BBCR Repertory.pdf

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About This Presentation

3.Preface
4.Materia Medica part
5.Repertory part
6.Concordances
7.Word index

Foreword
This is written by H.A.Roberts. He says that it was Boenninghausen who first evaluated the remedies in relation to the individual symptoms and it was he who introduced various relationship of any given remedy to...


Slide Content

BOGER BOENNINGHAUSEN CHARACTERISTIC
AND REPERTORY.
[Prof] DR.DHWANIKA.J.DHAGAT
M.D(HOM)
Aarihanthomeopathic medical college and
research institute , Gandhinagar kalolroad

Life history of Dr Boger
Dr.CyrusMaxvellBoger was born as the son of Prof Cyrus
and Isabelle MaxvellBoger on 1861.
He received his early education in the public school Of
lebonaonPaandgraduatedfromthePhiladelphia college of
medicine.

He later studied at HahnemannsHomoeopathic college in
Philadeipiaand qualified himself as a homoeopath.
He was as American homoeopath of German origin and was a
contemporary of Dr:Kent.
Dr.Boger became widely known through a large number of
learned contributions to the Homoeopathic literature.

His authorship of several medical books, his repertory construction, translation of several
medical books from notable German authors and his indefatigable labor in research made him
universally recognisedas an author of considerable
eminence.
The greatest piece of literature left by Dr: Boger is Boenninghausen'scharactersticand
Repertory based on the original Repertory of antipsoricremedies
Dr: Boger aged 74 passed away on 2nd sept 1935 after as illness lasting 2 weeks.

Some important literary works of Dr.Bogerare
1.Transactions of the original Repertory of Antispsorics(systematic
alphabetic repertory of homoeopathic materiamedica)-1899-
1900.
2.Boenninghausen’s characteristics & Repertory 1905.
3.Synoptic key to Materia Medica -1928.
4.Times of remedies and Moonphases-1906.

5.General Analysis
6.Studies in Philosophy and healing
7.Additions to Kent’s Repertory
8.Translation of TPB
9.Card Repertory -Boger Boenninghausen slips.

H/o and Evolution of Boger's Repertory.
During the later part of 19th century , with the emergence of Kents repertory the
applications of Boenninghausen Therapeutic pocket book was relegated to the back
stage. Boger was an ardent follower of BoenningHausen's school of philosophy which
in his view was much closer to Hahnemannian concept of disease.

Dr: Boger was a prolific writer on the use of repertories .He was at ease with
both Kents and Boenninghausen'sschool of philosophy. The construction and
informations based in Kent's repertory also impressed him. So he embarked on
the mission of achieving and integration of the information present in these
two repertories

While Dr: Boger was practicing in US he understood the
difficulties faced by the practitioners of his days in finding out a
similimumfrom the Materia Medica in the shortest possible time.
Finding that the practitioners had to depend on the existing faulty
translations of the Repertory of Antipsoricshe took up the task of
translating it in 1899.

While doing this translation he was further convinced that BH's basic principles plan
and construction were sound and the book was comprehensible and practicable. He
was also aware of the difficulties faced by practitioners while using Therapeutic
pocket book as well as the criticisms levelled against its principles and methodology.

So he took up the work of rewriting BoenningHausen's
Repertory by adding new chapters, new rubrics and new
medicines.
Thus he modified chapter of Therapeutic pocket book by adding
modalities and concomitant at the end of each chapter.
The outcome was a more useful work and was published by
Boericke and Tafelin 1905.

Editions of BBCR
1
St
edition -1905
2nd edition
3
rd
edition-1952 which is considered as 2nd Indian edition was
also brought forth by Roy & Company publisher
4
th
edition -1972 which is the 3rd Indian edition was published by B.Jain.
-Posthumous edition with the assistance of his wife by Roy & company
publisher
-It is considered the 1
st
Indian edition.

BOENNINGHAUSEN’S CHARACTERISTICS
MATERIA MEDICA AND REPERTORY
Name of the book: Boenninghausen’sCharacteristics Materia
Medica and
Repertory with word index
Author : C.M.Boger.
Number of remedies 483

Contents:
1.Foreword
2.Life History of Dr.C.VonBoenninghausen
3.Preface
4.Materia Medica part
5.Repertory part
6.Concordances
7.Word index

Foreword
This is written by H.A.Roberts. He says that it was
Boenninghausen who first evaluated the remedies in relation to
the individual symptoms and it was he who introduced various
relationship of any given remedy to the individual case. The
repertory is based on the original repertory of the Antipsoric
remedies of Boenninghausen

Life History of Dr.C.VonBoenninghausen
This is given by T.L.Bradford. M.D
Preface
C.M.Bogermentions that Masterpieces of Boenninghauasen-
1. Therapeutic Pocket Book
2. Apsoricrepertory

3. Antipsoricrepertory
4. Sides of the body
5. Intermittent fever
6. Whooping cough &
7. Aphorisms of Hippocrates
Were included in the repertory part.

SOURCE BOOKS
Source book Materia Medica part
• BH's characteristics translated by Boger for the first time.
• Whooping -cough -homoeopathic Treatment of whooping Cough in its Various
forms published by Boenninghausenin 1860.
• Homoeopathic Domestic Physician in Brief Therapeutic Diagnosis-1853.
• Therapeutic Hints from the Aphorisms of Hippocrates.
• Symptom Text of Intemittentfever.
•.

PHILOSOPHICAL BACKGROUND
This repertory is based on the following principles
1. Doctrine of complete symptom and concomitant
2. Doctrine of pathological generals
3. Doctrine of causation and time
4. Clinical rubrics
5. Evaluation of remedies
6. Fever totality
7. Concordances

1. Doctrine of complete symptom and concomitants:
A symptom is said to be complete when the following elements are present-
a) location
b) sensation
c) modality and
d) concomitant
bogertook idea from BH but he tried to improve it relating to sensation and
modalities to the specific part.
He tried to make every symptom as far as complete so it is seldom necessary to
do grand generalization.
he included concomitants at the end of each chapter.
Concomitant symptoms are given greater importance.

2.Doctrine of pathological Generals:
These are the general changes in the tissues and parts of the body. They reveal the
state of the whole body and its changes in relation to the constitution. The chapter
“ sensations and complaint in general” is full of examples of pathological generals,
which include discharges, structural alterations, constitutions, diathesis, etc.

3.Doctrine of causation and time:
Boger has given adequate importance to causative modality and time
modality. Each chapter in this book is followed by a separate sub chapter of
time aggravation.
4. Clinical rubrics:
In the absence of characteristic symptoms, clinical conditions are very useful
in grouping medicines, which can be further narrowed down with the help of
modalities and concomitants and finally selecting one among them. They
help the physician in case of advanced pathology.

5.Evaluation of Remedies:
Boger used the same five grading of medicines as Boenninghausen followed
in his Therapeutic Pocket Book. The grading is based on the frequency of
appearance of symptoms in the provers. He used five different typography to
represent these grades:
CAPITAL (5)
Bold (4)
Italic (3)
Roman (2)
(Roman) in parenthesis (1)

6.Fever totality:
This is the unique contribution of Boger. The three stages of fever are
followed by time, aggravation, amelioration and concomitants. They helps to
repertoriseany
simple as well as complicated cases of fevers.
7.Concordances:
Concordances or relationship of remedies helps in the second prescription

PLAN AND CONSTRUCTION
Boger followed basic plan and construction of Boenninghausen’sRepertory of Antipsoric
Medicines. He made several sections for different parts of the body and he added many
rubrics and sub-rubrics. The chapter on fever has been completely changed in its
arrangement and its contents. The different chapters and sub-chapters of the repertory are
as follows:
1. Mind
Time
Aggravation
Amelioration
Concomitants
Cross-reference
2. Sensorium
Aggravation
Amelioration
3. Vertigo
Time
Aggravation
Amelioration
Concomitants
Agg-Cross reference
Conc-Cross reference

4. Head
Internal
External
5. Eyes
Eye brows
Eye brows –cross reference
Orbits
Orbits-cross reference
Eye lids
Eye lids-cross reference
Canthi
Vision (TAA)

6. Ears
Hearing
Time
Aggravation
Amelioration
7. Nose:
Smell (TAA)
Coryza (TAA)
8. Face
Lips
Lower jaw and maxillary joints
Chin
9. Teeth
Gums
10. Mouth
Palate
Throat and gullet
Saliva
Tongue

11. Appetite
12. Thirst
13.Taste
14. Eructation
15. Waterbrashand Heartburn
16. Hiccough
17. Nausea and vomiting
18. Stomach
Epigastrium
19. Hypochondria
20. Abdomen
Internal abdomen
21. Inguinal and pubic region
Mons pubis
22. Flatulence
23.Stool
24.Anus and rectum
25.Perineum

26.Prostate gland
27. Urine
Sediment
Micturition
28.Urinary organs
Kidneys
Ureters
Bladder
Urethra
Meatus
29. Genitalia
Male organs
Penis
Glans
Prepuce
Spermatic cord
Testes
Scrotum
Female organs

30.Sexual impulse
31. Menstruation
Leucorrhea
32. Respiration
Impeded by
33. Cough
34.Larynx and trachea
35.Voice and speech
36. Neck and external throat
Nape
37. Chest
Inner
External
Mammae
Nipples
Heart region of
38. Back and scapular region
Back proper-dorsal region
Lumbar region
Sacrum and coccyx
Spinal column and vertebrae

39. Upper extremities
40. Lower extremities
41. Sensations and complaints in general
42. Glands
43. Bones
44. Skin and exterior body
45. Sleep
Position during
Waking
Dreams
46.Fever
Pathological types
47.Blood
48.HEAT AND FEVER
49.Circulation
Congestion
Palpitation
Heart beat
Pulse
50 Compound fever
51. Conditions in General
Time
52. Conditions of Aggravation and Amelioration in General
53. Concordances
54 index

Arrangement of Rubrics
Boger's Repertory is based on the concept of complete
symptoms.
The general arrangement of each chapter to the presentation of
information under distinct headings, conditions, Time,
Aggravation Amelioration and concomitants.
Under each of these chapters rubrics are arranged in
alphabetical order with certain exceptions.

The chapters or sections in Boger’s Repertory can be classified in to two groups
as
1 General section -eg: Mind -Completed with sensation, modalities,
Concomitants and cross reference.
2 Regional Section

In each regional section we get 4 subsections
• Locations & sensation-Given together
• Modalities (Time, Aggravation & Ameloration)
• Concomitants
• Cross references.

BOGER'S CONCEPT OT TOTALITY
In the chapter choosing the remedy he emphasized the importance of 7 points
given by Boenninghausen. Repertory gives us a group of drugs with similar
symptomatology's and from this group final differentiation can be made after
considering the individualizing or peculiar symptoms. There individualizing
features can be

Changes in personality and temperament
(quis)
-This should be noted especially when striking alterations occur. These may sometimes obscure
the physical manifestations and these may be corresponding to only a few remedies. The
expressions of the moral and mental activities affords the best for the choice of medicines in
mental affections

Nature and peculiarities of the disease
(quid)
The nature of the disease and virtues of drugs should be thouroghlyknown
before we can give aid in sickness. Knowledge of disease or diagnosis helps to
exclude all medicines which donotcorrespond to the nature of the disease.
Diagnosis will not help us much for the sure selection of the similar remedy.

Seat of disease(ubi)
Almost every drug acts definitely upon certain parts of the organism. Whole body is not equally
affected even in local or general disease some drugs affect (RT) side some (Lt) side and some
diagonally. So in order to cure it is essential to ascertain the seat of action. eg: The specific
curative powers of sepia in fatal joint abscesses of fingers and toes .so suitable for abcess
elsewhere remains ineffectual here. Here he says that if the diagnosis of our time were known
to Hahnemann he would have localisedremedies more accurately than simply saying right,left
etc.

CONCOMITANTS(quibusauxillus) -
While selecting the simillimumconcomitants should be given much importance. Common or
well known accompaniments are unimportant unless they are present in an extraordinary
degree or appear in a singular manner. The most important concomitant symptoms are
• Those which are rarely found combined with the main affection hence also infrequent under
the same condition in proving.
• Those concomitant which belong to another sphere of disease than that of the main one.Eg:
cough > pasingflatus.
. Important concomitants may sometimes out rank the symptoms of the main disease and may
help in the selection of the simillimum.
These symptoms may give individuality to the totality and are the same characteristic symptoms
which Hahnemann called striking extraordinary and peculiar. When the concomitant and main
complaint presents with the same modality it will become more important.

CAUSE(cur) -
Disease causes can be either Internal or external. Internal diseases arise from internal
disposition which is highly susceptible. These are due to uneradicated miasmsof psora, syphillis
and sycosis. When not due to these they are due to remenantsand sequateof acute affections,
due to drug disease poisoning etcor due to combination of drug disease with the other which is
very difficult to treat and in which cases antipsoricremedies will be very effective. In many of
the acute diseases rapid and durable cures can be effected by the administration of antipsoric
remedies.Inthe treatment of many diseases the best selected remedy is often ineffectual unless
preceded by a suitable antipsoric, antisyphilliticor antisycotic. While dealing with drug diseases
drugs given should be properly ascertained and treated.

Modalities ACCORDING TO SITUATION &
CIRCUMSTANCES.(quomodo) -
Modalities are the modifiers of characteristics. All well proved drugs manifests common
symptom of many drugs but their modalities may be differing. Modalities must be specialised
eg: If motion generally aggravates we should note the different kinds of motion as whether they
arise during commecementor are continued etc. General modalities and particular modalities
are important. Cravings and aversions to various food materials furnishes important points in
deciding the remedy. According to Dr: Boger when symptom are pointing to one particular
remedy and if modalities don't agree it will not be indicated and we will have to search for
another remedy having same or similar modalities

TIME MODALITIES(quanto) -
Time factors are equally important as aggravations and ameliorations. Here two important things to be noted are
the periodical return of symptoms after a shorter or longer period of quiescence. In these types there may be
some special or accidental causes such as mensturaldisturbances, seasonal or temperature influences etc.
Eg: Fever every 14 days
Convulsions during menses.
The hour of days when the disease is better or worse.
These are of much greater importance because we can find these features in many disease and we can find this in
many proving so these are peculiar and are qualified.
Eg: time modalities of cough, diarrhoeaetc. unless they are clear and decided (iikehell & lycoat 4-8pm ) or return
at
exactly the same hour (Antc, Ign, Sab) they are unimportant.
It is easy to select the right remedy after a picture of disease complete in respect and fully meeting all
requirements has been drawn up then to obtain the materials for such a picture and costructit for one's self.

EVALUATION OF SYMPTOMS:
Apart from the above mentioned 7 points Dr: Boger appreciated the use of time factors ,
causative modalities,
Pathological generals and tissue changes to understand the case.
• CAUSATIVE MODALITY Mental & physical -fear, Excitement Physician should try to elicit the
evident cause and course of sickness down to the latest symptom. To this add all things which
now seems to interfere with the patients comfort.
• MODALITIES or natural modifiers of the sickness should be then ellicited. The most vitally
important of such influences are Time temperature, openair, posture, Being alone,
Motion,sleep,Eating and Drinking ,Touch,Pressure, Discharges etc.

• MENTAL STATE
Important point to be noted here are the presence of irritability, sadness fear placidity etc. Mind is
given adequate importance and for selecting a drug it becomes imperative that the remedy selected
is always in agreement with the mind. The interdependence of mental and physical states is so great
that we can never afford to overtook it entirely. They classifies every other symptom often in a
decisive way. [from: how shall I find the Remedy -Boger]
• SENSATIONS
Estimate the patients own description of his sensation. Always ascertain whether any of the following
primary sensations are present like Burning, Cramping , Cutting. Bursting , soreness , Throbbing and
Thirst. Others may also be present but presence of any one of these may often overshadows them.
• ENTIRE OBJECTIVE Aspect or expression of the sickness This Includes facial expresionDemeanor,
Nervous Excitability, Restlessness Facial expression, Torpor , colour& odourof secretions, sensibility
and any abnormal colouring.

• PARTS AFFECTED or locations must be determined. This will be more helpful in reaching the
diagnosis.
The actual differntiatingfactor may belong to any these rubrics. From these it is very clear that
Boger has given importance to causation modalities, concomitants , General sensations &
Pathology and location to given last importance in the order of hierarchy.

Special features and scope of repertory
1.Construction of Repertory based on Hahnemanianconcept of totality[ LSMC].
2.Formation based on anatomical schema which helps to find out rubrics.
3.By applying Doctrine of Analogy ,Rubrics can be formulated or completed in four dimensions.
4.Gradations of medicines.
5 grades

5.Mind section is well elaborated. Where many rubrics are given which are not given in kent
Rep.
No of rubrics are 533
In kent529
Certain rubrics like Alcoholism,Automatismand pensive
6.New chapter like sensorium and sexual impulse are added.
7.It is a bridge between kentand Boenninghausen
8.Pathological general rubrics are mentioned which can be utilised
In the case of paucity of symptoms

9.Concomittant symptoms which helps in totality is better dealt by this Repertory.
10.The modalities which greatly influences the determination of the remedy have been dealth
under a separate section.
11.The amelioration which is partly presented in kentis well defined.

Thank you