OF REPERTORY DR. SUMAN SANKAR. A.S, M.D.(Hom) Professor, Department of Repertory Sarada Krishna Homoeopathic Medical College Kulasekharam Uses of Repertory
To find out the similimum
As reference book It helps us to study of Materia Medica Helps to find out a complete symptom It helps in formulating questions. Its constant use makes a physicians efficient. It suggests related remedies, which could be helpful for selecting a drug for a second prescription. The study of sub-rubric will help us to formulate questions to complete the disease picture. For a pathological prescription if nothing is available, the remedies present in that rubrics can be differentiated and given.
In a one-sided disease, depending upon the
presenting symptomatology, repertorisation can be done and a prescription given. Reference to repertory will show the remedies for the referred condition that the physician may not have thought of.
It helps to refresh memory for particular
symptoms. The quest for compiling an updated repertory has not only given birth to many repertories, but also to authentic repertories. Modern repertories can also be considered as sources of information.
Through the references and ‘cross – reference’
one can know the similar rubrics. Thus repertories help us to select the right rubric among similar rubrics. Addition of a number of medicines, clinical rubrics and pathological generals helps in the study of homoeopathy in relation to modern pathology.
With introduction of the computer in
repertory, it has become an invaluable companion, both for clinicians and Academicians. It helps in a speedy retrieval of the known facts Where to use the repertory Cases where several remedies seem to cover the picture Mismanaged cases Cases where do not show clear picture and related group of remedies To trace out probable sequence of remedies that may be necessary to cure. To differentiate between seemingly indicated remedies. To work out relationship of remedies and second prescription. Where not to use
In those cases where there are clear indication of
simillimum. limitations of repertory Itis a means to an end, never an end in itself. Each one has its own scope and limitations.one should be thorough with all types of repertories in order to get the best out of them.
New additions to Materia Medica cannot be
accommodated in repertories on a day to day basis. Hence, they cannot always keep pace with the latest in Materia Medica. There are many rubrics, which are not represented well . Therefore, they cannot guide a physician properly in the selection of a similimum.
If the physician makes a mistake at the
beginning ,by ignoring the person and just counting the symptoms and marks, then using a repertory will be futile. The repertory cannot give guidance regarding the potency, doses and repetition schedule.
Nosodes are not represented properly in any
repertory.
Handling and use of repertory cannot be
independent of the knowledge in Materia Medica ,Organon or clinical subjects ,as well as knowledge of human behaviour. Each repertory has its own gradation of remedies. One must master how the gradations are given in each repertory.
Gradation varies under similar rubrics in different
repertories.
Very few latest repertories show the source of each
remedy.
There are many similar rubrics in one repertory, which
are difficult to differentiate from each other. Similar rubrics in different repertories consist of different remedies.
Family history or past history are not well
presented in the repertories.
A lot of misplaced rubrics can be seen in
different sections of repertory. TERMINOLOGIES RUBRICS :
The word rubric originated from Latin word
“rubrica” . It means a heading , a guiding rule. In repertory rubrics are the headings and sub- headings which list a group of drugs or a drug. These headings are the converted form of the symptoms of a patient or drugs, thus a rubric is the repertorial language of representing symptom. General rubrics: - these are the main rubrics / main headings under different chapters. They are mentioned as side headings and usually contain a larger number of medicines. They are also called super rubrics.
Sub-rubrics: - these are the further divisions of
rubrics. Commonly they are mentioned below the general rubrics. Usually they qualify or modify the general rubrics. Similar rubric: - are those rubrics which resembles or correspond in meaning.
Particular rubrics: - rubrics related to the
parts or organ are called particular rubric.
Pathological rubrics: - rubrics which
represents some pathological changes or conditions are called pathological rubrics like – inflammation Clinical rubrics: rubrics related to disease conditions are called clinical rubrics. Eg- Addision’s disease, anemia etc.
Eliminating rubrics: - it is the rubric which is
used for elimination of apparently similar medicines in order to select the simillimum. Cross-references: - means a reference made from one part of a book, register etc. to another part where the same word or subject is treated of.
In repertory, cross- references means the
referring of similar rubrics either to compare or to enhance the knowledge of a group of medicines. They are two types: 1. The main rubric contain a synonym in the bracket without giving any medicines against it. 2. The main rubric contain some terms, which are similar in meaning. Such rubrics also contain a group of medicines. THANK YOU
Burnett Rediscovered: Clinical Strategies of the Great Homeopath for Modern Practice – Line of Action of Remedies – Organ Remedies – Pathological Similimum – Vaccinosis