Repertorization makes our prescription more authentic, isn’t it ?- a discussion with eminent teachers and practitioners across the Globe – a must read article for students,teachers and practitioners
Dr Ashish Kumar Jha
I started one day in the morning with a simple question in my mind “REPERTORIZATION MAKES OUR PRESCRITION MORE AUTHENTIC OR CONFUSING?”
First, I thought I should ask this directly to my teachers and some legendary practitioners in India and abroad whom I know very well. However, whoever I know closely in Homeopathy, they all are using Repertory for almost all the cases. So if I ask them this question they would certainly have replied in the favour. Therefore I thought better ask this question to General masses.
The first reply I got within minutes was from the most respected, learned stalwart and a living legend in Classical Homeopathy Prof. Dr George Vithoulkas Sir from Athens, Greece. He wrote – “Dear Ashish, I agree, you are so right, scientific prescribing must be objective and not imaginary!”
Everything was crystal clear with this answer. And I need no further clarification from anyone for this topic. However, as I have already posted this on different groups, I started receiving messages simultaneously.
Dr Girish Gupta Sir replied “You are right Dr Ashish to some extent’. He also stated that ‘By the way we are repertorising each and every case by a dedicated team for this purpose’.”
After this I received 100s of message, some was advocating to use the Repertorization after case taking, other group advocating directly consulting Materia Medica and some advocating judicious use of Repertory in some selected cases.
This is true that Materia Medica and Organon of Medicine helps us in the final selection of remedy. And no one is denying this fact, whether one is using Repertorization or not for their case. However is it the true way of prescribing remedy on one or two key note symptom if one is taking the case history of the patients thoroughly? How can one skip the method of Repertorization before consulting Materia Medica for the final selection of the remedy? With these question in my mind, I started following the group discussion.
Few doctors suggested that if someone has sound knowledge of Materia Medica, then Repertorization is of no worth, as they can chose the remedy while taking the case. My question was, if this is the correct way of selecting the remedy, as selecting Remedies directly without following the correct procedure of Repertorization, Will the selection not be a Prejudiced or Biased one. Understanding Individualisation during Case taking comes only with the clinical experience. Getting closer to the Similimum after studying remedies in groups is also a valuable tool. I am sure it will help a lot. However it leads to PREJUDICE mind too. Keeping Remedy in mind while case taking is never good. This is what I understand and learnt from my teachers.
Someone answered that it comes directly with Experience. This answer was interesting. I started thinking from where this experience comes, if you are not utilizing your knowledge of Repertory in Selection of Remedy. Experience comes with the practice, this is what I understand.
Then suddenly, I got perfect answer from Dr Kishore Mehta Sir and he wrote – “My teacher late Dr M L Dhawle and Dr K N Kasad thought us that every new physician must religiously do atleast 100 cases with Repertorisation and also reason out why a particular repertory is used for the given case. After this 101 case you may be able to come to similimum with some less confusion. Use of repertory for novice is a must. In fact repertory helps to improve Materia medica. This I also maintained and emphasised in early part of my teaching. But now the Materia medica is understood from different angle which does not emphasise on the use of Materia medica. After years of experience your perceiving improves and you may be able to sense the medicine. However, after 15 to 20 years of experience if one goes on using repertory then also it is not true. At this stage you refer repertory confirms your selection from repertory. Your selection of medicine should be from your mind (knowledge) to repertory and not from repertory to case. So repertory is useful to evolve your knowledge of HMM and your Excellency‘.”
This answer was worth to note as it was shared by a senior most homeopath with vast Clinical experience.
A seniormost teacher in Organon of Medicine Dept at National Institute of Homoeopathy, Kolkata respected Dr Subhas Singh sir asked me to visit NIH OPD and join clinical classes of Organon. He further stated – “You will find students, interns and PGTs doing case taking and prescribing. And most of the cases do not need repertorisation. Now, let us not say that they all may be wrong.”
I have earlier visited NIH so many times and as told by respected Dr Subhas Singh Sir, he was absolutely right. No one even think of Repertorization there before prescribing because they are taught like that only. If they are doing Case taking and finally jump into MM without doing Repertorization, I am sure they have the potential to skip one procedure in the middle. Again this is not the question of wrong or right Prescription, I am only advocating the correct procedure. They are devoting half an hour or one hour or more with the patient for the case taking, Will it not be possible for them to Repertorise their individual case before consulting Materia medica. It will be a great learning experience too for them. But they are not guided or taught like that.
What I think or understand that mere knowledge of Materia Medica leads our mind a PREJUDICED. If we have excellent Subject REPERTORY in our curriculum and if it helps a lot in practice, then what is the reason we are not utilising this excellent tool.
Let me explain this with a nice common example. We have a patient in OPD who comes with the symptom of Polyuria, Polyphagia, Polydipsia with unusual weight loss, weakness etc. Don’t we send this patient for Lab investigation of Blood Sugar test, or we write directly with Prejudice state of mind that patient is Diabetic. The patient may or may not be Diabetic. This tool (Lab. Investigation) makes our Diagnosis more authentic. Isn’t it? Similarly if we select a similimum with mere knowledge of MM for a clinical case and that Similimum will also REFLECT positIvely in Repertorization. And if it is, it will not only an authentic prescription but also boost our confidence. Isn’t it?
Role of Repertory does not start when we are confused or lacking somewhere. It has prime importance after case taking, and then we utilise our knowledge of MM and Organon in final selection. This is the correct cycle. If you start selecting the remedy while case taking it will lead us to Prejudice.
I am sure, and I can tell you from my experience that those teachers or practitioners who are not advocating using REPERTORIZATION, have seldom used Repertory in their clinical practice. Because they have not learnt from their teachers and so they do not let their subordinate to learn Repertory and Repertorization. This is a simple truth. And I am sure everyone agrees with this.
Someone quoted that most of the Kolkata Homeopaths never use Repertory and they are successful practitioners. I agree, they may be the successful practitioners but do we think that their prescription are authentic and scientific. They are not adopting the correct procedure. Here I want to quote a comment of Dr Pritesh Patel – ‘Actually in the earlier days we had to Repertorise manually on a Repertory Sheet … and it was really tedious … hence most of us disliked it or avoided it, But, now with the laptops and Homoeopathic Softwares, we have a very versatile tool‘.
This is the main reason because in earlier days due to lack of equipment, the Repertorization work was not easy and they adopted the comfort zone of directly consulting Materia Medica, and gained their confidence with Experience. If you can reach somewhere by aeroplane, will you prefer to go by bicycle these days. We have the assets and best tools for Prescribing and so we should adopt these means.
Someone told me that ‘Repertorization is like a Calculator’. It certainly means he does not know what is Repertory or how to use the Repertory. No one is telling you to select few Rubrics, Repertorise your case and like a robot prescribe the remedy which covers most of the symptoms. Of course this is not the Repertorization. If we think this is Repertorization then certainly we will comment like this as ‘Repertorization is like a Calculator’.
One senior MM teacher from Gujarat stated that A single symptom can be the Totality.
Dr Bhavesh Patel replied nicely. He said – “I think if patient has only one similimum at a time then Homoeopathy not survive but fortunately there are various approaches in Homoeopathy. There are different ways to perceive patient and prescribe. It depends on our sensitivity and our experience to use repertory, Materia medica, keynote, Disposition etc. Even I experienced many approaches with good result. So all approaches are welcome and we should be open minded to accept and learn from that. It may be helpful in our future case. Here I would like to share my experience of two cases of renal failure. In first case I prescribe Calc carb where patient was on dialysis and admitted in hospital. In this case prescription based on constitutional totality and after that no dialysis even pleural effusion also cured. While in another case of renal failure. Patient’s relative came to me and asked for medicine . In that case I had no any symptom to prescribe so I prescribed from materia Medica point of view medicine Solidago. Now that pt has normal reports.”
Yes true, but the approach must be authentic one and free from Prejudice, this is what I have learnt. When I asked Dr Bhavesh in which case he was more confident before prescription, While prescribing Calc as a constitutional remedy after Repertorization or in 2nd Solidago without any indication. He replied spontaneously the first one where Calc was selected constitutionally.
Most of the senior teachers or practitioners are misguiding their students and followers about using Repertory. It’s only because they do not know how to use the Repertory or how to find Similimum through Repertorization, and later blame this beautiful asset due to their insufficiency, and gives all the credit to Materia Medica. THOSE WHO ARE NOT USING REPERTORY, DOES NOT KNOW HOW TO USE THIS TOOL. This is a Simple Truth. No one is denying the importance of MM and Organon, but Repertory is an indispensable tool for the novice.
I have quoted the comments in this article discussed in groups. I have not quoted the comments which were discussed individually. I am still waiting for the suggestion and feedback from all over the world and will share their views with you all if I get permission.
Dr Rajat Chattopadhyay, Principal of the oldest Homeopathic Medical College in India rightly said – ‘Homoeopathy cannot be practised as it should be without proper repertorisation after exhaustive case taking and final consultation with Materia medica’.
I started this article with the reply from a legend Dr George Vithoulkas sir and would like to close this with his golden words, “Scientific Prescribing must be Objective and not imaginary!”
Discussion on Various Groups:
I always wonder how homeopathic physicians prescribe Remedy without Repertorization of a case. Materia Medica, Organon of Medicine and REPERTORY are the Tripod and and dependent on each other. MM and Organon surely helps us in final selection of Remedy and prognosis of a case, but REPERTORIZATION is an indispensable tool. How can one jump directly on Remedy. This is totally PREJUDICE. Even the most experienced good homeopaths in the world after 30 or 40 years of clinical attachment, they are not able to select medicine without Repertorization, how can a Young MD pass out can prescribe Remedy on the basis of mere knowledge of MM. Can anyone explain?
Dr Ashish Kr Jha
Dr GEORGE VITHOULKAS: Dear Ashish Kumar, I agree, you are so right, scientific prescribing must be objective and not imaginary! my warmest wishes, Prof. George Vithoulkas
Dr Girish Gupta: You are right Dr Ashish to some extent.
Dr Ashish kr Jha: Sir, still some extent….Can you please guide all of us. Your guidance and valuable experience will help all of us to learn a lot.
Dr Prakash: Repertory is a tool one with good MM knowledge can come to a conclusion of remedy.
Dr Ashish Kr Jha: Yes of course, Sound knowledge of Materia Medica and Orgaon of Medicine will help us in final selection, but how can we discard Repertorization.
Dr Prakash: In my view it has got less importance.
Dr Ashish Kr Jha: Sir, kindly explain, so that we can learn from your view and experience too.
Dr Pritesh Patel: Actually in the earlier days we had to Repertorise manually on a Repertory Sheet … and it was really tedious … hence most of us disliked it or avoided it …But, now with the laptops and Hom Softwares … we have a very versatile tool … and Reverse Repertorisation also helps a lot.
Dr Prakash: We understand individualisation from case taking but for me after studying groups understandings of the remedies Become easier and we go closer to the similimum.
Dr Ashish Kr Jha: Understanding Individualisation during Case taking comes only with the clinical experience. Getting closer to the Similimum after studying remedies in groups is also a valuable tool. I am sure it will help a lot. However it lead to PREJUDICE mind too. Keeping Remedy in mind while case taking is never good.
Dr Girish Gupta: By the way we are repertorising each and every case by a dedicated team for this purpose.
Dr Ashish Kr Jha: Great Sir….And this is what we need to tell the world….The importance of REPERTORY along with MM and Organon.
Dr Jatin Valia: That’s amazing and great learning experience
Dr Kishore Mehta: My teacher late Dr M LDhawle and Dr K N Kasad thought us that every new physician must religiously do atleast 100 case with repertorisation and also reason out why a particular repertory is used for the given case. After this 101 case you may be able to come to similimum with some less confusion
*Use of repertory for novice is a must
In fact repertory helps to improve materia medica. This I also maintained and emphasised in early part of my teaching But now the materia medica is understood from different angle which does not emphasise on the use of materia medica. After years of experience your perceiving improves and you may be able to sense the medicine. However after 15 to 20 years of experience if one goes on using repertory then also it is not true. At this stage you refer repertory confirm your selection from repertory Your selection of medicine should be from your mind (knowledge)to repertory and not from repertory to case So repertory is useful to evolve your knowledge of HMM and your Excellency
Dr Ashish I assume those who are not using repertory might be master in materia medica
Jo mustak (brain)se pustak (book)me aata hai woh gyan hai
Jo pustak se mastak se mustak me aata hai woh popat hai. Finally Case decides REPEROTORY or No REPERTORY Case decides which repertory. Repertory selected decides which rubric and how to arrange them. Strong knowledge of principle of repertorisation decided how to repertorisation. Inductive and deductive logic decides final selection, Dr Ashish now you will understand why people do not use repertory.
Dr Ashish Kr Jha: Let me explain this with a nice common example. We have a patient in OPD who comes with the symptom of Polyuria, Polyphagia, Polydipsia with unusual weight loss, weakness etc. Don’t we send this patient for Lab investigation of Blood Sugar test, or we write directly with Prejudice state of mind that patient is Diabetic. The patient may or may not be Diabetic. This tool (Lab. Investigation) makes our Diagnosis more authentic. Isn’t it? Similarly if we select a similimum with mere knowledge of MM for a clinical case, that Similimum will also REFLECT positIvely in Repertorization. And if it is, it will not only an authentic Similimum but also boost our confidence. Isn’t it. If someone disagree with this, please comment. I will appreciate all the valuable insights. Repertorization makes our Prescription more authentic, Isn’t it?
Dr Sanjay Pandey: It is impossible to prescribe without repertorisation even for a single case.
Dr Praveen Kumar Suvarna: M.L.Tyler classifies the types of Prescription in to 3
As mentioned by Kishore Mehta sir and others a neophyte needs to prescribe Scientifically taking every help from Rep and MM. But the seniors with some years of experience can select Artistically….may be through well known short cuts. Accordong Tyler again…some have Intuitive capability basing on perfect knowledge and vast experience.
Dr Ashish Kumar Jha: Exception is everywhere and hope we have some extra ordinary intelligence in Homeopathy too….But here we are discussing for general masses.
Dr Sandeep Kr Mishra: मेरे भाई अगर in general की बात कर रहे है तो homoeopathy grow just because materia medica. Repertory popular these days only .
Dr Sanjay Pandey: Repertorisation doesn’t mean taking a peice of paper & noting down all the symptoms or taking help of software. Whenever we prescribe medicine, we logically differentiate the drugs in our mind. So it is called Mental repertorisation. That’s why I said , without repertorisation it is difficult to prescribe.
Dr Sanjay Pandey: Kent wrote first Repertory in 1897, then Philosophy in 1900 & Lecture on Materia Medica in 1905. So Kent’s Materia Medica is based upon his Repertory. If one study Organon he will be more philosopher, If anyone study Materia Medica he will be almost confused & if anybody study Repertory he will be a true clinician.
Dr Subhash Singh: But interestingly, he has not made frequent reference of repertory in his mm book. And reference in mm are nt from repertory bt from other classic books of mm. As far as, Organon and philosophy is concerned, it makes you a Homoeopath.
Dr Ashish Kr Jha: Thanks sir for your insight. Your valuable experience and knowledge helps us and guide us always.. ….Sir, No one is denying the importance of MM and Organon, but how can we discard Repertorization after case taking.
Dr Subhas Singh: Answer is same. No one denies imp of repertory bt definitely, as every clinician will agree, reoertorisation is nt required in every case.
Dr Lokesh Narayan Mishra: Yes I agree, Sir is right
Dr Ashish Kumar Jha: Perfect, Sir, this may be true for an experienced clinician, but are you also suggesting the same for a Novice…please comment. Regards
Dr Ashish Kumar Jha: Yes, Sir is right….But my query is……Sir, this may be true for an experienced clinician, but are you also suggesting the same for a Novice…
Dr Praveen Kumar Suvarna: The final court of appeal will be MM. Practice without principles will be disastrous. Hence all subjects are essential and no one subject is indispensible.
Dr Ranjan Belsare: If I have permission I can quote Dr Nash …..
Dr Lalit Verma: I do not know why an issue is being made of non existing issue. All subjects are important at their respective place.
Dr Kathika Chattopadhyay: If u cn recall treatment strategy for different types of diseases from the aphorisms of guiding book of treatment i.e. Organon of Medicine, you will find the answer of ur query. Else all the subjects form Homoeopathy or all these subjects are inseparable part of Homoeopathy. Equally important.
Dr Rabindra Roy: We all know that Every case has no requirement of repertorisation. It depends on case. “Repertory is just a tool….ultimately similimum find by the physician.” some time Well repertorise cases not giving good result. It doesn’t meant that Repertory wrong. It depends on physician skill for selection of rubrics or finds similium without the help of repertory.
Dr Kathika Chattopadhyay: Nobody is novice after four n half years course n one year treatment training. If it happens it’s fault of our education system. Repertory is very much essential, but not for all cases.
Dr Ashish Kumar Jha: Madam, What we learn from the institution is only an Observation, real test starts once we enter our clinic….And it takes years of experience to build a confidence….Isn’t it?
Dr Kathika Chattopadhyay: Yeah I can understand ur empathy towards new Homoeopaths. Even today I feel myself as New physician, as each n every case is a new challenge.
Dr Subhas Singh: Ashish, pl visit NIH old and clinical classes of Org. U will find students, interns and PGTs doing case taking and prescribing. And most of the cases do not need reoertorisation. Now, let us not say that they all may be wrong.
Dr Ashish Kumar Jha: Respected Sir, if they are doing Case taking and finally jump into MM without doing Repertorization, I m sure they have the potential to skip one procedure in the middle. Again this is not the question of wrong or right Prescription, I am only advocating the correct procedure.
Dr Sanjay Pandey: Sir all cases do not need repertorisation but all cases need mental repertorisation.
Dr Kishore Mehta: Very clearly it is said that Repertory is useful for every physician particularly for new Homoeopathic physician and at least for 2p years. As you get experience need of repertory is reduced it does not mean it is not require but if you say every physician must repertorise is wrong. After some you yourself will find same group of symptoms repeat in number of cases. In fact you can even without repertorisation come to similar drug. After many many years you see patients and on your observation you can prescribe does this mean repertory not done is crime? Please do not overastretch issue. I again say repertorisation evolves physician. It is like ladder but reaching on wall is MMsome one may not require ladder. So please be rational all three Organon HMM and REPEROTORY has its own role and they are inter related yet independent.
Dr Ashish Kr Jha: It was certainly a healthy discussion and we should promote such discussion and not discourage this. Regards
Dr Sanjay Pandey: So in nutshell Repertory is more important than M.M.& Organon
Dr Prakash: Too much reference of repertory will loose the confidence of practice
Dr Sanjay Pandey: Not loosing sir but gaining more confidence & more accuracy
Dr Subhas Singh: Just becoz u r a repertory teacher?
Dr Ashok Rai: Repertory importance you can understand if you think the drug against the symptoms. Ex how many drug we know against fear of death .
Dr Ashok Rai: When Repertory started at that time very few rubrics are there and latter on more and more Rubrics and drugs are added . If you think that these symptoms are not there the add them and make a new Repertory.
Dr Nirupama Mishra: Repertory is a sort of dictionary. Every clinician uses it st some or other time to verify a symptom/s. This is certainly different from full repertorisation of each and every case vis a vis intuitive prescription or whatever we call it. Please do not confuse use of repertory with repertorization.
Dr Ashish Kumar Jha: What I think or understand that mere knowledge of Materia Medica leads our mind a PREJUDICED. If we have excellent Subject REPERTORY in our curriculum and if it helps a lot in practice, then what is the reason we are not utilising this excellent tool.
Dr Sheetal Shah: Again sir ( Dr Mehta) , as usual you r so right! You always teach us dnt look at remedy in the repertoty , first with your knowledge of MM and org you shud be clear abt remedy n that has to be there in Repertory and not to come to similimum after looking in to repertoty. Sir I have always seen you that with your thorough unprejudiced observation and accurate and skillfull CT you come to similimum without help of repertoty and may be u just then look in to repertoty to check!!!I have learnt a lot n may be have adopted from you very strongly!!!! Also I was wondering that despite of Software (hompath ) you have never ever bothered to look in to , infact u never used. It’s all Bec of one’s thorough concept in mm and tremendous hard work in field of not only organon but MM. Yes Org , MM and Rep is a perfect trio though one with thorough knowledge of first can be reach to similimum ( as Dr Hahnmann states similimum as) surpassing Repertoty. As someone just said it’s individual. Dr Mehta (sir) if u can PL throw some light.
Dr Kishore Mehta: If you all agree that Repertory is a tool then it is simple that every tool is means to reach destination and is not destination Every tool has limited function In fact repertory is like a bridge between patient and materia medica Repertory drives to to a group of remedies specially in chronic case. In acute one might get indicted medicine since application of repertory is limited to chief complaints mainly. In acute one sided case again you may not get one medicine to prescribe. In short repertory is key to find out a medicine in acute condition where as in chronic it just helps you to come to shor. Here your materia medica comes to play big role. However knowledge of HMM is inevitable Organon runs throughout from case taking till patient leaves you
Dr Ashish Kumar Jha: Great Explanation…Sir no one is denying the importance of MM and Organon …my question is why we are not giving importance to REPERTORY….
Dr Kishore Mehta: My teacher late Dr M LDhawle and Dr K N Kasad thought us that every new physician must religiously do atleast 100 case with repertorisation and also reason out why a particular repertory is used for the given case. After this 101 case you may be able to come to similimum with some less confusion. Use of repertory for novice is a must. In fact repertory helps to improve materia medica. This I also maintained and emphasised in early part of my teaching. But now the materia medica is understood from different angle which does not emphasise on the use of materia medica . After years of experience your perceiving improves and you may be able to sense the medicine. However after 15 to 20 years of experience if one goes on using repertory then also it is not true. At this stage you refer repertory confirm your selection from repertory. Your selection of medicine should be from your mind (knowledge)to repertory and not from repertory to case. So repertory is useful to evolve your knowledge of HMM and your excellency. Dr Ashish I assume those who are not using repertory might be master in materia medica
Dr Ashish Kumar Jha: Sir, the plain truth is …. THOSE WHO ARE NOT USING REPERTORY, DOES NOT KNOW HOW TO USE THIS TOOL. And they keep on trying with PREJUDICED mind.
Dr Kishore Mehta: Your point is also correct that you can say so I can’t at this stage.
Dr Shailendra: Dear all. Repertory versus materia medica was a 16 marks question that we solved in our PG and UG. Although I use repertory for all my cases there are some people who never need it so the focus should be problem and the solution with rational explanation and what counts is the result and ones ability to deliver it with evidence.
Dr Kishore Mehta: Shailendra it is not Repertory verses MM. It is when why and how to use them or not use them. Neither person using them or not results neither are according to their insight nor is to get that insight repertory just a tool. If every case is solved by repertory it is a robotic practice and results in only those cases will be evident where repertory was necessary
Dr Shailendra: Yes I agree sir sometimes the tool tries to be the master like rajnikant movie . And the ultimate is materia Medica and organon I think organon should be receited like a holy scriptures every year it’s my personal opinion but repertory or no repertory ( my entire materia medica self learning was through hompath software+ source books) we should give repetitive results that could be replicated at any place under the sun . So those like me who use it let them use it those who don’t it’s a tool after all. Let’s analyze the result rather than the methodology.
Dr Kishore Mehta: Finally Case decides REPEROTORY or No REPERTORY
Case decides which repertory. Repertory selected decides which rubric and how to arrange them. Strong knowledge of principle of repertorisation decided how to repertorisation. Inductive and deductive logic decides final selection. Dr Ashish now you will understand why people do not use repertory.
Dr Ashish Kumar Jha: Let me explain this with a nice common example. We have a patient in OPD who comes with the symptom of Polyuria, Polyphagia, Polydipsia with unusual weight loss, weakness etc. Don’t we send this patient for Lab investigation of Blood Sugar test, or we write directly with Prejudice state of mind that patient is Diabetic. The patient may or may not be Diabetic. This tool (Lab. Investigation) makes our Diagnosis more authentic. Isn’t it. Similarly if we select a similimum with mere knowledge of MM for a clinical case, that Similimum will also REFLECT positIvely in Repertorization. And if it is, it will not only an authentic Similimum but also boost our confidence. Isn’t it? If someone disagrees with this, please comment. I will appreciate all the valuable insights. Repertorization makes our Prescription more authentic, Isn’t it?
Dr Sheetal Shah: Sir I totally respect your point of view and opinion that repertorization makes one prescription authentic but not necessary and always. As it is again always from person to person! So if it can boost confidence and then one may surely and always can use it but without that Hom physicians r equally confident. To boost confidence is again too relative, for someone it might be and for others it can be without using. There is no question of disagreement in your view it’s all about how one perceives.
Dr Prabhakar Devadiga: Dear Dr Ashish Here I will disagree with you as in some places the symptoms given in the repertory ca byn not be confirmed in the Materia medica E.g. if fastidious is seen in complete repertory you will find sulphur in it and when you cross check in Kent’s Materia Medica or Hering’s Guiding Symptom the statement is that sulphur is very opposite of arsenic which is fastidious. So even after repertorisation we might need to confirm the material Medica . Vice versa in the rubric brooding Natrum Mur is not given in complete repertory but materia medica it is given.
Dr Ashish Kumar Jha:Respected Sir, thanks for your valuable insight, I agree with u that in some places the symptoms given in the repertory can not be confirmed in the repertory. But these are new additions in Synthesis Repertory or Complete Repertory. Sir you are trying to cross check the remedies and rubrics added in 21st century with 18th Century. If you trust only Kent, use their Repertory as well as MM. Why are you mixing generations?
For your question; ‘So even after repertorisation we might need to confirm the MM’…
Ans: If we have already diagnosed Diabetic patient with his clinical symptom, why do we send them for Lab investigation for proper Diagnosis. this is the answer of your question Sir.
Dr Shailendra: Dr Mehta sir is the best teacher in the world there is no doubt about it . And he taught us one thing that I clearly remember, don’t be ritualistic and steryotypal . After some years you have to go one step ahade …… Initial years a case proforma and repertory is mandatory but then it depends on the artist how he paints…….with wax / clay/ photography/ sculptures. What is important is the masterpiece he creates……..
Dr Munjal Thakar: Sir, repertorization is useful but not mandatory. Whole lot of practitioners in Calcutta whom I have had a chance to see do not open their repertory. Yet they make brilliant choices of remedies directly from the MM. Repertory is a double edged sword. What is important is making the correct totality as per principles laid in the Organon. And choosing the best possible similar remedy. How one comes to that remedy is completely left to the individual Physician.
Dr Ashish Kumar Jha: I agree with you Sir. However I m not telling to use REPERTORY as a calculator…..Neither I m denying the importance of MM and Organon……But why we are giving less importance to REPERTORY
Dr KC Muraleedharan: Repertory infact a systematic representation of Material Medica in different chapters.If you know the materia Medica,most of the cases can be tackled without consulting repertory.If you are in dilemma on certain symptoms,we can effectively utilise the rubric and medicines using the intensity of representation or grade of presentation.Perceiving the symptom of the patient is important which can effectively be calculated by a Homeopathic physician with his knowledge in all subjects.
Dr Ashish Kumar Jha: Perfect….Thanks Sir.
Dr Swaminarayan: I suppose that Ashish is trying to emphasize role of repertorial softwares available today in clinical practice. It’s like Calculator. Those who know tables, need not use calculator. The one who has never bothered to learn/memorise tables, has to calculate 8 x 16 with help of calculator and so on. There by I don’t have to say that repertorial approach is essential or not, but depends on individual and his knowledge of MM, Org coupled with experience. As rightly said MM, Org & Repertory can be best combination however need not be the only way to go for, as evident from many successful practitioners whose life time work based on MM & Org based prescription.
Dr Ashish Kumar Jha: Sir, there is a request, please don’t jump from one discussion to another group discussion….We were discussing things individually and then you suddenly posted something like this here. I m not trying to emphasize REPERTORY software. I have already mentioned that MM, Organon and REPERTORY are Tripod and very much deependent on one another. I have to learn a lot from you seniors. And I m sure u will help me answering with your valuable experience. But finally I need to satisfy myself afTer listening you all.
Dr Navin Parashar: Materia Medica is a Massive data base arranged as per Hahnemannian schema. Repertory is a tool to extract that data with predefined logic. Organon provides the direction to logical algorithm through homeopathic totality. In out of Totality guides the repertory to search and extract data relevant to case. Based on available symptoms in case and ability of physician to perceive them as per Homoeopathic philosophy a physician may choose the method of arriving to similimum. Use of repertory or otherwise is physicians judgement based on quality of symptoms available in particular case. In nut shell SYMPTOMS in a case decide the need to use particular method of arriving at similimum, reportorial or otherwise.
Dr Pritesh Patel: I wish finding the Similimum with a Hom Software was as simple as using a Calculator !!!
Dr Rakesh Vishwakarma: The best repertory is one which you carry in your head,but the sheer amount of data available is so huge that even the best of prescribers felt the need for repertory, If you do not use the repertory you only limit yourself.if someone is ok with it so be it.but it would be wise to use all the resources at your disposal to treat the patient
Dr Kishore Mehta: Finally, Case decides REPEROTORY or No REPERTORY Case decides which repertory. Repertory selected decides which rubric and how to arrange them Strong knowledge of principle of repertorisation decided how to repertorisation. Inductive and deductive logic decides final selection
Dr Rakesh Vishwakarma: You ,I repeat,only you the physician decides,with all his knowledge and experience in his head,and not t he case decides repertory or no repertory, even doctors who do not open the repertory lying on his table,uses the repertory in his head
Dr Kishore Mehta: My dear it is physicians understanding of case decides when you say physician it means same as I say case
Dr Ashish Kumar Jha: Then he/she must be surely a Super Human. I have seen people memorising MM thoroughly, but never seen one who has entire Repertory in their Head.
Dr Rakesh Vishwakarma: It is not memorising MM,but using your knowledge of mm to differentiate between remedies to select the smilimum for the case,you can do this either using a repertory book or you do it mentally, depending on your knowledge and experience,you can be comfortable either way
Dr Ashish Kumar Jha: Thank you so much Sir for the clarification, I agree, but do you think it is really possible for the beginners without any clinical experience to find out the remedy only with the knowledge of MM…..Even a one of the busiest practitioners like Dr Kishore Mehta Sir and many other needs 25 to 30 years to get that much experience in clinical practice …
Dr Kishore Mehta: Yes novice for 10 years reperotorise 100 cases a year
Dr Ashish Kumar Jha: This is what I am expecting from a clinician to tell the novice…. Repertory is a Must
Dr Rakesh Vishwakarma: It is always advisable to use repertory initially till you gain enough experience then automatically you will be able to solve many of your cases with your gained knowledge and experience which come after years of using the repertory mechanically
Dr Ashish Kumar Jha: Yes very true, Agreed
Dr Ashish Kumar Jha: A senior most practitioner, (whether they are using Repertory or Not), MUST always tell the freshers about the Importance of Repertory in clinical practice for 1st 10 to 15 years. Usually those who do not use Repertory (or do not know how to use Repertory) always misguide others… Especially Novice ….. खुद तो अंधेरे में तीर चला लिया उन्होंने, दूसरो को सही रास्ता भी नही बताना चाहते। Repertorization makes our Prescription more authentic, isn’t it?
Dr Pritesh Patel: Actually in the earlier days we had to Repertorise manually on a Repertory Sheet … and it was really tedious … hence most of us disliked it or avoided it …But, now with the laptops and Hom Softwares … we have a very versatile tool … and Reverse Repertorisation also helps a lot.
Dr Ashish Mehta: You are correct according to one approach of selecting medicine. Since long time many different approaches have developed in homoeopathy. Non repertorial approach is one of it. As per my understanding homoeopathy is really flaxible. If we can good results with single medicine in potentised form, I think any approach is good. Perceiving can occur through many ways – and give logical explanations with help of tools is good practice for understanding.
Dr Ashish Kumar Jha: Perfect Sir
Dr Pritesh Patel: Most of the people have usually 25 to 30 remedies in mind … which they use commonly … and unless they use the repertory … they may miss out many important remedies which may be more similar than the ones they usually use.
I remember one case where some symptoms would point to Belladonna … some to Staphysagria … and some symptoms would point to Nitric Acid …. but on proper Repertorisation … the final remedy which came was … GLONOINE … and it worked wonderfully !!!
Dr Gaurang Dave: Repertory is tool that aid selection of remedy but when u have clear csae of puls & you go for repertrisation mechanically & u find common polycrest . Role of repertory start when u r confused or lacking somewhere. Routine repertrisation not possible in all cases
Dr Ashish Kumar Jha: Not Agree with Dr Gaurang Dave Sir, “(when u have clear case of Puls)” ….What does it mean…..It states the Prejudice Mind……..If a case is Puls, then certainly it will reflect in Repertorization too…..How can u deny this Sir.
Role of Repertory does not start when we are confused or lacking somewhere……It has prime importance after case taking, and then we utilise our knowledge of MM and Organon in final selection. This is the cycle. If you start selecting the remedy while case taking it will lead you to Prejudice.
Dr Gaurang Dave: What’s necessary for prescription three strong generals. No prescription authentic till it cure. Of course final supreme Court will be mm. Even hanemann not recommend repertory for every case
Now new repertory published without much work. If gone though his cases. Real structure finalize by kent
Dr Ashish Kumar Jha: Answers given Sir above , please read So, don’t mix 21st century rubrics and their remedies with 18th Century, if you do not trust…Sir
But why are we denying the importance of Repertory….This is a million dollar question.
Dr Dhwanika Dhagat: Sir in modern Repertorys continuous updation is done after reconfirming from various old literatures and verifying by reproving so it may happen that certain remedies for particular symptom which r there in old materia literature may not be listed in Repertory and vise versa
Dr Ashish Kumar Jha: Great explanation and this is True, but still if people do not trust the new additions let them live in 18th century. But they should correlate 18th century with 18th century and not with 21st.
Dr Prabhakar Devadiga: The modern repertories are not confirming the sources. It is in the same repertory if you notice I have sent the pictures of remedy confirmation and search immaterial medica. The so called 21 St century rubrics needs to be confirmed in some proving or the other. Otherwise the young doctors can be mislead by such misinformation.
Dr Ashish Kumar Jha: Sir if you evaluate the Repertory even Synthesis sources has been given under each remedies…And this is authentic sources. However if u just believe in kent or Hering, it will be difficult to find out….There were 100 others stalwarts in history and they must be referred….This is 21st century.
Dr Dhwanika Dhagat: Probably the discussion is being dragged to superiority of subjects rather then analysing the method of simillimum.cos clear indications regarding its usage has been given by Dr . Hahnemann I preface of Matera medica Pura.
Dr Ashish Kumar Jha: Yes of course , we are simply discussing the importance of Repertory and Repertorization, as it is an essential tool with MM and Organon. Of course MM helps in Final selection.
Dr Gaurang Dave: Sir that why I told you that repertory not possible for every case & if you make repertrisation than than u authentic it not like that. Even single symptoms can totality.
Dr Ashish Kumar Jha: Key note Prescription….Even if you get sufficient symptoms….From the patients….Sir, will it not be a prejudiced Prescription….Please guide and help us to learn.
Dr Gaurang Dave: Expain how? Prejudice
Dr Ashish Kumar Jha: Sir if we have ample no of symptoms and rubrics in a case, how can we prescribe on keynotes…Let me explain this with a nice common example. We have a patient in OPD who comes with the symptom of Polyuria, Polyphagia, Polydipsia with unusual weight loss, weakness etc. Don’t we send this patient for Lab investigation of Blood Sugar test, or we write directly with Prejudice state of mind that patient is Diabetic. The patient may or may not be Diabetic. This tool (Lab. Investigation) makes our Diagnosis more authentic. Isn’t it.
Similarly if we select a similimum with mere knowledge of MM for a clinical case, that Similimum will also REFLECT positIvely in Repertorization. And if it is, it will not only an authentic Similimum but also boost our confidence. Isn’t it. If someone disagree with this, please comment. I will appreciate all the valuable insights. Repertorization makes our Prescription more authentic, Isnt it?
Dr Bhavesh Patel: I think if patient has only one similimum at a time then Homoeopathy not survive but fortunately there are various approaches in Homoeopathy. There are different way to perceive patient and prescribe. It depends on our sensitivity and our experience to use repertory.materia medica.keynote . Dispositikns etc
Dr Ashish Kumar Jha: Perfect
Dr Bhavesh Patel: Because on every approach homoeopaths give result.
Dr Ashish Kumar Jha: Yes true, but the approach must be authentic one and free from Prejudice
Dr Bhavesh Patel: Even I experienced many approaches with good result. So all approaches are welcome and we should be open minded to accept and learn from that. It may be helpful in our future case.
Dr Satish Gajreja: Individual physician has different approach since Hahnemann sir according to his point of view. Eg. Hahnemann sir used mm. Boenninghausen sir had doctrine of analogy Kent sir had importance to mentals. Boger sir had given importance to pathological generals & causation. Different school of thought has different approach based on organon. All are useful. But its usefulness depends on physician that how, when & in which case to use approach.
Dr Ashish Kumar Jha: Sir, this is not our topic of discussion …We are not discussing on the methods of finding similimum.
Dr Ashish Kumar Jha: Sir, please don’t tell this to anyone that Dr Hahnemann used only MM….If you remember , dr Hahnemann has prepared an index part in His book Fragmenta and hE used this as Repertory. He was the founder and prover and he collected symptoms first from drug proving. Someone must have various types of arms first then only he needs armoury. Isn’t it? thats why dr Hahnemann prepared this index lateR. Whereas, Dr Kent first wrote his Repertory and later he wrote MM.
Dr Bhavesh Patel: True, I think at present our approach depends on patient and our convenience Here I would like to share my experience of two cases of renal failure . In first case I prescribe calc carb where pt is on dialysis and admitted in hospital . In this case prescription based on constitutional totality and after that no dialysis even pleural effusion also cured.
While in another case of renal failure . Patient’s relative came to me and asked for medicine . In that case I had no any symptom to prescribe so I prescribed from materia Medica point of view medicine Solidago. Now that pt has normal reports
Dr Ashish Kumar Jha: Sir, this is an exception….Patient was not there in front , and so u did not get any symptom. Tell me very honestly in which case you were CONFIDENT….While prescribing Calc as a constitutional remedy or in 2nd Solidago without any indication.
Dr Bhavesh Patel: Definitely calc carb
Dr Ashish Kumar Jha: Sir, your answer explain everything…… This is what I am trying to learn from all the seniors……. Most of the senior teachers or practitioners are misguiding their students and followers about using Repertory. It’s only because they do not know how to use the Repertory or how to find Similimum through Repertorization, and later blame this beautiful asset due to their insufficiency, and gives all the credit to MM. No one is denying the importance of MM and Organon, but Repertory is an indispensable tool for the novice.
Dr Satish Gajreja: Repertory is bridge between mm & organon. Repertory , mm & organon is three legged stool of homoeopathic system
Dr Gaurang Dave: Repertory is bridge not the only tool Sir if u understand u r mm than very little need for repertrisation
Dr Ashish Kumar Jha: Not Agree Sir, Sound knowledge of MM helps us in Final selection of remedy, but in the channel we have to adopt the procedures before finding the similimum….
Dr Gaurang Dave: Use of repertory not required in clear cut case. Changeblity, thistless, mild weeping is enough for prescription
Dr Ashish Kumar Jha: Sir even in the clear cut cases, if we get particular remedy, then certainly it will reflect in Repertorization without fail…..
Dr Gaurang Dave: Similimum is rare accident my dear. But why to repertise
Dr Ashish Kumar Jha: To give authenticity of our selection and boosting our confidence that we are on right track…..Why do we do lab test for Confirmation of Diagnosis of disesae even we are assured with the clinical symptoms
Dr Gaurang Dave: But results are same
Dr Ashish Kumar Jha: Yes may be Sir …..So why not giving authenticity to our selection by using Repertorization
Dr Gaurang Dave: Even no pus in urine but still we treat patient uti with same diagnosis many times
Dr Ashish Kumar Jha: Sir, we are not discussing here the exception. There may be no pus in urine , but if clinical symptoms correspond….for such condition do you send the patient for Urine C/s or not.
Dr Gaurang Dave: Hahnemann himself told let like be treated by like. Not like by like
Dr Ashish Kumar Jha: So, has he suggested only to use MM for finding….Let like be treated by like.
Dr Gaurang Dave: I am against of repertrisation in every case
Dr Ashish Kumar Jha: Sir it would be better if you explain this with example in support of your statement.
Dr Gaurang Dave: Judicious use of repertory is must.other Wise u just mechanically doing it & u find polycrest for everything.
Dr Ashish Kumar Jha: Yes, very true Sir…..I agree with this Sir, No one is denying the importance of MM and Organon, but how can we discard Repertorization after case taking.
Dr Pankaj Lathia: Lkg ma koi puche 5×5 to books ma jovu pde…… Six standard ma puche to kai 25 no need of book…… Six standard ma koi puche 21×5 to calculation karvu pde…. Pan 9 th ma puche to kai daie k 105 …….no question of misguiding……… In Homeopathy each and every subject are important but most most important results…results and results……… There are two approaches….. Repertorial and non Repertorial…. We have to use according to case……
Dr Ashish Kumar Jha: Perfect, Dr Pankaj Sir…..If you are following the above discussion , Dr Bhavesh Patel sir has clearly quoted this with nice example from his clinical cases, please refer to the discussion. I m sure everyone will get answer for sure
Dr Pritesh Patel: Even though we may have arrived at the right remedy through Keynotes or any Materia Medica … if it is Confirmed thru Repertorisation … it definitely gives us Immense Confidence in our prescription … and we resist any tendency to change the prescription even if we do not notice any immediate relief …. And at the same time …. Even if we arrive at a Particular Remedy through Repertorisation … it is an absolute must to go thru the … Materia Medica Filter !!! Both the Materia Medica and Repertory are Essential
And the facility of Reverse Repertorisation helps a lot too !!!
Dr Pritesh Patel:@ Dr Ashish Kumar Jha, Thank You So Much for stimulating this group with such an interesting topic !!!Saw some Productive Homoeopathic Discussions after a long time !!!
Thank You So Much to All the Participants !!! Pls keep participating and contributing actively on various Homoeopathic Topics here !!!
Dr Ashfaq Subedar: Great discussion after a long time . Its my little effort to join in
Organon, M.M & Repertory are tripods. But same as that of Trinity of life but each having its specific place & duty. No one can replace another but all the three are needed to keep up the equilibrium.
Dr Shelly: Repertory to indeed a tool to prescribe, but undept understanding of materia Medica mind , physical general and particular are many times enough to prescribe..by a person who is in a process to master them. Secondly, repertory is mexanical tool, ur final differentiation depends upon ur knowledge of mm. It’s not the Dr who don’t use repertory, don’t prescribe well..indeed the y can be one of the best prescribers(it depends from case to case). So plz don’t be prejudiced if someone is not using repertory, is a bad prescrber…he is good one as long as he follows all the cardinal principles of homoeopathy
Dr Ashish Kumar Jha: Doctor Shelly, no one is denying the importance of MM and Organon …my question is why we are not giving importance to REPERTORY….Yes of course, Sound knowledge of Materia Medica and Orgaon of Medicine will help us in final selection, but how can we discard Repertorization.
Dr Mahesh: No one can discard repertory,In fact there is no practice without Repertory , for me,
Dr Latika: George always says that a Repertory and a Materia Medica book on a homeopaths table is a must for the right prescription. He always and always looks into repertory during the case taking. This is what we have learnt from him since many years.
Dr Nitin Thakur: Dr Pierre Schmidt says: No one can know everything, this is why in all honesty one must admit that no conscientious homeopathic doctor can practice homeopathy in a Serious and really scientific way without a Repertory.
Dr Viraj Shah: this is the bottom line. no one denies the usefulness of the Repertory in given case. if someone does not use it by ignoring the facts then we should correct them by making aware of the usefulness of the Repertory.
Dr Gaurang Dave: Sir suppose we see 100pt per day & repertrisation require 10 minutes. Then 1000 minutes. Then calculate time u spend in clinic . Is it possible?”
Dr Ashish Kumar Jha: @Dr Gaurang Dave Sir, Before Prescription, we need to take the case of the patient, it requires minimum 10-15 minutes for Acute cases and minimum 30 minutrs to 1 hour or sometime more for Chronic cases….Forget this calculation, I am cosidering your calculation only For 100 patients, even if we are devoting maximum 10 minutes, the total will be 1000. Divide it by 60 minutes. Someone has to work continuously for 16-17 hours without taking a break. Isn’t It? Do you really think this is possible to anyone.
Yes this is possible in one case, if you are prescribing homeopathic medicine unscientifically, without following the principles in Homeopathy. We, in Homeopathy do not prescribe lIke an allopathic doctor usually does…..Like oh you have fever, take this paracetomol. Homeopathic Prescription needs sign and symptoms for Prescription and it is not based on empty theorizing or speculation. Therefore it is impossible for a single homeopathic doctor to see 100 patients a day. Those who are doing this, in true sense their Prescription will never be a true Prescription. Hope the entire calculation will help you in finding your answer, Sir.
Dr Ashish Kumar Jha: Let’s discuss more on current topic first….We need to learn many things from the seniors and stalwarts…. I m ready to answer all sorts of queries on the current topic….it Will help me a lot to learn.
Dr Gaurang Dave: Pritesh, that what I want to say that experience cut short time. I give one example suppose acute cough from cold drink & ice cream that requires few remedy to think & differentiate which possible for experience homoepath within 2 3 minute & even if that not work than repertrisation necessary.sir definitely quantity matters because u see only 10 case per day only. Than homeopathic exposure decrease. I feel homeopathy have best role in acute.
Dr Gaurang Dave: Who say only repertrisation is the scientific method??. Actually It is totally of symptoms which homoepath has to hunt. Sir I see homoepath who see more than 100 patients with more consistent result than others, Without much repertrisation
Dr Ashish Kumar Jha:
A great discussion is going on. Thanks everyone for sharing their valuable insight. Sir you are absolutely true, Experience cut short time, but to get this meaningful experience we must not follow the SHORT CUT ever. Do u agree? I do not agree that even for an Acute case, an experienced homeopath will devote only 2-3 minutes, unless you are a stereotype one, like for headache belladonna, for GIT Nux etc etc. You cannot think of anything better than this in their Prescription if one is devoting 2 minutes with his patient. Respected Sir, I am sure, you also have many examples of quacks who see 200 patients a day. Will u justify their Prescription however successful they are.
Dr Gaurang Dave: How say quack they peception much higher due to huge experience. Even after repertrisation chance of failure is 100percent
Dr Ashish Kumar Jha: Disagree totally.🌻……Sir your statement is very interesting. Even if you fail after Repertorization, you have some reason of your failure in your hand or on your table and you can correct it in the next follow up or in next patienT. however this is not possible if you do Not Repertorise your case because you have prescribed on mere knowledge of MM.
Dr Gaurang Dave: Even when we fail with mm we have reason. Same for u only prescribed with repertory
Dr Ashish Kumar Jha: No not agree Sir, bcoz someone has prescribed on best Totality, with a vast knowledge of MM, how can one fail. In this case if someone fails, it simply means the symptoms recorded in MM or what they learnt from seniors or teacher is not true.
Dr Gaurang Dave: Final court is Data of cure patient with us . Mostly we lacking this except jayeshbhai who lot picture & prescribed on mm
Dr Ashish Kumar Jha: Again this is not topic sir. No one is denying the importance of MM and Organon but why we are leaving Repertory aside…This is a million dollar question. Why r we not following the procedure
Dr Gaurang Dave: We r putting aside but it will not be compulsion. Even I use repertory but only for few cases
Dr Jayesh Kumar Patel: Respected Drs.. and Dr. Friends …Sorry to “Butt In” in your discussion…..i would like to say that Reperterisation is not necessary always but . ..clinical assessment would also help you in making prescription .
Dr Ashish Kumar Jha: Sir, you are always welcome in the discussion, infact it’s Our pleasure and everyone will appreciate your view.
Dr Ashish Kumar Jha: Sir I m not denying your view that clinical assessment is must, and this comes only with experience, and for getting that valuable experience if some one follow the correct procedure, will it noT be a scientific one
Dr Ashish Kumar Jha: Sir I m not denying your view that clinical assessment is must, and this comes only with experience, and for getting that valuable experience if someone follow the correct procedure, will it noT be a scientific one
Dr Ashish Mehta: I think, all are sharing their experiences as per their perception and experiences & knowledge. No one is incorrect.
Dr Ashish Kumar Jha: Agreed, those who never used Repertory and learnt how to use Repertory, will never guide other to use Repertory
Dr Gaurang Dave: Even Hahnemann feel need index when number of symptoms increase & unable to memorize. But that doesn’t mean that u go for every case. It’s for those symptoms which u know & u Miss it.
Dr Ashish Kumar Jha: Sir please don’t compare the knowledge and intellect of master Hahnemann with a novice or current generation homeopath…..
Dr Satish Gajreja: Yes. When there is clear cut indication of medicine than no need of repertorization. Above all, it is the habit, belief of physician. Some have belief repertory is good tool. Some have no need of repertory, All are true but no one is complete Instead of it Judicious Employment of medicine is necessary as he (Master Hahnemann) has told us in Aphorism.146 …..to make it prove that our science is more superior than others ..Apho .230
Dr Ashish Kumar Jha: Yes, whenever there Is a clear cut indication, The same remedy must reflect in Repertorization, so what is the issue, why don’t you cross check. Sir, Don’t you send your patient for lab test of blood sugar even if clinical symptoms confIrm the Diagnosis
Dr Shrirang Vyas: Master Kent says that many Homoepath can do good without reperterisation but they can do better with it.
Dr Gaurang Dave: But topic is repertory necessary for all case?
Dr Ashish Kumar Jha: Yes of course Sir, Especially for Novice, so that he can learn things by his own with scientific evidence and not on empty speculation…..
Dr Gaurang Dave: No Medical Science is complete. It is just trial and error method which is known as research.
Dr Ashish Kumar Jha: Yes of course Sir, until unless you will keep prescribing With sheer knowledge of MM, it will be only trial and error method. Because this is never a scientific method of Prescription
Dr Dhrupad Varia: Cure and recovery are different phenomena, apprently seems same to a casual observer. A homoeopath seeing 100 patients a day may not be justifying a single patient. Even Hahnemann in his eighties used to take around 40 minutes for chronic cases (ref. Cases in chronic disease). I really doubt whether any of us has even 1% talent compared to master himself. Repertory or no repertory – practicing physician knows what he has done with each case himself. If he is to avoid prejudice he won’t refrain from using repertory, neither he’ll use it in every case. Each case is unique and requires individual approach.
Dr Rakesh Gohel: I think talk has gone far and it shows all about rigidity of mind regarding being fixed on use of repertory or materia medica. Only one funda that you can’t be fix for any approach. Sorry to say but single funda ” Jaisi Urmila vaisi Formula”😊 Means let the case decide the approach. Repertory definitely improvise knowledge of materia medica. But we must not forget everything depends upon Totality. What you feed in repertory will bring out mechanically. So if remedy picture from totality is not clear than repertory becomes useful tool
Dr Ashish Kumar Jha: Sir I totally agree. But no one is telling us to use the Repertory as a calculator or just a mechanical tool. We need to learn before using this indispensable tool. Isn’t it. It’s our lacking that we consider this as a mechanical instrument. Even if the remedy picture is clear from Totality, we must cross check this in the Repertory, and that remedy must be their in Repertorization without fail. Sir Repertorization does not mean, selecting few rubrics, calculating the symptoms covering wiTh gradation, and select 1st remedy which covErs most of the symptom with highest grade..
This is not at all Repertorization
Dr Ashish Kumar Jha: @ Dr Gaurang, Again contradictory answer. Please refer to your comment – ” Even after Repertorization the chances of failure is 100%.” Will it noT be the failure of a homeopath who does not know how to use Repertory. Sir we are not discussing these stuffs here, Since beginning I m reminding you all that topic of our discussion is – “Repertorization makes our prescription authentic or not. And no one is denying the importance of MM and Organon in final selection. Why we are not following the correct procedure. “ Sir, we are not discussing things here individually, you are an experienced clinician and a teacher with vast experience of 25 years. You have learnt a lot climicallY, and I m sure you are Using Repertory too in desired cases. My question is why are you not advocating to use Repertory for the novice.
Can you imagine the brightness on the face of novice if he gets the same remedy after Repertorization, which he has selected through MM knowledge. Will it not boost their confidence?
Dr Satish Gajreja: We are experiencing same things what we mastered our beliefs. As for example. When a physician mastered in materiamedica / repertory, he/she will experiencing same things in his/her life that this subject is only capable of producing result. This information or belief is our involuntary or u can say autonomous nervous system. Tracts governing by cerebellum. When a person is in this autonomous nervous system mode or u can say auto drive, he/she repulsive what conscious or cerebral cortex or present information tells. In short, a person cannot believe out of that box.
Dr Shrirang Vyas: We are Prejudice from our Experience.
Dr Ashish Kumar Jha: Excellent explanation Dr Shrirang Vyas Sir…..”We are Prejudice from our Experience”….
Dr Rajendra Chotaliya: After all everyone’s r increasing knowledge from their own experience
Dr Pritesh Patel: And that is why Hahnemann has emphasised too much on being…. An UNPREJUDICED OBSERVER…. right in the beginning, in the Organon !!!
Dr Sameer Upadhayay: When you combines Repertory and MM then you are very much sure about your prescription. And it has to match. I do observe that matches in all my cases, that gives me confidence, and I get excellent results. I am totally depends on repertory and MM. Can’t prescribe without help of both. I see almost 100 cases in a day and repertories almost all the cases, that doesn’t take much time if you know what to find and from where. When you reached exact expressions in repertory and when it matches with MM then you are too sure that it works and it has to work
Dr Pritesh Patel: Many people feel that when the remedy is too obvious, there is no need for Repertorisation. But, let us take a simple case of Trauma to the Eye … most people immediately think of – Arnica … but the correct remedy may be – Ledum or Symphytum … depending on the Totality of Symptoms!!! Our mind tends to take the simplest short-cut and jump to an obvious remedy … but it may not be the required one !!! Thus, it helps a lot to do quick Repertorisation of each case and confirm the Remedy … one can also use Reverse Repertory to cross check the Remedy … and at the same time …. whenever we arrive at a particular remedy through Repertorisation … it is a must to go through the Materia Medica Filter !!! This helps confirm our Remedy selection and gives us the much required Confidence … that our Remedy will act … else people have a tendency to either Change the Remedy or think of a Complimentary Drug … if positive change is not seen soon !!! I personally feel that … Repertory and Materia Medica are 2 sides of the Same Coin … and … Organon is the Edge of the coin … All 3 are Most Vital, Important and Essential … we just cannot ignore Any One … while prescribing for our Patients !!!
Dr Saurav Arora: I think let us brain storm on Why Repertories Evolved. Each and every repertory has a Philosophy behind it. On the other hand Materia Médica and Organon has rather simple approach. Whatever matches (partial, full or empirical) give. We can consult many materia medicas on one case but not repertory.
Dr Gaurang Dave: What’s topic is that only repertrisation make u r prescription scientific that is wrong. Few people using one rubric with single remedy & got good results. I think this what difference in perception according to experience that doesn’t mean it not scientific.
Dr Saurav Arora: Repertory is a tool – let us not make it a burden. Let its use be completely as per the discretion of the physician. I know Gem of pHysician who have to their disposal every MM.. their Mind is itself Repertory. Please excuse me if I repeat something which others have said. I went through Chats at a glance quickly. Repertory? When you are struck! Yes! There is no sureity that following a particular repertory will enhance your clinical outcome. Ultimately we have to come back to MM for verification. If someone is already arrived at same without repertory then he is scientifically and academically right. I think to know it Better we need to have extensive clinical Research. That is the only way out. Otherwise our intellectual discussion might get converted to political fights when it goes public. Half of the fraternity will fight for it and next half against it. Politics is not the Objective here … but to improve our efficiency in actual practice !!!
Dr Ashish Kumar Jha: Yes true, We need to ponder on why Repertory evolved….We must read the history first. Again, No one is denying the importance of MM and Organon but why we are skipping Repertorization after thorough case taking. Do we really think that we can match the symptoms directly without using Repertory , only with mere knowledge of MM. I also do not agree with ur statement, that one can consult MM on one case but not Repertory. This is not at all tool. Rather if you consult Repertory first, it widen your scope of selection and finally you may consult MM for Prescription. However if you consult MM directly, and if you do not find that indication in that so called Prejudiced Remedy, where will you find next. In Homeopathy one need to follow the correct procedure and Principles and not on what an individual physician is doing. Isn’t it?
We cannot leave this on discretion of a physicIan, because if we do this, they will keep spreading the Wrong message to the novice and the next generation about Repertory and Repertorization.
I m sure, they must having a vast clinical experience and they all are veterans. In those, days, Repertorization was so hectic that they selected the easiest way. However it does not mean that they were/are against Repertory. Yes you are trUe brother their Mind itself a Repertory. But they did not prepared themselves like what they are today in a day, it takes years and years of experience to prescribe as they do.
Dr Gaurang Dave: It is dependend on physician own perception.
Dr Ashish Kumar Jha: No Science depends on individual……Science is totally based on scientific Evidence and not on empty speculation and theorizing. And Scientific evidence comes with the correct procedure and not with the Prejudice or biased mind.
Dr Dhawanika Dhagat: Perfectly true
Dr Gaurang Dave: Correct science based inductive & deductive logic. I have logic for prescription from it doesn’t mean it is unscientific. Evidence is patient betterment, From mm
Suggestions are more.More u confused
Dr S N Sharma: Repertory = Suggestive tool, Materia medica=Selective tool, Organon of medicine = Appliaction tool, That’s all….
Dr Jyoti Rao: Myself Dr Jyoti Rai, Principal Vyara Homeopathic medical college. Gujarat state. With due respect to everyone’s view read so far would like to express that Repertorisation should be done in every cases though the Supreme authority is Materia Medical, repertory widens and exposes to other closer remedy apart from similimum. So as an academician every new homoeopath as well as students should be encouraged to repertorise every case
Dr Ashish Kumar Jha: This is True and we must guide the novice accordingly.
Dr Dhawanika Dhagat: Science is a systematic study based on observation and experiment.it is continuous process and not stangnent henceforth scientific based is necessary for survival of any science rather than pure inferences.
Dr Saurav Arora: Doc Saab thanks for reminding that I jumped “in between”.. Much appreciated. Now Repertory arose from MM and not vice verse. It was developed as a “tool” “whenever needed” to “ease out” and to decrease the burden of ever increasing symptoms.
Secondly, if you talk of Scientific methods than it must known that “Opinions” have the least value. To accept/reject a hypothesis you need to apply right methodology and apt design (Evidence Pyramid). The solution is research only. For e.g. we all successfully treat millions of cases but still NOT A SINGLE META ANALYSIS has ever been published from India (just an example). Further, Repertories are becoming voluminous each day – have all the symptoms being clinically verified (Sources is one thing and clinical verification is different). To best of my knowledge only CCRH is involved in Clinical verification. In repertory many times we find many symptoms not available in our common MMs. PS: I am not against REPERTORIZATION but respect a Physician’s experience, perception and discretion. Also, I will end my further discussion on the same because I don’t want to enter the discussion from Middle, End or any other point
Dr Ashish Kumar Jha:
Dear Brother, yes you are right Repertory arose from MM and not vice versa. You need to have the vast collection of the sign and symptoms from MM to prepare a Repertory. As far as publication is concerned, this is a separate issue. Please don’t drag Research topic in this issue and confuse other. As far as another comment is concerned that “Repertories are getting voluminous day by day.” Yes of course, No one is telling you to use those Repertory or Authors if you do not trust them. Again this is another topic and can be discussed in length. If you trust 19th century MM, Can’t you trust 19th Century Repertory. If you think that those Repertory is authentic one, it’s ok, use them. Yes I respect the physician’s experience, their perception and discretion, But you know what, they have gathered these experience in scarcity. They have not learnt how to use this tool Repertorization ever, so they do not practice, they have not learnt these from their seniors or teachers, so they do not allow their subordinate to learn this basic tool. See I am advocating to use Repertory in every case, its because it helps a novice to learn a lot by adopting the correct procedure, and then interpretation will help them understand the case. Finally they will utilise their vast knowledge of MM and Organon before Prescription.
Dr Akshay Bankar: When the case is clear from MM point of view, it is not necessary to repertorise the case. It can cause confusion. Repertorisation may be done for research purpose in such cases
Dr Ashish Kumar Jha: Yes true Sir, if the case is clear from MM point of view, the same remedy will REFLECT in Repertorization too. So don’t you think we should develop and boost our confidence by cross check this in MM. Sir, we should allow the novice to consult Repertory and do proper Repertorization after proper case taking and before consulting MM for final selection.
Dr Gaurang Dave: It’s for documentation not for prescription purpose
Dr Ashish Kumar Jha: Again, one cannot expect this comment from a senior most practitioner and a teacher in Homeopathy with 25 years experience. Not agree at all Sir
Dr Akshay Bankar: Correct in clear remedy cases. Repertorisation can give you differential medicines for the case but if the Practitioner is not intelligent enough then he may get lost in the maze of medicines. It is a very helpful tool if handled carefully.
Dr Ashish Kumar Jha: Sir here we are not talking about the limitations of a practitioner. The same thing may occur if one prescribes with mere knowledge of MM. Isn’t it? We are advocating to use all the three MM, Repertory and Organon in Prescription. Why do we surpass Repertorization in Prescription, this is a million dollar question. So definitely we must develop the understanding about Repertory, Rubrics and Repertorization. And this can be gained with the practice from day one, once an internee enter into the OPD. Then only he can utilise this tool.
Otherwise some practitioner once they enter into MM Mode, will never understand the efficacy and beauty of this indispensable tool.
Dr Jyoti Rao: I agree. If a practitioner can get confused by number of remedies after Repertorisation I feel he will also not be in a position to know all drugs of mm. This is the limitations of homeopath and again I would say every cases should be repertorise.
Dr Pritesh Patel: So here we come to Mechanical Repertorisation Vs Smart Repertorisation … by picking up the Kingpin Rubrics which represent the Core of the Person !!! Unless You select the Rubrics Properly … Repertorisation becomes a Futile Exercise … and when You Master this Art … You Open a Pandora’s Box !!! : Each Repertory is Different … has a Different Logic and Utility … unless We understand which Repertory to use when … again it becomes a Mechanical Exercise !!! Thus, Proper Analysis and Evaluation of Each Symptom and Forming the Portrait of Disease is of Paramount importance … prior to selection of approach and Repertory!!!
Dr Gaurang Dave: @Dr Ashish Sir u r too rigid regarding repertrisation.repertory is tool not aim & objective of prescription. Even when I prescribed from mm with logic is scientific. Many times happened too much documentation lead to purpose in vain. I am against of such rgidity. Don’t make repertrisation religiously to follow. Judicious use always welcomes.
Dr Ashish Kumar Jha: Sir, the question is not about rigidity or elasticity, please refer to the topic of discussion and the contents, you will get the answer. 🌻If you think I am rigid as far as Repertorization is concerned , yes true I am, because I m following the correct procedure without being biased or prejudiced before prescription. I am rigid because I m giving equal importance to all the 3 indispensable things Repertorization, MM and Organon.
@Dr Gaurang Sir most of your friends and supporter has left you in middle of the discussion because they understood the importance of Repertorization after case taking and before consultantation of MM for final selection of remedy. You are still in the field. Stay tuned in the discussion. I will be happy if you continue sharing your valuable insight on this issue without commenting individually.
Dr Pritesh Patel: True … many people prescribe intuitively after years of experience and digesting the Materia Medica … however … still there are some chances of missing the right remedy and prescribing a nearest Partial Similimum … further leading to a Zig Zag cure …. with the help of such remedies … But … if one develops a habit of proper Analysis and Evaluation, understanding the Core of a Person and selecting the Right Rubrics to repertorise … we arrive at the Right Remedy very fast !!! If we develop the habit of proper Repertorisation after analysing and understanding the case properly … it definitely helps Us achieve our Goal…. Cito, Tuto et Jucunde !!!
Dr Gaurang Dave: Pritesh repertrisation again dependent on physician ability & experience. So why compulsion & burden?
Dr Pritesh Patel: I’m not making it a Forced Compulsion, only saying that it helps improve our Reliability, Accuracy and Efficiency in Correct Prescribing!!! Most of Us from the Old School who didn’t have the facility of Modern Personal Computers and Homoeopathic Softwares … had to do Repertorisation on a Repertory Sheet manually … which was very Tedious and Tiresome … hence we perceive it as a Burden ….But, those who have had access to a good laptop and Homoeopathic Software have developed a habit of quick Repertorisation and … they infact … find this very useful and enjoyable !! It is just a matter of our perception !!!
Dr Ashish Kumar Jha: @ Dr Garurang Dave Sir, again this is not the topic of discussion. This may be possible for those too who prescribe with prejudiced mind mere with knowledge of MM Repertorization is not at all a burden or compulsion. This is a systematic procedure which must be adopted after case taking. However, if you have thus type of thought in you mind about Repertorization and Repertory, I can understand your agony.
Dr Meetez: I want to share one of my experiences. Couple of years ago I have treated a case of PCOD. Actually that was my First Homoeopathic case which i cracked with the help of Dr Akshay in the year 1998 as he is the one i give all credit to be in this system. In that case the picture was of completely of Phosphorus. But the phosphorus was missing in every rubric of PCOD in repertory. Still the confidence of Dr Akshay Banker i gave. Surprisingly the case resolved. In the later version of that repertory Phosphorous was added in the rubric. That day onwards i felt that Repertory is very good tool for practice but still it’s a tool and from my view its double edged sward. If you don’t know how to use, you may hurt your own self. I must say you need to use repertory wisely and not to do mechanical process because tool is only useful if the one who is using is smart enough to have knowledge of its prons and cons and limitations. Repertory is the ever developing, updating one. So the complete dependability (Not Reliability) is hazardous.
Dr Manish Patel: Very true… Gaurang, and we should strongly encourage LAID – BACK generation for repertorisation, keep habits for repertorisation college life…
Dr Pritesh Patel: True … that is why We have to study the Rubric first … and it’s Source … it’s Authenticity … go to it’s origin in the Provings … !!! Of course Materia Medica is the final Court of Judgement … and Repertory helps us get there very fast … !!!
Dr Meetez: I agree with Dr Pritesh. Authenticity is very very important. So many remedies added in repertory from the references of clinical cases. In that we may miss the essence of the case and we started looking for the pathology in that remedy. But the working principal of that remedy in that particular case may not be the pathology. It might be something deeper or something general. So the source of the remedy in the rubric is the most important and to know how that was fall in to that place. You must access the history of the remedy in that rubric.
Dr R Dave: Repertory is index to materia medical. So it brings you to the group of similar medicines but by knowledge of mat. med. One can judge similimum from similars. So when your knowledge of mat. med. Is sound you don’t require to repertorise. Even sometimes it may misguide you. What way you can understand pt. trough mat. Med is at all not possible with repertory. It is just a tool to simplify from number of medicines.
Dr Gaurang Dave: Repertory is fruit of mm. Not represent as whole. We all know limition of repertory. Kent find only one repertory after 13 yr of exhausted research & now day we find every one year new one. Why repertrisation when I am crystal clear with mm
Dr Tejas Sheth: Everything has its own limitations we must know the limitation and then apply each one then we are successful eg. The symptoms that difficult to find in materia medica that easily present in repertory or that is not present in repertory that may be present in materia medica it’s vise versa Si don’t be rigid with one It’s integrated approach
Dr Jyoti Rao: Friends let us not argue. I just want to share that using repertory is a systematic procedure. Taking case then repertorising and finally confirming with Materia medica. I feel it’s beautiful systematic approach. All three repertory, mm, and organon are equally important.
Dr Ashish Kumar Jha: Madam, this is what I have mentioned in the entire article.
Dr Jyoti Rao: Can give an example today in college was discussing a case of skin complaints with my colleague we came to conclusion that drug of choice is Psorinum after Repertorisation and was satisfied to confirm all the symptoms were found in mm. With confidence we could prescribe the drug
Dr Ashish Kumar Jha: Yes, this is that much simple….People must apply these thoughts….
Dr Pritesh Patel: Our Stalwarts were so fervent and zealous towards Homoeopathy … they did not run away from meticulous hardwork … and We … with all modern tools and luxuries … have a tendency to take short – cuts !!!
Dr Gaurang Dave: Thanks to Dr Ashish to initiate such wonderful talk & thanks everyone for participating. Now new topic will be awaited. Thanks to all.
Dr Pritesh Patel: Many people feel that when the remedy is too obvious, there is no need for Repertorisation. But, let us take a simple case of Trauma to the Eye … most people immediately think of – Arnica … but the correct remedy may be – Ledum or Symphytum … depending on the Totality of Symptoms !!! Our mind tends to take the simplest short-cut and jump to an obvious remedy … but it may not be the required one !!! Thus, it helps a lot to do quick Repertorisation of each case and confirm the Remedy … one can also use Reverse Repertory to cross check the Remedy … and at the same time …. Whenever we arrive at a particular remedy through Repertorisation … it is a must to go through the Materia Medica Filter !!! This helps confirm our Remedy selection and gives us the much required Confidence … that our Remedy will act … else people have a tendency to either Change the Remedy or think of a Complimentary Drug … if positive change is not seen soon !!! I personally feel that … Repertory and Materia Medica are 2 sides of the Same Coin … and … Organon is the Edge of the coin … All 3 are Most Vital, Important and Essential … we just cannot ignore Any One … while prescribing for our Patients !!!
Dr S N Babu Kathi: @Dr Ashish kr jha, what you expressed is correct, yes most of the time we homoeopaths are familiar with the books and fundamentals. Repertorisation is the navigation to reach the curative process.
Dr Sudipta Thakur: I could resist myself from making some novish comments. First about the topic itself, Second about the write up. Coming to the topic, this has been my personal understanding (tell me if I’m wrong) that Repertory is a TOOL, crafted in the era when the concept of software did not prevail. It was created understanding the human minds limitations. Repertory to me is like an Analytical tool, and repertorisation is like data analysis. Now, to link it with prescription is like making an Administrative dicision. You can make the decision either on the data or on your experience. Either is equally important. And a combination of the both is the best solution. But it is also understandable that using both is not possible in all cases, due to lack of time and lack of resource. This is true for clinical practice also. You need to understand the possibilities. You need to find the best solution for each case, in shortest possible time. Be it complete case taking with repertorisation OR be it key note prescription. We cannot fix one process for different scenarios. To comprehend my logic, l would like to bring another example. ‘Psychoanalysis’ was the most popular concept of Counselling, since it was coined and staged. It is about understanding a human mind from CORE. From his/her birth (or sometime even before birth!), development, familial, social, economical aspect. Then finding the WRONG in that mind and then slowly correct them. It turns the human being to a completely changed version. But it also takes uncertain time, even may be 10 -15 yrs. So, now a days it is not practiced widely. Today the psychologists are depending on CBT (Cognitive Behavioral Training) , which is a target oriented, time bound program, customised for that very person, understanding his major conflicts or problems. It is not about changing the person. But to make him/her able to solve his/her problem efficiently. So, you cannot say which process is right or wrong. It depends on the applicability. Here comes my second point of comment. The writer of the article has choosen an interesting topic of debate. But as an organiser he should have maintained a neutral position, keeping aside, his concieved idea that Repertorisation is must for prescription. Another conflict I’v not been able to understand. How two different subjects, ‘Materia Media’ and ‘Repertory’ are facing conflict? Both should be complementary. Why they are being made competitors? To me it is merely a ‘Pseudo – Compition’ confusing the students of homeopathy.
Dr Ashish Kumar Jha: Dear Brother Dr Sudipta Thakur, thanks for sharing your valuable insight, I appreciate your valuable thought and the presentation on this topic is great. Your perception related to Repertory and it’s judicious use is marvellous. And whatever you have written is absolutely true. You rightly said that a combination of both MM & Repertory is the best solution (infact Organon too). This is what everyone wants to follow. However I do not agree with your statement that using both is not possible in all cases, due to lack of time and lack of resources. For the argument that repertorisation is time consuming, HARobert’s reply is: If an hour or two spent in repertorizing the case will bring before your mind the similars, from which you can easily select the simillimum, is this a waste of time? We need to develop the skill in Repertorization and using Repertory. We need to learn first everything and then only with experience one can use this as an asset. I do not also agree with your statement that ‘You need to find the best solution for each case, in shortest period of time,’ There is no short cut of Success in life. You need to follow the correct procedure anyhow. We need to give authenticity to our Prescription. We have to justify also. As far as your second point is concerned, I suggest you to please go through the Article again and again. And do let me know at What point author has denied the importance of MM or Organon. The author is repeatedly trying to say that- “No one is denying the importance of MM and Organon, but why are we not giving that much importance to Repertory, why are we not adopting the correct procedure, why are we missing Repertorization, if we do thorough case taking. Is the idea of jumping directly to MM from case taking without doing Repertorization is a correct Method. So brother, if you are commenting on something particular, please try to understand the correct meaning in the discussion. However, I appreciate your presentation skill and would like to discuss further with other too on this topic. Hope you are satisfied with my answer.
Thanks everyone, for sharing your views and feedback. You may write to me at firstname.lastname@example.org . Also I am writing my next article on the topic – ‘CAN A TRUE HOMEOPATHIC PHYSICIAN SEE HUNDRED PATIENTS IN A DAY?’
(…………Before Prescription, we need to take the case of the patient, it requires minimum 10-15 minutes for Acute cases and minimum 30 minutrs to 1 hour or sometime more for Chronic cases….Forget this calculation, For 100 patients, even if we are devoting maximum 10 minutes, the total will be 1000. Divide it by 60 minutes. Someone has to work continuously for 16-17 hours without taking a break. Isn’t It? Do you really think this is possible to anyone? Yes this is possible in one case, if you are prescribing homeopathic medicine unscientifically, without following the principles in Homeopathy. We, in Homeopathy do not prescribe like an allopathic doctor usually does…..Like oh you have fever, take this paracetomol. Homeopathic Prescription needs sign and symptoms for Prescription and it is not based on empty theorizing or speculation. Therefore it is impossible for a single homeopathic doctor to see 100 patients a day. Those who are doing this, in true sense their Prescription will never be a true Prescription. Hope the entire calculation will help you in finding your answer)……….
Author : Dr Ashish Kumar Jha
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