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Repertorisation is a process of elimination which starts with a
broad choice and slowly narrow down the field giving us adequate
small group of medicines so that the final selection is made
easier with the help of further selection to the material medica.
Repertorisation uses the logic of induction & deduction . The
steps starts from casetaking and ends in finding out the
similimum.
1. Case taking
2. Recording & Interpretation
3. Defining the problem
4. Classification & Evaluation of symptom
5. Erecting the totality
6. Selection of repertory & repertorisation proper
7. Repertorial result
8. Analysis & Prescription.
1.CASE TAKING
A successful case taking supplies the physician with all the
evidence that is necessary for a proper diagnosis, prognosis &
treatment. For a successful case taking procedure, the doctor
has to be competent interviewer and a skillful communicator.
General communication skill is necessary to facilitate a better
management of the case and to detect & mange difficult
situations.
2. RECORDING &
INTERPRETATION
Every case can be a process of learning ,therefore it should be
recorded properly.
A good case record should communicate the exact & complete
picture of the patient which has been obtained by the physician.
It is possible only when the recording is done properly without
being hindered by any subjectivity of the physician.
A well maintained clinical record leads to the development of a
sound clinical access, furnishes the best possible material for
clinical teaching ,research etc. and provide a reliable evidence
of ones integrity & efficiency.
3. DEFINING THE
PROBLEM
To define a problem means, to define the individual who is
facing the problem. Master Hahnemann explained in aphorism 3 "
What is to be cured in a disease that is to say in every
individual case of the disease ".This is usually deals with the
differentiation of the symptoms of the disease from those of the
patient. Once the case has been taken properly, it should be
interpreted in terms of the subjective sufferings of the
patient.
4.
CLASSIFICATION & EVALUATION OF SYMPTOM
The classification of symptom means to divide & subdivide them
according to the class or group they belong to; they can be
classified into common,uncommon,generals particulars etc.
Evaluation means to value symptoms according to their importance
& dignity case is full of symptoms of which are all not of same
importance & value. Therefore in order to reach the similimum
the symptoms have to evaluated accordingly.
5. ERECTING
TOTALITY
Totality should be erected according to the facts collected in
the case. All the symptoms which are classified and evaluated
don’t form a working totality. So the physician has to select a
few which can logically represent the whole picture and the
logical arrangement must follow a definite principle.
6. SELECTION OF
REPERTORY & REPERTORISATION
The selection of repertory depends upon the type of symptoms
selected in a case.
If mental symptoms are prominent _ Kent's repertory may be used
If pathological symptoms " _ Boger's repertory "
If particulars " _ TPB "
Then convert the symptoms in to the rubrics. The symptoms
obtained from the patient may not be found in the repertory in
the same form, so the physician must know the construction and
arrangement of the each repertory. The rubrics should be
arranged in hierarchy, referred and worked out in the repertory
and a group of medicines with markings are obtained.
7. REPORTORIAL
RESULT
A group of close running medicines with marks are obtained after
repertorisation.
8. ANALYSIS &
PRESCRIPTION
Reportorial result are to referred with materiamedica. The
marks are important but the remedy which get the highest mark
not necessarily the final remedy in all the case.
The remedy selected should pass through certain criteria such as
succeptibility, sensitivity, suppression, the
level of similarity, functional & structural changes, vitality
and the miasm to arrive at right potency & dose.
REFERENCES
Tiwari : Essentials of repertorisation
Dhawle : Principles & practice of Homoeopathy
Jugal kishore : Evolution of Homoeopathic repertories
Ritu : Study of repertory
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