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Homeopathic Repertory |
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Steps to Repertorisation |
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Erecting TotalityTotality is not the sum total of symptoms, but it is a logical combination of the symptoms which characterizes the person as well individualize the problem Thus, all the symptoms which are classified and evaluated do not form a working totality of the case. From the classification and evaluation, the hierarchy of symptoms is known, but which, among them, should be useful for getting a correspondence are yet to be finalized. Thus, a physician is required to understand the whole symptom and select a few of which can logically represent the whole picture. This logical arrangement must follow a definite principle. If the case has got more generals and a few particulars with rare modalities, it would follow a different arrangement than a case which has vague modalities and striking concomitants, or a pathological general. Totality should be erected according to the facts collected in the case. There is no hard and fast rule to erect totality in any fixed way. The case alone decides the method to be followed. Selection of repertory and repertorisation properAfter the totality has been erected, the case becomes clear to the physician. He should look for one of the following points in the case:- 1. Generals : Mentals/Physicals. 2 Particulars: Location Sensation Modalities Concomitants 3 Pathological generals. If a case is full of generals, Kent’s repertory would be the best selection. If it has got pathological general, Boger’s repertory must be selected. If the case has got particulars with Location, Sensation, Modalities, Concomitants with a few mentals, therapeutic pocket book is preferable; however, Boger’s repertory can also be used. Synthetic repertory can be used for the Kent method to refer to more Generals. It has also many pathological generals, but no particulars. Once the repertory is selected, a major part of analysis and synthesis of the case is done. The next step is to rearrange the totality according to the repertory selected. Rearrangement of the totality in terms of repertory selected is called Repertorial Totality. Thus, a well arranged totality is worked out. What follows next is to convert the symptoms into rubrics which requires an acquaintance with the repertory. The symptoms obtained from the patient may not be found in the repertory in the same form; so the physician must know the construction and arrangement of the each repertory. Rubrics should be arranged according to hierarchy, reason, and page number. The final out come is written as follows :- Symptoms Rubrics Reason Page No. 1 - - - 2 - - - 3 - - - and so on. No, at this stage, the case is referred to the repertory, worked out, and a group of medicines with markings is arrived at. Repertorial ResultA group of close running medicines should be noted down according to the symptoms covered and marks obtained. For example, if Lycopodium covers seven rubrics and gets 18 marks, it should be written 18/7. A few medicines which are nearer to the first also find place in the repertorial result. Analysis and PrescriptionThe remedy which gets the highest mark is not necessarily the final remedy in all the cases. Repertorial result should be finally referred to the court of Materia Medica. Marks are important but these does not constitute the final verdict. Further the group has to be referred to the picture of the patient and with the help of Materia Medica, it should be differentiated. Sounding a note of caution, Boenninghausen writes, “ for this purpose, he should not content himself with repertories that have been prepared, a very frequent carelessness for these books contain only slight hints as to one or the other remedy that might be selected but can never take the place of the careful reading up of the fountain sources”. ( The field which differentiates medicines is called Potential Differential Field ) Repertory, thus narrows down the group of medicines, and with the help of source books, a final remedy can be found out. The remedy so selected must finally pass through certain criteria such as susceptibility, sensibility, suppression ( if any ), the level of similarity, functional and structural changes, vitality, and miasm to arrive at right potency and doses schedule. |
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