Synthesis of rubrics to construct materia medica Dr Margret redson Md practice of medicine Under guidance of Dr. Anusuya . M. Akareddy Associate prof. Dept of repertory and case taking 1
objectives To know about the co-relation between repertory and materia medica . Advantages of repertory to study the mat e ria medica . Define synthesis of rubrics . To illustrate with an e xample . www.similima.com 2
Co - relation of Homoeopathic Materia Medica and Repertory 3
HOMOEOPATHY Or Oganon of medicine Homeopathic Repertory Homoeopathic Materia Medica 4
Homeopathic Materia Medica and Repertory are complementary Homoeopathic Materia Medica is the record book of Genuine, pure, reliable and authenticated symptoms of simple substances ascertained after complete proving on relatively healthy human beings Toxicology and clinical experience Homoeopathic repertory It is an index to Homoeopathic Materia Medica 5
6 Expanding Materia Medica ïƒ like a vast ocean So it was impossible to keep in ones head the mass of symptoms Time consuming - Confusing To ease the task ïƒ Similimum Indexing of symptoms Dr. Samuel Hahnemann (1805) ( Fragmenta de viribus Medicamentorum Positivis )
HOM. REPERTORY A BRIDGE HOM. MATERIA MEDICA CLINICAL CASE ANALYSIS PHYSICIAN SIMILIMUM 7
Repertory Starts with broad choice of a group of remedies Gradually narrows down ïƒ small group of remedies Final Similimum ïƒ Materia Medica 8
REPERTORY IS AN ADVANTAGE TO THE STUDY OF MATERIA MEDICA Study of DRUG Comparative study between the 2 drugs & Group study Limitation of particular source book Confirmation of the symptoms Grading in Repertory – Intensity of symptoms in M.M. Constant use of Repertory – Physician efficient Computer – Speedy work 9
Study of DRUG Choose any drug for study Refer to a section of repertory Note down the rubrics under the drug Compare & study of rubrics from repertory & M.M. 10
Comparative study Convert symptoms from any one source book, one section to rubrics of repertory Repertorise Compare drugs having similar symptoms 11
Study of drugs from same group 2 drugs from the same group Take rubrics covered by both the drugs from one repertory compare 12
Confirmation of symptoms in source books Repertorisation of symptoms of a case Confirmation of the same symptoms in source books 13
Synthesis of rubrics When a required symptom/rubrics is not found in the repertory but it is represented by two or more rubrics found scattered in the repertory, they are combined to represent the required rubrics. The process of combining two or more rubrics into one is called synthesis of rubrics. 14
Example :- perspiration around neck External throat – perspiration Back perspiration – cervical region 15
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Methods Total addition methods- Adding all the medicines from related rubrics this is called generalization. Eliminating methods Taking only those medicines from which is common in the both 17
Examples 18
itching of skin better by uncovering 19
Leucorrhea acrid, profuse transparent, ropy with running down the limbs 20
Menses scanty or suppression from grief. 21
Cough hoarse, croupy, dry and loud 22
Mind , timid, emotional and tearing music makes her weep 23
Burning in eyes, with acrid lachrymation 24
Example- Angustura vera MIND : Absent-minded Anxiety Sleep during Cheerful, afternoon Concentration difficult Confidence, want of self Cowardice Discontented Discouraged Dream as if in a Ecstasy www.similima.com 25
Excitement, afternoon. Exertion, agg , from mental. Fancies absorbed in, exaltation of(2) Fear Frightened easily Hatred, bitter feelings for slight offenses has Ideas abundant, clearness of mind. Irresolution Irritability www.similima.com 26
Jesting, averse to. Loathing Memory, active Mirth, hilarity, liveliness Moaning Offended easily Plans, making many. Pleasure Serious Sighing www.similima.com 27
HEAD : Constriction, tension, walking while Drawn, backward, first right then left. Falling forward, sensation of, in brain, sideways of head. Fullness, forehead Heat, night, bed in Head, forehead Heaviness, forehead, rising on Motions, in head www.similima.com 29
Pain, headache, morning Pain, evening, twilight at. Pain, air, open amel , alt with abd and uterine symptoms, asthma. Pulsating, forehead. Shocks, blows, forehead. Twitching of muscles of the head, sides. www.similima.com 30
STOMACH : Appetite, increased Appetite, wanting, noon Aversion, drinks Av fats and rich food Av food(2) Av meat (2) Desires, coffee(3) Cold drinks(2) Hiccough www.similima.com 31
ABDOMEN : Gurgling www.similima.com 32
BACK: Coldness, forenoon. Pain,bed in(2) Pain, motion on, pressure Pain, lumbar region, sitting while. Shocks, electric lik , along the spine. Stiffness,cervical region, morning (2) www.similima.com 33