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 A Critical Study on BOENNINGHAUSEN’S THERAPEUTIC POCKET BOOK
Dr.P.Sumesh.P   BHMS,MD(Hom)
Medical Officer, Dept. of Homoeopathy, Govt. of Kerala
 

 Previous Page

29. Menstruation
The chapter as well as the rubrics are out of place in this Main Chapter Parts of the body. The main rubrics include
Abortion
Menstruation Beginning , Delayed in Girls
-profuse
-scanty
-short
-suppressed
Menses clotted
-Membranous

The concomitants of Menstruation are given at the end of the chapter
Before Menstruation
At Beginning of Menstruation
During Menstruation
After Menstruation

30. Leucorrhoea:
Various types of leucorrhoea and Accompanying Troubles of Leucorrhoea are given in this chapter.

31. Respiration:
It include important rubrics like
Arrested
Catching
Irregular
Oppressed
Rattling
Sighing
Suffocative Attacks
Concomitants of respiration are given in a single rubric
Accompanying Troubles of Respiration

32. Cough:
There is no separate chapter for Expectoration hence rubrics concerned with the Expectoration are given in this chapter. Chapter also include concomitant of cough which is given as last rubric – Troubles Associated with Cough.

33. Air-Passages:
It includes
Larynx &
Trachea
Some misplaced rubrics are found in this chapter
Secretion of Mucus
Voice not Clear
-Hoarse
-Lost
-Toneless

34. External Throat and Neck:
Throat External
Nape
Cervical and Submaxillary Glands &
Thyroid Gland etc are given in this chapter.

35. Nape and Nape of Neck:
This chapter includes only the sides Left and Right.

36. Chest:
Misplaced rubrics include
Palpitation
Heart’s action intermittent
- Tremulous
Milk Bad
- Increased
- Diminished

37. Back:
Scapulae
Dorsal region
Lumbar and sacral region
Coccyx
And finally sides
- Left and Right are given

38. Upper Extremities:
It include
Shoulder
Axilla ( in kent’s Repertory it is included under the chapter Chest)
Upper Arm
Forearm
Hand
Palm
Fingers
- Nails
Shoulder Joint
Elbow
Wrist
Bones of upper extremities in general
Sides- Left and right.

39. Lower Extremities:
Loins ( Region of Hips) – Another rubric Loin is given under the External Abdomen Chapter , but here it is specified.
Other rubrics include
Nates
Thigh
Leg below knee
Tibia
Calf
Tendo Achillis
Heel
Back of Foot
Sole
Toes
Nails
Joints of Lower Extremities in General
Hip-Joint
Knee
Knee- Hollow of
Patella
Ankle
Toe – Joint
Bones of Lower Extremities in General
Left &
Right sides

                                                        Part 3  Sensations:

It include rubrics related to various Complaints also, hence Boger has renamed this chapter as Sensations and Complaints in General.
Certain important rubrics in this chapter include
Apoplexy
Burns
Carphology
Carried desires to be ( might have been given under Mind)
Chlorosis
Clothing Intolerance of
Cold tendancy to take
Consumption in General
Convulsions
Cracking of Joints’
Cyanosis
Dislocations
Dropsy Externally & Internally
Emaciation
External Parts, Drugs affecting
Faintness
Frozen limbs
Haemorrhage from Internal Parts
Hysteria
Immobility of Affected Parts
Indurations
Inflammations Externally, internally
Internal Parts, Drugs affecting
Labor – like Pains (same rubric can be seen under the Chapter
Sexual organs)
Looked at, Aversion To Being (Misplaced – Might be given
Under the Chapter Mind)
Motion Aversion, To ( ” )
Mucus secretions Increased
Obesity
Pain Jumping from Place to Place
Paralysis – One sided
Polypus
Reeling
Restlessness
Retraction of Soft Parts
Scurvy
Sit Inclination to
Sprain from lifting
Ulcerative pain Externally
- Internally
Washing, Dread of { These two rubrics may be more suitable if
Water , Dread of Whirling { given in the Mind Chapter}

Glands:
The main rubrics include ;
Atrophy
Indurations
Inflammation
Injuries
Swelling
- like knotted cords
Suppuration
Ulcers
-cancerous

Bones:
It includes the following important rubrics
Healing of Broken Bones
Inflammation
Caries
-of periosteum
Necrosis
Softening

Skin:
Blood Sweating
Chilblains
Color, Yellow
Corns
- Horny
- Sensitive
Desquamation
Eruptions
- Carbuncles
- Chicken Pox
- Furuncle
- Itch ( Scabies)
- Suppressed
- With Maggots
- Measles
- Pimples
- Small-Pox
- Zoster
- Condylomata
- Cysts,Sebaceous
Extravasations
Gangrene
Hair of Head Falls Out
- Beard
- Moustache
Nails , Brittle
Sore , Becomes ( Decubitus)
Stings of Insects
Tetter in General (herpetic)
- Ring Worm
Ulcers, Varicose
Wounds in General
- Old Wounds Break Out

Part 4 Sleep:
This chapter include sleep in general , positions during sleep, and dreams. The last two are given as separate chapters.
Important rubrics to note are;
Yawning
Sleep Comatose
Sleep Somnambulistic
Sleep Unrefreshing
Symptoms Causing Sleeplessness
Dreams Pleasant, of Gold ( this should be interpreted as dreams of
money)
Dreams of Love ( = dreams Amorous)

Part 5 Fever
From the page 250 to 252 the top heading is circulation, from page 253 it is changed to Fever.
This chapter includes
Circulation
Chilliness in general
Heat
Coldness in general
Shivering in general
Sweat in general
Compound Fevers in General

Though Circulation is given as a separate chapter it is included under the Fever Chapter. The old Edition contain these seven sub- sections.

Circulation Chapter include the following rubrics
Blood, Anaemia
Blood vessels inflammation
-varicose
Pulse, intermittent
- irregular
- More rapid than the beat of heart
- Slower than the beat of heart

Chill chapter contains
Chilliness One sided
Chilliness with Thirst
Chilliness Symptoms during Chill ( concomitants of Chill stage)

Heat Chapter include

Heat without thirst
- with inclination to uncover
- with dread of uncovering
- Associated symptoms ( concomitants)
Sweat includes
Sweat on one side
- Bloody
- Exhausting
- Odorous
Sweat with associated Symptoms
In compound fevers occurrence of different stages of fever is given. For example;
Chill then heat
Heat then chill
Chill internally and heat externally
Heat alternating with sweat

Concomitants of Fever are given as
Before fever
During fever
After fever

The chapter ends with
Febrile Symptoms – Left side
- Right side

Part 6 Alterations of the state of Health

Aggravation:
First the time modalities are given, specific time modalities are not given. It include the following rubrics
During Day
Morning
Forenoon
At noon
Afternoon
Evening
Night

Other important rubrics include

Arsenic fumes
Bathing
Biting Teeth together
Blowing nose
Breakfast after
Breathing
Burns
Brushing Teeth
Change of Weather
Children Especially, Remedies
Clear Weather
Climateric during
Closing Eyes
Cloudy weather
Clutching anything
Coition during & after
Cold in General
Combing hair
Drinkers, for Hard ( old Topers)
Driving in a Wagon
Eructation
Eruptions after Suppression of
Excitement, Emotional
- contradiction
- fright
- grief and sorrow
- Mortification
- Vexation
Exertion, Mental
- physical
Exertion of Vision
Fasting
Food and Drink
- alcoholic stimulants in general
- beans and peas
- farinaceous
- milk
- tobacco

Grasping anything tightly
Hang down, letting limbs
Hiccough
House in the
Hunger
Inspiration
Labor, manual
Lifting
Loss of Fluids
Lying – in – women
Measles after
Moon, New
- full
- waning
Moonlight
Music
Narcotics
Narrating Her Symptoms
Nursing Children
Odors, Strong
Pregnancy
Pressure of clothes
Rest
Rising Up
Room Full of People
Sexual Excesses
Shaving
Sitting, when
Sleep, before
-At the Beginning of
-During
-After
Smoke
Society
Squatting down
Stone Cutters, for
Stooping
Stranger, when among
Sun, in The
Swallowing
Sweat, During
- After
- Suppression of
Talking
Touch
Uncovering
Vertigo During
Vomiting
Warmth in General
Water (and Washing)
Wet applications
Wet, getting
Wet Weather
Wind
Women, For
Writing
Yawning

Amelioration:
Important rubrics to be referred are
Attention paying
Carrying the child in the arms
Crossing Limbs
Exerting Mind
Fasting (Before Breakfast)
Flatulent Emissions
Haemorrhage
Inspiration
Loosening Clothes
Mesmerism
Motion of Affected Parts
Scratching
Sleep During & After
Swallowing
Walking in Open air

Some rubrics does not contain medicines, their reference is given in brackets. They are asked to refer in the Aggravation chapter- among the rubrics with opposite meaning.
For example;
Cloudy Weather (see Agg. Clear Weather)
Cold, in the (see Agg. Warmth in General)
Damp Weather (See Agg. Dry Weather)
Food and drinks, Hot (see Agg. Food and Drinks, Cold)
Hang Down, Letting Limbs (See Agg. Raising Affected Limbs)
Silence (see Agg. Noise)
Society (See Agg. Alone, When)
Warm (see Agg. Cold, Becoming)

Part 7 Relationship of remedies

USES OF RELATIONSHIP CHAPTER
In
the earlier editions the name of this chapter was Concordance of Remedies.
This chapter contains relation ship of 141 Medicines.
1. It can be used for studying the relationship of remedies at various levels- mind, parts, sensation, modalities .
2. It is helpful for finding out the second prescription
3. In certain cases a deep acting medicine cannot be given eventhough indicated, so as to avoid unwanted precipitation of adverse symptoms.

METHOD OF WORKING
When the indicated medicine has helped a little and when there is no further improvement this section can be referred to find out a close medicine which would help the patient.
Under that medicine( first prescription) refer the sub-heading which could be the main complaint of the patient and use it as first rubric. Next take the Mind and all other sub headings one after another. The first rubric can taken as an eliminating rubric. Those medicines with higher marks (3,4,5 marks) are taken for further repertorisation.
If it is a case of tonsillitis –‘ Glands’ are taken as the first rubric. Subsequent rubrics are referred. After examination process the medicine with maximum number of marks are selected as second prescription.

ADVANTAGE OF BTPB
1. It is based upon the concept of complete symptom- location, sensation, modality, and concomitant.
2. It follows more or less an anatomical schema which is helpful for finding the rubrics.
3. By applying the ‘Doctrine of analogy’ rubric can be completed, even though there is lack of any of the four parts of the symptom.
4. Five gradations of medicines are one of the unique contribution of Boenninghausen.
5. This repertory has given more importance to concomitant symptoms  than Kent’s repertory.
6. Modalities are given under separate section. Ameliorations are also given more importance than Kent’s repertory.
7. This repertory is useful in working out cases which are full of particulars and which contain few mental generals and physical generals. Cases manifested by pathological changes and objective symptoms can better dealt by BTPB.
8. Rubrics are given in simple language.
9. Chapter ‘relationship of remedies’ is helpful for finding the second prescription.
10. The sides of the body are given importance, they are mentioned in location chapter.
11. The extremities are divided into upper and lower which is helpful for finding the rubrics very easily.

DISADVANTAGE OF BTPB
1. It deals with only 342 remedies. Boenninghausen’s original edition contained 126 remedies. Allen dropped 4 remedies ( Angustra, Magnetis Polus Articus, Magnetis Polus Australius, Magnetis Poli Umbo) and added 220 remedies.
2. The rubrics given in the book are not many in number.
3. Many of the rubrics lack important medicines-desire for salt – Natrum mur is not mentioned.
4. Mind section contains only 18 rubrics under ‘mind’ and 17 rubrics under intellect. These rubrics are too general and can only be used as reference.
5. The concept that a symptom that refers to a part may be predicated of the whole man (Doctrine of analogy) is not correct under many circumstances.
6. Though prime importance is given to the concomitants there is no separate chapter for them.
7. Even though this book has undergone many modifications and editions there are many defects in the construction and compilation.
- Internal head ends on page 26 , again starts on page 29.
- External head ends on page 29 , again starts on page 30.
8. Rubrics that might have been placed under ‘ sensations’ are given under ‘parts of the body’- Toothache under teeth, stopped feeling in ears.
9. There is no fixed arrangements of rubrics.
10. The relationship section deals with only 141 remedies.
11. There are many misplaced rubrics- Vertigo-is given in intellect,Perineum is given in chapter stool
12. Different sensations are given specifically , but in practice many patients do not specify their sensations.
13. This book lacks information about Sarcodes and Nosodes.

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