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Expedition
in Homoeopathy Never Ends…
" True, some men
do some good work without the repertory, but they also do poor
work, more than they would do with it. Our materia medica is so
cumbersome without a repertory that the best prescriber must
meet with only indifferent results".
_ Dr. James Tyler Kent
AIM
To
construct a repertory by extracting the good effect of the world
renowned masterpiece 'Keynotes and redline symptoms of the
Materia medica of Dr. Adolph Von Lippe' and proving its
effectiveness by clinical verification for Homoeopathic
therapeutics.
CONTENTS
1. Acknowledgment
2. Aim
3. Introduction
4. Preface
5. Brief life sketch of Lippe
6. Silent features of this repertory
7. Abbreviations
8. Author index
9. Repertory proper
10. Materials and methods
11. Inferences
12. Bibliography
13. Appendix
ACKNOWLEDGEMENT
I would like to express my sincere heartfelt thanks to my
respected teacher and guide, Prof.K.B.Ramesan head of the
department of repertory,Govt.Homoeopathic Medical
College.Caliut,for his valuable guidance, constructive criticism
and constant encouragement through out my postgraduate studies.
His unfailing helpfulness in every aspect offered the
inspiration towards the fulfillment of the work.
The erudite inspirations and complements I received from
Prof.Ismail Sait helped me to complete this tedious work.
I am also grateful to Mr. P.I. Narayanan MSc,DHS for the support
he gave me in the analysis of this work.
I thank for the support of my wife Mrs. Najma for her patience,
understanding, encouragement and inspiration in assisting in
this endeavor.
I extend my gratitude to all colleagues,students, teaching and
non teaching staffs of various departments of Govt. Homoeopathic
medical College.Calicut for their co-operation and timely help,
that was my privilege to receive, which considerably eased my
task.
Finally I thank all my patients and their families for reposing
their faith in me by selecting homoeopathy as first line of
treatment whenever and wherever possible, without which the
study would not have been possible.
Preface
This is the one and only authentic work in the
history of homoeopathy on Lippe's Keynotes and redline symptoms
of the materia medica.
Language of the Repertory
The language of the repertory is different from language of the
material medica and different from the language of the patient
because repertory uses a more limited vocabulary. It is
important to remember this quality especially as more and more
rubrics are created. The core of the expressed symptom or idea
will only be found in repertory. The main problem is the
conflict to maintain maximum readability with a limited
conciseness.
This repertory is an accurate and reliable conversion and the
fullest collection of the symptoms of all the remedies from
Lippe's material medica as it is possible to obtain within its
compass. I have done everything possible to make this book
accurate, up to date , and in accord with accepted international
standards.
Each sterling symptom in the context other than that of Dr.Lippe
has the name of its author given against in abbreviatory form.
This repertory is intended to serve as a handy and useful
reference book. It is an attempt to lessen the difficulties of
the practitioner - especially busy practitioner and new comers.
Prescribing in homoeopathy is an Art. One can achieve a sort of
proficiency in this Art by constant and diligent study of the
remedies in material medica with reference to their place value
given in the repertory.
Repertory which is an index of symptoms can be utilized in a
better manner only when the user is aware of how to convert the
conditions into symptoms, and the symptoms in to rubrics.
Majority of physicians who have never used or have rarely used
repertory complain about its elaborate method and time consuming
nature .However, one who have used it meaningfully, find it
quite useful and time saving too.
Many of the practitioners and students find it very difficult to
interpret these symptoms and conditions to refer in the
repertory and to arrive at the similimum. And this is an effort
to help the practitioners especially the new comers in using the
repertory.
One of the main problems we encounter in practice is the
conversion of the patients' symptoms in the proper language of
the repertory. In order to overcome this problem we shall be
able to understand exactly the meaning of each rubrics, sub
rubrics.
The work has been made with the purpose of helping the students
and practioners who my wish to make themselves familiar with the
rubrics - a simple and easy way of instant repertorisation.
The work is small but comprehensive and will prove very useful
and beneficial for every body. The presentation itself is unique
I think.I have tried with best of my efforts, knowledge and hard
work to make this a valuable work. I make no pretence that this
work is either complete or final. I had made an honest attempt
and all my sincere effort to compile this repertory . My aim is
to stimulate the students and practioners to make their own
ideas and observations.
I think that this repertory will minimize the disadvantages of
traditional repertories even though a concise repertory cannot
take the place of exhaustive repertories like Kent.It is aimed
at reducing the burden of the prescriber in every sense.
I hope and wish that this work will be accepted and appreciated.
I welcome any suggestions from any quarter it may be, so that
this work can be improved upon.
- Dr.K.R.MANSOOR ALI
Silent Features of this Repertory
1.This is the one and only authentic work in the history of
homoeopathy on Lippe's Keynotes and redline symptoms of the
materia medica.
2. Large number of medicines : Even though it is aid to be a
keynote . It covers about 234 medicines which include all the
polychrests and useful rare remedies both for the acute and
chronic complaints.
3. Instant prescription : This repertory is intended to serve as
a handy and useful reference book. It is an attempt to lessen
the difficulties of the practitioner - especially busy
practitioner and new comers. This repertory will minimize the
disadvantages of traditional repertories even though a concise
repertory cannot take the place of exhaustive repertories like
Kent.
4. Authenticity : This repertory is an accurate and reliable
conversion and the fullest collection of the symptoms of all the
remedies from Lippe's material medica as it is possible to
obtain within its compass. Each sterling symptom in the context
other than that of Dr.Lippe has the name of its author given
against in abbreviatory form.
5. Abbreviations : Standardised to Synthesis - which adds
reliability. Since no abbreviations are given by Lippe in his
materia medica.
6. Terminologies : Latest modern terminologies and diagnostic
terms are used avoiding outdated terminologies (but preserved
wherever required). This make the comprehension easier and to
the simplest.
7. Groups of symptoms : Symptoms are divided in groups and these
groups are always following each other in the same order - as in
Kent's repertory.
SIDE
TIME
MODALITIES
EXTENSIONS
8. Grading of symptoms
BOLD : High grade - 3 mark
Italics : Second grade - 2 mark
Roman : Third grade - 1 mark
9. Arrangement of rubrics and sub rubrics - general to
particular
CAPITAL BOLD : main rubric
- denote Sub rubrics
. rubrics under sub rubric as in Synthesis
10. Some special rubrics - which are not found in Kent's
repertory
Mind : Ailments from
Alternating complaints
Depression
Melancholic
Precocious mentally
Vertigo : Hysterical
Head : Clavus hystericus
Ear : Baldness over ear
Mouth : Articulation imperfect with confused sound
Teeth : Cupped
Throat : Stricture esophagus
Stomach : Dyspepsia
Abdomen : Rheumatism belly of muscles
Rectum : Entero colitis
Fissure
Female : Hyper emesis gravidarum
Pregnancy after effect of
Undeveloped uterus
Extremities : Gout
Milk leg
Rheumatism
Wrist drop
Fever : Influenza
Milk fever
Typhoid
Generalities : Acute disease
Arteriosclerosis
Atrophy muscular progressive
Cachexia
Cretinism
Diathesis
Hyper tension
Leukemia
Small pox prophylactic
Tetanus
Typhoid after
11. Rare but important medicines - many are poorly
represented in Kent's repertory .More over,nosodes and sarcodes
are more represented.
Angustra, Apocynum, Asafoetida,Asteria
rubens,Calc-sulph,Cascarilla,Coeanthus,Chininum ars,Corallium
rubrum,Cuprum
ars,Diptherinum,Euphorbium,Latrodectus,Laurocerasus,Merc-cyn,Merc-dulcis,Merc-sulph,Oleander,Parrisquadrifolia,Sarracenia
purpura,Strychinum,Tarentula hispana,Taraxacum,Tuberculinum,Uva
ursi,Vaccinum,Variolinum,X-ray,Yohimbinum.
12. Character of pain are limited to a particular level, because
these will not have much use in repertorisation and also
differences in interpretation.
13. Relationship and concordance are avoided as they are
available in updated and collective form more than from this
repertory
14. Generalities : Some more rubrics may be added to the
generalities chapter in subsequent editions - by converting
repeated particulars and high-grade commons to the level of
generals. Great difficulties I encountered here because symptoms
given in this materia medica under general modalities have no
grading.
15. Cross references and Synonyms : For the time being cross
references and synonyms are not included, which may be
incorporated after an in-depth study in subsequent editions.
Introduction:
Dr.Adolph Von Lippe was a world renowned homoeopath .He
augmented and improved the Homoeopathic materia medica and his
clinical reports has shown how this may be rendered practically
in the application of Homoeopathic knowledge and principles.
This book is an accurate and reliable compilation and the
fullest collection of the characteristic symptoms of the most
common remedies as it is possible to obtain within its compass.
This books gleaned from the author's writings, appearing in
several old foreign journals, together with the other important
ones. collected from the writings of the great homoeopaths of
the by-gone days.
These redline symptoms show the peculiarities and differences of
medicines, and have been ascertained by repeated verification of
symptoms obtained by proving on healthy and cures on sick.
This book supplements every other work on this subject and if
used as a ready reminder of the common important facts of our
vast Materia medica, it will fulfill its purpose and prove the
greatest aid to profession and students alike.
When this materia medica is converted in to a repertory ,it will
be highly useful in the selection of the similimum without
wasting much time.
This work has been under taken under the belief that it would
serve most useful purpose to students and practitioners for
ready reference.The work is small but comprehensive and will
prove very useful and beneficial for every body - but the task
has been a Herculean one.
MATERIALS
The material for this study were collected from the out patient
and in patient department of Government Homoeopathic Medical
College.Calicut from December 2001 to April 2002
METHODS
The method used for this study is clinical method and for the
confirmation and scientificity the result obtained has been
statistically analysed and evaluated. The method of approach was
clinical study without the use of controls.
30 cases were selected for the study, out of which 15 cases were
treated with Kent's repertory and 15 cases were treated with
Lippe's repertory and compared. Detailed history was taken in
each case with special reference to mental generals, physical
generals, habit, family history and past history .Age sex and
socio economic status were considered as attributes. Each case
was reviewed on one week, two week and monthly time intervals.
In between the period of medication all patients were kept under
blank tablet continuously .
In each case a routine hematological examination and urine
examination was done. Potencies ranging from 30C to 10 M have
been used in this study.
DIET AND REGIMEN
All patients were directed to continue with the same diet as
earlier. All of them were directed to stop the use of all the
medicine prior to the start of this treatment.
EFFECTIVENESS
Effectiveness of the treatment was assessed on the basis of
relief from symptoms, clinical improvement and changes in the
score taken after working out in Kent and Lippe's repertories.
ANALYSIS
Various facts obtained during this comparative study were
treated according to statistical principles .
OBSERVATIONS AND DISCUSSIONS
This study to evaluate the efficacy of Lippe's repertory in
homoeopathy provides evidence to say that there is enhanced
success on using this repertory in homoeopathic treatment. Thee
for Lippe's repertory is very effective.- especially in acute
cases, and also in instant prescriptions.
30 cases were selected for the study, out of which 15 cases were
treated with Kent's repertory and 15 cases were treated with
Lippe's repertory and compared. Detailed history was taken in
each case with special reference to mental generals, physical
generals, habit, family history and past history .Age sex ,
socio economic status were considered as attributes.
Each case was reviewed on one week,two week and monthly times
intervals. In between the period of medication all patients were
kept under blank tablet continuously .
In each case a routine hematological examination and urine
examination was done. Potencies ranging from 30C to 10 M have
been used in this study.Effectiveness of the treatment was
assessed on the basis of relief from symptoms, clinical
improvement and changes in the score taken after working out in
Kent and Lippe's repertories.Various facts obtained during this
comparative study were treated according to statistical
principles.
30 patients belonging to the age group of 1-80 years were
selected for the study. Among this maximum number was from 60-69
years of age- 8 patients 26.66%. The second important group was
50-59 years of age - 6 patients 20%.
Twenty one (70%) among the 30 cases were male and Nine ( 30%)
were females.
Out of 30 patients 14 were( 46.66%) were addicted to Smoking
Eight (26.66%) were addicted to Alcohol
Five (16.66%) were addicted top betel chewing
Four ( 13.33%) were addicted to both smoking and alcohol
Ten acute cases (33.33% ), and Twenty chronic cases(66.66%0 were
selected for the study Only half the time is required while
using Lipp'e repertory both in acute and chronic disease
repertorisation compared to Kent's Repertory.
In this study out
of 7 patents who had relapsing fever 3 patients (42.8%) showed
marked improvement with in three month on using Kent's Repertory
while 4 patients received (57.1%) more benefit by using Lippe's
Repertory. Out of 5 head ache cases 2 patients (40%) got relief
speedily with Kent's repertory while 3 patients (60%) got
speedily benefit from Lippe's repertory.
Out of 8 cough cases 3 patients (37.5%) showed marked
improvement with in three months with Kent's Repertory but y 5
patients ( 40%)got improved on Lippe's repertory.Out of 3
dyspnoea cases 2 patients (60%) got improved with Kent but only
2 patients (40%) got benefit with Lippe
In 6 patients with Rheumatic pains 2 patients(33.3%) got benefit
from Kent's repertory while only 4 patients ( 66.7%) received
relief with in three months by using Lippe's repertory.
In skin complaints out of 5 patients 2 patients (40%) received
benefit from Lippe but ly 3 patients ( 60%) received benefit
from Kent. Out of 3 psychic case 2 patient ( 66.6%) got
improvement on using Kent's repertory but only 1 patients
received benefit with in three month from Lippe.
In general out of 10 acute cases 4 patients (40%) received
benefit with in three month from Kent but about 60% ( 6
patients) got speedy benefit from Lippes repertory. In the case
of chronic cases out of 20 patients 12 patients (60%) improved
with Kent but only 8 patients ( 40%) improved with Lippe's
repertory.
After the treatment presenting complaints are reduced at a
higher rate than on using Kent's repertory. Time consumption is
less. Acute diseases were effectively managed than Kent's
repertory.
Summary and conclusion
This study to evaluate the efficacy of Lippe's Repertory in
Homoeopathic therapeutics provides evidence to say that there is
a convincingly high success rate if this repertory is followed.
There fore the repertory is effective.
A Sample page
MIND
ABASHED : Phos-ac
ABSENTMINDED: Agn.Kali-br. Lac-c.Nux-m
ACTIVE : cann-s.Coff.Tub
- too : cann-s
ACTIVITY nervous ,then sudden exhaustion : viol-o
AILMENTS FROM :
- anger : Acon. Bry.cocc.Nat-m.sep.Staph
- anxiety: samb
- chagrin : Bry.Staph
- emotions sudden : Coff
- emotions violent : samb
- fear : bell
-right : Acon. Gels.Ign.lach.Op
- grief : lch.lach.Phos-ac
- grief chronic effect of : Phos-ac.samb
- grief suppressed : cycl.lach
- indignation : Coloc,Staphy
- indolence : helon
- jealousy : hyos.lach
- joy from excessive : coff
- love disappointed: ant-c.calc-p.lach
- love unfortunate : hyos.Ign
- mental excitement : glon
- mortification : Bry
- offences : Ign
- pleasurable surprises : Coff
- sexual desire suppressed : Con
- sexual indulgence excessive : Con.samb.Staph
- sorrow : Ign
- talking more : Nat-m
- terror of consciences of duty not done : cycl
ALTERNATING : coff
- cheerful and depressed : Croc
- laughing and weeping : coff.Sanic
- mental and physical symptoms : Plat
AMATIVNESS : lach.phos
AMOROUS : Canth.gels.Iod
ANGER : Anac,Arn. Bry.caps.Hep.Mur-ac.Nux-v
- child at every attention : Ant-c
- excessive : Anac
- inclination to : Coloc
- indignation with : Coloc
- offense from slight : Anac
- trifles at : caps.Hep
- violent : Anac
ANGUISH : Acet-ac. Bism.Camph.coff.Iod.nit-ac.plat
- loss of dearest friend from : nit-ac
- loss her sense and die soon : plat
- restlessness with : Bism
- suffocate as though he would : Camph
- tossing with : cocc
ANIMALS
- see after taking alcohol : Ars
ANSWER :
- abruptly : stann
- correctly but stupor returns at once : Arn
- does not but sings and talks : Agar
- efforts with : Arn
- falls asleep in the middle : Bapt
- slowly : Arn.Echi.Phos
- surly : nux-v
- unable due to weakness: Stann
- unwillingly : stann
- unwilling not from obstinacy but from inaptness : sulph
ANTICIPATION : Gels
- church for preparing : Gels
- diarrhea with : Gels
- to meet an engagement : Gels
ANXIETY :
Acet-ac,Acon.aml-ns.Ars.con.Chin.dros.ferr.graph.Hep.kali-c.Lil-t
.Mosch.Nat-c.Nit-ac.Plat.plb.pyrog.Ther.Verat
- disease about his : kali-c.Nit-ac
- evil was impeding on as if : Meny.sep
- fear of approaching death with : Plat
- future about : graph
- genital system originating from : Mosch
- happen something will : aml-ns
- heart about : Meny.Ther
- hypochondriacal : Mosch
- inconsolable : Acon
- incurable disease about : Lil -t
- pain with : Nat-c
- palpitation of he heart with : Mosch
- restless : Rhus-t
- thunderstorm before : Phos
- thunderstorm during : Phos
- unreasonable : Hep
- trifles about : con.ferr
APATHY : syph
APATHETIC : Arn. Chin.Phos-ac.Phos
APPREHENSION :
Anac,Arg-n.Calc.cann-i.castm.cic.crat.dig.rad-br.rhus-t
- approaching death of : cann-i
- church in : Arg-n
- evening in : Calc
- future about : cic
- menses during : castm
- misfortune of : Calc
- night in : rhus-t
- peace giving him no : Anac
- someone pursuing on walking : Anac
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