BBCR Repertory.pptx

This is boger boenninghausen's repertory for reference of homeopathic students.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 Boenning Hausen's school of philosophy which in his view was much closer to Hahnemannian concept of disease.
While Dr: Boger was practicing in US he understood the difficulties faced by the practitioners of his days in finding out a similimum from the Materia Medica in the shortest possible time.
Finding that the practitioners had to depend on the existing faulty translations of the Repertory of Antipsorics he took up the task of translating in 1900.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 methodologyWhile 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.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 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

1. BOGER BOENNINGHAUSEN CHARACTERISTIC AND REPERTORY. [Prof] DR.DHWANIKA.J.DHAGAT M.D(HOM) Aarihant homeopathic medical college and research institute , Gandhinagar kalol road

2. LIFE SKETCH OF DR .CM BOGER(1861-1935) Dr: Cyrus Maxvell Boger was born as the son of Prof:Cyrus and Isabelle Maxwell Boger on 1861. He received his early education in the public school of Lebanon Pa and graduated from the Philadeiphia college of medicine

3. He later studied at Hahnemanns Homoeopathic college in Philadeipia and 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 .

4. 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 recognised as an author of considerable eminence. The greatest piece of literature left by Dr: Boger is Boenninghausen's characterstic and Repertory based on the original Repertory of antipsoric remedies Dr: Boger aged 74 passed away on 2nd sept 1935 after as illness lasting 2 weeks.

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

6. 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.

7. 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 Boenning Hausen's school of philosophy which in his view was much closer to Hahnemannian concept of disease.

8. Dr: Boger was a prolific writer on the use of repertories .He was at ease with both Kents and Boenninghausen's school 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

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

10. 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.

11. So he took up the work of rewriting Boenning Hausen'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 Tafel in 1905.

12. 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.

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

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

15. 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

16. Life History of Dr.C.Von Boenninghausen This is given by T.L.Bradford . M.D Preface C.M.Boger mentions that Masterpieces of Boenninghauasen - 1. Therapeutic Pocket Book 2. Apsoric repertory

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

18. 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 Boenning hausen in 1860. • Homoeopathic Domestic Physician in Brief Therapeutic Diagnosis-1853. • Therapeutic Hints from the Aphorisms of Hippocrates. • Symptom Text of Intemittent fever. •.

19. 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

20. 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 boger took 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.

21. 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.

22. 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.

23. 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)

24. 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 repertorise any simple as well as complicated cases of fevers. 7.Concordances: Concordances or relationship of remedies helps in the second prescription

25. PLAN AND CONSTRUCTION Boger followed basic plan and construction of Boenninghausen’s Repertory 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

26. 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)

27. 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

28. 11. Appetite 12. Thirst 13.Taste 14. Eructation 15. Waterbrash and 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

29. 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. 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

31. 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

32. 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.

33. 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

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

35. 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

36. 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

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

38. 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 localised remedies more accurately than simply saying right,left etc.

39. CONCOMITANTS( quibus auxillus ) - While selecting the simillimum concomitants 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 > pasing flatus. . 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.

40. 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 miasms of psora, syphillis and sycosis. When not due to these they are due to remenants and sequate of acute affections, due to drug disease poisoning etc or due to combination of drug disease with the other which is very difficult to treat and in which cases antipsoric remedies will be very effective. In many of the acute diseases rapid and durable cures can be effected by the administration of antipsoric remedies.In the treatment of many diseases the best selected remedy is often ineffectual unless preceded by a suitable antipsoric , antisyphillitic or antisycotic . While dealing with drug diseases drugs given should be properly ascertained and treated.

41. 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 commecement or 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

42. 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 menstural disturbances, 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, diarrhoea etc. unless they are clear and decided ( iike hell & lyco at 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 costruct it for one's self.

43. 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.

44. • 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 expresion Demeanor, Nervous Excitability, Restlessness Facial expression, Torpor , colour & odour of secretions, sensibility and any abnormal colouring .

45. • PARTS AFFECTED or locations must be determined. This will be more helpful in reaching the diagnosis. The actual differntiating factor 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.

46. Special features and scope of repertory 1.Construction of Repertory based on Hahnemanian concept 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

47. 5.Mind section is well elaborated. Where many rubrics are given which are not given in kent Rep. No of rubrics are 533 In kent 529 Certain rubrics like Alcoholism,Automatism and pensive 6.New chapter like sensorium and sexual impulse are added. 7.It is a bridge between kent and Boenninghausen 8.Pathological general rubrics are mentioned which can be utilised In the case of paucity of symptoms

48. 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 kent is well defined.

49. Thank you