Utility of homoeopathic repertories in management of acute diseases
Dr Bhavyasree B
- In our clinical practice we have to deal with both acute and chronic diseases
- Among this acute diseases are more challenging to each homoeopath because here the prescription should be most accurate to relieve the acute sufferings of patient, otherwise the case become more worse ,patient suffers much and may leave the physician
- Acute diseases are well represented in our repertories
- We can construct an acute totality with repertories to reach similimum.
- Modern repertories and computer repertories have made our task more easy
- Acute diseases are rapid morbid processes of the abnormally deranged vital force, which have a tendency to finish their course, more or less quickly, but always in a moderate time.
- They lead either to recovery or death.
- They are produced by an exciting cause or acute miasm.
Classification of acute disease- aphorism 73
1. Individual acute disease- Individual acute disease is that which attacks a single human being
2. sporadic acute disease – is that which attacks several persons at the same time here and there, sporadically
3. epidemic acute disease- attacks many persons with very similar suffering from the same cause.
CASE TAKING IN ACUTE DISEASE
According to § 99, it is very easy to take the case in acute diseases because
- All the phenomena and the deviation from the state of health that has been recently lost are still in the memory of the patient and relatives.
- The physician certainly requires to know everything, but has much less to inquire into.
- Presenting complaints are very prominent and impress our sense quickly.
- So it requires only few questioning because almost everything is self evident.
- Any known causative factor for the explosion of latent psora is to be ascertained.
It is the totality of the characteristic symptoms manifested during an acute disease
It has two components
a) Sector totality
b)Fixed general totality
Sector totality / Presenting complaints
Symptoms with location, sensations, modalities including causation & concomitants
Fixed general totality/The general features
Changes on the physical plane – appetite, thirst, sleep, thermal reaction, respiration, bowel movements etc
Changes on the mental plane – ie, mental state – irritability, fear, restlessness etc
Sector totality is fast changing in an acute disease so one should rely more on general symptom which are comparatively fixed or slow in changing
- But in case of epidemic diseases there is similarities in the presentation of cases
- By a close observation of several cases of every such collective disease we get the totality of its signs and symptoms of current epidemic
- This leads to selection of a suitable homoeopathic remedy for epidemic – genus epidemicus
ACUTE EXACERBATIONS OF CHRONIC DISEASES
In cases of acute exacerbations of chronic diseases, story is different, either we need to manage the case with constitutional medicine at first instance, or we should go up with managing presenting problem with an acute remedy and later followed by a constitutional or inter current remedy
USE OF REPERTORY IN ACUTE DISEASE
- It’s the habit of many of us to prescribe on one or two prominent or keynote symptoms in acute diseases.
- But it’s more effective if we could consider a good acute totality & repertorisation done on it to prescribe effectively.
- Our user friendly repertories are either followed anatomical schema or alphabetical schema for the convenience of easy reference.
- Clinical repertories followed a region wise or clinical condition wise preparation which helps to confine only with our needs
- To use them effectively we should have a good knowledge on its basic construction & adaptation
- Majority of the acute clinical conditions we come across are well represented in our repertories with very useful sub-rubrics & a good number of medicines with them.
- Our modern repertories are putting their best efforts to represent them more & more ‘practically applicable’ one.
- Advent of computer software programmes lessens our tasks much easier too.
CONSTRUCTION OF ACUTE TOTALITY WITH REPERTORIES
- SECTOR TOTALITY
- FIXED GENERAL TOTALITY
CONSTRUCTION OF SECTOR TOTALITY WITH REPERTORY
- Repertories prepared on the basis of anatomical schema like Kent, BBCR, Synthesis etc & prepared on alphabetical idea like Murphy& Phathak makes our task easy
- Regional repertories helps to confine to them
Eg -Berridge’s eyes, Morgan’s urinary organs etc
- By clinical examination & investigations we can confirm the exact location too
- And successful prescriptions can be made alone by prescribing on them
- ABDOMEN – INFLAMMATION (Peritonitis,Enteritis,etc.) – appendicitis
Bell. BRY. cadm-s. Calc-s. chel. Chin. Cocc. con. Crot-c. dulc. Echi. graph. Hep. Lach. Lyc. Merc. MERC-C. Nit-ac. PHOS. Plb. SIL. ter.
- ABDOMEN – INFLAMMATION (Peritonitis,Enteritis,etc.) – Liver
ACON. anan. apis ARS. ars-i. BELL. Bry. Calc. Camph. Card-m. Cham. CHEL. Chin. cocc. cupr. Hep. Hippoz. ign. iod. Kali-c. kali-p. Lach. LYC. Mag-m. mang. Merc. nat-act. nat-c. Nat-m. NAT-S. Nit-ac. NUX-V. Phos. phyt. Podo. Psor. Ptel. puls. sec. staph. tab.
ABDOMEN – INFLAMMATION (Peritonitis,Enteritis,etc.) – Pancreas-
Con. Iod. Iris SPONG.
- ABDOMEN – INFLAMMATION – Appendix
abrot. ammc. ARN. ARS. bapt. Bell. bell-p. BRY. cadm-s. calc-ar. calc-caust. Calc-s. carb-v. chel. Chin. Cocc. colch. COLOC. con. Crot-c. crot-h. dios. dulc. Echi. gins. graph. Hep. Iris-t. lac-d. Lach. lat-m. Lyc. Merc. MERC-C. mur-ac. nat-s. Nit-ac. Nux-v. Ph-ac. PHOS. Plb. plb-xyz. puls. pyrog. rham-cath. rham-f. rhus-r. rhus-t. sabal scroph-xyz. SEP. SIL. SULPH. ter. THUJ. tub. tub-d.
- ABDOMEN – PAIN – Liver – colic; gallstone
ars. atro. atro-s. bamb-a. Bapt. BELL. BERB. Bry. cal-bil. Calc. CARD-M. Cham. Chel. CHIN. Chion. Chlf. Chlol. colch. Coloc. cupr. dig. Dios. Fab. gels. hep. Hydr. Ip. Iris kali-ar. Kali-bi. Kali-c. Lach. lat-m. laur. Lept. Lith-c. LYC. mag-bcit. Mag-m. Mag-s. mand. mang. menth. merc. Merc-d. morph-act. NAT-S. Nux-v. op. ozone podo. puls. rhus-t. ric. Sep. sil. staph. sulph. tab. ter. trios. VERAT.
- Liver – ABSCESS, liver
ars. Bell. bol-la. bry. bufo card-m. chin. chinin-ar. Crot-h. fl-ac. HEP. Kali-c. Lach. laur. Lyc. Med. MERC. MERC-C. Nux-v. phos. puls. raph. rhus-t. ruta sep. SIL. Ther. vip.
- Heart – ANGINA, pectoris
ACON. AM-C. ARG-N .ARN. ARS .AUR .AUR-M. APIS. CACT. CHININ-AR.CRAT. LAT-M. NAJA .OX-AC .PHOS. RHUS-T. SEC. SPIG. SPONG. Aml-ns. Chinin-s .Carb-v. Cimic. Cupr-act. Cupr-ar. Dig. Dios Kali-c. . Kalm . Lach. LaurTab. Tarent Ther.
- Different sensations like pain, numbness are well represented in our repertories under different chapters with lot of sub rubrics.
- We need to get exact sensation on which patient suffers & should go in particular rather going too general.
- IN KENT & SYNTHESIS – These sensations follows classical side, time, modality, extension pattern which helps to narrow them according to the case.
- EYE – PAIN – burning,smarting,biting – canthi – inner – morning
- TEETH – PAIN, – tearing – night
Ars. Calc. calc-p. carb-an. mag-c. Merc. nat-c. nat-m. nicc. nux-m. sep. sil.
- HEAD – PAIN – Forehead – forenoon – drawing pain
Kali-c. mag-c. sulph. thuj. vanil.
- BACK – PAIN – Coccyx – pressing pain acon. agar. aloe ambr. ang. apis berb. calc. calc-p. cann-i. Cann-s. Carb-an. Carb-v. chin. colch. coloc. hep. hura iod. kali-bi. lith-c. meny. merc. mosch. nat-m. nat-sil. ol-an. ph-ac. phos. puls. ruta Sep. spong. symph. tell. thuj. valer. vanil. zinc.
IN MURPHY – they too arranged alphabetically
IN BBCR– well represented along with separate sections for them
SENSATIONS AND COMPLAINTS IN GENERAL – Burning – internal parts; in
ACON. ARN. ARS. BELL .BRY. CALC.CANTH. CARB-V. CAUST. . CHEL. CHIN.CIC. CUPR. . DULC. EUPHGRAPH. IRISLACH. LAURLYC. MERC. MEZ .NAT-C. NUX-V .PH-AC. RAN-B. PHOS. RHUS-T.SABAD SEC. SARS . SEP. SIL. SULPH. STANN. VERAT
- Feet – ACHING, pain, feet – aching, soles – walking, while
kali-c. Rhus-t. viol-t.
- Throat – BURNING, pain – night
BAR-C. carb-an. mur-ac. nux-v.
- Well represented in all repertories
- Causative modality or aetiology alone can be a prescribing tool.
- They are very important in acute diseases because if the cause is removed the effect goes off by them
Patient with cold after getting wet in rain
Kent– Nose -coryza, wet, after getting- Sepia.
Murphy– Nose – CORYZA, general – wet, after getting- Sep
NOSE – CORYZA – wet, after getting
2 mark- Puls. Sep
BBCR– CORYZA – Aggravation – wet getting –PULS, Ant.c, Sep
Sepia gives good results when prescribed
Pain in ankle from a false step
Kent– Extremities- Pain, Ankle, step from a false– Ledum
Murphy– Ankles – PAIN, ankles – step, from a false -2 mark –Ledum
Similarly Ledum gives best results here
Aggravation and amelioration
- Both physical & mental, should consider
- Time modality- hour, day, night, midnight etc, Periodicity, Seasons, Moon phases
- Temperature & weather – chilly or warm blooded in present illness; Dry, cold, wet or hot weather
- Thunder storm – before, during, after;
- Wind, open air, warm room, warmth of bed, covering & uncovering etc
- Bathing, local applications
- Rest or motion
- Positions – standing, sitting, stooping, lying, leaning, unusual positions
- External stimuli – touch, pressure, rubbing, light, noise etc
- Food & drinks – eating & drinking in general
- Sleep – in general, before, during, after, first sleep, waking etc
- Menses- before, during, after;
- sweat & other discharges; Coition, masturbation etc
COUGH – DAYTIME – only
Am-c. Arg-met. brom. bry. Calc. chin. cic. Cocc. dulc. EUPHR. Ferr. graph. hep. kali-bi. kali-n. Lach. laur. lyc. Mang. merc. nat-m. nit-ac. nux-m. Phos. Rumx. sep. sin-n. stann. Staph. thuj. viol-o.
- Very useful construction to get them, as many of the chapters provides separate sections for them.
- a separate chapter as ‘agg. & amel. in general’.
- These rubrics from BBCR, are very valuable in clinical practice to handle even a critical acute condition & conditions of acute exacerbations of chronic conditions
RESPIRATION – Amelioration – sitting – upright, when – and bent forward, with Acon. Aur. bufo LACH. spong.
BACK – Aggravation – lying – on back aloe Bry. Cimic. dulc. euph. Ign. kali-n. lyc. nat-m. puls. Rhus-t. stront-c. zinc.
- Often very valuable alone & represented almost well in our repertories
- As they present mostly as a separate entity, we could consider them as a separate rubric in our reportorial totality if they are not available as exactly we want
- BBCR is useful here, provides separate section for them under many chapters
- Most of the concomitant sub sections are well explained and arranged in alphabetical order
- Chapter on fever is extremely rich in concomitants in relation to chill , heat and sweat under different sub heading
- In Kent, Synthesis & Murphy we need to correlate them under appropriate chapters, and also under chapter like Generalities/Generals.
Eg- faintness, numbness, weakness etc
- NAUSEA AND VOMITING – Concomitants – headache
ant-t. asar. chinin-s. cic. kali-bi. kreos. merc. mez. NUX-V. puls. ran-b. SANG. sep. sil. tarax.
- HEAT AND FEVER IN GENERAL – Concomitants – mind – delirium – loquacious
bell. cupr. Lach. rhus-t. STRAM. Verat.
STOMACH – APPETITE, – increased (hunger in general) – fever, – during
Chin. Cina cur. eup-pur. hell. PHOS.
RECTUM – FLATUS – diarrhoea,during
Agar. ALOE am-m. Arg-n. asaf. bov. Bry. Calc-p. CARB-V. Chin. Colch. Coloc. cub. cupr-n. Dios. Kali-c. Lach. Lyc. mag-m. Manc. Mur-ac. nat-p. NAT-S. Nicc. nit-ac. nux-v. OLND. Phos. plan. plat. sabin. sang. sars. sep. sil. squil. tab. zing
- EYE – LACHRYMATION – fever,during
acon. apis bell. calc. cham. eup-per. ign. lyc. petr. Puls. spig. spong. sulph.
- EXTREMITIES – PAIN – Hip – coughing,on
arg-met. bell. CAUST. rhus-t. sulph. Valer.
- Eyes – LACHRYMATION, general – cough, with
acon. Agar. aloe arn. brom. bry. calc. carb-ac. carb-v. cench. chel. choc. cina cycl. Eup-per. euph. EUPHR. Graph. hep. hydrog. ip. kali-c. kali-perm. kreos. merc. NAT-M. op. Phyt. PULS. rhus-t. Sabad. sil. SQUIL. staph. sulph.
- Nose – CORYZA, general – fever, with
Acon. all-c. anac. Ars. bar-m. Bell. BRY. chlor. gels. graph. Hep. iod. jab. lach. MERC. nat-c. nit-ac. Seneg. sep. spig. Tarent.
CONSTRUCTION OF FIXED GENERAL TOTALITY WITH REPERTORIES
- As we are giving importance for patient’s suffering in acute diseases we should not get stuck with them in prescribing.
- We should have a look on general changes observed on patient’s physical or mental plane, they should consider with priority in our repertorial totality
- Changes on the physical plane – appetite, thirst, sleep, thermal reaction, respiration, bowel movements etc
- Changes on the mental plane – ie, mental state -irritability, confusion, fear, restlessness
1.CHANGES IN PHYSICAL PLANE
Appetite & thirst
In Kent’s repertory
- Appetite & thirst – well represented in ‘stomach’ chapter
- We can consider general sub-rubrics like Appetite – diminished/easy satiety/ increased/insatiable/ravenous/relish without/wanting etc in our totality
- Similarly Thirst – burning/extreme/large quantities for/small quantities for/ unquenchable/violent
- Thirst-vomiting, before
- Thirstless – heat, during etc
STOMACH – APPETITE, – increased (hunger in general) – headache, – with ars. crot-h. elaps Kali-c. kali-p. lac-d. lyc. PHOS. PSOR. ptel. sang. Sep. sil. sulph. thuj.
STOMACH – APPETITE, – increased (hunger in general) – vomiting,after
cina Colch. olnd. podo. tab.
Similar rubrics with more no. of sub rubrics & medicines
- STOMACH – APPETITE – increased – fever – during – agg.
Chin. Cina cur. eup-pur. hell. PHOS. podo. staph.
- STOMACH – THIRST – headache – during
aeth. agar. cadm-s. camph. chinin-s. eug. Lac-d. MAG-M. Nat-m. plat. pulx. spong. stram. Ter. Verat. zing.
- SLEEP – SLEEPLESSNESS – cough, from
am-m. Apis bism. calad. Caps. Caust. Chin. Chlol. Daph. dig. eup-per. Gels. Hep. Hyos. irid-met. Kali-bi. Kali-cy. Kali-n. lyc. m-arct. NIT-AC. Nux-v. Ol-j. Phel. Phos. puls. Rhus-t. ruta sabad. sep. spong. Stict. Stront-c. Sulph. Syph. teucr. tritic-vg. Tub.
In Murphy – Under ‘food’ chapter appetite , thirst ,desire aversions are mentioned
Food – THIRSTLESS, general – fever, during
APIS CINA.GELS. SABAD. SEP. Aeth Alum. Ant-c. Ant-t Calc. Caps. Carb-v. Caust. Dros. Ferr. IgnLed. Ph-ac Puls Ip. Kali-c. meny. Mur-ac. Nit-ac. Samb.. Sulph.
2. CHANGES IN MENTAL PLANE
- Important criteria for prescription
- Mental sphere of patient varies widely with acute sufferings
- Repertories gives different mental symptoms associated with many acute disease
- Many drugs are mentioned other than usual medicines met in materia medica
- Mind, anxiety, chill during
- Mind, anxiety, Fever, during
- Mind, delirium, hemorrhage after
- Mind, fear, death of, heart symptoms during
- Mind, irritabilty, headache during
- Mind, sensitive, chill during /heat during/perspiration during
Under mind chapter-in general
– Fear, incurable being
–Memory, poor, injuries head after
Under Mind chapter– sections aggravation gives good notes on mental disturbances in some acute ailments like
– Abdominal complaints with
– Gastric disturbances with
– Headache during
– Heart pains in
– Hemorrhages after
– Stomach disordered after etc
MIND – Aggravation – abdominal – pains, with
acon. alum. am-m. ant-t. ARS. aur. bell. borx. bov. bry. CARB-V. Cham. cic. coff. coloc. cupr. hep. ign. lyc. Merc. mosch. Nux-v. PHOS. plat. puls. rhus-t. sec. sep. sul-ac. sulph. VERAT.
IN SYNTHESIS & MURPHY
Better presentation more no.of rubrics & medicines
MIND – SINGING – fever, during
bell. Op. Sars. stram. teucr. verat.
MIND – RESTLESSNESS – chill – during
acon. aeth. am-c. anac. apis Arn. ARS. asaf. bell. borx. bov. Calc. cann-s. caps. carb-v. CHAM. chin. coff. eup-per. ip. kali-ar. kreos. lach. lam. Lyc. merc. mez. nat-c. nat-m. NUX-V. petr. Ph-ac. phos. plan. plat. puls. rhus-t. ruta sabad. SEP. Sil. spig. tub. Verat.
MIND – IRRITABILITY – headache, during – SYPH. Acet-ac. Am-c.. Anac.. Ars.. Cham. Chin. Chinin-ar.. Kreos. Lac-c. Mag-p. Mez.. Nicc. Nux-v. Phos.Sang.
MIND – ABUSIVE – pains; with the
ars. CHAM. cor-r. nux-v.
Mind – RESTLESSNESS – fever, during
ARS. BAPT. PULS. RHUS-T. Acon. Apis Arn. Bar-c. Bell. Carb-v. Cham. Chinin-s. Eup-per. Ferr. Ferr-ar.. Gels.. Ip.. Lyc. Mur-ac. Op. Sulph.
ROLE OF CLINICAL EXAMINATIONS AND REPERTORY
- Physical examinations are unavoidable in acute diseases & help to correlate the symptoms we get by case taking
- Like general appearance, examination of nail, teeth, tongue, hair, eyes, Vital signs [ pulse, blood pressure, respiratory rate] , palpable lesions, respiratory difficulty, murmurs, bruises, friction rubs, bowel sounds, neuralgic signs etc & much more
- Many of them are well represented in our repertories
- In many cases, we can rely on them for prescription
Pulse – FAST, pulse, elevated, exalted
ACON. APIS ARN. ARS. AUR. ARS-I. BERB. . BRY. BELL. . COLL. CON. CROT-C. CUPR. DIG. FERR-P. GELS. GLON .IOD. MERC. NUX-V. NAT-M.PH-AC. PHOS. . OP. PYROG. RHUS-T. . SEC. STRAM.STANN. SPIG. SIL.. SULPH. VERAT-V. ZINC.
Pulse – SLOW, pulse
DIG. GELS. KALM. OP. SEP. STRAM.VERAT. VERAT-V. Crot-h. Cupr. Hell. Kali-br. Laur. Lob. Lup. lycpr. Lycps-v.. Manc. Mang. Morph. mosch. mur-ac. myric. Myrt-c. Naja. Nat-m. Nux-m. Podo. Sang.. Tab. Tarent
Pulse – FAST, pulse, elevated, exalted – tuberculosis, in
Ars-i. Brom. Lach. Nat-ar. samb. sep. stann.
- MOUTH – DISCOLORATION – Tongue – white – fever; during
Acon. Ant-c. ant-t. apis arn. ARS. bell. BRY. Cham. chin. coloc. Guare. ign. ip. lach. merc. nux-m. NUX-V. op. ph-ac. PHOS. Puls. rhus-t. ruta sabad. sep. sil. sulph. verat.
- GENERALS – CYANOSIS
CAMPH. . CARB-V. CUPR. DIG. LACH. LAUR. OP. VERAT. VERAT-V. Am-c. Ant-ar Ant-t.. Arg-n. Ars.. Con. Crot-h. Ip. Kali-chl. Lob. Naja. Rhus-t.. Samb.
LABORATORY & OTHER INVESTIGATION
- They are another helping tool in acute prescriptions
- Usually they are helpful to a physician in effective diagnosis but thorough knowledge in correlating them with our Materia medica is a brilliant effort helps the prescription especially when symptoms are lacking
- Casts -blood, epithelial,granular,hyaline, etc
- Sediment -albuminous,phosphates,purulent,renal calculi,gravel etc
- Specific gravity-increased, decreased
- Sugar etc
- Abscess, lungs
- Hepatization of lungs- right, left
- Inflammation, bronchial tubes
- Inflammation, lungs- right, left
- Generals -anaemia
- Kidneys -calculi
- Urine -saccharine
A rubric as ‘laboratory findings’ in ‘generals’ chapter with more no. of useful sub-rubrics
- GENERALS – LABORATORY findings – albumin-globulin ratio inverted beryl.
- GENERALS – LABORATORY findings – creatinine – increased
cortiso. lyc. morph. op. phos. pic-ac. ser- ang.
- GENERALS – LABORATORY findings – electrocardiograph – P-R interval prolonged
- GENERALS – LABORATORY findings – eosinophiles temporarily increased
- GENERALS – LABORATORY findings – hemoglobin – decreased
calc-ar. ferr-p. lec. x-ray
- GENERALS – LABORATORY findings – hemoglobin – increased
cob-n. loxo-lae. vanad.
- GENERALS – LABORATORY findings – platelets – decreased
bell-p. colch. crot-h. iod. kreos. lat-m. lyc. penic. x-ray
- GENERALS – LABORATORY findings – sperm count – low
aur. carb-an. Con. Iod. med. pitu. staph. Syph. testis tocoph. x-ray
- GENERALS – LABORATORY findings – potassium level – reduced
- GENERALS – LABORATORY findings – sulfhemoglobinemia – urea – decreased
- GENERALS – LABORATORY findings – sulfhemoglobinemia – urea – increased
- GENERALS – THROMBOCYTOPENIA; idiopathic
both. cortico. cortiso. phos. sec.
- GENERALS – HYPERLIPIDEMIA
all-s. aur. calc. calc-f. Chel. chin. Chion. chol. chr-ac. colch. cortiso. ferr-i. Hydr. Lec. med. nux-v. perh-mal. Tarax. thuj. Thyreotr. Vanad. zing.
In ‘clinical’ chapter some general rubrics related to laboratory findings are mentioned
Under rubric ‘blood general’ sub-rubrics like Eosinophilia, leucocytosis,polycythemia,redblood cell,white blood cell etc
Under rubric blood vessel general subrubric like arteritis,calcaneous deposits,fatty degeneration
- Clinical – UREMIA, blood
Ail. aloe am-be. Am-c. Apis apoc. ars. asc-c. aur-m. bapt. Bell. benz-ac. berb. botul. calc. cann-i. Canth. Carb-ac. chlf. cic. COLCH. Cupr. cupr-act. cupr-ar. dig. eup-pur. gels. Glon. glycyr-g. graph. Hell. hydr-ac. Hyos. iod. jab. kali-br. Kali-s. lach. lyc. merc-n. methyl. Morph. mosch. Op. Phos. Pic-ac. pilo-m. Plb. queb. senec. seneg. ser-ang. Stram. sulfa. Ter. thlas. tub. urea urin. URT-U. Verat-v.
- Clinical – bone spurs
Arg. AUR. AUR-M. calc. CALC-F. crot-c. Dulc. Fl-ac. HECLA Kali-i. lap-a. maland. Merc-c. Mez. Nit-ac. PHOS. Puls. rhus-t. Ruta SIL. sulph.
- Clinical – herniated, disk syndrome, slipped or ruptured vertebrae
AESC.. arn. AGAR Berb. BRY. Coloc. HYPER. kali-c. mag-p. ruta tarent. Tell. zinc.
- Clinical – hyperglycemia, high blood sugar
ARG-N. Chin. Cina Insulin. iod. LYC. olnd. PHOS. sac-alb. stann. verat. Zinc.
- Clinical – Blood, general – polycythemia, blood
carc. ferr. phos.
- Clinical – Blood, general – eosinophilia, blood
CLINICAL RUBRICS/DIAGNOSTIC RUBRICS
Those are habituated or forced into making their prescription on acute clinical conditions also gets their help from our repertories as ‘clinical rubrics’
- Clinical – anklosing, spondylitis
Aesc. agar. Arg-met. caust. cimic. Con. kali-c. Kalm. Nat-m. Rhus-t. tell.
- Cancer – THYROID, cancer
cadm-i. calc-i. Carc. Iod. kali-i. Lach. lap-a. Scir. sil. Spong. THUJ.
- Cancer – CERVIX, cancer of uterine
aur. AUR-M-N. calth. Carb-an. carc. CON. hydr. hyper. iod. kreos. nux-v. plat. podo. Scir. thuj. ust.
- Liver – CIRRHOSIS, liver
CARD-M. CROT-H. HYDR. PHOS. SUL-AC..Arg-n. Ars-i. Calc-ar. Chel. Chim. Chin. chinin-ar. Cupr.Hep. Lach.Lyc. Mag-m. Mur-ac.
- Lungs – PNEUMONIA, infection, inflammation, lungs
ACON. ARS. ARS-I. ANT-T. BRY. CARB-V. CHEL. FERR-P. HEP. KALI-C. LOB. LYC . MERC. . PHOS. PULS. RHUS-T. SENEG. SEP. SULPH .VERAT-V. Agar. All-c. Ant-c.. Apis Arg-n. Arn. Bad. Bell. Benz-ac. Brom. Cact. cadm-met. Calc. Carb-an. Carbn-s Chin. Chlor. Con. cop. corn. crot-h. Cupr. Dig. Elaps .Ferr. Ferr-ar. Ferr-i. Gels.. Hippoz. Hyos. Iod. IpKali-bi. Kali-br. Kali-chl. Kali-i. Kali-n. Kali-p. Kali-s. Kreos. Lach. Lachn. Laur. Psor. Sang.. Sil. Squil.. Ter. u. Verat..
- GENERALS – GUILLAIN-BARRÉ SYNDROME
aconin. alum. aran-ix. calc. cimic. con. lyss. mand. meph. plb. psil.
- GENERALS – MULTIPLE SCLEROSIS
acet-ac. Agar. alum. arg-met. arg-n. ars. asar. atro. Aur. aur-m. bar-c. bar-m. bell. bufo calc. carbn-s. caust. chel. chlorpr. cocc. Con. crot-h. Cur. des-ac. diphtox. form-ac. gels. germ-met. halo. hyosin. Hyosin-hbr. kali-p. Lath. lyc. mand. nat-c. nat-m. nux-v. ox-ac. p-benzq. Phos. Phys. Pic-ac. Plb. polio psil. sel. sep. sil. staph. Stry. sulph. tarent. tetox. thala. thuj. toxo-g. wildb.
- PROSTATE GLAND – CANCER of prostate
bar-ox-suc. carc. chim. CON. Cop. crot-h. Iod. kali-cy. Lyc. naphthoq. plb. Psor. SABAL Scir. Sel. senec. Sil. staph. sulfonam. Sulph. THUJ. thymol.
- EYE – ASTIGMATISM
gels. Lil-t. onos. phys. pic-ac. Sep. sil. Tub.
ACUTE DISEASES COMPLICATED BY ALLOPATHIC DRUGS
- Here original disease symptoms may be mixed with the drug symptoms.
- Here physician can’t apprehend the complete picture of disease in its actual condition, thus a conjoint malady can be formed by the medicinal & original disease & can prescribe for it.
- Our repertories generally provides a different set of rubrics in light of after effects of allopathic & other medications
GENERALS – HISTORY; personal – antibiotics; of use of
GENERALS – MEDICINE – allopathic – abuse of
GENERALS – MEDICINE – allopathic – oversensitive to – influenza; medicine against
Toxicity – DRUG, overdose
Toxicity – DRUGS, general , allopathic, drugs ,side effect from
Toxicity – DRUGS, general – overacts, without curing
Toxicity – DRUGS, general, addictions
- In case of an epidemic disease we can reach into a genus epidemicus by preparing a totality which has derived only after observing a number of cases
- This totality can be effectively worked out by a good repertory
- Importance of repertories can never be push aside in reaching a effective genus epidemicus & in prophylaxis in an acute epidemic disease
- Section like ‘Relationship of remedies’ provided with repertories are useful in selecting a second prescription in an acute disease after the first remedy is acted positively or failed
Repertories are the best tools in management of acute diseases, as they provide us a vast ocean of acute symptomatology with proper & handy construction to deal effectively with them when in need.
But the immense knowledge in all aspects of all acute diseases we come across is essential for a better outcome.
- Organon of medicine 5th and 6th edition. Dr.Samual Hahnemann.
- Essentials of Repertorisation -Dr.Shashi Kant Tiwari
- Homoeopathic medical repertory-MURPHY
- Synthesis repertory- Frederik Schroyens
- Boenninghausan’s characteristic materiamedica and repertory-Boger
- Repertory of the homoeopathic materiamedica-Kent
Dr Bhavyasree B
PGT, Organon, GHMC Calicut,Kerala