Acute prescribing has always posed hurdles for a neo-homeopath, who is trying his luck (!) in this wonderful healing system. Such difficult situations often present right as you begin medical school. Relatives, neighbors, friends and foes meet you to seek relief from their cough, cold, diarrhea or headaches. Not knowing the process, one can get lost in the jumble of remedies, and lose confidence in oneself, unreasonably.
Fortunately, materia medica and repertories come to our rescue. Still, the representative volumes and the philosophy can make one sick. To help us in such situations, PHATAK’S REPERTORY presents a helping hand, a true friend in need and a valuable guide during acute prescribing.
The repertory is primarily based on BOGER’S SYNOPTIC KEY, and functions on the same philosophy. The most important feature of the repertory is its alphabetical arrangement of the rubrics, thus making it the easiest way to reach our destination. Another unique feature is the inclusion of Indian food items. Thus, one can identify with the picture presented by the patient in a more refined manner.
There is a mythological tale from ‘Ramayana’ about lady Shabari. She tasted each and every berry, to be sure that it was sweet in taste, before presenting it to Lord Ram. Dr Phatak has done the same thing for us. He has confirmed, tested and clinically proven each and every rubric and remedy before including it in his repertory. Each inclusion has either come from his own case experiences and clinical observation, or has been strongly justified by masters like Kent, Boger or Clark. This is a time-tested repertory.
Dr Phatak stressed giving importance first to the modalities – and to the causative modalities, followed by the time modalities and later the postural ones. His students have reported that he used to make his patients try various postures to check the postural modification to the symptoms. Further, his repertory has followed the concept of ‘generalization’ and thus, if you can’t find a symptom at a ‘particular’ level, you can generalize it to find a suitable remedy.
- A case of an IT professional which focuses on time modality.
An IT professional, working in a reputed software company, consulted for the complaint of severe headache, which was part of an acute exacerbation of chronic sinusitis. His eyes were red, his nose congested and he complained of a severe throbbing headache in the frontal region.
Obviously I prescribed BELLADONNA, which did not relieve him at all in 24 hours. He came the next day with the same symptoms, but this time the anxiety had increased. He had to appear for a job interview for U.S. VISA a couple of days later, and was worried about his sick appearance. Those were the days when ‘swine flu’ cases were at their peak, and he thought his red eyes and nose would make the embassy officials worry about his health status and deny him the job.
On further questioning about any specific time modality, he added that the headache peculiarly starts at around 10:00 am and lasts till 4:00 pm. It was a characteristic time modality.
I referred to Phatak’s repertory:
Just two doses of NATRUM MUR 200 at 12 hrs interval were enough to relieve his entire symptomatology. He was quite healthy and fresh for his interview and is currently in the US.
2. A case of pulmonary hypertension
Mr DVK, 66 yrs, was an old associate of mine. He was working as a public relations officer at the same hospital where I had done my internship. We knew each other for a long time. He had seen my practice since its beginning and used to consult me for seasonal coughs and colds.
Last August his wife called me for a consultation. DVK had been admitted in the ICU of our hospital with an acute exacerbation of pulmonary hypertension. His condition was quite critical since it was difficult to stabilize his oxygen saturation without external life supports. His treating physician did not believe in homeopathy and was thus not allowing adjunct medication. Finally, DVK’s wife asked me to prescribe on the symptom picture she gave me.
DVK had become quite restless since the attack. He was constantly restless and had not slept calmly since beng in ICU. It was difficult for him to lie down and the only position that was comfortable for him, was a propped-up posture, keeping three or four pillows below his head. There was a marked loss of thirst since the attack.
I used the facility of diagnostic / clinical rubrics in the Phatak’s repertory:
Both ARS and ANTIM TART came up strongly as the remedies covering the totality. A synthetic prescription was done with – ANTIM ARS 200 [since it had a characteristic symptom totality with a mental concomitant] to be given four times a day.
Within two days of starting homeopathic medication, his oxygen saturation started stabilizing (which it hadn’t done before), his restlessness subsided and he was taken out of ICU within the same week.
3. A baby with constipation
A three month old male baby was brought with complaints of severe difficulty in passing stools, even though they were soft. The complaint had started since the child was shifted to ‘Lactogen’ an artificially formulated milk, when the mother was unable to feed the child due to long working hours. The child used to cry a lot while passing motions, which were surprisingly never hard in nature.
Along with the gastric complaints, the child was seen moaning constantly even while playing with the dolls in my consulting room. When asked about it, his mother said , “he moans constantly even during sleep or while playing. There is no fixed reason for the moaning. It just goes on almost as a background music. We have got used to it now!”
I searched Phatak’s repertory:
As indicated by the reportorial result, ALUMINA was prescribed in 200 potency to be given once a week. After the first dose, the moaning stopped and the child started passing stools comfortably. The dose was repeated in the next week as well, to complete the curative action.
The availability of a particular rubric “Constipation in bottle-fed, artificial food-fed children” was the key to the case solution, which was the highlight of the repertory. Most of the time, it is said that Phatak’s repertory does not represent particular symptoms well, but this case was an eye-opener. One must know where to find the symptoms!
4. An acute exacerbation of an asthmatic.
A female college student presented with an acute exacerbation of asthma. She was quite breathless and gave following totality: The attack had started after getting exposed to cold weather while on a tour. She had also observed that during her travels, she had only few fruits with her to eat and whenever she ate guava, her breathlessness got aggravated, but not with any other fruits. She observed a marked increase in appetite, but sweet things that were her all time favorites were not preferred, to her surprise. She said, “I almost had developed an aversion to sweets during the attack.” Also, she felt significantly better for a few minutes after eating anything.
I repertorized using Phatak’s repertory:
SEPIA and GRAPHITES came out strongly, but the aversion to sweets since the acute attack was the most important symptom. As taught by the masters, any change from the normal disposition, during an acute attack, should be given the higher importance in the totality.
Thus I chose GRAPHITES 200 – three times a day, which resolved the case completely.
If anyone asked me to pick one repertory for the rest of my life, I would certainly pick Phatak’s repertory. I found it the best guide while I was a beginner. Even today, after completing a decade of homeopathic practice, I find it as helpful as it was on the first day in resolving acute as well as chronic prescriptions, especially at the bedside.
It is easy to carry, easy to find rubrics with, due to the alphabetical representation. Once you get accustomed to its language, it becomes your key tool in resolving any kind of case that presents to you.
Dr Phatak has included each and every rubric of the remedies after confirming from the results in clinical practice. The use of this repertory has given me wonderful results, which have confirmed his observations and inclusions. Thus the circle is complete!!