Study of Repertory in Post Graduate Level-An Overview
Dr Shashi Kant Tiwari, DMS, DIP NIH, MD(Hom)
Former Principal, Fr. Muller Homoeopathic Medical College, Mangalore
Former Director, National Institute of Homoeopathy, Kolkata
Study of repertory is an essential process at all levels of learning if someone desires to understand Homoeopathy in its totality and to practice it in true sense to serve the suffering humanity without harming the natural flow of life process .
Repertory has been a guide and essential tool for practicing Homoeopaths from the time of our Master Hahnemann itself. It is a product of logical thinking and intelligent applicability of vast data of Materia Medica into clinical practice. The logical mind of human being is always in search of finding a device to make the task easier and simpler which is truly applicable to Homoeopathic practice also. When the number of symptoms started increasing as the number of medicines increased, it became difficult to trace the exact similar medicine in the vast ocean of Materia medica, therefore a need was felt to find some way or some kind of means to find out the correct simillimum for the suffering person based on the totality without which a cure is not expected.
Our master, a brilliant personality first faced this problem and understood it as a problem for all the practitioners of this rational system of medicine. Hence he thought of preparing first the simple index which could help a physician to find a similar remedy through referring the index. Then he did not rest at this point and further suggested how the process should be worked out in finding a suitable remedy to the case. Thus he suggested a method what we call is a paper sheet method-write all the important symptoms on a paper and write all the medicines which cover those symptoms in front of each one and see which of the medicine covers maximum symptoms.
Boenninghausen called it as expedient which literally means something which expedites the process. Hence repertory should be considered as a companion in a form of device which makes our work (study of materia medica and finding a simillimum) easy, simpler and faster. Thus the use of repertory should become essential part of our practice.
In fact, Repertory is the witness and the mirror of the growth of Materia Medica from the primary recording of the facts in Fragmenta de Viribus Medicamentorum Positivis to the present voluminous books of Materia Medica. It has walked parallel to the materia medica successfully, systematically and logically. This special discipline of Homoeopathy has also kept pace with the modern technology and given many software to the profession. Hence, this ever growing subject of repertory not only needs to be understood perfectly but also to be mastered properly in order to be a conscientious homoeopath.
Repertory is higher branch of homeopathic study and practice which should be learnt and practice with cautiousness.
SOME FREQUENT ASK QUESTIONS;
What is repertory?
Repertory is a simple device which helps to find simillimum and it could be in the form of book, card or software . It indexes homoeopathic remedies in a logical and systematic way following a certain principle or philosophy. The main sources of repertories are materia medica of all types including proving, toxicological, physiological and clinical.
What is repertorization?
It is a logical process which leads to the selection of a right remedy following certain steps. It starts with a broad choice and narrows down to a small group of remedies so that a final selection is made through the knowledge or reference to materia medica.
Why the name ‘repertory’?
To know the exact reason for this, we have to go back to the Hahnemann’s era. Our master gave the unique name to this discipline due to a good reason. It means a treasure where you can find things arranged in a systematic way so that the things could be found out whenever the need comes. Repertory in homoeopathy serves the similar purpose to find out most precious thing i. e. simillimum.
Is it required to do repertorization in every case?
As such this process is a logical process of coming down to a similar remedy to the case in hand which is mostly done mentally by a busy physician and also by masters of materia medica. Hence, in a case where the picture of remedy is very clear and sure about a remedy, the mental process of repertorization is already done. It is required to be done mechanically where we are not sure about a clear picture of a remedy be it a chronic or acute case.
Does repertory help in other ways to a Homoeopath?
Yes, it helps a Homoeopath in a multiple ways. It is very much obvious from the title of the book by the Father of repertory, Boenninghausen; Therapeutic pocket book for Homoeopathic Physicians to use at the bed side and in the study of the materia medica. He has highlighted two main purpose-finding simillimum and the study of materia medica. The repertory can help a physician to refer any symptom any time without much difficulty, it helps to study comparative materia medica, also in study of relationship of remedies thus in selection of second prescription. The modern repertories have reference for each remedy mentioned under the rubrics hence the repertories can help a physician to know the source of information.
When to study repertory and how much to study repertory?
This is very clearly stated by Dr. J T Kent-
A physician must study the homoeopathic principles until he learns what it is in sickness that guides to the curative remedy.
He must study materia medica until he learns what is needed to meet these demands.
He must then study the repertory until he learns how to use it so that he can find what he wants, when he needs it.
Is study of repertory and repertorization a difficult proposition?
No, in fact it is easy and a comprehensive helpful proposition to find our highest goal i. e. to select a right remedy. The process is easy and logical so that each case can be repertorized without much difficulty. With advent of Computer the work has become more and more easy as well as less and less time consuming.
What are the steps to be followed in repertorization?
It follows the exact process of a homoeopathic way of selection of a remedy. Hence the following steps should be followed carefully and not mechanically at any of the steps-case taking, recording and interpretation, defining the problem, analysis , erecting the totality, selection of the repertory and repertorization proper, Repertorial result, analysis of Repertorial result and prescription.
Who are the pioneers of repertory?
Master Hahnemann, Boenninghausen, J T Kent, C M Boger
What are the basic repertories?
Boenninghausen’s Therapeutic Pocket Book
Repertory of Homoeopathic Materia Medica by J T Kent
Boger’s Boenninghausen Characteristics and repertory
What are the modern repertories?
- Synthetic repertory
- Complete repertory
- Homoeopathic Medical Repertory
- Phoenix Repertory, etc
- Repertorium Universale
What are the methods of repertorization?
The methods of the repertorization are purely based on the dimension of the case. It is the case which decides the method and not the physician. The variations of the totality of the case decide the methodology which becomes clear after we arrive at the totality of the case. It could be one of the followings-
- If case is rich in generals and have a few characteristics-the Kent’s methods should be followed i. e. Generals to Particulars.
- If the case has Causation, Modalities, Concomitants and Pathological Generals -the Boger’s Method can be followed.
- If the has complete symptom-Location , Sensations, Modalities and Concomitants – Boenninghausen’s method can be followed
- If the case has only common symptoms of a disease, wherein the characteristics are not available-clinical methods can be followed.
PRACTICAL ASPECT; WORKING OUT A CASE
A case of ovarian cyst; CASE TAKING;
Mrs. S 42 year old lady who was operated for fibroid uterus (29th Dec 2018) reported on 4th March 2019 for continuous uterine bleeding for 45 days. First 15 days the bleeding was very profuse along with back pain and general body ache followed by watery blood mixed with clots and now for last 15 days she is troubled with blackish and continuous bleeding. She also complained of severe pain in the left iliac region, which comes and goes.
After the operation she has also developed leg pains and headache sometimes especially if she goes out in sun. Though she has lot of discomfort after operation and she is tired of bleeding but she feels discomfort more when bleeding stops. Pains as well as mentally, she feel better during bleeding. She went for a checkup with the same gynecologist last week who examined her and asked to go for USG investigation. The USG investigation revealed that she had Left Ovarian cyst with debris; hemorrhagic cyst with partial torsion. She was advised immediate admission and Pan Hysterectomy. But the patient did not want to go for 2nd operation hence she preferred Homoeopathic treatment.
Some details were taken about the patient –
She has a son who is 18 years old. She told about her son that he was not good in study. Because of his poor intellect the son could not study science and he studied in commerce section. But he could not clear the final PUC exam even with change of the subject. He appeared for the supplementary exam but he failed in that also. He has been showing no interest in mingling with any one.