Phatak's repertoryA helping guide in homeopathic practice
Salient features:Based on the ‘Boger’s - Synoptic key’Additions –From his own case takingClinical observationPathological rubricsAddison’s diseaseFatty degenerationUnique rubricsIndian food itemsDrugs abuse of
Salient features:Minimal number of remedies by careful selectionDrugs included areHis own clinical experience thru prescriptionStrongly justified by Kent, Boger or ClarkSingle section arrangement – helps symptoms pertaining to two or more systems – e.g. awkwardnessHis own repertorial notes from all repertories including TPB
Symptom evaluation:Modalities:Causative modalityTime modalityPostural modalityGeneralsCase presentedGrand generalizationCharacteristic particulars
Time modality:IT professional - US VISA interview in couple of daysSevere frontal throbbing headache<<< 10 am until 3.30 – 4 pmNo photo- or phono-phobiaBelladonna did not relieve in 24 hrsTime agg and amel: Forenoon: 10 am to 3 pm aggrChin-s, Nat-m, Tub
Characteristic particulars…60 years old femaleComplaints of dryness of finger tips +++ with cracks that bleed and severe pain in the cracks. Since 2006Tried – petroleum, graphites, heparsulf, sulfur, bach flower remedies, …No amelioration – in fact, left fingers too got affected in due course
Characteristic particulars…2Fingers: tips, dry as if made of paperFingers: tips, crackedFingers: tips, painful
Characteristic particulars…3Silica 200 TDS:  >+
Silica 1M BD:  >>>0  [as seen above]Modalities:Bilateral heel pain [left >>> right] since six months  bilateral knee pain [right >>> left] since one monthOverall <<< initial motion and >>> walking around<< standing, even for half an hour <<< AC  gets generalized body ache <<< hanging limbs
Modalities:Sepia 30 QID  100% relief in 3 weeksPathological rubrics:66 yrs/male; known DM, HTN, IHD [CABG]Admitted in ICU for severe dyspnea on exertion  on ventilatory supportRestless in lying down, > propped upImpossible to remove the O2 supply – unable to maintain saturation on his ownDiagnosis: Pulmonary hypertensionX-ray shows pulmonary oedema with bilateral effusion +++
Pathological rubrics…2Lying: head high with, amelChest: oedema, pulmonaryRestlessnessAnt-t  ArsenicSynthetic prescription  ANTIM ARSAntim-ars 30 QID  >> within a week
Signs – observations…Born on 16th Dec 2009Does not sleep sound since birth – sleeps well during the day but not during the night Moaning +++ in general, in sleep as well as while awake – in the backgroundIs on Lactogen 75ml / 2 hrs since birthConstipation ++: passes motions once in two days; hard – never loose; cries while passing stools ++
Signs – observations…2Constipation: infants of; bottle-fed or artificial foodMoaning: loudly, persistentMoaning: involuntarilyAlumina 200 fortnightly doses
Case exercise:Girl aged 2 years oldMother reported on phone: “Rujuta is passing normal stools, but her rectum is coming out almost by an inch every time she passes stools. There is no complaint otherwise. She has never complained of any pain.”
Case exercise:College going girl [Silica – constitutional]“I am getting asthmatic attack every time I get exposed to draft or AC or if I eat guava or any preserved fruit. There is a feeling as if I am choked. There is increased hunger during the attack and I feel better after eating, but I do not prefer sweets, though otherwise I like it.”
My experience:The best repertory for a beginner as well as a decade-old homoeopath.Easier to carry, search and referIndian perspective – food, weather, etcResults  Repertory  Results
Tool  Craftsman
Thanks !© Dr Amit Karkarewww.dramitkarkare.com
Phatak's Repertory

Phatak's Repertory

  • 1.
    Phatak's repertoryA helpingguide in homeopathic practice
  • 3.
    Salient features:Based onthe ‘Boger’s - Synoptic key’Additions –From his own case takingClinical observationPathological rubricsAddison’s diseaseFatty degenerationUnique rubricsIndian food itemsDrugs abuse of
  • 4.
    Salient features:Minimal numberof remedies by careful selectionDrugs included areHis own clinical experience thru prescriptionStrongly justified by Kent, Boger or ClarkSingle section arrangement – helps symptoms pertaining to two or more systems – e.g. awkwardnessHis own repertorial notes from all repertories including TPB
  • 5.
    Symptom evaluation:Modalities:Causative modalityTimemodalityPostural modalityGeneralsCase presentedGrand generalizationCharacteristic particulars
  • 6.
    Time modality:IT professional- US VISA interview in couple of daysSevere frontal throbbing headache<<< 10 am until 3.30 – 4 pmNo photo- or phono-phobiaBelladonna did not relieve in 24 hrsTime agg and amel: Forenoon: 10 am to 3 pm aggrChin-s, Nat-m, Tub
  • 7.
    Characteristic particulars…60 yearsold femaleComplaints of dryness of finger tips +++ with cracks that bleed and severe pain in the cracks. Since 2006Tried – petroleum, graphites, heparsulf, sulfur, bach flower remedies, …No amelioration – in fact, left fingers too got affected in due course
  • 8.
    Characteristic particulars…2Fingers: tips,dry as if made of paperFingers: tips, crackedFingers: tips, painful
  • 9.
  • 10.
    Silica 1M BD: >>>0 [as seen above]Modalities:Bilateral heel pain [left >>> right] since six months  bilateral knee pain [right >>> left] since one monthOverall <<< initial motion and >>> walking around<< standing, even for half an hour <<< AC  gets generalized body ache <<< hanging limbs
  • 11.
    Modalities:Sepia 30 QID 100% relief in 3 weeksPathological rubrics:66 yrs/male; known DM, HTN, IHD [CABG]Admitted in ICU for severe dyspnea on exertion  on ventilatory supportRestless in lying down, > propped upImpossible to remove the O2 supply – unable to maintain saturation on his ownDiagnosis: Pulmonary hypertensionX-ray shows pulmonary oedema with bilateral effusion +++
  • 12.
    Pathological rubrics…2Lying: headhigh with, amelChest: oedema, pulmonaryRestlessnessAnt-t  ArsenicSynthetic prescription  ANTIM ARSAntim-ars 30 QID  >> within a week
  • 13.
    Signs – observations…Bornon 16th Dec 2009Does not sleep sound since birth – sleeps well during the day but not during the night Moaning +++ in general, in sleep as well as while awake – in the backgroundIs on Lactogen 75ml / 2 hrs since birthConstipation ++: passes motions once in two days; hard – never loose; cries while passing stools ++
  • 14.
    Signs – observations…2Constipation:infants of; bottle-fed or artificial foodMoaning: loudly, persistentMoaning: involuntarilyAlumina 200 fortnightly doses
  • 15.
    Case exercise:Girl aged2 years oldMother reported on phone: “Rujuta is passing normal stools, but her rectum is coming out almost by an inch every time she passes stools. There is no complaint otherwise. She has never complained of any pain.”
  • 16.
    Case exercise:College goinggirl [Silica – constitutional]“I am getting asthmatic attack every time I get exposed to draft or AC or if I eat guava or any preserved fruit. There is a feeling as if I am choked. There is increased hunger during the attack and I feel better after eating, but I do not prefer sweets, though otherwise I like it.”
  • 17.
    My experience:The bestrepertory for a beginner as well as a decade-old homoeopath.Easier to carry, search and referIndian perspective – food, weather, etcResults  Repertory  Results
  • 18.
  • 19.
    Thanks !© DrAmit Karkarewww.dramitkarkare.com