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Method
is the mode or rule of accomplishing an end.
There are 2 methods of repertorisation.
#. Aggregation method
#. Elimination method
1. AGGREGATION
METHOD / SCIENTIFIC METHOD.
In this all the analyzed symptoms are written one after another
and the indicated remedies are written against them depending on
the process selected. The frequency of the appearance and the
sum of marks scored by the medicines are calculated. This is the
repertory value.
Advtg
No symptom however insignificant not neglected
Final outcome is the faithful reflection of the symptom
expression in the drug pathogenesis.
Demerits
Laborious & time consuming
Both the prominently expressed symptom & vague symptoms are
awarded the same status.
2. ELIMINATION
METHOD / ARTISTIC METHOD.
Dr. Margeret tyler introduced this method. In this method the
symptoms are arranged in a hierarchy in accordance to the
schools of philosophy of the selected repertory.
Eliminating symptoms are those symptoms which through of all the
medicines that are not needed for the patient and bring only
those medicines which are required for the patient.
The eliminating symptom is very important in the exercise of
repertorisation because it dictate & determine the medicines
that compete for the mantle of the similimum. It act as safe
shortcut to the prescription in the hands of the experienced
physician.
The elimination mode can be
#. Single step elimination
#. Cascading elimination
SINGLE STEP
ELIMINATION
The elimination of the medicine is done only once, at the
beginning of the exercise.
The most prominently characteristic symptom is selected as the
eliminating symptom. The medicines indicated for this are noted
down. For the next rubric / symptom ,only these medicines which
are common to the eliminating symptom are considered.
Medicines outside the eliminating symptom _ whatever be its
grade _ is not considered for repertorisation.
CASCADING ELIMINATION
In this method elimination is carried out thro' the whole
process
Each symptom became the eliminating symptom for the next symptom
Extreme caution & care should be taken in structuring the
hierarchy of symptoms.
The symptoms have to be arranged in the descending order of
importance.
The medicines in the first symptom / rubrics are noted down, for
the second symptom only the medicines covers the first symptom
are considered. On working out the third symptom only the
medicines those are indicated against the second symptom are
selected.
So first symptom is the eliminating to second symptom, second
symptom is eliminating for third symptom and so on. Thus each
symptom is the eliminating symptom for the next symptom. The
repertory value of each medicines is worked out in exactly the
same manner as in aggregation method.
ADVTG : Labor & time consumption greatly reduced
DIS ADVTG : If one is not thorough & effective while structuring
the hierarchy of symptoms, he may fail.
METHODS BY VARIOUS AUTHORS
1. KENTIAN METHOD
Useful in cases in which generals & particular symptoms stands
out with their modalities. This method of grouping from
generals to particulars with important to mental generals is
called Kantian method of repertorisation, which is the best and
commonly used method.
2. HAHNEMANN & BOENNINGHAUSEN
METHOD
When there is no mental symptoms but only particulars with
associated concomitants / complete symptom. We can use TPB as
our aid. This method is called Hahnemannian or Boenninghausen
method.
3. WORKING ON PHYSICAL GENERALS
Cases with ill defined mental symptoms or concomitants ,but only
physical generals. We may use any general repertory such as
Kent, starts with physical generals ,next mental symptoms then
particulars.
4. WORKING ON PECULIARITY
Cases having one or more peculiar symptoms with few generals &
undefined symptoms, our aim is to find out the medicine which
have that peculiar symptom and then proceed with vague or common
symptoms. Any repertory which deal with the peculiarities can be
used for this purposes.
This method of finding a medicine with the help of a peculiar
symptom is called Keynote symptom method.
5. WORKING ON PATHOLOGICAL
GENERALS.
When we come across patients with a few common symptoms or
pathological symptoms only. The following details will help in
the selection of medicines.
Patients personal history & family history
Temperament
Complexion, color & texture of skin
Particular organ or tissue affected
Location, character & physical aspects of lesion
Possible cause of illness.
When all the available symptoms are put together they may direct
to the medicines.
6. WORKING ON TECHNICAL NOSOLOGY
Prescribing on nosological diagnostic terms or lab
investigations.
When nothing to prescribe upon and the patients presenting with
diagnostic terms without any symptoms eg.aneurism,atheroma
etc.we can use any of the clinical repertories such as Borger’s
clinical repertory.
These would not help in the choice of medicine but will bring us
close to a set of medicines.
TECRISATIONTECHNIQUS OF
REPGGERTORISATION
Techniques Of
Repertorisation
#. Thumb finger
method / Book mark
#. Plain paper method
#. Repertory chart / Sheets
#. Cards
#. Computers
THUMB FINGER / BOOK MARK TECHNIQUE
This method is meant for quick reference in a busy practice, for
those who have more experience with the repertory.
Usably 2 or 3 characteristic symptoms are taken.
Book marks or thumb & fingers are placed at the pages where the
selected rubrics are present. This rubrics are scanned visually,
and the frequently occurring medicines which have higher grades
are short listed for selecting the similimum.
Advtg
Useful when the symptoms are less in number
Useful when the rubrics indicate less number of medicines
No necessity of writing symptoms or medicines but only mental
work
Time taken is very less, useful for busy practitioners
Dis advtg
Visual errors can leads to failures
Little use when number of symptoms are more.
PLAIN PAPER METHOD
The symptoms are written down on a plain paper, and the
indicated remedies are written against them on the basis of the
method and process selected. The similimimum is selected on the
basis of repertory value.
This technique is very time consuming for the aggregation
method, as each symptoms and its medicines have to be written
down.
But the elimination method can be conveniently and easily
worked with the plain paper technique. The medicines are written
one below the other and the grades are marked against them.
The first column of the grades represent the value of those
medicines in the eliminating symptom. Subsequently the grades of
the medicines of the other symptoms are marked. If a medicine
found under the eliminating symptom is not indicated for any of
the subsequent symptoms a zero mark is indicated at the symptom
number against the medicine. This is for single step
elimination.
For the cascading elimination as soon as the medicine hits a
zero,it is disqualified from further repertorisation,thus
eliminating it.
REPERTORY GRAPH TECHNIQUE
This is simple, more refined and scientific method. In this
technique repertorisation is done on sheets when are skillfully
and carefully devised to save the time and hard work and are
specifically prepared for the repertory that is to be used.
The chart having number of rows and columns. Medicines are
printed on the first column and the symptoms are written on
first row. The marks scored by the medicines are represented in
the blocks at the intersection of the symptoms and the
medicines. The similimum is selected on the basis of repertory
value.
This technique is useful for the aggregation method of
repertorisation,because time consumption is very less.
It is unnecessary to use this technique for the elimination
method for obvious reasons.
De merits
Medicines represented in the sheets are less in number
Only polychrests are predominantly represented.
CARD SYSTEM METHOD
These are repertories which are in the form of prepared cards.
Each card represent a symptom, cards are arranged together and
the similimum is found out.
There is no need of writing down or book markings, only the
cards are shuffled together. This system is outdated on the
arrival of computers.
COMPUTERS
The utility of computers has extended to the various aspects of
Homoeopathic treatment. The result of repertorisation can be
instantly projected on the screen, with the rubrics
repertoriesd,the medicines indicated and their value in each
symptom, also display the repertory value of medicines
repertorised.The result can also printed as a hard copy on the
printer.
Advantages are limitless, the aggregation method can be
conveniently used on the computer.
De merits
Doctor must have the necessary knowledge and aptitude to use the
computer.
Dr.PATEL'S AUTO VISUAL REPERTORY SYSTEM
It is a mechanical device, practically no paper work is
required. It is all automatic, marks are denoted by three
different colors and visual throughout repertory work. You can
even read your medicines which come automatically.
The auto visual repertory consists of 5505 auto strips and auto
visual apparatus having 435 medicines on in numerical order from
above downwards. Each medicines is provided with a code number.
Each auto strip has a number on the top representing the rubric
/ symptom number in auto visual homoeopathic repertory.
Auto strip is grooved at several places, which represent the
medicines, this grooves are in different colors or markings
which indicate the gradation of drug in Kent's repertory.
REFERENCES
Patel.R.P : The art of case taking & repertorisation
Munir Ahmed : Introduction to repertorisation
Castro : Logic of repertories
Tiwari : Essentials of repertorisation
Dhawle : Princilpes & Practice of Homoeopathy.
Ritu : Study of repertory |