Clinical Utility of Fever Chapter of Boger’s Repertory in the treatment of eruptive fevers in Comparison to Kent’s Repertory – An extensive study on Fever
Dr Sunila. S B. H. M. S.
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Boenninghausen’s characteristics Materia Medica and Repertory by Dr. Cyrus. M. Boger is one of the greatest pieces of homoeopathic literature; based on the original Repertory of the Antipsoric Remedies . It was published by Boericke & Tafel in 1905. Its second edition was published in 1937 and it contains characteristics of medicines in the first part and repertory proper in the second. Mainly there are 7 chapters in this repertory. The work is an attempt to bridge Boenninghausen and Kent. In Boenninghausen’s Therapeutic Pocket Book, there is no differentiation between general and particular modalities. But this fault is absent in Boenninghausen’s characteristics Materia Medica and Repertory. In this, the modalities for each part are assembled at the end of the section of the repertory devoted to the part, as well as a section toward the end of the book devoted to general modalities.
The term fever is defined as a raised central temperature. Fever is perhaps the most common manifestation of ill health from the minor cold to the major AIDS or carcinoma. It is an early and nonspecific body response to many harmful agents. Normal body temperature remains almost constant around 36.1-37.2 degree Celsius. Body temperature between 37.2-40.5 degree Celsiusand onwards is called Pyrexia; while rise of temperature above 41.66 degree Celsius is called Hyperpyrexia.
Fever is also known as pyrexia from the Greek word pyretos meaning fire, or a febrile response from the Latin word febris, meaning fever, and archaically known as ague.
Fever is most accurately characterized as a temporary elevation in the body’s thermoregulatory set-point, usually by about 1–2°C. Fever differs from hyperthermia, which is an increase in body temperature over the body’s thermoregulatory set-point (due to excessive heat production or insufficient thermoregulation, or both).
Summary and conclusion
The study was undertaken to find out the “Clinical utility of chapter “fever” of Boenninghausen’s Characteristics Materia Medica and Repertory by Dr. C. M. Boger, especially in the treatment of eruptive fevers in comparison to Repertory of Homoeopathic Materia Medica by Dr. James Tyler Kent.
After statistical analysis it was found that the treatment based on Boger’s Fever chapter is more effective .This study shows the importance of Fever chapter of Boger’s repertory in treating cases of fevers & found out that even in the treatment of eruptive fevers its efficacy is wonderful. We can find out medicines for fever cases with the help of FEVER chapter alone in Boger’s Repertory & that is its significance.
The medicines which occupy in the top of Boger’s repertorisation is found within five positions in Kent’s repertorisation and medicine which occupy the top position in Kent’s repertorisation is found within five positions in Boger’s repertorisation also. This study gives only the medicines in the top position only.
A study of 32 patients is too small to comment upon the effectiveness of Homoeopathic medicines selected through Boger’s Repertory Fever chapter. To confirm the effectiveness, a larger study with more patients should be conducted.
SCOPE & LIMITATIONS OF FEVER CHAPTER
Fever totality is the unique contribution of Boger. Fever is not represented well in any other Repertories like those in Boger’s Repertory. There are 6 chapters for fever & each stage is followed by time, aggravation, amelioration & concomitant. Thus they help to repertorise any simple as well as complicated cases of fever.
Though it is claimed that Boger’s Repertory is Boger’s improved Therapeutic Pocket Book, many difficulties have been noticed while using Boger’s Repertory.
Construction: there are 6 chapters for fever. But a definite order is not followed.
Arrangement: a definite order of arrangement is not found. Practitioner finds it difficult for searching the rubrics.
Many rubrics have only few medicines. It doesn’t represent many medicines even if it is the latest one among the three Repertories.
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