Review on Repertory of the Urinary organs & prostate gland by Moragn

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Dr Mahalasa Kanthi 

Title: Repertory of the Urinary organs & prostate gland, including condylomata

Compiled by: A. R. Morgan, M.D

Publisher: Boericke & Tafel, Philadelphia 

 About the Author:

A.R. Morgan was:

  • Ex Professor institutes & Practice, Homoeopathic Medical College of Pennsylvania
  • Ex Professor Theory & Practice, NY Medical college & Hospital
  • Ex member of American Institute of Homoeopathy
  • Member of IHA
  • Member of NY state Homoeopathic medical society
  • Member of Central NY Homoeopathic Medical society

About the book: One of the first regional repertories to thoroughly cover the action of remedies centered upon the urinary organ.

Philosophical Background: Is a regional repertory and is based on clinical repertory

 Plan and Construction:

  • Macro construction:

                 The book can be divided into following parts:

  • Preface
  • Remedies & abbreviation
  • Repertory proper
  • Repertory of  Urinary organs
  • Repertory of Prostate gland
  • Repertory of Condylomata
  • Diagnostic tables and urinary tests
  • Index
  1. Preface:
  • Written by A R Morgan in the year 1899 at Waterbury, Conn.
  • The author resumed his practice in 1890 after retirement on account of his prolonged ill health; he began to find indications pertaining to prostate gland
  • The author lists the sources of his work.

These include: 18 sources

  1. Materia Medica Pura
  2. Chronic diseases of Hahnemann
  3. BTPB
  4. Sundry’s edition of Jahr Manual including the symptomen Codex, that of Currie & of Snelling
  5. Allen’s symptom register
  6. Jahr’s forty year of practice
  7. Materia medica of Lippe
  8. Materia medica of Teste 
  9. Materia medica of Mure
  10. Hering’s guiding symptoms
  11. Lilienthal’s work
  12. Raue’s work
  13. Gentry’s concordance Repertory
  14. Constantine Lippe’s Repertory
  15. Knerr’s repertory to Hering’s Guiding symptoms
  16. Kimball’s gonorrhea
  17. Author’s own notes
  18. And reliable clinical reports found in medical journals
  • The author frequently used to get symptoms which he could not trace in any reliable source. Therefore he revised the proving again and again which lead him to the unexplored field of symptoms that were specific to urinary organs and thus inspiring him to create a repertory on the same
  • Author extended his field of observation so as to include the morbid phenomena of the whole urinary tract, from kidneys to meatus urinarius, along with the character and quantities of the urine and its sediments; the concomitants of Micturition, also symptoms pertaining to prostate gland and finally condylomata.
  • It was a long and tedious task with patience and perseverance. Author mentions his respect, sympathy and charity for repertory makers.
  • Further Author explains the Scope and Limitations of repertory

Scope: 

  • Are indispensable to the busy practitioner
  • They lessen the burden of finding similimum from our constantly increasing array of drugs
  • Saves time

Limitations:

  • The best repertory ever published can never be wholly substituted for the Materia medica
  • Continual enlargement of our Materia medica by the editions of new proving and by fresh clinical observations, no repertory can be carried quite up to date, can never be quite completed
  • Repertories on special subjects are necessarily more or less incomplete guides, for in such works little or no attempt is usually made to include within their scope, mental characteristics, constitutional peculiarities and generalities
  • Compares Allopathy and Homeopathy. Says that Allopathic system of medicine is not based on any fixed principles and the methods have been subjected to continual changes
  • Author acknowledges his colleagues for peer reviewing and the eminent physicians for their valuable resources.
  1. Remedies with their abbreviations:
  • Starts with Abies Canadensis and ends with Zingiber
  • Are arranged in alphabetical order
  • Abbreviation is followed by remedy name
  • Total number of remedies: 422
  1. Repertory proper:
  • Repertory of Urinary organs: 

This section contains rubrics arranged under the following subsections:

  • Kidneys
  • Ureters
  • Bladder
  • Urethra
  • Meatus uraniris
  • Fossa navicularis
  • Desire to urinate
  • Emission of urine
  • Micturition, before
  • Micturition, beginning on
  • Micturition, during
  • Micturition, at close of
  • Micturition, after
  • Micturition, before and during
  • Micturition, before and after
  • Micturition, during and after
  • Micturition, before during and after
  • Micturition, between acts
  • Urine, character of
  • Urine, colour of
  • Urinary cuticle
  • Uremia, uremic poisoning
  • Sediments
  • Urine with sediments
  • Urinary odors

Repertory of Prostate gland:

Prostate gland

Prostatic fluid

  • Repertory of Condylomata
  1. Diagnostic tables and urinary tests:
  • Quantity
  • Color
  • Reaction
  • Tables showing the action of the main reagents employed in the examination of urine:
  • Specific gravity
  • Heat
  • Nitric acid
  • Hydrochloric acid
  • Sulphuric acid
  • Acetic acid
  • Liquor potal
  • Liquor am
  • Solution of chlor of barium
  • Nitrate silver
  • Alcohol or Ether
  • Ether
  • Urinary tests:
  • For Sugar:

Fermentation test

Another very simple sugar test

  • For albumen:

Heat test

  • Esbach’s Albumenometer: for the quantitave estimation of albumen in urine
  • Apparatus for the rapid estimation of urea
  • Urater
  1. Index:

           Is arranged in alphabetical order

  • Micro construction:
  • Rubrics are arranged in alphabetical order
  • Three typographies are used. They are:

                 Bold

                 Italics

                 Roman

  • Indication or specific characteristics of the remedy mentioned under the rubric are given within the brackets

        eg:  KIDNEYS, 

  • Aching of and region of.  Arg nit [down Ureters], Cann-I [<night]
  • Main rubrics are represented in bold and capital letters. 

         eg: KIDNEYS, abscess of

  • Sub rubrics are given after one space indentation presented with a small hyphen

        eg: KIDNEYS, -Aching of and region of.  

The hyphen represents each of word in the main rubric. Sub sub rubric is given with 2 hyphens which represents the main rubric and sub rubric

  • Total number of  remedies mentioned are 422
  • Few cross references can be seen.  Main rubric is succeeded by the word “see” followed by cross reference

         eg: KIDNEYS, abscess of. See suppuration of

  • Many Clinical rubrics can be seen

         Eg: KIDNEYS

 -Addison’s disease

– Bright’s disease

-Calculi etc.

Scope:

  1. This repertory can be used in the following type of cases:
  • Cases lacking mental and physical generals but rich in common symptoms
  • Cases with clinical diagnosis
  • Short cases with very few symptoms
  1. Can be used as quick reference book at the bed side 
  2. Many clinical  rubric pertaining to urinary system can be found
  3. Elaborate explanation in regards to tests, diagnosis and instruments related to urinary system are mentioned 
  4. Characteristic of the remedy in one word are given along with the remedy mentioned under the rubric, which helps in remedy differentiation

Limitations:

  1. Explanation pertaining to Question mark enclosed within the brackets [?] besides few remedies is nowhere mentioned. Eg:  KIDNEYS, pain in,    chlorof [?], kali nit [?]
  1. Printed copy of the book is not available.

References:

  1. Morgan, A. Richardson. (1899). Repertory of the urinary organs and prostate gland: including condylomata. Philadelphia: Boericke & Tafel.

Dr Mahalasa Kanthi
P.G, Part II,Department of Case Taking and Repertory,GHMC, Bengaluru.
Under the guidance of Dr. V. Guruprasad, Dr. Munir Ahmed. R, Dr. Anusuya Akkareddy

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