Importance of autoimmune related rubrics in Homoeopathic Medical repertory

Dr LR Nandha Subbian 

Autoimmune diseases are those in which our body’s own defense mechanism acts against our own body because immune cells are not able to differentiate between normal body cells and foreign cells. As there is an increasing number of autoimmune cases understanding about the disease and approach is important. As there is autoimmunity at the physical level, it can be preceded by autoimmunity at the level of mind also. If the autoimmunity at the level of mind is understood, the homoeopathic treatment can be made in ease. Here an attempt is made to list and explain a few important autoimmune rubrics that are placed in “mind” chapter of some modern repertories, which can be used as the entry point in the selection of similimum in treatment of autoimmune cases.

KEY WORDS: Autoimmunity, Autoimmune Rubrics, Homoeopathy , Murphy Repertory.

Autoimmunity is the system of immune responses of an organism against its own healthy cells, tissues and other body normal constituents. Any disease that results from such an aberrant immune response is termed an “autoimmune” disease.  Prevalence rates range from less than 5 per 100,000 (e.g. chronic active hepatitis, uveitis) to more than 500 per 100,000 (Grave disease, rheumatoid arthritis, thyroiditis).

An autoimmune disease is a condition in which our immune system mistakes our body cells to be foreign bodies. The immune system is normally designed to guard our body against germs like bacteria and viruses. When it senses these foreign invaders, it sends out an army of fighter cells (T cells and B cells and phagocytes) to attack them.

Normally, the immune system attacks only the foreign cells and can distinguish between foreign cells and our own cells. But in an autoimmune disease, the immune system mistakes some of our body’s normal cells as foreign cells (joint or skin or an organ). It releases proteins called auto-antibodies that attack healthy cells, resulting in auto immune diseases.

Some autoimmune diseases target only one organ. Example- Type 1 diabetes damages the pancreas. Other diseases, like systemic lupus erythematosus (SLE), affect the whole body.

Common auto immune diseases seen in our regular practice are:

  • Addison’s Disease,
  • Alopecia Aereata
  • Ankylosing Spondylitis
  • Auto Immune Hepatitis
  • Celiac Disease
  • Crohn’s Disease
  • Endometriosis
  • Fibromyalgia
  • Glomerulo Nephritis
  • Grave’s Disease
  • Hashimoto’s Thyroiditis
  • Hemolytic Anemia
  • Juvenile Diabetes
  • Lichen Planus
  • Meniere’s Disease
  • Multiple Sclerosis
  • Myasthenia Gravis
  • Pemphigus
  • Psoriasis
  • Rheumatoid Arthriris
  • Scleroderma
  • Sjogrens Syndrome
  • Type 1 Diabetes
  • Ulcerative Colitis
  • Vasculitis

The early symptoms of many autoimmune diseases are very similar:

  • fatigue
  • achy muscles
  • swelling and redness
  • low-grade fever
  • trouble in concentrating
  • numbness and tingling in the hands and feet
  • hair loss
  • skin rashes

Along with the other symptoms of the particular disease condition  and part involved

No single test can diagnose most autoimmune diseases. The antinuclear antibody test (ANA) is often one of the first tests that suggest an autoimmune disease. A positive test means you may have one of these diseases, but it won’t confirm exactly the diagnosis. The other test being C reactive protein (CRP) and erythrocyte sedimentation rate (ESR) which helps in identifying the auto immune disease

Other tests include auto antibodies produced in certain autoimmune diseases like Anti Thyroid per Oxidase (ATPO) or Anti microsomal antibodies (AMA) to diagnose auto immune thyroid disorders.

In case of prognosis, reduction in antinuclear antibodies is considered as first criteria.

The main treatment for autoimmune diseases is with the use of medications that bring down inflammation and calm the overactive immune response. But these in turn weakens the immune system and makes way for other possible infections.

Autoimmune response at the level of mind before the disease onset+ mental state after the disease onset + some characteristic symptoms of the patient = similimum for auto immune disease treatment.

In case of a congenital auto immune disease condition ,the pregnancy history and the maternal stress and auto immune response at the level of mind, during the time of pregnancy helps in finding out the similimum along with some characteristic symptoms of the patient.

Prognosis should be assessed based on Hering’s law of cure as in any other cases. The direction of cure should be

  • From above downwards
  • From within outwards
  • From more vital organ to less vital organ
  • In reverse order of appearance of symptom

Here an attempt is made to explain some of the  auto immune rubrics present in mind chapter of Murphy’s Repertory:

Anger himself with

Feeling strongly that you had done something or had not done something and you are unhappy with oneself

Antagonism with herself

Antagonism is hostility that results in active resistance, opposition, or contentiousness, a kind of struggle against oneself. It is like a state of confusion between two wills – I am supposed to do and what I actually want to do.

Aversion himself

A strong feeling of not liking himself

Blames himself

Patient feels that he or she is responsible for something bad that has happened

Censorious oneself to

Being very critical of oneself

Contemptuous oneself of

Lack of admiration of one self, or a state of putting oneself down

Delusion neglected duty his

Patient feels that he has not done his duty

Delusion wrong done

Patient feels he has done something wrong which he is not supposed to do, though he has not done anything like that

Discontented himself with

Patient feels dissatisfied especially with one’s circumstances

Mutilating his body

Inflicting a violent and disfiguring injury on his /her own body

Death desire

Patient feels dying is better than living like the present life

Hard hearted himself

Not being sympathetic to one self or being in a state of unfeeling

Hurting himself

Causing pain or injury to self

Indifference himself to

Being unconcerned about him / her self

Injuring himself

Causing physical harm or damage to one self mentally or physically

Kill desire to, herself; sudden impulse to

An urge to kill or take away the life of him/her self


Derivation of sexual gratification from being subjected to physical pain or humiliation by one self or another person

Neglecting himself

Failing to care oneself properly

Loathing himself

A feeling of intense dislikes or disguised to one self

Reproaching himself

Expression of disappointment or disapproval about self in their actions


A feeling of sadness because you have done something wrong

Suicidal thoughts

Thinking about, considering, or planning to suicide

Suicidal disposition

An increased tendency to end their own life with multiple history of unsuccessful attempts.


Thoughts of self destructive behavior that causes self harm

Self deception

An act of lying to oneself or of making oneself believe something that isn’t really true

Self abuse

Self injuring or self harming intentionally or direct injuring of one’s own body

Self accusation

The action of accusing oneself, causing from the felling of guilt

Self assertion want of

The person lacks the act of asserting oneself or one’s own rights or claims or opinions

Self blame

Patient blames him or her for a stressful event

Striking himself

An intense urge to hit himself in expression of a anger

Tormenting himself

A state of causing severe physical or mental suffering to one self

Thoughts tormenting  

State where ones persons thought process troubles the patient.

There are various other auto immune rubrics represented in the various sections of the repertory .

Some of the direct/related rubrics for the following disease condition in Murphy’s Repertory

  • Addison’s Disease,- Diseases – ADDISON’S DISEASE
  • Alopecia Aereata- Consitution, HAIR, general, head and body,- loss, of hair from head – patches in
  • Ankylosing Spondylitis- Diseases – ANKLOSING SPONDYLITIS
  • Auto Immune Hepatitis- Diseases – HEPATITIS
  • Celiac Disease- Intestine- CELIAC DISEASE
  • Crohn’s Disease – Intestine – CHRON’S DISEASE
  • Endometriosis- Female- ENDOMETRIOSIS
  • Fibromyalgia- Muscles- PAIN, muscles
  • Glomerulo Nephritis – Diseases , NEPHRITIS, kidney
  • Grave’s Disease – Glands – THYROID, gland, remedies, goitre
  • Hemolytic Anemia Diseases- HEMOLYTIC anemia, chlorosis
  • Juvenile Diabetes- Diseases- DIABETES, mellitus/ insipidus
  • Lichen Planus- Diseases – LICHEN, planus
  • Meniere’s Disease- Ear/ Diseases –MENIERE’S disease
  • Multiple Sclerosis Diseases / Nerves – MULTIPLE, sclerosis
  • Myasthenia Gravis- Muscles- MYASTHENIA, gravis
  • Pemphigus- Diseases- PEMPHIGUS
  • Psoriasis- Skin- PSORIASIS
  • Scleroderma – Diseases SCLERODERMA, skin

In treatment of auto immune cases when there is a psychological stress before the onset of disease and individualistic reaction to disease is clearly understood, it can be considered as entry point for the case, the similimum can be found in ease. In such cases mental disposition of the patient should not be considered where as present mental state should be taken into the consideration for selection of similimum.


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  2. Murphy R. Lotus materia medica. 3rd ed. Noida: B Jain Publishers Pvt Ltd; 2021.
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  4. Hahnemann S. Organon of Medicine. 6th edition. New Delhi: B. Jain Publishers (P) LTD; 1921.
  5. Gupte D , Sawant K, Dadia B K. Genetic Code of Homoeopathy. 1st edition mumbai: Limitless Homoeopathy Pvt.Ltd. 2015
  6. Cooper G, Stroehla B. The epidemiology of autoimmune diseases. Autoimmunity Reviews. 2003;2(3):119-125.

Dr L. R. Nandha Subbian 
Dept of Case taking and Repertory
Government Homoeopathic Medical College and Hospital
Bangalore ,Karnataka

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