A Concise Repertory of Homoeopathic Medicines Arranged ...

1. A Concise Repertory of Homoeopathic Medicines (Arranged alphabetically ) Author: Dr. S.R. Phatak, M.B.B.S. www.similima.com 1

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3. Author of repertory of Biochemic remedies (English) Homoeopathic MM and Repertory of Homoeopathic medicines (Marathi) MM OF Homoeopathic Medicines (English) www.similima.com 3

4. He was a man of good intellect a great teacher and guide Many doctors used to call on him for guidance in study of homoeopathy. www.similima.com 4

5. REPERTORY CAN BE STUDIED ACCORDING TO THE FOLLOWING POINTS Introduction Historical background Construction Advantages Disadvantages www.similima.com 5

6. INTRODUCTION CRHM is based on the repertory part of Boger Synoptic Key (BSK), hence much enlarged and improved version of BSK. It contains innumerable additions both in rubrics and remedies. www.similima.com 6

7. This is a concise repertory, which aims to reduce the burden of the prescribers by bringing the required information at one place in a different form. It is an Alphabetical Repertory – the headings including mentals, physical generals, modalities, organs and their subparts are all arranged according their alphabetical order. All other pathological conditions are also included in alphabetical order. www.similima.com 7

8. There are limited number of rubrics as well as the remedies used in this concise repertory. This information is taken from authentic sources as well as from author’s own experience. No drug is used unless the author has verified it in his own practice or unless there is strong justification provided for it by authorities like Dr. Boger, Dr. Kent, Dr. Clarke etc. www.similima.com 8

9. The rubrics like Blood pressure, Bronchitis, Bronchiectasis, Colitis mucous etc are very useful for those who search for such Nosological rubrics. In the repertory, for all the general modalities, the words Agg and Amel are printed as AGG and AMEL and for the particular modalities in ordinary letters. www.similima.com 9

10. The number of main rubrics is 1971 The number of medicines is 393. Thus very useful and handy repertory www.similima.com 10

11. Historical Background Idea of CRHM seems to be of Dr. S. R. Phatak’s own but because of ill health, he was unable to contribute much. His friend Mr. S. L. Kapadi, who knew about the idea, unexpectedly came to his help. www.similima.com 11

12. Mr. Kapadi prepared a skeleton work from Dr. Phatak’s rough notes of Marathi Repertory. He came to the author with this skeleton copy of work and asked the author to fill up the gaps, check and recheck it. Thus after the initiative pain taken by Mr. Kapadi, Dr. Phatak arranged the work properly, rewrote it and made many additions. www.similima.com 12

13. Then Dr. (Ms.) Homai Merchant his student typed up this hand written copy. This copy was lying on author’s table for nearly ten years. During this time many useful additions were made. With the assistance of Mr. Kapadi, author’s son Dr. D. S. Phatak, went through all the sections, did the preliminary spade work and with the help of Mr. Datay first edition was printed in September 1963 at Mouj printing press. www.similima.com 13

14. After first edition he compiled a Materia Medica for which he referred different Materia Medica literatures mainly: Boger; Boericke, Clarke, Hering and Kent. By doing so he found many clinical and pathological symptoms which were added in his second edition . This was published in October 1977 with the help of P. Shankaran. It was printed by Jakap Printers www.similima.com 14

15. Due to demand, this book went for reprint. Now 23 years after the second edition, additions were made to it by Dr. D. S. Phatak and published as the third edition in 2000 through B. Jain Publishers. In this edition, the additions made by Dr. D. S. Phatak are marked with “+” sign. www.similima.com 15

16. Editions First Edition: 1963 – Mouj Printing Press – Mr. Datay Second Edition: 1977 (Many clinical and pathological symptoms added) – Jakap Printers – Dr. P. Shankaran Third Edition: 2000 (Additions are marked with “+” sign) – B. Jain Publishers – Dr. D.S. Phatak www.similima.com 16

17. PLAN AND CONSTRUCTION The repertory has Preface to the Repertory by Dr. S. R. Phatak Preface to the Second edition by P. Shankaran List of Abbreviations of 114 remedies. Repertory proper. www.similima.com 17

18. Preface Part In preface, Dr. Phatak told prescribing in homoeopathy is both science and art. Three prerequisites are required for this Good case taking Sound knowledge of MM Skillful use of reference book. www.similima.com 18

19. This repertory is a concise one and not exhaustive as repertories like Kent, Boenninghausen, and others. But it is aimed at reducing the Burden of prescribing by serving as a handy and useful reference book www.similima.com 19

20. Construction The repertory is printed in two columns in each page Alphabetical arrangement. Unlike Kent and Boenninghausen, there are no sections in this repertory. All the headings are arranged alphabetically. Repertory begins with ABDOMEN and ends with ZYGOMAE. www.similima.com 20

21. There are no definite sections. The plan is in alphabetical order and covers headings like Mental generals, modalities, organs and their subparts. So finding appropriate rubric is easy. www.similima.com 21

22. All the physiological and pathological conditions such appetite, aversion, desires, nausea, thirst, fever, pulse etc. are in alphabetical order. Cross references are given where ever necessary e.g. Near sight: see vision near Zygomae: see malar bones www.similima.com 22

23. In each main rubric all imp. Symptoms their concomitants and modalities are given. Depending on the totality of symptoms try and find a symptoms from a particular organ and if not found refer to the general conditions. www.similima.com 23

24. Rubric construction (as per 2nd edition) Location/Sensation, affections in general SIDE – Right Left Alternating sides Extension Sublocation/subsensation/aggravation/amelioration and concomitants are intermingled and given alphabetically. www.similima.com 24

25. Causations are given under agg. Both general and particular. For general modalities the words AGG and AMEL, while under particular rubrics written ordinary Agg & Amel. e.g. Eyes closing AGG. (In general aggravation) Eyes closing AMEL. (In general amelioration) Eyes cold application: Agg (Particular modality) www.similima.com 25

26. Mental attitudes are found under mental conditions. Appearance of symptoms on one side, symptoms going upwards and downwards etc. are given under Directions of symptoms. www.similima.com 26

27. Unlike other repertories, desires and cravings are two separate rubrics. In this repertory, under desires, we find all mental rubrics. e.g. Desires: Change, always more than she needs Under cravings we find rubrics regarding food and drinks e.g. Craving: Coffee, black Ashes. www.similima.com 27

28. In aversion Rubric both mental and food aversions are given Again we have separate rubrics “FOOD AND DRINKS, AGG and AMEL” under that all the Agg. And Amel. of food stuffs are given. Indian foods are also included example: Chillies (green or red) agg. Tamrind water agg. www.similima.com 28

29. There are some features which are useful in arriving at a similimum For example: (a) Direction of symptoms; Alternating. Diagonal (b) Drug abuse of in general: Aspirin and similar drugs. (c) Moon phases: Full moon agg. New moon agg. www.similima.com 29

30. Rubrics and remedies are reduced to minimum, based on (a) Author’s own experience. (b) Justified by authors like Boger, Clarke, Kent. For ex., under spondylitis, cervical: Phos-ac Similarly, in many places only single drug is given in this repertory where as in other repertories there are many drugs for the same rubric www.similima.com 30

31. Author has placed some new rubrics from his experience For example: “Spoonerism” (inter change of initial sounds of two words) Author has incorporated some rubrics from a) Boger’s Synoptic Key 1) Itching, in diabetes 2) Attitudes bizarre b) BTPB Holding the breath> www.similima.com 31

32. Many generals symptoms have been coined from particular symptoms. This knack is the secret of the Boger’s method. E.g. Black denotes that discharge, menses, skin etc. are black, calculus represents a tendency to form calculi and includes urinary pancreatic, calculi etc. www.similima.com 32

33. Many characteristic particular symptoms have been included and this represents Kent’s influence on Boger’s approach. When a symptom is obtained it is better to consider the drugs covering the particular sensation and modality and also the drugs covering the general sensations and modality. www.similima.com 33

34. Repertory contains many pathological entities like Addison’s disease. Fatty degeneration, leukemia etc., one understands that these rubrics are to be used in the absence of guiding symptoms www.similima.com 34

35. CRHM contains many rubrics not found in KRHMM. Though it is much smaller it gives more remedies for some rubrics than are given in KRHMM e.g. under spices Aggravation Kent gives only phosphorus where as under condiments aggravation Nux Vomica, Phosphorus and Selenium are given www.similima.com 35

36. All the modalities in a case are not equally important. The modality regarding the position or posture of a patient may sometimes be more valuable. If the patient says that he feels better only when he assumes some strange position, this condition should be considered first. www.similima.com 36

37. This modality is not given in any standard repertory, though some positions in sleep are given. But Dr, Boger with his remarkable knowledge of behavior of drugs has coined a heading “attitude bizarre” given under generalities. The meaning is obvious. The patient’s disposition whether mental or physical is bizarre i.e. strange or unusual. www.similima.com 37

38. Again some modality may be common but when associated with the diseased condition with which it has absolutely no connection becomes uncommon or unusual. Example: peripheral neuritis pain< walking, moving legs and by hard pressure. > belched or passed flatus but Dr. Boger has given the modality “ passing flatus up and down, amel” under the rubric flatulence. The author has elevated the rank of this particular to the general rubric. www.similima.com 38

39. GRADATION CAPITAL BOLD - First grade – 3 marks Italics - Second grade – 2 marks Roman – Third grade – 1 mark www.similima.com 39

40. Advantages Handy and useful reference book Remedies for a particular rubric are reduced to a minimum possible by careful selection Easy to refer because of alphabetical arrangement Cross references are given wherever necessary www.similima.com 40

41. There are 42 clinical rubrics which are not present in KRHMM Limited number of remedies and rubrics. Under food and drink, Indian diet is mentioned. There are no. of clinical and pathological rubrics which help in selecting a remedy. www.similima.com 41

42. Disadvantages No originality can be claimed in this book. Mental symptoms are scattered. Rubrics and remedies are minimized Exact sources of words not known. CRHM can never replace exhaustive repertory like Kent. No full remedy index. www.similima.com 42

43. Difference between 2nd and the 3rd edition in the rubric plan www.similima.com 43

44. Clinical Rubrics Acidosis Acromegaly Acuminate Anasarca Antisocial Beriberi Black water fever Claustrophobia Cretinism Eclampsia www.similima.com 44

45. Embolism Hydroarthritis Menier’s disease Osteomalacia Actinomycosis Acrophobia Air hunger Anorexia Arthralgia Bilhariazias www.similima.com 45

46. Blood sepsis Coordination disturbed Dementia Ectropion Haemophilia Leucoderma Myxoedema Paraplegia www.similima.com 46

47. Pallegra Salpingitis Osteomyelitis Spondylitis Raynaud’s disease Scleroderma Stomatitis www.similima.com 47