Dr Shriraksha B
Repertory of Hering’s guiding symptoms of our Materia medica by Calvin B Knerr is a concordance type of repertory based on Hering’s Guiding Symptoms published in the year 1896. This repertory has symptoms in their original form without modifications.
There are 48 chapters and 408 medicines, where the arrangement of chapters is in Hahnemann’s anatomical schema. It has 4 grades of distinction which has same significance as given in Guiding symptoms.
The repertory starts with the chapter Mind and disposition and ends with Drug relationship. This article throws light on the understanding of the 47th chapter, that is Stages of life and Constitution.
In this chapter Knerr has given rubrics related to various age groups, different complexions, constitutions, temperaments, diatheses etc which can be used in cases of different stages of life
CONSTRUCTION OF THE CHAPTER STAGES OF LIFE AND CONSTITUTION
This chapter has following sections
Age is further divided into different subgroups such as Boys, children, climacteric period, girls, men, old people, puberty, women, young people, youth.
They include some complaints, sensations or disease conditions of that particular age.
It also includes rubric related to mind, body types or appearances, miasms, growth etc
- Age, boys, epistaxis( hydrocele)
- Age, children, want to be carried
- Age, children, psora
- Age, girls, blonde, red cheeked, scrofulous
- Age, old people, emaciated
- Age, young people, asthma
- Age, youth, overgrown with weak chest
Complexion (including color of the eye and hair) includes complexions like dark, fair, florid, freckled, pale, sallow etc
It also includes colors of eyes such as black, blue, dark grey… and colors of hair such as black, blonde, light, sandy
The rubrics, along with these complexion traits involve some conditions, sensations and also some mentals
- Complexion, dark, ophthalmia,
- Complexion, hair, blonde, irritable, weakly
- Complexion, eyes, dark, disposed to sluggishness and indolence
Constitution section contains mostly diathesis, tendencies, constitution types, miasms
Subrubrics involve subjective and objective symptoms of those constitutions and diatheses, and also some age groups or persons who are affected
- Constitution, anemic, faceache
- Constitution, gouty, mercurial ulcers
- Constitution, hemorrhagic, ovaritis
- Constitution, psoric
- Constitution, rheumatic, women
- Constitution, weakly, bookworms, sensitive romantic girls, onanists, rakes and drunkards
Habit – this section has some of the habits and indulgences of the people and some of the complaints associated with them
There are some diagnostic symptoms, subjective symptoms, physical appearances and also certain tendencies in the subrubrics
- Habit, drunkards, eczema
- Habit, drunkards, heartburn
- Habit, drunkards, rednose
- Habit, dirty persons
- Habit, high living, gluttony
- Habit, drugged subjects
- Habit, tobacco
Occupation section involves rubrics related to different occupations and the complaints they suffer from
- Occupation, actors, sore throat
- Occupation, bookworms
- Occupation, business men, wearing out
- Occupation, singers, nervous dread
- Occupation, servants, girls from the country become chlorotic in the city
- Occupations, students, cough
- Occupation, washerwomen, toothache
Size : in this section includes rubrics of different size and types of the body such as dwarf, large, tall, thin
Subrubrics also include some body appearances and also conditions and complaints in them
- Size, dwarfed, stunted
- Size, large, fat and sluggish, fat body but legs thin
- Size, tall, slender, phthisical
- Size, thin, predisposed to lung and hepatic affections
- Size, thin, weak and melancholy
Temperament section has different types of temperaments as rubrics and subrubrics involve physical and mental features in those temperaments
- Temperament, bilious, asthma
- Temperament, mild, submissive, yielding
- Temperament, melancholic, constipation
- Temperament, nervous, hysterical, spasmodic dysuria
- Temperament, phlegmatic, indolent
- Temperament, sanguine, good natured
PRACTICAL UTILITY OF STAGES OF LIFE AND CONSTITUTION CHAPTER
- As the repertory belongs to puritan type all the symptoms in the chapter are given in provers’ language and hence it’s very useful for both beginners as well as experienced practitioners.
- This chapter has rubrics of different constitutions, temperaments and also different physical make ups therefore is very helpful in selecting remedies for constitutional prescription and also in ruling out non similar remedies
- This also makes it useful in bedside for the quick reference and easy retrieval of the remedy
- Along with the constitutions and physical appearances it includes mental characteristics too in one place which makes it easier for one to refer
- Eg: Size, thin, irritable, choleric, dark hair, make great mental exertion, or lead a sedentary life.
- As this chapter has many characteristic and guiding symptoms, it helps in keynote prescriptions
- One single rubric contains diagnostic as well as characteristic symptom which is useful in selection of similimum
- Eg: Temperament, hysterical, spasmodic asthma, caused by anxious dreams, sensation as if clothing were too tight
- One more important part of this chapter that has great practical value is the tendencies and diatheses. In the section Constitutions, there are many diatheses, dispositions and body tendencies which give therapeutic idea and helps in selection of similimum
- There are many concomitants along with the main complaint in a single rubric hence is good for both reference and prescriptive purpose
- Eg: Age, women, nervous, vomiting during menses
- Since there are cured symptoms, they are very valid and reliable from practical and clinical point of view
- The temperament section has rubrics which contain more than one temperaments in one single rubric, this can be taken in practice when the patient does not belong to one clearcut temperament i.e when he/she shows features of 2 different temperaments
- Eg: Temperament, sanguine, choleric
A girl aged 11 years presented with headache, weakness, and easy fatigue since the time she attained menarche (i.e, 1 yr).
All her complaints were worse after exertion and the characteristic feature of the headache was it would appear sometime after she goes to sleep and she would wake up with sudden, bursting, exploding headache.
Mentally she is an extrovert, jovial, talkative, sensitive girl and was very mature for her age.
Physically she is fair, tall, lean, thin with emaciation and muscular weakness.
On examination pallor was present and her Hb was 8g%
In Knerr’s repertory following rubrics were considered
- Temperament, sanguine
- Constitution, anemic
- Size, thin
- Complexion, fair
- Age, puberty, precocious, chlorosis, anemia, with excessive muscular debility
- Head, headache, sleep, after retiring when just losing herself, roused her with shattered sensatiojn as if something had exploded
And based on these Phosphorous was selected and the girl improved with Phosphorous 200
- Knerr C, Repertory of Hering’s Guiding symptoms of our meteria medica. 1st ed. NEW DELHI: B. JAIN PUBLISHERS; 2006.
- Tiwari SK, Essentials of Repertorization, New Delhi: B Jain publishers; 2012.
Dr Shriraksha B
MD Part 2, Department Of Case Taking And Repertory