Dr Mauli Narewadkar P
This book though old (1881) but one of the important repertory, exclusively intended to analyze the mind symptoms. In this book most of the beginning pages are very informative. C Hering has high lightened important aspects like differentiating clinical symptoms and drug proving symptoms in the materia medica, meaning of synthesis and analysis, Boenninghausen’s repertory, Fragmenta, Hahnemann’s arrangement of symptoms etc.
The beginning sections like Introduction, How to use the book, Arrangement are very informative regarding understanding Herrings concept. Also information regarding genius epidemics, Nosode is given. The beginning content of the book is explanatory for the rest of the book.
Full name of the book: “Analytical repertory of the symptoms of the mind”
The Title of the book follows the quote by Shakespeare “**** Some prescriptions of rare and proved effects”
About the Author:
- Constantine Hering was born on January 1, 1800, in Oschatz, Germany.
- He is respectfully considered to be one of the founders of homeopathy in America.
- He had been engaged to write a book confuting homeopathy, but upon reading Samuel Hahnemann’s works and investigating clinical claims, Hering became convinced of its efficacy.
- Hering went on to become highly influential in the expansion of homeopathic studies; and he is known for making many great contributions, including observations of the healing process.
- Hering proved 72 drugs. One of the important contribution is ‘The guiding symptoms of our materia medica, 10 volumes.
Present edition available & Publishers in India: 2nd Reprint (2004) edition. B Jain publishers (P) Ltd.
Year of Publication:
- The second edition of this book has been published in the heading of Analytical repertory of the symptoms of mind in 1881.
- In 1875 Hering wrote Analytical therapeutic vol 1, Published by Boericke & Taffel, New York, with 352 pages, which may be the first edition of this book.
No of remedies: 660
The book starts with the Note by Charles G. Raue, Calvin B Knerr & Charles Mohr.
- Need for the second edition was there thus the book has been reprinted with an appendix and additions as were found in author’s interleaved copy.
- This edition also includes the carefully prepared index by Dr Levi J Kneer.
- HOW TO USE THIS BOOK
- THE ARRANGEMENT: 48 CHAPTERS
|1. Mind & disposition|
3. Headache and affections of the inner head
4. External head
5. Sight and eyes
6. Hearing and ears
7. Smell and nose
9. Lower part of face
10. Teeth and gums
11. Taste, Talk, Tongue
12. Inner mouth
13. Palate and throat
14. Desire for food and drinks
15. Before- During- After- Eating and drinking
16. Gastric symptoms
17. Epigastric region
18. Hypochondriac Regions
20. Rectum and Anus
21. Urinary organs
22. Male functions and organs
23. Female Organs
24. Pregnancy and parturition
28. Inner chest and Lungs
29. Heart and circulation
30. Outer chest
|31. Neck and Back|
32. Upper Limbs
33. Lower limbs
34. All the limbs
35. Rest- Position- Motion
38. Times of the body
39. Relation to warmth, Air and water, wind and weather, seasons
41. Changes according to time
42. Relations to space- Changes according to space
43. Sensations classified
i. Increased exaggerated activity
ii. Fixed i.e. without motion
iii. Steady motion
iv. Motion in relation to the dimensions of the body
v. Sensation, with a pulsating, wavering, oscillating motion
vi. Sensation as if the integrity of the tissues was disturbed.
vii. Sensation of decreased activity
45. Passive motions and touch
47. Stages of life
48. Relationship with other drugs
- OUR NOMENCLATURE- Abridgements of names
List of names and their abridgements
Notes to the list of names
Marks and signs
- CHAPTER- I MIND AND DISPOSITION
BODILY SYMPTOMS CONNECTED WITH THE MIND
I. Ailments from emotions and exertions of the mind
II. Mental concomitants of bodily symptoms
- Author says, the work is the result of uniting the collection of facts developed by our school through practice. The books and journals which are not published by Hering are condensed into this smallest compass. This book facilitates the selection of the remedy and review of the subject at a glance and with rapidity.
- The arrangement is easy for the eye and in comparable form. Reader can easily compare the action of drugs, influence on each organ or part of the body, nature of action and degree of action i.e. LOCATION. Reader can compare peculiar SENSATIONS, can find all the modalities of various symptoms. Finally the concomitants. Author says, this can be done only with proper knowledge of physiology and pathology.
- C. Hering says this work bears similarity to the materia medica. But the mental process is different. Materia medica requires a constant “synthesis” i.e. the constant action of the mind. Therapeutic work requires a constant “Analysis”. This work contains that which was observed as appearing (Drug proving) and also that which disappears after the use of a drug (Clinical). Never mix two kind of symptoms i.e. those produced and those cured.
- Author further says, Hahnemann’s warning must never be forgotten, he advised us not to be ruled by former cures but always by the symptoms produced (Ref- Chronic diseases Vol 2, second edition, Note to Alumina). If we have complete collection of all our important proved medicines printed, with all their symptoms arranged comparably, then our therapeutic advice may be given with differential marks.
About arrangement, the headings throughout are either
- Organs or parts of the body
- General symptoms
- Altered functions
- Leading modalities
- Groups of symptoms
- Names of diseases
One or more such prominent statement, will be found in every individual case. Thus the eye of the reader will fall on the list of the medicines at the margin.
C. Hering says this arrangement is entirely new one and affords great relief to the eyes, as the motion of eyes from above downwards is with less fatigue.
The marginal list is the collection of the drug regard to what is the heading. Distinguishing marks are placed to the remedies, indicative of their value.
- Under the heading of “an organ or part of the body” the principal medicines affecting the pat or organ are mentioned in the margin, this is done according to Boenninghausen and without intention of old erroneous notion of “specific for organs”. This contains many additions not easily found in the common repertories, E.g. Ear lobe, throat pit, Caecal region, os coccyges, thumb etc. Under the heading of “general symptoms”, without which it is impossible to base the correct prescription. All similar sensations and feelings must be placed near each other. The different “modalities” also have their pages, where in a condensed review can be found.
- Not only list of remedies is given but also analysis is give on the page. In some instance remedies have been mentioned, which bear certain “diseases” E.g. Flouric acid in typhoid fevers, tabacum in Angina pectoris etc. Author says Hahnemann wanted us to look to the reality i.e. to take the image of the reality and compare with the real symptoms of a drug. Boenninghausen’s works, specially his repertory have been made free use of throughout, because he was the only practitioner who was most successful and included many cured symptoms in his case books.
- Base of the Analytical therapeutics is Boenninghausen’s repertory. Dr C Hering talks about additions and alterations made by Boenninghausen himself and also by Dr Dunham during his stay with Boenninghausen. English translation by Staph has many errors, Okie and Hempel have partly corrected errors.
Boenninghausen’s Pathological mistakes for E.g. Pale blood/Bright blood, Quick pulse/Frequent pulse etc. have been corrected and unnecessary repetitions are avoided
- C Hering says, it was great mistake of Boenninghausen, to separate the conditions, as if every one of them could have general applicability. Boenninghausen mentions a case in his preface, where there was aggravation after shaving, which should not be generalized into “worse after shaving”. Also it is not mentioned whether the prover was shaving himself or was being shaved by a barber. The position of the head in later case or the standing position in the former, might also have some influence.
Another E.g. C Hering gives about generalization in Boenninghausen’s repertory, “Getting worse in the dark” here the cause may be either mental, as from a fear or the eye may want light. C Hering also compares the pathogenic cyclopedia & Jahr’s mental diseases.
- Regarding modalities he says, Modalities are not convertible from one part or function to another, in every case, though in many they may correspond.
E.g. – Stramonium- Remarkable desire for bright light and symptoms of mind and body better in the light, yet it has just reverse with the eye symptoms, which are worse from natural or artificial light. In Boenninghausen’s repertory we find entire list of remedies under what to him appeared to be convertible, this is altogether wrong. Not every symptom “Better in the dark” gets “worse in the light” and not everyone “worse in the light” is “better in dark”. Hering says this may be misleading, here he gives example from Berridge eye repertory, there are 157 remedies with “aggravation from light” 92 from natural light, 15 from artificial light and 50 from either. Only 7 from 157 have amelioration in the dark, 37 of 157 have symptoms worse in the dark.
- Authors says until access to Boenninghausen’s case books, a complete revision to Boenninghausen’s valuable work will be almost impossible and there is entire abolishment of the alphabetical arrangement nothing in the whole book, has been arranged alphabetically except the names of the drugs.
- C Hering says “Fragmenta” the first index was altogether out of proportion he compares it with the ‘Acta Santorum’ (An encyclopedia of Christian Saints with 68 volumes). He says if different words used by the provers to indicate different expressions bundled together, it will result in more confusion, we should always find words of similar impact placed together, for this he gives example of British Cypher repertory, which has adapted it to a certain extent.
- Authors says Cumbersome alphabetical order can only be abolished by following a natural arrangement, Hahnemann’s arrangement is a kind of alphabet it was formed by Hahnemann after collection of symptoms for twenty years with strict induction. Everyone who tried to follow Hahnemann’s advice had the satisfaction of seeing sick getting well. Boenninghausen not only left out some of the later provings but even slandered them. Jahr’s work in his repertory and Lippe’s text book restored Hahnemann’s order.
- All the modalities, conditions and concomitants have been placed next to the function they belong to. Hahnemann in his later editions finally placed the mental symptoms first, thus he adopted as a rule, First inner symptoms then outer ones. Same is uniformly preserved throughout in this book. Functions of each organ are placed first, then bodily symptoms.
- This work is based on last 40 yrs work on materia medica,
Author says, May it be one of the fruits of this work, that the most unscientific alphabetical order shall be more and more abandoned, as it renders our researches very difficult May it help to introduce, gradually
- Uniform arrangement
- Uniform terminology, especially with regards to names of drugs
- Uniform adoption of abridgements
HOW TO USE THIS BOOK
Two rules are informed by the author with regard to use of this book.
Rule I – Examine as many as cases possible, according to Hahnemann’s advice, i.e. Aph 83, after this is done, most important has been accomplished.
Rule II– Arrange the symptoms according to their importance. Beginner should do it in writing, the more practiced by underlining the sufficiently experienced and skillful may do it in his mind.
- The physiological rank according to the organs affected or the functioned altered is more worthy than the pathological and therapeutical rank.
- Diagnosing disease is of importance but holds a minor position in regard to diagnosis of the drug.
- After searching the symptoms arrange them according to their importance, in this etiological peculiarities bears a very high rank.
- In chronic cases, the symptoms appearing last even though insignificant are most important in the selection of a drug. The oldest are the least important.
- The patients remain really cured who have been rid of their symptoms in the reverse order of their development.
Author also speaks about Zymotic diseases, as in other epidemics, to select the remedy really “specific” to the zymosis, consider the most characteristic symptom at the invasion, at the height and lastly during the decline of the disease. These three points have to be covered by the characteristic drug. We may also find in this way, the preventive or prophylactic medicine. According to this rule, Sulphur was found better in Asiatic cholera, Carbo vegetable to yellow fever.
In this book characteristic and concomitant symptoms are present, in all important cases last though not least the Materia medica should be consulted.
Order of arrangement in this book is similar to Materia medica Pura, with few modifications. Hahnemann in the second edition of chronic diseases had placed the symptoms of the mind before the head symptoms.
- Inner symptoms first then the outer symptoms.
- Functional symptoms always first organic afterwards. Symptoms with increase of action first, next morbid alterations and last decrease in the function.
- Hahnemann arranged Parts of the body, organs and functions above downwards, commencing with head and ending with lower limbs, second series from above downward is respiration, Circulation & motion, organs of connection with outer world, larynx to lungs, Outer chest, neck and back to the upper limbs, lower limbs and all the limbs, Similar arrangement is followed in this book.
-Sleep, symptoms before, during and after sleep, also the symptoms occurring in the night are present. Next symptoms occurring at various times of the day, all symptoms related to heat and cold, indoors and outdoors, with influence of wind and weather. All symptoms of chills, fever and sweat. Different kinds of sensations is next.
-Skin, according to the rule within outwards, Chapter containing Age, sex, constitution and so called temperaments.
– At the conclusion the chemical action of drugs, antidotes, the relation to other drugs, which guides to the best order, in which drugs should follow each other.
I. Inner symptoms and functions first, outer and organic changes afterwards.
II. First increased functional activity, then altered then decreased.
III. First the parts then the whole body
IV. First the upper parts, then the lower
V. All modalities placed to the related function
Symptoms are arranged according to the organ or part, in which they appear, not where they originate. Each part will have at the beginning a key to the special order if necessary and an index.
Hahnemann after his first work on materia medica changed the names of some drugs, Murias magnesiae was corrected as Magnesia muriatica. Helleborus Niger was a Melampadium, and so on. First attempt was made to translate homoeopathic materia medica from German into the English for this Jahr’s manual was chosen.
C Hering says, Alphabetical lists in the repertories would have had to undergo great alterations as chemical and botanical nomenclature since 1835 changed so frequently, he says we may alter the names of the drug to avoid mistakes.
E.g. Carburetum Sulphuris instead of the older Alcohol Sulphuris.
- Author gives reason when we can change the name of the drug
- Names can be changed for not keeping bad names alive
- When the name was without proving
- If original prover prefers a better name.
ABRIDGEMENT OF NAMES
Author says drug abridgements should be with certainty, ease and rapidity. 3 syllable may be given or the name be given in full. As errors are frequent in single syllable abbreviations. E.g. Ang, Arg, Arn etc.
Some abridgements are ambiguous, as crot may be eiter crotalus or croton tiglion, Cocc for Coccicionella or Coccus cacti.
- Drugs with no sufficient proving or sufficient clinical observations are omitted.
- Effect of the use of magnet, galvanism electricity. Also the use of sun light, blue light, heat, cold, air and water is not included in this book.
- Many medicinal springs, their analysis, provings and use together with sea water also needs a separate work.
- Author also says, reception of many drugs from animal kingdom as well as nosode will meet with opposition. E.g. Sepia in 1820 & Lachesis.
LIST OF NAMES & THEIR ABBRIDGEMENTS
In the beginning Author explains the marks used, I= somewhat proved, I I= More proved, I=Used, I I= Used often, I I= Very often, I I I= Polychrests.
Names of the remedies mentioned from Acalypha indica to Zizia Aurea. 660 remedies.
* indicates the remedies which covers the symptoms marked by * in the proper repertory part of the book.
NOTES TO THE LIST OF NAMES
- Author mention reasons for rejecting the name Cimicifuga for actea racemosa, he says there is no necessity for such a new genus, as the whole appearance of the plant is like Actea spicata, he also says the name is falsehood.
- Author says, we have right to give our medicines a more proper name, when botanists have adopted a bad name. E.g. Rhus venata, instead of mistaken vernix, Calcarea Ostrearum Hahnemanni is not a carbonate of lime, it contains traces of phosphates of lime. Preparation of Calcarea acetica was different Hahnemann dissolved oyster- shells in the vinegar to prepare the same. Cinchona officinalis, instead of Peruvian bark. Jambos instead of Eugenia iambos. Nucis vomicae cortex for Angustra falsa or spuria. In Boenninghausen’s repertory several symptoms have to be striken out which do not belong to real Angustra. Tabasheer which is siliceous deposit in the knots of the bamboo, obtained by the favor of Mahendra Lal Sarkar. MD. Calcutta.
- General term given to the alcoholic extracts of morbid productions, foolishly called isopathic remedies.
- Author says, most useful & fully proved are hydrophobinum and Psorinum. Other are Ustilago maidis, secale cor the fungus of potatoes, ambra of the pot fish, Antracin, the vaccinin variolin and medorrhoin etc.
Author gives remarks about translation of certain words from the German materia medica.
- East wind in the midst of Europe- Dry land wind, not like our East but more like our west wind.
- West wind in Europe- Moist wind like our east therefore we use ‘dry’ or damp wind.
- Bread in Germany means Rye bread.
- Bread and butter means Sandwiches.
- German “Suppe” is not Soup, but all dishes taken with the spoon.
- “Gurken” does not mean pickles, but either raw cucumber or such as undergone vinous fermentation.
- “Branntwein” is not our brandy, but whisky.
With regards to names of the parts of the body, different functions and the expressions for the numerous feelings and sensations, great care has been taken to avoid errors.
- Authors are only quoted when a distinction from others seems to be required.
H, means Hahnemann
B, means Boenninghausen
B.R, means Boenninghausen’s repertory
- Quotations have been given, but exceptionally.
- Many cases used have never been printed before, but all additions sent in by letter during publication of this work, the name of the observer will be added.
- Model cures have the name, if known N.N. means Nomen Nescio.
- Names of the drugs are abridged throughout by the same rule in the introduction, but sometimes, in the text, may have been shortened to save space.
MARKS AND SIGNS
In the margin lists the four degrees of Boenninghausen have been distinguished by the following marks:
I – Observed on the healthy
II – Observed often and repeatedly
I – Applied successfully with the sick
II – Applied very often and repeatedly
- In most margin lists the I has been omitted and appears only when it seems necessary to make a distinction. Sometimes intermittent or higher degrees are signified by II or III.
- Observing practitioners will have opportunity to make additional marks of distinction.
- Other abbreviations and signs added to some of margin lists are always explained at the head.
- The margin lists ought to contain the names of all the medicines mentioned in the text.
- Not all the medicines given in the margin list are contained in the next.
- r and l, Right and left refers to what was mentioned before or relates to the medicine following, thus it stands between symptom and the medicine.
- r to l or l to r, signifies the symptoms went from one side to other with the sick.
- If * is added, it signifies that symptoms went from one side to other with sick and it supposed to have been cured by the named medicine. (pg. no 78)
- CCC- Conditions, connections and concomitants. (pg. no 249)
- Initials of the words in the headings are sometimes given in the text instead of the whole word.
_ stands for the beginning of last paragraph, distinguished by black type.
> Lessened/ameliorated by what follows.
<Increased or aggravated by what follows.
amm: and many more
s: See or compare
Author says, all those who complain of it being too much for them, we refer to pamphlet “last events of 1867 Boericke, Philadelphia”, he further says if we never learn to unite all of those symptoms , we never can arrive by careful induction at characteristics, which is the true Hahnemannian way.
PLAN AND CONSTRUCTION
The book contains one main chapter and two subchapters.
I.e. Main chapter: MIND AND DISPOSITION
Bodily symptoms connected with the mind.
I. Ailments from emotions and exertions of mind
II. Mental concomitants of bodily symptoms
Under the main chapter i.e. MIND AND DISPOSITION
- Only such symptoms of the mind are given which are in connection with bodily symptoms
- Author says, every follower of Hahnemann should know organon from first to fifth editions, about the importance of mind symptoms, he mentions following aphorisms from Organon 5th & last edition.
Aph 88, 208, 211, 212,213 and 253.
This follows subchapter I Ailments from emotions and exertions of mind
- Starts with heading “Happy surprise” ends with heading “Ailing from overexertion of mind and Body”.
All the headings are as follows-
- Happy surprise.
- Complaints after laughing-
- Fright and fear.
- Shock of injury.
- Ailments the result of fear.
- After Anxiety.
- Homesickness, Nostalgia
- Love pangs.
- Grief and sorrow.
- Better in company or better when alone.
- The talk of others increases the sufferings
- After Mortification
- After Emotions and excitement
- Symptoms appear when thinking of them
- Better while thinking of ailments
- Better when thinking about something else.
- Complaints after talking, speaking conversing.
- Headache from exertions of mind or intellectual work.
- Other complaints after mental exertion, over study, meditating etc.
- Ailing from overexertion of mind and Body.
These 23 parts related to emotions and exertions of mind are followed by 2nd subchapter i.e.
II. Mental concomitants of bodily symptoms
This subchapter starts with heading “Head” and ends with “Women and old people”
|1.|| HEAD |
|16.||ROOF OF THE MOUTH AND PALATE|
|20.||DESIRES AND AVERSIONS|
|22.||STOMACH SYMPTOMS WITH ANXIETY|
|24.||ABDOMINAL COMPLAINTS, WITH ANXIETY AND CONCOMITANTS|
|26.||EMISSION OF WIND|
|27.||LOOSENESS FOLLOWING EMOTION AND EXERTION|
|28.||COSTIVENESS AND CONSTIPATION, WITH MENTAL SYMPTOMS |
|32.||. FEMALE INNER SEXUAL ORGANS|
|34.||LARYNX AND WINDPIPE|
|35.||IN AND EXHALATION, |
|36.||COUGH AND MENTAL CONCOMITANTS|
|37.||. PECTORAL ANXIETY|
|38.||ANGUISH IN HEART |
|40.||NECK AND BACK|
|43.||ALL THE LIMBS|
|49.||CONVULSIONS; EPILEPTIC AND OTHER SPASMS|
|50.||MIND AND BODY WEAK, FEEBLE AND RELAXED|
|52.||TIMES OF DAY|
|55.||CHILL, HEAT, SWEAT|
|56.||PERIODICITIES, ATTACKS OR SPELLS|
|61.||TEMPERAMENTS AND CONSTITUTIONS,|
- After the name of most of the headings some note is given, which explains the order and terminologies used under the specific heading.
E.g. Under the part name “AFTER EMOTIONS AND EXCITEMENT” in small letters following note is mentioned, which explains the part more accurately.
“AFTER EMOTIONS AND EXCITEMENT”
The marks inside of the margin list signifies the degree in which heart, pulse and circulation are affected.
- Some of the heading names in English are followed by name in Germany, especially of Subchapter I.
- Most of the parts have list of the indicated remedies in the margin along with their gradation (I, II, I, II), these remedies are in bold roman.
- Rubric under each part is given in bold roman, followed by sub rubric in simple roman.
- All the remedies in the text, outside of margin are in italics.
- Most of the parts are followed by Model cures by different authors.
- After every part horizontal line is present.
- Other than model cure given at the end of the most of the parts, MODEL CURES are also given at the end of the subchapter I.
- Includes appendix to some of the chapters like Mind, Face, sleep, temperaments etc.
INDEX TO MODEL CURES
- At the beginning note is given, followed by the list of Author names, remedy name along with page numbers.
– INDEX TO REMEDIES: This is also a part of Index to model cures, given according to the remedy in alphabetical order, from Aconite till Zizia.
- At the end, Index in general is given.
SCOPE OF THE BOOK:
- Extensive mind rubrics in the form of Ailments and mental concomitants of bodily symptoms.
- It’s the compilation of important contributions of C Hering.
- Author explains Boenninghausen’s repertory in the introductory parts, which adds on information.
- Explanation of abridgements of drugs extensively given, along with when to change the name of the drug with reasons.
- Note on Nosode, zymotic diseases.
- How to use book, Limitations & conclusion explained by author.
- Marks and signs are mentioned clearly.
- Index is given in detail both for model cures and in general for the whole book.
1. Analytical repertory of the symptoms of the mind, 2nd edition. Reprint edition 2004.
2. Pioneers of Homoeopathy by Dr. Smit Goel.
Dr Mauli Narewadkar P.
PG Part II
Under the guidance of Dr V. Guruprasad PG Guide and HOD
Dept. of Case taking & Repertory
Govt Homoeopathic College & Hospital Bangalore.