Repertorization.pptx

PPT

1. Repertorization

2. Defination – The process of repertorization is essentially a Logical elimination of apparently similar medicines.

3. Method of Repertorization

4. 1. Kentian method Useful in cases in which generals & particular symptoms stands out with  their modalities. This method of grouping from generals to particulars with important to mental generals is called Kantian method of repertorisation , which is the best and commonly used method .

5. 2. Hahnemann & boenninghausen method When there is no mental symptoms but only particulars with associated concomitants / complete symptom. We can use TPB as our aid. This method is called Hahnemannian or Boenninghausen method.

6. 3.Boger’s method Applicable in those cases which have causative modality, pathological generals/particulars with concomitants.

7. 4.Working on technical nosology/clinical method Prescribing on    nosological diagnostic terms or lab investigations. When nothing to prescribe upon and the patients presenting with diagnostic terms without any symptoms eg.aneurism,atheroma etc.we can use any of the clinical repertories such as Borger’s clinical repertory. These would not help in the choice of medicine but will bring us close to a set of medicines.

8. Dr.B.k.Sarkar in his book Lectures in Homoeopathy ( 1956 ) has described the following methods of working out the cases : 1) Hahnemann and Boenninghausen’s method= where complete symptoms are available. 2 ) Kent’s method = Where Generals ( mental and physical ) and particulars are available. 3 ) Third method = Where mental symptoms are lacking. Here one starts with physical generals ; next mental symptoms and then particulars

9. 4) Fourth Method = Where Generals are lacking. Selection of a striking, peculiar as a key symptom, and then medicines are differentiated with the help of other symptoms. 5) Fifth Method = Where the case presents only common symptoms or pathology. ( a) Patient’s personal and family history , ( b) Temperament, ( c) Complexion, color and texture of skin , (d) Particular organs and tissues affected, ( e) Location, character and physical aspect of lesions, and (f) Probable etiological factors. Here physician makes use of every means at his command

10. Process of repertorization There are 2 methods of repertorisation . 1. Aggregation method/total addition 2.Elimination method

11. . Aggregation method / scientific method . In this all the analyzed symptoms are  written one after another and the indicated remedies are written against them depending on the process selected. The frequency of the appearance and the sum of marks scored by the medicines are calculated. This is the repertory value. Advtg No symptom however insignificant not neglected Final outcome is the faithful reflection of the symptom expression in the drug pathogenesis. Demerits Laborious & time consuming Both the prominently expressed symptom & vague symptoms are awarded the same status.

12. 2. Elimination method / artistic method. Dr. Margeret tyler introduced this method. In this method the symptoms are arranged in a hierarchy in accordance to the schools of philosophy of the selected repertory. Eliminating symptoms are those symptoms which through of all the medicines that are not needed for the patient and bring only those medicines which are required for the patient. The eliminating symptom is very important in the exercise of repertorisation because it dictate & determine the medicines that compete for the mantle of the similimum. It act as safe shortcut to the prescription in the hands of the experienced physician .

13. The elimination mode can be Single step elimination Cascading elimination

14. Single step elimination The elimination of the medicine is done only once, at the beginning of the exercise. The most prominently characteristic symptom is selected as the eliminating symptom . The medicines indicated for this are noted down . For the next rubric / symptom ,only these medicines which are common to the eliminating symptom are considered . Medicines outside the eliminating symptom _ whatever be its grade _ is not considered for repertorisation .

15. Cascading elimination In this method elimination is carried out thro’ the whole  process Each symptom became the eliminating symptom for the next symptom Extreme caution & care should be taken in structuring the hierarchy of symptoms. The symptoms have to be arranged in the descending order of importance. The medicines in the first symptom / rubrics are noted down, for the second symptom only the medicines covers the first symptom are considered. On working out the third symptom only the medicines those are indicated against the second symptom are selected.

16. So first symptom is the eliminating to second symptom, second symptom is eliminating for third symptom and so on. Thus each symptom is the eliminating symptom for the next symptom. The repertory value of each medicines is worked out in exactly the same manner as in aggregation method. ADVTG : Labor & time consumption greatly reduced DIS ADVTG : If one is not thorough & effective while structuring the hierarchy of symptoms, he may fail.