Repertory

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Repertory

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1. Repertory www.similima.com 1

2. Introduction The mission of Homoeopathy is based on ‘Homoeopathic Triangle’ also called pillars of Homoeopathic studies, i.e. Organon/Homoeopathic Philosophy, Materia Medica and Repertory. www.similima.com 2

3. Homoeopathic physician must study the homoeopathic principles till he learns, what it is in sickness that guides to the curative remedy (Organon & Homoeopathic Philosophy - grammar). He must study the MM until he learns, what is needed to meet these demands (MM - Literature) He must then study the repertory until eh learns how to use it, so that he can find what he wants, when he needs it (Repertory - Dictionary) www.similima.com 3

4. A different dictionary gives different meaning of word repertory. In Universal dictionary the meaning is given as store house of useful information’s or collection, stock of plays songs pieces which an actor, singer, musician has rehearsed and are familiar with and which can be performed at any time as occasion arises. www.similima.com 4

5. www.similima.com 5

6. In Webster’s dictionary the meaning and origin of word ‘Repertory’ is described as follows – The word ‘repertory’ originates from the Latin word ‘Repertoire’ or Late Latin word ‘Repertorium.’ Word ‘Repertorium’ again is derived from the Latin word, ‘Repertus’ which is the past participle of ‘Reperire’. Parire – (older form of parere) – To bring forth, to produce, to get. www.similima.com 6

7. Parere word is similar to ‘Parent’ i.e. Father or Mother (Origin or source). So Repertus or Repertorium or Repertory means ‘Reproduction’ i.e. production of similar object of situation, it is a place where the things are kept to bring forth again. Chamber’s Dictionary gives meaning as – A storehouse, repository, store or collection, especially of information, instances, facts, etc. www.similima.com 7

8. Brainy Dictionary gives meaning as – a treasury, a magazine, and a storehouse. The term repertory was used before Homoeopathy in military. In 18th century in Western countries war was the frequent occurrence amongst different kings and kingdoms. Hence there were number of forts in each kingdom at different places with a large number of fighting force and a variety of weapons to fight for. www.similima.com 8

9. They use to arrange all weapons in a systematic order. These types of arrangement or placing the weapons in different order were named ‘Repertoire’ or ‘Repertorium’, mean armamentarium, from which the term repertory has been arrived. www.similima.com 9

10. Definition by different authorities Homoeopathic council Repertory is an index, a catalogue of symptoms of MM, neatly arranged in a practical form and also indicating the relative gradation of drugs, and it greatly facilitate for quick selection of the indicated remedy www.similima.com 10

11. Dr. C. M. BOGER Repertory is essentially an index and may be advantageously used as such for discovering particular symptoms containing similar combinations in their pathogenesis. www.similima.com 11

12. Dr. Bidwell Repertory is like a dictionary – a book of nature relating the meaning of group of pathological phenomena. It is a grand key for successful exploration of Homoeopathic remedies. www.similima.com 12

13. Dr. R. P. Patel A Repertory in Homoeopathy is an index of symptoms of our MM with their corresponding Homoeopathic medicines arranged systematically in various order. www.similima.com 13

14. Dr. Jugal Kishore A Repertory is a sort of dictionary or an index; basically the repertory is an index of Homoeopathic Materia Medica. www.similima.com 14

15. Brainy Dictionary A place in which things are disposed in an orderly manner, so that they can be easily found, as the index of a book. www.similima.com 15

16. The aim of repertory is never to replace the MM but to help the final choice of single medicine. Thus the study of repertory helps to understand patient and MM. MM and repertory are complementary to each other. www.similima.com 16

17. A repertory can be written as per the schema of Hahnemann, dividing the whole body into different sections according to appearance of the body from head to foot and according to anatomical division from above downwards or for easy reference in the alphabetical order starting from ‘A’ and ending with ‘Z.’ (e.g. Dr. S. R. Phatak’s Repertory, Dr. Robin Murphy’s Repertory). www.similima.com 17

18. History and Evolution After the discovery of law of similars i.e. with Cinchona bark experiment, Dr. Hahnemann started proving of different drugs on him and also on different healthy human beings, reproving of the existing drugs to get the fuller account of the positive effect of drugs. Because of such provings and reprovings he collected a large number of symptoms in every drug. All these symptoms he collected in books like “MM Pura’ and ‘Chronic Diseases.” www.similima.com 18

19. During Dr. Hahnemann’s time, approximately 100 drugs were proved. As remedies and proving multiplied, it became a problem to keep a track of all the symptoms and master Hahnemann himself consciously felt the need for indexing of this growing pool of information. Hahnemann realized the limitations of human mind to remember all the symptoms and felt the need for an aid to retrieve the facts. www.similima.com 19

20. He demonstrated the procedure by working on cases in MM Pura, which gave some idea about his concept on which repertorization stands today. He wrote in MM Pura that for the convenience of treatment, we require to write down all remedies producing a symptom along with the circumstances under which they occur, expressing the remedies in short with few letters and proceed in same way with all other symptoms. www.similima.com 20

21. From the list thus prepared, we shall be able to perceive the remedy sought for, which covers Homoeopathically most of the symptoms, especially characteristic totality. And thus was born the concept of repertory and repertorization www.similima.com 21

22. Dr. Hahnemann’s and Early Repertories In 1805 his book “Fragmenta De viribus medica Mentorum Positivis sive in sano corpore Humano Observatis,” the first MM by Hahnemann contained the proving information of 27 remedies in the first part (269 pages) and 470 pages repertory alphabetically arranged in the second part and remedies were graded in single grade. www.similima.com 22

23. Here no. of symptom found in proving on healthy subjects under each drug. Second edition of this repertory prepared by adding other drugs of which, the original is in the possession of Dr. Richard Haehl, Stuttgart. In 1834, Dr. Frederick Foster Harvey Quin edited the first part of the book and republished in Latin. www.similima.com 23

24. In the preface to this repertory, Dr. Hahnemann writes, nobody known better than I do, how imperfect and insufficient it all is. It shows his diligence, extensive observation. This work was the forerunner of his MM Pura. This 2 volume gives us for the first time an insight into his concepts. www.similima.com 24

25. 27 remedies were arranged alphabetically as – Aconite Cocculus Acris tincture Copaifera Bal Arnica Montana Cuprum Cit Belladonna Digitalis Camphora Drosera Cantharids Hyoscyamus Capsicum Ignatia Chamomilla Ledum Cinchona Melampodium Mezereum Nux Vom Papaversom Pulsatilla Rheum Stramonium Valeriana Veratrum Alm www.similima.com 25

26. Hahnemann himself had written a repertory in four volumes of about 4239 pages with slits to hold little square papers of which he had cut off the corners, so as to slip them into the slits and be able to change them at need. He was the first man to compile a Repertory of some of the leading symptoms and this was printed in Latin in 1817 www.similima.com 26

27. But unfortunately he could not publish it due to two reasons i.e. He himself found that the work was imperfect Secondly Hahnemann’s publisher Mr. Arnold was not in a position to publish it. www.similima.com 27

28. In between Dr. Hahnemann’s pupil Dr. Gross compiled two volumes of Repertory but not appeared in print. In 1828, a student of Hahnemann Carl George Hartlaub produced, “ Systematic Description of the pure effect of Remedies” in 538 pages in six parts from Leipzig but the profession did not know the work, as Hahnemann was not satisfied with it. www.similima.com 28

29. In about 1829, he assigned Dr. Dr. E. F. Ruckert to arrange a repertory of the remedies, which latter on formed the first part of the chronic diseases, on which Ruckert worked for about eight years. His work being constantly checked by Hahnemann, but this work remained limited to manuscript form, which is preserved in the Archives at Hale’s Museum in Robert Bosch Hospital at Stuttgart (W. Germany). www.similima.com 29

30. It is a large volume in which he pasted symptoms which were obviously cut from his hand-written MM. In 1830, Dr. Weber (in German) made his repertory named as Systematische Darstellung Der Antipsorische Arzneimittal consisting of 536 pages with a repertory of deterioration and amelioration in health, ranging from head to toe and ending in sleep and the mental symptoms. www.similima.com 30

31. Hahnemann during this period did several correspondences with Dr. Jahr regarding the synthesis of Repertory but at that time Jahr was preparing for his final medical examination so he could not afford much time for this work. Finally he published it in 1835, in German consisting of 3 volumes, each volume consists of 1052, 1254 and 200 pages respectively. www.similima.com 31

32. But Dr. Hahnemann did not approved Dr. Jahr’s work as he felt that his word was not exact, these again remained in manuscript form and Jahr’ repertory underwent many editions. www.similima.com 32

33. In 1847, the second edition enriched by P. F. Curie was published. In 1851, a fourth edition is published in which he adopted Boenninghausen’s evaluation method. In 1953 it was translated and published by Hempel, preface of which was written by C. Hering. In 1959, the repertory contained additions from Possart’s work and was further revised and enlarged by Hempel. This revised edition was considered the fifth edition. www.similima.com 33

34. The third volume of Jahr’s work formed the repertory, whereas the other two volumes were Materia Medica. This repertory was improved with successive editions, which made some doctors believe it to be a precursor of Kent’s Repertory. www.similima.com 34

35. In 1830, Dr. C. M. F. Von Boenninghausen came in contact with Dr. Hahnemann and developed close relations with Dr. Hahnemann. After the unsuccessful efforts of Drs. Gross, Hartlaub, Ruckert, Weber and Jahr, Dr. Boenninghausen, the most intimate disciple of Hahnemann made a serious attempt in this direction under Hahnemann’s instruction and published his first repertory “Repertory of Antipsoric Medicines” in 1832 which became the progenitor of all the later repertories. www.similima.com 35

36. History of Repertory 1832: Repertory of Antipsoric Medicines by Dr. Boenninghausen 1833: First alphabetical pocket Repertory by Glazor 1833: Repertory of Purely Pathogenetic Effects by Weber-Pescheir. 1835: Repertory of Non Antipsoric Medicines by Boenninghausen www.similima.com 36

37. 1835: Symptom Repertory By Dr. Jahr in three volumes. 1836: An attempt at showing the Relative Kinship of Homoeopathic Medicines by Boenninghausen. 1837: A Repertory by Ruoff 1838: A Repertory published in Allentown Academy by C. Hering. 1840: A Repertory of Nosology by Ruoff. 1843: A Homoeopathic Repertory of Symptomatology by Laffitte (French) www.similima.com 37

38. 1846: Boenninghausen’s Therapeutic Pocket book. 1847: Boennignhausen’s Repertory by Hempel. 1848: Systematic Alphabetical Repertory by Clofar Muller 1849: Repertory by Mure. 1851: An alphabetical Repertory by Bryant. 1853: A Repertory of characteristics Homoeopathic Remedies by Possart. www.similima.com 38

39. 1854: A repertory of comparative Materia Medica, USA Dr. LIPPE. 1859: Repertory by English Homoeopaths Drysdale, Dudgeon, Atkins, and Stokes 1874: Granier of Nimes Homoeoluxicon in 2 volumes 1879: Repertory of the More characteristic Symptoms of the MM BY c. Lippe Symptom Register by T. F. Allen www.similima.com 39

40. 1881: Analytical repertory by Hering 1890: The repertory of Concordances in six volumes 1896: The repertory of Hering’s Guiding Symptoms by Knerr 1897: Kent’s Repertory of the Homoeopathic Materia Medica www.similima.com 40

41. Post Kentian Repertories 1904: A clinical Repertory by Clarke 1905: Boenninghausen’s characteristics and Repertory 1915: Boger synoptic key 1924: Boger card repertory 1927: Clinical Repertory by Boericke 1831: Times of remedies and Moon phases by Boger 1937: Sensation as if by Roberts www.similima.com 41

42. 1963: Concise repertory of homoeopathic medicines by S.R. Phatak. 1973: Synthetic Repertory by Dr. Barthel and Klunker. 1990: Kent’s Repertorium Generale by Kunjli jost. 1993: Synthesis by Dr. Fredrick Schroyens 1994: Homoeopathic Medical Repertory by Dr. Robin Murphy. www.similima.com 42

43. 1996: Complete Repertory by Dr. Roger Von Zandvoort. 1999: Phoenix Repertory by Dr. J.P.S. Bakshi 2003: Repertorium Universale by Dr Fredrick Schroyens. www.similima.com 43

44. History of Regional Repertories 1869: Bell’s Diarrhoea 1873: Repertory of eyes by Berridge 1873: Desires and aversion by Guernsey 1879: Repertory of Fevers by H.C. Allen 1879: Repertory of foot sweat by O.M. Drake 1880: Repertories of modalities by Worcester www.similima.com 44

45. 1880: Repertory of Haemorrhoids by Guernsey 1880: Repertory of Respiratory organs by Lutze. 1882: Repertory of Intermitten fever by W. A. Allen 1883: Repertory of sensation as if by Holcomb 1883: Uterine therapeutic by Henry Minton www.similima.com 45

46. 1884: Repertory of Cough and Expectoration by Lee and Clarke 1892: Repertory of Digestive System by Arkell McMichell. 1894: Repertory of Rheumatism by Perkins 1894: Repertory of Therapeutics of Respiratory system by Van Denburg 1894: Repertory of Rheumatism by Pulford 1894: Repertory of Eczema by C.F. Mills Paugh. www.similima.com 46

47. 1894: Repertory of Headache by Knerr 1894: Repertory of appendicitis by Yingling 1894: Repertory of labour by Yingling 1896: Repertory of Neuralgias by Lutze 1899: Repertory of Urinary Organs by A. R. Morgan 1906: Repertory by P.F. Curie 1906: Repertory part of Raue’s Special Pathology www.similima.com 47

48. 1906: Repertory of Respiratory diseases by Nash 1906: Repertory of Mastitis by W. J. Guernsey 1906: Repertory of Throat by W. J. Guernsey www.similima.com 48

49. History of Card Repertories 1988-89- William Jefferson Guernsey – Guernsey’s Boenninghausen’s slips 1912: Dr. Margaret Tyler – prepared punched card repertory but not published. 1913: Welch and Houston – loose punched card repertory 1922: R. Field – Symptom Index 1924: Boger’s card Repertory 1940: Achyuthan’s Card Repertory www.similima.com 49

50. 1948: Dr. Marcoz Jimenez Card Repertory 1948: George Broussalion’s Card Repertory 1950: Dr. J. G. Weiss and Dr. R. H. Farley – Punch Spindle card repertory 1955: Dr. P. Sankaran 1959: Jugal Kishore’s Card Repertory 1979; Dr. S. S. Adi’s Card Repertory www.similima.com 50

51. 1981: Dr. B. S. Hatta’s Card Repertory 1984: Dr. Shashi Mohan Sharma’s Card Repertory Dr A. B. Patwardhan’s Card Repertory – Homoeo Card Deck 1996: Dr. Shankar Prasad Roy – SPIRO – Shankar Prasad Integrated Rotary 2007: Dr. Khanaj and Dr. Mrs Patil’s Synoptic Card Repertory www.similima.com 51

52. History of Concordance Repertories 1853: Complete repertory of HMM – Dr. Hempel C. J. 1876: Repertory of new remedies based on Hale’s special symptoms and therapeutics – Dr. Hart 1880: Allen’s Symptom Register – Dr. T.F. Allen 1881: Hering’s Analytical Repertory – Dr. Hering www.similima.com 52

53. 1883: Repertory of sensation as if – Dr. Holcomb 1890: Concordance Repertory – Dr. W.D. Gentry 1896: Repertory based on Hering’s guiding symptoms – Dr. C. B. Knerr 1930: Unabridged Repertory of sensation as if – Dr. J. W. Ward 1937: Sensation as if: Dr. H. A. Roberts www.similima.com 53

54. www.similima.com 54

55. www.similima.com 55

56. As any language stands upon its Literature, Dictionary and Grammar. Science and art of healing i.e. Homoeopathy also stands on a tripod of three legs i.e. www.similima.com 56

57. www.similima.com 57

58. Repertory bears relation with MM and Organon in following Aspects: In relation to principles In relation to laws In relation to philosophy In relation to search similimum In relation to select the potency www.similima.com 58

59. Organon Organon, the instrument for logical study in which Dr. Hahnemann explained all the details about the principles of Homoeopathy that are always to be remembered in Homoeopathic practice. www.similima.com 59

60. Starting from collection of proper data from the patient till the restoration of health, a physician should proceed according to the grammar of Homoeopathy i.e. Organon/Philosophy. www.similima.com 60

61. Here repertory relates with Organon as guide while taking the case where as the repertory gives you the special hints for collecting proper data from the case. So after proper case taking with the use of repertory for miasmatic analysis, to prescribe proper potency of selected remedy, for repetition of dose knowledge of organon helps. www.similima.com 61

62. Also structures of some repertories are based on philosophical background or according to concept of totality by different masters. So to know detail philosophical understanding behind repertory organon is very useful. www.similima.com 62

63. Materia Medica Knowledge of the MM is quite essential for repertorization but it is impossible to keep in one’s mind the mass of symptoms recorded in the MM. HMM is an encyclopedia of symptoms, many practitioners find it difficult to practice Homoeopathy in a straight way. www.similima.com 63

64. Repertory is a valuable help as it is an index, a catalogue of the symptoms of MM neatly arranged in a practical form and also indicating the relative gradation of drugs but repertory is not the final answer to find the similimum. For comparative study of group of remedies results after repertorization, MM is needed. www.similima.com 64

65. Many other details of each remedy and symptoms can be extracted from the repertories as it contains verified clinical symptoms. The relation between Materia Medica and Repertory can be explained in following aspects: www.similima.com 65

66. Materia Medica forms a base of repertory. Practical aid of Materia Medica is Repertory. Repertory increases knowledge of Materia Medica. Repertory is bridge between Materia Medica and Case. Advantages of Materia Medica and organon over Repertory. www.similima.com 66

67. Materia Medica forms a base of repertory In MM we find all the medicines with their vast no. of symptoms. A difficulty in remembering all symptoms of various drugs is produced during proving. So the founder of homoeopathy felt the need of indexing all those symptoms together, what we call ‘REPERTORY. www.similima.com 67

68. Here all the symptoms of MM are rearranged in systematic manner so that one gets the desired symptoms as early as possible. Basically all original repertories were having MM as their base for symptomatology but now days many newly compiled repertories are coming in Homoeopathic world that are having old repertories as their base. www.similima.com 68

69. 2. Practical aid of Materia Medica is Repertory Process of repertorization by using any repertory helps to get group of remedies for the given totality. Its use is an ART as well as Science. As repertory is a practical subject based on MM it requires deep knowledge, understanding and continuous practical utility of this art. www.similima.com 69

70. Thus, Repertory and MM are complementary to each other. Finding out desired symptom in a shortest time by referring MM requires much time and practically this became possible with the aid of repertory. www.similima.com 70

71. 3. Repertory increases Knowledge of Materia Medica: In Repertory rare symptoms of many remedies are observed which are not easily found in MM. By using repertory we can differentiate group of remedies for same symptom because of gradation of remedies. www.similima.com 71

72. After Repertorization we get the group of remedies but choice should be made from amongst the drugs, which exhibit effects simulating those of the whole disease picture at hand and show how the final differentiation depends upon the individualistic or peculiar symptoms. So by differentiating those symptoms with MM we get the thorough knowledge of that medicine hence it increases the knowledge of MATERIA MEDICA . www.similima.com 72

73. Also many symptoms are occasionally observed in patients but while going through the repertory such symptoms are frequently referred because of which knowledge of Materia Medica will increase. www.similima.com 73

74. 4. Repertory is bridge between Materia Medica & case: REPERTORY www.similima.com 74

75. Repertory should be used as an aid to prescribing and not as the end word. It cannot give the final verdict. The final reference should always be the MM, for it provides the full picture and a case in itself gives the totality of the patient while the repertory gives the bits and pieces that have to be assembled together to form the complete picture. www.similima.com 75

76. To get the maximum benefit of using the repertory, apart from having a good acquaintance with the plan of the repertory, the knowledge of Rubrics and their location in the repertory, one should also have a good knowledge of the Materia Medica. Otherwise, using a repertory will just be a mathematical task with a list of eight to ten or more rubrics and finding a remedy that covers most of them with the maximum marks. www.similima.com 76

77. And yet with every risk of missing the similimum! With a good knowledge of HMM, one will be able to judiciously use the repertory and arrive at the similimum and the related remedies in a case by using the minimum number of characteristic rubrics. And that is what a repertory is meant for – to be a clinical aid, a tool, a device to the experienced and busy physician, to help in finding the indicated remedy in the shortest possible possible. www.similima.com 77

78. 5. Advantages of Materia Medica and Organon, over Repertory: 1. No Repertory is complete but by adding new symptoms of newly proved drugs one can easily compete Materia Medica. 2. All Nosodes are not well represented in Repertory and which in detail can be observed in Materia Medica. www.similima.com 78

79. 3. Organon/Philosophy includes knowledge of other aspect of prescription e.g. selection of potency, repetition of medicine, Homoeopathically disease diagnosis, miasmatic background of the case and knowledge of Genus Epidemicus. www.similima.com 79

80. 4. Final selection of the remedy depends upon Materia Medica on the basis of individualization. The remedy must speak like the patient, Repertory is not and was not more than systematic arrangement of symptoms, so after repertorization result, which comes by mathematical calculations are not in themselves an end, but they are near to the end www.similima.com 80

81. Final selection of remedy is only possible from result of repertorization after referring PDF and other generals. Thus we see that MM reveals what the repertory fails to complete. www.similima.com 81

82. Need for a Repertory www.similima.com 82

83. Homoeopathic medicines are prescribed on the basis of law of similars. A physician with his knowledge and experience, establishes a similarity between the natural disease and artificial disease. www.similima.com 83

84. With the evolution of the dynamic theory in homoeopathy, the qualitative study of drugs and patients also got accelerated. With the innovation of potentisation, the quantity of medicine went on decreasing, but qualitatively it became more valuable. www.similima.com 84

85. As a result, provers recorded a maze of mental and physical symptoms. Knowledge of such symptoms was useful for the treatment of chronic and acute diseases as well as for constitutional therapy, but it became confusing for the majority of practitioners to find out the similimum out of many similars. www.similima.com 85

86. The Homoeopathic Materia Medica, which records multitudinous symptoms of drugs, is like an ocean. Certainly, one cannot afford to refer to all similar drugs in Materia Medica corresponding to the disease picture. www.similima.com 86

87. It would be time consuming and at the same time confusing. Therefore, a need was felt for a working manual to ease the task of finding out a specific drug, such a need was felt as early as in Hahnemann’s era. www.similima.com 87

88. Thus, a new subject was pursued. In fact, most of the stalwarts had felt the need of a repertory and found it difficult to practice without it (any subject which becomes vast and contains enormous information or facts, need indexing, which is also true for the HMM). www.similima.com 88

89. Thus, the repertory is an outcome of the logical human mind. The HMM is ever enlarging and the number of medicines as well as the clinical experiences are increasing day by day, hence to accommodate all these growing informations a repertory is needed. www.similima.com 89

90. One can clearly understand how fast our Materia Medica is developing and why is a repertory required from the table mentioned beside. www.similima.com 90

91. These days, when more than 4497 medicines are known to the profession and each medicine has a vast Symptomatology, the repertory becomes an essential tool in finding out an indicated medicine. www.similima.com 91

92. A majority of physicians who have never used or have rarely used the repertory complain about its elaborate methods and time consuming nature. However, one who has used it meaningfully, finds it quite useful and time saving too. www.similima.com 92

93. Scopes and Limitations of Repertory www.similima.com 93

94. Repertory is an aid, it is a tool and similar to like every other tool. Repertorization is certainly not an end in itself but a means to an end. Repertory is a higher branch in the field of practice of Homoeopathic Medicine. www.similima.com 94

95. Repertory has its scope and limitations. However it must be used very skillfully and intelligently to get its fullest utilization. Let us then have a first look at its scopes from various aspects. www.similima.com 95

96. 1. To find out similimum: After the process of case receiving and case perceiving, the symptoms of the case are evaluated in proper perspectives for the purpose of forming an image of the patient for matching with that of a drug picture for prescribing. www.similima.com 96

97. But the physician gets perplexed on seeing that many drugs seems to be indicated at some level or other and he is lost in arriving the choice of remedy. By properly applying the process of repertorization we get an idea about closely related remedies and the final choice can be made through quick comparison in MM. This is most scientific process of arriving at a similimum if used correctly and judiciously. www.similima.com 97

98. 2. As a reference book: Widens the range of drugs covering a symptom: Repertory teaches a physician to be careful in selection of medicine. Some physicians have a habit of key note prescribing, they know one or two remedies for those symptoms but if one looks into repertory there one may find many more remedies. www.similima.com 98

99. For example, for a symptom “feels better when constipated”, Calc Carb comes to mind, but when referred to Kent’s Repertory, it will be seen that there are many remedies for this symptom. Like this, knowledge of MM can be enriched. www.similima.com 99

100. It helps in remedy recall: There are instances where for a symptom physician is unable to recall the remedies, seeking repertory solves this problem. In acute case, searching for characteristic symptoms: In acute cases, a quick look for 2 or 3 leading striking symptoms in an appropriate repertory will clinch the similimum. www.similima.com 100

101. 3. Helps to study the MM: Repertory is in fact a dictionary to MM. When one goes through repertory it is like going through the MM in different format and this study reveals unknown symptoms and makes the study of MM more interesting and rewarding. www.similima.com 101

102. Single drug study: A single remedy can be studied by noting down its presence against each given rubric and sub rubric in a particular repertory and like wise all sections may be covered and many symptoms can be revealed. www.similima.com 102

103. 2. Comparative study of drugs: This process will bring out comparative values of drugs. This method expands the knowledge of Mm and widens the knowledge in therapeutic fields. www.similima.com 103

104. 3. Study of different grades of drugs: While studying the MM if we refer to Repertory simultaneously then we can make out how much value should be given to each symptom of a drug, which often changes our idea and decides the final choice. www.similima.com 104

105. 4. Helps to find out a complete symptom: In the repertory, a complete symptom with all its components can be referred to at one place, especially concomitants, which are scattered in several places in the MM. www.similima.com 105

106. 5. Helps to elicit the group of remedies: After proper repertorization according to symptoms covered and maximum number of marks, you get a group of similar remedies. From the group by referring MM one can prescribe a proper similimum. It helps to make MM more interesting by restudying and confirming them. www.similima.com 106

107. Because of the comparison between the groups of remedy, we increase our knowledge of MM. Also when we are in doubt about rubric, the meaning of which is not clear we are compelled to read the MM for the exact meaning. When we do so we feel that we are meeting with new medicines with new ideas are always willing to help us in case of difficulty or doubt. www.similima.com 107

108. 6. Helps the physician to ask intelligent questions: In repertory each symptom is arranged in detail with respect to Modalities, Locations, Sensations, Concomitants, Causes, Extensions and other modifications that are useful to get complete symptom or characteristic totality. So by referring this factors physician is able to ask details to find out individualizing features. www.similima.com 108

109. 7. It teaches us to select the proper symptoms and consider only those symptoms to get similimum: By the method of analysis and evaluation we are able to find out only characteristic and important symptoms specifically remedial characteristic or common from the case. Because of which qualitative totality is confirmed. It means to form a proper totality, repertory is very useful www.similima.com 109

110. 8. It helps in the selection of auxiliary remedies: Repertory suggests related remedies, which could be helpful for selecting a drug for a second prescription. Boenninghausen has written a separate valuable section on the relationship of remedies. www.similima.com 110

111. 9. Its constant use makes a physician efficient: By constant handling, one refreshes knowledge of the MM, different symptoms and medicines with different grades. Hence it is called as a refresher course of Materia Medica study. www.similima.com 111

112. 10. Addition of a number of medicines, clinical rubrics and pathological generals helps in the study of homoeopathy in relation to modern pathology. www.similima.com 112

113. 11. With advancement in repertory and process of repertorization computer software helps to minimize time for repertorization. Similarly new repertories like Dr. Murphy’s and other give many clinical and a nosological rubric that helps in understanding detail patho-physiology of various remedies. www.similima.com 113

114. 12. When several doctors mismanage a case and if it is worked out properly by using repertory, it points out the medicine or group of medicines. www.similima.com 114

115. 13. Through the references and ‘cross-reference’ one can know the similar rubrics. Thus repertories help us to select the right rubric among similar rubrics. www.similima.com 115

116. It helps to those physicians who have not gained a thorough knowledge of Materia Medica. 15. It makes the physician free from prejudice and leads to a remedy which one can hardly imagine. www.similima.com 116

117. Limitations/Disadvantages of Repertories www.similima.com 117

118. In relation to its use in Repertorization Different philosophy leads to different methods of repertorization. No repertory is complete in relation to remedies and rubrics. Different grades of remedies in different repertories lead to confusion. Difficulty in conversion of patient’s symptoms into repertorial language especially of mentals. www.similima.com 118

119. Difficulty in selection of proper repertory for proper case. Many repertories are not having all nosodes. Difficulty in searching rubrics because every repertory is not properly constructed. www.similima.com 119

120. In other aspect No idea of potency and repetition of doses. Final selection of remedy depends upon Materia Medica. One should know other ways of prescribing besides repertorization. Many times end result is polychrest remedy. www.similima.com 120

121. No Repertory is complete, different repertory deals with different no. of remedies, different no. of rubrics and pathogenesis of disease. Also medicines are proved/reproved newly and Symptomatology of those are not present in old repertories, there are many symptoms that are not found in repertories but are important for the selection of the similimum, which may be easily found in the MM or a therapeutic guide. So repertory can never be complete. Also in many repertories nosodes are not represented well. www.similima.com 121

122. Because of different philosophies and different construction of different repertories by different authors, one must have thorough knowledge of individual repertory. Also he must be aware about their adaptability and limitations in relation to the case to be worked upon. Some repertories are arranged according to alphabetical order and some follows Hahnemannian’s schema. So accordingly one must know scopes and limitations of each. www.similima.com 122

123. Different gradations – because of different gradations in different repertories, repertorization became difficult and possibilities of getting different result i.e. Knerr – 8 grades BTPB/BBCR – 5 grades Synthetic – 4 grades Kent – 3 grades Boericke – 2 grades www.similima.com 123

124. Rubrics are not arranged systematically in many repertories, so physician gets confuse while searching rubrics. Decision regarding potency, dose and repetition of the drug is beyond the scope of repertory. For application of correct remedy, the physician must have a sound knowledge in this area otherwise a correctly selected remedy will also disappoints by its wrong application. www.similima.com 124

125. Final selection depends on MM and not on repertory. Because in the final analysis it is the knowledge of comparative MM that helps for selection of similimum. Similar rubrics in different repertories carries different number of remedies so there is question on correct group of remedies in front of physician. www.similima.com 125

126. There are problems of constructions with original repertories and having many misplaced rubrics and subrubrics. In cases with clear totality which calling directly for one of the remedies in those cases repertory and repertorization is not required. They relate symptoms and/or rubrics, which is an interpretation of the physician. If the physician makes a mistake at the beginning by ignoring the person and just counting the symptoms and marks then using a repertory will be futile. www.similima.com 126

127. Classification of Repertories www.similima.com 127

128. After the publication of first repertory by Dr. Boenninghausen, many physician in the world of Homoeopathy started indexing symptoms of MM in various ways. Some started indexing particular symptoms, some started preparing index of particular disease, and some considered general state or all the conditions of the body during preparation of repertory. www.similima.com 128

129. Because of that there appeared different repertories of various types, which are used to work out different cases. For selection of proper repertory for proper case classification of repertories is needed. Repertories that are present have been originated from various factors- The different modes of sorting and arrangement of rubrics. The different forms of selection and suitable modification of the rubrics. Different concepts and understanding of totality. www.similima.com 129

130. Examples: Alphabetical Order – Dr. S. R. Phatak’s Repertory, Dr. Robin Murphy’s Repertory, Glazor’s first Alphabetical Pocket repertory etc. According to Definite Guiding Principles- i.e. KRHMM, BTPB, and BBCR. According to Hahnemannian Schema – i.e. Symptom’s arranged from above downward in anatomical order. www.similima.com 130

131. Repertories have been classified into various groups by different authors but mp standard classification prevails. The most comprehensible classification would be as follows: www.similima.com 131

132. www.similima.com 132

133. General Repertories Based on Philosophic concept (Logico-Utilitarian Group) Based on concept of Generals to Particulars Based on concept of particulars to Generals Repertories having no distinctive philosophy – Concordance Repertory (Puritan Group) Based on Theme – Thematic Repertory Based on alphabetical arrangement www.similima.com 133

134. 2. Clinical Repertories Covering the whole Covering the Regions Parts System Disease Card Repertories Mechanically-Aided Repertories Drug-Oriented Repertories www.similima.com 134

135. General Repertories Based on Philosophic concept (Logico-Utilitarian Group) The Logico-Utilitarian Group does not care so much for the actual words, but gives sole value to the essence and real meaning of the symptoms. These repertories are better clarified and easy to study even for reference purpose. An arithmetic calculation by proper repertorization is possible for finding out the similimum by totality. www.similima.com 135

136. These repertories have distinctive principles of their own. Therefore a case has to be selected to fit them well with their principles. In these repertories the symptoms many not be found in the language of the MM but the symptoms change their form to fit into the arrangement of the repertories. On the basis of their own distinctive philosophies, they are further classified as: www.similima.com 136

137. Based on concept of Generals to Particulars: Here the generals are given prime importance then characteristic particulars are given importance Example: KRHMM Lippe’s Repertory Synthetic Repertory Synthesis Repertory Complete Repertory www.similima.com 137

138. 2. Based on concept of Particulars to Generals: Here the particulars are given prime importance then generals are given importance. Example: BTPB BBCR www.similima.com 138

139. Repertories having no distinctive philosophy – Concordance Repertory (Puritan Group): The Puritan group insists on maintaining the purity of symptoms as described and recorded in the words of the provers or physicians. Puritan groups of repertories are good for reference purpose where the clear cut symptoms with their peculiarities are present. But these are not at all good for repertorization by arithmetic calculation of the totality. Examples: Knerr’s Repertory Gentry’s Repertory Robert’s Sensation as if www.similima.com 139

140. Based on Theme – Thematic Repertory This repertory was written by Dr. Jose Antonio Mirilli. Realizing that the mental state of the patient is important for the selection of drug, this repertory had been published. This repertory is based on THEMES. The themes consists of words the patient repeats with special delight, words and its synonymous or words and its antonymous www.similima.com 140

141. Based on Alphabetical Arrangement: Here the repertories had been written according to alphabetical arrangement. 1. Chapter wise: Murphy’s Repertory 2. Rubric wise: Phatak’s Repertory Allen’s symptom register www.similima.com 141

142. Clinical Repertories: These repertories are based on clinical verification of symptoms and remedies in clinical practice. These repertories have many clinical rubrics under different systems and the medicines are grouped against the name of disease. They are further Covering the whole Example: Repertory attached to Boericke MM BSK, CRHM and Clinical Repertory by J. H. Clarke 2. Covering the Regions Parts–Berridge’s eye, Minton diseases of uterus etc. System – Respiratory system, digestive system etc. Disease – Bell’s diarrhoea, Boreland’s Pneumonia Allen’s Intermittent Fever www.similima.com 142

143. 3. Card Repertories: These repertories contain punched cards, which are arranged systematically to find out the Similimum. Example: Jugal Kishore’s card repertory Boger’s card index P. Shankaran’s card repertory Shashi Mohan Sharma’s card repertory etc. www.similima.com 143

144. 4. Mechanically-aided Repertories: Example: Computer Repertories such as CARA, RADAR, and Hompath Autovisual Repertory by R.P. Patel www.similima.com 144

145. 5. Drug-oriented Repertories: Example: A repertory of Bowel Nosodes – Field Men A short repertory of Indian drugs – Ahmed S. Repertory of tissue remedies – Mitra B.N. Repertory of Bach Flower Remedies – Dr. Vohra D.S. www.similima.com 145

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