SYMPTOMS TO THE LANGUAGE OF REPERTORY

Symptoms to the language of  Repertory 

There are many ways of studying repertory. To make full use of this wonderful instrument at our disposal we need to look at the various ways in which repertory can be used.
Repertory is used to solve cases which most of us do. It can also be applied for the study of Materia Medica; a much better and interesting way of studying our remedies whether singly or in a group.
How do we do this? well here is how ????:

Pick up the repertory and just go through the different rubrics. What do you find? You find some rubrics that?s it? Look again and you will find that ???

Some of them are expressive rubrics while some are non-expressive.

Expressive: these cover those  rubrics which represent the expres-  sive symptoms in the repertory and  will be helpful in tackling the expre-  ssive patients.	Non-expressive: these cover those   rubrics which represent those   patients who either don`t talk or   communicate very little.
Vivacious   Loquacity   Shrieking   Lamenting	Reserved   Talk indisposed to   Grief undemonstrative   Anger suppressed.   Quiet disposition

Some are objective while some are subjective.

Objective: those, which can be   seen touched, felt, with our senses.   These are definite and cannot be   denied.	Subjective: those, which the patient   experiences but we cannot see or   measure or sense. These are relative   symptoms,which cannot be   measured or confirmed.
Hardness   Frown   Restlessness, physical   Swelling   Discolouration	Pain   Grief   Indignation   Dim vision   Delusions   Sensitivity   Dreams   Cravings and aversions   Modalities.

Some reflect the Intellect of man while others the Emotion.

Intellectual: Those, which tell us   about the thinking capacity,   intelligence, thought process?..	Emotional: those, which tell us   about the sentimentality, feelings of   a person.
Intellectual   Conscientious   Positive   Cowardice   Idiocy   Imbecility   Concentration difficult	Sentimental   Grief   Sympathy   Affectionate   Anger   Rage   Jealousy

Some represent the causative factors while some the resultant effects.

Causative factors: the factors   which lead to a series of reaction in   a person`s pyche or physique. If we   can get a definite causative factor   then it assumes a lot of significance	Resultant effects : the   consequences of the causative   factors. This depends on the   sensitivity of that individual and   affects those parts of the body which   are weak or prone to affection. This   tells us the sphere of action in that   person both mental and physical.
A/f admonition   A/f anger suppressed   A/f grief   A/f vaccination	Weeping admonition from   Sensitive to criticism   Grief , weep cannot   Convulsions after vaccination

Some are disease symptoms whereas others are non-diseased i.e. natural traits.

Disease symptoms: these are   symptoms resulting out of some   disease or pathology or affection.   These are helpful to arrive at a   diagnosis but from Homeopathic   prescription point of view it has   lesser value.	Non-diseased traits: These are   natural attributes of a person arising   out of his genetic makeup. These   are of tremendous significance for   Homoeopathic prescription.
Imbecility   Tumours   Sunstroke   Mania   Sadness, depression   Cachexia   Emaciation	Pessimist   Courageous   Audacity   Lean people.   Tall people.   Stoopshouldered.

Some are obvious while some are concealed.

Obvious: these are similar to the   objective symptoms mentioned   above. These are features, which   cannot be argued as everyone is   able to see them clearly. Hence `   have to be given lot of value and   should be used as an eliminative   rubric!	Concealed: This tests the skill of   the Homoeopath in case-taking. To   get these symptoms out of an   individual requires a lot of patience   and is an art. Good observation is a   key feature in this. These are those   qualities of a person, which he tries   to cover or justify.
Foppish   Cleanliness   Loquacity   Dirtiness   Hurry, haste   Talk indisposed to.	Hypocrisy   Dogmatic   Deceitful   Liar   Jealousy   Hot/ chilly

Practical aspects of repertory:

Once we know this basic structure of the repertory we move further to the more practical aspects of repertory. Selecting the right rubric and arriving at the right remedy.
All of us face this problem that even after taking a very good case full of mentals and physical symptoms, taking good well thought out rubrics we just don`t seem to hit the right remedy.

Why is this so? Let us go through what happens in our individual clinics.

Three Homoepaths A, B, C are working on one case:
Example I.
A patient comes for first time and as the case taking progresses they get frustrated to find out that he just answers the questions to the point, nothing more nothing less. What do we do?
Homeopath A: ?He is not talking because he is reserved. I will take reserved?.
Homoeopath B: ?He is not communicating because of his shyness, he is not comfortable with me at the outset. I will take shy.?
Homoeopath C: ?He is definitely egoistic and that?s why he is not talking. I should take haughty/ egoistic.?

So each one of us ends up in taking a different rubric and à we part ways then and there and obviously arrive at a different remedy. Then we say that all Homoeopaths arrive at a different remedy! Homoeopathy is highly individualistic. This is not what is meant by individualistic that all of us arrive at an individual remedy for the same individual.

Example II:

One person tells me that she cannot tolerate her husband scolding her. She gets very upset and that affects her.

Homoeopath A: A/F admonition or admonition agg. A/f insults, indignation,
Homoeopath B: Sensitive to reprimands, criticism?. Offended easily?
Homoeopath C: Injustice cannot tolerate. Defiant.

See how everyone differs in his or her own thinking.
This leads to all the confusion and debate in Homoeopathy. Who is right who is wrong?
Unless this is remedied, this inconsistency in Homoeopathy will persist and the future for most Homoeopaths is dark and frustrating. They start believing the Allopaths who say that Homoeopathy is nothing but just ?a trial and error? system.

The correct use of the repertory and the right approach towards using it will help us overcome this nagging problem in Homoeopathy.

The incorrect approach or selection of rubrics results either in failures or in temporary short lasting results and then Homoeopathy is blamed. For long lasting results and esp. in chronic, so-called incurable cases, pathological cases the entire onus is on the kind of rubrics that we select, the symptoms on which we prescribe. Therefore we need to select our prescriptive totality with utmost care. This is exactly what Dr.Vijayakar is so good at. He picks up what runs through and through that individual, that in him which has not changed!

There is a difference between a symptom and a prescriptive symptom. Herein lies the difference between an ordinary prescriber and a master prescriber. It is said that ?Extraodinary people don`t do different or extraordinary things they just do things differently?. The same applies to Homoeopaths. This is the quality that we at Predictive Homoeopathy want each one of us to develop. Dr.Vijayakar uses the same repertory that we do, he uses the same medicines that we do but the difference lies in the know-how when, how and what!!

Just how would we tackle the first example case?
Its simple, doesn`t everyone agree that the patient was talking less and to the point which in simple terms means that he is a person who is not interested in talking!
So the simple rubric that no one can deny or rule out is:

Talk indisposed to.

The patients remedy has to be covered by this big rubric.

So the first lesson to learn in prescribing rightly and avoiding guess work begins here:

Take a rubric which is big & solid, which everyone has to agree on i.e. it should be an objective rubric and not subjective (refer to the above chart).

Once we take such rubrics we are sure that at least we have definitely not eliminated the simillimum. The golden rule is try and eliminate the rubric that we have selected. Similarly try and rule out the remedies that come up after repertorisation, when a rubric or a remedy cannot be ruled out or eliminated then, it assumes significance and solidarity.

Next we proceed by taking such qualities of that person which run through and through his personality in various situations or circumstances, in childhood, youth and adulthood?? again bearing in mind that they have to be solid and beyond doubt. What are those qualities of a person which are unshakeable or which describe him as a person.

These are his innate characters or traits e.g.

Conscience.
Mildness.
Positiveness.
Exuberance.
Courageous.
Cowardice.
Unfeeling , hard-hearted.

Why are these given so much value?
The reason is, these are the characters which are determined by the genetic makeup of that individual. How do genes determine the nature of a person? Well as a matter of fact genes are responsible for nearly all that we see of an individual. The genetic makeup of a person remains the same throughout his life, which he has inherited at the time of conception. Out of all the genes available to man some are expressed while some are not (repressed). The expressed genes determine not only his physical makeup but also what diseases he is prone to develop as also his nature ?intellect?.., in short they determine the constitution of the person. So what we are taking as prescriptive totality to arrive at the simillimum is nothing but the totality of the expressed and dominant genes in that individual. Hence the term, rightly coined by Dr.Vijayakar, ? Genetic constitutional simillimum?.

We should take those qualities of a person into consideration, which don`t leave that person with change in circumstances. The features determined by the genes always resist change. e.g. a timid person will nearly always remain timid though we may witness a few occasional incidences which if seen on face value may appear to be of some courage. A person is not conscientious if he remains so when all things are going for him. It is in trying situations that ones` conscience is tested. These are things, which will not change overnight. These are subject to change only when there is a major causative factor. The genetics in man will always resist change. The causative factor will be such as is analogous to his or her constitution. E.g. only those people who are sensitive to grief will be found under A/f grief. So the way we look or read the rubrics should change drastically. We should look at the rubrics A/f grief: people who are prone to be affected by grief. A/f vaccination: covers constitutions, which are easily prone to get affected by vaccination. Anxiety, anticipating an engagement : people who become very anxious before any engagement If a strong causative factor plays havoc in that individual and he turns from a courageous man to a coward personality then this change in his phenotype will be most definitely found in the related remedies of his earlier constitution i.e. either complementary or followed well by..?.. Once we understand this it becomes very simple to perceive the logic behind the relationship of remedies. This answers our long debated question of whether the constitution of man can change or not. We have to understand that in Homoeopathy a symptom assumes importance if it represents him as a whole rather the situation. e.g. any man irrespective of his caste creed, age, sex feels jealous at some point of time or the other. But a jealous person is one who feels this emotion many times and for trifling matters as well. Only then can he be labeled as a jealous man. So the 2nd lesson in repertorising a case is to select a rubric which runs through and through that person, which has not changed over the years or that which resists change i.e. one that is a genetic or an innate character of his person. This is usually from the nondiseased group of rubrics (see above chart). So we see in example II, that it is quite natural for any wife to get upset if her husband scolds her and therefore this reaction to the situation is quite normal and should not be given too much value. The given scenario does not warrant our much attention or thought. For the selection of any rubric we also need to be very well conversant with the cross references of the rubric under consideration. Therefore this exercise of compiling and putting together rubrics which are similar in meaning but may mean or imply something slightly or grossly different can always come in handy.

Example III :

e.g. rubrics of inferiority complex :

·         lack of confidence,

·         contemptuous of self , 

·         reproaches himself,

·         Timid bashful, appearing in public.

·         Del: diminished.

·         Del: dirty.

·         Del: failure / fail he will.

·         Undertakes nothing lest he fail.

This helps us to understand the different rubrics which otherwise we may miss out while solving a case of inferiority complex. ?The eyes do not see what the mind does not percieve?. Now that our mind knows then we can inquire as to whether he is lacking in confidence or does he feel unfit or is he downgrading himself?

Example IV:

For the people who are rude and harsh towards others:

·         Contemptuous 

·         Rudeness 

·         Insolence

·         Abrupt, harsh

·         Cursing swearing ,

·         Abusive, insulting.

·         Impertinence.

Example V:
Rubrics representing lively or social people.

·         Vivacious

·         Sociability

·         Exuberance

·         Exhilaration

·         Company desire for

·         Loquacity

·         Mirth, hilarity

·         Cheerful.

From such a study we can come to know the limitations of repertory and become more comfortable with the repertory so that we can play around with the rubrics rather get tense about it.
e.g. a big rubric like vivacious containing more than a 100 remedies does not cover Stannum met which is the only 3 mark remedy in the rubric Exuberance! How is that justified?
Sociability contains Nat-carb as one of the medicines which is one of our most misanthropist remedies!

This limitation of our repertories can cost us our simillimum and hence our patient! This is exactly why the knowledge of repertory becomes so very important.

The 3rd lesson in repertory comes as: our repertories are not perfect and we need to be aware of the different flaws in them by knowing all the cross references of any particular rubric lest we miss out the remedy despite taking big and solid rubrics.

LEARNING MATERIA MEDICA FROM REPERTORY:

We say that this person was very much Natrum like and hence I prescribed him Natrum mur, but here we forget that he has to be Natrum mur and not just Natrum like. The latter means that the remedy that is demanded by the patient is one, which is similar to Natrum but not Natrum. This is the line of thinking that has to be set. We should try not to settle down with anything less than the simillimum. It may not be possible everytime but at least our efforts should be directed towards that end!
At predictive Homoeopathy we are trying to reduce if not eliminate the guess work so long prevalent in Homoeopathic practice ??.. ?Trial and error? as it is popularly known as.
How can we do this?

If we want to study a group of remedies say for example kalis, it can be a real tedious task as it is such a huge group and as we study one remedy we tend to forget the earlier one. So the best thing is to study them all together from the repertory instead of the Materia Medica.
If we take the main symptom of kalis ? ?anxiety? we find that, whereas most of the kalis have a very significant place in the subrubrics of anxiety, kali-bi is the only kali which is conspicuously absent except under ?anxiety conscience of?, which immediately helps us understand the contrast between it and the other kalis.

We find all the kalis under indolence and a couple only under industrious which tells us a lot about kali personalities.kali carb which is placed under industrious covers another rubric which tells us a lot about its industriousness ---- work desire for, routinising!
None of them is present under conscientious except causticum.

If we study all the groups in this fashion our work would not only become much easier but also become very interesting don`t you think so?

Also we can study in a similar manner remedies which are egoistic or lively or taciturn and compare and contrast the remedies that come under them. This method is the most interesting and enjoyable way of studying repertory. In this we take one big rubric & find out how remedies listed therein score on different fronts in comparison to each other. E.g. Haughty. Timid remedies. Worrying remedies. Conscientious remedies. In differentiating these remedies we need to have a list of cross-reference rubrics at our disposal. Illustration: if we were to study the timid personalities of our materia medica then we may study them in the following manner :

Timid remedies 

Timid & coward : Gels, bar-carb,   lyco, puls , silica,   stram,	Timid but not coward : Nat-carb ,   Ars-alb, Carbn-sulph, alumn, coca
Timid and shy: Puls , Bar-carb ,   coca, petro, sulph, calc	Timid but not shy :Gels, kali- carb ,   lyco, plb-met, sep, borax , ars-alb
Timid and yielding: lyco , puls ,   m-arct, nux vom , phos, sep, sil.	Timid but not yielding: bar-carb,   gels, calcarb, calc-sulph

Another way studying the same rubric is to study the groups of families e.g.
Timidity covers carbons in maximum percentage followed by sulphurs, kalis, arsenicums, metals??. This helps us to understand that carbons are most universally timid followed by sulphurs.

If we study the repertory in the above mentioned manner then we can realise the full potential of not only the repertory but alo our own potential to a significant level. We will be able to do justice to our unused talent, reading, to our practice and to our patients.

It is a very vast subject and requires a lot of application, perseverance and determination conjoined with a passionate desire to prescribe better. A desire to come out routinism or drug pictures fixed in our minds over a of period time. It also requires a lot of self-evaluation & criticism, otherwise we land up using the same group of rubrics or the same group of remedies.

Come lets grow together.

DOES HOMOEOPATHY WORKS……? ….

 DOES HOMOEOPATHY WORKS……?

A high potency of  Lycopodium clavatum  (200th centesimal potency) is tested for its hepatoprotective action against carbon tetrachloride-induced hepatic damage in rat. It has been established from biochemical and histopathological studies that at least 4 doses of Lycopodium 200 can control the CCl4-induced alteration of plasma levels of aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, acetylcholinesterase, lactate dehydrogenase, bilirubin and urea. Protective action of the drug has also been confirmed by microanatomical studies on hepatic tissues.

                 To examine if a potentized homeopathic drug, Natrum Sulphuricum 200 (Nat Sulph-200) has protective potentials against hepatocarcinogenesis, liver tumors were induced in mice through chronic feeding of P-dimethylaminoazobenzene (p-DAB; initiator of hepatocarcinogenesis) and phenobarbital (PB; promoter). Mice were divided into five sub-groups: fed normal low protein diet (Gr. I, normal control); fed normal low protein plus alcohol-200 (vehicle of the homeopathic remedy) (Gr. II); fed diet mixed with 0.06% p-DAB plus 0.05% PB (Gr. III); fed diet and carcinogens like Gr.III, plus alcohol 200 (positive control for drug fed mice) (Gr. IV) and fed diet and carcinogens like Gr. III, plus Natrum Sulphuiricum-200 (Gr. V; drug fed). Mice were sacrificed at day 7, 15, 30, 60, 90 and day 120 for study of cytogenetical endpoints like chromosome aberrations (CA), micronuclei (MN), mitotic index (MI) and sperm head anomaly (SHA) and biochemical toxicity parameters like aspartate amino transferase (AST), alanine amino transferase (ALT), acid (AcP) and alkaline (AlkP) phosphatases, lipid peroxidation (LPO) and reduced glutathione (GSH) content. Less number of liver tumors were observed in Gr. V (drug fed) mice. Administration of Nat Sulph 200 reduced genomic damage, activities of AcP, AlkP, AST, ALT, LPO and increased GSH content. Therefore, independent replication of the study by others is encouraged.

 YES, SCIENTIFICITY OF HOMOEOPATHY COMES OUT……..

HOMOEOPATHY IS THE ONLY TRUE HEALING ART….