A repertory to Hering’s guiding symptoms our materia medica

Book review + Comparison with other repertiries by Dr  Sanil Kumar

Name of the book   : Repertory of  Hering’s Guiding Symptoms of  Our Materia Medica

Author   : Calvin B. Knerr, M.D

Year of publishing    : 1896

Published in India by  : Jain Publishing .Co, Rajguru Road, Paharganj,  New Delhi

Printed by  : Jay Print Pack, Pvt. Ltd.

Dedicated to   : Constantine Hering & Hahnemann

Publisher Acknowledged to   : Drs. Mohan Singh & Devander SinghVirk

Total number of Pages  : 1232

Total number of Drugs  : 408

Contents:
Preface

List of medicines with their abbreviations

1. Mind and Disposition
2. Sensorium
3. Inner Head
4. Outer Head
5. Eyes
6. Ears
7. Nose
8. Upper Face
9. Lower Face
10. Teeth and Gums
11. Taste and Tongue
12. Inner mouth
13. Throat
14. Desires, Aversions, Appetite, Thirst
15. Eating and Drinking
16. Hiccough, Belching, Nausea and Vomiting
17. Scrobiculum and Stomach
18. Hypochondria
19. Abdomen
20. Stool and Rectum
21. Urinary organs
22. Male sexual Organs
23. Female Sexual Organs
24. Pregnancy, Parturition, Lactation
25. Voice, Larynx, Trachea and Bronchia
26. Respiration
27. Cough and Expectoration
28. Inner Chest and Lungs
29. Heart , Pulse and Circulation
30. Outer Chest
31. Neck and Back
32. Upper  Limbs
33. Lower Limbs
34. Limbs in general
35. Rest, Position, Motion
36. Nerves
37. Sleep
38. Time
39. Temperature and Weather
40. Fever
41. Attacks, Periodicity
42. Locality and Direction
43. Sensation in general
44. Tissues
45. Touch, Passive Motion, Injuries
46. Skin
47. Stages of Life and Constitution
48. Drug Relationship.

 Index

Preface:
The Author says that he followed the method of classification put forward by Hahnemann and Hering i.e.; the Anatomical or regional division. Therefor the work contains 48 Chapters. Each Chapter is alphabetically divided into sections and rubrics; without destroying consistency as a whole. Each page is divided into two columns; because it is convenient for the eye and is also space saving.

The section word is repeated down the column; instead of customary “ – ”

The words “ right” and  “left” “ better” and “ worse” etc are printed out in full. Both these are done to avoid confusion or error. But these are not space saving.

The rubric word, rubric heading or the main rubric to each paragraph are arranged in alphabetical order and are printed in some what bolder and blacker type and is followed by a colon (:) which applies to each symptom in the paragraph. The symptoms under each rubric (subrubric) are also arranged in alphabetical order. Time modalities under each heading are also given according to the alphabetic. 

Grading or Marks: There are four marks of distinction. Knerr followed the same grading in Hering’s Guiding symptoms.

I  Single light line; lowest mark; designating –occasionally confirmed  Symptom.

II  Double light line ; more frequently confirmed symptom or if but once  confirmed, strictly in character with the genius of the remedy.

I   Single heavy line; they are  symptoms verified by cures

II  Double heavy line ; they are symptoms repeatedly verified.

“q” (Theta) stands between cured symptom and pathological condition or physiological general state; throughout the Guiding Symptoms is changed by enclosing the pathological or physiological term in Parenthesis for the purpose of economizing space.

: Perpendicular dotted line; marks observations taken from the old school.

t Represents the toxicological extracts.

p  Represents symptoms observed on Sick only. (Page 279 Upper face; Face, beard: falling off)

Hand mark  Indicate cross-reference to related symptoms, diseases and conditions.

(but in Hering’s Guiding symptoms the K is used to represent the approved characteristics eg: in page 29 under Aconite  K is used to indicate ‘fear of death’)

The original words or readings of the prover or Clinician are preserved.

He expresses his gratitude to Dr. Joseph C. Guernsey for valuable assistance with the proofs; to Dr. W.H. Philips, Messrs. Douty, Ziegler and Field his son Bayard and others of his family for clerical assistance and to Walter. E. Hering and Wm. Baetzel for different composition and Press work.

Chapters

1. Mind and Disposition :

A brief comparison between Kent’s and Knerr’s Mind chapter:

1. The chapter  heading in Knerr is “Mind and disposition”

2. Even the Kent’s repertory claims to be complete and latest than the Knerr, many rubrics, sub rubrics and medicines are not well represented in Kent.

The following medicines under the rubrics are not seen in the Kent;

• Anguish: Gels, Hell, Hydr, Jatr, Lob, Plb, Sars, Sec
• Anxiety: Hyper, Tarax, Vert.v
• Death; desires : Rob( Death, longing for in Knerr)
• Delirium; hysterical, almost : Hyos
• Fear; menses during : Coff
• Fear; suffocation, of  : Lob.i
• Fright; complaints from: Act-sp, Lyss ( Fear; ailments from in Knerr)
• Hysteria : Art-v ( This is given under the chapter 36 – Nerves in Knerr)
• Unconsciousness; sudden : Hydr-ac

3. There are 551 main rubrics in Knerr where as  Kent contains 529 rubrics

Certain rubrics not seen in Synthesis are

• ADDRESSED; hates to be
• BEHAVIOUR; extravagant, ill, improper, inconstant, thoughtless
• BURGLARS; imagines they are in the room
• COMFORTED; cannot be, will not be
• CRIME as if he had committed
• DESPERATION
• DISTRESS
• DISUNION with himself
• EXCITABLE
• EXISTANCE sense of having two
• EXPLAINING constantly in maina puerperalis
• FLIES tries to catch
• FOOD refuses
• FROLICSOME behavior: changing to sorrow
• FUN full of
• GRASPING
• GRUDGE inclined to have a secrete
• HEAVEN feels as if in
• HEAVINESS
• HYPERAESTHESIA, emotional
• ILL HUMOR
• INCOHERENCY
• INSULTING
• INSULTS
• LECTROPHILIE and LECTROPHOBIA
• MATTER says there is nothing with him
• MEDICINE, refuses
• MENTAL EXHAUSTION
• METAPHYSICAL SUBTLETIES racks brain about
• MISTRUST
• MOUTH lays finger on, alternately with stretching hands to fullest extent
• NOSE inclination when walking, to take people by( mania)
• OBJECTIONS queerest against whatever was proposed ( melancholia)
• OPPRESSION
• PEEVISH (petulant)
• PICKS air, bed clothes, at flocks
• PINS, breaks into pieces, half a day at a time (mania)
• POCKETS fills with anything
• POINTING to things to express wishes
• POSITIONS queer: in bed
• PROPOSES absurd things
• PURCHASES, makes useless
• PUSH THINGS desire to
• RAMBLING manner
• RANCOR
• RATS, thinks and talks of
• RAVING
• REPRIMANDED
• REROPHOBIA
• RIOTS in mental derangement
• RUINS things
• SALACITY K Lascivious
• SELF- DEPRECIATION K Reserved
• SENSATIONAL
• SHOCK
• SLINKS, about like a ghost (ague)
• SPELLING makes mistakes in
• SPECULATION, mind dwells on philosophic
• STOLID K Apathy
• SYPHILOPHOBIA
• TEMPER
• THOUGHTLESS
• UNCERTAINTY, feeling of
•  UGLINESS, of disposition of
• UNPLEASANT THINGS, inclined to dwell on
• UNSTEADY
• VACUITY feeling of
• VEHEMENCE K Anger
• VIGILENCE, morbid
• VOICES personifies (delirium tremens)
• WASPISH K Irritable
• WINDOW impulse to jump out
• ZOOMAGNETIC condition

2.      Sensorium:

This chapter contains 12 main headings or rubrics. Important rubrics are;

• CONFUSION
• DIZZINESS
• FALLING
• GIDDINESS
• INTOXICATION
• LIGHTNESS
• REELING
• STAGGERING
• SWAYING
• VERTIGO

3. Inner Head: Here the rubrics are arranged in the alphabetical order. Different portions of head are also given in the alphabetical order, as main rubric or heading.

Important rubrics in the chapter are:

• APOPLEXY, The general rubric or the main rubric contains 33 medicines.  Synthesis contains only four medicines.
• BRAINS, abscesses, affections, atrophy, cerebellum, concussion, hydrocephalus, medulla, meningitis, metastasis, softening.
• CEREBROSPINAL affections, meningitis
• FOREHEAD with different sensations in alphabetical order.
• HEAD
• HEADACHE (undefined) and different types.
• HEMICRANIA (migraine or semi lateral headache)
• MASTOID REGION
• OCCIPUT with different sensations in alphabetical order
• SUNSTROKE
• TEMPLES with different sensations in alphabetical order
• VERTEX with different sensations in alphabetical order

4. Outer head :

Important rubrics include;

• DANDRUFF
• FONTANELLES
• FOREHEAD in this rubric, no sensations are given as sub rubrics
• HAIR
• SCALP
• SKULL caries, exostoses, fracture, styloid process
• TUMORS sebaceous

5.  Eyes :
Most of the main rubrics are starting with the parts of eyes, followed by different conditions in alphabetical order as sub rubric. There is no special chapter for vision.  Rubrics to be noted in this chapter are

• ACCOMMODATION disturbance
• AQUEOUS HUMOR
• CANTHI
• CHOROID inflammation (Choroiditis)
• CONJUNCTIVA  blenorrhoea, chemosis, inflamed ( conjunctivitis)
• CORNEA inflammation (Keratitis), injuries, opacity, pannus, staphyloma, ulcers
• EYES staring, strabismus, sunken
• ILLUSIONS OF VISION
• LACHRYMAL APPARATUS fistula, glands
• LACHRYMATION
• LENS, cataract, opacity
• LIDS
• OPHTHALMIA
• OPTIC NERVE atrophy, paralysis
• PHOTOPHOBIA
• PUPILS
• RETINA
• SCLEROTICA yellow
• SIGHT astigmatic, blindness, hemiopic (half-sighted) hypermetropic, myopic( near sighted)
• VITREOUS, glaucoma

6.      Ears:

Important rubrics in this chapter include;

• AUDITIORY NERVE Paralysis, vertigo: in Menier’s disease
• EARS, aching (otalgia), discharge (otorrhoea), inflammation (otitis), stopped, suppuration, wax
• EUSTACHIAN TUBES, catarrh, stoppage
• HEARING acute, impaired, sensitive to noises and sounds
• ILLUSIONS OF HEARING, ringing, roaring
• MEMBRANA TYMPANI perforation, ulceration

7. Nose:

This chapter includes only three main headings; they are

• CORYZA
• NOSE
• SMELL

Important sub rubrics under CORYZA are

Bloody, in children, with chills or chilliness, chronic, with cough, in diphtheria, with fever, in hay fever, with headache, with hoarseness, in influenza (grippe), taste loss of.

Important sub rubrics under NOSE are;

Bleeding (epistaxis), cancer, catarrh, diphtheria, inflammation( rhinitis), motion- fan like of alae in pneumonia, ozaena, polypus, sneezing, stopped, tumor.

Important sub rubrics under SMELL are

Diminished (impaired), hallucinations, loss of, sensitive

8. Upper face:

Important rubrics are

• ERUPTION, acne, comedones (acne punctata, black pores), eczema, herpes, pimples,
• EXPRESSION anxious, old, painful, sad, suffering, vacant,
• FACE  anaemic, beard falling off, cancer, grimaces, paralysis, risus- sardonicus, sunken (collapsed, hippocratic, hollow)
• FACEACHE (prosopalgia) with toothache

9. Lower face:

The important rubrics include:

• LIPS
• LOWER JAW dropping, parotid gland, submaxillary glands, trismus (lock jaw)
• OUTER MOUTH

10.  Teeth and gums:

The following rubrics must be noted in this chapter:

• DENTITION colic, convulsions, crying, diarrhoea, difficult, with fever, screaming, sleeplessness.
• GUMS bleeding, inflamed, scorbutic (scurvy), ulcers
• TEETH caries (decaying), grinding, loose, sensitive
• TOOTHACHE

11.  Taste and tongue :

SPEECH is given under this chapter. Sub rubrics to be noted under this main heading are;

aphasia( speechlessness), difficult,  hasty, indistinct, stammering.

Other rubrics are

• TASTE
• TONGUE cancer, clean, coated (furred), inflamed (glossitis), mapped, ranula( swelling of sublingual gland), sublingual glands.  

12.  Inner mouth :

There are only two rubrics;

• MOUTH and SALIVA

13.  Throat:

Important main rubrics are

• FAUCES
• OESOPHAGUS
• PALATE
• PHARYNX
• SWALLOWING
• THROAT
• TONSILS
• UVULA

14.  Appetite, Thirst, Desires, Aversions

These are given as separate chapter. Important rubrics include

• APPETITE capricious, lost (anorexia)
• AVERSION
• DESIRE
• HUNGER with aversion to food, eating soon after, in fever
• THIRST absent (thirstlessness), with chilliness, in diarrhoea, in fever, for small quantities, in tonsillitis

15.  Eating and drinking:

Aggravation, bad effects and amelioration from certain food substances and drinks are given in this chapter. All things concerned with chewing or smoking TOBACCO are given as separate section in this chapter. 

16.  Hiccough, Belching, Nausea and Vomiting

The following are some important rubrics

• ERUCTATION (belching)
• GAGGING
• HEARTBURN
• HICCOUGH
• NA– USEA in cholera, colic after/ during, with diarrhoea, in diaphragmitis,

With headache, kidneys- in renal calculus, with mental  symptoms, from smoking, after vaccination,

RETCHING

VOMITING black (malaena), of blood (haematemesis), in cholera Asiatica, in cholera infantum or morbus, of drunkards, fecal (Stercoraceous), in meningitis, mental symptoms, with vertigo

• VOMITURITIO
• WATERBRASH( pyrosis)

17.  Scrobiculum and Stomach

This chapter includes EPIGASTRIUM and STOMACH

18.  Hypochondria:

• DIAPHRAGM inflammation( diaphragmitis), spasms
• HYPOCHONDRIA
• LIVER abscess, atrophy (cirrhosis), cancer, colic- biliary, enlarged (hypertrophied, swollen) , gall bladder, gall ducts, gall stones (biliary calculi), inflammation( hepatitis), jaundice, affections with mental symptoms, torpid(inactive)
• PANCREAS inflammation
• SPLEEN enlarged(hypertrophy, swelling), inflammation are some rubrics to be noted in this chapter.

19.  Abdomen:

Main rubrics include the following ones:

• ABDOMEN dropsy( ascites), hernia, mesenteries, peritonitis, portal system-  congestion, solar plexus, tumors
• COLIC( enteralgia), in children,  colon, intestines- intussusception, from lead poisoning( painter’s), about navel, with worms.
• FLATULENCE incarcerated, noise( borborygmus)
• INGUINAL REGION  bubo, hernia,
• INTESTINES appendicitis,  typhilitis , caecum, colon, duodenum, inflammation (enteritis), intussusception, jejunum, peristaltic motion, ulcers and ulceration
• PERINEUM intertigo (chafing, rawness)
• PUBES

20. Stool and Rectum:

They are given as single chapter. This includes rubrics like;

• ANUS fissure (rhagades), fistula, itching (pruritus)
• CHOLERA (Asiatic, chlorine, sporadic)
• CHOLERA INFANTUM
• CHOLERA MORBUS
• CONSTIPATION
• Addison’s disease, in children, chronic (habitual, obstinate, persistent), in dentition, diabetes, with fever, with flatulence, with hemorrhoids, with leucorrhoea, liver: with liver disorder, old people, during pregnancy,  stomach cancer, uterus cancer, in women, with worms.

DIARRHOEA in children, in climaxis, colic, with cramps, in dentition, drugs- abuse of cathartics, with emaciation, with fever, with haemorrhoids, in influenza, liver –chronic in liver affections, with marasmus, mental condition, in phthisis, in pregnancy, in summer, weather

DYSENTERY

FLATUS

HEMORRHOIDS bleeding, chronic, with constipation, with fissure, incarcerated, itching, after operation- for hemorrhoids

• RECTUM inflammation (proctitis)
• STOOL
• Conditions before, during and after defecation are given in:
• BEFORE STOOL
• DURING STOOL and
• AFTER STOOL respectively.

WORMS worm affections (helminthiasis), ascarides (lumbricoids, round  worms), in children, with chorea, with convulsions, fever, oxyuris  (pin, seat, or thread worm), taenia( tape worm), with vomiting.

21.  Urinary organs:

Important rubrics or heading include

• BLADDER calculi (gravel, stone), cancer with haematuria
• KIDNEYS, abscess (suppuration), Addison’sdisease, Bright’s disease (albuminous nephritis), calculi, colic, contracted(cirrhosis), affections with dropsy, hemorrhage, inflammation.
• URETERS spasmodic affection from passage of calculi
• URETHRA
• URINATION
• BEFORE URINATION
• DURING URINATION
• AFTER URINATION
• URINE diabetes, retention, sediment, specific gravity- specific values like 1.002, 1.004 etc are given, uremia, urates

22.  Male Sexual Organs :

Important rubrics to be considered are;

• COITION
• GENITALS
• GLANS
• GONORRHOEA constitution, first stage(inflammatory), second stage,  secondary , sequelae, suppressed, syphilitic, warts ( condylomata), in women( misplaced rubric),
• PENIS erections- absent
• PREPUCE paraphimosis, phimosis
• PROSTATE GLAND discharge( prostatorrhoea), enlarged, inflammation,
• SCROTUM
• SEMEN
• SEMINAL EMISSIONS (involuntary, nocturnal, spermatorrhoea)
• SEXUAL EXCESS, coition, masturbation
• SEXUAL EXCITEMENT
• SEXUAL POWER impaired, loss of ( impotence)
• SPERMATIC CORDS veins- varicose
• SYCOSIS
• SYPHILIS buboes, chancre, in children( infantile), constitutional ( hereditary), gonorrhoeal, mercurio( abuse of mercury), psora-  complicated with, secondary, ulcers.
• TESTICLES atrophy, epididymis, hydrocele, inflammation( orchitis), retracted( drawn up), sarcocele, seminal vesicles, varicocele.

23.  Female Sexual Organs :

The chapter includes

• CLIMATERIC PERIOD
• CLITORIS
• COITION
• GENITALS( external sexual parts, labia, pudenda, vulva), mons veneris, warts ( condylomata)
• LEUCORRHOEA children, chronic, gonorrhoeal, syphilitic, uterus- cancer
• MENSES
• BEFORE MENSES
• DURING MENSES
• AFTER MENSES
• OVARIES cancer, dropsy, inflammation(ovaritis), neuralgia,
• SEXUAL EXCESS
• SEXUAL EXCITEMENT nymphomania
• STERILITY
• UTERUS bearing down( pressing down), cancer, colic, displacement ( malposition), enlarged( hypertrophy), hemorrhage (metrorrhagia),  inflammation( metritis), neuralgia (hysteralgia), physometra, prolapsus( falling, procedentia), subinvolution, tumors K fibroid

VAGINA

24.  Pregnancy, Parturition, Lactation

Important rubrics include

• ABORTION disposition to( habitual tendency) , with hamorrhage, sequelae, in syphilis, threatened
• INFANTS  asphyxia, chafing( intertrigo),  colic, constipation, diarrhoea, head-cephalaematoma, hernia, hydrocele, marasmus,
• LACTATION milk absent or scanty ( agalactia)
• LOCHIA
• MAMMAE atrophy, cancer, inflammation( mastitis), tumors
• NIPPLES cracked,
• PARTURITION labor pains,
• PLACENTA retained,
• POST-PARTUM haemorrhage, phlegmacia alba dolens (milk leg), uterus                        anteversion
• PREGNANCY albuminuria, constipation, convulsions, dropsy, false conception, moles (hydatids), morning sickness
• PUERPERAL  convulsions ( before, during or after parturition), fever,  mania. 

25.  Voice and Larynx. Trachea and Bronchia

The following headings may be useful for finding similimum:

• AIR PASSAGES(in general) catarrh, foreign bodies, inflammation
• BRONCHIA dilatation (bronchiectasis), inflammation( bronchitis)
• EPIGLOTTIS
• GLOTTIS oedema, spasm( asthma Millari or thymicum, laryngismus- stridulus)
• LARYNX cancer, croup, diphtheria, foreign body,  inflammation (laryngitis), phthisis, vocal cords
• TRACHEA inflammation( tracheitis)
• VOICE aphonia( loss of voice), changing, hoarse, nasal

26.  Respiration :

The main headings include;

• ASPHYXIA ( apparent death)
• ASTHMA bronchial, in children, chronic, dry( siccum), dust- from inhaling  dust ( stone cutters), emphysematous, eruption- after suppressed eruptions in general, hay fever, heart- cardiac, humid( pituitous), hysteric, mental conditions- after emotions, in old people, periodic
• BREATHING impeded( arrested, embarrassed, interrupted, loss of breath,                        obstructed, stopped, suspended), odor of breath, rattling, stertorous ( snoring), wheezing
• DYSPNOEA(difficult, labored breathing), in albuminuria, in asthma, in diphtheria, dropsy, in pneumonia
• EXPIRATION
• INSPIRATION
• SUFFOCATION(choking, smothering, strangulation)

27.  Cough and Expectoration:

Main headings in this chapter are;

COUGH asthmatic, children, chronic, constant (incessant, unceasing), dentition, in diphtheria, in fever, haemoptysis, heart – with cardiac affections hysterical, influenza( grippe), laryngeal, in phthisis, in pneumonia

Concomitants of cough are given in

• BEFORE COUGH
• DURING COUGH and
• AFTER COUGH

Other rubrics include

• WHOOPING COUGH
• EXPECTORATION

28.  Inner Chest and Lungs :

• CLAVICLES
• INNER CHEST angina pectoris, dropsy ( hydrothorax),
• LUNGS abscess, air-capacity diminished, auscultation sounds, cancer, cavity, consumption( phthisis, tuberculosis), emphysema, hemorrhage( haemoptysis), inflammation, oedema, percussion sounds- dull, pneumonia, rales ( rattling), suppuration
• PLEURA exudation, inflammation( pleurisy),
• STERNUM are the main headings in this chapter.

29.  Heart, Pulse, and Circulation :

This chapter contains headings like:

• BLOOD anaemia, chlorosis, corpuscles,  cyanosis, hemorrhage, leukemia  (leucocythaemia), septicemia.
• BLOOD VESSELS aneurisms, atheroma, capillaries, inflammation, naevus,    Thrombosis ( emboli), varicose veins
• HEART displaced-in dropsy of chest, fatty degeneration, inflammation (carditis), metastasis of gout, organic affections, sounds, valvular affections, weak action( depression, exhaustion, failure)
• PALPITATION
• PERICARDIUM effusion, inflammation
• PULSE  dicrotic(double) 

30.  Outer Chest :

• AXILLAE
• MALE NIPPLES and
• OUTER CHEST are the main headings in this chapter.

31.  Neck and Back :

This include

• BACK
• COCCYX
• LUMBAR REGION (loins, small of back)
• NECK
• SACRUM
• SCAPULAE
• SPINAL CORD
• SPINE

Important subsections include

• NECK carotids- aneurisms, goiter, wry ( torticollis)
• SPINAL CORD atrophy( tabes dorsalis), inflammation( myelitis), sclerosis,  softening.
• SPINE bifida( hydrorachis), curvature, injuries, vertebrae

32.  Upper Limbs :

This include different sections of upper limb;

• ARMS
• ELBOW
• FINGERS
• HANDS
• SHOULDERS
• WRISTS

33.  Lower Limbs

The main headings are

• ANKLES
• FEET
• HEELS
• HIPS
• KNEE
• LEGS
• NATES
• TENDO-ACHILLIS
• THIGHS
• TOES
• WALKING

Important subsections include

• KNEE bursae (housemaid’s knee, hygroma), gonarthrocace K swelling +pain,
• LEGS sciatica, varicose veins
• WALKING locomotor ataxia, staggering, stumbling, unsteadiness

34.  Limbs in general :

Important rubrics include

JOINTS inflammation ( arthritis), neuralgia( arthralgia)

LIMBS

35. Rest. Position. Motion:

General modalities concerning these three factors are incorporated in this chapter.

36.  Nerves :

All conditions except sensations , related to nerves are given in this chapter. They are

• ACTIVITY( strength)
• CATALEPSY
• CHOREA
• CONVULSIONS
• FAINTING( syncope)
• FAINTNESS
• HYSTERIA
• LASSITUDE(fatigue, loss of energy, indolence, languor, tiredness,  weariness)
• NERVES anaesthesia, hyperaesthesia, inflammation( neuritis),
• NERVOUSNESS
• NEURALGIA
• PARALYSIS agitans, in apoplexy, diphtheria, hemiplegia, old people, paraplegia,
• RESTLESSNESS
• STARTING
• TREMBLING
• TWITCHING ( jactitation, jerking, subsultus tendinum)
• WEAKNESS

37.  Sleep

Main headings are:

• AWAKING
• DREAMS
• DROWSINESS
• SLEEP
• FALLING ASLEEP
• DURING SLEEP
• AFTER SLEEP
• SLEEPLESSNESS
• YAWNING

38.  Time :

General aggravation in relation to time is given in this chapter. No specific time modalities are mentioned. The important headings are

• AFTERNOON
• EVENING
• FORENOON
• MORNING
• NIGHT
• BEFORE MIDNIGHT
• AFTER MIDNIGHT

39. Temperature and Weather:

 This chapter contains rubrics like

• AIR
• COLD taking cold readily (susceptibility)
• DARK
• LIGHT
• SEASONS
• SUN sunburn, sunstroke
• TEMPERATURE change of aggravation
• WARMTH
• WATER bathing (washing) aggravation, getting wet- aggravation
• WEATHER change of aggravation, thunderstorm aggravation
• WIND 

40. Fever:

Fever chapter contains rubrics like

• CHILL
• CHILLINESS
• FEVER in children, dengue (break bone), dentition, diphtheria, eruption, with headache, influenza, injuries, malarial, in measles, puerperal, spotted(Cerebrospinal), typhoid (including typhus), in variola, worm, yellow
• HEAT
• SWEAT
• TEMPERATURE decreased (fallen, low, subnormal), increased (above normal)- specific temperature with the condition are given e.g.: 100 to 104, seldom rises to 105 or 106 (hydrophobia): Lyss; 102, in tonsillitis: ll Lac.c

41. Attacks, Periodicity:

This chapter contains only a single heading, ATTACKS under which the following sub sections are given,

In autumn, intermitting, periodical, in Spring, Sudden, in Summer, weekly, in Winter.

42. Locality and Direction:

It contains two heading namely;

• DIRECTION
• LOCALITY one-sided complaints, left side, right side

43. Sensations in General:

This contains about 89 types of sensations, which affect the body as a whole.

44. Tissues:

Various types of tissues and their different pathological conditions are given here, which include:

• ADIPOSE increase (corpulency, obesity)
• BONES cancer, caries, curvature, inflammation (osteitis), necrosis, rachitis (Osteomalcia, softening),
• CANCER colloid, encephaloma, epithelioma, lupus, scirrhus
• CARTILAGES
• DECOMPOSITION
• DEGENERATION fatty
• EMACIATION children, diabetes, marasmus, of old people, rapid, worms
• EXCRETIONS
• FIBROUS
• FLUID decomposition, ill effects from loss of
• GANGRENE
• GLANDS indurated, swelling (enlargement, hypertrophy),
• GRANULATIONS
• HYPERTROPHY
• INDURATION
• INFLAMMATION
• LIGAMENTS
• METAMORPHOSIS
• MUCOUS MEMBRANES
• MUSCLES cramps (contraction, knotted)
• NERVES
• NUTRITION
• PARENCHYMATOUS ORGANS
• PERIOSTEUM
• PLAGUE
• PYAEMIA
• SECRETIONS
• SEROUS MEMBRANES
• STENOSIS
• SUPPURATION anthrax
• SWELLING dropsical (anasarca, oedema)
• TENDONS
• TRICHINOSIS
• TUBERCLES
• TUMORS atheroma, cheloid, epithelioma, fatty (lipoma), fibroid, polypus,  sarcoma, wens
• ULCERS 

45. Touch. Passive motion. Injuries.

This chapter contains;

INJURIES ( in general), bed sores, bites, blows, bruises, burns, concussions, cuts, dislocation, dissecting wounds, ecchymosis, falls, foreign- bodies, fractures, friction, gangrene, gunshot, lacerations, lifting(overlifting),poisoning, punctured wounds, scars- (cicatrices), shock, smoke, sprains, stings, straining, surgical- operations, vaccination, wounds

• PASSIVE MOTION jarring( shaking), riding
• TOUCH

46. Skin 

 There are two main sections in this chapter; ERUPTION and SKIN

The main sub sections under ERUPTION are:

Chloasma ( liver spots) ,Ecthyma, eczema, exanthema, herpes, leprosy, measles, pemphigus, pityriasis, psoriasis, purpura hemorrhagica, Rhus poisoning, scabies( itch), tetter, urticaria ( nettle rash, hives), vaccination- following, varicella, variola( small pox), warts

Main sub headings under SKIN are

Anaesthesia, chilblains, desquamation, ecchymosis, elephantiasis, inflammation( dermatitis), injuries, oily, prurigo( pruritis), rhagades, yellow.

47. Stages of Life and Constitution:

This chapter includes the following important rubrics;

• AGE boys, children, girls, men, old people, puberty, young people, youths.
• COMPLEXION( including color of eyes and hair) dark( brunette), fair (blonde, light),
• CONSTITUTION (diathesis), anaemic, asthmatic, cachexia, cancerous, carbo-nitrogenoid, dyspeptic, gouty, hemorrhoidal, herpetic, hydrogenoid, lymphatic( flabby, relaxed, torpid),    plethoric, psoric, rachitic, scorbutic, scrofulous (strumous), sycotic, syphilitic, tuberculous
• HABIT drunkards, drugged subjects,
• OCCUPATION  book worms, business men, clergymen- sore throat, nurses  exhausted by long nursing, sedentary, singers- nervous dread, teacher- brain fag
• SIZE dwarfed, large, tall, thin( emaciated, lean, slender, spare)
• TEMPERAMENT bilious, choleric (irritable, inclined to anger), mild (bland), melancholic( hypochondriacal), nervous, phlegmatic, sanguine.

48.  Drug Relationship : Relationships of 408 medicines are given in this last chapter. Various types of relationships are explained in the beginning of the chapter-

1. Antidotes: To the effects of massive and molecular doses; chemical antidotes in poisoning; to the lasting or chronic effects super induced by the drug.

2. Collateral : Side relations (congeners) belonging to the same or allied botanical family or chemical group.

3. Compatible : Drugs following well

4. Complementary: Supplying the part of another drug.

5. Inimical : Drugs disagreeing, incompatible, do not follow well

6. Similar : Drugs suggested for comparison by reason of their similarity; usually compatible, unless too smaller, like Nuxvomica and Ignatia.

All these relationships are not mentioned under many drugs.

Advantages:

1. Source of this repertory is one of the most reliable one.
2. Contains about 408 medicines
3. Author followed the same order of 48 sections in the source book; so it is easy for those who are familiar with the source book to; refer the required symptom.
4. Chapters like Pregnancy, Parturition, Lactation, Stages of life and Constitution and Drug relationship are very useful.
5. The-mind and disposition chapter contains 551 rubrics and many of them are not seen in latest repertories.
6. Each section contains many cross-references indicated by “ K”, we can search similar rubrics with the help of this.
7. Index given at the end of the repertory is very useful one.
8. Four marks of distinction assigned to the remedies are helpful in selection of more suitable one for the case.
9. The main headings or rubrics under each chapter are mentioned in the beginning and they are arranged in the alphabetical order.
10. Rubrics like; CONSTITUTION ,OCCUPATION, TEMPERAMENT, (Stages of life and constitution), NUTRITION, EMACIATION children,  diabetes, marasmus, of old people, rapid, worms (Tissues), INJURIES (Touch, passive motion, Injuries), LUNGS percussion sounds (Inner chest and Lungs), INFANTS, LACTATION, PARTURITION, POST-     PARTUM, PREGNANCY (Pregnancy. Parturition. Lactation), CLIMACTERIC PERIOD (Female Sexual Organs), URINE  diabetes (Urinary Organs) etc are some important rubrics which may help the physician in finding out the similimum.
11. Over generalization of the rubrics is not seen in this repertory.
12.  Bad effects from various food and drinks are given in a separate chapter Eating and Drinking (chapter 15).
13. The relationship chapter contains relationship of all the 408 medicines.
14. Many concomitant symptoms are given under each main rubric. 

Disadvantages: 

1. This repertory belongs to the Puritan group of repertories, in which there is no distinctive philosophical background. Many of the symptoms are represented in the language of the provers. Eventhough the rubrics are given in the alphabetical order, the arrangement does not helps in easy search.
2. It can be used for the purpose of reference, not for the actual process of repertorization.
3. The cross-reference indicated by  “K”, points only the chapter number not the name, so the Physician should first check the chapter list. Certain mistakes are made in indicating the cross-reference; e.g. In the chapter 47 Stages of Life and Constitution rubric ‘AGE climacteric period’, is referred to chapter 24 by K, but this rubric cannot be seen in the chapter 24; instead this is seen in the chapter 23 Female sexual organs.
4. There are certain misplaced rubrics; for example in the chapter 22 Male sexual Organs under the rubric GONORRHOEA the subrubric “in Women” is given. The mental complaint Hysteria is given under the section Nerve ( Chapter 36)
5. The lowest grade medicines are not represented by the light line as mentioned in the preface.
6. All relationships are not mentioned under many drugs in Drug Relationship chapter.

Dr. Sanil Kumar BHMS,MD(Hom)
Department of Forensic Medicine & Toxicology
Govt. Homeopathic Medical College. Calicut.10. India
Email : drsakumkumar@yahoo.co.in