids food if she has any work to do .
Constipation, worse from tea.
Craving: spicy -2, egg
Thirstless
Urine: Burning sometimes   Stool: semi solid
Sleepy. Ameliorated by going to sleep in afternoon.
If she doesn’t sleep she gets cold and feels unrefreshed.
Dreams: Day to Day life, does not remember
Menses  Dysmenorrhoea. First menses at the age 15 years.
Cycle:  3/25 days.       Occasional Leucorrhoea
Perspiration: summer, stains yellowish, more on underarms and legs
Desires winter   Likes fan but aggravates- 2
Bath: Hot or Tepid water    Covers only legs

Family history :  Father: high B.P ,  Grandfather: heart attack
Paternal grandmother: died of cancer   Mother: obesity and hairloss
She always craves to go to her mothers home.
If her ego is hurt, she thinks about it a lot, but is unable to confront her mother-in-law
The fact that she cannot have a child is known to her relatives.
After they had been married some time they planned to have a child. She consulted a gynecologist. She has no problems but her husband has oligospermia. This hurts her a lot.

She likes to spend money and likes to have her own cash.  At her in-laws place she has limited amount available for spending as she was given only a sum of Rs. One thousand only per month.  Earlier she used to buy one new dress every day; even now she would even buy new dress every day now if she could. She would not like to wear the same dress twice. During the consulting I must have seen her at least 30 different occasions and always she has worn a different dress.

Her friend told me that she does not wear the same dress again during two years and she would change her clothes twice during the day. She is tall, slim, beautiful and fair. Hailing from a very rich family as a child she has been pampered and brought up in a very luxurious and protected environment and always got whatever she wanted. She has two sisters and a brother. Her parents had also given her a lot of money, many dresses and lots of jewellery at the time of her marriage.

Her Mother – in – Law would who was also very egoistic often taunted her.  She was very fat till the age of eight years. OK in studies, graduated in commerce.    Reserved in nature. Takes a long time to mix with people. Only after entering college did she started to make friends.

Forgetful – 2, forgets names -2, forgets her relatives. She is very emotional, moody,. Sensitive-3 Hot tempered and outspoken Talks a lot without reason.  She becomes tense about numerous things without reason.
Husband is good. She prefers his company.  She had tried to please everybody after marriage. But she has been repeatedly hurt by her in-laws. Her mother-in-law frequently insulted her, as she didn’t knew much about cooking or house keeping.
She is better by consolation. Wants to sleep, sleepy -3
Feeling depressed and cries easily -2.  Needs company to go outdoors, even if it is nearby.
Now she is jealous as her sister-in-law is pregnant.
Upset -5 as her sister-in-law is pregnant for the second time.
Very scared of lizards, cockroaches or insects.
After they had been married some time they planned to have a child. She consulted a gynecologist. She has no problems but her husband has oligospermia. She started having negative thoughts soon after that and then she became depressed -2. She fights with her husband but she loves him too. She used to cry again and again.

Follow-up                   November 1995

As Gratiola C200, which is the desired potency, was not available, I had to give Gratiola C6. Because of this low potency, I had to repeat the dose frequently for about two months.

After one week. Better with medication.     
Stool improved. Better passing flatulence.
After one month All complains better.
After six months All symptoms ameliored. No complaints.
After two years Reappearance of the symptoms.

 Gratiola C6 repeated for two weeks.

After due treatment of the couple, She had conceived during the period and now she has accepted her in-laws better.  She is able to cope with family problems, and can express her feelings clearly. She can now adapt a positive approach and take right decisions. She does not allow anybody to suppress her anymore. Her sleep has improved and she started cooking. Her resistance has improved to a greater extent.      

Case: 4
I saw a patient, when I was lecturing in a European country.
A young boy of 7/8 yrs. was suffering from a progressive muscular disease- and he was losing muscle strength. He could not walk. He was not able to do most of the routine activities. He had to be assisted for everything.
His parents had many brothers and sisters but he was their only son, the only male child in the entire family and their only hope of life.
The doctors could not do anything. The case was taken in detail.
The short description is as follows:
The patient can just do basic activities with the help of someone.
He cannot walk but whenever he tries to walk, he literally runs.
He falls on attempting walk backwards.
There was a marked salivation +3 and drooling he had to be cleaned frequently.
Two remedies were coming very close. 1) Mercurius 2) Manganum

Rubric and reference to the Materia Medica 
Extremities : Fall, liability, walking backward
Dictionary of practical Materia Medica:
Paralysis with inclination to run forward if he tried to walk. (Clarke J.H.)
Finally, I re-interviewed the patient and the patient was given
1 dose of Manganum (200).
Later the patient was given a few more doses during treatment.

Reasons:
Both remedies have been indicated for progressive degenerative diseases.
Both remedies have syphilitic expressions.
Merc. has more salivation But Manganum has two clear symptoms like
1) Cannot walk – any attempt to walk, makes him run.
Refer allen’s encyclopedia  and  Clarke’s dictionary.
2)  On attempting to walk backward patient falls.
Complete Repertory- Mind “Fall liability to walking backward”

Result:
Substantial improvement in patient’s condition.
He  could correlate better,  he had a better gait.
He could understand better.
There progress of the disease had halted and showed clear indications of regression.

Learning 

1] Differentiating closely related remedies by using peculiar symptoms.
2] Using single remedy rubrics to differentiate  Merc. And Manganum
3] How a progressive pathology can be asserted.

Case: 5
Mrs.P.J., aged  73  yrs,  diagnosed  as  a  case   of  cardiac  Ventricular-valvular regurgitation  came with a complaint of  severe breathlessness on slightest exertion.
She could not walk even two feet to go the toilet. She would get exhausted. She was breathless even at rest and even unable to lie down. Since 28th Nov., she was in the sitting position because as soon as she lied down, she would get cough and breathlessness again.
Cough, with thick, whitish, yellow expectoration. Restlessness of  the body. Chill running through the body with severe palpitations.
The trouble started when she had chilled water  for many days. She would have cold water with a number of ice cubes in it.
Pronounced weakness. She felt very hot with desire to uncover. She   wanted sips of water frequently. The important concomitant was that she had frequent nausea  and vomiting  with frequent yet ineffectual desire to pass stool. She would retch loudly with  strong nausea and desire to vomit.

She has a lot of fixed ideas.
If she did not want to eat a particular thing, she would pretend nausea.
Repeatedly, she would request her daughter-in-law that she wanted to go away from the house.
She would say, “Get me out of the house, Put me in a hospital  and never bring me back again or take me to the rail tracks and leave  me there,  so that I can die  peacefully. ”
There was constant inclination to go somewhere and at the same  time,  she had a desire for somebody to be near her all the time.  She  would call her daughter-in-law and not allow her to get up  from her bedside. The only thing she can eat is sweet lime. On being coaxed to eat, she would develop epigastric pain, palpitations and giddiness.
Weakness +3.  Feeling as of a hole in the stomach.Bad taste in the mouth. Anger +5. Contradiction, intolerance of ++. Anger expresses her own self. Will not eat for 3/4 days. Used to beat children +5.  Weeping +3. Everybody must obey her order immediately. Everybody must hurry.  Slightest delay would make her angry, Irritable and disturb her for a long time.

Learning
1] Prescription was based on a strong mental concomitant with a major physical illness.
2] Rubric Kent “Mind ; Home, desire to leave home.”
“Throw me out of the house” – at any cost and put me on rail track was interpreted as desire to run away “DESIRE TO LEAVE HOME”
Elaterium was based on this symptom-strong mental concomitant to physical complaint.
3] Finally disease got exteriorized on the skin.
4] Once it expressed on the skin the repetition of medicine has to be stopped. Any further repetition can produce aggravation.
5] Totally immobile patient became mobile in short span of 5 months.

Case 6 
A Muslim patient, reported with severe breathlessness. He was brought on a stretcher. He was feeling hot, was aggravated by cold things and had marked perspiration. He would feel better after having warm drinks.
He could not even talk. (Whatever could be collected of the history suggested Ars. Iod.The patient was given Ars.Iod (6) every 2 hours. After a few days of treatment there was only partial relief.
Once his friend came along he told me that the patient had to stand for the entire night!  He has been doing so for a number of years! The patient would stand holding the bar of a window grill or he would support himself with his hands on his knees for the entire night.

Note:
The importance of history given by a friend or a relative.
The patient was given 2 pills of Cannabis Sativa (6) every 2 hours and  the patient started improving.  The improvement was substantial followed by suppressed discharge coming out and  the asthma got relieved.
Reason :  Asthma better by hands supported on knees.
Result   :   Release of suppression and cure of asthma.

Learning 
1] Importance of receiving history from a friend or relative to complete a case for eg. Asthma better standing history was given by a friend we would have never found the Similimum.
2] Importance of single remedy rubrics in practice.
3] Managing the old symptoms recurrence following Hering’s law of Cure.
4] Appreciating the advance pathology & using low potency repeatedly to produce desired results. The symptoms were matching at the physical level lower potency is appreciated.
The mental symptoms were not available one could not give medium or high potency.
5] Managing suppressed discharge and managing the past history of Gonorrhoea & keeping it away from wife’s awareness is a problem so as to avoid social complications.
Patient never wanted his wife to know that he had suffered from Gonorrhoea.
The usefulness of Single Remedy rubrics in Homoeopathic treatment :
1] Confirmation of a prescription.
2] Differentiating the drug from the closely related remedies in order to arrive at the prescription.
3] To know such PQRS symptoms of the remedy and gainfully utilize this uniqueness for  an otherwise difficult choice for the cure
4] To store these symptoms separately found during proving and or during the Clinical verification.
5] To base a prescription on a keynote.
6] Use this to open a case on the base of single remedy and then corroborate the  choice with the ensuing effects on the patients as per the proving of the drug.
7] Find a partial palliative effects esp. in a pathologically advanced cases.
8] When a strong peculiar symptom rules out all generals.
9] When there is a strong mental concomitant to physical complaint or there is a strong
physical concomitant to a mental complaint.

When not to use single Remedy Symptoms for prescription :
1] Case is clear and complete evolution is available.
2] When case is clear and definite totality for the Similimum is available.
3] When vitality is high, and clear expressions are available.
4] When pathology is not very advanced.
5] When peculiar symptom is in low intensity or it has not been verified or confirmed  clinically

Therapeutic index of E B Nash

Dr Sayeed Ahmad

Abortion: Vib., Acon., Sab.
Abscesses: Merc., Tarant-c., Calc-hyp., Hepar., Graph.
Albuminuria: Tereb., Merc-cor., Helon., Canth.
Anaemia: Carb Veg., Lach., Kali-carb., Hell., Ferr-m., Nat-m., Alum., Ammon-carb., Kali Brom., Phos.
Aphthae: Sul Ac., Merc., Borax.
Apoplexy: Op., Bar-c., Arn., Glon.

Asthenopia: Nat-m.
Asthma: Carb-veg., Lach., Kali-carb., Kali-bi., Zinc., Ip., Ant-t., Sulph., Ferr., Nat-sul., Dulc., Samb., Squil., Aralia.
Backache: Nux-v., Rhus-t., Kali-carb., Zinc., Ip., Dulc.
Blepharitis: Arg-n., Staph., Borax.
Boils: Sulph., Lach., Tarant-c., Arn.
Bright’s Disease: Merc-cor., Sulph., Colch.
Bronchitis: Carb-veg., Acon., Kali-bi., Canth., Phos., Ant-t., Sang., Verat-a., Hepar., Hydr., Camph., Eup Perf., Spong., Copaiva, All.
Burns: Canth.

Cancer: Bell., Lach., Con., Phos., Sep., Iod., Bism., Kreos., Lapis., Carb-an.
Caries: Therid., Aur Met., Syph., Asaf., Phos.
Catarrh: Kali-bi., Aur Met., Natr-carb., Dulc., Kali-sul., Stict., Merc Dulc., All., Hepar., Sep.
Chancre: Merc-pr., Coral.
Chilblains: Puls., Apis., Agar., Petr., Agar.
Chlorosis: Alum.
Cholera: Sec., Verat-a., Cupr., Camph., Tarant-h., Myag., Agar., Ign., Caust.
Cholera Infantum: Puls., Calc., Sep., Sec., Ant-t., Iris., Psor., Arg-n., Podo., Nat-m., Bism., Kreos., Camph., Aeth., Jalap.
Cholera Morbus: Ant-t., Cupr.
Colic: Puls., Cocc-i., Plb., Mag-phos., Dulc., Melil., Carb-veg., Card-m., Diosc., Coloc., Lyc., Cham.
Congestion: Ferr Phos., Sulph., Phos., Sep., Verat-v., Bell., Acon.
Constipation: Nux-v., Bry., Ant-c., Sil., Lach., Plat., Phos., Sep., Caust., Graph., Plb., Podo., Aloe., Nat-m., Mag-mur., Alum., Hydr., Thuja., Ammon Mur., Collin., Ptel.
Convulsions or Spasms: Nux-v., Calc., Sil., Bell., Stram., Ign., Actea., Gels., Verat-v., Cupr., Cicuta., Caust., Arg-n., Mag-mur., Cina., Aeth., Glon., Melil., Mosch.
Corns: Ant-c.
Cough: Ant-c., Calc, Ars., Hyos., Lach., Kali-carb., Kali-bi., Kali-hyd.,Cham., Coff., Ign., Stann., Sang., Caust., Psor., Ferr., Chel., Nat-sul., Stict., Rumx., Caps., Ambra., Squil., Laur., Mang., Bad., Phel
Coryza – (See Catarrh): Ars., All., Euphr.
Croup: Acon., Kali-bi., Phos., Hepar., Iod., Caps., Kali-sul., Spong.
Curvature: Calc.
Cyanosis: Laur., Ant-t., Dig.
Cystitis: Caust., Chin., Equist., Dulc.

Deafness: Kali Mur., Phos., Caust., Arn., Merc-d.
Debility: Chin., Ars., Phos., Sul Ac., Pic-ac., Carb-an., Gels., Caust., Psor., Ferr., Nat-m.
Dentition: Calc., Cham., Zinc., Podo.
Diarrhoea: Bry., Ant-c., Chin., Sulph., Calc., Calc Phos., Ars., Kali-bi., Cham., Ip., Iris., Pho-ac., Mur-ac., Nit-ac., Gels., Hepar., Graph., Arg-n., Ferr., Chel., Aur., Benz-ac., Podo., Aloe., Crot-t., Nat-sul., Mag-c., Nux-m., Dulc., Bism., Rumx., Coloc., Petr., Pyrog., Jalap., Rheum., Gamb., Grat., Olean., Ptel., Zing.
Diphtheria: Merc-cy., Lyc., Lach., Naja., Crot-h., Kali-bi., Ign., Brom., Arn., Phyt., Melil.
Dropsy: Chin., Kali-carb., Kali-bi., Apis., Dig., Hell., Hepar., Tereb., Benz-ac., Cann-s., Conv., Apocy.
Dysentery: Nux-v., Merc., Rhus-t., Kali-bi., Canth., Phos., Nit-ac., Ferr Phos., Aloe., Coloc., Petr., Staph., Colch., Caps.
Dysmenorrhoea: Coff., Cocc-i., Vib., Caul., Cupr., Mag-phos., Brom.
Dyspepsia: Carb-veg., Kali-bi., Hepar., Arg-n., Anac., Puls., Bry., Ant-c., Arn., Colch.

Eczema: Calc., Ars., Rhus-t., Cicuta., Caust., Graph., Psor., Crot-t., Nat-m., Petr., Staph., Ran-b., Vio-od., Carb-ac.
Emissions: Selen., Pho-ac., Cina.
Emphysema: Ip.
Enuresis: Sep., Thuj., Kreos., Sulph., Cina.
Epilepsy: Hyos., Lach., Cupr., Caust., Amyl.
Epistaxis: Erig., Cact., Arn., Ammon-c., Glon., Melil., Crot-h.
Erysipelas: Rhus-t., Lach., Apis., Canth., Graph., Ammon-c.,Verat-v., Bell.
Exostosis: Merc.

Felon: Sulph., Apis., Tarant-c.
Fever, Gastric: Ant-c., Rhus-t.
Fever, Intermittent: Chin., Ars., Rhus-t., Apis., Cimx., Ip., Ant-t., Verat-a., Ferr., Podo., Nat-m., Eup Perf., Meny., Ced., Ign. Ph Ac.
Fever, Inflammatory: Nux-v., Merc., Acon., Bell., Ferr Phos., Verat-v.
Fever, Puerperal: Ign., Glon., Kali-carb.
Fever, Typhoid: Carb Veg., Rhus-t., Hyos., Lach., Crot-h., Apis., Zinc., Selen., Ph Ac., Mur Ac., Gels., Bapt., Verat-a., Psor., Lept., Tereb., Ip., Nux-m., Alum., Arum-t., Ham., Pyrog., Melil.
Fever, Yellow: Carb-veg., Crot-h.
Fibroid: Phos.
Fissure Ani: Graph., Nit-ac., Nat-m.
Fungus: Lach., Phos.

Gall Stone: Chel., Card.
Gangrene: Sec., Ars., Lach.
Gastralgia: Ars., Cham., Ign., Stann., Iris., Arg-n., Bism., Kreos., Nux-v.
Gastric Ulcer: Ant-c., Arg-n., Kali-bi.
Goitre: Iod., Spong., Lapis.
Gonorrhoea: Puls., Merc-cor., Sabin., Cinn., Sars., Nat-sul., Nat-m., Rhod., Thuj., Caps., Med., Clem., Copaiva, Cub., Petros.
Glandular Troubles: Merc., Kali-hyd., Con., Bar-c., Iod., Dulc., Phyt., Calc-fl., Brom.
Gravel: Sars., Lyc.

Hayfever: Lach., Sticta.
Headache: Nux-v., Bry., Ant-c., Calc Phos., Sil., Bell., Lach., Kali-bi., Coff., Ign., Cocc-i., Sep., Spig., Ip., Iris., Sang., Ph Ac., Gels., Arg-n., Benz-ac., Sars., Nat-m., Natr-carb., Mag-mur., Arn., Petr., Thuj., Glon., Melil., Epig.,Cycl.
Haemorrhages: Puls., Ant-c., Chin., Carg Veg., Lach., Crot-h., Phos., Sec., Caul., Millif., Cact., Ip., Nit-ac., Sul Ac., Ferr Phos., Ferr., Tereb., Iod., Alumn., Kreos., Arn., Ham., Croc.
Haemorrhoids: Nux-v., Ars., Sulph., Lach., Apis., Ign., Aesc., Millif., Mur Ac., Nit-ac., Caust., Ham., Collin., Melil., Gamb., Aloe.
Hernia: Lyc.
Herpes Cir.: Nat-m., Sep.
Herpes Zost: Rhus-t., Mez.
Hoarseness: Carb Veg., Phos., Spong., Caust., Arum-t.
Hydrocephalus: Apis., Arg-n., Ip.
Hypochondriasis: Nux-v., Arg-n., Chel., Nat-m., Staph.
Hysteria: Plat., Nux-m., Ign., Puls., Tarant-h., Croc., Asaf., Cimic., Mag-mur., Stict., Mosch.

Impotence: Lyc., Phos.
Influenza: Caust., Eup Perf., Rhus-t., Gels.
Injuries: Ruta., Led., Rhus-t., Calc Phos., Arn., Hyper.
Insanity: Kali-br., Hyos., Plat., Verat-a., Verat-v.
Itch: Sep., Sulph., Psor.

Jaundice: Acon., Crot-h., Dig., Plb., Chel., Aur., Card., Dolich., Chin.
Kidney Trouble: Phos., Berb., Benz-ac., Tereb.

La Grippe: Gels., Eup Perf., Caust., Rhus-t.
Labor Pains: Nux-v., Cham., Puls., Caul.
Laryngitis: Apis., Canth., Caust., Hepar., Spong.
Leucorrhoea: Puls., Merc., Chin., Kali-bi., Aesc., Stann., Sab., Iod., Kreos., Alum., Hydr., Borax., Asaf., Sep.
Liver: Merc., Chin., Lyc., Phos., Chel., Aur-m-n., Podo., Nat-sul., Nat-m., Mag-mur., Card., Ptel.
Locomotor Ataxia: Sil., Lach., Con., Phos., Psor., Caust., Arg-n., Alum.
Lumbago: Rhus-t., Dulc., Calc., Flu-ac.

Mania: Melil.
Marasmus: Calc., Calc Phos., Hepar., Sars., Bar-c., Iod., Nat-m.
Mastitis: Bry., Apis., Crot-t., Lac-c., Phyt.
Masturbation: Ph-ac.
Measles: Puls., Bry., Lach., Apis., Stict., Euphr., Bell., Coff.
Meningitis: Bry., Lyc., Apis., Hell., Cupr., Arn., Cicuta., Ammon-c.
Menorrhagia: Nux-v., Puls., Sec., Actea., Carb-an., Sab., Borax., Ustil.
Menses Suppressed: Puls., Ant-c., Calc., Bry., Acon.
Metrorrhagia: Stram., Cham., Sec., Caul., Sab., Plb., Ip.
Mumps: Puls.
Myelitis: Rhus-t.
Neuralgia: Cham., Coff., Stann., Actea., Spig., Kalm., Gels., Caust., Chel., Sars., Mag-phos., Coloc., Mez.
Night Sweats: Calc., Chin., Merc.
Nymphomania: Plat., Murex.

Obesity: Calc., Graph., Caps.
Oedema: Kali-hyd., Canth., Cact., Apis.
Opthalmia: Con., Arg-n., Euphr.
Orchitis: Rhod., Ham., Clem., Puls., Cham.
Otalgia: Cham., Puls.
Otorrhoea: Tell., Hepar., Psor.
Ovaries: Lach., Apis., Canth., Tarant-h., Podo., Ustil.

Paralysis: Chin., Stram., Lach., Cham., Ign., Cocc-i., Plb., Nat-m., Op., Phos., Sec., Gels., Caust., Arg-n.
Pericarditis: Bry., Spong.
Peritonitis: Bry., Merc., Rhus-t., Canth., Sulph.
Pharyngitis: Kali-carb., Aesc., Nat-m., Phyt.
Phthisis: Calc., Kali-carb., Kali-hyd., Therid., Phos., Iod., Brom., Sticta., Spong., Tub., Puls., Stann.
Pleuritis: Bry., Merc., Acon., Kali-carb., Phos., Borax., Kali-hyd., Squil., Sulph.
Pneumonia: Merc., Carb-veg., Lyc., Acon., Ars., Rhus-t., Hyos., Lach., Kali-carb., Kali-hyd., Phos., Ip., Ant-t., Sang., Verat-a., Chel., Nat-sul., Op., Camph., Melil.
Polypus: Calc., Thuj., Mar-v.
Prolapsus Ani : Ign., Mur Ac., Podo., Ruta.
P.Uteri: Murex., Benz-ac., Podo., Aloe., Puls., Thuj., Staph.
Prostatic Disease: Benz-ac., Staph., Chin.
Pruritus: Sep., Chim., Tarant-h.
Psora: Bry., Sulph., Psor., Caust., Graph.

Purpura: Lach., Phos., Tereb., Glon.

Rachitis: Calc., Therid.
Rheumatism: Puls., Nux-v., Bry., Ant-c., Merc., Chin., Sulph., Calc-phos., Acon., Rhus-t., Kali-bi., Cham., Actea., Cact., Kalm., Sang., Verat-a., Caust., Hepar., Berb., Benz-ac., Mag-phos., Dulc., Led., Lac-c., Kali-sul., Sticta., Ham., Colch., Med., Phyt., Lith., Lact-ac.
Scarlatina: Bell., Rhus-t., Hyos., Lach., Apis., Zinc., Cupr., Tereb., Arum-t., Ammon-c., Phyt., Tell.

Sciatica: Puls., Lyc., Iris., Ammon Mur., Phyt., Valer., Gnaph.
Scrofula: Sulph., Kali-hyd.
Stomatitis: Merc., Nit-ac., Sul Ac., Hepar., Abies-n.
Strangury: Tereb., Canth.
Sunstroke: Glon., Melil., Lach.
Sweat: Chin., Merc.
Sycosis: Nit-ac., Thuj.
Syphilis: Kali-hyd., Aur., Sars., Merc., Nit-ac.

Throat, Sore: Nux-v., Merc., Merc-cy., Sulh., Apis., Aesc.
Tonsilitis: Lyc., Bell., Lach., Kali Mur., Ign., Psor., Benz-ac., Bar-c., Lac-c., Alum., Arum-t., Phyt., Still.
Toothache: Puls., Ant-t., Cham., Coff., Mag-c., Chin., Mez.
Typhoid (See Fevers): Lyc., Ars., Lach., Phos.
Tumors: Lach., Con., Lapis.

Ulcers: Puls., Ars., Lach., Kali-bi., Calc Hy., Arg-n., Hydr., Asaf.
Urticaria: Apis., Nat-m., Rumx., Hepar.

Variola: Rhus-t., Lach.
Vertigo: Nux-v., Puls., Bry., Sil., Lach., Therid., Phos., Dig., Arg-n., Natr-c., Cocc-i., Con.
Vomiting: Ip., Ant-t., Iris., Sang., Chel., Bism., Aeth., Apomorph., Lobel., Robin., Natr-phos., Verat-v., Verat-a.

Warts: Caust., Nat-m., Thuja.
Wens: Graph.
Whooping Cough: Carb Veg., Cocc., Ip., Ant-t., Cupr., Mag-phos., Cina., Coral., Cocc-c., Squil.
Worms: Cina., Bell., Cicuta., Mar-v.

Note: When names of diseases are mentioned it is always to be understood that the name counts for nothing unless the symptoms are covered with the remedy. If there were no names there would be no routinism, which so often stands in the place of good prescribing.E. B. NASH.

About author :
Dr. Sayeed Ahmad is a renowned and successful Homœopath for more than 25 years.

Dr. Sayeed Ahmad’s books are available (in English) all over India and in U. S. A., England, Germany, Holland and other English speaking countries.He has widely traveled to Germany, Switzerland, England, Belgium, Greece, Italy, Egypt, Turkey, Kuwait, Saudi Arabia, Dubai, Abu Dhabi, Sharjah, Ajman, Bahrain, etc

The names of his books are as follows :

  1. Diseases of the Mind. 
  2. Obesity and Health.
  3. Allergy and its cure in Homœopathy.
  4. Modalities of Homœopathic Medicines.
  5. Angina Pectoris and its cure in Homœopathy.
  6. Weakness and its cure in Homœopathy.
  7. Homœopathy and Adverse Reactions of Allopathic Drugs.
  8. Homœopathic Management of Male Sexual Disorders.
  9. Homœopathic Management of Hypertension (High Blood Pressure).
  10. Sterility in Female and Male.
  11. Bone Diseases.
  12. Epilepsy.
  13. Hæmorrhage (Bleeding).

Important Rubrics In Kent’s Repertory

Kent2Dr Sanchoo Balachandran

Mind

  1. Scolds until the lips are turned blue and eyes starring and she falls down fainting = Abusive
  2. Anxiety on waking from fright full dreams = Mind– anxiety.
  3. Anxiety during convulsions = Anxiety- fits
  4. Must lie down with anguish =Anxiety — lying down
  5. Anxiety on hearing rushing water= Anxiety- noise rushing water.
  6. Anxiety made him to walk rapidly=Anxiety –walking rapidly – rushes him
  7. Disposed to find fault= Censorious critical
  8. Avoids the sight of people = Company aversion to
  9. Crazy feeling on top the head, wild feeling in head, with confusion of ideas. = Concentration
  10. Losses his way in well-known street = Confusion.
  11. Wraps up in fur during summer= Delirium , Roving , Fur.
  12. Imagines others will observe her =Delusions – confusion.
  13. Inaccurate judgment of the distance =Distance.
  14. Under stands questions only after repetitions = Dullness.
  15. Stammers when talking to strangers.- Excitement.
  16. Swallows continues while talking = Excitement.
  17. Child cannot bear to have anyone come to them = Fear approach
  18. Behind him that some one is = Fear.
  19. Confusion that people is observing her= Fear.
  20. Likes cow dung, mud , saliva = Feaceses.
  21. Feeling of isolation = Forsaken.
  22. Grasp genital during spasms = Gestures.
  23. Picks at bed clothes = Gestures.
  24. Unmoved by apologies = Hatred.
  25. Desire to do several thing at a time = Hurry.
  26. Stab his flesh with a knife which he holds = Impulsive.
  27. Do not complain = Indifference.
  28. Complain nothing unless questioned = Indifference.
  29. Must exert self control to prevent shooting himself = Injure.
  30. She will sit and break pins = Insanity.
  31. Dresses in her best clothes = Insanity.
  32. Insist upon saying his prayers at the tail of his horse = Insanity.
  33. Makes useless purchases = Insanity.
  34. Passes his feaces on floor = Insanity.
  35. Crackling of news paper drives him to despair.= Irritability- noise
  36. Takes every thing in bad part = Irritability.
  37. Must restrain herself from self injuring= Loathing of life.
  38. Changing quickly from one subject to another = Loquacity.
  39. Objection to what ever was proposed = Obstinate
  40. Never focus on one matter = Persist in nothing.
  41. Does not recognize the relatives = Rage.
  42. Tries to kill people = Rage.
  43. Pulls hair of bystanders = Rage
  44. Pulls his own hair = Pulls.
  45. Horror of opposite sex = Religious.
  46. Scratches the lime of the wall = Scratches.
  47. Exposes the person = Shameless.
  48. Brain cry = Shirking.
  49. Knocking his head against the wall= Striking.
  50. Rouse with difficulty = Stupefaction.
  51. Thins that the people are talking about her.= Suspicious
  52. Answers correctly when spoken to but delirium and unconsciousness return at once = Unconsciousness
  53. Related rubrics which are other wise not mentioned ( Just to highlight that you can have many more cross reference)
  54. Anticipation=Anxiety –anticipatory an engagement
  55. Anxiety –hypochondria = Sadness
  56. Anxiety—storm during = Fear –storm = Generalities—storm
  57. Company –aversion to strangers =Stranger <
  58. Courageous = Audacity
  59. Delirium well= Irritability= Refuses things asked for.
  60. Abandoned = Forsaken = Delusions – deserted.
  61. Thinks that he is deaf, dump, = Delusions –disease.
  62. Anxiety –salvation = Despair –religion = Doubtful soles welfare of
  63. Desire to be alone = Spoken wants to be let alone
  64. Torpor = Dullness.
  65. Wicked = Moral feeling want of.

Vertigo

  1. Sensation as if high wall would fall on him= fall
  2. Vertigo as if sinking down to and fro in the bed = lying
  3. Vertigo > by thinking some thing else = meditating.
  4. Sensation as if there was a barrier between his organs of sense and external objects =stupefaction or suspension of sense.
  5. Vertigo with fainting = syncope with.
  6. Vertigo as if walls of her house fall on her = fall
  7. Vertigo from loss of sleep = watching and loss of sleep.
  8. Corrections
  9. Left, swaying towards and right swaying towards, two rubrics of same type but with opposite charter is given separately but it will of better if they are given under a common rubric — SWAYING

Head

  1. Brain where an ant hill as.if = Alive 
  2. Difficulty in keeping the head erect = Balancing
  3. Sensation as if blood where streamed from below upwards, or with in out wards. = Congestion
  4. Sensation as if head would burst = Fullness
  5. Weakness of head = Hold up the head.
  6. Frontal sinus from chronic coryza = Pain, forehead
  7. Brain feels too far from the skull= Smaller
  8. When to weak to move the body, will roll head from side to side = Restlessness
  9. Sensation as if head is raising from stomach = Stomach.

Eye

  1. Sensation as if some thing is hanging over eyes and must wipe away =Eyes— discharge 
  2. Sensation as if sand in the eyes = Eyes -–pain;– pain –burning
  3. Exophthalmoses = Eyes –protrusion
  4. Sensation as if cold air blew= Eyes –coldness
  5. Jaundice = Eyes – yellowness
  6. Color blindness = Vision –color-blindness
  7. Raises the foot unseemly over small objects while walking =Vision –large
  8. Sidewise can only see objects when looking at them =Vision –dim
  9. General < on exerting vision = Vision—exertion
  10. Vanishing of sight = Vision –loss off.
  11. Day light < but desires lamp light = Eyes – photophobia
  12. Pain asif eyes forehead and face concentrate in the tip of the nose = Eye –pain contractive.
  13. Foreign bodies in the eye =Eye –inflammation.

Ear

  1. Rupture ear drum = Ear– ulceration tympanum 
  2. Sounds seems confused = Hearing –impaired
  3. Direction sound cannot tell = Hearing –impaired.
  4. All sounds sees far of = Hearing -–impaired – distance
  5. Deafness to human voice = Hearing — impaired-voice the human.

Face

  1. Rodent ulcer = Cancer- noli me tangier on nose 
  2. Cyanosis during asthma or with heart troubles= discoloration bluish
  3. Redness of right side of the face with out heat and paleness of left side with heat = Discoloration– red
  4. Upper lips drawn up exposing teeth = Drawn upper lips
  5. Comedones = Eruption comedones
  6. Butterfly rash = Saddle across the nose
  7. Face varnished as if = Tension
  8. White of an egg dried as if = Tension

Nose

  1. Fan like motion of ale nasi= motion 
  2. Mucus membrane destroyed = membrane
  3. Sensation as if she had two nose = double
  4. Compelled to blow nose but no discharge = dryness –blowing nose.
  5. Sudden copious discharges from eyes, nose, and mouth. = Nose discharge –watery.
  6. Honey like discharge from nose = discharge yellow
  7. Yellow saddle = discoloration yellow saddle.
  8. Food goes to posterior nose on swallowing = food
  9. Liquids comes out through nose on swallowing = liquids, as well as in chapter throat – liquids.
  10. Electric spark sensation in the nose = pain electric sparks
  11. Rawness coryza during = pain rawness
  12. Every thing smells too strong = smell acute
  13. Sensitive to odor of cooking food, flowers etc = smell acute– sensitive to
  14. Smell of gas causes vertigo = smell acute — gas causing vertigo
  15. Smell contains rubrics related to the conditions that is, acute, diminished or lost. Where as the rubric odor contain rubrics related to illusions and different types of odor.

Mouth

  1. Hot tea seems cold = Coldness sensation of, 
  2. Tongue look like burnt tongue = Discoloration, leather; Leather
  3. Cylindrical tongue = Contracture spasmodic
  4. Sand as if from = Dryness sand in it, as if.
  5. Food escapes from the mouth during chewing = Food
  6. Protrudes the tongue in order to cool it = Pain, burning tongue, protrudes.
  7. Fish bone, tongue in root sensation of = Pain fish bone.

Stomach

  • Water brash = Eructation, water brash 
  • Nausea, severe = Deadly nausea
  • Vomiting of postnasal discharge = Vomiting ,drawing catarrhal plugs from posterior nares
  • Itching with nausea, must scratch until he vomits = Vomiting itching

Abdomen

  1. Sensation as if diarrhea would come = Diarrhea 
  2. Accumulation of fat = Fat

Respiration

  1. Dyspnoea due to diseased condition of distant parts = Difficult –diseased condition 
  2. Pulmonary edema = Difficult edema pulmonary
  3. Cannot breath due to pain = Impeded
  4. Chenye stroke breathing = Irregular.
  5. Sawing respiration = Rough, sawing

Chest

  1. Sensation as if hot water poured into the lungs =Heat-water. 
  2. Sensation as if hot water poured into the abdomen from the chest = Heat – water.
  3. Sensation as if boiling water was poured into the chest = Water.

Extremities

  1. Drops things from hand = Awkwardness –hand 
  2. Knocks against things = Awkwardness—lower limbs
  3. Stumbling while walking = Awkwardness—lower limbs
  4. Clubbing = Knobby finger ends
  5. Offensive smell of the feet with out perspiration = Odor
  6. Right sided paralysis = Paralysis –Hemiplegia
  7. Rat feels running up the legs = Rat.
  8. Nephrotic syndrome related to this particular chapter = Swelling albuminuria, in.

Sleep

  1. Dreams of that he was accused wrongfully of crime = Dreams –crime. 
  2. Dreams of Sick people = Dreams –Disease
  3. Dreams of, being smeared with human excrement/about dirty linen =
  4. Dreams –disgusting
  5. Dreams stabbed his antagonist with a knife.= Dreams Knives
  6. Dreams that he is unable to find his way home = Dreams unsuccessful
  7. Dreams that the child is bathing in boiling water = Dreams water.

Chill,Fever, Perspiration

  1. Chill due to indigestion or gastric in origin = Disordered, eating indiscremation in. 
  2. Coldness in bones blood vessels during chill = Internal
  3. Chill never at night = Night.
  4. Warm air feels cold during chill = Air warm.
  5. Fever delirium = Burning –furious; Dry; Intense.
  6. Absence of any stage is given the chapter Heat as there respective rubrics.
  7. Chill then sweat with out intervening heat – Fever– Succession of stages.
  8. Perspiration alternating with chilliness = Fever Succession of stages.
  9. Driving him out of bed during fever = Bed
  10. Perspiration all over the body except face = perspiration—Face
  11. Perspiration increases the coldness of the body = Cold
  12. In this particular chapter’s the Breakfast aggravation is given under Eating in general
  13. In the chapter’s fever and perspiration the aggravation in walking in open air is given under the rubric Walking, where as in the Chill chapter it is given under the Air.
  14. Wants to be quiet in any stage of the fever = Fever –motion – wants.

Skin

  1. Prickly heat = Eruption –vesicular – sudamina 
  2. Warmth of the skin with out fever = Heat with out fever.
  3. Decubitious Ulcer = Sore.
  4. Ulcers with Maggots = Ulcers discharging.
  5. Fistula = Ulcers fistula

Generalities

  1. Every other evening =Evening 
  2. Sunset till sunrise = Evening
  3. Twilight = Evening
  4. Seashore = Air
  5. Gangrene = Blackness, inflammation internal
  6. Heat and cold = Cold
  7. Eating fast, satiety to.
  8. Foods dry food, raw, vegetables, etc.
  9. Sensation as if warm water poured over one, as if= Heat
  10. Blows, falls, bruise injures
  11. When too much medicine has produced an over sensitive state and remedies fail to act = irritability.
  12. Lie down before the dinner must = lassitude.
  13. Will not lie down sit up in bed = Lie.
  14. Gently stroking = Rubbing.
  15. Smoking when breaking off = Tobacco.
  16. Pain vanishes on touch and appears elsewhere = Touch.
  17. One is cold and stiff on approaching a stove = Warm.
  18. Cold becoming after putting hand out of bed = Cold– cold becoming
  19. Painful sensation of crawling though whole body if he knocks against any part = Formication.
  20. Sensation of small foreign bodies in glands = Indurations
  21. Sexual excitement < = Generalities — sexual excitement,
  22. Sliding down in bed due to paralysis — Weakness – paralysis

Rubrics for Infants in Murphy's Repertory

Based on Murphy’s Repertory 3

Compiled by Mansoor Ali
Abdomen

Abdomen – INFLAMMATION, abdomen, enteritis – umbilicus – infants, of
Abdomen – ULCERS. abdomen – umbilicus, about – infants, in

Bladder
Bladder – PAIN, bladder – urine, retention, of, painful – new born infants
Bladder – RETENTION, of urine – babies, in – newborn infant, fails to urinate
Bladder – RETENTION, of urine – infants, in new born
Bladder – RETENTION, of urine – new born, infants, in
Bladder – URGING, to urinate – frequent, – infant screams before the urine passes

Breast
Breasts – BREAST-feeding, nursing, lactation – headache after nursing infant
Breasts – SORE, pain – infants

Breathing
Breathing – ASPHYXIA – new-born, infant
Breathing – CYANOSIS , breathing – infants, in

Children
Children – ABDOMEN, general – hard – hard, tense, infants
Children – ANXIOUS, children – infants, in
Children – ASPHYXIA, infants
Children – ASPHYXIA, infants – after, great loss of blood by the mother, or if infant is pale
Children – BREASTS, induration and swelling, infants
Children – BREATHING, rattling, infants
Children – BRONCHITIS, infants
Children – CATARRH, infants
Children – CHAFING, skin, infants
Children – CHILL, infants
Children – COLIC, infants
Children – CONSTIPATION, infants
Children – CONSTIPATION, infants – active, irritable infants, or those who have been prematurely fed on meat
Children – CONSTIPATION, infants – newborn, infants
Children – CONVULSIONS, infants, in
Children – COUGH, troublesome, dry, or loose, infants
Children – CRYING, children – infants
Children – CYANOSIS, infants, in
Children – DIARRHEA, infants
Children – DWARFISH, children – infants
Children – EMACIATION, children – infants, bottle fed
Children – ERUPTIONS, crusts on head, infants
Children – ERYSIPELAS, infants
Children – FACE, infants, like and old man
Children – FEVER, constant, infants
Children – FLESH, soft, infants
Children – GROWTH, disorders – infants, in
Children – HEAD, infants, cannot hold up
Children – HEAD, infants, cannot hold up – parietal, bone swelling, infants
Children – HEART, anguish, infants
Children – HERNIA, infants
Children – HICCOUGHS, children – infants
Children – HYDROCELE, boys, of – infants
Children – INFANTS, general
Children – INFANTS, general – asphyxia – after great loss of blood by the mother, or if infant is pale
Children – INSOMNIA, children – infants
Children – JAUNDICE, newborn infants, in
Children – MOUTH, infant, palate wrinkled, infant cries when nursing
Children – MOUTH, infant, palate wrinkled, infant cries when nursing – mouth, sore, infants
Children – MUSCULAR, weakness, infants
Children – NOSE, coryza, infants
Children – PARALYSIS, infants, of
Children – PNEUMONIA, infants
Children – RESTLESS, children – infants, in
Children – SCREAMING, children – day, and night, infants
Children – SLEEP, infants
Children – SORENESS, infants
Children – SOUR, smelling, infants
Children – STARTLED, easily, infants
Children – TRISMUS, infants
Children – URINE, retention, in – infants, in new born
Children – VOMITING, infants, blood, of

Clinical
Clinical – asphyxia – new-born, infant
Clinical – convulsions, general – children, in – infants, in
Clinical – cyanosis, lungs – infants, in
Clinical – death, general – apparent, death – new-born, infant
Clinical – dwarfish, children – infants
Clinical – growth, disorders – infants, in
Clinical – hernia, general – infantile
Clinical – paralysis, general – infantile, paralysis
Clinical – pneumonia, infection, inflammation, lungs – infants
Clinical – trembling, nerves – nursing, infant, after

Constitition
Constitutions – DWARFISH, constitutions – infants
Constitutions – GROWTH, disorders – infants, in
Constitutions – INFANTS, constitutions
Constitutions – INFANTS, constitutions – asphyxia – after great loss of blood by the mother, or if infant is pale

Eye
Eyes – INFANTS, eye complaints of
Eyes – INFLAMMATION, eyes – children, infants, in
Eyes – INFLAMMATION, eyes – infants

Female
Female – DYSMENORRHEA, painful menses – infantilism, with
Female – SMALL, infantile uterus
Female – VAGINAL, discharge, leucorrhea – girls, in little – infants

Fever
Fevers – CHILDREN, fever in – night, all, in nursing infants
Fevers – REMITTENT, fever – infantile

Food
Food – FATS, general – agg. – infants, in

Glands
Glands – swelling, glands – infants, in

Headache
Headaches – NURSING, infant, after

Hearing
Hearing – NOISES, in ears – humming – meningitis, in infants, after

Intestine
Intestines – PERISTALSIS, general – lost, contractility, in constipation of infants
Intestines – ULCERS, and ulceration – remittent, fever, in infantile

Kidney
Kidneys – SUPPRESSION, urine, kidneys – infants, in

Lungs
Lungs – CYANOSIS, lungs – infants, in
Lungs – PNEUMONIA, infection, inflammation, lungs – infants

Mind
Mind – ANXIETY, general – children, in – infants, in
Mind – CRYING, weeping – children, in – babies, infants
Mind – DEATH, general – apparent – new-born infant
Mind – HELPLESSNESS, feelings – infant, feels like a
Mind – INFANTILE, behavior
Mind – QUIET, disposition – diarrhea, of infants, in

Nose
Nose – CORYZA, general – bloody, in infants
Nose – OBSTRUCTION, nose – children – nursing infants
Nose – SNUFFLES, general – infants, in new-born
Nose – SUNKEN, nose – infants, in

Rectum
Rectum – CONSTIPATION, general – children, in – infants, in
Rectum – CONSTIPATION, general – infants, in
Rectum – DIARRHEA, general – nursing, after, infants
Rectum – FISSURE, rectal – infants

Skin
Skin – NEVI – small, in infants

Stomach
Stomach – HICCOUGHS, hiccups – eating, while – infants, in
Stomach – VOMITING, general – blood, blood,, vomit – infants, in
Stomach – VOMITING, general – children, in – cyclic, infants
Stomach – VOMITING, general – cyclic, in adults – infants, in

Teeth
Teeth – PAIN, teeth, toothaches – nursing, mothers, in – while the infant nurses

Urine
Urine – CASTS, urine, containing – infants, in
Urine – ODOR, urine – ammoniacal – infants, in
Urine – RETENTION, of urine – babies, in – newborn infant, fails to urinate
Urine – RETENTION, of urine – infants, in new born
Urine – RETENTION, of urine – new born, infants, in

Rubrics for Infants in Synthesis Repertory

children (4)Based on Synthesis 9.2

Compiled by Mansoor Ali
Mind
MIND – ANXIETY – children – in – infants
MIND – HELPLESSNESS; feeling of – infant, feels like an
MIND – INCONSOLABLE – children – infants
MIND – INFANTILE behavior
MIND – IRRITABILITY – children, in – infants

Head
HEAD – HEAT – children; in – nursing infants; in
HEAD – PAIN – nursing infant, after
HEAD – PERSPIRATION of scalp – infants
HEAD – SWOLLEN – children; in – infants

Eye
EYE – CHILDREN; complaints of – infants
EYE – INFANTS; eye complaints of
EYE – INFLAMMATION – children; in – infants

Ear
EAR – PAIN – children; in – infants

Nose
NOSE – CATARRH – infantile
NOSE – CORYZA – bloody coryza – children; in – infants; in
NOSE – DISCHARGE – bloody – children; in – infants
NOSE – EPISTAXIS – children; in – infants
NOSE – OBSTRUCTION – children; in – nursing infants
NOSE – SUNKEN nose – children, infants; in

Face
FACE – DISCOLORATION – bluish – newborn infant
FACE – ERUPTIONS – eczema – children; in – infants
FACE – ERUPTIONS – elevations – vesicles – elevated vesicles in nursing infants with aphthous stomatitis; with

Mouth
MOUTH – APHTHAE – children; in – infants
MOUTH – APHTHAE – infants
MOUTH – APHTHAE – nursing – infants
MOUTH – PAIN – children; in – nursing infants

Teeth
TEETH – PAIN – nursing mothers; in – nurses, while the infant

Throat
THROAT – PAIN – children; in – nursing infants

Stomach
STOMACH – ACIDITY – children; in – infants
STOMACH – APPETITE – ravenous – accompanied by – marasmus
STOMACH – CHILDREN; complaints of – infants
STOMACH – INDIGESTION – children; in – infants
STOMACH – VOMITING – milk; after – infants; in
STOMACH – VOMITING – periodical – children; in – infants

Abdomen
ABDOMEN – BLEEDING – Umbilicus – children; in – infants
ABDOMEN – CHILDREN; complaints in – infants; in
ABDOMEN – DISTENSION – children; in – infants
ABDOMEN – ENLARGED – Liver – children; in – infants
ABDOMEN – INFANTILE liver
ABDOMEN – INFLAMMATION – children, infants
ABDOMEN – INFLAMMATION – Small intestine – infants
ABDOMEN – ULCERS – Umbilicus, about – children; in – infants

Rectum
RECTUM – CONSTIPATION – babies
RECTUM – CONSTIPATION – children; in – infants
RECTUM – CONSTIPATION – chronic – children; in – infants
RECTUM – CONSTIPATION – infants
RECTUM – DIARRHEA – children; in – infants
RECTUM – ERUPTIONS – Anus; about – children; in – infants
RECTUM – FISSURE – children; in – infants; in
RECTUM – HEMORRHAGE from anus – children; in – infants; in
RECTUM – PROLAPSUS – children; in – infants

Stool
STOOL – BLOODY – children; in – infants
STOOL – BROWN – children; in – infants; in

Bladder
BLADDER – RETENTION of urine – children; in – infants
BLADDER – RETENTION of urine – infants; in newborn
BLADDER – URINATION – urging to urinate – frequent – children, infants scream before the urine passes

Kidney
KIDNEYS – SUPPRESSION of urine – children; in – infants; in

Urine
URINE – CASTS, containing – children, infants; in
URINE – ODOR – ammoniacal – children – infants

Female
FEMALE GENITALIA/SEX – DEVELOPMENT of genitalia – infantile
FEMALE GENITALIA/SEX – DWARFISHNESS
FEMALE GENITALIA/SEX – INFANTILISM; genital
FEMALE GENITALIA/SEX – MENSES – painful – infantilism, with

Respiration
RESPIRATION – ASTHMATIC – children; in – infants; in
RESPIRATION – CHILDREN; in – infants

Cough
COUGH – NURSING the infant; while
COUGH – SUCKLING (the infant)
COUGH – WHOOPING – child – infants

Chest
CHEST – INDURATION – Mammae – children; in – infants
CHEST – INFLAMMATION – Bronchial tubes – children; in – infants
CHEST – INFLAMMATION – Lungs – children; in – infants
CHEST – INFLAMMATION – Lungs – infants
CHEST – PAIN – Mammae – children; in – infants
CHEST – SWELLING – Mammae – children; in – infants

Back
BACK – OPISTHOTONOS – infants; in

Extremities
EXTREMITIES – EMACIATION – Nates – children; in – infants
EXTREMITIES – ERUPTIONS – Nates – erythematous – infants; in
EXTREMITIES – PARALYSIS – infantile
EXTREMITIES – SWELLING – Thighs – Femur – rachitic infants; in

Sleep
SLEEP – POSITION – knees – elbows bent; knees and – infants; in
SLEEP – SLEEPLESSNESS – children; in – infants

Dreams
DREAMS – DEAD BODIES – children; of – infants
DREAMS – DEAD; of the – children – infants

Fever
FEVER – CHILDREN; in – infants
FEVER – REMITTENT – infantile

Skin
SKIN – ERUPTIONS – eczema – children; in – infants
SKIN – ERUPTIONS – miliaria rubra – children; in – infants
SKIN – ERUPTIONS – rash – children; in – infants
SKIN – INTERTRIGO – infants; in

General
GENERALS – CONVULSIONS – children; in – infants, in
GENERALS – CONVULSIONS – epileptiform – children; in – infants
GENERALS – CONVULSIONS – fright agg. – mother (infant); of the
GENERALS – CYANOSIS – children; in – infants
GENERALS – EMACIATION – appetite with emaciation; ravenous – children; in – infants; in
GENERALS – EMACIATION – children; in – infants; in
GENERALS – EMACIATION – infantile marasmus
GENERALS – FAMILY HISTORY of – alcoholism – children; in – infants; in
GENERALS – FOOD and DRINKS – fat – agg. – infants, in
GENERALS – INFLAMMATION – Sinuses; of – children; in – infants; in
GENERALS – LEISHMANIASIS – children; in – infants
GENERALS – MARASMUS
GENERALS – PARALYSIS – children; in – infants
GENERALS – PARALYSIS – Spinal – children; in – infants
GENERALS – SEPTICEMIA, blood poisoning – children; in – infants
GENERALS – SYPHILIS – infants; in
GENERALS – TREMBLING – Externally – nursing infant, after
GENERALS – WEAKNESS – Muscular – children; in – infants

Chronological development of Homoeopathy Repertory

Dr Sreelekha

A repertory is an index to the huge mass of symptoms of various drugs  of the homeopathic Materia medica

Need for a repertory
As the volumes of Homeopathic Materia medica expanded & remedies multiplied it became a problem to apply the this knowledge according to the directions laid down by Hahnemann. In his own time Hahnemann too became conscious about the need for suitable indices to the growing Materia medica In the chapter 21 of the Life History of Hahnemann Richard Haehl says that “His professional use in the consulting room & at the bed side, he required & promoted in every possible way the issue of repertories arranged on a definite & clear plan.

He had several partly drawn up by him & partly compiled by students All these tasks received his support, as far as it was possible for him, in the shape of special prefaces & introductions. During Hahnemann,s time he & his disciples had proved about100 remedies. In spite of the small no. of drugs their close intimacy with the details of the symptoms, Hahnemann & his band of workers started to make repertories. In comparison to the smaller no. of remedies at that time, now it is true to say that the repertory was born to meet the challenges of the Materia medica.

Materia medica contain the symptoms of remedies whereas the repertory is an index that relates remedies to the symptoms

Growth of repertories
1. Formative years ( from Hahnemann upto Kent)
2. Middle age ( Kentian era)
3. Recent repertories ( software based & screen based)

Historical development of repertory 
The earliest repertory was born in 1805 as the second part of Fragmenta. Dr. Hahnemann had 4 volumes of this reference book consisting of 4239 pageswith slits to hold little square papers, of which he had cut off the corners, so as to slip them into slits & be able to change them at need.

In 1829 Hahnemann wrote to his friend Rummel “ how useful will be a  good alphabetical repertory once it is compiled In about 1829 he assigned  Dr. Ernest Ferdinant Ruckert to arrange a repertory. This was to form  the last volume of Chronic Disease. Ruckert worked on it from 1829-30 & his work was constantly checked by Hahnemann . But this attempt  was not successful remained limited to a manuscript form, housed now  in Haehl’s museum in Robert Bosch Hospital Stuttgart , West Germany.

Dr.Hahnemann employed Dr. Jahr in about 1834 to complete second edition of Chronic Disease &also to lay foundation of repertory & encyclopediaof symptoms. Jahr was a medical student & he could not publish his first repertory until 1835 It was in German in 2 volumes, of 1052& 1254pages followed by a third volume on glands , bones , mucus membrane,ducts & skin diseases in 200 pages. These manuscripts are housed inthe Hahnemann,s library in the Robert Bosch Hospital.
1828 – One of the earliest repertories as by Hart laub published in 1828in
1829 –  Leipzig
1830  – Weber compiled in German, a repertory consisting of 536 pages.
Systematische Darstellung der Antipsoriche Arzneimittal with a repertory of deteriorations & ameliorations in health ranging from top to toe of the subject & ending up with sleep & the mental symptoms.
1832 – Boenninghausen, s repertory of Antipsorics with a preface by
Hahnemann ( Its English translation by Boger published in 1900)
Being disappointed in Jahr, Hahnemann gave Boenninghausen every  assistance & encouragement. As early as in 1830, he had already prepared  a repertory for his own use.
Second edition of this repertory appeared in 1833 There was alphabetical order & systematic arrangement. Besides the extremely logical arrangement the most useful innovation introduced by him was the gradation of drugs for a particular symptom
1. Symptoms denoted by italics with each letter separated from the next by a blank space.
2. Italics
3. Ordinary type spaced.
4. Ordinary type
5. Ordinary type in parenthesis

Plan of Boenninghausen first repertory  
Boenninghausen in his first repertory gave locations in general to comparatively fewer parts of anatomy. In section on Head internal, he gave forehead, sinciput ( not in BTPB) temples si9des vertex & occiput The only other region he gave such location was Abdomen, where he gave, upperabdomen , lower abdomen , umbilical region, sides of abdomen, entire abdomen,entire abdomen, hips & loin region. He had kept hypochondria separately L- meant liver region or  right hypochondrium& S- meant spleen or left hypochondrium. B -meant both sides

Modalities were appended at the end of various sensation in a particular region or area. Concomitants were given together in a generalized manner like modalities at the end of modalities that after giving complaint in a particular
region. The most valuable part was the Generalities  given at the end of the  book followed by general modalities like aggravations & ameliorations.

1833 – First alphabetical pocket repertory by Glazor inn Leipzig (165 pages)
– Repertory of purely pathogenic effects by Weber Peschier ( Prefaced by Hahnemann) 376 pages.
1835- Repertory of Medicines that are not Antipsorics by Boenninghausen
1836 – An attempt at showing the relative kinship of homeopathic medicines (Verwandchaften Repertorium) by Boenninghausen   This later formed the concordance or relationship of drugs of his Pocketbook
1837- The repertory published in Stutgart by Rouff (236 pages)
1838- A repertory published in English language in Allentown academy by Constantine Hering
1840- A repertory of Nosology by Rouff (254 pages) in English published in  America, translated to German by Okie Humphry.
1843- A Homeopathic Repertory of Symptomology (first original repertory in French,in 975pages )  by Laffite- one of the first Parisian homeopath, who completed a repertory

1845-Boenninghausen,s Therapeutic Pocket Book
Was translated to English by Dr. Hempel & Dr. Okie Later Dr. T.F.Allen published another edition with modification (initially book contained 126 drugs. Allen added 220 &removed 4. Now contain 364 drugs ) The  last & current edition was published by Dr. H.A. Robert of Connecticut,U.S.A.
In 1935 , he edited it & made some modifications.

The Philosophic Background
Hahnemann insisted on the necessity for considering the totality of the case, Boenninghausen proceeded on the hypothesis that this totality wasnot only the sum total of the symptoms but was itself a grand symptom.
Consisting of 3 factors – location, sensation & modalities. In the plan of his repertory , he emphasized the value of completed symptom & added a fourth requirement – the concomitant symptom.
They are often symptoms for which we can find no reason for their existence in the individual under consideration. They are called unreasonable attendant of the case in hand yet they have an actual relationship, in that they exist at the same time in the same patient.
He soon learned that symptoms which existed in an incomplete state in some part of given case could be reliably completed by Analogy, by observing the condition of other parts of the case . Conditions of < & >are not confined to this or that particular symptom, but that, like red thread in the cordage of British Navy they apply to all symptoms in the case.
Boenninghausen proceeded upon the Hahnemannian theory that it is the patient who is sick, nor his head , nor his eye. Every symptom  that refers to part may be predicated to the whole man.
In Allen,s edition there are 5 types of gradations

  • Capitals (5)
  • Bold face (4)
  • Italics (3)
  • Roman (2)
  • Roman in parenthesis (1)

This repertory is useful in obscure & chronic cases, with many symptom groups, where no single group stands forth with sufficient clarity to warrant a prescription. For it was with a consideration of these cases in mind,   Boenninghausen developed this repertory.

 Book is divided into 7 sections

  1. Mind & Intellect
  2. Parts of the body & organs
  3. Sensations & complaints in general , of glands, bones , skin
  4. Sleep & dreams
  5. Fever
  6. Aggravations & ameliorations
  7. Relationship of remedies

Mind & intellect 
Comparatively few rubrics are given. Boenninghausen based his work  on the concept whole man , placing the balance of emphasis on the value of concomitant symptom & modalities . It was his stand that the solid basis of the 4 square foundation was the only method of securing the totality of the case. At the same time , chapter aggravation include 17 rubrics devoted to
Emotional Excitement . Both Hahnemann & Boenninghausen believed that the disturbed emotional sphere might manifest itself in a long & varied train of symptoms. But the consequence of these disturbed states do not always manifest themselves clearly in the mental sphere. Therefor these rubrics under “ aggravation “, that deal with the emotional causes of functional disturbances are closely related to the part dealing with the mental symptoms.

Part of the body & organs 
Begins with Head & ends with Lower extremities. Each location (especially sense organs ) followed by symptoms of its functions.
Eg: Eye – Vision
Ear – Hearing
Urinary organs – urine
These chapters also contain few aggravations , concomitants & Sensations.
Eg: for aggravation

1. Troubles before Mictiuration – Mictiuration
2. At the beginning of menstruation – Menstruation   Eg: for rubrics in Sensation & Complaint
1. Stopped feeling in Ears – Hearing
2. Toothache – Teeth   Eg: for concomitants
1. Drugs which have concomitant of mental symptoms.
2. Accompanying symptoms of nasal discharge.

Sensation & Complaint 
This section contain not only subjective symptoms , but many conditions, objective symptoms & a few locations.
Eg: for subjective symptoms
1. Desire for open air
2. Intolerance of clothing  Eg: for locations
1. Side ( symptoms of one side)
2. Side left
3. Side right
Eg: for conditions
1. Apoplexy
2. Consumption Eg: for objective symptoms
1. Blackness externally
2. Cyanosis

Fever Contain 7 subsections . They are

  1. Circulation 
  2. Chilliness
  3. Heat
  4. Coldness
  5. Shivering
  6. Sweat
  7. Compound fevers

Modalities include
1. Aggravations according to time
2. Aggravations according to time & circumstances
3. Amelioration
The section for Aggravation covers a no. of conditions. While the section  devoted to Amelioration is comparatively small. Aggravations are much more often reported by patient than amelioration.

Concordance or  Relationship of Remedies 
This section give a better understanding of drugs & points of contact with each other with regard to specific spheres , locations, modalities, tissues etc. So that by working out these relationships we could find out the remedy which is likely to follow after the former one has done its job though partially. This way the remedy which was to complement the action of first remedy, could be find out by working out the Relationship with regard to the case in hand. This section of the book was envisaged as early as 1836by Boenninghausen, but at that time he had not done it properly & completely.

In BTPB he tried to make it as complete & as correct as possible.
Unfortunately most of us have not understood properly or utilized this section  for practical applications.

1847- Hempel’s Boenninghausen ( 500 pages )
1847 – BTPB edited  by Okie
1847 – Jahr,s Manual of Homeopathic Materia Medica & Repertory edited by P.F. Curie
1848 – Systematic alphabetic repertory by Clofar Muller ( 940 pages )
1849 – Mure -367 pages – Rio de Genero
1851 – A pocket manual of Repertory of Homeopathic medicine by Bryant  (352 pages) – New York. An alphabetical repertory.
1853 – A repertory of characteristic homeopathic remedies by Possart, published
1854 at Kothen. 700 pages.

1853- Jahr,s new Manual or Symptom Codex Volume 3 (repertory) translated & edited by Hempel & Quin.
It was published in U.S.A. & was prefaced by Hering. Apart from  Hempel Dr. F.K.G. Snelling & Dr. A. Gerald Hill also translated Jahr,s work  & repertories.

In 1859,Charles J. Hempel, translated Jahr, New Manual which was modified with additions from Possart,s translations & editing of the fourth edition of Jahr,s new manual. Hempel followed Possart, by producing the American edition in English in one volume & combined the repertory section to that of Materia medica which had been modified by giving briefer account of the remedies.

The repertory section of the book is differed from Jahr,s earlier work on it &  seems more to be precursor of Kent’s repertory. It was considered as the fifth edition of Jahr,s new manual. In this work he not only introduced gradation of remedies, (common type , italics,small caps & large caps) but also introduced Boenninghausen,s concept of generalization of locations.
Eg: 1. In chapter 22- for affections of the urinary organs, bladder , kidneys etc.he has given Bladder affections of
2. Under affections of Larynx & Trachea, he has given Bronchial affections
In 1907, Dr. Freder K.G. Snelling edited & enlarged Hill,s translation of fourth edition of Jahr,s Symptom Codex, was published by Boericke & Tafel as Hill,s Jahr. The repertory part of this book was called Clinical Index but this work was done poorly
Jahr wrote that he had arranged repertory as an independent work, not  necessarily connected with the text symptoms given in the Materia Medica because the student might like to use the repertory without caring about a mere synopsis of symptoms given in Materia medica thus able to survey at a glance, the principal remedies required in a given case. The repertory does not have to be a mechanical index. It has to be a logical & scientific guide.

Structue of Jahr,s earlier repertory
Divided into 29 chapters from Mind , disposition , sensorium to characterisric symptoms of remedies contained in the repertory.

Structure of last edition translatedby Hempel
In this book, Jahr changed the arrangement of chapters & broke  up the symptoms & tabulated them, as Boenninghausen had in his  earlier repertories. He has given description of symptoms as they  appeared in proving & clinical confirmation. The arrangement of chapters is as follows
1. General affections & conditions which correspond with Generalities of Kent or Sensations & Complaints of BTPB   Eg: Females disease of
2. Cutaneous affections & other affections of external parts
3. Sleep & dreams
4. Fever & feverish condition
5. Mind & disposition
6. Sensorium
7. Headache & other internal affections of head   Upto  37. Affections of lower extremities

Jahr did not place all the remedies for a particular symptom,  but kept them as appeared in pathogenesis
Eg: Absence of mind , Absence of thought, Absence of mind irresolution, Absence of mind he does not recognize his friend.

Thus Jahr had listed 45 sentences giving conditions of absentmindedness. Kent later brought together , all the remedies showing indications of absentmindedness in a single paragraph (50 drugs ) & 8 small subrubrics which indicate modification of symptoms. Jahr,s arrangement of symptoms make very difficult to do repertorialal analysis. But it is useful if one has to confirm a particular remedy which have been indicated by Kent’s or other repertories.
Eg: He does a variety of things with great haste , runs about in the house – Aconite

1853 – Dysentery & its repertory of medicine by Fred Humphreys
1854 – A repertory of Comparative Materia Medica by A. Lippe
1859 – Cipher Repertory(600 pages ) by English Homeopaths . Enlarged  edition in 1878 containing 1030 pages by Drysdale, Atkins, Dudgeon & Stokes.

About this time in England, were known the following repertories.
1. Buck,s Regional Symptomatology & clinical dictionary.
2. Hempel,s Repertory
3. Repertory by Curie
4. Hahnemann Society Repertory by Drysdale & Dudgeon.

About this time American Homoeopaths were busy in making repertories.
1873 – Repertory of the Eyes by Berridge  .This repertory is divided into 2 sections
1 – The symptoms themselves
2 – Their conditions ( including concomitants )  .Section 1 is further divided into 5 subsections
A – Functional symptoms
B – Anatomical Region
C – General character , sequence & direction
D – right side
E – left side
Section 2 is into 2 subsections
A – Aggravations
B – Ameliorations

All the symptoms are arranged alphabetically excepting the peculiar  symptoms which do not fall under any general heading, are placed last.
All the symptoms of a nearly identical meaning are placed under the same  rubric. Hering,s Materia Medica is used as basis of this repertory. Also added many valuable symptoms from cases of poisoning reported in Allopathic journals.

1874 – Granier of Nimes – Homoeoluxican in 2 volumes
1876 – Repertory of New remedies by C.P. Hart published by Boericke &
Tafel based on Hael,s special Symptomatology & Therapeutics.
1879 – Repertory of More Characteristic Symptoms of Materia Medica by Constantine Lippe (322 pages, Indian edition has 438 pages)

This work is based on the Repertory to the Manual published in Allentown in 1838 by Dr. C. Hering to this have been added selections from Boenninghausen,s work, A. Lippe,s Materia Medica , Bell,s Diarrhea,H.N. Guernesy, & Jahr. Mental symptoms are given first & then followed the order pursued in Materia Medica Pura.
Consist of 34 chapters , from Mind & Disposition to Generalities, Aggravations & Ameliorations. Some other chapters include Scalp (4),Fauces, Pharynx & Oesophagus(11), Complaints during & after meals (13),
Coryza (22), etc. concomitants are given at the end of many chapters with a preface “with”
Eg: Teeth & Gums (9)
With pains in the limbs as if bruised
With cheeks swollen
Certain important rubrics are given at the end of chapters irrespective of  alphabetical arrangement.
Eg: 1 – Abdomen , groins & flatulency – colic
2 – Female sexual organs – catamenia

1880 – Symptom Register by T.F. Allen. 
It is an index to his Encyclopedia of Pure Materia Medica &
contain references to about 825 remedies . It is not useful for easy reportorial analysis due to
1 – Its structure
2 – Allen stuck rigidly to what was obtained from reliable proving & toxicological symptoms & ignored the symptoms which were confirmed & verified a number of times in the clinical use of the remedies , with the result, that, the rubrics for use are left with much fewer remedies.

Allen has followed a unique idea of listing & indexing symptoms in his  Symptom Register. He thought of location or part affected as the starting point for the search for a symptom . In this concept he followed Boenninghausen to some extent. He located regions or organs on absolutely   alphabetical order, so that the search for a particular symptom can be made easier.

He has taken first the general locations followed by various sensations or pains in the alphabetical order. Among sensations first , unmodified sensations followed by modified sensations. Time modalities are listed first, followed by other modalities in alphabetical order which is followed by extensions.
Unlike other repertories,he has not listed sides separately but has given the sides against different remedies in brackets.Eg: Cheeks swollen – Acon (l) , Ammon ®
Arrangement of sensation & locations are confusing as he strictly followed the alphabetical order.
Eg: Cheek is followed by cheerfulness as the next rubric. Ordinarily cheerfulness  should be located in Mind. But Allen does not give separate section on Mind but refers to see Thoughts.

Another important difference from other repertories is that Allen has madea clear distinction between symptoms which appear only at certain time or circumstances from those symptoms which are aggravated at certain times or conditions, but are present otherwise also.

He has given under Regions, sensations in general , followed by time incidence & circumstances which made the appearance of symptom . This section under general unmodified sensation is marked by “C” on the left hand side of the paragraph . Later on, towards the close of this paragraph, he has indicated remedies which have <&> at specified time or conditions.
Next section is made up of rubrics or symptoms which are termed as peculiar sensations ( arranged after unmodified sensations). This section is marked by “P” on the left hand side of this section. (In this included extension & concomitants ).
Eg: under Back
P Back pain (ache) As in cold stage of Ague. Like a blow on stooping > by pressing against something hard

  • 1880 – Repertory to the modalities by Samuel Worcester M.D.
  • 1881 – Hering ,s Analytical Repertory of Mind
  • 1883 – Repertory of Intermittent Fevers by W . A. Allen
  • 1884 – Cough & Expectoration by Lee Clarke
  • 1885 – Alphabetical repertory by Father Muller (First repertory published in India)
  • 1888 – Pathogenetic & clinical repertory of the symptoms of Head by Neidhard

1890 – Gentry : The repertory of Concordance ( in 6 volumes , 5500 pages )
Second edition appeared in 1892 . It was published in 6 volumes . He arranged chapters as follows.
1 – Mind & disposition
Head & scalp
Eyes & ears
Nose & nostril
Face

2 – mouth , throat , stomach , hypochondria
3 – abdomen , anus , rectum
Urine & urinary organs
Male sexual organs
4 – uterus & appendages
Menstruation & discharges
Pregnancy & parturition
Lactation & mammary gland
5- voice ,larynx & trachea
Chest, lungs , bronchia & cough
Heart & circulation
Chill & fever
Skin, sleep & dreams
6 – neck & back
Upper extremities
Lower extremities
Bones & limbs in general
Nerves
Generalities & key notes

His objective was enable the physician to find any characteristic symptom with comparative ease & certainty. Since it was becoming more difficult to locate desirable symptoms in the expanding materia medica .
In the preface of the first edition the author wrote that , in his effort to locate a symptom ( constant dull frontal headache , worse in temples with aching in umbilicus ) he spent days in search in different materia medicas & repertories . So he thought of planning a repertory on the pattern of Cruden,s Concordance bible.

Cruden’s Concordance Bible gives 2 or 3 words only in each sentence ,  necessitating a reference to the bible to find the complete sentence . In this way all that work is included in 1 volume. Such an arrangement was possible as there is but one bible , but such is not possible with the concordance repertory as there are many materia medicas. In consequence if this  fact , it was thought necessary in preparing this work to condense the phraseology of symptoms without altering the sense, thus  rendering it generally unnecessary to refer Materia medica.

He has not taken all the symptoms of the remedies in the book & taken only  the symptoms which are  1. more characteristic with concomitant element of the symptoms 2. only symptoms which have been verified repeatedly.
Frequently difficulty may be met in finding a symptom on account of difference in phraseology of materia medica writers. Therefore when there is a failure to find a symptom under one word, the synonym should be thought of.
Eg: symptom – want to do something & yet feels no ambition
While the symptoms can be fond by referring to “do”, “something” & “ambition”yet the first word , “wants” cant be found , the word used in materia medica is “desires”.
Certain remedies are given in the bracket. These are connected with the main symptom, but have other marked concomitant.
Eg: anxiety – as if he had committed a great crime – cocc( chel , ferr)
Anxiety – as after  committing crime – ferr

1890 – Classified index of materia medica for urogenital & venereal diseases by Carleton M.D. &Coles M.D.

1896 – Kneer,s repertory to the Hering,s Guiding Symptoms (by  Calvin B. Knerr)
It is basically an index of Herring’s Guiding,s symptoms. Knerr in his repertory has divided the book into chapters, according to Hering,s plan of regions in his guiding symptoms. The main chapters are 46 , but he added the 47th chapter based on Hering,s stages of life & constitution
Last 48th on drug relationship. The chapters include inner head, outer head, upperface , lower face ,inner mouth , rest, position, motion, nerves , time ,touch , passive,Motion & injuries.
The basic difference of this repertory from that of Allen,s Symptom Register is that it contain symptoms & remedies which have had not only provings & toxicological pathogenesis, but had also clinical provings &  confirmation. Apart from this it had 4 gradations of the symptoms marked  by vertical lines.

  • II – occasionally verified symptoms
  • I – less occasionally verified symptoms
  • Double vertical line – most frequently verified by cures.
  • Single vertical line – remedies confirmed or verified on clinical practice.

This is one of the main repertories where the symptoms have been placed, unbroken as far as possible. He has given first the general rubric followed by smaller rubric which have special association with a particular circumstances or condition or related to a specific time frame. All these thing are given alphabetically.
Eg: mind & disposition
Forgetfulness
Forgetful, losses appetite – anac
Forgetful ,associated with business –crept into corner & said he must sleep, could not sleep but   still remains lying down –jambol.
Unfortunately in this repertory, the arrangement although made very  systematic, & after a lot of hard work is not amenable to quick & reportorial analysis.

1897 – Kent’s repertory of the homeopathic materia medica (first edition 1349 pages)
Dr. Kent used Lippe,s repertory for a no. of years. After he took up  teaching materia medica in 1883, he became more & more aware of the vastness of the subject, & keenly felt the need for a better index. His clinical  experience also convinced him about this. Kent gathered together all that was in earlier repertories then added his own notes. He verified symptoms as far as possible. Dr. Gladwin, Milton , powel , Mary Ives &Dr. Allen helped him. He talked to Lee of Philadelphia as Lippe,s abridged form of new repertory  was with Lee. Lippe had desired that Dr.Kent should work jointly with Lee in producing a comprehensive repertory a. At that time Dr. Kent had compiled a repertory of the urinary organs, chill, fever & sweat with other sections partly done.

Taking help from Dr. Kent, Lee started working & compiled the mind & head section . But the compilation was not proper as it was based on  Boenninghausen,s idea of generals & the modalities were given at the end of the book. Lee,s work was not upto the expectation of Dr. Kent. Later when Lee became blind, Dr. Kent took it up, revised & arrranged it according to his own plan.

The plan that Dr. Kent followed was chiefly that of Lippe. Which was outlined in Lippe,s Handbook of Characteristics. After the completion of the work Kent was not in a position to publish it due to exorbitant cost. Dr. Boericke of B&T refuse to publish. At last Dr. Kimball & Thurston justify the publication.It was issued section by section. He left behind the handwritten corrected copy for the third edition before his death in 1916. The successive 4th & 5th edition  were published with the help of Dr. Gladwin, Dr. Clara Louse Kent. Dr. Pierre Schmidt in1935 & 1945

The sixth American edition, was published in1957 while the Indian edition came out in 1961. At present most of the practitioners posses this particular edition .

A revised edition of Kent was published in 1974 under certain unusual  circumstances. Dr. Pierre Schmidt took the pain of going through it word  by word & detected many mistakes in the form of omission, grading of medicine & arrangement of rubric in both Indian & American edition . He corrected it with the help of the original work of Kent. Unfortunately when the book was ready for publication it was stolen . Dr. Diwan Harischand an eminent homeopath of India succeeded in salvaging the manuscript which were in a mutilated form. This is supposed to be the seventh edition. But it is generally called the revised first edition or final general repertory Kent.

This repertory is arranged on the concept of general rubric to particular rubric. Symptoms are arranged in the following manner.
Main rubric
Sides of the body or organs
Time modalities
Modalities arranged alphabetically
1- alternations are given
2- concomitants are spread in this section extension
sub locations – in these also, rubrics if any are arranged in the same
character manner as that under main rubric.
Eg: ear pain

Repertory contain 648 medicines in 37 chapters. Kent,s work can be said to  be a desirable extension  of Boenninghausen. He has absorbed almost all of Boenninghausen except generalization of locations, generalization of concomitants & modalities of particulars. He has particularized them as given in the materia medica. At  the same time Kent made use of Boenninghausen,s S&C by incorporating them totally in generalities.

In the first edition of Kent,s repertory he has given more of particularization & details of modalities than in later editions. These things were generalized later. 
Eg: 1. Irritability cough before
Epilepsy before
Eg: for some other rubric which are omitted in later editions
Nose – nose external
Mouth – ailments of mouth

1904- Clark’s repertory
it is a clinical repertory of various medicines given in his 3 volumes  of Dictionary of homeopathic materia medica. This repertory is divided into 5 sections
Clinical repertory
Causation
Temperament
Clinical relationship
Natural relationship Eg: vegetable & animal kingdom

1905- Boger,s Boenninghausen,s Characteristic & repertory 
This was built upon the basic structure of Boenninghausen,s earlier repertories ( Repertory of antipsorics , Repertory of medicines that are not antipsorics , sides of the body , whooping cough , intermittent fever, aphorisms of Hippocrat , Domestic physician ) especially repertory  of Antipsoric medicines.
The repertory was not complete & Boger conntinued to work on it till his deathin 1935 . His manuscripts were published posthumously, under the guidance of Mrs. Boger by Roy & sons of Bombay in 1937 . Unfortunately there have been many omissions & errors of evaluation & of missing remedies.
The second edition , proved very useful in working out cases. It contain characteristic of medicines in the first part & repertory proper in the second part. Hence the title. The work is an attempt to bridge Boenninghausen & Kent.

Book contain 53 chapters, 464 medicines used.
This repertory is based on the following fundamental concepts.

  1. doctrine of complete symptom & concomitants
  2. doctrine of pathological general
  3. doctrine of causation & time
  4. clinical rubrics
  5. evaluation of remedies
  6. fever totality
  7. concordance
  • Boger borrowed the idea of complete symptom from Boenninghausen,s  method of erecting totality, but he improved over it by relating sensation & modalities to specific parts.
  • Pathological generals tell the state of whole body & its changes in relation to constitution. They help us  to concentrate on more concrete changes to select the similimum. The chapter in the sensation & complaint in general is full of examples for pathological generals which include discharges,structural alterations , constitutions , diathesis etc. E.g.: discharges, hemorrhage tendency to, induration , offensiveness etc.
  • Boger has given an adequate place & importance to causation & time.
  • Each chapter in the book is followed by time aggravation. The section on aggravation also contain many causative factors

1. Boger is the first person who has mentioned several clinical conditions,
2.They  help the physician in cases of advanced pathology

Eg.: hydronephrosis, hemophilia
3. Boger followed gradation used by Boenninghausen of 5 types in his repertory.
4. Fever chapter is well explained & arranged as follows

  • Fever – pathological types
  • Blood
  • Chill
  • Heat & fever in general
  • Sweat
  • Compound fever

Plan & construction 
While compiling the repertory, Boger followed the basic plan & construction of Boenninghausen,s repertory of Antiposoric medicines.
He made several sections for different parts of the body & he added many rubrics & sub rubrics . Most of the sections in the book start with the rubric
“ In general”. This location followed by further subdivisions of parts with each part having rubrics “side “ & “ extending to “. After the location different sensations are arranged in alphabetical order. Each sensation is a general rubric which is followed by a group of medicines. It is subdivided into sub rubrics under which parts are mentioned . This is followed by time , aggravation , amelioration, concomitant & cross reference.
Eg: head – internal
Forehead
Extending to
Temple
Sides
Extending to
Abdomen as if from
Aching
(F)
(T)
(S)
(V)
(O)

1908 –  Clinical repertory by P.W. Shedd M.D. 
1920 – Repertory section on Bell’s Diarrhea . It was the difficulty in treating the loose evacuations of the bowel, arouse the desire in author to possess this  work. This book is intended to apply to all loose evacuations of the bowels  & to describe them, their aggravations & ameliorations with their immediate accompaniments & general accompanying symptoms. Under the rubric, most frequently observed remedies  are italicized.

1927- Clinical Repertory by Oscar E. Boericke
Division of sections in this repertory is according to old Hahnemannian order & there are 25 chapters extending from Mind to Modalities. Headings & subheadings are arranged in alphabetical order. All headings when extensive  in scope, e.g. Headache, are presented under definite captions in the following order , that is – cause , type , location , character of pain , concomitants & modalities. Remedies are arranged in alphabetical order & the Italics indicate the more frequently verified remedy. Contain 1409 medicines.

1929- Materia Medica & Repertory by N.M. Choudhary
Pierre’s Materia Medica & Repertory
1931 – Synoptic Key of Materia Medica by C.M. Boger Consist of a short repertory containing

  • periods of aggravation
  • conditions of aggravations & amelioration
  • generalities
  • regional repertories from intellect upto sweat

1937 – Boger’s Times of Remedies & Moon Phases
Is composed of 2 different booklets bound up as one volume. The former deals with the symptoms aggravated in different parts of day & night, while the latter is concerned with aggravations brought on in different  phases of moon like new moon, full moon , first quarter & second quarter of moon.
First section contains

  • Remedies characterized by hours of aggravation
  • Seasonal remedies spring , summer
  • Fever remedies characterized by the time & hours of appearance of chill & Sweat
  • Periodical remedies
  • Daytime remedies ,morning remedies up to night

1937 – Robert’s Sensation as if

1963- Phatak,s Repertory (A concise repertory of Homeopathic Medicines)
This repertory is intend to serve as a handy & useful reference book.
It is an attempt to lessen the difficulties of prescriber. Remedies for a particular rubrics are reduced to minimum possible by a careful selection.
No drug is given unless there is strong justification provided for it by authorities like Boger , Kent , Clark’s Dictionary etc.

In this  repertory the headings including Mentals , Generals ,Modalities,  Organs & their subparts are arranged in alphabetical order. All the physiological & pathological conditions are also included . Cross referencesare given wherever necessary. New additions are marked with a + mark.

1973- Synthetic Repertory
This was originally published by G.Haug Verlag Gmbh & Co. & improved on 1982 by Barthel & Will Klunker. It was basically an extension of Kent’s Repertory. Many practitioners have found some lacunae while referring to Kent’s repertory & have made some notes here & there. A need by was keenly felt by the practitioners for a repertory better organized & accommodating ma more rubrics & medicines. This was achieved by Barthel & Will Klunker.. The authors have given all importance to generals Though the utility of particulars cannot be denied in homeopathic practice, the generals acquire a higher place in case analysis. The changes in the feeling state as well as in generals represent the whole person hence they are sure guide in understanding the totality & selecting the similimum. Prominent generals alone indicate the right medicine & the need of referring to particulars become unnecessary in their presence. It has been divided  into 3 volumes.

Mental generals
Physical generals
Sleep , dreams & sex
It contain 1594 drugs. 4 types of gradations ( capital under lined, capital , bold , ordinary )

1973 – Homeopathic Medical Repertory by Robin Murphy ( Indian edition in 1994 )
Is an alphabetical repertory mainly based on Kent’s repertory &  Knerr,s repertory. This repertory follows alphabetical arrangement. There are  67 chapters arranged alphabetically from Abdomen to Wrist. Though it is  based on Kent’s repertory, it does not follow the arrangement – sides ,time , modalities & extension. It contain about 1800 medicines. Gradation used  is same as that of Kent’s repertory. Repertory  contain addition of clinical terms & modern terminologies.
E.g.: Generalities – candida albicans
Elbow – tennis elbow
Throat – adenoids

1990 – Kent’s repertorium generale by Kunzli Jost  
This was first published in 1987 in German language. Subsequently it was translated into English. It is based on Kent’s repertory. Kunzli has also added many of Hahnemann’s observations from his Chronic diseases & Materia medica Pura. The  work was compiled & edited by Michael barthel with the able assistance of Charlotte Barthel & Ilse Seider.
It follows Kent’s pattern of plan & construction & arrangement of rubric.
The original repertory contain red points ( in some publication they are printed as black points. ) These are known as red points of Kunzli. These points indicate Kunzli,s own therapeutic experience. At some places a black point is entered behind the drugs. It means that the therapeutic efficacy of that remedy has been frequently proved. It contain 689 medicines.

1993 – Synthesis by Fredrik Schroyens ( Repertorium homoeopathicum Syntheticum)
It is the printed version of RADAR computer program. It is an enlarged version of 6th American edition of Kent’s repertory . The need of continuously developing repertory was felt by many . Consequently many repertories were compiled. In earlyeighties, Dr Frederick Schroyens & his team collected a lot of informations through the co- operation of practising Homeopaths throughout the world.

The information was used in making RADAR computer program. On the  request of many homeopaths Synthesis was made available in print.
Since 1987, Synthesis has been used as a database file for RADAR program. Version 2&3 were released respectively in 1988 & 1990. Version 3 offered 136000 additions from about 130 authors compared to Kent’s original repertory.
The 4th version was released in 1992 . It contained 178000additions from 200 authors. Synthesis 5th version was available for the first time in book form in 1993. Synthesis 6th version was published in 1995 while 7th version in 1997.
The sources are indicated in abbreviated form towards the end of each medicine. Arrangement of rubric is same as that of Kent’s repertory.
A no. of clinical rubrics are introduced
E.g.: Throat – adenoids
Abdomen – gall stones
It contain thousands of cross references & 2000 remedies. 4 types of gradations are used. It is based on Kent’s philosophy of generals to  particulars. Almost all types of cases can be repertorised by using Synthesis.

1996 – Complete Repertory by Roger Von Zandvoort
Roger Von Zandvoort while practicing Homoeopathy, started working  on additions & corrections to Kent’s repertory. While working on it, he noticed that the information’s differed from what had been previously published in  the Synthetic repertory & he decided to take up full time repertory work.
The  initial version came out as a database file for use with Kent homeopathic  associates Mac repertory. In 1990 , Roger Von Zandvoort met Jost Kunzli & a group of doctors. They accepted the challenge to make  the complete repertory by making corrections & additions based on Boger’s additions of Boenninghausen,s repertory, Boger’s additions to Kent’s repertory, & Sivaram,s additions & corrections to Kent’s repertory. After the death of Jost Kunzli, the supervision work was taken up by Dr. Dario  Spinedi.

The main sources are

  • Kent’s repertory
  • Boger’s Boenninghausen,s repertory
  • Boger’s additions to Kent’s repertory
  • Boerick,s materia medica & repertory

It contain 41 chapters. & follows Kent’s scheme of order of arrangement. It has new chapters like head pain , smell taste ,extremity pain etc. dreams  included in Mind. 4 types of gradations are used – capital underlined, capital,
bold italics & ordinary roman.

1996 – Kent’s comparative repertory of homeopathic materia medica by Rene Docks & by Guy Kokelenberg
One of the many problems that are encountered while practicing  Homoeopathy is the conversion of patient’s symptom into the proper language of the repertory. In order to overcome this problem one should be able to understand exactly the meaning of each rubric; This book has been made with the purpose of helping to overcome the already told problems.
Meanings of most of the rubrics are given with a brief explanation of main remedies along with cross references. In this book , much importance is given to the chapter Mind. However they are not always clear in quoting their sources. Book contain 37 chapters.

Card Repertories
In the  very early days of Homoeopathy doctors started thinking of using cards , for the purpose of elimination of remedies , becaus4e the time taken in noting down rubric & remedies was so much that it discouraged the very effort. The most important & really the only legitimate use of the card repertories is its eliminative function. Unfortunately most card repertories were either very limited in their scope or were ineffective, because of lack of proper construction.

Card repertories in chronological order.

  1. 1888-   Guernsey’s Boenninghausen,s slips by William Jefferson Guernsey (2500 Cards. )
  2. 1912- Punched card repertory by Dr. Margaret Tyler -based on Kent’s (1000 Cards)
  3. 1913- Loose punched card repertory by Welch & Houston – based on Kent’s (134 cards)
  4. 1922- Fields cards – based on Kent’s (6800 cards)
  5. 1928- Boger’s card index repertory
  6. 1948- Dr. Marcos Jaminez card repertory (It has 600 large size cards, He was first to introduce the evaluation of drugs on the cards. It is based on Boenninghausen,s work)
  7. – Dr. Braussalian,s card repertory -based on Kent’s (1861 cards)
  8. 1950 –J.G. Weiss  card repertory
  9. -R.H. Farley,s spindle card repertory
  10. -Dr. P.Sankaran,s card repertory -based on Boger’s card repertory
  11. 1959 – Kishore card repertory (10,000 cards )
  12. 1984 –Dr. Shashi Mohan Sarma,s card repertory based on Kent’s Final General Repertory (3000 cards)

Era of Regional Repertories
1873 – Repertory of Eyes by Berridge
– Desires & Aversions by Guernsey

1880 – Repertory of Modalities by Worcester
– Repertory of Hemorrhoids by Guernsey
– Repertory of Respiratory organs by Lutze
– Repertory of Neuralgias by Lutze
1883 – Repertory of Intermittent Fevers by W.A. Allen
– Repertory of Fevers by H.C. Allen
– Repertory of Footsweat by O.M. Drake
– Repertory of Sensation as if by Holcomb
1884 – Repertory of Cough & Expectoration by Lee & Clarke
1892 – Repertory of Digestive system by Arkell McMichell
1894- Repertory of Rheumatism by Perkins
– Repertory of therapeutics of Respiratory system by Van Denburg
– Repertory of Rheumatism by Pulford
– Repertory of Eczema by C.F. Mills Pugh
– Repertory of Headache by Knerr
– Repertory of Appendicitis by Yingling
– Repertory of Labor by Yingling

1899 – Repertory of Urinary organs by A.R. Morgan
1904 – Clark’s clinical repertory
1906 – Repertory of Uterine therapeutics by Minton
– Repertory of Head by Neidhard
– Boger’s Times of Remedies
– Repertory part of Rau,s Special Pathology
– Repertory by Boericke
– Repertory by B.K.Sarkar
– Repertory of Respiratory Diseases Nash
– Repertory of Mastitis by W.J.Guernesy
– Repertory of Throat by W.J.Guernesy
1908 – Shedd,s Clinical Repertory
1920 – Repertory of Diarrhea by Bell

Computer Programs in the field of Homoeopathy  
Introduced by Dr. Piertkin in 1965 in London. Main homeopathic softwares are as follows

  1. Hompath by Dr. Jawahar J. Shah
  2. Kentian – Sai Homeopathic Boob Corporation
  3. MAC
  4. RADAR – Rapid Aid to Drug Aimed Research
  5. HRS – developed by CIRA ( Center for Informatics, Research & Advancement)
  6. Polychresta
  7. CARA – Computer Aided Research Analysis. Installed at Royal London Homeopathic Hospital
  8. Micropath
  9. Homoeorep
  10. The Profile
  11. Organon ,96
  12. The Samuel – The Co- operative Association Holland
  13. VES – Vithoulkas Expert System
  14. KBES – Knowledge Based Expert System
  15. ATAM
  16. Similia

References:  

  • Evolution of Homeopathic Repertories & Repertorisation – Dr.Jugal Kishore
  • Essentials of Repertorisation – Dr. S.K. Thiwari
  • Boenninghausen,s Therapeutic Pocket Book
  • Berridge Eye
  • Repertory of More Characteristic Symptoms of Materia Medica   – C. Lippe
  • Concordance Repertory – W.D. Gentry
  • Kent’s Repertory of Homeopathic Materia Medica
  • Clark’s Repertory
  • Boennighausen,s Characteristics & repertory – Dr.C.M. Boger
  • Boerick,s Materia Medica & Repertory
  • A Concise Repertory of Homeopathic Medicines – Dr. S.R. Phatak
  • Homeopathic Medical Repertory – Dr. Robin Murphy
  • Synthesis – Frederick Schroyens
  • Synthetic Repertory – Barthel & Will Klunker
  • Encyclopedia of Pure Materia Medica – Dr. T.F. Allen
  • Analytical Repertory of  Mind – Dr. Hering
  • Repertory of Herring’s Guiding Symptoms of Our Materia Medica – Dr. Calvin B. Knerr
  • Bell’s Diarrhea
  • Text book of  Repertory – Niranjan Mohanthy
  • Kent’s Comparative Repertory of Homeopathic Materia Medica – Dockx & Kokelenberg
  • Kent’s Repertorium Generale – Dr. Jost Kunzli
  • Times of the Remedies & Moon Phases Dr. C.M. Boger

Dr Sreelekha
Medical Officer, Department of NCT Delhi

An introduction to Therapeutic Pocket Book

Dr Anoop K K

Baran Climens Martia Fronz Von Boenninghausen was born in Netherlands in west Germany in 1785.He made so many important contribution in to the field of homoeopathy.he was considered as the father of homoeopathic repertories. He was in close touch with Hahnemann until the close of Hahnemann’s life. Among his works Boenninghausen’s therapeutic pocket book was a major one. It was published in the year 1846.

It is a combination of his 4 books as follows               

  • Repertory of antipsoric medicines –1832
  • Repertory of medicine which are not antipsoric-1835
  • Kinship of homoeopathic medicines -1836.
  • All the three masterpieces combined to form the therapeutic pocket book.

After his death Dr T F ALLEN added sides of the body (1853) to the text.
The original book was written in German language, which were first time translated to English by a homoeopathic physician whose name is not known. A short time afterwards Hempel translated these books. The literature was handled by Okie, CM. Boger and TF Allen and lastly edited by H.A.Roberts and Annie C Wilson. TFAllen made a lot of additions and deletions. He added the sides of the body and 120 remedies and deleted 4 remedies (126-4+220=342). This book is known as T.F.Allen’s boennninghausen’s therapeutic pocket book because he has left more lasting impression up on his book.
The therapeutic pocket book is based on grouping of symptoms of Hahnemannian teachings based on Boenninghausen’s “doctrines” such as

  • Doctrine of concomitants
  • Doctrine of generalization
  • Doctrine of analogy

Repertory uses: – 
A repertory is an index of symptoms, arranged systematically. The system of arrangement may be founded in turn up on definite guiding principles; or it may be alphabetical or schematic.

Purpose of repertory: – 
 have got two definite purposes:
1) to serve as a reference and guide in looking up particular symptom that may indicate the simillimum,
2) For careful study of all the symptoms that may appear in a chronic case.
The repertory is not meant for use in those cases where there are clear cut indications for the simillimum. If the repertory is used here it might be used in the manner of a quick reference, to verify leading indications of the remedy, or a slight doubt were felt to, differentiate between those seemingly indicated.
For physicians who have not gained through of materia medica repertory is an important aid in the selection of simillimum.
Useful in chronic cases where several remedies emerge only in shadowy out line from a back ground that is a network of chronic symptoms ever more intricately woven. (Cases after mismanagement after mismanagement superimposed upon circumstantial stress and that again up on hereditary tendencies)

The value of repertory depends up on several elements

  • The art of physician in taking the case.
  • The knowledge of repertory one attempt to use.
  • Its philosophical back ground.
  • Its construction.
  • Its limitation
  • Its adaptability.
  • Intelligent use of resulting analysis.

The art of the physician in taking the case
The case: – Combination of subjective and objective symptoms.
The art of case taking embraces the art of physician in securing the confidant of the patient, and drawing out from him those

  • Subjective symptoms, of the mind, body and spirit.
  • Observation of those observable symptoms
  • General atmosphere radiated by he patient.

Doctrine of analogy
Symptoms which existed in an incomplete state in some part of a given case could be reliably completed by observing the condition of other parts of the given case. For E.g.: – it was not possible by questioning a patient to decide what aggravated or ameliorated particular symptoms of the case, the patient would readily express a condition of amelioration of some other symptom. In this condition boenninghausen discovered that condition of aggravation or amelioration are not confined to this or that particular symptoms; but that like the, Red thread in the cordage of the British Navy” they apply to all the symptoms of the case.

Totality of symptoms and its corresponding simillimum which the homoeopathic prescriber seeks are both based on the same idea. In reality patient is not expressing many symptoms, but only parts of a very few complete symptoms, which the examiner should bring together and complete. Boenninghausen so designed his pocket book that it would enable the physician to bring the symptoms together and complete one part by another.

The perceptible symptoms of the disease are broken up and scattered through different parts of a patient’s organism in much the same way that symptoms are dispersed in the ordinary repertories. The scattered parts must be found and brought together in harmonious relation according to the typical form.
Boenninghausen proceeds up on the Hahnemannian theory that it is the patient who is sick – not his head, nor his eyes, nor his heart. Every symptom that refers to a part may be predicated to the whole man.

If a stitching pain felt in the eyes it belong to the whole man and stitching pain is noted as a characteristic of his complaint in general.

Boenninghausen’s primary and secondary symptoms: – 
The symptoms of the materia medica, like symptoms appearing in sickness, may be reduced to certain fundamental forms, corresponding to the genera and species of biological science, or the generals and particulars of logic. These boenninghausen called the primary and secondary symptoms. These are the elements of symptomatology. In like manner, each particular symptom, primary or secondary, may be reduced to its elements of location, sensation, and conditions.

The philosophical background
Hahnemann himself compiled a short repertory of some of his leading symptoms; this was printed in Latin. Later he developed the repertory ideas still further, but these later repertories are still in manuscript form, never having been published.
Boenninghausen was a close friend and student of Hahnemann, and it was with the encouragement of Hahnemann that Boenninghausen developed his his first repertory, Repertory of antipsorics, published in 1832. In 1835 Boenninghausen published his Repertory of medicines which are not antipsorics; in 1836 his attempt at showing the relative kinship of homoeopathic remedies. Ten years later he published his therapeutic manual for homoeopathic physician.
In constructing his therapeutic pocket book Boenninghauens based his grouping of symptoms on Hahnemann’s teaching that the homoeopathic physician prescribe on the totality of the case.

According to boenninghausen totality was not only the sum total of the symptoms, but was in itself one grand symptom- the symptom of the patient. the grand symptoms – the totality itself – three factors must be present
1. Locality: the part, organs, or tissue involved in the disease process.
2. Sensation: the kind of pain, sensation, functional or organic changes characterizing the morbid process.
3. Condition of aggravation or amelioration of the symptoms: the circumstances causing, exciting, increasing, or decreasing the suffering.

“ Warp of the fabric.”
This term is used to express the leading symptom of a chronic case. These appear in every chronic case, and often to a marked degree. These are always leading symptoms, and these may be defined as those symptoms for which there is clear pathological foundation; or the symptoms that are most prominent and clearly recognizable; or the symptom which first attract the attention of the patient or the physician; or which cause the most suffering; or which indicate definitely the seat and nature of the morbid process.
In the leading symptoms alone, there is nothing particularly characteristic from the standpoint of the prescriber.
For e.g.: – we have so many remedies having cerebral congestion, inflamed liver, inflamed lung etc. any one of these may become a leading symptom, yet inflammation of any organ is not a fact of great value in leading the prescriber to the simillimum.

Boenninghausen in the plan of his repertory, emphasized the value of complete symptom (location, sensation, conditions) but he added the fourth requirement, equally imperative to the first three, this was the concomitant symptom, and the repertory is founded on the doctrine of concomitant symptom.
The word concomitant means existing or occurring together; attendant;
The noun means attendant circumstance.
In nearly every case we may find one or more concomitant symptoms, these symptoms seemingly no relation to the leading symptoms from the standpoint of theoretical pathology. They are the symptoms, which we find no reason for their existences in the individual. We might almost term them as “ unreasonable attendance “.
These symptoms are important in finding out the simillimum because they exist at the same time, in the same patient.
One could prescribe successfully up on one symptom by following the plan laid down in the pocket book, provided that one symptom should be complete.
The concomitant symptoms to the totality what the condition of aggravation or amelioration is to the single symptom.
The foundation of Boenninghausen’s therapeutic book is the doctrine of concomitants.

Construction of the repertory 
One of the outstanding features of boenninghausen’s repertory construction is that he embodied the variation in sizes of type, signifying the varying importance of the symptom-rubric to the various drug listed.

In Allen’s edition we find five types

  • CAPITAL (5)
  • Bold face  (4)
  • Italics    (3)
  • Roman (2)
  • (roman) (1)

“The fifth place the last of all, contains the doubtful remedies, which require critical study, and which occurs most seldom…”
While constructing a repertory the plan must be elastic enough to allow the separated part of a remedy or a symptom to be brought together in such form as would correspond to any group of symptoms that might arise in practice. The symptoms should be separated in such a manner it would not destroy the individuality nor restrict the integrity.

The problem was a difficult one, but the fine analytical mind of the  “Sage of Munster” solved it. He conceived the figurer of a great all inclusive symptom totality, made up of the cardinal points of location, sensation, condition of aggravation and amelioration, and concomitants, under which all the symptoms of materia medica, and all the symptoms of the disease as well should be covered.

An anonymous person made this book to English the first translation. This work contains so many typographical errors and obsolete phrasing. Then the translation was done by Hempel these early editions divided in to seven parts. Other translators were Okei, Boger, T.F.Allen etc.T.F.Allen has left a more lasting impression up on the pocket book, because it was he who added many of the eye symptoms, and combined Boenninghausen’s repertory of sides of the body with the original pocket book.

The seven parts in the early editions were as follows,
1. Mind and intellect.
2. Parts of the body and organs.
3. Sensation and complaints
a) in general
b) of glands
c) of bones
d) of skin.
4. Sleep and dreams
5. Fever

  • circulation of blood
  • cold stage
  • coldness
  • heat
  • perspiration
  • compound fevers
  • concomitant complaints.

6. Alteration of the state of health
Aggravations according to time
Aggravation according to the situation and circumstances.
Amelioration by position and circumstances
7. Relationship of remedies.

Mind and intellect
There are very few rubrics under this section, which have been criticized by many competent homoeopaths. Boenninghausen based his work on the value of concomitants and he never wanted to reflect the picture through mental and his stand was to show the totality through foursquare foundation and mental symptoms were deliberately neglected.

  • 18 rubrics in mind section.
  • 18 rubrics in intellect
  • 17 rubrics in the section aggravation under the rubric emotional excitement.

Boenninghausen based his work on the concept of the whole man. Placing the balance of the emphasis on the value of concomitant symptoms and modalities; it is not his intention to reflect the picture of whole man through his mental reactions. It was his stand that the solid basis of the four square foundation was the only method of securing the totality of the case.

Parts of the body and organs  

  • Based on the anatomical schema used by Hahnemann.
  • This part run from the page 24 to142

Internal head —-> external head —-> sides of the head.
Eyes ( various location of eye) —-> Vision.
Face ( the objective symptoms observed in the face —->location of sensation in
Abdomen (locations) —-> flatulence —–> stool
Urinary organs —-> urine
Sexual organs —->Menstruation —->Leucorrhoea
Respiration —-> cough —> expectoration —-> Air passages ( specific
location, voice )
Under these chapters devoted to parts of the body and organs , we find a few aggravations and rubrics related to sensation and complaints.

Sensations and complaints
Allen’s edition puts the name sensation and complaints. In earlier editions the heading was sensations.
Contains three types of rubric

  • Subjective symptoms
  • Complaints ( or conditions )
  • Objective symptoms and also few locations

Subjective symptoms,
Desire for open air, aversion to open air, intolerance of clothing, inclination to lie down, aversion to motion, desire for motion restlessness, sensitive to pain, inclination to sit, illusion of touch etc.
The symptoms of direction
Generalized or directional as follows
Symptoms of one side, left side, right side ,crosswise, left upper and right lower and crosswise etc
The symptoms covering complaints
Apoplexy, consumption, convulsions, dropsy, emaciation, tendency to take cold, nervous excitement, hemorrhage, frozen limbs, apparent death, induration, inflammation, paralysis etc. appear under this section even though they are not sensations.

Objective symptoms
Blackness externally, carphology, clumsiness, cracking of joints, cyanosis etc.
Sleep and dreams
This section covers symptoms like yawning, sleepiness, sleeplessness, and position in sleep and dreams.

Fever
There are seven subsections
In the old edition s there where 7 subsections in this part of the book. In this edition the sub heads have been removed but the same general outline in followed, with a single exception which will be noticed.

The original outline is
1. Circulation of blood
2. Cold stage
3. Coldness
4. Heat
5. Perspiration
6. Compound fevers
7. Concomitant complains

The first division has

Anaemia, congestion, objective and subjective symptoms of blood vessels and pulse.
Second division formerly called cold stage is what we term the chilly stage. The rubrics are the modifications of chilliness.
The third and fourth divisions are reversed in Allen’s edition.

In this book we find

  •  Circulation
  •  Chilliness gen.
  •  Heat
  •  Coldness in general, with shivering
  •  Sweat in general.

The rubrics devoted to perspiration follow in the old order, with their modifications.
Then the rubric dealing with compound fever.
The old seventh section concomitant complaints are scattered more or less through the part. Thus we find
Heat with associated symptoms
Sweat with associated symptoms,
Before fever, During fever, after fever, etc.

Alteration in the state of health
Aggravation according to time
Aggravation according to the situations and circumstances
Amelioration by position and circumstances.
Allen has removed the headings of the subsections and has left the
Aggravations and ameliorations.
The section aggravations covers number of conditions, while the section devoted to amelioration is comparatively small, which are usually not reported by the patient. Allen detected the ameliorations, which are suggested by Boenninghausen and put them, in under the contrary state, thus the rubric > heat has been presented as < cold and it was Allen’s idea to make the book even less cumbersome.

Relationship of remedies 
The work on relationship of remedies was published in 1836. In the earlier editions the chapter was called as concordance of remedies but Allen comprehend the title as relationship of remedies in therapeutic pocket book. this has become a masterpiece for majority of homoeopathic physicians.
The chapter relationship is divided in to sections, each section being devoted to a remedy, in alphabetical order. Each of these remedy section is divided in to rubrics, as all are general section in the book, but in this chapter we find the rubrics are not particularized as symptoms, but are generalized symptom group.This is divided into twelve sections which correspond to materia medica part.
1. Mind
2. Localities
3. Sensations
4. Glands
5. Bones
6. Skin
7. Sleep and dreams
8. Blood, circulation and fever
9. Aggravation, time, circumstances
10. Other remedies
11. Antidotes
12. Injurious

We find that each rubric in this chapter of the book correspond to a general section heading in the first part of the book. To this added one, two, or three additional rubrics. The important one is the “other remedies” the general relation ship of remedies (other than the one heading this particular section of the chapter relationship) to the remedy heading in this particular section.this rubric other remedies covers all those symptoms which do not fall into such regular groups like mind, localities etc. The other two rubrics Antidotes and injurious are easily comprehended

Dr Anoop K K
Medical Officer, Department of Homoeopathy
Govt. of Kerala

Repeated Rubrics in Kent's Repertory

Dr Saji K   

The repetition may be
1. In the same chapter in another manner
(a) with the same medicines and
(i) same grading.
(ii) different grading.
(b) with different medicines.

2. In a different chapter in another manner
(a) with the same medicines. and
(i) same grading.
(ii) different grading.
(b) with different medicines.

Examples from chapter mind :
I. In the same chapter,with the same medicine and same grading but in another manner.
Mind : Activity,fruitless.: Stann.
Mind : Busy,fruitlessly. : Stann.

Mind : Aversion,relegious to the opposite sex : Lyc.,Puls(2).,Sulph.
Mind : Relegious,horror of the opposite sex :Lyc.,Puls(2).,Sulph.

Mind : Children,flies from his own : Lyc.
Mind : Estranged,flies from her own children : Lyc.
Mind : Forsakes his own children : Lyc.
Mind : Escape,from her family,children : Lyc.

Mind : Delerium,wraps up in fur during summer : Hyos.
Mind : Fur,wraps up in summer : Hyos.
Mind : Roving,wrapped in fur in the summer : Hyos.

Mind : Forgetful, sleep during, he remembers all he had forgotten : Calad.,Selen.
Mind : Forgotten,things comes to mind in sleep : Calad,Selen.

II. In the same chapter,with same medicines,but in different grading.
Mind : Death,presentiment of,predicts the time : Acon(2)., Arg.n(2).
Mind : Prophesying,predicts the time of death :Acon(3)., Arg.n.
Mind : Fear,death of,predicts the time : Acon(3),Arg.n(2)

Mind : Delusions,beautiful,rags seems even : Sulph(2).
Mind : Imbecility,old rags as fine as silk : Sulph(3).
Mind : Delusions,old rags are as fine as silk : Sulph(3)

Mind : Reveals,secrets in sleep : Am.c., Ars(2).
Mind : Talking,sleep in,reveals secrets in sleep : Am.c., Ars.

III. In the same chapter with different medicines.
Mind : Answers,stupor returns quickly after : Arn(2).,Bapt., Hyos(3)., Plb.
Mind : Unconsciouness,answers correctly when spoken to but delerium and unconsciousness returns at once. :
Arn(2)., Bapt(2)., Hyos(2).

Mind : Confusion,loses his way in well known streets :Glon(3).,Merc(2).,Nux.m(2).,Petr(2).,Ran.b.,Thuj.
Mind : Forgetful,streets of well known :Glon(3).,Petr(2).,Nux.m(2).
Mind : Recognise does not,well known streets :Cann.i.,Glon(3).,Lach.,Nux.m(3).,Petr(3).

Mind : Antics,plays.: Bell(2),Cupr,Hyos(3),Lact,Op,Merc,phos,Plb,Stram.
Mind : Delerium,antics plays : Bell,Cupr,Hyos(3),Lact,Op,Phos,Plb,Stram.

Mind : Irritability, sends the doctor home,says he is not sick. : Apis.,Arn(3).,Cham(3).
Mind : Well,says he is,when very sick : Apis(2),Arn(3),Ars,Cinnb,Hyos,Kreos,Merc,Puls.
Mind : Obstinate, declares there is nothing the matter with him : Apis.,Arn(3).

Mind : Persists in nothing : Lac.c., Lach., Plan.
Mind : Undertakes many things,perseveres in nothing :Acon(2),Lac.c(2),Lach(2),Plan.

Mind : Fanaticism : Caust,Rob,Selen,Sulph,Thuj(2).
Mind : Relegious,fanaticism : Rob,Selen,Sulph,Thuj.

Mind : Indifference,exposure of her person :Hyos(2),Phos(2),Phyt(2),Sec(2), Stram,Verat.
Mind : Shameless,exposes the person : Hyos(3),Phos(2),Phyt,Sec(2),Tarent(2).

Mind : Pull,desires to pull ones hair : Bell(3).,Lach., Lil.t(2).,Tarent.
Mind : Tears,hair,her : Bell(2).,Lil.t(2).,Tarent.

Mind : Absent minded,starts when spoken to : Carb.ac.
Mind : Starting,spoken to when : Carb.ac., Sulph.

Mind : Hatred,women of : Puls(2).
Mind : Women,aversion to : Am.c,Bapt,Dios(2),Lach(2),Nat.m.,puls(2),Sulph.

IV. In a different chapter, with the same medicine and same grading.
Mind : Striking,knocking his head against wall : Apis,Ars,Bell,Con,Hyos,Mag.c,Mill,Rhus.t.
Head : Knocks head against things : Apis,Ars,Bell,Con,Hyos,Mag.c,Mill,Rhus.t.

V. In different chapters with different medicines.
Mind : Light,desire for : Acon(2),Am.m(2),Bell(3),Calc(2),Gels(3),Lac.c,Nat.m,Ruta,Stram(3),Valer.
Eye : Photomania : Acon(2), Am.m, Bell(3), Calc, Gels(3),Lac.c(2),Ruta,Stram(3),Valer.

Mind : Laughing,sardonic. : Bell(3),Caust(2),Colch(2),Con,Hyos(2),Ign,Nux.m,Oena(2),Plb,
Ran.s,Sec(2),Sol.n,Stram(2),Stry,Tarent,Verat,Zinc.

Face : Risus sardonicus. : Medicines and grading same as above with the omission of Tarent. in the list.

Mind : Speech,unintelligible :Acon,Ars,Bell(3),Euph,Hyos(3),Lyc,Merc(2),Naja,Nux.v,Ph.ac(2), Sec(2), Sil,Stram(3),Tab.

Mouth: Speech,unintelligible :Ars,Art.v,Asaf, Bell(2), Bufo,
Chel,fl.ac(2),Hyos(2),Lyc,Naja,Ph.ac(2),Rhus.t,Stram(3),Thuj,Verat,Zinc.

Examples from chapter vertigo :
I. In the same chapter with different medicines.
Vertigo : Crossing,running water :Ang(2),Arg.m(2),Brom,Ferr,Sulph.
Vertigo : Water,crssing running :Ang,Arg.m(2),Bell(2),Brom,Ferr(2),Hyos(2),Stram,Sulph(2).

II. In different chapters with different medicines.
Vertigo : Vision obscuration of, with.( large rubric )It contains 60 medicines.
Vision : Dim,vertigo, during ( large rubric )It contains 58 medicines.

Vertigo : Vomiting with : ( large rubric, 33 medicines )
Stomach : Vomiting, vertigo,during : ( large rubric, 31 medicines )

Examples from head chapter ;
I. In different chapters with different medicines :
Head : Perspiration,except the head :Bell,Merc,Nux.v,Rhus.t(3),Samb(3),Sep(2),Thuj.
Perspiration : Head,general sweat,except the Bell(2),Merc,Nux.v,Rhust.t(3),Samb(3),Sec(2),Sep(2),Thuj(3)

EYE  : Photomania :

EAR :
I In the same chapter with the same medicines.
Ear : Tumours,wen,behind ears : Merc.i.r., Verb.
Ear : Wen,behind ear : Merc.i.r., Verb.

NOSE :
I In the same chapter with different medicines.

Nose : Epistaxis,amenorrhoea,with : Bry(2).,Cact(2).,Con.,Ham.,Lach.,Ol.j.,Phos(2).,Puls(2).
Nose : Epistaxis,vicarious:Bry(2),Ham(3),Lach(2),Phos(3),Puls(2).

II In different chapters, with the same medicines, but different grading.

Nose : Discolouration,yellow saddle. : Carb.an., Sanic., Sep(3).
Face : Saddle,acros the nose : Carb.an(2)., Sanic., Sep(3).

III. In different chapters, with different medicines.
Nose : Liquids, come out through the nose on attempting to swallow. : 30 medicines. Arum.t.,Lac.c.,Lach.,and Lyc.
are the first grade medicines.

Throat: Liquids,taken are forced into nose.: 28 medicines. (Gels and Hyos seem missing.) Lac.c.is in the second grade.
Others same.

Face :
I In the same chapter with the same medicines,in the same grading.
Face : Bloated,between the eyes. : Lyc.
Face : Swelling,eyes,between : Lyc.

II In different chapters with different medicines.
Face : Convulsions,beginning in face : Absin,Bufo(2),Cina,Dulc,Hyos,Ign,Sant,Sec(2).
Generalities : Convulsions,Begins in the face : Absin,Buf(2),Cina,Dulc,Hyos(2),Ign(2),Lach(2),Sant,Sec(2).

Face : Risus sardonicus.
Face : Saddle across the nose.

Throat :
I in the same chapter,with the same medicines,in the same grading.
Throat : Swallowing,difficult,drink must,inorder to swallow : Bell(2),Cact(2),Cur,Elaps,Kali.c,Nat.c(2),Nat.m.
Throat : Swallowing,impeded,must drink at every mouthful to wash down the food : Bell(2),Cact(2),Cur, Elaps,Kali.c,Nat.c(2),Nat.m.

Throat : Swallowing,fluids only,can swallow, but solid food gags : Bapt(2),Bar.c,Crot.c(2),Crot.h(2),Plb(2),Sil(2).
Throat : Swallowing,impeded,liquids only can swallow,least food gags. : Bapt(2),Bar.c,Crot.c(2), Crot.h(2),Plb(2),Sil(2).

II In the same chapter,with different medicines.
Throat : Anaesthesia : Acon(2), All.c(2),Arg.m,Gels(2), Kali.br(2),kali.c,Mag.s,Olnd,Verat.v.
Throat : Numbness : Acon, All.c, Arg.m,Gels,Kali.bi(2), Kali.c,Mag.s,Olnd,Verat.v.
( Kali.br replaced by Kali.bi )

Stomach :
I. In the same chapter,with the same medicine, but different grading.
Stomach : Disordered,fish : Chin.a.
Stomach : Indigestion,fish after : Chin.a(2).

II. In the same chapter,with different medicines.
Stomach : Disordered,mental exertion : Arn,Calc,Cocc,Lach(2),Nux.m,Nux.v(3),Puls(2),Sullph(2),Verat.
Stomach : Indigestion,mental exertion,after : Arn,Calc,Cocc,Lach(2),Nux.v(3),Puls(2),Sulph(2),Verat.

Stomach : Disordered,vexation,after. : Cham(3),Ip(2).
Stomach : Indigestion,vexation,after : Cham(3),Ip(3),Tarent.

III. In different chapters with different medicines. :
Stomach : Epileptic aura : Art.v, Bell,Bufo, Calc(2),Cic(3), Cupr,Indg(2),Nux.v(3),Sil(2), Sulph(3).
Generalities : Convulsions,epileptic,aura,solar plexus,from : Art.v,Bell,Bufo,
Calc,Caust(2),Cic(3),Cupr,Indg(2),Nux.v(3),Sil(2),Sulph(3).
( Difference in grade of Clcarea and addition of Causticum )

Abdomen :
I In different chapters with different medicines.
Abdomen : Epilepsy,begins in : Bufo.
Generalities : Convulsions,begins in the abdomen : Aran,Bufo(2)

Genitalia female :
I. In the same chapter,with the same medicines,but different grading. :

Genetalia female : Aura,extending from uterus to throat : Lach
Generalities,Convulsions,epileptic,aura,uterus to throat: Lach

Larynx and trachea ;
I In different chapters with the same medicines,but different grading :

Larynx and trachea : Supports larynx,on coughing : Acon(2),All.c(3),Ant.t,Bell(2),Dros(2),Hep(2),Iod,Lach.
Cough : Grasping throat during : Acon(2),All.c,Ant.t,Bell,

Cough :
I. In the same chapter with the same medicines in the same grading. :

1. Cough : Paroxysmal,consisting of,three coughs : Carb.v(2),Cupr(2),Phos,Stann.
Cough : Three coughs in succession : Carb.v(20,Cupr(2),Phos,Stann.

Extremities :
I. In different chapters with different medicines. :

Extremities : Wetting feet agg : Cham,Merc,Nat.c(2),Nat.m(2),Phos(2),Puls(2),Rhus.t,Sep(2),Sil(3),Xan.
Generalities: wet getting,feet : Agn,All.c(2), Cham, Dulc(2),Merc,Nat.c,Nat.m,Nux.m(2),Phos(2),Puls(3),
Rhus.t(2),Sep(2),Sil(3),Xan.

Chill :

I In the same chapter with the same medicines in the same grading:

Chill : Exposure,working in water : Calc(3),Rhus.t(2).
Chill : Water,working in from : Calc(3),Rhus.t(2).

II. In the same chapter with different medicines. :

Chill : Exposure,wet,from becoming : Acon, Aran(2), Bar.c, Bell, Bry(2), Calc(2), Cedr(2),
Dulc(2), Nat.s(2), Rhus.t(3),Sep,Tarent(2).

Chill : Water,from getting wet : Acon,Aran(2),Bar.c,Bell(2),Bry(2), Calc(2), Cedr, Dulc(2), Nat.s(2),Rhus.t(3),Sep(2),Sil.

Rubrics which seem to be included in the generalities chapter
1. Mind : Closing eyes amel
2. Mind : Darkness agg.
3. Head : Uncovering head agg.
4. Head : Warm coverings on head agg.
5. Head : washing head agg.
6. External throat : Clothing agg.
7. External throat : Uncovering throat agg.
8. Stomach : Eructation, aggravate .
9. Stomach : Eructation ,ameliorate.
10. Abdomen : Covering agg.
11. Rectum : Flatus amel.
12. Genetalia,male: Sexual passion,suppressing the,complaints from.
13. Genetalia,female : Menopause.
14. Extremities : Hang down,letting limbs agg.
15. Extremities : Hang down letting limbs amel.
16. Extremities : Hang down letting arms amel.
17. Extremities : Uncovering agg.
18. Extremities : Walk,late learning to.
19. Extremities : Wetting feet agg.
20. Perspiration : Suppressed, commplaints from.
21. Perspiration : Symptoms agg, while sweating.
22. Perspiration : Symptoms amel.
23. Perspiration : Symptoms, after agg.
24. Skin : Eruption,suppressed.

Spelling mistakes : (In reprint edition 1995; mini size.)
1. In main Rubrics :
Eg : Mind : Headless : ( Heedless )
(The meaning of these two words is same.But,it seems to be a mistake,as the cross reference given in the rubric `Careless’ is `Heedless’.)
Eye : Wind look : ( Wild look )
Face : Discoloration of jaws easy : ( Dislocation of jaws easy )
Perspiration : Sports : ( Spots ).

2. In main rubrics,but in repetition :
Eg :Stomach : Page 525. Left top page side heading.
Pulpitation : ( Pulsation )

Mistakes in levels of rubrics.
Examples :1. Larynx and Trachea : Level error from the rubric
Voice,hoarseness,children in to Voice,hoarseness,cold,damp weather.
(All these rubrics are given in the next level of the rubric Voice,hoarseness,calling aloud when )
then Voice,hoarseness,cough during to Voice,hoarseness,mucous in larynx.

(All these are given under Voice,hoarseness,coryza during )and Voice,hoarseness,wet weather agg. ( Given in the next level of hoarseness,warm room )

2. Chill : Error in level of rubric
Chill : Uncovering,aversion to, chilliness from.
(Chilliness from is given at the same level as that of aversion)

3. Stomach : Error in level of rubrics
Stomach,Vomiting,food,eating,5 or 6 hours after to
Stomach,vomiting,food,eating,undigested,2 or 3 hours after.( These rubrics are given under eating, immediately after.)

Methods of Selecting the Rubrics

stdsFor the precise and rational selection of required rubrics a thorough familiarity with the construction of repertory and philosophical background is very essential.

We may adopt any of the following methods…

Direct selection
Rubric search
Interpretation
Synonyms
Cross references
Synthesis of the rubrics

1.Direct selection
In this method we can directly search to the required rubric, because it is available in the required form.
Eg. Complaints of nursing children
Generalities . Nursing children
Precaceous puberty
Genit. Female,menses before the proper age

2. Rubric search
In this method the rubric may present in the direct form, but it is not as easily available as in the direct search.
Eg. Paralysis of auditory nerve
Hearing .Impaired, papralysis of auditory nerve from
Sensation as if fingers were thumb
Extr.Awkwardness, fingers
Gangrenous stomatitis
Gen. Cancerous affection, noma

3. Interpretation of rubrics
This method is mainly used for searching the rubric in the mind chapter. The symptoms or rubrics may not present in the direct form, the meaning of the symptom has to be understood in the contest of the case taking, and the suitable expression for that has to be found out in the repertory.
All the expression obtained on case taking is not found in the repertory, but the equivalent or allied expressions may be found through the interpretation.
Eg. Complaints of nursing mothers
Generalities. Loss of fluids
Doubtfull
Mind. Irresolution
Anorexia nervosa
Mind. Eat refuses to

4. Synonyms 
Synonyms are rubrics without remedies referring to a rubric (master synonym ) which contain remedies.
The synonym rubrics are considered synonymous with the master synonym. The remedies & sub rubrics are added under master synonym.
Eg. Mind. Cosmopolitan (Travel)
Mind. Exclamation (Shrieking)

5. Cross references
Cross references are rubric with remedies referring to other similar rubrics with remedies. The meaning is similar, but sufficiently different to legitimate a different rubric. Remedies and sub rubrics are added to the most appropriate rubric.
In this method the required rubric is selected by referring to the options provided at the rubric originally looked for.
#. Confirmatory cross reference
#. Comparative cross reference

a) Confirmatory cross reference.
An allied or similar meaning rubric is indicated in bracket against the rubric (primary rubric) which is originally searched  for which is having no medicines, but the medicines are present in the rubric that obtained after cross referencing (secondary rubric)
Eg. Mind.Abandoned
Medicines are indicated in Forsaken,so this medicines may be considered for Abandoned also.
Mind. Faultfinding (Censorious)

b) Comparative cross reference.
In this process, the cross reference is indicated in parenthesis against the primary rubric, medicines are also found against both in the primary & secondary.
This helps the physician to select most appropriate rubric in the given contest & to facilitate a wider choice of medicine.
Mind. Scorn & Contempt
Fear & Anxiety

6. Synthesis of rubrics
Synthesis of rubrics is combining two rubrics or more than two rubrics in a logical way to make one which is needed in the case but not found directly in the repertory.
may be either inductive or deductive.
Whenever a required symptom is not available in the necessary form two or more different rubrics may be brought together to arrive at the appropriate expression in the given contest.

a) Combining two small rubrics
In this method two rubrics are combined which are not represented well or having only few medicines, we can consider all the medicines in both the rubrics to form a new rubric.
Also used when the modalities are not available in the required rubric.
Eg. Perspiration around neck
External throat. respiration
Back.Perspiration,cervical region.

b) Combining different rubrics
In certain condition / cases the required rubric is not available in the same form at the same place two or more different rubrics may be clubbed together to get a rubric representing the given condition / contest. The medicines which are common to the rubric may be considered as the medicines for the given condition.
Eg. Adenoids
Respiration. Snoring
Mouth.Open,sleep in
Throat.Inflamation tonsils r/c
Throat.Induration tonsils
Nose. Obstruction sleep in
Gen. Cold tendency to take

References
Tiwari : Essentials of repertorisation
Munir Ahmed : Introduction to repertorisation
Dhawle : Principles & practice of Homoeopathy
Synthesis : Version 7
Mohanty : Text book of repertory.

Difficulties in taking a chronic case

Case taking is essentially a social interaction between a physician and a patient under certain pre determined condition.

We have to face many difficulties because of the ignorance of the masses who are not accustomed to a detailed narration of their sufferings to enable us for a homoeopathic prescription. our task is made even more difficult by the easy methods adopted by the modern system of medicine.

Bringing the masses, who are accustomed to the easy methods and impressive instruments, to the simple but the surer method of cure is a difficult task. We must under stand that their can be no substitute for human brain and that no instrument can understand  the human sufferings and only a human mind can realize the depth of the sufferings.

1. The influence of modern system upon the people
A physician trained in modern methods of treatment does not trouble the patient much by way of asking questions for case taking. The patient who are accustomed to such procedure and influenced by these techniques, come to a homoeopath and expect him to follow the same procedure with out touching the patient much in the way of interrogation and prescribe medicine for his trouble, yet expecting to have better results.

2. Changed symptom image
When all the possibilities of allopathic medicine including surgery fails, patient come to the homoeopath as their last resort. By the time he must have consumed large quantity of strong drugs continuously for a long time. The already consumed drug must   have produced their own symptoms (drug proving) changing the symptoms image of original disease, thus making the homoeopathic physician incapable of making a radical prescription.

3. Complex disease
Allopathic medicines are not prescribed according to the symptom similarity & are repeated quite often and unscientifically; when natural chronic disease are treated with these drugs, they produce their own symptoms (drug disease) and intimately mix with the already existing natural disease and cause complex disease which are very difficult to cure.

4. When pathology progress the signs & symptoms decreases
Many disease such as cancer usually comes on later in life, when childhood matters have been forgotten, they don’t remember the past history or family history. Pathological changes have already taken place.
In proportion as the pathology progress ,the signs and symptoms decreases. In the absence of signs and symptoms / totality of symptoms the choice of the medicine is not possible and on pathology alone no prescription can be made.

5. Modesty conceals the facts
There are certain conditions and sufferings which the patient may not like to disclose to the doctor due to modesty or shame. Due to modesty patient conceal the facts and give vague symptoms which make the correct prescription difficult.
Eg. Habitual masturbation
Leucorrhoea in females

6. Pretension modifies the symptoms
Certain patients exaggerate their symptoms, narrate more than they feels. Some patient narrate less than they feels. In certain grave diseases they don’t complain about their sufferings .These are hinder the proper case taking.

7. Patients accustomed to long sufferings
In chronic disease, the patient get accustomed to their long sufferings and may not feel the necessity of narrating the symptoms with which they have lived for long, which are important for the choice of medicine. They don’t consider that these symptoms have anything to do with the prescription that has to be made for the present trouble.

8. Symptoms appearing periodically are not narrated
Symptoms appearing periodically are important factors, which will help in the selection of medicine. The patient being ignorant of the importance of such symptoms occurring periodically along with the main symptoms may not narrate these while giving their case history.
Eg.Rheumatism during winter
Diarrhoea during rainy season

9. Alternating symptoms not narrated
Certain symptoms usually alternate with one another. They don’t understand the important of such alternating symptoms; moreover they are not aware of such alternation, thus making the proper prescription impossible.

10. The long sufferings considered incurable
The treatment for the new disease cannot be considered until a complete picture of the old symptoms is obtained. Due to gradual progress of the chronic disease, many symptoms are produced one after another, and with which the patient might have been living since long.
During this course some serious diseases develops which are the result of the existing chronic disease. Patient ignoring of the old symptoms, thinking that they are incurable, seek treatment for the new disease. so the complete picture cannot be obtained.

11. Un homoeopathic homoeopathic medicines
Some doctors usually prescribe complexes and tonics, eye drops and nasal drops to their patients. Each complexes/tonics contain 5_6 medicines. When they are administered, it will produce their own symptoms which will be more dangerous to the patient than natural disease.
So that, it would not have been possible for the homoeopathic medicine to overpower the natural disease and cure it. (usually homoeopathic medicines are more powerful than natural chronic  disease.

  • Complexes and tonics are not prepared according to symptom similarity.
  • They will produce their own symptoms (proving) and create a medicinal chronic diseases.
  • This will mix up with the natural chronic disease and make a complex disease which will be incurable.

12. Self medication
If the patient get well by self medication, he does not come to a doctor. But if the symptoms remain, he come to the clinic. As a result of prolonged medication the symptom remain suppressed and cause a problem for the physician.

13. Mixed miasmatic disease
There are certain diseases which have a combination of psora, syphilis and sycosis in a complex ; it is very difficult to penetrate in these cases.

14. One sided disease 
These diseases present too few symptoms for a judicious prescription.

References
Castro : Logic of Repertories
Ritu : Study of repertory
Dhawle : Principles & Practice of Homoeopathy

Dr J T Kent and Kent’s Repertory – A detailed study

Kent2Dr Rajitha K Nair

James Tyler Kent, physician and author of several valuable medical works Is a native of the town of Woodhull, Steuben countryNew York ,born In 1849 as the son of Mr: Stephen Kent and Caroline Tyler. His elementary and secondary education was acquired In Franklin academy. He was educated in medicine in ecletic medical institute Ohio graduating there in 1871.

Dr. Kent began his professional carrier in St: Louis as a physician of the eclectic school and at the same time being activelyconnected with several eclectic Journals in the capacity of a writer and also took an earnest part in council of Eclectic Medical College,St: Louis.

During this time his attention was forcibly directed to Homoeopathy through the serious illness of his wife whose case refused to yield to the treatment of either of his own Eclectic or allopathic school practitioners but was subdued by Homoeopathic treatment He then became a careful student of Hahnemann’s organon and other works of the new school which resulted in his complete conversion to Homoeopathy. For more than 35 years Dr: Kent has been a conspicuous figure in the medical circle and for more than 25 years in teaching and practicing under the law of similia. He was looked upon as one of the ablest teachers and exponents In the Homoeopathic school in America.

His contributions to the literature of the profession are known by their strength rather than their length and include more prominently his Repertory, Materia medica and Homoeopathic philosophy. He was born on 31st March 1849 and died on 6th June 1916. He was married to Dr: Clara Louis Kent

History and evolution of Kent’s repertory
Kent’s repertory belongs to the classification of logical utilitarian type became it has a logic behind its construction and has a utilitarian function. In the latter half of 19th century there developed two prominent schools of philosophers as Puritan group and Boenning Hausen’ s school. Both groups had their own merits and demerits.

Puritan group – They were rigid types . According to them repertory is merely an Index of materia medica. In these repertories symptoms are obtained as narrated by the prover while proving. There is no distortion of the provers words or symptoms and there is no breaking up of symptoms. Symptoms are represented in the repertory as it was recorded in proving. Hering, Hempel ,Jahr, Knerr , Gentry etc belongs to this school. Demerit of these repertories is that reportorial analysis Is not possible with these repertories.

Boenninghausen Group
This school was represented by Boenning Hausen . Their idea was not mere Indexing of symptoms. These repertories aid in clinical practice for the selection of the similimum. Here the symptoms are broken up into different components like sensation location modality and concomitants and are kept separated.

By the last quarter of 19th century there was flooding of the field of repertories by a large number of small books as regional orclinical repertories. Thus the number of repertories increased upto 120. This clearly shows that the profession was not satisfied with the existing type of general repertories. Puritan group was so rigid that It Is Impossible for these repertories to be used for reportorial analysis while Therapeutic pocket book would lead to unwarranted combinations which gave no confirmations to any materia medica .

Thus a need was felt for a new repertory that could combine the better aspects of these contrasting Ideas. First step in this direction was the repertory to the more characteristic symptoms of our materia medica by Constantine Lippe. In this repertory modalities were given In detail. The concept were broadened and put to maximum benefit In Kent’s repertory . In the beginning Kent used Therapeutic pocket book but was soon dissatisfied with Its philosophy and he started to go through the repertories published up that time. He liked the plan and arrangement of Lippe’s repertory. Dr: Kent had a thorough knowledge of materia medica and he found that many medicines are lacking in lippe’s repertory. So he added notes to each symptom or rubric. This was interleaved many times. He got into contact with Dr: Lippe. Dr.Lippe wanted Kent to work along with Lee who was preparing a 3rd edition of Lippe’s repertory. By this time Dr.Kent has prepared a repertory of urinary organs ,chill, fever, sweat etc.

Taking help from Dr: Kent Lee started working and compiled a repertory on Mind and Head. But the compilation was based on Boenning Hausen idea of generals end modalities were given at the end. Dr: Kent was not satisfied with this work and when lee became blind Kent rearranged It according to his plan.

Kent then started working on e repertory. In his opinion all the repertories had e common source, which are drug proving reports materia medica end clinical verifications. According to Dr: Kent verified symptom in any repertory has immense value. Therefore he asked his students to copy the symptom end remedies already collected in other repertories. He was helped In this endeavor by Drs: Milton Powell , Mary Ives, Arthur Allen end F.E. Gladwin.

Kent’s original plan was to :-

  • Gather and compile all the materil that has appeared in the existing repertories
  • To add into this compilation the notes he made over years To obtain from the Materia medica more symptoms and remedies for adding Into the compilation.
  • To add only those clinical symptom which were found not contradictory with their proving but consistent with their nature.
  • To check and recheck everything. For this he had gone through all the repertories. But soon he found out that there were a lot of mistakes in the existing repertories. He found many omissions, missing, or over emphasis of symptoms
  • Therapeutic pocket book -over Importance to concomitants. Kent said that these concomitants are against the principles of Hahnemann. There Is generalisation of particular modalities or mixing up of general modalities , imaginative and guess work and also breaking up of symptom.
  • Lippe-symptoms confused with modalities.
  • Jahr -too much emphasis on clinical symptoms
  • Hempel -symptom retained in the words of prover and this may lead to confusion.
  • Knerr -Clinical symptoms, toxicological extracts , observations from old school etc are included.
  • Gentry -symptoms recorded many times causing confusion.

So Kent discarded all the compilations and started working on a blank paper. He took no help from any of his students. He and his wife together worked out a new format of repertory. After the completion of the work Kent started using it in his clinical practice. On demand from the profession it was taken up for publication. But the cost of publication was too high which was estimated to be $ 9000 and was refused by Boericke and Tafel due to the huge outlay involved. So it was decided to publish the book in sections and subscriptions were sought from the profession. 200 subscriptions were obtained at $30.

At last the first edition of repertory came out In loose sheet form In 1897. By the time of publication of 2nd volume 90 withdrawn subscription. Repertory was issued in the book form for the fist time in 1899.

2nd edition -was published by Dr. Kent white he was In Lancaster.

3rd edition—Or: Kent at the time of his death left three handwritten and corrected copies for the 3rd edition of his repertory. In the preface of this repertory he writes about this work as ‘’ The 3rd edition completes my life work , I have brought up to date , I have rearranged and made numerous corrections In addition to adding of many new remedies. I have verified every symptom in the book .You will find aft remedies of any value contained herein and the book is complete”. He corrected and perfected the 3″‘ edition mostly during 1906- 1909. Of these 3 handwritten copies of the 3rd edition ,one was with Dr:F.E.GIadwln , Dr: J.S-Pugh and other one was with his wife DrClara Louis Kent. Dr :Ehrhart with the help of F.E .Glodwtn and J.S.Pugh published the 3rd edition in 1924. It can be seen that the 3rd edition published after Kent’s death has some glaring mistakes when compared to Kent’s manuscripts for the 3rd edition and then mistakes ware carried over to the present edition. Kent’s corrected manuscript was with F.EGladwin and she noted the mistakes and published it in Homoeopathic recorder volume Xlll February 1928.

4th edition – Published in Chicago in 1935 by Ehrhart and Karl wtth the help of Clara Louie Kent , F.E.Giadwin and J.S.Pugh.

5th edition -This edition of Kent’s repertory was planned in 1939. But due to the outbreak of the war it was considered unwise to attempt such a large undertaking. Some how It was published In 1945 before the end of war by Dr:Clara Louie Kent

6th American edition -was published In 1957

1st INDIAN EDITION-CAME OUT IN 1961.
It can be seen that the 3rd edition published after Kent’s death has some glaring mistakes when compared with Kent’s manuscripts for the third edition and these mistakes were carried over to the present edition. One copy of Kent’s original manuscript was with F.E.Gladwin and she noted the mistakes and published the corrections In Homoeopathic recorder volume Xlll-Feb 1928

Dr.Gladwin gave her copy of Kent’s manuscript of 3rd edition to Dr.Austin who In turn passed it to Dr: P. Schmidt along with the golden diamond ring which Dr Kent wore during his lifetime. Dr P.Schmidt assisted in revising 3rd, 4th and 5th editions.

Dr:Schmldt discovered many mistakes in the American and Indian editions. There were omissions wrong Insertions, mistakes in alphabetical order, spellings incorrect placing of rubrics and sub rubrics, error in grading etc. Unfortunately this corrected manuscript which was ready for printing was stolen by a selfish person. And he asked for help to publish the repertory, Dr.C.S.Saandhu got in contact with him and he was given a portion of the manuscript to be copied down. But In the beginning Dr:Sandhu was not knowing that he was seeing Kent original manuscripts. It was decided to bring out the repertory in sections. Two volumes were published which contained Mind and Vertigo in the Ist volume and head ,eye ^vision In the 2nd volume.

At the same time on request from Dr: P. Schmidt ,Dr-.Diwan Harish Chand got in touch with the person who had stolen it and managed to obtain the manuscripts which were in a mutilated form. He got this after prolonged and continuous persuasion. At last it was published in 1974. This edition is supposed to be the 7th edition of Kent’s repertory but the same repertory Is now termed as Kent’s final general repertory of Homoeopathic materia medica.

In the early part of the 20th century Dr.C.M.Boger added a lot of rubrics to Kent’s repertory. Additions were also made by Dr.Vithoulkas.

  • Dr.R.P.Patel published a corrected and Improved Kent’s repertory
  • Expanded by DrSivaraman.
  • DrJost Kunzhli made additions /corrections and published Repertorium Generale.
  • Synthetic repertory -Generals of Kent worked out into 3 volumes by Barthel &l Klunker.

During the last decades of 20th century Kent’s repertory formed the foundation for

  • Synthesis -By Friedriche Schroyens
  • Homoeopathic medical repertory -Robin Murphy
  • Complete repertory -Roger Van Zandvoort
  • Kent’s comparative repertory -Dockx & Kokelenberg
  • Chronic miasms In Homoeopathy -R.P.Patel.

Philosophical background of Kent’s repertory
Dr; Kent was not satisfied with the repertories available during his time. He severely criticized the faulty method of giving Importance to parts and overgeneralising of symptoms and favored the selection of symptom on the basis of generals. As a master of materia medica he noticed that particulars do not fall in line with generals in all cases and he emphasized the importance of generals. He said that in order to understand a person his expressions at the level of generals must be noted and relied upon.

So the emphasis should be given to study the expression of sick person as a whole I.e whilst approach according to which the disease starts in the core. We should know the pattern of disease occurrence, awareness of its origin and progress is essential. Mental symptoms are most important because disease primarily deranges the core or mental domain. After that it may cause some effect on the physical level producing physical symptoms touching the patient as a whole, at last disease gets localised and produces particular symptoms. The symptom noticeable at the level of parts should be considered only after mental generals end physical generals. Dr: Kent says “man Is prior to organs and the home In which he lives Is his body. What is expressed in parts is always preceded by a deviation in the state of health of the person. Such a deviation can be known only through expressions at the general level.

Kent’s repertory is based on the philosophy of DEDUCTIVE LOGIC. So here generals are dealt with in detail followed by particulars and minute peculiars. If a case is worked out from particulars only frequent failures may result This Is due to the fact that the particular direction in which the remedies In general rubric has not been observed and thus to depend upon a small group of remedies is to shut out other remedies which may have that symptom although not yet observed. In each the general symptom should be considered first and then particularise. In many cases particulars alone wont give a complete picture.

By working out a case in the other direction I.e. from generals to particulars the general rubric will include all the remedies that are related to the symptom and if after having done this ,the particulars are gone Into and the remedy which run through the general rubric Is found to have the particular symptom. This will aid in the choice of the remedy to be prescribed.

The medicine selected should cover the patient and should rover the pathognomonic symptom. For this find the strange rare and peculiar symptom, see that no generals are contradicting. It will be the similimum. This method was adopted by Kent. So under the chapter mind mental generals are given. They contain rubrics related to will /understanding and memory. The physical generals are mostly listed under the chapter generalities and a few in other chapters. Both these chapters are full of generals and these alone can be useful In finding out the similimum In some cases.

Kent made use of earlier materia medica and clinical observations but rejected numerous symptoms and drugs which were Insufficiently confirmed. Thus his repertory contains only 648 drugs.

Evaluation of remedies

He used three varities of typography to indicate the gradation of remedies unlike the 5 gradations of Boenning Hausen and Boger
Bold -3 marks-1st grade -felt strongly by all provers of majority of provers ,frequently confirmed and verified.
Italics -represents 2 marks, 2nd grade symptoms brought out by few provers, have not been confirmed but occasionally verified.
Roman -represenst 1 mark, 3rd grade , verified by curing patients so accepted as clinical symptom.
According to Dhawale—3 mark of Kent is similar to 5 mark of Boenning Hausen , 2mark of kent similar to 4&3 of Boenning Hausen and 1 mark to 2&.1 of Boenning Hausen .

Plan and construction of Kent’s repertory
Kent’s repertory has a uniform plan which provides scope for indefinite expansion so that remedies can be added from time to time whenever confirmed or verified.
Kent’s repertory started from Lipper’s repertory of the more characteristic symptom of our materia medica published in 1879.Lipper’s repertory inturn took its material from.

Repertory to the Allen town manual published in 1838 by Constantine hering which is the first repertory and materia medica published in English language.
Selections from Boenning Hausen’s works
Adolph Lippe’s materia medica
Bell’s diarrhoea
Works of Guernsey ,hering and Jahr.

Macro Construction
Repertory is divided into 37 chapters spanning into 1423 pages arranged in double columns. The repertory starts with mind chapter, which has been given prime importance. Last chapter is on generalities which contains physical generals and physical general modalities. These 37 chapters can be classed into 3 sections as • Mentals-mind mental complaints sensations dispositions and attributes.
Particulars-30 chapters arranged in Hahnemannian schema.
Almost all of these chapters are dealing with anatomical locations. it also includes chapters on discharges like stool and urine, local pathology-cough and expectoration, physiological functions-respiration, vision, hearing& steep.
Symptoms not localised to any particular organ like vertigo sleep chill, fever, perspiration and generalities.
Number of medicines -648. An index of medicines with their abbreviations are given in the beginning of repertory although other drugs were known during his time. He rejected numerous symptom and drugs which were insufficiently confirmed.
Evaluation of remedies
He used three varieties of typography to indicate the gradation of remedies unlike the 5 gradations of Boenning Hausen and Boger.
Bold -3 marks-1st grade -felt strongly by all provers or majority of provers, frequently confirmed and verified.
Italics -represents 2 marks, 2nd symptoms brought out by few provers, have not been confirmed but occasionally verified.
Roman -represents 1 mark, 3rd grade , verified by curing patients so accepted as clinical symptom

The plan followed through out is from generals to particulars.
i.e. general rubrics containing all the remedies which have produced all the symptoms followed by particulars like side ,time, modalities and lastly extensions.
Up to 6th edition ,Kent’s repertory contains 37 chapters. In the 7th edition or Kent’s final general repertory by Pierre Schmidt contain 39 chapters where he gave independent status to smell and voice which under the earlier editions were put under nose and larynx respectively. In Kunzli’s repertorium generale by Jost Kunzli he reduced the total number of chapters into 27 by putting vision under eyes, external throat under throat ,bladder, kidney ,prostate, urethra and urine under urinary organs and chill, fever and perspiration under one section. So for a question about the no: of chapters in Kent’s repertory one may answer that upto 6th editions there were only 37 sections including the 5 sections on urinary organs and in Kent’s final general repertory by Pierre Schmidt contains 39 chapters and Kents repertorium generate by lost Kunzli contains 27 chapters.

Micro construction
In every chapter arrangement of rubrics is in alphabetical order except in some situations,e.g. Vertigo- Vertigo is the first rubric, then time modalities and only after this we can find the anatomical arrangement. The plan followed through out is from generals to particulars. Each rubrics starts with a general group of remedies. After that, sides of body, time, different sensations and circumstances are arranged.

Type of rubrics depends on the chapter.
Anatomical region- if the chapter is an anatomical region conditions referable to that part will be given as rubrics and they will be arranged In alphabetical order. e.g.-in head, abdomen , chest etc.
Physiological function-disorder of that particular function will be given as rubrics. E.g.- Hearing- Impaired. Vision- dim, Respiration – irregular.
Pathological condition – hare general remedies and modifications will be given as rubrics. E.g.- Vertigo- vertigo , chill-chill.
Local pathologies-here modifications by time and circumstances will be given as rubrics. E.g.- Cough-Morning
Mind-mental conditions, dispositions and attributes will be given as rubrics
Generalities -rubrics related to time, conditions, modifications and circumstances. Conditions can be diagnosis like paralysis agitans or pathological conditions like haemorrhage

Rubric presentation or type of rubrics
Expression of a state -Anger/ fear /restlessness
Expression of a sensation-coldness/heal/numbness
Expression of a condition-atrophy/ catarrh/ flatulence
Expression of a location-side/left
Expression of a modality-time- day time/noon/11 am, seasonal-summer/winter, circumstances-lying,bed on.
Expression of diagnosis-epilepsy,gangrene,hydrocele
Expression of a causation

Arrangement of sub-rubrics under every rubric is based on the principle of generals to particulars. General rubric include all those medicines where the prover reported a symptom with several modifications. In such cases medicine will be seen under the general rubric and also under the particular rubric. It also includes symptoms without any modifications, symptoms of an undefined kind or nature and also some symptoms with undefined modalities as for e.g.-pain in arm.

Particular rubric– from the level of general rubric he further individualized or particularized as side, time, modalities, extensions, localizations, kind and nature. In some cases even sub-locations can be seen. Finest and minutest shades are modifications further modified. A symptom at each level becomes a general in relation to the succeeding levels. i.e., from broad undefined symptom groups and going to the minutest particulars. Thus the extremities chapter became very large and received many criticisms. In this chapter he used sub-locations up to the level of fingertips, nails and even phalanges.

We can find this pattern of arrangement in Allen’s Symptom register. Here each symptom is followed by its cause then modalities and then peculiarities.Here the arrangement is strictly alphabetical. Key word or RUBRIC is kept close to the margin line and is printed in CAPITALS of heavy block type. Modifications or sub-rubrics are placed two spaces to the right of the margin line. Remedy line is four spaces to the right. Every sub-rubric to placed two spaces to the right of one above.

Arrangement of sub rubrics –arrangement of sub rubrics is always in a fixed pattern, i.e. side, time, modalities and extensions.
This S T M E Arrangement was brought forward by Julia Minerva Green, a disciple of Kent. This arrangement is mainly seen for subjective sensations like pain, numbness etc. but in objective symptoms like discharges, eruption, discoloration etc we do not find this STME arrangement instead sub rubrics are presented here mainly in the form of characters and locations as they are more important. Circumstances and time are placed as peculiarities under character. In these type of rubrics there will be no time and modalities under the general rubrics. E.g.:- Head-Eruption, margins of hair, occiput, character, modalities.

So each rubric is modified by six factors following the same order following the same order all through the different headingswith some exceptions in some chapters. They are
Sides or laterality (first right then left)
Time of occurrence
Modifications (modalities – conditions and circumstances are given in alphabetical order)
Extensions
Locations
Character of pain or sensations.
It is important to note that all these modifications need not necessarily be present under every general rubric as only those symptoms which have been recorded during the proving are compiled in this repertory.

Explanations for STME arrangement
SIDE-whenever a rubrics can be divided into sides the general rubric is followed immediately by side first right and then left except in chapters on generalities, perspiration etc where SIDE is given as a rubric within the alphabetical arrangement. In certain chapters SIDE is considered as a sub location. E.g.- chapters on Head, Abdomen, Chest, Teeth. If the rubrics cannot be divided into sides as in chapters on Mind, cough etc naturally side will not find any place. In some chapters where Side cannot be given or are not given Time immediately follows the general rubric.

TIME-time is given in most of the rubrics. In the arrangement of time also he followed the logic of generals to particulars. Arrangement is from general period of time to particular point of time. If any symptom is aggravated during the daytime the general rubric or side is followed immediately by daytime. In Kent’s repertory almost all rubrics are arranged in alphabetical order but time rubrics are given according to their order of appearances. The general periods of time are arranged as day time, morning, forenoon, noon, afternoon, evening, twilight, night, midnight, midnight before and midnight after.
Each period of time is further divided into particular points of time like 8 am 9 am 4-8pm etc. any other peculiarities associated with time are given as sub rubrics. E.g.:- Cough-Paroxysmal-evening -bed in. within the general periods of time the corresponding clock timings are given. In the chapter on chill TIME is given as a separate rubric within the alphabetical order (lam-12pm.), if one division of time is not given, the next division follows. E.g.:- the rubric anxiety is followed by the sub-rubric day-time, where as anger is followed by morning because day time as a sub-rubric is not given under anger.

Modalities- this section follows time. Aggravations and ameliorations are mixed together and arranged in the alphabetical order. Modalities include different factors, which influence the symptom. In case of aggravation only the circumstances will be mentioned. If there is amelioration from the same condition it will be given as sub-rubric and following the sub-rubric the term amel will be added to it. Large number of sub-rubrics constitutes this area. This part is a mixture of concomitants and character apart from aggravations and ameliorations. E.g.:- Head pain-catarrhal, hammering, paroxysmal, pulsating. E.g.:- for concomitants- head pain- coryza with, head pain- pain in neck with. So this section is a mixture of 3 C as Circumstances, Characteristics and Concomitants. Alternation with a particular complaint to pieced within the alphabetical order among the alphabet ‘a’, e.g.: respiration- asthmatic alternating with skin eruptions but extensions are given after all modalities.

Extensions – This is the fourth modification of a symptom and is mainly found under the pain rubric. Here It may be remembered in regard to extent ion that the points from which a certain symptom extends to the one under which the symptom will be found and never under the part to which it extends.E.g.: Head Pain -extending to eyes. This symptom must be looked for under the rubric Head Pain and not under Eye Pain.

Locations—- After extension sub location of the main location will be arranged in alphabetical order. Under each of these sub-locations the above mentioned STME arrangement can be seen, .for e.g:- head chapter includes many sub-locations like Brain, Forehead, Temples, Occiput etc. These modifications are especially found under pain rubric.

Character of pains or sensations- this section of symptom is usually seen under subjective symptoms like Pains, noises in the ears etc, here also the character of pain or sensations will be given in the alphabetical order like – aching, burning, catching, drawing etc. Under each type of pain Time Modalities and Extensions are given.
The above order STMELC is generally followed in each rubric and sub-rubrics. Since generalities chapter deals with certain states of the person and also aggravations and ameliorations the above order is not possible in this chapter. This order has been slightly modified according to the rubrics here and there.
Skin, Fever, Perspiration, sleep etc do not follow this arrangement. But in these chapters also we can find an alphabetical arrangement from generals to minute particulars.

Chapters are arranged in anatomical after Mind
. Discharges such as stool, urine, expectoration etc are given as separate chapters. Generals are found under Mind, Generalities and Sleep although some generals are found scattered in other chapter also. Some conditions like Vertigo, Cough, Chill, Fever, Vision and hearing are given as separate chapters. In this repertory systems are not given separately but symptoms related to them are given under parts.

1 Mind
2 Vertigo
3 Head
4 Eye
5 Vision
6 Ear
7 Hearing
8 Nose
9 Face
10.Mouth
11 Teeth
12 Throat
13 Ext;Throat
14 Stomach
15 Abdomen
16 Rectum
17 Stool
18 Bladder
19 Kidney
20 Prostate
21 Urethra
22 Urine
23 Genitalia
24 Genitalia-Female
25 Larynx &Trachea
26 Respiration
27 Cough
2b Expectoration
29 Chest
30 Back
31 Extremities
32 Sleep
33 Chill
34. Fever
35 Perspiration
36.Skin
37.Generalities

Reference : Introduction to Repertorisation – Dr Munir Ahammed

Dr Rajitha K Nair BHMS,MD(Hom)
Govt. Homeopathic Medical College. Trivandrum. Kerala
Email : drrajithakn@rediffmail.com

Clinical rubrics in Synthesis Repertory

Dr  Sanil Kumar BHMS,MD(Hom)

Clinical rubics in Repertorium Homoeopathicum Syntheticum

Download the table : www.similima.com/pdf/clinical-rubrics-synthesis.pdf

Dr  Sanil Kumar BHMS,MD(Hom)
Department of Forensic Medicine & Toxicology
Govt. Homeopathic Medical College. Calicut.10. India
Email : drsakumkumar@yahoo.co.in

Comparison of Boger’s repertory with Therapeutic Pocket book

bogerDr Sanil Kumar

Boenninghausen’s Characteristics and Repertory has got its own advantages over other repertories. It is well explained, well arranged, follows a definite plan and construction and is based on a sound philosophy. Adequate acquaintance with the repertory with the repertory is needed to put it to maximum use.

Boger has given greater importance to causation, time- dimensions, modalities and generals (pathological, physical and mental). It is obvious that Boger has given importance to causation, modalities, concomitants, general sensations and pathology. Location is given the last place in the order of hierarchy.

While compiling the repertory, Boger followed the basic plan and construction of Boenninghausen’s Repertory of Antipsoric Medicines, which could overcome many difficulties faced in using Therapeutic pocket book.

The repertory embraces the psoric and the anti-psoric repertories, the sides of body, the repertory part of the intermittent fever and of whooping cough as well as a large number of paragraphs from the aphorisms of Hippocrates.

Download comparative chart : www.similima.com/pdf/comparison-boger-tpb.pdf

History and evolution of therapeutic pocket book

Dr Rajitha K Nair   

After Hahnemann’s materia medica pura was written it became more and more apparent that some method should be used that would make it possible to find the similimum more easily and quickly. Records of symptoms developed through proving reached so bulky proportions that medicines were prescribed after referring pages and pages of materia medica. Even Hahnemann who conducted many provings and who himself proved many drugs prescribed medicines after much reference to the materia medica. This was a stupendous task even to Hahnemann and he compelled a short repertory of leading symptoms which were printed in Latin. Later he developed the repertory idea still further but these later repertories are still in the manuscript form.

After recovering from purulent tuberculosis In 1828 Boenninghausen developed a firm belief in homoeopathy. He started working on the new healing art and came in contact with several physicians and tried to know more and more about Homoeopathy. Soon he came in contact with Hahnemann in 1830. At that time repertory was a new adventure in the Homoeopathic literature developing under pressure of necessity in indexing many provings that had accumulated or to Index the ever enlarging materia medica.

Boenninghausen took up the task of compiling a Repertory on being requested by Hahnemann himself. He meticulously went through the records of original provings and compared them with reports of clinical verifications. In this process he even discarded some medicines which could not stand his scrutiny.

In the modern version Boenning hausen’s repertory encompassed only those medicines that were listed in Hahnemann’s chronic diseases as antipsorics. He published his first repertory in 1832 and It is called as the REPERTORY OF ANTIPSORICS with a preface by Hahnemann. In spite of the systematic productions of Hartlaub and Trinks and Weber and Peschler whose alphabetical index was also prepared by Boenninghausen, the practitioners preffered Boenning hausen’s repertory. They found it more practical and urged Boenning hausen to make it more useful. To make this book more comprehensible Boenning hausen later on added more more antipsoric medicines that were nearly proved.

His second repertory the REPRTORY OF MEDICINES WHICH ARE NOT ANTIPSORICS was made available to the profession in 1835. In 1833 he published a book named THE SUMMARY VIEW OF CHIEF SPHERE OF OPERATION OF ANTIPSORIC MEDICINES and their characteristic peculiarities as an appendix to the repertory and also another work AN ATTEMPT AT HOMOEOPATHIC THERAPY OF INTERMITTENT FEVER.

In 1836 the book named AN ATTEMPT AT SHOWING THE RELATIVE KINSHIP OF HOMOEOPATHIC MEDICINES was published.

Lastly after 10 years of clinical experience published his Therapeutic pocket book in 1846 wherein he incorporated all informations from his earlier works as well as his rich clinical experience. It was named by Boenning Hausen as THE THERAPEUTIC MANUAL FOR HOMOEOPATHIC PHYSICIANS FOR — USE AT SICK BED AND IN THE STUDY OF MATERIA MEDICA PURA.

Source books of Therapeutic pocket book

  • Repertory of antipsoric medlclnes-1832
  • Summary view of chief sphere of operation of anti- psoric remedies and their characteristic peculiarities as an appendix to the repertory -1833
  • An attempt at Homoeopathic therapy of Intermittent fever-1833
  • Repertory of medicines which are not antipsorics-1835
  • Relative kinship of Homoeopathic medicines-1836

The difficulty to cure the chronic disease caused Boenning Hausen to think of expedients which would make suitable remedy easier and more certain by bringing the symptom of each one more clearly in view. At first the repertory was limited to the remedies named in the first three volumes of chronic diseases.

The Therapeutic pocket book attained instantaneous popularity among practitioners. Even today this work is Invaluable. Dr: Hahnemann himself used Boenning Hausen’s Therapeutic pocket book in his practice and preferred it to jahr’s compilation. This Therapeutic pocket book contained the principles and general method of construction set forth in former volumes, much amplified and perfected as the fruit of constant observations over a period of several years and yet so compactly constructed that it avoided the cumbersome features of jahr ‘s and other earlier repertories.

Translations
Abou
t 2 years after Boenning Hausen first published his Therapeutic pocket book an English edition was published in Munster.Translators name has not been given for this edition but the translation was done as Boenning Hausen says in his preface that by one of the most eminent German Homoeopathic physicians who is perfectly acquainted with English language and literature but who does not care to be known. This edition is not practical for present day use because the translator used many phrases which are now obsolete

A French translation was made by Boenning Hausen himself

A short time afterwards It was translated by Hempel in around 1847. A careful comparison of several editions and comparison with materia medica convince us that of the older editions Hempels edition is more nearly correct in Its original form and more practical than any other early editions available at that time. translated by Boger and Okle in 1847.

Later it was translated by T.F-Allen where he made many changes in the form of additions of rubrics medicines and even some changes in the structure but the basic outline remained the same. he incorporated the two sides of human body published by Boenning Hausen in 1851. This incorporation was not done smoothly, so there are many difficulties .Allens edition has suffered from faulty translation to a marked degree. Along with these mistakes in translation and rearrangement of headings has decreased the usefulness of what would have been the most valuable edition of Therapeutic pocket book.

At last in 1935 H. A. Roberts a stalwart in the field brought out a new edition of Boenning Hausen’s Therapeutic pocket book with a few minor changes and carrying an elaborate Introduction which facilitated the understanding and practical use of the book. With his vast experience and contribution to the Homoeopathic literature he was perhaps the fittest person to write such a learned and useful introduction

Boenning Hausen’s Therapeutic pocket book is the result of his long years of his Indefatigable labour , the fruit of all his professional studies, the sum total of all his vast experience and a perfected type of mechanism by which the principle of Homoeopathy are made practical of application. Allen rearranged the book by changing the titles also.

Use of repertory
The physician need in his practice to aid in his memory a work which is abridged , easily consulted and which contains the characteristic symptom and their combinations. This is to enable him in any individual case of sickness to select from the remedies generally indicated , the one suitable and Homoeopathic without a too great loss of time. In his repertory construction Boenning Hausen was supported and advised by Dr: Hahnemann.

Philosophical background of therapeutic pocket book
The principle of repertorisation on Boenning Hausen’s Therapeutic pocket book is based on inductive reasoning. The essence of reportorial preparation is a generalisation or proceeding from particulars to generals.

Boenning Hausen proceeds on Hahnemannian theory that it is the patient who is sick and not his body nor his eyes. every symptom that refers to a part may be predicted of the whole person.

The symptoms are classified according to the elements of a symptom. The disease expressions are segregated under the four categories as location sensation, modalities and concomitants.

The school of philosophy that determines the principles of repertorisation is called Boenning Hausen’s school of philosophy. It is based on the premises of inductive reasoning. The basic principle for repertorisation is the process of generalisation or proceeding from particulars to generals. Thus the presence of particular symptom may Indicate the selection of Therapeutic pocket book provided that those particulars can be aggregated to form a general symptom on the basis of Inductive reasoning.

While studying the symptomatology in Homoeopathic materia medica , Boenning Hausen realised many difficulties with regard to symptoms. With the best possible case taking , the record is often left in an incomplete or fragmentary state where sometimes location, sometimes sensation and at other times modalities may be missing.

He secured the difficulties encountered by physician in securing a complete image of the case and his comparison of case records and the records of provers convinced him of the fact that the same lack of observation existed in provers as existed in
patients. He emphasised more on completing the symptom with all their components. Boenning Hausen held that a symptom should be complete before it fits into the totality. A complete symptom consists of sensation , location, modality and concomitants.

In constructing Therapeutic pocket book , Boenning Hausen based his grouping of symptom on Dr: Hahnemann’s teaching , It is imperative that the Homoeopathic physician should prescribe on the totality of the case. He proceeded on the hypothesis that this totality was not only the sum total of all the symptom but in itself was one grand symptom , the symptom of the patient. Whether the individual part or grand symptom Is considered 3 factors areimportant as

Location
Location implies part, organ or tissue involved in the disease process. Majority of symptoms can be easily related to parts.

Sensation
It includes the kind of pain sensation ,functional or organic change characterising the disease process. Sensation can be subjective or objective sensation or complaint. Patient generally mentions this component of the symptom. The change in normal function alters the sensation which is first noticed as a complaint. The exactness of the sensation helps the physician to understand the complaint and to differentiate drugs.

Modalities
Every symptom is qualified by factors which modify them. In most of the expressions the increasing factor is identified by the patient and the factor that gives relief are hardly noticed. For completing the symptom both aggravations and ameliorations are important. Modalities include the circumstances which are causing, exciting, Increasing or affording relief of the sufferings. This also Includes causation and exciting and maintaining factors.

Concomitants
This is not an essential component, but its presence would immensely help us to individualize the case  along with the other three components there exits some expressions which are not directly related to the symptom but such expressions appear and disappear with the complaint. These are the expressions of the individual and they deserve prime importance in the study of symptom and diseases. Very often patient forgets to mention concomitant because they do not consider them worthy of being mentioned.

BoenningHausen subscribed to the principles of generalisation. The brilliance of his focus is on particular symptom and the need to obtain all the four elements of a symptomatic expression to complete a symptom. As the ideal state may not always be achievable he introduced the principles of inductive reasoning for attempting generalisation. Under this two major premises included were the doctrine of analogy and doctrine of concomitance.

Boenning Hausen’s attempt was to complete the symptom but in practice he found it difficult to do so. Thus he evolved the concept that what is true to the part is also true to the whole person. The following fundamental concepts forms the bedrock of Therapeutic pocket book as

  • Doctrine of analogy
  • Doctrine of concomitants
  • Evaluation of remedies
  • Concordances

Doctrine of analogy
This refers to the concept of evolving a general expression from among the particular features. When a sensation is prevalent at more than two locations with the modifying factors being the same and having a common concomitant for all the affected regions that sensation have a pivotal role to convert the whole complex of expression into a meaningful unit that is a general symptom.
e.g :- If a person is having pricking pain in chest, teeth and knee joint, pain is aggravated by breathing and wearing warm clothes,. Toothache is worse from chewing and relieved by holding warm water in mouth, knee pain is aggravated by walking and there is some relief by applying a hot fomentation. Whenever this complaint affects this person he becomes homesick , sticking pain becomes a general sensation with modalities worse by movement and better by warmth, the concomitant being homesickness and parts affected being teeth, chest and knee. In certain situations this ideal may not be present. There may be some deficiency in the data either due to masking of data in the patient or due to non observation by the patient or due to physicians inability to access the whole data. In such an event basing on the principles of Gestalt’s school of psychology we are able to complete the symptom by using the available data.

Boenning Hausen referred to this plan as the doctrine of analogy. In the light of this plan , the generalisation of the symptom is achieved by the harmony perceived among the expressed features. While adopting to the doctrine of analogy one has to be careful to avoid falling prey to the trivialisation of the principle by overstreching it. The symptom complex thus obtained is called a grand symptom.

Boenning Hausen’s analytical mind came to the conclusion that to complete the symptom local modalities and sensations pertaining to one part should also be applied to other parts. Thus he raised local symptom to a general level which could be used for the whole person. This is called the doctrine of grand generalisation.

Boenning Hausen considered sickness as an expression of the whole person and not the part. Sickness is expressed through different parts of the person. Thus all modalities which are noted in one part but absent in other part should be taken as an expression of the whole person.

This approach solved many difficulties encountered in completing the symptom and for a long time majority of physicians followed this approach. Even today some physicians adopt this method. However this approach may not serve those cases in which different parts expresses different modalities which do not correspond to the person’s characteristics.

The combination of subjective and objective symptom constitutes the case. We often find that it is impossible to secure from the patient a clear cut picture of his difficulties in spite of the best art the physician may exercise.

Boenning Hausen recognized that even with the best possible case taking the record is often left in an incomplete or fragmentary state. In some instances the localities are not clearly mentioned , In others the sensation or affection is indicated in an intelligible manner. Most frequently the conditions of aggravations and ameliorations of the particular symptom or the patients general condition could not be stated because of patients lack of observation. Perhaps the patient could not state what relation the symptom the symptom had to each other as to time place and persons if there are alternating symptom groups. In these modifications of symptom such as aggravations and ameliorations lie the keys that unlock the similitude of remedies to the individual case.

Boenning Hausen comprehended the difficulties encountered by the practitioners in securing a complete picture of the case and comparisons of case records convinced him of the fact that the same lack of observation existed in provers as in patients. Later every case was examined symptomatically with this purpose always in view to make every symptom as complete as possible covering the specific points of locality, sensations ,modalities and concomitants or co-existence of other symptoms under the same circumstances.

He learned that symptom which existed in an incomplete form in some part of the given case can be reliably completed by analogy by observing the conditions in other parts of the case. If it is unable to find the condition which aggravated or ameliorated a particular symptom of the case patient would readily express a condition of amelioration of some other symptom. The condition of aggravations or ameliorations is not confined to that particular symptom but they apply to all the symptom of the case. In reality the patient is not expressing many symptoms but only parts of very few complete symptoms which the examiner must bring together and complete. Boenning Hausen so defined the Therapeutic pocket book that It would enable the physician to bring together these symptom and complete one part by another.

The perceptible symptom of the disease are often broken up and scattered through the different parts of the patients organism. These scattered parts must be found and brought together. Boenning Hausen applies the principles of concomitance , when in an obscure case he brings order out of chaos by combining the scattered fragments of symptom into one or more typical symptoms by fixing a locality in one part, taking the characteristic or sensation from symptom expressed by the patient In some other parts. But these symptom are not chosen at random they must all bear a definite relation to each other in the matter of time circumstances , even though they have a seeming irregularity in grouping.

Doctrine of concomitants
This is the most celebrated contribution that Boenning Hausen has made to the understanding of the totality of symptoms.the trigger factor of this discovery may be found in Dr:Hahnemann’s observations. While expanding the individualising features in relation to the accompaniments. Boenning Hausen constructed these factors as an addition to the concomitant factor and he developed this idea into an integral part of the complete symptom theory.

The verb concomitance means existing or occurring together, attendant. The noun means attendant circumstances. The concomitant thus becomes the factor which coexist with the primary suffering or the main complaint. The concomitant symptom cannot have an independent existence. In nearly every case we find one or more concomitant symptom, we often find that the concomitant symptom are not only co existent but they are those symptom that indicate the remedy.

In constructing Therapeutic pocket book Boenning Hausen based his grouping of symptom on Hahnemann’s teaching that it is imperative that the physician should prescribe on the totality of the case. He proceeded on the hypothesis that Oils totality was not only the sumtotal of the symptom but in itself was one grand symptom,the symptom of the patient. And that whether the individual part or symptom were considered in the totality 3 factors are important as location, sensation and modality.

Symptoms naturally occur in groups, some of which are marked and prominent and some are subsidiary. These are always the leading symptom and these chief symptom may be defined as those symptom for which there are clear pathological foundation or the symptom that are marked, prominent and clearly recognizable or symptom which first attract the attention of the physician and which causes the most suffering. It Indicates chiefly the seat and nature of the morbid process. If some symptom appear with some relation of time to the outstanding symptom group such as alternating summer and winter symptoms , they should be taken into consideration. In most cases we can find one or more concomitant symptom and we often find that the concomitant symptom are not only co existent but they are those symptom that seemingly have no relation to the leading symptom from the stand point of theoretical pathology.

Other important points regarding concomitant symptom are
We can find no reason for their existence in the individual under consideration
They exist at the same time in the same patient They must not be overlooked nor undervalued because they cannot be made to confirm to the theories of the traditional medicine.
According to Boenning Hausen concomitants are the differentiating factor. In all cases with location, sensation and modalities the concomitant must be added, the peculiar or accidental feature that exists in every totality. In both the patient and the remedy by which it is differentiated from every case or remedy.

The concomitant symptom is to the totality what the condition of aggravation and amelioration is to the single symptom it is the differentiating factor.

Boenning Hausen first identified in each case a group of symptom along with the main complaint which in practice were generally overlooked by the patient and unnoticed by the physician. In all cases such a group of symptom does exists and and they are totally missed due to inadequate observation. Such group of symptom even appear unrelated to the main complaint and they are very crucial in Individualising the case as well as the remedy.

Master Dr: Hahnemann had also stated the importance of striking singular rare and characteristic symptom which Boenning Hausen described as concomitant. Infact the idea of concomitant came from Dr: Hahnemann’s instructions on case taking where he emphasised the importance of enquiring into the symptom before, during and after the main complaint.

Evaluation of remedies
On account of the large number of remedies under nearly every rubrics Boenning Hausen FOUND IT INDISPENSABLE TO DISTINGUISH THEIR RELATIVE VALUE BY MEANS OF VARIOUS TYPES
So there will be found five classes distinguished by 5 types.

The grading of medicines in various editions
Grade marks original evaluation Allens edition

  • 1st 5 spaced italics CAPITALS
  • 2nd 4 simple italics bold
  • 3rd 3 spaced roman italics
  • 4th 2 simple roman roman
  • 5th 1 (roman) (Roman)

Boenning Hausen was the first person to grade the remedies. Importance of this grading of remedies is that many drugs produce same type of symptom but with difference in frequency and intensity. This grading he indicated in terms of 5 ranks by different typography. the gradation is based on the frequency and intensity of the appearance of symptom in provers. 5 mark remedies are frequently confirmed and verified and 1 mark are doubtful remedies which require further confirmation by reproving, critical study and which occur most rarely in the book. these are mainly seen in the relationship section. The gradation of remedies signifies the varying importance of symptom in relation to the various drugs related.

Concordances
Boenning Hausen’s keen and observant mind noticed that a relationship existed among remedies so he introduced a chapter on relationship of remedies. It is actually the book which Boenning Hausen published in 1836. In the earlier editions of pocketbook, he refers to this chapter as concordance of remedies but Allen returned to the earlier and more easily comprehensible title for this chapter.lt Indicates the comparative value of symptom in relation to particular symptom groups. The concordance has been of extreme importance not only for the recognisation of the genius of the remedies but also for testing and making sure of its choice and for judging the sequence of various remedies in especially in chronic diseases.

This chapter discusses the relationship of medicines under different headings as

  • Mind
  • Localities
  • Sensation
  • Glands
  • Bones
  • Skin
  • Sleep and dreams
  • Blood, circulation and fever
  • Aggravation
  • Other remedies
  • Antidotes
  • Inimical

Plan and construction of therapeutic pocket book
During Boenning Hausen’s time repertory was a new adventure in the field of Homoeopathic literature developed because of the pressure of necessity in indexing the various provings that have been accumulated. He developed a repertory which was more convenient, more elaborate and which is at the same time more compact, comprehensive and easy to use when compared to the other existing repertories.

One of the important features of Therapeutic pocket book is that he used the five variations in type that indicated the individual evaluation of each remedy to the given rubrics. The existing repertories were largely defective in that they were largely constructed upon concordance plan which breaks every sentence or idea into component words or parts which scatters them throughout the work in an alphabetical order. once scattered according this plan they can never be brought together again.

So he thought of classifying and arranging the rubrics or  symptom in such a way that they could be found easily and brought together in consistent and logical form. This Is done without separating or breaking up them too much. They must be separated but only in such a way that would not destroy their individuality and they must be capable of being reassembled when needed.

The plan must be elastic enough to allow the separated parts of a remedy to be brought together in such forms as would correspond to any group of symptom that might arise in practice.

NO: OF medicines
Boe
nning Hausen had 125 remedies in his original edition. Allen dropped out four remedies that appeared in Boenning Hausen’s work. These remedies are Angustura vera-because of the difficulty at that time in securing the true bark and the false had been sold for the true to such a degree that severe poisonings had occurred from the use of crude forms and Germany has forbidden its sale.
Magnetis poly ambo
Magnetis poly articus
Magnetis polus australls
Allen added 220 remedies so that the number now appearing
In Allens edition is 340.
H. A. Roberts had added 20 remedies so that the number of medicines now appearing after his correction is 364.
Index of remedies is not given, so that if certain medicine is not found under a rubric one is not sure weather the medicine is not included in the repertory or is not well represented in the book.
The remedies that Allen added appears in comparatively few rubrics and is found in location rubrics. And those rubrics dealing with functional symptom than in subjective and modifying symptoms.
Section on relationship deals with 148 remedies.

The present edition which we are using now is PRINCIPLES AND PRACTICABILITY OF BOENNINGHA– USENS THERAPEUTIC POCKET BOOK FOR HOMOEOPATHIC PHYSICIANS TO — USE AT BED SIDE AND IN THE STUDY OF MATERIA MEDICA PURA-EDITED BY Dr: T F ALLEN CORRECTED BY H.A- ROBERTS.
This Allen’s edition corrected by Homoeopathy .HA.Roberts and Annle.C.WiIson is arranged in two parts as

1. Part 1-Introductory part
2. Part 2-Repertory proper

PART 1 -INTRODUCTION
The introductory part of this work is written in nine sections

1. Preface-written by BY H.A. ROBERTS in 1935
2. Life and works of Boenning Hausen
3. Repertory uses
4. Art of physician in taking the case
5. Philosophical background
6. Construction of repertory -this section contains parts which are descriptions about the 7 chapters in his repertory as

Mind and Intellect
Parts of body and organs
Sensation and complaints
Sleep and dreams
Fever and circulation
Alterations of state of health
Relationship of remedies

7. limitations of repertory
8. adaptability of repertory
9. uses of analysis

II.Allen’s preface to the new american edition
III. Boenning Hausen’s original preface

PART II-REPERTORY PROPER
Allen
had removed the general headings from mind to ameliorations and all thes in allen’s edition appears as chapters.
Name of section is printed in the top of each page
465 pages including relationship section
Index of symptom -21 pages
It comes under the classification of logical utilitarian repertory
evaluation of remedies -5 grades

Macro construction
The whole data in the repertory is segregated into 7distinct compartments in the earlier editions. We cannot find these divisions in later editions . the seven parts are
1. mind and intellect (original edition-mind and soul)
2. parts of body and organs
3. sensation and complaints in general,glands,bones,skin
4. sleep and dreams
5. fever

Boenning Hausen’s edition

  • Circulation of blood
  • Cold stage
  • Coldness
  • Heat
  • Perspiration
  • Compound fever
  • Concomitant complaint

Allen’s edition

  • Blood and circulation
  • Chilliness
  • Heat
  • Coldness
  • Sweat
  • Compound fever
  • Concomitant complaints
  • Febrile symptom -sides,signs and symptoms

6.alterations of the state of health
Aggravation according to time
Aggravation according to situation and circumstances
Amelioration according to position and circumstances

Allen had removed the headings of these subsections and the title was given as aggravations and ameliorations.

7. Relationship of remedies
Though each chapter can be as a whole by itself each chapter gives only one element of a symptom.the other elements may have to be obtained from other chapters. e.g:- headache-location of pain is found in second section, nature of pain in the third section and whatever concomitants that are found in the relevant sections.

In all sections as far as possible a systematic order has been united with an alphabetical arrangement is seen.

Therapeutic pocket book is the culmination of years of diligent and laborious work done by Boenning Hausen. During the initial days of compiling a repertory Dr: Hahnemann himself  was supervising the efforts of stapf and ruckert. At the same time hartiauband trinks and Weber and Pesschier were also involved in compiling a repertory on being called upon by Dr: Hahnemann. Boenning Hausen took the task of compiling a repertory on being called upon by Dr: Hahnemann. He meticulously went through the reports of original provings and compared them with reports of clinical verifications.

Micro construction.
This deals with the arrangement of rubrics under different sections of the repertory.

Mind and intellect
Therapeutic pocket book has two separate sections under mind as mind and intellect. In the older editions these were given as mind and soul.
Chapter on mind contains rubrics in relation to emotions and Intellect contains rubrics in relation to understanding and memory.
This is the least elaborate of all sections in Therapeutic pocket book.mind section contains 18 rubrics and so also in intellect section including the rubrics on vertigo. Apart from these we can find 18 rubrics in the chapter on aggravations under the head excitement-emotional. These are all general rubrics without any sub rubrics. They are too general and vague in nature to merit more elaboration for any practical utility.

It is indeed surprising to find few rubrics under mental domain while Boenning Hausen was an ardent follower of Dr: Hahnemann and was in close correspondence with him for many years. It is a well established fact that Dr: Hahnemann advocated that the measure of a man’s personality and his deviations from normal lay largely in his mental and spiritual reactions. In the light of this Boenning Hausen’s decision to waterdown the mind factor stands prominent.

A deeper study of the objectives that set out for his repertory clears the mist surrounding confusion. Boenning Hausen based his work on the concept of whole man placing the balance of his emphasis on the value of concomitants and modalities.

It was not his intention to reflect the picture of man through his mental reactions alone because he realised that the most careful observer may at times get only a clouded picture of the mental symptom. Beginners are apt to make mistakes or very often overlook this part of the complete picture of the disease. It was his stand that the solid basis of his four square foundation was the only basis for securing the totality of the case.

Boenning Hausen included 17 rubrics under aggravations emotional excitement. Dr: Hahnemann held that the emotional causes of disturbed functions was an important factor in repertory establishing a state of equilibrium and Boenning Hausen’s experience led him to the same conclusion . disturbed emotional sphere manifests in a long and varied train of symptom varying in accordance with to the circumstances and conditions of environment, training and conviction. The consequence of these disturbed emotional states are so deep and permanent that they do not always manifests themselves clearly in the mental sphere and for curing the Homoeopathic physician should take into consideration these initial emotional disturbances.

So we assume that the rubrics under aggravations that deals with emotional causes of functional disturbances are closely related to that part dealing with mental and emotional symptom. Moreover considering the fact that Boenning Hausen based his repertory on inductive reasoning which means that the analysis of symptom has to proceed from generals to particulars, the mental symptom cannot be given prominence. Thereafter Boenning Hausen was justified in not according pre eminence to the mind factor in his repertory.

Misplaced rubrics that should be moved to mind section
1. All rubrics under aggravation -emotional excitement
2. Sensation-excitement nervous
3. Sensation-hysteria and hypochondriasis
4. Sensation-looked at aversion to being
5. Sensation-Touch Illusions of
6. Sensations -Water dread of
7. Sleep-Somnambulistic
8. Aggravation-Alone when
9. Aggravation-Music
10. Aggravation- Narrating her symptom
11. Aggravatlon-Persuation
12. Aggravation-Society
13. Aggravation-Strangers when among
14. Aggravation-talking of other people
15. Aggravation-talking about disagreeable things
16. Aggravation-thinking of his disease
17. Aggravation-thinking of something else
18. Aggravatlons-singing
19. Aggravation-idleness
20. Amelioration-attention paying
21. Amelioration-carrying the child in arms
22. Amelioration-exerting mind
23. Amelioration-talking
24. Aggravation weeping
25. Sensation- Carried desires to be
26. Sensation -Clumsiness
27. Sensation-comfortable sensation
28. Vision-Photophobia

His first repertory , repertory of antipsorics contains large number of rubrics under mind section when compared to Therapeutic pocket book.

Meanings of rubrics
1. Intellect-ability to reason ,understand or perceive
2. Amative -Incline to love more of sexual love
3. Avarice-too great desire to have wealth or greed for riches
4. Despair- hopelessness
5. Excitement- to arouse the feelings
6. Fretfullness-lrritable,discontended and peevish
7. Haughtiness-having or showing great pride in oneself contemptt or pride, arrogant
8. Mischevious- Injurious or harmful. Incline to annoy or vex with playful tricks
9. Mistrust-lack of trust or confidence, In doubt, they have no trust or confidence in themselves Intellect section

1. Befogged-to make obscure mild or confusion
2. Comprehension-capacity of understanding Ideas or facts
3 Delerium-a temporary state of extreme mental excitement characterised by restlessness confused speech and hallucination. It may sometimes occur during fever or in insanity.
4. Ecstasy-a state of being overpowered by emotions or joy, grief or an extreme emotional exaltation usually intense and delight that overpowes the senses and lifts one into a trance like state.
5.Imbecility-a mentally retarded person equal to a child between 3-8 years old , very foolish and stupid person
6. Stupefaction-stunted amazement of utter bewilderment

Aggravation section
1. Mortification-wounded pride, something causing shame or humiliation
2. Reproaches-to accuse and blame for a fault, so as to make feel ashamed
3. Scorn-extreme often indignant contempt for something or someone or to refuse or reject as disgraceful
4. Vexation- something which cause annoyance or distress

Comparison with kent
Rubrics are much less compared to that given in Kents repertory .sub rubrics are not given for any of the mental symptoms.

Therapeutic pocket book                                             Kent
Alternative mood                                                   Mind-moods alternating
Amativeness                                                             Mind-amaurous
Boldness                                                                     Mind-courageous
Fretfulness                                                                Mind- Irritability
Gentleness                                                                 Mind-mildness
Joyfulness                                                                 Mind-cheerfulness
Activity                                                                      Mind-industrious
Comprehension difficult                                         Mind-difficult
Aggravation -excitement-emotional                Mind-excitement emotional
Aggravation -contradiction                                 Mind-contradiction Intolerant
Aggravation -fright                                                  Mind-fright ailments from
Aggravation – grief and sorrow                           Mind-grief
Aggravation -jealousy                                             Mind-jealousy
Aggravation -joy                                                       Mind-joy a/f
Aggravation -unhappy love                                 Mind-love ailments
Aggravation -mortification                                   Mind-mortification
Aggravation -reproaches                                       Mind-reproaches
Aggravation -rudeness of others                         Mind-rudeness ailments from
Aggravation -scorn                                                   Mind-scorn
Aggravation -vexation                                            Mind-anger ailments from

PART II – Parts of body and organs
This part of Therapeutic pocket book constitutes 42 chapters and it follows the anatomical schema of Dr: Hahnemann beginning with upper parts like head and proceeding downwards to the mouth, then following alimentary tract down with its functions and symptom. Then follows urinary organs and functions , sexual organs and functions, symptom related to respiration and then respiratory organs , external throat, neck, chest, back upper and lower extremities.

When Allen translated Boenning Hausen’s Therapeutic pocket book he added many eye symptom and also Boenning Hausen’s work on two sides of the human body. This section begins with a chapter on internal head followed by a chapter on external head which deals with scalp, hair and also one or two rubrics on sensations on external head. Again internal head and external head chapters are present which are only dealing with sides of head right and left side. By arranging so we can find medicines having affinity to particular locations.

In dealing with any location that have a definite function especially of senses we first finds locations with its modifications followed immediately by a section devoted to symptom of function.

Eg:- eye-vision, ear-hearing In dealing with the chapter on eye we can find that this chapter deals with various locations of eye and is followed by a chapter on vision. Although this part of the book is dealing with locations we can find sensations and complaints also in these chapters as squinting, staring, cataract, discharge from nose, stopped nose, and some rubrics on concomitant or accompanying symptom. Vision, Ing nad smell chapters are dealing with various abnormalities of Its function.
Face-while dealing with face we can find some locations which are given as sub rubrics. eg:- eruption-cheeks, chin swelling-between lids, brow,

Teeth – begins with a rubrics toothache generally which should have been given under sensations according to the general plan. This is followed by different locations as Incisors , molars etc. some symptom like grinding of teeth, teeth covered with mucus , sordes are also given. Gums are given as location in teeth chapter. Sides are included in the same chapter

Mouth-It contains sub rubrics relating to breath, (hot and cold) saliva (increased, decreased) tongue and hard palate ans soft palate. taste is given as a separate chapter after one on hunger and thirst.

Throat-contains only two locations, throat Internal and tonsils. Chapter on external throat is given after air passages.

Mouth and faces is dealing with only sides of throat such as right and left sides.

Hunger and thirst-this chapter deals with rubrics on appetite, thirst, hunger, desires and aversions. Intolerance or aggravation from particular articles of food is given in chapter aggravation but one draw back of this chapter is that many important medicines are missing in many rubrics.
E.g. desires salt-nat mur absent Taste deals with various perversions of taste like bad bitter, burnt. In Kent’s repertory this is included in the chapter on stomach.

Nausea and vomiting-deals with rubrics on these conditions and also about the character of the vomits Abdomen-locations on abdomen are given under 5 sections and these sections are dealing only with location except the rubrics on hernia. The sections dealing with abdomen are

  • Internal abdomen
  • External abdomen
  • Abdomen-sides
  • Hypochondria-sides
  • Abdominal rings-sides

Internal abdomen deals with various Internal organs and also locations like hypochondria, epigastria etc, diaphragm is given as a location in this chapter (kent-chest). Stomach is included in this chapter (kent-separate chapter). External abdomen deals with locations Iike inguinal glands ,mons veneris. Flatulence-deals with different rubrics related to flatus like odour, cold ,hot, Increased flatus, borborygml etc.eructation, beiching and heartburn is given as section before nausea and vomiting.

Stool-chapter on stool is important in the sense that it contains many location rubrics like rectum anus and perineum. Many conditions or complaints like diarrhoea, constipation, haemorrhoids, worms and also rubrics related to the character of stool are also present . There is no definite order for arrangement of rubrics but sub rubrics are arranged in alphabetical order. Concomitants are given as troubles before during and after stool Urinary organs , urine and micturition-In Therapeutic pocket book 3 chapters are given in relation to urinary organs and its symptom of function. The section on urine deals with colour, odour, constituents and sediments of urine and also its quantity. Mictiuration section deals with symptom of urination and also some concomitants. It contains rubrics like dysuria, retention and concomitants as troubles before, during and after Mictiuration.

Sexual organs, menstruation, leucorrhoea-both male and female sexual organs are dealt with in chapter on sexual organs. The order of arrangement is first male organs in general followed by particular locations like penis ,glans etc.this is followed by female organs in general. Then labour pain , Its character and after that symptom related to sexual functions. Sides are incorporated in the same chapter.

Section on menstruation includes rubrics related to menstruation, character of menstrual discharge, abortion, menorrhagia etc. these rubrics can be considered as aggravations also.

Section on leucorrhoea deals with character of leucorrhoeal discharge and concomitants or accompanying troubles of leucorrhoea.

Respiration, cough and air passages-here symptom of respiration are given first consideration. So before locations symptom of respiration are given as arrested. Irregular, oppressed. after respiration comes a section on cough which include both rubrics on cough and expectoration. locations are given last under the heading air passages which include larynx and trachea. Voice rubrics are also given in this chapter.

External throat and neck, neck and nape of neck-this sections include only locations the most important ones are cervical and sub maxillary glands and the thyroid gland, (neck is not given as a chapter in Kent’s repertory instead we have to look for rubrics related to neck in two chapters for anterior neck- external throat and for posterior neck- back-cervical region). neck and nape of neck deals with only side rubrics.

Chest -this section deals with both Internal and external chest, heart and its region, sternum and its region, mammary glands nipple etc.the order of arrangement is at first internal organs and its locations followed by symptom produced by them like palpitation. Then comes locations on external chest, mammary glands and nipples followed by milk its quantity and quality. sides of chest are included in the same chapter.

Back-this section includes only location rubrics likescapula, dorsal region, lumbar and sacral region and coccyx. Boenning Hausen makes 4 divisions of back namely

  • Scapula
  • Back in general
  • Kraus-part of back between hips corresponding to the region of the sacrum
  • Steiss-region of coccyx

He has no separate division for small of back which we understands to be as the lumbar region I.e extending from the hips to ribs. Here the symptom in materia medica which we include under small of back are given under sacrum and lumbar region.

Upper extremities-This chapter contains only location rubrics. The order of arrangement is from above downwards anatomically from shoulder to nails-axilia is included under upper extremities-(kent–chest). Then joints of upper extremities are given in general followed by each individual joint from above downwards from shoulder joint to finger joints and then bones of upper extremities in general. Sides are included in the same chapter.

Lower extremities-here also same arrangement as that seen in upper extremities. Locations are arranged in anatomical order from above downwards from loin to nails. then joints of lower extremities in general followed by individual joints as hips to toe joints and then bones of lower extremities in general. Sides are included in the same section.

Under these chapters devoted to parts of body and organs we find a few aggravations and an occasional rubrics that might have been listed under concomitants.

Chapters where sides of body are added
1. INTERNAL HEAD
2. External head
3. Eye
4. Ear
5. Nose
6. Face-locations of sensation
7. Teeth
8. Mouth and fauces(separate chapter)
9. Abdomen (separate chapter)
10. hypochondria(separate chapter)
11. Abdominal rings
12. Sexual organs
13- Neck and nape of neck
14. Chest
15. Back
16. Upper extremities
17. lower extremities

Chapters where concomitants are given
Concomitants are those symptom accompanying the main complaints which have no direct pathological relation to the main complaint. Concomitants are the second differentiating factor according to Boenning Hausen and boger.

Some remedies are more inclined to produce concomitant symptom and these may not be always particular symptom but it includes every sort of complaints which lies in the sphere of the remedy. So these remedies which have a tendency to produce concomitants. The chapters where concomitants are added are

1. Intellect -drugs which have concomitants of mental symptom
2. Nose-accompanying symptom of nasal discharges
3. Leucorrhoea -accompnying troubles of leucorrhoea
4. Respiration -accompanying troubles of respiration
5. Cough-troubles associated with cough

Some troubles which can be considered as aggravation can be included concomitants.
Eg – troubles before during nad after stool
Micturiton -troubles before during and after
Menstruatin -troubles before during and toes

Chapters in parts of body and organs-comparison with kent
Internal head, external head, Internal head sides, external head sides in Therapeutic pocket book -included under one chapter head in kent repertory Eyes, vision, ear, hearing in Therapeutic pocket book – same as in kent
Nose, smell-one chapter nose in kent Face and face-locations of sensation- one chapter in kent Teeth , mouth, throat, mouth and fauces sides-In Kent’s repertory mouth chapter is given before teeth. In kent
throat is followed by a chapter on external throat. In Therapeutic pocket book external throat is given after air passages.

Hunger and thirst, taste , eructation, nausea and vomiting-except taste which is given under mouth. In kent’s repertory all these sections are given in stomach chapter. In Therapeutic pocket book stomach is given as a rubrics under Internal abdomen.

Abdomen Internal, abdomen external, abdomen sides, hypochondria, abdominal rings, flatulence- together given under one chapter in Kent repertory

Stool-preceded by a chapter rectum in kents repertory which includes diarrhoea, constipation, dysentry, haemorrhoids, worms etc . In Therapeutic pocket book all these complaints and locations like perineum anus and rectum are given in the section stool.

Urinary organs, urine, micturition-given as 5 chapters in Kent’s repertory and the arrangement is alphabetical as bladder, kidney, prostate , urethra and urine.ln kent symptom of micturion is included under bladder. Sexual organs-In Kents repertory two separate chapters male and female genitalla Menstruation- this section is included under genitalla in kent repertory. Leucorrhoea-Included under genitalla female in kent’s repertory

Respiration, cough and air passages-in kent air passages or larynx and trachea are given first consideration then respiration, cough and expectoration are given as separate chapters
External throat and neck-follows immediately after throat Neck and nape of neck-new chapter Upper extremity, lower extremity-together constitute a single big chapter

PART III – Sensations and complaints in general
In Allen’s edition the title of this chapter is given as sensation but it should be read as sensations and complaints as given in his original repertory .the next three sections as glands bones and skin should be considered as subchapters of sensations and complaints in general, this can be considered as sensations and complaints in glands bones and skin,

Arrangement
In this chapter we get an alphabetical grouping of subjective and objective symptom . It Includes rubrics related to
Subjective symptom
Objective symptom
Locations- mainly generalised like side rubrics as side right, left, crosswise
Complaints or conditions eg: apoplexy
Mental symptom
This section forms the most important and the most vital part of the book.
Subjective symptom or sensations given in this section
Desire for open air
Aversion to open air
Intolerance of clothing
Inclination to lie down
Aversion to motion
Restlessness
Sensitiveness to pain
Inclination to sit
Illusions of touch
Dread of washing
Dread of water
Examples of objective symptoms
Blackness externally
Carphology
Cracking of joints
Cyanosis

Glands
All sensations and complaints related to glands. for location of these complaints we have to refer to the parts of body and organs Tonsillitis-Internal throat-tonsils + glands-Inflammation

Bones : All complaints related to bones like caries of bones but mostly subjective symptom are given.
Skin – In this chapter we get rubrics related to skin hair and nails

PART IV-SLEEP AND DREAMS
This part of the book is divided into three sections as

1. Sleep
2. Positions during sleep
3. Dreams

Sleep section contains rubrics related to yawning and waking. positions in sleep includes various positions which the patient assumes during sleep. It also includes sleepiness and sleeplessness with their modalities. In these chapters only the most essential and the most clearly defined symptom are given.

PART V- Fever and circulation
In the older editions of Boenning Hausen’s original work there were seven subsections. In allen’s edition the subheadings given by Boenning Hausen are removed but the general outline is followed with some minor changes.

  • Original edition allens edition
  • Circulation of blood blood and circulation
  • Cold stage Chilliness
  • Coldness heat
  • Heat Perspiration
  • Perspiration Sweat
  • Compound fever compound fever
  • Concomitant complaints concomitant complaint
  • Febrile symptom -sides

These are not actually given as separate sections in allen’s edition.In this edition the headings are removed and we cannot find the chapter name in the beginning.

Section on circulation deals with rubrics related to aneamia, diseases and symptom related to blood vessels and character of pulse.

Immediately after the rubrics related to circulation cold stage begins with rubrics chillness in general and is followed by its different modifications.

In Boenning Hausen’s original edition third stage is coldness. But in Allen’s edition the third and fourth stages are reversed so that coldness is given after the heat stage. So in Allen’s edition we can find symptom of fever following immediately after the chilly stage or cold stage.

Coldness or cold stage-the cold symptom or coldness is given after the heat stage.

Perspiration deals with symptom related to sweat or sweat in any special parts. In this section, character of sweat, odour of sweat etc are mentioned . so this stage should be considered as a general section, most of the sections contain a rubrics devoted to concomitant complaint. Compound fever-here the different stages alternating as chill, then heat, then sweat etc are given.

Concomitant complaints-3 rubrics are devoted to this as before fever, during and after fever. Other than this most of the above sections is followed by the rubrics associated complaints. Febrile symptom -sides-this section was not given in Boenning Hausen’s original edition.

PART VI – Alterations of the state of health
Original edition contained three chapters as Aggravations according to time Aggravation according to situation and circumstances Amelioration according to situation and circumstances

Allen’s edition contains only 2 sections
Aggravations
Ameliorations

Time is arranged according to the day timings and situations and circumstances are given in alphabetical order. Aggravation is a large section whereas amelioration contains only small number of rubrics and does not include time ameliorations. Clock timings are not given in Therapeutic pocket book.day timings are followed by a rubrics on periodicity. Situational aggravation include seasons, fullmoon, new moon (not given in Kent) injury burns etc.some mental rubrics are also given in aggravation section.rubrics on climacteric, peurparium, women, children, stages of life are also included in aggravation section.

PART VII- Relationship of remedies
Basis of this section is Boenning Hausen’s work on relationship of remedies called as an attempt at showing the relative kinship of Homoeopathic medicines published by Boenning Hausen in 1833. In the earlier editions of Therapeutic pocket book the title was concordance of remedies This section deals with relationship of 141 remedies. among these 148 medicines were present in original Therapeutic pocket book and 21 were added by Allen. This gives a comparative value of remedies in relation to particular symptom groups.

Construction
Chapter on relationship of remedies is divided into sections, each section being devoted to remedy in the alphabetical order.
Each of these remedy section is divided into rubrics here rubrics are not individual symptom groups like mind ,sensation location etc, as are found in the first part of the book.
So the rubrics in relationship section are

  • Mind
  • Location
  • Sensation
  • Glands
  • Bones
  • Skin
  • Sleep and dreams
  • Blood and circulation
  • Aggravation
  • Other remedies
  • Antidotes
  • Injurious

One rubrics which is commonly present in remedy section are other remedies. Some remedies don’t fall within the section grouping like mind localities but it covers all those symptoms that do not fall to such regular groups. So the rank of remedies in this rubrics represents a general relationship of these remedies to the remedy under consideration.
In the rubrics injurious and antidotes comparatively few remedies are given. In the earlier editions instead of injurious, the term noxious was given.

Uses

  1. Can be used for studying the relationship of various remedies at various levels as mind, locations,
  2. Helps to find out the close running remedies which can be thought of in future follow ups.
  3. Helps to find the second prescription in an acute case after the action of the first remedy is over to complete the cure in a case where the outstanding complaint is related to gland bones or skin, we must select our remedies from those rubrics under the remedy that has served well at first in acute stage.
  4. Treatment in a chronic case with a partial similimum. Here some benefit has been secured from the remedy selected as the similimum but a complete a cure. This can be can be due to several factors such as Incompleteness of our materia medica due to lack of complete provings our incomplete knowledge of materia medica Imperfect case taking due to these reasons we have been unable to select a similimum. So inorder to make a complete cure we can find a related remedy with the help of this section
  5. In chronic diseases with advanced pathology in serious conditions like advanced pulmonary tuberculosis we cannot give the indicated remedy if it is deep acting, but a remedy should be given which will not produce any adverse effects. Here the complimentary remedy can be given which may lead the patient into a condition where he can tolerate the deep acting remedy.
  6. To form the therapeutic programme
  7. Comparative study of materia medica becomes easy

METHOD OF WORKING
Under the medicine given as the first prescription refer the subheading in which the main complaint of the patient and use it as the first rubrics

First rubrics can be taken as the eliminating symptom , only these medicines should be taken further which covers the first rubrics. Only 3, 4 and 5 mark medicines need be taken .add up the marks and take the remedy with maximum marks. If the patients outstanding symptom is skin eruption then the first rubrics need not be mind but skin. Demerits of this section is that No: of remedies in relationship section is less compared to that used in other sections

Adaptability of therapeutic pocket book
From the philosophy and construction of Therapeutic pocket book It is obvious that the book can be used for the repertorisation of following types of cases.

  • Cases with complete symptom
  • Cases with prominent sensations and modalities in some parts but vague in other parts
  • Cases with prominent concomitants
  • Cases with paucity of symptom with scattered modalities and no characteristics
  • Cases where generals are lacking

In addition cases where there are confusing symptom many or few when the remedy likeness is reviled we can refer to Therapeutic pocket book
It is useful to get related remedies by working on the last chapter.

Limitations of the repertory
Therapeutic pocket book was the ultimate attempt of Boenning Hausen to index the symptom of materia medica according to the instructions given by Dr: Hahnemann, It was the first valuable repertory for bedside practice. But soon many practitioners found it difficult to use it in daily practice. its construction was also found to be defective.

The Therapeutic pocket book underwent many editions but nothing could make it free from defects. Many criticized the principles of analogy and raised voice against the use of associated complaints as concomittant symptoms. Apart from over generalisation and difficulty in comprehending true concomitants the presentation itself has some problems. Being one among the earliest and pioneering works the attempt of Boenning Hausen is commendable.

As time passed newer repertories emerged some of its deficiencies were noted. They are No: of medicines:- originally the Therapeutic pocket book contained only 126 remedies but Allen who edited the book dropped out 4 medicines and added 220 new medicines. Hence the total no: comes to 342. Even after Robert’s edition the book deals with only 362 medicines which fall short of various pictures available in practice.

No : of rubrics – the rubrics given in the book are not many. The limited rubrics cannot be used for many of the symptoms
Rubrics and medicines :- though in the location part large group of medicines are mentioned under most of the rubrics, but in other sections we find many rubrics which do not contain well known and important medicines. Eg:- desire for salt NAT MUR is not mentioned and desire for smoked meat CALC PHOS is not mentioned. Some of the medicines are repeated often and are given undue importance. This can be modified if the book is used carefully and analytically. For Eg:- In mind section almost all rubrics contain VER ALB in high ranks

Mind section-In Boenning Hausen method though mind is not given importance in finalising the medicines from a repertorial group, we find that mind section is not well presented in the repertory .there are only 18 rubrics under mind and 17 under intellect section. These rubrics are too general and cannot be used for any purpose other than reference.

Concomitants of mental symptoms-a group of medicines appears under this heading which is not useful in practise.even medicines like thuja don’t find any place in this group. Concomitants – though prime importance was given to concomitants , concomitants are not given separately

Defects in construction and compilation-the book has undergone many modifications and editions. The incoporation of sides of body is not done smoothly. Therapeutic pocket book is based on the philosophy of complete symptom but the book itself does not follow the principle . very often location and sensation cannot be strictly divided and they are mixed at many places Indexing of medicines has not been attempted. As a result if certain medicines are not found under a rubrics then one is not sure whether the medicines is omitted or not well represented in the repertory.

  • There is no fixed order for the arrangement of rubrics
  • Number of medicines in relationship section is too few.
  • There are many misplaced rubrics
  • There are many similar rubrics under different sections which confuse the beginners.
  • Vague and nonspecific sensations don’t find any place. In practice majority of patients do not specify the sensation.
  • In Therapeutic pocket book there is no general rubrics for pain , only specific types of pains are mentioned.

This book has not been updated and so it tacks information about sarcodes and nosodes which have become an essential part of practice today and without the knowledge of these medicines practitioner is handicapped to a great extend

In spite of all criticisms leveled against the book its contribution to the profession is unique. It is still useful in working out specific types of cases.

Dr Rajitha K Nair BHMS,MD(Hom)
Govt. Homeopathic Medical College. Trivandrum. Kerala
Email : drrajithakn@rediffmail.com

Pediatric repertory – based on Boericke’s Materia Medica

teachingsDr Rakesh Gohel.

Dear Homoeopathic Brethren,
As the “ Necessity is the Mother of All Inventions” so, since the time of Hahnemann need of indexing symptom has given rise to so many types as well as forms of repertories.

Here an attempt has been made to present an important speciality subject of medical field in form of repertory that is PAEDIATRICS. Boericke’s work has always been praised since it published. I tried to collect the rubrics related with paediatric complaints scattered throughout the Boericke repertory. I concentrated only on those rubrics which suggest to have special word as neonate, infant, child, etc.

I hope that it may be helpful to all of those who loves Boericke repertory. But be careful while using the clinical repertory because it doesn’t fit the whole man. If you don’t know the repertory well and select a remedy upon the clinical symptoms alone leads to higher range of failures. 

MIND
MOOD, DISPOSITION:

Fretful;
Child cannot bear to be touched, looked at, or spoken to – Ant. c., Ant. t., Cham., Cina, Gels., Nux v., Sanic., Sil., Thuya.

Child wants different things, but petulantly rejects them –  Ant. t., Bry., Cham., Cina, Ipec., Kreos., Rheum, Staph.

HEAD
HEADACHE (Cephalalgia):

Type; Chronic, School girls – Calc. p., Kali p., Nat. m., Phos. ac., Picr. ac., Psor., Tub., Zinc. m.

 FILENAME paedia boericke

EYES
OPHTHALMIA: Gonorrhœal (neonatorum) –  Acon., Arg. n., Bell., Calc. s., Can. s., Hep., Kali s., Merc. c., Merc. pr. rub., Merc., Nit. ac., Puls., Rhus t., Syph., Thuya.

EARS
DEAFNESS, hardness of hearing:
Cause; Nutritional disturbance, in growing children –  Calc. c., Merc. i. r.

NOSE
INTERNAL NOSE:
Bleeding (epistaxis);

OCCURRENCE AND CONCOMITANTS

Children growing rapidly, in –  Abrot., Arn., Calc. c., Croc., Phos.
Inflammation (rhinitis)

CORYZA,
Aggravation, Newborn, in –  Dulc.

Inflammation (rhinitis); Purulent in children – Alum., Arg. n., Calc. c., Cycl., Hep., Iod., Kali bich.,  Lyc., Nat. c., Nit. ac.

MOUTH
BREATH
Offensive (fetor oris) Girls at puberty in – Aur. m.

TEETH
DENTITION, teething difficult, delayed – Acon., Bell., Bor., Calc. c., Calc. p., Caust., Cham., Cheiranth., Coff., Cupr., Gels., Hekla, Kali br., Kreos., Mag. p., Merc., Nux v., Passifl., Phyt., Pod., Puls., Sil., Solan. n., Staph., Sul., Terb., Zinc. br., Zinc. m.

Concomitants;
Cerebral, nervous symptoms –  Acon., Agar., Bell., Cham., Cim., Cyprip., Dolichos., Helleb., Kali br., Pod., Solan. n., Tereb., Zinc.

Compression of gums – Cic., Phyt., Pod.

Constipation, general irritation, cachexia – Kreos., Nux v., Op.

Convulsions – Bell., Calc. c., Cham., Cic., Cupr., Glon., Kali br., Mag. p., Solan. n., Stann., Zinc. br.

Cough – Acon., Bell., Ferr. p., Kreos.

Deafness, otorrhœa, stuffiness of nose –  Cheiranth.

Diarrhœa –  Æth., Calc. c., Calc. p., Cham., Ferr. p., Ipec., Kreos., Mag. c., Merc., Oleand., Phos., Pod., Puls., Rheum, Sil.

Effusion threatened, in brain – Apis, Helleb., Tub., Zinc. m.

Eye symptoms – Bell., Calc. c., Puls.

Insomnia –  Bell., Cham., Coff., Cyprip., Kreos., Passifl., Scutel., Tereb.

Intertrigo – Caust., Lyc.

Milk indigestion – Æth., Calc. c., Mag. m. 

Salivation –  Bor.

Sour smell of body, pale face, irritability –  Kreos.

Weakness, pallor, fretfulness, must be carried rapidly – Ars.

Worms – Cina, Merc., Stann.

STOMACH VOMITING, retching: CA– USE; Cyclic, in infants –  Cupr. ars., Ingluv., iris, Kreos., Merc. d.

ABDOMEN
COLIC, PAIN:
CA– USE & NATURE; Babies’colic –  Æth., Asaf., Bell., Calc. p., Cataria, Cepa, Cham., Cina, Col., Illic., Jal., Kali br., Lyc., Mag. p., Mentha pip., Nepeta, Rheum, Senna, Staph.

ANUS – RECTUM:
ERUPTIONS, growths;
Rash, fiery red in babies – Med.

PROLAPSUS ANI;
Children [In] – Bell., Ferr. m., Ferr. p., Ign., Mur. ac., Nux v., Pod.

CHOLERA:
INFANTUM;
Summer complaint – Acon., Æth., Ant. t., Apis, Arg. n., Ars., Bell., Bism., Bry., Cadm. s., Calc. ac., Calc. c., Calc. p., Camph., Camph. monobr., Canth., Cham., Cinch., Col., Crot. t., Cuphea, Cupr. ac., Cupr. ars., Cupr. m., Elat., Euphorb. cor., Ferr. p., Graph., Hydroc. ac., Indol., Iodof., Ipec., Iris, Kali br., Kreos., Laur., Merc., Nat. m., Ox. ac., Passifl., Phos., Phyt., Pod., Psor., Resorc., Sec., Sep., Sil., Sul., Tab., Ver. a., Zinc. m.

CONSTIPATION:
TYPE;
Infants- Bottle fed.; artificial food – Alum., Nux v., Op.

Children – Æsc., Alum., Apis, Bell., Bry., Calc. c., Caust., Collins., Croc., Hydr., Lyc., Mag. m., Nux. v., Nyct. arb. tr., Paraf., Pod., Psor., Sanic., Sep., Sil., Sul., Ver. a.

DIARRHŒA, Enteritis:
OCCURRENCE;
Infants, children –  Acon., Æth., Apis, Arg. n., Ars., Arundo, Bapt., Bell., Benz. ac., Bism., Bor., Calc. ac., Calc. c., Calc. p., Camph., Cham., Cinch., Cina, Col., Colost., Crot. t., Dulc., Ferr., Grat., Helleb., Hep., Ipec., Jal., Kali br., Kreos., Laur., Lyc., Lyssin, Mag. c., Merc. c., Merc. d., Merc., Nit. ac., Nux v., Paul., Phos. ac., Phos., Pod., Psor., Rheum, Sabad., Sep., Sil., Sul., Val., Ver. a.

Dentition –  Acet. ac., Acon., Æth., Arundo, Bell., Benz. ac., Bor., Calc. ac., Calc. c., Calc. p., Cham., Ipec., Jal., Kreos., Mag. c., Merc. v., Nux m., Oleand., Phyt., Pod., Psor., Rheum, Sil.

HÆMORRHOIDS (piles):
CONCOMITANTS;
Sudden development in marantic children [With] –  Mur. ac.

JAUNDICE (icterus):
Infantile – Cham., Lupul., Merc. d., Merc. s., Myr.

UMBILICUS, NAVEL: Bleeding from, in newborn – Abrot., Calc. p.

URINARY SYSTEM
BLADDER: ENURESIS – Incontinence;
CA– USE; Sleep [during first]; child aroused with difficulty –  Caust., Kreos., Sep.

Habit the only ascertainable cause – Equis.

URINARY FLOW:
STRANGURY; Children [In] – Bor., Lyc., Sars

MALE SEXUAL SYSTEM
SYPHILIS:
CONGENITAL, infantile – Æthiops, Ars. iod., Ars. m., Aur., Calc. fl., Calc. iod., Coral., Kali iod., Kreos., Merc. d., Merc. s., Merc. v., Nit. ac., Psor., Syph.

TESTICLES: Undescended testicle in boys –  Thyr.

FEMALE SEXUAL SYSTEM
LEUCORRHŒA:
OCCURRENCE;
MODALITIES,
Infants, little girls [In] – Asperula, Calc. c., Can. s., Carb. ac., Caul., Cina, Cub., Hydr., Merc. i. fl., Merc., Millef., Puls., Sep., Syph.

MASTURBATION: In children, due to pruritus vulvæ –  Calad., Orig., Zinc. m.

RESPIRATORY SYSTEM
BRONCHIAL TUBES:
ASTHMA;
TYPE & OCCURRENCE, Humid, children [in] – Nat. s., Samb., Thuya.

COUGH: CA– USE, OCCURRENCE, AGGRAVATION;
Anger [after],Children [in] –  Anac., Ant. t.

Falling asleep [after], especially, in children, constant tickling Cough without waking –  Acon., Agar., Aral., Cham., Cycl., Lach., Nit. ac., Sul., Tub., Verbasc.

RESPIRATION:
DYSPNŒA (difficult, embarrassed, oppressed, anxious);
Aggravated, Children [in] – Lyc., Samb.  

SKIN
ACNE:
Anæmic girls at puberty [in], with vertex headache, flatulent dyspepsia, better by eating – Calc. p.

Tubercular children [In] –  Tub.

ERYSIPELAS: Neonatorum – Bell., Camph.

Traumatic; Umbilical, of new born –  Apis.

URTICARIA (hives, nettle rash):
MODALITIES; AGGRAVATIONS, Children [In] –  Cop.

NERVOUS SYSTEM
BRAIN:
EPILEPSY (grand mal); CA– USE – CONCOMITANTS, In children –  Æth., Art. v., Bell., Bufo, Calc. c., Cham., Cupr. m., Ign., Sil., Sul.

PARALYSIS; Infantile (poliomyelitis anterior) –  Acon., Æth., Bell., Calc. c., Caust., Chrom. s., Gels., Lathyrus, Nux v., Phos., Plumb. m., Rhus t., Sec., Sul.

INSOMNIA (sleeplessness);
In children – Absinth., Acon., Ars., Bell., Calc. br., Cham., Cina, Cyprip., Hyos., Kali br., Passifl., Phos., Puls., Sul.

GENERALITIES:
CONVULSIONS; CA– USE AND TYPE, Children, infants, from reflex causes, dentition – Absinth., Acon., Æth., Art. v., Bell., Calc. c., Camph. monobr., Caust., Cham., Chloral, Cic., Cina, Cocc., Cupr. m., Cyprip., Glon., Helleb., Hydroc. ac., Hyos., Ign., Kali br., Kreos., Laur., Mag. p., Meli., Mosch., Nux v., Œnanthe., Op., Santon., Scutel., Stann., Stram., Zinc. m., Zinc. sul.

GENERALITIES
ASPHYXIA : Neonatorum – Ant. t., Laur.

DROPSY: Newborn [in] –  Apis, Caffeine, Carbo v., Dig., Lach.

MARASMUS (emaciation, atrophy, wasting): Atrophy Children [of] –  Abrot., Arg. n., Ars., Ars. sul., Bac., Bar. c., Calc. p., Calc. sil., Iod., Nat. m., Ol j. as., Phos., Pod., Psor., Sanic., Sars., Sul., Thyr., Tub.

MUTISM of childhood :– Agraph.

OBESITY (adiposis, corpulence):
Children [in] –  Ant. c., Bar. c., Calc. c., Caps., Ferr. m., Kali bich., Sacchar. Of

Dr. Rakesh Gohel
H.O.D.REPRTORY
DR.V.H.DAVE HOM. MED.COLLEGE, ANAND (GUJARAT)
Email : drrakesh@jagma.com