Sahya Part 10

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Sahya Part 10

  1. 1. Presented By
  2. 2. MIASMATIC REPERTORIZATION
  3. 3. Effective Repertorization is a combination of Science, philosophy and above all art.
  4. 4. It is a tool that helps us to reach at the right similimum
  5. 5. Try to confirm the Miasm of the patient before you attempt to repertorize
  6. 6. Now a days we get mostly sycotic, syco-syphilitic, Psoro-syphilitic or syphilitic cases.
  7. 7. If the case is predominantly, syphilitic case, Select rubrics that are syphilitic.
  8. 8. If the case is syco- syphilitic one, Select syphilitic rubrics
  9. 9. If the case is predominantly sycotic, Select rubrics that are sycotic
  10. 10. If the case is psoro sycotic, Select sycotic rubrics.
  11. 11. If the case is predominantly Psoric, select the psoric rubrics.
  12. 12. If the case is psoro- syphilitic, (Tubercular) Select rubrics that are syphilitic.
  13. 13. Examples of syphilitic Rubrics (Non – expressive) <ul><li>Reserved  </li></ul><ul><li>Talk indisposed to </li></ul><ul><li>Grief undemonstrative </li></ul><ul><li>Anger suppressed. </li></ul><ul><li>Quiet disposition </li></ul>
  14. 14. Examples of Sycotic Rubrics (Expressive) <ul><li>Vivacious </li></ul><ul><li>Loquacity </li></ul><ul><li>Shrieking </li></ul><ul><li>Lamenting </li></ul>
  15. 15. The incorrect approach or selection of rubrics results either in failures or in temporary short lasting results
  16. 16. For long lasting results and esp. in chronic, so-called incurable cases, pathological cases the entire onus is on the kind of rubrics that we select, the symptoms on which we prescribe
  17. 17. “ Extra-ordinary people don't do different or extraordinary things they just do things differently”.
  18. 18. Take a rubric which is big & solid, which everyone has to agree on i.e. it should be an objective rubric and not subjective
  19. 19. Objective Rubrics <ul><li>Hardness </li></ul><ul><li>Frown </li></ul><ul><li>Restlessness, physical </li></ul><ul><li>Swelling </li></ul><ul><li>Discolouration </li></ul>
  20. 20. Subjective Rubrics <ul><li>  Pain </li></ul><ul><li>  Grief </li></ul><ul><li>  Indignation </li></ul><ul><li>Dim vision </li></ul><ul><li>  Delusions </li></ul><ul><li>  Sensitivity </li></ul><ul><li>  Dreams </li></ul><ul><li>  Cravings and aversions </li></ul><ul><li>  Modalities. </li></ul>
  21. 21. The golden rule is: try and eliminate the rubric that we have selected. Similarly try and rule out the remedies that come up after repertorisation, when a rubric or a remedy cannot be ruled out or eliminated then, it assumes significance and solidarity.
  22. 22. Proceed by taking such qualities of that person which run through and through his personality in various situations or circumstances, in childhood, youth and adulthood…… again bearing in mind that they have to be solid and beyond doubt.
  23. 23. Take those qualities of a person which are unshakeable or which describe him as a person. These are his innate characters or traits
  24. 24. Some examples of innate characters and Traits: <ul><li>Conscientious about trifles (Diligent). </li></ul><ul><li>Mildness. </li></ul><ul><li>Positive ness. </li></ul><ul><li>Exuberance. (Enthusiasm) </li></ul><ul><li>Courageous. </li></ul><ul><li>Cowardice. </li></ul><ul><li>Unfeeling , hard-hearted. </li></ul>
  25. 25. These are the characters which are determined by the genetic makeup of that individual. So these innate characters are given so much value. 
  26. 26. Out of all the genes available to man some are expressed while some are not (repressed). The expressed genes determine not only his physical makeup but also what diseases he is prone to develop. … they determine the constitution of the person
  27. 27. So what we are taking as prescriptive totality to arrive at the simillimum is nothing but the totality of the expressed and dominant genes in that individual This is the “ Genetic constitutional simillimum” of Dr. Prafull Vijayakar.
  28. 28. These are subject to change only when there is a major causative factor. The genetics in man will always resist change. The causative factor will be such as is analogous to his or her constitution. E.g. only those people who are sensitive to grief will be found under A/f grief. So the way we look or read the rubrics should change drastically
  29. 29. The change in the phenotype will be most definitely found in the related remedies of his earlier constitution i.e. either complementary or followed well by..….. Once we understand this it becomes very simple to perceive the logic behind the relationship of remedies. This answers the long debated question of whether the constitution of man can change or not.
  30. 30. In Homoeopathy a symptom assumes importance if it represents him as a whole rather the situation.
  31. 31. Select a rubric which runs through and through that person, which has not changed over the years or that which resists change i.e. one that is a genetic or an innate character of his person. This is usually from the non diseased group of rubrics.
  32. 32. For the selection of any rubric we need to be very well conversant with the cross references of the rubric under consideration.  The exercise of compiling and putting together rubrics which are similar in meaning but may mean or imply something slightly or grossly different can always come in handy.
  33. 33. E.g. rubrics of Inferiority complex : <ul><li>lack of confidence, </li></ul><ul><li>contemptuous of self ,  </li></ul><ul><li>reproaches himself, </li></ul><ul><li>Timid bashful, appearing in public. </li></ul><ul><li>Del: diminished. </li></ul><ul><li>Del: dirty. </li></ul><ul><li>Del: failure / fail he will. </li></ul><ul><li>Undertakes nothing lest he fail. </li></ul>
  34. 34. E.g. For the people who are rude and harsh towards others: <ul><li>Contemptuous  </li></ul><ul><li>Rudeness  </li></ul><ul><li>Insolence </li></ul><ul><li>Abrupt, harsh </li></ul><ul><li>Cursing swearing , </li></ul><ul><li>Abusive, insulting. </li></ul><ul><li>Impertinence. </li></ul>
  35. 35. E.g.: Rubrics representing lively or social people. <ul><li>Vivacious </li></ul><ul><li>Sociability </li></ul><ul><li>Exuberance </li></ul><ul><li>Exhilaration </li></ul><ul><li>Company desire for </li></ul><ul><li>Loquacity </li></ul><ul><li>Mirth, hilarity </li></ul><ul><li>Cheerful. </li></ul>
  36. 36. Our repertories are not perfect and we need to be aware of the different flaws in them by knowing all the cross references of any particular rubric lest we miss out the remedy despite taking big and solid rubrics. 
  37. 37. E.g. a big rubric like vivacious containing more than a 100 remedies does not cover Stannum met which is the only 3 mark remedy in the rubric Exuberance! Sociability contains Nat-carb as one of the medicines which is one of our most misanthropist remedies!
  38. 38. LEARNING MATERIA MEDICA FROM REPERTORY:
  39. 39. We should try not to settle down with anything less than the simillimum. It may not be possible every time but at least our efforts should be directed towards that end!
  40. 40.   Timid but not yielding: bar-carb, gels, calcarb, calc-sulph    Timid and yielding: lyco , puls ,    m-arct, nux vom , phos, sep, sil.   Timid but not shy : Gels, kali- carb ,  lyco, plb-met, sep, borax , ars-alb   Timid and shy: Puls , Bar-carb ,    coca, petro, sulph, calc   Timid but not coward : Nat-carb ,  Ars-alb, Carbn-sulph, alumn, coca   Timid & coward : Gels, bar-carb,  lyco, puls , silica,   stram,
  41. 41. Another way studying the same rubric is to study the groups of families <ul><li>e.g.Timidity covers carbons in maximum percentage followed by sulphurs, kalis, arsenicums, metals……. This helps us to understand that carbons are most universally timid followed by sulphurs.  </li></ul>
  42. 42. If we study the repertory in the above mentioned manner then we can realise the full potential of not only the repertory but also our own potential to a significant level. We will be able to do justice to our unused talent, reading, to our practice and to our patients
  43. 43. It is a very vast subject and requires a lot of application, perseverance and determination conjoined with a passionate desire to prescribe better.
  44. 44. A desire to come out routinism or drug pictures fixed in our minds over a of period time. It also requires a lot of self-evaluation & criticism, otherwise we land up using the same group of rubrics or the same group of remedies.
  45. 45. <ul><li>Inmterpretation of Mental Symptoms for </li></ul><ul><li>Miasmatic repertorization </li></ul>
  46. 46. I was Planning to consult U For the past few Months (Syc) Postponing Everything to Next Day (SYC) MEDO Sir Is it Curable ? Syc Doubtful Recovery About (SYC) ARS How many months I have to Take Medicines (Tub) Impatience (Intolerance) – Tub SUL AC, Tarent
  47. 47. Hom. Medicines are not fit For me, I do Smoke & Drink Syphil Homoeopathy Aversion to HEP I will Bring More Patients To U if my complaints Relieved (Syc) ? It will take little time for a favorable action from Hom. Medicines Repulsive (SYC) (Blaming) PULS
  48. 48. If it acted Homoeopathy is Good But it should get acted. People are advising me to Take Allopathy, But I won’t Take TUB After taking this medicine …….. Syc MIND - CENSORIOUS – silent; disposition to be faultfinding or AUR SUL SYCORIC MIND - DISCONTENTED – others; with (Tubercular) Hep, Ruta MIND - CENSORIOUS – blames others - wants to; and make them responsible (SYC) LAC LUP
  49. 49. Discontended - TUB Relieved But Not Complete Relief Due to Diet and Regimen (Syc?) Quantity of Medicines
  50. 50. Is any need of consultation of a Surgeon or likewise? Did You Prescribed the same remedy? Shall I take Tonic, Vitamin likewise COCC BAC DENDROPIS DESIRE FOR CHANGE
  51. 51. Is it Curable in HOMOEOPATHY It is not Curable Isn’t it? MIND DOUBTFUL -recovery, of ARS MIND DESPAIR -recovery, of SYPH
  52. 52. Don't Think Otherwise People Are Asking What Others Think! Sensitive Moral Impression PULS SYCORIC
  53. 53. Avoid Coffee Black Coffee? Discontended
  54. 54. Forget to Take Medicines Before Food! Patient Symptom Fastidious/ Extremeness Fastidious Conscientious about trifles Proper Too CANCER
  55. 55. Can I Take Allopathic Medicines In Acute Emergencies Patient Symptom Incordination Distrustful ( Suspicious / Doubtful)
  56. 56. There is chance of worsening So I Reach at you In the Beginning Itself! PATIENT SYMPTOM SENSITIVITY SUSPICIOUS INTOLERANCE ANGUISH
  57. 59. <ul><li>MIND - AFFABILITY - enemy; to an (1) aloc (alcoholus) </li></ul>
  58. 64. <ul><li>MIND – AUDACITY (21) Arn,Puls,Tub ,IGN </li></ul>
  59. 66. <ul><li>MIND – MALICIOUS (98) ANAC </li></ul><ul><li>MIND – BRUTALITY, </li></ul><ul><li>MIND – CRUELTY, </li></ul><ul><li>MIND - HARDHEARTED, inexorable </li></ul>
  60. 67. GENERALS - LABORATORY findings - albumin-globulin ratio inverted Beryllium metallicum
  61. 68. GENERALS - LABORATORY findings - electrocardiograph - P-R interval prolonged stroph
  62. 69. GENERALS - LABORATORY findings - sedimentation rate - increased (Unreasonable) Cobaltum Nit
  63. 70. GENERALS - LABORATORY findings - potassium level - reduced cortisonum
  64. 71. GENERALS - LABORATORY findings - sperm count - low Pituitary
  65. 72. GENERALS - LABORATORY findings - spinal fluid pressure - elevated x-ray
  66. 73. Perspiration STAINING BLUE Indigo Yellow LACH RED Nux Mos
  67. 74. <ul><ul><li>RELATED MODALITIES & ACCOMPANIMENTS </li></ul></ul><ul><ul><li>Coughing from – Samb </li></ul></ul><ul><ul><li>Qualified with Mental Symptoms </li></ul></ul><ul><ul><li>Anger With – SEP (Sycotic) </li></ul></ul>
  68. 75. <ul><ul><li>SLEEP </li></ul></ul><ul><ul><li>Age </li></ul></ul><ul><ul><li>Sleeplessness Old People – (Syphil) </li></ul></ul><ul><ul><li>New Born – Coffea </li></ul></ul>
  69. 76. <ul><ul><li>Position </li></ul></ul><ul><ul><li>Stretched out Lower Limbs </li></ul></ul><ul><ul><li>(Sycotic) PUL </li></ul></ul>
  70. 77. <ul><ul><li>Pattern </li></ul></ul><ul><ul><li>Naked </li></ul></ul><ul><ul><li>Merc Sol </li></ul></ul>
  71. 78. <ul><ul><li>Turning three hundred and sixty degrees all night </li></ul></ul><ul><ul><li>Lac Delphinum </li></ul></ul>
  72. 79. <ul><li>Diagonal Position </li></ul>
  73. 80. Some Pathological Rubrics Which can Individualize the patient i.e PATIENT OUT OF DISEASE
  74. 81. Generals of Miasms
  75. 82. Food & Drinks are Pointers Towards Miasms. All &quot;SWATHIC&quot; - PSORA All 'RAJAS' - SYCOTIC All &quot;Thamas&quot; - Syphilitic
  76. 83. Psoric – Desires
  77. 84. Sweets Fruits Vegetables
  78. 85. Farinaceous Yoghurt Etc
  79. 86. Psoric Sleep
  80. 87. On back Smiling Refreshing > after catnap sleep
  81. 88. Season Winter < Clear fine weather >
  82. 89. <ul><li>Winter < </li></ul><ul><li>Clear fine weather > </li></ul>Menses DUB Regular Scanty menses Spasmodic dysmennorrhoea Itching without leucorrhoea > menses
  83. 90. Perspiration Aml - Perspiration Scalp
  84. 91. Generals of Sycotic Miasm
  85. 92. Alcoholic Drinks Garlic Rich Food Pepper
  86. 93. Pungent Things Refreshing Spices Vinegar Etc
  87. 94. Sleep Sycosis Putting hand or leg over the bedmate. Putting hand over head Take the major part of the bed Early to bed and late to wake Wake up from sleep from slight noise Burning soles
  88. 95. Sycotic Seasons Rainy season Cloudy Weather
  89. 96. Yellow staining – LACH Smells onion - LYC Sweat in axilla - DULC Single parts in excess - MEZ On nose – NAT M Anger during - SEP Sycotic Perspiration
  90. 97. Sycotic Menses Large clouts Leucorrhoea yellow purulent > Leucorrhoea Endometriosis Sycotic Menses Large clots Leucorrhoea yellow purulent > Leucorrhoea Endometriosis
  91. 98. Generals of Sypilitic Maism
  92. 99. SYPHILITIC DESIRES
  93. 100. Intoxicating things Red Pepper Stimulants Etc
  94. 101. Syphilitic Sleep Diagonal position Spits during sleep Kicks during sleep
  95. 102. Bloody nocturnal emissions Ptylism Night aggravations and thus sleeplessness from evening to early morning.
  96. 103. SYPHILITIC PERSPIRATION
  97. 104. Bloody Cadaverous odor Night perspiration
  98. 105. G:A C D CRed616045.JPG MENSES Dark Decomposed Metorraghia Night < Bloody leucorrhoea
  99. 106. Some General Rubrics of Tubercular M iasm
  100. 107. MIND - CAPRICIOUSNESS STOMACH - THIRST - capricious GENERALS - FOOD and DRINKS – drinks - desire – capricious , but refuses when offered STOMACH - APPETITE - capricious appetite RHEUM, CYPRIPEDIUM
  101. 108. Refer S.K.Banarji or Use Your LOGIC
  102. 109. Self Explanatory Miasmatic Presentations
  103. 110. <ul><li>Hair falling after Acute Disease – Psoric </li></ul><ul><li>HEAD - HAIR - falling - disease - acute exhausting disease; following – Mancinella </li></ul><ul><li>Follow with a dose of SUL </li></ul>
  104. 111. <ul><li>Sun head ache Psoric </li></ul><ul><li>Sulpur will prevent recurrence </li></ul>
  105. 112. <ul><li>Falling of hairs from eye brows, eyelashes, beared, </li></ul><ul><li>Entropion </li></ul><ul><li>SYPHILITIC </li></ul>
  106. 113. <ul><li>Try to find out “ M I A S M A T I C SPECIFICS” by considering miasmatic group of Symptoms. </li></ul>
  107. 114. <ul><li>FACE - HAIR - falling of hair - Eyebrows </li></ul><ul><li>FACE - HAIR - falling of hair - Mustache </li></ul><ul><li>FACE - HAIR - falling of hair - Whiskers </li></ul><ul><li>EYE - INVERSION of lids </li></ul><ul><li>All are syphilitic presentations </li></ul><ul><li>  Anacardium covered all rubrics Except falling mustache – KaliC , Sel ) </li></ul>
  108. 115. <ul><li>Spots Before eyes, Psoric </li></ul><ul><li>VISION – SCOTOMA – Agar </li></ul>
  109. 116. <ul><li>Injuries to eyes – Syphilitic ? </li></ul><ul><li>EYE - INJURIES, from – Staph, Sil </li></ul><ul><li>Refractory changes are syphilitic </li></ul>
  110. 117. Sensitive to odors - Psoric <ul><li>NOSE - SMELL – acute Colch </li></ul><ul><li>MIND - SENSITIVE - odors, to - Colch </li></ul>
  111. 118. All snuffles are not sycotic <ul><li>Mouth breath due to blockage and dryness of nose – Tubercular </li></ul><ul><li>NOSE - DRYNESS - Inside - breathe through mouth; must – Melilotus </li></ul>
  112. 119. All asthmas are not Sycotic <ul><li>Wet asthma (With Rattling) – Sycotic – Nat Sul (F/H) </li></ul><ul><li>Dry Asthma – Psoric - Thymus </li></ul><ul><li>Dyspnoea > Stool – Sycotic – Ictodus F (Pothos F) </li></ul><ul><li>Asthmatic Bronchitis – (smokers) Syphilitic – Stann Iod </li></ul><ul><li>Asthma < ascending stairs – Tubercular – Stann Met </li></ul>
  113. 120. Worms – Tubercular <ul><li>Except tape worm which is PSORIC </li></ul>
  114. 121. Tape Worm <ul><li>unreasonable but in practice CALC & Filix Mas found effective remedies are found effective </li></ul>
  115. 122. <ul><li>Albuminurea – Phospahturea, Glycosurea – </li></ul><ul><li>TUBERCULAR </li></ul>
  116. 123. <ul><li>URINE - ALBUMINOUS </li></ul><ul><li>URINE - SUGAR </li></ul><ul><li>URINE - SEDIMENT – phosphates </li></ul><ul><li>PHOS ACID covered the above 3 rubrics </li></ul>
  117. 124. <ul><li>Milk intolerance TUBERCULAR – TUB </li></ul><ul><li>Easy Ejaculation PSORIC GRAPH, TITANIUM </li></ul>
  118. 125. <ul><li>Abortion Tendencies Syphilitic </li></ul><ul><li>Kali C </li></ul>
  119. 126. <ul><li>Azoospermia Syphilitic </li></ul><ul><li>extreme Try Nosode </li></ul>
  120. 127. <ul><li>Bed wetting ? </li></ul><ul><li>Not only Tubercular but </li></ul><ul><li>sycotic too. </li></ul>
  121. 128. <ul><li>Difference is, in Tubercular patient nocturnal enuresis will take place soon after going to bed , but in Sycosis the indication is patient wakes up during micturition (Sep) </li></ul>
  122. 129. <ul><li>Warts on Hands and face </li></ul><ul><li>PSORIC </li></ul>
  123. 130. <ul><li>Though Asthma < ascending stairs listed under Tuberc ular miasm </li></ul><ul><li>It can be Sycotic in </li></ul><ul><li>CCF and Cor pulm . </li></ul><ul><li>And syphilitic in </li></ul><ul><li>Valvular Heart Disease </li></ul>
  124. 131. <ul><li>RESPIRATION - DIFFICULT - high altitudes; in (palitation) – Tubercular – coca </li></ul>
  125. 132. Keeping his mind on heart – Psoric
  126. 133. <ul><li>MIND - ANXIETY - heart; about his </li></ul><ul><li>SAMB (Sycoric) </li></ul>
  127. 134. <ul><li>MIND - ANXIETY - heart failure; in congestive – C A R B V ( Only one drug and this is also covering all miasms - Mul timiasm atic ) </li></ul>
  128. 135. <ul><li>MIND - FEAR - heart - disease of the heart – Psoric – Calc , Spong </li></ul>
  129. 136. RHD - Sycotic <ul><li>CHEST - HEART; complaints of the - rheumatism, after - Kalm </li></ul><ul><li>Goiter & Heart Diseases are SYCOTIC </li></ul>
  130. 137. <ul><li>CHEST - HEART; complaints of the - thyroid glands; after over activity of –Sycotic </li></ul><ul><li>Dys {Bacillus Dysenteriae} (Bach) (Bowel nosode) – </li></ul><ul><li>Antisycotic remedy ? </li></ul>
  131. 138. Thank You

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