QUARTERLY HOMOEOPATHIC DIGEST

VOL . III NO . 3 September 1986

CONTENTS

1. ADDITIONS TO KENT’S REPERTORY

2. CANCER RUBRICS

3. PROBLEMS IN REPERTORISATION PRESENTED THROUGH A

CASE OF ACUTE HEMORRHAGIC CYSTITIS

4. KENT RUBRICS FOR TREATMENT OF ASTHMA

5. IN THE SMALL RUBRIC IN THE REPERTORY

6. THE DISADVANTAGES OF REMEDY WEIGHTING IN

HOMOEOPATHIC REPERTORY ANALYSIS

7. TWO METHODS OF REPERTORISATION

8. SYMPTOM “AS IF”

9. REPERTORISATION WITH THE LARGE RUBRICS

10. MENIERE’S DISEASE – A CASE REPORT

11. IS KENT THE FINAL ?

 list of proposed additions , together with the specific
ADDITIONS TO KENT’S REPERTORY source of the symptom (the page and line numbers
are the symptom number) and the page in the
( Compiled by the Rhus Tox Study Group) Repertory where the symptom may be added . These
lists are presented and reviewed by the group as a
INTRODUCTION whole , and those symptoms which are clinically
verified and which are not found in the Repertory
This is the first in a series of reports to be through cross referencing are added to the final list of
presented to the homoeopathic community from the additions .
work being done by study groups in North America
and Europe . To be presented in this paper are An effort was made to avoid redundancy .
symptoms of Rhus toxicodendron which are listed in For example , “lassitude before stool” was not added
Allen’s Encyclopedia of Materia Medica , or to this list . It is symptom number [115] in Allen’s
Hahnemann’s Materia Medica Pura and yet are not Encyclopedia and it is not in the Repertory as such ,
listed in Kent’s Repertory of the Homoeopathic yet a nearly equivalent rubric , “weakness before
Materia Medica . Only symptoms which have been stool” does contain Rhus-tox . In another example ,
shown to be clinically verified in the literature are “Aching in left wrist” is a symptom recorded in
included in this list ; and redundancy within the Allen’s Encyclopedia , symptom number [913] . Such
repertory was avoided whenever possible . a rubric exists in the repertory on page 1085 , “Pain ,
aching , wrist , left,” and Rhus-tox is not listed there .
THE RHUS TOX STUDY GROUP On the other hand , Rhus-tox is listed under “Pain ,
aching , wrist” on page 1085 of the Repertory and is
This group is composed of five also listed under “Pain , upper limbs , left” on page
homoeopathic physicians with an average of more 1049. An addition to the Repertory was felt to be
than nine years of homoeopathic clinical experience unnecessary in cases such as this .
each . We had an first meeting in a secluded setting,
one hour’s drive from Denver , Colorado , August Any symptom found with reference to
14 , 1985 . Each individual prepared material for one proving , with no confirmation from other
presentation and discussion prior to the meeting . The provings and no verification from clinic experience,
working sessions lasted approximately 12 hours per was not included . If multiple verifications were
day , from noon Thursday until noon Sunday , a total found for a specific symptom , the addition was
of 35 hours , which work divided equally between entered as grade 2 , or italics . Otherwise the
materia medica , homoeopathic doctrine and clinical additions were made as grade 1 , or Plain type .
cases . We will be meeting four times per year ,
studying a different remedy each time . The group is ADDITIONS TO KENT’S REPERTORY FOR RHUS
named after the first remedy studied , following the TOXICODENDRON
pattern established by Homoeopathic Europea . The
first study group of this type , to be organized in his Each addition to the Repertory is listed
country , is the Kali Carb Group , located in with the symptom first , followed by the page number
Washington , D . C . The Kali Carb Group recently on which the rubric can be found or should be added ,
held its third meeting. Study groups of this type have Following this is the grade of the addition (in
been in existence in Europe for the past ten years . parenthesis), and the source , for the addition [in
brackets , with the author’s name and the symptom
METHODOLOGY number or the number of the page on which the
symptom can be found]. Allen’s symptoms are listed
Each individual is assigned sections of by number , as are Hahnumann’s . Hering ‘s
the materia medica from a specific source , so that symptoms are listed by page number . The following
each section of the three main reference texts (Allen, abbreviations are used for source names ; A1 = Allen,
Hering , Hahnumann) are studied by at least one Hn = Hahnmann , Hg = Hering .
person . Every individual studies the mental and
generalities sections of his / her assigned materia MENTAL
medica . The provings and clinically-verified
symptoms are studied , and each symptom is Grief ; p . 50 ; [ A1 , 3 ]
searched for in the Repertory of Kent . Those Gestures , Plays with fingers , sleep ,
symptoms not found in the Repertory are added to a during ; p . 50 (1) ; [ A1 , 1362 ]
Indifference , business affairs , to ; p . 54; (1); [ A1 , 1060 ] , [ Hg , p . 77 ] Pain ,
[A1,45] calf , walking , beginning ; p.
1077 ; (1) ; [ A1 , 1032 ] Pain ,
Genitalia , Male : boring , forearm , bones ; p. 1089 ;
(2) ; [A1 , 907 ] Pain ,
Erections , urinating , with urging to urinate ; gnawing , knee ; p . 1116 ; (1) [ Hg , p . 81 ] Pain ,
p . 696 ; (1) ; [ A1 , 697 ] sprained , wrist , motion ; p. 1135 ;
Erections , violent ; p . 696 ; (1) ; [ A1 , 679 ] (1) [ Hg , p . 76 ] Pain ,
Redness , penis ; p . 709 ; [ A1 , 1161 ] stitching , joints , on touch ; p. 1138 ;
Redness , prepuce , spots ; p . 709 ; (2) ; [ A1 , 683] (1) ; [ Hg , p . 84 ] Paralysis ,
upper limbs , sudden ; p . 1177 ;
Genitalia , Female : (2) ; [ Hg , p . 76 ] Paralysis ,
sensation of , left ; p . 1178 ;
Menses , return after having ceased , the (2) ; [A1 , 868 ] Swelling ,
periods ; p . 728 ; (2) ; [ A1 , 706 ] Metrorrhagia , wrist , painful ; p . 1197 ;
during pregnancy ; p . 731 ; (2) ; [ A1 , 693 ] (1) ; [Hg . p . 76 ] Swelling ,
ankle , sitting , after , too long ; p .
Larynx and Trachea : 1201 ; (1) ; [ Hg , p . 83 ] Tension ,
knee , short , as if too ; p . 1205 ;
Hoarseness , weather changes ; p . 760 ; [ Hg , p. (2) ; [ Hg , p . 81 ]
70 ]
Skin:
Respiration: Difficult , Eruption , red , striped : p . 1318 ;
stomach , from pressure and pain in ; p . 771 ; (2) (1) ; [ A1 , 1269 ]
[ Hg , p . 70 ] Erysipelas , vesicular , discharge , slimy ; p . 1324 ;
(2) ; [ A1 , 1204 ]
Cough: Heart
affections , with ; p . 793 ; (2) ; [ Hg , P . 71 ] Generalities:
Evening , 6 P . M . ; p . 1342 ; (1) ; [ A1 , p . 376 ]
Expectoration: Storm , during storm ; p . 1403 ; (1) ; [ Hg , p . 84 ]
Bloody , exertion , too much , on a wind instrument;
p . 813 ; (1) ; [ Hg . p . 73 ] ************

Chest: This is not a complete listing of additions

Pain , excitement agg ; p . 843 ; (2) ; [ Hg , p . 73 ] to the Repertory that can be found in the literature ,
Stiffness , on beginning to move ; p . 880 ; (1) ; nor is it a complete listing of those additions that can
[ Hg . p . 73 ] be found in the three meteria medica mentioned
above . Our group is small , so we selected those
Back: parts of the Repertory that we felt would be most
Pain , lumbar region , warm , becoming , in bed useful in the study of this particular remedy . Those
aggrav ; p . 908 ; (1) ; [ Hg , p . 74 ] sections of the Repertory that we did not cover
include Vertigo through Urine , and Sleep through
Extremities: Perspiration . Future efforts will include all sections
Eruption , itching , immersing hands in water of the Repertory for each remedy studied .
agg ; p . 986 ; (2) ; [ Hg , p . 84 ]
Heaviness , leg , standing , preventing ; p. This information is provided to the
1017 ; (2) ; [ A1 , 1019 ] homoeopathic community with the hope that it will
Heaviness , leg , walking amel ; p. add to the usefulness of the body of knowledge that
1017 ; (2) ; [ Hg , p . 1019 ] makes up the science of our therapeutics . Those
Inflammation , erysipelatous ; p. interested in contributing to this effort by joining one
1018 ; (2) ; [ Hg , p . 84 ] of the existing study groups or starting a new one
Jerking , wrist , right ; p . 1030 ; (2) ; [ A1 , 907 ] should contact Robert Schore , M . D . , 9618 W .
Pain , storm aggrav : p . 1046 ; (1) ; [ Hg , p . 84 ] Lake Highlands Dr . Dallas , Texas 75218 , (214)
Pain , forearm , ulna ; p . 1057 ; (2) ; [ A1 , 910 ] 3287713 .
Pain , fingers , evening ; p . 1060 ; (2) ;
Submitted by : Dean Crothers , M . D . , Jennifer RECTUM (p . 606) : Alumn ., Paeonia (malignant
Jacobs , M . D ., hemorrhoids) , Phyt ., Thios . (stricture) , Toxicophis
(sarcoma)
Nick Nossaman , M . D., Robert Schore , M . D .,
Jacquelyn Wilson , M . D., with thanks to BLADDER (p . 645) : Congo-red , Sabal . Serrulata
Jacques Imberechts , M . D., for his invaluable
guidance . PROSTATE (p . 667) : Sabal , serrulata

[ From the JOURNAL OF AMERICAN INSTITUTE MALE GENITALIA (p . 715) : Aur . m ., Brom .
OF HOMOEOPATHY , Vol . 78 , No.4 , December (testes) , Scrotum , Soirrhus : Alum .; Testes : Ox .
1985 , for private communication only ]. ac ., Brom .

CANCER RUBRICS FEMALE GENITALIA (p . 746) : Uterus : Equis .,

Erodium , Methylenum-coeruleum, 01.-an ., Thios ,
Ahmed N . Currim . M . D ., Ph . D . Cad . –met ., Benzoquinine ; Ovary : Aur . m . n .

The following remedies are additions to LARYNX (p . 746) : Arg .-cyan .

cancer remedies given in Kent’s Repertory . I have
collected them from various articles on cancer written CHEST (p . 824) : Breast : (mammae) : Acon ., Alum
by Dr . A . H . Grimmer . Page numbers refer to .-sil . (indurated with ulcers , axillary glands enlarged
Repertory . These articles , edited by me , will appear ); Bar .-iod ; Cad . met ., Congo-red ., Formalin ,
in a fourth –coming book . Many of the articles Hippoz., Iod ., Lac.-C (after amputation of one breast
appeared in previous journals , but many have never and spread to another), Lap .-a., Lop .-erin ., Nat-
been published and the manuscripts were entrusted to thio.-cyan ., plb . (hemorrhages and serum
me by Dr . Grimmer’s family discharge) , Sars., Scirrh ; Sternum : Ars .-s.-r.;
Lung : Acalypha Indica , Aran diad ., Cobalt-mur.,
NOSE (p .324) : Aur . Sulph ., Symph (antrum Methyleneum coeruleum , Phos ., Therid .
cancer)
GENERALITIES (p . 1346) : Cancerous affections;
LIP (p . 355) : Ant . Mur ., Aur . Sulph . Mer .-cor ., Aur.-ars ., Syph., Thios .

TONGUE (p . 398) : Arg . cy ., Aur . m . n ., Galium Fungus hematodes : Sabal .-serrulata .

Semper . tect ., Rad . brom .
Epithelioma : Ars .-s . f , Ars .-s .-r ., Bufo , Cad.-
MOUTH (p . 398) : Hydr . mur met ., Cic ., Cund ., Epiphigeus , Formalin Hippoz ,
Jeq ., Kali .-ars ., Kali-thio-cyan ., Methyleneum
THROAT (p . 448) : Esophagus : Plat . mur ., Phos. coeruleum , Sol ,(sunlight) , X-ray .

STOMACH (p . 482) : Actea spicata , Cadmium Bones : Aur .ars ., Aur .-m.-n., Gum-euphorbium,
met ., All the Cadmiums , Euphorbia corrolata , Lap a Hippoz . (Skull , Phos ., Symph., Hecla (jew) , Cad.-
(cancer of cardia and pylorus), Methylene – blue , met (sarcoma : skull , upper arm) Symph . (sarcoma
(Methylenucoerulem), Plat . Mur ., Sul . ac ., jaw) ; Calc .-fl., Toxicophis (sarcoma of tibia and
calendula (hemorrhage from stomach cancer and fibula)
metatasis to liver or other organs ) .
Glands : Aur .-ars ., Aur .-m-n ., Carb.-an ., Cist.,
ABDOMEN (p . 541) : Intestines : All the Cadmium Ferr- I ., Hippoz ., Iod ., brom . (thyroid , maxillary
preparations ; Euphorbia corr ., Kreos ., Methylenum Parotid , testes) , Lap ,-a ., Sars ., Sil ., Thios ., Natsil-
coerulem , Phos .; Liver ; Calc . ars ., Calen ., fl (neck glands)
(Hemorrhage of stomach cancer and metatasis to
Liver) , chion ., choles ., Hydr. Phos ., Therid ., all the Lupus : Alumn ., Ars ., Aur .-ars ., Hippoz ., kali-bi
Cadmium preparations but especially Cad . met ., ., Sol ., Thios .
Cad .phos ., Cad . sulph . Spleen : Cad met ., Cad .
iod .; pancreas : Calc . ars., Cad . iod . Pains of cancer : Bell , 30 ; Codeine-phos 1x to 3x
(Cancers rich in sentient nerves ex . optic and other
nerves ) ; Cham .30 (morphine addicts to decrease
anxiety). Euph . –heter ., Gum .-euph ., Ox.-ac . “Bladder , spasms “urging for urination,
(extreme pains in breast cancer) , Phyt .; Bis .-ox . frequent” “painful urging for urination” “Bladder
(gastric Cancer pains) Mal . odor in Cancer : Bufo . affections from cold and dampness”.

Advanced stages of cancer : Alum .-sil , Evaluating the symptoms , the ‘causa
Anantherum , Ant .-ars ., Ant .-iod ., arg.-met., efficiens’ comes first , followed by the spasms of
Bell .-p., Benzoquinine , Cad .-chrom ., Cad.-sulph., bladder and other mediocre symptoms . The
all Cadminiums ,Calc .-f ., Con., Hydr ., Kali-thio- important rubric ‘urine , bloody’ contain too many
cyan ., Lap.-a ., Metastatic melanoma , Nat .-hexa- remedies and was not helpful in differentiating the
metaphos ., Phyt ., Phos ., Scirrhinum , Scrophularia remedies .
–nodosa , Symphytum .
After repertorisation the following
[ From THE JOURNAL OF THE AMERICAN remedies came through : Lycopodium , Nux vomica ,
INSTITUTIE OF HOMOEOPATHY , Vol . 78 , No . Pulsatilla . I chose Nux vomica mainly because of the
4 / 1985 for private circulation only ] intensity of the spasms of the bladder and the hectic
condition of this patient since commencement of her
----------------------------------------------------------- illness . The medicine was given in LM 12 potency –
as I did not have deeper potency then-10 drops in a
PROBLEMS IN REPERTORISATION glass of water , one sip every 1/2 hour until relief set
in after which to increase the interval between doses .
presented through a case of acute
The symptoms were removed in two days . The call
hemorrhagic cystitis on the next day revealed a further peculiar point : The
tenesmus was gone immediately as also the
Dr . E . H . SCHMEER troublesome urging for stool . This unusual symptom
is further indication for Nux vomica . This was not
On 13 th May 1983 evening I got a told to me by the patient during the first consultation
telephonic call from a colleague . She had an acute as she thought it to be a reflex action . Such Cartesian
catarrh of bladder since the previous day . At the ideas , analogous to analytical geometrical
commencement she had frequent urging for urination transmutation of natural sensations , hinders
in the night . due to which there was painful spasm , discussion during homoeopathic consultation .
almost a tenesmus . Once she passed a fully red urine
. Warm pad did not relieve the pain . Only The key symptom of “Bladder affections
spasmolytics gave some relief . Now despite the from cold and dampness” , used by me , had
palliatives the pain was severe . CAUST . as the main remedy ; “Urging constant
from becoming cold” has Dulc . (2 nd grade) “Urging
As I could not decide upon a medicine constant from becoming cold” has in addition , In 2 nd
straightway , I requested her to come in person and grade : Eup-pur ., Ip . and Lyc . : “Cystitis from
give further details : Sediment : large quantity of taking cold” with 3rd grade Puls . and finally
erythrocytes some leuco ., no thrist , appetite poor , “Albumin in urine after exposture to cold and
no elevation of temperature . The causative : She had dampness” where for the first time Nux vomica was
been to an improvised theater in the evening , which found in first grade . The difficulty in finding the
was in a large unheated shop . The seat was quite remedy was that it was not expected in a relatively
cold . She also got drenched in heavy rain . At other clinical rubric . In Kent Nux vomica is not seen under
times she used to take a warm bath after exposure to modalities consequent on wetting but in
cold but this time as it was already very late she did Boenninghaussen and Synthetic repertory it is there .
not do so . Otherwise she suffered from bladder It is hoped that this lacuna of which this case is only
troubles frequently . an example will be rectified in an improved Kent . As
the organism functions totally even in the so-called
As probable cause the cold and dampness local diseases , nothing is to be overlooked if the
have to be considered . As one or the other cannot be appropriate medicine was missing in the relevant
ignored and we have to come to “approximation”, organ rubrics as this case teaches .
both the factors are to be taken into consideration .
[ From the “Zeitschrift fur KLASSISCHE
For repertorisation the following HOMOEOPATHIE , and Arzneipotenzierung”
symptoms were taken : translated from the Germen and condensed by Dr .
K . S . SRINIVASAN , Madras , for private numbers and formulations which can be chosen . I
communication only ] think that with 3 or 4 characteristic symptoms of the
case the suitable remedy can be found out .
-----------------------------------------------------------
The objective symptoms of the attack :

These are the directly observeable

KENT RUBRICS FOR TREATMENT respiration symptoms . It is sufficient to listen to and
OF ASTHMA observe the altered respiration . It is then possible to
note the following characteristic symptoms :
Dr . R . Bourgarit
Res., difficult , expiration ( 769 )
Res., difficult , inspiration ( 769 )
My own experience as paediatrician and
Res., difficult , inspiration , rapid expiration (769)
those of colleagues of general medicine indicate that
Res., difficult , open mouth with inspiration ( 770 )
it is difficult to treat acute asthma attacks with
Res., deep , impossible (766) Res., gasping ( 772 ) ,
classical homoeopathy alone .
panting ( 774 ) Res., irregular (773)
Res., irregular ,at one time slow , at
The indicated remedy is in different places
another time hurried ( 774 )
and is difficult to find out . The patient either
Res., loud (774)
presented only the pathognomonic symptoms such as
Res., loud , expiration ( 774 )
are common to all asthmatics and no fine
Res., loud , inspiration ( 774 )
individualizing is possible . It is then a ‘one sided
Res., difficult , from mucus in the trachea ( 770 )
disease’ as explained by our teacher Pierre Schmidt.
Res., whistling (776)
Or too many remedies appear which pose problems
Res., wheezing ( 776 )
in differentiating . Lastly our knowledge of material
Res., moaning ( 774 )
medica and repertory may by insufficient .
The position of the patient during the attack :
My work here is to present different rubrics
in the repertory which may help good prescribing in
The body position which the patient adopts
an acute asthmatic attack . It will be easily seen that
to get relief and each patient instinctively adopts such
one cannot restrict oneself with the rubric
in his / her own manner , can therefore be a distinct
“Respiration , asthmatic’ (p.736) . I have attempted to
symptom :
investigate the symptoms which are valuable for
choice of the remedy .
Resp., difficult , standing , can only breath when
(771)
I propose the following sequence to be kept in view:
Resp., asthmatic , bending back amel . (768)
Resp., asthmatic , bending head backwards amel.
--The socalled objective symptoms of the attack , the
(764)
type and nature , how the patient breaths :
Resp., diffricult , bending foreward amel . (768)
--behaviour and postures adoped by the
Resp., diffricult , hang down legs amel . (769)
patient for obtaining relief ;
Resp., diffricult , lying while ,amel . (770)
Resp., diffricult , lying back amel . ( 770 )
--the desires and aversions during the course of the
Resp., diffricult , lying side amel ( 770 )
attack;
Resp., diffricult , lying right side amel ( 770)
--the agg . modalities , the time or others ;
Resp., diffricult , lying left side amel ( 770 )
--the accompanying symptoms and alternating
Resp., diffricult , lying back , arms outstretched
symptoms , if they are there .
amel ( 770 ) Resp., diffricult
, lying back , with shoulders elevated amel
All these symptoms are found in the ( 770 ) Resp., diffricult , lying on
repertory , but it is not always easy to find them out, knees and elbows amel.( 770 )
when one is under pressure for finding a quick and Resp., diffricult , sitting amel . ( 771 )
often instantaneous remedy to help the patient . Resp., diffricult ,sitting bent forward amel ( 771)
Resp., diffricult , sitting , half sitting amel .( 771)
It is not my idea to copy out here all the Resp., diffricult , sitting , upright amel . ( 771 )
rubrics and remedies but only to give the page
Resp., diffricult , sitting with head bent Resp., difficult , open air ( 768 )
forward on knees amel ( 771 ) Resp., difficult , handkerchief , cannot bear to
Resp., diffricult , walking , while , amel . ( 772 ) have,approach the mouth , ( 769 )
Resp., diffricult , walking rapidly while , amel . Resp., difficult dressing while ( 769 )
(772) Resp., asthmatic , talking ( 765 ) + difficult , talking
Resp., diffricult , walking slowly about , amel . (769)
(772) Resp., asthmatic , eating ( 769 ) + difficult , eating
Resp., diffricult , motion amel . ( 770 ) (769)
Resp., asthmatic , rocking amel . ( 765 ) Resp., difficult ,drinking ( 769 )
Resp., asthmatic , eructations amel . ( 765 ) Sleep : Resp., asthmatic , coming on sleep ( 765 ) +
difficult , falling asleep ( 771 )
Resp., difficult , sleep , during ( 771 )
Journey , Transport ; Resp., asthmatic , riding
Modalities which ameliorate : ( 765 ) + difficult , riding ( 771 )
Menses : Resp., asthmatic , menses ( 765 ) +
Resp., asthematic , open air amel . ( 764 ) + Resp., difficult , menses (770)
difficult , open air amel . ( 768 ) Resp., Mental condition : Resp., asthmatic , anger ( 764 ) +
asthematic , cold air amel ( 764 ) + Resp., difficult , anger ( 768 )
difficult , cold air amel . ( 768 ) Resp., Resp., asthmatic , mental excertion ( 765 ) +
asthematic , eating amel . ( 764 ) + Resp., difficult difficult , mental excertion ( 770 )
eating amel ( 769 ) Resp., difficult , Resp., asthmatic emotions after ( 764 )
reading amel . ( 771 ) Resp., difficult , Resp., asthmatic excitement ( 765 ) + difficult
riding amel . ( 771 ) Resp., asthematic , excitement ( 769 ) Resp.,
cold water amel . ( 764 ) Resp., difficult , difficult , fright ( 769 ) Resp.,
wants doors and windows open (770) asthmatic , vexation ( 765 ) + difficult , vexation
( 772 )
Modalities Which agg :
The concomitant symptoms :
Times of the day : Resp., asthmatic ,
morning , forenoon , noon , etc . ( 764 ) Cough : Resp ., difficult , with cough
Seasons : Resp., asthmatic , autumn ( 764 ) , spring ( 768 ) Cough , asthumatic ( 782 )
( 765 ) . winter ( 765 ) Pollen : Resp., asthumatic ,hay asthma ( 765 )
weather : Resp., asthmatic , chage of weather (764) + Fever : Resp., difficult , with heat ( 769 )
difficult , change of weather ( 768 ) Chill : Resp., difficult , chill , during ( 768 )
Resp., asthmatic , cold air , cold damp weather Palpitation : Resp., difficult , palpiration , during
( 764) + difficult , cold wet weather ( 768) (770)
Resp., asthmatic , wet weather ( 765 ) + difficult Perspiration : Resp., difficult , perspiration , during
wet weather ( 772 ) Resp., (770)
asthmatic , warm wet weather ( 765 ) Resp., Convulsions : Resp., difficult , convulsions , during
asthmatic , thunderstorm ( 765 ) + difficult , (768)
stormy weather ( 771 ) Cyanosis : Face , discoloration , bluish , in
thunderstorm , before ( 772 ) asthma , with dyspnoea ( 358 )
Resp., asthmatic , walking against wind ( 765 ) + Extr., discoloration , blue , upper ,
difficult walking against wind ( 772 ) limbs , with asthma ( 978 )
Resp., difficult , windy weather ( 772 ) Extr., discoloration , blue , lower limbs ( 981 )

Different environments : The patient types :

Resp., asthmatic , warm room ( 765 ) + Children : Resp., asthumatic , children ( 764 ) +
difficult , warm room ( 772 ) difficult , children ( 768 )
Resp., asthmatic , warm room from the open air (765) Old people : Resp., asthumatic , oldpeople ( 765 ) +
Resp., asthmatic , warmfood ( 765 ) , + difficult , old people ( 770 )
difficult , warmfood ( 772 ) Hysterical : Resp., asthumatic , hysteric ( 765 ) +
Resp., asthmatic , cold air ( 764 ) , + difficult , hysterical ( 769 )
difficult cold weather ( 768 )
Sailors : Resp., asthumatic , sailors as soon as they go died at 11 years from leukaemia , a brother died in an
ashore ( 765 ) accident .

Aetiology : Occupation anamnesis : The patient did

housework for 10 years in a kindergarten . after the
This should be differentiated from the first pregnancy she worked in a large jewellery works
atmospheric and mental aetiology which are included which she gave up in 1976 .
as modalities in the aggravation and causation . Like
an asthma after catching cold (Resp., asthmatic from Important symptoms : Periodical
taking could p . 764 ; after suppression of an eruption inflammation of the salivary glands , particularly
(Resp., asthematic after suppresion of eruption , 765 ) parotid glands . The recurrence occurs all of a sudden
; after suppression of an acute eruption (Resp., without any prior indication or causative factor . At
asthmatic after suppression of a rash 764 ) ; after worst occurs a purulent secretion from the Ductus
measles (Resp : asthumatic , after measles , 765 ) stenoni sometimes from the Ductus Wharton . The
manifestation is onesided and of course on alternating
All these Kent rubrics , in my opinion , sides . This disease recurs about thrice a year , since
would help every physician to choose the medicine. 13 years . Everytime antibiotics were given , There
was never fever .
[ From the “zeitschrift fur KLASSISCHE
HOMOEOPATHIC and Arzneipotenzierung” ; Band During the illness the face becomes bloated
28 , Heft 4 / 1984 ; translated from the German by Dr and inflamed and painful swelling of the salivary
. K . S . SRINIVASAN , for private communication glands . Also trismus which made eating
only ] impossible .Only liquids could pass and cold things
best . The mouth is dry , but the patient had no thrist
IN THE SMALL RUBRIC IN THE and must be compelled to drink . In the region of the
gland the pain is diffused but in the ramus of the
REPERTORY
lower jaw it was very intensive , “extending into the
ear”. The teeth are very painful and unable to bear the
Dr . J . F . Paille
pressure . At nights the pains become worse and
hence sleeplessness .
The following onservation in a case
illustrates approach to the Repertory : the constant
Two Sialographies were taken in two
search , the care taken for the details , the particular
positions . In 1980 everything was normal .
interest for the “peculiar , queer , rare unusual”
symptoms according to para 153 of the Organon as
Four wisdom teeth had been pulled out at 20
also the inseparable link between the analytical
years of age . Dental examination have been regular
repertory and the synthetic study of the materia
and found to be normal .
medica . All these we have learnt in the past from our
master Dr . Pierre Schmidt who has taught us with
examples . Regarding desires and aversions there was
only aversion to tea .
Mrs . Marcelle , L ., born 1941 , consulted
me on 8th June 1981 for a periodic infection of the Appetite , thirst digestion , urination and
gynecological were all usual .
salivary glands , particularly Parotid , Since 13
years .
The patient suffered from repeated anginas
in her youth and could not feel the change of season
Personal anamnesis : Uncomplicated
appendectomy , at 12 years , uncomplicates parotitis and since that time she has been spending her
holidays in the meditarraenean . She has , however ,
at 13 years , 3 pregnancies with normal deliveries
who are now 19 years , 13 years , daughters and 11 such a fear of water that she could not bring herself to
bathe in the sea . She is sensitive to temperature
years son , all healthy .
changes but can tolerate extreme heat and cold .
Lastly she has repeated dreams of falling into a
Family anamnesis : the mother died 18 years
precipice . Otherwise refreshing and sound sleep .
ago at 56 years , from cancer of breast the father in
the previous year from cancer of stomach . The
patient is the seventh of 8 children . The oldest sister
 Findings : 61Kg / 163cm ; RP 140 / 75 . Puls The similie rule was proved : There was no
70. Local : the glandula submandibularis is hard and relapse of the salivary glands when the patient was
painful and the glandula parotis also is so, both left . examined on 15th January 1982 , 21 January 1983 and
Buccal mucous membrances left side showed Koplik 2 January 1984 , We may perhaps say she was ‘cured’
‘s spots . The tingue is thick , coated white and takes .
imprint of teeth . One does of Mercuris XM , one
dose produced a severe aggravation on the next day This case shows how a small rubric from the
and the condition shifted to the right side . repertory can be applied to the study of matria
Inflammation and suppuration continued for 12 days medica and through interrogation of the patient so as
and the patient could not sleep due to the pains . to see the correspondence of the materia medica to
Finally she consulted a dentist who relieved the the patient’s symptoms .
condition through anti – inflammatory drugs . Three
months later recurrence of inflammation with a new I may be reproached for the repatition of the
symptom : “small plugs” came out through the left dose . I could not help it as I did not have then in my
Partid excretory duct . The patient despaired of medicine chest a higher Korsakoff potency .
recovery . She was convinced that she was certainly
suffering from cancer . At the same time a further [ From the ‘Zeitschrift fur KLASSICHE
new symptom : an eczema at the spot where wrist- HOMOEOPATHIE and Arzneipotenzierrung’ Band
watch clasp comes into contact with skin (it was a 28 , No . 4 / 1984 ; translated from the German by Dr
new strap with a chromium clasp) . K . S . SRINIVASAN , for private communication
only ]
On September 3 , 1981 she revealed another
new symptom . She insited in saying that before the THE DISADVANTAGES OF REMEDY
collection of purulent matter in the salivary gland
WEIGHTING IN HOMOEOPATHIC
there was a sensation as if “sand in her mouth”.
REPERTORY ANALYSIS
There was also a ‘renula’ , that is , a sudden
painful swelling of a salivary gland whose excretory Dr . E . A . A . A . D . de RUYTER
duct is obstructed by a concretion . The repertory was
consulted under the rubric ‘ranula’ and ‘ranula Samuel Hahnemann stresses the strict
periodic’ (p . 416) which was the unsual and specific individualization of the treatment of each patient . He
symptom of our patient . There are only two remedies stresses the importance of the selection of the remedy
under this rubric : Chr . ac ., Lyss . The reliable most similar to the totality of the patient’s
symptoms of Chr . ac .was looked for in the Materia symptoms . Hahnemann admits that this is a
medica of Allen , Clarke and Hering laborious task and he commends von Boennighausen
for developing the first repertory . He emphasizes
General symptoms from Clarke : The that in the selection of the homoeopathic remedy
symptom appear suddenly and disappear suddenly particular attention must be paid to the unusual ,
and come periodically . This suddenness of many peculiar , characteristic and mental symptoms . He
symptoms is very pronounced Agg . at nights and also warns against the use of ‘favourite’ remedies
mornings . which one is inclined to use if not careful . An
excellent safeguard against this is a repertory analysis
Local symptoms from hering : Trismus : of all new cases or of cases where symptoms have
periodic ranula with dryness of mouth . markedly changed .

Now to complete the interrogation : “what However , in actual practice this is much too
was the exact nature of your Job when you were time consuming . Thanks to the computer it is now
working in the jewellery factory ?” The reply was practical to repertorize all symptoms easily . Remedy
enlightening : “I was doing chromium plating of selection is then based on all symptoms including the
straps”. Because of the agreement of her symptoms characteristic ones , as Hahnemann said it should be .
with the materia medica and the reaction of her skin
to chromium acid she was given chromium acidum 5 Repertory analysis can be done by listing the
CH six doses in interval of 2 weeks . patient’s general symptoms and other symptoms and
the remedies also listed according to the repertory .
when all symptoms have been repertorized the tally
marks for each remedy are totalled and written
down . This completes the repertory analysis . Even the world , However , a number of these computer
for a case with only 20 symptoms such a programs give each remedy a “weighting” of 1 , 2 or
repertorization may take two or more hours . 3 marks based on the type of print used in the
Repertory analysis only indicates a number of likely repertory . Kent’s Repertory used three types of print
remedies from the hundreds in the materia medica , and Boericke’s used two .
from which the final selection must be made . This
final selection is usually done by the novice by These weighted totals do not represent the
checking the patient’s symptoms against the most frequency with any remedy occurs . A remedy that
likely remedies in the materia medica . The more only occurs under 6 of the patient’s total 10
experienced homoeopath can make a final selection symptoms may yet end up with a total of 12 marks in
by looking at the names of the remedies with the the weighted toatal if two of its marks counted double
highest repertory analysis tally marks and then and two counted treble . Another remedy which
making a mental , intuitive , decision as to which is occurred under everyone of the patient’s 10
the most appropriate . Such final remedy selection is symptoms and hence would be the simillimum ,
done by the mental process called “recognition” in might ony get a total of 10 weighted marks if none of
learning theory . For people who know their subject its remedies obtained double and treble marks . It
well there is nothing wrong with remedy selection by would seem quite obvious from the above that this
recognition , since they will know a sufficiently large sort of 1 , 2 , 3 weigjting seriously distorts the final
number of remedies well enough to make a sound tally each remedy obtains . An experienced
decision based on recognition . For the beginner , it is homoeopath can , of course , correct such distortions
difficult . He ,in order to acquire this knowledge , has when he makes his final remedy selection . But an
to study the material medica for a long time . And experienced homopath does not really need a
even then he might only have a thorough knowledge repertory analysis in the first place . However , the
of perhaps 50 of the most common remedies after novice homoeopath is likely to be influenced ,and
two years of study . No wonder homoeopathy is therefore misled , by the weighted remedy totals in
considered a timeconsuming , if not difficult , study . his final remedy selection . If he is told to ignore the
weighted totals when making his final remedy
The mental recognition of something or selection , then what is the point of giving remegies
someone is not based on conscious logical analysis of weighted marks in the first place ?
a set of data from which a conclusion is then drawn .
Some people think that unless a decision is made Certainly , not all remedies are equal for a
consciously it is not much good . It is well to bear in certain symptom , so some form of remedy weighting
mind that much of our knowledge in many fields of would be desirable . what is questioned is the 1, 2 , 3
life is based learnt by conscious study and practicing type of weighting . when the distortion that this type
recall . We never learnt our mother tongue that way , of weighting gives in the final result was pointed out
nor how to walk . Even the experienced homoeopath in April , 1982 to a professor in computer science
who makes his remedy selection on the basis of the who wrote a repertory analysis program , he
recognition mechanism never really knows how close immediately agreed that it would have been better if
his instuitive selection was to the most similar the weighting had been perhaps : 1 , 1 . 1 , and 1 . 2
remedy as based on a through repertory analysis . The or something similar .
fact that his remedy works does not mean that
another , “more similar” ,remedy might not have [ In order to illustrate more fully what
worked even better . happens with the various forms of weighting
here , follow five examples .* ]
Through computer repertory analysis over Weighring , even the mild from of 1. 1 and 1 . 2
the past 9 years I have come to the conclusion that is weighting , gives a distorted and misleading result .
no such thing inhomoeopathy as one single However , by concentrating the analysis mainly on
exclusively indicated remedy . For each case there the generals , the distortion is less severe . In any
are a number of remedies which are likely to work , event it can be corrected by a final material check . It
some quicker , some slower , some treating first one is interesting that those homoeopaths who have used
group of symptoms , some another group . weighted repertory analysis recommend that one
concentrate mainly on the generals and analyse only
In the past few years interest in computer a few of the other symptoms , but certainly NOT ALL
repertory has awakened , and various programs are symptoms .
available or under development in various parts of
 It would be clear that Hahnemann was right It would seem obvious that remedy weighting
when he insisted that remedy selection should be apparently introduced by Dr . H . A . Roberts in the
based on ALL symptoms , with particular emphasis 1930s (he used up to five points per remedy) should
on what we now call generals . So , if anything now be abandoned .
should be weighted , symptoms rather than remedies
should be weighted . Since inexpensive computers Yours sincerely
are now available to dchigh speed weighting E . A . A . A . D . DE RUYTER
calculations , it would be desirable to develop a Med . Drs . (Amsterdam) FAIH , AACS
weighting system that does not distort .
[ From the BRITISH HOMOEOPATHIC
----------------- JOURNAL , Vol . 75 , No . 2 , April , 1986 ]

[ From the JOURNAL OF THE AMERICAN --------------------------------------------------------------

INSTITUTE OF HOMOEOPATHY , March , 1985
Abstract drawn . *The examples which run to nearly TWO METHODS OF
10 pages have been omitted in this condensation . REPERTORISATION
FOR PRIVATE CIRCULATION ONLY . ]
Dr . G . V . KELLER
------------------
KENT distinguished two methods of
CORRESPONDENCE
repertorisation : the scientific method which is
mechanical is mechanical and the artistic method .
To the Editor , THE BRITISH HOMOEOPATHIC
Repertory study must be science and art at the same
JOURNAL
time . The listing of all the symptoms and writing
down all the remedies against those symptoms and
Dear Sir ,
add their value , is the mechanical method . The
artistic method is better but not all have command
Remedy weighting undesirable and unnecessary .
over it . It requires the capacity to recognize the
peculiar rare symptoms which could lead to the
Over three years ago I asked homoepethic bodies in remedy , provided the general symptoms do not
Australia , the UK and and the USA to give me contraindicate .
Continental homoeopathic literature references
advising remedy weighting . I have none to date .
KENT recommended the mechanical for the
novice . By this method 5 to 10 medicines are arrived
My paper ‘The Disadvantages of Remedy and they are studied in the material medica in the
Weighting in Homoeopathic Repertory Analysis context of the case on hand . For this method the
demonstrated clearly how distoring remedy rubrics must be complete which is not so in KENT’s
weighting is . To date my reasoning has not been repertory . For example , the symptom “stomach
shown to be wrong , nor has it been challenged . pains better from eructation” , the remedy is
Phosphorous . But the rubric “stomach pain am .
Appropriate use of program options made it from eruction” does not contain Phosphorous .
possible to select the similumum directly from the Phosphorous is found only under pressing and
computer print-outs in many cases in the past twenty- stitching stomach pain” with these modalities .
two months . In sixty consecutive analyses the Therefore if KENT’s repertory is to be suited to the
similumum was the top remedy in each of the three mechanical method it has to be done by laborious
print-outs in 33 . 38 % (20) . In 58 . 38 % (35) it work , thorough detailed work through-out the
could be selected from the top three remedies in each repertory . This can be clarified as follows :
print-out and in 8 . 3 % (5) came from below the top
three remedies ; without remedy weightiong. If the Boenninghausen wrote two repertories : The
computer results were irrelevant it would seem fair to first , The Systematic Alphabetic repertory in 2
expect the similimum to have an equal chance (20) to volumes (1832-35) and the second the Therapeutic
be at the top in each of the three print-outs . The chi Pocket Book which was arranged in such a manner as
square was 22 . 5 . For two degrees of freedom the to be useful to the novice . The Systematic
result would seem highly significant . Alphbetical Repertory was translated by Boger in
1900 and later revised and enlarged by him and which do not qualify the pains have been included
printed in India in 1936 . here .

The Pocket Book has been prepared on the By this the composite symptom was retained in
principle of analogy , that is , if a remedy produced the contest just as BOENNINGHAUSEN did in his
stitching pain in one place it may produce stitching Systematic Alphabetical Repertory . So we see that
pains in other places too . If there is agg . of pains both BOENNINGHAUSEN and KENT differentiate
from movement of the leg , such agg . can also occur the repertories for the NIvice and Experienced . One
from movement of the arm . The entire book has been proceeds from the general symptoms to the special
produced on these principles . symptoms while the other begins with the key
symptom and uses the general symptoms as control .
This repertory is easy for the mechanical Even the experienced physician will , on hearing the
method than the KENT’s repertory which is more symptom “the water drunk is vomited as soon as it
comprehensive . The mechanical method was also becomes warm in the stomach “use the repertory to
easier for the students for the study of comparative verify whether the other symptoms of the case are
meteria medica . Also errors by too early working also covered by Phosphorous .
with the Key symptoms , - the artistic method – were
thus avoided : that is , when a key symptom is As it is , we are all beginners with every case .
obtained , referring it in the repertory and Every case is unique , never-before-existed . In the
automatically prescribing the remedy without course of the examination we observe the symptoms
verifying whether that remedy agreed with all the of the patient , we wait until a similarity to a remedy
symptoms of the patient . When we work with a key is recognized . As much more experience we have ,
symptom it is necessary to verify whether any of the so much frequently do we hear symptoms “which
other remedies also has that symptom . would lead to the remedy.” Mostly , however , the
similarity is only vague and we have to have sharp
We cannot , generally , find the key symptom in attention so as to distinguish the case better .
the Pocket Book . Take the case given by T . F . Allen
in the Introduction to his translation of the Pocket Here begins the artistic method of
Book : A 65 year old women complained of pains in repertorisation . In the light of the peculiar symptom
epigastrium and right hypochondrium , am. While we look into the repertory to confirm our recognition
sitting , and from eructation ; agg . from lying on of a remedy to the Key symptom and then we
back and lying on right side , turning over in bed . A proceed to hear the exact text of the key symptom
pulling and ulcerative pain . Mouth extraordinarily and finally verify whether not only the key symptom
dry , without thrist , aversion to strong odours and but also the totality of the symptoms of the patient
vomiting of the water drunk as soon as it becomes agree with the remedy symptoms . That is the turn
warm in the stomach . around of repertorisation , of the Particulars to the
Generals .
All the symptoms could be repertorised in the
Pocket Book expect the last , that is vomiting of Which of the two methods depends upon the
water as soon as it becomes warm in the stomach . individual physician ; in which grade and connection
The resulting remedies : Sul ., Phos ., Nux v ., Puls ., the two methods are to be used is dependant upon the
Bry and Acon , The last symptom clearly indicates individual case also .
Phos .
-----------------------------------------------------------
Here we see working from generals to the
particulars , which KENT recommended for the SYMPTOM “AS IF”
novice . But KENT went further and prepared the
repertory for the busy practitioner at the sick bed ; for Dr . H . V . MULLER
the art prescriber who has a thorough knowledge of
the materia medica and who will not prescribe The patient , a woman , occupied as secretary
blindly and automatically on a key symptom . By his was suffering from heart attacks from 1978 mostly
arrangement KENT made it possible to gather a while alone sometimes while at work like the last
proving symptom in correlation with the repertory . attack which was just three weeks ago . The attacks
Therefore he has not given Phosphorous under begin with an oppressive feeling in the heart region
“stomach pains am . from eructation” ; only remedies with perspiration and diarrhea , pain in the left arm
which becomes heavy and numb . She has anxiety Therefore if choice is made from a small group of
and restlessness and during such attack takes remedies containing the modalities it is possible that
sedatives and goes off to sleep . She has unusual fear the remedy which is more suitable to the case on
especially for the super-natural . Her friend said that hand is excluded”.
once she was on the floor when some others were
doing table-turning . She does not take part in those The large rubrics also contain individual symptoms:
sessions since she knows what the consequences
would be . To remove the wrong impression that the large
rubrics do not contain individual symptoms , a case
Other symptoms are : tenacious mucous in the of obstipation is presented . Assuming , you have a
throat . She strains and attempts to swallow it but in patient with migraine who has at the same time a
vain . She has a sensation as if “a pot of boiling water stubborn , chronic obstipation . Are we to ignore or
in her stomach region”, “a pot which was boiling set aside this symptom because the rubric contains
color : orange .. Repertorisation was not successful . too many remedies and is a general rubric? Is it not
Arg . nit ., Ars ., Bell ., Acon ., Arnica or Coffee were that for this patient , this is a characteristic ,
not suitable . individual symptom which we should not ignore and
which would help us further because we will not
Finally the last symptom “simmering cooking exclude any remedy from the large rubric .
pot” in stomach was considered and referred to Experience shows that from such ten to fifteen large
ROBERTS , “AS IF” p . 291 and 323 . ‘Sumbulus’ rubrics a small number of remedies can be narrowed
was given there for sensation as if “warm water down which may be suitable for the case . An
flowing in stomach” . For further evaluation example from actual case for demonstration : A 28
Boericke’s Materia Medica was referred . The picture years old lady : Since 15 years suffering from left
matched totally . A single injection of Sumbulus C30 sided trigeminus neuralgia . Begins early in the
brought a complete cure . morning , becomes worse during the course of the
day , becomes better in the evening but again the
[ From the “zeitschrift fur KLASSISCHE pain begins at 22 hours and continues till 3 or 5 in the
HOMOEOPATHIE and Arzneipotenzierung” Band morning . Usally localizing in the left eye ball ,
30 , Heft 4 / 86 , translated by Dr . K . S . extending to the entire left half of the face . It
SRINIVASAN , Madras ; for private communication culminates in flow of tears from the affected eye . IN
only .] damp weather asthma , with rheumatic pains in the
left chest and very violent , visible palpitation . Facial
----------------------------------------------------------- expression sad , anxious , despairing .

REPERTORISATION WITH THE

LARGE RUBRICS
Symptoms for Repertorisation :
Dr . R . Eisenmann.
1. Face , pain left side (p . 380) apporoximately 35
remedies ;
KENT’S advice :
2. Chest pains left side (p . 846) apporoximately 55
In his Foreword to the first edition of his
remedies .
Repertory , Kent wrote :
3. Palpitations violent , tumultuous sound
“The method of working out a case from its
(p . 877) apporoximately 95 remedies .
general symptoms without modalities first and then
proceed to the particular symptom is the most
satisfying . That has been confirmed by the old 4. Lachrymation (p . 245) apporoximately 150
remedies (Note : our indicated remedy is not to
practitioners . When a case is worked out from
symptoms limited by their modalities it is possible be found in the small rubric .)
that the right remedy was overlooked because the
modalities of the remedies contained in the large 5. Asthma (p . 763) apporoximately 135 remedies.
general rubrics have not been observed and recorded .
 There is least ‘peculiar’ symptom in these 5 -----------------------------------------------------------
large rubrics but there are characteristic , individual
symptoms and we look for the required remedy . If MENIERE’S DISEASE - A CASE
these are not sufficient then we may take the REPORT
remaining symptoms also .
Dr . K . H . Gypser
REPERTORISATION :
A 38 year old man complained of roaring
1. Face , pains , left (approximately 30 remedies) noise in the left ear since many years without any
known cause with hardness of hearing and attacks of
2. Chest , pains , left side (apporoximately 30 vertigo . The diagnosis of the University Hospital
remedies) ; the following remedies come through was Meniere’s disease . After unsuccessful
in the differentiation : Dulc ., Kalibi ., Phos ., conservative treatments a saccotomy was perfomed
Spig ., Staph . after which there was relief for two months . The
attacks then returned with greater intensity and the
We are astronished that with these two peculiar patient therefore sought relief from so-called
symptoms alone which we got without alternative therapies which did not however , cure .
questioning the patient we have arrived at a
small number of remedies . Symptomatology :
3. Palpitation , violent , tumultuous 1. Permanent roaring noise in left ear with hardness
(apporoximately 90 remedies) The following of hearing with some sensation of pressure .
remedies remain : Phos., Spig., Staph.
2. Vertigo : Begins from sudden turning of the head
4. Asthuma (apporoximately 135 remedies) only . , slowly developing into a rotating verigo,
Phos ., Spig ., remain . increasing pronenss to easily fall on the left , he
becomes pale and must then lie down , then
Final choice of the remedy : If we refer to a good vomiting which brings about a speedy relief ; the
material medica it will be easily seen that Spigelia is condition lasts for about half an hour and it
the most suitable and indeed that was the remedy that comes irregularly .
cured the patient . However , we should keep in view
Phos . also since as a deeper acting mineral 3. Cough since many years , always in spring and
complimentary medicine it could be considered in autumn , for 6 weeks : dry worse in the evening
cases Spig . did not give the required relief or cure . lying down (for some time) in the evening and
morning on awaking am . in fresh air : wakes up
Repertorisation technic Naturally without at night from cough .
appropriateequipment it would be difficult to
repertories with the large rubrics since it would 4. Angina , 4-5 times an year .
require much time which may not be possible in busy
practice . For that we should have card repertory 5. Heartburn
which contains large rubrics .
6. Dry sensation in throat
In the present times it is ideal that this can be
done through computer . But this does not mean that
7. Pain in nape of neck , cramping
homoeopathic remedy selection is a mechanical
action . The evaluation of the symptoms and the
8. Feet cold
questiong of the patient , is the core of our work and
the study of materia medica cannot be had through
Anamnesis :
computer . But computer will help us in the
mechanical part .
Whooping cough , measles , mumps , chiken –pox ,
during childhood ; all overcome well .
[ From the Zeitschrift fur KLASSISCHE
Warts on fingers and heels in childhood
HOMOEOPATHIE and arzneipotenzierung , Heft 4 /
Sinusitis maxillaries , right side , at 23 years
86 translated by Dr . K . S . SRINIVASAN , Madras ;
Appendectomy at 24 years Tibia
for private communication only .]
fracture at 28 years
Rheumatic pains , particularly in the thighs , at 30 turn back ….”( Al ., VIII , p.482 ,
years ; Car accident at 35 years , due to No . 23) “Head is dizzy at times , and
which he lost 2 fingers . vertigo on …. Turning the head
Lumbago now and again Sleep , mind , weather quickly ….”
changes , appetite etc : NAD
For 3 : “Mostly in evenings in evening after
Symptoms Chosen : lying down , a cough from tickling
throat” (He . Ar ., p.140 , No . 232)
1. Vertigo followed by vomiting which am (He . Ar ., p.140 , No.233) “Dry
cough …in the morning” . (Al . VIII ,
2. vertigo from turning the head suddenly p.490 , No . 400) “Paroxysms of
coughing … in the morning”. (Al .
3. Cough in evening , from lying down for a VIII , p.491, No . 407)
few minutes
For 4 : “Tonsillits , chronic , recurring
4. Cough , awakened at nights due to frequently” (He . G . S ., IX , p.
2 .5)
5. Anginas , relapsing .
For 5 : “Burning in pharynx …”
Repertorisation : Kent’s Repertory : (He . Ar ., p.134 , No . 96) “Burning
in throat” (He . Ar ., p.134 , No . 97)
1. VERTIGO , vomiting after , am .(p . 105) “Pyrosis and nausea” (He . AR .,
As this rubric has only one remedy which p.136 , No.146)
would restrict our remedy choice at the
beginning itself ‘VERTIGO, vomiting For 6 : “Dry sensation in pharynx ….” (He .
with’ (p . 105) was taken . Ar . p.134 , No . 92)

2. ‘VERTIGO’ turning the head quickly ‘ (p . For 7 : “Pains in nape” (He . Ar . p.141 , No .
105) 269)

3. ‘COUGH, lying first lying down on’ For 8 : “Feet cold in the afternoon” (He .
(p . 797) Ar ., p.143 , No . 315)

4. ‘COUGH , sleep ,wekens from ‘ ( p. 804) The agreement of symptoms 5 to 8 is of less

singnificane since these are met with in almost all
5. ‘THROAT , inflammation , tonsils , medicines . The characteristic symptoms-vertigo
recurrent’ (p . 454) followed by vomiting , vertigo from turning the head
quikely , cough in evening from lying down and
Only Sang . comes through all these rubrics . Ars ., waking up at nights from cough-are sufficiently
Calc ., Kali-c ., Lach ., Merc., and Sep. Come thrice. similar under Sanguinaria . The other remedies are
not found comparatively similar .

The patient’s symptoms and the proving

MATERIA MEDICA : symptoms come closest in Sanguinaria . It is clear
from this that reference to the Materia Medica is
Sanguinaria : indispensable .

For 1and 2 : “…..Vertigo with singing before ears Kent has wrongly placed Sang . under
….” (He . Ar ., p. 130 , No .1) “Vertigo ,vomiting , with” . A further rubric may
“Frequent Vertigo with loss of therefore be added “Vertigo , vomiting , followed by”
vision before vomiting ….” to which Lachesis also belongs . Repertories give
(He Ar . p.130 , No .2) only clues and final choice should be by comparison
“Vertigo from turning the head with the material medica only .
quickly ...’(He . Ar . p.130 , No . 5)
“Head fels dizzy and can not
Therapy : Sanguinaria 200 , 1 glob . Report after 3 micturition : Merc . Sol .” Comparing other
weeks : on the third day after taking the medicine , symptoms in KENT : “Flatulence , nights” : “noise,
increased corza for more days : Vertigo rarely and in rumbling , nights”, agreed .
the last few days not at all ; no pyrosis or pains in
nape of neck . further report after 2 , 4 and 6 months : Case 2 : Patient 20 years who did not make it secret
Same : “There has been no further vertigo”. There that he was homosexual said that since some months
was no cough during the autumn . The roaring in left he had a rare sensation in anus which could best be
ear with hardness of hearing is in a very weak from . described as “a foreign body , sensation as If”. The
nearest si milar in KENT the “sensation of a plug”
References : was rejected since the patient said that the sensation
was not only while passing stool when it is agg . but
Allen , T . F . Encyclopedia of that it was always there . Finally I found in KENT in
Pure Materia Medica (A1) Hering , Rectum “Foreign body , sensation of” wherein 5
C : “Sanguinaria Canadensis, “Archiv . fur remedies were given : Lil . –t ., Nat. –m, Rumex ,Sep
die homoeopathische Heilkunst , ., Sulph .
22 (1845) , H . 2 , 114 – 160 .
(He . Ar .) Hering , C : He further had pain in the left testicle from
The Guiding Symptoms of our Materia time to time which did not seem to be connected with
Medica . Vol . I – X . Kent , J . T .: anything and lastly a troublesome fissure in the
Repertory of the Homoeopathic Materia prepuce which was there since long and which could
Medica . not be healed by anything .

[ From the ‘Zeitschrift fur KLASSISCHE I could not begin in anyway with the first
HOMOEOPATHIE and Arzneipotenzierung’ Band 30 symptom and the second symptom I searched in
, Heft 4 / 1986 ; translated from the German by Dr . KENT in vain and finally found in KNERR p . 624
K . S . SRINIVASAN , for private communication “Prepuce , fissured” : Sep .
only ]
With a high potency Sepia (200) all the
----------------------------------------------------------- complaints were speedily removed .

IS KENT THE FINAL ? Case 3 :40 years lady suffering since 3 years with
throat inflammation . Treated with massive anti
Dr . H . V . Muller biotics and since then suffering from , as is often the
case , micotic ailments . The mycotic condition
Many use KENT exclusively but there are alternates often and when she came to me the forearm
cases where Kent is not sufficient . There is no , leg and feet were affected . Mycosis of the vulva
symptom which cannot be located in some repertory also . I always prescribe in such cases Sulphur and
or the other . Here are some examples to cite some of Psorinum in D12 potency in alternation daily and in
the literature which should be kept alongside KENT . addition the nosode Mykot-Fluor (Stauffen-Pharma)
in higher potency generally .
Case 1 : An Israeli lady 52 years who has been my
patient since years . She now complained of In the meantime the skin eruptions receded
abdominal pains . She has had similar pains before leaving a rare symptom : Persisting severe itching on
and everytime relieved by the appropriate medicine the mons veneries . It was not a pronounced itching
but this time it gave her much worry . She had now but rather , she opined , that something alive crawling
sensation of fullness in abdomen and rumblings but there . She has a similar sensation in the nose also .
the peculiarity was that these rumblings were
aggravated at nights and so loudly that it awakened I did not find the symptom “as if something
her from sleep . Otherwise nothing . Eating did not alive on the mons veneris” anywhere but the
either agg . or am . and no passing of flatus , with one symptom “itching” was found . “Itching on mons
exception : When she passed urine it was with flatus . veneris” (KENERR , 526) : Nat-S ., “Mons Veneris ,
itching” (KNERR , 640) : Euphorbium , “Itching at
Only the last symptom was peculiar of mons veneris” (GENTRY, Vol . 3 , 853): Eup . perf .
course . It was not found in KENT . I found it in
GERTRY , Vol . 3 , p . 648 : “Flatus during
 With the symptom “as if something alive in
the nose” my search was made easier . “Insects
nose”, “crawling as of insects , in the back of the
nose , several times”: Nat . S (Unabridged Dictionary
of Sensation “AS IF” Part I , 437)

The repertories mentioned in the above 3

cases are all equally good and I cannot say which
deserves greater praise . I can only say that all the 3
must be had for homoeopathic practice

[ From the ‘Zeitschrift fur KLASSISCHE

HOMOEOPATHIE and Arzneipotenzierung’ Band 27
, Heft 6 / 1983 ; translated from the German by Dr .
K . S . SRINIVASAN , Madras for private
communication only ]