Authors: Dr. P.I. Tarkas and Dr. Ajit Kulkarni
1248 pages. Hard cover. Weight 1120 gms.
Published by: B. Jain Publishers (P) Ltd., New Delhi
Publication 2016. Product no. 21335
Price: € 39,90. Rs. 550/-
Reviewed by: Dr. Prashant Gangwal
There are many books on material medica that address the profession. When a new MM appears, I ask a question with a frown, “Is a new book on MM necessary?” I got a copy of Absolute MM from my colleague who strongly recommended the book and I must say I got totally engrossed with the book. In the ‘Briefing’, written by Dr. Ajit Kulkarni, the following paragraph drew my attention: “This is a package of uncompromisingly scholarly presentation of 150 remedies offered to the world of homoeopathic material medica, to unravel the hidden treasure of old and new literature, with emphasis on original database, logical interpretation of data, innumerable creative themes, new expanded relationship of remedies and overall a new methodology of remedy presentation”.
This paragraph was a sort of ‘raving’ for me but I must say after three months pondering of the contents, that this book is one of the excellent contemplations on homoeopathic MM. The authors discuss the evolution and structure of MM in a comprehensive manner and the preface prepares the ground for readers to know what this book has to offer.
The outline has been delineated as follows:
- Monogram: Pathological generals. Behaviour. Patterns. Genetic coding etc.
- Region Worse Better: Anatomical localities and modalities
- Highlights: The account of essence
- Action: Pathogenetic. Toxicology: Neurotoxy. Hemotoxy. The phases of stimulation and depression and alternating phases
- Make-up: Appearance. Constitution. Diathesis. Personality. Temperament.
- Nerves: Weakness. Pains. Numbness. Spasms. Trembling. Convulsions. Paralysis. Degeneration etc.
- Tissues: Mucous membranes. Discharges. Blood. Muscles. Glands. Arteries. Veins. Growths. Bones. Emaciation. Joints. dropsy etc.
- Ailments from: Pre-disposing. Precipitating. Environmental. Injuries, etc.
- Peculiar symptoms
- Mind: Symptoms. Dispositions. Behaviour. Traits. Personality.
- Head to Skin: Relevant information with sub-headings. Therapeutic indications.
- Thermal state: Chill, Heat and Sweat
- A myriad of remedy relations
- Exploration of remedies through practical tips
- A dictionary of difficult words
- TWO ARTICLES
- Problems and Resolutions of the study of MM
- How to use remedy relations in Absolute MM
In order to develop the matrix, each remedy is presented in a methodical way by spanning the vast literature from Hahnemann’s MM Pura onwards up to the present generation and this makes the text profoundly deep and practical.
Each remedy is presented through three divisions – first the ‘GENERALS’, followed by the ‘PARTICULARS’ and then ‘REMEDY RELATIONS’.
The remedy begins with ‘MONOGRAM’. The monogram is a remedy’s signature. The study of a remedy through monogram is a more specific way to describe the general manner in which the symptoms express themselves. This is the mode where the procedure itself takes place. Each word in the monogram conveys precisely and concisely what a drug fundamentally is. It is like a genetic code of an individual that contains its unique information and will display its characteristic pattern in the form of behaviour. It is like nucleus/essence/core/kernel/central idea, which encompasses disturbances at mental, emotional and physical levels.
Monogram conforms to the concept of pathological general (Boger), but the authors have included pattern, pace and miasmatic activity too. Thus, it helps to see mental, emotional and pathological layers in integration and how mind and pathology run parallel in a case. In other words, psycho-clinico-patho-miasmatic co-relations can be perceived well with the concept of monogram.
I will illustrate through Monogram of Acetic acid.
|DESTRUCTIVE. ATHREPTIC. CALCAREOUS. CACHECTIC. HEMORRHAGIC. VULNERABLE. EXUDATIVE. FIBRINOUS. TUBERCULAR. DEBILITATED. CANCEROUS. DROPSICAL. SCORBUTIC. SYPHILITIC. ULCERATIVE. COLLAPSY.|
Then the remedy begins with Boger’s pattern of ‘REGION WORSE BETTER.’ The Region section brings up the locations like glands, bones, nerves, muscles, mucous membranes, sides, etc. – the anatomical affinities of the remedy. The side affinity is given at the end of Region.
This facilitates quick reference. The authors have tried to present anatomical localities in a hierarchical way. The Worse and Better sections give both general and particular modalities, the way in which the system reacts to the variable stimuli. After learning the Region, these are the codes on which the existence, the whole procedure is directed upon. In order that this pattern should facilitate understanding of the remedy, the modalities are organized under sub-headings of Weather, Periodicity, Depressing factors, Depleting factors, Toxins, etc. This pattern could be called an ‘expanded Boger’ and could be utilized as a direct prescriber in clinical practice.
A wide field of modalities is provided, to make the vision of the readers broader. To illustrate, we all know that Bryonia has < from least motion. But it is not only least motion < but many more modalities about motion <, that have been provided; we have highlighted motion > too under ‘Better’ section.
HIGHLIGHTS depict the ‘account’ of what a remedy has to offer in terms of essence. A terse selection has been offered here to emphasize the outstanding characters at many levels of keynotes, key-themes, patterns, personality etc.
I prefer to give an example.
Highlights of Argentum nitricum
- Psycho-(genic) somatic disorders (like Caust.).Gastro-psycho-cardiac neuroses (like Ran-b.). Nervous catarrhs. Nervous breakdowns. Tremulous weakness. Incoordination: Mental and physical.Paresis. Paralysis. Ulcerations (eyelids, cornea, nose, mouth, stomach, bowels, bladder, genitals). Splinter-like stitches. Expanded, enlarged sensations. Apprehensions. Sweet-craving. Hemorrhagic.Suggestive of a syphilo-sycotic and tubercular miasm (the metal is sycotic, just as is syphilitic. Nat-m., a closest analogue and associate also, is syco-tubercular and syphilitic).
The authors have also provided the essence in their own view at the beginning of the remedy.
The authors begin Pulsatilla “A delightfully simple medicine, a polychrest of many uses, virtually a princess in the role of a maid servant; a kindly medicine to all: A boon to the unborn, a blessing to the new born, a comrade to the (growing) adolescent, a comforter to the advanced, a solace to the incurable, and when the end is near, a soother of the rattle; practicing well Osler’s advice “Aim to cure sometimes, to relieve often and to comfort always.” Considering its usefulness in all the three stages of life, childhood, youth and old age, it is pertinent to their three miasms of psora, sycosis, syphilis, yet with an accent on sycosis (catarrhs). A good rejuvenator, developer and restorative. A good remedy to begin with in non-descript chronic cases e.g. diabetes, phthisis, sterility, puberty, dyspepsia, diarrhea, urticaria, fevers, etc. serving here to unlock such cases.
So far as ACTION is concerned, the authors have tried to present it in a chronological sequence. Taking the help of all the symptoms of a remedy as known through proving, clinical verification and toxicology, the action of a drug is explained. Let us see an example.
Action of Agaricus
- Is complex (as of ). Is initially a stimulant to nerves creating a tonic invigorating effect, which is but a forerunner of hypertonicity-hyperaesthesia and abnormal cerebral nervous excitement producing vertigo, then vigorous deliriums, and even mania (-a-potu), a state of intoxication. At this turbulent stage we get its universal commotion (spasms, stitches etc.). As a counterpart of this nervous excitement, we get also mental hebetudes (dullness). Lastly comes relaxation, ending in a locomotor ataxia with sensory and motor incoordination and unsteadiness (like Onos.), numbness or even paralysis, also a dementia (typifying senility).Intervening at any stage one may be subject to neuro-vegetative disturbances (catarrhs, also asthenia) in the G-I., G-U. or Respiratory tracts too. These conditions may appear also without neuro-excitements in (neurotic) patients (cp. Lyc.).All along these, (intellectual) patients become more and more chilly and hostile to everything cold; also to snow, with impact on the (epi) dermis, and various pains.
- Chronicity, with slowly deepening pathologies.
- Anemia of nerve-centers (in brain and spine) due to persistent spasms or contractions of blood-vessels, causing numerous effects (motor and sensory); result of over brain work.
There are ample typological, physiognomic, psychological and other types and they are grouped together under ‘MAKE-UP.’ The authors have given dispositional characters after logical workout of the data and with their clinical experiences.
Make-up of Alumina
- Broken-down, withered (Arg-n.), wrinkled, dry, tired, tottering, staggering, worn-out from old age (cp. Ambr.), enfeebled to extreme lack of vital heat, sedentary. Studious. Scant. Persons who never enjoyed youth physically or mentally (mentally, ). Timid. Apprehensive. Neurotic. Confused as to their identity.
- Children: Weak, stunted, puny (Caust.), shy (but snappish), wrinkled, oldish (Abrot.), with spoilt nutrition due to feeding on artifical foods; constipated, chorea infantum. Move and behave (like elderly people) soberly. Wake dozed. Blooming. Juveniles. Big bellied (Sanic., Sil.). Craving for indigestible things. Snuffles with constipation (Royal). Brought up in an unaffable set-up. Left handed children who have been forced to work with their right hand.
- Girls: Dried up and wrinkled at the time of puberty. Slender, delicate girls, chlorotic, with depraved appetite, < alternate days.
Under ‘NERVES’ section there are headings like Weakness, Universal commotion, Jerks, Spasms, Convulsions, Pains, Numbness, Paralysis, Degeneration, Fainting, Ataxia, Neurasthenia, etc. The scattered data here and there in the proving and then evolved under time continuum, has been coherently compiled under sub-headings. This facilitates easy reference to a remedy in clinical practice.