pathak repertory 3rd and 4th edition....

3rd edition of pathak repertory with difference between 3rd and 4th edition

1. A CONCISE REPERTORY OF HOMOEOPATHIC MEDICINES Alphabetically Arranged - Dr. S.R. PHATAK Presented by, Dr. Arpita Acharia, PGT- part II

2. Dr. Shankar Raghunath Phatak (1896- 1981)

3. ABOUT THE AUTHOR, & HIS CONTRIBUTIONS Dr. Shankar Raghunath Phatak born on 16 th September 1896 at Pune. He completed his graduation from Grant medical College(M.B.B.S) in 1924. Not satisfied with Allopathy, practised Ayurveda for some time then pharmacognosy came in his way of practising Ayurveda.

4. So he went back again to Allopathy. That was the period of “Therapeutic Nihilism”. Probably that was the reason for his dissatisfaction. In 1932, he switched over to pure Homoeopathy . From this time he devoted his life for Homoeopathy. He was Lecturer in Bombay Homoeopathic medical college and member of court of Examiners constituted by government of Bombay. Among all the master minds in Homoeopathy, Dr. C.M. Boger influenced him the most. In fact if he had to practice Homoeopathy with single book it will be Dr. Boger’s SYNOPTIC KEY.

5. HIS CONTRIBUTIONS: Repertory of the biochemic remedies, Indian edition, 1937. A homoeopathic Repertory in Marathi, 1940. A concise Repertory of Homoeopathic medicines, Indian Edition , 1963. Materia medica of homoeopathic medicines, 1977.

6. EDITIONS: 1 ST edition : September 1963. 2 nd edition: 21 October 1977, with the help of Dr. P. Sankaran. 3 rd edition: June 2000,revised and enlarged edition, with the help of Dr. D.S. Phatak. 4 th edition: 2005, revised and corrected by Dr. Jeevanandam .

7. Arrangement:  Pages: The repertory is printed in two columns in each page.  It consists of 462 pages.  Chapters / Sections:  No chapters or section, all the rubrics are arranged alphabetically.  Rubrics begin with Abdomen affection in general, followed by Abdomen external and ends with Zygomae .

8. Medicines: Total numbers of medicines – 451 Medicines are arranged in alphabetical order, with different gradations. Medicines with + sign , it means these are newly added in 3 rd edition Ex: - Asaf +; under rubric HYPOCHONDRIUM, P-214.

9. Rubrics: General rubrics followed by particular rubrics. All the rubrics for mentals , generals, modalities, organs, and their sub-parts are arranged according to their alphabetical order.  CONSTRUCTIONS OF THE RUBRICS:  Number of Rubrics: 1923  Arrangement of Rubrics: Alphabetical.  Typography – Main rubric – CAPITAL BOLD Sub- rubric – Ordinary Bold Sub – sub – sub rubrics - ordinary  

10. Location / organ: Affections in general Side-right, Left Alternating sides Extension Sensation, Aggravation, Amelioration and Concomitants: alphabetically Example - chest Affection in general (P-51, 52). Right, Left Alternating sides Arms in to Backward, extending Abscess lungs of

11. Sensations: Sensation rubrics like absent parts of body were, uneasy feeling, etc are arranged alphabetically, but different types of pain like cutting, throbbing etc are arranged either alphabetically or under main rubrics pain. Ex :- Absent parts of body were. P-9 Prickling. P- 300

12. Modalities: All physical and mental modalities are arranged in alphabetical order, either in main headings or sub headings. Causation will be found under agg’s either general or particular. Time modalities are found under rubrics Time, Day and Periodicity. Ex :- Photophobia- Warm room agg . P-309 Time - Night agg . P-405 Periodicity - Yearly agg . P-308

13. Concomitants: The general concomitants rubrics are arranged alphabetically as main rubrics and particular concomitants are arranged under main rubrics or sub rubrics. Ex :- Sleep before AGG P- 352 Sleepiness- Sweat, with P-354 Pathological rubrics: All the pathological rubrics like abscess, atrophy etc are arranged alphabetically as main rubric as well as sub rubric where ever it is present. Ex :- Abscess. (General rubric) P-8 Chest - Abscess. (Particular rubric) P-52 

14. Diagnostic / Clinical rubrics: Diagnostic or Clinical rubrics like Blood pressure, Hemophilia, are arranged alphabetically. Ex :- Goitre . P- 171 Physical General:  All the physical generals are also arranged alphabetically. Appetite p-16, Aversions p-24, Desires p-92,

15. Mentals : All the mental conditions are arranged alphabetically and the mental attitudes are present under mental conditions. Ex :- Grief, sorrow. P- 172 Grief – Cannot cry. P- 173 Main rubrics followed by the sub rubrics, no sub rubrics or sub sub rubrics where ever it is necessary. All the first word of main rubrics or (Level-1) is written in Capital letters followed small letters ‘if it is present’. Level-1

16. Example:- FINGERS : P-155 GRIMACES : P-173 CONFUSION, incoherence, muddled: p-68

17. Sub rubrics arrangement Sub rubrics or ( Level-2 ) are written in bold letters started with capital letter. Ex :- HANDS: Burning heat: ( p-179) Ex :- HANDS: Burning heat: ( p-179)

18. Sub sub rubrics arrangement Sub sub rubrics or (Level-3) are written roman letters started with capital letters and a black dot marks before it. Ex :- HANDS: Burning heat: .Cold (p- 179)

19. Sub -sub -sub rubrics arrangement Sub sub sub rubrics or (Level-4) are written small roman letters and a – marks before it. Ex :- HANDS: Burning heat: Cold - weather in: (p-179)

20. Ex :- MAMMAE: Left Pain - mense Between: p-254 A plus mark + is given just after some rubric, sub rubric, sub sub rubric. This means these are added in third edition. Ex :-ANNOYED easily + : p-13. Cross references Sallow + : p-140 Sunken + : p-140  

21. CROSS REFERENCES are given where ever it is necessary. It is followed the Kent’s repertory pattern, means cross references are given against the rubric or after the rubric. But some cross references are with bracket and some are without bracket. If the rubrics contain the medicines then it is within the bracket and if the rubric having no medicines then it is without bracket. Ex :- POLYPI See (FUNGUS GROWTH): P-311 Ex :- ARROGANCE : See PRIDE, P-21.

22. DIFFERENCE BETWEEN 3 RD AND 4 TH EDITIONS.   3 rd edition 1. MAMMAE Level 1 MAMMAE: Bell, Bry , Carb -an; Cham; Con; Hyds ; Iod ; Lac-c; Merc ; Oci -c; Pho; Phyt ; Sabal ; Sil ; Urt . Level 2 R ight: Ign ; Kali-bi; Phel ; SIL. Level 3 Below : Carb -an; Caust ; Chel ; CIMI; Grap ; Laur ; Lil-t; Merc - i -r; Phos ; Sul ; Ust . Level 4 Pain, Cough, with :Mos. Level 5 menses at : Grap .

23.   4 th edition 1. MAMMAE Level 1 MAMMAE: Bell, Bry , Carb -an; Cham; Con; Hyds ; Iod ; Lac-c; Merc ; Oci -c; Pho; Phyt ; Sabal ; Sil ; Urt . Level 2 Right: Ign ; Kali-bi; Phel ; SIL. Level 3 . Below: Carb -an; Caust ; Chel ; CIMI; Grap ; Laur ; Lil-t; Merc - i -r; Phos ; Sul ; Ust . Level 4 – Cough, with: Mos. Level 5 at: Grap .

24. SPECIAL FEATURES: General modality represented in capitals AGG . or AMEL. And modality related to a particular part is represented by small letters Agg . or Amel . Desires and Cravings are two separate rubrics in this repertory. Under Desires, we find all mental rubrics. Under Craving- rubrics related to food and drinks Aversion- both mental and food aversions are given Under Food and drinks- Agg . And Amel . of food items given

25. Cross references are given wherever necessary inorder to find the appropriate rubric. This is given after the word “see’’ in brackets immediately after the remedy. Causations are given under aggravations Eg : OPERATIONS, surgical After AGG, ABDOMEN Laparotomy after, FORCEPS DELIVERY after Mental attitudes will be seen under each mental condition Eg : DESPAIR, hopelessness – Anger wit, Trifles over

26. For all general modalities & all particular modalities AGG & AMEL are given. In each rubric, all important symptoms, their concomitants & modalities are given.

27. RUBRICS that are special to Phatak : AEROPLANE, flying in AGG. BAROMETER BERI BERI BILE DUCTS BIRTHMARK, naevi BLOOD PRESSURE High CEREBRO-SPINAL Axis COTTONY feeling HESITATES PHILOSOPHER PROPHYLACTICS ULNAR NERVE along

28. ADVANTAGES Handy can easily use in bedside. Alphabetically arranged so very easy to find out the rubrics. Many rubrics especially modalities not found in other repertories are available here. The author has put forward a few new readings from his own experience. The rubric like blood pressure, bronchitis, bronchiectasis , colitis etc are very useful for nosological rubrics.

29. Though this book is very small, it contains many rubrics which are not obtained in other books. In each rubric --location, sensation, modality & concomitants are given, also general modalities & mental symptoms. So it can be used for systematic repertorisation . Remedies for particular rubrics are reduced to minimum possible by a careful selection, which helps to reach the similimum, easily.

30. Very useful for eliminating process of repertorization. Many clinical and pathological rubrics mentioned which help in selecting remedies specially when there is absence of guiding symptoms. The information is taken from authentic sources as well as from authors own experience. No drug is used unless the author has verified it in his own experience.

31. DRAWBACKS   Rubrics and remedies are very much minimized. Mental symptoms are scattered and very less in number in comparison to other’s repertory. Many rubrics and sub rubrics contains single medicine or few medicines, so difficulty in repertorization. A concise repertory can never replace exhaustive repertories like Kent’s Repertory .

32. Certain rubrics are not well defined, means its real meaning and exact sources of words is not present. Eg. Associated effects Rare drugs are rarely represented though given in the abbreviation after the preface. Though gradations are present but its evaluation is not mentioned anywhere. 

33. ADAPTABILITY Cases with Prominent Cause. Well marked modalities Where concomitants are present Sensation and location are next to mental.

34. Working out method A Concise Repertory of Homoeopathic Materia Medica is a amplified version of Boger’s A Synoptic key of the Materia Medica by Dr. C.M. Boger. He accepted the Boenninghausen and Boger’s approach to the patient GENERAL MODALITIES, CONCOMITANTS, PHYSICAL GENERALS, LOCATIONS MENTAL STATE.