Creating Waves of Awareness
Everyone knows that case taking, evaluation of symptoms and selection of rubrics are the main steps before repertorisation, which may lead to a successful prescription. The advent of Computer software in the field have changed repertorisation into a mere mechanical process. Ten doctors may prescribe 10 separate medicines for a single case if taken individually by each of them.
This is an attempt to present criteria for the selection of Rubrics for Repertorisation proper in a chronic case. I know you all will have different opinions on the subject and I am looking forward to reading what you have to say.
Let me explain what I mean by repertorisation proper
Charting out all the symptoms in a case (confirmed, doubtful, incomplete and the like) for repertorisation will result in nothing than more confusion. All the symptoms should be considered, but those which are recurrent, confirmed and more peculiar should be given more value. So Repertorisation can be subdivided in two processes.
Criteria for The Selection of Rubrics and Repertorisation Proper in a Chronic Case
Analysis of the remaining symptoms.
After repertorisation proper, we will get a few medicines which covers all or almost all of the rubrics considered for repertorisation proper ( Repertorial Result ). In analysis of the remaining symptoms, we should list all the remaining symptoms of the case and should refer for the presence of these medicines in repertorial result under each of them to reach the similimum. I can show case examples if somebody is interested. There are certain methods for analysis of the repertorisation result, as well.
thank you sir I would like to learn more about rubrics
Dr K. Saji. I do like and I agree with this method of repertorization and analysis. In addition I would be appreciated if you could give us some more case examples.
R - Female 36yrs, Housewife.
1. Knee pain – Right : 4-5 months duration
< 3-4 days.
< walking, rising from sitting, ascending stairs
2. Pain in finger joints – vague pain, with mild stiffness.
3. Pain in wrists - occasional
HPC : Had temporary relief with pain killers at the beginning. The case was diagnosed as RA by an Post Graduate (GM) doctor. He referred the case to Homoeopathy.
HPI : Skin eruption 10 yrs back – On dorsum of feet – for about 3-4 yrs. Had AGN in the course of
treatment. Both relieved with allopathic medication.
Twin sister – Eczema - RA
Mother - DM
Father* - HTN
Husband – Auto driver
two children ( 5,1)
Heat sensation of
Appetite : diminished.
Perspiration of face (Observed Symptom)
Itching between thighs, with discolouration and desquamation–7-8 yrs duration-recurrent
Brittle finger nails, Shapeless. – 2-3 yrs duration
Ingrowing nails – toes – 4-5 yrs duration
Back pain – lumbar – menses during.
Husband was a bit handicapped. He corrected his complaint recently with a surgery. Now
she is living in her house with her mother for the last 5-6 months. She never mentioned
anything about her family problem.
Investigation : Before : 20/08/11.
RA Factor - Positive : 86 IU/ml.
1.Extremities; ingrowing toenails
Investigation : After : 27/10/11.
RA Factor - Negative
CASE 2 :
J-Female, 25 yrs.
Date : 11/03/06
PC : Infertility, primary, 3 yrs duration.
HPC : Consulted a Gynaecologist for late menses and he diagnosed the case as PCO. Advised some anti-diabetic tablets, hormone supplements and regular exercise. Patient tried this for about 4 months. Menses was regular during the treatment period but, became irregular again when she discontinued the hormone supplements.
HPI : Hypotension
Recurrent painful oral ulcers.
FH : Father is diabetic.
MH : Late (2-3 months) protracted, profuse menses.
Irritable before menses, Constipation during menses, Pain in lower limbs during menses.
BP : 100/70 mm of Hg
Investigation before : Follicular study : 16/12/05.
Multiple small follicles in both ovaries ( PCO )
A developing follicle in left ovary
Re-scan on 21/12/05 : No significant increase in size of follicle.
Investigation after : Follicular study : 17/06/06.
A developing follicle in left ovary
Re-scan on 21-06-06 : Follicle left 1.5 x 1.3 cm
Re-scan in 26-06-06 : US features suggestive of follicular rupture.
Repertorizing with all available data of the pt will lead to failure and we will find that only a number of polycrest are coming in the result. Now from my 7 yrs experience I fully agree with u. I have some question/observation about importance of symptoms of some particular origin which i would like to share u in future. I have some confusion about - The contradictory points are more valuable than the others. Logic of side selection and miasm also is the same. Affinity for the regionals are combined to make the general affinity, with a special note on the contradictory points. I think 'Considering Thermal modality, Side affinity, and miasm after repertorisation, for medicine selection' is an absurdity. would u pl explain a little more