Dr Sanchoo Balachandran
Origin of the Repertory in General
Need for repertory arises from the very beginning of the introduction of the system. As the years passed, the literatures on materiamedica accumulate beyond the scope human brain, so need for an indexing is highlighted.
The idea of repertory was first brought by Dr Hahnemaan himself, and the first repertory was born in 1805 itself as “Fragmenta de viribus medicamentorum positivis”, the first part contain the symptoms observed and the second part contain the index or the repertory. Hahnemann was the first to make repertory and he was using a repertory for his daily practice. He had four volumes for this reference book consisting of 4239 pages. In 1817 he published a short repertory in Latin, more over in Materia Medica Pura he demonstrated two cases which gives one about his concept. In the preamble of material medica also he wrote about the concept of repertorisation. By around 1829 he arranged Dr Ernest Ferdinand Ruckert to arrange a repertory of the remedies, but was not successful and has remained to its manuscript form, housed now in Haele’s museum in Robert Bosch Hospital, stuttgart, West Germany.
In 1830 –32 Hahnemann compiled a repertory which he could not published because he himself found the work imperfect and his publisher Mr Arnold was not in a position to publish it. 1834-Dr Hahnemann employed Dr.Jahr to complete the second edition of chronic disease and also to lay foundations for a repertory and encyclopedia of symptoms. The repertory was published in 1835, was in German, and consists of two volumes of 1052 and 1254 pages respectively. This was followed by a third repertory on gland bones mucus membrane, ducts and skin diseases in 200 pages. Hahnemann further continued with his ideas on repertory but his later repertories remained and still in manuscript form.
One of the first repertories was by Dr.Harthlaub published in 1828 in Leipzig. Hahnemanns pupil Dr Gross compiled a repertory consisting of two volumes which never appeared in print. In 1830 Weber compiled in German a repertory consisting of 536 pages,”Systematische Darstellung de Antipsoriche Arzneimittal” with a repertory of deterotion and amelioration in health rainging from top to toe of the subject and ending up with sleep and mental symptoms.
The important Repertories with the year of publication
1. 1832 Boenninghausen’s Repertory of the Anti-Psorics with a preface by Hahnemann. He was consider as the “Father of Repertory”
2. 1833 Glazor, First Alphabetical Pocket Repertory, 165 pages. published at Leipzig
3. 1833 Weber Peschier Repertory of purely pathagnomic effects, 376 pages prefaced by Hahnemann.
4. 1835 Boenninghausen Repertory of medicines which are not antipsoric.
5.1836 Bonninghause An attempt at showing the relative kinship of Homoeopathic remedies.(Verwandschaften Repertorium)
6. 1837 Rouff, A repertory published at Stuttgart. 236 pages.
7. 1843 Laffitte One of the first Persian Homoeopath, A Homoeopathic Repertory of Symptamatology. 975 pages. ( First original Repertory in French)
8. 1845 Boenninghausens Therapeutic Pocket Book.
9. 1845 Rouff A repertory of Nosology, 250 pages.
10. 1847 Hempel’s Bonninghausen, 500 pages.
11. 1848 Cloffer Muller Systemic Alphabetical Repertory, 940 pages.
12. 1849 Mure Rio de Janeiro, 367 pages.
13. 1851 Bryanth an Alphabetical Repertory 352 pages.
14. 1853 Possart Repertory of charetersied Homoeopathic remedies, 700 pages published in Cothen.
15. 1854 A. Lippe. Repertory of comparative materiamedica. 144 pages.
16. 1859 Cipher Repertory by English Homoeopaths, 600 pages. Enlarged edition in
17. 1878, containing 1030 pages by Drydale, Atkins Dudgeon and Strokes.
18. 1873 Berridge Repertory of eyes published in England.
19. 1874 Grainer of Nimes Homeolexicon in two volumes.
20. 1879 C.Lippe Repertory of more charetersticed symptoms of the materiamedica 322 pages.
21. 1880 T.F.Allens Symptom register.
22. 1881 Hering’s alphabetical repertory.
23. 1890 Gentry The repertory of concordance in six volumes, 5500 pages.
24. 1896 Knerr’s Repertory to Herings guiding symptoms.
25. 1897 Kents 1st edition 1349 pages.
26. 1904 Clarke A clinical Repertory
27. 1905 Boger Boenninghausen’s Characteristic And Repertory.
28. 1931 Boger Repertory with synoptic key.
29. 1927 Boericke Clinical Repertory.
30. 1937 Robert Sensation as if.
31. 1959 Dr. Jugal kishore Card repertory.
32. 1982 Barthel And Will Klunker Synthetic Repertory.
33. 1987 Dr.Ferderic Schroynes Synthesis Repertory
34. 1993 Robin Murphy N.D. Homoeopathic Medical Repertory.
35. The Complete Repertory.
Apart from this, lot of regional repertories where also published during this period. For example Repertory of tongue by Dougles, 1896; Repertory of eyes by Berridge, 1873; Repertory of fevers by H.C.Allen, 1880; etc.
Sources Of Kent’s Repertory
By the end of 19th century, even though a lot of repertories where published all of them lack flexibility in one or other aspect. The work of the purist were too rigid and lacked the elasticity of Bonninghausens pocket book, but the latter was found at times leading to ridicules conclusions. Hence the work of Lippe, Lee and Kent were born.
Dr. Kent worked on Dr. Lee’s work; that is, he was preparing a repertory on the basis of Dr Lippe’s manuscript for the second edition of his repertory. Dr Lippe’s repertory in turn developed from the Repertory to the Manuel of Allen-Town Academy and this Repertory was developed out of Boenninghausen’s Repertory of the Anti Psoric Remedies. Kent began where others had left. Kent’s work is only a desirable extension of Boenninghausens’ and is complimentary to it. He has absorbed almost all of Boenninghausen except generalization of locations, concomitants and modalities of particulars. He has particular rized them as Boenninghausen had done in his earlier works. Kent lifted boldly Boenninghausen’s sensations and incorporated in his generalities. Most of the Boenninghausen’s modalities were also included.
Dr.Kent held that repertory was only a compilation at best and all reliable symptoms were the property of homoeopaths . He gathered together all that was in the earlier repertories,symptoms recorded in the fundamental works of the materia medica and added his own notes and notes of other practitioers. He verified the symptoms as far as possible and unverified symptoms were omited and on other hand clinical verifications have given importance, if they are found to be in consistant with the nature of the remedy. Drs. Gladwin , Milton, Powel, Mary Ives and Arthur Allen helped him.
Dr Lee completed the chapters Mind and Head directly, where as chapter’s Eyes and Vision; and Urinary organs,chill, fever, and sweat. by Dr Kent.
Land Marks of Kents Repertory
1st edition – 1897, it was published in sections and was compiled in 1899
2nd edition – 1908
3rd edition –1916 Dr, Kent passed of in the year 1916
4th edition –1935 was published by Dr. Ethrhart with the help of Dr Gladvin and Dr. J.S.Pugh.
5th edition –1945
6th edition – 1957 the American edition, 1961 Indian edition.
7th edition – Dr P. Schmith combined the Indian edition and American edition ( generally called as revised first edition.)
Modification on Kent’s repertory.
1.Synthetic repertory is published in the year 1982, by Br Barthel and Dr Klunker, in three volumes but only the general chapters, that is the Mind, Generalities, Sleep, Dreams, Male genitalia, Female genitalia are made and suggest Kents repertory for the reference of particulars.
2.Synthesis, Repertorium Homoeopathicum Syntheticum in 1987, edited by Dr.Frederik Schroynes. Synthesis is the enlarged edition of Kents repertory liked to the homoeopathic soft ware program Radar.The quality of the repertory is mainted by the following guide lines.
i) Repeatedly checked additions
ii) Corrections to Kents Repertory
iii) Clearly readable symptom format
iv) The structure of the symptom is made more transpernt.
v) Consistant combined modalites
vi) Spcefic order for the group of symptoms were followed.
vii) Leading Words have being positioned in the front.
viii) Insuffecitently symptoms were completed on the basis materiamedica.
ix) Ambiguous words have been clarified.
x) Global super rubrics been created
xi) Similar rubrics were mearged into one.
xii) Symptoms were split into meaning ful bits.
xiii) Language of the repertory has been completely revised.
3.Homeopathic Medical Repertory by Robin Murphy; All the Kents repertory and sections of Kneers repertory were used as the foundation for building the repertory and all together 55 authors were taken in. All together 67 chapters, mordern terminologies were incorporated, 39000 new rubrics, 200000 additions.
4. Kents Repertory of Homoeopathic Materia Medica Expanded by Dr. P.Shivaraman published in the year 1994, running edition is the reprint of the third edition.The important changes made are
i) Page numbers for the cross referanse
ii) “—“or the sub rubrics were added as followed by Dr. Lippe in his repertory. This is to avoid mis allintment.
iii) The sub rubrics are in bold roman, to get a better clarity.
iv) Separate chapter heading for Female Genetali is given.
v) Corrections for the alphabetical order for the rubrics and medicines were made., few changes were made to the abbreviations of the remedies.
vi) Time modalities are made to follow AM. And PM.
5. Kunzli Repertory.
6. Additions to Kents Repertory of Homoeopathic material medica by George Vithoulkas reprinted in 1993. The additions were originally derived from a varity of sourses, including Boger, several Materia Medica and personal editions derived from cured cases.
7. Additions to Kents repertory C.M. Boger,
8. Kents comparative repertory of Homoeopathic Materia Medica by Dr. Dockx and Dr.G.Kokelenberg.
9. Bowel nosodes in the pages of Kents Repertory by Dr. Namitha Mohanthy. Published in the year 1998.
Philosophical Back Ground
Kent’s repertory was based on philosophy of deductive logic that is from generals to particular. Dr, Kent divide the symptoms in there higherarche as General Symptoms, which is dived into Mind and Physical; particular symptoms; Common symptoms. The repertory is constructed in such a way that every case can be worked out from general to particular. The advantage of such a process is that the remedies, which have a particular symptom, may not have a specific modality, which is needed for the case. In that case if, you work out only with a particular sub rubric, you are at the risk of missing out a remedy which may in fact till that point of time may be an unobserved modality of that drug. So it is advisable to work the case with a general rubric and differentiate the remedies on the basis of sub rubric if it is applicable, but one should not bothered much about the presence of the drug selected in the sub rubrics needed. Thus one of the objective of this repertory is to select general group of remedies for the particular case.
Plan and Construction
The plan of the repertory is uniform through out and it is following Generals to particular, and it is arranged so that one can expand its literature as the years and experience accumulates.
Chapters consists of location or Function are arranged on the basis of Hahnemann order that is to start with Mind, followed by Vertigo, head etc and to the last Generalities. All together there are 37 chapters.
Each chapter consists of related Rubrics which represents the symptoms, not the locations or organs generally, When pathological rubrics are given, it contain only leading drugs for the condition refereed. They are arranged from generals to particulars, in the alphabetical order.
Rubrics are of two types
1. Main or general Rubrics
2. Sub Rubrics.
Main rubrics consist of all the respective drugs (that are the drugs, which covers that particular symptom in general), irrespective of the modifying factors. And they are arranged in the alphabetical order. Cross referanse are also given along appropriate rubrics so that one can look into the related rubrics.
Sub Rubrics are related to the modifying factors of the respective Main rubric and arranged in a particular manner introduced by Dr.Jahr. As
1. Side. ( right then left)
1. Circumstances. Arranged in the order ailments from, alternating with and factors aggravating and amelurating.
2. Extension.(given under the point from which a certain symptoms extends, never under the the point to which extents.)
3. Sub locations.
The above said is again repeated.
Cross-reference is given whenever it was thought to be needed, and one can add further.
Drugs are represented by abbrevesions, as introduced by Dr. Hahnemaan. In total there are 648 drugs.
The drugs are of three Gradings.
Well proved, clinically verified drugs – Represented in Bold, those symptoms produced by majority of provers and frequently verified.
1. Occasionally proved drugs – Represented in italics produced by few provers and occasionally verifed
2. Only in small group of provers – Represented in roman
The grading of the drugs will help in easy and fast repertorisation with out compromising results.
How to Work out A Case with Kent’s Repertory
In his preface to the repertory Dr.Kent emphasis that after taking the case following the guide lines laid down by Dr. Hahnemann in his Organon of Medicine aphorisms 83 to 140, one should write all the mental symptoms and all the conditions predicted of the patient himself and search the repertory for the symptoms corresponding to those. Then search for such physical symptoms as are predicted of the blood, color of discharge, and bodily aggravations, and amelioration that include the whole being, then desires like open air etc, then individualize still further using the symptoms predicted for the organs, functions and sensations, always give an prime importance to the time of occurrence, Then examine the symptom pricture collectively and individually. And lastly go to the materia medica for further clarification of the remedies. So essentially it consists of the following steps.
1. Case taking
2. Evaluation or grading of symptoms
We should treat the patient as a whole. The symptoms are breaked into
a) Mental Generals. Among them the higher arche followed is
1. Love hates
b) Physical generals, here the importance is given in the following order
1. Related to blood, color of discharge, Aversions and Cravings
2. Menstrual functions (general aggravations related to menses, the character of menses)
3. Environmental factors
c) Particular symptoms, here the higher arche followed is
1. Peculiar or unusual symptoms
d) Common symptoms—they become important when they are absent or when intensified_
3. Conversion of symptoms to rubrics.
4. Erecting the reportorial totality.
5. Repertorisation proper. One can adopt repertorisation in two ways
1. Addition method
3. Elimination method
6. Analysis and prescription.
This particular chapter contains rubrics related to constitution, psychopathological conditions, memory and modalities (e.g., closing eyes, conversation etc.)
Rubrics related to the speech is dived into the chapters Mind – Mouth _ Larynx. This division can be easily understood as when the quality of the speech is altered ( symptoms of the higher center involvement ) you should look into chapter mind, when the motor functions are involved you should look into the chapter Mouth, when the quality of the voice is altered one should look into the chapter Larynx.
Important word [r1] meaning
Frivolous = Not serious
Consciences = Your own feeling whether you are doing right or wrong
Trifles = Some thing that is of little value or importance
Ardent = Showing strong feeling
Audacity = Boldness
Benevolence = Kind , friendly.
Bewildred = Confuse.
Confining = secretive
Confounding = To mix up
Conscientious = Care full
Cowardice = Lack of courage.
Grotesque = strange or unnatural in a way that is funny or frightening.
Deed full = Some thing that you do in action.
Defiant = Refusal to obey
Disconcerted = Dissatisfied.
Eccentricity = Strange or unusual behavior.
Ennui = Strong hatred or dislike.
Fastidious = want every thing to be clean and tidy.
Frivolous = Not serious
Frown = Draw in the bow inorder to show dissatisfaction.
Grimaces = Fascial expression to show that some thing is hurting you.
Imbecility = Stupid
Imperious = Commanding
Impetuous = Impulsive
Imprudence = Rude
Inciting = Provoking
Insolent = Rudeness, Mocking = To make fun of.
Petulaent = Easily put ina bad humor
Plegmatic = Slow to feel emotions.
Piety =Devotion to God.
Positiveness = Affirmation
Precocity = Mature than his age.
Presumptuous = Too high an opinion of his own ability or worthness.
Remoses = A feeling of sadness because you have done some thing bad. Or Bitter regrets arising from past misdeeds.
Reproches = Blaming.
Reverence = Deep respect.
Ridiculus = To make fun of
Roving To wander with out definite direction.
Scorn = Bitter contempts.
Scropulous = Carefull.
Slander = False statement against some body with a purpose to defame the subject.
Sneers = To smile ar some body in contempt.
Sulky = Be in a bad temperment and express it by not talking
Vacillation = To hesitate.
Veneration = To regard with deep respect.
Vendictive = Unforgiving.
Wicked = Immoral
Classification of Rubrics
For an easy grasping of the different rubrics in the chapter we have classified symptoms into
1. Constitutional symptoms
2. Psychopathological symptoms
3. Emotional symptoms
4. Intellectual symptoms
Abandoned Absorbed,buried in thoughts
Abusive . Abstraction of mind
Anguish Business aversion to
Anticipation Busy, fruitless
Aversion Culminate desire
Blood cannot looked a Capriciousness
Carried desire for Censorious
Children aversion to Concentration
Color aversion to Confidence want of
Consolation agg Contemptuous
Dwells Disturbed aversion
Haughty Honor wounded
High spirited Impatience
Home desire Impetuous
Home sickness Impulsive
Horrible things effect Inciting others
Morose Moral feeling want of.
Offended easily Prostration of mind.
Quarrelsome Quick to act
Quiet disposition to Reading aversion to.
Sensitive Senses acute.
Scorn Riding in a carriage aversion to
Remorse. Succeeds never
Repulsive mood. Thinking
Revels secret in sleep. Torments every one with his complaints.
Sulky Travel desire for
Unfortunate Unattractive things seems
Weary of life
Women aversion to
Closing eyes ame
Drinking after agg
Exercises –mental symptom ame by physical exercise.
High places agg
Narrating the complaints aggravation.
Rudeness ailments from.
Scorn ailments from.
Sexual excess mental symptoms from
Stories exciting agg
Talking complaints from
Talk of other agg. Thinking complaints of.
- Scolds until the lips are turned blue and eyes starring and she falls down fainting = Abusive
- Anxiety on waking from fright full dreams = Mind– anxiety.
- Anxiety during convulsions = Anxiety- fits
- Must lie down with anguish =Anxiety — lying down
- Anxiety on hearing rushing water= Anxiety- noise rushing water.
- Anxiety made him to walk rapidly=Anxiety –walking rapidly – rushes him
- Disposed to find fault= Censorious critical
- Avoids the sight of people = Company aversion to
- Crazy feeling on top the head, wild feeling in head, with confusion of ideas. = Concentration
- Losses his way in well-known street = Confusion.
- Wraps up in fur during summer= Delirium , Roving , Fur.
- Imagines others will observe her =Delusions – confusion.
- Inaccurate judgment of the distance =Distance.
- Under stands questions only after repetitions = Dullness.
- Stammers when talking to strangers.- Excitement.
- Swallows continues while talking = Excitement.
- Child cannot bear to have anyone come to them = Fear approach
- Behind him that some one is = Fear.
- Confusion that people is observing her= Fear.
- Likes cow dung, mud , saliva = Feaceses.
- Feeling of isolation = Forsaken.
- Grasp genital during spasms = Gestures.
- Picks at bed clothes = Gestures.
- Unmoved by apologies = Hatred.
- Desire to do several thing at a time = Hurry.
- Stab his flesh with a knife which he holds = Impulsive.
- Do not complain = Indifference.
- Complain nothing unless questioned = Indifference.
- Must exert self control to prevent shooting himself = Injure.
- She will sit and break pins = Insanity.
- Dresses in her best clothes = Insanity.
- Insist upon saying his prayers at the tail of his horse = Insanity.
- Makes useless purchases = Insanity.
- Passes his feaces on floor = Insanity.
- Crackling of news paper drives him to despair.= Irritability- noise
- Takes every thing in bad part = Irritability.
- Must restrain herself from self injuring= Loathing of life.
- Changing quickly from one subject to another = Loquacity.
- Objection to what ever was proposed = Obstinate
- Never focus on one matter = Persist in nothing.
- Does not recognize the relatives = Rage.
- Tries to kill people = Rage.
- Pulls hair of bystanders = Rage
- Pulls his own hair = Pulls.
- Horror of opposite sex = Religious.
- Scratches the lime of the wall = Scratches.
- Exposes the person = Shameless.
- Brain cry = Shirking.
- Knocking his head against the wall= Striking.
- Rouse with difficulty = Stupefaction.
- Thins that the people are talking about her.= Suspicious
- Answers correctly when spoken to but delirium and unconsciousness return at once = Unconsciousness
Related rubrics which are other wise not mentioned ( Just to highlight that you can have many more cross reference)
- Anticipation=Anxiety –anticipatory an engagement
- Anxiety –hypochondria = Sadness
- Anxiety—storm during = Fear –storm = Generalities—storm
- Company –aversion to strangers =Stranger <
- Courageous = Audacity
- Delirium well= Irritability= Refuses things asked for.
- Abandoned = Forsaken = Delusions – deserted.
- Thinks that he is deaf, dump, = Delusions –disease.
- Anxiety –salvation = Despair –religion = Doubtful soles welfare of
- Desire to be alone = Spoken wants to be let alone
- Torpor = Dullness.
- Wicked = Moral feeling want of.
- Aphasia related to the motor derangement of speech so this must be moved to the chapter Mouth
- Sighing ( to take a deep breath indicating tiredness.) a physical general should moved to the chapter Generalities.
- Sit inclination to is a symptom with predominating physical component, so this must moved to the chapter generalities.
- Wild feeling in the head is a rubric related to the location head so this must be placed under the chapter Head.
All the aversions and cravings should brought under a general rubric Aversion and desire respectively.
All the misplaced rubrics should be placed under the respective chapters
This particular chapter contain rubrics related to modalities and charter of vertigo, (balancing, intoxicated as if etc.)
- Sensation as if high wall would fall on him= fall
- Vertigo as if sinking down to and fro in the bed = lying
- Vertigo > by thinking some thing else = meditating.
- Sensation as if there was a barrier between his organs of sense and external objects =stupefaction or suspension of sense.
- Vertigo with fainting = syncope with.
- Vertigo as if walls of her house fall on her = fall
- Vertigo from loss of sleep = watching and loss of sleep.
Left, swaying towards and right swaying towards, two rubrics of same type but with opposite charter is given separately but it will of better if they are given under a common rubric — SWAYING
Rubrics related to clinical conditions (abscess, hydrocephalus, anemia, lice, sunstroke), sensations, gestures (boring the head into the pillow, hands rub with etc.), modalities (cold air sensitive to, uncovering aggravation, warm covering of the head aggravation, washing head aggravation). Conditions related to hair, mental symptoms like (aversion to hat, intoxication’s if, knocks the head against the things, Desire to lean the head on something, striking the head etc.)
Important word meaning
1. Commotion =
2. Pithy = full of or forceful
3. Softening of the brain =paresis with progressive dementia.
- Brain where an ant hill as.if = Alive
- Difficulty in keeping the head erect = Balancing
- Sensation as if blood where streamed from below upwards, or with in out wards. = Congestion
- Sensation as if head would burst = Fullness
- Weakness of head = Hold up the head.
- Frontal sinus from chronic coryza = Pain, forehead
- Brain feels too far from the skull= Smaller
- When to weak to move the body, will roll head from side to side = Restlessness
- Sensation as if head is raising from stomach = Stomach.
Drawing the head= falling = holding =Raise the head
Motions= jerking = restlessness
Head pain maddening = violent pain
Hammering pain is a charter of headache and is given as a sub rubrics to the general rubrics Pain, this must be moved to the type of pain
Pulsation and shock is a type of pain which given as a separate rubric should placed under the the main rubric Pain
Knocks the head against things and Strikes the head against the wall or bed, twitching of eye lids and frontal muscles—this rubric should be moved to the chapter Mind, under the rubric Striking.
EYES AND VISION
This particular chapter contains rubrics related to eye proper, eye brows, around the eyes and eyelids, and the different types of rubrics are modalities in general (<sun.<heat etc)Different conditions of the eyes (filmy, dullness)Clinical conditions (myopia, glaucoma)Sensations, mental symptoms (to wipe inclination to, aversion to bring the objects near the eyes.)
Note – rubrics related to discoloration are separated, and are spread out.
And chapter vision contains rubrics related to pathophyisiology of vision, and general modalities.
Important word meaning
- Amaurosis = blindness with out apparent lesion in eyes, due to cortical lesions
- Arcs senile = an opaque grayish ring at the periphery of the cornea just with in the sclerochorneal junction, of frequent occurrence in old age. It results from deposits of fatty granules, or hyaline degeneration of lamella and cells of cornea.
- Esophoria = tendency for the eyes to turn inwards.
- Exophoria = tendency to turn out wards.
- Hyperphoria = tendency to turn upwards.
- Hordeola = supurative inflammation of glands of eyelids.
- Hypophion =Presents of leukocytes in the anterior chamber of the eye
- Melanosis = pigmentation of the conductive and the skin around the eyes usually unilateral especially seen in Orientals race.
- Pannus = a fibro vascular connective tissue that proliferate in the anterior layers of peripheral cornea, in inflammatory corneal disease, particularly in trachoma which pannus involves superior cornea.
- Photomania = morbid or exaggerated desire for light.
- Ptergium = a triangular patch of hypertrophied bulbar conjunctiva tissue extending from medial cantus to the border of cornea or beyond and the apex pointing towards the pupil.
- Styphaloma = bulging of the cornea or sclera containing uveal tissue
- Accommodation = adaptation to focus an external object on retina by increasing and decreasing the thickness of the lens.
- Colors = marked with irregular patches of different colors.
- Muscles volitantes = appearance of spots before eyes, raising from remnants of the embriologic, hyloid vascular system in virtuous humerous
- Scotoma = an isolated area of varying size and shape with in the visual field in which the vision is absent of depressed.
Clinical importance of different conditions of the eye
Unnatural luster’s is seen in fever
Brilliancy in consumption
Glassy eyes in gastritis, inflammation of the mesenteric glands, in fever it indicates a bad prognosis, normally in children
Dullness in febrile conditions during catamania, catarrhal fevers.
Sunken eyes in loss of vital fluids. Emaciation.
- Sensation as if some thing is hanging over eyes and must wipe away =Eyes— discharge
- Sensation as if sand in the eyes = Eyes -–pain;– pain –burning
- Exophthalmoses = Eyes –protrusion
- Sensation as if cold air blew= Eyes –coldness
- Jaundice = Eyes – yellowness
- Color blindness = Vision –color-blindness
- Raises the foot unseemly over small objects while walking =Vision –large
- Sidewise can only see objects when looking at them =Vision –dim
- General < on exerting vision = Vision—exertion
- Vanishing of sight = Vision –loss off.
- Day light < but desires lamp light = Eyes – photophobia
- Pain asif eyes forehead and face concentrate in the tip of the nose = Eye –pain contractive.
- Foreign bodies in the eye =Eye –inflammation.
Eye –pain- increasing until noon should moved to pain –morning -noon, until
Eyes– swollen – carbuncle, must be changed into inflammation –carbuncle
Paralysis of iris is given separately from the main rubric paralysis.
Agglutination- discharge of mucus- inflammation
Lachrymal duct=discharge, fistula, inflammation, stricture, swollen lachrymal gland, ulceration, pain.
Eye close, closed, open,opening, open, openness,
Quavering, twitching, spasms.
Eyes weak, tired.
Correct the all the misplaced rubrics.
In vision chapter the scattered illusions should brought under a general rubric illusion.
Under the main rubrics Photophobia the sub rubrics related to different types of light should brought under a separate rubric Light.
Rubrics related to Pupils are given under the main rubric pupil which is infact a location, so it is against the method of construction of the repertory, so this must be split and put.
EAR AND HEARING
This particular chapter contains rubrics related to different conditions, sensations and modalities.
- Rupture ear drum = Ear– ulceration tympanum
- Sounds seems confused = Hearing –impaired
- Direction sound cannot tell = Hearing –impaired.
- All sounds sees far of = Hearing -–impaired – distance
- Deafness to human voice = Hearing — impaired-voice the human.
Ear wax –-discharges
- Ear wax
-Wax (contains sub rubrics related to character)
It contain rubrics related to locations like sinus, parotid gland, submaxillary gland, sub mental gland, lips; clinical conditions like abscesses, expression, modalities like shaving aggravation, constitutional features like shiny face, waxy fase etc and mental rubrics like desire to wash in cold water.
Important word meaning
Hippocratic = appearance of face at the time of impending death, chareterstied by dark brown red colored skin, hollow eyes collapse of temples, sharpness of nose, lobes of ears turning out ward.
Smutty = dirty.
Sordes = foul brown crust on lips, caused by bad oral hygiene or in low forms of fever.
- Rodent ulcer = Cancer- noli me tangier on nose
- Cyanosis during asthma or with heart troubles= discoloration bluish
- Redness of right side of the face with out heat and paleness of left side with heat = Discoloration– red
- Upper lips drawn up exposing teeth = Drawn upper lips
- Comedones = Eruption comedones
- Butterfly rash = Saddle across the nose
- Face varnished as if = Tension
- White of an egg dried as if = Tension
Cracked lips = excoriated lips
Risus sardonicus – stiffness muscles = Cramp maxillary articulation
Drooping of jaw = tired feeling of the jaw = Weakness of the jaw.
Hippocratic face is an expression, so it should be placed under the rubric Expression, not as a separate rubric.
Important word meaning
- Fan like motion of ale nasi= motion
- Mucus membrane destroyed = membrane
- Sensation as if she had two nose = double
- Compelled to blow nose but no discharge = dryness –blowing nose.
- Sudden copious discharges from eyes, nose, and mouth. = Nose discharge –watery.
- Honey like discharge from nose = discharge yellow
- Yellow saddle = discoloration yellow saddle.
- Food goes to posterior nose on swallowing = food
- Liquids comes out through nose on swallowing = liquids, as well as in chapter throat – liquids.
- Electric spark sensation in the nose = pain electric sparks
- Rawness coryza during = pain rawness
- Every thing smells too strong = smell acute
- Sensitive to odor of cooking food, flowers etc = smell acute– sensitive to
- Smell of gas causes vertigo = smell acute — gas causing vertigo
- Smell contains rubrics related to the conditions that is, acute, diminished or lost. Where as the rubric odor Contain rubrics related to illusions and different types of odor.
Contain rubrics related to clinical conditions, (aphthae, atrophy, boils, burns, purpure etc), sensations, constitutional features like fingers in the mouth children puts, Grasping at mouth etc. Locations like hard palate, mucus membrane, Papillae.
Important Word Meaning
Epuluis = Fibro sacromatous tumor of lower jaw.
Velum = soft palate
Ranula = Retention cyst of submandibular or sublingual duct
Empyrematic = Odor of animal or vegetable matter being burnt in a closed container.
Stale = dry
- Hot tea seems cold = Coldness sensation of,
- Tongue look like burnt tongue = Discoloration, leather; Leather
- Cylindrical tongue = Contracture spasmodic
- Sand as if from = Dryness sand in it, as if.
- Food escapes from the mouth during chewing = Food
- Protrudes the tongue in order to cool it = Pain, burning tongue, protrudes.
- Fish bone, tongue in root sensation of = Pain fish bone.
Aphthae = cracked = Gangrenous = Inflammation = Mapped = Mucus membrane= Stomachache = Ulcer = Pustules = Sensitive = Smooth = Softening = Spongy = Suppuration = Swelling
Heaviness of tongue = Motion =Paralysis = Protruded tongue
Mucus = saliva =Salivation = Sticky
This particular chapter contain rubrics related to clinical conditions like caries, periostitis, constitutional features like adhere together, mental symptoms like desire to bite together different sensations, symptoms related to dentition,
Important Word Meanings
Incrustations = formation of scabs or crust.
This particular chapter contain rubrics related to certain clinical conditions, sensations, symptoms related to deglutition (food lodges, Choking, Gurgling, liquids, obstruction, spasms, swallowing,) locations like esophagus, uvula, tonsils.
Important Word Meanings
Astringent = constriction
Skin hanging loose in = Foreign body + Skin
- Sensation as if worms where squmering in = Crawling
- Sensation of stone = Lump.
Aphthae tonsil = Blood oozing tonsil = Enlargement tonsil = Inflammation = Induration = Membrane tonsils, = Pustules tonsils = Suppuration = swelling tonsils = Ulcers tonsils = Varicose tonsils
Erosion = Inflammation =Excoriation = Gangrene = Glazed appearance
Mucus discharge drawn from posterior nares = NOSE Discharge posterior nares
Dryness = Roughness = Scraping = Scratching
This chapter is related to thyroid gland, cervical lymph glands, throat pit, sternocledomastoid muscles, carotid artery etc. It contains rubrics related to mind like clothing aggravation, sensations, clinical conditions like goiter, fistula, torticolis etc.
This particular chapter contain rubrics related to sensations, mental rubrics like anxiety, clothing disturbs, sensitiveness to bad news, related to appetite, thirst, desires and aversions, clinical conditions like cancer, ulcers, related to hiccough, modalities like wine aggravation.
Important Word meaning
Retching = strong involuntary effort to vomit.
- Water brash = Eructation, water brash
- Nausea, severe = Deadly nausea
- Vomiting of postnasal discharge = Vomiting ,drawing catarrhal plugs from posterior nares
- Itching with nausea, must scratch until he vomits = Vomiting itching
Disordered = Indigestion = Distention = Fullness =Eructation = fermentation Hardness.= Heartburn = Heaviness =Inactivity = Inflammation = irritation = Loathing = Burning pain
Emptiness, hunger with out = Aversion food, hunger with. = Fullness everso little after.
Gagging = Retching
Thirst burning = extreme = unquenchable
Contain rubrics related to clinical conditions anuresim, bubo, gangrene, hernia, intussusception, locations like liver and gall bladder, spleen, ingunial region and lymph glands, hip region of, iliac bone, umbilicus, sensations, mental rubrics like anxiety, clothing sensitive to, constitutional features like enlarged abdomen in children, pendulous abdomen.
Important Word Meaning
Tabes mesentrica = Tuberculosis of the intestines.
Sensation as if diarrhea would come = Diarrhea
Accumulation of fat = Fat
Distention = Fullness = Fermentation = Rumbling = Flatulence = Gurgling = Hard = Heaviness = Restlessness = Rumbling
The rubric and the sub rubrics related to pain are liked directly with those of hemorrhoids and female genitalia. E.g.; Pain pressing genitalia towards, pain hemorrhoids from etc
Rubrics related to liver spleen etc are scattered throughout the chapter. It will of an easy reference if they are brought under a separate sub location rubric of the respective organ.
Pain as if squeeze between two stones; stones like, sharp as if rolling together and clutching with nail as if are given under the main rubric “pain”, which must be placed under separate sub rubric.
RECTUM AND STOOL
This particular chapter contain rubrics related to clinical conditions like hemorrhoids, abscesses, fistula, fissures, cholera, apthus; locations like perineum, above the coccyx, nates between; constitutional symptoms like redness of anus; different sensations; and rubrics for worms. And stool chapter contain rubric related to different charters of stool
Rubric Moisture is given instead of Discharges
Inactivity = Constipation
Diarrhea = Involuntary stool = Unnoticed stool
This chapter contain rubrics related to locations urinary bladder, kidneys, ureters (along kidney) prostrate gland, urethra and urine (which contain different charters and constituents of the urine), different sensations, clinical conditions like calculi, Addison’s disease,
In the chapter rectum the pain tenesmus is given under the rubric Pain, where as in this particular chapter it is given as a particular rubric.
Important Word Meanings.
Chordee = Painful downward curvature of penis on erection occurs in congenital anomalies or in urethral infection
Renal calculus = Urine sediment.
This particular chapter contain rubrics related to clinical conditions (abortion, balinitis, condylomata, crab lice, empyocyle, cancer,) sensations, sexual function erection troublesome, erection wanting, sexual desires coition aversion to, sexual passion, enjoyment absent, locations includes thighs between, pubic region constitutional features like handling the genitals, masturbation disposition to, age related rubrics like menopause, disorders of the primary sexual organs, menstruation, reproduction(sterility) and pregnancy and delivery( placenta retained, rigidity of Os during labor) and ailments from like suppression of sexual passion complaints of etc.
Important Word Meanings
Sarcocyle = Fleshy tumor of testis
Smegma = secretion of sebaceous glands, specially the thick cheesy orderiferous secretions.
LARYNX AND TRACHEA
Contain rubrics related to clinical conditions like cancer, croup, and sensations, and location includes throat pit.
Food drops into larynx = Foreign substance drops into larynx = Throat chapter
This chapter contain rubrics related to different types of respiration, its modalities, clinical conditions asphyxia new-born, asthma, pulmonary edema, mental symptoms like desire to breath deep.
- Dyspnoea due to diseased condition of distant parts = Difficult –diseased condition
- Pulmonary edema = Difficult edema pulmonary
- Cannot breath due to pain = Impeded
- Chenye stroke breathing = Irregular.
- Sawing respiration = Rough, sawing
Arrested ,sleep during = Difficult, sleep during = Asthma sleep, coming on,
Arrested coughing during = Cough chapter suffocative = Difficult, cough with,
Stridulus = Larynx And Trachea chapter,Laryngismus stridulus
COUGH AND EXPECTORATION
This particular chapter contains rubrics related to different modalities (even related to mind like chagrin, nervous cough, and child cough at the presence of the strangers, thinking of aggravation, Vexation.) And types of cough, clinical conditions like asthma, croup, and cardiac disease from, whooping cough. Expectoration chapter contains rubrics related to the modalities, different charters of expectoration.
Important Word Meaning
Sibilant = Hissing
Oleaginous = Greasy oily
Heart affections in = Sympathetic
Tickling = Irritation = Tingling = Titillating
Tormenting = Persistent = Constant = Violent
Metallic = Trumpet Tones.
Air = Wind
Sour food is given as a separate rubric, which must be placed along with the rubric eating aggravation, which contain the related rubric like highly, seasoned food etc
This chapter contain rubrics related to clinical conditions, angina pectoris, Atelectasis, cancer, emphysema pulmonary edema; sensations; modalities like wine aggravation, locations axilla, lungs, bronchi, pleura, mammae, heart, pectoral muscle, and sternum.); functions of the heart like fluttering, palpitation; related to mind like anxiety, apprehension, restlessness and lactation.
A general rubric Alternating chest complaints with other specified complaints is given.
Important Word Meanings
Phthisis pulmonalis –pituitious = Productive.
Pulmonalis—incipient = Beginning of the disease.
Stenocardia = Angina pectoris.
- Sensation as if hot water poured into the lungs =Heat-water.
- Sensation as if hot water poured into the abdomen from the chest = Heat – water.
- Sensation as if boiling water was poured into the chest = Water.
Angina pectoris = Stenocardia = Strain of the Heart on violent exertion
It will be of easy reference if we put the all the symptoms related to the Heart and other important organs under a main rubric Heart, or related organ’s.
This particular chapter contain rubrics related to sensations; clinical conditions like bifida spina, abscess, concussion of spine, softening of cord. Straining easy; mental rubrics like restlessness etc
The rubric discoloration is not given instead various changes are mentioned separately, as well as a separate rubric spots.
Important Word Meanings
This is the largest chapter in Kents repertory, and consists of rubrics related to sensations; clinical conditions, anchylosis, chorea, corns, felons, milk leg, thrombosis; position of the limbs; gait; mental rubrics like bend desire for, cover the hands desire for, extended the arm desire for, uncover inclination to, vexation felt in lower limbs, washes frequently; locations include nails, bursae, bones, muscles, tendons, hip joint, lymphatic certain dermatological conditions like cracks skin bend of, excoriation, hardness of skin; modalities hanging down letting the limb aggravation, uncovering aggravation, wetting foot aggravation.; Constitutional features like like late learn to walk, wrinkled, etc.
Rubric Blood is given instead of Congestion
Pain is the largest main rubric in the Book and consists of — types of pain
Important Word Meaning
Gressus gallinaceus =
- Drops things from hand = Awkwardness –hand
- Knocks against things = Awkwardness—lower limbs
- Stumbling while walking = Awkwardness—lower limbs
- Clubbing = Knobby finger ends
- Offensive smell of the feet with out perspiration = Odor
- Right sided paralysis = Paralysis –Hemiplegia
- Rat feels running up the legs = Rat.
- Nephrotic syndrome related to this particular chapter = Swelling albuminuria, in.
Abducted = clawing = Clenching = Closed = Constrictions = Contraction = Drawn = Extended = Extension = Flexed = Motion = Pronated arm = shacking stretched =
Anchylosis = Arthritic = cracking = Curving and bowing = Pain rheumatic = Raised difficult to
Ataxia =Awkwardness = crossed = crossing the legs impossible = Dragging = Dropping = Fall liability = Incordination = Knocked together = Missing steps =Swaying = Thrown back= Unconscious = Unsteadiness = walking = Walk on a wide base
Restlessness = Purring = Tension
Sensitive fingers = Touch cannot bear to have fingers touch
Rubrics related to Nail is scattered in the chapter and it is of easy reference if they are brought under one main rubric Nail
Three separate rubrics for Sensitive is given sensitive with location, sensitive to cold sensitive to warmth, which may be placed under a single rubrics.
Wetting feet is given as a generalized rubric so it should be placed under the chapter Generalities.
Consider as the third most important chapter in this particular repertory, contains rubrics related to disorders of sleep like narcolepsy; different chareters deep sleep, disturbed, heavy position of the body during sleep; dreams; consciousness semi-consciousness, stupefaction, unconsciousness); and yawning.
Important Word Meaning
Dreams of that he was accused wrongfully of crime = Dreams –crime.
Dreams of Sick people = Dreams –Disease
Dreams of, being smeared with human excrement/about dirty linen =
Dreams stabbed his antagonist with a knife.= Dreams Knives
Dreams that he is unable to find his way home = Dreams unsuccessful
Dreams that the child is bathing in boiling water = Dreams water.
Sleepless = Waking
Sleep bad = Disturbed = Dozing = Interrupted = short
Sleep deep = Heavy = Prolonged = Un refreshing
Dreams events long past = Recalling thing long past.
Sleep falling answers while = Mind answers , Unconscious
CHILL FEVER AND PERSPIRATION
This chapter contains rubrics related to fever in general and constitutional features especially in the chapter perspiration
Important Word Meanings
Chill = A feeling of cold with shivering and pallor, accompanied by internal elevation of temperature, usually a prominent symptom of infection.
Anticipating chill = Early paroxysms
Scrobicularis cordis = Epigastric fossa
Pernicious chill = Severe or dangerous
Continued fever = Malarial origin, based on the predominate internal organ involved sub rubrics are arranged.
Hectic fever = Daily afternoon rise of temperature associate with flushing of cheek, occurring in infectious disease, especially in active tuberculosis.
Masked intermittent fever = Malarial fever but fever is absent but other features of malaria like neuralgia etc is present.
Relapsing fever = Highly contagious occurring epidemically predisposed by filth, overcrowding, charetersied by two paroxysms separated by four to seven days with apparent good health, organism involved is “Spirillium of Obermies” ( new terminology Borrelia)
Remittent fever = Malarial in origin severe falciparum type , not touching the base line.
Thymus = Group of symptoms charetersied by dry tongue, stupefication, delirium, and prostration.
Paroxysmal = Sudden onset with recurrence.
Zymotic fever = fever due to infectious agents in general.
Colliquative perspiration = Excessive perspiration.
- Chill due to indigestion or gastric in origin = Disordered, eating indiscremation in.
- Coldness in bones blood vessels during chill = Internal
- Chill never at night = Night.
- Warm air feels cold during chill = Air warm.
- Fever delirium = Burning –furious; Dry; Intense.
- Absence of any stage is given the chapter Heat as there respective rubrics.
- Chill then sweat with out intervening heat – Fever– Succession of stages.
- Perspiration alternating with chilliness = Fever Succession of stages.
- Driving him out of bed during fever = Bed
- Perspiration all over the body except face = perspiration—Face
- Perspiration increases the coldness of the body = Cold
- In this particular chapter’s the Breakfast aggravation is given under Eating in general
- In the chapter’s fever and perspiration the aggravation in walking in open air is given under the rubric Walking, where as in the Chill chapter it is given under the Air.
- Wants to be quiet in any stage of the fever = Fever –motion – wants.
Chill exposure to cold damp whether is given separately, this must be brought under Exposure.
Chill day must be moved to Periodicity.
Parts affected in this chapter’s does not follow a particular pattern, in chill chapter—upper part of the body and sides; in fever chapter –Body; in perspiration –single parts This can be rearranged as one particular rubrics Partial.
In fever chapter the rubric day is separated out from the basic constructive pattern that is not in the beginning of the chapter. This must be resorted.
This chapter consists of basic dermatological lesions; clinical rubrics; and constitutional features like filty , offensive, inactivity of skin etc.
Rubrics related to pain are scattered all over the chapter.
Important Word Meaning
- Callus = Hypertrophied thinking of circumscribed area of horny layer of the skin.
- Chapping = Dry scaly and fissured due to exposure to cold excessive evaporation of moisture from the skin.
- Condylomata = Warts like growth especially of genitalia.
- Discoloration –Liver spots, dark spots in old people = A brown macule resembling a freckle, except that the borders are usually regular, occurring in exposed skin of older Caucasians.
- Boils = Pyogenic infection of the hair follicles.
- Carbuncle = Deep seated infection of skin and subcutaneous tissueusally arising from several contagious hair follicle, with formation of connecting sinuses, fever, malaise and prostration.
- Eruption confluent = Together.
- Serpiginous = Creeping eruption.
- Ecthyma = Pyogenic infection of the skin due to streptococcus or staphylococcus organism charetersticed by adherent crust beneath which ulceration occurs, single or multiple and heal with scar formation.
- Impetigo = Contagious superficial pyoderma, caused by streptococcus or staphylococcus, presented as vesicle formation which ruptures forming thick yellow crust.
- Phagaendic = Peripheral spread.
- Pocks = related to smallpox.
- Psoriasis diffusa = extensive collancense of the lesion.
- Inveterate = Confluent lesion, skin thickened indurated and scaly.
- Roseola = Macular erythema, symmertical,redrose small closely appearing.
- Rupia = Ulcers of late secondary syphilis.
- Erysephales = Acute cutaneous inflammatory disease caused by hemolytic streptococcus and chaetersticed by hot, red, edematous, browny and sharply defined eruption, usually accompanied by severe constitutional symptoms.
- Fungus heamatodes = Capillary heamangeoma.
- Fornication = A form of parasite or tactile hallucination, in which one feel a sensation of small insects creeping under skin, usually seen in substance induced organic mental syndromes.
- Freckles = Yellowish or brownish macular developing on the exposed parts, of the skin, especially in persons of light complexion.
- Ganglia = Myxiod or synovial cyst, a cyst containing mucopolysaccrides rich fluid with in fibrous tissue.
- Interterigo = Dermatitis occurring between folds and surface of the skin cause by sweat retention moisture, warmth and concomitant growth of resident microorganisms.
- Lupus = Errotion of the skin.
- Pityriasis = Dermatitis marked by branny desquamation
- Pupura Heamorrhagica = Degeneration of dermal collangens, leading to loss of lattice work of connective tissue and further development of friable vascular bed.
- Prickly heat = Eruption –vesicular – sudamina
- Warmth of the skin with out fever = Heat with out fever.
- Decubitious Ulcer = Sore.
- Ulcers with Maggots = Ulcers discharging.
- Fistula = Ulcers fistula.
A) Should move out of the chapter.
1. Anesthesia to the chapter Generalitiess.
2. Coldness to the injured parts, suffering parts, and painful nerves along to the chapter Generalities.
3. Pupura Hemorrhagica to chapter Generalities.
4. Stings of insect’s t the chapter Generalities –Wounds.
5. Swelling to the chapter Generalities.
B) Misplaced with in the chapter.
1. Eruption – petechiae, Petechiae is a clinical condition, which should placed as a separate rubric.
In order to help the beginners, so that they get birds eye view over this particular chapter we have classified the symptoms into: -
1) Intrinsic symptoms– those symptoms that are related to the man himself, e.g.- pathophysiology related to different structures in general like brittle bones, inflammation of the muscle, different sensations, age, etc.
2) Extrinsic symptoms– those symptoms related to the environment. E.g.- time, weather, food, etc.
Intrinsic symptoms are further classified into, symptoms related to
1.Age- nursing children, old people, puberty, menopause, etc.
2.Constitution- dwarfish, emaciated, obese, slender, stoop shouldered, psychosis, syphilis etc.
3.Tissues- bones cares, nonunion, slow union, softening; cartilage’s inflammation, sensitive swelling; muscles shortening, indurations, lifting; tendons injuries; serous membrane inflammation; lymph glands fistula, swelling, ulcers, pain; nerves inflammation, injuries; blood congestion, orgasm; blood Vessels inflammation, pulse, distention etc.
4.Sensations – flabby feeling, hard bed sensation, heaviness, pain, plug sensation, etc.
5. (Intrinsic) Ailments from: and Modalities- gonorrhea suppressed measles after, unionism after, vaccination after, etc. < – Coition, menses before, perspiration, etc. > – Change position, constipation, hand laying on part, chill feels better before, magnetism, perspiration gives no relief, etc.
6.Clinical conditions. -Anemia, cancer affections, cyanosis, fistula, inflamation.etc.
7.Character of the symptom- contradictory and alternating states, pain appears gradually and disappears gradually, side symptoms on one side, alternating symptoms, metastasis, etc.
8.Reaction of the body — is further divided into
a) Exaggerated- anxiety physical, irritability, mucus secretion increased sensitiveness.
b) Inhibited- Irritability lack of, reaction lack of, sluggishness of body,
c) Altered-lassitude, lie down inclination, plethora, weakness, weariness, etc.
Extrinsic symptoms are further classified into, symptoms related to
1.Time- daytime, morning, evening, twilight, sunrise to sunset, etc.
2.Environment. Weather (wet, summer, winter, etc.), sun, moon light, air draft of, foggy, high places, storm, etc.
3.Food -break fast, eating, fasting, hunger, starving, etc.
4.Toxins. -Arsenical, china, coals, led, etc.
5.Extrinsic- ailments from, and modalities- A.F-reveling, shocks from injury, < – assenting, crowed room, exertion, jar, lying, noise, playing piano, riding, uncleanness, uncovering, etc. > -Magnetism, rubbing, warm bed, warm stove, exertion, bathing face, etc.
An attempt to give logical direction in selecting the corresponding chapters for those symptoms has both the components of mind and physic.
For this we have gone though all the symptoms in the mind chapter having a physical component and all the symptoms in the chapter Generalities having a psychological component and analyzed, and we came to a conclusion that – we should look into the chapter mind if that particular symptoms has a ‘predominate psychological component’, and if it has a ‘predominate physical component’ you should look into chapter generalities.
How to determine which component is the predominate one- If the physical component is an extrinsic factor (e.g.- environmental factors, food, clothing, etc.) one should consider it as a predominate component, and should search in chapter Generalities.
E.g.- air desire for, food desire for, bathing dread of, clothing intolerance of, etc.
If it is a physical activity due to psychological cause one should give importance for the cause rather than the expression, so you should look into the chapter Mind e.g. – rapid walking due to anxiety, gestures, antics play’s. etc.
– Encephaloma =herniation of brain substances.
– Epitheloma= epithelial neoplasm especially that of from skin.
– Fungus heamatodes= capillary heamangioma.
– Lups=erotion of skin.
– Melanotic= abnormal black pigmentation, seen in sunburn, infections disease, neoplasms, and pregnancy etc.
– Noma=corrosive ulcer.
– Scirrhus= fibrous induration of neoplasm.
Catalepsy = morbid condition charetersticed by waxy rigidity of limbs which may be placed in various position for some time, associated with lack of response to stimuli, slow pulse and respiration.
Chlorosis = a form of iron deficiency anemia, female – predominate, puberty to third decade of life, charetersticed by reduction of hb% out of proportion to the reduction of R.B.C.
Chorea = involuntary irregular spasmodic movements.
– Eplipteform = resembling epilepsy, convulsions of a functional nature,
Lassitude = a sense of weariness.
Paralysis agitants = Parkinsonism.
– Cheloid= keloid.
– Steatoma= fatty growth.
– Subsultus tendinium = tremor caused by twitching of tendons especially that of wrist, seen in low-grade fevers.
- Every other evening =Evening
- Sunset till sunrise = Evening
- Twilight = Evening
- Seashore = Air
- Gangrene = Blackness, inflammation internal
- Heat and cold = Cold
- Eating fast, satiety to.
- Foods dry food, raw, vegetables, etc.
- Sensation as if warm water poured over one, as if= Heat
- Blows, falls, bruise injures
- When too much medicine has produced an over sensitive state and remedies fail to act = irritability.
- Lie down before the dinner must = lassitude.
- Will not lie down sit up in bed = Lie.
- Gently stroking = Rubbing.
- Smoking when breaking off = Tobacco.
- Pain vanishes on touch and appears elsewhere = Touch.
- One is cold and stiff on approaching a stove = Warm.
- Cold becoming after putting hand out of bed = Cold– cold becoming
- Painful sensation of crawling though whole body if he knocks against any part = Formication.
- Sensation of small foreign bodies in glands = Indurations
- Sexual excitement < = Generalities — sexual excitement,
- Sliding down in bed due to paralysis — Weakness – paralysis
A) Misplaced with in the chapter
Sensation as if foreign bodies in the glands=indurations. This must be changed as =Foreign bodies =sensation as if
Air. Sea shore
Weakness = sea bathing after weakness, after.
This three rubric related to sea is scattered in the chapter. It will be of great convince to user if this are brought tighter under a main rubric Sea
B) Misplaced with other chapters
i) Should brought to generalities.
Mind = noise <, light <, sit inclination to, rocking, etc. should be placed under chapter Generalities= noise< light<,etc.
Genitalia female = menopause to the chapter Generalities = menopause.
Stomach = aversion and desires. To the chapter Generalities = food
ii) Should move out of generalities.
Sexual excitement aggravation as Mind = sexual excitement.
Touch illusions of as Mind = Touch illusions.
foreign bodies = sensation as if small Foreign bodies or sand under the skin the chapter Skin = foreign body sensation as if,
worms under the skin sensation of to the chapter Skin = worms sensation of
– Encephaloma to the chapter Head = encephaloma
– Fungus heameatods to the chapter Skin = fungus heamatodes.
– Lupus to the chapter Skin = lupus.
– Noma. To the chapters Mouth = noma. Genitalia female = noma.
Repeated with in the chapter
Inflammation glands knotted like = swelling glands knotted cord like.
Repeated in the other chapters
Varicose vein = extremities – varicose vein
Sexual desire suppression off= male genitalia–sexual passion suppression
Ulcers cancerous affection = skin– ulcers cancerous affection.
Suggested changes for further improvement
1. Rearrangement of rubrics
a) All the sensations should brought under a common rubric — SENSATIONS.
b) Symptoms related to children should bring under the rubric — CHILDREN.
c) Rubrics related to suppressions should bring under the rubric — SUPPRESSIONS.
d) Conditions related to different tissues should brought under the rubric — TISSUES, and different tissues separately as sub rubrics.
- Non union
- Cartilage etc.
e) Symptoms related to injuries should bring under the rubric — TRAUMA.
f) Those related to abnormal growth should brought under — NEOPLASM.
g) Those related to the food should be brought together, like alcoholic stimulants, wine, etc. and craving and aversion should brought to the chapter Generalities. < Or > related to different varieties of meat (e.g., mutton, pork etc.) should placed under meat
2. Correction of misplaced rubrics.
Criticism of the Repertory.
1. In some parts the rubrics are generalized (chapter mind) where as in some o there parts the rubrics over particularized (chapter Extremities).
2. Similar rubrics, with different remedies and with different evaluation are given in many chapters. This pose difficulties in working out a case, because the chances of missing out remedy is great. Example – “Liquids taken are forced into nose” (page 454) also under the chapter Nose “Liquids comes out through the nose on attempting to swallow”.
3. Certain organs are given separate rubrics with out any modifying rubrics; this is in general against the philosophy and construction of the repertory.eg liver and region of, spleen etc.
4. In certain rubric drugs are not well represented, for example in the chapter generalities rubric Paralysis –one side, Drug opium is not mentioned, and a better rubric for the same condition is given in the chapter Extremities–paralysis.
5. Lot of printing errors is present through out the Repertory.
6. Some remedies, which are not given in the index, represent certain rubrics. example Nux-J in Talk indisposed to; Kali-ox in Insanity;
7. Omission of drugs in certain rubrics.
As the years passed many have contributed to the repertory for its completeness, but most of them based on there on distinct philosophy and experience and thus resulted in a swing away from the original philosophy and construction. This will explain many of the criticism.