Method of working out a case with Kent s Repertory

1. Method of working out a case with Kent�s Repertory www.similima.com 1

2. As has been stated earlier, Kent gives more importance to generals. Therefore the general symptoms in the case should be found out in the first instance and written separately under mental and physical, followed by particulars www.similima.com 2

3. Regarding mental symptoms, Kent warns: �Mental symptoms are very important but some of these are found in so many remedies that they are very common, such as weeping, irritability, anger, etc. Hence, these are not best to begin with � or the result would be so cumbersome that repertory work would not be practical. www.similima.com 3

4. Mental symptoms, which are specified by certain factors like agg., amel., ailments from, or associated with, are more important than too general symptoms for repertorization. Margaret Tyler has designated these specified mentals as high grade or qualified mentals as against common mentals. www.similima.com 4

5. The same qualification of symptoms holds good in respect of physical and particulars. The qualified symptoms not only help to individualize the person, but also narrow down the field of choice. www.similima.com 5

6. According to Dr. Kent, the totality should be arranged as follows: Mental�Emotion ��.Will Intellect ��.Understanding Memory Ailments from Agg. and amel. Any other qualified symptoms www.similima.com 6

7. Physical - Generals Ailments from, agg. and amel Symptoms related to sex, appetite, desire and aversion to food, weather, positions etc. Special senses. Particulars- peculiar and characteristics or qualified. www.similima.com 7

8. All cases should be worked out according to the above hierarchy. But Where mental are lacking, physical generals and characteristic particulars will make the totality. Where generals are lacking, the cases can be repertorized by the use of Kent�s repertory taking characteristic particulars only. www.similima.com 8

9. ANAMNESIS OF CASE Anamnesis � Dictionary Meaning The case history of a medical patient as recalled by the patient. The ability to recall past occurrences. Anamnesis in homoeopathy is a complete logical study, which includes identification, determination and individualized examination of the patient or sick. www.similima.com 9

10. It includes all the information gained from patient, his family and narrators regarding previous life, past history. For assessing his singularity in contrast to other patient suffering from the same disease. Anamnesis can be found by collecting data concerning patient, his family, previous environment and experiences including any abnormal sensations, moods or acts observed by the patient himself or by other, or their appearance and duration , as well as any result of treatment. www.similima.com 10

11. Anamnesis expresses, itself in various kind of alterations of spirit, alteration of psychic symptoms apparently, alteration of bodily structures examined in the laboratory. First of all the image of Psora should be studied from all the symptoms that we can gather, next we have to make out a similar anamnesis of Syphilis, which can be done from books, from clinics, from observations and all other possible sources, and then an anamnesis has to be made of Sycosis. www.similima.com 11

12. There are things most generals and will bring before the mind, in one, two or three images a grand picture of all the chronic diseases of the human race. It is the study of combined totality of common features of disease and uncommon individual characteristics of the person. And then evaluation of this totality with stress on those features, which denote the uncommon aspect of this common totality thus, assessing the patient�s singularity in contrast to other patient�s sufferings from the same disease. www.similima.com 12

13. In anamnesis the more striking, singular, uncommon and peculiar signs/symptoms of the case of disease are chiefly and most solely to be kept in view. The case of the patient is taken and his uncommon symptoms are separated from the common symptoms of his diseases. Any symptom or any abnormality anywhere in the body is considered relevant arriving at an anamnesis. www.similima.com 13

14. IMPORTANCE OF ANAMNESIS Individualization of the patient: as the past, family medical history is to be taken with a definite view to find out the individual characteristics. Kent says medical history of the patient is to be taken so that we can get the individualizing features of the patient. With the help of anamnesis we can find out what is uncommon, PQRS in the patient over and above the common features of the disease. www.similima.com 14

15. Anamnesis is done for prescribing a medicine, which is most similar to the uncommon symptom of the patient. General symptoms are considered as the backbone of the anamnesis. Subjective symptoms like, fear, hatred, sensations are important for anamnesis. Anamnesis is more applicable to the development of chronic diseases from the time of exposure, suppression primary manifestation and various treatments done from time to time. www.similima.com 15

16. Anamnesis of psora, syphilis, and sycosis is to be done in cases whenever applicable. Anamnesis of acute disease is equally important for the selection of individual nosodes. Anamnesis studies the uncommon aspect of the diseased person and leads the way to treat a patient by enhancing his immunity, the fighting power of his body against disease. Thus Anamnesis has greater possibility and certainty in achieving the ultimate object of successful treatment. www.similima.com 16

17. Though anamnesis is very important in all cases, it has got a special significance in the following conditions. Acute cases of fast changing symptoms, especially marked with stages, like intermittent fever. Alternating diseases. Chronic diseases which begins after an acute attack of illness . Chronic diseases with periodic, acute exacerbations. Familial dispositions to the recurrence of a certain form of disease at a certain period. www.similima.com 17