Types of constitution , Various authors idea on constitution, Constitution in various repertories . Have been discussed .

1. MODERATOR:-
DR.SNEHA.B MD
HOD GUIDE
DEPARTMENT OF REPERTORY AND CASETAKING
PRESENTER:
DR.HINDUJA.N
PG PART 1
DEPARTMENT OF REPERTORY AND CASE TAKING
MNR HOMOEOPATHIC MEDICAL COLLEGE

2. EVOLUTION OF CONSTITUTION
THROUGH REPERTORIZATION
DEPARTMENT OF REPERTORY AND CASETAKING

3. 1. Understanding the concept of constitution, including its definition and
components.
2. Exploring the evolution of the constitution .
3. Highlighting the relevance of constitution in homeopathy and its role in
individualized treatment.
4.How to evolve constitution through repertorisation .
OBJECTIVES

4. POINTS TO BE DISCUSSED
Definition of Constitution:Discussing how constitution reflects an individuals physical and
mental makeup .
1.
Temperament and Diathesis: Understanding the integral roles of temperament and diathesis
in constitution. Von Grauvogl's Classification: Understanding the three types of
constitutions based on excess or deficiency of elements. .
2.
Constitutions mentioned in different repertories .
3.
Importance of constitution in homoeopathy.
4.
Types of Temperaments: Exploring the four temperaments – sanguine, choleric, phlegmatic,
and melancholic and its Significance .
5.
Diathesis: Defining diathesis and exploring its various types, such as lymphatic, uric acid,
dyscratic, tubercular, scrofulous, and hemorrhagic.
6.
How to evolve constitution through repertory .
7.

5. Hold questions until the end of the
presentation

6. Introduction to Constitution and
Its Components

7. CONSTITUTION COMES FROM LATIN WORD “CONSTITUERE'
WHICH MEANS; TO SET UP, TO ESTABLISH, TO FORM OR
MAKEUP, TO APPOINT, TO GIVE, BEING TO.
1.
Constitution is defined as persons physical and
mental makeup which is revealed through his
physical built, his characteristic desires aversions
and reactions as well as emotional and intellectual
attributes
2.

8. CONSTITUTION
Physicals
Mentals
A.Temperament
(mental generals )
B.Personality
A.Generals (Cravings,
aversions,thermals etc)
B.Diathesis
(Rheumatic,Haemorrhagic,
tubercular,scrofulous,lymp
hatic,gouty ,biliousetc)

9. Constitution is the characteristic way of a person
to live in the world.
While diathesis is the characteristic way of a
person of getting sick.
Where temperaments is the characteristic of a
person that which predispose him to act and
behave in a particular manner
Temperament and Diathesis are
integral part of constitution, which
helps in individualisation.

10. Man recieves some features from his ancestors and
some from the environment factors he has been
brought up .
The effect of exogenous and endogenous factors is at
emotional intellectual and physical plane the sum
total of individual characteristics in the 3 planes is
known as “constitution”.

11. TRANSMISSION OF HEREDITARY
CHARACTERISTICS AND
ENVIRONMENTAL FACTORS

12. ENVIRONMENT /EXOGENOUS
FACTORS
Familial tendencies to affect a
particular organ tissue or system
1.
susceptibility to disease
2.
a.Diathesis
CONSTITUTIONS
EXPOSURE TO DIFFERENT
ENVIRONMENTAL FACTORS :
a.family set up before during and after
conception
b.school setup
c.other social contacts
HEREDITARY/ENDOGENOUS
FACTORS
EMOTIONAL INTELLECTUAL PHYSICAL
CHARECTERISTICS
“INDIVIDUAL

13. Genes transmit traits according to Mendelian principles (dominant, recessive, and sex-linked
traits like hemophilia).
- Health represents equilibrium; disease signifies loss of equilibrium or disharmony which are
indicated through signs and symptoms . their removal leads to restoration of lost balance and
helps in constituting ,according to hahnemann , cure-rapid gentle and permanent restoration
of health.
-this loss of balance often leads to Disturbed emotional states , impacting organ functioning,
leading to structural alterations over time contributing to additional symptoms.
TRANSMISSION OF HEREDITARY
CHARACTERISTICS

14. - Disease is a total response of an organism to adverse environmental
factors ,external or internal : conditioned by constitutional factors
inherited and acquired and its manifest in emotional, intellectual, and
physical spheres.
- Responses are divisible into individual (denoting constitutional type)
and group (diagnostic symptoms) response.(seen in many)

15. HISTORICAL PERSPECTIVES ON
CONSTITUTION

16. Hippocrates taught that all diseases (excluding injuries) were initially
general in nature and only become local to provoke a crisis at a later
stage. All natural diseases are originally functional and then proceed
toward pathological damage over time.
He also taught that there was no such thing as a single cause in a natural
disease.
He taught that causation was of an interdependent origin rather than
any one isolated factor.
There is always the merging of the susceptibility of an individual or
group with a sympathetic pathogenic influence. Therefore, the
aetiological constellation includes the predispositions of the physical
constitution and mental temperament, the nature of the disease state,
as well as environment conditioning factors.

17. Hippocrates classified constitution into 2 types, short and
thick – is prone to apoplectic conditions and Long and thin –
is prone to tubercular affection.

20. The concept of constitution is widely applied in the practice of traditional Chinese
medicine (TCM).
Constitutional consideration is an important process for clinical diagnosis and
treatment, and it also lays the foundation for health promotion and disease
prevention.
This concept has been in China for thousands of years. It originated from the famous
Chinese Medicine book, Huang Di Nei Jing.
The body constitution concept states that every individual has his or her unique
body, which reacts in a specific way to environmental influences.
As per this concept body constitution can vary from person to person, some are
strong, some are weak, some tend to be heat, and some tend to be cold.

21. According to the China Association for Traditional Chinese Medicine (CACM), body
constitution can be divided into nine types, named as neutral, qi deficiency, yang deficiency,
yin deficiency, blood stasis, phlegm & dampness, damp-heat, qi stagnation and special
constitution.
Generally, the classification of body constitution is based on physical outlook, personality,
common health problems, and adaptation to external environment .
There is certain traditional Chinese Medicine concept quite similar to the Homeopathic
concept.
One such concept is that advocates that different remedy for the same disease and same
remedy for different disease.
Individuals may have the same disease, but their unique body constitution necessitates the
use of different remedies that not only work with the symptom but also deal with the root
cause, the imbalance in the body constitution.
This is why you will see so much variation in Chinese Medicine herbal remedies to treat the
same common illnesses, such as flu.

23. Ayurveda, describes a unique concept of constitution, genetically determined,
categorising the population into several subgroups based on phenotypic
characters like appearance, temperament and habits.
According to this concept, the basic constitution of an individual is determined at
the time of conception thus constitution is called Prakruti which is a Sanskrit word
that means, "nature," "creativity," or "the first creation."
One of the very important concept of Ayurveda is that one's basic constitution is
fixed throughout his lifetime.
The combination of Vata, Pitta, and Kapha that was present in the individual at the
time of conception is maintained throughout his lifetime. This is your base point.

24. Notice that different persons can have different combination of
Vata, Pitta and kapha as their basic constitution or Prakruti.
This is how Ayurveda can explain the subtle differences between
individuals and explains why everyone is unique and that two
persons can react very differently when exposed to the same
environment or stimuli.
One individuals Prakruti is unique to that individual just as the
fingerprint and DNA. Thus, in order to understand a person, it is
necessary to determine his or her Prakruti. Identifying the prakriti
helps in individualising therapy or predicting proneness to a
disease.

25. Hahnemann
concepts of
Constitution

26. Hahnemann gives a fair idea on the importance of the constitution in Aphorism 5
of Organon of Medicine.
wherein he states “Useful to the physician in assisting him to cure are the
particulars of the most probable exciting cause of the acute disease, as also the
most significant points in the whole history of the chronic disease, to enable him
to discover its fundamental cause, which is generally due to a chronic miasm. In
these investigations, the ascertainable physical constitution of the patient (and
intellectual character, his occupation, mode of living and habits, his social and
domestic relations, his age, sexual function, ..etc., are to be taken into
consideration”.

27. DR.VON.GRAUVOGL’S
CLASSIFICATION OF
CONSTITUTION

28. A genuine constitutional theory was put forth by a German homoeopath Von
Grauvogl in his textbook of Homoeopathy published in 1865.
Though there are different systems having their own concepts of constitution,
we will discuss the one which we follow.
That is Dr Von Grauvogl classification which is fairly explained by JH Clarke in
his book Constitutional medicines says he is a good chemist and have very
good knowledge on chemistry and systematically classified the Constitution
into three types.
Every living organism is made up of oxygen, carbon, nitrogen and hydrogen.
The Excess or deficiency of these elements in the tissues causes the
Development of different individual constitutions

29. it is
characterized by
excess of
hydrogen Which
leads to
retention of
water in tissue.
HYDROGENOID
CONSTITUTION

30. (a) Slow intake of nutrition.
(b) Puffiness, retention of water in the
tissues.
(c) Easily affected by humidity.
(d) All of its disorders have periodicity .
(e)apathetic, indolent, heavy
Examples:
(I) Natrum sulphuricum
(ii) Thuja occidentalis

33. Few clinical conditions HYDROGENOID constitution suffer
from ?
ASTHMA
OBESITY
RHEUMATISM
THERE ARE CERTAIN CHARACTERISTICS CORRESPONDS TO
HAHNEMANNS SYCOTIC MIASM

34. OXYGENOID CONSTITUTION
Word itself says that there is excess of oxygen
which causes breakdown of the hydrocarbons,
nitrogens and albuminous , tissue and bones,
causing destruction of tissues.

35. (a) thin with complain of weight loss in spite of
having good appetite and eating well.
(b) nervous individuals who have increased
physical and mental activities
(c) they have prominent glands , weak bones and
are anaemic .
(d) white spots on nails
(e) Hypohydric aspect with dryness of the skin
and mucous membranes.
Examples: Acidum nitricum, Carbo vegetabilis

36. Few clinical conditions OXYGENOID constitution suffer from
?
Ulcers
destructive diseases
Tuberculosis
THERE ARE CERTAIN CHARACTERISTICS CORRESPONDS TO
HAHNEMANNS SYPHILLITIC MIASM

37. 3.CARBONITROGENOID
These people have excess of carbon and nitrogen
and are deficient in oxygen

38. a) Tissues do not absorb sufficient oxygen due to retarded
nutrition .
b) After a period of obesity thinness follows
C)mentally anxious , restless , irritable
(i) Lycopodium clavatum
(ii) Cuprum metallicum

39. Few clinical conditions CARBONITROGENOID constitution
suffer from ?
Epistaxis, eczema ,palpitations ,shortness of breath
THERE ARE CERTAIN CHARACTERISTICS CORRESPONDS TO
HAHNEMANNS PSORIC MIASM

40. Dr . leon Vannier
Classification of constitution
-CARBONIC (psora)
-PHOSPHORIC (sycotic)
-FLOURIC(syphillitic)

41. Carbonic Flouric
Phosphoric
Short limbed
develops width
thick skeleton
teeth square white
nails square solid
stubborn
speaks little and
only what he knows
listens to and
applies advices
given to him
Long limbed
long flat thorax
shoulder blade
prominent
nails almond
shaped
teeth rectangular
vertical
gracious
nervous sensitive
imaginative lively
expressive
Lean body
skin dry cracked
walk irregular
nails triangular
brilliant but
unstable
can’t take any
decisions
restless
versatile
unstable

42. ERNST KRETSCHMER (1921)german
psychiatrist-By taking a limited number of
physical characteristics Kretschmer in his
book “The character and physique”
classified constitution into asthenic,
athletic and pyknic.

43. Asthenic Athletic Pyknic
LINEAR
PHYSIQUE
LEAN NARROW
BUILT DRY SKIN
NARROW
SHOULDERS
FLAT CHEST
Good musculature
strong developed
skeleton good skin
firm abdomen
graceful lower
limbs
Plump
physique
dysplastic - unproportionate body

44. CONSTITUTIONAL DIAGNOSIS
This method is useful in understanding the peculiarity of a
person in his healthy state as well as diseased state. This
also helps in the "individualization of a person.
Constitutional diagnosis is done under 3 headings:

45. Basic
Developmental
Environmental
This can be understood better by learning the past history of the
patient. The circumstances and the conditions the patient had
gone through are studied. Developmental constitution
determines the person's psycho-somatic state.
It includes the peculiarities of an individual in his healthy state.
No two persons are alike in this world, either in health or in
disease. The basic constitutional symptoms of the person are
influenced by endogenous factors.
This determines the person's reactions to the current situations, time and
circumstances, either friendly or troublesome. How the person behaves
during a challenging situation, how he copes up with pressure? In short it
helps in learning what the person's behavioural pattern, reaction to the
given environment

46. TEMPERAMENTS

47. Temperament
The word Temperament is a Latin derivative of
"TEMPERARE" which means "TO TEMPER" or "A PERSON'S STATE
OF MIND".
Temperaments are the tendencies of an individual to act or behave
in a particular manner .

48. According to Aristotle, "Temperament is the particular nature of a Person,
Body and Soul".
Hippocrates (469 BC- 377 BC)
• He believed that body is made up of four Humours.
• BLOOD, PHLEGM, YELLOW BILE and BLACK BILE.
• These Humours circulate in the body and determine the unique physical,
mental and emotional qualities of a person.
• If any imbalance in these Humours occurs, they can cause disease
condition.

49. Claudius Galenus
• He was a Greek physician, surgeon and philosopher in Roman
empire.
• He believed that these Humours are formed in the body
(rather than ingested).
• According to him these humours can be influenced by the
type of food we ingest.
• Galen used the term "Bodily disposition" because
temperaments can determine a person's susceptibility towards
particular diseases and emotional or behavioural tendencies.

50. There are mainly Four types of temperaments
has been observed in a person.
1. SANGUINE
2. CHOLERIC/ BILIOUS
3. PHLEGMATIC
4. MELANCHOLIC

51. Sanguine
Sanguine -Latin-SANGUS=BLOOD
Talkative ,extrovert ,joyful ,lively ,carefree ,optimistic,
confident,responsive,sociable ,artistic,superficiality ,
vanity , weaves stories , instability
LETS DO IT IN FUN WAY

52. Choleric
Born leader ,ambitious , egoistic ,self confident
,emotionless,revengeful , Dominating ,easily excited
,impulsive , full of energy and aggressiveness , likes to
recieve respect and esteem for their work ,focused on job
done efficiently ,very good at planning and often come up
with practical solutions
CHOLERIC-Greek-KHOLERA=BILIOUS
LET US DO IT IN MY WAY

53. Phlegmatic
LATIN-PHLEGMA=clammy moisture of body
Calm ,sluggish , indifferent ,lazy , introverted,reserved
,prefers quite and peaceful life ,dependable and are trust
worthy people , couch Potatoes , fatigue,tendency to
postpone things , ambitionless, indecisive
LETS DO IT ON ANOTHER DAY

54. Melancholic
2GREEK WORDS - MELEN=BLACK,CHOLE=BILE
Pessimistic,suspicious ,introverts, moody ,depressed
, maintains their own standards ,highly creative ,self sacrificing
,thoughtful ,responsible ,trustworthy,lack of self confidence
What if it goes wrong

55. DIATHESIS

56. Diathesis
Greek word DIATHESIS = DIATITHENAI = TO ARRANGE , TO DISPOSE
DEFINITION
Diathesis is an inherited or acquired organic and systemic weakness which can
cause predisposition towards certain disease condition.
In other words,
The disease disposition arising from the defects of constitution can be called as
the diathesis.
A condition of the body which makes the tissue react in the special way to certain
extensive stimuli and thus tends to make the person more susceptible to certain
disease.

57. TYPES OF DIATHESIS-
1. Lymphatic diathesis/Exudative diathesis
2. Uric acid /Rheumatic/Gouty/Hydrogenoid
diathesis (constitution)
3. Dyscratic diathesis
4. Tubercular diathesis
5. Scrofulous diathesis
6. Haemorrhagic diathesis

58. Constitutions in different
repertories

60. The constitutions chapter was first introduced by Murphy in the second edition of
repertory.
This chapter consist all the genetic, dispositions, and body types from the generals
chapter.
Extensive additions were gathered from Hering’s guiding symptoms.
The constitution chapter contains: constitutions, temperaments, body size, body type,
hair in general, complexions, age, growth, gender, habits, defects, miasms, infants,
inheritance, children, boys, girls, elderly people, men, occupations, women, young
people.
“Constitution” chapter in the Homoeopathic Medical Repertory several types of
constitutions other than what is mentioned by Grauvogl. Many of the rubrics are
useful in our clinics. The rubric -Occupation with some subrubrics are not seen in
other repertories.
i)Clinical repertory by Robin
Murphy

61. Constitutional remedies
1.
Adipose tissue increased
2.
children esp in .
3.
removes pathological
deposits of fatty matter
4.
Alcoholic constitutions
5.
Anaemic constitution
6.
Asthmatic constitutions
7.
bilious
8.
Bilious constitutions
9.
Cancerous constitutions
– malignant growth.
10.
CARBO – nitrogenoid
constitutions –
1.
Catarrhal constitutions –
inflammation of mucous
membrane of the head
and throat.
2.
Children constitutions
3.
chubby
4.
cold readily take
5.
colic
6.
fat-bad
7.
growing pains
8.
nervous weak
9.
over fed
10.

62. psoric
1.
self willed
2.
Choleric constitutions
3.
ardent disposed to
anger, spite or
deception, always
irritable and impatient
4.
especially children
5.
sedentary
6.
Dwarfish constitutions
7.
Fiber lax constitutions
8.
Fiber rigid
constitutions
9.
Gouty constitutions
10.
Haemorrhagic constitutions – marked
by bleeding. Haemorrhoidal
constitutions –
1.
constipation with
2.
Herpetic constitutions
3.
Hydrogenoid constitutions
4.
Hypersensitive constitutions
5.
allopathic drugs to
6.
homoeopathic remedies, potencies
7.
Hysterical constitutions – mental
disorder usually temperary,presenting
somatic symptoms, simulating almost
any type of physical disease. The
mental attitude is calm with easy
laughing and crying without any cause.
Emotional instability,various sensory
disturbances and a marked craving for
sympathy.
8.
Inheritanace, bad defective
constitutions
9.
Infants constitutions –
10.

63. Infants constitutions –
asphyxia
1.
catarrh
2.
chafing
3.
colic
4.
constipation
5.
diarrhea
6.
face like an old man
7.
jaundice
8.
stopped up preventing
nursing
9.
nursing, milk disagrees
10.
screaming colic with
1.
sleeplessness
2.
sour child smells
3.
Lymphatic constitutions
4.
Melancholic constitutions
5.
grief, inclined to
6.
Nervous constitutions –
characterized by excitability
excitable
7.
weak, desire to be magnetized
8.
Paralytic constitutions
9.
Phlegmatic, constitutions – of dull,
sluggish temperament, apathetic.
10.

64. Plethoric constitutions – overfullness of blood vessels or of the total quantity of any
fluid in the body, congestion causing distension of the blood vessels.
1.
Psoric constitutions
2.
Rachitic constitutions
3.
Rheumatic constitutions – acute or chronic conditions characterized by inflammation,
muscle soreness, and stiffness, and pain in joints, and associated structure. It includes
arthritis, degenerative joint diseases, neurogenic arthropathy, hydrarthrosis,
myosistis, bursisits, fibromyosistis.
4.
Sanguine constitutions
5.
Scorbutic constitutions – affected with scurvy.
6.
Scrofulus constitutions – inflammation and swelling of the lymph nodes as in
tuberculous adenitis of cervical lymph nodes due to haematogenous spread of
pulmonary tuberculosis.
7.
Sensitive constitutions
8.
Sycotic constitutions
9.
Syphilitic constitutions
10.

65. Tuberculosis constitutions – marked by nodules
1.
Venous constitutions
2.
Weak constitutions
3.
Weakly constitutions
4.
broken down
5.
Young people
6.
growing pains
7.
obesity
8.
plethoric
9.
scrofulous
10.

66. In Knerr’s repertory the rubrics related to the constitution is included under the
chapter stages of life and constitution.
In this chapter rubrics related to various age groups are included under headings
like children; old age etc. the rubric constitution has many sub rubrics.
Most of the rubrics of the Murphy’s constitution chapter are based on the
constitution rubric of the stages and constitution chapter of Knerr’s repertory.
Dr. Calvin Knerr in his repertory, “The Repertory of Hering’s Guiding Symptoms of Our
Materia Medica” gave the rubrics related to Temperament and Diathesis where
number of medicines were more than any other work related to subject and the choice
of rubrics were precise but profound. He gave due recognition to this aspect.
ii)Repertory of Hering's Guiding
Symptoms of our Materia medica

67. Constitution section contains mostly diathesis, tendencies,
constitution types, miasms
Subrubrics involve subjective and objective symptoms of those
constitutions and diatheses, and also some age groups or persons who
are affected
Eg:
Constitution, anemic, faceache
Constitution, gouty, mercurial ulcers
Constitution, hemorrhagic, ovaritis
Constitution, psoric
Constitution, rheumatic, women
Constitution, weakly, bookworms, sensitive romantic girls,
onanists, rakes and drunkards

68. Following list of rubrics for Temperament is
given to give general idea about
chapter/section where such rubrics can be
found:

69. Headache, in hysteria; in people of nervous or sanguine temperament, I (chapter- Inner head, pg no-
129)
1.
Headache, nervous; nervous or sanguine temperament, I Coff (chapter- Inner head pg no- 131)
2.
Headache, nervous; and sensitive temperaments, I (chapter- Inner head pg no.- 131)
3.
CONJUNCTIVA, blennorrhea; malignant, leucophlegmatic temperaments, I Thuja (chapter- Eyes, pg no-
173)
4.
Ophthalmia menstrualis; in patients of a Sanguine temperament, subject to attacks of congestion and
inclination to hysterical spasms, Croc (chapter- Eyes, pg no- pg- 214)
5.
Stomach, cramp; with tendency to constipation, especially those of lymphatic temperament, I
(chapter- Scrobiculum and stomach, pg no- pg- 458)
6.
Stomach, oppression; in hysterical women, with nausea, pale face, weakness, phlegmatic
temperament, I (chapter- Scrobiculum and stomach, pg no- pg- 466)
7.
Constipation, stomach; gastralgia, in those of lymphatic temperament, I (chapter- Stool and Rectum,
pg no- 537)
8.
Gonorrhoea, constitution in blonde men of light temperament, II (chapter- Male sexual organs, pg no-
619)
9.
Menses, bright red; females of sanguine temperament, I Kali c (chapter- Female sexual organs, pg no-
649)
10.

70. Menses, profuse (menorrhagia); in sanguine temperaments, I Kali c (chapter-
Female sexual organs, pg no- 653)
Menses, protracted (lasting too long); in sanguine temperaments, IIKali c (chapter-
Female sexual organs, pg no- 653)
Menses, suppressed; in women of full habit, leucophlegmatic temperament, I Calc
(chapter- Female sexual organs, pg no- 655)
During menses, pain (colic, dysmenorrhoea); in women of spare habit, and of a
delicate, nervous temperament, II (chapter- Female sexual organs, pg no- 664)
Sexual excitement; suddenly, in a woman at. 40, of phlegmatic temperament, and
without the least sexual inclination, II (chapter- Female sexual organs, pg no- 672)
Lactation, temperament: mild, tearful, milk scanty, I Puls (chapter- Pregnancy.
Parturition. Lactation. pg no- 688)
red hair, quick, lively perceptions, sensitive nature, II (chapter- Stages of life and
constitution, pg no- 1193)

71. Lactation, temperament: mild, tearful, milk scanty, I Puls (chapter- Pregnancy.
Parturition. Lactation. pg no- 688)
Lungs, hemorrhage (haemoptysis); sanguine temperament, I (chapter- Inner chest and
lungs, pg no- 810)
Nervousness, constitution; excitable temperaments, Val. (chapter-Nerves, pg no- 1027)
Weakness, sleep; sleeplessness, nervous bilious temperament, I (chapter- Nerves, pg
no- 1043)
Sleeplessness, with headache; Nux temperament, II Puls. (chapter-Sleep, pg no- 1067)
Age, Women; fibre rigid, easily excited, as well as those of the opposite temperament, I
(chapter- Stages of life and constitution, pg no- 1187)
Age, Women; hair dark, thin, sanguine or bilious temperament, too frequent and
profuse menstruation, sexual organs exceedingly sensitive, I (chapter- Stages of life
and constitution, pg no- 1187)
Age, Women; spare habit, delicate, nervous temperament, dysmenorrhoea, II (chapter-
Stages of life and constitution, pg no- 1188)

72. Age, young people; sanguine or nervo-sanguine temperament, also people who are
habitually cold and deficient in vital reaction, gay disposition, fitful mood, Ver. (chapter-
Stages of life and constitution, pg no- 1188)
Complexion, hair; blonde, mild temperament, gonorrhoea, II (chapter- Stages of life and
constitution, pg no- 1189)
Complexion, hair; light brown, nervous, excitable temperament, II (chapter- Stages of life
and constitution, pg no- 1189)
Constitution, hemorrhagic (bleeders); Nervo-sanguine temperament, I Ham (chapter- Stages
of life and constitution, pg no- 1190)
Constitution, Scrofulous (strumous); light-haired, sanguine temperament, ruddy
complexion, I met. (chapter- Stages of life and constitution, pg no- 1191)
Size, tall; sanguine temperament, fair skin, blonde or red hair, quick, lively perceptions,
sensitive nature, II (chapter- Stages of life and constitution, pg no- 1193)
Size, thin (emaciated, lean, slender, spare); rigid fibre, swarthy, black hair and eyes, brunette
rather than the blonde nervous temperament, II ac (chapter- Stages of life and constitution,
pg no- 1193)
Size, thin (emaciated, lean, slender, spare); nervous temperament, delicate organization,
Xan. (chapter- Stages of life and constitution, pg no- 1193)

73. Following is the list pertaining to rubrics for
Diathesis:-

74. Headache, drawing; intermittent, in rheumatic, gouty or nervous diathesis, I (chapter- Inner head
pg no- 125)
1.
Headache, neuralgic; intermittent, in rheumatic, gouty or nervous diathesis, I (chapter- Inner head
pg no- 132)
2.
Headache, tearing; Intermittent in those of rheumatic, gouty or nervous diathesis, I(chapter- Inner
head pg no- 140)
3.
Hemicrania, intermittent: in those of rheumatic, gouty or nervous diathesis, I (chapter- Inner head
pg no- 143)
4.
Cornea, inflammation (keratitis); superficial, involving epithelial layers, caused by injuries, colds
or in scrofulous diathesis, I (chapter-Eyes, pg no- 178)
5.
Cornea, pannus; pannus, in patients of strumous diathesis, I (chapter-Eyes, pg no- 179)
6.
Lower jaw, lancinating; in inferior maxillary, with cancerous diathesis, II Sil. (chapter-Lower face,
pg no- 311)
7.
Lower jaw, pricking: with cancerous diathesis, II Sil (chapter-Lower face, pg no- 313)
8.
Vomiting, at night; sudden attack, gouty diathesis (acute inflammation of pancreas), I(chapter-
Hiccough, Belching, Nausea and Vomiting, pg no- 445)
9.
Vomiting, saliva; without admixture, gouty diathesis (acute inflammation of pancreas), I(chapter-
Hiccough, Belching, Nausea and Vomiting, pg no- 445)
10.

75. Liver, scrofulous diathesis: I (chapter-Hypochondria, pg no- 481)
1.
Constipation, eruption; in subjects of herpetic diathesis, I (chapter- Stool and
Rectum, pg no- 535)
2.
Diarrhoea, at night; sudden attack, gouty diathesis (acute inflammation of
pancreas), I(chapter- Stool and Rectum, pg no- 543)
3.
Rectum, tenesmus (involuntary straining); irritability of bladder, depending upon
gouty diathesis, I (chapter- Stool and Rectum, pg no- 554)
4.
Bladder, irritability; gouty diathesis, I (chapter- Urinary Organs, pg no- 584)
5.
Bladder, irritability; with tenesmus, depending upon gouty diathesis, I (chapter-
Urinary Organs, pg no- 584)
6.
Urine, albuminous; rheumatic diathesis, Sal. Ac (chapter- Urinary Organs, pg no-
604)
7.
Urine, diabetes mellitus, with gouty diathesis, I(chapter- Urinary Organs, pg no-
607)
8.
Urine, sediment; with calculous diathesis, I ac. (chapter- Urinary Organs, pg no-
613)
9.
Urine, sediment; with gouty diathesis, I ac. (chapter- Urinary Organs, pg no- 613)
10.

76. Menses, premature (too early too soon) during course of septic or zymotic
disease, or other toxaemic states, as Bright’ s disease, or in hemorrhagic
diathesis, blood dark, fluid, offensive, Crotal. (chapter- Female sexual
organs, pg no- 653)
Vagina, granulations; in scorbutic diathesis, I (chapter- Female sexual
organs, pg no- 683)
Cough, dry; Tuberculous diathesis, I (chapter-Cough and Expectoration, pg
no- 750)
Cough, Hacking; With tuberculous diathesis, I (chapter-Cough and
Expectoration, pg no- 753)
Inner chest, dropsy (hydrothorax); often with heart disease or gouty
diathesis in old people, l (chapter-Inner chest and lungs, pg no-787)
Lungs, consumption (phthisis, tuberculosis); tuberculous diathesis, dry
hacking cough, I(chapter-Inner chest and lungs, pg no- 809)

77. Blood, anaemia; deep-seated chronic, with tubercular diathesis, II (chapter-
Heart, Pulse and circulation, pg no- 820)
Blood, chlorosis; deep-seated, chronic, with tubercular diathesis, II (chapter-
Heart, Pulse and circulation, pg no- 820)
Blood, haemorrhage; hemorrhagic diathesis, Sec (chapter-Heart, Pulse and
circulation, pg no- 822)
Neuralgia, rheumatic; gouty-rheumatic diathesis, I Coloc (chapter- Nerves, pg
no-1029)
Eruption, scarlatina; in children of psoric diathesis prone to skin affections, I
(chapter- Skin, pg no-1165)
Age, children; feeble, scrofulous diathesis, frequently troubled with diarrhoea
from debility, II Nux m. (chapter- Stages of life and constitution, pg no- 1185)
Age, old people; heart disease, gouty diathesis, Aspar. (chapter- Stages of life
and constitution, pg no-1187)
Constitution, gouty; uric acid diathesis, II (chapter- Stages of life and
constitution, pg no-1190)

78. Boger-Boenninghausen's Characteristics and repertory
mentions nine rubrics related to constitutional types in the
chapter sensations and complain in general such as
Carbonitrogenous, Dyscratic, Hydrogenoid,
Lithaemic/acidosis, Neuropathic, Oxygenoid, Psoric, Sycotic
and Syphilitic.
It covers concept of Hahnemann, Grauvogl and his own.
Boger-Boenninghausen's
Characteristics and repertory

79. In clinical repertory by J.H.Clarke is divided into five chapters.
One of them is repertory of the temperaments, dispositions,
constitutions and states.
In this chapter are given the remedies which have been found to
act most beneficially in certain types of persons, temperaments,
sex and age.
There are also included complaints and conditions of particular
type of persons and constitutions.
Clinical Repertory to the Dictionary of
Materia Medica, John Henry Clarke.

80. Alcohol, constitutions abused by
1.
Bilious temperament
2.
Carbo nitrogenoid constitutions
3.
Constitutions
4.
alcohol abused by
5.
animal heat diminished with
6.
asthmatic
7.
bilious
8.
broken down
9.
debilitated.
10.
delicate
11.
gouty
12.
hydrogenoid – possessing an
increased capacity to contain water
13.
leucophlegamatic
14.
lymphatic
1.
Nervo – sanguine or sanguine
2.
Nervous
3.
Nervous, disposed to haemorrhoids
4.
Neuralgic
5.
Phthisical
6.
Psoric
7.
Scorbutic
8.
Scrofulous
9.
Slow, torpid
10.
Weakly
11.
Dry constitution
12.
Herpetic constitution
13.

81. Temperament is a person’s nature and a pattern of behaviour.
All types of Temperaments have their own pattern of
behaviour, such behavioural traits are present in this
repertory as rubrics, here an attempt has been made to
assign all some of the rubrics into their respective
Temperaments
Understanding Temperaments through
Rubrics:

82. 1. Sanguine Temperament Rubrics
• Excitable
• Excitement
• Full blooded persons
• Jovial
• Laughter, easily moved to
• Over excitement
• Entertaining persons
• Sanguine
• Irresolute temperament
• Lively
2.Choleric Temperament Rubrics
• Angry, excited persons inclined to
get
• Ardent persons
• Bad temper
• Business and professional men,
worn out
• Irascible persons
• Keen intellect
• Quick perception
• Rapidity in execution
• Tedious, Labours, patient, nervous
and excitable
• Zealous persons

83. 4. Phlegmatic Temperament Rubrics
• Chronic ailments of sedentary persons
• Intellect, dullness of
• Labor, disinclination
• Laziness, tendency to
• Lazy persons
• Mind and body torpidity of
• Slow perception
• Sedentary habits, persons of
• Submissive
• Torpid, slow constitution
Other Rubrics on Temperaments
• Bilious temperament
• Nervous
• Sanguine or Nervo – Sanguine Temperament
• Temperament (main rubric)
3. Melancholic Temperament Rubrics
• Fear, terror and timidity
• Fearful persons
• Hopeless and Despondent
• Grief, persons affected by
• Mistrustful
• Nature, sensitive
• Sad disposition
• Sadness, tendency to
• Timid persons
• Tears, easily moved

84. DISPOSITIONS :
Although there is no distinct division in this section for disposition, there
are rubrics dedicated to it.
Disposition is a person’s inherent qualities of mind and character or it is
the predominant or prevailing tendency of one’s mental, physical and
emotional outlook.
Here are some rubrics of this section belonging to disposition
• Disposition- which is a main rubric,has Sub-rubrics, starting from
Affectionate to Yielding (alphabetically arranged )

85. -Gay Disposition
• Gentle Disposition
• Malicious, Spiteful Disposition
• Tenacious, Irascible Disposition
• Religious Monomania, Disposed to
• Chilliness, Disposition to
• Cold abdomen, Disposition to take
• Hair, dark, disposition
• Hair, dark, women especially, with disposed to stoop

86. CONSTITUTIONS :
In this section the rubrics are not divided as per
Grauvogl classification of constitution, hence an
attempt has been made to identify rubrics through
Grauvogl’s constitutions

87. Hydrogenoid Constitution
Rubrics
• Over drain of the system
• Dropsical affections
• Catarrhal troubles
• Lymphatic children
• Leucophlegmatic
Oxygenoid constitution Rubrics
• Pale children
• Plethoric
• Anemia
• Apoplectic
• Destructive tendency
• Blueness of skin
Carbo-nitrogenoid Constitution
Rubrics
• Carbo-nitrogenoid constitutions
• Nutrition, defective
• Old looking children
• Undernourished states
• Chagrin
• Wrinkled skin
There is a direct rubric ‘Constitution’ in
this section and also many other
rubrics defining the physical attributes
like hair, skin, tall, black haired people,
bloated persons, black eyed people,
fat children, flabby, fair children etc

88. STATES:
States here define the condition or mode of living, with regards to
circumstances and stages of life.
Rubrics Related to States are
• Childbed
• Climaxis
• Ladies, old maiden
• Pregnant women
• Puberty, Girls at
• Boys, Little Affections of
• Bachelors, old
• Old people, etc……
There are many rubrics in this section devoted to ailments of
various stages of life

89. CONSTITUTION
- carbo-nitrogenous:
- dyscratic:
- hydrogenoid:
- lithemic:
- oxygenoid:
- psoric
- sycotic:.
- syphilitic:
SYNTHESIS REPERTORY BY
FREDRICK SCHROYENS

90. Analytical repertory of the
symptoms of mind
C.HERING

92. HOW TO EVOLVE CONSTITUTION FROM REPERTORY
1.Find out Disposition symptoms of particular drug
2.Life situations through which a particular
constitution has developed
3.Find out all the expressions in the form of Rubrics
in the repertory
4.Correlate a life situations, ailment factors and
expressions.
5.Differentiate Expressions into three personalities.

93. Staphysagria

94. DISPOSITION - They are very sensitive and they
have feeling of dignity and honor, like a person of
a noble birth. He always feels that should not do
anything which is undignified and he must never
lose his control which would be very much below
his honor and dignity.
RUBRICS -Sensitive , Conscientious ,
mildness

95. SITUATION- If someone insults him, he has to
keep control as befits his noble birth. If he cannot
control his temper and when he becomes abusive
and violent. Later he feels very upset and feels
that he had done himself an indignity.
RUBRICS -Ailments from honor wounded ,
Ailments from mortification , Ailments from anger
suppressed , Ailments from reproches

96. FEELING AND EXPRESSION -Feels embarrassed after
being insulted and becomes anxious. They are very
apologetic and apologize for everything. If they missed
their turn in the consultation or not taken medicine for
few days, in their follow ups they are not better, the
usually blame themselves.
Rubrics-Embarrassed, Anxiety,Sadness,Sensitive to
reprimands Reproches oneself

97. Mind dwells too much sexual subjects. They are irritable, easily
fatigued, most excitable, and when have to control their emotions
they suffer intensely.
They suppress sexual desire and when his wife refuses sexual
intercourse. He feels tremendous indignation but feels it below his
honour to ask his wife again, so suppress the feeling of anger and
passion, becomes very sensitive and irritable, and snaps at the least
provocation.
RUBRICS-LASCIVIOUS,DWELLS SEXUAL MATTERS ON
DISCONTENTED,AMOROUS

98. When he doesn’t fulfill the very high standards he has set for
himself. He may manifest by destructiveness, violence, the
tendency to kill or commit suicide. At a point he find it too
much to keep control. He then starts showing signs of losing
control.
RUBRICS- ABRUPT,DESIRES TO BREAK THINGS
,STRIKE DESIRE TO, KILL IMPULSE TO MUTILATING
HIS BODY, VIOLENT ANGER, TREMBLING IN ANGER ,
THROWS THINGS AWAY

100. Thanks for paying
attention
Now don’t ask questions

101. References:-
Spirit of organon - Dr.Tapan Chandra Mondal
1.
Munir Ahmed - Hand Book of advanced teaching
2.
Organon of medicine 5&6 editions
3.
CONSTITUTIONAL MEDICINE With especial reference to The Three Constitutions of Dr Von
Grauvogl. by John H. Clarke
4.
Principles and Practise of Homoeopathy - Dr ML Dhawale.
5.
Herring guiding symptoms of Materia medica - Calvin B knerr
6.
Homoeopathic medical repertory - Robin Murphy
7.
Boger Boenninghausen Charecteristic repertory - C.M.BOGER
8.
Radar software
9.
Complete repertory
10.
Repertory of Homoepathic Materia medica - J.T.Kent
11.
Analytical repertory of mind - c. herring
12.
13.Notes on Miasms -ORTEGA
14.Comprehensive Study of Organon -Dr.G .NagendraBabu