Bhanu desai how to select similinum

DESAI Bhanu Bhanu D., D. , How to find the Similimum Similimum with with Boger-Boenningsha Boger- Boenningshausen's usen's Repertory (ds1) DESAI Bhanu D. Preface to the second edition It gi gives me great pleasure p leasure to fi find that this this book bo ok is is going into its second sec ond edition edition within within two years. years. Thi This opportuni opp ortunity ty has been taken take n to correct errors and omissi omissions ons and bring bring the book up-to-date. I woul would like once agai again n to express express my convi conviction, ction, born of experi experien ence ce of myself and some colleag colleagues, ues, that constant use of Borger-Bonningha Borger- Bonninghansen' nsen'ss Repertory, in acute ac ute as well as chronic cases, cas es, can be a valuab valuable le and unfailin unfailing g aid in in fi finding nd ing the similim similimum. um. May the numbe numberr of prescribers prescr ibers who use this this Repertory Repe rtory grow gro w and may they raise hi high the banner ba nner if if Hahnemann Hahnemannian ian Homoeopa Homoeo pathy. thy. Bombay: Bombay: 25th March, 1983. 198 3. Bhanu Bhanu Desai Author's foreword Every homoe homoeop opath ath dreams dre ams of prescribing pre scribing the curative remedy in every case ca se of illn illnee ss that comes co mes to him him so s o as to attain Hahnemann's highest highest ideal of o f cure, viz, viz, a rapid, gentle and permanent per manent restoration resto ration of o f health-and health-a nd to find find that remed remedy y easily easily and quickly. finding finding the simillimum simillimum necessarily neces sarily involves involves com co mparison pa rison of o f the case cas e with with remedies, and of remedies between be tween them and of weighing weighing one remedy against another in its appli ap plica cati tio o n to the individua individuall case. cas e. This This is by no means means an easy ea sy task when when it is is remembered remember ed that while while there are remedies having having the same symptom, symptom, they also have have their different differentiat iating ing poin po ints. ts. The consci consc ientious ent ious homoeopth, homoeop th, therefore, the refore, has to take tak e the final final dec d eciision after referring to the Materia Medica and/or a Repertory. Now, an arti artisan is only only as good good as his his tools tools are. Eve Even n an able able arti artisan cann cannot turn turn out good work with with defecti defec tive ve tools. too ls. On the other hand, without without knowledge and the abil ab ility ity to use them, even the best of tools too ls are useless. useless. Having Having found found the Boger Boenningha Boenning hause usen's n's Reperto Rep ertory ry an excell exce llen entt and ever reli reliable ab le tool too l in my search sea rch for for the curative remedy duri d uring ng the last last nearly forty years of o f my practice pra ctice as a Homoe Homoeop opathic athic physicia physicia n, I feel I will will be be ungrate ungrateful ful to the profession pro fession and a nd the science of homoeo homoeopa pathy thy if I do not share with my professi profession onaa l brethr brethren en the the manner manner in whi which thi this Repertory Repertory could could be used to fi find the the simillimum quickly and accurately. I was fi first introd introduced uced to thi this Repe Re pertory rtory by the late late Dr. A.C. A.C . Das who, who, in in his his days, was wa s WellWell- known in Bombay as a master presc p rescriber. riber. Dr. Das's Das' s exhorta exhortation tion still still rings rings in my ears. ea rs. He said, "Dr. Desai, Des ai, this this is very very valuable valuable reperto rep ertory, ry, and if you ????it ???? it thoroughly, thoroughl y, you will will never find find it wanting. wanting."" I have have reall re ally y found found it to be so over the years in case after case. Why do I recommend recommend the Boger Boenningha Boenninghausen' usen'ss Repertory as the best tool foe foe the Homoeopa Homoeo pathi thicc Artisan ? It is good to know the answer, and thi this has necessitated neces sitated my going going into the philisop philisop hical hica l back ba ckground ground of the Reperto Rep ertory ry as well as detail de tailss of its construction. construction. The next point about how to use it efficie efficient ntly, ly, is met by giging giging a few impo important rtant hints hints first firstly ly on casecas e- taki tak ing, seco se condly ndly on the Sel Se lecti ect ion of Character Chara cteristic istic Symptoms Symptoms for repertorisation rep ertorisation and, thi thirdly, rdly, a step by step procedure proce dure for quick quick and a nd accurate repertorisation. Practice makes a man perfect-and an ounce of practice is worth a ton of theory. Therefore, Therefore, to enable enable the reader rea der to get down to the actual job, twentytwenty-five five cases of actual actual reperto rep ertorisati risatio o n are giv given, en, some from from my my own practice pra ctice and a nd some from from other prescribers. pres cribers. A brief brief discu discussi ssio o n of the the method ethod foll ollowed is giv given with with the the cases. These These are foll followed by

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another twenty-five twenty-fi ve cases cas es for for practice; in these, while while the reader read er is is given given the rubrics, rubrics, it is is left left to him him to locate them in the Repertory, Repe rtory, work out the analys analys is in a Chart Char t and fin find d t he curative remedy. Then foll follow ow yet another twenty-five twenty- five cases cas es (with the names names of the curative remedies in the the "Solu So lutt ions" ions " section), sec tion), and a nd the reader read er is requi req uired red to convert co nvert the sympto symptom ms into into rubrics, and work out the analysis in a Chart. If the reader reade r conscientio conscientio usly usl y uses these seventyseventy- five cases as "exercise exercisess in reperto rep ertorisati risatio o n", he will will surely acqui acq uire re consi co nside derab rable le mastery in the use use of this this Repertory Repe rtory and lear learn n the art a rt of finding finding the remedy for a given given case cas e fairl fairly y rapi rap idly. The Repertory contains a large number of allied rubrics scattered all over. CrossReferences References to such such rubrics rubrics scattered all over. over. Cross C ross-References -References to such rubrics rubrics are given given in the second part of this booklet, and readers are advised to copy down the page numbers near the relevant relevant rubrics, so that the alli allied ed rubrics can be referred to at once whenever required. A numbe numberr of o f additi ad ditiona onall rubrics remedies re medies have also been bee n given given in this this part, p art, for for bei be ing added add ed in in your copy co py of the Repertory. I would would suggest suggest readers reade rs to paste a few bl b lank sheets of pape pa perr at the end of each eac h Chapter Chap ter in in the Repertory, Repe rtory, in which all such new new rubrics of remedies coul co uld d be adde ad ded d (after (after making making sure that they are not already there the re in in some some allied allied form or another). This This will will keep ke ep the Repertory Reperto ry razorrazor - sharp in its utility, utility, and will will sharpe shar pen n your abil ab ility ity in using using it in all all types of case ca ses. s. Till Till recently rec ently I had no idea de a that I will will contri co ntribute bute one more more book bo ok to the large volume volume of litera literature ture on Homoeopa Homoeo pathy. thy. However, Howe ver, membe members rs of o f the homoeopathic homoeop athic Study Circle, whom I have been be en gui guidin ding g for nearl near ly five five years now no w in in the use of this this Repertory, Repe rtory, and who have found found the Repertory Reper tory to be a grea greatt help help in fi finding the simill simillim imum, um, have been bee n repeatedly repea tedly pressi pressing me to make make the the techni technique que of usi using ng thi this Repertor Repertory y avai availlable to the the professi profession on as a whole. whole. The The suggestion suggestion appealed app ealed to me me and and at my request, req uest, Mr. S.M. Gunavante, Gunavante, an enthusia enthusia stic st ic member member of the Study Circle, undertoo under took k the arduous ard uous task of comi co miling ling this this book, based on the the discu discussi ssions ons at our weekly weekly meetings eetings.. He has thus thus assisted assisted me greatl reatly in getting getting it up in in its prese p resent nt form. form. My special spe cial thanks are due to him him as well as a s to other leadi ead ing members of our group, group, such as Dr. Dr. S.Y. Rele, Rele, H.M. B., and Dr. (Mrs) Geeta Punjabi, L.C. L.C . E.H. for their encouragemen enco uragementt in this this endeavour ende avour for the benefi be nefitt of o f our professi professional onal brethren brethren.. I will will be amply gratified if this this boo b ook k helps helps the younger younger and upc upcomi oming ng generation generatio n of Homoeopa Homoeo paths, ths, if not the old-ti old- timers mers too, too , to become bec ome proficie proficie nt as well well as efficie efficient nt practiti practitioners oners of the the art of cure cure by Homoeopath Homoeopathy. y. "Vasant "Vasant Urmi" Urmi" Bhanu Desai Des ai 9thx10th Road Khar, Bombay- 400052 March, 1981 PAGE 1 How to find the sim simillimum with with boger-boe boger- boenn nningha inghausen's usen's repertory reperto ry "You must learn your repertory reperto ry by heart almost, almost, and know where where to search. Of O f course, I am searchin sea rching g this this since the last as t forty-seven forty-se ven yearsyears - every day da y fifty fifty times times at least..."least.. ."- Dr















various shorts hort-cuts cuts are a re suggeste suggested d and practised. pra ctised. The question is how how far they are reliable. reliable. Firstly, Firstly, readyrea dy-m made, ad e, easy-looking easy- looking "Therapeut Therap eutic ic Hints" Hints" are availab available le in plenty, but they are apt a pt to be more more of a trap than a real re al help help in the long long run; at best, they may be pall palliative, but true true long-term ong-term success success as a Hom Homoeopathi oeopathicc physi physici cian an cannot cannot be buil built on pall pallatio atio n and and tin tinkering. kering. The The Homoeopath Homoeopath depriv deprives himself of mu much high higher er level evelss of success succe ss by followin following g this this method. Seco S econdly ndly,, a thorough knowledge of the Materia Medica Med ica is is no doubt essential-the essential-t he more thorough the better. be tter. But how how many of us are gifted gifted with this this rare ra re abil ab iliit y? Perhaps, Pe rhaps, one may may develop d evelop this this mastery after a lifelife-time time of study and practi prac tice ce ! But a physician physicia n needs need s thi this abi ab ility lity here and now, when when he is is young and a nd inexpe inexperie rienced nced,, as also in in old old age when he cannot work hard and a nd memory memory sometimes becomes becomes undependa undependabl ble. e. Can he alway alwayss rely rely on the the sketchy sketchy knowl knowledge edge he had gain ained during during his his college college days, da ys, supplemented supplemente d by a study during spare spa re hours after a tiresome day? da y? Does Doe s itit pay p ay him him to resort resor t to hit hit or o r miss miss methods? PAGE 2 It must must be b e stressed stres sed that a successful succe ssful Homoeopa Homoeo pathi thicc prescription pre scription can only be made in the backgroun background d of a thorou thorough gh knowl knowledge edge of the the dif differentiating sym symptoms ptoms of various various remedies. There are as many poin po ints ts of o f similarit similarity y between be tween remedies, re medies, as there are poin po ints ts of differentiat differentiatio ion, n, and to find a way out of the maze maze and decide which which remedy, on balance, balance, is most most similar similar to a given given case cas e is is not an easy eas y task. task . It is obvious obvious that complete depe de pendance ndance on a study of o f the Materia Mate ria Medi Med ica alone (that is, that part pa rt of it which which is retained retained in our memory) memory) for appli ap plica cati tio o n in a given given case, cas e, is diffi difficc ult in practice and a nd is is bound bo und to be uncertain in results. In the same way, can a knowl knowledge edge of Key-notes, Key- notes, however thorough thorough it may be, be , be reli relied upon to lead ea d invariab invariab ly to the curative remedy? Rhus tox. is is not the only only remedy remed y which which is "worse at the begi be ginning nning of motion motion"; "; Capsicum Ca psicum,, Coni Co nium um,, Euphorbia, Ferrum Fe rrum,, Pulsatilla and Lycop Lycopod odium ium are all equally eq ually promi pro minent. nent. "Sweat Swe at while while awake" awak e" is is not met with with in Sambacus Sa mbacus alone, but in in Pulsatil Pulsatillla as well to the same , and in in Mercurius, Nux Vomica Vomica and Phosphorus Phosp horus to a lesser extent. exte nt. Though valuable in themselves, themselves , KeyKe y-notes notes alone may mislead us. To arrive arrive at a t the "constit "constit utiona ut ionall remedy" of a pati pa tient ent by a mere mere look loo k at his his physiognomy, physiogno my, compl co mplex exiio n, gait behaviour, or at best be st a brief interrogat ion is tempting; tempting; but this this art a rt is only given given to masters like K ent or Lipp Lippee- and can we ignore ignore that even that mas mastery tery was a result of hard study, close observati obse rvation on and plenty plenty of practice? Even Hahneman Hahnemann, n, who had proved pro ved a numbe numberr of remed remedies ies on himself himself and also also gui guide ded d and supervi super vised sed the provi pro vings ngs on others, of a large numbe numberr of remedies which which form the core co re of the Homoeopathic Materia Medica even today, toda y, and and as such had had a thorough thorough grasp of the the genius genius of the remedies as no one else could have had, had felt felt in the course of o f his his own practice practice in his later years, the the need for an index ndex to the the volum oluminous inous sym symptoms ptoms produced produced by by the variou variouss remedies. remedies. He had, theref therefore, ore, enthusi enthusiaa stica stic a lly welcomed welcomed and a nd approved app roved the "Rep "Reperto ertory ry of Antipso Antipsorics rics"" compil c ompiled ed by his his able ab le desciple de sciple Von Boenningha usen. use n. PAGE 3 It should should be ovious, therefore, ther efore, that if the old masters felt felt the need nee d of a Repertory, Repe rtory, much much















Place of boger-boe boger- boenn nniinghause ngha usen's n's repertory repe rtory in in homoeo homoeopath pathiic literature Of the Repertories in the hands hands of the profession profession today, the "Boger"Boger-Boenn Boennin ingha ghausen's usen's Reperto Rep ertory" ry",, edi ed ited by b y Dr. C.M. Boger is the subject subjec t of thi this little little book bo oklet. let. It is unfort unfortunate unate that though it is is second sec ond to none none in its practical utility, utility, it appea ap pears rs to have been bee n comparativel co mparatively y neglec neglected ted.. The aim aim of this this boo b ook k is to provi pro vide de an impetus to a wider circle circle of Homoeopa Homoeo paths ths to disco discover ver for themselve themselvess its imm immen ense se value value as a s an unfaili unfailing ng aid in finding finding the similli simillimum. mum. Development Developme nt of o f this this repertory repe rtory The The compil compilati at io n of the Boger-Boenningha Boger- Boenninghausen' usen'ss Repertory in its present form form represents the combin combined ed wisdom wisdom and experience experience of two master- minds, Boenninghausen Boenninghause n and Boger, as will will be presently pre sently seen. see n. The The form of this this Reperto Rep ertory ry was wa s init init ia lly ll y adop ad opted ted by a logica logica l, creative cre ative scientific scientific thinker thinker like Boenning Boenningha hause usen, n, a close stude student nt and disciple disciple of Hahnemann. More than fif fifteen teen years after the had issued the first first Repertory, Repe rtory, Boenningha Boenninghause usen n brought brought out o ut the "Therapeutic Pocket Poc ket Book" incorporati ncorpora ting ng therein therein the results of o f his his vast experience. Master Mas ter prescriber pre scriberss like Lipp Lippee and Carroll Ca rroll Dunha Dunha m, both bo th close fri friends ends of Boenni Boenningha nghausen, usen, expressed their their appreciati ap preciation on of this this work. work . As H.A. Roberts says sa ys in his his Introductio Introductio n to this this book, boo k, "Hempel, Hempel, Oki Ok ie, Boger and a nd T.F. All Allen, among others o thers have giv given en of their their time time and geniu geniuss in attempting to perfect this this little little work, work , "whi "whic h has stood the test of over a century of use and has run into into many editions editions and translations. PAGE 4 Now, Boger Boger was an assiduou assiduouss studen studentt of Boenni Boenninghausen nghausen and and also also a Germ German schol scholar. ar. Thus Thus he was able ab le to study, the t he origina origina l works work s of Boenning Boenningha hause usen n in German German and correct corre ct many faulty faulty translatio translatio ns of his his work wo rk in English. English. What im impressed pre ssed Boger during during these thes e studies studies was the the form of the Therap Therapeuti euticc Poc ket Book and its its practi prac tical cal usefuln usefulnes ess. s. He, therefore, therefore, adopted ado pted the the plan of the Pocket Poc ket Book and anl anlarged that work considerab considerably ly into what we we now now call the "Boenningha "Boenninghausen's usen's Repertory and a nd Characteri Characte ristics stics ". Thi This Repertory, encom enco mpasses pa sses in one volume volume the various works wo rks of Boenninghause Boenning hause n-the n- the origina originall "Repertory of Anti Antipsorics ", the "Th "Therape erapeutic utic Pocket Poc ket Book", the "Sides of the the Body", Body", the Erpertory Erpe rtory part p art of the "Intermit "Intermitte tent nt Fever" Fe ver" and "Whooping Whoo ping Cough Co ugh"" as well as a large number number of paragrap pa ragraphs hs from the "Aphorisms Aphoris ms of Hipp Hippoc ocrate rates". s". He also added add ed to this this new work a num number of remedies remedies which which were proved after Boenni Boenninghause ngha use n passed passe d away. H.A. Roberts describes this naw Repertory as perhaps one of the greatest pieces of Homoeopa Homoeo pathi thicc litera literatt ure left left by Boger, than whom there was never a more thorough student of Boenni Boenningha nghausen. usen. That That Boger Bo ger compil compiled 105 printed printed pages of "Additions to K ent's Repertory" Reperto ry" speaks spe aks volumes volumes for his his deep d eep knowledge of and insight insight into the characteristics of the remedies remedies and the the constructio constructio n of Repertories. Form of the repertory The The Boger-Boenninghause Boger-Boenning hausen's n's Repertory (like (like the Therape Therapeuti uticc Pocket Poc ket Book) is is divi divided ded into six disti distinct nct Chapters (excluding (excluding that on "Relat Relatiio nships" nship s" or Concordances). Co ncordances). Each Chapter Cha pter gives gives but one part of a sympto symptom m. The remainin remaining g parts par ts of that symptom are to be traced out o ut and the sym symptom completed completed by reference to one one or o r more of the remining remining















After all a ll,, a true Reperto Rep ertory ry has to be an Index to the various various sympto symptoms ms produce pro duced d by b y the drugs-an drugs- an Index Inde x in in which which the several parts p arts of the remedies can be readil rea dily y traced trac ed,, so that when the parts pa rts are merged merged (put together again) in a meaning meaningful ful way, there there emerges e merges the pictu picture re of the remedy remedy whi which best meets meets the the di d isease-pictu sease-picture. re. Index Indexiing cannot cannot be done without without break bre akiing up the sympto symptoms ms into into parts; pa rts; but this breaking bre aking had to be done do ne in such a way that, what was broke bro ken n coul co uld d be brough bro ughtt together again in a meaning meaningff ul way. Cri Cr itics of such break br eakin ing g up argue that that this this proc p rocess ess of break bre akiing up scatters scatte rs important important parts pa rts of sympto symptom ms in differe different nt Chapters Chap ters and makes ak es the the origin originaa l sympto symptom m unavilab unavilable le when requi req uired red,, and a nd renders rende rs comprehension co mprehension of the Totality Totality more diff difficu icu lt. This This line line of argumen argumentt is a fallacy. fallacy. On the contrary, co ntrary, the break bre akin ing g up proce pro cess ss makes akes the parts availab availab le for appli ap plicatio cation n in varyin varying g circums circums tances ta nces of diverse ill illnesses, nes ses, and actual act ually ly releases release s it from the "strangle-ho "strangle- hold" ld" of a "unified "unified sympto symptom". m". Let us take, tak e, for example, the sympto symptom: m: Abdo Ab domen, men, distended, distended , with flatus; flatus; inab inability ility to wear tigh tightt clothing: clothing: Nux-v. (Knerr's (K nerr's Repertory, Reperto ry, p. p . 491). 491 ). If thi thiss symptom symptom is not not brok bro k en up, it will will have to be repeated repea ted under under differe different nt rubrics such as "Distended Distende d ", "Flatus "Flatus", ", "Pressure of clothes", etc. Moreover, More over, the prescriber pre scriber's 's vision vision will will be limited imited to this this "one sympto symptom" m" alone. Let us see what happens when it is broken up. In Boger-Boenninghausen's Reperto Rep ertory ry we find find Nux-v. Nux-v. along with with 122 remedies under "Abdomen, inflatio inflatio n, distensi distensio o n" (p. 551); with with 84 remedi remedies es under under "Abdomen, "Abdomen, fullness ullness"" (p. 560); with with 37 remedies remedies under under "Agg. Agg. from pressure pre ssure of o f clothes" clothes" (p. 1135). Now, N ow, each of these parts (rubrics) (rubrics) could become b ecome applicable applicable to dif different cases, and we find find because bec ause of the breaki break ing, ng, that Nux-v. Nux- v. is is not alone for this this group of sympto symptoms. ms. Lycopodium Lycopo dium emerges equall e qually y strongl stro ngly. y. If we are to choose between betwe en Nux-v. N ux-v. and Lyco., we shall have to elicit elicit some more diff differe ere ntiat ntia t ing sympto symptoms; ms; and Nux-v. Nux- v. wil will score sco re if there is is "rep "repugn ugnaa nce to food", while while Lyco. wil will be indicated if there is "spe "speed edy y satiety". PAGE 6 This This example, we hope, hope , will will suf s uffice fice to show how by breaki break ing up the sympto symptoms ms into into meaning meaningful ful parts, pa rts, our capacity cap acity to combi co mbine ne them in in diverse conditi c ondition onss of illne llness ss and find find the real similimum similimum for a case cas e actual actua lly increases. ncrea ses. Phil Philosophica osop hica l backgroun bac kground d of the repertory repe rtory The The above ab ove discussi discussio o n leads us to the phil philosophica osop hica l backbac k- ground ground of the Repertory, as breaking breaking up of sym symptoms ptoms is not merel merely y a matt matter er of conven conveniience. The The questi question on was whether the reconstructed reco nstructed picture of the remedy (and the disease) will will stand the acid test of clinica clinicall confi c onfirr ma t ion, which which alone a lone can justify justify the method of classific classific ation at ion adopte ado pted. d. Boenni Boe nning ngha hause use n found found that in in the Materia Mate ria Medi Med ica Pura, the origina originall source record reco rd of all provi provings of the the Poly Polychrests chrests,, many any sym symptoms ptoms are in incompl complete ete eith either er because because the the part of the the body or the the kin kind of sensati sensation on is not clearl clearly y indicated. ndicated. Frequent Frequentlly, the the aggrav aggravati atio o ns and and ameli amelioratio orat ions ns accordin acco rding g to ti time or circum circums tance ta nce are omitted.. omitted.... the indi individua vidualit lity y of the prover prover exerci exercises ses an inf influence luence on the the provi proving whi which easil easily misleads.... sleads.... and, in in general general the the worth or worthlessness worthlessnes s of most symptoms symptoms can be ascerta asc ertain ined ed only by means of of pains painstaki taking ng compari comparison sonss of the the whol whole" e".. He foun found d these these defi deficiencies ciencies not onl only in the the Materia Mate ria Medica Med ica but even when when the patients state sta te their their symptoms. Drawing upon up on his his vast















for example, example, it was not not possible, possible, by questioning questioning a patient, patient, to deci dec ide what aggravated or ameliora amelioratt ed a particul pa rticular ar sympto symptom m of the case, cas e, the the patient would would read re adil ily y express expre ss a conditi co ndition on of aggravatio aggravation n or ameliora amelioratt ion io n of some other sympto symptoms. ms. It did not not take tak e long for Boenningha Boenninghause usen n to discover that the the conditions conditions of aggravatio aggravation n and ameli ameliorat oratio ion n are not conf co nfin ined ed to this this or that particular sympto symptom, m, but they apply ap ply to all all the sympto symptom ms of the case. The same was, more or less, the case with sensations. PAGE 7 Boenningha Boenninghause use n found that conditio conditio ns or ameli amelioratio ora tion n have a far more sign significa ificant nt relation to the totality totality of the case ca se and to its single single sympto symptoms, ms, and a correc co rrectt choice of the suitab suitablle remedy dep d epends ends very very often o ften chiefly chiefly upon them. them. It was a stroke strok e of genius genius that led Boenni Boe nning ngha hause use n to formulate formulate this this prin p rinciple ciple which which vastly sim simplified plifie d the task of constructing co nstructing the Repertory, Reperto ry, and conversely the task of finding finding the simillimum simillimum corresp co rresponding onding to the totality totality of sympto symptom ms, of which which the conditi co nditio o ns of aggravati aggravat io n and ameli amelioratio orat ion n are an indispensab ndispensab le part. This This app a pproa roach ch was criti criticise cised d by some maste masters rs as a s taki tak ing a far far too simpli simpliss tic view, view, since since there are occas oc casions ions when a local modal moda lity is quite the oppo op posite site of the general one. As there was consi co nsider derab able le force in this this argum ar gumen ent, t, Boger Bo ger has has giv given en in the Repertory Reperto ry the conditi co ndition onss of aggravati aggravat io n and a nd ameliorat amelioratio ion n perta p ertain ining ing to anatomi anato mica ca l regions and function functionss (i.e. local oc al modalities modalities)) also apart ap art from the the Chapter Chap ter on General Genera l Modali Mod alities. ties. The next next problem prob lem in in constructing co nstructing the Repertory Reperto ry was how to classify the sympto symptoms. ms. A haphazard classifica classifica tion tio n would not lend itself itself to t o an easy ea sy reconstruct rec onstruction ion of totali tota litt y of a given given case. Boenni Boenninghause ngha usen n proceede proce eded d on the hypothesis hypothesis that the the totali totality was not only only the sum total of the sympto symptom ms of a case, cas e, but was in itself itself one grand sym s ympto ptom m of the patien patient. t. Thi This one gran grand d sym symptom of the patien patientt had necessari ecessarily to compri comprise se three three facts, viz: 1. The anatomica anatomica l region or location. 2. Sensation, Se nsation, i.e. .e . , the kind of pai pa in, sensation s ensation or organic organic or functiona functionall change which characterises the orbid process. proc ess. PAGE 8 3. The condition conditionss of aggravation or ameliora amelioratt ion io n (as to time time and a nd circums circums tances) ta nces) which which cause, ca use, incre increase ase or afford afford relief relief to the the sufferin suffering. g. To these three three aspects aspe cts which which together gave a complete complete symptom, symptom, Boenningha Boenningha usen use n added add ed a fourth requi req uireme rement, nt, the concomi co ncomita tant, nt, which which itself is often divi diviss ib le in the three divi divisions. sio ns. He observed obse rved that nearly in every e very case there were to be found one or more concomi co ncomita tant nt sympto symptoms. ms. A concomi co ncomitan tantt sympto symptom m is one which which co c o - exists or appe ap pears ars in some relation relation to time, time, with the the outstanding sympto symptoms ms of the complaint. Concomi Co ncomitan tants ts are those which which seemi see mingl ngly y have no relation to the lead leadin ing g sympto symptoms ms from the the standpoint standp oint of theoretica theore ticall pathology. p athology. We might might alm a lmost ost term them as "unreasonab unreaso nable le attendants" atte ndants" of the case in hand. True to the teachin tea chings gs of Hahnemann, Boenninghause Boenning hause n recogni rec ognised sed that every sympto symptom m or or a part of a symptom symptom belongs belongs to the case as a whole, whole, and consequently enables us to compl co mplete ete the partial par tial sympto symptoms ms by combi co mbining ning the separate separ ate fragments fragments into a whole. This This is

















(or classified) classified) the symptoms symptoms accord acc ordin ing g to their location (from head to foot), sensation of various kinds, condition conditionss of aggravation or ameliora amelioratt ion io n and a nd concomi co ncomitan tants. ts. The thi third problem pro blem in in the construct io n of a Repertory Repe rtory which the maste masterr- mind mind of Boenni Boe nning ngha hause use n solved (and which which has been be en foll followed owed by ohters after him) him) was wa s to fix fix the the comparative co mparative value value of remedies in relation to a given given sym s ympto ptom. m. N ot every remedy re medy produci producin ng a parti particul cular sym symptom in the provers, provers, produced produced it equally equally intensiv tensivel ely, y, or has has beenconf beenconfiirmed equal equallly frequen requently tly in pract p ractiice. Boenni Boenninghausen nghausen felt elt that that thi this important portant aspec asp ectt should be b e within within the knowledge of the physic physic ian in weigh weigh ing the appl app licability icabilit y of one remedy against others. PAGE 9 He solved this this problem pro blem by assigning differe different nt marks to remedies, denoted de noted by the differe different nt types used for differe different nt marks. In the Repertory Repe rtory under discussio discussion, n, 'Cap 'C apital itals' s' represent represe nt 4 marks marks , 'Bold' types denote 3 marks, marks, 'Italics' 'Italics' 2 marks and ordinary ordinary types stand stand for one mark. ark . Boenning Boenninghause hause n says that "in "in fixing fixing the exact relative relative values values of o f the remedies, remedies, he spared no industry, ndustry, care or circum circumspectio spec tio n to avoid avoid errors as far far as possibl possible" e".. The The first grade remedi remedies es (4 marks) marks) produced produced the the sym symptom in most of the the provers provers and and have giv given repeated repeated cli clinical nical confi confirmatio rmation n; the the second second grade remedi remedies es (3 marks), are only only a shade lower lower than the firstfirst-grade grade;; the thirdthird- grade remedies, though observed ob served in in provi pro vings ngs less often, have received rec eived cl c lini inica l conf co nfirm irmaa tion; tio n; and the lowestlowest - grade remedies remedies (one mark) mark) have been confi confirmed in practice practice occasion occ asionally, ally, and shoul should d not be ignored ignored merely because be cause of o f their low rank if, if, with other symptoms of the totality totality complex, they lead us to their choice. Boenninghause Boenningha use n found found that the breaki break ing up of the symptoms symptoms and a nd their classifica classifica tion tio n in the manner manner described de scribed abo a bove ve made them very flex flexiib le, so that they could fit fit into different different types of sympto symptom-gro m-group upss not even previ pre vicus cusly ly known. Was Wa s this this result justified justified and supporte supp orted d by clinica clinicall experience? e xperience? Nature Na ture com co mbines the elements of disease diseas e in ever varying varying forms forms accord acc ordiing to the constitution constitut ion and susceptibility suscep tibility of each eac h individu individuaa l patient. p atient. If Homoe Homoeop opathy athy is a true science and art, we should should be able to combi co mbine ne the elements of the Materia-Med Materia- Medica ica also to meet nature' nature'ss ever e ver varying varying forms. forms. The answer to this this prob p roblem lem as to how how the the symptoms in the the Materia Mate ria Medi Med ica could c ould be be safely adap ad apted ted through the process of breakin breaking up to meet meet ever ever varyi varying forms orms of disease disease was provided provided by Boenni Boe nning ngha hause use n's concep co nceptt of analogy already alread y referred to, by which which the location oc ation in one part a sensati sensati in anoth part and a modal modaliity of a thi third part could could be taken togeth togeth to

















give give it up too easily easily and too soon, soo n, even before we have acquired ac quired the art of using using it and become become thorou thoroughl ghly y famil amiliiar with with it. Accordi Accordin ng to the the phi philosophical osophical backgrou backgroun nd already already discussed, Boenn Boe nningha inghausen usen divi divided his his Repertory, Rep ertory, into into seven s even main Chapters Chapte rs (menti (mentio o ned below), below), and and that that plan plan has been faith aithfully fully foll ollowed by Boger Boger in compi compili ling ng the the Repertory Repertory under discussion: 1. Mind Mind and a nd intellect, intellect, includi including ng Sensorium Sensorium and Vertigo Vertigo from pages pa ges 191 to 250. 25 0. 2. Locations, Loca tions, i.e. , sensati sensa tions ons and compl co mplaints aints experienced expe rienced in different different locations, i.e. , anatomica anatomicall parts of the the body and and organs, accord ac cordiing to the the Hahnemann Hahnemanniia n Schema, viz. viz. : Head (250-308); Eyes (309-348): Ears (348-364); Nose (365-390); Face (390-416); Teeth (416-440); (416- 440); Mouth (441-472); (441- 472); Appetite/T Appetite/Thirst, hirst, etc. (472-499); (472- 499); Nausea and and Vomi Vomiting (500513); 513 ); Stomach and Hypochondria (514-5 (514 -543); 43); Abdomen (543-5 (543 -571); 71); Ingui Inguinal nal and Public Public Region Region (572-5 (572 -575); 75); Flatul Flatulence, ence, Stool Stoo l and Anus Anus (576(57 6-618 618); ); Urine Urine and Uri Urinary nary Organs (619-6 (619 -644); 44); Genita Genitali lia, a, male and female emale (645-6 (645 -668); 68); Sexual Impul Impulse se (669-6 (669 -674); 74); Menstru Menstruati atio o n (675-689); (675- 689); Respi Respirati ratio o n (690-705); (690- 705); Cough and and Expectorati Expectoratio o n (705-733); (705- 733); Larynx Larynx and Trachea Trachea (734-738); (734- 738); Voice Voice (738-742); (738- 742); Neck and Ext Extern ernal al Throat Throat (743- 748); Nape (748-752); Chest Chest (753-772); Heart Heart and and Regi Region of Heart Heart (773-784); Back, Back, Scapular, Scapular, Dorsal, Lum Lumbar, etc. (784-8 (784 -804); 04); Upper Extremities Extremities (805-8 (805 -842); 42); Lower Extrem Extremities ities (842(842 881) 3. Sensation and a nd Com Co mplaints plaints in General (881 -936); -9 36); of Glands Glands (937-9 (937 -940); 40); of Bones (940(940 944); 944 ); of Skin and and Exterior Exterior Body (944-9 (944 -979). 79). 4. Sleep and Dreams (980-1002) 5. Fever-Pathological Fever-Pathological types types (1002- 1005); Blood Blood (1005(100 5-1006) 1006) Palpitati Palpitatio o n, Heart beat, bea t, Pulse: Pulse: Circualtio Circualtion; n; palpitatio palpitation; n; Heart beat; Pulse Pulse (1006 (10 06-1 -1020 020); ); Fever in in General (1047 -1076 -1 076); ); Sweat (1076-1098); Compound Fever (1099-1102). 6. Condi Co nditi tions ons of Agg Aggravatio ravation n and Ameli Ameliora oratio tion n in General; General; of tim time (1103 (110 3 -1104 -1 104); ); of situations, positions, circumstances, etc. (1105-1153). 7. Concordances Co ncordances (Relati (Relationsh onship ip of Remedies: Remedies: (1154(115 4- 1231). 123 1). Mind It was not not the the intentio intention n of the joint authors, Boenninghause Boenningha use n and Boger, Boger, to reflect reflect the pictu picture re of the whol wholee man throu through gh his his mental ental reacti reactions alone alone,, important portant thoug though h they they are (or through any other predo pre domi mine nent nt group of o f sympto symptoms), ms), as they real rea lised how warped warp ed a vi even the most most c ful ful obse o bse have at ti and how how difficu difficult lt it is tim

















alone combi co mbined ned with with the modalit modalit ies and concomi co ncomitan tants ts help help us in selecting the remedy. remedy. After these these regional regional remedies, in each eac h sub- chapter, chap ter, foll follow ow in alphab alphabetica eticall orde o rderr the various sensations se nsations and compl co mplaints aints as well as functiona functionall di d isorders sord ers rel re lating to that part pa rt of the body, bod y, such as disorders disord ers of vision, vision, hearing smell, smell, appetite app etite nausea and vomi vomitt ing, diarrhoea, micturition, menstruation, respiration, voice, skin eruptions, etc. Each Sub-chap Sub- chapter ter is is also also foll followed owed by its loc local al mod modali alitt ie s of aggravation aggravat ion and ameliora amelioratt ion. io n. The prescriber pre scriber can c an compare compare these with with the General Genera l Modali Mod alities. ties. If a remedy is found found in both bo th these places, place s, its indicati ndicat io n beco be comes mes strong. The Repertory Repe rtory also contains contains the foll follow owing ing Sections Se ctions of Concomi Co ncomita tants: nts: Mind (229) Vertigo (247) Nausea Nausea and vomi vomiting (511) Stomach (532) Abdomen (567) Stool, bef. (593) Stool Stoo l, during during (595) (5 95) Stool, aft. (599) Urinating Urinating before (630 Urinating beginning (630) Urinating during (631) Urinatin Urinating g close of (633) (63 3) PAGE 13 Urinating after (633) Coition (673) Coition after (673) Pollution Pollution after (674) (674 ) Menses, before (678) Menses, at start of (681) Menses, during during (682) (6 82) Menses, after (686) Leucorrhoea (689) Respiration (705) Cough (720)

















dream drea ms that sometim sometime s repeatedly repe atedly harass a person are im important indicators ndicators of a man's man's state of health, health, and they they should should necessarily neces sarily form a part pa rt of the the totality. totality. Even the positi po sition on during during sleep sometimes sometimes leads ea ds to the curative remedy. Fever-chi Fever- chill ll,, heat, sweat, circul circulat atio ion n The The detai de tailled Schema wise wise concomitants concomitants to each of the Sub-chapters Sub- chapters Chi C hilll, Heat and and Sweat Swe at given given in this this Chapte C hapterr are extremely valuab valuable le in facilitating facilitati ng the choice of the remedy, in cases of fevers. fevers. In fact, these sections are a "Self-contai Self-co ntained ned Repertory on Fevers" Fe vers" within within the large Repertory. Reperto ry. Then again, again, the sub- sections sections "Partial Cold" C old" "Pa "Partial rtial Heat" Hea t" and "Partial Sweat" Swe at" do not not nec necessa essarily rily apply ap ply to cases ca ses of fever only, only, but are of use in non-febrile cases as well well. Do we not often com co me across sensations sensations of or actual coldness, heat or sweat in sing singlle parts in in non-febrile cases? These sub-secti sub-se ctions ons are some some more useful useful features of the Repertory, Reper tory, helping helping us to compl co mplete ete the totality. totality. PAGE 14 Conditi Co nditions ons of aggravation and ameliora ameliora t ion, in genera generall The mod modali alitt ie s apply ap ply to the patient pa tient as a s a whole and, and , as such, play a very very important important role in the choice choice of o f the the remedy remedy as already already stressed. Prope P roperr study study and thorough thorough familiarisa amiliarisa tion tio n with with this this Chapter helps helps a great deal in in case- taking taking and consequently consequently in repertorisation and selection of the correct corr ect remedy. Attenti Atte ntio o n should should be drawn here to the the group group of rubrics rubrics under the hea head d "Agg. "Agg. from Emotio Emotions" ns" appea ap pearin ring g at p. 116 11 6 in this this Chapter. Chap ter. These could c ould as well have figured figured in the Chapte C hapterr on Mind, Mind, and a nd may be taken tak en as such. They are also impo important rtant causativ ca usativee factors in in many many ail ailments. ment s. Cross references Translation Translatio n of the patient's language into into the language language of the rubrics is an ini initially tia lly difficu difficult lt task which which the prescriber prescr iber faces. faces . This This difficu difficult lty y can ca n be overcome overc ome only by thoroughly familiar familiaris ising ing onesel onese lf with the various rubrics. By way of help, Cross References References are given given at the the end of most of o f the Chapters or sub-sections. sub- sections. For exampl example, e, at p. 230-236 230-23 6 Cross Referen References ces to the the rubri rubrics cs on "Mi "Mind" nd" are giv given. When Whenev ever er one one does not find find a rubric for a symptoms symptoms one thinks thinks of, would would be useful useful to refer to the Cross References Reference s at the the end of the the respective respe ctive Chapter. Chap ter. If the rubric sought after cannot be found found inspite inspite of such a reference, reference , an analogous rubric or rubrics rubrics shoul sho uld d be consulted. Concordances, Co ncordances, i.e. , relation relationsh ship ip of remedies remedies Thi This Chapter also owes its its origi origin to the the "Th "Therape erapeut utiic Pocket Poc ket Book" of Boenninghausen Boenninghause n and shoul should d be consulted consulted when a nd prescripti beco ry after the fi first has

















compared compared with the same remedies in other rubrics, as above. ab ove. Both these exerci exerc ises gave puls. puls. the the top rank; rank; a casual casual study study of the Materia Materia Medica Medica confi confirmed thi this anal analys ysis, is, and with with the admiratio admiration n of Puls. the temperature tempera ture gradually came down to normal in three three days d ays (against (against ten weeks'ti weeks' tim me prognosticated prognosticated by a speciali specialist). Reconstruct Reco nstructing ing the totali tota lity ty from the reperto rep ertory ry From Fro m the preced pre cedin ing g discussion it will will be seen see n that, for arriving arriving at the curative curative remedy we have to bring together the various characterist chara cteristic ic sympto symptoms ms of a case ca se (in (in the form of rubrics) to cover co ver the total tota l case. The "Totality "Totality of Symptoms" covers cove rs fi five aspe as pects, cts, viz., viz.,:: (1) Conditi Conditions ons of Aggravation Aggravation and Am Amelio elio ratio rat ion. n. (2) Sensations, Sensations, includ includii ng strange, rare, rar e, uncommo uncommo n and peculi pe culiar ar sympto symptoms. ms. (3) Locations. (4) Concomi Co ncomitant tant Symptoms. (5) Mental Sympto Symptomsms- all of which which are ful fully ly covered co vered by b y the respective resp ective Chapters Chap ters of the Repertory. Reperto ry. Boenn Boe nniinghause ngha usen n did not want to to disturb disturb the balance by b y placing placing greater emphasis on any one of these five five elements of totali tota litt y. He wanted the similli simillimum mum to stand to stand stand four square on the the sol so lid foundation of the total total picture, picture, based base d on the the concept of the whole sick man. PAGE 16 PAGE Scan 16 PAGE 17 However, experience had shown tha tha modal oda lities and concomita concomitants nts characterised each case diff different ly and have have thus thus proved to be of greater help help in diff differentiat ere ntiatiio n of the the remedies. The mental sympto symptoms ms also held held the the same promi pro minence nence in differe differentia ntiatt io n provi provided they they are as strong strongly ly marked in the patient patient as in the the remedy remedy,, a poin pointwhi twhich ch it is sometimes sometimes difficu difficult lt to uncover. This This diffi difficc ulty ult y does do es not, however, app a pply ly to modali od alitie tiess and concomitants. Once the the uncomm uncommo o n, characteristic, individua ndividualisi lising ng symptoms symptoms of a case are determined determined under modalit modalit ies, mentals, mentals, general sensations and concomi conc omita tants, nts, and the corresp co rresponding onding rubrics in the Repertory are located, the remedies appearing against those rubrics are brough broughtt togeth together er in a chart chart by denoti denoting the the valu value (4, 3, 2, 1 as the the case may may be) of each remedy. The sum of the marks obtained ob tained again a gainst st all if if the rubrics by each eac h remedy, together with the total number number of rubrics rubrics it has has covered, covered , denote deno te the degree de gree of similar similarit ity y whic whic h each e ach remedy has to the total tota lity of the cas The small small be of remedies emergi with with high high



















PAGE 18 (i) (i) Concomitant Concomitant means accompanying a ccompanying or co-e co -exi xisting. sting. Of course, com co mmon place accom acco mpanime panime nts of a disease are un-im un-importa porta nt, unl unless they are present in an extraordinary extrao rdinary degree de gree or appe ap pear ar in a singular singular manner. manner. In fact, the further further a giv given en symptom sympto m seems see ms removed removed from the ordinary course of a disease diseas e (i.e. , the the more it belongs belongs to another sphere spher e of the pati pa tient's ent's health hea lth than than the chief complaint complaint-- and indeed ndee d beco be comes mes an "unreaso unreasonab nable le attendant" as some some masters masters have descibed it), it), the greater is its its therapeutic therape utic value. value. Concomi Co ncomitant tant is another name for such sympto symptoms. ms. A part par t from H.A. Roberts, Robe rts, Gibson Miller Miller has stressed stress ed that a remedy can c an cure groups groups of sympto symptoms ms even when they did not appear appe ar as concomita concomitants nts in indivi individ d ual provers, provi p rovided ded each component component of the the group was at least least observed obse rved by a separate sepa rate prover, thus thus leadi ead ing to the inclusio nclusion n of the sympto symptom ms in the respective respe ctive rubrics. For Fo r example, if in a case cas e of Bronchial Asthma Asthma (p. 690), 690 ), which which is worse by warmth warmth (p. 1150), 115 0), there there is a concomitance concomitance of polyuri polyuriaa (p. (p . 628), Pulsatilla would most likely likely be the drug of choice, choice, unless there are some characteristic charac teristic sympto symptom ms of Lachesi Laches is (which (which comes co mes a close seco se cond) nd) to rul rule out Pulsatilla. It will will be b e seen see n that in in the Concomi Conco mitan tants ts to Respirati Resp iratio o n (p. 705) 705 ) Pulsatilla carries carries four marks, which which means that it has a large numbe numberr of concomi co ncomita tants nts in systems other than respirati resp iratio o n. (ii) (ii) The peculi pe culiar, ar, strange, and a nd rare sympto symptoms ms are inde indeed ed concomi conco mita tants. nts. They cannot be explained explained on pathology patho logy,, yet they occur at the same time time as the chief compl co mplaint. aint. (iii (iii) When even a marked ark ed peculi pe culiar ar sympto symptom m belong be longing ing to the disease prope pro perr (i.e. thirstles thirstlesss ness during during fever) mak makes es the choice choice diffi difficc ult (there are a re 21 remedies of first first rank for thi thirstles rstlessness sness at p. 1069), 106 9), a concomita concomitant nt (e.g. , scanty urine, urine, p. 1071) wi will deci dec idedl ded ly indicate ndicate the drug (Puls.). (Puls.). So importance are concomita concomitants nts and they they deserve attention attention far



















bearing bearing feeli eelings of hatr hatred ed and reveng revengee (203) agai again nst a person, person, the the concom concomiitant of fall falling out of hair from the head head (p. 302) 302 ) and craving craving for salty things things (p. 477) 47 7) would call c all for for Natrum Natrum mur. ur. (vii (vii) Homoeopa Homoeo pathi thicc literature abounds ab ounds in in cases ca ses illustra illustratt ing in g the guidin guiding g part par t played by concomi co ncomita tants nts in the choice of o f the remedy. remedy. No wonder, wonde r, H.A. Roberts Rob erts in in his his introd introduct uction ion to the "Therape "Therapeutic utic Pock Po cket et Book" Boo k" says :"The "The concomi co ncomita tant nt sympto symptom m is to the totality totality what the condition of aggravation aggravat ion or ameliora amelioratt io n is to the singl singlee sympto symptom. m. It is the differentiating factor." PAGE 20 How to get the best out of the repertory We shall shall now no w give give a few brief hints hints on how to get get the best be st out of the the Repertory: Repe rtory: (i) Fami Fa miliarise liarise yourself thoroughly with the Repertory Reperto ry so that you you can easil ea sily y locate any rubric you yo u want. It is is only when you know kno w the various various rubrics in the book bo ok almost almost "by heart", as Dr. Pierre Schm Sc hmiidt says that your your interrogat interrogatio ion n of the patient, whil while taki tak ing the case, ca se, will will be thorough, coverin co vering g all the characteristic characte ristic detail de tails, s, and you wil willl also be abl ab le to translate the patient's pa tient's symptoms symptoms into repertorial reperto rial rubrics. (ii) (ii) Whenever you find find that certain rubrics rub rics appe ap pearing aring in different different parts pa rts of the Repertory Reperto ry are simil similar ar or allied, allied, and need need to be consul co nsulted ted together, you may may mark mark the page p age num numbe bers rs of the cross-references crossreferences close to the respective rubrics. rubrics. A num number os such crossreferences in respec resp ectt of such alli allied ed rubrics are a re giv given en in a separa sep arate te Section Se ction of this this boo b ooklet. klet. You are advi ad vised sed to enter the page numbe numbers rs of the crosscro ss- references reference s given given therein, at the relevant places places in your copy of the the Repertory Repertory.. Thi This wil will facili acilitat tatee easy and prompt prompt referen reference ce to all all the relevant rubrics when using using the Reperto Rep ertory ry and will will prevent pr event omission omission of import important ant



















(vii (vii) The Repertory Repe rtory contain co ntainss a detail deta iled ed index index at the the end, and the page pa ge numbe numbers rs given given there, compare c ompared d with with pages p ages of differe different nt Chapters Chap ters or Sections will will help you to locate the desired de sired rubrics rubrics in the relative relative Chapter. Chap ter. Nevertheless, an alphabeti alphabe tica ca l list of various impo important rtant subjects subjec ts is given given elsewhere in this this book bo oklet let for your conveni co nvenien ence. ce. (viii (viii)) No reperto rep ertory ry can claim perfection. BogerBoger - Boenning Boenn inghause hause n has some useful useful features which which Kent's Ke nt's reperto rep ertory ry does do es not have. The useful useful features fea tures of o f Kent Ke nt are not found found in BogerBoger-Boenningha Boenninghause use n, and so on. It is, therefore, therefore, advisable advisable to cultiv cultivate ate familiarit amiliarity y with with more more than one repertory (such as Kent's Ke nt's , S.R. Phatak's, Phatak' s, Boericke's, Boericke's, Boger's Synoptic Synoptic Key, Ke y, etc.) and make make appropriate app ropriate enteries enteries (or cross references references of page num numbers) bers) in the repertory repe rtory which which you use constantly. co nstantly. This This will will ensire that, when in in need, need , you you do not miss miss the resuired rubric or remedy, wherever it may be. be . Make Mak e itit a habit to refer to more more than one Repertory Repe rtory in every diffi difficc ult case, cas e, and you you wil will sonn become bec ome a successful succe ssful prescri prescriber. PAGE 22 (ix) (ix) Whenever W henever you read a remedy in the Materia Mate ria Medica, check chec k up if if its impo important rtant symptoms symptoms are entered entered in the Repertory. If they they are not not al a lready there, make up the the omissio omission n by an appro ap propriate priate entry in your copy. co py. This This exerci exerc ise in your spare hours will will fortify fortify your confide confidence nce in the the Repertory Repe rtory (as (a s there are very few or rare omissions omissions), ), and also enhance enhance your abili a bility ty in using using it to find find the simill simillim imum um in all types type s of cases cases.. You will will find find a numbe numberr of such addi add itions given given along with with the Cross Cr oss References to Rubrics in another Section of this booklet. (x) Finally,to Finally,to be a successful succe ssful practiti pra ctitio o ner of Homoeopa Homoeo pathy, thy, it is is essential that tha t you you also also master the various other o ther aspects aspec ts of this this system (besi (bes ides de s reperto rep ertorisati risatio o n), viz, viz, its



















(2) Be a close close observer ob server when the patient comes c omes to you or you visit visit him. him. Use your senses se nses of sight, sight, hearing, hearing, smell smell and touch with alertness alertness.. The objective ob jective sympto symptom ms, of which which the Reperto Rep ertory ry contain co ntainss many, many, are as nece necessary ssary as subjectiv subjec tivee ones, being b eing a part pa rt of the the totali tota lity. ty. (3) Do not negl neglec ectt the physica physica l examinat examinatio ion n of the patient - pal pa lpitation, percussion, pe rcussion, auscultatio auscultation, n, pressure and touch at the appropriate app ropriate spots sp ots may may reveal important important clues clues to diagnosing diagnosing the nature nature and depth of the the disease disease.. Where necess necessary ary this this should should be supplemented supplemented by pathologi pathologic a l reports, repo rts, X-ray X- ray report, repo rt, etc. Proper Prope r diagnosis diagnosis helps helps us in selecting selecting the remedies remedies appropriate app ropriate to the the stage and depth of the ailm ailments, as remedies remedies vary in pace, pa ce, depth de pth and stage of appl app licability. icabilit y. Som So metimes, etimes, it is useful useful to "antic "antic ipate ipa te"" and administer administer a remedy taking taking into account ac count the the progn pro gnosis osis (course and speed). (4) Explai Explain n to the patient patient that selection of the Homoe Homoeop opathic athic remedy dep d epends ends upon all the sympto symptoms ms experienced expe rienced by him him in in body bod y and min mind, d, even his his drea d ream ms - no matter whether he considers them to be important or not. Impress upon upo n him him that the should should closely watch watc h all all his his sympto symptom ms, and more especially esp ecially the conditions conditions which which aggravate a ggravate or ameliora amelioratt e them, and a nd reveal revea l them to you, if not not now, now, at a t least ea st during during his his next or or subsequent visits. (5) (a) Avoid lea leading ding questions that suggest suggest answers to the patient. (b) Do not ask direct direct questi q uestions ons that can be answered with with a "Yes" "Yes" or "No "No"". (c) Do not ask alternat alternating ing questions, questions, i.e. , suggesting suggesting alternative alternative replies. replies. Ask questions questions which which contain co ntain at leas leastt two or three alternatives. alternat ives. PAGE 24 (d) Conf Co nfin inee yourself to one sympto symptom m at a time; time; get it complete complete as described de scribed in the next para. Do not skip skip from one one sym symptom to another another at random random..



















PAGE 25 (11) Never Ne ver have any preconcieved preconcieved ideas dea s as to what remedy remedy the patient wil will need; also avoid questioning q uestioning along the lines lines of a remedy; such questioning may bias the pati pa tient. ent. (If a remedy com co mes to mi mind, make a note of itit in the the margin). (12) (12 ) Get a good picture of the family family history history and of the hereditary hered itary tendencies. tende ncies. (13) Get a record, record , with with dates d ates of the the past ill illnesses of the patient-whether he has "never "never been well well sin since" any any even event, t, such such as grief rief,, disappoi disappoint nted ed love, fall alls and and injuri njuries, es, frig right typhoid, typhoid, bronchitis, bronchitis, etc.; whether whether vaccination vaccination or BCG shots were "taken" (i.e. , produced prod uced infl inflaa mmator mma tory y reaction); reaction); such shots, espec esp eciially if not "taken" are a re harmful. harmful. (14) (14 ) Let Let the patient tell te ll all he knows of his his case cas e in his his own words; wor ds; listen listen carefully ca refully;; do not not interrupt interrupt his his thoughts (unless (unless he digresses). Record Reco rd his his sympto symptoms ms in his his own words as far possibl possiblee (whi (whille sim simulta ulta neou eo usly listening). stening). Leave Leave space between between the the line liness or in in the the righ rightt half of the the sheet shee t for filling filling in his his answers to the question you will will ask after he has (seemingly) exhausted his story. (15) (15 ) Foll Fo llow ow the Golden Mean: Me an: A remedy that has the more more striki s triking, ng, unusua unusuall and peculiar peculiar signs signs and symptoms symptoms and in in additi ad dition, on, covers co vers sympto symptom ms of the the chief compl co mplaint aint as well, well, i.e. , the Generals and a nd the Particuli Pa rticuliaa rs (in other words word s the Totality Totality of the case), case ), wil will be the Simillimum. (16) (16 ) Mental disposi dispos ition and Emotio Emotiona nall makemak e- up come last in caseca se- takin tak ing, g, after you have secured sec ured the conf co nfiidenc de ncee of the patient by the earlier earlier questioning. By this this time time he will will be more com co mmunic unic ative. at ive. Ask questions questions sympathet sympathetiically, ca lly, e.g. , Have you you had any shocks? Grief or disappointmen disapp ointments? ts? Do you get irritated irritated after some mental mental strain, or at trifl trifles? es ? How do you you react rea ct if if you cannot get thin things gs to your liliking? Any tensions tensions in business business or family family





















done do ne so, itit wil will be futile futile to expect expec t the Repertory Repe rtory or even the Materia Mate ria Medica Me dica to help us. 3. Now, from from the case c ase taken we must must sel se lect the characteri charac teristic stic symptoms symptoms of the case for for reference to the Reperto Repertory. ry. diff different master- prescribers have placed varying varying emphasis emphasis on on differe different nt class of symptoms symptoms in this this matter. For Fo r example, Dr. Kent's advice is to take tak e strong stro ng mentals mentals as the first first step, step , the General Genera ls being the second sec ond step, the the Parti Par ticulars culars (local sympto symptom ms) bei be ing the third third step which which will will provi pro vide de conf co nfiir matio n of the remed remedy y yielded yielded by the fi first two steps. Dr. Boenninghause Boenninghause n's concepti concep tion on of totali totality is to take take the location, location, sensati sensa tion, on, modalit modalit ies and concomitan co ncomitants ts together without without distinct distinctio ion, n, as well as the mentals mentals if strong and wellwell- marked. marked . According Acco rding to him him,, modalit modalit ies are the the most decisive decisive modifiers modifiers of the the characte chara cteristics ristics,, so much much so that a remedy indicate indicated d by all other sympto symptom ms, but which which doe d oess not agree agre e with with the modalitie modalitiess should should be b e discarded discard ed.. The school schoo l led by Guernsey, Lipp Lippee and Nash Na sh has found found "Key"Ke y-notes" notes" to be valuab valuab le in suggest suggesting ing the most likely likely remedy, the accuracy acc uracy of o f which which (in relation to the remaining sympto symptom) m) should should be got confi confirmed rmed by a referen reference ce to the the Materi Materia Medica Medica Dr. Dr. H.C. All Allen stressed stressed the the need need





















sympto symptom ms (in the class of Modali Mod alities, ties, includ nclud ing in g strange, rare or peculi pe culiar ar sympto symptom ms, mentals mentals or sensations) should app a ppea earr first first in the the list, list, each eac h outstanding outstand ing sympto symptom m bei be ing followed followed by the next strongest. The concomi co ncomitan tants ts should should then foll follow. The locations (and espec esp eciially skin conditions conditions such as warts, which are ar e but expressi express ions of the deranged de ranged inner inner vital vital force) shoul sho uld d appe ap pear ar last. Causations, Ca usations, such as concussi co ncussion, on, suppressions, suppr essions, fright, fright, grief, grief, wetting wetting,, exposure to cold winds winds or sun, sun, should should be classed classed as first-class rst- class modal oda lities. tie s. Another class of sympto symptoms, ms, which which may also be taken into into acco ac count unt but last of all all is is the the pathol pathologi ogical cal sym symptom, ptom, as Apoplex Apoplexy, y, Asthm Asthma, a, Bron Bronchi chitis, tis, Chorea, Chorea, Conv C onvul ulsions sions,, Diphther Diphtheria, ia, Tumours, Tumours, etc. We cannot do d o without without these in relevant cases cas es and sometimes, sometimes, they may help help us considerably considera bly in the choice of the the remed remedy. y. (ii (ii) Keep Ke ep a good number number of sli slips handy, handy, for use as booksboo ks-m merks. (iii (iii) Next, Ne xt, find find the Repertory Repe rtory rubrics rub rics corresp co rresponding onding to each ea ch one of the sympto symptoms ms listed listed in (i) (i) above, ab ove, insert insert a bookboo k-m mark at the relevant relevant page (on your your side side of the book), boo k), and enter enter the page pa ge num numbe berr on the the left left side or, before each eac h rubric. rubric. As you you do so, make a mental mental note





















suitab suitablle. Diff Differe ere nt methods of "elimina "eliminatio tion" n" can be followed followed so as to conf co nfin inee our attenti atte ntion on to a small small group of the most most likely likely remedies, from which which to select select the sim simillimum. A few methods methods are described described below: (i) Using Using One Eliminat Eliminatii ve Rubric: As the first first rubric noted note d in your lilist would have been be en the most most characteristic and promi prominently nent ly observed obse rved symptom symptom of the patient, patient, take ta ke the the remedies occupyin oc cupying g the top three grades grade s in in the rubric as the mo st suitable group of of remedies to begi be gin n with. with. Enter that rubric (wi ( with th its page pa ge numbe number) r) in the space spac e meant for rubrics at the top of the chart. Then, enter the ranking marks of o f the the (4, 3, or 2) against each ea ch of the remedies under colu co lumn mn 1 in the chart as shown show n below, be low, This This done, do ne, shift shift the book-mark book-mark to the the other other side side of the the Repertory Repertory (jus (justt in case you you feel the the need need to refer refer to that that rubric again a gain). ). N ow, take tak e the the second sec ond rubric rubric in the list list and a nd followin following g the logic logic of "elimina "eliminatio tion", n", enter in the chart, in column column 2, marks for only those drugs d rugs against Rubric 2, which which are already entered e ntered in Col. Co l. 1. Conti Co ntinue nue this this proc p rocess ess for for the remaining remaining rubrics. By this this proces pro cess, s, you will will not no t enter in the chart those remedies against (even if ranking





















aggravati aggravat io n from lyi lying) ng) and the the seco se cond nd one may may be b e a strong modali mod alitt y or mental sympto symptom m. While While record rec ordin ing g the remedies with their marks, to save time, time, we may visuall visually y look at each eac h remedy in the shorte shorterr of the rubrics and enter it in in the chart onl o nly y if itit is found found in ther other larger larger rubric as well (except (exce pt of course co urse the Poly Po lychrests chrests which which should be entered entere d even if if not common). common). Enter their respective resp ective marks in in Columns Columns 1 and 2. Thereafter, procee pro ceed d to work out the remaining remaining rubrics by b y entering the mark markss only only for those remedies which are already recorded. (iii (iii) Using Us ing Comm Co mmon on Remedies Re medies in Two Important Importa nt Rubrics of o f Diff Differe ere n t Classes: Classe s: A variatio variatio n of method (ii) (ii) involvin involving g consi co nsider derab able le saving saving in time, time, is to take tak e the remedies (in the first first three ranks) comm common on to two leading rubrics, rub rics, preferab p referablly of different different sizes, sizes, care ca re being being taken to to see that that they they come come from diff different classes classes in the sym symptom eval evaluati uatio o n. For example, Modali Mod ality ty plus Mental: or Mental plus sensation; or Mental plus Concomi Conco mitan tant; t; or Modal Moda lity plus plus Sensati S ensation. on. (Never take a "Location" Location " rubric rubric for eliminati eliminative ve purposes). Thereafter, Thereafter, we proceed proc eed to enter marks marks only only for those reme reme dies which which appear app ear against against the





















usefulnes usefulnesss of this this proc p roced edure, ure, it should should be noted, noted , is again restricted re stricted for the the reason reas on already alread y mentioned. In other words, word s, whil whilee a "pathologica "patholog ical" l" rubric may be used to confir confir m the choice of a remedy, the absence abse nce of a remedy in the pathologica pathologicall rubric shoul s hould d not, by itself, itself, lead to discardi discard ing that remedy if it has been bee n arrived at a t after detail deta iled ed caseta ca setaking king and careful repertorisation. (vii (vii) It would be b e a goo good d exercise if a few cases case s are reperto rep ertorised rised by followin following g each eac h one of the above abo ve methods; and a nd comparin compar ing g the results results of o f different different methods in the same case. case . Such an exercise exerc ise will will help help you to master the art of rapi rap id and accurate acc urate reperto rep ertorisatio risation. n. (viii (viii)) As one gains gains more and more more experience, expe rience, he would be b e able ab le to find find the curative remedy guided by only a very few most most character chara cteristic, istic, strange, rare or pecul pec uliar iar symptoms-an symptoms-an ideal actually actually attained, attained, repeatedly repea tedly demonstrated by master prescribers. We should persist in our endeavours in that direction. 9. Synthesis, the Final Final Tal Ta lly. ly. The total numbe numberr of marks obta ob tain ined ed by each ea ch remedy in the























differentiat differentiatin ing) g) symptoms symptoms for repertorisation, as well well as a s other factors factors such as a s constitutio constitution, n, personal personal or fami family histor history, y, miasmatic asmatic backgrou background, nd, etc. play play their their part. 14. Materia Materia Medica, the Final Final Court C ourt of Appeal Appea l. For F or the the reasons menti mentio o ned above, abo ve, and also because beca use of hum human an imperfectio perfec tions ns of one type or another (such as deficien deficiencc ies in case ca se-takin tak ing, g, imper imperfect fectio ions ns of the Rep Reperto ertory ry or inco incorrec rrectt evalu e valuat ation ion of sympto symptoms ms taken tak en up for























(1) Selection Selection of the potency. (2) Deciding Deciding on the freq frequency uency of repetiti rep etitio o n of the doses. do ses. PAGE 37 When the the three aspects, aspe cts, viz., viz., sim simillimum, potency pote ncy and repetiti repetitio o n, are combined combined effi effic ie ntly, ntl y, we may be sure sure of o f the case ful fulfill filling ing Hahnemann's Hahnemann's ideal dea l of progress to a























(1104) Agg. Agg. Eveni Evening ng 3 3 (1104) (110 4) Agg. Agg. Night Night 3 x 3 (262) Head, holl hollow 1

3

1

4

4

1

-

4

4

4

4

3

4

2

x

3

3

1

x

3

4























4. Fat food agg. (1120) 5. Col Co ld food food amel. amel. (1120) (112 0) Rubrics Numbers























1 Acon. Acon. 3 Bry. Bry. 1 Ipec. 3 Lyco. Lyco. 1

2 4 4 4 3

3 4 2 2 2

4 1 4

5 1 2 1

Total

11/5

















































































































































































































































































































































Bhanu desai how to select similinum

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