Repertorisation & different method of homoeopathic repertorisation

 Repertorisation && DDiiffffeerreenntt
MMeetthhoodd ooff HHoommooeeooppaatthhiicc
RReeppeerrttoorriissaattiioonn
CCoommppiilleedd bbyy::-- DDrr.. SShhuucchhiittaa CChhaattttrreeee
BB..HH..MM..SS,, MM..DD.. ((PPGGRR))
JJaaiippuurr,, IInnddiiaa
EEmmaaiill:: sshhuucchhiittaa..cchhaattttrreeee@@ggmmaaiill..ccoomm
18/11/14
REPERTORISATION & DIFFERENT METHOD OF HOMOEOPATHIC REPERTORISATION BY
DR.SHUCHITA CHATTREE 1

“The best repertory anyone can have
is in his own memory.”
-John H. Clarke | The Prescriber.
Repertorisation & Different Method of Homoeopathic Repertorisation by Dr.Shuchita Chattree 18/11/14 2

 Repertories were introduced into homeopathy because the
expanding Materia Medica became, too voluminous to
allow quick and easy reference, even in Hahnemann’s
lifetime, As mention in various literature.
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 Dr. Samuel Hahnemann:- “First realised the need
for some form of index to recalling the symptoms of
our ever increasing provings data, appending an
alphabetical index.”
Medica mentorum Positivis Sive in Sano Humanis
Corpore Observatis, 2 parts, 269 & 470 pages,
J.A.Barth, Leipzig, 1805:- His work contains the
provings of twenty seven (27) substances.
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-mention in his Fragmenta de Viribus

• Hering states in Hering, C.: Analytical Repertory of the
Symptoms of the Mind, second Edition, Philadelphia,
1881.:“It is true that Hahnemann added to his first
collection (his ‘Fragmenta’of 1805), an index where every
word could be found; but it was altogether out of
proportion … The text, in large type spaciously printed,
filled 268 pages; the index, in small type condensely
printed, filled 469 pages.”
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 In Systemic Alphabetic Repertory of
Antipsoric Remedies Preface (1st ed.,
1832): Boeninghausen says about
Repertory:
“… which fact caused me, even at the
beginning of my study of this excellent and
invaluable treatment, to think of expedients
which would make the choice of suitable
remedies easier and more certain, by this
means bringing the symptoms of each one
more clearly into view;”
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 Dictionary meaning of Repertory = index, list, catalogue.
 This method embraces a variety of techniques whereby a repertory
is employed to determine a small group of remedies, from which
the most similar one to the case may be chosen.
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DDEEFFIINNIITTIIOONN
OOFF
RREEPPEERRTTOORRIISS
AATTIIOONN
AAss GGiivveenn iinn ddiiffffeerreenntt bbooookkss

 DDEEFFIINNIITTIIOONN::--
 “Art of repertorisation is based on the art
of proper elicitation of symptoms with the
fullest possible expression of each of
them, then their proper evaluation,
categorizing and classification.”
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Patel.R.P : The art of ccaassee ttaakkiinngg && rreeppeerrttoorriissaattiioonn

 DDEEFFIINNIITTIIOONN::--
 “Repertorisation is not only a mechanical process
of counting rubrics & totality marks obtained by a
medicine; it also includes the logical steps to
reach the proper repertory & finally
differentiating the remedies with the help of
materia medica.”
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CCaassttrroo :: LLooggiicc ooff rreeppeerrttoorriieess

MMeetthhoodd ooff RReeppeerrttoorriissaattiioonn::--
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 MMEETTHHOODD OOFF RREEPPEERRTTOORRIISSAATTIIOONN::--
 There are 2 Main methods of repertorisation:
1. Aggregation method.
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2. Elimination method.

1. Aggregation method / scientific method:-
 In this all the analyzed symptoms are written one after another and
the indicated remedies are written against them depending on the
process selected. The frequency of the appearance and the sum of
marks scored by the medicines are calculated. This is the repertory
value.
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CCoommmmoonnllyy aass uussee iinn ddaaiillyy rroouuttiinnee..

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 Advantage:
1. No symptom however insignificant not neglected.
2. Final outcome is the faithful reflection of the symptom expression in the drug
pathogenesis.
 Demerits
1. Laborious & time consuming
2. Both the prominently expressed symptom & vague symptoms are awarded the same
status.

 Elimination method / artistic method:-
 Dr. Margeret tyler introduced this method.
 In this method the symptoms are arranged in a hierarchy in
accordance to the schools of philosophy of the selected
repertory.
 Eliminating symptoms are those symptoms which through of
all the medicines that are not needed for the patient and bring
only those medicines which are required for the patient.
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The eliminating symptom is very important in the exercise
of repertorisation because it dictate & determine the
medicines that compete for the mantle of the similimum.
It act as safe shortcut to the prescription in the hands of the
experienced physician.
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 The elimination mode can be:-
1. Single step elimination
2. Cascading elimination

 Single step elimination:-
 The elimination of the medicine is done only once, at the beginning of the
exercise.
 The most prominently characteristic symptom is selected as the
eliminating symptom.
 The medicines indicated for this are noted down. For the next rubric /
symptom ,only these medicines which are common to the eliminating
symptom are considered.
 Medicines outside the eliminating symptom whatever be its grade is not
considered for repertorisation.
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 In this method elimination is carried out thro’ the whole process.
 Each symptom became the eliminating symptom for the next symptom.
 Extreme caution & care should be taken in structuring the hierarchy of symptoms.
 The symptoms have to be arranged in the descending order of importance.
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 Cascading elimination:-

 The medicines in the first symptom / rubrics are noted down, for the second symptom only
the medicines covers the first symptom are considered.
 On working out the third symptom only the medicines those are indicated against the
second symptom are selected.
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So first symptom is the eliminating to second symptom, second symptom is
eliminating for third symptom and so on.
Thus each symptom is the eliminating symptom for the next symptom.
The repertory value of each medicines is worked out in exactly the same
manner as in aggregation method.
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 ADVANTAGE:
 Labor & time consumption greatly reduced
 DIS-ADVANTAGE:
 If one is not thorough & effective while structuring the hierarchy of symptoms,
He may fail.
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BByy vvaarriioouuss aauutthhoorrss::
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1. Kentian method:
This method of grouping from generals to
particulars with important to mental generals &
Physical generals is called Kentian method of
repertorisation.
It is commonly used method.

2. Hahnemann & Boenninghausen method:-
When there is lack of clearly indicated mental symptoms and
particulars with associated concomitants / complete symptom
present.
We can use Therapeutics Pocket Book as our aid.
This method is called Hahnemannian or Boenninghausen method.
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3. Working on peculiarity:-
Cases having one or more peculiar symptoms with few generals &
undefined symptoms.
Our aim is to find out the medicine which have that peculiar symptom
and then proceed with vague or common symptoms.

 Any repertory which deal with the peculiarities can be used for this
purposes.
 This method of finding a medicine with the help of a peculiar symptom
is called Keynote symptom method.
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4. Working on pathological generals:-
When we come across patients with a few common symptoms or pathological symptoms
only. The following details will help in the selection of medicines:
I.Patients personal history & family history.
II.Temperament.
III.Complexion, color & texture of skin.
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IV. Particular organ or tissue affected.
V. Location, character & physical aspects of lesion.
VI. Possible cause of illness.
VII. When all the available symptoms are put together they may direct to the
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medicines.

 Working on technical nosology:
 Prescribing on nosological diagnostic terms or lab investigations.
 When nothing to prescribe upon and the patients presenting with diagnostic terms
without any symptoms eg. aneurism, atheroma etc. we can use any of the clinical
repertories.
 These would not help in the choice of medicine but will bring us close to a set of
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medicines.

 Dr.BB..KK..SSaarrkkaarr in his book Lectures in Homoeopathy ( 1956 ) has described the following
methods of working out the cases :
1) Hahnemann and Boenninghausen’s method= where complete symptoms are available.
2) Kent’s method = Where Generals ( mental and physical ) and particulars are available.
3) Third method = Where mental symptoms are lacking. Here one starts with physical
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generals; next mental symptoms and then particulars.

4) Fourth Method = Where Generals are lacking. Selection of a striking, peculiar as a
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key symptom, and then medicines are differentiated with the help
of other symptoms.

5) Fifth Method = Where the case presents only common symptoms or pathology.
(a) Patient’s personal and family history ,
(b) Temperament,
(c) Complexion, color and texture of skin,
(d) Particular organs and tissues affected,
(e) Location, character and physical aspect of lesions, and
(f) Probable etiological factors.
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Here physician makes use of every means at his command.

(6) Sixth Method= Technical nosological terms are selected as main headings.
The methods described above have their own advantages and disadvantages.
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Boenninghausen Boger Kent
 Boenninghausen’s
Therapeutic Pocket Book
(BTPB)
 Boenninghausen’s
Characteristics and Repertory
(BBCR)
 Kent’s Repertory of Homeopathic
Materia Medica
 TThhee pphhiilloossoopphhiiccaall
bbaacckkggrroouunndd iiss bbaasseedd
oonn tthhee ffoolllloowwiinngg
ccoonncceeppttss
 AAllll mmeetthhooddss hhaavvee
tthheeiirr oorriiggiinn iinn tthhee
OOrrggaannoonn aanndd
pprreessccrriippttiioonn iiss bbaasseedd
oonn tthhee TToottaalliittyy ooff
SSyymmppttoommss..
 Doctrine of Complete
Symptoms,
 Doctrine of Analogy,
 Doctrine of Concomitants and
Modalities, Evaluation of
Remedies, concordances,
Principle of Grand
Generalization, i.e. each
symptom (sensation and
modality) present in one part
is predicated to be a
symptom of the whole.
 Doctrine of Complete
Symptoms,
 Doctrine of Concomitants and
Modalities, Pathological
Generals, Causation and
Time, Clinical Rubrics,
Evaluation of Remedies, Fever
Totality, Concordances,
 Principle of Generalization (if
sensations or modalities are
present in more than three
parts).
 From Generals to Particulars, with
highest emphasis on the Mental
Generals and strange, rare and
peculiar symptoms.
 Particular symptoms are used for
further differentiation and the final
selection of the remedy. They must
be qualified.
 The place of Generalization and
Concomitants is very limited in
Kent’s view of the totality.

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 AAddaappttaabbiilliittyy  For Cases representing:
Complete
symptoms, prominent
Concomitants, marked
sensations and modalities,
when generals are lacking or
strongly marked mentals are
not available, cases having
suffering in few parts but no
modalities for all the
suffering parts or scattered
modalities, one-sided
diseases with paucity of
symptoms (if the totality of
the state can be filled out),
useful to get related
remedies by working on the
chapter on Concordances.
 Cases rich in particulars with
marked modalities and
concomitants, pathological
generals, clinical symptoms,
one-sided diseases (if the
totality of the state can be
filled out), objective
symptoms and pathological
symptoms (with absence of
characteristic symptoms),
cases without many mental
symptoms, fever cases,
useful to get related
remedies by working on the
chapter on Concordances
 Cases having generals and
characteristic particulars, when
mental symptoms or physical
general symptoms are marked,
useful in treating mental or
emotional disorders, In cases with
lacking Mentals, the Physical
Generals and Characteristic
Particulars will make the totality.
If Generals are lacking,
Characteristic Particulars should be
used for repertorization, or,
Boenninghausen’s or Boger’s
repertorization

TTeecchhnniiqquueess ooff RReeppeerrttoorriissaattiioonn
18/11/14

 TTeecchhnniiqquueess ooff RReeppeerrttoorriissaattiioonn::--
1. Thumb finger method / Book mark.
2. Plain paper method.
3. Repertory chart / Sheets.
4. Cards.
5. Computers.
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 Thumb finger / book mark technique:
 This method is meant for quick reference in a busy practice, for those who
have more experience with the repertory.
 Usably 2 or 3 characteristic symptoms are taken.
 Book marks or thumb & fingers are placed at the pages where the selected
rubrics are present.
 This rubrics are scanned visually, and the frequently occurring medicines
which have higher grades are short listed for selecting the similimum.
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 Advantage:
I. Useful when the symptoms are less in number.
II. Useful when the rubrics indicate less number of medicines.
III. No necessity of writing symptoms or medicines but only mental work.
IV. Time taken is very less, useful for busy practitioners
 Dis-advantage
I. Visual errors can leads to failures
II. Little use when number of symptoms are more.
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 Plain paper method
 The symptoms are written down on a plain paper, and the indicated remedies are
written against them on the basis of the method and process selected.
 The similimum is selected on the basis of repertory value.
 This technique is very time consuming for the aggregation method, as each
symptoms and its medicines have to be written down.
 The elimination method can be conveniently and easily worked with the plain paper
technique.
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 The medicines are written one below the other and the grades are marked against them.
 The first column of the grades represent the value of those medicines in the eliminating
symptom. Subsequently the grades of the medicines of the other symptoms are marked.
 If a medicine found under the eliminating symptom is not indicated for any of the
subsequent symptoms a zero mark is indicated at the symptom number against the
medicine.
 This is for single step elimination.
 For the cascading elimination as soon as the medicine hits a zero,
 It is disqualified from further repertorisation, thus eliminating it.
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 Repertory graph technique:-
 This is simple, more refined and scientific method.
 In this technique repertorisation is done on sheets when are skillfully and carefully
devised to save the time and hard work and are specifically prepared for the
repertory that is to be used.
 The chart having number of rows and columns.
 Medicines are printed on the first column and the symptoms are written on first
row.
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 The marks scored by the medicines are represented in the blocks at the intersection
of the symptoms and the medicines.
 The similimum is selected on the basis of repertory value.
 This technique is useful for the aggregation method of repertorisation, because time
consumption is very less.
 It is unnecessary to use this technique for the elimination method for obvious
reasons.
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 De-merits:-
 Medicines represented in the sheets are less in number.
 Only polychrests are predominantly represented.
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 Card system method:-
 These are repertories which are in the form of prepared cards.
 Each card represent a symptom, cards are arranged together and
the similimum is found out.
 There is no need of writing down or book markings, only the
cards are shuffled together.
 This system is outdated on the arrival of computers.
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 Computers
 The utility of computers has extended to the various aspects of Homoeopathic treatment.
 The result of repertorisation can be instantly projected on the screen, with the rubrics
repertoriesd, the medicines indicated and their value in each symptom, also display the
repertory value of medicines repertorised.
 The result can also printed as a hard copy on the printer.
 Advantages are limitless, the aggregation method can be conveniently used on the
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computer.

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 Dr.Patel’s auto visual repertory system:-
 It is a mechanical device, practically no paper work is required.
 It is all automatic, marks are denoted by three different colors and visual
throughout repertory work.
 You can even read your medicines which come automatically.
 The auto visual repertory consists of 5505 auto strips and auto visual
apparatus having 435 medicines on in numerical order from above
downwards.
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 Each medicines is provided with a code number.
 Each auto strip has a number on the top representing the rubric /
symptom number in auto visual homoeopathic repertory.
 Auto strip is grooved at several places, which represent the medicines,
this grooves are in different colors or markings which indicate the
gradation of drug in Kent’s repertory.
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 References:
I. Patel.R.P : The art of case taking & repertorisation
II.Munir Ahmed : Introduction to repertorisation
III.Castro : Logic of repertories
IV.Tiwari : Essentials of repertorisation
V.Dhawle : Princilpes & Practice of Homoeopathy.
VI.Ritu : Study of repertory
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Repertorisation & different method of homoeopathic repertorisation

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