Case taking in HomeopathyA

Repertorial Approach
This is an attempt to explain how each part of a well taken case can be utilized while
searching for a similimum in the repertory. Majority of the students and practitioners are
taking the case in detail but not utilizing many of the points available from the
interrogation
Problem faced in Homeopathic Prescriptions
Paucity of symptoms
Many symptoms
Difficulty in Confirmation of Symptoms
Time Factor
Hahnemannian case taking (From Lesser Writings Medicine of Experience)
Symptoms Which Are Constant, Frequent, Strongest And Most Troublesome To
The Patient
Seat, Course And Sensations
Confirmation By Re-questioning After The Completion Of Case Taking.
Assumed Aetiology Should Not Be Considered For Remedy Selection
Why Repertory?
Medicines Represent group of individuals & The Case Before The Physician May
Be One Among
Correct Prescription Without Reference Is Impossible In Most Of The Cases
Reference of Materia Medica Is Time Consuming And Confusing.
Age Related Rubrics
Infants
Abdomen, Inflammation, umbilicus,infants
Children, Respiratory affections, infants in
Eye& inflammation,infants
Mind, Crying, children, in babies
Nose, Obstruction,children,nursing infants
Rectum, Constipation,children, in,infants
Rectum, Diarrhea, children in,infants
Rectum, Diarrhea, nursing, after, infants
Skin, lntertrigo,infants in
Rectum, Fissure,infants
Nerves, Convulsions, children, in,infants
Fever, Children, in,infants
Lungs, Pneumonia, infants
Abdomen, Hernia. umbilicus
Generals, Nursing children, ailments in
Children
Abdomen, Enlarged,children, in
Abdomen, Hernia, inguinal,children, in
Bladder, Bedwetting,children, in
Bladder, Urging, to urinate,ineffectual,children
Ear, Boring, fingers in,children
Cough, Chronic,children in, emaciated boys
Fevers, Children, in
Food, Appetite, ravenous,emaciation with,children, in
Generals, Obesity,children, in
Generals. Touch, general,agg,children, in
Generals, Walking, late learning to walk.
Generals, Weakness, general,children, in
Lungs. Asthma, general,children
Mind, Abusive insulting,children,insult parents
Mind, Anger general,children in
Mind, Capriciousness,children, in
Mind, Complaining,children in
Mind, Crying, weeping.children. in
Mind, Cursing, swearing,children in
Mind, Depression sadness,children
Mind, Destructive, behaviour,children, in
Mind, Development of children, arrested
Mind, Disobedience,children in
Mind, Concentration general,difficult,children,in
Mind, Dullness mental,children
Mind, Fear phobias general,children, in
Mind, Fear phobias general,night,children in
Mind, Fright, ailments from,children. Mind, Gloomy morose,children in
Mind, Hyperactive children
Mind, Irritahility,children
Mind, lrritahility,sleep,after in children
Mind, lrritahility.sleeplessness with.children
Mind, Jealousy feeling,children between
Mind, Jumping behaviour.children in
Mind, Moaning groaning,children, in
Mind, Obstinate, stubborn,children
Mind, Play general,aversion to in children
Mind, Restlessness,children in
Head, Headaches, general,school girls in
Mind, Screaming, shrieking, shouting,children in
Mind, Sensitive, general,children
Mind, Slowness, mental,children in
Mind, Striking,childrcn in
Mind, Wriiing,inability for,Iearning to
Mouth, Aphthous, ulcers,children. in
Nerves, Convulsions, general,children, in
Skin, Boils,children disposition to
Skin, Eczema,children, in
Skin, Rash,children, in
Skin, Urticaria, hives,children, in
Tecth, Decayed, rotten, hollowed,preniature in children
Teeth, Pain,children, in
Children, Fingers,mouth in the, children put
Nose, Nosebleeds, epistaxis,chuldren. in
Nose, Discharge general,purulent,children
Nose, Obstruction,children
Mind, Talk general,slow learning to
Rectum, Prolapsus, of rectuin,children
Rectum, Constipation, painful, compels child to desist from effort
Throat, Adenoids problems with
Sleep, Sleeplessness,children, in
Sleepiness, general,children, in
Adolescence & Puberty
Bladder, Bedwetting,adolescence
Children, Puberty, ailments in
Glands, Thyroid, gland,goitre,puberty, in
Mind, Depression sadness,puberty, in
Mind, Hysterical hehaviour,puberty, at
Mind, lrritability,puberty in
Mind, Sensitive, general,puberty, in
Abdomen,enlarged, in,girls, at puberty
Breasts, Nodules,girls, puberty, before
Young People
Generals, Hair, baldness, head,young
Generals, Obesity, people, in
Skin, Warts, general,girls, in young
Female, Menses, irregular,painful,girls,young in
Varicose, veins, general,young persons, in
Menopause
Female, Menopause general
Blood, Congestion, of blood,menopause.
Mind, Depression sadness,menopause.
Mind, Hysterical behaviour,menopause at.
Head, Headaches, general,menopause.
Sleep, Sleeplessness,menopause period.
Rectum, Diarrhea. -general,menopause,
Rectum, Hemorrhoids,menopause agg
Old Age
Generals, Elderly, people
Head, Headaches, chronic,elderly people of
Lungs, Asthma, general,elderly, people, in
Rectuili. Constipation general,alternating, with diarrhea,elderly people in
Rectum, Constipation ,elderly, people
Rectum, Dianhea, general,elderly, people
Mind, Dullness mental,elderly people
Breathing, Rattling,elderly, people
Skin, Discoloration skin,dark spots, in elderly people
Skin, ltching,elderly people
Prostate, Enlargement,elderly men, in
Eyes. Cataract,senile
Hearing, Deafness, general,elderly, people.
Female. Bleeding, uterus, metrorrhagia,elderly. women
Mind, Insanity, general,elderly people, in
Mind, Memory ,forgetfulness,elderly people, of
Mind, Slowness, mental,elderly people, of
Generals, Emaciation, general,elderly people
Generals. Obesity,elderly people
Generals, Weakness, general,elderly people
Gender
Eyes, Cataract,women in
Rectum, Constipation general,women in
Mind, Gloomy morose,women, in
Mind, Jealousy feeling,women, between
Mind, Restlessness,women in
Mind, Rudeness,women, in
Mind, Sexual, behaviour,homosexuality,men
Mind, Sexual, behaviour,homosexuality,women
Generals,Weakness, general,women
Presenting Complaint
Every symptom related to CLSCM can be converted to rubric.
HPC
Give Us Idea About
Recent Aetiology
Diagnosis
Nature Of The Disease
Onset And Progress Of The Disease
Extension And Alternation
Aetiology
Generals,Convalescence, ailments during or since
Rectum, Diarrhea, general,vaccination, after
Headaches, general,injuries, mechanical, after
Cough, Measles,after
Eye, lnflammation,sand and dust from
Chills, Exposure,rains, during
Nature Of Disease
Acute
Chronic
Acute
Heart, Endocarditis,acute
Eyes, inflammation,acute
Liver, Jaundice,acute
Lungs. Tuberculosis,acute
Generals, Abscess, suppurations,acute
Generals. Cancer. general,leukemia,acute
Stomach, Gastritis, inflammation stomach,acute
Chronic
Coughing. Chronic
Generals, Chronicity, of complaints
Head, Headaches, general,chronic
Larynx, Laryngitis, inflammation, of larynx,catarrhal, chronic
Liver, Hepatitis,chronic
Liver, Jaundice,chronic
Nose, Coryza,chronic, long.continued
Prostate, Prostatitis, inflammation of,chrunic
Kidneys, Nephritis, inflammation, kidneys,chronic, parenchymous nephritis
Kidneys, Nephritis, inflammation. kidneys,interstitial nephritis, chronic
Nose, Obstruction,chronic
Rectum, Constipation general,chronic
Rectum, Diarrhea, general,chronic
Skin, Urticaria, hives,chronic
Sleep, Sleeplessness,clironic
Stomach, Gastritis, inflammation stomach,chronic
Throat, Inflammation, sore throat,chronic
Back, Pain lumhar,chronic tendency
Recurrent
Throat, Tonsillitis, inflammation of tonsils,chronic recurrent
Nose, Coryza,recurrent
Eyes, lnflammation,recurrent
Generals, Abscess, suppurations,recurrent
Skin, Boils,recurrent tendency
Onset And Progress
Vertigo, Sudden
Mind, Anxiety, general,sudden
Headaches, general,sudden, pains
Nerves, Paralysis, general,gradually, appearing
Stomach, Vomiting, general,diarrhea,hefore
Extension And Alternation
Generals, Pains, general,directions of pains
Generals, Sides, of body
Obstruction,alternating sides
Chest, Alternating, with
Skin, Eruptions,alternating with
History of Past Illness
Give Us Clue About
Remote Aetiology
Diagnosis
Development Of The Disease
Miasm
Hpi- Aetiology
Lungs, Asthma, general,eruptions, after suppressed
Emergency, tnjuries, genaral,chronic effects of
Hpi- Diagnosis
Heart, Endocarditis,rheumatic
Swelling, testes,mumps from (in infertility)
Development Of The Disease
Surgically Treated Diseases in HPI
Cataract
Fistula
Tumors
Adenoides
Enlarged Tonsils
Varicocele
Varicose Veins
Hernia
Fibroids
Fibroadenoma
Cysts
Polyps
Deforomities
Hemorrhoids
PERSON AL HISTORY
Mile Stones
Mind, Talk general,slow learning to
Children, Walk, slow learning to
Teeth, Dentition, difficult
Occupation
Emergency, Stone-cutters, ailments in
Rectum, Constipation general,sedentary, habits, from
Asthma, general,dust, from inhaling
Skin, Urticaria, hives,cement, of
Habits
Toxicity, Alcohol, general,abuse of, ailments from
Toxicity, Tobacco, ailments, from
Toxicity, Narcotic,ailments from
Obstetric History
Abdomen, Enlarged,mothers, in
Pregnancy, Miscarriage spontaneous, abortion,tendency, to
Legs, Varicose, veins, legs,pregnancy, during
Female, Infertility
Family History
Give clue towards
1. Diagnosis consanguinity in parents of a child with mental retardation suggest
chromosoamal defects
2. Miasm
Treatment history
We can utilize rubrics related to treatment history from different repertories
GENERALS MEDICINE -
GENERALS REMEDIES
GENERAL
Materiological
Cold
Uncovering <
Warmth Desire For
Warm <
Heat Sensation Of
Clothing Intolerance Of
Warm Clothing <
Air Open >
Time
Morning 5 Am To 10Am
Forenoon 10Am To 12Pm
Afternoon 1 Pm To5 Pm
Evening 5 Pm To 10Pm
Night 10Pm To 5 Am
Nose, Sneezing, general,evening 15 medicines)
Nose, Sneezing, general,night (8 medicines
Nose, Obstruction, evening night.
Food
Eating Agg, Amel
Fasting
Hunger
Desires
Aversions
Ailments From
Rectum
Bowel Habits
Ailments Before, During Or After Character Of Stool
Organs
Urinary Organ
Urine Stream & Flow
Before, During & After Urination
Character Of Urine
Sleep
Before,During & After Sleep
Character Of Sleep
Dreams
Position
Menstrual History
Before,During & After
Character Of Menstrual Blood
Nature Of Flow, Duration
Leucorrhoea, Character, C>
Before, During & After Discharge D
Before. During & After
Character
Observation and examination
Eyes,Discoloration around,bluish circles,
Eyes, blueness.
Face, Acne,
Face, Discolouration, brown,spots
Face, Expression.
Face, Pale, spots in
Generals, hair, auborn, baldness, gray, hairy.
Joints, Cracking, of
Nails, Discolouration.
Neck, Brown, neck and nape
Skin, Hardness of skin
Skin, Discoloration,dark spots, in elderly people
Teeth, Discoloured
Diagnostic terms
Throat, Adenoides.
Throat, inflammation, follicular.
Urine, Sediment,oxalate of lime
Urine, Sediment,phosphates
Urine, Bile,containing
Analysis and Evaluation of Symptoms
Common Symptoms
Symptoms Common To Most Of The Diseases And Most Of The Drugs.
In Repertory, Rubrics With jjy Medicines. Eg.
o Appetite, wanting
o Thirst, increased
o Anxiety
o Fear
o Forgetful.
o Breathing difficult,
o Headache,, eto
Peculiar Symptoms
Symptoms Peculiar To Certain Drugs And Diseases. In
Repertory, Rubrics With Moderate Number Of Medicines
Reference Rubrics
Rubrics With A Minimum Number Of Medicines Should Not
Be Taken For Repertorisation. They Could Be Considered
For Reference
REPERTORISATION
Selection Of Repertory
Selection Of Repertory On The Basis Of Nature Of The Disease Is A Absurdity.
Outdated Repertories Should Not Be Used For Repertorisation Proper.
Special Rubrics In Each And Every Authentic Repertory Could Be Considered
For Reference
Modern Repertories
Synthesis
Murphys Repertory
Some Valuable Rubrics in Murphys Repertory.
Rectum, Constipation, hemorrhoids from
Mind, Crying, children, babies
Bladder, Bedwetting, children in
Rectum, Constipation, chronic
Abdomen, Pain,constipation, from.
Abdomen, Distension, constipation during
Abdomen, Pain, hemorroids from
Back, Pain, weakness with, before or during vaginal discharge.
Back, Pain, exertion from
Mind, Obstinate, children.
Mouth, Fingers in the mouth, children put.
Generals, Weakness, hunger from.
Generals, Herpes zoster. neuralgic pains remaining after.
Merits of New Repertories.
Increase in number of medicines under frequently used rubrics. ( Characteristic
rubrics
Correction of errors
COMPARISON MURPHY & SYNTHESIS
Number of Medicine Under Some Rubrics
Synthesis Murphy
Endometriosis 2 38 (Acute),45 (Chronic)
Tonsillitis, recurrent 17 33
Constipation, chronic 2 13
Obstinate children 19 27
Varicose ulcers 14 9
Cracks on feet 6 14
Hypertension 100 79
Hypotension 32 25
Male Sterility 36 2
Asthma in children 21 29
Kidney stones 20 32
Appendicitis 40 25
ERRORS COMMON TO MOST OF THE REPERTORIES
Incomplete Main Rubrics ( Murphy)
Breathing, Panting.
CALC CARB a first grade medicine under the subrubric ascending, agg. is not
found underthe main rubric.
Feet, Eruption, back of feet.
CaIc carb and Sepia are found under the subrubric itching, but not under the
main rubric
Nose, Coryza, chronic, long continued.
Ars a is found under sub rubric asthma causing, but, not under the main rubric.
RUBRIC SELECTION
Chronic Case
Number of rubrics selected should be moderate Eklov, 10 or best result) -
Two or more rubrics from the same sphere or chapter should not bc taken for
repertorisation, unless unavoidable. If Selected, two from the same chapter
should not be considered fur elimination process
Common symptoms should not be considered as such for repertorisation. They
may be used in a synthesized form.
Fixed and confirmed particulars should he given more value than assumed
causatives and general symptoms ( Mental or Physical
Symptoms represented in a scattered manner in the repertory should not be
considered for repertorisation. ( Eg.. Renal Calculi
Surgically treated symptoms in the past history are to be considered as
confirmed presenting complaints
Hot and Chilly fractions & Side symptoms should be grouped or synthesized to
make a sensible combination
Examples Of Synthesised Rubrics
Appetite wanting, thirst with
Emaciation, general,appetite,good
Abdomen, Pain,constipation,from
Nose, Coryza,fever, with
Back, Pain,weakness with, before or during vaginal discharge
Vomiting, general,food,fever,as a concomitant of
Acute Case
Even Confirmed Part Of The Pc (Clscm) Could Be Considered For Repertorisation,
Giving Emphasis On The Most Annoying Symptoms
REPERTORIAL RESULT
Evaluation & Interpretation
Criteria Of A Good Repertorial Result
A Minimum Number Of Competing Medicines
Related Medicines Number Of Medicines
Less Than Five Is The Best
Many Medicines With Almost Similar Coverage- Results From Repertorisation Of
Common Symptoms
Related Medicines
Rr Containing Inimical Medicines Is The Best
Rr Containing Complimentaries Is Next
Rr With Antidotes Is Last
Rr With Unrelated Remedies-
Relationship Of Remedies
Inimicals :Maximum Similarity. Eg.
Rhus-t, Apis
Phos, Caust
Calc-c, Bar-c
Psor, Sep
Bell, Dule
Merc sol, Sil.
Antidotes : Moderate Similarity Eg.
Bell, Hep
Borax, Cham
Canth, Apis
Graph, Nux
Ipecac, Ars
Nat mur, Phos
Complimentary: Similar With Contradictory Modality Eg.
Rhus-t, Bry
Ars, Phos
Lach, Lyc
Methods Of Analysis Of Repertoial Result
First Method
By studying the symptomatology of each and ever medicine under the repertorial
result in the Materia medica and finding out the most similar one, based on the
symptoms present in the case.
Demerits : Tedious and Time consuming.
Each case presents a fraction of symptoms of a medicine. Comparing the-whale
medicine as found in Comparative materia medica is very easy but comparing
fractions seem difficult
Reading the drug pictures of similar medicines yields nothing but confusion.
Second Method
By preparing a potential diftrential field ( PDF), by finding out all the symptoms of the
case other than those taken for repertorization and analyzing the repertorial result by
referring for these PDF symptoms in the repertory or materia medica
Merits Takes less time
Yields a confident result
Verifying Repertorial result
One Among The Medicines In Will Cover All Or
Almost All Of The Rubrics Under Pdf , If Not, It
Reveals That There Occurred Some Error In Our
Repertorisation. ( Rubric Selection Error, Repertory
Error Or Mechanical Error)
Potency selection
In Chronic Diseases, Higher The Similarity, Higher The Potency.
In Acute Diseases, More The Case Is Acute, Less The Potency To Be Administered.
Repetition of medicine
Depending On The Case
Depending On The Medicine